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'�2°e'� S �`r° ,''tsaY' TM3 S'y;t��.tst?.Br S.n' �� 'q d •ir', i } a9i ,'.`d $^s :yn✓,yd. rti;` t$ i 'i d. r/ F t Town of Barnstable Building i Post This Card S That itis Visible From the Street Approved P sMust-beRetaned'on Job andthis Card Mustbe Kept RAM BAM LA Posted Until Final Inspection Has been Made.0.1 Permit -tea Where aCertificate=of Occupancy is Required,such Building shall Not=_be-Occupied until a'Final Inspection has l*!L, e Permit No. B-20-176_ Applicant Name: Steve J Spengler Approvals Date Issued: 02/03/2020 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 08/03/2020 Foundation: Location: 39 MADDAKET LANE,CENTERVILLE Map/Lot. 190-227 Zoning District: RC Sheathing: Owner on Record: YOUSEY,TIMOTHY H &JANNELLE G Contractor NameVINT SOLAR DEVELOPER LLC. Framing: 1 t Address: 39 MADDAKET LN Contractor License: -170848 2 CENTERVILLE, MA 02632 Est Project Cost: $3,097.00 Chimney: Description: Installation of roof mounted photovoltiac solar systems 7.04. 22 Permit Fee: $85.00 Panels j Insulation: Fee Paid:. $85.00 Project Review Req: i', Date: , 2/3/2020 Final: Plumbing/Gas Rough Plumbing: g Official This permit shall be deemed abandoned and invalid unless the work authorized by thins permit is commenced'withnsix:months afte�I� R'e. Final Plumbing: All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and striuctures shall be incompliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: r 1.Foundation or Footing Service: 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue,lining is installed ,, .. .. M g 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: S � Town of Barnstable A Builffing gPost;This Car:,d So That'it:is Visible From the,5treetA " xovedPlans,Must be-Re tained on Jobandahis Card Must'be Kept , + �A:LF 4s„ L7 „ r' '," �� ':: «rz' i ' t pp'.� y�"r:3 ` `, '-' ^'R.: `,�✓.,f 5a+r, b e z" ',� Permit iG3A � Posted UntilFinal�lnspect on Has Been Matle ��,� x�- ,� a,� � � ��.� :� Y ear�a Wherea Cercate of Ocupancys Required;sucBuildmg II N�ot�be�Occup�ed?until a�, n�al Inspectiorrhas�been made Permit No. B-19-3656 Applicant Name: Craig Bishop Approvals Date Issued: 10/30/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 04/30/2020 Foundation: Location: 39 MADDAKET LANE,CENTERVILLE M Map/Lot 190 227 Zoning District: RC Sheathing: 'k �k . Owner on Record: YOUSEY,TIMOTHY H&JANNELLE G Contractor Name:':, CRAIG P BISHOP Framing: 1 Address: 39 MADDAKET LN ContractorLicense 109777 2 CENTERVILLE, MA 02632 m EstProject Cost: $3,305.00 Chimney: i t•insulate attic hatchq ventilate air Permit Fee Description: Attic dammin insulate attic flat; .. _ 85.00 P g Insulation: sealing Fe`ePaid $85.00 Project Review Req: Date 10/30/2019 Final: LCr� Isk r_ Plumbing/Gas A, Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work autho zed by this permit is co enced withWsiA months after issuan Final Plumbing: All work authorized by this permit shall conform to the approved application an the�approved construction documents for which this permit has been granted.' All construction,alterations and changes of use of any building and structures shall 6 in compliance with the local zoning by laws;-and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for publicinspection for the entire duration of the work until the completion of the same. a` ; � * Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures,ti the Building and Fire Officials are�provided on this permit. Electrical -Minimum of Five Call Inspections Required for All Construction Work , 1.Foundation or Footing ` Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before fire flue linings, stalled! Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ❑❑ ❑❑ HOME ENERGY RATERS L LC B U I L D I N G P E R F O R M A N C E T E S T I N G Duct Leakage Report 39 Maddaket lane _ Test Mode Centerville Pressurization 10103/2019 _ _ _ .__ : _ . Test Pressure _ 25.0 Pascals Braga Brothers Testing Equipment 2015 IECC Energy Code Minneapolis �_- . yi:�'yj� `gigy► Total CFM@25 or Total Duct Leakage Percentage 42.00 0.03 - Total Square Footage w� 1396.00 Maximum Allowable Leakage ' 55.84. HVAC Duct Test Location S' ft Served t In CAM .15�. . ` (3au a Duct Leaka ye/o 1 attic 1396 C. 42 - _ ` 0.03 { 180 STATE ROAD SUITE 2U SAGAMORE BEACH,MA 02562-(508)833-3100-ENERGYCODEHELP.COM-INFO@ENERGYCODEHELP.COM powered byg convas www.00canvas.com AEC982AB-4688-4690-BB97-7688B1 F4426B Town of Barnstable Building PostThisCard So That etas Visible From the Str4eet Approved"Plans:M'ustbe Retained on:Jo,b andthis Card Must.be Kept, �, 36 �" Posted Until Final Inspection Has Been Made , >M f s " Permit eat° Where aCertificatexof Occupancy is Required,such°Building shall Notbe Occupiedunt�IaFinal Inspection has been made Permit NO. B-19-3158 Applicant Name: ALEX B BRAGA Ap provals Date Issued: 09/24/2019 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 03/24/2020 Foundation: Location: 39 MADDAKET LANE,CENTERVILLE Map/Lot: 190-227 Zoning District: RC Sheathing: Owner on Record: YOUSEY,TIMOTHY H&JANNELLE G ,ontractor Narrie:". ALEX B BRAGA Framing: 1 Address: 39 MADDAKET LN Gontractor'.License: 31524 2 CENTERVILLE, MA 02632 Project Cost: $.10,000.00 Chimney: Description: SUPPLY AND INSTALL.A CARRIER 3 TON AIR HANDLER WITH 2.5 TON Permit Fee: $8-5.00 OUTDOOR CONDENSER TO SERVE WHOLE HOUSE WITH COOLING ; Insulation: Fee Paid'' $85.00 Project Review Req: ', Date 9/24/2019 Final: � � r n yd�z ry -_ Plumbing/Gas Rough Plumbing: _.. .a ui m icia This permit shall be deemed abandoned and invalid unless the work authorized;by this permit is com menced within)siz.irionths after ul n e Final Plumbing: All work authorized by this permit shall conform to the approved application and thexapproved construction documents for whi6t this permit has been granted. All construction;alterations and changes of use of any building and striicturetshaII be in compliance with the local zonin& y laws ani 1.d codes. Rough Gas: This permit be displayed in a location clear) visible from access street o"6.road and shall be maintained open for .u,is ins ection for the entire duration of the hspeY P p, P work until the completion of the same. , w Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by-the Building and,Fire Officials are provided_on this"permit. Electrical Minimum of Five Call Inspections Required for All Construction Work a ` g 1.Foundation or Footing i. �� k , � �,� � � �` Service: 2.Sheathing Inspection I 3.All Fireplaces must be inspected at the throat level before firest flue'lining is mstalld , „K Rough: 4.Wiring&Plumbing Inspections to be completed prior to frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Commonwealth of Massachusetts Sheet Metal Permit Date: 09/21/2019 Permit V Estimated Job Cost: $ 10,00. 00 Permit Fee: $ Plans Submitted: YES❑ NO❑ Plans Reviewed: YES❑ NO❑ Business License# 612 Applicant License # 6717 Business Information: Property Owner/Job Location Information: Name: Braga Brothers, Inc. Name: Timothy Yousey Street: 110 Breeds Hill Road, Unit 5 Street: 39 Maddaket Lane City/Town: Hyannis City/Town: Centerville f Telephone: (508)827-4260 Telephone: (508)827-4260 Photo I.D. required/Copy of Photo I.D. attached: YES ✓❑ NO Staff Initial J71 /M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less r Residential: 1-2 family Iy l Multi-family ❑ Condo/Townhouses❑ Other❑ Commercial: Office❑ Retail❑ Industrial❑ Educational❑ Institutional F] Other I I . Square Footage: under 10,000 sq. ft. V over 10,000 sq. ft.❑ Number of Stories: Sheet metal work to be completed: New Work:❑ Renovation:❑✓ HVAC ✓❑ Metal Watershed Roofing❑ Kitchen Exhaust System❑ Metal Chimney/Vents❑ Air Balancing❑ Provide detailed description of work to be done: Supply and-install a Carrier.3 ton air handler with 2.5 ton outdoor condenser to serve whole house with cooling. INSURANCE COVERAGE: I have a current liability,insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes 0 No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy ✓❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO 4 Progress Inspections Date Comments Final Inspection Date Comments Type of License.- By (Master Title ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted License Number: 6717 Fee$ ❑ Check at www.mass.gov/dpi Inspector Signature of Permit Approval +own 6-:Barnstable Build"mg;Department.Services Brian Florence, -BO Maes se��."�� Building Conm�ssoner - 200'Main Street;Hyannis;MA 02601 www:bown Barnstable macs Office: 508-8624038 ;Fax: 508=7.90-6230 Property Owner Must Complete and Sgn'Tlus:Section :If U9ingA At I Timothy Yousey _.._ :as Own-ei f:the subJect:proPetty, hereby authorize Braga Bros, Inc. to act on.m behalf; _. Y.. in all'tnattexs,relattve to work authorizei.bq this builduig permtt application for;' 39_Maddaket_Lane, Centerville 0263:L_._:., (Address of Job) **Pool fences..and alarms are the responsibhty of the applicant Pools are;not to be filled or utilized before fence is installed and all final inspections:are performed aril accepted: S" f 5tgnature of Applicant Print-Name; / Prtnt Name )fq `Date;- A QTORMS OVJNERPBRMISSIONP(30LS'. Rev 08%16/1`I` - The iOmmon wealth of Massachusetts-, Department oflndustrial Accidents' I Co.egress Street,:Sutte LQO' Boston,lKA 02114-Z01:7` www massgov/dia Workers'Compensation Insurance"idavit:General.Busmesse§: TO BE.FILED WITS THE i'ERMITTING AUTHORTT-Y Atinlicant hiformat►on _- Please pr-int:Leffibly Business/Organization Name;Braga Brothers; Address:110 Be Hill R66d,`Umt'15' City/_tatelZit Hyannis/MA 02601 phone# (508)827=4260;; Are you an employer?Check the:appropriate bbm Business;Type,(required).:. 5. Retail 1.0✓ I am a em to:er with 8 em loY ees`.(full and/ Y P_ or part-time)* 6. �Restaurant�Bar/Eating Establishment 2.❑ 1 am a sole proprietor orpartnership and have no _ , Q Office and/or Sales(mcl.real estate;auto,'eic)` empioyees.worktng'for�me in-any,capacity. _ [Na.workers'comp.-insurance-requir..ed] 8 Non=proft 3.❑ We are a corporationand its offcers have exercised; 1 9,. ❑Entertatntneit,; their right of exemption per c.a 52,§I(4),_and,we have, 10;Q.Manufacturing no employees:{No workers'comp:insurance required]* j`h. Health Care': 4. I We area non-profit.organization,:staffed-6y,volunteers;: with no employees.[No workers.'comp:ins.urancereq.] 12.❑Other •Any applicant that cheeks tiox#1 must also fill out the section below show�ng_the�r workers compensatwn policy information *•If the corporate:offcers have exempted themselves but;the corporapon has oilier employees a workers compensation policy is.�equued and such,aii; organization should check box#_L I am an employer ikai is providing workers'compensation insurance f r;m_y employees Below is the,policy informa ion. fiisurance.Gotnpany Name:Arbella Mutual insurance; Insurer's Ad dress: _39_Maddaket Lane _., - Citylstate/Zip; _Centerville,.MA 02632_ Policy.#or self,jns L c #422i)05277 Expiration,Date:0310112020 a copy of.the wo rkers'compensation policy declaration page(showing the'policy number and a"xpiratlon date Attach ): - _ :Failure to secure coverage�as required,under S.ectiorr'ZSA ofM-L c. 152.can,lead°to the imposition of criminal penalties of a. fine up to$1,560.,W,4nd/orone-year imprisonment;as;wetl.as civil penalt-eOnthe form of'a STOP WORK ORDER,and a fine of up to$250 06 a,day`against the violator..be advised that a copy,,of ihiststaiement'may be forwarded to the Office of' Investigations of the>DIA.for'` reo ge:verification:: I,do,hereby cer ' u thee and enalnes ofper/ury tkat thetiformaton provided above is true and correct 09/21/19 Phone OfJicrat use;onty Do not write cn this area,torbe completed by e�ty or limn:official City or Towa , W Permif/L�cense# .- __ �.. _ ,Issuing°Authority(circle.:one):, 1:`Board of Iteaft6;:1-15i iidmg Department,3:cify/Pown,Cleik> 4.Licensing-,Board S.`1 ctmeWs Office 6,.Qiher contact=Person: _. _ Phone;#: www mass govi8ia DATE(MM/DD/YYYY) ACC>R"® CERTIFICATE OF LIABILITY INSURANCE 03/04/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Gabriel DeSouza NAME: Murray&MacDonald Insurance Services,Inc. , No Ext: (508)540-2400 a/c No: (508)289-4111 550 MacArthur Blvd. E-MAIL gabriel@riskadvice.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Bourne MA 02532 INSURERA: Arbella Protection Insurance 41360 INSURED INSURER B Braga Bros.Inc. INSURER C: 110 Breeds HIII Rd INSURER D: Unit 5 INSURER E: Hyannis MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER: 19-20 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AULJL bUtffl POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE Fx_1 OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A 9520052704 03 03/01/2019 03/01/2020 PERSONAL BADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑JEa LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: I I Contractors Comm $ AUTOMOBILE LIABILITY GffMBII D-SMGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED 1020052173 03/01/2019 03/01/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED - PROPERTY DAMAGE $ -- AUTOS ONLY AUTOS ONLY Per accident Underinsured motorist BI $ 100,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS-MADE 4600065467 03/01/2019 03/01/2020 AGGREGATE $ DED I X RETENTION$ 10,000 $ WORKERS COMPENSATION - PER OTH- AND EMPLOYERS'LIABILITY Y/N - STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA 4220052770 03 03/01/2019 03/01/2020 (Mandatory in NH) _ E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 �e��,� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Fold,Then Detach Along All Perforations: ................. ......................................... ................................................. .................... ............................ OfViM NWF.'�LTFiOFMi�SNI�S5� JUN 4 ;i� W SHET�jMI:�T'AW©Rkl;RS ! n r� + SSU)"$Ta}EFOLL WING'C10ENSE 0y T' I S Y kS�44 h {c h4 y� Q gsLEX B�BRA�GA k ` qq pqi �;. BRA YGA rB , . ,k� 425MOUHT111(Ot7D'ROAD � v 44` i 4 ✓� MARSTOS�MIL�LS;INIA2fr48 y, �`° °sf Fold,Then Detach Along All Perforations �OMMONk�IEAUTNOF'MS��Ht�S�� : . .......... :........................ ........... w4 ✓A°�.. --- A: Lae.. J .. 0.i...1 t 7 LF "•SHEET IU{ETAL WORKtwS '»� � ISSUESTHE FOL'L�OWINGpp�IC�SEIyI�� r 3. M�4STER.UMRESTRIGTEM,-' ALE B BR'g SGA � 110 BREEDS I}�tL R ft � LL , HYANNII�S€,MAC 0260.1 Al64 } f kIPI�UTN1-1 UPGR�q Y. 1 Page 1 Residential Heat Loss and Heat Gain Calculation 9/14/2019 In accordance with ACCA Manual J Report Prepared By: Braga Bros. Plumbing & Heating For: Timothy Yousey 39 Maddaket I. Centerville, MA Design Conditions: Cape Cod Indoor: Outdoor: Summer temperature: 75 Summer temperature: 90 Winter temperature: 72 Winter temperature: 0 Relative humidity: 55 Summer grains of moisture: 100 Daily temperature range: High Building Component 3 Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Whole House 1,296 sq.ft. 22,067 6,579 28,646 68,390 ( 2.5tons ) First Floor 22,067 6,579 _ 28,646 _ 68,390 All Rooms 1,296 sq.ft. 22,067 6,579 _ 28,646 68,390 Infiltration 4,350 5,199 9,549 27,504 -Tightness:Avg.; WinterACH: .97 ; SummerACH: .48 Duct 0 0 0 6,217 -Supply above 120; Enclosed in unheated space; R-6 People 6 _ 1,800 1,380 _ 3,18_0 0 Miscellaneous 2,400 0 2,400 0 Floor 1,296 sq.ft. 0 0 0 14,557 -Over unheated basement; Hardwood or tile; No insulation N Wall 223.5 sq.ft. 274 0 274 1,448 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 22.5 sq.ft. 472 0 472 893 - Double pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Door 21 sq.ft. 157 0 157 832 -Wood; Hollow; No storm Door(2) 21 sq.ft. _ 157 0 157 832 -Wood; Hollow; No storm E Wall 209 sq.ft. 256 ` 0 256 1,354 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 34 sq.ft. 2,380 0 2,380 1,349 - Double pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(2)----- 22.5 sq.ft. 1,575--._-----�-_ 0 1,575 893T Page 2 Timothy Yousey 9/14/2019 Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) - Double pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(3) 22.5 sq.ft. 1,575 0 1,575 _ 893 - Double pane; Wood frame; Clear glass -No inside shading; Coating: None (clear glass); No outside shading. S Wall 254.2 sq.ft. 311 u 0 _ 311 1,647 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none___ Window 33.8 sq.ft. 1,217 0 1,217 1,341 - Double pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. W Wall 233.2 sq.ft. 285 0 285 1,511 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 33.8 sq.ft. 2,366 0 2,366 1,341 - Double pane; Wood frame; Clear glass - No inside shading; Coating: None(clear glass); No outside shading. Door 21 sq.ft. 157 0 157 832 -Wood; Hollow; No storm Ceiling 1,296 sq.ft. 2,335 0 2,335 4,946 - Under ventilated attic; R-19 (4-6.5 inch); Dark Whole House 1,296 sq.ft. 22,067 6,579 28,646 68,390 ( 2.5tons ) HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101 Load calculations are estimates only,actual loads may vary due to weather and construction differences. x . . ��'ti .� � '` �'' ,_... ,.._._� �. � f � � � ^� .._ - ! � ... �- � �- y-, ..!! i.. ,,, �, _ s s . �.. z � � � �„ �,r =i .� � a, ;.. � , � � � - � ,� � p � � �:_�. e � ��.�. �� h - � � -�. _ z e � m �, , i .a � K Q , C S,' ;{ 1� _ � ,F -___ � � - �; v � X��. � S Town of Barnstable Bi111d111 PostTh�s Card S'o That�t isVisible From the Street ApprovedPlans;.Must belie#alned on Job andthis Card:Must be;Ke; t ,, _ ♦ 1A]LN"3'[`AHd.6, �P. '� 'I:',In, , i � �B ...ri•.11%lade:�° �$,.N�� ;� 5 � � • i6 ostedUntrl Fina spect on Has ee �, . ° W3here a.:Cert�ficate:ofOccu anc as.:Re:u�red such Bu�ldm shall Not,be Occa ,iedunt�l a Final Ins ect�onrhas been made .`'. ea �jjl � Permit NO. B-18-3009 . Applicant Name: Steve Tessier _ Approvals Date Issued: 10/02/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential. Expiration Date: 04/02/2019 - Foundation:. Location: 39 MADDAKET LANE,CENTERVILLE Map/Lot. 190-227 Zoning District: RC Sheathing: Owner on Record: YOUSEY,TIMOTHY H&JANNELLE G � ContractorNarne STEVEN M TESSIER Framing: 1 Address: 39.MADDAKET.LN ,ontractor_License CS7055571 - 2 CENTERVILLE,MA 02632 Est Project Cost: . $25,000.00 Chimney: Description: _ Bathroom remodel,sister joists in basement,flo`or sheathing "Permit Fee: $177.50 Insulation: Project Review Req: NO RECONFIGURATION- BATHROOM REMODEL ONLY. Fee Paid:_ $ 177.50 - Final: Date: 10/2/2018 yfi K Plumbing/Gas J Rough Plumbing: ` Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after=issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documents'for which this permit has been granted. All construction,alterations and changes of use of any building and structures' be in compliance with the local zoning I*laws aril codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or`road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. c Electrical. The Certificate of Occupancy will not be issued until all applicable signatures.by the Building and fire Officials are provided on this permit: Service: Minimum of Five Call Inspections Required for All Construction Work:".,. r!; 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4:Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: g 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. ' Final: ."Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A): : Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ONE- +E EmA=L, s EAJT * �tl�,�y, Town of Barnstable Permit it Expires 6 mon hs fro 'sue d� Building Department Services )Nee Ir BARNSTABIA Brian Florence,CBO 16J96 Building Commissioner �ArfD MA't 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PrZRMIT APPLICATION - RESIDENTIAL ONLY 171� n of Valid without Red X-Press Imprint Map/parcel Number V r �Q �'�°4eo—V d 1 I Property Address Q � �. residential Value of Work$ 51��®° ya Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address h Contractor's Name 1 1 1� Telephone Number J U `�� " 12 Home Improvement Contractor License#(if applicable) V ,2— Email: S Q_n 2--Q0 o YA�10D Construction Supervisor's License#(if applicable) l 1 ❑Workman's Compensation Insurance Che one: I am a sole proprietor ❑ I am the Homeowner WIG ❑ I have Worker's Compensation Insurance Insurance Company Name CAP 29 2017 Workman's Comp.Policy# -rNAN BARNSTABLE Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ check box) 1 Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 1 �GZ js 1�G Soy ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc: ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILESTORMS\building permit formsTYPRESS.doc 08/16/17 The CoanrrromveaIth ofMa sradiusetts Depwharent afrMha`strid Accidentr 600 Washington��treet Boston,AJA O2111 tt viunmsmgovfdf a Workers' CGmpensafrmaIns>a-mce AffidavitSmlder-lCnnfractarsMecfncians/Phmihers AppHcant 1ufw=&n Please Print Nam g ;,,R�lY7>aranizationlFnratali'� -� - CifylStare ig: �� o o` Mq► d 2 no o �24 Are you an employer?fteckthe appropriate boor ' Type of project(requa d')- L❑ I aorta employer with 4 ❑I am a gegesal contractor and I 6. New oansfr�❑ ia4 a ees( dfoa:part-#ime * �e lured.the sub-contmators 2.[ a sale propdeiar or partaer- Usted on the,attached sheet. ?. ❑Remodeling shag and bare no employees These sa3b-contractors have ;❑Demolition -wod-ing forte in any Capacity. eoployea s audhave wodwrs' 9. ❑Building ac ifioa [ldo UpdM& comp.in=nce comp.i=rance-1 reciuized] 5- ❑ We are a corporaf on.and its 10❑Ele deal repairs cr addition 3.❑ I ama bameovmer doing all work officers have exercised their 1L❑Plumbingrepairs or additions ryse€ No vates =MF_ tight of exemption per Rsl` 12❑Rnpfregairs . in�e reTired]t c.152,§l(4)6 andwe have no employees-E o workers` 13.❑Other cone.iusaxr m required.] •mayapgffcra Bsatcbealsbos6lmn�talsof�Ila the sectioabeTatvslrnsdugi2ie¢wo3crss'aomp®safiaapaticgir�r�sanm ffnmeowaetswho snbmx!t dm dtdaca=gHcad mS they hire dais.-Owa l end f=bim oubadecout maanamst.MbMit a aewaffidwt Wir dk sacs_ fCaultadns�hateheXtdsb=mastattadh>m.addi£anal shad dwvd=gthanuaeoflie sub -hnseeadieshm emplayees.Ifthemb-cantadomhweemplayee-%9hey=Mtpmr-& wadmn'camp.p army n=ibm I arrt.eta errtpfrsPsr 9arrt;ispraurdirtg u�nrkers'caarpenrs�iart itrsrrrarree�'vr rrc}*emPrIQy�ees �Seloay.is flt�palicy grad jaH s�� intfor7IIrrdom Insurance Company Name: -Policy-4 or Self-mom llc- I plfattauDa�e: Job Om CityfStata T.tp: Aftxch a copy of the workers'compensation polscy`declaration page(showing the poTicy,number and,expiration date). Fare to secure coverage as requiredunder Section 25A of MCA.a 1572 can lead to the imposition,of rdminal penalties of a fm' e up to$1,540:OU andfor acne-gear impris==4 as w6U as civil penalties in the form of a STOP WORK ORDERand a free of up to$2fA0Q a aiay against the violator. Be adsdsed drat a copy of this statement maybe forwarded to the Office of Investigations ofthe DIAc far msZ=-ff coverage vertfrfiatrozL i 1 da hemby ced.y'and, r thaptam mtda psnaRiks 4�fF cry thatAs irzzforsta#zw m-vW abore is true mid carrel Sitatttte Bate: �� I Phone o 1 2-0 0jokfet use arr£y. Do not writs in dub urea,to be.urrnpi<e a by taty ar to n gfiL-&l City or Toww. PermitUcense# Lmning Athority(dr&one): L Board of 331,rd h ceding Department 3.CitylTown Clerk 4 Electrical Inspector S.Plumbing Inspector 6.Other Coact Person: Phone#: --- 6 Information ant d lastructions M�cc�r_I GC:3 a Laws M reqma-es an=%ao`Y=to Fuvu&,Vull�rompeusEion for their employees- PUrSUM j to this sib,an Novae is defined as.'. cve<ypeasonm.t ie sm-vice of another order any contad ofhirr, express or implie4 oral or wrhM.7 An Moyer is defined as��kdiyidnal,panne ,association,a¢par�ton or other legal a y,or any two or more of the,foregoiIIg=gaged in.a3oint ,Md mchrMg the legal=preseofaafives of a dwzased employer,or the receiver or tustee of an kdividnal,per,MDCfi±�M or ofjierIegal M ty,employing employD- HOwever the owner Of EL dwelIrng house having not more t m three aparf a and who resides thereim,or the occa t of the. dwelling house of anoffier who employs Pcmms to do m1fitman ce,conk n_c on or repair woilc on such&w6-Mag bouse urtenanftherein sbannotbecanse of such employmentbe deemedtn be an employs" or on the grounds or bn11dmg app . MOL chapter 152,§25C(t7 also stems that aeym'y st2fa nr kcal Ireeus big agency shall wtfiihold$ie issaance or too crate a bens or to cnnstrncf b,mTd��s is the commonwealth for arry e of a licexi se.or permit p _ „ renewal applic antwho has not produced acceptable evidence of cdmpIiance with thin mcnranrr coverage required. Additionally,M(ff,chapter 152,§2 CM states-NCi er the COMManVMM nor;�qyy ofits political subdivisions s) all enter m�any contract frn[the perform once of public work u�I acceptable evidence of wmpliancewifh the f„cm mce._ regt�e�ienEs ofthis chzp ter haveBeenpreseniadin the mnfta .anfioiitY-" APPHcaats . Please El out the Wozlyds'compensation affidavit comcpletely,by g the:boxes that apply to your siinaii on and,if necessary,supply sal�ntractor(s)name(s), addresses)and phone nnmbe.r(s)along whit-their cer[ffic3±e(s)of iosurance_ LimitedLiabdity Companies(LLC)or Limitedl iabUityPartneah=ps(LU)•w Lno cloy other than the members or partners,are not rbq=ed to crosy workers'compensation in�ee. If an.LLC or LLP does have empIoyeess,apolicy is rego� Be advised that this affi&vkmaybe m1bmi.fed to the De padment of Indust ial Accidea:Lts for coniEmiahon of ksm dnce coverage Also be sure to sign and date-the affidavit ThC affidavit should b ez�trmaed to ffie city or town that the application.for tha permit or license is being regaesEed,not the D epmtm enf of I ,ns rial A rci =t- ghouldyou have auk,Questions regw:Emg the last or ifyon are turd to obtain aworkers' compensatiou pokey,plmse call tiie Deparimeaf at the nnatber listed below Self-firmed companies sbo-ald ear their self-insurance license mnaher ontho apprapriate Ike. City or Town Officials . Pleas a be sores that tiie affidavit is complete and primed Iegribly. The Department has provided a space at the bottom ofthm affidavit for YOUto fM out in the evert the Office of7nvestigations has to CO tyoQregardingthe applicant Please be sure to fill in the permitMcense number which will be used as a reference amber. In addition,an applicant that must submiL mub3ple pennWHcense applications in any gives year,nerd only sobmit one affidavit indicating dent policy inf ation(if neoms-a*y)and under"lob 55te Q�rmd the applicant should wee"all locations to fihcey m town)"A copy of the-affidavit that has bey officially stamped.or marked by the�-y or town may provided applicant as proof that a valid affidavit is on Ell for f I e'pmmtfs or licenses. A new affidavit must be:filled out each year.'i here a home o-wner or citizen is obtaining a license or pemit not ielated in any business or commeaC ial ydn - (ie_a dog license Orpennit to bum Icwm eta.)said person.is NOT retparedto comps this affidavit T11e Office of Ind=wouldliiketD ffimkyouimadvance foryour coope-adios and sbouldyouhave any grzestions, please do nothesifateto&a US a caM The Deparfm mfs address,telephone and fax nimmber D:epartnmt ofIndutcia1 Acr,Ideff ita ' Wce dinvedigatio= oil 1I T(�-L 4 617- -4 cxt 446 or 1-9 MA&�AFR Fag 617-`2'-7M Kevised424-D7 - �,��'�fd� Town of Barnstable Building Department Services ` Brian Florence,CBO 039. Balding Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 509-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section_ - If Using A Builder T T as Owner of the subject property hereby authorize HO 4"'`-,-J to act on my behalf in all matters relative to work authorized by this building permit application for. S c� 4 '!e--eA 1—r` C-ee 11 (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. CAAA0"a) (AnatureoTN69Signature of Applicant Print Name Print Name Q Date Q:FORMS:OWNERPERMISSIONPOOLS Rev:09/16/17 Town of Barnstable Building Department Services Brian Florence,CBO ; Building Commissioner 200 Main Street, Hyannis,MA 02601 >uausrAJ= iA www.town.barnstable.ma.us 039. Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE E MMPT'ION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAIIJNG ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is'intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildingammut. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION ' The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt, from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results,in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit fonns\EXPRESS.doc 08/16/17 Massachusetts Department of Public Safety ® Board of Building Regulations and Standards License: CS-105918 Construction Supervisor MOHHMED S RAHMAN ,:.. �p�rr 66 CENTER STREET,. UNIT 2-3 - Y - DENNIS PORT MA 0263911 �i CA— Expiration: Commissioner 09/16/2018 >ie t(aa»unaoozevea`llz a�Cl��acrc�ecaeCta Office of Consumer Affairs.&Business Regulation a -- HOME IMPROVEMENT CONTRACTOR { Individual _ Renistration Exairat�od . 92 . 1 010 8120 1 8 an Rah Mohhmed 4m DB/A All Cape Renov Mohhmed Rahman 66 Center St Unit 2k3_ Jy� Undersecretary i Dennis Port,MA 02639 I srl i3j Town of Barnstable *Permit# / Expires 6 months from issue date Regulatory Services Fee' 3 S i�xtvsrns�. i6gq1639.. Richard V.Scali,Interim Director ♦� Building Division - Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1'7 0. —Z Z 7 Property=Address ,3 i" I Qc�c�Gi �f r e C.Pifl�P�/✓i��e Residential Value of Work$ 7Xj — Minimum fee of S35.00 for work under$6000.00 Owner's Name&Address —11-en b&�4 �di 1�/1 e I le V/n 5,p-,/ a d d Xe- 4- _ n fefil,Ile MA 014,32- BRmA, l Contractor's Name -0 t ISoI✓. / Telephone Number CID/-1'zr—fft Home Improvement Contractor License#(if applicable) 173 Email: Construction Supervisor's License#(if applicable) O FS7d 7 AWorkinan's Compensation Insurance Check one: ❑ I am.a sole proprietor I am the Homeowner. .I have Worker's Compensation Insurance Insurance Company Name NA llU MAY 12 ZO 6 Workman's Comp.Policy# VJ0,-M9'03 Q37 - ®�VN QF I (STABLE Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Re-roof(hurricane nailed)(not stripping. Going,over existing layers of roof) ❑ Re-side ["Replacement Windows/doors/sliders.U-Value • 2, ?_(maximum.35)#of windows 1 #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *'%/here required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic;Conservation,etc. X*`Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home,Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:IWPFILESIFORMS\building permit formsEXPRESS.doc Revised 061313 aaakne mAedmmCaepy WersemRENEWAL BYNDERSEN ti« M33245w �vP1 .535 26 Albion Road lncoln,RI 02865 WO nnn pt237, Phone 866.563..2235•Fax 401.633.6602 reams T"to 046-05666M Southern New England Windows,LLC d/b/s Res twat by Andersen of Southern New Englund _. .CUSTOM WIIHDOW AND DOOR REMODELING AGREEMENT i ��. &"Oil Sa..cA&m-w ChY Sam.W Zip Code/P.0 11=179 /ylG 6Phtll�e�J[��, �r!HemeTdeplwnt.Numsee��7�i f 6X7��ik7deplgiyNunyer; Buyer(s)herebyjointly and severally.agrees to purchase the products and/or services of Southern New England Windows;I I C d/b/a Renewal by Andersen of Southern New England(°Contractoe 1,in accordance with the terms and conditions described on the front and the reveise of this agreement and on,the attached specification sheets)(collectively,this`Agreementl. O Historic O Condo O HIOAT obAmoune Total �. &dmaeed Sauting Duuc` Method of J Payment O Check O Cash Financed Deposit Received(33%):c23 z Credit•Cards are accepted for deposit only-maximum I l3'of the Waince at Stan of Job(33%r txdrnaces t atipleuon Dace projim cotiMem tie Gre*Card�n�FOOD')Bysijphit�g this Agreaneot you admoWledge that the Balance at Start,d Job and the Balance on Subiturtlal / _ ' Balance or►Strtanntfai Conhpiadion of Job'cannoc be made by credit Completion of Job(33%). card and rn xt be made bypNrsonaf duck bank check or rash: . Buyer(s)sgrees4utl understands that".Ageeemeat constitutes the entire-anderstanding between the-parties,and that there are no verbal underistanding'.cl,angiag any of:the.terms of this Agreement.Boyer(s):aekaowtedgen tbatBuyer(e) (1)has read this Agreement,underotands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agr eemesm;including the two attached Notices of Csinceliation,.on the daft Host written above and(2)was,orally informed of Bayer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY WANK SPACE&: (Rhode bland Salts'0*)Notice to Bayern(11)Do not sign this Agreement tf any of"the spaces intended for.the agreed tertas io the extent of then available information are left blank.(2)You are endued to a copy of this Agreement at the time you sign A.(3)Yon may r.-any.time pay aff the full unpaid balance due wader this Agreement,and in sQ doing you spay be entitled to restive.a partial rebate of the finance and iastarance'chatges:(4)The setter has no[right to,tiolawfully enter your presj i s or commit any breach of'the peace to repossess goods purchased under this sAgteen ens.(S)You may cancel this Agreement if it has not been signed at.ths main of be or a branch office of the seller,provided you notify the setter athis or her main office or branch office shown is the Agreement by registered orerti cfied mail,which shall be posted-not later.than midaigbt. of the third calendar day after the day on which the bayersigns,the Agreenaeat,er�clading Sunday and any holiday on whisk regular tiaaal deliveriestire not made.Seethe accompanying notice of eaaeeWtion form for an explaoatiou of baYetr's rights, Buyer(s)received' " consuiner education materials provided by the de tractors Registration Board, (Buyer'ilitifair) .Renewal N England Buyer(s), By ' S titre Print Name df'Ptodnct Manager: Print Narri Rine nose' YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT..ANY TIME PRIOR TO`MIDNIGHT OF THE:TH1RD BUSINEB$,DAY`A1rIBR THE DATE OF THIS TRi KIlACTION.SEE THE ATTACHED NOTICE'OP CAP4CELEATION FORMS. FOR AN'EXP1 1NATION OF THIS RIGHT. CEQ NOTiCE'OF CANCEL eTtra` Data of Trbepactioit l ,You may cancel.1 Date of Transaction- You may cancel this transaction,witihout am pensky or obligation,within this transaction,without arty penalty or obligation',within three bud" from_;the above date If you cancel,any throe business from the above date.If you cancel,any propertai traded any.psymer►ia made by you under the I property traded ln,.ainy p4niGh"made by you under the Contract or Sale,and-any* gotgable-instrgtment eirp rl d I Contract or Sate,and-arry neeggotiable instrument executed by yoga will be retuned,vnthln ien business days following I by you will be returned within ten business days L following receipt:b1i tits Seller of:your cancellation notice;and arty 1 receipt bar the Seiler of your cancellation notice,and arty security ntamst aritittg ouc of the: tirargsaetion will be security nterest arising out_ of the. transaction will be canceled.if you:raniel,trou must,make available to the Seller I .canceled.lf you can«l,you must make sysilable to the Seller at-your residence,in substantially as good condition as when I at your residence,in substantially as good condition as when reeeihied;anti goods delivered to'you under this,contract or. I received,any goods delivered to you under this Contract or Sale;or you man if�ro i wish,eomily vAth the instructions of. I Salto yens mar,if rat wish,tomppy with the instructions of 116 Seller reganding thwreturn�shtpmetrt of the goods at the die Sell►regarding ttta return sin�pment of the goods at tlge Sel[er"s a nse and risk If you do make thegoo ds available h Sellers me and risk.if you do rrialce"the"gcods.aarailable to the 5elr and the Seiler does not pick them up within to line Seer:and tine Seller does not pick them up within twenty of the date of csneellation;you may retain or. I twenty s of the date of cancellation,you nhar_retain or titspose'of dse good widtout.arry further.obligation.If you I dispose oltfie goods without any further obligation If you fgii to make the goods taraiiabk to die Seller,or if you agree I fall to`"make the goods available to the Seller,or if you agree `to ret irn thegoods to the'Selter and fait to do,*then you I to return the gootis to the Seller and tail to do so,then you remain.lhble for *^"icet4f act obligations under the I remain liable/or performance of a11.obligations under dye Contract.To cancel thls.trattsaction,mail oro deliver a signed Contra+ctTo cancel.this transaction,mail or deliver a signed and dated copy of this cancellation notice or arty other I and dated copy of thts cancellation notice or any other. written notice;or send a bete"gram to Renewal byAndenen of I written rtotice,orsend a telegram to Renewal,byAndersen of' Southern New England at 26 Albion,Road oln 102865, 1 Southern New E d at 26 Albion Road,Lincoln,RI 02-US,' (NpO�tTe LATER THAN MIDNIGHT OF I (NOT LATER THAN MIDNIGHT OF l HEREBY CANCELTHISTRANSACTION. t HEREBY CANCELTHISTRANSACTION, awry stag. 1. "*a HMO - Qat. � sNw'a f(oaduna PrMt Maass - one. RbA Copy:.YHhite Buyer Copy:Yellow Buyer Copy;Pink Southern New England Windows -d.b.a Renewal by Andersen of SNE `. Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS4095707 BRUN D DBNNISt1N �'• 7 LAPM POND 11r1B Chariton MA 01507 Expiration Commissioner 09/a8t2016 Joao Office of Consumer Affairs d Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card Fjiration: 9/1&2016 SOUTHERN NEW ENGLAND W{NDOWS LL _ DENNISON BRIAN 26 ALBION RD -- �- LINCOLN,RI 02865 Update Address and return ntd.Marls raven for chooge. ❑Address ❑Renewal ❑Emphwinat ❑Lost Card SCA 1 6 104USnt irrte of Comemer Alfain&Boriaes Reaebtroa License of registration valid for todiWdol we only IMPROYEMENTCONTRACTOR before the expiration date.Iffound return to: Office of:oosnmer Affairs and Business Regulation Vt. atratron: 173245 Type 10 Part Plan-Suite 5170 pUatlon: 9/19/2016 Supplemerd and Boston.AILA 02116 SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BY ANDERSON a DENNISON BRIAN 26 ALBION RD LINCOLN,R102865 Usduwcrc Not valid wilbou signature 77aa Commonwealth of 111aassaachusetts Department of Industrial Accidenis Office of Investigations 1 Congress Street, ,Barite 100 �1 Boston,MA 02114-2017 www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Pr•i>irt Lcgib1Y Name (Business/Organization/Individual): SOUTHERN NEW ENGLAND WINDOWS Address:26 Albion Rd City/State/Zip:Lincoln, RI 02865 Phone#:401-228-9800 Are you an employer? Check the appropriate box: Type of project(required): 20+ . I a general contractor and I- I.� l a``m. 4 a employer with ❑ m a g 6. ❑New construction employees (full and/or part-time)- have hired the sub-contractoKs listed on the attached sheet. 7. ❑ Remodeling 2.0 I am a sole proprietor or partner- ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers comp. insurance comp.insurance 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its 3.Q I am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions nlyself. [No workers' comp. right of exemption per MGL 12.❑ Roof renal" insurance required.]; c. 152, §1(4),and we have no ��o employees. [No workers' 13.� Other /ti comp. insurance required.] rP ilac_?'' i't *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. ' Homeowners who submit this affidavit indicating they are doing all wort;and then hire outside contractors must submit a new affidavit indicating such_ ?Contractors that check this box,must attached an additional sheet showing the name of the sub-contractors and state whether or not-those entities have employees. If the sub-contractors have employees,they must provide their workers comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:ARGONAUT INS. CO. Policy#or Self-ins. Lic. #:WC 928058352394 Expiration Date:8/21/2016 Job Site Address-31 A3 4 ke t- L a City/State/Zip:64L./'i_�� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A-efMGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA foi insurance coverage verification. I do hereby certify under thi ains and penalties ofperjury that the information provided above is true and correct. r Si ature. Date: Phone#: 4012289800 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License It Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector EPIumbingpector 6.Other Contact Person• Phone* SOUTNEW-01 SHETTYSHT Dr-7ATE(MMIDDRYYY) CERTIFICATE OF LIABILITY INSURANCE 811912o`13 IS TTHI�TIFICATE IS ISSUED AS A MATTER OF IN FORMYTIpO END,LEXTED OR ALTER THE COVERAGE AFFORDED BY THY AND CONFERS NO RIGHTS UPON THE CERTIFICATE E POIS LIR.CIE CERTIFICATE DOES NOT IZED AFFIRMATIVELY OR NEGATIVE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHOR IZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. subject to IMPORTANT: If the ons of the hot policy,certain policies may NAL INSrequURED, an endor emepolicy(t nt. A statement on this certificateAdoes not WAIVED nferDrights t the the terms and conditions P certificate holder in lieu of such endorsement(s). CONTACT Willis Certificate Center PRODUCER NAME. FAX (888)467-23T8 Willis of New Jersey, PHONE 877 945-7378 ac.No y AlC No Ext:( ) clo 26 Century Blvd E-MAIL r_ertificates@vAllis.com P.O.Box 305191 ADDRESS. Nac Nashville,TN 37230-5191 INSURER(S)AFFORDING COVERAGE NAM Insurance Company of Southeast 39926 irlsuRED INSURER B:OneBeacon Insurance Company 2`119801 Southern New England Windows LLC INSURER c:Argonaut Insurance Company DBIA Renewal by Andersen INSURER O: 4 26 Albion Road L Lincoln,RI 02365 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: mr REVISION NUMBER: THIS IS TO CERTIFY TAND NG POLICIES OF INSURANCE TERM LISTED OR BELOW HAVE BEEN CO DITION OF ANY CO UNTRACTT OR OTHER DDOED TO THE INSURED CUMENT WITH RESPECT TOCY PERIO LIWHICH THIS INDICATED. CERTIFl ONS AMAY BE ISSUED OR ND CONDITIONS OF SUCH POLICIES L MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.ED HEREIN IS SUBJECT TO ALL THE TE IXCLUS POLICY EFF PWI)IDY f7CP uMrrs I�TR TYPE OF INSURANCE INS WVD - POLICY NUMBER MM�D ,1,000,000 EACH OCCURRENCE $ 100,000 A X CommERCIAL GENERAL UAB►LnY 0811012015 08/1012016 pREM1SES Ea occurrence $ S 2029459 10,000 CLAIMS-MADE T OCCUR MED EXP(Any one person) 1,000,000 PERSONAL'i=ADV INJURY $ 3,000,000 GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER _ 3,000,000 X PRODUCTS-COMP/OP AGG S POLICY®PRO- LOG $ COMBINED SINGLE LIMB $ 1,000,000 OTHER (Ea accident AUTOMOBILE LIABILITY /1811012015 08/10/2016 BODILY INJURY(Per person) Is A X ANY AUTO S 202W9 BODILY INJURY(Per accident) $ ALL OWNED SCHEDULED PROPERTY DAMAGE I$ AUTOS AUTOS NON-OWNED Per accident) X HIRED AUTOS X AUTOS $ EACH OCCURRENCE $ 5,000,00 X UMBRELLA LIAR X OCCUR 5,000,000 S 2029459 08/10/2015 0811012016 AGGREGATE i$ A EXCESS LIAR CLAIMS-MADE DED RETENTIONS X PER I . 1,000,00 WORKERS COMPENSATION 81120 AND EMPLOYERS'LIABILITY YIN 0000068028 01215 08/21/2016 E L EACH ACCIDENT $ 1,000,000 B ANY PROPRIETORIPARTNERIEXECUTNE a NIA E.L.DISEASE-EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? 1,000,00 (Mandatory in NH) E.L DISEASE-POLICY LIMIT $ If yes.describe under' DEscRIPTioN OF OPERATIONS below C928058352394 - 0812112015 0812112016 See Attached C orkers Compensation HICLES (ACORD.101,Additional Remarks Schedule,may be attached ff more space is required) DESCRIPTION OF OPERATIONS I LOCATIONS 1 VE CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ACCORDANCE WITH THE POLIiCYRPROVISIONSCE WILL 6E DELIVERED IN AUTHORIZED REPRESENTATIVE Evidence of Insurance 01988-2014 ACORD CORPORATION• All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Town of Barnstable *Permit# 5 0 2 4- �,;,�� Erptres 6 months front Issue date ` Regulatory Sen4ces Fee ! Thomas F.Gener Director Building Division Tom Perry, Building Commissioner 200 Main Street.Hyannis,MA 02601 X P R AP R Office: 508-862-4038 Fax-, 508-790-6230 JUN l 2005' EXPRESS PERMIT APPLICATION - RESIDENTIA4�? Not Valid without Red X-.Press Imprint BA R[\1 S 1 i Map/parcel Number Property Address �39 -,-A ad d a M et La Ki 9z , .0+ecv➢ �j Residential Value of Work 50 0 y 0 Minimum fee of.$25.00 for work under$6000.00 Owner's Name&Address V C o+f- c 6 0 Y o► i 0_0 kw 5 o" L3 9 �1/�ac�dQ 1�41�f LQ to 2 �P rt+cry 11� Contractor_s_Name ('1 ON &Pc 1 I n o C, m e.- Telephone Number,O V k4 a 0_9 06 d_ Home Improvement Contractor License#.(if applicable) 113 C7 q `1 y Construction Supervisor's License#(if applicable) []Workman's Compensation Insurance 5,1 Check one: ( I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Cert flcate must be.on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) +Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: per....,:--• Property Owner must sign Property Owner Letter o Home Improvement Contractors License is required. 0 �2 �;�,�� f Board of Building Reg ulatidns.and Standards. Signature`, --$ HOME IMPROVEMENT CONTRACTOR Registlgla * 139470 QForms:expmtrg W1712005 Revise063004 ''� Tripe ltl%bidual RON BURLINGAME ".� r7� s RONALD BURLINGAMi": Y t ` -<r 58 OAK ST W BARNSTABLE, Administrator The Commonwealth of Massachusetts 4 Department of Industrial Accidents ` Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatiowlndividual): Pi 0 ti 3 U rC l r h qG ryl Address: 5�3 b cx K 5-f-r-er_-t City/State/Zip: W_ 6GL P n5ta b l e, 0,2(p Gone#: b d 8 9 20 a 0,!�0 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.[� I am a sole proprietor or partner- listed on the attached sheet. Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof rep/aiirs insurance required.]t employees. [No workers' 13.[A Other r Ie- 5/c1 I& comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers compensation insurance for my-employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date- Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a' fine up to$1,500;00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and.a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct: Signature: rG " -r�C:, GLt Gt,�C. .G - Date: Phone-#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employee's: AW, Fursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more of the g g engaged fore going in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants ?lease fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have s employees,a policy i required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their, self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pernut/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: , The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111. Tel. #617-727-4900 ext 406 or 1-,877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia °fj"El Town of Barnstable , Regulatory Services ssrrns , _ Thomas F.Geiler,Director Building Division TomPerry, Building Commissioner 200 Main Street, Iiyannis,MA 02601 www.town.barnstable;ma.us Office: 508-862-4038 - Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder WAS_S ��h�yy � ,as Owner of the subject property hereby authorize: �A' � b lta ��L, to act on my behalf; . in all matters relative to work authorized by this building permit application for: (Address of Job) G -tT Signature o Owner ate print flame 1 Assessor's map and lot inumber ..M-1,9O...L- 7 ,,,,,,,,,, . ®�, fOG/1 - 7_Z4 -7� v -I v KS SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE . o, Sewage Permit number ........................7 j ' i WITH ARTICLE II STATE 1, G jl TARY COD EED TOWN �y �OF,Ti1ET�� C1 TOWN, OF BARN AB `a Z 33A$9T"iE i 'CS 9 MAB } ? i679a C'�� j BUILDING INSPECTOR 'FD MPY'Ar ; y ell APPLICATION FOR PERMIT TO .Construct—single...family...hnme..............................:................... TYPE OF CONSTRUCTION ...Wood •frame ........................ ........................................................................ ........J.=e...9........................19.7.7... TO THE INSPECTOR OF BUILDINGS: .The undersigned hereby applies for a permit according to the following information: Location ...lot...5..Maddaket...Lane.,...Centeruill.e.,....Off...Carleton.-Lane............................................. Proposed Use .single..family..year...round..home............................................................................................... Zoning District .........................................................................Fire District .. :entervill.emOsterville.................. Name of Owner .....J....A1bert..Bassett....................Address ..Lyman..Lane,...South..Yarmouth,..Ma. Nameof Builder Same.........................................................Address .................................................................................... Nameof Architect .Same......................................................Address .................................................................................... Number of Rooms ...four.....................................................Foundation ....PO.UY P0=8Pd..concrete.................................. Exterior ...White...ceder...shingles............................Roofing Asphalt...seal..tabs....................................... Floors .....Hard..Wood/.inlaid..in..kit.....&..Bathnterior ..Dr.y...wall............................................................ Heating Forced...hot-vat:er-by-gas....................Plumbing ...O:ne...ful1....bath............................................ Fireplace -in...living...room...(.refs:••$riok.)............Approximate Cost......2.j•9-000.........� . 72- Definitive Plan Approved by Planning Board ________________________________19________. Area .•1ivin,.g..area Diagram of .Lot and Building with Dimensions See attached plans Fee ..� ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH O I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .. ...... ................. ................................... Bassett, J.Albert' t 19435 one story No ........... Permit for .................................... single family dwelling . ............................................................................... Maddaket Lane Location -1.............................................................. Centerville ................................................................................ Owner ...........J....Albert Bassett. . .................. ... ........... .. .... . . ...... frame Type of Construction .......................................... ....................................................................... Plot .............................. Lot .... ..................... -, y t, July 26 77 ,Permit Granted ........................................19 Date of Inspection ........19 Date Completed ...........7 19 PERMIT REFUSED ............................ .............................�..;..... 19 ............ .............. ................................................. 0 ...............................................................................- . ........................................................................... . .......................I......................................................... 1A Approved ................................................. 19 ............................................................................... 0 . ............................................................................. Assessor's map and lot number l!.-'14f� 1 , Sewage Permit number .....-................... ...............L!,_-f:2. 'THE T TOWN OF BARNSTABLE Z 89HH9TSDLE, i "�� 1639. BUILDING INSPECTOR 90o APPLICATION FOR PERMIT TO !!!�r+c+rn,r�t-...a r�L l�+ 4` xn l•�► 1•,nP?+.p.................................................. ` TYPE OF CONSTRUCTION n! Ji vnf?...Q.........................19.77.. ' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 1 ni- ri T.farlr+Rlra:- T z�r�c_ CraY�#-cr�ri l l a (1f�' f°o .l c+Fnt a T.an,= ProposedUse ci r nl a f's�rn. l v trras�r...................x ..............�r+��nrl t�nmc�............................................................................................... Zoning District ........................................................................Fire District .f'on+o n¢� l a_llctarnr�l 1 A Name of Owner ....t .... ....................Address Nameof Builder gMM.0.........................................................Address .................................................................................... Name of Architect i"!?.......................................................Address Number of Rooms ..f ....................................................Foundation ... !'t.rar3:... nrt<^r!Ftt 3.................................. Exierior ...;'!},i I^c, nsariar a1,4nalec............................Roofing Qarth?l......coal....ti::k ....................................... Floors .....FEFrd...i.,^nA/i nl o i ri....4..n.. iri i-_ ?;..'R9±1'Interior ...T.1T.'7'..'s? ............................................................. Heating ;�,•....-aA �,�,�- ..n+r,v. t,.r. .nab ...................Plumbing ... ...7,4n+t•,............................................. Fireplace .;.^...:..;.., �. . (,,.,,� r�,.f �i..�............Approximate Cost Mn........ .. .................................. .... ......... --� ..... Definitive Plan Approved by Planning Board _ ____________________________19________- Area Diagram of .Lot and Building with Dimensions see attached plans � .........Fee ...................... ................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 I hereby agree to -conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. I J � . Name ... .................................... �a Bassett, J. Albert A=190-227 T 19435 y one story No ................. Permit for .................................... t single family dwelling .............................................................. ......... ..... Maddaket Lane Location ............ Centerville , J. Albrt Bassett Owner .................................................................. Type of Construction frame ........................................................ ...................... . Plot ............................ at ....................... July 26 77 Permit Granted ........................................19 Date of Inspection .....................................19 Date Completed ........ ........................19 _ PERMIT REFUSED I ................................... ................... 19 ......... .... ...�.................... ............................................................................... ........................................... .................................. . r. ................................................ ......................... r C Approved ................................................ 19 ............................................................................... m ............................................................................... - • � _ • ..tea-..rw...+.....> .- ._....nw. ..=y,-,�, t ` r r \-4osAeo SOIL L O G . s+rpNE 9 0.e �S A 11"MAN S4 0w o u-r f ` 4°C. I. DISTT o '�' o o yry Box �8•✓ 5 1000 ` Z• \4&S%AE0 S)Vo04*-- wpftn k GAL.! SEPTIC /4' w.;Pt g�'Z• F1B�a. P�P� TANK t '20' MINIMUM • i FOUNDATION 4• . SCALE : 1"_ 4' ELEVATION SKETCH PERC. RATE c i SCALE i' = 4 TEST BY TOWN INSPECTOR F BACK HOE OPERATOR �/•/'LC:G: ? �i.��yap;- 'J,C TEST MADE ON 7-7 r q f nv / N o It QD -27 {7 f'4 �..' Y.!j C fjl!f 1-{/ �/Y',I✓{ ,(w. • �• p� f^ j f g�- ^ L a ZJ `^)�vr �+`i 1, f� may. t f F T 7 .✓^Y N,� 'j'4,fr sr�'L�j,.*s 1; �.. J ✓ QO� JAME5 H. °�� \ i WISWELI u' �3 ii DF rr �NU v�A SUR t�) CHAPM4N a,t { APPROVED BY BOARD OF HEALTH p P No. 27654 O % + DATE _._19 `.";0NA1 94 — FRoPoSE0 E-L6VA):C 1oW 95.b PLOP® � SpcT E`rcd. ELEVATION SCHEDULE PROPOSED SITE PLAN I INV AT F iN:)A.TiON ` 0 8 SEWAGE SYSTEM DESIGN 2. INV. INTO s��P;.c TAtiK _ - �13.4Q I INV. OUT OF St-rrl 4 INV. INTO f :a % x _ 93-0� �__ SCALE. i =�0 / '' L 197-7 °L2�84 S. INV. OUr ,F .�:� -,� �{ ?,.�', BJx 6. INV INTO: LINES �2,�Ia CAPE COD SURVEY CCfv` UL7ANTS t Q UOIJ_rE 13� 7 END OF LINES �2•'TO H'fANNi MANS Es BOTTOM {)F BEG