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0025 OREO LANE
, , �� . �� � ���. .� m a � .. d , . a o P � ., oFtK, Town of Barnstable *Permit# y� Expires 6 months from issue date Regulatory Services Fee * BARNSTABLE, • _ v MAC' Richard V.Scali,Director rfn wtn+ Building Division o Tom Perry,CBO,Building Commissioner)200 Main'Street,Hyannis,MA 02601 DEC 2 9 2015 . www.town.barnstable.ma:us TO I Office: 508-862-4038 WN 0 F BARf a yp8g71 o 6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL. ONLY L Not Valid without Red X-'Pnre s Imprint Map/parcel Number Property Address [Residential Value of Work$ 7 Off, Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address :10.5,4el F/? °y• ��I RN/ 1, Contractor's Name 4A✓ -t 6N 1.10 L° 144 Ujf S Telephone Number .5-10 9' 32� . r C3g Home Improvement Contractor License#(if applicable) 12 23 2 q Email:C&�tt/,�� ,(,t,�o?�SIc�R pustt?Cl�rdP�[) Construction Supervisor's License#(if applicable) C C— � ✓2.� KWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner - 01 have Worker's Compensation Insurance r Insurance Company Name A L ,/j/j /G u Tu,4 C 7/V 5. G'om Workman's Comp.Policy# W �6^ J'a/2 9 7 / 2 D 15,14 Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ t(check box) [� Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to �B ' l.i1G- ROf1fc'�tl IMA ❑ 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: i ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required, Separate Electrical& Fire Permits required. *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: C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\21`101 DHR\EXPRESS.doc Revised 040215 Aco CERTIFICATE OF LIABILITY INSURANCEF12/28�01 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 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 endorsements. PRODUCER CONTACT NAME: McSweeney&Ricci Insurance Agency, Inc. PHONE $ A/FAX No: -843 7007 20 Washington Street EMAIL P.O.Box 850984 ADDRESS ce tl Braintree MA 02185 INSURERS AFFORDING COVERAGE NAIC A INSURER A INSURED CHAVE-1 INSURER B: SS Insurance Company 24198 Chaves Brothers Construction INSURERc: Antonio C. Chaves dba INSURER D:A.I.M. Mutual Ins, C 10 Edna Circle East Freetown MA 02717 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:125903872 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 POLIC im TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMMILDD ICY EFF M IDDI YYYYI EXP LIMITS GENERAL LIABILITY BKS65713711 11/28/2015 11/28/2016 EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES occurrence $300,000 CLAIMS-MADE F]OCCUR MED EXP(Any oneperson) $15 000 PERSONAL&ADV INJURY $1000 000 GENERAL AGGREGATE $2 000 000 GEN L AGGREGATE IT APPLIES PER: PRODUCTS-COMPIOP AGG $2 000 000 POLICY PRO-JECT LOC $ B AUTOMOBILE LIABILITY BA1013449 11/28/2015 11/28/2016 ardent 1 000 000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPEE DAMAGE HIRED AUTOS X AUTOS (per. C X UMBRELLA LIAB X OCCUR US055713711 11/28/2015 11/28/2016 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I X I RETENTION 10,000 $ LIMITD WORKERS COMPENSATION WCC-6012971-2014 3J26/2015 3/26/2016 X STATU- ER AND EMPLOYERS'LIABILITY Y 1 N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT 9500,000 OFFICERlMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEd$5W,000 If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remaft Schedule,If more space Is required) Re:25 Oreo Lane, Hyannisport MA 02647 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Hyannisport ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis MA 02601 AurHORIZEQ REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. FAME • BARNWABLE, MASS.i639• Town of Barnstable �0 Argo +A Regulator`y Services Richard V.Scali,Director Building Division Thomas Perry,CBO ' Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-623.0, Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize 61*%7/O L ^,�!£'S' to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) r Signa re of O n to ` KAIa,--o Print N me If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIO I DMEXPRESS.doc Revised 040215 The Carrnnorrtveahli of Massachusetts Department of Industrial ustrial Ac-cirlents . Off ice of In vestigatians 600 Wasliington Street Boston,IA 02111 f tTraw.rriass:govldia NN,nrkers' Compensation Insurance Affidavit: Builders/Contrastot-s,/Elects c inslPlumbers- Appl cant Informafiou Please Print Legibly Name(Businesi/Orgauizationdu&vidual): �t��l���T Bleo Address:l0 90 AIR C I i FRO Cityt`State,/Zip:r, C A D ?l 1 Phone 4- S_Q 0 3 2-� 2. 5'61' Are Tou an employer?Check the appropriate box: ,�,� Type of project(required): 1.LEI am a employer with 2 4. ❑ I am a general contractor and I e aployees(full andror part-time),* have laird the sub-contractors ❑New construction ?.❑ I am a sole proprietor or partner listed on the attached sheet- ,-.❑Remodeling ship and have no employees The,sub-contractors have: g. ❑Demolition working for me in any capacity. employees and have writers' 9. ❑Building addition [No workers'comp.insurance camp.Insurance.4 required.] 1 5. ❑ We are.a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3.El am a homeowner doing all work i 1.❑Plumbing repairs or additions myself.[No workers'camap.. right,of exemption per MGL 11 of repairs � insurance required.]i c. 152,§1(4),and use:haue no employees-�Fo workers' 13'❑Other comp.insurance.required.], *stay appt cam that checks boat 41 must also fill our the section below showing their workers'compearmdoa politer information_ � T Homeowners who submit this affidavit indlcatinE they are doing,all work and then hire outside contractors must submit a.new afiidant iodicang such- 'Contractors that check this box must attached an,additions!sheet showing the name of the sub-contractors and state whether or not those entitles have employees. Ifthe sub-contractors have employees,they must provide their workers'comp.policy number. I am an enrptn3'er that isprowddirtg workers'cotarpeusatiott insurance for rr{t earlptcrtrees. B viv is the policy and job,site inforntatiOn. Insurance Company Name:/7 ��1�L—A k rag I- t:".t/3 Policy 9 or:Self-ins.Lit. : 29 7 I 2OlSA Expiration Bate: Job Site Address: a 5P 611U.6 )Ast/1' City/State!Zip: jell- Attach a copy-arf the workers'compensation policy declaration page(shovu-ing 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 sane up to$1,500-00 andlor one-year imprisonment,as rasell as cMI penalties in the.form of a.STOP WORK ORDER and a fine of up to S250.00 a allay against.the violator. Be advised that a copy of this statement may be fa m arded to the Office of Investigations of the DIA for insurance coverage.verification. I do hereky certify under -he pains and .talties ofpejjnnv that the inforntation provided abm a is true and correct Si mature: Dater Phone lk '3 a Q,S ef Official use only. Do not ivrite in.this area,to be coutpleted by cAtr or toWn ofciaL City-or Town.: PermaaitfLicense it Iss-uing.Authority(circle one): 1.Board of Health 2.Building Department 3.Cityylrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts Department of Public Safety �fie.�poannw?uaeao�� activaeha Board of Building Regulations and Standards Office of Consumer Affairs a4c Business Regulation i ME IMPROVEMENT,CONTRACTOR License: CS-035825 ,egstration: 4 Type: Construction Supervisor xpiration t BdS1ss_. D6A r CHAVES`dROTHERS r _ ANTONIO CHAVES F di 10 EDNA CIRCLE E FREETOWN MA 02717 ANTONIO CHAVES � � ;; 10 Edna Circle E.Freetown,MA 02717 Undersecretary 1 ` Expiration: . Commissioner 12/06/2017 o- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map L Parcel ` ot/ Application# Health Division T;r__�2 Conservation Division sysTm MUST gF Tax Collector .Permit# SEP�C INSTALLED COMPLIANCE Date Issued WITH TITLE 5 Treasurer Application Fee ��`_ D O ENVIRONMENTAL CONS AND Application ULA E Planning Dept. TOWN R Permit Fee ?F 0 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner � �N �J r ���ZR,4�ilL�y Address ZeW11✓- Telephone ?7f'"27G--- OIST Permit Request A0,41•e J,Y-mv,mmW"-dgir4,T�,�.�®�� �i�� ��®�Ga�� - RE��o;✓���•Q�Pc�cc� iu.10"66)990, 4r,+6Q, r truth IlUigin/4- 4#,4it01 70 4A*&R CSC_ Ali AlWN11-Y `e S,001_1S 9( G-W05' o -T41J &MAX3Y._ G�t.s�cif Square feet: 1st floor:existing 71,00 proposed 0 2nd floor:existing .0'® proposed O Total new Zoning District Flood Plain Groundwater Overlay A Project Valuation Z 7iO&O Construction Type 5 4 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family R( Two Family ❑ Multi-Family(#units) Age of Existing Structure MY Historic House: ❑Yes Ao On Old King's Highway: ❑Yes 3No Basement Type: fdFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ® Basement Unfinished Area(sq.ft) 76/9 Number of Baths: Full:existing 7-1 new Half:existing ® new Number of Bedrooms: existing 3 new 0 Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: YGas ❑Oil ❑ Electric ❑Other ' Central Air: ❑Yes U(No Fireplaces: Existing ® New Existing wood/coal stove: ❑Yes YNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Coexisting ❑new size ®z tt1 Shed:❑existing Ll new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 2(No If yes, site plan review# Current Use 67A*i�C6 4NI Proposed Use 5--1A4-Lr ac�;1Hi&y DA/ iA4 BUILDER INFORMATION Name- &a_ A1, 4P If. 64 Telephone Number Address Fie Saull' S7'- License# lu.B Akl 2Z HN, 02-3 Home Improvement Contractor#//,93's-o= Worker's Compensation# =` ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �Q£C>r_1/A*,„s°. VeeroA) SIGNATURE DATE e j FOR OFFICIAL USE ONLY A PERMIT NO. DATE ISSUED " t MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION c X � I_ FRAME l INSULATION S; FIREPLACE _ S . -5 cr R) h ELECTRICAL: sROUGHs FINAL PLUMBING: ROUGH'S FINAL GAS: ROUGH FINAL FINAL BUILDING_ DATE CLOSED OUT l ASSOCIATION PLAN NO. TABe,1 Lib(sa #UU84 ' '� �er3p�1'u8caise for����`l`wo-4'aasii�r Residaatts3 Bdldiap Fte�tei� �; �+7AXf MBT149 � •fBeariaBlCooltn8 - FV=kzqe wall Floor leas r R vWuo R vatud 701 to 4500 HoWding D D 12'l. AAO • , 12% U2 3® —19 19 10 •i3,A 8 0.50 39 13 19 10 13 WA N=md ---- • ._— ,g!•,. 'tS°J: A,46 31� 19 t9 to 3S 13 22 Z(!A 'idfA U AF .,. . la ' 0.44- _ 8S ARTS �y ls'!a A.3Z 30 19 19 to 032 38 13' 29 MA ol. �► :t�'/. '' A,42 3Z l9: 2'J' NIA NIA 13 19 lA 6 90 AFUE z .12% C43 38 14 14 !0 A 94 AFLTlj 0.30 30 1 •ADDESSS OF PROPERTY; o - 4d Z SQVARE FOOTAGE OF AID E�{TERIOR�i4i:,LS;: --�' ...... - : - • ----•--• 3 WARE FOOTA®E'OF ALL'GLAZING: -- c/ 0 3 DNIDED BY#2): 5. SELECT PACKAGE(Q••AA-see chi above), .. Norm, OTi• M#IOU WVOLVW METHODS OF DETERINING MMRGY REQUMEMENTS AIDE AVAILABLE. MX VS FOR TES INFORMATION, E�g,DIl CsINSpEC'r0RAPPROVAL: YE s q<ferms�l9�Q903x 80 Og:App9ndix T blg J1.Z.1ba lass doors, skylights, and Footnotes to assemblies (°including sliding-g Glazing area rho ratio of the a)ea of the gl�g Opaque do Mont. the gross wall taSement window if located in walls than an tFao total gllose azing area maoned ipace,tey a excluded from the U-value 9 iremont. a)ea;expressed as a -)tentage.tip to 1! esi with 300 fts of Slag aT ' Far ample,3 ff of. corativa glass may be-excluded from a building by the i 1 1999, azing U•values artist be tested and docusaen a an from anufacable e3a�, tJ-Yal cam for After January Council (I;MQ test procedure, Dr the National Fenestration g ' ' whole units:center-of--glass values cannot be used• the insulation achieves the full a The.coiling.R values do not e a a raised or oversized Erase co Won. bo substituted for R 33 or walls without compression, 30 insulation may'. c ca�►i Insulation thickness over the; - _ d°for=R�49 ulatibnr QellingR•-Ndi presontthe-sqm• f. tY— - . -- insulation an It1'g nsu�a i'on may 'stib.1 . .. ehtilatcd ceilings flag shea%iui mu�tt.b®,.placed between . ed7:For v insulation plus Inai Idig shea 9 ton oftheroof. , the condidened space and the Yentti'lated p ity insulean plus sulating sheatbBS'(if used).Do not include 4 q,�all R-values represent the sum.D�d°�terio av -. 'm'sxa�p an R 19 requn'e anent coal be met EITjiER exterior siding structural&bea g'' ats apply'to - . Wall roqu4reax PP Y by R 19 ca�+ity insulation OR R 13 cavity tnsul n plus R 6 ins sating sheathing a constrdctioa ' -ar mass(car►crete,masonry,log')ivaII co ctiDns,but do not apply to metal-from wood-from aces ch as uncaadidcned crawl�paces,basements, a The Hoer requiiamants apply to floors over vnconditi ad hem ts. or garages) gloora over outside err must meet the ceiling r a de must walls, dews and sUdhig SIN doors.of conditioned. The eats)-opaque portion of any individual basement wall 'th average depth less than 5d .o below gra uirament'as above-grade uinmeut m,cet the same 'R value req fig. Basement Dots must.Fnegt•the door.1Ja+value req basements must be included with the other glazing. described in Note b. s•Tha R value requirements are for unheated slabs.Add as additio al •2 for hea3ed slabs. Dit Ian to'Instal]more one iece of Doling a iprrient,the equipment with the lowest If the building utilizes elebtdo resistance hbatins are than use opomPlian appr ash 3;�;or 5.• Y P. than one piece of heating equipment . exceed the afciercy,required by the eel cted packag .efficienCy 1n1, .rl180 t.oP ' tremenis of e closest city at to sociable J5 a o - ; NOTt a maximum acceptable levels. sulation R values o minimum acceptabla.tavals. a)Glazing areas and -values ar R value tequiren'ants are for insulation only and do oat include atural components. must doors to the building envelope must have a U-value o greater n035-D ors�mud dcarbU-value b)Opaque the manufacturar In accordance with the C procedure and documented by ®U.y �ua rating far that door is t available,include the Table J1,5.3b,If a door contains glass and an agog glass area of the door with your windows and use the Opaque oar U lu uo to greater th0135), mFllanco of the door. One door raay be excluded from this requirement El.e„may have U v • w floor,basernerlt walL slab-edgy,of crawl spa wall component includes two cr more areas with . c)If a•cetlra�gq red average R-value is gi'oafer than�or agcial to different iaisulatian levels,the component complies if the area-w gh for that component.Glazing or door cc ones,� 35 if the area,weighted average t]- the R.value requirement yasue df all windows or doors is Iiss than or equal to the tl•value r uirom 43 Town of Barnstable °� - Regulatory Services ' BAMSTABLFft ' Thomas F.Geiler,Director MAM �A039• ♦m� Building Division. TfD MA'S� Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us I Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, -5►CrNC-J Z. Ile 17 L pfRA Y ,as Owner of the subject property hereby authorize t=1J (,,WRV A16f to act on my behalf, in all matters relative to work authorized by this building permit application for. Z� 0&0 1-.4nlC (Address of Job) J Signature 6f Owner Date STr®1JFiJ S. r1 e AAWMEY Print Name Q:FORMS:OWNERPERMISSION RESIDENTIAL BUILDING PERMIT FEES APPLICATION FRB - New Buildings $100.0.0 Residential Addition $50.00 Alterationaenovations $50.00 6'Os o 0 Chaaga of Contractor/Builder $25,0.0 FEE VALUE WORKSHEET NEW LIVING SPACE ` square feet x$96/sq.foot= x.0041— plus frornbelow(if applicable) ALTERATIONS(RENOVATIONS OF EXISTING SPACE ® square feet x$64Isq,foot- qq?d® x.0041= licable • plus$ombelow(if aPP. ) QAPUGES'(attached&detached) square feet $32/sq.fL= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 of-500 sf $35.00 >500 sf-750 sf 50.00 . >750 of-1000 sf 75.00 >1000 of- 1500 of 100.00 >1500 of-Same as new building permit: square feet $96/sq,foot= x,0041= STAND ALONE PERMITS Open Poreh (number)—x$30.00= Deem _x$30,00= (number) FIreplacelChimneT x$25.00 (numbe) Inground Sing Yool $60.00 Above Ground Swimming Pool $25.00 RelocationMaying $150,00 (plus above if applicable) Permit Fee License: CONSTRUCTION SUPERVISOR j Number;kCS O43686 j Bi hda 011954 T10 2007 Tr.no: 15337 i « OM r R Jt �Q EDU'ARD M GA ; 311 SOUTH Sl J ,. W BRIDGEWATER l Commissioner F 72. omvrnoouue Board of Building Reg � d�a Standards HOME IMP xOVEMENT CONTRACTOR License or registration valid for individul use only 2`� RACTOR before the expiration date. If found return to: Regiso 103569 Board of Building Regulations and Standards hb � f8R006 One Asurton Place Rm 1301 l = : 3►pe ,nridua! Boston,Ma.02108 EDWA ! 1 Edward Gardner = a 311 South St. _ W.Bridgewater 9 MA 02379 Ad ministrator. _ Not valid without signature - ^- I ._ oFISKE Town of Barnstable Regulatory Services BARNffrAB M ` Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date 6'6 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: � �' ®lam s Estimated Cost77 12� L1900 Address of Work: 2612&10 Gxp7/6<" Owner's Name: �,1mX1 '1eS, / e A"Vk ey Date of Application: 70 N I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q*Tms:homeaffidav Arnica Mutual Insurance Company SOUTHEASTERN MASSACHUSETTS OFFICE _:. Arnica Life Insurance Company 596 Paramount Drive Arnica General Agency,Inc. Raynham, Massachusetts 02767-5172 ` Mail: PO Box 529,fast Taunton,MA 02718-o529 I Toll Free: 1-800-59-AMICA(1-800-592-6422) Claims Fax: (5o8) 824-5927 AUTO HOME L I F E Production Fax: (5o8) 821-5525 January 31, 2006 Town of Barnstable Attn: Building Inspectorn 367 Main Street Barnstable, MA 02601 File Number: F12200602334 Date of Loss: January 26, 2006 Owner/Insured: Stephen J. McalarneX Street: 25 Oreo Lane Town: W. Hyannisport Type of Loss: Fire o � c To -Whom It May Concern: j Please be advised that we insure the above named individual(s) . A claim has been made for Damage to Real Property and as the insurer, we are presently in the process of ca} justTng the loss. w 3 We are mandated to comply with Massachusetts Genera Law:E_ Chapter 139 and as such, if there are any present liens the above property, please notify us within 10 days of receip of this letter:. If we do not hear from you, we will be under no obligation to pay you any portion of this claim. Very truly .� Y Y yours, 27 William N.' Lamb Jr. , AIC Claims Department, Ext.47123 Amica Mutual Insurance Company wlambjr@amica.com *AR lk Web Site:www.amica.com Offices Countrywide:1-800-24-AMICA(1-800-242-6422) i JA i IMF p iv MR i > L x r•� y p 1, z a n yy,,�,� i'iy y � ! • l � A V \ r _ r ` J !; t, «. ^* WPM- h �t r P. 1. p ,, r.• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel d/.pow Permit#INStALLED Health Division 4-�.� �_N C®jj1p&a Led 9 P"5 �®I f Tl r 0-0 Conservation Division MA 9 ��T� l�°i�� �� G� ® Fee o�5 Tax Collector � ����.t` � AN® Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis _ • r Project Street Address 2f Ol?4'® 4," t , Village 'z eke-,* I,.OWNIJAOei, Owner SI Aya) /7c .Address `!•' Telephone Permit Request ,QCAlAC.6- rX1Jr1-41q- /oAi-7, PXT9 (ZY4x&,1F 6gAoc ,✓ oem, )tw INc: Q�nnt ifN �QFycAc�CNN Square feet: 1 st floor: existing isolf proposed M?;F 2nd floor:existing proposed Total new Estimated Project Cost Soo� o® Zoning District RQ Flood Plain l" Groundwater Overlay Construction Type �va®D Fool" Lot Size /r a©a 5v' Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 2 Two Family ❑ , Multi-Family(#units) Age of Existing Structure 1 Z Yns Historic House:- ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: .O(Full 0 Crawl ❑Walkout 0 Other, Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new 1 Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric O Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing,wood/coal stove: 0 Yes ❑No Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:❑existing 0 new size Attached garage:0 existing .❑new size Shed:O existing ❑new size Other' Zoning Board of Appeals Authorization ❑ Appeal#, Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name 6',0/IMP d—e!IA 111 'Telephone Number Address 3// '3�[- License# 05/,34<A" 9 i ,v,9 i 6 : 1-7,4 Home Improvement Contractor# /0 S-5?9 D 2 3}9 Worker's Compensation# //o cryOc gYgs-TrT ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 7 b®7i J XfCYrLj 10?d C��feJ SIGNATURE DATE if FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED - { MAP/PARCEL NO. , ADDRESS, VILLAGE ' OWNER DATE OF INSPECTION: • FOUNDATION FRAME'=, INSULATION - t• - - FIREPLACEt-; t ELECTRICAL°:) t • ROUGH r FINAL - t 1 i, •Y PLUMBING: f-TROUGH t FINAL GAS: ROUGH FINAL. FINAL BUILDING if 159 'i DATE CLOSED OUT r ' ASSOCIATION PLAN NO. , t BiJ/�or�✓� �ws,�c-��e� All-S U/'Jv�'�'L TO as A "If UC'�.�-� fIi e r�.s'SG.� a :� . 1 iae ,i,own ot itsarnstame • asarrsrAar.� • &659. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 - Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION' MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. a f Type of Work: Estimated Cost Address of Work: Z 4,�C�d 1-44/45�- Owner's Name: `® Hf?), ^lC XZAICRILY Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law [31ob Under$1,000 Building not owner-occupied Owner pulling own permit i Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name q:forms:AfTdav 1 (TI)oInspecclon 1�1�rZ 'S II • 14t2 ?: 10 C, 3 ,I 4� jy ZsEor y 30 O• ' lot 4, • 1 AN Of Mq flim"certifij that 644planFula bwIyrvparditc- t� c PAUL yc 04 �'/Zt�ik. �Rs�t»'1 tyls i T. -04 C�ilXj ll u GROVER u ng shown rvmon d yes not-full in a spaxW F. i fkvd am. ttxt{an'Aehw date of 29 l9.85 and.: the location b* 4odlit &d i conform to tk local Wing by=laws in a ct t< . corrstn�clrc3 with to FiornWW dutaensiotlal.r4uirwwif's.V6plant z�s•' : nuide�rt�rordi �xrrposc's orfa-use to ylanng dead descr Wftonns i' lkrtficatimof tlarng tiacahor din�e»slort�,, or lot' sc 1 =3d coil wuh'orr rnny beaCc 1rs�terl a an accyrnW iris&m tomay ref ler di a ' ornrat m >aZt is shown n� J 4 t 4 �1:���►Lb �.v� i n�- Come 1�C: $ 2f 9 1 'V�o%vjx 'scl?FED, tXIA C11NSS- 02339 • tlE,61T•828•?l86 w d16-38 5• a 4c �'Ari r cy �FiAJNGrO�L GG T NaUSe) r - ��PLACF ,�X/Siii/� /osciL L%E�`(�Cz/'NrYn,lE¢R/.+Oc`) •� �• „ '. , t ,uli ro /✓A�/��"!/s D>` LGrO� I/jo�JT;r'o uv�cTio✓f , .. 1 '2i(L �!//J.Cer ✓�"/_T!!'AL ;�OCl/sfL�it'S j ' f � � � _ �� � ' 11111X �'A/i�/fr 1 KA il Lan . i zxff"f _-_.._ . J.-J. - .. .. -.._ � ' ... !: ^-f � f- - 1 + •� ' �' T� j. ! k o1Sf HANeEQ,st�IGfOG•_�R/�7�,.r�L sa t Ef av _ _._._.,.� i 6sR/QGL� - - ' —'. _ 1 _ I 't - GOiQACJ�d�; i x C J ti xxu?teO oo 1 r�ic:�• lo3S�9: ' ' � • Assessor's offioe-(1st floor): [f (� l .7. /.l..L...�J� ��iTHET0 mct � Assesspr's p and lot number ........... ... . .. Board of Health (3rd floor): Sewage Permit number g ...... ........ .. ,,., ,: &i@� � Z BAS39TeDLE.NAM i Engineering Department (3rd floor): rJ r. ^a 77TL E oo� b39, a� House number ....................................... ...........,�. . .:. ;�.r � 5 rd` ¢ �° I9 ^®® C YP APPLICATIONS PROCESSED .8:30-9:30 A.M. and 1:00-2:00 P.fwwq 1jE(;UL 4rt®lg,,No TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT-TO .........5 4! „?`1.. •�... .................... ,1�.. ....... ........... ,... . ..... TYPEOF CONSTRUCTION ......................:4f................. �.............................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:` Location ............�........�...... ..........c ��............ Ait/� �• �//S ProposedUse .......... ^IC�G ........../�4/.................... .................................................... ZoningDistrict .......................................................... ..............Fire District .............................................................................. Name of Owner vree.46 f../ .......49,AGOP dress .......... .........44_f�J'0............ Nameof Builder .................... ................................Address ...............��! L�................................................ Nameof Architect ....................... ....�!V:�..........................Address .................................................................................... Number of Rooms .................. . . Foundation Q.. ` �` �� /A ............ .....�! �[J.rJF✓�,'/..................... ....... Exterior ............Cj�-''p.� ...................................Roofing .................f,Y�S Floors ' I...........Interior '<J�� CA . ...................................... .... ................................................... g �' .y.. ...........�1.............. ...........Plumbing .................................................................................. Heating ...........� Fireplace ............................�41��...................................Approximate Cost ... l� ��� Definitive Plan Approved by Planning Board ---------------- '"� , 19 Area ....../0.................S............ Diagram of Lot and Building with Dimensions Fee .. _ .. ... . ....................... SUBJECT TO ROVAL OF BOARD OF HEALTH Dov 0 l �U� �`�4 3 � tiv � I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl reg r i th above construction. C structi Supervisor's License ......�r Ot✓ GREENBRIER CORP. NO 3.2.aU Permit for J.1....S.tort'.............. F aIpi 1-V......Dwe.1 l.ixlg..... ....... .... .. .4 Location * ......Z.5....Qrqo Lane ...................... ............. ................ Owner .....Greenbrier,....Corp.,,,,,,,,,,,,,,,,,,, 7 Type of Construction F came,,,,,,,,,,,,,,,,,,,,,,,,;, ........... .................................................................. Plat ............................ Lot ................................ Permit Granted .....Qqtq)peK...17.........19 88 Dc�kte, &f Inspection ......................... ete ompl ') 90 Da ........ .........1 tad �9 <.Z. 7 CHARLES S.DRANETZ ATTORNEY AT LAW 760 MAIN STREET HYANNIS,MASS.02601 VICKI L.MITCHELL,ESQ. 775-6302 ASSOCIATE September 6, 1988 Mr. William Covell % Greenbriar Real Estate Box 510 Centerville, Ma., 02632 Dear-Mr. Covell: Enclosed please find photocopy of 56-23, plus Attorney's letter of Robert J. Cotter and photocopy of application of probate of Alonzo Be'ales. The parties to the purchase and sales agreement other.rthan Ventors are the heirs of Alonzo Beales. Therefore, As record title to the Lots was never in one entity, the Ventors, though it appeared so, it is apparent to Attorney Julian, and myself that the Lots should not be considered merged by the town. And, in conference, the Building Inspector has agreed with both Mr. Julian and myself as veri- fied by Ms. Plaunte. Now that the Health Department has approved the septic system, it seems that we should be clear to pass papers. Very truly yours, Charles S. Dranetz CSD/r Enc. I 1 ROBERT J. COTTER ATTORNEY AT LAW 306 UNION STREET P.O. BOX 304 ROCKLAND. MASSACHUSETTS 02370 617-878-7111 January 8 , 1985 Richard S . Dubin , Esquire Dranetz and Dubin 4 56 Be ar se ' s Way Hyannis , Ma . 0260 1 Re : Venter et ux to Maple et ux Lot 14 1 Or eo Lane , W. Hyann i.spor t Dear Sir : Ki ndl y be ad i sed that I represent the North Ab i ngton Co-Operat ive Bank i n the matter of an appl i - cation for mortgage to property shown as Lot 141 on the Assessors Map and located on Orea Lane , W. Hyanni sport the record t it le of which stands in the names of Armond S . Venter , Jr . and Marjorie J . Venter . I am in receipt of your letter of November 20, 1984 sending me a copy of the proposed deed . When the title was examined by this office, it was determined -that this property stood in the name of Lo•; 11a °eaIe s bly ;r it *..ue of a deed dated October 31 , 1908 recorded Book 285 , Page 472 . Examination further indicated that Mrs . Beales died on May 14 , 1937 and her estate is probated in Barnstable ' County No. 25828 . She d ied inte st ate leaving her husband , Wi 11 iam T . Beale s, and a son , Alonzo R . Beales . According to the examination conducted by this office and also the title references Suppiied us, it was indicated that the said Wi11 i.am T. Beales by deed dated I Richard S . Dubin, Esquire Page> 2 January 8, 1995 I M a y—-15--,- -1 9 4 0--r e c-o r d e d—Book--9 8.0 ,--P-_age---1.8-0___a_n_d._.de.-e d__d_ax e_.d —� July 2 , 1938 recorded Book 543 , Page 335 conveyed to the predecessor in t itle of the Venters the locus . The examiner could find no deed from the son, Alonzo R . Beales to Will iam T . Beales or any other predecessor in �ZitIe . This leaves the question , of course , as to whether r not Mr . Beales conveyed only one -third of the interest in the property and whether or not the other two-third ' s un- /d iv ided interest in the property is still outstanding in the name of Alonzo R . Beales . Examination showed that he died on Jul y 24, 1949 and hi s e st ate i s probated in Barnstable County VNo . 45660 . At the present status , I am unable , therefore , to certify the title . I would request that you investiga.te the matters set forth in this letter , and , if you have any suggest ion in regard to the same , contact me . Very r u I y you , Robert .I . Cotter RJC/fm j /J Pogo • lS p,pp o oo• g • SwoinP \ 0 � o p o O` 1 2p�Os Z 1 \ to � It CEL/A GRICN/GH � II 5t6 i I I 1 Boy/OnD 1 '�ao-o-: 1 i I Ih I � v I .ti Wi 27J.o•r h /y2 n•t LO�Rr BROwiy , � H ✓O <s PLAN OF LCTS r //✓E S T NN/SPOR T — ✓ I-f 5.5 AS OR.f NW/✓ AaR l/Y/L L/AM T. Scntt /tee SO• SEPT. /937 � 1 � � 11 I � t 2� I � 131• w~.w.,r♦n.rsse rr— .✓r.�.v v s.�...ss ,o,ttrir�crs —E.veivE�,ea . | -- ' — n ~ �---__—� .„yw ,,,.e.,-tee ,r,`,,:p.�,,,...--T,t^/;. �r--'t,.'.+'�,.-,:"i�"�.I+ICJ'�,y:%"�d,*...-i!ri.rev ::r.-,...+erg-�+.s °.i.a..n-a�*�'4�4:`a...,•r..v-„e..sy+-�w..�sm�-�vi"�z�•PEr+�A� k TOWN OF BARNSTABLE 32360 o � Permit No. ................ BUILDING DEPARTMENT I s.vn I TOWN OFFICE BUILDING Cash ................ �Nl i619. - X feu+ HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to GREENBRIER CORP. Address lot #3 25 Oreo Lane, West Hyannisport USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE-VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON_SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND,IN ACCORDANCE WITH SECTION 119*1 OF THE MASSACHUSETTS STATE BUILDING CODE. December 30 88 ....... 19................. :.... ... ?: ..............' Building Inspector TOWN OF.BARNSTABLE, MASSACHUSCTTS ,L L)I ��. s`.`it m 1°'t �247—.i41 < Uci'ouc:r li ow,1re .1r DATE 19 PERMIT NOr-"I• i 1PPLICANT `I U� ADDRESS (NO.) (STREET) ' 4 C0NT,p\S LICENSE) °ERMIT TO Build flwe liilg ( 1•� STORY Sirit,�.?. t:lUll.Lj' (�Wl�.Z1j-:1'` NUMBER OF (TYPE OF IMPROVEMENT) NO, DWELLING UNITS \ - (PROPOSED USE) ' AT (LOCATION) lot .33 15 UrE:O Laaei West dvanni;;port ZONING.- � \ (NO') (STREET) DISTRICT BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT CK SIZE BUILDING IS TO BE FT, FT, LONG BY. FT. IN T AND SHALL CONFOR -CONSTRUCTION TO TYPE USE GR P BASEMEN ALLS OR OATION REMARKS: S,ew. ge!- 086-52-5 _ BOND AREA OR J.U�'fJ Sl]. l t.VOLUME 4U,UVU PERMIT n, 77.00 IT IC/SQUARE FEET)' ESTIMATED COST $ FEE OWNER ' Greenbrier Corp. ' ADDRESS - , ti[' C 4 CtFS •- BUILDING DEPT, r_` BY 1 `> i THIS PERMIT CONVEYS NO RIGHT TO 0 -ERMANENTLY. ENCROACHMENTS ON IC PROP - ALLEY OR SIDEWALK OR ANY PA SPECIFICALLY PERMITTED U. R TEMPORARILY .i7 ROVED BY THE JURISDICTION. ST ALLEY GRA S WELL AS DEPTH AND LOCA OF PUBLIC S E, OBTAINEDBE �F ANY APPLICABLE SUBDIVISION ON ST RICTIONS. MUST AP- FROM THE DEPARTMENT OF PU ORKS.S. THE ISSUANCE O THIS PERMIT DOES NOT REL THE APPLICANT FR THE CONDITIONS AINIM NSPE M OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB A THIS WHERE APPLICABLE SEPARATE. . NSPECTIONS REQUIRED FOR � i ALL CONSTRUCTION WORK: ARD KEPT POSTED UNTIL FINAL INSPECTION HA EEN PERMITS ARE REQUIRED FOR , v i. ELECTRICAL, PLUMBING AND FOUNDATIONS OR FOOTINGS. ' DE. WHERE A CERTIFICATE OF OCCUPANCY RE- MECHANICAL INSTALLATIONS. ?. PRIOR TO COVERING STRUCTURAL ED,SUCH BUILDING SHALL NOT BE OCCUPIED IL MEMBERS(READY TO LATH). i. FINAL INSPECTION BEFORE PECTION HAS BEEN MADE. OCCUPANCY. PAST SO IT IS VISIBLE FR TREET BUILDING INSPECTION A ALS PLUMBING INSPECTION APPROVALS ION APPROVALS 1 i9 HEATING INSPECTION APPROVALS ENGINEERING DEPARI'ME T OTHER bLe G ---...._. BOARD OF:HEALTH 9- L NORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION OR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPLCTIONS INDICATED ON THIS CARD CAN BE :ONSTRUCTION. 1 PERMIT f5 ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTEN. L NOTIFICATION. - • J LOT 2 S 80'02'40" � E m 150.00, O z w O N -- O �' N 0 o LOT 3 , 0 o 14724 fSQ. FT.f 87.0' -n m G X -' O � Z O o G) O O Z ice—2 6.6'+ m N v 150 00, N 80°42'40 W I r- LOT 4 z 1 5, I CERTIFIED PLOT PLAN FOR GREENBRIAR DEVELOPMENT CORP. WEST HYANNISPORT, MASSACHUSETTS I CERTIFY THAT THE ABOVE STRUCTURE IS LOCATED ON THE GROUND AS SHOWN, THAT IT CONFORMS TO THE TOWN'S ZONING SETBACK REGULATIONS UNLESS OTHERWISE NOTED ON THIS PLAN, THAT THE FIELD WORK WAS PERFORMED IN ACCORDANCE WITH THE TECHNICAL STANDARDS FOR CERTIFIED PLOT PLANS AND.MORTGAGE LOAN INSPECTIONS AS ADOPTED BY THE MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS, INC. AND THAT THIS LOT IS LOCATED IN FEMA ZONE_C____. JOB N0. 88065 SCALE: 1 "=30' DATE 10 6 88 DWG NO. DRAWN BY LH/CAD CHECKED BY *O� oF��rs4 DANIEL BENCHMARK o +�2f3279 FA A. SURVEYING & ENGINEERING ASSOCIATES AT HERITAGE GREEN `� �h y 1oQ' • P. 0. BOX 1409 MASHPEE, MASSACHUSETTS 02649 d 508 - 477 - 9870 J a�oklr O �,Y)(3z ., , } (t KuEL`WRL(, i 1 i � _..I � � ...,,t _ _. t. i �� _ fi � � ' __._._-_+ .. _._. -. 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