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HomeMy WebLinkAbout0363 SKUNKNET ROAD vp =77i% �E��f'�yt :Y ° c i R r ° t n a n ° e ` a _ y ° ° p v c ° > e e p n . , p x , > , > a .e ^ u >. 0 " ,. •.,a ¢/ �.: ,. -'•• v -. � 6 0 ° _, , e 5 '. a • > ° _ t�-Lz L-F V A<SMOKE DETECTORS 0X. /Z� af 1 2z�� BARNSTABLE BUILDING DEPT. -- %_ -- _ tTL LIT ---1 - r7=1-T-hZTL-1 .._. ----------- _ -- --- _ Ii_ {Ul[:l PNOV{O OV. pgwWN OV Q �y ..SUAKc�d enr+tonJt.-:_aGarin;�c.N.__-ZiB.F6T 011AW0,0 uUu 1 - _ IT C11L J.y 1_.I I'� �I L� t . I , -1 _ T , - - T. _-- ----- -- - - _ ►t - - _ - --- - -- -- ---- --- - -tom I�V I T E l i Vr 1 i 1 r.N ~ � �• � � �'. � � � yip . ------- --'4 4 - REUSE �8n�.5 yUT OCx�fL . i i ASPHALTG 2ooG /S# Fot.r / UDE2 /."Cox P11 /LIDGB /x 3O,Q,'1KF. F 1'r UP/T Vtn . a S� anl2 etocEa AL.Vn Cvrr-eR 4 povr9 21DC B5 r PAF-reit A )JOTtD/b'•GY. 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Prac ipttre Packno for dae and Tee-Family Rft dmdd Botldinp Bated with Fam1 Fods f MAXIMUM MINIMUM nail Floor 8a>a�t Sob �Un$ �) U.vaiooz � Rv"'. &vaiuLj wall Azi=m F-Ma=cy' padMw l;.valat� &vaiud 0i to 6500 Headne IDD) Darn Q 12% 0.40 31 13 19 10 6 Norma R 12% am30 19 19 10 6 Norma S 12% 0.30 3i 13 19 10 6 B AIDE T 13% 0.35 31 13 2S WA WA Normal U i3'X OA6 31 19 19 10 6 Normal 1 - r 177� {R44 JO 1+ Y NA W:: =S ARM w 13% 0.3Z 30 19 19 10 . 6 U AFEJE X IV1, 0.32 31 13 1 2S WA WA Normal Y IVA 0.42 31 19 2S WA WA Normal Z IVA 0.42 n 13 19 10 6 90AFUE AA IEY, (LS0 30 19 19 10 6 90AFUE 1. ADDRESS OF PROPERTY 36 3 RD, • C�n�•®.rvi��C /1�C. �aG.�.2 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: �</1;21 3. SQUARE FOOTAGE OF ALL GLAZING. 4. %GLAZING AREA(#3 DIVIDED BY#2): C.).U q4 S. SELECT PACKAGE(Q—AA-see chart above):(f_?30 G)—!fit f3 F-- OF NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: li q-forms-080303a The Town of Barnstable BAMSrMM 9� MAM; ��� Department of Health Safety and Environmental Services 'OrF1 ter' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508490-6230 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. Type of Work: c2(4DQ4 (�-cT � 7rw SdL-� �+1./bLu Estimated Cost Address of Work: 363 L kvak-,. Q.t7 C�n4'�.w �Z 3le- An c a 2— , Owner's Name: MI'kke , /�a<.r� fifft' itA Date of Application: / 'S 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: A;A G11 75 Date. Contractor Name Registration No. OR Date Owner's Name g1onns:Affidav ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE square feet X $55/sq. foot= GARAGE (UNFINISHED) 4576 square feet X $25/sq. foot= y, K00 PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X $??/sq. foot= Total Estimated Project Cost I ti q60 g990915b r 1ie ellnrmzo�:uieae o� oao�/u teCGt �! DEPARTMENT OF PUBLIC SAFETY CONSi SUPERVISOR LICENSE Ex fires:F Birthdate: _11 43 13012010< 03 J30 J1964 i6 S EYEIk� CODE i � '� 353`Si�lf N�lIE��%RD CENTERVILLE, NA 62632 _ Ems'• OVENENI CON RACTQR,,� t_ s = t+�A44751i NERSlw 1w �e R P r �USTOM HOMES H UROUE PERMIT PAYMEMT Rgfp TOWN OF BARUTAkE -BI�ICDIMG 41ROTM'07 NyflNNIS,.`MA. '0�601 TIME: 16:OA f� *. ,TQTA4S -__ ___------ PERMIT PAID, 'APRIOAT`iON Nttt1MA 663846 ' ~ PAY11fNT METH. - ,�:CWIIK,: . PAYMENT REF, 1759 W LOT LOT 640 6.48 tcv All r �^a L ,r 64 LOT N647 ��, • �r . - - LOT . _ '.. t:Y SaY� jfJ Yids .vf6RTGA(-,E INSPECTION �?t�F� }�:_ c REGISTRY....sa._.....-.....,`.....A.......-.,.-._.a:w.. �OWN 1 4'*.: ��F�A.^'�'ttdiJ i! �_� Le�✓�,kfAk�[.A�l� 1 i`' ..._ _.. __. - zu F. R E i � � 1 _ L;'�` ,Ct .z 'a �. _ _ wE T1FY ,....,5..1t tw a.s. LJi A T THE, E Ur 1ENG €A _gs+ ? C x3 'Ck GRO.UNO A5 PAUL SHOWN 4� THE I'GAN IS L{3 " Tw SE OWF ANL' ''X IA'T iTS FC��r'�`W DOES CONFORM `� 1 Zvi.?`i r l':� TO FE ZONT UI ; LAW SETBACK �t�Q�S�EMEN. T$ OF ,Trluv+ , �s -OWNA -,F ���';��tT� ` 4AND THAl' ".F;Fi� ��'ti.SA��li;.:j, rfr i:?i:•if? iE WITHIN I HF 2>G'FCIAL F LO'00{�H'A�f��� ``\,', MAP T) s`t.�.. : �,., a e. FAX:AREA ;a "r i , y 4 l _ '/ t ::1 - - rF`t:: aS 7rr u� b�ii r+ drwre a�►rt�a�nmvs wnssnaeuaw rtwrrr+,rmrmrcu m r - R..1 .rs..'-_ cx x ,: \ l l r i + , c S� �•:s { t.. � r?�h �-^•A � t �, �•��n _t` S " 01-11� FENCES w.w�asdnvs�rna.. a-sre.e.^se.;•.�+remvrtw.Rw+nawn®v.n T�s.sraai�-.�rsnr+...u„ ms7.wr..�rt�:Is .x.,..l-rm..t e^�xn a-r,..a,,..y.q,... y • s «a�sy.w.+ F�'+�i .. ^�,,._ w-�`r,` - ;..-..-�� .A�+.�`'�•ice..-`._"�'..°"��"'�w..�.....� ';��er�' -ar=—��� - - -"3'�. '-P^+�.r�...• +Ws,s-arF�^r.-r"'lr`� ',rT_`.'�'+<•},,;:��`�"tit:�i..,.r-'.�.•�...�. --„a:r.r.-,t�c,,.. •.4. a � i•,'s.,;;� a.a �.X„��,rL�'e....-.S'n.w.e--..�J�y..�,..��-r. d't � ., .PHE The Town of Barnstable ` • BABNSPABLF. • '%659. Department of Health Safety and Environmental Services ArED Meg" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: Map/Parcel: 1 F Project Address: V Builder: n y I�'� Ue l co e The following it/ems were noted on reviewing: VA-)'��V VL4A,_ 1 h ey V t �j4-n O L A-TTZ L) r3 cam,, Please call 508 862-4038 for re-inspection. Date: Z "— q:building:forms:review The Commonwealth of Massachusetts —...... Department of Industrial Accidents Olff=9UNY859929Ons -'600 Washington Street Boston,Mass 02111 Workers' Coni ensation Insurance Afridavit name, Vt".e � location 2,53 S aka tJ1— � city C-wtcrvi 1l phone# 7 77-6 Y'90 ❑ I am a homeowner performing all work myself. ❑ I am a sole p etor and have no one worlds in any capacity �//%/ %%/%/%%%////%////%%//V1////00/%%///%%1%'///%%%/%%%%//%%/%////%/%//%//%/%%%//////%%///// %/////////%%%////�G/%///%///%///////%/%///////O//%///G%%/G%/%%/%%%i I am an employer :.: ... providing workers' compensation for my employees working on this job. : .:::::::;.:;: . . PP.........................................::.::..:.:...:... ...................:....:..........................:.....:...::.::::::: .. ...............::;:::::.:::::.::.::..:.:::.: concbanv name >` acidcess '` �m . cites M���� phone,#: . �'.....fr' insurance ,. .: Agm ❑ I am a sole proprieto e o or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: .; e ':. . '`2� 'k` i i.............................rr ::::j i:[[i;:[i :;`:::;: >:::�:i com anv na m ............ address: i:•«:`: 'niiiii�iii:isii;�:}k'>::ii:{ij:Lii:iii:•rill:itii?i:{:'::i:Li>.i! ::ii:::: : �::i:�i:(� `:�ii:��ii:<:::::::':::�::: ?:!::�iii$iiiiiiiiiiii?:::i>�iiii ::i::ji;:.:J:iiiti:<::4iij::::i:':i:`i:�:�:ji i:i+>:j•Yii:•;}ii:::v?i:i::::::5:::i}ii:iJii:'%ii�i:'::ii v:: city nhon .. ... :.......................:..............<...:..:..:..................................:................. ...,.......:.....,...<:.:....................:. oTicv insurancwclT i. :;::.::<:i::;::< ;;.:;:x;;:::<;;::;:;..::.;;,.:,.::.;:.;::»;;; c anv n address: tito.. pfto :. ....... ::...:............................:..::... ......... ............. ... . .....::::.::::::....... :::::..:.:::::.:::.::.::::::::::.:::.:::::.::::::::.:,..........:.::....x.::::;;:;;: of ...........:::::.:.:::......... .. . n�nran �/ . Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a 6ne up to SI,s00.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a COPY of this statement may be forwarded to the Office of Investigations of the DIA for coverage vetiflcstiom I do hereby certify under the parrs and penalties of perjury that the information provided above is trw and eorrent Signature Date /Z- Print name ce, Phone# 11111,'I'l""Illooll man SON oifldal use only do not write in this area to be completed by city or town official city or town• penumeense# OBrdiding DePartrncot ❑Licensing Board ❑checkif immediate response is required (:]Selectmen's Office ❑Health Department contact person. phone#, _ ❑Other. lievaed 9195 P)A) l 'U TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map l� Parcel Permit# �- Health Division /�O®�sc! /Z-��9�-��C Date Issued ,. Conservation Division Fee Tax Collector J .? Treasurer 2(0 P i; 0`_ c4a4-F c„l Z12��9q ;_ - SEPTIC'SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TW S Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REGU Historic-OKH Preservation/Hyannis Project Street Address ( S kv.,kr&+ a Village Owner alike c�.( * ram. Address Telephone `7 7 7.117 Permit Request er- c�fl d2y�Oca4 \AfI Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost !SS� vc! Zoning District Flood Plain Groundwater Overlay Construction Type ~d Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) y Age of Existing Structure / Historic House: ❑Yes lo r On Old King's Highway: ❑Yes Basement Type: @,Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing oZ7 new / Half: existing new Number of Bedrooms: existing new ! Total Room Count(not including baths):existing new f First Floor Room Count Heat Type and Fuel: l3G"as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ®o Fireplaces: Existing is New Existing wood/coal stove: YYes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing &Y'new size R�Yd2Y Shed:❑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 S- ,�� t'i�' I- Name e Ccl� g Cetlr_) Telephone Number '7 Address Cl /3r m: l CXI-r License# /(y 3 1;&.rrArw A,1;16 ERG V 76- Home Improvement Contractor# /0575/ Worker's Compensation# WC. 100a.1ci 14Q ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY _ `_ MIT-N,O. • t ,.,. y � _ DATE ISSUED .. r MAP/PARCEL NO. - DDRESS ~!''`' VILLAGE A ° OWNER !..• t �' DATE OF INSPECTION: FOUNDATION . P { FRAME 2 coo INSULATION / //2-00 D r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 'ry GAS: ROUGI-F FINAL t fm FINAL BUILDING 01 m fn _ DATE CLOSED,OUT "" '"3 "-I F v 2`ta , > ASSOCIATION PLAN NO: Q F- 4 ! s J# s M cy ma`s - j Town of Barnstable *Permit#N;�?� �(�, j Fxpires 6 months from issue date , M ; Regulatory Services Fee�y f � i NAB& Thomas F.Geiler,Director ESS PERMIT Building Division Tom Perry,CBO; Building Commissioner 0 C T 12 2006 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 50$:$ Q33F BARNSTABLE Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number f-7 O f i Property Address 363 5 K(a n I/-nc+ Road i) er Vi_I 1 t, M"g- [Residential Value of Work J-7S-, d b Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address M j C ha c l S. Fe r r e f ra s, M Q )trc -Fe r r e I r ct- 36 3 S Kun Krle-i- ROO CL, Cen-J•er- V,t 1C NA- 0263 2- Contractor's NameeCl n R(j V C roof— Telephone Number-7 74 - -4�6 2--q Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) C S 0 O 3 �;l a o "t ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I.am the Homeowner 211 have Worker's Compensation Insurance Insurance Company Name -G rrr h)+-- S Z14-- -rO f(-t rQ rn CC C.:U o-pon Workman's Comp.Policy# 14 LU 3 9 0 Q (09 J Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 2/Re-roof(stripping old shingles) All construction debris will be taken to CCE 5e—t ❑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: Property Owner must sign-Property Owner Letter of Permission. Home pr eat r License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 Town of Barnstable BARNgrABLX ,.� Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us e Office: 508-862-4038 Fax: 508-790=6230 Property Owner Must Complete and Sign This Section If Using A Builder p• r I, Ma p p r nni rc ,as Owner of the subject property hereby authorize_ S ec..n B2 C ro4: �— to act on my behalf, in all matters relative to work authorized by this building permit application for: 3(0 Kt.c�, r��1t— �' �ccC� C V% (Address of job) Sign of Owne Date Print Name Q:Forms:expmtrg Revise071405 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 To www.mass.gov/dia Workers' Compensation Insurance Affidavit::Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 5e- n �PyC j7o — Address:_ 5 e bt n Sh i+h , �- City/State/Zip: Cep- erV i Ile 04 Phone#: -774- UG - 0(o2_(� Are you an employer? Check the appropriate box: Type of project(required): 1.L7 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. t 7• ❑ 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 required.] officers have exercised their 10.❑Electrical repairs or additions 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 repairs insurance required.] fi employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information I Homeowners who submit this affidavit indicating they are doing all work 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 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: 'r --I—jrj5W- Corr Policy#or Self-ins. Lic.#: L4 LU 3 C? 0-2 - (a 9 Expiration Date: 2� / �0(3 Job Site Address:3(o 3 ad City/State/Zip:Ceo-jb-V i ( 02632 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..1,52 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 cer fy un er pa i s d penalties of perjury that the information provided above is true and correct Signature: Dater 121 2U0 (0 Phone#: �4 —(Gdo Z. 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#• 08-08-06 10:04am From-SOUTHEASTERN INSURANCE AGENCY 508-7900557 T-996 P.01/01 F-834 -----Tu' ■• ems& v • r. v§ =06 arose e a sip evv6'% - v viw I UG/Ub/LUUb PRODUCER (508)997-6061 FAX (508)991-3283 THIS CERTIFICATE 18 ISSUED AS A MA rTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPO THE CERTIFtCATE 662 Stale Rd. HOLDER.THIS CERTIFICATE DOES NO AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED 101 THE POLICIES BELOW. P.O. Boa. 79399 , N. Dartmouth, MA 02747 INSURERS AFFORDING COVERAGE NAIC S INDURED Roycro t & Kuehne Builders Inc - INSURER A. Arbella Protection Insu ance 6S Eben Smith Road INSURERB. Merchants Ins Group Centerville, MA 02632 INSURERC. Granite State Ins. INSURER O: INSURER E: COVIERAGES THE POLCIES OF INSURANCE USTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I 401CATED.NOTWITHSTANDING ANY REGU-REMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIF CATE MAY BE ISSUED OR MAY PERT.JN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXr-LUSIOP S AND CONDITIONS OF SUCH POLICIES..LGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYpE OF INSURANCE POLICY NUMBER POLICY EFFECTN6 POLJCY EXPiRATI N UNITS G&JERAL LIABILITY 8500022738 07/03/2006 07/03/2007 9GE CE S 2,000,000 X COMMERCIAL GENERAL LABILITY TED $ S0,000 CLAIMS MADE a OCCUR pdtAOA) 7 5 000 A - - INJURY S 1.000.000 GATE E Z.000.000 GE-JL AGGREGATE LIMIT APPLIES PER PRODUCTS-CO PLOP AGO 3 1,000,000 POLICY JEC LOC AU'.TJMOBILE LIABILITY COMBINED SING.E LIMIT S i ANY AUTO (Ea Actidem) 11000,000 X ALLOMEDAUT09 7AMO27701409S 10/18/200S 10/19/2006 BOOILYINJURY SCHEDULED AUTOS (Per Person) S B HIRED AUTOS BODILY INJURY NON-OWNEDAUTOS (par oc 1) f PROPERTY CLAM GE $ (Per ecadant) incl. QAI"E LIABILITY AUTO ONLY-EA CCIDENT S ANY AUTO EA ACC S OTHER THAN AUTO ONLY. A643 EJf(ESSAIIMBRELLA LIABILITY EACH OC;CvRREi ICE E OCCUR ED CLAIMS MADE AGGREGATE E • S DEOUCTIBLE - S RETENTION S i WORKERL COMPENSATION AND v W STATu TN- EMPLOYEAS'LIABILITY C AM'PR01 RIETORIPARTNERIEXECUTIVE E.L.EACH ACC10 NT S 100.000 OFFICERAnEMBER ExCLUDED7 WC4W392Z69 08/01/2006 08/01/2007 E.L.DISEASE- EMPLOYE S 100,000 If yea,dew Ift wldar SPECIAL 1 ROVISION6 ootow El DISEASE-P LICYLIMIT S 500,000 OTHER DESCRIPTION Or OPERATIONS I LOCATIONS I VEHICLES i EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS For any and all operations performed during the policy period. CERTIEIW'g HOLDER CAN ELLATION r 5HOULD ANY OF THE ABOVE DESCRIBED POLICIES B CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER I PLL ENDEAVOR TO MAIL ® Tow-! Of Barnstable , 10 DAYS WRITTEN NOTICE TO THE Cr.R-nFH;ATw HOLDER NAMED TO THE LEFT, Att-7: Bldg Dept BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE O OBLIGATION OR LIABILITY Mal A St OF ANY KIND UPON THE INSURER,ITS AGENTS OR RE PRESENTATP46. Hyannis, MA 02601 r AUTHORM90REPRESENTAIrvE 30an Martin ACORD 25(2801/08) 0A CORD CORPORATION 1908 " w e �anima�acuea a�.�aa�ac��zuaet�a f BOARD OF BUILDI G REGULATIONS } License: CONSTRUCTION SUPERVISOR c ( Number: CS 083280 Birthdate: 11/29/1964 f Expires: 11/29/2-006 Tr.no: 83280 Restricted: 00 i SEAN J ROYCROFT 65 EBEN SMITH RD CENTERViLLE, MA 02632 Administrator �t�, ✓lee �o7,�naru+reall/r. o�'✓`la�a�uveC� 1 . Board of Building Regulations and Standards. HOME IMPROVEMENT CONTRACTOR Registration: 141225 Expiration: 1/22/2008 Type: Private Corporation ROYCROFT&KUEHNE BUILDERS, INC. Sean Roycroft 65 Eben Smith Roz,-, _ Centerville,MA 02632 Administrator ��� - r .s �, . :•fin t � 3 y \'i..fir II _ _ k. ,._ e. .. I r WE The Town of Barnstable " MASS. * Department of Health Safety and Environmental Services 1639. Building Division " 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner TOWN OF BARNSTABLE Permit:j-�514 SOLID FUEL STOVE PERMIT Date: Fee: 7 r VD Owner: O y-; i L Phone: Address: `3fd-S C--Acuti+<jQE r-ZD, D t Village: C`,P-Vj -i- Map/Parcel: 1 � Date: DEC. Z-' Stove A. New Use B. Type: Radiant/Circulating C. Manufacturer:Ve2Mao �,S 71M6 c-> Lab. No. D. Model No.. '0fZ " Chimney A. Ne xistin (If existing,please note date of last cleaning 1w, (® B. Flue Size C. Are other appliances attached to Flue? N 0 D. re=fa a and Manufacturer Masonry: Lined/Unlined Hearth A. Materials: 2) (2j r/� B. Sub Floor Construction: Installer Name: ll F Y--aW 2A. Address: ova Phone: Location of Installation:E�c, JZj-ge PL.A-UZc-- APPROVED BY: — Please make checks payable,to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Stove.doc Assessor's map and lot number S i ...............,.... ..... .. �.. .. CFI EtO e. Sewage Permit number ,................................ ...... .... / Z BARNSTABLE, House number ...................,..:.... ...�?.J.................:.........;.... 9 NAea 1639. YA a` TOWN OF BARNSTABLE BUILDING INSPECTOR n 1 APPLICATION FOR PERMIT TO /J U,/L.Q.............. . TYPE OF CONSTRUCTION Gc/4d/J �'�'�l�F .................................................................................................................. . &...............I9.m TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ©T .........-��! U!!�K...N.177......�' ...............:..�"!vT�P............................................................. ProposedUse ............. . ........... ............................................... ................... ...............I......................... ZoningDistrict ................ .0...............................................Fire District ...................(.-6............................................... Name of Owner ......>`.4 5....:�U S T...............................Address ....,C / 3„ 6 uMa. i s Name of Builder .....:......./................................-.....:...�/�........Address .......................�................ Name of Architect YlAvH5/ .... ......Addres's ... Number of Rooms ..................... .......................................Foundation .........IA4m -ry.....1,,, e:o� l`T� ........................... Exterior .........................................Roofing ............... �!v�F.f....................... Floors 4 VC004T®............................................Interior .................5!?,r",EPe('t.......................................... Plumbin Heating ?...........Ov! ?..................................... g ........:I.U...........?.'il�. . .. ........................................... Fireplace ...... �./..r..�...............................................:....Approximate. Cost .............. :1�:. ............ ,... ... Definitive Plan Approved by Planning Board _19C_. Area . Diagram of Lot and Building with Dimensions Fee .�.....�..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the T_ wan Barnstable regarding the above construction. Name . 1 r........ ................................ Construction Supervisor's License A ?1-1? r S L S TRUST A=170-115 No 28236` Permit for 1j Story ............... .................... Single Family Dwelling ................................................................... Lot 647, 363 Skunknet Road Location ................................................................ Centerville ............................................................................... Owner S L S Trust .................................................................. Type of Construction Frame Plot ............................ Lot ................................ Permit Granted ....July,..22......................19 85 ' f_- Date of Inspection ....................................19 Date Completed .......................................19 s � e D` Assessor's map and lot number ...........::.. ...�� ..;/ f THE T SEPTIC SYSTEM MUST o� Sewage Permit number '�' 7:q ASTALLE® IN COMPLI WITH'TITLE 5 i House number " B9HB9TADLE a �� II$®NI�ENTaI C®® ,o� 3 1 � 'FO WAY Ar 0 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........./&L ';n.......(. ..... ?/ TYPE OF CONSTRUCTION ��� �'�'!� ,, ......................................... ...�Ju..A✓..�......../.1.................19,Jss TO THE INSPECTOR OF BUILDINGS: The undersigned hereby //applies for a permit according to the following information: Location ........... . .....0-7......... ...... .............. ............................................... ProposedUse ............. w LL.l.lv`C�. ........................................................................................................,......................... ZoningDistrict ................/`.. :.......... ................... .....Fire District ...................C.-.................................................. Name of Owner ......, 5.... + U..S.� ...............................Address .... ...... ............................... Name of Builder �L�Q L ....... D��C7W� .....Address ..���°�.. �T�C:l -2......r/�!G1F�rU/J...................... Name of Architect ... ....QtZ..!`1..1..d� %N /..... t�i ......Address QU f s �! ...IT.e:.....6..A.......y!1!��!!�C!T.H.f??..T.................... Number of Rooms ...........:........................................:.............Foundation ......... .!/ft'. G ..... Exterior 1?/..N..�{.�, 5.........................................Roofing ...............�r.h(AL�..... . .N..gG L Floors ................../29V.06p............................................Interior . xr—. TeK& Heating ....................... ........................Plumbing ........1/.,.V -L.d (24.......................................... . ........................... Fireplace ............... . ....................................................Approximate Cost ................��f........................................ ... Definitive Plan Approved by Planning Board _ _L_1T /./..�.. .. ....... --- 9 -- -. Area Diagram of Lot and Building with Dimensions Fee ....... .�......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH • . yil OCCUPANCY PERMITS REQUIRED 'FOR NEW DWELLINGS I hereby agree to conform to-all the Rules and Regulations of t4own Barnstable regarding the above construction: Name . . Q..:.......................... Construction Supervisor's License ......I)..O.l.21.............. ''► S.L S TRUST 4 • 1 r , t+� 2.8236 1z Story No ................. for for Single Family Dwelling r ................ Location Lot 6471 363. Skunknet 'Road c ' Centerville ' c ` Owner ......... ............................................................• S Trust . - r Type of Construction ..Frame ✓ .......................................................... Plot ............................ Lot .............................. - r 22 ' •�.` _ Permit Granted July 85 ' Date of-Inspection:.....................................19 Date ,Comp eted ...'IV .................19� _ z. k s t. ' o•,t�> TOWN OF BARNSTABLE Permit No. . L Building Inspector suz�r.n Cash �qo OCCUPANCY PERMIT Bond Issued to $ L S Trus t Address oil i Wiring Inspector = I �` / Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health t ,, Inspection date i 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 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. i r ...�........`.'....`............:�.............. , 19......_.._ ....`.........'...::::'�........... . �".:. �. .. ........:...::. Building Inspector .s„ �i� �`• �' _-:� - i �,..isx, t i;' ♦r,�.:st . . •�°�j`` ?irk', s"'- ��' +f "�—��� � i �,.Rat i TOWN OF BARNSTABLE BUILDING DEPARTMENT = saaISTAU % TOWN OFFICE BUILDING HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department r DATE: �U / 5 i An Occupancy Permit has been issued for the building authorized by Building Permit #. . _... 2» _o2A3 ..............._......................................................................................... » »...»....»»..»...»»... »..». issued to ..»-'� -_'`�..I.+ 1�s l01 ��..�f ».......:........» .3...(3.. s Please release the performance bond. J - �� mil'/ST-�oU r o.1�4 ti , 1vn } a AI I m w . r Z-07 47 /ova. 7 f�= 3l6 /.,oz., go �H.OF MqS CD wA slti o ; FOVA0,47/0N CFieT/F/�'4T%O s�/9EGISiER``S�yQa 0�aL LOT 647 5Aw1v wivcr RD On the basis of my knowledge, information and belief, I certify to the Boston Five Cents Savings Bank F:SB and e Ticor Title-Go,-that as a result of a survey made on tocatedund the site as I find that: The structure is ���9�85 5C.4L�' /"=2G.:..:.. he groin compliance with the Town of Barnstable Zoning Bylaws. The title lines and lines of occupation of the site � „own hereon. The, Site WiGI:- t%VAh'GV%GK � .9SSOL.�.:%NL; is situated in Flood �� Cas spawn-_ori__FEMA Community-}ianeL-No. Z50001 OOZO $ dated ,BOX 4001 No FAL/I'10Urb �, b R Date: 4lill am M. Wdarwick, PLS �GLIOEFL ---- - ---- ---�{ I1 -�- �4 A,ar>WOOF 1.I SCALE: APPROVED BY: DRAWN BY DATE: REVISED R DRAWING NUMBE