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'k,t , �� x i ,r.zkr° " <,f`-";'l „ , I` r 'k4�'d..:�,ruk1'mfl.r >.:V"�✓�u',h'liwfn5°G�.��,xr<ls!Ti". 4SUri'4.��1y,. rv. .,y�i,�'Jr_,*n"ti' ::� •Lfl' .1�eFt>r��r`S s.7,,:-,.;Fjrn_,uxa:4`�s {A.�k_Xtx!lbcn.. _.�`h!'.-!0;5 .•a'. lr.>�4, ,.n,,M:V�Y wr,.�e:,, x:::+fi� ra -.. r _, _, r t;i� Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 5/6/19 Brian Florence CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 BUILDING DEPT, MAY 2 8 2019 RE: Insulation Permit 19-1037 TOWN OF BARNSTABL. Dear.Mr. Florence: This affidavit is to certify that all work completed for 7 Valley Ave,Centerville has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey 6 � T - Town of Barnstable ildin Posted Until Final Inspection Has Been Made. PP this,Card Must be Kept- s aaaaysrn Post This Card So That it is Visible From the Street-A roved Plans Must be Retained on Job and �. p �eril"llt s6sq.p1� Where a.Certificate of Occupancy i5 Required,such Building shall Not be Occupied until)a�Final Inspection has been made.. - Permit No. B-19-1037 Applicant Name: William McCluskey Approvals Date Issued: 04/01/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 10/O1/2019 Foundation: Location: 7 VALLEY AVE,CENTERVILLE Map/Lot 226-068 4 Zoning District: C13DCV Sheathing: Owner on Record: OATES, DALE C Contractor Name` .WILLIAM J MCCLUSKEY Framing: 1 Address: 75 WARREN ST WEST UNIT 16 Contractor License:- CSSL-102776 2 r RAYNHAM, MA 02767 r, `' Est. Project Cost: $ 1,000.00 Chimney: Description: Add R-10 rigid insulation to the attic.Add R-19 fiberglass to the Permit Fee: $85.00 - basement. Air seal the attic plane and basement i with expanding Insulation: Fee Paid:.` 585.00 foam. Final a Date- Project Review Req: f Plumbing/Gas Rough Plumbing: =.n Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterissuance. All work authorized by this permit shall conform to the approved applicat ion land the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures,shall be in compliance with the local zoning by-laws and codes. 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 Final Gas: 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. Minimum of Five Call Inspections Required for All Construction Work) Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection �m- 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: 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 a N L Commonwealth of Massachusetts Y// b off Sheet Metal Permit Date: Permit Estimate Jo Cost: $ 000�Hermit Fee: $ Plans Submitted: YES NO� APR 01 20%ans Reviewed: YES NO Business License# (OWN 0 6%NWOUnse# Business Information: Property Owner/Job Location Inf rmation: Name: Name: ✓ Street: �i/C�l 7�r S Street: TZ1 / v City/Town: 161 City/Town: Telephone: �� _ d Telephone: 06 a Photo I.D. required/Copy of Photo I.D. attached: YE� NO Staff niti.1 /M-1-unrestricted license --2-restricted fo dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work Renovation: HVAC 0 Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes No❑ If you have checked Yes,indicate t 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 box2 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 Prouess Inspections Date Comments Final Inspection Date A Comments Type o License: By Master Title ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# ❑J ou rneyperson-Restricted License Number: Fee$ ❑ Check at www.mass.gov/dpl Inspector Signature of Permit Approval �'ME, Town of Barnstable S Building Department Serviees xAs�. Brian Florence, CBO . ' ¢ Buff in.g Commissioner - 200 Main Strept,Hyannis,MA 02601 www.town.harnstAble m&us Office: 508-862-4038 Fax:-508-790-6230. Property Qwer'Must Complete and Sigh This Section If UsirjjX A Builder O Vf-1 d -E cog Devil-�,PasOwner ofthe`subjectpropettY hereby authorize to Sea/ to act on my behal in all matters relative to work authQtized by this building permit application for. �Y . P (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. VA L _ ignatizte . Owner Sig f Applicant Print Name Print Name Date - •. _r Q_FOPMa.owmmPERMISSIONPDDI S xr.08/i G/17 1'own pt uarnstame ]Wdi-ng Vepartment Services Brian Florence,CBO °F o Bmldlog Commissioner 200.Main Street, Hyannis;ILIA 02601 SAIMM MIA 4 www town.barnsta'ble-ma.ns - ... 165 1� office: 508-862-4038 Fag: 509-790-6230 HOMEOWi�IER LICENSE ESEXWnON PIesao Phut DATE: 30B LOCATIOK �- - number village • OW11F1Z: � w "HOME name home ph®e# wozjc phone# CURRENT MAILING ADDRESS: sbto \ . zip code The current exemption for"homeowners°'was extended to include owner-occupied d___,wel]ins of sfrc or less and to allow homeowners to engage an individnA for hire who does not possess a license,provided that the owner acts as sou ervisor• DEFIlMON 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 amended to be,a one ar two family,dwelling,attached or detached structures accessory to such use and/or fmm structures. A person who canstrocfs more than.ane 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 be/she shall be responsible for all such work pefformcd tmder.the buildine Re-0n_(Section 109.1.1) The undersigned"homeowner"asmInDs'responsibilify for compliance withthe State Building Code and other applicable codes, bylaws,rules and regulations- The The undeisi�ied"homeowner" tifies that he/she uilderstaads the Town of Bamstable Building Department minimum inspection procedures andrequirements-and that he/she will comply with said procedures and req�emenis. sipatli'C'f Homco"wner fAp: pruvsl ofBw7ding`Offic, ial Dote; Three\- \family dwellings contamin 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Co L HOMEOWNER'S EgE11IPTION The Code states that: "Any homeowner performing work for Which a budding permit is required shall be exempt from'the provisions of this section(Section 109.1.1-Licensing of contraction 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 dix Q,Rules(see Appenles&Regulations for Licensing Construction Supervisors,Section 215) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. Tn 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 folly aware of hislher responsibilities,many communities require,as part of the permit application,that the homeowner certify that helshe 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.%WpFMESIFORMS\bundmg permit Ex=\E)TRESS.doo 09/16n7 acoR ® CERTIFICATE OF LIABILITY INSURANCE DA /YYYY) 10//22 4//2012018 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 NAME: HUB INTERNATIONAL NEW ENGLAND LLC PHONE FAX AIC No Ext: 888 661-3938 A/C No): 877 872-7604 600 LONGWATER DR EMAIL NORWELL,MA 020619146 ADDRESS:selectres onse ravelers.com (888)661-3938 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:THE TRAVELERS INDEMNITY COMPANY INSURED INSURER B:THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT CASEY HEATING&AIR ' CONDITIONING,INC. INSURER C:THE CHARTER OAK FIRE INSURANCE COMPANY 234 W CENTER ST INSURERD: STE 25 INSURERE: '. WEST BRIDGEWATER,MA 02379 INSURER F: COVERAGES CERTIFICATE NUMBER: 708051439090792 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 VVITH 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 ADDL SUBR POLICY EFF POUCY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YVYY LIMITS X 680-6872H268=18 10/24/2018 10/24/2019 EACH OCCURRENCE $1 000,000 B X COMMERCIAL GENERAL LIABILITY DAMAGE T TED CLAIMS-MADE X❑OCCUR PREMISES Ea occurrence $300,000 MED EXP(Any oneperson) $5 000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 ( POLICY ❑PRO- JECT �LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY BA-7004H948-18 10/24/2018 10/24/2019 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 Ci X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED AUTOS ONLY AUTOS ONLY - PROPERTY DAMAGE IF accident) - $ $ A X UMBRELLA LIAB X OCCUR CUP-3788T225-18 10/24/2018 10/24/2019 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE - AGGREGATE $1,000,000 DED I X I RETENTION$5,000 n - $ B WORKERS COMPENSATION N/A UB-6J208039-18 10/24/2018 10/24/2019 X STATUTE EORH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE Ele OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $SQQ 000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) AS RESPECTS TO GENERAL LIABILITY,CERTIFICATE HOLDER IS ADDITIONAL INSURED-BLANKET ADDITIONAL INSURED(CONTRACTORS OPERATIONS),CG D2 52,BUT ONLY AS RESPECTS TO HVAC WORK PERFOMED BY THE INSURED. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents = I Congress Street,Suite 100 0 Boston,MA 02114-2017 .�` www mass.gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information /` Please Print Le0bly Business/Organization Name: 6 ✓�" JZ/Vo Address: City/State/Zip: ( Phone#: Are yo an employer?Check the appropriate box: Business Type(required): 1. I am a employer with employees(full and/ 5. ❑Retail or part-time).* 6. ❑RestaurantBar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp.insurance required] g• Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑ Manufacturing no employees. [No workers'comp. insurance required]** 11.❑ Health Care` 4.❑ We are a non-profit organization,staffed by volunteers, / Q with no employees. [No workers'comp.insurance req.] 12.0 Other /% 6i *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **tf the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing w rkers'compensation insurance or my employees. Below 's the policy information. Insurance Company Name: �� Insurer's Address: / City/State/Zip: Policy#or Self-ins.Lic.# t� �U Expiration Date: / Attach a copy of the workers' compensatwn policy declaration page(showing the policy number Ad exp' ation 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 n the pains and pe aloes of perjury that the information provided�ablove * true and correct Signature- 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.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia Fold,Then Detach Along All Perforations r .W COMMONEATW'QF,tIUTASAIItSETTS..' SHEET`METAL,WORKERS. r ,.� ISSUES�THE FC?LLOWINt3`tIG�NSE �: T� k y fi RA MASTER UNRESTRICTED ; ' DA�FtD F CASEY �� 24 TAM CENTER ST ;F WEST SRIWMATER,MA 0?w�79-1633 1 3. Fold,Then Detach Alongwl Perforations .COMMONWI T � fSSUES THE ,0..UQfilti W I dklhSE k BUSINESS. a� CASEWHE_3 3, I SAND A#l G(3 fC?I ICE 1 ' n WE3TzERIf�GEWAATeW,`M A i?2379 J Assessor's Office(1st floor) Man 61 Lot 0 � � Permit# 5 7 'y 6 y Conservation Office Oth floor) 1 11 �p / Date Issued / 9Y_ Board of Health Ord floor Pei- • J c�.e��l�� Engineering Dept. Ord floor) House# Planning Dept. 1st floor/School Admin. MR.): M,►ee. .. Definitive Plan Approved b Plannin Board 19 (Applications processed 8:30-9:3b a.m.& 1:00-2:00p.m.) . TOWN OF BARNSTABLE Building Permit Application" Protect Street Address l U46 Eg Village J► \ v 4 1� Fire District 1. -n-1'E,��2c�I1 / Owner D r. of � Address l/-(1`I Vlv/� C' e,��� V Tcicahonc 6 11 , �6 S-��' �� I 1 Permit Request: Zonine District l.� Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use OLD Proposed Use Construction Type tAJ�,0,4 JCV-YgM E Existing Information Dwelling Type: Single Family Two family Multi-family Age of structure b Basement A14/9 Historic House n 1,4 Finished % Old King's Highway n]A- Unfinished t," Number of Baths No. of Bedrooms y Total Room Count(not including baths) First Floor Heat Type and Fuel 5 Central Air allel- Fireplaces OhC Garage: Detached Other Detached Structures: Pool r) ,9- Attached h A Barn r)J, None 014 Sheds Other n g Builder Information Name QI4 Telephone number Address O� "5 Q hG064-J W 7PgA License# D / D t —cyrTr-- y MiF Home Improvement Contractor# Worker's ComMusation # W G Z D O y 0 1 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Project Cost 3 D� FeeSz- c-6 j SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T 3/1/95 64 /5-�-3 2 2 6.0 6 8 FOR OFFICE USE ONLY 7-Valley Avenue Centerville - ADDRESS VILLAGE Dr. Oates OWNER DATE OF INSPECTION: FOUNDATION FRAME - , INSULATION FIREPLACE, ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL, r-• r-� l, FINAL BUILDING: DATE CLOSED OUT: t • ASSOCIATE PLAN NO. `� 11'02 94 17:02 `B`6177277122 DEPT IND ACCID Z 001 - L-01i1./ wl a cakli. 0/ aL JaPartmenl a��,>duafriat<,�dccedenf� 600 !/Vcuknyton Sh, el James J.Campbell &ton, // madwut& 02f f f Commissioner 1f 1( Workers'-Compensation Insurance Affidavit _ .. (aoeaser��amitr�e) with a principal place of business at: do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. coba6 mensYo (1-►vA1C i Cn . caooyo i nsuranue Coma Policy Number Company tY ; O I am a sole proprietor and have no one working for me in any capacity. I am a sole proprietor, eneral contraa or homeowner (circle one) and have hired the contractors listed below w e t e foil owing workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy ?dumber Contractor Insurance Company/Policy dumber () I am a homeowner performing 2II the work myself. s_te-nent wil;to forrcrced is�e OM'C-of im•esoz�.aons of t*e DIA for eowrage verification and that fai!ure to secure cc.c �fe r c� e en r�cc�cn 2 A L 152 un leae to tfe Imposition ci ciminzI penalties consistinc of a fine of up to 51,500.00 ,rX/Cr cr.= yet In; <c.^En ;a w I as c-✓il a i in to form cf a STOP WORK ORDER and a fine of 5100.00 a day against me. signed this day.of 19 Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOi:\ OF BAR q—ABLE BUILDING PERMIT TKE The Tow sAPNS "L& n of Barnstable HASS, g Department of Health Safety and Environmental Services 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 mph Crossen Fax:. 508-775-3344 x _,Building Commissioner For office use only Permit no. Date I AFFIDAVIT HOME EWPROVEMENT CONTRACTOR LAW.. SUPPLEMENT TO PERMIT APPLICATION' A 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: 0 ��4H'L_o Est.Cost d 0-0 0 ���� �P� a&l,/f lle C, Address of Work: � ,, Omer Name: Dr V11`J� Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S 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 apple for a permit s the agent of the owner. Date Contractor nam6 Registration No. OR Date Owner's name --4 W&ST -- '' Ld I�lGifc. I a.riGN1��¢5� e��r-L LKLOiA_'� ywos-�ru�.ioew�{ rirr+m+ra.►ri ��r!r ��Pxr.ww6 wYC w,r Zemc*_ VP � C1iAI1NCE �11JNTpVGTON � POWERS Oates Residence Valley Road,Craigville Village Schematic Design 28,,,,,�,,,,s,.., Renovations New Foundation and Terrace,February 12,1"5 soe177e-972. 1a116091776069+ � � f ► - c ;r' t � r t © �� zu� w rras r unrvrr y WiSt Ftui Y�c1 ST1`T FA/]J�IJC� ea MAW JL U i t�er,c,kar! i " y X T H5 u .¢4n11NuW1kitI.1�W(11 rr—r4A�EGNs V .a AT DPOP .�FTJ`t"-6 --ACF�Q APA� CHAU + INGTI `v}"IN ates Residence Valleyoad,Craig`ville Village Schematic Design �° r Renovations New Foundation and Terrace,February 12,1995 " N,r.�s�� f-(SMiisosei M �+ s t r �4_ i DF � 9F�razM I � q SOW as ��ST H5 f i r I II I I i �IT HIM I li r6*�ww^tw+u yr � 19ASZheur4 WPF+v'-n CHAIJNCE -rrrP0FL^t4k+, i.U'i.*vyh{ INGTON ,POWDERS ates Residence Valley Road,Craig`ville Village Schematic Design Renovations New Foundation and Terrace,February M 1995 ' h�160e�77e-0681 M�+9�� ' APPLICATION FOR PERMIT-TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE Inspector of Tres Winn Permit#. COM/Electric# p ItCLl�1 9. , Town of Massachusetts Bwlding Permit# „ ` Date Customer: �, 1 on-(Street#) Lot# injhe village of � 1flie utility pole number or underground numbe' Customer's billing address C�: - ''` Temporary .New installation C ange of service Sta ing Date " Job description a' �► �^ a �.. " G e* x> Q v� 9 tea"t._, .- ! - - . - Service entrance voltage Q 6 Amperage Phase r ( ) ~ Wire size s�-.,opal. Conductor per phase Number of meters Water heater Off peak:Yes- No Estimated load: Electric heat kw li hts kw, Range" ' dryer Motors, H.P. & Phase Ready for first inspection Ready for final inspection Electrical Contractor F I Lic.# elepJone# Address ' > ` '. Additional Remarks: Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE- Temporary Service Roughing in d .� , Service and Meter Off Peak Meter Final Approval Jj _ Disapproved* _ *For the following.reasons CERTIFICATE OF INSPECTION DATE �� 5 i To the COMMONWEALTH ELECTRIC COMPANY.The installation described above has been completed and has this.day"been inspected and approval granted for connection to your service. Inspector of Wir.s WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46-1, White—COM/Electric Green—Inspector . Canary-Town Receipt Pink—Inspector's Copy Goldenrod Electrical Contractor to COM/Electric_ " 4 f 11 VAPPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE Inspector ofAiiees Wiring Permit# � � ' COM/Electric.# Town of ?� "- � —Massachusetts Building Permit-# Date F. Customer: ` on (Street#) f Lot# '"°P° in the village of utility pole number or underground number - Customer's billing address Temporary New installation Change of ervice Star'ng Date Job description �r/t� Y � En t e> Service entrance voltage �4 d Amperage Phase Wire size Conductor per phase Number of meters —Water heater Off peak:Yes— No— ! Estimated load: Electric heat kw-IfgShts kw, Range dryer Motors, H.P. & Phase . Ready for first inspection + — Ready for final inspection Electrical Contractor P + _ Lic.# PAL Telep one# tz Address �� r r *. 'i r/ tT�: fz Additional Remarks: Do Not Write Below This Line .. ELECTRICAL WIRING INSPECTION CERTIFICATE G�. ,-rt. c --�- .: . INSPECTOR OF WIRES 'ilo' - -' I INSPECTIONS,'' DATE FEE CHARGE j Temporary Service j Roughing in Service and Meter e� .4j 'ry t �/ .a�.d Off Peak Meter t Final Approval L Disapproved' For the.following reasons` ,1A CERTIFICATE;" N$P.ECTION r . 1 P3;�V` / - DATE -St � f' To the COMMONWEALTH ELECTRIC COMPANY.The installation described above has been completed and has this day been inspected and #. approval granted for connection to.your service. Inspe�cto=r.off Wir s WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY,FOR INSPECTION Permit Good For One Year From Date-Of Issues CA as, - White—COM/Electric Green.-Inspector Canary - Town Receipt Pink Inspector s Copy. Goldenrod-Electrical Contractor to COM/Electric - f TOTqN OF BARNSTABLE WIRING PERMIT PARCEL ID 226 '068 GEOBASE ID 13572 ADDRESS 7 VALLEY AVE PHONE Centerville ZIP - LOT 159 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 9770 DESCRIPTION SERVICE CHANGE PERMIT TYPE BELEC TITLE WIRING PERMIT CONTRACTORS: CHILDS, LESTER F. ARCHITECTS: TOTAL FEES: $15.00 BOND $.00 CONSTRUCTION COSTS $200.00 753. MISC. NOT CODED ELSEWHERE OWNER PAGE, DENISE V ADDRESS 63 BON TEMPO ROAD NEWTON MA DATE ISSUED 08/16/1995 EXPIRATION DATE Department of Health, Safety and Environmental Services ' BABNSTABL& MASS.039. g E'D MA'S f BUILDING DIVISION BY GE MML.DOC REVISED 4/26/95 Office Use Only (�11C L11II1III11111UCc�lf�1 nc�.ri5c�Lh1I5£ 5 Permit No. L�i• cpartincut of IJublic �- afctu Occupancy A Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 5/92 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 a, (PLEASE PRINT IN IN OR TYPE ALL FORMATION) Date S ,d City or Town of C� ►�1A S'�e 7I 4 To the Ins or of Wire : The udersigned applies for a permit to perf rm the electrical work described below. Location (Street & Number) V Owner or Tenant Cw-4 H 4 Owner's Address P J C-"'6t I AV el. No, A A Is this permit in conjunction witt) a b ilding rmit: Yes No Lf (Check Appropriate Box) Purpose of Building 0 R C IWki a �Uti/lily Authorization No. Existing Service Amps ���601ts Overhead l� Undgrnd El No. of Meters z w New Service t�G U Amps ����,�v. Volts Overhead ❑ Undgrnd ❑ No. of Meters D, w Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work a 1 o e ww E•+ Ea d � A A No. of Lighting Outlets No. of Hot Tubs No. o1 Transformers Total VA No. of Lighting Fixtures Swimming Pool Above In- gmd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switches No. of Gas Burners FIRE ALARMS No.of Zones W W CtG U Total No.of Detection and 3 No. of Ranges No. of Air Coed. tons Initiating Devices Heat Total Total a No. of Disposals No.ot Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW OetectiordSounding Devices A No. of Dryers Heating Devices KW Local Municipal Other ❑ H ❑ Connection No. of No.of Low Voltage w No. of Water Heaters KW Signs Ballasts Wiring a y, No. Hydro Massage Tubs No. of Motors Total HP Security System E4 ~ OTHER: INSURANCE COVERAGE: Pursuant to the r� equirements of-Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES O NO O 1 y have submitted valid proof of same to the Office. YES ❑ NO O If you have checked YES, please indicate the type of coverage by checking the appr�r-ate box. INSURANCE Il BOND O OTHER 0 (Please Specify) (Expiration Date) M CHECK APPROPRIATE BOX: I have Worker's Compensation Insurance ❑ I have no Employees ❑ Estimated Value of Electrical czgc2 i7 Work to Start Inspection Date Requested: Rough � � Final Signed under the nalties of perjury: �y FIRM NAME 42 LIC. NO. Licensee Signature LIC. NO. 0 - x Bus. Tel. No. Address �� c • Alt. Tel. No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the insurance coverage of its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S Vic' I. J ► �� F ► l '/ r0IMF 00 �.1 00 �V ; �1 ... rl/ ., r 0!" � � . %if s 0 l� I O Z ♦ / _ /? 1 I4 loop t F.ilima . 1�a, rr 00 00 WAR !V, O!! !o110, .� rE 00 c ` cif ozz- 1 /``