HomeMy WebLinkAbout0280 BEARSE'S WAY w
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REGISTRATION AND CERTIFICATION FORM
FOR FORECLOSINGNORECLOSED PROPERTY
Thank you for registering in accordance with Town of Barnstable Code chapter 224
sections 224-3 and 224-4. Please complete one form for each property in foreclosure
(section 224-3) or already foreclosed for which possession has been taken(section 224-
4). Please file the original with the Building Commissioner and a copy with the Chief of
the Fire District in which the property is located.
If you claim you are exempt from registering under Massachusetts law,please e the
reason(s) and complete section 1 (property information) and the first paragrap f - _
section 2 (foreclosing party, court, etc. and foreclosing party representative,b t others ,
representatives and attorney) so that the Town can review the exemption and to its N a
records:
Section 1 —Property Information
Property Address:
Assessors Map#: 3 iD Parcel#:
Land area and description
Building(s)description and contents
Occupied: 7, Occupant(s)(if borrowers so state and include name(s))
Phone: email: other:
Vacant: Date: Anticipated Length of Vacancy:
Last occupant(s) )(if borrowers so state and include name(s))
Phone: email: other:
Has possession been taken If so,please explain and complete and file the
maintenance and security plan form(unless exempt as stated above)
Section 2—Foreclosing Party Information
Foreclosing Party(full name/title)
Foreclosure Case Court: Docket#
Date filed: Current Status:
Foreclosing Party's representative(s) for property(entry,management,repair,
etc.)(name,title,):
Company (if different from foreclosing party):
Address: .31--1:> cat ,j Q a� `i3lv�. G ��- grtYo
Phone: t-'{—la email: j(2 Joe- r:
If an exemption is claimed,please do not complete the remainder.
Other representative(s) (if foregoing representative is primarily responsible for
property and/or foreclosure and is most likely to be able to address town matters
concerning the property and/or foreclosure,please so state and do not complete
contact information(i. e. "none" or"see above")).
Name,title, other:
Company(if different from foreclosing party):
Address:
Phone(s): email(s): other:
Name, title, other:
Company(if different from foreclosing party):
Address:
Phone: email: other:
Attorney representing foreclosing party
Firm name(if different from attorney's name):
Address:
Phone(s): email(s): other:
I acknowledge that the information provided is accurate and correct. I also understand
that any inaccurate information will result in non-compliance with section 224-3 of
chapter 22 de of the Town of Barnstable.
e Date:7-7
/zG�za�9
e:
Title:
I hereby certify that the above-named foreclosing party is in compliance with the
provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable.
Date:
Building Commissioner, Town of Barnstable
�y Town of Barnstable Building
{� � st�Th�s„Card So That itis Uisib el <FromthetS reet`�-A rovetl�Plans<Must:be Retained o�n Job and his Card�Must�'a Ke t
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R ,Wh'er �a�Cert�cate�of Occu anc „��s�Re aired such Buildm `shall Not;:be Occa`ied:untiha Final Ins ect�on ha' been�made � ` ejl.
Permit No. B-18-590 Applicant Name: Carolynne Carrington Approvals
Date Issued: 08/30/2018 Current Use: Structure
Permit Type: Building-Deck Expiration Date: 02/28/2019 Foundation:
Location: 280 BEARSE'S WAY, HYANNIS Map/Lot 310-417 Zoning District: RB Sheathing:
Owner on Record: CARRINGTON,CAROLYNNE L Contractor Name , Framing: 1
a� , i
Address: 280 BEARSE'S WAY x i Contractor�License 2
� -
° - Es 1ro P ect Cost: $650.00
HYANNIS, Massachusetts 02601 ,., Chimney:
Description: reconstructing the old deck replacing for 8'/146%,`across 8'/10'which tPerm�t Fee: $ 110.00
Insulation:
is a L shape Fee Paid $ 110.00
NOTE:size changed, refer to survey Date 8/30/2018
E Final:
Project Review Req: re-sized,see survey Plumbing/Gas
Rough Plumbing:
Building Official
Final Plumbing:
Rough Gas:
Final Gas:
This permit shall be deemed abandoned and invalid unless the work authorized byt his permit is commenced within six months after issuance.
All work authorized by this permit shall conform to the approved appl cation�and the approved construction documeh&4cir whi6h1this permit has been granted. Electrical
All construction,alterations and changes of use of any building and structures shall be 1n cornphance withthe local zoning by laws and codes.
This permit shall be displayed in a location clearly visible from access street or roadand shall lie rnamtamed open for public inspection for the entire duration of the Service:
work until the completion of the same.
w Rough:
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided gn this permit.
Minimum of Five Call Inspections Required for All Construction Work: Final:
1.Foundation or Footing
2.Sheathing Inspection Low Voltage Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Health
6.Insulation
7.Final Inspection before Occupancy Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons ith unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
�-fee. ��
PROP.
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SEPTIC SYSTEM RDTTR)
FROM INFORMATION PROVIDED
BY OWNER. BUILOFR TO COI MAd
t`.P'.R'T I.F.IED. .I'.1.',0 T PLAN
MBLU 210-41.7
1 CERTIFY THAT 7}iF. IMPROVEMENTS SHM 280 BEARSE'S WAY
°F Wass. BARNSTABLE, MA
HAVE BEEN LOCATrU BY A FIELD SURVEY. oa.t�a+: utrs
^ rIOHH r'� D/,TI': 141AY 8, 2018 �(3 /: ';4(i%
UYfG. CAR
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r AiiS7'AQTJND
/ / �� �h`�� � T,A:ND SI%RYF:YINC, wc.
firJ\<ISTG,�tip' P,O. BOX 442
`� f ORESTDALC, MA 02644
ROB13 SYKES, PALS, DA TE 508—477—4511
Barnstable Bldg. Dept.
Approved by: Rl
G
Permit
Town of Barnstable E�PT
" 200 Main Street, Hyannis MA 02601 508-862-4038
Application for Building Permit
Application No: TB-18-590 Date Recieved: 2/26/2018
Job Location: 280 BEARSE'S WAY,HYANNIS
Permit For: Building-Deck
Contractor's Name: State Lic. No:
Address: Applicant Phone: (508)292-5535
(Home)Owner's Name: CARRINGTON,CAROLYNNE L Phone: (508)292-5535
(Home)Owner's Address: 280 BEARSE'S WAY, HYANNIS,Massachusetts 02601
Work Description: reconstructing the old deck replacing for 8'/16' across 8'/10'which is a L shape
�h WZe
Total Value Of Work To Be Performed: $650.00 S
l� S�
Structure Size: 0.00 0.00 0.00
sy
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
1 understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Carolynne Carrington 2/26/2018 (508)292-5535
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $650.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $110.00 2/26/2018_ $60.00 -XXXX-XXXX-' Credit Card
6789
Total Permit Fee Paid: $110.00 2/26/2018 $50 00 XXXX-XXXX XXXX- Credit card
6789
10 �IIS IS�NU A P RlYII'T `� k
Lauzon, Jeffrey
From: Lauzon,Jeffrey
Sent: Friday, May 04, 2018 9:34 AM
To: 'caddy280@comcast.net'
Cc: Lauzon,Jeffrey
Subject: ViewPermit, Permit No:TB-18-590
Applicant,
Please be advised that the above application has been denied by Board of Health and the plot plan submitted on 5/1/18
does not show compliance with required setbacks and is;therefore, denied by the Building Department. Relief is
required by the Zoning Board of Appeals. If,aggrieved by this decision,you may appeal this decision to the State Building
Board of Appeals within 45 days. Pleas do not hesitate to contact this office with ant questions.Thank you.
Jeffrey Lauzon
Chief Local Inspector
(508) 862-4034
Jeffrey.lauzon(cbtown.barnstable.ma.us
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Assessor's map and lot number � rr.
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Sewage Permit number ................ . .......... ........ .................
y**7HETp�y TOWN OF BAR.NSTABLE
t BAEHSTAME, i
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101
BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO /' " ....: ......................................................
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TYPE OF CONSTRUCTION ......' ...
o CJ .............. ................!�.......19 ...0-4
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
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Location �`' `.........!:f:?....�......... ...................................
......................... �.. f"............. ...........................
ProposedUse .? f. ..................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Owner ..............................i n x` .Addresss f' /...................... "... :.`....
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Name of Builder ......... ..-.. ,r�, ..!..`cs f,!. ?.`e...?`.Address .................... ... ..............................
Nameof Architect ..................................................................Address ....................................................................................
6
Number of Rooms ��-. .. ..�.•..... ! +� .. f............
.........................................:........................Foundation ..............:..................:.........-.........................:.........
Exterior ..........................:.. ........ Roofing ............:. - .................
Floors .Interior ..:.................................................................................
Heating................................ `.!........�................ . /./.............Plumbing ....................'..... .:....................................................
Fireplace ...................................!.............................................Approximate Cost ..................... '..... ,-f .:...:'..:............
Definitive Plan Approved by Planning Board --------------------------------19--------. Area
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
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Namer!r ....................- . ................................
Cedar Acres Realty Trust A=310-417 ,
No ......?Q737 Permit for -......one story..........
.........single, fam*ly dwelling....................... -
Location 280 Bearss..Wa
.................
...........................
' Hyannis
Owner .... .Cedar Acres.
Truss,,,,,,
. ............. ..
' Type of Construction f �p.a -
.......................................... ....................................
Plot ....................... ... Lot ...... ............
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Permit Grante 7 October 23 19 8
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Date of Inspection ....................................19
Date Completed ..... ....................19
PERMIT REFUSED
........................................... ............... 19
............%. . .. . .... ........ ...........
................. .F{F{ ...... .Y,.. ... .............. ....
Approved ................................................ 19
...............................................................................
.................... ....................................................... r
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„•'` = . TOWN OF BARNSTABLE Permit No. _____-20737
1 swn�t Building Inspector Cash ___--
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OO�DYPY Y'� __,_X �/��fg
OCCUPANCY PERMIT Bond
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the .Building Inspector."
Issued to Cedar Acres Realty Trust Address South Yarmouth, MA
In t. PPn Rear-aas G-'au, R�..,annS s
Wiring Inspector v�/ ,� Inspection date
Plumbing Inspector ( L`! 1 Inspection date
-;v
Gras Inspector �: Inspection date
Engineering Department ,A �`- ,rt-!-tf`t Inspection date
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. n c
.....................��. ......_, .........................:�Building..Inspector __.....�.._....�..._
I'MEP sy CEKTuy THAT THIS FOClN MT:Oq
!:; i iN." E✓ vi+j THE COT AS SJ:tnWhf 9Nf
CO Ir C7 MS TO THE. TO�i'rJ Of 111
Qf�2. J✓.S7fgQ(.6' i r
ZOV;,NC:REGULATlortS REGARD':NG SETI�Adj(8
iROU STREET UNES AND LOT.LINES.. .F.'
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Assessor's map and lot numbe%r .. ..�. ..�.. f.. INS�,�L SYSIE,1rj
a<< �c _ i✓ M/1rN CEO I N COP�Osr BE
SgN/TARTIOLE 111OA
Sewage Permit number .............. REGU L,OD lI ATE NC
"�I- � ARY ST,, E
i........................ E
N C �A770NN AND TOwN
�QyO*THE.T��o TOWN '
L O W O F `.')B A_1 \ S T Aft E
Z BARNSTABLE,
NAM. D IL I-N-4,; IN-SPECTOR
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APPLICATION FOR PERMIT TO ............... .. .... . ... ..... ......................
........
...................................................
TYPE OF CONSTRUCTION .....yr ... ... ...., .......
�a .den e As
............ .......... ........19. .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according, to the following information:
Location .... ... ........ ...4.w....... .. ..............................................
ProposedUse ......... «d:!f ................................................................................................
Zoning District ...........................Fire District ..........................
............................................. .....................................................
Name of Owner C/ ./ � �.tl� Addr ........
Name of Builder ......••
Name of Architect ...............j. ,,...-.--..................................Address ..............
.....................................................
Number of Rooms ............. .. ..... ........................Foundation ..... .. .. .. . ....:.. �.�/
oofin ....... /
Exterior ...... ��f,R�� �.�fY......��' .. . .. g �. ... .. .. ... ....... ......... .... ���
o�l
Floors .......... . .... ..... ............................Interior ...............f `' . . ... ... . ..............
-.Heating:.-: F-s 8 ���. . .. ••....... ........Plumbing ............... / ' ..........
. . ... :.
Fireplace ................. ....� ......................................Approximate Cost ..................
................
Definitive Plan Approved by Planning Board ________________________________19--------. Area ............ .C?...............
Diagram of Lot and Building with Dimensions Fee ............ ..... . S' "
.......................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
36
hereby agree to conform to all the Rules and Regulations of th4Towarnstable regarding the above
construction.
Name . � �G:'�
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Cedar Acres Realty Trust
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PERMIT REFUSED
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CAPE COD
INSULATION
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MIX GLASS S....Q.. SpRAVF"M 7Y3p1 '
MiTf bull[¢ IN¢OV TOM QItM0 t�
1-800-696-6611
Town of C�f-Nrtj��- �. _r
Regulatory Services
Building Division -- '
Address -
Address 2 -
Date:
Dear Building Inspector
Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed &
completed the insulation and weatherization work at the property listed below. Cape Cod
Insulation did this in accordance to the specifications listed on the building permit
application. All work has been inspected by a certified Building Performance Institute
(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements.
Property Owner :.,..�� Property Address Village
insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted
Ceilings
Slopes ( } ( + ) ( ) ( ) ( )
Floors ( } ( ) ( ) ( } C )
Walls ( ) ( ) ( ) ( ) )
o weT
Sincerely
He Cas idy Jr, President
CapeCod C
p Insulation, Inc. -
�09S� y0��
�MEM Town of Barnstable .*Permit#
Expires 6 months from issue date
Regulatory Services Fee . —
t &UMSrABL&
v Mass'16g9. Richard V.Scali,Director
♦0
•erFG AM't p
Building Division
Tom Perry,CBO,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address D8b il�---S s S �3c5;_7 y
(residential Value of Work$ Move Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address CO-r-b (\/t,� •� �v-r i �. i.�
Contractor's Name L,6�+y- \Ao j,e_ J 6Wfq�' en k- Telephone Number �r
Home Improvement Contractor License#(if applicable) 1 2- Email: w �•�t9 J. 2P ,eM�w0Y,6400
Construction Supervisor's License#(if applicable) b's7NO16 �O
❑Workman's Compensation Insurance v#WPRESS PER
Check one:
❑ I am a sole proprietor JUL 0 2 2015
❑ I am the Homeowner �®
I have Worker's Compensation Insurance
� p 11 N OF ggR�STABL
Insurance Company Name C(14 C�t E
Workman's Comp. Policy# ao noo
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken toTso-u rrh'e
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
q 'red.
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
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H-mr up to$L,50a GD andlor xmt as well ar civa Ptmalfim in ffie fr=of a STGF WDFX t1$DrER-and a fini-t
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General L-ws chapf=152 tuq==an rmrployeag to proTilz wotk='w on R3r ffi==nployers
PmsIIani�fa Otis sS� an emp&T=is dcEhm&as'=_ZMy pion is fne see of 415ffi=rmdes ECMY Mammas qfahm,
ex
or fimplitd,
An mp&pm�is dcfi3.ed as 4aa indM±n ,pa t=bm-,mmcm icon,Dorpmatm or o er IMC., eafiiy,or any two or mare
offf D foregoing Mgaged in a3oiat and ffi legal reprcsmtdm=of a decca=d employeq-or the
rem or t use of sn nxEndnal,patammhip,assomatm or other legal e sty,employing eMPIoyem However fie
ownar of a d-wed£mghanse hWMgnottn r,ffiM three apmfmMCs and who resides Mein,or Ihe occ7ant of the
dweaing hawse of aver-who.employs persons to do nuEtmmEr,constivadm or repair work on such dwediag house
or on the gmml&or building appmt=umt thereto shall not b===of sorh eaaploymmt be dead to be•an employer."
MIL cbapte<r I52, §25C(t7 also sW=the¢every state or Iocal fce=ing a grxtcy shah witfihold ffie issuance or
renewal of a Prewar-or permit to opermte-a bnsiness or to cousiract bmIdmgs in the commonwealth for any
applicant who has nat produced acceptable evidence of coup)==with fhe it sm-atncec enverage req�ecL'
A ddiiti a I y,MM chapter I52,§25.C(7)sfaims=Neiffier the commonwealth nor any of its political subdr si erns shall
ear into atiy for the penance of public workuntil acceptable evidence of caapIiance with the Mcr�nce
r,-,q==mts of this chapter have been pres=tmd to the D=tmctmg anfhcnity.'
Applicant
Please f7I out �eas w 'o easati on affidavit completely,by chug the boxes that apply to Your siinziien and,if
net scary, supply s<rb-contradnr(s)name(s).addresses)and phone ntz tab s)along with they ce�Lincalt�,(s),of
n,.¢urance. Lin Aod Liab y C,ompam�s(LLC)or LimitedLiab y Partnerships(I I P)wi$no esQp]oyes-s other the
members or partners,are notn quired tD catty wor3cets'compensation mmzrmcl— If as LLC or LLP does have
employes;a policy is required. Be advised that this afndavitm ay be submitted to the Department of Industiial
Accidents fur eonf cmaiion ofm nee boverage Also be mare to sign and date fhe affidavit The affidavit should
be reitnned to the city or tovtn that fhg application for the permit or licrMse is being requestt�not the Depadm cant of
Industrial Accidents. Shonld you have any gnesft=re t�c Ian or if you are mired to obr-;,,a *arltiers
compensation policy,please call the Department at the nmaber Tasted below. Self-insmtd companies should e.atex their
self-make license ntanbcr on the appropriate Ime.
City or Town Officials
Please be sae t the a$davit Ss complete:andd Ieg�Iy Tie Depattlnenfhas provided a space atffie botO -
o fthe affidavit for you.to fill out in the event the Office of7nvesfigafi=has to contact you rsgasding do e applicant
Please be mice in tnm the perm 't!g==mmbex which h will be used as a-reform=unbar. In ad��on,an applicant _
�
that must sobni mnl4le peo�cense applizxf ons m my give a year,need only submit one affidavit indicating cu mmt '
policy infomafion(ifnecrosary)and under'Job Site Address-the applicant should writ!.'all locations in (city or
town).-A copy of the affidavit that has been officially stamped or marked by$e city or town may be provide&to Ih5
applicant as proof that a valid affidavit is on file fur fat re pmmits or licenses: A new affidavit must be filled out each
year Where a home owner or cJ�zeu is obtaining a license or permit not relaixd tD'any busiiness or commercial Ye niia e
is NOT in Iete this affidaiZt
(i e,a dog license or permit TD bum leaves eix.)said person N re�.%i comp .
The Office of Invesdgahons would like to thank you in advance foryour cooperation and shovldyou have any.qursb-ons,
please do not hesitate to give rim a call_ -The Depad=n=f s address,telephone anal fagnumbex:
lth of Mass h s
. n�.t;ofInd�a�Ats r_ •.
Te3-.9 617-' 7-4 Q�±4j�G Or I 477 hL4,
RoTlasd 4-24--07 -
l
`IKE
r
r SARNbTABI.E, ;
V, MASS. ,�� Town of Barnstable
ArEp�a
Regulatory 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: 508-790-6230
Property Owner Must
Complete and Sign This Section,
If Using A Builder
I 4�9 , as Owner of the subject property
hereby authorize �� LO�� to act on my behalf,
in all matters relative to work authorized by this building permit application for:
266 `?e4—ses &,)C y
(Address of Job)
1` ,
signa of er Date
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 040215
Town of Barnstable
Regulatory Services
Richard V.Scali,Director
0
Building Division .
3AMSPABr.E. " Tom Perry,Building Commissioner
MAM
z 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone# .
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as superviso
ITI r.
DEFINON OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official;that he/she shall be responsible for all such work performed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply with said procedures and requirements.
Signature of Homeowner
Approval of Building Official .
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often
results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 040215
(540 unread)-lohrhomeimprovement-Yahoo Mail 6/30/15,2:44 PM
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Sd 13 00 J2 ® O
Certificate.pdf Download 1 of 1
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORD
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. H SUBROGATION
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does 1
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Erica H O'Connor
HART INSURANCE AGENCY,INC. NAME`
243 MAIN STREET IJV
PHONE 508 759 7326 x205
PO BOX 700 E-MAIL
ADDRESS: _
BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE
INSURERA: PENN-AMERICA INS CO
INSURED Scott Lohr dba Lohr Home Improvement INSURER B: ACADIA INSURANCE COMPANY
23 Grand Oak Rd --
Forestdale,MA 02644 INSURER C:
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUM
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE F(
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJE(
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE POLICY NUMBER M/DD/YYY MWOD
A GENERAL LIABILITY PAV0059201 05/15/2015 05/15/2016 EACH OCCURRENC
DAMAGE TO RENTE
COMMERCIAL GENERAL LIABILITY !PREMISES Ea occu
CLAIMS-MADE ®OCCUR MED EXP(Any one
PERSONAL&ADV II
GENERAL AGGREG
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP
POLICY F PRO LOC
AUTOMOBILE LIABILITY COMBINED SINGLE
'Ea accident
ANY AUTO 30DILY INJURY(Pei
ALL OWNED SCHEDULED BODILY INJURY(Pei
AUTOS AUTOS
HIRED AUTOS NON-OWNED PROPERTY DAMAG
AUTOS Per accident
UMBRELLA LIAB OCCUR EACH OCCURRENC
EXCESS LIAR CLAIMS-MADE AGGREGATE
DED I I RETENTION
B WORKERS COMPENSATION WC202000555900 03/26/2015 03/26/2016 V WC STATU-
AND EMPLOYERS'LIABILITY Y/N LIMITS
ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDEN
OFFICERIMEMBER EXCLUC MN
(Mandatory in NH) E.L.DISEASE-EA E
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLI
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required)
CERTIFICATE HOLDER CANCELLATION
Fax#:(508)240-5918
https://us-mg4.mail.yahoo.com/neo/launch?.rand=aokcrjtghju9p#8171614148 Page 1 of 1
Massachusetts -Department of Publijda
Board of Building Regulations and Standard's
.
��.•frri5triiitifrrr rSii�ri:TViSiYf
License: CS40961
SCOW A LOHR ` ^
23 GRAND OAKRU
Forestdale MA OU44
Expiration
06/Og/2017
Commissioner
Officee f Co.sum r�a B 11nesg Regulation' License or registration vali
HOME IMPROVEMENT CONTRACTOR.. before the d for'indrv�dul use only
Registration s 172172 Xpirat�on date If fdund return
e
to.
Expiration 6/31/2016 Type' i1$fic�e of;CaYnsumer Affairs and,Busin'es's`Regulation
.` DBA 10 Parh Pla4a'-Suite 5110'.
LO HOME IMPROVEMENT ! Boston,MA 02116
SCOTT LOHR f
23 GRAND OAK RV
FOREST DALE MA02644 _ _C��;e
— U .
Undersecretary lYo±vi. id without�igriature
' ` .
Message Page 1 of 1
Franey, Patrick
From: Perry,Tom
Sent: Monday, June 08, 2015 11:24 AM
To: Franey, Patrick
Subject: FW: Unpaid Real Estate Taxes
FYI
-----Original Message-----
From: Niemi, Maureen
Sent: Monday, June 08, 2015 10:33 AM
To: Perry, Tom
Cc: Niemi, Maureen; Weil, Ruth; Blanchette, Debra; Callahan, JoAnna
Subject: Unpaid Real Estate Taxes
Good morning, Tom,
There appears to be an issue with denying a building permit for a new roof for Parcel 310-417, 280 Bearse's Way,
Hyannis, under the name of Carolynne L. Carrington. There have been no real estate taxes paid on this property
since FY2008.
Attorney Weil informed me Friday, June 5, 2015, that the Town Ordinance if challenged would fail;therefore,
recommends the building permit be issued. Attorney Weil advised that this ordinance needs to be looked at and
updated.
This is an extremely frustrating position to be put in as the Town Collector. Making an exception for one and not
for all is not the way I have chosen to perform my duties. I have many taxpayers struggling to pay taxes and to
make an exception for those that have not even made an attempt to pay makes it more frustrating.
I hope this ordinance will be carefully looked at and be able to meet the challenges that could be brought forth as
this is a "tool"that has been most helpful regarding the issuance of licenses or permits.
Please do not hesitate to contact me if you have any questions.
Very truly yours,
Maureen
Maureen E. Niemi
Town Collector
Town of Barnstable
P.O. Box 40
Hyannis, MA 02601
Email: maureen.niemi(cDtown.barnstable.ma.us
Tel: 508-862-4055
Fax: 508-790-6310
7/2/2015
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel nr STA 8 LF Application
Health Division ' . Date Issued -�17
Conservation Division Application Fee
Planning Dept. .r= � ,� Permit Fee ` •�
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis .
Project Street Address a?,fV
Village 9, X_lf
Owner `'�/�%,l�,lp� C'�'yP e2. 41811 Address _/¢Joo
Telephone �F G,;? 97
Permit Request
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation ZD a, Construction Type f o!Ll pl /
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ;1�-, Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes /8-No On Old King's Highway: ❑Yes 4No
Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ 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
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name �� C®� , � fy� ,���/ Telephone Number 776_�/2 /�--
Address / ,�?� ��� "� License #— le :::::, 9
Home Improvement Contractor# /,S 3s'G 7
Email Worker's Compensation
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
li
SIGNATURE DATE
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
t
DATE OF INSPECTION:
FOUNDATION
FRAME
w INSULATION
FIREPLACE
}
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
_s
r
DATE CLOSED OUT
ASSOCIATION PLAN NO.
IiOME OWNER WEATHERIZATION WORK PERMIT:
PLEASE COMPLETE AND SIGN THIS FORM AS
THE APPLICANT HOMEOWNER.
l✓ L"� 'f ` � �j` 4jhereby consent to and agree that weatherization work
may be done by the Weatherization Program of Housing Assistance Corporation on the property
located at:
. '(,,.! '�'d`�C...-� � VS,.s L¢ � !_ f! ��`9'/� :IfT•F!'.3 1r e J �D`.
The weatherization.work done will be based on programmatic priorities and availability of
funding and it may include all or some of the following measures:
Weather stripping; air sealing; attic & basement insulation; exterior wall insulation; ventilation
measures In consideration of the weatherization work to be done at my home I agree to the
following:
.1. 1 give permission to Housing Assistance Corporation the property with such equipment
and materials as may be necessary to perform weatherization.
2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for
the weatherized unit on an ongoing basis for no more than five (5) years after the
weatherization work is.completed.
I h e the pr uisions of this agreement and give my consent.
zf i A
to e Owner's�9naatu;'e
Home Owner emai . Date:
Agent:(Signature) !` Date:
Weatherization Contractors*
Adam,T Inc Cape Save .
All Cape Energy Frontier Energy Solutions
Alternative Weatherization ' Lohr Home Improvement
BuildingScience..C.on. truction Resolution Energy
ape Cod Insulation Tupper Construction
fee
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plurnbei-,s
Applicant Information Please Print
Name usiness/
(B Organization/Individual):
Address: AV 616UL Civo,
City/State/Zi ;��v ` AV �( � , Phone #:
Are you an employer? Che�k he appropriate box:
l. ( I am a employer with � 4. ❑ I am a general contractor and I Type of project (required):
/ employees (full and/or part-time).* have hired the sub-contractors . 6. ❑ New construction
2.El am a sole proprietor or partner- listed on the attached sheet. 7. [� Remodeling
ship and have no employees These sub-contractors have g• Q Demolition
working for me in any capacity, employees and have workers'
[No workers' comp, ins
insurance comp. insurance.: 9. ❑ Building addition required:] 5. [� We are a corporation and its 10.0 Electrical repairs or addir:or,,s
3.❑ I am a homeowner doing all work officers have exercised their l 1.❑ Plumbing repairs or additior;�
myself. [No workers' comp. right of exemption per MGL
insurance required.] t c. 152, §1(4), and we have no 12• Roof repairs
3a.El am a Homeowner acting as a employees. [No workers' 13. Other
general contractor.,(refer to#4) �--�-------�------_
comp. insurance required
'Any appl.icant that checks box#1 must also HE out the section below showing their workers'compcnsation`policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contracto
:Contractors that check this boX must attached an additional sheet showing the name of the sub-co rs must submit a new affidavit indicating such.
ntractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workm'comp.policy olic number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job,sil'e
information r
Insurance Company Name: "a lk Ova4 w
.Policy#or Self-ins. Lic.#: bi� xp E iration Date:
Job Site Addressr /3�,q •j�� l /7 y/� Ci /State/Zi
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties or R
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER arid ,;
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 cerd un the pains and penalties o P p f perjury that the information provided about is true and correct.
Si a
Date:
Phon #:
Official use only. Do not write in this area, to be completed by city or town ofciaL M
City or Town:
PertnitlLiceuse #
Issuing Authority (circle one): -- - -
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Flectrfcal Inspector 5. I
6. Other Plumbing nspector 'I
Contact Person: Phone #:
Office of Consumer Affairs and Business Regulation
,.` 10 Park Plaza - Suite 5170
i-5 Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 153567
Type: Private Corporation
Expiration: 12/15/2016 Tr# 259188
CAPE COD INSULATION, INC
HENRY CASSIDY -
18 R EA R D 0 N CIRCLE ------------ -- - --- ... . _.
SO. YARMOUTH, MA 02664 -----.--.--------._.__ . _ . _
`Update Address and return card, i\Rarl(reason for chm,ge.
n AddressI 1 Renewal I.,ost C:u d'
SCA 1 20M-05/11 aF
(�//ie�oo�za��cvncuerr�C�o/'C�/�la�:;rcc�cr�eCl� -
-\ Office of Consumer Affairs& Business Regulation License or registration valid for individul use only
1rl HOME IMPROVEMENT CONTRACTOR before the expiration (late. If found return to:
egistration: 153567 Type: Office of Consumer Affairs and Business Regulation
/ 10 Parl(Plaza -Suite 5170
C� Expiration: 12115/2016 Private Corporation
Boston,MA 02116
CAPE COD INSULATION, INC
HENRY CASSIDY
18 REARDON CIRCLE g yea P�
SO.YARMOUTH, MA 0266"4 -- -
Undersecretary INvalid(I NY wi ut sign ' e _ •
Masssrchuselts • Uepartment.of �'ublic Safes
i • - -
8oard of 8ulldii)g Regulations and Standards
' • Cnitstructinn Snperri.etir
License; cS-100988.,'
j.
HENRY U, CASSII��
8 SHED Row
WEST Y ARM 0U'rfTIR
0. p
Expiration
$" Commissioner 11/11/2015
From:Rogers&Gray InsuraFax: To: +15087785736 Fax: +'16087785735 Page 2 of 2 03/3012015 10:04 AM
✓��� CAPECOD-27 BDELAWRENCE
CERTIFICATE OF LIABILITY INSURANCE DATE(Mt11DD/Yv-r;-
3/30/2015 j
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),AUTHORIZE()
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, I
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed, If SUBROGATION IS WAIVED, subject to i
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 Ileu of such endorsement(s),
PRODUCER CON C
NAME:
Rogers&Gray Insurance Agency,Inc., PHONE
434 Rte 134 fA/ No Ext: arc No: (877)816 2156
South Dennis, MA 02660 E-MAIL — ---
ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC a
INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL
INSURED - —--- I
INSURER B:SAFETY INSURANCE COMPANY 39454
Cape Cod Insulation, Inc, INSURER C:Endurance American Specialty Ins. Co.
18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP _
South Yarmouth, MIA 02664 INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: J
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS. I
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE INSO WVn POLICY NUMBER M /D0/YYYY MM/DDIYYYY LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000,
CLAIMS-MADE M OCCUR CBP8263063 04/01/2015 04101/2016 PREMISES(Ea occun once) $ 100,0001
MED EXP(Any one person) $ 5,000�
PERSONAL&ADV INJURY $ 1,000,000,
GEN'L AGGREGATE LIMIT APPLIES PER: ---
X POLICY PRO' GENERAL AGGREGATE $ 2,000,000,
JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000,
OTHER:
AUTOMOBILE LIABILITY CO2eBIN1E0SINGLELIMIT
E $ 1,000,00G;
B
ANY AUTO TBD- ` 04/01/2015 04/01/2016 BODILY INJURY(per person)
ALL OVAVED 1xx
SCHEDULEDAUTOS AUTOS BODILY INJURY(Per acr-i(lenl)NON-OWNEDOPERTY DAME
HIRED AUTOSAUTOS PR AG $
Per a ci lent -_--_
X UMBRELLA LABX OCCUR $
EACH OCCURRENCE $ 21000,000�
C. ERCESSLIAB CLAIMS-MADE EXCl0006635000 04/01/2015 04/01/2016 AGGREGATE
DED I X I RETENTION$ 10,000 Aggregate $ 2,000 00(}'
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY TATUTE ER
ID ANY
/N S ANY PROPRIETOR/PARTNER/EXECUTIVE WCE00431900 06/30/2014 06/30/2015 E.L.EACH ACCIDENT $ 1,000,00t?
OFFICEtory In H)EXCLUDE F N 1 A _
(Mandatory in and E.L.DISEASE-EA EMPLOYEE $ 1,000,00d
II yes,describe antler � I
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00(q
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required)
Workers Compensation includes Officers or Proprietors.
Additional Insured status is provided under tKg'General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder.
- I
I .
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BECANCELLED BEFORE
Cape Cod Insulation, Inc. THE EXPIRATION DATE THEREOF, NOTICE•VVILL .BE DELIVERED IN
18 Reardon Circle ACCORDANCE WTH THE POLICY PROVISIONS,
South Yarmouth, MA 02664
AUTHORIZED REPRESENTATIVE
7
O 1988-2014 ACORD CORPORATION, All rights reserved,
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD