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Home My WebLink About0024 FAWCETT LANE ay r-7aj�Ce4 L.CA-"� 1I - 06 i f I.1 r'� YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: dQ Fill in please:g / tMQ Y1 ✓ O Y) i G� �. 'y114;Y,c ��.,;�y$u4;1 Y` �'":,.�,�� APPLICANT'S YOUR NAME S: ( � :.r.. rr, u" ;c0BUSINESS YOUR HOME ADDRESS: 2 n rl �� (1 4- TELEPHONE # `` Home Telephone Number or E I N 10 .. NAME OF CORPORATION: a NAME OF-NEW BUSINESS TYPE OF BUSINESS C_o-..Q IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS. 6.c.J n i /Ld A MAP/PARCEL NUMBER � I � �ssessing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. C,(j ` Q 1. BUILDING COM SID ER'S OFFICE L� �L This individu ha' e inf'e'rme y er it require ents that pertain to this type of business. rl ;� (� 0- �__ Aut ized Signa ur COMMENTS: - 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized.Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: f Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 5/14/15 Town of Barnstable Thomas Perry CBO —z Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permit#201501879 � 03 TO: Building Inspector(s), This affidavit is to certify that all work completed for 24 Fawcett Lane,Hyannis 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 McCloskey • '� `TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION W.,5OMap � � Parcel ApplicationHealth Division Date Issued Conservation Division Application F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address a4 F`a vi C e i� Lail e Village 1+ nir � Owner ftmOLA40L r sArt11q; Address ,H 1'r�rJ(8 Lo Telephone Permit Request aA R -3$ 011 A lud - J 441r 1 I 1nC �► �M, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 3Q 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No 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 `i 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 J (No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION -- - (BUILDER OR HOMEOWNER) Name 1 C h1C.At. St. c., Telephone Number SOB q 039 Address �-D t4fi 'l1 ` n &fi License # S-014±k fAlm Of% �a b� Home Improvement Contractor# 13'13� Email Worker's Compensation # ul w c_� ► 3 60a�`1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �AW Ow h SIGNATURE DATE 5 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: f FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 3 DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 p Boston,MA 02114-201.7 ww» massgov/dia «'orkers'Compensation.Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE VERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Cape Save Inc Address:7-D Huntington Avenue City/State/Zip:South Yarmouth,MA 02664 Phone#:508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): I.E I am a employer with.20 employees(full and/or part-tune):* 7 New construction 2.❑I am a sole proprietor or partnership and have no employees working forme in any capacity.[No workers'comp.insurance required.] 9 l Remodeling . Demolition 3T�I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10[ "Building addition 4.M I am a homeowner andwill be hiring contractors to conduct all work an my property: I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. ROOF repairs These sub-contractors have employees and have workers'comp.ins urance;= [✓ 6.❑We are a corporation and its officers have exercised ther 14. Other Insulation -right of exemption perMGL c: 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new-affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities.have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for myemployees. Below is the policy and job site information. Insurance Company Name;Wesco Insurance Company Policy#or Self-ins.Lic.#:WW03136274 Expiration Date:04/09/2016 Job Site Address: F[ 1,l r Lin f? City/State/Zip: / q,t\_ i1 Imo_ Attach a copy of the workers'compensation policy declaration page(showing the:policy number And expiration date). Failure to secure eoverage as required:under MGL c: 152,§25A is a criminal violation punishable by 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations:of.the DIA for insurance coverage verification. I do hereby certify under th pains and penalties of perjury that the information provided'above is true and correct Signature: Date: Phone#:508-3.98-0398 Official use only. Do not write in this area,to.be completed by city or town official City or Town; PermitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#:. CERTIFICAT8 OF LI 4►BlLITY I1V DATE(MMIDDrr" SURD NCE 3/24/2015 THIS CERTIFICATE IS ISSUED AS,A MATTER OF INFORMATION ONLY AND.CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES: NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER INE COVERAGE AFFORDED BY`THE'.POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES`NOT CONSTI' UTE-A CONTRACT BETWEEN THE ISSUING INSURER(S),°AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder Is are ADp nONAL INSURED,the Iollcy(les)rmrst be er100r5Oct. If SUBROGA7ION I5 WAIVED, subject to the:terms and conditions of the policy,certain policies may require ad;endnrsement, Astatement on thi certificate does not confer rights to the certiticate:holder in lieu of such endorsements. PRODUCER. NAME: Colleen Crowley Risk Strategies Company `... PHONE (781)986.-4400 Fnx g.RIM, 1C o: M)94 4420 15 Paeella Park Drive AD .Crrowley@risk-strategies.Com Suite 240 INSURE S AFFORDING CDVERAGE. NAIC R3>1C�lS�$!31 M 02368 INSURERA:' elecctive 'Ing. dF America INSURED77. INSURER6Alla�exiaa Fina%Cial Alliance, 0232 Cape Save, Inc 7 D INSURERC-PescO Ynsurance .an Huntiagtog.::Ave INSURER D INSURERS south Yameuth` a26�4 INSURER F COVERAGES. CERTTFICATE NUMBER:CLI532491501 REVISION NUMBER: THIS Its,TO C€RnfY TI+AT T+IE•Af3iiCIESOF iNSUBANCE,LISTED BEtOW HAVE BEEN ISSUED TO,THE1NSUREO-NAMEDIABOVE TOR KE'POUCY3rER(OD INDICATED. NOTWIT.iSTANDING ANY REQUIREMENT,-TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEN-T.WtTli`RESPECT TO WHICH THIS CERTIFICATE MAY BE OR MAY:PERTAIN, THE INSURANCE AFFORDED BY.THE POLICIES DESCRIBED.HEREIN:IS SUBJECT TO ALL THE TERMS, EXCLUSIONS.AND CONDITIONS OF SUCH`POLICIES.LIMrr&SHOWN:MAY HAVE BEEN REDUCED BY PAID CLAIMS., �TR TYPE OF INSURANCE> s OLICY EFF POLICY EXP UBRAwn GENERAL LtABILRY-. POLICY NUMBER. r I LIMITS EACH OCCURRENCE.' $' 1,000,000 X. COMMERCIAL GENERAL LIABILITY DAMAGE TO R_N PRE ISES Ea occurrence $ 100,000 A CLAIMS-MADE OCCUR 1994480 0/16/2014 0/16/2615 tviED EXP(Any one person) $ 10,000 PERsbNAL&ADVINAJ?Y w `a 1,000,0QQ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ Z,000,000 POLICY X PRO JECT X LOC _ AUTOMOBILE LIABILITY - COMBINED I a accident 1,000,000 ANY AUTO BODILY INJURY(Per.person) $ , ALL OWNED SCHEDULED 6796601J 1/6/2014 1/6/2015 '—`AUTOS : AUTOS` BODILY INJURY(Per accident) .$ NOh1-DWI X' HiREDAUTOS AUTOS' 1!� RaP[RfiYDAMrGE Xifper r UiABRELLA OCCUR EACH OCCURRENCE $ 1,:000,000 A EXCESS LIAB CLAIMS-0A.4DE AGGREGATE $ 1,,000,000 DED RETENTION SP 19944$Q 4'h612014 0/1 6/2Q35 C WORK9RSCQMPBNMATIQN AND EMPLOYERS'LIABILITY . f flaft-� Iaclu sd for X one sraru ANY.PROPRIEFORIPAI�TNER/E)ECUIIVE ITS YrN rage R OFFICER NtiMBER EX L.UDED? � N I A g EL.EACH ACCIDENT $ JOO,000 (Mandatory In NH) T36279 j9f2t31B %Bl2C)16 11yyees.descnbeunder E.L.MEASE-EAEMPLOY $. 5a0 OOf} DESCRIPTION;OF OPERATIONS betbw ESL.DISEASE-POLICY LIMIT 506,000 DESCRIPTION OF OPERATIONS/LOCATIONS i VEHICLES(Attach ACORD 109,Addldonal Remarks'Schedule,)f more space is required) Issued a$ evidence of. nsurance. Thi.el.sch Engineering, Inc. is listed as additional insured:as respects; Genera4. Liabilit as .x write ron Y re written .by tract. CERTIFICATE HOLDER ' CANCELLAT16N :msOngGcapelight�act . g SHOULD ANY OF'THE ASOVE'DESCRISED'PbL'[CIES'S8 CANCELLED BEFORE THE"EXPIRATION DIATE THEREOF, NOTICE WILL BE DELIVERED IN Light Contpaet ACCORDANCE WITH THE POLICY PROVISIONS. Attn; Margaret Song- L'O BOX 40/SCti. AUTHORIZED'REPRESENrATWE 3195 Main Street Barnstable,;.1�Il4 p2630 chael Christian/CLC. acaRn'25� oao3) J 0,49e8.2010:ACOR c0ltAClRATK?A}. All r gh#s reseraed.INS025(zo9oos).ot The ACORD name and logo are registered marks of ACORD.: HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. 1 44 X224 k3Aa �- hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: 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. I 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. have read the provisions of this agreement and give my consent. P Home Owner(signature)� L Home Owner email: mc4 n Adz tt`iZ c-_ i rclo Date: i S si A ent: nature /t g ( g ) !� V � Date: Weatherization Contractors: Adam T Inc All Cape Energy Frontier Energy Solutions Altemative Weatherization Lohr Home Improvement Building Science Construction Resolution Energy Cape Cod insulation Tupper Construction 6-011112-Q'I'Zz'tiec(IG t��!'!; O, v� i� Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cowntractor Registration Registration: 171380 Type: Corporation "-" Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. _ WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE ., SOUTH,YARMOUTH, MA 02664 .. Update Address and return card.Mark reason for change. Address E, ] Renewal E] Employment E.] Lost Card SCA 1 0 20M-05/11 �%jv�orirrrrtt rrtreal.C�rfl�r%lf�ido�i��rt:,el1�' go Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IM-PROVEMENTCONTRACTOR` before.the,expiration-:date,. Iffound,retur..n.to: egistration: 4171380 Type: Office of Consumer Affairs and Business Regulation ak--' 10 Park Plaza-Suite 5170 xpiration;�3/14/2016, Corporation Boston,MA 02116 CAPE SAVE INC. h � 3 WILLIAM MCCLUSKEY 7-0 HUNTINGTON SOUTH YARMOUTH,MA 02664 Undersecretary Not vali rthout signature 0 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Specials License: CSSL-102776 W ILLIAM J MC 4;%U�S - 37 NAUSET ROAD West Yarmouth MA 02673{ J.•�- �je " "` Expiration varrrniissioner 06/28/20,15 I ,4coRo- CERTIFICATE OF LIABILITY WIS' URANCE DATE(MMIDDIYYYY) 10/1/2015 9/22/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGAT ELY 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 certifcate,holder Is an ADDITIONAL INSURED,the policy(es)must be endorsed. IF SUBROGATION IS WANED,subject to the terns and conditions of the policy,certain policlee may require an endorsement, A statement on this certificate does not confer rights to the certiflcate holder In lieu ofsuch endorsemengs). PRODUCER 1.00ktOr1 CDRI(18r11PS CO -CT HA E: 1185 Avenue of the Americas,Suite 2010 ac ND EXt: Nu: New York 10036 B- IL 646-572-7300 Ess: INSURER A.- Liberty Mutual Fire Insurance Company 23035 INSURED AMERICAN RESIDENTAL SERVICES LLC INSURER R: Liberty Insurance Corporatioin 42404 1073055 dba HEATING&AIR CONDITIONING SERVICES INSURER C: � 42 07BRANCH 8577 s z rt 300 MANLEY ST, INSURER D- WEST BRIDGEWATER MA 02379 INSURER F! INSURER F: COVERAGES ANEEFS02 CERTIPIC E NUMBER: 11465755 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSLTRR TYPE OF INSURANCE DDL a,U(j� POLICY NUMBER POLICY E F POLICYEXI LIMITS A X COMMERCIAL GENERAL LIABILITY N N TB2-631-508631-024 10/1/2014 10/l/2013 EACH OCCURRENCE 2 000 000 CLAIMS-MADE[7�71 OCCUR DAMAGE TO RENTED 1,000,000 MED EXP(Any oneperson) 10,000 PERSONAL&ADV INJURY 5 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER: GrKRAL,AGGREGATE S 4,000,000 POLICY❑JEGT EI LOC PRODUCTS-COMPIOP-AGG S 4 000,000 OTHER :1 AUTOMOBILE LIABILITY COMBINED SINGLE UI A N N A52-631-508631-034 l0/1/2014 10/1/2015' ccl en 4� s 2,000 000 t }( ANY AUTO BODILY INJURY(PvpCon) 5 LL S �1 XX,.�Qf-�N, AMS"ED (A�UpT�0.p5�ED BODILY INJURY.(Per aodda'nt S k '� �C HIRED AUTOS X N&nO WNED PROPERTY DAMAGE'- P AUTOS ' S C X UMBRELLA LIAR 3(JOCCUR N N NYI4UMR715088TV 10/I/2014 10/L/2015 EACH OCCURRENCE 1$ 5,OM 0.00 O(CESSLIAR WMS-MADE AGGREGATE e 5000000 DEO I X(I RETENTION s 10.000 S WORKERS COMPENSTION B AND EMPLOYERS'LIABILITY YIN N WC7.631-503631-014 10/1/2014 10/1/2015 X srgTvrE t' ANYPROPRIETOWPARTNEVEXECWtvE .� NIA F—L EACH ACCIDENT s 000`000 OPRCEWEMSER EXCLLM90 N (Mod-toy in NIO J.DISEAse-EA EMPLOYEE 5 1,000,000 II yes,desonoe undai _ 1 oESCRICTION OC ObERAT10Hb helm+ E.L.DIaEA5E,POLICY LIMIT .l 000 000 DESCRIPTION OF OPERATIONS I LOCA111ON5 I VEHICLES(Altech ACORD 101.Additional Remmus schedule,may be a6ached If more apece le required) THE GENERAL.LIABILITY POLICY'S GENERAL AGGREGATE LIMIT APPLIES PER LOCATION AND 15 SUBJECT TO A$20,000,000 GENERAL AGGREGATE POLICY LEYnT.Elcidence of insurance for the October 1,2012—October 1,2013 policy term. CERTIFICATE HOI-DER 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. 11465765 a AUTHORIZED REPRESENTATIVE EVIDENCE OF INSURANCE ACORD 25(2014101) ®1 8-2014 ACORD CORPORATION.All rights reserved The ACORD-name and logo are registered marks of ACOIRD f The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations 1 Congress Street, Suite 100 Boston, .MA 02114-2017 UV- wwm mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information please Print Legibly Name (Business/Orgenization/Individual): ARS/Heatlrlg & A/C Services Address:300 Manley Street City/State/Zip-W. i3ndgewater, MA 02379 Phone #:508-588-9025 Are you an employer?Check the appropriate box; Type of project(required): 1.Q I am a employer with 38 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. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. (] Building addition (No workers' comp. insurance comp.insurance.t required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions ] officers have exercised their 11. Plumbing repairs additions 3.❑ I am a homeowner doing all work ❑ gor myself.. [No workers' comp. right of exemption per MGL 12.❑hoof repairs insurance required.] t c. 152, §1(4),and we have no (-(VAC employees. LN o workers' 13-9 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 lure outside contractors must submit a pew affidavit indicating such. =Contractors that cheek this box must attached az additional sheet showing the name of the sub-cootmctors and state whether or not those entities have employees. If the sub-contractots have employees,they must provide their woTkers'comp.policy number. rant an employer that isproviding.workers'compensation insurance for nay employees. Below is the policyandjob site informmadom Insurance Company Name:Liberty Insurance Corporation Policy#or Self ins.Lic;#:WC7-631-50863 1-014 Expiration Date:10/01/2015 Job Site Address:�� ,�evro�?` �r City/State/Zip:0,S4eryiA- M4 Attach a copy of the workers' compensation policy declaratiorspage(showing the policy number and expiration date). Failure to secure coverage as required under 8ection,25A, of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$I*500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER attd a fiae of up to$250.Op a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the pIA for insurance coverage verification. .i do hereby ce under t1a ains and penalties ofperjury that the information provided above is true and correct a e: Date: Phone g 50 88-9025 Official use only.,Do not write in this area, to be completed by city or town official. City or Tow .. Permit/License# Issuing Authority(circle one): 1.$oard of$ealth 2.Building Department I City/Town Clerk 4. Electrical Inspector- 5.Plumbing Inspector 6. Other Contact Person: Phone#: J P�OFTHETp�� Town of Barnstable Regulatory Services BA ASS' !LE,MASS ' Thomas F. Geiler Director y MASS. � `0 building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-403.8 Fax: 508-790-6230 EXIT ORDER DATE LOCATION: / � Under the provisions of 780 CMR,-the State Building Code, Section 3400.5.1, you are hereby ordered to immediately discontinue the use of the cellar/b.asernent area for sleeping purposes. LOCAL INSPECTOR SIGNATURE OF RECIPIENT j .. i J .. �OFTNE�p� Town of Barnstable hW °� Regulatory Services tA �MSS. k Thomas F. Geiler�Director 9 MASS. � 4'jD,fc►,9nd®`® Building Division Thomas Ferry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: 7 LOCATI ON:Under the provisions of 780 CMR,-the State Building Code, Section 3400.5.1, you are hereby ordered to immediately discontinue the use of the cellar/basement area for sleeping purposes. -d'rL, /L EL� LOCAL INSPECTOR SIGNATURE OF RECIPIENT 4/10/08 6:45 PM David Stanton,Health & Robin Giangregorio, ZE Officer 24 Fawcett Lane, Hyannis Found owner to be intoxicated and suffering from severe substance abuse problems. Did not ask to enter home as owner admitted he was running generator in basement and power is off. Says he has a fan for ventilation. Also informed us that he went to school for 4 years for mechanical trade. Claims he can not get a job because he is over qualified and has too much experience. Complained that no one will help him. Admitted he has no smoke detectors or CO detectors. He runs generator 6-8 hours a day. He stated he scraped enough money together to pay gas bill so he has hot water for showering. He has one roommate. While we were talking, Carlino's truck pulled up and parked at the end of the street just behind the driveway but did not leave the vehicle. Carlino is also associated with a long history of substance abuse. Returned approximately 7:30 to check for noise emanating from running generator—no noise. 4/11/08 Advised Lt. Don Chase, Hyannis Fire of circumstance with generator, substance abuse issue and lack of detectors and requested to be updated accordingly. AISS@SSOr'S map and lot number .�.......Uil.:. . . .i... ,. r• " 0*THE Tp _ s Sewage Permit number .........� �.ye.avt r � i AHB9T4DLE, �D . * - i House number ....�:�................ ....... s.. ........:,...:..... - � 9 B MA66 po,1639• 9� • 'E�YPY�`\ FF TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ` ....... �::�................................................................................................... ' 1 _ TYPE OF CONSTRUCTION ........w ''��..........I......... ...-................................. ...............................4, 191 A TO THE INSPECTOR OF BUILDINGS: A, , The undersigned hereby��a��paaes for a permit according to the following information: Location ..... .......:..... . ..... ....�. �nCt,n!�Jv�c ..... ............. ..:. ProposedUse Q..f......... r? .r.X.a.: ......:`......................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ... f4.a...C� .............................Address .....`..�a.�4... �. ...... ®n��1�. �.................... Name of Builder < wv .................Address .................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .......... ...................................................Foundation .............G. !` ................. Exlerior(��n/.�Jh�..Lys.,d``�.�....�.....�..:..�4-!;•:�1�.��-.".�.�....�.��...Roofing ....... 2.4� a.... ..U.........................:.......................... ...............p........ ........Floors r Interior ....... �.. . .......... ............................... Heating .....C :E�!�2....!�4��......0..... .•.....:..................................Plumbing .....:.......:`-Q:.................... .......................................... .........................Approximate. Cost ` "2 Fireplace :.... :�................................................ Definitive Plan Approved by Planning Board --------_______________________19-------- . Area .......................................... Diagram of Lot-,and Building with Dimensions Fee. ............................................. SUBJECT TO APPROVAL OF- BOARD OF HEALTH r F d t 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ,- a Nam Construction Supervisor's License .................................... DA,Q0 REALTY A=290-11 53 No ......... Permit for .. . ...Story.................... - Cr Single Family Dwell' g ....................................................................... Loc.btion Lot 43, 24 Fawcett Lane ................................................................ . ....................... ........................................ Owner ....DACO REALTY .............................................................. Type of Construction. ..Frame................................. ....... ................................................................................ Plot ............................ Lot ................................ Permit Granted ..........June.'.6.................19 84 Date of Inspection ....................................19 Date Completed ......................................19 �z - .�`'" TOWN OF BARNSTABLE 26553 Permit No. ----------------------------- ` Banding Inspector 1 sA"STA . Cash ---------------------------- �° OCCUPANCY PERMIT Bond X_ ------------ Issued to RP�_1#'tT - Address Lot 43, 24 Fawcett Lam, Hyannis Wiring Inspector Inspection date Plumbing Inspector r rJ � `-` Inspection date Gas Inspector aK? Inspection date }Engineering Department !'.r j -., Inspection date F' !✓ r Board of Health `�� `` 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 AND IN ACCORDANCE WITH SECTIONN:O OF THE MASSACHUSETTS STATE BUILDING CODE. q s .. q 19..g � f /.... ................................._............._..._. Building Inspector FROM - �- - TOWN- OF BARNSTABLE BUILDING DEPARTMENT Francis bahtesne 367 MAIN STREET HYANNIS, MA -Town Clerk Phone; 775-11 Za SUBJECT: FOLDHERE - DATE - - October 29 1984MESSAGE Vork h-as been completed under Building. Permit #26553 #26554 (Daco, Realty Please.release Bonds. u ' - SIGNED DATE REPLY REPLY - SIGNED N87•RMI - RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. 4h! `I 0 kj, z �T \ Q y m _ I+ 1+ 1 o _ . , R-1 V � � C, m 0 L re ` ♦.__,...� _.` .. - ._. � _.. —__.. }-- � — _ ;_ _ 4 Vt _—_.___ � t }��w ..} y p r -•� r y rr k ti « •,. ..,tR,.-:,.:a,_...•.. _ .. ... 'tr. _.'+.. _. rf.t.-.<A ..s:`i'.s's i.11.,- x'.+" 5'rs•t:�';..,v.:... ,,«,_ _ E.,:;.- w..s�.,-..4•..Evra+¢..'�iiaGfw' a7�tlGasera.' e.!«:5:t4-,a�i'h�,".#x^a.rve map L , pR�, - 111 to r Zip . � � � (' �.`�o �i -! (�► m � nP �i' cn a c� r �. tP Cr _ m ID it Z - �p N \ .� P b � � � t ~` y �t ti70 `C - Z � 3 c z z pLU e Gl1,i k 0 p �iaw � �com4f� ; . p l i1 _`. _ t x w m a TV p a� Z a +n 7- ro Tn li' �� '� yo ��'a N .a mm a v d � - as�i i3ss f �� A � m r � SO �G9 9z E n p T 0 _ O n pi vCA r 7j� � a D yam Mm - �r OR 70 o 4 Z19 v� �n -F � Assessor's'map and lot number ..^...�..... .I 4! oFTHFro /7� r Sewag '`Permit .niumber .....: ......... G�..; � �!.:'�' SEPTIC SYSTEM UN'S ALLED IN COMA S s House number, ....,: 'I�' TITLEi°o L 0 pY = TITAL CO TO N OF BA1 N GU LIONS ,. k _ BUILDING r I=NS?ECT0R APPLICATIONFOR PERMIT TO .... ...........................:.................................................................... ............... TYPE OF CONSTRUCTION .... � ''^..^^:.r......... .............. ............. ......... . ... .............. s ...... ......... . ...191A TO THE INSPECTOR OF. BUILDINGS: The undersigned hereb a s fo p actordin to the following information: 9 ,-� 9 9 --"�i✓L�� C• Location ....... . •.. ...1........ .... :.. .l...t�t.�. ..�......... .............................................. .. ........................... ... Proposed Use ........�X'�. � ..... . �i.. :... Zoning District ............................................................:..:::......Fire District ..............:..................................:. . - r . Name of Owner .... 4.a............::...... ...............................Address .....`:.1. .1�.....4.G..e......C& - .................... � ��.. � � , Name of Builder .. .............. ......... .. .Address ....... /....... .............................................. Name of Architect ..................:.. ..... .........................: ...Address .............. ....................... Number of Rooms .........� .........Foundation ..............L `.................................................... Exterior( aGtk .. '�•. . .. ... � � ?...�. ...Roofing ..... !`- ',...................................................... �1 /. .. ilk.. r! � ........Interior ........ .. - Floors ........ ...... � ....................................... ..t(�•r,.... ............... ............... rs Heating ' ..... ....I/ ..:.. ..... :.Plumbing :. ........ � ^....... ...:.... a Fireplace ........52.. ..'....L��................................................Approximate. Cost .:.. .t�?e�J:..:.. Definitive Plan Approved by Planning Board ---------------_--_-----------19--------. Area ......10. ................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF. ,BOARD OF HEALTH. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. n _ Name \ .. ........... Construction Supervisor's License ....5! ��\ DAM REALTY y" " r y No L26553 Permit for ... e......� '............. tn91e Family Dwelling _ .... . .... ........................................ :4. location ...:.Lot 43, 24 Fawcett Lane...... .... Hyannis....................................... t DACO Realt Owner .. '.............................. .. r,... Type of Construction Frame ............................... # c>, ....... .� ....................... ... .. ............................ _ ` Plot L .......................:.... Lot- ....... ................. '_, • 4 - s Permit .Granted . ....June.....'...................19 84 r ' Date of.Ins ec o .e 7//Z' /� { _ �;_• p 19 c7` r <„ Date Completed .. �JG' 19