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0500 OCEAN STREET (17)
6-0 S4, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 9240 8U/I D Application I �' Health Divisionp� Date Issued 9 7 APR 12 2®17 Application Fee Conservation Division T®Planning Dept. w�®°SARAiSrA at Permit Fee Date Definitive Plan Approved by Planning Board co Historic - OKH _ Preservation/ Hyannis 15M A:'ZL ,S C-^A7- Project Street Address Village tS Owners _ Address Z5 ed 00-SP V L F t) W&F Telephone. Permit Request aO%l,r__ or_,�>P PAX t 12)IV .fie y C 5' l VIA(- Square feet: 1st floor: existing 150 proposed 0 2nd floor: existing 7100 proposed Total new Zoning District Flood Plain 1P Groundwater Overlay Project Valuation (BOO Construction Type LA-ICOt> Lot Size Grandfathere& ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) 6Dr4iN_<D Age of Existing Structure '4'Z. Historic House: ❑Yes @- 07—On Old King's Highway: ❑Yes 41-W Basement Type: ❑ Full awl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) 40N% Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new O Half: existing (0 new 0 Number of Bedrooms: existing O new ll Total Room Count (not including baths): existing 5 new 'O First Floor Room Count 3 Heat Type and Fuel: O-G'a--s ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes S- b Fireplaces: Existing 1 New 8 Existing wood/coal stove: ❑Yes O-Ne- 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 ❑l Yesw a Imo If yes, site plan review# (�, Current Use C, �D Proposed Use s +cam APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name:-:�Tppo&akl Telephone Number Address 71 k"l)-e � License#. (IS -o-3 Home Improvement Contractor# r T' EmainA"<1V,e7fZt4n (I 1 OTY-WL,. CDO Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO k&_#JWAbL* uktz 4Le., SIGNATURE DATE 4A t I 11 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS .VILLAGE -. OWNERry DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i Town of BarnstableBuilding . > .. Ca d oThat rt 'zVi Retai= n J b a ":' �.._. ,,ost,,Th�s S 5 sib(e From the,Stceet A roved>Plans Must be ned,o nd�this Card Must be:K,e r /AA�V>3T'AByE. � '�:� � r arms FinalIns :. . x • Me ted.Untl rea Certific etof Occtr .anc is Re wired' such Buildm kshall.NotEbe Occw iedunt�l a:Finallns ection;hasbeen,made e�n11� � � r p z.. Y � >.q=. .erg.: Permit No. B-17-1019 Applicant Name: STEPHEN MATHIAS Approvals Date Issued: 04/19/2017 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/19/2017 Foundation: Location: 500 UNIT 36 OCEAN STREET, HYANNIS Map/Lot 324 040 OBU Zoning District: RB Sheathing: T t M Owner on Record: GUIDONE,JOHN JAY&SHERRI Contra�or Name STEPHEN MATHIAS Framing: 1 Address: x 23 EMERSON ROAD Contractor License 168054 2 EAST WALPOLE, MA 02032 Est�Pro1e:ct Cost: $0.00 Chimney: Description: Remove Appox. 18sq ft. of sidewall shingles(wht cedar)Around AC Permit Fee: $160.00 Insulation: unit that is leaking Flash &Replace n/new white cedars FeePad $ 160.00 Project Review Req: Remove Appox. 18sq ft. of sidewall shingles.(wht.cedar)Around , Date 4/19/2017 Final: AC unit that is leaking Flash & Replace n/neyv white cedars . Plumbing/Gas ✓ `� Rough Plumbing. Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by&this permit is commenced within sa�monthsafter issuance. Rough Gas: All work authorized by this permit shall conform to the approved appl at m andghe approved construction documents for whi p this permit has been granted. All construction,alterations and changes of use of any building and structures shall be incompliance with the local zonmgby$Iawsa codes. Final Gas: 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 work until the completion of the same. sK Electrical ram �� s The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are rovided on this' ermit. � p � p Service: Minimum of Five Call Inspections Required for All Construction Work:' 1.Foundation or Footing Rough: 2.Sheathing Inspection m ,a 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 contra cting:wlth.unregistered epntractors;do.not:ha've,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 Yachtsman Condominium Trust Board of Trustees 500 Ocean Street Hyannis,MA 02601 p DATE RE: Unit �p ,Yachtsman Condominium Trust, 500 Ocean Street,Hyannis i To the Town of Barnstable Building Commissioner, The Board of Trustees for the Yachtsman Condominium Trust voted and approved the attached proposal to be performed as is delineated in the request we received from the Unit S Owners. Contractor, _ma F�!'f A S has been contracted by the Unit Owner to perform the work a?-defined in the proposal. This letter serves as notice of the Board's vote to approve the proposal,which has been noted in the Minutes of the Board Meeting. F Signed Under the Pains and,Penalties of Perjury this!U day of 20 i. ecre oard of rustees c sman Condominium Trust 500 Ocean Street(c/o Manager's Office) Hyannis,MA 02601 Enc./File f hisCari nTO7rrfea#h&fM adtrtsetfS Departamf qf&d-aY5ia1 AcddeT g ' Off e 600 Wasiair oFr Street 1pfva rrtass.�ua� a •a-rliere Cunvensa f m ln=mce Affidavit 13MMexSICURfm CtardF1eCtUcMn&Tfi=hers Am ficagtlfaa_� to m P e se sigt T.e�iT Ades O ciws: € i. At �0?-��iL Phoa� b�a'�i"3-1-01 b%3 Are you an emplaTer?Checicthe apprapriafe bo= Type of project(retied). L❑ I=a employer wiflL ❑I am a general confiisctor and I 6_ 01tew con%fracEca .ayees(fallandlorpart-,ime)_* 1mvehredfrM sg€r-cOnEm om 2 Lld'1 am a sole pmpriem,ar Mtecl aathe atfadred Sheet ❑Remodeling slap and hav8 g6 employees. Mese sib-coa(rardam have $. I-]IJemnlstrDa . W v fnx=e]21 any,,,,,,a^.ty. employew alm1hTvva jFly wo:d r camp.fnsurz=e COMP_insurant-$ 10 Electical r cr ad�Qu is reed 1 0 �:We are a-corporafion and ifs eP I El I=a homeovmer doing all wark �cers leave��Rn-wed f7�s I'-O Plumbrngrepaiss ar ad�tibns suygel€[Na kris' _ ugfif of mempfiost per MM -7❑Bnafrepaizs tacnranre ren d j i a.152,§I(4k and we have no employees.[l�l G VMA:ers' 1 ❑f)the3r co=p_kmrari�n i•Lquire&] *claywn=3t bstcTncksT xnmadalsoffia3tthesectEaabr7awshriR gffiix D&=eCCGM2 TsaSaapn1icgixfb=2kffcaL �HamevsvaQrsvrhesabmitdos da�uin�vcxtmgt3ep dain�slIw�icaadt5eal�rnai9decaatmcmrsnmdsv�uritanew�d t:"�'�* MCI fC'aatadassffi�tc7�c7ctLus6mcmustxttarhe�aaadditinna2��etsbatcingtLen�a�ofthgsai�-•ct�rr�•aandst�e �sarnatrlans� sIu� . employees I€thesnh-ceatrac7nsbzceempIoft cfieyrmiskgmsi3�#f ir-Rarke&v=p.polity ben I am aFt aucply�r flarrtispr�xzriurg uparken'comlrerisd on h=Lrauca for nzy enrplopeer al iv poFicF ar�d jab site` ftr,fvrracriinrt. . 7s sumce,Company I1TeM — Po-icy'or self-zns.Iic.f E�Pi=afioffDale= Job Sita Addm= City taf&zip: - rif ach a,Copy Qf tlMwarkere campensafionpol y deel'aration page(showing the policy number aa"iiafion date). FaRre to secam coverage as requ rc5&un ar Secfion 25A_of MQ.m 152 caa lead to ffie imposifi=of rdmiaal peaalfses of a i fine up#�$1,�a0.4U and,'ar a>se��imprisau�8:s we11 as CI�II peua�es isi ftse faaa of 8 S'r(7P�TT(?R��QRDE&Snd.a fuse of up to$250.00 a day againd the violafcr. Be advised that a caps*offfiis sfafemezt may be fartivarded fo.the Of ficia of Iuvesfigatiaas affize DIf4 faF insurances cavecage�•ec�cafi.� Idea FiereFrp c flue prat }�s���F 3'fFaat`f7rs ir�`at�stcrti�aprns rTed aba��.is b�rE mid correct S2�atnre Date Plrasie --7al 0.07ckd asa arif Da��'t Irrite in tFas.areg,to be MIAPUe d by,rifp arta11v a fcta City orTawn: Pe-rsaIIU cease issuingAnflia,14(Carleonee): L Saar,of$ealth j.BuMmg Depaaimeat 3.Oiyfrtnm Clerk 4,Electrical hupecto€ S.Ph=-bi'.g Inspe-Cfsr 6.Ofh-er- Contact Perms: Phone•#: - - 6 eaal Laws fr=r 112 rues all�°y�`f°1�� 'Q°��6n'far ties employees. n lrasetts Ge: �P c�Ti'act°fb�e, - e=vim of aoothcr under any this sue,an�Ioye�is defned as. _everYperson-m fi . capress ,,jrr�oral°rwriff�." ,asso®Sioa,corporaion or other Iegal may,or any two or more Am�Loyea-is d�fned as anmdividnal,par(ne � er,or tho Of f3ie foregoing cng�d m aJD� �,and inclIIding the Iegal pres s of a deceased employ of an individaal,par�ersfnp,asociaiion Cr C&r Iegal entiiY,�pI°Y��PIOy - However fie �ceiYet or irastee arfine�s andwho resides fierei a.or the oc�of i9ie- owRer of a dwcIlnzgho m RMVMV not more t�tbree aP zIImg Manse of anoffierwho=ploys pens=to do make, ochon or re dW pair YM13C an such dwe]Img house or on.the grounds or b�mg appm-Ern liierein shallnotbecanse of srich empIoymentbe dsemedto be an emplDY= • >`�"f � .`'' ":•apter � also si�ea tl�t�e•Qei�st�or IoraITeg ag�xicY$haTlw�old$le 75stiance arc ch - I�IsL I52,§SC(� i � _ renevs'aI of`a ce s=or permitfo operafe a bm&L sir orto construct biaZdvigs ft tb.e caffinw noealth for any cantwho has uotproduced acceptable:eviffmm of c6xMP-H m,we tTa tam ftmmrance covEt app ragereqused- ZS stags-Iefthcrtie r-I o�ealtb-nar anyofifs political Sub clans shall AdffiBDnally,M EI--�ptr ISZ,§ q uoafraat for the, e�ancc ofpnbliic�voik=tj acceptable evidence of Go?npl ce pQiii�fj?e ins�r��•_ enter inn any P _ j, r ents offlus chgterhave bap e�dto the co�rartiag aotbozity." APpBcan-ts = Ieta Tb ch ,fie boxes�apply to YDvr situation Md,if pI fill ot fie wormer'oourpe�sation ai dav>t comp, Y, n ecI®g tiles certEEcc(s)of necessary,amply sub-cunt o s)name(s), addresses)a ndFhonenvmber(s)aIongwith ees other thmthe n,cTnance. I, dLiab�7ityCompames(LIrC)orI%u��d��7ity-Partne�biFs(�p)wnno Ioy members or paztn�,are n of reed fn carry wol'c'compensation ix�s c;r If an T LC'or F LY does hate c: is B0avisdffiAl is�daytmybcmbmrYrsitothtDepaitmntof ln " `l Mp-o s,a oli + Also b-asure in sigh and dafethe at=davit IM7 a$davltShoitld Aceidenfs for conEmn d on.ofinsui =covc age nottheD�parbn�of b e r-etnmed to ,$e city°r towu tbat the application for the peanit or license is b emg rujatst obtain a wozm= Tnri a�A ccid�. TS 9aHYO a bavo any Q�stzans rep g die Ia,7 ar=Eyon am req� eompensafonpofiey,pleasccalltht:Dcpatncu at tbcr�berlis�dbeIo Self-msmedcomp yes should enier their 5 elf-mstn- ce Iice se zunber aa the apprcrlaiafe]me. C5ty or T°wa OffidaLs a _ Ieter and rite legibly- 'Ihe Depntmcnthas provided a space at tie bottom Please be sure that fie affidavit is cap P oas has to co�YoIIre�gtiie applicant. of fie affidavit for yonln fr11 onf in the,event the Office wMofT bc;mr-d pleasebesmctofMialiiepemd ceases=berwlncbw�lbcased:asarefer�cedb b ���� get f�zt Est sabmit mu iplcpen�cense applications i a my �Y�need only sabm>t andunder-lo'b p_ddress"tie applicant should wz Q�Ioca ns (�Y OT policy iu�raatian_«nee aiY) ed or mar d bythe.city car to7nmay be provided to fd tDwn)-"A GOPY Of�e-a$davkfaAhas been officially stamp appl-icagt as proof that a vaTtd affidavit is on ffie far Elton=penults or 1•icens es_ A new affit�- be fIled ovt earli • year.'41he�ahoxo_e owner.ar eifi�nis obfa�g a1rceose orpe�itnot=elatedto anybnsiness or cornzaercial 76at= - CLe.a.dog license:orpcMittobum.Ieavcs�)Said.p=cHliS1�IOTreq dtocompIcfefiisaffidavit The Office aflii. VtSHV swnIIldlaotathankynnmadvmca Yourcoop=zionandsboIIldgoahaveEMY =' ' please do nothcsifabto&O'M a calL Thl-I}eparf n=fa address,telephone and fmmmnbGr: , ' - Tht C�a��nattT� '`��.�¢1�p. -I��rCmc�o-f�i�i.a.�A�-�n� - •. • fc��f 7��f?g�fia� T� :#61'-' •-4M eat4G6 or 1- -��� A Fax 617 M-'749 F-1-1 ised4-z4-07 ,Tl gc Office of Consumer Affairs&Business Regulation _:- HOME IMPROVEMENT CONTRACTOR a 7. Type: Individual Registration Expiration 168054 12/08/2018 Stephen Mathias Stephen Mathias 304 Strawberry Hill Road rR Centerville,MA 02632 Undersecretary Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-035267 Construction Supervisor �. STEPHEN F MATHIAS 304 STRAWBERRY HILL•"ROAD ""• :w CENTERVILLE MA 026S2-t�" ' w t , ` (� Expiration: Commissioner 08/26/2017 i ToWn of Barnsabxe L � y • Regulatory Services Richard V.Sca.14 Director. Building Division MKS Paul Roma,BufIding Commissioner 200 Main Street Hyannis,MA 02601 www.to wn.b arnsiable.m a.us Office: 508-862-4438 F= 59&790-6230 Pioperty Chestier Must Complete and Sign This Section If Using A Builder I�- c,LS.R L_�• (mu!l>O& M ' ,as c)wnex of the subject pzaperty hembjr mtorize to act oa my behA in aII r�atters relative to work authorized by this buMn p=mit applicatioa for. (Address of fob) **Pool fences and alarms are the xespo.nsibility of the applicant Pools are not to be fT1Pd.or u ilized be..forL- fence is imst�.Il.ed qad au fn.al , inspection, are pedfo=ed and accepted. , Slgratute of Owaet /Signat=e of Applicant J-gy. Guidarne , Print Name Print Name Date ' Q:FORMS;aWNERP�tt�stc�snNPOpLS ' tips Town of Barnstable Regulatory Services snxrtsxasrs, v . Mass. Richard Scali,Director 16 59. �aim Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 BuildinL Permit Procedure for Residential Addition Or Remodel Or Dock Determine map and parcel number and enter it on application. ❑ Historic District Commission,200 Main Street, approval required prior to construction/demolition for any properties located in a Historic District: • Old Kings Highway Historic District(north of the Mid Cape Highway) • Hyannis Main Street Waterfront Historic District(See map for boundaries) • Historic Preservation(if applicable). ❑ If ZBA relief(Special Permit or Variance is required for Project): ❑Copy of ZBA decision z` ❑Documentation proving that decision was recorded at the Registry of Deeds Win one year of ZBA decision date ❑ Approvals from the following departments are required and can be obtained at 200 Main St.: ❑Health Department. (8:00—9:30 AM&3:30—4:30 PM {as of March 2"',20051 ❑Conservation Department (8:00—9:30 AM&3:30—4:30 PM) ❑Tax Collector {can be obtained from Building Department} ❑Treasurer {can be obtained from Building Department} ❑ Permit must contain complete owner information, full description of project, correct square footage of project,valuation of project(must agree with Total Cost from Project Worksheet), building detail for Assessor's Office, complete builders information,-including signature and date of application. ❑ 5 sets of reduced house plans measuring 11"x 1711,scaled 1/4"=1' & fully dimensionalized are required. Plans must include a foundation,cross section,framing schedule, insulation detail & floor plan showing location of smoke detectors(located with a Red `S'.) ******IF USING ENGINEERED LUMBER AND/OR STRUCTURAL STEEL,ENGINEERING DATA MUST BE PROVIDED""" ❑ Plot plan or mortgage survey required for any.addition. [� Home Improvement Contractor's Affidavit Workers Compensation Insurance Affidavit form must be submitted for any workers hired. In the event the homeowner takes out the permit,subcontractors hired must supply this. Copy of Insurance- 'Compliance Certificate must be on file. . ❑ Energy Compliance Form Construction Supervisors License&Home Improvement Contractor's License OR ❑ Homeowner License Exemption Form must be submitted if homeowner is acting as general contractor or builder for the project. ❑ Property owner must sign Property Owner Letter of Permission. ❑. All Building Permit Fees must be paid upon submittal of application. All checks should be made out to the Town of Barnstable ❑ CHIIVINEYS: Need Home Improvement License,no plot plan required ❑ PIERS AND DOCKS:Need Construction Super License AND Home Improvement License. OWNER r - CANNOT PULL OWN PERMIT. ❑ Projects requiring the use of a crane must complete the forms issued by the Aeronautics Commission Q:forms r-addalt 030617 t ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 "`0 (t Application # 6d A0_C/a Health Division Date Issued -7--/ Pt< Conservation Division yp\1413��• Application Fee Planning Dept. ` Permit Fee Date Definitive Plan Approved by Planning Board 6 Z. L Historic - OKH _iPreservation/Hyannis:.., Project Street Address S-00 C� �Y� r - lJAVN A- Village \ T V , s Owner i � . Address 3 Eyors s a ,, Telephone .7 Permit Request svti✓t o,� e- 6C couyv=—, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation -7 5D A 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) r 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 ❑ nsw 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 cc���y,.�' C I Telephone Number Address r _ License # J — '�� �` � Home Improvement Contractor# -'Email Worker's Compensation # ALL CONSTRUi ION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO §QSIGNAfURE DATE �- FOR OFFICIAL USE ONLY 1 APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 4 FRAME INSULATION FIREPLACE f ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 4 FINAL BUILDING DATE CLOSED OUT '' ASSOCIATION PLAN NO. +inE- Ir _ t - T �. �..._ .7 t r , • •t ( - - i --I 1 r �3 r, r r._ fi tA.A L.`r r- - 'r t— -t-• r - f---' .r ^- - r r 'J1 �.;-t r_. .t . T T ' j_- r - r —T "`-�° j-- _�' . t'--_� r 'f' _.�_ ..-�-. .r. !t- -f-- � r _ -� l} - �. .•C� �_ Lli S KE [ ORS REVIEWED ._ IT-� -•-'.�.r - r - ---�- i - i BARNSTABLE BUILDING DEPT. DATE ' } f t f r FIRE DEPARTMENT DATE-Ij t ( _ 1 BOTH SIGNATURESARE REQUIRED FOR PERMITING F j . {.I t _ 1 ' \✓ } III t I I } r r- r 1 t I t tO r --- - _. '' - 7 T � I t I I I � � • ,-- C� i r� i • \may, .rP r r _ f -.t --T T- }- F .I_ r_ f r' 1 I - - , - &VAt1�� r � 1 _ 1 j --t• 1a, r r r r•, -jam -^��- -'f'- t---t-".a "r i j SY1 J�C_ - _r r ._ IIwo . I F W ))) t -•+ - - - -7 -r I ) I r I t t. i- -`t-- .{' _,.-• f 11 I' \ I r k y2 �c�s . 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I ��_. —r— f--� i --� - .•-._, ; _- _ ._-t .f �- _ y' - ---1 -J- ---1 t --» _-f -.-, 1 1 i _ -T -ti -a. .i --t r--}-- ---r - --—" — _y .- _ _, -.i. .-� - -• - -� --; -� '-i- ---4 -{ -..k - lam►' � r T . _ _ _ y � .�- --J - .-T_"_. ....�._--,.z.�_ ,....__.y.....—._�� -,,,__ � —y .-, �_.1 --• -r -^•t -'--�1 - --, ----V - -*-i -^' � � ._.�. �- .� —..y-_ _,., _{, ...'T -' i .. { .,I- .-_}..n_ ..I -i -__! _..F-.----i. _.�-._-i•--.r _ .e_ - . _. _., �-. i ._r -r -�a _ .' __ _j.. _- _ _ _.. . , r r , .. ---t�-i-•-t'—+'--+- -+---�—*-- •--}---;- -f. { +--+'—�'�-- ;--i--�--••-�--t—+--;-- 4 ! --+_-"'--------1—i—+--Y--�—•-----F- --t--I---", !—+---;- 14 '—t—+---+'— i-4---*'--h-1�-1 •._—;—�.TT--{ �--t--�t...�i--� �' -—4 —t —i--1---T—�— I I I t i I ` r---1- -.-}�-'^�'T-'�'' --�-+---{---t � y 1 i—j---t--•F , - r--•—r—� i � -i i F�-�- ----.t--4—'1"'—t+-. -+ _ .�.._'. _i i f i --i_.._ a 1 � �-•- ` 1 -!'---'1�+---�---� 1 !._..y1._t__j�_.�—�_i.-� i 1 _^`.{"^'Y'^'{' 1 V i , 1 i 1 —�--i—*-—�--.+-—+_ 1 --^---�—Z--i ---,--, ice- i 4 � f- F----•----i ;�—�--�—i; 1—_.=_� .� _.��___ ._.4�}.. --+—!'---*�---•t.-""_'r--r--:- i f 1--�'i----t.—+---i_.. -i--�'--�._!.--.�.._._.-+-_-+-_-y...�._.rt.�. ---�—+--� � +---r--�' ' 7—h- i I i { '---' t 1. � � } '. �-T--F-'--r-. , �,-f----•--F—+ �-i. 7 1 ! -r r +---i---i.-.�.--� .}-t.^•-4---•-�.._..� i -,---�--+---+--i---t.--�--t.--,._ .r ._..r.. t_.a.. --f } ,—..- 1 � F-----f—'�---I--r—f I 1 4 •_---+ I rt I I r t I I i —-•—y—+— t _ i F— +-—i 1 1 i..___:_—{.—i --t—-i.--i f l '4--_-r---J._4----+—t—T—i I r--r—T_+ —t--!—}— .+—._-,---�. •4�-- , OV ' I I • MET, Town of Barnstable Regulatory Services Richard P.S=H,Dkecbr 16N Bnildmg Division TomPerry,Bm'Idmg Comffisdoner 200 Mum Street,Hyannis,MA 02601 WWW towbarnstable ma.us Office: 508-862--4038 Fax: 508-790-6230 } Proper— Owner Must Complete and Sign This Section If Usitl. A Builder \^ c \I In as Owner of the subject property hereby auiiio&-d C4 L.434 f U,r e to art on my behA in all matters relative to work authorized bythis building permit application for- . (Address of Job) O a ',-Pool fences and alarms are the responsibilityof the applicant Pools are not to be filled or t�i d before fence is installed and all final inspections_are performed and accepted. 1-1 400,el J f Otnei Signature of Applicant ' Print Name Prim Name Date . �Foxazs:owi��smr�ooLs Town of Barnstable Regulatory Service Richard V.Scafi,Director �+ Bu9tinag Division t F t 3��•e-=�T� Tom Perry,Balding Commissioner MASM 200 Mum S Hyannis,MA 02601 �E°'� w�vW to�a.barastahIema..us ' Office: 50 8-862-403 8 Fax: 508-790-6230 HOMEOWNM Life EXE11T01f . .Plersc Rmt DATE, JOB LOCAIIML nnmbcr' s mct VMW '�oi�oWl�.t• names - homaphonc# svo33cptionc# T CURRENT MAILING ADDRESS_ /fawn sty rip cod= The cuu=ent exemption for"Romeo err"was ext coded to inc owner-occ=ied dweIImes of silt emits or less and to allow homeowners to engage an individual r hkrawho does notpo ess a license,provided that the owner acts as supervisor_ ' D�F.QaII OR HOMF:oWNEB Person(s)who owns a parcel of land on ch helshe resides r intends to reside,on which there is,or is intended to be,a one or two- famfly dwelling,atta.cbed or detached accessory to use and/or farm stroctxzes.•A person who consfmcts more than one Home in a two-year period shall notbe co ahameo er. Such`homwwnee,shall sabmitto the BunZding Of an a form acceptable to the Bml mg Official,thathe/ shau be usable for all such work ezfozmed undgr1habuddInE RMEMMait (Section 109.L1) The uza&n4gned`.`homeowner"asses responsib fo compliance wiathe Statr Buzrlding Code and other applicable codes, bylaws,rules and rcb bti0W_ The undersigned`homeowner"certifies thathclshe un fiie Town ofBamsfable Blnlding DeparimentTainin=inspection promdnres and regaa"ements and that helshe wM co y said pmcedmres and requirements. ' Sig¢a�uz ofHomcowna Approval ofBm ffingOfcial Note: Three family dwellings co 35,000 cubic fEet o w71be to comply with the State Bur7dmg Code Seddon W.0 Construction Control j Hon�oWrlEg�s x The Code states that: 'Any homeowni er performing work for 'ch a building permit is required shall be=mpt from the provisions of this section(Section 1091 t-Licensing of coastru 'on Supervisors);provided that if the homeowner engages a persons)for hire to do such work;that such Homeowner shall a as supervisor." Many homeowners who use ffiis 4Mption are umaware.ffiat they are the responsMill es of a supervisor (see Appendix Q,Rules&Regulations for1Licrnsing Construction SIIpeuvisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeoivaer hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person 2s tE Would with a ficensed Supervisor_ The homeowner acting as Supervisor is uIthaatrlp responsible. r To ensure t3x2t dLe homeowner is fatly aware of his/her responsffiMiz'es,many communities regmir•e,as part of the pert application,that the homeowner certify that helshe understands the responsibilities of a Supervisor. On t31e last page of this issue is a form cnrrentiy used bp,severaI towns. You may care t amend and adopt such a fo rmlte r�ou for use in your community. ' Qj RMCIT,r++1crmcp=mhfb=)EXFRF.Mdor Revised 061313 The Commonwealth of Massachusetts Pent Form; Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organization/Individual): L D Kilkenny Electric Inc Address: 7 Henderson Way City/State/Zip: Medfield MA 02052 Phone#: 508-359-2980 Are you an employer?Check the appropriate bog: Type of project(required): 1. ✓❑ I am a employer with 4 4. ❑ 1 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 workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑Building addition [No workers' comp.insurance comp.msurance.t required.] 5. ❑ We are a corporation and its 10. ✓❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#I 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 my employees. Below is the policy and job site information. Insurance Company Name: Norflok& Dedham Policy#or Self-ins.Lic.#:WEND 3831 Expiration Date:03-05-2017 Job Site Address:500 Ocean Street Unit 36/38 City/State/Zip:Hyannis MA 02610 Y 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 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 cZ&under the !ins andeenaltiesofperjury that the information provided above is true and correct Si ature: -- Date 02/22/2016 . Phone#: 508-359-2980 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.-Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DIYYYY .ACC>RV - CERTIFICATE OF'LIABILITY INSURANCE � ` 2 26 )16 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:tONSTITU4E A CONTRACT BETWEEN THE'ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER: IMPORTANT:. If the certificate holderis an ADDITIONAL INSURED,the policy(ies) must be endorsed. If.SUBROGATION-IS WAIVED,subject to the terms and conditions of the.policy;:Certain policies may require an endorsement. A statement on thiscertificate does not Confer rights to the:_ Certificate holder in lieu of such endorsement(:s) PRODUCER .: NAMED CONTACT:: Richard.Kowalsk Richard A. Kowalsky 'Insurance :i :PHONE FAx 544 Lincoln Avenue �naL _. 781 231-2020 I :No; (7e. ) 23i-2o21 ADDRESS: ..RK®Kowal!sk Insuranc:e.com P.O. Box 999 II INSURE S:AFFORDING COVERAGE: NAIC# Saugus, MA 01906 �INSURERA:Nor:folk and Dedham'Mutual INSURED INSURER B:Dorchester Mutual L D Kilkenny .Elecuric .Znc, LLC INSURER C 7 Henderson Way INSURER D: Medfield, MA 02052: INSURERS. :INSURERF. - COVERAGES CERTIFICATE NUMBER: .:. REVISION!NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF:INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED:NAMED ABOVE FOR THE IPOLICY;PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS .. CERTIFICATE MAY 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 POLICY EXP LTR TYPEOFiNSURANCE INSR WVD POUCYNUWEER MIDDIY MMIDD/YYYY LIMITS' A GEN MAL LIABILITY R0309538:,. 3/5/15 3/5/16 EACH OCCURRENCE- $ - 1 OOO OOD X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $ 50,000 CLAIMS-MADE 7 OCCUR IVIED EXP("one person) $ 5 OOO PERSONAL&ADVINJURY $ 1 OOO OO'O GENERAL AGGREGATE; $ .2 0OO 000 GEN'L AGGREGATE LIMIT APPLIES PER a " PRODUCT S-COMPIOPAGG $ :2 000 000 _ PRO- __ , POLICY LOC _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Eaar cde ANYAUTO " BODILY INJURY(Per person) $ :. ALLOWNED SCHEDULED BODILYINJURY(Per accident) $ AUTOS.:: AUTOS: NON-OWNED PROPERTY DAMAGE: HIRED AUTOS _AUTOS:! eraccident $ wop- UMBRELLALIAB OCCUR EACH OCCURRENCE::. $ EXCESS LIAB CLAIMS-MADE! AGGREGATE $. RETENTION$-....• :.!. ': :.,: :L. ::. $_' ::: ::B,. WORKERS COMPENSATION WEND3831 3/5'/15 ':`3/5/16 ! WCSTATU- X OTH- AND EMPLOYERS'LIABILITY YIN: 'ANY PROPRIETORIPARTNERIEXECUTIVE NIA E.L EACHAcaDENr $ 500:,000 OFFICE RIMEMBER EXCLUDED? (MandatoryinNH) .. E.L.DISEASE-EA EMPLOYEE $ 5001000: If yy es describe under DESGRIPTION:OF OPERATIONS below E.L.DISEASE-POLICY:LIMIT $ ::: 50IO: OO:O.LI . _.... DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Rerrerks Schedule;Umore space is n3gdi d) - " CERTIFICATE;HOLDER CAN CELLATIO'N SHOULD ANY.'OF THE ABOVE.DESCRIBED POLICIES:BE CANCELLE D.BEFORE" - " THE 'r EXPIRATION DATE THEREOF,':NOTICE WILL BE': DELIVERED IN J Jay-"GuidOne =. ACCORDANCEWITH THE POLICY PROVISIONS. 500 Ocean St Hyannis:, MA D 2 6 O 1:: AUTHORIZED REPRESENTATIVE Ramona Kowalsky. ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone:. Fax: . E-Mail; Yachtsman Condominium Trust Board of Trustees 500 Ocean Street Hyannis,MA 02601 DATE A S 11 (o RE: Unit , Yachtsman Condominium Trust, 500 Ocean Street, Hyannis To the Town of Barnstable Building Commissioner, The Board of Trustees for the Yachtsman Condominium Trust voted and approved the attached proposal to be performed as is delineated in the request we received from the Unit Owners. Contractor, L. �;; `k�N,.� r� has been contracted by the Unit Owner to perform the work as defined in tRe proposal. This letter serves as notice of the Board's vote to approve the proposal, which has been noted in the Minutes of the Board Meeting. S' ed Under the Pains and Penalt' of Penury this&5day of A , 20 6 ecret atees Board o Yachts an Condomini Trust 50 ean Street(c/o anager's Office) Hyannis,MA 02601 VJ f,�► ; ,t Ene./File (1 ,acoRo® CERTIFICATE OF LIABILITY INSURANCE °A `"�'°°"�"' `.... - .:. 2 2 6 16 THIS CERTIFICATE.IS ISSUED AS A MATTER OF INFORMATION ONLY:AND CONFERS',NO RIGHTS UP THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELTAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY:THE POL(CIES..•. BELOW. .THIS CERTIFICATE:OF INSURANCE DOES INOT CONSTITUTE:A CO,NTRAC„T BETWEEN THE ISSUING INSURER(S);.AUTHORIZED 1. REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE:HQLDER-.:: IMPORTANT: If the certificate holder,is an ADDITIONAL INSURED,the pohcy(les) must be.endorsed. If'SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,'certain;policies lmay require an endorsement. 'A statement on this certificate does not confer..rightsao the certificate'holder in.lieu of such endorsemengs) PRoouceR_ rciAME. ::: Richard K6wa1'6k Richard A. Kowalsky Insurance PHONE :! " FAx 7.81 231-20210 l :No: 0 81) 231 2021 544 :Lincoln Avenue -MAIL P.O. Box 999_ .. .. ADDREss: RK®Kowal'sk Insurance.com INSURE S AFFORDING COVERAGE NAIC# Saugus, MA 01906 INSURERA:Norfolk and Dedham Mutual: INSURED ...—INSURER 6:D.Okches�ter Mutual L D Kilkenny Electric Inc, LLC "? INsuRERc 7 Henderson Way INsuRERo. Medfield, MA 02052 lNsuRERE: INSURER F. I,:. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD'. INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY:PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED,HEREIN IS SUBJECT'TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED'BY PAID CLAIMS. INSR ADDL SUBR - POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER M/DD/K MM/DD/YYYY LIMITS A GENERAL LIABILITY -' R0309538 'i: 3/5/15 3/5/16 .EACH000URRENCE " $ '1 001Q 000. X COMMERCIALGENE.RALLIABILITY DAMAGE TO RENTED PREMISES(Eaoccurre"'m $ SO OOO , CLAIMS-MADE.'a OCCUR. MED EXP(Arty one Person) $ 5. Q Q 0... _... PERSONAL BADVINJURY $ ` 1 0,00 000,_' GENERAL AGGREGATE : $ :.2 Q.Q:O GEN'L AGGREGATE L IMI T APP LIES PE R PRODUCTS-OOMP/OP;AGG $_ 2 QQO: OOO: PRO-: POLICY :LOC $ AUTOMOBILE:LIABILITY LELIMIT•aaodderu $ ANY AUTO (BODILY INJURY(Per Person) $ ALLOWPED SCHEDULED :. Y(Per.eccident) $ AUTOS. .... _' AUTOS BODILY WJUR ..NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS. eraccdent $ UMBRELLA LIAR L. - ..: OCCUR '-" ':" i:' '...... I i. EACH OCCURRENCE:..__ $. _ EXCESSLIAB CLAIMS MADE AGGREGATE $ ;:.. DED: . ... RETENTION$ :::: .. $:.:: B WORKERS COMPENSATION WEND3831 3/5/15 3/5/16 WCSTATU- X OTH AND EMPLOYERS'LIABILITY Y/N- ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACOCEW.. $ 500:,OD0 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE:$ 5006,000 If:yyes describe under DESdRIPTIONOF OPERATIONS below E.L.DISEASE-POLICY:LIMIT :$. 5:0:0: 000`::: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach'ACORD 101,Additional Remarks Schedule;Ifmore space Isrequired) CERTIFICATE BOLDER CANCELLATION SHOULD ANY:OF THE:ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE _ 4 THE:!EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN J: Ja Guidons y `: I- ACCORDANCE.WITH.THE POLICY PROVISIONS. 500 Ocean St' $yann ,S, MA 02601 AUTHORIZED REPRESENTATIVE Ramona Kowalsky, ©.1988-2010ACORD CORPORATION. All rights reserved: ACORD 25"(2010/05) The AC name and logo are registered marks of ACORD :Phone::: Fax: E-Mail:: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #© Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 'rpy 0Ck*,r4 Jillage S OI er t:0&LE, Address e,QAI-1''0L.'a, Te lephone (I ' 21 2 —�7iJ(o Permit RequesN&MW4& ,��� t O � l IS ��c l 1f t L&L.(_o CAI Square feet: 1 st floor: existing 61prop sed 2nd floor: existing _proposed Total new Zoning District Flood Plain Groundwater Overlay Project-Valuation1�� � Construction Type Lot Size, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, ❑ Two Family ❑ Multi-Family(# units) f Age of xisting Structure Historic House: ❑Yes 8 No On Old Kind's Highway: ❑Yes allo Basement Type: ❑ Full KCrawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) cl _- Number of Baths: Full: existing ( new O Half: existing mew g -- _ Number of Bedrooms: _2, __ existing Q new } Y —rs Total Room Count (not including baths): existing _ new First Floor room Copt _ Heat Type and Fuel: ❑ Gas ❑ Oil S Electric ❑ Other r Central Air: ❑ Yes UNo Fireplaces: Existing LAIAN New _ Existing wood/coal stbVe: �(es �No in c:) 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 �Lb1.Dt' ti� Telephone Number AddressLicense"#_ 'ly' �U_A, Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 4 FOR OFFICIAL USE ONLY :d rr d APPLICATION# DATE ISSUED o*w;r •- - - - MAP/PARCEL NO. ,:= fit ADDRESS, ' VILLAGE - _! OWNER > ti DATE OF INSPECTION: _ I FRAME r , --INSULATION) . x FIREPLACE - ELECTRICAL: ROUGH `FINAL PLUMBING: ROUGH FINAL—' - GAS: , ROUGH mow: -, FINAL 'FINAL BUILDING' '4 a DATE CLOSED OUT k ASSOCIATION PLAN NO. t 1 � j I - . The Commonwealth of Massachusetts .� Department of Industrial Accidents Office of Investigations 600 Washington Street Boston;MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Bu lders/Contractors/Electricians/Plumbers Applicant Information Please Print Ledbly Name (Business/orgenizaafion/Individual): ADOAX, D P>A Address: �1 �g� ��t.(,, ►`� City/State/Zip: F3.0 ou an employer? Check the appropriate box: mm a employer with 4. ❑ I mm a general contractor and I Type of project(required):mployees(full and/or part-time),* have hired the sub-contractors 6• ❑New construction am a sole proprietor or partner- listed on the attached sheet 7. Pemodeling hip and have no employees These sub-contra-tors have g ❑Demolition arping for me.in any capacity. employees and have workers' No workers' comp.insurance comp,fimmince,t 9. .❑Building addition equired.] 5. ❑ We are a corporation and its 10.❑Electrical repass or additions am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' camp, right of exemption per MGL h=mce required.]t c. 152, §1(4),and we have no 12.❑Roof repairs employees. INC)workers' 13.❑ Other c010P.insurance required.] *Amy applicant that checks box#I must also M out the station below showing their wormrs'compensation policy information, t Homeowners who submit this affidavit indicating they are doing BE work and thm hire outside contractors must submit a new affidavit indicating such, xContractars that check this box must attnehed an additional sheet showing the name of the sub-mriftwtors and state whether or not"those entities have employees. If the sub-contractors have employees,they mast provide tlreir workers'coma,policy uumber. I am an employer that isprovidncg workers'compensation insurance for my employees. Below is thepoFiry and job site information. Insurance Company Name: Policy#or Self-ins,Lic.#: Expiration Bate: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration-late). Failure to secure coverage as required under Section 25A of MCIL e. 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 and e p and pen of perjury that the information provided above is true and correct Signature: 1� Date: 3 Phone# 2 J7 ©fib �ffzcial use.onty, Do not write in this area, to be completed by city or town o iciaZ City or Town: PermitUcease# 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#: I I Town of Barnstable F 4 Regulatory Services t � Thomas F. Geller,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyamis,MA 02601 www-town.barnstable.maxs Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This. Section If Using A Builder as Owner of the subject. 1 Property �� y hereby authorize 4 kmtl 1-U;rU,(pg to act on mp behalf in all,matters relative to work authorized by this building permit (Address of Job) Pooffences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. S tote o er APPL-1- ficant Print Name Paint Name 2 102 Date Q:FORMS:O WNERPMUYMSIONPOOLS i i I. VIM officeo onsnmer airs Bofsin`a s�ltegulatu HOME IMPROVEMENT CONTRACTOR Registration: 168054 Type: Expiration: -I:2l9/2012 Individual YES MAT -- `_ STEPHEN MATHIAS 304 STRAVIBERR�H J-AD. ' � �- r_ _ CENTERVILLE,MA 02¢37 Undersecretary Nliassachusetts- Department of Puhlic Safety Board of Building.Regulations and.'tandards Construction Supervisor License k License: CS 35267 . s' STEPHEN F MATHIAS 304 STRAWBERRY HILL-RD CENTERVILLE., MA 02632 Expiration: 8126J2013 Conuuissioner Tr#: 2454 03/13/2012 17:35 FAX 15083628567 R-M MPHY [A 001 The Yachtsman 500 Ocean Street, Hyannis, MA 02601 Yachtsman Condominium Trust P.O. Box 1283 Hyannis,MA02601-1283 (508)775-1515 4 3/13/12 i Town of Barnstable This letter is to confirm the e-mail to Stephen Mathias dba Center Line Installations and Remodeling from the owner of #38 at the Yachtsman (Jay Guidon) dated 3/12/12. The work referenced in that e-mail has been approved by the Board and can proceed. Sincer ly, obe J. Murphy (Co-Manager) i r ---_ --.-- ----- Guiclone, Jay To: Steve Mathias Cc: sherri.guidone@us.pwc.com Subicut- RE:letter Unit#38(Approval for Slider and Remodel) Steve, I received a phone call this morning from Bob Murphy(Yachtsman Condominium Building Manager:508-775-1515) confirming that we are approved for both the slider and renovation.He confirmed we may begin work as of March 12, 2012 with an expected completion date of May 11'h,2012. Donn-3 Padalono,the Secretary of the Board approved this at the most recent Board meeting on February 27th and this was s j astantiated by Ed Garrity who sits on the Board as well. You haire my approval as well as the owner of Unit#38,500 Ocean Street,Hyannis,MA. A signed copy of this email will be faxed to the below number as backup. - Thank you, Joy Guidon Owner#38 617-212-1236 From: Steve Mathias fmaiito:smligh�,gmail.oarrrI Sent: Monday, March 12, 2012 8:14 AM To: Guidone,Jay; sherri.guidone@us.pwc.com Subj44 t: Re: letter Hi Jay, The 1,,iter I need is for the town. They,require the condo trust to provide a letter to the town stating that you authorize me to perform the work at your condo.Technically,I am not suppose to start the project w/o it. You can l afire them FAX it to me at 508-775-3155.Also,have they provided the letter for the installation of the slider? Than]c>, Steve - On MEr 2,2012 2:35,PK "Guidon,Jay" <iay. Wdonena lip.com>wrote: ——--- . .. Yachtsman Condomininm'i'ritst A&Gotance of'lrnst Afro 1 The undersigned Owner[s]of Unit#38 of the Yachtsman Condominium Trusty 500 Ocean Street,Hyannis,Massachusetts,aclmowledge[s]that the Trustees of the Yachtsman Condominium Trust have voted to approve the following proposal: replacement of the kitchen slider with an Andersen replacement slider(as proposed to the Board for approval at its Feh 27,2012 meeting). f By,aclumowledging the Trustees'vote approving the proposal for Unit#38,the undersigned Ovmeir[s]agree dot L The specifications provided by the Trustees for approval(copies of which must be attached and incorporated hereto)are the final drawings and specifications of the improvements:Work must be completed in strict conformity with the plans provided, There shall be no additions or variations to the said drawings and/or specifications without the Trustees'prior written consent. 2. Approval by the Board to no way constitutes a waiver by the Board of the Trusts rights. Moreover,approval by the Board does not indicate that the Board accepts liability."responsibility for the actions of the owners. 3. Any contractors(and sub-contractors),including Center Line Construction,hired to work on the proposal shall obtain the necessary approval and permits from the appropriate local authority or statutory body required under any law(including any statute,ordinance,by-law and/or regulation). Contractors and/or sub-contractors shall not commence,continue or.complete any work without having the appropriate permits and approvals secured, Contractors and/or sub-contractors shall provide the Mannager of the Yachtsman with copies of all appr s OR perm ts. 4. Any work undertaken shall comply with all relevant local,county and sly codes, by-laws,regulations and statutes, 5. Any contractors(and,sub-contractors)hired to work on the proposal shall maintain the appropriate liability Insurance. Contractors and/or sub-contractors shell provide the Manager of the Yachtsman with copies of the relevant insurance na exs. 6. Any work undertaken shall be completed by Memorial Day and no work shall be uudertuken again until Labor Day,unless approval is sought from and received from the Trustees. 7. I/We assume(s)responsibility for any fut are'costs associated with loss or damage related to the work S. Other. No other conditions apply. -1- f 03/14/2012 11:24 5084185017- YACHTSMAN CONDOS PAGE 02/02 i Acceptance of Trust Approval Page 2 of 2 The undersigned Owner[s]of Unit#38 therefore accept the approval of the Trostees of the Yachtsman Condominiub Trust subject to the above-noted conditions. Signed his 12th day of March,2012 Sig - nit Owner Pri e-Unit Owner r� Signature-Unit Owner C.w_-a1A 4? lint N -U it Own Mess/ an er Yachtsw ndominiuin r r. Documents Attached: i Permits Received(Title and Date Received). i l E , , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel r Application Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner Addres eo Telephone Permit ReqHit S+ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning Districl Flood Plain Groundwater Overlay ro'ect Valuatn Construction Type -Lot Size Grandfathered: ❑Yes ❑ No If yes, attach& portin g..�docurQntation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) .ti. Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings Highway;_❑Yam. ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq. ) Number-'of Baths: Full: existing new Half: existing new s 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 PR HOMEOWNER) Name JYTEv Bone Number — 775 I Address a to &A od License #_C,�— l d_ V �l l l.�T aws (0 I Home Improvement Contractor# t (A S-7 0 Email LK in Skontnoelocd orker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM T S"PROJECT WILL BE TAKEN TO SIGNATURE DATE l / s r lYti ti, FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE k• OWNER i i Y DATE OF INSPECTION: FOUNDATION FRAME INSULATION ^ . FIREPLACE Ij ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' a GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. iL�,..f G' The Commonwealth of Massachusetts Depart of Industrial Accidents __- QKwe df Imvestrgations 600 Mashurgton Street . . Bostan,M4 02111 www nras&gov/dia Workers' Compensation Insurance Affidavit:Builders/ContractorslEIectdcians,►Plumbers licant Information Please Print Legibly Name(BusmesslOrgani�adiaulJn : AjMress: city/state/zip: Are you an employertZappropriatek the box: Type of project(required): 1. amIoyees(falland/orpart�time}. have a employer with 4-. ❑ I am a general contractor and 1 6- ❑New constructionI * he mired the sub-contsactors yRemodeling 2.ElI am a sole proprietor ospartner- listed onthe attached sheet ❑ ship and have no employees These sub-contractors have g. ❑Demolition ytrorlcing forme inany capacity. employees and have wodms' 9. ❑Building addition (No workers' comp.insurance comp.insurance.Z ❑ 10. Electrical repairs.or additions required-] 5. ❑ We are a corporation and its 3.❑ I am a homeowner doing.all work officers have exercised their I L.E]Plumbing repairs or additions myselright of exemption per MGL 12.❑goof s ��c£(eTo require&]1cep c.152, §1(4),and we hmm nG 13.0Q employees_[No workers' comp.insurance required-], *Auy awhcstR that checks boa#1 mnst also fill old the section below showing Their workers'compensation policy ins—M&M. T Hnmeoamers who submit&is afi5d"indication they art:domg a1h wow and then him outside contactors mast submit anew affidavit indicstin$such. TCtuactors that check this boat mast attached an additional sheet d aing the name of the sob-caarta="and state whet m ornot those entities ham employees. if the sub-contractors have employees,they must pmvide thew workers'comp.policy number. .rain an einpIoyer titat is providing tt orkers'comrpeifmdon insurance,for my enrptoyees. Below is the po8cy and job site in nation. Insurance Company Name: Policy#or Self-ins-Lic.#: -' ExpiratiomDate Job Site Address: city/State/zip: ) Attach a copy of the workers'comperts a tion p olicy declaration page(showing the policy mum&erd expir—z"u date). Failure to secure coverage as required under Section 25A o€MGL c. 152 can lead to the imposition ofaiminal penalties of a fine up to S 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 fqr insurance coverage verification. I do hereby c u tde hepain and penalties ofperjury that the information prinided above' true n corr at tare: Date: Phone#: F I use onfy. Do not w ite in this area,to be completed by city or town offj<i'ciaL r Town: Permitliicense# g rmthoiity(tdrele one):ard of HesIth Building Department 3.Cityfrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6 AC Rp�' - 3DATE /27( M/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE o3�2��zo14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS _ CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy„certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: DOWLING &O'NEIL INS AGY PHONE FAX 973 Iyannough Road E ANo Ea vc No: IL P.O. Box 1990 ADDRESS: Hyannis, MA 02601 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A: INSURED INSURERB: AMGUARD Insurance Company 42390 Emergency Contractors LLC INSURER C 362 Yarmouth Road INSURERD: Hyannis, MA 02601 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DDL SUBR A POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 0 COMMERCIAL GENERAL LIABILITY DAMAGE O RENTED PREMISES Ea occurrence $ 0 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 0 PERSONAL&ADV INJURY $ 0 GENERAL AGGREGATE $ 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 0 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT . Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) — $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ --TOED FJ RETENTIONS $ WORKERS COMPENSATION WC YIN STATU- X DER ANY EMPLOYERS'LIABILITY - TO Y LI ITS ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBEREXCLUDED? ❑Y N/A R2WC594148 03/03/2014 03/03/2015 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 - DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Exclusions: Scott Gladish CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD UPc . n Street 'Hv'3nnis, MA 0260' Yachts:mon Condominium Trust PM Office: (508)775-1515 Unit Chvilner I,(we) _ C �.' > __.. _..... _._.__..owners of tan #P ( do hereby apply to the Yachtsman Corido 'niairn Trust, pu cuant to Article V;Section 5.6.2,o ,he By.Laves of the Y.C,T., permission for our contractor to carry out the folioLIV 1B imt)rovernents�/literMions: Contra>torName:: d Place an"X"in the box to indicate type.of improve menY,IT0ude below and in attachments the type of equipment location of installation below >rsr-clers finflows i Neat/Air Ji it { 'Froot;door( Other L�I("ondicioning —' Reniotde!ing' �--]Front Screen Door Improvement A`toched puye,where needed, to pto-/ .';. i.tuils U1 .`;e it rI t v"W!t t,be.t,j ploonet.j. le 3� _ a 4 lrr.Lh=+t+iSi lrltrr2 rSranreRteii: - _�_ 1_ C .. l4rr'rt.hsaw'�htmc' � farr.ii,+ Irl,�r:.a Prase submit this farm to the Propia r rrtcrnrrgemeat office(ID"1 0)for irevie:r Date..received by PN O -Date of w.-hp 3oard for A,opro+ai: Date final BoardApfarcx+it R<:cen+r ri Y(T Iniorovement Request Farm"last u pdatecd Mar'2014 x f 00 O -an Street, 1-11yannfs, VIA02601 Yachtsman Condominium Trust PM Office. (508)775-1515 Requiremenirs for Comp!etirsg jimprovements Requests I. 17equGStS should be ill the 1f,'lll of i leWh4',U'ritt€:r"i dCSCVi€1ti011 01 Ch t,lgeS;1),,o hticlllioils being requeslai. 1 Rap pis Wwuld WCW&as Much detail as PO ,IN(.',li ,`i'i'C1i1C dw Wu*COWt;l. 3. For changes that itWt the eltt idor of the unk I:Jud ,z i,.pii)1tymplt of the t;Atwdsw or the unit incliicadng Here ' tlw dune WH omisi nd hmv,i'::'ill hat rel hT to do ajamw whs. . 4 Attach ildditilanal pages AT documents and idiales tt'ANY s'N0 is h:nt;;C;latiiri .1. ;. Submit file regtest dire tl: to tflr €"r-opery, Inn.€nment Mice;NOT to ire€iviE uM BOT 171a,1t;my 6 I he Board s+ill consider WA (} nwr Squats :.itsat uad at the€voiU tlti 1K)T me tin;s. r. l'ailum to piovit e del,aik rrf"i le'pt est,rimy resul in appmv& b hitg dl'fE,i'ed.p7,,ndivig requii-M devils. 8, if aissktatnce is needed nllli g o t the, (q11am ;.t7".5tll.ct to Pr piety 91 anaa[?,:,1',, They ,.ill be ha"y to aminl vQh any questions you may nnVe ai tl can provide Gr1 iatwe on whal ;to ii are rerjui�ed t(`jr approval consideration. 9. For armm requests the ywocess to Bud nppm al Ian tKe a minuaton ofa a lonth, if*nol mom WnNi fired €n1 rillatiOtl is missin7 '�;It.'il tlr i�irli;l , l,t fi (>1'fi;lt ti�JaS:cl',[l,c ikiiGl t'sIY'1c. i0. All itn€lrovement rerrueMs MLET lrti'Wde ai e i`)t of M e Comet insLorance,workinan's c ornpet nation to i lilbilily.and their licerlse. ior to he consUkral Ar AlTroval. - 1 1. r't.€1 impr©verrtcnit rtaf;ncstsiJSJ'incl€ e a c"y of pciraiits any vvor; a(iecfin,;plumbing,electrical and/or 7trircttu'e, based on tine b',--1avvs. `or it to be cDri idcret! 11 It is the resp insitrility orthe unit pwrier'to rnarke arrangements to get a key to the contraciburs€"or•ttleh- im€rovc(ri9;nt llrojli ill t iM l'.;iP::1;y \-l;?,n<"amem OW Wit.1 W) W?:(:ER he permitted to give out keys, 1_3. Per the..€'pwn of Baras aide reguNt;ow vo Ilia,of jwrnihs must he put in a window�s�UAis hvm The pling ic)t � or street while work is be,lii h 'Formed in the unit. 1 T ContralC ors aiv i'tsponshW tt) rc:41t(7'''( all n¢u marls and ti Sh 1 011) thC p'irt)p)0,rlk' !:kill is aSS()CiatCd With your pjl,gjea.Traslishouldwr bu put in Uw Yachmbm UK n.4pt OR ift ow W be picWd Mp by the Property Munaprs. 15. Once ate Irnp}rt vancra R=,,quest is,approved,tic., :.Pf1R-0, ,1, nfter 6 mouths. ]!'it pr(.1jec;t i,delay,d tire;Ullit(}1ir14',t Vttr3 t .i.1)irli[ t;teIt.;. lem 1:,t11_ PIcq C-iy 0111cJ l(:)r rC41Gb ai1C re approval. Ifs. '6"lle°:PnqwHyA1anagcme"lr DQatuz;slrrtring he .s=.,..ttin t trS'the schedule 1'ctr Con.itactt')rs being,n1i the lr,oper1.1' 17, Any work undertaken shall he comlileled by RianoN,il Wy and no work shall Lie undertaken atgidn until Labor Day, unless a"ic,1'r11 is SW OH i N)i i�c.ccived from the €'ruslees. Please voirftrin helix);,your and rtti ndirnj r;fthc ahow rr lr irtenierint,-co.s•rrpport the i nhi;b"ions of r€yaests. ......... ......... nit 7 , tilt r1 r� 1.1 is YCT intramwment Request Fiornir(;a i upadat€d h3ar`2014) The Yachtsman 500 Ocean Street, Hyannis, MA 02601 Yachtsman Condominium Trust P.O. Box 1283 Hyannis, MA02601-1283 (508)775-1515 DATE RE: Unit A,Yachtsman Condominium Trust, 500 Ocean Street, Hyannis To the Town.of Barnstable Building Commissioner, The Board of Trustees,for the Yachtsman Condominium Trust voted and approved the attached proposal to be performed as is delineated in the request we received from the Unit Owners.' This letter serves as notice of that vote to approve the proposal, which has been noted in the Minutes of the Board Meeting. Signed U the Pains and Penalties of Perjury.this�day of •Y' , 20& f S' retary, and of Trust s -achtsman Condominium Trust 500 Ocean Street (c/o Manager's Office) Hyannis, MA 02601 Enc./File 362 Iyannough Road, Hyannis, MA 02601 * 508-775-1120 * 508-888-7750 + A, I April 11, 2014 To Whom It May Concern: This letter will serve to verify that R. Scott ]ones is employed by Emergency Contractors and is thereby authorized to pull building permits on our behalf. Please feel free to call should you have additional questions. rely, S tt G a h Owner SG/srh Toll Free 866-888-7750 * Fax 774-470-1575 www.emergencycontractors.com Town of arn. s a e Regulatory Service l � anWN.. a> Thomas B.Geiler,Direr nseaa � �•.�� wilding DiVisiOn Tom perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 ",w w.town.barnstable.zna,us Fax: 508-790-6230 Office: 508-862-403 8 Property Owner Dust Complete and Sign This Section _If Usin,�A wilder i as owner,of the subject property !a -._ t' 3 ;^ ;f n ,, to act:on tr.y behalf, hereby authorize _4 D:� in all Matters relative to work authorized by this buiLdiug perlw.iG (Address of job) � i . l **Pool. fences and alarms are the respc nsibihty of the applicant. Pools are not to be tilled or utilized before fence is installed and all final inspections are performed and accepted. Sig at jofcaner igitature of ipplicasa.t. i T'ri.ut Iv e Print:Marine i 41 Date r, tg;t)tiiNi R.^r.TLMISSlOh7'7[)i.S 6/2012 L Q.. P.N. r Massachusetts -Department of public Safety Board of Building Regulations and Standards L'a;nstrurtii�n Sr�pca�'isrrr ��. License: CS-103622 ROBERT SJONE,� ;a 206 CEDRIC RD; T C.ENTERVILLE MA p g . Expiration Commissioner 03/1912015 S i