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0104 PINE AVENUE
L � c ' Application number 2-A 33 � • 06 Fee .................................................. ... ................. t "sl'L MAMS Building Inspectors Initials....... ... �o► Date Issued..................... .[.!.d..�. .................. a� Map/Parcel....�....................................................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: /0/y /�,',� e Ae— �yr�t� I/,S` NUMBS STREET VILLAGE �P Owner's Name: ,� d2 �/i l Phone Number SD 9 77- '7 Y 7 Email Address: Cell Phone Number Project cost$ �,� —�®® Check one Residential V Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CNM Owner Signature: Date: TYPE OF WORK 0 Siding E-1 Windows(no header change)# ® Insulation/Weatherization ® Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than I layer of shingles) 1 Construction Debris will be going to W O LL bu ru CONTRACTOR'S INFORMATION Contractor's name �e�r C/ Co Home Improvement Contractors Registration(if applicable)# I 3 ©� (attach copy) Construction Supervisor's License# G/®� (attach copy) Email of Contractor co an c%ofe oo 4PPhone number ALL PROPERTIES THAT HAVE STRUCTU ES OAR 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN 3 � �w.� v • .u • u�.............................................................. i *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X-5 X 9 X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am -9:30 am or 3.30 pm4.30pm.Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signatureal/,� [mvm Date All permit applications are subject to a building official's approval prior to issuance. Massachusetts Department of Public.Safety Board of Building Regulations and Standards -License: CSSL-106102 Construction Supervisor Specialty f . ARMEN SAFARYAN 67 SEA STREET APT A4 HYANNIS MA 02601 m ` �:.'tx�`�' ;,,.y•�.� Expiration: Commissioner 10/0212020 Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvemen;�'d"'ritractor Registration Type: Individual Registration: 183202 ARMEN SAFARYAN Expiration: 09/13/2021 DB/A COREY AND COREY p '� 67 SEA ST APT A4 HYANNIS,MA 02601 Update Address and Return Card. SCA 1 Co 2OM-00�51177p (�J/ee tDsmnzoazcaeall�i o�C�/�aysacfuae�a office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPEalndividual before the expiration date. If found return to: Registraf-iion6;,- goiration Office of Consumer Affairs and Business Regulation 183202z - _—=09/13/2021 1000 Washington Street -Sup 710 SAFAR1C4N— %* ~ Boston,MA 02118 ARMEN D/B/A COREY AND 60RE4 ARMEN SAFARYAN.� ST APT A4 67 SEA � ti -�'�(" HYANNIS,MA 02601 '� = Not valid t ignature Undersecretary COREY & C10, REY The Roofers " 67 SEA STREET APT#A4, HYANNIS MA 02601 PHONE 1-500 -775-8240 RE-ROOFING PROPOSAL August 8, 2019 BARBARA FLINN 104 PINE AVE. EM: HYANNIS,MA Tel: 508-775-4476 COREY & COREY hereby proposes to perform the following services in a neat and professional manner and in accordance with the manufacturer's specifications and local building codes. Remove and Haul Away All of the Old Three Tab Roofing Shingles(One Layer) from the Upper Two Story Main House Roof Section Only.Re Nail All the Existing Sheathing as needed. Supply and Install GAF 30 YEAR: 115 MPH WIND WARRANTY,CATEGORY III HURRICANE, STORM MURICANE NAILED (6 NAILS PER SHINGLE), MULTI-LAYERED, LAMINATED ARCHITECTURAL STYLE,FIBERGLASS BASED ASPHALT SHINGLES. COLOR PEWTER GRAY. Supply and Install 8" WHITE ALUMINUM DRIP EDGE on the Eaves and Rakes. Supply and Install CERTAINTEED WINTER-GUARD (Ice & Water Shield)WATERPROOF UNDERLAYMENT SYSTEM on THE ENTIRE ROOF SECTION Supply and Install AIR VENT SHINGLE VENT II RIDGE VENT on the Ridge. Supply and Install NEW ALUMINUM& NEOPRENE SOIL PIPE FLASHINGS Supply and Install NEW S01 FLASHING KIT AROUND THE SKYLIGHT Clean and Remove Debris from work area after job is completed. ROOF INVESTMENT ------------- -$69500.00 r' CO: RZY & CO� REY 66 The Roofers " ADDITIONAL POSSIBLE WORD IN CASE THE ROOF BOARDS ARE IN A POOR SHAPE: Supply and Install NEW 3/8 CDX PLYWOOD UP AND OVER THE EXISTING ROOF BOARDS BEFORE INSTALLING THE ROOF SHINGLES-------------------$2,500.00 POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$60.00 per Hour(For Each Laborer Involved). PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORD SCHEDULE: All Roof Work is Scheduled for Completion Within 90 Days of Acceptance and Deposits Received are Non-Refundable After a Three Day Cooling Off Period from the Date of signing. Please Make Checks Payable to: COREY & COREY COREY & COREY Warranties the Shingles and Labor for 10 years. COREY & COREY carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: -�?—r aZ I r ACCEPTED BY: SUBMITTED BY: Ai ! L�i-fhb A ' BARBARA FLINN ARMEN SAFARYAN HOMEOWNER COREY & COREY HIC # 183202 CSSL# 106102 A6 CERTIFICATE OF LIABILITY INSURANCE FDATE(MMMDNYM `'� 9/13/2019 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 NAMEACT Ashley Paiva Eastern Insurance Group LLC PHONE (800)333-7234 Pnlc No: 233 West Central St nODRess:apaiva@easterninsurance.com INSU S AFFORDING COVERAGE NAIC 0 Natick MA 01760 INSURER AArbella Protection Ins. Co. 41360 INSURED INSURER B Associated Employers Insurance Armen Safaryan, DBA: Corey and Corey INSURERC: 67 Sea Street INSURER D- Unit A4 INSURER E: Hyannis MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBER-2019-20 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. IL R TYPE OF INSURANCE ADD S BR POLICY NUMBER MMUD EFF MM�D EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE Fx-1 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 9520046441 9/18/2019 9/18/2020 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE UMfr $ Ea accident _ ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS Per accident $ UMBRELLALJAB OCCUR EACH OCCURRENCE $ EXCESS LJAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATION I SPER OTH- AND EMPLOYERS'LIABILITY Y/N TATUTE I JER ANY PROPRIETORMARTNER/EXECU IVE ACCIDENT $ 1 000 B 000 OFFICER/MEMBER EXCLUDED? �N/A E.L EACH AC (Mandatory in NH) WCC50050150912019A 9/18/2019 9/18/2020 E.L.DISEASE-EA EMPLOYEE $ 1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Display Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE John Koegel/APAIVA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 r7mdnit The Commonwealth of Massachusetts Department of IndustfialAccidents t I I Congress Street,Suite 100 ter ;<i� Boston,,MA02114-2017 www.mass gov/dia R orkers'Compensation insurance Affidavit:Builders/Contractors/Electricians/Plumbers. - TO BE FILED WITH THE PERMITTING AUTHORITY. A Gcant Information j/ Please Print Le 'bl Name(Business/Organization/Individual): 11r;w e_a2 Q- y w Address: � � �j��� �-..� ^�'� J � •� ��� a J City/State/Zip: r y 2 .f Phone#: -7 '7' Are you an employer?Chec the appropriate box: L Nf Type of project(required): I am a employer with :; employees(full and/or part-time).* 2.❑I am a sole proprietor or partnership and have no employees working forme in 7. El New construction any capacity.(No workers'comp.insurance required.] 8. Remodeling 3.Q 1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 El Building addition ensure that all contractors either have workers'compensation insurance or are sole 1]•Q Electrical repairs or additions proprietors with no employees. 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.❑Plumbing repairs Or additions These sub-contractors have employees and have workers'comp,insurance: 13. Roofrepairs 6. We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. ?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 thepolicy and job site information. Insurance Company Policy#or Self-ins.Lic. D- -// G"1;-/i ; Expiration Date: ,IJ I.Q a Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage 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 certi v 'nde tit e 'a'ns and penalties of perjury that the information provided above is true and correct" Si Date: Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): [6. .Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Other ontact Person• Phone#: MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392.6108,FAX(800)851-8424 8/15/2019 Form of Notice of Casualty Loss to Building Under Mass.Gen. Laws,Ch.139.Ser...36 HYANNIS BUILDING DEPT 200 MAIN ST HYANNIS MA 02601 Re: Insured: BARBARA AND ROBERT FLINN Property Address: 104 PINE AVENUE, HYANNIS, MA 02601 Policy Number: 1150090 Type Loss: Windstorm due to:Tornado Date of Loss: 07/23/2019 Claim Number: 441738 Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000.00 or cause Massachusetts General Laws,Chaoter 143 section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139 Section 35 is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured,location, ,pciicy number,date of loss and claim or file number. MPIUA Claims Division CMA00021 lug Town of Barnstable g„ Post This CardSof That rt s Visible Frorn;theNStreet ,Approued,Rlans Must beRetamed on Job and'th�s Gard Must beaKi�`"t M eE Po.._ ntl Firial.lnsxe`" O 1s3� 5 ted U R Where a Certificate of=Occupancy is Requ�r�ed;�such Building shall Not be O.ecupied until a Final lnspect�on has been made Permit Permit No. B-18-1299 Applicant Name: ARMEN SAFARYAN Approvals Date Issued: 04/30/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/30/2018 Foundation: Location: 104 PINE AVENUE, HYANNIS Map/Lot. 308-268 Zoning District: RB Sheathing: s Owner on Record: FLINN, BARBARA A Contractor Name ARMEN SAFARYAN Framing: 1 Address: 104 PINE AVE Contracto Ucense '83202 2 HYANNIS, MA 02601 Et roject Cost: $4,500.00 Chimney: Description: re-roof stripping old shingles-Yarmouth i � Permit Fee: $35.00 ;: Insulation: Project Review Req: Fee Paid: $35.00 Date 4/30/2018 Final: 4. . `- Plumbing/Gas all AvlRough Plumbing: � ,! Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work autho4d0%gA4.,s permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application andahe'approved construction documents for wheel this permit has been granted. All construction,alterations and changes of use of any building and structures SQ1 be in compliance with the local zoning bylaws a,'d codes. Final Gas: This permit shall be displayed in a location clearly visible from access streeto�road and shall be maintained open forapublicrospection for the entire duration of the work until the completion of the same. k p V� Electrical y 1 - 3 The Certificate of Occupancy will not be issued until all applicable signatures by the Building and ls Firee Offidia are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: ; 1.Foundation or Footing Rough: � .�;_ r . 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable *Permit# /Y` ryes 6 months from issue date Building Department Eee 3 — SARNSPABM ; Brian Florence,CBO S Building Commissione oP �1l� ,-,0. , F— j P) RV, '0�fp 0 200 Main Street,Hyannis,MA 601 www.town.bamstable.ma.us APR 2 7 2018 Office: 508-862-4038 Fax:508-790-6230 TOWN OFBARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number (D (pT Properly Address /0 L/ Pj'n e a,t_,t, lyzv am t 5, /Y0 0 U-o/ C❑. ->teesidential Value of Work$ - Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 13aJ4&ISA A'1 tln n l©�i %►//fi�e Contractor's Name km Pall sol,l'/,l.d�S�QC_B) Telephone Number `7 7r=8 0 Home Improvement Contractor License#(if applicable) /8 5 W 7- Email:cO"aj g to e S 00 4'/ ai 1.coon Construction Supervisor's License#(if applicable) W/0 2- ❑Workman's Compensation Insurance Check one: El- aim a sole proprietor Ti I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request eck box) e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to K0-b'�. I — ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must si Property Owner Letter of Permission. A copy of Ho I provement Contractors License&Construction Supervisors License is required SIGNATURE: C:\Users\decollikWppData\Local\Microsoft\Windows\INetCache\Content.Outlook\9NNOKXYW\RESIDENTILONLYEXPRESS.doc 09/26/17 �►lzssachuseiEs Departmert of Public Safety k Baird of Building Regulations and Standards 'rCense:CSSL tM02 - ARMM SAFARYAN �e 67 SF. Z RE$T AFr A4 HYA14M DOA 02M %y-�. --- Expiration: Commissioner 10/0212020 office of Consumer Affairs and Business Regulation One Ashburton Place-Suft 1301 Boston, Massaftsefs 02108 Home WVrovemei 'Contractor Registrdon AMEN SAFARYAN ;- - - = tm 1� 67 SEA ST APT A4 � o'�JiS/�is HYANNIS, MA 02601 _ - - - UpdateAddimmmWwetwncaid. ' zm+n.osrrr - OtHaeotCoza�A�hs&$u�SRe - - tiamEaewammeffconinu=iR = R8*8haftn„0dtoNudry dM use ody - TYPEC inda+id d betoietheaphattandaft lfionnatetumta - R at ni _ OEMofconstmerABairsand Res 10ParicPhm-SwIft _ DMA 02f16 AMEN sAFARM-1-m— M/A CCREV� -UPFT QT- JU I TSEASrAFTM.. ° tYANN13,MA 0260i Uadry _ Not valid vwWuaat WjnVam _ The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia «'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNHTTING AUTHORITY. Aaolicant Information p n Please Print Lezibly Name(Business/Organization/Individual): �Itnm Address: �7 Sea y City/State/Zip: `� 2I/' Phone#: 7 7 v Are you an employer?Check the appropriate box: Type of project(required): 1. i a employer with / employees(full and/or part-time).' 7. ❑New construction 20 I am a sole proprietor or partnership and have no employees working for me in g. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition i 40 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I 1❑Electrical repairs or additions proprietors with no employees. 12.❑Plumb' repairs or additions 5❑I am a general contractor and I have hired the sub contractors listed on the attached sheet. 13 Of repairs These sub-contractors have employees and have workers'comp.insurance.: 6❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 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 my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage 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 co f this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verificati I do hereby Vder rolt nd penaltie perjury that the information provided above is true and correct Sip-nature: Date: L Z 7-12 Phone#: 7 7 F'ZIlt p 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#: ® DATE(MM/DDNYYY) ACO AC� CERTIFICATE OF LIABILITY INSURANCE 9/21/2017 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 COOhNTACT Ashley Paiva Southeastern Insurance Agency, Inc. PHONE (508)997-6061 ac No:(508)990-2731 439 State Rd. ADDRESS:apaiva@southeasternins.com P.O. BOX 79398 INSURERS AFFORDING COVERAGE NAIC# North Dartmouth MA 02747 INSURER Arbella Protection Insurance 41360 INSURED INSURER B AEIC Armen Safaryan, DBA: Corey and Corey INSURERC: 67 Sea Street INSURERD: Unit A4 INSURERE: Hyannis MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBER:2017-18 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ A CLAIMS-MADE 5-1 OCCURDAMAGE TO RENTED PREMISES PREMISES Ea occurrence) $ 9520046441 03 9/18/2017 9/18/2018 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accdent ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per $ AUTOS AUTOS er accident) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION - $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? B N I A (Mandatory in NH) WCC50050150912017A 9/18/2017 9/18/2018 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 B yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Display Purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE } Ashley Paiva/AMP ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025rgm4ml t COREY & COREY " The Roofers " 67 SEA STREET APT#A4, HYANNIS MA 02601 PHONE 1-500 -775-8240 SKYLIGHT REPLACEMENT PROPOSAL April 17,2018 BARBARA FLINN c 104 PINE AVE. EM: HYANNIS,MA Tel: 508-775-4476 COREY & COREY.hereby proposes to perform the following services in a neat and professional manner and in accordance with the manufacturer's specifications and local building-codes. Remove and Haul Away All of the Old Asphalt Roofing Shingles (One Layer)and the Skylight from the Rear Left Small Addition Only. Supply and Install GAE_TIMBERLINE : LIFETIME WARRANTY, CLASS A FIRE RATED, COPPER/CERAMIC STONES, 130 MPH WIND WARRANTY, CATEGORY III HURRICANE STORM/HURICANE NAILED (6 NAILS PER SHINGLE), MULTI-LAYERED,LAMINATED. ARCHITECTURAL STYLE,FIBERGLASS BASED ASPHALT SHINGLES. COLOR:; PEWTER GRAY�� Supply and Install 8"WHITE ALUMINUM DRIP EDGE on All of the Eaves. Supply and Install (lee& Water Shield) WATERPROOF UNDERLAYMENT SYSTEM on Roof Eaves& Valleys Under the Step Flashings,on the Skylights and Chimneys. Supply and Install "ROOF RUNNER"/RHINO SYNTHETIC ROOFING PAPER Supply and Install ALUMINUM& NEOPRENE SOIL PIPE FLASHINGS Supply and Install ALL NEW VELUX FIXED S06 SKYLIGHT WITH THE FLASHING KIT Clean and Remove Debris from work area after job is completed. TOTAL INVESTMENT ------------- $49500.00 COREY - & COREY " The Roofers " POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$ 50.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Scheduled for Completion Within 60 Days of Acceptance and Deposits Received are Non-Refundable After a Three Day Cooling Off Period from the Date of signing. Please Make Checks Payable to: COREY & COREY COREY & COREY Warranties the Shingles and Labor for 5 years. COREY & COREY carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE:__, ACCEPTED BY: SUBMITTED BY: BARBARA FLINN ARMEN SAFARYAN HOMEOWNER COREY & COREY Y ' Town of Barnstable *Permit Q1/ D � Expires 6 months j issue Regulatory Services Fee snnxsrABM MASS. Richard V. Scali,Director 1639. Tom Perry,CBO,Building Commissioner�.��ES 200 Main Street,Hyannis,MA 026. www.town.barnstable.ma.us NOV O �a�o cc Office: 508-862-4038 ��08-790-6230 EXPRESS PERMIT APPLICATION - RESIDEKIDFM TABLE Not Valid without Red X-Press Imprint Map/parcel Number f Property Address Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address . Contractor's Name Telephone Number,37T 77 E l�� Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: �am,a sole proprietor -I am the Homeowner �❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Req st(check box) '_BRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken o e roof(hurricane nailed)(not stripping. Going over existing layers of roof) y e-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: A1 Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 f Tire Comrrrorriveakh o,f Vassachusetts Deparhnerrt cr,fIrudus&ial Accidents - - fI,f -ce o,f 1westigadens 600 Washington Street y — Boston, A 92111' t4nnv ma=gvWdia Markers' Campensatian Insurance Affidavit:Builders/Contrac.torslEIectr cianslPlumbers Applicant Infeirmatian Please,Print Lembly �1`'lT-m- ,a): OAR b�R A- �inl � raitle t1Sme anlz3tionlGn dressCAd ; ' �r/ �/U e— r CitYfstate/zip- - Phone — 7 Are you an employer?Weekthe appropriat ox: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time)'* art timed* have lured the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling These sub-contractors have •Ship and have,no employees $. ❑Demolition w ga for in any capacity. employees andhave wogs' ° Y 9. Buildingaddition o wGrlcem, comp.insurance comp.insurance.1 ❑ required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions ,.3: --I am.i`hiomeov«er doing all work officers have exercised their 11.❑Plumb ngrepairs or'additioms - myself[No workers'comp_. righLt of exemption per MGL 1.2.❑RDof repairs insurance required]T c.152, §1(4).and we have no employees.[No worlers' 13.❑Other comp-insurance required.] ;Any appticaut:that checks box AF1 must also fiIIoutthe:section beTow shaming iheirmo&ers'compensationporkyinfannatiaa HomanornaK who submit dims af5datq1 indicating fty are doing all wa&sad Ikea}tire autade coamctors Est snhmit a new affidavit m&cating mch_ fCantractors that check this box mast attached an additional sheet shaming fleename of the salt-coatrnctxs and state whether at not those entities have employees.Ifthesub-contr cturshave employees;they nmstprmide their workers'comp.police number. Iam an ernpLoyer that isprn ding 1vorkers'compensadan insurance,for uzy eurpIaywes Below is fhapolicy and jots site infornzadom Insurance Company Name: Policy 4*'or Self-ins..LicA� ExpirationDate: Job Site.Address: City/State.Zip: Attach a copy of the workers'compensation policy declaration page(showing the poTicy 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-Dear imprisonment,as w ll as chril penalties.in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the tizolator. Be adidsed that a copy of this statement may be forwarded to the Office of Investigations of the DIAA.for insurmce coverage vedfics#ion. I do hereby cmlio tutder tFteprrirrs arrdperiabye ofperJury that the in,formafiiirprm�i&d abmw is bare mid correct Sit raivre: Date: ZZ / --Phi OBTeial use anty. Do not write in this area,to be completed by city artown oJjrciat City or Town: PerinitUcense 4 Issuing Authority(circle one): 1.Board of Health Building Department 3.Cit+ptToavn Clerk d.Electrical Inspector 5.Plumbing Fncpector 6.Other Contact Person: Phone#: Inform ation and Instructions , Massachusetts General Laws cbapt�r 152 reqaires alI employers`to provide workers'compensation for their employees. pzusuantto this she,an.empfoyre is defined as."—every person in the service of another under any contract of lilbsl. , express or implied,oral or writiDn_" An ezr pfvy�is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides theram,or the occapant of the - dwelling house of another who employs persons to do maintenance,construction or repair woik on such dwelling house or on the groimds or building apptufenanttheret o shall not becanse of sack employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant Who has not produced acceptable evidence of compliance witIi the hnmxauce.coverage required." Additionally,MGL chaptr_r 152, §25C(7)states"Neither the commcn,�,eannor nay ofits political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of comp BEP2ceWith the inSUIMce. requirements of this chapter have been presented to the contracting mthoiity_" Applicants , Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and ph onenumber(s) along with their cerEfcate(s) of fimaran ce. Limited Liability Companies(LLC)or Limited Liabrlity-Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this afaldayk may be snbinitti--d to the Deparfinent of Industrial Accidents for confirmation of insIIrance coverage. Also be sure to sign and date thhe affidavit The affidavit should be ret=mmed to the city or tDwn that the application for the peunit or license is being requested,not the Department of fn d str;al Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the inimber listed below. Self-in�companies should enter their self-i sT-ance license number on the appropriate line. City or Town OfElcials . Please be sure that the affidavit is complete and priced legibly. The Department has provided a space at the bottom of the affidavit for.you to fill out is the event the Office of Investigations has to contact you regarding the applicant_ Please be m a tD fill i a the permit/license number wbich w-EI be used as a reference number. In addition,as applicant that must submit multiple permWlicense applications m any given year,need only submit one affidavit indicating current policy imlfbmation(if necessary)and under"Job Site Address"the applicant should wIIte"all locations n _(city or town)_"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fufine permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le_a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would at to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a caIl- The Depar inenfS address,telephone and fax number. T_he C:aMMMWa1t3_of Ma ssachu -f-its , . Ilegai�enen�cif 1ud�frzaZ A�dents . ���ashingtan � Te,-L#617'27-4900�xt 4€6 or I-977-MASSAFF, Fax 9 617-727-7M Revised 4-24-07 .masgQ�f pia r Town of Barnstable Regulatory Services ` l SK roi�,ro Richard V.Scali,Director '. Building Division * MOM Mass. Tom Perry,Building Commissioner 9 s6;¢ � 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: /D 11 Ave, A�/ number N� : sstrreet / village ..HOMEOWNER` /�/�h/� FA/ )iG--I/U A V �� �O name home phone# w p honork e# . CURRENT MAILING ADDRESS: V e- city/town state zip Ode The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures.'A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pro9loures �andd requirements and he/kie will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\F.70'RESS.doc Revised 040215 t * snxxsr�sr.E, • 03 Town of Barnstable prED MA'I s _RegulatorServices..- ----------- -- ---------- Richard V.Scali,Director Building Division Thomas Petry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Prm' t Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WHILESTORMS\building permit forms\EXPRESS.doc ReAsed 040215 Town of Barnstable Ft"Er Regulatory Services Thomas F. Geiler,Director IAS& . " Building Division q�prfD �a`�� Tom Perry,Building Commissioner 260 Main Street, Hyannis,MA 02601 www.town.b arn stable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# I �/S� a �p y FEE: $`_5 Se SHED REGISTRATION 120 square feet or less �Z. &A Location of shed(address) illage &X-Z?A el�t , EZI �11V �Z�Z Property owner's name Telephone number Ca` Y Size of Shed Map/Parcel# , ti:v Signature Date r-1 Hyannis Main Street Waterfront Historic District? �19's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) L-J Sign off hours for Conservation 8:00-9:30 &3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 r TWap. 41� Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters Map Size Zoom C N 377 9 308260 308248. �u N 62 4 35 7 308284 aV 61308251 30$�247'. r n r T 4 34,1 7$ 308217 4 " .: N 71 my 308216 + " - 3082�14 u�f .f 308246 .308222 % N N24 308215.. 308267 - " N 87 3 4 ` 30223 3r 308214 � , 308266 V326001 30 s, ' N 308226 ip 107 ',Mill N 3 308211' 308227 x. 30 8 308 12 . _ .. 3082-1 0 " N30$229 � 230 123 ' 308209 � , 1U_64 X'127 " Set Scale I" = 127 I Aerial Photos I MAP DISCLAIMEF Copyright 2005-2010 Town of Barnstable, MA All rights reser BarnstableMA v1.2.4113 [P I fittp:H66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=308268 5/2/2011 ���-�� Assessor's llnap and lot number ................ . ........... THE Sewage Permit number �� 5 �� �✓�f�� �� y ��� d`�Q °� Z BABB9TABLE, i House number ........................................................................ a mo 900 "b s ♦� �9 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO {._.�i'.<� Ga !!G�'� .. ,R!, i+ . TYPE OF CONSTRUCTION .............. .... ,r?....`................................................�......................... ...................................19. .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........... .1�.......�--,.................. ................... r? ... ......................................... ProposedUse ...................:......................................................................................................................................................... Zoning District ...�..,....... ................ .....................Fire District Name of Owner , ............Address ....... .`I.. ....................fy -r ..... 62 Name of Builder _ .......Address /, .. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...... *! :................................................Foundation .... Exterior ..., .i!yy.. dr" ":................................Roofing ......�`�.�.:..:. ................. ......................Interior . 'J�! ,+� / Floors :.,.-�l"'.. .....:....................................... .... Heating ..... `�+ ;! •;�,t: �, ,, !Al.......................Plumbing ......4: ................................................... Fireplace .....`-- " '.................................................................Approximate Cost ......... C�C� �.........................../�... ............ Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ....... �f�.......:r..r�.:.... '75- Diagram'of Lot and Building with Dimensions Fee . r^-- AL F BOARD OF HEALTH �a ��(%G� . SUBJECT TO APPROVAL O t?eMo+�G g gw-r rev ANLAOD Ir 9'szSTtwc,- - 30 or I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. � . Name ...!... lz—,4e�/ .......................... � 23443 ADDITION � Ncr -----.. Permit for ------------ � Single..FanziIv—���Il ' ---'. ^ - ~ Location .......................................uY4x1Ai.'q--------------- ~ ' � Owner '.Flinn---------' . Type of Construction ........Frame_--..---- --------------------------. . Plot ............................ Lot ----------' � ~ ' Permit 8,00t*6 — Ol � Doteof |hopachbn .................................... Date Completed ......................................lg ' PERMIT REFUSED ' � � ' ............................... .. lA . ' ` ---'-----'' --'----------'' � --'''---- —^----^-----------' . ` � ..! —.-----...-----. ' --------.--.---. � Approved � ................................................ lg --'------------------'--^—~'' ---------.—..—'----.-----.--.. � [ ~ Assessor's nap and lot number ...................6.a.. 1� yO%THEt�� Sewage Permit number /��d. ��=G!!� ��lfl �3�� •. �,� fCI n ' Z BARNSTABLE, i House number ........................................................................ ro rasa p 1639. iOTfp upI I►• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... ...... .... ...�r. .. r TYPE OF CONSTRUCTION .............. ........ ... ....... ! ....................... ......................... V ....'.. ..l..a......................19.$ . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......... ..`.........(.. '.......... ....................... zfi..,�.... � ..... ProposedUse ............................................................................................................................................................................. Zoning District ..� . s . .. ..........................................Fire District ............�-C Name of Owner A „�� tr....�� � ..,t:............Address ...,��.��....y�E, a�..ea�f... '�!r...... ... ... .• . ................ .... .. w7 Name of Builder RL�� � ......�.:4!^................Address ..... r!�U�....../:.0-0 ... ... .�. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...... ...................................................Foundation .... ................... Exterior ...--I `ll .. ................................Roofing ...... :. ..�.. ..... . .... -1.4i-;.)................. / U Floors ...... .......................................................Interior ....... . val.?��,.f.......................................... Heating .... 49.:�_ IA1114.11........................Plumbing .........rn6t...... .................................I..................... Fireplace ................................................................Approximate Cost ..........e 5n....................... Definitive Plan Approved by Planning Board ________________________________19--------. Area ................................ /75' Diagram of Lot and Building with Dimensions Fee ............... .. ....... . ............. y SUBJECT TO APPROVAL OF BOARD OF HEALTH AN 0 AAP F=,Mre, � yj�oc�5EIc- A464 ,b 1 �kr5r6 fn9c; or I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...! .. ... .:... FLINN, BARBARA NoA,.,234�.. Permit for ADDITION .................................... Single Family...,PKe.jling Location .10...4...Pine .... ................................. Hyannis . .................... ........................................................... Owner ..Ba.rba.ra...F.1i.nn............................. ..... ....... ..... .. .... ..... Type of Construction ........................... ....................... Plot ............................ Lot ................................ Permit'-Granted ..;..September 10.,-.19 81 Date of Inspection �.• ......19. Date Completed .........................2=X?...19 PERMIT REFUSED ........ .... 19 .................................................................... .......... ................................................................................ 41r .......................................................... ................... ............................................................................... Approved ................................................. 19 C (V , .4e ................................................................... ...... 7: ...........................I................................................ �. �e........ Assessor's map and lot number ... *'THET Sewage Permit number ..U—e. SEPTIC SYSTE House number .......................:.............: INSTALLED IN................................... VAT" se39. `00 E ENTgL w Y a 0 TOWN OF B A R N S T A WWREGULADONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....40.V .76 CxisTi'N& ,71.41X,4411VG .......................... ....................................................................... ... TYPE OF CONSTRUCTION ..........uo".... i5?A/'9� ............................................................................................................. ...........19..fl TO THE INSPECTOR OF BUILDINGS: 1 The undersigned hereby applies for a permit according to the following information: Location �vS� �-'IAI .s'T �c ............ ..................................................................................................................................................................... (/M�v� �xi�`s•rit/Cr S�du�� /9ivc� L�xiS'�'/n� - Proposed Use .410.... .....7•�n.e,&bo a.......-1.40K.nmo............. Zoning District ........................................................................Fire District .........�1-S-I /r111115' •'" Name of Owner ....... ,(..ft'LQA.......... 4f/4I/U...........Address ...AlSl......... 1.011 .......s` :.....s411'r................. Name of Builder ...1�.,1eZ /,f 7........e1..2.1A.-/.11................Address ..../. ...........IQIAIZ'........, fir...... !.. .Name of Architect ..................................................................Address Number of Rooms .....................Foundation ...... o�!G.!f' ........ s /�.. ............................................. .... .............. Exierior .......SH//✓Cs.Z f LjS`P ... 4- s � �. ................. ............ ........................................Roofing ............ h'A...�"................. Floors ....�0od U/IYE�✓A4. ................................ .....................................................................Interior ............. . ................ Heating ..... NoZ' wst �' .............................:.......Plumbing .................................................................................. ........................... ......... Fireplace .....................................................................:............Approximate Cost ©o� o0 ................. .............................. ....... Definitive Plan Approved ...... .. by Planning Board _______________________________19________. Area .........!P.------S----- .. ........ 0 Diagram of Lot and Building with Dimensions Fee / / SUBJECT TO APPROVAL OF BOARD OF HEALTH •I 1'�RmN�' " G!e •30� A, k rr. a Pf?o D A DOMON GL�SSF}roLr l I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above. construction. Name . /.. ................................... P Flinn, Barbara A308-268 sewage existing 1 system ; No--?17.4.1...... Permit for .Add!.ri...to-dwelling j - o Location ...14�..P�,n�. ..................................... ...........................Hyannis..................................... t Owner .....Bar}tiara...Flinn................................ Type 'of Construction ...W }..ge................. Plot ........................ Lot ................................ Permit Granted Or—t.......1.7 19 79 Date of Inspection .........19 CkA Date Completed ..�ry�✓ .190 PERMIT REFUSED ........................... ................................. 19 ............... ......M.................................................. } ........ . . .. .1............................................... ............... .t . M............ . rn Appro4 .0 .............................. 19 ......... . ... �.i y. .......................................... ; ............�.�...... ................................................. Assessor's map and lot number ........� ........... � 711 THE `Sewage Permit number .....,.,...,.,:.���..::�.:.......:......�;.........,..,: L� , Z STABLE, i House number 90O Mb a ........................................................................ .sue 39 CFO MO a�0 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... nG ........T0......... 6......... `—./G l..� ' '............................. TYPE OF CONSTRUCTION ........... :oL' �, friE .............................................................................................................. ................................................G r.. 19.......% TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......t. .... ���.=..... T...........f?')14,,%/Vl. .............................................: Proposed Use .. '`�.....1 !lTav,! a!? ...... `f:`.`�� !.....r2hlx?611......7 �.. `.'. �1{ �: .: ?....... 'S'Dt;:ir.�. f ........... Zoning District ............Fire District /�' .................................................................... "Name of Owner ........ r I 'ft..4. 'ff........ ..........Address .....::i�-4.'."........... / % ......... ......�::t ................ Name of Builder ... ... /.,ins i................Address ..... .........., �;l.............r.......A k.'.:.............. .Name of Architect .............................. ...................................Address .................................................................................... Foundation ....... ,��"f c'_= /?C 1,-A Number of Rooms ................................................................. ......................................... Exterior ........................................... .f....................................Roofing ..... .,,c.ra.9L_ r > .. Floors .....!4?.? o. .....:............................................................Interior g... ................................................ Heating 14- r -VA T-E:,-.....................................Plumbing................. .................................................................................. J Fireplace ........................................Approximate Cost ....... � Definitive Plan Approved by Planning Board ________________________________19________. Area f.�....................... M�n Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 4iiV�5 5r I � I 16 1 j Q f/tom ^ G � dl fXi r7'rON � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above., construction. Name ... T Y;,.yK;-r.................................. Flinn, Barbara A 308-268 .qewagq existing system No-'-.2.1.7.4.1..... Permit for --Add-!.n--tG...dwe-1.1-ing ...................P .................................................... Location .....+W.. ......... 0 ................H.y-anni-&............................................... Owner ......Barba-ra--K-inn................................ Type of Construction ......Wbod.-Frame.............. ...................................... .................................. Plot ........................... Lot ................................ Permit Granted Oct. 17o 79 . .........19./....................... Date of Inspectlr . ..................................19 Date Completed ......................................19 PERMIT REFU ED ............ ... T. .. 19 .......... ........ . ..... .00 7 ............................. .................................................. .........................!..................................................... ................................................................................ Approved ................................................ 19 ............................................................................... ............................................................................... Assess6r's m* and lot number ... -a...........�. .. ...... CF TN E I� SEP'IC SYSTEM UST BE Sewage Permit num r, ... '. d .. INSTALLED IN DOMPLIAN House number ....:. +....: .. WITH TITLE 51.!P.q �aBb ABLE. s. ............................. ENVIRONMENTAL CODE AN 'MIN TOWN OF BARNS `WULLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......A.vO.......ro r-AV'�6E ...................................................................... TYPE OF CONSTRUCTION ........*Coo T-RA M E ..................................................................................................................... ........... ..... ...Z?......191.3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Locationd ;! ... '.4�f. 5 ..........................hlm.mka.........................:................................................. Proposed Use ..........=S R`-4.' 4- AREA 7 :... 0F/p.W.AT.......��.....iS Z GA,e aX104GE Zoning District ......................IR5........................................Fire District ............ !4JVN/ ............................... Name of Owner A41?4?4, A �L *V...............Address 1®q /d/N�......F' H it/N/S 'i' Name of Builder ..... R.1.7, .� .�......r/.1,V//1J...................Address .....�Q 7//YX �T: ............................................... .... ............ Name of Architect ............... ....Address Number of Rooms ...............................................................:..Foundation coovc . .f.. ............................. ................................... Exterior �S ���� (!V®O,D...................... .................................Roofing .........,......ld................................................................ Floor .......169AO'CIFFT .....................Interior .......vim-P1<N/S/✓K10 .................................:............. .................. ................................................ Heating ...........*D/7-Z.......................................................Plumbing ........40000/d�L ................................................:. Fireplace IVIO&Z......................................................Approximate. Cost ....... OGb�ctao ..... ....... . S FT Definitive Plan Approved by Planning Board --------------____-----------19________. Area .................��1�.:............ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 2 � alNQQ - T to (` 1a 1 p� It Q LV P I t 1 V Z ' � � r ' r q 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. :71 Name ...... .Q....... ..................... Construction Supervisor's License ...... Z'29 .............................. FLINN, BARBARA V/Z 4 No 2532 Permit for ADD TO GARAGE ' ,AccessorY..'t4. Aw��.l�.ng............. ` ............. fA.r�, - Location ... ..................... 4 f V ................: ♦, 51 �.5............................. ......... ,A Owner/.mix aX:a...F.Iia l............................ ! Type of, Construction ....F•r.ame............. ............................................................................... Plot ............................ Lot ............................... , 19 Permit Granted ......Ju ......lY.. .........[..............19 $3 Date of Inspection ...................:................19 Date Completed � �)............. .....19�5� } H 4 vt } i f. Zu Assessor's ni$p and lot number ....:. .. Sewage Permit r Z 11>SB9TODLE, i W \./ 9 MA86House number ..... ........................................ ................ °o i639 ♦� �FE MP Or TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......A.r?0....... o c'�i°�'"¢�'................................................................................................... TYPE OF CONSTRUCTION .........hl `t'> A 1,t JE ..................................................................................................................... r3 l� d� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... ..........: .... ...... - ......................... Af rt/ltr ........................................................................... Proposed Use ..........: t .�(c':�......................................... ....x � ... ....................... ........................................................' 1�` � � Zoning District 1 t Fire District ............ 7 * �li!'.!`� ......................................... Name of Owner e �$��'s •%d / I ' /`�q /0/m� � �>441AIlr ....:........:...:...........::......................................Address ................................................................................... Name of Builder ....o lr.'...............4..............................." Address ........ . .................................^ ...........: 7`.,.: ..! ffl Nameof Architect ....................ArO��.................................Address............. .................................................................................... Number of Rooms Foundation C.0... . :r .R Exterior WOd ..3'►". '! !.'�r ..Roofing ,e�a� �A7"" ............. .................................................................. .................................................................................... Floors, . �1t/+� �................................................Interior 06d.*'.�"!/ .... ..................................... .................................................................................... • Y Heating ...............Wlv .......................................................Plumbing ........ � ................................................I......... Fireplace ........... ..t��« ......................................................Approximate Cost ......: .. .............. ........................... Definitive Plan Approved by Planning Board -------------------___-_ AreaS . - 19 -----. .. Diagram of Lot and Building with Dimensions Fee - .M ........ SUBJECT TO APPROVAL OF BOARD OF HEALTH Z � r < .X ice t' 2 .. lit 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. Name .................:..........z "' �,..,.e................... Construction Supervisor's License .................................... 1 FLINN, BARBARA A=308-268 No ... Permit for ,ADD TO GARA.GE. .......... .... Accessory,,,to„Dwelling............... Location ....................... HY.al7 ............................................. Owner .....Barbara Flinn,,,,,,,,, ,,,, .............. .......... .•. Type of Construction ...... x;.=e....................... ......................:......................................................... Plot ............................ Lot ................................ Permit Granted ..:.......July 19, 19 83 Date of Inspection ....................................19 Dote Completed .................19 l-