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0039 SEABOARD LANE
► S ea..boGc.r-c� s i FAD L, L—► l r1 Ro Town of Barnstable *PerJ6W Regulatory Services FeeMM Richard V.Scall,Director Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 ww—.town.barnstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY a a ," Not Valid without Red X-Press Lnprfnt Map/parcel Nwnber r Property Address —�_ eA13 P/ L�-__�� d{tURlj's___—_ [/'Residential Value of Work$��%.a v -:'`—" Minimum fee of 535.00 for work under$6000.00 Owner's Name&Addresses 1l• � l t A/!� Contractor's Name St/ZU,6 j1 i �f%4g z7,r /141.e 1—M le�hone Number Home Improvement Contractor License#(if applicable) I'00?'/0 Email:_ Construction ervisor SuPapplicable) 's License#(if _---------- kh [ Vrkman's Compensation Insurance a _e Check one: NOV❑ I am a sole proprietor N 13 2017 am the Homeowner allhave Worker's Compensation Insurance ® ,4�n� N O� IJAHNSMBU Insurance Company Name Workman's Camp.Policy# _ �' V C. 71 3 2!� Copy of Insurance Compliance Certificate must accompany each permit. Permit Req st(check box) EZRe-roof(hurricane nailed)(stripping old shingles) All c/Qnstructioffd bris will be taken to ���8"F�/z0 414Jre i 6 5jJhde ee21-.�iiV- eed. 14IJO" Rk-(f2e Mw1JJAft--e e#t'ev) ,Iewire 7?6 J*ojowiclf ❑Re-roof(hurricane nailed)(not stripping. Going over _ existing layers of roof) H-4- ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.32)#of windows #of doors: *Where required: Issuance ol'this permit does not exempt compliance with other town department regulations.i.e.I listoric,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Im v m.ent Contractors License&Construction Supervisors License is quired. _ SIGNATURE: C:%Usersldecollik'AppOata'.Local�microsorC'Wuidows�INetCaelrztContent.0utlooktL7U69LF2-EXPRESS(2).doc olr_Sn� r 4 T Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, JAMES KEATING, OWN THE PROPERTY LOCATED AT 39 SEABOARD LANE IN HYANNIS, MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: 39 k\ATOARD LANE, HYANN MA 02601 OWNER'S TELEPHONE: 508-509-7659 LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: r i, Massachusetts Department of Public Safety. „rn�rr�rrrt�li c�ca"/(ir;rrrc� Board-of Building Regulations and Standards 7 ce°fCOnsamOr Affairs&BusiaessRegulstio, ` OME IMPROVEMENT CONTRACTOR License: CS-064817 a _°�Re 1s Construction Supervisor �•. ~° ' � trattopt 100740 pyp Explration: 6/23/2018 Supplemen JOHN T STRUMSKI i. CAPIZZI HOME IMPROVEMENT,INC. 18 ALDEN AVE - BUZZARDS BAY MA 02532 JOHN STRUMSKI 1 1646 Newton Rd. i Cotult,MA 026635 Undersweta rY t,---j„C CA, Expiration. Commissioner 06/1812018: _ _ of my aag8 poop whia ,S6 9M 35,000 cubic foot('991ma of wess a cunwiedlUm afthe WhLwachuseM Ig We 14 cme for rev zWon of this tic+ense. Tng InformstTon vtslt: wm.8ltacsmVIDpt License or regista'4 c t•onealid for individual use only before the expiradoa date. if found return ito.. Offlce of Consanter.Alfair$and 13uslness elation 10 Park)Plaza-S¢dte,5170 Boston,KA 02116 ~ r Not valid without signature . I to m- imwd* imwsww low UMWC . cam="° ' ` AENTM dft }.,/ Iatna �s 7• Rmo�a�siasgl► , 0. moftwordows 3. Iion&bomwmwdob9mRwGIt ftuofampdmpwmmII ✓Rase ON *wad Alta MUPAMMOOMPAW— owl,, poswo de ; Q t1�110 1D � & tte 140 pig T'9"SYM_ Q ' @ OWNTOM hA�• �� .. 4. t r — DATE(MMIDDIY-M A 40REP CERTIFICATE OF LIABILITY INSURANCE 1WO/201'6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RAGE COVERAGE HTS UPON THE CERTIFICATE FFORDED BY THE HOLDER.C EIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND BELOW. THIS CERTIFICATE OF INSURANCE DOES,NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sb AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. endorsed. ff SUBROGATION IS WAIVED,Subject to RED the II (ies)must be IMPORTANT: ff the certificate holder is an ADDITIONAL INSU Po cY the terms and conditions of the policy,certain policies may require an endorsemetrt A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorseme s. CT Rogers and G Processing PRODUCER NAME: PHONE . (508 398-7980 AIC No' ROGERS&GRAY INSURANCE AGENCY INC no IL mail®rogers ra .Com RJSU S AFFORDING COVERAGE NAIC9 434 ROUTE 134 42390 SOUTH DENNIS MA 02660 INSURER A: AMGUARD INSURANCE CO INSURER B: INSURED CAPIZZI HOME IMPROVEMENT INC INSUR:RC: WSIRERD: 1645 NEWTOWN ROAD INSURERE: COTUIT MA 02635 INSURER F: REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: 114654 SURED ITHIS IS TOND CATED.CERTIFY I MAI ImE.PUKIM�OF INSUNCE LISTED BELOW H BEEN ISSUED TO THE IN NO NOTWITHSTANDING ALNY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOLIWHICH PERIOD TH S 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 EFF PAP CLAIMS. XP LIMITS INSR POuCYNUMBER IDD MMIDD L.SR TYPE OF INSURANCE EACHOCCURRENCE $ COMMERCIALGENERALLIABIIJTY $ PREMISS c � CLAfMS-MADE 0OCCUR MED EXP( one person) $ WA PERSONAL&ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMrr APPLIES PER: PRODUCTS-COMPIOPAGG $ POLICY❑JECTT LOC 5 OTHER: Ea aaclddeDtSINGLE UMR $ AUTOMOBILE LIABILITY BODILY INJURY(Per person) $ ANY AUTO BODILY INJURY(Per accident $ AUTOS ED SCHEDULED WA PROPEAUTOS RTY DAMAGE $ NON-OWNED Peracdd t HIRED AUTOS AUTOS $ EACH OCCURRENCE $ U1111 A LIAB OCCUR NIA AGGREGATE $ p(CESSLIAB CLAIMS-MADE NIA DED RETENTION$ X STATUTE ER WORKERS COMPENSATION 1,000,000 AND EMPLOYERS'LIABILITY YIN 12/25/2016 12l25/ZO17 E.L.EACH ACCIDENT $ ANYPROPRIETORIPARTNER/EXECUTIVE WA NIA WA R2WC775326 E.L DISEASE-EAEMPLOYEE $ 1,000,000 A OFFICERWENIBEREXCLUDEW (wry in NH) E.L.DISEASE-POLICY LIMIT $ 1,000,000 (f yes,describe under DESCRIPTION OF OPERATIONS below NIA DESCRIPTION OF OPERATrONS/LOCATIONS I VEHICLES(ACORD 701,Addhlonal Remarks Schedule,may be attached If more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to Pay claims for benefits to employees in states other than Massachusetts If the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above Policy Verification des the Search toot at issue date of is Certificate massg of ovlins/workers-comp talus otYnis v coverage n be monitored daily by accessing the Proof of Coverage-Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y 7((E EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Bamstabie 200 Main Street AUTHORIZED REPRESENTArnE C Hyannis MA 02601 Daniel M.C y,CPCU,Vice President—Residual Market—WCRIBMA ©19aa-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Tow. of Barnstable cl, F-V&es 6><mrrtTafmmissmedate Regulatory SeMces ` Fee Richard V.�Scali,Interim Director o� Ruaiding Division Tom Perry,CBO,Building Commissioner J . 00 Main Street,Hyannis,MA 02601 Al r1'o tivtiintttown.bamstable.ma.us 041®� ?®�� Office: 508-862-Q038 �l/ �790-6230 'T�, -� F"xESS PERMr APPLICATION - RESEDEN ®NT rA� c Map/parcel Number o2 7U Not Valid without Red X-Press Imprint �c �S 3 Prop&;yAddress_ I �ea ho4l c{l �/�e _ L 94/76 residential Value of Works Minimum fee of S35.00 for work under$6000.00 ' Owner's Name&Address__�Af7j e-s- L<g!&4 3GI �Pbad M A nz6 a Contractor's Name=� / �?,eG�[1,n n t Telephone Number[#011T 2 k-q kDo Home Improvement Contractor License_(if applicable) �� S-- Email: Construction Supervisor's Licenses(if applicable) Qci5_:Z p [gWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor " ❑-I-am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Acraflaut lmsarovi e Worlanan's Comp.Policy tr1lC`11.8D 8 �5�-I - Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shins;les) All construction debris v<•111 be taken to ❑Re roof(hurricane named)(not stripping. Going over. __ existing layers ofroo f) ❑ side y Replacement Windows/doors/sliders.U Value ' 3(D (maximum 351)r of windovrs 1 �iv it of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate EItttrical&Fire Permits required. "Rlhie requted: Lssaance of this hermit does not exempt comotiance mith other tom department ropwons,i.e.Wismar,Conservation.etc. *"Note: Propertylpwner mutst sign Property Onmer Letter of Permission. A copy o the Home Improvement Contractors License&Construction_Supervisors License is re`gntred. _ SIGNATURE: QATFILESTORMSlbuild'mg pernut form EXPRESS.doc Revised 061313 MA Uma Of-M345 RE'ile'1Alal °. � t►rtoenreascor5 I�,��,,,,, RENEWAL BY ANDERSEN A cr Limm OM4555 by r s��,ianr e� corn 26 Albion Road Lincoln,R102865 � % IPrx, wa Firm aLzsr Phone 866:5612235•FaxJ01.633.6602 a%dad ma�casaecsn New k os"% dowy LLC:d7b/i M1 Renewal by Andersen of Sorties New EngLad ���� CUSTOM WIIHDOW AND DOOR REMODEI.IN6 A(iREEINT a D Oaa'dMeee^a e iigr:(j seeeeAedreo:0irsorw a zrs roar r oot.' ` t3F4 AddKsc rekplione NmMhe 4, —.VrbrlrT 1pUonr Nwnbe OF Suya(s)herby jointly and s �s everally agrees to Quiehase the piadu _ or attd/ maces of Southern New England Vlrindows,I.I.0 d/b/a Rartewal by Anderun of Southern New En s and:condmons descnbea o the fit and the reverse of this agreemen BoA? Esdmaced Snrttia: ec Memo&O Payment; D Check 0 Cash ;<Pntirctd, Taal JobAmou+t�b�7 _ -- - --' "ftectevred'(33l�r �:�L��` ! Credit;tards are ioeepted��slt oaiy rtrorYaiam 113 ol`dte'_ proleeC cant(Plecie'SIT t'1ea,2 Card PuyindK farm l By stgrrtrg tl!t}: Bztinee u Start of Job.(33%) t9dmited tpon ?�adotorrls tfaat the B>hncs sx Stuc of jab urA ttilr. Sabnce:on Subsn#itial ( �� `;', 8alaitoe ar Substariml Compledbn of Job t3imot be:maids by credit';. Compted6ii aflab,(3%r33,c3,cs ; card.ini,m�nE'be:msde bq per�nsF duck.bankd#«k.or a�n Hsyer(s)agrees and>indentands"that thu,Agreemeat condtftatea t>he entlrre'.anderstandsag between the paaittea,atW >tiit (1)has read thts'Agreemeat,andentaatlr;ehe termr of thV Agreement,aad`har re' a comple r Ipuodi copy of t>,ir Agreement,inelndia the two attachedlYoticse of Caa11 oellatioa,on the date fast written above and:(2}was orally. informed oS Bayer's eight to caoeel thfr�lgeeemerit:'DO NOT SIGN T>EIIS CONTRACT;IF TId13R8 AR1 ANY SLANS SPACES::, lRJEod.Bland S67as oelyJ Noeice.to Bnyen,(1)Do not si®tr tls Agreesneat if aty of t6a ipacer intended for the agreed teenaA? to the eiteai ofaLen iydt7ableinfomaetoa are ldt6laWr.(!)'Yoa arrentided w i cops of eh4sAgreeaaenEatthe.dme you diga, m(3)Yoe may"Ally tense pay oS.the SoH unpaid balance dtie ondee;thsr Agreetaeat�and 10150,doio&you may lie entitled to. ;reedve i pattlal rebate o4'the 8aence and i[asarance ohargas.(4), reHer has no rsgbt to tm4wfaIIy eater yom premiers: :or oomadt any breach of,tbe peace to ceposrees goods pnrc6ued under Agreement:(S)Yon nsay cancel thr%Ageeemeat' if ita_no;been sigosd at the>tisrlia oiiee,'or abiaach office of the` elle:,provided you aotify'the relies at Ills or,her ma�n> oice o'braneh,oflfiee stbowa m tlieAgeeement by eeglrtered or testified mail,;iwhic6 sLari be ported aotlatar thou midafgbt; 'of�third calendar dywiRer eheday oa�ihreh the btryer�igaa the A�reemeat,e:eladirg Sm~day and'my holiday oa wbiol tegulis mail delivedes'are not'maile 8ee:the aeeompaaylns:nottee of"eaaoeH lion foe m Sot ae`etcppliaattoIs of 4nyes's n isi. Buyers},received the c „."e�educagon matcnals provrdcd by the Rhode Island Contractors Registcat<on Board;.. (Ba�er'�ImAioGJ Renewal by era,N England, f3uyei{s} Buyers) -Si u-ctblaoages._, SLgnatw'e S#gnature Punt#ambxaf,Hoddix Mana6r PrintNaatie- - 1?nnt Name'. YOU,TlE>E BUYER(S),.MAY CANCEL THIS TKANSKCTION AT:.ANY Till PRIOR TO 11 NIGHT OF THB THIRD B1J81NB$S DAY AF1'ER THE DATE.,Og TWS TRAN>IRO7TON SSB?THE r►TTAC D NOri'ICE?QF_CitIaTCBLl:ATION FORM8' FORiW�B7�LADL,TION OF.THIS'RI(iHT.:- - NdTiCE'OP CANCELLATION Date ofTransacton sYou star cancel :I Daps:of Troraacdon You tnsg►t ancei flits trnnoedon,vridtout:ants penalq or obligation,widen I this transat dolt without any penalty'or obngadon,within' business ft lS lugn;yt HYowl► — -- — proparlrxtraded m.any paymeitb made br you user the 1 property traded .ariy Payments tinW6 by you under die; Cot►trut or Sale;and n !e I" eiteceted I Contract er Sale•and dabk iiistrumgttt ertewbed by yell wYi be rdettmed wide busitteis days tonowina t h!I win bti.returned wt n tee SW- is--dap fonowtng receipt br the Seller of jrour cancellation notice,and any ,I receipt bJr tfie Seller of your'.cancellation nodce,and.an)r sscurtq►. ntetest' ariting out of the trantat don.irrnl be security intaeest arising oua,of die:transiom an will be: rianerf If a neah rrnnt ni Ns awaA�6ls fsL eSeibm,Jt eancrNd.Kyuu pnrx doer renal litatb a ilifbt_*Vwmuw _ at your rnsideitee,in anyas Good condidon as when I atyour rostd6rice,ln substantially as good condition ai when ieortred,;any goods dellwet:d m•you unites fhb Contract or: ! mca-_ any goods dellvarod to sou under tKii Conttact or f"n+!n Nfpu_wish.complywtd dt ,nstiucdons:,of die Settee'regarding die return shipment of die goods at die • the Seller rogapding the roturn•shipment of the goods at tNe, Seller's expense and risk If you- rttake the�od�available' Seller's exPeet�and rfislc If you do males the goods available: eo the Seiler and des Seiler dom'not pick; item u wtddn to elie Sellerand d%6 Seller does not pick them up wtthlrt; ill!d f of ehs dat+s.;of eancellatlon.you mq.tetain or I twenty d of tho4ate of eutcellatioiy you inns reealn'or o the goods without arryr furdter oWigadon If you 1 di goodr..withottt;a"furdter obhgtidon.If you die: bi to males the goods ta►Wlable to.the Seller ar N yott agroe I lid make the goods ava, ;k to the See,,or if t10 return the goody to the;Setter and fall to do so,tfien you # to rKum the.. to die Sawand fail to do so,then you rerrsaiti liable for PertoR ianee of atl odio*' under the, 1 romaie naMe for peiformance of all o6figation under ttie. Conte$ct.To ca tcbf fhb eransaction,mait'or"War,a signed ContraetTo cancel this tnunaetlon;mAii oe delayer a sinned and dated ropy of ehis:eantxfladon nodes or arir oilier I and;dated copy,of this.tancellatton nodes oc_.any otfier: written rtobce.or mind a to Renewal br rsen of I written rind co;or send a tefe to Renewal by"ersen:of Sottdtern New En�Iand on Road, RI 0 65, I S-I m- Newand at 26 Albion Road,UnC6K Ri 02865,; NO? ATERTHdN MIDNIGHT Of I NOT LATER TUN.'IMIONI0 T OF - - IHEAEBYCANCEL-THISTRANSACn6it. I HER BY THi4TRANSACTION. MA:Cope:White &.W-CW-ifeftm,� „Bum COw Pink, Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License:C.S4)95707 i BRIAN D DENNPI9�N 71APM POND Charlton MA 01507 J.�.�..�. • af'tH�' Expiration Commissioner 09/Of1Z016 Office of Consumer Affairs end Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement.Contractor Registration Regiahatfon: 173245 Type: Supplernerd Card SOUTHERN NEW ENGLAND WINDOWS LL Ewkalio . OR92016 DENNISON BRIAN -- 26 ALBION RD — LINCOLN,RI 02865 _ i Update Address and return card.Marts reason for WA a 20~1 Address C Renewal O Employment 0 i.ostCard of Cuuseaxr wflain&Rosins Reaatecoe License or registration valid for in"dul asses only E IMPROVEMENT CONTRACTOR before the mpindion date.1f f000d return to: Office of Consumer AWn and Basiam ftolatioa oObtrabon' 173245 Type. 10 Park Plan-Suits 5170 Expiration: 9119=16 /Supplmeerx::ard Boston.MA 02116 SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BY ANDERSON DENNISON BRIAN 26 AL BION RD LINCOLN.RI 02665 u.denoereu,. Not valid without signature The(:ommonwealtiz of massacnuseus V Department of IndustrialA, ccidents Office of Investigations I Congress Stree4 Suite 100 Boston,AM 02114-2017 www massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Apulicant Information Please Print Legibly Name(Business/Organization/Individual): SOUTHERN NEW ENGLAND WINDOWS Address:26 Albion Rd City/State/Zip:Lincoln, RI 02865 Phone#:401-228-9800 Are you an employer?Check the appropriate box: Type of project(required): f_ ' 20+ 4. I am a general contractor and I l. I am a employer with g 6. [],"New` construction employees(full and/or part-time).*.-_ have hired the sub-contractors 2.El I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees. These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp.insurance comp.insurance:► 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 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per.MGL 12.0 Roof repairs 152, ,and we have no insurance required.]t c. §14( � , 13. Other /.t ht0l a Q employees. [No workers - •- comp. insurance required.] C *Any applicant that checks box 91 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 the policy and job site information. Insurance Company Name:ARGONAUT INS. CO. _ Policy#or Self-ins.Lie.#:WC 928058352394 Expiration Date:8/21/2016 Job Site Address: " 3 -t —Sea lJ b and l-go Q City/State/Zip:_4VM S 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_ 25AUfMGL 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 urance coverage verification. I do hereby certft under the ' s andpenaldes ofperjury that the information provided above is true and correct. c � ' Signature: Date: Phone#• 4012289800 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)r 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f SOUTNEW-01 SHETTYSHT CERTIFICATE OF LIABILITY INSURANCE DATED/rYYI) 1 � 81191219/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER 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: Willis Certificate Center Willis of New Jersey,Inc. PHONE FAX c/o 26 Century Blvd WINE Ext:(877)946-7378 a/C No):(888)467-2378 P.O.Box 305191 E-MAIL :certificates@willis.com Nashville,TN 37230-5191 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company of Southeast 39926 INSURED INSURER B:OneBeacon Insurance Company 21970 Southern New England Windows LLC INSURER C:Argonaut Insurance Company 19801 DlB/A Renewal by Andersen 26 Albion Road INSURER D: Lincoln,RI 02865 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 TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSO WVD POLICY NUMBER MMID MMIDD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR S 2029459 08/1012015 08110/2016 DAMAGE TO RENTE PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY N PRO- JECT N LOC PRODUCTS-COMPIOPAGG $ 3,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 . Ea accident A X ANY AUTO S 2029459 08M012015 08/10/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS ) NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAR CLAIMS-MADE S 2029459 08/10/2015 08/10/2016 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER B ANY PROPRIETORIPARTNERIEXECUTIVE Y/N❑N N/A X 0000068028 08/21/2015 08/21/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 It yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 C Workers Compensation WC928058352394 0812l/2015 08/21/2016 See Attached DESCRIPTION OF OPERATIONS I LOCATIONS I 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Evidence of Insurance 1-14 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �..�;�rN OF �ARNSTABLE Application Health Division ;, , Date Issued `1 17 Conservation Division Application Fee 11> 2 Planning Dept. _ Permit Fee �T11- Date Definitive Plan Approved by Planning Board`'° •.., r Historic - OKH _ Preservation/ Hyannis Project Street Address W� Vif' Village Owner Address ii Telephone Z� 1( Permit Request 09 4-L14��v Square feet: 1 st floor: existing proposed 2nd floor: existing proposed otal new Zoning District Flood Plain Groundwater Overlay Project Valuation 2 U Construction Type_i Lot Size Grandfathereed: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ti Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new 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 L]Ao If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address �.� ��`�/ License # I G r vof' Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WI L BE TAKEN TO &�,o SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# 4 DATE ISSUED MAP`/PARCEL NO. r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: , ROUGH FINAL FINAL BUILD-ING; DATE.CLOSED OUT ASSOCIATION PLAN NO. i J k Massachusetts • D6partment.of Public Safety Board of Building Regulations and Standards Construction Supervis011 License: CS-100988., HENRY E CASSII)V 8 SHED ROW WEST YARMOUJrH !3 Expiration Commissioner 11/11/2015 a E Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement C6:r ,t1ractor Registration Registration; 153567 Type: Private Corporation Expiration: 1 211 5/2 0 1 6 Trfl 259186 CAPE COD INSULATION, INC HENRY CASSIDY -- 18 REARDON CIRCLE SO, YARMOUTH, MA 02664 Update Address and return card, Marl< reason for change. :CAI ti 20M•05hI Address Renewal Employment Lost Card G�TE� �j / .. ...... ..... ..... .. .._........._._.. ✓&'Xe cpa99U�7z0lEtue000t�C�C�/��C[4Jrce U4eC J C\ Office of Consumer Affairs& Business Regulntlon License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date, If found return to: egistrationi 1.53567 Type: Office of Consumer Affairs and Business Regulation xpiratlon:;:,;.1.21:15/20.1,6 Prlvele Corporation 10 Park Plaza -Suite 5170 ,., Boston,MA 02116 -APE COD INSULATCQ:N INC`.:<"':'" IENRY CAS SIDY 18 REARDON 3o,YARMOUTH,MA 02664 " Undersecretar -— — Y N valid wi ut sign e The Commonwealth of Massachusetts Department of InrlustrialAccidents Office of Investigations J d 1 Congress Street, Suite 100 Boston, MA 02114-2017 V www,mass,gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ,1 Please Print Le ibl Name (Business/Or zation/Individual); ��Address; �a0 ��J((nLGL,(„� .�V�. V (�I City/State/Zip; 0VA �Amncfy�, { 0 Phone #; Are you an employer? Check Jihe appropriate box: 4, contractor and I 1.�'I am a employer with I am a Type of project (required); general❑ g 1 employees (full and/or part-time),* have hired the sub-contractors 6, ❑ New construction I 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7, Remodeling ship and have no employees These sub-contractors have g, Demolition working for me in any capacity, employees and have workers' ' . [No workers' comp, insurance comp, insurance,t 9, E] Building addition required] 5. We are a corporation and its 10,0 Electrical repairs or additions ! 3, officers have exercised their I am a homeowner doing all work 11.❑ Plumbing repairs or additions myself. (No workers' comp, right of exemption per MGL ❑ Roof repairs insurance required,] t c. 152, §1(4), and we have no 12. employees, [No workers' 13. Other comp, insurance required,] #Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. M t Homeowners who submit thisgf�Navit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating sucli. )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, #; i�C�C� 0 Expiration Date; Job Site Address; , City/State/Zip; Attach a copy of the orkers' compensation policy declaration page(showing the policy numlber nd expiration date), Failure to secure coverage as required under Section 25A of MGL c, 152 can lead to the hpositi In criminal penalties ore, fine up to$1,500,00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance'coverage verification, I do hereby certify n r pains and penaltles of perjury drat the Information provided, cbo e is true and correct. Signature: Date; q Phone#: Offlclal 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#; j T t FrQrn:Riagers&Gray InsuraFax: To:+1508 7 7 85735 Fax: +'15087785735 Page 2 of 2 03NI2015 10:04 AM CAPECOD-27 BDELAWRENCE A�RO DATE(MMIDDYYYY) CERTIFICATE OF LIABILITY INSURANCE F3/30/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER 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: Rogers&Gray Insurance Agency,Inc. PHONE Ext: AAX No: 877 816-2156 434 Rte 134 ( 1 South Dennis, MA 02660 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL_ii INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURER B:SAFETY INSURANCE COMPANY 39454 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Ins. Co. 18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 INSURER E: INSURERF: J COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 TOALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCEAODL SUER POLIC POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00� CLAIMS-MADE a OCCUR CBP8263063 04/01/2015 04/01/2016 PREMISES Ea OccUmence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 7 JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,00Q OTHER: $ AUTOMOBILE LIABILITY EO MBIN1EeDSINGLELIMIT nt $ 1,000,000� B ANY AUTO TBD 04/01/2015 04/01/2016 BODILY INJURY(Per person) $ ALL OVNVED X SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( I X X NON-OWNED PROPERTY-DAMAGE HIRED AUTOS AUTOS Peraccident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 C EXCESS LIAB CLAIMS-MADE EXCl0006635000 04/01/2015 04/01/2016 AGGREGATE $ DED I X I RETENTION$ 10,000 -Aggregate $ 2,000,00 WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER _ D ANY PROPRIETOR/PARTNER/EXECUTIVE WCE00431900 06/30/2014 06/30/2015 E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 It yes,describe under ___ I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,0001 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement With the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULDANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18 Reardon Circle ACCORDANCE VUTH THE POLICY PROVISIONS. South Yarmouth, MA 02664 AUTHORIZED REPRESENTATIVE 7 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD r I Rl S E eHciNeeaayc OWNER AUTHORIZATION FORM (Owner's Na e) F owner of the property located at: t 3Vt Ste, 1 O."r , I, (Property Address) l .,-s A na601 , (Propdrty Address) hereby authorize Ca a e__ Co j T A0A 'Cr-'v , (Subcontr tor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building t permit and to perform work on my property.This form is only valid with a signed contract. �-o L. Own r-'s ignature 'Date RISE Engineering 6 Dupont Avenue South Yarmouth, MA 02664 IVAsses ods map and lot number.. ......7 ��`� °ems ��a� ,®'G� o THE o -� U........ 0A/•a% . d6ryiv� /����' f Py F r�y y lewage Permit number ....................fi :.. ............:. "!' Z HAHHS, LE, i House number ........ ... n ...................................:......................... . .. 900,0,1639• e00 'F0 NO A, TOWN OF ..BARNSTABLE BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO ....... �?'.j.... ............ ............................................ TYPE OF CONSTRUCTION ........... �.......... ......... 41111-11...............19..-V TO THE INSPECTOR OF BUILDINGS: �I The undersigned hereby applies fo'ra permit accordin .to the following information: _ Location ...4. � ✓C ( ./ ... � .........G/ ..�/..1... 1 ................ .. .......... t......... .............. ProposedUse ..... ., ... .<....�!." �.`... .........................................................:........................................ Zoning District ......................... ...\ ...............................Fire District ......,.... ............................. �n / ,o Name of Owner .�!,/1 ./1� �� ,1/....� ...... .......Address d. .. /. [ ..'✓ t � ........... Name of Builder ..... ..�. ... ...............Address :..........J...✓.��....�..1..C/............................................... Nameof Architect ..................................................................Address .................................... ............................................... Number of Rooms ..............��........................:...................Foundation �e.�... .......5 �/ ...... Exteor .......... G..Gl .....�....1�.(...`.:�...... .................ri Roofing ........ ......................... Floors ...... . . . ... . .... ...6/ ........ ... .........................Interior ........./lY.. /1... � ........ ............................... Heating :.. A?...... Plumbing Fireplace ....leflfz .........................................................Approximate Cost /�..��.C�. J ................. Definitive Plan Approved by Planning Board _v/_ ------19 _. Area .....h/..!!... .................. Diagram of Lot and Building with Dimensions Fee ' .— SUBJECT TO APPROVAL OF BOARD OF HEALTH i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ` ii GREENBRIER CORP. PL"�REFUSED ...... ----._-----.~-.--.--.-. .-.. / . � � � 1 Assessors map and lot number, 'Gr. f r :- ,` 77 i r�,.( ' .'✓ /L� y�F I ,`sewage Permit number ......................`.:....... .:..p.r:`.............. . O�Erasa L d ouse number ......... .. ........................................................ 1639 0e�+, MPY a\ Y TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......t %:�.f.,.• „E:,r....T.......f ::r:: /......f.............................:.............. TYPE OF CONSTRUCTION ............ .?.:: ......... (. n..: .. .........................../................................................. c- F TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... ............. .. .......: r���'. ��!/^... ° .......A/ f........... 5 j.........'l i...':.. ...... ' ProposedUse .......... ...:.�.. :`':................ `....� .......... ...... ..... .... ......�........................ 1 ZoningDistrict ........................................................................Fire District ............./.. ........................................................... • Name of Owner ,...............................................................Address : :....S. . ...................................................... Name of Builder .......... ` ' " ..................Address ...........:........ :.......::...................................° Nameof Architect ...................................~............................Address ....................................................................... Number of Rooms ..............`f............................................Foundation ,/,�; ..... .... .....................— / r,. .•:v Exterior .......... %!f*.........................r r �.'.... Roofing ....... �� ......................................� j ............ .. ..... Floors /'r •°�/?,' �/ �, �. ` r•'��7 ..::°� ....................................1.............. /........., ..................Interior ......... f Heating .p. . /—..........;.....,_.. ................Plumbing ............................................� ............................... Fireplace .... ��f.......:...........................................................Approximate Cost �/ .............................................j '` p G � , Definitive Plan Approved by Planning Board __________19 riJ . Area ......:.............................................. Diagram of Lot and Building with Dimensions Fee I SUBJECT TO APPROVAL OF BOARD OF HEALTH i Y 1 1 III I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. _1 Name .:.%/!/ 'f t�:?:..t.... .../ '�:/..r.,... ........ GREENBRIER CORP. �LA=270-44-5- No 22.59.9.... Permit for ...One............. .......... F at� -V...aw.e.1.1ing................. Location ................Lot Y....3 ....Se.abo.ar.d...Lane...... ......... . . .... ....... .... .. .. .. ... Hyannis ............................................................................... Greenbrier Corp. Owner .................................................................. Type of Construction ....Yrame......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ...Octob,/21,.....................................19 80 Date of Inspection ....... .......19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............... .............................................................. 6U.r ........................ 0 � li............................................ ... ...... ......... . ..............I..... 0..fW.........V1.i..I..e kI............. Approved ....................r....................... 19 .......................... .................................................... ................... ........................................................... �, r k h ,7 •M.v� .c.F..v a,.a,i. . . . .... 3 ..W.:e'eT. µ .. .w;.+aF. .+.t,.a.e- y k" 1 � •♦ t 1 s i {, r ; '.r .. � ��till �, � ^ ( . - 'e .• L.r< ♦ a � / +� / � ,r(. � ,f Fix Y:. fso J 1 1 /b7- / r] e1 ^ T as r M 8 .�it a LEGEND {, µ. {'. EXISTING' SPOT ELEVATION OXO CERTIFIED PLOT PLAN EXISTING CONTOUR --- 0 FINISHED ',SPOT ELEVATION 0.0 FINISHED CONTOUR 0 - • I N P ' ;APPROVED BOARD OF HEALTH DATE AGENT SCALE: � 4t9 �DATE9 9,12-y� LDREDGE ENGINEERING f CLIENT I RTIFY, THAT THE PROPOSED EGISTERE REGISTERED JOd N0. <�<..> n-3 jtNG SHOWN ON THIS PLAN `�" CIVIL LAND s �GflNORMS TO THE ZONING LAWS ' Fy ENGINEER SURVEYOR DR.BY OF BARNS B E , MASS. 712 MAIN SST CH` BY HYANNIS, MASS. / / �� � SHEET— OF DATE REG. ?LAND SURVEYOR .hC.fie ==1y'bk ' n ♦ /- y.'nfj. r Si�• 'r!�r N.� ,4 d C t s ,.. •. sn+ y;trv�;`y!-5 I'k+P���',vs f,;.._�3' a�`g•:^{.,re _ 's. r .. '.-:� a.r�.,t:t �"C k. 2 w. a^ r.�,y... �`..�,:.`' --y ? 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't"RV p :i. %'✓ y •S - r ( ` .�', t:f Y � i,tR:" � �..� •t"4 Z- �, 34 E`� �•tom�i .1 S � ,:i f! .} . � c .}' n�y,'`� !•5 yr s CERTIFIED PLOT- NNE,'..i•},,,y 1 b `. " 5 ' a 407 r:;. � '✓U!T'%+ .°' t y'4iw RttRUCTION ONLY y FFOU D TION IS FEET 4kA OW POINT OF 'ADJACENT' . L� SCALE: DATEt 'Iro� N �INEE'l�IN6 CLIENT I CERTIFY THAT THE ; RE®ISTERED : --' SHOWN ON THIS PLC LAND JOB Nd. vo 3 ON THE GROUND AS I40I .•. . r. a.. CONFORMS: TO THE Z014111w," rIEi� SURVEYOR4 DR.BY+ A OF BARNST BL , A 712 .MAIN'ST. CH.BY, /�� .. _ fj/�` • k a n S HYANNIS� �Ws. /F Fd+$ SHEET.I.OF DATE" REG.,, lAaa.�.. TOWN OF BARNSTABLI 22�nq Permit No. _________---- •� ° t �W3TAU a Building Inspector cash 163 t67q. OCCUPANCY . PERMIT, - Bond __ XX No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No.building shall be-occupied until a certificate of occupancy has been issued" by the Building Inspector." Issued to Greenbrier Corp. Address Centerville Lot 43 ,39 Seaboard Lane . Hva..�ni Wiring Inspector C r — Inspection date " !, Plumbing Inspector ( � " i Inspection date Gas Inspector 11 `t s aY r, fir.--,rzr Inspection date `y', f VEngineering Department, . �,,, �r j r j' Inspection date t x %./!!1 ,. THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. .....,�.. .. ...... ... ._, ,✓ Building Inspector ��