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HomeMy WebLinkAbout0112 CENTER STREET - 'I r 11 8 C� M I JsJ - o ..�0 i _ r ��JLTI-FAMILY BILE Parcel Lookup - Parcels Page 1 of 13 Lw _ _ __ _ %� __.... ...__ _ __ . . .............................................�- __.......�__ _ I �- Parcel: 327-0 40 Location:_ 112 CENTER STREET, Hyannis Owner:CDW'� LLC l— s w Parcel Developer lot: Secondary road 327-040 LOT 3 SPRING STREET I i Location Road index Interactive ma I p 112 CENTER STREET 0271 Village Fire districtk 1 l Hyannis Hyannis i Town sewer account Sewer connection files Active card 1 i ...._......... ........ _._................ _.._...... _.......... .............................. j d_Owner. CDW LLC Owner Co-Owner Book page CDVJ LLC %MORIN, NILE �� Y llC� 24673/23 Streetl Street2 [I E 19 APPALOOSA WAY i City State Zip Country I� MARSTONS MILLS MA 02648 =1 i v_ Land ' Acres Use Zoning Neighborhood 0.11 4-8 Units M-03 HVB 0104 Topography Street factor Town Zone of Contribution Level Paved GP(Groundwater Protection Overlay District) I i Utilities Location factor State Zone of Contribution { All Public SPLIT v Construction ., _. __.. _.._ .._...._.. . ......... __...... . .. __._..... d_ Building 1 of 1 Year built Roof structure Heat type 1950 Gable/Hip Hot Water l Living zrea Roof cover Heat fuel =� i 3000 Asph/F GIs,/Cmp Oil ?? j Gross a-ea Exterior wall AC type i- 6088 Vinyl Siding None Style Interior wall Bedrooms Apt Hcuse Drywall 6 Bedrooms ij Model Interior floor Bath rooms l (s Multi-Family Carpet 4 Full-0 Half it � l I Grade Foundation Total rooms I! Ir Average Poured Conc. 10 F It Stories I i 2 Stories i SO- Permit History Permit ?I Issue Date Purpose Number Amount InspectionDate Comments § https://itsc-�ldb.town.bamstable.ma.us:8407/ 11/6/2020 �r The Commonwealth of Massachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 110.7, this CERTIFICATE OF INSPECTION is issued to CDW, LLC Certify that I have inspected the premises known as: 112 CENTER STREET MULTI-FAMILY located at 112 CENTER STREET in the Village of HYANNIS, County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R2 The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity 4 UNITS 4 2-BEDROOMS Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201504226 7/20/2015 7/20/2020 32 040 The building official shall be notified within(10) days of any changes in the above information. Building Official COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION MULTI-FAMILY FIVE-YEAR CERTIFICATE Date (X) Fee Required$93.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: d n. Street and Number: �`(.z_- t'e G' TUp— �'1 U- Q sz Name of Premises: ; Purpose for which premises is used:MULTI-FAMILY RESIDENTIAL TYPE OF UNITS NUMBER OF UNITS TOTAL -- STUDIO 1 BEDROOMrp r 2 BEDROOM f E 3 BEDROOM OTHER ��++ Certificate to be Issued to: Address: � �' r � �LC'�' t Telephone: TO Name and Telephone Number of Local Manager, if any:- p (� /0L 1 VU4.4 , � J"`7�'�y Owner of Record of Building: � r LPL .Address: ?6 ��� 3�} � Ca,,,,�OIJ c Name of Present Holder of Certificate:. SIGNATURE;OF PERSON TO WHOM CERTIFICATE... IS ISSUED.OR AUTHORIZED AGENT i✓ PLEASE PRINT.NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, .200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be cetified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# C7 f S d EXPIRATION DATE: V 'lob coiappmf TOWN OF BARNSTABLE INSPECTION WORKSHEETclpse CERTIFICATE NO: 1 201504226 CANCELLED: MAP: 327 DBA: 1112 CENTER STREET MULTI-FAMILY I PARCEL: 040 NAME/MANAGER: JCDW,LLC STREET: 112 CENTER STREET VILLAGE: HYANNIS STATE: MA ZIP: 02601- SEQ NO: BUSINESS TYPE: MULTI-FAMILY CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STOP.Y3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 4 UNITS CAPE: LOC8: CAP2: LOC2: 4 2-BEDROOMS CAP9: LOC9: CAP3: LOC3: CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: L005: CAP12: LOC12: CAP6: LOC6: CAP13: LOC13: CAP7: LOC7: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: n1T ,r e 07 /2010 07/20/2015 07/20/2020 COMMENTS: 2010 NEW OWNER. 1 STRUCTURE comcmc onwcaltb of fiRa !6!gacbu5ett!9 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to CDW, LLC 31 Oertifp that 1 have inspected the premises known as: 112 CENTER STREET MULTI-FAMILY located at l 12 CENTER STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R2 The means of egress are sufficient for the following number of persons: Capacity Location Capacity Location 4 UNITS 4 2-BEDROOMS Certificate Number: Date Certificate Issued: Date Certificate Expired: Map PaOrcel 201003658 7/20/2010 7/20/2015 32 The building official shall be notified within(10) days of any _ - / ------ � i changes in the above information. Buil ing Official PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 ! DATE: 07/20/10 TIME: 14:20 -----------------TOTALS----------------- PERMIT $ PAID 93.00 AMT TENDERED: 93.00 CHANGEPLIED: 93.00 APPLICATION NUMBER: 201003658 1 PAYMENT HE'lii: CHECK PAYMENT REF: 0999 - { COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION MULTI-FAMILY FIVE-YEAR CERTIFICATE p /� Date (X) Fee Required$ /• y� ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: It 2- Name of Premises: Purpose for which premises is used: MULTI-FAMILY RESIDENTIAL TYPE OF UNITS NUMBER OF UNITS TOTAL STUDIO I BEDROOM 2 BEDROOM Af 3 BEDROOM OTHER Certificate to be Issued to: C CJ W L_ L- C Address: © 150 x Y 1 C6 0 (" GA V( e,,P l✓4- O ?.,(.:'7� 1 Telephone: � Z ' '0 d 5- f Name and Telephone Number of Local Manager, if any: �1 $ 6-6 Owner of Record of Building: Address: S. Name of Present Holder of Certificate:- W . tG T fLJ$ j I SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED rAUTHORIZED AGENT w =' PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNIS, MA 02601 PLEASE NOTE: 1)Application form with accompanying fee most be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# �315 s Q EXPIRATION DATE: 0/I s coiappmf TOWN OF BARNSTABLE INSPECTION WORKSHEET .close CERTIFICATE NO: 201003658 CANCELLED: MAP: 327� DBA: 112 CENTER STREET MULTI-FAMILY _ _ — J, PARCEL: L 040 NAME/MANAGER: CDW, LLC _ _ — STREET: 112 CENTER.STREET VILLAGE: JHYANNIS I STATE: [ MA ZIP: L02601-_j SEQ NO: ❑ BUSINESS TYPE: MULTI-FAMILY CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: R2 Capacity Under% ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE - CAP1: LOC1: 4 UNITS CAPS: --� LOC8: —, CAP2: LOC2: 4 2-BEDROOMS CAP9: LOC9: _- CAP3: I LOC3: CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: 1 CAPS: L005: CAP12: LOC12: CAP6: LOC6: CAP13: LOC13: f CAP7: LOCI: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: -Pant This,'Scre n pyalai�n�n 07/20/2010 07/20/2015 011.Z a�,o .-� Print Certificate of Inspections COMMENTS: -------- I i Town of Barnstable OFTHE Regulatory Services Richard V. Scali, Director Building Division * BARNSTABLE, v� MASS. ,�� Thomas Perry, CBO, Building Commissioner iOrFo 39. 200 Main Street, Hyannis, MA www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 June 9, 2015 CDW,LLC P.O. Box 394 Centerville, MA 02632 Re: 112 Center Street, Hyannis, MA Certificate of Inspection Multi-Family (5-year Certificate) Attached is an application for a Certificate of Inspection as required by Section 110.7 of the Massachusetts State Building Code, Eighth Edition. Please complete the application and return it to this office with the required fee for the five-year Certificate of Inspection: 4 units - $93.00 The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5 of-the State Code. Sincerely, I Fabio DeOliveira fabio@eaglepaintinginc.com President p*G calk 508.400.7134 Thomas Perry Building Commissioner PAINTING INCORPORATED Enclosure OSTERVILLE NANTUCKET CHATHAM FALMOUTH 746 Main St. 99 Washington St. 935 Main St. 63 Davis Straits 508.428.0053 508.228.0200 508.945.7200 508.540.0094 www.eaglepaintinginc.com jcoiletmf �161 a �y.� Verizon Webmail-town hoall http://netmail.verizon.net/webmail/driver?nirWet=deggetemail&fil=: 1►�Ite Less FIIan$a15 /Year? Click Your Age YOU Milly i j(y For p Grad To Go Back F®Sd i erizon Small Business Center WEB — --- - ervlew I Professional Networkbtg I My Applications I News&Resources I Marketplace SEARCH .. ....__.._.. ......... ri>[ I�' Advanced . ... .... ..._... ® �x Search Check Mail Go Cortpose Message Go: H+Feedback Rich Interface -- Welcome eaglepainting@verizon.net I Logout My Messages ,Subject: town hoall Inbox Lisa Conrad<madisonavecc@comcast.net> Add Contact I Sent: Jul 6,201010:54:27 AM Drafts I To: Fabio Oliveira<ea le ainti 9 P ng@verizon.net> 1,5.Sent — — essage S ource o SpamDetector Reply;;Reply Al Forward Spam Print Delete Move To... Go. [Inbox]I Next n --Trash need to[scow what we need to transfer/apply for to be fully compliant with the town for 112 Centre St My Folders My Address Book w '-YAll i Ccntacts Custom Painting Groups interior&Exterior Cornmercial&Residential My Settings Insured&Bonded General Licensed-#258301 L�Mail PAVITM INCORPORATED Fabio de Oliveira jTaii7 Office: 508-428-0053 •fax: 508-428-0063 i EaglePaintinglnc.com• eaglepainting@verizon.net 746 Main Street,Osterville 02655 State of Mass&Rhode Island License Serving:Cape Cod and The Islands-South Shore Boston-Metro Boston-Rhode Island - Contact_Us I Suppo t Verizon_Central Adv_ertisP with Us Alliances with Us ] Site_Map Verizon Privacy Po_:icy.I Copyright_2010 Verizon, All Rights Reserved.Use of Verizon Online's Internet access services and Web sites are subject to user compliance with our Policies 1 of] 7/6/2010 11:05 AM a I { QUITCLAIM DEED Jean F. Clark.and Linda J. Clark, Trustees.of the W, CLARK TRUST under declaration of trust dated July 1; 1978 recorded in Barnstable County Registry of.Deeds Book 2788, f Page 49, as amended, of 35 A North Main Street, Falmouth, MA 02540 in full consideration of Two Hundred Eighty Thousand and 00/100 ($280,000.00) DOLLARS paid grant to CDW, LLC, a Massachusetts Limited Liability.Corporation of 746 Main Street, Osterviile MA 02655 I 1 with quitclaim covenants, the land, with all buildings and improvements thereon, in Hyannis, Barnstable County, MA. shown as: LOT 3 on the "PLAN OF LAND IN HYANNIS, MASS. SURVEYED FOR GEORGE A. COREY & FREDERICK W. HALL Scale 1 IN = 30 FT. 1925 by Nelson Bearse, Surveyor, Centerville, Mass.' Said plan is recorded in Barnstable County Registry of Deeds Plan Book 14, Page 45, to which plan reference is hereby made for a more particular description. PROPERTY ADDRESS: 112 Center Street, Hyannis, MA 02601 Subject to and with the benefit of all rights, restrictions and'easements of record, insofar as they are in force and applicable. For title see Barnstable Registry of Deeds Book 11979, Page 101, AIM ENT&AMEN T rows HALL SQUARE DRAWER 919 'ALMOUTH.MA025RI' - �i '3 r I i 1 Witness our hands and.seals this 7 day of riA 1 2010. I �j W. Clark Trust Byk y � Je n F. Clark, Trustee ' iLinda J. Clark, Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this '7+6 day of y , 2010, before me; the undersigned notary public, personally appeared Jean F. Clark and Linda J. Clark, proved to me through satisfactory evidence of identification, which was personal knowledge, to be the persons whose names are signed on the preceding or attached document, and who acknowledged to me that they signed the foregoing voluntarily for its stated purpose, as trustees of the W. Clark Trust. �I Notary Public—T Vib 6'. Ame'N r My commission expires: (SEAL) I ,AMERT`u' AMENT TOWN I IALL SQUARE DRAWER 919 -ALMOUTH,IAA 0P541 1 t TRUsTEES'- CERTfF CATc �A+e,Jean F. Clark Linda J. Clark, beinu� the sole trustees of the j�`. Clark Trust under declaration of trust dated July 1, 1978 and.recorded in the Banistabl.e County Registry of Deeds in Book 2788, Page 49, hereby certify as fellows: i 1. We are the sole, acting Trustees of the.W. Clark Trust; j 2. Said Trust is in full force and.effect and has not been altered, amended, or revolted except at Book 15803,Page 63; Book 15803,Page 64; Book 19470, Page 33; and Book 22380, Page 52; i 3. None of the beneficiaries of said Trust has died.within the last tl�.ree years, i is a corporation, _s a minor person, or is a person uncles legal disability', 4. We have received written authorization from all the beneficiaries of said Trust to execute a deed in the amount of$280,000.00 for the sale of the trust property at 112 Center Street. Hya.nn.is,MA 02601 and to sign any and.all related documents as may be required to effectuate said .sale of real estate at 112 Center Street, Hvan.nis, NIA to CDC'!%.LLC. Executed.under seal on this ¢_ day of July, 2010. I t1': C RK TRUST 1n F. Clark, Trustee _ r tit irk , 3EindaLl. Clark; 'Trustee COMiMOl\T�VF<1LTH OF MASSACHUSE I-S Barnstable, ss. On this 7¢"day of �_al-V ; 2010, before me, the unde-,rsioned notary public, personally appeared Jean.F. Clark and Linda.J. Clark—,proved to me through satisfactory evidence of ideni'Ficat.ion which was personal knowledge to be the persons whose r.:.tunes i are signed on the preceding or attached document; and who acksrowledaed to nae that they signed the foregoing voluntarily for its stated purpose; as trustees of the W. C.lark Trust. Notary Pb.blic-.vqv p r 4P;�a7, 4Ni�tT�P.M��!�I TOWN NAIL SQUI-:Rc l tI-,,coinrit:ssion expires: ( - DRAWEER 919 (S.hi'-:.L) r -At-MOUTH.MA 02541 i oFtKKE T Town of Barnstable Regulatory Services swxivsrnaLe, . v MASS. Thomas F. Geiler,Director �A .t6g9 ♦0 rEo 39 Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 19, 2010 Jean F. Clark, Tr. 35A North Main Street Falmouth, MA 02540 Re: 112 Center Street, Hyannis 50 Louis Street, Hyannis Dear Ms. Clark: Enclosed are the Certificates of Inspection for the above-referenced properties. Please post the Certificates at the properties. Sincerely, Lois Barry Division Assistant Enclosure r P FINE� Town of Barnstable do Regulatory Services + BARNSTABLE, MASS, Thomas F. Geiler, Director 1639. Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 12, 2010 Jean F. Clark, Tr. 35A North Main Street Falmouth, Ma 02540 Re: 112 Center Street, Hyannis Certificate of Inspection Multi-family (5-year Certificate) Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code. Please complete the application and return to this office with the required fee: 4 Units - $93.00 The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Thomas Perry Building Commissioner Enclosure jcoiletmf f File Edit�Tools T~Help r a w YearrT,�pef611 No., Customer account inf6rinatior --_...__. Hisf ory RE342'J. Detail _ i CJARK ,JEA.N„F TR Property idorm,atron 3 A NO,-MAIN ST ti r ftlsll7»THH;' ]! 2543 I' 6ng Bill :Parcel I;D 2 w . li _ Aft Parr 4i Effective Date Prgp Loc . 11 CEt1TEfSTftEET � r h±, iJenfSale ? J p �' i aSpeciai Conditions/Notes f E Scan$ill �> , Quick Entry . Int Dt Billed- f1�dJ Pmtrd'' titerest >T ' Unpaid ba] -77 Utility Acct �83,ro - qq '777 k6 -. q Customer 43f02f10 . � 355.25! Fees/Pen a -95.25 Parcel. Totals 19 f 41fk #< w _ Prop Code' - ldvtesfAJerts Due fJ5ff}341f1 ra P"'D`sem JRIN 1 Owner: C'LARl�. JEA1U F Bill A�diJ ant¢Paid77 Reprint u �k 0esraPnrrunprdill : Preferences w "�tiagnostics _ 1 Gf 15Er ., i Display transaction history ft r the current bill. ; Start�:a Ma, "�Inb 6t. Mai>. ` Mai, �N . a TC ,I®Ci>c .€L4r FAy„Y... 1�:.� ,„0d .,, Per.. 1 Y�J :. TOWN OF BARNSTABLE INSPECTION WORKSHEET CERTIFICATE NO: F 201002403 CANCELLED: Q MAP: 327 DBA: 112 CENTER STREET MULTI-FAMILY PARCEL: 040 NAME/MANAGER: rW.CLARK TRJST STREET: 1112 CENTER STREET VILLAGE: JHYANNIS STATE: MA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: MULTI-FAMILY CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: R2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USES: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: = LOC1: 4 UNITS CAPS: LOC8: CAP2: LOC2: 4 2-BEDROCMS CAP9: LOC9: CAP3: LOC3: CAP10: LOC10: CAP4: ( I LOC4: CAP11: LOC11: CAP5: L005: CAP12: LOC12: ---- CAP6: I LOC6: CAP13: LOC13: CAP7: L__ LOC7: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: "PnWift s.Screen 0 LL 9@199tg99F+; 06/10/2010 06/10/2015 A 4" L Print Certficate of Inspect on COMMENTS: Ebe commonbjeaftb of 1+1a,5.5acbu.5err.5 . TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code-Section 106.5, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST Q�Qrtlfp that I have inspected the premises known as: 112 CENTER STREET MULTI-FAMILY located at 112 CENTER STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 4 UNITS 4 2-BEDROOMS Certificate Number: Date Certificate Issued: Date Certificate Expired:. Map Parcel 201002403 6/10/2010 6/10/2015 32 040 The building official shall be notified within (10) days of any t changes in the above information. — -- Building Official PERMIT PAYMENT RECEIPT I TOWN OF BARNSTABLE t 4 BUILDING DEPARTMENT t 200 MAIN STREET HYANNIS, MA 02601 DATE: 05/17/10 TIME: 13:18 -----------------TOTALS------------------- PERMIT $ PAID 93.00 -+ AMT TENDERED: 93.00 i AMT APPLIED: 93:00 CHANGE: i APPLICATION NUMBER: 201002403 PAYMENT METH: CHECK PAYMENT RIFF; 4346 I COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION MULTI-FAMILY j� FIVE-YEAR CERTIFICATE Date v (X) Fee Required$ . 0 ,O ( ) No Fee Required In.accordance with the provisions of the Massachusetts State Building Code, Section-106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: . 112 CWTEP, tT 4 1V �S �"► , 1 Name of Premises:Aj Purpose for which premises is used:MULTI-FAMILY RESIDENTIAL TYPE OF UNITS NUMBER OF UNITS TOTAL STUDIO 1 BEDROOM 2 BEDROOM 3 BEDROOM OTHER Certificate to be Issued to: 01Pkl* 1 Address: �_�?f 1 W. I �N �N �� � IFAW 0 V I T',W>rl OC-LJ l0 1� Telephone: �zz t t �1 T i Owner of Record of Building: Iw • NAVY) 1 Address: Name of Present Holder of Certificate: Name of Agent, if any: U -D rl- V• CL Ki I G ATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT �3 ��� 77dcJ3T ' PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNI.S,MA 02601- PLEASE NOTE: 1)Application form with accompanying fee_must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# Q/Q D 2 EXPIRATION DATE:_ /.�®�/.5� coiappmf eommonwealtb of Aaqqarbu.5ett5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 1065, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST 3 Ctrtifp that I have inspected the premises known as: 112 CENTER STREET MULTI-FAMILY located at 112 CENTER STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 4 UNITS 4 2-BEDROOMS Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 46570 6/10/2005 6/10/2010 327 040 The building official shall be notified within(10)days of any changes in the above information. Building Official .t i COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION - MULTI-FAMILY /� FIVE-YEAR CERTIFICATE- - � - - --- - - Date � � C/ (X) Fee Requi-red$ �-� O ( ) No Fee Required In.accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: n� Street and Number: CCk)-r6_K � Name of Premises: Purpose for which premises is used: MULTI-FAMILY RESIDENTIAL TYPE OF UNITS NUMBER OF UNITS TOTAL STUDIO I BEDROOM 2 BEDROOM 3 BEDROOM OTHER Certificate to be Issued to: Address: W. /fi t(x d7SYo Telephone: Owner of Record of Building: Address: cj L -7— r'_w MU- mlw Name of Present Holder of Certificate:___ /�//}m Name of Agent,if any: ZlklOfi -J—. &'qtc S URXbF PERSON TO WHOM CERTIFICATE ISSUED OR AUTHORIZED AGENT Loa PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE 7 d EXPIRATION DATE: G//O�J 0 coiappmf G4: q oFstrw,, Town of Barnstable do Regulatory Services * saxMsznsc.E, « Mnss. Thomas F. Geiler, Director o;9. Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 12, 2005 William Clark Trust 33 N. Main Street Falmouth, MA 02556 Re: 112 Center Street Certificate of Inspection Multi-family Dwelling (5-year Certificate) Dear Property Owner: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to this office with the required fee: 4 Units - $93.00 The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Sincerely, . Thomas Perry Building Commissioner Enclosure jcoiletmf 05/11/2005 TOWN OF BARNSTABLE PAGE 1 11 : 32 : 51 CUSTOMER FILE REPORT arestmnt Number 191863 Last Changed by peirsonl on 07/30/2000 at 11 : 36 Created thru TX Person/Entity P Name CLARK, WILLIAM H & JEAN F TRS THE? N W CLARK TRUST Address 33 N MAIN ST Zip code 02556 City, State FALMOUTH, MA Country FID Telephone Fax E-mail Website Customer Type Resident? N Addl Addresses N Special Conditions Y Associated Names OWNERS Seq Name The or FID H/N CLARK, WILLIAM H & JEAN F TRS N P 1 W 'CLARK TRUST N P ------- ---- ------------------------------------------------ ----- -------------- PROPERTIES OWNED Cat Own Prop ID Pct Own Stat Aka Bill 20 P 272144 100 . 000 N 20 P 327040 100 . 000 N 1 records printed. ** END OF REPORT ** - r TOWN OF BARNSTAB'LE INSPECTION WORKSHEETS z Clos.: CERTIFICATE NO: 46570 CANCELLED: MAP: 327 DBA: 112 CENTER STREET MULTI-FAMILY PARCEL: 040 NAME/MANAGER: 1W.CLARK TRUST STREET: 112 CENTER STREET VILLAGE: HYANNIS STATE: MA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: MULTI-FAMILY CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R2 Capacity Under 50: STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: 17 BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 4 UNITS CAPS: L005: . CAP2: LOC2: 4 2-BEDROOMS CAPE: LOC6: CAP3: LOC3: CAP7: LOCI: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: Print Th�sYScreen� r 06/10/2005 06/10/2010 s PrinfGe'itificate of Inspection, COMMENTS: Town of Barnstable _ Regulatory Services MARNsTML& ' Thomas F.Geiler,Director MAM 9`b 1639.. `� Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM DATE: TO: File REGARDING: COI Multi-Family Use Re: I oZ Certificate of Inspection is=t required for this property--does not consist of 3 or more units within a single structure. Notes: t ON-'(\ ry\or �\OQo DCU A t � —d�=Q2 � J �WE r� The Town of Barnstable • eAsrrsrnBUL - 9e� 9. Department of Health, Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner CERTIFICATE OF INSPECTION CAPACITY INSPECTION MULTI-FAMILY DBA M&P LOCATION OWNER ADDRESS ZONING NO. OF UNITS/FEE GLORIA URENAS APPROVAL DATE INSPECTOR DATE OF INSPECTION J980309A r r FfME Tp� The Town of Barnstable � a RUWSCABLE, • MASS, Department of Health, Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner May 15, 2000 WILLIAM H &JEAN F CLARK HARBOR RIDGE RD NO FALMOUTH, MA 02556 Re: Certificate of Inspection Multi-family Dwelling (5-year Certificate) 112 CENTER STREET, HYANNIS 327 040 Dear Property Owner: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to this office with the required fee: 4 Units - $ 83.00 The fee has been established by the State (Table 106) and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Sincerely, Ralph M. Crossen Building Commissioner RMC/lbn j990428e The c om m onw ealth of M ass achusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code,Section 106.5, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST Certify that I have inspected the premises known as: 112 CENTER STREET MULTI-FAMILY located at 11.2 CENTER STREET in the village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity R2 4 UNITS 4 2-BEDROOMS 46570 6/10/00 6/10/05 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within (10)days of any changes in the above information _ Building Official rai e -7 c2 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION MULTI-FAMILY FIVE-YEAR CERTIFICATE Date t��p 2 Q� (X) Fee Required$ 00• a O ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,1 hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 11 2 Name of Premises: Purpose for which premises is used:MULTI-FAMILY RESIDENTIAL TYPE OF UNITS NUMBER OF UNITS TOTAL STUDIO 1 BEDROOM 2 BEDROOM y 3 BEDROOM OTHER Certificate to be Issued to: C�ARK R�T Address: (53 )UQ, /t'l I Af Ir In A 0,2s yo Telephone: J �U c! 7o2oZ Owner of Record of Building: Address: Name of Present Holder of Certificate: 'k?M Name of Agent,if any: I—lL'Joh \J. �GA QK O RSON TO WHOM CERTIFICATE IS I D OR AUTHORIZED AGENT P EASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 367 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. CERTIFICATE# / .5�7 0 EXPIRATION DATE: U/0-S Town of Barnstable Building � r.;,",,°z :':-�;'c:°",". -?'�;,:r ,s, - ..•:'.�r'�n.. ;� .���„ :3� � .,� ".r: ��'x`�°�P�4,, ., +,�r�a S ,n ;.,._�r �,.m y fPostThis Card So:That rt is Uis�tile'F,romthe Street AA roved_Plans,Must beRetamed on;Job and;this Card Must be Kept'• ,. BMLNtTCAf!l.B, f z d�'''a:'+.F .• r '..,, .a.' -�,�ppn r y s ',gyp;y¢- S$ :.:. M' 'P.ostedUnt�I Fina'I Inspect�on�Has Been 11%lade* z rR & re.a Certificate'of Occupancy,is Required,such Buldmgslall Ngtibe�Occupied;,unti)a Finallnspection�has=been made Permit1639, 'Whe. ...a Permit No. B-20-1142 Applicant Name: FRANK DONOVON Approvals Date Issued: 05/27/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 11/27/2020 Foundation: Location: 112 CENTER STREET, HYANNIS Map/Lot: 327-040 Zoning District: HVB Sheathing: Owner on Record: CDW LLC Contractor'Namel ,FRANK DONOVAN Framing: 1 Address: PO BOX 438 Contractor'License CS-091391 2 CUMMAQUID, MA 02637 Est flrofect Cost: $ 13,000.00 Chimney: Description: ceilings and wall repair.Sheetrock replace necdssrya Bathroom Permit Fee: $ 116.30 Insulation: renovate,new ceiling&walls Sheetrock. Close off window. New --'' exhaust vetn. k p Fee Paid:; $ 116.30 Date 5/27/2020 Final: • fix k 5"P' _ �, Project Review Req: Plumbing/Gas ., xZ 0, Rough Plumbing: Building Official ;E Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed"by this permit is commenced within sizmonths after issuance. All work authorized by this permit shall conform to the approved application anz d the';approved construction documentsfor whi'chAhis permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and str�uctures,shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. �. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Butldmg and Fire Officials areprovided on tFiis permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing x 2.Sheathing Inspection Rough: 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 Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. - Final: "Persons 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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: 3NE BUILDING DEPT. // ( ``�� O,^ Application Number.... :..p�Q....�1...,d' ` BAFM„BM : MAY 0� 2020 �� 639 Permit Fee...... � .. ............Other Fee:....................... TOWN OF BARNSTABLE 'OrFo�r►t� Total Fee Paid........................................ ... e) 5 .).12... WD TOWN OF BARNSTABLE Permit Approval b BUILDING PERMIT ( . Map.............. ./.�..„/.........Parcel.......aw....................... APPLICATION Section 1 —Owner's Information and Project Location Project Address (?,g?n4 Village e' Owners Name ( 8F/1SN�d8�0 N 01 010to 0 Owners Legal Address f/V la, d b W City NO rye s ��� (I S State M4 zip Owners Cell # 7? E-mail �' t� ,(c e 4 Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description � t c D eef r©e U 6R&A loollf ('16S'e o nAuJ 1 Tact nnriatPrl• 11/15/�(11 R r Application Number.................................................... Section 5—Detail Cost,of Proposed Construction Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring rr, ► ❑ Oil Tank Storage ❑ Smoke Detectors 0 1. . ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System 4} ! ❑ Masonry Chimney ❑ Add/relocate bedroom i i Water Supply ❑ Public ❑ Private 1 Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No f Section 7—Flood Zone Flood Zone Designation 1 Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) 3 Setbacks Front Yard Required Proposed r 1 Rear Yard Required Proposed Side Yard Required Proposed 5 1 Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 Pa a#18 Above-Grade Building Sketch (Page - 2) Ow CDW LLC Property Address -112 Center St City H annis County Barnstable State MA Zip Code 02601 Client Lisa Conrad Cet a/SIC AaA 3)k o;,l Kitchen Kitchen Bedroom Bedroom Dining Dining CI fa UB 0r1 aCl Cl Bath Cl Cl Living Living ' Room� Room Bedroom Bedroom Open 3 y Porch 2nd. Floor r y .. Division of ProfessionalLicensure Board of Building Regulations and Standards �r�'sis Constructs pgrvlsor : CS-091391 .Tres: 10/28/211211 r ::. FRANK DONOVAN 104.CARLOTT: AVENUE° t " tp HYANNIS NIA 02601 �. TO .. T ' 'Commissioner I Ulae omfn�uueall�.a�'C�/jlaaaacfu�el/a ;: . i Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Re istration valid for individual-use only 9 . ;. .: TYPE Individual y before the expiration date. If found return-to: ,. Registratio Expiration Office of Consumer:Affairs,and Business Regulation 164521 10/18/2021 1000 Washington:. Street -Suite 710 cs� ' Boston,MA 02118 :::FRANK DONOVON ' FRANK J.DONOVAN f'i. ... 104 CARLOTTA AVE° �! (�A `-y� - . ,HYANNIS,MA 0260.1 ; Not vaild without signature ... r Undersecretary i v r i The Commonwealth of Massachusetts Department of IndustHdAccidents Office of Invadgations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeEibly Name(Business/Organb2don/Individual): r('e+1 i�OA6J4.11\ Address: /G / (ca'r 64a AWE City/State/Zip: 6,Ar o I Phone M 50,9 q 257 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.01 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑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.Q Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other kc r b clg4ga 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. tContractors 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.Lie.#: 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under th aims and penalties of perjury that the information provided above is true and correct Si GIif t/ —� Date: Phone#: Oftial 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer 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 therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such 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 with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public.work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability 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 affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial 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 number listed below. Self-insured companies should enter their self-insurance license number on the appropriate lime. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (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 future 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 (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lilce to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office ofInvestiptlow 600 Washington Street Boston,MA 02111 _ Tel.#617-727-4900 ext 406 or 1-877 MASSAFE Revised 4-24-07 Fax#617-727-7749 WWWw maw.gov/dia JAMES M. GILHOOLY, Architect, P.C. April 28, 2020 Town of Barnstable Building Division Attn: Mr. Edwin Bowers 200 Main Street Hyannis, MA 02601 Re: 112 Center Street, Hyannis, MA Apt. #4 alteration, R-2 Occupancy Permit Application#B-20-34 Method of Compliance evaluation Scope of Work: Rep6ir of existing plaster walls and ceilings with patching plaster. Partial replacement of damaged plaster with new sheetrock. Cover existing plaster ceilings with new sheetrock in rear bedroom, living room and kitchen along with new trim. Bathroom renovation, new sheetrock walls and ceiling and floor tile, remove and close existing window and install new exhaust fan for mechanical ventilation. Replace all bathroom plumbing fixtures with new fixtures. No change to use or occupancy is proposed and thus qualifies this project for the "Work Area Compliance Method". r Level of Alteration determination: 2015 IEBC Section 503.1 includes removal and replacement of materials as a Level 1 alteration. Section 504.1 states the removal of a door or window makes this project a Level 2 alteration. IEBC Section 504.2 requires Level 2 alterations to comply with provisions of Chapter 7 (for Level 1 alterations)as well as provisions of Chapter 8 of this Code. Compliance with Chapter 7 (IEBC) Section 702.1 Newly installed wall and ceiling finishes shall comply with Chapter 8 of the IBC (Cont'd) 159 Cotuit Bay Drive,Cotuit,MA 02635.2911 Tel (516)365,4177 - Email GilhoolyArchPC@aol.com f CO 'nt d , April 28, 2020 Re: 112 Center Street, Hyannis, MA Apt. #4 alteration, R-2 Occupancy Permit Application #13-20-34 Method of Compliance evaluation Section 702.3 New installed trim material shall comply with Section 806 IBC Section 702.6 New work shall comply with the materials and methods requirements in the IBC, IECC, IMC, IPC. Compliance with Chapter 8 (IEBC) Section 801.3 All new construction elements, components, systems and spaces shall comply with the requirements of the IBC as amended by MA 780 CMR. Section 804.4.3 Required interconnected and hard wired smoke alarms within the work area in accordance with the IFC. I trust this evaluation and analysis is acceptable for your purposes. If there are any questions regarding my report, please feel free to contact this office. ►►''X&•+''�� Re ctf ly submitted. � Q o � . o No.32507 0< Ja M. Gilhooly, R.A. ; COruir ; MASS. �Jr A F9 QO • 1. C e, p Application Number............. i Section 9- Construction Supervisor Name rain . '0�jrnw Telephone Number 6zte 73-4 O`er Address A&0 e City State i Zip Ca 96,1 License Number C 5 0�r(S0t� License Type Wt/f +� Expiration Date /c3-,,nP b Contractors Email a earn eta i,�,L Y Cell # 576d' '�:;-4 (!�-(60 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 E - . CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation req i ed by 780 CMR and the Town of Barnstable.Attach a copy of your license. Sip ,via Date D) s - 2a r Section 10-Home Improvement Contractor Name '7 � „!�,✓� Telephone Number :5 F Zi -3-4- e /cam ` Address /D/ 6��&t 644Cal City State Zip _© k1r.0% Registration Number /6 y5�2, / Expiration Date /O-/'F—a s I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 180 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.Attach a copy of your H.I.C... Signature ` Date cD -tad -ems Section 11 —Home Owners License Exemption Home Owners 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. y Signature Date APPLICANT SIGNATURE Signature avLU Dater Print Name_ -f Tzau)< Dom w Telephone Number-j6k -'7-Z ojce y E-mail permit to: 3 Last updated: 11/15/2018 Section 12 —Department Sign-Offs , Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ i Fire Department ❑ Conservation ❑ For commercial work please take yourplans directly to thefre departmentfor approvaL Section 13— Owner's Authorization I, jL 1`54 �O n ira d , as Owner of the subject property hereby authorize Di�>ftDOSV^ to act on my behalf, in all , matters relative to work authorized by this building permit application for: IA (Addr6ss of job) Signature of Owner Wte Print Name d i 3 ij 1 i 1 i j Last updated: 11/15/2018 I A,: WE 4S C-D N Application Number. -............. ............ BARNBrABLE, MASS. Permit Fee.......................... .. ........other Fee.. ....... ... 0396 J TotalFee Paid............................................ .................. ...... TO" OF BARNSTABLE Permit Approval by.................................On........................... ,_:.,Other Fee..........................e BUILDING PERMIT - Map� ..............Parcel........... APPLICATION Section 1 — Owner's information andProject Location Project Address 2- 6o7V 7-9X-S7- Village hl-ow/t S Owners Name-ttJS/J- 400/!� 166ill &CZ— Owners Legal Address Pb 12-J Vvtty Zv City ('6 State ttvf- zip eb tj, I.;. LZ -owners Cell# E-mail Section 2 -Use of Structure Use Group_ ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,060 cubic feet ❑ Single/Two Family Dwelling Section 3 - Type of Permit New Construction Move/Relocate [:] Accessory Structure E] Change of use R Demo/(entire structure) El Finish Basement El Family/Amnesty 0 Fire Alarm Rebuild ❑ Deck Apartment El Sprinkler System ❑ Addition E] Retaining wall F] Solar El Renovation ❑ Pool 0 Insulation Other-Specify Section 4 - Work Description (i AM46 &d hZ 4�a Ak A/ T.s;qt iinristp.ri- i i 11inni R J i Application Number.................................................... Section 5—Detail Cost of Proposed Constructs l l r'o 0 Square Footage of Project 4� Age of Structure I I r-'° Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public El Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total FrontagePercentage of Lot Coverage #of Dwelling Units on site g g g ( ) Setbacks Front Yard Required Proposed Rear Yard Required Proposed i Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No i 2 Last updated: 11/15/2018 � U tv Cf -- 14 - �� fjG Y y � U Ad Y damp .. s-o.^..:�Cea+eJir�NlJit'.wLv' 0'�ee �.�rui2aiu�a� ¢�1trc�cl�l�i Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only A YP�E:LLC before the expiration date. If found return to: Reaistratf 1.' Expiration Office of Consumer Affairs and Business Regulation „M1� 98 11/26/2021 1000 Washington Street -Suite 710 BROUGHTON`B,4ffLUl 'REMODELING,LLC Boston,MA 02118 MICHAEL C.BRbh �r/R 6 HIGHRIDGE LN : 3m� � GL•� s�i SANDWICH,MA 02563 Undersecretary Not valid without signature commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constr4,t►�Ai"Tviso'r I CS-111701 Tres: 01/07/2021 � � MIKE C BROWGHTON' ti 6 HIGHRIDGE'LN SANDWICH MA,0.2663 Commissioner The Commonwealth of Massachusefft Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov1t a Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual):L�Gqr vl "' -n ( d` 41 Address:� f City/State/Zip: &r d w•rc.,k A44O ;hone 6; Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. I am a general contractor and I b. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- wed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in anY capacity.acitY• employees and have workers'[No workers'comp.insurance comp.insurance.t 9. ❑Building addition 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.❑Plumbing repairs or additions myself:[No workers'comp. right of exemption per MGL 12.❑Roof repairs insuuanae required.]t c. 152,§1(4),and we have no 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. t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. tConbuctors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. y 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penaaJMa of perjury that the information provided above its true and correct Signature• Att4A Date: Phone#' V"e 36 ti SOU C C1 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 M Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person hi the service of another under any contract of hire, express or implied,oral or written." An employer 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 therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such 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 with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public-work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." 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 phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability 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 affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial 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 number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (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 future 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 (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 WWWI M&W.gov/dia Application Number........................................... Section 9- Construction Supervisor Nam a c t'yq h W) Telephone Numbe -os) Address ("�g a"eI d d _I/V City b���State_ J1�Zip �&'6, License Number 0 i License Type 1J ArV 5b'L 4 4piration Date C3 Contractors Email baod4A vl P AUm c1 I, ColCell # 5 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.Attach a copy of your license. Signature eY1,, ,..� j� Date Section 10—Home Improvement Contractor Name_ %Y!VOf%v\,• Telephone Number sr-r�1 Ll ``1-6 a- f Address PbrlLt City�-'� State ' Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors 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.Attach a copy of your H.I.C... Signature Date L 4, 9-<.-) Section 11 —Home Owners License Exemption Home Owners 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 SIGNATURE Signature % s� Date / '�Le Print Name 9yo Uilj n Telephone Number rV E-mail permit to: (' W, /1C_ Q COACOS `� , 4,E Last updated: 11/15/2018 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ ' - , Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization i as Owner of the subject property hereby �l authorize rI L44' bAA(JG*rar,,F to act on my behalf, in all ; matters relative to work authorized by this building permit application for: i i (Address of j ob) � Signature of Owner date 1 Print Name I i Last updated: 11/15/2018 3 Date: To: Building File RE: Address: �J Originator: .�--��j r C3 —b-0-1 0 I j(J 4az) J '71 Complaint: Enforcement Process Steps ® 1. Initiate local investigation: ® 2. Document/enter into system Yes ® 3. Contact 13, 4. Property Owner 5. Seek access to subject property 6. Seek administrative warrant(if necessary) NA 7. Notify state authorities of findings NA ® 8. Document conclusion 9. Referred 10. Stop Work/Cease& Desist Order Property - Property is developed with a DATE C6q ( Town of Barnstable Building - ,Post,This Card So That rt is..Visible;From.�tfie Street Approved Plans MustkbeRetamed on Job and;,this�Ca�d Must be�Kept .. BARBAR AR�ABLB. tsle 16� .herea>Certifcafe ofxOccu ant'is Re�wired such Build�n °shall Notxbe Occu ��d,unt�l a Final lns ect�on has been made Permit Permit No. B-19-2438 Applicant Name: Enda Garry Approvals Date Issued: 08/06/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 02/06/2020 Foundation: Residential Map/Lot: 327-040 Zoning District: HVB Sheathing: Location: 112 CENTER STREET, HYANNIS Contractor'Narne';° .,GREATER BOSTON ROOFING Framing: 1 z Owner on Record: CDW LLC CORP 2 Address: PO BOX 394 Contractor'.License 191498 Chimney: CENTERVILLE, MA 02632 ­,"Es,G Project Cost. $2,500.00 r Description: Replace water damaged sheet-rock telling Install new insulation Permit Fee: $85.00 Insulation: per Inspector due to the fact the room abuts d!Xinconditiorie'd space Fee`Pai`d': $85.00 Final: and bat insulation sits on ceiling sheetrock. Date 8/6/2019 Project Review Req: i Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authored by this permit is commenced within six months"after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the°approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures"shall be in compliance with the local zoning by laws�and codes. Final Gas: This permit shall be displayed in a location clearly visible from access streetor road and shall be maintained open for public1,mspectlon for the entire duration of the 77 work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and�Fire Officials are=provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:,, s• Rough: 1.Foundation or Footing m 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: " rsons co cting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department c4- 1Z Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT oFTHE ram, Town of Barnstable BUILDING UEPT Building Department Services BARNSTABLE, Brlan Florence,cso OCT 22 . Building Commissioner 2018 • �ArF �a 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLE www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT I, b�Q , Construction Supervisor License # ereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit issued to (property address) Cst . on U^ R , 201_ I also certify that on Z� -ZL 201_0 , I notified the property owner, that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building.Division. 4LICE"N�E'hOL6ADA f1w YLLZJ�q/fonns/newcontr reference R-5 780 CMR ,` rev:08/23/17 (�A . Town of Barnstable Building a Post This.°Ca;rdSoFThat rt i$s�/is�ble FromaheStr.,eet-At„roved Plansustbe Retained onilJob an`dthis Card Must beKe t ,� *- lA�Nf3CA[3LE, r R iWhere,a Certificate,of,O,ceu�fanc pis Re, wired' such�Buldin �sh�all Not;.be-Occu ied=.until"a,F�nal'-Ins ect►on has°beenmade Permit Permit No. B-18-888 Applicant Name: Approvals Date Issued: 04/25/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 10/25/2018 Foundation: Residential Map/Lot 327-040 Zoning District: HVB Sheathing: Location: 112 CENTER STREET, HYANNIS ' Contractor;Name. Framing: 1 Owner on Record: CDW LLC Contractor license 2 Address: PO BOX 394 Est P�No�ect Cost: $8,000.00 Chimney: CENTERVILLE, MA 02632 m PerrnitFee: $90.80 Description: #4-Bathroom, renocation,new fixtures and install' tilation wall ;Fee Paid; $90.80 Insulation: ven and ceiling repair �y Date:' 4/25/2018 Final: Project Review Req: l Pumbing/G . th, as Rough Plumbing: V Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized byAhis permit is commenced within six Mo ths'tafte' issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction document fMwhich this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. Final Gas: �� f 6, .- t This permit shall be displayed in a location clearly visible from access street or<road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. i Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building a'ndFlre Off cials are provided on this permit. Service: A ,.. Minimum of Five Call Inspections Required for All Construction Work: Ak 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons 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 �,,. Application Number.. ........................................ "'ALDING DEp7- 00 6 PermitFee.......................................Other Fee........................ 163 MAR 2 8 2018 Total Fee Paid..................................................................... -'0WN0F8ALETA8L TOWN OF BARNSTABE permit Approval by.... . .......................QL...YA�l........... BUILDING PERMIT M=L. .. ........................ ...... Map........._............................. APPLICATION Section I —owner's information and Project Location Project Address e*,-t9ff Village A Owners Name Owners Legal Address to/ Zip 0,2 city. ce=(A�,�1 � state Owners Cell# :7 .,Za 1 --7 L7_g E-mail Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet — Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction Fj Move/Relocate E] Accessory Structure ❑ Change of use ❑ Demo/ structure) ❑ Finish Basement El Family/Amnesty ❑ Fire Alarm Rebuild El Deck Apartment Sprinkler System E] Addition ❑ Retaining wan ❑ Solar [TRenovation 11 Pool El Insulation Other—Specify Section 4 -Work Description 1Ze-vL T.R.qt Tmdaf nd:WW201 8 Application Number.................................................:.. Section 5—Detail Cost of Proposed Construction&C-�CV, Square Footage of ProjectJ� Age of Structure Dig Safe Number ,.tq # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method 0 MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors [Jf Plumbing F] Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑F Public ❑ Private Sewage Disposal ❑'Municipal '❑ On Site Historic District . ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: Irv,cL We -b�eoj�,r S,^o I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone,Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated 2/9241 S Property Address 112 Center St State MA Zip Code 02601 City Hyannis County Barnstable Client Lisa Conrad Z � Porch Kitchen Kitchen Bedroom Bedroom Dining Dining CI Bath l�Cl Cl � Bath Cl Cl Living Living Room Room Bedroom Bedroom Open Porch 1st Floor Pae#18 Above-Grade Building Sketch (Page - 2) Owner CDW LLC Property Address 112 Center St Crty Hyannis County Barnstable State MA Zip Code 02601 Client Lisa Conrad h _ �/CI Cl� y Kitchen Kitchen Bedroom Bedroom Dining Dining ClI do" Fl I - " i Cl L tJ Ps DB, �IBatl 1 [�'Q�, _ Cl Living Living Room Room Bedroom Bedroom Open Porch 2nd. Floor Lauzon, Jeffrey From: Lauzon,Jeffrey Sent: Friday,April 20, 2018 11:18 AM To: 'capecodcraftsman@yahoo.com' Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-18-888 Applicant, Please be advised the above application is denied for the following: 1) Construction documents are incomplete (no floor plans submitted showing where in building work is proposed). Please do not hesitate to contact the Building Department with any questions.Thank you. Jeffrey Lauzon Chief Local Inspector (508) 862-4034 ieffrey.lauzon(a)town.barnstable ma us 1 Mass. Corporations, external master page Page 1 of 2 Y ex t r- Corporations Division Business Entity summary ID Number: 001028380 Request certificate New search Summary for: CDW, LLC The exact name of the Domestic Limited Liability Company (LLC): CDW, LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 001028380 Date of Organization in Massachusetts: Date of Revival: 10-25-2013 05-14-2010 Date of Involuntary Dissolution by Court Last date certain: Order or by the SOC: 06-30-2013 The location or address where the records are maintained (A PO box is not a valid location or address): Address: 746 MAIN STREET City or town, State, Zip code, OSTERVILLE, MA 02655 USA A Country: The name and address of the Resident Agent: Name: LISA M. CONRAD Address: 746 MAIN STREET City or town, State, Zip code, OSTERVILLE, MA 02655 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER LISA M. CONRAD 746 MAIN STREET OSTERVILLE, MA 02655 USA MANAGER IFABIO DEOLIVEIRA 1746 MAIN ST OSTERVILLE, MA 02655 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY FABIO DEOLIVEIRA 746 MAIN ST. OSTERVILLE, MA 02655 USA SOC SIGNATORY LISA M. CONRAD 746 MAIN STREET OSTERVILLE, MA 02655 USA http://corf.sec.state.ma.us/Corp Web/CorpSearch/CorpSummary.aspx?FEIN=0010283 80&... 3/28/2018 Mass. Corporations, external master page Page 2 of 2 The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name ;Address REAL PROPERTY FABIO DEOLIVEIRA 746 MAIN ST. OSTERVILLE, MA 02655 USA REAL PROPERTY LISA M. CONRAD 746 MAIN STREET OSTERVILLE, MA 02655 USA ❑ ❑Confidential ❑Merger ❑ Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report ' Annual Report - Professional Articles of Entity Conversion Certificate of Amendment ' rView filings Comments or notes associated with this business entity: I 9 's i 'fit i 's New search I http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=0010283 80&... 3/28/2018 Vsze�o�rru�no�u�sP,al/�o�CJ%�auaaT�ucaP,Cld - � �a �t •� %^.!�3° � �, �w•B`1R Office of Consumer Affairs&Business Regulations IiONiE.,1Ml?ROVEMENT•CONT�ACTOR p4 .tRe9lsiraUonJ �lidi�orindivid.sa>�seanly � -•. ' TYPE:Rlndividual1 before tfie expiratioi`fate. If found ,turm.o. ReaistratiunV Exoiratloor Office of Consumer Affairs and Business Regulation 10/18/2019 q 10 Park Plaza-Suite 5770 r 3, B ston,MA 02116 FRANK DCYNOvO �. All i(A CAR 'DO I�,V�N FR ANK J DOtd& a��� n Not valid;wlthout signature \•,w ro r- HYAfuNi� NlA02E01 l Undersecretary Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and,Standards I Const�r�ut�orSiS' rviso;r 41 CS-091391``` E� Tres: 10/28/2018 FRANK DON©VAM , 104 CARLQTf AVENUE: .;. HYANNIS MA 02601' Commissioner f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PImnbers Applicant Information Please Print Legibly Name(Business/Oro nization/fndividual): _i n J!�4 I rC2,n „/Gpx Address: City/State/Zip: � /elyi NA r Ll �6d Phone#: 5-orw? Clod Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a em to er with 4. 6. ❑New I am a general contractor and I . P Y * have hired the sub-contractors 'construction mployees(full and/or Bart-time). 2. I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity: employees and have workers' 9 Building addition [No workers'comp.insurance comp•insurance.: required.] 5. [] We are a corporation and its, 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself m se o workers' comp. right of exemption per MGL Y � P 4 d have no 12.❑Roof repairs insurance required.] t c. 152,§1( ),an we v LI`t employees. o workers' 13.❑Other -Kew Ak� comp.insurance required.] *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 1 t Homeowners who submit'this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 4Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state vYhetber 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.Lie.#: 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Si ature: kZA4 Date: Phone#: P ffzcid 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#: Application Number........:.................................. Section 9—Construction Supervisor Name Telephone Number S -7 3�4 Address /ay &"rit4g City .<»�'L State �s"�-� . Zip License Numbers 9- 0?j,31( License Type Expiration Date Contractors Email I understand my responsibilities under the rules and regulations for Licensed Constraciion Supervisor in accordance with 780 r CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and a documentation r ' ed by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signatuae Da t Section-10—Home Improvement Contractor Name e / Telephone Number '�5��: ,� 0160 Address Cog-10a City l , State ?d�a, zip D .6o / F Registration Number 14y oLJ Expiration Date 6 I understand my responsibilities under the rules and regulations for Hon vement Contractors in accordanc e ce with 780 CMR the Massac efts State Building Code. I understand the construction inspection procedures,specific inspections and docunnentation ired by 80 CMR and the Town of Barnstable.Attach a copy of your IUC... Signatur Date Section 11—Home Owners License Exemption R Home Owners 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, msp pr edures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date �3 Print Name -- Telephone Number E-mail permit to: C ti /nnnl o Section 12 —Department Sign-Offs. Health Department © Zoning Board(if required) a . Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approvaL Section 13—Owner's Authorization as Owner of the-subject property hereby authorize F44pk-, . onto vqr✓ 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 I Print Name Last wdstr&2/9/2018 TO*VN OF BARNSTABLE BUILDING PERMIT APPLICATION . "�• / l Map_, � Parcel��� ��� Application Health Division s \�.-Q Date Issued, Conservation Division �R 1� Application Fee Planning Dept. Fa��N���� Permit Fee Date Definitive Plan Approved by Planning Board 0 N p� Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner AddressS 4!!2 z - Telephone Permit Request zAa Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio cO '_N Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use j APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name no, Telephone Number Address 7 License #�'S` Home Improvement Contractor# /,DAF0�_ Email /���S'D,os1�'r�G',�I/-D�d� i �/1/����/ &V Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE i%�- DATE , -fit }I y l `y FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. 'ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE s ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r , l DATE CLOSED OUT ASSOCIATION PLAN NO. t s . J biNIhl sour RESIDENTIAL SOLAR POWER PURCHASE AGREEMENT Customer Name and Contact Information: Transaction Date 2016-02-03 Name(s) Lisa Conrad Sevice No. 4713028 Installation Location Address 112 Center St Approximate Start and Completion Date 112 Center St Hyannis MA o2sot Hyannis MA 02601 2016-08-01 Home Phone 5084191376 Cell Phone E-Mail cdw.11c@comcast.net Our Promises + We will design,install,maintain,repair, + We will not place a lien on Your Property. monitor,and insure the System at no additional cost to You. + You are free to cancel any time prior to Our commencement of installation work at Your + We warranty all of Our work for the Property. initial 20-year term. + The Energy Price includes a $5 monthly + Your Energy Price will not increase by discount for paying by automatic debit from more than 2.9%per year. Your bank account. + We will fix or pay for any damage We + You will not be responsible for any property may cause to Your Property or belongings. tax assessed on the System. Your Commitment • Pay for the Energy produced by the System. • Maintain a broadband internet connection. • Keep Your roof in good condition throughout • Continue service with Your Utility for any the Term. energy used above and beyond the System's production. • Respond to Our sales and support teams when scheduling and completing paperwork. At the End of Your Initial Term • You can renew the Agreement for a • You can request that We remove the subsequent term; System at no additional cost. • You can purchase the System;or If You Move • We guarantee You can transfer the Agreement • You can relocate the System to Your to the new owner,regardless of credit rating; new home;or . You can prepay the Agreement; • After the sixth anniversary,You can purchase the System. WE MAY HAVE PRESCREENED YOUR CREDIT. PRESCREENING OF CREDIT DOES NOT IMPACT YOUR CREDIT SCORE. YOU CAN CHOOSE TO STOP RECEIVING"PRESCREENED"OFFERS OF CREDIT FROM US AND OTHER COMPANIES BY CALLING TOLL-FREE 888.567.8688.SEE PRESCREEN &OPT-OUT NOTICE BELOW FOR MORE INFORMATION ABOUT PRESCREENED OFFERS. I The Notice of Cancellation may be sent to this address support@vivintsolar.com I vivintsolar.com 3301 Thanksgiving Way, Suite 500 Lehi, UT 84043 Phone 877.404.4129 1 Fax 801.765.5758 Copyright @ 2011-2015 Vivint Solar Developer,LLC All Rights Reserved PPA(11/2015.v3.2)I Page 1 NOTICE TO CUSTOMERS A. LIST OF DOCUMENTS TO BE INCORPORATED INTO Agreement, signed by both You and Us, before any THE CONTRACT: work may be started. ,a. Residential Solar Power Purchase Agreement, G. CUSTOMER'S RIGHT TO CANCEL. YOU MAYCANCEL b. Exhibit A—Notice of Cancellation, THIS CONTRACT AT ANY TIME BEFORE THE LATER OF: Exhibit B—State Notices and Disclosures, (1) MIDNIGHT OF THE THIRD (3RD) BUSINESS DAY d. Exhibit C—Certificates of Insurance, and AFTER THE TRANSACTION DATE, OR (II)THE START OF e. Customer Packet. INSTALLATION OF THE SYSTEM OR ANY OTHER These documents are expressly incorporated into this INSTALLATION WORK WE PERFORM ON YOUR Agreement and apply to the relationship between You PROPERTY. IF YOU WISH TO CANCEL THIS CONTRACT, and Us. YOU MUST EITHER: (1) SEND A SIGNED AND DATED B. WE HAVE NOT GUARANTEED, PROMISED OR WRITTEN NOTICE OF CANCELLATION BY REGISTERED OTHERWISE REPRESENTED ANY REDUCTION IN OR CERTIFIED MAIL, RETURN RECEIPT REQUESTED; OR ELECTRICITY COSTS IN RELATION TO THE SYSTEM THAT (2) PERSONALLY DELIVER A SIGNED AND DATED WILL BE INSTALLED ON YOUR PROPERTY. WRITTEN NOTICE OF CANCELLATION TO: VIVINT C. IT 15 NOT LEGAL FOR US TO ENTER YOUR PREMISES SOLAR DEVELOPER, LLC, 3301 N THANKSGIVING WAY, UNLAWFULLY OR COMMIT ANY BREACH OF THE SUITE 500, LEHI, UT 84043, ATTN: PROCESSING PEACE TO REMOVE GOODS INSTALLED UNDER THIS DEPARTMENT. IF YOU CANCEL THIS CONTRACT AGREEMENT. WITHIN SUCH PERIOD, YOU ARE ENTITLED TO A FULL D. DO NOT SIGN THIS AGREEMENT BEFORE YOU REFUND OF YOUR MONEY. REFUNDS MUST BE MADE HAVE READ ALL OF ITS PAGES. You acknowledge that WITHIN 30 DAYS OF OUR RECEIPT OF THE You have read and received a legible copy of this CANCELLATION NOTICE. SEE THE ATTACHED NOTICE Agreement, that We have signed the Agreement, and OF CANCELLATION FOR AN EXPLANATION OF THIS that You have read and received a legible copy of every RIGHT. DO NOT SIGN BELOW UNLESS WE HAVE GIVEN document that We have signed during the YOU THE "NOTICE OF CANCELLATION." WE ARE negotia=ion. PROHIBITED FROM HAVING AN INDEPENDENT E. YOU RISK THE LOSS OF ANY PAYMENTS MADE TO COURIER SERVICE OR OTHER THIRD PARTY PICK UP A SALES REPRESENTATIVE. YOUR PAYMENTATYOUR RESIDENCE BEFORE THE END F. DO NOT SIGN THIS AGREEMENT IF THIS OF THE CANCELLATION PERIOD. AGREEMENT CONTAINS ANY BLANK SPACES. You are H. You have the right to require Us to have a entitled to a completely filled in copy of this performance and payment bond. ✓ BY CHECKING THIS BOX, YOU AGREE TO RECEIVE ELECTRONIC RECORDS AS FURTHER DESCRIBED IN SECTION 7(m),AND AGREE THIS CHECKBOX CONSTITUTES YOUR ELECTRONIC SIGNATURE. BY CHECKING THIS BOX,YOU AGREE AND OPT-IN TO RECEIVING TEXT MESSAGES AS FURTHER DESCRIBED IN SECTION 7(n),AND AGREE THIS CHECKBOX CONSTITUTES YOUR ELECTRONIC SIGNATURE. BY CHECKING THIS BOX,YOU AGREE TOARBITRATION ANDWAIVE THE RIGHTTO AJURY TRIALAS DESCRIBED IN SECTION 6(e),AND AGREE THIS CHECKBOX CONSTITUTES YOUR ELECTRONIC SIGNATURE. VIVINT SOLAR DEVELOPER, LLC CUSTOMER(S): Signature: Signature: Printed Name: Dexter HofhineS Printed Name: Lisa Conrad Salesperson No.: Signature: Printed Name: Copyright©2011-2015 Vivint Solar Developer, LLC. All Rights Reserved. PPA(1112015, v3.2) I Page 17 , , '.il, � ,�' I • ,1 i, i � I I I r I ' I r } I I r I .., ';,�,•.' I ' t II,�i � 4''r : ,I I�I L�� ��I �II•��� �� ������ �1����I '�ll Ii�I ��)�'I��1���.�►� !j)� 'i r 1a(. . 'i'.: ( 1,' I I,u t I il� t 1!" l ��•' f,1. ,Irlri• ',I{r „�• . , , , •, ,.t,ll , .Ii 'it �Oi�ice of Consumer Affa�' �IBusine�siRegulation IIIIj II� I-oliflIM 1!{;tl(I�lion fifll • I,:',I.;.Iilll���i hill, liylfli (� ;III .i 10_Par P,l � Surt�5�1�0 Illy►�;i '► I i:•�' II�I'yildll Ii .ql a, °� illl'I-lil{'ll+. '(I,, i� ��„(( II r YII wBosto�nl� I 02�11 !i►, II ,, �,,. ach' s � l,',•'' ,; t,'• I ( Vi` 11 I► r 11 {,I� .�'II'i;llllll ' I I {111h I!�lili;i'h I' ttl"{III►'i��;;,) I,y � I I ;I I 1 i (���Home{Imp,o a t, I.ont�a� Regi iration 6!. ) I I116 t,' x, ! r 1 I�rr �•.l. it I11�.I ,! , 11'l�(Itl l,il I {' I �_I .E_.+li,u, a6 I I� it IIi Ii�I' 11' ' �I• {Ild II'I I� { + , i' II 1 t I'I I ►►Il► ,Ir) , I r 1 Ii" ,� 10 �islratlbn ►170848 '1 ..; i ' ,7, {,t{ Ui' 1 i)t'�I 11 'I �I{ 1l {` ll�}y I ,I1,Et i I �►II ''TYPe $UpplernenlCaid ,'',. ,.) t1 , 1 ,I, ,14)il I i I 14'll�t,. i•1 !I! ' I ',I o IIIf '•'I{411tu I .., ► ►+ 1 �► �( -` ;f .=;. I I} Exalra6on.' 11I512018 , VIVINT;SOLAR1QEVELOPER,L'{LC I '� Ill w , h, I I u' tl n{4 ' , .' t ti I •UAVID PRECOURT i' N al la'►�) I{I III I i1) Ii 14,dr I,f 1 1 ICI, 11 1 iI Iil I I{Ii )II i1 , 1 , s t 3301 N THANKSGIV,ING WAYISUf� 5 0 ( t �,11 } Ir►) � LE ' UT 84043 ix',I i t IlI l�'•j{►II II t! L j`� r'}I I) If� +� ►j11'►►r►Ill bl 4 ,1! ,i . 4 — I'11 ' .I .r-' ,:'' � ,. .+. .�_. (I. � -: III{ '.II'l •ilr tl} {r ..Yl��� t� ��.� i 1j";,i.,Ili I�I,..wllf I I .....». .._ _.. --- 1, :r i il. ►;'•I 1 4 I(I7 rl I r I I>' f",l 'I''I I'"! I ', j.lhb�l,"{ill Ii l'' �ti,r.'1.,,, :I., .► I�y f,i, ' .1 , ► (t qt 'i ,.;I i!'' 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I ofonsumeilR?ffa{ and'Buaacev Regulatron 1 } r!i egislration ;1708d8,I I11 I I I TYDe I I t �' I , 1! ti 1 '�OParkFlm�rSuLL 1170 -li I I Ltr it 1 I) (II I I. !I It E><piraUon:,,tl5I2018; SuppiemertCa t i ioston 11A 021 fil :'flj e Mlil li'I ( i t r - f i it, Ir Ifi (�•VIVINTSOUiR DEVELOPERLLC t ,, I ! i{{„, �I I I II I IlI + (' I1 ►��IfII116 3301 N THANKSGIV t� ING +Sul. ..� WAY - I..., 1 i I 'I ' .I•'-{P' �(II'I•" r l��r'Ct+'�f i ,L ..r �'R840a9 I I` I II U aentc 1 II 1i!' IliII1i1'Yot>and,ntthoutngnaturc tr'I — I� 'TI,.I►'1 I ' tI ► II�.�, IiI II► II►:I I ( i, }tl wi I"+ •goo Massachusetts Department of Public Safety ;7 Board of Building Regulations and Standards License: CS-013119 Construction Supervisor t DAVID A PRECOURT 97 FREEMAN ST' NORTON MA 02766 ^AX Expiration: Commissioner 0810712017 F ACC>Ro® CERTIFICATE OF LIABILITY INSURANCE DAm(MM/DD/YYYY) 01/2712016 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 MARSH USA INC. NAME: -- 122517TH STREET,SUITE 1300 A/C NNo Ext: FAX No): DENV.ER,CO 80202-5534 -ADDRESS, Attn:Denver.CeaRequest@marsh.com I Fax:212-948.4381 INSURERS AFFORDING COVERAGE NAIC# _ INSURER A:Axis Specialty Europe INSURED INSURER B:Zurich American Insurance Company 16535 Vivint Solar,Inc: Vivint Solar Developer LLC INSURER C:American Zurich Insurance Company 40142 Vivint Solar Provider LLC INSURER D:NIA N/A 3301 North Thanksgiving Way,Suite 500 Lehi,UT 84043 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002920068-04 REVISION NUMBER:2 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EI LTR TYPE OF INSURANCE POLICY NUMBER IMMIDDIYYYYI I(MMIDDIYYYY1LIMITS A X COMMERCIAL GENERAL LIABILITY 3776500116EN 01/29/2016 01/29/2017 EACH OCCURRENCE $ 25,000,000 CLAIMS-MADE T1 OCCUR PREMISES(Ea occurrence)) $ 1,000,000 _- MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,0W GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 25,000,000 X POLICY Ci JECT PRO- ❑LOC PRODUCTS-CO_MPIOPAGG $_ 25,000,000 OTHER: $ B AUTOMOBI-E LIABILITY BAP509601501 11/0112015 11/01/2016 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIIREDAUTOS X NON-OWNED - PROPERTY DAMAGE AUTOS Per accident $ X Comp/Colt Ded $ 1,000 UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION WC509601301 11101/2015 11/0112016 X AND EMPLOYERS'LIABILITY Y/N STATUTE EORH ANY PROPRIETOR/PARTNER/EXECUTIVE a ,CA,CT,HI,MD,NJ,NY,NV,NM, OFFICER/MEMBER EXCLUD NIA A E.L.EACH ACCIDENT $ 1,000,000 ED? (Mandatory in NH) OR,PA,UT E.L.DISEASE-EA EMPLOYE $ 1,000,0W B If yes.deseIbe under WC509601401(MA)- 11/01/2015 11/01/2016 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 = - - ____ - E I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis,MA 02601-4002 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kathleen M.Parsloe ,�'r m yQyd(� @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD t The Commonwealth of Massachusetts Department of Industrial Accidents t?^s I Congress Street,Suite 100 =� Boston,MA 02114-2017 www mass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Eleetric[ans/Pl umbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Apalicant Information Please Print Lettibly Name(Business/Organization/Individual): Vivint Solar INC Address: 33 1 N Thanksgivings Way Suite 500 City/State/Zip: Lehi LIT 84043 Phone#: 801 6246459 I Are you an employer?Check the appropriate box: Type of project(required): I 1 ®1 am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for mein 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑I am a homeowner doing all work myself.[No workers comp.insurance required.]t ' 4.17 I am a homeowner and will be hiring contractors to conduct all work on my property. twill 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole I I.❑ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑1 am a general contractor and 1 have hired the subcontractors listed on the attached sheet. 13. Roof 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 iViGL C. 14.®Other SOLAR 152,§1(4),and we have no employees.[No worker'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. i :Conrractors 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: Zurich American Insurance Policy#or Self-ins.Lic.#: WC509601401 Expiration Date: 11/1/16 Job Site Address: 112 Center St. City/State/Zip: Hyannis MA 02601 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 certify under the pains and enalties of-p•erj�ur r that the information provided above is true and correct Signature �--� Date: 3/18/16 Phone#: 08-776-6235 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#: ;V Von o SOl a� 3301 North Thanksgiving Way, Suite 500 �, • Structural Group T 43 P: (801) 840 Scott E. Wyssling, PE Senior Manager of Engineering scott.wyssfingC@vivintsolar.com February 11, 2016 Mr. Dan Rock, Project Manager Vivint Solar 3301 North Thanksgiving Way, Suite 500 Lehi, UT 84043 Re: Structural Engineering Services Conrad Residence 112 Center St, Hyannis MA S-4713028 9.62 kW Dear Mr. Rock: Pursuant to your request, we have reviewed the following information regarding solar panel installation on the roof of the above referenced home: 1. Site Visit/Verification Form prepared by a Vivint Solar representative identifying specific site information including size and spacing of members for the existing roof structure. 2. Design drawings of the proposed system including a site plan, roof plan and connection details for the solar panels. This information was prepared by the Design Group and will be utilized for approval and construction of the proposed system. 3. Photovoltaic Rooftop Solar System Permit Submittal identifying design parameters for the solar system. 4. Photographs of the interior and exterior of the roof system identifying existing structural members and their conditions. Based on the above information we have evaluated the structural capacity of the existing roof system to support the additional loads imposed by the solar panels and have the following comments related to our review and evaluation: Description of Residence: The existing residence is typical wood framing construction with the roof system consisting of the following: • Roof Section 1: Roof section is composed of 2x6 dimensional lumber at 16" on center and a single layer of roofing. The attic space is unfinished and photos indicate that there was free access to visually inspect the size and condition of the roof members. All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir #2 or better with standard construction components. The existing roofing material consists of composite shingle. Our review of the photos of the exterior roof does not indicate any signs of settlement or misalignment caused by overstressed underlying members. Stability Evaluation: A. Wind Uplift Loading 1. Calculations for uplift are based on ASCE/SEI 7-10 Minimum Design Loads for Buildings and other. Structures, a wind speed of 110 mph based on Exposure Category B and 31 degree roof slopes on the dwelling areas. Ground snow load is 30 PSF for Exposure B, Zone 2 per(ASCE/SEI 7-10). 2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the dwelling. dodo nl solar Page 2of2 B. Loading Criteria 10 PSF= Dead Load (roofing/framing) 30 PSF= Live Load (ground snow load) 3 PSF= Dead Load (solar panels/mounting hardware) Total Dead Load= 13 PSF The above values are within acceptable limits of recognized industry standards for similar structures and in accordance with the 2009 International Residential Code with Massachusetts Amendments. Analysis performed on the existing roof structure utilizing the above loading criteria indicates that the existing members will support the additional panel loading without damage, if installed correctly. C. Roof Structure Capacity 1. The photographs provided of the attic space and roof rafters show that the framing is in good condition with no visible signs of damage caused by prior overstressing. D. Solar Panel Anchorage 1. The solar panels shall be mounted in accordance with the most recent "Ecolibrium Solar Installation Manual, which can be found on the Ecolibrium Solar website (ecolibriumsolar.com). If during solar panel installation, the roof framing members appear unstable or deflect non-uniformly, our office should be notified before proceeding with the installation. 2. The solar panels are 1 '/z" thick and mounted 4 1/2" off the roof for a total height off the existing roof of 6". At no time will the panels be mounted higher than 6"above the existing plane of the roof. 3. Maximum allowable pullout per lag screw is 205 Ibs/inch of penetration as identified in the Nation Design Standards (NDS) of timber construction specifications for Spruce-Pine-Fir assumed. Based on our evaluation, the pullout value, utilizing a penetration depth of 21/2", is less than the maximum allowable per connection and therefore is adequate. 4. Roof Section 1: Considering the roof slopes, the size, spacing, condition of the roof, the panel supports shall be placed at and attached no greater than every fourth roof member as panels are installed perpendicular across members and no greater than the panel length when installed parallel to the members (portrait). No panel supports spacing shall be greater than four (4) spaces or 64" o/c, whichever is less. 5. Panel support connections shall be staggered to distribute load to adjacent members. 6. If collar ties are not present per Massachusetts building code we recommend that 2x6 collar ties be ynstalled at two third of the attic height @ 48" on center. Based on the above evaluation, with appropriate panel anchors being utilized the roof system will adequately support the additional loading imposed by the solar panels. This evaluation is in conformance with the 2009 International Residential Code with Massachusetts Amendments, current industry standards and practice, and the information supplied to us at the time of this report. Should you have any questions regarding the above or if you require further information do not hesitate to contact me. V truly yours, �y�N OF s J0 SLIN � VIL Scott E. Wyssling, P No. 507 MA License No. 5 07 A90,�9FGIST6A� FSS/ANAL tiN� I wodonl solar r, PV SYSTEM SIZE: 10.660 kW DC v 0 c N PV INTERCONNECTION POINT, a� INVERTER,ANSI METER LOCATION, LOCKABLE DISCONNECT SWITCH, •� o w &UTILITY METER LOCATION ��N//c 2 g JUNCTION BOX ATTACHED TO IL L)_z ARRAY USING ECO HARDWARE TO N c Z KEEP JUNCTION BOX OFF ROOF 0 cu =p 50'OF 1"PVC CONDUIT L Q FROM JUNCTION BOX TO ELEC PANEL c U At a O� N t� 9 � y (41)JKM260P-60 MODULE N � CD O � � � � tr V Q Z m Q > Z � F .. d' d' to T W W Z 00 J J V Z Z Z < Q SHEET NAME: H J SHEET NUMBER: 112 Center St, Hyannis MA 02601 PV SYSTEM SITE PLAN SCALE: 1/8"= 1'-O" > d i ^+ W O U Now �QCo �U aZ N'�r 70 Z aD co =O C a TIE INTO METER# /0 OMP.SHINGLE 1979767 U V n °9 °o \N\ 70 P//-,// N 9 � J C V m O C 5 C! Roof Section 1 0 a Roof Azimuth:203 r w U Roof Tilt:31 V STRING#3: z a 13 MODULES > F z V STRING#2: of U } PV STRING#1. 14 MODULES w w z m 14 MODULES v Z SHEET NAME: Ll- Z Q Oa w SHEET NUMBER: PV SYSTEM ROOF PLAN o N SCALE: 1/8"= V-0" > CLAMP MOUNTING SEALING V o PV3.0 DETAIL WASHER LOWER o SUPPORT 1LU 2 N_.F- CZ PV MODULES, TYP. MOUNT ' " `'` `~' co =o OF COMP SHINGLE ROOF, FLASHING a PARALLEL TO ROOF PLANE 0 2 1/2" MIN 5/16"0 x 4 1/2" 1. MINIMUM PV ARRAY TYP. ELEVATION STEEL LAGTSCREWS NOT TO SCALE TORQUE= 13±2 ft-Ibs O CLAMP ATTACHMENT $n NOT TO SCALE N N O= a CLAMP+ ATTACHMENT OO CANTELEVER U4 OR LESS COUPLING L=PERMITTED CLAMP EGO SPACING SEE CODE COMPLIANT COMPATIBLE LETTER FOR MAX ALLOWABLE N a MODULE CLAMP SPACING. m o c PERMITTED COUPLING g o v CLAMP+ o CLAMP CLAMP in a ATTACHMENT SPACING m z PHOTOVOLTAIC MODULE Z co a COUPLING m F Z W .. R d' US T W W Z CO U Z co U) a SHEET NAME: L=PORTRAIT � CLAMP SPACING ? Q ECO Z> p L=LANDSCAPE MODULEIBLE PV SYSTEM MOUNTING DETAIL SHEET NUMBER: CLAMP SPACING MODULES IN PORTRAIT/LANDSCAPE NOT TO SCALE co NOT TO SCALE O Conduit and Conductor Schedule DC Safety Switch Notes: Solar PV System AC Point of Connection TagDescription Wire Gauge #of Conductors Conduit Type Conduit Size AC output current p g yp Rated for max operating condition of inverter Accoding to Nec 59.38 Amps 1 Solar Edge Cable 10,AWG 2(V+,V-) N/A-Free Air N/A-Free Air 69 .8(B)(1) 1 N o NEC 690.35 compliant () o 1 Bare Copper Ground(EGC/GEC) 6 AWG 1 N/A-Free Air N/A-Free Air Nominal AC Voltage 2ao voles 2 THWN-2 8 AWG 2(V+,V-) PVC 1•, 'opens all ungrounded conductors THIS PANEL FED BY MULTIPLE SOURCES < (UTILITY AND SOLAR) 2 THWN-2-Ground 8 AWG 1 PVC 1^ a L1,L2,N) PVC 1• Notes: SE11400A-US-U Inverter Spec: 3 THWN-2 6 AWG 3( �1) a m 3 THWN-2-Ground B AWG 1 PVC 1• Wire size and breaker calculations dependent upon CEC Efficiency 97.5% inverter Continuous Maximum Output. AC Operating Voltage 240V _Z Example:SE38000A-US-U Max Output=16A Continuous Max 47.5A �'£o onnuous ax <20A. Therefore a 20A solar breaker will be needed for each SE380OA-US-U inverter. Wire Gauge should also DC Maximum Input Current 34.5A L U be determined with 16A Max for each inverter. < ALL CONDUCTORS Solar Edge Optimizer Specs: o P300 DC Input Power 30OW (� SHALL BE COPPER DC Max Input Voltage 8-48V DC Max Input Current 12.5A Design Conditions: DC Max Output Current 15A ASHRAE 2013 Max String Rating 5250W Highest Monthly 2%DB Design Temp 35.6°C. Module Specs: _ 41 PV MODULES PER INVERTER=10660 WATTS STC Lowest Min.Mean Extreme DB -17°C VOC Temp coefficient V/°C JKM260P-60 0 1 STRING OF 14 PV MODULES Short Circuit Current(Ise) 9.00A 0 1 STRING OF 14 PV MODULES Open Circuit Voltage(Voc) 37.8V • o 1 STRING OF 13 PV MODULES System Specs: Operating Current(Imp) 8.47Ap a Max DC Voltage 500V Operating Voltage(Vmp) 30.7V a z 13 14 Nominal DC Operating Voltage 350V Max Series Fuse Rating 15A �� t 1 Max.DC Current per String 15A STC Rating(Pmax) 260W �e - - - — — - - Nominal AC Current 47.5A Power Tolerance -0/+3% 0 0 *CONFORMS TO ANSI C12.1-2008 - - - — L1 L2N N O JUNCTION BOX WITH IRREVERSIBLE /l n GROUND SPLICE SOLAREDGE M K m S INVERTER* 5 ao o v 13 14 INVERTER' V) Q N � U + _ _ Sq...D#DU222RB Z m = — SOLAREDGE 60A/240V UNFUSED 100A _ _ _ NEMA3 j H 0 0 0 = = PM� ~ D SAFETY OR EQUIVALENT of W N _ _ �— _ T w JZm W Z 60A < 0 EXISTING SHEET 2 o 0 0 12 13 240V/100A AC NAME: -------- c LOAD-CENTER LU Q - - 2 VISIBLE WITH 1-2 POLE 60A 0 KNIFeac SOLAR BREAKER A Q DISCONNECT 3 — 1 - SHEET SOLAREDGE NUMBER: P300 OPTIMIZERS r W N 0 U C THIS ROOF SECTION'S TILT/AZIMUTH ARE Q� UNABLE TO PRODUCE MIN 800 SUN HOURS THIS ROOF SECTION'S TILT/AZIMUTH ARE o� UNABLE TO PRODUCE MIN 800 SUN HOURS (n in N W 0 �.mm + LLv z 1 ca 0 c a a M µ COMP.SHINGLE 1 _ OG N Al I N L l m j ;- I* W W Z m - U Z r ! m to J I ? z SHEET NAME:: Q9 V yyttt v/ Tui O SHEET OOF SECTION 1 NUMBER: Az:203 Ti:31 SOLAR ACCESS CONSTRAINT 41 MODULES 54.4%CUSTOMER USAGE OFFSET @ 1201 SUNHOURS d PV SYSTEM SIZE: 10.660 kW DC v 0 ol m N PV INTERCONNECTION POINT, INVERTER,ANSI METER LOCATION, LOCKABLE DISCONNECT SWITCH, "� o Lu m &UTILITY METER LOCATION �// g JUNCTION BOX ATTACHED TO L�JL U H z ARRAY USING ECO HARDWARE TO N c Z KEEP.II INCTION BOX OFF ROOF 50'OF 1"PVC CONDUIT L U FROM JUNCTION BOX TO ELEC PANEL C . O U 0 N °9 °o (41)JKM260P-60 MODULE 9 �J N V m O �////Avzo 40j O Q Z m Q > D 2 FLL- Z a' Lu N T W W Z co HJ J V z F J Q ? Z SHEET NAME: Q � J SHEET NUMBER: 112 Center St, Hyannis MA 02601 PV SYSTEM SITE PLAN o SCALE: 1/8"= 1'-0" > OL N 0 U C N o� cn�ow m {J�U mZ N Z c /R =O C a TIE INTO METER# OMP.SHINGLE 1979767 U N 00 9 001 o a WO 9 J N a7 O m O Roof Section 1 0 a Roof Azimuth:203 w Roof Tilt:31 V STRING#3: Z co C 13 MODULES > D F LVSTRING#2: Z PV STRING#1. 14 MODULES w w z m 14 MODULES Q Q U Z Zi U) U) Q � Z Z 1 2181 SHEET NAME: LL Z a SHEET NUMBER: PV SYSTEM ROOF PLAN o N SCALE: 1/8"= V-0" > a CLAMP MOUNTING SEALING V o PV3.0 DETAIL WASHER LOWER SUPPORT `n<o W ® �V Z a'�r z PV MODULES, TYP. MOUNT cu 0 =O OF COMP SHINGLE ROOF, FLASHING O < PARALLEL TO ROOF PLANE / 2 1/2" MIN (� J D 5/16"0 x 4 1/2" " PV ARRAY TYP. ELEVATION STEEL LAG SCREW NOT TO SCALE TORQUE=13±2 ft-Ibs O CLAMP ATTACHMENT (n 0 NOT TO SCALE s a OO N CLAMP+ 9 ATTACHMENT OD CANTELEVER U4 OR LESS COUPLING L=PERMITTED CLAMP ECO SPACING SEE CODE COMPLIANT COMPATIBLE LETTER FOR MAX ALLOWABLE N Q MODULE CLAMP SPACING. o N � o PERMITTED COUPLING 5 W �? o CLAMP+ CLAMP CLAMP o v) a ATTACHMENT SPACING z m = COUPLING PHOTOVOLTAIC MODULE Z w .. W z W Z m J J U en Z Z m SHEET NAME: L=PORTRAITH L 7U H 1- U) CLAMP SPACING ? Q ECO 2 p L=LANDSCAPE MODULEIBLE PV SYSTEM MOUNTING DETAIL SHEET NUMBER: CLAMP SPACING MODULES IN PORTRAIT/LANDSCAPE NOT TO SCALE 1 M NOT TO SCALE a O Conduit and Conductor Schedule DC Safety Switch Notes: Solar PV System AC Point of Connection Tag Description Wire Gauge #of Conductors Conduit Type Conduit Size AC output current Rated for max operating condition of inverter Accoding to Nec 59.38 Amps 1 Solar Edge Cable 10 AWG 2(V+,V-) N/A-Free Air N/A-Free Air 69o.8(B)(1) o NEC 690.35 compliant N/A-Free Air N/A-Free Air Nominal AC Voltage U o 1 Bare Copper Ground(EGC/GEC) 6 AWG 1 2ao volts 2 THWN-2 8 AWG 2(V+,V-) PVC 1„ 'opens all ungrounded conductors THIS PANEL FED BY MULTIPLE SOURCES (UTILITY AND SOLAR) 2 THWN-2-Ground 8 AWG 1 PVC 1^ _0 G< 3 THWN-2 6 AWG 3(L1,L2,N) PVC 1• Notes: SE1140OA-US-U Inverter Spec: 42) cnNs W 3 THWN-2-Ground 8 AWG 1 PVC 1 r, Wire size and breaker calculations dependent upon CEC Efficiency 97.5% ; inverter Continuous Maximum Output. AC Operating Voltage 240V u Example:SE38000A-US-U Max Output=16A `" Z <20A. Therefore a 20A solar breaker will be needed for Continuous Max Output 47.5A =o each SE380OA-US-U inverter. Wire Gauge should also DC Maximum Input Current 34.5A L be determined with 16A Max for each inverter. Solar Edge Optimizer Specs: p - ALL CONDUCTORS P300 DC Input Power 30OW U SHALL BE COPPER DC Max Input Voltage 8-48V DC Max Input Current 12.5A Design Conditions: DC Max Output current 15A ASHRAE 2013 Max String Rating 5250W Highest Monthly 2%DB Design Temp 35.6°C. Module Specs: CC3 41 PV MODULES PER INVERTER=10660 WATTS STC Lowest Min.Mean Extreme DB -17°C VOC Temp 1 STRING OF 14 PV MODULES p coefficient V/`C JKM260P-60 1 STRING OF 14 PV MODULES Short Circuit Current(Isc) 9.00A Ul1 STRING OF 13 PV MODULES System Specs: Open Circuit Voltage 37.8V o Operating Current(Imp)p) 8.47A a Max DC Voltage 500V Operating Voltage(Vmp) 30.7V a 2 0 qF 13 14 Nominal DC Operating Voltage 350V Max Series Fuse Rating 15A SE1 Max.DC Current per String 15A STC Rating(Pmax) 260W �e Nominal AC Current 47.5A Power Tolerance -0/+3% o 'CONFORMS TO ANSI C12.1-2008 Lt L2 N N a JUNCTION BOX o m WITH IRREVERSIBLE m GROUND SPLICE SOLAREDGE 2 o 0 0 13 14 SE11400A-US-R g m o e 1 NVERTER' O Q I_ U + Square D#DU222RB Z m = SOLAREDGE 60IV240V UNFUSED 100A NEMA3 j f 0 0 o M� ti DC SAFETY OR EQUIVALENT Z SWITCH w W w m U Z 60A ? ? EXISTING SHEET 2 o 0 0 12 13 240V/100A AC NAME: - - - —— -- c LOAD-CENTER LU 2 VISIBLE WITH 1-2 POLE 60A C7 - - - LOCKABLE Q - - - _ _ - - — 3 D scoff Ecr 3 _ SOLAR BREAKER 0 l SHEET SOLAREDGE NUMBER: `P300 OPTIMIZERS 0 r LLI N U 0 C THIS ROOF SECTION'S TILT/AZIMUTH ARE Q� UNABLE TO PRODUCE MIN 800 SUN HOURS-----\ THIS ROOF SECTION'S TILT/AZIMUTH ARE o� UNABLE TO PRODUCE MIN 800 SUN HOURS cn N w co loco �U Z (V C _0 } U i4 Q a { Y COMP.SHINGLE y y - fi � fi o a 9 � ✓. o0 0 ., . ,JJ 4, €kfig ' ` `� J Y. m .. , o tr .}-.. > Z F w �r wWZm y A u I J J w zU) SHEET NAME: nu Z w p 0 SHEET OOF SECTION 1 NUMBER: Az:203 Ti:31 0 SOLAR ACCESS CONSTRAINT 41 MODULES 54.4%CUSTOMER USAGE OFFSET @ 1201 SUNHOURS a. EcolibriumSolar Customer Info Name: 4713028 Email Phone: Project Info Identifier: 64107 Street Address Line 1: 112 Center St Street Address Line 2: City: Hyannis State: MA Zip: 02601 Country: United States System Info Module Manufacturer: Jinko Solar Module Model: JKM260P-60 Module Quantity:41 Array Size (DC wafts): 10660.0 Mounting System Manufacturer: Ecolibrium Solar Mounting System Product: EcoX Inverter Manufacturer: SolarEdge Technologies Inverter Model: SE1140OA-US (240V) Project Design Variables Module Weight: 41.9 Ibs Module Length: 65.0 in Module Width: 39.0 in Basic Wind Speed: 100.0 mph Ground Snow Load: 40.0 psf Seismic: 0.0 Exposure Category: B Importance Factor: III Exposure on Roof: Partially Exposed Topographic Factor: 1.0 Wind Directionality Factor: 0.85 Thermal Factor for Snow Load: 1.2 Lag Bolt Design Load- Upward: 820 Ibf Lag Bolt Design Load- Lateral: 288 Ibf EcoX Design Load - Downward: 722 Ibf EcoX Design Load- Upward: 765 Ibf EcoX Design Load- Downslope: 297 Ibf EcoX Desigin Load- Lateral: 233 Ibf Module Design Moment—Upward: 3655 in-lb Module Design Moment—Downward: 3655 in-lb Effective Wind Area: 20 ft2 Min Nominal Framing Depth: 2.5 in Min Top Chord Specific Gravity: 0,42 EcolibriumSolar Plane Calculations (ASCE 7-10): Design 1 Roof Shape: Gable Edge and Corner Dimension: 3.0 ft Roof Type: Composition Shingle Stagger Attachments: Yes Average Roof Height: 25.0 ft Include Snow Guards: Yes Least Horizontal Dimension: 27.0 ft Preferred Landscape Spacing: 48.0 in Roof Slope: 31.0 deg Preferred Portrait Spacing: 48.0 in Truss Spacing: 16.0 in Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 37.0 37.0 37.0 psf Slope Factor 1.0 1.0 1.0 Roof Snow Load 37.0 37.0 37.0 psf Wind Pressure Calculations Description Interior Edge Corner Unit Net Design Wind Pressure Uplift -20.7 -24.3 -24.3 psf Net Design Wind Pressure Downforce 19.4 19.4 19.4 psf Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0 Design Wund Pressure Uplift -20.7 -24.3 -24.3 psf Design Wind Pressure Downforce 19.4 19.4 19.4 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.4 2.4 2.4 psf Snow Load 37.0 37.0 37.0 psf Downslope: Load Combination 3 17.5 17.5 17.5 psf Down: Load Combination 3 29.2 29.2 29.2 psf Down: Load Combination 5 13.7 13.7 13.7 psf Down: Load Combination 6a 31.1 31.1 31.1 psf Up: Load Combination 7 -11.2 -13.4 -13.4 psf Down Max 31.1 31.1 31.1 psf Spacing Results(Landscape) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 48.0 48.0 48.0 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 48.0 48.0 48.0 in Max Cantilever from Attachment to Perimeter of PV Array 16.0 16.0 16.0 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 36.3 36.3 36.3 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 32.0 32.0 32.0 in Max Cantilever from Attachment to Perimeter of PV Array 12.1 12.1 12.1 in EcolibriumSolar Layout Skirt Coupling ` U Note: If the total width ofa continuous array exceeds 35fL break array to allow for thermal Clamp expansion and contraction. See Installation Guide for details. Warning: PV Modules may need to be shifted with respect to roof trusses to comply with Bonding Jumper maximum allowable overhang. EcolibriumSolar Roof Weights In Conformance with Solar ABC's Expedited Permit Process Module Quantity:41 Weight of Modules: 1718 Ibs Weight of Mounting System: 180 Ibs Total Plane Weight: 1898 Ibs Total Plane Array Area: 722 ft2 Distributed Weight: 2.63 psf Number of Attachments: 90 Weight per Attachment Point: 21 Ibs EcolibriumSolar 130 Of Materials Part Name Quantity ECO-001_101 EcoX Clamp Assembly 90 ECO-001_102 EcoX Coupling Assembly 58 ECO-001_105B EcoX Landscape Skirt Kit 1 ECO-001 105A EcoX Portrait Skirt Kit 7 ECO-001_103 EcoX Composition Attachment Kit 90 ECO-001_116 EcoX Flat-Tile Flashing 0 ECO-001_117 EcoX S-Tile Flashing 0 ECO-001_118 EcoX W-Tile Flashing 0 ECO-001_363 EcoX Lower Support-Tile 0 ECO-001_109 EcoX Electrical Assembly(optional) 1 ECO-0011_106 EcoX Bonding Jumper Assembly 4 ECO-001_104 EcoX Inverter Bracket Assembly 0 ECO-001_338 EcoX Connector Bracket 0 ECO_001-359 EcoX Lower Support- Low Slope 0 Mass. Corporations, external master page Page 1 of 2 s xir Corporations Division Business Entity Summary 3. ID Number: 001028380 Request certificate New search Summary for: CDW, LLC The exact name of the Domestic Limited Liability Company (LLC): CDW, LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 001028380 Date of Organization in Massachusetts: Date of Revival: 10-25-2013 05-14-2010 Date of Involuntary Dissolution by Court Last date certain: Order or by the SOC: 06-30-2013 The location or address where the records are maintained (A PO box is not a valid location or address): Address: 746 MAIN STREET City or town, State, Zip code, OSTERVILLE, MA 02655 USA' Country: The name and address of the Resident Agent: Name: LISA M. CONRAD Address: 746 MAIN STREET City or town, State, Zip code, OSTERVILLE, MA 02655 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER LISA M. CONRAD 746 MAIN STREET OSTERVILLE, MA 02655 USA MANAGER I FABIO DEOLIVEIRA 1746 MAIN ST OSTERVILLE, MA 02655 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY FABIO DEOLIVEIRA 746 MAIN ST. OSTERVILLE, MA 02655 USA SOC SIGNATORY LISA M. CONRAD 746 MAIN STREET OSTERVILLE, MA 02655 USA http://corp.sec.state.ma.us/Corp Web/CorpSearch/Corp Summary.aspx?FEIN=0010283 80&... 3/18/2016 Mass. Corporations, external master page Page 2 of 2 The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY FABIO DEOLIVEIRA 746 MAIN ST. OSTERVILLE, MA 02655 USA REAL PROPERTY LISA M. CONRAD 746 MAIN STREET OSTERVILLE, MA 02655 USA ❑ ❑Confidential ❑Merger ❑ Consent. Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report Annual Report - Professional , l Articles of Entity Conversion Certificate of Amendment v View filingsV Comments or notes associated with this business entity: i New search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=0010283 80&... 3/18/2016 0 0 C�Gr Town of Barnstable Re: Transfer of CSL License Dear Building Official: We appreciate your willingness to continue working with Vivint Solar as we move to become a more operationally efficient and quality driven organization. As our landscape changes, so too has some of our organizational chart. In meeting these changes, we respectfully,request to transfer the license of our former licensed construction supervisor David Precourt on the following permits as he no longer is working for nor representing Vivint Solar as of 4/8/2016. In replacement of Mr. Tobin construction license, we would like to continue operating in compliance within your jurisdiction under the following attached license. Mr. Emmanuel Mello III will be taking over the permits. 112 Center Street Hyannis B=16-667 Again, we certainly want to thank you in advance for your support and Understanding. Please feel free to contact me directly if needed. Jeremy Sabin Director of HR Vivint So Brendan Smith VP of Operations Vivint Solar. t r 10 Par Plaza - Suite 5 170 Boston, Massachusetts setts 02116 Homey Improvement Contractur Registration Regime>«tfan 11770949 Typec SOPIi=.ent Card VIVINT SOLAR DEVELOPER LL.C., E. MANUE,L MELLO -- LEHI, U'T 840,43, _ Up&te Addrass amd return earl.Mark reasm.i.fir c€iange:. �tra�n C4 Z"-q E] Addrrm [.jI Rear wal G;Employment G,>Lost:Clad r r�c% �it'�.�rrr•.,:•ri cUnuf.�l-+r���.LiaJXtt:�7.rc.rct/3 . �_: bGrue ofCoasmmerAff;'air's. Rusiness R Mahon, � ass car aggistra4iaa vats"d,far iodivWal aft only E 0PROVEME?NT C>4NT T-CR. are tie exptrat m date. If f lad aetu rs tm: Offi ce o6.Cat sc► er Affairs and Bminess:Regnhoion x Fte. is#ca4tc�re: 170848Type:: TO Fark laaa-Suite 5170 .,> t~' Expiraten: F,5po% Supplem'entCzrd RostGNMA.02116 VIVI:NT SOLAR DEVELOPER LLC. EMMANUEL MELLd 33a1 N THANKSGIVING WAY SUt .: �x _ � i% ,.�.!� 'i / ��.`�✓%.�' T€4,MT 84043 ! J Undersecretary &id Without signature u>`wt 12 Thompson Rd Webster MA 01570 , a d www.RRPEPA.com 508 826 5757 i;/lIaS58ChUSetts -Department 4f 6 ublic Safety Certificate of Attendance and Completion Refresher Renovator per 40 CFR part 745.22 Board of Building Regulators and Standa,ds t r�,n i n Lead-safe Renovator-supervisor -OTiitructi0ir iiiiiri A..:. Emmanuel Mello III License: CS-065607 Jefferson MA 01522 E11'g11�N1T1;L T 1!!g g,$�,—tea Course&Exam mate:04/1715 PO Box 326 �. s Expiration ate:04/17/20 .Jefferson MA 01M2 Certificate R-R-18867-15-00228 r Trainer Date. )I'941 Expiration Commissioner 05103/2017 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street t Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name (Business/Organization/Individual): V rt - I Address: 3 3C 1 0 . h,t n q e V.N q Lq � -W City/State/Zip: (-4-r" Sl Y v k 3 Phone#: qe ( - Z Z T ` G `z' S f Are you an,employer?Check the appropriate box: Type of project(required): 1. v 1 am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑' 1 am a sole proprietor or partner- listed on the attached sheet.x ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. workers' comp.insurance. q, ❑ Building addition [No workers' comp. insurance 5 El We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a,homeowner doting all work right of exemption.per MGL 11.❑ Plumbing repairs or additions myself. [No workers'.comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.]t employees. [No workers' 43.0Other comp. insurance required".] *Any applicant that checks box 91 must also fill our,the section below showing their workers'compermtion pofity it►onw4ion. I *Homeowners who submit this affidavit ia*rminK they are doing all work and theq'hire outside contractors must submit a new affigAvit Indic uting such. tcoatraeturs that:dt,'. k this box must attached an addit oral sfieet showing the mum of the sub-contractors and their workers'comp,pul'icy inFomiatton. ant an employer that is providing workers'Compensation insurance fair my enVloyees. Below;is the policy and job site 4 informatiom , { '` Go AJ4 Insurance Company Name: rrtr-; n-trrt CAA\ Y`+Sr t✓ot �c t � Policy#or Self-ins. Lic.#: V✓L 5 v'f 6 U./ �f lJ Expiration Date: I l t 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 1 1 - 7- Phone#: G 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#: t �\ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations }' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name (Bus iness/Organization/Individual):_ _ V t V r n f S�E/fth t n G 1 Address: 3 3 v 1 0 - h r tGs I,' v l v+q l J,r y 5�.• L So a City/State/Zip: Ut7— q`(O k 3 Phone #: qW Are you an employer? Check the appropriate:box: Type of;project(required): 6. v 1 am a employer with 4. ❑ t am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2-❑ 1 am a sole proprietor or partner- listed on the attached sheet.1 7- ❑ Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity. workers' comp. insurance. g, ❑ Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doer,.o all work right of exemption.per MGL t L❑ Plumbing repairs or additions G myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.❑Other comp. insurance required:] ! *Any applicant that checks box N 1 must also Mout the section below showing their workers'compensation policy trilarntt,34ion. t Homeowners who subgteit this aTidavit-indicttAmg they are doing all work and then hire outside contractors t4ust submits a new altidawit indicating such. tConitractucs that chikk this box m&t attached an additional sheet showing the.itaiwe of the sub contractors and theirworkers'comp,policy information. t I ant,ann employer that is providing workers'compensation;ri'nsgrance for nay emmpbyees. eloar=isihe potiey and job site information. i Insurance Company Name: c.t f t.� �r t r���r� -1` �•S c-r✓�t +�c G64 c l 1 Policy#or Self-ins. Lic.M VV C- S 0 q 6 U / 'U t Expiration Date: I tt 1 / 2 O/ r 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 Section 25A of MGL,c. 152,can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP-WORK ORDER and a fine of tip 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 under the pains and penalties of perjury that the information provided above is true and correct. . Signaturc: /'' �� Date: Phone#: Z 2-1 - (a`r S 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: v Phone#: I N-c'PO83 TOWN OF BARNSTABLE BUILDII MIXIT APPLICATION Map Parcel 6qftWN OF BARNSTABLE Application'# Health Division Date Issued I Z` -/S �h Conservation Division Application F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis c.=Project Street AddressA Village Owner�" C Address Telephone S0 - 900 Permit Request 0 6 \A A (i al C Q j Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project:Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ` Name em VIC &ALVc1mOo Telephone Number `Address` License # 01 Home Improvement Contractor# IqC J Email Worker's Compensation # sj, x "a ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Eoo v nVL SIGNATURE DATE 4 - FOR OFFICIAL USE ONLY APPLICATION # ' DATE ISSUED MAP/ PARCEL NO. `. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION S FRAME Yti INSULATION `• FIREPLACE a ELECTRICAL: H FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r. FINAL BUILDING `a DATE CLOSED OUT ASSOCIATION PLAN NO. i, - Tlie Comuroprivealth o—Vassachasetts Deparment of Industrial Acciden#s Oirwe a,f InM igattons is 600 Washington Street Boston,CIA 02III kvr m rnass gov/dia Workers' Campensation Insurance Affidavit: Builder-s/ContradurslElectricianslPhunbers Applicant Infamat cin r Please Print 1,ebI I`lamisBusssiDrganizahonfln&vuaY). vim{ Lov�u Address: ( ( Cit3l tatefzip= l Phone Are you an employer?Check the appropriate box: Type of project(required):: I am a general contractor and I YPe F ] I.❑Famlazole employer vE�itlt ❑ g 6. ❑I*Iew consfruction ees(full and/or park-time).* have hired the sub-contractors 2. proprietor or partner-' listed on the attached sheet. 7. ❑Remodeling slip and have no employees. '.These sub-contractors have g- ❑Demolition. wad ng for me in any capacity. employees andlizve wgdwrs' comp. t� c ms ran # 9..El Building addition [PTo nrorkers' comp.insurance - required"] 5. ❑ We are a corporation and its 10.❑Electrical repairs cr additions officers have exercised their 3.❑ I am.a fiameouner doing all work 11.[]plumbing repairs or additions m3 s f- [No workers'comp. right of exemption per MGL 12-❑Roofrepairs insurance required-]'s c.152,§1(41 and.we have no employees.[No workers' 13-0 Other comp.insurance required.] •Amy W icant that checks box 91 mast also fill outthe sectionbekw showmg their workeie comp—sad onPolicy information. I Homeowners who submit d&affidaOt Macaung they ate doing all work and&M bim outside contractors mart submit anew affidavit indicating sarli FCauu ctors that rhedr ibis box must attached,as additional sheet showing the name of the sub-comttgctats and state whether or not those entities have employees.Ifthesub"contactorshive employees,theynnurprovide their warkets'wmp.policy number. I am arc eurplol�er tltat is prmdding yuorkers'conrperesalian insrtrarrce for rtty*enrpinJ es Below is the potiry and job site inforatadom Insurance Company Name: Policy-,4*-or Self--ins.Lic. Eitpiration Date: Job Site Address: City/State/2ip: Attach a copy of the corkers'compensation policy det:Iaration page(showing the policy number and expiration date). Failure to se'vre-coverage as required.under Se-c€ion 25A of MGL c 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as rival penalties.in the form of a STOP WORK ORDER and a fine of up to$250-0�0 a day against the violator. Be advised that a copy of this statement may,be forwarded to the Office of Investigations of the DIAL for insurance coverage verification. I do hereby cer f},render the afpedwy that the informadon provided abmre is cd rrect Simature. Date. Phone Official use only. Do itat write in this area,to be completed by city artown official. City or Tom : PermitUcense# Issuing Authority(drde one): 1.Board of Health 2.Building Department 3.CifyiTown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone 9: Information and lastructions . Massa.chusetis Gehenl Laws chapter 152 requires all employers to provide worirers'compensation for their employees. p tD this s{atjt�D,a a.anplayee is defined as."-.every person in the smvice of another under any contract of hire, express or implied,oral or " An ernpTzyer is defimed as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged m a jd the legal representatives of a deceased employer,or the Joint a an me�� receiver or trustee of an mdividnal,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the . dweIIing house of another who employs persons to do maintenance,construction or repair work on such dweIImg house or oa the grormds or building appur:cnartthemfn shall not becanse of sash employment be deemed to be an employer." MGL chapter 152,§25g6)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 auy applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work unfil.acceptable evidence of compliance with tie ME rcqui==ts of this chapter have been presented to the contracting sufhority." Applicants Please fill o-ut the workers'compensation affidavit completely,by checki g the boxes that apply to your sitnation and,if necessary,supply sob-contractors)name(s), addresses)and phone numbers)along with their certificates) of j„cr„-ar ce. Limited Liability Companies(LLC)or Limited Liability Part e:rsbips(LLP)with no employees other than the members or partners,are not required to cart'workers' compensation lasm'ance. If an LLC or LLP does have employees, a policy is regoned. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be ret=e;d to the city or town that the application for the permit or license is being requested,not the Department of hadugfrial A ccideni s. Should you have any questions rega<dmg the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the nrunber listed below. Self-insured companies should enter their self-in.,7u[ance license number on the appropriate line. City or Town Officials t - Please be sale that the affidavit is complete and prated legibly. The Deparimenthas provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contract you regarding the applicant Please be sure to fill in the pen�LiUlicrose number which will be used as a reference number. In addition,as applicant that must submit multiple perrah/licrose applications in.any given year,need only submit one affidavit iadiraf:iag cuzrent p olicy inf�nnation(if necessary)and under"Job Site Address"the applicant should 1;rite"all locations in ( y 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 fume 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 vent ze (Le. a dog license orpmmit to bum leaves etc.)said person is NOT'ri-,c edto complete this affidavit The Office of Iuvestigations would like to thank you in advance for yo=cooperation and should you.have any questions, please do not hesitate to give us a call. The Depmtmenfs address,telephone and fax number. The C:G�=anWt�-.alth of Massaahu-m-tts Degaztinent cuff I urn tiak Agents Office Qf f.Ve&,a0t.o= Bostou,MA G�111 Tf,-L 4 617-T27-49GO 4€4 or 1-9 -MA.SgAFJ� Fag 617-727-774 Revised 4-24-07 � t e Emmanuel Construction All New England Roofing, Emmanuelcinstruction.com Allnewenglandroofing.com Job# 1k)Date: U/lV _ Name: ono U c Phone &fax#: Address:S t (OA1f �fGIbZ Vl%.l Email: Licenses: Construction Supervisor#cssl-099382 Home Improvement# 145356 Fully Insured: Liability,Workers Comp,Auto. Work Description: 1. Strip Entire Roof: Aspha (Red Cedar)-(Rubber Roof)-(Tile Roof). 2. Check for rooted woo if any, it will be extra cost. 94161Y . 3. All Loose boards will be nail back with 1"3/4 nails. 4. Install 8" drip edge or vented drip edge if needed. 5. Install Y leak barrier on 1st course on entire roof, and all valleys. 6. Install Syntactic Paper for rest of the roo£.tDec-k a-rr re �arveyect. 7. Install 30 year architectural roof. (CertainTeed).8. All Roofing shingles will be nailed with 1" 1/4 - Color of your choice.-Cl����- Glac °C 9. All pipe boots will be replace and replace with ice and water. 10. Chimney will install new step flashing, and cover with ice and water.Then caulk with special sealant. 11. Install ridge vent on House. 12.We will install shadow ridge cap. Matching color of the shingle. 13. Entire house, deck, plants,will be cover with blue tarps to protect. 14; Use Magnets to pick up nails. 15.All debris will be dump in a 15 yard dumpster. ,?nstall smart vent on entire house perimeter. If customer agree.This will be extra cost. 17.Total for labor and material, includes tow permit.$ ---6IJ44 -----. l i 18. Extras...... 19. Pay 1/3 down then pay when finish. (Check)- Credit card) Please sign contract if Agree. ----------------- ------mate------ - ---- ----- - ---------------------Date----- �h! /' ---- PS: Please keep a close eye on your family and pets during installation. Any question call me directly. 508-367-1679 or office 781-599-0007 All references go to BBB. Thank you for your Business. Massachusetts-Department of Public Safety { Board of Building Regulations and Standards dds V ll llltl 111 LI�111 sune1 Viso SneIIQIIV License: CSSL-099382 F� B ECTOR R SANC 286 STRAWBER1�tAD CENTERVII.LE MA y ji'vQ"% Expiration J.�. 09/14/2017 Commissioner 711. �°� ad6 '� License or registration valid for individul use only Office of Consumer Affairs&B smess Regulation . HOME IMPROVEMENT CONTRACTOR before the expiration date. If found!return to: Registration: h45356 Type: Office of Consumer Affairs and Business.Regulation �. 10 Park Plaza-Suite 5170 Expiration: 1=L122017 DBA Boston,MA 02116 EM ANUEL CONS., M HECTOR SANCHEZ� s � 286 STRAWBERRY,�;IILL_RR:._. CENTERVILLE,MA 02632; Undersecretary Not valid without signature Mass. Corporations, external master page Page 1 of 2 1 "'~sr a _ Corporations Division Business Entity Summary ID Number: 001028380Request certificate [New search Summary for: CDW, LLC The exact name of the Domestic Limited Liability Company (LLC): CDW, LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 001028380 Date of Organization in Massachusetts: Date of Revival: 10-25-2013 05-14-2010 Date of Involuntary Dissolution by Court Last date certain: Order or by the SOC: 06-30-2013 The location or address where the records are maintained (A PO box is not a valid location or address): Address: 746 MAIN STREET City or town, State, Zip code, OSTERVILLE, MA 02655 USA Country: The name and address of the Resident Agent: Name: LISA M. CONRAD Address: 746 MAIN STREET City or town, State, Zip code, OSTERVILLE, MA 02655 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER LISA M. CONRAD 746 MAIN STREET OSTERVILLE, MA 02655 USA MANAGER I FABIO DEOLIVEIRA 1746 MAIN ST OSTERVILLE, MA 0.2655 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY FABIO DEOLIVEIRA 746 MAIN ST. OSTERVILLE,*MA 02655 USA SOC SIGNATORY LISA M. CONRAD 746 MAIN STREET OSTERVILLE, MA 02655 USA http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=0010283 80... 12/18/2015 Mass. Corporations, external master page' Page 2 of 2 The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY FABIO DEOLIVEIRA 746 MAIN ST. OSTERVILLE, MA 02655 USA REAL PROPERTY LISA M. CONRAD 746 MAIN STREET OSTERVILLE, MA 02655 USA ❑ ❑Confidential ❑Merger ❑ Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report .Annual Report - Professional .Articles of Entity Conversion Certificate of Amendment View filings Comments or notes associated with this business entity: �l New search http://corp.sec.state.ma.us/CorpWeb%CorpSearch/CorpSummary.aspx?FEIN=0010283 80... 12/18/2015 I O N Z� vVe S --i �tHETp� TOWN OF BARNSTABLE Bu-it"ding Application Ref: 201006504 * aARNS—rABIZ1 * Issue Date: 01/04/11 Permit, 9 MASS. �prFO 3.a�� Applicant: DA SILVA,RENATO Permit Number: B 20110018 Proposed Use: FOUR TO EIGHT UNITS Expiration Date: 07/04/11 Location .112 CENTER STREET Zoning District HVB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 327040 Permit Fee$ 60.00 Contractor DA SILVA,RENATO _ Village HYANNIS App Fee$ 100.00 License Num. 98849 1-7 • Est Construction Cost$ 1,500 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ENLARGE THE EXISTING PORTICO MAKE ROOF GABLE 4'LONGER1 THIS CARD MUST BE KEPT POSTED UNTIL FINAL ADD 2 COLUMNS INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: CLARK, JEAN F TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 35A NO MAIN ST INSPECTION HAS BEEN MAD FALMOUTH,MA 02540 PaJ Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY,PERMITTED UNDER THE BUILDING.CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: I.FOUNDATION OR FOOTINGS. 2.ALL FIREFLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE.PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). - -Ff e �. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 Heating Inspection Approvals Engineering Dept [Fire Dept 2 Board of Health I Town of Barnstable Op YHE rp Regulatory-Services a LE � P� ti Thomas F. Geiler,Director �. Building Division #AI, 17 parr • 19 +� BARNSrABGE, y MASS. Tom Perry, Building Commissioner s63q• �� prE1619. 200 Main Street, Hyannis, MA 0260 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: — Permit#: 701 OC�S HOME OCCUPATION REGISTRATION 7- 11 Name: leoso A6 'PegeA RGi EM i U U Phone #: �y8 y/3 b37�o2, Address: !�a CenY S-� /a Village: _ __-aa-�Name of Business:___—j— /,, _-- -- —____-- 'hype of business: -�bU �_C( e ala%h a Map/Lot: INTENT: It is the latent of this section to allow the residents of the Town of Barnstable to operate a houae occupation eirithia single family dwellings, subject to the provisioals of Section 4-1A of the Zorihig ordinance, provided that the acti6ty shall not be discernible from outside the dowelling: there shall be no increase in noise or oclor;no visual alteration to the premises Miicli avould suggest anything other than a residential use; no increase in traffic above normal residential volumes; and no increase in air or growidwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the Following conditions: a `file actntity is carried on by(lie permanent resident of a single family residential dwelling unit, located cvitlaiia that dwelling unit. a ,Such use occupies no more than 400 square feet of space. a There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. a No traffic a+rill be generated i11 excess of normal residential volumes. a "file use does not-involve the production of offensive noise, adbration,smoke, dust or other particular raaatter, odors,electrical disturbance, Heat,glare, lnrnaidity or other objectionable effects. a There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess of normal 11011sehold quantities. Any need For parkinggenemted by such use shall be naet on the same lot containing the Customary Home Occupation,fain not atithin(fie required Front yard. There is no exterior storage oi•display of materials or equipment. There are no commercial vehicles related to [lie Customary Horne Occupation, other-than one van or one pick-up truck not to exceed one toll capacity, and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. No sigaa shall be displayed indicating the Cuslonrary Home Occupation. a IF the Customuy Home Occupation is listed or adver(ised as a business,the street address shall Holt be included. a No person shall be employed in the Custona;uy Home Occupation n•ho is trot a penaaauent resident of file chvelling unit. I, the enders' led, have read and a ee mili the above stndior for nay home occupation I am registering. A.>>liianl: ���� ���Y� rr 5 "� � YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. DATE Fill in please: �n APPLICANT'S YOUR NAME/CORPORATE NAM go,sa // ee- i2A (mi Ll 0 BUSINESS YOUR HOME ADDRESS: / TELEPHONE # Home Telephone Number 3 0�3 02 NAME OF NEW BUSINESS P_ A Z Cljonlna OR EIN: Have you been given approval rom the b ilding divisio YES NO �J t ADDRESS OF BUSINESS EEUGL MAP/PARCEL NUMBER V J b When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM ISSIO I 4FC This individ I hjs b n ia�#o f an pe mit requir ments that pertain to this type of busineMUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO ut i d n t OMPLY MAY RESULT IN FINES. C MMEN 2. BOARD OF HEALTH This individual has beenjr m�( f the permit requirements that pertain to this type of business. �_b- MUST COMPLY WITH ALL COMMENTS: Authorized Signature" HAZARDOUS MATERIALS REGULATIONS 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature" COMMENTS: �1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � (J A l M ap Parcel pp ication # 0 Health Division Date Issued 1 Conservation Divisions Application Fee Planning Dept.— dL Permit Fee �7 bo 0. Date Definitive Plan Appro ed by Planning Board Historic - OKH Preservation/Hyannis - o Project Street,Address Village _ ! i' N NA R60 Owner Address Telephone r 00 Permit Request =~ .z:F 1dZ2' � c ' -9-oolpL l CoJ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation JC Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwellling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) 1 Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basemert 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 -�9 Heat Type and Fuel: WI Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stover ❑Yes, ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑-view = ize_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ �_J Commerc'al ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) REName Sj*I�'\ Telephone Number 3�Z� ®� ®I � �� �I ,�ram � (� Address 3nn) 1 � License#_C J `1 �� U� W0a bo Home Improvement Contractor# 1�ou Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO AR OuTkj SIGNATURE DATE Y - - ;i ' FOR OFFICIAL USE ONLY APPLICATION# p DATE ISSUED t MAP/PARCEL NO_,.rl r: ADDRESS i VILLAGE r . OWNER DATE OF INSPECTION: L D:FOUNDATIOW s FRAME 4 INSULATION_j r,s,.} 'P:, FIREPLACE f s ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL f i GAS' - € ROUGHS ' ` r=' FINAL c FINAL BUILDING v— t illl— _ DATE.CLO.SED:OUT ASSOCIATION PLAN NO. a r AN\ The Commonwealth of Massachusetts Department of Industrial Accidents ! Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Nalne (Business/Organization/Individual): ) - �� �/ S V Address: @_0 vot)L 1lv'1� City/State/Zip: J�PdU6 0. Phone #: Are you.an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.�K I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, [1 Demolition working for me in any capacity, employees and have workers' comp. insurance.# 9. ❑ Building addition [No workers' comp, insurance p 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.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site info rfnation. 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 Section 25A of MGL c. 152 can lead to the imposition-of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as.civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of.the DIA for insurance coverage verification. 1 do hereby certify un a s and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone M �6 I fficial use only. Do not write in this area, to be completed by city or town official ty or Town: Permit/License# uing 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#: , Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer 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 therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto.shall not because of such 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 with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." 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 phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability 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 affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial 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 number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may provided to the applicant as proof that a valid affidavit is on file for future 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 (i.e, a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents. A Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia OF THE P, • F3ARNSTAHLE, q Town ofBarnstable s 63 9• ��' �rfD/yWY A Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBo Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section ff Using A Builder . ... ...... I, r )O LI\Iel P4 as Owner of the subject property hereby authorize "ej,, ATZJ SI L_V to act on my behalf, in all matters relative to work authorized by this building permit application for: 112 &4-er S+K-� - , 1- Mtn n I s-y4a-i (Address of Job) 12 lo I kol o Signature of Owner Date Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. QAwPFJLESIFORMSIbuilding permit formskEXPRESS.doc Revised 072110 otHE Town of Barnstable Regulatory Services 13 LwVs-rnst>'lass. Thomas F. Geiler, Director v $ a639, 16 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.its Office: 518-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: _ number street village "HOMf-.0'WNL R" . na me home phone N work phone N CURRENT MA[LNG ADDRESS: city/town state zip code The current exemption for"homeowners" was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as 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.I) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Nore: 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 IS 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.I.1 -Licensing ofconstruction 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 3oard cannotproceed 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 I amend and adopt such a form/certification for use in your community. Q:IWPFILESIFORMSlbuilding permit formslEXPRESS.doc Revised 072110 r �/�aaaac`u�ePlC { Board of Building Regulatio s and Standards Construction Supervisor License i. License: CS 98849 Expiration 6/20/2011 Tr# 98$49 f Restri jjt 00 ' Y f1 RE NATO DA SILVAN I s •312.NOTTINGHAM QR �,' CENTERVILLE,MA 02632-' Commissioner - s - F url4 .fie 1.ot— L 4.0 140�r 4 G' fit, ► . WAaGL`� - - HAW . u ?6611 y 7`co PT c61) r be o N L H OF Atq`SS 112 �0 1491CfiELE NO.34774 � � "Timl STRUCTt AL -o r Co N "V H►H H►M' MEOW "New ►M'. H►M' ffaM' H►!! Meer H►H Overhang Frame detailsDECK 2 9� (2)200 ft a to frame AL c W 16b.c.rafters with hangars ll 4x6 p.t w,Mith M snaps correctoPr 2r2 -s-3 Peak of the roof matching existing canopy p �it;HELE ' o No.34774 STRUCTURAL / -711,0 ,o w t4y/`I r ; I W fb*e Board 2z8 Rafter Frame 18'oc with snnpson hold down enohors' l i I i 36" 1 ! f -Li...._--- (- ---- 2x Double 12 Ledge board fog bolted to iI;— -- ` waBfiame on e header at ar ab I j -- T-I Double 2z10 l f►ame I I -----' � ;, 0 P N L V 1.- TI-}►?�l"'Ba-T�w11'gf�'�- � j � ' w� (2'�..��.,L�°�� �2 i►d� l I i � i I I 14 48 PT post with sbnpson hold doom anchor i u i 8 +I p i , Raft eccordng to MA code guide &0 -- - - - - ------� ----- ----- 1 it—• � ------------- 12"sono tube oorc eta on j top of 24'k12 h footing wrll► l metal bars total of 4'fOundBtliDn I 1 I I , I 3 j i �NOF MA ssq 2. 02� hAICtiELE y✓\`'� l ��s 2` ��l tD Z CUDILO o No.34774 U STRUCTURAL DATE: November 16, 2010 TO: Building File FROM: Robin Anderson RE: 112 Center Street,Hy • Spoke to new owner, Fabio deOliveira at the counter. • He purchased this property 4 months ago. • Property is located at the corner of Center & Spring Street. • He installed neighborhood watch signs on his property. • He is renovating multi-family dwelling. • Work includes new kitchen cabinets, carpeting, sheet rock, kitchen sink& tub. • I advised a plumbing permit is necessary for plumbing fixtures. • Cosmetic work does not require a permit. • Paul Roma stated that removing and replacing sheet rock does not require a permit unless insulation is involved. r Town of Barnstable Regulatory Services CF 1NE"Tp� P� tiQ Thomas F.Geiler,Director Building Division v irinss. g Tom Perry,Building Commissioner sb39. �0 'OtEo •�IN 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: P0o61,32S;- HOME OCCUPATION REGISTRATION Date: oGI i rol or,,, 1 Name: I_ i,A Ar 2 1 A S P—U Phone#:__f6 C7 g 1 -1 ' i 0 00 1,6 Address: 112 , C r N rE R_ S7-P-Eg l AP, 0'Z Village: 4 Y A Ay 1!y 1.5 Name of Business: (9�Qy C L,(:-: AN i A2 G Type of Business: aQ ri 5e cL-, iA N 1 VU C Map/Lot: 30 7 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. ♦ If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and,agree with the above restrictions for my home occupation I am registering. j r Applicant: , - Date: Co c0 I olo I ' Homeoc.doc Rev.5/30103 TO ALL NEW BUSINESS OWNERS DATE: L O again Fill in please: APPLICANT'S Ono YOUR NAME: D I LMA �t.6 wy 1'1� __ BUSINESS >- YOUR HOME ADDRESS: IIiZ, ceN- -- K S"CREI:�' (502)-1210-00 t G TELEPHONE Telephone Number Home NAME OF NEW BUSINESS R v 1\1 0,5 A N C TYPE OF BUSINESS 1J20 SSE C. I,r i0,N 9 N�i IS THIS A HOME OCCUPATION? ES N j Haver you been given approval from the_b ivision? Y��V ,7 ,171:S NO r•.. > -s ADDRESS OF'BUSINESS C I�4.e-rMAPIPARdEL NUMBER C `� When starting a new business there are several things you must do in order to be incompliance,with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you hive obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor:Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses:: GO TO 200 Main St.—(corner of Yarmouth Rd. & Main Street) and.you win find the following offices: 1. BUILDING COMMISSIONER'S OFFICE This individ al a eep i ; r< a of any permit requirements that pertain to this type of business. Ad Au orized_. ' nature*" COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature*" COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature'" COMMENTS: -- Business certificates (cost$30.00 for years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate -you must get that through completion of the processes from the various departments Involved. *+► BUSINESS CERTIFICATE ONLY. SIGNIFIES APPROVAL FOR A BUS_ - �r 09/17/2002 15: 36 915087906230 d� PAGE 01 T, i '0 1 Town of Barnstable "l�ermlt . Expires 6 months,/Yorn Issue data e et.a �NS�P� Regulatory Services Fee 1e74, a�� ��P Thomas F.Geller,Director ° N� Building Division ' Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862 4038 - Fax: 508-790-6230 , EXPRESS PEST APPLICATION - RESIDENTIAL ONLYi Not Valid without Red X-Press Imprint v Na Map/parcel Number C i Property Address Y 1 residential Value of Work Owner's Name 8t Address--- -.�_ UCi C ——_-- Coptractoz's Name V m �� ► L`Y"(� Telephone Number��� —1 lo --r - Home Improvement Contractor License#(if applicable) l 3/ 91 Construction Supervisor'9 License#(if applicable)_ ❑Workmen's Compensation Insurance Check one: ❑ I am a sole proprietor EJ 'I am the Homeowner '!have Worker's Compensation Insurance i .Insurance Company Nance -C/Cb �('O 2 � 5�0.� . Workmen's Comp.Policy# � C Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to I ' ' ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-aide ❑ Replacement Windows, U-Value (maxizmum.44) 0 Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature V t ACORD CERTIFICATE OF LIABILITY INSURANCE CSR LG DATE(MMIDD/YY) OFN-1 9/24/02. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Humphrey, Covill & Coleman ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 195 !1emptun St. P.O. Box 1901 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. New Bedford MA 02741 Phone: 508-9 97-33 21 INSURERS AFFORDING COVERAGE INSURED INSURER A: American Equity Insurance Co. INSURERB: Savers Property & Casualty Ins J.M. of.New Bedford Co., Inc. INSURERC: 423 COg e8hall Street INSURERD: New Bed Ord MA 02746 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE MIWDD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,0 0 0,0 0 0 A X COMMERCIAL GENERAL LIABILITY ACC19 0 0 5 6 11/15/01 11/15/O 2 FIRE DAMAGE(Any one ere) $10 0,0 0 0 CLAIMS MADE X]OCCUR MED F-XP(Any one person) $ 5,000 PERSONAL SADV INJURY $1,000,000 GENERAL AGGREGATE $2,0 0 0,0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1,0 0 0,0 0 0 POLICY PROCT LOC JE AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WC STATIJ-- WORKERS COMPENSATION AND X TORY LIMITS ER B EMPLOYERS'LIABILITY wCO0006.55 10/21/01 10/21/02 E.L.EACH ACCIDENT $100,000 E.L.DISEASE-EA EMPLOYEE $10 O,0 0 0 E.L.DISEASE-POLICY LIMIT $ 5 0 0,0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL -EL-DAYS WRITTEN Town of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building Division IMPOIJAWBILIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street ATIVES. Hyannis , MA 02601 H SN Ra o A. l r " ACORD 25-S(7/97) V ©ACORD CORPORATION 1988 r �.� � ✓lie liJan?//)Z09Aq�Q�UL a�/�aaaczc�ivaet� Board of Building Regulations and Standards j HOME IMPROVEMENT CONTRACTOR Registration 103195 Expiration ':7/6/2004 ,Type ''Pnvate Corporation j JM OF NEW BEDFORD CO.IN . =LWELL PERRY r 423 COGGESHALL S7:' � ,t,i NEW BEDFORD,MA 02746 Adm(ntstrator j _ ^��..✓lie 1°am�nzonuira� a��/�ooaclu,�artld I 4 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR 1 Numbers'-CS;, 017326 �� B�rtiidate +09/28/�92,5 f Ei`Ire , 09/28/2003 Tr.no: 5310 Restricted 00 -i j ELWELL H.PERRiY 423 COGGESHALL ST f 4.w«e1i NEW BEDFORD, MA 03746 Administrator f TOWN OF BARNSTABLE REPORT SUPPLEMENTARY/CONTINUATION REPORT NAME (LAST, FIRST, MIDDLE) DIVISION /Darr NOTE DETAILS & OBSERVATIONS-ITEMIZE SVIDENCE, SERIAL /S ETC. 41 7-yz ja SUBMITTED BY PAGE r r LD SSo :. ._. i ; BUILDING - :;Y•.;{{iY{ijy�,>•.,>.}tj;:':y??ti?:,'.Li{::i�:,>.i?iii>;;:yv{L,t:•:iyii{;iyjtii?�:;kM1:'.{itliviii� :•vi: .i.4>.::'.'{:i:i'''.".'f::..lyi.Y.<}:..:y:ti;..}:.iQ:_F;{`.i:t'::..tt: •••;i••{{y:;;:i,+.•:~}::;:?M1:�.?� .�<il:4<tii}<{`ii{i::i::::ii .}{ $i•;...t;.`.i � � v Ctii >:L�>.is?�i'riii::ili::�;:j+:hy�iyi�::i3:::::;?`::•:: ;•:Ltv': LARK ENTt ��..C ERTREET::S: .. 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LOT NO. FIRE DISTRICT STREET 112 Center ►St• Hyannis SUMMARY 327. 40 73 LAND So H OWNER BLDGS. .2 77 s`u TOTAL 3 A 7 o o LAND Q C RECORD OF TRANSFER DATE L BKn� PG I.R.S. REMARKS: Lot 3a. BLDGS. 'SC i—SCti>rlxie4 "e .�. 21 vlj'.. _.1 TOTAL I In LAND Clark William H. & Jean F. 1 0 1459 1058 BLDGS. TOTAL u LAND Q O! BLDGS. TOTAL LAND Of BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: / � BLDGS. TOTAL DATE: / �a2 SAwTO S LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT 7j 3/J �'� -__.r LAND CLEARED FRONT BLDGS. ` AM REAR TOTAL WU &SPROUT FRONT LAND REAR O1 BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND O) BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND L[ZL SWAMPY NO RD. r. FOUNUA'I I LAND COST tbnc..Wells Fin.Bsmt.Area Bath Room Bese J BLDG.COST Conn.81k.Walls Bsmt.Rec.Room St.Shower Bath Bsmt. ' PORCH. DATE Cone.Slab" Bsmt.Garage St. Shower Ext. Walls I PURCH. PRICE. Brick Walls Attic FI.&Stairs Toilet Room Roof RENT Stone Wells Fin.Attic Two Fixt. Bath _ -piers,`" Floors IN FINISH Lavatory Extra r Bsmt;,; F 1 2 3 Sink a� r/2 r/r Plaster Water Clo. Extra Attie �. EXTERIOR WALLS Knotty Pine Water Only Double Siding Plywood No Plumbing Bsmt.Fin. Single Siding Plasterboard Int.Fin. :UT�hingles TILING - Cone.Blk. G F P Beth FI. Heat . Face Brk.On Int.Layout Bath FI.&Wains. Auto Ht.Unit 3 O Veneer Int.Cond. Bath FI. &Walls Fireplace Com.Brk.On HEATING Toilet Rm. FI.. Plumbing Solid Co Hot Air Toilet Rm.FI.&Wains. Tiling s0j Steam Toilet.Rm.FI.&Walls Blanket Ins. I JA Hot Water St.Shower � ,Roof Ins. Air Cond. Tub Area Total Floor Furn. ROOFING COMPUTATIONS Asph.Shingle Pipeless Furn. S.F. Wood Shingle No Heat S.F. Asbs.Shingle Oil Burner CON V ✓ S.F. ' Slate Coal Stoker S.F. Tile Gas S. F. OUTBUILDINGS ROOF TYPE Electric - :Gable Flat S.F. 1 2 3 4 5 6 718 91101 112131415 617 819110 MEASURE[) .Hip Mansard FIREPLACES S.F. Pier Found. Floor Gambrel Fireplace Stack Wall Found. 0.H. Door LISTED FLOOR FILCORP Fireplace Sgle.Sdg. Roll Roofing —' Cone. LIGHTING Dble.Sdg. Shingle Roof Earth No Elect. DATE Pine Shingle Walls Plumbing J y. JbirdwooAft ROOMS Cement Blk. Electric i Asph.TI. , Bsmt. 1st 74 72 TOTAL Q Brick Int.Finish PRICED Single 2nd 3rd FACTOR a Qi REPLACEMENT ya _ OCCUPANCY CONSTRUCTION SIZE AREA AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. W DLG. 3 A cS/t .Z �e �n .2773o 7.5 0 .wh33 - r3i4" YS`. B'<A 3,aO .. TOTAL — a OPERTY ADDRESS I ZONING IDISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHD KEY NO. 0035 CENTER STREET 07 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T Lano By/Dale sze D�mens!on Y UNIT ADXD.UNIT ACRES/UNITS VALUE De—iption C LARK P W I LL I AM H & JEAN F MAP— CD FF-De ,n/Aces LOC./YR.SPEC.CLASS ADJ. COND. PE PRICE PRICE #LAND 1 43,700 CARDS IN ACCOUNT — 10 16LDG.SIT 1 x .11J= 8C 490 75 134999.9E 396899.9 .11 43700 #3LDG(S)—CARD-1 1 79,700 01 OF 01 #PL 112 CENTER ST COST 123400— flS 4.0 U x I C= 100 14000.00 14000.010 1.00 14000 d #RR 0271 0035 1516 0080 MARKET 138500 #SR SPRING STREET INCOME A USE D APPRAISED VALUE J A 1230,400 U PARCEL SUMMARY g LAND 43700 T BLDGS 79700 0—IMPS MI E ( I TOTAL 123400 N N CNST DEED REFERENCE Type I DATE Reeo,ded PRIOR YEAR VALUE I Inst. $else Pioe epp. Page Mo. v,.p LAND 43700 S 145910581 l00/00 BLDGS 79700 (TOTAL 123400 i � I BUILDING PERMIT LOT ADJUST DOWN Number Dale Type Amoant F O R SHAPE/USE LAND LAND—ADJ INC ME SE SP—BLDS FEATURES BLD—ADJS UNITS 43700 14000 C 1u 55 COnsl. Total qVear Buill Norm. Obsv. /s Units Unns Base Role Atll,Rate A iLq 11fq Aga Depr. Con,. CND. Loc. %R.G. Repl.Cost New Adj.Rep.,Yalue SI.de Heignl Rooms Rms.Bales a Fi.. Pnrlywall FK 0 000 100 100 66.20 66.20 50 65 29 66 80 46 173251 79703 2.0 14 6 4.0 16.0 won Rate Square Feel Rep,,Cost MKT.INDEX: 1.00 IMP.BY/DATE: / SCALE: 1/0 0.8 6 ELEMENTS CODE CONSTRUCTION DETAIL BAS" -1'00 66.20 1500 99300 GROSS AREA 3000 FOUR FAMILY DWELLING CNST GP:00 FOP 35 23.17 16 371 *--------------------50--------------------k STYLE 18M_U_L_T_ I FAMILY 0._ 820 60 39.72 1500 59580 ! 820 ! DESIGN ADJ MT 00 0. ---------------------- - ! ExTER.WALLS 01WOOD FRAME 0. ! HEAT/AC TYPE 690IL—HOT_WA_T_E_R_____0._ IN7eR.fINISH D4 DRY WALL 0. --------------- --- --- ------------ INTER.LAYOUT 12AVER./NORMAL 0. • ! � Y 02 S-A-M-E-- A E-X-T-ER.-- 0.INTER. T - -- - 1 ---D JOi------------- 30 BASE 30 FLOOR STRUCT OIWOUD JOIST 0. --------- ---- --- ---------------------- D W ! EFLOOR COVER 00 0.0 Total Areas Au•_ 6 ease- 1 500 i --------------- --- ------------- --------- E ROOF TYPE 01GA9LE—ASPH SH 0.0 BUILDING DIMENSIONS ! ! E L E C T R I C A L___ 00 ____ _01 BAS W29 FOP S02 E08 NO2 W08 .. ' FOUNDATION 01POURED CONC 99 - -------------- - ---F�Od 0 BAS W21 N30 ESO S30 . . 920 N30 ! ! W50 S30 E50 .. ! COPIMERCIAL NBHD IN HYANNS HY09 L � � LAND TOTAL MARKET +--------21-------« 8---* --29-----------x PARCEL 43700 123400 *—FOP--• AREA VARIANCE +0 +0 STANDARD 50 R327 040 . P R A I S A L D A T A* KEY 241517 CLARK, WILLIAM H & JEAN F LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=B 43 , 700 79, 700 1 A-COST 123 , 400 B-MKT 138, 500 BY 00/ BY /00 C-INCOME PCA=1111 PCS=00 SIZE= 3000 A JUST-VAL 123 , 400 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA HY09 ----------------------------- COMMERCIAL NBHD IN HYANNS HY09 PARCEL CONTROL AREA TREND STANDARD 1C.] 30 LAND-TYPE 437001 LAND-MEAN +0% 1234001 IMPROVED-MEAN +0% 500 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 800] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R327 040 . • P E R M I T [PMT] ACTIOR] CARD [000] KEY 241517 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT [ ] [R327 040 . � ] LOC] 0035 CENTER STRE CTY] 07 TDS] 400 H KEY] 241517 ----MAILING ADDRESS------- PCA11111 PCS100 YR100 PARENT] 0 CLARK, WILLIAM H & JEAN F MAP] AREA] HY09 JV] MTG19210 HARBOR RIDGE RD SP1] SP21 SP31 UT11 UT21 . 11 SQ FT] 3000 NO FALMOUTH MA 02556 AYB] 1950 EYB] 1965 OBS] CONST] 0000 LAND 43700 IMP 79700 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 123400 REA CLASSIFIED #LAND 1 43 , 700 ASD LND 43700 ASD IMP 79700 ASD OTH #BLDG(S) -CARD-1 1 79, 700 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 112 CENTER ST TAX EXEMPT #RR 0271 0035 1516 0080 RESIDENT'L 123400 123400 123400 #SR SPRING STREET OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 00/00 PRICE] ORB] 14591058 AFD] LAST ACTIVITY] 02/25/95 PCR] Y