HomeMy WebLinkAbout0095 ANCHOR LANE 9S ��(�.Lio �. fait/ L �
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Cape Save Inc. TORN 0 R�,� tSTEL
7-D Huntington Avenue
South Yarmouth, MA 02664 201q PEAR 14 AM 11. 15
Tel: 508-398-0398 Fag: 508-398-0399
3-12-14
Town of Barnstable
Thomas Perry CBO
Building Commissioner
200 Main St. Hyannis,MA 02601
RE: Building Permits
Dear Mr. Perry,
This affidavit is to certify that all work completed for 95 Anchor Lane. Cotuit has been inspected
by a certified Building Performance Institute (BPI) Inspector.
Ceiling: R-11 cellulose
Floor: R-19 fiberglass
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCluskey `
J
e.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Application #
Health'Division Date Issued Z 2-5'/
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address N n A y r L&A e
Village
Owner `��1`�qy ` w(T)nner Address
Telephone C) a 6 CJ►5 (�
Permit Request t�-�A D
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed 7 Total al neo-
Zoning District Flood Plain Groundwater Overlay o
Project Valuation 3 6 ob Construction Type 4 9
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting docurn-
ptation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
CD
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's ighway: -U 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: 0 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)
�i
Name t 1 1 &0 Pi Telephone Number 'e;2 g iR 0398
if
Address 1 ALicense # �--G oa10
S O& ' Home Improvement Contractor#
Worker's Compensation #rf�5 M 6
ALL CONSTRUCTION DEBRIS RESULTING FROM HIS PROJECT WILL BE TAKEN TO Y&rftw1'q
SIGNATURE DATE
b
i FOR OFFICIAL USE ONLY
` APPLICATION#
4 DATE ISSUED
MAP/PARCEL NO.
s
�r
ADDRESS VILLAGE
OWNER
�f
DATE OF INSPECTION:
FRAME __.. ._ -- _ �.. _._
_INSULATIONI�_!
FIREPLACE
ELECTRICAL: ROUGH FINAL.. —
+ PLUMBING: ROUGH FINAL
'z GAS: ROUGH FINAL
'rt 3
,r FINAL BUILDING`'-
DATE CLOSED OUT
ASSOCIATION PLAN NO.
�7 I
{
y
0
Housing
Assistance
Corporation
Cape Cad
MOVE OWNER/RESIDENT WEATHERIZATION WORK PERMIT& FUEL RELEASE:
PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE
THE APPLICANT HOME OWNER.
I PI'zM-M,P/G`L-- hereby consent to and agree that weatherization work may be
done by the Weatherization Program of Housing Assistance Corporation (herein after referred"as
"Agency")on the property located at:
The weatherization work done will be based on programmatic priorities and availability of funding and it
may include all or some of the following measures:
Weather-stripping &caulking of windows and doors, insulation of attics, sidewalls&basements,attic and
other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of
the weatherization work to be,done at my home I agree to the following:
f. I give permission to the"Agency"its agents and employees to travel onto or across said property
with such equipment and materials as may be necessary to perform weatherization work on said
property.
2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the
weatherized unit on an ongoing basis for no more than five (5)years after the weatherization work
is completed.
I have read the provisions of this a reement as listed and freely give my consent.
Home Owner: (Signature)
Date: i
Agent (signature)
Date:
j
HAC approved Weatherization Company :
Adam T Incorporated All Cape Energy Alternative Weatherization
Building Performance Contracting LLC Cape Cod Insulation ape Save
Frontier Energy Solutions Lohr Home Improvement Resolution Energy
• ::+ram••, ...-•il�ii:... ii...... .. _ .......... . ."1:'. ,:it•:.. ;. .•Y:"�t:;`...,z:.
r
The Commonwealth of Massachusetts
~� Department of Industrial Accidents
Office of Investigations
I Congress Street, Suite 100
Boston,MA 02114-2017
= T'� www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Lel=ibly
Name (Business/Organization/Individual): Cape Save Inc.
Address: 7D Huntington Ave
City/State/Zip: South Yarmouth, MA 02664 Phone#: 508-398-0398
Are you an employer?Check the appropriate box: Type of project(required):
1.❑✓ I am a employer with 4. ❑ 1 am a general contractor and 1 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
workingfor me in an capacity. employees and have workers'
y9. ❑ 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 I I.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] c. 152, §1(4), and we have no
employees. [No workers' 13.❑✓ Other Insulation
comp. insurance required.]
*Any applicant that checks box#I must also Fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
=Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
1 ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name. Technology Insurance Company
Policy#or Self-ins.Lic.#: TWC33I53968 Expiration'Date: 04/09/2014
Job Site Address: I- AC. h,0 r h City/State/Zip: C s U► I
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 S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
1 do hereby certify under the pains and penalties of per that the in formation provided above is true and correct.
Signature: Date
Phone#: 508-398-0398
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#:
i
CERTIFICATE OF LIABILITY INSURANCE 10/2/2°3'
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(les)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 endorsements.
PRODUCER NAME' Colleen Crowley
Risk Strategies Company PHONE (781)986-4400 TU
FANo C No:(761)963-4420
15 Pacella Park Drive A
Suite 240 INSURE S AFFORDING COVERAGE NAICS
Randolph M 02368 INSURER A:Selective Ins. of America
INSURED INSUIRERB:Safety Insurance Ccopany 33618
Cape Save, Inc iNsuRERC:Technology Insurance Company
7 D Huntington Ave INSLR ERO:
INSURER E
South Yarmouth MA 02664 INSURER :
COVERAGES CERTIFICATE NUMBER:CL13102268490 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP
LTR LIMIT'S
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTM5-
X COMMERCIAL GENERAL LIABILITY PREMISES(Ea o rrence $ 100,000
A CLAIMS-MADE 10 OCCUR 91994480 0/16/2013 0/16/2014 MED EXP(Any one person) $ 10,000
PERSONAL&ADV IN URY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GENT AGGREGATE LIMITJECI APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY X PRO X LOC $
AUTOMOBILE LIABILITY COMBINEDEa accident L LIMIT 1,000,000
B ANY AUTO BODILY INJURY(Per person) $
ALL
JED X SCHEDULED 208200 1/6/2013 1/6/2014 BODILY INJURY(Per accident) $
X X AAJTOS
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS (Per
P acrid tl
X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000
A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000
DED I I RETENTION sit 1994480 0/16/2013 0/16/2014 $
C WORKERS COMPENSATION OffIcers Included for X VOCYTATU- OTH-
AND EMPLOYERS'LIABILITY 'IM
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
N Verage E.L.EACH ACCIDENT $ 500,000
OFFICERWEMBER EXCLUDED? a NIA /9/2013 /9/2014(Mandatory in NH) rM353968E.L.DISEASE-EA EMPLOYEE $ 500,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addltional Remarks Schedule,If more space Is required)
Weatherization Specialists
GL: Blnkt AI, Blnkt PNC, Blnkt WOS, Per Proj Agg, Per Loc Agg / GL Exclusions: Snow 9 Ice
Removal/OCIP/Wrap Ups
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE•DELIVERED IN
ACCORDANCE WRH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
chael Christian/CLC �
ACORD 25(2010105) O 1888-2010 ACORD CORPORATION. All rights reserved.
INS025(201005}01 The ACORD name and logaare registered marks of ACORD
11 Massachusetts -'-Departinent o;
is
Board o-, SuNding Ragula`Jons and S"'Ealdards
Construciion Supervkor Specialt-y
_:cerise: GSSL-102776
WILLIAM J MC CLUSNEY..
37 NAUSET ROAD
West Yarmouth MA 02673
06/2812015
Office of Consumer Affairs and usiness Regulation
10 Park Plaza- Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Renistration: 171880
Type: corporation
Expiration: 3/1412014 Tr# 222184
CAPE SAVE INC.
WILLIAM McCLUSKEY
7-D HUNTINGTON AVENUE
SOUTH YARMOUTH, MA 02664
Update Address and return card.Mark reasonfor change.
DPS-CA1 0 54PA-0404-G101216 Address Renewal E] Employment J Lost Card
,/-,&,jadmteeffj
1-1, Office of Consumer Affairs&Bdsiness Regulation License or registration valid for individul use only
F ,�;HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: g71380 Type: Office of Consumer Affairs and Business Regulation
Expiration: 3/.14l2014 Corporation 10 Park Plaza-Suite 5170
Boston,MA 02116
WILLIAM McCLUSkE-Y-.--.'
7-D HUNTINGTON AVENUE`:-"'
SOUTH YARMOUTH;-MA.-.0266.4-
Undersecretary Not valid wit �sig-iul�-�
Assessor's Office(1st r) Map ve"' Lot✓ J14ermit# �5
Conservation Office(4th floor) /` 9 Date Issued�l
Board of Health(3rd floor)(8:30-9:30/100-2 _fFee
Engineering Dept.(3rd floor) House#1 „E
Planning Dept.(1st floor/School Admin. Bldg.)'
SEPTIC S T BE
Definitive Plan Approved by Planning Board 19 INSTALLED- A NC
TOWN OYBARNSTAB �F4jR0N TAL CGE 7 A"D
Build'ng Permit Application FF
Project Street Address
Village 1 �Cu l� -
Owner Re&A, !/�!� /y!l° Address
.Telephone -Coe
Permit Request o�v�,q/� �� �S��fOst� ,rpo,�r+,�j 13 A l
r
Total 1 Story Area(include 1 story garages&decks) _ square feet 0Vv Gtir�
Total 2 Story Area(total of 1st&2nd stories) square feet
Estimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization / Recorded
Current Use d�, P R� Proposed Use
Construction Type %4,G'Z.0-r.
Commercial Residential
Dwelling Type: Single Family \ Two Family Multi-Family
Age of Existing Structure Basement Type: Finished
Historic House Unfinished
Old King's Highway
Number of Baths No.of Bedrooms 2—
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air Fireplaces
Garage: Detached. Other Detached Structures: Pool
Attached Barn
None Sheds
Other
JT Builder Information
Name G%� {yI ,�j�p�/� ` Telephone Number G/7
Address 7 0 o k 12d License#
/U Home Improvement Contractor#
—t G� Worker's Compensation# Z/O 41 YpoJ f Z$—
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN
//TO
SIGNATURE DATE 6 ��
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
' PERMIT NO. #4753
DATE-ISSUED June 9, 1995
MAP/PARCEL NO. 024.123 1 i
ADDRESS 95 Anchor Lane VILLAGE Cotuit, MA 02635
OWNER Alexander, -Plummer
DATE OF INSPECTION:
FOUNDATION
FRAME
-INSU.LATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
r
PLUMBING: RCid'G4 FINAL
GAS: ROtTGT" . 'A FINAL
A
� FINAL BUILDING
` ,.. ,
DATE CLOSED OUT
ASSOCIATION PLAN NO. '
2-qa 17:02 'C617 727 7122 DEPT INTD ACCID Q100
=—y Cot;unonitlea tit o aJjaclzit6etb
' �aPartmenl o�,9,tdu�trial�ccidenGi
600 Waahigtott Sh' l
James J.Campbell &ton, V4M
=LJdb 02111 . ...... :. . .
Commissioner
Workers' Compensation Insurancedav'
with a principal pl ce of business at:
( (Statizip)
do hereby certify under the pains and penalties of perjury, that:
I am an employer provid'mg workers' compensation coverage for my employees working on
this job.
o
.�4rance Compatty Policy Number
() l am a sole proprietor and have no one working for me in any capacity.
() I am a sole proprietor, general contractor or homeowner (circle one) and have hired the
contractors listed below who have the following workers' compensation policies:
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy Number
() I am a homeowner performing all the work myself.
1 u.tder.t<nd t :t::COPY of Ctis statement will be fonvrarded to cite Office of Investigations of cite DiA for coverage verification and that failure to secure
ccvt-age s rec:ir ed under Section 25A of MGL 152 can lead to the Imposition of criminal penalties consistine of a fine of up to S 1,500.00 and/or cr.
years' imprisscrment as well as civil penalties in the for of a STOP WORK ORDER and a fine of S 100.00 a day against me.
Signed is day ofQ 19�
I
Licensee/Permittee Building Department
Licensing Board
Selectmens Office
Health Department
TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375
TnTTT l-1 T- nAnAT(•TA nTT nTTTT nTATr+ T)rT)MTT. It . -
�r COMMONWEA4TH DEPARTMENT OF PUBLIC SAFETY 'Failure to poaieaa r orrraaI.. ;"
ONE NSHBORTON PLACE Maarao4aretta.3tate Yrildi
OF ... Coda is cause for nvoattlo
MASSACHUSETTS BOSTON,MA 02108 ;, ofthlsHoes"' .
CAUTIONEXPIRATION DATE . _ ... FOR PROTECTION AGAINEFFECTIVE DATE . LIC-NO THEFT;PUT RIGHT THURESTRICTIONSPRINT IN APPROPRIAT
OX ON LICENSE.
{ I3, G6S T BLASTING OPERATORS
MUST INCLUDE PHOTO.
-
-r.:•. (: - - _. ,�� �L�\ Ill '
PHOTO(BLASTING OPR ONLY) FEE: i..
NSEE AND OFFIC
_ rNOT VALID UNTIL SIGNED BY LICE
WlY �..
` STAMPED.OR-SIGNATURE'OF THE COMMISSIONER ��� -� � ����
HEIGHT::. ,.....
f DOB:
j:': SIGN NAW IN FULL ABf�VC�IGNATU9LINE
THIS DOCUMENT MUST BE - _ SIGNATUR F.UCF,NSEE I I`-J
f CARRIED ON THE PERSON OF' C1
THE HOLDER'WHEN EN. SSIONEi-
GAGEDINTHISOCCUPATION.
' OTHERS-RIGHT THUMB PRINT
- ;//ee�ommeareurea�l�o��{�c%uielG
HOME IMPROVEMENT CONTRACTOR
Registration 118011
Type - DBA
Expiration 01/16/97
BROOKS CONST }
WILL AM A. BROOKS III
G� �o 1ROOK RD
.ADMINISTRATOR OUINCY MA 02169
. . °: The Town of Barnstable
a►nxerAM F. t
peg Department of Health Safety and Environmental Services
s659. Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-775-3344 Building Commissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent
to such residence or building be done by registered contractors,with certain exceptions, along with other
requirements.
Type of Work: S6-9S6A) AQyr?6 Est. Cost
Address of Work: legeW4, LAI
Owner Name: /��PX/I.u�� p�i �/A-7 r'K
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS
FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE
ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date(. Contractor name Registration No.
OR
Date Owner's name
` L E R T I F T C A T E O F INSURANCE I ISSUE DATE (LrL/DD f'!Y)
PRODUCER (THIS CERTIFICATE IS ISSUED AS A RATTER Of INFORMATION ONLY AND CONFERS
110 RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE COES NOT AMEND,`
Mahoney D Wright of Plymouth EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
121 Sand-.Lich Street ---------------------y
P.O. Bcz 3323 COMPANIES AFFORDIlIG LCVERAGE
Plynouth, MA 02361 --•----....------..------------------------------•--------------------y
(SOB) 145-2011 COMPA!ly
---•-••------------------_ ---... ------------------------------- LETTER A COMMERCIAL UNION INS. CO. ff
INSURED
LETTER C
Frank J Evans Cc Inc COMPAIIY
343 Newport Avenue ILETTE2 C COMMERCE UNION INS. CO.
PO BOX 129
Quincy, MA C2170 (LETTER 0 CIGNA COMPANIES 1,
COMPANY
LETTER E
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED CELOW SAVE BEEN ISSUEC TO I L INSURED NAMED Aa0VE FAR THE POLICY PERIOD �
I110ICATEC, NOT,;ITKSTANDIIG fi1iY REQUIREMENT, TEF.i1 OR CONCITICI•', OF A:1Y.00RTACT 0R C•THEF. DOCUMENT L1ITii RESPECT TO WHICH THIS
CERTIFICATE MRY BE ISSUED OP, MAY PERTAT!; 71 TH^UR"1!•`.E ";.'FORCE] CY TIF ^OLICIES VESC"1EED HEREIN IS SUCJECT TO ALL THE TERMS.
EXC•_DSICIIS AND C011DITIONS' OF SUCH POLICIES. U NITS) SNOW11 MAY HAVE BEEN REDUCED BY PAID CLAIMS. I
------------------------------------------------------------
Cc 1 I
POLICY POLICY
LTR TYPE OF INSURANCE Policy NUMBER EFFECI'VE +EXPIRATION LI"ITS
L 0 A T E DATE
�- -,---.---------------------•----------- _. -- - -- -..__....__,_.._.-- ,_. _.___... .-- -- --..__.._.. - -.__......._._.-------------------±
GENERAL LIABILITY i I GENERAL AGGREGATE ° 1 000,000 !
A ABR314C9i 12JV1(93 12(01f94 PRODUC S-COXP 0PS AGGi916ATE Soo 000
[X] CO"MERCIAL GE3ERAI LIABILITY D o , � tl
( J CLAIMS MADE [%] OCCUR. ACN OCCUEREIICE S00 000
OWNER'S L CONTRACTOR'S PROT. FIRE DAMAGE An� one ire
[ nLOICAL tXFt;;;-,t(Any one person, 5,000
---+ --------•-----------------------+------------------------+----------------------+------------------... -.:..----•--+---------•------
AUTOMOBILE LIABILITY t COMBINED SINGLE
LI"IT yt
( ) ANY AUTO I ---••------------......... ...... ... ..,.. - - -
( J ALL OWNED AUTOS I BODILY INJURY
( J SCHEDULED CUTOS + (Per person) ;
VIREO AUTOS rl ---..------------ -- - - -+ ----- -- --
NON-OWNED AUTOS ? BODILY I!tJURY t
I
04 L.T CT T n accident)
Ga GE .r,�.Ll.v I � (P�r accid,nt,
] --+---------------
PROPERTY DAMAGE
--- ------------ +------------+------=---+----------------•---------------------------------------
+ C EXCESS LIABILITY CB01191it 121,01193 12;C1194 EACH OCCURENCE 1 000 000
�(X]Umbrella Form I I A GATE T l 0Q o
1[ ]Other Than Umbrella Form
-+------------------------------------,-------------------------..,------------L----------+--------=------------------------•-+---------------
0 WVP,%ER'S COMPENSATION WCCC409BVO55 12/01/93 12/01194 I STATUTORY LIMITS
AND I I I I EACH ACCIDENT 500,000
EMPLOYERS' LIABILITY !, n. .
t EACH ENPLOYEE jv' , I I
---+------------------------------------L.----'-----`-----^-------F----------+----------+------------------------------------------------
t OTHER I t t
- ------------------------••----- - ------------•----•------- -- - -- - .._.. --- - ------...-_....----------------•-•----------------------
DESCRIPTION OF OPERATIOIiS(LOCATIORS/VEHICLES/SPECIAL ITE"S
= CERTIFICATE HOLDEP, -==------------------- --- ---------= CANCELLATION
SHOULD ----
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE fAIICEllEO BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL lE DAYS WRITTEN NOTICE TO THE LERTIFICATE HOLDER NA11EO TO THE
LEFT, BUT FAILURE TG MAIL SUCH NOTICE SHAH I"PCSE 110 OBLIGATION OR
IIABIIITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OF REPRESENTATIVES.
AUTHORIZED REPRESENTATIV /�j
AMCUMP 61�Y `'�11111GT INC. I''1FG' '07 SConsLANE. PHIIADELPHIA.PA 19129 t P14Cf4E 215 43S.24N
F
FAX 213 9*7110
• COnsu"in9 Enalwf%
. •gurv�yori .
• In®pUtOrs
CERTIFICATION BY PROFESSIONAL ENGINEER
eetterlivirlg Patio Rooms
PanelCratt Hone/comb Building'Panels
To Whom It May Concern:
Th,) engineering tests and design data included in this brochure have been reviewed
and approved by a professional engineer registered in the State of MASSACHUSETTS.
Th.) structural tests ,and design date described herein were performed in our laboratories
under the direct supervision of professioral engineers. Affixed Is the official engineering
starnp and authorized signature:
' i�
,A OF�s4,
rt off;•• DONAL . :Gel► �s
pAV I0 t r^ s
MEMEL
s .e f;c,y6C010 .�
. w
Please contact us It yoy have any questiois about the engineering data contained In this
brochure.
01-T 05 I'+? 09:_5GAP9 CRAFT BIt_T f'1FG. P.3
CONFORMANCE SPECIFICATIONS
( HONEYCOMB ROOF PANELS )
GENERAL CONSTRUCTION DETAILS AhO CONFORMANCE SPECIFICATIONS THAT WERE SUBMITTED IN BUILDING OFFICIALS AND CODE
ADMINISTRATORS RESEARCH REPORT 85.46 (REVISED TO 82.66) TO BUILDING OFFICIALS AND CODE ADM'INISTRATORi.�ITERNATIONAI
INC,, 4051 WEST FLOSSMOOR ROAD, COUNTRY CLUB HILLS, ILLINOIS, 60477-S795.
PHYSICAL PROPERTIES OF HONEYCOMB PANELING AND ATTACHING EXTRUSIONS
FACING - A.S.T.M. 3004 H154 ALLUMINUM ALLOY; SI?E 0.024"07.1815"; YIELD STRENGTH 331400 P.S.I.;
ULTIMATE STRENGTH 34,600 P:S.I.; ELONGATION 1% TO 3.1%.
CORE • 99L8. KRAFT PAPER; 3/4" CELL SIZE; 11% RESIN IMPREGNATION; DENSITY 1.86 LOS/CV FT.;
CRUSHING STRENGTH 85 P.S.I.; STRONG PLANE SHEAR 42 P.S.I.; WEAK PLANE SHEAR 23 P.S.I.
FACING AND CORE ADHESIVE - A CONTACT ADHESIVE COMPOSED OF SYNTHETIC RUBBER RESINS AND SOLVENTS THAT MEETS THE
DURABILITY AND STRENGTH CRITERIA OF A.S.T.M. 0-291, A.S.T.M. 0-1780 (MODIFIED), A,S.T.M, D-2918 (MODIFIED).
ATTACHING EXTRUSIONS - A.S.T.A. S063 T-S ALLUMINUM ALLOY TENSILE 22,000 P.S.I.; ELONGATION 0%.
TRANSVERSE LOAD (ROOF LOADING DATA) : TEST TO A.S.T,M, E72-80 ON 3" THICK PANELS; TWO POINT LOADING AT QUARTER SPAN
------------------=----...................................................... .............................
ROOF SPAN (FT.) 10 12 14
---------------------------------------n..,................................................
-- -.
ROOF PANELS WITH-NO. H-STIFFENERS LOS PSF LBS PSF LOS PSF
----------------------------------rnn-...----....•.......-......
-�-_ u,-_rw►�.Y_r_wM
UL-TIMATE ROOF LOAD 4013.7 147.2 3907.2 119.4 3544.2 92.8.
----------------------n_...........................•..................... --------- ......
ROOF PANELS MITI H-STIFFENERS LOS PSF LOS PSF LOS PSO `
_...�.._�---._..._�---------•----- --
ULTIMATE ROOF LOAD 2910.0 80.9 3003.3 70 J.-
i
OCT 05 '93 09:59AH CRAFT GILT MFG.CO P.4
GUnrUK�Rnyt SPECIFICATIONS
( HONEYCOMB NAIL ASSEMBLIES )
................................. . • ----------::•::-::::::::::::::::::::::::::::::::::::::::::•:::::-::::-:::------
TRANSYERSE LOAD (WAIL LOADING DATA) : TEST TO A.S.T.M, E72.80 ON 3" THICK PANELS; UNIFORM LOADING USING A19-BAG,
....................................... --- -- - - ---- _ ----------------------
WAIL SPAN (FT.) 6 6 `...
-----------------------........................:..:---------- ........... --------
TYPE OF•WALL ASSEMBLY SOLID (NO OPENINGS) FRAMED (DOORS/NINDOWS) •
(PSF) • (PSF}
-------------------------------------r........:..................w........ra.:.•r....r•:/dOri aYroio........
MAXIMUM WALL LOAD 100 100
-•-_,•---_--•---------------------------•_-•---....r:............•......r•r ......r...•
WALL LOAD AT DEFLECTION - (SPAN/180) 100+ `'86
---....-----a...................................::..r:....:...:.:.:...i.r:...a:.L.i1a:.ui G,liciiir.i:.L.yi•..
-WALL LOAD USED IN 24 HR LOAD/DEFN. TEST BO
......................................................w•...........•...........o.-..:::..a.vi..............
ALLOWABLE WALL LOAD 1 40 4O
---_-__--_-•_-•-----------------------r--r---rr---ra._L............6........................ ......................
1 FOUNDED ON THE LESSER Of a)'THE MAXIMUM WALL LOAD WITH A SAFETY FACTOR OF 2.5 OR b) THE WALL LOAD AT
DEFLECTION : (SPAN/180) OR c) THE WALL LOAD USED IN THE 24 HOUR LOAD / DEFLECTION RECOVERY TEST.
24 HOUR LOAD J DEFIECTION. RECOVERY (WALL LOADING DATA) : TEST TO B4O.C.A, NATIONAL BUILDING CODE (1988 SUPPLEMENT),
SECTION 1305.0 ON 3" THICK ASSEMBLIES; UNIFORM LOADING USING AIR BAG.
------------------ --------------------------r-_a.---------------- --A..........a..
WAIL SPAN (FT.) b 6
-- , _ .,_,,.w.., ,..•.........................w ..........r..........•:.ra....:.....
INKED. ` RECOV.
RECOV
HR
....................................................................... AFTER 2.
.. _ ..... .......... ' *�
SOLID WALL ASSEMBLY (12'7"x7T'x3") 84.82% 92.S5% '
................L............................. ............................... .
FRAMED WALL ASSEMBLY (12'5"x6'6"x3") 87.241 92.76%
AXIAL•COMPRESSIVE•LOAD•(WALL'LOADING.DATA)'•. TEST TO A,S,T,M. E72-60 ON 3" THICK PANELS.
---------------- ------------------------------------------•-...............---•-----....----.....----..........
TYPE Of NALL ASSEMBLY SOLID (NO OPENINGS) •FRAMED (DOORS/WINDOWS)
(LBS) (LBS/FT) (LBS) (LBS/FT)
�. -------------------------,-•_--.•w._............................................•..............J........a.
ULTIMAAAXIAL COMPRESSIVE LOAD 294DO 2336 4544S 3660
...................................................................d.....................lri.ii.rr..........
ALLOWABLE AXIAL WALL LOAD ttt 11760 935 18178 1464'.
---------------------------------t--.-,._..............------...................----J.._��..:.....r._.._._
it FOUNDED ON THE ULTIMATE AXIAL COMPRESSIVE LOAD WITH A FACTOR OF SAFETY OF 2.5
RACKING LOAD (WALL-RACKING LOAD DATA) : TEST TO A.S.T.M., E72-80 ON 3" PANELS
..............................-----------------•---------. _,.., .,.................................... ..........
TYPE OF WALL ASSEMBLY SOLID (NO OPENINGS) FRAMED (OOORS/WINOONS)
(LBS) (LBS/FT) (LOS) ' ;(LOS/FT)'''
.►........................w..... .......... ........:.......................r .r:aaa:•Vrb'•:.rL.••ri•:.
ULTIMATE RACKING LOAD t x 2130 170 2360 190
....•..•.........•............r................r..ar..._..r........:rr•......r...r.rw..arr.4
ALLOWABLE AXIAL WALL tt 8S2 68 444 76'
............................................:..,,..:r:.......:..r.:..........
_ = NO CLEAR POINT OF FAILURE, RATHER, PROGRESSIVE DETERIORATION AT PANEL CORNERS AND EDGES DUE TO INDIVIDUAL
ROTATION OF PANELS WITH RESPECT TO THEIR CENTERS,
• -----------------------------------------r..........----•-----------------..................:......................
It FOUNDED ON THE ULTIMATE RACKING LOAD WITH A FACTOR OF SAFETY OF 23
• a;: �I^.. .. , .. •. '::h:.:•�2,•.rt:;�.���. fib, ,
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� . .fir:•,.•V'P
Assessor's Office Ost floor Ma w -6W Permit#
Conservation Office Oth floor - 1r ( e�q:S Date Issued
a Board of Health Ord floor
Vngine-cring Dept. Ord floor House# bell
o S
Planning Dept. (1st floor/School Admin.Bldg.) SEiaDefinitive Plan Approved by Planning Board IS-7 '1(3197o MISTl1 MOST SE
(Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) MPLIANCE
VI rN TITLE 5
ENVIRONMFVT.�A ►� - n- .
TOWN OF BARNSTABLE
Building Permit Application
Project Street Address 111L.;
Village Fire District
Owner *)v Address
Telephone
Permit Request: /LlPr Xl4��r OCKK o/U 86k O� o�sc�
UO e A1r-Tk1C11=7-A,16760 e4d2iiutigl 9C-' g2
Zoning District F Flood Plain Water Protection
Lot Size l R � Grandfathered
Zoning Board of Anneals Authorization Recorded
Current Use �G c�//���(J7?, Proposed Use j7P�m
Construction Type k6ft Lk:5¢ jftO gem( (2- � ,C
Eaistine Information
Dwelling Type: Single Family Two family Multi-family
Age of structure Basement type W"—it22U✓l)
Historic House Finished
Old King's Highway Unfinished
Number of Baths No. of Bedrooms
Total Room Count not including baths First Floor
Heat Type and Fuel C Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name C�� C �C- � Telephone number :7
Address License# /
Home Improvement Contractor# /�!
Worker's Com nsation # lC1/
o f j1)
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALI,CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
t/Ul�l
Project Cost
SIGNATURE z DATE_�•z �
i
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
PERM T
`,• 3�S FOR OFFICE USE ONLY
2/14/95
d 024. 123
95. Anchor Lane
ADDRESS Mr. & Mrs. Alexander Plummer VILLAGE Cotuit
OWNER Mr. & Mrs. Alexander Plummer.
t
DATE OF INSPECTION:
FOUNDATION"
FRAME j
i
INSULATION
FIREPL ACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL _
i
t
FINAL BUILDING: !%
DATE CLOSED OUT: _ i-
ASSOCIATE PLAN NQ
d '
i
11/02/94 17:02 '$6177277122 DEPT INT ACCID (d)001
= - , COr UMOlUveafill, of )Waijac1i.usetb '
2apartmeni-01 J1 a6tria[—AcciLn&
600 W uhiqton Slur t
James J.Campbell [. ,on, ///amaduaalb 02 f f f
Commissioner
Workers' Compensation Insurance Affidavit
/
. pC�l caom����e)
with a principal place of business at:
tcara�sm)
do hereby certify under the pains and penalties of perjury, that:
0 I am an employer provid'mg workers' compensation coverage for my employees working on
this job.
Insurance Company Policy Number
a sole proprietor and have no one working for me in any capacity.
() I am a sole proprietor, general contractor o omeown (circle one) and have hired the
contractors listed below who have the following ' compensation policies:
Contra r Insurance Company/Policy umber
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy Number
0 I am a homeowner performing all the work myself.
under"L;rd t`at;co;,;of&.:<<_te:n(nc will be forv:arced tr&..e Office of IrvesdS2dcrs of d:e D1A for coverage verification znd that`rilure to secure
cc':erzge`<rcc!i;ed urger St_ en 2SA of MGL 152 car,i(aa io ae impcsition of ciminal penal;;es consisdn¢of;fine of up to 51,50-0.00 arx/er one
Y(a imrruc-. .(n( zs 6;:;I rF IEiE:in i~F fc.rrn cf z STOP WORK OP,DER arC a fine of 51DO.CkJ a C..q egein.c:me.
Signed this �G���{ `_. ,�...L day of v", 19 =
Licensee/Permittee Building Department
Licensing Board
Selectmens Office
Health Department
TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375
TO'.d?: OF BrR\STABLE BUILDING PERMIT ,I 3 7 ���_
• TOWN OF BARNSTABLE `
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please--print. =
DATE
JOB. LOCATION
x Number
Street address Section..,
.,town .�.''.•'�.
"HOMEOWNER :
` - Name Home phone
Work phone--
PRESENT MAILING ADDRESS
City/town State 3 r
Zip code
The current exemption for "homeowners" was extended to include owner-occupied
dwellings of six units or less and to allow such homeowners to engage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor
DEFINITION OF HOMEOWNER:
Person(sY who owns a parcel of land on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one to six 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 ermit.
(Section 109.1. 1)
The undersigned "homeowner" assumes .responsibility for compliance with the Stat
Building Code -and other applicable codes, by-laws, 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 sa' procedures and requirements.
HOMEOWNER'S SIGNATURE (24
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35, 000 cubic feet, or larger, will be required
to comply with State Building Code Section 127. 0, Construction Control.
Y
• HOME OWNER'S EXEMPTION
The code state that: "Any Home Owner performing work for which a building
permit is required shall be exempt from the provisions of this section ' :
(Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that,;if
.Home ._Owner engages a persons) -.for hire to do: such :work,,:-that such- Home Owner
`shall'act as supervisor. " . .
Many Home Owners who use this exemption are unaware that the are assuming
the responsibilities of a supervisor (see Appendix Q y
for .licensing Construction Supervisors, Section 2. 15) Rules and Regulations
often resultsA'in 'serious rSuper "' This lack of awarenes
problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board cannot proceed against the
inlicensed person as it would with. licensed. Supervisor. The. Home"owner-'-`actin
as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/her. responsibilities,*'. man
communities require, as part of the permit application, that the Home. Ow"ner
certify that he/she understands the responsibilities of a supervisor. r4.On the
last page of this issue is a form currently used by several towns. You may
care to amend and adopt such. a form/certification for use in your community.
e� .3
�. , � .
LAE
30-1 NJ.02601
offer :50$794"6227 BuHftg0==issioncr
Paz 508 175 3344
1;0r woe use only
Permit no _
Date AFFMAV1T
H0MEIMPR0VEKMrC0KIRACTUR3[AW. -
SUpPlEMEHTp PERNTrAppIZCATL03� -
• thatthc'Yaooaltctaaoas.trnottatian,sc��od4-=
m(3L c_I42A sequicrs of an addition to may pn` oar
�P is w ml,dcm 1i60v_or
building ars>--&dn8 at Icast one but not nxm than four darning units or *0stmC=a s Bch ana*3==
to such rciidcnoc or building be done by rce5cred oontmctors,with CCd2in cxccpdous,along Lei&odKr
C.f Rbr}:: r
3'jpc o
Address of Work:
Ouzres?�arnc_ w � 2�
Date of Permit APPlication
I hcrnfv that:
Rcgistrztion is not required for jhC follo\xing r250n(s):
Wolk<xcludd b\12-
3ob under S 11000
Ecil6ng not<m-ncr-oc=Pid
__>5C_O•1
ncr pulling own permit
2Toticc is hcrcbN gi\<n thzt_
' T 'R=GISfE�E�CO�'7RJCTOi<t
PULLT.,G T 1RO':":F-77-1 O� T Ty
ATPLICELFONfL0-i ` i D- 1<OT KANE ACCESS 10
• =
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OC
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.- y��'' x - 'i �'• N ¢r< .:k S `�." i ''+"°`s[ .ri Yrt�, t{s., .•... •yj .. b'!S. �,k...,y� d s�tF'a$i"�
+ a a'' t .i v t: ;�! 6 at.� p t sY a, arp 5 I! a•�i 4
ry ^ .�•�r_, ='aye rf
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C.o-T U I-T- MASS
Y
O WLY 'TUS1' : .
GCA l"
�.1 G 12 INS A J�1 C� S SMA
_ I HEREBY CERTIFY THAT THIS FOVNRAT1 N
IS LOCATED,ON THE-LOT AS SgO*M.A})D
CONFORMS TO THE TOWN OF 5/lTAY4nX81.X $
ZONING REGUTAMNS-44GARDINti-4 TBAtCKS -GRO
w
FROM STREET VNES.AND-WT UN£S:
�s
17�t.f.11•}ST (Zp. R,((n "
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y'` . T ;• '12'';1, .�. .T' J r. � .iF v!'/X�.'t Vic( •S'�'. t�4 -7A�( y .
•.+mil•!
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. .. :*K�. •• - .'.��' .. �...2�.;��d-3l . .7.�S.h t f i -:fin r-Ott.{: -
'F L A 1,1
o tsT A'1'i-o'),A- , L.:d 4-A:--i'
o w >ti 15Y ' c F DAr- h cQF-S ��f�L1'Y 'MUST
SCALE f ' = 5v DULY j 1)
I HEREBY CERTIFY THAT THIS FOUNDATJON_
IS LOCATM ON THE LOT AS SfgMW-Mp ..
CONFORMS TO THE TOWN 6P, $ GRO
ZONING REGULATJ9NS-REGARDthu-mEta 0m
FROM STREET LAVES RND-LOT LINES: 1
��„o•'""., TOWN OF BARNSTABLE
e Permit No.
Building Inspector Cash _
�639 p
`O OCCUPANCY PERMIT Bond
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without .a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Cedar r cce.s 3calty Tr,i,t Address South Yar-outh
lot 95 Ancl.or Lire, Cottji
Wiring Inspector �-� Inspection date
Plumbing laspedt i �� `� Inspection date
Gas Inspector Inspection date
`'Engineering Department ,' / r r •i.v Inspection date I c�
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
_...................... . ._._.._.........�., 19L ............... �...Building
...Inspector _....
w
Lo-r !ZG
1 G0, 00 `
LO T Io$
0 59It _ p
L'o I ,
b
I30 .00 h�
A
fi/
FoUNsTD-A-r' ioQ LOCAT" tQ
r
t Q W N 13Y; C •D/ . h CQFS ?F-ok �`Y 'T ,US7'
I HEREL'Y CERTIFY THAT THIS FOUNDATION �'�►�\
IS LOCATED ON THE LOT AS SWWN Af$D RGRAbtN G
CON{ORE/.$ TO THE TOWN OF FJASMBt � ,z
ZONING .REGULATtQXS AEOARDIP4 zif-iWKS $ GR0 S «
FROM STREET UN£S AND LAT".UNES..
1.2 3 �Ll - G
AVessor's map and lot,number /y /�Q THEcT to
7�p� �Q o
Sewage Permit number .......... /....7................... d
Z B STABLE, i
House number .......... N"&
...(.�r.............................................. SEPTIC SYSTEM MU
39• `00�
T F B INSTALLED IN COMP av a•
OWN O AfiRNSTAII&Hg��CODE A iD
TOWN REGULATIONS
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .........3a(�!........ �............... ......... ...............................................
TYPE O CONSTRUCTION ......�C�Y"....../.. ! t! ..... 6 ...........................................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ..../*.-/,.......�� ........ .... .y........ ............I.....�j%2 .. ......................................
_...
ProposedUse ... ..........................................................................................................................................
Zoning District ........... .............................Fire District far'47.
.... ....................... ................ . ......................................................
Name of Owner d dx ddress v` �
`Name of Builder ... ../ .. ............ ...........Address ...S.... .*. .
.. ..........................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ...............c�VV04(a.......... .. ...Z� 4wle�
... ................................................
/7.4�0•Exterior ..&) ..LC! • ..74�! ..................Roofing ..
....... ...... �.......... ................................
Floors ..... ............................................................Interior ......Y.XY
�..................................................................
Heating ! ....... .... ...........................Plumbing ..... 'e-......f .............................................
15%Fireplace ............... ....................................................Approximate Cost ............y..� ......................
Definitive Plan Approved by Planning Board _ _ _� --------19.7S�. Area `...., . .. _ ........� (D(�
Diagram of Lot and Building with Dimensions Fee .................. ..... ..®.....
SUBJECT TO APPROVAL OF BOARD OF HEALTH
[2- cl�, 7 y ter.
3(o
I�
'h
j�
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
IrT
Name4W. .........................
Cedar Acres Realty Trust
�' W21510
~�No ................. Permit for ...Ane.:stnr.3r...dwelling.
...............................................................................
I
Location ..... Q.t.A.1A5.....95..9nchor..La...........
..........................................co twit........................
Owner .......:Cedar..AQr.ea..BP-a1ty...Trust....
Type of Construction
......................................... ... . ......
Plot ...:........................ lot ................................
LJ
Permit Granted :...............
Date of Inspection ....................................19
g
Date Completed ..11 �... ..............19
PERMIT REFUSED
.......... . �. ........................................ 19
.....
3 = - :.......................................
' ..................a� .. ....................................
:r.............. P .. .
19APProved k.`. ......:
.....
................. •........................................................ \ �`
v
Assessor's..map and lot number.,
��• .,..... .'. �` . �......�'�.
G � � QyOF?N E l��♦
-7
Sewage Permit number .......... .... .7.9..................
MAB6
ti House number .....................,................................................, soo ib 3 9.
TOWN OF BARNSTABLE
/t
�. BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .......... 7`.,.:!a;..... ................. ........... ...............................................
TYPE OF CONSTRUCTION ......z.I19/�� 7./l/?�ss �......1� �'..............................................
..........
... . ///...V...........................l . , ..
TO THE INSPECTOR OF BUILDINGS:
The undersig�need. hereby/applies for a permit according to the following information:
Location ...../, .... f'' ....: r..,.......... ...... ............................................
se ...., rl....:' ......�1 ...................................... ...............................................................................
Proposed U
lip-
� 1
lG�'v/
ZoningDistrict ........................................................................Fire Distract .......................7.....................................................
Name of Owner r 4' ...../�'l4�J Address
Name of Builder -"FAG• ... ll, ." ....................Address .... ........ ...'..0 .........................................
Nameof Architect ..................................................................Address ....................................................................................
j L2
Number of Rooms ...............::-mot'; .......................................Foundation ... .1 .... ...........................................
E x i e r i o r ..........................f.............. 3.,eau/l.�f..................Roofing �- .J �.�
:......w....................::...... ,..................................
Floors .....{.... %P .............................................................Interior," ..:... �l � ..........
Heating ......./t�G!/ Plumbing''....
Fireplace ................./.«.' .'..C.J................................................Approximate Cost ..........w ..rr! ZwLi
............................................ .
=,
Definitive Plan Approved by Planning Board ---- ___�_______________ �' d
/3 _19.7�. Area .. �.._G; -. .............. ..
Diagram of Lot and Building with Dimensions Fee ,. -r e
..........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
i
yj
3�0
I hereby agree to conform to all the Rules and/Regulations of the Town of Barnstable regarding the above
construction.
..........................
�x
/Cedar Acres Realty T^ust A=24-123
21510
No ................. Q Ut Permit for . ne-sry..dwelling
...............................................................................
Location .......3.at..YM Q5....9.5-Aarhar...l a.......
................Cato .t..................................................
Owner ...Udax:..Acr.ea..Asalty...Trust..........
Type of Construction .....frame............:.............
...............................................................................
Plot . ....................... Lot ................................
x
Permit Granted .........
...26...........1979
Date of Inspection ....................................19
Date Completed ......................................19
PERMIT REFUSED
............................. ... .........I T.
....... .�.. . . ..... .... ........ ...................
...............................................................................
...............................................................................
Approved .......:........................................ 19
...............................................................................