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HomeMy WebLinkAbout0116 CHERRY TREE ROAD _ _ _ _ �- _ /�� , . � , '� • .... y Town of Barnstable Building s ; Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept eve Posted Until Final Inspection Has Been Made. Permit a639� �� Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Applicant Name: MCMAHON, KATHLEEN E&HOPPENSTEADT, Permit No. B-19-2636 pp Approvals Date issued: 08/16/2019 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 02/16/2020 Foundation: Location: 116 CHERRY TREE ROAD,COTUIT Map/Lot: 019-137 Zoning District: RF Sheathing: Owner on Record: MCMAHON, KATHLEEN E&HOPPENSTEi4DT, Contractor Name: HOMEOWNER IS APPLICANT Framing: 1 Address: 116 CHERRY TREE ROAD Contractor License: EXEMPT 2 COTUIT, MA 02635 Est. Proj ct Cost: $0.00 Chimney: Description: 192 square ft shed Permit Fee: $35.00 Insulation: Project Review Req: SHED REGISTRATION 192 SF. Fee Paid. $35.00 Date: 8/16/2019 Final: G11 � Plumbing/Gas Rough Plumbing: \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and theiapproved construction documents for which this permit has been granted. Rough Gas: j All construction,alterations and changes of use of any building and st'ctures shall be in compliance with the local zornng by-laws and codes. 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 Final.Gas: work until the completion of the same. E 11 Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 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 sitefib Final: ' All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ToN'M of Barnstable Op THErOYy� Building Department Services Brian Florence,CBO seaxsT�R^;* Building Commissioner s `0� 200 Main Street, Hyannis,MA 02601 '°rEo► www.town.barnstable.ma us Office: S08-862-4038 Fag: S08-790-6230 PERnUr# (P FEE: $35.00. SEOED REGISTRATION EPj RESIDENTIAL ONLY AUG 14 ZO19 . 200 square feet or less jOW • --� � N OFegRNsj (le '�BtE Location of shed(address) Village operty owner's a Telephone n�ber Size of Sbed 7 7 Map/Parcel# 6 Signature Date Aj Hyannis Main Street Waterfront Historic District? o Old King's Highway Historic District Commission�urisdiction7 ° You must file with Old King's Highway Conservation Commission(signature is required) Sign off hd rs for Conservation 8:00-9:30&3:304:30 PLEASE NOTE: IF You ARE wn=THE JQRISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED 13Y A PLOY PLAN Q-bms-sbrdreg j REV:08/6/17 O n � `� .�. �/) I'd-F--•/�/� /I d I s ��/�( ' ` C w 1 �1r a�4f 2 S.00 LOT � •2 S a ; 0 4a s LOT 3 EX/ST. /C 5' 37.0/ m d/Y, a h r, N 4¢.gyp' 28.o >ft b7vc)%h {a . off Uf A/ :A. oho WILUAM yG WART Ilex H 0 No. 197, t . my knowledge, information and Certify " e; as of l OUNDA RON CEZT/F/CATIO Ye,� to Tow,y of L3�.pN57ABGE rQsult of a survey made on the ground 0n�4` `14 a r find- that: LOT 2 ev tz_.Ure(s) are ' located on the site as �'Y TREE GOAD .B Pn/5?ABLE /�'IF�SS. e iytle,: lines and lines of occupation of the C'D7-U� � �1/I x aMe }as 'showri`hereon' Ti / '�/Ass, "'situated in Flood :None n/oNs,sra.4�dC ?anel No. Date ,_ OATS. ! /If0/5 7 5��, • der .!:•t'' . . - am I':. Warwick AL WM.M. I�V,4,eWiG,< � A55pC. No, FALMOUT// "A o�TME�• TOWN OF BARNSTABLE Permit No. ....30636..... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash y HYANNIS,MASS.02601 Bond ......X.. �..CERTIFICATE OF OF USE AND OCCUPANCY Issued to GERALD ANTIS Address lot #2 116 Cherry Tree Road, Cotuit USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. September 15 87 ,�.�/�/ ............................ 19................. ........ ................................. ` Building Inspector TOWN OF BARNSTABLE ` BUILDING DEPARTMENT I 2 asaa� = TOWN OFFICE BUILDING rua ~ �°b '679• �� HYANNIS, MASS. 02601 �o rnr►• MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit .�.../,......»... _..........................................................._._...._. .......... ........» ......_......» ...... » .....�». issuedto ....».... .. ...........»... ......... . ... /t .�� ........................................... ......_._....:_..»...»»......»._......». .v V Please release the performance bond. t - ., ma-�+.«'AC!+�-"..,�.,,,� ��r� - ...:'• �.ye ..�r *-==- ram. -- TOWN OF BARNSTABLE, MASSACHUSETTS '�'> BUILDING PERMIT • SwJ A-01`)-1.3'/. PERMIT ii -: W MOO i DATE :�� i:..�. ; , 19 Li I � APPLICANT �`::r"�'liC_t _ ,11:�._ ADDRESS .'r- i) ( :.'r�:'. 'I t�I'+:`<t C' .., r„I•! 'i.•. {. (NO.) (STREET,) (CONTR'S LICENSE) NUMBER OF PERMIT TO build Llw':"i_- - •�•J ( I •) STORY '•�'�-1 - `-)�•t''��-�J-'�`-DWELLING UNITS (TYPE OF IMPROVEMENT), NO. '(PROPOSED USE) �I ._ _ ZONING + 1 AT*(LOCAT ION) L-c �' ;rh,, 1.i:7 �(1t':)::i.. •.h;;,.s _:.>,:_L .. DISTRICT 1 (NO.) (STREET) s� BETWEEN AND (CROSS STREET) (CROSS STREET) - LOT SUBDIVISION LOT BLOCK, SIZE , BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION i I , j`TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: a+`.•tti::I(.i�... ti 6 i ( AREA OR lti i .,•-i• � (-° d I�IIi / I LO. �/(� PERMITs .iJ . {,il) VOLUME ESTIMATED COST ,P (CUBIC/SQUARE FEET) OWNER '`��-•J"i1'`'? �,• 1`�-` BUILDING DE PT, ADDRESS 1 lj .". .l_.. ..� .. BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY 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 THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I, FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF. OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. I. PRIOR.TO COVERING STRUr_TURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBE'RS(READY TO LAT.H), ' FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. • � POST THIS CARD SO IT IS VISIBLE FROM -STREET BUILDING INSPECTION APPROVALS WLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1* �; '> �� 2 Z r fib C, 7 ` 3 HEATING INSPECTION APPROVALS 1. ENGINEERING DEPARTMENT I OT ER 2 BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC- ?ERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTEC`WITHI.N SIX MON•TVS OF DATE THE ARRANGED FOR BY TELEPHONE 09 WRITTEN .CONSTRUCTION. I PERMIT IS ISSUED AS NO#ECf hBOVE. NOTIFICATION. {/ _ `a` f- ". ..�3'+�`y`'�r � t,, ,a• �•rY .rw.r „i Y„N„ y,r�r�.w "•r`*Mr+c^.. t ,.ymS w'.T' v.,�'^'r'Kww �..Rk", ^ Y �'xN•ri'S"`4 4,.� .�:,�rr r x�a� .,•tr`� ti?���,.. C: ii�" a>C re•. .v,,"3'. 7r>7;Tr�`.•r t<.. t 4 ~i '�' r.1`�+i- ��-� �:. ..���j mod^ us4Cu.+�.�Mc .v.�i:twe�i..:°�%:..'._S.dL'.a,�:x:7�+t:.r...�r.�sHGid.�S+..•�w.�i.?�:H.w+.n�+rr�+�:�i.S,.�uf.+'an,�..�...; `!,rrr w::3 .�...M4:i v_' "�.�.r... :r .. ... .. +4 .x.s+:r;rdni:n..a::w i+:.'i...cwta. .►►......3ac s �i 1��+.�q'W.•c`art`', ``: ,e t+•r•Tt � 125-00 .L O T 2 6 ��� ��S �:ti.•'.sty. �O/ 07 LOT 3 R 'r+ _ O „ EX/57: 37.o/ 44-.5p 26.0' x .. CAI E9� i Of Rips WiWAM M. WARWICX y Ao No. 197, gFQn�tYthe'kbasis of >qy luzo�rllea e, inrornation and /OUNDATION CEF-TIFICATIO/`I tir+`' Town/ of C3.9QN57A6LE bel�ief.;� I+.cartify to 4 that as�� -result of a survey made on. the ground LOT z C>IZZCY TREE &AD 14. 8 �, •::I find..that: • ' e srtrticture(s) are located on the site as ,E3A�E'/�/5TAS/ MASS. sY�o.�rn •• tle lines and lines olf occupation of the C'D7-��7- �/JAs s, �teaxa, as shotm "hereon. / + situated�in Flood 'Lone NoNNA����c all, 0. Date: DATE: ' ��/6/67 SCALE: / - 3o M� • I + ,x� t WM.M. GVACWI A5 7 �n '�.,�;��>,�,.� •� ',illian K. �rarwick,l� GK � SOC. /NG . lit- 5ox80 N FA LMOV TN wr TERRY DU11vTNING 8c TERRY COUNSELLORS AT LAW January 13 , 1987 Mr . Joseph. D. DaL.uz Building Inspector Town of Barnstable. Barnstable Town Hall Hyannis , MA .02601 RE : Lot 2 Cherr.y Tree Road , Cotuit (Barnstable) , MA Dear Mr . DaLuz : This office has examined the title to- the above-referenced lot consisting of 20 , 625 square feet which is shown on a plan entitled "Subdivision Plan of Land in Cotuit (Barnstable) , MA for James P . Souza dated August 11 , 1960"--recorded- in. Plan Book 159 Page 91 . The lots adjacent to Lot 2 (Lot 1: and Lot 3. on said plan) were in-contiguous ownership with Lot 2 , and all three lots have been owned by James P. and Elizabeth N . ' Souza , until 1968 when Lot 1 was conveyed . In 1970 Lots 2 and 3 were conveyed to different parties , and since that time Lot 2 has not been held in common ownership with either Lot 1 or Lot 3 . Please call if you have any questions . Very truly yours , TERRY , DUNNING & TERRY .. // hi &2LL160 BY c(.mot Eliz eth A . McNichols I EAM/pb Enclosure I ROUTE 28 P.O.BOX 560 •MASHPEE,MASSACHUSETTS 02649 •TEL.(617)428-8000 •TEL.(617)255-7816 MICHAEL A. DUNNING / RICHARD L: TERRY / ROBERT E. TERRY KEVIN M. KIRRANE/ELIZABETH A. MCNICHOLS/PAMELA E. TERRY • Assessor's oftioe (1st floor): / 7 ` `W � SYSTEM MUST BE r OF THE TA �}'f, g Assessor's map and lot number ••••••/•. ••••••••••••••- TALLED IN COMPLIANCE Board of Health (3rd floor)- WITH a Permit number .......7�3.. ..:!..`44... ..XD............... ,• ��TH TITLE 5 VIRONMENTAL CODE ANC Bo6,SMAB& LE, Engineering Department (3rd floor): �i1 ,`TOWN REGULATIONS o�'Ei639 a`e� House number ........................... 9.........1.[.�..................... 'E0MAI APPUCATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..:.......�� �... ?1 ........................................................................................ TYPE OF CONSTRUCTION .... J./...�1.��'...`5:. .. . .... .P.a!!...... �ti.` -.. `����! ............ ............... : .......... ... ............ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for�qZrmit- according to the following information: Location ... , o. .......� .............. Y ..,/......L...�^ 7:.... C........ .�� ��/...................................... ProposedUse .. ... ........'e.;..G.' -...... ......................... ....................................:.............................................................. Zoning District .................................Fire District ( �! Name of Owner `-�Y': -.�i ..... !d.. 1. .............Address ./`..�..4.. ? .� �GG...(r,-C..� Name of Builder �............................Address 1 , ` Name of Architect Address Number of Rooms ..... .............................................Foundation ...(1i1�+: !.... �? '—�; 7........ �?.�r. ..... Exterior / / ....... �1.! .. �d Roofing .......may: H .�?. Z'✓••••••••• �.. Floors .. 15A .. ......Interior oHeating .. ..........................................................Plumbing ......4 Fireplace .. ...........................................................Approximate Cost ...............��...axe.................... .......... Definitive Plan Approved by Planning Board --------------------------------1'9- Area ......l�1,�.................... Diagram If Lot and Buildingwith Dimensions ®U 9 I Fee .........1......�................ ..... , SUBJECT` O APPROVAL OF BOARD OF HEALTH 2- 27 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Tow f Barnstable regarding the above construction. Name ... ..... . ...... ....�...... . Construction Supervisor's License•.. /.. ANTIS, GERALD 30636 One Story No ................. Permit for .................................... ' Single Family Dwelling .......................................................................... Location .....Lot - #2, 116 Cherry Tree Rd. ........................................................... Cotuit ............................................................................... Owner .....Gerald 'Antis ........................................................ Type of Construction .....,Frame...................... .............. .......................................................... Plot ............................ Lot ................................ Permit Granted ......April....16...............19 87 Date of Inspection .... ...........I....................19 Date et d .. ...7...... 4— ..��.......19� i Assessor's offioe (1st floor): Q/�— /✓ '� � • �+ %/ y�FTHEt�` Assessor's map and lot number ........................................... Board of Health (3rd floor): n o Sewage Permit number 7- R 4� � g .......C/.........�..�. �...�..t.��:................ S B6Sd9TODLE. i EngineeringDepartment (3rd floor): v �o YA39 6� House number ............................. ..... .........1/6!? .......... 'E0 MAI a' APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO V ..... ..... TYPE OF CONSTRUCTION ..... .� '�.?.................................................0�1 ��"�- - - ..................... ....................... . ............19.1.--� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...Z.A. ....... z r?�:: c..-.,.....�...!!. T....f.b.... ......��.......` . ./...................................... ........................ . �L l.,J /�f .a r- -�. Proposed Use .......................................................................................................................................... Zoning Distr'ict / v Fire District ..C -.o.. i Name of .............Address JA Name of Builder ..............�................`.� ...............................................Address I i / .............................................................. Name of Architect ....�i.;jrd..........................Address ....................... Number of Rooms ........................ ......................................Foundation (./i+G�?✓,,..�..a�•P Gv�s/� �v�.L-:..... Exlerior f �o�> .a.�ti,/>'.."... lu fC7l. Roofing , L `/ Floors .,t...a( ��. f,,,' �� :.........at?.d. ......Interior .................................................................................... Heating ... ��.Al'-.1.........................................................Plumbing ...... t Fireplace ............. ./...................... Approximate Cost L :..� !v......'. ... Definitive Plan Approved by Planning Board __ __________________:;r -___1'9 -------- . Area ....... `s. ................. i Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH A e2 } r r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS a ( A I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................................ ... .. ..... Construction Supervisor's License ..!.!..�...`....f.../.: . | . -- - ----- -=- - / . ANTIS, GEIGALD A=0I9-137 30636 One Story No -----' Permit for ------------ . . Single Family Dwellioq ------------------------.. . Lot #2 Cherry ��zeeBd ' Location ------..� llS C'-------------. ' ^ , ________�ot�it _____________ �eralcl Aotio* ~ �vvne, ---------------------- of Construction ......Fr���-------_ ^ ' ------'------------------- ' Plot ............................ ' Lot ----------' � ' . ~ � . . ~ Permit G,onma] ---..April ^'16,`-]V 87 _ , ' Date of Inspection -----'------'l9 ^ , ' - Dote Completed ---------'----lg ' ' . � ' . . . , . ' ' ` . ' ~ � � } ' o / � `~ Ax" S 0 y June 13, 2016 0 C,_ ::2: CD Town of Barnstable Ln ;z ATTENTION: BUILDING DEPARTMENT W 3;p 200 Main Street r� a Hyannis, MA 02601 RE: 116 Cherry Tree Road,Cotuit Permit Applications Submitted: May 24, 2016 Permit Nos.: TB-16-1418 TE-16-1105 Our Job No.: JB-0262995 NOTICE OF CANCELLATION OF PERMIT APPLICATIONS i This letter is to certify our proposal to install Solar(PV)at the above-referenced property has been moved into a cancellation status. SolarCity Corporation and Tom Hoppensteadt will not be moving forward with the proposed installation at this time. If you have any questions or concerns, please don't hesitate to contact me. Thank you for your attention to this matter. Sincerely, CheryCGruenstern Cheryl Gruenstern Permit Coordinator Direct Line: (508) 640-5397 cgruenstern@solarcity.com 112 Great Western Road„SoL h,Dennls,:MA 02'6 0 T .(B88)SOL='CITY solarcity:com A1'0550611AXM-89V.,AZ ROC 243771.R OC 245450:.CA 60 88810k COIC80G1,CT HIC 0632770,R;LC 0126305:DC;4105140L10080/ECC:02W,0E 201112Q:306/T1=pQT2:Fl:Ed 006226 H1•CT=29770 AL.15-CfJ52 MA HIC 160672 EL-1136MR.MD HIC 128W 8l11B W:NC 308014J,'NH 01:,MS 347M.NJ�NJkl!C#l3VH0616116Q0l34EB01'132700.NM'EE90-379590:.NVtJV201<"1135172/C2-OrJ786481B2-0079719.;OH;EL.i 7761.OR•C8180498/C562.,PA ryICPA.07'7343.91 AC0047W .11/Reg 383Li.TX TECL27006 f 8725950-5501:VA:ELE270515S228.%f EM-0582R K'A SOLARC•9t9011SC•LAfiC•9GSP7:AIliany g34.Grmne'A=486.Nussdu H2409710000:Putnam PC6041.P.ockland.H-11864.-40-00r00:Sutlolk 52051-H.Westchester WC-26088-H13 N.Y.C'#2O01384-DC7i SCENM NXC:Moiised Elecfrlclan:U12610.4004485.155 Water SL dlh Fl t)nit-10.8roo61m..NY,120.1!(2013966-0CA JJIToans pr.a4Ued by,SolarCLIYFInanca Compapy:LLC; Winance lendors Lfcenie A05479L'SoldrfaD Flunnca Gomparly.LLQ Is Ilemsedb7 the DAaweie State Bonk Commissloner.goengage in iwslness in Deliwaro urid er Ilcense nurnhe:r J19422.MD'Consumer Coin License 224L,I'JV Ins Mllment Lo;d lic n','e 1e110237161024.W;l censedCei ei pe6 iIIO3LL.1-<.RrBlsFeted'Creditor'14 000 5096 3-20 2 4 06;yf Ltildr Llc,�nia.N6766 'i i I v Towii� o Barnstable pPcrtr>Jt�tt D G� L.Z.4rsa 6 rnonrhrflvn ulna,(air \t ewxrtrrwnts, _ 'te ;I�n�,t:a� ;' oar-VICe A�G 39. � Thomas.`.^.7.s'ailer,Director i -MESS PERMIT Building Division Tom Ferry, BuDding Commissioner OCT 5 - 2004 200 Main Strect, Hyannis,MA 02601 Office: 508-862-4038 TOWN OF BARNSTABftE Fax: 508-790-6230 EXPRESS PERNUT A.PPLICr'.TION - RESWENTW, ONLY 6� 2 Not Valid without Red X-Press rmprint Map/parcol Number 0/ Property Address Rcsidcntial Value of Work Owner'a Name dr Address M t, _ Contractor's Name 2C o(' , Ci..GZ-c�.c7:.t� `I ;t�,(1� 1�[:�)�I 1X�Tclephono N,=ber Home improvement Contractor License 0(if applicable) .W3?U Construction Supervisor's License#(if applicable) 3 _ Vworlauan's Compensation Instuance Chock ono; ❑ I am a sole proprietor ❑ lam the Homeowner I have Worker's Compensation Insurance Insurance Company Nam a 4'G.0 [J-�C�lj 1.,11C.1�.'_.i't 1 1 c1c.. C�k I 1 r 1'�,',...`. W orkrnan's Comp.Policy# Pj v(j _ ,aL�ICI:7 Permit Request(chock box) .Re-roof(stripping old shingloo) All construction debris will be taken to ra 1�1 ❑Re-roof(not stripping. Going over cxistin&layers of roof) , ❑ Re-aide ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) 'Whore roquired: lsxuanee of this ptrtait does not cA"t compliance with od5cr town dcpartrnent rcgulatior,s,I...iiistmc,conscrvaciun r.rr. Signature Q:Form av �p Revisc4121901 1' Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. (Please return this form with your signed contract, thank you) _ _ wren_ r��l7�o�an�1 I (print) as Owner of the subject property hereby authorizes Paul J. Cazeault & Sons Roofin_g Inc. To act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) C e rr tA e-e- ➢ ,. Signature of Owner Date Tel# 2 Y ♦ 1 gxe Board of Building Regulat4 on4an gt6aangar s One Ashburton Place - Room 1301 Boston. Massachusetts 02109 Home Improvement':Contractor Registration Registration: 103714 Type: Private Corporation Expiration: 7I9/2006 PAUL J. CAZEAULT & SONS, INC.: Paul Cazeault 1031 MAIN ST OSTERVILLE, MA 02658 ' '` `' " . .. ,• Update Address and return card.Mark reason for chang El Address Renewal Employment Lost Card DPS-CAI ii 5OM-04/04-GIO1216//�J ������ -VOOJN-'W t(/M.Q.6U6 0�✓C�laddQGLf[68 .... -. �` y\ Board of Building Regulations and Standards — HOME IMPROVEMENT CONTRACTOR :License or registration valid for individ,ll Ilse uul% .1 N, . 103714 before the expiration dale. 11'round return to: Rogistr Expiration':7/92006 Boa.d of Building Regulaliuns:uRl SLuul:u ds UIlc Asliburtau Place Rn► 1301 ype:Private Corporation Buslun, Nla.02108 PAUL J.CAZEAULT,&,SONS,.INC: Paul Cazeault 1031 MAIN ST OSTERVILLE,MA 02658 Admin i ill/ `/ /la,ella ��LC DOoiJ/J[UJUUCJ t U•� '•lLOJUf istrator ' Nir BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 026325 Birthdate: 10/20/1959 Expires: 10/20/2005 Tr.no: 8603.0 Restricted: 00 PAULJ CAZEAULT 1031 MAIN STD, OSTERVILLE, MA 02655 Administrator _- = Board of Building regulations =' One'Ashburton Place, (gym 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 10/20/1959 Number: CS 026325 Expires: 10/20/2005 Restricted To: 00 PAUL 1 CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02655 Tr:no: 8603.0 ' iKeep top for receipt and change of address notification. ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McShea Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE g Y• HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ma. 02655508-420-9011 INSURERS AFFORDING COVERAGE INSURED Paul J Cazeault & Sons INSURERA: Lloyd's Roofing Inc. INSURER B: TraVelerIS 1031 Main Street wsURERC: Osterville, Ma 02655 INSURERD: 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 MM/DD/YY DATE(MMIDDfYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ CLAIMS MADE ©OCCUR - MED EXP(Any one person) $ ti LGL034776 04/30/04 04/30/05 PERSONAL BADVINJURY $ GENERAL AGGREGATE $2 ,000 ,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1 .000 ,000 POLICY PRO J ECT LOC 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 EA ACC $ OTHER THAN i AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND W TATU- H- EMPLOYERS'LIABILITY TDRY LIMITS ER 7PJUB-0095864A04 08/13/04 08/10/05 E.L.EACH ACCIDENT $ B E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF TfJE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURETO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REJ I j <::;q i ACORD 25-9(7197) 0 ACORD CORPORATION 1988