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Home My WebLink About0034 COTUIT COVE ROAD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 005 Parcel 3 Application# Health Division Conservation Division Permit# Tax Collector Date Issued " Pico Treasurer Application Fe Planning Dept. Permit Fee oZS�" Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 3 LTAXT Village L- u'rT Owner b• "\,J o C Address 3 Z Ck7Tur( G3y��.t� �.i70?-�35 6/ Telephone O Permit Request _6FfU1-CL EY bT1.�jf, ICrCC4 eltJ (ft6jIJ�S ;�r11a o�9m1� �11�o� �12t'�r�I.TC� l/S�K (Z� 2`� A i��k d F }•fi�1,�S� l$�4) Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain :.J6 Groundwater Overlay Project Valuation 50 ,OTT Construction Type 'W_000 Lot Size Grandfathered: ❑Yes '❑ No If yes, attach supporting documentation. Z Dwelling Type: Single Family 1A Two Family ❑ Multi-Family(#units) Age of Existing Structure z Historic House: ❑Yes 04 No On Old King's Highway: ❑Yes JIB No ? Basement Type: VNii ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) It Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing new _ First Floor Room Count Q) Heat Type and Fuel: 5f Gas ❑Oil ❑Electric ❑Other 's Central Air: ❑Yes I.No Fireplaces: Existing New Existing wood/coal$9 e: ❑Yes No b. Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existi g ❑net size, CIO Attached garage: existing ❑new size Shed:Aexisting ❑new size Other: `9 v a3 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes XNo If yes, site plan review# Current Use S1YiCa1;Lr Proposed Use e BUILDER INFORMATION Name 6f9T R•PinLtiLM &n(XV'6LQLb9eTelephone Number C ��l `�Z�-0001 Address �,,-am �� License# C b 48859 P 0- ,o c Home Improvement Contractor# i•Ob931 Worker's Compensation# 91lio A(.77 -08 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO —PA5 - W45_T9_ RD A A SIGNATURE DATE Z(a 1 0 S FOR OFFICIAL USE ONLY PERMIT NO. t r DATE ISSUED MAP/PARCEL NO. " ADDRESS VILLAGE, OWNER _ 1 � � v 3 r DATE OF INSPECTION: FOUNDATION ' f FRAME R#I� h /O Oip felol- INSULATION t FIREPLACE i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL + GAS: ROUGH(' / FINALr� i FINAL BUILDING DATE CLOSED OUT 4 ASSOCIATION PLAN NO. " ` F r Town of Barnstable �° 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: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder n t 4 I, 1 q—VI G� !� - �� , as Owner of the subject property hereby authorize AU PALl(:�L.:-w -'4't—) r0T 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 Print Name Q:Forms:bu ildingpermits/express Revised 123107 r 3'Z �/ze Vranvnw7uue ./�aeaaclivaek3 _ ._.__.--__-- Board of Building Regulations and Standards Construction Supervisor License I 00-35;000 cf enclosed space rt � License: CS 48869 ! a IA-Masonry only ' 1G-1-2 Family Homes ExgI tiort 2/22/2010 Tr# 15506 . rn Res#ricG{� 1 s ! Failure to possess a current edition of the Massachusetts,State Building Code c is cause for revocation of this license. ROBERT R PAD G\ - 184 SCHOOL ST/PO BQX�b33>o`f �� I i COTUIT,MA 02635 5 Commissioner � i d I • - - r ,ram 71. �✓ � -\ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: u,p Registry on:\100131 Board of Building Regulations and Standards Expiration-6F9/2010 Tr# 267799 One Ashburton Place Rm 1301 � Boston,Ma.02108 Type rVale Corporation PADGETT BUILDERS;INS• Robert Padgett PO Box 133/184 Sch'oolcS ,,,,GLao...` Cotuit,MA 02635 Administrator Not valid with t signatu e The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations ' d 600 Washington Street Boston,MA 02111 www mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Jobs-( _�GEEtT 1PAIDC.F J)-ADPJ? nsc Address: I Bq SG ml_ ST. City/State/Zip: CTq.1-T . .1`/18 OZ(.-7 Phone#: (�Sps 000 Are you an employer?Check the-appropriate box: Type,of project(required): El am a employer with 4. [A I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors :.� I am a sole proprietor or partner- listed on the attached sheet t ? Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity- workers' comp. insurance Y P h'• 9. ❑ Building addition [No workers' comp. insurance 5. 0.We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions �. I am a homeowner doing all work right of exemption per MGL _ 1 I.❑Plumbing repairs or.additions 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] ay applicant that checks box#1 must-also fill outthe section below showing their wbrken'compensation policy information omeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such ontracbm that check this bolt must attached an additional sheet showing the name ofthe sub-contractors and their workers'comp.policy inforrnation m an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site 'rmation. urance Company Name: tJ,u icy#or Self-ins.Lic. #: lam- 1 I (P 6Tl Expiration Date: I Site Address: City/State/Zip:_��,T A 0UoSS ach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ure to secure coverage as required under Section 25A of MGL c. 15.2 can lead to the imposition of criminal penalties of a up to$1,500.00 and/or one-year imprisonment, as well as,cZ) penalties in the form of a STOP WORK ORDER and a fine p to $250.00 a day against the violator. Be advised thatmay of this statement may be forwarded to the Office of stigations of the DIA for insurance coverage verification. `__ hereby certify ' d r he ns dpen ies ofperjury that the information provided above is true and correct: .ature: i Date:' - r z 0-UU�j r--� P/IDq&7T (t(LDQ .s,Z--jc fcial use only. Do not write in this area,to be completed by city or town official ity or.Town: Permit/License# suing Authority (circle one): Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Other Intact Person: Phone#: ACORD. . CERTIFICATE OF INSURANCE DATE(MM\DD\YY) 06.24-08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MYCOCK INS AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 20 SCHOOL ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 437 COMPANIES AFFORDING COVERAGE COTUIT,MA 02635 COMPANY 297SB A AAIERICAN ZURICH INSURANCE COMPANY INSURED COMPANY B PADGETT BUILDERS INC COMPANY PO BOX 133 C COTUIT,MA 02635 COMPANY D COVERAGE THIS ISTO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICHTHIS 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. CO POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM\DD\YY) DATE(MMWDWY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL&&ADV.INJURY $ OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one tire) $ AUTOMOBILE LIABILITY MED.EXPENSE(Anyone person) $ ANY AUTOCOMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY(Per Person) $ SCHEDULE AUTOS BODILY INJURY(Per Accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTOS AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ i WORKER'S COMPENSATION AND A EMPOLYER'S LIABILITY UB-9716A677-08 06-01-08 06.01-09 STATUTORY LIMITS X THE PROPRIETOR/ EACH ACCIDENT $ 100,000 PARTNERS/EXECUTIVE X INCL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING NORKERS CONIP COVERAGE. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF BARNSTABLE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL W DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT BLDG INSPECTOR FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY 367 MAIN ST KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25-5(3/93) W A Bolinder =PADGETTBUIL-DERS CUSTOM HOMES & ADDITIONS P. O. Box 133 Cotuit, MA 02635 Telephone 508428-0001 Fax 508-539-0557 Email: rob.padgett@verizon.net Sub-Contractor Listing/Reidy Job/34 Cotuit Cove Rd., Cotuit,MA. /9/29/08 Frame Jeremy Nickerson Big Dog Builders 30 Bourne Rd. Plymouth, MA 02360 Electric Mike Ostrowski Barnstable Electric 71 Lothrop's Lane West Barnstable, MA 02668 Plumbing/Heat Spencer Hallett Plumbing and Heating P.O. Box 61 Cotuit, MA Drywall Century Painting and Drywall, Inc. P.O. Box 2903 Hyannis, MA 02601 Finish Carpentry Kempton Nickerson Building&Remodeling 13 This Way Osterville, MA 026555 Painting Brothers Enterprises 81 Basset Lane Hyannis, MA 02601 SEC-1a-cU�7 01R PROM:SCHLEGEL_ SCHLEG'EL IN 15087;'10b63 1'0:1508539e557 P. 1 T- ACORD ry CERTIFICATE OF UABILITY INSURANCE : N� — —__— 112/18/2DO7 COMMATHIS SCRLIGUL ZNSURANCR ONLY AND NO RiOH M UPON THE CERTIFICATE 31 MX N 8T HOLDIM, THIS ICATE DOES NOT AMEND, EXTEND OR ALTER THE C BE AFFORDED BY THE POLICIES BELOW. WZBT. YARWUTH, MA 02673 INSURERSAFFCRDINO GE i"c* IMILOW) INSlRERA: Pt"IX K? Joreny Nickarron D.B.A. Big Dog Builders — --- -- IA'SURfR N: TRAVERLER II 30 Bourne Rd --- --- --- INSURER C: INSURER D. -'---`----- Plymouth, NA 02669 INSURER E ---- L — C'OYERAOES T— I THE PCL.OES OF INSURANCE LISTED 8E'.QW HAVE SEEN 'SSUED TO THE I-NSURED NAMED ABOVE THE POLICY PERIOD INDICATED. NrNIT}-STANDNG ANY FEOU IEMENT, TERN OR CONOIIION OF ANf CONTRACT OR 01HER DOCUMENT WITH RESPE TO WHICH THIS CERTIFICATE MAY BE 155::ED OR 10Y PERTAIN. THE INSURANCE AFFORDED BY THE PCUCIES DESCRIBED HEREN 16 SUBJECT 10 ALL THE TERMS, EXCLUSIONS AND CON13TIONS OF SUCH POUCES.A001 e-AT LIMITS SMOfA'N MAY M,AVE BEEN REOUCEC BY PAID C AIMS. �oucr—brteTl tVall LTN ItAAO TrYl OP1NiJAANCf POLICY WY➢AR DATE W&DwWI .11 LltlTA — I GINVALUAYUTY i CPP0713302 08/25/2001 i 08/25 2008 R•a=�+cE — 7 300,000 7 — X C0&WACNL GENERAL LUST Rf I ; I I--' PREMISES(El owrloAl 1 50,000 A CLAIMS LIACE I X I ocCUA Me0 EXP LAn rr Wrw $5,0 00 *300,000 GHIEAAL ADGRCGATQ /600,000 OENL WOOtEOATE LIMIT APPLIES PER: N PRooucta•cwwor AGG s 600,00 0— POUCY BLOC ALFTUYOSu UAW LM I i C.ObeNEO 6443U LIMIT ANY AUTO ! '; Its sc 4.4) I 1 ALL aWEO M/fOS I I I SONLYRuunY s 6CREOULED SIM I IPr ar.ar) wREOAutoG ' SOOILY OULIRY / NOILOIMRD AUf03 I IPr wfawv) - _.___..._.......—'__---....._._ I PR07ERTYO MAGE II fPr AtfJblt) 1 6AAA0f LIANUTY -- i AUTO MY-FA ACCIDOPT s ANY.A7R0 I ) I OIM;A THAN fa ACC f AUTO ONLY: AGO OD'�itVYMlC.U1LIAfIUIY i eACN OC4.RRENCE oOCCUR CWMB AMOE i AGGREGATE _ -t�-----� DEOUOTIBLE I 111{ RET91TION 1 I I 1 --- B wCOQW CCUPS"TION A" 6=30072L23907 11/07/2007 11/07 2008 R TORY LfpTE EA _ mokArew U10A UTY j ANY PROPRILROW4kART4ERALXECUTNf I QL SACN ACCIC047 4100,000 OPIRYR"EMBER excwoew E E.L DISEABe•EA EMPLOYEE 1 l OC,000 I If Yam.MAatM afOeN ! .- weONI PROIfSIONS Etl7r E L DWAR-POLICY LYdR 1 500,000 ovrirTstit of DATtRAnaNe:LOL►n01Y I vNCL/J i O GW/Q11 ADOED fY a00YfH1@If A M6]Al wz%l 1ou ' I E i CERTIFICATE HOLDER CANCELLATION PADEOiT? BuimmLB ANOULO ANY or TNA A!D KUau r CAA CMLUM 0E91OA1 Nil 604PAYIM P.O. BOX 133 VATS TNalro►. NE w u gwUyM TO owl.21 DAYS M rM COTUIT; MA 02635 Nona TO N NAWO TO TNA un• MR ►.Nano To Dc so sou LNPOfi ND WUGATI01 Ty OF AW IDND UAW 7741 MAIRM Iri AQWM OR Arm rAX 508-539-0557 AfM1sINT XCORD 28(20 roe) ACORD 00P�TION 1 Client#:11149 2BARNEL A, COR_D.N CERTIFICATE OF LIABILITY INSURANCE DATE(hN!DC/YYYY) 031271'JS Paooucea THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGH7S UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 973 lyanaugh Rd., PO Box 1990 ALTER.THE COVERAGE AFFORDED BY THE POLICIES BELOW. I -1 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE N.41C JY INSURED M.Ostrowski NSURER A: Harleysville Worcester Insurance Co. ,Inc D/B1A INSURERC: Associated Employers Insurance Compa Barnstable Electric ----- —� INSIJHF.R C' 71 Lane INSURERC: — Westst Barnstable, able,MA 02668 --- INSUREik F: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW'iLAVE BEEN ISSUED TC THE INSURED NMiED ABOVE FOR T AE POLICY PERIOD V4D•;ATED.NOT\/.T,iS'TANL lr,G ANY REO'J'RERIENT.TERFG OR CONDITION O°ANY CONTRACT OR OTHER 00r;UMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE iSS'JED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICES DESCRJBEn HEREIN!S SUBJECT TO ALL THE TERArS.EXCLUSIONS AND CONDITIONS GF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRE TYPE OF INSURANCE POLICY NUMBER 1 POLICY EFFECTIVE POLICY EXPIRA.?ION AT - MMfDDrYY ATE(MWQp LWITS A GENERAL LIABILITY 0M0113 t 07/19/07 07/19/08 EACH 000URR.ENCE sl 000 000 X WERCi61 GENERAL UABILIT" DAMAGE TO RENTEU j—^-- UA5 LIAL'E X OCCUR (EBEMtSES Ea o3 l2?^ I $I N ooq_ :LA I MEC EXP Wy one person] s5,000 PERSONAL 3ADV INJ!IRY $1.000 000 GENFRAL AGGREGATE' s2.000,000 GEN'L AGGREGATE LIMIT WRIES PER: I FRCO'JC'TS COMFOPAGG S2,000,000 ICI IC'Y )PRO. T (0)c _ AUTOMOBILE LIABILITY COIv!EIIJEU S POLE WAIT AN"AUl'O I (F i arkleni) i A:!_OIVNEC AUTOS I 20011. NJIURY SCHF.DUI F O AUTOS ! (P9r pmmnl TIRED AUT•D I !— I BODILY t7JUR" NON CLV4, ALTOS (Pei accidenl) 5 FROPERrYOAMAGE _ (Pv ac.lcjnl) GARAGE.LIABILITY ALITC ONLY.EA ArC:CENT S ANC AJ10 I O7HFR THAN U AX e _ A.UTC ONLY EXCESSAJMBRELLALIABILITY ' EACHrJCC'JRREIdCE XCUR CLAIMS MACE I A.GGRcGATF. S I C i7EDUCTIELE B IWORKERS COMPENSATION AND WCC5000804012008 101/15/08 01/15/09 -&:c SY A ATU D7Yi. N.PLOYERS'LIABILITY I E.L.EACH ACCIDENT $500000 N`�VRCR.k P 'ICRiPAR'IN°pi,'E:<ECUTI'JD _ -FF CcRI.*AIBEREACLUDED' NO E L CISG SE EA EMPLO eECI 5500 Ooo Ilei de5:'IIrdunc6f PFK.At_PROV.S O IS below E L.L`•ISEASE f!LIC''.iMJT 5500 ODD OTHER i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Michael Ostrowskl is included under the workers compensation policy. Insurance coverage is limited to the terms,conditions,exclusions,other limitations end endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION 3HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THF.EXPKATIC•N Padgett Builders DATE IHEREOF,THE ISSUING INSURER WILL ENDEAVOR TG NAIL 10 DAYS WRITTEN' PO Box 133 NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT.BUT FAILURE TO DO SO SHALL Cotuit, MA 02635 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRE S E Nl'ATIVES. AUTHORIZED REPRESENTATIVE •4, ACORD 25(2001/08) 1 of 3 451430 LS1 0 ACORD CORPORATION 1988 ' Client#: 22524 2HALLETTSP AGORDT., CERTIFICATE OF LIABILITY INSURANCE 0DATE(MMID 3/25/3/25/O 8D/YYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling & O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. lyanough Rd., PO Box 1990 hi,cinnis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: National Grange Mutual Insurance Spencer Hallett Plumbing 8 Heating, Inc � P.O. Box 61 INsuRER B: Cotuit, MA 02635 INSURER C: INSURER D: 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. SR POLICY EFFECTIVE POLICY EXPIRATION LTR INSR TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES(E. $ ccurre CLAIMS MADE OCCUR MED EXP(Any one person) 5 PERSONAL&ADV INJURY b GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO 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 OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ E DEDUCTIBLE RETENTION $ $ A WORKERS COMPENSATION AND WC15494F 02/22/03 02/22/09 X I WC s ATu• OTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? YES E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Insurance coverage is limited to the terms, conditions, exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived, or extended the coverage provided by the policy provisions. Spencer Hallett is excluded from coverage (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Padgett Builders DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN PO Box 133 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Cotuit, MA 02635 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED R(PRESENTATIVE ACORD 25(2001/08) 1 of 3 #51405 LS1 0 ACORD CORPORATION 1988 } Liberty Mutual Group Liberty P.O.Box 9090 . mutug. Dover,NH 03821-9090 Telephone(800)653-7893 Fax(603)-245-5330 March 28,2008 PADGETT BUILDERS PO BOX 133 , COTUIT, MA 02635- ` RE: Certificate of Workers Compensation Insurance Insured: CENTURY PAINTING AND DRYWALL INC PO BOX 2903 HYANNIS, MA 02601 f Policy Number: WC2-31S-349702-017 Effective: 12/5 /2007 Expiration: 12/5 /2008 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability (Limits): Sole Proprietor/Partner Coverage Election: Bodily Injury By Accident: $ 100,000 Each Accident ' Bodily Injury by Disease: $ 100,000 Each Person Bodily Injury by Disease: $ 500,000. Policy Limits { As of this date,the above-referenced policyholder is insured by Liberty,Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms, exclusions and conditions, and is not altered by any requirement, term or condition of any or other documents with respect to'which this certificate may be issued. This certificate is issued as a matter of information only and confers no iiglit upon you,the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy listed above. , If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. s:ftJ • AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those companies. cc: Insured: Prodiicer'of Record: CENTURY PAINTINGAAND DRYWALL;INC SANDPIPER INS AGENCY INC PO BOX 2903 . 12 ENTERPRISE RD HYANNIS, MA 02601 HYANNIS, MA 02601 3/28/2008 MMI PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Rogers&Gray Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Po Box 1601 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW South Dennis,MA 02660 COMPANIES AFFORDING INSURANCE _INSURED COMPANY A GRANITE STATE INSURANCE COMPANY M Kempton Nickerson 13 This Way Osterville,MA 02656-0000 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING 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 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. LTR TYPE OP NBURANCII POLICYNUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DAT@ A AORKERSCOMPENSATION DEMPLOYERS'LKBLITY E PROPRIETOR/ I LIMITS AR'NERS/EXECUTME - I FFICERS ARE: - - NCL C EXCL C 8268226 3/02/2008 3/02/2009 ITATUTORYLIMITS OTHER ---- •- _ aerege Applies to MA Operallma Ody. EACH ACCIDENT $ 100,00 ISEASE POLICY LIMIT $ 500.00 __ ___ DESCRIPTION OF OPERATION�IVEHICLE513PECIAL ITEMS ISEASEEACH EMPLOYEE $ 100,00— — RE:M KEMPTON NICKERSON IS COVERED BY THE WORKERS COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION PADGETT BUILDERS INC SHOULD ANY OF THE ABOVE DESCROED POLICIES BE CANCELLED SEFORETHE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAJOR TO MAIL jD PO BOX 133 DAYS WRr:'TEN NOTICE TO THE CERTIFICATE HOLDER NAKED TO THE LEFT,BUT COTUIT, MA 02635 FAILURE TO IAkIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LNBILIrY OF ANYKNO UPON THE COMPAW,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 1 Liberty Mutual Group LibertX P.O.Box 9090 Mutual. Dover,NH 03821-9090 Telephone(800)653-7893 Fax(603)-245-5330 May 29,2008 PADGETT BUILDERS PO BOX 1333 COTUIT, MA 02635- RE: Certificate of Workers Compensation Insurance Insured: KEISSER ROCHA&KLEBER GUIMARA DBA BROTHERS ENTERPRISES 81B BASSET LANE HYANNIS, MA 02601 Policy Number: WC1-31S-359289-028 Effective: 5 /2 /2008 Expiration: 5 /2/2009 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability(L�tsl: Sole Proprietor/Partner Coverage Election: Bodily Injury By Accident: $ 100,000 Each Accident No partners are covered by the workers'compensation Bodily Injury by Disease: $ 100,000 Each Person policy. Bodily Injury by Disease: $ 500,000 Policy Limits As of this date,the above-referenced policyholder is insured by Liberty Mutual Insurance Company under the policy listed above. The insurance afforded by the listed policy is subject to all the terms,exclusions and.condi6ons,and is not altered by any requirement, term or condition of any or other documents-with respect to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you, the certificate holder. This certificate is not an insurance policy and does not amend, extend,or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those companies. cc: Insured: Producer of Record: KEISSER ROCHA&KLEBER GUIMARA SOUTHEASTERN INS AGCY OF CAPE CO DBA BROTHERS ENTERPRISES 641 MAIN STREET 81B BASSET LANE HYANNIS, MA 02601 HYANNIS, 'MA 02601 5/29/2008 p`lIKE ACy, The Town of.Barnstable ��A� Department of Health Safety and Environmental Services ED MAC Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION 34 co TV t r COVE R) Ga N i T Location of shed(address) Village �(N'DMtiRS J. 6040)JAA Fi. "6—A,J �a&�R y i Z Property owner's name Telephone number IDS x IZ U(� S - V3Z Size of Shed Map/Parcel# Signadre Date Hyannis Main Street Waterfront Historic District. /► Old King's Highway Historic District Commission jurisdiction?. Conservation Commission(signature required) 3 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE CONOUSSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg MR.$MR3.THOMAS J.RECiAN 34 COTUIT COVE ROAD P.O.BOX 1810 COTUIT,MA026354810 v r1 m �c (o ? �,ok lifts ooK 4814 fhaCit. to �nrT 9 ix AW Clslow �` � A {�{...{{ � _ �• 3 . �Y� t 4 *yam � } lid i 04 5' Yt6 U 1 > r. b d1 k r } r X t • 5 3i �¢ 4 1, 4 y s�,u i r i r"j p ;.A i� r (1 to poll is 'A. j • ' i 10 Y i+t v � � c4i tit , m 1 1 I 1 k_ ' 4 g .. 'gar .. ,..., «• el.. •,.,,`,,,w a;'dow 4 fly lots PI 1 ♦�� N �y Z Y s ti "Not a '$"' �, � � � � � . '� i; f � :::� i �n '.�.ia;. tq � t. � n -'.. S. X q �� r�` '� I �' �; �,; `ITV: _ //qq 1 `�<.: {p' - i + �wta •� �.Y ew:�. ��« i �,;. u� .. t _ � Lr �,c�a: � ' ( i T j/4 . F<. � ,�- � , � r f^� Liz A li�' � f' � {. � i s x � � � i '. �. � � { .��: � . ? a �.^ 6 =�l - �� - a ! 'M7� ,r �d� t'�� i � l E� �' N xs. � �' ., � � i,'. �� } � '1 � �� . � f �g � � ' ? a�� i .�� ,� �� ,� ^� � a � � :�. � � � ��` � r' �>,+ 10 b rq'� 1Jt 1 fi / s F .y It. _ . _ . �.:y�2 �\ �� . \ } \ � \ / �\ : ± „/ | § �� fJ � . yam. . ��^ \\ �\ ( / »//�: -� : :y \ y �\ � } \ �\ \ . \y< . �: �` » \ � \ \ . �. . . ƒ COMMONWEALTH OF MASSACHUSETTS DEFAKrMFNT OF INDUSTRIAIrACCIDFNTS 600 WASHINGTON STREET fames.t Carstvoeu BOSTON, MASSACHUSETTS 02111 for masione• WORKERS' COMPENSATION INSURANCE AFFIDAVIT (licensee/perminee) with a principal place of business/residence ar. 7`kEE C oru i 7- , ku (City/Sute/Zip) do hereby certify, under the pains and penalties of perjury, that: () I am an employer providing the following workers' compensation coverage for my employees working on this job. Insurance Company Policy Number �m a sole proprietor and have no one working for me. ( ] I am asole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation insurance policies: Name.of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Q I am a homeowner performing all the work myself. ' I NOTE-Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a dweliing of not more than three units in which the homeowner also resiaes or on the grounds appurtenant thereto are not generally considered to be employers under the Workers' Compensation Act(GL C. 152,sea. 1(5)), application by a homeowner for a license or permit may evidence the legal sntus of an employer under the Workers' Compensation Act. 1 understand that a copv of this statement will be forwarded to the Department of Industrial Accidents' Ofnee of Insurance For coverage verification and tnat faiiurC to secure coverage as required under Section 25A'of 1v1GL 152 can lead to the imposition of criminal penalties consisd'nQ of a fine of up to S1500.00 and/or imprisonment of up to one year and civil penaities in the form of a Stop Work Order and a fine of S 100.00 a day against me. Si ncd this S day of , 19 L1cc:: PerinI c_ Lice^soriPcrmi:,or i s• 4 ' THE COMMONWEALTH OF MASSACHUSETTS Home Improvement Contractor Registration Registration No., One Ashburton Place - Room 1301 r _ Boston, Massachusetts 02108 Check number- Effective Date Application for Registration as a Home Improvement Contractor or Subcontractor IExpiration Date MGL Chapter 142A, CMR 780-6 FOR OFFICE USE ONLY Dote 1. Applicant name 1 i V L- 0 L&I Iq Print the name of the individual or business applying for the registration 2. Applicant type: Individual ❑ DBA ❑ Partnership ❑Trust ❑ Private Corporation ❑ Public Corporation 3. Number of Employees fNl 1/ S L L 4. Address 1 �. l(C iC l�y T"1�� C /z!�, C (''r y! 144 t4 e W 5'u e)4-'� Print street and Number(P.O.Box not acceptable) City State Zip Telephone Number S. Individual responsible for Home Improvement Contracts Last First Mi 6. •Iitic of individual responsible for Home Improvement Contracts 7. Dues the applicant or responsible individual hold any other construction related state,city,town licenses or registrations? ❑ If yes,complete the table below. Use additional paper if necessary. Yes No Type license or registration Issued By License or Expiration Name of License Holder ' registration number Date e. ty S7 ti, 5i �ci?ir.S Sr,Ft! cuti�� :�� is -'si -y � '�- K; RG'iytl 8. List all partners, trustees, officers,directors and major owners(10%or greater of ownership)of an applicant partnership or corporation below. Use additional paper if necessary. (See instructions on the back) i last First, Middle initial Title in Applicant Business `%Owner Address �n 9. Is the applicant claiming exemption from the registration fee? (See the instructions on the back) ❑ If yes•include a copy of a current Construction Supervisor license or motor vehicle repair shop license or registration. Yes No 10. Registration fee enclosed. $ Guaranty Fund fee enclosed. S f 0 U , O- Pursuant to Massachusetts General Laws Chapter 62C section 49A,I certify under the penalties of perjury that 1, to my best knowledge and belief,have filed all state tax returns and paid all state taxes required under law. Signature of applicant or applicant's representative Title held with applicant A fate answer to any question in this application constitutes grounds for suspension or rElocation of the applicants'registration COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY a OF 1010 CO MASSACHUSETTS• BOSTON, MA 02215 M LTH AVE. LICENSE CAUTION EXPIRATION DATE CONSTR. SUPERVISOR 10/31/'� 994 FOR PROTECTION AGAINST RESTRICTIONS . EFFECTIVE DATE LIC-NO." THEFT, PUT RIGHT THUMB NONE':-;,* 10/31 /1992 052325 r PRINT IN APPROPRIATE '�r.�_ ° (�� B\OX ON))LICENSE. �PAUL K ROMA °80X 653 90 HERRY TREE ' Rg BLASTING OPERATORS mCOTUIT MA 0 635 € {Q{ I1SICSJQE PHOTO. PHOTO(BLASTING OPR ONLY) •��E�-00 . I NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR•SIGNATURE OF THE COMMISSIONER C% ` I L. � �� ; & THIS DOCUMENT MUST BE « SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIEDON THE PERSON OF SIGNATURE OF LICENSEE THE HOLDER WHEN EN Ve - OTHERS•RIGHT THUMB PRINT GAGEDINTHISOCCUPATION;`Y%? COMMISSIONER ii f I Q 7- a-x Y 7 S 7 A4. 0 v 5,5 c o 7-v 14 47 X 7-- 13 A, H -SIR X T rw'd� rr SEP:9C SYSTUM A3sessor's map and lot number ....�...`.3.a. - INSTALLED IN Coo, r��t.�C�->�.� / ��SYA WITHI TIPPLE 5 TNE,o` Sewage Permit number ... .1.. 111?1/�l. .... 'ENVIRONMENTAL CQO' ..................... .. .... ' �� , a LA-,, House number VVE� ........�.... ........ . '............... � ...oho•: 6 9 e00 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �U �.. ,....��.. � ...................� ! `�. �... ...... ... ... . ..... Len TYPE OF CONSTRUCTION .... .....�.... ....... .... ....`'��.. .. ... 1. .................. ....................J/21............1gSj TO THE INSPECTOR OF BUILDINGS: The .undersigned hereby applies for a permit according to the following information: Location .....40../...........4e -7........ v�. �: /.jam. 5...............'...`. f..................................................... ,� ....�� /........ L. ................................................................ Proposed Use .. ....1..�'?:..j�.'.. ,1...`.� Zoning District ...... .�.�.r..................................................Fire' District ..................tJ`...Z(1./.../........................................ Name of Owner ......�T:!�� ` ....�•s�'••�:T1�.5.......Address ................... Name of Builder .....61. f��'t-/�LG�...... ....Address .......................e .................................................... Nameof Architect .. ... .. ... ... dress ..................................................................'. Number of Rooms �J .C......................................................Foundation •.... ...l�l.............................!'1..�i?. a f��.......... Exterior /�".��:.�?�- .... `�1?i�+'. "!t?,.. `'` of��........,��.%11�� .G� �i� rfi. `' ....... Floors h.................................Interior !�� `.. . ....... .y......... �.. �.;t.�. ........ Heating � � vIL ••••••••••Plumbing ...................... .................................................... Fireplace ..........I6 ...... ............................................Approximate Cost ...............f-e.......;/....................... Definitive Plan Approved by Planning Board _----------_______---------__19_______. Area ....................C�......l.,.......... ! Z Diagram of Lot and Building with Dimensions Fee 7 SUBJECT T APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of JTowof Barnstable regarding the above construction. Name ....... ... ...a ..... ................. 7 Construction Supervisor's License .�`..,�`�. . �...... ANTIS, GERALD �o .................25161 Permit for ....................................1�2 S to r y Single Family Dwelling ............................................................................... Lot 33, 34 Cotuit Cove Rd. , Location .............................................I.,.................. Cotui't ..................................... ......................................... Owner ..G...6...ra.....ld.......Ant.........is..................................... Type of Construction .......Frame........................ .. ....... ................................................................................. Plot ............................ Lot ................................ Permit Granted ........................................June 7, 83 19 Date of Inspection .................................1-19 Date Com leted ........t. .......4........ .. .....19 v _ Assessor's map and lot number .... ............. ......z"� / Bp*THE Sewage Permit number � o 33AWSTODLE, i House number ...6......../.��"� s M^Ea ............................................ Apo,1639. 0� �F0 U-4 a� TOWN OF BARN'STABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......L............. r...................R ........ ................... 1.... `J{................................ TYPE OF CONSTRUCTION .. :�- ,,,,, 0 O d �Zi9`�'�1 ................... zY,,...........9..(...-3 TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies...for a permit according to the following information: .T 3 C r �C �� .:5. /1��Location ...... .... .........3. ...................... �..... ...... . ..................................................... Proposed Use ..../...1.�'?.. '.` .`t.....r............h/ f�' --�,•�`C f''�,f................................................................. ZoningDistrict ...... ........�.....................................................Fire District ................. 11..1....v.(...<....................................... Name of Owner .....lT/L?2/ L� // T/. .......Address /�� C� L/a...... k' � .........V.Gf...�'o/t/i� .... .. .. ....... . ................... ..... ............. ✓2" Name of Builder .....1/.�'�' �-G?....... -s Address !............................................................ ,( - Name of Architect Number of RoomsVIL Foundation C—o..�i. 7/ . ........... ............................................ ...... Exterior /k!9:.� �/ / Gfv`.s.....! '".Cr�7i. �" .... ..�... oofing ......../.:! / - .«. ham .....`.�. Floors .. lJ.!n!. .S,s1..../...!. `J.................................Interior .........../ �i�t/..`":.... ............ ................................ Heating ............Plumbing ........... ... ......... ........... :. ................................................ Fireplace ........ ._L�..•'�`�........ .f/.............................................Approximate Cost ............... ...f, ................................� Definitive Plan Approved by Planning Board -----------________________19_______. Area ................... Diagram of Lot and Building with Dimensions Fee ................. 3..1...�.:........... SUBJECT TO APPROVAL OF BOARD OF HEALTH b v6v �3 � I 10 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of VTowof Barnstable regarding the above construction. S.�C �Name � Construction Supervisor's License o`..��`q...173...... 41% ANTIS, GERALD A=5-32 25161 1>2- Story No ................. Permit for ..................................... Sing.j!��..,�AMily Family„Dwelling.,,,,,,,,,..„ .............. ............... ..... ...... Location ...Lot. 3.3.........3.4....Cot.ui.t...C.o.ve. Rd. .. .... .. . . .. . ....... .... .. .. .. .... Cotuit ............................................................................... Owner .....Gerald...Antis .. .... .. .... ..... ....................................... Type of Construction ..................Frame......................... ................................................................................ Plota............................ Lot ................................ Permit Granted .........June. .... .............19 83 Date of Inspection ...................................1.19 Date Completed .......................................19 00 d10 FROM (— TOWN OF BARNSTABLE Mr. Francis l aht�eine BUILDING. DEPARTMENT "a Tam Clerk .• 367 MAIN. STREET HYANNIS,'NNA 0� � • �. k R... ... .. ,R. Phone:. 775-1120 e SUBJECT: FOLD MERE - - DATE May 7, 1984 MESSAGE Work has been c leted under Pe _�rmit 161 �G�rald Antis) '+YT+ i } a:kf♦e'+i } TVap . 25 V'9V 1 •'21 } -J�. • T Ma - Please release Bond. �+B 'fit-R M.�YalT4} SIGNED \ DATE REPLY • i { i SIGNED - N87•RMI ; RECIPIENT:RETAIN WHITE COPY,RETAN PINK-COPY • PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND'PINK COPIES WITH CARBON.INTACT. r r t / INC .,w TOWN OF,BAR,NSTABLE Permit No. ---- -25161 - - Building Inspector t saansr�m . Cash — -- ---- ---- OCCUPANCY PERMIT Bond -------------` '7191( 1 .mot' Issued to Gerald Antis Address lot #33 34 Cotuit Cove Road, Cotuit Wiring Inspector / Inspection date �< I r—iP a ice"'w Plumbing Inspector r Inspection date. Gas Inspector /Jj{ Inspection date . Engineering Department ` . rt Sly Inspection dati) !) J4 Board of Health Inspection date _ -1 THIS PERMIT WILL/NOT.-BE VALID, AND THE-BUILDING SHALL NOT BE OCCUPIED .UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITHI DOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119'0 OF THE MASSACHUSETTS STATE BUILDING CODE. 4 Build�� Inspector Assessor's office(1st Floor): ,. oC•� Pb�f �� o�r�. . Assessor's map and lot numb �oE THE>o` Conservation(4th Floor) 119C ,..,� `�Q_. •w Board of Health(3rd floo [` 9 NLUfisr&ntt S Sewage Permit number i �� y rua Engineering Department(3rd floor):.,` ,` / FJs �:� � �` ,� a ,� °„�oa3o.�`�d° House number `'l 7 •r a - ``> y E BEY Definitive Plan Approved by Planning Board 19 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 U l Ll� d c�/ZtM E'C TYPE OF CONSTRUCTION tO 19 94 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 4 C O l—U (T_ co 6: 2 fl C O?U Proposed Use 5 E W I fl Cr— 7-u b Y Zoning District ^ Fire District L T 3 4 C p 7'L) f 7' GOt,C D e0 v/7'i Name of Owner T f�0�Y�S !2 ECr-B� N Address 7 14 oL T ryb o ill A4 Name of Builder It"Av � Address 8OX �'S� ?16 cIqEk&Y TEE 2C�, Name of Architect Address Number of Rooms 91 Foundation Exterior w &ob 5# 14 6-1-6Roofing 4 S P#A-Lr' /Z°aF Floors e O&P& T Interior S 14E L—T'ka a< Heating °T �' TE 2 Plumbing Fireplace Approximate Cost �i d-Im Area a O Diagram of Lot and Building with Dimensions Fee A4 No S� a C O Tu IT— Go v� 2 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name P ��t Construction Si ipervisor's License �� S REGAN, THOMAS No 36664 Permit For BUILD .DORMER Single Family Dwelling Location 34 Cotuit Cove Road Cotuit Owner" Thomas Regan 4r Type of Construction Wood Frame Plot Lot r Permit Granted May 2 y 18 94 !� 'ti y • Date of Inspection, Frame 3 19 Insulation 19 `v Fireplace 19 Date Completed �� 19 f s AV ` Y i aX 7 c.Q� k .0 O?' JU 32 t � p fdJ' ZZ •,� � "I CERTIFY THAT THE EXISTING FOUNDATION SHOWN ON THIS PLAN IS e 7.:- � .. SHOWN AS IT ACTUALLY EXISTS ON THE GROUND & THAT ITC TOWN ZONING. ,�ZH 0€ 14, JUNE 2, 1983 . U � ra " z • Q N N b O 7-10 C�-. EXIST. EXIST. ¢ O� W rn 00 EXIST. anJ i rn L Q O wro° r� o SCREENED EXIST. -- SINK F. oc v,�>< " .RANGE m REMODELED I I R S a w PORCH DINING NI F RNA I IMUDHALL KITCHEN TO 42-48" y (VERIFY KITCHEN I I - ; YOUT KITCHEN R) IQ Z m IoW � - 1 :ILA REF. Roweewisriiw, jLE S'REMOVE CLOSET I --T- --J I� &WALLS EXIST. EXIST. I I w \\\ PORCH GARAGE DN. ��-�_______ _ _- - -• EXIST. / III- ---'------- CLOS. CLOS. �yy ---------- D EXIST. EX ST. c====rasa I' FxrT.W/lL pom- ppAI� 1 A EXIST. ; LIVING ' Z -0466RNERS o UP ex�T LF� O EXIST. a EXIST. &-a: Te KF.pIAIII BATH 6 DEN II EXIST. II HALL TOP OF PLATE EXIST.FLOOR JOISTS O \ / - NEXT. NEW 2.2 0 x_yx / \ • _ _ HEADER F-�--1 W O Z XE ST.ST. EXIST. SOLID BLOCKING IN FLOOR UNDER NEW FIRST FLOOR POSTS ABOVE SUBFLOOR ^ rT, ►+� - EXIST,FLOOR JOISTS EXIST.GIRT O O PARTIAL FLOOR PLAN N TEXIST.ET AS MEN w LEGEND: �D 0 EXISTING WALLS. TOP OFS 0.6 - CONSTRUCTION TO BE REMOVED NEW CONSTRUCTION co / W NOTES: A BUILDING SECTION NEW-OPENING - L1. SCALE: ' 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS 1/4" = F-0" &DIMENSIONS IN THE FIELD ApDITiO1�AL NoTE� '��y 2.) CONTRACTOR TO VERIFY ALL .Mes ATERIALS, j v� � �30 0g DATE:iga Q DETAILS,&FINISHES IN THE FIELD WITH OWNER THE DESIGNER SHALL BE AOTIFIED IF ANY. 5/8/20007 3.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS ERRORS OR OMISSIONS ARE FOUND ON .THESE DRAWINGS PRIOR TO START OF STATE BUILDING CODE(SEVENTH EDITION) CONSTRUCTION.THE BUILDINGCONTRACTOR WILL BE RESPONSIBLE FOR THE CONTENT 'DRAWING NO.: . IN THESE DRAWINGS IF CONSTRUCTION , COMMENCES WITHOUT NOTIFYING THE DESIGNER OF ANY ERRORS OR OMISSIONS. .. THESE DRAWINGS ARE SOLELY FOR THE USE - '" ON THE PROPERTY NOTED.ANY OTHER USE OF THESE DRAWINGS REQUIRES THE WRITTEN CONSENT OF THE DESIGNER THESE DRAWINGS ARE PROTECTED UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990. C�-s��„ I O �� i� .ma O _ I i • �/POST` (�iPosT. /�� _ ,.._ �-. (. S ✓, / S i -DR 5 L);e//, //, 5/Z c� a� EST'9- ._.. .. - - ...�._ _ 1,.1.'.F 4 ,iy � '`-;t• 4� SI_ €. ��_ __...___� r � r c 111 i'c rJc( Pr ''f IP; "l ;1`• 'i - ff i11._n..1. .��AiIF"' I t% �...� ta...l _. il�i!1 _.. 1: + :�.ili __ r� _. .+. � i'rte.i\ :-C��.._!Vl '.. . , I: ::4r,ar• - r:l�?,•�);.'�. Kitchen O 1 �'a 1 i✓'�.. 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