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TOWN OF BARNSTABLE Permit No. .35020.......
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
YL
,ego• HYANNIS.MASS.02601 Bond ......X
CERTIFICATE OF USE AND OCCUPANCY
Issued to Jerry & Beth Blaze
Address Lot #1, 9 Stoney Pond Circle
Marstons Mills, MA
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.
August..28., ., 19......92........ .. ... .... . ................ �z.............
Building lfnspector
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
IA "- I
m / xk("�C��J-J� L
DATA
ETT LDING 0 �1
'' 4' ARNSTABLE, MASSACHUSETTS BUI
068-01J'. �.,
DATE ♦% 19 '-} PERMIT NO. 34 r,�f/i
APPLICANT ���.L<.; :{•.ilil!`;.•
ADDRESS +-• C'T- C �•.3. C! I t' #009`i`"
IN0.) (STREET), (CONTR'S LICENSE)
PERMIT TO 'j�•L J•" -)Nti 11 L,st) (_I STORY - _ I•.. .tl.i_.. .Lr';Ji• ! ? i UMBER OF
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) "�YW ELLING UNITS
..%i4 1r i i-L - 1 • ' " ' DISTRICT
NING
AT (LOCATION) "' / - j�' '••I - 1 3
(NO.) (STREET)
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 CONSTRUCTIC
TO TYPE USE GROUP _BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
LS(ii:l:
AREA OR i S C r PERMIT
VOLUME " _ESTIMATED COST / f)�I(J FEE $
(CUBIC/SOUARE FEETI
OWNER :L ' :_i.:LI
BUILDING DEPT. :�1 •� � //,.
ADDRESS �.
BY // 1''c�
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWAL)t OR ANY PART THEREOF. EITHER TEMPORARILY C
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE A.
PROVED BY THE JURISDICTION. S EET OR.ALLEY GRADES AS WELD AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINE
FROM THE DEPARTMENT OF PUBLI WORK '°
THE ISSUANCE OF THIS P MIT DOES NOT RELEASE THE APPLICANT FROM THE CONDIT 107
STRI
OF ANY APPLICABLE SUBDIVISION ��IONS. t
MINIMUM OF THREE CALL APP 'OVED PLANS MUST BE RETAINED, ON J68 AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN
ALL CONSTRUCTION WORN: ELECTRICAL, PLUMBING AND
i. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE.,tOF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALLT BE OCCUPIED UNTL `
MEMBERS(READY TO LATH). •'.t..
3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN M E.
OCCUPANCY. �+ r
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2fall A-efAp
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3 HEAIING INSPLCIIU APPROVAI S ENGINEERING DEPAR1MENi
' .So
irks o k
2 OF HEALTH
XHER
_._ SITE PLAN REVIEW APPROVAL
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TOWN OF T,ED AB4 01NN_ OF`,.BAR'NSTABLE=
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Wire Inspector 0 Plumbing
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(s - 'Z J'- �)� SHEET 2 0� 3 •
Assessor's office(1st Floor)-Assessor's mapnq"d lot number106q ,00 QK SEPTIC SYSTEM MIDST ICE Q`oi TNc,o�.
Conservation !1�/-i�^'� -� 5/ :t�1�INSTALLED IN COMPLIANCE v�
Board of Health(3rd floor): WITH TITLE 5
t DAH7fTABLE S
Sewage Permit number 1" l? ENVIRONMENTAL CODE AND ....
Engineering Department(3rd floor): �_ '°�0'
House number TOV�f� REGULATIONS �o arr
' y
Definitive Plan Approved by Planning Board — /3'
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only, p M
TOWN OF BARNSTABLE
BUILD NG NSPEC OR
i APPLICATION FOR PERMIT TO GO 1
TYPE OF CONSTRUCTION
19
i
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according t Ding information.:
j- — / -�5�A/
Location D
Proposed Use
Zoning District f Fire District
Name of Owner �iel? ' LzL Address
Name of Builder 40111dS Address `?�7
Name of Architect d, Address /
Number of Rooms ) Foundation
Exterior L Roofing
Floors Interior
D�l�
� Gt4 ��L �✓"�'1� "�/',
Heating / 14 Plumbing Z Gyf9/f�i� A
Fireplace „C� Approximate Cost &3-
Cdj
Area
Diagram of Lot and Building with Dimensions I �p"a- Fee
A�a?0 /. --- g/S
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of BFisor's
6h bo construction.
N n License
BLAZE, JERRY & BETH
{' No 35020 permit For 11 Story
{,
Single Family Dwelling _
Location Lot I1 , 9 Stoney Pond Circle
Marstons Mills
Owner Jerry & Beth Blaze
Type of Construction Frame
Plot Lot
Permit Granted May 1 , t 9 92
r,/�g--�
Date 9f,lnspeetio � 19 -
Di t' pl�etJ � 19
. c`
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PSI
C r.
}
I D O 11� Town f arnstable Building ng
uRxsrAeva Post This Card So That it is.Visible From the Street,Approved Plans:Must be Retained on Job and this Card Must be Kept
Posted Until Final Inspection Has Been MadePermit
Where a Certificate:of.Occupancy is Required;such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-16-3191 Applicant Name: MID CAPE ROOFING Approvals
Date issued: 10/31/2016 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 04/30/2017 Foundation:
Location: 9 STONEY POND CIRCLE, MARSTONS MILLS Map/Lot: 064-068-001 Vw Zoning District: RF Sheathing:
Owner'on Record: BARNES,STANLEY L&ANN M Contractor Name: BARRY B MERRILL Framing: 1
t
Address: 9 STONEY POND CIR _Contractor License:\CS-054428 2
MARSTONS MILLS, MA 02648 �` Est. Project Cost: $ 13,685.00 Chimney:
11
Description: re-roof stripping old roof- armouth dump p pP• g Y P Permit Fee: $69.79
Insulation:
Project Review Req: re-roof stripping old roof-Yarmouth dump Fee Paid. $69.79
Final:
Date` 10/31/2016
`` Plumbing/Gas
f.
`•, Rough Plumbing:
\Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within"s z months after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved applicati1.on and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road a�d shall be maintained open for,public inspection for the entire duration of the
work until the completion of the same. €
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on thisVermit. Service:
Minimum of Five Call Inspections Required for All Construction Work: .f
1.Foundation or Footing Rough:
2.Sheathing Inspection —�--�
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
Q 16-31 L
�. Town of Barnstable *Permit# ,9/e -
F�Tres 6 months from issue e
' Regulatory Services FeeMMMAB
y� MASS.� Richard V.Scali,Director 46R. ' PERMIT
'FO6MA'��,� .
Building Division 28 2016
Paul Roma,Building Commissioner OCT
200 Main Street,Hyannis,MA 02601 ®W��� �����,av����yL www.town.barnstable.ma.us T
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERWT APPLICATION - RESIDENTIAL ONLY
Map/parcel Number O6/ 40 6 7 00/ Not Valid without Red X--Press Imprint
1 �
Property Address
Residential Value of Work Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address 54.4AI q-- 41-41-J �/f�eyc5 t
Contractor's Name ZVe r`ir/ Telephone Number
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
13/1 am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
mp
Insurance Company Name /G y t,C/,o o—
Workman's Comp.Policy 02-�L. yS—_V
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required.
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
06/20/16
The Coasmomveahh of Massadrusetfs
Dv arhment of r sft'd Acddez
Oirwe of gMians.
600 Waskingion&reet
_ Boston,4 02HI
' �vrvts�mas��ov�ilis
Workers' Campensation Iusm-ance davit:BtilderslCo-ntracturs/ElecfricianslPbmzbers
APPlicant Information Please Print E, 1Iv
Name 4B
a.d&ess.
cityista, Phoneme 3�0 ems-�Og d
Are YOU an employer?:Ch&ktheappropriatebox: T r
am a general con�iactar and I �of Pam']ect C egnired}:
L❑ I am a employes w th ElI g 6- ❑New construction
oyees(full andfor part-lime).* have]siredgm sdb�cont actozs
2.Nzpla sale pmgpzietor or partner- listed on the attached sheet: 7. ❑Remodeligg.
ship and have,no employees These sub-contractors have Il_ ❑Demolition
waiing forme in any capacity. employee's andhave wozkers' 9..❑Build addition
LNo wodmrs'comp.insuzance comp-r^suran'i
required-] 5. ❑ We are a corporation and its M❑Electrical repairs er adddions
3_❑ I am a homeowner doing all work officers have exercised their 1L❑Plumbing repairs or additions
myself o woslaers' right of emen3p6ou per M(ff- 1r2❑Roof s
i ce e�izEd_]T c.M, §1(4h andwe have no _
employees.(Nowo&=' 13_❑Other
comp-insurance required.)
'AnyapplicsatthatchedsboziT1—.st also ffi cat the sechimbgawsbahiniheirvmae ecompensationpe&cpinfotma'aon_
Hameaamess wba submit this aftid2rd i—r-- they Rm dais.-elf vra&sad then hire aatside cant= m]nbSt mhmlt anew aftid eft indicutin sues,
ZCo ' fistcheckthisbaxnffistzftrhedz.addili®alsheetmlwwhigthenameofthesub-cortmcmm and styewhedieror not Ibnseeweshwe
employees.Iftheavh-caatmctomhave emplayw-,eheYmmutpmvidetheb wodma'gyp.pGHU number
I am are etliplaFar ffial is prauidircg ivorlrers'catttpertsrdisrrt ursriraRce f ar xc}s empFnJ�ees Sefory is 17tepo icy and job seta
trcf ormrdian
I
Insurance Company Nam:
Policy 4*-or Self--ins.Lic- 62 g /J.3 bKpiaatiaaDate: 2 e l
Job Sita Address: cj / CitylStatdz2 p: Ax,W, L�,
Attach a-copy of the workers' ensationpolicp declaration page(showing the policy number and expiration date).
Failure to secure coverage as requiredunder Section 25A of MGL m 157 can lead to the imposition of criminal penaHRPC of a
flue up to$000.00 andlor o6i,:yearimprisonraeak as zaeil as civil penalties.in 1he fnzm of a STOP WORK ORDERand a fine
of up-to Moo a day agamst the violator. Be adhdsed'that a copy of this statement xney,be f awarded to the Office of
Investigations of the DIA for insurance coverage verification.
Ida her, r uder tTrs parts andpsrialti+as of Iredktxy thatfha inf brwur€iartprmidtd abmv i;true grid correct
Date_ /
Phone
ik-
6TYcial am 4wiTp Do not avrrte in fills arra,to be cmnP eti d by city artawa affrcial
City or Town: Perndtffiizenseff
Issuing Authority(circle One):
L Board of Health 1 Bwffi mg Department 3.C Ay0rosrn Clerk d.Electrical Inspector S.Pkmbing Inspector
6.Other
Cotafact PetSon: Photo 9:
6
luformation an' d lastructions
h&,;ac3 offs G=�neaat Laws chapter 152 req=es all emplayCrS tO gravide wa&=e=Mp=ation far fbea employees.
Poxsn�tto ibis sty,an earplayee'is deed as¢—ePezy pc�s6n in the scavice of an other ffisisr pay contract of Iabr,
express or applied,oral or wzitrm"
I
oration or Other 1 or two or mom
An employer is d�f'med as"an individual,paiinersh�,assocoation;corp �y� �3`
of the foregoing is aJo�=teaprlse,andinchEmg the legal of a deceased employer,or the
i
receiver or trustee of an individnal,per,association or other legal entity,employing employees- However the
owner of a.dwelling horse having not more ee than thr apartments and who resides therein,or the Occupant of the -
dweMag horse of andher who employs persons to do mainT CC,rt,r,ah-rir�F;on or repair wofic.on such dwelling house
or on the grounds or bm-Irr appurieaa t therein shall not because of such emplaymenf be deemed to be as employer-"
MGL cbzptrr 152,§25C(6)also states that"every stafn or local licensing agency shz withhold the issrtiance or
renewal of a license or permit to operate a bUSkMs or to construct bwldh gs in the commonwealth for any
applicautwho has not produced acceptable evidence of crimpfianm with the i„surance coverage required."
Additionally,MGL chapter M, §25CM states-Teehmthe nor jay off political sobriivi_.- shall
enter into any contract for the perfoa aam ofpnblic wutic until acceptable evidence of compliance with file msmrm3=._
reTnrrmeits of this d pter have been presented to the confract>ag anfhozity.-"
App4can-S
Please fill oizt the wor30as'compensation affidavit completes n by rig the b=m that apply to your sitnaton and,if
necessary,supply sob-contracfur(s)name(s). address(es)and phone number(s) along with their cer t ficatC(s) of
insurance. L=itDd Liability Compm es(LLC)or Limited LiabliblyPattoeabigs(LI.P)wi$ino employees otherfhanthe
members or partners,are not requimd to cany wnike& compensation insa mce If an LLC or LLP does have
employees,a.policy is regoiiecl. Be advised that this aifidaykmaybe mbmitted to the Department of Industrial
Accidents for comEmnaiion of fit= nee coverage: Also be sure to sign and(late the afudavit. The affidavit should
be rut=(-,d to the city or town that the application for the permit or license is being requested,not the Department of
Industrial A=deni�. Should you have any questions regarEEng the law or ifyou pis regaired to obtam a workers'
compensation policy,please call the Department at the number hsted below: Self-IIrsm-ed'compaaies should ear their
self insm-an=license number on the line.
City or Town Officcials
Please be sore that the affidavit is complete and printed legibly. The Depa tneothas provided a space at the botfnm
of the affidavit for you to fJl out in.the event the Office of InvestigatiOM has to coact yo>z iegm-aag&0 applicant-
Please be sure to fill in the pem/a icm=number which w;Il be used as a reference namben In-addition,an applicant
that must submit multiple penntlliceuse apphtatms m any given year,need only submit one affidavit indicating eo Mt
policy info=ation Cif necessary)and under`lob Site Address"the applir.�shoTld write"aU locations in (may or-
t town)--A copy of the-affidavit that has been.officiaIly stamped or ma3eed by the city or town may be provided to the '
applicant as pofth roat a valid affidavit is on file for Btse permits or licenses A new affidavit must be fIled Dirt each
year.Where a home owner or citizen is obtaining a license or p=nk not r@zfrd to any bn rin=or commercial venue
(Le. a dog licevsa or pmmit to bum leaves eta.)said person is NOT requi Ced tl) complete this affidavit
The Of of Inves-tigatims would hIm to thank you in advance for your cooperation and should you have:any questions,
please do not hesitate to give us a eaIL
The Departmenfs mess,telephone and faz number:
COMMMVMM of MassachuseM .
DeparEaw±of Accidents
(QCe of XnVedkktio=
-
D MA 0�11F
Ted.*617' -4 met 4€16 or 14M MASSAFE
Fax#617'27 7M
Revised 424-07 p m? gt
a
9' Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License: CS-064428
Construction Supervisor
BARRY B MERRILL
312 SKUNNKETT RD,• _
CENTERVILLE MA 026:i2t,
Expiration:
"M 0612112018
ram` ervis or Commissioner
Construction Sup
?Restricted to: s of any use group Which contain
Unrestricted-Building
less than 35,000 cubic feet(991 cubic meters)of •
-enclosed space.
Failure,to;possess a current edition
for rev on f this 1 cense.
State Building Code is causeMASS.00VIDPS .
DPS Licensing information visit:W1NW ;
�e �Paonirraancuea�a���aac/ccaeEta _ .- -
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
;Type: Partnership before the expiration date. If found return to:
s H'egistration Expiration Office of Consumer Affairs and Business Regulation
10 Park Plaza-Suite 5170
58 11/09/2018
`� Boston,MA 02116
Mid Cape Roo fing—'• 1•
Barry Merrill
11 Russo RdWest Yarmouth,11i(A�02f;73"
Undersecretary N t valid without signature _
/r
i
MID CAPE ROOFING
11 RUSSO ROAD
WEST YARMOUTH, MA 02673
508-775-3799/508-385-8801
Barry Merrill & Paul Merrill
Job Site Address Mailing Address
Name: Name: S-k, - Anh 3ar,,-es:
Street: Street: 8� � 1�►r Zx (GZ .
City: /�7��S �u /►i1�I5 City: PJ&I [e�,
Telephone: �S _'tad Telephone: 33g
y
We hereby propose to furnish all the materials and all the labor necessary for the completion of:
roof replacement of the dwelling at the above address. Mid Cape Roofing proposed to remove
and dispose of the existing roof. The roof will be replaced with CertainTeed Landmark shingles.
Aluminum drip edge will be installed along the gutter line. Ice&Water.Shield installed on bottom
edges to protect ice back-up. 15 pound felt paper will also be applied. The shingles will be
installed using 1% inch roofing nails. New pipe vent collars will be installed. Ridge vent will be
installed along the ridgeline of the roof to provide proper venting of the attic space.
Mid Cape Roofing guarantees the workmanship. for a period of 10 years. All walls and
landscaping will be protected from damage;the property will be raked and cleaned of all debris.
All material is guaranteed to be as specified and the above work is to be performed in accordance
with specifications submitted for above work and completed in a substantial workmanlike
manner for the sum of: 36 . .00-All discounts have been applied.
Payment made as follows:
Deposit of: ' OO the day job is started and remainder paid on completion.
Any alteration or deviation from the above specifications involving extra costs will become an
additional charge over and above the estimate and will be discussed with the homeowner.
Respectively Submitted by Mid Cape Roofing
NOTE: This proposal may be withdrawn by Mid Cape Roofing if not accepted within 30 days.
Acceptance of Proposal
The above prices, specifications and conditions are satisfactory and are hereby accepted. Mid
'Cape Roofing is hereby authorized to perform work as specified with payments made as
outlined above.
Accepted:
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