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HomeMy WebLinkAbout0025 WATERFORD DRIVE der o'rcf ID "'�' ►.� Town of Barnstable Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Shed MIRNSTABLIL D7A� Posted Until Final Inspection Has Been Made. °39 Registration ru+ Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. b Registration Number: B-20-2322 Applicant Name: virginia guimond Approvals Date Issued: 09/08/2020 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 03/08/2021 Foundation: Location: 25 WATERFORD DRIVE, MARSTONS MILLS Map/Lot: 056-002-XO3 Zoning District: RF Sheathing: Owner on Record: GUIMOND,STEPHEN J&VIRGINIA E Contractor Name: REEDS FERRY SMALL BUILDINGS Framing: 1 Address: 25 WATERFORD DRIVE IN 2 MARSTONS MILLS, MA 02648 Contractor License: 119903 Chimney: Description: Reeds Ferry Shed. Est. Project Cost: $8,387.00 Permit Fee: Insulation: $35.00 Project Review Req: 8 x 12 Shed / Fee Paid: $35.00 Final: Dater 9/8/2020 Plumbing/Gas Rough Plumbing: X. Final Plumbing: Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and thelapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures M shall be in compliance with the local zoningt by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open fogy public inspection for the entire duration of the work until the completion of the same. l Electrical Service: 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: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4:Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Per s contrac with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department let— Final: Building plans are to be available on site �lop, � All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �j Town of Barnstable 'Permit# Expires 6 months from issue date Regulatory Services Fee n 039. Richard V.Scali,Interim Directo"r� Building Division - J�i��l� Tom Perry,CBO,Building Commissiond4--, 200 Main Street,Hyannis,TAN 601 r 12 20j6 www.town.bamstable.ma.us��� � Office: 508-862-4038 AHIVSRc-508-790-6230 EXPRESS PERNIIT APPLICATION - RESIDENTIAL Y Not Valid without Red X-Press Imprint Map/parcel Number 0S-(Q 00 L X 0 3 �f /✓� Property'Address o2S� W�Pr--Cord l�f; ie / /Q/'S o✓1 t 1! II S E Residential Value of Work S .y�.0 0(o _ Minimum fee of S35.00 for work under$6000.00 Owner's Name&Address it i A. (; ; rn 0-0�� � S"��o Ann s d C, (Y9 ; l 0 z� B,wR,v Contractor's Name o t w54Ayw ISOtj / Telephone Number 401-27-r-foft Home Improvement Contractor License#(if applicable) 1732- Email: Construction Supervisor's License#(if applicable) O FT70 7 AWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner .1 have Worker's Compensation Insurance Insurance Company Name a0/JA1,f llV 5 . (.fin PALJ 7 Workman's Comp.Policy 9,Z 903 RiS of 1 y Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-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) r ❑ Re-side ['Replacement Windows/doors/sliders.U-Value aximum.35)#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: Lssuance 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:IWPFILESWORMS\building permit fbrms\EXPRESS.doc Revised 0613 U i l neural Agreement Document and Payment Terms (gAftde n - - dba CZatrewa!9y An+ders ett-aF3uuthrm New Wadi WrIlyda Galmand and 3taptum (NO Name:),oUftfn Mew bhalWd Wrra'1m uC �5�tiaie�fatd b�i�� All #36atf 9i MA173`IdS, T 006345:-5 dead Ftrmi 41:237 Ml11k,MMS M-18 F�i�ww is�sEsil;:Fr M Albol Rd I lPOMi.f;02869 Y7n �+ .t 19CW,8&14G4 Ph 66?6 �r ilFa ;n0i:6� 66 I taltsaranexalinecaiid �C�► Q' ��'0Ft08420 Cu4tufaetl.O Na tle, VlrgLMa GuIlMond atnd stOphan CAMC `d.Ct 1 ite, 0412.'7/116 Omicin r(V),5er.-ect Add mi- 2.5 Waterford', blr yee, MarStO n hi lly,, (MASS 0264 1kvillubet: 500428.1444 (77 A3ay` Q � a,i�, � 41350 7 1'inuryP j liA it 1. :afilmC:rktl�a 4;PPI aSt'.�f0t - t►t �l�� si�a�iil, tey fps) f9e%by y',�I�>,rJy ri irrfl scv�WC,Y braes to pt fclias.the l�r�da.���iidJ�►t�et+ri f s of�;�,tl.tlif4ctt New E.tigloutal VE in�fg7vai �C d/a �iVEIC+"d8l j�.1�IA�Lte IA and mtli.rrt New ai ltrdi" �ettr�z +?',�,Big mk:�rkl.filLk'saI1�1 4jirC 44'df5k9 albd COlk L4t6fAS d verlbod.1n 4I611 Aponiiieni: I ui 1lW1,01ir Ofid I�J#ui t rerun¢, fw OOM��f�ca-0arl�t i►ii, IEaligr.'4gd�9�t1•a B.CC4iijity I.SdiMis n�fii�Cnuiddiq?j��m5 ri��UlgS.�fi�5 Cd16t sti�fl9t�+;Adj�iiim tS PI.- lab&k 1-birrt(Cl`&MA1 ltfiportom Prtjoa li trrroaariblii And ofey Oflive jocumot accmmird to chUt AgNern—wit Dttcumviei tbC' tetv6k ur V.Yhkli rare A o8teed tb t the i►i�ks Alid Intorpmatied➢herei lA by evAeruriaz(d`_otlmlaely, tlhi d ' feef wnt. )� gikye.40 13d�y h8r-ees to Idgli:h Cam'PLOtNt d'c*fti.�srate a t r Contn'apl)r 1ha5�'emit k4od:ill 14k;dttAder thlb tigmvownt. I'dial job Amount: $41,06 OY 3Ipigfig ill la.`pooffig-11.q,y4,f�d-ckwY4 9y thf, FIry4�'�I�""obelce Ow,aad Av AAnniott e �I fiance.1 fivot.130 WC,by Orson ll elkuk bulk the dlt;�1�d0,{5P Gd9h= l03 llalaatec Due: 5�,0,505 f��r4tihatf�l�taet; &�ttfttzi;cl!�d><it plctia►n; AIiDbuiit l:i€fa�Atkd: 1d- $ 0-1 ��i,006 idCecliui!a P:tyls 011P Anaftdhg We sdird 6 hllm dkuloas 6-sed fj,ii die d;xtc of die i4*d ooftafict.am aawl..&dly oil Not& the due Im whleh vve coll,lIeEa the ke-ChM oil ieie ii9far�fietitd, '111&hinalladvi dla�te that f 'fIn $20503 d p i)t �a�pry"iding a� thii,tfllttT b drdtly[all,esti it ti 1�will a onim micare An offs 1A djac 001100 a 12003 ajcid kh te.ae,a Wet dmc ltalei:arid.�xwitlit WeaElt4a ue the ti5�dst€airli illon ehlakg rcer tax gamstabi-a'DaYwO)naves and:undlwscamub that rli6 Ayminvircomthums cite ei-dMI beoveem tht pntr1t,4 Mal drat than my:fif3 b*lid filid49P oiridll OlkAnglif far'16Uf1dI.I�YIAI C +a+''t9}�0(dw 1.4 rom opting l�gpeaiYent. Ili:tlIMEbow to pir devitiAbing how tl1�l+ .I�81WOW11C 6011 k tFilld 011r tk,o 11ga vd,ivfi rr�ti d�f 14do t of both the}wygg ,Il).ail C�y+tiRr4la tor. Njyq+rlsl h- }f(WAWIMwlr�Aw �ihy�r(s) li) lm Fr fig rk v 0 Agruntent utde ds�the tarms(if tlifis A invit,alai[1 a f�s comiplavd,s�;ted, a,rld fist l cf o F lips trtctitp liicltitll lA the ridatt.4c6d Notloo of on d w chit-fiast%wiEttiA.al)r ve and.�1 Wfig ot<illy 9tiC€rwell Lira",' -Nou i-iatlM ti6la N'O'IC TO OWNER: IN)liar-Snit eh)tci nt"fact Whin t�m are cli idedl cel a Oapy afthe dolitriet'm the tube yitldr 'p. YOU,TIME OF BUY tk-T:F�-RTHAA, MIDNIGHT� o. r� rt OttTH HIRD'RV$IM -- DAY AFrE THA DATA.OP•1•�-[I,� ANSACT]ON, WktlCHEIVER,D11'M LS F. T9111.SU'CHE T—LI°11CHE NOTICE OF CANCELLMON F{ RIM Mk AN WIANMON Of THIS �aY�tf� i.S�3ralen tY1:�i6tfait,liR�ilairs," taa�dtGi) dbl:Rem-A, (W All Mult d, allvin l& Willd �I(�IA*�t41i;W Gil�7�.ry Ilps� ti �I(;IA�talNra �Ir{Ittlt6fE'dv J' James 6Magep lllrglnla Cplrn rid Stephan F'ral s;i aari.e:la��tlr ['ecs�ri€1 litilis laarle, hint N11,111e Qaa3 Y!'i 6 - �P�iii�" 4, Southern New England Windows d.b.a Renewal by Andersen of SN E Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor } License: CS4XIIIS T BRL►N D DgNNIISbN 7 LAMBS POND O- R - Charliton MA 81597 .r P%t:.-�lf�Jc• 11 "`�' Expiration Commissioner 09i'WA 16 Office of Consumer Affairs d Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WtKDOWS LL E-Vrittbn: 8/1812018 DENNISON BRIAN 26 ALBION RD --�— LINCOLN,RI 02865 Update Address and return card.Mark reason for change. Su t O asuasm Address C Renewal I]Employowat ❑Iau Cud *_ EE et of Comem ttu er A &Basioess Ret"UtiOa License or registration valid anfor individol on only OrPROVEMENTCONTRACTOR before the expiration date.Iffod return to: office of Consomer Affairs and Basins Rnolation n: 173245 TYPE• 10 Park Plan-Suite 5170 ExpIrsdon: smga016 /Suppiemerd-ard Boston,MA 02116 SOUTHERN NEW ENGLAND WINDOWS LLd RENEWAL BYANDERSON DENNISON BRIAN ' 25 AL BION RD LINCOL.N.RI 02865 U.eesa etar. Not valid witboot signature I'h a Commonwealth of Massach usetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 1.� Boston, MA 02114-2017 ; V www mnass.e ovIdia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le i;ibly Name (Business/Organization/Individual): SOUTHERN NEW ENGLAND WINDOWS Address:26 Albion Rd City/State/Zip:Lincoln, RI 02865 Phone#:401-228-9800 Are you an employer? Check the appropriate box: Type of project(required): 1.FRI I afrt a employer with 20+ 4. ❑ 1 am a general contractor and I 6. ❑New construction employees (full and/or part-time).*_. have hired the sub-contractors 2.❑ I am a sole proprietor or partner- 7. Remodeling listed on the attached sheet. ❑ ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9 Building addition • • [No workers comp. ins comp.insurance urance.* 10_ Electrical repairs or additions required.] 5. We are aZorporation and its 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 renai- c. 152, §l(4),and we have no insurance required.] f q ] employees. [No workers' 13.0 Other kli/1�0 comp. insurance required.] I I /a C Any applicant that checks box 91 must also fill out the section below showing their��arkers'compensation policy information. r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such- tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees;they must provide their workers`comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:ARGONAUT INS. CO. Policy#or Self-ins. Lic. #:WC 928058352394 Expiration Date:8121/2016 Job Site Address: - ,25r Water City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A,efW[GL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil_penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a-copy of this statement may be forwarded to the Office of Investigations of the DIA fbA insurance coverage verification. I do hereby certify under th ains and penalties ofperjury that the information provided above is true and correct. r Signature. Date: Phone#: 4012289800 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#: r SOUTNEW-01 SHETTYSHT DATE(MMIDDNYYY) ACORN CERTIFICATE OF LIABILITY INSURANCE 811912015 ONFIS THIS CERTIFICATE IS ISSUED AS A MATTER LY ION ONLY AND OR A TER THE COVERAGE AFFORDED BY THES NO RIGHTS UPON THE CERTIFICATE POLICIES POUGIES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGAT NE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHOR REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. must tatement on this certificate does not confer rights to the be endorsed. If SUBROGATION IS WAIVED,subject to IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policAies) the terms and conditions of the policy,certain policies may require an endorsement A s certificate holder in lieu of such endorsement(s). Co ACT Willis Certificate Center PRODUCER NAME. (8$$)467-2378 PHONE Ext:(877) 45 9 -7378 Willis of New Jersey,Inc. Alt No c/o 26 Century Blvo E-MAIL � {Cates@willis.com ADDRESS: NAIC A P.O.Box 305191 INSURER(S)AFFORDING COVERAGE Nashville,TN 37230-5191 INSURER A:Selective Insurance Company of Southeast 21970 INSURED INSURER B:OneBeacon insurance Company `1970 19501 Southern New England Windows LLC IHsuRER c-.Argonaut Insurance Company DBIA Renewal by Andersen INSURER D: i 26 Albion Road INSURER E it• Lincoln,RI 02865 INSURER F: REVISION NUMBER: IOD COVERAGES CERTIFICATE NUMBER: INSURED ED ABovE FOR THE POLICY CH THIS THIS IS TO CERTIFY HTHA N THE DING POLICIES REQUIF INSURANCE REMENT,REMEM TERMLISTED BELOW RAVE BEEN CO CONDITION OF ANY CO UNTRACTT ORED TO EOTHER DOCUMENT WfU RESPECT ALL TH TERMS, INDICATED. NOTVIIT BY THE POLICIES CERT►FlCATE AMAY BE ISSUED OR ND CONDITIONS OF SUCH POLO EISN, THE INSURANCE.L MffS SHOWN MAY HAVE AFFORDED EEN REDUCED BY PAID CLAIMS.DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS POLICY EFF PDT LIMITS 1�7RR TYPE OF INSURANCE INS WVD POLICY NUMBER MMMD 11000,000 EACH OCCURRENCE Is A X COMMERCIAL GENERAL LIABILITY Lv S 100,000 X S 2029459 0811012015 08/1012016 PREMISES Ea occurrence CLAIMS-MADE OCCUR MED EXP(Any one person) S PERSONAL'&qOV INJURY S 1,000,0003,000,000 GENERAL AGGREGATE S 3,000,000 GEN'L AGGREGATE LIMIT APPLIESPER: PRODUCTS-COMP/OP AGG $ POLICY Fil JECTPRO- X LOC S OMBBaIWdt DSINGIJ=LIMIT Is 1,000,000 OTHER. AUTOMOBILE LIABILITY 0811012015 0811012016 BODILY INJURY(Per person) is A X ANY AUTO $ 2029459 BODILY IWURY(PeralxJdent) S ALL OWNED SCHEDULED PROPERTY DAMAGE is AUTOS AUTOS Per accident NO WNED X HIRED AUTOS X AUTOS S 5,000,00 EACH OCCURRENCE $ 5,000,000 X UMBRELLA LIAB X OCCUR 08/1012015 0811012016 AGGREGATE I S A EXCESS LIAB CLAIMS-MADE S 2029459 S DED RETENTION$ OTH- I X PER ER WORKERS COMPENSATION 1,000,00 AND EMPLOYERS LIABILITY 0000068028 0812112015 0812112016 E.L.EACH ACCIDENT 5 1,000,000 B ANY PROPRIETORIPARTNERIFXECUTIVE Y� NIA E-L DISEASE-EA EMPLO $ OFFICEWMEMBER EXCLUDED? 1,000,00 (Mandatory in NH) EL DISEASE-POLICY LIMIT S If yes,describe under' DESCR1PT70NOFOPERATIONSbelow C928058352394 08121/2015 08121/2016 See Attached C orkers Compensation attached if more space is required) DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIECE S BE CANCL BE DELENEREDORIN THE EXPIRATION DATE THEREOF, t1� ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE All ri hts reserved. Evidence of Insurance ©1988-2014 ACORD CORPORATION 9 ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD r Map Parcel A - X&-3 '-Permit#Ar � House#i Date Issued - Board of Htalth(3rd floor)(8:15 - 9:30/1:00--+3> Conservation Office(4th floor)(8:30-9:30/1:00-2:00) / ' Planning Dept. (1st floor/School Admin. BId SEPT-1C SY qS�' E INSTALLED Definitive Plan Approv ng Board 19 `I ANCE IT ENVIRONMIE E AN® OWN OF BARNSTABLE TOWN REG IONS Building Permit Application Project Street A res-sM Village Owner Address Telephone y 21� i q(I iq Permit Request ln�- vy gi-�-t ) C - V4--- ' First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Co . 0 ao Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing_ New (Lr Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air (]Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: Vxool(size) f& X ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number Address ,n License# 6&Z 01 S� Z-Sc�CT` V�/t lam- Home Improvement Contractor# S� orker's Compensation# t.0 CZ, ( 36—7(-:�-OcI 4 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 f DATE BUILDING PERMIT DENIE OR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. - "^ DATE ISSUED - MAP/PARCEL NO. ADDRESS VILLAGE OWNER '.� DATE OF INSPECTION: FOUNDATION j FRAME INSULATION FIREPLACE - - ELECTRICAL: ' ROUGH FINAL d PLUMBING: .- CUR&Gg--�� FINAL GAS: :t-OUGt0 ' FINAL _ � rn J%TAL BUILDING- TE CLOSED OUT 'ASOCIATION PLAN NO. �' " r`+i The Commonwealth of Massachusetts 1 Department of Industrial Accidents Office offose50atioos 600 Washington Street -- Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: �� location: city V ' l " 'A�\--, yu var— phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole pr rietor and have no one world in anv capacity [� I am an employer providing workers'. compensation for my employee.._working on this job. com a ny name..: .....:::... : c :. address.. .� , �► : .. phone#.ctty: CAN insurance co.. olicv �7 ... ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: -............ , comoanv name: address. tv <: tihone# ca,,:` insurance ::::>::::::;:.:;::>:::::>:.::;:...;::::::::::.....;:.::.:.;::..... ...:.::... i imbanv s arise:''````'isi i ...... ';: ?`zi?i `is i%`<i i ?i2?.as{is 3''i i% ...................... i'i i i ii;iyi i: .. address. .. ,:...: ..: . . ...:. .... .>::::::;:;:: ::. ne ct ......:.::.:.......::..:.;:;..:;:.;::.:<:.;::.;::.;.<: i% "d✓Cy<` '%' < 2' s 3 >`ss > y.`:y. . '<2 2>'�� s; £>:; s�?<'?s >? ??% 001 CV#.' `:[si'i a<'; �<a s2 f >! ? ? `insnrarice c Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct �( Signature —` �`' Date Print name �— C�/�-vz1 �� " Phone official use only do not write.in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office (]Health Department contact person: phone#; ❑Other (revised 9/95 PIA) C Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you,to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be retired fo the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: , The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesugallons 600 Washington Street - Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 The Town of Barnstable 9� 1Q�. `0�' Department of Health Safety and Environmental Services '°rFor " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. i Date 1 a `-Z:Z 6 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 othe(r�requirements. Type of Work: Est. Cost �. •y 00 r Address of Work: Owner's Name J� v�t� yy c, Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. 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: VWkVA— Date Contractor Name Registration No. OR Date Owner's Name • i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: �. Owner: Date of Inspection: 5 c7 7 T KETCH OF SEWAGE DISPOSAL SYSTEM: ' t include ties to at least two permanent references landmarks or benchmarks } locate all wells within 100' ,i R 35 4 . . DEPTH TO GROUNDWATER' Depth to groundwatec�_fe�t .. method of determination or.apprcuci lion: (revised 8/10s, J CCU t Yri , ::/�/I�'��' .:>:. :..: :. ;.: .... `.;..•r� ':>: ;: •:::::: :: ...::.:::. ;;.: .; .: : : .... ;:::::. :. .. :. :. .. ..::::;::.;;:.;:.;>;»:.>::.>:::.>:::;.:::.::.;:.:.:.:.:.:;.; DATE(MMIDD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Fredericks and Oera►dl HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Insurance Agency Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1313 Belmont Street COMPANIES AFFORDING COVERAGE Brockton MA 02401 COMPANY A CNA INSURANCE COMPANIES INSURED COMPANY ANCHOR DESIGN & POOL, INC. B 143 Upper County Road COMPANY Dennisport MA 026390000 C COMPANY D ...... :.:::::::::::::::::::•:::::::::: :::: :::.. :::::::::::::: 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. 00 L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS (MM/DD/YY) DATE (MM/DD/YY) A GENERAL LIABILITY C130715576 04/09/98 04/09/99 GENERAL AGGREGATE i 1,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGO i 1,000,000 CLAIMS MADE a OCCUR PERSONAL&ADV INJURY i 1,000,000 OWNER'S 6 CONTRACTORS PROT EACH OCCURRENCE i 1,000,000 FIRE DAMAGE(Any one fire) i 50,000 MED EXP(Any oneperson) S 5,000 A AUTOMOBILE LIABILITY 3279516 04/09/98 04/09/99 ANY AUTO COMBINED SINGLE LIMIT i 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) i X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) i PROPERTY DAMAGE i GARAGE LIABILITY AUTO ONLY-EA ACCIDENT i ANY AUTO OTHER THAN AUTO ONLY: S S A EXCESS LIABILITY C1 30718106 04/09/98 04/09/99 EACH OCCURRENCE i 1,000,000 x UMBRELLA FORM AGGREGATE i OTHER THAN UMBRELLA FORM i WORKERS COMPENSATION AND WC STATU- OTH !:?E EMPLOYERS'LIABILITYFR A WCC130718090 04/09/98 04/09/99 EL EACH ACCIDENT i 100,000 THE PROPRIETOR/ INCL PARTNERSrEXECUTIVE EL DISEASE-POLICY LIMIT i 500,000 OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE i 100,000 OTHER DESCRIPTION OF OPERATIONSA-OCATIONSNEHICLESSPECIAL ITEMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town o/ Barnstable EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Town Hall 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Hyannis MA 02601 BUT FAILURE TO MAI k{ ICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KI UPON THj COMP .ITS AGENTS OR REPRES TATIVES. AUTHORIZED REPRE A J ............................................................................................................... me ................................. ::: . �a..:::.... ................. i Restricted To: 00 99667 ' 00 - None IA - Hasonry only 1G - 1 & 2 Family Ho®es Failure to possess -a current edition of the i Massachusetts State Building Code is cause for revocation of this license. i I vies • T(i 1009/PA[U/!!UL'lIK� [��,.I([[JJptI[IJP.�IJ DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nuobero ' Expires: Restricted To 00 `. I HARK J COLEMAN 2 BAP,F,LEY MAY N HARWICH, HA 02645 HOME IMPROVEMENT CONTRACTOR. :.. Registration 118507 Type - INDIVIDUAL Expiration 03/28/99 MARK J COLEMAN MT�,� J. COLEMAN ° `�ARKLEY HAYC i ADMINISTRATOR NO.HARYICH MA 02645 I !A iw•f A C OR D >L .:xt''x• f:x:y„•axx 1:'.... g' ; :4 p116 . a«e x:•tEK �x xxx< ATE MMIDDNY F:on.myn::n.;..,..;s................rim, v ...,..,. .,.,.....................e<.°wex«. 0...x•xni^�x.x ,r} x m '+'c,�"'.`3,e;w:'A. ,xFA`„>{ p .. ..:.. :"_ .�,.. .;I a,x k>a� .. ><w�w � ,dn.�. ., � � •:� �;�>� •Icx PRODUCER 508-790-1030 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MCSHEA INSURANCE AGENCY,INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 320 WEST MAIN STREET HYANNIS,MA 02601 COMPANIES AFFORDING COVERAGE COMPANY A NATIONAL GRANGE MUTUAL INSURED COMPANY M J COLEMAN&SON g LEGION INSURANCE COMPANY 2 BARKLEY WAY N HARWICH, MA 02645 COMPANY C COMPANY Q� D ..,.,....:.<w.. .�.. .t.:.:wgr•xFi. ..i.,,.,...:::x:p'•:;.:,;(:.ir.4.<q,E;w . 'mv.w.vnr., ?.•5......s.Y�d.i...2e2.o .,.x�;x: ui�2::::: .r.x,.x:<..:..�:..:: xafRittl:.•.??(?$2:,.... uo��s"'�"+���kR a ,«ex.;e�:'•:i�S:•. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I$$UED 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 B Y 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MMIOONY) DATE(MMIDD(YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE A MPJ12506 S 2,000,000 X COMMERCIAL GE14ERAL LIABILITY 8/28/98 8/29/99 j I CLAIMS MADE I x I OCCUR PRODUCTS-COMPIOP AGG S 2,000 000 PERSONAL 6 ADV INJURY S 1 ����00 OWNER'S d CONTRACTOR'S PROT EACH OCCURRENCE 9 1 0,000 FIRE DAMAOE (Anyone lire) S 500,000 MED EXP (Anyone person) f 10.000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE I IMII S ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY•EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE. S EXCESS LIABILITY EACH OCCURRENCE _ UMBRELLA FORM AGGREGATE L OTHER THAN IIMRRFI I A FORM S wC srATU oT.. B WORKER'S COMPENSATION AND WC3 0285314 3/13/98 3113199 X TOIeY llMllTs ER EMPLOYERS'LIABILITY EL EACH ACCIDENT f 100,000 THE PROPRIETOR! INCL EL DISEASE•POLICY LIMB S PARTNtItSfEXECUTIVE 500 000 OFFICERS ARE x ECCL EL DISEASE•EA EMPLOYEE S 100,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEMICLESISPECIAL ITEMS .. ...:..:::........,.,.,.....,....:,:....,.:,:..;..:;.x.,::.>:>:::»::.::.:;•>.:e:trs::x,:.�corkq:.:i:k�it•::s:aa:�k:xi.:<. ::.. ..x.,,<. S:f'l.F4F:b:F:fhn::k•F:.ab %kekwH .•wraa>, '.Ok:F S:iFk �Olii�:�i:%T:<.Fyv.'<::iF:<.j�j;:y;i:�• ., �'.. �../•.���`�,...:;.:;..,;>ey,:;ey.;.•;cx.>y,:• ro:o:arwe,v 'r,.i,L•o>:e. ;. RTIFIQA[E, k...caskbnk>i:aziemr:wex _ _ MMM.Sn!l::x...<...,...,...,..< '1i` .,....:.....::...........:.:.... :•.:::: •:.�:e 'd2Ya'CSb:LAb�s.3.ef»:afw:eyto»:dr»>eoo>:exe:oaax«o»ae �ry)�p;��'�RC�• /�•�{���{:c'•:a"'• '5• v :ek:�•Yo• ..aA.3:7`S` ��A+i.' 0:.�.E'i�dc:J.:c:�yi.w. � SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE V ANCHOR POOLS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 143 UPPER COUNTY ROAD 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, DENNISPORT, MA 02639 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTM0 ED REP JENTATIVE ,;iiicp,.�i�` .,I�:4{�;\.r,+ca£�Ci::`:o::. :•:>• 2 3 t;:A'i+'r.' x J 'RC1fCL7 :1:;.;:.:;Ft:i;i:.l�f:.:;a?A?13 �,.•...•..��...,,'. ••tt��,,• x$ ..,.:dam :,? , iArs.il��'ait~c¢e?iES:a ,''(`RSX:ppf. \$',sx:ik i•xi:sA:if,;xA�?M`t.t.n.;vi�v::xk:iR:e:.rarn..•..,....:: ........ ..1��..,.:..;.:.. ..;.:c'>.: o°>..La.>..IL.Cs•?t•..:,.. 1 gdoAy x;.1�Si . :i?,i ok.,Kyya.:.•r�; .Y};f:.Cf ,•:Q'.Q :�;ye;,.<:<,v.,•.,:Q:`,a r.,.a� :4::6!iy' :4; o:: �. ,�{��.i � � "t �•i, �FFJ ����}7} i, �} � '71.;.`L f{('v,��{�'r.�A'lF��l t. �t4 Y F��Yr•1'� 1 '�IS, FAl Fr .�,� �= 4 13!QS^.i:�!� �}•nU����t .�1'�(' '��I H°J� oil t n . ' t�'.j T;. e.l, :D. " D. '� ` III +� ,-J r ".1 s;y y 4 1 i 15l ` F, .FND 'Ibi �!¢"t�" F .."'4C1•,,}� }1vf�'s '},} V : t r 1, '• ` I, }�1�� 11y ti(i♦,y {� ✓S i. ���t{�1t (je �,4 � . •"r�l I ;1 +�t jl )1}'p tt'7'yl(�/li��fy';�. J iA(Fn 'i 7 L3 '.11 y4 4 i ,�l' 'I I'•u.'' 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OT.3 ;•Is'r;� iy, ,i x q r II wf 1 ii,t1 �� ,14 Ai,4u ff I IT ," r�ll�l�tjl }k,• I,=ffl `F t 9 !{mot �t.it ti{ �:`�i �tY! it j(� , r �y�•kF 4+ �i { r t i�t�+i LOT 2 I ti y} xi'I. ., 7 iF�'�,, �lal �t'�r�" _{ `,IY• �} I �+� 147.✓tJ}1 ���,�y��l�t�l�1r�,Rr'� �7Ji `L� 3 1� 'r ONY �J ft��� It 'r• �' �' pr t 1 ^tr t J t I+ �'D ./ IT� I,t,y 1 k ,}/[r;F� 1 ►[.O ly yY ry.tS �i t` � ���1 f'j�'i '��.• +t �.li a n {It rfi.✓ a t til+ r FI`n�IT { f, t\ lYGJS• , �� i �`Irrr t 35 49 yy 156 8 }f +,� I 14,- { �'II I Y� f •t t i .J:1 l li "1!iK7.l,n t,r, {1t51f.•'{'�}' Iu !:'{<�Yi,6 'f:j?:.i 1�. �N This„ Piano li" J ' r " ' IIE F I:1.INv • ,.;:f�. �..hy,a,? .. ,.,,p MORTGAGE INSPECTION�� , ;i}9 'f:'p✓���� t,� t 1 FLOOD.,;ZONE y� II rt,. 4"u ,.,;t 1,. .,t ,tl�. ', REGISTRY- OWNER:..T oy,W.S j ' .,J ,i0�Q1 .�4 : „t REF`_CZF-.. J02 `,,— —BUYER• _JJSrZEP�1EN. �' PLAN REF: 23747 .8' S:'�` I�nh' fl° SCALE i;P=',150: '+ v Y' CERTIFY TO .CdPE fQQ_Bd1Y �_' �c !j lit-a z i� rr�rTHAT THE BUILDING �`S;, � YANKEE SUI ; rr— __ _ r,,J y s;, t i i 5�0�1i`.ONKTHIS PLAN IS LOCATED ON THE GROUND AS,`,' 30`' }!'+' ^1.°'t G + ''•' t; tti'EL 1, . r o IPAtjl.17" + ,7 U 'iTA otiwD AT,,ITS POSITION DOES CONFORM }y, ,tl ?�0�>1yHS'ZONING' LAW SETBACK REQUIREMENTS OF THE MER�THE '},I ' 1 40B'"(SUI'TE?� a' •"t'i 3 ii� �p U r i. l I 1� 8d8N�TABLE =--=-------AND cva s2os38a <r ;�J ;,•INDUSTRY` RO ,1 ' QR:a LIE WITHIN THE SPECIAL FLOOD HAZARD '� ��<'lJt MARSTO]VS,M)I.LS..�MA:e 8 SHOWN. ON THE H.U.D. MAP DATED_?'/,2/ __' aN 0 ` ;TEL« 428 0`05� Ity — 250001 0018 D SUA`1 f ,THIS PLAN NOT MADE 'FROM ANi�iNSTRU NT' SURVEY NOT TO BE USED FOR'1 F RVCES`'' T - ,�t >o TOWN OF BARNSTABLE Permit No. . 36788 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ,619, X. ��6�►+` HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to HORST DORNER Address 25 Waterford Drive, Marstons Mills 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 30, 94 ... ... .... ... .... .. .. .. .. 19................. ......... J......... ....... Buildrng Inspector 41 ��•° '�.ew TOWN OF BARNSTABLE „ BUILDING DEPARTMENT NARXI°T ' TOWN OFFICE BUILDING SUL I. 7g f639 � HYANNIS, MASS. 02601 �o lint r. j MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for'the building authorized by Building Permit .� 1/ ......................._.........................................................._.............. „.. issuedto .. . .......... ........._.... ..../S?9/1?P� .._..........»».................................._..............................._ Please release the performance bond. TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT..'.. tv 5 1" 0 3 DATE 19 94 PERMIT NO. NQ ., a — 0 _. -,E _ APPLICANT nua_Lc - ad-Iii ADDRESS (.40.) (STREET) (CONTR'S LICENSEI 7 a—I.I NUMBER OF I_, i w c.11 J.,-i g PERMIT TO -.L STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) TUC �2 25 'Wate_rl-ord brive, 1'ijrstons Mills ZONING AT (LOCATION) DISTRICT (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 CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #92-49 isUiVll AREA OR 2148 sq. 'Et. 245,000 PERMIT s 1 72.00 VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) Horst Dorner OWNER Lier=ny BUILDING DEPT. ADDRESS 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 PERMITS ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN P ELECTRICAL, REQUIRED FOR AL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED.SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 171f 1941-- 7 za 11 1P3; 2 2 :T, 2 b- Z4 rlzl� HEATING INSPECTION APPROVALS ENGINEE G DEP M A -% y 2 1a Q BOARD OF HEALTH Clim SITE PLAN REVIEW APPROVAL ,fl VAAIA WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIOULIS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. i r r V S-Y: �a VE. 46.1-7 v IT m Q N 2 � dS, q l`1 OF BAXTO A. T/-/.4T T.�/E �ov c1JA7rar.7 F�� G,4T/O/L/ �.r' .: }.�/4Gt/N.4�E.2EO�(/COis�lr�L YS �•f/jTy A L G— � �� Ja- �EQU/.2Fif�JE�t/TS7"aw�V .�.C..4it/ .2E�-E•2Eit/GE- AL?4ST ACC AAILP /S 147-- '_�C.gTE'� 2 L-c .p 231 Q �NST,eU�1Eit/T AEG/STE.2Ep ,C�{ic/p .SIJ.eIi`c'ya� �'��4SETS Syo�,s/y Sh/�vL.a itlo7-8� . ��4SS. AF�.�.L IC,Qj✓?' ^� �fSiDE OV►W�� Assessor's office(I st..Floor): Assessor's,map and l'ot number 2T P d` �- poi THE TOE— %RE0Tk SYSTERM MUST BE �Q�• Col�!!��e�r�v�ati on,aS�� 4� Bo`�"bf He LL ED IN COeii�PUANCEaltFi(3rd floor): �0��,�a � � Daaisr�nt � •tq Sewage Permit number �a-y Q i p Engineering Department(3rd floor): � y ���® i030' House,number' a �--� �� A eti a �o Drr►• Definitive Plan Approved by Planning Board — P� eAt APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only /"Yh, s� TOWN OF BARNSTABLE Date BUILDING INSPECTOR APPLICATION FOR PERMIT TO t TYPE OF CONSTRUCTION L�l/IIIIT.� ✓/� 19 �Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for apermit according to'the �following information: Location Proposed Use Zoning District Fire District Name of Owner �GrZ�? Address �Wvowz,/ Name of Builder f J� LCJ• Address [ Name of Architect / Address Number of Rooms Foundation -POU Exterior CZ=el29` Roofing Floors-16�' v 6A414FI— . 71-112 1F tJL( Interior �y It Heating • 1AL4 G�T2 D Plumbing / I/C � 1 Fireplace/� Approximate Cost Area o<�7 .S•� •. 1 Diagram of Lot and Building with Dimensions Fee 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 //� 7 ICJ Construction Supervisor's License j - DORNER, HORST N. No 3 88 Permit For BUILD DWELLING 1; single family dwelling Location 25 Waterford Dr. Marstons Mills Owner Hotst Dorner Type of Construction Plot Lot #2- Permit Granted June 13 1994 Date,of:"Inspection 19 Date CompletAd 19 at p FRONT.. EI.EVAT�ION?, -CEILING ASSE1,i8LY C%W.A.' . TOP SURF-C'E U= WtIJDCWS� . Qv lIrFIBcRGI�SS — . INSULATIClt R 3® tt E0.450Cx DOORS:— `'_':''"��"It!, d?� • _ _ ;•3 �� BOTTOM SURFACE • . -'T—"—' r- R= 0.61 PLYWOOD ,.;-—INSIDE. SURFACE '''•:.-' ' ::.'' ' os2R? o.6s REAR: EL'EVATION� Ile SHE - VIALL ASSEMBLY G.W.A7.. .•'•�.�E-rRocx L R TOTA - a/•79. 7 L LES R 0.45. Jc "�:.►:..: 0.87 3 1/2 FISERGLASS SLOE -�:.;;. •;KLYy`::^: i . :FACE. INSULATION 0.17 1� SURFACE RESISTANCE - R '-•-_�'_1',� ri FLOOR .f DOORS;.*.. ::.:.; .,;.�• �-<:. /S FINIS' '..::'- �.js-•:•�.>e',W 1/2" PLYWOOD FLOOR ASSEMBLY - :'-'. .. ;'` •1N`: susFLooR TOTAL. R - 3,2•757 •' _ ' . R=A.sa U. :U3j • R1CN7 SIDE, EL (� T E U'v' uUI/ VII RGLASS iva INSULATION +, `— :IC: R= 65 FOUNDATION !! D;�.wALL •� ZSU�FACE c WALL ASS7M1LY I cco�' R..SIS7St:CE (MAY BE USEa .S: - •:'`t> INSTEAD OF FLOORINSULATION .; TOTAL' R= l LEFT SIDE E'L=V:T'J:: It IDE SUR CE U= G.1Li.. R- O.S 0 TROCK '.. RVy ' 0 I 1" YR F o;.m .,• R a S DOORS: • 3� cRMAr:ENTLY:. INSTALLz—D �t)SULATiO;�1 SECTION t" -11NDOVIS TO B� US=D 'STORG! R�JJ VIAL L A:'= • = 3 o y( ' •vM .• r r1�1D0�Y • AR-=a = I '- • �: :y ''�: -FOR ARc. _ . 13 '� `� �`� ._.._,...__ . •._ ;. ;: SNZ T APPROVED O NOTE HA GES TOWN ARNSTAOLE Buildin spection Department �J lull C 1 1 -r L n D7 Imp- - - lit a7 A W--t1V) Fe^ .15-AY 70E PSUILOIMG'C6 srxu q^ errnovso9V c 11 o�rcOcT 89 � l .' ' •ecufx.E:� l � I f REAP— E !_EVATIOIJ "F3AY91DE '6LIILDIN NC. CE N TGRV l l.l..E"'^.O:'e;43S. .. . V4•`. SDAIC1 •U •.o' A►►6orfogq onAwH ar: DATE:OCT BI) NfrISED S�"�OLI^gKER-. 0 WINOMNY B9• W I .. .. .771 FFP-- i � -gF*Ysir�e F3UILt'�IN� co{N� I I � :.CENTERV ILI.,E /I�/�S�i � I 1_•--..--.— --— — _ � _ __ _ _ I-} scAu:�,(y^�1'-0' Arrnovco�r: oww� OATS:oGT i RLwL t . _ _.S�+oeina�e2 •a i I 1 IL4'-G. X�• 1 / 411 4"CONc.S<_DrS-TLE1Nv. 0 T i ECK 2G1L, ti d •Pjl G• V 1 2•„ T P GF1 ' T 02 O 1705 d' KIP/ I , q/9 FG.S1 MMTrZOc}.,. N I 71114 tT �, o24�c_i'U; A:t . IR c 1At•F-woom D00C 1l14. 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