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°FTHE r ERN
T ®wI1 of Barnstable *Permit#
P� ti Expires 6 oomrhs from issue duce
2 2010 Regulatory Services Fee i _�5 n17
* N A E r
039. �0' ARNSTAgLE Thomas F. Geiler, Director
ATFD MA't a
Building Division 64
Tom Perry,CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not valid without Red X-Press Imprint
Map/parcel Number G k-5 � G
Property Address ' `"� ��J n ��► ��ilr1 l
Residential Value of Work 1 1���.�[� Minimum fee of$35.00 for work under$6000.00
C�Owner's Name& Address L e: (�8 A A�
Contractor's Name sc"AC,kL, r�e��� Telephone Number Lj d c, d� I
Home Improvement Contractor License#(if applicable) ��t )L— 0
Construction Supervisor's License#(if applicable) �.;'7 L
jQWorkman's Compensation Insurance
Check one:
❑ 1 am a sole proprietor
❑ I am the Homeowner
�"have Worker's Compensation Insurance
Insurance Company Name Y-n M o 1J
Workman's Comp. Policy
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
r 4 (stripping g ) � n��
2-"Re-roofold shingles) All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing layers of roof)
' ❑ Re-side
#of doors
❑ Replacement Windows/doors/sliders. U-Value (maximum .44) #of windows
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc.
***Note: Property Owner must sr
roperty wner Letter of Permission.
A.copy of t e Home I prove n ontractors License & Construction Supervisors License is
uire .
SIGNATURE:
Q:\WPFILESTORMSMilding permit forms\EXP ESS.doc
Revised 070110
kr 5
NOTICE NOTICE
TO V TO
EMPLOYEES EMPLOYEES
The Commonwealth of Massachusetts
DEPARTMENT OF INDUSTRIAL ACCIDENTS
600 Washington Street, Boston, Massachusetts 02111
617-727-4900
As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you
notice that I(we)have provided for payment to our injured employees under the above mentioned
chapter by insuring with:
ASSOCIATED INDUSTRIES OF MASSACHUSETTS MUTUAL INSURANCE COMPANY
NAME OF INSURANCE COMPANY
54 THIRD AVENUE, P.O. BOX 4070, BURLINGTON, MA 01803-0970
ADDRESS OF INSURANCE COMPANY
AWC 7016215012010 01/10/2010 - 01/10/2011
POLICY NUMBER EFFECTIVE DATES
P O Box 494
Leonard Insurance Agency Inc Osterville, MA 02655 (508)428-6921
NAME OF INSURANCE AGENT ADDRESS PHONE
Mark Herbst 35 Peep Toad Road Centerville, MA 02632
EMPLOYER ADDRESS
I .
01/11/2010
EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) h DATE
MEDICAL TREATMENT
The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish
adequate and reasonable hospital and medical services in accordance with the provisions of the Workers.Compensation Act.
A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician.
The reasonable cost of the services provided by the treating physician will be paid by the insurer,if the treatment is necessary
and reasonably connected to the work related injury. In cases requiring hospital attention,employees are hereby notified that
the insurer has arranged for such attention at the
NEAREST AND BEST MEDICAL FACILITY
NAME OF HOSPITAL ADDRESS L. ?d
` �l s�s D •
TO BE POSTED BY EMPLOYER Q
t
MARK HERBST
35 PEER TOAD ROAD
CENTERVILLE MA 03632
508-420-6216/774-238-2938
t www.markherbst.com
S�
PROPOSAL SUBMITTED TO: WORK PERFORMED AT:
Peter Connell
44 Waterford Drive SAME
x Marstons Mills MA
508-428-7739
f 978-314-2277
We herby propose to furnish the materials and perform the labor necessary for the completion of:
New Roof
Remove 1 laver of existing shingles
Install ice&water shield at edge&in valley areas
Install 151b.felt paper
Install CertainTeed LandMark 30vr.algae resistant shingles
Cut ridge&install cobra vent
Replace plumbing boots
Storm nail all shingles
All debris cleaned daily
All plants protected as well as possible fPlease remove any hanging plants away from house,
Price includes material,labor&dump fees
All material is guaranteed to be as specified. The above work will be performed in accordance with the specifications submitted
and completed in a substantial workman-like manner for the sum of: Twelve-Thousand Seven-Hundred&Fifty
Dollars($12,750.00)with payments as follows: Full amount due upon completion
*Any alterations from above proposal involving extra costs will be added under a separate written agreement and become an extra
r charge over and ab ve said pr osal.
RESP TF SUB TE
5/20/10 '
Mark Herbst
ACCEPTANCE OF PROPOSAL r
The above price, pecif' ations and nditi s are satisfac .I herby accept this proposal. You are authorized to do the work an
payments will b s ecifi d abov .
SIGNATURE:
rr `
*This proposal may be withdrawn.by said company if not accepted within 30 days.: _
'
✓fze V�anvrrea�uueaCCf a�/f/laaaac�ivaet
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: �-1.126480 Type: Office of Consumer Affairs and Business Regulation
10 Park Plaza-Suite 5170
Expiration: =6/8/2012 Individual
Boston,MA 02116
TMAKRBST 4 _= r
MARK HERBST
;
35 PEEP TOAD RD = _
CENTERVILLE,MA 02632 Undersecretary ! Not valid witlfoi signature
_.� Nlassachusetts- Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor License
g License: CS 48546
Restricted to: 00
MARK D HERBST -
35 PEET TOAD RD E
CENTERVILCE, MA•02632
Expiration: 1/27/2012
CA)till]issi lie r Tr#: 13699
I •
The Cornmoirwealth oft assachusetts
Department.of Industrial Accidents
t� Office oflnvestigadons
600 Washinglon Street
Boston, M4 02111
'J 41miv.mass.gov1dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Appheant Information I Please Print Legibly
Name(Business/)rguuzationdndividnal): bst
Address: 3 Nt3
City/State./Zip. C� 4 A- Phone 9. 1 ( ( b
Are you rn employer?Check the appropriate box.: Type of project(.required):
1.LJ I am a employer math ,3 ❑ I anx a general aantractor and I
have hired the sub-contractors 6_ ❑Idem construction
employees(full and/or port-time).'
1❑ I am a sole proprietor orpartuer- fisted on the attached sheet 7. ❑Remodeling
ship and have no employees These sub-contractors have g_ ❑ Demolition
working :for me in any capacity. employees and have workers 9. 0 Building addition
[No workers' comp.insurance comp_insurance..,
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
officers have exercised their 11. Plumbing re airs or additions
3.❑ I am a homeowner doing.all work ❑ g � p '
myself. [No workers'camp. right of exemption per MGL 12.EJ-Roof repairs
insurance required.]T c. 152, §1(4),and we:have no
employees.{No workers' 11❑Other
comp.insurance.required.]
•Any appacant that checks box#1 must aLo fill out the section below showing their workers'compensation policy informstion-
1 Homeowners who submit this affidz0t indicating They are doing all wools and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this boot crust attached an additional sheet showing the no of the sub-contractors and state whether or not those entities have
eatployees. If the sub-<ontrattom have employees,they must provide their workers'comp.policy number.
lain an elnployer dual is prodding workers'compensation insurance for trcl,entp.loyees. Betoty is the policy and job site
Information. 1
Insurance Company NO, i 1/1/l"� S�
Policy A or Self-ins.Lic.#: a I L4 �(7� t� 0 L� Expiration Date:
Job Site Address: V���� G��p� City/StateJZip: ` ' Y l �1 's
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.2.5A of MGL c. 1.52 can lead to the imposition of criminal penalties of a
fine up to S1,500.00 and/or one-year imprisonment,as well as ci%il penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the:violator. Be advis that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance vera.ge. 'first
I do hereby certify carder flu pains id na ' s a 7T ' ry t the information protdded aboveviis trite and correct.
Si ture.: Date_ -2— Or
Phone M
Official use only. Do Not write in this area,to be completed by ciot or town official
City or Tawas: Permit/License#
Issuing Authority(circle one):
1.Board of Health ?.Building Department 3.Citl/Totim Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
i
OF THE Tp�
* BARNSCABLE.
MASS. Town of Barnstable
i639• ��
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
I , as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of job).
I
I
I
Signature of Owner Date
Print Name
If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on..the
reverse side.
QAWPFILESTORMSIbuilding permit forms\EXPRESS.doc
Revised 070110
Town of Barnstable
Approved Regulatory Services
Fee Thomas F.Geiler,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Home Occupation Registration
Date: 11 .�. ?- 6l 3
Name:
� fl N tL 1. Phone#:
Address: b C_ Village: A-U—M xI S (M.l B L S
Name of Business: L 1-k e- Cu IJ Su LT 5 bm V I C E.-S a5-2
Type of Business: C& 6 T'L4 JrtM d-4y'SwLi—SAJ Map2ot:
;���
Zoning District ..-Zoning Districts RF and RC-1 require Special Permit from Zoning Board of Appeals.
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution.
After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation, and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There is no commercial vehicles related to the Customary Home Occupation, other than one van or one
pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the unde i d a e reaq and ree w�thubove restrictions for my home occupation I am registering.
Applicant: Date: <<
Homeoc.doc
TO ALL NEYV BUSINESS OWNERS
DATE: (o // 6 3
Fill in please:
APPLICANT'S I
BUSINESS YOUR NAME:1-1 IUI L
on-
1' YOUR HOME ADDRESS: y�
-o. �;:j s-r-� �us weer-��ep Q
TELEPHONE ----
NAME OF NEW BUSINESS L Telephone Number (I tome) s'7j tr L(
TYPE OF BUSINESS ►ZZ PJYiQ
IS THIS A HOME OCCUPATION?nN6tt_�YES [5j]-NO
Have you been given a �-pproval from the building division? (ESI�Z NO
ADDRESS OF BUSINESS
d S" O bZb 'S3t ZZ
When starting a new business there are sev.-iral things you must do in order to be in coi pll2i c he MAP/PARCEL t NUMBER
and-regulations
of Barnstable. This form is intended to assist you in.obtaining the information you may need. Once You have eta' .1.
signatures, listed below, you may apply for a business certificate al llie To�;n Clerk's Office (Is, floor - 1 ui the Town
/ obtained :.:e requires
certificate first you�MUST go to the following office to make sure y o- ! red o�'�'n Hall) or if you get the business
GO TO 200 Main St. - (c ie .of Yarmouth Rd. & fviain Street) and,you wil!'lfend C1LIle foilo%.Vijjg off cesc�s�s..
1. BUILDING MMI S10 ER'S
This individu@Aasye,6n i rme o rmit equirements that pertain to this type of business.
r' ed Si ature""
COMMENTS:
2. BOARD OF HEALTH
This individual has been informed of the permit requirements that pertai:i to this type of business.
Authorized Signature"
COMMENTS: .
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informeu of the licensing requirements that pertain to this type of business.
Authorized Signature"
COMMENTS:
Business certificates (cost $20.00 for 4 years). A business certificate ONLY REGISTERS YOUR :JAf•.IE in tit —.,List
do by M.G.L. - It does not glue you permission to operate - you must gel lh�t throu;•�i com�I '
e town (from t you ►�,;,st
departments involved. I etio�� of tl�� processes from tl�e various
' J
"SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY.
Town of Barnstable
Approved Gy� Regulatory Services
Fee Thomas F.Geiler,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Home Occupation Registration
Date: 6
,o 4/2,4 7 73 9
Name: �42 '✓• D �i�/f�L Phone#: .S
Address: �y � Village:
Name of Business: (^�O7u 4 �� 0/ e £
Type of Business: Y" S N N G �� F_ kDLot: Q b�` 03
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes; and no increase in air or groundwater pollution.
After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and
there is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration, smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
There is no storage or use of toxic or hazardous materials, or flammable or explosive materials,in excess
of normal household quantities.
Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation, and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
There is no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No son shall be employed in the Customary Home Occupation who is not a permanent resident of the
i d ellin unit.
I,the undgrsi a ave read d agree with the above restrictions for my home occupation I am registering.
Applicant: �� ' Date: / OZ OZ
Wnm Ann.
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DEPARTMENT OF PUBLIC SAFETY
COMMOONWEALTH 1010 COMMONWEALTH AVE. , 4
IAASSACNUSETT$ BOSTON.MASS.02215 �
�} ENCLOSE CHE* OR MONEY ORDI
LI :EN:_,E r
i EXPIRATION DATE '04/30/199 5 CON::: _;I i FOR REQUIRED FEE
rti F MADE PAYABLE TO =+
EFFECTIVE DATE LIC-NO.
,
i RESTRICTIONS 5
00"' o c_ILI/c:;1 i '1'=�'=� i�7 7713 "COMMISSIONER OF PUBLIC SAFE1
(DO NOT SEND CASH)
SEAN Iti L11TTRI!=H
f, 14'. I IA I N ,,T
PHOTO)ELASTINOOVA ONLY). FEE: F11'Af�IiV:[ rIA )2601
a ...I NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY I y✓T� v�f1' 1
Zk ! `HEIGHT: STAMPED•OR SIGNATURE OF THE COMMLSSIONER - r Sy• 1 Y` _
THIS
! CAR DOCUMENT MUST BE NATURE OF LICENSEE SIGN NAME IN FULL ABOVE SIGNATURE LINE
GARBED ON THE PERSON OF
xcl :I THE HOLDER WHEN ENOAO•OTHERS•RE1HT THUMB PRINT EO IN THIS OCCUPATION '� tmNpA V 7"'ytVAN—
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HOME IMtPROVEMENT CONTRACTORS REGISTRATION
Board Of Su1i.C:e_ns Regulations and Standards
One Ashburton Place - Room 1301
Boston , Mdosachusetts 02108
HOME IMPROVEMENT CONTRACTOR
'registration 112070 Expiration 02/22/9S j
_.- T Pe -- PRIVATE CORPORATION
• A
ANCHOR DESIGN & POO& CORP
M JEAN DITTRICH
143 UPPER COUNTY RD
DENNISPORT MA 02639 `
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+:n>:):>.+. >>.:;iv..». Jav's:•S.'S:•••. .3,•::f3»fide.:?#TT:�x'.ik$::5442<h}»).T:vif3�n3:L :.43:,'...:••f•:.•:r: 'o Tf:b.f. 04•
PRooucER. . :,. k THIS CERTIFIWE IS ISSUED ASA MATTER OF INFORMATION.ONLY" D, _ ;.
h= Dowling & 0' Neil Insurance CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE.';,;
DOES:NOT�AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE_ '
Agency, ,`Inc. f
POLICIES BELOW.
222 West Main
St PO Box 1990
H an 'is
y, y , MA 02601 COMPANIES AFFORDING COVERAGE-f
ti 13�rtf }K
t
` NY
LETTER A Travelers Insurance Comp
'. COMPANY B I.N.A. �, t
INSURED t LETTER
Anchor Design & Pool Inc. 11.
COMPANY , ., ,' •
T 143 Upper .County Road LETTER C , . ._..;. .-
Dennisport, MA 02639 COMPANY D
11
LETTER r
COMPANY E
_ t LETTER
i
4
5 :o�.�a::�Xf .•.4 •s::9.:Ff,;•:,.:kkY•)?::":R':,^,3.;..or::.>;>so:<•s::.'.yaT:,,.t<.•:;:;,•::<:.,.;.h...:..;•.>�Ta•<oc,..>.<.,..
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%;; ;=`i TH(S IS TO`CERTIFY THAT'THE POLICIES OF INSURANCE LISTED BELOW HAVE BET71 ISSUEDI,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 7MS-
";:..• :•CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT'TO ALL-TH8 TERMS,
"��` "` EXCLI7SIONS AND CONDITION3.OF SUCH POUgES. LIMITS SHOWN MAY HAVE BEENI REDUCED 8Y PAID CUUMS.
� fS TYPEOFINSUAANCE POUCYNUYBFA POUCYEFFECTIVE UCYt7tPIRATION .! + � �r'••+�l S OATE(MM/DD/YY) DATE(MM/DD/YY) LlYTT9 r
�; . A nEHEsuLLUBILmr: BINDER74518 04 09 93 04 09 94 GENERAL AGGREGATE { :1' 000 T 00(
' X' OMMERCIALaENERALUABILI PRODUCTS-COMP/OP AGG. {' 1!000,00�
LAIMBMADE®OCCUR. PERSONAL&ADV.INJURY b .500 00C
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE { S U 'O0 C
FIR EDAMAGE(Any one fire) S 50 OOC
MED.EXPENSE Any one Person) {' 5,4 0 0
AUTTOYOBILE LIABILITY
AINYAUTO LIMIT INED SINGLE
ALLOWNEDAUT08 BODILYINJURY
SCHEDULEDAUT08. � (Perperaon)
HIRED AUTOS
BODILYINJURY
its" NON-OWNED AUTOS (Peraooident)
GARAGE LIABILITY ;s i r•.J
PROPERTYDAMAGE {,
EXCESS LIABILITY
EACH OCCURRENCE
UMBRELLAFORM AGGREGATE
�+ OTHER THAN UMBRELLA FORM i.t ,;. .;,.., ,.
Em
WORKER'S COMPENSATION BINDER74181 04 09 93 04; 09 94 9TATUTORYLIMIT8•
:c
-, AND ; EACH ACCIDENT
$100•`000-,
EMPLOYERS'LAASILITY DISEASE-POLICY LIM IT {500 OOO '
_ DISEASE-EACH EMPLOYEE S100' 'GOO
OTHER,i
it
n.-OESCRIPTIONOFOPt3iATlONB/LOCAMONS/VEHICLES/SPECIALQEYB
,.Operations performed by the named insured as provided . for by the policies
and their conditions.
.,,, 7'i.i:i .. �; „> •3:S,eafP}S:7•.•:;+< f,;,?,?7•< v ;3f•.••!•Y.,:,:x;<'y:•k;�.e. ;.;;y.,.,;::.>': y..• ..,,,••.
x�?:•:_ <��o. �y a < o < <
cw. .•c. �•.. ,<"..t�9 '� v��•:a�.�"�ca�•.�,Q:�_.:1:.,.o�G•..?,G f• f � i.�b�..b 3 cyCa� <3 •o h4' �,�>A..>, K ,'f<3,'k� vh, oao. �at�
y ;nicw.v����n �tAS:A.,..4.I2�:.waSo\d4t.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CA INC ELLED.-SEFORE,THE'k
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO' :>
Town o:f Barnstable +
_•' MAIL 1.0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE. a
;8uxlding Department LEFL BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE 0 OBUGATION_OA
Town` Hall `I .. . ... v;
x LIABILITY OF ANY KNID UPON THE COMP S AG R RESENTAMVE3. .
I,'YtHyanini:s, MA. 02601
AUTHORIZED REPIIESENTATNE
Tv% Umnce Agency, Inc. ',
� 033
As ssor's office(1st Floor): �/J �j /�
�sSessof s map and.lot nU r_6`1 _(�5(+O (J��a�. �T�C 'WPTCGW �iIUST BE Q�p�tME>0``
Conservation(4th Floor): T` �--� INSTALLED IN COMPLIANCE
Board of Health(3rd floor): 1 WITH TITLE 5 .
Sewage Permit number a'. AS ENVIRONMENTAL CODE AND
Engineering Department(3rd floor):: < TOWN REGULATIONS
House number `
Definitive Plan Approved by Planning,Board 19 i
APPLICATIONS PROCESSED 8:30-,9:30 A.M.'and 1:00-2:00 P.M.only
TOWN ' O,F BARNSTABLE
BUILDING I SPECTOR
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for permit according to the following information:
Y
Location X �
Proposed Use
Zoning District Fire District •/(// l�
Name of Owner `/rr ���'v Address X;2
Name of Builder z�s7 � V`242!!��ddress
Name of Architect Address
Number of Rooms Foundation
Exterior Roofing
Floors Interior
Heating Plumbing
Fireplace Approximate Cost —T
Area
Diagram of Lot and Building with Dimensions Fee
r
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 cons ruction.
Nam
Construction Si ipervisor's License er2 7 _
NEVIILE, ROBERT E.
F %
/No 36494 Permit For . Build Pool
Accessory to Dwelling
Location Lot #22, 44 Waterford Drive
Marstons Mills
Owner Robert E. Neville
Type of Construction Frame
Plot Lot
Permit Granted February 18; 19 9 4
Date-of Inspection:
Frame 19
Insulation 19
t
r�
F Fireplacb. 19
Date tom efed 19
o�TM� TOWN OF BARNSTABLE Permit No 34900
. . .
BUILDING DEPARTMENT
I ' I TOWN OFFICE BUILDING Cash ................
....
�� ,679• V
�a.►r�' HYANNIS,MASS.02601 Bond ................
' CERTIFICATE OF USE AND OCCUPANCY
Issued to HORST DORNER
Address lot #22 44 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. ,
......... June 17...... I9. 92......... ..... .. .�C. QG" . .....
Buildin inspector-
r .
��..� °•°ew TOWN OF BARNSTABLE
_ BUILDING DEPARTMENT
TOWN OFFICE BUILDING
rum
t9 i639 � HYANNIS, MASS. 02601
'�o rnr►' ,
MEMO TO: Town Clerk
FROM: Building Department -
DATE: Co�-71y 2
An Occupancy Permit has been issued for the building authorized by
BuildingPermit .. ............ .......................... _................»».».._..... .._»»».»»_
issued to ........... �i ». r / „G� &,Vveb "j, de) . »».------
Please release the performance bond.
TOWN OF BARNSTABLE, MASSACHUSETTS
BUILDING PERMIT '
A-56-2.'33 DATE Harch 23, 0
19-22— PERMIT NO.
APPLICANT_ nf)
13Uil dill(f, co. ADDRESS C(:.:ntervill;:..
(NO.) (STREET) (CONTR'S ILICENSE)
PERMIT TO i3uild Dwelling 'r" L) STORY Sia(�I e ly Dwe 1 lirl(4 NUMBER OF
(TYPE Of IMPROVE NO. (PROPOSED USE) OW.ELLING UNITS .7
Lut #22, 4Milli ZONING
AT (LOCATION)
(NO.) (STREET) —DISTRICT
BETWEEN
(CROSS AND
STREET) (CROSS STREET)
SUBDIVISION LOT LOT St
_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
ti
(TYPE)
REMARKS: Sewacle, #92-57,
Bond
AREA OR
VOLUME' 2308 sq.
ESTIMATED COST PERMIT 1 62-.56
..'-.(CUBIC/3OUARE'F_lEET) FEE
OWNER liorst Dbrnek'
ADDRESS •Garmany
BUILDING DEPT.
BY
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY NY STREET, ALLEY
ENCROACHMENTS ON PUBLIC OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR
PROVED BY'THE C PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
S . 4
JURISDICTION. STREET OR ALLEY GRADES AS WELL A DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM T.ME 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
INSPECTIONS-REQUIRED FOR BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE.
ALL CONSTRUCTION WORKS CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
L
Cy 7 C
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A I S ELECTRICAL, PLUMBING .AND 10
2. PRIOR TO COVERING STRUCTURAL CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLAT NS.
_C
MEMBERS(READY TO LATH). QUIRED.SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
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
2
2.
LA YN t.: I
3
HEATING INSPECTION APPROVALS
ENGIN RING�P�MENT
?; 2 7:y%�'.,
Oft
BOARD OF HEALTH
OTHER
SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED LINT IL THE INSPEC
PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIOLIUS STAGES OF WORK
CONSTRUCTION. IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTEN
PERMIT IS ISSUED AS NOTED NOTIFICATION.
TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT
c-li 23 92 'NQ a 4,Q4 9 DATE 19 PERMIT NO.
APPLICANT i3aysid'c Duiidinq C6. ADDRESS CU,-lterVj! 1��!
A�
(NO.) (STREET) (CONTR'S LICENSEI
i3uiid Dwelling I if-Mi I V DWolli rlu NUMBER OF
C� - '- DWELLING UNITS
PERMIT TO I STORY S
NO.OF IMPROVEMENT) (PROPOSED USE)
i,ot #22 , 44 Viatc._-dond Drive, "larstorls, mi 1 0 ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN iiit
(CROSS STREET) AND (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
tF
BUILDING IS TO BE -FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
ti
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
rl
REMARKS: Sewacie #92-57 (TYPE)
ticocjl fi
AREA OR 200, 000. 00 PERMIT s
VOLUME 2308 sq. ft. ESTIMATED COST $ FEE MIT • 50
(CUBIC/SQUARE FEET)
OWNER Horst Duriier
German, BUILDING DEPT.
ADDRESS 2 BY
A:
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 ARE REQUIRED FOR
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, 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
2 2
aunt.:_ is
3 HEATING INSPECTION APPROVALS ENGIN RING PA MENT
s 79
%c)
2 V BOARD OF HEALTH
OTHER SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIOULIS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. I PERMIT ;S ISSUED AS NOTED ABOVE. NOTIFICATION.
r - . .
I
m _
A I
� bVV I
f C,�M2T/A:Y: T��I T;T�/� vND 7'�0�.1 t ,roc 4�-io c� : :G 7i'v I`I": : : : : . :
VAX
as-
- -
-f?�/S �.C,�1if./ S.�C/QT ' � I I I I I I ' i i `•
F
I
/NST.2ULl�it%T,S` EY�r Thy
L.el/ 1 � i f •
o;� s sy' %�i�!•S.�/av���tlo -! .. TE2.
TO �
Ts- a
l/SE1�;
t COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY
OF 1010 COMMONWEALTH AVE.
S MASSACHUSETTS BOSTON,MASS.02215
ENCLOSE CHECK OR MONEY ORDER
EXPIRATION DATE CONSTR'.ICENSE SUPERVISOR
/�,� FOR REQUIRED FEE,
06/30/1993 ' 3.63 MADE PAYABLE TO
RESTRICTIONS 6 EFFECTIVE DATE LIC-NO.
NONE = 06/30/1991 005.645 "COMMISSIONER OF PUBLIC SAFETY"
' n 4
r BRIAN T DACEY (DO NOT SEND CASH).
62 FERBROOK LANE CENTERVILL .MA 02632 P EASE .NORnQ INCREASE
PHOTO 0PR O ONLY) FEE:
777G.07
8usiw
100.00
• NOT VALID LINT E F E C T I 1*A9 ipZ. 1"1 1 98 9
N
"',��� ���•'. '' HEIGHT; R SIGNED BY LICENSEE AND OFFICIALLY
`^� n,•�':��'�.T:F�-T��.
D NOT DED C ENSE . STUB
• ;,,.`. rR!'�.�,`;�;;; THIS DOCUMENT MUST BE
''•"t" i<L'i :��•., CARRIED THE PERSON OF I OF LICENSEE SIGN NAME IN FULL-ABOVE SIGNATURE LINE
OTHERS Rq/1T�• i THE HOLDER
OF
R WHEN ENGAG-
ED IN THIS OCCUPATION.
" COMMISSIONER
20OM•2-87.81429
FRONT ELEVATIO0
CEILING ASSEMBLY G.W.A,' • _ '
.r;
TOP SURF_C'_7 U= • 0 5n'IIIOOWS:
F2= 0.o l --- j r
. CJv !r'F1BcRGLAS3 —
f INSULATION •' ';}�;'
R--3®. K ;.
\—SHEcTROCIC - I - � ; ra.-.1. "
0.45
BOTTOM SURFACE
R 2 0.61
PLYWOOD INSIDE. SURFACE • '• = .� '
O.62 REAR' ELEVATION._:' ';;!:
R= 0.63
)D I/2"SHE YJALL ASSEMBLY G.W.A:.j !Jy
ETROC?C ems:.:'; c...._,;*�;:
:GLES . R = g TOTAL R "" 7.
0.87 0.4 _ �r ,r
3 1/2 FIBERGLASS
SIO INSULATION •s•.•4 '''v-•f, .
FACE' R Tr 110.17
:r•',� _;;.
..•::
1—, SURFACE RESISTANCE .."'j �' 1
0
DOORS
FINISH FL00g f .{
R= 0.91
FLOOR ASSEMBLY
�I/2" PLYWOOD TOTAL R � %S —
susFLooR . R1CHT : St'Ent- EV
91DE
7E u� uuv
'' •• sue' '" FIBERGLASS
'•' �,�: `' •e• INSULATION _
.IC. R za 69 I=OUN-DAT
• IOt•J !
SSGWLY
IS
o;+.wAL:' � •:� WALL A Q .ccoT:s: .•�•., j;.
�• ' •• 3 SU?F4CE RESISTAt:CE (MAY BE US /V//�. ':,' ` •�:.3(,
Y
.� R s O INSTEAD -OF FLOOR I :•�`�• •`:`•.
' TOTAL: R - l LEFT 510E
It IDE SUR aCt U = G,�'1.;.. :s[/v
' R- O.S B L
. " I c:l\u0':YS:
R + 0
: I Y.
:. Ras DOORS:.
:$;
�IIJtrIA�:ENTLY.. INSTALLEO •STORIA INSULATION S=CTION
DOVIS TO B US=O
RCVS VIA -A::. _ 3D�y ��t7�2F(,2,�.:�;�� :•
rirf�O�r • AREA = � �� 3 ;--.••,� � M /y1�LL,S
SCR ARr _ / Q o 3 ("'__ '"• '�""' , i.�;:.1: .
A. Q t I;.ilk= �iI f...,,.:•`i.'
FE'_STRAT:OIJ = . 't I•o;2O -
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APPROVED
0 T-E CHAN ES
TO N OF RNSTABLE
Building Inspection Deparhnent
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Assessor's office(1st;Floor): ,/G� -�
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Assessor's map and1lot number �����O��$��gr�r fr�'1).;�,;d �� pS THEINSTALLED IN Co
to
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Board of Health(3rd floor): ! `� �� WITH TITLE S �•�!!C`dfv
Sewage.Permit number I = '� ENVIRONMENTAL COWS� { DaasyUtr .
Engineering Department(3rd floor): ofi� yU, �� _ '�Eo'
�T 7 �'OI� �EG�IL�aICI�� �o 'v
House number -
Definitive PlL. an Approved by Planning Board J—• 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
TYPE OF CONSTRUCTION
, ' . 19 L�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies fore a�permit according to
the following information:
Location as G''' G� �`�/(y Z�.
Proposed Use
Zoning District Fire District
Name of Owner `� Z/ �'f �L�Li�'L�1 Address
Name of Builder__, ✓�2I' Address
Name of Architect / Address
Number of Rooms l Foundation / (1z U y
Exterior Roofing
�i Floors � �-C� � � [ �-C.� Y C�(,�12 r_ �1
Interior U o 4110�h
Heating /V.Z (J Plumbing 100.1/J
Fireplace �1`�yZ � �%���:G Approximate Cost *.2eo,
Area /
Diagram of Lot and Building with Dimensions Fee
23 a 1F
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 1
Construction Supervisor's License 060 5&
i
DORNER, HORST
No 34900 Permit For 11. Story
J
Single Family Dwelling
Location Lot #22 , . 44 Waterford Dr,
Marstons Mills
Owner Horst Dorner
A
Type of"Construction Frame
6.
Plot - Lot
Permit Granted March 23 , 19 92
Date of Inspection �'c12 19
Date Completed 19
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