Loading...
HomeMy WebLinkAbout0095 WATERS EDGE � J D F D F M Insurance Agency, Inc:'" i M (Formerly D. F. McCarthy Insurance Agency, Inc.) Donald F.McCarthy President November 14, 1996 Town of 9dtd & le Engineering Department 367 Main Street Hyannis, MA Re: Street Opening Permit Surety Bond effective 12/6/95 Bond # 5-205595 Property Location: i95 Watershed Drive, Marstons Mills, MA Contractor: Mike Cannata, 132 Great Hill Road,Sandwich, MA Dear Sir: 4 0-3 cj-�-.. We are the Surety company on this Bond which we issued on 12/6/95 and we are inquiring at this time if this contractor has filed His Occupancy Permit with the Town indicating the property has been completed. Should this be the case, we ask that your forward a Release to us in order that we notify the (.company of this status and the Bond will be terminated. Please send your reply to us in the enclosd-self addressed envelope o for your convenience. nk you fo our assistance. Sin r a l Ra F H" g' s ` P. O. Box 565 • Falmouth,MA 02541-0565 • (508)540-4555 • Fax(508)540-9255 • 1-800-727-3048 PHONE CAL FOR ATE TIME P.M. M OF - -PHONED RETURNED PHONE YOUR CALL AREA CODE EXTENSION PLEASE CALL MESSAGE WILL CALL AGAIN CAME TO Q SEE YOU WANTS G� SEE YOU SIGNED universal' 48002 Er NOT (,E,*- ox �u+E Town of Barnstable *Fermi} � g O Expires 6 months from issue date �. Regulatory Services Fee. i i s • HAMSTABLE, ' Thomas F. Geiler,Director . AtfD MAC A Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www:town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERAUT APPLICATION RESIDENTIAL ONLY. _ Not Valid without Red X-Press Imprint ' Map/parcel Number (� Property.Address ( S �1 1"i S l� /YI AJZ_� r/MS IYJ if esidentW Value of Work 06 , 010 Minimum fee of$35.00 for work under.$6000.00 Owner's Name&Address —T12 tfI q A.V L Contractor's Name -A A V/ 99 Telephone Number 8 Home Improvement Contractor License#(if applicable) 2 (o Construction Supervisor's License# 0 q(9l(if applicable) � V M E ❑Workman's Compensation Insurance Check one: 0 C T 3 0 2013 I am a sole proprietor I am the Homeowner • ❑ I have Worker's,Compensation Insurance 1'OWn1 OF BARNSTABLE Insurance Company Name Workinan's Comp:Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Re ue heck box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to VAILA40WW CAN6 ❑Re-roof(hurricane nailed)(not stripping: Going over existing layers.of roof) ❑ Re-side #of doors FT Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ 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,Conservaiion,.etc. ***Note: Property Owner must sign Property Owner Letter of Permission. .. A copy of the Home Imp ovement Contractors License&Construction Supervisors License is requi ed. SIGNATUTAE: ?lie Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 wn"Juass-gov/dia �rVorkers' Compensation Insurance Affidavit BuilderslCemtmc��IertricianslPlumbers Please Print licaut City/Star Lp:bform;ation Name( on&&vidnal): D•!-' - �- Address: 2,576 Phone 4k Type of project(regrtire�_ Are you an employer?Check the appropriate boa: general contractor and I 4- %I am a g 6- ❑New construction l El I am o employer with — have lured the sub-contracums de g employees(full and/or part-time)-* 7- ❑�'O listed on the attached sheet 2-❑ I am a sole proprietor or partner- These sob-contractors have 8• ❑Demolition ship and have no employees employees and have workers g- ❑Building addition working for me in any capacity- comp.insvrancei 10-❑Electrical repairs or additions INo workers' comp.insurance 5 ❑ We area corporation and its required-] officers have exercised their 1I_.0 Plumbing repairs or adthtiams 3•❑ 1 am a homeowner doing all works right.of exemption per MGL 12-.Q Roof repairs myself [No workers'gyp- c. 152,§1(4),and we have no 13.❑Other insurance required.]1 employees-[No workers' comp-insurance required] their compensationPolicFinf0MaI on fill onithe sectionbelow showing ��ate*affidavit indicating sttch- •Any applicaw that checks box Rf must also are domg ali work and then hue outside contractors mast 1 gomemuers who submit this affidaviR indica ga ting they name of Ste sttb ca�acabrs mid state whether or not those entities here +contractors that check this'baat most attached ee additional sheet showing oli number. l � �stprovide their walkers'comp.P cy employees. If the sub-contractors have employees,they poliq and Job site I ain an employer that is providing ttrorkers'compensation insurance far ink*employees. Beiatr i dte ittforutaliart. Insurance Company Name: Expiration Date: Policy#or Self-ins.Lic•#: , City/State/Zip: Job Site Address: thowinge number and expiration date). Attach a copy of the workers'compensation coon 25A of MGL c 1g52 scan lead to the imposition of criminal penalties of a er Failure to secure coverage as requiredimprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine fine up to 51,500.00 and/or one-year of this statemeast may be forwarded to the Office of of up to$250.00 a day against the violator- Be advised that a copy --.___ - - - --- Investigations of the DIA for insurance coverage verification -- -- 'et that the inforutaden prot�;dad alwr'e rs byre an eor rect I do Ifereby certi u tder the ns and penalties ►Y /d am Date: si ture: Phone#: official use Oil Do not avritg in this area,to be completed by city or tmvn 0,0j4+gaZ PermitUcense It City or Town: Issuing Authority(circle one): eetor 5.plumbing Inspector 1.Board of Health ,.Building Department I City/To wa Clerk 4.Electrical Ensp 6.Other Phone#• 6 Contact Person: .3 :y i Atlantic Charter Insurance Company VDAC NC-Cl Go. No.:29211 Policy Number. WCV00730207 1. INSURED: Prior Policy Number. WCV00730206 Tyndall Roofing, LLC Producer. 80 Brigantine Avenue Fredericks Insurance Agency, Osterville, MA 02655 Federal ID Number204616445 Inc. Risk ID Number. PO Box 427 Osterville, MA 02655 Business Type: Limited Liability SIC:9999 NONCLASSIRABLE ESTABLISHMENTS Other Named Insured: Other Work Places: 2. POLICY PERIOD'- The Policy Period Is From: 7/11/2013 To 7/11/2014 12:01 A.M. Standard Time at The Insured Mailing Address 3. COVERAGES: A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed her: MA B. Employers Liability Insurance.- Part Two of the policy applies to work in each state listed in item 3A- The-limits ol'our liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B This policy includes these endorsements and schedules: -See WCE 10 5) 4. COVERAGES: The premium for this policy will be determined by our Manual of Rules, Classifications, Rates & Rating Plans. All information required below is subject to verification and change by audit Code Premium Basis Total Rate Per Estimated Classifications No. Estimated Annual $100 of Annual Remuneration Remuneration Premium See WC 00 00 01 Minimum Premium: Deposit Premium: $500 $500 Interim Adjustment Annually Servicing Office: Estimated Premium (Minimum Premium) $500 25: New Chardon Street Boston. MA 02114-4721 Issue Date 06,'2412013 Countersigned By: Date 30OV-'onz 19E7 National Council on Compensation Insurance Fbnri.-100mv r 9� "�: ,�� Town of Barnstable iDrED�,�a 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 , • 1 I� `J ��{U /• A iL w��� ; as Owner of the subject'property hereby authorize r G7, w�i B to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) J . 6V='tuie of D to -sow 7 Aye a Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on,the reverse side. OAWPFILESIFORMSIbuildine hermit fnrmgkF. PRFSS dnr °FT HKET ti Town of Barnstable Regulatory Services i;nartsrnaLE, + Thomas KGeiler,Director 16 ��� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m.a.us Office:. 508-862-4038 - Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: village number street "HOMEOWNER": work hone# name home phone# .p CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. . DEFMTION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section t t 109.1.1) The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner" certifies that he/she understands the Town of Barnstable Building.Department minimum inspection procedures and.requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official N Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1..1 -Licensing of construction Supervisors),provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed'person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomilcertification for use in your community. F �j __- --- ----------...............— .�_._.....-_ _.....-,,..._..-....._._......-....-. _, (92e cporwnzarzcoeal�a� aaoac/ccaeCY1 —............ ... . Office of consumer Affairs&Business Regulation License or registration valid for individul use only _ OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: = egistration: 1,1119766 Type: Office of Consumer Affairs and Business Regulation Expiration:_giffii_i;& DBA 10 Park Plaza-Suite 5170 Boston A 02116 WEBB i: i' CRAFT DESIGN =7 t. fir: �- RAM DAVID WEBB •: �: 25 MEADOW VIEW DRi3�`=_ EAST FALMOUTH, MA 0253fi ' Undersecretary Not valid without signature Massachusetts -Department of Public Safety Board of Building Regulations'a nd Standards Construction S"' r,isur License: CS-046189 DA VID H WEBB 24 MEADOW VIEW D E FALMOUTH MA 0253 .I 7 Expiration Commissioner 10/29/2014 a , i oFVE r� . The. Town of Barnstable 9� & Department of Health Safety and Environmental Services �E�M1pt�' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-90-6230 Building Commissioner �99 FM, �O de� S6 s 0 Re: Release of bonds C Dear)It'� / � Enclosed please find a bond you posted against damage to a roadway during construction. Our return of this bond indicates that a certificate of occupancy has been issued for the property and that the Town of i Barnstable has no further interest in the bond. i You should return the bond to your insurance company to avoid automatic renewal at the end of its term. If you have any questions regarding this, please give me a call at 508-790-6227. Sinc rely, Kathy Maloney Office Assistant Q960715A - -- - ------ - --- ---- .TOWN -OF- BARNSTABLE- CERTIFICATE OF OCCUPANCY PARCEL, ID 062 048 r GEOBASE ID 3528 ADDRESS 95 WATERS EDGE PHONE Marstons Mills ZIP - LOT 54 BLOCK LOT SIZE DBA to DEVELOPMENT DISTRICT CO PERMIT 16030 DESCRIPTION SINGLE FAMILY. DWELLING (PMT.# 12331) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY I CONTRACTORS: Department of Health, Safety ARCHITECTS: r and Environmental Services TOTAL FEES: ` ! BOND $.00 pk CONSTRUCTION COSTS $.00 I � Qi► 756 CERTIFICATE OF OCCUPANCY BARN3I'ABLE, s MASS. OWNER AYLWARD, JOHN 039. A�� ADDRESS r , ED MIS P.O.BOX 1442 MARSTON S MILLS, MA BUIL D, BY DATE ISSUED 06/21/1996 EXPIRATION -D,ATE THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) Im ^x L DATA ..::;:' _"'� ",sir• ..'� °!4 �,_i•.L�''��;, .: 5 _�.,'f'.,: o � i .� 1,.:>>•;..::..:.,.:• ., !: ,,:... ,.. _ -, 'rnta�•.; ���' �AkiJ 'ILL?L,C • , 1:I'DING nERMIT n1' . n .._',<: .'�I'.7�(lri�1.'4I �' li L:j'L'S': 1.�," ••ti i f c M ..:i .. t.!�.� !!a•� i_;l.:�1'`��.Z +�F.�-'�1. t�l'!1�_it.,.`.? ,IN Department of Health, Safety and Environmental Services * BARNSTABLF, • D BUILDING-DIVISION THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED 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 FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE BUILDINO INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 11 Ax10 .�Q� p/ �j ..1��.o►r-�3 iG�IK 2 �w IfN 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT Ol� 2 BOARD OF HEALTH OTHER: 76 2bgRz SITE PLAN REVIEW APPROVAL � rb r WORK SHALL NOT PROLE - UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. A.M. FOR DATE TIME P:M. M PHONED OF RETURNED PHONE YOUR CALL AREA CODE NUMBER EXTENSION PLEASE CALL MEN GE � ,�p WILL CALL fV Jag AGAIN CAME TO i( SEE YOU WANTS TO SEE YOU SIGNED universal 48003 Ao* 4to, Ch op"woo, cn LU TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 062 048 GEOBASE ID 3528 ADDRESS 95 WATERS EDGE PHONE Marstons Mills ZIP - LOT 54 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 12331 DESCRIPTION SINGLE -FAMILY DWELLING (SEW-PMT.#19-1586) PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT Department of Health, Safety CONTRACTORS: CANNATA, MICHAEL S. and Environmental Services ( ARCHITECTS: Im TOTAL FEES_ $57- 60 , BOND $.00 CONSTRUCTION COSTS $96,000-00 101 SINGLE. FAM HOIKE DETACHED 1 PRIVATE P;iC`)�'J' RNtc iA ft , " 039. OWNER AYLWARD, JOHN E� ADDRESS BUILDING IVISION P.0.BOY 1442 MARSTONS MILLS, MA DATE ISSUED 12/14/1995 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED 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 FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLE---POST TH-IS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 I I • I 2 2 2 I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH I OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. i i • i i i i i i i i i i i i i i i i i i i i • i • I i i i I i i • .I r1 - 1 . • sessor's Office 1st floor Ma Lot Permit# 33 nservation Office(4th floor) 9.S' fbAo' Date Issued /02 — -9 v Board of Health(3rd floor)(8:30-9:30/1:00-2:00) ( e (ad V4ngineering Dept. (3rd floor) House#1 Planning Dept.(1st floor/School Admin. Bldg.) SZ I RAHNSTABIE. • O or Definit' e n proved by Planning Board `�� 19 / "'"� b,4,0iv$ u6j t63q GC/ ��P�S f —/�P�� p t-� aoNu+' "Ov L'7 l^l l TOWN OF, BARNSTABLE Building Permit Application 0 Project reet Address LOT LTV Village AAA PNS A1 O 7J� Owner TWA) J4YLWA&0 Address PO ejpx lugL 04A1JPVJ h'l;ILS Telephone .Permit Request Axw 2_ s), 31. cwc Gv i?t,, Uv r1WJ kJZ S7_0,74S 4^4 b4'V6 O.-J /A- Total 1 Story Area(include'1 story garages&decks) �` ' square feet Total 2 Story Area(total of 1st&2nd/stories) square feet Estimated Project Cost $ Zoning District 9 Flood Plain J�- Water Protection IV Lot Size it 243 4CIS.;' Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use OW i.04ff (67— Proposed Use gj$./SIN e M441 Construction Type WOOD F-IIA" ASi bt^A r4( Kyat A9- J9N Pd uw Fp U;,J0A,1*9,) Commercial ^rResidential jllf-Jr Dwelling Type: Single Family Y LS Two Family AJI - Multi-Family, Age of Existing Structure h1/4 Basement Type: Finished Historic House N J A Qnfinish Old King's Highway FJ1A Number of Baths 2( 0C (DiVAA 5 )—No.of Bedrooms 3 Total Room Count(not including baths) S 73 RN%'51+t4 J First Floor Heat Type and Fuel FNW By o i Central Air iv Aq Fireplaces Ot-*CC1�✓171�`� �GCA-�h'prJ Garage: a ac e . Other Detached Structures: Pool iki L Attached 1D A_&J-(. os lblk TIP4 Barn !v 1A .NQ&e Sheds AJAO . • Other ri//' p Builder Information Name Telephone Number 909_�U _30 Q 2 Address 132- License# 0s(D 17r sa,Alv.,64 , AIA Home Improvement Contractor# 2QZ'7 ozstv3 Worker's Compensation# 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 cSAYODWO, SIGNATURE .;4— DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED - MAP/PARCEL NO. ADDRESS VILLAGE + OWNER •� � � � __ . DATE OF INSPECTION: FOUNDATION FYRAME INSULATION FIREPLACE , - r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ' ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ` ASSOCIATION PLAN NO. - i �1� � - Ir S. Ir I'1 r'V . 1 .1 1 1 I I.1 ; f I .! 4a•o ve.. . • IA,�i7.11A 1r1 . I ' Ili-I I11, I, 1 I I'1, 'I 11`I YP;r I� fl a .11 lLirl ,,. • /118 R•aE5 -rr T , I� , 1 �Srr ns+.,nww•'�T_. / •�� 11 1 'll I'1 ill I,l.•A �� 17 1 11" 1 � ITDI i .w ,1 ..AU Ac.t•rt._ a,l ocrri ar I.lam w e" 71"i 1 I I;y�_ �•- FM FM CA " _ - i•twS'*�..,,:.•.._..-.._..-�.__ ..�._r. "�a_iuv�.yl.. 1 ",J.IIIw.c.s.«tdll-.r:_I 4•N IJ j re c�a+u 1 J FRONT EIFINTof'J ;+ LEM E�NATIOnI LOT#5H 0F:WHI5TLEBERRy lI �yu� TEL#5W-990-1Ogl Scams I/y" = 1 0'' , .... � .. ,. �. . _ .---.. __. __... - --------._..__._�..------_�.-----._..__._- •----._..._.____— DRau.rJ N: '-_�axsn,ww_ryw ly,,,f P6 Cod 2J5 ! t , u' 1+ jW.,k , r+' po P:flow C; • •- __, . ... ..---.-..-_.-- Syr✓fl..arV , RIGHT .�IEuerow Rw /IrCUAAa It,rc P9.2 0! S IznY' .}=-4,E swutC f --`5G _--,•e...___..___ Ito ��_---•C)---•�=-��---__r ry� i I� .J...•. __--=�i.. ...a ^' �N 0-1 I AIU , I Aie•"•t Leo 0"T" ejoL.- TWA ' i ome w �{ t r dyyl � rL.IP••'4 I 4 � 5 .>:Y^.f� t f �1 ttrlW• � .,`M C�..m,�l G• �fTrg�tk..+t `•r t.I '`QpYT Ciro LT 0 '� 1.`Y flA l D 'L 9 �•sk `,.._ ^tip '' + ['ATA�MI. aA 5�ujc ne L RRSr FIoo2 PLAN N°`r�' SE tav�D f-Ioo�t W;IE BE '2 PIIIANa G ' O I+ r— ..an••w4 �i ! ;; .iSi ,f i �29-0 Ot—A Pr ens `V• fy T.of u-o ) .I l ,) Ip I •� (� Is c S{hw. Naa 1•t0 hA[/1 �,J.�', `L t-ev'' - S j '� 1 S i, sOi� l�t — —•—• — -. —�7"a M. IVOC 1.4/aiQl _ S{{_. fd. '^a�':> :9,eY •�''�, +'_•�;y�,+ �:` 1 �' n�it {}{�-�. ? '.—iyy.,uu-9!ervo.. �v •t-'>, A,r.Y i'L .i-�`1v. " ^., 1. 1 �'-I:• .� ,�7....�. '.� �s�. v - ^r .. 1•.d. L h• �, t .4�•df� 'k' •.i h !; .�. f v S -�. � .:�. � I L !•.•! (0.,y h 6MYJi 1 7 h f��OJIA i - 1 I�itNl. , '���� .d .r J .• f{oao .Df4t (All pETa}� j ? t fA!!!"E •otral £ltvArr NAYL � a •• F �� - �r` �' fa t� 1"v� p ){aMC•`r/'. Yx. - .. - • I'. - it Y47 _ , y• p,a•..eLL �a .<d s...a r. s may,. _ i�" ' •� � - •y r .+a �• ,, r f t • cn _ 1 "`ate • . ', �'- �. r' 1 i �,� � �' ; ,+•,r.oa* 1I,0. ,ts•r<. > ,, - -1'-- ? `,r Vj �,. •• +,S- - 1 571r A��_� r - r y r�1''�� ''j t , •.. } ' h{ � r HO "i�"E �y42---'► } ` -'t •.+"��� ... � ��nE >V I• ' _ >: �'�• �rt� f.. q�Yki t.`�. * < w'odSe „y . � + r y• 0 > I�'.rt.n.as e f 1 ,�yf. � — _ i ` f ~:y .. a . - � 3.r.11'k• ��Syt2 :'l "r` f. , ,', ra �" M}{ir{ a4- •� - •- �_ 3(,•0"� .., - . �. � . >,. _ t 1�• 12 K_ S 4 � ri� W M}YC ♦ r .1 \'J.I} 1`- t _.�•• , •�'Y < •1� ':?- " i 1 tFr r t �,� ,,•r' I+{ aJ Jl t 7J. V ' '1'•'i''*' :�(. a :5.-v..3.X1,.- 't r'f Al-ifj_. �t.'r Y�} "x> ;o t ,1 S .r�,�• ��`M+.T .x , F. r '� is ��,,xa: (•.f'�It,'ti i :,Yti„t�:� �13� i s. '�' :� n�+.y�t a ii. r'1 i„- , r'�� f; jr 1 .. _ `. t,��v"��4� ;_ j"r !.�` /' it• t 4 ,'r ? i`,ro>.,.. � a , ..a. f�. ♦ f±lj3t.. ,,C \ i,��� > '• 1 `. r r�.1`.y }M 1' `S . � I ^ _ •' <,.• ,.r .. �a� I 1 �; .' I r�i. �' ti' fouc+WrJw t w Plc» i .�f Brt,UhT dIW f f� . . Yr.�.• r �' „ :'L-.♦ - •� r. �- r i",S_i• . _ _ _: •t s'. "'A;�<;;�� '..:?;:� r.'i,`ryJ_ - _ _ '.�� ' «t->« "z. ; `<' ta" ,+r ar ,j�'•F,a.r t�`E,..,: �i tt.a�� y.t- '^.ry � �, r �,, y �� ` �� > �t .. - . ;�•' ,� '�I.M �.r—:;e_. t i r �*' j'C�.t�,'�.f�f�'t�� F t , V } !'Q� s s •4 v. t ��„pp�},`.'S'r., ; ,' .'• }4 - �r - .. j,,. :4r+-1 i t. r - r f. r^ r •� r �"+_ +'w ♦F r.11 }� •�},P ,. -a: y 'ti, ' � 4 � a �y, . •h' n. `~ K d;}a.4• . s' } r f` t S�J`'� y':r ,t �j f,� t zy � — J Dr- ;�7, M;/Is r ..., T sA- . �. 1 • . � 17U'Uv t 243 S W ILLIAM i C- w,;y NYE w No. 19334 OISTr din : l(oc i'1 CEQTlF1E1D PLOT PL-•!L _. .� �.., . . .. - - p•t_.A�1 RAF EQE�.1 GE �,. � N6 51 �AuvTSET$�CtiC-�.SZt:gtJtREN�E�'TS dF TNT \ti, t�l 5 'fL.� �3��-� ' 'LowU .,of '�1��`f�►;(3 c.E �A►�..t� 1S tau T lIJ �.(E• IUG. •troG.AT�p . Wt Tt..�1�i Tti-tl✓ �t_oo 6 a xTC IZ �- DATA '� ' S RE G l S[tJZED 1.A 1J p 5u ev c' UST BQ►SEc� A�J OSTE(Zv%L-tom o /Lr(A►SS. f � TI1 vFCSIFTS SI 1oe�t� APP LI GA.►J T I�vC.W�� IJS"rrLuMENT 5v¢v�� u5L0 TO De:TcPmINt= Ln•t LIWe5 `• • 1 r ✓lie {oo7romo7uuea� o�./�aoauc/u�aelta , OEPgRdMEN1 OF PUBLIC SAFETY CONSTRUCJIy,,SUPERVISOR LICENSE Nu0*er= =� Expires: , MtfIAEC S CANNATA 32:a" HIII R0 *jpp"d ";. SANDMICH, MA 02563 I • AV sty-"-•�'�yk�y�a{.yfs�-r•,�i,. r ., MOM, P.`R �T CO .,RAC?OR �e• � 9� ratlort```�;I192T t� kNDIVID,U �1WM Xpl ailan CANNA)l MIc l� v. �R ATa ADMINISTRATOR �< �+ SA Owi MQ 02;563OW r $61%%Z I 1 122- DEFT L" Abb1JO 600 . .1�a�arfma,�o���GiaL�acsd� eat 9.6,s, XaaiarA� O f!! ,�mes.s.c•� Commissioner Workers= Compenudw it sane Affidavit will: a principal place of business 132- 6agT 91V /�O s-Aavlto4, M,�• 6 261�3 do hereby certify under the pains and penalties of perjury, that: () t am an employer providmi g warkers' wM i-nsation cOverage for my e=fcyef this job. , Insuran Co mpany Policy numbs sI am a sole proprietor and have no one woridug for we in any tapaatY• , () erai matraaor or homeotvaer (dr le one) and hav I am a sole proprietor, gea contractors asced below who have the following walkers' Ompensadon polid ' los�0e ylPo Contractor tns�ance Coatpany/Pe Contractor . . Company/Pc Contractor Ins:traace () I ain a homeowner performing A the work myself. I u�Qe.�GaG:.`.st s coe!of figs sweet wdJ be tee�rsrded to dx OStSc�of�nva of ms OTA f�opaecs�e a aer.�e:s of tine et uv u rzc—sd under Scaion ZSA of MGL i S"1 caa lean m me of ai�e�paw rem' T � . .. weft a:dvd a in osm cis STOP WORK ORDEK ama theeetSt00.00 a d�► Signed cWs B � Ucemnseei rMittee Ling Board 7 �ti sib SI�►-i DATA - ^� SITE F/vAiL BAGIL t-4EtzF1 ;AIZP3A6-E �� Flow = 3 ,c I ID = 330 6P--3 L.oT S� oy Su7n G TA tJ L - 33C x?oo m/._ CZ 4 uSl: 11500 GA!• I..EAGL�Iul� 5`fST��t �ES�N - su"m Edo. 29733 APPU GAT1 ON AMA 3 30 GM o,Id °D/sF = 4 46 5 r- At dPPLI64T10N A¢.EA DE516►-1 5ltv,-wau- AAA- 5 x q�= Z Z d CAI L oF LeA64Iue- Trrbx;�k L'oTrOM AeE-:4 = S&K 4 =4 5� -rorAL /lam, = 3 MAYC PF�Co,OIL TI0ti 2M L S'�Iv�Il�1G61 Z' '�g-�i sro�JE = 4. Z. 3�4-IIZ sTaJE CLAI�,' TEnT�Ao-E ��sr�� ► ►�, ee.='73 Mhx ,,. 1,,777-c-,C7„ TF- .4�W 7JTQ �TicG:Ti ,ii.� SAu0 TAW- -7WD - G - lo - M� c� WILLIAM �G•;1 C C— I I r J�'D SOT P�� C. 1 ---- �j N 6 ' W k75L p No. 19334 .ns': LVGAIT I0�1 i k4 Q/sT e'X 156ALF-- t Ac, DAM- 27 �o S�F I-FFJZF.oN CGw1Ry5 jlTtA 714E SIDEUWr= A►.m fBAGIC. u12EME�+"T OF TWE Torc��i OF MAP (OZ paw! P;1��1Js(�P,c.�-a�►ti i s 'lvf LlX.1�T� w l T'I�l I N /� SP6uAL FL.ti�D HA7-AE,b ZONE. OFFSETS r.�n $VI(.D�tvC+S SFJOVL� NOT BE �,(�f�LlGayT: Jp�c{1� I 4 UA'A�-O USED Tb �7�Y:!I�t1 ( D�E�T`l Li1JES, v !e t to Gam.D 6U l0 1 . emu �c�" � CUNM � SSt.v ►J 1 PETER SULLIVAM S No. 29733 lay PL-07 PLfix) ` � `W °f A�gs`9`�- k1 ` JTLF—zegP WICtIAM J jTt�v s M 5, C. NYE y I c°.0/.�,_ , � ��rt✓°3> u,-,•.-V=�,_U^,�I\�- .�'�s pj0� 0 �11�" -_,- � l: � /��o•" u• ��:�� `` •zJ � r ,:1 gScorton�` � i/'or%r`.c-/--?`� -�o ° ° / ,2 oO /s"o'U"o a`�� \ rr .r�••�i 4 o �6 c oZ - .� ��� - � •2m ��: � h•- �O rr" �l?°o'�'''=-�. �'` f�`-'' I ��b ���h` :t'So �� ��I� asl8 oWestaMIe ; °- � „' _ �a.2` ao lJ�o �•-- © � li ��'1OL v,�:r�; _ q r°i � :r p � I Pr-_ - - 14 .lo � Y - `\ Ot��-• �=�� .:.� :o'' �\��/ 2 �\�'J�^e n1��lo v/• °�. G�l �/�-'_� - w7711. °• t./. i a,.,_,�'�,-, � :off �� ,�-o�;'�,� � �e - LJ7 ? � G _ __ . ° _ III o•� g• o.. o �'_-. ° `:•\ I.. `OveeY� iih• _\ " ft °. ��/o oar J t\/L . \ > soles �''-t�'OS <, ��?) Ov `� 8 yQ l �•, v /1 l7 tN It„LIt?of k�s� ./FJr � �Cl I1 E ?�' a ?3 �v rn r' f�/ F� I O a) l0 a Pp % - rr _ _` .° , �n '0 ^_.,. � .'G'ianC_errl$�, _ -w o F \_ioo.� a �;�-.� s� ,\.-.,\. -)_' ,'b' ) r �'' �'l� r•�' `,qu'_• ;)i ��,:�-� - i J U9 l 4. ) tittle s ;1. o ¢_ x�3, = I•i ��j! I,,, `O -o- ,, Ca P.e l7od`;`\ -; .'\ �`` \ �`\ �j or�_� (21P rF' CEl�ilgJft �' �i'• �. ��'„ \ (r` o \-_,\4 _ 53 /i 'I r`C:•.• - ANE ' 59 �1 v >/�� '�v._• 0 1 '\F`grounds\i ( ., !''J, .ill "^: '` 1 \ i'' \ 1\ \j•J., q�_ 100 44 JZ _ _'" �)' \\,�\• ''�- _ Lake { `3r:; �;�� � ���. Rq�e .\ o q � �XN11 l` .n Shub el a 614 �,0` 43 0 it Hamblin Pond C :� 1 p' °• `V •n — III - - / \ If 41 1.3 Mi. TO MASS.28 INTERIOR—GEOLOGICAL SURVEY.RESTON•VORGINIA—I978 700 22' J 2 S' J85000m E 081 ROAD CLASSIFICATION 1 MILE Primary highway, Light-duty road, hard or 000 5000 6000 7000 FEET hard surface......_............ improved surface 1 KILOMETER Secondary highway, hard surface Unimproved road. 0 FEET 0 Interstate Route U. S. Route O State Route LEVEL-ATUM IS MEAN LOW WATER LINE OF MEAN HIGH WATER MASS. MATELY 8.7 FEET QUADRANGLE LOCATION SANDWICH, MASS. N4140—W7022.5/7.5 AP ACCURACY STANDARDS RESTON.VIRGINIA 22092 1972 YMB�LS IS AVAILABLE ON REQUEST AMS 6967 III NW-SERIES V814 CO9r - ,�tI t A 1S '/ cl `7 ,Z, n ." 1-10 SCALE too, 100 0 t00 20O :t00 'FEET �\ 1 lul t v a,'.M¢Vi - ...31 ,4 a._ - '�•wtii K•a �.x' ,f,$kS�•r Wii IPPIRI Op ME Moll,IR,�'Y