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0009 WATERSHED WAY
G/� ��� lit 0 0 r ./� ��.. ,.��.•A ...=4.,,fix a^9,}.., rim. � -- -.<�� -1. .ts+� - 2^� �e� _ .:� ., Land in i..BARNSTABLE 6260 105 ...• Belonging to JKS Trust ............ Deed in Book Page Land Court Certificate No. .:.............. in Book ................ Page............ In .Rarmstabla.. Registry .QLO.Q05...... Recorded Plan ....O.f..1..1ps�..JC1..sarnsxabJ.�. X...6aX��1 .. .. Xe�I nc................. Date of Plan :Max..19,1986 .. .... . .................... . Barnstable Registry of Deeds Plan Book.426..........No. .87........ Filed Plan No. .............. MORTGAGE INSPECTION PLAN THOMAS „.C. KENNY, ESQUIRE • .tip+;',z�;:. Loan No. 70 p 1 ' /S.. f LoT 16 �All' x DECX I �'p 2 cgI2 / SToQY \' t No.9 1 (/47.4.3) / (40.52)i f d1p r: - i ,[ r', .1'1'.. ,'�i 1 .4C11.j•rr�3 S�(1 G'4• WATERSHED WAY O Jul.18,1989 JN 56167 Scale V= WHITE CEDAR SHINGLES 42 PINE CORNERS AND TRIM BETWEEN SCREENS REAR ELEVATION asphalt roof to Match fixed alum #2 pine trim screens screen door 10" poured concrete sonotubes SIDE ELEVATI❑N existing house 12 ' 2x P.T. joists 10' concrete sonotubes galvanized hangers naps and bolts two sets of stairs 4x4P.T. posts 16' DENHAM SCREEN P❑RCH LAGADIN❑S C❑NSTRUCTI ❑N C❑TUIT, MA DEPARTMENT OF PUBLIC SAFETY -1 7 4 '�^�"v'::-...v�rrs4'.w.d'e4✓:.L.-..ha+w :r- v - 1010 COMMONWEALTH AVE COMMONWEALTH BOSTOK MASS.02215 1®f f r �1V s OF b MASSACHUSETTS 'LICENSE _ CONSTR. SUPERVISOR i EFFECT EXPIRATION DATE ,,.7t...gg EFFECTIVE DATE LIC-NO. E �� _ L041 , t 06/30/1991 012653 ' Ob/R 0%N993 NICHOLAS A LAGADINOS NONE 13 THANKFUL LAND COTUIT MA 02635 p E E ':oNirl FEE: T VALID UNIX SIGNED BY UCE ANp OFFICIAL IV F �/ I` • 100.00 . STA D- -SGNATURE OF M CONgIGSION R f % ;;- +.•' " HEIGHT: f D 1� 1 THIS DOCUMENT MUST BE COMM/S510NEA t. �s ys Jf•,' _,r ' CARRIED ON THE PERSON OF*,� OL THE HD ER WHEN ENGAG- _-.�+ .!} GHT THUMB PRINT ED IN THIS OCCUPATION IF S SL 14 5 Assessor's office(1st Floor); 000 �. �F �/ ;Assessor's map and lot number 0� 7 r�. SEPTIC SYSTEM MUSS' C P INSTALLED IN COMPLIAN Board of Health(3rd floor): ' �� d � Sewage Permit number 13 VM TM 5 CODE A Dsaa9TADLL Engineering Department(3rd floor): f'3 f , � ., r 'E r.as j House number ' r' TOWN REGULATIONS o 39 s`�� i Definitive Plan'Approved by Planning Board i 19 APPLICATIONS PROCESSED 8:3.0-9:k A.M.and 100-i00 P.M.only , Bg A p p R TOWN OF BA R N S T A� j °hseryat BUILDING INSPECT Sfg�ocdl ssl°� APPLICATION FOR PERMIT TO G 4G TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: f Location Proposed Use s + Q� AM t t/\ Zoning District Fire District Name of Owner Qi�V �9 Address �+4T`� S�Q D uj 4 to Name of Builder L14, L Are,4I? WG S Address 1 ? T�"ti v � L ti Name of Architect Address c- Number of Rooms Foundation Exterior l.��t tZ R Roofing ���►� i Floors l� o 0 -� Sly x �>2.G 'u Interior Heating K3 D 10-e Plumbing Fireplace N U N G Approximate Cost Area 6Up!y/TES L�%7�'AUCr� Diagram of Lot and Building with Dimensions Fee ©. I I 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 con truction. Namef � Construction Supervisor's License 0 1126-1 DENHAM, KEN : No 34416 Permit For Build Screen Porch Single, Family dwelling Location Lot 016, 9 Watershed Way -Marstons Mills Owner ' Ken Denham Type of°Construction Frame .Plot � Lot -r, 'Permit Granted' June 25 , 19 91 Date of Inspection 19 Date Completed 19 fr � CC r , rb y N � . ®tr goo 0 �. m �t) a ' O a,B j1 a4 c,*j No A :, too y : �Fj„E TOt'ti Town of Barnstable ; *Permit# 16 — �„ Regulatory Servi5gs fee 6 months from`ue date y Muss. $ Richard V.Scali,Director 1679. �0 Building Division 0, ©.c9 A Paul Roma,Building Commissioner c9� 200 Main Street,Hyannis,MA 02601 'S/� ,/�� www.town.barnstable.ma.us . Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENT ONLY ��� d Not Valid without Red X-Press Imprint Map/parcel Number Property Address W A T E Z6 N E D Ali Q Q 1 I,LS Residential Value of Work$ ~i.,00000` Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name 9 LLIA ' F6 nc � TelephoneNumber5®8^ 7a$'�6V- Home Improvement Contractor License#(if applicable) 17 9717 Email: W �'06-3 y A Com Construction Supervisor's License#(if applicable) C 5 FA — 06� 9LA5 ❑Workman's Compensation Insurance Check one: (� I am a sole proprietor, ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance- Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit-Regiiest(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). ❑ Re-side Replacement Windows/doors/sliders.U-Value •(maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town departrnent 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 re,ui e f SIGNATURE.• Q:\WPFILES\FORMS\building permit formsTYPRESS.doc 01/25/17 ti The eonzwo7nveah*q'MaiYadumetts D,epartmeut ofradaybial Accidents Q.rwe of rmwakwims ' 600 WashizzL4=Street BasWn,MA 02M iPFVFv-ma=gov1dia Workers[ Cmnpensafian Insurmce AfEdaviL BuRderS/CoIIt'dCtur-JEfec k aIIrdPhombers APPHceant Infg-matigg Please Pxint -Named - �L�1 Al �� FOQR RT,� Address: 44 VEP-rm Co u rt- CitylS rev I LLB Phone- 5016 $ " 0,6 q oZ Are you an employer?:Qrecl the appropriate bon Type of project(required): I.❑ I am a emplayeyer v¢ith. 4 ❑I am a general confmctar and I 6. El New eomsftuctioa employees(fun audkr part-fiime)-* havehiredtfie sub coabmct= 2.V I am a sole proprietor orpartne.- listed anthe attached sheet 7- Q)Rem debug. drip and have no employees These sub-contractors have g_ ❑Demolifioa wo>izing forme in any sty_ employees and have workers' 9..Q Building addition [NO wudm .'comp-insn= a comp.tnantanrr required-] S_ ❑ We are a corporation and its 10_0 Elecfsical repairs or ad&tzoas 3.❑ I am homeoumer doing all work officers have exerrised their 1L0 P1ffiibingrepaim or additions mysd€[No wodaers' F- tightRoofr of eseupfioa per MCM ❑ epairs i�, r �d-j T c.FSZ, §1{4h andwe have no 1 employees.[Noworirers' 13.❑o er QFp�.ACEMEQ?O I' comp-snsarence required.] W I J�j Dow 'Any app&c=t9mt cbedsb=ftI toast also Moutthe secdoabelawshumdag�eawor7sea'txmpeasatiaapuriepinfotmauon �ameoamers s�o sabmit t$is xEi �indvca g they ate daio;aIf Wow aatl&air bim=t;ide coaUxct=szoast mbmit a new affidadCmdicabnp saCIL ZCaatoatmtr ffixt d-Ar this box Hats[2"ady m.additimal Shaer showing the nurse of the sub-cmtwlo-a and safe whether oraat fbose haM employees.Ifthesab•coatadashave emplvyees,ihey=tstpmri&theft wadies'immp.parity number- I am arc euipIaFar flies is prouiztu�;tvns�rets'corr�ertsatian ussrirartcs form}a eurplapees BeTo�v is tJte pair rum job sits hformffliom Insurance Company Name- Policy-,CIL or Self-ices.I.ic.4 FkpinfionDate: Job Sifs Address: Citpistafelzip: Attach a•copy of the warkers'compensationpolicg declaration page(showing the policy mrmber and expiration date). Fa2h=to secure coverage as required under Section 25A o€MM m 152 can lead to the imposition Qf criminal penalges of a fine up to$UOD Oa andlor ori-eytirimpdsossmezLt as we11 as civil penalties in the forma of a STOP WORK ORDERand a fine of up-to$250.00 a clay against the violator. Be advised ttxat a copy of this.statement srsay be fx varded to the Of of Investigatiom ofthe DIA,for msurrice coverage vedficatim Ido hereby cerlrfy vjujv the pams and aWes afpedWy that the irrfar ma€ivaprm•i&d abmv is bus and rmrrect �itmature: Dates � —O� -17 Phone ik OffikiaE use w4y. Do;swt write in dth ama,€a be campleted by cite artarrn o oRial City or Town: Permit;Ucense; Lnukg Aufhoritp(drde one): L Board of$ealth M BmTdiug Dgmtnent 3.CityHown Clerk 4.I3ectrical Faspeetor S.Plumbing Inspecbr 6.Other Contact Person Phone#: ormation and Instructions Massan3 et s Ge=al Laws ahaptra 152 requires an=ploy=to XM&w011a&aupensstict fh a for ei r=ployees- P is ffi ,an.EZTIoyee is deed as.¢.every perssoa is ffie service,of anord=uader airy comtmat of hire, express or implied oral or wrh=L" An=TIoya is_dam.as"air indrvidnA p assocfiam;cozparafl°n or ofb=legal entry,or auY two or mare of f.c foregomg engaged in:a Joint ,and inckdmg the legal rcprs fives of a deceased employer,or fhc rWXjV r or trastee of au mdxvi&A partner -association.or ofheslegal entity,employing=Mloyees. However the owner of a,dweUlinghowe havngnotmare than three apar andwho residesf erein,or the occupant ofthc - dw.enmg house of anoffier who employs pis to do main mm=,consfra�on or repair woIk on such dwening bonse or on the,grounds or b i ing apputiEaarlf thereto shall not because of saris earploymenf be deeffied to be an e�aployer" MGL chapter 152,§25C(6).also stafis ffiB±"every S"trite or local agenty shall withhold fhe issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant-who has notproduced acceptable evidence of compPance with the insurance.coverage regniQ-e Additionally,MGT_chapter 152,§25C(7)states-cxffi=tbz nMTrM mwcahh nor any ofits pofbical subdivisions shall an mb any contract for the prance ofpnblic wmkunbl acceptable evidrnm of campliaamwith hire msarance. req=mnenfs of dais d apl=have Beenpresemfedfn the contracting authority." A FPlicauts ' Please fill o Elie worla°as'cpmpensation affidavh completely.by g the boxes that apply to your situation and,i f s)name(s), ad3ress(es)andphone==ber(s) along withtheir�eate(s)of necessary,supply awes or Limited LiabMty Parft=mbips(LIP)w&no =3p , s offer than fhb mmmmce. �a�LiabU4 Comp ins rrsn= If an LLC or LLP does have nimnBers or par�4,am not regaimd to carry worke&camp eaapIoyees,apolicyisregafted. Beadvisedthat this affides:vk maybe snbmittedtotheDep�aeatof Indristrial Accidents for vFF of insarw=coverage Also be sore to sign and date tre afdagit Thu affidavit should be retmncd to sae city or town that the application for the permit or license is being regaested,not the Departm.ed of ; ln&strial Ac ' P„is Mould you have any gnStMs regardmg the law or If You iris required to obta n.a wozlo°as' =npenmffi n policy,please call the Department at the mmmbez listsd below. Sc f-ms<a�campanics should eater.their seIf-insurance license nnmber on thr,21ppropriate,Vie. City or Town OfUciaTs Please be sore that the affidavit is complete and printed legibly- The Departmeothas provided a space at the bottam of the affidavit for you to till out in the event the Office ofInvestigations has to 8nn actyou reg i n g the applicant. Please be sure to fM in the pem ilt icense Timber which vM bb used as a refe= uco mmlbcr. Iri-addition,an.applicant that must submit multiple p=*�' r—applit'ations in any givea year.,need only submtt one affidavit indicBtI g=_eot p olicv info=ation.(if necessary)and—den"Job Sbf Address"the applicant should write"all Iocaticns xa (city or town)_"A copy of-the,affidavitffiat has been officially stamped or madded bythe cite or town may be provided to the applicant as-�rooftjwt a valid affidavit is on file for fdm parmits or licenses Anew affidavitmust be fMed out dada year.Ylhere a home owner or citizen is obtaining a license or pe�.itnot re7si�d 1n any business or commercial venom (ie_a dog license or pcm1k to bum ICzT=etc_)said person is RIOT requircdtn complete fins affidavit The Office oflnvestigaf ons wauIdlilm to tT�k youm advance for your coopez ffm and sboIIldyou have any gaesiiams, please do not hesitas to give us a call.. The Departmenf s address,telephone and fax number. lkft tip ofssa> . . .IIe}�az�nent c>f Iudm�za.1 A�dt�nls , OBI=of DnMdkXf io= 6D4 win R M&oil II Tel.#61T- -4900*�t 4-06 cu 1477 M&M Fagg 617 727 774 xeviscd424-07 - www_M • g� .1 �"E Town of Barnstable Regulatory Services Wes` Richard V.Scali,Director +� Building Division. Paul Roma,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 as Owner of the subject property hereby authorize l 1 UU Am J -Foq P►g7i-y to act on my behal� in all matters relative to Work authorized by this building petmit application for. i E s9i�,eS�D� c,c S� � (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspectio s are p tined and accepted. l S' e-o er S' e o Ap licant Print Name Print Name Date QTORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services p1Ft Richard V.Scali,Director Building Division MRrvsrnMA t Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: -JOB LOCATION: number street village "HOMEOWNER": name h6niephone# work phone# 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. DEFINITION 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 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 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 person(s)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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in . your community. Q:\WPFILES\FORMS\building permit fomu\EXPRESS.doc, 06/20/16 airy¢o�rs}ii oq Pgen;oN _.. �•�-z_.-:;�;.�. � � SS9Z dW'3llIAb31SO 9IT. __-=7 �I IIo a OLTS a;rng:eze j_i II�;�FLbyDOq'.'f WllllllM H l�?g S6U[STI id xje g PIIe srlel iaiIInsoo�3 ad 0T lenpinlpul :o;IIl o .330. 8k} YZ =:atrolae�ldx3, . rqa}.pano � .a;aP`9o�lelidga aq;ago;aq L l,L6tj,..,CIIIo asn Ienprelpm 10 i ee:uo ap1O. c,,uoge-l;sl6a�j k 3 P.l yes;sl$a��o aSuaa17 t211N.00 1N3W3AO21dLN1.3WOH : f �> 0ycjr.�agssaQ�sn s-lKW-ramnsaoD;o.aa . io.o;� IA to 5m', Z. CL- o g e aN-. : r-• :o w+ Massachusetts D ' artment of Public Saf c a u, A m MW Board of Building Regulations and Standards m c License: CSPX-064245 •� m;.»• " :._ '; Construction Supervisor 1 & lo. ,• Family WILLIAM J FOGARTY,Ilf_ : 4a 46 VERMEER CT '� `�,p i; , OSERVILLE MA 0265 a ; 0 N:�. t r}• ..tin l_J��. Expiration:. Commissioner 10/Z8%2018 �. �. A.:04 r � u P � u ii w i V y s` s PERMIT PAYMENT RECEIPT "- TOWN OF BARNSTABLE f BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 11/04/11- TIME: 16:23 -----------------TOTALS- PERMIT $ PAID 35.00 AMT TENDERED: 35.00 AMT APPLIED: 35.00 CHANGE: .00 APPLICATION NUMBER: 201106202 PAYMENT METH: CHECK PAYMENT REF: 2618 l oVi'1l'1 of Darnstame Hermit: Regulatory Services DiFo I fo ';�6�— ` °pIHE r°� Thomas F. Geiler, Director Fee: NAP °s Building Division ewRNMI r..e. Tom Perry, Building Commissioner 9Q� 39. `08 200 Main Street, Hyannis,MA 02601 a www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: L(15 Phone: `f a 1 (�7 �e Install at: C"k'J U'l Village: (-wir5 r',5 MU Map/Parcel: O S —W-1 —C) \0 Date:_ (I _ Stov A Ne / Used B. Type: Radi t/Circula ' C. Manufacturer: 1 eACV MgtbA Lab. No._ . Wjo_ D. Model No.: / _kL LAbel- -)t 361 Chimney A. Ne Existin (If existing, please note date of last cleaning 13. Flue ize A 'f -:5 7* 55 l� C.�C✓ie ayf.-*Ui-146e C. Are other appliances attached to Flue? No D. Pre-fab Type and Mamifacturer E. Masonry: Veo5 the nlined Hearth A. Materials: 312ic,� B. Sub Floor Construction: CoACWe _ Installer Name: . A,0;4&1_-!5Gjeep Address: PC) # 5 i c�C`Lp Phone: Location of Installation: V Vv 1�&I FD - ca H.I.0 Registration # Construction Supervisor# _�� {-Aww l 1086 ; OR check_ Homeowner Installing, no license required APPLICANTS SIGNATUREA APPROVED BY: g t Please make checks payable to the Town of Barnstable *This constitutes an off cial stove permit after inspection, photographed, and approved by the Building Inspector Q:forms:stove Rev 103107 11/03/2011 15:12 5084775733 SANDCHIMSWP PAGE 01 : . t town oitiamstaoic, Regishatory Services Blildirig Division Tani Perry, Builditig Commis.0011i"r NO Mair,Slfee!, ':Iyannk, MA 01,601 as 0 9-7 D-6 2-3 0 TOWN OF BARNSTABLE SOLID F01,3, STOVE YERMI".[," Owner "bulle, 5' 'L'7 invall --I(: A B. Typa: Radi.cAl DE- Lab. D. A. jl/fexbuing, P!fase nou-.. oflaw elegy "notj lo 7kit') i"-(--,fFbTypC anti MpUticturcr F3. SUI) owl Name. L -1-d APPLICANTS St6'.- A'- AP Pfc,'rye alakc viieck�pcpa%Je (0..he lipivil (j1.81,;-Irstable )h/F Pr offtj '()'I, qpprcved by Rene The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lepibly Name(Business/Organization/Individual):SR ft�rCVi ( . �'li�'lNes/SL.c���°� �✓IC Address: PQ _B0X 90 City/State/Zip:,�� � O o't5(v3 Phone.#: 50.0-goo. 5 /11-1 Are you an employer?Check the appropriate boa: Type of project(required): 1. I am a employer with .S ' 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor of partner-' listed on the-attached sheet. 7.. ❑Remodeling ship and have no employees These sub-contractors have 8. '❑Demolition workingfor me in an capacity. employees and have workers' Y aP tY• t 9. ❑Building addition [No workers'.comp.-insurance coup. insurance. "10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ eP 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required]t c. 152,§1(4),and we have no employees. [No workers' 13.❑C.Dther1/Ltf � of ✓15 q{� comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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 subcontractors and state whether or not those entities have employees. if the subcontractors 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. e Insurance Company Frame: (/ I C L/�V,l �le tu �✓u Policy#or Self-ins.Lic.M W C VOO 358.360 Expiration Date: �oZ' Job Site Address: Gj# e City'/State/Zip: 04. jm j1S Mpfj 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 of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 for insurance coverage verification. I do hereby certi under t sand penalties of erju that the information provided above is true and correct. Si ature: t k'yf +� Date: l Phone#: 27V rY Official use.only. Do not write in this area,tb 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.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts- Department trtment of Public Silrel �ie{ianvrnauueall� a�,/�aeoac�uraet7d I� . �I Board of Buildinh Regulations un(1 Standar(*Is lugOffice of Consumer Affairs&Nosiness Regulation � Construction Supervisor License HOME IMPROVEMENT CONTRACTOR One-and Two-Family Dwellings Registration::'--1'20859 License: CS 58557 Expiration:;,=.3/.12/20.12 Tr# 293707 Type �I Pnyate Corporation KEITH A CLIFF �. SANDWICH CHIMNEY.SWEEFINC. PO BO�E3E} 7� KEITH CLIFF SANDWICH,-MA 02563 'r 28 EMERALD WAY' FORESTDALE,MA 02W..-,"- Undersecretary �, T Expiration: 2/27/2013 ('nnuuissi1Oi'�• Tr#: 10266 Chimney 50—ety Institute ol America Certified Chimney Sweep '= C.OMMONWEALTH OF MASSACHU.SETTS-, 9'Aral fCEflTIgED#Z722 - `S.H.EET METAL WORKERS- r CMIMNE ISWEER Valld qS A MASTER-UNRESTRICTEd ThrU ISSUES.THE ABOVE LIC TO ENSE June 2012 ` KEITH A .CLIFF, . ♦.: - �8 EMERALD, W.AYKeith N, FDREST'DALE MA 02644 1530 Cliff _T 11>088 02/28/13 8677 ~; Sandwich Chimney Sweep • __.. -.., Sandwich, MA Town of Barnstable Regulatory Services antwsie Thomas F.Geiler,Director �iDEEDPM'�A`0� Building Division Tom Perry,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, Li 5&� 4-AnA( i kh 6 o , as Owner of the subject property hereby authorize 12&1+1L- Ci l - to act on my behalf, in all matters relative to work authorized by this building permit application for. q Wa,+t'rsk.'CA W y . I I t5 Nit (Address of Job) l I a- 11 Signature of Owner Da e U sa- fib® Print Name If Property Owner is applying for pen-nit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION NOV. 4, 2011 2: 26PM HART INSURANCE N0, 535 P. 1 1 a® CERTIFICATE OF LIABILITY INSURANCE DAT 11/412OfYYY1G) 11/4l2011 -HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ios) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorseme s). PRODUCER N A Laura J Murphy HART INSURANCE AGENCY, INC. PHONE 508 243 MAIN STREET ( )759-7326 Arc PO BOX 700 ADDRESS: BUZZARDS BAY,MA 025320700 INSURERS APPORDINO COVERAGE NAIC s INSURER A: MAX SPECIALTY INSURANCE 20079 rNwReO Sandwich Chimney Sweep AMU INSURER ATLANTIC CHARTER INSURANCE COMPANY 44326 PO Box 90 INSURER C: Sandwich,MA 02563 INSURER D: INSURER E! INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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, R45R TYPE OF IN6URANCE ADDL B POLICY EFP POLICY P.XP N POLICY NUMBER MM D LIMITS A GENERAL LIABILITY MAX013100003962 10/09/2011 10/09/2012 EACH OCCURRENCE $ 1000000 COMMERCIAL GENERAL LIABIUTY �,� S 100000 CLAIMS•MADE 17 OCCUR MED EXP ft ono crson) s 500D PERSONAL&ADV INJURY 5 1000000 GENERAL AGGREGATE $ 2000000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 1000000 POLICY 0 PF O- F7 Loc $ AUTOMOBILE LIABILITY COMBINED SI G I 8 accident ANY AUTO BODILY INJURY(Per Parson) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per e=dant) $ MREDAUTOS NON.OWNED PROPERTY) AUTOS a eddant $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S E]cCEbS UA8 CLAIMS-MADE AGGREGATE $ DED RETENTIONS B WORKERS COMPENSATION WCV00858300 10/14/2011 10/14/2012 WC STATU•' QTM- ANO EmPLOYERS LIABILITY Y/N ANY PROPRIETOR/PARTNER/FXECUIIVE E.L.EACH ACCIDENT S 500000 OPFICER/MEMUER EXCLUDED? N/A If E.LDISEASE-EAEMPLOYEE $ 500000 Ifye.,dowl6oun0er DESCRIPTION OF OPERATIONS below E,L,DISEASE-POLICY LIMIT S 5000OO 7ESCRIPTION OF OPERATIONS/LOCATIONS/VEIItCLQS(Attach ACORD 101.Addldonal Rumple 6t he0ule,if more apaoo Ic roquha0► )perations as performed by Terms&Conditions in the policy 'axed 508-790-6230 :ERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE 200 MAIN STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE HYANNIS. MA.02601 THE EXPIRATION DATE .THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AIJTHORWJED REPRLSP1aTATIVE ®1988-2010 ACORD CORPORATION. All rights reserved. kCORD 25(2010/05) The ACORD name and logo are registered marks of ACORD �oF ' ti Town of Barnstable *Permit# zo Expires 6 monthsfrom issue date snaxsreBIX Regulatory Services Fee 9eb ,may;. �0� Thomas F.Geiler,Director prED1AArp Building Division Tom Perry, Building Commissioner x-PRESS PERMIT 200 Main Street, Hyannis,MA 02601 office: 508-862-403 8 - J U N 1_8 2002 pax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIA 0MMF BARNSTABLE . Not /Valid without Red X-Press Imprint /parcel Number 0 C1 OQ70l� )erty Address . �2 42�--z-5;,Ifng (�c�R-t,J t se idential Value of Work ; .206 ier's Name&Address F�>IZ'� s4,•t1 (RJ�97- �p tq���—per tractor's Name /)G�1�9 ZTO�' J2�' /C Telephone Number ,-U8' _7�� `/ �o/ • s ' ie Improvement Contractor License#(if applicable) l struction Supervisor's License#(if applicable) lorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I -the Homeowner nliLi ve Worker's Compensation Insurance -ance Company Name loran's Comp.Policy# �75 fit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. U-Value o (maximum.44) ❑ Other(specify) ' ' � Z'J��rj✓� �_ c. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 2 iture ns:expmtrg .A,"- t � oFt Town of. Barnstable *Permit#,SD - Expires 6 months from issue date jP ■AMSIABLL Regulatory Services Fee v M" �' Thomas F.Geiler,Director �p 1639. �E01iA°y Building Division Peter F.DiMatteo, Building Commissioner 367 Main Street, Hyannis,MA 02601v✓ Office: 508-862-4038 X-PRESS PERMIT Fax: 508-790-6230 AUG 9. 2001 EXPRESS PERMIT APPLICATION Not Valid without Red X-Press Imprint TOWN OF BARNSTABLE Map/parcel Number Property Address Residential OR ❑Commercial Value of Work Owner's Name&Address �"`�"�— !2 LJn5 tit Contractor's NameAx"u+ ,r Telephone Ntunber Home Improvement Contractor License#(if applicable) G� Construct' Supervisor's License#(if applicable) ❑Wo an's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 8'I have Worker's Compensation Insurance I � Insurance Company Name ' Workman's Comp.Policy --------------- Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. U-Value (maximum.44) ❑ Other(specify) **here required: Issuance of this permit does not exempt.compliance with other town department regulations.i.e.Historic.Conservation.etc. Signature Q:Forms:expmtrg:rev-070601 Branch Name: Date: Sold,Furnished&Installed by The Home Depot Installed Sales i 345 Greenwood Street,Unit I Worcester,MA 01607 Branch Number: Z-3 Job#: n 508-756-6686 (800)657-5182 Fax:508-756-2859 Federal ID#75-2698460 RI Cont.Lic#16427 CT Lic#565522 Y\Y( MA Home Improvement Contractor Reg.#112785 Installation Address: W Q P '�sL'E �/S Zip Purchaser(s): Work Phon Home Phone: (54 a 0-G Home Address: (if different from Installation Address) City State Zip Project Information I/WeNou("Purchaser"),the owners of the property located at the above installation address,offer to contract with The Home Depot("Home Depot") to furnish, deliver and arrange for the installation of all materials as described on the attached Spec Sheet _,ft ( incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if,upon re-inspection of the job,Home Depot determines that it cannot perform its obligations pursuant to the contract specifications. DEPOSIT PAYMENT OPTIONS k SIXy � fij k4 x�i,214—,„" (Subject to fund verification and/or credit approval.) lit r x -y; y I. Check,Cashiers Check or US Postal Service Money Order '`°°"''� �'X'� ,F- (made payable to The Home Depot). 8 � '�� T 'y a{ 1° 2. Credit Card•- MUM Home Depot is Mastercard Discover American xpress -i ,. a...r" Acct#: 4.7p41n10142!j& Exp.Date:' 25%of Total Contract Amount due upon execution �((�� �+ of this contract(UNLESS this is a finance transaction,in Name as it appears on card:K ke%.1P,�k which case no deposit is required). *By my/or signature below,I/We agree to allow The Home Depot to charge the Atli- M_.111111411t' above refereit d for the amount indicated above. 13elttnce tlue onr I Cardholders Signature Date If this is a finance transaction,the agreement for'financing is contained in a separate document,which is incorporated Loan Application Ref#: herein by reference and made a part hereof. Purchaser agrees that,immediately upon satisfactory completion of the work,Purchaser will execute a Completion Certificate and pay any balance due(unless the job is financed,in which case,upon submission of the executed Completion Certificate,Home Depot will be paid in full by the lender). Purchaser also agrees to be jointly and severally obligated and liable hereunder. For Massachusetts Residents Oniv Contractor,at owners expense,shall procure all permits required by law as follows: Owners who secure their own permits will be excluded from the guaranty fund provisions of MSL Chapter 142A. ' Unless otherwise noted within this document,this contract shall not imply that any lien or other security interest has been placed on the residence. Entire Agreement This agreement and its attachments,including any financing agreement,contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Du not sign this contract in blank. You aye entitled to a copy of the contract at the time you sign. Keep it to protect your rights. Do not sign any Completion Certificate or agreement stating that you are satisfied with the entire project before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 25% of the contract amount if the job is cancelled by Purchaser AFTER the third business day. BY MY/OUR S16NATURE BELOW,1/WE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. 1/WE ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. BY MY/OUR SIGNATURE BELOW, UWE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MY/OUR CREDIT HISTORY AND I/WE AUTHORIZE HOME DEPOT AND RMA HOME SERVICES,INC.,A HOME DEPOT AUTHORIZED CONTRACTOR, TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT CREDIT REPORTING AGENCY AND RELEASE THEM FROM L LIABILITY INCURRED FROM INADVERTENT OMISSIONS OR ERRORS. SUBMITTED BY: Date: mi ACCEPTED BY: Date: -7 �l/Gel7—12—01 13:21 R C V O Romeo ner 07-12-01 13:22 CF11Dn ,�� Date: Homeowner NOTICE:ADDITIONAL TERMS,CONDITIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT White-Branch File Yellow-Customer Pink-sales COnIIlltal,t 10/02/00 SA-SI-STP-SSC WINDOW SPECIFIC TION SHEET - Spec. Sheet#: 0 9 0 2 Sheet: of Customer: Job#: Consultant: Date: Existing Window New Window Original Measurement Grids Pattern' Casement Window by Sales Consultant a Window&Glass Misc. Hinge Location 2 2 Location Style Metal Style Series o Rough Opening Size (13 Viewed from"outside" a — u `E (Room/Floor) "Code" Y/N "Code" "Code" V Width . Height UI 0 0 j = "Code" "code" Left to Right 0 EV k/ A OLI 2 YJ 1 3 tap 'D, a 2- 4 a 5 0 ,6 6 -66 7 A Woo 0 iKY 9 10 12 13 14 For every window sold with grids,the Grid Pattern MUST be indicated. Color Of Z For each Casement sash(including flankers on Bays&Bows),indicate"L"(Left),"R"(Right)or"S"(Stationary). Window/ Door Wraps I (� BAY/BOW WINDOW. n'l Projection Angle: (Bay:300 or 450)3 Top of Window to Soffit ( inches) GARDEN WINDOWS 104e a3 S5! Bay Window Flankers-DH or Csmt. Width of Overhang ( inches ) WALL THICKNESS 6 (inches) Seatboard Material-Birch or Oak 4 If tied to Soffit,color of Soffit material SEATBOARD MATERIAL New Interior Casing(Bay/Bow/Garden/Patio Door) Construct Roof 6 (Yes/No Specify Birch or Oak Veneer or White Pionite Clamshell(CL)or Colonial(CO) F 4 This applies ONLY to Owens Corning Bay or Bow. 6 Additional charge for wall thickness of 6"or more. 1 ' For Amer.Craft.Bow,indicate 90,15°or 300 angle. 5 There is no guarantee that new shingles will match existing color. 1 have reviewed and agree with all of the job . SPECIAL CONSIDERATIO S: �. a �; specifications described above. / Customer Signature Date 3-01-01 SA-W-SO I . , „' ts"�.� G IAL31LITY MURAt�IL : cm Serial# A2027 THIS CERTIFICATE IS ISSUED AS A MATTER OF lNF 11pN SHEPARD & SCOTT CORP. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 352 SEVENTH AVENUE-SUITE 805 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR NEW YORK, NEW YORK 10o01 ALTER THE COVERAGE AFFORDED BY THE POUCiES BELOW. _.. I INSURERS AFFORDING COVERAGE i IL�UaBR n ADMIRAL INSURANCE COMPANY 3200 COBB GAI.LERIA PARKWAY -'-- - RMA HOME SERVICES, INC. - ' —' - -- —' -' ' - — IS I NSUIFI R B: TRAVELERS INDEMNITY OF ILLINO --- ' i -•• -- ---_._... .._._.._...—_. _ NStIRE�tc: CONTINENTAL CASUALI•Y INSURANCE CO. - '•ATLANTA. GEORGIA 30339 — NsLRERo: AMERICAN INTERNATIONAL GROUP - :CVEIRAGES - THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTVMTHSTANOING 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 TD ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE _] BEEN REDIX:ED dY PAID CLAIMS sa T TYPE OF INSURANCE PoLtcr NUAIS t -- -POil�E> �iVe POLICY ExPlianoN j —- - - - -- M •GENERAL LIABILITY I I I i EACH OCCURRENCE -- 1,0D0,000 F X1 C0V*-fERCIAL GENERAL LI UTy 'A01 AG 10097 t -- I 2/28101 I 2128/02 I FIRE DANUIGE(MT a»hn) 1 s 5U,000 cLArRs MADE !X occuR I ! MEDEXP(Mr«+v�► s EXCLUDED I ' I PERSONAL 6 ADv NJURY 19 -1 000 000 I I GENERALAGGREc�TE j i 2,000;000 GEIrI AGGREGATE IYMrTAPPUE2 PER L—_ s I I 'PRooucrs.cOhAPIOPACG 1,000,000 i X 'POLICY FRa 1 LOC ' I ... . - I . AUTOMO ALI 1JA84ITY !Y81033000703-T1 L j 2128/01 I 2t28/02 j CONW40 SINGLE LOAM ! I ,ANYAufO �s $1,000,000 -1 I i •1•Eieccdatl ALL ONMED AUTOS I I �-- '- -�----• - - I ! 1 BODILY VIUURY I ` I SCHEDULED I : - IYu y�wr�1 HIRED AUTOS -- I NON ow'El AUTOS i i IBODILY I� s PROPERTY DAMAGE �croot70frt1 i Q RAGE LIABMM I JANY ALrTD I t AU ONLY:EA ACcfOENT i s ----- I OTHER TFAN r'A ACC i AUTO ONLY, Af�C EXCESSLIe►81LJTY _ I I EACH O^�Q1RItENCE 10,000,000 OCCUR i CL mms k%'DE CUP 247893247 ?l28/01 I 2a=2 ArAREGATE _ 1 t 10,000,000 DEOUCrBLE - I X I RETENTION 310,000 i i—.- •---•-- —�.•-•— —, �i Vycl a ComputuTm AND I WC 9386027,WC 9386028, 3l10l01 3/10/02 X THY-'A�-1 - ESTPLDTETRS UAatJTY I WC9386029C ! I I E.L.EACH ACCIDENT _ III—- ..5W.000 I ! _ - � ' !EL07SEASE_•EAEMPLOY,EEj! 500.0'� OT?%ER _— I 'EL DISEASE-POLICY LNbr;S 500,00 i ! PnON OF OPERA7iONSILDCATiON S ADDED BY ENDOR59 Mj3pECIAL p"MW" TIFICATE HOLDER ! X :ADDITIONAL INSURED:INSURER LETTER: CANCELLATION SHOULD A W OF THE ABVVE DESCRIBED POLICIES BE CANCELJ BEFORE THE EJNI RATION I OATS THEREOF.THE ISSUING INSURER MALL ENDEAVOk TO MAIL 30 DAYS YVRITTEH NOTICE TO THE CERTIFICATE MOLDIER NAMED TO THE LEFT,BUT FAILURE TO DO VO SHALL PROOFO F !N S U RAN C E I"�NO OBLIGATION OR IUIBUUTY OF ANY KIND UPON THE IHSVRER.ITS AGENIS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE OF UNOEPENDENT IIISURANCE AGENCY RO Z5-S (7/97) (DACORD CORPORATION 1988 .u�« .. �-� �-.r=-y'� � _ €`.`-�.+�'�r...'�`v-.r W t .y �. y ;} r.:�r�,z�..+5 '�.'.rt:,'..,.y_-,r,r�r.{nYF._.y,�.e--v,�,✓�,r:, -_ .w.!". I ,. TOWN OF BARNSTABLE Permit No. ....32337 BUILDING DEPARTMENT { ""M I TOWN OFFICE BUILDING Cash 7 �Yl •679• .. ^I• ///�// HYANNIS,MASS.02601 Bond L1 r CERTIFICATE OF USE AND OCCUPANCY Issued to JAMES K. SMITH Address lot 316 9 Watershed Way, 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. r July 17 89 ...... .................... 19................. .................... Building Inspector ��..° °•.w TOWN OF BARNSTABLE BUILDING DEPARTMENT M1°T 'mug TOWN OFFICE BUILDING � t6J9 \� HYANNIS, MASS. 02601 �OIIAY�' MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permit #........._....... �_3 ............................................... ._. ..... issued to X�Oiy10L ]yl_,,, '��!% .....»_................................._.. .......... ..._...... »»._ .»»._ » »._» »......_. Please release the performance bond. i a ; Bl � INGErtT TOWN OF BARNSTABLE, MASSACHUSETTS A=59-007-016- DATE 19 I T;' 32337 'i"•"' ""' "' ` / �'��• PERMIT NO. v APPLICANT J.a(li::: .�\. :•(()�...il ADDRESS !:•.. ;'ii�,'C r.i:.)..:i': 111519 INO.I (STREET) ICONTR'S LICENSE) PERMIT TO 1sU I.CL USdC: .11 Liy (_) STORY - :: �.•:`.i.:._.';' �.IW£:1� L11t NUMBER OF f DWELLING UNITS (TYPE OF IMPROVEMENT) N0. � (PROPOSED USE) ' E. AT (LOCATION) > 16, > <rii: iJ : ;•l�,1� _ ZONING _ F (NO.) '(STREET) ' OISTR ICT_ f BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE l I, I: 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 t (TYPE) i REMARKS: JC:C•1•::' ir (r. I ' i. bond AREA VOLUME 1t� /I� :::Cr. UUU. 00' PERMIT 1.' . ESTIMATED COST $ FEE s 15:.• UU (CUBIC/SOUARE FEET) OWNER v i,l l(i%:i �'.. .�l((J.•�.11, 'i ADDRESS �ic:I :1:�L •:ii)L(';: BBUILDING DEPT.' li +. •..,sue,. OF ANY APPLICABLE SUBDIVISION AN RESTRICTIONS. �vC orit{r15-f -}ZM7T�'�� •�+ "�" ' T ONDIT IONS... MINIMUM OF THREE CALL INSPECTIONS REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MLECTRICAL,INST PLUMBING AND 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READYCOVER 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 A 2 - -- 2 - 1 HEA -NSPECTION APPROVALS ENGINEERINN DEPARTMENT OTHER _ -.-.__ L -/ L) �" "L- 9 BOARD OF HEAL(H WORK SHALL NOT PROCEED UNTIL THE INSPEC• PERMIT 'N!LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CONSTRUCTION. INSPECTIONS INDICATED ON THIS CARD CAN BE PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR pY TELEPHONE OR WRITTEN NU T IFILA(ION. r. I 5Ar l �l / C�.2 T/,cY T.UAT T.S/� �c.-m�/�77'�j:.! 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I . `� 1 'v f I i .. - 1 i i - - - .�_i.'_ - - �-a-1 1 --= - I - - - 4 t I , 1.'. , 1 t L .:. ..L_i..,__.i...1. i _I-I :...}.._-_. .,. ._ _ .. , - ,_..1 _ .T.. -, I I I i i .I 1 I� - y I 1 . ` M �r Assessor's offioe Ost floor): —cy �/] O� 9 ? °` T . Assessor's map and lot number THE ` Board of Health (3rd floor): ...................................... . SEPTlC SYSTEM MUST BE � ��` Sewage Permit number .......SV—1.3.7............................. INCrTA'k1_L 0 l4' C®�P�.�i�°�� Z eAaa9T�wte. J Engineering Department (3rd floor): WITH TITLE 5 V rasa �b House number .............................. ....:..CJ`...... ....p.[�...... "E4�1li101i'IENTAL CODE 141� C t6}9• 0 T CFO Y{1Y a\ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00. P.M. ohlj TOWN REGULATIONS TOWN -OF BARNSTABLE BUILDING ANSPECTOR APPLICATION FOR PERMIT TO .................................................................. ........... ......... .................................. TYPE OF CONSTRUCTION ......................[ !J.d. ....... .. . .... .. ...........................................................:....... ................ ................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following, information: � ��Location .d...?.�!.••.......�. ......(/��. ... c%....... ..... �O . . ................ ProposedUse .... . . ...... .. . .............................................../...............1.......................................................... Zoning District ..........A�. .... .. . ................Fire District ....... Name of Owner ....... ...................,aG e�, ......Address ............. .....� .... Name of Builder ..... ....Address .......,��..� Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....................7..........................................Foundation .. ........... Exterior .....L. . .. .... ... .. ... :.. ........Roofing Floors .lG/` `a` ..........................Interior ............ ......... . .. ................................... �. Heating .............. ..... ..... - .... .............Plumbing 060 replace ........................... .................................Approximate Cost .............9Q.... ................................... Definitive Plan Approved by Planning Board ---er _ ---.---- Area .....j?3..54. ,zl, .:.... . J Diagram of Lot and Building with Dimensions Fee 1 ,.400.... SUBJECT TO APPROVAL OF BOARD OF HEALTH �- O0 6 71) P 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 ' Construction Supervisor's License ........`1..'/�� T- SMITH, JAMES K. ,- #No Permit for ...TVQ..5.t.Qr.y......... n Sigle...:FAriRj ............. ing.......... Location Lot #16 , 9 Watershed Way ................................................................ .................Mar.s t.o.n s...Mills.............................. .. .... .. .... ..... .. . .. James KOwn'r amitb.......................... Type of Construction Frame .......................................... .......................................................................... Plot ............................. Lot ................................ Permit Granted .......... ..1...25.........19 88 . .. ..... Date of Inspection ....... ..........................;.19 tl/Date Com I t ........I q? p�ie. . .. ..................... Ym .1 41 3 r��r.�^' 'i�+'4q.1.'.^'Mr'F`:h....� i`''"�:,�`1� :q'w'►�",w.IFY'y'7T (�Isy..r2�' i •N '{+e�"�`_;�"fS"jl,'�;•�+fTii.��irq�r'��[�*�' ��r`�'�F '' '^�•�x *w.. Assessor's office(1st Floor); Assessor's map and;lot number o Q� '! /`� of THE to r Board of Health(3rd floor): 1 env ♦w Sewage.Permit number 9' - 13 7' >: DADl9TA.UZ Engineering Department(3rd floor): Fsf �a rua House number o ie79• Definitive Plan Approved by,•Planning Board 1.9 �0 M13°' APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1'00-2:00 P.M.only,,( TOWN :. OF B,ARNSTABLE BUILDING IHSPECTOR�4 �g ,1 s _ APPLICATION FOR PERMIT TO SG eG iD� .� �}��iUU.� F." (/VG� 0; 9 TYPE OF CONSTRUCTION I t . 1✓t/f° 2—SIC- TO ql TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lu A-�es, 5 G'\q YJAW, A_.; M l Proposed Use Zoning District F 0 Fire District "'o AM Name of Owner ]`�Pi�U N�R/� Address U,416 y2 sal ep L4-).to Name of Builder x LV, L.46-40 1A/6 Address j � ��ti/`��y � L/U Name of Architect f Address Number of Rooms Foundation 10 Pb UV_-eV2 CGtiG%zz"Ie, SG NOiLAI-- Exterior ��•t� CGOA R Roofing Floors P 000 4 S�Ll x �� G. Interior w —t u Heating N 0 Plumbing Fireplace N U IV Approximate Cost Coe) e 1 Area � Diagram of Lot and Building with Dimensions Fee : J. t 4 - 1 S , 'OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS _1 hereby,agree to conform to all the Rules.and Regulations of the Town of Barnsta le regarding tf�e above construction. Name Construction Supervisor's License DENHAM, KEN A=059-007-016 059- 41077- � No 34416 Permit For Build Screen Porch Single Family- Dwelling Location 9 Watershed Way (Lot #16) Marstons Mills Owner Ken Denham a Type of Construction Frame Plot Lot Permit Granted June 25, 19 91 Date of Inspection 19 Date Completed 19 Assessor's offioe (lst floor): Od 7_ Q/ Assessor's map and lot number °F THE ro Board of Health (3rd floor): Sewage' Permit number ........ W.'. .3.7.............................. Z BAUSTABLE, Engineering Department (3rd floor): MA°a m� House number �...... ............/. � � o raI a. APPLICATIONS PROCESSED 8:30 9:30 A.M. and 1:00-2:00 P.M. only . TOW.N OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPEOF CONSTRUCTION ......................i".d ..........� .................................,.........:................................ .................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to /the following information: 4. Location `. 66 � � f/ i�/... . ....... . - ........................... �... � � ..... ... .... -. .e............... ProposedUsec__�� '_ .... .. ..... . . .../ ..................................................................................................................... Zoning District ..........PLC/ ....... .........._............Fire District ...... .. �/ Z�� _ - Nome of Owner ...............................r ... �!�......Address ....... Name of Builder ��' s.. ..�.. . .. .. . / - ....Address ........ �� Nameof Architect ..................................................................Address ..................................................................................... Number of Rooms ..................../............................................Foundation ..:...................!`-..... i .<ri�a ............ Exterior .....(al. ... ... ...C.....5..:........Roofing Floors ................ ..Interior ......................... ...4`�C� Heating .............. ..... .......�iL(.. .......1e- .............Plumbing ............. .........(!../....C..IC 4.........,.........:........__._.... Fireplace .............................!.....`� ............................................Approximate Cost ............. -..01 C�Q................................... Definitive Plan Approved by Planning Board __-�L_4R_____'/__19 CO. Area .... ..f.. .. ..:... ./ Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH too 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 ........ G` ... ................... ......... Construction Supervisor's License ...........'`��/ ......................... SMITH, JAMES K. A=59-007-016 1,4- off - 614 32337 Two Story No ................. Permit for .................................... Single Family Dwelling...... ................. ............................................ Location ..Lot....#.1.6.., 9 Watershed Way I .. . .......................................... Marstons Mills ...................................................................... Owner James K. Smith. ............................................. .................... Type of Construction .......Frame ................................... . ............................................................................... Plot ............................ Lot ................................ Permit Granted .......Apr.i.1....2.5.!..........19 88 ....... .. . Date of Inspection ....................................19 Date Completed ......................................19