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0122 WHISTLEBERRY DRIVE
/ �Jh �fie 1 � r• s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued `S !5✓ Conservation Division Application Fe 19,5 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board • ®� Historic - OKH _ Preservation / Hyannis /per Project Street Address /.2a /�,/ )i 5ft-c Village 5tvii s Owner;-, Address Jaa G h e—e-6mk oc - Telephone foe — c_Permit Requestfl\� ' o„a. . `61r� �c�.,�„►� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater OverlayAQ Project Valuation ap t O Construction Type lC� TA 4 ' o Lot Size , G Grandfathered: El ❑ No If yes, attach supporting docum1 ntation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House:' ❑Yes )6 No On Old King's Highway:.Q Yet ❑ No Basement Type: 0,Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) 7)M Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 1:3 new Half: existing new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: ' Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: Yexisting ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garagefi existing ❑ new size _Shed: 2/existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use . Proposed Use APPLICANT INFORMATION - - .(BUILDER OR HOMEOWNER) Name a e-- I?e Lisa, C�P.S.e .q Telephone Number 0 O - y Address IQa Uy �,� I�.b�r �Y- - License # r , l Is Home Improvement Contractor# /n� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU ""l DATE �f IS i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAR-%PARCEL NO. i r� r ADDRESS VILLAGE OWNER 1 ; DATE OF INSPECTION: >} FOUNDATION °�© �.' ®'� J 1 ` FRAME Q -5--A INSULATION t FIREPLACE j ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL. y FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. FINE>� Town of Barnstable 0 Regulatory Services ► r ILARNSTABLE ► ► 9MASS. 'g` Thomas F. Geiler,Director 39. %m 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 PLAN REVIEW 2 0 [ 5'm 3 2A Owner: Map/Parcel: 6�o Project Address/22 "I-Vc-r-A cF#x & Builder: XG- The following items were noted on reviewing: 10 o cc--re 44« 7o BF .*f,r �iVJTi�>;G�� 79 C � 30OR �9i.�9/1/y!5 GU<rti ,fie aP�ou/f?e� !� �ousE !S' if- L' lE'oiy iyT aF 7*e, A&AX?/6W. Reviewed by: Date: Q:Forms:Plnrvw t ne uommonweawt of massacnusem Department of Indum W Accidents Office of bivesfigations ` 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plmnbers Applicant Information J Please Print Legibly Name(Business/Oigaairaiion/tndiv&a.D: Address: l aa. LU i , f I• _be ry-� 11r City/State/Zip: H Ct Y' .S Phone#: SO 5' Are you an employer?Check the appropriate x: Type of project(required): 1.[] :1 am a employer with 4.NI m a general contractor and I employees(full and/or part-time).* ve hired flee sub-contractors 6 ❑New construction 2.❑ I am a sole proprietor or partner- listed bu the attached sheet 7. KR e modeli ag ship and have no employees These sub-co&aCtors have 8. Demolition working for me in any capacity. employees*and have workers' [No workers'comp.fimrrance comp.insurance$ 9• ❑Building addition requu 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. am a er�mg all work officers have exercised their 11.❑Plumbing repairs or additions myself workers'comp. right of exemption per MGL 12.[]Roof repairs insurance mquired.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp,insurance required.] *Any.applimnt that checks box#1 mast also fill out the section below sbowmg•their workers'compensation policy infounation. t Hnmeowncrs who submit this affidavit indicating they are doing all woik and then hue outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors andstatr whether or not those entities have employees. If the sub-contracturs have employees,they must provide their workers'comp.policy number. I am an employer that isprovidang workers'compensation insurance for my employeem Below is thepoUry andjob site information. Instaance Company Name: Policy#or Self-ins.Lic.# Expiration Date: Job Site Address: City/State-/zip.- - Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL a 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK-ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DU for insurance coverage verification. I do hereby cent pains penalties of perjury that the information provided771_� a is true and correct S Bate: l Phone#: Off ciul use only. Do not write in this areg to be conTlefed by city or town offiriaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"_..every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and'including the legal representatives of a deceased employer,or the receiver or trustee of an individual;partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter-152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not prodnced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C('7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insu=ce requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the pemut or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call Ilia Department at the member listed below. Self-insured companies should enter their self-insurance license number on the appropriate line.' City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple pennitllicense applications m any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not:related to any business or commercial venture Cli.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts - Departmeiat of Industrial Accidents office.of lavestigatians 600 washiu9tan Street ' Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-+877-MASMFE Revised 4-24-07. Fax#617-727-7749. WWW mass GWdia ?lie Commorrivealth of Massadjuseft Department ofIndushial Acciderar Office of Inmfigtu'ions 600 Washington,Street Boston,MA 62111 nmv massgov/dia Workers' Compensation Insurance Affidavit:Builders/ContractursMectricians/Plumbers Applicant Information Please.Print Name(EasmesslO , It Address: aff q 75i CitylStatetZip_ _ "I�`f—Mono,4-- Are you an employer?Check the appropriate boz::::i',1t, Type of project(required): I_El am a employer with 4. �I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub�ntcactofs 2.A lam a sole proprietor or partner- listed on the attached sheet. 7- ❑Remodeling ship and have no employees These sub-contractors have 8- ❑Demolition wcddng for me in any capacity. employees and have woakers' 9_ ❑Building addition [No workers' pomp.insurance comp.meivanrr required-] 5. ❑ We are a corporation and its 10_❑Electrical repairs or additions 3.❑ I am a homeoumer doing all work officers have exercised their ILL]Plumbing repairs or additions myself [No workers'camp_ right of exemption per MGL 12.[1 Roof repairs insurance required.]T c.152, §1(4),and we have no employees-[No workers' 13.0 Other camp.insurance required_]' *Any applresnt Boat checks box#1 mmst also fill cud the section below sbruing their watites'compensation policy information_ 1 Homeowners who subaait Ibis af5datft m icat my,they are doing all wa l and then bite outside camuactors mart submit a new affidavit mdicaungg sacb. tCoauac I Ts that chedt taus boa mast attached=additional sheet shoving tba mane of the sft�-c�and state whether at not those entities hie emplures. Iftbe subtaatmctm have employees,they mustpmvide their workers'.comp.policy nmaber. Iam an employer that is providing workers'compensation insurance for my earployrem Below is the policy and jab site information. Insurance:Company Name: Policy#or Self-ins.I.ic-# Expiration Date: lob Site Address:•,.�%`.1. �v1,���� � �zt CitylStateJZp+)* �115 C` 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 up to S 1,500.00 and/or one-yew imprisonment,as well as civil peaalties.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 ofthe DIAL for' e coverage verification_ Ida hereby c t parrs ndpenalties o,fper�udy that the informationprovidrd abase fs7 and correct Phone OBIciai use.only: Do not omits in this area,to be completed by city orlon oficiat City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cdyfrovm Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: - 6 Information and Instructions , Massachusetts Geheaal Laws chgAp r 152 requires all=3ploym to provide workers'compensation for their employees. pmmmat-to this side,an employee is defined as.--every person in the service of another under auy cont-act of hire, express or iarplied,oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or mom of the foregoing engaged is a joint e,ntmpris%and including the legal represeatafives of a deceased employer,or the receiver or trustee of an mdividnal,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelT�house of another who employs persons to do maintenance,construction or repair worm on such dwelling house or on the grounds or buildmg appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also staffs that"every state or local licensing agency sha.Il withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant Who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the Comm aawealth nor Ely of its political subdivisions shall enter into any contract for the pmfammw ofpubhc work until acceptable evidence of compliance with the insures ce._ requirements of this chapter have been presented to the contacting anihoiayf Applicants Please fill out the workm'compensation affidavit completely,by checking the boxes that apply to you-situation and,if, necessary,supply sub-contractor(s)name(s), address(es)and phone number(s) along with their cmtificate(s) of insurance. Limited Liability Companies(LLC)or Limited LiabilityParf nmships(LLP)with no employees other than the members or partners,are not mqui ed.to caly workers' compensation msarmcL If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of lurtitriat-Accidents. Should you have any questions regmding the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the umber listed below. Self-insured companies should enter their self-insurance license number on the appropriate lime. City or Town Officials t Please be sure that the affidavit is complete and pried legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to cortfact you regarding the applicant_ Please be sure to fill in the pen�oitllicense number which will be used as a reference number. In addition,an applicant that must submit multiple pennitUcense applications in any given year,need only submit one affidavit indicating current policy inff6rmation Cif necessary)and under"Job Site Ad 1dress"the applicant should write"ail locations in (city or town)_"A copy of the affidavit that has been officially stamped or maiked by the city or town may be provided to the applicant as proof that a valid affidavit future is on file for e permits or licenses A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit: The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesif e to give us a call- The Department's address,telephone and fax number: Thu Co=xaawealtb�of Massachusetts . Depa rt nent of Indus dal Accidents Ofitce of J_t1.vestigatio= 600 Wasbivon t Boston,MA Ell 111 TtrL 4 617 727-4900 cat 4.06 or 1-977 MA SSAFB Fax 617-727-7744 Revised 424-07 mgovf Ilia Town of Barnstable Regulatory Services THE ri Richard V.Scali,Director Building Division anxxsTaar� Tom Perry,Building Commissioner 9� 19-- ��� 200 Main Street,•Hyannis,MA 02601 CFO a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ip DATE: Please Print i � r1J JOB LOCATION: \number street village "HOMEOWNER": L-. �i name home kone# work phone# CURRENT MAILING ADDRESS: 6 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 p cedures and requirements and that he/she will comply with said procedures and requirements. Sign fHo caner 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 persou(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 of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILFS\FORMS\building permit fonns\EXPRESS.doc Revised 061313 ' o�t"E TO,tti Town of Barnstable Regulatory Services sAxx I E' ` Richard V.Scali,Director ''�Eo;i•�'��� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder. 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) ""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 inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date QTORM&O WNERPERMISSIONPOOLS I Print Page Page 2 of 4 • Sales History-Map/Block/Lot: 063/084/-Use Code: 1010 History: Owner: Sale Date Book/Page: Sale Price: CASEY, JOSEPH D JR&LISA M 1996-08-15 10339/115 $168300 WOODLAND REALTY, INC 1996-04-15 10167/317 $176000 MADKOUR,ANTOINE G &MARIA 1987-06-15 5784/258 $225000 MERLESENA,PAUL X&JOHN P 1986-04-15 5010/240 $1 MERLESENA,PAUL X 1986-04-15 5010/235 $133000 ELACQUA, JOHN R 1984-08-15 4232/281 $31500 HOSTETTER,DANIEL C 1980-10-31 3184/109 $0 • Photos 063/084/- Use Code: 1010 • Sketches-Map/Block/Lot: 063 /084/- Use Code: 1010 OK 41 W9 WQ 10 . GAR PA� T 3. 4 FAT 2i 10 8MQST 6 5 24 26,. 14 10 As Built Cards:Click card#to' view: Card#1 • Constructions Details-Map/Block/Lot: 063/084/-Use Code: 1010 Building Details Land http://www.townofbamstable.us/Assessing/printl5.asp?ap=0&searchparcel=063084 4/21/2015 �3y ke 11 12 97 fNfldf Ge Ni F q L N W�RKE AN ZEIW ANOVIC w 223.Op N 1 N i F J8o GUAINAft CARLSO w o 1p, E 1 T VX 48 , 22f000 ai W C.S. rn N 4 /251.49 . co ; a'j2, 43,759 S.F. 2 266:28• /.005 AC w 5 00 2 O � �i 43,578 S.F. _ /.000AC. d' qj =126.19 % 2 _ A=95.17 t,4 � 44,06/ SF R=41S:00 .80 ~ /-0/0 AC. $ Op A• 35.00 R-400.00 2 140 5J 0 -_ T= 17.51 A-46.31 °E l !_ T= 24.19 _EQseme�r 5 1..18 T=ITI.82 — A= 83.31 187.00 N 140 S 260 47' 103.00 _ .� 00 E 290.00 85.00°O w -- D R/ V E- , 9 R-450.00 A=93. 72' A= 23.45 3 1 N 26* 7= 11.73 47' ,577 S.F O 1 R.450.00 i R■450.00 h�290.00 00" //5 AC N O \ A=50.10 A■ 20.17 ��. O T=25.08 T= 10.09 IENf SECURITY FEDERAL SAVJ ANK BK. PG. i C 16 2 PLAN BK./PG. 4 o s CENSUS TRACT dSSESSOR PLAN PLOT TYPE OFB OG OWNER WOODLAND REALTY INC . APPLICANT J SEP D. R T X THIS PLAN IS A TWO SIDED DocumENT - SEE REVERSE S/DE FOR NOTES N/F ZEMANOVIC N/F CARLSON 230 . 00 LOT 5 �-' 43, 587 S .F. LOT 4 122 M c o LOT N c 6 48 . 3I ' 187 . 00r EASEMENT WHISTLEBERRY DRIVE Aforn TN/S PLOT PLAN N'AS NOT MADE FAav AN/NS7IPUMENT&pWr 7NESE CERT/FICdI aW LIRE AdWE 7V rME ABOVE NAMED CLIENT AND ARE FOR 00Rra4W PURPOSES ONLY UNDER NO CIRCUMSTANCES ARE THE DISTANCES ShOWN 70 BE USED 710 ESTABLISH PA'OPER7r LINES OR FOR CoNSTRVCWN PURPOSES 7N/$ PLAN/S NOT TO BE USED FOR REWRD/NG OR DEED DESCR/PT/ONS AND APPUES ONLY TO CONDITIONS EX/ST/NG aS OF 7NEWE SHOWN MMEOY. REVIEW • EE NOTE MORTGAGE PLOT PLAN OF LAND t� � J'ON/NG LOCATIONS IN �' /�AM�s �� r F � ��` `�� BARNSTABLE MA LOT DESCRIPTION IL'-I s 1 &DO LOCATIONS SCALE:I 4 0 ' J U L 1' 2 6, 1996 ` HAYWARD-BOYNTON 8 WILLIAMS, INC. SURVEYORS CIVIL ENGINEERS 60 COURT ST. TAUNTON, MA: P P fz o'K, IPA F'.7r o-OON-6, P&Mk�Q�Teqz ecw G, ge 3 IT om-A� fz—c 4 ra ca MT'E A 3 MEWS 0 XL k V- Tr ru< L S Z.o 1k� ,Z��2Q7,P 'OA h Cd eo 5 f S L L 2- Cam talaps L Ll 104 k C Nw HAt4�'"g: mpli-.5 3 13 W, 465 P)a Cs 12'n I i lj�°fp.G. C T-t k3 I � I I I � r � l Z?16 3.GF1M 70 f�sTE-N /► 1('I �c�DI S l �D ��t��1�1/l� C C�lr�. � 44cr SCtt�� dos TS. Mli-X 7 � ocfc � F,, . 1000 17si E = 1o,300,UU0 17sa . TYpica-1 vZllues 1.01' S.Ou(liel•11* Ye11u,w. Title #2 (I'ress«rc; .�I°re��tecl} L�xtcriUl• .ta,Se (e. ;. sleeks) Joist Size , - :. .lG)is S1.7��c:iii� e 2x6 . 2x5 2x1U 2x.1.2 1.2 . S-G 11 -;' a4•-3 1 7-4 16 7-4 1 U-U - .12-4 . 15-0 20 6-7 g-.1 i 11-U . 13-5 j 24" - 6-0 8-2 :1U-1. 12-3 �JFN OEc rr is . ,?a� o Ve F . IN C�- 3 " Ms r 3� ( J17h . . . �ST 4NGE'i�S t�i"GQuci2�'� o ry (N - er s CAPE C , INSULATION%\-j�n � ' � ir�ij Fo—%- f q E V1.12 GLASS SIAMLISS SPRATIOAM SUSYINOIG ��"5 '1-800-69'6-ss`i`i°' oWA OF BARIVSTABLE Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: /.,A//r— Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute '(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village ✓o�yo� CA�y /az w�,d�G6�. �2 /y14,�✓�� /�.�1 Insulation Installed: .Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls F' ,e r y (vo r r)CO r,41e l '4 Sincerely rssi r, PresidentIns ation, Inc. �L'� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION u Parcel Map- MINN ®F Q ,.?I�ST p # 0 Is lication Health'Division Date Issued � Conservation Division Application Fee Planning Dept. _ Permit Fee Date Definitive Plan Approved by Planning Board `1! d`a �i''� pkv Historic - OKH _ Preservation/ Hyannis Project Street Address l.t Village ) Owner fiew Address Telephone - 2 q(.-,q T�7& A Permit Request U� (/ �(,(/�, Z" �(.Q,{� 'VI/1mWa Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �0� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone.Number -7-K f Zl� Address 0 d�l/l l�lf� �� License #MV d d Q V K4 A Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJ+ECQ L T WI BE TAKEN TO D SIGNATURE DATE Zz �� FOR OFFICIAL USE.ONLY APPLICATION# DATE ISSUED " r �,. MAP/PARCEL NO. , ADDRESS VILLAGE - . 1' r OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION 1 FIREPLACE ` ELECTRICAL: ROUGH FINAL r _ PLUMBING: ROUGH FINAL . GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r ' Massachusetts Department of Public Safety Board cf Building Regulations and Standards YQ License: CS-100988 Construction Supervisor HENRY E CASSIDY,, �--y.•; . 8 SHED ROW WEST YARMOUTH Expiration: ' Commissioner 11/11/2017 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement C6*h', ra'ctor Registration Registration: 153567 Type: Private Corporation nO" . i 'i Expiration: 12/15/2016 Tra 259188 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE 1 SO. YARMOUTH, MA 02664 Update Address and return card, Mark reason for change, $CAI 4'5 20M•05/tt [� Address Renewal Employment Lost Card .._. ..... ........ ...... .. Office of Consumer Affairs& Bustness Regulation License or registration valid for Indlvidul use only OME IMPROVEINENT CONTRACTOR before the expiration date, If found return to; eglstratlow 433567 Type: Office of Consumer Affairs and Business Regulation j xplratlon:;.1.`G15120:16 Private Corporatlon 10 Park Plaza-Suite 5170 "r•:. , 1 Boston,MA 02116 CAPE COD INSUTATI'O;N;:;1NC`:':. 1. HENRY CASSIDY 18 REARDON CIRCLE`. � ^ S0. YARMOUTH,MA 02664• ' Undersecretar Y N valid wl ut sign e I The Commonwealth of Massachusetts i ' Department of Industrial Accidents , `j Office of Investigations =- 600 Washington Street ' Boston, MA 02111 wwfv,mass.gov/dia Workers' Compensation Insurance Affidavit; Builders/ContractorslElectricians/Plumbers A pplicant Information Please Print Legibly Name (Business/Organization/Individual): Address: OW N c"b1�� � , �lVbl —a City/State/Zip:_ 0& � �i� a ` �' Phone #: � W �t� - ) '�i�v Are you an employer? Check th appropriate box: 4, am a general contractor and I Type of project (required): I•`�.l am a employer with ❑ 1 g construction ❑ New .. (( employees(full and/or part-time)." have hired the sub contractors 6, 2.❑ I am a sole proprietor or partner- listed on the attached sheet, 7, 0 Remodeling ship and have no employees These sub-contractors have g• D Demolition working for me in any capacity. employees and have workers' j' ❑ comp, insurance,t 9, Building Addition [No workers' comp, insurance p� required,] 5. ❑ We are a corporation and its I0•❑ Electrical repairs or additions 3•❑ I am a homeowner doing al work officers have exercised their I LEI Plumbing repairs or additions myself, [No workers' comp, right of exemption per MGL 12,0 Roof repairs insurance required.) t c. 152, §1(4), and we have no employees, [No workers' 13. Other comp, insurance required,] *Any applicant that checks box N 1 must also fill out the section below showing their workers' compensation policy information. .r Homeowners who submit this affidavit indicating they are doing all work and then hive outside contractors must submit a new affidavit indicating such. Contractors that check this box must attaq..hed an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, If the sub-contractors have employees,they must provide their workers'comp,policy number, I am an employer that is provlding workers' compensation Insurance for my employees, Below is the policy and job site ,xnformatlon, r Insurance Company Name; t , '��� '�✓ � /` >7' I�/� [/ /"L. Policy # or Self-ins, Lic, #: Expiration Dater -36 I� Job Site Address: I�� �VV'S � (Xyvd City/State/Zip: Attach a copy of the wi thers' conipensationl 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 up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator, Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insura coverage verification, I do hereby certlfy d the pal an penalties of perjury that the lnformatlon provided above is true and correct, S� nature: e Date: Phone : Official use only, Do not write In this area, to be completed by city or town official, City or Town: Permit/License# Issuing Authority (circle one): 1, Board of Health 2, Building Department 3, City/Town Clerk 4, Electrical Inspector 5, Plumbing Inspector 6. Other ('nntarf Parcnn- JJ, CAPECOD-27 BDELAWRENCE ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOIYYYY) `..�� 6/30/2015 THIS 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 pollcy(les)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 endorsement s PRODUCER CONTACT NAME; Rogers&Gray Insurance Agency,Inc. PHONE FAX (877)816.2156 434 Rte 134 ac No South Dennis,MA 02660 A DRIESS: INSURERS AFFORDING COVERAGE NAIC I/ INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURER 13:ATLANTIC CHARTER INSURANCE GROUP Cape Cod Insulation,Inc, INSURER C 18 Reardon Circle INSURER D South Yarmouth,MA 02664 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. ADDL SUER INSR TYPE OF INSURANCE POLICY NUMBER MMIDDY EFF POLICY P LIMITS LTR A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR CBP8263063 0410112015 0410112016 PREMISES Ea occurrence $ 100,000 MED EXP(An one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY PRO.JECT LOC PRODUCTS•COMP/OP AGG $ 2,000,000 OTHER: I $ AUTOMOBILE LIABILITY 91 COMBINED SI GLE LIMI $ Ee eccldenl ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION STATUTE EORH AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNERIEXECUTIVE Y� N/A WCE00431901 06/3012015 06130/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 II yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Addlflonal Remarks Schedule,may be attached If more space Is required) Workers Compensation Includes Officers or Proprietors, Additional Insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 18 Reardon Circle South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ©1988.2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD f Wan Permit Authorization ,�'�� "°N JO:fY1a55: save• Form ire -21 SAviiiaruvoush.e�wrgy ctrdnri�r Site ID: S00050105536 Customer: JOSEPH D CASEY I, JOSEPH D CASEY ,owner of the property located at: (Owner's Name,printed) 122 Whistleberry Dr MARSTONS MILLS (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Owner's Signature: Date: i%NNm Do\5�1 FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor Date Of'D Conservation Services Group • SO Washington Street,Suite 3000 • Westborough,MA O1S82 • 1800-480-7472 For Office Use Orly Rev.10201S r I rr Town of Barnsta9100F BARA'STAB CE oFTME lati Regulatory Sen" 'RR Thomas F.Geiler,Director 6 AN 9: 06 BARNgrABLE, Building Division �A�FD 59. a � Tom Perry,Building CoZmlissioner 200 Main Street, Hyannis,MA,02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT#`-" Q ' r I ��iJ FEE: $ SHED REGISTRATION 200 square feet or less a a r5 "crr Location of shed(address) Village 1 r lL�s 5 v8 - C) y Property er's name J Telephohe number t0 ' Y/6 / No 30 Size of Shed Map/Parcel# LeA4 3& LJ-- Signature Date Hyannis Main Street Waterfront Historic District? 4 ID Old King's Highway Historic District Commission jurisdiction? n D Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042911 Q 143,578 S.9. 1.00 Rc. C.13.end. ; C.r?.end iiJh�•t1..eGeiuy 'give SO wide & deck i O a O �. � C n 70' / t { I 70 i I )70.9I scale ! "-40 1 Xo-t 6 bate 4-4-86 Ru Cap e £n�� Cea t j ied Not / an 49 ka bo�c load /4yavu2i,a., Pla. 02601 l e inr. ,Cat S as. shown on a ptan o f ghi4, builder iA above .the "Vh "" a"d 4zeoaded in hund& d yeas ftood ptar'rt 6.uutabte t'ergr,At&q A 3149 Pqc. 54. i ghe bu•i tdi,n f. shown on -this. ptan id. tom ted on .the q w and ad, 516on -t,�,• twn, and meet.& the 4.et- I back 2e,-W bzen:ev,td. of t l e gown o f &ozd table. Owneh: Val :ter 2ohn P,� 'AEaishtt l;. ! bya ". (Ia. gfCrrT�,�`V,.,,.:.:: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION /� A `� Map Parcel V�L O� Permit# /` 6y s O I y, Date Issued Health Division 2z� w Conservation Division 11 21 l 6 O�� Fee G o.0 O Tax Collector by � , o Application Fee � Treasurer �y O Planning Dept. �p Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address Village Owner 't-214 Address Telephone ° Permit Request /A)SJ~A LL /(O'X391 ��920 y S W !mac SA,[ Poo L i Square feet: 1st floor: existing proposed-�1 2nd floor: existing proposed Total new Valuatio`nr�o, Da Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size �''��, � `i� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes �] No On Old King's Highway: ❑Yes I No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ��ZD Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing-3 new Total Room Count(not including baths): existing (0 new First Floor Room Count 3 Heat Type and Fuel: O Gas Oil O Electric ❑Other Central Air: N(Yes ❑No Fireplaces: Existing New Existing wood/coal stove: O Yes No Detached garage:O existing Cl new size Pool:O existing 0 new size Barn:O existing Cl new size Attached garage existing ❑new size Shed:Xexisting O new size Other: ! ,, i Zoning Board of Appeals Authorization O Appeal# Recorded O c Commercial ❑Yes ❑ No If yes, site plan review# _J a Current Use Proposed Use st-A) BUILDER INFORMATION C'Name 0s'�� D Telephone Number Sb � " 3 4 Z— 7 Address 3g/3 At4-1k) -sT License# Home Improvement Contractor# 06 6Dq Worker's Compensation#4WC-106 5- 50�2�dr7S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE c lr;'^� 6 FOR OFFICIAL USE ONLY PERMIT NO. 1 DATE ISSUED + _ MAP/PARCEL NO. ADDRESS :r VILLAGE OWNER ,. DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLA-E -NO - ELEAL: ROUGH _ FINAL i PLUMBING: ROUGH FINAL ; GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED,OUT r ASSOCIATION PLAN NO. 14 , L • Town of Barnstable Regulatory Services 3 ' g Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 P ermit no. Date` �' _ d ' AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MCL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not-more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. '1ype.of Work: 11Jq120 Estimated Cost ' Address of Work: V/`10-6elwy opt Owner's Name: J of CQ_s e—°l 11 Date of Application: �' c6 0,6 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WTTH.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: C ;-16 -- N) Stu 0_A ' 1016609 Date Contractor Name Registration No. OR Date Owner's Name Q*ms:homeaffidav Town of Barnstable Regulatory Services 'AA"9rABM Thomas F.Geiler,Director 039. ♦0� ,orFD ,Ia Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5087790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �-i ) �� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) a Sign a e Owner Da Print Name Q:FORMS:OWNERPERMISSION �. � 77..; Board of Bai)ding ke�ulation§.arid Standards" `r. !�" License or registration valid for individul use only HOME.IIr1 OYEMENT CONTRACTOR _'` before thu:'.expiration date:`ff f4und return to: `','eristraft�Ry 106009- i Board ofBuitdin""Re iilations.andStarctards g g 2006. Oue Ashburtoii.Place kd 30t I - ual Boston, a a a "Bo o M .02108'�'�" ^' RICHARU T,SE r ° Richard Si 3413 MAIN Sr. . yet"` . ala ;1`4 ,2630 _ - Administrator of v N ai:c'1vit itsut Signature } • 6 i 203,11 Q 431578 S.9. 1.00 Ac. C.l3.$nd. rlJh,i�.tJ..ebe�vty s(2N7-IL- .._ 10 �x:vst�i„ru�. /�aame 1 50 u dea I 'A 10 l o. 70- d I ' 70 170.SI �l ,Sc.�Ce I"-�0 ! -Pot 6 I I�date 4-4-86 f1 LC Cope EnfAneehinr� Ce�tti -•i,ed Not /mot ar, 149 ka.2bo�t load - /dyannu.,., Ma. 02601 he 'Aq . ,o-t S a'- dlwwn on a p.tan o S 9h 4, bwildinq� •ice. above the rr���rry`r and 4.cotded in IA hunched y eat i oo d -pta i n, 6k- 349 ghe bum 4Jwwn on this. ptan i/, toca ted on the 9�,co and a4. shown Vie%eon, and.aree t d. #h.e baclz 2ecyuiiceme4ti o j- the gown o f l3g,�Me. Q•���� a'.i r r Ohn I'I lena w: 70 Na, n St. yaru2i a.., VC.- •' .. I- A :S/13/a9 REyCppIn ITM K TYYII.LS MIT CWTAII11W THE OIICIK . S I6.ATIKi W IIIC[.LEER Tf MTDIA ARE QI W7T ITTE - �JT TJX To AE usEru:vos!. 13 ' uovuc. OV+OOIUIL —1 I 2�, ®l5�?�713h I 5' PLANS FOR LOCATIONS' ' r gpDTjP B OTHER ITEMS IN BRACE 11 la fA GAIVSTEEl. I j RAVEL PREIRABRIfAnED ��e�cv r _ v ` S-3AH'•WOKE IIONGONAL BRACE AND 2'4M.BOLTS WASHE S TYr AND �YLTNIOOESS'+ ' ILltlsatx12G4GALV.� % TAT C L �,VASHERS (_VtE-fikSICA VINYL LINER (SEE SECT.T3/2 AND f6�E-fi4BPoURED =J• r = I PLANS FOR LOCATIONS //—I—STNR ASSE]181a' NUrS s Y.BOL75 I�8 QTHER ITEMS IN BRACE STAIR 11ff �S.ANO MA.SIdtS; t / i j -FABRIUI7ED 20 YL-THICKNESS VI YLTH THICKNESS' STAIR ASSEMBLY I VINYL LINER LINER L STAIR L/� I GA.BALM STEEL STAR LSE �. NUTS AAIm,2 y` COACHER NLLIEL . s4 W S1/ERS TYP.EA, ... - PANEL END I . m SERIES 550 6 650 STAIR CORNER SERIES 750 STAIR CORNER (� SERIES 850.950 Fi 1050 STAIR CORNER (a1 PUATP AND OlA1ER RlwP Ape f§GMIAER3 3 yy6. AgTOR J Cf10N MOTOR ON f ''/^ ��—,`} \/�� _� —— —.� —— — 'A'FRAME ASSEH6lY u V/= FILTER = LTrPICAI WHERE SNQMI _I RETURN T1 FXTE -- 10-- —:�_— ,G.+ 3 PERMANENTLY 1 1 r< 3 TTACIL•D N t 1 • 'AS FTLAAE I tikl:' I ••"' "'SAFETY LINEASSEMBLY I I 2 3 AFMCNED I T - _ SAFETY LAW � 1 {—sIUEDED �F1AT AREAS PUMP ANDtES I M A i I ..,� ,•- - .r a}V AREASCD f O W .d STARS ARE OPTIONAL OR KAY 8f .I i SIOMMER .<q 0 12.2d?Ai SF SURFAREAB ZIDQGAL.CAP LOCATED AT - = - SUCTION - m SIZE SMOMRI—�16x37�Q@.SF SURFARE A 6 j§$QQGAL_CAP POSMONS �' CI J -20k0.4Oo•� SF SIAE'AREA SURFAREA6 00GAGALL.CAE' 'X'YOTY2'CAP (. —— z : SERIES 2000 6 2050 INGROUND 'A'FRAAC AL WHERE - - O srtE SM".a'.44 T84 SF.SLRF AREA 624800 GAL.CAP p TER MOjORA� Y PIER41ENTLY m SVJRS ME OPTIO SAFETY LINE `C • _———~1 ,{rS�tK71011 Z`RE—TURN ERIES 2100 8 2150 tIV C•ROUND' - SCEE SH O NI 99.26.36 9D-EL Bzz sE SURE AREA IS 26928 GAL.CAP ARE I SERIES 2000 _a 2050 INGROUND TIONAL PE Arr°ulm SAFETY-LSE filiADED PORTIREPRESENTS M7sux �= Fw AREns 1 RETLSM FGP I 1 'A'FRA►E ASSEMBLY . L—� ♦ 2 TYPICAL WHERE SHOWN S NAL LNG SIZE SIWN:16tiSY 367 SE SESE AREA f-20720 GAL.CAP ALSO AMdABLE.0.41' R3 SF SURF.AREA L249W GAL.CAP 210k4J W5 SF SURF AREAL 292" GAL CAP SERIES 2100 a 2150 INGROUND B7Q IN/13/AA .UCNa9OICT1016 O SAIIr:S NOI Con.1.1a M MOcIN: SIG%%UR,DI TIU E161LEI u MCM AM rD AE NMLZE9 w 6A.GALY. STD' DIAGONAL IAiA(E JAT I TjC TG u OSEF Ra An PURPOSE. 6A.GALM STEEL RNtE1 .- S�YkIMht12 93/2 L i SFE SECT. �2 AND wANlE1 ,—i L S REl6 H BR S r5-)rPy'AAL BOLTS AND s•AY'�ALBOLTS,MTfS, ,mow a4 CALV. I' �T" �z wE7ts Tvr+cAL Ma.INacl I AND 2 MASHERS TYFSTE6LR4!_IFL EA.PANEL END ' `\ ►L 1 5-wo BOt-Ts.NUTS c I I I I I J \ I I I AND 2 WASHERS TYP. \ I F GA.GAUE STEEL -�- I EA.PA END puEL /F1 S-P.•*M.BOLTS.NUTS �• > I 7,4Z F A/� . ( E/L PANAND 2 EL END TYP. r i 1 s i I A S'n ' 'N� Th'A a 1>AI,' OwOR�ER�PECE 9D/TYF 20 YL THK30ES51 q4, o I. u, \`� I I�COPAERGwUJU PIECECIS A; vRm LINER - � 4 So- - I M GA.GALV.STFfl g` • F;1�'� - :2 EGfLB!Lt)E BOLTS , al. ! PE. 20 MIL-THICKNESS I I VINYL LIER I-t0 NIL.THIMMSS d' -1�- 120 IL.THICKNESS ff a+ NIPYL LAIFJt NYri 11ER N SERIES 700&750 OCTAGONAL CORNER (1 SERIES 800 9 850(9(Y'CORNER)( SFAS 900&960 W CORNER) n SERIES 550,1000&1050(TYP CORNER) t to 2 z z z z !O•TO END OF PAMFL I CMOfi�ER�PE�STF1� }�\ ,_d 5 2 AYNSIER�S TYP� y � K E I \,/ TEA.PANEL END PLANS�LOCACATIO ABM) e. w GA.GALA ST/in7 I , 14 6AGALY STL QTfE7t fTF7NS M BRACE -� P,12 SEE SEA. PANEL D/z TYPIrJLL J-j JAMMEELA S-2I ILBOLTs I{li5! IALT)IdOES4 AIL 2 VIRSHERS TARP. �• ` I LJER EA ENDRINEL END 5-ws M.B NUTS oI I 1 w GaGAUEsrEEL AND 2 WASHERS TYR FAMEL EA-PANEL END 20 hIL.Tv"Clalms L VMYL LANER 2.I �• MIL.THICKNESS cnI / IM GALGAM STM z C PIPER ' ppyIAGGppNNµRI��RpCf I r4O AT SPR.T ®IPIaIYla1Z Cs4 wPrNLe.sEE sEct � Hi T-Ro•ATSFrcTX ( o /L CV2 AND PLANS K FOR LOCATIONS w 6/L GeuH STEEL�1 I !� E ®Iµ SAND' VNYL Li PANEL 2//t'I PLANS FOR LOCATIONS B urmER ITEMS N MLACE W CD m ID m CL — SERIES 1000 & 1050 EL CORNER n SERIES 700&750 EL CORNER n SERIES 700,750,1000&1050ELCORNER n n SERIES 700 STAR CORNER n z 2 2 m 0' S- w GA GALV.STEEL 2 54GA.Gwx STEEL 2 t•►!L CONIC.DECKS tT ALURAP 1 CoPm S- S-d IHOUNNAL GONG DECK V TYNPCALL A��-(R1�SECT, 2 ` CL- TYP�ICALER Y1!•O<ial �lom AM SECTN+ -1 NSTALIJ.TION o - e_G-Ifs FOR 1 1 5 'G IS.BOLTS.IA/TS fix' NOTE NO. tlz i 20 NEC. R j - P18I'1 = 1-PICA M.BOLTS a.a THICKNESS SE AND 2 mRsm RS TYP. --r•T PANEL 00 •• ;�_...�•:_�::.-'.ti_.'. ._�..r`. S NOTE:SEE SECT. o NIf1IL LA`ER _ 20 AL TgOESS W2 FOR OIAGOIML T =' r nz41/1•ELPANGLE . A VINYL LINER AND NOItQONTAL .4i AEI'!- I w 6A.GAM S/rA ALLTHREAD 'C GE SPACES, Wt(tIAOE Btll7! •I I GUSSET TYR ROD BOLTS.TAJTS I FATE 6 CONE. EA F EL EIO 6 MAStERS ; i s_PyA CARRLA r X COLLAR !FORM- w GA.GALV.sTL I TYPICAL J ! BOLTS.NUTS 6 AMt • PANEL TYN7IJ1L ( NOTE ALL BACKFLL 1//' 2 d MA.NE% TYP �+ I TO BE NNON-FJNWl9VE� (DIAGONAL BRACE soL sEE Ib WALL ROIDN L-)I�{4 12 GXLGALV. ® _ , SEE y}�)I �� I NOTE Na.I J w 6•.GALV.STEEL/ P1'A MSHMS.YP w Ga 6ALV.STEEL. / I w G/L GAL1E STEF1 SEE PLAN VIEW f) I S-Pti A MBOLTS.NVTS� 13A�:I S+�a C•A• FILLER rn PECE J AID 2 1IA.SE3t5 TYP. F91ER PECE S. I �•-1 PINED SEE SEA. 5-Pt'0 M BOLTS. I ABOVE �.. I I IS/2 TYF�CJ1L NUTS E 2 110.9Ff25 _ -}Q� �I AND 2 YALERS �w 6A.GALY ANGLE TTP!•.�' EACH i MCA X Ih' TYR EA END 10 1050 PANEL E J /' SERIES 800.900. 00& OORNER_ r1 6 STAR SERIES 600 1000 STA CORNER lo PANEL E►D CARRIAGE eNLJ II (J� re•DEEP CONCRETE compo ENT NOTES 2 INSTALLATION NOTES 2 20 MIL TNOOFSSS �.AM(�STFFDER) I V�It� I� f j P�f��'7E OOF POOL ROUND� L ALL GAUGE STIML E FORI�FIRM MATQAAL TO LTME kSNC OFa9U Cf M FOOL N/WEDICQED CM A TTI'ICJL IQOLLQIQI VIfl1.llESt J L-Y'X 2-S GALV I ' I NSTAL1AT10N NOTE In I ASTM A-629 WITH M A•w GALmowzED COATING. BEING r f00.1 MOf COfiAwrC OAGARL GAVE.1'FAT.IIIYUb ROIL OR I AQ./'2(OURTTED fat I TEAL w GA. GALV. PANEL END 2 ALL STHL ANDS MWIM STRINIM AT FRANK NRALD), 2.INS E)L AM S* SOILS. TTfRCAL M GA QAETY) I BE7D OwOJ51011 i I--_r--- 1-- ii '�• .. •�- ARE ROLLED FIMM MATMAL CONWORkSM TO ASTII A-S6 z.INSTALL AN B-rflOc m10ETE WLLM AT TIE SASE of THE wuELNr+INCTvI GALV PMUNFI END —I rfiH AN ASTr A_Nis GALMI®Op►TINS. AREA AROUND M FiR1 POUNET7.71 6 M POOL.THIS 6!•QM CA1 TELL lEEZ mD L7♦(E7CSIOw I I 2• MIL F71 S ALL BOLTS AND THWAOED OOI PON ElfM APE MANUFACTURED S.SAGIf11 WrTK EYI FARTM FIEF CF ROOTS AMD C oMUC IFULlY tD N EDT O I D PRD I NATTJOAL COMOIIIMC TO ASTr A-SOT(NUTS-A56SGA) TAT®NG S.FILL POOL TM ME NVDDLED AND L"NO.US"LEVEL TO Y Mil'FLL AND ARE ZNC PLATE.PkSTENMK MASHERS AAf STANDARD DIC ELIYWATE Vd�.FILL NOOL RTTII INlrr�e RAISNG MOOLLN0.oNTA LEVEL 14— �L FLATM ..ALL NOT OWFE1t PA01 MCffLL IEIQ T MOUE THAN ONE PANT. .N I ! a.A CONCRETE SI"WV OR FNBm 0E JlMLL ALM FEAT FlIDr 25/B••�IITYP.TOP fs BOT. F S-I I� s-M•A� A.ALL MELDED ANTS TAT IRli1 STIPTV"AND AD.MSTAAE COST AT A HATE NOT LEES THAN 1/1 FEN RNOT. M BOLTS i I—LEym G PLATE) A-AAME MACE).AM COAT=WITH AN ALIAM M FAACT AFTER NAI20NTAL� ) 1 5 L/2• W LODL A.71tl FOOL HAS MOT Am1 IESMIED FOR•NJRCK1/1AE IMORQ L_2S12'a WX 2'-d GALLL SKG.ANGLE GA 2'-d I G• 1 Au11.G6./wOLE TIW GTN NY otoEs+' ME rwar:DDo►s mrlmYE a ODDS m E OUND OF RIM Am UK MONr CF OR L SS Lrr Nnu1MLLEMr TYPICAL WALL SECTION TYPICAL V44LL STIFFENER L2=E-wERE)MA ITI N PIJAD OF IETAAcv>aL TO SO NCF at LESS. 11 TME POOL APPROVED E OF US N RL T UQS,INC. CTORY nuAED FOR 2 yz PANEL iI AT MID. PANEL Lz TYPICAL VJ%-L SECTION AT 'A FRAME LT SISMLLDIY AIAIOVFD IN IALLEDL FOOLS.INC. 2 2 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM A � I / �(�C�"- L DATA Assessors map and lot number ... ..... ...:..... . .... Qyo�THE Tp�♦ Sewage Permit number BABBSTODLE. i House number Z Z" _ ` rasa ........................................................... 9pp 2639. 9� �o gar a� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... � ............................ h ........................................ TYPE OF CONSTRUCTION ...... ! .... / .... ................................................................................... ...................... ..........19.... 7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: zpo . ..Location .................. .. d....... �l(A.�9� .....1...!...:�........ ...................................�.. Proposed Use E ... .... ......................... .ti........................................ Zoning District ..................Fire District ° .... ; ... `� ' C - ` Name of Owner-...� .� ........ ......: ...�..�...�:�,.-.:.... Address-,.,..�..'�.. '..'�.._:-�-.:--�..�....w.... .. ........... Name of Builder ........: ........ ... ......................Address '......... ......... ......... ;.............................. Nameof Architect ..................................................................Address ...................................................................................: Number of Rooms .....:.... .................................................Foundation � :... ......... ......... ... Exierior ...`. ......... . a.. ...Roofing v ..................................Interior .......Floors ............ e ...,�....,..............:........:................... ::.....::............................................. Heating ..................�.............................'.............Plumbing ....... ......................................................................... .... ......... Fireplace ..... ...................... .................................................Approximate. Cost ..............................:....................................... Definitive Plan Approved by,Planning Board ---------------____-----------19_______. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH J t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all, the Rules and Regulations of the Town of Barnstable regarding the d bove construction. Name . l'......................................... Construction Supervisor's License ......................................... - � MERLESE0A, JOB0 P. ,/ A~63-84 . . 29153 ^ l� S� - ' No -----.. Permitfor --.—�.���----- �Siople Family Dwelling ...............~............................................................. . Lot #5 122 gbi tleb r Drive ' iocohon -----.. �-------a---e'ry— —�Maratoua Mills ---- --------------------.. - Owner —..Jobn P. Merleaena ............................................................. / Type of Construction ......F.raP.e.......................... --------------------------. ' Plot ............................ Lot ................................ , - . " ` April 7, 86 Permit Granted -------------.lg � Date 'of Inspection ------------lg Dote Completed ... ..................................lV ' ' � Tl � [ ' � | - � ^ � � / ' - - ` . ~ ' ' ~ ' ^ ^ ` . ' ' !` ` . ! ` ~ ��� �^^���'�^ l TOWN OF BARNSTABLE Permit No. ...29 53 . a BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash .... 39 1 HYANNIS,MASS.02601 Bond X &T7 CERTIFICATE OF USE AND OCCUPANCY Issued to Juhn Y. A':Ierlesuria Address Lot #5, 122 ihistloberry Drive L`1G1rsturl F., /•rills, Ilas:3achusut-J. 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. January 8 , 19 87 _.�, � �� `` ...8............ ....�t�. .. r Building Inspector �J..� °•� � TOWN OF BARNSTABLE BUILDING DEPARTMENT = r�aar 1 rua TOWN OFFICE BUILDING � t639' � HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit/has been issued for the building authorized by Building Pe-rmit ........................... ............................. d),1W,,gA_.................._............. _. issued to \ �T .._. ic!( .� ...¢„ .si ..... _........._._ »w fir'' Please release the performance bond. 4 f BUILDINt TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT A-63-84 JOB WEATHER CARD DATE 19 PERMIT NO. !`u APPLICANT ADDRESS IN0.) (STREET) (CONTR'S LICENSE) +•, NUMBER OF e5U'.i..LJ I!Wt:ili!-ttt i.; .,.."�,.it. r�;fl:'I —j .::. _. .i:l,. .DWELLING UNITS PERMIT TO (_) STORY (TYPE OF IMPROVEMENT) NO, (PROPOSED USE) ' _'.L• .:.4`1.:; '�.: ., ZONING i AT (LOCATION) DISTRICT - (NO.) (STREET) ' BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT:` LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION I7; (TYPE) L! 5-- .6-0 REMARKS:. AREA OR 1604 sq. !.t. 1.2 00 Cl.0"i PERMIT VOLUME ESTIMATED COST FEE (CUBIC/SQUARE FEET) JG(111 OWNER LUJV.1 ; BUILDING DEPT.�o.u,IV •..tl it!1 Cis �_... C;L V:L i.l'C ADDRESS BY -.+.THIS PERMIT CONVEYS NO RIGHT -TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART;THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER,THE.BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF'PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS '4 OF ANYJAPPLICABLE SUBDIVISION RESTRICTIONS. ' +• MINIMUM OF. THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE JNSPECTIONS REQUIRED FOR CARD KEPT.POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR '•LTALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I.,;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). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPEC ION APPROVALS 2 2 2 3 H E AT;p;G 't SP E CTiIJG APPROVALS REFRIGERATION INSPECTION,APPROVALS ; ER ---- 2 - - j ftf--4- . .mz 'N-"FK S,AL_ NCT DPO=EED UN'F:L THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSPECTIONS iNDICAT.ED ON THIS CARD ' .'4 E •^.F -iAS :??RvVED " E:%c�!CGS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE __ nQ WGITTLN NOTIF I!'ATION_ J05EPH D. DALUZ TELEPHONE: 775.1120 Building Commissioner EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 December 15, 1986 Mr. & Mrs. Arnold S. Hoffman c/o The Mill Store Cordage Park Plymouth, MA Re: Lot- #5 122 Whistleberry Drive, Marstons Mills Dear Mr. & Mrs. Hoffman: Please be advised that as of this date the Certificate of Occupancy for the dwelling located at 122 Whistleberry Drive, Marstons Mills has not been issued by this department. Very truly yours, Alfred E. Martin Assistant Building Inspector AEM/gr o i a e M -Po-t<S Q 1131578 /.00 rlc. C.i3.ind. +�� ebe�viy �aiu a .. . . . .: .. ... . . . £X:i�.t ink w/ sic SO ! vjide deck i o e a .. va M 710• 70'- i 3at,e 4-4-86 A.tt Cape �nq4,ne" Ce7,t jizd. p.Co.t /-)tan 49 14a tbo�t road ldyanni d., ha. 0260/ t3e-i n,� &t S as ahowa on a p.tan, o f Jhi.4, bui td blF 4,-1 aboue -the U�err�yit and to 4ded in hundlted y ea2 t to o d ptai4. 13a t . bt e Oeq i,4t tq A 34 9 /39. S 4. Jh.e bu 2,i w, alwwn on -tlzv A p-tan. -v�. Dca tee on j -the 9�,w uvnd as dlw wn .th.eaeon, and o eet d, the d e t- baclz 2e,cywiiie.;sen o�- the Slown o j- da4�tabte. i Owne2: ic r 170 Na-i,rt St. yAl t.,i. b ion• y` �� . � _ � , � p -./'pro. i • / 1 61 Ji oe 00, 001, oll 000, or Gv� SEPTIC 8 � FTHEA %esaor s map and lot number ............... .� .... ........ T o� INSTALLED IN Sewage Permit number ............. ."y2 :�.. �. ���.^�.fy�q�p9 WITH TITLE r „ % �y1� y�t Ro�j/� Z BASB9T/1DLE, i ! Z i'�F�9ril.i f�wti r qO NAG Housenumber ..... ...... .................................................. Tf� o gar TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... .......... ... .... ...... ................................. ......................................:.. TYPE OF CONSTRUCTION ... . . .................................................................................... ...................... fa..........19......T TO THE INSPECTOR OF BUILDINGS: " The undersigned hereby applies for a permit accordin to the following information: `S Location ... . .. :....... ..................... ...:... . o ProposedUse .... .... ..... .... ..r....... ...... ........................................................................................................................... Zoning District . ........ .. ... .................. .. .. ............. ...Fire District ... . ... ... .... ............. .Name of Own . ... ... ..... .. .. . .. .. ......... .............. OL Name of Builder .. . ..... .. ...... ...... ...... ..............................Address/A4. .. !bd../...` ,,••.. ! ,� ................. . . ....' G Name of Architect Address /— w� Number of Rooms &.................................................Foundation ..... Exierior•. ................... .......... ...............................Roofing ............ ....... .....................................:........... FloorsInterior ....... . ... . .................................................... Heating . ... ......` DD�.�l.J.....................:............Plumbing ........L../Z..... `t/.-.....4................................... Y Fireplace ............... .. ......... .. .. ...........................................:..Approximate Cost .... �.f ...'�.. �............ ...~....... Definitive Plan Approved by lanning Board ______________________________19________. Area .....� .�".................... Diagram of Lot and Building with Dimensions Fee � !........... . ... .. ................. SUBJECT TO APPROVAL OF BOARD OF HEALTHIeZ `0 n, l �O � f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Wrn ble rg rding the bove construction. �j� Nam ..... D../ Q..L Construction Supervisor's License ........................ I.I.:ERLESENA, jOHN P. Ng 19153..... Permit for ..... ....S.t.11Y.............. ' Sin e 4l Famil ;................y .Dwelling �,,1 ...................... Lacatia ....Lot..#5.,.....12.2.Y .i..s..t..l..e..b...e..r..r..v Drive ..................Ma.r.s.t.on.s...Mills................................ 00 Owner .......John P. Merlesena ............... Type of Construction ...... ............Frame............. ......... ............................................................................ Plot ............................ Lot ............................. ..Permit Granted .....April 7. .....6............................ 19 36 Date. of Inspection ....................................19 Date Cornp�te� ... 1�?6.........19. 40k I