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0565 WHISTLEBERRY DRIVE
�r_ _ � _. �. Town of Barnstable *Permit# c� G�161G. ExpirX6 .. nths from issue date Regulatory Services vices Feces Thomas F.Geiler,birector X.pR5SS PERMIT Building Division Tom Perry,CBO, Building Commissioner JUN " 4 2009 200 Main Street,Hyannis,MA 02601 -`-ABLE www.town.bamstable.ma.us (5 ;N56f8 ( 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTL&L ONLY Not Valid without Red X-Press Imprint Map/parcel Number (� Property Address [residential Value of Work 9 So Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address R0 ScL/VJ 56s 0-4 Contractor's Name FA 6 � �Uu� Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) [AWorkman's Compensation Insurance Ched one: ❑ I am a sole proprietor ❑ I am the Homeowner 0,1 have Worker's Compensation Insurance )) Insurance Company Name I t`1�- - ��C)l Workman's Comp. Policy# _ — 3 i-{ Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) (l O-Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: i Q:Forms:expmtrg Revise061306 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): T/l0-�� ( (!l'ld L LG Address: City/State/Zip: C�)bja Phone#: 56 9—YO-9 Are you an employer?Check the appropriate box: Type of project(required): I J2KI am a employer with 4. ❑ 1 am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. g Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L E] Plumbing repairs or additions myself. ' right of exemption per MGL Y Ll`Io workers comp. 12.0 Roof repairs i insurance required.] t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' 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. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: e J Policy#or Self-ins. Lic.#: Ll a — b 3 q J M 56 6 — 0 Expiration Date: Job Site Address: 5(o s City/State/Zip: YY1 aA.o 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$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 cep the nd pe Ities of perjury that the information provided above is true and correct. Signature: Date: l Phone#: UQ�" Y� oC `A 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 0 Contact Person: Phone#: r'!e T�aminw�uuea/./a�✓�aacccclzuaella -. . Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registry&t, - 112536 Board of Building Regulations and Standards Expiration:=3/23/2011 Tr# 281021 One Ashburton Place Rm 1301 Type: DBA`• Boston,Ma.02108 FRASER CONSTRUCTION GO. DEAN FRASER 104 TWINN VIEW LANE ` .,, E FALMOUTH,MA 02536 Administrator Not re ^ -� Boar o uil in e ulan g g osan tanars One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 112536 Type: DBA Expiration: 3/23/2011 TI# 281021 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card 'Al .ia 40M-08/OB-DBSLIFORMCA708212008 I! �•^ � ` �irrrazfvru�a�t .,l�rr�e/zusek2 ;�4 ' r; '�`i'•" mid SjaIIftffids . • �P@ia�a �5i7cense ' ' 011• TrA 9.7668 .�i k;•.:•it DEAN Fm.,qm 1.0'4 TMNMtME ! 4W— J EAST F4UIl'6bUTH,-I%W936 � GbmnfiWwnvr hightFax N3-2 10/1/2008 1 :56: 31 PM PAGE 2/002 Fax Server I ............... ....... 10/01/08 ISSUE DATE PRODUCER THIS CERTIFICATE IS ISSUED AS IA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR AL7ER'I Fri COVERAGE AFFORDED BY THE POLICIES BELOW. 449 PLEASSANTANT ST WISE& INSURANCE AGENCY COMPANIES AFFORDING COVERAGE BROCKTON MA 02301 CO""Y A HARTFORD UNDERWRITERS INSURANCE CO IZITER INSURED COMPANY B FRASER CONSTRUCTION LLC I�T� PO BOX 1845 COMPANY C LETTER COTUIT MA 02635 cow"Y D LETTER > col- E LSITER THIS IS TO CERTIFY THAT THE POLICIES OF INSU RANCEANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDMON 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 COFGkLIJA E OF INSURANCE POLICYNUA�ER POLICY POLICY L�IIHI LTR EFFECTIVE DATE EXPIRATION DATE D/YY D/YY HELXrY GENERAL AGGREGATEIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ ❑ CLAIMSMADE ❑ OCCUR. PERSONAL&ADV.INJURY $ ❑OWNER'S&CONTRACTOR5 PROT. EACIIOCCUFU CE $ ❑ • FIRE DAMAGE(Any One Flm) $ MED.EXPENSEIAnvonepewn $ AUTOMOBILE E LIABILITY COMBINED SINGLE LDDT $ ❑ ANY AUTO i ❑ ALL ORNED AUTOS BODILY INJURY $ lPerPerson) ❑ SCHEDULED AUTOS ❑ HIRED AUTOS BODILY INJURY $ lFa Amldent) ❑ NON-0ANED AUTOS ❑ GARAGEL1ABnS1'Y PROPERTY DAMAGE $ EXCESS LIABILITY ❑ UMBRELLA FORM EACITOCCURRENCE $ ❑ OILIER THAN UMBRELLA FORM AGGREGATE $ STATUTORY L➢WTS X A WORKER'S COMPENSATION EACHACCIDEN7 $500,000 AND UB- 09/26/08 09/26/09 DISEASE-FOUCY T T $500,000 0341M556-08 EMPLOYER'S LIABILITY DISEASE-EACH EMPLAVEB $500,000 OTHER T►¢? PROPRI MR/PARTNERS/F.KECUTE VE - OFFICERS ARE INCLUDED. DFSCRIFETON OF OPMCATIOMS/LOCATIOMS/VMCIMjSPECIAL nIMLS TEIE D SUBFD'S AW WORKERS COAU g24SATION POLICY AND ITS LIMITED OIHIRR STATES INSURANCE MAWOtI.SF1 MNT AUIHOR7ZZS TILE PA"WNT OF BFIVEPITS FO DUDE BY THE NMIRED'S AW EI WWyEES IN STATES OTHER THAN ALA.NO AUTHORIZATION IS GIVEN TO PAY CLABUS FOR BEN ITS IN ANY SPATE OTHER THAN R C1.A IF BIIS Im INSURED HIRES,OR HAS DIED.F1ITPLOYEES OUISDE OF NIA.THIS POLICY DOES NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN MA. THIS RFPI.ACES ANY PRIOR CER77FICATE I%VW TO THB CERTIFICATE HOLDER AFFECTING WORKERS COAW COVERAGE :ti5 [;,t,':$ '�: `i -::•:•::•::{•:{. :.}.:.::;:;: ::is}7:ii :} }:i:i:S:}ii }:•:•}:•:4} •:{:.. ....................... •Lild3icfOk::{::.:;';:} :i: . :::::.::•:: }'•.:}'r'r{•:•}?:{{•:{•:•:i}:•}: : :•:}::{{•: TOWN OF BARNSTADLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PO BOX 40 EXPIRATION DATE THEREOF.THE ISSUING COMPANY WELL ENDEAVOR TO ALAIL HYANNIS MA 02601 ]0 DAYS wEI TEN NOTICE To THE CERTIFICATE HOLDER NABEED TO THE LEFT. BUT FAILURE TOIHAIL SUCH NOTICE SMALL IAIPQYENOOBLIGATIONOR 1.7JR77 TI•Y OH ANY IQIm UPON 7HE COATPANY.IIS AGSM OR REPRESENTATIVES AU7R081ZBD RBPRBSBNIiTNT3 PAMEM CAS7ZFl-677YCgR F 5/12/' 09 TUE 15 : 55 (5084281142 ) 5084280123 # 1/ 3 '....'_:...�� Fraser Construction, LLC CONSTRUCTION P.O. Box 1845, Cotuit MA. 02635 ROOFING Email: fraser construction ai verizon.net SPECIALISTS www.fraserroo11ng.coin FAX 1-508-428-0123 508-418-1191 MCL#112536 CS#97668 RE-ROOFING PROPOSAL DATE: May 8, 2009 revised 5-12-9 PHONE: 508-428-3681 NAME: Rob & Sheri Catania MAIL ADDRESS: Same JOB ADDRESS: 565 Whietleberry Dr. Marston Mills, MA EMAIL: slcatania@wickedrestaurant.com FRASER CONSTRUCTION hereby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Supiply and Install - CERTAINTEED LANDMARK ULTIMATE: Lifetime Warranty, 10 year sure start protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi-Layered, triple-layer thickness, Laminated Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive`. ,, COPPER/CERAMIC Stones with a Full 15-year Warranty against ALGAE Containment. 10 year 110 mph wind-resistance warranty, Wind warranty upgrade to 130 mph when CertainTeed starter & CertainTeed hip & ridge are used. See actual warranty for specific details and limitations. Fraser construction includes six nails in common bond area at NO additional cost. Color: PRICE- $4,750 Initial Supply & Install - CertainTeed Winter- Guard: (ice 8& water shield) Waterproof Underlayment. System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Su»ply & Install - Roofer's Select Underlayment Paper (as recommended by CertainTeed) Suj)qlV 8s Install - 8" Aluminum Drip Edge as needed Supply & Install - Aluminum & Neoprene Soft Pipe Flashing Supply & Install- Air Vent Ridge Vent (as recommended by CertainTeed) Supply & Install - Step Flashing Clean & Remove - Debris from work area daily. 5/12/' 09 TUE 15 : 55 (5084281142 ) 5084280123 # 2/ 3 *4 Star Warranty Upgrade will be applied if proposal is signed and returned within 10 days. (see enclosed brochure) On CertainTeed hoof *****IKO ROOFING***** Supply and Install Cambridge 30 (East) Our Cambridge premium architectural shingle provides durability, low maintenance and the great looks of a shake-like appearance at a very attractive price. They're built to last with double-layer construction and a tough, modified sealant for superior tear strength values and greater resistance to high winds. Cambridge 30 carries a limited 30-year warranty. Color: To Match Existing PRICE- $3,950 Initial C�L Remove & replace asphalt shingles on dormer - includes new ridge ' vent & ridge cap PRICE- $1,626 Initial Supply and Install (lee& Water Shield) WATERPROOF UNDERLAYMENT SYSTEM 3' at Eaves & Valleys, 18" on Perimeter of Roof, Counter flash Skylights, Cheeks, Chimney and All Flashing Points. Supply and Install 15# FELT PREMIUM UNDERLAYMENT PAPER Supply and Install NEW DRIP EDGE AS NEEDED Supply and Install RIDGE VENT I JOB NOTES Remove & replace asphalt shingles on family room rear of house (2) sides Remove side wall shingles on cheek connecting roof Supply & install new white cedar R &R Clear on cheek New Corner Board 2% Discount if paid by check immediately upon completion 5/12/' 09 TUE 15 : 55 (5084281142 ) 5084280123 9 3/ 3 NO MONEY DOWN- NO Payment at the start or part way thru Payments accepted are; CASH - CHECK - MASTERCARD - VISA -AMERICAN EXPRESS Any payments not made within 30 days of completion will be charged 1.5%for every 30 days the payment is late. Possible Extra- After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra - Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$60.00 per hour, plus 15% mark-up materials FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start. Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. IKO Warranties the shingles and labor 100% for the first 10 Years And then on a pro-rated basis for 30 Years total if the shingles becomes defective. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other,necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: ' ( / K_ �� y Or1()QL4-UV� Homeowner Fraser Construction, LLC Assessor's offioe (1st floor): - y F TNf Assessor's map and lot number 0 6 U S Pyo TOE♦ 22 ...... Board of Health (3rd floor): 11 Sewage Permit number ........ .... ......-..1.................� Z BAHEMBLE ........... Engineering Department (3rd floor): `JS rus House number �� '.. ..... . .......... °o'�0gara`��° APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ......................................................... ...................... ........................................ TYPEOF CONSTRUCTION ....................................................::............................................................................... .................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .,..................................................................................r.................................................................................................. ProposedUse ..........................................................:.................................................................................................................. Zoning District �..;...........................................Fire District ......................`........:. Name of Owner A!�.(.r..... ..: .� ......(.:�T:`.--f;�icldress .................................................................................... Name of Builder ......ja.liY. ..:!f-' ?....................Address )2.�/-,l.W.,!'?:(L .............. .............................. Nameof Architect ..................................................................Address ......................................,...,......................................... Number of Rooms .....................6,1........ ........................Foundation ... (.1.V!.�.l..r`..................................................... Exley for .......... .Ll�P. ............Roofing ..... r ......Interior ......,..� t Floors .........................::.'..`.. ....... ............................................. Heating ..................................Plumbing ` Fireplace ..................................................................................Approximate Cost ........ `'......:..:....:... ..... / ..... Definitive Plan Approved by Planning Board 19 ________ . Area 1.��!.... ............. Diagram of Lot and Building with Dimensions Fee Dr..—.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i► �7 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 .................................... J -T CATANIA, ROBERT & SHERI 061-045 No Permit for ..... ...S.tor.y.......... ......S.i.ng.j.e...Fgixo.ijy...D.wel_lirlg.......... Location ....Lot....#.6.9.........5..6.5...W.h.i.s.t.l.e.berry Drive Marstons Mills ............................................................................... Owner ......R.ob.e.rt....&....Sh.it.!.r.i.. Catania .. .... .. .... . .... . .. . ...................... Type of Construction ....:Frame ......................... ........... .................................. ............................................ Plot ............................ Lot ................................ December 29 , 86 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed .......................................19 owl,- The Commonwealth of Massachusetts - - 02 Department of Industrial Accidents Office 91111YOSMOR ONS 600 Washington Street Boston,Mass. 02111 Workers' Compensation.Insurance Affidavit cfa o a one n e , name: E w'Q1u, l Otv�S�2UC?iorJ location W% )-"C)X ILl—Ji� City 'v0`:114 FRLMoyt)f M4 �d�S�6 Phone# I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. .-,._. _ ,." 3... 'cC. B.^3r—as is kn t 7"ir.X'3u p�' ,r�, jE'1 'mr'cY�f ric'"4 ".X`-' ,•� xt SY,�'X �?! t��t�ric" may.;?.,% y 'i .4�:,r$Eg`r`� ;i�.-. 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'RM�`'�l,a� ��������yd'�'}� %' "` i �r.b�i'y`aS,�('�' b ��kl���� �i.�':�?�t�; I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: _ �' y iw,=-.a - � �' �F �x � � iF�T �7ry - M� fug 7 t u xF t AN OR IEEE >. x �1u�c `F'� z -s -�4 40 �AYirt"M t C. w, +.• 4 a; tyi� r, ice'..` r ... E .. c.. rY 6 3A.yd 4 °i n ,v. ✓ , c G ry":.,ria, a `r r ,T -5f� a�'` '�" ' ^lv;ke».'. je'3 v+li'" };j. onex# `t e, a "k 'Cj ?x y3�5 r a k &e �r tt1r i c xm i °::, c.°' •ems t tgP. y$ 6 � e •. �', is �:* _` "°'°t- h` '4y'� "fiY-• led�.�+ ,R, tr: �� ";t Ol( °^c ,xaa4.. ',W<><�& - 'cr'it�ar�ira, ksiY .nc ,, M;+gg "" >w.�,k�s, '3 y, �•1K Eel ,L i. �. n .'Y�i�� C2 F ` .rc fin com Sn name r' s ri rn � f< 4 Mr t nr e. d kw3 ' 4 m.'rr' x . z 7 �, n. .�� t4v 1"' :� hT 'p,._ - §'^Y.'z `.. ' r#(y- s ..^�y, . 5, :,•pq(`'+i.�" *$i 'Y2< Its G t. #ttyx :` addressigN. . ri7,nu.' � '�',�_- s. + v .�s� i�iF?.S 4+. �.•�'C3 ° ^� �frfn ' , ` �'�t d� �`? ",?"� `a' �crtrk ��i �,. aYa , �ri '=+. x a' •a i`. .,r` 1'C.'' zx °' 'r �,• � Yr< lF +x�J"�1 gym{?M ,,�ItY ` a ' � � t € � a +rt �a' < 4 � i € "PhOne#sr as�i � if �ai�4.. `��x� St�.�+z� $ .':n �,�`��»'�'�^�C�•''�G����''�'�'��5�rx'�., fi s �+'',� u�� LLY.4'�i��� ��•�'"�r�;£ t���� x,�, Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form oC a STOP WORK ORDER and a fine'of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 7 do hereby certi er the pain and penalties ojperjury that the information provided above is true and correct. Signatu Date 3/25403 Print name �w�i�/ (✓e ACC Phone# MUM I official use only do not write in this area to be completed by city or town official city or town: permit/license# (—(Building Department ❑Licensing Board ❑check if immediate response is required []Selectmen's Office ❑Health Department contact person: phone#; FlOther �j (revised 9/95 PIA) « Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted.to the Department of_Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The aff davit should be returned to the city or town that the application for the penriit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The.Department has provided a space at the bottom of the affidavit for you to fill out.in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for youcooperation and should you have any questions, please do not hesitate to give us a call. -=-- — - -- —'-• The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 MVVI1✓TM V`.1\ 111 IVA 1 V VI L.IAI..i1V1 1 1 11\VVI\/'11\V` 03/25/2003 PRODUCER (508)540-2400 FAX (508)760-1988 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Murray & MacDonald Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 406 Jones Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth, MA 0ZS40 INSURERS AFFORDING COVERAGE Douglas MacDonald INSURED Kendall & Welch Construction INSURER A: Norfolk & Dedham DBA: Ronald Welch & Daman Kendall- INSURERe Safety Insurance P.O. Box 1478 INSURERC: American International Group North Falmouth, MA 02556 INSURERD: INSURER E: COVERAGES 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,.EXCLUSIONS AND CONDITIONS OF SUCH. POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE OLICY EXPIRATION LTR TYPEOFINSURANCE POLICYNUMSER DATE D DATE MIDO LIMITS GENERAL LIABILITY R0206787 06/1S/2002 06/1S/2003 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) S 300,0001 CLAMS MADE M OCCUR MED EXP(Any one person) S 10y A PERSONAL&ADV NJURY S 1,000,00 GENERAL AGGREGATE S 2,000,00 GENLAGGREGATELMIT APPLIES PER. .PRODUCTS-COMP/OP AGG S 2,000,00 - POLICY P LOC AUTOMOBILE LIABILITY ZIS26SS 11/17/2002 11/17/2003 COMBINED SINGLE LIMIT ANY AUTO (Eaacddea) S ALL OWNED AUTOS BODLY INJURY S B X SCHEDULED AUTOS (Per person) 2SO,000 X HRED AUTOS BODILY.INJURY S X N090MEDAUTOS (Perocciderd) S00 00 PROPERTY DAMAGE $ (Per accidem) 100,00 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY. AGG S EXCESS LIABILITY EACH OCCURRENCE S OCCUR D CLAIMSMADE AGGREGATE $ S DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION AND WC7241974 06/1S/2002 06/15/2003 TORYLW s ER EMPLOYERS'LIABILITY C E.L.EACH ACCIDENT S 100 000E.L.DISEASE-EA EMPLOYEE $ 100,000 E.L.DISEASE-POLICYLMT S 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESEXCLUSIONS ADDED BY ENDORSEMENTISPECUIL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Town of Barnstable 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Bu i 1 di ng Division BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 200 Main Street OFANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE _ Claudine Poutre CDP � ACORD 25S(7197) FAX: (508)563-1062 ©ACORD CORPORATION 1998 L 03/21/2003 15:30 508255SUA DS&C rraut ai �$RTIFICATE OF LIABILITY tNSURANCF m °"0 /21/03 FNww= Tm CERTIFlCATE a A MA OF n i In ura�nce ONLY AND CONFERS No luem UPON THE CERTNRCATE OC. HOLOM TM CERTFICATE DOES WrAMEND.F ffM OR 14 Lot sHollow ALTER THE COVERAGE AFFORDIM 8Y THE POLICIES WO- Mr. Orloanx uh 02613 INSUREn AFFORDING COVERAGE Phone-50A-255 1212 - UNURID NSURERAe American States Insurance Co. Hama Travelers Tnsuranca Cc• :tV 9$ostro�ie 3•ta NS�RQ I Bl a ► OZ632t NGURERM aISIFRERa COVERAGES THE POLICIES OF enxww NArE em11 MuW TO THE v0URW NAMED ASOYE FOR Tl1E PODGY F EIU00 NDICATEO.UgTMRT1ISTANDING ANY REQUNUMM.TERM OF AW CONTRACT OR OTHER OIX�iT wRN�to wHc"TMS COMF1GgE 1NY OE SUED OR MAY FOUNK THE DYTNE FOuC"OF9C�NEREW WSUWWr TO AM THE TERMS.00CU KNOAND CON 71T10"OF sum/ POLJCM Mi6iEG11TE MI1r HAVE BEET/REOUC�6Y PAID CIANIB. TTFE� 1'OilD1/NINIOEA �� E91H $300000 rA X YMENCAL GAw 01CD23SO1010 09/27/02 00/27/03 FWDMA"E(my fts) s200000 CLAM Mao o MEDEWPVV0Wvet 810000 X Prod/Cc O • Inc FE�oNALeAw�► s 300000 GEIE RALAWRMYE i 600000 Ian AGGREG T r P P -OOMPPAoO 6600000 PT7 w ►� AUTOMnLE �uwr i ANY AFM ALL OWNED AUM i • SCHEDULED AUTO I 10R®AUT08 ��" i i aAsaos � AUTO ONLY-EAACCIBIT s ANWWA To EA PM s AM� AM 6 a LIAes�n BACK OCCURREUCK i OCCTRt ❑CA WZE ARi6REGATE s s oEDucTle►E • i RETOMM s MR-rolven"i AD To IlMrre H 7POM71ON697903 03/03/03 03/03/04 LL.EACH AOc0mT 8100000 E.LDIS ASE,-EAEIFLOW 8100000 EL0w"-Poucru►eT s500000 oTNSR .Ofi2CR eT"OF QFew Aoom•r vRovuala Plwbwinq or i ltv ciao vork CERTIFICATE MXDff IN I ADDIMMALOIMIRED;lllaJ MLOTM CANCELLATION =MAW 01OULDANYoRTNEAR01W00G1l O OYCILi0ECM10g1.ED80WATllE1�MA OATS TNEJW THE usutNo llmAo "LL V=AVOR TOft%L T a DAV57WlV#j"=TOTl!CM"vwATEmoLmMel®ToTIELE",l11TFFAW ETO00Modal 6 ftich Construction Nl 0KNGOOtIO M=GIU#AWTYQFANr;Uw1lONTWeBV�.n8AQE PO Sox la F8 103PREWNTATNM Worth R MR 02556 AIRNOPs=0vRM ATIN hIaAIV-41 ACORD 23S P" OACORD CORPORAIM IBM ..� ..� ..�..��,r P.O1 CERTIFICATE OF LIABILITY INSURANCE DATE(wwai 'I PRODUCER IS ISSUED AS A MATTER OF ONLY T� AND CONFERS RS NO RIGHTS UPON THENCCEERTIFICATE_ 74hea In Street Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR st Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ostervflle, N[a. 02655 INSURERS AFFORDING COVERAGE wsuRED Aug Forms, Inc. INSURER a INSURER a 32 General Holoway Rd. INSURERC: South Yarmouth, Ma 02664 0%SURER0. COVERAGES INSURER E. THE REQUIRE OF INSURANCE LISTED BELOW HAVE CON ISSUED TO ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING MAY PERTAIN,THE INSURANCE AFFORDED BY THE P OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR TRACT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCL POLICES.AGGREGATE UM1TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. USIONS AND CONDITIONS OF SUCH ( TYPE OF INSURANCE POLICY NUMBER E GENERAL LIABILITY LIMFTS COMMERCIAL GENERAL LIABILITY EAC14000URRENCE f CLAIMS MADE ®OCCUR FlRE OAMA A(Arty one fire) f MED ExP(Arty one perspnJ f A 1►SPI34700 04/04/02 04/04/03 PERSONAL aADv%ww t GEM AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE f POLICY PRO LOC PROOUCTS-COIa>P1op AGG S2-000,00 AUTOMOBILE UABLLITY ANY AUTO COMBINED SINGLE LUMT f All OWNED AUTOS (Es acc4km) SCHEDULED AUTOS BOOBY INJURY / (P pv310nJ f250,000 A HIRWAUTOS M8I34700 .04/04/02 04 04/03 NON-OWNEDAUTOS BOOILYINJURY (Pvaoaaent) $500,000 i PROPERTY DAMAGE GARAGE tlAenrn (peromdem) f100,000 _ ANY AUTO AUTO ONLY-EA ACCIDENT f OTHER THAN EA ACC f AUTO ONLY: AGG f EXCESS LlgBall'Y OCCUR CLAIMS MADE EACH OCCURRENCE S AGGREGATE• f OEOUCTIBLE S RETENTION S f WORKERS COMPENSATION AND f EMPLOYERS'LIABILITY OTK- WC134700 04/04/02 04/04/03 E.4EACHACCIDENT f ft -000 E.L-O(SEASE-EA EMPLOY f OTHER E•L•DLS'EASE-POLICY LIMIT f I al OESCRIPTION OF OPERATIOMM OCAT(ONSNEHOLESIEXCLU3MM AUMD BY ENDORg EMENT/$pEC1Al PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED:INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOYB DESCWBFA POLICIES B FO E CANCELLED BERE THE EXPIRAno" Kendall & Welch Construction DATE TNEREGF,THE IS WNG INSURER WILL ENDEAVOR TO LWL 1�DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILUAETO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR ILIT 508-563-1062 FAX REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25S(7/97) NG I9 ACORD CORPORATION 1989 't• �� >�,c!-u•i' - . .c - ,�rV% �%°�„�<""l ik- ;�i3F"....... ISSUE DATE(a1M/DD1YY1/.<.H.'.^:.5... ;.+.... '::0:w'.. „-. .< 1..-.., :��•'- �,•I'..L�x'^"f<Y+ro"('",_y�f:t�.s4�v(�('+ { PRODUCM THIS CERTMCATE$ISSUED AS A MATTER OF ANAORMATION ONLY AND Brewer&Lord LLC CONFERS No BIGHTS UPON TOR CFRTMCATE HOLDML TMS.CKRT IRCATE DOES NOT AMEND.EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 177 Main Street POLICIES BELoW Falmouth,.MA 02540 COMPANIES Ar'' RDING COVERAGE COMPANY 509-548-1596 UMER A Commercial Union COMPANY INSURED LdsTIHR B Safety insurance Colony Insulation,Inc. COMPANY LETTER C Commercial Union PO BOX 189 COMPANY Cataumet,MA 02534 LETTER D AIG Insurance COMPANY LETTER E . :i..^.a..S_.. 33S:v%J: .4:.::a:•::w-M'l'(�WS�v.'?E.�"'�:-..L.-:'..�."`,ii,Z..L �:f''':'"... .�x£G�..� �-�:f<v>�,.�:``3�'.".�`''<.s�. i4�-2N$x'�d..'3`�YK�:�z'f' �`O,S!-Rz�"i? T'IDS 18 TO CERTIFY TWAT THE POLICIM OF INSURANCE LISTED EN aELOW HAVE BR ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWrr&TANDING ANY REQIIIREMEW,.TERM on COIDTRWN oFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT To WHICH THIS CERTIFICATE EXCLUSIONS ANDY BE ISSUED OR MAY CONDITIONS OF StMH POLI ICIES.LIMITS SHOWN MA��VEBY THE POUCIES BEEN REDUCED By PAID C1 IN IS S AIMS U1UXCT TO ALL Tito TERMS. TYPE OP INSURANCE POLICY NUMBER PN)LICY POLICY EXP. DATE MMIOMY) .DATS tVMWDIYYI LIMITS A GENFdiALLIMHJTY ASR594525 6118/02 6/18103 GENERAL AGGREGATE 2,QO0000 x •GE"ER•'LIABILITY PRODCOMPMP AGO. "s y> CLAIMS MADE ©OCC. 2,000000 PERS.&ADV,I IURY- 1.000000 awr�R�s a CONrRA/.rs PRor EACHOCCVRRENCE 1000000 I=DAMAGE{Om RM B AvroMOz"UAWUW MED.ExP.tnWP� 51000 ANYAtIPO 1605530 4/20102 4/20103 SINGLE 1,000000 LIMrr ALL OWNED AUTOS -Auras BODR.YDOURY. X O'er peaael i X HIRED AUTOS OIN4WNED AUTOS BODILY INJURY lPkroadh q -H GARAGE LWHdTY PROPERTY DAMAGE C EXCESS LIABILITY CBDZ93304 6118/02 6/18/03 EACH X UMaRELu>aDRA1 3.000000 OTRER TIIAN UMBRELLA FORM AGGRECATE 3,000000 O 72420524218 6/18102 6118/03 V STATTITORY WOBKBR4�COMPENSATION AND EACH AGENT 500.000 EMPLOYERS LIABHJTY Dish;cy LIMIT 500.000 DISEASE•SACH EMP. 5 000 E OTHER . DESCRIPrIoNOFOPERATIONS&GCAHIONS/ MCLES/WXIALITEMS Installation of insulation in buildings,homes and seamless gutters. ... ^.. ... ...-. ;�. :v:. +.:-. ::.. M:<<'uy,:'<v.?a;�;c£i w`w,.b'Z"'''W S A��:Yq�-o~�A6<.•. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANC 3ELf�ED� BEFORE TIM EXPIRATION DATE T tMWOP,THE ISSUING COYfPANY WILL ENDEAVOR TO Kendal&Welch Construction a MAIL .10_- DAYS WRITMNNOTICBTo THE CERTIFICATE N6.=ItAMEOTOTHE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR PO BOX 147E '. LIABILITY OF ANY KIr11t UPON 77E COMPANY,iTb AGENTS OR AEPRESBJrrATtYES. N.Falmouth,MA 02556 AUTHORIZED .,.. zo:::.;;..:c:>..YaS.....}�:<.✓.;<h�£'S+.;t„< ,; .. •.c• r"v ,..:>.r�'-$>''::t'�%�;5 y �� �x;b F,.. %<.:...:Yf:.4 '» i �?.``�'�N.'.`'°�'^'.'F Jan 08 03 02:49p Kendall R Uelch Const. 5085631062 p. 2 01/07/2003 13:41 5087483655 EAMES INS __ _ PAGE 02 F�taK bsurmfo Amcy.&, TLC t3 t9S j70'J 153 Ftont Svm WdLY Attu CONFERS ND RIWAU UPM TW ATE N P.O-Box 08 m"m vas WATMATE DM Wr ACID.Mono OR ALIM THE COVM^GE AFFORDW BY THE POUCMls BEL.OM minim MA 02738 2024650 COWANY CflE GENERAL ACCIDENT INS.Co.OF AMEWA fo�.eED TWOTHY R.BROWN PLLM WC;&FMATIIYG GDEPARV LAOM P O BOX 288 cowAw BUZZARDS DAY MA =32-0299 C GUM"MY D TlR61STGCEg7tFrTtli1TT!¢POlIC1Iiia E3OFI Eu: 'I sacwHAVEBt2M6 WWGTFANOYVNtNSriWp�p p pFi�egvr.Tearoa s�DTOTm&4 1)NAUED�t80VEI=THEPOIII:YPaaoo CE"WICATE MAY BE ISSUED Olt MAY PERTARt.7NE INSURANCE AFFORD eV�r coNrwlCT OR CTNFjR oocwrsNr yam}}�sv row#cn T!1!� E7ICLl1�CNSAfD COt�TtDNS 00 9Up1 POLICIES.UMR$StiDNw MAY NAVE BF YW EN POUGES DESCRIBED MOWN lS SUBJECT TOALL THE Tom. f0 gEDUCfO By PAA)CLAIMS. Lyn Tmpry f roucw mom pomveFFlmvfi p*LmvzwwATIOm A x aEME$Kuw" QBR593647 04/23/02 W23/03 ° �L/OQR60ATx t owwEa°aoowTgACtoarw�oT P�DM�LSAw.ewRr i AYfOYOMId uIIYyTT 1ta�E>a9KE �+�r..� f a AWAUTO A4.011N®Au►Oy aosm UmT f 4MEWjMAuTW mmy DMIJAY Nw"At"m (tiPmy f NOM9YV(mm"co 6G04YtlAIRY tr►wq i a•AOVOMISAMMOE f GLADE Ll�pKIfY . AMyA{RO AYSb°nLr.r^Acclmw OTM[MTGMAV►OO Lv, moguApdQaw �i WNfi AMOIIEq►T!. VMtReuAF=" RAcnOaaneaala Is OTMHI7WW W Wa&&'W V AOGm r; WOIImmcow mmo-AMD TOl1YUWTB _ rmpRopRtFrm !YG 81A01ADO06f(i .f iMT<M 0FRfRBARE ERCL EL0Mbt1GPO=vuWT f O11E11 I L f OdcrAs"Y Oi DrBtATRNMR,OpL OPERATIONS PUFORMED BY THE NAbIE�D MSURW POLICY LWr S IN PFFECT AT POLICY 1NCEMON. s�oao.srocneABOYCoec�DvouaL�ts�uieluaDwrD,tT� KENDALL&WELCH CONSTRUCTION r�,.►ATo,aaeTMOIfa,tlw<MojMcowwff VAewsVOoTom or►Yswamea wnex To TTIE taMntuTr wLoa RAtR�TO TI!U'r7. P 0 BOX 1478 °Vr"kLm`e'u'L sua""oils srui.o ft No OoLp",om, OFAWW=1R m--CO�ONy�/,1liA�iry°RMB�IHMATIYR NO.I:ALMOUTH MA 02556 ATN! � Cl a 508 477 6498 P.01 ACORD. CERTIFICATE OF LIABILITY INSURANCE&L1 DATE 01 1M PRowroER THIS CER RICATE IS ISS090 AS A TTER OF INFORMATION Paul Peters ZtlaurNaaN;e ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 680 Falmouth Rd. ALTER THE.COVERAGE AFFORDED BY THE POLICIES BELOW_ Mashpee LIE► 02549- COMPANIES A"ORDING COVERAGE PAUL PETERS AGENCY, INC- COMPANY thamNe. 308-477-0021 FuNa A MARYLAND INSURANCE GROUP INSURED COMPANY B . COMPANY Losordo Electrician C PO Box 664 CONIPMy N Falmouth NA 02556-0884 D COVERAGES THIS IS TO CERTIFY THAT THE POLK=OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE MURED!>AIYfED ABOVEFOR THE POLM PERIOD INDICATED,NOTWITNSTANDWG ANY RECIVIREMENT,TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIRCATE MAY BEISSOED OR MAY PERTAIN,THE INSURANCE AFFORDED By IM PWCMS DESCRIBED NEIEIN 94 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES.LIMITS SH"MAY HAVE BEEN REDUCED BY PAID CLAWS. t O Tree oP RiSURMIGE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION URb7S DAY9(MWDAIYY) DATE(MMMGNV) GENERAL U"fuTv GENERAL AGGREGATE i 1,000,000 A CONIMERUALGNNERRAALL!"am SCP 35273359 06/30/02 06/30/03 PRDDucTs-C7MPIOPAGG s 1,000 000 CLAIMS MADE 1 X J OCCUR PERSONAL&ADY DUURY 1$500,000 . OWKMACONfRACTOR`3 EACH OCCURRENCE i 500,000 FIRE DAMAGE(My am" i M!�EILP IAIpr am Palwn) i 10,000 AUXOMOBXE LIABILITY ANY Auro COMBWED SINGLE LIMIT' i ALL OWNED AUTOS BODLLYINJLIRY s SDAUTOS �arpason) HIRED AUTOS BODILYINIAM = wDN OWNEO AUTOS (Pa accida�� PROPERTYDAMAGE L GARAOELIABIUTY 4IJTOONLY-&►ACCroeNT f ANY AM OTHER THAN AUTO ONLY: _ EACH ACCIDENT I AGGREGATE i EXCESS LIABILITY EACHOCCLIRRENCE i uMBRELLAFORM AGGREGATE f OTHER THAN UMORWAA FORM _ WORKERS COMPENSATION AM WG A p EMPLOVERI;uABRM EL EACH ACCIDENT i THE PROPRIETOR/ INCL PARINERSAMCUTiVE EL DiSFASE.POLICY LIIWT i DFFICERSARE: Rem EL049ASE-IRA EMPLOYEE i OTTER. DESCW PTHIN OF OPERATgN3AACATiOSryEHICLESISPECIAL IH3iIL4 ELECTRICAL WORK/MASSACHUSETTS CERTIFICATE HOLDER CANCELLATION KENDW81 SHOULD ANY OF THE ADM 0 SCMW POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL KENDALL i WELCH 10 PATS WRHTXDi NOTICE TO THE CERTIFICATE HOLDER RAMED TO THE L.EFT, FAIL: 506-563-1062 PO BOX 1470 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY NO. FALMOUTH MA 02556 OF ANY NUND UPON THE COMPANY.ITS AGEIRSORREPRFSF.HTATIVES. REPRESEWATWN. PAUL PETERS , Q ACORD 2"(1M) i �qCO RP TION/988 TOTAL P.01 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOTAMEND.EXTEND;ORALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to Certify that PRODUCER OF RECORD: JOIIN GRACI SEPTIC MORSE INS AGCY INSPECTIONS INC 285 WASHINGTON ST. PO BOX.2119 NORTH EASTON MA 02356 TEATICKET MA 02536 At the issue date of this certificate,insured by the Company under the policy(ies)listed below. The insurance.afforded by the listed policy(ies)is . subject to all their terms,exclusions and conditions and is not altered by any requirement,term or condition of any contract or other document with res ct to which this certificate may be issued. TYPE OF POLICY POLICY DATE POLICY NUMBER LIMITS OF LIABILITY Coverage Afforded Under WC COV.B Law of the Following States 05-08-02 MA Bodily Injury By WORKERS TO WC1-31S-334900-012 Accident Each 05-08-03 $500,000 Accident COMPENSATION Bodily Injury By Disease Each $500,000 Person $500,000 Policy Limit GENERAL General Aggregate-Other than Prod/Completed Ops LIABILITY . $ ❑ Products/Completed Operations Aggregate N/A N/A Bodily Injury and Property Damage Liability $ Per Person/ ❑ OCCURRENCE Organization. AUTOMOBILE Each Accident-Single Limit— LIABILITY B.I.And P.D.Combined ❑ OWNED Each Person ❑ NON-OWNED N/A N/A Each Accident or Occurrence ❑ HIRED Each Accident or Occurrence OTHER LOCATION(S)OF OPERATIONS&JOB#(tF APPLICABLE) PROJECT: 85 BRIGATINE DRIVE, EAST FALMOUTH, MA 02536 THIS WORKERS COMPENSATION POLICY PROVIDES COVERAGE ONLY FOR THE STATE OF MA AS NOTED IN SECTION 3A OF THE POLICY YOU WILL NOT BE NOTIFIED ANNUALLY OF THE CONTINUATION OF COVERAGE YOU WILL BE NOTIFIED IF COVERAGE IS TERMINATE60R REDUCED BEFORE THE CERTTFICATEEXPIRATION DATE NOTICE OF CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. LIBERTY MUTUAL INSURANCE GROUP KENDALL AND WELCH CONSTRUCTION L/'� ��..•� CERTIFICATE HOLDER PO BOX 1478 AUTHORIZED REPRESENTATIVE N FALMOUTH MA 02556 August 19,2002 WAUSAU,WI DATE ISSUED OFFICE This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by Those Companies BS 772R6 �oFIHEr , Town of Barnstable Regulatory Services BAMSTABMASS � � Thomas F.Geiler,Director 9�A i639. IEDMA'tA Building Division Tom Perry, Building Commissioner + 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, .E aezr as Owner of the subject property hereby authorize Aee 6.glc ,t LA/c 4 � �rg�t�r,x„ to act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) 5G5 w srLc&t?A&, triyr N�,a srs�a ��r�o ey8 312YL03 Signature of Owner Date &a �T�9Ni�9 Print Name Q:FORMS:OWNERPERMISSION 7f0 CMK Appendix 1 Table.IS3.1b(continued) Prescriptive Pasgcs far One and Two-Fs�iiy Residential Buildings Bated pith Fall Fuels ek MAXIMUM MINIMUM Slab Heating/Cooling Glazing Glaring Ceiling Wall Floor . cter Equipment Flliciency' Area'(•/.) U-value= R-valuer R-value' R-value Rwa Perim R-valuer Package 5701 to 6500 Hating Degret Days' Normal 6 Q 12% 0.40. 38 13 19 10-19- 0 6 r Normal 12% 0.52 --30 _l9. `19 10— _ 85 AFUE �- Rr - 13� 19 l0 6 1 S - 12% 0.50 38 Norma! N/A 13 25 N/A LT_ 15Y.— - 036 . 38 . Normal 7 `IS'/a- _0.46 38 N SS AFVE y 15% 0.44 38 13 25 N/A i5 AFUE 19 19 10 6 Qy 15% 0.52 30 N/A Normal X 19% 032 38 13 25 NIA y IS'/e 0.42 38 19 25 N/A NIA Normal 13 19 l0 6 90 AFUE Z 19% 0.42 38 6 90 AFUE AA 18% 0.50 30 19 19 10 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 2 33 4 59 C, = 4 3. SQUARE FOOTAGE OF ALL GLAZING: °IO 6,1 1=T' 4. %GLAZING AREA(#3 DIVIDED BY#2): 02 g. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table AIM Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors) to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 f of decorative glass may be excluded from a building design with 300 ft of glazing area. U-values must be tested and documented by the manufacturer in accordance with = After January 1, 1999, glazing the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full 30 insulation may be substituted for R-38 insulation•thickness over the exterior walls without compression, R- insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the su .of the wall cavity insulation plus insulating sheathing (if used). Do not include m exterior siding, structural sheathing, and interior drywall. For example,an R 19 requirement could be met EITHER by R-19 cavity insulation'OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement &scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components: b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-valves must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge, or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component_ Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). �.R.n� ------�_..,----- --r.-.......... _. ....................... . .............. DEP File Number. Bureau of Resource Protection -Wetlands ALE. _ WPA Form 5 - Order of Conditions SE3-4076 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP and Town of Barnstable Ordinances Article XXVII A. General Information mportant: From: Wen filling )ut forms on -Barnstable he computer, Conservation Commission ise only the -ab key to This.issuance if for(check one): hove your ;ursor-do ® Order of Conditions iot use the •etum key. ❑ Amended Order of Conditions VQ To: Applicant: Property Owner(if different from applicant): Robert&Sherri Catania Name Name 565 Whistleberry Drive Mailing Address Mailing Address Marstons Mills MA 02W City/Town State Zip Code City/Town State Zip Code 1. Project Location: 565 Whistleberry Drive Marstons Mills Street Address City/Town 161 045 Assessors Map/Plat Number Parcel/Lot Number 2. Property recorded at the Registry of Deeds for. Barnstable 4851 89 County Book Page Certificate(if registered land) - �i>d.� 3. Dates: - FEB $ 2Q December 30,2002 January 28,2003 •9 Date Notice of Intent Filed Date Public Hearing Closed Date of Issuance 4. Final Approved Plans and Other Documents (attach additional plan references as needed): Revised Site Plan Jan.30. 2003 Title Date Title Date Trtle Date 5. Final Mans andDocuments Signed and Stamped by: Steven Rumba,PE Name 6. Total Fee: $55.00 (from Appendix 8:Wetland Fee Transmittal Form) wpal'°mG•doc rev.2/13/03 Page 1 of 7 �. .� - ----- -•----- --r—•_..--•-- —. _..... DEP File Number. Bureau of Resource Protection -Wetlands ' WP A FConditionsSE3-4o76 orm 5 - Order of i `eMM& 8 Provided by DEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and Town of Barnstable Ordinances Article XXVII B. Findings (cont.) 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply. a. the work is a maintenance dredging project as provided for in the Act; or b. the time for completion-has-been-extended to a specified bate more than three years,but less than five years,from the date of issuance. If this'Order is intended to be valid for more than three years,the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill.Any fill shall contain no trash, refuse, rubbish, or debris, including but not limited to lumber, bricks,plaster,wire, lath, paper,cardboard, pipe;tires,ashes,refrigerators,motor vehicles,or parts of any of the foregoing. 7. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such an appeal has been taken,until all proceedings before the Departmenthave been completed. 8. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property. In the case of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of the registered land,the Final Order shall also be noted on theLand Court Certificate of Title of the owner of the land upon which the proposed work is done.The recording information shall be submitted to this Conservation Commission on the form at the end of this Order, which form must be stamped by-the Registry of Deeds,prior to the commencement of work. 9. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection"[or,"MA DEP"] "File Number SE3-4076 " 10. Where the Department of Environmental Protection is requested to issue a Superseding Order,the Conservation Commission shall be a patty to all agency proceedings and hearings before DEP. 11. Upon completion of the work described herein,the applicant shall submit a Request for Certificate of Compliance (WPA Form 8A)to the Conservation Commission. 12. The work shall conform to the plans and special conditions referenced in this order. 13. Any change to the plans identified in Condition #12 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 14. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order, and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. AvVatomYSAw•tay.2/13/03 Page 3 W 7 1 -• - - - -- ----- - DEP File Number. a� Bureau of Resource Protection -Wetlands MAlm A _ *WPA Form 5 — Order of Conditions 3;d4076 aEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and Town of Barnstable Ordinances Article XXVII B. Findings (cont.) 15. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Orderand to any contractor or other person performing work conditioned by this Order. 16. Prior to the start of work,and if the project involves work adjacent to a Bordering Vegetated Wetland, the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging.Once in place,the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 17. All sedimentation'barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means.At no time shall sediments be deposited in a wetland or water body. During construction,the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed.The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. see attached Findings as to municipal bylaw or ordinance Furthermore,the Barnstable hereby finds (check one that applies): Conservation Commission ❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: Municipal Ordinance or Bylaw Citation Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards,and a final Order of Conditions is issued. ® that the following additional conditions are necessary to comply with a municipal ordinance or bylaw, specifically: Article 27 of Town Ordinances Municipal Ordinance or Bylaw Citatfion The Commission orders that all work shall be performed in accordance with the said additional conditions and with the Notice of Intent referenced above.To the extent that the following conditions . modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent, the conditions shall control. WpafonTG.doc•rev.2n3/03 Page 4 of 7 -•., - — - - - -- ----•- DEP File Number. Bureau of Resource Protection -Wetlands _.. = WPA Form 5 - Order of Conditions SE3-4076 • `�'gam . Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP and.Town of Barnstable Ordinances Article XXVII C. Appeals The applicant,the owner, any person aggrieved by this Order,any owner of land abutting the land subject to this Order,or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate DEP Regional Office to issue a Superseding Order of Conditions. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and a completed Appendix E: Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant,if he/she is not the appellant. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act, (M.G.L.c. 131,§40) and is inconsistent with the wetlands regulations(310 CMR 10.00). To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations,the Department has no appellate jurisdiction. D. Recording Information This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order. In the case of registered land,this Order shall also.be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions:The recording information on Page 7 of form 5 shall be submitted to the Conservation Commission listed below. Barnstable Conservation Commission Wpa(onrS.doc•rev.2/13103 Page 6 of 7 r 8. A landscaping plan shall be submitted for Conservation Commission approval. M. The following additional conditions shall govern the project once work begins. 9. General conditions No. 12 and No. 13(changes in plan)on page 3 shall be complied with. 10. General condition No. 17(maintaining sediment controls)on-page 4 shall be complied with. 11. The work limit shown on the approved plan shall be strictly observed. 12. There shall be no disturbance of the site,including cutting of vegetation,beyond the work limit. This restriction shall continue over time. 13. The Conservation Commission,its employees,and its agents shall have aright of entry to inspectfor compliance with the provisions of this Order of Conditions. 14. This permit is valid for 3 years from the date of issuance,unless extended by the Commission at the request of the applicant. 15. ihywells or graveled trenches along the drip lines shall be installed to accommodate roof runoff. 16. The driveway shall be constructed of pervious material(gravel or shell)or alternate as approved by the Conservation Commission. 17. All areas disturbed during construction shall be revegetated immediately following completion of work at the site. No areas shall be left unvegetated for more than 30 days. Mulching shall not serve as a substitute for the requirement to revegetate disturbed areas at the conclusion of work. 18. All proposed lawn areas shall be underlain with a minimum of 4 inches of loam . 19. Herbicide,pesticide and fertilizer use is discouraged on lawns within Conservation Commission jurisdiction. If fertilizer is used,only slow-release low-nitrogen fertilizer shall be applied. Over-fertilizing shall be avoided. 20. Work limit markers(wood stakes)shall remain until a Certificate of Compliance is issued for this project. IV. After all work is completed,the following condition shall be promptly met: 21. At the completion of work,or by the expiration of this Order,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Barnstable Conservation Commission Form C shall be completed and returned with the request for a Certificate of Compliance. Where a project has been completed in accordance with plans stamped by a registered professional engineer,architect,landscape architect or land surveyor,a written statement by such a professional person certifying substantial P.4.2 i FV„E„ Town of Barnstable Conservation Commission BARNSTABLE. = 200 Main Street °bs639. �.�� Hyannis Massachusetts 02601 RFD MA't Office: 508-8624093 FAX: 508-778-2412 S3 Permit No. Statement of Applicant/Applicant's Agent upon Obtaining a Building Permit Application Signoff from the Barnstable Conservation Division I fully understand that although I have obtained a signoff on the Building Permit Application for my project,site work may not begin under the Order of Conditions until the following requirements(from Section II of the Order of Conditions)have been met: Not Met Met ❑ 1. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein,- General Condition number 8(recording requirement)on page 3 shall be complied with. —Must be met prior to sign-off. ] ❑ 2. It is the responsibility of the applicant,the owner and/or successor(s)and the project contractors to ensure that all conditions of this Order are complied with. The applicant shall provide copies of the Order of Conditions and approved plans(and any approved revisions thereof)to project contractors prior to the start of work. Barnstable Conservation Commission Forms A and B shall be completed and returned to the Commission prior to the start of work. El3. General Condition 9 on page 3 (sign requirement)shall be complied with. }�/ ❑ 4. The Conservation Commission shall receive written notice 1 week in advance of the start of work. ❑ 5. The work limit line shown on the approved plan shall be staked in the field by the project surveyor/engineer. ❑ 6. Staked strawbales.backed by trenched4n.siltation fencing shall be set along the approved work limit line. Effective sediment controls shall remain until the site is stabilized with vegetation. ❑ 7. A sequence of color photographs showing the undisturbed buffer zone shall be submitted to the Conservation Commission. Note:the strawbales and siltation fence must show in the foreground(or bottom of the photographs. 3 JS Q3 Applicant or Applicant's Agent Signature Date ,4emu r{' �� 5 6 s y S"7z2 Company Name hone# Print Name q:forms:bldsignoff 0F1ME�°� Town of Barnstable Regulatory Services saxxsTn^si.EMUM ' Thomas F.Geiler,Director 0 .�a`°� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. i Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type.of Work: A L>a G19 rild�P Estimated Cost O 0J Address of Work: MAO-S7Ur-S M I(S MA GQ . * Owner's Name: JZ C A 1 Ap, E1 Date of Application: 3 f a4 I n3 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as ent-of, a owner: 03 12 g0 S_X29 Date Contractor Name Registration No. OR Date Owner's Name J/W Lod!17uslding Rego ors aid Stan ds L One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Conbwto3r Registration Registration: 128405 Type: Partnership Expiration: 04/05/2003 KENDALL&WELCH CONSTRUCTION DAMON KENDALL -- - - 54 KOMPASS DR. FALMOUTH, MA 02536 - - --- - -- Update Address and return card.Mark reason for change Address Renewal !Employment Lost Card v` Board of Building Regulations and Standards License or registration valid for individol use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 128405 Board of Building Regulations and Standards Expiration: One Ashburton Pllaoe Rm 1301 04/05C2003 Boston,Ma.fIZ108 Type: Partnership KENDALL$WELCH CONSTRUCT! DAMON KENDALL ; e; 54 KOMPASS DR. FALMOUTH,MA 02536 A/ Not ._._ _Administrator valid witboat signature r'Al^ "�., BOARD OF BUILDING REGULATIONS ' License: CONSTRUCTION SUPERVISOR Number: CS 083484 `Z Expires:07/1:1l2006 Tr.no: 83484 Restricted: 00- RONALD W WELCH �p 85 BRIGANTINE OR L•f�w� fi HATCHVILLE, MA '02536 Administrator TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map CD 'Parcel y� Permit# "_7 q 03 Health Division$�" L 220 Date Issued aC + 1010 Conservation Division 3�,40I off,eF<cc„c� / Application Fee Tax Collector Permit Fee J a a O Treasurer _� l�`� WMC SYSTEIVI AMT BE Planning Dept. INSTALLED IN COMPLUCE Date Definitive Plan Approved by Planning Board /v A- WITH TITLE s ENVIRONMENTAL CODE'ANE Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address J ro S Wk-,s-rLE DExe_Y D 6 VE Village MArtssow3 K4 (IS NSA QaLyI Owner Flo"czz 4 Sc.e1il CATANiA Address SAM4 Telephone CS 0-6� 12S -- 3 LR 1 Permit Request AoD A two C-►ra GAray wifk 1 d_ Q iK A&gg , P6, j. ff_x, _T2"'d , Piaon_ 6.,-A 20oM 76 An, OFFiLf Square feet: 1 st floor: existing 15 3fv proposed 67 2 2nd floor: existing 9 S4 proposed 5"A, Total new QLA Zoning District Flood Plain Groundwater Overlay Wroject Valuation fl000-— Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family �4 Two Family ❑ Multi-Family(#units) Age of Existing Structure ► Y(. Historic House: ❑Yes IR No On Old King's Highway: ❑Yes _W No Basement Type: W Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) L 4<6 o Basement Unfinished Area(sq.ft) �1 2O Number of Baths: Full: existing new Half:existing 1 new O Number of Bedrooms: existing 3 new _0 Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas W Oil ❑Electric ❑Other Central Air: ❑Yes fA No Fireplaces: Existing I New _ Existing wood/coal stove: ❑Yes A No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing .9new size 2%xa4 Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes _qNo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name� Telephone Number 0914 &()T)5'6ti 5-72-2. (eil 1-a W. 5�47 Address $S S;t r_An;T%n,4 b e-)v License# CS Og 3 4gy _ N aT`i��;llx Ih a as-ISG Home Improvement Contractor# 12 g r Worker's Compensation# WC Z(4 (4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Bo L�zn�i; �61GNATURE DATE FOR OFFICIAL USE ONLY , n • is RERMIT NO. a Y DATE ISSUED MAP/PARCEL NO. e, ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION - gl&d63 u5Tum- _ FRAME OZ43 7S'-L INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL .. PLUMBING: ROUGH FINAL GAS: ROUGH .? _,„ FINAL FINAL BUILDING Vi v -DATE CLOSED OUT, ; ASSOCIATION PLAN NO s,3 i° . S. of HET- The Town of Barnstable :9 RARVSTABLE.O �.. department of Health Safety and Environmental Services N ASS. 6}9• �0 "rFo Mpg' Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 = = ! s PLAN REVIEW Owner: `kfr�- 5kK% CGiCA'� Map/Parcel: L L'f. Project Address: 5(05. 4Jh�}S1e.�c(1t1� pt�'w� . Builder: F!�\C� The following items were noted on reviewing: , �1k F (Ant) 5D c�r"' ul�e ,tr • Reviewed by: 1L Date- o 3 -e4-& " 03 q:building:forms:review �� Qoc��-� �a� L�o pax io ��.�� �"�D��x�� ���� �?b G�� �0 � �� I RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE oa New Buildings,Additions $50.00 � Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 2 n square feet x$96/sq.foot= 1$ 33 x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached)SOD square feet x$32/sq.ft._ `v !�� o b x.0031= 3 ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $ 35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Iuground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Cp.''('�+►�, �. /1ST ��tiO� Daniel E. Braman, P.E.. 189 Harbor Point Rd t Cuauna "' MA 02 4361 W G Lk-E 2. 4SSoe Es - - - M A65 Y�Cl`1C1 - . i..o-® tom.,_., t'� .1.,�. 15.�S L(,,, 4 �5 a o5f R ..__.�x-(o -F.3D oc.►2� 24-� t-3 4�_0 '" �o p�� ,��. Osp- V1 to K30 mac' dtuv`e.Ar tans d��pp �-�' vw of �, I e h aec- Q � s 2� iti-�3 RAMSBEAM V2 . 0 - Gravity Beam Design - Lkcensed to: Dan Braman, P.E. Job: Catania Addition Steel Code: AISC 9th Ed. SPAN INFaRMATION: Beam Size (User Selected) = W12X26 Fy = 36. 0 ksi O Total Beam Length (ft) = 24 . 00 Top Flange Braced By Decking LOADS: Self Weight = 0. 026 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0. 00 24 . 00 0. 180 0 . 180 0. 000 0 . 000 0. 480 0 . 480 SHEAR: Max V (kips) = 8 . 23 fv (ksi) = 2 . 93 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 49. 4 12 . 0 0 . 0 1 . 00 17 . 75 24 . 00 17 . 75 24 . 00 Controlling 49. 4 12 . 0 0. 0 1. 00 17 . 75 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 2 . 47 2 . 47 Max + LL reaction 5. 76 5. 76 Max + total reaction 8 .23 8 . 23 DEFLECTIONS: Dead load (in) at 12 . 00 ft = -0 .260 L/D = 1108 Live load (in) at 12 . 00 ft = -0 . 606 L/D = 476 Total load (in) at 12 . 00 ft = -0. 866 L/D = 333 RAMSBEAM V2 . 0 - Gravity Beam Design Lfcensed to: Dan Braman, P.E. Job: Catania Addition Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W10X30 Fy = 36. 0 ksi Total Beam Length (ft) = 19. 50 Top Flange Braced By Decking LOADS: Self Weight = 0. 030 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0 . 00 19. 50 0 . 405 0 . 405 0. 000 0. 000 0 . 600 0. 600 SHEAR: Max V (kips) = 10. 09 fv (ksi) = 3. 21 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 49.2 9. 8 0 . 0 1 . 00 18 . 22 24 . 00 18 . 22 24 . 00 Controlling 49. 2 9. 8 0 . 0 1. 00 18 . 22 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 4 . 24 4 . 24 Max + LL reaction 5. 85 5. 85 Max + total reaction 10. 09 10 . 09 DEFLECTIONS: Dead load (in) at 9. 75 ft = -0 .287 L/D = 815 Live load (in) at 9. 75 ft = -0. 396 L/D = 591 Total load (in) at 9. 75 ft = -0 . 683 L/D = 343 I _ zryiS(ALG ELEV.AT 0O ) NEW SMOKE DETECTOR REQUIREMENTS ',.POKE DETECTORS O.K. ARE NOW LAW. EVEN THE ADDITION OF A NEW BEDROOM WILL TRIGGER AN UPGRADE OF THE SMOKE DETECTORS _ FOR THE WHOLE HOUSE. YOU MUST TASLE Butt ING DEPT. PLAN ACCORDINGLY AND HAVE'YOUR ' ELECTRICIAN TAKE OUT THE APPROPRIATE PERMIT AT THE FIRE DEPARTMENT. . CA'7An11A ADu.rrOA) P-1NS mar-99 m 4]P-O] ' ' �By Sdaod..-amr]e-sadNfu� SoP �7lcL7v . IIn�II -L J� 0.EVl4 L1�Y1 • QKA2 EI.E/nT Owl LSF1.E /a"_i_A� R�[.H r EL611h7-in A) • PAC, aZ of 6 cha/rette) e G/i5: C/s5 © ci.iS P-0 WI+DDW'G1�� �EEfP 9 Y w1[ _ a e i sE r 11Neu •� � a s.ve � �Y i I a 4 y O c Kbr D N O 1-a •led Sa DE�'e oe0. M Uwp I, 1 .. '' •O G . CXhT wl aW,SrAYy .�� ° `J .7LA2 ue 2iV.s ?LT .... . DE tTG I "O 68 ® O M W IADpY Z, 51 _ I O A 1-a . A vl c ,ay c av 9r_ON.6A2 aDDA Wj LIS Iy ftc eO. Dft2 - ,�j•4'W1D4 ZIQSY. F�nN 0�A n1O�A n1 �LAtE�V'-i-O" 4EcnNn��P�� PAGE 30F 6 G A�PU At.. Rnoi lSw PEI-T DYd2 �"c.ri..itY . RIobE. 19 SOPG Jc I]i�^IJT DoaJdFRf - D4E dT10 a.0.1Db(5 r/� w• dTID 2AFTERf e/G"O�• ST.eEL BEAM dx6 R+tFTEns IW 0.HER�. ON Ly Y. 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R p 4Nl t " ID")0aa 7W&E 4 .Wxu 9eT•Doo N/GN US - 'fLALE �/V"=i-O' p 9•e^raw"'SD" e. a �r�El.aa4 F A4 VI G G/3 • - PALE VOP-( ' i 9'C Yd FAMILY ROOM 3 3 brtr n s dh• PANTRY D'dh' s'o' Yam• Yah' 14WI ff�4• Ys • I Cl u 0 BA7N • 1` ISATN . ® ❑ 4 _ pMING AREA ®® 1? i ® KITCHEN 06 7W0 GAR GARAGE ' rr • 9 q r. BEDROOM - p Q § LIVING ROOM p S V 6d' 6-0•. 56' Yd' b'9' Yd' S'J' Yd' •J'-0• �'d• 6'd' If0' b'd' xO' EXISTING FIRST FLOOR PLAN Ye' - b'i�• G'6• Ba' --------------- BATH Cl ry BEDROOM 02 - - ` Nfl+ Q OFFICE 3 S _ __ _ __-_-______________� b i rs• __ _ ___________________A-____________________________________-____________ ------------------------ ------------------------------- --- - - - -- - - STING SECOND FLOOR PLAN .::O'.".nW�'F�N�'�, +�5` �1Tr{s�tC.zi..?,{%C3SrL:,i•�.<.,t t-fl�.es::v��r 4xwwb;Y a•: 77 ®?kdP*iiy. �E::: R•,. ;•.... '... OFBARNSTABLE, MASSACHUSETTS T .' 'A=06 DATE 19'�q�� PERMIT .APPCICANT''1 t. 'ADDRESS C1.V .• PERMIT TO ' NUMBER OF (a }�) STORY -DWELLING UNITS 5E ZONING. AT[LOCAT.ION') D.15TR ICT_'RV BETWEEN' AND (CROSS STREET) (CROSS. STREET) Oy SUBDIVISION. LOT BLOCK' SIZE 1 BUILDING IS TO BE FT. WIDE BY FT.'LONG BY FT. IN HEIGHT•AND SHALL CONFORM IN CONSTRUCTION . TC!`TYPE USE GROUP BASEMENT WALLS.OR F06NDATION REM4RKSN•--'' CPfn1•lcfPi86�122n AREA OR VOLUME 4 ESTIMATED COST $' An nnn n'n PERMIT , 9000 . r CUBI OUARE F ET) — OWNER RE3�EyY-�" ��ii�—rc�ci.. , BUILDING DEPT. bu BY THIS PERMIT.CONVEYS NO:.RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC,PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE:DEPARTMENT OF PUBLIC WORKS.- THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF 'THREE CALL _ APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR titL 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 LATH). FINAL INSPECTION HAS BEEN MADE. 9. FINAL INSPECTION'' BEFOREE ' OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS G • I 2 z fOq �v�s 2 ae 3 HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS INE INC; OTHE ' �}y�?' BOARD OF HE fl 1IAL�ArYCFcn rwrkk TIaF PFPMIT WII I RF[n1AF NIII.I •'AND VnID IF CONSTRUCTION INSPECTIONS-.INDICAT.ED"OM THIS CARD ,FTME� TOWN OF BARNSTABLE Permlt No 30333 � . ................ BUILDING DEPARTMENT D°"" I TOWN OFFICE BUILDING Cash q■w► HYANNIS,MASS.02601 Bond ............. CERTIFICATE OF USE AND OCCUPANCY Issued to ROBERT & SHERI CATANIA Address lot #69 565 :dhir.•tlaberry Drive, 'Nar. tons Xill4 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. .. April 29 �� , 19....87......... ......./........ ........................ Building Inspector TOWN OF BARNSTABLE . . BUILDING DEPARTMENT NARVIT TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: e17 An Occupancy'Permit lia§"be'e'n" issued*fo'i ithe'huilding iut"Irizea;by Building eFmi #... ... .......... issuedto .... ......... ................................. Please release the performance bond. I Q NOTES; AJ •� I• Su 2VEY DATR 6STAkr.`, A. K%wr,.,;gyp•! o� S,sANp., !„A� ........... Z• CLAN �LAN D f1LT11LLD "k1fl.1STL�BE�2Y ' \ SIACSDYV• pLgN pF 1-A N D-IN MA25TnN.S PAP.:.I.S. B rl 2nis-rA ISLE,NIA, ,DATC D NOv, 19 AO'2C,,-Abcc . IN PLAN aoolt a49, PA6E.55 TWIZOu.H 63. o !' tn a Q l N �'••a I °I o, d WE NE?E 53Y DECLATE TD KODE'RT CATANIA TOAT ACCORDING 70 E Y[STING SURVEY DATA THE r \ ' FOUNDATION LDCATION CDMPLIES �> . I `'r ti'�• UITPYARD 7E9UIREMI=NTS D WN GF BAR31STAbl-E. -Z09.OO lay A4, �y6 ` s 5 Z1' 30 do" E. o Lj-j --_ __ - _�4 .',._..._'__-..___•_.--_..._ ..__._.-_ Al E116�� ��1t KING 6o 1 p 30' 00' E �N �� #Z P o�• S1-:"HAGE"D LSFDJ RDL3EIZT gr SNF KI C_P\-T m IA 'LOT 1 I SITE PLAiV -7 3 M I C1-1'ELLE. ANE- COT0I1-1' MA • OZ(,35 �sc.ACf; I` = 9©l LOT ✓09 /VJ!!l STLE8EKKY LAC... I ' WNISTLE,'�E�RY LAIYTEWY ASSOC, cnvsclLr rti/:r'rQ C- SAN1,..ill A- TC SCo DWG.93D-P.: CST *�-- :.r .Y .. .•.�••f:•'� t e °rr ;u�YNu�Y...,}y.. r�,�"'x� qR�-.:z, S}' ti i n c 7- a", - r.�.� �...:�? �-:. S�.at: �' 1i •. :'F"'3`4:-4f�`:�av .. .'..� _ .. '�.a:k?3 :..� ,r A.-Y��e:' 't .. {�.1:.' S ..��.. ... `'r) Ys` .. _ � .. Assespr.'s offj'oe (1st floor): L, °*TNET Assesfor's map and lot number ........Q..6.I.`. .7.5........... SUBJECT TO APPROVAL OF Q•• o�� Board of Health (3rd floor): 1122 BAMSTABLE COMRVATfON d� Sewage Permit number ..... ..."....I....... Engineering Department (3rd floor): FJS �� � �� BAH L, WAS& 1 raes ` °o +639• �4, House number ....................................J............................... '°�o Mpg a. APPLICATIQt4S' FPR®ICEISSEEL 0:30-9:30 A.M. and 1:00-2:00 P.M. only SEPTIC Sy,"EM Musa.I lantablo Con:;,3rvat:LQ4 C0mmi8Xi0A INSTALLED rin N OF B A R l� E 5uANCE n �I ENTA - Sign.a Imt L D I N G I N S P E C T ` c��� 1 i APPLICATION FOR PERMIT TO .. 1� 1. Y u T,.......�. ......... .. ` ...... C'd ?!�.... .. .!"�............ TYPE OF CONSTRUCTION .......... G ............................................................................... ...... 9L..'.0......../.a.............19 6 TO THE INSPECTOR OF BUILDINGS: I The undersigned hereby/ appliesf for a permit according to the following information: Location .,/OT......fP...' •....... !V..C►.�, )r kl��i.....�r` /.f..C.l .. 1� ...... .1 ................................... j ProposedUse .........S.l. ..(-C...... ..................................................................`................................................ Zoning District ........ 0 ....... :.....�..............................Fire District .............�... ..(.,/.................... ... ........... .� / 1 �l d 3 C t ,Et J .......... o Name of Owner Ro.,-- .(.�.....4o..:�1.1'T ...........("7��� d d r e s s ........ ....... .(............. .................................. �� T Name of Builder ..V. t'......l. V✓1, 0.►'�...............Address11�1( �?1f�1,.. C......� s.� a�..... �jf Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .....................(.0........................................Foundation ... U.�. (. .........C. .<..�✓/...1`CI .................. Exterior ,{..C. �... ./..!.! . h ......I.....C..10,4-5............Roofing ..... .�2. 14�I.. .�......, .�L"?.�(.!?................... Floors ... AoW /..... v.....W.4.//.............Interior .......�h'1.�-� /! Heating ....f.. ...... ..........,1,a.7..... ?.��..(................Plumbing ...v.4........I...... .1` Fireplace .........a.e .•............................................................Approximate Cost ........�V...C7 qq.1 .............. rX.................. Definitive Plan Approved by Planning Board --------------------------------19"""""_"" . Area ...... ................. Diagram of Lot and Building with Dimensions Fee ?Z� f SUBJECT TO APPROVAL OF BOARD OF HEALTH 80 t 44 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 construction. Name > ....... s.... ................ Construction Supervisor's License U6 L$ ....... ............. , CATANIA, ROBERT & SHERI h •N ,.3033:3... Perm igfor J!.M.W.e2, ............ Single. Fam ZJ..jrag.......... Location ....Lot ., 69,,,,,,, 5.65...Wh.iatleberr_y Drive .................Mares. . ..................:.... Owner ........Robb&- t.. Sllexi..Catan.ia O Type of Construction ..... . Me....................... 0 40, ......... ...............a...... ................................ Plot ............................ 'Lo ................................ December 29 86 Permit'C�ran:ed ...................................r.....19 Date of,Inspection I'���1�"A.. ............19 Date Complet d V e j c r � �', C 5 ti ` t I �I• a si cw U. I I Fe�+� v i vlib I .EXIS.i I f�' I EJJ T 70 '• — - DRAWN BY: SCALE: I "` APPROVED BY: DATE: °�'Z.1-`j'Z REVISED p WING NUMBER lmEl T rt • a -o SIK-LFS c 2r C .bars i r 0 ..r :, $•: o .O - �q-1rb APPROVED BY: .DRAWN BY: /.-•- SCALE: I - % 'i. .. DATE: 3 19 q2 REVISED le,' or, — ' DRAWING NUMBER MY t , T LOT 69 . o-o`� 0y 1.1 t' AC. 01 � o GZ T 80.5 99, RESERVE , \8 AREA\\ 6a� EXISTING SO' p HOUSE �\ l.'., "IN 5p's�5 ,3� PROPOSED HAYBALE 8 SEDIMENT CONTROL �\ 0o PROPOSED BARRIER D.B... o ADDITION 00 0 DISPOSAL PIT 'r \ . wit 1.000 GAL. STORAGE TANK �1 et FUTURE {ri GARAGE; . ._.. _... --- ..... _."',fir.' r .. ..,j:Y:' .•2}' COMMONWEALTH DEPARTMENT OF..PUBLIC SAFETY OF t 1010 COMMONWEALTM AVE MASSACHUSETT3: BOSTOK MASS.02215 LICENSE EXPIRATION DATE. D 9/`t)/1._9_2, CONSTR. $i IPERV I E.Oi� RESTRICTIONS 6 EFFECTIVE DATE LIC-NO. NONE 0 10/01/19,37 046189 ' a m DAVID H WEBB - =: 15' CHURCH LN PNoro ceusTwG oPR ONLY). FEE: BUZZARDS BAY MA 0251_;_ .. 150a00 . HEIGHT: NOT ALID TIL SIGNED BY LICENSEE AND OFFICIALLY S MPED"OR"S URE OF E COMM SIONER THIS DOCUMENT MUST BE CARRIED ON THE PERSON OF SIGNATURE F LICENSEE THE HOLDER WHEN ENGAG. OTHERS -RIGHT THUMB PRINT ED IN THIS OCCUPATION �1a.^f��.sldNB� zooM-z a7 eiaz9 _,' t.TY Ta; ' or' SEPTic SYS•p'E� Assesss office(1st Floor): /� / iN L Assessor's map and lot number. / L�7/ STA,�14MA BoSd of Health(3rd floor): ENv� age Permit number a C/ ' ��� RONM�' Engineering Department(3rd floor): —� - y TOWN REGU House number Definitive Plan'Approved by Planning Board 19 d, APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN , OF BARNST BUILDING "INSPECTOR _ APPLICATION FOR PERMIT TO (J LO /TX(2q !Lc lC)d/V, f� lI 0 "z TYPE OF CONSTRUCTION iNrjc�� f— >y"(_ I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: /f� '/ c Location 6 6J y 11 , S 1-L L ,C3L--7-f2✓ R2 • 9/&M� Tyis A1/LLS %QA Proposed Use =SCG7c�wC� Zoning District ► ' F Fire District Name of Owner 1'�� m //l/«. I`Ot �-1fi/4 Nr f� Address Wf� Name of Builder 612127,/ /�ML-Zn P/Zo yLM&9Vi-' Address 1kr1&-Y✓/a w.0 4 `ITy!!— /f/'�� Name of Architect Address _ /� I Number of Rooms ��'�Si/y✓�l Se-X#111l ( Foundation yDvdzlk-�-1J �,/7✓C%�� � Exterior N Roofing A/a�- ��^�y� eS' Floors /Aw 'PUCLO' Interior tV Heating �XI�,T/!J L� Y-712GG�7J /��/tip_• Plumbing Fireplace L',R IS:7:2/� Approximate Cost la . 0 0 c) OG Area Diagram of Lot and Building with Dimensions Fee s✓L� ✓ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r ar ing the bove construction. Name /41- Construction Supervisor's License d - - - -d _ CATANIA, ROBERT ..No 34923 Permit For BUILD ADDITION Single Family Dwelling Location 565 Whistleberry Road ; Marstons Mills Owner Robert Catania Type of Construction Frame Plot Lot Permit Granted March 31 , 19 9 2 Date of Inspection z 19 Date Completed,, 19 G' W �- � 41 Nr } Q � Z Q W 4� O o , EX 3TI NO OP 0� 3 HERR I NCB RUN HAYPALE BERM TO pE STAKED IN / PLACE A_ONCv WORK LM(f LINE / / 4 r r N / ALL EXCAVATED MATERIAL TO�)E STOCKP I LED / NORTHERLY OF PROP06EP ADDITION. �2 50 / 51TE PLAN Of LAND ���/ w6ATiw 50 Wt115TLEf5ERRY PR., MARSTONS MILLS, MA 4(a PREPARED FaR: ROf5ERT" & 53HERR I CATAN IA DRAWN PY: 7� 2d p 20" 4a TMW J06 NUvI ER: DATE: 12-2(o-20OZ 9-EET: �-006 REv15ED:' 01-30-2003 SP-1 WELDER & A�3�306/I AT-E�3 W45 F'ALMOUTH RP 'N SUITE 46 GENTERVILLE, MA 02 5S TEL.: (505) 775-0735 N FAX: (505) 775-0754