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0011 VERMEER COURT
IV _ ., .. __�. A_.� . . _ .._.�.. � _ - _ - __,__.m._,._ �_�_�.�_� _.. Aessor's map and lot number./4 f �j� F T E tp� Sewage Permit number ... .:... . . /.!! MM MUS �. +`�> ♦�... SEPTi Sys ® �ryy Iqt� ���.y„E!./ 9iM COMP Z BARNSTABLE. i a House number ..� �/.............. 115$ ��� TOTS qo rnea ................... ..., 3�NT�0� i1s's'. 'FOMPYa� TOWN OF BARNS�16iR4,�l'' IRLE �w , r,N� s BUILDING INSPECTOR N APPLICATION FOR PERMIT TO �......................�...�. ... �.......... y.........: /J TYPE OF CONSTRUCTION ....................... .....:��o.t....... '.. r .. .................................................. ......... {.................19.. ,� f TO THE INSPECTOR OF BUILDINGS: �L,E?jJ�LC`cj2 C'OGl.27 The undersigned hereby applie for a permit ing to theL following information: Location ..........................................0.../........................................�'�..:....4.:.A......... ..... .... ..................ti✓.. ........... Proposed Use .................................../(.. 1.. ............. .... ............................ ................... I......................... ZoningDistrict ..............................Fire District ................................................................................ . Name of Owner .......... ..................Address ........................ .... S C Name of Builder .............................. �:1............................Address ....................... Nameof Architect ......................Address............................................ ..................................................................................... Number of Rooms ............................... .............................Foundation ,/� 6t,�„ Exterior ....... �!...Cs.... .7...�.� - ...4...j2� ...Roofing �`p�,�f/� �........ .7-5 ......... Floors ............ i! ............ ...Interior ........................... ............... Heating ..................... �......... .. ..... .. ....J��.!CP_lumbing ......................... ...... �.��f.1..... Fireplace ................................`�..............................................Approximate. Cost ..................zf....� v....4�....v............. .... Definitive Plan Approved by Planning Board -- /� % 19 - Area .0....... ...... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH lF7(0 0/ /ooL/J OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rega ing the above construction. Name Construction Supervisor's License ...........0.�.. .��./...? GREENBRIER CORP. Permit for ... �:�U......... Single Family Dwelling ............................................................................... Location .,Lot...2...........1.1...Vermeer. r.m.e e.r...C.ourt .. .. .. .... .. .... .. .. ...... ............................................................................... Owner . Greenbrier Corp. ................................................................. Type of Construction .Frame......................................... ................................................................................ Plot ............................ Lot ................................ Pdri'nit Granted ....amg.uat...2. ..............19 83 Date of Inspection ....................................19 Date-tCo mpleted r ..19 OI GC_'?.)- �G 00 �/✓. SIDS gR.rh� /c F� ° S N1 F`�,.00 .� f � .Z •�:. �� Mrs 9 �� ill, _- •r—T.�— • , - :F�,-• •r. b • � � � c • ^^ LOT -- SST:•' !1 .s'_ `../ �^ at/ Q^l T Z °I �68i Nv .. .41 er O'y I a� k/7 "mod/}t :Ot OF r ``'(It/Glfrt+'Cvt�ry ALP o Rse L No.lU95i U Q 5.7-A 7c: H Icf-/►✓/� y �o w" r s fi .o fit` P" FSSIONM-F-a LEGEND. ` CERTIFIED PLOT PLAN EXISTING•: SPOT " EL,EVATIO,N 00 ����°f M� t -- -' EXI:gTiNO.• CONTOUR --; ,0 � _, �� � orb", �d9�ar� y�� �'� nG"o�-;'z ,,�e�NarTz l �<°ivy- FINISHEDk .SPOT ELEVATION .�(�` BuCr: t ;; "$ °�`-3S.TVfIt - ;F I N I S H E 0." C 0 N TO.0 R8 ;E�oRE > -------- � APPRO:VED 1""HOARD•" OF f'NEALTH f DrAT.E: 'AGENT `` ,av,�, a . ` Y�CALE��/ `90 �� -bATE.1'S 13�,:d .3 ,. CDREDGE ENG/NEERING CO. "/N • ; eN�R biz •� �, :.��3 •: • • CLIENT ' ' ' ----i---- I .0 E R.T"I FY :'THAT. "••THE "PR.O P OS E D " • EGISTERE RE'GISTI:RED " . " ` JOS"NO, .13UILDINO 'SHOWN. •ON "THIS PLAN " :•'•CIVt.L LAND.:. CONFORMS .TO 'THE . ZONING LAWS ENOINfER .' U V " DR."SY /� OF9�;BARNSTA'BI:E , :MA'S KkE 712: MA1 N 5 I T T` .. F: • OA�" REG LAN SURVEYOR HY"A'WNI•S; MASS. ;Z �." .,. . SHEE. 0 N � : G ` ao I 67 ' s l Luz 3 .. 'V © &G 9 O , c) cJ 7- 2 µ FO M�s� CERTIFIED PLOT PLAN U� RUBERT Q S Tlf:':�' V�L.Lim NEW CONSTRUCTION ONLY = $ aRucE n TOP OF FOUNDATION IS_ FEE $ EIDRE IN ABOVE LOW POINT OF ADJACENTT&yoe �J���1��.��L,�,S •���. ROAD. Nn sua'��' . SCALE, % 4v" DATE, 6112-,Y/a3 JVWNE'E /NG 6� M3.e`Eiz i CERTIFY THAT THE Fvc-N',J>A7-10A1 CLIENT. SHOWN ON THIS PLAN 18 LOCATED EOISTERE REGISTERED Fl�_� 06 ON THE GROUND AS INOICATED AND CIVIL LANO � ENGINEER SURVEY ' DR.�Y+ ;� CONFORMS TO THE ZONING LAWS — — OF BARNSTABLE MA8 r 7 t 2 M I N S T,Rt'E.EThAYt H YA N t S, MAS'3 SMEIT �f DATE REG. LAND SURVEYOR 1 � Y o„�•'"` . TOWN OF BARNSTABLE Permit No. 2537 3 ---- -- -— --- ���� Building #Inspector _.-,, Cash ---------------- t6y0. �or►Y� ' OCCUPANCY PERMIT Bond ___-_x--Lo ' r Issued to Greenbrier Corp. Address Lot 2, , 11 Vermeer Court, Osterville Wiring Inspector C�� �f ""`� Inspection date Plumbing Inspector Inspection date 4 Gas Inspector ^ / 1 Inspection date x Engineering Department f.h,/ �� /�f r f Inspection date's Board of Health (� �� � Inspection date r I 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. : ,....... . .......! ............. ..y........................_ti,.............�....... ..:�.-- _._.._._....... Building inspector n,e Town of Barnstable *Permit# Expires 1611ths rone' e date Regulatory Services Fee * BARNSrABLE 6? q`� IT Thomas F.Geiler,Director "P p I Building Division MAY 2 N10 Tom Perry,CBO, Building Commissioner RIVSTABL� 200 Main Street,Hyannis,MA 02601 - 'OWN OF BA www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ZPrope Address /[ ' arm e r r COI.�d� O,Sd L rV/ Residential Value of Work So Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 0 6,4�k A(,11''L(L l t_!-( 109_ $roo t-ts- 14( l �a ntis c,t�ess i 19 0� Contractor's Name a() �p � Ku e k nc, pU�W,,L4S 11te-i'elephone Number 7,7 q-03J —660� Home Improvement Contractor License#(if applicable) 9 6 1 Construction Supervisor's License#(if applicable) (f 1-S 3�g V ❑Workman's Compensation Insurance ' Check one: ❑ I am a sole proprietor ❑ m the Homeowner Rr I have Worker's Compensation Insurance r Insurance Company Name Workman's Comp.Policy# r7"Q 3 53)-D Copy of Insurance Compliance Certificate must accompany each permit.- Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ` A copy f the om Improvement Contractors License&Construction Supervisors License is rege . SIGNATURE: C:\Users\decollik\AppDataXLocal\Microsoft\Windows\Telporary Internet Files\Content.Outlook\4STGU5Q0\EXPRESS.doc Revised 090809 e a •.••.t`° ./�C trIr/Y76 i�rulrN�Clif li. a/ Board of Building Regulations and Standards Construction Supervisor License 4. License: CS 832BO Expiration: 11/2912010 Tr# 5313 Restriction: 00 SEAN J ROYCROFT 65 EBEN SMITH RD CENTERVILLE.MA 02632 Commissioner I ✓�eo�xnna�rcue¢ll/r. a���llau¢c�rwels License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Registration: 141225 Tr## 291967 Boston,MA 02116 �., k'''•:" Expiration: 112212012 Type: .Private Corporation ROYCROFT&KUEHNE BUILDERS,INC. Sean Roycrofl 65 Eben Smith Road Not valid witho t Centerville,MA 02632 Undersecretary oF� . • &UWSTABM 0s,� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division i Thomas Perry,CBO ' Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I -eo �"'� �V�'�'l ,as Owner of the subject property l P P rtY hereby authorizeK�2!�Dto act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Si ature of Owner Date r! Print Kame If Property Owner is applying for permit,please complete the Homeowners License Exemption-Form on the reverse side. C:\Users\decollikWppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 7Southe UCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PRODUCER Insumnw Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 641 Mein St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Hyannis,MA 2601 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED RoycroR&Kuehne Builders Inc. 65 Eben Smith Road Centerville, MA 02832-0000 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING 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 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. w LTR TYFEOFWOURANOE FOLIOYNUMBER FOUOYEFFEUMDATE FOUCYERMATO NDATE A DEMPLOYERS'LIIABILITY LIMITS E PROPRIETOR/ ARTNERS/EKECUTIVE OFFICERS ARE: TATUTORY LIMITS NCL 0 ExCL 0 T435328 6/06/2009 6/06/2010 OTHER CwaapoAppllw1oMAOpmuona0rly. ACM ACCIDENT S 100,00 ISEASE POLICY LIMIT S 400100 11 E-EAC14 EMPLOYEE S 100,00 ESCRIPTION OF OPERATIONSIVEHICLEWSPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ATTN: BLDG DEPT EVRATION DATE THEREOF.THE ISBUNG COMPANY WILL ENDEAVOR TO MAIL n 200 MAIN ST DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT.BUT BARNSTABLE, MA 02601 FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATNEB. AUTHORIZED REPRESENTATIVE �I The Cornntonivealth of Massachusetts Department oflndustrial Accidents WJOffice of Investigations 600 Washington Street. Boston,MA 02111 sv onnias&gov/dia Workers' Compensation Insurance Affidavit: Builders/Conh actors/ElechlcianslPlumbers Applicant Information Please Print Le6bly Name(Business orgmuzationtindivadual): 0 Address: 6 4�_ 4 B-cA t ,57,1 1 Ciry/StateJZip: CAA, Gr a. U Won ##: 177 6 " 6 6a Are.you an employer"Check the appropriate box: Type of project(required): 1.2 1 am a employer with-_ 4. ❑ I am a general contractor and I 6. ❑Neu,construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet_ 7. ❑Remodeling ship and have no employees These sub-contractors have g_ ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance..; 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 11.❑P g repairs or additions myself[No workers'camp. right of exemption per 114GL 12. Roof repairs insurance required.]T c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] ion-'Any apphc�that checks boa#1 most also fill our the section below shooing their workers'compensation policy infottrLSil Homeowners who submit this affidaait indicating they are doing all we*and then hire outs-ide contractors mast submit a new afftdar-it indicating such. =Cantractors that check this box must attached an additional sheet showing the name of the sub-coLrmcmrs and state whither or not those entities have employees. If the sub-contractors have employees,they must pmvide their workers'comp.policy number. I ani a►,employer that is providi►,g workers'con,pe,rsation i►is„rartce for rtry e,iWloyem Below is die policy and job site i„fvrrtatio►i. L_ 1 Insurance.Company Name: sr&,X_ ( 5�p--'�e� �►�0). Policy#or Self-ins.Lic.4: 1(4 3 Expiration Dater DL 0 Job Site Address: / 4 n'LP.�G f' Coc il' City/Statel7.ip: Mil . Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date.). Failure to secure coverage as required under Section 2.5A of MGL c. 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 c fJ'n►r er tl a in an a es of pedury that dre information prouided at27 ore is true and correct Signature• ^ Date: 0 t 0 Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermiVIAcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 Assessor's map and lot number +' ' �' °� �= `��_ _ THE pf tp •� //v7i.�. / boy �yw Sewage :Permit number .....J...,.:?........:....... :....................4, r?t . // Z 33AUSTABLE i House number y YAo6 .:............................................................ �p i63q. 6� TOWN OF BARNSTABLE BUILDING INSPECTOR f APPLICATION FOR 1PERMIT TO ....................:......a.....t.. ':..................:-..........................:..:.......:.. TYPEOF CONSTRUCTION ............................. ......... ...,,.... .................................................................................. .............. ..... .:...................19. :.. t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a(permit according to the following information: Location ...........................................`..... !....... ...........,............... � -. ..c ..,.1'r`--- `... .....(.�<?. ......... ProposedUse ...................................... .:'.� `� r r'................!......... .::'.�..r%?........................................................................ h •••�_ / .Fire District ..............................` .......... ............................... Zoning District ...... . ................ .. ..::-.............................. ,• Name of Owner .......... : r1 f.::...:....................Address .r' G ....... ........................... Name of Builder .............................. ..................Address ....................................r.,.,..� ••_,....................................... Name of Architect ................Address .................................__,__ Number of Rooms ..............................i., .e............................Foundation ........... Exterior .......` ./... : ..... . ?... e�'r , ''....:?...L .<�!� :r::;t....Roofing ......... ,/.i �5 ,/.p �•t.. %:........���:...%'..r!............. Floors ( �; .� J�. % �`. ......... '�£:"'.ti_, ..w.....Interior ........................ �� c•. � .... f..... .................... .......... . .. . •. �.. �lF i �z� ^<.`. •r .•,-?�. , Plumbing r ��= � ..Heating .................. ............. .. ............. ...... .. ..... ......................... .. ................. .. , . ......... Fireplace .............................✓�i........� ...................................Approximate. Cost .................. �.. y :p... : ... � ?........... ... ........ • Definitive Plan Approved by Planning Board _______t__� � � `________19___,__.� Area ..�y<::"..:.... `�................... -Diagram of Lot and Building with Dimensions � � Fee ........ ................I.. SUBJECT TO APPROVAL OF BOARD OF HEALTH r,. . 2-3-1e7 1 OCCUPANCY PERMITS' REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding .the above construction. Name .........�i :� :.: ::........ 2-.:?........... ............ Construction Supervisors License ..................................:. ^: GREENBRIER CORP. A=145--2-, 25373 One Story No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location Lot 2, 11 Vermeer Court ................................................................ Osterville ............................................................................... Greenbrier Corp. ...Owner ................ .............................................. Type of Construction ..................Frame........................ ................................................................................. Plot ............................ Lot .................................. Permit Granted ...............19 83 Date of Inspection ..,..................................19 Date Completed ......................................19