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0019 MORGAN WAY
i J i l 77� J { } 7 i i i Oxforcr NO. 1521/3 ORA MADE w USA *ESSELTE s • • l U r f MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108.1904 (617)723-3800 Ma Only(800)392-6108, FAX(8001851-8424 9/18/2012 Form of Notice of Casualty Loss to Building Under Mass. Gen.Laws,Ch.139,Sec.3B BARNSTABLE BUILDING COMMISSIONER 367 MAIN STREET i 367 MAIN STREET I 'HYANNIS MA 02601 Re: Insured: THOMAS C KEE Property Address: 19 MORGAN WAY.WEST BARNSTABLE.-MA 02668 Policy Number: 1035917 Type Loss: Lightning(not resulting in Fire) Date of Loss: 09/10/2012 Claim Number: 304542 Claim has been made involving loss,damage or destruction of the above captioned propert,which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured,location,policy number,date of loss and claim or file number. MPIUA Claims Division CMA00021 �' ' °� h m10 e k.n F.NCLOSE CHECK OR MONEY ORDEI LICENSE' FOR'REQUIREO•FEE,EXPIRATION DATE CONSTR. SUPERVIS.Q$ MADE PAYABLE,TO RESTRICTIONS - ..+j EFFECTIVE_DATE LIC NO• NONE: Ob/ 11991~ :005645` "COMMISSIQ NE�;QPU�BLIC SAFETI o-'- v. BRIAN .T' DACEY "r�` , OTSEND�6�SH) CE IL'. A.. 2SS 0 -027-46-5956 NTERVLM0632 P EASE ..NO �IIJn INCREASE PNoro teusrNo oPR oNLr ;:; r FEE: >.:. .•,.'.,. 100.00E FECTII*Ak !•si. � '4 NOT VALID UNTIL BONED BY LICENSEE AND OFFICIALLY ( HEIGHT:iR y;1qI t..1�.,i i STAMPED-OR•SIGNATURE Of THE COMML45gNER ' DOB: @ T MUST BE . D NOT . DE C .t ENSE -STI I'';1��`:� �l~''•: •CARHISRIED ON THE PERSON OF �I « SIGN NAME IN FULL-ABOVE SIGNATURE LINE �'�' %' Vi��: :�•• THE HOLDER WNEN ENOAO• OF LICENSEE OTHERS•gi6N{l j)Me { EO W THIS OCCUPATION. ��� COMMISSIONER 20OM•2-87.81428 .. ......... ...................... ...-............. -� ,r COMMONWEALTH DEPARTMENT OF PUBLIC SAFETYlk rNArtQ�/MAf OF ONE ASHBORTON.PLACE. i r MASSACMUSETTS _ --fi06y6"tt;' LICENSE CAUTION EXPIRATION DATE CONSTR. SUPERVISOR 04/1 9/1 9 96 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB TONE i`T:(" r' „ 06/30/1993 005645 PRINT IN APPROPRIATE 6 BOX ON LICENSE. � BRIAN T DACEY - g 62 FERBROOK 'LANE BLASTING OPERATORS SS fl 02?-46-5956 m CENTERVILI MA 02632 MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) If L 0.0 PAID NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED-OR-SIGNA/OFOMMISSIONER HEIGHT: ` 04/19/1956 ; I 2 2 1993 THIS DOCUMENT MUST BE « SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF GNATURE OF LICENSEE THE HOLDER WHEN EN h1 • I!%i� D,P.Se OTHERS•RIGHT THUMB PRINT GAGEDIN1SOCCUPATION, ER , t^ �.v.... ...!'�., Y TT`i...,dwl...f.� :i`ru .-ryne./'i`!' �•:4_;�a.., -hi-..�"-'ti.'..4/M -'!±. F.-w* .. �� Q�TM[>O TOWN OF BARNSTABLE 36222 BUILDING DEPARTMENT Permit No. .......:......... t ""n } TOWN OFFICE BUILDING Cash YL v HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to BAYSIDE BUILDING COMPANY Address lot #154 19 Morgan Way, West. Barnstable 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. I May 5 Building Inspector ��.,� °•`w TOWN OF BARNSTABLE BUILDING DEPARTMENT seaiaT = TOWN OFFICE BUILDING rua 9 t639. �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permit # :� 141-0 ..........._..................... _. ...._....._......_.........._ �._......_M_.... issuedto i..................._...................... ......_._. � d Please release the performance bond. I� TOWN OF BARNSTABLE, MASSACHUSETTS ��R 1, .y=174-001-6e ,T�VT7 J DATE UCto�J�r G , 1 %+.3 PERMIT NO. N9 APPLLCANT -1ac .71.'c11�i...T.2(� �:J_ ADDRESS i�o te,r -._LlC: j;vaJli`i;, (NO.) (STREET) (CONTR'S LICENSI iS L:i l.2 ✓'r:'c _ili i 1 .i i.:C. .. �i::i.i�•;i. NUMBER OF PERMIT TO (. STORY J c� DWELLING UNITS (TYPE OF IMPROVEMENTI NO. (PROPOSED USE) AT (LOCATION) Lot 0154, 19 l4org all `,hay, t'd<:---,L llarl"Is Bible ZONING (NO.) (STREET) DISTRICT BETWEEN AND ) (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK ' SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY ','CONFORM IN CONSTRUCTI. L TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: St.-wage #91-207 AREA OR VOLUME 1292 sq. it. 85, 000. 00 PERMIT $ u a b9 ESTIMATED COST FEE (CUBIC/SQUARE FEET) � ' OWNER b"ysl%-A`u. building Cu. --`� ADDRESS Cu it er'vl C: BUILDING DEPT. .A T! BY I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY 0 PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AF •. ® PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINE FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND A. 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 MINAL INSPECTION TI 70 BEFORE FINAL INSPECTION HAS BEEN MADE, 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS OK 2 2 jvM GS i vG 2 t' .3 I EATING INSPECTION APPROVALS EN IN ERJPeG�T J OF HEALTH -9y ``L 4-- 3 ; OTHER SITE PLAN REVIEW APPROVAL JRK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W:L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE JR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. t LL l . — ML V14 n ,no.00 �t I�3 ALE:- 0 . . r 19.96 .1 SF f L17ly `�= �3,�U 6 s ak j .RiCiMRD- 4 BAXTO . > DT f CE,2T/.,C-Y T.UAT 7-1-1,C- 40VAJA4rVAJ L0C,47/0/-/ �,(/ AFAS IS17 3LE S.�/O.Gt/iV yE,2E0.1/COis�I�L YS Gt//Tip/ SCA L Z—Z /�� .gyp' O,�I TE /D.¢. 173 7'-•�/�s'/O.E.0/.c/E A�/O SETBA Ck .L EQ =A1E.t/TS O. - T//� �"owN�F �•C.4�t/ ,64A, l sr4& - AAACP /s Nor Z.Or 15,4e W17-IIAI ?'yE �LoaaPG4/�i! �� �VVreZ /7/4d- JAG- -.-' .93 / Q Ccvsr sv�3�w�s�o�l 0;4�TE: Q ,BAXT,E,26 it/YE /it/C. '�-.;7tiis.•�,�.qv/s.vor B,4SEo av.4.v .eE�isTE.eEo ��O SU.eliEybc� %iVST.2U�1,�NT SU.21/EY€ Th�� - GLST�-„2Y/.C.L�a �J.4SS. USF� To Z%27h/ f4/lLJAr Lor ZVA/e, �= COMMO TH OF MASSACHUSETTS DEI'AI?TMF.,NI'OF LNDUSTRIAL ACCIDEIVI S 600 WASHINGTON STREET Ganooei: BOSTON, MASSACHUSETTS 02111 ssione• WORKERS' COMPFNSATION.INSURANCE AFFIDAVIT ccnsec/permiaec) z principal place of business/residence at: 6 3 a (Gty/Sratc171p) Lerr.bytify, under the pains and penalties of perjury,dur.mplovcr providing the following workers' compensation coverage for my employees working on this D /7 Y D/ nce Company Policy Number am a sole proprietor and have no one working for me. am a sole proprietor, ncnl contnaor r homeowner (circle one)and have hired the eontrnaors listed below vc the following wor ens compensation insurance polices: — "' of Conrrzaor Insurance Company/Policy Number of Contnaor Insurance Companv/Policy Number of Contractor -Insurance Company/Policy Number m a homeowner performing all the work myself. NOTE .PJcasc be awuc t at wbilc bomeownen woo emoiov perwas to ao mainteaaocr. construction or rrpair Boric on a e of not more teas: taree uniu in .vDteh the homeowmcr also resiaa or on the Frouncr; appurts:nant tbercw arr not reaer&B. red to be errolovers unorr the Qorxcn' Comacnsauoo Act (GL C 152.sea. 1(5)). application by a bomeowner for a license nit may mccncc 6c icFal suns of an cmpiovrr unucr the Woriccn' Compcasation Act stand :hat : CopV o:tiiis state ncnt will be forwarced to the Dcpv--nest of Ind Aeadeno' OF ee of lnsurarsae stn m — :ton ane :nz. iariure to secure cave irc as rceuircc unou Seemon 25.�'of.(G,.. 15: an leas to the imr cmuon of ai.:.�L D�;Lj°O ne of: tint of ue to S)500.00 and/or impnson=.tr.t of up to one and avu per aiues in the form o;a Stop Wort Order sne a 100.4u a Gay a€a:ns: mt. .4 t � � 1 I 1 . I 1 I + 1 ' f W/ St}-/l - 1�G' LG5 � I I I I I I I A.. `( 31 CS E' PS U . L-D I J4 SCALE: I//r"= 1%O" APPROVED BY: DRAWN BY: DATE: A P Vz 90 REVISED AT 10 DRAWING NUi CASE go - 4-1 F a t w/C I ' I -.C.G.-L .T.._ . S. 1. 0 G-. ,roo ,m 1 f 1 i w/c SH 1 N61-CS I I as A o -,ZZ F - a it h 0 r f I p Y d rju m ,. 0 — — �: a r l d le — r � I I h 9, •� i Ej -CA Cpi D W '� i J of , ,: to � Y , •�, --> �� . -I �_ �, I � �• LD no: .0;1r ---— .Q ,Z o p' r IL o• ; o: %3 ? b 7 'u r z > �• i 10 I I O u , — x e>AYSIOE f3U IL-0INV CEN i E2V 1 LICE 11"d1G • SCALE1/4'= ►'-p• APPAOVEOBY OATCAP2 ajo cl ID - o ip o � 0 6b xz� ,moo ' -Z,f - .,o , co ° I I zo to I I j IL � I I , I �,I -! - - - - f ►0 i L �� ��,•� I i W,. 2a , a � r � ._�.r�o wvc.c pclanru. c 5...3o I rd'JOL.0 T 10%1 U ILL2x9c�lG" - EAL=-Mgb Asp%4AuT S&41"GLce, we o Fummi"e, 4p- IG• t ••C:T�St...SHGATKLidGs _ 'h•• s H c tr•T MOCJ� j 0 d' I co 40- 'F1r1.15r1 Ft_oo2 alb_ •-••- /i^...P1-Y_SLV5FL„00R r 1�[ 8 A5GIA All A. GUTTG-rzs ! t_.EAneTc S 2.f$ l6' :IXB SCrFIT WITH VChtTS' rzIG2L' "f90A2o'"TC"TOP Oit �Y.11.1 O o�v F-M 1. V, (g,3TUnS AT IG" Gmy-...Si-t'G F zcluT Q 2GA2 d t. IAIJ.SH.. F c ooR .r U4 2xlo.S1 u. oN SI«-!Flu- `.O ,I 2fA2".Ilors Lo »' • (3� z,x 1 o S•� � < �9 q'i2.1` -g�x 7!:a.. QOU2C0 COIJG2lrtE T. Zr� :T�DIl.1(?rPcL,00F T�Elvw_.GR.Ap E .—• 4 S 4 AIL"L-Auu{ C � Assessor's,office(1st Floor): Assessor's map and lot number ' �? 7 �� SEPTIC SYSTEM MUST B pf THE T�` Board of Health(3rd floor): a"INSTALLED IN COMPLIAN Sewage Permit number ?Z -20-7 WITH TITLE 5 • Engineering Department(3rd floor): / - ENVIRONMENTAL CODE sarsrantc J � rua House number ray9 TOWN REGULATIONS �'�7 d-�� Definitive Plan Approved by Planning Board 19 o rtar APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only P .PROVED TOWN OF BARNSTARLA ° °rvati°n °^�zssi°n BUILDING INSPECT R . APPLICATION FOR PERMIT TO 61-katA TYPE OF CONSTRUCTION 7 19 � l TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according /to/the following information: Location_� ` S ✓�%GI/ '1 G(/Q,G1 uy �CLin'1. Proposed Use. MM Zoning District \ Fire District e - Name of Owner ,lt�J Address Name of Builder Address Name of Architect Address Number of Rooms Foundation t�lru�eC� Exterior l- C�L Roofing lam` Floors L�.vl. �f v l� Interior A� Heating ��-� - Plumbing v V X Fireplace � L Approximate Cost Area 7 Diagram of Lot and Building with Dimensions - �� � Fee 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 /,1,Lrj-a14 / Construction Supervisor's License �� �5 . BAYSIDE BUILDING CO. No— Permit For 36222 BUILD DWELLING ' - Single Family Dwelling Location 19 Morgan Way - (Lot 154) ' West Barnstable i Owner-,-- Bayside Building Co. Type of Construction Wood Frame Plot Lot Permit Granted October 6 19 93 ►:ate of Inspection 19 Date Completed 19 N S -61519171 IRN @— Q m mS t-s a TO - TIME DATE ,aW VIA ,YOO J [[llRGEart ]"Telephoned iN g M : n �Retu�n� s[]�Called.ta� OF [� eose [jWants lb PHONE (] WrUwll . � Wv , � aguirtnknow MESSAGE lz OPERATOR: 7 23-024-400 SETS 23-027-200 SETS 1FAssessor's Office(1st;or) Map _ Lot 0% D - Permit# . Conservation Office(4th floor) Date Issu d Board of Health(3rd floor)(8:31@-9:30/1:00-_ ) ��/- � ^� Fee 'bd Engineering Dept. 3rd floor House#1 Planning Dept.(1st floor/School Admin. Bldg.) , �tt� Definitive Plan d 14 by Planning Board 19 � �� p�9 TOWN OF BARNSTABLE Building Permit Application Project Street A dress I 0 0 IL; JCL Village Owner V\A-) 0/V Q U a Address sq-14 -Q . .Telephone o 3 Al 7 Permit Request T ti L I,-,S -ex I S 7i vc cA-Q (_/e O 0` U A)k Q-4Te ci, - .� Total 1 Story Area(include 1 story garages&decks) square feet r� ahe Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ 0CD6 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use e cam( / Proposed Use ucc,S(,u Construction Type t LMO CD _ E y,f.UVI--Q _ Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway r Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder I1nf__ormati Name 7�} Qti,( �i� eU Q ?RA'10 PMl l ne Number '� )-0 _ '� © 'y Address q:' b)0d L-Q,6.a (� License# Q�co °J Mn d'59_0 N S , Vtt 1 S Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT-TWILL BE TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 9299 s 7/25/95 DATE ISSUED r - 1-74 0-01 062 MAP/PARCEL NO. n ADDRESS 19 Morgan Way r VILLAGE '-- Centerville OWNER John H. Donovan i DATE OF INSPECTION: FOUNDATION - FRAME INSULATION v FIREPLACE- ELECTRICAL: ROUGH FINAL PLUMBING: �, ROUGH FINAL _ GAS: �" ROUGH FINAL FINAL BUILDING i>'-3JQ 7 ✓ S DATE CLOSED OUT ` 'r ASSOCIATION PLAN NO. COMMONWEALTH' I DEPARTMENT OF PUBLIC SAFETY a current r; �'«_' .''- 'E.xldieg OF ONE ASHBORT a, ON PLACE 1 rrevacat(on MASSACHUSETTS BOSTON,MA 02108 LICENSE 1 EXPIRATION DATE CONSTR. SUPERVISOR CAUTION Y 08/2711 995S , ,., EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST :z RESTRICTION : THEFT, PUT RIGHT THUMB 5. NONE 06/3.0/199 009693 PRINT IN APPROPRIATE � BOX ON LICENSE. 8RUCE ,E*f20S,EWELL � r '94 WA KEB Y R D CBLASTING OPERATORS SS 4 319-38-1991 .2 MARSTONS MILLS MA 0264 m m MUST INCLUDE PHOTO. " PHOTO(BLASTING OPR ONLY) F t 0. 00 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY I ••"tom'-.` HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER DOB: 08/27/1954 THIS DOCUMENT MUST BE I "''�y`�' 4 "•'�' CARRIED ON THE PERSON OF J SIGNATURE FLICENSEE I SIGN NAME IN FULL'ABOVE'SIGNATURE LINE ^ THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGED INTHISOCCUPATION. it " MMISSIONER I ' "', t ,per , �i s�oomeaa�u�.,ald( ,�amocSraeQ3 HONE IMPROVEMENT CONTRACTOR �Reglstratuona;102615 TXPe�PRIVATE�CORPORATION i Ezp fation,� 07%02/96 ,s ' 1r l#.fir Janes A Coyne, Ioc _ `�•��'' L. UTUC 0swelll c w f �GQ7/l do /7 �14Wakeby Road � >E a otiUN �,,. Ma Stos�Mill MA A 02648 ISTRAMIR . n s " dry The ,Town of Barnstable $ Department of Health Safety and Environmental Services • Building Division 367 Main Strut,Hyannis MA 0260t Off!= 508-790.6227 Ralph Crosses Fax 508 775-3344 Btuldmg Cott miss For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,mode:aization,conversion, improvement, removal, demolition. or constitution of an addition to any pm-cisting owner occupied building containing at least one but not more than four dwelling units or to str c=w which are adjacent to such residence or building be done by registered contractors,with attain c=ptious, along with other Type of Woric. Al C(S S� e S u d c� _Est Cost 1 r?ci c7 Address of Work: N �� I Owner.Name: Date of Permit Application: 1-7 I hereby certify that: Registration is not required for the following reason(s): Work c chided by law Job under S1,000 Building not owner-Occupied Owner palling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WIIIi UNREGISTERED CONTRACTORS FOR APPLICABLE HOME VAPROVEMENNT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: G C9 0A,L� s Date Contractor name Registration No. OR Date Owner's name 11:02'94 17:02 $ell 7277122 DEFT IIM ACCID =... Cvnuno/zcapaA1L O/ MadJaChu,detfi 600 James J.Campbeff &Ion, ii/aamdu uMi 02 f f f Commissioner Workers Compensation Insurance Affidavit with a principal place of business at: do hereby certify under the pains and penalties of perjury, that: () I am an employer provid'mg workers' compensation coverage for my employees wcrkim this job. Insurance Company Policy Number VV I am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (drde one) and have hired 6 contractors listed below who have the following workers' compensation policies: Contractor Insurance C wpauYJPCGcy NUM: UM: Insurance Company/Policy Num: Contractor Insurance Company/Policy Num: I am a homeowner performing ail the work myself. I understand dut a cot"/of this statement will be fo.-carded to tte Office of irnesdpdans of the DIA for coveage vertac2tion and that failure core zie as ret:::ed under Section Z5A of MGL I SZ can lead to the imposition of citt bw Penatties consatfae of a fate or up to S 1,500.00; years' Imprisonment as well as civil penalties in the fours of a STOP WORK ORDER and a flt a of St00.00 a day aonst me- ned this -y day of GcenseelPerniittee Building Department Cleansing Board Selectmen Office Health Department -MV innn VRA7 Into Ant Ann 77 i t1i aa.,luo, 1110 i f�..v .t-i .war ,Your IVIa _ What if youi have.'arcesspools =. :iJmv of' -• f '. 1, eisity` Massachusetts. 7 ' 1: Cooperative Extension System sc ,' instead of a se tics"stem . t t _ y 'J.l ilri.Ji.J J'J .F�.Uti11Y•" Itli. J.iI 2'a 1i,ri'•:ti,Lt,.I i -•p y, !ti -e [Ji {[`f ' .'.Ct._ r v. .. i .yJ ��L. l7t= ,� fnL 'r/Ya/ ,j•\ ��•• _ 1,e'#"tti3V� s P ^., n l�t f TT' rv+ Y� ! t s•tom' ..`{ -::.;:::. .............. ,::.;-:;;.:::•:,`:-x.:r.....,:,,..::.::•::';•:;::::::;::. ... 4 x I1 ..:. t`•�. J {S)♦i• , , x• f ;;.. ........... . 6L, Ce ..>..i..v..:. .:...r•.z..n...:...: .........:.:....:. ..s.. e..:.:z.t:e. ..G . a.ctuores We: : w�� h :i .:: i tl d � . si�a> :.: f�-E: :. •CxJ z,b• f II r `Y tP-• T' ............. ..the<sxde wall:>�"'� j J i � I R e 5'. y . 0 .:.....:.... • . . _ r.s t 1:•: a z.. .. •cr. . t �:: .- • Y �_ , •, '::" �.t�:;ox : $.: >0. r� 4 7 s vei�Ya'� F. •fir .. . , d .;see .I •�r ce i. no rm." � rtted>undera" it r �•. - �Y t. l' -::.bw!.::>::::::::.:::::::;<,;is t;-:;>;>:;:.:•::a:;»;;::::<;.::...:.�::::::::::•:::;>:'o::.... .. }.X.::S:::x:,viiii:::;v:i4ii:i:::ii: L g t' .y v:lv.. - ♦ t• Yi` ter, as J tr r •t.Y Y• _ _r •r • ,+t1 ,r 2 t r- 1 t v i L..r J� S •ia Al 1_ tir •it.t" .{'"'nn r'r. -• •.i.l',t :�Sfi �s-,.+"�f$Sf',fi,- ��,r 1AET.ei� .�' r / - ,, Al Fo r•a" ddih ah irlfoiiation-abips-ePtic systems, , " .•,�. ,-... I �. Maintenance-r eeor Y r request a co of Your Septic stem a consumer, •:1 . d PY P Y e a ..� y' publication including the following to ics: P 1, Keeping arecord.of when your septic system is =•:_ : ,ri :%c� pumped will help you-plan when the next clean=• What to do if Your Septic System Fails <, in "should be scheduled. • Special Considerations for Shoreline Pro g � 0�0' PertY�_ If you"are'a suburban'or,, _� 511� •t� . e1K', 'r • Owners 1l O e rs r+� '� `z" fj�� _ : i1 : yt..r;..-• �: -. �-.. - zit , Y ,rural-resident, you probably> Size,of Tank' "Gallons. What You Need to KrrowEWhen Buying or -s ; _ ,, depend 'on a septic system to- r .. Building a House _ P Y treat et an Considerationsd i 1 - d s ose of a, our , • P Y Wh n e B uil in d r Date Work Done Firm ' Cost' a Home g e odehng _ household wastewater. The 3�/6,- ��` - • .• r • Conserving Water in Your Home and Yard purpose of a septic system is to; j treat liquid wastes from your, Pick up this publication at no charge at the address l :: home in order to prevent con-'- beloworsend acheck,payable toBarnstable County, tamination• of your well,' f or Your Septic tern Instal �• • . � '. $1.50 to cover postage and handling. groundwater and nearby lakes,' Name ` streams and coastal waters. Address 161 Old W^zfI I y O�� �! j Distributed by: Proper maintenance is the Phone l�✓ Cape Cod Cooperative Extension y '> key to a lasting septic system. Date Installed l6" Deeds and Probate Building . PO Box 367 1 l Read and use this folder to Barnstable, MA 02630.0367 f . learn: . , Your Septic System Pumper (508)362-2511 ext 585 Name ) I • How a septic system works. 1 Address University of Massachusetts, College of Food and Natural ! .. f t.. g Why and how to maintain _ rt • . . , Resource•� i s,United States Department of Agriculture and Mas- You r septic system. stem.sachusettscounties cooperating. TheCoo erativeExtension How t keep amaintenance i System offers equal opportunity in programs and employment.Phone i _. _ —,record., _ ._•x . �... . _ i PROPOSED ADDITION FOR: JOHN DONOVAN 19 MORGANS WAY, W. BARNSTABLE. MA SCALE 1/8 = V 7/20/95 10 / 2 DOUBLE BEAMS TO BE SET 1/3 UP PITCH 12 \ 2X 10. RAFTER / 1/2 SHEATHING / \ R-30 INSULATION W/PROPER VENTS 2X4 WALL STUDDING 8 PLAT ES, 1/2" SHTHG. R-1,3 INSULATION NOTE: ALL FRAMING TO BE 16" O.C. J�cllf EXISTING DECK TO BE BUILT UPON IS 2X10 16" O.C. SYP, PEIRS WILL BE UPGRADED r_ TO CODE IF NEEDED. INSULATION WILL BE P.-19 RIGID TYPE FROM BELOW VA y r • �d �np.Do Y CT` . 60, V. �t o — � fix` �•`�Ti.usc�ecf`/ I54 19,991 SF "oa mom o.. WXTM fY,1� s m�� r�rrpp!!rr /AT Tf�� /:OVAJ bAro,'J .60C,4T/OiC/ �,(/ T.- f�l1Q�t/ST�Z3LE S//OWN yE.eEO.I/COtiJf�L YS �//Tf/ SC.q L�- �'� gyp' 0.4T� /D • ¢ I3 ,8��z�1 srABc A,vo /S Nor ,COCA T,E'1� W17'X//.t/ TyE .C.,Z.oa4PG4/y, 4 vr6-,,2 //,LL S gZ, ZIP ,oq•�-�: /D�4.93 ��ti,r,,�--d. � Ccvsr�Z svga���s�onl _ .aA XT.E,2s A /NC. •%NST.eUi�/.�it/T,$U,21/6Y� Thies � aSTE,.21!/.G.C.�a �J.4.SS. USES ry DErElz r41,U/-• 107- /CA1v.;'- YM�> TOWN OF BARNSTABLE 36222 Permit No. ........ I . •1 BUILDING DEPARTMENT Cash .... TOWN OFFICE BUILDING A e�v HYANNIS.MASS.02601 Bond '. CERTIFICATE OF USE AND OCCUPANCY Issued to BAYSIDE BUILDING COMPANY Address lot #154 19 Morgan Way, West Barnstable 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. May 5 94 ... ... ..... .. .. ...... ..... . 19................. ................ ." ....................... Building Inspector � _'__ -I �--- I -- . - . ,I , . I - . ---I-. I I I.�-, �l �I I � I ,-- I . � . I .I . I '� F I..ltl�o I-;_ � . . I � 1. I � - -,:,---_- __- I . . � . - I I � I . I . . � ------, - - ,..I'� .: .� I . p I 11 I I � I I 11, I . - � . � . . �. I __ I - . I I � I � - �,11 �� .. I . - � � . . I I . I I � I I � � � � I .10 I . I . . I . - I I I . I � I I I I , I � . . � , . . � . .I - � . � - - . I .' . ' . I � � . .I I I � I . I. , , I .1 . I I . .. I . � . 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