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HomeMy WebLinkAbout0014 ELAINE ROAD I _ LI F THE T°� Town of Barnstable *Permit#�0L Expires 6 mor ks jrom issue date °^ Regulatory Services F 0 . c • anxivsTABLE, 9 Mass, Richard V.Scali,Director 1639. �0 PIED MA't A Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY G D�t valid without Red X-Press Imprint Map/parcel Number t of Property Address � a � ✓�� t'` t. ❑ Residential Value of Work$ � Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name M 49 K yVl.1 u-W Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) 167 ,291 [ rorkman's Compensation Insurance If- Check one: rERMIT ❑ I am a sole proprietor DEC 1 Jr ❑ I am the Homeowner 2014 [.-1 have Worker's Compensation Insurance TOWN OF B n RNSTn PLC Insurance Company Name Z y 9- lI C K �-1 rl t 1I i�-1D C Workman's Comp.Policy# 6 zZ (.) a—.S Ps> Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque check box) p Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken torJ2MI TM PC)yYl V ❑Re-roof(hurricane nailed)(not stripping. Going over . existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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&Construction Supervisors License is required. SIGNATURE: 'A/A Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 The Co'mmonivealth of Massachusetts Department of Indusftial Accidents ,� rr O ve o,,ffniw igations 600 Washington Street j Boston,MA 02111 - n- winmass govIdia Workers' Compensation Insurance Affidavit--Boil+ders/Conti-actors/E-I iicians/P u nbers Applicant Information Please Print Legitbl_y Name(Busmessr7Qrgamzauonllndi idual): A l-010 Address 7 City/slate Zip: (,t/ MM� ,-S?—ft0ne# Are you an employer?Check the appropriate:box: T project. am a general contact d I or an ��of p (required): 1.[�'r ram a employer with 4 ❑ I 6- ❑New construction employees(full and.For 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 F ca any y capacity- employees and have workers' g. ❑Building addition. [No ttiorlaers' comp.insurance comp.insurance. required_] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions I❑ I am a homeowner doing all work officers.have exercised their ILF-1 Plumbing repairs or additions myself [N workers'' right of exemption per MGL c�P-insurance required.]7 c. 152, §1(4X and we have no 12.❑Roof repairs, employees-[No workers' 13.❑Other comp.insurance required-] *Any applicant that checks box#1 mast also fill out the section below showing then workers°compensation polish information- *) omemtimers who submit this affidavit indicating they are doing all wcak and they lade outside contractors must submit a new affidavit indicating such. Contmcmrs thatcheck this box must attached sn addiaonat sheet showing tlae name of the sub-camtrzcAnis and stare whether arnotthose entities have employees. If the sub contractors have employees,they must:provide tlAr worker'comp.policy number. I am an employer that is prmiding workers'conqmisalion insurance for my employees. Betaty is the poky*and job site information. n Insurance Company Name: Policy h or Self-ins.Lie.9: G Z,�t CJ - 7 I fi y- 7- Y Expiration Date: Job Site Address: /y g-k7L AIINE7 j b City state zip: Attach a copy of the workers'compensation.policy declaration page(showing the policy number and expiration date). Failure to secure;coverage as required under Section 25A of MGL c. 152.can lead to the imposition of criminal penalties of a. fine up to S 1,500.00 andf or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250-00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DLk for insurance coverage verification. I do hereby cerhfia raider the pains saamid penalties of perjior}?that the information provided above is trite and correct Signature: ��, -O Date: /�/ Phone : +�,fjrcial Ease onlT . ➢o not ivrW.in this area,to be completed by city or tonm of ctaf City or Tun : P'ermitlUcense Issuing Antharity(cuTle one): 1.Board of Health '2.Building Department 3.Cityfrown Clerk 4.Electrical.Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: MULLIN ROOFING & SIDING INC. CONSTRUCTION CONTRACT This Construction Contract(the"Contract") is made and entered,into as.of 8-14-14 (Date), by and between Laurie:Moulis (Name, hereinafter called the "Customer") and Mark M. Mullin, DBA Mullin Roofing and Siding, Inc. having_its principal office at 7 Connemara Way, W. Yarmouth.MA 02673 (hereafter called the "Contractor"). Property Location: 14 Elaine rd. .Hyannns, MA` In consideration of the mutual promises hereafter set forth and intending to be bound hereby,the parties hereto agree as follows: Contractor's Obligations. Contractor shall complete the following Project herein described.in and shall provide supervision necessary to commence and finish the Project expeditiously, in a workmanlike manner, in accordance with the"all .applicable codes., laws ordinances, rules, regulations and orders. Description of"Work". Contractor shall do all the work in accordance with the terms of this Contract, asi described: Remove existing roofing while'protecting the home and landscape. Inspect the roof decking for rotted or damaged decking and replace up,to fifty square feet of roof decking if,necessary included. Nail down any loose decking to ensure a-solid roof deck. Install ice and watershield on all eaves, valleys, and cheek walls. Install roofing underlayment over the remaining roof surface. Install new Timberline,architectural'roofing shingles by GAF using six nails-per shingle installed to factory specifications. Install ridge vent, and cap the ridge using Seal-A-Ridge ridge caps by GAF. Contract Sum. In consideration of the:performance by Contractor of its duties and obligations, hereunder, Customer shall payto contractor..the sum of `$8,0201 Payment schedule:Owner shall pay.the contractor$3,700 of the contract sum upon,signing the contract,0% upon start of work, and the remaining balance upon completion of the contract work to be paid in 12 consecutive monthly installments beginning at the.completion of work of $360 per month. Contractor's Responsibility. Contractor is an independent contractor for all Work o be' performed hereunder. The detailed manner and method of doing the Work shall be under the control of the Contractor..All employees.of the Contractor performing Work under this Contract shall be and remain the Contractor's employees. a. The Contractor shall supervise and direct:the Work, using" its best.skills. f ab Saietu'Contractorshall be responsible for initiating,maintaining and supervising all safety precautions in connection with the Work. Perrn is Fees and notices.The Contractor shall secure and pay for all permits and governmental fees,licenses and inspections necessary for the proper execution and completion cv the lNork:Such permits and licenses shall b�the properly of the Customer and shall be delivered to the Customer upon request.The Contractor shall give all notices and comply with all applicable codes,laws,ordinances,rules,regulations and orders.of any public authority in connection with the performance of the Work and the Contractor's obligations hereunder. j l i lnsurance.'Contractor acknowledges and agrees the,Customer or Owner shall hot be f obligated to carry any insurance in connection with the bVork for the benefit of the Contractor. i Contractor's insurance.Contractor shall.at all times maintain and keep'in foil force and effect, j at its expense,any and all,insurance-coverage which is prudent,necessary or desirable far the - - protection of the interests of Contactor.Contractor:shall famish to Customer cer<ificates of insurance for tiie following types of insurance. a. Commercial General:Liability Insurance b. Wor'<ers'Compensation'Insurance to cover full liability under the lr+Yorkers'. Compensation:Laws-. r IV b1ti rtV SS Wy_RFC)F.the parties hereto have executed this Contract as of the dayano year first above,wrritten. ustoln r.. Contractor Company By rrirn.?earls l�rculis Mari;.Multin, Mullin Roofing e'Siding,!nc. •, j 7 Connemara jJ+fay,IT+J.Yarmouth tltP {: 02673 508 2218591 j Address:14 El ine..rd.Hyannis, lR Date:8-14-14 Date:8-14-14 Phone number'978-568-1914 License lvo.CSL6 10-4076 i VC# 167281 Email address:12lurie�TIOLIis@gmpil.com Email address: rnuilinroofing r@gnail.corn J. I r i A6 CERTIFICATE OF LIABILITY INSURANCE 7711; IDD/YYYY) `� 1/16/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsementjs). PRODUCER CONTACT NAME: Margaret J Grassi Ins Agency PHONE - - 1 FAx N. (508) 295-2007 (FAX No: (508) 291-1707 1188 Main Street E-MAIL ADDRESS: debmjgins@comcast-net West Wareham, MA 02576 INSURE NS)AFFORDING COVERAGE NAIC# INSURER A:Colony Insurance AcTencV INSURED INSURERs:Zurich Insurance Mark M Mullin INSURER C_._. ...—•-----�-- _ 7 Connemara Way INSURER D: t West Yarmouth, MA 02673 iNsuReRE: I NSU RFR F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- INSRi -.ADDL SUBR' _ POLICY EFF POLICY EXP LTR I TYPE OF INSURANCE INS POLICY NUMBER - MMIDDIY MMIDDIYYYY - LIMITS A GENERAL LIABILITY ,GL410100 7 1/5/14 1/5/15 EACH OCCURRENCE $ 1,000,000 _COMMERCIAL GENE PAL LIABILITY PRE TO RENTED -_ ,PREEMMGISES(Ea occurcencej $ 100,000 CLAIMS-MADE I OCCUR ME E(P Arryone person) $ 5..OOO PERSO NAL&ADV I NJURY $ 1,000,000_ GENERAL AGGREGATE_ $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER - PRODUC?S-COMPIOP AGG $ 2,000,000 POLICY PRO- JECT ( LOC $ AUTOMOBILE LIABILITY - COMBINEDSINGI.EI-El !EaatcA urfl $ ANYAUTO BODILY INJURY(Pei person) $ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NUN-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS .__' r accident $ Pe $ UMBRE LLA LIAB OCCUR �: EACH OCCURRENCE $ EXCESS UAB — CLAIMS-MADE ( AGGREGATE DED RETENTION$ $ B WORKERS COMPENSATION ;6ZZUB-5B7$154-7-14 1/18/14 1/18/15' VVC STA I'U O`I'H- AND EMPLOYERS'LIABILITY YIN : I. __TORY LIMITS ER ANYPROPRIEOR!PRRTNEREXECUTNE NIA, j E.L.EACH ACGDENi _ $ 1,000,'OOO OFFICE RUE MEER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE.$_ 1,000,000 . f:yyes dmo ibe under -"- ` DESCRIPTIONOF OPERATIONS below EL.DISEASE-POLICY LIMIT $ 1,000,000 i i ' I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 10,1,Additional Re nn rks Schedule,if more space is re qu rod) { CERTIFICATE HOLDER CANCELLATION SHOULDANY.OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Debra Martin - ©1988-2010 ACORD CORPORATION.-All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: L Z 9 MILO/60 JauolsslwwoD uollejldx >rL97ll VW g;nouueA;saM Va V2IVJ O NNO3 L " '' .�'I'If1I�iIK?I?I1P'b1i 9LO1d06 SJ:esu631- aosi.uadnS uolaanitsuoj spiepue;s pue suoi;elnBaH 6ulpltn8;o pjeo8 - A;a;eS oilgnd}o;uaw}jedap- s:49snyoesseW ,C, V/ae ipo�atn�ta�acae«Cl�a�C�/G�it:ttcc�cuel� Office of Consumer Affairs&Business Regulation 9 License or registration valid for individul use only - ME IMPROVEMENT CONTRACTOR ' before the expiration date. If found return to: _ gistration: 167281 Type: Office of Consumer Affairs and Business Regulation xpiration: 813012016 DBA: 10 Park Plaza-Suite 5170 Boston,MA 02116 _ MULLIN ROOFING AND MARK MULLIN 7 CONNEMARA WAY W..YARMOUTH,MA 02673 Undersecretary Not vand without signature !� ng Dept. (3rd floor) Map aW$ Parcel 111 1/K—Permit# o?off-/ House# -f i ate Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee . Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Plannin ept.(1st floor/School Admin. Bldg.) ppINE Tp;_ Def' itiv n Approved by Planning Board 19 • BARNSTABLE. �OlEn,3„gar s`°� TOWN OF BARNSTAELE Building Permit Application Pro reet Address 14 ���lhc A.D. 'DL�I/: LD%.A oo Village Owner 14*r�u 4 C k,_t LeAk_ \,/�/E,cc i c l� Address ly Ely R p,f Telephone G 0 Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 9v T Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing _ New Half: Existing New No.of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing S New First Floor Room Count -lest Type and Fuel: Oil ❑Electric ❑Other Central Air ❑Yes :�o�Fireplaces:Existing New Existingwood/coal stove Yes No ❑ ❑ Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) UX-6-ne ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use r`c- Proposed Use Builder Information Name- (;oVV0V Cde� Telephone Number <279-77$-63410 Address P,0, License# 4A i 4,rS //f I 11A e,;2C Y Home Improvement Contractor# !G`I-XS/ Worker's Compensation# y,C 1=ei4 j() 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 WILL BE TAKEN TO_,,J 17s®racL SIGNATURE DATE 1'eX7 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY e - PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL { GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT f ' ASSOCIATION PLAN NO. l . i. THE The Town of Barnstable • werrsresre, • 9� NAB& �e Department of Health Safety and Environmental Services '0ri�c n,►'�" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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, 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: wee ! Est.Cost�,(,GfG Address of Work: 1 el Elm;nc Rai} U4t4w;s Owner's Name /ferfy t C,1..c..eLo+ We-11 icL Date of Permit Application: 41,2/4-7 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building 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 t age t of the owner: a � D e Contractor Name Registration No. OR Date Owner's Name The Connnonwcal1l, of Afassachusctts , Dc part�nurl of•LtJrtstrral Acrl�lcnts office ff"191 sM211vns 600 f f'ashiirr tun Street `ji-.j 4. Btiston. Mass. (12111 Workers' Compensation Insurance Alftdavit al+nldint information• _P1cTm PRINT name* tocition• — city nhonc I am a homeowner performing all wort:myself. I am a sole proprietor and have no one working in any capacity _+� ^ INYwM R'.�tTC T•"_.�wl._l�•R-7!r`7Tw , .. �_.w�.�w��.�r�•T•._w..�•I;.w.,.—wn�...•_.�.....r.._�—.... FIIIVF am an employer providing workers' compensation for my employees working on this job. enrol ari • name: 96UV l)'( ter C� _ address- PO-_ RGrA- [00 5' city. /I/ V/S Ak 9"1/`67 nhoncit����- 77� inurnnce co. [�.-r 111 _7;6wale a CC. UjC 2Z`I iLC� [� I am a sole proprietor, veneral contractor, or homeowner(ci'rcle otte) and have hired the contractors listed below who have the following workers' compensation polices: mmnnny nnmc• atitiress• cin•• nhonc+�• in,qiirnncc rn _ � • '1_:•'�. vim"^.-- - �•"Y" _ �. - -- -r�w.���ta iT"7^Iww•S.•'�� .Sq .�_ao-•�•--i_�� comnnn' nimc• address- rity nhonc i!• -- inur•tnce co toile+•to -- _ Attach additional sheet if neccs_sary i•r' 1 ��" a^ - - �� ��• '"'''-r' �•�••v '.: ��....�.:..r.�.=�-':Zip.,,-:.:�:'�., ,�.. •� ... �„�:�.`.,.._.�,�,• �:•=:a�ie•�+ ..w.:��.a. Failure to secure c'uvcraec:ts required under Section ZSA of NIGL 152 can lead to the imposition of criminal penalties ol'a line up to S1.500.00 andiur unc years' imprisonment a.well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a dayagainst me. I understand that a copy of this.statement may be furtrarded to the OMce of investigations of the DIA for coverage verification. I do hereby Certify tilt(! the paitts-n p !tics of perjurt•drat t/te information provided above is true at c meet. f � Signature /� Datc r Print name 5 ��� Gam-- Phone>r _0 Ti `'► official use unly du not write in this area to be completed by city or town official yin or town: permit/liccnse>i r•113uilding Department Licensing Board check if immediate respunse is required 0seleetmen's Offtcc �. 011caith Department contact person: phone#; r 10ther�_ - Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for their empIoyecs. ,As quoted from the "la++•". an einplitree is defincd as every person in the service of another under any contract ofiire, express or implied. oral or written. - An ennplorer is defincd as an individual, partnership, association. corporation or other legal entity. or any two or more . the foreuohm, enuaacd 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 hayin_ not more than three apartments and who resides therein. or the occupant of the _ � P P d++?cliin who house of another ho employs persons to do maintenance , construction or repair work on such dwelling� hou_ or on the __rounds or buiiding 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 reneival of a license or permit to operate a business or to construct buildings in the commonvealth 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 chanter ha 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 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 affidavit should be returned to the city or town that the application for the permit 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. I Citv 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 Investibations has to contact you regarding the applicant. Pleas be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to :he Department by mail or FAX unless other arrangements have been made. The Office of Inyestications would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. . The Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents rf Q Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 *� phone #: (6I7) 727-4900 ext. 406, 409 or 375 4-".' a 3 't ^k i xs ka aysa, -a -...s.a a rF*a X ' `�' -,q {fir-, ,y`�s�� � i � 'L .� ¢ a��4'F� �• u t�KPC, �'+��. • I .... - �- „ t't y.:I CL\�}#"<�+� }k �p Y,'`(�� r{Y� ��„_,rT i 5:.�aF s� F�4 5 �f` +F»- ti `� "-e�'���tx��.' ' • e'� a,! r §� 4a':.��} sX•: �'•"�`S{:�11`"�"t.��t�` � �� �xs•5,?'t't ��,,ir •,�"*+ �`= o-y i • xW.! ;a��#'t"t.a "?,y v:.; L �' '$,i a ,tE z"x`�, '�,r�_1� �t ., ..� � 4._::.. OME IMPRpVEME T .CppNTRAACTQR5 REG�STRAT�ON _ oard of -:Build nng Regulationsr;an Stan ardsY r, 4 One `Astibut ton Placek = aRoomt 1301 Boston ," assachusetts 02108£ HOME IMPROVEMENT -CONT ACTOR - s _ Registration 109751 %;'Expiration 09/24/98 j Type }PARTNERSHIP 11 re BOURGUE &`.C.OLE C STQM HOMES & REM kk `",-JOHN D . BOUROUE r 468 Cedar `St West Barnstable A 02668 s }3 tsesi,dr's office,. Ost floor): � THE � T Assessor's map'and lot number ..... .. ..... • ��� °�o Board of Health (3rd floor): / INSTALLED IN CO ..... e Sewage Permit number Q WITH TITLE 13AUSTADLE. Engineering Department (3rd floor): (� -ENVIRONMENTAL (,' House number .................................... .....�,.y.. ... WN Definitive Plan .Approved by Planning Board ________________________________19___:____ .. TO �VLA APPLICATIONS PROCESSED 8:30-.9:30 A.M. and 1:00-2:0.0 P.M. only TOWN g0F BARNSTABLE BUILDING ,. INSPECTOR APPLICATION FOR PERMIT TO .........4 ....................:...:..::.........:.:...............:.............:........:.... TYPE OF CONSTRUCTION ........... Q ............. --....,q-... ....... � TO THE INSPECTOR OF BUILDINGS: :G The undersigned hereby applies for a permit according to the •following information: Location ! fK..::�.4_4 .......t.Q.4 s ,�•o�s'.............. ........ ... /...... 7 ....................... Proposed Use ..........1.... !4�LG/tP/�+�r..... .. Zoning District .........A ,: f/ .....r..... .:..... Fire District ... .. . .... .. .... ............ ?`off? Name of Owner ..: y14.: :.:....� �/[/�4 �! ........Address 3a y. ... ��lNe ... �`4 .. ./........ ... Name of BuilderiV /D Vl� / Y OLJ OJ'EP . .. .� : � ............ .:..t.. ........Address .................. �. Name of Architect ..:.........:...:......................:.......,..........., :....Address ........-... F .. Number of Rooms .......�. ................................ ......:.. ...Foundation Ca C�C76....../,�' LoC Exierior r7!/ C.:. D!9 ......:................. :.:..............:...:Roofing_ ../gS j.AG�.':....N/�i o 4U. ..........:............... Floors ........F..oq....... ..y..LY�........ ......Interior �_.GUALL.... / /f!q:............ ............... Heating .......�cC�..............::.........Plumbing ----__: ..........:............................................. Fireplace .....................................................................................Approximate Cost .... as°.......::........................................: Area .. Diagram .of Lot and Building, with Dimensions Fee ' .. ...................... / 4M Tro N 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 .!f. U...,. ................................... . Construction Supervisor's License `�. ................ ....... .> WERRICK, HENRY 32228 Build A/diion ' Permit for Sin le FamilY. Dwelling........ ...... ... ................... ..................... ;y -Location ....14. Ela.ine....Road'....................... t ' Hyannis..:.................................... {'> Owner ...Hey. nr ..Werrick....................... Type of-Construction Frame - .- r `...,..�............ ....... . ........................ ........ -, Plot .. Lot .... :...... .... r Permit:Granted ...... 19 88 Date of Inspection ...... ..19 Ddt'e Completed Ir rn 00 -1 �� !• f' { ''" '� JO '.,:. ... .r:,.�i ": _`:.� -��,e .. :..::;;;,x.d•.s6,,a-:t_v tEa��4sfist::µ,;sE�+5%.n'+d�it�f �=.,Fr-�aor•xls�+X.ri:r3ia' �'i'3�+�:avwis•�::.;t.a:..�.a+�.:���.b�-,r•..-.+r.a>.r.-.-as+�..•• .. Assess 's office (1st floor): ��� }' �� FINE T Assessor's map and lot number .............:.... .... �...............tt QO ��♦ Board of Health (3rd floor): • Sewage Permit number v... / 1....... � �.i>........11 • Z B9Bd9?1►DLE, Engineering Department (3rd floor): Q 'oo IIAGL 039• House number .......................................la.......�..�...?...� �o�ara�e Definitive Plan Approved by Planning Board ________________________________19-------- , APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 7� ./ TYPE OF CONSTRUCTION ...........IU�� I L .... ............ ........................................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........... ... .��.. ' ' ....... .!9 .`,......&.,� .�.//.�`......................... .......................................... Proposed Use i....t'G h', '.•��? ..C..6` � Q ) Zoning District ..................... � Fire District ....................... ...........,....!.`....... TL�.o....�. .Name of Owner .... _ .........Address .... r �...�.i......S....- ............. Name of Builder N..��.......""....�! lL../�4........Address 5"� rAGO.......5! ......�o....... ��Y % ' : t Nameof Architect ...............................................:..................Address ..............•...................................................................... •Number of Rooms ......./........................................................ ..' Exterior �i�/7C . .......... C/!4 ................................................Roofing ......'.......... ..... .....:.................ad.....,...................... Floors '� l` rile........ :..:.........:.... Interior i��r� G�' fC_ ........................................................ ... ......... Heating / !! F aA/.E'!�........�.C,�C........................Plumbing r Firepp ..........Approximate Cost ........r.�a" lace ........................................................................ � ........................................................ A Area,,�... ................. ...... Diagram of Lot and Building with Dimensions Fee t 4 f I ' i 4P,9t 'jo Al , 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. 1 Name - , ..................�....................... Construction Supervisor's License `....^f!`..��' WERRICK, HENRY A=248-111 0 3222.8... Permit for ....Build-Addl-tion ......S-ing.l.e...FaMily..Dwell-ing......... Location Ela-irxe...Road......................... .......................Hyanni.s............................I......... Owner ..........Ileary...Wer-ri-ck...................... Type of Construction .......Frame....................... ........................................................................... Plot ............................ Lot ................................ Permit ........September ermit Granted .........�!:�p....................2.,.1'9 88 Date of Inspection ....................................19 . Date Completed ......................................19