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HomeMy WebLinkAbout0018 MYRICA LANE ��,j� /U l�� C2/!�- r ;� ____ _ Town of Barnstable Building •"` ME . , , So That,it visibleFrom the Street" �►pprovedPlans Mus#be Retained on Job nd:this Card Must,be::Kept" ,;'►�» � � � ' �' � ,, ;�,� ;� � ,,���;F � ,, � � � max. -�, • i6s>� �`: Posted Until IFiraal,"lnspeetion�Has:Been,•Made "� �a ��� �}'.�rt ,��� � � „� IF '` tare=ayCert�ficate.o#Occu anc ais�Re u�red sudi:Buldih ahalh`Natbe.Qccu ied until a Final Ins echo has b, n made: Permit P.ermit,'No. B-17-866 Applicant Name: CAPE COD INSULATION, INC Approvals Date Issued: 04/16/2017 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 10/10/2017 Foundation: Location:• 18'MYRICA LANE,HYANNIS Map/Lot 273-086 005 Zoning District: RC-1 Sheathing: Owner.on Record: SANCHEZ JEANNE L ContractoNarne: CAPE COD INSULATION,INC Framing: 1 RVIIAP . Address: .18 MYRICA LN Contractor license 153567 2 HYANNISKV ,MA 02601 Est Project Cost: $2,100.00 Chimney: AA 03 Description:' Weatherization s . rmit Fee $85.00 3 Insulation: -Project Review Req: -Weatherization Femme Pa ' $85.00 Final: y Date 4/10/2017 Plumbing/Gas Rough Plumbing: �...,'" ... Building Official Final Plumbing: . • This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within snc months after issuance. AA Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documentsy or which this permit has been granted. .. All construction,alterations and changes of use of any building and structuresjshall be in compliance with the local zomn&y laws and codes. ;_ Final Gas: This permit shall be displayed in a location clearly visible from access st66eefb road and shall be maintained open for public mspectwn for the entire duration of the work until the completion of the same. VVI Electrical "t The Certificate i cate of Occupancy will not be issued until II applicable signauehe Buildg and FireOf i ials are; edon•this ermit. Service: Minimum of Five Call inspections Required for All Construction Work:,, 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: „ All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Q~ � Map Parcel 0 5� - 0 bJ Application # Health Division Date Issued Conservation Division Application Fee c2^rR� Planning Dept. MAR 2 8 ��'! Permit Fee Date Definitive Plan Approved by Planning Boaqowwa sABLE Historic - OKH _ Preservation / Hyannis Project Street Address Village1110/1"Kwv,—N Owner ( � Address 11 Telephone Permit Request (� rr �� iw`�" �� `/0 n1 ayLta u- 1--7/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain rqundwater Overlay Project Valuation �` Construction Type l Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 11vu (,m( Telephone Number Address � License # l Qo Home Improvement Contractor# J Email �' e` �Gd�` � ��/D�A Worker's Compensation # ®o bZ, ALL CONSTRUCTION DEBRIS RESULTING F M THIS PROJECT ILL E TAKEN TO , i SIGNATURE DATE FOR OFFICIAL USE ONLY J ' APPLICATION # 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 c. DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, lllA 02114-2017 www mass.gou/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING,AUTHORITY. Applicant Information Please Print Le ibl Name (Business/Organizzapati-�on'�/Individual): a 6 CA/ Address: ��flfilV OVt. GW'(i�-�i City/State/Zip:150. AV yLt0l l,I&i (Yypc Phone#: �b[S-1 Are you an employer?Check the ppropriate box: Type of project(required) l l am a employer with ;F employees(full and/or part-time).* 7. ❑New construction 2.[_�1 am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.(No workers'comp,insurance required.) 3.0 I am a homeowner doing all work myself. No workers'comp.insurance required,)t 9. ❑ Demolition 4.M I wn a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole I I.❑ Electrical repairs or additions proprietors with no employees. � 5.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12. Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.t 1 3). Roof repairs 6.r7 we are a corporation and its,offcers have exercised their right of exemption per MGL c. 14.�0ther V V1... 152,§1(4).and we have no employees. [No workers'comp.insurance required.] *Any applicant that checks box#I 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. tContractors 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: 16 Policy#or Self-ins.Lic. ao 616 Expiration Date: Job Site Address: City/State/Zip: Attach a copy,of the workers' co pensation policy declaration page(showing the policy numb r and expiration date), Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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,A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify undenlye dains and pe alt•es of perjury that the information provided ab ve Is true and correct Si nature: / Date: Phone#: Official use only. Do not whte 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. Rlumbing Inspector 6. Other Contact Person: Phone#: ..._.._._.......................�:...................... ....... ,.._........ —�-�^^ ✓. Massachusetts Oepartment of Pvbllo Safety Board of Btiliding Regulailons and Standards license: CS.100900 Conatruotlon SuporvIgor + 4 HENRY E CAS-SIQY • 8 SHED ROW WEST YARMOV,Y 01 n It .>ritt �t ti Expiratlon: Comrhlssloner 111111201� i 6 Office of Consumer Affairs and Business Regulation 10 Park Plaza -' Suite 5170 Boston, Ma flft�uSefts 02116 Horne Improveme( 0.oh ractor Registration Type: Corporation Cape Cod Insulation, Inc -;,,. 71 M .a Regletratlon: 153587 18 Reardon Circle �+j'� w ,Expiration: 12/14/2018 So, Yarmouth, MA 02664 t -- Update Address and return card. Mark reason for change, 1 +� 20M•06111 ' k. ...___.._.._.._:.._._ �..,.._..._�...:, _...,...�._,....._ :_...,_,.�....:��.....�.ALf�rrld'S3R—.�11r�'r>.r7L'1A1.—�F,.�p10!�IXlgrit_�.�,OL4t^.�1r�1• �e�a�na�ca�aruea�C�oyOC-?/�aaaao%uaeCA• Offloe of.Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only Corporation before the expiration date, If found return to: r.uu. atlon Expiration Office of Consumer Affairs and Susine egulation 10 Park Plaza•Suite$170 Iant` k4:� 12/14/2018 Boston,MA 021 Cape Cod insu v� Henry Cassidy 18 Reardon Clrcl So.Yarmouth,M .�. Undersecretar y vqffd7h0kjd1gnetj �1 CAPECOD•27 DEATON AC R0' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOIYYYY) . 7/2912016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER /, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed, If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements , PRODUCER Rogers&Gray Insurance Agency,Inc,. El 434 Rte 134 0' 877 816.21 b6 South Dennis,MA 02880 mall ro ers ra ,com INSURERS AFFORDING COVERAGE NAIC p INSURERAtPoorleSs Insurance Company INSURED IN3URER8188f9tY Insurance Company 38464 Cape Cod Insulation,Inc, INSURER c t Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSVRERotAtlantic Charter Insurance Company 44326 South Yarmouth,MA 02664 INSURER E t INSURER F t 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, TR TYPE OF INSURANCE POLICY NUMBER M D A X COMMERCIAL GENERAL LIABILITY LIMITS EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE M OCCUR CBP8263063 0410112018: 0410112017 PR MISES(Ei-o.ccurronce) $ 100,000 3' MED EXP An one arson $ 8,000 PERSONAL&ARV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:POLICY GENERALAGOREOATE $ 2,000,000 X a JELPT �LOGS" OTHER: PRODUCTS•COMPIOPAGO $ 2,000,000 AUTOMOBILE LIABILITY $ B 0 OL $ 1,000,000 B ANY AUTO 8232707 COM 01 04/0112016 04101/2017 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS Au�Oros BODILY INJURY(Per ecoldent) $ 'X HIRED AUTOS X AUTO WNED P $ .X UMBRELLA LIAR X OCCUR $ �`^ EACH OCCURRENCE $ 2,000,000 Ci EXCESS LIAB CLAIMS-MAOi EXC10006636001 04101/2016 04/0112017 AGGREGATE $ OED I X I RE ENTION$ 10,000 WORKERS COMPENSATION Aggre ate $ 2,000,000 AND EMPLOYERS'LIABILITY IN D ANY OFFICERIMEMSER EXCLUDED?ECUTIVE YQ NIA WCE00431902 .08130/2018 06/3012017 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) II yyes describe under E.L.DISEASE•EA EMPLOYEE $ 1,020,000 oES RIPTI F E TIONS belo E.L.DISEASE.POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORO 1011 Additional Remarks Module,maybe attached It more spa as Is requlrod) Workers Compensation Includes Officers or Proprietors, Additional Insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, CLEAResult,Eversource and National Grid are listed as Additional Insureds on this policy on a primary,non•contrlbutory basis, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ®1088.2014 ACORD CORPORATION. all rinhfa raaarvarl Town .of Barnstable 0 Regulatory r Se1 ees Q O kititArd Scdli,Director Tom Yergg,Building Commissioner 200 Maio Str&et,lfyanais,MA 02601 www.town.barnstable-nia.us Office: 508-862-4038 Fav 5087-..790.-6230 Property ler Must Coniplete'axed Sign This Section Y, �--/ u n C�/1 L�•A ,:as Comer of die stlject pibperty hcz'eh�antIaorize__Cct-g.�--� u-��?����G�o� _ -ro acti on rnybehalf, in all matters relative to work authorized"by this bufiding permit application for marNck Cn ars JA* 62401 )[?oal feIIces and alums are die fesgons i ry of d e:�appl cant.�P..€odl are zzot:to`be.f llcd hr txti�izcd-la-efare fence is stall .and z1ii } nspectio'as are"peiformedand.accepted. *tom of Owner Signature of Appliczat Print Name Print Nam Dai Q:EOJ2Y�SS:ONJ.'.F.ItPE;tt`SJ55JONP(?OLS � I �j row Town of Bare ti nstable �'I'ctinit lE q" lsl cs C montlrsJrom isyrec dnic Regulatory Services 06' A 3.4;¢ ,o. PERMIT' Thomas I'.Ccilcr, Director TFn "� 2 2008 Building Division;! �--- 7pw Tom ferry,CBO, Building Commissiouer. OF B,gRN Main Street,1-lyannis,MA 02601 sTABLE 200 www.town.barnstablc.ma.us Office:•508;862-4038 I ax: 508-790-6230 EXPRESS PERMIT APPLICATION _ RESIDENTIAL, ONLY Nol Valid aiflroul Red X-Press lrnprinf. Map/parcel Number Ste- Propert Address csidential Value of Work -r/54 �•� Minix um fee'of$25,00 for work under$6000.00 Owner's Name&Address 1�,.o/,�� Contractor's Name Telephone Number Home Improvement Contractor License 4(if applicable)- / q,/ Construction Supervisor's License# (if applicable)_ E�Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑-lave Worker's Compensation Insurance Insurance Company.Name Workman's Comp.Policy Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) L✓I Re-roof(stripping old shingles) All construction debris will be taken to ❑ Rc-roof(not stripping. Going over existing layers of roof) ❑ Rc-side ❑ Replacement Windows. U-Values_(maximum.44) 'where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,cle. ***Note: Property Owncr must sign Property Owncr Letter of Permission. Home Improvement Contractors License is required. SIGNATURE: Q:Porms:expmug Rcvisc071405 67- & Boar o uz ing g e ulai ns an an ar s _ One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement:Contractor Registration Registration: 103714 Type: Private Corporation Expiration: 7/9/2010 Tr# 269847 PAUL J. CAZEAULT & SONS, ING. Paul Cazeault ----- =-- 1031 MAIN ST _ _ - ------ — ----- OSTERVILLE, MA 02658 -- Update Address and return card.Mark reason for change. S-CA7 Ca SOM-07/07-PC&a90 Address Renewal. U Employment Lost Card ' FX1 140�� aL 4,J2GC`LctdC b . 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: Registration: 103714 Board of Building Regulations and Standards Expirati99:.>..7/9/2010 Tr# 269847 One Ashburton Place Rm 1301 Typ rivate Corporation Boston,Ma.02108 PAUL J.CAZEAULT7&=SONS_;=1NC. Paul Cazeault gkB9T6W_'u&jTm�gegu1atX-ons_ an tan aids One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Construction Supervisor License - License CS: 26325 Restriction: 00 Birthdale_ 10/20/1959 =-a ;::::.:==gib- ' • ,'• - _=-e Expiration.- 10/26l2009 Tr# 6311 PAUL J CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02655 -- `•' Update Address and return card.Mark reason for change. (�DPS-CAI v SOM-07107-PC8490 Address Renewal .Lost Card -- _.—.__ .... . : .. ' I�;,:`�� t?�; ✓1LC IJOOl7//INYItI�QAL/L ✓�GQdOU.!,f7.I/.dC�tb . a _ Board of Building Regulation Regulation§and Standards ^r Construction Supervisor License Lice n'se: CS 26325 k - ' Facprr.`afion 1.' /20/2009 Tr# 6311 Restriction 00 PAUL.J CAZEAUl7 = 1='I `.%-f-r-M 1 IrILPA I_C Ur LIIAMILI I V BIV _UKANGU vAlt(MMIUUITYTY) 05//3108 t PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE BY THE POCIES LI BELOW. 973 lyanough Rd., PO Box 1990 AFFORDED Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Western World Paul J.Cazeault$Sons,Inc. 1031 Main.Street INS UFIER.B: Osterville,MA 02655 INSURER C: INSURER 0: 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 RESPECTTO 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.AGGREGATE:LIMITS-SHOWN MAY HAVE BEEN REDUCED BY PAIDGLAIMS. POLICY EFFECTIVE -POLJCY-EXPIRATION IIIR n� LIMR_S LT NS TYPE OF INSURANCE POL-IGY.NUMBER -DA D , A GENERAL LIABILITY' NPP1145484 04/30/08 04/30/09 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY OAMAGE TO tENTED $ O o. . oo CLAIMS MADE 7.OCCUR Mm EXP(Any one person). .$5. 00. X BI/PD Ded:1,000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2 OOO O00 GEN:L AGGREGATE LiMLL.APPLIES:PELL::... PRODUG.T.S-COMP/OP AG6 $1000•-000 POLICY j� LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $(Per accident) PROPERTY DAMAGE $ (Per accident)- GARAGE LJABILDY AUTO ONLY,-EA ACCIDENT $_ ANY AUTO _. - - EA ACC $ - - OTHER THAN AUTO ONLY: AGG $ EXCESSRIMBRELLA LIABILITY EACH OCCURRENCE _$ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WC STATU- DTH- EMPLOYERS'LIABILITY ER ANY PROPRIETORIPARTNER/EXECUTIVE E.LEACHACCIDENT $ OFFICER/MEMBER EXCLUDED? If yes,descriW under E.L DISEASE-EA EMPLOYE $ SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS l LOCATIONS/VEHICLES/EXCLUSIONS A:bDEb•BY ENbORSEMENT.I-SPECIALPRt VISIONS Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Paul J.Cazeault tot Sons DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL __,1.n DAYS WRITTEN Roofing,Inc. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 1031 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR OSteCVillC,-MA 02655 REPRESENTATIVES. AUTHORIZ RESENTATNE L L r B ACORD 25(2001/08)1 of 2 #52027 LS1 ©ACORD CORPORATION 1988 ' CSR.RF ACoRD CERTIFICATE OF LIABILITY INSURANCE cAZEA-5 DATE(MMlDIXYYYY)os 11/Gg PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIPICATE MacIntyre Fay & Thayer Ins Agy HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND_OR . 77 Accord Park Drive Unit B-I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW:Norwell MA 02061 Phone: 781-261-2000 Fax:781-261-2099 I INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Ameri.Cari International Co. l INSURER B: Paul J Caxeault & j tNStJRERC: Sons Roofin Inc. 1- 1011 Main Street INSURER D: _ Osterville MA 02655 1NSURER.E: I 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 CONTRACT OR OTHER DOCUMENT NTH 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I _..._,.....-_... EFTi� TION . -- S- LIMITS LTR INSR TYPE OF INSURANCE POLICY NUMBER i DATE MMIODIYY GATE MM1D I EIJERAL LIABILITY i EACH OCCURRENCE $_ G I �. r 1 E S .COMMERCIAL GENERAL LIABILITY i P..REM S. $.(Ee occur-re) CLAIMS MADE OCCUR. MEO EXP(Any one Parson) S I PERSONAL&ADV INJURYIS— GENERAL I _ ' AGGREGATE i S GEN'L AGGREGATE LIMIT APPLIES PER: I I PRODUCTS-COMPIOP AGG j$ _ { j POLICY JECOT I i LOC I ,.AU rdOetLE-LIABILITY-TY j ! 1 COMBINED.SINGLE LIMIT i$ -- I i I(Ea accident) j ---)�ANY AUTO � r I I OWNED AUTOS I I BODILY INJURY I$ ALL O �(Per person) i LSCHEDULED AUTOS ' f—� i i t BODILY INJURY HIRED AUTOS i r � I ((Per eaideni) � NON-OWNEDAUTOS ) PROFERYYDAMAOE $ (Per accident) i I ' t GARAGE LIABILITY I I AUTO ONLY-EA ACCIDENT I$ - I EA,ACG $.' ANY AUTO OTHER THAN I AUTO ONLY: AGG S j EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S - AGGREGATE S i OCCUR F', CLAIMS MADE I. 'I E i i IS DEDUCTIBLE j t J RETENTION S WC STAI WORKERS COMPENSATION AND I I R TORY LIMITS F ER i A ;EMPLOYERS'LiABILITY 6978565 08/10/08 08/10/09 'E.LEACHACCIOENT $100000 ANY PROPRIETORIPARTNER(EXECUTIVE £L.'DIS�EMPLOYEEI.s'1'000'00 OFF!CERIMEMDER EXCLUOED! 'If yes.describe under E E.L.DISEASE-POLICYLIMIT I S SOOOOO SPECIAL PROVISIONS.*Qw (OTHER I I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION FOR REC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDFAVOR.TO.MAIL.-0-3Q DAYS-WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL For -Information -PurpOses IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR 7- REPRESENTATIVES. AU ED R£ S TAT[ i ©ACORD CORPORATION 1988 ACORD 25(2001108) The Commonwealth of Massachusetts Page 10 of 10 Department of Industrial Accidents V Office of Investigations ti iir'�i.� , 600 Washington Street �•`{`rti \` n f ov/dia Boston,MA 02111 www.mass: rr g Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly . Name(Business/Organization/Individual): P19 u L_ -T. C2 a e a v l-- e S p(1 S R p'04;N &TT)L Address: 10 a 1 nS City/State/Zip: (�S�' ( V I I if MPT02(05S Phone#: So y 2-g - 11^1-7 Are you an employer?Check the appropriate box: Type of project(required): I am a employer with 12-- 14. ❑ I am a general contractor.and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet x ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance S. ❑ We are a corporation and its required.] officers have exercised their ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers.':comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.]t employees.'[No workers 13.0 Other comp. insurance required.] 'Any applicant that checks box#I 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_ZgW /�i1 Policy#-or Self-ins.Lic.#: Expiration Date: 1�1P" Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL 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 certify under the pains and penalties of perjury that the information provided above is true and correct Si attue'. Date: d� Phone#: 50� �}2 Official use only. Do not write in this area,to be completed by city or town offuiaL 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 Contact Person: Phone#: Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. (print) S C�n as Owner / Agent of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc to act on my behalf, in all matters relative to work authorized by this building permit application for. Address of Job cA- Ci S-J� A d. o t Signature of Owner Mailing Address of Owner 5 a M a-L o JA--- Telephone# Dates Cn o d (Please return this form to Cazeault roofing along with your signed contract; It is needed for us to obtain the building permit required by your town, to complete your roofing project,thank you)fax#508-420-4555 I WOW IMP min I TOWN OF BARNSTABLE .Pes'mit No.,34570ah1-6 y . �.,,,, BUILDING DEPARTMENT t t Cash" :'. 1: j-5 00) Y� TOWN OFFICE BUILDING .....,_ _ 9` •ago. � HYANNIS.MASS.02601 Bond �"� ' CERTIFICATE OF USE AND OCCUPANCY Issued to Jacques N. Morin Address Lot .#9 , 18. 11yrica Lan(= " Hyanni , .Mass . USE GROUP FIRE GRADING OCCUP,�NCX..LOAD .t 2 i` t, . J fir " ._ ' ♦"F + '00-11 OF N .,VILDlt!I SIGNED BYTHBUILDG)iNSPECTOR �JPO� �1lp REQUIREMEN� „ D'INCCQRDANCE WITHSECTIOP(`219A BUILDING COD ib, ` .,` M�r{`aTttCS,rv'�Trig r , ,r t. wr' rya o V(a day �,£ {g{RS'k'4Jy�.Jha{r 5kr}, �.i� � 3 11 � �'��i,,,jt✓.4C it�� � t� I � a t r t £•fit t ti}' ( f Dlacembe +O rt t r r QQ 91 t• •a .�r1 e° �T �a - . Bundmg Inspector°, Ir r 1Tt� F IX r� t:., +m J i r t ; e ,��rl t Y) ,� ays-+iL'k5�i.3�'` E�: r.•a •!.t•. ���rF�. .l ..a-:-� a�.yf_.r.;,�el,*J..:.F +`t�f��KJhr(-• pq pg W f� Y t i .,. ' "'l TOWN OF BARNSTABLE BUILDING WMA418S O ERS OFFICE ; DATE a F ACCT.# O! VENDOR# C/g y AMIT. 5a APPROVED BY r, p d 4 Ny f r x i;v Yi 4 ��~�r��������� � } � y �y iA} t►i;c{'�'�3°'"r .�'' v"�` � i' ` � �t� "� ��Tt�rllXu* n IMF_o� TOWN OF.BARNSTABLE Permit No. 3A5Z0 ...... BUILDING DEPARTMENT cash (,$152,•00)..iali�l9� TOWN OFFICE BUILDING HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Jacques N. Morin Address Lot #9, 18 Myrica. Lane Hyannis, Mass.,- USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILLNOT 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 119i0,OF THE MASSACHUSETTS STATE BUILDING CODE. December 6, 19 .91. . .. .C---~�- ;Building Inspector ` -••"AG"OP'P•TC'!y7"T��FgYi�-p,^RT.�o.,v.,....-..w,•e+vuv-auo�,yF-.tIA�._•,to..uT"vo,oT.y.a•t,.��i...._.. ...'tiCx..�..,.,....... .. TOWN OF BARNSTABLE,.MASSACHUSETTS A=2734686 BUILDING PE RM I Z DATE September le, 19 91 P ERMIT NO. APPLICANT Stephen .Wilcox ADDRESS Wagon Tern Lane, W. Barnstable #0001f (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Build Dwelling X-J—) STORY Single Family DwellingNUEBLRN OF G UNITS (TYPE OF IMPROVEMENT) NO. - (PROPOSED USE) AT (LOCATION) .Lot #9, 18 Myrica Lane, Hyannis ZONING RC- (NO.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SH L CONFORM IN CONSTRUCTIOr, A. TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION .'f - i Sewage Town Sewer #3514 T;YPEI REMARKS: � / Jacques N. Morin ($152.00 300 hearses Way, Hyannis AREA OR 1540 sq. ft. VOLUME 000�00 PERMIT 123 25 h� ESTIMATED COST FEE (CUBIC/SQUARE FEET) OWNER Jacques N: Morin �. \ ADDRESS 300 Bearsca way, Hyannis BUILDING DEPT. BY I �- i THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR , PERMANENTLY. ENCROACHMENTS-ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER HE BUILDING CODE, MUST REAP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF.PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. CONDITIONS MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. - POSY THIS. CARD SO IT IS VIS19LE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 2 2 .1' � �f'� 2 eK 3 HEATING INSPECTION APPROVALS I ENGINE ING DEPgflT NT BOARD OF HEALTH 35 fLl�"�v OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN BE CONSTRUCTION.. PERMIT I$ ISSUED A$ NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTEN' NOTIFICATION. r - r . Lori 94-' 0 3 7S3 `� .40 0 Q �� ERiSTI�/G Z� N i�aui✓DR�la� ry, � '- i3soo • - CERTIFIED PLOT PLAN LOCATION SCALE . .�.��= 30 .... DATE PLAN REFERENCE EDV Ri3 V M'LLEY v'e ��<'s 'YfCiSiE���;;~ at K/p ��;, � I CERTIFY THAT THE .. . .. .. . . . . . .. K SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN.HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF . ... . . . .WHEN CONSTRUCTED. DATE "ITT N. /`70 2iti/ PC'T1 TiaA/&7Z .. ` f` Z REGISTERED LAND SURV OR ZL - L _ 2/2.8 P.T.BAND iA NEAR FM .cANR1avER •.� 1 .a' I. P.T 8 1 r '1 I1 1 1 :ly 1.. I r I J. I" WE'M.6 VDQ c i.•o a W... M,F 0 Y U.J 1 t CONT-RIDGE CORE VENT(TTP) ., 1. 1 LINEOi)SPLAY I 1 1 -' 1 1 `�J .• 2x,I CONT.RIDGE BD. 1.0 12 - �r--1-1 - -Q�-- 2..a 16.O.C. I I .� -- 2.10•16•O.C. 0- I ASPHALT ROOF SMWGlES ,,♦ ♦ - _ i ♦ .. - - :, "`. _ -- e' O.H.w/KVY. a s(Tw.) 1/2'GYP,�D.. I/2'caR,eD - _ _ a'2a10 RIDGE BD. � � - NEiK HANGER � CONT.EKT.STUD WALLS Ip,�l HEADER w%/Ie•PO4 1-6 COLLAR TIE2. J 2/3.6 w/1/2'.PLY ' e 6.O.C.w/1/2• o ✓FPER NEED) - ♦♦ ♦`♦♦ - - i i n �• F OL RISUL k 1/2-COX - ' - ♦ 1 , Y SHEATHING w/R.4 •' , ,r `VAULTED CEIUNO♦ ♦ -r._y INGIES(R.C.CLAPBOARDS ^----______. WHERE 0101CATED ON - ELEVARONBx/r wOl R s/e'PLY s118-F1R. _ SECOND FLOOR FRAMING PLAN . SNEATNRN;61511E®RO"wl) / ' - 2a6el6 O.C. T __ -_ -BEYOND II '1 .' 2.6 HEADER w/1/2•PLY l ____ I -- II . SCALE ..�/4�=T'-a• ' ✓\�t D (PER NEED) .i I 1/2•GYPSUM 90. .. l I 2.6 HOLM.SILL w/Ih' Fe4L S,LL SEALER S/6 PLY SUB FiR. k 1/2• 12•CALV, ---BEYOrID- 1 I 1 - A. a 6.0•0.r_ �._•-_ IL - - 1 2.8 a 16 0.C,:" - .. - . >°� 5 � w<h2.eenkro.c.`. .I11 FBCL INSUL i i I 1TL 1 1 A' {31'�`.. 1 BEYOND - ___ -__--- - 1 L?? 3 I/2'D.A. - 'r NION.6 THK POURED LALLY COL. , 1` A ,•kl'.`K t I i CONC.MALL TO 16 -1 CONT.CONC.FTC t •k�S�` , ` 1 1 I 1 ,JI�j 2a.Kfi PRAY -0'WwN ' _ _ _ w/H RE-911R5•1•-0•.00 1 TO ACCEPT 555STEP V4 A'?HK.CONC.SLAB FLR. I l,f•.. ;�;4 .Ye•.2.6112•TH.- - CO+C.no. 1 z-D• _ 0• • ys �I ii TYPICAL SECTION 1 , ScAll - i MET DCIN T G O I. ME RA, 1-. 7.7 -Irw---_ PnOJECT: NEW ENGLAND DE IGN PO BOe Ill OAT' SCALE: P"0 181 CHURCH ST. S1I-9) /�'/'-1oTLD iv BARNSTABIE,MA 07698 A (808)362-9724 OpAWN eY: APPpOYl0: - 1.800-533-3317 J S• on No.: 91- 1-5 wwTv,n.,ro mm�nr.•+r-Ks n.un.n vTa .._.� ,-. ... __._:,,,•..., ..- Y r ,a.:.. :. .x....,�;..,. ,,: .. ,,. 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GQ • � � P/a-rt.� O� o l OK p(aNvy\,, �Gj,r pa&a� r ��- Assessoas office 4\A st Floor): Assessor's map and lot number o�'?3. n�� — �G� ' 01 TeE Toy . Board of Health(3rd floor): SEFn SYSTEmi MU s �S 16,J13TALL IN CO, Sewage Permit number / 11AHd9YSDLL 1 Engineering Department(3rd floor): W E 5 MA & 0. 1 House number ) `� EE1 VE ®N �; `, ' 1 \e� Definitive Plan Approved by Planning Board — (v 19 TOW REGULAT IGNS S Y a 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 D U I L D SINGLE- EMA A L Y U3 E LLI TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use S I�3 G,L I W -b W E LL I ) -,, ` \' ` ' r Zoning District C 1 Fire District 1� `1 AN N I S Name of Owner --�—kC QV ES N V D R I Q Address b �G Name of Builder 4 , ,, 11 Address Name of Architect N I Address N/6 Number of Rooms / Foundation 011 Q,Eh C P—PEE Exterior �� "� o Roofing A`5 P i+A L� Floors 1.c). CpET UNb� Uterior 5 C)CK Heating � Plumbing 73flr�S Fireplace I Approximate Cost �6� i Area Diagram of Lot and Building with Dimensions b� Fee 7 3 8 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rul s and Repdlations of the Town of BarnstaArega ' e abov onst ion. AAVIII r� Name Construction Supervisor's License MORI'N, JACQUES N. Ire 1 `t No o Permit For 112 Story a• Single Family Dwelling Location Lot #9, 18 Myrica Lane �3 . CC .Hyannis _ Owner Jacques N. Morin Type of Construction Frame Plot Lot t Permit Granted September 16 , 19 91 Date of Inspection 19 D m I �j 19 r t ' e y Assessor's office(1st Floor): e, Assessor's ma't pandlotnumbt,, Conservation 4th Floor• P'� Board of Health(3rd floor - • Sewage Permit number S -- s / / ® ;sassy Anr c ' 039. Engineering Department(3rd floor): k 0��0 YI►r 61 House number ' Definitive.Plan_Ap oved by Planning Board 19 AP P CA O P CESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN , Of " 'BARNSTABLE t BUILDING ' - INSPECTOR APPLI TION FOR PERMIT TO CO'VV-S_k'V_b CA7 ayi a-C�Gti TYPE OF,CONSTRUCTION W 0-0L, crmY-e— 1n�a AA 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit According to the following information: Location 1-o 4- 9 1,W nA u ri r a k�W a n A IS YV1{'-} 02,(o O ) Proposed Use �� \k- &UU L Zoning District Fire District h I'\15 Name of Owner r-. Jose. cua S a.nu �ary4iP.Z. Address �X 0 'Gk{ Yu �tll gbyL, a_LP L 6-1(Og6_ Name of Builder O AD vL Address,_3bb &a_ra s3 Qn_!4 Name of Architect vo PlnnICtnA a Psiay\ Address q.d- Number of Rooms oL Foundation -�>OUY COm-E �— Exterior c l mark Roofing � -- Floors V I ` Interior Heating _ e Plumbing Fireplace Approximate Cost 3 t DDO, o� Area 4o4o Diagram of Lot and Building with Dimensions Fee o s OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl regarding the above construction. Name Constr 7ctionStipervisor's License 06 77 7 d f a, A..• No 'Permit For Location Lot #9 18 Myrica Lane, Hyannis, MA 02601 .4 ' Owner'• Dr. & Mrs. Jose/Jeanne Sanchez , + Type of Construction Plot Lot Permit',Granted 19 Date of Inspection: ' Frame 19 Insulation __ 19- Fireplace 19 4 -Date Completed 19 , ' :fir, •� _� � ti ._ From BAYBERRY BUILDING CO. PHONE No. : 508 775 8822 Jun.02 1995 8:40AM P01 rN87f81'= � 'The 'rown of Barnstable rbl p Department of Health Safety slid Environmental Services q.`�6" Building Division 367 Main Street.11yarasts MA 02601 O80ec: 509-79MI27 Ralph Crossea Pax: 508-775.3344 8ullding COnttnist:toaci For office use only Permit 110. Date _ AFFIDAVIT ROME 1MPXOVXKENT CONTRACTOR LAW SUPPLEMENT TO PERh1ITAI`K1CATION MOL c.142A requires that the"¢eiC0ltstlLctiort altem0olta,renoemtiott,repair,modemIudon,oonverrion, improvement, nerttolai, deurtolhiva, or oonstructlan of an additloa to Try pre-exi dng owner occupled building containing at least one but not more than fora dwelling wets or to structures which tus adjacent to such residence or building be done by tegistered contractors,with certain excepdons,along with other regwremonls, s Type of Work:..- .�l oc�r ,ti.+� _ _ Fst,Cost Address of work: T�� Owtrer Name: �l0 r e Date of Permit Applieadow- 27,39---^- I hereby certify that: Registration Is not required for the fbllo"ing teason(s): _Worlt excluded by law job under f 1,000 Building not owner-occrpled y__ Ogt+er pulling own pormit No:loo is hereby given Oat; OWNERS PULLTNO THEIR O\YIV PEPI-OT OR UFALMO WITH UNREGISTERM CONY'iZACTORS tOR. APPLIGA$LE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR QUARANTY FUND UMER MGL c,142A SIGNED UNDER PENALTIES OF PERJURY i hereby apply for a permit as tho agent or the*%mer: Date Contractor nem Registration No. OR Date Owner's wpe HOME,.1hPROVEMERI CO,MIRWOR !. Lteanse or regletnrtiott valid for individual . 'RegistT1tlot, vrp use only before expiration date. if fotsnd rype CBP return to:One Ashburton PIRce Rnr lJol Erpiratisn OAS/% Boston Ma,02108 'M•eesrtAy 8610eri 9rise NcCBrthl, u;•Ytiaout M SEWM CN EM ON Ptl T Acre�A�gp Na� ` A PsvI Na Aal:)17 iVa stir: L� MAP !i PROIJECTCCWTAM PAOPERTI' ONNER (dip Aftm) ( INSTALLER 77 .3�0 �f� Pry: OMNBrS AMWVENdFNBcR Awt+ W . Pam: y PROJ TDfMAI0TM REW ARM AEOt MENIS IACHIfYAND LAND USE DATA �ofaorot�t HuM98LAf Gh&s Afglffjln figm, *m In aaaordmat w&h the prffitlorrt of Afloat k XW4 Town of Barmfisw God"BriMws. Avi/datiwl ia DI 615&Wlvdft Mt a Town ft tht aswar mutt a&*a road apMNt pwx*asd M, as Pft'wdh tbt ao Obudim aisndtr aad OMIUNN okt td dwoh At Mat 48 hous ' �tiurrnt M, prkr ts�tht appauit t fib' '. the DAWMW ofP M wort fw the pvpott tlaw of sd"ft m kopodkn of the kntafalm Number of&"W thow"Mcnotpo sketad Jocaft tbo MttalMd�a soa►aorutotlatt. By data sbw orl�rrot!____--faro° � n sa�o�t�and+ oww is and u botandr rWhw ted Dagy OmWjam that Wwo to an"►whh&AW sht&bt~jar r+tv�tfatt oftht 8rr�rGorrttetlan Pitrt�t endtht dmW of mW A"*pw�t Wgmdom asd�etalwrtlar�-1-/_ Mom !• stu ( tauiAtJ p 7--A suture(D.P.W.AWovaoDare r�� say(riisra�j PA Of OF.2 a; a 077 t PA DEPARTMENT OF PUBLIC SAFETY ONE ASHBURT N PLACE, RM 1301 AAi0 3' 5 } BOS`TOAIr, 2108-1618 CONSTRUCTION SUPERVISOR LICENSE �. Number: Expires: _-- ! CS 057770 02/16%1995 Restricted To: 1G 1t JACQL'LS N MORIN � 0e.r ch b o t tom, hold sign on i - 1 1 i D T ` '''"'r-c..Y" `� U EtrC i\ and � t . /!�� _ `ll: - .,.,_��-+yM•�...r�x.4 _ �J , !� y^lam�,la�e licTerscar (' ('1 'AIkh.I J, 1��' L')t/�.loll lam-- � _BLS._.•- !`de P1 top for, receipt QIId change i. ��a •r- =x' `.cl� address no i i,ati011. r i �ie i�oma��zinulea`li� o�../Gi.,caeCla ..`�.�y z Restricted To: 1G �+ ! OFaRPTMENT OF PUBLIC SAFETY CONSTRUCiIiN SUPERVISOR LICENSE 00 - None NumEe ;.Expires: iG - 1 '1 2 Family H t z Resl oe .. Y' 3DO'BEARSE'S VAY 4 HYANNIS, MA 02601 M1 _ now "_•�'iSvw�,"_� '�'^ .,'rua^�e�yj: 9.".`^d' ? -+"-:w"e'i"'�..`"�ww','.i�'*r�f "'�S+`"7.vyt'e_�;�5'��Pr^,-�`-"" - . ..m-_. ..'�''Y.s4k''""yq"'-"—f�-'y^�' a�h5•!5��y �`M"r�(a.'YP-m'�egtNl��?'�,p.. �"t.!„°j�i�^l��-'t�2$a-:v'�ww;";�.xe.�c�e tW, eA.". .. .. -.. - .. .. «w i _ a-'.�.. .th.:v..w K':�. '.+,• .. ,x.. ' ..,.a r , k. U 10 co Ll _ IHO a x I I I - _ I �• NEW ENGLAND DE IGN J PO BOX 711 uAi: 181 C/AJf1CN ST. W BARNSTABLE�YA 070lB —1­.t: ATApvFo: 1-800.0.7J-3317. - f RFYIeFD: A�p: . 9h t3 a 1 lit e qu tl EX S7-/IVG FI r r.-. - .r'• s �h 4 .� -tom `�, �e .. � ..s.:: l j _ �tT" t�;"S�dY' ,_'.$' . .. '��.fi.--.-w -'7F_..:. ��s�..x :'r±5'-w�, �. �, -. "`� 's�-rt` r.�;`p,�;.•,,,,, :w_ ate.;.''«�` -,�..'F:.a�• <^a.:y�:��.�''-'v- :.t:'S"'_ � �' v"��'r.;; -n, - . .:�;s-�" __:.:.. ._ ,; Wa.'�n'�a'.'�i.'`a7�,�'-^ia�i`�, _..... . _., sr. .. _>.... � - ... _ti..-:s:.�::.;wt '-ems aw��ain:Aa� �,..•o�w.:.s. «..1.:..,a..:.sc..�:;,... ..,...,.. .. ,. -�_. .. -.- .. _' -. �- -..'nr,.....,.. •�-. � _ -ca+e � c'Sr_ �-s•• •; ... �.. - m.x:_''T_-�--'+'-"=-�.�er��+,r' ,.�. „v*e-v�+'tiit.i'e.°k+l�. LYL AMCM-PoA BEAM'" 1N FgMILY ROcM BRTt} +C"NCrE' I Roorh_ ' Ai. WHIR "PST. Su•PPaRT 1` - .. j; 22-Q, C}ZOSS SE�T� d ADDITIG�1`i_- LOT 9 MYRgGA. 1-,4t4c, NYR �1fS �.. _.... Y _... ..•a+..ra a-..tn ..;.;rae A-tGe6N.M:n Ne'� .+...r.:._ � .. .- .. ,.:a:... ..... ..._ _ l',�f.1'�P$�' "�('F9' ._ .. ^T _ ..:t1(n� ..4.:..... sN � ----�'�ctr11LX �•t'l. - -V 4•>' M • 1GA� ' O _ 00 4 / W' 00 Be hr T �IuC VY• o�'�iti�?NF'r y � f2g2¢,1 ►_i 79 IQL>'� j, QLAt�I SANCHEZ...LOT9...BAYBERRY PLACE — — �Box,,, t,nx,c:,st W. W.�.w�sTAOU M,oz� 2 l508l352-Y=1 an.rn\�r: .■.wovro: �f k �I N 3 .a i. I I I k I 3F- - • O . E - Q� i a - sZz ,�• �8 r�rl �— ,' L 1 y�y•��"- m I - z s - a' O z a o - I w H FI Ziv . 0 f N r a k �I r yr..t LoT;t 3 , - o o o , Zor d10 I � FauriD�9-Tlok CERTI FI ED PLOT PLAN LOCATION SCALE . .�.��= jo' ... DATE .s�` ?T 3 ��9/• PLAN REFERENCE .��N " LoP -_F • �f EDWA , No. 2+31CC i ens k G! T E� w``•`./.�' •.� . ... . . - . . s�f: L €.' � I CERTIFY THAT THE FIST/�./G ��N®A•T7oN SHOWN ON THIS PLAN IS LOCATED ON.THE GROUND M AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE SST 3 /f5/G� �tif /yo-eiti/= �C--77TioNc�`1� REGISTERED LAND SURV OR TOWN OF BARNSTABL MASSACHUSETTS B U I L D I N GL`P,� . RM' A=273-.U86 -OOP Y / DATE u't?jJl:ei-o1Jt:r 16€e 19 91 PERMIT NO. ' I APPLICANT Jt,..E:�')�c'n .Wilcox ADDRESS "ClOn Torn Lane, W. Barnstable 0060_ JJ 7 (NO.) (STREET) (-CONTR'S LICENSE' l� l STORY Allgle .,�. alftll'1i'' Dwellxn NUMBER OF s;'1 PERMIT TO su:i.1L't Dwcl.l:i.r1L� gNUMBEDWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) i AT (LOCATION) Lot #9 / 18 .Myrlca Lail+:)/ g3yrJT1Il'is ZONING RC^1 " (N0.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE w r ' BUILDING IS TO BE FT, WID FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCT,! I TO TYPE GROUP BASEMEN LLS OR FOUNDATION (TYPE) �� REMARKS: .s6wage / Town Sower #3514 Jk Jacques N. Morin ($152,0 300 Bearses Way/ Hyannis AREA OR VOLUME 1540 sq. ft. 000. 00 PERMIT $ 123. 25 ESTIMATED COST FEE " (CUBIC/SQUARE FEET) OWNER JJacclues N. ldorin Kp 300 Bea3'J3i. s Wa �! j.i11171 �; BUILDING DEPT. ADDRESS , BY /•,.�� w a, THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY (,_ ® PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE iii PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAIN. FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIO OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. - - MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE y INSPECTIONS REQUIRED FOR CARD KEPT UN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: UNTIL FINAL INSPECTION HAS BEEN 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 MINAL INSPECOY TION LATHE FINAL INSPECTION HAS BEEN MADE, 3. FINAL INSPECTION BEFORE OCCUPANCY. - - POST THIS CAR® SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 h' 3 HEATING INSPECTION APPROVALS ENGINE ING DEP4113TIVIANT / 2 � OARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL 'k WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CANS TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRIT' CONSTRUCTION, PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. !'. T ^1 _7' 0 f aJJ1zc4tt6e1 cc� // 2apart`menl o1Jndu.6Erm1—,4 ccic l� 600 WuhMylon.Slowl James J.Campbell 02111 Commissioner Workers' Compensation Insurance Affidavit with a principal place of business at: �- DO-D (Gty,Stapi4p) do hereby certify under.the pains.and penalties of perjury, .that: () I am an employer providimg workers' compensation coverage for my employees Working on this job. Insurance, Company Policy Humber O I am a sole proprietor and have no one working forme in any capacity. ( l am a sole proprietor, general contractor or homeowner (circle one) and have Lured the contractors listed below who have the following workers' compensation policies: loaogg I W 31`,0 co F Contractor - Insurance mpany/Policy Humber Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number. O I am. a homeowner performing ail the work myself. c s.cony of t`.is s_;e Went will Ce le—rced tc e O`5ce cf lm'esordons of d;e OIA for eo%Trzge verifieauon and that failure to secerr cc:rage rec;;i:cd vrxer Steen 25A of MGL 152 caa le.c to c-,e Imp-osition cf ciimiml perulzies consisdne of a fine of up to S 1,500.00 anevcr ec- )'f2:S I rrfL`C'GEn;;s WEII as crvil pen2lties in the forr..cf a STOP WORK ORDER and a fine of S 100.00 a day against me. Signe this day of 19,�'� Lic ee/P ittee Building Department Licensing Board SeIectmens Office Health Department TO VERIFY COVEPAGE INFORMATION CALL: 6 t 7-727-4900 X403, 404, 405, 409, 375 TOI--7� OF BARNSTAB?.E BCILDING PERMIT ` THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA , �•• "_•ts -- :n-. s..tea M::.»-._ .,— .__.. __ - :..-._ _.._.:_. ---- ,.•. ,: ' MASSACHUSETTS:UNIFORWI APPLICATION FOR PERMIT TO DO PLUMING; (Print or -TYPe) „Date 7' 18 19 9S �: OF � Permit # Owner's Building Name _ Bayberry $uilangSn_4 - AT• Location Ise 18 Myrica Lane.ma Hyannis, NA.Jacques I`ran Parcel 08_ .5 Type of occupancy: Ties dent,ai n New ❑ R ovatio addition Replacement ❑ Plans No ❑ LN FIXTURES Submitted: r Yes ,fit.. O N W M ■ i s ~ < W O 2 ■ � d t � d 0 � .- 6 ■ M W O < ■ - �� ■ W M Y W 3S 7 O Y � Y � O ~ Z 2 � Fr O U 2 .. 3 Y J ■ 10 A MINT j 1sT FLOOR - w 2H0 FLOOR R` ' aR0VLOOR = a - - 4THFLOOR . FLOOR r {THFLOOR TTH FLOOR _ . sTH FLOOR - • Check OnQ te (:CrtlfiCa ��-f Ja mina's Plumbing & Heating irtC fftorp F Irlstalilnq Company Name g v :. - P. O:-Box 1613.. ❑partnership A�iaress 110 State Road x ❑Firm/Ca ' Buzzards Ba��, . mA 025�2 N Sa�amore, MA 02561 Y t _._. F E S p 508-888 Buslness Telephone Eugene R:Jagminas Natrie'ot Llc hru Ptumber - r ..ec.. one .INSURANCE COVERAGE utvalent Yes No ❑y z _ A - p or Its substantial:eq We a current:ilabilrty Insurance po cy a coverage by checking the appropnate box If you hays clucked ems, Please indicate the typ Other'tYPQ ot_lndemnrty ❑ Bond ❑ t A Ilabilfty Insurance policy ; e required by w - lication waives this requirement. OWNER S INSURANCE WAIVER_ l am awareahat thslllnatu a onothts permd apse rnsurance coverag Chaptet 142 0!the Massa General Laws, and that my 9 - - f ` Owner 0 ec ;oAgent S,gnatuta of Owner or owner's Agent rate to the best of mY IigUon vrrll,be in compliance with . reb' certify that all of the details and mlormation I have submitted tund(er;the perm)it issufi'aboed Application app ate true an - t1e Y knawiedge_and.that all plumbing work-and installations Ped a n r laws. rtinent provisions at the Massachgsetu State Plumbing Code and Chapter 142 pe -- igfl u e o sod umber By - r _ Title se Num Ucen � � " .: . _ Type of plumbrng Ucense:.Master an ,❑w � y/Town - lou eym - - m (OFFICE USE ONLY) - 4 _ _ <.Y! �.syr }.�.:i�r^�.* ;j..'•..+v'.:1.-r"'gR'fC 71."^^ q-e p� ... ;�� r /+ r - .. r -- • - _ _ -} ; _ ..._. =�� \,LV�M`y '{JtJC'�NC�.: -U </ _. Q^�.J_S/r?SJ/Xi - �i�-,cr Assessor's office(1St-Floor): ���^•� 3✓ Assessor's map and lot number c7x�.3. o aO,� Q�oF Y� ?o`♦. Board of Health(3rd floor): 13MU3, -E Sewage Permit number L "tj/'% y • �' Engineering Department(3rd floor): House number Definitive Plan Approved by Planning Board /y o`1- (c 19 e 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 D V I L L S I N G L.E k A-V_I L Y -b U)E LU.K)G� TYPE OF CONSTRUCTION �— moVePu IE►Q ( ; 19 Iq TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use 1 I�(�)- i" I L� E LL I�)G,A Zoning District C- Fire District \4 � 0 I'S Name of Owner N k D�Q Address J 00 �C-&QS P� W kY M kW o � Name of Builder T Address .5 aC7" 1,JAU. AjcW SF,i1141kU Name of Architect {V 1 Address ty& / �- Foundation eo> KL� CNu C P, ET �- Number of Rooms ' Exterior P Roofing A-5 P 14 A Cr Floors � .�W !Cl AFT/ L NO I�EU•l'nterior 5 u E£T oc K � 0 nA Heating { Plumbing a�� 7�gLq�7� Fireplace Approximate Cost "i e5042 Area Diagram of Lot and Building with Dimensions Fee - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all,the,RIu;les,and Regulations of the Town of Barnstable regardi g the above/,constru`¢tion. Name Construction Supervisor's License 00 1 MORIN, JACQUES N. A=273-086 � 7,71a8C- 0o-g k No 34570 Permit For 11 Story Single Family Dwelling Location Lot #9, 18 Myrica Lane Hyannis- Owner Jacques N. Morin Type of Construction Frame ' f Plot Lot Permit Granted September 16, 19 91 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED i TOP OF FOUNDATION L� CONCRETE COVER D F LG ' CONCRETE COVERS � �rtpp 3.Zz •;° 4"CAST IRON 12"MAX. 'rzrr�T 12"MAX. fi� �`! OR SCHEDULE 40 4"SCHEDULE 40 PVC.(ONLY) 5 ► �� P.V.C. PIPE _T LEACH ° PITCH 1/4"PER.FT. PITCH 1/4 PER.FT PIT .I�l PRECAST ! INVERT ° ;;�;: LEACHING EL.�J.•7 .. �INVER INVERT ? . e• PIT OR \ ' °•, SEPTIC TANK Gs DIST. `g g w EQUIV. o INVERT /da.o.... GAL. INVERT BOX v a �. �►F�•OU T `\ o; EL.�`1 c'-r7.. EL�9oL INVERT '� w w ` 3/4"TO I V2 f ELLBGo �o WASHED / 1 . w STONE i It Q � i DIA. fT/CovNT�pEa / 1111 PROR LE OF GROUND WATER TABLE 10 ��► SEWAGE DISPOSAL SYSTEM NO SCALE L��y� I i i N Disr. TH / r, .01 i SOIL LOG WITNESSED BY : �/ �x / , p DATE ocT3� BOARD OF HEALTH O #' £ O / SfG TEST HOLE I TEST HOLE 2 ENGINEER o � 3 ELEV. . .70..80. . . ELEV. .70:Lo. WoaW�F►H µ/ocDLo.gr� 2•" she-so.L DESIGN DATA ' wp a� Z. 49,90 &Z o.CB.L C Sao C� E NUMBER OF BEDROOMS ADDb TOTAL ESTIMATED FLOW . .330 . . . GALLONS/DAY "���•••,,���• ?3•®a .a 96' BOTTOM LEACHING AREA S3 T. . SQ.FT. /PIT/C./,D. EZ"GZ.So EZ.4 Z,G o _ 4 SIDE LEACHING AREA . , . �� 3-.9 . . SO.FT. PIT .38¢.B LOT / SgNa CSC GARBAGE DISPOSAL % AREA INCREASE) TOTAL LEACHING AREA SQ.FT /3l &Z_59$o /3Z" LZ sq�(a PERCOLATION RATE G 55 T//g?v TINo MIN/INCH N4. .WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE .s38,7 SQ.FT.IrR,Z> \ �� , NUMBER OF LEACHING PITS . . hN�.�?- W!� /3Soa APPROVED . .. . . . . . . . . . BOARD OF HEALTH F v� Fes- o,� .S7n..�� c+!•! /�t� -SRO -� \ DATE . . . . . . . . . . AGENT OR INSPECTOR PLC BAN or •� L'P7_ L� R0 /•74 !!! No. 2&110 d 4 0 o A. ��8TF¢�• PETITIONER ER .rs��FCIST � a� sasnar. ��Cljlv�3 /tir /7o2.�N ��L LAB