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Town of Barnstable *Permit
Expires 6 months from issue date
Regulatory Services Fee Sk a 1 �
Thomas F.Geiler,Director
X-PRESS PERMIT Building Division
Tom Perry,CBO, Building Commissioner
MAY 1 I -Z O 1 O 200 Main Street,Hyannis,MA 02601
www.town,barnstable.ma.us
TOW&QF5M%6 ,TABLE Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - REA SIDENTIAL ONLY
5 Not Valid without Red X-Press Imprint
Map/parcel Number c2�5 rQ d5l ®•a
Property Address--// keq
N Residential Value of Work I YUY Minimum fee of$25.00 for work under$6000.00
T
Owner's Name&Address
Contractor's Name Telephone Number 50 ;2 9 ,
Home Improvement Contractor License#(if applicable) P 5 3(p
Construction Supervisor's License#(if applicable) C g
[�Workman's Compensation Insurance -PRESS PERMIT
Checl one:
❑ I am a sole proprietor MAY Y 1 2010
❑ I am the Homeowner
0,I have Worker's Compensation Insurance. ) TOWN OF BARNSTABLE
Insurance Company Name TCJI
U t_., 1
Workman's Comp.Policy# l f� - 0 3.q l .m $15 b ��
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
O-Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance.with other town department regulations,i.e Historic,Conservation,etc.
***Note:. •Property Owner must sign Property Owner Letter of Permission.
-"--A copy-of the Home Improvement Contractors License is required.
SIGNATURE: ,
Q:Forms:expmtrg ,
Revise061306
The Commonwealth of Massachusetts
a
Department of Industrial Accidents
Office of Investigations
{ 600 Washington Street
.` Boston, MA 02111
= www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): T7A L LC_
Address: �j? 0 (- � I
City/State/Zip: dj MA- bo�63s Phone#: 56 9—YO-9
Are you an employer?Check the appropriate box: Type of project(required):
1,[ I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
.m self o workers comp. right of exemption per MGL
y � ' p 12.❑ Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.0 Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:_
Policy#or Self-ins. Lic.04 ® Y 1 ins-5-6 6 ,. �
Job Site Address: �{'�4 ,O� City/State/Zip: 'Kil✓<i/P /1'l
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 certi he d pe Wes of perjury that the information provided above is true and correct.
Si mature: CC a Date:
Phone#: ijA
Official use only. Do not write in this area,to be completed by city or town ofciaL
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#:
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Board ofBulldingRegnlatlona and Standards
MOME IMPROVEMENT CONTRACTOR befornsee
t or registration valid for individul use only
ys� beforo the expiration date. If found return to:
Reglst ji• 112636 Board of Building Regulations and Standards
r 3""ffMW'V3/2011 Tr# 281021 One Ashburton Place Rm 1301
lypel n Boston,Ma.02103
FRASER CONSTRLjQTI N CA.
DEAN FRASER
104 TWINN VIEW I NE obi
E FAL.MOUTH,MA 02'838 AdmPnistrator Not
re
e ®cC.Y' 6 = a
4�a4nryye-0
One Ashbut®j.Flaw e Room 1301
Boston. b4asskphuse is 02108
Homo Iraprovement-C6ntrao'tor Registration
Registration: 112638
' Type: DBA
FRASER CONSTRUCTION CO. Expiration: 3/23/2011 Tr# 281021
DEAN FRASER
P•0. BOX 1845
COTUIT, MA 02835
Update Address and return card.Merit reason for change.
Ai �8 40M-08/08-D88UFOFIMCR108212008 ❑ Address ❑ Renewal ❑ r"nopioymont [] Lost Card
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Fraser Construction, LLC
CONSTRUCTION
OOFING '& SIDING P.O. Box 1845, Cotuit MA. 02635
• SPECIALISTS Email: fraser (,onstruction(cr�,verizon.net
www.fraserroofir _qaM FAX 1-508-428-0123
508-428-2292 HICL#112536 CS#97668
RE-ROOFING PROPOSAL
DATE: April 16, 2010 PHONE: (508)862-2552
NAME: Nicholas Arenella
MAIL ADDRESS: 11 Regatta Dr Centerville MA 02632
JOB ADDRESS: SAME
FRASER CONSTRUCTION hereby proposes to perform the following services in a
neat, professional like manner in accordance with the manufacturer's specifications
and local building code.
-Remove and Haul away all of the old roofing mp wrial
-Re-nail all plywood sheathing as needed.
Supply and Install - CERTAINTEED LANDMARK /WOODSCAPE AR 30: 30 -Year
Warranty, 5 year Sure Start Protection, CLASS A FIRE RATED, ALGAE Resistant,
Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass
Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with
a Full 10 Year Warranty against ALGAE Containments. 5 year 110 mph wind-
resistance warranty with six nails in common bond area, Fraser construction
includes six nails in common bond area at NO additional cost. See actual warranty
for specific details and limitations.
PRICE- $11,880.00 Initial
-LIZ l ! gc'14 8C)
Supply and Install - CERTAINTEED LANDMARK /WOODSCAPE PREMIUM:
Limited Lifetime Warranty, 10 year sure start protection, CLASS A FIRE RATED,
ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi-Layered, Laminated
Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive
COPPER/CERAMIC Stones with a Full 10-year WarraJ:ity against ALGAE
Containment. 10 year 110 mph wind-resistance Wai-.-anty Wind warranty upgrade
to 130 mph when CertainTeed starter & CertainTe.4 hip 8s ridge are used. See
actual warranty for specific details and limitationa--`7F.r.aser construction includes six
nails in common bond area at NO additional c69t.
3
Color: PRICE- $13,13,0.00 Initial
Supply & Install- CertainTeed Winter- Guard: (ice 8s water shield)
C r J
Waterproof Underlay-nent S�y'stem (3ft. on eves and
valleys, 18" on rakes, walls, and skylights)
Supply & Install - Roofer's Select Underlayment Paper (as recommended
by CertainTeed)
Supply & Install - (Soffit Venting) Hick's Velatilatgd Drip Edge or
8" Aluminum Drip Edge with e�isting soffit vents
Supply & Install - Aluminum & Neoprene Soil Pipe Flashing
Supply & Install- Ridge Vent - Shingle Vent III (as recommended by CertainTeed)
Clean & Remove - Debris from work area daily.
�i
*4 Star Warranty Upgrade will be appli.vd if proposal is signed and
returned within 10 days. (see enclosed brochure)
2% Discount if paid by check immediately upon completion
2% Senior Discount
Total Discount: 41i')
t
NO MONEY DOWN - NO Payment at the start or part way thru
Payments accepted are:
CASH - CHECK- MASTERCARD -VISA-f,AMERICAN EXPRESS
*Any payments not made within 30 days of completion will he cil rsed 1.5%for every 30 days the
payment is late.
Possible Extra-After the shingles are removed from;the roof, we will lift one sheet of
plywood to make sure that the insulation is not up against the plywood sheathing
preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be
installed by; removing the plywood sheathing, installing the panels, turning the
plywood over and then re-installing the plywood. If needed., this would be charged for
as an extra at the rate of$6.00 per panel including 1V.Mat'erials & Labor. There are 6
Panels per sheet of plywood..
Possible Extra -Any rotted or otherwise deteriorated trim boards, plywood sheathing,
lead flashing, or other carpentry needing replacement will be done and charged for as
an extra at the rate of$60.00 per hour, plus 15% rxn.a,;Yk=up materials
FRASER CONSTRUCTION Warranties the labor for 12 years
T,
FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years.
CERTAINTEED Warranties the shingles and labor 100%:t`hrough the Sure Start
Warranty duration.
k.`}
CIERTAINTEED Warranties the shingles to br ALGAE resistant for the duration of the
Sure Start Warranty depending on the shingle that:was purchased.
Any deviation or alteration from above specification will be executed upon written
orders and will become an extra charge over and above the estimate. All agreements
contingent upon strikes, accidents or delays are beyond pur control. Owner should
carry fire, tornado and other necessary insurance upon the above work. We, if not
accepted within thirty days may withdraw this proposal.
FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public
Liability Insurance on the above work, certificate,available upon request.
DATE OF ACCEPTANCE:
Homeowner FieRser Ceruction., C
d.
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L�"/'L.V V,C/•-J�.'JJ . LL 'Al'l tAV I.:. L/ VVL A'CXP. LC-L VGl.
DATE(MM\DD\YY)
,..ERTtFICATE OF INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF NF RMATION 09
/ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
�yTSE QUINN INS AGCY IN HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
-` 449 PLEASANT ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
BROCKTON,MA 02301
COMPANY
24WCB A HARTFORD GROUP
INSURED COMPANY'
B
FRASER CONSTRUCTION LLC
COMPANY'
P.O.BOX 1845 C
COTUIT,MA 02635 COMPANY
D
COVERAGE
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.
CO POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE POLICY NUMBER DATE(IVIIVI\DDWY) DATE LIMITS
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL PRODUCTS-COMP/OP AGO. $
CLAIMS MADE OCCUR. PERSONAL&&ADV.INJURY $
OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $
FIRE DAMAGE(Anyone fire) $
MED.EXPENSE(Any one person) $
AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS BODILY INJURY(Per Person) $
SCHEDULE AUTOS BODILY INJURY(Per Accident) $
HIRED AUTOS PROPERTY DAMAGE $
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTOS AUTO ONLY-EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGREGATE $
EXCESS LIABILITY
UMBRELLA FORM EACH OCCURRENCE $
OTHER THAN UMBRELLA FORM AGGREGATE $
WORKER'S COMPENSATION AND
A EMPOLYER'S LIABILITY UB-0341 M556-09 09-26-09 09-26-10 STATUTORY LIMITS X
THE PROPRIETOR/ EACH ACCIDENT $ 500,000
PARTNERS/EXECUTIVE INCL DISEASE-POLICY LIMIT. $ 500,000
OFFICERS ARE: X EXCL- DISEASE-EACH EMPLOYEE $ 500,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIRESTRICTIONSISPECIAL ITEMS
THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED.BEFORE THE '
FRASER CONSTRUCTION LLC - _ EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10
_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT
PO BOX )845 FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NOOBLIGATION OR LIABILITY OF
ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
COTUIT,-MA"02635 AUTHORIZED REPRESENTATIVE
ACORD 2'5 5(3193) Ramani Ayer
f ��0 m0 00Y
,a/Assessor's Office 1st floor Ma 0 Lot Permit#
Conservation Office 4th floor --:\ ` '"'� Date Issued
el
Board of Health 3rd floor
Engineering Dent. Ord floor) House# ) PJS SEPTI MUST BE
9NSTA PLI"E
Planning Dept. (1st floor/School Admin.Bldg.): s
Definitive Plan Approved by Planning Board -2—/D 19 y ENVIRO CODE AND
(Applications processed 8:30-9:30 a.m.& 1:00-2:00p.m.) L �S !?e%p« �j_ TO�AN A-AI71ONS
TOWN OF BARNSTABLE
Building Permit Application
Project Street Address �f C( j io
Villa Fire District a
Owner Address
Telephone 1 ` / Ltd
Permit Request 7 l .�
Zoning District A<-' � Flood Plain C Water Protection �{1�
Lot Size . J/, & 03 Grandfathered
Zoning Board of Ap=ls Authorization Recorded
Current Use L (- Proposed Use
Construction Tyne oiw� Tcam(./a we
Existing Information
Dwelling Type: Single Family
/ , Two family Multi-family
Age of structure Basement type jcruAt
Historic House Finished
Old King's Highway Unfinished
Number of Baths No. of Bedrooms -3
Total Room Count not including baths First`Floor rZ
Heat Type and Fuel f ` ,� Central Air
r; /(JQ Fireplaces /
Garage: Detached Other Detached Structures: Pool
Attached / C Barn
None Sheds ^
Other
Builder Information
Name Telephone number �
Address `7 License#
Home Improvement Contractor#
Worker's Compensation # 0C f �;3 12- Z 2 C1 /2 a 0
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
Project Cost W
l Il�2S )c Tq- Fee �5� ���
SIGNATURE DATE l{o
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
BPERM T
A*! � OK FOR OFFICE USE ONLY
.. 5/17/9 5 .37=768
ADDRESS 11 Regatta Drive VILLAGE Hyannis
Bayside Building Inc. '
OWNER .
DATE OF INSPECTION: r t
FOUNDATION
FRAME
INSULATION t ,
FIREPLACE
ELECTRICAL: ROUGH FINAL
S
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL' ,
FINAL BUIL
DATE CLOSED OUT: �:i t
P
ASSOCIATE. `L,AIJNO. '
■�6 jY�y4 Co i
RCW34 , d .
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COMMONWEALTH OF 'MASSACHUSETTS
--` ? DEFAI :vMN7 OF LNDUSTR1ALACCIDENI5
600 WASHINGTON STREET
BOSTON, MASSACHUSETTS 02111
James GamOoeC
f:ornr-t:ssrone• WORKERS' CONII'ENSATION INSURANCE AFFIDAVIT
I, Ayu- ✓1'!
7 � l/
(licensee/permittee) .
with z principal place of business/residence at:
(Gty/suttemp)
do hereby certify, under the pains and penalties of perjury,th2r.
[J I am an employer providing the following workers' compensation coverage for my employees working on this
job.
7 D
Insurance Company Policy Number
(J I am a sole proprietor and have no one working for me-.
( J I am a sole proprietor, neral contractor r homeowner (circle one) and have hired the contractors Iisted below
who have the following wor ere eompenution insurance policies:
Namc of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Companv/Policy Number
Name of Contractor Insurance Company/Policy Number
0 I am a homeowner performing all the work myself.
NOTE.Plcasc be aware tint wbilc borneownen woo emoiov persons to do maintenance. eonstruetioo or repair wont on a
dweiiinr of not more tbat; tared untu to wbtcb the i oraeo-ncr also resides or on Lbc Emunds appurtenant thertto arc not t:eaerID%
considered to be errpiovet-3 under tic Woricen' Cornvensauoo Act (GI. C 15-1.sue• 13)), application by a horneowcer i'or a lieetsse
or permit may evtacncc tar ico sunu of an.cmpiover under iced Worken' Compensation Act
1 unae;stand :hat : cop•-of tius stat=ncrit will be forwuced to the Deau-nent of Industrial Aeadents' Office of lnsurantz tot enter
y n-ica;lon Inc ;:7a: Allure to secure eo'yrmre u mcLurcc unaer Seeno:t :.e.i'of V1Gi 15= can Ieac to the im. amuon of cr==as ocr.2J �
ecnsison¢ of: fine of are to S1 500.OD and/or impruo=,tnt of up to one yn and aw penaiva in the form or i.Stop Woe' Orde' sno a
fine of 5100.C-u a aav a€I:nst me.
- - 77. 7, 377 6 6--
L� ,
SUBCONTRACTOR'S INSURANCE
ENGINEEER:
BAXTER & NYE ENG: LIBERTY MUTUAL - WC1312595563023
FIREMENS FUND - S30MXX80564866
EXCAVATION & SEPTIC:
DRISCOLL, JJ: U S F & G - 7708711916
ARBELLA - Q3N 088 130-01
FOUNDATION:
BAYSIDE FOUNDATIONS: LIBERTY MUTUAL - WC1312201785044
COMMERCIAL UNION - ABR406267
CELLAR/GARAGE FLOORS:
MICHAEL BROWN: AETNA - MP0023672849
FRAMERS:
ROBERT DORRER: AETNA - 006C0022382785
TRAVELERS - BINDER22267
MICHAEL DUFFLEY: COMMERCIAL UNION - NBSF529312
ROOFER & SIDEWALL:
JOHN MEE: TRAVELERS - 6NUB448K275894
AMERICAN STATES - 01CD1486783
MASON:
SHERMAN, WAYNE: WAUSAU INS - 151200082284
COMMERCE INS CO - 561446
ELECTRICIAN:
CHAVES ELECTRIC: HANOVER INS. - LHN2964649
MISCELL. INS CO - 0708878 91 1
PLUMB & HEAT:
WHITELY PLUMBING: FIDELITY CASUALTY- 28C884837393J
TRAVELERS - 660365K1782COF9
ALARM SYSTEM:
BALTIC SECURITY SYS: COMMERCIAL UNION - CB0743379
FIRST FINANCIAL - C400834
CENTRAL VAC•
VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045
INSULATION:
MAP INSULATION: U S F & G - 7711099924
AMERICAN STATES - 02CC326435-3
SHEETROCK:
MEL REED: COMMERCIAL UNION - CBH557387
WORCESTER INS - CB817530
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1:
INTERIOR TRIM:
DAVID'S REMODELING: COMMERCIAL UNION - NBSF529312
DAVID BIK: TRAVELERS - 176K337-8-92
OAK INSTALLER:
ROBERT BUDDEN: NORTHERN ASSUR. - NBF528652
PAINTING:
CAMPBELL PAINTING: TRAVELERS - 1680251K4083
AMERICAN POLICY - WWCC 186604
ROUSSEAU, AL MERCHANTS MUTUAL - 8CM0278570179
GARAGE DOORS:
ALL CAPE GARAGE DOOR: COMMERCIAL UNION - CB94H573757
U S F & G - BSC140373112
STORMS & GUTTERS:
ALUMINUM PRODUCTS: AETNA - JC89258880
- MP0021014146
OAK FINISHER:
AMERICAN FLOORS: TRAVELERS - 680666J6757
CARPET, VINYL & TILE:
CARPET BARN: PHOENIX INS. - 6NUB476J652794
VERMONT MUTUAL - SBP6507393
WIRE SHELVING:
CAPE COD CLOSETS: U S F & G - BSC146687024
APPLIANCES:
KITCHEN APPL MART: HARTFORD INS CO - 067133R
NEW LONDON - 1SR27039
MIRRORS & SHOWER DOORS:
L & M GLASS : U S F & G - 0714349925
FIREMENS FUND - MXX80562243
LANDSCAPE & SPRINKLER:
COY'S BROOK: CIGNA COMPANIES - C40216339
ARBELLA MUTUAL - ABR143850
DRIVEWAYS:
NORTHERN SEALCOAT: THE PHOENIX - 387K530A
MARYLAND CASUALTY- EPA18716945
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OF ONE ASHBORTON PLACE,
MASSACHUSETTS t. =Ba6T1f7,�GFAi ^- p/fQ6AQf�. !
LICENSE
CONSTR. SUPERVISOR CAUTION
EXPIRATION DATE '
04/19/19 96 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST
THEFT, PUT RIGHT THUMB E
RESTRICTIONS r- 06/30/1993 005645 PRINT IN APPROPRIATE
NONE 'Q r'?'! .•' o C, BOX ON LICENSE.
BRIAN T DACEY
z LANE z BLASTING OPERATORS
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6 2 F f
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MUSTINCLUDEPHOTO.IL MA �2632
SSf 027-46-5956
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e PHOTO(BLASTING OPR ONLY) If
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L 0.00 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY ' ,ID I
HEIGHT: STAMPED-OR-SIGNATURE OF OMMISSIONER
-
DOB: I E 2 2 1993
04/19/1956 'THIS DOCUMENT MUST RE ICE SIGN NAME IN FULL ABOVE SIGNATURE LINE
IGNATURE OF I 5EE _
CARRIED ON THE PERSON Of
C I }
DER WHEN EN- D-'•. .S.
THE HOl I
ER
OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. 9
-- --- -----
TOWN OF BARNSTABLE.
CERTIFICATE OF OCCUPANCY I
PARCEL ID 000 000 002 GEO$ASE ID
ADDRESS 11 REGATTA DRIVE PHONE (508)771-1040i
Centerville ZIP -
LOT 60 BLOCK LOT SIZE
DBA 'DEVELOPMENT DISTRICT
PERMIT 10512 DESCRIPTION SINGLE, FAMILY :DW'ELLING..:
PERMIT TYPE BCOO TITLE CERTIFICATE OF oG ent of Health, Safety
CONTRACTbRS: and Environmental Services
ARCHITECTS:
TOTAL FEES: R
BOND $.00 ' .
CONSTRUCTION COSTS $.00
* �IARNSTABLF.
s6gq. �
OWNER BAYSIDE BUILDERS, INC, Epp
ADDRESS 1
Centerville
BUILD G IVII Al
DATE ISSUED 09/22/1995 EXPIRATION DATE BY
DIVISION APPROVALS FOR
CERTIFICATE OF OCCUPANCY
TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION
t v
BUILDING: ! DATE:
r
COMMENTS:.'
PLUMBING: f -r DATE:
COMMENTS: �,ar •"o r
T -
ELECTRICAL: DATE:
COMMENTS:
GAS: DATE:
COMMENTS:
CONSERVATION: DATE:
COMMENTS:
OKH: DATE:
COMMENTS:
HISTORIC: DATE:
COMMENTS:
FIRE DEPT.: DATE:
COMMENTS:
OTHER: DATE:
COMMENTS:
TURN THIS IN TO THE BUILDING COMMISSIONER.AFTER ALL SIGN-OFFYARE A`
COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIME.
TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY'
PARCEL ID 000 000 002 GEOBASE ID
ADDRESS 11 REGATTA DRIVE PHONE (508.)771-1049
Centerville ZIP
LOT .60, BLOCK LOT SIZE
DBA DEVELOPMENT . DISTRICT -
PERMIT 10512 DESCRIPTION SINGLE FAMILY DWELLING
PERMIT TYPE BCOO TITLE CERTIFICATE OF O wewi ilhent of Health, Safety
CONTRACTORS: and:Environmental Services .
ARCHITECTS
ti
TOTAL FEES: THE
BOND $.00
CONSTRUCTION COSTS $.00 � Q�
F
.� fARN3TABLE, #
OWNER- BAYSIDE BUILDER,_ �
, INC,I ` p tl
ADDRESS.
Mid
I
Centerville 9
BUIL G IV I
DATE ISSUED (39/22/199a EXPIRATION DATE BY ��
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM.THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH-
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 'I
4.FINAL INSPECTION BEFORE OCCUPANCY.POST THIS CARD SO IT IS {
"I
VISIBLE
'I
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 1
d
2 2 2
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 BOARD OF HEALTH
OTHER: SITE PLAN REVIEW APPROVAL" 1
I
.I
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX . CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION. 508-790-6227
I
BUILDING
PERMIT
I ., - -✓ "�°"Y' t. r --'�w1+% `"Ir�wT,iy ; ",s•. -
r � ;+'.• a,r. ;�?,l.;�r c:'.r +n h_ °�f� V.'tr44_u `ns:''�ti .�..�, 7t'�i..-.+A°
A TOWN OF BARNSTABLE, MASSACHUSETTS .. UILD11 1' RIfT
oco-cco
N
54 4, p � T4 37 766 T)., DATE �� 1 i 19 Q5 P E R MI
APPLICANT 73ri.ari ayey ADDRESS 2 Fern reo .ane, Centery e 005645
(NO.) (STREET) (CONTR'S LICENSEI
PERMIT T01 B 'ld. dwelling ( 1 ) STORY Single family residence NUMBEDWELLR
OF
NG UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING Rc-1
AT (LOCATION) 11 TRH gk tta Drive, Hya,)Tiis (i.Ot 60) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Sewage #95-621
AREA OR 1�695 s Lt. 140,000.00 PERMIT 152.75
VOLUME q' ESTIMATED COST FEE
(CUBIC/SOUARE FEET)
OWNER Bayside Building Inc.
ADDRESS II Centerville BYILD
THIS PERMIT- CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
►
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: T L FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF. OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NO BE OCCUPIED UNTIL
MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MA
E.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS IBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
�/L� -
z 2 2
3 1 HEATING INSPECTION A
PPROIALS ENGINEERING DEPARTMENT
i NAG �i4 �
BOARD OF HEALTH
OTHER SITE PLAN E EW APPROVAL
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF 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.
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