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HomeMy WebLinkAbout0058 STATICE LANE j able Building Town of Barnstable Post This Card,So That�t is,.Visible From the Street A JV p07 pro ied,Plans Must be;Retai on Job and this Card Muit"" a MASS, `�$ Posted Until Final Inspection Has Been Made1639. i d' Where a'Certificate of Occupancy:is Required,such Building,shall Not be Occupied until a-Final.Inspection has been made el r'Il' i Pt Permit NO. B-20-1703 Applicant Name: JEFFREY STEELE" Approvals Date Issued: 07/10/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/10/2021 Foundation: Location: .S8 STATICE LANE,HYANNIS Map/Lot: 273-086-011 Zoning District: RC-1 Sheathing: Owner on Record: WILLEY,CANDACE BAUER-& FALON Contractor Nam�.L&P Boston Operating Inc Framing: 1 Address: 58 STATICE LANE Contractor License-, 97574 2 HYANNIS, MA 02601 Est. Project Cost: $9,210.00 Chimney: Description:, INSTALL( 12) REPLACEMENT WINDOWS NO STRUCTURAL Permit Fee: $46.97 Insulation: Project Review,Req: GLAZING REPLACED IN HAZARDOUS LOCATIONS AS DEFINED . Fee Paid $46.97 IN 780 CMR MUST BE TEMPERED OR ECZUAL. . Date" 7/10/2020 Final: Plumbing/Gas Rough Plumbing: �4 Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after�issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zo l ing by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspectio for the entire duration of the Final Gas: work until the completion of the same. j The Certificate of Occupancy will not be issued until all applicable signatures by the,BuMing end Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed" � 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable ,___ t.'an"..�a = t.� y :..-�.s.� us "S•w.F3 .�.x�, p.r-»u' �'.ar;r�.> ... ,,�„ >.,r �. `'a g� ,. :: '_ � Yr«�:,_�'rt^�',yya;F,,�'°�,ea" Post This Card So Thatit is Uisibl`e From the Street Approved Plans Must beRetamed on Jo,b and;this Card Must be Kept Building �nxxsewe r TM Posted Until Final Inspection Has Been Made y "` - ' 6 Where a Certificate f Occupancy Required such Bu ding shall Not,be Occupied until a f Inspection has been made Permit NO. B-19-3832 Applicant Name: Ashley Walters Approvals Date issued: 11/14/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 05/14/2020 Foundation: Location: 58 STATICE LANE, HYANNIS Map/Lot: 273-086-011 Zoning District: RC-1 Sheathing: ti Owner on Record: WILLEY,CANDACE BAUER-&FALON Contractor'Name: Kenneth D Kendall Framing: 1 Address: 58 STATICE LANE Contractor License; CS-075153 2 HYANNIS, MA 02601 Est Project Cost: $2,771.00 Chimney: Description: Remove and replace front door. No structural' �_ Permit Fee: .$35.00 Insulation: Fee Paid:' 35.00 Project Review Req: l' & $ ' Datej. 11/14/2019 Final: Plumbing/Gas r r ri , � � Rough Plumbing: .. Building Official_.. Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterjssuance. ; All work authorized by this permit shall conform to the approved application andthe£approved construction documents for which" this permit has been granted. Rough Gas: 3.; All construction alterations and changes of use of an building and structures hall be in compliance with the local zonm b laws and codes. g Y g p g Y This permit shall be displayed in a location clearly visible from access street or�road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. F �rF Electrical The Certificate of Occupancy will not be issued until all applicable signatures by,the Building andFire Officials are,provided�on this,permit. Minimum of Five Call inspections Required for All Construction Work: , \ W Service: 1.Foundation or Footing sz Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: i * v Application numbe . Date tssued.....�r.... `.-1 ............................... wMNSTABEZ Muss. x639. �� Building Inspectors Initials.......... .b................. �fDtV1A'�a Map/Parcel.......a? -7 -. .08;6... .................. TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY Y"ORIIIATION Address of Project: 5$ S--L4;c e- 4-1n. �G1 yQ n S NUMBER STREET VILLAGE Owner's Name: C y4te 3- ave/ k1i lle Phone Number 9 9$-879- (o f2 Email Address: -Ow_t 3 8 Cell Phone Number Project cost$ 7 t 1 — Check one Residential ✓ ' ComAciag ' r = OWNER'S AUTHORIZATION (A; As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: 5�--e 4ace 4/ cgA'tr r4 Date: TYPE OF WORK Siding Windows (no header change)# 9 Q Insulation/Weatherization Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to r,JcL5�e CONTRACTOR'S INFORMATION Contractor's name,-�' �-h¢e L or (� , �oSton Home Improvement Contractors Registration(if applicable)# 4LL 0� 5 (attach copy) Construction Supervisor's License# 07 7 7 7 L. (attach copy) Email of Contractor wee e , (.car-► Phone number 7 9'1 - 9 3 Z- q?o 5 ALL PROPERTIES THAT HAVE STRUCTURES OOER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN AL BEFORE A PERMIT CAN BE ISSUED. A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROV f 1 APPLICATIONNUMBER............................................................ *For Tents ®nlv* Date Tent(s) will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent .. If food is being served at your event please obtain a health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require fire Department approval XW®®D/C®AL/PELLET STOVES X I Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles:front back left side right side HOMEOWNER'S LICENSE EXEMTTION 1 Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedure s,specific inspections and documentation required by 780 CMR and the Town of Barnstable. 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HaGeR ot.anc6 le(ton"m!u[ brYrrti,qY t'N�t4atiie do ie.'�,tHen7rtM 1phl.'ol Itie tgllowlpp IhTr6 Ausine�f.A9Y., ` r t tN>YNOdaliY9nd'tmaNstik ioA 0 L'6PBOsEon bIt :rsdUrdetlleMie1101dYladnwYfmtb.kit /) . . � -Seprlm�n:Dn .HutwaNtinYetxJc�pua.� a� /` C4orie#;tQdk:N►nu. eUnY. s>ar. .. `• .8am,p.10- - Oaopy.oif In6l, 1ti6w.Copy.#ao ii�: Commonwealth of Massachusetts , Division of Professional Licensure board of Building Regulations and Standards -D".structior Superwsor CS-072772 Expires: 04/07/2020 JEFF C STEEI 24 SHERWOOD AVE DANVERS MA 01923 Commissioner . ' 'f/[fN �([.-Nr lflf•tf(I!F[[Il�f f�'F[+(Ir,ifl{`>F(F.1P'�fi' Office of Consume'Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:LLC Regis-ation Expiration. 168025 04111/2020 WINDOW WORLD OPBOS ON.LLC. JEFF C,STEELE CGPx — 15A CUMMINGS PARK W OBURN,MA 01801 Ui1dBtS®Cf@tBfy y ' .S - � Boston, .i L4 0211-1-0.17 ' www,mass.s ov/d,ica �'o&ars' Compen3ation Insurance A-Mdavit: Builders/Contractors/ lee iciaisi lur�abers. TO BE FILED WTrH THE PER:MIITThNG-.LTHOt2ITY•. Applicant Information / PIease Print"TLezibly i\Ta171e (Business(Or�anizationiludiv;dual); <j� S�o/� (J r l.4 _Qr �f3i4 c,/iic/aw ✓�W o-4'�3'-t J�1 Address: City/State/Zip: I�J r-t M Phone 4': 7,I AWy an employer?Check the appropriate bog: Type of project(required): P Y � ' P Y ( P )• 7. ❑New constructionm a em to er with, � ..m to ees full and/or art-time � ' 2.F�I am a sole proprietor or partnership and have no employees working for mein $, Remodeling any capacity.Lilo workers'comp.insurance required.] 9. ❑Demolition 3Q I am a homeowner doing all work myself lido workers'comp.insurance required.] 10 Q Building addition 4,17 I am a homeowner and will be hiring contractors to conduct Al work on my property. Twill ensure drat all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. . 12.❑Plumbing repairs or additions 5.r7 I am a general contractor and I have hired the sub-contractors listed on he attached sheet. These sub-contractors have employees and have workers'pomp.insurance. Li.�Roof repai rs o.❑we are a corporation and its officers have exercised heir right of exemption per'IGL c. 14.�ther W)n t52,§1(4),and we bave no employees.I'No-xrorkers'comp.insurance required.] r &<,-i'P^ Any applicant that checks box,41 must also 511 out he section below showing their workers'compensation policy.information. Homeowners who submit this affidavit indicating.hey are doing all work and then hire outside contractors must submit a new affidavit ndicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not hose entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that it providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A Sgac I a,4 e o�u e t' S Policy#or Self-ins.Lic.4: tnr'G C- - Ott- Sp I g C)1 - Z D 19 A. Expiration Date: Z Job Site Address: C a. L ,n: City/State/Zip: /�yGn n Attach a copy of the workers' compensation policy declaration page(showing the policy aum�d expiration date). Failure to secure coverage as required under NIGL c. 152, §25A is a'ciiminal 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 Aolator.A co o this statement may,be forwarded to the Office of Investigations of the DU for insurance coverage verific 'on. I do hereby certi and �he pa a enalties of perjury that the information provided above is true and correct. Signature: Date:ail Phone#: Of lcial use onk. L4 not write 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.Plumbing Inspector S. Other t . Contact Person: Phone#: I , fYb'Y'!1 GERTIMC T OF LIABILITY' INS U R ��E 0 DATE i'hMMIDDgM/DD9 THIS CERTIFICATE 1S 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 have ADDITIONAL INSURED provisions or 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 endorsement(s). PRODUCER WNIAGI NAME: amy roberts M.P.Roberts Insurance y A enc Inc. PHONE 978 883�073 A II, AIC No Exit: No): 978 683�947 g 1060 Osgood Street E-MAIL North Andover, MA 01845 ADDRESS: amy@mprobertsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC N INSURERA: WESTERN WORLD INS COMPANY - INSURED INSURERS: MERCHANTS INS COMPANY L&P BOSTON OPERATING,INC INSURER c: ASSOCIATED EMPLOYERS DBA WINDOW WORLD OF BOSTON INSURERD: 15A CUMMINGS PARK WOBURN,MA01801 INSURERE: INSURER 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 MAYBE 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDNYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY, EACH OCCURRENCE $ 1,000,000 DAMAGENTED CLAIMSa1MADE ®OCCUR PREMISESaEoccurrence $ 100,000 MED EXP(Any one person) $ 5,000 A NPP8525379 04/05/19 04/05120 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000" POLICY❑JEC7 �.LOC - - PRODUCTS-COMP/OPAGG $ 1,000;000. , OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED MCA1002569 04/05/19 04/05120 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS x HIRED x NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident x UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AN065362 '04/05/19 04/05/20 AGGREGATE $ 1,000,000 DED RETENTION$ �/ $ WORKERS COMPENSATION X STATUTE ER _ AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN N E.L.EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? N❑ N/A WCC-500-5018609-2019A 04105/19 04105/20 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)' , CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE s THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN EVIDENCE OF INSURANCE M ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REP E*TATIVE k ' O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1 ,,TNT TOWN OF BARNSTABLE Permit No 36688 . ................ BUILDING DEPARTMENT $1,000 t ""'r I Cash TOWN OFFICE BUILDING 679• Leo+� HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to RMN91 Richard Phaneuf Address 58 Statice Lane, Hyannis, MA USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. I September 9 94 Q ... ... .. .. .. .... ..... . .... 19................. .......... .... ,P ............ +� BuildSng Inspector a PM Assessor's office(1st Floor): Assessors map and lot number �3 —a6" Conservation — ' �—�� a� r. &`. Board of Health(3rd floor): t Sewage Permit number -� ,�J,S' 3 �`�:, ssUerantru• Engineering Department(3rd floor): 'ago• \�d° House number �p 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 Z�� ° yid �. APPLICATION FOR PERMIT TO 0XJ- YrV 5(ka/e 4ukd dUA�� TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location D f �� �— 04 Proposed Use �� /C �/ J W-e-M '/ t Zoning District Al Fire District &Ia,4A//t//—S Name of Owner /&/I/EU� /C' G� Address /1�7 cr 5- S�, Name of Builder G9UP_S A) Address 200 6-e-ar-zvS vy�Ly Gf1/I/5 /�Gj ,� I G' "�� Name of Architect V di-' �J 151Gt e_ Z)est Address ,6arn-5&C Number of Rooms / Foundation o ured. C'tm cl-e,� Exterior CogP �drz� A Roofing Floors IV H d 4W/q 4�/ hind—' Interior HeatingJ(��I'4�R�1' �1'� g Plumbing 2C Fireplace G,4-S— col Approximate Cost 0 00©. D� Area Diagram of Lot and Building with Dimensions Fee ob l - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl garding the above construction. Name Construction Supervisor's License i .y :•`�' PHANEUF, RICHARD No 36688 Permit For BUILT) DWEL JING Single family dwelling - - Location 58 Statice Lane Hyannis Owner Richard Phaneu f Type of Construction r r Plot Lot #2 6 ,F .4 Permit Granted .,.,,May 9 19 94 ' Date of Inspection 19 �d -' Date Completed 19 '± 'i Lo T o Z_5" 4 Zo IN 4 \ Z2. 'M Sig c�, Bo.►xo vl j22IST IHc � C� /rtlaivAAT7o.V I i 4z I 1 1 Al /oo, ov -STD Tic_ CERTIFIED PLOT PLAN LOCATION SCALE . .�./ 30�.... DATE PLAN REFERENCE OF EDWA D G� v LLEY o No. 26100 �o �fCISiER� I CERTIFY THAT THE ®d�'SL Ln SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF d� ?1i!3fjG WHEN CONSTRUCTED. ,aLA�'E" ,Q�itL�Y T.Z'LtST- Pam?: DATE "', REGISTERED LAND SURVE R .Si7Z- I.00ATION SCALE . .! ,. 30 . . DATT PLAN sZt-rrnnvrr . '` !^!G. .�oT. ` ZG . . . . . . . . . . . . . . . . . . . . . . . . . . . r i / `V o� O:Se Q j Z 7 1 i P�'\tk OF SSq o EDWARD G� E. I o KE N E a GIST oCS - +�AL L#� B/�/B�2•�ji �'AcE �C�9z� T.Q-t�-ST- ��T i BF' -.Cr.31`-., -i 344 94-04-0 c of THE ro - ►�- DEEDS ';T1=IE,l_E i;iil_I f a" 'r;,E E !-,I-T ,� '- ti Town of Barnstable BHI�,I a `='`" - Planning Department 9A EWINgrBLE• ' 230 South Street, Hyannis, Massachusetts 02601 1 mass. a t� i639, ,�o (508) 790-6290 Fax (508) 790-6454 `94 �i� —b A11 lED MAC A April 6, 1994 Linda Leppanon, Town Clerk Town Hall 367 Main Street Hyannis, MA 02601 DECISION RE: Subdivision #701, Bayberry Place, Hyannis, open V Space Subdivision; request to reduce front yard setback requirement. At the April 41 1994 meeting of the Planning Board, the Board considered the request of Jacque Morin to reduce the front yard setback on lot 26, to 21 feet from Camrose Court. Lot 26 is located at the corner of Camrose Court and Statice Lane. The proposed house will conform to the setback requirements on Statice Road. Paragraph 11 (B) of Section 3-1.7 of the Zoning Ordinance e allows the Planning Board to modify the development before, during, and after development. After reviewing the plans, the Board found that 'the proposed reduction in setback would allow the house to be better placed on the lot and therefore was in the spirit of the original subdivision proposal. The Board voted unanimously to approve the request granting a reduction of the required 30 foot setback requirement from Camrose Court to 20 feet. The extra foot was granted to allow for a margin of error. Present and voting in the affirmative were: Lynne Turner, Chairman, Otto Schaefer, Douglas Bill, John Tzimorangas and George Zoto. � JL Lynne Turner, Chairman ► Al, f i TOP of FwjN,-:.7ION CONCRETE COVERS CONCRETE COVER _ — �I1 J o •.° P.V.4"CAST C.`P1PE IRON 12"MAX. 12'MAX. 1 , �v z ; O CHEDULE 40 I.I 4"SCHEDULE 40 PVC.(ONLY) - .V. PIPE-MIN. LEACH Sdno PITCH^I/4"Pc-it PITCH 1/4 PER.FT. PIT PRECAST / n-4 e• _ j \ LEACHING �•? EL V 4 f4.. ` INVERT INVERT a ): PIT OR /LoT o z4c I �'.„L ,• _ SEPTIC TANK DI DIST. �LyLi•�; j= EOUIV. /3/ S - r e INVERT BOX ;: 92 q?FT �. 7e/ ...�� ...GAL. INVERT INVERT M W W 0: :�• 3/4"T01 V2 / r e; EL....:. .. EL�9�9 [ 30 �c V. WASHED 3Z EL ..•.....: ,� W '�'� ur, 6.tS.do -. STONE • , -•, 6OIA. � �Na+�[o✓.vrEYEa f �'1 VE O iS 14s— --*1 pReF°b� V PROFILE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM No SCALE I: \so P- 7¢37 ,e 1 c SOIL LOG WITNESSED BY: h1 crsI,10 i a9 io•ooA/� P.9oc GA?vDE�S o is h DATE VP,.y.9 TIME...r....... .. . . BOARD OF HEALTH �7, \� =� TEST HOLE 1 TEST HOLE 2 EPW4f2-P• •E-.(%E4,--/. ENGINEER ELEV...TCe�.�... ELEK....'...... A� • v ... . . . . . . . . . . . .. . . ... Wo. Leery \ DESIGN DATA: — — — eL.TG9.3o NUMBER OF BEDROOMS „ :G•�vcy TOTAL ESTIMATED FLOW ••3;30 .. .GALLONS/DAY re pLL�3o BOTTOM LEACHING AREA /ss.l..SQ.FT/PIT/C.PD_ /oo.oo �- .. 92 ts.so SIDE LEACHING AREA ..�sj•.J�. . .. SOFT/PIT '?�8 G:P.I% �� sewer Cog2sC GARBAGE DISPOSAL (50%AREA INCREASE) SL a TOTAL LEACHING AREA ... SOFT PERCOLATION RATE L�sS•?7�fM!,Tk/o, MIN/INCH Ez-v. 7Dp of �yT No„WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE.538 7 SQ.FT./C.P.D. NUMBER OF LEACHING PITS �E.".?7Wi77'1. p/ APPROVED ...... .. . . . .. BOARD OF HEALTH •��•e•����•T��•` �€d'v A •s//'cs. /-L qAl ... . ... . . .. .. . .. .... .... .. . ..... . ... . DATE... .. . . .. . ... . . . . . . .. . AGENT OR INSPECTOR - STHT/CE�•••"��/T� .��HHQOSTt �lX.K.T ^:o._s^va c:�:" Fri T TONER : ' i,i� r� • -�-�cam[os �' i�!`iir�E i- �i�+i-ii � . a,mr/aaw K.o t�;^T. -4�, S' t- rvwu,ros awna n� 7+i-� WINDOW/DOOR CAP DETAIL Ulu x.E '--''-a• warwrz ..e���:+1.{... �5a!�....�i.+ y.... a}��i:�.,+3i.:'ii :. — -_ fir. y __ •W..G[ — aP�Mrz � -»ft-�uealu�— ,wsr naw g ge��a" FRONT ELEVATION ,. W 1' -- �.a a.. ••eM =_-- �• anvil ac K1�-/1 � i z o '� i j Z Q I; - - _ - co IL ARM: _- ........ 4 d•�.amy LEFT SIDE ELEVATION _ RIGHT SIDE ELEVATION K ,w la I+ I/i . •li: Z Xi ..s aa. = r Nr Ir2 cn a= un n.:wo O=— . Z � d�9oa - Q M w LIN -ii '�i , _ v— -— �I. n Ln _ - o ' —_ -- �k�RAR ELEVATION k SCALE ,'-W z s ,I d; ----- -------I ----- 8 s r - . r- Q:b § � ]ono AA u ,•v .o• ® r r ® ,o,e wmrs.an]]n'a C.C. © k ■a FAMILY RM=====C= N ]vo _ _ =rrucrrc 1 DECK & RAIL DETAIL 4: j? °°' • • rt]r.^?"` r°°] KITCHEN DINING RM. 1 i GARAGE � .- .-- - J cr) IL 21 AL a . LC � \ i b b ► L J i c BEDROOM/ _ DEN o b e b s 'LIVING ROOM b Q u r.T ok coon - J Z z - d d'� o - - m at i F Q= X r Ofo.<e LJ EQs61t 1n'rb' �Jm3>K OHO O J b b la. 0_ I— Z J Y-o' Y- , .•-? t n'-Y ]- Q p M O O A O O ErN • F FIRST FLOOR PLAN Ln e a E WINDOW SCHEDULE M OR SIZE OTY. Rd REKCRKS b R a lo opf ' �.=-,esow-a , -io vr..-o,/� ��•�.�a.°s S: �' �e�a�D� Ir OPTIONAL ROCKWELL WINDOW SCHEDULE w � ® ° o � Np OR SIZE - OTY. RA. REK.RKS Oa i Y-e•.Y-s rR' �� 2 O t� �. BEDROOM 442�lrll` Rb BEDROOM �r-°>...b-xo -o>/.•.Y-,.,/°' i/ro�wu[s 3�r b rx•x•.uunK f -r r/r.:_..A' i�r mi.[ b �1qf- ., b .. RVK .ro auR. EL W J pp / b - DOOR SCHEDULE lil J= N0.OR SIZE QTY. RA. REmRKS = a. b / O:_ .Y-e�x/s�Hwa,ry �rtA�m Mrw uun N IaL ro 1 ___________ __' b ©s.e+bpr Yr,e>/.•n-.>n.- i Z Of QS Fif . m«c @ O_ W - �_ Z c - b 3 J a: 0 SECOND FLOOR PLAN o o N La 6� Ln • w o • J Z Q � r � W s _ • i I r,+a.cr.•a�.o°i r.a r..•rnv..a � � JT-P - W,w6 � .n��a•rea..nw. �./r •- - - � �F NOTE: AD rwaoE GN DETHO&NTSRMMD on fl.gv, •OGTIOMTO BE OEICRWMED♦CCOROui -qq -a■TO E%ISriNG GNMESN ATION DETAIL b � FOU D 9 �Oar.Sa¢ i @ WALL INTERSECTION n J EE b b/ W •Ma.Clru..M. i �� _� cau.aj cw r-P,a•,� =cZ7 p�� 6 I L�-� ' awcrs �\ !••..r•a,mu,,°.car, � Z O ' i� o.,ur ,n'.,r c.ar..a.•r o. a-ews•.•!•,M- R YCSM Y-P 6C r-P d ¢_ ' awra r d m raw �,.'°rawl.uer •ac Wrt.SUB M� L - 7 � i JnlYw"r oa:mruE! a. Z Q i ib'.Ya•.,Y T•. mK rm rr.) Q e'-O' .•-P a•-P T-•• T-r J Jn tl a a aw a.•as,r ro,• - Z 3 p w� 0 - rr r•o, 2 a.r rr rcr•m ma� - O. { •.r m.m,,. � Q sS •J-> rJ' ----------------- �� ___-------- ----�".� �Z Oil °.l$cc�ii T.�^r._P Dom___ __ ___-,;• ___________ mm b 0LA. Qw m/Ka1T SiV nG C7 Q A FOUNDATION PLAN F SULE 'p-.,'-a- '^m u/ O, W H I. z • Z o is 1 - t ' u� aus..r nc. �• x.,s•,a•ac .son..r Haar a..an � U La � an.,0•Y-a)n-a O.0 an0 aa¢so. ,/a-f' A9,u.l POf!awata ® aw•a'OG` rN,.a0rrn Hnl(lw) rea.rau,.,w. f tea'r na,i n�w. S .. ) a•PaOr O.n../uw. •.al[n C[a Ma � K.sM.,wnGaa ' 0 ar aaao swa a•n•as :. � ` aware rP.C, c. :.lo s.rrtsa a' «a a ,n•cvsw so.I,n.) ox,.Sams.[x, --' -"-- an•;•.w- v.,nrrs7(1%i•xw,P c e " _-_-- _ in+.nn•n.el.n. ;, .wo r--- r J ae w<.ar..nnLKs•Ciai .°'a,rc",Lxac /•c i..na.,. .nn- I �•� s`'gg ..,"""ip an•K wN en.,wm«w oo,mn+u - av o.c 112,1 ea�Qa{{ � - , d I ac',sxs A 1/ _ f ie �r�i�«w w.m v - , ...ir.hr ac- ___J f7 v2L�>• Y-1` Wit • an•n w r $ TM"i1.%uCONci. a „a owc oi,crorm a's,i a '4 `S f rorw-wn'e:,°•°-oa"a JI Koo SECTION THRU FAMILY ROOM SCALE ,/.'-,•-Lr t� 1:'ar ,r-o• y �.6 a ,n ePaaxa Z o I QQe F „'- t ' TYPICAL SECTION w ma Q Q n J � ----- u nr�rPa i j: _ • - _ _ _ Vl .c � , - _ o , , P , ir,' , ll _T ______ Q Q= Llj < < WIN --------------- T4 nPxote Q inA•nn•R. P m a In Z SECOND FLOOR FRAMING PLAN FIRST FLOOR FRAMING PLAN a < Ln SCALE 1/4•.1•-0- - ..- —_ SCALE 1/a'.t'-0• o ul, 1 ' COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF 1010 COMMONWEALTH AVE. l MASSACHUSETTS BOSTON,MASS.02215 ENCLOSE CHECK OR MONEY ORDER L I I_EN=EE �i-I/: (r,>1:=j'f i_I_II�I_TR o '_I_I`'EI^:�'I :1 FOR REQUIRED FEE, EXPIRATION DATE MADE PAYABLE TO RESTRICTIONS 6 EFFECTIVE DATE LIC-NO. 10 c / %":i 057770 "COMMISSIONER OF PUBLIC SAFETY" II; 1 FAMILY HOME 3 0 t_r._I;�i1, . � z. n n a. (DO NOT SEND CASH). JACQUES N t`OR I N SS 4t 01.4-48-97.6_-_3 300 BEARSE S WAS' t IYANtd I L: MA i_y_t_.i r 1 PHOTO(BLASTING CPR ONLY) FEE: j HEIGHT: NOT VAL UNTIL SIGNED BY LICENSEE AND OFFICIALLY ST MPE -OR SIGNATURE OF THE COMMISSIONER i 116 195 ED. � i THIS DOCUMENT,MUST BE GNATURo-F{yLC LICENSEE SIGN NAME IN FULL-ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF !.. THE HOLDER WHEN ENGAG- 11 I OTHERS-RIGHT THUMB PRINT ED IN THIS OCCUPATION. , ",x h 1 2O0M-2 e7�iazs AFPRIJ6�`AI_I-H o �0 U it t' TOWN OF BARNSTABLE Permit No. ................ �1 el BUILDING DEPARTMENT .�C�`� 9 ••�o TOWN 0FRCE EUILDING Cash HYANNIS.MASS.02601 Bond ................ i CERTIFICATE OF USE AND OCCUPANCY h ,'Issued to Richard Phaneuf. f 4 Address{ KS s ice Lane �- 58 Stat , r, { - USE GROUP FIRE GRADING OCCUPANCY LOAD t 4 THIS'P£RM[T WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL X -SIGNED ,BY,'THE-.BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITHj,_TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. September 9 94 i . 19................. ........C'G ` Yng, �. Builspector PAYABLE TO:. Jacques Morin Tt�''`' ` F6ARNSTA^Lc 300 Bearses Way E `j GoMfvllj STONERS OFFICE Hyannis, MA •02601 L�,:t_ ,t �sy Llv. A/J 0:ED E G �� T.QVVN OF,iARNSTABLE, MASSACHUSETTS BUILDING FERMIT' A='273 066.01.1 " Q 9 6688 DATE 9 9 19 4 PERMIT NO. 4�"� APPLICANT ADDRESS 300 BE,-rses..Way, i1valln'i's 05770 (STREET) (CONTR'S LICEN_SEI PERMIT TO Build dwelLidig S e fa-mily jwe.3 NUMBER OF ( 2) STORY DWEL�_ING UNITS (TYPE OF IMPROVEMENT) NO. !,PROPOSED USE) AT (LOCATION) lot #26 58 Statice Lane, Hyannis ZONING DISTRICT PIC 1 (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 I TYPE) REMARKS: Town sewer #3854 (Jacques N. Morin) $1,000.00 AREA OR • VOLUME 2016 sq. ft. PERMIT 152.00 (CUBIC/SQUARE FEET) ESTIMATED COST $ FEE OWNER Richard Phaneuf ADDRESS 117 Cottage Street, Hudson, MA BUILDING DEPT BY 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 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 QUIREO,SUCH BUILDING SHALLINOTBE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. — - I POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 HEATING INSPE(Th N APPROVALS ENGINEERING DEPARTMENT. 2 BOARD CIF HEALTh OTHER SITE PLAN REVIEW APPROVAL PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION WORK SHALL NOT PROCEED UNTIL THE INSPEC- INSPECTIONS INDICATED ON THIS CARD.CAN BE TOR HAS APPROVED THE VARIOULIS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT 15 ISSUED AS NOTED ABOVE. NOTIFICATION. o� [9 7S. Town of Barnstable Permit# Expires 6 months from Regulatory Services Fee • •nxrtsreat e • Thomas F.Geiler,Director s639. 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 f /Not Valid without Red X-Press Imprint Map/parcel Number p;17 3 Property Address if\� [-Residential Value of Work t�j Or7 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ?o m d. f2H"' R I G/ f -/T Ire -4 ly 5t?-M -C— Contractor's Name :19 V C��.e�y �- SO�rS Telephone Number Soif •Z8 f/7 Home Improvement Contractor License#(if applicable)_ l d Construction Supervisor's License#(if applicable) C. s oa 3a PRESS PERMH ❑Workman's Compensation Insurance APR ®2 2012 Check one: ❑ I am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE I have Worker's Compensation Insurance Insurance Company Name Al Workman's Comp.Policy# 9Q y 7 7 O Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box). Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑Fence over 6' #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. , ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: AWPFILESTORM \b ildin permit f rm Q S u o s�EXPRES oc gP Revised 051811 The Commonwealth of Massachusetts Deparment of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 - nvms mass.gvv/ilia Workers' Compensation Insurance Affidavit Baders/Contractors/EIectricians/Plumbers Applicant Information Please Print LeRib Name(&ninessxkzau zatim&dividuau: (�ff2e�4 vl 14 .S Address: /' 0 3 � • 5----� o`S f City/Stat&Zip: • p s f' o a-fP�`S Inane#:S°a' �-$ CT-03 Are you an employer?Check the appropriate bax: T of project p� 4. I am a general contractor and i J� p I ( L❑ I am a employer with �y ❑ g 6- ❑New construction employees(full and/or part:time).* have hired the sub-cotrtrwtors listed on the attached sheet. 7- ❑Remodeling 2.❑ I am a sole proprietor or partner- ' ship and have no employees Thy sub-contractors have S. ❑Demolition w for me in an capacity. employees and have wodcus' °fig- y � rtY- 9. ❑Building addition [No worloers'comp.insurance Comp-insuranm, 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 I L❑Plumbing repairs or additions self o worl ms' right of exemption per MGL . �' � cC'mP- 12.❑Roof repairs . c.152, . insaxanrere�d,]I ��14( )'and we have no 13.❑'other employees.[No wormers' comp.insurance required-]; •,Any apphcsnt that checks boa#1 mast also fill out the section below showing they worker'compensation policy infermatiaoL i homeowners who submit this affidavit umlicat mg they axe doing all wait and then hire outside conwictors mast submit a new affidavit indicating sash f Cou=tars drat chxk this boat must attached an additional sheet showing the name of the s6-coz:ti L s and state whe&u or not those entities hm employees. Ifthe subcontractors have employees,etey mustpmvide their worken'comp.policy amaber. I am an empinywr that is prm ding nwrkers'comp salon insurance for my employees. Below is the policy and job site informadom Insurance Company Name: r7•" `C C Policy A or SeSf--ins.Lie.#: 7 q^T l 7 Expiration Date: Job Site Address: /C e [-44-9t,le.. City/Staterzip:'&-f��1 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 a 152 can lead to the imposition o€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 cerhfkp under the pains and pen ab'ies ofpetjiuy that the info rmatien proW&d above is true and correct Si tore: Date- ~ Phone#: , O& Z j 7 Official use only. Do not write in this area,to be completed by city or toten a , City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.CitylFown Clerk d..Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ' 6 Swag-)1 09:57am From- T-502 P.0010037 F-180 _ ANE CONFERS NO RIGHTS UPON THE 9ERTIFICATEE S CERTIFICATE IS ISSUED AS A MATTER OF yNFORMANON TEND OR ALTER THE COVERAGE AFFORDED HOLDER.THIS CERTIFICATE DOES NOT AM B THE POLICIES BELOW.THIS aR1ZED REPRESENTATIVEICATE OF CE DOES OR NOT CONSTITUTE A AND THE CERTIF CANE HOLDER. ER. E ISSUING INSURERS ,AUTH rthis ANT: if the Certificate holder is an ADDITIONAL INSURED,the P�IYI«1�� be endorsed. 1f SUBROGATION ED,subject to the terms.snd conditions of the policy,.certain policies may require and endorsement A statement ertificate does not confer ri hts'to the certificate holder in lieu of such endorsement PRODUCER �• owling&O Neil Insurance 73 Iyannough Rd #' yannis,MA 02601 R r COMPANIES AFFORDING INSURANCE COMPANY A .GRANITE STATE INSURANCE COMPANY i NSURED a r aul J Cazeauft&Sons Roofing Inc 031 Main St sierviIle,MA 02655 COVERAGES.-- HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR i HE POLICY PERIOD INDICATED,NOT lIUfTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER CIJMENT W17}i DO RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE POLICIES DESCRIBED HEREIN IS SUSJF—CT70 ALL THE TERMS,EXCLUSIONS AND CONDr[IONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .Ll-R TYPE OFINSURANCE POLICY NUtd6ER poUGY VFECMF_DATE P�LjCY.E.XMIRA-nom MATE . �A WC100 RS COMPENSATION _ F UM ITS LI 'ErdPLOY=_;;s JA ILRY E PRMPRIET'0A/ f. -T u, :_}• _.. .' ARrNERSIEXECUTPJE FFICERS ARE... - - ` - -° ., ' ATUTORY LIMITS NCL o EXCL❑ 99477015 - 8/10/2011 Sh 0/20l 2 HER Zovervau ADPAesmSMQOarid-ftsCOY, ` - ACCIDENT � 500,00 r, EASE POLICY LOAM s 500 00 ISEAS&EACFI EMPLOYEE $ 500 ESCRIPTION OF OPERATIONSNEHICLES/SPECIAL ITE IS CERTIFICATE HOLDER ANCELI_ATION { IDAVENPORT BUILDING GO smouLo ANY"OF11,1E ABOVE MESURMED POLICIES BE CANCELLED WOMmE 20 NORTH MAIN ST r=Xp AnON DATE TMREos.NonC,s VVU BE DELN UD IN ACCORDANCE SOUTH YARMOUTH,MA 02564 FoucvPrtOwsloNs. 'AUTHopIZED REPRESENTATIVE t , _ 6201 Office of Consumer Affairs and uslrless Regulation 10 Park Plaza - Suite 5 170 Boston, Massachusetts 02 i 16 Home Imp�r- en CAR tra or Registration _ Registration: 103714 Type: Private Corporation `' Try 297676 Expiration: 7/9/2012 EAU•LT & SONS, IN PAUL J. CAZ Paul Cazeault 1031 MAIN ST - I OSTERVILLE, MA 02658 Update Address and return card.�Iark reason far change. Cj Address Renewal Employment Lost Card 3 Ai U 50nn-041.04-o101216 a/ �arrun�a�eu�eall�i ✓l/laaaac�we.�7a License or registration valid for individul use only _ !L\ Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: s HOME IMPROVEMENT CONTRACTOR Office•of Consumer Affairs and Business Regulation r _ s Type: Registration:.- 0371? Y. �- � r, 10 Park Plaza-Suite 5170 Expiration: =;;9W712 Private Corporation —•• z� Boston,bLk 02116 PAUL J.CAZEAU•.LT—^ � — ` — F aul Cazeault 1031 MAIN ST CSTERVILLE MA 0Z65 _ t Undenecrerary Not valid without signa reME iMassachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor ` License: CS-026325 I PAUL J CAZEA LT ✓ 1031 MAIN S l OSTERVILO MA.Q2655 1 Expiration Commissioner 10/20/2013 F 'v I I Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. l (print) 6/s , 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 Signature of Owner Mailing Address of Owner Telephone # Date Please return this form to Paul J. 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 fax#508-420-4555 office@cazeault.com