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HomeMy WebLinkAbout0105 STATICE LANE Assessor's office(1st Floor): r, Assessor's map and lot numb- 6� 3 1 0 qc U"� ✓ �o�THE Toy Conservation(4th Floor): Board of Health(3rd floor): ' h r'7r� ❑ j i DABJ�T�DL i Sewage Permit number 1630. Engineering Department(3rd floor):" /� House number. ! V J` �J eEY Definitive'Plan Approved by Planning Board — 19 APPLICATIONS PROCESSED 8:30-9:301A.M.=and 1:00-2:00 P.M.only TOWN OF BAR TABLE BUILDING 'INSPECTOR i APPLICATION FOR PERMIT TO ��x aL dG�--A TYPE OF CONSTRUCTION G'V rfiQ� CrLe. F L/ /,AJ 19 9 7 J ` TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appliesfor a permit according to the following information: Location ,/, ©T Zlfo 57/ 1765, I ' I � V Proposed Use L� �[ 1 t Zoning District Fire District 1 d 1119 l5 Name of Owne6arji 5 ,4 f Joannp—P•-Sh cj Address �t ��fIe ' �UV�U (/�ZO� Name of Builder -lkj im,5N ' Aton ,vL- Address_13 j 0 &af V S h) Iqn/S 14�0- Name of Architect JQK05L H5:5� lx�• Address IJYlu�2- � Number of Rooms Foundation Exterior^C-LQbdar6t �sl�_ Roofing � bb r. li Floors 1 r,1m 1Pki wnd Interior AJr Heating g� — f r (4-S Plumbing Fireplace ��15 �(� Approximate Cost0 U d() Area /,5?� 6 Diagram of Lot and Building with Dimensions Fee a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstab ga ding the a ve co truction. 1 Name ao 70ES Construction Si ipervisor's License �"` S`t'OCHL. , CHARLES & JOANNE No 36849 Permit For.BUILD DWELLING 11 STORY SINGLE FAMILY DWELLING Location 105 Statice Lane , Hyannis Owner Charles & Joanne Stochl ` Type of Construction Plot Lot #14 - Permit Granted - July. 5, 19 94 Date-'of Inspection: ' Frame 19 Insulation -41zoz 19 - F 02M 115 — 19— Date q I ted ov 19 c m o , 1 J t ' 49, Lorolgr- 73 /3 411 Sq�Al- d- Z3'1 CERTIFIED PLOT PLAN LOCATION G,��zysT1BG �'•;�''�°VN�s�. SCALE . .. . . ....... .... DATE PLAN REFERENCE Of o� EDWA yGs v LLEY �^ No. 26100 P o vNv aA/ F f p� 1 CERTIFY THAT THE ! s� �t LAOLJ SHOWN ON THIS PLAN IS ON THE AS SHOWN HEREON AND THAT ITECONFORMSGROUND TO THE SETBACK REQUIREMENTS OF THE TOWN OF ,WHEN CONSTRUCTED. DATE REGISTERED LAND SURVM'R PAW Assessof's office(1st Fogr): - Assessor's mad and,lot num 1 U q b"�1;a S�- yof Trt 0` Conservatlat(4>h Floor): r i` r ����3•r!}g� � Board of alth(3rd floor), j t� I c r r 1O8T 8E OODT '1M. ft d - T+dWB f91DW1t$8$1OR TO Arr ; DAUSTut, 1 Sewage Perm! number 1` nl P rua i I { re)o. Enginep-'�7�'g Department( f ) I y # s ,+e rrd 6. House numbefi I DefinitivelPian Approved 6y Plarwng'Board 6 I 19 APPUC TIONS PRpCESSED 9�0 t 9.130i A.M kand ti00-2�0 P.M.onl�r i a } I OW�v 01F TABLE I TO N NG INS C OR APPUCAI ION�OR`?ERMIT T tI C A P d ( 1 TYPE OF CONSTRUCTION !! ry Qv ? U ai TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 2©T AK dc,1/9N/�//t r Proposed Use , Zoning District L1 C Fire District Name of Owneaa(/es P•-'�!h Address. L �DIle - Name of Builder_,,, J A-r,Qu-i,5 N Orr+K-- Address D D &arvs h)ag Rl9r!lS/l�i s Name of Architect��Vl)S12, SOP, , ht/`• Address /d C<al UY�G�4- f X4 Number of Rooms �� Foundation �0111e4- AIL&rate- w , Exteriors l 4aY -skim t Roofing (Y34' Floors rl�YN I (� Interior Gl✓vL. tit1r GIS 02 h&AS P Heating Plumbing Fireplace 5 ' Approximate Cost 0; Area 0 h off-;•- /-- � ,� r' Diagram of Lot and Building with Dimensions Fee a • a . r j ® i i wt Y 3 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS g#: I hereby agree to conform,to all the Rules and Regulations of the Town of Barnstab di g the ve co don. r Name : +' •:> �� OO 90S5 Cons on Sttpervlsor's License l' f _ .. ! COMMONWEALTH OF DEPARTMENT OF PUBLIC SAFETY MASSACHUSETTS ONE ASHBORTON PLACE &cavrene ( BOSTON Gcrr:'a ra c .,,a:cvre:•eca EXPIRATION DATE { LICENSE of i."rfs tr �rry�tl ers^ i Cf3 N sT R� SUPERVISOR CAUTION - RESTRICTIONS (�.�:^, EFFECTIVE DATE LIC-NO. OR PROTECTION AGAINST 84 NONE `` o; 06/30/3993 Cs� 35 EFT, PUT RIGHT THUMB PRINT IN APPROPRIATE i o MARK A WENZ EL o BOX ON LICENSE. SS 4 033-4�4—�3b3 �� �iHIDAN WAY � Z CENTERVILLE MA C26:32 p BLASTING OPERATORS PHOTO(BLASTING OP ONLY) FEE: yt� m - m MUST INCLUDE PHOTO. - cm- NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY _ HEIGHT: ! STAMPED-OR-SIGNATURE OF THE COMMISSIONER DOB: '�rSrJ THIS DO 7/1 UST 8 k - THIS DOCUMENT MUST BE CARRIEDON THE PERSONOF; E THE HOLDER WHEN EN SIGNATUR F LI NSEE SIGN NAME FULL ABOVESIG NATURE LINE OTHERS-RIGHT THUMB PRINT GAGED INTHISOCCUPATION 4 O ' rF,�os sa7�b'� '�z,5► �oosr ryd?o� •sac 'v�/ytya�� 'a s d 7orrvirr 1 sn2�'1 ���rrvvvn� �c�r`va� c�,vn�rya�� Z ,62.Le�r I ' ,00•9or fly F ' /0 • N ti' oy r «d/,CZ.9/ °v ��Z•Es/ape S� � � r ,4171 e0004, 0'' �s�oo, �� •,�y 2 :op'g/a �01 � ,00•o •�'����,- 2 si,rios�,P 02 (itz'6/ mos.) 00 � ► j,2' � � -- n «�� .za c� f 0, Og le 4i p� i ► r . I ow s o eL a , 0 Cvi. COMMONWEALTH OF MA$�ACHUS�YrS DEI-AI�'MEri'T OF LNDUSTRIAri►ACCIDENTS 600 WASHINGTON S-FREET ,james-' Canvoel: BOSTON, MASSACHUSET IS 02111 cor-m sstone WORKERS' COMPENSATION INSURANCE AFFIDAVIT I, (licensee/permittee) with a principal place of business/residence at: �( S t�.�cQ - o• � �..to 3� (C iq,/Sna Mi) do hereby certify, under the pains and penalties of pery'ury,that: (] 1 am an employer providing the following workers' compensation coverage for my employees working on this job. � Insurance Company Policy Number (] 1 am a sole proprietor and have no one working for me. (j I am a sole proprietor, gener-.J contractor or homeowner (circle one)and have hired the contractors listed below who have the following workers' compensation insurance policies: - Namc of Contractor Insurance Company/Policy Numbs Name of Contraoi Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number t Q 1 am a homeowner performing 0 the work:myself. NOT)✓.Please 6c :wart ty:t while homeowners who emplov persons to do maintenance,construction or repairwork on a dwciiint of not more th=ttrcc units in-Lich the homeowner aiso resides or on the grounds appurtenant tberew arc not reaerally considered to be udr employers nr the Workers' Comvc:sauoa AC(GL C. 152.sect. 1(5)),application by a bomeowcec for a license or permit m:y eyidcCce t c iccal sutus of an emplover under the Goners'Compensation Act. 1 u cc^::nd t'^.;;; co-v C. t s s:::c ncr.:will be forwa ced to trc rcpa;-c.t of Jncus::i:i Accidents' Ofnee of Insurance for coverac vcc =,ter, a.',c - sc=:c comic.--rc:s rceuircc Lndcr Scc'cn?'.-.'o:�;G� 15=c.r.iead to Lh-c imposition of erir..iaal per,2j ccnsi=cr.r of: tint of uc tc S;500.00 2 .&or irnpri:onm=t of up to one vim:=ad ciN;i pcnai:ics in the form of a Stop work:Order and: fine of c l 00.00: cav:€:ir Me. Sicncc this — 3 day of V 1 , 19 �JV /ellzl� :.ic:n1:_r P:....,..__ Lie"nsor;P:rmi:,;,r t oF'"E rowti Town of Barnstable, Massachusetts .Department of Planning and Development r r r r 9 aAxrvsrnai�,�r . Office.of The Planning Board a 1 39. .� ArfO MP'i a 367 Main Street, Hyannis, Massachusetts 02601 (508) 775-1120 ext. 190 t June 20, 1989 Aune Cahoon, Town Clerk Town of Barnstable Town Fla 1 1 367 Main Street Hyannis, MA 02601 Re: DEFINITIVE SUBDIVISION 4701 - SPECIAL PERMIT MODIFICATION Open Space Subdivision #701 ; "Bayberry Place" ; SUbd ivisaion .Plan of Uand i n (Centery i I l e) Barnstab l e, ` Mass . Prepared For, bayber ry•' P I uce. Realty Trust, Jacques N.- Morin, Trustee; Flan dated 1 2/20/08;­;-..L.ow B Weller Engineers; Assessor' s Map 273 , Parcel 86, 90 , 91 , 8 1lU='i ", At a duIy posted meeting of the Barnstable Planning Hoard i,e1d :.June s 19, 1989, it was voted to APPROVE the request to MODIFY �th0','SPECI AI.. PERMIT, pursuant to Section 3- 1 . 6 of the Zoning Bylaw of. t.hr;F,,Town o F Barnstab I e, to •a I I ow the reduct E on i n s I deyard setbacks from .P' t'I fterin ( 15) to eight (8) feet for all lots , with the EXCEPTION of lots, 1 ► J , 11 , and 12 , in subdivision #701 , "Bayberry Place" Respectfully, A l . }IA Z Jos p E. . Bartel1 , Chairman nstable Planning Board rn:. JEB: vk cn Rf • i i I i i � I I p i i i i >43a�/a 13o.7s I f G2y� , 3i•� � I I f I I attrcc-c. I li ( I I U i I i I + 7 f J � I I � t ; - L -- i A�$E(TSSED op O I I °FTHE tqf� The Town of Barnstable BAMSTMM 1M6 . ���' Department of Health Safety and Environmental Services 3Q iOrFc.19 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner May 31, 1996 TO: Mr.&Mrs.Charles Stochl FROM:A.E.Martin,Building Inspector RE: 105 Statice Lane,Hyannis,MA 02601 A=273.109.007 Dear Mr.&Mrs. Stochl: I believe that the problems you have with your recently purchased home at the above referenced location are the cause of great concern to you. I find that these problems may be contractual but are not,Massachusetts State Building Code violations. Very truly yours, ;ZL A.E.M in Building Inspector AEM:lb g960531a May 8, 1996 To Whom It May Concern: This document pertains to construction problems on the property of Mr. &Mrs. Charles Stochl-- such property is located within Bayberry Place at 105 Statice Lane in Hyannis, MA. As Building Inspector within the Town of Barnstable, I, Alfred Martin, was contacted by and visited Mr. Stochl back in August of 1995 regarding three (3) significant problems relating to the work performed by Mr. Jacques Morin, the builder responsible for all of the construction on the properties within Bayberry Place. The problems that Mr. Stochl showed me involved an improperly flashed area in one of the rear corners of the roof, a very poor functioning gas fireplace; and a major drainage problem bordering the front corner and driveway of the property. After examining and reviewing each of these items in some detail, it was my assessment that each of Mr. Stochl's complaints was valid. I then contacted Mr. Morin(after several unanswered calls I might add) and tried to encourage him to correct these defects. However, my effort in this regard was to no avail, and I finally recommended to the Stochl's that "Civil Action" seemed to be the only course that would get any results. If there are any questions regarding the content of this document, I can be reached at (508)790-6227. f - Alfred Martin Building Inspector for The Town of Barnstable IL-A TOWN OF BARNSTABLE . �� 4 o�T , Permit No ...... BUILDING DEPARTMENT Cash $7Q;Q;.0 0.)... ■.■. TOWN OFFICE BUILDING �'�ra„r► HYANNIS.MASS.02601 Bdj d CERTIFICATE OF USE AND OCCUPANCY Issued to Charles A. & .5anne P. Stochl Address Lot #14, 10516tatice Lane t Hyannis, MA r 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 1 November 25 94 19................. ... Building Inspector- ; AIk: Ty}''wr�%?T "', ",::,..�.4, _+{'J,Nt Y'Y"S!t77'lb°Y, Cr rwt•,� �.«,,..,5'Z�� %::.i,;,TT 11I :�'- " RK - t."•'^'"�iR'�iT"`�'�'t'^ .'a jrjj i TOWN OF ,4RNSTABLE, MASSACHUSETTS - �U I LD�. C � _ �M I V a . 5.007 July' 1 I,�� — - JF3CCJllt,S N. 1'90TJ.?). DATE ,,9 M N -fig 36847 APPLICANT .. - ER 1:)Tia:1�1u ADDRESS J (No.) (STREET) (CONTF•S LICE ASEI . PERMIT TO 1Su11t� dCti�e].1.inF; - ( (_� 1 STORY si fir';-J_ r���C..:_.I % d'�d1-1].inb NUMBER OF 1 , (TYPE OF IMPROVEMENT) � - NO. (PROPOSED USE) DWELLING UNITS { lot #14 105 Statice Lane, Hyannis ZONING AT (LOCATION) DISTRICT_ (NO.) - - (STREET) BETWEEN. ' AND _ j - (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 j . ' - - (TYPE) REMARKS: KKUP X�x TOWN SEWER 1 ' - - � Sa berg . Buildin 00.00 S y g Co.)) AREA OR- 2256 _sq. ft. 110,OOO PERMIT 162.00 E t VOLUM ESTIMATED COST yr - FEE - (CUBIC/SQUARE FEET) - - - OWNER Charles A. & Joanne P. Stochl01 ADDRESS FO e t t St. ,- Cumberland, - K..L. BU•(LO ING DE P , 7'— - .. BY � i 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 - .I.N.S.pECTIONS-PEQUIRFO FOR. .•��__., r, .. � - � PERMITS ARE REQUIRED_.,.FOR :N- _ -- _� - A w ALL CONSTRUCTION WORK: EyLECTRPL nL, Pt'UM61NG''""'ND I. FOUNDATIONS OR FOOTINGS. MADE. WHFPF A CERTIFICATE OF OCCUPANCY' IS RE- MECHANICAL INSTALLATIONS. - 2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH' BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY.TO LATH). _ ,FINAL INSPECTION. HAS BEEN-MADE. - 3. FINAL INSPECTION BEFORE - - OCCUPANCY. - POSTTHIS CARD SO IT 1S VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 - 2 ZV Li2/ _ -GS HEATING INSPECTION APPROVALS ENGINEERING DEPARTMc(J. . "1 I�tav -23 -Sy c - ._ BOARD OF HEALIH �c *ORK SHAL;�'OT PROCEED UNTIL"THE INSPEC PERMIT`d:LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APF 'DVED'HL GES 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. i APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE 54 1 303 Inspector o Wires Wiring Permit# ✓�� COM/Electric # ®� Town of ftRA/IN Massachusetts Buildipg Permit # Date Customer: 1 i Z �✓S f on (Street #)— can Lot # in the village of All S utility pole number or underground number Customer's billing address �U Eft 5 ^ ff�/r✓ Temporary New installation Change of service Starting date - Job description J_ei:u k:g^I 1' g=g&,.e H _� ��G'�. F r�✓ S/^l Service entrance voltage LG Amperage Phase Wire size(cu.or al.) 2- Conductor per phase Number of meters_/--Water heater Off peak: Yes_No— . Estimated load: Electric heat kw,lights kw, Range dryer Motors, H.P.&Phase Ready for first inspection 4/r 61- CA-LL Ready for final inspection Electrical Contractor T- t5r cc = Lic. # C�SS�G� Telephone# Address S ?^ 6A-4 m tne sttruS JA L L( S r-14 O Z L!y Additional Remarks: Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE Temporary Service Roughing in Ce Service and Meter ��1� z)7 ";/ Lao Z Off Peak Meter Final Approval T/l3 Z Disapproved' 'For the following reasons CERTIFICATE OF INSPECTION Date,L�-1:577-�1/ To the COMMONWEALTH ELECTRIC COMPANY. The installation described above has been„completed and has this day been inspecte a roval granted for connection to your service. Inspector olewires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46 FIRST NOTICE TO COWELECTRIC j (r t c Type) 1 5 � t. v� :Hyannis tJ,'ass Date i/? tg_-�1+ Pe'm t Lit: 14 H'nuse r-m5 Bayberry Builders s t _ Owner shame - �: fit— 6u lc ng,Locatl lon ` Stance - ine,. Laybezry -'lace,. }tyannts Tye of CccLpznc/ Res rf \ew_ yXX Renovadion Q Re�lac_mert"Q Flans Sum '_d. _ (es X "o.�- Ir X C N „C N C O ] N Y O U J C N Q �'. Z Z n Y ... O < C c O O O tJ N C W V U W C on N _ a Ll u C O U `' C r i O I G }._ O \f {' .IRY!✓` a:,s e��rr T I I T i l l . I I I I j I 1 I ,�I�°`I `lE• I �I � �I its ST FLOOR I I ITT I I �I I� I 2rrc FLOOR I I I I ( I .•I I I I I JR�p FL00R I I I I I I ! I I I I ICI I �I aTH FLOOR I I I I I I I I STH FLOOR 6TH FL 'OR 7TH FL.:OR I ( I I I I I I I I I I I I I I I I 8TH FLOOR I I I I I I JAGMINAS Check one: Certificate Installing Company Name Address p p BLUMED ay,1F1�1 ;Corporation BUZZARDS BAY,MA 02532 Q Partnership Business Telephone ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSUk-ANCE COV-RAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If v.Du have checked ves, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: i am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General taws, and that my signature on this permit application waives this requiro mer.:. . Check one: Owner❑ Agent ❑ Signature cf fiNner or Cwner's I hereby cert,' ay that all of the det is and information I have submitted for entered)in above application are true and a urale to the best of my knowledge and that ail plumbing work and installations performed under the permit issued for Liis application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Gtiapter 142 of the General Lz,4 T e of License: BY I Plumber Signature of Vicen Sec •359 luiier r Ga rater Title 7 asfitter as er Ucense Number Oty/Town Journeyman 1PPi ivrrl _ _ NL 1 ri 4L r Y o 06 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFiTTING . L (Print or Type) BARNSTABLE Hyannis — , Da te 19 — + Permit Mass # Lot- 14, - House 105 Owner's Name Bayberry Builders Building Location Statice Lane, Bayberry Place, Hyannis Type of Occupancy ReG New [Y Renovation ❑ Replacement ❑ Plans Submitted: Yes Fix No Vl TVl W A Y Z G V1 N W U C F' Y C VI C O D Vt F W W C O U C x A U J C i.- Q r Z Z O t" 'W i y O u < C C O = O I'_ � 6 C m 4 _ n p > u_ Vf C W V U w A W < C ~ W ~ — H C L•1 W N J 4 W W (.7 O > W F �' J F- W ' S w > CC w 7 ~ a C Q Q O O C 'x 0 0 = :L 3 o u J u c y a l a t- c Sua-aSrnT. BASEMcNT I I I I I � � I LI 1ST FLOOR I I I I I r 2ND FLOOR I I I ( I I I I I I I 3RDFLOOR 4TH FLOOR 5TH FLOOR I I y 6TH FLOOR ( I I I 7THFLOOR I I I 8TH FLOOR I I Installing Company Name PMMOINOWHEATMO MU-. JAGIMMAS Check one: Certificate Address P O RAY 1$�4 Corporation BUZZAM SAY,MA MW ❑ Partnership Business Telephone -3221 ❑ Firm/Co.' Name of Licensed Plumber or Gas Fitter rl— INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 41 No ❑ If you have checked Yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of tanner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Law T e of License: 1 Plumber Signature of License 359 at r Ga titer Title Gasfitter as r License Number Journeyman 0 /Town v a ...: .. - e 1 , K ` i + ,j5 Y _ Sol t p f2 AC. T :E.t y...•t _ i _. �•-� { TTON Date 7/22 19r�4 F Barnstable - Permit } - Building u , Owner' s , � sf AT ' Location Lot 14rHouse 105:=Statice Name Bayberry 'Building `Co`: - ' z _ lane Bayberry P.•, ' . p lace, H , yannis, M9 Type of Occupancy Res New U1 Renovation ® Replacement x Plans. FIXTURES Submitted Yes E3 No El t s h 1Q J b• U <. 46 D 6 z O 7 VCd q d d W q IL - Y ` IdX d 2 .Y Z ac d o z X r o u 2 w q < 0 < r m a o s r Jm Jn a c a a a RASZM9MY - - IST FLOORAL 2M0 FLOOR SRO FLOOR 4TH FLOOR STH FLOOR '8TM PLOOM TTK FLOOR .. is E: ®TK FLOOR v.. 72 Check One:­ Certificate Ce;rtificate Installing Company Name Jagminas Plumbing & Heating Ixtc rp ; - AcSdr 110 State Road -P. O: Box 1613- ❑Partnership -_-- N. Sagamore, MA'02561 Buzzards Bay. mA 02532 = ❑Firm/C.O.. Business Telephone = 508-888-3221 = : °• J trlsrne'of l_kerised.Plumber Eugene R. Jagminas IN: URAAlC:E COVERAGE:C ec one _... I have a ctirrent-flab,ility Insurance policy or its substantial•equivalent. yes . No ❑. if �iou have:checked,Yes, please Indicate'the type coverage by checking the appropriate box. - Bond ❑ A Ilabity insurance oil Other type of lndemnrty ❑ p cY _.._:. OWtdER'S=INSURANCE WAIVER:=I am-awaie-,that the licensee does not have the insurance coverage-required by ' Chapter 142'of the_lvfa,s General:t:aws,"-and that'my_signature onahis permrt application waives this requirement. W• .,-:-. Check one pwner ❑ r::- Agent ❑ Signature of Cwner or Cwner-s Agent I hereby certify that al(of the details and information I have submitted (or entered)in above application are true and��rate to the best of my knowiedge and.that all plumbing work-and installations performed under the permit issued for this application wili_be in compliance Erich al! pertinent provisions of the Massachusett3 State Plumbing Code.and Chapter 142 gMe n r laws (`�' ign $od umber-. Cleanse Num GtylTown' Master Type of Plumbing Vicense. aPPRO'VED_fOFFICE.t1SE ONLI�:, -' Journeyman .❑ �" , �I r�W� �ro�r�S T,�,