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0085 WACHUSETT AVENUE
�,� ��a;�1��- —�� _ �- - -- a. i — y WHITNEY P. WRIGHT, INC. 256 Ocean Avon ue ,y t Hyannis, MA 02&1 Moposro 1A'NRob, ZN r xTs�x: c�gr�ac-�� t, Fc)ft flit {c7RS &Vcr 90" ----------------- f 6' 10u 36" SHOW(-2 30 Assessor's map and lot number ...... C, .... ." "1. ....................... + 95Q1 No Iscv fZ(DA's � I t �O*TNETp�4 a Sewage Permit number ..................... !....�....a......... t (,i 1� 03 J_ Z BARNSTADLE, i House), number .......:..7.... ................................. ....................... r rues s639- �FQ NO TOWN OF B�ARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....AV!J.....P(U hCi I�I...... lctW�.fs.... ��tl�!C.-. :........................ TYPE OF CONSTRUCTION ............ y)D.. ........f-". .l i'...................................... a . 1........................ ... � ... t..• 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....i.>: !.t....`..... .` ....... •.............14*,&wka4 P..O. .................................................. ProposedUse ... ; ...�;9� td.. ......................................................................................................................................... �, Zoning YA kw District ..... ..s �..... ..... ...................................Fire District ... r.. ... .... .�................................................. Name of Owner Csf..........O..7.W(,14............................Address L.J.) .. l 1.0.........2o.0 .C,U. .f-- rl. ....MrA if. Name of Builder !� . i'1 . .r..... � C .........Address �`�ra....... C 11l�J fly . �-��/�lti�ll � �313 1 .............. ... ................................................ Name of Architect ..... d � ..............................................Address .................................................................................... '.......... Number of Rooms ..c-,,N(n..................................................Foundation ....CF.P:76l...+�................................................... Exterior CJFI-91 ..........................:..............Roofing ...... .. �1:. ��1� .............:...................................... Floors0.00 ...............................................Interior ...... ............................................................. Heating ..... t( .............................................................Plumbing ........... Fireplace ......�j! 4.:..........................................................Approximate. Cost... Definitive Plan Approved by Planning Board --------------------------------19-------- • Area ✓ ....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH U OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS Aaj I hereby agree to conform to all the Rules and Regulations of the Tc,4'n ar stable regarding the above construction. d Name k ►< ... Construction Supervisor's License �. Bosch, Yvelise & George A=287-75 No ....3.0.248.. Permit for .......add bathroom . ...................... n...gag a ge..................................................... Location $5. Wachusetts Avenue .... .................... ........................Hx4.nnshort............................... Owner Yyelise &„George Bosch ......... Type of Construction .............. rame . ..................... ............................................................................... iPlot .:.......................... Lot ................................ Permit Granted De.cember. . ... .......19 3 86 .... . . ........ .. Date of Inspection ....................................19 Date Completed !.....................................19 0 STp ESE `� L Ptb; r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application Health Division Date Issued �S tic Conservation Division Application Fee Iv Planning Dept. Permit Fee 2 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address �5 UJaC<he�,S-2 J Village Owner Address J5 W aLc A,u m fi-5 Aw .T qAA' Telephone rl I Permit Request WINO e ( c,uS Cu Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 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: D"e'xisting El new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: zt Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed UseIM t; APPLICANT INFORMATION -- - — -- (BUILDER OR HOMEOWNER) t� Name '�J �YY , 'gl l l 1ML Telephone NumberI In Address 1v �` 9 License # Q Home Improvement Contractor# Email, I a Yc me r. um Worker's Compensation # 00 S3 S 7 0//3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO d SIGNATURE �- DATE 6 i l3 .t 3 FOR OFFICIAL USE ONLY 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 DATE CLOSED OUT ASSOCIATION PLAN NO. f Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration r Registration: 110609 Type: Private Corporation =-' - Expiration: 11/3/2016 . Tr# 258860 E J JAXTIMER, BUILDER, INC. ERNEST JAXTIMER 48 ROSARY LN HYANNIS, MA 02601 Update Address and return card.Mark reason for change. scA 1 0 20M-05/11 ❑ Address Renewal ❑ Employment Lost Card VJze�O%92772d7zclJQaLLfL 6����JQCLc�cUJe� Office of Consumer Affairs&c Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 110609 Type: office of Consumer Affairs and Business Regulation Expiration: 11/M016 Private Corporatiom 10 Park Plaza-Suite 5170 - Boston,MA 02116 E J JAXTIMER, BUILDER,`INC-- ERNEST JAXTIMER - 48 ROSARY LN HYANNIS,MA 02601 Undersecretary o valid without signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards License: CS-DjO3251 � 1 c�ri(A-11�TJS R&4 0Gt50i _ Expiration Commissioner 01/1f�©1C f The Commonwealth of Itfassachusetts Department of Industrial Accidents W Office of Investigations' d 600 Washington Street Boston, MA 02111 www.rnass.gov/dia Workers' Compensation Insurance Affidavit: ]builders/Co><ntractors/IElect>ricians/PRuambers Applicant Information Please Print)Legibly Name(Business/Organization/Individual): p�.A'>C�j'rf�/L !�""' � me Address: '7 8 karw /t ",& City/State/Zip: kAws Phone.#: 7lF-" �9i! 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 /\ 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2:0 I am a§ole proprietor or partner listed on the attached sheet. 7..&Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition reo workers'couired.] insurance comp. insurance.$ 5. [] We are a corporation and its 10.0 Electrical repairs or additions q i 3.❑ I am a homeowner doing all work officers have exercised.their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑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: I CLL A P 9 0 7-CZ PoA l f'/Vs u e,f-Ne Policy#or Self-ins.Lie.#: .53 8 MI/3 Expiration Date: I / 1 Job Site Address: 5 K)qc I.aSLTF_:!. twAA.(-D, 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 tip 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 fo insurance coverage verification. I do hereby certihk u e pains and penalties of perjury that the information provided above is true and correct. Sign ature: Date: Phone#: Official use only. Do 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 6.Other Contact Person: Phone#: i l ® E(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE DAT 1/05/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Erica H O'Connor HART INSURANCE AGENCY,INC. NAME: 243 MAIN STREET PHONE 508 759 7326 x205 FAX Na:508 759 7366 PO BOX 700 ADDRIESS: BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAIL# INSURER A: ARBELLA PROTECTION INS CO 41360 INSURED EJ Jaxtimer Builder,Inc INSURER B: ARBELLA INDEMNITY INSURANCE COMPANY 10017 48 Rosary Lane Hyannis,MA 02601 INSURER C INSURER D: INSURER E: 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 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER M0 YYY MMIDDmYp LIMITS LTRWVD A GENERAL LIABILITY 8500042039 01/01/2015 01/01/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300,000 COMMERCIALGENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE IV OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:- -PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- F-LOCJFCT $ B AUTOMOBILE LIABILITY 1020011547 01/01/2015 01/01/2016 COMBINED SINGLE LIMIT 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED - - PROPERTYDAMAGE $: HIRED AUTOS AUTOS Per accident $ A UMBRELLA LIAB OCCUR 4600042040 01/01/2015 01/01/2016 EACH OCCURRENCE -- $ 2,000,000 . EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED RETENTION$10,000 $.. B WORKERS COMPENSATION 0053890113 01/01/2015 01/01/2016 V1 wC STALIMT[UCRY oTH- AND EMPLOYERS'LIABILITY ER ANY PROPRIETOR/PARTNER/EXECUTIVE a N/A E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 50Q,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPnON OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,.Additional,Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Fax#:(508)862-4717 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 230 SOUTH STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD �VWA 039. Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 ww w.town.barnsta ble.ma:us Office: 5087862-4038 Fax_ 508-790-6230 Property Owner Must Complete and Sign This-Section If Using A Builder I J 0 4"G.r= y 14 ;as Owner of the subject property hereby authorize _ 4- qaa Vtz to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Ptint Name If Property Owner is applying4or permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users'decollile%AppData Local\Microsofl\Windows\Temporary tntemet Files\Content.outlook\DDV87AAZ\E"RESS.do Revised 072110 13 Li Town of Barnstable ���_t�� ° � "f h 0. XVIras 6 mondk7fir=issue dute Regulatory Services. Fee s�rtsrear.� 9 a'" 'Thomas F.Geiler,Director J/' BlsMug Division Tom Perry,CBO, Binding Commissioner 200 IVIain Street Hyannis,MA.02601 www.town ba=table.ma us . Oface: 508-862-4038 Fax:508-790-6230 EXPRESS PER2N: T APPLICATION R.ESMENTfAL ONLY p Not VaUd wTMwut RedX-Pre=L-reprint map/parcel Number t?O Q S Property Address residential Valle ofWork_ ���V Minimum fee ASM for work under$6000-00 Owner's Name&.Add-ess ^�Q Contractor's Name :Er n,-►!---jXA-,e,,n, L C C Te hone Number C 2C�V�— �r-J� Home Improvement Contractor License#(if applicable) c c Construction Supervisor's License.#Cif applicable) �� ��8 R ES S P C ✓f f Workman's Compensation Insurance JUL1 I 2 Check one: 013 ❑ I am a sole proprietor I am the Homeowner I Kaye Worker's Comp ensation7nsurance TOWNOF BARNSTABLE { Insurance Company Name 61 r oy�a (.)t1 i o r� i P e ' l�'tS u r n C e C c - Workman's Comp.Policy# Vl! cSf9��t <�4 fob Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) 52 ` --roof(stripping oldishingles) All constucnon debris will be taken to ❑Re-roof(not stripping._ Going over existing layers of roof) FT Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (m&xi m,n,AQ#of windows "Where regaus&: Issuance of this pe *does not exempt cemptiance wish other town departmew reguh ioxu,i.e.Mtadc;Conservation,etc. ***Note: Property Owner must sign Prop"Owner Letter of Permission. A copy of the Rome Improvement Contractors 14cense&Construction Supervisors License is req>mied M NATURE: GT Q3WPFILE5�FO1tMSVym7&ingp SS.&oc Revised 09080Y f �fte�'om�ior�sveal?fi o �iassochuselis 4 ��ar�isent o,�'In�ustriaL,4ceid',er� ( O.ff=Qf trvestegatiorrs 600 Wushvagton gbrd Bovow,j�U 62.1 1 workers'cwppensafiela ikswunce 3a�ersJCsal�trsctma^s1 i � u��`nfarmataiccon _ ectracianglp�ebers Name Q o Please rxintL n!lndrna 3y r3SeY 65 nsArL)C-�-n LLL' .Address: Ln CiyJatelZiRA Are eu sa eXOPloyer?Check the u appr rde� °p � T. I am,a e pployerr h 5 & El Iam a geacral cmvvtm and I Type orpr*,d(I fixed): employees OUR andfor have Id-edthe sab�. 6 []New tcion2.�I F ship au OIe PID r ebm M parttler- Hsted oAthe attached sheet 7., [3 ReuaodeTinb form i�Ioyees These sub-coutracfMbave worlrzn 8 f g �� aMPIOY66s andbave wG&e& 13 Deuwmcn NO workers'comp insmarsce D axirp immumet 9, g B,'Iding addition 1 3. Z am�a h�omeownerd4m $_ �We are a corWmfim and its IO.D Fl a y or additions g aIi wok offoes bane exxtmd&w 1 I. Pimad,. re ` m�Vsa INo w9odmw Map. light of exempticu per MG4 i.. paw or additions i I71SIIt•3llo t Y ri= }.� ,M c 1�2,§1{4}and wvehaveno IZ .Roofrepzirs employees.ENO workers' 13.0 Othm ! comp.kmMce requimC] tfaLCf=kSI=#1 Mr,oho Ilout the Mronbezw•showmgJb*-IC"[=• �� ' `oQmztioa ' ?F!oiceowuecsv�kotltisa�davitmdi�g�q'credo- 31I thatclte~kS�6oum�cstattacb�danzdcigioaalsheet$ �&attdihwt�otmidtrAt �rstsabmi<ancwst"a33vytimdi�tgsudc. J traploy-es IftE�esztbc�rs3aveempIflYres��epaatst videthes 7heaaateoPthvsnb-cCm:tacmrs�dsta�w3etlferorno2taoseenta�esbavc j prowadttrs"w=paIieyncmhcr. •- •��n��F�•�at'zs•pr��ryerksis'car�sa�ou i�nonce t �.a ��to o .-; r�,� , �. �orrtry Yew.•,8eto�£s the " �:��;t,t; z�} ��,s a°.. � ,Falocy aad job size •-- ' ante Company Name: Ds7Q U 1'oiicy-gor Self-hs.Iia#: 3 r} � ---- kpiration�Date:Job Site Address: �g 2�b ao�3 Atiaehacopyofibeworkeas'co peas on C�stloP- : Fame to seccue cxi Poky declaration pap(showing$a Policy Ranrber mad asnqu=duader•Section25AofMGLc 1�2canleadt,*ekaposiaon.ofmadngpenaNeson fa flits=to$I,500.00 amd(or one-year hAPriswMwt as-"eU as CNN penalties is the font of a 5I OF W012R O1EDElt andafste I ofvp to$250 00 a day agaksYthe violator. Be advisecT that a copy of83is emeat lnvesti mV be fo vm&d to the Oitiae of �tiousaf�eDIAfari cectmempver{cadom s I do hereb}+ter 'u it ofygfiuy that the&09142QVMpvvfded4bOVCT51f7LCa71dCOn� Me f __ �eiaduseortZp. Jlar�ot�ire9nthisare¢,tohec d • °�� h1'�y artoxm o„�r�'QL � City or,Torte Peaxtiitf�ieense� peeningActIhority(circle one)- 1.Soacd oflieakh 2,Bmj&ngDepartmcj3t 3.CSLylYowa Clark S�t]ier 4.Fddecbricl.�gecto�5.FI=ab• II} Coa4aer�erscrn: ) T�orae�: i �I E Tj Office of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 112536 - Type: DBA Expiration: 3/23/2015 Tr# 237059 FRASER CONSTRUCTION CO. - DEAN FRASER M P.O. BOX 1845 - _- COTUIT, MA 02635 Update Address and return card.Mark reason for change. SCA 1 C., 20M•05/11 Address Renewal Employment F,� Lost Card .1��g 7(in�wnRrnrrr,Prt�l)/.o/�C f��irJ:1Cc4'�1196/,/,t Office of Consumer Affairs&BasinM Regulation License or registration valid for individul use only OM IMPROVEMENT CONTRACTOR before the expiration date. If found return to: i - ,egistration: 112536 'Type: Office of Consumer Affairs and Business Regulation expiration: 3/23/2015 DBA 10 Park Plaza-Suite 5170 ` Boston,MA 02116 FRASER CONSTRUCTION CO. DEAN ERASER 104 TWINN VIEW LANE E FALMOUTH,MA 02536 UndersecretaryJ Not valid without signature FRASCON-01 MOSU '`tom Rom'- CERTIFICATE OF INSURANCE p/� DATE(MldtDD`><YYY) LIABILITY [NSUrv1NCE 1015/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ,THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the porky(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and Conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT. {508}676-0309 NAME Suzette Moniz Vrvelros Insurance Agency,Inc. a375 Airport Road Ca.E :508-676-0309 - .No):508-324-9147 Fall River,MA 02720 AliliRess SMoniz ViveiroslrrSUrance.com INSURER(S)AFFORDWG COVERAGE MCI' wsURERA:National Union Fire Insurance Company INSURED Fraser Construction LLC INSURER S. P.O.Box 1845 INSURERC: COtult MA 02635- INSURER 0: INSURER E• 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 INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VWHICHH 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. LTR TYPE OFINSiIRANCE AD rNSFZ wv0 POLICYNUMBER MMtDD F MPO MIUD�EXP UINn'S GENERAL LIABILITY EACHOCCURRENCE S 17MECLAIMS44ADE P.CIAL GENERAL LIABILITY PREMISES ciurence) ,S �OCWR Ea o- MEDEXP(AnYansperson) S PERSONAL&ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE UMITAPpLIESPER: y PRODUCTS-COMP/OPAGG $ POLICY F7 FR LOC S AUTOMOBILE UABIIJTY E�aM431 eD ALLOW OWNED SCHEDULED Sl GLE LIMIT S ANY AUTO BODILY INJURY(Per person) S - ' AUTOS AUTOS BODILY INJURY(Peracddent) S HIREDAUTOS NON-OWNED PROPEKTY DAMAGc AUTOS S er accident S UMBRELLA OCCUR EACH OCCURRENCE S EXCESS LIARS CLAIMS-MAIL AGGREGATE S CEO RETENTION 9 S WORKERS COMPENSATION 5 T RYTLIM 0 R AND EMPLOYERS'LIABILITY YIN - X A ANY PROPRIETOR/PARTNEt1EXECUTIVE WCOOS930601 9/2612012 9/2 OFRCERlMEMSERSCwoED7 NIA 6/2013 E.L.EACH ACCIDENT S 500,000 ❑ (Mandettory in nbeun) I OISEASE-EAEMf $ 500,000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT Is 500,000 DESCRIPTION OFOpERATIONSI LOCATIONS IVEHICLES(Atlacn ACORD 101,Additional Remaws Schedule,ifrnorespaceisrequired) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE Fraser Construction LLC THE EXPIRATION DATE THEREOF, NoncE WILL BE DELIVERED IN 31 13owdoin Rd s ACCORDANCE WrrH THE POLICY PROVISIONS. Mashpee,MA 02649- AUTHORREO REPRESENTATIVE ©1988 2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks Of ACORD Massachusetts -(Departniernt of public Safety Board of Building Regulations and Standards Constructimi Supervisor License_: CS-097668 ? r: DEAN C FRASER 104 TWINN VIEW LANE;`'..,;' EAST FALMOUTH MAC D2536, ✓.,�.-. J1/S[ ,� �,��` 1-Expiration Commissioner 06/07/2015 f i r fie CanmwnweaM o}J assaclyresef�s -aeA'�n�rt a,�'Irrdus�rial.,Qcci�:err� Ome ofinvagg'. tons 600 washzw onaSbw i Blow,JfA 62,711 � i svwinmas�gayldia _� Worker'COMpetsatioia maace avid BM-1�erslCazs etorslJ to c' Iis trt a oaa icrnu zansJPh=bexs : Name Please Prhim ; r Phie#, sag.- y28 �� j Are�f ou as elutplO ?Chedi the a r f i•Cad•I a�n a [�F �r�abe I�Oa' employeravfZ V 4 01amag, aeaajmu aadl Type of prejeef(requimd): I erupIoyees(ful}aMdfor��e�ue have z-fl 1a.masoleprvpr1e m ) 1 3iiiesab-cam [1\rewconstraction Paraar- ljstedonthe atEacl�d•sheet - Aaralhavezz9employers Thesesub co�atrac rslaave 7 �Remodelu worl zug form m a;zy OVLft' =PXoYees audbave workers 8 Demoldiou No wo*ers'comp imsr ,MM COMP imm aace$ 9, g.Bm7ding adc�Uon i 3,0 1r am a meownerd4 $ ❑ {ti a are a ear�zoII and x!s ltt.�fiec�l zep or adclitioz�s fr mg all wort= officm have exercised myself INC,�rloeis"comp- X%ht of axemptiam Per M(R 1 i-Q Pimnbkgrep ks or addidors insorazzce rem t c 152,§1(4),and aye have no P•cof reps employm.[Na woticers' 13.n Comp-kmmcezegrtired] . ?"�'aPP7ua�tfsaLc�eeksBox�Imas:akoylloaiigasctioube�oas i � s��6aormugt ��g�Saredoiag3IIwothra e04z��Yicfio'�rkoa j 1AY-es Ifthe '°mace]s�ecc�taam�s5camueaPtTtesuhobn _ raestsabmiraa�w�ad'�vuimdi�agsack. aarsl veerapI�xs,�iey�arpimidethesvraticcrs wma pa�ey ard Mate741 erornartaoseentKuhave an an Ay4';ratis•prarFdusger '� � og anceor - t f ,sy L'Owkye�•-Ramv;:s rh - T� � J e,Faltt-y and}ob sd.� •-- , once Cflmparzy Name; - D�QI V � ►'r•L '�+�.�vs^` policy#of Self ins.Tic.#: Sob �:pirati�q i}mo• p cJ 2.6 aa� Aiatacla a coo ofthea,Orkers'compete ti � � p� ` Tl WAS VZ6�q Far�tosecrneeo Po eyoleclaratiaapage(shoasiag•te.�tieyxc �5.7— fme v geaszecpmed riSMM=ozf25�S of]dG>_c 152 caa1eadtotheimp iiniioa oizai datofmunto 5,00 Q0Ypgarone-year lat'uiso>e ,asweIIas penaltiesiutfiefozmofa LW Q penaltiescfa ) ofup to�25t�DQ a clay against viokatox. 73e advised• en a .RM and a fine f IRvmt*ff0=aftizeD1Afar-i cecavemgevesi�aatioz� of8 emeaCmay forwardedto$ieOftieeof : 1'doherPhycer' - �dpe��s o,f�erjury iliac•the�ormadon pa-ovided above u true mzdcon� are. -__. 'aaZuseonty. iJarotsvrzreinthisare'v,tobscovleledbycyortarrmo, re Gk,Or Town: } I-xem A1EI&0ri 1'e l ase €�` ty(cicrPo one): 3.Bther ofIIeaLt�2. S.t3fBm3din9DePartne t 3.C5iy1`Yoay.CleIlc TU*ector S.7Plmatbic InsPeztoz Prone : i • I Fraser Construction, LLC CONSTRUCTION P.O. Box 1845, Cotuit MA. 02635 ROOFING ' Email: info(afraserconstructioncapecod.com SPECIALISTS - www.fraserconstructioncapecod.com 508-428-2292 FAX 1-508-428-0123 HICL#112536 CS#97668 ,� RE-,ROOFING PROP®SAL U V) DATE: June 20, 2013 PHONE: 508-775-5292 NAME: Jorge Bosch g EMAIL: MAIL ADDRESS: P.O. Box 326 Hyannisport, Ma 02647 JOB ADDRESS: 85 Wachusett Ave. Hyannisport, Ma 02647 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 material -Re-nail all plywood sheathing as needed. F Fraser Construction will include a 4 Star Upgraded warranty with the selection of any 30 year shingles or any Lifetime shingles. CertainTeed SureStart Plus- The extra measure of protection when a credentialed company installs an Integrity Roof System. 4 Star WarraniieS have a 50 year Non-Prorated Coverage for any lifetime. shingles, which will cover incase of any in warranty repair, Labor and Materials, any Tear-Off, and any Disposal Fees. Upgraded wind warranty available on the 1 following products when special application methods are used.. See description_ below and in the CertainTeed SureStart plus brochure enclosed. ASK US ABOUT OUR OVERHEAD CARE CLUB! Supply and Install - CERTAINTEED LANDMARK PRO: 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 15 Year Warranty against ALGAE Containment. Landmark PRO is engineered to outperform ordinary roofing in every category, keeping you comfortable, your home protected, and your peace-of-mind intact for years to come with a transferable warranty that's a leader in the industry. With Max Def colors, a new dimension is added to shingles with a richer mixture of surface granules. You get a brighter, more vibrant, more dramatic appearance and depth of color. And the natural beauty of your roof shines through. With a SureStart Plus upgrade customer will receive 15 year 130 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. Color: PRICE-$24,550 Initi * Price includes strip and replace 2 existing Rubber roofs on front and back i P ( ) g crickets. * Price includes replacing top rubber roof around chimney. * Price includes all vent pipaes to be done in Copper. i Product & Installation Details Supply & Install- CertainTeed Winter Guard or Carlisle WIP: (Ice & Water shield) (WIP- Water & Ice Protection) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Water and Ice Protection(WIP) is a self-adhering roofing underlayment used on critical roof areas such 2 e 9 FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: 9 I Homeowner Fraser Construction, LLC 6 Assessor's map and lot number ......Z97..T.-2,T... /Y l WT1C SYSTEM MUST BB Sewage Permit number ........... ........... .......... INSTALLED .IN COMPLIANCE WITH ARTICLE II STATE C'�1��Tnrni �nr�r- n'eD TOWN e iTHEj��y TOWN OF BARN=S-TAABLE i r i B8HB9TADLL i "b 9 .•� BUILDING INSPECTOR i APPLICATION FOR PERMIT TO .....a. ...... .. . ........ .. TYPEOF CONSTRUCTION .......W. ....................................................................................................... ..................19.�» TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the folloinformation: Location f .........1.!/ ) ?1V /�;S. ..f k!x. ......... Proposed Use :a. �...!I®.....1.' .1t�l G� ............................................................................................................... p .. `` ) Zoning District ........C. .................................................Fire District ....t:'l.L�.A;l/,4,'I.S........ If / ...................... Name of Owner ..1.G..T,.rr ...... :E, . +.J..411. .................Address . . / .......%„0 ................ Name of Builder ,ll�!�J'..f..tC ✓�/. ..:1` Address ....s ...... .f-�. .... ..:...1ll..y�•1��?►!A��..... `y_ Name of Architect ....... ! ....................................Address ........s.JJ .. ..............................., Number of Rooms n ............�..................................................Foundation ..... �...:.................................... Exterior ....... ......�.��lo�/G'—"Q.......................Roofing ......... F.l.. ...�!.�......................................................... /_ Floors ........L...y.✓` . . ::..................................................Interior ........( : ./`/.....................:...................................... Heating % .. :...............................................Plumbin � Fireplace -'AlG 1:4� .........................................Approximate Cost . G'�Cj ... .................... .................... ------19 Area oZ,Ol9 � Definitive Plan Approved by Planning Board __________________________ ,4e ...... 4� ..... .. - -------. � . ....... ... .. 0 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. _ Name .. .. 2 �.. .. .../........... �................ Bosch, Jorge No ....16326.. Permit for .......Pa M! ..... ................ add'n existingarae) ...........(...... to............. Location ......... achusetts Ave. ............................... Hyannis ort Owner Jorge Bosch ............................. Type of Construction ..............frgme.................. ti ................................................................................ Plot ............................ Lot ................................ un Permit Granted ...... ............................19 73 Date of Inspection Date Completed .. .. ...... .....19 PERMIT REFUSED t ................................................................ 19 f y .......................................................................I....... ................................................................................ h ............................................................................... I / ............................................................................... i Approve ................................................ 19 r ............................................................................... Engineering Dept.(3rd floor) Map a L Z Parcel ( '7 �° Permit# Z dp-�33f 4:21House# D� WSJ Date Issued 0 3 Board of Health(3rd floor)(8:15 9:30/1:00-4:30) Fee a�v r 071 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) IMF ft Defini ive P a Approved by Planning Board 19 _ BARNSTABLE, MASS rF1 TOWN OF BARNSTABLE Building Permit Application Proje reet Address �0 S Village l7Z M/A�A-//S Ve7-14 Owner Address Telephone -' Permit Request ��CJ 3S First Floor square feet Second Floor square feet Construction Type -Estimated Project Cost $ `7&<Jro Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name_r] � y Aa 1:1z 1 Telephone Number Address - -? T/9-j'Z 6 C 6r1 0(a License# CC) Home Improvement Contractor# 6 Worker's Compensation#4ZC,j'?/2 Z&� 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 KC(41-062) 1 SIGNATURE DATE O BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO: ADDRESS VILLAGE OWNER - DATE OF INSPECTION: a FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 1 PLUMBING: ROUGH FINAL GAS: ROUGH FINCAL FINAL BUILDING �) - DATE CLOSED OUT ASSOCIATION PLAN NO. °FTMe ra,, The Town of Barnstable 9MAM epartment of Health Safety and Environmental Services 59. Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner Fax: 508-790-6230 For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Est.Cost f Address of Work: Owner's Name be)cf,G�p Date of Permit Application: l h ' I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that:OWNERS PULLING THEIR ABI E H_OME IIV1PR0 MENT WORK D OR DEALING WITH ORNOT HAVE CONTRACTORS FOR APPLIC ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 4Dat4 Contractor Name Registration No. OR Owner's Name The Commonwealth of Massachusetts Department of Industrial Accidents r OfficeSUOY stiyatiMS 600 N a.0itli;ton Street Boston,Alas. 02111 ' Workers' Compensation Insurance Affidavit A nlicant information: name: location: 1 Tn aacol- /z� �/ ci% l�C±)l f /4 . nhonc# ❑ 1 am a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one working in any capacity •...,�`�, -..,e�.,� sa�--•tasf+•r,;aa.v4=-�vsS,R!-,ps•�v?' ,3,;�,s�+;; - - _ 'r^""��','•;nt+�+-+.� L I am an employer providing workers' compensation for my employees working on this job. company name: rMs�1G:+ C � address: 17 l l fitz o-qe-)-► city Co phone#• . insurance co. &.11Z I aX ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: - address: city: nhonc#: insurance co. nolicy# rra. _..._.s.:,._.w.>r_.- ...-_�._ ._a• -"-�s► - - -'r:t"' '�•' c..i�rr iCi..�.ariis:.� cnmpam•name: address: city phone#• insurance co. policy# ,-._. ..ii i .-. — -'Min - _ ch addthonal sheet tf aecessa z-+;w:srr , ;._,�a.._:.,e•;r•�,'... ' ., — NrA :; ;;;; Failure to secure coverage as required under Section 25A of AIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NYORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification. I do herebt certif the airs d e►tahies of perjuq•that the information provided above is true and correct. Signature Date Print name f✓f-&Aa a e� Phone# EU nly do not write in this area to be completed by city or town official permit/license# nBuilding Department [3Licensing Board mmediate response is required QSelectmen's Office �liealth Department 'n• phone#; nOther (revised 3,95 P1Aj Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an cmplitme is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An etnph i,er is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a_joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dxvclling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the ,rounds or building appurtenant thereto shall not because of such employment be deemed to be an emplover. MGL chapter 152 section 25 also states that even,state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant Nvho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. �--. , .,..�,.- w..�...�.�,•;. t �J•a t o.r, 0 �lRa ",'f,,. i.:r c , it.Y w z4 Applicants - Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. J Cit-v or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. . '."YaMMeI+•� . w.yn7., a.��lAef��Tf• £rawq;T'![A.+' T�.V{w, _;, �T,1'r!,,�"-"'fT�..;11..�R7 �l:R?,YTA.�M�P��wful�f , The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 r .......Z ln. ...7-1.7-, .'� �1 /Te Assessows map�and lot number ' sl R tE mo &6rU 1t2 o ^,S,t 15 ..°s ciF THE � '7 / i Sewage Permit number .S..... 11..�.....ltt.5.!...................... ... ') S °��— SE.P eC SYSTEM SUB. : House number .......% ............................. ............................� s m� INSTALLED IN COM TOWN 'OF BARNSTAV AL CODE AND TOWN REGULATIONS BUILDING I-NSPECTOR APPLICATION FOR PERMIT TO 6 D1rWIMki...... � ���r ....GU U . -Z TYPE OF CONSTRUCTION ............W.W.L✓....... 1.�� (.rZ. ............................... .... 6........................19........ TO THE INSPECTOR-OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: • Location ..... ....... .: ..(!?.......LJ� I?Sl ':4.a...............�.'f`�f'�lV. �]........ 1► .................................................. tProposed Use-...h-nM`Y.rER ..... ............................................................... . ....... ................................................. y oning District ............... ..I. ...... ............................................Fire District .........C.l.`cmo ....r.................................................... Name of Owner ..:(AGE.......0.0k.14............................Address ...L.V..b......1.�?.t.l..(. .F.� �U ( rlt � ......... ....... . fi r. Name of Builder ... . Cl �SG D�'F-CAP (�� V 5 33 t�1 .1. .C.....1......!sJ. ..�.�1.1.........Address ............................................... ...........� �� ... �3� 1 Name of Architect ...... .®N�r,............................................Address .................................................................................... Number of Rooms ....V./�..1U ..................................................Foundation .... y /16/0-1................................... ............... Exterior .....4-E.RA(K............................................................Roofing ...... ................................................... Floors W.0Q0 ...Interior mod, 00 Heating .....I ONE............................................................Plumbing .......t./../........................:........................................... Fireplace ...... -........................................................Approximate Cost.«1 �t./...,.. .U................... ....... Definitive Plan Approved by Planning Board __________________________ 9 - - -. Area' 6................. Diagram of Lot and Building with Dimensions Fee ..................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the To n t egarding the above construction. Name ........... .................................................. Construction Supervisor's License ...on.&6.......... Boesch, Yvelise & George No ..... 0248 Permit for add athroom .................. ................ George rg e ... .......add . a t/.hr i....9 -gj�................. ............... ..................... ��J� s Location ...............85 Wa huse s Ave. ............ ......... ......; . . ........... ................... r !ji P rt .............................gyAn ... ............................... Owner ...........Yve.l.i.se...&...Geo.r.ae..B.o.s.ch........ ........ . . .... . ...... . Typ& of Construction ........frame.................................. ................................................................................ ................. ................................. tfl6t Lot Permit Granted ...........aacembp-i-S........19 86 Date '63_f�Inspection .....................................19 r Date-Completed ......................................19 k ' tx: In C) x a tr goo != t) Assessor's map and lot number .. - C 7 "�' � THE SewggePermit number ........................................................ 33AW ELE, i Houre number ........................ ...... ..... .. .....................: 90 Mb a O 39• �0 a MAY A'' TOWN OF BARNSTABLE .p t BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..................................................... TYPEOF CONSTRUCTION ............$...................................................................................................................... 23 ?'.................19 79... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: R .y H annis Port NF3 F Location ..............Y........ :...........�....Y.......................c.....................�.�.��.V.:,S�....�....��!��r..�.............................. Proposed Use ..Rasid�11 � ..'..,�,t�I[�I•. 11Y..............................................................................................I......................... ZoningDistrict-W—s-�...... ^..............................................Fire District .............................................................................. Name of OwnerJQ-'M@..&..YyE3)A5e.. c7..........................Address ...A.101:►..B?,Y.P1.. .:..F.L....3,3.138 Name of BuilderGVM*k.W ur`fi0x1......./ ....................Address 38$., „S R.. ;5: .. ........................ + Name of Architect B),rC n...�...T.A.- k MIlis-;.. Tt� ...............Address �,..N ?.. ...Street,-f., . ! ? K�'.at,}?.. t ......... Number of Rooms Foundation POUred ?? faotinq� 9mcrete Exierior 1190d shinc►le.............................................Roofing App shinq'le �.......... ............................................................... Floors TIC fra. V X0od firdSh.....................Interior ....Gsm.Bpcwd and wood Heating .........GAS. UlTlft,VAter......................................Plumbing .XAMAM My� SPCA:............................................ Fireplace M ..................................Approximate Cost $15s 000.00 .. ............. ... ... ..... ..................... ........... New Livirig Rm 360 SF Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ..Ped;...............4AQ..SF Diagram of Lot and Building with Dimensions Fee - .. ........ .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name(..... .......... Bosch, Jorgp.,& Ifielise A=287-75 No ...21726,�. add to dwelling .... .. Permit for .................................... ............................................. ............................. .. Location 15.Wachuset.t.. ..ven.u.e...... ..... ...... ................. . ...... . .. p_g.......... . y h .... ..... ut-t- . ......... .Annil. or-t ................ ........ ....1�..................... .......... UV Owner ............J.or .....&..Y.v.elis.e...Bosch.,,...,. .. .. . ........ . ...... . .. ti f Type of Constru ion ..........frame y ........... V\j ............................................................................... Plot .......................... Lot .. ............................. ........... Permit Granted .....................Octoberl 19 79.... ........... ....... Date of Inspection ............. ......................19 Date Completed ......... .............................19 /ERhMIT REFUSED ................................................................ 19 01' .............................................. ................................ .... ................... Nl� ............................................................................... Approved ................................................ 19 ............................................................................... ................................................................................ r �A r .= Assessor's map and lot number .. $� ... T•. ••••••• oF7HEto 4 Sewage Permit number ...-................................................... WSW LE, i 2 �( ���r number .....:................. ...Y 9 House m °0 1639• \00 f ENRONMEWAL COD TOWN OF BARNSTAT"BOuL►TIONS>- BUILDING INSPECTOR -' APPLICATION FOR PERMIT TO .............................I......................... TYPE OF CONSTRUCTION ..........4B.......................................................................... .' ,., 18..SepkP.IC . ...........19.E9... �r .he undersi ned hereb a lies fora ermit accor 1ri o-the fo fo'�THE INSdCTOR OF -BUILDIljGS• T 9 Y PPp � g Ilowing inf[ormaYione ! Location ........... °? .r..Hyannis„Port.,..M..............W !:�V.S.L°.. .AK •............................... - ProposedUse ............................................................................... ................ ........:...... Fire District .......................................... ....... ................ Zoning District................................................ Name of OwnerJQrge,•••&..XV€ Iige..,BQS.Ck1....:....................Address I-PryIM.BA.y... 33.138 4 Name of BuilderWa ll. =. ..Yllulu:+=...................... ......Address ........................ F Name of Architect Brmn..&. 1jXXk iSt.,...InC......:.........Address 161..Main..S'tXeetf..Y.d=.uth..PAX.,AVa........ ................Foundation Poured CMCrete footing,,„concrete Number of Rooms .......................................................... .... ..... ......... block wa Exterior ...........Wood-giu ig..............................................Roofing ....4-SP alt sh ncJle............................................... Floors Wood..fz �.. .. h ?.............:.......Interior ....%PS11..$Qard..and.wood �. Heating ..........QW.. .s ...... ....... .. ......Plumbing ..W&t Xg..reVi5ed............................................ Fireplace .........M7.Sq??YY.........................................................Approximate Cost .... 15a000.00........................................... New Living Rm 360 SF Definitive Plan Approved by Planning Board ---------------____-----------19________. Area NW.. e&,.................40.0..SF Diagram of Lot and Building with Dimensions Fee .)g.47-��7S.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of B rnstab egarding the above construction. ZA Name ................. .......... ........................................... Bosch, Jorge & �ivelise `+ t. 726 add to dwelling No ...1.. Permir for g 4. ........................................................ Wachusett Avenue. Location ............................................ ......................... .. Owner JQxge..&AY9Xise..Bosch........ Type of Construction ............frAmer................... u �� r In- _ of ` ' }� .......................................................................... .. Plot. .................. Lot ................................ 0 L' ~Permit Granted October I0 ....19 r9 i Date of Inspe ion ........����.....19 ""Date Completed .........19,5- i PERMIT REFUSED ,t r ....................... ..... 19 ,f i ... ................. ......... .-. .... !�^' iU e........................................... i { 7rn .......................................... .......r / LIt � CS . ... . ........................ . .... r � 0 I n gppr 19fo .... ........v 1 } V. ...... ............. ....................... .............................. L u r 7-7 _ - IILL 440 /+ v Dry/ ' ,5. I /�i' �. Z-c�tiJ/ Io o 0 5 a w� lfill s C -1 � out ly- OF ri h� a/ ALL DIMENSIONS AND DESIGN! PLANS ARE PROVIDED FOR THE FAIR DESIGNED FOR BY DWN DATE BY SCALE DWG USE BY THE CLIENT OR HIS AGENT IN 1 NO. SIZE DESIGNATIONS _ �.� REV GIVEN ARE SUBJECT TO COMPLETING THE PROJECT AS LISTED WITHIN i o� yam. :i .:gam V E R I F I C AT{O N O IUD JOB THIS CONTRACT: DESIGN PLANS REMAIN THE �J!?'� %�j h-� :� �"' L — i �'d L��/ � - 5 SITE AND ADJUSTMENT TO PROPERTY OF THIS FIRM AND CAN NOT BE ;�; y: National Kitchen Bath Association / Nil FIT JOB CONDITIONS. USED OR REUSED WITHOUT PERMISSION. �` v✓��!�c /''' N754259-6002 ` r DW 5-�3�7 . L3/(O' `�J�i/� (� o o l�s'�o W�opo"lp lt T �JG - vvl=3s-la- wl.Oz) ly l L z r' 1 F L ALL DIMENSIONS AND BAra DESIGN PLANS ARE PROVIDED FOR THE FAIR DESIGNED FOR BY WN DATE BY SCALE DWG SIZE DESIGNATIONS USE. BY THE CLIENT OR HIS AGENT IN R ��// / J NO. GIVEN ARE SUBJECT TO COMPLETING THE PROJECT AS LISTED WITHIN "' VERIFICATION ON JOB THIS CONTRACT. DESIGN PLANS REMAIN THE SITE AND ADJUSTMENT TO PROPERTY OF THIS FIRM AND CAN NOT BE FIT JOB CONDITIONS. National Kitchen& Bath Association USED OR REUSED WITHOUT PERMISSION. �,�4'�p � N 154259-6002 /I sJ •'✓.ram-6 U���T oy� All 17 q r •�? ';r G1�lQ •�''� y0 u8 :;F r X.ST 'Y—J - -- - 9 O 2►�o rt�R � ' s tp -Q • i-o T ?7va✓)+.jG, �vd;isiL1C�J '�Ol.+ a°!1►+.1 ?�.. J, � v 'ClJ�?�.s�,.l �►y�r.�f�rs=�zT,:�a ' , nav �3a. r�r .�-�1, �a� fly � i Cl) C/) 4 +twillY .q., l Z W m 'f lO. A.X:tV I.Wiw,anw �_-.--- --- � �o ;,i;#OlNN & t_#ND0l1fST INC 2 . 3� KA MAIN SfREET 14.0 fl.e.'YV \ Y"RA+OUTH Pion T. MSC CON TRACT OR: Iq ,O52 SP 's 'I I. L. AM WAH6UFaT0N1 :K15T,kk,GA4,&4 E t.Y A N N i S. MA AZAD ,, c� ,'/ �' p ST iJl3q 53 3�W -- REu q 5�G EA'�y # r 1 o LU No. 1826 BARNSTABLE, � 6 MASS. y i ' wore % wFntzmisTOQ FOR TN ps:�Wtk4 way;.4ZY J 'apL~a afL,,4"J 5krr'LZD fE27,MS� 5� L.44J IU PV&0Q1 (ZT,l..ih- oa75V �3.Lw4),.w' i9-M t'liEPa;Z'5 Sy Q, ,1-JYL W G T t.T t Jt-- I A,T-E flw6 t"i _ i