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HomeMy WebLinkAbout0169 WHITEHALL WAY 11#o44 THE Application numb �..:.........� .. �g Date Issued.........J .l .�.�..�........... . ' tAR'V5TABLE, , MASS. MAY o ZO�I Building Inspectors Initials..... CFO MA'S� ........................... �I,� T®\!`nlnj O� B.w11�NS Map/Parcel....,v.,*2.7L....../......R..(.)......:..................... TOWN OF BARNSTABLE �• EXPEDITED s PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: NUMBER STIeEET VILLAGE Owner's Name: �,3�;a„ i s L s Phone Number -21,3—5 p . S 7 7 Email Address: %m4*.(ce,,• Cell Phone Number Project cost S Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Sep A-F(Q�� �,n.-(r -� Date: TYPE OF WOE Siding U Windows (no header change)# I U Insulation/Weatherization Doors (no header change)#_J_ Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to w a s4e'/�G�a CONTRACTOR'S INFORMATION Contractor's name 3rran `7zn/1,'so✓� Home Improvement Contractors Registration(if applicable)# 17 3 2—L(_5 (attach copy) _ Construction Supervisor's License# 0� S 7 07 (attach copy) Email of Contractor See- 9 qs ' • C M Phone number 1/0l- z Z R -9 goo ALL PROPERTIES THAT HAVE.STRUCTURES VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY is 91V A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. r APPLICATION NUMBER.....:...................................................... *For Tents Only' 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 approvaaL XW®®D/C®AL/PELLET STOVES x Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand any responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State wilding Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. Renewal Agreement Document and Payment Terms Andersen. dba:Renewal B Andersen of Southern New En and Y . 8l :' Brian&Nancy Lessard AL.A. Legal Name:Southern New England Windows,LLC 169 Whitehall Way RI#36079, MA#173.245,CT#063455.5,Lead Firm#1237 Hyannis,MA 0260t WINoow 10 Reservoir Rd I Smithfield,.Rl 02917 H:(203)520-5677 Phone:866-56372235 I Fax:401-633-6602 1 sales®renewalsne.com' C:(203)209-6069 Buyer(s)Name: Brian & Nancy Lessard Contract Date: 04/27719 Buyer(s)Street Address: 169 Whitehall Way, Hyannis, MA 02601' Primary Telephone Number: (203) 520-5677 Secondary Telephone-Number: (203)209-6069 blessa.rd35@gmail.com ' Primary Email: 9 '. " _ ' Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern.New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor) in*accordance with:the terms and conditions described in this Agreement Document and Payment.Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document, the terms.of which are all agreed:to by the parties and incorporated herein by reference(collectively, this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: - $9,557 By signing this Agreement,you acknowledge that the Balance Due;and the Amount Financed must be made by personal check;bank check,credit card,or cash: Deposit Received: $4,779 Balance Due: $4,778 Estimated Start: Estimated Completion: Amount Financed: 6-8 Weeks 6-8 weeks $91557 Method of Payment: Financing We-schedule installations based on.the date of the signed contract and secondarily on the date in which we complete the technical:measurements.The installation date that: we are providing at this time is only an estimate.We will communicate an official date. and time at a later'date:,Rain and eztre'me.weather are the most common causes for. .`delay. Notes: 50%start, 50% at comp, permit/taxes PD in Barnstable Buyer(s)agrees and understands'that this Agreement.constitutes the entire understandings between the parties and that there are no.verbal understandings changing or modifying any of the terms of this Agreetrienr.No alterations to or deviations from this Agreement will.-be' valid without the signed,written consent of both the Bit r(s)and Contractor.Buyers)hereby acknowledges that Buyer(s) 1)has:read this Agreement, understands the terms of this Agreement;and has received a completed,signed;and dated copy of this Agreement,including the two attached Notices of Cancellation,.on the date first written above and:2)was orally informed of Buyer's right to cancel this 'Agreement. NOTICE TO BUYER: Do not sign this contract if blank..You are entitled to a copy_ofthe.contract at the time you sign. YOU,THE BUYER, MAY CANCEL.THIS TRANSACTION AT ANYTIME NOT LATER THAN MIDNIGHT OF 05/01/2019 OR THE THIRD BUSINESS.DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN ' EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC o dba:Renewal dersen of Southern New.England Buyer(s). Signature of Sales Person Signature Signature Seth Grizey Brian Lessard Nancy Lessard Print Name of Sales Person Print Name Print Name UPDATED: 04/27/19 Page 2 /11 a_//� ri���C�fl�Cl��-C/G/�C•� ����1CGCf�CC��P��� Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston,-Massachusetts 02118 Home Improvement-Contractor Registration Type: Supplement Card Registration: -173245 SOUTHERN NEW ENGLAND WINDOWS LLC.10 RESERVOIR ROAD Expiration: 09/18/2020 SMITHFIELD,RI 02917 -OS/17 SCA 1 Co Update Address and Return Card. 20�M� Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Regis(ation Expiration Office of Consumer Affairs and Business Regulation 173245_=_'_ 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW ENGLAND WINDOWS,LLC Boston,MA 0211 BRIAN DENNISON R 10 RESERVOIR ROAD SMITHFIELD,RI 02917 Undersecretary va► without signature Commonwealth of Massachusetts 't Division of Professional Licensure Board of wilding regulations and Standards (-Ionstrucftn ' w—arvisor CS-Og5707 p Ea t i res: 09/08/2020 BRIAN D DENNISON 8 BLACKWELLtDRIVE , , ! CHARLTON MA'01507 i i - Comrrftsioner a The Commonwealth•of Massachusetts Department of Indusbrid Aceidentr 1 Congress Stree4 Suite 100 Boston,MA 02114-3017 www mass gov/dia Workers'Compeasatioa Insurance Affidavit.,Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNUTi'LYG AUTHORITY. AooGeant Information �y , ` Pkase Print Legibly Name(Business/organ izationAndividual): � 4 1 e r f 1Ve Lt� 12 Ice Y �1 n T,� 1ls Address: /U �Ser UD/r Z101 ''`— Ci /State/Zi : M t e 7?1 DL / t) tY p S �t-t7 � t � 7 Phone#: y0/—zz�f— 9 Are you an employer'Check the appropriate box: Type of project(required): 1 am a employer with 20'�employees(full and/or part time).• T New constructiona 7. 29 am a sole proprietor or partnership and have no employees working forme' g m any capacity.[No workers'comp.insurance required.] , 8. rl Remodeling 3.01 am a homeowner doing all work myself;(No workers'comp.insurance required.]t 9. ❑Demolition 4.[J 1 am a homeowner and will be 10❑Building addition hiring contractors to conduct all work on my Property- [will •.- ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions Proprietors with no employees. 12.❑Plumbing repairs or additions 5.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have workers'comp.insurance.t 13.[]Roof repairs 6.ore We a a corporation and its officers have exercised their right of exemption per MGL c. 14.g thef�/r n //ett w aF_/ /00 r 152,g 1(4),and we have no employees.[No workers'comp.insurance requked.] r F/_D/,F e *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those rntities have employees. Ifthe sub-contractors have employees,they must provide their workers'comp,policy number. I am an esTloyer that is protnding workers'compensation insurance for my employees; Below is the policy and job site information. Insurance Company Name: r Q Policy#or Self-ins.Lic.#:_ 3/S' .2'QO?Y Expiration Date: L.O Job Site Address: 9 a/l,iA--A,& / k/,a y City/State/Lip: S /� Attach a copy of the workers'compensation policy declaration page(showing the policy numb r and expiration date). . Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce under the p ' penalties ofperjary that the information provided above is true and correct Si re: Date: Phone 7,Z� 9 ) Fc600,, al use only: Do not write in dds area,to be completed by city or town official r Town: Permit/License# g Authority(circle one): I. rd of Health 2.Building Department I City/1'own Clerk 4. Electrical Inspector 5.Plumbing Inspector er ct Person: Phone#: CERTIFICATE OF LIABILITY INSURANCE DAT2/28/2018 ) 12/Z8/2018 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 endomement(s). PRODUCER CONTACT CoBiz Insurance, Inc.-CO NAME: 1401 Lawrence St., Ste. 1200 W NE Exti. 303-988-0446 Alc No:303-988-0804 Denver CO 80202 ADDRESS: COMailiMcobizinsurance.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURER a:Firemens Insurance Company of WA,D.C. 21784 Southern New England Windows, LLCINSURERC:Homeland Insurance Company of New York 34452 dba Renewal by Andersen of Southern New England hem 10 Reservior Rd INSURER D: Smithfield RI 02917 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:787175890 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 ADDL SU R . POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MMIDDNYYY LIMITS ` A X COMMERCIAL GENERAL LIABILITY CPA3158728 1/1/2019 1/1/2020 EACH OCCURRENCE $1,000,000 CLAIMS MADE a OCCUR PREMISES(AMAGE ToEREN a occurrence) $300,000 MED EXP(Any one person) $10,000 PERSONALSADVINJURY $1,000,o00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,0130,000 X POLICY JET LOC PRODUCTS-COMPIOP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 1l1/2019 1/1/2020 COMBINED SINGLE LIMIT r� X a accident $1 D00 D 0 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIREDAUTOS X NON-OWNED PROPERTY DAMAGE AUTOS er accident $ $ A X UMBRELLA LIAR IXI OCCUR CPA3158728 1/1/2019 1/1/2020 EACH OCCURRENCE $15,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DED I X I RETENTION$n $ B WORKERS COMPENSATION WCA315872924 1/1/2019 1/1/2020 X AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICERIMEMBER EXCLUDED? N/A $1.000,000 ( yes,describe under Mandatory in N N E.L.DISEASE-EA EMPLOYEk$1,000.000 DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $1,0W.000 C Pollution Liability 79300733400DO 1/1/2019 1/112,120 Each Occurrence $2,000,000 Claims-Made Policy A99re8ate $2,D00,000 Retroactive Date O6/20/2013 Deductible $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATIONAL PURPOSES ONLY AUTHORIZED REPRESENTATNE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Assessor's offioe (1st floor): p Assessor's ma and lot number ��' %a Fn+¢T p ...........................................: �' SEPTIC S1fSTE@I�IUIUST BE Q.,° Board of Health-(3rd floor): �. _ / © f V STALLED IN C0MPUANC Sewage Permit number ........................... ?. ............. ` t BAHII9lGDLE, Engineering- Department (3rd floor): WITH TITLE 5 J1'9 A�4'- °°,, M6 9• : ,.� House number ... ............:............. ENVIRONMENTAL CODE .................�.,............:..... ®I+I� a• APPLICATIONS PROCESSED 8:30.-9:30 A.M. ;and 1.00-2:00 P.M.,only@N REGULATI oYa TOWN. 'OE B_ARNSTABLE BUILDI G I S�PECTOR Lr APPLICATION FOR PERMIT TO ...: ... . .....�%_..0.�:C....... �...�•�d.� ..�.... ............:............................ • �.�. .: . c............. . ........ TYPE OF CONSTRUCTION .... X TO THE INSPECTOR OF BUILDINGS: The undersig pd h reby applies for per 4acqo/ri.. to t following i formation: . . � ......... 'c.... ...... .. •Location �t..F'! ......................................... Proposed Use' .... �.��.... .1..�,...: L,c t' LJ..(..... .................:................... .................... ............................ ............. Zoning District .... ... .....(. ....... ..... G1_1. rl.(.. .�.. Fire District ...... ... �............ ............ Name of Owner .0 �� '.�. .r1.. ��.C�t.... G ...(.Address .......t.... Name of Builder ....Sc( .......................................Address ..:...................:............................................................. Name of.Architect ..................................................................Address ......................FoundationNumber of Rooms ....G................................ ...... X.C—.�' r I pp II Z Exterior ... �!�C.. . Y`r ... .�4. .... ....0 1..0. ... Roofing .. '1.. .�,.). ....................... Floors ..�>!�. ..�:.. ...... ... .�if . .,. ......... ...................Interior .(!le�. .. C..V ................................... . Heating :. ..... ..... ..:.C.�!l g .... .Cry. C.` .................:.........:...:.......... P4umbin Fireplace' Approximate Cost ... ©................................................................... .. ..................................................... o� GG Definitive Plan Approved by Planning Board __.__ ---___tt _�Q�____19_D�. Area ../. . 0 . S..... Diagram of Lot and Building with- Dimensions Fee e. . r SUBJECT TO APPROVAL-OF BOARD OF HEALTH 3ca l c r ' • t OCCUPANCY. PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the TZoIrntable 'regarding the above construction. Name ... . . �.... ..�., ... ....................... Construction Supervisor's License C7 ?1,, ��. ....... GREENBRIER CORP. 30/270 One Sto . ............... Permit for ....................... . .......... ti Single Family Dwelling . .......................................................................... ot # 1 Location ...L.................5 , 169 Whitehall Way............................................. Hyannis ..................................................................... ......... Owner .....G.re.(�!nb.r.i.e.r. ...C.ork. .. .... ....... .. . .. .. .. .... .. ......... ........... Frame Type of Construction .......................................... Plot ............................ Lot ................................ Permit Granled ....... 19 86 Date of.:Inspection .... ...... ... .....19 Date Completed V, ft* M < M v r#i Assessor's offioe (1st floor): / ASsessor's map and lot number ��"../90. . �oF THE to`♦ Board of Health (3rd floor): 3 I'll , �Q Sewage Permit number � 6 .. 101g, '� Engineering Department (3rd floor): --/6 ��f oo rb 9- House number `e....................................................................... �0 YP�a' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO O,f /„G <<�.C. :.,.�/G,).�� ( .r.0, ............................................. TYPE OF CONSTRUCTION G �,,,,,,, .............. ................... . 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies ffor�a ,permil, accordi ng, to the following information: Location /G/ ...` . .... i./..�� r'e!l.. C ,�'r.�...../.,fC- 41�/_S ................... . .. ..............,.................................................. �-../ �,l Proposed Use ....5....1 G..... . � . :../... ...... ......................................................................................................... Zoning '-?C-J District ...........Fire District ......�...........,..................................... .. G ...il..! 1.!................ CA Name of Owner .�.�.�.�.il.........�..!..+r..�:....�GFe.Address ..4.%.......!. Nameof Builder .......?. <(...! !�. ........................................Address .................................................................................... Nameof Architect ..................................................................Address ................................................ Number of Rooms .... ......................................................Foundation ..P �b Y1..C....lr l�:.. . Exlerior ..........�1........................q.,................. ......................S.Roofing ... ...._......��..!,,..... ............................ FloorsA-).I.�.C_...L..,/ -..... ................................Interior ..... e.P. .c... ....�............................. Heating ........ ../T............1t�1. ... r7. ..5................Plumbing ............................................................. Fireplace ..................................................................................Approximate Cost T 5 O ©� � GG Definitive Plan Approved by Planning Board _____7?s•_�?_� _ _ 19_D_�. Area .......................................... Diagram of Lot and Building with Dimensions '" Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 7 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam /�/ e .....,,. .......... . ...........J,. ..... . ....................... Construction Supervisor's License .� ., ....... GREENBRIER CORP. A=272-190 Noi 30270 Permit for .....One...S.t.9U....... '-� Single Family Dwelling._......,, Location .....Lo.t #15.�......169 Whit.9ha,11 Way ...................Hyann i S.......................................... Owner ..,Greenbrier. Corp.,..................... Type of Construction ........Fra.Me,,,,,,,,,,,,,,,,,,,,, ............................................................................... Plot ............................ Lot ................................ Permit Granted December. . ...10,.19 86 .. .... ....... ..... ....... Date of Inspection ....................................19 i Date Completed ......................................19 r ly L oitxr�. TOWN OF BARNSTABLE 30270 Permit No. ................ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond `�.. CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. Address Lot #15, 169 Whitehall Way Hyannis, Massachusetts 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. r ........ ... Building Inspector ,���..� °•�w TOWN OF BARNSTABLE BUILDING DEPARTMENT = INARISTAU N&ua r � TOWN OFFICE BUILDING � 9 i039' HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: "Building Department DATE: An Occupancy Permit has- been issued for the building authorized by BuildingPermit #.! ..Z... 9... ..._.............................................................................................. _ ._ .... __ issued to i J' 'r/�� '/ 1�' .... � /, .------../ ...1��/��%ram e' - Please release the performance bond. 174 . . . T~`?`4i°t�l b9PCAPN'STABLE, "MASSACH.USETTS t 0 s T c J , .F I F., r;r R Mi I"f ).�.�.#.:__._ APPLICANT. {'ij-��,4 t2�'t; fF C PERMIT TO i.3uild .1.)yie.A' i lil( ( 1) STORY (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) Lot. 1 1S y 169 Whitehall �Va',,/ H'ya,i"lilu DISTRICT (NO,) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: JoWc7ge '1 i86-1012 AREA OR VOLUME li96 scl. ESTIMATED COST 45, 000. 00 PERFEE MIT $ 60. 00 (CUBIC/SQUARE FEET) ' OWNER GreE.nbi:i,:r l.Ui. .>. - BUILDING DEPT. ADDRESS L�. U. LSO? 510� Ce,I'lt e'ry lc BY T 7-� 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- oll 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 INS ECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. ' POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 f 3 �. HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 OTHER 2 CARD OF HEAD / :L98 7 ( VVV i�cvTp-&v14"_ . ..... As WORK SHALL NOT PROCEED UNTIL THE INS PEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN Sl;t MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTIOK PERMIT IS ISSUED AS NOTED ABOVE. NoiIFIGATInN-- e ! t t x t • o '. "� _ 'i .. ¢� .tom Yt. t I LOT ' 21,�95I SF x Lu Z T Z 27.5At 2.1 Ti S y, -�--s_ �4 d.so tea:'• � =� �`' So' W IDom. R iVATl� � �AA'i 14, ; I CERTIFY THAT THE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND �` ROBIN AS' INDICATED AND CONFORMSr,�: ti'�. � ! - TO THE ZONING LAWS OF fi 10 319,4 z��� MASS. a° a Gs •i ATE REGISTERED- LAND SURVEYOR LEVY a ELDREDGE ASSOCIATES,INC. CL.IEIVTGg I I T PLAN -' ENGINEERS - LANDSCAPE ARCHITECTS JOB NO. 04� �� ��. PLANNERS- LAND SURVEYORS r DR. SY, IN r 9 E" MAIN STREET CHI40 ®Y1� k CENTERVI LLE, MA. 02632 SHEET_L..sy� OF F� SCALE C,q y t .., . DATE 4 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) ��� . ol() ��,'" TOWN OF BARNSTABLE Date 19 LJ- Building Permit# AT: Location &'A Owner's Name foWASe, l+ way MOCIP►P)s i Type of Occupancy: New ❑ Renovation ❑ Replacement IN Plans FIXTURES Submitted: Yes❑ No ❑ Z = N < N N Vl O Z ~ > N W W >L J N Y U < (a 7 o C C h Z N < C < 0- Z O _Z t^ is C S N U. Z Z Y K N = b 3 X U Z C m N yCj Y ' I.- N O < N Z C tL C O W C W �- t- ty < N O < J N C C J O CC W C W = O F < Y W IL aC W = h U > l- 0 Y d > try yYi _Z W H O V S Z < ~ < < S N < < 0 < J J < C C C < O < 1.- 3 Y J m N O O J ; 0 t sue—BSMT. BASEMENT • C 1ST FLOOR I ZNDFLOOR e 3ROFLOOR 4TH FLOOR t► STH FLOOR BTH FLOOR 7THFLOOR STHFLOOR (Print or Type) Installing Company Name v Check One: Certificate ❑ Corp. Address 1 �►��i�T _ o ❑ Partnership 5L Firm/Company Business Telephone "7 I SiS Name of Licensed Plumber i 9L e I hereby certify that all of tlw details and information I have subuuned lot entered)in alsuve application are tone and accnrale to lire bent of any knowledge and that all plumbing work and installations iwrlormed under Permit issued for this application will be in compliance with all pertinent pro- visions of the Massachusetts State Plumbing Code and Chapter 142 of the General LAwL I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature o Owner/Agent ' 9 I have a current liability insurance policy to include completed operations coverage. By Title Signature of Licensed Plumber Tye of Plumbing License City/Town: Lis se Number Master ❑ Journeyman APPROVED (OFFICE USE ONLY) BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. i APPLICATION FOR PERMIT TO DO PLUMBING NAME i TYPE OF BUILDING lw LOCATION OF BUILDING (a�hhl�C PLUMBER PERMIT GRANTED DATE 19 PLUMBING INSPECTOR