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HomeMy WebLinkAbout0444 BAY LANE „ - _ �� �� �� � _ ., N a v a 'ry ,, r o Town of Barnstable ing '. Post This Card�So<That it�s Visible From,tfie,Str„eetA proeed Plans,Must be Retained on Job and#his Card Mustbe Kept , p :: M]LNACAKL6, • .ems / Permit Posted Until Final Inspection Has BeenMatle � r Where a'ZCert�fieateof Occu anc �s Re aired;such Buildm shall Notbe Qccu red"until a;Ftnallnspection has been;made Permit NO B-19-2850° Applicant Name: Ashley Walters Approvals Date Issued: 09/05/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 03/05/2020 Foundation: Location: 444 BAY LANE,CENTERVILLE Map/Lot: 186-084 Zoning District: RD-1 Sheathing: Owner on Record: CILUZZI,JOHN E&GRETCHUN A Contractor ame LOWES HOME CENTERS LLC Framing: 1 x Address: PO BOX 731 FContractor License. 148688 2 CENTERVILLE, MA 02632 �Est Protect Cost: $3,858.00 Chimney: Description: remove and replace 2 single hung entry doors: removeand replace Permit Fee: $35.00 , Insulation: entry door with sidelights Fee Paid $35.00 Project Review Req: Date 9/5/2019 Final: M „ z > y Plumbing/Gas Rough Plumbing: -This per shall be deemed abandoned and invalid unless the work authorizetl,by thls permit�is commenced within sixwmonths afte i Vuan&. Final Plumbing: All work authorized by this permit shall conform to the approved appl cat�o3n and 6 approved construction documents for which this permit has been granted: 1>� All construction,alterations a,nd,changes,of use of any building and strut ures•shall bye in with the local zoning by taws and codes. Rough Gas: This permit be displayed in a location clearly visible from access street or ro{ad and shall be maintained open for public m,�spection for the entire duration of the work until the completion of the same; ', Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by'theBuildmg and FeOfficials are provided�on3#his permit. Electrical Minimum of Five Call Inspections Required for All Construction WorkIlk ' Service: 1.Foundation or Footing 1, 2.Sheathing Inspection . 3.All Fireplaces must be inspected at the throat level before firest flue hmng s installed" fi E . p �,,�, •��V Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: JS�A 5�^� F TOWN OF BARNSTABLE ?b487 Permit No. - ---------- D�n� F Building Inspector cash X OCCUPANCY PERMIT Bond ------------------_ Silvia "& Silo i a Assoc. Issued to Address 1-ot #9 444 Bay Lane, Centerville Wiring Inspector " � Inspection date Plumbing Inspecto f! � L` Jj �w Inspection date i Gas Inspector r'�i1F, 14 Gam.✓' Inspection date Engineering Department Inspection date Board of Health ^` � Inspection date G�_ ��c�/ 11 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 �r�....................................... 19... -� ....� ............._..... C !7 ....�..- ......�.:. Building Inspector FROM i TOWS' OF BARNSTABLE BUILDING DEPARTMENT Mr. Francis Lahteine 367 MAID! STREET HYANNIS, MA 02601 XKNILXKN Town Clerk Phone: 775-1120 L SUBJECT: FOLD HERE DATE February 12, 198f MESSAGE Work has been completed under Building Permit #26487 (Silvia & Silvia Assoc.) . Please release Bond. SI GNE DATE REPLY l i SIGNED N87•RMI RECIPIENT: RETAIN WHITE COPY, RETURN PINK COPY PRINTED IN U.S.A SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. ti x i f Assessors map and clot number ../...... ...... ....... THE Sewage T Sewage Permit number ...�. ) 1-7 ....... . ........ .`................ . BARNSTABLE, i House number ... .... 1639 ........ ...........................,........, 9� O sb39• \00� • �,D_YfkY d' TOWN OF BARNSTAB BUILDING3 X, -- INSPECTOR APPLICATION FOR PERMIT TO TVmuo... *... . . .. T ...... I....... 4 TYPE OF CONSTRUCTION .................................................... ...................................... ...C?....19... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appppylieess,for a permit according f to the following information: Location ...... .4'.........! ...�`��........ i:1.!�'..,:...''-.��. U1...�................................................................... �-- ProposedUse ...1 .............................................................:... .. ........ ..................................................................... Zoning District ........................................................................Fire District ... Name of Owner Cf- .�-l�'.Jh."W `�7;�� K .......Address 4. ..... .....1 .., ...:..... . P ... t Name of Builder l.vt� .�t�V�' �`.5..�.� '.. .��?...... 1�411 � � ".. 1........... . ........ Address ................................... Nameof Architect ............................. ........... ...Addre `Y. .. ........ .................... .................................. Number of Rooms ....2...�.... �aeo : .... .Foundation .................. Exlerior ............ A:............ ........................................... ..Roofing .............. /! ....................... Floors A i - .Interior K.................................... Heating .... ..........�.....r�...... sr .Plumbing ........ ! ".........'........... Fireplace ...................................................................................Approximate Cost ......5Q.I.o.q .,..�.................................. Definitive Plan Approved by Planning Board ----------------------______`---19________ . Area ..... . Ord Diagram of Lot and Building with Dimensions Fee ........... .......� SUBJECT TO APPROVAL OF BOARD OF,V HEALTH I 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. Name ;...... .. :�................. ................................... Construction pervisor's License .................................... I . STOCKER, WILLIAM DR. A=186-084 No „30354 permit for , REMODEL BASEMENT ............... Family Rm. /Den / Single Family Dw. .................................................. ...................... € Location 4.44. ....Bay. Lane . .. . .. ............................................ t Centerville «........................................................................ Dr. William Stocker Owner .................................................................. r <a Type of Construction ..Frame ` ................................ Plot ............................ Lot ................................ Permit Granted .......January..6.........19 87 Date of Inspection ....................................19 - Date Completed ................:......................19 r F;#M - - Assessor's map and got number ... .. !, STALLED °� . SEPTIC SYSTEM MUST THE T Srwage Permit number ...� ......�,..�J..... .............. WITH LE 1 y� IPlI COAAPL r� ENVIRONMENTAL CODE • 'ij MA86 ...Af-... AHH9TADLE, i House number TOWN REGULATIONS "�t639 \0� TO~WN OF BARNSTAB BUILDING INSPECTOR �3 X APPLICATION FOR PERMIT TO ..... ... .............................. 5 TYPEOF CONSTRUCTION ........ ..e' .. ................................................................................................ ...................................... g,9... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... ��.. • k c � .�....... �'1..... .. C-(f .......,. . ... .................................. ......................... Proposed Use S L �� C��b ....... ."1.. .. J�................................................................ .. . ................................................................ ZoningDistrict ........................................................................Fire District ....��... .....©................................................ . Name of Owner .. ! -.4 '.l.L��. . . .......Address �. f ................ Name of Builder ..?I:.�l&4 /lloO..... l ... t�. ��l?".....�• . �........... Address l Nameof Architect ..................,......................................... ....Address ..............................................................................:..... Number of Rooms Foundation ......... .................................:........:........................ Exterior .......U./4......... .. ..Roofing a A ................/A............................................................ Floors ....... ..... �....................Interior ........� ................................. Heating .... .'2 ......K74 LL) .............Plumbing .............� Fireplace ............................................... ..............................Approximate. C,,ost .�5�?U.I. QQ............................................................. .. Y ..DefinitivePlan Approved by Planning Board __________________________ �£� e - - 19 ---. Area Diagram of Lot and Building with Dimensions Fee ''�. SUBJECT TO APPROVAL OF BOARD OF HEALTH s 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. Name ................................... r` Construction upervisor's License .................................... J STOCKER, WILLIAM DR. i t , No 3G35 Permit for ..):EMOEEL BASE. MIENT ....... .... f F anvil y P=. /lien/ Si;> 1e Family1 Dwellin ............................................................. . Location .... 4 4...F3 a� Lane... ............................. LrCenterville 1. ` Owner . ,,Dr William Stocker . ..........:...................................................... .. Type of Construction ... -- '{ t ....... .. ........................................................... r Y 'Plot ........ .............. Lot ................................ �. •,., !. • it r Permits Granted .........ianuary....6.;^ •�. 't.19 87 � Date of Inspection ........................... ...: "19 r _ • r Date Completed .............................*........19 a 4 ,. t •r M t . M iu q , �~ f > Town of Barnstable *Permit# ;90 73 Expires 6 months from issue date „ M,,,B,E Regulatory Services Fee 0� Thomas F.Geiler,Director Build , . �� ing Division �.; ;.,; ER Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 NOV 2 8 2006 www.town.barnstable.ma.us Office: 508=862-4038 T ; ir. Fax: EXPRESS PERMIT APPLICATION - RESIDENTIAL; ONLY ilil Not Valid without Red X-Press Imprint. Map/parcel Number Property Address `i `► ���_ LQ11n '(\�-eC-V L �� OResidential Value of Work S70M'"'-' Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ,Qr- o V G o�K A.A ov��_ ME 03 Contractor's Name T AA), C A 1 }' Telephone Number 0 4 DO G Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 0 ZU 3 2 S �Workman's Compensation Insurance '{ Check one: ❑ :I am a sole proprietor I am the Homeowner• I have Worker's Compensation Insurance Insurance Company Name Q cN s Workman's Comp.Policy# U O 0 �S Pj D _l P jQ (e Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) "*Re-roof(stripping old shingles) All construction debris will be taken to r- c) 1 ❑Re-roof.(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,ctc. ***Note: Property Owner must sign,Property Owner Letter of Permission. Home,Improve nt Contractors License is required. SIGNATURE: Q:Forms:cxpmtrg Rcvisc071405 tr The Commonwealth of Massachusetts X P; Department of Industrial Accidents Office of Investigations 600 Washington Street i Boston, MA 02111 r;~ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Plca�c Print Lct?ibly Name(Business/organization/Individual):—NI .0 � Address: �3� S City/State/Zip: r� Phone c ou an employer?Check the appropriate box: Type of project(required): 1I am a employer with 2, 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6• ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9 ❑ Building addition [No workers' comp. insurance 5. El We are a corporation and its required.] officers have exercised their ME Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152,§](4),and we have no 12)<Roof repairs insurance required.]t employees. [No workers' comp. insurance required.] 13.❑ Other 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infomiation. 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 their workers'comp,policy information. I am an employer that is providing workers'compeitsatiorr insurance for my employees. Below is the policy and job site information. �� T Insurance Company Name:-A rm e,1-Q rS S Policy#or Self-ins.Lic.#I a U tj0ci C�; (S ,�a Expiration Date: d 0 Job Site Address:_4 t1 y��J C`P Q rt) I "P City/State/Ztp: DZ(o 7j Z Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certif ider the pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: jf Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/Liccnse# 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#: _ Board of Building Regulati ns and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 103714 Type: Private Corporation Expiration' 7/9/2008 ' PAUL J. CAZEAULT & SONS', INC Paul Cazeault 1031 MAIN ST -- - OSTERVILLE, MA02658 Update Address and return card. Mark reason for change. Address ,�� Renewal I' I Employment Lust Card DPS-CAI is 50M-05/06-PC8490 ✓ItC L/O'IY(�7ltOOtCUP,ClU.IL o�✓l2CWdlLGi.UQe%C6 Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: ;103714 Board of Building Regulations and Standards Expiration:: 7/9/2008 One Ashburton Place Rm 1301 u,p Boston,Ma.02108 Type:,Private.Corporation :! PAUL J.CAZEAULT"B,SONS INC C Paul Cazeault 1031 MAIN ST j 1 OSTERVILLE, MA 0265-1 Deputy Administrator Not valid without signature ;i Board of Building egulations One Ashburton Pace, Rm 1301 Boston, Ma,.02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 10/20/1959 Number: CS 026325 Expires: 10/20/2007 `' Restricted To: 00 1 PAULJ CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02655 Tr.no: 7696.0 Keep top for receipt and change of address notification. DPS-CA1 0 50M-04/05-PC8698 i ✓/te 1�dnvlltoo o�✓��y6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR f Numberx:,QS, '026325 Bi.tpdate: 10/20/1959 'Explres: 10/20/2007 Tr,no: 7696.0 _ Restricted: 00 PAUL J CAZEAULT4, 1031 MAIN ST �_ . n, "M1 OAT PRooucER TKiS CERTIFICATE IS 1SSl1ED AS KI ATTER :0r INr ircr,�cu w� DOIJLING & 0 NEIL INS AGC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D22 OW WEST:MAIN .IL,INS HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND''OR ALTER THE GOVERAGEAFFORDED 9YTHE POLICIES'RE-WW(_. HYANNIS 1•. 02601 COMPANIES AFFORDING COVERAGE 22 LGR COUPA\r, A TItAVFLF'IiS INSURED PROPERTY SASUAI,T'i COMPANY OF AMER[CA COMPANY i -PAUL J CAZEAULT 6 SONS INC. B 1031'NIA.IN STREET 'OSTERVILLE MA•02655 COMPANY C COMPANY COVE AGES;: :` D sal••+ n:1,•• pOjv.r .T s 3 s`THIS• TO r `�- a Cw iFY TH 3: t. AT7}IE POLICIE., OF INSURANCE LISTED'vBELOW HAVE BEEN ISSUED•TO'THEV�INSURED NAMED'ABOV ::INDICATED NOTYJrfHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER.DOCUMENT WITH ERP CT O WNCHETIHIIS _ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY.THE POLICIES DESCRIBED HEREN IS SUBJECT TO ALL THE TERMS, "EXCLUSIONS AND-CONDITIONS OP SUCH POLICIES.LIMITS SHOYVN MAY-HAVE BEEN REDUCED BY PAID CLAIMS: ` -CO TYPEOFINSURANCE =POLICYECTIVE POLICY EXPIRATION'LTR POLICY NUMDERLIMITS 12WY) DATE(MMDD\YY), i 'GENERAL LIABILITY GCNCIIALAGGIILGAIdlitc) g CUNiMENG7Al GENEFIAL itAUILt1Y' i MIiUUU(:1`J•('nUh1Yl() CLAIMS MADE=OCCUR. PERSONAL A AIW.INg f3vrNBFis a�ONTRACTOa�aROT. EACH OCCURRENCE s '.' RAE.DAMAGE(Any og -: AUTOMOBILE LIABILITY MED.-EXPENSE(Any one person) g. ANY AU TO COMBINED SINGLE g ALL OWNED AUTOS LIMIT SCHEDULED AUTOS BOPkY INJURY (Pe(Person) g HIRED AUTOS NON-OWNED AUTOS BODILY INJURY d (Per Accident) PROPERTY DAMAGE g GARAGE UABIUTY' ' ANY AUTO 'AUTO'ONLY:EA ACCIDENT g " ' • 07hr-R TkAN AUTO OMY. LAC"ACGIOENL s,[ i EXCESS LIABILITY AGGREGATE g' UMBRELLA FORM rACH OCCUnuNCE . g AGGREGATE S OTHER THAN UMBRELI A FORM WORKER'S COMPENSATION AND. A EMPLIIYEElsL1AB1UTY (LIB-0095B69-A-06) 08-10-06 08-10-07 STATUTORYLIMrts THE PROPRIETOR/ EACH ACCIDENT g' PARTNERSlEXECUTIVE v INCL OFFICERSARE: EXCL DISEASE-POLICY LIMIT g DISEASE-EACH EMPLOYEE g T11IL REPLACE:, ANY PRIOR CERTII'ICATC ISSUED TO THE CERTIFICATE HOLDER ACFGCTIIIG WORILER3 COMP COVERAGE. Ad IZE �—�.•._'�.—.._� .� '::`.�i.s:i�i ... :.....:•:n:n.,..s.,u.: ..�.n.. �.....' :,fl n4 i......: .. :. .\.n:.�i:.6t.v.:v:L•.Ei�' �." . - LU SHOULD ANY OFaTHE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE 7HE r " Paul J,Cazeault&Sons EXPIRATION DATE THEREOF, THE ISSUING COMPANYWILL ENDEAVOR TO MAIL ' Roo.fing,lnc. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 1031 Mal T Street LIAWLITYOFAMY'WNDUPCANTHLCOWAA'f,ITSAC.iiiTSGiiRGPFiFSEXT/.Tl}IES, ' Ostervillc, MA 02655 ORIZED REPRESENTATIVE AUTH (/��/y�%,//�f' J//n `M�LIfLIJ%'a+J.'!3i W�1.•Ii:: e:a:':aj;. ;• 1,;i7:"[•2':'6:) ;Y;:,x \_ L6/�`•'v! 0. oftocn�pa�7�otci8s� R , Client#: 19989 2CAZEAU LTPA ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE(MMI Dmrn' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency # HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St PO Box 1990 Hyannis,MA 02601 'INSURERS AFFORDING COVERAGE NAIC# INSURED iNSURERA: Western World Paul J.Cazeault&Sons Roofing,Inc. INsuRER6: 1031 Main Street 114SURER C: ' Osterville,MA 02655 'INSURER D: •INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/DD/YY LIMITS A GENERAL LIABILITY NPP1012091 06430/06 04130/07 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDtEMISES(E. $50 OOO CLAIMS MADE �OCCUR MED EXP(Any one porson) $2 50O X BI/PD Ded:1,000 PERSONAL&ADV INJURY $1 OOO 000 GENERAL AGGREGATE $2 00O 000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $1 000 000 .POLICY jECT M LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ :ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE. $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTOONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS.MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TWO DRYSTATU- I OTH- EMPLOYERS'LIABILITY ZR- ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? - E.L.DISEASE-EA EMPLOYEE $ It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate of insurance will'be issued directly by the insurance carrier. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Informational purposes only DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL I( DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED R PRESENTATIVE ACORD 25(2001/08)1 of 2 #42866 LS1 0 ACORD CORPORATION 1988 Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. (Please return this form with your signed contract, thank you) (prinr) gG( r� S. T�za�b�fos , as Owner of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. To act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) `� s� 6&��� Signature of Owner --6 Date 0 oo Tel# 6L � - 7�� d 0-5 FX r s map and lot number .....,l!/.1�....7 ,'".Sewage Peimit number .......�..1..� .��.,� ` �PT o� o r dr"i? gg�qq gA)a�STAUBM i 6d iiY� is glcMAeB House number ...................:.........: . , F� IV TITLE D%YAY r `.fafV7lyd(�'".s�.,Y ` - TOWN ! ! OF . BARNS�TAB >= �F BUILDING ' INSPECTOR BA����-�r. .:_ 00, �� APPLICATION FOR PERMIT TO o y .. ..�.. . .oRl.i'.1....................... TYPE OF CONSTRUCTION ........(APP1.0........ ! .C'fRiG��r/...✓..Q/�1..........:..................... ' l3. ..1.................................... ................... .... 191. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit itt according to the following infoZ lion: Location . d 77 ...... ��. .<✓• G !{��4�° f . ........................................................ Proposed Use ...a!�✓"t!.zr........... 'J 1. y........... .. ................. ........................... Zoning District( .QG1 ............................ ........ ' :.......Fire District .-..©. ...... . ............................. Name of Owner,�2zt//..4...Sa-SSA.,✓"eA.. CrOC,:.........Address ' .......... Nameof Builder- .' ...........................:. ............................Address ........................................................' �.�. Nameof. Architect ..................................................................Address .................................................................................... Number of Rooms ........ s /Q�® !�'1.�............Foundation PR Exierior .4�ArlbAQ....:.. /.�11.9.�Y�............................:...........Roofing ell ........................................................Interior ..� ... ,p Floors }P�Pw.oa.Q i4` ..../..)..®r- . ............................................ Heating )10Ao,Q.... ............. .1.1...............Plumbing /.'! C............ �j�G ,................................... Fireplace .....Q.................................................:.....................Approximate Cost 2-0.3 ..........::...:........ ................. Definitive Plan Approved by Planning Board _ _____ ` =_ 011j�®r . -------19- - Area Diagram of Lot and Building with Dimensions Fee .. •%•{ . ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I 1 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. ..� 1001, �• ��\ . Name .. � '.ls .. ...... .................:.................. 67 SILVIA & SILVIA ASSOCIATES 26487, 13-2 Story ................. Permit for .................................... Single Family Dwelling ...................................................................... -Location ....Lot..9 4.44..Bay' ..Lane.............. . ....... ... . .... ....... ......... Centerville ........................................... Silvia & Silvia Owner ............................ Type-of Construction ................... ...................... .................... Plot .......................... Lot. ................................ Ma Permit ,Granted .... 24, . .......19 84 .................. Date of Inspection ....................................19 Date Completed ....................... Ilk � ,. f!, j}: .; `^� , !L Assti!;,y�'r's map and lot number ...... T E rot "Sewage- Permit number ........ J............... Z EARNSTAUL House number ............................... 71..... .......... SAM ... 00 039. ON Ic TOWN OF BARNSTABLE too " BUILDING INSPECTOR APPLICATION FORVPERMITjQ...... ZE....... ............................ ....................... ... -1AP1 -P/h,�p //-� sS7�— A/ TYPE OF CONSTRUCTION .........4101W......... ..................... .................................................. ..................................191 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..,Zal .........119. ..........4,eev ............. ...45 77-T I .. ................................................................. 5C� .. ... . ... Proposed Use f...... ..........1.1.E... . //.�. .4.W . . ........................................................................ Zoning District ............................. ....................Fire District ................... Name of Owner 5,-z4uK4... 4.1.1m..�f.f A-C...........Address ............ Nameof Builder" ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..6;............. ............Foundation ........ ........................ Exterior .........CYe,.Mtk.............................................Roofing ........... • Floors ................................................;..�......Interior ........ ................................... Heating ...... ............j2d.............Plumbing ...........j6�,&; 4................................... Fireplace ......*�.......................................................................Approximate Cost • ..........................J,................ Definitive Plan Approved by Planning Board ---------- 19 Area .. .. ....... ... .................. Diagram of Lot and Building with Dimensions Fee .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. Name .................................... /9 193 26487 ...'...,,,,���',,'����'���'��������'� Owner ..... — Type of Construction F.'J;4M.............................. ............................................................................... Plot ............................ Lot ................................ ' Permit Granted .D��'..24..----'---l9 84 Dafeof Inspection ------------l9 Date Completed ...................................... � . � � . ' ' ' � ( , � `I /J 1 d A I . •O� P r - r I� O n J•1 t1Y r 1� �qj t IJN QR�AIJI> IV 11* YI V i^.RED 4! • A, r� w� �r(ca £?.xT'ER a, a 1 t 4.7 No.ry ST . ���