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0565 BAY LANE
0 OULU Town of BarnstableBuilding Post This Card S'o That rtas Nisible,,,Fromvthe Street ;;Approved,Plans,Must be Retained on.J,,objand thisCartlMustbe Kept Posted Until Final Inspection Has e x a, Permit Where aCert�ficate of Occupancy s�Required,such Bwtdmg shall Not be Occupigd wntil a Finallnspection�h�as beenmade Permit No. B-19-130 Applicant Name: Henry Cassidy Ap provals Date Issued: 01/14/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: , .07/14/2019 Foundation: Location: 565 BAY LANE,CENTERVILLE Map/Lot. 187-052 Zoning District: RD-1 Sheathing: � � Owner on Record: VIGUE, D PETER&DOREEN I&NOEL f _. Contractor Nirbe -.HENRY E CASSIDY Framing: 1 (. �v� Address: 13 HAWTHORNE VILLAGE APT B 3 Contractor License CS 100988 2 FRANKLIN, MA 02038 %1,R'Est Project Cost: $3,300.00 Chimney: Y Description: 6.25" R19 unfacedd FBG batts to 160 sq ft attic,2" ngid bd:to 240 sq PermitgF�e: $85.00 ft kneewall area,8 hrs air sealing, basement 160 sq ft'ngid bd to sills I Insulation: Fee Paid $85.00 Final: Project Review Req: Signed installers certificate required to close Da"te 1/14/2019 WS Plumbing/Gas Rough Plumbing: a y _ x Building Official Final Plumbing: Rough Gas:. This permit shall be deemed abandoned and invalid unless the work authonzed,by this permit is commenced within six onths after issuance. All work authorized by this permit shall conform to the approved application and 4heapproved construction documents1&4hich th s permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning b,,-"-a;and codes. A This permit shall be displayed in a location clearly visible from access street or roatl and shall be maintained open foKpublic inspection for the entire duration of the work until the completion of the same. Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures byahe Buildmg�aridFire Officials are prou ded n this permit. Minimum of Five Call Ins ections Re uired for All Construction Work:' s p 4 �, ._ Rough: 1.Foundation or Footing ' ' 2.Sheathing Inspection Final: 4 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed t. 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable Biilldlilg '..° w. y.� w.„fit W., a' As ,,,,.. . . `° ., :;r• a+' "�"ems ",' 4"t� :M"•". "" '+. a^ :�._" r r "fig, * C 9 s i PostThls.Card So.That'it is Visible From the`Street-A roved Plans Must be Retained on.Job and this Card Must be Ke t m pp b ksc ,w • ,.ia 'Posted'sUntil Final ins ection Has.Been'Made ` '- _ k. ; WWhere a Certificate of Occupancy is.Required,'such Builtlmg shalLNot be Occupieduntil:aFinal Inspection has Permit . .mac+-a's�. w :wA :. 't .,kaa :,T„=...,. �a,:,,., v :fa: +.,u s�s.:•3 k7.r.>krc,a ,..na: «•skaEsw .�,5 :mo-.,�as: .a�'�. a'. rM, .�w., +:r>rra.m, + a.a; °.d :.;a4u�,;. Permit No. B-18-507' Applicant Name: BAYRIDGE REALTY LLC Approvals Date Issued: 03/02/2018 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 09/02/2018 Foundation: Location: 565 BAY LANE,CENTERVILLE Map/Lot 187-052 Zoning District: RD-1 Sheathing: 7,7 777 Owner on Record: BAYRIDGE REALTY LLCM Contractor Named Paul A Carrigan Framing: 1 Address.' 16 KINGS WAY F Contractor License 3288 2 a " 4 HYANNIS,MA 02601 Est Pro}ectCost: $0.00 Chimney:. Description: Instal a 1st Basement Bryant 21/2 ton Air Handler Install 2nd y Permit Fee $85.00. Bryant(2)ton .Insulation: Fee Paid $85.00 Project Review Req: Date 3/2/2018 Final: 3 m Plumbing/Gas � k - Rough Plumbing: +; t Bu'ilding Official Final Plumbing; This permit shall be deemed abandoned and invalid unless the work authorized by�this permit is,commencedwithmsix months after,issuance. All work authorized by this permit shall conform to the approved appliption and the approved construction documents,or�whk this permit has been granted. Rough Gas: All construction,alterations and c anges of use of any building and structures shall tie in compliance with the local zoning ig laws and codes. r Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public ins ectio for the entire duration of the Ar work until the completion of the same'. ' Electrical The Certificate of Occupancy,will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.pv _ Minimum of Five Call Inspections Required for All Construction Work ' Service; 1.-Foundation or Footing �I 2.Sheathing Inspection ' Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: . 4.Wiring&Plumbing Inspections to be completed prior to frame inspection 5.Prior to Covering Structural.Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth,in MGL c.142A). Fire Department Building plans are to.be available on site Final All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r . Commonwealth of Massachusetts 4 Sheet Metal Permit Map Parcel D r� Date: ermit# I V Estimated Job Cost: $ d Permit Fee: $ f Plans Submitted: YES NO evie d: YES NO Business License# Applicant License# Business Information: Property Owner/Job Location Information: Name: CAPno ro P1 , -1 Name: Street: )0 Am`.)e� S A V`{- Street: A V LA h n City/Town.: u A t, w\4 City/Town:(,,e 1 n Telephone: SO 3 7 2.0 Telephone: Photo I.D. required/Copy of Photo I.D. attached: YE,51 NO Staff Initial J-1/M-1-unrestricted licen J-2/.M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family_�_ Multi-family Condo/Townhouses Other Commercial: Office . Retail Industrial Educational Fire Dept.Approval Institutional_ Other Square Footage: under 10,000 sq..ft� over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVACX Metal Watershed Roofing Kitchen Exhaust System I Metal Chimney/,Vents ' Air Balancing .Provide detailed description of work to be done: T 17 S' ? o`�n A f , INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes❑ No ❑ If you have checked)LU, indicate the type of coverage by checking the appropriate box below: A liability insurance policy�1 Other type of indemnity Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waiyes this requirement. Check One Only —10 C r Owne Agent ❑ Signature of Owner or Owners Agent By checking this box(],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and'Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Pro>iress Inspections Date Comments Final Inspection Date Comments Type of License: By aster Title ❑Master-Restricted CitylTown ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted �— License Number: Fee$ ❑ Check at www.mass.gov_!dp_I Email Inspector Signature of Permit Approval i r . The CamrnMt Veakh 00&WO irMsefts Deparbment gf1ud=strid Attire 49 e a,�'�atrcros 600 Washutgton Street _ Boston,MA 02111 mvmamss grov1d= Warkers' Compensafsan,Insurance Affidavit BuflderstCnt racf u-Mecbicmn Tbmbers Applicant Infcrrmaf an Please Pr y Addy m Are you an emphayer?Check the appropriate ba:c ' Type of project{required}: L❑ I am a employer v&h. 4- ❑I am a genexal caafmctor and I * have hiredthe sulr-ca®hrat-tars 6. 0 Neweonst ucEon employees(full.andfor part-time). �''� I am a sole gropaietos orpartaer= listed on:ttxe attached sheet'. ?- ❑$per°a l%n•c ship and le pr no ta-Grpemployees • These sob-c:=tMctars have g.,❑Demolifibn wading far me in any capacity. employ and have wor3cers' 9. ElB,ui lies addiiien jNu ttiodaess'camp-irtsnraare COS-i„`�",�"e$ 5- ❑ We are a-corporZmnandits lOL❑Eleo6r.l repairs or addstions officers have•xacised their IL Plumbrn re ans or addiiims rigb3.❑ I am a lnameov�er'daiag all wad ❑ � P of per MO- �[Nowa&m i - 2,§I{ ct weE veu noRflofrepain employees.[No war ners' 13-❑other corms immmmce required.] ;�agp�rez� 71tcbedcsbaa�l m�aLsa iIIlonfthe sectiaabebonrs then:�aodcee:�p�aapa�cgiva_ �amena 16:1submit&isw5dara`i they=e&h3gagwak=49m:algxeaamde:souticans—st submit anewaffid2vft sach- ffimrebecY boxmastxMr1 =sAdidmi'l shed sboWbgthe=naoEfestb•coahsChxSandstdpwheflmarnmtibnseeffdnHsvp- ��oyees.Ifthesuh-to-nim�Esh�c2�pIo�zs,�amst�ov-idel�ir zrarkms'�p.paTi�at�beL ' I am an srnplar fiirr#isgrauidirig�vori�ers'coresrd inn isziraaca f or m}�emP�3'ee $ei`vav is�hTiepaficy arrd jab spa injormahbrs Imu aaceCompanyName: Paficy or SeU in.S_J io_4L Fspi abate: Job Site A ddress CctylStaw : Af€ach a copy of the tis orders'compensation.policy-dec ra4ion gage(showing the policy number and expiration date). Failme to secure coverage as required under Sedim 25A of MCL c-IT—can lead to the imposition of aiminal pemIties of a fine up to$UOD-Oa anWor one-year imp isvr as w&as civsl.peaslties in file foan of a STOP WORK ORDER and a fine of up to$250- 0 a clay against ffie violatar. Be advised that a copy of this statement stay be hrwarde,d.ta the Office of IavesEiga#inns of the DIA,for i•ns=nee-coverage vedficaSsnv_ Ida her*c asoff tbs pales andpaudffes of f�arJut}'fhattJie in,farmrdr'urr pros-u�ahot�nis bars a�rcl correct Sim Dat,— Phone 9k c7 3- 7 2 5� Orwidd use twi£y. Da snot write in thb"ea,to br,cvmpF&a by cdy arfaivtt affw&I City or Tav= Fermiff tense 9 LTMing-Ax[&ority(carte one): L Board of Rkalth 2.B'ldgtg Department 3.Cityf£own,Clem 4.Electrical Lispertor 5.Phmrbing Inspector ' 6.Other C'anbct Person: L — - 6 fnformation and Instructions � f lfassarlrmetfs G,,_ a Laws chapter M rega=all employers to provide Wogs''conpeasafion furiheg eozpIoyees- pm- m-mtfp this sty,air.=TkyP is deed ss 6:eYelYpersonm$ie sravice of anotherun any. com Tact ofliire, express or implied oral or wrtit m." An r2np&TEr is defined as ran mdxYidaal,per,assocMam,corporation or o$=Iegal enemy,or any two or more o€the B regoi og engaged im a Joint eahmpri=,and inchhdnlg-die Iegal representafrves of a deceased employer,ar•he receives or ttustee of an fid vices part=bip,association or other Iegal edify,employing eropIoyecs- However•hr, owner of a dwelTmghouse havingnotm i tbm three apartmeb andwho resides herein,or the he- occapaat oft dweITmg house of another who employs pen rms to do maintenance,c msf-ructi n,or repair woik on such dweIlmg house or om fhc grounds or bmIliag appurhimttihereto sbzU not becaase of such earploymrtbe deemed to be an employcr" MGL chaptrr 152,§25C(6)also states that"everysts I or local sen:dng agency shall wifiihold the issuance or renewal of a Hmm e.or permit to operate a bnmtess or to contract buHdiugs in the commonwmli3i for any applicantvwho bus not produced acceptable evidence of compliance with the insurance covexage required.' AddrdonaIIy,MfiL chapter 152,§25C(7)stars'Teithm the - nor;�ayy of its political subEvisims shall enter ink nay contract frs the performance ofpnblic wow u�acceptable evidence of compliancewith the T„��T,�. regzm=em s of this clVter havn Been presented to the C;Qnfra-��a 3ffa01 iy." APPIicau-� Please fh-II oil the woA='compeosation affidavit compyt-ly,by diecEng I.e boxes ffia±apply to your dtuafion and,if necessary,supply sub-contracmr(s)nmne(s), addresses)and phone nombm(s)along Wdh th=c e(s)of i .sm ce_ Lmmi� Liabi-ay Companies(LLQ or I imitedI i-Efy-ParftmmIips(LI.P)withno employees other than the members or parbam,are not reqaired to cony worms compeucafion igsorzao If an LLC or LLP does have employees,a policy isrequued. Bea.dvisedihat this a.$ckyhmaybe submitted iuthaDepatfinentoflndustrial Accidents for cohfnmafion ofinsnz�ce coverage. Also bemre to sign and data�he afIIdavit The affidavitshould beTeanned to the city or town that the application fur the pew or license is being requested,not the D epartra f of Indactjpj A cmdenfs. ShouR you have any questions regarding the Law or if you are regret ed to obtain a worms, cornpen<ati=poHcLplmsecaafmDepameofattbemmnb= ist�dbeIovt Self- compa3iessbouIdeuti-rtheir self-niece liceosona bet an the agprapdafe line. City or Town Offieials Please be sure that the affidavit is complete andpriutcdleglly_ The Departram±has provided a space at fhe bottom of the affidavit for you.b fill out i a the event tbt Off ce oflnvestig-aiims has to arffactyoaregardmg fhe applicant Pleasebesuretofilliafaopeun�censen-rrm erwhiclxvMbeusedasareff:c=cemmbcr. Inad&ion,anapplicant Rt mart Submit mulfrpIe pe®t!1-cense appl-ieations is any given year;need only sol mrt me affidavit indicating current . policy mRR3mafion[if necessaxy)and under`Job Site Qom&*the applieMt_should "aII Io ns m (coy ar - town)--A copy of the affidavit fhat has been officially stamped or madced by fhe city or town maybe providad-in the applicant as proofthat a valid affidavit is on fie for f f - 'permits or H=mes- Anew affidavhnnst be f Mcd out each year.Where ahome owner or cY=ais obtaining alhownc or p=itnotrelafedis my business or commercial (i..e_ a dug license orpe❑lit to burn IeaYes a _)Said peson is NOT re T'Ed to complete this affidavit. Thin Office oflnycstigaflons wonldlilm to thank you m abmm for your cooperation and should you have my questims. P lease do nothesitafa to give us a call. The Department's addiress,telephone and fax mMtc&1T;&astda]Amident,% face a��f�ftioa� EtQsuo-m:,M&oil IT -Tf,-1.4 617 -4- c�xt 4-06 or 14M MASSAM Faxff 617 727'749 Revised4-24-07 � �Wff Y Town of Barnstable Building Department Services `• Brian Florence,CBO Mesa Building Commissioner ED Mld 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If U�, wilder I, i'1f1�3 � �d:GtCf1 6�L &2�1 Ups Owner of the subject property hereby authorize U L C n±� '1'1 to act on my behalf in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. n Signa caner^ Signature of Applicant PAU I- (LA 0 Print Name Print Name ZlqlN Date Q:FORMS:OWNMERMISSIONPOOLS Rev:09/16/17 Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 MAX& � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION. number strEet. village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityAown state zap code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildja ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building_Department minimum inspection procedures andrequirements-and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be remured,to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)s for hire to do such work,that such Homeowner shall act as supervisor." P O P Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often . results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building pemut forms\EXPRESS.doc 08/16/17 LICHENS u .p , t A MBER� r Q� r ' 0325 2bi3 NONE MX WOO AI 6 � fit,,�� D� ONE �+s�soc�fi0 �&03 �" • AMV ETS.�«� AYEam "K ` / vp ' 'rw t+ FAI�M,{�OUTH�I�AAp25g03352 "' ^ .,`r olf „ .. '' �� '„ i•« � ,w { ^::"t't2,� DDe0.3�s37 Z0731Revet ' � - """�. � F� P � '. ,:b t'E'R'"'d'.'7".".`�=•""'"eTM"�;^.,'..rs .:: :cs»rx"5�r14 �: _ .- COMMONWEQ�.TH.'OF MAS pCAj'A ..°. • Kol a - 012 w-lcl Loi U2 lLqL I ;• c 7 f'@ :x " l�Lt''x} ��AR.1 �I' .,x^ c a`: r n, y Y>w + r' uu.} .fix fi{ St " SHEitT METkL WORKERS SSO OW W I UES�THE F LL ING UGENSE AS A " I rcT MASTER UNRESTRIGTED Y;MIT PLt I ilL q � w p, ,TIQKET,MAU2536 2U84 EA � „� " ,�`_-."'"',� '�5 °r.���. ',�'�'a� �`��� a,�e• a'��ar� e t"� E d4 1 ��,�, ,���a' ', - ,�,, 7 t' .. { �••` i `� • ■ `&.>„«�' ,� 7az+, a^'s `fit I u �,4*" t . .• a. x.-..:•.c. - rv.:svc�,:.asxvutix,:zar .. , :4u d: • - � 4g111'_'ffr r� Town of Barnstable ing! Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and,this Card Must be Kept BAJUN�WAHL�$ Posted Until Final Inspection Has Been Made. gFoir��a Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Applicant Name: dennis kerkado. Permit No. B-17-4200 Approvals Date Issued: 12/05/2017 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/05/2018 Foundation: Location: .565 BAY.LANE, CENTERVILLE Map/Lot: 187-052 Zoning District: RD-1 Sheathing: Owner on Record: Bayridge Realty LLC Contractor Name: DENNIS KERKADO Framing: 1 Address: 16 kings way Contractor License: CS-093445 2 Hyannis, MA 02601 Est. Project Cost: $ 18,000.00 Chimney: Description: Replacement windows and siding. Permit Fee: $91.80 Insulation: Project Review Req: fee Paid: $91.80 Date: 12/5/2017 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is.commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from.access street or road,and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. " Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: TPersons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Fire Department r Final: I". Building plans are to be available on site lr All Permit Cards are the property of the APPLICANT- ISSUED RECIPIENT i ' Town of BarnstableEcEi€Pr 200 Main Street, Hyannis MA 02601 508-862-4038 6'� Application for Building Permit Application No: TB-17-4200 Date Recieved: 12/5/2017 Job Location: 565 BAY LANE,CENTERVILLE Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: DENNIS KERKADO State Lic. No: CS-093445 Address: Hyannis, MA 02601 Applicant Phone: (508) 577-7258 (Home)Owner's Name: Bayridge Realty LLC. Phone: (508)577-7258 (Home)Owner's Address: 16 kings way, Hyannis,MA 02601 Work Description: Replacement windows and siding. °=y) . ) CD Total Value Of Work To Be Performed: $18,000.00 ; Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).... I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subjectof this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: dennis kerkado 12/5/2017 (508)577-7258 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $18,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $91.80 12/5/2017 $91.80 )CM-)CM-JXOC-€ Credit Card Total Permit Fee Paid: $91.80 r �TaV Q¢ T�I�ISIuS 8N'OT APES ` x ` Town of BarnstableBuilding (1 �8ARNeVAULC, " Post This Card So.That Wis Visible From.the Street-.Approved Plans Must be Retained on Job and this Card Must be Kept �tiv "As �11111 Posted Until Final Inspection Has Been Made. Where a Certificate of.Occupancy is Required,such Building.shall Not be Occupied until a Final Inspection has been made. , Permit Permit No. B-17-4199 Applicant Name: dennis kerkado Approvals Date Issued: 12/05/2011 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/05/2018 Foundation: X Location: . 28 CROSBY CIRCLE,CENTERVILLE Map/Lot: 188=059 Zoning District: RD-1 Sheathing: Owner on Record: Bayridge Realty LLC -Contractor Name: DENNIS KERKADO Framing: 1 Address: 16 KINGS WAY Contractor License: CS=093445 2 HYANNIS, MA 02601 Est. Project Cost: $ 15,000.00 Chimney: Description: Replacement windows and new roof. Permit Fee: $76:50 Insulation: Project Review Req: Fee Paid: $76.50 Date: 12/5/2017 final: Plumbing/Gas * Rough Plumbing: Building Official - Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved"application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the.Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department N Final: �r"• Building plans are to be available on site Ilk: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of BarnstabilyRECE�3P1' KAM 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit PP g Application No: TB-17-4199 Date Recieved: 12/5/2017 Job Location: 28 CROSBY CIRCLE,CENTERVILLE Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: DENNIS KERKADO State Lic. No: CS-093445 Address: , Hyannis, MA 02601 Applicant Phone: (508) 577-7258 (Home)Owner's Name: Bayridge Realty LLC Phone: (508)577-7258 (Home)Owner's Address: 16 KINGS WAY, HYANNIS,MA 02601 Work Description: Replacement windows and new roof. Sip, --�22 Total Value Of Work To Be Performed: $15,000.00 =-a Structure Size: 0.00 0.00 0.00=4 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work'on the above property in accordance with the Workers' Compensation Act'(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: dennis kerkado 12/5/2017 (508)577-7258 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $15,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $76.50 _ 12i5i2C $76.50 i x3oa-XXXX-XXXX- Credit Card 7121 Total Permit Fee Paid: $76.50 Sly/'L �oFr r ti Town of Barnstable - Re �IIa to 47 r Services �ip:res 6 rtrarrlhs jronr is trrr dale Fee 16j9.a $ 1b Thomas F. Geiler,Director Building DiYLSI0i2 : - Tom Perry, C$0, Building Commissioner 200 Main Street; Hyannis, MA 02601 www.town barnstable.ma:us Office: 508-862-4038 EXPRESS PERJ HT APPLZCAT Oar Fax:508-790-ti230 RESIDE '1'TAI. f}tLY `,O tYot Yrrlill tvltltorrt RedX-Press.I>rtprint Maplparcel NuFnber er7— Pro rty Address�C.� Residential . Value of Work tYlioimum fee ofS35.00 for rvorlc under S6000.0 =0 ..Owner's Name.& Address. * Contractor's Nanie ICJ r—. nn �1 e S ices a Tolephone Number Sa — p i _ g �a Home Improvemcnt Contractor License #(if.applicable) 6S f3 1Construction Supervisor's License#(if.applicable) 00, workman's Compensation Insurance - Check one: ®PRESS. PERMIT ' ❑ I am a sole proprietor ❑ am the Homeowner MAY 17 2012 I hav en e Worker's Com sation I 'p nsu ran ce . isurance CompanyNatne l�eW Div TO WN OF BARNSTABLE {-r- 'orkman's Comp. Policy# 07 S � )py of Insurance Compliance Certificate must accompany each permit. -mit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris 4vi11 be to -------------- ❑ Re-roof(hurricane nailed)(not stripping, Going over existing layers of root) ' ❑ R side Replacement Windows/doors/sliders. U-Vahte #ofdoors (maximum .3S)#of windows f Where required: issuance Off,is permit does not exempt compliance with other town department regulations,i.e.Historic.Conservation,eic. ***Note: Property.Owner must sign Property Owner Letter of Permission. A copy of the Home ImprovernenG Con fractars License & Construction Supervisors License is rect,r i rerl'�. ;TURF: "'OdI i .EsIFOP,VSlbuild ng pe;nit for;:skExp ss_doc _ f Tile Comntonweaith of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Sweet Boston, MA 02111 - www.maass gov/dia Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers Anulicant Information Please Print Le&ibly Name (Business/Organization/Individual): D Vn P✓ P/ Address: Vaxe_5 Lrru D City/State/Zip: JdA:6, 3 03 Phone#: Are you an employer? Check the Appropriate bo . Type of p ect(required): 4 I general contractor and I I. %i I am a employer with . am a l"?:% g 5. w construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner-' listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have : g, []DemoIition workingfor me in any.:capacity.', employees and have workers' $ 9. ❑Building addition ,[No workers' comp. insurance comp. insurance. 10.❑ Electrical repairs or additions required.] 5. ❑ We are a corporation and its 3.❑ I am a homeowner doing all work off cers have exercised their i 1.0 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: .f Policy#or Self-ins.Lic.#:•• ©l q ,?j 6 c5 Expiration Date: 3 — Job Site Address: (�.S ��✓ City/State/Zip: e 4 /A ©ry 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$i,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 certify under pains and penalties ofperjury that the Information provided above is a and correct, Si afar : ���i�� Dater Phone#• 0,fiicial 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#. 4"�lle C!-GmrfeGfvveirl�iE Cif �' Office of Cousumer Affairs& 88si8m Regina aun HOME IMPROVEMENT CONTRACTOR s. Registration: -1i 6893 Type: a' Expiration 6%3032 Sppiemenl C The Home Depot At-Home Services DARREN DEMERS r . 2690 CuMBERLAND PARKWAY S = °`�-- A` GA 30339 U,udersecreurr License or registration valid for individui use only before the expiration date. If found return to: , Office of Consumer Affairs and Business Regulation io ParkPlaza-Suite 5170 ,arc Boston,MA 0211.E -- Not valid without signature ,5�-Ir I PM PAUL' 4 vax berver . ................ .. ... ..F.I. . .. . DSU .-4..R.-....." . .,C. .--.F-1.: .. . . . . . ISSUE DATE E -FINN. .... . . . . 1111=011 ..............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),AUTHORMI) 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 endorsemeryt(s). PRODUCER CONTACT BRYDEN&SULLIVAN INS AG NAME: PHONE FAX 88 FALMOUTH ROAD (Ar-No.Ed): A!G No E-MAIL HYANNIS,MA 02601 ADDRESS: PRODUCER IN I SURED - CUSTOMER iDt INS )AFFORDING COVERAGE NAIC# TORRES,ERICSSON DBA INSURER A TRAVELERS PROPERTY CASUALTY ERICSSON HOME IMPROVEMENT CONFANY OF AMERICA 16 HOOVER ROAD INSURER B WEST YARMOUTH,MA 02673 INSURER C. INSURER D INSURER E INSURER IF COVERAGES CERTIFICATE NUMBER REVISION NUMBER f[THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEER ISSUED TO THE INSURED HAMM ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMT,TERM OR CONDITION OF ANY CONTRACTOR 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.LIMIT 9 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE AIM. SUBB, POLICY NUMBER POLICY EFF POLICY EXP LMTS LTR GENERAL LIABILITY INSR VAM D DZx=CURR=E $ I)AUWE 10 MIED $ 0 enmm "GMMLkL UP=IY pmafft(Eux E!D.ZX1W8Z(Amyo= $ 0 CLPMgmm a C)CCUL pavou PELMAL&AW. $ 111TULY GMTDALKWRWP611 $ GMrL AGGIMME L=1 APPLIEtPEL' PN=UCCvPMP $ 0 P=y a PBOrPEI a Ux PZG AUTOMOBILE LIABILITY CCMEMM 11101.1 $ Feclrmcilnm DO"ILY $ 0ANYAU110 (1-127y =M Y C'." 13 =OwmxU109 B a WRIMULEDAU20t PRcPELzynkUKGE $ (Paz A&Gibo) 0 Ymirnmrzos $ D Nw-OwiximpLurog $ a UMUIUM0 a cccn EAZECCCUIREITCE $ D 11=11111j" a CLADS&MADE PLGGRWXZE $ 0 LENCIMI $ 0 U1151=1 wc $ WORKERS'COMPENSATION SIATUICLY A AND EMPLOYERS LIABILITY N/p YIN A lEmmiuirjEa"znaMMM EL.DZKPxCMEwI $100,000 " mm"C"PAn"m Fy NIA 7P]UB-4433P248 11109111 11109/12 EZLUEM - EL.11111KE-WE XAMATORY III MM InEnzym $500,000 $100,000 1XICRIPTION OF OPIRATIOMMOCATIOMMIRICU13(MUILACMD101-Kddi1bz41A=&&fG'aavh-'f=*m sP4&&'=4L'dMa) IKEwatms cC3nw&k1ICKPCLTYDOE9H1OI pjMWjC0VWZEji0LEtXtMV JCnZjDBkUM92OV-1I1P1JOVEM3DTI JIM 1118nEU 9 UK WC1=j COMMthZION PCLZYAND 118 LUCIED 0101.81PLIES 11TIULUME MMMAMI AVIBO=8 IZMP&VMI CFBMTEPIIS11C)LCLKMS MADE]YyllMnimm E&LaMIDT SEP.IltOlMEL2M6j MA.lMAUlEMZkTEffIgGrJ&IOPAYCLMXSMLBMIMIgniPWIlAIRDISELZW3Mk7lHEnigURIMMIE&CLEMBIRM MaWMS0111131: THE Rn)LACU ARY PRIOR CTRTDQCATT>BSIIIDTO THT CIRTDRCATTHOU3RAMCTING WORIERS C 039 C OVMAGr X: X .......... .......... .......... THD-AT-HOME SERVICES INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ATTN:INSTALLER RELATIONS DEPT BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 2690 CUMBERLAND PKWY SUIfE 300 IN ACCORDANCE WITH THE POLICY PROVISIONS. ATLANTA,GA 30339 RIMMMUTAUIZ t •1'testrietod'to::�.�� .• . . i ' � . Vt:►sx:tcbusctts- l)cpartmcnt of Public Sakti 1A- Masonrj'only' i^ 9 •Bo:ir(l t►f Buildim- Rtrul:►tions and Sta W ndards RF- indo vcning Construction Supervisor Specialty License VS- indo�4s snit Siding SF- Solid Fuel Burning:Devices License: Cs•St. 10646' DM-Demolition only Restricted to:,. WS Failure to possess a current edition of the .tRICSSOWTORRES Massachusetts State Building Code 16•HObVE1 ROAD is cause for revocation of 'this license. •W,EST`YARMOUTH. MA 02673 Refer to: WVi►VU.Mass.Cov/DpS i Expiration: ,BHB/2012 t„�„��ilsiullPf Tra: 100W _ License or rogistratlon valid for individul use only �iEs mi lli e .moo Itegi leabefore the expiration date. If found return to: otateetcoasoMWAtl WO&D K'R`R"t'N0A Office ofConsumer Affairs avid Business Regulation H014E IMPROVEIYIEN?� �� Type; 10 Park plaza-Suite 5170 taegistratioa::�^163528' Expir , , 13 pgp Boston,MA 02116 NOr a+• � :— _ham^""...r-�'�� ` ERICSSON f• . tlaeeseaetaq Not valid without signature WEST YARMOtiTtT. _,.. i a / HOME iMPROmIF.NT CONTRACT PLEASE°READ THIS Sold,Furnished and Installed by. Branch Name: Boston Date: Y ' THD At-Home Services,Inc. d/b/a The Home Depot At-Horne Services / t V 9o8 Boston Turnpike,Unit 1,Shrewsbury,MA 01545 Toll Free(800)657-1182;Pax(508)845-fr017 Branch-Number.,31 Fcdcral'lll#75-2698460;ME Lie#C 02439;RI C-L Tic#16427. Cr Uc# .0565522;MA H improvement Contractor Reg.#126893 installation Addrs - rty State Zip PdB)= work Phone: Home rhonC: Celt rtwne:_ e Home Addte&s: Stare Zi (If different from Installation Address) City P E-mail Address(to receive project communications and Home Depot updates): ❑I DO NOT wish to receive any marketing cmails from The Home Depot P[oieet Infornt�tion: Undersigned("Customer'),the owners of the property located at the above installation address..agrees.to buy, " and THD At-Home Services,Inc.("The Home Depot)agrees to furnish,deliver and arrange for the instanation(`Iristallatiou")of. all:materials described on the below and on the referenced Spec Sheet(s),all of-which are incorporated into this Contract by this referene c,along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders(collectively, "Contract"): jam Sheets)# P. Teti Amount �� Roofing Siding Windows Insulation ` ^� 6 0C hers/Covers DEnttyDoom 0 � �fp01M EI Roofing Siding Windows, Insulation $ DGutters/Covers OEntry Doors El Roofing Siding Windows Insulation $ [10umn/Covers ❑Entry Doors❑ ^. Roofing LISimng Windows 'ittswation $ .[JCutters/Covers ❑l ntry Doris 0 M®mnm25%.Depe4tofCanotradAmomtdne.gxuemcudmafthbeoflha:L Total Contract Amount $ Maine purchasers may not.deposit more their or*thud tithe Contract Amount. Customer agrees that,immediately upon completion of dui work"for each lkodaox Customer will execute a Crriripletion Ceriifi.cate m (one.for each Product as dcfini d by an individual Spec Sheet)and pay any balance due. As applicable,each Customer under this Contract agrees to be,jointly and sewcraily obligated and liable hereunder- The Horne D*A reserves the right to issue•a Change Order or terminate this Contittet or any individual Product(g)included.herein.at its discretion,if The Home Depot or its authorized service provider determines that it cannot perform its obligations due to a structural problem with the home,environmental hazards such as mold,asbestos or lead paint,other safety contents,pricing errors or because work required to complete the job was not included in thenttru;L— � �i payment Surnmaai : The Payment Summary# t' / /" included as part of this Contract, sct� forth the total Contract aurouint and payments required for the deposits and final payments by Product(as applicable). d NOTICE TO CUSTOMER Certificate(note: " You are entitled to a CompiCtely 8llcd in copy of Lhe ConttacL'aI t>ie time you sign. Do nrot sign a Completion" there is we Completion Certificate for each listed Prodtwt as defined try individual Spec Sheets)before work on that Product is complete. In the event of termination of this Contract,Customer agrees to pay The flmme Depot the costs of materials,labor,expenses and services pimnded.by The Home Depotor Author ced Service Provider through the date of termination,plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE LIMITING THE HOME OME DDEPOTT''$OTHER RENlEDIES FORFROM THE DEPOSIT PAYMENT OR OTHER RECOVERY OF SUCH AMOUNTS.TS MADE, W iT'Fi UT met Acceptance and Authorization: Customer agrees and understands that this Agreement is the entire agreement between Customer and The Home Deport with regard to the Products and Installation services and tiuperscdes all prior discussions and agreements,either oral or written,relating to said Products and installation.This Pj�reement cannot be assigned or amended except by a writing signed by Customer and The Home Dep0L Costouner acknowledges and agrees that Gltstomer has read,understands,vol rarity accepts the terms of and has received a copy of this Agreement. As, red by: - by. �-- X Cusco ees Signature Date Saks sultant's Signor Date XTelephone No. Customer's Siim aturc Date •Sales Consultant License No. _ (as applicable) CANCELLATIONt CUSTOMER.MAY CANCEL THIS AGgEEMENT WYMOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON THE 'THIRD BUSINESS" DAY AFTER.SIGNING THIS AGREEMENT- HERETO STATE SUPPLEMENT CONTAINS " A FORM TO USE IF ONE IS SPECIFICALLLY PRESCRIBED BY LAW 'IN CUSTOMER'S STATE." NOTICE.ADDITIONAL TERMS AND CONDITIONS ARF.STATED ON THE REVERSE SIDEAND ARE.PART Ur'i'HIS CONTRACT tl3-9a 12 C 5C White—Branch File Yellow—Custorer td WdVi:Z 800Z t l '^ON iLZZZ9£805: 'ON Xti� pEbw2[; Wp�{i Assessor's rap and lot number ....... T H E ypF Sewage, Permit number .........ffl... ............................ SEPTIC SYSTEM M I. INSTALLED IN COM AZLE, House. ......................................................number WITH TITLE 5 1639- rareENVIRONMENTAL COD TOWN OF BARN,-STACBjLFPULAT1ONS BULL 7G 1NS�PECTO 'Ear Am�...:....... ............. n- APPLICATION FOR PERMIT TO P . ..... commjr,-, ...........0 CONSTRUCTION ............ Nt Wk OF ...... .00.8 . ................................................................. . ...........................a/- A TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to th7`° following--�a owing information: W Location .......... .......... . ). . .... . ........................................................... ( ProposedUse ................................................... ....................I............................................................ .............. ......................... Zoning District ... .... ....................................................Fire District . ................... ..... . ..... ........ Name of Ow :......! q k ...........Address ... ..... .. --------- Q Name of Builder ..allt.11.�. k?....................Address ..... ..........................................................S... . .......... Name of Architect ...................................................................Address .......................Number of Rooms .................................................................. .. .....M...:\.(:>......... ExteriorA**V**......................Roofing ............................................. Floors ....... LT.0..... .....................:...........Interior .............. ..... .................. ...............................I.Plumbing ....... Heating ......... ........................ Fireplace ................ -Y- -e--s. .............:......................................Approximate ..................................................Approximate Cost ..... ................................... Definitive Plan Approved by Planning Board --------------------------------19--------- Area .............................. Diagram of Lot and Building with Dimensions- Fee ........ e......................... woe SUBJECT TO APPROVAL- OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Re I tions-of-the-Town`off Barnstable regarding the above construction. 9�0 .... . ............ .... .... ........ .. .. ............. .. .Name .. ................ DALGLISH, DR. PRESTON 22946 One 1/2 Story , o ................. N Permit for .................................... Single Family Dwelling • Lot #4 565 Bay Lane Location ................................................................ Centerville ............................................................................. Owner Dr. Preston...Dal g.l.i s.h................. . .. .... .. .... .. .. .. .... .. .... .. Type of Construction F... ..r.ame.............................. ..... ................................................................................ Plot ... ........................ Lot ................................ March 26,— - 81 .............................• .....f: Permit Granted ... 19 Date of Inspection ........................... 9 Date Completed .......... 19 PERMIT REFUSED . . ....................................... ..... �19 > tr..(................. .............................. '5% ................................................... .............................................. C) 1�............................................... ApproXe ........ 19 ............................................................................... ................................................................... : ' Assessors map and.lot number ^ . .: OfTNEtO r � Sewage Permit number ...... c /....�! ��:............................ House number Z Z BARNSTABLE. i t639• \e 0 YPY p. TOWN OF BARNSTABLE BUILDING INSPECTOR f ( APPLICATION FOR PERMIT TO :........� `S`;ttr.K-1.�, �•� �. a• t114 ..........:....................: !•... ............ ...... TYPEOF CONSTRUCTION ......................../.........:................9....! :......:............................................................. ..............................:....'.?:......19 ":.!.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to {the. following information: Location ............. .......................y :7 ...:1. ........`.._... !�;�;} ;�,�.,!'�i c:....................... ................................... ProposedUse .................. ................................................................................................................................................... 1 r_ Zoning District ........................................................................Fire District - rc�i ����'.tS {� _.�r �.�i�� c. Name of Owner_.. - :... c�,tc?�S �C`,.}t�:.: :...........Address ... ..1... :... '�nn�..: c; �c �;�r-.. {{' _ Name of Builder .. Tl, �r ?� t, .k� .....................Address .....`........ . ..... . .k:! ...... ;Tt.... +,L .\c4 Nameof Architect ................................................%..................Address .................................................................................... Number of Rooms ............ Foundation ..`. � ` C`r A'.c rep r-- `• \ C. L�-� ti,\�.., .........................................�.... .............................................. .. Exterior �l ( �a�s `t:r ;ice `: -r ?`t`� `.......................Roofing .... 1 . �=......................................................r..i ............................................... ............................... Floors _ ................ Lx �a�t s��.....� i��� Interior ....`.. . �".r:,�.. )�.... ......J :� .7C C Heatirig ...........�. .�:f`'r. '....^...?.k....................':............Plumbing ......... .................................................. Fireplace ................ .......Approximate Cost ..... ?.�� .;...'. C .................................. I Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee.. ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH F I hereby agree to conform to all the Rules and Regulations of the-Town of Barnstable regarding the above construction. _ Name .......... ........... ........... _ ......... ............................. ::)DALGI�IGB DR. PRuSzum . No -22946^ S���� ,—.--- Permit for . — —. ` Si l i i ___.����_�.. ���nu ..��n��������.____. � . Location —��t—#4_5��`.B��...I,.���___. � � ille � ------<��gt�����-------------- Owner Dr. Preston li b___. � Type of Construction --..F.r���------- - � --------------------------. � Plot ............................ Lot ................................. � March 26 .......... 81 PermitGrantedlA - uota of Inspection .19 PERMIT REFUSED / ............................ ................................... 19 -------..^ -----.---------.--. � ............... ' . --. ..~~----. ' —'—'''',[''~`^^---~—^'---- ' Approved ................................................ 19 --------------~'—^'---'^^^'—'—~' ----^---''--^^--^-----'-^'--^''~— - - � .e TOWN OF BARNSTABLE Permit No. -----------_---------- { DA"n.0 ; Building Inspector Cash O�,63 \� OCCUPANCY PERMIT Bond ----__----------- ________ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Dr. Pre-,3t on Dal g1j.g ' Address + brook.l.:i ne Wiring Inspector t �'. '. _ ...___ _.- Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. All. ...................................................... 19..._._ ......................................................»..._»..__..._.... ..... _._.._._._ Building Inspector S 3 ,4 3a.8 � tU 1 9 pit .d , � I 15U14,0 "111 �°� 32 1 0 �'Z t z ea—€st ' _Z _ su6s�,t- De 5'f t uV• 34.G 5 2 C�y� (,ri \►.� lt�► 3vX 1►.�t irN W)VO Gh�. 1►,� ; 33•� LeA++A 6 k1 l Gf i 3 ,a 33, 33.3 7 � ° �.-1 •d 51zr�c �� a 4 U � ��'C.G�..Ib,T�►J '� —�'— � "'� � �� ��-- lam' l...0 , 5 ,-z 'F:7b r-L 4-- VA,.\u.( FR.vvv = \X x 3 = 3 Z& G.P,V / _ •r tS1J UJAv 51��-= tS� S�KZ•S �(s�- ��5 �' �'D, wWt►M C. mA tA 4'«,L Q 1 C,l� 42 G•�'t? 9�