HomeMy WebLinkAbout0056 BRALEY JENKINS ROAD F
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MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424
6/12/2008
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139,Sec.36
BARNSTABLE BUILDING COMMISSIONER
367 MAIN STREET
367 MAIN STREET
HYANNIS MA 02601
Re: Insured: PETER C.&SHELLY C.DAVIES
Property Address: 56 BRALEY JENKINS ROAD,CENTERVILLE,MA 02632
Policy Number: 1038145
Type Loss: Fire(including Fire caused by Lightning
Date of Loss: 06/11/2008
Claim Number: 252569
Claim has been made involving loss,damage or destruction of the above captioned propert,which may either
exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any
notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the
attention of the writer and include a reference to the captioned insured,location,policy number,date of loss
and claim or file number.
MPIUA Claims Division c -
M
Cam '
r
CMA00021
rle rv: is y,l Page: 001-003
Client#: 16665 2MEAG HE RCO
CERTIFICATE OF LIABILITY INSURANCE 09/06/07D/vvvv)
' <6DuCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Dowling$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.
973 lyanough Rd., PO Box 1990
Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Associated Employers Insurance Compa
Timothy Meagher D/B/A INSURER B:
Meagher Construction INSURER C:
4.9 Guildford Road
INSURER D:
Centerville, MA 02632 INSURER I
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 SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN SR ADD1 POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER
GENERAL LIABILITY _ EACH OCCURRENCE $
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY _ P EMIS S Ea oc rrence $ -
CLAIMS MADE ❑OCCUR > - MED EXP(Any one person) $
PERSONAL&ADV INJURY $
-. - GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $
POLICY PE Q 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 $
t OTHERTHAN
-
AUTOONLY: AGG $.
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR ❑CLAIMS MADE _ - 4 AGGREGATE $
DEDUCTIBLE - ` - $
RETENTION $ $
A WORKERS COMPENSATION AND WCC5005442012007 06/23/07 06/23/08 OR
X WC STATTUI JOTH-
EMPLOYERS'LIABILITY -
ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $1 OO OOO
OFFICER/MEMBER EXCLUDED? - - E.L.DISEASE-EA EMPLOYEE $1 OO 000
I(yes,describe under -
I:rEL PROVISIONS below - E.L.DISEASE-POLICY LIMIT $5O0 OOO
....: -
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Insurance coverage is limited to the terms,conditions,exclusions,other
limitations and endorsements. Nothing contained in the certificate of
insurance shall be deemed to have altered,waived,or extended the
coverage provided by the policy provisions.
(See Attached Descriptions)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Town Of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL in DAYS WRITTEN
Building Dept. - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
200 Main Street - IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Hyannis, MA 02601 REPRESENTATIVES.
A U T H OR I Z E P R E S E N TA T I V E
ACORD 25(2001l08) 1 of #48992 NS2 0 ACORD CORPORATION 1988
Town of Barnstable *Permit# dd 6 -
Expires 6 months from issue date
Regulatory Services Fee a
Thomas F.Geiler,Director
-PRESS PERMIT Building Division jolt r
O C T x 2007 Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
TOWN OF BARNSTAf3LE
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X Press Imprint
��—
Map/parcel Number
o
Property Address�L�f Q—�:��i1) rua C�T
Residential Value of Work ,dC7Q O Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address ()Le q T If 6"
Contractor's Name Q ' ,-,/ 0.0i121LQC'110YV Telephone Number , � ��'0 e_(,t �
Home Improvement Contractor License#(if applicable) j y�j j
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
I am the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name JA,E , ,
W orkman's Comp.Policy# LGC �-n M-�i qa 0
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
❑Re-roof(not stripping. Going over existing layers of roof)
Re-side
Replacement Windows/doors/sliders. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of,the Home Improvement Contractors License is required.
SIGNATURE: e-11
Q:Forms:expmtrg
Revise061306
Gl1e -Pomvn./d
Board of Building Regulations and Standards
ij License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR ' before the expiration date. If found return to:
.Registry Yon', 14811.1 Board of Building Regulations and Standards
Expiration 9/,7/2009 Tr# 133618 ) One Ashburton Place Rm 1301
. a
Type DBA% Boston,Ma.02108
MEAGHER CONSTRUCTIONS t 1.
TIMOTHY MEAGHER;r !t
49 GUILDFORD
CENTERVILLE,MA 02632 Administrator Not valid without signature
is
i
`r The Commonwealth of Massachusetts
Department oflndustrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.rnass.gov/dia
Workers" Compensation Insurance,Affidavit: Builders/Contractors/.Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual):-'�eQ�' r_c 0-0 Nj
Address: V 4 r rn E� 1Q l)
City/State/Zip: C e A e( I ( �IP Phone.#:
Are you an employer? Check the appropriate box: Type of project(required):,
1.V I am a employer with 4S�— - 4. ❑ I am a general contractor and I
. employees(full and/or part.time).
have hired the sub-contractors 6 New construction .
2.❑ I am a'sole pioprietor or partner- listed on the'attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, (]Demolition
working for me in any capacity. employees and have workers'
insurance.# 9. ❑Building addition
[No workers' comp.insurance comp.
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
'3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
rnysel£ [No workers' comp. right of exemption per MGL 12.❑Roof re airs
insurance required.]t c. 152, §1(4),and we have no r
employees. [No workers' 13. ther t
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 pravidt 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: E.
Policy#or Self-ins,Lic.#: LAJU, - 00_5_-r q3n/a.n0 r7 Expiration Date:
Job Site Address: A1ry 1 City/State/Zip: Q h�4701 y r
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 lip 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification
I do hereby certify:ender the pains•and penalties ofperjury that the information provided a 76,
is true and correct:Sienature: N✓' Date: Co . _
Phone #• d qj
Official use only. Do not write in this area,'tb be completed by city or town bfj'lcial
City or Town: Permit/License#
Issuing Authority(circle one):
I.Board of Health 2.Building Department 3. City/Town CIerk 4, Electrical Inspector125JIUM�bingg
6. Other
Contact Person: Phone#:
1HE I
F Town o w of Barnstable
.stable
Regulatory Services
+ BARNSfABLE, •
MASS. Thomas F.Geller,Director
BuRding Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,NIA 02601
www-town.b arnstabk.ma.us
Office: 508-862-403 8
Fax: 502-790-6230
Property Owner Must
Complete and Sign This Section
if Using A Builder
s Owner of the subject property
herebyauthorizejg -"C to act on my behalf,
in all matters relative to.work autharized by this building permit application for:
(Address,of o
Signature of CVner Da e
Pnnt Name
Q TO RI41 S:O W NERP ERM IS S ION
I y
Assessor's office(1 loor)
Assessor's map iot n er SEPTIC SYSTEM MUST BE Bpi TMf�0`
Conservatio _ - INSTALLED IN COMPLIANC
Board of He (3rd I WITH TITLE 5 •��
Sewage Pe numbs y Lf78'�' EBVVIRONI1161E�9TAL CODE AN
t ssa,7T�DL6 .
rua
Engineering Department(3rd floor): I�EC�L$�T'OIVS h.T®�I� o° o��,v'
House number ��
Definitive Plan Approved by Planning Board 19
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF, BARNSTABLE
BUILD'INC INSPECTOR
APPLICATION FOR PERMIT TO
Q
TYPE OF CONSTRUCTION
— 19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
r .
92,1
Location
Proposed UseCoCp_..� �
Zoning District `/ ► Fire District /17
Name of Owner 6Gk ch y Address /1-4
Ka
Name of Builder )aa,cL, Address —
Name of Architect Address
Number of Rooms �'— Foundation
Exterior Roofing
Floors Interior
Heating Plumbing
Fireplace Approximate Cost �3 S2
Area
Diagram of Lot and Building with Dimensions Fee
j
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 Supervisor's License 4 01W 7—
O"HEARN, EDWARD & DEBORAH
e
No ' Permit For BUILD POOL
Location 56 Bradley Jenkins Rd. f
Centerville -
Owner Edward & Deborah O'Hearn
- _ f
Type of Construction I
Plot Lot f
Permit Granted June 28, 151f19` 9 4
Date of Inspection 19 ;
Date Completed ?' .l 19
F,h.. �¢ elf /•* � �1+ , ,
FM
+ iM7 1 t
• r
f
rs•
�..� A AB T-//y/fFG Cj
As,lessor'steoffice (1st floor):
l�� 0238....E ' SEPTIC SYSTEM MU THE roe
Assessor's map and lot number ... :................ . . o
Board of�Health (3rd floor): ' INSTALLED IN C®BAP
.`7 .Sewage Permit number ...................... ......... ` WITH TITLE 5 Z 31aE39TSDLE,
Engineering Department (3rd floor): , �, ENVIRONM04TAL CO a•
..................... .. ........ ............�...... . t .
House number .......... �'O RFRULA'TICk4�. nypva�
4
APPLICATIONS PROCESSED 8:30-9:30 A.M. and( 1:00-2:00 P.M. only,
TOWN OF !- ARNSTABLE
BUILDING . INSPECTOR
APPLICATION FOR 'PERMIT TO ..................... .Likld...a...1.ause.......................................................................
TYPE OF CONSTRUCTION ............................Woo.d..F.rame...............................................................................
1..�. i 4- 19..0--4 .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for, a permit according to the following information:
Lot / Braley Jenkins Road Centerville
Location ....................... .........................................................................................................................................
Proposed Use Dwelling
it
Zoning. District .....RC ....Fire District .....:..C...a
.......................................................... ....nd.....0......................................................
Name of Owner Lebel Sollows Tru.s...t.. ...Address 1 Old Route 132 Hyannis....MA...0.2601
....................
Lebel Sollows Development "
Nameof Builder ....................................................................Address ....................................................................................
Name of Architect Northside Design ....Address Rt 6A Ya.rmouthport.r,..MA
Number of Rooms FIve ...........Foundation Concrete
..............................................................
P
Exterior Claps and Shingles ...Roofing .....As�halt............................................................
.................................................................................
Floors P...lywood. .Interior ...Drywall
.. .......... .......................................................
HeatingGa.s..............................................................Plumbing ...PVC/Cu...2.. baths............................................ .. .
Fireplace ............Ye.S..............................................................Approximate Cost ..........: 6.Q.i.0.00,,.00...............................
;Definitive Plan Approved by Planning Board ---------July__l6----19__$4_ , Area �p
Diagram of Lot and Building with Dimensions Fee Al, rn
SUBJECT TO APPROVAL OF BOARD OF HEALTH
S
�b
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(... ..... ... ..... ...........I.. ......................
Construction Supervisor's License d 4 43
LEBEL SOLLOWS TRUST `
I
t
a4 •
t
. . N6 30335.__ Permit for 112 Story
:r t• r ............................... ;
s Single Family Dwelling '
...
location• Lot #152 , 56 Braley Jenkins Road
. ..............................................................
Centerville
4 .......................................................
` Lebel Sollows Trust '
. Owner
`
Type of Construction ...........Frame......,.................
.......
:......:..............t. :................. ....... t r
Plot Lot ....... -
' %
Permit Granted' ...•....Decerni7er...........19 86
Date of Inspection ..........?— .z...............19, � R'
Date,Completed .. ....1
i
Of-
In ,f t
ter+ �q1� �" Y - ' •r - _ e `..
T
is
Assessor.�s office (1st floor):
.kssessoi s map and lot number ..p.................. ..............�...... ��Q ��
Board of Health (3rd floor): ��.�-•/y/q.
Sewage Permit number l 2 B9SB9TODLE,
Engineering Department (3rd floor): ; ,= j�� 'o NAM
7 O 1639• 0
House number 1rD YpY a�
t
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 ...................Build.. ..houae.......................................................................
TYPE OF CONSTRUCTION Wood Frame
�. ..L./.. . ..............19.4
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
,.y Lot f�� Braley Jenkins Roa13 Centerville
,> Location .......................... ........ ............................................................................................................................................
Dwelling
ProposedUse .............................................................................................................................................................................
Zoning District .....RC C and 0
Fire District ..............................................................................
Name of Owner Leb.&& So11oWs Trust ......Address 131 Old Route 132 Hyannis, MA 02601
............................................................... ............................................................
Lebel Sollows Development of of
Nameof Builder ...................................................P........ Address ....................................................................................
Name of Architect Norths.id.e...D.e.gi.g.n......................Address Rt 6A YarmOuthport, MA.......................,..
. . .... .. .. .. .... .. .. ..
Number of Rooms ...•........Flve �Z®ridrete
Foundation ..............................................................................
Exlerior ...., Claps and STIi ngles.........................Roofing .....Asphalt
............................................................
" Floors plywood ., Drywall
......................................................................................Interior ....................................................................................
Hearin Gas Plumbirig PVC/cu 2 baths -
g .................................................... ..... ................................................................`..
Fireplace Yes ... pp $60 000 00
p .............. ............. .......................... Approximate Cost ...................r.........�.....
Definitive Plan Approved by Planning Board ---------Jul_v_16.....19-84__. 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.
NamCe ....2.-44 .........................
Construction. Supervisor's License ��A�4Z4
LEBEL SOLLOWS TRUST /1-230
7/-
No : 30335 Permit for ...1. ...Stor
Single Family Dwelling
Location ..Lot...#152s......
56 Braley„Jenkins Rd.
Centerville
...............................................................................
Owner .........Le be1 S T
...........ollows........................rus... t...........
Type of Construction ....... rame
...............................
................................................................................
Plot ............................ Lot ................................
Permit Granted December 29, 86
...................... .............19
Date of Inspection ....................................19
Date Completed ......................................19
(�c 4 A4 t 7-6�' //1/9,7
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CERTIFIED PLOT PLAN
LOCATION: G'J_=•-1T.Foe4V1444, A1,49
F OR: 440"1z JF'tcm 44C 5101�r ,�lT
SCALE: /2'43 " DATE: .O
REFERENCE: ,6,e-=.ivG SAT/,SZ err S,�/ow� o�
�,G��/•2EC.d2.0�O /tilT/�/J2,vS7'�4.t3G� 2�c�/STD-y
I CERTIFYTO.THE BEST*OF MY KNOWLEDGE AND BELIEF FROM
INFORMATION ACQUI THATTHE SHOWN ON
THIS PLAN IS LOC ED.- N -HE GROUND AS S N HEREON.
OF
DATE P ESSIONAL LAND SURVEYOR �EW Gy
J. M. MONAHAN, JR. & ASSOCIATES � ONAH No. 13660 --
880-_-,TOWNE_P•LAPROFESS 'ZONAL A-- 900 ROUTDE $j�R-se T�RS B. ENGINEERS ls►st�.v��yo�
DENR.IS, MA. 02-660 SUR
J.N.
TOWN OF BARNSTABLE, MASSACHUSETTS ki liL DING PERMIT
4
DATE 19 a PERMIT N, . • • • •
APPLICANT ADDRESS
(NO.) (STREET) " (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
_iOBDIVISION 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:
AREA OR •{'' PERMIT
VOLUME ESTIMATED COST FEE
(C1 "C/SQUARE FEET)
OWNER
.. . BUILDING DEPT. i
ADDRESS BY
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—
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
INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
1. 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
MINAL INSPECTION.
TI TO LATHE FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECT�ON. BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING,INSPECTION APP OVALS PLUMBING INSPECTION•APPROVALS ^ ELECTRICAL INSPECTION APPROVALS
C C
3 HEATING INSPEC ON APP VALS ENGINEERING DEPARTMENT
t
OTHER BOARD ALTH
&4`
� PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION�°'ORK.,SHALY UT PROCEED UNTIL THE INSPEC—` INSPECTIONS INDICATED ON.THIS CARD CAN BE
TORHAS'APPROVEDTHE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR 5Y TELEPHONE OR WRITTEN
CONSTRUCTIOP PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.
FFTOWN OF BARNSTABLE Permit No. ....SnSn5.....
BUILDING DEPARTMENT
{ D°gd"a I TOWN OFFICE BUILDING Cash
' HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to LEBEL SOLLOWS TRUST
Address
lnt' l6�S? S9; Rr- 1 ov Tranlr-1.•n
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
:- i
Building Inspector
mWPy�` '�•.ew TOWN OF BARNSTABLE
BUILDING DEPARTMENT
= ssaa TOWN OFFICE BUILDING
rua
i639. �� HYANNIS, MASS. 02601
MEMO TO: Town Clerk._.,..,
FROM: Building Department
DATE:
An Occupancy Permit has been'issued for the building authorized by
Building Permit # f�—��7..» .....................................:.
issued toG'J ��.......... '!....... � ................�lQ e..cf . {........... r. !� C
Please release the performance bond.
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SCALE: �/`t i - APPROVED BY DRAWN BY c1�:
� DATE:
C c^ �-
1 S ; ,�, d_ � �.� .�> ��'� ,- �.,
DRAWING NUMBER