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"�e� ., , ' ,p e '' ^•e...., a� .i', lSe ry'' °: t° iw; n .. .,'si ° }� ° �,r� � ��,F .r,o�a �'. w+ _ to a � � u r� � �� ❑' � r ° ° .� Town of BarnstableBuilding ' • j �PostyThis'Card So-Thatatis�Visible From the Street=A , ;roved�PlansYMust�be:-:Retained on J.oband this Card Must be Ke't„ ., p * �MtiliTA81.E, • .,',. .- 'r, �.... 4 z' .,,..., `:I � pp 's P✓ �''":.F'x' sa, yT ".`' rx 'x ;, ., M"S& 4639, R Where'?a,Certificate ofyOceu anc Is;Re oared such:Bu�ld�rr shall Not be Oceu ied,u;ntil a Final Ins ection.has been made ., Permit �.., , ,., c,;,;,�,. , ,�;:.•;;�,, spa ..< Y .. �q�<::. . ,.' ;, �, : .� .,g. . R,.�...,. ,. ;�wp„�;r . ,��s,„�;r .� �..�p .��,�:� ., .. �. -, Permit No. B-18-1265 Applicant Name: Mark Mordini Approvals Date Issued: 04/27/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/27/2018 Foundation: Location: 140 CEDRIC ROAD,CENTERVILLE dap/Lot 149 079 Zoning District: RC Sheathing`. Owner on Record: PARKS,JOAN P&CAMPBELL,ROHAN A;' sContractor,Name MARK E MORDINI Framing: 1 Address: 140 CEDRIC ROAD Contractor License. CS 057645 2 CENTERVILLE, MA 02632 Est Project Cost: $ 16,271.00 Chimney: Description: install 4 replacement windows and 2 sliding g ss doors same size P,e'rmit"Fee: $g2,9g and location as existing-no structural changes; nbowil,vented vinyl Insulation: - Fee Paid: $82.98 soffit,wrap all fascia and rake boards to make maintenance free, , Final: install gutters and downspouts a Date , 4/27/2018 Plumbing/Gas Project Review Req: � ' F - Rough Plumbing: r,,Building Official Final Plumbing: .. This permit shall be deemed abandoned and invalid unless the work authorized bythis permit is commenced within siz months after issuance. Rough Gas: H All work authorized by this permit shall conform to the approved applieation 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 a in compliance with the local zornng;by,laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street o"r road a d 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 signaturesby'the Bwldmg and Fire®ffic s are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing �3 Rough: x. 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 Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT T7Mown of Barnstable REC PTA Guw� ` A 200 Main Street, Hyannis MA 02601 508-862-4038 �o Application for Building Permit ',y Application No: TB-18-1265 Date Recieved: 4/25/2018 Job Location: 140 CEDRIC ROAD,CENTERVILLEN4 /� Permit For: Building-Siding/Windows/RooVDoors �/ I�l� Contractor's Name: MARK E MORDINI State Lic. No: CS-057645 Address: North Attleboro, MA- 02760 Applicant Phone: (508) 280-0156 (Home)Owner's Name: PARKS,JOAN P& CAMPBELL,ROHAN Phone:. (508)364-8156 A (Home)Owner's Address: 140 CEDRIC ROAD, CENTERVILLE,MA 02632 Work Description: install 4 replacement windows and 2 sliding glass doors-same size and location as existing-no structural changes,install vented vinyl soffit,wrap all fascia and rake boards to make maintenance free,install gutters and downspouts Total Value Of Work To Be Performed: $16,271.00 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 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: Mark Mordini 4/25/2018 (508)280-0156 Applicant, Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $16,271.00 Date Paid Amount Paid Check#or CC# f Pay Type Total Permit Fee: $82,98 4/25/2018 $82.98 X}CCX- OO{-70 0 Cr?Q edit Card 147 Total Permit Fee Paid: $82.98 x �� T CIS17 � TAPE I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I L Parcel V � , '� t L 9? IIPI OF AR STA€�LE Application # Q �V Health Division p Date Issued Conservation Division Application Fee O Planning Dept. Permit Fee W Date Definitive Plan Approved by Planning Board #m} `.s F 0 Ni Historic - OKH _ Preservation/ Hyannis Project S reet Address y cf u , Dw6 , Vy� U . 0103- C Village � )wx V 1_e, n,,OWner\'VA" ? s Address Ho IEdYICVDM6 Telephone.-- 3L 1 , 0 I'5U Permit Request Uf 1 Cf)2_CkJ 10 apt r , 'e MQ, LA 64 '►�l �cDl� �����n�J�C�,1 V:�I C�Se Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay. Project Valuation), 6 3S.US Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full:,existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ZoningBoard of Appeals ppea s Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION \C110 I M �d"LDER OR HOMEOWNER) Name Mal V/ Telephone Number 0 i" 3J Address P t 1, 1 �!S � License # (3-OU$"k - iboHome Improvement Contractor# IgNu Email'\CWat"\KU\ brp (1t1 YwA l ` "Worker's Compensation AM- IM UOIL C-fi-30 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE.ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION i FRAME INSULATION . I FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i Federal ID#05-U05629 RISE Engineering RI Contractor Regl5tratlon No 8186 RISE �- MA Contractor Registration No 120979 A division of Thielsch Engineering CT Contractor Registration No 620120 ENGINEERING 5 Dupont Avenue,South Yarmouth,MA 02664 CONTRACT 509-569-1926X-6610 FAX508-569.1933 Page 1 PROGRAM THIS CONTRACT 18 ENTERED INTO BETWEEN RISE CLC-RCS ENGINEEMNO AND THE CUSTOMER FOR WORK AS DESCRIBED BELOW CUSTOMER PHONE DATE CUENTO WORK ORDER Joan P Parks (508)364-8156 10/21/2015 187356 00003 SERVICE STREET BILLING STREET 140 Cedric Road 140 Cedric Road SERVICE CITY,STATE,ZIP - BILLING CITY,STATE,ZIP Centerville,MA 02632 Centerville,MA 02632 JOB DESCRIPTION A7171C FLAT:Provide labor and materials to install a 10"layer of R-35 Class 1 Cellulose added to(1452)square feet of open attic space. $1,945.68 RISE Engineering wiU apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently, f for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed S4,000 per calendar year,and an incentive of 100%for the Air Sealing measures. For the safety and health ofyour home's indoor air quality,we will be conducting a blower door diagnostic of the available air flow in ' your home both before the work is begun,and after the weatherization work is complete.We will also conduct a tall assessment of the combustion safety of your heating system and water heater.This has a value of S90 and is at no cost to you. $90.00 I Total: $2,035.68 Program Incentive: $1,549.26 1 Customer Total: $486.42 WE AGREE HEREBY TO FURNISH SERVICES.COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS,FOR THE SUM OF 'Four Hundred Eighty-Six&421100 Dollars $486.42 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING,CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OP 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISIONS RODUNG.AND CONTRACTORREGIBTRATION. DO NOT SIGN THIS CONTRACT IF THERE AR N SP S Joan pal d. r. 15 AUTHORIZED SIGNATURE-RISE Enalneoring CUSTOMER ACCEPTANCE 1 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WTTWN DATE OF ACCEPTANCE ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE 30 DAYS SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO Do THE WORK AS SPECIFIED.PAYMENT WILL BE MOB AS OUTLINED ABOVE 1. I T Town of Barnstable Regulatory Sen ices KAM Richard V.Scali,Director 1639. Building Division Tom Perry,Building C:ummissiuIIer 200 Maiu Sleet 11yaruais,AZ4 02601 v`-ww.town.barnstabte.ma.us Office: 508-862-403s Fax: 508-E90-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, Joan P. Parks _ �._ ,as Ovaier of the subject.progeny hereby authoii:e___AJ I MchlAc l `� � � ro act on my behalf, in all matters relative to work authorized by this building Permit application for: 140 Cedric Road Centerville, MA 02632 '"Pool fences and alarms are the respomsibility of the applicant. Pools are not to be filled or ut liLed before fence i5 installed and all final inspections are performed and accepted. Joan pa cl t, f 5� Signature of Owner Sjl;,ure of Applicant Print.dune Pn'n:t Name Date Q:FARMS:OxV;.'FRPF$MISSIONP(X)1 S The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations I Congress Street, Suite 100 Boston, ALL 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): M.T. McMahon and Son, Inc Address: 19 Fieldstone Way City/State/Zip: Plymouth , Ma 02360 Phone#:781-831-1234 Are you an employer?Check the appropriate box: Type of project(required): 1.9 I am a employer with 11 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 proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' y p n'• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ 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 I I.❑ 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 Weatherization 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:Aim Insurance Policy#or Self-ins. Lic. #:VCW-100-6014109-201 Expiration Date: 12/08/2015 Job Site Address: V L1L G Vol • City/State/Zip: v 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 certify un er the pat nd penalties ofperjury that the information provided above is true and correct. Si ature: Date: r Phone#: 7818311234 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r Massachusetts-Department of Public Safety r. �Cryrrrrs�.,.uecxlt/r aj°C�/llr�.ruc/rroelfa i Office of Consumer Affairs& ausiiiess Re6 uiaGun Board of Building Regulations and Standards 'OME IMPROVEMENT CONTRACTOR C'onstrijetion Supen:isor eglstration16`7816 Type: `, License: CS-068111 Y 0EXpirationi,- 1/2412016 Private Corporatic �' �> — 0 MICHAEL T MCIA`AH . �s -MICHAEL T.MCMAHON&SON INC, 19 FIELDSTOIVE.'WAG1'�jj�; W - PLYMOUTH Al k 023fri0 MICHAEL MCMAHOMy. � r 19•FIELDSTONE WAY-�_ � # ��r' .,� i�" PL ` YMOUTH,MA 02360 t �,,�,,,, ,11�,,i�« Expiration Undersecretary 08/17/2018P ..Commissioner , , ' — Unrestricted-Buildings of any use group which L!:-rsA or reg'istrat'ion valid for individul use on., ' contain less diAn.35,000 cubic feet(99I n3) before the expiratio.i date. if`;:and return to: 1 fr enclosed space. =' Office of Consumer Affairs and Busines Revirlati on. "'. ' 10 Park Plsza-Suite '170 r Boston,NIA,02116 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Not valid without signature For DP5 Licensing information visit: www.Mass.Gov/DP5 . i DEBRIS DISPOSAL AFFIDAVIT In accordance with the provisions of M.G.L. c. 40, s. 54, Building Permit # was issued with the condition that all debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by M.G.L c. 111, s. 150A. The debris will be disposed of in: ABC Disposal Name of Waste Facility 1245 Shawmut Ave, New Bedford, MA Address of Waste Facility 111.5 Debris: As a condition of issuing a permit for the demolition, renovation, rehabilitation or other alteration of a building or structure, M.G.L.c. 40 s. 54 requires that the debris resulting therefrom shall be disposed of in a properly licensed solid waste disposal facility as defined by M.G.L.c. 111 s. 150 A.Signature of the permit applicant, date and number of the building permit to be issued shall be indicated on a form provided by the Building Department and attached to the office copy of the building permit retained by the Building Department.If the debris will not be disposed of as indicated, the holder of the permit shall notify the building official, in writing,as to the location where the debris will be disposed. 780 CMR—6`h Edition Signature of Permit Applicant t 4 w Date AC69& CERTIFICATE OF LIABILITY INSURANCE 7(NMIDOfYYYY)9/24/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER CONTACT NAME: Thompson Insurance PHONE r 781 335-1890 F'xIA c• (781) 335-9782 and Financial Services ADDRESS: JJTins@Comcast.net 389 Union Street INSURERS)AFFORDING COVERAGE NAIC p Weymouth, MA 02190-316 INSURER A:Travelers INSURED INSURER B:AIM Mutual MT McMahon and Son Inc. INSURER C:Western World Insurance Co. 19 Fieldstone Way INSURERD: Plymouth, MA 02360 1NSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPEOFINSURANCE POUCY NUMBER MIDDY MM/DD/YYYY LIMITS C GENERAL LIABILITY NPP8202484 9/16/15 9/16/16 EACH OCCURRENCE $ 11000,000 COMMERCIAL GENERAL LIABILITY PREMISES DAMAGE (EaoccED $ ZOO 000 CLAIMS-MADE 7 OCCUR MED EXP(Arty one person) $ 5 000 PERSONAL&ADVINJURY $ 11000,000 GENERAL AGGREGATE $ 2,000.000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 1,000,000 POLICY PRO LOC $ A AUTOMOBILE LIABILITY BA 2C882729 8/31/15 8/31/16 EOaBNd.ni)INGLELIMIT $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS }{ AUTOS NON OWNED PROPERTY DAMAGE $ X HIREDAUTOS _2L AUTOS Peraccident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ B t!WRKERSCOMPENSATION VWC-100-6014109-201 12/8/14 12/8/15 WCSTAI'MTU- X OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACODENT $ SOO OOO OFFICERIMEMBER EXCLUDED? � N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yyes describe under DESG�RIPTIONOF OPERATIONS below E.L.DISEASE-POLICYLIMIT $ 500,000 .z DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is requi red) Insulation Installation and Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BIJkNK ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE John J. Thompson CLTC ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: I M � V f M..T.McMahen apd.Son, Inc. ° ! ,a` RN ,BL -19.Fieldstoneway Plymouth,.Ma 0.2360 fqn At', Pj: 34 mcmahonirtsulation.�gmail,com 7$1�831-_123.4. February.23,12015 DIVISION Thomas.Petky;.:CBO: Town of Ba,rnstab.le.: Building Division 2D0 Main St Hyannis;.Ma 02601 FAX.508-790-62:30 RE:fns.ulatio.n Permits. Rear Mr:..Perr)6 This:affidavit is.to.ce.rtify that all work com..p.leted.for.insulation.work:at.140 Cedric Rd. Centerville has been.by a..certifi.ed.Building Perform .re(BPI) Inspector:. All wark.performed meets.or exceeds Federal&.State requirements. Sincerely, Michael T. McMahon TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map N Parcel CO 9 `7-�D ca�ion Health Division Date Issued 2-`3 I►s Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ( MI-10 F....{ [.:: rD Village 1 �s _ Owner Address Telephone- Permit ' 3( Permit Request G Square feet:. 1 st floor: existing proposed 2nd floor: existing - proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation •00 Construction Type (zQ. Y-\ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number.of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of AppealZN orization ❑ Appeal # Recorded ❑ Commercial Yes If es site plan review# y epa Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name // / t / //`� � � /� Telephone Number IN J/o23/ AddressIq PIUMAIAlk License (1S Home Improvement Contractor# Email l Worker's Compensation AM --ve-u--mw -tool��Oq 6201 ALL CONSTRUCTION DEBRIS RESULTING FROM T IS PROJECT WILL BE TAKEN TO A�c SIGNATUR DATE �1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. f r ADDRESS VILLAGE OWNER . C • DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 1 The Commonwealth of Massachusetts Department of Industrial Accidents UTOffice of Investigations 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): M.T. McMahon and Son, Inc Address: 19 Fieldstone Way City/State/Zip: Plymouth , Ma 02360 Phone #:781-831-1234 Are you an employer? Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 9 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 proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8, ❑ Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its ME] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE] 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 Weatherization comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I 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:Aim Insurance Policy#or Self-ins. Lic. #:VCW-100-6014109-201 Expiration Date: 12/08/2015 Job Site Address: 140 C@dCIC Rd City/State/Zip:Centerville, Ma 02632 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 c under t�e pains andpenalties o perjury that the information provided above is true and correct. Si ature erti Date: Phone#: 7818311234 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: AcoR�® CERTIFICATE DATE(MM/DDIYYYY) 1` FICATE OF#LIABILITY INSURANCE 12/9/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. - IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Thompson Insurance NAME: PHONE 781 335-1890 FAX No: (781) 335-9782 and Financial Services ' _ E-MAIL 389 Union Street Uikss: • `JJTins@Comcast.net• . Weymouth, MA 02190-316 INSURE!KS)AFFORDING COVERAGE NAIC# INSURED INSURERA:Travelers - —� - .. MT McMahon and Son Inc. INSURER B:AIM Mutual 19 Fieldstone Way INSURER C:Western World Insurance Co. INSURER D:Torus National Insurance Co. Plymouth, MA 02360 INSURER E INSURER F: COVERAGES CERTIFICATE N UMBER: REVISION`NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS'SUBJECT TO ALL THE TERMS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUBR - POUCYEFF INSR POLICY EXP LTR TYPEOFINSURANCE POLICY NUMBER MlOD/Y MM/DD!YYYY C GENERAL LIABILITY LIMITS NPP8202484 9/16/14 9/16/15 EACH OCCURRENCE $ 1 000"OOO COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED ne e $ 100000 CLAIMS-MADE 1-1 OOCUR PEEM15ES(Ea- 1 .. ME EXP(Dry one prim) $ 5,000, PERSONAL&ADVINJURY $ 1,000,000 a: GENERAL AGGREGATE $ 2'000. 000 GEN'LAGGREGATE LIMITAPPUES PER PRO- PRODUCrS-OOMP/OPAGG $ 11000,000 POLICY LOC $ A AUTOMOBILE LIABILITY RA 2C882729 B/31/14 8/31/15 CObBINEDSINGLELIMiT ANYAUTO aacciderd $ 1 00O 000 AUTOS ALLOWWD XSCHEDULED BODILY INJURY(Per person) $ AUTOS BODILY INJURY(Per accident) $ X HIREDAUTOS X NON-OWNED AUTOS n PROPERTY DAMAGE eracddent DF:VJORKERS A uA6TOICXCUR 80313LI40ALI'" 11/24/14 11/24/15IAB EACHOCCURRENCE $ 1,OOO OOO CIMS-MADE AGGREGATE $ 1,000,000 RETENTION$ � � - BPENSATION VWC-100-6014109-201 12/8/14 12/8/15 $ RS'LIABILITY Y I N WC STATU-. XOTH- OR/PARTNER/EXECUTIVE �' ILLSER OFFICE R/MEMBEREXCLUDED? N/A(Mandatory In NH) E.L.EACH ACOCENr ST 500 OOO If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500 000 ` I DESCRIP710N OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Renerks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BLANK THE EXPIRATION DATE THEREOF, NOTICE WILL BE, DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. . AUTHORIZED REPRESENTATNE a John J. Thompson ©1988 2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: i 1 '• I f ..,� -:;;,:.:::.:=._. did arse 41y, on valid for indW,;, I, � ®dire of Consumer Affairs&Business Reg i,aceilseasro&is4�' ua� to'.�_.: ..; „9 OMEIMPROVEMENi CrdN'i'd UOR U teat%. Reg ,at€on Type: f?eko>a the expireTit $ags andnS a � registration: 61816 M oe og consn°e ��� i �� r Escpicatuon I f12 (2K6 Private Corporation .10 {' M1CHAI L T.MCMAAN"Sd lkq. MICHAEL MCMAHON' ` 19 FIELOSTONE WRF..:: i PLYMOUTH,MAa2360 Undersecretary f d out sign, .r ter.-....w...:.V••w= .J,tir'...•- . .1 ai=' � :28e.c:.1n.:.C.�:...o �,1'1^,}jf .. ,.: •• ..._ �",:...ism?s • any �yy �C �i'esJ ,estrieced BUR 35,00 cubic feet 90''x ' j;i _�a �°a.l losed.space. caJrren edition of the Ml »e to possess a :e 0uitdtng Code is caul for revocation o6 �is licens wcr ..aa_.oa; psucansing inform avoro sir. awnr:.nnass.Cse/8 A5 f• I I i �I - I airTown of Barnstable Regulatory Services KAS& Richard V.Scab,,Director JL639- ► Building Division Tom Perry,BufldirLg Commissioner 200 Main Street Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete-and.Sign This Section If Usine.A Builder 11 C)0111 is Owner of the subject propercy hereby authorize MC kQpj, to act on my behalf, in 92 matters relative to work authorized by this building permit application for: (Address-of ob) Pool fences and alarms are the responsibility of the applicant. Peals are not to be filled or udU ed before fence is instaRed and all.final inspections are performed and accepted. �" nature of Owner Signature of Applicant Print Name Print Name r/ate Q:FO n4 S:0 EW IS S 10 tO 00 LS I Federal ID A 05-0405629 RISE Engineering RI Contractor Registration No 8166 b MA Contractor Registration No 120979 A division of Thielsch Engineering CT Contractor Registration No 620120 J 5 Dupont Avenue,South Yarmouth.MA 02664 CONTRACT 5()N-568.19 6 X-6610 FAX 508-568-1933 Pa Page 1 jy IS PROGRAM 3 a+ jN!$CONTRACT IS ENTERED INTO DETV/EEN RISE CLC-RCS, ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DEscraesD8ELOW P HONE .._ ..-..._.H-0.HE .._ DATE CLIENT F WORK ORDER CUSTOMER Joan P Parks (508)364-8I56 0I/08/2015 187356 00002 PILLING STREET . SERVICE STREET 140 Cedric 140 Cedric Road (toad SERVICE CITY.STATE,ZIP BILLING CITY,STATE,ZIP Centerville.MA 02632 Centerville,MAU2632 JOB DESCRIPTION HARRIER:We have idcadfacd a moisture issue in your home that needs to be addressed.hlomcowrtq r is responsible for correcting this moisture concern. $0,00 AIR SEALING:Provide labor and mlltcrials to seal areas of,your home against wasteful,excess air leakage. This work will be performed in concert will,the use of special tools and diagnostic tests to assure thou your home will be left with a healthful level Of air exchange and indoor air quality.Materials to be used to seal vour home can include caulks,foams,weatherstripping and other products. Primary areas for starling include air leakage to allies,buserttents,attached garages and other unheated areas(windows are not generally addressed) (14)working hours. At the completion of the weadicrization work,and at no additional cost to the homeowTler,a final blowerdoor and/or combustion safety analysis will be conducted by the sub-contractor to ensure the safety of the indour air quality. 10 HOURS ATTTC.4 HOURS BASEMENT/CRAWL SPACE $I,07ti.(10 AiR SEALING:Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to(2)dooms)to resu icl air leakage. $154.00 VENTILATION:Provide labor and mmerials to install Cl)insulated exhaust hose with mof mGunwd flapper vent to exhaust existing bathroom fan(O. $116.10 VENTILATION:Provide labor and materials to install ventilation chutes in(88)rut er bays to maintain air flow. 5307.I VENTILATION:Provide labor and materials to,install(20)4"X 16"rectangular aluminum soffit vents It,increase venlil:uion ill attic areas.Specify color:White or Gray. $578.20 BASEMENT CEILING:Provide labor and materials to install(168)linear feet of R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill, 5367.92 BASEMENT DOOR:Provide lamer and materials to insulate the back of the basement door leading to the bulkhead with 2"rigid board that meets the sections R-316.5.4 and 316.6 requirements of building code. Sent all edges and seams with FSK tape. 572_2 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently, for eligible measures,the Cape Light Compact offers-75%incentive,nor to exceed 54,000 per calendar year,and an incentive of 10051)for the Air Seafing nleasures- I-or the safety and health of your home's indoor air quality,we wilt be conducting a blower door diagnostic of the available air flow in your home both before the work is begun,and after the weatherizauion work is complete.We will also conduct a full assessment of dte combustion safety of your heating system and water heater.This has a value of$90 and is at no cost to you. $9(1.00 Federal 10 9 05-0405629 RISE Engineering RI Contractor Registration No fl12 MA Contractor Registration No 120979 A division of Thiclsch Engineering CT Contractor Registration No 620120 5 Dupont Avenue,South Yarmouth,MA 02664 CONTRACT J 508-568-1936 X-6610 FAX 508-568.1933 Page 2 R I S E PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE Cl,('-RCS ENGINEERING GANDTHECUSTOMERFORWORKAS ENGINEERING DFSCRIBFELOW cUSTOMER PHONE DATE CLIENT Y WORK ORDER Joan P Parks (508)364-8156 01/09/2015 187356 00002 SERVICE STREET BILLING STREET 140 Cedric Road 140 Cedric Road SERVICE CITY,STATE.ZIP BILLING CITY,STATE,ZIP Centerville,MA 02632 Centerville,MA 02632 JOB DESCRIPTION Total: $2,763.56 Program Incentive: $2,403.16 Customer Total: $360.40 WE AGREE HEREBY TO FURNISH SERVICES•COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Three Hundred Sixty&40/100 Dollars $360.40 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF to WILL BE CHARGED MONTHLY ON ANY UNPAID B AFTER SD DAYS,SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEeS,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REOISTRA71011. - _. NOT SIGN THIS CONTRACT IF THERE ARE AN BLANKS CES AUTHORIZED SIGNATUnE•RISE EnBlnom A'CUSTOMER ftANCE ((y\y NOTE:THIS THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN X DATE OF ACCEPTANCE 3 / ACCEPTANCE OF CONTRACT• E ABO E PRICES,SPECIFICATIONS AND CONDITIONS ARE L./ SATISFACTORY TO US AND ARE HEREBY ACCEPTED,YOU ARE AUTHORIZED TO 00 THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE oFt Town of Barnstable *Permit# S�,, ! U 4 Expires 6 months frome date Regulatory Services Fee &639. Thomas F.Geiler,Director.. A Building Division Tom Perry, Building Commissioner X-PRESS PERMIT 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 DEC 2 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTiALTMM ARNSTABLE Not Valid without Red X-Press Imprint ap/parcel Number 0 .operty Address . /y 0 C�C�2 iG led Residential Value of Work 8'/ D 0 a Minimum fee of$25.00 for work under$6000.00 wner's Name&Address /' l C/e a0e Cij— jj2Cf I N C_ ontractor's Name_ nib /._ � /.i f ��P : Y r'U!C�_S Telephone Numbeq� 1(,Z-(,, 1 U Z_ .ome Improvement Contractor License#(if applicable) onstruction Supervisor's License#(if applicable) ]IWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 3"'1 have Worker's Compensation Insurance mumce Company Name �1'1 S . �� : n ( i�l l 1. S' a �t ICvi.l(Gi Jorkman's Comp.Policy# !opy of Insurance Compliance Certificate must be on file. ermit 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) ' [ e-sid�6C crr U--�- hoJsen— i1 a s+rUd JicL �eS ❑ 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,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. ignature , !:Forms:expmtrg Board of SulkMaT Replatioas and Standards HOME IMPROVEMENT CONTRACTOR R"1212841oe: 12SM3 E�yblr+Mbn: a13I2008 Type: Supplement Card THE Home depot At-mwo,'Semc MARK AUDETTE 3200 COBB GALLERiA PKWY$20 r . I�LTANTA,GA 34339 Adndntstrator a � I s+tio�Vito for indwwslonly L1cen:�or r�tto� io. If fautid rdu goo,�d of Bni g RaBandoO ant out Ashb*fWs piI►a Ria 1361 Boats,Ms,�1�8 -"wad W maut tdds ti . r - s Y(14E,p Town of Barnstable o� Regulatory Services Thomas F.Geller,Director r� a639. A1� Building D1v1Si0n pT�fl � Tom Perry, Building Commissioner 200 Main street, Hyannis,MA 02601 . www.town.b arastable.ma.us _.. Fare 508-790-6230 office: 508-862-4038 Property Owner Must _..._ Complete and Sign This Section If Using A.Builder as Owner of the subject property to act on my behalf, . hereby authorize in an matters relative to workauthorized by this budding permit application for. - (Address of Job) ) Z _ (�. 5� Date $igaature of Owner . ore Ce Cc�.�-I sec i Print Name Town of Barnstable - *Permit# -a � PERMITPRESS Expires 6 monCth�,�iom issue date Regulatory Services Fee of U 5 2005 Thomas F.Geiler,Director Building Division TOWN OF BARi�STI�BLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 �., www.town.barnstable.ma.us Office: 508-862-4038 Fax 508-190-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address � ��(� C!r iC L/ 9?1' esidential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ki cc (!,,r-( U Cr'i N V cf(' tY 1'C' Act Contractor's Name—1Ae '�' C'✓ ,Cffelephone Number cJ` Z-Co Z f b 4 Home Improvement Contractor License#(if applicable) 1 a -/ 3 Construction Supervisor's License#(if applicable) �orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [� I have Worker's Compensation Insurance Insurance Company Name L CAD b �4 l� Workman's Comp.Policy# ���� / 6 2— 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) "� (�a U re VI U SuvF v►'c�f c.Lt es [/Re-side U 1 W''t (S t(/tlY��l �n e.hA-t YC- / ❑ 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,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 Town of Barnstable Regulatory Services Ba " Thomas F.Geiler,Director y Mass. MASS. $ �'OrFDMP'IA`� Building Division Tom Perry, Building Commissioner 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 Using A Builder VI ee CAr JA)e C i , as Owner of the subject property hereby authorize I"A&m A-V d2 l t� to act on my behalf, in all matters relative to work authorized by this building permit application for. I q 0 Ced r l c (Address of Job) Signature of Owner Date ore o-e- Car ilC-cI Print Name Q:FORMS:O WNERPERMISSION SQN HOW rMMtCNMROr CONTRACTM soon Tyw. Suppbmwdcwd THE Home D"d M41w b Sw* MM AUDET E 3200 CUBE GALLEft1iA PKVVY#420 ALTANTA.GA 30 f9 y a utowe er ufami Town°X r 419 Assess •ita p and lot -number ....... ..:. .. ., / .r...� a'p � ... ...... .. . .. �fit✓ � �C � — lj —.2 S'—7 r SEPTIC SYSTEM MUST BE Se.vageLVPermit num a .... 7 ...... ......... ............. INSTALLED IN COMPLIANCE K _cs WITH ARTICLE II STATE QOF'tNEra�� "' AAa TOWN TOWN ®R RAR.NS ' ttAND en Z BASBST&BLE, : H y roes :0 : 1 DULLINGN INSPECTOR Apo,i b0 i a 'Ep.63q.P�a•.. APPLICATION FOR PERMIT TO. .......... ..................... ...:......�..... ...................................... .................. ,�i-d m B �y :v TYPE OF CCISTRUCTION ...... ........ ................................................................................. • 1 ra .............. ....... .......19..... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following in rmation: Location ........: . ..�.... .................. .. .. ........�'.. ................�..... ............ .. S,..! �.......................... ProposedUse ........ .... ..... .............�.... .................................................................................................. rotx Zoning District /f(f....................................................Fire District . ............................................... i� Address ........1. Name of Owner .......... ....................:.................. i`'v.1�....................................... f / / Nameof Builder .................................................:...................Address ..................................................:................................. l/ H Nameof Architect ....................:.............................................Address ............:....................................................................... Numberof Rooms .............. ...............................................Foundation .................. .................. .. ................................... TRoofing Exieifor .............f.... .................................................... g �� �e ... ........................................... Floors !.......... ..........r...............................................Interior ...........: ....�.... .: t. Heating .......IFr./.! .. ..... ............ ...................Plumbing ......O ...................................................................... Fireplace // ......................Approximate Cost ®O Definitive Plan Approved by Planning Board ________________________________19________ . Area 17' ...... . ................... Diagram of Lot and Building with Dimensions Fee ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. C Nam .. . r;'.. ..fir%/. Capewide Development . / ' - single family dw�lling --''._-^_---''r---------- -` Cedric Road ' ` Loconon ---.,�-,--------------'' . ' Centerville ' ............. ............................................ Capewide 0evel `---..������.��----...�...�--`-- frame Type of Construction -,------______. �. - ----. . ` y ,. .�-_----------.� ------. ' ~ . ~ ' ^-' �& p�t Lot ---------'' ----------'' . � . . June 28 ' '' 76 _ ~ � Permit Granted -----�.........................lg -'Date of Inspection �.'--..]q ' , ' - ` ' Date Completed ..��'����/.���---.]V ' r-''� ' . , . . PERMIT REFUSED -----_--------------.' lV . ....................................................:�-�~-`----. . ~ ;. � .--.--....-----�.---.. --.-.--.. -----.--!-±--......--.-.-.-..c- .---._-...--'-.-~-----.-..-----. . ^ Approved ................................................. lQ ` , . ----------------...--.-~..--. .~ . � .......... Assesso .s map and"lot number . ? r G..... ....................... Sewage_Permit, number :y:':................................................... THE l TOWN ' OE BAR.NSTABLE i BARNSTABLE, i ~ "6 9 ,•� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... , E ! �C/ TYPE OF CONSTRUCTION �4 d ..............`-...................... ........ 19.�..�� r TO THE INSPECTOR OF BUILDINGS: ti The undersigned hereby applies for a permit according to the following information: f ... ' ' Location ...................:.......................................................... ....................................................... .... :::.a............................... ProposedUse ........ ��� .........................................`............................................................................... / ...................Fire District .�".� !r��/I Zoning District .......,.! ,�...�................................. ................................................. j......... Name of Owner ...../-n�; �<r..J ../ ..........�............Address ........ � 1x ....................................... Nameof Builder ....................................................................Address ..........................................................................:......... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..............6...............................................Foundation ......:.�.a.....................,....................................... ! / ff ...Exlerior ....................................................................................Roofing ................................... Floors � -" .Interior -'' '� � Heating ....... .:........:..................... Plumbing .......rl�...................................................................... Fireplace / ..Approximate Cost .... �.'Sf d............................................................................... �.... ....................... Definitive Plan Approved by Planning Board ________________________________19--------. Area ...� ..D+................... ....... 0Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH i' 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Capewide Development 13=149-79 �� 18485 permit for ,, one story, single family dwelling r ............................................................................... t Location ' `l�Q Cedric Road r ................................................................ Centerville ............tr ................................................................ i � • t Capewide Development Owners................................. ............................... Type of Construction rame 1 } .......................................... ................................. Plot ............................ of ......... ................... June 28 76 F Permit Granted .......... ..........................19 Date of Inspection. ........:. ........................19 Date Completed ......................................19 PERMIT REFUSED i .................. .. . . ........ 19 ...............! , .... F ................................�...... ................................... ` .............................. ............................................ ' ............................................................................... Approved . ............................................................................... ......................................................r - : .. yS T';`7. 4 Ilk ,Y'1',"�, -•µ}> xYr __ � , .. '7,r � {x r u��ijr [il 5���'°'lky`e�•�.= fl ' ; �. 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