HomeMy WebLinkAbout0162 CEDRIC ROAD a
it r
I
Town of Barnstable *Permit#
Expires 6 months from iss a date
�7 Regulatory Services Fee
A 10
v� ' �l. 01 �-lt� Richard V.Scali,Director 1 �,��A C�iyk�s•�A -
Bt� Building Division
AUGTom Perry,CBO,Building Commissioner
O5 A 1 n' O F b jA jj jm a t OIL, 200 Main Street,Hyannis,MA 02601
U N www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
allot Valid without Red X-Press Imprint
Map/parcel Number / Nd y.�')�')�,, /lIn �nProperty Address (D ��Q ct /[ ( V1' ( l `�. 0; 3
WResidential Value of Work$ v D Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
c2 3
Contractor's Name AEC 6 O _S � Telephone Numberyo;— AZIS
Home Improvement Contractor License#(if applicable) Email: (0Co
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 S.S!'titOV01 /0 / 1LWe� Lya
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be to
❑Re-roof(hurricane nailed),(not stripping. Going over existing layers of roof)
❑ Re-side
Replacement Windows/doors/sliders.U-Value (maximum .32)#of windows
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required. .
*Where required: Issuance ofthis 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&Construction Supervisors License is
re ed.
SIGNATURE:
'C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Inte t Files\Content.0utlook\2PI01DHR\EXPRESS.doc'
Revised 040215
ut orizatzon orm:
I UC �l�S 0�C-� � �'� lJ � as owner of the
subject property, hereby authorize Baker & Associates to act on my behalf, in
all matters relative to work authorized by this building permit application for :
Address of property: 162 Cedric Rd.
Centerville, MA
Signature of owner:
Print Name:
CDate:• _1?7 1 L �
The Cominon"ea lth o,f Massachusetts
Department ofIndustrial Accidents
Office of Investt!gad ons
600 Washington Street
Boston,MA 02111
mvmmass gtn1d ar
Workers' Compensation Insurance Affidavit:Builders/Contractors/FJecfticians/Plumbers
Applicant Information Please Pint Lfjdblv
Name .
c,,/s.&z,A& Mme
r,117M A oza.�-
Are you an employer?Check the appropriate boa: T
} of p ro)ect�reqnimcfl:
1.29 I am a employer with / 4• Q 1 am a gcontractor and I 6. Q New coustrUction
empl (full and/or part-ime).* have hired the sub-*outractoas
2.❑ I am a sole propaietor or listed on the attached sheet, .7� Q Renwdeling
ship and have no employees..., These sots-co actors have -9. Q Demolition
woddng for me in as ci employees and have workers'
y ty- Si. [—]Budding addition
[No workers'comic.insurance comp. Z
wed-) 5. Q We are a coq=Btiou and its 10.Q Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself.[No workers'comp- right of atemption per MGL 12.Q Roof repairs
instrmce r red.)T c. 152,§1(4)s and we have no
employees-[No workers' d3.[�Other
corgi insurmce required.]
*Any appUcat dw checks box#1 mast ako SU ow the section below showing these woakeW compensation policy ftftmatim
Homeowmn who snbm€t this afSdavit utdicatias they we doing all work and them hire omde cowmtors v=submit anew affidavit m&cadog mtb.
1C4=sctors that cheek this box tercetatacted au additioad sheet shauicg time Haste of On ab-cozzantors anti sum whether at not those ea t es here
employees_ If the stub-contractors have+emploryees.they'mnsc provide ttl w workless'camp,policynamber.
I am an employer that is pro lding workeW compensation insurance far my empdot>ees. BedOw a$the paIicy dnd job sate
informadolL
Insurance Company Name:
Policy#or Self-tins-Lic.#: _ _ � t a X Expiautiont Date:
Job Site Address: City/State/Zip. `
Attach a copy of the workers'compensa 'ca policy declaration page(showing the policy number and expiration date)-
Failure to sew coverage as regttfred Section 25A of MGL c, 152 can,lead to the"unposition of cruninai penalties of a
fine up to'$1,544.00 and/or one-year imprisonment,as well as ci,41 penalties in the foam-ofa STOP WORK ORDER and a Site
of up to S250-00 a day against the:violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for itimnance coverage verification Y
I do hereby e fy an or fire ns pen es of psrjnry tthat the inforinalion,prMIderd o .is ;and corm "ti
Cam. Date: 7 Phone 9. . Svc ,
Official use only. Do not write in this area,to be completed iT city or town official r
City or Town: Ferrsiillsicefgse#
Issuing Authority(circle one):
1.Board of Health I Building Department 3.CityfFown Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
6
Client#:9742 2BAKERAS
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODNM)
412012016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW,THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the poiicy(I s) � _.._..._
Nes)mast 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(sj.
PRODUCER NAME
Dowling S O'Neil Insurance Ag HONE 506 T75 1620 —FFA --SO$77$1218
973 lyannough Rd, PO Box 1990 E•MAiL _� M
Hyannis,MA 02601 Aoo�ts _ _,,,
508 775-1620 I+suR R si AgPonDlNo COVERAGE r�alc
_.. ....
INSURER National Orange Mutual Insuranc
...�._.... ....n_
INSURED INSURER Associated Employers Insurance
Baker B,Associates,Inc. INSURER c
P 0 Box 923
Centerville,MA 02632-0071 INSURER o
WSURER E.
_,..,.. ._.._._._. ....., _.__—
INSURER F: i.
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT *ITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN R((yyE��DUyyC��E��D BYppIPAID CLAIMS,
INSR ®m WOOL
O LtdVU— PMiOD/YYFF PMIDU EXP LIMITS
TYPE OF INSURANCE POLICY NUMBER M M
u.
A GENERAL LIABILITY II MPJ7223M 4119120%041191201 EACHOCr-URRLNCE �10(}0000
X COMCtAtit ADFMERCIAL ERAL IOCCti IR t�ENT h _� €
...........:...85041,fl0{I
R MED twx
. ` w PER$QNAL$ADV INJURY 1$1,000,000
I _._._,__ . - 4•.._•_w_. GENERALAGGRr-GAtr is2000000 ._.....
.__
xENL AGGREGATE LIMIT APPLIES PER PRODUCTS COMPlOPAGG 1$2,000,000
_
POLICY R
I LOC
AUTOMOBILE LIABILITY _.. _ COMBINED SINGLE t IMIT
ANY AUTO BODILY INJURY(Per person) 5 �
ALL OWNED SCHEDULED BODILY INJURYEixo ec�,de I1 $
AUTOS AUTOS _
NON-OWNED PRpPi RTY 17AMA E
HIRED AUTOS AUTOS $
Pit uMr2II
[UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAO ]]CLAIMSMAD Ci ACa aKiE aTE $
_#DED RETENitON
_.
B €WORKERS COMPENsaTloN W CC5005002+4642016A 4123l2016 0412312017 X we����Lt BOTH
AND EMPLOYERS'LIABILITY I I _ TGtRY JMlTS ER w
�t/� YIN : -
OFFICER MEMSE �CLUUDEt)?IEGUTIVE N NIA] - ,E..L EACH ACCIDENT, $500,000
(Mandatory
In NH) j E:L DISEASE Ea EMPLOYEE]$500,000
I yes,deson,-o under
DESCf IPTiON OF OPERATIONS t eiow t - E.L.DISEASE_-POLICY k„LMfT 10001000
I
DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES(Attach ACORD 11H,Additional Remarks Schedule,If more space to required)
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,
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
01988.2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010105) 1 of 1. The ACORD name and logo are registered marks of ACORD
#s1687061MIG8705. CBD
= rs . CS-0£19714 \\-
gg g
... •.a e RICHARD p 6AgN A'U
JR {
t MS—T BARN5TABl.E
0410412018
leo
Office of Consumer Affairs and business Regulation
10 Park Plaza Suite 5170
a Boston 'Massachusetts 02.11 b
*. r.
Nome Improvement Contractor Registration
Registration: 1626oa
•
Type'. Supplement Ca
rd
m
3) 01 7Expirataon
BAKER & ASSOCIATES INC.
RICHARD GARNEAC!
_ : P,O, BOX 923 -
4
F
CENTERVI'L LE, MA 02632 .,
__._ _
-# - reason for change.
c
s a� p LoA Card
'Update Address and return d Mark _
t Address Renewal Em loyment
'S"CA i G 2OM-051114
tee of Consumer Affairs&Easiness Regulation
License or registration valid for individui use only
Vt n Business Regulation
before the expiration date If found return to:
E IMPROVEMENT CONTRACTOR:, office of Consumer Affairs and.B sine Regu on
egistration 162600 Type: 10 Park Plaza-Suite 5170'
Supplement Ci-zrd ...Boston,MA 02116
Expiration .3126i#.,l f
s y -. t
BAKER&ASSOCIATES INC. .
RICHARD GARNEAU
.521 SHOOTFLYING HILL RD ._. ...:
Not valid without signatu
CENTERVILLE,MA 02632
Undersecretary
r Town of Barnstable *Permit#
.. __. ETpines 6 months from issue date
Regulatory Services Fee 00
v ram. $ Thomas F.Geder,Director
.asp .m
mot '' Building Division
Elbert C Ulshoeffer,Jr. Building Commissioner
Hyannis,MA 02601 w
367 Main Street. H
Office: 508-862-4038 F 0 R4
Fax: 508-790-6230 $ v 2U r �°
EXPRESS PERMIT APPLICATION 0,- OS
Not Valid without Red X Press Imprint
Map/parcel Number L�
Property Address �11 Q)CLA
Value of Work
residential OR ❑Commercial .
Owner's Name&Address 1..�1ns -J tCa.l
Contractor's Name
404 i Ark !�. Lt�/ - Telephone Number 20 Y 75 LI
Home Improvement Contractor License#(if applicable) 5 7
Construction Supervisor's License#(if applicable) _
❑Workman's Compensation Insurance -
Check one: /n`
❑ I am a sole proprietor
Be'ltav=r=ompensation
Insurance
Insurance Company Name
Workman's Comp.Policy# - -�-'
Permit Request(check box)
3 ®
i S
dRe-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof) ;
❑ Re-side n
❑ Replacement Windows. U-Valtie (maximum.44)
❑ Other(specify)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic,Conservation.etc..
Sionature'
7
KELLY ROOFING
9 PEREGRINE LANE PH/FAX 508 775 4498 INSURED
SOUTH YARMOUTH MA. REG. #128957
MA 02664
May 5, 2005
Proposal submitted to Mr Charles Hutchinson of 52 Mishawum Road, Woburn MA.
We propose to supply all materials and labor necessary to remove and replace the
existing roof at 162 Cedric Road Centerville MA.. .
All debris to be removed to town transfer.
8" Aluminum drip edge to be installed on all eaves
Ice and water damage protection membrane to be installed on first three feet of eaves.
Remainder of deck to be covered with#30 felt paper.
25 year limited warranty 3 tab style shingle to be installed(Similar to existing).
Bathroom vent pipe boots to be replaced with new.
Cobra ridge vent to be installed on entire length of all ridges with hand nailed caps.
Protect all walls, windows, decks, plants and shrubs etc. during roof strip.
Obtaining of town permit.
At a total cost $3400 _
For use of 30 y itect style shingle add$340
Payment Schedule ; 30%with,signed contract, balance upon completion.
Respectfully submitted , Oliver Kelly
d
Proposal.accepted by, Date S/ l � /2005
This Proposal is void 45 days from Date above.
/7 9 7'
Pk
-
I
Jaid
;Board of Building Regula ions and Standards '
1 One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvement Contractor Registration '
Registration: 128957
ype. n Ivtdtrel�
xpiration: 6/14/2005
Oliver Kelly
Oliver Kelly
9 Peregrine lane
S. Yarmouth, MA 02664
Update Address and return card.Mark reason for change.
Address Renewal 7 Employment F Lost Card
The Commonwealth o Massachuse- f tts
_ _ Y Department of Industrial Accidents
Office of Investigations
600 Washington Street, 7`4 Floor
Boston,Mass. 02111
Wtorkers'Co m ensation Insurance Affidavit:Building/Plumbing/Electrical Contractors
name: ` \j
address: ` ` .G CriL �Nv INt�:�G
citvso- state k 1) zip: phone# 1 Zi H PL ,K'
work site location(full address):--A C'E�D Vz LC_
❑ I am a homeowner performing all work myself. Project Type: ❑New Construction�model
❑ I am a sole proprietor and have no one working in any ca acity. ]Building Addition
(i"+)`i+•e 2j'?^ :.'�i�."c fn+ ..�.+'..' 4:!? .i .w r, �•rrn. r..
�--,� :�...ti. .:>. ,c # .+ .�i,.:is�1�•�.•i:�`t`,:b:iti.'r. i�;'.`�'-._� ^,'^.itSf.�'�:A "�.!'r'�•� �:;�a����-a f�:�::��;.
Lf7 3 am an employer providing workers'compensation for my employees working on this job:
company name:
address•' AE> o v
city: phone#•
insurance co. �—I (j�� Ty`a t- policy# VOC--2 1 S 33`6
iu.K��43wao`.. t'7lult`�+�+uim-crX.Z:Fl°."t�tuia5�.®`4^rv:r01::b;::b'k`•dtb4r.s-s�cz�iS�sy>L•�.'1 e,`.�.n';;,.. .kR. vY,,¢,•;.Q.F•. ,r o...:
f.u�..' •�.Vl:ci�:a:...�•g7± 4....?:.:`i-•ar'�•.�1 e"'r�:iiz:r.i;,�v,,,,-,•a..;.<as'•e���?:'�:�;e:rda�:
❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have
the following workers' compensation polices:
company name:
address
city: phone M
insurance co Qolicv
�3+K¢;v�-„°°P`'�;jam— .�",ti. as.'v?s?s ""�t—�L�.,�., /y•�.,. ,,a ...s-•+..w
. �^ _ $➢:>�',d W:.e 1.v_> ..`s7. r 'f'4..1. .e�:Y:l�'i.,a �}ltl. �; i R�9:).r..n:. °>>.,.�+. ,fi• tT d-�•!.,o.wis.ri•;>�.:. ,•x.;+4:'+�:"cn..1. 8,.,..:..,..� C.p.t "a,T `r •G
'company name:
address:
city: phone#•
insurance co. olic #
`e
_ o a e. -tle2 nary u 3 �... '�,� �. .� �.�....,.��:•��. ,y,,_ �„ypn q�yp �n X
':b� �R`'�•5�''.� jlad���j � k,Y.W�J �� :.T'Apl�"���� i A+.7tiw�' �'irh'LR+II'mb4.���n'+ia��
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a
copy of this statement maybe forwarded to the Office of investigations of the DIA for coverage verification.
I do hereby certi .,under the pains and penalties o p ' ry that the information provided above is true and correct
Signature( `�—� V Date
,2
I •S
Print name v,(�(, ✓�Q- V.!E j - Phone# �S O 1j 4 L{9
[1Y..1a:, ndo not write in this area to be completed by city or town official
permit/license#
❑Building Department
OLicensing Board
ate response is required ,.- OSelectmen's Office.
❑Health Department
phone#; ❑Other
Information and Instructions
Massachusetts General Laws chapter 1.52 section 25 requires all employers to provide workers' compensation for their .
employees. As quoted from the"law", an employee is defined as every person in the service of another under.any
contract of hire,express or implied,oral or written. .
An employer is defined as an individual,partnership,association,corporation or other legal entity,or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver
br trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of
another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds
or building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required.
Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the
performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have
been presented to the contracting authority.
8?�m", ,� � •" ', �4c'�;- y:, ,,'� "��s`'��'d';°.f�.,.X'-�`'-'�.t`���ti9;w,,.t,.5++,s`"4�.',,'."�:�"�;u` -
•ca
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please
supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if
you are required to obtain a workers' compensation policy,please call the Department at the number listed.below.
r nv. F.^,apt'� ; ?�<''��s,',}w• i fp+,.y�r4 f°•:4*•�;,_ Yt•• Mgr -.
�i � .:� � t!{'�}.. Y�.�-S�.;>ti:: +•a�'t}., ':�' .;r�.'' '��, �;i; ;,�Sb pc: ,r�•yt,'.�'ar' r•�y�,�.+A`r,:.;:?�. ,S�:irSyr..,:;,�:,.,.., .,r ��,
2e7 e. g' "m t¢ '!f.`a:+:'r
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the permit/license number which will be used as.a reference number. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions,
please do not hesitate to give us a call.
.:t.. 1•ir, 4;;:.C..�. :.ir'� —.a :�,ri: •e.{r ..gg 3,t i•:yai..F",';t;(+ppY .'tr: ya .•J.q-,"'<.�F y�7rF14(.{�Me:s,.W ,s.a tr^..4-�•+6�yV q z' 9i.. i u
u1• t21?stP,�}.., .. ..9. 'i. .:6� .•PL.'im .'�..:5::4'•,ffA•{.''• .Pv
�3t ss.� k •a4 ! rvr • �ir"."T, .r '+ �k ''' 6',. �Y .•y�..}, i ;`rxtJ:.: rk '•
•1's; ,+�r ... x`u5 . .�-. ' wsG ��rr+*'�wti irla- r ^-k.�s� .5r' "�+4a'i'd•'n.s 'rr�`r• i�rjdan .�f+v' :wt° ter�"`e:,:'ti '+ a'Pxr.rr �'t "
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street,7a'Floor
Boston,Ma. 02111
fax#: (617)727-7749
phone#: (617)727-4900 ext.406 .
L .1;6 3 .
t7f Assessor'sp maps and lot number .....! Y �.. s SC E �Lc U v�r�•
{ Sew a"Permit number
ti �Qyo�TaETo�o TOWN" OF: BAR.NSTA.BLE
SAH: TADL8; i C, 7•� -
,6 q.tr`� - Oaf1 g INSPECTOR
C? C; tz SS q•s �s� F G/
0 APPLICATION;FOR 3PERMIT TO. ............ ........� ..... ............................................ �
tw
TYPE OF CONSTRUCTION ......... ....:...................................... ...........................
d.2 ........19.78
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....�� ....C 'pRl�. / ...,...;.... .......................... ...................................
Proposed Use ..`.!.f�f�.�44CE �4�. � ..d�BO.! .... 1' /f/`7�•, /D/I✓��"..�.®.0 ,R.............
Zoning District ...................... ................ ....................Fire District ............................
Name of Owner I.&V ...!.1.'.. .Yl Z .. Address ...�. �4 Y..... :" 1............
..... . !- .... ...... .... ....
t t i,
Nameof Builder ,......... ..............................r.....:.........'..........Address ...................................................... ............................
Nameof Architect ..................................................................Address ............:..............:........................................................
Numberof Rooms ..............:.............................................:.....Foundation ........ ............................. ......................................
Exferior .....Roofing ...... --. .............................................................
Floors ....................................................................................:..Interior ....................:.................................. ..............................
. — ....Plumbing •
Heating .................................... .......................... ,.... .....................................
f �
Fireplace .................................... Approximate Cost ..............................
Definitive Plan Approved by Planning Board'._
- _______ Area .. ... ................
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 stable re arding the above
construction.
Nam .. ..... .... . .. ... ...... .................
"
Pwtwnoa° Albert K.
' 20052 r���a�mgar No ---.-- Parnn� for _-----..��-��-.
f" doors with sliding door �
................ '
162 Cedric Road
^.~- = ............................................
�.—.----.
~ �
Centerville
—~--..---.—.----.—.---.,-----...
Owner �lbmrt ��. Pm
---------.----.--.-----..
� Type df,Conutruchon —.-- .................................
'
. .
/-�-----~-------.---.—.----.. ~/
Plot .................. Lot ----------..
.
� .
-
' ' 78
Permit Granted -- ����—�9
�� .--. ---.lV
. .
' \ .
Dd-tw of |nspedion —_Jg
Dota Completed — --�l�
' `--''»'r--�'�
' . . . .
^
' PERMIT REFUSED It
` -
—.-..-..--.---......—.—.— -- 19
. ~ . ^ '
� ��............................
. .---...---....—..—....- �
^—_—.—~,.---'--'_.--,'.—,�--.,~.—.^—
-
. ' . . , ,. ^-—`—' '--- ---- --'' ' - r-:`^'--'~'^^--
—,.—.---_—_—,..—.,—..—..,`.�.,........
---------- ...... l9
Approved '
-------'----.—,.....~.�—..—..--.
-----------'--' ~'—^—'~^'~^^^^'
l
.
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Assesso*s� mv; and lot number .....J.. ..............:.. . ....: .:.:.". r //t LG4 [ __ r
71
Sewage Permit number .......................................................... 1
y�FTNEtO�y TOWN OF BARNSTABLE
Z BAWSTLBLE, i
g 4 90p t�'ED6 q:`,�00� m f,, -8 U I D] H G ,INSPECT 0 R
APPLICATION FOR PERMIT TO .....?............. . .. . .
f, ti .
TYPE OF CONSTRUCTION ..................... .:..n'?:� �..........................................................................................
"'....... ............"' .... .�..........19.7 .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...../"....M.a.lQh►.....
� .. ...............................
Proposed Use R.Cr ..C�.A. •..! �,► ..... %T ..4 � /.�✓ ..�.Q Q. ...... ...........................................
r
ZoningDistrict ....................../ ........................................Fire District ............. ......f....................................................
Name of Owner 1iP tl 7A...........Address .. t
....... � . .. ........ .....................................................C d ......
}
Name of Builder ....Address
................................................. ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
Exterior ...Roofing ................
Floors ......................................................................................Interior ....................................................................................
Heating ..............................................................Plumbing ..................................................................................
Fireplace ..................................................................................Approximate Cost .......1...........
Definitive Plan Approved by Planning Board _______________________________19________. Area ..........................
Diagram of Lot and Building with Dimensions Feea
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.
Name ...... e ,c!�..:Y .'`C.•••it r ...............................
Potenza, Albert K.' A=149-81 '
t
20052 +replace garage
No ................. Permit for ....................................
floors with sliding door
.............................................................................
` 162 Cedric Road
Lo�.ation ................................................................
Centerville
..............................................................................
Albert K. Potenza
Owner ..................................................................
r _
frame
Type of Construction .......................................... _
................................................................................
Plot ........................ Lot ................................ '
March 78
Permit Granted ....................... ................19
f
Date of Inspection :.........19
t Date Completed ......................................19
PE T REFUSED
......................................... ................. 19
P
•..................................... . .......• ..... ....................
..... •. •... .• ••;P... • • •.....•
.................... .......................... ... ..................
t •................................................ .............. •. ti ••
Approved ................................................ 19
...............................................................................
t ..................... .........................................................
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AgY/L.�gN/S GF T<./E 7bWiV OF `�' ARN „` f
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GA^- �MOUTN, MF�55. aATE G, L. N cisoo .
r � � 7z�',
Assessor-s map and *lot number ..........
f " - SEPTIC SYSTEM MUST BE
INSTALLED IN COMPLIANCE
i WITH ARTICLE II STATE i
=, SewagecPermit* number ............................ i
SAi ITARY CODE AND TOWN
TOWN OF BA ABLE
;J Z BAHH9TpDLE,
B;UI�LDING ` INSPECTOR.
Apo,039•
n 'F 0 YPY a
APPLICATION FOR PERMIT TO `
�o od
TYPE OF CONSTRUCTION ....................... ....................��................................
......................................................
........................ .. .....7.........19�.
TO THE INSPECTOR OF BUILDINGS:
The undersigned herry a es for a permit according to the following information:
Location ..... ..............- L' a {� l fL. ..cj CJL
1 . .....:.... .... ............................................ .................................................................................................
ProposedUse .........l iu)e...(I. ................................................................................................ ................................ ..........
ZoningDistrict ........ f..........................................................Fire District ..............................................................................
Name of Owner C, d�Pu/�d F /��� " .....Address `���/ s
.......................................... ......................................:.......................
Name of Builder ....... l C ,[�� l
� CO ....'.......Address .........�.r/..A�! ll!....5.........................:...
% v i
Name of Architect .( P. �L. ..P...���... a� ...Address ......../.. f /ljil/ S................ ............
Number of Rooms ..............................Foundation
............. e............
Exterior ....................................................................................Roofing ........... A./ .......................................
� Interior .........5 `P.e. � :.1........................
Floors ...............I ...................?............ ..................
Heating � �..,5...................Plumbing . .
Fireplace .....Approximate Cost � ...!. .............. .�-� ....................................................
Definitive Plan Approved by Planning Board -------3 ____________19________. Area .............................. ..........
Diagram of Lot and Building with Dimensions Fee f........
SUBJECT TO APPROVAL OF BOARD OF HEALTH
� II
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. ............. ��r `:
Capewide Development Corp.
' 18249 , one story, _
No ......:...........Permit for.....................................
Isingle family dwelling
:..... a ........ ..... .................. .................................
n Cedric-.Road -
Location ................................................................ r
Centerville
Capewide Development
Owner ............................................:..................... t
frame
Type of Construction
... ......... ... .................................... ..................
:Plot ........: ........... Lot ............k3................
,P.ermit Granted .........March 23 19 76
Date.of Inspection .`' P.� .a. ..•.......19
Date Completed '... .. ...... ....... . 9
PERMIT REFUSED
....`........... ............................................. 19
................................................................................
. _- ........ .... ....1..............................................
.... ......ti ..... ...................... ......................
Approved ......................... a
........... 19
..... ................................. .... ................
...............................................................................
•
2.7
Assessor's map and lot number ................. ........................ `
Sewage Permit number
T"E�°�� TOWN OF BARNSTABLE
i
L BBBHSTIIDLE, i J
"6 9 BUILDING � INSPECTOR
'ED MAY�`'
74
APPLICATION FOR PERMIT TO ........� .. .. ..:..........
,fit --ll ......................................................
TYPE OF CONSTRUCTION ........ ��?�..V....�...1`�`.��.. .................. .......................................................
.......................3�.9'.........19 2.
TO THE INSPECTOR OF BUILDINGS:
The undersigned heTV applies for a permit according to the following infor ation:
Location .............. . . . I. ..................!.....a ..............................................................
Proposed Use .........'.�... .P
......... U....................................... ...................................................
............................Fire District ..............................................................................
Zoning District ........(.`.1.....�.....✓...............
Name of Owner l �F t. c't . ..Address'! !.l. ...............................................................
Name of Builder .......✓.. � .....Address � s
Name of Architect .v.c llil. ... Q! ...�0/�...Address ......../ vat.!�1�y. ..5............. .............................
Number of Rooms ............Foundation ..........�
Exierior ....................................................................................Roofing ........... ............................................
/• `- ...� ........................................Floors ....... . . r............................. Interior ...... P
c�
Heating / // / 5..............:....Plumbing .................................:..............................................
........�.......'.. ./.r..........��...........Y......
Fireplace ..........(/v e..........................................................Approximate Cost a! 4 oo, o O
................ ..................................................
fa l ,T7"All
Definitive Plan Approved by Planning Board ______--- ___________19________. Area r
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.
Name .......f r............
Capewide. Development Corp. A=149-881T
V
1
18249 one story,
' No ................. Permit for.r............:t...=...._.............
single family'-dwe1 ,-
.. 'g :+r
....... ............................?........... � J
Location
1l0�edric Road
i ................................... ...........
Centerville
............................................................ ................
:y
Owner Capewide;De elopment Corp.
...................................................................
Type of Construction frame
...
............... ................. .......................................
PI
Plot ...... .. . ......< Lot .............#3...' .......
Permit Granted ........Marsh 23..............19 76
Date.of Inspection ................19
Date Completed .......... ...........................19
rp
PERMUT REFUSED
............... ... . .................. 19
...............................................................................
........................................................ ..........
j' l,i 1 'i..•tCs p
1 4�
Approved ................. _ _1,9
........................ ...................................
...............................................................................