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0169 CEDRIC ROAD
° o , ° ° r ° r n ° n p Town of Barnstable ?. Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Shed l Posted Until Final Inspection Has Been Made. , i Registration.Where a-.Certificate of Occupancy Required,such Building shall be Occupied until a Final Inspection has been made: Registration Number: B-20-1886 Applicant Name: -SOUZA, MARIE M TR Approvals Date Issued: 08/07/2020 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 02/07/2021 Foundation: Location: 169 CEDRIC ROAD,CENTERVILLE Map/Lot: 149-084 �}m Zoning District: RC Sheathing: Owner on Record: SOUZA, MARIE M TR Contractor Name:" .,HOMEOWNER IS APPLICANT Framing: 1 Address: 169 CEDRIC ROAD Contractor License: EXEMPT 2 ik CENTERVILLE, MA 02632 '> Est. Project Cost: $0.00 Chimney: Description: Shed 12'.5"Hx 8'.42"Dx 10'.42W on cinderblocks i Permit Fee: $35.00 l Insulation: Project Review Req: Fee Paid:" $35.00 f# Date. F 8/7/2020 Final: - Plumbing/Gas i � Rough Plumbing: ,.Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within`six months after`issuance. All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and,codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or.road and shall be maintained open for public inspection for the entire duration ofthe work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable'signatures by the Building and Fire Officials are provided on this,permit. Service: Minimum of Five Call Inspections Required for All Construction Work:g 1.Foundation or Footing Rough: i 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the''Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site - Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT >� . S 4 ��_ BUILDING pEP ` Town of Barnstable. JUL 2 0 2020 Building Department Services Brian Florence CBO TOWN OF BARNS?ABI.E sMexsrnai a, : Building Commissioner Mass. a� %09- 200 Main Street, Hyannis,MA 02601 �A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# g' 20..1886 FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Village IWATf Property owner's name Telephone number it L-deL � _A& 7.), Size of Shed Map/Parcel# E-Mail 6d A/XCAP'a C ' iji d Sign-a ty he Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? /U You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9.30&3.30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY'OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION 'FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:08/6/17 IL - .:. a ;. ,� • 37•f. • 1 .. (3-BEl�eocw�yV ' O ii f.r A! Yf o IF 2.31 SEYI/4GE SYSTF�t7 L�E•S/G.t/ OC.QTV0A—'/ `.E'E.cJTE.e✓At.GE GqL .r T�aq EFE�C.VCE . . r .. ' - •:�/� �'��,E,oTM o.GECA�T LEACH-/ �3E/ !" G o T• „�- /T !✓/TH / Q.c Gf/93.�,�ED sT0A.AC , Z EBY CEE.'T/FY TN�4T T/,IE BlJ/LD�.I/G' J. HOi1/.V O.V-.,Tf�/S .oLi4.V /3 LOCgTEa ON THE BOt/.tfa 'RS SNC.WN NEeE=O�t/ qua TNF•iT '/T . CO.wFOe/H Y-.I-,qW-S O.= T/,a 7-OW .1 OF_&19,E�AI-M-9 Town of Barnstable__ Building �r ve Plans Must 6e Retained on Job andit is Ca d Mus Post This Card-So That rt is Visible From the Street App o d t be Kept Ydllcjb`r's'Fi1.E. '' - ��$ Posted Until`.FlnaI Inspection Has Been Made C, 0 qK , Where a Certificate'of Occupancy is Required,such Building shall�Not be Occupied until.a Final.lnspectiori has been made larwer it Permit No. B-20-1816 Applicant Name: Kathleen Moore Approvals Date Issued: 07/21/2020 Current Use: Structure Permit Type: Building-Deck Expiration Date: 01/21/2021 Foundation: Location: 169 CEDRIC ROAD,CENTERVILLE Map/Lot: 149-084 Zoning District: RC Sheathing: Owner on Record:. Kathleen Moore ¢ Contractor Name Framing: 1 Contractor License: Address: 169 CEDRIC ROAD 2 Centerville, MA 02632 i -' `` Est. Project Cost: $ 20,000.00 Chimney: Permit Fee: 110.00 Description: Replace existing Deck. Install support piers for deck and we of , $ hot tub on deck. Fee Paid: $ 110.00 Insulation: Project Review Req: �, r Date: ° 7/21/2020- Final: Plumbing/Gas Rough Plumbing:. This permit shall be deemed abandoned and invalid unless the work authorized zllby thi1,4s permit is comni nced within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures*shall be in compliance with the local zon bying laws'and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access streetior road and shall be maintained open for public inspection for the entire duration of the "work until the completion of the same. Final Gas: � � .`� ' _ r r The Certificate of Occupancy will not be issued until all applicable signatures by the Building and-Fire Officials i t c a s are povided on this Permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: - 1.Foundation or Footing Service: 2.Sheathing Inspection .� Rough: 3.All Fireplaces must be inspected at the throat level before firest flue g is installed ;R� 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Per ontracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department ��. All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: � �c i Town of Barnstable *Permit# Expires 6 months from issue-date Regulatory Services Fee Thomas F.Geiler,Director Building Division ��2°�°' Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY q�( Not Valid without Red X-Press Imprint Map/parcel Number Gec�L U 1 kJ Property Address ❑Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address tk-+ � AA k L L , Contractor's Name -P `� �,) � �'i Telephone Number S0 J� l!v -�S--tFtp Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance R ESS PERMIT Che ne: I am a sole proprietor AUG 2 0 2007 - ❑ I am the Homeowner ❑ I have Worker's Compensation Insura ce TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy,# kkJC i 5 - 3A14 6 20 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 Ta'1 ,� ( ` ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value ( um.441(J *Where required:.Issuance of this permit does not exempt compliance with other town department regulations;i:eAiistoric,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter'P,4t1 xm}ssion A copy of the Home Improvement Contractors License is required SIGNATURE: Q:Forms:expmtrg Revise061306 4V The Commonwealth of Massachusetts Department of Industrial,4ecidents € Office of Investigations 600 Washington Street Boston,MA 02111 , www.mass.gov/dia Workers'"Compensation Tnsurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl NaMe (Business/Organization/Individual):. Address: ?D 3(o 3% City/State/Zip: Ji 11/4 Phone-4: Toy - 3(,2 - Are you an employer? Check the appropriate box: Type of project(required):• 1.❑ I am a employer with 4. I am a general contractor and I �loyees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction . 2.2 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 working for me in any capacity. employees and have workers' $• 9. []Building addition [No workers' comp. insurance comp.insurance. 10. . Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P officers have exercised their 3.❑ I am a homeowner doing all work 11.E Plumbing repairs or additions myself: [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' . •13.❑ Other comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below islhe policy and job site information, Insurance Company Name: I-1,112.elziLl, dolof/ Policy#or Self-ins,Lic.M UR 2- .315 Id V 6 20 " 6 X 6 Expiration Date: d n 616,3r Job Site Address: r('ocl l-K,t�'GC R City/State/Zip:. 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce ;fy:under the pains-and penalties of perjury that the information provided above 's true and correct: Simature: Date: Phone#: 56 1 Official use only. Do not write in this area,'tb be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r r ¢1 fIKE Tp Town of Barnstable. Regulatory Services "�8 '$ Thomas F.Geller,Director 59- Building Division TomBerry, Building Conunissioner .200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 5 08-862-403 8 Fax: 5 0.8-790-62 3 0 Property Owner Must Complete and Sign This Section if Using A Builder I, KA d C /2 l G ,as Owner of the subject property J P P riY hereby authorize ,Q �Q.PC c�7V!i -A to act on my behalf, in all rnatters relative to work authorized bythis wilding permit application for; . Address of' b) ilzalv hSipathure6fOwner Date C� Print Name QFORyIS:O WPMRPERMISSION ✓fie i�air�rrt�zcueal/� _ Board of Bmldmg Regulations and Strndards HOME IMPROVEMENT CONT f' License or regtsti atton valid for RACTOR r i ndivid Re before t ul use oul _ .. gistrabon .'150950 eah!!ation date. If found return to: he y Expiration Board oIFBuhd` g lations 5�8�?Q�8 I. One Ashburton.Plane Rm 1301 and Standards PETER € TYPe DBA ' it . Boston,Ma.02108 _ J.SMITH HOME IMPROVEMENT PETER SMITH 3925 MAIN ST. 1, CUMMAQUID,MA 02637 �-' -- Deputy Administrator .N ot'va 'd ithout si nature g STFi,r.E STAKE —44 � I 37't (3-BED 2pgw��1 'V / SE'D zYf o �" G•A.E'.�E Q n s� J n I QI I S.EvI/gG� .5>�T.C.=it_9 LIES/G"t/ aATLa; 8 2'/ S �2EFE,Lo'�,c%CE: /� "�DFvT.� PcCAsT �-EAcH �3E/� GOT ,39^� f G.�.t✓�oL?,� 2 8/� P/T {✓i T/a 72. o S f/EeE6Y CEBT/FY 77A-4477- THE BG//LD/ti/G' S<-/OH/.c/ O.1/ Ti-//S oL 4 V IS LOG'ATE a ON THE 42ot/.VI� AS SNOW./ f,/E2Eoit/ A.V2D 7-.-/0::?7- /7- DOES GO.VFO eit�/ TO Tf/E --CPA-11 -1C,- BY-1-,QWS OF Tf/E TON/.tJ OF BA�ic/STi�9 Lam" �; 11 ''f ":tr.`�t ,COA/ST.2C./C TE D. GR.VD SC/2V6YOB5 -�,�Z/ 20uTE G.4^-`r 2/►i10C/T/-/, MAS5. D/q :. fr_ ._— �'Er LA�va l/2V�Yoe CAPE k411I)F '��S-O C. Q�"THE pow TOWN OF BARNSTABLE � e OFFICE OF o BARISTAM a qq® {{qq - y MAU& BOARD OF HEALTH vg 1639. `�� 397 MAIN STREET HYANNIS, MASS. o26ot To : Building Inspector From: Health Department Subject: Test hole and Percolation Test _ examination of the soil at (Lot) (Address) ( Village) was made on �� , 7J and found to be (date) suitable for sub-surface se:aaget at site of test hole. Building Permit will not be approved or sewage permit issued until Health Department receives two copies of plan showing building, sewage systems and all other details listed in Board of Health instructions to sewage applicants. This approval does not constitute a final decision concerning the installation of a sewage system. All State and local Health regulations apply to final approval. (signature) 6/20/75 F Assessor's map and lot number ..... .CZ....l..�.. .` �/{, SEPTIC SYS o EM k4UST 133E INSTALLEC IN C ���l IAXCE Sewage- Permit number .............. ....:2'.................................... � ..az,E WITH ARTICLE I�.• E 11 STATE �j SANIT,J�/�Y COD, MQ WN roH'Qyo�THETO�y� TOWN OF BAR1N\ S RLE.. .r _ ss • i IMST"LL i 9O 1639. ""1L RROIL ING INSPECTOR o war U. APPLICATION FOR PERMIT TO ................1................ r?�r..... ........................................................................ TYPEOF CONSTRUCTION ................................ /.4 ............................................ ...:....................... TO THE INSPECTOR OF BUILDINGS: The undersigned herebbyj applies for a permit according to the/following) information: Location ...... .../...............1.��� 1. ...................rlC�........................................................................... ProposedUse .. .. u' ��F �l/ ............................................................................................................. ................... G .Fire District �c^ t� ZoningDistrict ................... ..... ��,. ......................................... ...... :.. . . ... ... ...��...�........... Name of Owner w � . Cu. ...Address .Y ..1..... ..... �°� ...................... ..... 7.. . . ... kv Nameof Builder ............. .'`.. ...................................Address .................... .......................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......�................ /L�!'�r-�----..Foundation .. ?fit: .................. Exierior ......Roofin :...... ...................... g ................. Floors .... Interior ........ 1 `��............................................... Heating ..............................................................Plumbing .... r .Y.(4:5............................................ Fireplace ..... .. ..............Approximate Cost ... ®.01.10.......................................... Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ......l.. 9..... . .................. 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. Na .. ....... Cape Wide Development Corp. -^` No ..l79l3-. permPermit _-for ..l..l�2..�t�rv... � __.. ..�a�l�v. ...................... � - . k9| ' Locatio ����1�� {���l U/'f'-^~^ ' ----------- � \ � ...................... .................................. , '~ � Owner ......... � . . . . . Type of Construction ............. ................. --~--^-~.-----------------.. � � t� ^�' p�i --------_. �t ����_________ ' � i � r '^ � Permit Granted - -]p 75 � Dote of Inspection ................................lP- Date Completed ----]q � ! / ` ' ~ � PERMIT REFUSED .----'-----.----------.. 19 --------.-----------------.. -~~.----....--.----.----------. ----.-.--------..---~-.-----., � / - � .------------..~...-...--.---~. ' � \ ~ Approved _--------------. lV �~ ^ � -------.-------------..----- -----------------.-------.- � � , r a�. s`ph7 Cape Save Inc. 7-D Huntington Avenue South Yarmouth, M 02664 Tel: 508-98-0398 Fax::50.8--398 6399 4/24/13 Town of Barnstable Thomas Perry CBO y Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, r, This affidavit is to certify that all work completed for+96 Cedric Road, Centerville has been , inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-11 cellulose Basement: R-5 fiberglass top 4'foundation perimeter All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 " l Parcel D Application # Health Division Date Issued l Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address q Ce 8h cl 9Q%J Village CpA-�e_C Owner ,A rva Gac I is k Address Telephone S LI M Q M 0 Permit Request - 1� ^(,� R- 19 CeJJ A16Se 0 't6e OL�is , hcfe*� 0 N-W o 1(P,nTilGiio(1 re 0�- VPn S Q.'r seAl -j-he_ a4iG D la.ne W\4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed ; Totnew Zoning District Flood Plain Groundwater Overlay 4i V W low Project Valuation 3 10 0 Construction Type .� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach su porting �9cu4- tation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) CO Age of Existing Structure 1 4 q l& 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: �d Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes k 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 Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ® No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �, 1145 aY0 T c. Telephone Number $ of 3q8 ' 03 98 F; Address V V0+� �n w �8- License # ZC. 10 8.1�- 6 Home Improvement Contractor# kq-13F� Worker's Compensation # TWC 331 %0 D1- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO YoMof SIGNATURE DATE 6 (a, ji i -i FOR OFFICIAL USE ONLY b APPLICATION# 5 DATE ISSUED 4 MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 7 FIREPLACE L ELECTRICAL: ROUGH FINAL r. PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 64 i ' la DATE CLOSED OUT ASSOCIATION PLAN NO. i 460 West Mai zi 'Street OUySING Flyannis, .KA 02601-3698 S S I S TANCE -_ - ENERGY & HOt E REPAIR T (508) 790-7106 F - (508) 790— CORPORATION 2425 HOME OWNER WEATHERIZATION WORK PERM(T& FUEL RELEASE: - -- ry Encr '��t llltT Al�tfl f'1/+� ��+sr�nAJ rcv�II GT7�%`E FILL 0.� " ."\D EI G �T�J�CTf��7V1 THEAPPLICANT HOMEOWNER I /' Ze hereby consent to and agreethat wdatherization Y Work ma be done by Weatherization Program of H ousing Assistance Corporation (herein after referred as Agency") on the pro erty located at, �� 61 N - Theweatherization work donewill be based on programmatic priorities and availability of funding and -it may indudeall or someof thefofowing measures Weather-stri ppi n§&'caulking of witndowsand doors, insulation of attics, side 'ails& 'basements, attic Y and other ventilation measures and possibly replaarnent of badly deteriorated windows, In , consideration of the weatherization work to be done at my home I agreeto thefollowing: ; 1. 1 give permission to the u Agency"• ifs agents and employees to travel onto.oracross said' property with such equipment and material s as may be necessary to perform weatherization work on said property. _" 2. The HousingAssistaneeCorporation reserves the right to inspect'thefuel or utility bill for the weatherized unit on an ongoing basisfor no more than' five(5) years after theweatherization" work is completed- r.: • _ .. - . . I have read the provisions of this agreement as listed and freely give my consent: Home Owner: (Signature)k Date: (, ' t , . V . 0 Agent: (signature) Date .- HAC approved Weatherization Company a All Cape Energy, Caliber Building&Remodeling, Cape Cod lws lation, ape Save Creswell Construction, Frontier Energy Solutions, Lohr&Sons, Peter Smith, Resolution Energy, Rock Solid Construction , ' The Contrnonivealth of hlassachtcsetts z, Departrnetit of Industrial Accidents " Office of Itrvestigations t 600 T�'ashin;toii Street Boston,hIA 02111 wivw.n2ass.9 ov/dia Insurance Affidavit: Builders/Cunt"actors/Electricians/Plumbers , Workers' CompensationPlease Print L'eaibly Applicant Information Name(Business/Organization/Individual): Y i Address: 3 O 31 ' mA OAq Phone#: 5 city/State/Zip:�- Type of project(required): Are you an employer?Check the appropriate box: 6 ❑New construction 4, I'am a general contractor and I I. I am a employer with .5 — have hired the sub-contractors; employees(full and/or part-time)." 7. Remodeling 2.❑ I am a sole proprietor or partner- listed on the attached sheet ❑ These sub-contractors have g.- [];Demolition - ship and have no employees employees and have workers' 9. ❑Building addition working forme in:any capacity. comp.insurance [No workers'comp.insurance ❑ We are a coporation and its 10.(]Electrical repairs or additions, required.] officers have exercised their 11.0 Plumbing repairs or additions 3.❑ I am a homeowner doing all work g t of exemption per MGL myself.[No workers' comp.- n� P P - �12.❑Roof repairs c.152,§1(4),and we have no -j'n S a,,pi on insurance required.]t 13.� Other employees.[No workers' comp.insurance required.] Any applicant that checks box r<1 must also fill out the section below showing their workers'compensation policy information. , r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a nexv affidavit indicating such.= >Contractors that check this box must attached an additional sheet shonzn�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 anz an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. "T Insurance Company Name: eo; n o� o f1 `T'uyC331 g - µ13 Policy it or Self-ins.Lic:I" - Expiration Date: y r Job Site Address: I b �t°�f t G `•�0�C City/State/Zip: t��oltl-BCV►'� I' +� 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 S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification_ ' I do hereby certif;under the pains and penalties of perjury that the informatlotrprovided a ove is true and correct Signature: p Da e: n Phone"• cj 8 3 7 8 " 0 3'�� a Official use onhv Do not write in.this area,to be completed by cig or town official City or Town: Permit/License Issuing Authority(circle one): 1.Board of Health 2. Buildin;Department 3. City/Town Clerk 4.Electrical Inspector fi.Plumbing Inspector 6. Other Contact Person: Phone E: AC<0 CERTIFICATE OF LIABILITY, INSURANCE 10/2/2012 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(iss)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 NAMEACT Shannon sperrazza Risk Strategies Company f PHONE (781)986_I)/j00 Fac No:(781)963-4420 15 Pacella Park Drive AEg E :ssperrazza@risk-strategies.com Suite 240 INSURER(S)AFFORDING COVERAGE NAIC9 Randolph MA 02368 S ` ' INsuRERA-Selective Insurance INSURED INsuRERB:Safet Insurance Co as 3618- Cape Save, Inc INSURERC:Technolo Insurance Co an 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER CL12102253933 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 SU13R POLICY EFF POLICY EXP UMITS LTR TYPE OF INSURANCE POLICY.NUMBER. MIDD (MMIDDNYYYI GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED S 100,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence A CLAIMS-MADE 51 OCCUR S199448001 0/16/2012 0/16/2013 MED pP(Any one person) S 10,000 PERSONAL&ADV INJURY S 1,000,000 ` GENERAL AGGREGATE S 2,000,000 x ,. PRODUCTS-COMP/Op AGG S 2,000,000 KXD 'L AGGREGATE LIMIT APPLIES PER + r ' POLICY PRO- FI lOC S COMBINED SINGLE LIMrr 1,000,000 AUTOMOBILE LIABILITY , accident ANY AUTO BODILY INJURY(Per person) S B ALL OWNED SCHEDULED 6208200 1/6/2011 1/6/2012 BODILY INJURY(Per accident) S X AUTOS AUTOS NON-OWNED PROPERTY DAMAGE. S X HIRED AUTOS I X AUTOS Per accident UnderinsuredmotoristBls d S 100 000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE S 1,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE S ' 1,000,000 DED I I RETENTIONS 199448001 0/16/2012 0/16/2013 S C WORKERS COMPENSATION Dfficersi excluded X IT, WC STATU OTH- 3 AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTNE NIA rom,coverage __ E.L.EACH ACCIDENT S 500 000 OFFICERIMEMBERECCLUDED? C3318007 /9/2012 /9/2013 E.LDISEASE-EAEMPLOYE S .500 000 (Mandatory In NH) If es describe under " ' DESCRIPTION OF OPERATIONS below F-L DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Issued as. evidence of insurance. Issued as evidence of insurance. Thielsch Engineering, Inc. is listed as additional insured as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION msong@ capelightcompact.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cape Light Compact Attn: Margaret Song AUTHORED REPRESENTATIVE PO Box 427/SC8 ' 3195 Main Street Barnstable, MA 02630 Michael Christian/SMS . ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. IN3025 r9nlnnSt n1 THa arnon numn onrl Inn^ora ranictararl marlre^f A(Tf1Ar1 Ala s:tcliusetts- DepaiTmcni Of Public Il ¢~ 8aard of Building ROgulation,and Standards Construction Supervisor Specialty License License: CS SL 102776 , Restricted to: iC : 1 •WIL•LIAM MC CLUSKY 37 NAUSET ROAD WEST YARMOUTH, MA 02673 Expiration: 6/28/2013 Tr=: 102776 r ('..nutti.ziunct' �_ 07 't {{ r Office of Consuiner Affairs and usiness Regulation ;• �s = 10 Park Plaza - Suite 5170 Boston,.Massachusetts 02116 Home Improvement°Contractor'Registration ; = Registration: 171380 Type: Corporation . Expiration: 3/14/2014 Tr# 222184 CAPE SAVE INC. ' WILLIAM MCCLUSKEY 7-D HUNTINGTON AVENUE- SOUTH YARMOUTH, MA 02664 , ' Update Address and return card.Mark reason for change. Address r Renewal j Employment j i Lost Card PS-CA1 is 50M-04104-G701216 ✓/e ealriurncweal!/r a�.,l�a;aactuaelt� 'Licen§e or re stration valid for individuJ use only - Office of Consumer Affairs&Business Regulation _-- HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 7_ ? Registration- :171380 Type: Office of Consumer Affairs and Business Regulation a_ 10 Park Plaza-Suite 5170 Expiration: .3114/2014 Corporation Boston,MA 02116 CAPI SAVE INC. ..:_ , WILLIAM McCLUSKEY';_,:- 7-D HUNTINGTON AVENUE_==' ' SOUTH YARMOUTH:MA-02664° Undersecretary Not valid wit o sgnii " . Town of Barnstable Building 4' s `Post This-Card SoThatit is Visible From the Street-Approved:Plans'Must be Retained on Job and'this Card Must.be Kept` ,Posted Until Final Inspection Has Been Made. Where a Certificate of Occupancy is Required;such Building shall Not be Occupied until a•Final Inspection has been made. Permit Permit NO. B-19-2546 Applicant Name: HOMEOWNER IS APPLICANT Approvals Date Issued: 09/03/2019 Current Use: Structure Permit Type:, Building-Deck Expiration Date: 03/03/2020 Foundation: Location: 169 CEDRIC ROAD,CENTERVILLE Map/Lot: 149-084 Zoning District: RC Sheathing: Owner on.Record: GARLICK, KATHRYN E Contractor�r N m HOMEOWNER IS APPLICANT Framing: 1 Address: 169 CEDRIC ROAD Contractor License: EXEMPT 2 CENTERV.ILLE;MA 02632 � Est Project Cost: $6,000.00 Chimney: Description: Replace Kitchen Window and Replace Kitchen Slider Repair Deck Permit Fee: $110.0.0 Insulation: (existing). r Fee Paid:; $110.00 P v' R : EXISTING DECK.ALL WORK WITHIN EXISTING FOOTPRINT. 9 3 2019 Final: ro�ect Review eq S G C Date / / Plumbing/Gas Rough Plumbing: Building Official.. Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six months after"issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents'for whicKthis permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and,codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. � Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.'All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: . 4.Wiring&Plumbing Inspections to be completed prior to Frame inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site . Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Application Number. ...... . .. r * sA MABLE, +� MASS. 1 V Of`�ARN �ennit Fee.......................................Other Fee:..... 059. 1019 AIG �8 P''ti 4 34Ltal Fee Paid...../�D• ' ........ ... ................. ...... TOWN OF BARNSTABLE , Peat APprovat by... .... :...on.....�13!.l g......... BUILDING PERAffY-$I0N: 1 Map.......:....1.R..................Parcel........D ........................ APPLICATION Gn�►,� s& T Section 1 — Owner's Information and Project Location Project Address s �- C Village ew f/%1 Owners Name M �� SmIN`"� Owners Legal Address City Vn koz StateMA— ZipQ 246 Owners Cell # ✓®� ® ' Z� E-mail Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet Ix ❑ Commercial Structure.under 35,000 cubic feet Ingle Two Family Dwelling Section 3 —Type of Permit ❑ New.Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) �' El Finish Basement ❑ Family/Amnesty ❑ Fire.Alarm ' Rebuild 9 Deck Apartment ❑ Sprinkler System ^❑ 'Addition ❑ Retaining wall ❑ Solar L/ Renovation' ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description .r, � - rL t �Ow e e raw. Ae+.A• 11/1cmniQ ' is Application Number..................................................... F— Section 5—Detail`z Cost of Proposed Construction d U Square Footage of Project Age of Structure 6175 r5 Dig Safe Number # Of Bedrooms E 'sting Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply a Public ,:}<El Private Sewage Disposal ❑ Municipal. �'On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes NNo Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use V,5i Lot Area Sq. Ft. 5 Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard ' . Required" Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated: 11/15/2018 Application Number............................................ Section 9- Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date` Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date (Section-11 Home Owners License Exemption r r Home Owners Name: Telephone Number Cell or.Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I and tand the construction inspection procedures,specific inspections and documentation required b 0 CMR and the Town Barnstable. Signature Date -Y / tv APPLICANT SIGNATURE Signature Date fS 8 ! Print Name SVXV4' Telephone Number E-mail permit to: hwi-e 5!)ww(-D he/ L— Last uvdated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization i I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print.Name Last updated: 11/15/2018 The Commonwealth of Massachusetts Department of IndustrkdAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia �� f Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly - � Nai11t usiness/ tzation/individual : ;Address: [-(D6Ll.UNLk(i City/State/Zip• C&�)T&'7-V I Phone#: Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with- 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. ORemodeling ship and have no employees 'These subcontractors have S. ❑Demolition for me in an capacity. employees and have workers' working Y aP tY t 9. ❑Building addition [No workers'comp.instance comp.insurance• 5. We are a corporation and its 10.❑Electrical repairs or additions required.]homeowner ❑ officers have exercised their 11. Plumb' repairs or additions 3r•�'�am a homeowner doing all work ❑ � eP • myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.]. *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. : I am an employer that lsproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: ' Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 n pains and peen Jpe*vy that the information provided above is true and correct Si ature: h�. - Date: g Phone#: 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.Ciiyfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,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 or 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,§25C(6)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 constrict buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"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." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contaator(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 021.11 - Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www;maw.gov/dia 4 �_.. a .-�---- - ---- i a 5 l 2 Assessors map `and tot number ..... ...... ... ..�:..:�..`..�. SEPTIC �� .a.:.': ,r- BE Sewage Permit number ...........D..`-�1.......................................... VJ T-1 P,,RTK— E Is�. ..� �Qof114EToyo TOWN OF BAR.NST:APIE Z BASBSTADLE, i y MA88.i6}q. BUILDING INSPECTOR Apo, ��� II APPLICATION FOR PERMIT TO /.X..... ..............:.................................:................. TYPEOF CONSTRUCTION ................................ .av ............................ ...................:....... .................. ........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: � e J ..................... ................ .................... ..........................(�.�.1 .t .......................................................................... Location .. Proposed Use .. Y."'. `i/�� �. ......... .... .... .... ...................................... .... .......................................... .................... h I Fire District ...... ':... " Zoning District ................TAL"............................ .....................:................. Name of Owner. ..Address... ..Address .... .7..� .. :... ..1..�:r(.:��..`� Nameof Builder ............. ......... ........ .......Address .................... ...... " . ........................................ Nameof Architect .......................................... ...................Address ........................... .................................................... Numberof Rooms ........................ Foundation ................................... ......................................... Exterior .. ..:.. ....... ................... .......Roofing ......... -��, � .. .......... ...........................:....... FloorsInterior ........ .. i4."............................................. Healing . /.:...... ................................ Plumbing .... :Gt r dfl.S...:........................................ 1 ' Fireplace l!'� ....U..� ..............Approximate Cost ............. . .......................................... p Definitive Plan Approved by Planning Board ----------_____—-----------19______. Area ...1 ... . .................. Diagram of Lot and Building with Dimensions Fee ....�./..t... .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam ........ ...........b,:!............... .... ..�....... ......... Cape Wide Development Corp. A=149184 lPerhit #17913 Build 1 1/2 4•. story sin%le family dwelling Cedric Road lot #39 Centerville i s � lugust 28, 1975 - 1 3J"t M t3-BED20Gil�t ie / . i J � n h Q �o� I �Et�t/�CrE- SYST/=/-7 I1��=S/G✓t/ e. ,4 O CA7"/OVA o <f TE.F✓/L 1�O .�EFE,E'e°.s%G�: �i� r'�DE'.vr/� P.tccRST d-EACr/ . - f3�i/-./Cr GOT �^- �i,�.(✓���t�.e� .2H/, �/T o"//Ths' /' o.� Gs/ASNEI� STo.c;F 2 N���B� CENT/FTC 7-f-/A7` 7-.4E SHOWN O.V TN/S P.Le4.V /S LOG�iTEZ� O.1/ THE r��[sl/s✓T_1 AS .ss10 Wn/ f/E�EOl1 !-�A:D T/,� T 9 T - l R e ►'-=. , 62�7f GO/L/FOeL"it�! Ta 77W—• zO.V/.t/G BY-.C-laN/S ®F THE 727WiV OF r - � BOCJTE G�i^-9�.�it�y®c/TH, ",QS5. Assessor's map and lot number .... �5 14= _ , FTHET s� ( �'. /.; ._ /�:' ' �L PLO Off♦ Sewage Permit number ........................................................ Z EAHbST11DLE. i House number ......................................................................... 900 M76 q. ,ems �0 �E0 NO 0 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....f: �i�.4!...: !� 4 vv.Uc .... �!� ! ! !lif1.......'/.0 .� ............... 3 c i TYPEOF CONSTRUCTION .......::. '.P........................ ................................................................................ ......................... /. '�z...........19.. C TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..r� '. ......6F*4�c.................................. .•.. e �// ............................... ................................... Pro osed Use �� X L `�� �'°u ti`� p ............................ ..,. .......................... v/v?/:"UC(.....Y... .................................................................. w, ZoningDistrict .. ............... ...:..................................................Fire District ............................t................................................. �c Name of Owner .� .( � .......1 L Address .��'y A� ,, 1`- , tom/ rr // .................................... ........................ ..........................................�[ 1i1JcJ'tc,'�`..... au �� ��>`3 v > ��� C�uut! U .�!'G!// Name of Builder ................. Address ............,:............................................... ......�. .... Nameof Architect ..............................................:...................Address .................................................................................... Number of Rooms .Foundation ...ff'�: UCv�7,c ................................................................. ............................................................. Exlerior .....................................................:..............................Roofing .................................................................................... Floors '..............Interior ............................................................................................................................................... ............. Heating ..................................................................................Plumbing .................................................................................. Fireplace ..............................................................Approximate Cost .... / a �. ................................. , Definitive Plan Approved by Planning Board ______________________________19________ . Area �`. ..... '1....... fM .............. . f Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH F,f�, SAW "t ,tar` • - '' 5 .r 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 ILL, GREG A=149-084 149 t/-084 ir j= No ... Permit for ....jW.. ....S. imming. Pool .......Ac.ce.S.s.ory...i�q..p]�jftjjjn .... .... . . .... . ....fig......................... Location .........1..6..9.....Cedric &Q.a d....................... Centervilip, ............................................. ................................ Owner ................ ................................ Type of Construction .....51.e.e I...&..Viay.1........ ............................................................................... Plot ............................ Lot ................................ Permit Granted ......November. . . ...5, 19 86 ...... . ...... . Date of Inspection .......................i............19 Date Completed ......................................19 cc) � g ors fn. s .+., .r. ,• .e'/ �yo' P 2i✓.. h/.nY� .cam s .44. S3' S•EN/�G� sy-s-TE�-' IaES/G.-t/ ✓Le.G E /i7A5S. sGq.L E /" h�o' D.qT�: 8 2/ S /O�Q CiflG. SE.oTiG Ti4.VC ,EEFE.E'��c/CE' �i� �'��•E,oTM �,tc-cAST <E.qc., � .Z�/T `✓/T/-1 ` = f'+/���6Y CF,E+T/FY TNgT THE BV/LD/lJ�r' SNON/.v OV,• TN/S AL.�iV /S LOCATEa O.V THE �eOC/.vD AS 311I0 t^/N NElOEO.t/ _ L?OES' CO.VFO,e.t�/ TO- Tf•%� z'o,c//.�/G .Lam\,--.._-":...Ao_,. BY-..GgH/S O� TL•,/E 7bH/.t/ OF .BA.2it/STA�3c..: ,�D'' f;r ;;',:�t{.. . ., _ L qc/L+ SC.LeVF_Y02S i= L� •. �� !. '.'�/ /l /� :..�� e �.. rt'/lrNfz SuCrio/d �o•:o A -N.•,`ts ro/YrG ' •L•i»'(L Lurvto ♦ A" \ / eo[r wasrcJs(r a �y �ryp• ' N /H ,vvf 5((��•;17 • wf[O P [ovG 6 I J 17 dw,ez 5,-X."f P CORNER CONNECT/ON + wHl„ (r,t [,Mo ,P w,ra I '�[' \ h n✓r IJNL sMrl coNLzcrE eYll L—+--- ---J- - - - - - - ( - - - - " 11 POOL D/M ,ti5/0v.5 + l� SOuO urfS RL/q[Jlnr-! `B4ptl� [/n!S w'lPglSfv% Pool J.:ES STL![ watt �lrE[ A4RANLE.`/fMr OF/a[V!(7 AagA.`LlNEn%Of COPi•,•L •/G'/)t' IG'r)!� �B.�7 ZO.4-o 2 � qNTA,4 S T I � 7 !f-G" u'-c" o e 20:8 a' ♦ z.a,.v.run SnNO ev;•rr rweR s✓cRr! 39,854 C )'-b• 3'•4• ,-,J,y:lJ Jr gouLp PLAN of POOL i - oo do r sc,.,, r/aL z Veo[-371C /OARO/S /G2n.::lJ _ e-l- u'-9' „'-a a• + II•, II I. I\ �Il-I I, 14.12 IG..1 14.�1 •.�O ♦ ' 6 4'-)" f'•I' r" °i" , •-9' I �UnO/J rdgelO� .ro�u/wr b,Soo, 1u,Lsas 27,M10 1'_.�aC \� ingrN lYhrA! i :t+e,;�• 1�ols.c. 1 yso's.a.1 419.1.1 ,Mss• x .4,_p.. . 4.,. 4.-�• -o• FILLER .� :•_ st:, c,. e'•G' a-s- 9�10 • ,2= r �8'z" src t tc P!/N!sa - Vi c'4 - [[ .4'-e%4- 'b'-B 9•. '. - 'd' `,L TALL Oq/✓/N/w70✓NO.SrYR/!J �...•' fRgrM 7Ng0YLM MO[!S /A 4: J 4,0•• 4=O• e0 r7vm eF/An![ 7 z9'-0 z7o 27 27'o• TYPICAL W/9LL SECTI e07Ter TMOROLeM(Y e'-o" a-c 9'-0• e'-o• R T. f�" FR/9ME !r F rA.+/✓O t +otaaD a..a. 4'•4_ _...J„� 0•.2 a' \ 'f• T) LONGLTUOINAL SECTION X-X' B/L L p! ,ti!/4 TER/AL S el Is — nl.Os v sOt J e� �JM �7 Z t Cy Z °v .h(:J[,i.•.Y t d,( J,+ YY 01, Oa 4 Q u .. Q •j "� .1 T - p A "I 1, so is P 4 H LL N t•/�{ur•s/L>sr�alr�R.. �js.lrt.c'.lJy -_ •- - --- . !-e'/ir.lr i No.12 1 14 1 4 s 4 4 8 6 8 is ez 76 s• /st rdf PANfl QRRRNGEMENT (�•e's 1 4 2 a 4 s 4 4 8 a b 'e ee a 1 sf /!L I P 1 q + v g 4 4 4 8 7 b J® ee 76 sb of �i Jri s ,-! 7 tir!n'rsr� a ls.1j1 to.Ao 1 2 to �I ' {'fta'..oJ .i• L-/r'/i:'.fs'•t tog*o'f.e..�-r !//{:7r'1 L.fl'J /''-{f [- I. .,u+�ICIA�. .,4ts4� �Mrta s,r��,..►c. »-a.4� 2. FJi•tiJ• 4 K. rru so.FT. zuo ao,rr•laq 2 ft.ea,ti !•c f A. o. ,+ ,-N� Ps.A«, 2'r•r.._1' Heldor Industries L Ftnc pearl., ♦ Id-�Ir' �...a..f.{o so....•q IF Morristown. New Jorsoy .. ` J/�)(/filfl N:/f� 0' q•rA�'C� o•c< �no�0�o TJ4Sk. rno�4- SLIr / / e•fr0�r4sI [•f- >••s/rvrf••u% !-f' 4•r��o„� TYPICAL PANCL ..,.,�[. 3240_eR ram. F.LncrJ6rG oaT-.,.��. ' .ao.iamw. GRECIAN POOLS al�.a:iii•ss7 r-lrvK.)svre.♦e a s.�, e i IfFNER OP1NG LAYOUT «•-•' I►. � ' uncommon quality •N'•••' /�{ "«.: 3 2 5 0-G . 1-073 Assessor's map and lot 'number .....�. ..:l.."".. '. ...; F r s �r, ® P/CS f verge Permit number ......... SEPTIC SYSTEM MUST BE o TALLED I14 COMPLIANCE e ti BAHB9TADLE, i House number ......•..................................................::............... WITHTITLE TI E 5 9,o,1639FaMAY. c: itRONMENTAL CODE At� TOWN OF BARN,S` B TE* BUILDING . INSPECTOR APPLICATION FOR PERMIT TO ... w.<✓ /�l/ �oo TYPE OF CONSTRUCTION ....... ? . `..... .:.. .. 1. ............................................................................. ........................ ...........t9..��� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according tQ the follo ing information: Location 9 ....ele.a. 1K.......07 e--- Proposed Use ......... �:>t!.:v........... wl.v!'(�ti ....�..4.. ..................................................... ZoningDistrict .....:..................................................Fire District .........................................................................F..... Na'me of Owner ,.. .......... .I ....................................Address .lS��r.. c��C.�.a.(�'..�...G ..`�V ...................... Name of Builder .A AVC.4�?� ! °U�� ��� ....... .... ......................................Address . ... ....... . 7 Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ... 1?K!GN.rfC................................................... Exierior ....................................................................................Roofing ...........................:......................................... ......... ...... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace Approximate. Cost ....:.�j, DDo; o 0 .................................................................................. Definitive Plan Approved by Planning Board ________________---------------19________ . Area .............�.��.x 3� Diagram of Lot and Building with -Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH re 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 r 'construction. Name .. ... .................. Construction Supervisor's License . 04 3 'r'............ ♦ Kam. i _ _ ILL, GREG No ...3Q14.1.... Permit for ...... uild„$w.:LwiDz Pool Accessor to D el ° 3'...........w.....?,hng. ...................... Location .........1...4..Q.qdr74G...1�9ad........................ ......................C xkt.g °.Y.:U e..............:.................. } - Owner .: Greg Il'1: Type of Construction ..� S.t.e1`.&..vinyl........ r 'Plot ............................ Lot .............................. Permit Granted ........November 5, . .19 86 Date of Inspection .................. .....19 � Date Completed .......................................19 V r _ CD �y� r Y LOCUS DATA TMOF,��r EDWARD °/ GAO LOCUS o A 0 /� \ N / STONE � ,/�♦ � /� O \\ �'S O N CURRENT OWNER MARIE M. a No. sss V.10 G \\\ !s�� o�• �o sou zA o ,�y�• ��� � °/ -- LOT 4 0 �.� 4 sic PLAN REFERENCE 281-72 \� o��� �o DEED REFERENCE 32119-134 �j °� ZONING DISTRICT RC / GP °/� °cb� 39. 60 LOCUS MAP FLOOD ZONE "X" �J� NOT TO SCALE: ASSESSORS MAP 149 °�G�o���� ��Q #169 DECK s�o• 19-0120 PARCEL 84 OVERLAY DISTRICT STATE ZONE II .,� �oJ�o EXISTING \\ro SEPTIC TANK F` LOT AREA 23,519t S.F. O�J� �O� } o 0 22 g TO REMAIN 2As 22.8' i� ;�� As. LOT 41 Z SITE 8c SEWAGE BENCHMARK REPAIR PLAN o 10 . 15 20 CORNER OF CONCRETE BULKHEAD ELEV 60.85 #7 69 i 6� • D.T.H. #2 �' 16.2' CEDRIC ROAD 1 GINCHHIC 0 FEET �o�- 16.6'H #1 - ' PROPOSED S.A.S. IN SUBSKETCH °�'i (2) 500 GALLON H-20 i' A ENT CONCRETE LEACHING CEN TER VI LLE, MASS < �� '_ PUMP, CRUSH ANDABANDON EXISTING ��� SHED CHAMBERS, WITH 4' OF STONE DATE: JULY 12, 201� ��Ilk LEACHING ACCORDANCE WITH PITS IN / � ALL AROUND. 13.0 x25.0 i T TLE 5. OWNER/APPLICANT: MARIE M. SOUZA LOT 39 169 CEDRIC ROAD . 0 f: LOT 38 23,519t CENTERVILLE, MA 02632 H. #2 �. , 508- 776- 3940 1° '` 0155 SHEET 1 OF 2 S 5.0' 16.2' D.T.H. #1 t PREPARED BY: 13.0' EAS SURVEY, INC. ! O 30 45 60 P . O. BOX 1729 16.6. SANDWICH , MA 02563 1 GRAPHIC SA INCH = O FEET SITE PLAN CELL (508) 527-3600 VENT EAS.SURVEY@YAHOO.COM