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0054 HAWSER BEND
� sre mod . o 0 Town of Barnstable Building ' ,k Post�Th�s Ca°rd,So,That tt.�s�V�sibleFrom�the Street�'A roued,�Plans Must be'Retacned on�J,ob andth�s�Card;�M"ust be=K'e t �� ' !AhA't3PABCC. " �;� � > .� :fV '•;�•s%;r � pp ,.. �r�^�.:: �, �� e r N a .p �',� M''^ "Posted UntFinal InspeetionHas"BeenIVade Permit , a• R :Where ahCertificate:of u anc°.ais Re oared° such Bu ld�n 'shall"Notrbe Occu ied;un#il a Final:lns ectio has been made__ Permit No. B-18-2056 Applicant Name: CAPE COD INSULATION, INC Approvals Date Issued: 06/28/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 12/28/2018 .. - Foundation: Location: 54 HAWSER BEND,CENTERVILLE Map/Lot 192-092 Zoning'District: RC Sheathing: Owner on Record: BURGMAIER, PATRICIA B&GEORGE J TRS Contractor Name >CAPE COD INSULATION, INC Framing: 1 Address: 54 HAWSER BEND x Contrac�tor�cens�e 53567 2 kg CENTERVILLE, MA 02632 ALL: Est Profect Cost: $4,800.00 Chimney: Description: Weatherization = Permit Fee: $85.00 5 Insulation: Project Review Req: �� Tee Paid, $85.00 Date 6/28/2018 Final: n Plumbing/Gas ` �.✓ r L r Rough Plumbing: 1, x 3,,K "Nt 1 f " ✓' ,Buildin Official g Final Plumbing: d �, ht Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized b) s permit is commenced within six months after issuance. g All work authorized by this permit shall conform to the approved applicationand th approved construction documents for which`this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning byllaws and codes. This permit shall be displayed in a location clearly visible from access street orroad`and shall be maintained open forApublic mspect�on for the entire duration of the work until the completion of the same. Electrical ' The Certificate of Occupancy will not be issued until all applicable signp i res by the Building and FireOff itia19 6te�,pr;mded 6-ii,is permit: Service: Minimum of Five Call Inspections Required for All Construction Work-' �- 3 1.Foundation or Footing _., '; Rough: 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage final: 7.Final Inspection before Occupancy Health \411ere applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final; "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION F Map Parcel Application # � 21D Health Division &U/4[D pte Issued / � .. Conservation Division ✓U Application�Fee Planning Dept. r0lvvv N� r%v't� ee s ®G Date Definitive Plan Approved by Planning Board ����'q�i/Ij� VIy►H%c- Sd=+�� Historic - OKH _ Preservation/ Hyannis Project Street Address ��,/��I,)a I;!t le a 0� Village 4�&•�eA _Z`e Owner <�&gI2%e 've9g;l 4 teif Address Telephone ._so Permit Requester Square feet: 1 st floor: existing - proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation {6f 4,0 Construction Type 1 d. 41 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0� Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes 3 No On Old King's Highway: ❑Yes @-No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing Ll 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 eA Q,0 ef4 /A.1�LZ4�7: Telephone Number &��7� Address /E �® �'/� License # fe4E 6ka�Aa 0, 2 Home Improvement Contractor# 41 [ALL Worker's Compensation # ONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOATURE DATE L/17-7/��' FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. `g 'b ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ,r FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The COMMOnwealth of Massachusetts yDepartment of ZndusfrlalAceldertis 1 Congress Street, Sulte 100 Boston, MA 02114.2017 www,mass,g0v/dda Workers' Compensation Insurance ATAdavlti Bullders/Contractors/Zl Wirt c a t ns/Pi.umbers, TO BE RILED WITH THE PERMIITIKIS AtITHO:RI7?Y, on Please Print Leeibiv Name (8uslnasslOrganlzaHon/Individual); Cape Cod Insulation Address; 18 Reardon Circle City/Statellpl South Yarmouth,MA 02664 phone#; .508.77-5-1214 ' an you ae employer?Check the appropriate bort I,m s am a employer wJth 48 employeet(Nil and/or part.tirna),t Type of project(required); 2Z 1 am 11010 proprietor or partnership and have no employees working for me In �� Now construction any oapaolty,(No workers'oomp. Imuranoo required,) 8, ❑ Remodeling 3,C]1 am a homeowner doing all work myself,,Moworkers'oomp,Insuranos required,)t 9, ❑ Demolition 4,❑1 am a homeowner and will be hiring oontraotors to conduot all work on my property, I will 10 ❑ Building addition enure that ell oontraoton either have workers'compensation Insuranoe or are sole proprietors with no employees, 11,13 $lcotrloal repairs or additions $,❑1 am a general oontraotor and I Nava hired the nub-oontraotors listed on the anaohed shoot, 12,❑plumbing repairs or additions These subaontraotors have employvea and have workers'oomp,lnsuranoa,t 13,❑Roof repairs 6.❑we ve a corporation and Its oftloers have exercised their right of exemption per MOL o, 14Q Other Weatherization 152,tl(4);and we have no employees,No workers'oomp. Insurance requind,) 'Any applloanl that oheakt box A I must also nil out the section below showing their workers'oompensetfon policy InformetJon, t Homeownen who eylornI IMavlt Indicating they an doing all work and then hire outslde oontraotors must submit a now affidavit lndloating suoh, 1contmotors that oheok this box must attached an additional sheet showing the name of the sub-Mv otots and state whether or not those entitles have employees. If the tub-contraoton have am 10 ees,they mutt rovlde thblr workers'oom , lfo number, lam an employer that is provldlne workers,compensatlon Insurance for ttsy cmployees, Irtfor Below Is the policy andjob site matlon, Insuranoe Company Name; Atlantic Charter " Policy#or Self Ins,Llo,•# WCE00431902, Bxplration Date 08/30/2018 Job Site Address;3 ,12-v-,- C �� Le • Attach a copy otthe workers' eompensatlon policy declaration page(s6ow1>��betpol c�riu[mbo r and explratioa date, Failure to secure coverage as required under MOL o, 152, §2$A Is a orlminal violation punlshablo by a nno up to S1,$00,00 and/or.one-year lmprisonment, a9 well a$ civil ponalties in tho for of a STOP WORK pRDLR and a tine of u to$250 00 a day against the violator,A copy of this statement may be forwarded to the Offloe of Investigatlons of the DIA p ooverage verigoatlon, for Insurance 1 do hereby cert� urtdEr t1 p ns and penalties of perjury that the i1'ormctton provided above is true and correct, 9 MA, „�~f,k M1wN....UHWWM�vWIM 508. 7 5.121 z 7 1�' Official use only, Do not write In thts area, to be completed by clty or town 0/y7e1a4 City or Towm PerrnIVUcense# Issuing Authority(circle ones 1, Board or Health 2, Building Department 3, CltytTown Clerk 4, Sleotrlcal Inspector S� Plumbinb Inspector 6. Other Contact persons Phone#s CAPECOD-27 KDOYI AFRO" CERTIFICATE OF LIABILITY INSURANCE FDATE 04/03/2018Y) 04/03/2018 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 pollcy(les)must have ADDITIONAL INSURED provisions or 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 endorsements. PRODUCER �RAJACT Rogers&Gray Insurance Agency,Inc. PHONE AX No: 8T7)816-2156 434 Rte 134 A/c No Ext South Dennis,MA 02660 mail ro ers ra .com INSURER(SI AFFORDING COVERAGE NAIC# INSURER A:Peerless Insurance Company 24198 INSURED INSURERB:Safe Indemnity Insurance Company 33618 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Circle a INSURER D:Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 110001000 CLAIMS-MADE nX OCCUR BKW53328281 04/0112018 04/01/2019 DAMAGE TO RENTED 100,000 MED EXP(Any one erson 5,000 PERSONAL&ADV INJURY 1,000,000 EN'L AGGREGATE LIMIT APPLIES PER: ENERALA AGGREGATE 2,000,000 X POLICY❑JECT LOC PRODUCTS-COMP/OPAGG 2,000,000 OTHER: B AUTOMOBILE LIABILITY Q COMBINED SINGLE LIMIT 1,000,000 ANY AUTO 6232707 04/01/2018 04/01/2019 BODILY INJURY Per person) OWNED SCHEDULED 1,000,000 AUTOS ONLY X AUTOS 1,000,000 X AUTOS ONLY X AUTOS ONLY BODILY INJURY Per accident PROY AMAGE P,r7 nt C UMBRELLA LIAR X OCCUR EACH OCCURRENCE 2,000.,000 X EXCESS LIAR CLAIMS-MADE R/O EXCl0006636002 04/01/2018 04/01/2019 AGGREGATE DED L_iRETENTION$ Aggregate 2,000,000 D WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY X ANY PROPRIETOR/PARTNERIEXECUTIVE IN WCE00431903 06/30/2017 06/30/2018 1,000,000 FICI ER 9ER/MEMgT)EXCLUDED? N NIA E.L.EACH ACCIDENT andatory In NH) It yes,describe under E.L.DISEASE-EA EMPLOYEE 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more epace Is required) Workers Compensation Includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, CERTIFICATE HOLDER CA CELLATI N 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 ACORD 25(2016/03) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD f a � Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Ma:fttractor 02116 Home Im rovems .a Registration ,.Type - ' Corporation Cape Cod Insulation Inc Reg(sfratbly 16af3e7 - ," 1;, Expiration; 12/14/2016 18 Reardon Circle n So, Yarmouth, MA 02664 Y� ar:..rr: .. l w SOA t 0 20M•06/11 Update Address and return card, Mark reason for change, _. .....,_ ..._� �s�d77f7JLGOLfUBa�G�a� � ' '.•---....,._-•-�.-•A�1�lX�Asf•�..�.L'�.C1t7.L�:7�.1.-�.-�t�,714'�p'aAtlt.�•1.I.nSt,.(„;t�.r O�aaaao%cr4ettb OHIO$of COnaumerAffairs&Business Regulation HOMEY.IMPROVEMENT CONTRACTOR Reglatratlon valid for Individual use only q Corporation before the expiration date, if foun urn tol 1<xniratlon Office of Consumer Affairs and al as Regulation �s.s • `, a 12/14/2018 10 Park Plaza• 05170 Cape Cod Insu 4�,'' ttE *? Boston,MA 11 }�� 1 He Cassidy fit. � 18 Reardon Cirott$�� ` • :j: 'i So,Yarmouth,M�1� r� �,` Cr Undersecretary t al hout SI at / ' I 1 1 I t Commonwealth of Massachusetts ,Board ofi8ullding Reeulatlons andnStan , tandards cons • CS•100988 �� �' ' •• HENRY E / 1 I • 8 SHED ROW✓41Di(,, fk � pWEST YARMO ,T;�1 \S Commissioner DocuS igrr€nuelope•I D:589AADC8-606A-4417-8DE E-63241283 DA36 low of Rar.mstable Rt' dtory Services °BLAB& Richxr&i/.Scab,Director' Tam Perry,Ru ldiag,Comrusssioner 200-ga n Street,Hyannis;MA 02601 mv"Aowo.barnstable-m..us' Office 508-862-488 Fax: :508-790=6230 Propf,rty Owner Must CoMpIcte and, Sang .This Section • :George Burgmaier ac C?umer .te s ;�ct ,1 herebyauthorize C 25 -2. �Q (����1' T: am on#17behalf,,, in 0 mamrs-relative to work auihorized by this.buil&ng pexa i applic.auon fon 54 Hawser Bend, Centerville (Acl:dress alr�o�:), Pbol ences and a� =tbt respomibilhyot`t e ap*p cant. Pc'6 s are aot.to be ail ed or tit i ci before f nce.is ins tAed ani aIfin--J Inspectic ns are..pc&)rmed;itd aLcept�d- EDoauSigned by: - Gc,erf, f urrPAW 1 5ignatu Of 8wncr S` a oI Ap 'caxii George Burgmaier Print Name 5/30/2018 1 12:08 PM EDT Date Q;FORMS OVv:.'FI'i FIIU.tFS5loNp(X)LS' Town of Barnstable Buildin Post This Gard Sq That,rt.ts Visible Fromahe Street=A roued.PCans-;Must"b.e Retain.ed aiti Job andthis-Gaptl Mu"st be Ke t , 6 Posted Uri#il Final Inspe Lion Has'-Been Made } Where a;Certificate of.Occu anc,HIis Re u�retl°-such B-uldm shall Not be Occu iedtuntda F�nallns ect�on has-been made - ;.r Permit l� Permit No. B-18-1977 Applicant Name: SOUTHERN NEW ENGLAND WINDOWS LLC. Approvals Date Issued: 06/22/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 12/22/2018 Foundation: Location: 54 HAWSER BEND,CENTERVILLE Map/Lot 192-092 Zoning District: 'RC Sheathing: tKty Owner on Record: BURGMAIER PATRICIA B&GEORGE J TRS Contractor�Name.' BRIAN D DENNISON Framing: 1 Address: 54 HAWSER BEND Contractor�icens'e CS 095707 2 CENTERVILLE, MA 02632 x �Este }ect Cost: $38,424.00 Chimney: Description: 4 windows&4 doorsPerrnit Fe�e: $195.96 [ Insulation: Project Review Req: � f Fee Paid- $ 195.96 6/22/2018 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: 3 This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved applitat n and Wh approved construction documents#o hick-this permit has been granted. All construction,alterations and changes of use of any building and structures sh ILI$6 in compliance with the local zoning by, s-and codes. Final Gas: I , � : This permit shall be displayed in a location clearly visible from access street or ,roadiand shall be maintained open for public1'inspection for the entire duration of the work until the completion of the same. y Electrical x a Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building ancf FireOffieials aretprovided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing ; ._ L-A, . 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable i in PostTh�s Card So That rt�s;RV�s�ble:From the Street-ApprovedP[ans:Must be.Retafned on Joband th�sCardMust be Ke t P Posted Untrf.Final lnspectlon Has Been Matle MAIM K , � �y' :. " N PerWhere a Cert fieate of:Ocea anc. 'is Re ured,such'Buildm `shall-Not`be Oecu ied unttl'a°F�nal lns echo„n:has:,been,made.. pv<< �, q,n g,. p Permit No. B-18-1977 Applicant Name: SOUTHERN NEW ENGLAND WINDOWS LLC. Approvals Date Issued: 06/22/2018 Current Use: Structure Permit Type:. Building-Siding/Windows/Roof/Doors Expiration Date: 12/22/2018 Foundation: Location: 54 HAWSER BEND,CENTERVILLE Map/Lot 192 092 Zoning District: RC Sheathing: Owner on Record: BURGMAIER, PATRICIA B&GEORGE J TRS ' Co ntractortName,�,-,BRIAN D DENNISON Framing: 1 Contracto LicPnnse CS 095707 Address: 54 HAWSER BEND 2 CENTERVILLE, MA 02632 -> Est Pr�oJect Cost: $38,424.00 Chimney: Description: 4 windows&4 doors Permit Fee: $195.96 Insulation: Project Review Re �, Fee Paid $ 195.96 s �. 4: D to 6/22/2018 Final 01 � Y '= — Plumbing/Gas Rough Plumbing: �� - Building Official -01 Final Plumbing: .$ This permit shall be deemed abandoned and invalid unless the work authonzed by th's permit is commenced within six months afterissuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents.for which this permit has been granted. All construction,alterations and changes of use of any building and st uctures shalLbe in compliance with the local zornng&by law and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open fo5pubbUc inspection for the entire duration of the n work until the completion of the same. IRA ` Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythii Building and-Fire Officials are`p ovide�dron this permit. Service:. Minimum of Five Call Inspections Required for All Construction Work: ; _- u 1.Foundation or FootingRough: s .,, a ., 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r � � p Application number 0. ...... W . : kg BAMSTABM n ® ip� Date issued................................. ... ..................... e 1639. 03 JUN 2 0 2018 Building Inspectors Initials... ........... ................. fOWN O� wivs IAB LMap/Parcei.........��.Z:.....�g.Z........................; TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: f4 a w Sec t n�� C,e r vi /le— NUMBER STREET VILLAGE Owner's Name: ?a 46eo,r e Phone Number .S C8'-27 �(Q_ Email Address: Cell Phone Number Project cost$ 38.-12- 1{ — Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: S e- x\:-44 JNJ C 4-A-14 Date: TYPE OF WORK Leiding -, u Windows (no header change)#_4�_❑ Insulation/Weatherization Doors (no header change)# Commercial Doors require an inspector's review J Roof(not applying more than 1 layer of shingles) Construction Debris will be going to w a Sfe-Irylga�eo r P - Z,�I c of dl R L CONTRACTOR'S INFORMATION Contractor's name AkAJ cCrI let4 J1."Glow S Home Improvement Contractors Registration(if applicable)# 17 3 ZL 5 (attach copy) Construction Supervisor's License# 01 S 7 O� . (attach copy) Email of Contractor Phone number L10I- z 2 R -�ROO ALL PROPERTIES THAT HAVE STRUCTURES OVER TS YEARS OLD OR IF THE SUBJECT PROPERTY IS IIV A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. j APPLICATION NUMBER *For 'Vents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes.please attach floor plan with exits marked) Dimensions of each Tent X X , X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a:for profit non-profit event Check one:Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health.Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pna Commercial events may require Fire Department approval. *WOOD/C®AL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles:front back left side right side H®MEOVVNEII'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities Wander the rules and regulations for Licensed Construction Supervisor in accordance with 780 CAM the Massachusetts State Building Code. I understand the construction inspection procedures;specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PPLICAIT'S SIGNATURE Signature Date Lo- l� All permit applications are subject to a building official's approval prior to issuance. Renewal Agreement Document and. Payment Terms byAndersen. dba:Renewal By Andersen of Southern New England. George Burgmaier Legal Name:Southern New England Windows,LLC 54 Hawser Bend RI#36079,MA#173245,CT#0634555, Lead Firm#1237 Centerville,MA 02632 wieoow RE sae..... ' 10 Reservoir Rd I Smithfield RI 02917 H:5089572546 Phone:866-563-2235 1 Fax:401-633-6602 1 sales@renewalsne.com Buyer(s)Name: George Burgmaier Contract Date: 06/08/18 Buyer(s) Street Address: 54 Hawser Bend,, Centerville, MA 02632 Primary Telephone Number: 5089572546 Secondary Telephone Number Primary Email: 9.1burgmaier ftahoo.eom Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to b the parties and incorporated herein by reference(collectively,this "Agreement'). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total job Amount: $38,424 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $0 Balance Due: $38,424 Estimated Start: Estimated Completion: 8-10 weeks 8-10 weeks Amount Financed: $38,424 Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we:are providing at this time is only an estimate.We will communicate an official date and.time at a later date.Rain and extreme weather are the most common causes for delay. Notes: 500/.DEP 50%oON COMP TXS PD IN CENTERVILLE MA Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be . valid without.the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement: NOTICE TO BUYER:Do not sign this contract if blank.You are entitled to a copy of the.contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 06/12/2018 OR THE THIRD BUSINESS DAY AFTER THE.DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT... Legal Name:Southern New England Windows,LLC dlia:Renewal y Andersen of Southern New England ' Buyer(s) , Signature of Sales Person Signature 'Signature Eric Woods George Burgmaier Print Name of Sales Person Print Name Print,Name . UPDATED:,06/08/18. r ; P.ag6'2 / 10 6ffi,-e of Consumer Affairs'and Business P.eg. lation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card Expiration: 9/19/2018 SOUTHERN NEW ENGLAND WINDOWS LL BRIAN DENNISON 26 ALBION RD LINCOLN, RI 02865 Update Address and return card.Mark reason for change. Address Renewal — Employment — Lost Card --'-_-Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: Re istration: ®ice of Consumer Affairs and]Business Regulation 9i 1�?2?5 Type: 10 Park Plaza-Suite 5170 Expiration_ 9119/2018 Supplement Card Boston,NIA 02116 OLITHERN NEW ENGLAND WINDOWS LLC. ;ENEWAL BY ANDERSON RIAN DENNISON // 2 6 ALBION RD 1 INCOLN, RI 02865 Q ndersecreiary Not valid without signature �'...y.., t M,ti :: ~i LAC. v rev E .. a..i)L -I � Mn ; v Sl-a54 -.3" Build"i o 1 ec vl?Tii :o s C.i 11� VLaili Vas . e-S e: CS-095707 SRIAN D DENNISON o- LAMBS POND CIRCLE '—'-ARLTON MA 01607 o The Commonwealth o Mas f sach usetts Department of lndustrial_Accidents Id 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information . _ Please Print Le 'bl- Name (Business/Organza ion/Individual): a e �ws Address: .2 CAL i°51 t71� �r� City/State/Zip: Phone#: 1,01 A.re you an employer?Check the appropriate box: F7. e of project(required): l,KI am a employer with Zd temployeeslfull and/or part-time)-* New construction2.❑I am a sole proprietor or partnership and have no employees working for me inany capacity.[No workers'comp..aruurance required.] RemodelingI am a homeowner doing all work myself[No workers'comp.insurance required.)t Demolition.�I am a homeowner and wr71 be hiring contractors to conduct all work on my propery. I will Budding addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. S.Q ❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet 12. Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.! 13_❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption,per MGL c. 14.[�Jb J therr/t1n�e w5 o o r S ISZ§1(4),and we have no employees.[No workers'comp.insurance required.] r'e�l� 'Arty applicant that checks box a"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 contactors must submit a new affidavit indicating such !Contractors that check this box mast 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 isproviding workers'compensation insurance for my employees. Below is the policy and jab site information. Insurance Company Name: ._I rf me n S S. C{j Policy#or Self-ins.Lic.#: C- 31-8"7 Z q — Z. Expiration Date: B 1 Job Site Address:_ 5 L4 - oat.)5e r Op 6� City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expi ation date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation pu7iishable by 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.A copy ofthis statement may be forwarded to the Office of Investigations ofthe D1A for insurance coverage verification. I do hereby certify under th ains and penalties ofperjug that the information provided above is true and correct e Sip,nature: D2te: (a 2Z 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.City/'Town Clerk 4.Electrical Inspector. 5.Plumbing Inspector_ 6.Other Contact Person: Phone#: .4C R® CERTIFICATE OF LIABILITY DATE 12129/20 `.� ITY INSURANCE DD THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.ITHIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns 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 CON A CoBiz Insurance, Inc.-CO NAME: PHONE 1401 Lawrence St, Ste. 1200 303-988-0446 FAX No:303-988-0804 Denver CO 80202 E-M-ADDRE , COMaiI cobizinsurance.com INSURE S AFFORDING COVERAGE NAIC ti INSURED ESLERCO-01 INSURER A:Acadia Insurance Com Dany 31325 Southern New England Windows, LLC. INSURER a:Tremens Insurance Company of WA,D.C. 21784 dba Renewal by Andersen of Southern New England INSURER c:Homeland Insurance Company Of New York 34452 10 Reservior Rd INSURER D Smithfield RI 02917 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1252851165 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. ILTRR TYPE OF INSURANCE ADDL SUER MPMOLI�CDY EFT' MUUC EXP LIMITS ` POLICY NUMBER A XCOMMERCIAL GENERAL LIABILITY CPA3158728 1112018 1/12019 EACH OCCURRENCE $1.000.000 dLPJMS-MADE I ^ I OCCUR -RENTED PREMISES oc currence) $300,D00 MED EXP(Any one person) $10.000 PERSONAL&ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2.000,000 X POLICY PROF LOC PRODUCTS-COMP/OP AGG $2.000.000 OTHER: $ A AUTOMOBILE LIABILITY N CPA3158728 1112018 1/12019 COMBINED SINGLE LIMB Ea accdent $1 000 000 X ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS BODILY INJURY(Per accident) $, X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS I Per accident) ccident $ I $ A X UMBRELLA LIAB X OCCUR CPA3158726 1/12018 1/12019 EACH OCCURRENCE $10,000.ODD EXCESS LIAB CLAIMS-MADE AGGREGATE $1D,000.DOD DED I X I RETENTION$ $ WORKERS COMPENSATION WCA3158729-20 a PER OTH- I B U72018 V1201- X AND EMPLOYERS'LIABILITY Y f N ANY PROPRIETOR/PARTNEWEXECUTIVE STATUTE ER OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT' $1,OOD,000 (Nandafory in NH) K yes describe under EL DISEASE-EA EMPLOYE $1,o00,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY UMr- $1.000.000 C Pollution Uabirdy 7930073340000 0 Claims.Made Policy 1/12018 U120I. Each Occurrence $1.000.000 '7 Retroactive Date 06202013 ADedu�cb'b1., $10 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached ff more space Is required) 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. For Informational Purposes AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD i Hof y�o� TOWN OF BARNSTABLE Permit No. .4�40....... BUILDING DEPARTMENT I'I H°g; TOWN OFFICE BUILDING Cash �� HYANNIS,MASS.02601 Bond ......... �•� CERTIFICATE OF USE AND OCCUPANCY Issued to Leon & Rose Jodice Address Lot '#31, 54 Hawser Bend Road Centerville, Massachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. i , Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT 2 aaaaSrABc = TOWN OFFICE BUILDING � riva HYANNIS, MASS. 02601 �0IU1Y M. MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by ti Building Permit .. ;/...of.(� .................. _ .... issued to .. l Y' � .G `-............................................................ ......_........... . »...». Please release the performance bond. ......•N. ry,. wt "ter • a WI r• t ,�.• 4'•F i.t7�t�if`t�+/.�"+pfi.''l�j,`:•,_.Fr ��l 'K;.1�:.: . . PINK:-DEPT.FILE COPY/WHITE=FIELD COPY/YELLOW APPLICANT COPY , B U I LDII� • F T G PERMIT TOWN. OF BARNSTABLE, MASSACHUSETTS r , Aa,192�-O9Z� •.r .. .. VALIDATI*ON : . ... February .14, .. 86 DATE PERMIT NO. APPLICANT Owner ADDRESS . Li 19 sted Below 4006039 xx (STREET) (CONTR•S LICENSE) PERMIT TO Build DVeLng I i Z) STORY Single Family Dwell n NUMBER OF (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ,F• _ DWELLING UNITS AT !LOCATION) Lot 31 5L idAvA_T Rpn.a t?tin.i ZONING R—�'_ n+ot-able RC _(NO) ; (STREET) ,DISTRICT BETWEEN_ ' AND (C)tOSS STREET) (CROSS-STREET) ' SUBDIVISION LOT BLO — LOT CK (: SIZE BUILDING IS TO BE FT. YOU E BY FT. LONG BY FT. IN,HEIGHT AND SHALL CONFORM IN CONSTRl1CTIC SE TO,TYPE U GP BASEMENT WALLS OR FOUNDATION ssW vge #86-75 (TYPE) REMARKS: Bond AREA OR 1624 S VOLUME_ q• Ft. ESTIMATED COST 65,0��. PERMIT n (CUBIC/SQUARE ►EET): k. 00 'FEE:' .$ 97•.5� _' .. - Leon OWNER.. .:&.Rose. Jodice:. :;. .. It / 4. ADDRESS 76 Hope Lane,. Denni3 MA. BUILDING DEPT. BY ..•I YifD'TG1tM1T'1;'L'rnve.o I..I'•r.-v v..T..rv•.'..-. �r.•'/'•ni�.l.-'allttlt'1'j!'M LLC'1''V.•"JfuL''IYMr r.'.v �y PERMANENTLY. ENCROACHMEN ® PROVED TS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, ~MUST BE A BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAIN! FROM THE DEPARTMENT OF PUBLIC WORKS.. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM CONDITIO OF AJIY APPLICABLE SUBDIVISION RESTRICTIONS. I MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APFLICA`9LE SEP'A,,.�T� INSPECTIONS REQUIRED FOR PERMITS ARE. REQUIRED FOR ALL CONSTRUCTION WORKS . CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN i ELECTRICAL, PLUMBING AND 1.FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED.SUCH BUILDING SHALL NOT BE OCCUPIED UNTILI FINAL IN (READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 9. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET , •- BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVAL 2 2 I / \ 2 P 'P 3 HEATING CTING APPROVALS REFRIGERATION INSPECTION APPROVAL! iNa RING. OTHER 2 -HEALTH a.g 1/ v ST --L 6 WORK SMALL NOT PROCEED UNTIL THE PERMIT WILL BtCOME NULL AND VOID IF CONSTRUCTION INSPECTION!N%IDICATED ON THIS CL INSPECTOR HAS APPROVED THE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS`OF DATE,THE STAGES OF CONSTRUCTION. CAN BE ARRANGED FOR BY TELEWHC PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN.VTIFICATION. t V'' 1 ; �.�$/ � r I I --, I `'S�t�1Gl.E t-A(A11 I I r 7 1�_L ® � At c.,Y -o1k/.:• t lvi �c f3_}SD 'l�z(�js GW 3 9 �SrE�Tt� -1'A�-lt�'•`�.�?��i �Iu? .'�`G � i- �-x. '- � ��/ $. 7 � __- .. . _ ..;. .>._ ..F. :.- I , i 1 V Ti ��G/✓ �aL I n."•'{�r ' 'LLI I 7 I I /:�/'� 77 �{ , ;,:.t , t.. ,,.t. , �._ 1. E -, I' I%5)V� I. LLI �9y oo IF , a - � I Tom I • I 1 , I i_I IZ7rAc.. ..'b�.c - AwL -p"do , - �P�ZN RICHARC 07 Nd 29133 - -� BAXTER ! v , , '87 6� �Lor, w0 HIV � I � ,, �''�_��77 I C.2 ..S 5�.►ap�"�vc��'�1�4;"�11.1.�5 � M I I L f �J SU AIL �iSlE�y6) S I i Box q//A/1 G.a 98 Z, 9g= f _ 043,� I I= 17,6 i 9 $ G'E.2T/F/EO PG OT U- --r • I 00 'ToN� L_ • A ; -I I L4G.GT .S/ Cam' , .77 , ';/,may T11,4r T/-/E.�c�ta✓j�1 /.ve. eE' T '- Tox!/v OFl3 ._,__�z3[�E'.:.Civl�%S iVOT' ! • - L ocdr .v W/11 100��aovPc.4iiV, a�lfEO dN,4it//iY.ST,2-- . *10W-tooe h1E,2----Z1N•s/4'oaG v�aTl�E USEp E/.I/ a L,51 Lam'32 � '74./ 1 it //3. 29 —� ` I q G RICHARD �'\ F A d,t gAXTER Na 24043 ¢x' STE�aa@'� �Hb IN CERTIFIED PLOT PLAN . 11 C ERT i F Y THAT T H E LOCATION SHOWN HEREON. COMPLYS .WITH SCALE r DATE THEE SIDELINE AND SETBACK REQUIREMENTS OF . THE TOWN OF PLAN REFERENCE RA�-S7,4.ogt AND IS Z-,n' 3� LOCATED WITHIN THE FLOODPLAIN, ��L,q,�/ �3cx�,C, Z DATE : 2-t°£' BAXTER 0 NYE, INC. THIS PLAN IS NOT BASED ON A REGISTERED LAND SURVEYORS INSTRUMENT SURVEY AND THE OSTERVILLE^- MASS. OFFSETS SHOWN SHOULD NOT BE USED TO DETERMINE LOT LINES, APPLICANT z . TERRY DUNNING TERRY COUNSELLORS AT LAW January 28 , 1986 Building Department artment Town of Barnstable Barnstable , MA 02630 RE: Lot 31 , 54 Hawser Bend Road, Centerville (Assessor ' s Map 192-092) Dear Sir/Madam: This letter will confirm that the above-referenced lot , owned by Barbara Bussenius as of January 1 , 1985 was not owned in common with any adjoining lots as of that date . Very truly yours , TERRY, DUNNING u TERRY BY: Elizdbeth A. McNichols EAM/pb cc: Mr . Leon Jodice ROUTE 28 •P.O.BOX 560 •MASHPEE,MASSACHUSETTS 02649 •TEL.(617)428-8000•TEL.(617)255-7816 MICHAEL A. DUNNING / RICHARD L. TERRY / ROBERT E. TERRY KEVIN M. KIRRANE/ELIZABETH A. MCNICHOLS/PAMELA E. TERRY t Assessor's map and lot number ./�� ..-o ..... I SEPTIC SYSTEM MU S HE TO�� �6 5 INSTALLED IN COMPL Sewage Permit number .................................................:..... p WITH TITLE 5 rj Z .2m, TADLE, i House number L,..............................4....... ENVIRONMENTAL CO Nipa TOWM REGULATIO c OyAYpr9 �= TOWN OF BAANSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO. U'� { ........... .�'. �` . C� c.... .. .................L �. .. TYPE OF CONSTRUCTION �C..�.... �h� � `P.................. . .. ....... J �' r ................ �r�....rZ. ......19.. .lo r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appl' s f r a permit according to the following information: Location .... .. .cQ.ly2..5 1 11 .. .. dh! .......................' ees✓TC`,v{.........jl........f.'�.B.t................ Q Proposed Use .......v).. :. r`� .�'r�.l...�..: 41 -6t ..1......`-:... ...................... ................................. .................. . . Zoning District ...................Fire District................ C .....�..rl ter. �p........................ ��:�� Name of Owner .. 1 .`�f .�E?s ..... P.1C`.�............Address ..... ......b�. .Q......h.............. ......f'`l2� � Name of` Builder .....tl� A.n).........1.,......J.J,.� e.............Address .....,?4......tja.�. C'z.......a �.3..�.... .5' Nameof Architect ..................................................................Address ......................................./............................................ Number of Rooms ........ ..........................................Foundation .....p.0.t.. .............`G J _ Exterior ..... e.�. ..... I a r'^ f.........�X L.v.................Roofing .........��.5. .`12<. .............................................. Floors ......al, .. ........1.1 ...... Interior ....... ..................................................... ..... ...... Heating .D'....� ......... ...?.5.................................Plumbing ....... .GI.,C�......f .. �?-........... .�.. , Fireplace ........ 1`.!.c: ...... .... .I.R. ........................Approximate Cost ......... .�00,....� Z Art Definitive Plan Approved by Planning Board ____ ------19� Area ...... .... ....... . Diagram of Lot and Building with Dimensions Fee /..o.V SUBJECT TO APPROVAL OF BOARD OF HEALTH 0i 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. IName ...... .................... Construction Supervisor's License �........�1....�....: ..:.. ..... JODICE, LEON & ROSE No �•,:28946•.. Permit for ..... z y i 1.....Stor................ ` Single Family Dwelling n ......... Location „Lot 31, 54 How ser Bend Road TZ • Owner ......Leon & Rose Jodice ....................................................... Type�of Construction Frame ..............................................................,.................. Plot ...................... Lot ............................... t , `. Permit Granted .....;.February 14 19 86 I ..................... i1b Date of-Inspection ............................:.......19 Date Completed ....... .. �................IqxIA MM tCt - JZ t or � rLAI r '► .�. r Assessors map and lot number ../.......... ..........9� ..... of THE tO _...: t Sewage Permit number ............................5.......................... Z 3 STABLE, i ASIL Howe number ..'r.` .� �...z.9L.�....................................... 90o Mb3 9 � ( �0m TOWN OF 'BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... -,.' .` Y . ....................................... ..... �.�`'.�......L TYPE OF CONSTRUCTION ......... .................1. :......��.. �� .� !............ �w. ................... . . 2 .� ....19...9.6 V TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... .' ... �?.!r.J..:�j lc ,lU fi:�. `..............Ll:!r,t/....f�?(�./°... C.;`vi .!!{.��� .�........6� �I................ I , ProposedUse ....... .. .. .. .................. .4�. .1.. L.............�, ..l(.......1............... ...................... ..............,........ Zoning District .......... ..�' ..........................................Fire District ......t...... ......114ll.. ....... {!l.��cG Name of Owner ... .....q(f j,?K: .............Address ......?r�......P!:.2.1:?. ......h.::.......... .:a:� �.l..s...... 1i� 1 Name of Builder � <� �c + ,.•......•,..Address r r" ......t..........:�.............:�k"....�... ... . t....... .j��.t ........................... x�:.r.... . ...i '.� Name of Architect ..................................................................Address .................................................................. +................. Number of Rooms ........:j°X:`.'A.)..............................:..........Foundation ....i/,n�,5 ( r !G1�` . ' Exterior .....Ce�on.C.. .�. �.k. ."`............... .X. :..................Roofing ................................................. r Floors ��. ..� .'....... t.. �a�a....... t: "�`...::,.. .............Interior %' 5 '.� ..... .................:........................... Heating ,..f .w ........ .. .....................:...........Plumbing ...... .. k:.c....... a.:..: !:; a�: :t.......... .........r�.. Fireplace ........l-.l A......Y.....� .�.<. r.!1:......... ...........Approximate Cost ........ ..1 ............................. Definitive Plan Approved by Planningl,Board°____ _')------19,% Area Diagram of Lot and Building.with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 f 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 .... f z... , ..f.................. c1 Ua � � Construction Supervisors Lice se ..... JODICE, LEON & ROSE A=192-09 No Permit for ....'i Story ............... ............. S.A 0 r +�. 92- 0.9..-. Sin le Family Dw Iling I .................................... ........I............. ................. Location ..... 54 Hows Bend ........ ........ . ..................... r ............... ..4-f�....... Owner .......Leon. . ..&...Rose. ...J.o d i.c.e.................... . .. .. ... .... . ...... . . Type of Construction ....Frame........................... ................................................ ................................ Plot ............................ Lot ................................ February, 14, 86 Permit Granted ...................�6.1..................19 Date of Inspection ....................................19 Date Completed ......................................19 ff i • La1 32 CA/ + �-f //3, 29 --` J� I I r �4/1fit�� v RICHARO i a BAXTER 7 f. N .23G38O t STE'�� @' ' , (qh� Ry d% a CERTIFIED PLOT PLAN I; C ER.T,I F Y THAT T H E �cxJ LOCATIO �N /jZ_L,!� SH.OWN.`H.EREON. COMPLYS WITH SCALE THE SIDELINE AND SETBACK 1 � � DATE REQUIREMENTS OF THE 'TOWN OF : PLAN REFERENCE AND IS .✓c�T i 3� LOCATED WITHIN THE FLOODPLAIN, DATE : 2��p . l Z-7 THIS PLAN IS NOT BASED ON A BAXTER a NYE, . INC - -- --- - REGISTERED LAND SURVEYORS ,,.._aNSTP,UMENT -SURVEY_-AND_THETM_ a , OFFSETS SHOWN SHOULD NOT BE OSTERVILLE^- MASS. USED TO DETERMINE LOT LINES APPLICANT Assessor's offioe�(lst floor):: p ;�. trtiIlk� SEPTIC SYSTEM T BE Assessor's map,and lot number ...;.../. !•.s��. .. ..... IN� C°� f Board"of Health j3rd floor) 1 � � w Sewage Permit number :.... .............. Houseernumberartment (3rd floor. `^ ............. g g P )• APPLICATIONS PROCESSED 8:30` 9:30. A.M. and 1:00 2:00 P.M.-only TOWN. OF , BARN TABLE BUILDING ,, INSPECTOR - APPLICATION ,FOR PERMIT TO .......... S.*� ....r .. L. . 0 C?C� C6A . TYPE OF, CONSTRUCTION ..........4VR0I . ...... . 1 .................. .......................... ................... ............... ................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:, Location ... Proposed Use ....VqwJ... 1..4.. '^..........- -.........15 . ......./.. '' ...........5![..wt............:.( ... .�!'�.....f%(.�b�!vth F ZoningDistrict .......................'.................:...............................Fire District .................:....:::..................................................... Name of Owner Q�" ........ f.f? /..4."�....................Address ....7�....... ......Ap A*/!t/�3.�. ........ sS Name of Builder ......... 4..�1.!..�.........:...............:Address ...�.1�...... . ..........k.......... J. . 2SS Name of Architect ` .............Address Number of Rooms ........�.4Uf..... ...Foundation .0,44 ........................................ Exterior ......... .....:.:... . .•..... ........................:........ . �� �ll �?� Roofing .....f9.�9 ./J..l.(. ........... . Floors ...........A=.�............................:................................Interior ...........(D ao............................................................. Heating ..........G !�� ng........ rf.................D ...................................... . ,�/ Fireplace ...... .........................:................................. Approximate Cost ..,�.Q................ A................. 'Definitive Plan Approved by Planning Board ________________________________19________ . Area .......� ..... .< ....'..... a. Diagram .of Lot and Building with Dimensions ........Fee ............ ............. . SUBJECT TO APPROVAL OF` BOARD OF HEALTH M a i i 4 1 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 Y........ .... / :.. ........: .t .. .) Construction Supervisor's License 'p- JODICE, LEON - 4 No 30036,. Permit for „•DORMER/ADDITION { �..� fSing•ie,•Famil Dweilin � :� �;'.. � � t �' ' ^ ...........y.................. ............... Location .. -54•.Hawser..Bend..... r Cent...............................................ie r �t S +6. Owner ......rLeon Jodice Type of .Construction .....Frame.......................... Plot .r.. .............. • .'Lot ...........: .................. d• __ _ y �,. F; October 1:4 x ' Permit Granted ' ig f. �1 Date of Inspection .................. ......�....../.o... �; i Date Completed ..................... Jrtf �' rj ire � .��' ,/�3���� x�yf. •" .. ..��••"�' ✓_3' `a:�. - may, �'+���'t f. Assessor's offioe (1st floor): }� Q p / r Assessor's map and lot number .......o..............."'.............. Boarat of Health Ord floor): o Sewage Permit number ..................................... .. n1. Z BARIISTAXLE. i En?#'heering Department (3rd floor): vo rb 9• House number o� • ........................................................................ QED YAY a� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN "`OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..:.:. ....•'...... ............. ...... .... ................................................ TYPE OF CONSTRUCTION - 2 ,... .................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........:�.......................................................... ................................................................................................................... ProposedUse ...................................t � -. ........................................................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ' . ..............................Address .............................................. Name of Builder ..::...:......... Address .......................................`............................................ Name of Architect ..................................................................Address Number of Rooms ........:�................ .. C ? i ......Foundation .....;' .. .c.:............................................................... Y1f U��6t� � yLJ + Exterior .................. .........................................Roofing ...........................:........................................................ ................. �j Floors !...f.f .�"..............................................................Interior QQ Heating ...... e"Tj E r. ` ....... ................Plumbing .....t;.......................................................................... .I Fireplace ..................................................................................Approximate Cost 4 Definitive Plan Approved by Planning Board ________________________________19_______ . Area .......1 .4.....��.r!. .'. Diagram of Lot and Building with Dimensions Fee .. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �/. Name .. ....................................`.":.. .......................".. Construction Supervisor's License .................................. JODICE, LEON A=192-092 30036i No ...:............. Permit for ..................................... Single Family Dwelling 54 Hawser Bend Location ............................................................... Centerville ............................................................................... Owner Leon Jodice Type of Construction Frame Plot ............................ Lot ................................ October 14, 86 Permit Granted ..................... . 19 Date of Inspection ....................................19 1 Date Completed ......................................19 t r