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HomeMy WebLinkAbout0053 KATHERINE ROAD 53 �+ e ° I Town of Barnstable •Permit# � �tplrtr 6 ro nthrJ}om taus dar DD Regulatory Services F �� Thomas F.Geiler,)Director �m� ' Building Division Tom Parry, Bullding Commissioner Mq y 200 Main Street, Hyannis,MA 02601 1 ®� Office: 508-862-4038 �QPe '0 Fax: 508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint, Map/parcel Number �C�u l ' � Property Address �� ort� �Jo ,;____ �l��-ems' (� (�Residential Value of work Owner's Name&Address 0n X� \ contractor's Name ?C C5 09) t" ac --1\7—7 V Home.Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) fgWorkman's Compensation Insurance Check ono: ❑ Tam a sole proprietor ❑ I am the Homeowner a I have Worker's Compensation Insurance insurance Company Name W orkrnau's comp.Policy# "(Pj u 6—q'a'-a X Permit Requoat(check box) ❑,Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping.' Going over 1 existing layers of roof) .❑ Re-side Replacement Windows. U-Value (maximum.44) . ❑ Other(specify) 'Where required: Isauence of this yarmit does not exempt compliance-nth other town dryub tent tegulatiorts,i.e.Historic,ConscrVatim etL. l;Lo TA tQ Signature Q:Forms:Mmtrg Ravisedl21901• T9 39tid ©EZ996L895i6 t °%vRwA% obe aft GM 11/3 due with si a oniract, 1/3 due when job 6 half done, W due upon completion r . - CrmdeiAcceptcd Mastercard Visa, Discover An now is guaranteed to be as . AA work to to comphood in a eWftl manner a000rdlnp to shrAwd pradioaa. EWM*Wd by: Mike Alden AX agrawr r to cor0haN S upon a *n. sockiceft, or dWxp bw$M au C011b .OMM le to osrry nra,tartwdsa,and outer Note:This proposal may W win 30 necessary Nteumncn. by us It not woepted wWM ac"pJaeut of `eapeoal: Cuator„er sterna AA The abo"pioea,apodfloa6mm,and owWWOno am tatlatacI I and are hereby eoosp>Ded You are maw two to do the work w specUled. Payme t to pWA of Acoeptaim y .be node as ouUewd above. Please SP4n and return one copy to contact job Toll-free in MA: (800) 698-5569 Osterville:(508)428-1177 Orleans: (508) 255-5569 Falmouth: (508)457-1141 Nantucket: (508)220-5911 Fax: (508) 420-4555 , CERTIFICATE OF LIABILITY IIVSURANCE DATE(12003 QC>�'R�'M 5/7 2003 IODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION �icShea Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5 Y. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ma. 02655 INSURERS AFFORDING COVERAGE 508-420-9011 ISURED Paul J Cazeault & Sons Roofing Inc. INSURER A: Western Heritage Ins. Co. INSURER B: Travelers Indemnity f Il l inoi 1031 Main Street INSURERC: Ostervllle, Ma 02655 INSURERD: INSURER E: :OVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITSi R DATE MM/DD/YY DATE MM/DD/YY GENERAL LIABILITY EACH OCCURRENCE $1 0 0 0,0 0 0 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ CLAIMS MADE Fx_]OCCUR MED EXP(Any one person) $ A TBI 04/30/03 04/30/04 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2 0 0 0 0 00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1 0 0 0,0 0 0 POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR U CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ - $ WC STATU- OTH- WORKERS COMPENSATION AND TORY LIMITS I-R EMPLOYERS'LIABILITY 7PJUB-922X653-502 08/10/02 08/10/03 E.L.EACH ACCIDENT $100 000 B E.L.DISEASE-EA EMPLOYEE $10 0 0 Q E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS I 1 CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1Q— DAYS WRITTEN — NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE.INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZ50AEPRESENTATIVE //4 ACORD 25-S(7/97) ©ACORO CORPORATION 1988 r 01-1C. AS!�bu 1„t ngj� Bo i to . 5toi l Ma 0? ! ! G G r _UOs - ., : :t/ 111t1 11 1 11;LI:It II .nnl Li•,nl'i 111 .Itll ll,.. .. IIu111 N.,I1u�11_ _ UOARU..OI,LUII_Iilt�l'; lu_GUI_i\I 10r1;, LicunLu: C,0M;'rl<UC'1"ION; Uh'I_ItVl;,c,�,, Lxpiru;t:::10120/:'00:, Ruslriclud::00 PAUL J CAZLAuur 1565 MAIN-IT O;,rERVILLL-, bIA 0t055 .. A�Irnlnr.,lralol_ _ ........1„/.i1.1.(i[.;t.!-l.flC• (/ /F/LC(ii.iC,'f:/I.r"l.i1';l i Board of Building Regina.ions and Standards j One Aslhburton Place - Room 1301 Boston_ Massachusetts 02108 Home In-iprovement Contractor Registration Regis-trotion: 103714 Type: Private Corporation Expiration: 7/9/2004 PAUL J. CAZEAULT & SONS, INC. Paul Cazeault - P.O. Box 2781 _ Orleans, MA 02653 Update Address and return card. Nlarlc reason for change. � // Address Itcncwal �. ; Employment : Loll Cal'll -4/,e 6..../b///U/!I//Cute !I/...'!�(,l7JJILr/1e(j IIiI � . Iioard of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 103714 Board of Building Regulations and Standards Expiration: 7/9/2004 One Ashburton Place Rni 1301 Boston,111a.02108 Type: Private Corporation CAZEAULT&SONS, INC. Zcault )h Rd. // //X z$/B r? Assessor's .map-.and lot number, .....�p . ..7.�7 r THE Sewage Permit 'number ,y',"STEMI MUST �� ��♦o� .. t it a o1AN BJHd9TABLE, House number ......... p5 i � i639 e0 MAI TOWN : OF BARNSTABLrE aIs ' BUILDING - INSPECTOR M APPLICATION FOR PERMIT TO .G. .. ...... ... .. .... .... . . TYPE OF CONSTRUCTION ... ... ....................................... .. . ...... ... .......... J . .......... .�� ?� ... .....19:....... . TO THE INSPECTOR OF. BUILDINGS: ` The undersigned,hereby applies for a permit according to the following information: Location .... .... ....... .... ...... ... .... ........... ... .. . .,.•.. ... P. .. �� � ..4 ............................. Proposed Use �Jk` ................ ..............................: .. ...................:.............................:...... p .... f 1 ..............................................:.....Fire District ............. ........................................ Zoning District ....... •:•••�•.••• • Name of Owner . ..... ...I ....//!'................... ...... .Address .�� . . .. .... ..:.. ........................................................... a Name of Builder Address ...1� ®�l L ... ........./... ......... � ...... ..... ...... . N �� ,,...... Nameof Architect ... rr^^�� ... Ad ess ' ...... :........::............:................................................. Number of Rooms •' ••••••••• .............................. ..... ......................... ion C�•''�1�+-���. � ............................ Exierior ...........Roofing .......... _111-W- r. �... Interior ........ ....: .... ...1� ..: Floors ............. ......:... :.• r Heating .. ........'N..... ................ .. . .......Plumbing ..... .. ..... .11.....V......................................... Fireplace .......lnr ......... :Approximate' Cost ...:. ... ~� � Definitive Plan Approved by Planning Board---------------------_-----------19 Area4 SX. ...... Q.�f �® 17, Diagram of Lot and Building with Dimensions - Fee 4 � SUBJECT TO APPROVAL OF BOARD OF HEALTH Roy�07, . f• C O pryer,/]Si �Ccg 0P #//I,v5" OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS65 kffTYE 911v Rvr I hereby agree to conform to all the•Rules and Regulations of the Town of Barnstable regarding the above construction. 4 Name ....... Construction Supervisor's License .. 16.. .�, :.Ll... WILLIAMS, ALICE H. 27269 rfi,f AHE4TION No :.. Permit for .................................... `_ Single:Farm]y..i?w�7.� g........................ _ ir Location ..53 Katherine Road.... .................. Centerville .... ........................................................ .... Owner 1, Alice H. Williams - e .... r Rya t 1i t-.E Type of Constructioni Frame......... ............................................................. ..t - �.. r Plot ...........:....... ........ Lot ................................ >: Novembers28 84 Permit Granted ...... ....... ....... :........19 Date of Inspection µ �7r.19 `Date Completed rr�..' ... � .19- � �� A �n .t f� '�,•,./ ^tea .. wt ^s l• ♦ - 1 - / - �� - , / / Assessor's map and lot number ........ r .... . .....el ..... } 7HE Sewage Permit number._ ( /J y d``QKy� { Z BARNSTODLE, i r'�x� .�d r % " House number ..........:............,...... ?.........: ... ............ :......._ ro rAea po,1639° \00� �Av. TOWN OF BARNSTABLE . `. BUILDING INSPECTOR APPLICATION FOR PERMIT TO .`��LJ G!.. ! ,9„ 0 � y r� � '� .TYPE OF CONSTRUCTION ............................... ..............................................................:.........................:.......... ................i.......... ... ........19........ a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .. .... . ..?��. '1 ........ ......... .........® ...... �� �............................. ProposedUse .... .. ..... ...Ta' ............................................................. .......................................................... ZoningDistrict .......,..!... ..................................................Fire District ............. ..... .................................................... Name of Owner .................. ....... ......./...............................I Address .. .......................... ................................ Name of Builder r. ..:. .Address �1..�...........�. ..}.,«.-... ' .................,.._ .............. U Name of Architect ...! / (J? ' .--' .......................................!?Address ........... .o.......:........... Number of Rooms .......c �!-Q`.................... oun.........................fdation .. Exlerior .....................:.......................,.....................................Roofing ............0....... Floors �• �.r'.... ..... :M!t '.........................................Interior ..:.. ... ..................... Heating *1.6 ., ?r .......Plumbing .....�.IIn.1:'...�id+ cf-.. g .. .................0!1•. ..:. ?!t ..................... ,r .....V..... ................................ Fireplace ....... ......................................................Approximate`Cost .....f..��............................. Definitive Plan Approved by Planning Board ________M____________________19________. Area -W.... !�..`..lQ. .. , CT Diagram of Lot and Building with Dimensions Fee SUBJECT TOAPPROVAL OF BOARD OF HEALTH 14 . t-y Q �b OLi�� F �rroCRo 44 �. ((01 � o z 4, `,�/// � - .w• ` L� �/ ���/�/�'S Me Pc�s o p #//-k OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 7 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . a......... . _ U � Construction Supervisor's License ..t .?>. .. .. WILLIAMS, ALICE H. A=228-84'' No 27269..1... Permit forte- . TON .... 1 Single Family Dwel'lin� J e ......... Location ..,53 Katherine Road r' Centerville ............................................................................... Owner .......Alice-H. Williams , a Type of Construction ...Frame ............................ i ... ............ ......................... Plot ............................ Lot ................................ Permit Granted November 28, ....... 19 84 Date of Inspection ..19 Date Completed 19. • f Cf