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Town of Barnstable Building
'. f,��. .: T '.,',` . .Y'T '.'; ;�, ,:3�,, z^�" S; � �.� ':. fi 3✓,Y.,, _. y', n' 1.� 4:
PostThis Card SoThat;rt is Visible From:theStreetApproved`I?lans;--Must be Retamed'onJob and�th s.Card Must?be,;Kept
Posted Until Final Ins ection HassBeen Made '. Permit1619
' ar Where aCertificate of Occupancy�s Requ ed,s Bch Buildmgshall Not be Occupied unt�fVaF�n�alhnspection has been made y 5F
Permit No. B-19-3944 Applicant Name: Henry Cassidy Approvals
Date Issued: 11/22/2019 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 05/22/2020 Foundation:
Location: 74 LIETRIM CIRCLE,CENTERVILLE Map/Lot: 169-043 Zoning District: RC Sheathing:
Owner on Record: FINNIGAN,ELIZABETH O TR Contractor Name; CAPE COD INSULATION INC Framing: 1
Address: 74 LIETRIM CIRCLE Contractor"License; 153567 2
CENTERVILLE,MA 02632 Est Project Cost: $6,400.00 Chimney:
y.
Description: Insulation/Weatherization ). Perm►t Fee: $85.00
4 Insulation:
Project Review Req: t F 4FeePaid $85.00 Final:
11/22/2019
°� Plumbing/Gas
k �< Rough Plumbing:
.ate ...... Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized#y this permit is commenced within six months afteriissuance.
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 b slaws and codes.
This permit shall be displayed in a location clearly visible from access street&.road nil shall be maintained open for publ c inspection for the entire duration of the Final Gas:
f � �
work until the completion of the same.
Electrical
issued until all applicable si natures ti`.the Buldin`and Fire®fficials are. rovided on this permit.
nc will not be ssu The Certificate of occupancy pp g y g p
Minimum of Five Call Inspections Required for All Construction Work ' ' Service:
2,
1.Foundation or Footing w r Rough:
2.Sheathing Inspection , ,• ,K"14
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 Final:
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).
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
Engineering Dept. (3rd floor) Map 16 Parcel ''v" Permit# q_
_ House# -7 Date Issued
Board of Health(3rd floor)(8:15 - 9:30/1:00-4:30) Fee �� O
Conservation Office(4th floor)(8:30-9:30/1:00'-�2:00) - -
Planning Dept.(1st floor/School Admin.'Bldg.)
Definitive Plan Approved by Planning Board : 19 ;
i RARNSTABLE.019.
e �ED MAC p`�•
TOWN OF BARNSTABLE
Building Permit A plication
Project Street Address `� + Lor 2.6
Village t ,
�•.
Owner Address
Telephone '
Permit Request S '
First Floor square feet Second Floor square feet
Construction Type
Estimated Project Cost $ UU
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half- Existing New
No. 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
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
Builder Information
Name JTelephone Number
Address /} License#
U Home Improvement Contractor# /
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATU DATE 9,6
BUILDING PERMIT DENIED F THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY _
PERMIT NO.
DATE ISSUED
V::
MAP/PARCEL NO. —
ADDRESS M , VILLAGE
OWNER ' 1 toll
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH ' FINAL y ,e
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL s
2
i
FINAL BUILDING "y� "61�cN3 -
,DATE CLOSED OUT
ASSOCIATION PLAN NO.
e
M
a • QF�t�t�
The Town of Barnstable
s�tuvsr�,st�
9� �0�' Department of Health Safety and Environmental Services
"rF1 39.. Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL,c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
Od
Type of Work: 0 Est. CostDOO
Address of Work:
Owner's Name X7
Date of Permit Application: / /
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I er by apply for a per Mt as the age t of the owner:
ate Con actor Name Registration No.
4
OR
Date Owner's Name
The Connnott N'Culth of Afassucltusctt-s
Department'of hu ustrialAccidents
ty I
Offj_ceollnves11ga118ns
600 «'asNit-ron Street
;• Boston. Alas. 02111
•` , Workers' Compensation Insurance Affidavit r �_
luilicint inftirrnation - Pf WiTP RINT Ie-idly �•� �� .. ._.._ _
name )tEh2/a k E
—
incition
cin•
I am a homeowner performing all work myself. t .• tt'
I am a sole proprietor and have no one working in any capacity �,�_„�,_•�, �-�__-,`
. �e.�...-..-.•�.s-....��•......_�...-.�nsa...►:stcs.•"+*^^^'/.n'!+�!'�nM1'n...•�•.+!..��`.'•'�w.q�!^o'^..•.,,'�"r.~...�0•'3.,.. �.f.._-
.Cj
.�.;,(,.---- ..�..--+.-r.r�..e......... �•---'.Liter. ._�.��•.,•. ..� ...
•I am an employer providing workers' compensation for my employees working on this job.
rout w , name:
;iddress:
city0hpne#• i r ,
insurance co.
pr;Vi I am a sole oprietor, general contractor, or homeowner(circle orre)and have hired the :ontrat:tors listed below who have
the following workers' compensation polices:
cominnv name: --
'
;icldress: --- —
city'-
phone#• _
i, nolicv#
cum and• Warne: - '—'
address:—�
ahone#:
insurance co nolicy
lttach addititi_nal sheet if neccs_sa--ty•.at.��,,.,�,..,.��r,� s.�` ' =." �_"""."""""'r'm a'3''='-_-:""• •` '••'n'`:�'"''
F;:ilurc to secure coverage as required under Section 25A of NIGL152 can lead to the imposition of criminal penalties of a line up to SISOU.uU andiur
inc.'cars' imprisonment as TTcll as civil penalties in the form of a STOP N�'ORi:ORDER and a fine of SIU0.00 a day F,;ainst me. 1 understand that a
ropy of this statement may be forwarded to the office of Investigations of the DIA for coverage verification.
l do herchv cenifi•unr/er the pains and penalties of perjun•that the information provided above is true an co,-rect.
, ;}�
Si^_nature Date _K
Print name_ ?,-C,L _Phone# 1!
F official Ilse unh do not write in this area to be completed by city or town official".
y
permit/license# ]Building Department
city or town: a<+• i]Licensin^Board
�' ]Selectmen's Office
check if immediate response is required ]11caith Department
Other S
r- contact person: phone#; __ ] r
ACORDn C E TI F I ATE O F L ABt �N J RA t;�C S iZ7777777 na> DATE(MM/DDJYY)
AUL�' 2 08/12/98
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
i Drake,Swan & Crocker Insurance Y. ;' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
I
Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
114 Lot's Hollow Rd. ,PO Box 429 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Orleans MA 02653-0429 COMPANIES AFFORDING COVERAGE
i
David D Rust COMPANY
PhoneNo. 508-255-3212 Fax No. A Assurance Co. of America
INSURED -
j COMPANY
I1 B Credit General Insurance Co.
Paul J. Cazeault etal DBA Paul COMPANY
J. Cazeault & Sons Roofing C
P O BOX 2781 COMPANY
Orleans MA 02653 D
COVIERAGE$
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
4 INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
1 _
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
!TR DATE(MM/DDIYY) DATE(MMIDDIYY) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE $ 1000000
I A X COMMERCIAL GENERAL LIABILITY CFP25552812 05/01/98 05/01/99 PRODUCTS-COMP/OPAGG $ 1000000
CLAIMS MADE IX OCCUR PEiSONAL&ADV INJURY $ 500000
OWNER'S&CONTRACTOR'SPROT EA;HOCCURRENCE $ 500000
J ` FIRF DAMAGE(Any one fire) $ 300000
ME EXP(Anyone person) S 10000
AUTOMOBILE LIABILITY J �'
ANY AUTO !1 CO,IBINED SINGLE LIMIT 5
ALL OWNED AUTOS -
SCHEDULED AUTOS SC'OILY INJURY
S
F(Pe:person)
HIRED AUTOS I -
NON•OWNEDAUTOS BODILY INJURY(Pe-accident) S
— PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO -
OTHER THAN AUTO ONLY
— EACH ACCIDENT $
EXCESS LIABILITY AGGREGATE $
EACH OCCURRENCE $
UMBRELLA FORM , AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND TORS AT- OER
EMPLOYERS'LIABILITY
EL EACH ACCIDENT $ 100000
$ 9
PARTNETHE SIEXE U INCL SWC170059O2 08 09/98 08/09/99 EL DISEASE-POLICY LIMIT $ ry00000
PARTNERS/EXECUTIVE /
OFFICERS ARE: F�CCL I OTHER EL DISEASE-EA EMPLOYEE $ 1000 00
1
j
1
)ESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMS — -
Roofing
CERTIFICATE HOLDER
C
ANCELLATION
' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE.
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHILL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND ON T E COMPANY,ITS AGENTS O 2 PRESENTATfVES.
AUTHORIZE EP ATIVE ,_k
;CORQ 2$S(1195) ACQRD CORPORATION 1988' ::
b�P���?NE'TD�yw TOWN OF BARNSTABLE
L BAEJSTADLE, i
"AM
b 9
a tlPY BUILDING INSPECTOR
9
� a• .
APPLICATION FOR PERMIT TO . .................:................ .. ......i.:Y.!!�rr/.�/.......��............b...:............................
TYPE OF CONSTRUCTION .. ..
s
... .. . . ........ . ... ........ .. . .
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: t
LocationLoT'... ...... ... ......... ... ......I&......................................................
ProposedUse ... z,. . ... . .. ..... . ... .. ................................................................... .. ................. ..............,.. .,..
r
Zoning District
Fire District .......... . . .. ............................. . . . ---------------
Name ..
of Owner 6N f ..�i;... kf .¢ .................Address ?Q.......A).....1.V l.�l�,... .... t.
l � r
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .........� 1 ............................................Foundation ....��........ ......................
ram
...............................
Exterior .. .......... �,.�� oofing ........ . .. .. . ...........................................
Floors ...... ........................................................................Interior ....4.......................... ..
Heating ...... ...... .. 1l.. ......................................Plumbing ........!.........,3...�.'...........
.............
Fireplace ...../...........................................................................Approximate Cost .....V/.7
Difinitive Plan Approved by Planning Board --------------------------------19-------- .
Diagram of Lot and Building with Dimensions /r fie"• 7 S�
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I hereby ag er eCLto conform to all the Rules and Regulations of the Town of Barns ItlTe alove
construction.
Name ....� ...........�
- '
__~_» " -William E. Jr.
C��
I3535 one story,
No ................. Permit for ....................................
single family dwelling
-----------~--------------'
I���
v-� Limtrlm OlroIe '
Location -----.--_------___---_ ' ^
^
Centerville
—.-------------.-----------.
Dace
Owner ---WiIliazu..E.^ �..Jr~____ . .
�ranma
� Type of Construction -------------_ �
�
� -----.^---------------.-----
� �
Plot ----_---_. Lot --.�.��n�
...................
�
� December � �� \
Permit Granted -----------'—.]A ' 4 �
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