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0042 NATKA DRIVE
e y v TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map�169 Parcel f2� Application # ® � S 0 Health Division Date Issued AIS Conservation Division Application Fee o Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address li A' t4_ 61/� Village W Owner ' / ^ Address Telephone 00 Permit Request t "?1wL w wa, 10 6 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �� Construction Type /� J (/ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 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 0 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 ❑ new ize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ - , Commercial ❑Yes L1,4 If yes, site plan review# c�A a Current Use Proposed Use �--- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name f Telephone Number -/ J� y�J7 Address �G �1 .QJ License# ry U I'V T Home Improvement Contractor# Email Worker's Compensation #IN101 _0 75 0 ALL CONSTRUCTION DEBRIS RESULTING FRO VTHIS PROJF_ T WILL BE TAKEN TO DATE SIGNATURE s FOR OFFICIAL USE ONLY !, APPLICATION# DATE.ISSUED MAP PARCEL NO. y. d II ti ADDRESS VILLAGE OWNER DATE OF INSPECTION: f FOUNDATION t FRAME i INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING, DATE�"CLOSED OUT A; .SOCIATION PLAN NO. -2 i - CAPECOD-27 KLIGETT CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/13/2014 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(les)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 Ileu of such endorsement(s). PRODUCER CONTACT Rogers&Gray Insurance Agency,Inc. NAME: Barbara DeLawrence 434 Rte134 PHONE South Dennis,MA 02660 E•MAII t A/c No), (877) 816-2156 ADDRESS:bdelawrence@rogers_oray.com INSURERS AFFORDING COVERAGE NAIC q INSURERA:Peerless Insurance Company INSURED INSURERS:COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc INSURER C:Evanston Insurance Company 18 Reardon Circle South Yarmouth, MA 02664 INSURER D:ATLANTIC CHARTER INSURANCE GROUP _ INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TF IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IN ACATED. 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. IN SR n LTR TYPE OF INSURANCE DD R POLICY NUMBER MMLDDYYICYJ_ MM/DDEFF YYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 i CLAIMS-MADE OCCUR CBP8263063 64/01/2014 04/01/2015 PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY❑jE O LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS•COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT B Ea accident $ 1,000,000 ANY AUTO 14MMBCKVMK 04/01/2014 04/01/2015 BODILY INJURY(Perperson) $ ALL OWNED X SCHEDULED AUTOS AUTOS X HIRED AUTOS NOWOWNED BODILY INJURY(Per accident) $ X AUTOS PROPERTY DAMAGE $ Per accident $ X UMBRELLA LIAR X OCCUR CHDED XCESS LIAR CLAIMS-MADE XONJ453514 04101I2014 04/01/2015 AGGREGATE EACH OCCURRENCE $ 1,000 000 X RETENTION 10,000 $ ORKERSCOMPENSATION Aggregate $ 1,000,000 ND EMPLOYERS'LIABILITY PER OTH- D NY PROPRIETOR/PARTNER/EXECUTIVE Y/N WCA00525904 STATUTE ER FFICER/MEMBER EXCLUDED? ❑ NIA 06/3012014 06130l2015 E.L,EACH ACCIDENT $ 1,000,000 Mandatory In NH) f yyes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 ESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Addltlonal Remarks Schedule,maybe attached Ir .more space 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. CER IFICATE HOLDER _ CANCELLATION 4 - n Massachusetts - Department of Public Safety :Board of Building Regulations and Standards Construction Supers is6l, License: CS-100988.. HENRY E CASSDA 8 SHED ROW + WEST YARMOUTH ✓,�..� Expiration Commissioner 11/11/2015 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2016 Tr# 259188 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card 1 C; 20M•05/11 V/t6 (�099Y/72092[(!BC!•GC/L-IGAIlidcecl eeve - C—\ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 1.53567 Type: Office of Consumer Affairs and Business Regulation xpiration:::..:.1;2%:.15/20:1.6 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 .PE COD INSULAiCQ,N;;;;INC'. %` .NRY CASSIDY REARDON CIRCLE'- >.YARMOUTH, MA 02664 '" Undersecretar Y qNv Wsign The Commonwealth of Massachusetts Department of IndustrialAccidents W Office of Investigations a d 1 Congress Street, Suite 100 ,W Boston,MA 02114-2017 , www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Avylicant Information Please Print Leizibly Name (Business/Or 'Z;V&t n/Individual): Address: `0 V �I City/State/Zip' �,Gl� '` {. 10 ? Phone #; Are you an employer? Check the appropriate box: Type of project(required): 1.$2'I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7, ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity, employees and have workers' Building[No workers' comp, insurance comp, insurance;$ 9. ❑ g addition required,] 5. ❑ We are a corporation and.its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.[] 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,� Othe&6tk 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 thisVffidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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 is the policy and job site .information. Insurance Company Name; {'�Cif�e Policy#or Self-ins, Lic, #:.,UJ off - Q Expiration Dat ; Job Site Address; City/State/Zi 1. Z'� 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 r pains and penalties of perjury that the information provlded bove is true and correct. Signature: Date: J �� 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#: i I OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at A 4 (Property Address) (PropertyAddress) hereby authorize v N (Subcontract0 an authorized subcontractor for RIS Engineering, to act on my behalf to obtain a building permit and to perform work on my property. r' Signature �A//l� Date "�(IVSTABtECAPE COD ;12 , Rf INSULATION rJ �® 51lIP GLASS 5lAMII!! lPNA1'IOAM 51lSPIND[D ��f:�+�•^`� BATTS 800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: S Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute '(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village .J YiG Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes d f-sjc- Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) Div e►^� (vv r r)!o rl" A Sincerely VHry ss1 r, President Ins ation, Inc. Town of Barnstable *Permit#e�P(069JA ,�)5 06 Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building Diyisi®n 0 JX//-7 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 PERNUT APPLICATION RESIDENTIAL ONLY . p Not Valid without Red X-Press Imprint Map/parcel Number Property Address `�' 9 � q, 4 ' ( /, 1 \ r , residential Value of Works J Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 6-4AI Contractor's Name F, dALt.- 1.im _C�t-c�, Telephone Number -50 Home Improvement Contractor License#(if applicable) f R 6 3(e Construction Supervisor's License#(if applicable) S uP ES Oworkman's Compensation Insurance PERMIT Ched one: DEC-1 5 2008 ❑ I am.a sole proprietor ❑ I am the Homeowner TOWN OF BARNST��L� �I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy#' (.L,2 ' �3 q 1 rn-55 :Copy of Insurance Compliance Certificate.must be on file. Permit Request(check box) a-Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re=side _ �._�. Replacement Windows/doors/sliders. U-Value (maximum_.44) {{ *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e Conservation;etc. ***Note: Property Owner.must sign Property Owner Letter of Permission. o 7711 A copy of the Home Improvement Contractors License is required.. SIGNATURE: Q:Forms:expmtrg Revise061306 f The Commonwealth of Massachusetts -— -- Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plum tiers Applicant Information Please Print Legibly Name(Business/Organization/Individual): TA aA_, � L LG Address: �p D `I r, City/State/Zip: C�j ,� �`1�1� ba63s Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1 al am a employer with 4. ❑ I am a general contractor and i employees(full and/or part-time).* have hired the sub-contractors 6 New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g• Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ 9• ❑ Building addition required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11.❑ 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.[_1 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors 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 is the policy and job site information. Insurance Company Name: -t— 6� V Policy#or Self-ins. /L�ic.#: U, 1 — 0 3 1 m 576 6 " y � Expiration Date: Job Site Address:_`7' � �; City/State/Zip: &Ihl� 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 certi a nd pe Ides of perjury that the information provided above is true and correct. Signature: Date: Phone#: Yoe 2Q Official use only. Do not write in this area,to be completed by city or town offcciaL City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: RightFax N3-2 10/1/2008 1 :56: 31 PM. PAGE 2/002 Fax Server �� � :..; ISSUE DATE :- //`LL :•. YY f= `:., 'yyam�. ...::::: THIS CERTIFICATE IS ISSUED AS A AFATTER OF INFORMATION ONLY PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT ANIEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WISE&QUINN INSURANCE AGENCY COMPANIES AFFORDING COVERAGE 449 PLEASANT ST BROCKTON MA 02301 coNIPANY A HARTFORD UNDERWRITERS INSURANCE CO LEITT'IL INSURED coMPANY B FRASER CONSTRUCTION LLC LETTER PO BOX 1845 COMPANY C LETTER COTUIT MA 02635 COMPANY D LETTER '•:�Q.. •: col�ANv ER THIS IS TO CERTIFY THAT THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NABJED ABOVE FOR THE POLICY PERIOD INDICATED.NOTNTTHSTANDING ANY REQiJIREMIIVT,TERNf 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 SHONN NfAY HAVE BEEN REDUCED BY PAID CLAIMS CO TYPE OF INSURANCE POLICY NUAIBER POLICY POLICY LIMITS LTR EFFECTIVE DATE EXPIRATION DATE fM/DD/YY NIM/DD/YY GENERAL LIABILITY - GENERAL AGGREGATE $ i ❑COMMERCIAL GENERAL LIABILITY PRODUCTS-COMWOP AGG. $ ❑ CLAIMS MADE ❑ OCCUR PERSONAL&ADV.INJURY $ ❑OWNER'S&c CONTRACTOR'S PROT. EACHOCCURRENCE $ ❑ " FIRE DAMAGE(Auv One Flre) $ AfID.EXPENSE(Anvoneperson $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ❑ ANY AUTO ❑ ALL OAWED AUTOS - BODILY INJURY $ (Pu Person) ❑ SCHEDULED AUTDS ❑ ]AIRED AUTOS BODILY INJURY $ (Per Accldenr) ❑ NON-ORNED AUTOS ❑ GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY ❑ UMBRELLAFORM EACH OCCURRENCE $ ❑ OnM THAN UMBRELLA FORM AGGREGATE $ STATUTORY LIMITS X A WORKER'S COMPENSATION EACHACCIDENT $500,000 AND UB- 09/26/08 09/26/09 DISEASE-POLICY LIMIT $500,000 0341M556-08 EMPLOYER'S LIABILITY 5]SF iSE-EACH EMPmyn $500,000 OTHER TnE PROPRIETOR/PARTNERS/EXECUTIVE OPECP.RS ARE INCLUDED. DFSCRFPIIONOFOPERATIONS/LOCATIOIW4JVE.CId $I..QALrMS THE 1NSURFD'S NIA WORKERS COMPENSATION POLICY AND ITS L.BIQIFD OTEIER STATES INSURANCE ENDORSFINIELYI'AUTHORIZES THE PA"IENr OF BENEFITS FOR CLAIBIS NLADE BY THE INSURED'S NLA EdNPLOYEES IN STATES OTIB+R THAN NLA.NO AUIHORIZATION IS GIVEN TO PAY CLABLS FOR BENEFITS IN ANY SPATE OTHER THAN BEA U THE INSURED HRIE R.OR HAS EIRFED,ERIIPLOYF.ES OUTSIDE OF NIA.I MS POLICY DOES NOT PROVIDE COVERAGE FOR ANY SPATE OTHER THAN NN. THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE 7nf:�iiii�:::•}}:•:......•:: :::•::}:}: ::.::::: :.::.:{{.:-::•-.:.j : :- :;•::-: }: .�,r,t��,g,� ................ :::::•...::::•.--- ..... ..... ... .... ..... -C•!:[c9ii•777:::::.�:::•:::: :::{::•i}i::•}::�:•i:i:•:i..i:•}}}};•::::.�::::::•. TOWN OF BARNSTABLE SHOULD ANY OF TTIE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PO BOX 40 EXPIRATION DATE T EEREOF,THE ISSUING COMP ANY WILL ENDEAVOR TO NWIL HYANNIS MA 02601 Lo DAYS R'RITIF.N NOTICE TO THE CERT UICATE HOLDER NALIIED To TEES IEPI', BUT FAILURE TO MAIL SUCH NOTICESHALL IMPOSE NO OBLIGATION OR LraoRi Y OF ANY FOND UPON THE CONIPANY.ITS AGENTS OR REPRESENTATIVES AuIHORIIltD RBPRBS&YJATDA PAMEZ,4 CAS7Z Z—DKER :• xr.c :......................... 1 s #Bgand of 1Iding ReguteEions and S•Eandend8 b i Pemizar.. 'Ibense R U� `g Rr dafeO /1967 5c tra n r k 6 %011 TO 9:76.68 DEAN FRA`8ER �Z�, 104 TiYlylfd[�t�✓IE157 EAST FALq'OUTH,-WA. 02636 CommSs%ionet 1 S a JALX 077 Ud g e OneAAhburto � nPla tt, and Standards R® 130sto . .assay OM 1301 i �� pr® setts 021®8 ERASER CC)fVSTRU ��� ton: 112s5 ��0p® 127920 nPaca, _ r �� me ®gin '- - ❑ � e ❑mad. 'n c� kremmQu .eh HOWL and ihudrd. nmrum, Lost Card D ` be�e or � VQw �B33u� �� 1272D IMd dad OEM 1(1�j �:Mtm Frr28 e oC rulr,A4A D2aas ORt i J Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$55.00 per hour, plus materials, plus 15% overhead mark-up on total extras. FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. Z( DATE OF ACCEPTANCE: meow er Fraser Construction, LLC ' �i ..' .'" '.'s{..,.��„ � r f rwg�',;` >it-'.. 'ri;'k',,`'y.-.. r:.r;x�-x._,;.,.'rF'��r•M.,+_'r`.~ik;.{+y.•�`�L'*"r�` r�,..Y,-ri.��,.�,,*�;5 `Y+"�^aMe"."'[YJ,bpi'., r"`: "�,� _ ._ _ �. II:3 'w' • TOWN OF BARNSTABLE Permit No. .318.88,..,_. BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 7 .Yl HYANNIS.MASS.02601 Bond cYy//y// XUJXV[ CERTIFICATE OF USE AND OCCUPANCY Issued to Robert Manni Address Lot #63, 42 Natka Drive Centerville, Mass. 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.149:0 OF THE MASSACHUSETTS STATE BUILDING CODE. September .13, t9 8 8 r � ....................... .. ............. rr....................' - .. Budding Inspector THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / LI DATA TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING 13 NMI' DATE 19 PERMIT NOS¢ 34,78 APPLICANT QwJ ..,,- ADDRESS owner 001 (NO.) (STREET) (CONTR'S LICENSE] PERMIT TO Build dwell.inoz ) STORY SInkle family dwelliLig NUMBERDWELLIN OF G UNITS l (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) lot #63 47. '.L;tt.k, 9r:?yo, C*c. iter'yille ZONING TIC (NO.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCT] TO TYPE USE GROUP_ BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: BOND AREA OR VOLUME iZl.b r1q. it, ESTIMATED COST so'ol o . 'PERMIT . 88.75 ' (CUBIC/SO UARE FEET) FEE — /I OWNER [i-7UEsr�. Ljiil'3:'.1.'l "� b.' e� BUILDING DEPT. ADDRESS i�k�0 (h'K `it 4yc,..t ;5=,,.rSt,;."."-'-}`;.y ,:.� BY THIS PERMIT CONVEYS-NO RIGHT TO OCCUPY ANY STREET. ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY c PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE A PROVED 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 THE CONDITIO OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FORELECTRICAL, 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 UNTIL MINAL IN IRE INSPECTION TO LATH)BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMB NG INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 v 2 2 — - _- -- _— 2 3f HEATING INSPECTION APPROVALS r ENGINEERING DEPARTMENT OTHER BOARD OF HEALTH -s-s WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERM IT 'V!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN TOR HAS APPROVED THE VARIODUS STAGES OF i WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITT CONSTRUCTION, Il PERMIT !S ISSUED AS NOTED ABOVE. NOTIFICATION. -. i `---- -..._, __.. .. 1 Z U� `n r jk d) F r w / /X,e _c / T/,�lLL::; /�cT �<��•/ 2E M /`7�S: cam' TN 7 'l-�/.✓ �Gc. T/G� C'LcT�` -//L L� /S �✓a7-' �� /'� �/vA�'L 0. �n7 3 ram,. Assessor's offiaew(1st floor):°w , ; SEPTIC SYSTEM MUST BE A3sessor s map and lot number .. .i.(Q �:.-�..�.. Q�ryu " WF',�i A LED IN COMPLPAN uF THE rp`♦ Board:of Health Ord floor): --"` " TH FtPTLE 5 Sewage Permit. number �p . a f. CODE `r:; � AH.a9Ta LE. Engineering}Department (3rd"floor): /� ` TOWN 00 39- MM ' . , . : TOWN REGU1.�4'67t3fi�S �o6irny a e� House number .........................:....................................:...•...... s APPLICATIONS PROCESSED •8:30-9:30 A.M. and 1:00.2:00 P.M.t only` TOWN OF -BARNSTABLE , F - RU.I.LDIN.G [NSFIECTOR is®✓ N ��1/t ;Bs i/ LC �a�t c C j� e # APPLICATION 'FOR PERMIT TO. .... .......5.......0 .........:............5..... i '�......:.J TYPE OF OF CONSTRUCTION ....... .a.€:�...... : d'.' `""��' s ............................ ................................... ..... ................... TO THE INSPECTOR OF BUILDINGS: , The undersigned hereby applies for a permit according to the following information: -Location ....4aT......la.:. '....'.....A�T .....-.. e.................'.................... Proposed Use _5.`�V-51r: .. d+?:t.. ,Y:....../ ............................:...................... «.........:...........'.. Zoning District ... .............. o i :. .. ..................:..................Fire District �C''� ®S/ , .................:..................................: Name ofsOwner ...4.Ive..M..V.,......�04WACe i.......\....:..............Address ....�� � /�?c',v`�✓ : . ............ . ... ..... .. .... ............ . . l' Name"of Builder :................::..................::`..:.....Address ..............:.....:............................................................... . :. Name o Architect ............................................. ....................Address ............ ..........:......................................:..................... ,. ' Number of Rooms ............. cy . 6- ' f ..:..........Foundation t C. t � `� Exterior .....:!�Ja�. .....�'.h.f.`'�,5�� ...... ............... ........Roofing Floors ...... ...... ........Interior h•eC l�C7C/i A ........................ ...................Plumbing .. -� �CHeating ...... .... . ....`.....� ...".... - !J. 0. 00 Approximate Fireplace Cost Definitive Plan Approved y Planning Board -- -f_ __--.------- �7 Area (,21�q ........ ...... " Diagram -of'Lot anJ Building with Dimensions L2� Fee 5f� SUBJECT TO APPROVAL OF BOARD OF HEALTH 2b ,' Zv �J� ) (/vi OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree-to conform to all the Rules'and Regulations of the Toeofstable regarding the above construction. s Name .. ............................. • ........................... ................. Construction Supervisor's License .. ©�S .................. E MANNI , ROBERT No J 318.88•'Permit for 11 Story ...... ............. ........... t - Single Family.•Dwelling••••••••••. A� Location Lot ..63 , 42 Natka Drive - - r Centerville.................................... �^ Ownery rt .� b Roert Mani.....�........................ Type,oConstruction .. Frame r f� .... ti _. Plot. ... ........: ........... "Lot r _ Permit 'ranted . .may... 9 88 ��- Date of Inspection ........................... ... .19 .�� Date CoJm I �tJed .. ............. :19� �d Y'> • F �f ... r. � �� f.. � -ter �' ' � _ ..�, _ � �/ ' µme+- - J r,,^•y r ,r !♦ � � �, � !l l �f R s� r �f • � • r >: e • .