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HomeMy WebLinkAbout0004 WATERSIDE DRIVE�� wA�xside �� � A Town of Barnstable Buil.ding n .,...,. ,:,��+w�%u,.,:, ��sr<; ;•krw �, ,.Tr-6 .�,�, r j -�a���.:<d.",'°.d v,,:::. ,n� n,'� `.:, .�� ,r��� Post This:Card So�That it is Visible:From the Street ,=A roved Plans Must be Reta i,d Job and this Card Muni befrKept ,_ * �AEtJ3I'AS1E, ' p�^,p c�+�s- �,.3 '`'g•'�. �'3 .����ge,�. ^�� �i, >e• � Permit . PFT £ , * �� � ��r .Where a.Certificateof�Occu anc ,s.Regwredi� uch Build�ngshall Not beOccup�eduntil a Final;lnspectlonkhas been made €, ?�K-.�,Ea'�:.r .,�^.-',r:.x,�"„�, ,��`«.�;,. p�-,.,a'��.�...w.�,w,...a3'�✓, '�v.,�_,,t�,' ,.�;as,�,.�>, w; "�s��u?ltzh ,rS„��u,..�u,3,�s+.��.,s.�»._m.�.., ..,�.•�s���.a,...;..:�o,.n.�.,., xt,.,.�.�,�...��.<�a�tw F,�,,,..�t,� Permit NO. B-18-1528 Applicant Name: WINDOW WORLD OF BOSTON, LLC. Approvals Date Issued: 05/17/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/17/2018 Foundation: Location: 4 WATERSIDE DRIVE,CENTERVILLE Map/Lot 207 153 Zoning District: RC Sheathing: Owner on Record: DECENZO, PAUL D&DERRETH A Contractor`Name° ,Jeff C Steele Framing: 1 z - Address: 4 WATERSIDE DRIVE Contracto License CS072772 2 CENTERVILLE, MA 02632 Est(Project Cost: $0.00 Chimney: Description: Replacement Windows(2) U-Value .27 , Permit Fee: $35.00 Insulation: Project Review Req: Fee Paid $35.00 Dante 5/17/2018 Final: s Plumbing/Gas 18 h Plumbing: Rough g: y Building Official N A Final Plumbing: i n e �`..: this commenced " �. Rough Gas: h - r'issuance.wi hin six�.mont s afte g This ermit shall be deemed abandoned and invalid unless the work authorized b permit is t All work authorized by this permit shall conform to the approved application snd�the�approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws ani codes. Final Gas: This permit shall be displayed in a location clearly visible from access tre�et or.road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. �' � +� Electrical rk y .. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the�BuddingandFire Officials are,provided on this permit. Minimum of Five Call Inspections Required for All Construction Work Rough: 1.Foundation or Footing ,�'. ,--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: "Perrsons 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 �fVE ram, Town of Barnstable yPermi Expires 6 nrow roni issue dut ti Regulatory Services Fee = uaalvsrnat.>:. Richard V.Scali,Director \` Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable-ma.us Office: 508-862-4,038 Fax: 508-790-6230 EXPRESS PERMIT APPOCATION - RESIDENTIAL ONLY 7 /� Not 6iriid rvithow Red Y Press lmprint iViapipareel Number 2 O 3 n 1 Property Address wmje,-x�s fL Residential Value of Work S \3073 Minimum fee of$35.00 for work under$6000.00 Owner's dame&Address "A ozd 3 z Contractor's Name W Dto Q0(44 Telephone Numb of B�sD� Home Improvement Contractor License B(if applicable) 1&6 OZl" Email: Construction Supervisor's License n(if applicable) 87 Za 7 cz ,a YVorkman's Compensation insurance 4 Check one: ❑ I am a sole proprietor MAY 15 2018 ❑ I am the Homeowner L 7 �'® ^�� I have Worker's Compensation Insurance �i ]OF k 11 C 'RT�O , i6fr-IHNSf��LE Insurance Company Name ;ITA t mp— JA)_Q�� nti Workman's Comp.Policy# 22 w f�,c_t_T z� 5S, Copy of insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) :All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Z, ).#of windo« Replacenienf Windows/doors/sliders.U-Value f Z7 (maximum.32 4 of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Oftere required: issuance of this permit does not exempt compliance with other town depanment regulations,i.e.Historic.Conservation.cue. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is SIGNATURE:C:\User\Deco)1A.. 4equired. ,lierosu % mduws\Temporary Internet File\Cbntent.OtttlookLPIO1 DHR\EXPRESS.doc Revised 04021> Window World of Boston MANIC Registration Offices&Showrooms Number.. a 1sA Cummings Park. 0 296 Old Oak Street 166025 Woburn,MA 01801 Pembroke,MA 02359 Federal ID# (781)932AB05 (781)826.6281 82-4898432 www.Mndow_WorldofBoston.com Customer.fp,4414 _ ECE'N phone m?, •7yti'-ZO/Z' Install address: Phone(vw). . City: +�L�/IVT ci(7/�LG E state:MA Zp QZ E mall WINDOW.WORLD GLASS OPTIONS _1006 Series Single-hung AlMeld $199 �SolarZone Epie-Dual Pane $119 357 2000 Series 0H MecttrWelded Sash _$21s - _Triple'Pane/Krypton $365 _4000 Series DH All-Weld $240 (-Series6000 only) _60DO Series DH AII•Weld $260 WINDOW OPTIONS 2 Lite Slider $374 Glass Breakage Wwranty(4090/6000) $is INCLUDED _3 Lite Slider Wa.AiA ru+,w.H) $575 4/112 Screarrs $91NCLUDED _Picture/Fixed Lite(0-83UQ $365 Picture Fixed Lite(84-130 Uq $445 Foam Insulation on Jambs and Head $11 MCLUDED _Awning "d9t0Double Strength Glass(40(10/6000) $15 INCLUDED _Casement $330' .. -Double Locks(>26-) $51NCWDED 2 Lite Casement $595 Full Screens $25 �3 Lite Casement�nnis�un nn.n4r+i $910� _Colonial Grids(Contcured/Flat) $65 Basemern Hopper $434 Prairie Grids' $75 _Bay Window-Soffit Mount/INS Seat$2660 Simulated Divided Lite $182 _Pow Window-Soffit Mount/INS Seat$2786 _Tempered DH Sash(BSO)(TSO)_ $7s _Garden Window $ � _Obsoure Glass(BSO)(ISO) $75 _Bay,`Bow,Garden Oversite:(+109 Up_S975 _Oriel Style(4WW or 60/40) $7s _Beige/Almond _Foam Enhanced Frame. $35 _Vrood Grain Interior(Series 4000/�0 onry).$1 GO (Light Oakl Daik Oakl Cherry/Fox Wood PRE 1979 BUILT HOMES(EPA LEAD SAFE RENOVATIO Rich Marpfe) -Lead Safe Pracfices Required $30 _Bruce Erdertar(Arch:Brdrlts/Amedoan TeNej'$100 MY HOME WAS BUILT IN THE YEAR Initia jM DeslgnerCotorExterior $175 MISCELLANEOUS 1 Speciality Wind _ $ 1 C6 foe Extericr Aluminum Cladding /✓ �o �� aTextured$90'. Cr8 S oth $ 9�WindrnvColor i./fli7S / i✓N/TE .� �$90.� reside outside Facing Color NON CUSTOM DOORS Metal Window RemovalS75 _Vinyl Rofn9 Patio Door Sit.or Eft $1095 New Construction Vinyl Removal $175 /75 _Vinyl Roiling Patio Dom.eft. $1195 _Specialty Window Exterior Trim _Add to base price for Custom Rowing PafaCoar$1250 'Mutt toFo(mMuitiUrff -$30 11[[ _French Rail Sfidng Patio Door 5%or sit. $1395 Install lMerior/Exterlor Stops OW.$50 /$"O _trench Rail Slitting Patio Door Sit -$1493 Install Interior Casing Starts At$95 ,French Rail Sfrrsng Patio Dom 91C $t585 _Insulate Weight Boxes $20 _Custom FxlsrlorCladding $300 _Roof for Bay/eow Waidotvs 5500 ^Adwzone Elite m ETC Glass $3os i edsling New Cones.EA Retro F. $150/ 70 _Grift Patio Door $210 _Removal of Foisting Bay/Bow $250 _Noodgrain Interiors •S39s _Repair Sill,Jamb or replace all nosing V! # _EMertor Designer Cclors :$595 Full-Sub-Sill(Single)replacement. SM Interior Casing 2tn 3+1A $275 I MulfionRemovalsso ©O H2ndtesel0yions Bay/Bow Conversion-ExL:Hetro.Fn $450 (New Siding Will Not Match) Ocar Colorglt1UND�UP FOft-4NI dDOW WORLD CARES;' msirto ours7da StJullniAWit RtseareflFWPdat � i. Customer declines exterior wrap and understands painting and/or repair may be.required I ial I Customer declines grids'on windows/doors Initiate DISCUIt3EB:Cl slaty arts respans bletor the foOaMng im mnarefan wits 0is contrast Painting,Staining,Alarm System disconnee>lraotateu Bribing Pend fees in excess of$25.00,Homeowner and arCaodo Assorda0on Appmvak Historic(istdctAppmaal.City o19estao nadir 16 shlewarA Permit fees in coronecbon vidh histailation. NO EXTRA WORK IF NOT IN WAITING! customer agrees to t e terms of payment as followw. Exbe Labor&Mate Ws $ — CO Site Set Up,Per ill,.Disposal&Delivery Fees$ $389.00 Ana iNSr,9�cst7cot/ � Total Amount $ TT/Jfrr 57Z/E^lks" A7 Custom Order Deposit s0°6 $ kiy j�6 l Balance Paid to Installer upon Completion $ Amount Financed $` 7 Window Word of Began antcIpates starting ibis wa*an and being suhslantlaltycompleted6Azdays.security interest:Yes No Any deposit requhed in advance of the start of the k*SMALL NOT exam 33'/38 of Ina low contract price or ffe actual cast of any material orequipment of a special older or custom made nature,which must be ordered in advance of to start of are work to assure that the pmjeawfl proceed on schi m le.Nd final payment shall be demanded until the contract is campheted to the safislacdon of both parties A8 home improvement contractors and subcontractors shall be registered and that any imidras about a contract or subconvaetor relating to a ragisoafion should be directed to:ogira of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170 Boston,NA 0211G Phone:(617)973.870D No wank shall belle prim to the sgrdrtg at the central.and tmmuniaal Who owner of a copy at such contract. .. Window Mild of Boston under provision of Chapter 142A of the general laws is required to appyfor and obtaiii allconsbucdametated perms.Willow World of Boston shaf not be deemed responsible for delays in the work described in this agreement caused by regulatory,Permit granting agenctm auarorites or htdtrlduals. Naltce:It the PDNCINISER(S)ablains his an construction related permits to the work described under this agreement or deals with unnegistared contractors, the PURCHASER(S)Is thereby advised that in Ike event ot.a dispula,judgement and nonpayment Ne PUBCRASER(S)w01 nigh)entitled to.make a.claim m • Collection from The guaranty field established by chapter 142A;M.G.L. ' - ou the buyer BY cancel 1Ns tra0sac8an at any Lee prior to mlMigM a hd third business day a8er the dale is transachon, NOfce ofcant�ilatio0lnustbein writing pastmaftcetl no later then midnight of the following third tipsiness dale THIS IS A i —Ibis"NndowWadetranddiaisin ended mmed and operated by L&P on ere' no.rderIon"from Window world Ins. /!T ! j i Owner..Do not sign if there era an tarn4111A aRecea. _ '3a'esmarc ."rial algnBMer nyh nth cue, / Owner.Go not sign if Mare are airy blank spaces. .Date .. � .- :,. NhaoCapy-Odgirral YepowCapyFie -FadcCopy--custcmer �:e�eficartnr} Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor CS-072772 Expires: 04/07/2020 JEFF C STEELE 24 SHERWOOD AVE DANVERS MA 01923 Commissioner CI ' '�y�. `fr`riiru,rna:irrli�r�'"'r(rrrnrr✓�rr.ir•1/' Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:LLC Registration Expiration 166025 04/11/2020 WINDOW WORLD OF.BOSTON,LLC. JEFF C.STEELECGx --- 15A CUMMINGS PARK WOBURN,MA 01801 Undersecretary i The Commonwealth of Massachusetts Department of Industrial Accidents 0 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 PERMITTLNG AUTHORITY. Applicant Information / Please Print Legibly Name (Business/Organization/Individual): (A/nCla,J WD r���.{' �S�r✓t� L L C Address: /5'fi C�n.,M.'r►�s �ier IS City/State/Zip: A algo I Phone #: -7,e 1 —q 3 Z o 5` Are you an employer?Check the appropriate box: Type of project(required).- 1.[9 I am a employer with_T employees(full and/or part-time).; 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.(No workers'camp.insurance required.) 9. ❑Demolition � 3.71 am a homeowner doing all work myself.(No workers'comp.insurance required.)t 10 Q Building addition 4.O 1 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers compensation insurance or are sole I l.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. I Roof repairs These sub-contractors have employees and have workers'comp.insurance.I 6.❑We are a corporation,and its officers have exercised their right of exemption per MGL c. l 14. Other W 1,' 0 152§1(4),and we have no employees. (Ivo workers'comp.insurance required.) •' { (r,YT�/1 'Any applicant that checks box 41 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 hip:outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an emplover that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: (�Ca!`t-�o/'c+ F_j re Tn s J RA f�C£ C—O Policy# or Self-ins.Lic..#: Z Z V1/L C L 1.Z4 3 Expiration Date: 1— z 11 7— w�S( e 6r . City/State/Zi ef0l I fp 1` �/j Job Site Address: � P� 14 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL C. 152.§25A is a criminal violation punishable 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 of this s tement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifi lion. A _ . I do hereby cer under a pal erjury that the information provided above ' true/nd correct Signature: Date: Phone#: -3 2-- a5.. a use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License 0 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#: Cape Save Inc. 7-D Huntington Avenue South Yarmouth,MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 7/11/12 Y Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 - - RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for 4 Waterside Drive,Centerville has been inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-11 cellulose Walls: R-11 fiberglass blanket(basement parting wall) Basement: R-19 fiberglass blanket box sill All work performed meets or exceeds Federal and State Requirements. Sincerely, William McOuskey ;,, ' a Cape Save Inc. 7-D Huntington Avenue South-Yarmouth, NIA 02664 Tel: 508-398-0398 Fax: 508-398-0399 7/10/12 . Town of Barnstable Thomas Perry CBO ; Building Commissioner . 200 Main St.Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for 61 Goose Point Road,Centerville.has been inspected by a certified Building Performance Institute(BPI)Inspector. CD Ceiling: R-30 cellulose(2"d storey attic) Ceiling: R-38 cellulose(knee wall attic) -- . Walls: R-11 fiberglass blanket in knee wall Basement: R-19 fiberglass in box sill ,; . Ventilation: 4 soffit vents for knee wall attic - - 4 soffit vents &3 roof vents for 2"d storey attic All work performed meets or exceeds Federal and State Requirements. 4 Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 1 J - 4 j Application # ��� �J Health-Division - Date Issued EP 7 j Conservation Division Application Fee Planning Dept. - Permit Fee �S Date Definitive Plan Approved by Planning Board q Historic - OKH _ Preservation / Hyannis (o�17) Z� Project Street Address W ti'�•r�',4P� f�Y _LL---- Village coirery11 e Owner T o vw\ l e G en Z Q Address s Gym Pi Telephone 5 o 0 - 3 5 5 o µ Permit Request , ` A,od ►L CA4105c° +0 `+l e Qom' iC� T�creo�e aA `r. vPn�i�w�l-�o^ `�6 COAC WIA 504I\4' PA rood vgy)4-S- -P,;� Se46 Ae Aic, p1aI\e tind Wemn+ 10,14 E+,kl�ain��ns Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation a , ®O Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure g LI Historic House: ❑Yes ❑ No On Old King's Highway`0 Yes, ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other -' Basement Finished Area(sq.ft.) Basement Unfinished Area (sq ft) ,.� VI Number of Baths: Full: existing new Half: existing newt'' Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room b ount _ - Heat Type and Fuel: XGas ❑Oil ❑ Electric ❑ Other .- Central Air: ❑Yes IdNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Ju `'`C .0 [CAwSay'rt, Telephone Number Address License # yoty rtDU1,4 , rn o4 6 b 4 Home Improvement Contractor# Worker's Compensation #7w C 3 3 ` 8 O o T ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �acnneW�� SIGNATURE DATE @ FOR OFFICIAL USE ONLY } \ 2 ^ APPLICATION* , / _ - } : ATE ISSUED _ } } MAP/PARCELNO. - . - \ ƒ ADDRESS ' VILLAGE \ ( OWNER � > } \ DATE OF INSPECTION: . / | ! / FOUNDATION! ' \ram \ FRAME ` \ INSULATION , . . . \ FIREPLACE \ ELECTRICAL: ROUGH FINAL ) \ PLUMBING: ROUGH FINAL \ ' GASD ROUGH ww FINAL \ ƒ . yF NALBUI D|NO } . . _ - • . • _ \ ( ` . { = «DATE CLOSED OUT \ } ASSOCIATION PLAN NO. \ { ! . 460 West Main Street HOUSING xyannis, MA 02601-3698 ASSISTANCE ENERGY & HOME REPA!R T (508) 790-71a6 F (508) 790- CORPORAT ION • 2425 HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: PLEASE FILL L O t T n w � c THEAPPLICANT HOMEOWNER. I hereby consent to and agree that weatherization work maybe done by the Weatherization Program of Housing Assistance Corporation ( hereinafter referred as "Agency") on the property located at: Theweathe-ization work done will-be based on programmatic priorities and availability of funding and it may include all or some of thefollowing measures_ Weather-stripping& caulking of windows and doors, insulation of attics, sidewalis& basements; attic and other ventilation measures and possibly replacement of badly deteriorated windows In consideration of theweatherization work to be done at my home I agreeto the following: 1. 1 give permission to the"Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property: 2. The H ousing Assistance Corporation reserves the right to inspect the fuel or utility bi11 for the weatherized unit on an ongoing basisfor no more than five(5)years after theweatherization . work is completed. I have reed the provisions oft ent and freely give my consent. P Home Owner: (ggnatur � 69&::,_4 Date Agent: (signature) Date HAC approved Weatherization Company : Ca ��Pi rr All Cape Energy, Caller Building&,Remodeling, Cape Cod T.nsulaiion, Cape Save, Creswell Construction, Frontier Energy Solutions, Lohr&.Sons; Peter Smith, Resolution Energy, Rock Solid Construction ; ltll Of illassachusetts The Cornraiol1tive Itidclstrla1,Accidents t' Departitzent Uf cations % Office of Invest!. tot!Street _ 600 Washing I1 Boston,M 021 : A beCS aov/din W„nv.mass.. ' t-Leo-NN 1' ;BuilderslContractorslEleetricia P�p�lum ensation Insurance Affidav it Please Workers Comp A plidant Information Name(Businessl0rganizatilon/individual): (n� Address: - �tAd►�in +011 1�tlGtlti►�,G o�bN Phone#: City/State/Zip:� c►��+ Yaefn9utti1, �A — Type of project(required): F12 e you an employer?Check the appropr4iate❑ am b I a general contractor and I 6 ❑New construction_ ` I am a employer with have hired the sub-contractors 7 Remodelingemployees(full and/or part-time)•* listed on the attached sheet. ❑.❑ I am a sole proprietor or partner- «, These sub-contractors have $, []Demolition ship and have no employees employees and have workers' 9 ❑Building addition working for me in,any capacity.. - comp.ins utuance [No workers' comp.insurance 10:❑Electrical repairs or additions 5. [] We are a corporation and its required.] - officers have exercised their. 11.❑Plumbing repairs or additions 3.❑ I am a homeowner doing all work right of exemptionMGL myself.[No workers'comp. �'` per 12.[�Roof repairs = insurance required.]t � � c. 152,§1(4),and we have no • employees.[No workers' 13.9 Other —1 A comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homcowncrs who submit this affidavit 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 subcontractors and state whether or not those entities have employees. lfthe 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 thepolicy and job site information. Insurance Company Name: a T r, ► ^c e r not 0 w''�^S -r C t1 Policy#or Self-ins.Lie.#: ` W C-3 3 1 o 4 Expiration Date: y 1 I 4 13 11 '-r M� Job Site Address: "t W k (-S C (` J City/State/Zip: 1 _ C�°n�eNl t I�el '' I Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$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 S250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations ofthe DIA for insurance coverage verification. I do hereby certify under the pahis andpenalties of perjury that the information provided above is true and correct. Sic-mature: Date: Phone#:SO 3 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):' I.Board of Health ?.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector L6. heract Person: Phone h: DATE(MMIDDIYYYY) 7 ® CERTIFICATE pF LIABILITY INSURANCE 5ilo/2012 pRL� CERTIF IGHTS UPON THE CERTIFICATE HOLDER.LICIES AC A ID O R HE AUTHORIZED THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLHIS CERTIFICATE OF INSURANCE DOES NOTTE A CONTRACT BETWEEN THE ISSUING INSURER(S), CERTIFICATE DOES NOT AF FIRMATIVELY OR NEGATIVELY AMENu, EXTEND OR ALTER THE COVERAGE AFFORDED B ,subject to BELOW.ENTATNE OR PRODUCER,AND THE CERTIFICATE HOLDER. REPRESENTATIVE n ADDITIONAL INSURED,the policy(ies)n►A stement on�th s certificate does not confer WAIVEDrights to O1e IMPORTANT: if the certificate holder 1 certain policies may require an endorsement- the terms and conditions°f the policy, CONTACT Risk Strategies Company certificate holder in lieu of such endorsement(s). NAME: FAQ o (7a1)963-4420 PRODUCER PHONE (781.)986-4400 Risk Strategies Company E-MAIL NALc n D ESS: 15 Pacella Park Drive INSURERS AFFORDING COVERAGE Suite 240 INSURERA:Select' Insurance 3618 Randolph hLA 02368 INSURER B-Safe Insuianura,noce Co an INSURED INSURER C:Technol Cape Save, Inc INSURER D 7 D Huntington Ave INSURER E: Mp; 02644 INSURER F: REVISION NUMBER' South Yarmouth COVERAGES IOD CERTIFICATE NUMBER CL125948081TH RESPECT TO Y CONTRACT OR OTHER DOCUMENT IS SUBJECT TO ALL tFiEi TERMS, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION D AN OLICIES.LIMITS SHOWN MAY HAVE BEEN REouCY EFDUCED PY POILLI Y EXP CLAIMS. LIMITS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN EXCLUSIONS AND CONDITIONS OF SUCH M�ILl MMIDDIYYYY 1,000,000 ILTR POLICY NUMBER EACH OCCURRENCE $ TYPE OF INSURANCE $ 000 GENERAL LIABILITY PR MIS ES Ea occurrence 110,000 0/16/2011 0/16/2012 MED EXP(Any one person) $ X COMMERCIAL GENERAL LIABILITY ppg1994490` 1,o00,000 A CLNMS�AADE OCCUR PERSONAL 8 ADV INJURY $ 2,000r000 GENERAL AGGREGATE 2,0001 000 PRODUCTS-COMP/OP AGG $ $ GEN'L AGGREGATE LIMIT APPLIES PER COMB NED SINGLE LIMIT $ 1 000 000 PRO- LOC }[ POLICY Ea accident $ . AUTOMOBILE LIABILITY BODILY INJURY(Per Person) 200 ANY AUTO 1/6/2011 1/6/2012 BODILY INJURY B (Per accdent) $ ` ALL OWNED SCHEDULED 6208 PROPERTY DAMAGE $ AUTOS AUTOSNON-OWNED PeraaideM X HIRED AUTOS X AUTOS _ Underinsured motoris(BI a $ 00 000 EACH OCCURRENCE $ 2,0 000,000 X X UMBRELLA LIAS OCCUR AGGREGATE 2,000,000 A EXCESS LIAB CLAIMS-MADE 0/16/2011 0/16/2012 $ DED RETENTION pP81994490 � WC STATU- OTH- $ C WORKERS COMPENSATION - AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT $ 500 00G ANY PROPRIETORlPARTNERIEXECUTIVE N NIA 3318007 /9/2012 /9/2013 E.L DISEASE-EA EMPLOYE $ 500 OOC OFFICERIMEMBER EXCLUDED? (Mandatory In NH) 500 00( If es,describe under E.L.DISEASE POLICY UMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Issued as evidence of insurance_ Issued as-evidence of insurance. Thielsch Engineering, Inc. is listed as additional insured as respects General Liability as required by written contract. I CERTIFICATE HOLDER CANCELLATION msong@capelightcompact.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cape Light Compact Attn: Margaret Song AUTHOMWD REPRESENTATIVE PO Box 427/SCH w 3195 Main Street Barnstable, 1-1 02630f�- Michael Christian/BAM ��� ACORD 26(2010/06) 01988-2010 ACORD CORPORATION. All rights reserved.. INS025onirmini Tho Af_nRn nnmo 2nel I nn 9ro ronietonarl m2rkc of ARnon I • liassachusetts- Department of Public tiafct� Board of 13uildin�L Retyufutions and Standards Construction Supervisor Specialty License _ License: CS SL 102776 , Restricted to: IC CLUSKY WILLIAM MC # —� 37 NAUSET ROAD �A F WEST YARMOUTH, MA 02673 Expiration: 6/28/2013 ('ununissiuncr T rg: 102776 (!J�7 Office of Consumer Affairs and eusiness Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 } Type: Corporation Expiration: 3/14/2014 Tr# 222184 r . CAPE SAVE INC. - WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 - -y Update Address and return card.Mark reason for change. Address .n Renewal Employment. F j Lost Card PS-CAI is 50W04104-GIO1216 Jilt_e11N z*;?LU/e6aa1- Oy✓4 lLCCSeG(o �, Office of Consumer Affairs&B siuess Regulation License or registration valid for individul use only , P--=- _-- , before the expiration date. If found return to: �HOME IMPROVEMENT CONTRACTOR , Type: Office of Consumer Affairs and Business Regulation - Registration:.;;171380 10 Park Plaza-Suite 5170 r Expiration 3/14/2014 Corporation Boston,MA 02116. CA SAVE INC WILLIAM McCLUSKEY= 7-D HUNTINGTON AVENUE=='`•���^ � - � SOUTH YARMOUTH MA"02664` vodersecretary Not valid wit o signs X-PRESS PERMIT SEP 2 9 2003 v u TOWN OF BARNT'TownLE of Barnstable. RPcrrayc,1 2 . }� ILrgdrm 6 m000nnthhiiJlvm Orue dai( c. awnxarw>out. _ �'e egu.1�.�_k`.¢)ry 'Service:_.; Fee ea.�aa. Thomm F.Geiler,Director Buildh.ug Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 ' Fax: 508-790-6230 EXPRESS PERMIT A.PPL1C,,ST10N - R SEDENTI A:t, ONLY Not Valid with oat,Red -Preps Imprint Map/parcel Number Propm-ty Address 41d) �111�1 Nt-Qd Ak -- �..-- �csidcntial Value of Work U ,000 Owner's Name&Address Contractor's Name ?- CKl T ) �.CS`C_U r�`l-1 j .� t;(1�� c�G�l cX `' � _-, elepho'IQ Ni»bcr (� O 7) Ilotne.Improvement Contractor License#(if applicable) , ..I:.. Construction Supervisor's License.#(if applicable) Nff � _ f9Workman's Compensation Inawance Chock ono: ❑ I am a sole proprietor ❑ I am the Homeowner I have Workcr'a Compensation Insuzaan(ce Insurance Company Name ����-�� :d.� l�l� 1 �� � __T 1,U 0<041 s Workrnan's Comp.Policy# 1PA)i3—qQ,?Y 6 53 �- l Permit Rcquau(chock box) Lh rie-roof(stripping old shingles) All construction debris will be taken to U r A C� ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Widows. U-Value (maxumm.44) ❑ Other(specify) a Wharo requued: tfiUarteC of this ptunit do Ct not C7."[C0nT1l8IICC Vnth OthCr town dC--18rb=%KgU 0014,l.c.iils[mc,Conscrvation,ctu. 1 , Signature QYorm onmtrg koviBC4121901 Board of Building Rc(ula.-ions and Standards ''` One Ashburton "lace - Room 1301 Boston_ Massachusetts 02108 Hoine Improvement Contractor Registration Registration: 10371 4L Typc: Private Corporation Expiration: 7/9/2004 PAUL J. CAZEAULT & SONS, INC. Paul Cazeault P.O. Box 2781 Orleans, MA 02653 Update Address:unl reluru car& mm-iI rc lson fur ch:ulgc. // L/ ���� i Address I...I Renciv.i i Emhlo��mcnl - Losl Card �J/u: UJOrrvaWrta"alUG O`..,G(CikNac�iu4el,�1 - - Board of Building f Rc ulalions and Standards License or registralion valid for individul 11sc only (r= HOME IMPROVEMENT CONTRACTOR Uclore the expiration date. It'found reluru to: Registration: 103714 Board of Building Rcgulations and standards Expiration: 7/9/2004 C)nc Ashbor(un Place Rnl•1301 Type: Private Corporation Boslon, illa.02108t PAUL J.CAZEAULT&SONS, INC. Paul Cazeault 22 Giddiah Rd. 6). gl,ii/n ii.,niSlLilA. r•/. /(Iiii�n:�uJCI%J Orleans, MA 02653 Adm rl(rinistrator BOARD OF BUILDING REGULATIONS a License: : ONSTRUCTION SUPERVISOR Number: CS 026325 Birthdate: 10/20/1959 Expires: 10/20i2003 Tr,no: 7310 Restrictec_: 00 PAULJ CAZEAULT 1585 MAIN STD OSTERVILLE, MA 026`.,5 ` Administrator ow �Ir Board. of Buildin R g equlalions •r 7.- One Ashburton Place, KM-1301 Boston; Ma 02103-1618 License: CONSTRUCTION Birthdatc: 10/20/1959 Number: CS 026 25 Expires: 10/20/20 3 , Restricted To: 00 PAUL J CAZEAULT 1585 MAIN ST OSTERVILLE, MA 02655 Tr. no: 7310 Keep top for receipt and change of address notification` ACORD— CERTIFICATE OF LIABILITY INSURANCE I DATE IMM(200 I �PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MCShea InsuranCe AQenCy, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 749 Mein 6treat, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES DELOW. -- Osterville, Me. 02655 INSURERS AFFORDING COVERAGE 508-420-.90.11 _ - }-- INSURED paul J Cazoault & Sons roofing znc. 'iINsu"tR", W®stern _ghng• Co. - —� INSURER B: TraVelera IndAirss_ co of I ink. 1031 Main Street r.N, suRERcOsterville, Ma 02655SURER D I A n n 9 9 R 554;9 :INSURER E. _ COVERAGES THE POLICIES OF INSURANCE LISTED BILLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING I 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 INSR I Y EFFECTIVE POLICY EXPIRATION LIMIT B TYPE OF INSURANCE POLICY NUMBER POL TE Mw E IMFNODIY Of FRAL LIABILITY I EACH OCCURRENCE S y 00 X I COMMERCIAL UENFRAL LIABILITY FIRE DAMAGE(Any ono lao) $ r I CLAIMS MADE I OCCUR MFO EXP(Any one pemon) S A _ SCRO467325 04/30/03 Ol/30/04 PLHSoNAISADVINJURY f _o0Q-94n GENERAL AGGREGATE $2,000.,QQ I n C.EN'l AGGREUAIE O PRODUCT't COMP/OP AGG Sl��SCSn MIT APPLIES DER'. ... I �- LO_ POLICY JE� LOC .�— AUTOMOBILE LIABILITY COMBINCO SINOLL LIMIT S - (Ea Acadti ANY AUTO -- rALL OWNED AUTOS I DODILY INJURY SCHEDULED AUTOS j (For po%o,,) - $ HIRED AUTOS - I. DODILY INJURY S (Por mccidenl) NON-OWNEO AUTOS - - I YHOPERTY DAMAGE •' - (Per accident $ GARAQE LIABILITY AUTO ONLY-EA ACCIDENT i S ANY AUTO OTHER THAN EA ACC S AUTO ONLY:PI I i AGI, I$ FEXCESSITY tACH OCCURRENCE —�CLAIMS MADE AGGREGATE SDLEON S I S W WORKERS COMPENSATION AND }( T RY LIMtTS Eli EMPLOYERS LIABILITY 17PJUB-922X653-502 - I08/10/03 � 08/10/04 I:.L.EAa+AccIoENT .Is00 8 I i E,L.DISEASE-EA EMPLOYEE S10 0 „00 E L DISEASE•POI ICE'LIMIT S. DTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLFFIEXCLUSIONS ADDED BY ENDOR6EMENTISPECtAL PROVISIONS 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 CNDEAVOR TO MAIL l� DAYS WRITTEN I I NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY.OF ANY KIND ON THE INSURER,ITS AGENTS OR �REPRESENTA I 9. r X UTNORIZED R jjj� -J ACORD 25-S(7/97) O ACORD CORPORATION 1988 PROPERTY OWNER MUST COMPLETE AND SIGN THIS SECTION IF USING A BUILDER / ROOFER (Please return this form to Cazeault Roofers with your signed proposal/contract) 04 I, C. , as Owner of the subject property Hereby authorize Paul J. Cazeault & Sons Roofing - To act on my behalf, in all matters relative to work authorized by this building Permit application for (address of Job) c Si6nature of Owner Date �260l1 y Print Name 41,j It .. ... b. Assessor's map and lot number ......... ......... �. THE Sewage Permit number .. � . ../�� .. . BAUSTAMLE, i House number ........ ...../„;......f.::.�G ..................................... Maea p t639. `0 i0 MP/a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............. .... ...... .......... ...................................................................................... TYPEOF CONSTRUCTION .. - . .. .................................................:....... ............................................ ,. ..............s.. ......................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby aprplies for a permit according to the f�oAwing informatio�Location �.r .6.. ..'X..... ..... ..�.......... ........... `4..�.- !��t....................................... �. r '� ?' ProposedUse 1`�Q^ .,:n: .?4. .... ................................................................................................................ ...........................Fire District ............. ... Zoning District ......../.�.,.�...... .......................... 1 .................... Name of Owner ./..t"�.�... � . . .......................Address `Z 4/....... .n�%C.'� `! Name of•.Builder . Address ... . !..\`.!��. . �..l .�. .... ....... !'.. .......... .. .... Name of Architect Xr!� � 5 = ..............................Address .............................. .... 1� � .�.. �.. ....... ... . Number of Rooms .........Foundation..�............... . .. .. .... ........................................ L�.l� \ �`� Roofing � - Exterior . .. ........... . j.. ......�.? ..,�-:................................ .... ..................... . ...................................................... Floors �,/� .......................................................Interior. '..... ........i...... ..... ................................................... 1-1� a• Heating Ca............................................................Plumbing ...... L .................................................... �Q. Fireplace //.. ? Approximate. Cost ............................................... Definitive Plan Approved by Planning Board ----------------____-----------19,_______. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD,OF HEALTH 'r r 1 � 4' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform.,to all the Rules and Regulations of t Tow�li-of Barnstable,regarding the above construction. Name ...... ......... .. .. .. ..... ............................. Constructio� n,/SuPer'isor s L'mr3s .......!. ......... n Kajko, V. Al A=207-153/3 27104 1 1/2 s� or No ................. Permit for ................... .... ........... Ll single family dwellin ............................................................... 4 Waterside Drive Location ................................................................ Centerville ............................................................................... Owner ..........V.....A.....K.a.j.ko................................ frame Type of Construction .......................................... ................................................................................ Plot ............................. Lot .............#.2.6............. Permit Gran led .........October ........0.....t c ..o..b e......r...17.............19. 84 Date'of. Inspection ....................I ...............19 7-1 Date' Completed ......................................19 Assessv,, -rrra and lot number >� . .. ... FTNET �O O�y ,.� Sewage Permit number .. ........ .. ....2/ . ........ StPTIC SYSTEM MUST BE ANSTALLED'IN COMPLIAM t E ' ' House number ... .. ...'........ ........... ........ i 3 90o b a L R' , i Ar -ENVIRONME TAL CO-P Uri TOWN OF BARTN S f A�BUE . BVILDIHG INSPECTOR ,. APPLICATION FOR PERMIT TO .. .. . ..... a .� TYPE OF CONSTRUCTION .. .s .. .... ......:.. ....... .................................... ...... ............................................ ' .............. ....... A....,,�........................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned her by aVplies for a.permit according to the following inform\attiiW ` Location-�o.�. �.6.. ,.. .. .......�: �4.. ...................................... ProposedUse ``l 'S. . ......:. ..................:.............................................. Zoning District :... ............. .... .............,.........................Fire District ..................... .:.......... Name of Owner :/.. v... .Q.. ................ .Addre ....... . .1�.....1 / .1... t'1 Name of Builder v: .......... . ` ..:...............:...:....................Addres ... ... ..,�.!.\ .... 1... V. .... / Name of Architect 4 q ..............................Address ..................... ����!v. .. .......... i �Number of Acorns ��j......... ... .... ............ ..... ..................Foundati r�.•F......... 4� Exierio .. �c� .\.lV` . ......................................Roofing . . Floors :.....:...................................::...................Interior .. .. .... .. ................................................ a Heating f................ ..:. Plumbing .. Fireplace .: :. ................................................:................Approximate. Cost. . ................................... ........ ..A Definitive Plan Approved by Planning Board ._______________________________19______._ . Area ....... (....... .... '<......... �� Diagram of Lot and Building with "Dimensions Fee /./`J.`. ...-'................ SUBJECT TO APPROVAL,OF BOARD OF HEALTH � , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to.conform to all the Rules and Regulatio s of t To f Barnstabl , egarding the above construction. Name ...... .......�..... . Constructi�n S�pe/r�isor's :Kajko, V. A 41 - 27104 a' l 1/2 story 4 r No�.. ........ Permit for ........................... ..... . 10"; single family dwelling _ ti....... . . ....... .............. Location 4 Waterside Drive . , .................................................. Centerville ........................................ ...... ......... - XXX3MX V. A. Ka j ko Owner ................................. ........ .......:..... .. ICY !' .. :. �4 Type of Construction ........frame................................... .. :{ ......................J . ................... ......... ... 1 -Plot !................ ......... Ldt. �.......#26 ~.......... : ' T` Permit' Granted .......!October .?.7.w 79 84 j� • `;".Date of Inspection > ..._.r.-19 � Date Completed ,. �f......... ....... 9 0.4 r�� H.I .,♦ �` i ! .;j ,,'. rr n'i'i(., .f �,.•t r � Y�(4 !r -y, _ `.,• r ' �,.4\ TOWN OF BAFIiSTABLE Permit No., _.:27I04 - .1' dhg 4 t F BtuF Inspector s` • uuv m ., ", - ' -. . .•5,. '�` cash "-OCCUPANCY PERMIT.. Bond Q..., A. KAJka Issued to j.'; Address Iet #26. w 4 Waterside:Drive',, Ceritery lTe \ Y Wiring Inspector Inspection date'�G fGr " 'Plumb Ispection date InSPecto. / Gas'Inspector A�1 '� al r 'r N Inspection date, r n �'n-.,, Engineering Department rkJr Inspection date Board of Health 7 ,,F' ' r_' / c h Inspection date :� lei -K/ THIS-PERMIT WILL NOT BE JALID, 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. t. E7, Building •Inspector Y f J k GABLE CONSTRUCTION COMPANY COMPASS REAL ESTATE - 12 : 0ctober 1984 Building Inspector Town of Barnstable 367 Main Street Hyannis , MA. 02601 RE: Victor Kajko Lot 26, Waterside Drive Centerville, MA. ATT: Mrs . Robbins Dear Mrs . Robbins : Pursuant to telephone conversation which you had with my secretary, enclosed herewith please find a check in the amount of $115. 50 for issuance of an Occupancy Permit relative to the above-captioned. As you brought to our .attention, somehow a Building Permit was not obtained at the appropriate time but, as . you indicated, upon receipt of the enclosed check you would be able to process the Occupancy Permit. If you have any questions or need anything further from our office, please do not hesitate to contact us . Thank you for your assistance in this matter. V y truly ours, ames E Gable Cl- /cec encl. • 68:750 29.52A f s: �Y I O� it#C,HAM yG„y RAXTEA is 4h� s�R 2, T,U T Tf,�� 0 C,4 T/OA/ Cly(. l I�zv L-tj I A �vv�clA�T hl ` ,5.4/OWi l/-�E.eEo"v COM.�L YS W/rh' 7'/B 6- . I . rNE S/O.E.0/.</E A,c/O SETB.4 Ck "QEQvi,2FME�t/!"s of THE -ow/t/aF t�AlZAk-,T,484 Awo L oC,4 32 �O 1.:,' .� OATS": 7"I8' XTE�6 NYE /NC. O// A.,V ,26G/STE•eE.O L.M/O SU.21i6Y�� V,07- B� /CA/7" i9dC o� G.cxiST' ;� 1 USED 7�a 1�� /•t/E .Z-oT 41M!/ S