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HomeMy WebLinkAbout0084 WATERSIDE DRIVE 4� � � ,_ o r� y� :�q� � s��� W .1 �l�i .�� '��lS•„d . . i�lr ! tik;'.,�+ t,.�� R+'t �3>L '� tit f. �'� r fRw. �.� "?� '`r'}x, _e i K t r w C ` f k. ,,, 1P1 .�..�- r o- '` P / �1 b. , .:. , a .. , , . . , �� /(; '.I i� S, `, 5, ',`1. .I it I a a _ l '.i `t,,` a 1 o , A �` "I ' a a r. t '� t� , 1 S. t r t ,y.a #�.' s a ,'d t�.. ,.,�i.. v e;i', ;"t n �• �...:� 'i (;g f'C i A n. t !^'. �:: {i 1- 4 "1 ff 1 1, 4� l`. ,G. , d r �f 5 1 1 f .'i; 1 i I ,, ..:: �... s , z .P , ... '.,�.:.. " 1 !' ,..,,....�. .. ....,... T'; .,.-. {. 1. :Ff .�', t .R_�;, % }'.. ',.v ..: r , .,� , ,'.:.\ ) �.,. f•,,. . , -:l.l, Jf. I, .1i.� ..5 `.,, lY�,,'i E .,....„ .. .... , ,i ...... ;. , �i f..1 ...lt f .: ,... :�. , r ,,.. ,. j` { it �.- -,I.>:,I ,,1 �... r.r.... .. .,',. r ':i 'I t 'li"I., 't ,, .'" 9 .:. -r r t s:L" rrC ,t ; (' ,11.. d .i:h (, ..t. f .. ':r, , .f e i. u. ,,,i •`7 1, "t . ,;,-,,.. , ,,.,. ,. ..,:y" , I t ,,,.t` .1 fi; a+' tr. .;r: { r , + ,, , ,.., { -A ,. ,',. . ,.�. 1. .., -.;,1 ... :.',., „.. , A ,�..' V. ..+�,.,'3 '1.'F , 1,,r�.i .S, 1� F, Y .t` j.. ,:�. A �$ G ! t f' !. ,� �. ,, ,F' .t e n a d f T -ti t a s G'� f F's,; i` it 'V� P:. / 7 v 's h / f sG ,! k. i!F�' r t < < S �' ;i '. .a 'i ,, 1 tt> t' / i s t, r 'a a, t i �' A t �. t to n} , ! A `,: y' ,/... .. �.i ,. .. t` T. /� f. 3 jii� ,p,�p ::') E r 'r n i t ,i ,r t� t' �' , t `i�'' :..,l N - t 1 j'' R 5 y A "l j - a , / ., r t l., t F ; j /, :1 ,R., d ',. , r ri' ,,1 t t' ':k rr M 1,'- , e it.�� ] J. $ `,: c, 7 1 1 k` ,1 n u aA #" `/ e :rF e C f l It , ,�.,, �.a,,:. �a �i'- ,.�,a�` ,w.,�w�tu,6 ,tc., ° u .._,,., ,....�. ,..:•., > .,-re ....,a ,.:,d , ,.. .,. »,.. .Ft..., n. .a.t;ti,..rl„1,.::.. ...., ,,,.i..,.._. ..., i�iA._ _�,_wtu. ,ay Engineering Dept. (3rd floor) Map Aa? Parcel / 6S Permit# / 3 House# E:Z (A-2#'d3 Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 73 7 Cam, Fee �/.��®D o fed�fia � Conservation Office(4th floor)(8:30-9:30/1:00-2:00) - IKE Board 19e ,� ''t .,-�, • BARNSTABLE. MASS �FD TOWN OF BARNSTABLE Building Permit Application 7rojectt Address $ a�e�- s i`�Q p, D�,- Village Ce-,AeV_ vI lle. Owner Qc V- v Address �- Telephone SO a Permit Request L o , a,.- X o2A First Floor I a X a o ly Q square 0P Second Floor l a X a.a = P L(o square feet Construction Type Estimated Project Cost $ SD , B-o-o Zoning District Flood Plain Al D Water Protection Lot Size 191_3�2 Grandfathered ❑Yes ❑No Dwelling Type: Single Family J4 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes A No On Old King's Highway ❑Yes 2(No Basement Type: J23 Full ❑Crawl' ❑Walkout ❑Other A d kg+1 -1-b \„e CA-&,c_-1 Basement Finished Area(sq.ft.) NoN t< Basement Unfinished Area(sq.ft) AL>, Number of Baths: Full: Existing o�Z New a Half: Existing / New O No.of Bedrooms: Existing .3 New O Total Room Count(not including baths): Existing ( New a First Floor Room Count 3 Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage:JADetached(size) 14 X 2 a Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes a No If yes, site plan review# Current Use Proposed Use ` Builder Information Name �j�r-v Ce ,.A at c-bbso.� Telephone Number p Address J C rr6 . ����— S"-}- License# O l oZ q 60 10 x b oI-. /A4 O 010 3S' Home Improvement Contractor# / 0 0 0 9 t Worker's Compensation# 3 9 Y o o 1 Ol a - o l NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRn' RESULTI /G FROM THIS PROJECT WILL BE TAKEN TO Qj El SIGNATURE (�JDATE BUILDING PERMIT DENIED FOR E FOLLOWING REASON(S) _ _ �, ��"�� � orb,_9� _ ._ � .��,�.a ��, . , � _ ., . _.._ ,._ k-— - -- _ � . . - ''_ — .... _ � .� Y 1 _. � .._ .._. .... n � _ . 1 +rl s. f � .. � .., a ..� � l� �•a ��. � r _� �. `r '1 A � 1 ) , �' t 1 r .. . ' A � ;. , .�.. _ r -•c ,. ',.. .. °F me rqy, The Town of Barnstable �►axernsi.E. ���' Department of Health Safety and Environmental Services 659.�� Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner Fax: 508-790-6230 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. Type of Work: Est.Cost 1 �^ - Address of Work: )c�'�"etrS�-�� �� CPr`�Pr v ► �(p Owner's Name e I,/ Date of Permit Application: C? I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. 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 IIVIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of t ner: Y_AA q ow L /0009 1 Date Contract Name Registration No. OR Date Owner's Name r. The Connrton wealth of 4 fassac h usetts Department of Industrial Accidents ,1 t Office of10=1igatfons 46 _ 600 fl ushington Street .' Boston, A1uv:v. 02111 Workers' Compensation Insurance Affidavit 7. Applicant information: ._ . __-. .__... .._ _..._,.Please PRINT leg�j�s,�•._..___..._._ _... name: o,n location: X b O�ry city phone# /5-07 - 5Y3- 6 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity . t`s:`�°`. afrs.-:�xav+ "� 'rf ^z�S'L'9"aqJZ�'•n!!er,,.,•�,7�*•..,;a!rt2cx;. q?.++i'�"al.'�' ... .,.�.....n•j.�..w-.!aA: ea.•.. r•...e�y-er•. --•r .;yr. . .6r..... ... 1w.�.: :._3_ tt...:wets:,'.waves..wea +w:s-, ..Lei..s�:ars�3+va�cr-••: �" 'L � ='c•*=� - -- .I am an employers providing workers' compensation for my employees working on this.job. coniLuan•name: 1>�f y C.� �a—co b 50-,-. C ;address: city F-OX a (A' 0,;�u.3s Phone 5y3' insurance co LV r"�(may-,n�.,s M v�va l palic),# 3 e 00 1 O A a - O 1 ,. .. ,, .. -A .•3ty*f'�«.,,,,,+'� .q...r,�.-r.rm-.r..,.Tcw us...�s.sc+�*9n�� .....p., 1 am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name address: Oil: phone#• insurance co. policy# �- a. - , fi,.,._,..... �y�av_s-x^r� 'T•rt'��"79r!"_' ,c;^ '•cm"""{"�..". n+�'S.x. ,?� ' ,,.` z ,f„s,.,"'`'""'�"'•w. -+ic.;-- .,.__,�, `y- companv name: address: city: phone#: insurance co. policy# ..._ _ �,.,,,...., At±ach additional sheet of necessa �.:tw.:. -rra::az.oav- - � .n --•s:. £a:a,.siL'. Mnt�:,�itiStrfut'9l.�sG&nsz».S�Wt"�i4L,.�L.,.ss Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one%cars'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a . copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herehv certify corder the it penalties of perjun•.that the information provided above is true and correct. Signature Date $ - Print name %ice � Sam.._ Phone# 7�Boardl, official use onh• do not write in this area to be completed by city or town officialcity or town: permitAicense# r'iBuilding�Licensingcheck if immediate response is required oSelectmen `= 011calth Department contact person: phone#; nOther Imized 3195 P1A; Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an enipinree is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An emI&P'Ver is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the fore- engaged in a joint enterprise, and including the legal representatives of a deceased emplover, or the receiver or trustee of an individual , partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an emplover. MGL chapter 152 section 25 also states that even,state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. �- - Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. 7777 City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. Tile affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to ;ive us-a call. The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 «'ashington Street Boston,Ma. 02111 �.. fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 a � J S� ♦fir.. ♦t�.� Sty.�a.i 3k�'(h'}l� C � �++t� ZNi'Q Nit, , r ��+-. 'J"!1' Mom•'''`}' �CC=�``'� + -.pb �' �j�YF"` 1 1 " t _ra_i .T�l.J�7� �i!]�, S S'✓ S����� Fc`.� . 20 21+00 N'rl'f.011-03 01.7 8 6 O �8 Paopos� F-' ArgvtTtp\ Ise 18 • ErCKT• 6¢ d _.. N OF 41CHAF� ,,. � t, ors " ` �tAi' Zz'1 PA¢vEL 1(oS --O'1 E 2 G Zo t o �t o GE,2T%�/EO GLL�7" O�l�c! L0C.47-/OA C �I LLr— T.UAT T/-� �Qobir�o� G'O�-1PL YS W122V SCA L�- "-_ d p OATS ,�E4U/.2E�-1ENTS CC- 7-,4/ 6A¢.V 67"A•,O L E A//r-1 /.ss L vT 1-7 L O CA T61� 1•J/�T�;//mot/ TyE �.LOGtD.oG4/�f! L C -i Z Z 9 oA ,t/o7- BASES is V AX- .eEG/STE•2EI� LA��O SU.eYES� //1/57-,2U/�1Eit/T,sU.eJ/6Y€ Th�� GSTE,e1//L.C� �'1.4SS. J /�cr TAG we Y. • t ! -_i T. 77 i L f r ! ---- . I 1- -- --- —_.— -- -— - i ° a ------•- I Fx.s41 Deck p" Craw ` S aCIF- 10 0's I0, ewe y Mass.H.I.C. License # 100091. BR UCE A. JACOBSON Mass.B.C.S.License Construction Remodeling Repair NARI � #012460 t Fully Insured of THE REMODELING INDUSTRY Residential & Commercial Buildings Custom Wood-Working 166 East Street, Foxboro, MA 02035 (508) 543-6772 coil w•� aX414 G�oS S s�.�4-�6.•.:.� � i � 6 GT\CtJ ' SIiS lei I ?� + VP 7 1 -- - 1 �o.jse " f � f 1eA �v I y -I)L S � t�►c.11 lC"ec. riAk C,r G h161 g't� I i I 1 Of��.� C N� fl r.N v wooerUL , �• 3 b�c k ', 8 O �aw�y ccaSs,c t obi t4-� i�e"Cv a6-`Db HAc% ?At �X�S� Nam ►-g.R• 1,4 2 w O Woo0 -` pu.K tA assK Y 0 f 1 f t M;0 col ys - t Co le k- ' SX16 • �,11 llft W I evNj- .Ue AstL i+ $esker,, 0 �'�� A-,�.:. Pia.. S `r N. v r�-Cc e- rt �tv-ICI t tX3 i i T Jola+� ax P dk•`'- J J a, s Pa". 16 oG a c��. ak . i i ax\a -:To j 1 0 �a , CDY P`} wor0\ GAF vv-�wrs�� ge.�c S�.pe F V DL plyw�. --- — -- b hP r a $► 2vt5� gut j'1n��• Q o 1�-e,� —Tby*I e h 00 7rc►Ot e- s a fie-` )C,el o r�J JL GAF Jr1 JPvsat �St S�G7 'r [L p 1 01 i -�j-b C.o.�v'.••n i...+t 4-c e. I ax6 R� � '�� cPx PIS%o%oo6 Je•.� Mass. H:LC. License #100091 BRUCE A. JACOBSON Mass.B.C.S.License Construction Remodeling Repair NARI ® #012460 of IATION OF Fully Insured THE REMODELINNATIONAL G,INDUSTRY Residential & Commercial Buildings Custom Wood-Working 166 East Street, Foxboro, MA 02035 (508) 543-6772 4 �u �.��om�rio�elira�G�s ol::�aaaaio/+uaeld is f _ NOME,INPROVENENT;CONTRACTOR , " Registration 10.0091 ryT p,INDIVIDUAGO Expiration`, 06/09/, ` •• BRUCE: R. JACOBSON��{ t :166 ' cewj:e o' '' Ecboro NA 02035 '' . ADMINISTRATOR, 3y x"' a ww ✓/CC T/Jlmwlanevealll, O` ���tJ9cLG'�6lJ6CGf�• #r DEPARTIHNT OF PUBLIC SAFETY CONST.RUCITION SUPERVISOR LICENSE Nu.t,r.:: .. ., Expires; he tticte llTo`,' 00 UCE "A dACC3SON w.ul �T FCXE� I• ..___._....._. COMMONWEALTH OF MASSACHUSETTS SIN REAL-" ESTATE LICEN.5ED. REAL`'ESTATE BROKER 1SSU,ES-THIS LICENSE TO BRUCE A ;/JACOESON A 166 EAST. ST ' N FOXBORO MA. 02U35-2253 93306 04/29/93 119390 .: :•:>;::::ah ISSUE DATE MM/DO/YY) w h N 1 �� F U T rrNf.Nl.fNl..NN1.%!!!NNlNNNfrfvr..v....f�•✓:.N.v.:f:•:l.Wv:•'!!{4>i::•... ••• ''''' � PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND John E. Patterson Ins Agency CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 190 Washington St. POLICIES BELOW. Westwood MA 02090 COMPANIES AFFORDING COVERAGE COMPANY A COMMERCIAL UNION INSURACE CO 2028351 LETTER COMPANY g LUMBERMEN' S MUTUAL CASUALTY CO INSURED LETTER BRUCE JACOBSON COMPANY C 166 EAST STREET LETTER COMPANY LETTER D FOXBORO MA 02035 COMPANY E LETTER rV...FF.1tn �T::: : s:::::::::::::i;:::%;:::;;:;i;:%:::::: :•`:::::::5:: :::: ::2:::::t::::<: :: i::::`<2i :: :::::: :2: :: :::<:: :::::::::: ::::::5:::: 2::<:%:::::is :%::::2:: ::+:2::%?2: :isa:: :t::::: :::::?G::< :< : ::: :::si:::.:;::::':: ::�«:: :: :'::: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION ` LTA. TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MWDD/YY) LIMITS GENERAL'UABWTY. GENERALAGGREGATE $ 11000 , 000 A X COMMERCIAL GENERAL UABIUTY' NBF 823930 0 1/0 1/9 6 0 1/0 1/9 7 PRODUCTS-COMP/OP AGG. $ 500 000 CLAIMS MADE FX I OOCUR. PERSONAL&ADV.INJURY $ 500, 000 OWNER'S&CONTRACTER'S PROT. EACH OCCURRENCE $ 500 000 FIRE DAMAGE(Any one fire) $ 100 000 MED.EXPENSE(Any one person) $ 5 , 000 " AUTOMOBILE LIABILITY ABXB..14 6 5.5 0 5/2 2/9 6 0 5/2 2/9 7 COLIMMBINED SINGLE $ A ANY AUTO ALLOWNEDAUTOS. BODILY INJURY X SCHEDULED AUTOS (Per person) $ 500, 000 HIRED AUT03. BODILY INJURY $ 500, 000 NON-OWNED AUTOS (Per accident)GARAGE LIABILITY. . PROPERTY DAMAGE $ 100, 000 EXCESS LIABILITY EACH OCCURRENCE $ O O O 000 A ZNBF 823930 O1/O1/96 O1/O1/97 UMBRELLA FORM AGGREGATE is 1 0 0 0 , 0 0 0 OTHER M THAN UMBRELLA lLA FORM WORKER'S COMPENSATION STATUTORY LIMITS ... ..._.. B AND EACH ACCIDENT $ DISEASE-POLICY LIMIT $ EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ .OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERT OF INS FOR WORKERS ' COMP WILL BE ISSUED & MAILED DIRECTLY FROM LUMBERMENS MUTUAL �.R�1....CAT. .HQ.4pR:::::::..:.::..:..:......::.:.:.:::.............. ......... ........... ..:........CANCELLATION..........:......:.:..:::....:....::::.:.:...::..:...::...:.......,....................... ... ...... ......... »> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TiIE EASTERN• MA CHAPTER NARI INC EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO 2 5 NEWBURY S T. EXT. ?' MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE PO: Box 9 8: ><> LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR >> LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. BEVERLY^ MA 01915 yi AUTHORIZ REPRESENTATI E <JCCI�D: a= `ft"l9�. :..:, :..,,. ....... .._. :.._ :..... . : . .:.... :..::.::.:::.::..:.:::......:::. ::.:©ACORCS..CORPO.RATION`1990 ; —.= ! • .. %..,;...:>::''..::.; }i, Y x s.:r• .:.x ISSUE DATE MvVDDIYY) ��++►► E:s..++'vv. t: Yki:'s: I#i.. J.Mi:,1. A�A1G«:isi':'•s 'si:>isi:>iz:si:::i:>i>i:>::::>i:: ........................ ......t> 7-1-96 SEC PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS PATTERSON INS AGCY UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 36 ' 190WASH►NGTONST COMPANIES AFFORDING COVERAGE WESTWOOD MA 02090 COMPANY A Lumbwnens Mutual Casually Company LETTERINSURED COMPANYLEITER B BRUCE JACOBSON COMPANYLETT C 166 EASTST FOXBORO MA 02MS COMPANYLETTER D t COMPANY Y E THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED; t e_: —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 CONDI- TIONS OF SUCH POLICIES., CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS LTR DATE(MM/DD/YY) DATE(MMIDD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOPS AGGREGATE $ CLAIMS MADE OCCURRENCE PERSONAL SADVERIISINGINJURY $ OWNERS 3 CONTRACTORS PROTECTIVE EACH OCCURRENCE $ FIRE DAMAGE(ANYONE FIRE) $ MEDICAL EXPENSE(ANY ONE PERSON) $ AUTOMOBILE LIABILITY cst. -� AUTO; ALLOWNEOAUTOS BODILY INJURY(pER.. SCHEDULEDAUTOS': . :.. PERsoN) $. :`:#f> :>?' '•;>## HIRED AUTOS. ` BOD LY JURNO90WNED AUTOS ACCIIDENT) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE AGGREGATE OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION 3BY001012-01 01-01-96 01-01-97 STATUTORY AND $ 500,000 (EACHACCIDENT) EMPLOYERS'LIABILITY $ 5W,000 (DISEASE-POLICY LIMIT) $ 500,000 (DISEASE-EACH EMPLOYEE) OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS . ................................................... EASTERN MA CHAPTER NARI INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 25 NE MA.01.915 ST PO BOX 98 BEVERLY EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO RLY MA15 t.. MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SI-l"ALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY UPON THE CCWPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED F&RESEWrATIVE c��y7(dam . i.cl7:>. . .:::::• .:.�::ii:,,.,..,..iii.xi.�.:,<.Ys,�: .T1 .N>ift£3.•�'': �F?NE t0 Arssessor's map and lot number ............//...... ...,. . Sewage Permit number ..... "...y Jam..../..................:. Z 33AR35TADLE, i NAB ,douse number ...................... . ... ........................................... 'oo i639 ♦� 0m ' TOWN OF BARNSTABLE 4 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........4: :'� .�.. .C, ....,::P................................................................................... TYPE OF CONSTRUCTION ........... �'. . ..........!.J! !t d!Yl (f...................................................................... r .................... ............19. .... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....Y�........ �Je� .A` / .................t„C' sn.h-e,c!„jt f .......... �Cl I� �....... ProposedUse .....G"...Cl .: .. ..: _........................................................................................................................................... Zoning District ...................Fire District ...t �� ` ::. ' .................... ................................. .............. j. ......................... .....�......................... �.d ! � Cn nQ f ..........Address ....... 2 t ✓Ft4� cY ��// �A7�%; �' Name of Owner .... ...,.ku.!*.�.......... ....:......:............� ......, � Name of Builder ..............7�1..e,Address ....�f�4� `& «-tist" ' .............. tl � ;t°t.t c c. `...........Address ........ .Tt,.a. .. . ..... ............................................... Name of Architect'.•.:-:/.a,ite Number of Rooms .......C..✓l. ................................................Foundation .. ... ... � �2 Exterior ......l..a..d.+ lid E'.....:fC.... ....::........�> � .%�.:.....�.f'SRoofing ...../�C /fir ( .................................................... I ) ......;, .... Floors ..... 'r),r)('„ „`i2:'h: - ........Interior ....--A t? f �4-�n ................................. .............................. Heating0 0N...r.1..f....................................................Plumbing .........!,6,..Q..!:?............................................................. Fireplace ................ J................................................Approximate Cost ................. ..e .0..,)................................... Definitive Plan Approved by Planning Board ---------------_---------------19________ . Area ........ .................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH i t LA, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �� t ...... .. ..... r, ..:--......... r�� Construction Supervisor's License Ar.(?.g6. ........ 7 7 LAPITZ, L.: ISE No .27448.... Permit for Build Garage .................. .......Acce$.s.A7 Y..t;Q..A.ti?tilling......................... Location Lot 17, 84 Water Side Drive .......................................... 4 Centerville ............................................................................... Owner ......Louise La itz ................... ...................................... Type of Construction ..Frame............................. ............................................................................... Plot ............................ Lot ................................ J 2 Permit Granted ....... anuary.. 1, 85.........19 Date of Inspection ....................................19 Date Completed ..................................:...19 1 Assessor's map and lot number . `..... .... ........ .......... TNero�o Sewage Permit number ...................... ..:........ ........ ....... d r Z BAHHSTADLE. i E MAM Rouse number .:.... .... .... .......................................... 900 0 � 39• �0 0 MAY a' TOWN- OF BARNSTABLE DUI-LDING INSPECTOR APPLICATION-FOR PERMIT TO ...........Cl�;�... iU G C� TYPE OF CONSTRUCTION .................... fl-Q�t-i�VL ....��................................... ...................................................................... s .................... ./. .�............19. 5 i TO THE INSPECTOR OF'BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location ....h........4 4? !v.....s/.. ......... k:)&1.✓.�................. ........... (.6. ....�...� ....... ProposedUse ....... ........................................................................................................................................... U ........... Zoning District ...... .. ,......................................................Fire District .. ..�.................................................. Name of Owner ....h.U..t.. .........L (A. .t.l . ..........Address ...U.,.... ...... LaLjt ,xh...?-cY ...... Name of Builder ...... ......... .�✓.I............Y..?. ;Address .....//e.ld.r....... �G1.1. ............................... i Name of Architect ......... ..........Address ..............G1.r�..N.r..... ............................................... Number of Rooms ......® ...............................................Foundation ....... �.tj.ce .e`�1...... v.c!l. '��..,....... Exierior ...... .��i.1 :�:.�........�.�.�s�.:........��� c.�.�.*?.SRoofing .....o�,OP./�n,...l...�................................................... J l/ Floors ..... c3.r1 `Q-:.L. .:..........................................Interior ...... .......(... ........................ Heating ...........AQ.Xl.&....................................................Plumbing ......... ,................................................... 1 Fireplace ................ ................................................Approximate. Cost ........... .................................. Definitive Plan Approved by Planning Board ________________________________19________ . Area .......3S..: .................. Diagram of of and Building with Dimensions Fee . SUBJECT TO APPROVAL OF BOARD OF HEALTH � G j 3 . n OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. '/� Name� ?......( �.... ..� . Construction Supervisor's License ......... V.- ..LAPITZ, LOUIA -44 .27448 P for ....Build Garage rTo .............. Permit ......................... Accessory to Dwelling ............................................................................... Location Lot 17, 84 Water Side Drive.. ................................. .................... Centerville ............................................................................... Owner ........Louise Lapitz ........;.................................................. Type of Construction ..Frarre................................. ...... ............................................................................... Plot ............................. Lot--...:............................ Permit Granted .....January 21 ...........19 35 Date of Inspection ....................................19 Date Completed ------------------ sessor's map and lot number 02°2.� 91 , �IC Sys-T � Y ... 5ALL_ l } r'r .1^ Q�of THE roe` H 3 Sewage Permit number ....d....1...'7 Vif . . '� ��'+��`�� �.�� ��o Ctea a 4# EARNSTADLE, i ry C,.,,M. House number .......4... ....................................................... � o �° � ,�.. qoo �6 a -{'; wa aye TOWN OF BARNSTABLE BUILDING INSPECTOR , APPLICATION FOR PERMIT TO � TYPE OF CONSTRUCTION ... .....-:F' :r............... .................................................................... ........... .. 1.. ........ ...19. ; t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to ;he following information: Location ....6!e�J:e".. .t. .:.. i4:........... .......... ......� ....... �„C. ...... .�.... ProposedUse .... .................. ......... .... .................................................................................. Zoning District ....... .,.. .............. ..... . ..........Fire District ....�°. fl.'S' s!r..�.�.f....... t'............ Name of Owner .1.av!.�Z......./,a/j ...........................Address ...Axap,"jX.A ......� ................................... Name of Builder ....... ............Address .2 ....1 .����......./ t/��.......: f�: !!1.�je...onc. , �..[.!:Y�- � ` :SM C �c��—..................Address ...;�'?.0 t � x..4.1. ..............W.c:. �a Name of Architect ... ............ .. .:..... ... .:......................... Number of Rooms ......../..........................................................Foundation . .......... .: Exierior . 1�� i..��'........ ..C.-. .c'!A✓ .....e,A,.lt .�.e Roofing l f��# C1.t .................................... yFloors ........f!Y.I.Gc,,J4:uf✓ ......Interior ..lo:YXf C............................................ . Heating ,fry.r-.CY. ......`S/C?: .4!✓ < L........:.. 4�. ....:Plumbing .c ... d.�(....(ac,� �1t..... �. •.'-.J .. ts�j� Fireplace ... ...... ........................Approximate. Cost ... .'7 .d.�..C��. ( C Definitive Plan Approved by Planning Board -----------____---------------19---_--- . Area ......:....::...:.57 .'... Diagram of Lot. and Building with I Dimensions Fee CY'� � ...... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name. .. ... Construction Supervisor's License ..�� ..� ..��~ ..... i VaLAPITZ, LOUISE 26957 Two St - No Permit for /........... Single Family Dwelling Location ..Lot 17, 84 Waterside Drive e " } Centervill .............................. ..... ....•..................................... Owner ...........................................Louise Lapitz ...................... Type of Construction .Frame ....... s _ 1 .••.••..•••••••••••...••••••• •.........• • • • ................. { Plot ............................ Lot ................................ _ Permit Granted S Date.of. Inspection ..... ..............................19 Date Completed .....19U� 4 Assessor's map and lot number ............ .... . _......r ......... T %THE TO Sewage Permit number ...................................................�..�.. f 1L- i t 13ARNSTABLE =9 , i House number 1A°a �p 1639• 9 �OYPVa` TOWN- OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...w!?.� t/G<r....... r<!Y1..�.� ......... -?w'P.I. �C. f....................... r� Fn TYPE OF CONSTRUCTION ...............�.....................!!h::'�..................................................................................... ........ ....................... a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information- ---_�� Location .... ............ .......... ....... ......... ....�.Sz.�'......1..�...,... ..... ProposedUse .... .................................................................................................................................... Zoning District ........�5 .. .0...................................................Fire District ... ............ Name of Owner .!C?!L!'s.,.r....... ............................Address ... ...... .................................. Name of Builder .....J ...............Address ..7�..../�4.//1.......A;Cm '.......�� !t!!Ak...sic- Name of Architect :.n......... ..................Address .... ............44 c Number of Rooms .......9.......................................................Foundation :w.........^T�ocJ2e. ........�nn�. �. '..:. Exterior .Gtl.(. !`>t. ...... ..C. ..P.�h,.........�-�./Y•.<t�!�.'�2.............Roofing ..�..��-!�.....��.S..S.................................................. Floors .1_7 .. .Y ..�... 1..�.�.. ......�.1.!'l.cra.�u4.!-�n.......lnterior .....5.�?< r C Heating -�.?�.r r.� ... h�i? .c.�!. .......... :5.....Plumbing ..CR. ...EW�... ..f! ........�7P ... .g�. Fireplace ...V�..... i 2. .'Rn.ILP ........ .. w........ .`...........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 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name � ..................`. .....�.................... .... .............. Construction Supervisor's License yr ,, .......... Leu/ITZ, IODISE A=30 9I_I ~}�-7_ //=r~ ^ ~*. , - 36�57 No ... Permit for -ItP. ............. Single ------------_-.-___-�------.. Location ....I�..l7^.....�.4.}�atezaide.JJzjve Cen ��������. ����������'' I�n�ioe ' Owner -----.��m���------.-----.. ` ^ - Type of Construction - ......... --------------------------' Plot ............................ Lot ................................ = Permit Granted -- .I2c-.lA 84 � . Date of Inspection ------------l9 ! � � Date Completed ...................................... ' ^ - ' ' / ' . ^ ' ' / | , . v •' ` ;;;,;; ; TOWN OF BARNSTABLE 25957 PermitNo. -------------------------------- Building Inspector s.uSr,a ------ Cash --- -—rua -- -------- -- OCCUPANCY PERMIT Bond ___ _ _'TTTTT Issued to Address Lot; 17, 84 %latersi3e Drive. Ognt- -nriLle Wiring Inspector /���� `�`_ Inspection date Plumbing Inspector-40 Inspection date r Gas Inspector Inspection date - � t'- f Engineering Department ... ! r ! Inspection date,/ Board of Health k� Inspection date 1 THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. f� �� Building Inspector FROM TOWN. OF BARNSTABL E Mr. Francis Lehteine BUILDING DEPARTMENT MAIN STREET -HYA,14N1S, MA 02WI ( Tadn Clerk r�:e N.w f>+.9g a x y�yt .........�> Phone. 775-1128 SUBJECT: FOLD HERE , .DATE - - jarmary 28 2985 MESSAGE Work has been o mpleted under Pemi t #26957 Ua Ase La�itz. as N".T ig-_w 2�R'�44R M ae.+F S a•:fi' M'►iF�-'� t?'�i Please release Bond. *4-'D'ft A. 'SF 4'$.:k11, - DATE - rr REPLY` , N87-RMI - - RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY _ . PRI'NTE'D IN U.S.A.: SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. i s tt FMCHARD M A. BAXTER Noy 24048 O IN CE,2 T/�/ED OLD / G'E2T/��/ TNIaT Tf�IE E.t�i %- �ifO f'NOWiV f/E,2EGN��GLylOL YS k//�h� SCE►L i 7'-f�E S/OE.0/.�/E ANO SETB�4 Cf� �L.4AI .2EF'E.2E�C� �EcJvieEME�3' of THE 7�w�t/G� i AAACP /7 ,C40C.47WAE y/l1'XIloV Tfi/E •�L4Gt��G4/�f! C C �Z Z�� �OATEN ,aAXT,E,e,! 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Z tjo SCALD SGPL� I1 � A (a 11' i� i CE aT �r=Y -r�aT -Cµ� F-ova-aaT)ol� 5uoµ1N �i NE2�o ti Goti1�L.Y 5 yJITN T u� S 1 of � -t�� `�" 1 I II• p �c� S �T �GK (Z Qv� R EMENT� o w N o� --�� II LOCATED WITl�ltil TN6 GL.00D Pt_��IC` DATE -II-S — G gAXTEQ C 1JYE INC• �c�6-�'�-.o.0 C:> 5 u ev E�oeS d�T�2ViLL� � /,I�.SS • o�d A rJ T�115 PLAN I S ti1� C3 > a-rSETS T�' uM�NT VP�iYF -TIIC n �L1CPtiT r 1 U 5 T c E7 E t'�•r!\t�_1� �. c�-1'- �. I!-.I F� i - ! �"\ •�, -.- ..-