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HomeMy WebLinkAbout0058 DOGWOOD LANE G f 0 �IMF Application number. ✓ 2 y ................................................ ®► I Date Issued......I....... ..... SAWN STABLF- ° 1 � MASS. .. i639• `0� ''° �' �.) Building Inspectors Initials. RFD MA'S A . .....(��•prpS1•�, O��i��n n '/ i 1A 6ARNS Iii ABLF map/Parcel........©7.�. .l2 5............................ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 5-8 T--�O!5wv od 1�h NUMBER STREET VILLAGE Owner's Name:_Klan o 6ra« o hl arb Phone Number 5bC-- 42-0- i 8 L Email Address: 1' ape S-� C �s�,n�-� Cell Phone Number Project cost$_Jq Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Sep �-{�Q�� �� -� Date: TYPE OF WORK ❑ Siding U Windows (no header change)# 5 ❑ Insulation/Weatherization ❑ Doors (no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name I�r�un`7�n�,'so✓� - � erg dJ ,J &J,,'ndowS Home Improvement Contractors Registration(if applicable)# 17 3 L.L[5 (attach copy) Construction Supervisor's License# 01 S 7 07 (attach copy) Email of Contractor SLJea 9 q5 • C brn Phone number L(01- L 2 R -I Dom( _ ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATIONNUMBER............................................................ *For Vents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a: for profit non-profit event Check one:Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles:front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMIt the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PLICAN'T'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. mffieWal Agreement Down ent and Payment Terms Andersen. dba:Renewal B Andersen of Southern New England Y SI Mario&Grace Polizzotti Q Legal Name:Southern New England Windows,LLC ��♦ 9 58 Dogwood Lane RI#36079, MA#173245,CT#0634555, Lead Firm#1237: Cotuit,MA 02635 WINDOW RE LACENIENr 10 Reservoir Rd I Smithfield,RI 02917 H:(508)420.-6182 - - Phone:866-563.2235 1 Fax:401,-633-6602 1 sales®renewalsne.com Buyer(s) Name: Mario &Grace Polizzotti Contract Dace: 01/19/19 Buyer(s)Street Address: 58 Dogwood Lane; Cotuit, MA 02635 Primary Telephone Number:.(508)420-6182 Secondary Telephone Number: Primary Email: mapeast@comeast.net Secondary Email: Buyer(s)hereby.jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/6/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any.documents listed in the Table of Contents,and any other document attached to this Agreement Document, the terms.of which are all agreed to b the parties and incorporated herein by reference(collectively,this"Agreement'). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $14,943 By signing this Agreement,you acknowledge that the:Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $7,471 Balance Due: Estimated Completion: .$7,472 Estimated Start 8 to 10 weeks 8 to 10 weeks Amount Financed: $14,943 Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on.the date in which we complete the technical measurements.The installation date that we:are providing at this time is only an estimate.We will communicate an official dale and time at a later date. Rain and extreme weather are the most common causes for. delay. Notes: Financed via Greensky; Plan 2521; ;Taxes paid in Barnstable MA Buyer(s)agrees and understands'that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will:be valid without the signed,written consent of both the Buyer(s)and Contractor.Buyer(s) hereby acknowledges that Buyer(s):1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement- -. NOTICE TO BUYER: Do:'not sign this contract if blank.You are entitled to a copy of the contract at the time you sign.: YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 01/24/2019 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC dba:Rene y dersen of Seuthern New England Buyer(s) O Signature of Sales Person Signature Signature Josh Ocharsky Mario Polizzotti Grace Polizzotti Print Name of Sales Person Print Name Print Name 11PDATED:.01/1 9/19 °.. .. . Page.7/ 11' } To:mesler2 ,renewalsne.com Remove sendgrid.net from my allow list From:bounces+3579936-9533- mesler2=renewalsne.com@sendgrid.net You received this message because the domain sendgrid.net is on your allow list. 2 x"tee C'�il' 'I, Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration - Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LLC Registration:. 173245 10 RESERVOIR ROAD - Expiration: 09/18/2020 SMITHFIELD, RI 02917 Update Address and Return Card. SCA 1 0 20M-05!1177 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Suoolement Card before the expiration date. If found return to: Renist�ation Expiration Office of Consumer Affairs and Business Regulation 173245- 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW ENGLAND WINDOWS,LLC Boston,MA 0211 BRIAN DENNISON 10 RESERVOIR ROAD u SMITHFIELD,RI 02917 Undersecretary ivv of without signature Commonwealth of Massachusetts Division of Professional Licensure s 3 Board of Building Regulations and Standards Construction-`Supervisor CS-095707 p i res : 09/08/2020 R BRIAN D DENNISON �- 8 BLACKWELL'DRIVE4; +' CHARLTON MA 01507 Commissioner The Commonwealth of Massachusetts Department of IndustrialAccidents I Con;ress Street,Suite 100 VA _ Boston, M4 02114-2017 www mass;ov/dia orl:ers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PER. 11ING AUTHORITY. Applicant Information Please Print Leoibly Name(Business/OrsanintiorOndividual): (x'�h e �e �Stn U0 I Address: U `� City/State/Zip:SM_i-tf,-�j e1d,R( OM / 7 Phone#: Are yo an employer?Check the appropriate box: y Type of project(required): 1. l am a employer with ?K 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 any capacity. 8: Remodeling p ty.[No workers'comp.insurance required.) 3.C]I am a homeowner doing all work myself.[No workers'comp.insurance required.)' 9. ❑Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. [will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.a 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-conracton listed on the attached sheet These sub-contractors have employees and have workers'comp.insurance.* 13.[]Roof repairs J 6Q We are a corporation and its officers have exercised their right of exemption per NIGL c. 14. t�Outer ky In e/bkt✓ 152,§l(4),and we have no employees.[No workers'comp.insurance required.] rr° e/G r e'i e ., 'Any applicant that checks box#1 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 hire outside contractors must submit a new affidavit indicating such. :Contractors that check this boat 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 employer that is proldi in;workers'compensation insurance for my employee.. Below is the policy and job site information Insurance Company Name: rF176WO/Op �0 . OF Wk b, (21 . Policy#or Self-ins.Lic.#—u/C R �� / S g 7 2 8'1 L.( Expiration Date: Job Site Address: 1DaSwooJ City/State/Zip:Co k,,f A Attach a copy of the workers'compeasaEion policy declaration page(showing the policy number and eapirT anon 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£obit of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A.copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerd underthe pai d penalties of perjury that the information provided above is true and correct Si ature: " Date: — / Phone Official use only. Do not write in this area,to be completed by city or town offciaL 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#: ACSORV CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) ��. 12/28/2018 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(ies) 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 lieu of such endorsement(s). PRODUCER CONTACT CoBiz Insurance, Inc.-CO NAME: PH 1401 Lawrence St., Ste. 1200 CCN o Ext: 303-988-0446 A/c No:303-988-0804 Denver CO 80202 ADDRESS: COMail@cobizinsurance.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURER B:FlremenS Insurance Company of WA,D.C. 21784 Southem New England Windows, LLC. dba Renewal by Andersen of Southern New England INSURER C: Homeland Insurance Company of New York 34452 10 ReserVlor Rd INSURER D: Smithfield RI 02917 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:787175890 REVISION NUMBER: 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 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR . POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INS WV POLICY NUMBER IMMIDDNYYYI IMMIDDNYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 1/1/2019 1/1/2020 EACH OCCURRENCE $1.000,000 DAMAGE TO RENTEff—— CLAIMS-MADE a OCCUR PREMISES Ea occurrence) $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 G4_1N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X iPOLICY❑PECOT- LOC PRODUCTS-COMPIOP AGG $2,000.000 OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 1/1/2019 1/112020 COMBINED SINGLE LIMIT Ea accident $1 000000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ $ A X UMBRELLA LIAR X OCCUR CPA3158728 1/112019 1/1/2020 EACH OCCURRENCE $15,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $15.000,000 DEC) I X I RETENTION$n $ g WORKERS COMPENSATION WCA315872924 1/1/2019 1/1/2020 AND EMPLOYERS'LIABILITY YIN STATUTE ERH X ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? N❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEq$1,000.000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UMIT $1,000,000 C Pollution Liability 7930073340000 1/112019 1/1I2020 Each Occurrence $2,000,ODO Gaims-Made Policy Retroactive Date 06/20/2013 Aggregate $200,000 Deductible $25. OD0 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES ACORD 101,Additional Remarks Schedule,may be attached if more s( e, y pace is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATIONAL PURPOSES ONLY AUTHORIZED REPRESENTATIVE N� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD SHED REGISTRATION 2-6 ]5S location of shed(address) property owner's name size of shed 9 7 signature date Old King's Highway Historic District Commission jurisdiction? THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN shed Assessor's offioe (1st floor): FTHET p number .............. �• . .As s es3brs ma and lot Board of Health (3rd floor): U l SEPTIC,�` � e�Q ♦� Sewage Permit number ..... .......... � lr s �E ■eM sTsnte, . Engineering Department (3rd floor): . ;; CO)AW&� 0� Housenumber ................ ................. ....................... APPLICATIONS PROCESSED 8.30 9:30 A.M, a4 1:00-2:00 P.M. only ro.wti f,((T:4, CO. TOWN OF BARNSTABLE F BUILDING ' INSPECTOR s i APPLICATION FOR PERMIT TO Wli. LA.M. ..�An!1 , ...�a.�sl r!.................................................................... TYPEOF CONSTRUCTION ............................................................................... .....FIT-5.29............I................192-1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...b$...... q99:?�..�+ ............. .ru.► T .................................................................................................................. ProposedUse .A1>3>l:1.e1!4.:7... ............................................................................................................................. ZoningDistrict .............��"...................................................Fire District ...47-D................................................................ Name of Owner ►nJ1tl.tAlv�. .:PhMejA... F—r�.................Address ..... I.K0......... I:f:..................... Name of Builder #................................Address ....2.�.:Q?�1?a>•1FSf..�1��:4-D.�u....�,�V.�....�r�..�:�U1Sf�c��R.�. Nameof Architect ........... ..................................................Address .................................................................................... C G,P11W Number of Rooms .........I........................................................Foundation ►�tUt1?� J... rn��tnrC�S.....7.4�1txK ...F�?Z�N: ATtc�E Exterior .WkJ .CI'1.=...C.Eb.XIP.......SA-11►�,te5............................Roofing R..... ........................... Floors `f.1.1,E ........................................................................Interior .....wk.yeQAA. ............... ..`.......V..� Plumbing . _ rieafin Fireplace ............. .................................................................Approximate Cost ..... .. . . '%............................................ Definitive Plan Approved by Planning Board ________________________________19________ . Area ........12:�.... .................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I 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. , i Name .. .9 �� r� � ............................ y . '� Construction Supervisor's License .�?31.`��'� ................ BOWEN, WILLIAM & PAMELA 31653 Addition N9 ................. Permit for .................................... Single FamilyfDwell ' ..........................................................9.............. Location ...5 8...D9.cjwood Lane ............................................. . .....................C.....0t...u.it............................................ .... Owner ...William & Pamela Bowen ............................................................... Type 'of !Construction .......Frame...................... ............................................................................... Plot ............................... Lot ................................ , Permit Granted ....March... .............3...................19 88 Date,of Inspection ...........:.......19 Date -Completed ... ......... .........19 .00 10 Assessor's offioe (1st floor): > 0*1 ETO Assessor's map.and lot number ........... / .... �Q.. �o Board of Health (3rd floor): Sewage Permit number .....o.... ' Engineering Department (3rd floor): MA°a House number tb39 •APPLICATIONS PROCESSED 8:30-9:30 A.M. andb C 1:00-2:00 P.M. only TOWN* OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO \.!Il-A .M..f..D .!�1 ... ?y? ! !.................................................................... TYPE OF CONSTRUCTION WXjs1.b.. R �!1 AD �Tt t�! ............................................................................... ..2q.............................19 U... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Locations`??...�o .t!4?o........W............. 'tu.1T'..........,....................................................................................................... ProposedUse M............................................................................................................................. Zoning District ............. ...................................................Fire District .............cv:.............................................................. ... ... Name of Owner �+�?.1.1Ui�±N►..£ A.MEN...Dp,"P.-.................Address C-P Name of Builder ...............................Address ,'1.. RsM4k� .....�+�?.t... Dlvt�c.►It�ott' Nameof Architect ............'_"..................................................Address ........................................................,................. .......... �Gt�AWL� Number of Rooms . '. . . � 1!R��'rA... v�»tn�l�s Lcx Fc7ur�>,ATtasJ .. t...................................................Foundation ... � ...... Exierior 45............................Roofing ... afr—L?.. - ! .R..... 51tNL-� . .......................... Floors ...*T7.LA.......................................................................Interiors .... lL............................................................. Heating q4?NP Nv i� I T 1n M�h� l S� g �„..._, 1 P..t. :.... ? ?7.....'.:...................Plumbin ......................... 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 � a E� I r r 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. c Name ....D� � ,1 .( �� ':....................... .. ;Construction Supervisor's License .v 3�`���................ BOWEN, WILLIAM & PAMELA A=040-125 No ... Permit for ...Addition. . ............ Single Family...pVq.jji ................................... ....ng........... Location ... P.Q.9.W.Q.Q.d...L.,�La.e.......:.............. .................... Q. Uit.................................. ......... Owner .....Wil.liaM...&...13.a M P-.la...Bowe 11... Type of Construction ....Frame........................ .........................................................:............ Plot ................. Lot ................................ ............. Permit Granted .........March...3............19 88 Date.of Inspection ....................................19 Date Completed ...........19 Awl � � ol fil Ass s'sor's map'and lot number, '� .........���............. :.. e Sewage Permit'-number 0. .. .3:../C�?�1 - IKIkALLE IN. CMA?1.2'TITLE 5 WITH �?3�� r Z BA"STULE, • House number. 0 � ..'�` rAss EN.ARC�NN11 N' � C �p 163q• `0 Ar- OF ' BAR`NSTABLE TOWN BUILDING : INSRECTOR ;APPLICATION FOR PERMIT TO ..... �i. � .1!�Gfi,. ' �'^ .`.�'...... �. w?Q.4.� i+ 1 ; .............. I' TYPE OF CONSTRUCTION .. . :U' 4`... :. X y!!.e........ ............... ... ......................... s ........ . ... .... ..... ....................19........ TO THE INSPECTOR 'OF,'BUILDINGS: The undersigned hereby applies for a permit according to the following, information: Location ........... T..�.`. ....... ... ..�C ............... ...... .1.�1�,.T' � ....... .. Proposed .Use ....:..........: `.ti . ..... • }....... ................... Zoning District .............04 .... , ...... Fire District ..... . ..... .l.�............................................. s Name of Owner .......t ct<. ..� ...tCK+ . .0. �Adaresss . .R, :3...4.' A4, .. ..... ............... Name of Builder .:..,.:�.Q.. !!4 � .... c�C i .C..o r- Address Lr:....y!'1.C:41.'� T.......V7�C+� !^.�-�......... AJ _ a Name of Architect ...............:...� '.......................................Address ......................:......:........................ Number of Rooms Foundation ............................. . ........... .......... Exterior ..... b.4.. ... �1.��a� ,,,� �.............................................. .............Roofing ............ ..............................:....... � . d Floors ........ .Q.V. .. .�.. -�` .....Interior ...... .e.� . ... :.. ..................... F Heating CLS `!?:..T......c4.! P`........................... ...Plumbing .....'..... d9"�1QV'....................... . Fireplace .... `���1..... �.!'L�.Gaa.�?.!r . ........................Approximate. Cost ...... l. .Q..f. - I Definitive Plan Approved by Planning Board �_ _� � ---19 rea ?-'zP.. . Diagram of Lot and Building with Dimensions FS SUBJECT TO APPROVAL OF BOARD OF HEALTH "r OCCUPANCY PERMITS REQUIRED. FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rearding the above construction. 6 . cS- 1� eS q- _ -�C 1-1 Name =t Construetio Supervisor's License ... HAYES & HAYES: :. Ai* ! � o ..26665� Permit for ...12. ........Sin le.....F.ami..ly Dwelling e - Locationt..11r.....58 Dogwood Lane>...... Cotuit ...A......... Ha,es &�Ha es.........................................................x � Owner. ......Y..... Y............................r. ....... TyperYof- Constructiori'` ....:Fri.... ....�... - s .. - ............... ............................................ r r Plot,' ...... Lot _ ..... . .......:......:.. t - z ''- Perm it Granted July 6, '` ` ... 19 84 �. + - Date ofInspection : .. .....:`. ....19 Date Completed 2 .F"? 1+9 } 0 � - as . ono Assessors map and lot number.......... Sewage Permit number ° y--2S3 .....�... Z BARNSTABLE, i House number .`' - o.......................................................... y MAB6 �p t639• 9 c t D YPY a\ TOWN OF .BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... ... .0 I y l�,� S! h�I f' '�s,; 1>.d„l,l,nr TYPE OF CONSTRUCTION ......... a C LrG utn ' ' .........4;1 AX...... ..... - TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �-, �F?�+ {.............................�f... ..i..... ..............:....................................................... ProposedUse ................. .t..1l� .......................................................................................I......................... j � - ZoningDistrict ............. ........................................................Fire District ........ ..... ............................................................ Name of Owner ...... :� .. ... P�. cA. •�-fit AddresssC...... ,3 � c..i;,.: ..., ......�'(ACI 0t 0n r 4 u-)oc44 Caro �'�....Mo;",,� .............. Nameof Builder ......... .. . ..........................................�......Address ................,.......;..........,.,..................Y............................ Nameof Architect u.. ..........................................Address .................................................................................... r Number of Rooms .....An.........:�:....�-.`."..�a� ..................Foundation ......�.r�.`f.�W�2 � C Ov+C r Q j e ........................................I............................ Exterior .....�..�'.("?�?. ..............................................................Roofing ....... ........................................................... Interior � ..�.....1F'OC- ....... { ........... ............:................................ Floors ........�,�.,�e'�.<:?..�....�...�:�...�..... 1. Heating E .,5.....S.n o Ct ,r::.................................Plumbing �. ,.� P t Fireplace ....... ... ...........Approximate. Cost an QQQ l f rcxj -- r 1�p ' Definitive Plan Approved by Planning Board ____ ________19 . Area I`,r? �?.':. �........ 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. CA-t alne.S u't`i` ;4 Name ........ Construction Supervisor's License ... u� HAYES & ( YES A=629-M-000 No .26665 . Permit for 12 Stony M, Single.FamilY..Dwelling......................... Location QQ.UW .�Y3.�........... l GALi?. Owner ......H�4y.P.5..V.liaYeS..................:............ Type of Construction ...Fri........................... Plot ............................ Lot .................... {: G f Permit Granted ..:..JulY...6.i ............:......1:9 84 Date of Inspection ....................................19 Date Completed :.....................................19 IA/r IA e r A t•r r a � Y• ! ,.. L � MO 33t F } N V) Z k. tv N 5 WCHARD i t1 Y 1 V BAXTgA 4 .NO SUil CE,,2 T A L 0 C<1 T/O.C/ �e7V/T l CEeT/�Y T,y,�iT 7"NE �vNOaTia4 r. SCA OA TE � A//O SETBACf-;:: I $''�2Egv�.eEMEN/"s Al. o,-- TfE �T/ ' ,2E�'E.eE�CE- k $,49AJ sTr�' r � - OA7''E% '`�-23--8'� g4X7-,=,2E IV/y j ll(v ; p t ;Tf�/S P,CA.c//S .t/oT BASED ON Arc/ .2EG/STE.2E0 LiO SU.2✓�}2�v I T Y€ Th�� USTE,eIi/�,C M,4Ss• f C)�.4SETS.sh�a1�✓�Y Si,(ov�.a NOT BE� � OG« AQZe 9 GrTf� THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A � 1- m / LI DATA 1 F'AMIL-'yLL- tj Be�Iverx�M 1;41L-1 FLOW z I10-A • 55a +50% Enos6PD 4 g&T-,Mc rA141L % 5So ><Z00 % 1100 VS8 S-U4r V1 �SI D�NALL ,4R�74�-2'1&9F W"14 '� M -am bmaAit 13 IF It 3 GT'o \Q a .-ToTp I- 'pls�ll * 618 91% 13%93-2 T7 rie L D A I L-.7 ROW _ oc� P 32 t TY26c�c.Afi'laJa Q,4T7J I�� lu 2 MIN 012114 h• For ,.. N A OF �qS'p� P��H F41 MCHARD •yam o`� DAVIQ �yG ` 1 r �, C. / A -�v . 299THULI HAXTER _ w � No. 29976 Na C su of J _ .• To FWD4 -rs%T 'P 3o&97 '` 7sv INV.4 " INJH'wH. rj Bu�c 56vrlG s LE-AGGI �<� INV. INY. P I wI Tu` 5v 2 %z ar , WASu6D OusAN 6TvN6 .3•�. �. � :�• � RTIFIGC� P1.oT P�AIJ s L o c 4-t 1014 SCALE SCALE (A=IOt� �ATrc F 6 2E N C.E CERTIFY 'THAT -(%A t>Win j SuowN LOT I HE,R�oN GoMPI-`(5 �rJITN-CHE �,IpEt-1N � AND -$sCre rK R,6Qv�QEMEN�"� D'F -CND F{ 'TOWN Cr P.jAR1.7'rAnSL� AND ►S I�dT' L , G • P�Al� 3`�LoCvQ� LOG{�TE1� �WlTN11� T 6 FLOOD Pt-Q.IN BAXTEee t`.IYE R.E6 I S'T f--?-6U'►-AW D 5 u Tuts Pt_o.N 15 WorT ;(3�5�,p o►d AN os•rEQ.vlL� • MAss . INS-i-R•uMr--NT 5u2vEY Jr-T,-lE D�-FSETS SUou►.� . NoT DE VSE�Td DE'TER.1^I►-4V- Lo-r �.INE�j �.PPLICP.►J'f ',. P� 11 Ar r!T o l� 2AGILL3Pr I�!'"�C - .. -. ., � , _ ,, .-�. ,rt -, AY.'Y. .-r.^,_.S i.�.. f -. .r?rtir.^�7a...fi...�+r• �"art•-J',.�V..-� ^4,...�. ..�^.�-a�r•.�`y.�;......- ,t:i-n--h+�"^�.f ��'y��•�. TOWN OF BARNSTABLE BUILDING DEPARTMENT = 11ARISTAU rAua TOWN OFFICE BUILDING � - °� 039' �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: `! • �j���� An Occupancy Permit has been issued for the building authorized by BuildingPermit $;P... 7�. .......I�.�. ...I..v.................................................................................................. _....... ........... ...... ..... ........ issued to ���§�.. ¢. .:......... ................. ...„/.._._......._......... .. _.. _».. G _...y...... Please release the performance bond. THE FOLLOWING IS/ARE THE, BEST IMAGES FROM POOR QUALITY ORIGINAL (S) DATA f `'0^�r"aT4�iw.r�nl•^M' OIJr ^c—qr� r,7 .n� � ., y-. 'r.. y}�'\, N E ILE COPY/WHITE FlELD CONS .. 9 'APPLICAii ,;L a. o,'R� r 4J. BUILON p a (( l TOWN O� BARNSTABLE, MASSACHUSETTS in/r, 4€j5i�.iL�f �'}.Ri'�n ....,... .'PER,If.IT " .:VALIDATION ,' r 'J40�000 f f + z4y A T::. July k � X �4sCotui f ' .—vlab fit. Hyannis 333 APP�ICANT ..,... DRESS 1. . -" ; ' - (NO.) (STREET)' ICONTR S LICENSE) ' ' Bud ld :dw�hling. 11 2. Single. fabily?dwell'ing NUMBER of 1 PERMITrTO T_) STORY' DWELLING UNITS .'.1 T,YPE OF".IMPROVEMENT) NO., (PROPOSED USE) 0 5. ogwoo ane, o u ZONING;: hr. f ATZ�OCATION) ' "DISTRICT 1 •. I (STREET) i IBETWEE►Y r AND (CROSS STREET) :(CROSS STREET) ?;,IBDIVISION �` LOT` BLOCK S10 E BUILD!!(Cr�S T7 BE��FT WIDE'BY FT, LUNG BY FT. IN HEIGHT,AND SHALL CONFORM IN CONSTRUCTION USE GROUP BASEMENT WALLS OR FOUNDATION ` (TYPE) "I EMKs z f` SE41RG$ :��8G 253 t u AREA oR c L> 2004 sq. ft. :lZO 0Z. 00 r VOLUME `` PERMIT ESTIMATED COST. FEE .� (CU91:/SQUARE FEET) Haves .& Hayes kc>aN4A1fi*�rt trr BUILDING DE PT ' AH trADD �ssxf 3 gs Maa�n yann s, 1 0 0 BY MINIMUM.:OF-;;:THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE I ,INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALLiCONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND F I. 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 FINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. -:3..FINAL INSPECTION BEFORE . OCCUPANCY. .. POST THIS CARD SO IT IS VISIBLE FROM STREET j BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS j • .1 1 1 i 2 2 +% 2 ) 3 HEATING INSPECTION APPROVALS ENGIN RING DEPARTMENT G %� OTHER ' 3 'r 1 'Q '7 BOARD OF HEALTH 0 WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS«PRD CAN B TOR HAA APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN 4 CONSTRUCTION - l PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. �,- a +eprsP� r�,..�......,�...�,.,8, -�-i3"�,•�s"" 41n+�"'�+---,r, i;;,�'*'--.�.,�,�.5y.• >-.^.+.jam.. -r,w.-'. ;•w ni�..,,..:b�,¢,.,- ...�,�.�.... ,,,,, .. 4.-. �`.,..:;, :'h �;; 4: yof Txe� TOWN OF BARNSTABLE P ?6665 e Permit No. ..:............. • BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash '� •6 9�` Bond ..... V HYANNIS,MASS.02601 CERTIFICATE OF USE AND OCCUPANCY Issued to Laves & Haves Fl Address Lot #11 r 58 Dogwood Lane Cotuit, 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 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December .7....., I9.......8 7...... . ...... ........ .�.................. Build,} g Inspector WILL C04mr--ir- -ro 4t: AA. R.1a � DJ 167�/Z o p5 L AP-t4 01,ExStS-nrsj� Sa 5 44.4y�.� �L on1ol�G�iNAL Olds <- -74.37 Ca r �-aT lD QQ wjcss z+e C _ G 100 Con loim� Go Y C'�r a, c /Gilt // is Zoain� ws el 791�- T vwn o� B4ra s 6/� LANMIES {tlne/J CO�.S��pe s No. 22723 j oe a�� flicrc arc no vai6/e � C4.5L'rnen7`S or excef6J` aS cS�iovdr) Fss� FI/ST0 7h� broPerl�f /.5 no f /� tic f/doc�h��a .dal e uti�l �o S /-/Up, Co m1041�4/ f q/1cl-'�`2SD OD/- 602/C 'Da fed Z,4�D iA/ C OTu/ 7- IVA .Scf° �OCs Y�OUF� .Ci¢lSl.F .COT' /f /" 6a' /VoV ?3 .I9d 7 44)VIZ-s A� ,�NG',e .eoxYor P/4� 3 4 9 6 D c3 <S,S eef Z 4 8 4V, W.Y44AV U.Tfi iV+. - , . 30IVI . 1 o y � -to C1_ o,.p,4 Is=y Oe' 000, � l • 1 N !vk � �SZ n�:Poo ,. N 0 0 vi 1, \ T s v. '� N, r 5 ^, LIL 10 VN I L` A -� -PcxxPiCCl `V ' p }I t 1 v .��lA}fn 40001, �J J pp 9 ToFr ; { __ �` ; �►''3 U� t ; 1. s ...-. ... ...� 4^. �. "i C:>;'.! �.J1_)1_I.� Y.:-� J 1 4' _ tf� ►mac_ EAG 11 -SEd_3Y_'-wvj Y` t # _ r-- 'fir ._...i •-u k GLA���rtlk.LI �., �. -�..n. .� � G x , R ` I t ! r 11 ys 1 i �w �1A if _14 Li n4 no rti Al s . + r g ALE DRAWN BY 4: q REVISED 1 DATE APPROVED BY DRAWING NUMBER ALBANENE® f0 5455 H• L ARCHITECTS'STANDARD FORM MADE IN U.S.A.