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0015 HIGHLAND AVENUE
i a s/Ll�y r Town of Barnstable *Per; b6Zq � O L-TrFregh months from issue doze- �' r Regulatory, Services F ITsnati�c� ice. • � _ - s6sQ ��� Thomas F Geiler,Director 0 2014 t Building Division Tom Perry,CEO, Building Commissioner TOWN ® aRNSTABLE 200 Main Street,Hyannis,MA 02601 '_ > ww-waow•n barnstable'.ma.us Office: 508-862-4038 , Fax:508-790-6230 EXPRESS PERNH APPLICATTONT RESIDENTIAL ONLY Not VaEd mfthour Red X-Press Imprinr Map/parcelNurnber ' ProperryAddress � PU, C 1 Residential Vate ofWork S__ 1® ,Q�_ Minimum fee'of S35.00 for work underS6000.00 Owner's Name&:Address c �— a Contractor's Name .� .� ) r ` � Telephone Number�� Home Improvement Contractor Licenser(ifapplicable) I !a J'J 1 � �Con��rac, v,1Cr�OP�� ,C� Constniction Supervisor's License (ifapplicable) Workman's Compensation Insurance ' Check one ❑ I ama sole proprietor . amthe HomeownerDhaveWorkers pesatonInsurance I* seCompanyName J S /Qi � W orkm&s Comp.Policy? W C Q (� Copy of Insurance Compliance Certificate must accompany each permit: Permit Request(check box) ` Re-roof(hurricane nailed)(stripping old sha s]es) All conswktiondebris w-Mbe takento --164� ❑Re-roof(hurricane nailed)(not stripping..Goad over existing layers ofroot) ❑ Re-side - ❑ Replacem=Windows/doors/sliders:U-Value ( as i=irn:.35)4 of windows r. n ofdoois: ❑ Smoke/Carbon Monoxide detectors 4 floorplans marked with red S and inspections regnired. Separate Electrical&Fn-e Permits required. °Wl=e requirect Issttaace ofthis petsnit does notocempt eotnpliaoce with ode town depamnentregulatiays•i.e.Historic.Conservation,etc ***Note: Property Owner must sig nProperty OvmerLetterofPermission. A copy of t e Home Improvement Contractors License&Construction Supervisors License is required, SIGNATURE: CAGsers�&colllc'AppDara,LocaLMicrosoft\Windows\Tetaporary Isuerna Files\Coate=-Oatlookl&2 i 6BD'%%A1E.k-2RESS_doc. Revised 061313 s I Fraser Construction, _LLC Bowdoin Rd. Mashpee, NIA 02649 Email: info@fraserconstructioncapecod.com www.fraserconstructioncapec6d.com TAX 1-508-428-0123/ PHONE 1-508-428-2292 HICL#112536 CS#97668 ' RE-ROOFING PROPOSAL DATE:April 11, 2014 PHONE: 508-428-9338F NAME: Janet Robbins ' r EMAIL: jbnewmoon@comcast.net y MAIL ADDRESS: JOB ADDRESS: 15 Highland Ave: Cotuit, MA 02635 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like''manner in accordance with the manufacturer's specifications and local building code: . 4 -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed, M Fraser Construction will include a.4 Star Upgraded warranty with the selection of any 30 year shingles.or any Lifetime shingles. 4 Star Warranties have a 50 year Non-Prorated Coverage in case of any warranty repair, labor- and.materials, shingle tear-off and disposal fees. 4. CertainTeed SureStart Plus- The extra measure of protection when a credentialed company installs an Integrity Roof System., ASK ITS AE®ITT OUR ®yERHEAID CARE CLEW Supply and Install - CERTAINTEED LANDMARK ARCHITECTURAL ASPHALT SHINGLE - Lifetime, Limited Transferable Warranty - Class A- Fire Rated - 240 lbs. per square - Two Piece multi-layered Laminated Fiber Glass Construction , - Durable, Beautiful Color Blended Line to match any trim or siding color - Manufactured with Self-Adhesive Strips and fastened with six nails in common bond, large nailing area - 10 year warranty against Algae containment causing discoloration and streaking. - 15 year wind-resistance warranty up to 130 MPH Colon Moire Black PRICE-$10,125` Initial Additional Work - Supply and install Rolled Roofing on low pitched section only ` Price: $550 Initial• Roofing Product & Installation Details Supply & Install - (Soffit Venting) Hick's Ventilated Drip Edge or 8" Aluminum Drip Edge*with existing,soffit vents. , Smart vents-over white drip edge. Protection against damage to the roofing materials`and structure. The most effective system is a balance of air intake'and exhaust . that creates,a uniform flow of air through the attic. This system creates a condition in which,the roof temperature is equalized from top to bottom, supplying.a uniform air flow along the entire underside of the roof deck: Supply & Install - Ice & Water shield Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Ice and Water Shield is a self-adhering roofing underlayment used on critical roof areas such as eaves, rakes, ridges, valleys, dormers and skylights to protect roofing structures and interior spaces from water penetration caused by wind-driven rain and ice darns. Supply & Install - Surround Underlayment (A Typar Brand) A smart alternative to felt, it is water's toughest opponent, creating a secondary water barrier that reduces the incidence of leaks caused by storm-damage, wind-driven rain', ice dams and worn roofing materials. It is a waterproof, synthetic polymer material that will protect your home'against moisture intrusion. Supply & Install- CertainTeed Swift Start With self adhering asphalt starter course on all eves, and rake edges: CertainTeed requires this product for Integrity Roof Systems'and upgraded wind warranties. Supply & Install-Aluminum & Neoprene Soil Pipe Flashing Supply & Install-CertainTeed Ridge Vent r High performance ridge vent with external,baffle. Supply & Install--Pre-Cut CertainTeed Hip & Ridge shingles, "Shingle Ridge meets the,hip and"ridge accessory requirements - for the+CertainTeed Integrity Roof System which is comprised of underlayment, shingles, accessory products and ventilation all working.together. The Integrity Roof System is designed'to provide optimum performance--no.matter how bad the weather conditions area. (As recommended-by CertainTeed) Clean & Remove -Debris from work area daily. PAYMENTS ARE,DUE IMMEDIATELY AFTER.JOB COMPLETION.- 1/3 initial payment, remainder to be paid upon completion Payments accepted are: CASH- CHECK MASTERCARD -VISA-AMERICAN EXPRESS *Any payments not immediately paid upon job completion will be charged 0.005%for everyday after the given,5 day grace period upon day of job completion. Possible Extra-After the shingles are remove-d'from the roof, we will lift one sheet of t plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to,the ridge.. If it is, ventilation panels•will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & tabor. There'are 6 Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$75.00 per'hour, plus 20% mark-up materials. FRASER CONSTRUCTION Warranties the labor for LIFETIME of roof. FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 15 years. CERTAINTEED'Warranties the shingles and labor 100% through.the Sure Start Warranty duration. CERTAINTEED Warranties the'shingles.to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. An deviation or alteration from above specification y p cation will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance.upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION;.LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: "ome o- vn er Fraser Construction, LLC, x . LL, Office of Consumer Affairs and Business Regulation 1 O.Nrk Plaza- Suite 5170 b Boston,Massachusetts 02116 dome Improvement Contractor Registration Registration: 112536 .; f . Type: DBA FRASER CONSTRUCTION CO. ' Expiration: 3/23120 5 Tr-" 237059 DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card_Mark reason for change. sr,4> or.<-rn:,i G Address Renewal, Q Employment Lost Card Office of CoRsamerAt7airs&Susi$cct 1icSuLltion License or registration valid for individul use only h'----p0161=IMPROVEME- T 00Ni'R,gCTOR before the expiration date df£ound return to: IN ;ReSistrdtion_ t Yype: Office of CousumerAfiairs and Business Resulation "`��".r`•Expirafion: 323/2015 NBA 10 Park Plaza-Suite 5170 ' Boston,MA OZ 116 . ERASER CONSTP,UCTION CO. DEAN FRASER 104 TVVINN VIEW LANE E FALMOUTH,MA 02536 Undersecretary Not valid without sianature S - Massachusetts -(9enaitment of Publid Safety_ EE' Board of Building Replatlons and Stanctartis . •f Cnt�struct[un Sahcrti-isnr ?' License: CS-097668C" IWAN C FRASER 104 1'wAVN VLE{?V :. z EAST k Expiration � Cammissloner 06107/2015 n FRASC01\1-01 PAAS DATE MIDD �- CERTIFICATE OF LIABILITY INSURANCE �' Imo ' 9/1912013 THIS CERTIFICATE 1S 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 ICONTACT (508)676-0309 NAh1E: Ash[e Paiva Viveiros Insurance Agency,Inc. PHONE 375 Airport Road (AIC.No Exr: 508-676-0309 127,. ,Arc,No 508-324-9147 Fall River,MA 02720 aDDREss:APaiva Viveirosinsurance.com INSURER(S)AFFORDING COVERAGE NAIC B INSURER A:Granite State Insurance Co INSURED Fraser Construction LLC INSURERS: PO BOX 1845 INSURER c: Cotuit, MA02635 sNsuRERo: INSURER E:- x i INSURER F: COVERAGES CERTIFICATE NUMBER: 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 LTR TYPE OF INSURANCE IN SIR WVD POLICY NUMBER MIDD MMIDD YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY U PREMISES(Ea occur $ CLAIMS-MADE F—IOCCUR - MED EXP(Anyone person). - $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ ' GEN'LAGGREGATELIMITAPPLIESPER PRODUCTS-COMP/OD.4GG $ POLICY I PROECT- 7.LOC $ AUTOMOBILE LIABILITY C OM91NESIN UMI (Ee accident) g ANY AUTO BODILY INJURY(Per nerson) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON•OWNED *. PROPERTY DAM A AUTOS Peraccident) $ r $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LiAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ r WORKERS COMPENSATION WC STATU- TORY OTH AND EMPLOYERS'LIABILITY YIN TORYLIMITS ER A ANYPROPRiETORIPARTNER/EXECUTIVE WC009930601 9/26/2013 9/26/2014 OFFICER(MEM9ER E(CLUDED'r a NIA' E.L.EACH ACCIDENT $ 500,000 (MandatorylnNH) V yes,describe under - _ E.L.DISEASE-EA EMPLOYEE- $ - 500,0()0 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aftach ACORD 101,Addftlonal Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. Town of Barnstable Building Division THE EXPIRATION DATE' THEREOF. NOTICE'WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. ' Hyannis, MA 02601- A AUTHORIZED REPRESENTATIVE O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD y The Commonwealth of klassachusetts ---fry Department of Industrial Accidehrs ' Qffce of Invesngaiio, c P.. + i 500 Washington Street .Boston, MA 0211.7 wT-,v;.rnass.gov1dia. Worker's compensatiouYnsuraneeAffidavit:Builder-s/Contracto.s/E]ectrieians/P1umbers Applicant Information Please Print Legibly Naze(B—usiness/Organizauon/Indi-,IduaI).: 7b,1L" Address: 1 L M City/Stale/Zip: • �f 3 ma, ©d 6 33' Phon.e?# !�Q da' Are von an employer?Check the appropriate box: Type of project(required): I. U f am a employer withi-: 4.F] I am, a general contractor and I have E�. New cogs' ac io employees full anchor part-time).- hired tl)e sub-c e � � p ( P' ) , o,tractors listed on .• '?." �RcmodeTing 2. -Lbe ^t,ed•sneet !am a sole proprietor or partnership These*sub-contractoo have g• ❑Demolition" and have no employees wonting for employees and have workers comp. 9. Building additiot mein any capacity.[No jorkers' ins�irance. comp insurance required.] 5. We are a corporation and its Ifl Q Electrical repairs or additions officers have exercised their glif of 11. plumbing repairs or additions 3 I am a homeowner doing all'workexemption gez'MGL c.152§(4),and 12.Q Roof repairs myself.No workers'comp. 'we have no employees.[No workers' insurance required.]i comp insurance requited.) 13.❑oteec *Any applicuut that.checks-oox>:1 trust also B71 out ioe secdan below sAawi3g their es leers':compere aou policy itiourudo>, l3oraeownets who submit this affidavit ixidicating they at--doing all work and then him o,:tsid`contractors must submit a new affidavit indicating sac$ #Contrac�rs that check this box must attach au addi2oual sheet showing the Warne of tee sn}a contractors and state wl ether or not those entities have to ees.If the sub-commarors have=ployees,they must provide tbeic;makers'con3p.policy number. � y I am an employer that is providing wonders'compensation insurance for,my employees.Below is the policy and job site infortntitiGiz Insurance Corepaay Name, 1 o a WC Do�'9 3ot�o i Policy r or Self-ins.Lic. : Expita;xon Date: L Job Site Address: l City/State0p:�a'�U)"► 1"�� G�� ' Attach a copy of the workers'coin atior< olio;declaration Fai!ute to secure con Qa as r p page(shO*Ing the policy cumber and expiration date). eras, egtare under.Section 25A.of MGL c.152 can lead to the imposition of criminal penalties of a fmc np to$1,500.00 and'ar one-y;x 1mptisom- =r'as wet]as civil penalties in the form of a STOP WORK ORDER snd a fine of up to$250.00 a day against't:ae violator.Be advised that a copy of this statement cozy be forwarded to the Office o_Investigations of the DIA for insurance croverage v tttiification 16 hereby certify the 'r eisa&es of perjury•that the information r vzded above is true and correct, Sigllatare: Date: Phone#: a Official use only.Do not lw ite in this area,to be completed by city or town official City or Town: Permit/License n F Issuing Atithority(circle one): , t I.Board of Ilealtii 2.Building Aepzrtment 3.CitlVTown Clerk d.Electrical Inspector 5.Plumbing inspector 6.Other Contact person: Phone : ' r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 02,0 Parcel 0422 Permit# k10 Health Division - lv�� 6 Date Issued r Conservation Division Oil Fee 3 —1 Tax Collector Treasurer &J/qN� SEPTiC SYSTEM '6�����n Or- INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH -Preservation/Hyannis TORN REGULATIONS ' Project Street Address 151 11/511 Zk1y9 wy Village CO h41 Owner o��'��(/� j2o J b//1(S Address Telephone 0i �izl Cl ;3� Permit Request— Am e� Square feet: 1 st floor: existing_ proposed ( 2nd floor: existing proposed Total new 4 0 Estimated Project Cost 10 0 ` Zoning District Flood Plain Groundwater Overlay Construction Type-,5b Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family A Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes ❑No Basement Type: 'd Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new 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 BUILDER INFORMATION Name `'� IV Telephone Number S� � ' Address cib 0 dt 7 License# Home Improvement Contractor# //3 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �1�1Q�s lob- l"12 SIGNATURE DATE Of 3�' FOR OFFICIAL USE ONLY w P;S RMIT NO. Wn)rl - DATE ISSUED MAP/PARCEL NO. 4' ADDRESS _ .' VILLAGE { ' OWNER DATE OF INSPECTION,S FOUNDATION FRAME INSULATION - - FIREPLACE $ ti ELECTRICAL: _ ROUGH 1 FINAL _ it � +r� • . PLUMBING: .. M FINAL:LUMB NG. ROUGH � _ ,GAS: ROUGH `. FINAL Cj FINAL BUILDING Q DATE CLOSED OUT W ASSOCIATION PLAN NO. MORTGAGE INSPECTION PLAN 1 BOSTON 9"5689 SURVEY, INC. P.O. Box 220 Charlestown, MA 02129 ~ (617)242-1313 MAIN (617)242-1616 FAX APPLICANT: MLLIAM L&JANET L ROBBINS LOCATION: 15 HIGHLANDS ROAD DEED/CERT.• 9861/211 CITY,STATE: BARNSTABLE,MA PLAN REF: 1211155 I --_ I $ A I I ,woo./-sr u,tu I • _J I . I .s•2� I 1.5 Sloan I 1 R i n.ao - raa`r"f"°`er$e""'e HIGHLANDS ROAD PREPARED: 05-25-1996 SCALE. 1 inch=20 feet CERTIFIED TO: MORTGAGE MASTER,INC. The permanent structures are approximately located on the AOF According to Federal Emergency Maugement Agency ground as shown.They either conformed to the setback JOHN maps.the major improvements on this property Pall in an requirements of the local zoning ordinances in effect at the time of construction.Or are exempt(torn violation en J. area designated as Zone G fotoxmcnt action under M.G.L.Tide VII.Cha ter s0 A, RUSSELL y I —O0.-I t) p Community Panel No: 2S(i1� Section 7,and that there are no encroachments of(major q 436717 improvements either ray across proDe[ty Lees except `r Effective Dale: 7 - 2 - ?.L . FfS 1 NOTE:Zone C is areas of minimal nbodi shown and noted hereon, rp(no ehadingl.Thb SU dealgnatien is not based on an elevation certificate. NQrrE;This is nd a Dnrrdpry or tilde insurance survey.Tfpe p a:p va to procedural and lecrnnical standards for Morww loan Inspections as adopted 'by the M4aaechusems Board of Replsiratlon of professional a and Ian eyo .25o CMR 6.05.and use for any other purpose is prohibited.This plan Is not to be wed for recotding.preparing deed rtewriatfons.or comm TOTAL P.01 + x Ol 0 i--- `� - —Coate,- k - Z i 1 1i - e i �I w t X o % I o 411 J2 . it � —f-946 4 'A it , b - g � ° ri � Q . y The Town .of Barnstable 9�A.MASS! Department of Health Safety and Environmental Services 1659. Building Division 367_Main,Street,,Hyannis MA 02601 Office;: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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: /f-yo/l b-1� Estimated Cost d d 0 , Address of Work: /S_ ��L��/ / Lit- Owner's Name: Date of Application: f-3 y I hereby certify that: Registration is not required for the following reason(s): Work excluded by law C]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 IMPROVEMENT 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 the owner. 31- �' 6-���6� - 103Y Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav s �SMOME IMPROVEMENT CONTRACTOR. ,z Registration 113834;} Type INDIVIDUAL EzF ration '= 07/10 �3 � EDYARD N GRANGER III a 716/50 10NE5;,RD }5 �'�'' � �M RStONS MIIIS MA 02648 ADMINI ~ _r - Gfle -�ominoouuealb�Z'o� ,vlpv;raclivael�s DEPARTMENT OF PUBLIC SAFETY CONSTRUCTIOUSUPERVISOR LICENSE I Nueberc Expires: f - Restr�tedrtTe t `-' 16 EDYIIRV 6ER POBX 716 a. W w XNARSTONS NIIIS, NA 62648 . 1 The Commonwealth of Massachusetts Department of Industrial Accidents == - Office of/ncesti 8985s 600 Washington Street Boston,Mass. 02111 -- Workers' com ensation Insurance Affidavit i name: location • G �� L city phone# ❑ I am a homeowner performing all work myself. I am a sole r netor and have no one working in any ca achy I am an em 1 rovidin workers' compensation for my employees working on this job. :: ::::: : : :: address. Nx Xx city phone# insurance co: oLcv# d. ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have followin workers' compensation polices: the g.. .................mP........ :::.:::::: ::::::.:. :...::._:..: .. ::::......... :::.:.: . sw ..................... ::.:::::::::::::::::::::::::::.:;:.;:::.::.::::::>;::;;:.;;;:::;::;;:;:;:<:;: XX coin an name: No ;• dress. .....:::........... X. .......::........................::::........................................:::.....................:.:v::. e p Clty' ........... .............................. ................................................. ............................................................................... ............................................................................................................ ................................................................................................................................ Rnn•:.,...:..::::::::.: X. a ,. ddress.: wo .......... X. one. ci »::.;. .. :.:::.>:::.: ..::;:::::.. : i:3. '•.2 : lnsnrance.co� - Failure to secure coverage as required ender Section 25A of MGL 152 can lead to the imposition of crLminal penalties of a fine up to S1,S00.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 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 hereby cad under t pains and penalties of perjury that the information provided above is trrw and correct Si Date 4 3�✓�� / _ - Print name Gf/ Crl-AN tr"L (� Phone# �64 Vow, s-3 �b official use only do not write in this area to be completed by city or town official city or town: — permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PJA) 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 employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or`any two or more of and including the legal representatives of,a deceased emplo er, or the receiver or the foregoing engaged m a joint enterprise, ding g p , _ Y -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 employer. MGL chapter 152 section 25 also states that every 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 along with a certificate of insurance 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. 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 perirWlicense member which will be used as a reference number. The affidavits may be rebinmed 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 give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of imlesuladons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 09/23/98 TOWN OF BARNSTABLE PAGE 1 PROPERTY HISTORY SELECTION CRITERIA: property.parcel id='020 043' e LOT/BLOCK PROPERTY ID PARCEL :ID/ADDRESS SUBDIVISION/DEVELOPMENT ---------------OWNER--------------- PHONE/STATUS DISTRICT 020 043 8A/ JANET L ROBBINS 815 15 HIGHLAND AVENUE C CT COTUIT 15 HIGHLAND AVE COTUIT MA 02635 ZONING DIST/ZOC RF LOT SIZE 10454.4 USE 101 PROTECT DIST SPLIT PERMIT NO PERMIT TYPE MASTER CONTRACTOR VARIANCE/ FEE/ VALUATION APPLIED/ EXPIRED/ /DESCRIPTION PERMIT /ARCH STATUS OTHER FEE BOND ISSUED COMPLETED 15625 BREMOD 1 25.00 7000.00 Qom/-°OS%96- 4 X 18 EXTENSION TO KITCHEN A .00 06/05/96 -------------------------------DEPARTMENT------------------------------ APPROVED DATE APPROVED DATE INSPECTION REQUESTED REQUIRED SCHEDULED INSPECTED INSPECTOR RESULT BFIN 08/28/96 AMAR A BFRM 06/20/96 AMAR A BINSU 06/21/96 AMAR A PERMIT NO PERMIT TYPE MASTER CONTRACTOR VARIANCE/ FEE/ VALUATION APPLIED/ EXPIRED/ /DESCRIPTION PERMIT /ARCH STATUS OTHER FEE BOND ISSUED COMPLETED E-15� BPLUMP 40.00 .00 a6%13./96`y 1RE MOD C .00 06/13/96 06/18/97 -------------------------------DEPARTMENT------------------------------ APPROVED DATE APPROVED DATE INSPECTION REQUESTED REQUIRED SCHEDULED INSPECTED INSPECTOR RESULT BPFIN 06/18/97 EJEN A BPROU 06/17/96 EJEN A BPROUl BPROU2 BPROU3 PERMIT NO PERMIT TYPE MASTER CONTRACTOR VARIANCE/ FEE/ VALUATION APPLIED/ EXPIRED/ /DESCRIPTION PERMIT /ARCH STATUS OTHER FEE BOND ISSUED COMPLETED 15940-_BELEC7-7 30.00 500.00 r06-/18-/_9-617- KITCHEN REMODEL C .00 06/18/96 07/16/96 -------------------------------DEPARTMENT------------------------------ APPROVED DATE APPROVED DATE INSPECTION REQUESTED REQUIRED SCHEDULED INSPECTED INSPECTOR RESULT BEFIN 07/16/96 RWES A BEFINI O1/20/97 RWES A BEROU 06/19/96 RWES A INSPECTION HISTORY VIOLATION HISTORY RUN DATE 09/23/98 TIME 11:59:20 PENTAMATION - PERMITS MANAGER 0 �' ._.����^'�•.-:''mow. �' •ti.•�;;:�1`�`�� 'i -'� T .T--'�• T:.�•_.11'-r 7 ,r;: i • ,•�1�' y�a,.'\�..`a,. •^.•+► �. _.,,- �- .. .� ��� .. � fir• it U ra � G t Cv i �r J y/✓ ✓ `G 'l c �^ �5�a r}` MORTGAGE INSPECTION PLAN t 3 �.r 7 a BOSTON; t 1 96-05089 ` SURVEY, INC. P.O. 'Box 220 Charlestown, MA 02129 (617)242-1313 MAIN (617)242-1616 FAX s t 4 � APPLICANT.' MLL1AM,rL.6 JANET L ROBBINS I f y LOCATION: 15 HIGHLANDS ROAD DEED/CERT. 9861/111 1* CITY,STATE. BARNSTABLr,MA ' PLAN REF: -1211155 1 t I Ie $—A ,emu I la oo./-sY I,. Jr 1.5 STORY. I 15.00 - ti rae4 IV)BOOM rnyssT.,,e :HIGHIANDS ROAD PREPARED: 05.25.1996 SCALE.,1 inch=20 Beet t CERTIFIED TO:. MORTGAGE MASTER,INC. r • " - The permanent strtcctures arc approximately located on the NOF Aceording to Federal Emergcnry Management en Found as shown.They either conformed to the+-,bsck JOHN ma Agency re Wr .the emrnts of the local Ps or im o emen G a1 zoni ordinances in of nWr Pr u on this Property ng feet at. P P�Y Pall in an - the time of construction.or an;cxcfnpt(rOm violation co J. area designated as Zone fotcemclI action under M.G.L.Title vil.Lha ter e0 A. RUSSELL H now.I(� P Community Panel No:.�(��. Section 7,and that tGc[e are.no wcYoachmenis of major M38717 improreatcrtu either wayacross property p " Effective Date: p perry lines except oe 7 - 2 shorn and Doted bacon. fS 1 NOTE:Zone C is arves of mwmal nkodny(no shading).This' sstrSu deaWO;On is not b esed on an aleva0on ceAifieats. �, a a' _ NOTE:This is no a thundery or eels;nsurw"surrey.This p as ptepe r to procedural and temnical standarde for Mortgage Loan Inspections as adopted by the Mafuachusetb Board of Registradom of Professional a and Ian ry 260 CMR em,and use for any gMer purpose s prohibited.Thin plan b r1tM to tta ueo0 for reCordUg,preparing deed oescrictionts.w constnt, �� .. . TOTAL P.01 T Q <_ :. , - I. •e .... . . - - _ ..... : _ .--. __... _._ ...-_.. . ___.. --..._._. -.. . . __. . _ _ . t _ .. . 1. . . . .. .- - . . . -- .. _. -- -- -- . .. _ _ _ r . . - -- - - - - . . 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SEP1OC S Y 19 NSTALLED, ,I; Np CisE WITH TI TOWN OF BARNSTA 161ON ENTAL CODE AN"D TOWN R,GULATICpvSBuilding'Perint Application Proj ct Stree ddress &e Villag O Owner ddress*. ress'. PlL�jG,�- � . Teleph e Permit Request . e First Floor square feet , Second Floor square feet Estimated Project Cost $ :2 , 2ry � Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family ✓ Two Family Multi-Family ,Age of Existing Structure An +— Basement Type: Finished Historic House 9 J o Unfinished Old King's Highway I�0 Number of Baths -21 No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel W .c,(. Central Air . `�! Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn . None Sheds. Other Builder Information ].Name QP W4zl� Y ,Telephone Number S O6 ,Nddress _�v L (,F v, �-�. License# 0 4 -f 8 1 �I QA_gt, 0 13 4 Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DFBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ui SIGNATURE CrtiL � I (�p DATE Z3 0�9 T BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY P . MIT NO. ' DOTE ISSUED - P/PARCEL-NO. ADDRESS : VILLAGEtA + j OWNER : n DATE OF INSPECTION: 1 t FOUNDATION FRAME INSULATION FIREPLACE' " ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ..t t,•T FINAL GAS: ROUGH yr; FINAL ' FINAL BUILDING , ' _?j"•-04 cr� f al c, DATE CLOSED OUT r . 1 t t + + ASSOCIATION PLAN NO. ' " + ► 1 dt� . The Town of Barnstable . 'fig Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Cm= Office Sob-790-6=7 Bugg COMM F= 508-775-3344 For office use only Permit no. Dau AFFIDAVIT HOME MOROVEMENT CONTRACrORLAW SIIPPLEMENT TO PERWr APPLICATION coon,alterations;renovation,repair,��on,Conversion, MGL c. I42A requires that the"reco ed improvement..remo%al, demolition, or oortstruction of an addition tom which r �3a�are: building Ong at least one but not more than four dwelling units do bong with other to such ztsidmce or building be done by registered contractors. requft==ts �ype of Work: `— Est. Cost � d?Jy -� Address ofWork. ORner.Name: r Date of P Application: 5 `� I hereby certify that: • Registration is not required for the following rrason(s): Work excluded by law job under S1,o00 Building not owner-o=up Cd Owner pulling own Notice is hereby gh-=that: MEW CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DR1CG DO NOT ESA CESS TO MEFOR APPLICABLE HOUE RAPROVEN�NC ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the Mner: 1 I s v � 3 U S A Registration No. Date Contractor name OR ' dob - V The CunununH'calt/t uf?Ilassac/rwctts A Department of Industrial Accidents IfAceaf in,esD9ZOW 600 MaNkington Street Bmiton.Mass, 02111 Workers, Compensation Insurance AMdavit AR.r'"'�"� :------ .. .. .: Please i'RINT'1e tbly• - r 2-lociation f! c`l nhnne ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity ❑ I am an emplover providing workers' compensation for my employees working on this job. addrecc- city.. phone#� I am a sole propriet r� operal cost cior, homeowner(circle one)and have hired the contractors listed below who the following won-ers en tr ices: nv n ,n address: 3.5 1 city! �rt,�/ l/y phone�h ' curnncccn policy# _- " � -- --- �eroar+�.--sns�+-r�t•rr.s�F� ,�O�g°1"r�T"�. _-_- -_ - — cn tram,name: - r ad r cin (/V wGa�il 1�� �U /�/12��� phone#- ``4'7 — l �? policy# :Attach addiddiial'she'R if oeeessa •+�: ��'�"_+ `^ "' ""'•" ` Failure to secure coverage as required under Section:SA of AIGL 152 an lead to the imposition of criminal peoaltiu of a tine up to SISOO.00 ao� one rears'imprisonment as•Veil as civil penalties in the form of a STOP WORK ORDER and a fine of SIO0.00 a dap against me. I understand thr. copy of this statement mad•be forwarded to the OMce of Investigations of the DIA for coverage verification. !do hereby cerrify unrier t/ie pains and penallies of peryurr that the infornmtion provided aboveis trine and comwt v Signaturr- 3 v 5 G �nntme � 1 one oX - 9g"7 alrciai.use oniv do not write in this area to be completed by city or town ofiieial city or town: pe mitalecam# riBuilding Department (3t.icensing Board check if immediate response is required (]5deetmeo's Office 011e2ith Department nOther. contact person: phone#: r _ Information and Instructions " Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for employees. As quoted from the "lay+", an enrplitree is defined as every person in the service of another under an, contract of hire, express or implied. oral or written. An enrphorer is defined as an individual, partnership, association. corporation or other legal entity, or any two or n the foreaoin en,a,cd in n joint enterprise, and including the legal representatives of deceased employer. or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However owner of a dweilin, house having not more than three apartments and who resides therein. or the occupant of the dwcl ling house of another who employs persons to do•maintenance , gpnstruction or repair work on such divellin`, or on.the grounds or building appurtenant thereto shall not because ofsuch-employment be deemed to be an empio.; MGL chapter 152 section 25 also states that every state br local licensing atp gency shall withhold the issuance or reneival of a license or permit to operate a business or to construct buildings in the commonwealth for any :applicant ,%vho has not produced acceptable evidence of compliance with the in 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 chapu been presented to the contracting authority. �• .....+.+�. .'• �'�iT�.: .. ,..y.. 'e.77v'l-7.�:.J..._�'�:rr�J.'.:a��.�`7�•;..'7�i.Y.•.:i�a:."^�,,��'.7�7!i•�w a.i Applicants Please `;I1 in, the workers' compensation affidavit completely, by checking the box that applies to your situation an supplying company names. address and phone numbers as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coN erage. Also be sure to sign and date the affidavit Tire 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 requi: to obtain a workers' compensation policy, please call the Department at the number listed below. - ... .. �> > .�.;.:.-.'�w��r..... �.:"jr...+.'.tlf..�so���i.`.tea:.•t:'i; . or City �•. roe ns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottorr the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. F be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returne ,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 quest: please do not hesitate to give us a call. ..i- .. - - .•sue ,�+ The Department's address. telephone and fax number. ^,n}n The Commonwealth Of Massachusetts ff p Department of Industrial Accidents y Office of investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 nhnne #- (617) 727-4900 ext. 406, 409 or 375 1 i . 10 �# k+ ✓lre lomnv�noru����S r —� }'HOME IMPROVEMENT (ON RACTOR' tr _ ,1 Reoistratioa• 115052 Type INDIVIDUAL Expiration,, 11/30/97 , 'jiMICHAEL A. CHIUPPI,.. 62CEOAR ST G� IVID LEBORO MA-02346 ADMINISTRATOR Pi I i II. � �: �„«u.�� �.r,� �,,.tJ_u<,.„.�.sa,u>.c� •t.;.:.� uaw�i,L-!.,:4.-.;i°n. Cry. .' '; ✓� 1/J00977YIJ"laIZUIBRGCIL (r�a��� lLLrW�t 1 ... '+ 'i ... i\ I .. Restricted To: 00 > IaI DEPARTMENT.'OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE t T'� 00 - None ,.Nueher Expiresa 16 i & 2 Faeily Hoees Restricted"To:' 00 i -,a 0 4, HICHAEL A CHIUPPI CEDAR ST, ` y w MIDOIETON,: NA 02346 Assessor's office (1st floor):` ` Assessor's map and lot number ....� ��0 �1.X 'P � l�r YS�l�lL41�1l1. RE �Q�pF7ME,tp�o Board of Health (3rd floor): : $� ` "• d Sewage Permit number ..1. .:- .. .......... ............. o- L EAHd4T"LE, i Engineering Department Ord floor): u �o ra�a House number ................. .. :.... ........ " .. Y a�e� o 0 ii�oW,AEQi 1AT1' YP Definitive Plan Approved by Planning Board __ _______________ 19 APPL.ICATIONS _PROCESSED 8:30-9:30 A.M, and 1::00 2:00 -P.M; only TOWN ' ,. O-F BARNSTAB E BUILDING A1.NSPEC:TOR . APPLICATION..FOR PERMIT TO .COns?�r�tGl .. :...... ��! ... .............................................. TYPE OF. CONSTRUCTION Av.—Ot.ple......i. ?r 11 r ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies,for a permit according to the following .information: ,� l�/,•�ti...14�.,/....../ ,` Location .1........ V.. . �f t!L.!/�:f..�.:.L���(... Proposed Use . �v3iGf.e.f'l..rr. .....:......... ..................:......... ... ..................... ....... .. .... .......................... Zoning District ...... ................ t.....F............:...Fire Distract ..C�(J .... ......... ..... ............................. u!. Name of Owner- .)�... l.QH�l. ..... .' ? Address ... o:.............Name of Builder .�j(��1/.Q .....1,�0.. l Address .......... ................... `./. Nome of Architect !11. .1��!/...!/t�d ...... .........Addr`ess :: ........ . Number. of Rooms ..... hee�......... C ...........Foundation 0.....)CPO ..!.!?. ......................... � �.. Exterior �Y:...S.�l(. ,9.1... ..'..:.. ...........................Roofing .. !tR.l} .................. ...: Flocrs1iR.Y.�III.P.r................ ....... ........ .......Inter'ior Y........................................................ Heating ...Q...Go.. .............................................................Plumbing ...1....4.a_ !?... .... ............. . ..... ...... Fireplace ..................:......... ........ ................... .......: .........Approximate Cost Area .... . ........'.... 1 g Fee............ ........:.. ........ Diagram of Lot•arid 'Building with 'Dimensions 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 • :. a/ice`!/ Name ................................ Construction Supervisor's license ...,.... WOOL, WILLIAM 32324' Build 2nd Floor " , No `................. Permit for .................................... Sin le Family Dwelling ............... ........................................................ - f 15 Hi hlarid Avenue Locution g c ..............i. .............................................. - COtuit ....... ......................... Owner William Woo.1.........:................... `A Type of Construction .....F.r.ame........................ 71 - , e. Plot `.... ........ ..... Lot ..................... ..... x Permit Granted ... ..Octobe.r...5:,.... .19 88 Date.of Inspection ..... . ..... ... ...:19 o� Da a Completed ...............y . .,�! � . ......19 R IR `i �.- .., .►'=.+K. .es..�:-+:- .:may. ^�.;f».ri :..t „,�.. „r .. K� a .� AssEissor's office (1st floor):. Oa6 a cFTNE 3 Assessor's map and lot numbe r .......... .. 'k 7 To`♦ Board of Health (3rd floor): Sewage Permit number .�. :�_ ............... ...........,,... Z BAB39TABLE. i Engineering Department (3rd floor): '°o t639. 0� Housenumber` ..................................................................:..... Definitive Plan Approved by.Planning Board ________________________________10________ . APPLICATIONS PROCESSED 8:30 9:30 A.M. and 1:00-2:00 P.M. only. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �. ..'.'.�re.14' .......................ti.............................................. TYPE OF CONSTRUCTION ........�'�..........:..r.G-'" �........................................................................................................ ............. .... .... ` 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Proposed Use .!`..�31.�'.C r'' C r ............................. ........................................................................................................................... fC.rr� Zoning District ........ Fire District, .. .:._......................................�. ........................................................... Name of Owner '..�`il%«"�� ell c.� ... . . . . r Address �rrt 4 lvE' . / ................ .............. y ........................... .. Nameof Builder ...... 1......%'........ ... f'...................Address .................................................................................... Name of Architect 1 `/ . ' �lr ' �� G'� Address ............r. ........................................... .................................................................... Number of Rooms f e-' �' )) /r C /` ............��h.. .. .......:......... ...../.............Foundation �t� r( ' J U c-!'10, -, / .'1rGr Exterior, ..r `�0....... �..........� ......�:........................................Roofing ..................�r...................................... Floors ......................................................................................Interior ..:... ...+ :. J HeatingT:......?. .. ............................................................Plumbing ...........`..r.f/............................................................ Fireplace ..................................................................................Approximate Cost .........R. Area ........... �.......................... Diagram of Lot and Building with Dimensions Fee ........... 0r Ij � � r / 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. - J Name � a � `� ..t. i ........................ ` Construction Supervisor's License 'F�i'� r ` j WOOL, WILLIAM �=020-043 No ..UUA.. Permit for .....B.0 i I.d...23ad..Floor ........5.ingl.e...f.aMily..Dwelling....... Location 15 Highland...Avenue ........... ................... Cotuit ............................................................................... Owner .....,;,William..........Wool........................... ..... .. . .. Type of Construction Frame .................. �7 I.... ................................ .................................... Plot .....................I....... Lot ................................ Permit Granted .....October... ............19 88 Date of Inspection ....................................19 Date Completed ....................... ...............19