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HomeMy WebLinkAbout0488 MAIN STREET (COTUIT) �- _ _ D �t r Town of Barnstable *Permit# �. Q Expires 6 months from issue date Regulatory Services Fee • BARNSTABLE. • M"9'1639. Richard V.Scali,Interim Director. �� A ACED MP't Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY `-� V D cAot Valid without Red X-Press Imprint Map/parcel Number ( V Property Address i.F l c'a r J esidential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address . e!I a4-- Contractor's Named 0 4/11 G�® L f A(S-6 ® telephone Number S-V if V 4 d �4,Y/ Home Improvement Contractor License#(if applicable) j 7 y q®`� Email: a I.M N " 7 eL6�N !wtt_ Construction Supervisor's License#(if applicable) 0S a �a� f L`"'a 20 2ou ❑Workman's Compensation Insurce TO Chec e: an OFSA I am a sole proprietor ❑ I am the Homeowner - ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑R -roof(hurricane nailed)(not stripping. Going over existing layers'of roof) [ e-side /l SdL RA% ►t4oL-69 ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red.S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\bui ing permit forms\EXPRESS.doc Revised 061313 .9* r OF THE roh, Town of Barnstable Regulatory Services + 1ARNSTABLE, ► 9 MACC Thomas F. Geiler,Director Fo;9,.cA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 'Fax: 508=790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize h/_i W!C g©-Lkz to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspeLsare formed and accepted. Signature of owner S' ture of Applicant Print Name -Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 62012 77ze Cl7mTFlfJ;r'yvea ltt of Hassachus is DepwftnentqfIwtdmsftidAccidents Bosfortay MA 02LII wf nia.Ynas&gt dia Workers' CampensafionIusmunceAffidavA:Bifilders/ContractorsMectricians/Numbers Apydk nt Information Please Print I.zibiy Name(Bo�elanizadionffndivianal7__�T9-��h/ D La CityfStat�el�ip:. . Phone �(� ® Are you an employer?Check the appropriate box; Type of piroject (r I.❑ I am a employer witf 4. � I ax at contractor and I 5_ New oonshuctiort epigfoyees.full andlorpart-fine}* have hired the sub-contEaciors I( I am a'sole proprietor ofpartner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sob-contractors have $_ ❑Demolition w for me in an capacity employees and have workers' or�ng y ` 9. ❑Building addition [No workes'camp.rnmxanre comp.incevanc f required_] 5. ❑ We are a corporation and its 10:.❑-Electrical regains or additions 3_❑ I am a homeowner doing all work officers hmm exercised their 1 L❑Plumbing repairs or additiems, myself [No workers'comp_ . right of eiemption per MGL 121-1 Roof repairs inm=ncerequued.]Y c-152,§1(4} and we have no emploj a (No workers' 13_❑Other comp_insurance required..] "AnY aPPH mt that checks box#'1 mast also fll out the section below showing then woodse a compensation poaT intfltmatiam. t Homeowners who sabmit this affidavit inffcati+ag they are doing till week and dim hie outside contractors mmst submit anew affidsvit inrritntting.Mr L �L-ontncmrs that check this book mast attached as additional sheet shoumg the name of the snb-co ctors and stale±whether ornot thaw moieties have employees. Ifthe snh-coutractumhim employees,they must provide their warkeW comp.policy number- Iam all employer Mat isprm idittg workers'co,mparrsadaon insurance for my employees. Belots is Hie policy and job site iatformatioar. Insurance Company Name: . Pr}licy 9 or Self-ias_Uc_4- ExpifationDate: Job Sife Address: City�StatelTatp: Attach a copy of the workers'compensation policy-declaration page.(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 andlor one yearitnprismment,as well as civil penalties in the f nn of a STOP WORK ORDERand a fine ofup.to S250.00 a day against the violator. Be advised that a copy of this stab=eat maybe forwarded to the Office of Investigations of die DIA for insurance coverage viernEcatim I do Here fy render th 'rs enalfies ufpedw y that the information provided.above is true nd correct SiEnattu�: nn Bate_ Phone# s o Y�� i facial use Daft}. Do not write in this area,to be completed by city or town of jiciaL City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of$ealth. 3.Budding Department 3.Oitylrown Cleric 4.Electrical Inspector S.Plumbmg Inspector 6.Other z SLOZ/VZ/OL J13uoissiww00 p uopeaidx�] VV AZO dw aq'Q.LsaI03 TS XOH Od �fosNY1,10a KHOr a •r .: � ,, , ' ° � A z ,t 6POZ60-So :asuaoij ' losq:uadns uogintlsgoj sPJepue3 S Pue suoileln6a8 6ulpl.ing jo pjeo8 , AIWS ollcind/o luawpedaQ- sj4asnyoesseW, valid for individul use only istration return to: License or reg:ration date• if found Regulation before the on ulna Affairs and Business Office of Cana-Suite 5170 10ParkMa02116 Boston, without signature t Not valid ; LOOZCUL'CLGCJL �ie Wan'+n9 Vv ulation. Office.of Consumer Affairs&Business Reg jW ME IMPROVEMENT CONTRACTOR Type: gistration 174407 pBA piration: SILVER FOX HOME`REPAIR&REMODELING JOHN COLLINSON 8 JAN,SEBASTIAN WAY, r SANDW.ICH,. MA 02563 Undersecretary 4 J a 0 0/ -` C� Engineering Dept. (3rd floor) Map �c�La Parcel ' O hermit# -cam 5 I, y House#- Z _ Date Issued / ' Z 1 7 - Board'of Health(3rd floor)(8:15 -9:30/ 1:00-4:30) Fee` Conservation Office (4th floor)(8:30- 9:30/ 1:00-.2:00) Planning,Dept.(1st floor/SchoolAdmin. Bldg.) " IMF { Definitive-Plan Planning Board s 19 c� TOWN OF'BARNSTABLE= Building Permit Application --- Project Street Address Village Owner Address Telephone Permit Request Jj J .First Floor square feet Second Floor square feet -Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.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 p No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name ATelephone Number Address License# �, Av-," V Home Improvement Contractor# 10 Worker's Compensation#��-C 20 0 y�0 a NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE BUILDING PERMIT DENIED FOR THE OLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 3 DATE ISSUED, MAP/PARCEL NO: ; 4 ADDRESS VILLAGE OWNER . Y.� DATE OF INSPECTION: FOUNDATION- FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH k FINAL f " -i t - r • , , f ! .. 1 ! r. is w �Y + PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING ' s DATE CLOSED OUT ' ASSOCIATION PLAN NO. :..-ter,:...�_ +.--v--n..�''L-..�i"+•--^wPr'''""..--r.^^-`,."`)T�ca ., w� .-w-'�^,,;rvr-�..�+^-�.F*-'R..-.�-.........,.*n:..--^---�+Y-i.^ar�""`rw...-+�1Y--r•K'�13..,..w-•^.+-v�.{h...+-+�. Assessor's office(1st Floor): �►��// �_ Assessor's map and:lot number `;i�Odi (� O D I poi THE t0 Board of Health 3rd.floor): �Q o Sewage Permit number ✓ r(/ 1 / = aeaasr Engineering Department(3rd floor) sntt . House number o63Q.d��� Definitive Plan Approved by Planning Board 19 Nil APPLICATIONS PROCESSED 8:30 9:30 A.M.,and 1-00-9:00 P.M.only TOWN CIF BARNSTABLE BUILDING INSPECTOR , APPLICATION FOR PERMIT t0 S 1 1'�U C�Lw -Df r/0N TYPE OF CONSTIaUCTION t' W601b fw TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location H�� /v AW 'ST, Cd 1� ► �t/� Proposed Use \ (,;5 Q%C?. 6&Tk A66 M 1, Zoning District Fire District Lt z1; Name of Owner � J ��1 Il'� �t1I111S Address l��S�15 ✓VI rVy5-% turuk-y 4—mo Name of Builder V t GVV) y 7�15YO P/ZkC.. Address 30Y 6(e17 05 RV)),)^,Fl ✓�tJ Name of Architect Address Number of Rooms ON �- Foundation Exterior C-1-AP80-p ) `k-- WLc SRA)--t Roofing 05P+Wl—T Floors - Interior r n, Heating � W Plumbing CoFp� 4v— P U C- Fireplace 'V Approximate Cost Sol 00 0 Area oC O Diagram of Lot and Building with Dimensions Fee 6), � f 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. �Z Name Construction Supervisor's License ���q � LEWIS, CHARLES & JUDITH_ �q A=022-069-001 No 34606 Permit For Build Addition Single Family Dwelling Location 488 Main Street Cotuit 4 Owner. Charles & Judith Lewis l� Type of Construction Frame . I Plot Lot e Permit Granted October 1 , 19 91 Date of Inspection 19 Date Completed 19 ' 11 / > ..." t I7-. . .... ...r• ff // 71. Assessor's TmaR-and lot number . t+�,r�!`^•'•1• ... .....a....... ......... y0F THE Sewage Permit number "T gLl^ Z BARNSTABLE, i House number `#'� € �' * NAM.. .........,................ v 4 i639• 6 t 4 0 MOR a� TOWN OF BARNSTARLE BUILDING NSPECTOR APPLICATION FOR PERMIT TO S I tC QC-T_ ..G........ .................................................................................... TYPE OF CONSTRUCTION ...................... ...................................................... 4 TO THE INSPECTOR OF BUILDINGS: t The undersigned hereby applies for a permit according to the6fo6wing inform'tion:IZ ... ��iu�Location ................Lr�...... ....1.......�.�1.�.,1T:�.�..T........?�. .....�1................ ........ ..�:� 1 ....................... Proposed Use ..............f e_tw tit Cam.?.IT1 DQ .............................................. ...... ZoningDistri ........................................................Fire District ...................T 1.T-......::............................:� . I Name of Owner ...:... �.�..f 2? .... cA!�.!....... ...�..r.U.CJ.. .......Address .:�:.� ...........�"�Z..�T:... Nameof Builder ........................................................ ...........Address ............,....................................................................... Nameof Architect ..................................................................Address .......................:............................................................ Number of Rooms ....................�........................................Foundation ..............0,0•7r,- .. Fri Exterior ..............`.. .........................Roofing 0A.k -�. . I.h.. ].• Floors � F' T� '! v-11 •, .........................................Interior .........................!....0.►! ... G!a' ......................... Heating .............tHIj...kc. .0.)]................................Plumbing ...........Q . ........".Y:..C....................... Fireplace ...................1..E5.....................................................Approximate. C st ......................... .... .............................. Definitive Plan Approved by Planning Board ____�__7-___________19�__. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH a 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 .......ZQ.._/.. Y......... ROBERTS REALTY TRUST A=22-69 27503 1� Story No ................. Permit for .................................... Single Fan-Lily Dwelling ............................................................................... Location ....J.0t.1,...... ........ ....................cotilit.............................................. Owner ....RObel-ts-Realty. ..Trust................. Type of Construction ..Frame ............................... ......... ............................................................................... Plot ............................ Lot ................................ Permit Granted .....Februarx 12,........19 85 Date of Inspection ....................................19 Date Completed ......................................19 A, — Assessor's map and lot number ....Oaa..-...QQbq.QC1/...... cam_ QyO%THEtO�� Sewage Permit number ..........� .--.1?33..................... Z BAUSTAKE. i House number rued �O 1 639, !� �a UPS a\ TOWN OF BARNSTABLE BUILDING INSPECTOR I n � APPLICATION FOR PERMIT TO ......... �^f � ..... ....... ... <.T.(r,1../........... .— . (n�C� TYPE OF CONSTRUCTION .................... ... ..'P�....:................................................................. ........................... . .z .....,9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies or a permit according to the followi information: f�Q Location .... D,T�..�/......./(:-t- Zoning . .....�1.1.......... � ]�1 ........ <. ............................ ...... .. .. ... . Proposed Use r.elf-!/ /District ...... ......... ............... ............................Fire Dis! i t .............................................................................. r � Name of Owner .... ......... ..............Address .;�.......... . ..... �� .. ... .....T.... ............ Name of Builder ... . ..l........•C .....:................Address ... .. 6v ..... /� ... ... .... ........G�. !..,ll!� Name of Architect ..................................................................Address ..............................ce ........................................ Number of Rooms / Foundation ... d ..... ... .... ........................ .................................... ..Exterior ...................... .� ........ .... .... Roofing ................ � Floors .......�... ........ ..................................Interior ................. ................................................................. Heating ....... .../..................................Plumbing Fireplace ............... 1....-......1..........................................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 Reg ns of the Tow f Barnstable regarding the above construction. Name .L. .. ......... . .. .......... ..... ........................... Construction Supervisor's License ....J Im77 ' LEWIS, CHARLES No ...2995.5.... Permit for ...RUil.d..AddiMiM. Siii,&1e..F,=i1.y..DwP.11in9....................... Location .....Lwo.t.11.......4B.a.ZaW..S.tr.P-P-t...... ......................C9.t4i.t........................................... Owner ............Cha..r.les...L.e.wi.s.......................... ...... ...... Type of Construction ....................Frame...................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ............ ............19 86 Date of lnspection/./7-3�&................19 Date Completed ............��'e-.7...........19 Assessor's map and lot number ... ......�?F� —...?�?1...... < THE Sewage Permit number -- Z DAMS TAMLE, i Housenumber ........................................................................ 900 639 �e a war a• TOWN OF BARNSTABLE BUILDING_ INSPECTOR APPLICATION FOR PERMIT TO ........ ,... i.�t 1 :..... :G '/",.;, "7 /t��:� .................................. f. . TYPEOF CONSTRUCTION .................................................................................................................................../.. ............................. �......191/.`... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................. ....:.................................... .... ....................._....::.......�........................... .................. ProposedUse ............... .t' .- .........1.."i;'.:.../...................................................................................I......................... I ZoningDistrict ................ ..........................•..............................Fire District .............................................................................. Name of Owner . % /� f �- ..............Address /�....... /(� ........................................... , .../ ,....... .,..... Name of Builder ....:...!.... .., f< f :..................Address .P ✓.:. .. ....... ..Name of Architect ................................. ................................Address .....................................0 .......................................... Number of Ro�o�ms` 4........./...................e...... Foundation ...l. ........./ ... . . .....l.....�...�.✓.�..�1...-.w S......................... .................Roofing- ........Exierior ... / ..........Interior ............ Floors ..r.� .�?..�? ..............................,. ZM .Heatingf....... ... .... ........................:..................Plumbing ........:... 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 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulatioris of the Town-of Barnstable regarding the above construction. Name ....................................... .................................. � i Construction Supervisor's. License .................................... LEWIS, CHARLES A=022-069-001 No .2.g9.55 . Permit for ..Build Addition .... ......................... $j�}�gle„family Dwelling ......................... Location ........ Street .......................Cotuit.......................................... Owner Charles Lewis .. .. .......................................... Type of Construction ......,Fra....me ` ......................... ............................................................................... Plot............................. Lot ................................ Permit Granted ...........Sept......23.........19 86 Date of Inspection ....................................19 Date Completed ......................................19 r , TOWN OF BARNSTABLE Permit No.' _--27503_____. t NAAM,A' Building Inspector cash _ 1619 °U,(b OCCUPANCY PERMIT Bond -----Xlk' Issued to Roberts Realty Trust Address Lot 1, 488 Main Street, Gotuit Wiring Inspector �r� G - i Inspection date // �,•�.. Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date i Board of Health y Inspection date 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. ]9......_._ f..f...... .. .........._............................................ Building Inspector i R 1 ��Q..�` �•.ew TOWN OF . BARNSTABLE BUILDING DEPARTMENT ! sesae out : TOWN OFFICE BUILDING HYANNIS, MASS: 02601 i MEMO TO: Town Clerk FROM: Building Department DATE: I An Occupancy Permit has been issued for the building authorized-by rs BuildingPermit #......... .............. ............. ......................................................................................... ........ ._.................. .... issued',,to ........................ _ ....... l. ............................. Please release the performance bond. N —Assessor's map and lot number !!^'/... ..... .................. " oFYNEro Ll Sewage Permit number ...............................:........................ , SEK IC SYSTEM MUST INSTALLED IN CO PLC. I�. .t asasTenLE, House number ...........................0...qX. ............................. WITH TITLE 5 'oo M6 I 9. �� � D ac ENVIRONMENTAL CODE � .�oypYa�e TOWN OF BARNS"'A' UE-""`0-y BUILDING ......`�NSPECTOR UAL�S i ZvC[ APPLICATION FOR PERMIT TO .................... ...............�.....................................................................:.......... TYPE OF CONSTRUCTION .................... Y�!\. ......................................................... ...........................ko....�� �:..19..( TO THE INSPECTOR OF BUILDINGS: The undersigned Irreby applies fora Emit according to the f ng inform' ion: Location ................ ...........1. �.j.+�...5-�. ......C&)..U� .l..................... Proposed Use-..-. .��� I�� ��A.T.).�q.I.................................... � I Zoning Distric ........................................................Fire District .......... .... .. T �.. ...... Name of Owner c. �.PZ � 4. i ( Address Nameof Builder ......................................................y...........Address ................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....................�........................................Foundation 77aurED...... ..C?. .. 2 .T... .. ........... .............Roofin t-k Exterior ............. ?..1. iE .64. .. ........... g ............1 . ................... Floors ................... .. .. .� .........................................Interior ................. . .1!✓... G.. .......................... '.. ' Heating ...... - ..........� `.�1,. ........Plumbing �� c!/� .1.......:..:..Y.`.. .:................... ...... _ 5 Fireplace ..:.............LI/... .. Approximate. C st....... .....................�.. .......... Definitive Plan Approved by Planning Board ---- 2---or/___________19�__. Area �1 Diagram of Lot and Building with Dimensions Fee .A.f..,l SUBJECT TO APPROVAL OF BOARD OF HEALTH vU OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the of Barnstable regarding the above construction. Name ........�..... G .. .�..... ...............�.. .... Construction Supervisor's License ........4... ....L........... ,, ERTS REALTY TRUST }° 27503 1 z Story L..1. t 'o ............... . Permit for ................. ................. _ ::...--Single Family.:.Dwellincl................... Location Lot 1 488 Main Stre ........ i ................................. c . „ ............... ............................................................. -Ownero s Roberts.........be.t....Rea4Y.......;.t................. Type of Construction F:1~4M.............................. ........................ .................................................... Plot ............................ Lot ................................ Permit-Granted ....February 12! 19 85 '�.. . r Date of Inspection �C�f...........................19 sr Date Com Feted � '�"`©.'� `.......:19 { N � ` t Ji per.. .: cE.eT'i�iEa �.L07 T.--/AT Th/.C- �!,IST�,y� 1-DC.4T/d�C/ SNOGt/N//E,2E0.1/CO�I,dL YS Gt//�/� SCE �EQU/.2E/1'JEit/TS Orc' Tf-/� 7`oN/�t/DF •�•L...q�t! .2E.c"�.2E�(/C'� ,4OCA 7;ez:> �/�T�//mot/ T�/� .�.LoaaPG4/.f/ �L,�• .e�,�a. ;�c�,' .' ,0,4 TE: O.c,�SE'TS SyDLt/�j/S.�/oULI� ,tfp7- gam. !/SEI� 7� OE'T�,��/�E .�-bT L./it/�S .4�.�.L/C,Q/✓T"i' '� ���T,�°";?'.�'. �,►►�,6�, FAMtt_�( - '.'s BCORnoM • uo' Ga•Qe►a•GE G¢,No�cz ,S.E�' CLAN pia►t.�( Ff.oW s 110x 3 = 330G•P•o 5EPT►G Tf►ojK �3ox15�'/• s�495G•P. R ~ f tJs� ►000 GAL. ` • `� �'_. otSPoSAL PIT V4E 1vv0 C•�At_. _ 1 S pGWALf- AQE16 150 5.F X Z•5.: 375 BOTTOM ARA• So S.F• x I•oE 50 -TCTA f- VISS1GW * 4Z2 G.P c 'TaTAf. pA f t•Y F►.Ow( = 33o G.Pc� P jN OF A9Sss PfzQcof.ATtoN RATE+ 1''tN 2M1N opt-�5S \�Cf Airt�� PIT ER yG� • .s J WiLL{ANC , R =�a +c VJs'T tiFi�O� AKIO l �. ,C�EitilDf�.E /1L L /i�vlr�'LE • ; ii To P FWD•/DL,p i �,G.t� � p14T INd. 'GAt•. 1�•! SGP-r / IOooii r Pl.f G,INY. cI�NV. •. !� Mom• 1'!3/q��%z . WASKLG 6ToN6 - Cevvri Pia o PL.oT PLAN la o A1_E cA L M 1.1 S c 5 GEa?fFY TNAT THE P�� 1P SKowYN N6.R6OW GOMPL`?5 VATN'THfs 51o�1.INE LG'i } A W P S fo?Qe►G R.6 J►R.E M E WM- G F 'T 11 E- �J(.-.✓1.t/ �' •�Gc ,�'TS.��7�/ ? . ToWN OF ,l3D�g57 _q � - ooD PLAINT LOG ATE D W TN W T 6 f,. �� DATE ��' L BAxTE2e my s INC. ��6�' LAMP S u�v GYM I Orr [3t��jC_1� D+d A ( OSTER.VILFr • L /N�A'SS• "fins PLD•N t 5 N INSTRLMEf�T �,v2v�Y � -rNE (�1=F',E?:S suo�� APPLICANT ��-•>��5 .��.QL�y ET E[ It11►4 V-- H Z .����T-- z o,� z • to`� /�/�•� • �- . • Sao .� 9/'S/ �} 577•S AR�� S/1 4/T'CJ/T Assessor's office(1 st Floor): SEP 4 Assessor's map and.lot number ' DO WSTALLED Board of Health(3rd-floor): / �� � � Sewage9�m Enginee':Permit number- �J [ �� ��' House number sesasrsncc Department(3rd floor): /���1��l T mq 1 Definitive Plan Approved by!Planning Board j� 19 - �w APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only r. TOWN OF BARNSTABLE A P P R 0 VED BUILDING INSPECTOR �.-:blc; Conservatio^. Cc-.. `-.. :`'° N APPLICATION FOR PERMIT TO Signe ti1�te �l�1 o g 1 19 q TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies /for apermit according to the following information: ��lYW S Location (S� ' Cd iV \I i Aft- Proposed Use l2(i-5 ` 5PC?_ 6Nt� k AGO. Zoning District Fire District }, Name of Owner�'��� i�' �-.�l�uis Address 2<6 A WSrr C TU��- { ✓1 Name of Builder VZM S ISYO PIZ�C, Address 1 Boy 6(F5 •� , ✓�`� Name of Architect � Address (�' Number of Rooms Of Vn, L Foundation IF OUR R -D coyCAL1 10 Exterior C ,4P8ofi&y %,k-- Vj& S, 4061E Roofing ( lr W l-7 Floors Interior ��� Heating �+ Vt' Plumbing �G !�: 2 VC- Fireplace Approximate Cost 3o- 000 Area r� Diagram of Lot and Building with Dimensions r Fee O(�17 IQiI � i • l 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 n Construction Supervisor's License °�� EWIS; CHARLES & JUDITH - _- is No 34606 Permit For BUILD 'ADDTTTnN' r Single Family Dwe.11"incarI ` , Location 488 Main Street .h ` Cotuit "k Owner Charles & JUd ; Type of Construction Frame Plot Lot Permit Granted October 1; c 19 91 Date of Inspection 1 19 Date C ompleted 2 19 '; w a ' •� a - f �� � • as - y` .. �• .-. ... ill a •1 } a r _ ' �;r GAWIp'MENT:OiF PUBLrr '�AFETY �,,a .' n COMMONWEALTH ':t1030'COMMONWEALTH#VE rtsr� k iY'' OF I, STON,MASS,0221B Ny ` , ° SA MA$SACHUSETTS LICEtS "* tI /EXPIRATION DATE - CU. tSTR $UHERI3QRr° / FFTIVE DATELIC RE�TFi�C11341 4�i y �' .R�STONS LLS '�� x. r ,, PHQTO(BLASTING OPR ONLY( FEE; NOT VALID UNTIL SIGNED BY UCEt1SEE AND'OFFICNUrY ; F�"EIGHI TAMPED OR SIGNATURE OFjTNE COMMISSroNER Tt1L4.:°acumtgT MUST CAAm. mom T`y .PERSON CE.h Js I .• &K,t UHEl*O.�, F�..` . THE.tidLDE� OTHERS-RIGHT THVMB PRINT EO ;1N 7H1$ dfC�UPA71Gl� T+ ,�� 2gF�. a .y, MMISSIO., i W�2$7 81429 s '• ; r 1 1 1 ,, $(�9K�� measurements or appliances MUST be approved by K 8 B Designs Unlimiiec u y x+ lummoo City. �o tia IN _ OSTERVILLE,MA 02655 Approved By. Date: n i (508)428-3999 Designed By. All measurements are finish measurements unless otherwise noted. r + - . ems Gov-ay wv-y "�—�• I 4: • � 0 U� 5��@ 0�4N� Sim: Ix(o f t�oti Eo a-+- It2,,:d� PLAMC Y u„ r G .O t a . r I , .S TOM F. LECKSTROwl \ ....................................� REGISTR.NO. i i 101148 =; t \ Its oly¢N•..CS�� e����— �i���.iu.s o THE COMMONWEALTH OF MASSACHUSETTS •--���----' --$)5A R D O H EA LT ......... tw�.1.,..... �.OF.:.. . .. a -�:C's. i.!..`.�... ............ .�'� Trrtff irtttr of Toutpfttturr THIS IS TO CERTIFY, That the_Individual Sewage Disposal System constructed ( or Repaired ( ) -.__C1?f`25 i Installer at_ 1, = ... �- .....C►� :1,..� . � _.. ----------------------------------------------------------------------- has been installed in accordance with the�.provisions of TITLE, j of The State Sanitary Code as described in the application for .Disposal. Works Construction Permit No.__. 41..'_9.3_ ____.__ dated_...__v. .�ca.�_s. THE ISSUANCE OF THIS CERTIFICATE SHALL-NOT BE CONISTR ® AS A GUARANTEE THAT THE SYSTEM WILL FUN TION SATISFACTORY. DATE - � ....3J.....:.................•---. Inspector:....---.._...•• ............................... e� l 7-!�F3 0� l i IVA ` t 7-1-I,4 T Tti� ��,�sT��a oc aTio c/ Cam; vi S',�,!oGt/N yE,�EO.C/ Co�ldG Y.S Wirh' SC,4 L G �'= •y.-; p.�1 T� z - ��� SETBA C,4 / (� .COG'A B.4X7.E,C It/oT B�S�"0��/ Ait/ �2EG/STE�F1� !gip SUeliEy!a� /NST,eU�/F_it/T SU.el-E /% ii ti Z�� -yam �"J4 XI 7-1U,,47- 7-/-/!E-� ' S,�-/OG✓�✓yE,�EO.C/ CO/l7PL YS L✓/Tf;' S C,a,L� �'= c�� O.q T.� z - ��� ,q No SE7-z5A C/< .C�EQU�.2E/i'1E1TS OF GATE BAXT�.2E tiyE /ic/C. • T/'/S P/�I.v/S //oT B-4Ss�0�'� Ai(/ �2EG/STE•2E1� 1�/!� SU.�Y�ya� //1/ST,E'U/1�i'✓T,$l/,C 1�C Y�IT.�/� OSTE,G�1�/,�.,-L�� /%4SS. ' ._ • O�.rv�ETS .�`h'01✓1/,ShUC/LI� it/07- 8,� APi�,L../C�/✓� �a G: ��T�: T•L�. - Town of Barnstable Geographic Information System May 29, 2007 9-236 022011 #350 O 038004 #414 2030001 022012 341/ 360 022028 * i4A #365 �� 037009 o �A #280 22029 4« 394 022027 #381 0 022013 4 22036 �022026 #428 388 #391 022014 �#444 022016 022025001 022039 . #460 022124 #409 #440✓ #47 .t 0220f 9002 #364 0220 02 02201 �(� #476 #364 #33 022024 #443 4 037023 022129 022018 #35' 022126 /022023 022017 " #498 a#350 #3s #451 #468 �r C� 35 � v32 022069001 037002 022135 #428 037005 037018 #536 022127�,;� � � #465 022019001 #28 #907 #334 W' 022130 022132001 �, ` #21 037004 #511 _ #44 j 022136 3 / #0 0. 037017 LU L 022021 022019 L#� #72 Q O 44 #491 #510 037001 037007 022131 0220� �" #528 #60 #34� #67� 021� #505 ° #68 0 4 (037006 —x> #50 022134002 021096 021095 036039 9�,, 021108 #0134001 #24 #513 #523 037015 0 o #36022 #0 #89 J ce Q #552 17113 �, ,,, —9— 036021 021107 021003007 021097'" ��` 021006 ,e#564 036023 � �4 #125 #84 #511 #545 #25 036024 036038 021008 #582 036026 #10 002211 03006 021007 #140 #25 036022 0021109� �0 021111 f + 021005 #555 036025 #616 036029002 #256 `7F 1 ' 89 #2 3008 #91003005 021008 #535 036020 #590 036027' #0 ((( #140 # 60 5 #604 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:022 Parcel:018 (� boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel Owner:LEWIS,CHARLES M&JUDITH L Total Assessed Value:$378600 1"=100'may not meet established map accuracy standards. The parcel lines on this map ( IE are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:2.36 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:498 MAIN STREET(COTUIT) /. such as building locations. Buffer �s/ i fL ' �zen Web Request Pagel of 3 1 1 Vt Ill ;RA-0--STABLG 1k2 f d T - ' Logged In Citizen Request Management Friday, M� TOWN\mckechnr ec Route to Users Search Requests Create Requests Request Information Request ID: 20962 Created: 5/22/2007 2:45:36 PM Status: Assigned To Staff. Assigned To: Mckechnie, Robert Building Dept Anonymous: Yes Request Category: Work with out permit edit Estimated 5/24/2007 Change Estimated Am May 2007 Jun Completion Completion Date. Date: Sun Mon Tue Wed Thu Fri Sat 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 118,19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 Created By: Shea, Sally Priority: Medium edit Building Dept Citation Numbers: edit Requestor Information Requestor Request DETAILS: LOCATION: 498 MAIN STREET(COTUIT) Cotuit, Ma 02635 Request Parcel Number CALLER REPORTS THAT THERE Map: �??� Block: ��8 Lot: 000 HAS BEEN DIGGING ON THIS LOT AND HE HAS BEEN INFORMED BY Parcel Lookup ANOTHER NEIGHBOR THAT THIS IS BEING DONE TO CREATE A POND. Email: http://issgl2/IntemalVvRS/WRequest.aspx?ID=20962 5/25/2007 zen'Web Request Page 2 of 3 lEdit Requestor Information Track Request Progress Request Work History: Internal Note History: Entered on 5/22/2007 2:45:36 PM by Shea, Sally CALLER PUT ME ON HOLD FOR A LENGTH` PERIOD OF TIME AND I WAS UNABLE TO RELAY INFORMATION RELATIVE TO MOSQUITO CONTROL NOTIFICATION. THERE ARENT ANY BUILDING PERMITS. System entry on 5/22/2007 2:45:36 PM: Related Request 20961 System entry on 5/22/2007 2:45:36 PM: Assigned to Mckechnie, Robert Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) 'f / I �Spell,Cfieck .�' �Spell�Check«�: Add document or image link: _ - Browse. ; * You can also type in a folder name to see everything in the folder Current Links: Time worked on request: 1 Response time: i"_.7 *Time entries are in hours. Examples of time entries: 1.25, 0.5, 0.75, 1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. http://issgl2/IntemalWRS/WRequest.aspx?ID=20962 5/25/2007 Citjzen Web Request Page 3 of 3 A� { �* Do not include nights, weekends, and holidays in response time for most departments. r% Save changes I--; Check to notify town employee below 0 Save changes and notify to review this request. Building Dept [� ' citizen* r, Close request and notify citizen* IAmara, William Brief message to reviewer: *notify works if email address was given ,U'date SpeI1 Check' Public Use: Printer Friendly Version Internal Use: Printer Friendly Version http://issgl2/IntemalVvRS/WRequest.aspx?ID=20962 5/25/2007 Citizen Web Request Page 1 of 3 J E DE 3 r ` ARNSTARL ' ti�nss k jj " Logged InAs: Citizen Request Management Tuesday, M� TQWN\shear Route to Users Search Requests Create Requests Reports Request Information Request ID: 20961 Created: 5/22/2007 2:45:18 PM Status: Closed Assigned To: Karle, Darcy Conservation Dept Anonymous: Yes Request Category: Wetland.violations Estimated 6/8/2007 Change Estimated May June 2007 Jul Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 21 22 23 24 25E26 27E2829 30 1 2 46 7 Created By: Shea, Sally Priority: Medium Building Dept Citation Numbers: Requestor Information Requestor Request DETAILS: LOCATION: 498 MAIN STREET(COTUIT) Cotuit, Ma 02635 Request Parcel Number Map: 02�? Block: ��8 Lot: 000 CALLER REPORTS THAT THERE HAS BEEN DIGGING ON THIS LOT AND HE HAS BEEN INFORMED BY Parcel Lookup ANOTHER NEIGHBOR THAT THIS IS BEING DONE TO CREATE A POND. Email: http://issgl2/lnternaIV,RS/WRequest.aspx?ID=20961 5/29/2007 Citizen Web Request Page 2 of 3 Track Request Progress Request Work Internal Note History: History: Entered on Entered on 5/22/2007 2:45:18 PM 5/29/2007 8:54:34 by Shea, Sally AM by Karle, Darcy CALLER PUT ME ON HOLD FOR A LENGTHY PERIOD OF TIME AND I WAS UNABLE TO RELAY INFORMATION RELATIVE TO MOSQUITO Not CONTROL NOTIFICATION. THERE AREN'T ANY BUILDING PERMITS. conservation jurisdiction. System entry on 5/22/2007 2:45:36 PM: Related Request 20962 System entry on 5/23/2007 9:38:58 AM: Assigned to Karle, Darcy System entry on 5/29/2007 8:40:51 AM: Estimated completion changed from 5/25/2007 to 6/8/2007 System entry on 5/29/2007 8:55:10 AM: Request Closed by karled System entry on 5/29/2007 8:55:10 AM: -Please Review- email sent to Shea, Sally Add document or image link: * You can also type in a folder name to see everything in the folder Current Links: Time worked on request: OF 50. Response time: 0.50 * Time entries are in hours. Examples of time entries: 1.25, 0.5, 0.75, 1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. * Do not include nights, weekends, and holidays in response time for most departments. Public Use: Printer Friendly Version Internal Use: Printer Friendly Version http://issgl2/InternalWRS/WRequest.aspx?ID=20961 5/29/2007 Citizen Web Request Page 3 of 3 http://issgl2/InternalWRS/WRequest.aspx?ID=20961 5/29/2007 POOLS ❑ If located in ORH, fence only requires Certificate of Appropriateness ❑ If located in Hyannis Historic Waterfront District,pool&fence need certificate of appropriateness. ❑ Map &Parcel #.. Sign-offs from: ❑ Health ❑ Conservation ❑ Tax Collector ' ❑ Treasurer ' ❑ Dimensions ❑ Estimated Cost ❑ Owner's name&address ❑ Complete dwelling information for the Assessor's dept. ❑ Applicant's telephone number ❑ Signature , ❑ Construction drawings or factory brochures& specifications ❑ Certified Plot Plan ❑ Workman's Comp. form. Copy of Insurance Compliance Certificate must be on file. ❑ Application fee ❑ Permit fee Property Owner must sign Property Owner Letter of Permission. In-Ground pools ❑ Home Improvement Specialist's License OR Homeowner's license exemption ❑ Check expiration date &attach photocopy of license(s). ❑ Home Improvement Contractor Affidavit ❑ Show placement of fence,list description of fence and materials used Above-Ground pools No license required. Any pool equal to or greater than 2' deep, or a minimum of 250 sq. ft. (18' diameter for round),needs a building permit. NOTE: INGROUND POOLS MUST BE FENCED WITH A 4' HIGH, NON-CLIMBABLE FENCE WITH A SELF-CLOSING, SELF-LATCHING GATE. FISH PONDS:= " Any pond or pool equal to or more than 24" deep MUST BE FENCED WITH A MINIMUM 4',NON-" . . CLIMBABLE FENCE WITH A SELF-LATCHING GATE _ q-forms:permits l rev.0630044 G�l►�� 5bS �✓ -77� 1033 �ti•, a - The CUtllttiwiwealt/t of Atussac•huscf6 Di parttnc nt of huhtstrial Accidurts Office CUM. 600 Washi►igtotz Street- BustonAfa.vx 02111 Workers' Compensation Insurance Affidavit i li an inf rm i .n•. --- 7P Muse PRINT m i location• 4 � ��•� city i i' rhonr# am a homeowner performing all work myself. a 1 am a sole proprietor and have no one workim- in any capacity [j I am an employer providing workers; compensation for my employees working on this job. cnumanv n•tme: Pa�� �. �'�a�aa��1= '�—�a�s Ft-aEr1=•��g address: P n Rox 910 city: Marston Mills MA 02648 nhnne 428 1171 insurancecn. r-rPr7ii- r^,enPr,q1_1ng rn Ppliev# SWC 17005900 [I I am a sole proprietor, general contractor, or homeowne(circle one) and have hired the contractors listed below who ha�•e the following workers' compensation polices: s . comnany natnc: address: city: nhnne#* insurance rn.. nolicv# _.._-._ ... � ._.�_—....-_. _I-♦ .rY...�._......w-rw�:.►V,.rrJr'"- r. ..1• _ �4 __ _ .1.' - _ a.r:Yrr .�.—_—� r a comnanv name: address• rit' Phone#• insurance co. nolicv# 'i Attach additional sheet if necessary.• Ji".' .-.r_ ,,,ri'. :' �+:+�:.,• ..: ---- .-. -•- --�•--•��—•- --�.r. Failure to secure coverage as required under Section 25A of AIGL 152 can lead to the imposition of criminal penalties of a tine up 10 SI.500.00 andior one%cars- imprisonment as\cell 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 su:rtcmeut may be forwarded to the Office of Investigations of the DIA for coverage verification. l(Io herehl•cerrifi urr! rlre pains and p rallies of perjun•that the information prol•ided above is true and corr ct. Si^nature Datc 9)6_91-pir -Print name . _.., __-, Phone# G2>3-1177 n�cial use onh• do not write in this area to be completed by city or town official cit or town: permit/liccnse i# r'tBuilding Department.' • *. CD _ oLiccnsing Board [ check if immediate response is required �Seleetmen's Ufficc • C311callh Departent r contact person: phone#; mnUlher !. iJ ORD CEITIFLCA`TE O F �L1AE31 .IT ` INh�4(dc� .._SR DRY' DATE AC ,. AJLJ-2 08/12/98 I. �ooucER 0` THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ma ke,Swan 6 Crocker Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE i agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 14 Lot's Hollow Rd. ,PO Box 429 7:ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. :Orleans MA 02653-0429 COMPANIES AFFORDIiIG COVERAGE David D Rust COMPANY Phone No. 508-255-3212 Fax No. A Assurance Co. of _Unerica klt SURED - COMPANY B Credit General Insurance Co. I Paul J. Cazeault etal DBA Paul COMPANY f i J. Cazeault 6 Sons Roofing C P O Box 2781 Orleans MA 02653 COMPANY {t:L7VFRACsF.S 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 DOCUMEI•IT 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. C'O TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION 1.TR DATE(MMIDDIYY) DATE(MMIDDIYY) LIMITS 1 GENERAL LIABILITY GENERAL A.e;GREGATE $ 1000000 X COMMERCIAL GENERAL LIABILITY CFP25552812 05/01/98 05/01/9S PRODUCTS COMP/OPAGG $ lOOOOOO CLAIMS MADE OCCUR PE,SONAL ADV INJURY $ 500000 OWNER'S 8 CONTRACTOR'S PROT s EA H OCCL 2RENCE $ S O Q O O O a• FIR-DAMAC.=(Any one fire) $ 300000 MEDEXP(A:y one person) $ 10000 AUTOMOBILE LIABILITY ANY AUTO CO`-aBINED:'INGLE LIMIT $ ALL OWNED AUTOS -- I SCHEDULED AUTOS r(s ALY INJI 1Y $ HIRED AUTOS pl NON-OWNED AUTOS SO ent:Y accident, (Pe acciddent S i PR(-'PERTY r 4MAGE $ GARAGE LIABILITY AW D ONLY EA ACCIDENT $ ANY AUTO OTI:I=R THAt,AUTO ONLY. E,�CHACCIDENT. $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND WC STA U- OTH EMPLOYERS'LIABILITY TORY LIt+rITS I ER EL L,\CH ACCIDENT $ 100000 PARTNETHE S(EXER/ INCL ..SWC17005902 08 09 98 08/09/99 FEL ASEASE POLICY LIMIT $ 500000 PARTNERS/D(ECUTIVE / / OFFICERS ARE: EXCL DISEASE-EA EMPLOYEE $ 100000 OTHER )ASCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS -Roofing :ERTIFICATE HOLDER <,. ;,.CANCELLATION t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 4 I EXPIRATION DATE THEREOF,THE ISSUING COMPl.NY WILL ENDEAVOR TO MAIL ` 10 DAYS WRITTEN NOTICE TO THE CERTIFIC,kTE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHELL IMP0•E NO OBLIGATION OR LIABILITY OF ANY KIND ON T E COMPANY,ITS AGENTS OR PRESENTATIVES AUTHORIZE EP ATIVE , : C ..25..[t/96j AC' - = ' ' ORD CgRPORATIQN 1988.,�:' • I. ✓fie �o�nan a�uvea� o�`/ a�� ww. . HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards `- One Ashburton Place - Room 1301 Boston , Massachusetts 02108 'i HOME IMPROVEMENT CONTRACTOR - --`- - --------------------------- Registration 103714 Expiration 07/09/00 Type - PARTNERSHIP i OL HOME IMPROVEMENT CONTRACTOR Registration : 103714 PAUL J . CAZEAULT & SONS ROOFING Type - PARTNERSHIP 0 07/09 00 Pau J C e Ez irate n / 1 az ault P i 22 Giddialt Rd . P .O . Box 2781 Orleans MA 02653 PAUL J. CAZEAULT & SONS ROOFIF' Paul J. Cazeault i �iddialt Rd. P.O. Boz 278, ADMINISTRATOR Orleans MA 02653 jaw a Or-PARTME;NT OF PUBLIC CWETY 136726 ONE ASI18URTON PLACE • RM 1301 BOSTOIN , A 02108-1618 CONSTRUCTION SUPERVISOR L.f(GENSr. :} T Number: Expires: --- CS 026325 10/20/1.99q - Restricted To: Gt 0 7 futx *4 1 i1 �tt PAUL a r.A1E.AULr r 1585 MAIN ST OSTERVILLE, MA 02655 �''' r► L Kee to for receipt: and change P P f 9 bf address notification. .t ✓1e tponx9non«ac ✓�la�aacrfiuQoil 1 DEPARTMENT OF PUBLIC SAFETY CONSTRUCIB# SUPERVISOR LICENSE Number: Expires: Restri"40. BB "L J tAI1 AULT 1585 MAIM ST OSTERVILiE, NA 12655 F . . SARrsr�UX • The Town of Barnstable NAMS Department of Health Safety and Environmental Services BuiIding Division 367 Main Street,Hyannis MA 02601 , Office: 508 790-6227 Ralph Crossce Fa)c 508 775-3344 ' Building Commission For,office use only - Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW r SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"n=nstruction,alterations,,renovation,repair,modernization,conversion, improvement,,temov-4-demolition, or construction of an addition to any prmdsting owner occupied building containing at least one but not more than four dwelling units or to which are adjacent to such residence or building be done by registered contractors,with certain eexceptions, along with other requirements- Type of Worm: + Est. Cost Address of Work: Oaner.Name t ( ' /l �.►�- �-/i1 - e of Permit Application: ) Y Date ApP mt I hereby certify that: . Registration is not required for the following neason(s): Work excluded by law r r Job under S1.000, Building not owner-ooc upied ._ Owner pulling own permit Notice is hereby given that: ORS OWNERS PULLING THEIR OWN PERMIT OR DEALING WTI'HUITItEGIb"fERED CONZRACTM FOR. APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE . ACCESS TO 'THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c I42A ,. SIGNED UNDER PENALTIES OF PERJURY I Hereby apply for a permit as the agent of the owner. Date Contractor Registration No. OR a, RE-ROOFING %m � . s If located in OKH or Hyannis Historic District-Certificate of Appropriateness ro riateness required unless same color/same materials specified on application ®� Map/parcel number Sign-offs from: Eg:� Tax Collector ® Treasurer of squares.of shingles or square footage of roof to be shingled "pecistripping old shingles or going over old roof. If going over dhow many roof layers existing now Owhat size are rafters? What is span? [� Complete dwelling information for the Assessor's Dept. -if known Workman's Comp. form [Home Improvement Contractor Affidavit(RESIDENTIAL ONLY) Home Improvement Contractor's License OR Homeowner's License Exemption(RESIDENTIAL ONLY ®� Check expiration date on license COMMERCIAL WORK-No License is required. Fee*D-S q-forms-PERMITS 1 Rev 612/98