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1272 MAIN STREET (COTUIT)
�� ��k �./ \. �� 'JJJJ/ Y I� i I { I �1 Town of Barnstable - nr y - �PostrTh�s.Card So&That rt is1/�sible-xFrom theStreet ;Approved:Plans-M,,ust be Reta�nedon Job and this Card Must be Kept MASS. Posted Un#�I,F�nal Inspection HasBeen Madex61 1639. Where.a Certificate;ofOc'cupancy is Required;sucfi Buildmg'shall Notbe Occ pied u"nti)a final Ins"pectiorr:has been made Permit No. B-18-171 Applicant Name: DAVID COX, INC. Approvals Date Issued: 01/23/2018 Current Use: Structure Permit Type: Building—Siding/Windows/Roof/Doors Expiration Date: 07/23/2018 Foundation: Location: 1272 MAIN STREET(COTUIT),COTUIT Map/Lot: 033-037 Zoning District: RF Sheathing: Owner on Record: SWARTWOOD,CHARLES B 111 i Contractor Name: •DAVID COX, INC. Framing: 1 Address: P O BOX 800 Contractor License 100497 2 COTUIT, MA 02635 z Est Protect Cost: $20,000.00 Chimney: Description: re-roof stripping old E Permit Fee: $ 102.00 z: Insulation: Project Review Req: Fee Paid $ 102.00 1/23/2018 Final: Plumbing/Gas i w Rough Plumbing: �. = 0, 4., Building Official Final Plumbing: a This permit shall be deemed abandoned and invalid unless the work authorized byithis permit is commenced within sw months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and,the approved construction documents"for whicFi this permit has been granted. All construction,alterations and changes of use of any building and str`uctures=5hall be in compliance with the local zom g by-la sand codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or roa&6d shall be maintained open for"�public inspection for the entire duration of the work until the completion of the same. Electrical O Service: The Certificate of Occupancy will not be issued until all applicable signaturesvby the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:` a Rough: 1.Foundation or footing , . .., :„ E.. ;:<.,. •, `" 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ., „oy Town of Barnstable *Permit# Regulatory Services fee 6 monr s from issue dare • swRivs�A's�e.`• lap` , Richard V.Scali;Director 3 Building Division Paul Roma,Building Commissioner (��1��, 200 Main Street,Hyannis,MA 02601 '" www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY U U Not Valid without Red X-Press Imprint Map/parcel Number - �L/'1J17/fit/ Property Address V Residential Value of Work$ ,��� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 1��?_ •%7�YIfy � Contractor's Name Z6lz � Telephone Number j_ —�'E; Home Improvement Contractor License#(if applicable) "y Email: Construction Supervisor's License#(if applicable) orlcman's Compensation Insurance Check one: ❑ I am a sole proprietor lI 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 Requ st(check box) Re-roof(hurricane nailed),(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value - (maximum.32).#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 ofthis 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:IWPFILESTORMS\building permit forms\EXPRESS.doc . '06/20/16 } ?Ire Coatmomveaitit of Massad tzmetts Dqwtweut cf radus&id Accidm& 6#10 Washhi-gton kS`treet Barstrin,MA 02111 mmumasmgovIdin Warlcere Cumpensafiun Imur"ance Affidavit S-uilders/Ctm&actGrsJEIectdcians/Phtinhers A13PUCan#Infar1312ti0n Please Print 11y Citgfstat ca* phone - Are YOU an employer?Check the appropriate box: general Type of project(reg�ed}= 4. am.a general Contractor and I I.�I am a employes Ta,ith �_ ❑ 6. ❑New oomst�on, employees(full amWor pazt�me).* have hiredt&a SUbb-c02tMCt rs . 2.❑ I am a sole proprietor or partner- Tisted on, tlle attached sheet 7. ❑Remodeling s*and have no employees . These sub-cantractors have 8. ❑Demolition Wading forme in any capacity: enTto�andhavewodmrs' 9..❑Suildizmg additeoa JNQ fig'comp_invxance Camp.inSUGUIC I required.] 5. ❑ We are a corpozatim and its 10-E]Electrical repairs or addifions , officers have exercised t 3_❑ I am a hotneowmer doing all work 1L❑ utnbiagregaizs or$drlitit3as mysef[No woslaess'comp- Tight of exempfion per MOL 13.ERoofrepairs immnancei &]1 C.152, §1(4) and wehaweno employees.[No Wozrs' 13-0 Other comp.insurance mquinAl , #Any i"Hc3mt9mtcheftbos F1 mast also finestthe sectioabeTawshcining their aodce�compeasatiaapn&epiaFo�sFimL t Mmemmemwho sabmit this Rffdavi£ they ore doing spoon&surd&eahim Qutsidernmbrsnrs— submit a newaffidavit iadieff!1ina mach_ ZCanirac I 1b2r eheekthfs bax must attschea sa additioIIat shed sboudng thensme cf die and state whether arnat these erd8esb.xm e 4&yees.If theanb-c=�hmmnptoyw-%9heymustpmvidetheir wadma'tomp.yGhcy umiser_ lam as $eloty is Ma porky rind job site a hzforrrratron. Insurance Company lirame: y;✓.� LJ Paficg or Self-ins Liml).�-y j°/, FkpigatiaaDate: Job Site Adder Z2,-- " 6; --� - Cqls L Aftach a-copp of the workers'compensation policy dedaration page(shoving the policy,number and respiration date). Failure to secure coverage as required under Swtian 25A o€MGL c.157 can lead to the imposition of criminal penalties of a fine up to$UOQ00 and.For oxii:yeirimprism xnenk as well as civil penalties in the form of a STOP WORK ORDER-and a flare' of up to$250-00 a day against the violator_ Be a&ised that a copy of this statement maybe forwarded to the Office of 1mvvestcgations of the DIA for imssurance coverage yerification- Ido[wreby car* die pains andprqqWezqfpedW7 that the&fbnnatorrpnatided abmra h true and correct it�ature Date: ` Plxoae � O�aL use rrr�IJ: �IIo oat rcrrfa in fF�s area€rt be arrripfeted by raiy srta�tyn a,,>�al , . City or Town: Permhff-ieense 9 Leg Anthority(Carrie erne): 4 L Baud of Health M Builafing t 3.CAyfrow n Clerk L Electrical Inspector 5.Plumbing Inspector fi.Other contact Person: Phoae#- haformation and lasesactions 7yfRL�scft8 Geb=at Laws chapter 152 reclai=all eruplt y=to FUME--waIIeas'coarpensat=for than•employ= purs�this state,an ezrq7Ioyee'is domed as=every persdn in the service:of another under any contract ofhfrey express or implied,oral or writtm." An empkyer is defined as"an mdiVidual,,p ,arssotaahon,coaporaiion or ather Iegal thy,or any two or more Of the foregoiug.=agaged is a joint a tapase,and ar hu:Eng the legal regneserda&=of a deceased employer,or the receiver or truster of an m dividnal,padnmsbip,assocladion or other legal entity,employing employees. However the owner of a.dwellhag horse having not M3.=than three aparhnmts and who resides ffierein,or the occupant ofthe- - dweUing house of another who employs pests to do mamieaan-ce,c^usirm-t'on or repair work on such dwelling house or c the grounds or bm-1�app trier ft)shall not because of sar.Ii eucp n loyment be deemed to be an employ=. MGL chapter 152,§25C(6)also states that every state or local licensing agency shall withhold fhe issuance or renewal of a Ha nzse or permit to operate a buskess or to constrict bmldings in the cammonwealth for any applicant who has not produced acceptable evidence of compr=c:e with tfre mcarance coverage requn ed." Addx onally,lvMGL chapter 152,§25C(7)states-Nedhm the commemwealfh nor a'uy ofits political sab&visions shall enter a,tD any contract frnr the,pMf auce ofpubho wmk uatti acceptable evidence of ccsmpiiance With the alsm�nce. reqm emer¢s of this chaptt�r have been presented to the c;=Erad�anfhO ty-" Applicants Please fDI oist the wows'compensation affidavit completely,by chwJking the boxes fat apply to your sifnation and,if necessary.supply sab_contractnr(s)naie(s), addresses)mdphcne MM3ber(s) alongwiththm cetficste(s)of ir1snance_ Limited Liaba=ty Companies(LLC)or Laaited Liability,Parinessbips(LU)ono employees other than the members or partnexs,are not required to terry vwoike&compensation fiL3ar mce- If aA LLC or LLP does have eanpIoyees,apolity is reposed. Be advisedthatthis affidaQitmaybe submif�dto file Deparment of Iudnstial Accidents for conEimaf M of insurance overage Also be sire to sign and date the affidavit The affidavit should be retmieti to the city or town that the application for the permit or license is being requested,not the Deparmmmd of Indnstriai Asscid�+�- Sbouldyou have any questions regarding the law or ifyou are regnaedtn obtain a workers' compensation policy,please call fine Department at the nnmbes listed below. Self-assured ctm.-ipanies should ear their self-insoraace license nnir_ber as fhe approgriaf--late. City or Town Oftxcials t _ Please be sure that the affidavit is complete and priated legibly. The Deparmmcut has provided a space of the bottom of the affidavit for you in fill out in the event thO Office ofIuvestigatices has to 8o0tBctyanregMI alg the applicant Please be sure to fill in the pei/Iicenm number which will be used as a mb=: c;o member. ?n addition,an applicant chat mast submit multiple pennMi=ce applitafions in any given year,need only submit one affidavit indicating eun-ent " "all locations in �y or e ' licant.hoLILI write Ad.�ess fit ohcv mforna-tine- if necessazy)and under mob�e app _ _ . P � town)_"A copy of the-affidavit that has been officially stamped or madced by the city or town may be provided to the applicant as#oo-fthat a valid affidavit is on file fur Rita permzts or licenses A new affidavit must be tiIlcti Ott earh year.-A�h=a home owner or citizen is obtain g a license or pelt not related in any business or commercial ire (ie_a dog licm=orpeanit to bum leaves etc.)said person is NOTrcT*cd to complete f3is affidavit The Of ofInyesligaiions wouldlid to thamk you ia advice for your cooperafloa and should yam have any questions, please do not hesitate to give us a calL The Department's address,telephone and fax number: nua C0==WWMofh , Depadment of�AoDidenta f ice�.f�t- g�1io� TirL�617' -4 c�ft 4€6 4r 1477 MA S&� Fax 617 727 7749 r evised 4--2"7 - .9MIrldia- Town of Barnstable ` Regulatory Services IL KAM ` Richard V.Scal4 Director �,ua► Building Division. Paul Roma,Building Commissioner 200 Mth 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 1 , I, rJ A&.rZ�� S , as Owner of the subject property hereby authorize to act on my beh4 in all matters relative to work authorized by this building permit application for: >z -7- el (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 inspections are performed and accepted. �. Signature-of Owner Signature of Applicant Print Name Print Name , Date QYORMS:OWNE"ERMSSIONPOOLS Town of Barnstable Regulatory Services p4T Richard V.Scali,Director r Building Division * s�►xxsres�. • Paul Roma,Building Commissioner MASS a�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038. - Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: J03 LOCATION: number street village - "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall-act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often .results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 c8af CER nFBCATE OF LIABILITY INSURA �� , a� , .v ate, NCB �►���., ,-., 04 cue Necl;A �+cAt� i►Vei. No aOR'WDIIIII�DOs$$ NOTZXT We A�Tir?R � 'MTHCATB 07i4' `' hatdRr hr 11R NO-Oft ACT N r�We by TW ADLIe(sg r and RL"t L"Ift Am of■colt r� ^ye!►rsgrriMe anY(fea)ttllrp m! +�ooweaR aea on�` mtplatbtr deft not NOR'e"Mwo=ESNBAUG.H INSUPANCE AG Geddts �'r+atite sa alp tf10 MMN BTmom MA 7a1-low NYANNS t DAVID COX INC '-- A- ►ry cp OF,a icy-.. -�-•^! � Po Box 401 rrns s;to csatu�11''ll1At TtIB � Tea • ia,ttla -.._�___ --..._. _. CfJiRRIG74 MAWMY aB IUD ARMY Rm Tfft OR )HAVE BAN iS j TO 7NE x q® N PERTAIN,THE EC 1t>N tK ANYOTM ABt7vE RpA T►sg PQl ICY r'EIt100 EXS�LW*W AND C®IdD(T ,tg OF BIJC.tt aP DED BY TFI!you DWUOdeK1 VA'TH RSPECT TO WHICH THIS POLIGEB r.HN0T9 8l�VUDt II�Y i{AV&p� D BY RAID CWMS. 16 BUeJL�CT r0 AFL 4areprmst� ►►+E T6FihAS CLANSISA" Cl _ uaur ptn; WA yea exv AQQFtff v • __._ i ro wq soodYw�uaY(Fla Ai R0a ANit�a D a0D4Yommy(P1Ir ) s- s.�--_._ -- ncaraws AtlltttAeltalV ro A rtRK ct wn ° No Iwo, SMUMIOX742217 0711601ferg. blifts—M."Coo rz , .air�ysx a 500,000� NIA of pMOltl/pA/ItlgallDliAUtitlaltlRlM AS( 161,AddVAWAld-to t iotma,mwtsaltes�d#MwIsmb- Wsd) fttWn'C*tC0atlion bwWb WNi be paW tD Af spduneft&rPWyees OW PUrSusrtt to Erdorw*nt WC 20 03 OB B,n0 eutPtDrts&m re 91reR jo pgy d**(Dr b"Wk'a enlplDgBN dH stelae other VW�V the Iltsi M N w,or has Nw those emptoyeee oca9s)d6 Of MASuch This ttsrtllam of kiswwwo ahttwe Ow Aolky In forge an the dew that thig eertlttcate we,tam(unless rite oofttlon doe an the above prtl�dea the (9N1a Of 111�DaftlNCdNe of Irtwnrw). The striEus Of"C&MV s tarn be monNOW dad!'by 8 m PW of COv sumh tool at WAW, ss.pal>MrdAa yens Veril{oatio<, Tt011 BttO1K.Q At1Y of TIIR A�rR tl�a�p POI„IC�a$ON C�ttCaL4.RD Rit'ORe tltE !>aaM7tON OAT6 tNlsttOR, NOT16R 1NILt. OB DRUMM 0 Tom of Samstabla tsant Tt�Prsutw�ttor . �a town at ' AIJ"n1Dre�11N1�r+rAifYa Hygoll* MA OMI A., Douai U.cm 4y,CpCU,vice PreNdM—Reetdual Market—WCRIBMA 401 14 ACORA CORPORATION. AN t(ota nmW%W. ACORO U(2014001) The ACORD name and tope are registered amAw of ACOND Commonwealth of Massachusetts Division of PReguiations and Standardessional L�censure s � Board of 8uild'+ng 9 Construefor Supervisor Expires: 101 I512019 CS-063537 A DAVID R COX., PO BOX 401 UTH MA 02664. SOUTH YARMO Commissioner ri�ln`frnur»m;r[ntri�l�c�r •. Office of Consumer Affairs&Business Regulation SOMEl MPROVEMENT CONTRACTOR + registration: 100497 Type: xpiration: .3/25/2018 Private Corporation - DAVID COX, INC. I , I . I David Cox r 19 LAVENDER LN ' W.YARMOUTH,MA 02673 Undersecretary. I s Assessor's Office(1st floor) Map O �� Parcel Permit# e Conservation Office(4th floor)(8:30-9:30/ 1:00- 2:00) Date Issued -� Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) o! "f Engineering Dept. (3rd floor) House# Z ;7..- INE r Planning Dept.(1st floor/School Admin. Bldg.) SEPT_ 87 Definitive Plan App e - %Planning Board A TOWN'OF BARNSTABLEAmD Building Permit,Application Project Street I'R 7& meov\ Village Co (� �- .Owner A Ir-AAS, �jV.��,2� &-boc Address Telephone Permit Request 'z 1c �y ✓i�s 5 %pi��, lS' l�Pc� (o/ / c(� , --t—c-lte�k (p See c., cc.LiP� First Floor square feet Second Floor square feet Estimated Project Cost $ 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 Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name /4n�Qil�'�'c.� '( rl,�- Telephone Number �5_ Address i ®(J F-L jPAQ L,.f'L) License# �S IS', ✓17c, Home Improvement Contractor# a-O'C �( Worker's Compensation# LA PI 6 (57 3 3 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 BE TAKEN TO SIGNATURE DATE L BUILDING PERMIT DENIED FOR THE FOLLOWI G REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL'NO. ADDRESS . VILLAGE OWNER DATE.OF INSPECTION: FOUNDATION r FRAME ,.INSULATION -FIREPLACE � ' t ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH }'FINAL fi GAS: ROUGH FINAL - FINAL BUILDING DATE CLOSED OUT 4' ASSOCIATION PLAN NO. , ! f . • Tile Commosl<•e01111 of.4fassacllusem Dcparrnrull ojludusa ial Accidents P. lad rA 600 ff irsbitrg7on Street �-' Workers' Compensation Tinsurance Ald2rit _ o Cin ❑•1 am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity M-I m an employer providing workers' compensation for my employees working on this job. cnna0} �/►`e/i ��Cr� �ti� city-. t' (�STO.� . I�S f�� nitnnefh tQ�unnr co <ZACn. ❑ I am a sole proprietor,general contractor, or homeowner(duck one)and have hired the contractors listed below the following workers' compensation polices: m•n Rhone#- Reiic�tt Cn-mriinv rtafne., address- nhone it• Reiser o ' S Attach additidnai-sheii iCrieewsr '�'�'�""z '''`•�" ""r �� Fnilure to secure coverage as required under Section 3A of 111GL 152 can lead to the impaaitioa otcrimUnd penalties ota Cite UP to SISOOX tine}•ears'imprisonment as.vell as civil penalties to the forte of a STOP WORK ORDER and a fine ofS100.00 a day gWast me. I undexsuL COPY of this statement mad•be forwarded to the()Mce of Iavestiptions of the DIA for eeverare ve'ifl ation. 1 do Iterchr cerrify under the pains and penalties of pcdurr that the information provided above is tire and corrnt � I�-S,rr Gate Signature Print name X0-�„9l�enc �- 1/'i`CC�l Phone# o(&iai•use oniv do not write in this am to be completed by city or town oMcW cin•or town: ltermit/llaase t! �'Tonildlap Department aucettsiat:Huard • OSeleetmea's Orrice Q check itimmediate response is required CIfesith Department information and Instructions Massachusetts General Laws chapter 152 section 25 requites nil employers to provide workers'compensation employcrs. As quoted from the "law".an empinree is defined as every person in die service of another under contract of Hire. express or implied. oral or%Titter. An emplt rer is defined as an individual. partnership, association. corporation or other legal entity, or any two die foregoing engaged in a joint enterprise, and including. the legal representatives ofa deceased employer, or recei%,er or trustee of an individual , partnership. association or other legal entity, employing employees. Ho«-( owner of a dweilinL House h2ving not more than three apartments and who resides therein. or the occupant of t duAciling !louse of another who employs persons to do maintenance, construction or repair wort: on such dwell or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an err MGL chapter 152 section 25 also states that even•state or local licensing agency shall withhold the issuanct renewal of a license or permit to operate a business or to construct buildings in the commonwealth for ar. applicant who lies 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 thf performance of public work until acceptable evidence of compliance with the insurance requirements of this ch: been presented to the contracting authority. ` Applicants Please '111 in the workers' compensation affidavit completely, by checking the box that applies to your situatior. supplyin` company names. address and phone numbers as all affidavits may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. Tlit 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 re: to obtain a workers' compensation policy, please =11 the Department at the number listed below. 77 \r-�....'w+.�.1..I �rr� .\'.�,.Nf._./�� _ �• .. �. .ate.. Cry or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bolt the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant- be sure to fill in the permit/license number which will be used as a reference number. Mie affidavits may be retw the Department by mail or FAX unless other arrangements have been made. Tlie Office of Investigations would like to thank you in advance for you cooperation and should you have any qut please do not Hesitate to dive us a call. +fir�.w•�..r...r...r...!�.s.+. • .. - �. .. .. .-..�..._. .\.,.� .. The Departments address. telephone and fax number. The Commonwealth Of Massachusetts Department of industrial Accidents r Office of lnvesugations 600 Washington Street Roston,Ma. 02111 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I MF L DATA. � s ass �•<'ai �k; � ' ..,E� "��, „a'�� ru+e +•?;'fit. "r,` � �, �„'� 'v. ��-�f�a''�`t�'S�y`� s�� .. 't�..dN" .k -tom, "w6 ,*' :r., � ��.,,.t+ f• r �F r €G '' .»+Y' '",w't' k% 'a.i -dwa' '"s k :{rc e'Nin"��i''... ":;��' � ..: :} ..:-� :'.:..st`xw r� :'.��1 �.ro <rX;i q+y..:.n�. r P.<Y,,.�. 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As essor's ace(1st Floor): q Ass ssor's map and lot number �J� '-�J1 �t � 1� %Tur *Cbnservation ,� . �cJovQ 1 ��� �dt' � `�P'� •w Board of Health(3rd floor): , z{ t3e�,nx..t � 4, Sewage Permit number WW�,��nn� � { DAUsTUL Engineering Department(3rd floor) /a MANIL 701 FJ � /�® '0�® �� ���� '�o„�16 9.``�d° House number•_ �' �*' Definitive Plan Approved by'Planning Board 19 ® k;kz--&r �n� � e APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2,00 P.M.only TOWN OF BARNSTABrk�"® BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION I f✓�TI ,A1r'_ S Jf TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location "� �c.�,V ` 1 oZ7 cC'ory T Proposed Use SI IJGLr-- P-Arn I L%4 Zoning District F Fire District Name of Owner C� Al2UrcS' �, SW P.2-1 11J=> . Address Iq CSQ-T 0X-- Name of Builder QCC*QS fit►' N*( �2Qtq-, 1 t`1 C Address_ T-()• WOK Name of Architect �+L Mq--$ `VOL*f--,4 Pl Gl4'L;rt2 Address St 1 j03-1cp 3 Number of Rooms �q� IJI C Foundation RWYL*!r> CXO►JCYL4---14 Exterior WC)nb SV-\AQC@�-r Roofing Wocc> sot kk Floors \,X/O©r-> Interior __Sk.IM Cic'An P1.4S1 Heating 17oC2 Cab }�-1 Alt2 ?:>4 NA"I. GAS Plumbing 2 y2 P.SA1!-IS 1.1W�,tb K 11C(Alt w Fireplace Approximate Cost 600, 000 1ST FL- 1-1113 Area 2Nt7 FL 1312 Isc8.53s�_ Diagram of Lot and Building with Dimensions Fee Z'1-Z . o'L 33 t ►48r %9 1 100 / ►� 1�R1V+EINA '� '?3 - - 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 GZJ-Z42kD&:�� Construction Supervisor's License O b 14-19 No— permit For dwelling —, _ Location �e , -.Cotuit + _._ I ; <f Y r. 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James Volney Righter Ar hltects Inc . da wtmer at<tt ': - D a{ - m "' Bortou, Musachuaetts 0210a :' - R1 _ FAVE DETAILS 1� I:p. �o4T 44 SW :ARTWOO `rd. fa1v1 as1-sTao:-: - i _ - ;..` .. e.e aa1T):.as1-xsov;: ... M a s s a'c h o S e t t f . .^ . ..: . C o.t.a 1 t, s: • r-�1�-�-r 2 �'L a -g 27.9 dt� do.5 2>4 �o.c 9/.7 I � EXIs�uG ' srvvE , ( 4 Z �j AW6�CfUG I D/lrVF 21,4 covert. a.l-----3x. Tom IS Pert/ I Co1)gT ' 152 ' II �CKEA ,i f}eP � 'DGUELUN(e e/p 7aNC N; I 13 o �3GovEe �Bok Jg `f 9oIM'�• P-B/58 C-G ru Z lz dl o0 3 ro 3 33,L 33 e. L toe,-As �EA�1 VIEW AyE OF ru A. PETER Ss� rro.>8AXrER '" SULLIVAN m � No. 29733 0 ONAI E«6� �r�>=SIGN - --_yATA sI►�r�c. F4M,,L-y d $EMWMs 5dCZ?- I of 2 wl T- (>AIZFSAf;E GRiIJnEV� PAIL( FLo1c( dXlto {5v`�o' 6R� SEPTIC TAB V- Quo iloo` - ,wo 6PD v5 G ISc 6Ac. 5 't-'�AIJ olJ ' �ce.EvF _DMOSAL PIT 2-locaoG�c. h;sJ� -L r 2 51 D E WAU- AREA --3-7 1 SP 3-)') 5F x 2 S =q42 4f.M . c BAN VI t✓b(/ ;� 'OO ToM A2fA = I S&SF T"o I TcMI-tz,516W = I oLl 8 6I'D, TorAL DAILY FL0N! =C,,e,D 6p0 :, ce, PE¢c V 4-ATi oN 2A-M "t�J Zvt,N MESS OF OF anti ao PETER anx. H SWIVAN -+i No.noes f. No. 29733 y d N /�'So�toaJ FIL.0 �«-�- TF 33 s„'�,t✓ �, do j'�j lM1 GAL FN cy2 10200 ;N INV BIB 34 s1'` SEpric �1$ TA►J14- L rrri ,,//, WI Tr 4 SAAu GrD VIA69 v OvTz: ALL 5rzv-ruQEs st.•r s-Tc9E MOW TNAPJ 4.' DEEP 514ALL Me �A-Zo � to---• — VEl.opp� CGZrIFIED PWr t_oc�T o LG- lOt.1 : COTOI'T' 4e4 LE i I". j 40 PLAN I C Elz['1 Fy T�-I dT T N� �w emu.�uc� �E RQJCE� s90w w NE2EON -'0mT L S wlTµ -Ms 5jpEUgE Lar 2 S&� QEQ, 4: 74(E- TDA of-BQ� r;rAsc�,r Q�tD 15 4r l-o c,QTV W IT9I U WE: VL0 oD MW 1.4, PL -Bit- Zf!a ppc,• `l c, pR0Ft-%l0Q4L LAUD 5uZvSy025 ST--fzvILuz MA44 , yc _ CO MMO NWEAL`z'H OF N A SFACHUSE —Ec� DU/J2-J ENT Or I.NDUSTTU-/J- ACCIDENTS ' L 600 'K7/,-SH1-NGT0N S J7Zl_EI games Ga�ooel BOSTON, TZASSACHUSE-IT'S 02111 vc-�sstone, WORKERS' COMPENSATION INSURANCE AFFIDAVIT ROGERS & MARNEY , INC . (licensee/permiacc) with 2 principal place of business/residcnccac 445 OSTERVILLE—WEST BARNSTABLE ROAD , P O BOX 310 , OSTERVILLE MA 02655 (Gry/Stacc/Zip) do hereby eerri6-, under the pains and penalties of perjury; that: PJ I am an employer proviaing the following workcrs' compensation coverage for my employees working on chic job. AETNA LIFE & CASUALTY 06 CO23252923 CAA Insurance Company Policy Numbcr j ) I am 2 sole proprictor and havc no onc working for mc. (� 1 am a sole proprictor,gencr2l eonmaor or homeowner(circle one) and h2vc hired the eoncraaors listed below who havc The following workcrs'eompcmation insurance politics: I • u cc Company/Policy Numbcr 1�mc of Contractor I saran , Name of Contractor Insurance Company/Policy Numbcr A-amc of Contractor Ins=ncc CompanylPolicy Numbcr Q 1 am a hbmCOwnCr performing all the work myself NOTE: Plcasc be awarc that while)oracowacn wbo employ perwct to Zo rnaiatcaanec,eoostruaioo or repair work on a d.'�clling of not roorc tbza tbrcc waits is WU6 ut c botacowacr also resides or oa the Frouads appur==c ttbcrcto arc pot Ecocran). considered to be employers t:.adcr the Wor:•cri Compcnsatioa Act(Cl—C 152.sect- 1(5)).appliutioo by a borocowocr fora liccosc or permit r :y evidence the Jqj- surut cf z:employer uodcr the Workcrs'Compensation Act i unccrstznc ti•sat a copy of ties sr-tcrncnr%-;L oc for—vecd to ti-,c Dcpa.c-cnt of Industrial Acodcnu'Oftscc of Insc:ana(or.covcrac ---cri(rcation and that fzilurc to secure corcrZc as required undcr Scction 25A of MGL 152 tags kad to the imposition of cziminzl perA6cs consisting of a fine of up to 51500.00:ndlor impasonmcnt of up to onc year and civil penalties in the form of:Stop Work Ordcr and a fine of S100.00 a dry against me— Signcd this d2y of . 19 Liccnscc/Pcrmirtcc Liccnso fl Purniaor 7 4�'•tJK; '.=iyt lt'Pt �A .5'}t w7.c4i F + COMMONWEALTH ' DEPARTMENT OF PUBLIC SAFETY } a e r s ; MASSACHUSE'ri fl ONE ASHBORTON PLACE g OS ON 8 s s � f r 9 T ,MA 0210 EXPIRATION '� ?`L IGI<ISF, ' FtDATE OB! FG/1B97 `t CO .ST �S r Upr. CAUTION RESTRICTIONS.,Y EFFE a ` " :, CTIVE DATE LIC-NO FOR P �. ROTECTION AGAINST :fir <:, ' + Eh J IIZi?;' 1994 M1 L� r THEFT, PUT RIGHT THUMB r �.� PRINT IN APPROPRIATE GC t# O24-4/+ 54 a Gl�ttY J 11UZ(0 sr } �� BOX ON LICENSE. g 1 tau tTftR ?!tEF� BLAS'— I R TING OPERATORS 7,PHLY) u "'� " I"' '� " FEE CMUST INCLUDE PHOT O. � HEIGHTNOT VALID UNTIC$IGNEDSY LICENSEE AND OFFICIALLY N/�STAMPEDgu SIGNATUREOF THE COMMI '7 .F„ /-`�4 5 SSIO # �/� IDI �"�THIS'DOCUMENL'MUSirBE 7 a W t�q�I Z ARRIEDONTH - - EPERSON as 'iHE,.HOLDER:WHEN EN - Y wZ„ SIGNA7UR ENSEE OTHERS RIGHT THUMB PRINT ` OF « SIGN NAME IN FULL.ABOVE SIGNATURE LINE ' GAGEDINTHIS OC I y' t' i n CUPATION - .._ �� .y w . - � �,ie• �o��v�uzruvea�� o��,��czclu�e�. HOME IMPROVEMENT CONTRACTORS REGISTRATION ' Beard of Building% R'egulations and Standard. One Ashburton Place — Room 1301 Boston, . Massa_husetts 02108 HOME IMPROVEMENT .�-'ONTRACTOR: Registration 100134 Expiration 06/09/94 Type — PRIVATE CORPORATION HOME IMPROVEMENT CONTRACTOR I Roger! °< Marney, Inc . Registration 100134 Charles Rogers Type - PRIVATE CORPORATION 445 W- Barnstable Rd Expiration 00090 Ostervi l l e- MA 02655 Rogers & Marney, Inc. Charles Rogers 445 N. Barnstable Rd R., ADMINISTRATOR OStorVl Ile MA 02655 t' IF I` 1, a r - i The Town of Barnstable '� �� Department of Health Safety and Environmental Services � Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-90-6230 Building Commissioner DATE: TO: Town Clerk FROM: Building Department RE: Bond Release An Occupancy Permit has been issued for the building authorized by Building I ernul Number-27//00 issued to �J. Please release the performance bond: i i]A1TT • • ,r�A a .r. • . r-s.. . _ ,. i�' � - .. -. . _ _ r TOWN OF BARNSTABLE Permit No. - 37190/���r� ................ BUILDING DEPARTMENT I 'A"'r I TOWN OFFICE BUILDING Cash HYANNIS,MASS.62601 Bond X CERTIFICATE OF USE AND OCCUPANCY Issued to Charles B. Swartwood Address 1272 Main Street Cotuit, MA USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL f SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. June 22 95 '' Building Inspector o - 371901 *.rwr ,, � TOWN OF BARNSTABLE Permit No. ......:........ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ................ ''tour► HYANNIS.MASS.02601 Bond .....x......... CERTIFICATE OF USE AND OCCUPANCY Issued to Charles B. Swartwood Address 1272 Main Street Cotuita MA r, USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. i June 22 95 ✓�;. ,r �,, j ... ... .. ... .. .. .... .. . .... 19................. . ......... I �✓ Building Inspector .,.%h '"*'^%".Tf& .' , "T�.e A.I.-.w'Y�{.+ Vk `:� .T�• ♦..._. .: +^..�14'v!.?'.",.1"i", ,:`K • w • . TOWN OF BARNSTABLE, MASSACHUSETTS - BUILDING PERMIT A=033-037 DATE November (,9 94 PERMITT NN,O. i�o' 37190 APPLICANT Rogers & i`Aarney, Inc. ADDRESS OX —OSterVllle iJ It (NO.) (STREET) (CONTR'S LICENSE) Build dwelling 21X Single family delling NUMBER of 1 PERMIT TO (_I STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) COtult ZONING RN �17 (MCP )Ti ��IPYr Ava.•••••� DISTRICT— AT (LOCATION) (NO.) (STREET) BETWEEN " -/� 5711' -� AND (CROSS STREET) .(CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage N94-647 Q BOND AREA OR =SbU SCj. ft. ESTIMATED COST `XXELM 300,000 FEEMIT 2]0.5t} VOLUME (CUBIC/SQUARE FEET) 'f OWNER Cha ies B. Swartwood ADDRESS 19 per re Street, Cambridge, vjA BBYILDI DIC',�"v •�--r-nvm-�-na-aCr xw-rlvrm-TwT'vT--rWL'T E APPLICANT FROM THE•CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE 0= OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. - 3. FINAL INSPECTION BEFORE OCCUPANCY. ' POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDtVG INSPECTIO OVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ' • pia/i��,v�.�o%z i 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT BOARD OF H L OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN Bi TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. "h ,1T-O?NN OF BARNSTABLE, MASSACHUSETTS B U I L D'N D PERMIT41 A=033-037 November 2 94 ® e�7� 9® DATE 19 PEF2MIT . N j APPLICANT Rog & t4arney, Inc. ADDRESS oX�-03t r'v'I1 NOe: 6- � I! (140.) (STREET) (CONTR'S LICENSE) Build dwelling 2n Single family dulling NUMBER OF 1 I�. PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 261 IO�ce�a/�n View Avenue, Cotuit ZONING DISTRICT-- BETWEEN RF (NO.)`Z1 V tA0,1W C VE. TkX T) , i' AND (CROSS STREET) (CROSS STREET) E SUBDIVISION LOT LOT B LOCK SIZE I BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION - (TYPE) REMARKS: - Sewage #94-647 AREA OR BOND VOLUME 2568 sq. ft. XUUM 300,000 PERMIT 270.50 ESTIMATED COST FEE (CUBIC/SOUARE FEET) OWNER Charles B. Swartwood ADDRESS 19 Centre Street, Cambridge, NIA BvIL/' G'' � Y i c`trt-0,-irtr`f'rvttla-i"Yir-fv. '00�KSL ik b1Vl"7'Ht"'C'O Fl Of,`I'6N'S`""�•.._ OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. . WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO 3. FINAL INSPECTION BEFORE FOR FINAL INSPECTION HAS BEEN MADE. E OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 2 BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK SHALL NOT PROCEED UNTIL THE INSPEC- INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK 15 NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. I p �(4+2��.u�7 . _ 1 n � � v� b Assessor;Office 0st floor) Map ) 3 Lot O 3 7 Permit# � L3 9 Conservation Office 4th floor Date Issued `Board of Health Ord floor Engineering Dept. (3rd floor) House# - N`'1`'/a7� M�'^�5—�J) Planning Dept. (1st floor/School Admin.Bldg.): i RAMEMASMNAM i Definitive Plan Approved by Planning Board 19 �D MK4 (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) TOWN OF BARNSTABLE Building Permit Application 0 &*10 7a 7L Mpt U sT(coiv,r� Proiect Street Address — dCF1� AJ V I F— uF rV U 3 Village Co r ► I / I J� Fire District l Address 1f'( Telephone Permit Request: S I D Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Tune Eaistin2 Information Dwelling Type: Single Family Two family Multi-family Age of structure Basement type Historic House Finished Old King's Highway Unfinished Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Xc�Z Name A V ►?D AR) C)-)l a14 Telephone number Address ls0 S�� S' License# 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. ALJCONSTRUCTION DEBRIrE�ySSLL�,,TING FROM THIS PROJECT WILL BE TAKEN TO ©lc'All L (, Proiect Cost a Fee D SIGNA DATE BUILMN ERNHT DENIED FOR THE FOLLOWING REASON(S) BPERM T SWARTWOOD, CHARLES B. FOR OFFICE USE ONLY 232 OCEAN VIEW AVENUE, COTUIT t ?bDDRESS , COTU I T VILLAGE OWNER CHARLES B. SWARTWOOD r DATE OF INSPECTION: s` FOUNDATION FRAME-/. INSULATION ` FIREPLACE 3 _ ELECTRICAL: 'ROUGH FINAL i PLUMBING: ROUGH FINAL - • 1L J GAS: ROUGH FINAL FINAL BUILDING: DATE CLOSED OUT: ' _ i ASSOCIATE PLAN NO. l i pF THE Tp� Town of Barnstable , B&MS.,B,Y- : Historic Preservation Department 7V KASS. 230 South Street,Hyannis,Massachusetts 02601 ` �Ol 1639. p,0 (508) 790-6270 Fax (508) 790-6454 FO MAC July 11 , 1994 Charles B. Swartwood, III 232 Ocean View Avenue D P.O. Box 800 .Cotuit , MA 02635 Dear Sir , The Barnstable Historical Commission=lias --determined that the building located on Assessor ' s Map 3&3 Lo 37 , 232 Ocean View Avenue , Cotuit , MA, is not a pre ferag�y-preserved significant building " under criteria set forth in Section 25 (A) & (B ) of the Town' s Protection of Historic Projects Ordinance . Sincerely yours, r Patricia J . Anderson, Manager Historic Preservation Division _cc : Town Clerk Building Department f r SALES/SERVICE ORDER 0 0 0 9 ® ¢ 1 ❑ ACCOUNT ❑ CREDIT MEMO METHOD OF PAYMENT SFRI�ICE ❑NEW INSTALLATION DATE CUSTOMER REQUESTED AM • etro ane ❑ CASH SALE �NAL ❑ CHECK. _i EQUESTED: E)EXISTING INSTALLATION CALLED / / SERVICE DATE / / PM ❑ CASH SALE RETURN❑ SERVICE ❑ CASH APPLIANCE S : E M El INSTALL El MOVE ❑ RANGE El DRYER Ca MOVE ��08� 775-0686 El CHARGE SALE El INVOICE OTHER, ❑ INSTALL CONNECT WATER HEATER DISCONNECT l LOSS REASON CODE ❑ DISCONNECT ❑ SPACE HEATER PETR®LAN E REMOVE I ❑ REMOVE ❑ FURNACE P.O. BOX 1930 ❑ OTHER 1 ❑ T H E R 193 IYANOUGH RD. HYANNIS, MA 02601 _ ACCOUNT INVOICE / / b �'�- ---�- NUMBER v NUMBER DATE l LOCATION(COMMENTS) I y CUSTOMER I NAME l,j ri V�J 'p\V ' AND . ADDRESS S i vw\k NSE forf 01Q 9 SERVICE PERFORMED: DATE -HOURS HOME PHONE WORK PHONE P.O. NUMBER NUMBER NUMBER �- COMMENTS: I QUANTITY DESCRIPTION TRANS.CODE PRICE AMOUNT CIRCLE ONE �y ( TANK LOCATION CODE oewous i METER TANK TANK GRID H FRONT D - - READING SIZE fv PERCENT 6 NUMBER A C PARTS USED " CITY DESCRIPTION p CITY DESCRIPTION GALLONS OF BULK PROPANE SOLD WITH INITIAL SET UP. GALLONS IN DRIVER- SUB TOTAL TANK WHEN SET. COLLECT C.O.D. $ 1. Residential Customers: All fees, rates and charges are due within ten TAX (10) days after the invoice date at the office designated by Petrolane. Delin- quent accounts will be assessed a LATE PAYMENT CHARGE. SECURITY 2. Commercial Customers: All invoice must be paid in full by the "1Oth DEPOSIT of the MONTH PROX."Delinquent accou is will be assessed a LATE PAYMENT CHARGE. TOTAL CUSTOMER ACKNOWLEDGES THAT A DOES CUSTOMER AMOUNT GAS CHECK HAS BEEN PERFORMED. ❑YES ❑NO REQUIRE A COP ❑YES O ADDITIONAL IMPORTANT TERMS AND CONDITIONS RE LISTED ON THE REVERSE SIDE OF THIS DOCUMENT DATE TE MANAGER'S APPROVAL s PAID SERVICE AMOUNT CUSTOMER'S / / PERSON'S /�//f �S f C., SIGNATURE IN IF SIGNATURE SIGNAlUHL (II'rIEOUlfilIrl _ i FOLD AT ARROWS TO FIT WINDOW ENVELOPES Messagem.Reply ❑ Urgent TM ` _=_Ban = ectri ElPlease Respond By 2421 Cranberry Highway ❑ No reply Necessary Wareham, MA 02571 To: Charles Swartwood Date: October 4 , 1994 Ocean-View Ave Subject: Cotuit Message: The electric service & meter at Ocean-View Ave. ,--C-Qtuit FOLD FOLD were removed on Sept. 10 , 1994 . Signed Barbara A. Trocchi Customer Service Rep. ,R Reply: -- ----- ---- ------ ____ -.-- --- ------ - ------------Signed: ------ ----- --•--- Date: ..__.---__---__-_- MF46E I �W al its:7e, ' N , O N N R Q %J5\' act E L� - 106, & [4� RAXTER w ko.zwo E= OCE411 VAC IoV/ iQ vL- /C' .CaC.4T/OTC/ F/nGt/N ovNo q T/D'J 017 f/E.eEO.L/ THE HMV 4,9 A2�c157-A 8 6 A/t/2� /s A1,07- 2 �ocA TES lyiTh�/,c./ Th�� .�LoaaPG4/.f! y� P4 Be 2aG i�� . '/ �,4 TE: tz•G� %� BA XT,E,C B.4SEo C,c/.4�t/ �2EG/S7`E.eE� C,�vp SIJ.e{�`c yam /NsT,eUt1.��t/T St/,e�EY O,�',�-ETs syou/�Y S.yovLa� M07- 8Z-- Kol /L5 /NAL��IEri A/�,