The URL can be used to link to this page

Home My WebLink About0132 MARINER CIRCLE �3 CZ ea in/eV- Cl�z�ei l Town of Barnstable Building3 �� rAAd4fr 3CA9"[+f1R.!': • �Wos>t..,,,.,P Permit l tP 6 'Post Permit No. B-20-787 Applicant Name: Ryan Lane Approvals Date Issued: 03/20/2020 Current Use: Structure Permit Type: Building-Solar Panel—Residential Expiration Date: 09/20/1020 Foundation: Location: 132 MARINER CIRCLE,COTUIT Map/Lot 023 064 Zoning District: RF Sheathing: Owner on Record: HOLAHAN,ROBfRT B&CHERYL A � ' Contractor Name ' SKYLINE SOLAR LLC. Framing: 1 off Address: 132 MARINER CIRCLEPw Contractor ticense72284 2 COTUIT, MA 02635 EstProj ct Cost: $6,000.00 Chimney: Description: Installations of a safe and code compliant grid tied, P solar systemPermit Fee: $85.00 Insulation: on a ground mount. � �� Fee Paid $85.00 � 7 'Final: tDate �. 3/20/2020 Project Review Req: 7� Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized y this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved appl capon and the"approved construction documents for which�this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and str ctures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road nd shall be maintained open for publ�cS nspectioh for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by thei"uilding and fire Offuals are provided on thispermit. Minimum of Five Call Ins ections Required for All Construction Work: 3 Service: p q y � � 1.Foundation or Footing 2.Sheathing Inspection .. �_ Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installedF 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health. 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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: y .- Town of Barnstable Permit: Regulatory Services Date: �oFI"E rOkti Richard��l�Scali,Interim Director Building Division Fee. v�i�S.BLE, A" `Tg"Main �P r Buil�ding C , ommissioner ATFp ,�p ,��2OMaiSee't, Hyannis,MA 02601 9. 6w,�w.,mtown.barnstab(e.ma.us Office:-�508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT a ZIE Owner: Phone: ��r � �— `D Install at: 130? rYl a r l n e .�i t 1 Village: od� ? Map/Parcel: C 0(0 C/ Date: 44 261 •• �'' StoleD/ w A. Used m B. Type: Radiant/Cir ula 'ng C. Manufacturer: J'aG I Lab. No. D. Model No.: F Chimney _ A New/ xisti If existing,please note date of last cleaning) aQ B.+f lue`S'ize =Cz. Areother.appliances attached to Flue? n V r D. Pre-fab Type and acturer E. Masonry: Line nlined Hearth A. Materials: r I C k- d iJQQ L 61 P$-/O h -e B. Sub Floor Construction: ric p l ,� Installer Name: Address: Phone: Location of Installation: H.LC Registration# Construction Supervisor# OR check L/ Homeowner Installing, no license required LICENSED INSTALLERS SIGN APPLICANTS SIGNATURE: _ APPROVED BY: Please.make:ch`ecks payable to the Town of Barnstable ; *This:constitutes an official stove permit after inspection,photogrd hed, and a roved b the p_ pP t'- Building Inspector Q:forinsatove Rev 11/4/I3 V � l 2� J i SRC P Town,of Barnstable *Perot# Regulatory Services _ e 6 Thomas F. Geiler.,Director lFo tom" . Building Division Tom.Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town barnstable.ma us ` Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY (� I., Not Valid without Red X Press Imprint Map/parcel Number Property.Address ob . ( Kj_' e~ G ti esidential Value of Work SS 7 U Minimum fee of$35.00 for:work under$6600.00 Owner's-Name&Address , - ,rJWC� Contractor's Name , _ Telephone Number _7" Z/ Home Impiovement Contractor License#.(if applicable) Construction Supervisor's License#(if applicable) : orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I arn the Homeowner [+ have Worker's Compensation I MXMce Insurance Company Name Worknan's Comp. Policy# G �Y Copy of Insurance Compliance Certificate must accompany each permit. ' Permit Request(check box) El Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over e)dstmg-layers ofroof) ❑ Re-side #of doors L Replacement-Windows/doors/sliders.U-Value t 0 (maximum.35)#of windows ❑ 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 deparhnent regulations,i.e.Historic,Conservation,etc, NO Pro Pro Owner must sign Property�:.er�Le.ttejr of Permission: opy of the Home Improvement to icense&-Construction Supervisors License is - required. SIGNATURE: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): Address: City/State/Zip: l'9 Phone.#: � j//j Are yo an employer?Check the appropriate box: Type of project(required):. 1. I am a employer.with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction . . . 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. a&efhodehng - ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• � . 9. ❑Building addition [No workers' comp.insurance comp.insurance.t ' Electrical repairs or additions required.] 5. ❑ We are a corporation and its p 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions . myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c, 152, §1(4),and we have no employees. [No workers' 131-1 Other comp.insurance required.]' *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy,information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must.provide their workers'comp.policy number. I am an employer that is provi ing workers compensation ins rance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: C Job Site Address: �3 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of-a STOP WORK ORDER and a fine of up to$250.00 against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investi atio of thvDIA for insurance coverage verification. I do h eby certi under the pena s o j at the information provided above is true a,correct Si afore: Date: �Xe 7— ne#: . Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,.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 the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the ..,dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)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,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiplepermit/license applications in any given year,need onl submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license orpermit to bum leaves etc.)said person is NOT required to complete this.affidavit. The Office of Investigations would like to thank you in advance for your 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 Investigations 6Q0 Washington Street Boston, IOTA 02111 Tel. #617-727-4900 ext 406 or 1-977-MASSAFE Fax#tt 617-'727-7749 Revised 11-22-06 www.mass.gov/dia ' A Client#:33723 CAREF ACORN. CERTIFICATE OF LIABILITY INSURANCE a1EMI)12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT.CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:B the ce holder Is an ADDITIONAL INSURED,the policy(les)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 certlHcste does not confer rights to the certificate holder In lieu of such andoreement(s). PRODUCER Herlihy Insurance Group Inc. P .508 756-5159 51 Pullman Street No:508-751$747 ADDRESS: Worcester,MA 01606 -CUSTOMER D 508 75"159 INBURER(S AFFORDMOMRAOE NAICS INSURED INSURER A:Peerless Ins.Comp. Care Free Homes Inc 239 Huttleston Avenue INSURER B:Interguard Insurance Company Fairhaven,MA 02719 INsuRERc;Safety Indemnity insurance Comp INSURER D: INSURER E: 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 OONDMON 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. Nm TYPE OF INSURANCE 9L SUOR DOLICY EFF P NVb POLICY NUMBER LIMITS A GENERAL LIABILITY CBPO929704 9/0112012 09/0112013 EACH DCCURRENCE $0 000 000 DAMAGE TO FMNM[r X COMMERCIAL GENERAL LIABILITY PREMISES Me oawnw oe $100 000 CLAIM34IADE FXIOCCUR MEDSW(My or* $15000 X BI1PD Ded:250 PERSONAL 3AIN INJURY $1000 000 GENERAL AGGREGATE s2,000,000 C'ENPL AGGREGATE LiAAIT APPLIES PER: PRODUCTS•COMPfOP AGG S2 000 000 POLICY PRO- LOC >< C AUTOMOBILE LIABILITY 6213850 0710112012 07/0112013 COMBINED SINGLE LIMIT (Ea acddent) =1 Ott ANY AUTO EMILY INJURY(Per peraoo) $ ALL OWNED AUTOS BODILY INJURY(Per acdomm $ X SCHEDULEDAUTOS PROPERTY DAMAGE. 6 X HIRED AUTOS - (Pareodderd) X NONOWN FD AUTOS E $ UMBRELLA LIAS OCCUR EACH OCCURRENCE f EXCESS LIAR HCLAIMS4AADE - AGGREGATE : DEDUCTIBLE f RETENTION St B WORKERS COMPENSATION CAWC359478 101/2012 55/0-112013 X W0,mUn7,j °TO AND EMPLOYERS•LMBRRY Y 1 N ANY PROPR]ETOPJPARTNBUEXEc . . E.L EACH ACCIDENT $1 000 000 IAA OFFICERtMB�ABER EXCLUDED? � (Mend.00nlnNH)Er KEL DISEASE-EA EMPLOYEE$1,000,000 d ON OF OPERAnoNs W. EL DISEASE-POLICY LIMIT s1 000 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS J NEFIX LE9(A=ch ACORD 101,A&IWonW Remnft Sc*Wule,R mma apace Is rv*dnMJ CERTIFICATE HOLDER CANCELLATION 30 Days for Non-Psymwd SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 367 Main Street AUTHOPJZED REPRESENTATIVE Barnstable,MA 02601 ® W 2009 Aj5ORD CORPORATION.AN rights reserved. ACORD 25(2009109) 1 of 1 The ACORD name and logo are registered marks of ACORD #556621/M56619 PS2 -a. Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supci-n 1.isor License: CS-095228 A, DANAJPICI ��` 19 HANMETST. Fairhaven NYC 0271 ' h Expiration Commissioner 03/22/2014 �e ipo�r�vraaruaealGfi��aac�u�eG� Mee of Consumer Affairs&Business Regulation � License or registration valid for meLividul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found ret-lrn to: Office of Consumer Affairs and BusinessRegulation egistration 100503 Type' 10 Park Plaza- 5170 'Suit . Expiration=6119/2014 Supplement 'and Boston,1VIA 02a16 CAREFREE HOMES`AN 4 s 4siga DANA PICKUP JR239 HuttlestonaveFairhaven, MA 027,19 Undersecretary Not valid with OFFICE: (508) 997-1111 ;; MA. Builders Lic. #021330 PAX: (508) 997-1297 Home Improvement TOLL FREE: 1-800-407-1111 AWRE FREE PContractor's License WEBSITE MCS Inc. #100503 MA. www.carefreehomescompany.com 239 HUTTLESTON AVE. (RT 6) • FAIRHAVEN, MA 02719 #15179 R.I. NAME t/��[,lIl'1 DATE ADDRESS /3A �.t� 2[r�e,14 ZIP CODE 9rW 6 js� ADDRESS OF JOB -�'4-f TEL JOB DESCRIPTION �Sf k 4,1,44, �w� � � �>,S 40 A. r� Lr, Scheduled Start Scheduled Completion FT�'ly S A. Replacement of missing or rotted lumber is not included unless specified. B.All start&completion dates are approximate and could change due to weather conditions. C. Stripping of roof includes removal of up to two(2)layers of shingles,a ch additional layer to be charged Cad ftz. D: Replacement of rotted roof boards/plywood to be charged Q ft2. E. Exisiting chimnet flashings will be reused; replacement,if necessa , is not included. F. Care Free Homes, Inc. is not responsible for mold/mildew conditions that are pre-existing or result from.leaks not brought to the attention of C.F.H., Inc. promptly. The Company hereby proposes to furnish labor and material to complete the above work for the amount.herein. Fulfillment of this order is contingent, however, upon the want of strikes,fires,and any natural disasters,the ability to obtain materials,or any other conditions beyond the control of the Company. / ,I Cost of Project$ tw PAYMENT TERMS Date „ -/ _ 1.o You,the Owner may cancel transaction at any time prior to midnight of the third business day after the date of this transaction. 2. You,the Owners agree to pay any and all expenses incurred by Care Free Homes, Inc. in collecting money due under this contract and enforcing the terms of this contract, including but not limited to, reasonable attorney's fees, interest and court costs. ' DO NOT SIGN THIS CONTRACT I,—,,HERE-ARE ANY BLANK SPACES CARE FREE HOM C C Buyer acknowledges OwA By. receipt of fully completed copy of this Areement Owner. All contractors and subcontractors shall be registered by the director and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director,"Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 Tel. (617)727-8598 f X-PRESS PERM" JU L 2 7 2012 Town of Barnstable *Permit# STABLE ; 6moaths . V, ReplatgU.,epees Fee Thomas F.Geiler,Director Gy �ti12S�1Y1��1V13fl®Ifl >.. �.� r Tom Perry,CBO, Building Commissioner 200 Main Street,Hyanhis,MAOZOLbOt, www.town barnstable.ma us r:..` Office: 508-862-4038. Fax 508-790-6230 EXPRESS PERMFr APPLICATION - RESIDENTIAL ONLY Not Valid wfthout Red X-Press Imprrxt Map/parcel Number Property Address �,30? Ma ri ne t- C r C_-6-1 u i T MA Ce 9 635 [Residential Value of Work #7 62, 76 Minimum fee of$25.00 for work.under$6000.00 Owner's Name&Address QtlhaO �5etmL CL5 0-1-)w2 Contractor's C&ns+CLx-4 g„n, LC C` Telephone Number �508�yo18��Cl Home Improvement Contractor License#(if applicable} r1 l �J 3 rp Construction Supervisor's License#(if applicable) b 8 [.1Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name �A'f(erg 0. U n i o r-1. :1 f e. 'n S L,`-Cr.n C-e o Workman's Comp.Policy# yu C�dog 9 S5!0(bO Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) [�Re-roof(stripping old shingles)All consttuction•debris will be taken to`: ' ::. . Qn� I C ❑Re-roof(not stripping. Going over existing layers of roof) '❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value =(ma_j� .44)#of windows *Where required: Issuance of this permit does not exempt comp liaac with other tovyn dartment regulations,i.e.Historic,Conservation,etc. 7 p• z ***Note: Property Owner must sign Property Owner Letter of Permission. A�copy eof the Home Impao,466ht eontracto License&Construction Supervisors License is Q:\WPFTLES\FORMS\buildingpermitforms'MeRMS.doc . Revised`040804 ......... ! - - p4assath, tts-flep:»tinent of Publie`Safets A` Board of Building Regulations and Standards >i Canstructiion Supervisor License: License: Cs 97WB Y 1 YY)I�.i,,N,wr l:. ; ;EAST F=ALM 1j TF t 02536 r, x x t p ir Ex n:atio 6/7/2093 �t P Conunissione Sr#: 9t3892 --; r P. f +e Ne Office of Consumer Affairs and 8usiness Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Cout h.ctor Registration Registration: 112536 f? Type: DBA Expiration: 3/23/2013 Trti 209024 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Mark reason for change. Address Renewal Employment F] Lost Card OPS-CA1 0 50M-04l9a-W01215 r ,.•:, w i . m�rvn regest e* n Wti for iniftyidul useanly.:: License or Of[ice�t ons err B> nes`� on HOME IMPROVEMENT CONTRACTOR before the e-pirit.wo_A'ke Tt found return to. zt, Type. Office of Constiiaier Affairs ndd-Business Regulation Registration: 112536 10 Pificl lan Suite 51)0 ,fir' Expiration: 3/2iA013 DBA Boston;MA 02J 16 w ",3 F R CONSTRUCTION.CO. rrl DEAN FRASER i s� s, ��,x ,r r 104TWINN VIEW LANE E FALMOUTH,MA Undersecretary °� p ya t ut si re 73 ' 1 MSCON-01 MOSU ACORO° DATE pmnrDDIYYYYI CERTIFICATE OF LIABILITY INSURANCE 912612011 PRODUCER .(508)676.0309 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Vivelros Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 375 Airport Road ALH T'ER TTHEICOVFCRAGE AFFFORRDDEEDD BYOTHE REICIEESS BELOW Fall River,MA 02720 a INSURERS AFFQR01l+1G COVERAGE---, NAIC e INURED; c ;Fraser Construction LLC r INSURERA Natioiattlrrrlon'�Fire Insurance Com lNSURER'E[ CZlt,MA 02635- INSURER cr :r -w' -INSURER D «,. INSURER E. COVERAGES + ;^` THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE HNSII�FtEIO"NAMEDABbVEd ETR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER:DOCUMENT:WITH,RWikCT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR , MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRISED'HEREIN fS SUSJECT4Y.6'ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY:PAId-dLAIKAS'aa,,�;;,_,._r.� POLICY NUMBER r FFE aRA LIMITS GENERAL LIABILITY a y �� t y, EACH OCCURRENCE $ rn COMMERCIAL GENERAL LIAR LITY PREMISES c � g CLAIMS MADE.❑OCCUR > w MEDEXP M cm grsonj IIIr ,w 3 PERSONALS ACV INJURY $ GENERAL AGGREGATE $ COA7P10PAOG.,S'. - .. ... GENLAGGREGATELIMIT'APPLIES PER. r POLICY' LOC a' ff f;:iP TALLOWNEDAUTOSS�EeM �{NGLEUMITYAUTO BODILYINJURY(fP—) S HEDULEDAUTOS REDAUTOS BODILY INJURY (Peraoebent)N-OW NED AUTOS PROPERTY DAMAGEri S. GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO . . OTHER THAN --EA ACC 3 AUTO ONLY: AGG S EXCESS UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR 0 CLAIMS MADE AGGREGATE $ , $ DEDUCTIBLE S RETENTION $ S riORKERS COMPENSATION X I MIA1 12 AND EMPLOYERS'LIABILITY YIN, A ANY PROPRIETORlPARR3HtlDQ CUITJE 09930601. 9/2612011 9126I2012 EL EACH ACCIDENT S , OFFICEIMEMBER If b8(�PECAL EXCLIJDERY/ _ - E.L DISEASE-EA EMPLOY S 600,0 S PRQVI 061�NS below - E.L.DISEASE-POLICY LIMIT S 600. OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SWULDANYOFTHEABDVE DEBCROM POUCMS SE CANCELLED BEPORETNE EMRA'nON Fraser Construction,LLC DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAL 30 DAYS WRITTEN PO BOX 1645 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LET,BUT PAILURRE TD DO SO SHALL Cotudt,MA 02635- IMPOSE NO OBLIGATION OR LIABILITY OF ANY I(IND UPON THE INSURE ITS AGENTS OR 1tEP.FJESENY 7IKE �� _.._.. r..3-.:.h�. a�..at.-. _ .., r _. IA11TH0� r�..3-r. ._tr`�►w�"'Q��.; �`J. ACORD 26(2009101) = ( ISW2009.ACORD CORPORATION. All rights reserved. The ACORD name and logo:are TR3glst red matt of-ACORD f m L'O7H/1dOAlIy� p,f 1414CfSldC�ttt3e!� ��O,f d1T(�ILsrp '�CCif�j� 7l,S 600.WwA' Worken' o°?nA #onIasarsace A en/Cori#ractorslEleMriciana/pImbers # Please Pr* t-L._ ---------------------------- Ci /State/Zi : coif 1�4a4Piloae#: ��— y ' Are gon emptayer?C%eek the a ^28 907 PF�Pefate boa: employe with 4 ❑I am agaWaalcoutactorand I 7YPe of pro;eet(tom): 1 2.QCMPIOYOM(�and/or Vie)a have hired the�s b. Q New COMbuuction 1 am a sale Proprietor 0r partaet. USW on,the attached sheet, 7. . ahiP gad have no empioyees These strb-contractors have Q Remodeling working for me in airy capacity emPloyees and have workers' 8 ❑Demolition [No workers'camp-iaranre comp iassasnce t 9. ❑Bwilding addition requkea1 5.0 We are a mporation and its 10,C7 Elextticai z+apaics or addrti0as 3.Q I am ateowaer doing s1I work officers have exercised their Mysdf[No workers'camp, of option Per.MOL I LO Plumbing rep=or additions bturance d•]t ' c 152.§1(4),and we have no I2 Q Roof repaizs emPloyeas•[No workers' 13,❑oam ------------- COMA im%aance mquhd.1 `�'appt�t ifet ehaksboa#I amat alaoffit out tie sxtlonbetowshowiagt}�rwo�• f Hoaxowness who sabadt Pods a�davlt' C0 t aY mf uadea tCoa s dO ntbis boot moat g t�� Awwk � oatdde aontrlwtm meet sabua anew am avk htft im each. employees If ibe sub• a tb*workers-eo.V >s and state wb or those entiEies but . . I am aR earplo,Per Otis psbyfcgr�a+eske►s'con>p�rsedfoA brace of y{�o a, } ►r{V mployeeu,-Below is the poky and fob sffe . TO�QJInsurance Compw Name i Gl ee �i►*m Poluy#oa self-j.lie,#: '� ddre�: �32 A•( ----- "a�aon'�. 0 2� aol� Job Site A Q rt�?Cr i r Attach a copy of�e woeiters'coin �'ls : `94v I+ 14A 92,j Failure to socme oov ge as p° declaration page(showing the policy camber and eWration date), m4�d nner Section 25A ofMeL c 152 can lead to the' penalties afa fine up to$I,500.00 and/or one-year Wit,as well as civil *positJion of Mammal of uP to M.00 a day against tits violator Be advised that a P lies is the form 0f a S ICP WORK ORDER and a Sne Investigations of to DIA fin`inaance SPY of this staosment azay be forwarded to time Office of oeverage ; I do heewbq _ ...., dI1e► y d g/re fitfprmpnPted `above is t7sre and e Z'I 1 Z Offld l use only.. Do net wPL in this , _ to be co„rpTeted bYJ. t'Prat'® � City or rown• Issuing Aatiterity(circle one): I.Board of Health•Z.Bulldfng �F; r ti Other Department 3.Cmty�Ia! ler3s9�sPor IPianmbing Inspector ; j d � � i Contact Person: ,. � �:;'.. 3 6 . vd - ,. •t .•yam .,mow y.a y I b� fA ME Fraser-C- ' ® nstruction, LLC 0) CONSTRUCTION a ,- oX -P O ,Br° 845, G it•MA.. 02635 ' ' I Email: fraser_constr,`action@verizorinet " 508 42 - N www.fraserroofing.com FAX 1-508'-428-0123 S"ZZ 9 2 HILL#112536 CS#97668 RE-ROOFING PROPOSAL DATE: July 19, 2012 PHONE: 508-681-8826 NAME: Bob Halahan EMAIL: capecodman@comcast.net MAIL ADDRESS: 132 Mariner Cir Cotuit MA 02635 JOB ADDRESS: SAME 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. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Fraser Construction will include a 4• Star Upgraded warranty with the selection of any 30 year shingles or any Lifetime shingles. CertainTeed SureStart Plus- The extra measure of protection when a credentialed company installs an Integrity Roof System. 4 Star warranties have a 50 year,Non-Prorated Coverage for any.lifetime M . - shingles, which will cover 'incase of'any warranty=repair, Labor and - Materials, any Tear-Off, and any Disposal Fees _Upgraded wind warranty T.!. available on the following products when:special application methods are used. See description below and in they,CertainTe6 SureStart plus brochure enclosed. ASK US ABOUT OUR�.OVERHEAIDCARE CLUB! Sul ply and Install - CERTAINTEEVIAN]b �,'LIFftlME WARRANTY CLASS A FIRE RATED ALGAE Resistant Ex a:Hem Wei ht Self Seale Multi-Layered,> � � vY" g : � Ar.qh�itec turaal,Styles Fiberglass-Based Aslihalt•§l Yfte vcntl rl�7et�v;England,s exclusive COPPERS ERAMIG�<S'iones with a Full 1G'year Warranty,>agamst.;�,iLG �, . Containment ";—WM i a':SureStart Plus upgrade customer will receive"10-yeasY 130 mph wind-resistance warranty with six nails in common bond area, Fraser construction includes six nails in common bond area at NO additional cost. See actual warranty for specific detail and limitations. Color: PRICE-$7,623.75 Initial 1 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. Supplp-8s Install =CertairiTeed Whiter Guard oar."Carlisle`WIP.� """""" `yL"` - (Ice &Water shield)- (WIP-:W - ater.&_Jce Protection) Waterproof Underlayme'rit_System (.3ft'.on-eves and valleys; 18" on rakes;'. alls,.:and�skylights) Water and Ice Protection (VJIP) is.a'=self-adhering roofing underlayment used on critical roof areas such as eaves, rakes, ridges;valleys, dormers and skylights to protect roofing sfructusres-and interior spaces from water penetration caused;hy wind=driven rain and ice dams. WIP may al g be:used_ash coverifY or the entire roof to p`a prevent moisture or water entry SupgilySurround Under`liyment (A, 'ydp; r Brand) = a.A smart alternative to felt, it is water's toughestr 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 8a Install- Ridge Vent - Shingle Vent II High performance ridge vent with external baffle. (As recommended by CertainTeed) Supply 8s 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 are. (As recommended by CertainTeed) .iy .. '�i�.. .,a f'•' ..�! �" .:.-6'.., ":y lS`- �"i y i Clean •-- 8R__.e.._no3e Debris Urpm-work area dafly ____ y. 2 . Y 9 PAYMENTS ARE DUE IUK YATELY A�"1'ER.:JOB COMPLETION. P+ayarlent`Schedule tortl � �vorkeil out p,araor to��®b.. t Payments accepted are: CASH - CHECK- MASTERCARD -VISA- AMERICAN EXPRESS * Any payments not immediately paid upon job completion will be charged 0.005%for every day after the given 5 day grace period upon day of job completion. SKYLIGHTS- Fraser Construction recognizes.that all homes are not created equally, however, this is a constant, incorrectly installed skylights leak. Even a skylight installed days before can possibly leak during the installation of a new roof system. This being said, all quoted projects from as, as a qualified installer, will include an option for new skylights. Possible Extra -After the shingles are removed from the roof, we will lift one sheet of 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 8v Labor. 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 10 years. CERTAINTEED Warrarities?.the shingles and db6ir.1.00%'.th'rough the'.Sure Start - Warranty duration. `` z �44fi �t CERTAINTEED Warranties the shingles to resistant for the duration of the Sure Start Warranty depending on the shin glAe that was purchased. Any deviation or alteration from above specification,wnll be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or de1'ays are beyond our control. Owner should carry-fire, tornado and other.necessary' nsurance upon tl e,above work. We, if not , accepted within thirty days may unlidraw plus"proposal FRAMER CONSTRUCTICk'`LLC. Carries V®rkmaia s Co � a ¢ Public Liability Insuranceton1he.above work, certificate available upon request. DATE OF ACCEPTANCE: T Homeowner Fraser Construction, LLC V 3 nn i eeririg Dept.(3rd floor) Map Parcel 6(v i L� % Permit# House# � / � Date Issu Board of Health.(3rd floor)(8:15'-9:30 0:00-4:30) /�*� 77�L��✓Y% Fee sr _ • gylhe�tl^u� OWm Y L S t INSTALLED IRS ANI "-- a AND E�I�I O6NVIE " ecep i y Ttl� 51i E 6Cs �J 6 TOWN OF BARNSTABLE -- Building Permit Application Project Str ess "/, �, istlEg2 � Village Owner, Lei,✓ �`GD�.�✓ a,� Address (✓.ca /y - .,Telephone 'Permit Request _ !� ��/� '� ,.s �r First Floor square feet Second Floor square feet f Construction Type , f Estimated Project Cost $ 61 0 " Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family a Two Family ❑ Multi-Family units) Age of Existing Structure Historic House ❑Yes CffNo On Old King Highway's Hi hwa ❑Yes ®'I o 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 ❑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 U4io If yes, site plan review# Current Use Proposed Use Builder Information Name �/1yl/2Z/✓!� Telephone Number Address /l_- WW License# 45 7 46 Home Improvement Contractor# 1 04 7W) Worker's Compensation# 6,94036 7— 02 5)2.,4 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RES TING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 7/ 41�� , f y FOR OFFICIAL USE ONLY _ Al PERMIT NO. 14 DATE ISSUED: MAP/PARCEL NO. ADDRESS ` °,; ,4 VILLAGE` OWNER DATE OF INSPECTION: FOUNDATION' - � � ' ; ; -- • ( s ` �. ; - t ` FRAME. INSULATION t ; - • - t y FIREPLACE _ ELECTRICAL: ' ROUGH i FINAL PLUMBING: ROUGH FINAL , GAS:. ROUGH FINAL 9 t FINAL BUILDING DATE,CLOSED OUT ASSOCIATION PLAN NO. t • A ! � V 1 i� J HOME IMPROVEMENT CONTRACTORS REGISTRATION ' Board of Building Regulations and Standards i One Ashburton Place. — Room 1301 Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR ----- ________ _ _____ Registration 100740 Expiration 06/23/00 Type — PRIVATE CORPORATION ✓,v��"4y- CAPIZZI HOME IMPROVEMENT , INC . Thomas Cap; �? i Sr . I = ; Ty,,* - A"-`+=•c C0 �42AiiQH 1645 Newton, Rd . E. ;a'icr OSr_:/:u Cotu_t MA 02635 , On Cc_,J_. MA C[. OEPAP,iMERi OF PUS!IC SAfETf CC.4S'�UC'ION SUPS='�iSu6 IICEYSE s CS IS7W 19 f 26 f 1999 19126 J196? Restricted To: �6 . . i TRCuS X t6PIZZI JP. 286 PEiCI4y! CR l( E • .. •'• .. ..2 ' U 2AOYf7A01C Y& •�r^. C . Boston, Mass. 02111 Workers' Compensation Insurance Affidavit d tion licant informa •tmc: locntionm Cat\ phone 1 am a homeowner performing all work myself. 1 ant a sole proprietor and have no one working in any capacity 01, am an employer pros iding workers* compensation for my employees work-Ina on this job: om any name: ' ZZ G� �L' G-ru� addre« �� r� 7v/7'_ /yid d Z a 9 19S-ur�ncG cA _..L ��"•%/T/�i�t�y�] nolic�• a Gnu." �r�Z �°�� c. C] I am a sole proprietor. General contractor.or homeowner(circle one) and have hired the contractors listed belos% «ho has: the folios%ing workers' compensation polices: coinnans• n, nnry <r ohonc a: Cli in,mrince Cn. - .. It .a _ ... r. •,.,, m an Dh4n�a' onsyrince C2, bOfIGY a tae"h:3di�fonif'�effTt - Failure to secure coverage as required under Section 25A of titGL 152 can lead to the Imposition of criminal penalties of a fine up to 51,500.00 and/or one gears'lmprison.ment as well as civil penalties is ttze form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a copy of this statement may be fomarded to the Office of Investigations of the DIA for coverage verificatiaa- !do hereby certify ua r ins an enalties ojperjur}•that the information provided above is true and.correa Signature '( � Date r yZf�-9s'J� Print name �GU Phone of 621 use onIV do not%rite in this area to be completed by city or town official city or town: - permitAiccnsc p n8uilding Department QLicensiog Board Qsclectmea•s Office I 0 check if immediate response is required Qlleatth Department contact person: phone it:_ __ _ rlOther�— - °� The Town of Barnstable 9 MAASL � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 BuiIding Commissiore- For office use only Permit no. Date 41'- AFFIDAVIT HOME libIPROVEMENT 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 F Est. Cost lf;;;� Address of Work: :2 i/�°//��c'�/��E�2_ (�/� —P>`37✓✓ �� Owner's Name f'14V �1yAi Date of Permit Application: I hereby certify that: Re,-istration is not required for the following reason(s): Work excluded by law Job under S1,000. BuiIding 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 PROGZANI OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I herebv apply for a permit as the agent of the owner: Date ontracto lam Registration No. OR Date Owners Name t TOWN OF BARNSTABLE -_-_---_ e Permit No. ___________--_. Building Inspector ��'�� Cash OCCUPANCY PERMIT Bond ----__--_--_--- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. .....................................................1 19......_ ......................................................................»............... „.�_. .._._ Building Inspector ., .. d.. .. .::. ... a,�! �G � f Asses°sor's map and lot numbe .... Q G Sewage Permit number 7 7� SEPTIC Sy o� /� + INSTALLED XE Z 33AUSTAXLE, House number .........................................� ................. V4/IT' :.. . . 9 rasa G�1IYIRO�11� ENTf �O 1 ..��'/��N�® 'FD MPY a. TOWN OF BARILL�s � R .. BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ......................... ... ....................................................................................:.. TYPE OF CONSTRUCTION ....... ........ .......................................... ��.. .......................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: , Location ..✓ .....jlv� ' .....!sr.... ... ......../�.................... .................... .... ... ProposedUse ...... G !�� ..... .......................................................................... .......................... 41 Zoning District ..... v ...........Fire District ........16 .................................................. , Name of Owner ...... ...1 .. . �,-z ... ..Address ......... .........�y� .......... ..................... I�LQiltLg Name of Builder .� rl.4Y:....1.......�.....................................Address .................................................................................... .Name of Architect .................................................................. ddress .................................................................................... Number of Rooms ........... ...................................................Foundation ............................. Exterior .1,, l......�� 4i.�. ....................Roofing ... J .W4 .. .. .... ..................... Floors ...C,Q�..(�1..... `T••.••.......................................Interior ........�1 .. ............................................... Heating /1.:.( ........ �:`K/..............................Plumbing ................... .... ................................................... Fireplace .........00..v.e ........................................................... Cost ......... ./r.Sn' '................................... .: .. Definitive Plan Approved by Planning Boa37 rd __ - __________19 Area ......./..'. Q.....5 .. Diagram of Lot and Building with Dimensio s 9 Fee ...... ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH -&dNlqV IA ' I I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. }� , Name ................................................. Cedar P�res Realty Trust ... Single 1�10 .220.. ....... Permit for .................................... Family Dwelling . ........................................... ................................... Location Lat...#.122...132..Zar.ine-r...Circle .......................co.tui.t........................................ Owner ..Cedar...Acres...Realty...TY-us.t Type of Construction .....Exaxae.......................... ................................................................................ .' • l , '* Plot ............................ Lot ................................ Permit Granted ....Febr.uar-y. ..25.,....19 80 Date of Inspection ....................................19 Date Completed ....... -19...................... . ...... ril M1 ef M.PERMIT REFUSED ................ ...........I................................. .19 ................................................................ ........... ............................................................................... ............................... .............................................. .......................... .................................................... Approved ................................................ 19 ............................................................................... ............... ................ .............................................................. I Assessor's map and lot number ... .... ... ..,...... ?- TREr P�oF o� ti Sewage Permit number ....................�.77....................... Z BARNSTADLE. i House number .......................... ../ .................., 9� NAB& ps,1639. 9� �£D MAY a� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......................... .�� .................. ........................................................... TYPE OF CONSTRUCTION .......Z, 1.' ... �. ,, . ......... / tOtl .......................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location....f ......: /��'`l/it. ;.... ' .....'.-.t.: :..... .... *9. cx ..:....:........... Proposed Use ...... i .. . .. .... ...... .......... ........ .... ,zoning District • Fire District / .. . ........................................................ ................................................................ Name of Owner .... /�% :.... ��•' ', //e": ...../ ' ..Address ........ .......� 1 ................................ Nameof Builder .......:..:...................... . ..........................Address .......................................... ....................:...:................ Nameof Architect .................................................. .777=":`.""Address .................................................................................... r � _r Number of Rooms ...........� ..................................................Foundation .. ............( ! '//!?..t.................................... /�� < �. Exterior . .,.....:............•:...:...'....:.�:•....::L`...........:Q•_,.... ....Roofing ...,.:�LLi�?f!.t�':� .:.:;,,✓a�l�a� .................................... Floors ... 1 ` ...... ✓✓../ .................Interior 1)121... .- ..:................ ................. ...... I...... ..... r .... 4 ..............................Plumbing ...... .........t: �.�'.. rC...........................................................................Heating ... lj! �� - L Fireplace ..:...... „!! ............................................................Approximate Cost ................ ............................. Definitive Plan Approved by Planning Board ___ � � 19 rr�. Area f:: ".`^...................................... Diagram of Lot and Building with Dimensions Fee ` � �� ................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH i 7'0 i 1 i 1 1 +� 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . . ....................................................... Cedar Acres Realty Tr �t A=23-64 No 22006.... Permit for Sngle.................... Family Dwelling ............................................................................... Location Lat...*.122...13.2...Mar.np-r...Cixr-le 1C0.t Ll 1.t......................................... Owner ....GedAK,..Acres Realty Trust A Type of Construction .i-.:***, :1 AMIP......................... ........... . ............................... r Plot .........:................. Lot ................................ Permit Granted ./?February,,,2 5 �..19 8 0 Date of Inspection ....................................19 Date Completed . ....................................19 PERMIT REFUSED ........................... ................................... 19 ............................................................................... ... .... n . ...................... ....... ................................................................................ Approved ................................................ 19 ............................................................................... ............................................................................... r, „. malt' �o . WZ1�A 4. fnbi w - �__ eau el ix f 1 25 � . . L (E� 1 , 17 1),00 PLAN SHOWING FOUNDATION LOCATION G O T UI T, MASSACHUSE T T S OVVNEO BY C=C�. DATE:. .. ��; NORMAN GROSSMAN------REGIST'EREDLAND SURVEYOR I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED . OVA OF ON THE LOT AS SHOWN AND CONFORMS TO THE TOWN OF BARNSTABLE ZONING REGULATIONS REGARDING NORMAN SETBACKS FROM STR ET LINES AND LOT LINES . v GROSSMAN ' .� .12775 NORMAN GROSSMAN R.L.S. DATE �s'iv sue�o