HomeMy WebLinkAbout0419 MARINER CIRCLE � lqCc.�r-� Y�Q Y' C 1 'r'.
I
Town of Barnstable ` - •
:. ilding
Post This Card So T hat it is Visible From the Street Approved PlansMust`lie Retained on Job and this Card Must be Kept
• was a Posted Until'Final Inspection Has Been Made ;
1639 a�0�` m
Where a Cert�ficate'of Occupancy is Regwired,such Building shall No`t be Occupied until.a Final Inspection has been made �er i�
..: A: .. .. ... �.
Permit No. B-20-239 Applicant Name: Dean Fraser Approvals
Date Issued: 01/27/2020 l Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 07/27/2020 Foundation:
Location; 419 MARINER CIRCLE,COTUIT Map/Lot:. 024-071 Zoning District: RF Sheathing:
Owner on Record: HILL, EUNICE T TR Contractor Name: Fraser Construction Company Inc. Framing: 1
Address: 419 MARINER CIRCLE Contractor License: 194747 2
COTUIT,_MA 02635 y Est Project Cost: $16,000.00 Chimney:.
Description: residing of entire building in white cedar shingle •' r Permit Fee: $81.60
Insulation:
Project Review Req: ,
Fee Paid:' - $81.60
'Date 1/27/2020 mal.
61
s 4 ( Plumbing/Gas
Rough Plumbing:
'.Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six month"s after issuance.
All work authorized by this permit shall conform to the approved application;and� he'approved construction documentsfor which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structure's;shail be in compliance with the local zoning by laws and codes.
Final Gas:
This permit shall be displayed in a location clearly visible from access street or road.and shall be maintained open for public inspection for the entire duration of the
Work until the completion of the same.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the,Buildmg and Fire Officlals are proyidedzon is permit.
Minimum of Five Call Inspections Required for All Construction Work:` s Service:
1.Foundation or Footing 4 ' Rough:
2.Sheathing Inspection_ - - ...f .n ..
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
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 Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
Cape Save Inc.
7-1) Huntington Avenue
South Yarmouth, AM 02664
Tel: 508-398-0398 Fag: 508-398-0399
5/13/19
Brian Florence CBO
Town of Barnstable
Building Division
200 Main St.
Hyannis,MA 02601 44),T FpT
OwNOFB 2p�9
RE: Insulation Permit 19-1076 AAN�
Dear Mr. Florence:
This affidavit is to certify that all work completed for 419 Mariner Circle;Cotuit has been
inspected by a third party Certified Building Performance Institute(BPI) Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCluskey
e--
, ,. Town of Barnstable Building
'. QOSt TF1
h�s`Card So That rt is;�/is�ble@Frorri'the Street�ApprovedFPlans Must be Retainedon:Job and�th�s Card�Must,be-,Kept
(� Psted Until
o F,i�nhyal Inspection HasBeen Made,. _s , �.. ,. � � , ,
rut+° Where a,Certificate of OceupancytsxRequ�red,such Building shall Not b�Occupied until a Finallnspection has been made Permit
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Permit No. B-19-1076 Applicant Name: William McCluskey Approvals
Date Issued: 04/03/2019 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 10/03/2019 Foundation:
Location: 419 MARINER CIRCLE,COTUIT Map/Lot 024 071 Zoning District: RF Sheathing:
Owner on Record: HILL,EUNICETTRContractorkName WILLIAM 1 MCCLUSKEY Framing: 1
Address: 419 MARINER CIRCLE Contractor L tense CSSL-102776 2
COTUIT, MA 02635 Est Project Cost: $3,600.00 Chimney:
Description: Add R-38 fiberglass,and R-40 cellulose to the arnc Air seal the attic Permit Fee: $85.00
plane with expanding foam. General weatherization Insulation:
Fee Paid y $85.00
Project Review Req: Date 4/3/2019 Final:
r20
� ( Plumbing/Gas
`f Rough Plumbing:
,.This permit shall be deemed abandoned and invalid unless the work authorizedby this permit is commenced within six months aftePI MW;e.Official Final Plumbing:
All work authorized by this permit shall conform to the approved application and th4 Yapproved construction documents(for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shallibe in compliance with the local zonin&y laws and codes. Rough Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for pubic inspection for the entire duration of the
` Final Gas:
work until the completion of the same. } *
The Certificate of Occupancy will not be issued until all applicable signatures,by the Building andaFire Officials are provided on thispermit. Electrical
Minimum of Five Call Inspections Required for All Construction Work:_ a ,
1.Foundation or Footing ' ° Service:
2.Sheathing Inspection *=
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed`T_ • ,-, Rough:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation
7.Final Inspection before Occupancy Low Voltage Rough:
Low Voltage Final:
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. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
Town of Barnstable Bu1lCilil
c. g
,•' ?.
s Post,Th�s CardSo That�t;is Uis�ble From the Street it► ' roved;Plans:Must<be Retained on,.Joband this Card,Must be Ke t
163 khere
sd Unt aCertificate of OeCu anc is-Re u,rned'suchrBurJdmv Sall Not=be.Oceur�ied until a Final,%Ins ect�on has'ben made Permit
,. ,• 3';: .,'�,ad"s�... �F p 3.,_.y.P .';.,y........ '�%.r,, p�
Permit No. B-16-1451 Applicant Name: HILL, EUNICE T TR Map/Lot: 024-071
Date Issued: 06/16/2016 Current Use: _ Zoning District: RF Permit Type:., Shed Residential-200 sf and under Expiration Date: 12/16/2016 Contractor Name:
Location: 419MARINER CIRCLE,COTUIT Est Project Cost: $0.00 Contractor License: 4
Owner on Record: ' HILL, EUNICE T TR Permit Fee $35.00
'S
Address: 419 MARINER CIRCLE ' 35.00
Fee Paid _$
COTUIT; MA 02635W", Date. 6/16/2016 -
t ,
Description: 10x12 shed _
j l 3
Project Review Req
a Building Official
This permit shall be deemed abandoned and invalid unless the work authonzed bythiS permit is�commence i hmsi months after issuance.
All work authorized by this permit shall conform to the approved application a ritl thapproved construction documents for which this permit has been granted. -
All construction,alterations and changes of use of any building and structuresEshall tie m compliance with the bcal zomn&by laws;and codes.
This permit shall be displayed in a location clearly visible from access street orrad and shall be maintained open for pub crospection for the entire duration of the work until the completion of the same.
The:Certificate of Occupancy will not be issued until all applicable signatures,by the' ilding and Fire Officials are proVicled onthislloeelmit.
Minimum of Five Call Inspections Required for All Construction Work: OF
x;
1.Foundation or Footing '
2.Sheathing Inspection
a �xs .
3.All Fireplaces must be inspected at the throat level before firest flue lming is installed 4� � y � _,j
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection''
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation
7.Final Inspection before Occupancy `
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.
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Building plans are to be available on site
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
F3
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Town of Barnstable BUILDING Pfr-
oF"'�Taws, Regulatory Services
Q` Richard V. Scali,Interim Director MA 6 `
•
B" MASS. ' Building Division
�►�. $ g TOWN OF 5AHivs oHbL-
i639.
Tom Perry,Building Commissioner -
200 Main Street, Hyannis,MA 02601 s
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# , -I - S FEE: $
SHED REGISTRATION
RESIDENTIAL ONLY
200 square feet or less
Location of shed(address) Village
- r
Property owner's name Telephone number
Size of Shed Map/Parcel#
Signature Date
Hyannis Main Street Waterfront Historic District? t V V
Old King's Highway Historic District Commission jurisdiction? & o
If over 120 square feet,you must file with Old King's Highway
Conservation Commission(signature is required) A *V
Sign off hours for Conservation 8:00-9:30&3:30-4:30 '
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE
ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION
FEE. PLEASE SEETHE APPROPRIATE COMMISSION.FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
Q-foams-shedreg
REV:110413
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as'� SCALE:
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NORAlAN GROSSMAN `----=RfGI6TEREB LAND, SURVCYOR. N �„
Ait
! HEREBY GERFIFY TNAr THIS f UNDATION' lS,-L.UCATED
TO
ON 7lME LOT AS SHOWW AND GO FO"S
!, OF BARNSTABLE ZONING REGULAT�ONS�,16% DIt6 � s�` P # T
now
SETBACKS FROM" STREET i.ikt LtJT �1 1€5 �? �
('�_-$�N og�C/A•N�,��6RD�S!{ti9 �,.fi L � � � ♦f P..�' 'a 3y��,
p r� Town of Barnstable *Permit# -7 v<< y
Expires 6 months from issue date
Regulatory Services Fee
Thomas F.Geiler,Director
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION _RESIDENTIAL ONLY
i Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address
Residential Value of Work 7 VD, Minrum fee of$25.00 for work under$6000.00
9
Owner's Name&Address ti ( I
�f ► �1t1�� ors C \� C TL
Contractor's Name ��-- ��� �J Telephone Number
Home Improvement Contractor License#(if applicable) (9 (0
Construction Supervisor's License#(if applicable)
Ej*orkman's Compensation Insurance X-P RESS PERMIT
Check one:
❑ I am a sole proprietor JUL 11 2007
❑ I am the Homeowner
I have Worker's Compensation Insurance TOWN .OF BARNSTABLE -
Insurance Company Name ! .,Vx ✓V\A t) 1 r
Workman's Comp.Policy# �]D (.- a � 6 D t a
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
c
-
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44) a!
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,C nservatioeto.
Z
***Note: Property OvVT must si rope O ner Letter of Permission. C0
y of ve t C actors License is required.
SIGNATURE:
Q:Forms:expmtrg
Revise061306
Yr
MARK HERBST
35 PEEP TOAD ROAD
R CENTERVILLE MA 02632
k ?
.1
508-420-6216 CELL PHONE 774-238-2938
i
u . RO S TTED TO: WORK PERFORMED AT:
Eun* e .- SAME
419 Mariners Ci
F'4Cotuit AM
508-428-1103
t
We herby propose to furnish the materials and perform the labor necessary for the completion of the `
z
following; 4 = `
New Roo.
Remove 1 laver of existing shingles
a Install 8"drip edge
Install ice&water shield at edge
Install 15 lb. felt paper.
Y Install Certainteed Woodscape 3( r. algae resistant shingles
Color; C G•-1) )*Please fill in Thank You
{ Replace all plumbing boots
Cut ridge&install cobra vent
Storm nail all shingles
- All debris cleaned daily
Price includes material, labor&dumbfees
All material is guaranteed to be as specified.The above work will be performed in accorandance with
t the specifications submitted and completed in a substantial workman-like manner for the sum of;
Five-Thousand Seven-Hundred
dollars($5,700.00 )with payments as follows; full amount due upon completion
*Any alteration(s)from above proposal involving extra costs will be added under a separate written
agreement and become an extra charge. {
RESPECTF LL /S TED: Y
06-24-07
Mark Herbst
v
ACCEPTANCE OF PROPOSAL
The above price,specifications and conditions are satisfactory. We herby accept this proposal. You
are authorized to do the work and payments will be as specified above.
.IA
Signature
*This proposal may be withdrawn by said company if not accepted within 30 days '.
�y
lT1Y i
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_
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
UV.
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/aganization/Individual):. 1 ' •e
Address:
City/State/Zip: �_e V✓ t Phone.4: A 4"j(D 4061 (10
Are you,an employer? Check the appropriate box: -Type of project(required):.
1.[ J I am a employer with 3 4. I am a general contractor and I
employees(full and/or part-time).* have hired the stab-contractors 6. El New construction .
2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling
ship and have no employees 'These sub-contractors have 8. Demolition
working for me in any capacity. employees and have workers'
9. Q Building addition
[No workers' comp.insurance comp.insurance.
�•
required.] 5. We are a corporation and its ME]Electrical repairs or additions
officers have exercised their
3.❑ I am a homeowner doing all work 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' . .13.❑ 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 providing workers'compensation insurance for my employees. Below is.the policy and job site
information.
Instaance Company Name: �l✓V1, 1 �t�"Z 1l`A' '
Policy#or Self-ins.Lic.#: b ,y V / Expiration Date: "-1Z>—C)�
Job Site Address: .�z'7 61A City/State/Zip: 1 S
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 a day against the violator. Be adviseopat a copy of this statement may be forwarded to the Office of
Investigations of the DU for insurance Aerazi ve ' ation.
I do hereby certify a the 'ns an en s o jury that the information provided above is true and correct:
Signature: Date: �6 _
Phone#: Z2 TOR
Official use only. Do not write in this area,to be completed by city oT 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.PIumbing Inspector
6. Other
Contact Person: Phone#:
Informnation and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee i§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 bean 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()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 comptfauce with the inscurance
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-confractor(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 permiVlicense number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only 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 ventaire
(i.e. a dog license or permit 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 CommonwWt of Mawachuw4s
Department of Industrial A rcidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. #617-727-49p4 ext 406 or 1-877 MASSAFE
Revised 11-22-06 Fax 4 617-727-7749
www.mass.gov/dia
-- -- 071 61.�Cia�aclivaelta
Board of Building Regulations and Standards License or registration valid for individul use only
i Uq
HOME IMPROVEMENT"CONTRACTOR. before the expiration date. If found return to:
Board of Building Regulations and Standards
Registration ,126480 One Ashburton Place Rm 1301
Expiration g/8/"2008 Boston,Ma.02108
r `Type -.Individual
2 Z' MARK HERBST
MARK HERBST
�.1
35 PEEP TOAD RD.
Not valid with t nature
CENTERVILLE,MA 02632 Deputy Administrator
CERTIFICATE OF INSURANCE III n( /DD/YY)
2007
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
Leonard Insurance Agency Inc DOES NOT AMIEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE.
P O Box 444 POLICIES BELOW.
Osterville, MA 02655 COMPANIES AFFORDING COVERAGE
INSURED €
Mark Herbst COMPANY A.I.M. Mutual Insurance Co
35 Peep Toad Road LETTER A
Centerville, MA 02632
s
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OP.INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO 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.
co POLICY EFFECTIVE POLICY RXPIRATI
LTR
TYPfiOQINSURANCB POL[CYNUMBBR DATR(MMIDD/YY) DATE(MM/DD/YY) LIMrrS
GENERAL LIABILITY GENGRALAGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTSCOMPIOPAGG. S
LAIMS MADE�CCUR PERSONAL&ADV.INJURY S
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE S
E DAMAOGIAny wx fue) S
ED.EXPENSE(Amy ow pawn) S
AUTOMOBILE LIABILITY OMBINHI)SINGLL S
NY AI)TO LIMIT
ALL OWNED AUTOS BODILY INJURY S
HRDUL130 AUTOS pawn)
IIIRCD AUTOS BODILY INJURY
HNON-OWNED AUTOS (Itr tOcidcoq S
GARAGE LIABILITY
PROPERTY DAMAGE S
%CESS LIAB1LMY EACH OCCURRENCE S
MBRsi.IA FORM AGGREGATE S
HER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND x TWC STATU- OTH-
EMPLOYGRS`LIABILITYL"rS
70162I50t2007 DIf10f2 w OIftOf"s r-frA IIIF'' s
A THE PROPRIETOR/ INCL _0A Licy S 500,000
PARTNERS/EXECLMVE
OFFICERS ARE Fx]EXCL Et D S EE $ 100 000
OTTIER -.
DESCRIPTION OF OPBRATIONWLOCATIONSNKIIICLL%WCIAL rMMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL .ENDEAVOR TO
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
go
Assessor's map and lot number C/
Sewage Permit number ....... :.U/. .. ......................... rSEPTIC SySTE ro'`Qy ♦�
MU
E�® 'ly r. TAILE, i
1 House number .. ...1.!i�1. ...................................................... � 141
p ®M a
/��l� ���0�� >
1r� TITLE G� i639. `00
t ';+'- � T AL CODE MAY a
TORN OF BARN:^STg LITiaws
BUILDING , INSPECTOR
APPLICATION FOR PERMIT TO .... ........ r:`:"..... .�. ' ...... .................
TYPE OF CONSTRUCTION GEC IGU
......... s 7 .................14
TO` THE INSPECTOR OF BUILDINGS: h
i
r
The undersigned hereby applies for a permit according to he fall wing informati
,gyp - 74
Location .� �/. ......./...... / a.......... .. f2C..�rc..... ........ ...............................................
Proposed Use ..
ZoningDistrict ............. .....................................................Fire District .7`,Cl.......................................................
Name of Owner Address!... J a.... � � �...................
0
.Name of Builder ... !/Fa...Q �41.!�.....Ad-dress ....................................................................................
Nameof Architect ...................::...............................:.............Address ..........................:........................................................
Number of Rooms .(0 Foundation .................................... .............................. ..................
..... .....
Exterior ...W......1....................... (. ......v.��� ...Roofing ......1.� ..��..�... E...................
Floors Q .......................�C% Interior .Cc'u�L
..Q .. .........
Heating" A.�1'. :..Plumbing /...p...... ................
l . .y.....
Fireplace ....................../..........................................................Approximate Cost ........ . C �.�.. ... . .; ..........
Definitive Plan Approved by Planning Board ___ _ __________�_?_____19 V__. Arid../ . ..................�d.....
Diagram of Lot and Building with Dimensio
9 9 Fee ...........+�
SUBJECT TO APPROVAL OF BOARD OF HEALTH "
as
I hereby agree to conform to all the Rules and Regulations of the Town o Barnstable rega g the abo%m
construction.
Nam ... .. ... . ..... ................................
THEO CONSTRUCTION CO. , INC.
'23545 One Story
No ................. Permit for ....................................
Single Family Dwelling
...............................................................................
Location Lot #13 419 Mariner Circle .;'
................................................................
Cotuit
...............................................................................
Owner ...Theo Construction Co Inc.
.. .... .......................................................
Type of Construction ......Frame
....................................
............. ...................................................................
Plot ........................ Lot .............
...
October 8
i y t - ' ! '
Permit Granted .............................I 81 A....... ..19
Date of Inspection ..............................r.......19
Date Completlpd .............//:7/:7...R.249
PERMIT REFUSED
.........I....................................................... 19
. ............... ...............................................................
............... .............................................I...............
j � L
...............................................................................
✓............................................................................... .
Approved ................................................ 19...............................................................................
..............
Assessor's map and lot number .`....<r1. /................. . ..............
THE
Sewage Permit number ......<. , 9,<
Z IJAR3 TADLE, i
f House number .................................................... so rues
/. p t639. 00
pjt 11 MPY a\
TOWN 'OF - BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .....................,..a... /
k
!.lr`�3 ..... . ..... `Gl / t���.......................................
TYPE OF CONSTRUCTION ...
.. ..................... ..................................
..
. r
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for
a permit according to-the following information-
Location � ...... //r�/•�/ !�� ....... .......................................A C lI (....`1 .�......
ProposedUse .... ...........!1/ .................................................................................... ............................................
6 /r
Zoning District .............: .....................................................Fire District f i� t fi
........................
.............................
Name of Owner ....$ rk.Address 1./.................... .......................
Name of Builder �r�" .(� f-�...tflr�.�f`J/
.....Address ....................................................................................
..
Nameof Architect ..................................................................Address .............:.......................................................................
Number of Rooms ''
//.........../........................................................Foundation : .............. �-:....................
Exierior ................................ ....... -c..� .' ,...........Roofing .......:.............d...............::..,
74
Floors �� �( t Interior r ..........-+ ... .:�............... : ............. .�...................... ...... ...... J. ..../...`. ...............................................
Heating ........ .�.. :':J.'.......'�`7.... ........................Plumbing .........................A... '1..............................................
r
Fireplace .Approximate Cost .. �
......................... ........................................................ ......
� ......................................... ...
Definitive Plan Approved by Planning Board P_1_c _-! -- 19 Area j�, .—............
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
G
I hereby agree to conform to all -the Rules and Regulations of the Town of Barnstable regarding the above
construction. i
Name `. ::�'%�. ........
/THEO CONSTRUCTION CO. , INC_ =24-71
No 23545 Permit for ...One Story
Single Family, Dwelling..............
Location Lot #13 419 Mariner Circle
...................................................
Cotuit
...............................................................................
Owner ..... heo Construction Co.
......................................................
Type of Construction ..Frame...........................
................................................................................
Plot ............................ Lot ................................
Permit Granted ....October 8, 19 81
Date of Inspection ....................................19
Date Completed ......................................19
PERMIT REFUSED
r
...............................................................................
...............................................................................
r
Approved ................................................ 19
...............................................................................
...............................................................................
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j .a.o PLAN • SHOWING �, C
FOUNDATION LOCATION L
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! NORMAN GROSSMAIN -----REGISTERED LAND;SURVEYOR N
I HEREBY, CERTIFY THAT THIS FQUNDATIOM IS.LOCATED
ON ME'LOT,A.S. SHOWN AND CONFORMS 'TO THE 'TON!N
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j 'OF BARNSTABLE ZONING REGULATIONS` `REGA'RO/N6' �won�s � Q '' ' D -'rl 4`;, '
SETBACKS :F`ROM..SrREET L%NES AND IO•T LINES-.-
MORA AN GROSSMAN R.L.S. DATE."
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•e TOWN OF BARNSTABLE Permit No. --------------------
l Building Inspector
NA"TTAX Cash
---------------------
0 --
y ,ego• �
°Va"(6. OCCUPANCY PERMIT Bond ----_-----_-_1
"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 ' ;Ap-0 Const u<,tlon C<:. Address
Wiring Inspector ^3 Inspection date
Plumbing Inspector �r 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.
...................................................... _.w ...................... ..........
Building Inspector