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0100 MOORING DRIVE
Town of Barnstable ' Building . s , Post THARNSTAJ" hisGard.SdThat it is Visible From the Street 'Approved Plans~Must.be,Retained;on Job and this,Card Must be:Kept MASS `� Posted Until Fin10396 al Inspection Has Been.Made. _ Where a Certificate'ofAccupancy is Required,such Building shall Not be Occupied until a Final Jnspection has been n ade: Permit Permit No. B-20-185 Applicant Name: SCOTT PEACOCK BUILDING & REMODELING INC Approvals Date Issued: 02/20/2020 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 08/20/2020 Foundation: Location: 100 MOORING DRIVE,COTUIT Map/Lot: 024 106 Zoning District: RF Sheathing- Owner on Record: MCGRATH,CHRISTOPHER J& MEGAN L . Contractor Name N JAMES S PEACOCK Framing: 1 Address: 640 WELD STREET :Contractor License: CS'-094500 2 WEST ROXB.URY, MA 02132Est Project Cost: $271000.00 Chimney: Description: RECONSTRUCT HOUSE AFTER FIRE DAMAGE ADD SECONDFLOR AS r Permit Fee: $1,432.10 1 insulation: SHOWN ON PLAN UPGRADE SMOKES TO CODE I �T fee Paid:` $ 1,432:10 Project Review Req: � Date 2/20/2020 Final: x i. lPlumbing/Gas fl �A ( Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by;this permit is commenc d w l�ithin six months afte� Mpee.Official Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which'this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street 6r road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signaturesWby the Building-and-Fire-Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flu ilimng ismstalled Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame inspection) Final: 6.Insulation Low Voltage Rough: 7.final inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: 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 �J Final: IKE ApplicationNumber..... .................................................. T ABLE, MASS. Permit Fee...:. . �eT Fee,....................... %639. %. Total Fee Paid.................................... ................. ST I LE Permit Approval by .. ...............on.......Zlj:-�91211.6 TOWN OF BARN ..........1�� BUILDING PERMITS Map............... ...... ............Parcel........ .................. APPLICATION Section 1 —Owner's Information And Project Location Project Address /00 Moo r lr?a Irive Village �-o4 J Owners Name her q M-eaa yj All,c - SCANNED Owners Legal Address (v q()- Well at FEB 2 12020 City wtsi gGY-buy- state I� A Zip 00-/3a Owners Cell # Cf 1 -7 G 1 —76) 7 E-mail CArJ",3fVl FSection 2 —Use of Structure Use Group_ El Commercial Str: ucture over 35,1 000 cubic feet El Commercial structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 — Type of Permit❑ A F New Construction El Move/Relocate F1 Accessory Structure F-1 Change of use '- El Demo/(entire structure) El Finish Basement D Family/Amnesty El Fire Alarm Rebuild El Deck Apartment El Sprinkler System ❑ Addition ❑ Retaining wall Fj Solar ❑ Renovation ❑ Pool EJ Insulation Other-Specify Section 4 - Work Description F� 0-0 V Tact iinrlsted- 11/11/7.01 R Application Number.... .............................................. , Section 5—Detail Cost of Proposed Construction /Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing f Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design q Section 6—Project Specifics , r ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom • g Y m'Y Y I ' Water Supply ❑ Public ❑ Private 1 Sewage Disposal ❑ Municipal '❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway a Debris Disposal Facility: ye4 rmouf k Lq,�I I I am using a crane ❑ Yes W-No j i Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. 1 Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard ' Required Proposed i Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No i Last updated: 11/15/2018 l y��yy os' Sim >a u -� `+. � '.z. i � `x v4 .a �; �' r � `,1 2� +ss ��,�:" -�f�A�' f'+'� • � . •, .� i ;.• , ri. st t Ir ¢t �g ! t s + 1 t F r Fi p •':}J.ea rkH #pr �y h ,f�r� '!r. ,�;6�, L•. '� " at .7 _ r-7.� ° �� F s,, ,�, ¢4 �+,�� ...�x `�.a�;r, �.r�'• •,+. "' � =�^tom � +��+t p �:..:�.�'�. + °+v„..r � ^s; i; y, s ifiN ,}'F d1 11�^#'-" 't�d ft} A5, S4{' i "C .�v • ; "1 S1 �i: 1 tL '. �, � �*� r �f,..,� � `' �� �•�� F� x�s; 1#�7 ��� <.; `.z}I' �a�r 82F) '„� �k r r� t€ .`t* '� ( ,�73 yl�� A �-' F#'•+ ��##k#�' S,r .a.y^F � .�(`�' � � 'TE..�,r� ,.lyp" `.^�,�,�,w'`Y.a�r1�T a `e, �,". � Y4 I •,m T+ 9� ,0�-TA, ',. 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F 3 1 " '• 7 r t, tr >" i t y-k ":y t ` i t a �¢� s'.! .�i+ a•f3a"+.3 n r 'aa. � -, �"*��gyf. +, z:: � � A ��Y ti �� �'a°' $t�. .�.1- e'3 �. r'h4 d i y L9 t o �+ `N,� * �'OUN� 44V5L0 �0 ri � t e°.y _ .`} ^ x, ,,,y:P i""r f:. cs ' zs €r r^ =;rj 4i jicss E. !� a 1 �y.- +y,+ x `-,t$" Y + +'i a �t '•ASS' _" z a "t ,, '.4�€omo p `.i R ASSA. l T S • 3 � .. ag 7 ' '° z,OWNEQ 8Y i*a .L.�rY."V'!r r� J?r� i w . I ' - .� a. .� � r r`•„e� ` '. � x c�y :.`t to «.. � .w �, "� a � � c sg.� � ,ed���;� II Vt r `, "`Z ORMAM GROaSAIIrN `'= " `�`',REGISFFR.'© LAND SURVEYOR _ � r w' t ' '9 '� tl A a T,•e n?'R 9.:um 'TT F F � i ':t .. f'�€. �€ � .s � '$ x�`• �75 y,"� 4F �.f J ME'REBY EE'R1►FYTHAT rTHIS `FOUN©ATI011�=ISaOCA'.TEt3 k r ' � x ^= t• s `.", �� `ON'7rHEt'LOT 4ASr SHONrAV CONFORAI� FO THE 1'01�'N k. ° fi . OF BARN SYABt�E''Tlit ONJM6 R GtILATtONS -REGARD! OP ' 4 * 1 w r ya SETBACKS 'FROM,+STt�EE`T LIMES ANQ LO t I�NES r Y { f + y a r key.rS ,s ''y406 141t1�� PIN SCANNEDAw T NORI�AN,,GROSSMA N R'L.S s 'a �"r'"" ���� � t+y;':�� ,'n aye• "� � yf�*t,`$,i ,�'��'np+ 1 ��1; s r�� �} �r'���� `; �':a �f�.�ll �f.�. LIT� .: a 'rt � �'n 4 �-�,i• ',�": �.. si 6 t�.ri x. �h.. t, �tR:`d :,. ACCOR& CERTIFICATE OF LIABILITY INSURANCE .' °A06/2712019 Y'osrz7/2o1s- • 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: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: GermaniInsurance Agency PHoxE (508)428-9194 908 Main Street Ht9A1L �B No: (508)428-3068 DDRE 5: CertS@geRnanllnSUCdnCe.COm, INSURERS AFFORDING COVERAGE NAIC t2 Osterville MA 02655 INSURER A: SAFETY INS CID 39454 INSURED INSURER 9- National Uability&Fire Ins Co 19054 Scott Peacock Building&Remodeling,Inc. INSURER c: P.O.BOX 171 INSURER D INSURER E: Osterville MA 02655 IN SURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, . EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iL R T TYPE OF INSURANCE AOOL SUER PMO�D EFF POUCY EXP COMMERCIAL GENERAL LIABILITY VWMVD POLICYNUMBERAMMDAWYI LIMITS EACH OCCURRENCE S 1,000,000 CLAIMS-MADE ®OCCUR DAMAG O RENTED PREMISES Ea occurrence $ MED EXP(An one person) S A BMA0022118 07/05/2019 07/05/2020 PERSONAL&ADV INJURY S GEML AGGREGATE LIMIT APPLIES PER: ,t GENERAL AGGREGATE S 2,000,000 POLICY PRO- JECT 0LOC PRODUCTS-COMPIOPAGG S OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE UMIT S Ea accident ANY AUTO �OWNED SCHEDULED BODILY INJURY(Per person) S AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY + (Per accident S • S UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS UAS CLAIMS-MADE 1 AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'UABIUTY Y/N ' STATUTE ER B OFFICERIMEMBEANY R�EXCLUDED?ECUTIVE ❑ NIA ELEACHACCIDENT S 500,000 V9WC079467 06/22/2019 O6l22/2020 (Mandatary In NH) E.L.DISEASE-EA EMPLOY S 500,OD0 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space is required) '> CERTIFICATE HOLDER CANCELLATION 77 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Scott Peacock Building&Remodeling,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. P.O.BOX 171 AUTHORIZED REPRESENTATIVE I Osterville MA 02655 - �J F8X:508-428-7625 Etllallscag—peacock@verizon.net ©1988-2015 ACORD CORPORATION. All.rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Cormnonweatth of Massachusetts ? Division of Professional Licensure Board 'f Building Regulations and Standards Constrrzc inn S merviso- CS-094500 Expires:0712212020 JAMES S PEACOCK 1046 MAIN S J.UMT 7 P.O.Box 171 0STERVILLE MALA2655 /J ,cam .- Commissioner ' !� - rJ�C (,�CJRlJt�)tn:rfill/i ej•�'llO.ii!�c���JFJ�' - Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Corooralion Realstratidn (ration 151853_*". ` `07/06/2020 SCOTT PEACOCK BUILDING&REMODELING INC JAMES S.PEACOCKC -- 1046 MAIN STREET SUITE 7 OSTERVILLE,MA 02655 •Undersecretary ' t 4 The Commonwealth ofllassachusd& Department of InduYMdAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass govMa Workers' Compensation Insurance AMidavit:Binders/Contractors/Flectriciam/plumbers Applicant Information Please Print LMJJy Name(Business/organizatian/lndividnal)•�Gii'Y1 - Address: (' a m j City/State/Zip: '3-Fe" 'VJ)1-� k1,4 5 S Phone#• coe � y tehozsffippg 1. a employer with- 4. ❑ I am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired flee sub-contactors 6• ❑New contraction 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 mein any capacity. employees and have workers, [No workers,comp,insmz= comp.insurance.: 9. ❑Build addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing aU work officers have exercised their I L❑Plumbing repairs or additions myself[No workers,comp. right of exemption per MGL insurance required.]t c. 152,§1(4),and we have no ❑Roof repairs employees.[No workers, 13.[]Other• comp•insmsnce required.] *Any applicant that checks box#I most also fill out the section below showing their workers'comp,,Mfion Policy infonullition. t Hom5owners who submit this affidavit indicating they are doing all work and then hire outside comint rs most submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name ofthe sub-coahactors and state whether or not those entities have employees. If the sub-cofactors have employees.they must provide their workers-comp.policy number. lam an employer that is provi&g workers,compensation insurance for my employees Below is thepolicy and job site information. , Insurance Company Name:_h1 cu7 L I b-3'iaL U a b,1 1 h '✓`�'1(' �rj C�7 Policy#or Self-his.Lic.#: � ��U°— i.�(�'') Expiration Date: 1) -l �j Job Site Address:_ 100 000-r10U r" Ve, Ilicityistateazip: eo) /'t M 35 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 MG1.c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisomneri�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 advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insuance co erage verification. Idoherebyceounddear pains p of peryury that the information provided above is free and correct Phone#: AS2L L/ Offuial use only. Do not write in this area,to be completed by city or town gJL-W City or Town: Permit/Ucense# Issuing Authority(circle one): 1.Board of Hea t;.Other lth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Contact Person: Phone#: - I "E Town of Barnstable Regulatory Services KM Richard V.Scali,Director ib39.� :� 639t" Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barn.stable.ma.us r 4 4 Office: 508-862-4038 Fact: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1 Christopher McGrath ,as Owner of the subject property hereby authorize IJ.Scott Peacock to act on my behalf, in all matters relative to work authorized by this building permit application for: 100 Mooring Dr.Cotuit,MA 02635 (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 o Owner ature of Applicant Print Name Print Name D to Application Number........................................... Section 9- Construction Supervisor Name_� CO, Pe a CP, ' Telephone Number 5_0�3 -qa t3 -7&0 0 Address R D , BOX, J "7/ City 05te r Lb/I e State M 4 zip i a&W License Number DojL/SVp License Type U Expiration Date 'ao o Contractors Email S eC)f+�QP ooncto Ve 1 76I1,A l?t Cell # 5-0 9 3&q— I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentatio required by 780 and the Town of Barnstable.Attach a copy of your license. OR Signature Date Section 10—Home Improvement Contractor �Natne=&, YW__ (OCVt, Telephone Number d Address- City State zip Registration Number 1 S 5 Expiration Date I understand my responsibilities under the rules and regulations for Hom`e,Improvement-Contractors in.accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentationkrequired by 780 and the Town of Barnstable.Attach a copy of your H.I.C... Signature r. '_Datd Q c r0 } Section 11 —Home Owners License zemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities der the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts S - uilding Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPL CANT SIGNATURE Signature Cam'" Date Print Name - Pea c.l,Pi_ Telephone Number,-t*' 4a y)(.PAD E-mail permit to: S CV+_'XAP'0tE' (2�_ W)-Loy? L Y) -- Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) El j Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval. 4 � I Section 13 — Owner's Authorization I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: i (Address of j ob) Signature of Owner date Print Name 1 Last updated: 11/15/2018 ' " . Town of Barnstable Building I snsivsr Post This Card So That it is Visible From the Street-Approved Plans Must be Retained.on Job and this Card Must be Kept bs� ` Posted Until Final inspection Has Been Made. p yam' °i Where a Certificate illy of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. 1 e1 Permit No. B-19-3078 Applicant Name: MULTISTATE RESTORATION CAPE COD DIVISION INC. Approvals Date Issued: 10/02/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 04/02/2020 Foundation: Residential Map/Lot: 024-106 Zoning District: RF Sheathing: Location: 100 MOORING DRIVE,COTUIT Contractor N e-.,MULTISTATE RESTORATION CAPE Framing: 1 Owner on Record:.MCGRATH,CHRISTOPHER J& MEGAN L _ COD DIVISION INC. 2 Address: 640 WELD STREET __ _Contractor License: 140427 �' Chimney: WEST ROXBURY, MA 02132 Est.`Project Cost: $5,400.00 Description: remove sheetrock in kitchen, living room andAen as well as flooring Permit Fee: $85.00 Insulation: due to water damage and clean remaining rooms. Future permit Fee Paid $85.00 Final: needed for installation Date: 10/2/2019 Project Review Req: ` Plumbing/Gas �. Rough Plumbing: �! c Final Plumbing: f Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall 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 Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work i Rough: 1.Foundation or Footing 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: ��" V .All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT `*�/ Applica,,on Number........)6. ./.1.. . ............. F,,,,, BAMMABM MASS. Permit Fee. . .............Other Fee ....................... %639. TotalFee Paid................................................................ ...... TOWN OF BARNSTABLE Permit Approval by.................................On........................... BUILDING PERMIT Map............. .............Parcel... ........ ................. APPLICATION Section 1 — Owner's Information and Project Location Project Address 0-0 Ho 6 cfvj 13,2 Village T U 17- Owners Name-0- H-9*5 Owners Legal Address e City C—OT-" State /'-14- Zip 6 S7 Owners Cell # G 1-7 79 7 - 74) -7 E-mail Section 2 -Use of Structure Use F-1 Commercial Structure over 35,000 cubic feet Commercial Structure under'35,000 cubic feet El Single Two Family Dwelling Section 3 - Type of Permit 0 New Construction E] Move/Rilocke [] Accessory Structure ❑ Change of use El Demo/(entire structure) El Finish Basement El Family/Amnesty ❑ Fire Alarm Rebuild D Deck Apartment Sprinkler System E] Addition El Retaining wall El Solar El Renovation El Pool El Insulation Other-Specify f to e e�77 Section 4 - Work Description Zk -/2 e.e,7-12,o&-iC /V � e- Z- u,Ju!;p 17—,zt ,, A:5 OJV,#?,% 47' ,-A-.-A. 1 1 mc pin io Application Number.................................................... Section 5—Detail Cost of Proposed Construction �P S—Vcy — Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics t ❑ Wiring ❑ Oil Tank Storage Smoke Detectors k, ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8-Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required -Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated: 11/15/2018 The Commonwealth of Massachusetts Department of IndushridAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Apulicant Information Please Print Legibly Name(Business/Organization/Individual): iL( (-e L7 t sz-n�'7 diU Address: 6?�? lU(C o L e `;( 'S W A-V City/State/Zip: M P6h Pee MA Phone#: -7 7 - 3 3 373 Are you an employer?Check the appropriate box: Type of project(required): 1.M-I am a employer with ., .4. 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. I. ❑Remodeling ship and have no employees These sub-contractors have g. E c Demolition working for me in any capacity.acttY• employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions right of exemption per MGL- myself.[No workers comp. 12.❑Roof repairs - insurance required.]t c. 152,§1(4),and we have no 13.[]Other employees.[No workers' t r" 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state wbether 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 thepolicy and job site information. Insurance Company Name: H 61n4'R Policy#or Self-ins.Lie.#: l2 a w C � ��'� � Expiration Date: 7 Job Site Address: / U y U i`L�:,V c, 1�/1- City/State/Zip: �.ye r Lt�.T E 35— 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 advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct Af Sire -- � Date: -i-7 Phone#• ( „2 b 5Z 7 , Offrcial 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-contractors)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 retumed 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 mnnber 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 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 venture (i.e.a dog license or permit to burn 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 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877 MA,SSAFE Revised 4-24-07 Fax#617-727-7749 WwwMass.gov/dia A DATE(MMFr)DjYYYY) CUR" CERTIFICATE OF LIABILITY.-INSURANCE 9/17/2019 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: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies'may require an endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER 'NAME; ' Maureen Roderick Horgan Insurance Agency "HONE E.O: I(508)775-5830 1 INC.Not:FAX 668R (AJC.No. ................................ ............. ............. E-MAIL 44 Barnstable Rd, [A.p�t§S:maureerir@horganinsurance.com .............. P.J. Box. 250 INSURER(S) AFF:ORRiNG COVERAGE NAIC Hyannis MA 02601 INSURERA:AmGuard Insurance Co.' ................ ...................................... .................--........... .......... INSURED I SURER 6 f -I�-...--'..................... Multi State Restoration, Cape Cod Division, Inc. INSURER C PO Box 221.0 INSURER D ---................. .....................I............ ................ ..............--.......... ............ ........... .......................... .......... ............... INSURER E,— Xashpe.e MA 02649 INSURER F COVERAGES CERTIFICATE NUMBER:CL1972401 334 REVISION NUMBER' -1� . us Ism CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANYRDQUIREMENT,TEIRNII OR CONDITION i3F ANY CONTRACT OR OTHER DOCUMENT WITH,RESPECT TO WHICH THIS CERI'IFICA:-:E MAY BF ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HIEREIN IS SUBJECT TO ALL.THE TERMS. - Y EXCLUSIONSAND C'ONDi nONS OF SUCH POLICIES. OIAN LIMI IS SH MAY HAVE BEEN REDUCED B PAD CLAIMS . ............................. ............ PlY I-- .......... .............. ............................I.............. .......... INSR TYPE OF INSURANCE 7A 1i 5KL��UEKI ICY EFF POLICY i.W T- 1, INSO WWI POLICY NUMBER i(MM"DDJy'fy ' MM;ODiYYYYi LIMITS COMMERCIAL GENERAL LIABILITY ........... cc C JR, PR�NIISES,fEa occ�rer.cei -XP(AF P',,RSOFNA�. 6 AD-V IN'IJR� .... ............................ ......... ................S.._....___........ I GEN't.AGG RFGAI,�-.�FMIT A,'P�AFS PFR 1,G'E*RALA'GGREG'A� S "'RO 'OL: 0 2-1- P-RUDoCTS COMM ;AGG' S AUTOMOBILE LIABILITY CCN!BiNED SING M. ANY AUTO I30C.Ly 'NIURv IP --e,scri 1 S ALL 300 1 Y IN,URY frf,,r ace,,den0 S A::FOS A; I AUTOS I........... $ ........... UMBRELLA LIA13 OCCORR:=N—F' S EXCESSLIAS AGGREGAf E N T;0 N S WORKERS COMPENSATION F AND EMPLOYERS'I.IABILIT EYCLL ANI E-.EACH ACCiM,114' S 500,000 0 F3::—r--R1M.Et1IL1iJi IDEi A ZN (Mandatory in NH) 12C EA FV-�,OYEFE S 500,000 R2WIC,03:1649 9 €f'jeSj derCnbe ........... ON OF OPFRAI I-ONS be: D'SEASF`- -0i.JCY��Mfl S 500,000 _JDESCRIPTION OF OPERATIONS 1 LOCATIONS 1_VEHICLES (ACORD 101.Addili—af Remarks Schedule,may f>e aftehad if m-a space is required; RE: 100 Moc1-ing Dr. , Cotuit,, MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 200 Main St. ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE 1988-2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 r20!401; w" Office o1 Consumer Affairs&Business Regulation ACTOR Registration valid.for individual use only l _ HOME IMPROVEMENT CONTR before the expiration date. If 1pund return to: TYPE; ent Card Office Of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 1 1011412019 Boston,MA 02116 E COD DIVISION,INC. MULTISTATE R RICWARD IAURIA .•. � Not vali� Ithout signature 21 REDUOT RD. �' ttiIASPHEE,MA 02649 Undersecretary Construction Supervisor 1&2 Family ent edition of the MassachusA Failure to possess a curr use for revocation of this lice State Building Code is ca n about this li�censg For informatio ov/dpl Call(617)727-3200 or visit www. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction,$'U*t��orl g 2 Family CSFA-051784 'pires:04/01/2021 ' RICHARD D L-AURIA C 1 LEAH DR ROCKLAND MA1'2370'11 �O/t`rT_ITS i Co t mmissioner V"^' 13r9 rC-4ee-,' q .a Rr`nX1D�9e� �I�,r� 7'� � 1r�rr� i3r�e/ IZI /r/7� ��'� +/ �OrX�Z•�ae pow u / 00 Koame11.5 oAL or%A-1*r "t - -7- �9 a MULTI-STATE-RESTORATION, INC. FIRE* FLOOD *WIND* SMOKE*HURRICANE*VANDALISM Fed ID#050515889 CONTRACTORS REGISTRATION#140427 AUTHORIZATION TO PERFORM SERVICES AND DIRECTION OF PAYMENT cgmfis /�/"�(�� /�_,herein referred to as "Customer",authorizes MULTI-STATE RESTORATION,INC.;herein referred to as "MULTI-STATE",to perfon.n any and,all necessary cleani and construction services on Customers'property at: Telephone: Cc and with respect to items that need to be cleaned at a remote location,to remove and clean such items as necessary. Customer authorizes 474.5s FAIR MR19 Insurance Company,herein referred to as "Insurance Company",to directly and solely pay MULTI-STATE. If for any reason the check should come to be or be made payable to the Customer, Customer then agrees to pay MULTI-STATE immediately upon receipt of the check from the insurance company. In order to expedite payment to MULTI-STATE, Customer hereby appoints MULTI-STATE as.attorney-in-fact,authorizing MULTI- STATE,to endorse Customers'name,and to deposit Insurance Company checks or drafts for MULTI-STATE services. Customer agrees to pay Customers'deductible in the amount of$ that applies to this claim. If the loss is not covered by insurance,Custo oer es to ay t tot o to MULTI.-STATE upon receipt of the invoice. Signature of Owner It is my understanding that the services to be performed by MULTI-STATE will be limited to those,which are authorized by my Insurance Company. Insurance Company Name Policy Number Customer agrees that MULTI-STATE is working for the Customer and not the Insurance Company or agent/adjuster. Additional remarks: , - 4 I h4ead ht and pl ly s an g to same.' / Signature Date Printed Name P.O. BOX 2210•MASHPEE, MA 02649 .866-921-9111 •FAX 774-238-4422 Application-Number ...... Section 9- Construction Supervisor Name N l c N A J ALA 0- Telephone Number y- 5-6 7 7 Address C LC A ff 4 R- City t2.CX_ L rt State J1,14 Zip 3.-76 SF�+ License Number oS /7 License Type t *Z F"AY,7 Expiration Date Contractors Email &SA) co,"Cell# d7P 5Z --77 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10-Home Improvement Contractor Name R.i.C-114'a 4,g 64 r11 Telephone Number Address `Z-i f&"Pu a-r- ,?-h City JL1,tS 4 PaF State A-14 Zip 0 .16 (f� Registration Number 1 Expiration Date lb I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 C and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date 9-1 -7 -/y Section 11 -Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,'specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date Print Name Rt c4_(.4 i1� L4 k/2-/A Telephone Number -7 Q G h E-mail permit to: �2 `7 c R_. 14) ` Last undated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department Conservation ❑ For commercial work,please take your plans directly to the fire department for approval, Section 13— Owner's Authorization L , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner date Print Name �L Last updated: 11/15/2018 � y As egs map and lot number ............... ................ ......... . . . j O�THE T O� N `f SEPTIC SYSTEM MUST @ �Qy Sewage Permit number ... ��G?.f......:........................ r INSTALLED IN COMPLIAN BAUSTADLE, i House number ..............................�� ..:................:....:...:..... WITH TITLE 5 90 MA39 .. ENVIRONMENTAL CODE A64S OYPYA, TOWN' 'O F B A,R N g A' BUETIONS BUILDING INSPECTOR, APPLICATION FOR PERMIT TO . {................. .... ............... ........................................ //,,J> .,,��®® TYPE OF CONSTRUCTION .... '4��7v :... �.... � ....................:. .......................................... ....14.................... TO THE INSPECTOR OF BUILDINGS: The undersig ned hereby applies for a permit acc ding to the following in�f�orrm tion: Location ...� o..:.:...... ....... � !� .l� r .'/... ...i:.`.. ..'.. ' • Proposed Use ................. ................. ..................... ...................................................... .... . ..... ........ .... Zoning District ..............X.Ac.................. District ..........C�f/.t ! 01 Name of Owner ... % ..L ...4 .... xs..//C''......Address ........................ ........./6.VW. .,z .. . .. .. . Nameof Builder .. .... .................... .Address .................................................... .......................... Name of Architect ..................................................................Address ' ..................... Numberof Rooms .................:.....� ..Foundation .f...... .......................... .................................................... Exterior -1N................................... Roofing .....,tom/ ................... i .. ................................ Floors G(/.............. .......................................Interior ....... ... S/" . Heating ...4X1".:......�y�..............................Plumbing ...................... ............................... Fireplace .................... ..............................................Approximate Cost ........> �� ............................ J Definitive Plan Approved by Planning BoardjS1 _ _��-------197�. Area ......../.���..(�....�•. .....• Diagram of Lot and Building with Dimensi Fee � SUBJECT TO APPROVAL OF BOARD OF HEALTH �. 7711�/�d 3 , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. a Name ....... CEDAR ACRES REALTY TRUST j'a�l 2 X' 5 ........... Permit for .....Q.Qe...$.f.Qry....... ` ng1-�.Family...Dwel.J.i g.................. Location .Lot...M7... QQ...MQ..Qr.ixW..Z)r.iVe Cotuit .. ............................................................................... Owner ......Cedar. . ...Acres. ... . Realty. .....Trust. . ' .. ....... .. ..... ....... .. ....... .... .... .. . ' ` Frame Type of Construction .......... o .... Plot '.................... .. Lot. ..... .......... ............. r Permit Granted ......_.Auqust...5.r..........19 80 Date of Inspection Date Completed .............19 Vic s PERMIT REFUSED Er .................................................. 19 { ..... i . �.. ._ ... .......... .. ............................ `> ; � it ca "�' L•_ ,.•� 1 � � - -• , —i... :.. .. .. .......................................:......`...... a •� 4 w Cr .......:........................................................................ ' ri D =" Approved ................................................ 19 ...........................................................................:.:. ............................................................................... Assessor's map and lot number ............................................... / O O Sew a Permit number � .!a...........g :.y......... Z BABH9TADLE, i Housenumber ................................... ................................... r MA86 Op 1639. e0� 4 D MPY 6, TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO _L� .: r� .......................:.:...... .................................................................................... TYPE OF CONSTRUCTION ...�` ?�... c �. � ....... ' 2. i:'' ..... '� .:! r'.a'..'... � ` r' ... ........✓....... ......................19......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..: .... ....... ........ ...... .. ........ ..................................................... Proposed Use .............. �..... �.f :r.'' r.......................................................................................................................... . ... Zoning District Fire District .:' /r!.G'€ .`. Name of Owner ... ......................... ........a . ....... :::�..........Address .......................��.........�......................... Name of Builder . .`.! .?. .!� ,f ...;f;!'I10 (`/ c .........Address ....................... r .... .... .................. ......... ........................... .Name of Architect ..................................................................Address .................................................................................... Number of Rooms ........................`.`.........................................Foundation ......✓.... .. L.✓' .... f /��Z2 -{�_Exlerior I.......... .................. .......................Roofing *"" i Floors r .Intenor � ' Heating . ...}!.f...'.f..'..... �r..........�:r�:.........................Plumbing ........... fr.......1. ` ..............................:................... Fireplace ....................{:'�" ,-.: .'...........................................Approximate Cost ........C?.G' L ....................................... Definitive Plan Approved by Planning Board `°`tf _'• I9,_;U''. Area - .......................................... Diagram of Lot and Building with Dimensions Fee ................K'4 ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH / f I I J :391 ! I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ' ...'. ....................................................... CEDAR ACRES REALTY TRUST A=24-106 No 2 2-2r O5....f Permit for One Story 4 .................. ,.r Single Family. ...Dwelling. . . . . .................... .. .. ....... .. . .. .. Location ,Lot #87 100 Moo.ring. . ...Drive. ........ .. .... .. .. .. . Cotuit ............................................................................... Owner Cedar Acres Realty Trust .................... .ry........................... Frame Type of Construction ......... ................................ .................................... ................................. Plot ........................ Lot ................................ Au ust 5 80 Permit Granted(............ Q..............►......19 Date of Inspection .............. .....................19 Date Completed ......................................19 P RMIT REFUSED ..................... ./. ........ .................... 19 .................. .......................................................... ......................... .�. . ..................... ......... ................. .................... .;a ........ ............................... Approved ................................................ 19 ............................................................................... 0 4 � a 3�� 431 PLAN SHOWING FOUNDATION LOCATIONaQ C O T UI T, MASSACHUSE T T S f OWNED BY: C,5Z>1q e 4,C eZ ' leEc.44T..31 Tl2.c1<i"i z SCALE : .4p ' DATE NORMAN GROSSMAN------REGISTERED LAND SURVEYOR a z � u I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED ` a ON 7rHE LOT AS SHOWN AND CONFORMS TO THE TOWN. � `` '� Af ASs��� w „ OF BARNSTABLE ZONING REGULATIONS REGARDING #� SETBACKS FROM STREET LINES AND LOT LINES . NORMAN GROSSMAN R.L. S. DATE �►�yp S�};v v� 9 r r r`��� ` •e TOWN OF BARNSTABLE Permit No. ----------_----------__------ 1 »ST&K Building Inspector rua �s Cash --------------- '°)p. `p °""k 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 p y./oC.... h. SEPTIC SYS` LWt f,�:,�� EE Assessors ma and lot number .:..v:....�.. . �A' ' INSTALLED F �A� T - Q I LLED IN COfi� �, C %THE o� 6, Permit number ......0 .:l��l.. ......... ... WITH TITLE 5 . ENVIRONMENTAL CODE A H9H.H9TADLE. t House number ......................... �.. '...................:........:.::. TOWN REGULATIONS ro raea 1639- i • 'FO MPY a' TOWN . OF BAR.NSTABLE � BUILDING INSPECTOR � x APPLICATION FOR PERMIT TO ................................ C ........ TYPEOF CONSTRUCTION ........�.0.0.......6R...471 h................................................................................ ....... 2 ..��.....S.........19 (.�.° TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: J� , Location ..... .� .......1/ / .......... �. ...'.......... t.f� ..../�:L. ..�L., ProposedUse ..... ./, s/� ��✓ .................................................. ...................................................................... Zoning District ............... ...IF....... ..............................Fire District .... t .................................................. Name of Owner .�/ :.. .... ..ld/✓L�...�.Address .1..�!''. iv✓(�....f��`.:.......� i!�� � ..�......... Name of Builder ........ .Address .................................. Nameof Architect ..................................................................Address .................................................................................... l w Number of Rooms INe,.,e � rS/ .................Foundation ... .. / /^'G o�iL Ne <s-... , . .............................. Exterior ......m,C........... ........................................Roofing ....... lfL�t� .. ............... Floors C&."- Interior ........�.1 F Heating ................... f" .................. ��!..`"/........Plumbing ......... � Ca Fireplace ............ ... . .....................................................Approximate. Cost ................/....�!l .... ............................... Definitive Plan Approved by Planning Board ________________________________19________. Area ...... 1 ..S�.�` I ° Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of thjTon f Bar table regarding the bove construction. Name ... .......... .. .... ............................ .......... Construction Supervisor's License ` .. ��..R....I.'......... CAMPIONE, R. J. No,.A.?��.. Permit for .....:�d.d...Screened Potch .........S i.n.g 1.e...F.ami.ly...Dwell.ing................. .. .... .. .. ....... ..... ....... .. . .. Location ....LQ.t...A.S.7.........1.0.0...Moar.inq..Drive ............... ........................... ................. Owner ...... ...CaMp.i.on.e............................... Type-.'Of Construction ......Frame............ .......... ................................. ............. Plot ............................. Lot ................................ Permit Granted .......S.ep 9 90 Date of Inspection ........19............................ Date Completed 6.............19 M M M M; M Assessor's map and lot number ....6c� .................. THE Permit number ...... -N ................ 00 M tr House number .......................... ............................................ t639- MA*( TOWN . OF BARNSTABLE _ � BUILDING INSPECTOR ly APPLICATION FOR PERMIT TO ............A...0,0................S... ....... ..... Ag.14........ TYPE OF CONSTRUCTION ........A.)010.0....... .r-..1.2. ..arl.41. .4................................................................................ Se 5...........19./ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit.according to the following information: Location ....... ....... ........... .............. ...... -7 ............ /,A//**`.i�. . ............................. ProposedUse ....... ............................................................................................................................. ZoningDistrict ............... ..................................................Fire District .... .................................................. Name of Owner <. .........-�;...... .... .. �- ..../� '.Address A 11w . ....................... .......... `f Name of Builder z.�l..........Address Nameof Architect ..................................................................Address ....................................... ............................................ Number of Rooms r ........... .................Foundation ............ Exierior ...... ............ .........................................Roofin g ... ... ................................... ................ Floors ...... ...................................................Interior ........ale- ............. ......./z.................. Heating ......................X� Plumbing ......... 4- ................ ... ........................................... ................ .........7......... Fireplace ............IN .... .....I............................I..............................Approximate Cost ................ . ...................................... Definitive Plan Approved by Planning Boo! 19________- Area . .... .......... ---------------------- Diagram of Lot and Building with Dimensions Fee ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH oew- 6&2 OCCUPANCY PERMITS REQUIRED FOR-NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Ta�n,�o)f Barnstable regarding athhe bove construction. ... . ..... Name ....X. .. ............ ................. Construction Supervisor's License .......... CAMPIONE, R. A=024-106 YP No ..3 2"9 . permit for .,Add Screened Parch ............ Single Family Dwelling ................... r Location ...1.00....Mooring Drive (Lot #87) COtuit ............................................................................... Owner R. .... Campione .... ................................................... Type of Construction F.rame .. ....... Plot ............................ Lot ...............................: Permit Granted ....September 6, 19 90 Date of Inspection ....................................19 Date Completed ......................................19 f: s PERMIT COMPLETED 1/1/ g 1 _W o :I? ncc iTlnr• 1 SMOKE DETECTORS REVIEWED All -r.l >C E `✓E.I-IT LJ/ EX7F_.I-Jii EXIS'r!L1G �/ C.{-1lrlrlE-'r• V-O" NEW ROOF RIOC,E --..__.,.._...... 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