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0656 PUTNAM AVENUE
/vSG �,�ri�iin f{ve �, f Application number..25 y o� Date issued.......�.�.�. .�1 ................... ° EaM6TABLE, .••••••••••••••••••• y MAS& 88 Building Inspectors initials... Map/Parcel.......9.3.J...... ............................ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SID]N(IIWINDO WS/DOORS/TENTS/STOVESIWEAT HERIZATION PROPERTY INFORmAT]ION Address of Project: 6 j( A /1 L NUMBER STREET Owner's Name:� a Phone Numb VII.LAGE Email Address: C n,-, Cell Phone Number Project cost 7 Check one Residential✓ Commercial OWNER'S AuT1HOR1«ATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 Ch2 Owner Signature: See /1-r{ Q - -- Date: TYPE OF wORxCD..i Siding Windows (no header chap e # 1 '— g ). Insulation/Weatherization T c o Doors (no header change)# {Commercial Doors require an inspector's re i w - � Roof(not applying more than 1 layer of shingles) o p Construction Debris will be going to M _We s4e ,-t --i OONTRAcCTOWS MOR1 ATION Contractor's name An�rp._ i iP Home Improvement.Contractors Registration(if applicable) (attach copy) Construction Supervisor's License# . 0 r 007 -1 (attach copy) Email of Contractor 5 S �' ma Phone number 4 o/- 7iJ�-.(3 9 ALL PR®PERTIEs THAT HAVE STRUCTURE ®VER TS YEARS OLD®R 1F THE s�l�IECT PROPERTY is tN A H1sTDRICDISTRICT, Ypd!MUST OBTAINhI1S7ORICAPRROVAL BEFORE Lt PERMIT CAN BE ISSUED, APPLICATION NUMBER......:................... ................................... *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a:for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8.00am-9:30 am or 330 pm•4:30pm. Commercial events may require Fire Department approva '-WOOD/COAL/PELLET STOVIES Manufacturer* Model/I.D. Fuel Type Testing Lab { Offsets from combustibles:front back left side right side HOMEOWNER'S LICENSE EXI;MLIC TI®N Homeowner's 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. 1 understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date A /AP�LICANYS SIGNATURE Signature Date //—� —/ All permit applicatio ar7esubj�ect to a building official's approval prior to issuance. Home Improvement Agreement: Pagel Home Depot License#'s - For the most current listing www.Homedepot.com/LicenseNumbers MA: 107774, 112785 v - Janice Campbell Salesperson Name: Registration No. (if applicable): Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below will furnish, install and/ or service the equipment listed below at the price, terms and conditions as outlined on this form. Castro I Carlos New England South 1-MQKBUQU Customer Last Name Customer First Name Store #/ Branch Name Customer Lead/ PO# 656 Putnam Ave Cotuit MA 02635 Customer Address City State Zip 1 71 1 1 carlos_dastrol5@hotmail.com Home Phone# Work Phone# Cell Phone# j Customer Email Address NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 908 Boston Turnpike Unit 1 Shrewsbury MA 01545 Address City State Zip Or Email: I customercancellationnortheast@homedepot.com Service Provider Email Address BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER,AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO C NCEL. Acknowledged by: 09/28/2019 Customer's Signature Date Contract Price and Payment Schedule : Payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price: $ 16373.00 Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ 10.00 (If applicable) *Maximum deposit ONLY applicable in MD, MA, ME(339o'), NJ, W1(99%) Dep. 125.0 % Deposit Amount $ 1593.25 Remaining Balance $ 4779.75 The Home Depot-2455 Paces Ferry Road, N.W.Bldg.B-3,Atlanta,Georgia 30339-Customer Care:1-800-466-3337 4601`I HDE Customer Agreement(24 Jul.18) v 0 1 8 onmianweafth of lassacbR3setis r Division of Professional LRcensure Board.of Building Re gutatiQrts and Standards cons Ei� E7 UMry sOF CS-070077 ' ` pRres 12130f2E?2Q ; JQSEPtt C DLITEr 15 FALL.ST MORE`F€Af MA.. ZS �.ts '', : s Coh mtssioner Al. Office of,Consumer Affairs&Business Regulation } HOME IMPROVEMENT C�NTRAt:TOR Registration valid for irsdividuat use only~ $ ` TYPEv.Partners ation date: tf found return io Reaistratun Exairabon Office of Consumer Affarcs and Business ttegula6on� 132349 OtJiO/2021 *1000 Washington Street suite 710iZ l _ JOSEPtt.0 DUAI;TE� r Bwit t�f1A 02128 x < 1E DBfAJ J REMOOELfNG + ? ��w y '� ib JOSEPH C DUAR7E 15 FALL ST .r of Valttl without Signature iNAREFiAM MA 0257t :_ Lfndersecretary+ , _ ' x12 f � I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' a 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information � . a Please Print Legibly Naine(Business/OrganizationM y dividual): `,J 6 ! U 4 Address: f 5 fi7 a S City/State/Zip: ffl4l-7 Phone#: 77'f/- 76o6 Are you an employer?Check the appropriate box: ' Type of project(required): 1.El I am a employer with 4 P 4. I am a general contractor and I 6. ❑New construction K employees(full and/or part-time).* have hired the sub-contractors 2. am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working- for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.# 9. Building addition 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 LF1 Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.0 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. tContractors 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. 1 am an employer tit at is providing workers'compensation-insurance for my employees.Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: 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 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. f do hereby cer 'y unde the pains�gppnd penalties of perjury that the information provided above is true and correct. i nature: t ate: Phone# 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#: Tile Commonwealth ofMassachusetts Department oflndustrialAccidents 1 Congress Street,Suite 100 Boston,.RYA 02114 2017 wwmmass:gov/dia Nrorkers'Compensation Insurance Affidavit:Bwlders/Contractors/Electricians/PlumberL TO BE FUM WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): N n r+-%2 t J2 Address: Q 0 `6o -Fun 1-U rn i K e, City/State/Zip: Dry 4 S— Phone#: Are you sn employer?Check the appropriate box: Type of project(required): IQ i am a employer witb _employees(full and/or part-time).* 7. ❑New construction In I am a sole proprietor or partnership and have no employees working forme in $. ❑Remodeling- any capacity.(No workers'comp.insurance required] 3.�I am a homeowner doingall work m el£ o workers'co 9' ❑Demolition Ys (N top.insurance required]t 4.❑rem a homeowner and will be hiring oentractors to conduct au work on my property. NO 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole ME]❑Electrical repairs or additions proprietors with no employees s 12.❑Plumbing repairs or additions 5.�am a general contactor and I have hired the sub-contractors listed on the attached sheet 13. oof re sits These sub-contractors have employees and have workers'comp.insurance.; ❑ P 6.❑We are a corporation and its officers have exercised their right of exemption 14.1Other �"�`y L amp' per;VIGL o .pasta een7 e it r 152,§1(4),and we have no employees.[No workers'comp. /mp.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 Of work and then hire outside contractors must submit a new affidavit Meeting such. tCoutraetors that cheek 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.polioy number. I am an employer that is providing workers'compensation insurance for mry employees Below is the policy and job site information. / Insurance Company Name-- �f Policy#or Self-ins.Lic.#: X[,Jr n�7 S (0 5 5 `1 n7 " Expiration Date: Job Site Address: ,A/ City/State/Zip: Attach a copy of the workers'compensation:policy declaration page(showing the policy number and a iration date). Failure to secure coverage as required under MGL 6.1522§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonm as ell as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. y this statement may be.forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un O* an enalties o Information provided above is true and correct , signature: Date: Phone#:..46 Official use only,. Do not write in this area,to be completed by city or tmun of,jiciaL 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#: ,--. Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Mass-a.chusetts 02118 Home Improvemen't.Contractor Registration - _- - Type: Supplement Card `~ Registration: 112785 HOME DEPOT USA INC =" Expiration: 04/22/2021 P 0 BOX 105451 ATTN: LICENSE iMGMT TEAM - =�- ATLANTA,GA 30348 ---- _ _-- Update Address and Return Card. SCA 1 20M-0507 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE-,t'wolement Card before the expiration date. If found return to: Regis Expiration Office of Consumer Affairs and Business Regulation ._ 04/22/2021 1000 Washington Street -Su' 10 HOME DEPOT rl Boston,MA 02118 ANDREW SWEEP-= / -% 2455 PACES FERR'-Y;:FWQ-1'1 HSC .��2 I.' ATLANTA,GA 30339 - Undersecretary No alid It ut sl nature A��� care( rrlvl CERTIFICATE OF LIABILITY INSURANCE �327a6i2GI9;2c;�, 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 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 endorsement(s). PRODUCER CONTACT MARSH USA,INC. NAME: TWO ALLIANCE CENTER CN o = 0 A1C PH Not: 3560 LENOX ROAD,SUITE 2400 =•MAIL ATLANTA.GA 30326 ADDRESS: INSURERS)AFFORDING COVERAGE NAIC 4 CN101642069-HomeD-GAW-19-20 _ INSURER.A:Old Republic Insurance Co 24147 INSURED THE HOME DEPOT,INC. INSURER a:New Hampshire Ins Co =23841 HOME DEPOT U.S.A.,INC. INSURER c:HameRisk Captive Insurance Company 2455 PACES FERRY ROAD INSURER D: 3UILDING C-20 ATLANTA.GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-004353439-28 REVISION NUMBER: 21 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 SHOVVN.MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR :AODL'SUBRi POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN SOIWVD POLICY NUMBER MMIDDIYYYY) fM1%IDDIYYYYI LIMITS A i X COMMERCIAL GENERAL LIABILITY iMWZY 314574 03/0112019 03/01/2022 ;EACH OCCURRENCE S 1.300,000 DAMAGE TO RENTED S I.000,000 CLAIMS-MADE OCCUR 1 PREMISES(Ea occurrencel X 'SIR:S1!300.000 ?BED EXP(any one person) S EXCLUDED ' PERSONAL 3 ADV INJURY S 1.000,000 GEN'LAGGREGATEUMIT APPLIES PER: GENERAL.AGGREGATE S 1,000,000 POLICY i JEC '_OC PRODUCTS-COMPIOP ADD I S 1;300,000 OTHER: A AUTOMOBILE LIABILITY ,MWT8314573 '0310112019 °03101022 ''OMBINED31NGLELIMIT i 1,000.000 _ iEa accident) X ANY.AUTO BODILY INJURY(Per person) S OWNED SCHEDULED SELF INSURED AUTO PHY OMG BODILY INJURY Per accident); 3 AUTOS ONLY f AUTOS HIRED NON-OWNED iPROPERTY DAMAGE S AUTOS ONLY .AUTOS ONLY ; Per eccident iS [UMBRELLA LIAR .00CUR EACH OCCURRENCE i —J EXCESS LIAR CLAIMS-MADE: AGGREGATE S OED RETENTION S b B iWORKERS COMPENSATION 'NC 012717099(AK,NH.NJ,`/T) I i 03101 020 X ;ERruTF i ERH B :AND EMPLOYERS'LIABILITY YIN ` INC 012717100(INI i 03/01/2019 03/01/2020 'ANYPROPRIETOR/PARTNER/EXECUTIVE - ( ) E.L.EACH ACCIDENT ' 5 5,000,000 'OFFICER/MEMBER EXCLUDED? N I N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEEI S 5.000.000 if yes,descnbe under Continued on Additional?age 5A00,000 DESCRIPTION•OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S C Excess Auto 297110011002019 0310112019 03/01/2020 Limit: 4,000.000 A :Excess General Liability MWZX 314580 03/01/2019 03/01/2022 'Limit: 8,000.000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORO 101,Additional Remarks Schedule,may be attached if more space is required) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION HOME DEPOT USA,INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2455 PACES FERRY ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING 0-20 ACCORDANCE WITH THE POLICY PROVISIONS. ATLANTA,GA 30339 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee 1tiLaL..«o ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD r AGENCY CUSTOMER ID: C1N 101o42069 LOC#: Ailanta -- - - ACC)R® ADDITIONAL REMARKS SCHEDULE Page 2 of 3_ AGENCY NAMED INSURED MARSH t,SA.INC. I-HE,-TOME DEPOT.INC. - ---.__-- — — HOME DEPOT'J.S.A..INC. POLICY,NUMBER 2455 PACES ERRY ROAD 6UILDING C-20 ------- _— ATLArIT.A,GA 30339 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation Continued: Carrier:Indemnity insurance Company of Nomh.America Policy Number:'NLR C65890549lAL.AR.FL.I0.IA.XS.KY.LA.,MS.NO.NE,NM.NO,OK.3C.S0.TN;NV.'NY I Effective Date:03/0112019 Expiration Dale:0310112020 (ELI Limit:35,000,000 Carrier:New Hampshire Insurance Company Policy Number INC ill2717098 (DC.,3E.HI.IN.MD.VIN.:LIT.NY.RlI Effective Date:03101r2019 xpiralion Date:03/01/2020 (ELI Limit:35.000.000 Carrier:ACE American Insurance Company Policy Number'NCU C55890586(OSI) (AZ.CA.IL•NC.OR.`/A.'NA I lfective Dale:03/012019 Expiration Date:0310112020 (ELI Iimlt;4.000.000 SIR:31.000.000 SIR*the dates of AZ,CA,IL,NC.OR.VA.'NA Cartier:Nalional Union ire Insurance!:ompany Policy Number.XWC 5565596(OSI)(CO.CT,GA,ME,MI.NV.OH.PA.UT) Effective Date:03101019 Expiration Date:03101/2020 (ELI Limit:64,000,000 31.000,000 SIR for the;tales)f CO.MEAVAL CH,P.A.UT 5750.000 SIR for the date of GA S350,000 SIR for the state of CT i Carrier:National Union sire Insurance Company Policy Number.XWC i565597(OSI)(MAI Effective Date:03101/2019 Expiration Dale:0310112020 (ELI Limit 34,500,000 SIR:3500,000 rX mployers XS Indemnity: Camer:lllimas Union Insurance Company Policy Number.rNS C65221019 JXI Effective Date:03/01/2019 Expiration Date:0710112020 (ELI emit 310.000,000 .. SIR:51,000,000 r ACORD 101 (2008/01) 7 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Town of Barnstable y Build0ing s Post This Card SoThat rt:�s Visr�ible°°=From.SheStreet Approved PlansMust be'Retamedan Job antl this�Card MustbeKept� , �. 6"¢ ste �PodUntilFinal Inspection HasBeen Made �� �y a s R` u ;> .: ; . II Not-b ,O"cuied'untilea Fnall'n�s'' ection'.h Permit a Where a.Cert�ficateof Occupancy�s�Regwretl,such Bultilmg sha e,,, e x p as,besn matle �F Permit No. B-19-2373 Applicant Name: Carlos Castro Approvals Date issued: 07/25/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/25/2020 Foundation: Location: 656 PUTNAM AVENUE,COTUIT Map/Lot 039 109 Zoning District: RF Sheathing: Owner on Record: CASTRO,CARLOS A&HAAS-CASTRO,RUTH E Contractor.Name:- Framing: 1 Address: 656 PUTNAM AVE Contractor Licensers 2 Cotuit, MA 02635 r " ' �' Est,Projesct Cost: $700.00 Chimney : Description: Replace old siding Permit Fee: $35.00 Insulation: f " Fee Paid y $35.00 Project Review Req: 6 � Date{ 7/25/2019 Final: y f. - :_... . { � Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within,six months after issuance. All work authorized by this permit shall conform to the approved application and the£approved construction documents-for Whit fi this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures'shall be in compliance with the local zonip&by laws and codes. � �fr This permit shall be displayed in a location clearly visible from access street of road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. a Electrical 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:'? Service: 1.Foundation or Footing x 2.Sheathing Inspection S Rough: 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 Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy 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: .� 1.� Town of Barnstable Building t Post This Card So That it is Visible From the Street-Approved Plans,Must be Retained on Job and this Card Must be Kept Posted Until Final Inspection Has Been Made. �^�mj� •bsa c jlll Where a Certificate of Occupancy is Required,such Building shall,No be Occupied until a Final Inspection has.been made.. Permit NO. B-19-136 Applicant Name: Roland Langevin Approvals Date Issued: 01/14/2019 Current Use: Structure Permit Type: 'Building—Insulation- Residential Expiration Date: 07/14/2019 Foundation: Location: 656 PUTNAM AVENUE, COTUIT Map/Lot: 039-109 Zoning District: RF Sheathing: Owner on Record: CASTRO,CARLOS A& HAAS-CASTRO, RUTH E Contractor Name°,..ROLAND LANGEVIN Framing: 1 i Address: 656 PUTNAM AVE & -Contractor License: ICS-103861 2 COTUIT, MA 02635 + €{ Est Project Cost: $ 2,981.00 Chimney: t, y: Description: air sealing, 2" rigid board to kneewall slope,ventilation chutes, Permit Fee: $85.00 soffit vents Insulation: ,- Fee Paid; $85.00 Project Review Req: Final- Date: 1/14/2019 Plumbing/Gas : Rough Plumbin r g g Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work'authorized by.this permit shall conform to the approved applicationand the'approved construction documen is for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and str'uctures;shall be in compliance with the local zoning by-laws and codes. This permitshall 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:1 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. Final: 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). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT a- �� f � ,moo Town of Barnstable -Permit# - -/4/5 Regulatory Services Fee 6montlis�nrimtedare t ]3AENSTAHy� w - C/o w 9 MASS. q i6gq. �e� Richard V.Scali,Interim Director Building Division � � Tom Perry,CBO,Building Commissioner ���� 2 4 200 Main Street;Hyannis,MA 02601 ,`���`\� I P'*bd www.town.bamstable.ma.us Ow�� Office: 508-862-4038 - EXPRESS PERMIT APPLICATION - RESIDENTIA,�L ONLY08-790-6230 Not Valid without Red X-Press Imprint Map/parcel Number 03 9 Property'Address-,/. 2U ye Ce�vr [Residential Value of Work S_./1� Minimum fee of S35.00 for work under$6000.00 Owner's Name&Address �S� �fr�a�., A✓e nth 14 11A 062 l0 3 S Contractor's Name I i re4 6' q Tele hone Number p Home Improvement Contractor License T(if applicable) / Y (�,5 f Email: Construction Supervisor's License#(if applicable) 110763 rkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [�I have Worker's Compensation Insurance Insurance Company Name ur n Ce f�O -, ,o Workman's Comp.Policy# F1 q D 6 6- Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box)_ ' ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ side Replacement Windows/doors/sliders.U-Value . 50 (maximum.35)4 of windows /f #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required_ Issuance of this permit does:not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Y`"Note: r"\Propehy Owner must sign Property Owner Letter of Permission, c of the Home Improvement Contractors License&Construction Supervisors License is r i ed. SIGNATURE; Q:IWPFILESTORMS1buil g pe it formslEXPRESS.doc Revised 061313 MA Reg f114GW9 ran t t�Cl uontr�ccn r ( \ \ Federal lD#20-2625129 CT Reg f101�05216 f r��1 C O Q RI Reg#26463 Homt(n0vovement solutionN&Wmas (_ i_V 8 O: :CorporatehlcadquAnxrs;26Codar SLViobuin tM,tP).eOD•342•2211(F)Ta1=e33-0626,%%Nwnov,-io-con THIS CONTRACT MADE THE 3 day DI 'J !�- � � 20,4Z_.between Cfi /as C',s�•u r�. L,�� ?AC't -I Cis r�(E_") 4a = �z� p �s— ���� �� (Home O:smors) (Nome Mono)of C lair a. A m) t y J Y tir y (address) (c+1y) (slee) the"Owner"and NEWPRO Operating,LLC;"NEWPRO".o • (E-Haft) i`or projirtefary use oiify NEWPRO harettysgrees that it wilt for the consideration hareinafter'mentioned rumish ail labor and maletial necossary to inslall1he rollovnng described Nvory at the premises located at: The jobaddress is a condominium: (Job Address) 70TALF NEWPRO WINDOW OONS• ,.;.._.. t.+.rbitr SERIES# eCU(N'q -Grids:U'YES J'd NO UCONTOUR•'- SOL EURO DIAMOND- Window color QTY Window color QTY OBSITMPt(towtb+U /1/Xl1t�� DT'OP tt�t SoTiom lnl: Inl:. Screens: (E)doriorWorFutlScroenSlendard) LR"IALP raFULL Exj 1 ( EXl VCnt101chBS YES O Copping Color 1 DOOR5 c MODEL r `•QTY- Plcasetnllt!: PVC W Smooth U NO61ar No Capping Iding Gliiss MODEL•t1 c oto r In. Out Double Hung )( A^lve Lett Canter Ri .L. cnlOmarurmar ans"atAtnEwpRo 2 Lito Slider HOwR: :SN .09. at;c "-w1l dcmnolMarq'Pa+n +norswr*.X 3 Lite Slider (tn.sn.ba( Cntry,P rStylo,,;.;;. to:erAen[a�odr�orrcpioorginiarlar 3 Life Slider (m.in.tn). color.. ni' Oim stops a,utml• 1pA'PRDV Is naleugpc. Casement(HingodRighl) Fl lass . Stea nc6lcrGEondtuonsurummsrmvcs ^r Casement(Wriged Left) HDWR: SN v8tAM ORe mxtiLeDnital E:P o:rgmKr gtauan resu- Twin Casement S I'd 0ftF 4lyla,r. ++`ri ;: wnari6raorauAr'" 'isu condaions StWonaryCasement color fn OuY (clStooRo): TripnCosoment an,,rctul r CASH. Triple Casement I113.1n,VJ1.: _ : . 1 Color. iii! ut Hdaneepi ataot lcycn Picture Window Ho1iVR-- 5N .. Be A S AS Sash Only LeRHin3 Rr bttfcnge. FINAN Hopper Entry:Door Sty =tl` sunk can hr ma04naitrlra10k1n -- - Color rn: Oul• A�::vn9 _ Gardon Window F ergtass steel rf OTA1.f BayWindowlRoardsalFA) HDbrR Y BB. AGH AB Bow Window(RoatrsaR,i) Other eorSEyie;s.=. 4PRSCE Other co r Ire OWt DEPOSIT r Other HDwR: DESCRIBE WORK&PROMOTIONS APPLIED: f� rrORDER? rr(TOTRL s r y - PG •' INSTA�- - , Est.Start Dole: 6 lZai.Comp.Dale: /7 Custcmcr understands lhrs is an"eslimafed dale" ' (Rhode Island Sales Only): Notice lo.buyer- (1),Do not sign thls Agreement it any of the spaces Intended forthe agreed terms to the extent of then available Information are left blank. (2)You are entitled .o a copy of this 1 Agreement-at-the time you sign.it. (3)You may-at any time pay off the full unpaid balance:dua�under this Agreement;- and in so doing you maybe entitled to receive a partial,rebate of the.finance and.insurarice charges. (4)The seller.has. no right to unlawfully enter your premises-or commilt any breach ofthe:peace to 7repossess goods purchased under this Agreement. (6)You may cancel this Agreerent if:iffias not been.signed at the main office or branch offtce.of the seller,.. provided you notify the sellarat his or her main office or branch office shown,In the Agreement by registered!or certified mall,which shall be posted not later than midnight of the third calendar day.after the day'on which the buyer signs the: Agreement,excluding'Sunday and anyholiday on which regular mail deliveries are notltnade.S.ee,the accompanying notice of.cancellation'form for an explanation of buyer's rights. (Rhodc Island.Sales;Only)* Ovmeracfc wl sreceiptofrequiredcontractor'sRegistration:and;Llcensing; Board consumer education rnaterials_ (Owner's inilfals) Owner has read and agrees to the term and conditions on the front and the reverse of this Agreerncht.Owner specifically'agrees.to the(1)Total Casl Price;(2)lvork!being performed;and(3)Worh not being,performed.Owner understands that this Agreement and any attachments contain all of the promises made by NEWPRO.Ovmer has been orally advisetl of his right to cancer this transaction at any time priorto midnight ol"Uto third business day after the date of this.transaction and Owner was provided with Ewe(2)copies of a cancellation form explaining this right DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK:SPACES. YOU THE BUYER,-MAY CANCEL THIS TRANSACTION AT ANY TIME<PRIOR.TO.111IDNIGHT OF THE THIRD BUSINESS DAY OF THIS TRANSACTION: SEE THE ACCOMPANYING NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION:OF THIS' HT. f � BY L E1173:- Skpied: PrnductSpc oltat7PrinlodNamo)' Own" 8y Slgned: I '1lEINPRO:Opadaltop,LdC(Slgnaiure) .. : - Owner ... M.assachusetts:Department of Public Safety Board.of Building Regulations and Standards License: CS-116763 Construction Supervisor JEFFREY'CONNORS ". 64 OLD FIELDS ROAD SOUTH BERWICI<ME.03908 r. Commissioner Expiration: 06/06/2020 r r'l�r �ri.inrirrirn4n�/�r/�'�lrrliirr�rrlr//1 office of Consumer Affairs&Business Regulation: i (. _I•%a H6M6.`IMRROVEMENT,CONTRACTOR: Registration v Il for individual use.only TYPE:;Supplement Card before the expifat ri date if found return to: F Rg sgration �airation Office of Consum..r Affairs and Business.Regulation 146589 , 05/04/9019 1¢Park Plaza S i e;5170 , BbstoA,MA;02 NEW...PRO QPERATING,LLC j JEFFREY CONNORS 26 CEQAR'ST: p lid WithOUt Signature WOBURN MA 01801 lJnderseeretar The Commonwealth of A6fassachusetts Department of Industrial Accidents _ Office of Investigations �^ 1 Contiti ess Street,Suite 700 M _ Boston,I M 02114--2017 www mass.gov/dia ' -vVorkers'Compe-nsation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Ynformatson Please Print LeoMy Name(Business/or.-anization/In&iidual): �r/--,�� L'}�GJ�nf T�l ALP 6 /7 Address: G-F City/State/Zip: 00 1� FO/ Phone 9: Are you an employer?Check�the�appropriate box: Type of project(required): 1. I am a employer with 7 (�` 4• ❑ I am a general cofactor and I y 6. ❑New construction employees(frill and/or part-time).* have hired the sub contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition worldng for me in any capacity. ` employees and have workers' 9 a Building addition NO workers' comp.insurance comp.rn¢trr3rtce.t 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.]3.❑ I am a homeowner doing all wort{ officers have exercised their 11.❑Plumbing repairs or additions � myself ['io workers' comp. righi of exemption per ivIGL 12.0 Roof repairs c. 152, §1(4),and we have mo insurance reed d ]t 13. Other tt/+Il o employees. Ni o workers' comp.insurance required..] r`e ?/A c,e—e"f5 +Any applicant that checks box 41.must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing aD work and then ldre outside contractors must submit a new affidavit indicating suclL tContractors that check this box must attached an additional sheet showing the name of*he sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they m- Pst provide their wor'.<ers'comp.policy number. I am an employer thatisproviding workers'compensation insurance far my employees. Below is the policy and job site information. r Lnsurance Company Name:_ .G c- ,,,rG1 Policy#or Self-ins.Uc.#•y�`-��'-�-��n-� Q�o Expiration Date: Job Site Address:f�5 (e I u OVI A✓e- City/State/Zip: nitl, Attach a copy of the workers'compensation policy declaration page(showing the policy numbeAmd 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 j 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 1 Investigations pfjePIA Nr insurance coverage verification. I do hereby ce d ue pains and penalties of perjury that the information provided above is true and correct! i Si afire: ! Date: 7' / ' / j Q % Phone O offs ' e only. Do not write in this area,to be completed by city or town ofjMaL i City or Town: Permit/License# Issuing Authority(circle one): L1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector5.Plumbing Inspector Other ntact Persou: Phone#: ! I CERTIFICATE OF LIABILITY INSURANCE 7T4/ E(MMlOD/YYYY) 28/2017 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 INSU.RER(S), AUTHORIZED REPRESENTATIVE OR PRODUCERi AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the p.olicy(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 endorsement s `PRODUCER CONTACT Melissd Pflug; Mackintire Insurance Agency Inc. PH�N; ..tk (508)366-.6161 ac-No:068t366-5202 11 West Main. Street &MAIIEss>melissap irnackintire.com ADDR .INSURER(S):AFFORDING COVERAGE: NAIC:#. Westborough MA 01581-1931 INSURER.ANetherlands 24171 INSURED :INSURER B.:Libert Mutual/Peerless 24198 Newpro Operating LLC INSURER c:Guard Insurance Group 26 Cedar St. aNSURER.DiCOlon' Insurance Co INSURER E Woburn AMA 01801 INSURER.Fi COVERAGES CERTIFICATE NUMBER:17-.18 Master 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. ILTR- TYPE OF V INSURANCE DEYP /DYxY,NUMBER MMIDfYYY MMDNYJ .LIMITS._ X' COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A :CLAIMSMADE. .00CUR:, - DAMAGE TO RENTED 100,000 PREMISES(Ea'occurrence S' CBP6589577 12/31%20.16 12%31/2017 MED EXP(Any-one person). S 5;000 PERSONAL:&-ADV INJURY GEN'L AGGREGATE:LIMIT APPLIES PER: GENERAL AGGREGATE: 5 2,000,000 X POLICY PRO- ❑ ❑ JECT LOC' PRODUCTS:COMP/08AGG -5 2,000,00'0 OTHER: S AUTOMOBILE LIABILITY` - COMBINED SINGLE.LIMIT :.S 11000,000 Ea accident); A ANY AUTO BODILY INJURY,(Per person)- :9 ALL OWNED SCHEDULED — AUTOS Ix AUTOS BA 858417:4` 12/32/2016. 12'/31/2017 BODILY INJURY(Peracctdent) S X HIREDAUTOS NON-OWNED PROPERTY DAMAGE AUTOS Pe.acadent 5 Uninsured'motoristBls,.Ol'imd S 250,000. X UMBRELLA LAB X OCCUR EACH OCCURRENCE; S 5 000 000 EACESS LIAB CLAIMS-MADE B AGGREGATE- S' 5 :000 OOG. DED X RETENTIONS 10,000 CU 8582578 12/31/2016 12/31/2017, S WORKERS COMPENSATION ,- :PER OTH-- AND EMPLOYERS'LIABILITY YlN,. X,_'STATUTE .ER ANY'PROPRIETOR/PARTNER/EXECUTIVE 5 ' OFFICERIMEMBER EXCLUDED? - a N:/A ELFI+CH,ACCIDENT 500,000 C (Mandatory In NH) - - NEWC874�066, 5./1/2017 5/1/2018 EL.DISEASE. EMPL6YEE S 500,000 If yet,describe.urider - DESCRIPTION.OF:OPERATIONS`Wow :E.L.-DISEASE=POLICY.LIMIT .S .5.00 000 D :Pollution CSP3D4242. :12/9/2016 12/9(2017 Limb $1,0.00. -000 bed $5,000 DESCRIPTION OF OPERATtONSI':LOCATIONS l VEHICLES (ACORD 101,.Additlonal Re.marks Schedule,may be;att4ch6difmore soAce'as r uired)eq CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIESRE CANCELLED BEFORE THE 'EXPIRATION DATE THEREOF, NOTICE WILL .BE' 'DELIVERED IN ACCORDANCE WITH THE POLICY,PROVISIONS. AUTHORIZED REPRESENTATIVE T Moy=l'a 4ii/KELSEY ©1988-2014 ACORD CORPORATION. All rights"reserved. ACORD;2 1 (201.41. I1.j The ACORD.name and logo are.registered marks of ACORD INS025udi1 bt1 � _�� Town of Barnstable *Permit# �89`�Z RR" Expires 6 months from issue date Regulatory Services Fee NOV `�05 Thomas F.Geiler,Director Building Division TOWN OF BgRNSTq Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.townb:;rnstable.:ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 1 Not Valid without Red X-Press Imprint Map/parcel Number 103 Ct k ORVol7 . Properly Address [Residential Value of Wor ® Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ��tJ'c��� QA5-%Q Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor [ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ("Re-side S,U . ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: P;roKrty Owner must sign Property Owner Letter of Permission. om Improvement CgqtraCtoTS License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 i Department of Industrial Accidents r' Office.of Investigations ' . 600 Washington Street Boston,MA 02111 www.mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Elects iciads/Plumabers Applicant Information Please Print Legibly Name (Business/organization/ln&vidual)' G �$ Address: City/State/Zip: C. riro t T , � Phone #: Are you an employer? Check the-appropriate box:. Type of project(required):- i.❑ I am a employer with - . . 4. ❑ I am a general contractor and I 6. ❑New contraction employees (full and/or part-time)-* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. g, ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required,] officers have exercised their 10.❑ Electrical repairs or.additions 3.NI am a homeowner doing all work right of exemption per MGL 11-El Plumbing repairs or additions myself. [No workers' comp.. c. 152,§1(4), and we have no 12.❑ Roof repairs insurance required.]t 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 anew affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. - Insurance.Company Name: Policy#or Self-ins.Lie.#: Expiration Date:, Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and_expiration date). Fafiure 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:die form of a STOPVORK ORDER and a Ime of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce er the pain nd penalties of perjury that the information provided above is true and correct Signature. Date:. Vt 10 6�� Phone#: { Official use only. Do not write in this area,to be completed by city.or town officiak 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#• Ynformation and instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employes 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 Wivi4ual,.,parinersbip;;association,Forporation 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. Howiver.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 workvu such dwelling house urtenant thereto shall not because of such employment be deemed to be an employer." or on the grounds or building app MGL chapter 152, §25 C(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 2equirements 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 workers compensation insurance. If an LLC or LLP does have members or partners, are not required to carry work employees,a policy is required. I§e 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' compensationpolicy,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 provideda 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 number which will be used as a reference number. In addition, an applicant Please be sure to fill in the permit/license 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 tow,)."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..Anew affidavit must be filled out-each year.Where a home owner or citizen is obtaining a cense 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 : . .. .. ..0ffce Qf Investigations 600 Washingfon S pet� . Boston,MA 02111.. `Tel.#617-727-4900 ext 406 or•1,877-MASSAFE Fax#617-7274749 Revised 5-26-05 wwy,mass.gov/dia TOWN OF BARNSTABLE Permit No. �_ f� 3 1 »nA Building Inspector cash 1439. �ww► 'rowl � 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 ,le f 'j �� Inspection dale �f Plumbing Inspector �_. Inspection date Gas Inspector .T � ' � 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. ................� /��.._ 19.'?r� fz Building Inspector a... v TOWN OF BARNSTABLE Permit No. �i,` ---------------------------- � 1 Building Inspector s.r,rr.n 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 713 f GIr,LIF, 4vic , Cg7(111 Wiring Inspector Inspection date,--,," Plumbing / I 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. r I ' .................................................. , 19 ....................:...................... ..,.Building.... Inspector 3: n—17—�77z, t.V. +W'^e a..—.v.+\. .. r. .«,.+('-..'`�'.':�. ,.w�•Y"_« . �� � � * , r •� : . .;v '},;a ( err s 13 ,j•7 _ I J/� dr �" 'ram t� ¢. -�� cl < r" •N a sj ` 3 , + ' ��r''/ /G�Pc.1.✓'d� s,..J..f d E�-� /�+•'1J���,�;� g�'� ,........ .». -.... ,.__�,_. y IL S , ( :+L•q 9/`..a',�.'94;:�, •.....2P,.�•..>A r�gypg�_.A:—•r g E`y ,..«.w� ......r..:_�,.... ..._.w -_..,_� L't!:''tl e �%s S.t.k.t,t�.:;, � ��tlte .r CG:RT9k 9F�� 5�5.:4,.Y�3 �P LF4N.LOCAT - . ; r.+ S.l:iYd Ir> ��j��\f! j`(9 9''.7 �.e. __"" � ...,'::.:`..•,.;.:... .....a. .«.. ,...r....,_,. .. ...,,,.....''.� 4 s S,-OA L L t • !;7 ; a , t 4 F t LAN RE ACF.�y 41 d rF °IJ1+� Ate' d l ,10NIIl.�Z 'a t gry,m•ro^i ���/ �Ot�a P...;�'i � i 1 �{�fF'i TP1AT H ON TINS P L..AI is ,..(r;s" �' t1 �sF. t �tiC�FJ,atii ! � f t1t AS Shc)V ,P HER o HE 70N1NG LAWS* OF ,. p e'. i 570 WEST IMA1N 'STF2EET HYAN`N;1S, MASS,.02601 f TEL. 77-S-3932 - .s ' ,iy,'� 9 Lei Ito� A"sessor s map and Igt.-number .......�f ?'19 5—YST M MAST BE ,. CEP 3` 7,6 i l5TALLED IN COMPLIANCE V01-I AR1 11CLE li S1HTE Sewage Permit number .........................................................: StAtJI H y. CCihf=: AND. TOWN 'P7 I'll-ATIONS. �oFTMETo�� TOWN ` F BARN STABLE S • i B�HHSTOBLS, i OYa\e�, BUILDING INSPECTOR APPLICATION FOR PERMIT TO -c:�'N..S /pL'i/G�....... 6 j `S......C/O&RC.'........................................... s7 / / p TYPE OF CONSTRUCTION .. ......1.. ..........................19........ TO THE INSPECTOR OF BUILDINGS: The'undersigned hereby applies for a permit according to the following information`: Location ..G J...:...... / J ..... J Proposed Use ..... �/. ...`!��'?%l .... .ze'5.24 °:���1'1.............................................................................. .......... . Zoning District ..........�..................................... ...................Fire District .�.........!i............................................................... Name of Owner :/&/�lC�,'/ ���� 1/�{J � •• I..... .... Address .F .....,... l!....................... Nameof Builder ............................... ..................:...........Address .................................................................................... Nameof Architect ............................... ..............................Address .................................................................................... Number of Rooms S �,r,� —�!,� v^! .^'if�! '��....Foundation Ca �C�t � .... ExieriorG/ ' — G�G;Q�4/0/� Roofing ...dQ N .1�............................ .......................... .......................v .................................... ... L- G Floors ........0....�'r...............�.....T' :�...............................Interior ......✓...�f. ..... ................................................... Heating ....- ........ ..............................Plumbing ..../.....v...................................................................... Fireplace / ..............................Approximate Cost ..... .. ............................................ Definitive Plan Approved by Planning Board -----------------__-----------19_______. Area �EI/n/ � 7f d .............. ........................... cad Diagram of Lot and Building with Dimensions Fee .......... � SUBJECT TO APPROVAL OF BOARD OF HEALTH ff zi. 5.�y� .i j°t-•;.� d° r';,�� is I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. f j Name .........fie.. .:........................:.... � / ' ' . / , . . - . r ^ ' 1 ` ' ' . < ` ' ` 7 ' [ ' � ^ ' \ ` r � � ' k ` , . \ . ' . / - ` [ / ^ ( i " W. E. D. Realty Trust 18830 1 1/2 story, Putnam Avenue Loca ti 04 ........................................................ Cotuit PERMIT REFUSED ` )Approved ..----'----------. lg ' ' ^ ' ' ^ ----------------..--------- -------------'-----`---''—^—'- ` U � U { � �,.�.r'.y�:.-'i... ',.s 'j....�+K�.r�.r•..rXA�n�'�S5^�`s"}.?• „��"n�`*'tTr-�w"`�r`1t�t'k. "'w'� . '4£�}a�.ib.;:s�`Ls-"..'°bt'.`pO�7.1�.�"`..�•rE�"...^.r=`-, .s.c.,.� -,. ..,1'°�. ... - Assessor's map and lot number ' Sewage Permit number .......................................................... y�FTNETO�y TOWN OF BARNSTABLE `o�Q r O•n Z BA"STADLE, i "b 9 c war BUILDING INSPECTOR °'• APPLICATION FOR PERMIT TO .. �!`'S. �t'c............. G %.S C'�c�4� • �.v /f if7�JY r/. / e-- TYPE OF CONSTRUCTION �1 1 +��! f...�A/?sr.................................................... . .. .......................19..j� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................. ..............:................................. ..........:.....-...... . J i ,Proposed Use � �.. i.... /� /./�i ... .` ... . .....................�. ... , ........................... ( Zoning District ..........�.�.............................-.......................Fire District ...........:..,.'./1............................................................. Name of Owner 4 .../z.1� /01!'f`y......�/.!:f .........Address /1. ,/fit/ ........... ..................................... Nameof Builder :..z`:..:. 1?r . .....�................Address ......e............................................................................. Nameof Architect ..................................................................Address ..............................�.................................................. Number of Rooms S`��.,f^1.... CJ...L a,.. .�:.L�!`��.....Foundation ...%O L/4 r�C .....c.) `�"4�-/,e........................ Exierior f��7z.,'�'�`' ....� ... 1 /? c(3/Ur ...Roofing .... ?.. /� fi//J// ... .. .i...................................... j: e ' Interior ���rQ�/d"/� Floors ^-...............7................................. ............ .....................................................I................ Heating ��,/ ............Plumbing v G .............................?.s!?..:�.................. ............................................................................ Fireplace ..................................................................................Approximate Cost ........ ., U O................................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area �i,� ` /f.. ....................................... c? l G Diagram of Lot and Building with Dimensions Fee .....4- ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH aW i S vs' !� /Ir I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ;, � � ................................. Name ...................... :.... L W. E. D. Realty Trust A 39-109 T 18830 1 1 2 story, No ................. Permit for ................................... single family dwelling ............................................................................... Location Putnam Avenue ................................................................ Cotuit ............................................................................... Owner W• E. D. Realty Trust Type of Construction frame - .......................................... ..........................................................:..................... Plot ........ Lot ............VB �................ ................. November 23 76 Permit Granted ........................................19 Date of Inspection ....................................19 / Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... Approved .. ....... ... ....... r�. .... 19 ,� Assessor's map and lot number ........ 7, e �� �,1C-� J l t THE - UC-Sewage Permit number r, f Z EARN TABLE, i House number ...............................................��.............. 90 N a. 1 CFO 39 MAY tr.9 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO AA.... ... rZ TYPE OF CONSTRUCTION ...... `: ?.......01\, t fi.c.. _,C .................. �J ...................... .......19 . TO THE INSPECTOR OF BUILDINGS: 1' The undersigned hereby applies for a permit according to the following information: Location ..... ........ ? ,........ . r1 4 R Jl.. . -...... .............................................................. C�� G,I`r,t�_S�.1r�G> 1t�Lt f �C Proposed Use .........................�................. .......................................................................................................................... Zoning District // ............f....,.:..................... ...............Fire District ...:....� Nameof Owner ...Address ........,.. .......,...................................,,........................... I Name of Builder" .. +. .'.n: .. .... :C *�* Address ? 1 ?... c 11\tiwlM a w try_ n� I V ...... Name of Architect Yl, 1` J&.*.*...Address Number of Rooms .......... :..............................................Foundation ... �........ . ........ ......... s.....tf?ti...... Exierior ...�.A,1� : ::;:.G C' r� ��,�(�..`,��« c.' Roofing Floors !, s?t 1� !�,i G1�..: ..............Interior' I(' Pa!�+U,� � ti.��+i\ rC �,1 ? ....................!?.\,........ Y...... �....................... .Y. . Heating ... eA:t:', ...4...! ^ C r:,:::a�'............................Plumbing ...... r, �,�n Q........................................................ Fireplace f1 r� P .....................................................Approximate Cost............. .. .......,.. a ........... Definitive Plan Approved by Planning Board -----------_-------------------19________. Area ....... ,............. .a Diagram of Lot and Building with Dimensions Fee --... ...!. SUBJECT TO APPROVAL OF BOARD OF HEALTH L � ;c10 lr � G � ls o F-i i SX 4AU OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ti Akz......................... 24047 add greenhouse No ................. Permit for .................................... to dwelling ............................................:................................... 656 Putnam Avenue Location ................................................................ Cotuit ..................:.................................................I.......... "i Bette Lee Marsland Owner .................................................................. Type of Construction .......................................... .................................................................. Plot .......................... Lot ................................ 1 Permit Granted ............Ma......y.......3...............19 82 Date of Inspection ....................................19 Date Completed ......................................19 I-v3 - 3,3 i' tit`e j}�r e�X�`>t�• TOWN N 01 13ARNSTAISLC . BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION P 1easy i; M. print. , .t:.J• )c+J,�31� ;;y;*`'�� • ' . ' r :;.1:4•`• '`f';i' ..J.l.:i.i�1�8�•'i�J:`;�g l�-0ti�: ' DATE . , ; • ;:r • ;�,(°f..J �'`..s_.'. ,... off' f Cf SC'S�' t;�:. '; Fi .w , �"'t'%=,,�:r•`. OB.LOCA TION�( Q � m er �1S Nu 5 t r ... "HOMEOWNER a ress • eCt10n 0 town 3 �+ ame boo , l0}115o,•tec,,ij,�x�r ome P e PRESENT MAILING ADDRESS on - o r. I S cc•; ' l art rl$A it►rljtt�e��n�,�,�.,'��il.a'� �'� .• •` t n � .. � .yrr Y��4. i''�• I tY ow li'iY ¢o : The to AKay�,rhn'fn: e4t� current e i.p i.co a dwellin s. i exemption for 'homeowners" c. rs 1: .; :lfi 9 of's x. uni•ts or was extended to include• owner=`occup {e�� -a }t,:.f;, , ess 'an to allow such homeowners to;engage, an' rn-:•:: 1v1 ua for hire who does not possess a license ' acts as supervisor, Building ro t e ,._._.. . (State i P vid ha :DEFINITION to Bu ng Code Section •ed t the owner Perso ITI who HOMEOWNER: owns a Parcel :.• :.t:;y, :�;� 'side,_ on .which there of land on which he is resides -attached or detached stru�tureS intended to be he/she r ,. .. .•r< es or i ntend .to re A person who constructs more than one home i n a one to six family dwel 1:i.ng'`.:,::., .1; .%:::�:;: accessor 4kc* considered a Y to such use and/or farm structures; homeowner. Such "homeowner" two` P on a. form acceptable Year eriod '>::; r;. for al ptable'to the B shall submit shall. not ba`;',:,;.;;.,. .�;w:c;,, I such work wilding Official t to •the Bvildin performed under the that he/she shall g .Or.fici2l,, '„� ..��.;' building Fermi be �res � :The undersigned ponsib�� But 9ned "homeowner', ection Building Code and assumes responsibilit oth e r a PPlicable codes, Y for compliance B rns undersigned "homeowner�� by- rules and regulationshe Stat` eBu ldin certifies that he/she'and that g Department minimum inspectiont understands the Xoorn of , he/she will comply with said Procedures and re Procedures and requiremenreouirements HOMEOWNER S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family• 'y_ .to c Y dwell ,0 m 1 ,. P 1 w' 1 in s Y 3 . .i 9 5 with State Building Code cubic feet,' or larger, ,,:.��•,�. :>= e Section 17.1.0, Const will be required action Control . I S .......-_ ._.��__ .. ..............._............ The HOMEcR •s Exr:MPTION Code Permit stato that : "An mlt Is re Y Home Owner (sect qulred shal perfor-rnIn work Ion 109. 1 . _ l be exempt 9 k for which 1 a f b L r om u i •I d,l • Li censing c n1' ome Owner en ensing of Construct Ion the provisions of this sect'; ori : :' shall gages a Parson(s) for hlr , Suporvlsors) ; 'prov ded..:.that`:...I,f. a; act as suporvisor . l, c to do such.:•work that such ;Home 0:wnerj Many Home Owners 'tIes the responslbl Who who Use this exemption are for. Licensing Of a supervisor unawa'ro that 9 Constr (soe thOY are t4�assuln often re Construction Supervlsors, Appendix o Rules and Regulat ons } result,,:ts' In se loos Section Unlicensed .problems, 2. 15) , Thls` lack .of unlicensed persons, particularl awar.enes.s_ as,sU aryl person as It wou I dhwl case our Board can the. :..yome•rOw`er.;' "I�ljres ': ;, `? ' : -_p.._ so With licensed not proceed. r h `•r..Is, ultlmatelY responslbl©, Supervisor., a9alhst �t'he'; err s The Home Owner To ensure that the Home 0 _:.., �,. commun,l t 1 es. r Owner I s f certif egUlre, as part. Of ullY aware Of his/her' Y that he/she the permit responsIbla,ltles.,, many. ;• ; Iast•page of this I understands the res application, care ssUe ponslbllltles Of that:.the' Hom®':. Owriet to amend is a form current I ,.., ,, and adopt Suchform/certification Y used by sever .supervIsor' . On'-.the;F :.: a form/cer t i f I ca t Ion a I .towns..; ! .:.? : ...,,. .,r....:,...�1> for use In your Yoll ..'m�jy. :. .' c.ommttn ...,.�r ..1•.) . Assessor's office (•lst floor): �.��A p n SE�O+ S. � NOUST Assessor's. map and lot number ...(9�/ .���.,1/ ...... � p ®.� Q.. T ETO�` v M • Board of Health (3rd floor): Sewage Permit_ number ../ :... .. .t... S Q ... ia Z BAHEnseTADLE. Engineering Department (3rd floor): �.. 039. House number ......�aS.io............................ .................. noN,, Definitive Plan Approved by Planning Board. ___________ __________ _____19 ____ APPLICATIONS PROCESSED 8:30-9:30 A:M..ands 1:00 2:00 P.M. .only . 1 TOWN ,O.F'° BARNSTAB•LE BUILDING INSPECTOR 14 APPLICATION FOR PERMT TO' TYPE OF CONSTRUCTION ..........W. .QQd........................... TO'°THE JNSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .. ....5 ::...Pc�.� .w�... e�.:... ?�-.. .7 ... ...... ......... .......... Proposed Use .... ::... ...t " Zoning District Fire District ...... .......: ..........�.• j r Name of Owner @�? ��- : ...:............,...Address ..�Q. �¢.... .tA Y�C ICJ..Avg. ... .,\. ...... Name of Builder .. ,,..:. .... -. ........:Addres .... ...:.. Name' of Architect .......... .:.:... :....:.. ,...:.Address ....::... /UO Y •'�- ................... ' - y • + Number of Rooms ....._/V4,V P........... ........ ........':Foundation .la�'..),.1 W....:T.�C1k� A-qxs Exlerfor .....P�`. ..... .'. ....Roofing .....0-c,,. Q� ;........:. . ... .............:.............. Floors ...... :......................... .......... ................:..Interior .. ......•..!U.Q.!�� ............................................. .... Heating ...........n?0 V1. .................... ........................ ......Plumbing . iNU 1rr ,:...:..:. . .. ........ p V�101�� .....Approximate-Cost, Fireplace ........ .'. ..... ..... . ... ....... ...... � ,.. A .... rea . Diagram of Lot' and Building with Dimensions Fee (1 �, ....... lot pi eG OCCUPANCY-PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the,Rules and. Regulations of the Town of Barnstable regarding the above construction. Name ... .. ........... .... -Construction Supervisor's License ........:........................... ti RICHARDSON, JOSEPH No `:Permit for ...Add POx.Gkl....... Single Fam -ly. Dwe.Ihzn ......... Location 656• Putnaih... vGz711� ... - J. .. ...... COU1 ..... ......... i ..J.. ......... - t 4tr fry �� •_ t_ ..-...+. �.....,. - - - eh i .'Owner J .. , ha R .d .AXI Type of`Const.ruction Fzsiri�.....: ...... Lot f Plot ..::... ..................... ot.. - • Permit Granted NoY. b .z. .2.7.,. :.19 88 F: Date of Inspection . 9 Date Completed ............. <... .. ......1.9 ft C t - 1 .. - • e t- ' F .y R wit S,lw a _ � - � _ � - - ' • F ... - m J� Win- -� .. - • • e � �, .. & 47 Assessor's map and lot numberp 1T �o 0 ewage Permit number v.:. .. �? . w d`` �+► Z SAMTODLE, i House number ..... ... ........ NAB ..:......:......... .... ..:................ 9 a q 0 M d• TORN OF BARNSTABLE BUILDING INSPECTOR. APPLICATION .FOR PERMIT .TO xS?:.��1�'!.!`!1��(����;:...CA..�101f?11���...�L�e� TYPE OF CONSTRUCTION ...... A....... ........ �S..:....................................................................... . ....................:. /.....o.. 19 TO THE INSPECTOR OF BUILDINGS: The undersigned 'hereby applies for a permit according to the following information: Location ...... ..........P.` VY�.....���:......C-C�.� \ ...... fJCL� >.......................................................... Proposed Use ...... 4 ... 1TC�.W.11n .....�1 �0. ' ............................................................................................ Zoning District .......... .............Fire District ................................................................. Name of Owner ...C��T .....1� .... 4�.� 'CA Address .. A V\oV!!\...... V. .. �� Name of Builder' ... ...IP.... tAddress ..1Q. 1A:..P. .�. !� 1.....C`A�f .-.. tr,z��1\. ... p Name of Architect M...Address ..... GU.4�.... ��!tl. -.... Number of Rooms .. -Q..,..................................:.........Foundation .QIA1 Exterior ....W.N\1A 9—CA.l21,Jr..��.fV.� ..........Roofing .... �.Y.�T..��1�� ............................. Floors �,L� .. ?�� - . ................ ...................Interior ...... . y ,Sc�.. !!1....? V1:........ Heating ....... ....Plumbin v ............................ Fireplace ......... .AR.. .......................'....:................:....Approximate Cost . ®..'..fc�.Q..�Ic� U � Definitive Plan Approved by Planning Board-----------______-----------19_______. Area ....... ......�.: .. .. .. d0 Diagram of Lot and Building with Dimensions Fee t_� SUBJECT TO APPROVAL OF BOARD OF HEALTHC. O OCCUPANCY PERMITS REQUIRED FOR NEW D4ELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ....... ...... . .. .... .... ............ ~ Marsland, Bette Lee No .240T.,. Permit for .. ...d greenhouse. dwellin..................................... - t .. y Location ............E56 Putnam. ................ Avenue t .............. ............. ! ...,.... .............. l:ult.............. j .. Owner .. �� .Bette Lee Marsland... r 4 � Type o$ Construction ,,� r`•, -- Plot :.y. Lot Permit .Granted May. 13 .19 82. Date of'lnspection ...................................7 ,19 ` Date Completed ......................F. .......19 i e ) r' �;..;,,ar4:1:Y.. .:r23m•.«.,i4rM-.�'+v._y`.a"_3�y'�E-..usi;.'^,an�l�'wTsa4'LXr�,�'6Jrtfie5f's•G5;'S.91�>R.rkn-�ri.g;i-4,y�..:,,�,.rs�:ls�a..:?:':T .ir}s•riR�1�"'um..,.rr�� �afW.m+r '�s}. .,i;rsra.�t.r ..a�"ln ;c.�. Assessor's office (1st floor): n p Assessor's map and lot number ..V7I-�.%,��Q J.AC,..... �Q��`THE Board of Health (3rd floor): C » . �1'G e Sewage Permit number ................................................... . i 33aBe9?oDLE, Engineering Department (3rd floor): o i63q 1639 House number. c � o \0� Definitive Plan Approved by Planning Board ________________________________19-------- . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARN-STABLE . BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....PLr:,'+6 TYPE OF CONSTRUCTION .........1,,Izl n A.......................................................................................................... ` 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location s t Ca ' Ca W�...OW E' .....��-S �.T.................�. -o�............. ............................................... Proposed Use .. ln.... ...n'..L� / ZoningDistrict ............ .�.......................................................Fire District ...... ....... .:.:.... ................................................ Name of Owner Hose l^ -C\AO�.S� ....................Address ..lt? (� v� A`JQ- ......( .:................. ........ A .NINOW ........................ ..:.\........ Name of Builder ... VY\��, ��,....!1t6. ::..............Address \�'J\YYti ... .... ? Y.�...... ................... Name of Architect ...........AX;art Ao v\ -- ......................................... ............. ......................................................... Number of Rooms ....../9P.'�..Q...........................................Foundation] f. �vti ..S ......... ............ .............................. Exterior .....�� e �ti.✓..�:..:�;t•ey.�?c� ..... Roofin� 0.S )�^da�.� ..................................... 1. Floors Interior ... y Heating ...........!'o61 - ........................................................Plumbing ..........YVU�\ ._ .... ............................................................ Fireplace �OVr..p........................................................Approximate Cost .....0.0. ................ ....................................................... Area .......................................... Diagram of Lot and Building with Dimensions Fee. ............................................. T, : < —�-� J i ~Pv vcr - I I ,0 TJ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and/Regulations of the Town of Barnstable regarding,the above construction, r (� n .; Name D.C.la�r?54.... "e!i!. ..a.....................:........... Construction Supervisor's License .................................... RICHARDSON, JOSEPH A=039-109 16, ,03,F 16 No ..3.245.5„ Permit for ..Add...Porch ...I......... .....S.ingle. Family Dwelling Location ..6.5 6...Putnam.,Avenue.................. ...................Cotuit............................................ Owner .Josept...Richardson . ....................... Type of Construction ...Frame ................................ ............................................................................... Plot ............................ Lot ................................ Permit Granted ...November 21 , 19 88 Date of Inspection ....................................19 Date Completed ......................................19 1 { r� Assessor's office °0st floor): Assessor's map and lot .number ..S.`,� Q / ; QyoFYWfrod` Board'of Health (3rd floor): 7o" R�Q ` Sewage Permit, number .......:./.. .................--�........ w) - - # Tim UST BAHtlMd LE. . Engineering'Department (3rd floor): rq� / k :1 fa e�yn. 1639• 6 House number .......... . ���" ...... ..�.`^� �� �x.. .: O YPY a� Definitive Plan Approved by Planning Board ___ .__" _19 �� 4 APPEICATIONS PROCESSED •8:30-9:30 A.M -and' 1 00 2 00,PA only , TOWN. OF - BARN '' �� � BUILDING .IHSPEC 0R APPLICATION FOR PERMIT TO .`... .... ..... ..A ... ...... TYPE OF CONSTRUCTION ........: �.:Q. ...... :l2-. .!vl .......................................:........:...... �� 01 . :... :... . / ....19 0 0 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies .for a permit according to the following information: Location ........�..., .. ul :'M.. .Q ±-tQ .... i'!a ... ................................ • Proposed Use ...... ...1. ...t.f. ....... M. Y�!�, LLB 6V„ :.... ... .. Zoning District .... .....E........................................:..:....:..:...Fire District ... .l.J+r1.. .:. ":...: .......... Name of Owner ..N N`! ..... .....il-40 0.12. ,.A-....... .......:..Address .7 ..... J .�.: ......! V: Mt'J Name of Builder ........................... ........................................Address ...:: .... . Name of Architect .....:.................................... ............ ........:Address ......... Numberof Rooms ........ .:................................Foundation '.............................:........:.:.................................... �A �Exterior ....... .K:.�` ... 1 -. .5................:. ............... ....Roofing ......�.....��.. .... �:.. ................................. Floors .A..... .1.. ..................................:...................Interior Heating 1 .........5......................................................Plumbing .....3 ...Z .�.. ... ......... ............................... Fireplace .... ...................................... .........Approximate Cost ..... Qo..:....... Area Diagram at Lot and Building with Dimensions Fee o . .... ...J�. ................... I ' - L ; , r ..� �... a �.• - n • � • OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS • i I hereby agree to conform to all the Rules and Regulatians}}of the`Town'of.Barnstablemregaiding.the above construction. �j✓6.8�"Go ®hi, s�;, Name ."? ..... ... ......... GcJ ,tJ r Construction Supervisors License ........ ....................... TROMBA, ANGELO & GLORIA No 324'41 Permit for Build rmer t Single Family Dwellin5 A ................ ................................Y. L F ' Location Lot #5 , 766. Putnam Avenue , 'L'bt r r i . t _ An elo & Gloria Tromba Owner ............. .... .......... ' Type of Construction ...".Frame...r:......�.......... - r; i s Plot,............................. a Lot. ' .......'.................... - ' Permit Granted .,, No...vember 16 , 1.9 88 -.. .-. .. Date of;.irispection ..... �.. .. ..19 Date.Completed ...' . 5 .............19 w c ` • .�� , ��Y�* � ••� ' =y i. � - .. yam+ !` •� - . ys � , Vis L" 4