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HomeMy WebLinkAbout0010 QUEEN ANNE LANE O " Q u eery Sari�� l�->� r'• � � � c - �— .r Ft[ B g-t 6 �ri�Al�W of Town of Barnstable Permit# .9-/ 7- C)7 ? Expires 6 armu6s from issue date f Regulatory Services Fee s s 9 taAss.i639- Richard V.Scali,Director �� AlEb MAC� Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www_town.bamstab le.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PE&MIT APPLICATION - RESIDENTIAL ONLY Not[valid without Red X-Press Imprint Nfap/parcel Number L 2 Property Address /0 4,>ee l 4,1 it-e 1/1 ['Residential Value of Work$ .1000 S Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address��_ -f r 11 Contractor's Name _Ac(QJ - /JrSp/( Telep hone Numb er N0( 2- Horne Improvement Contractor License#(if applicable) 1 73 Z Email: Construction Supervisor's License#(if applicable) 7 D 7 MWorkman'snCompensation Insurance ; - Check one: IR,Ev op �- ❑ I am a sole proprietor ❑ Iem the Homeowner AUG 0 9 2017 I have Worker's Compensation Insurance y Insurance Company Name �; c��e* CIS In surinr1 r��i�. TOWN � �`" Workman's Comp.Policy# R 7 2 9 - 2 Q 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) [❑ e-side Replacement Windows/doors/sliders.U-Value . 2,0 (maximum.32)#of windows _ #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. *When:required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: _Propertycaner must sign Property Owner Letter of Permission. - - A copy cKthe Home Improvement Contractors License&Construction Supervisors License is require SIGNATURE: C:\Users\Decdllik\AppData\Local'uMicrosoft\Windows\Temporary Internet Files\Content.0utlook\2P10I DHR\EXPRESS.doc Revised 040215 Renewal Agreement Document and Payment Terms Andersen. dba:Renewal By Andersen of Southern New England Deborah&.Richard Kenney. Legal Name:Southern New England Windows,LLC 10 Queen Ann Ln RI#36079;MA#173245,CT#0634555;Lead Firm#1237 Cotuit,MA02635 WINDOW pE LACEMENT 26 Albion Rd I Lincoln,.RI 02865 H:(508)776-2048- - Phone:866-563-2235 1 Fax:401-633-6602 1 sales@renewalsne.com Buyer(s)Name; Deborah & Richard Kenney Contract Date: 07/28/17 Buyer(s)Street Address: 10 Queen Ann Ln;Cotuit, MA 02635.. . Primary Telephone Number: (508)776-2048 Secondary Telephone Number: Primary Email:dkenney@robertpaul.com Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor'),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this "Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. - Total Job Amount: $10,009. By signing this Agreement;you acknowledge that the Balance Due;and:the Amount Financed must be made by personal check,bank check,credit card,or cash Deposit Received: $5,005 Balance Due: $5,004 Estimated.Start: Estimated Completion: 6-8 Wks 6-8 Wks Amount Financed: $10,000 Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that' we are providing at this time is only an estimate.We will communicate an'official date and time at a later date:.Rain and extreme•weather are.the most common causes for delay. Notes: GS 50% DP 50 6/o.bal upon completion ; Taxespd in Barnstable Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that.there are no verbal' understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)-and Contractor.Buyer(s)hereby acknowledges that Buyer(s)-1)has:read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do.not sign this contract if blank.You are entitled to a,copy of the contract at the time you sign YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF:08/01/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC dba;Renewal By n ersen'of Southern New England Buyer(s). 'Signature of Sales Person :. ': Signature Signature Jack Incollingo Deborah Kenney Richard Kenney Print Name of Sales Person Print Name , Print Name. UPDATED:,07/28/17. Paget / 12 I massachusetts Department of Pubiic afat j Board of Building Regulations and Standarss License: CS-095707 BRIAN D DENNISON 7 LAMBS POND CIRCLE.' ' CHARLTON MA 01507 -l7xz CA, Expi 3tion: commissioner OW0812018 0 c� of CLnsutier Affairs and Business R_esm atcn 10 F-��.Plaza-Sedte >;7'.? Boston.N assachusens 0,2115 Herne Lm-provement SC'antractar Registration - -- - Registratlo n: 1 3245 ---= _- Type: Supplement Card t =- -- -- E:.piratlon: 9119/201S SOUTHERN NEW ENGLAND WiNDOV.11 L BRIAN DENNISON 26 ALBION RD - LINCOLN,RI 928,95 ------- Undncc s�:dr:ss and return Ord.M=k ceasun for 3ia06c. _ address _3ene:ral `Employment Lust Lard _- ffiw o Gnsumer.UT:zhs Josiness Z�nladoo R isaation valid for indi<idual>tse only before t!;¢ , -�'-g - expiration date.If round return to: ;;HOME IMPROVEMENTCCNTRACTCR - 'Jffic ai Caosumer alTai.:.and 3azsiness;2eymiado^_ c' Registr3tlon:i W,15- TIPe: 10inrk Ram-Suite51,0 -- E,piradon::;9MMD13 Supplement Carl 3antun.SG\93116 .3OItiHERN NE'N ENGLAND WINDOWS L_C. RENBVAL 3Y ANDERSON 3RIAN DENNISON 26 AL310N RD - triCOLN.RI OM65 tindetsecreuts Not r amrc ` The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 U Boston,:'VIA 02114-2017 �w www.mass.gov/dia 'Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers- TO BE FILED WITH THE PERNUTTING AUTHORITY. Applicant Information Please Print Le ibly Name (Business/Organization/Individual): E e Lo .E46A Address: City/State/Zip: p Phone ? : *1 - 2>_3` Q Are you au employer?Check the appropriate box: Type of project(required): I I am a employer with Zo femployees(full and/or part-time).* 7.. New construction 2.7 I am a sole proprietor or partnership and have no employees working for me in 8. EJ Remodeling any capacity.[No workers'comp.insurance required.) 9. El Demolition IFa I am a homeowner doing all work myself.[No workers'comp.insurance required.] 10 Q Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 1 1.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5'❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[:]Roof repairs These sub-contractors have employees and have workers'comp.insurance.- 6T; We are a corporation and its officers have exercised their right of exemption per MGL c. I 14. ether W#✓N cCD t&) 1 152,61(4),and we have no-mplovees.[No workers'comp.insurance required.) eR 7<S��. *Ar..y applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. +Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: 9TZ° Oy1Q s �r _ Policy#or Self-ins.Lic.#: CA 3V 2—g — Z Expiration Date: ! ! O Job Site Address: /() JQ06Te I AIll C ,s!/1 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 MGL c. 152,§25A is a criminal violation punishable by 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.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 airs and penalties of perjury that the information provided above d true and correct. Si ature: Date: Phone#- C101- 22.e- l Opp Official use only. Do not write in this area,to be completed by city or town official City or Town: Perinit/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 4: �., ESLERCO-01 SANDERSO Wn CERTIFICATE OF LIABILITY INSURANCE DATE 061712 �o1`0 7 7r27 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 CoBiz Insurance,Inc.-CO PHONE F IC 303 988-0804 1401 Lawrence St,Ste.1200 IAIC,NE,E>a:(303)988-0446 (alc,No):( ) Denver,CO 80202 %D"DRIF.s :COMail@cob7a7insurance.com INSURE S AFFORDING COVERAGE NA1C# INSURER A:Acadia Insurance Company 31325 INSURED INSURER B:Firemens Insurance Company of WA D.C. 21784 Southern New England Windows,LLC.dba Renewal by INSURER c:LibertySurplus Insurance 10725 Andersen of Southern New England 26 Albion Road,Suite 1 INSURERD: Lincoln,RI 02865 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP UNITS L INSD WVD D MM/DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE �X OCCUR CPA3158728 01/0112017 01/01/2018 DAMAGE TO RENTED 300,000 PREMISES REMI E Ea occurrence) S MED EXP An one person) S 5,000 _ PERSONAL 8 ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY❑jEE7 LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER. EBL AGGREGATE S 2,000000 A AUTOMOBILE LIABILITY Ee amderDitSINGLE LIMIT $ 1;000;000 X ANY AUTO CPA3158728 01/01/2017 01/01/2018 BODILY INJURY Perperson) S OWNED ONLY SCHEDULED AUTOS I BODILY INJURY Perac6dent S AUTOSHIRED NON-OWNED PerOatlenDAMAGE S AUTOS ONLY AUTOS ONLY S A X UMBRELLALIAB X OCCUR EACH OCCURRENCE S 1,000,OOO EEXCESS UAB CLAIMS-MADE CPA3158728 01/01/2017 01/01/2018 AGGREGATE S DED X RETENTIONS 0 Aggregate S 1,000,000 B WORKERS COMPENSATION X STATUTE ORS AND EMPLOYERS'LwBILnY YIN WCA3158729-20 0110112017 01101/2018 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EA ACCIDENT S �FFICER/MEMBER EXCLUDED? NIA 1,000,000 (Mandatory m NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S B Worker's Compensatio CA3158730-20 01/01/2017 01/01/2018 1,000,000 C Pollution Liability FEDE654299.117 01/01/2017 01/01/2018 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 17-18 Workers Compesnation Includes-All states except ND,OH,WA,WV,WY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLACY PROVISIONS. AUTHORIZED REPRESENTATIVE IFOR Informational Purposes ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD St Town of Barn' AVAROM ofs Regulatory Set c -4 IT. 19 Thomas F. Geiler,Director nexrrsztis�. Building Division q� lb AIM% g� Tom Perry,Building Com�s!f e Q 200 Main Street, Hyannis, 62 Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: _ Permit#: d HOME OCCUPATION REGISTRATION D ate: Name:. I fie eP,11 X4A Phone#-SZ qqb Q)UY Address: ®y•C&Ia/!Ak LVillage:_ CO Ul -f: A14 Name of Business: Type of Business: Map/Iot: AV ` R4TI NT: It is the intent of this section to allow the residents.of the Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other'than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. Such use occupies no more than 400 square feet of space; • There are no external.alterations to the dwelling which are not customary-in residential buildings,and there is . no outside evidence of such use. } No traffic will be generated in excess of.normal residential volumes, • The use does pot involve the production of offensive noise, vibration,smoke,dust or other particular matter,' odors, electrical disturbance,heat,glare, humidity or other objectionable effects, • There is no"storage-or:use of toxic or-hazardou$materials, or flammable or explosive materials,in excess of normal household quantities, • Any need for parking generated by such use shall be met.on the same lot containing the Customary'Home Occupation,,and not within the required front yard. • There is no exterior storage or display of materials or equipment • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick up-tr.uek•not-tot,exceed-one ton,capacity,and one trailer not to exceed 20 feet in length and not to -_ exc=d 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall.be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. . I, the undersigned, have read and agree with the above restrictions for my home occupation I am registering. �1 Tnt�r�nh•• ' late• a� YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you must do by M.G.L-.it.does not give you permission to operate.) Business Certificates are available at the Town Clerk's f?ffice, 1' FL,367 Main Street, Hyannis, MA 02601 (Town Hall) n DATE: `� — O F11 in please: APPLICANT'S YOUR NAME21S �nnFssr) YL. BUSINESS O (3UR HOME _� 1 E/1 t�l LLIA W. TELEPHONE # Home Telephone Number :;L �� f , NAME OF CORPORATION: n G ' NAME OF NEW BUSINESS ` �ruu L' TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO PP! RESS OF BUSINESS O ��� L-n- MAP/PARCEL NUMBER o� Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - [corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this taws. 1. BUILDING COMNrSSi ER'S OFFICE This individuaI imin intonj9d f any permit requirVments that pertain to this type of busiMOST COMPLY WITH HOME OCCUPATION TAA RULES AND REGULATIONS. FAILURE TO A rize ig e** COMPLY MAY RESULT IN FINES. COMMEN - 2. BOARD OF HEALTH This individual h b formed of per t re uirements that pertain to this type of business. . Authorized Sig, ature COMMENTS: I 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) i This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: i Town of Barnstable Regulatory Services Py°FSHE t � Thomas F. Geiler,Director ;i4;e Building Division �; g BARNSTABnE +1679• stun ��ll -9 Pt1 v MAC j Tom Perry,Building Commisab"Ar ��' iDrEp N►a�a t 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: � Fee: Permit#: HOME OCCUPATION REGISTRATION �- - .� Date: v (�� / Nance: V. Phone#:S75— Address: LCth A, Village: COLI. a�Q Name of Business: Type of Business: RL Map/Lot: INTENT: It is the intent of this section to allow the residents of the Tom]of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning orduzance, provided that the activity shall not be discernible from outside the divelling: :there shall be no increase in noise or odor;no visual alteration to the premises w ich would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the followuzg conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located wZthin that dwelling unit. • . Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated un excess of normal residential volumes. The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. . • 'There is no storage or use of toxic or hazardous materials,or flannmable or explosive materials,in excess of nornial household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not Within the required front yard. . • There is no exterior storage or display of materials or equipment. • 1'lnere are no commercial velicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to ` exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who,is not a permanent resident of the dwelling unit. I,the.unJi.. d,have.read and wvitln n above restrictions for my home occupation Ian registeringApplicant Date: Homeoc.doc Rev.01/3/08 YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO BY M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1" FI. 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. DATE: t� " ' Fill in please: h ..,u APPLICANT'S YOUR NAME: tY CjYZ( ("1 YLf_ «r . BUSINESS YOUR HOME ADDRESS: 1 (J �C(/1 l�r �Lu_LIB ,-3E 3S TELEPHONE # Home Telephone Number: ° — � ) -- � NA_ 1NE OF NEW BUSINESS e Paid() U �t ,� OF BUSINESS IS THIS A HOME OCCUPATION? L/---YES NO Have you been given approval from he building division? YES NO ✓r ADDRESS OF BUSINESS (�. (� , MAPZPARCEL.NUMBER � aa - � aa icy lac When starting a new.business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S O 1 E This individual has been r d ny permit requirements that pertain to.this type of business. A r z Signatures * ST COMPLY WITH HOME OCCUPATION COMMENTS: RULES AND REGULATIONS, COMPLY MAY RFSULT IN EINES 2. BOARD OF HEALTH This individual ha ' e i for4ped of the ermi requi.r ents that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (L CENSING AUTHORITY) This individual h n infor f the licen r6quer7s that pertain to this type of business. Authorized Signature** COMMENTS: /J 1 . w TOWN OF BARNSTABLE Permit No. ----------_---------- � Building Inspector suinw, Cash OCCUPANCY PERMIT Bond ---______________ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ............................... 19......__ ....................................................................... �....... . ......._.... . .. ._ Building Inspector 14m b le CS $ lxbb Z 2 � (A H Q O /h6.19 aAo MiJLU La t- z a tt % �71,/ w U O C7-0) it k a wpUz -V P x (' U L t1 'N Q� is� ZO•�D •NO. N D GGr/Sl - Roo oar 'DOSE 127115.. JI/'A14,41V gAlsr*. . 'Assessor's map and lot numb. .rn.: .- :/'.,2.�..... SEPTIC SYSTEM MUST BE r i INSTALLED IN COMPLIANCE WITH ARTICLE II STATE a Sewage Permit number ... y............ ..................................... SANITARY CODE AND TOWN REGULATIONS. *THE TD�o TOWN 43ARN �7 i BABB9TADLE. ; ;! y N"&O 0 ^y 101M \ , c`' DUIaLDINGj? INSPECTOR =� �p 1639tW 00 iv APPLICATION FOR=,PERMIT`f0 ................... ...............t:?'J.Gl. < Z?............ ./..... T U y......................... ::......:.. TYPE OF CONSTRUCTION H ...4. ................................................ ......................... ..........J. ..'".. .5................19.. ., TO THE INSPECTOR'OF BUILDINGS: The undersignjed hereby applies fora permit according to the following information: Location ...✓......................... ...... ... .11, .......... —e ...........-............v ; q'C,l 4.1 1,� 4l ProposedUse .......................s1. ,la 'l„��.................................................................................................................... Zoning District J.-. , ....................................Fire District c7a.7 7............................................... .. Name of. Owner ......... ..��.aF.�T...... .....Address ....... a ri::!�F.-Vjr-l- r...f .................. �',Q✓`tA i c�Q O?L 4 Name of Builder .....0 0 1S,i.7.-........... ...........Address .......✓ll�. .y`�c�.........FrQ1�.�`1 �T .......... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...................... .......................................Foundation ............CIV- 1e...................................................... Exlerior ..................................�, f..0 .........................Roofing .. f i .rQI. Floors .......................................r--vd,4.. 6 ......................Interior ................ ...................................... ,., Heating ................................... .............................Plumbing ................... .................................. . Fireplace ....................................5V.1iA1 7�. ...............................Approximate Cost ................................................. .................. Definitive Plan Approved by Planning Board ________________________________19________. Area 16.7c..-- . .................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I herebyl agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.. Na�,,��r+,....... .............. ro,,Dosch, Robert N,0 ` 19778 Permit for .......1 story Dwelling' ................. . ............................. ............................................................................... Hse 10 Lot 92 Queen Anne La. Location .................................................................. Cotuit ............................................................................... Owner .......A09X.t..PRAch........... Type of Construction ..........Wond-Frame.......... 7 ............................................................................... M 22 L127 Plot ............................ Lot ................. ............. Permit Granted ...........!kY!t.... ........-'19 77 .Date of Inspection 7( ..19 �qb F1 Date Completed ...... .. ... .. I...............: 19 PERMIT REFUSED t ................................................................ 19 ....... . ... . ........ .... .............................. V . .................... ........ ........ ......... ... .. ...j....... . . ............ A .......................... ............................. ..................... Approved ................................................ 19 w5............. l?. yo .. ................ ......... . .. .... . . . .. ..... ...... ...... . . ........ t Assessor's map and lot number ................................... r/ / h'7 Sewage Permit number ... .......:....................:.......................... T"E.T°�,r TOWN OF BARNSTABLE EAH33TODLE, i . o "6 9 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................ 1/A,............. ...S. ., ..y........................................ f— p.� TYPE OF CONSTRUCTION .:.'.c...�f.?!� ........................................... .............................j...................I q...r 2 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: yLocation ....`.....r`.f.., � .. ................ �,Lln/...... �+?i .v/.G..........�' .y 2/,r............................� �• , . ProposedUse '7..,. ac/ .. . /i''.................................................................................................................... Zoning District ''....................................Fire District �'7"`f�� ............................................................... Name of Owner ..........�R%+r'4 r .a'....... .. t1 Address ......./L!7....rt"! /'i'/ .c ..PT ...... .......,. ...................................... t7X Y ,q Name of Builder ...... ....... . .r. rlrls. ►I Address ........ ................. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ...................... .........................................Foundation ........... ;tn..................................................... Exierior .........................Roofing ac2 ',�r'/�c'riL"7" Floors r 'Q+?� � ......................Interior ...—;),a, ............................................................. Heating ................................................Plumbing .... ?:'!���r................................... ................................. Fireplace....................................... .:�/ .... ......................................Approximate Cost .................................................................... rDefinitive Plan Approved by Planning Board ________________________________19________. Area / 7r2 � ^................ .................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. " Name''%� .-.... ...-•%J ...::'"r... ......................... Dosch, Robert . t '�>'> — I I . I I AdPP1 19778 1 story Dwelling No ................. Permit for ................................4000 • ............................................................................... Hse # 10 Location .10-t..92...Queen..Ame�..La .......... ...................catu it.............................................. Robert Dosch Owner .................................................................. Type of Construction .....,Wodd Frame ............................... ............................................................................... Plot ............................ / at-- 22-.-LI2-7-, ......................... Permit Granted ..../ Nov. 22.........19 77 .......................... Date of Inspection( ............19 Date Completed .................. ..................19 PERMI , REFUSED ............................. .................................. 19 K4".. . . . . .. ......................................... ................................. . ........................... ........... . ........ ... ..... .... 0.... ................... p . ve ................................................ 19 .. ........................... .... .......... ...............................................................................