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HomeMy WebLinkAbout0024 TRACEY ROAD a. (' I t it l Assessor's offioe (1st floor): a �' I Assessor's map and lot number Board of Health (3rd floor): j Sewage ,Permit number ........_........................._..........:....... t BASd9Tl1DLL, Engineerinug Department (3rd floor): `e 'o rb 9. t House_nmber, ........................................................................ ''tt•oYaY a' s APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only t TOWN OF BARNSTABLE BUILDING INSPECTOR ._ _... APPLICATION FOR PERMIT TO �'ON'S. ..)eu r,/ 1`; !V&F 1-M I L ...., ................................. .... . ...... . ... ... . ...... .. Arm!? — w � �xJt S-�o� g;TYPE OF CONSTRUCTION ...... ............................................... .......... . ........................ .................,.............. .C..........1._o.................19.��...f JO THE INSPECTOR,OF ,BUILDINGS: ; �. fI The undersigned hereby applies for a permit according to the following information: t o► � �Z�cF ,r1 � � �� 0 Location .........!............'�7.......... ... ................... - .1.........................:..:................................. .............................................. . A. ProposedUse - a........... ....................�...... ,....................................... ...................................................... .r' G Zoning District f""R"".......................................Fire District ••• ................ w nn Name of Owner .. N1 GWr Address .... .M.. ���G�,f`�-,"„ 2 NI N ® O vel , r, r I Z ... .......... ........... �. ................. .. .. ..„% ................r J a� oX Iot'-10 �ewlv� oPar Nameof Builder ......... ^.- �...........................Address ................`.1...................................�............................. ..� • 0' { ear!.a �®rat h �d�f.��5 Name of Architect ............................. ......................Address ................ .................... .e. ...................... Numberof Rooms ..................................................................Foundation .................................... .................................................. Exterior ........WOC .. ...Roofing ...... � eC IGSS Floors W�0 a Interior �kl1 1 _ Heating '(A ��,m� ��CA%r ...Plumbing ...... ��...................................... --� ............ .............. ............................ .r. ......... .... ....R•- ... _. . soon Fireplace ... ........e..................................................................Approximate Cost ...................&�............................................... Definitive Plan Approved by Planning Board �L; _I____ _ ---I9��_ . Area .......................................... AA Diagram of, Lot and Building with Dimensions .r Fee SUBJECT TO ;APPROVAL OF BOARD OF HEALTH ` `R_4j S U � tip 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. .,.................... 67 y Construction Supervisor's license O�/. /©L/,/ I CANNIZZARO, MARK & JEAN A=005-052 No ..31173. .:. Permit for ._•.1 Ai...S.tory........... ....... .... Sin le Famil Dwellin Location ......Lot #5.,......24 Tracey...Road ............. Cotuit ............................................................................... Owner ......Mark & Jean Cannizzaro - ........................................................... Type of Construction ...,Frame - ............................................................................... r Plot ............................ Lot ................................ - Permit Granted ........9eptembex...B.,...19 87 Date of Inspection ....................................19 c Date Completed ......................................19 • l 10OX F ,i ,,,,_ � � .:✓ x4.._ �. �-ai'S M' " .'. ,}�. s.f .�, '•!.. M1Y ..y..s ..:.:r�,::s�: ir.*..s•sn, „y�pew,. •s ��.. •.r..e,att•"„-:�.»-,..,Z....�..,,_�.-. r .� ,fTME>,a TOWN OF BARNSTABLE Permit No. . 3 73.... BUILDING DEPARTMENT C l'n.nnn I Cash 1 ■,■. TOWN OFFICE BUILDING ,6}9• HYANNIS,MASS.02601 Bond ................ I CERTIFICATE OF USE AND OCCUPANCY Issued to Mark & Jean Cannizzaro Address Lot #5, 24 Tracey Road Cotuit, Massachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 16, 19.....87 ............ ........................................... Building Inspector • v -PTIC SYSTEM MUST BE TN Assesstr's offioe (1st floor): C� �".-.Q�� ... Gi�167ALLED IN COMPLIANCI. ` E As sessors map and lot number ........ .....L f Board of Health (3rd floor): WITH TITLE 5 Sewage Permit number ......... .. . ........................ i ±\ J"i. NJAVMEBC7T'd'fiL CODE 'A' Z' H9$l9T11DLE. i Engineering Department (3rd floor): ,1 j�L ,, G � � L ���^:�� moo tb 9 \e� Housenumber ......................................................................... oar a• APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only DESIGNING ENGINEER MUST S w ISE r INSTALLATION: AND CERTIFY IN WRITING e TOWN W 1\ F B A R N �YNTALLED IN STRICT BUILDING 'INSPECTOR APPLICATION FOR PERMIT TO ....CO�SYIZ"L:E <<-� 11d/ � ................ ..... ........ ..... . ......... ............. . L i c�+ I TYPE OF CONSTRUCTION ......l. CAi�....::...�N. ......... .Co.......... ..........1. .�X ....... ................ -•.............19.Q� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... .......... !�C ..... .,d � .�v....Clld ..� ��.................... ........... Proposed Use ...5.� .. � .......... c�, ��... ...............41 ......................................... ........................................................ y Zoning District ..............�.. :. ..................................................Fire District ............. -.... Name of Owner m.w.lL F'�ec.`.8� Cq��1 ZZUrp ..t Q..:vJ - P'. S° t � � � ................................................................Address s5..... ..........L..... j ....::...... tt'' t 1 c371Q3 Name of Builder ........L...���•!. . ..... iq.�s1 ...................Address .. � ....�. �'I® Name of Architect 0941rlO......................Address ...��� 1!... rCD`? ?e ..... .CA.: .......................................... ...................... Number of Rooms ................ ..............................................Foundation ... ........ A................................................... Exterior ......... ! .06D............................................................Roofing ........1'.� .e.� ............................ Floors .......... .................. ........................................Interior ............�'.`/ 't 11 ................................................... rieating� ....,hO.....C?`.r.... ................Plumbing ...... :._ ...... Fireplace ........ .........................I....................................Approximate Cost ..�../... �........................................�. efinitive Plan Approved by Planning Board - 19 Ptls. Area ........... AA\\ Up Diagram of Lot and Building with Dimensions Fee /;�....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I �O N � b \1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the yTown of Barnstqble regarding the above construction. �i,JC,Z�G� Q-fl..► Nam ........ .. ...... ................... Construction Supervisor's License ...© / CANNIZZARO, MARK & JEAN Nb 31173... Permit for 3 ........... ............ SinglSincTle Family.. ........... e...................... ........... Location .....Lot...#�5 ........ ...........C....otuit............................................ ......... Owner ....Mark & Jean Cannizzaro ............................................................. Type of Construction .....Frame............................. ....... ...................... ........................................................ Plot ............................ Lot ................................ Permit,Gran.ed ..... .. 19 87 Date ofInspection .....................................19 Date Completed ..............19 C3 x co 1—G3 W-- 0 fin CO tr 4M co Cr LOT 47 L 1 I� 8� LOT 48 �o \Sq. - LOT S- ��,4So SFt 1 o ° 3�k EUTUPE GA.QAGt LOT LOT 4 } 0 i�o.79 O P� a'3iq,1399N9lii,!!y,' NEAP r+ Ja •�2' FWD. EL= (03,0 1977 :co ''hSgCHUS� 0iriu a 39 n33'�•,`,, AS BUILT " PLOT PLAN TO THE BEST OF MY INFORMATION, 13AQNST�4BLE- , MASS. KNOWLEDGE, AND BEL THE LoT S TRACEY'ED. COTUIT gAP-)J t"L ST2V�TU 1?E PLAN HAS BEEN �a�,T�0N THE /? J. O%/rA/?N //1/C. J. SWAN RIVER PLAYA GROUND AS INDI ED'HEARN 35 ROU1 E 134, UNIT 2 N . 27871 e SOUTH DENNIS, MASS. 02660 DATE : _ 9-8-87 SCALE: 1-30 .9 8�87 JOB NO. 39Z8 CLIENT: CGAN ` ATE ARE STER,ED AND SURVEYOR DR. BY b(S SHEET OF- I THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / �C(�J LI DATA Bo mILDING PERMIT MT,` ACHUSETS APPLICANT )ATE ;° _'— PERMIT N0,.._- } :.,+:.!'..•,..t: .; ,. :' ,S (51'R EETI . .CONT-5 ,.'CENSE. J`ti3..Ci „ r.. NUMUER OF PERMIT TO _ ;.�.�,,. . - ( =_1 s OFr-. - _ ___? -:.. - D d i_I?iG JWIT-S �:r i r! (TVFE OF IN.PROVEME.rIi'i N0. ...—._` '� "'-"y1�9F:_—_. _. r^ AT (LOCATION) IST IC _.....--....... - —----- ----- ---- -D .. .. t "" or'Inr, IN i [BETWEEN ------ ..___—...-------------------- .AP,'-----------_-----=----------------------------- E (CROSS S TR E E i4.,..... - ;CRASS STREET) ...�..�....�.e�...�.._....�...,J R LOT SUBDIVISION _ - !. :: L;I OCK ------------------- .__----'- ----'---------SIZE-------'-----'-'----'----- BUILDING IS TO BE --FT. WIDE BY-_---.-_.--.F'!'. L.0"4C g'r - IN HEIGHT .AND SHALL'CONFORM IN CO!:S'rs.11:-T!nt TO TYPE USE GROUP-----------..__........-.'--- ALLS R FOUNDATION---'--'---- ___ -..I1 YPEI_--___—_-..--- . REMARKS: AREA OR PER A d _ l i _ i rS: VOLUMEi0CT `7----------...-_.__..-.:----' FEF �-----------..___I CI CU(/�Q/[{''�C11.1SO UA. E- FET) r OWNER ----- --...._..- -- ---.__----y� — - BUiLOING C!Ear ADDRESS 1 RY THIS PERMIY CONVEYS NO RIGHT TO OCCUPY ANY S7 F!E7,T- A.L!_F.v OR SIDEWALK OR ANY PART THEREOF. E!?HER TFMPORA,�3.11._'r" G„ - PERMANENTL Y..ENCROACHMENTS ON PUBLIC: FIR^,PE;i';'Y ^d i"! SPFr!F;C1LLY PERMITTED 'UNDER THE."BUILDING CODE, h1U''.: BE .AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRA.OES As ''RELL AS DEPTH AND LOCATION OF PUBLIC: SEWDRS MAY BE. BTA!tJffD FROM THE DEPARTMF_NT OF PUBI_!C WORKS. THE ISSUANCE' J•• "�HiS PEf, DOES NOT RELEASE THE APPLICANT FROM TH.E C,. '!DLT IONS OF ANY APPLICABLE SUBDIVISION RESTRICT'!ON$. 'T MINIMUM OF THREE CALL IAPPROV _D PLANS MUS7 BE RETAINED ON. JOE AND THT WHERE A.PPLJCABLE `_`�_PARATE ALL CONSTRUCTION 1'dOR1C: CARD 'KEPT POS-TE':. UNTIL P�IN.AL iNSF'__CT.ON HAS BEEN I ELECTPICA!_, PLUMBING ANDI. FOUNDATIONS OR FOOTINGS. MADE. WHERE.- 4 _.f4TIFiCA T'F_ OF OCCUPANCY IS RE-1 MECHANICAL I NSTALLA.TiONS. 2. PRIOR TO COVERING STR:JCTURAI.- QUIRED,S(JC:N 8U'tL..L:!!•JG Si�A,:_!_. NOT BE OCCUPIED UNTILI MEMBERS(READY TO LATH).-. i 3. FINAL INSPECT!CN BEFORE: F!NAL INSP[=CT!ON HAS, DLENi MADE, 0ZCUPANCY. IT 15 VISIBLE FROM MEET BUILDING INSPECT10:1 APPRC ALS j ;-T — it APP v.=LS T—!_LL^lRICA INSPECTION AP - T- --- --- ---=-_ - 0 . 11 -7 ' xi ii✓ `t� ( --- r I L- _.___. —._—___.—.._..—_--.._..L a'a_:— _.r...:r,a•..r....->:.�c........_..,.m.�+n,.r...a.,�w..v waaceow i: I 6F; ......... i _ II !H: l F - ! VOID O4M v,,- -' -Jr A:r %Cc — 1•, t TRL 1Oi10PY,HALL NOT PROCEED UWT4 J TOR HAS r^17PROVCD THE 'VARIOuUS. :`,C F W P..I „ !i!'i S ., lcJ?9 4S ^.:a'C '( _ � _, c FOR BY / COrl.STRUCTION. I = q 0,5 ©O oel i. f 5 LOT 47 Lot ss Lo o0 T 48 b° LOTS 2"b STDP-y 3a�cc�ly. Go I O 3 Q p;,B o y, -, f,c Tao k 3 Se/p LOT 9 LpT e p/j s-� R �I ECHNo1'' , 79 • Za INC. 1911 : ('P.� o . Q INVERT DE SCR/PT/ON ',���y'•.• ,.••c�J.`` CtL� �y�t>� o! 98.8 5eptia T6 in/ef- %F9(r SSP.•`� �P AO 2 98.G 5e flc Taok. oU/ef ' H OF pAF .• ® 98.2 D. 50K Ouf/e NOTES s 98.2 0. 150x oulIC7- ITHIS PLAN IS VALID ONLY IF IT IS STAMPED AND 9G.4 Leoch P�f /n/eye SIGNED IN RED. THIS OFFICE ASSUMES NO Oj 97. I Leach P�'f /n/ef RESPONSIBILITY FOR INFORMATION CONTAINED ON COPIES WHICH DO NOT HAVE ORIGINAL STAMPS AND SIGNATURES IN RED 2.THIS PLAN WAS NOT PREPARED TO THE STANDARDS SET FORTH IN 250 CMR SECTION 6.04 �03. 0 (�`Issurn� DOI u17 J THEREFORE THIS PLAN IS NOT TO BE USED FOR TITLE INSURANCE PURPOSES j CERTIFY TO Mar'Co.- deon Cbnnlzzore AND TO _ P�yM°un4 M V-6. cn . I�a�_. "AS BUILT " PLOT PLAN THAT TO THE ES BELIEF Y I TH►EMATION KNOWLE GE AND , 'BAQ0STA$LE MASS. s"ucLrCg SHOWN ON 'THIS PLAN LOT S TRACEY'L?D, COTUIj BAW . MA. HAS BEEN LOCATED ON THE:,,.GROUND AS INDICATED AND THAT IT 19 LOCATED IN �t" R J. 0%IT-AR/V //VC. FLOOD ZONE C PER FLOOD INSURANCE I I I - 2-A7 SWAN RIVER PLAZA RATE MAP DATED 8• F/_9i:,._.;a° Iz- s-ql 35 ROUTE 134, UNIT 2 ^ SOUTH DENNIS, MASS. 02660 ti r DATE 9-8-87 SCALE w' _ +a' JqR N0. 3928 CLIENT: &Tf R G. PROFESS Et)NAL`' L'k1ND SURVEYOR DR. BY - _ JbG SIIEET L OF - YOU H T-Q EN A BUSINESS? 40.00 for 4 business certificate ONLY REGISTERS YOUR NAME in town (which you For Your Information: Business certificates(cosQ 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 st FI., 367 Main St., Hyannis, MA 02601 (Town.Hall) and get the_Business Certificate that is required by law. / DATE: 7 3/// Fill in please: dF y pi t: 7x APPLICANT'S YOUR NAME/S: 6 BUSINE S YOUR HOME ADDRESS: ELEPHONE # Home Telephone Number NAME OF CORPORATION: � L � d / �G NAME OF NEW BUSINESS- TYPE OF BUSINESS . Y IS THIS A HOME OCCUPATION? YES NO MAP PARCEL NUMBER J��5 2 (Assessing) ADDRESS OF BUSINESS / e . 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 opera a your business in this town. 1. BUILDING CO ISSIO ER'S OFFI MUST COMPLY WITH HOME OCCUPATION This individu I h e n i or d o y p rmi r uirements that ertain to this type of business. RULES AND REGULATIONS. FAILURE TO A horize ign to COMPLY MAY RESULT IN FINES, ff MMEN S I 1 2. BOARD OF HE H This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** ' COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY). This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: B u ldilig Department Services : oFnte r Brian Florence,CBO o� Building Commissioner ' F uxxsrAstE, % 200 Main Street;Hyannis,MA 02601 Huss. wRYw.town.barnstable.ma us Office: 508-862-4038 Fax: 508-790-6230 " Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION 7E Name: I� Phone#: Address: 14 `I kcy l46 (�o�� 1 Village: Name ofBusiac's: A66a Type of BusinessA CC D d All lh)6- Y IlV=: 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 vimA 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 pmmitted as ofrigbf subject to the following conditions: i • -The activity is carved on by the permanent resident of a single family residential dwelling not located within that dwelling rut •" Such use occupies no more than 40D 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 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 flammable or explosive materials,in excess ofnonnal 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 are no commercial vehicles 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 coniam_mg-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 bg employed in the Customary Home Occupation who is not a permanent resident of the dwelling malt. I,the undersigned,have read and agree with the above restrictions for my home occupation I am'registering. 'plicant:� Data: 7 HDMDDG.dDD Rev.06%20/16 Barnstable Town Clerk's Office-Elections 367 Main St., Hyannis, MA 02601 Office: 508-862-4044 Acknowledgment Notice ALARIO, ROBERT C 24 TRACY RD COTUIT MA 02635 Jul 27, 2018 This is to inform you that we have received your affidavit of voter registration and have taken the following action: Your name has been entered on the voting list and you are now registered in the DEMOCRATIC Party. You are eligible to vote in all future elections. All members living at your previous address will remain at that address unless this office is notified of any change. You are registered to vote at 24 TRACY,BARNSTABLE MA 02635. Please be advised to remain on the active voter list,you must respond to your annual street list. You must re-register to vote if there are any changes to the information above such as your address,name,or if you wish to change your party affiliation. Your Polling Place is PRECINCT 7 FREEDOM HALL, 976 MAIN ST., COTUIT, MA MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING (Print or Type) L02J9. LOAlr_ Mass. Date � _19 V_ Permit # 3 Building Location 7/ Aft e Owner's Name AJY C �jfl 1, /Z Type of Occupancy- New ❑ Renovation ❑ Replacement Plans Submitted: Yes❑ No ❑ a cc N W rA Y Z cc N N H V 4 y rY V) C O N = F W N cc O V O cc ¢ _ Z 07 0 F- W W o O 6 C al ►' N ¢ W 2 V .W = N W < C FO- O F = W W 0 -� d +. rt C V C W W V H C z F Z J_ }' Z H F- 0 m Z O Fy W O 1AA I Z d W d C d ,W > G W ' d K d d o 0 w c 0 1y F_ C = o L I 1S, 3 A 0 J U C > O d 1- O 1 SUB—BSMT. BASEMENT 1ST FLOOR _ 2N0 FLOOR 3ROFLOOR I —1 4TH FLOOR STH FLOOR 6TH FLOOR 7THFLOOR 6TH FLOOR Installing Company Name SkNo(LC 000%.x0; Check one: Certificate Address G'7�tA%k ♦ m!.s X Corporation 0C s.`iG�R-MOVTIA ❑ Partnership Business Telephone 3REN —(01901 ❑ Firm/Co. Name of Licensed Plumber or Gas FitterOE1s~pCLt'- INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑ No ❑ If you have checked yes-, please-indicate the type coverage by checking the appropriate box. A liability Insurance policy ❑ Other type of Indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner❑ Agent❑ I hereby certify that all of the details and information I have submitted(or entered)In above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General laws. By T&PIumber Ucense: gnature o icense lumber or as fitter Title fitter tet Ucense Number M - 3 7 cRCity/Town rneyman APP I S a. BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE / • NO, APPLICATION FOR PERMIT TO DO GASFITTING NAME A TYPE OF BUILDING LOCATION OF BUILDING .. ti PLUMBER OR GASFITTERR P LIC. NO. m —S / eZ _ PERMIT GRANTED DATE 19 �S .i GAS INSPECTOR MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASF117ING (Print or Type) 1iAilnS-TA-i')U- Mass. Date ( ��5 19 IT Permit �t Zv Building Location a 4 1 14 —�—Owner's Name (YIC1P(�. r�Q�t1�✓�,t.�1PQ C, - l34'I1 i Type of Occupancy_I New Renovation _ Replacement ^ Plans Submitted: Yes` No' Vf ¢ V1 W iA Y = ¢ V1 N N U ¢ _ Vf ¢ N ¢ O M N = r W W ¢ O u m t' = n J � w 1. g O u < Q ¢ 0 m u+ r �_ W O d c a N ¢ V! U W VI < ¢ G W W W V) W = < ¢ ccW ¢ W ~ W 0- = N ¢ V O > W F C. 11 _ < W < C �- h y Vl m Z O W 0 W = < W > ¢ W S < ¢ < < O O u a O rr 1`- SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 7AD FLOOR I 4TMFLOOR STMFLOOR eTN FLOOR 7TMFLOOR STN FLOOR Installing Company Name SNnW'S PT.IIMATNG &4 HRA'TTNr. Check one: Certificate Address P.O. BOX 39 ❑ Corporation W BARNSTABLE, MA 02668 ❑ Partnership Business Telephone 362-9111 t Firm/Co. Name of Licensed Plumber or Gas Fitter CHRTSTOPHER SNnW INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 1X No ❑ If you have checked yM, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity❑ Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: Ownerp Agent ❑ Signature of Ownsr or Owner s Agent hereby certify that all of the details and information I have submitted(or entered)in above lication are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issu s applicatia will be in complian ith all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gen By T of License: Plumber n r or Gas—Fitter Title Gasfitter Master License Number 10705 0 /Town Journeyman it 1� 2��5� 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING old- (Print or Type) �22 (� J-av r r 1-A,0 p. Mass. Date 1995 Permit # _ Building Location a r t\CI Owner's Name ako l'Ian a C07R I T Type of Occupancy ga�a _ New FW Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No To FIXTURES _z Z N z Y. N _H Vf O z r v+ z U < Uj N 7 V 2 ¢ n Z N < ¢ < ~ Z O z N a V ¢ m N N ¢ < N C C7 Q E.Z < ; x O ¢ W ¢ < W — O Q V) CC Uj < _ W1= jO ¢ O W = < << QI S3 � O r Z O > 0 O¢ ia- z h W < Yz u'[, W LL uY zW Q Q O < J J < ¢ S ¢ Q Y J W N O O J 3 = } N li V ' 4 3 C_ 61 O SUB-BSMT. BASEMENT 1ST FLOOR 2N0 FLOOR 3RO FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name ,;Now'S PT.TTMRTNr: & i4F.ATTNr: Check one: Certificate Address P.O. BOX 39 ❑ Corporation W. BARNST R . .- MA 02668 ❑ Partnership Business Telephone 362-9111 13 Firm/Co. Name of Licensed Plumber Christopher Snow INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which mt-ets the requirements of MGL Ch. 142. Yes 2 No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy ER Other type of indemnity ❑ Bond C OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations perfo n r the permit issued for this application will n compliance with all pertinent provisions of the Massachusetts State Plumbing r f t;ener La . BY 'Signature oY Ocensedr Title Type of License: Master EX Journeyman❑ City/Town U NL License Number 10 7 0 5 V t