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HomeMy WebLinkAbout0065 WATERFORD DRIVE (c5 wmseraeo 4e . � � J As?e sor's office.'(1st floor): �g `� i' Assessor's map 'and lot number` ...Ll.L ��,^ QQoa.f.a1..©O SEPTIC SYSTEM MUST BE Board of Health (3rd floor): ) I , of COMPLIANC } - Sewage Permit number ....... 1.:...�5.7..Z.F:. .:��. .... iTRLE 5 ' 9TaDL Baia e Engineering Department, (3rd, floor). CODEo 5 ENVIRONMENTAL AN o,�"b 9 ,. mbe� ..... ................................. . House nu TOWN Rr_—m� �'rwvi,,4s �YPY a' Defi:nitive'Plan Approved by .Planning Board i_ ____________________ ___ 19________ , APPLICATIONS ..PROCESSED_8:30--9:30,A.M. and 1 00.2:00 P.M. only, t TOW,'N OAF BARNSTA. :r. BUILDING INSPECTO - . , nn APPLICATION FOR. PERMIT TO ..: ........................ .. OZl................... TYPE OF CONSTRUCTION .....................................' + ..........:...... ..- ...19�Z, TO THE INSPECTOR OF BUILDINGS: The,undersigned hereby applies for a permit according to the following information: Location ..�P.�J.:...C� `^!' .. - .� ......:...'..`l.?.!('r`rs \S l! \"\\� x Proposed Use ............7D� t S'Cuw .W...�!�!�tY`�........ .... .. .....: :...................... Zoning .District' ! ........ ........Fire' District ............................................. • /A / Nome of Owner �.C/�-............Address Name of Builder " w' - ` .ie�s:11.. .�r��.`..( 1" 'ddress �....n.............` ' .`.S\� Name of Architect ' ' - (/N�i.�;..... �.`.. ..... ..... . .................Address Number of Rooms ...:.............................: . ..Foundation ........... Exlerior ...........Roofing ,. ........................................ . Floors" ...................'..:...........................................:...................Interior ' Heating `',... .Plumbing ' Fireplace. ............. ...............:......._....................:...........Approximate Cost ............................... ............ : ... r Area . .... . ....... ` Diagram of Lot and Building with Dimensions', Fee . OCCUPANCY PERMITS REQUIRED FOR .NEW DWELLINGS - I hereby agree to conform to all.the Rules 'and Regulations of the Town of Barristable regarding the above w , constructior)'.-l"-. � • H Name..... �. : � / ............... . ` •Construction Supervisor's License .. ��� �. 0....... DITTRICH, TODD ... a 35233 .Permit for ...BUILD...S^IMMING POOL Ac . o Dwe l.i?i g............... e location ............ {• „ .............. ...`.....r .......... Owner ......Todd `Dittri,ch... Type of 'Construction SaLUe... ....................... .............! .... ..... `. ..... ... .. ..... r Plott.. .......`........ ""Lot,' ................................ ' Jul Permit Granted .... .y....2.8.,........ ....19 92 Y �_ 1 _ Date of Inspection ..........y. ............. ......19 " Date .Completed .'......19 C co ,fr` �, tied � ^ • _� _, � - .- -`i - �V, ✓ . u r x k A �r t fm �• j' I � LOT 3 Ir p V LOT 4 IV 45. 61 1 +/— SF i t V J � LOT 5 •,�� t � 1b ro`9'�55t•�'{c Y i T5 y'C A rr r Z1+-_ice f #- 86-559C-4 i ` -VERTIFIED PLOT . PLAN LOCyATI OW` WATERFORD ' DR., COTUIT PREP s,. ARED FOR =�50 ' DATE 11115183 4 b tS - `t DEFERENCE L— 4 LCP 237478 BAYSIDE BUI LDING co T •HEREBY 'CERTIFY THAT THE BUILDING 'THIS' PLAN IS LOCATED ON THE GROUND•;-:AS',:'SHONN HEREON. r }; Of w cJOHN' s J down `ca e'.:.:en �neer'n .McEIVJEE . = =1 P g i g inc. °CIVIL ENGINEERS. LAND SURVEYORS JA V /Sjl;���' RTE"fiA — YARMOUTH, MASS. DATE AE � 1N4a�� EYOR zk STANDARC► WORKERS COMPENSiATx ON d CNAInsurance Companies a CNA°Plaza AND EMPLOYERSLIALILITY ::POLICY " For All the Commitmeuis You MakeP Chlo go, Illinois 60685 '; ORMATIOI�I PAGE. — RENEWAL OF rWC 3,: 001t 04394 ,z ' J'�'�X01 } r � t5rr p v .'< i4 i dxa 3 �r� a w C .n.!$ + .mod ! r' 2Y: ANNIVERSARY.:RATING DATE,;OUV,'t, 91 ` POLICY NUMBER FROM POLICY PERIOD TO COVERAGE IS PROVIDED BY Y AGENCY N # R d x ,« ^�k' ;`a ,.A :� x 073948fl 4. 4/09/92�04/09i193`' TRANSPORTATIONs:INStdRANCE=NCO•`, NAMED INSURED AND ADDRESS AGENT 1I1EI ANCHOR 0�5IGN{ S;POsOL�CORi� � SHEEkAN4tid 4�INC1 3 °� ��� �t .• firm c 4 y1: �cllTt1DDDdI3 TR3 CH ''LSEE SNOT 1 - + R � ' F 143UPPIEROUNTYw&ROAD` 13fa SRO WAY R , " DENNISPORT* MA r FOR7 ;.EDWARDS NY 1P828. r.. FEIN NUMBER 209000000 NCC.I CARRIER CODE NO: 12408 INTRASTATE ID. NO: 200167950 OTHER WORK .PLACES NOT •SHOWN ABOVE: NO ADDITIONAL LOCATIONS YOU ARE A . CORPORATION/S 2• POLICY .PERIOD- 04/09/92 TO 04/09/93 12:01 AM STANDARD TIME AT THE INSUREDS MAILING ADDRESS:' 3A;.:. 'PART'.ONE OF THIS POLICY ..APPLIES TO THE WORKERS COMPENSATION LAN AND ANY OCCUPATIONAL• DISEASE . LAW OF EACH OF THE STATES LISTED .HERE: MA. # 38o•PART <:TWO OF .THIS POLICY APPLIES' TO EMPLOYERS LIABILITY"• .INSURANCE" FOR`>-,WORK IN :EACH STATE LISTED. IN ITEM •3A: THE LIMITS' OF. LIABILITY.:'ARE: BODILY .:INJURY :•BY" :ACCIDENT ' $1000000 EACH. ACCIDENT ; , BODILY INJURY -BY-. DISEASE $500*000::POLICY °�LI'MIT ¢: BODILY :INJURY BY.. DISEASE $1009000 EACH''.EMPLOYEE " '. 3C. PART•THREE OF THIS POLICY APPLIES TO OTHER STATES* IF ANY* LISTED HERE: ALL STATES EXCEPT .NVs' ND9 OH. WA* WVs =WY AND STATES DESIGNATED IN° iTEM 3A OF'>THE INFORMATION PAGE. 30e THIS :POLICY -,INCLUDES' THESE ENDORSEMENTS AND SCHEDULES: SEE ATTACHED SCHEDU =:. THE OREMIUN'FOR THIS POLICY .MILL BE;. DETERMINED BY ,GUR. MANUAL OF RULES* CLASSIFICATIONS* RATES* AND RATING. PLANS• ALL :INFORMATION REQUIRED 'BELOW I SUBJECT =ITO VERIFICATION AND CHANGE BY .AUDIT* ADJUSTMENT OF 'PREMIUM SHALL 'BEIMADE: AT POLICY- EXPIRATION CLASSIFICATION OF OPERATIONS EST ANNU PREMIUM. SEE ATTACHED $1308 PREMIUM DISCOUNT 9 EXPENSE CONSTANT 1 !' MINIMUM :PREMIUM $500 TOTAL ESTIMATED ANNUAL PREMIUM $1390 TOTAL :STATE ASSESSMENTS $2 : a TOTAL ESTIMATED COST $1392 DEPOSIT -PREMIUM $13s010 . E OF: ISSUE. 01/29/92 POLICY 'ISSUIN(; OFFICE: SYRACUSE COUNTERSIGNED HY 12 Al ,k DATE AUTHOR ZEa AGENT: ' ! WC000001 P-33398-E.AEDs 6/87 Cor :)rate Secretary Chairman of the Board ' i ._.. ..RE .N ... .......ND r wo n..r...... �.._ •4 lG' 'f - 'ter _.l • •- I w •..tl.rtA..�•••W r K.N IVru WI•Nr�.�.w... . 2I i ;:LJ, - -a-- y' CO i.O ldO• 'pe'" I �As +.ar...u,ww•rw~•h.w.vw• ..w.•.w wW•.w �_ �t•.t4' c - .nN.•...u.rr.rw r r_.r.rr.n...r�e wf. •ru wul TYPICAL BAR LAP DETAIL � >--•�•�•-• sTo..ccTr,.olc — - J,J I .�..•._.....I�.«.. ....•..r..•+.r.�.•..•........ .'.. . -...+ c .e) l I �.9-,s cevr. l ,......W•�•ul r.�....«•..o........v_._. • RECTANGLE:20'.4O' / • G • '^'•'•'� r_ h. _ oGirJ•of _ I � I � I mom- =� �....•..�'N..•a r•...e..cw..c.�.•rw._......n �....w_ � � I RE i I l - � I•; � � ry ,. ~I � .. • I u le•r e�w s��•��w....n u.y_...w�i e I J u' o' - ' � •L • � - �....>'�.�. ...rw w..�....p.�....rl w. (, jt i c yyMM�� .i •SC Zu - I t7•<Q J�• ..0 r..l..wrrw �• _.o o■ . STD.GNFOAII TYPICAL WALL SECTION` ^r•� ^^ - .Q;� 0-3 c•FUAN:]O•.•O• - - 11 �= I•-.- �.., /�o •l • • j„ ZO.�G •J-I_I ,C.O �� "Z ( I �A�ot. •J •V a d-<o Lo }� L I IQ �I b� aLl1 'STD.LAZY"L• ------------ _ j - . • - ni ... • . c - PLAN ON 1 3 I I I :d.V tD� ra •J' � I �l I.T t TYPICAL PILASTER AT SKIMMER OVAL:16.36 i-+—��v. .. - 1 I �)• fib �`.•`4 I � // �I - r „ �— Cp . �\ • • , � i�'J l `! — ..I.. CL.9or of.wtt- P / �, C': _ -_ 1. crS lG'V a 1,34 J• T �\!1 �• I �- -I 97116..2/9/89 MONEY - Flcuec'•.• PLAN /s'ECTO—� o7YP:LADDER DE AIL, z TYPICAL INTERNAL PILASTER _ t d .a -si F r ca IL �rJ IAw '�o',,we .1�•d'_ I .bW+ai• A VA :TEARDROP a4 A U. CLASSIC a 1 �CNALLDIOEp. - LUcc o ;� IS . �. W.L. A B = ) i Wt1 A t--r w W DUTCNES lcomirmu I . - - C .D .DUKE'.. yr- W.L :A 8 j t.uaN dd �•� �—•�. _Zy.S1' y'.d e.�d <I. I W.L' - A •�. .. J L��. • e.,^•.. ', ;.•' � _, _ �a3�i! a �iziBo': ac '`� k - CONDOR Assessor's office 1st floorevroic Assessor's map and lot number .�:�......�........................... yoi THE f Board of hiealth (3rd floor): �• ��--��f ,�'�� Sewage Permit number ............ . ../..../...✓, Z BAB39TADLE, Engineering Department (3rd floor): ' / rb 9• 0� House -cumber ...................................yff'.....(.1�b�....!l!.!!y oypT a� 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 BARNSTABLE BUILDING INSPECTOR CdIV57 'rICT `1,tja� >� q APPLICATION FOR PERMIT TO ......................................:�.......................!�.........� TYPE OF CONSTRUCTION ........W�6>/�........��.�.r/.f ��''.....................:................................`.................... �1 ...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...``.!�.T.......l........... ......Ae I VIE , C—& .. ProposedUse ............................................................................................................................................................................. f-F Zoning District ,` .................................................Fire District ...... a z Name of Owner ... !`�� � .......Address ...... �J ........................................ fi.Name of Builder .... J 5 ......................_ ....v.............Address .............zz..�..............................-............................ TO Name of Architect Address ...............,. 9 ........................................................... Number of � Rooms ....................f............................................Foundation .�' (/� �...... .�i�V G .......... Exterior C.a�.r'l/� ��!. ` .... ...`� ... Z .:5........Roofiing .....././��. //. L. ..................................... Floors (....yA.!`•..r x��f.�.�... Y.L.... .�� Interior ...PIA �.... r^ k��,5U/4 ..................................................... Re G T =�2 3 B. ...Heating C9J�S..... ?.17� ..�!:. ...,....... ..........................P4umbing .. ...........� OP .............................................�..........--�.... ` 9�L r �✓G Fireplace �= 7;'�' �4'�� � � .........Approximate Cost ....................�............................... .::.............. Area ....... . .......... Diagram of Lot and Building with Dimensions Fee 1� . I 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 ....`. V57 Construction Supervisor's License ......�..lJ✓ DORNER, HORST A=056-002.000 o? No ..3.3.3.6.6.. Permit for .....1.22L....Story,,,,.,,,,,, ....Sjagle...F.aMj.j.y...dW.e.jjing.. ...... .......... Location Lo.t...#.4 6.5...Wat.p_rf.oYzd..Prive ................Maxs.taas...Kills................I......... Owner ...Hoxat...D.0,r.T1Q;V............................... Type of.Construction ......Fraine....................... ............................................................................... Plot ............................ Lot ................................ Permit Granled .......November 1.6......19 89 ........................ .. . Date of Inspection ....................................19 Date Completed ......................................19 /o PERMIT COMPLETED 1/1 a F64 19e-k 4.0 6(emk >1 �.0 C� Ass6s'cyKs office'Ost floor): ., �A�T©F Pfl�C�L ,'?C� FTHE T Assessor's m and lot'number � � s�" - o o� y--2 op ..............................:............. t �. Board of Health (3rd floor): Sewage Permit number ..... f'' .............�'.......� y. SEPTIC S T S�Gm MUSTB9Sdn9DTa LE. i Engineering Department (3rd`floor): P �I�S�I�Y � 16}9. \0� House number .........................a........... '' // jrjyOp� o MpT a WITH TITLE 5 Definitive Plan Approved by Planning_Board __ __ _Y____ 19 7) . 7.0NMENTAL CZ APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P,M. only _ TOWN . OF BARNSA BUILDING INSPECTOR " _A0 A ��// ,ram APPLICATION FOR PERMIT TO G�i✓��,� C.T.,...1-.1. �1N9L�, Ed IV TYPEOF CONSTRUCTION ......................0... ........�W......................................................................................... ll .................. TO THE INSPECTOR OF BUILDINGS: The bndersigned' hereby'applies for a permit according to the following information: Location ...4.0.7........1,......... ....... ....�......G............................. ........ ............. ProposedUse ........ . .5..... NG ..................:........ .................................................................. Zoning District ....... ......Fire District O _No me.-of Owner ...//.. � ..:.:... /� !"'.�i/`::,......Address ..aFje.�{./.�1......... Name of Builder, ✓� /.S� .L ���........Address �r N f�-'� ✓/L�....... . .......... --.................... /1 �� ,/ Name of .Architect .:. .....o'` ..�.f`�.................Address ........ Q.. ..u.�:� Number of Rooms ( Foundation �(/ .....� ............ ....7 ........... ............ Ex1e ior ........Roofing ....../�q.....S� L� ./. .... .. Floors L....�......IL.�.:...............Interio. .. ./i!/ ....�... ......00 °Heating Q1�J 7j�Q� i/�/�,. /� .......Plumbing .. P�4e�`............... .. 1°il ... Fireplace �G�......Approximate Cost.......(J�O',J, ..... .... .. .4.....Y....... ....A............• � 'Area• Diagram of Lot and"Building, with Dimensions : �° = Fee ..y- . ..... �... f 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 ..:(. .... id!l:.!.... ........................... . . C1 x Construction Supervisors License .....all.. .....lO' ....5.. DORNER, HORST } �2'jo ...3. 6.6. .Permit for ...1.z....$..t.S?r ............ �. ...A.we .J,a.n.g......... f� r Location L.Qt...#4.,.:..16.5...WA.ter..fbr.d..D .r.l.Ve „ . ...............1fax.S ton$,...Mill'$........... ... .......All Ir Owner ....HOr.$.t.. DQ Me,.:.. �! P'. Type of Lonstructio'n ....Frame.............. ! '' s' � � .�• .sn .... .....................: -.. �` r Plot ....i....................... Lot .............:.................. /'+•� /'I l (� �• .e ors t � � f ' Pe"rmitr,Gran!ed .......N.Q.V,e.IYbex..:1.6.,...1 9 $9 t i� Date ofInspection .............C�.............-!'......19 Date C mpleted t'..���1.C.:� :•... l A 1 An `wry ,r '1<� - } . } .+ .F•' %rk - i y 1 ' TOWN OF BARNSTABLE;`MASSACHUSETTS _ E AoU56=UU2..CUU NOV �39 . Q DATE eE'ill�t I• [] QILI 19 PER yMT N0. 33 }APPLICANT yside .bui'lding CO. ADDRESS OX ��terVilll4,. r !� t z• t'_ (NO.) (STREET) _ (CONTR S UCENSEI PERMIT TO build `dWelliiig ( 1� Sin`le fatDil dwellin Y NUMBER OF. $a, _) STORY DWELLING UNITS Y.c,.: "•w- r,,.(TYPE OF IMPROVEMENT) NO. - (PROPOSED USE)' Ar tt.)CATION) ' iot ;#4 65' Waterford Lrh!e, Murstons .Mille ZONING (NO ) ,. - DISTR ICT '' �- (STREET)' • a a;. BETWEEN �. aL S r4i U AND (CROSS STREET) 1 ';;';ACROSS-- STREET) „7, 'SUBDIVISION h' LOT y LOT a BLOCK. -s a, SIZE > r' {"x BY 1 Lk1 } BUILDING IS TO BE ' FT WIDE BY jPT , ONG £ t � c `y L R �IN'HEIGHT}iIgND SHALL CONFORMIN CONSTRUCt60N fW, �t •;:'? t,{y� }t'n" s.L y,.; � 's' U •r- V. TO TYPE } " z; s ai� a USE GROUP t{BASEMENT WALLS ON OR*0uNOATI `� 3 N • 2 $BWael$@ #69-5!g 7 ^.: - - (TYPE) ,ysee'+. f-4•.,.t rt.. REMARKS: % k:, t Y a , AREA OR 2576 9 • t� C ;vowME 4 223,000 ' . x 189 00 ESTIMATED COST $ PERMIT u • - FEE �. (CUBIC/SQUARE FEET) - Horst Dornur. OWNER Cie 111ZA BUILDING.DEPT,.I ADDRESS _ / f r BY kk �- 2 .THIS•PERMIT•CrONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR • ' ;PERMANENTLY;; ENCROACHMENTS-ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,. MUST BE AP PROVED BY THE JURISDICTION. STREET, OR ALL:E.Y_G.RADES.AS�-W.ELL AS DEPTH AND-LOCATION OF PUBLIC SEWERS MAY.­B.E.0BTAINEDd:j; A t "FROM-T.HE"DE'PARTMENT OF,PUBLIC.WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM OF r 'OF ANY`APPLICABLE-SUBDIVISION- RESTRICTIONS.. - INSPEMINIMUM OF REQUIRED CALL• APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLEySEPARATE 4 F INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED;aFOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN '1 FOUNDATIONS OAR*FOOTINGS. ELECTRICAL,;fPLUMBiNG,'. AND A �MADE. WHERE A CERTIFICATE OF OCCUPANCY,"IS RE-. MECHANICAL INSTAL:LATIONS. 2 PRIOR TO COVERING STRUCTURAL QUIREDLATH ,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL ME ALlINS RE Ti TO BEFORE, FINAL INSPECTION HAS BEEN MADE, >) c 3 FINAL�INSPECTION BEFORE, � �S i t` V OCCIJ.PANCY.: S POST THIS CARD SO IT IS VISIBLE FROM STREET . .. Y' - BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS, la0 t!6 / �6 • 1 � � cell'e.L en ^ 3 S HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT E t OTHER. t h y _Tp n _ Q Q BOARD OF HEALTH Ll i ' A WORK SHALL NOT PROCEED UNTIL THE PERMIT w!LL BECOME NULL AND VOID IF CONSTRUCTION a TOR HAS APPROVED.THE VARIODUS STAGES OF WORK iS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN BE + " CONSTRUCTION. I 'PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE.OR WRITTEN NOTIFICATION._ Z t • 1,Q jr LOT 3 G_ y SZ , - ' Ix 1 O _ LOT 4 45, 611 +/- SF 0.05 +/- AC LOT 5 1�ti # 86-559C-4 CERTIFIED PLOT ' PLAN LOCATION : XATERFORD OR COTUIT PREPARED FOR. SCALE 1 = 50 ' i, DATE _ 11/15/89 REFERENCE : L- 4 LCP 237478 i �} . 4:.. w ,BA YSIDE BUILDING CO I HEREBY CERTIFY THAT THE 'BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE ` GROUND AS SHOWN HEREON. OF Mqs Y o JOHN NcELWEE , down cape ';engineering inc. CIVIC ENGINEERS LAND SURVEYORS RTE 6A - YARMOUTH, MASS. DATE RE �'�RP'4R��.� EYOR FRONT ELEVATION ''> CEILING ASSEMBLY G.W.A. = T O TA'(:4' .R TOP SUP :ram U= ���' Y�'IIfDOWS: �DY pit 0.61 ---- 7 .#'F12FRGLASS y INSULAT10:1 ' —SHEETROCK R: 0.45 ;.�• ss:�. BOTTOM SURFACE R= 0.61 1 ;•:,ifs: ,..r. ' PLYlY000 INSIDE. SURFACE _ • �•: •••":.' • t.' 0.62 R= 0.68 REAR` EL'EVATION. WALL ASSEMBLY ��� G.W.A: a )J 1/2" SHEETROCIf TOTAL R = /.?�/: JGLES = 0.45. ,f R0.87 U _ / / i rggs r' �,1•• SIDE -3 1/2"FIBERGLASS ;FACE INSULATION: 0.17 Rs11 SURF I '11--+ RESISTANCE R= 0.61 ` DOORS : a '' ;;.:•,�S FINISH FLOOR ' R= 0.91 FLOOR ASSENISLY - /z" PLYWOOD TOTAL. R = �."15 !<l SUBFLOOR _ RIGiiT SIDE . ELEV, T'� R=.0.62 U aQ3C 1. r ;IDE �.�. r G.W.A. 'acE Uv vu v tlUU .17 4. w *@'' FIBERGLASS {'° �r>/�r�' ' '+•'e' INSULATION R=aU FOUNDATION -�c.Y/AL!_ WALL ASSct'!^LY SUP,F4CE RESISTANCE ( fdAY DOORS: USED a R=0.61 I? STEAD OF FLOOR '.' INSULATION ) / TOTAL' R.= 1 LEFT Iil$IDE suRF c� U = a '►, f._3/a"XR OCK I" STYROF0: .. R= s DOORS: d 77- ER.IAANENT .Y IN T A s •INSULA i iCGI,) SE LLED CTION L •STORf,1 1INDOVIS TO BE UScJ ' ^ss ti'raLL A. �(9T �s ocR A AT Y5 /o F=NE TRAT , =0l-4 F l y3 . S� T A" PPROVED r ti rF CH E$ a TOT OFOARNSTABLE Building Inspection Department rr rt r .y. D D D =4D D D • .-BAY5I:D�BUtLD..CNCs`..Co:II• , Sea =.�:F':.12.Q.tJ.7.�ELEVA.TIQIJ ' r u- i11 EM - i - 41 Effl - _-=- _�i�i.-- - -- - f�-1 i - ,1—.__ _ •. is =-�ztto3_t..vJ.v�-� AS ..RE.4ulCcad? • • �' :CE•t�TEczvtt_�E inASS. ::. : " . .... t'LEAR Et_E.V.4T.�ON• � F 111DEFD II JE MET D D N , 4= L�4 :19K8 wOoo 72.GK- ,. :.AN M. R.q I L... \\ 4.•� •.pa 23,,o.. • R P.7.1a/4,\VXBos/B"'ti• 2I'A I'L TRI:ATCq \V.0017. peCIG. RwL.. 2 • z..,•TCC�S TO Gt7dgC To 3G WCd7Efp 01.+StTE• �•ST_'.Co02 B F PLAN... .::'. e Z V �. - I "�Si�=IU�G:. 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I 0 N -1 L- 1 CD ® o � 1 - =- - --, I +--- - -- - - - - - -fit *' II cr —� - FILLcl 'fa( I I II -_2-t'-�- + 3�%/y 8 41 ' — SEAM'CA9=P:SPN'A(,T_'SFl1NGLES" (% 2 f o �. _1tiCls,p1-ccK ILi I_8 ¢.T AN i 3 FASG•I A_. 3.SoFFtT XIIITµ to $�tLCEZE.._ N d \N Y• r`. Gt3�'Sf IEAThII � •p Itvb . - IuTc[a►o/z.::STO s i q• ,�V r• 1 g IL 6.O!_AS ZK1v �1`^ - ZxIO�IV' or+SIcIFItL ul �T g.ol"o• gt a I,J-I ' ' Ile 9 = o�.i r/ �irLs.... .... .... c _s r _�.4:YS1�E PSUtL:OItJCa Co..jlvG 8EP 8aj o,TN�''. TOWN OF BARNSTABLE Permit No. ...33366...... BUILDING DEPARTMENT I TOWN OFFICE BUILDING Cash Y� p ��,tO6jV ♦ X - HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to HORST DORNER Address lot #4 65 Waterford Drive, Marstons. Mills 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. April 19 19 90 / Build' g Inspector e y3 x TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS,,MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit hai been issued for the building authorized by BuildingPermit .... ............................... ........................................................ ............... issuedto ......... ...................................... ................................. ................ ... .... _._.._ . . _ ..__. ........__.._ w w �" Please release the performance bond. t � Town of Barnstable *Permit# � Ca`1 lf� o� ar Expires 6 months from issue date i Regulatory Services Fee ` BARNSFABLE. • _ 9cb ' Thomas F.Geiler,Director i6;q p�0 X ®- PERMIT _Building Divisionl Tom Perry,CBO, Building Commissioner DEC 3 2008 200 Main Street,Hyannis,MA 02601 -OWN OF �us-rABL� www.town.barnstable.ma.us Office: 508-86 4 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address (&,5 v_,j iq, � �a i d �` Ckit� [-Residential Value of Work. Tk�,&p t 6 � Minimum fee of$25.00 for work under$6000.00 Owner's Name,&Address ��, � �TB akei �� Contractor's Name VIA(}i_'1)L �1 � .� Telephone Number 4 Home Improvement Contractor License#(if applicable) (s S f .Construction Supervisor's License#(if applicable) ©Workman's Compensation Insurance Check one: 0 I'am a sole proprietor m the Homeowner lave Worker's Compensation Insurance Insurance Company Name \J-,+, Workman's Comp. Policy# �2 D t 10 "Q Copy of Insurance Compliance Certificate must accompany cach.permit. Permit Request(check box) 0 Re-roof(stripping old shingles) All construction debris will be taken to (_PV,,t l 1 /3 Re-roof(not stripping. Going over existing layers of roof) 0" Re-side.; r ❑ Replacement Windows/doors/sliders.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: Property Owner ust s" Property Owner Letter of Permission. A copy of th, ome prove enA Contractors License is required. SIGNATURE: jG - N Q;\WPFILESTORWbuilding permit forms\EXPRESS.doc Revised 100608 A The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): 1M Address: `z, ��'e C✓ City/State/Zip: Ili Phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.�I am a with employer 4. ❑ I am a general contractor and I —�— 6. New construction employees(full and/or part-.time).* have hired the sub-contractors 2.❑ I am a§ole proprietor or partner listed on the attached sheet. 7...❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition. workin for me in an capacity. employees and have workers' g Y P tY•. 9: ❑Building addition [No workers'-comp.insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption pet MGL 12. Roof repairs insurance required.] t c. 152, §1(4);and we have no employees. [No workers' 13.❑Other comp.insurance required.] "Any applicant.that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors,must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. w I Insurance Company Name: tJ fl!r" Policy#or Self-ins. Lic. M (p a I G b [-.1-60� Expiration Date: Job Site Address: (0 b ����� - 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 statemerit may be forwarded to the Office of Investigations of the DIA for misuraace cove a verif ation I do hereby certifYund he pa' s an a alties of erj at the information provided above is true and correct. Si ature: Date: —© 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#: Information and Insttuctions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association;corporation or other legal entity, or any two or more . of the foregoing engaged in a joint enterprise,and including the legaf iepresenfafNes of a deceased employer;or tfie--- receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house.of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of cor^.pliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information{if necessary)and under"Job Site Address"the applicant should write"all locations in__(city or town).?-A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the , applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations .600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-774.9 Revised 11-22-06. www.mass.gov/dia u\use ovk o tion valid t ord Yetuvvk aYds `tense or reg Cation date' Ifs avid Stand. L the exp Regulatiovi ds hoard of Bu�on Y\aee V-m 13�f �7 and St�Pd Rev"112L o, M-Top. One AshLb Aa 021pa cowoof$oilding. Boston, goatd ovEMENt 6 NAME IMpR,: 12g48p V,4 2,776. o ExP�ration 6�did�al without sigviat°re Notva\ia i i t0 ;�Istratoc 1. t CEN ERVIL�E.MP p26 I !' JauofssiwwoJ s �i'WZOVW'3111na31N30 Al 4- OH avoi +,mod SE f 1SSU3H a N2idW:: . Z9£t+l #4 01OZ/LZ/l I . 1 9ti58ti S6 :eSU�17 esuaorl Josimadng uoppnj;suoa n I� lr .- -_---`_ ---,....._�_._..-.......-.=.. :_. - NOTICE NOTICE. TO V _ TO EMPLOYEES ..EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600.Washington Street, Boston,Massachusetts 02111 617-727-4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I(we)have provided for payment to our injured employees under'-the-above mentioned chapter by.insuring with: ASSOCIATED INDUSTRIES OF MASSACHUSETTS MUTUAL INSURANCE COMPANY. NAME OF-INSURANCE COMPANY 54 THIRD AVENUE, P.O. BOX 4070, BURLINGTON, MA 01803-0970 ADDRESS OF INSURANCE COMPANY AWC 7016215012008 . 01/10/2008 - 01/10/2009 POLICY NUMBER EFFECTIVE DATES P O'Box 494 Leonard Insurance Agency Inc Osterville, MA 02655 (508)428-6921 NAME OF INSURANCE AGENT ADDRESS PHONE Mark Herbst 35 Peep Toad Road Centerville, MA 02632 EMPLOYER ADDRESS 01/04/2008 EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE" ..MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course.of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician:_ The reasonable cost of the services provided by the treating physician will be paid by the insurer,if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention,employes are hereby notified that the insurer has arranged for such attention at the NEAREST AND BEST.MEDICAL FACILITY NAME OF HOSPITAL ADDRESS. . O BE POSTED BY EMPLOYER i� Y _ C>,�•',F ,r "'Jr p -c,",, irt7.��;'..:^r+,�"i,"�yPt Pi'E�'=iRA' s, F2 r rz , ink `t �s�� !, 9h; r�CG t G n f g, Z - �q�f ` �;•"^ ��"� `P i ;q{,y In tl' �' t �' ga'� F M t .i '- [Y'� PROPOSAL SUBMITTED.'TO VV®RI4 PERFORMED AT f'i",` ,`5,er r.r. v iN< �'- °> Bob Watson „ 65 Waferford Dr.' rx,, . SAME } Cotuif MA �� N . ', } 508 420-0937 a�� z 7't II a' ti `' rb r s to 1.furnish the mateial .and` erform the labor necessa for the co ", t b We he y pop e p rY mpie tion of. New Roof . - Remove 1 la er of existin shin les _ ry ' Install ice&watershield'at e'&in'valley areas: . '" Install 151b.felt pager Install Ceitain Teed 30r Architectural shingle of choice I )'Please fill in,Thank You h .. Install cobra venfto rid es T Replace plumbing boots J h h s Storm nail all shingles t r ". All debris cleaned-daily' J' r it , Price includes material,labor&dump fees r 4 ,. t s* 4 f A ,r 4 �f s ,� - = t ' 1 X �,' z All material is guaranteed to be as specified. ,The.above work will�be performed in accordance with the specifications submitted � f , �4 ~ ,, £ and completed in a substantial work man•hke manner for the sum of: ��� Twelve-Thousand Six-Hundred > s Dollars($12,600:00 )with payments as follows:%@ start with balance due in full upon completion . N t . - �i ;. el fir., s t f ' { �ol k �� ila- I. C �`'y'. `RESPECTFULY UB T z, ,� �61 ,t t .. f,,, i 10130/08 Mark"Herbst * �k ,� ,+ t",. I. . 1 r. �. . $ Y II I. '.1 * `' .1 ` The above price,specifications and conditions are satisfactory.I herby accept this proposal:You are authorized to do the work ands 'r � . payments will be a cif-ed ove. 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