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HomeMy WebLinkAbout0102 WATERFORD DRIVE �✓ _ n �. G� '�` , c � �� D n j (�J' t n j I i I � c .� Town of Barnstable Building t Post This Card So That it.;;is Visable From-the Street A rovedyPlans:,Must be<Retamed on Job and this.,& Must be'Ke BOULN Aru E pp g k p Z. a ., Posted UntilFina1 InspectionHas Been Made F :; � A d ,.. zi , `,'�.. ....:.� a < , z� .�` � a- u'� a l�' Where a Certi I ate Occupancy�s€Requ ed,such Building shall Not be40ccupied Vnt�l a Final Inspect ri has been made Permit No. B-19-3917 Applicant Name: Stephen Dickinson Approvals Date Issued: 11/22/2019 Current Use: Structure Permit Type:. Building-Addition/Alteration-Residential Expiration Date: 05/22/2020 Foundation: Location: 162 WATERFORD DRIVE,COTUIT Map/Lot: 056-002-X26 Zoning District: RF Sheathing: Owner.orr Record: COTTER,ROBERTJ&BARBARA RESTATE OF ." Contractor.`Na nE"?>,.STEPHEN T DICKINSON Framing: 1 Address: 102 WATERFORD DRIVE 1 Contractor'License: C5-081843 2 COTUIT, MA 02635 Est Project Cost: $ 1,558.00 Chimney: Description: same for same no structural changes rep Iadng w l` i do�w Permit Fee: $85.00 Insulation: Project Review Req: ( Fee Paid $85.00 l: r Final: Da,"te ° il/22/2019 x ' 1 Plumbing/Gas PZ Rough Plumbing: M s Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within iix months after Issuance. All work authorized by this permit shall conform to the approved appl cationand�ho`,approved construction documents_for which h s permit has been granted. Rough Gas: , . All construction,alterations and changes of use of any building and structures shall be incompliance with the local zoning�by laws-and codes. This permit shall be displayed in a location clearly visible from access street or road,arid shall be maintained open for public mspection for the entire duration of the Final Gas: work until the completion of the same. • � '� Electrical The Certificate of Occupancy will not be issued until all applicable signatures by;the Building and Eire Officials are provided on this,permit. Minimum of Five Call Inspections Required for All Construction Work: xx 7 Service: 1.Foundation or Footing �. 2.Sheathinge Rough: Inspction o ro 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) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: P �oFTHWE Town of Barnstable p *Permit#�v Regulatory Sery Expires 6 etlis from issue-date �l ices Fee , 13ABNSTASLE, — y HAW. �A i639. +� Thomas F.Geiler,Director Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508=862-4038 EXPRESS PE MIT APPLICATION - RESIDENTIAL ONLY Fax: 508-790-6230 f� Not Ya!!d wit/tout Red A--Press Imprint Map/parcel Number(y ,/� Property Address 1 AIR V6sidential Value of Work , Minimum fee of$35.00 for work under$6000.00 Owner's Name& Address � Y C Contractor's Name Telephone Number— ' .Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) / 1ZJWorkman's Compensation Insurance Y' IT one: ❑ 1 am a sole proprietor El MAY 1 2 20�3 I am the Homeowner have Worker's Compensation Insurance Insurance Company Name 7 �r/; ��5 TOWN OF BARNSTABLE Workman's Comp. Policy# _ Copy of Insurance Compliance �efic�.,.t accompany each permit._f Permit Request(check box) Z-1 -roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders'U-Value #of doors (maximum .44)#of windows Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. r- A copy of Home Improvement Contractors License& Construction Supervisors License is require GNATURE: J , The Commonwealth of Massachusetts i Department of Industrial Accidents , i Office of Investigations 600 Washington Street Boston, MA 02111 t www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers' Applicant Information Please Print Legibly Name(Business/Organizatioo/Individual): '4'o,00" Address: <0 City/State/Zip: r � _L /1���� hone FEEII �7am employer?Check the appropriate box: Type of project(required): a employer with�_ 4. ❑ I am a general contractor and I. yees(full and/or part-time).* have hired the sub-contractors 6. El construction sole proprietor or partner- listed on the attached sheet. 1 7• ❑ Remodeling nd have no employees These sub-contractors have 8. [] Demolition ng for me in any capacity. workers' comp. insurance. 9 (� Building addition orkers' comp, insurance 5. ❑ We are a corporation and its . ed.] officers have exercised their L13.0 ❑Electrical repairs or additions ` homeowner doing all work right of exemption per MGL ❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §](4),and we have no �oof repairs insurance required.] t °employees. [No workers' comp. insurance required.] Other 41 *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 their workers'comp,policy information. lam an employer that is providing workers'compensation insurancefor my employees Below is thepolicy andjob site information. Insurance Company Name: �a/�����—�� Policy#or Self-ins. Lic. ry!—L=_. ' Expiration Date: ~ Job Site Address: L�)'d City/State/Zip � i�/��� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine, of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce if unde he p ins a d penalties of perjury that the information provided above is true and correct. Si ature: Date: Phone#` A� Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority Authori circle one): . I.Board of Health 2.Building Department 3.City/Town/Town Clerk 4.Electrical c al- Inspector 5. Plumbing Inspector 6.Othe' . " -Z r TP~r G LG WORKERS COMPENSATION AND . - s EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6KU6-4861 P48-8-12) RENEWAL OF (6KU6-4861P48-8=11 ) INSURER: THE TRAVELERS INDEMNITY COMPANY' , NCCI CO CODE: 11347 INSURED: PRODUCER: DANFORTH, JAMES DBA PAUL PETERS AGENCY INC JAMES DANFORTH REMODELING 680 FALMOUTH ROAD PO BOX 973 MASHPEE. MA 02649 COTUIT MA 02635 t Insured is AN' INDIVIDUAL Other work places and identification riumbers are shown In the schedule(s) attached. 2. The policy pe-lod is from 04-29-12.t0 09-29-13 12:.01 A.M. at the insured's mailing address. •3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s)'listed here: MA i r , B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in Item 3:A.- The limits of our Liability under Part Two are: Bodily Injury by Accident: $ 100000 Each Accident , Bodily Injury by Disease:. $ .500000 Policy Limit Bodily Injury by Disease: $ 106000 Each Employee ' c. • C. OTHER STATES INSURANCE: Part Thre®of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A D. This policy includes these endorsements and sctiadules: SEE LISTING OF ENDORSEMENTS`-' EXTENSION-OF INFO PAGE _ . The premium for this-policy will be determined by.our.Manuals of Rules, Classifications, Rates and Rating ' Plans: All required informations subject to verification and change by audit to be made ANNUALLY DATE OF`IS_SUE: 08-23-12 CP' •-ST ASSIGN s'MA OFFICE: ORLANDO INDUS AFF �61 4 Donnifr'9:0 DAtll DFTF[iC er.PNw .TNr 28LBR Construction Supervisor Home Improvement License Number#008267 Contractor Registration#114813 OSHA Approved Member of the Better Business Bureau Home Phone#508 420-5131 CELL PHONE#508 280-0802 ESTIMATE JAMES DANFORTH P.O.BOX 973 COTUIT, MA. 02635 _ Robert Cotter 102 Waterford Drive Cotuit, MA. April 2, 2013 ,. Work to be completed on entire house roofs, with the exception of the,rearyoom addition. Remove the existing roofing shingles. Install 8" aluminum drip edge at the roof eaves. Install ice and water shield 3ft. up onto the roof, and in all valleys. Install a 151b. felt paper over the remaining roof sheathing, from the top of the ice and water shield to the roof ridge; Install a 30-year Architectural type roofing shingle, using CertainTeed Landmark Woodscapes, which are algae resistant shingles. Shingle weight is 240lbs. per square. The standard wind warranty is 110M.P.H. I will use CertainTeed starter shingles along the roof eaves and.rakes, I will also use CertainTeed shadow ridge for the roof caps; over the ridge vent. This process will increase the wind warranty to 130M.P.H Install new aluminum vent pipe flashing. Install a ridge vent on all roof peaks, using Air Vent Shingle Vent 11. House and shrubs to be:covered with tarps while work is in progress. Removal of rubbish. Material and labor $10,885.00 This price includes the building permit. Insurance certificate will be issued prior to'the.start of the job. There is a limited lifetime manufactures warranty on the shingles.. r , I will provide a seven year warranty against any roof Leaks. All materials are guaranteed to be as specified.All work to be completed in a workmanlike manner according to standards practice.Any alteration or deviation from above specifications involving extra cost will become an extra..---' charge above the estimate. Our workers are fully covered by work f n's Compensation Insurance. - ✓ . _ .r y "` DATE OF ACCEPTANCE I CUSTOMER SIGNATURE i/ r CONTRACTOR SIGNATURE `�,� C r Massachusetts -Depart men' of Public Safety, t �l,�F�r i(UiPRG Pa�cx a CE3NT3�A�1C 'Basra of Building Regulations and Standards ' , Regt tratrcn pe �; �xair on `1-�'�tr��13 , � I,• Construction Supervisor License' 6S-008267 � ivSvt72NFCtf�Jv € +'JAMES D DANFORTH Y* f r v t 'D!i�FC=c PO BOX 073 1,05 OLD aOST Rr�, COTUIT MA 026w 1r t7 i U r. i1`A 02635�LVIZI It £ r t YpI°u^fiat " N E ocnrnissitpa��e 05/201201, , .�,�rar• enx_n+;..,_...zogr,-a-.q .�ro: r�.—.«.,..� -rr�•�s+�-„ �,a,�,�,t�.r„ x,,. „". ` K.y, a a ? § 5 I n ; HNIUA xM1d4 'r.'� 7 � '"� , rs�Ger�l�l(,'� nf$`►?l:4SPr1}t8t►t0 �t �`'f`"�� �« , �' �P�e"3xe 5�'� �� ;�sr �, ��3�� :,� .� �� r, i 11 �rkr€', Ada N, wF n $ xaLd d Ct en! �Y;arxr�� e A �ir,ratttn r � r ogrt�(}ftaan�otE��►teceY► �af�:#y�s �� ,9 ;' �� i ra �OzFC�►4Y�1Tfi►N�Ci)t1F� i,f., tF4��s SSE , a 'I}�:t1art� J�, 8 St►?�p►ey�tNRgdPnoducts,�yannrsiG►A kYi•�^ x+�y��v�> �f���,i'�x x�� ey � r�� � fi a- .yr,„ fi $ � t w :� - �r r •w,• k4 °"w � a§b' .r t uf,- 5 y ar j�) �� 4 �� �i.: �. ��� �xw �"" NDvember5�2008 * r• �'� �� �� a�i;w�'�s� '� � Z( � � _�c+a �xatet b,r' 7rainengbate {r�} r} � iat} r`# •-•#"11."""`:- �.'w i r r 0FYt r Town of Barnstable *Permit# Expires 6 nronihs jro�n issue date M �5 00 Regulatory Services Tee , � MA - ThomasF. Geiler, Director - A i63 TfoMpya uildi lg Division JUL. Tom Perry, CBO, Building Commissioner ' 9 2009 200 Main Street, Hyannis, MA 02601 "OWN 01'� www.town.barnstable.ma.us Office: 508 862-4038 r. Pax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press/riprint Map/parcel Number /� Property Address L,./OITC/ I 1✓r 0 Residential Value of Work $lea 0 • 6 v- Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address CL Contractor's Name 5,�5Lnr4w /S Telephone Number S—a J� �/L Home Improvement Contractor License#(if applicable) /S^/ (517 O Construction Supervisor's License# (if applicable) 9 3 J ❑Workman's Compensation Insurance Ch k one: eI am a sole proprietor ❑ I am the Homeowner [YI have Worker's Compensation Insurance Insurance Company Name. Workman's Comp. Policy# Copy of Insurance Compliance.Certificate must be on'Cle Permit Request(check box) [� Re-roof(stripping old shingles) All coristruction debris will.be taken to .: El Re-roof(not stripping. Going over existing layers of roof) Re-side Replacement Windowj., 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 must sign Property Owner Letter of Permission ome Improvement Contractors License& Construct Supervisors License is required, SIGNATURE: Q:\WPFILES\FORM xpress\EXPRESSPERM IT.DOC Revisc06O4O9 • ,P� �lze �om�rno.uuea,� o�,/�aaaac`u.Qel�a Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found retur`ii to: ��. Board of Building Regulations and Standards Registrabor:l 159608' One Ash :: burton Place Rm 1301 Expiration 5115/2010 Tr# 268268 3 -, Boston,Ma.02108 t Typet:�Ltd-Liability Corporation j SANDY NECK BUILDERS ANTHONY NESE 179 ROBBINS ST ' OSTERVILLE,MA 02655 - Administrator of v id without signature Nlas:sachusetts - Department of Public Safety Board of Building- Re-ulations and Standards Construction Supervisor License License: CS 90335 Restricted to: 00 ax•' ANTHONY M NESE ' 179 ROBBINS STD' OSTERVILLE, MA 02655 Expiration:_11/9/2010 (lunmissiuncr Tr#: 6313 J i The Commonwealth oflMlassachusetts Department of Industrial Accidents Office of Investigations + d 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): A+�+ /`! G �ti�• r On ��--- Address: City/State/Zip: r w k , 104 d Z63 Z phone.#: rD 5 W U Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I ployees(full and/or part-tim.e). * have hired the stub-contractors T. Remodeling 6: ❑New construction ;En 2. I am a sole proprietor or partner-' listed on the attached sheet. ❑ ship and have no employees These sub-contractors have 8. "❑Demolition , workingfor me in an capacity. employees and have workers' Y P n'• $ 9. ❑Building addition [No workers'comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.E]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑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. xContractors 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. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: ��Z "4t/'f'Cr� �� 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 tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify Vrindera pains andpenalties ofperjury that the information provided above is true and correct. Signature: Date: Lq / _ 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 S.Plumbing Inspector 6. Other Contact Person: Phone#: 1 s Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in.the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or Yen 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 . work until acceptable evidence of compliance with the insurance ct for the performance of publicp enter into an contra n r P Y 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-contiactor(s)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 permitilicense 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 io 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 ofsvestigations 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 Iuvestigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-72777749 Revised 11-22-06 www.mass.gov/dia �ofu+eTa Town of Barnstable Regulatory Services ` ' s�sraets. MAsa �, Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 0260.1 ' www.town.barnstablema.us Office: 508-862-4038 Fax: .508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder s as Owner of the'subject property Thereby authorize h act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature o'f Own r Date ed :- Print N21ne If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side., TOWN OF BARNSTABLE BUILDING,PERMITAPPLICATION ap Parcel Permit# Y) y� i, ----- — --- -- Health Division 0'? Z7 9 Date Issued r r Conservation Division Fee Tax Collector . _ -�lY�/ ,5��� Rio 1Je-V47v..—j l'C.o.U tS Q.20J= SYSTEM MUST BE v4 e Treasurer -�-��t -- ��"/�-�r� INSTALLED IN COMPLIANCE` Planning Dept. WLTH''1'I :�B ENVIRONMEWAL, CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis _ --- - ---------------- --------------------- Project Street Address Village --- - --- Owner V& .�'��� �c Telephone Permit Request O Square feet- lst floor: exi proposed 2nd floor: existing proposed — Total new_____ Estimated Project Cost ` - Zoning District Flood Plain - ._ Groundwater Overlay i _ _ -- - ---- Construction Type i➢3 v^� Lot Size Grandfathered: 0 Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family 0 Multi-Family(#.units) Age of ExistingStructure Q6o On Old Kin 's Hi hwa : 0 Yes ���,x Historic House:,. 0 Yes g_ g _ y _ 5'No Basement Type: tdFull 0 Crawl 0 Walkout 0 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new Vc�, Half.existing new _ NC Number of Bedrooms: existing _ � new +_ Total Room Count(not including baths);existing \n new First Floor Room Count Heat Type and Fuel; 0 Gas 0 Oil 0 Electric 1-1 Other Central Air: ❑Yes 0 NO Fireplaces: Existin_ New Existing wood/coal stove: 0 Yes 0 No Detached garage:0 existing 0 new size- _ . - Pool; O existing O new size _ . Barn:0 existing 0 new size Attached garage:Wexisting 0 new size Shed:0 existing U new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded 0 Commercial 0 Yes 5kN0 If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION e�- Telephone Numbers Address License# Home Improvement Contractor# Worker's Compensation#7 ��� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO '\<3�h 1J �9� vl�o� SIGNATURE DATE ���\A CA TOR OFFICIAL USE ONLY _. _. �EMIT NO. I `R .r DATE ISSUED MAP/PARCEL NO. • — tow ADDRESS ` ;i VILLAGE ik- OWNER. ff ; DATE OF INSPECTION.- FOUNDATION , z , r• FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL s i , PLUMBING: ROUGH FINAL `• tw- ;. GAS: ROUGH 0 FINAL FINAL BUILDING, %; DATE CLOSED OUT } # ? t a t"� 0 t ASSOCIATION PLAN NO 3, m. C i The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office:.508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work:` _ Estimated Cost Address of Work: d Owner's Name: � `Cc Date of Application: �����,��►� I hereby certify that: r Registration is not required for the following reason(s): ❑Work excluded by+law []Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. S . SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit the agent of the owneg Date , , n for Name Registration No. OR Date Owner's Name { q:forms:Affiday. • c ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE square feet X $55/sq. foot= GARAGE (UNFINISHED) square feet X $25/sq. foot= PORCH square feet X$20/sq. foot= "DECK square feet X$15/sq. foot OTHER square feet X$??/sq. foot= Total Estimated Project Cost g990915b ' few a."R'%ppm tt J • Ta61eJSZIh . Fseseriptlre PadkaM for are and Two-Famdy ttddawd Baildlaq Hated with Foao7 Furs MA=UM mm"muy alm=S t3k=g I Ceiliag Wau Flory ` Baru Slab Ha6S�un8 Aegis'(K) U-vaiou= 1Gvalur? iirvdrrot R.vaimeJ Wall p EItd=Yl �� livairas' &vaLta' 5101 to 690 Rewi t;Degree DxW Q tom• 0 40 3S 13 19 1 t0 6 Normal R 12% G 30 19 19 10 6 Normai S 129b OM 3t 13 19 10 6 95 AFUE T i3'Ni 03b n 13 23 wA WA Nomiai U iS'N� OA6 n 19 19 E 6 Normali5% u�d+s 3 33 MIA is AF[TE I 13X 11..7Z 30 19 19 10 • 6 L9 AFUE x ism. 31 13 25 WA WA Normal T IBOA a42 n 19 1 29 1 W d A WA Nc Z Ia9A OA n 1 13 19 10 6 4--90AFM M fag/. OJO 30 19 19 10 6 90AFT E 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): � S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR•APPROVAL: ` YES: c li .7 49 NO: qforms-080303a r ,f fD SIP►D O FF«� 10� � Jun-17-99 02:53P P.01 ACORD,. CERTIFICATE OF INSURANCE 06/17/99_� _ PRODUCER FALTER IS CERTIFICATE 19 ISSUED AS A MATTER O7 INFORMATION 7NS�JRANCk: MARKETING A':��NCIF—s NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE OLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR .3 6 MAIN STREE''T THE COVERAGE AFFORDED Sy THE POLICIES BELOW._ WORCESTER, MA- 01608 COMPANIES AFFORDING COVERAGE COMPANY AMaryt.and Insurance I INSURED - COMPANY Bay Ridge C:ot1:3tr.'uction, Inc1• 8ARSllI'8:1cC: ccinpary c.tt Ameri:a 9 Half �I=tch Limn GOM('.4NY Mashpee, MA 02649 c COMPANY - ' D COVERAGES THIS 10, TO CERTIFY THAT THE POLICIES OF INSURANCE. LISTLO BELOW HAVE 13FFN ISSUFO TO THE. INSURFD NAMLC A86VE(OR THE POLICY PERIOD INDICATED NO-WITHSTANDING ANY REQUIREMENT, 'fFRM OR CONDITION OF ANY CONTRACT OR OTHER GO:UMLN1' WITH RESPECT I'0 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDLD BY THE POUCILS DESCRIBED HEURN IS SUHJECT TO ALL THE (ERMS. EXCLUSIONS AND CONDITIONS OF SUCH POt ICIES.I EMITS SHMN MAY HAVE 11F.EN REDUCED BY PAID CLAIMS, CO POLICY POLICY EFFECTIVE POLICY EXPIRATION LIMiTS Co TYPR OF INSURANCE PATE(MWODIYY) DATE(MMtDD(YY)LrR __- A i3ENERALWBIUTr :iCP3Q8E103i•i 04/12/99 U4/1.2/00 ,�tnraAl .�ccxrcJ,TL �2, QQO; 00'J .X C.ONMERCiAI GENERAL LIAbg iTf .. PkODUCTS•GO fANOP AGG Q , 000, 'J 0 0 CLAIMS MAUF OccU I FrAnONAL A AOV WJUHY 31, 000, O L O LwNF R•S S CONTRAL:IOR'S PNUI. 1 _ F.\CII UCC VRRC NCE $1, 000, 000 r 1 F IT!E CAMAi:C AA,),Orw far) S-5 0,000 NR:11 FY,D Ary wK Prrsun; 510, 000 AUTOMOBILE LIABILITY C.OMSINt(:Ni NOLE LINI�T S , ANY AUTO , ALL 04VNCO AUTOS 00DILY INJURY ..f . I P.v PC,%wll . SCHCDLIth ALITOS . H'HFDAUTOS Mil LILY INJURY S NON-L:WNFD AUTOS ' PRUI'tRIY OAIM(rt i GARAGE UABIJTY _._-- AUTUUNIv.FAACCIDhNf S ANY AUTO - UIHFRTIIANAUII)ONIY. _ EACH ACC,OENT S. AGGnEGA(F S E%CES3 LIABILITY UMARELLA CORM A3CACGA'�E - ,5 OTHER THAN UM IlRSLLA FUMd WORKERS COMPENSATION AND TC096597702 ' 04/12/99 04/Z2/00 X SfA7iJr0RY,IMI(S EMPLOYERS'LIA ILM EACH ACCiUCNT THt PROPRIE IIJW X iNCL - DISEASE POLICY LINI:- .$5 O 0, 0 0 0 PARTNERs,mCUT)VE OTFTCLRSARE. EXCI _ UISFA YE SC.EACHFMPLOP f100, OC OTHER _ DESCRIPTION OF OPEMTIONRILOCATIONSIVEHICLEMPECIAL ITEMS. - - s CERTIFICATE MOLDER -- - CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE THE ,I,'J:Jn C7 f Md LST1�7HQ - EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL oGreat neck Road 1 (] DAYS WRIT'EN NOTCE TO TOP CERTIFICATE HOLDER NAM90 TO ME LEFT. 16 s hpe e, ne KA. V.��4 O BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPCSO NO OBLIGATION OR LIABILITY .. ..__ OF ANY Ki' P THE OIyPANY, GENTS OR REPRESS TIVES. AUTHOR REPRis TA Post-Itm Fax NOW 767E OntA pages From ^ 0 ACOR PORATION 1"3 TO ItY c0 phom N PIWn fAy 4 J • The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA' 02111 Workers' Compensation Insurance Affidavit Applicant In ation: PLEASE PRINT NAME \N LOCATION ®� ��c's��� c��� �` CITY STATE ZIP CODE PHONE# �� 0 1 am a homeowner performing all work myself. O I am a sole proprietor and have no one working in any capacity. 51— 1 am an employer providing workers' compensation for my employees working on this job. Company Namekp, Addressc \�v�c ��C(� City �\�0 � CiL'_ State Zip Code beoNrC'O\ Phone# Insurance Co jv.� � r3. 'olicy#�C�®��"�i�`1s}02C Expiration Date Q I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation policies: Company Name — Address City State _ Zip Code Phone# Insurance Co. _ _ Policy# Expiration Date. _ Company Name Address City State Zip Code Phone#_ Insurance Co. Policy# Expiration Date Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of thisstatement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereb certi under the pains andpenalties ofperjury that the information provided above is true and correct. Signature Date Print name C �� © F'.+��.JC�a�C� Phone# Official use only—do not write in this area—to be completed by city.or town official City or town Permit/license# O Building Department O Licensing Board O Selectmen's Office O Health Department O check if immediate response is required O Other Contact person Phone# :"`�� -� ✓�ze �o�nvrnoouueal�. a�,'�/laoaac,/ieli;elGt� DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: Expires: tr` Restricted 10: 00 PHILIP J. FORESTEIRE II 9 HALF HITCH.LANE MASHPEE, MA 02649 //\ ✓hP.L/O'!MlL4Yt[IM6GCIL a�./�.aeva%.aetlS �\ HOME IMPROVEMENT CONTRACTOR Registration 127341 Type - PRIVATE CORPORATION Expiration 10/14/00 BAY RIDGE CONST FORESTEIRE � AL ALF HITCH. LANE ADMINISTRATOR MASHPEE MA 02649 102 Waterford Drive Cotuit,MA 02635 November 17, 1999 TOWN OF BARNSTABLE BUILDING DEPARTMENT Dear Building Department: I wish to inform you that I am finishing the space over my garage for the purpose of using it as a home office. It will not be used as an additional bedroom. Thank you. Very truly yours, Robert J. er r) Map - D Parcel 4,Q a XO(� Pefmit# 3 Q House# Date Issued oo Board of Health(3rd floor)(8:15 -9:30/1:00- Io7-2� Fee Conservation Office(4th floor)(8:30-9:30/1:00-`2:00) Z S . Planning Dept.(1st floor/School Admin. Bldg.) ��� Definitive Plan Approved by Planning Board 19 yAILLE Y+�► E AND TOWN OF-BARNSTABLBRV1110 ' i®Ns N� Building Permit Application -T 0%WN Project Street Address 4 r J Village e-i Owner Address •Telephone o 5 Permit Request i t + r .First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ J �? Zoning,District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes �On Old King's Highway ❑Yes ❑No IF Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 3 New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: as ❑Oil ❑Electric ❑Other Central Air es ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached size Other Detached Structures: ❑Pool(size) ached(size) ❑Barn(size) ❑None ❑Shed(size) _ ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use I t� Builder Information NameA1011-- ya, c)Z Telephone Number Yo2 0 e2?7 e Addresser o License# a �,l,�G/ Home Improvement Contractor# Al F2 3q Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONS T UCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR - DATE BUILDING PERMIT DEN66 FOR THE FOLLOWIN REA$ON(S) - A8 I - FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS ._ VILLAGE OWNER DATE OF INSPECTION:' FOUNDATION FRAME i, SLO INSULATION' FIREPLACE ELECTRICAL: ROUGH '' FINAL i PLUMBING: ROUGH FINAL, GAS:' ROUGH FINAL . _ FINAL BUILDING - IV (p a 3. ill 4 f DATE CLOSED OUT-: ' �.. r ASSOCIATION;PLAN NOZ " The Town of Barnstable 5 9 MAIM Department of Health Safety and Environmental Services 1639. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissione For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION . ,MGL G 142A requires that the "reconstruction, alterations, .renovation,, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: lkc Q Est.Cost �S Address of Work: Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under 51,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I her by pply for a per it as the gent of the owner: t�late Contractor Name Registration No. OR Date Owner's Name The Commonwealth of Massachusetts Department of Industrial Accidents "`� -'° •` Office ol/ntvestigations 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: location: ' city hone# ❑ I am a r performing all work myself. am a sole r rietor and have no one working in any cis acity ❑ I am an employer providing workers' compensation for my employees working on this job. company name: .. address: city phone#: ....:......... insurance co. olicv# ERE////%//71/////// / ❑ I am a sole proprietor, general contractor. or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address: phone#- citr . . insurnnce CO. cam anv name. - address: city- phone# _.. olicv# insurance co. j / Failure to secure.coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the OfIlce of Investigations of the DIA for coverage verification. I do hereby cert ai an penalties of perjury that the information provided above is true and c rrect Signatur Date _ c z '� Phone# Print name ofndal use only do not write in this area to be completed by city or town official city or town permitilicense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any cow.., of hire, express or implied, oral or written. % An employer is defined as an individual.partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver 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 c employment building appurtenant thereto shall not because of suchbe deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h,- not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwe alth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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 yci are required to obtain a workers' compensation policy, please call the Department at the number listed below. M////////////////////%//////%%%////%%%%%%%%%%%//////////////////%%///////%%/%%%%%%%%/%%%%%%//////%//////%//////%%%�%%%%%%%%�////%%D/%%%�% %'' City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of th affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be retired io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Departirieat's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Ofllce of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 Y - - 1 IA- RECOMMI�NDED MAXIMUM SWANS FOR FLOOR JOIS'l'S 60. 11SI" LIv -, LOATH PLUS TO I'SF DEAD LOAD Normal Load Duration 1�,, 1000 psi - = 1.,300,000 psi values i*01- SOU tllC;I'I1'YCllow fine #2 (Pressure Treated) Exterior use (e.g. decks) ,Dist Size - Sincii�g i 2x6 2x5 WO 2x1.2 12 S-G 11 -7 a4-3 17-4 16 7-4 •1 U-U - 12-4 1.5-0 LU" 6-7 841 •t1-0 13-5 24" - G-U 8-2 10-1. 12-3 Design Criteria: Strength: - Livc load of GU psf plus Dead load of* aU psl' produces bending stress of 1.UUU psi at spas shown. r Notc: Design values 'ldjLlStcC1 [or iiocii1al duration lcacling. • a 0 ,moo . p,(. , 43/86G sF / vo / q _ o co <i A l i It'!01TPFY TIT AT TIIL+FOUNDATION fiIJOWN ON THIS PLAN IS LOCATED ON 'I'IIE GROUND AS ';a OWN /1� w/� i �,',�/Live ,uri 7- IIa kEON ANI) 'rICA I' c R)�riri>�{�� �sD III;: M!N ill.lkIM 1;gl0 Drill , 5I lll1� 3IVE'I.E)4iN $7� yy gyg p �qy p; g&q�y1!k\ , �r �.g p T g 7��q R.,01" 9.9 V t!LY.���.1.'.W"a.i'�l'RY"' D R., CO d UIT, .LY.B!1. mod{'.�� MT E,,c Vv I.,C�� { '1747 �3 •. I'REN°t'sf.ED A'OA'A BAYSIDE, BUILDING INC. DATE: JUNE 19, 1997 SCALE: V _ 40' WELLER & ASSOCIATES 1643 F LMO€iT 3.-P.O.'BOX 417 ;. CENTERV1LLE,MA. 02632 i x l�o gl- y` ♦ "yv ;2 L) 2 ice. 1 I I f- i I } i }, II 1rli F �tr 0el ✓ I , 7777 MA 1-0 AOG f ~ , 2L) =-- - I - t •�\ 9 t x ,„vv//.���` 4� .4 !I I� Y�6 i, r',�/�j��/��.w�'.�� �s',��„�/� +- HOME , IMPROVEMENT CONTRACTORS REGISTRATION Board of .Bui"lding Regulations sand 'Standards r Ones AshbLirton 'Place ARoom'`1301 Boston;t'Massachusetts 02108 ' • ..a a ::u�y 1 v�?��ta.� ;1"�'�':,,��,f t�A;ii�"ra`!'�''a v ,.f� �� r t x!.*c ty$w:� s � ,. - HOME IMPROVEMENTS Registrat> on 113239* 3' 3#�'Expiration t 05/27/99 i3 *'<a1.k -� IN Type DIVIDUAL =E} r t ty..,ry +. ( :�>�r� �" w E" Ash y� a� `�" S $` �..ar ri -.�k „R"•-, *,: . ' .. ;,F.yR .ur "r '�ti 'S 5 r�i�.A.r �� �.Aq N�r� r f""'r+5'�g i�'. s n.s•t-Ah �� ,x�' cMICHAEL 32 OUTPOST L N CENTERVILLE MA 02632 F "` S .. .. t, y i� ;4�'t �` -�'wf�'x�" ' ' .iy"d S t_-.a � � 1 }i, x t+`x- 't� • .. ..ue..at a-d..-.^v v.. a. ...��r....e..�..-_...vJ•-✓=<_s.d FlG:d.+d.[....x�.�_..._. ' !t✓/ZC -VCL7�Z4YI,O4LCIICp./A./Z O�✓Y(.CCiI:1CZClLU:iELC'r DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION 1UPERVISOR LICENSE Numa'er Expires: —' R'estrlOte0 T_ ' 00 NICNAEL J�`DINOIA 32 OUTPOST IN CENTERVILLE, NA 02632 { TOWN OF BARNSTABLE CERTIFICA E OF OCCUPANCY PARCEL ID 056 002 X26 GEOBASE 'ID 4:0977 ADDRE S 102 WATERFORD DRIVE PHONE (508)771-10401 COT.UIT ZIP - LOT PART LO BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT '" j PERMIT 29789 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#23821) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY , CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL, FEES: THE BOND $.00 CONSTRUCTION COSTS $.00 4► > fl 758 CERTIFICATE OF OCCUPANCY * BARNSTABLE, • MASS. OWNER DACEY, BRIAN T TR i639. ADDRESS WATERFORD HILLS DEV TRUST ED Mfg PO BOX 95 BUILDING DI, ISION CENTERVILLE MA BY-: �-- DATE ISSUED 09/23/1997 EXPIRATION DATE r r ADDREV 102 tWATERFORD DRIVE PHONY, (5081'771--104 Cotuit ZIP DOT 19 BLOCK LOT SIZE DBA f EVI+:LOPMEN.T IJ,ICTRICT CT t , PERMIT 23621 DESCRIPTION SBR/2" 1/2 BATH W/ ATTACHED 2 CAR GARAGE I?ERMIT TYPE. BUILD TITLE NEW RESIDENTIAL BLDGI PMT CONTRACTORS: BAYSIDE I tUILDING, INC Department of Health; Safety ARCHITECTS: and Environmental Services TOTAL FEES;. $35C ..C9' BOND $.00 INE CONSTRUCTION CfA TS $315 0€00 10:1 f NG1.w cw .f-i6flr' _ 1ta:''l''1.:'[ I I:+ PR iRAIUMABM MASS. I 1 rs i639• -NA. ,DIVISION _ BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN— CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. -�- MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL-INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU— ELECTRICAL,PLUMBING AND MECH— (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN.MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. ji VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS or _3_C-C-0, 1. z L 1,�G-7-1f P7 o0 A d / ,ciA 9�-Gt3?r7.eT�4,/ jr 11-9 3 n/1 �, 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME'NULL,AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION.WORK IS NOT STARTED WITHIN SIX CARD.CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. r _7 - w ,j r ' BUIL .DING PER� MIT i C5�� t Engineering Dept. (3rd floor) Map (D Parcel 00d G�(O Permit# House# Date Issued '' — Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) ee 3S� ,Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) IKE F,,; MLIANCE UST'BE Definitive an Approved by Planning Board �� c� 19 8`� / ' OWN OF BARNSTABLE ISM CODE AND Building Permit Application TOWN REGULATIONS Project Street Address l bvZ l ��J D�, (bgJ LO T Village �r C0-70 /7 � Owner I E 6L25 6 Address cF e— ►/'I LLE Telephone - 7/` /o Y a 1 Permit Request 'To Co A S 7,,e c/C% ?t 6 //ya LE F11 Al It,)l g6 /2)EevC iE First Floor l�15' square feet Second Floor 3(o square feet Construction Type I{J1907 Estimated Project Cost $ /t5' 0(, Q Zoning District Flood Plain Water Protection 6)0 Lot Size 113,F56 Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure AACUJ Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No &Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) I — Basement Unfinished Area(sq.ft) /y,5 6 Number of Baths: Full: Existing New Half: Existing New !� No.of Bedrooms: Existing New .� Total Room Count(not including baths): Existing New '_7 First Floor Room Count 5— Heat Type and Fuel: Q Gas ❑Oil ❑Electric ❑Other W Ileln Central Air ❑Yes J4 No Fireplaces:Existing New �_ Existing wood/coal stove ❑Yes XNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ;� C44 5f o2. ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# — Recorded❑ Commercial ❑Yes ts'No AT ite plan review# - Current Use Proposed Use gek&±(� Builder Information Name Telephone Number '7 /_l �4 Address F"'A �'S License# -06) :G y`S t IrZFZl�XO �' Home Improvement Contractor# Worker's Compensation# A)C! 3I Z aa0 17 Y 0 13 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR TH FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 114-1c.7� [ - DATE ISSUED M MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: r FOUNDATION -FRAME INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL. r PLUMBING:' ROUGH FINAL' F rN GAS: H FINAL - s FINAL BUILDING 9' all yr pDATE CLOSED OU�� ASSOCIATION PL 0 'moo LcT lj / 43/a5c 3F / o � o � , .J — %To� � /54' I CERTIFY THAT THE FOUNDATION SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE MINIMUM BUILDING SETBACI UIREMENTS OF CERTIFIED PLOT PLAN THE TOWN OF BARNST t H of FOR c�oa�Ep� Mgs�gcyG LOT 19 WATERFORD DR, COTUIT, MA. EVE W. LCP#23747 B RUMBA ~ 79 PREPARED FOR �E SURY0,4% BAYSIDE BUILDING INC. Zo--c ti DATE: NNE 1991997 SCALE: 1" =40' WELLER & ASSOCIATES 1645 FALMOUTH RD.—P.O.BOX 417 { CENTERVILLE,MA. 02632 `A9PNALT IZDOF..S"i C_ES J _ - rl- - TT II ---- . LEFT - --_�' _ Ll 711 --_ _ =ArLTIC - - l-- -- -- -- - - - L -� i r - - -CENTERV�LLG ' LOT 61 GUY2�Y ✓'NF w9-�-20 srr—r--cq woop ` �n; '��-rlA9 PH Pl_T�QOOF SLlIN41£�� is i i y • I 7eFCOcic tawk 71 - Te. -P�Q.IGK CNl AN E� - 9s,c.rct. / , Ucrxa. .7T, I ` f i ..� .C.SH�Nc�es � •=' i 1'Iil I i �m1 I 7 i I i I —r-- _ I 1 I Co IN PLAY 91�E gL11Ln�N4 L I I -CG NTr-2VILLE �.I ._EL.EV AT 10N5 sT povtin�T1 0.3 LOT pl GulCT+_CV LhNc %4 Y/4• !04 0!/4, (j F8o 29>IZ' T.T. bit-- ]/o FwY.u/-e TV p1X p�m - � Oi r IE 0 TV ..-�I�Sc1[R B6a Rooms 1—�v tNG RcoM �I -�I•J1�.14 OoM GATHCORhL I C/•RT LT _-. =6AIL I .- 0 AK ... SER-�EC S?RPCf 14'1$y LL C.L Y• I i ajV f/1• O Pw•er AuJ. GAl�V 4T I V K�cc GN Q Y •� ' C.AR C7 AicK C,a 4 i • -� - III I �1 *b�.�1[� I I sseeM U ® _d� f� I _ I � ��_¢:. i � ' FS Ipi SPA 11111111 •I' 1 ____ t18 . - __ ('�t@:b_�ii,T,.c---I{ 5=41 '-e' 9'.e• I L-2« - �_. I s c00 u > N VEL t 4 x 0 4•a' Z.S. '-3• n'-o Y14 r• Io-!." .—t?�_�_._-_ _ —� -�--------- 13'•C' ----- 9-� - - ........... 44'-0.. {.Lp Wp•.IUU�1d�LY1._ 1 Ton ofWomb Ywi "•I''c� ""AD1fD . Fax(508}7M lcrtM Lc-r L I C.URRZY LAQF_ ze Z-0' 7-4 14- 2 J j F'r PAS J a J + NQ � _ I �. - _ I.• BEa T2noMw2 -_ OPEN To RG�oy B6a liuoMi3 � . j GARPGT.. C-Allt iT vw IP.e. ak�C_owy 2442CC1 CAllT2=T •` j. 2._b.. aAr« '� N w y _Kk a opc4+To VINyI I 'p Y�r uTu� FovcR tsevs 440 . J STOTC AGE •I. I' I rrsoe I 7 0 y` r se a l Access. I FS I FS YLAUT ETL 13 i Public Health DiviSIOQ Town of MOW PO Vol/e BAYS�DG �V�QUA Ca, Hyannis.MMOdWSM 02601 Fax(508) 344 Phone(508)790-6265 Se coNn ��uo{Z ' - owwww..wem �er-+ fLIOC.•= veNT � Ar.cl i"t'�ciu�<AL Alt A•iJC?. SEIxt-T4r-.�, AAF'IGLT ROO`= SN In)GvLEt 28a 2E Gr�< \ \�! 451 12 i= 1 NNCo TJ6 i ,., lye FAOcin • - FirJl9lA FLOUR i r' I ! \`\ �, :A Lu/n. GuT?E M- F-MS zzT- 2Y .1X® SOFFIT FrL,E fbC�ArZ•7 /nO 11J1 N[. 1,Joop Fu MmI Nc, LIP tcW i 1 ovcrr , `/2" sw EE.T20GId - - ti y402 a>2 r 1rla STurJ9 G.) 'L4' O.G I �2 2'-o S(._._.-..___.. jLa_-m_.G.D x SN G07 H INL.� CLAPOO�-rLOS F(ZON1 FIN1011 FLDOrL I j �'\� __ \\/C. SHiNGL.ES_.SIr7P.S t m-E& •/8•' Pu-1 SUP-FLOOrZ m - - .2Y�o T2EPTI=f7 SiLI ON 51ICFIL!_ (�tyi1 _ANCHOR L"� B' ih AY - CONC2CTF- WALLS .` ? --'DAin�-Qr7•c'aF aEi.OW G RA17E •: I _ 2 � /32 F� $ 4- m E - (--> I r>E raj u t l_rJ I CENTEfZV/ L-L-E. - /P. r: 1nAY 9 tF 'tLDCaE JE1..T /� 2%10 21q C.6 puNlt '. � � I I :I / -_.`_.G ..._.___�_ _.� °,fir.y}i��cT��cn� a�c•.+,a' I 2 al IC. .ALA 'E 4, TT T IV8 FASCIA. I t h .✓' � l I � 4S' IQ . I I -2,rG�IGe GEIc.ING.Sa.v; 1 V2'Stl C.E T20G�' z I � - -- - -- -_ --_- _---__- - � AL-Ulf, GUTTER lE_AOeJZ5 r �- 2x�o> �I VEa1T1r.NG O2tP P1)GG i FU MMI"Cs ZL tre _-- ZxG a,.n1�c21�io�r+•- —_--_ (K8 60RFIT _Sl�.p.C�.StdE.ET ROU! 'bob, 131 G=" .9 C4/^ -�{LG1G mpARo ll✓L //�IIIN 1. �Y 4,S-r S H®AT H J .9 2 ------- -- �,' t u G �d � U �p .. .. 9lO1NG - CIAPiaOARDS 2x G STUr.)3 26- �rL'3 INSu1�.r1oN._145E.NAtC Caltpu uNOCILw II r/ tl8 r>1-Y SV rb F11L. - . (o"�f0i2E.Gl4S � It '� q nKa use FV_..aoM1- � 12•' .Q7corA crs �Z2EpTEn Sic.[.-GNGIIOn.. Or !fo`Y10` FOQr11J G' _1=A/ALLY 200//� � G/aF2AGE - t 8 0•' IG.•o. i • I � N I w CY.N 00`11.4G I - .. —J I -IZOp,Ofi+S 6'0.4 EOG14 WAY 1 �. - I I CONCQ. w,&LIFj 16 l of^c= C. —1 1 _I f i L I PjGp/n �oCKETS EX W ENn ( -02" Afi&N CoLJ//NS I I v'L4"5e 24• x 12" FooT�NbS I 250LID GTLAv� FIL-�. iI 2 At2 SPaGE A\-\•. ARo Nf) — I II N- __ .1 B"y.l••9•• CON CR..\VAL+_h I. I - ICo"Y10" FOOTIN64 ��-1 I . 1 F F F d F DF f p F 9 F 0 G G 9 Western Surety ll G . p 0 p LICENSE AND PERMIT BOND For County, City,Town or Village Only-Not Valid for Bonds Required by the State. Not Valid for Contract, p Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. KNOW ALL MEN BY THESE PRESENTS: BOND No. L & P-4 27 7 O7 9 5 G Thatwe, Bayside Building_, Inc . ; of the Village of Centerville State of Massachusetts , , as Principal, and WESTERN SURETY COMPANY, a corporation duly licensed. to do business in the State of Massachusetts , as Surety, are held and firmly bound unto the Town of Barnstable , State of Massachusetts , Obligee, in the amount (Valid only when a County, City,Town or Village is named as Obligee) of Six hundred and 00/ 100************* ' ***** DOLLARS ($ 600 , 00 (NOT VALID FOR MORE THAN$25,000) lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives,jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed to construct a single family frame dwelling at 102 Waterford -Drive, Cotuit , MA 02635 150 feet frontage by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and comply with the laws and ordina�pc�#��4��""`''lading all amendments), pertaining to the license or permit, then this obligation to be void, othe aikin full force and effect for a period commencing on the r h day of • '. 1 9 9 7 , and ending on the 6 r h day '� ►'° 1 2@ A, unless renewed by continuation certificate. WTrs bond m rminated at any time by the Surety upon sending notice in writing to the Obligee cLd to th�Prir cip' care of the Obligee or at such other address as the Surety deems reasonable, and at, °expiration ;,fhirty-five (35) days from the mailing of notice or as soon thereafter as permitted by app.'fa 'ttvtchever is later, this bond shall terminate and the Surety shall be relieved from any liabili' agd ubsequent acts or omissions of the Principal. Dated this 6th day of June Principal Principal 4' a Countersigned W E S T E S U T Y O M P A N Y n G F • p a By By ident Agent President STATE OF S TH DAKOTA ACKNOWLEDGMENT OF URE F 01 County of Minnehaha rs (Corporate Officer) On this day of , before me, the undersigne r, personally F appeared Joe P. Kirby , who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY, a corporation, and that he as such officer, being authorized so to do, executed the n F foregoing instrument for the purpose therein contained, by signing the name of the corporation by himself as such officer. y IN WITNESS WHEREOF, I have hereunto set my hand and official seal. S.BARNES NOTARY PUBLIC Notary Public South Dakota SEAL SOUTH DAKOTA s�"c .0 F Western Surety Company p My Commission Expires 1-22-99 r, Form 849-A—2-95 y.�r�;yr 1-605-336-0850 , � ll � 9 r• 6 0 . ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners) STATE OF P e F ss e i p e P County of e " F On this day of ,before me personally appeared F e F e F e P il P U� U fr known to me to be the individual_ described in and who executed the foregoing instrument and f { P 9 acknowledged to me that_he_ executed the same. F r My commission expires Notary Public ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer) STATE OF ss County of On this day of ,before me, personally appeared , who acknowledged himself to be the of , a corporation, and that he as such officer being authorized so to do, executed the foregoing instrument for the pur- poses therein contained by signing the name of the corporation by himself as such officer. My commission expires r Notary Public P r• P � f• r � r r L r P 6 � G P r P 4j n P n n f• O' a � n F \ ) Z4-4 f• f L, O VZ Z i W Fi il F U b P f V) o o w o v1 G4 DEPARTHBRT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Ruiber: Expires: Restricted To: 00 BRIAH T DACRY 62 FFRHBROOK LH CERTERVILLE, HA .02632 ` c COMMONWEALTH OF MASSACHUSETTS DErAMMF.NT OF INDUSTRIALACCIDU. M WASHING TON STREET' �- 600 , — BOSTON, IvMASSACHUSETTS 02111 fames: Cahnoel: r`or n;ssrone WORKERS' COMPENSATION INSURANCE AFFIDAVIT (licensee/pertnictcc) . with a principal place of business/residence at: (Gcy/Satcop) s r do herebyccrtify, under the pains and penalties of perjury,thsr. (] I zm an,emplover providing the following workers' compensation eoveiage for my employees wonting on this job. Insurance Company Policy Number , . 1.am a sole proprietor and,ha c no one working for me • ' O I am 2,sole proprietor, ncnl contractor r homeowner (circle one) and have hired thcpcontnaors listed below who have the following wor errs compensation insurance politics: Name of Conrnaor Insurance Company/Polity Number g Name of Coni:rac;or T Insurance Company/Policy Number Name of Conimcror Insurance Company/Policy Number 0 1 am a homeowner pe.rforming all the work mYsdf NOTE' PIcuc 6c swur tilt -whilc bornee—mcn wUo cm pioy persons to do munteoance. construction or rrpair,-mrit on a O�+triin[ of not..roorc ti n tircc uatU4n wUiCi the ioe'cowncr aiw resiou or on tic Frouncu appurtenant thereto arc not [rOerallY consiacrcd to be cr-_DioKrs unc'cr tic a•orYcn' Co.mrmwituon'Act (Gi_ C 152, sect 1(5)), appiication by a boroeowacr for a license or permit m,v mricoec the 1co sutw of an cmpioyrr under the,Woricen' Compcnution Act. I unocrstind :fiat :.eorw or this statcnent will be forM•arccd to ti cDcr ranent of Indusvial'Aecidena' Ofncc of)nsumnt=for co VC K .:ice;ton ant ;aa:':aiiurc to.secure cnvz:arc as rrcLurcc under Sccaon _'5A'of.1GL 15: can kad to EJ c impnsiLion of a•i:..av per:aloe mnsi:o"ne oi. fine of ue to S1 500.00 andior 1mprssor=,=1 or uo to one N,= and ow per,aiues in the form or a Stop Wont Crde- and a 'fine of 5 100.c-; rt;av a€a:ns me. u SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 WELLER & ASSOC: (L) NAT'L GRANGE MUT.- MSP45246 EXCAVATION & SEPTIC: ROBERT J. OUR (L) U S F & G - 1MP30109550901 (W) U S F & G - 771521695 DECO CONSTRUCTION (L) TRAVELERS - 660364K8342 (W) LIBERTY MUTUAL - 312446298044 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267 (W) LIBERTY MUTUAL - WC1312201785044 WELLS: DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9 (W) AETNA - 006C0023972416C MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) WAUSAU INS - TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649 (W) MISCELLANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - .POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: . (L) FIRST FINANCIAL - FF0131 GU0831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - - 7711099932 SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442 M & R CARPENTRY (L) MARYLAND INS. GRP- SCP30235965 (W) CIGNA PROP & CAS.- C80049997 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY - WCC 186604 GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301 (W) COMMERCIAL UNION - CBH573757 STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA - MP0021014146 (W) AETNA JC89258880 OAK FINISHER: AMERICAN FLOORS: • (L) TRAVELERS - 680 342W754-0 CARPET, VINYL & TILE: CARPET BARN: (L) VERMONT MUTUAL SBP6507393 (W) PHOENIX INS. 6NUB476J652794 TILE INSTALLER: TONY AVERINOS: (L) ASSURRANCE CO. - CFP26528977 (W) HARTFORD FIRE 77WZCY2409 WIRE SHELVING: CAPE COD CLOSETS: (L) U S F & G - BSC146983441 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS: L & M GLASS : (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY'S BROOK: (L) , COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES - C41138178 DRIVEWAYS: NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 A Assessor's office(1st.Floor): p Assessor's map and tot number Slv ` / t ' SYSTEt`� ST BE �T THE TO Conservation , -- �—�� INSTALL ® IN ® iP ,IANC ��P�w ``°►Board of Health(3rd floor): �? � WITH TITLE 5 Sewage Permit number ENVIRONMENTAL corm AN t seaisr►nt rua Engineering Department(3rd floor): TOWN REGU . n 90ANS °o„�oe39. House number 11 Definitive Plan Approved by Planning Board APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only Pdn TOWN OF BARNSTABLE t BUILDING INSPECTOR APPLICATION FOR PERMIT TO /` — l�C TYPE OF CONSTRUCTION (0 19 _ TO THE INSPECTOR OF BUILDINGS: ` O The undersigned herebyapplies for a permit accordin to the followi information: Location v Proposed Use Zoning District / Fire District t�Q Name of Owner Address Name of Builder� �J�� ✓� � Address ( D�t lil�Jt Name of Architect � )J� .�/YI Address C�i Number of Rooms Foundation Exterio ry%j� p` Roofing Floors w Ll)ak Interior Heating ��„/1rIO Z Plumbing Fireplace /�f1� i�2�L �- /��izay� DUB p Approximate Cost 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 Barnstable regarding the above construction. Construction Supervisor's License ��ys No Permit For - 4X_ Location tip Owner ca 1 r T e of Coristruction`Y vp. Plot -Lot > > ! t I :y Permit Granted + # 3 { 19 Date of Inspection r J 1 19 r p _ + F Date Completed 19 Assessor's office(1st Floor): ` Assessor's;map and lot number Tw c Conservation Board of Health(3rd floor) C� 9 aes� Inc Sewa a Permit number f ,, Engineering Department(3rdfloor): �� '^, `' House number L Definitive Plan Approved by Planning Board y — ., ' r 19 APPLICATIONS PROCESSED 8:30-,9:30 A.M.and 1:00-2,00 P.M.only u TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO v r TYPE OF CONSTRUCTION _ Gil/fJ7� +fl yxt_ `". 19 TO THE INSPECTOR OF BUILDINGS: t V The undersigned hereby applies for a permitt according/to the following information: Location w Proposed Use Zoning District Fire District Name of Owner Address Name of Builder 2 4 /S 64 Address {✓ 1 Name of Architect P Address Number of Rooms Foundation //0-(,e�u 6j_>uiL, Exterior tF Jl) �' Roofing Floors . �f?P �fv`r'"!L... C/ Interior Heating Plumbing Plumbing Fireplace X;22' VA y- /61' Approximate Cost y5� 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 Barnstable regarding the above construction. Name 164,e, T �90_ ' i r I Construction Supervisor's License �lQ � No Permit For Location Owner Type of Construction` Plot--. tot Permit Granted 19 0 Date of Inspection 19 Date Completed 19 , x . r } 1 d � ' TEST HOLE LOG M DATE: SOIL EVALUATOR Z WITNESS ti PE RC RATE:"--'- ar r ttio Gd t Z t� K r NL . DESIGN DATA N S�� DAII.Y FLOW:(3)BDRMS.z 110 GPD=�33aGPD ,:. /20 0 a: . ., '� • Poste � .SEPTIC TANK: 3�a GPD z?AO% �Z i� -USE:lSoe� GALLON PRECAST,SEPTIC TANK LEACHING FACILITY: .. USE. =5''�8;S',i�7'C$'vo, QC. ;011yw�cc5 CAPACITY: ,�„w` ..1''?/Lrcc .- "'� �� � �� ,� 2` SIDE L•:_�6%r 2!�O,Jam. �/�S BOTTOM:.. /3'>e ZS TOTAL: d • / ..ate .� .t � '.}& :.'KrT*`� � _ �2.25 r. i� N dF/HAs�9c , �G , s ''s a a0- BRA'EMAN _�f '�.:;`.,L�l-,-�--.'».-.a�'..r"',:..-.-.-�.;-,..^�.r..�...-^-...-�,�.1;.� .,__:.^—=,=""+-�-,..,.-, ..o «.T �;:...,. .. _-..r '� r�r•�, � `p' ,�, 'v,}"�"y•-"dc-� ,,,zh i..�' w 6�r� '� �'� U � �,�,. � NOTES: n 1. ALL PIPE TO BE 4"DIA.SCH 40 PVC. 2. PIPE TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION BOX. Suii1 � 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6"OF FINISH GRADE. (y 5 - �'- 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL ' S. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6"LAYER OF STONE. 6. INSTALL GAS BAFFLE IN OUTLET TEL r uxEe or ter•rEAsrotvE ovEx° { 3M*-1 /•WASHED STONE ALL 1N ' TOP OF FOUND. r� ' @ EL �S, C to. 14' Sty �• / Gl oo YO•B3 �iU ;+. r �!►1 00 , / - i q C i - r. V � - � :Lhs��.4�t .( - ✓4 - - _ at :be:a, SEPTIC SYSTEM PROFILE il P 5 ol SITE SEWAGE PLAN cExERA1.NOTEs an F FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL UTaxn ES,ABOVE AND UNDERGROUND,FRIOR TO ANY EXCAVATION OR CONSTRUCTION. k 4G,o 25:2Y e � � 2. sEPf Ic sYSTEM TO BE INSTALLED IN COMPLIANCE PREPARED FOR MCMxIS.M.TTTLEV. r ��� 3 �TNIo Touvs$n�oaPaoP�a�tz� + �,; �� ��4�� ; s lac� # TO �r 1 _ ALL DISIIJRBEo AREAS LOANED AND SEEDS0. . ` .DATE. �r�.u�_.zU199 SCALE. z REQUIRED RTO II�ISPECPIOV>DE 24 HOUR NOTICE FOBANY y r • • kr � SCE`;„„ g'�z ` WELLER & ASSOCIATES 645 FALMOUTH ROAD CENTERVII.LE,MA. 02632 r� 5 (SOS)7754735 FAX: (SOS)775•0754 APPROVED BY: — — — ,�. r ©ue- � w rt►ae�'. �a t,+zf:allu t. p0 S Cal -m ICE o ?.oM _ �� _J ,� � Z.Munl�iPeu WaT�R ►�%' evdt�Ph,E . 5,Pi 9e PI'1G.4. 1/4'/FT 1.14L.Err, oT"Fee- tsc I*IOtED. 13Z 4, PCS*,a LD&0066- A-L, + OeCAS-r UI` rrr-, f . 41 '~ i ( ! t ! 1 �, 5.P►G�Joit.LTS� �p.l..l. 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