HomeMy WebLinkAbout0051 CHILDS STREET "00�00,00."..)
A Town of Barnstable *Permit# -,Dc�7
Regulatory Services wee 6 nthsfrom issue date
• ,narsrnsr,� •
MASS Richard V.Scali,Director
16 � BUILDING DEFT.
Building Division
Paul Roma,Building Commissioner
JUL 20 2017 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-86241613 OF RAPINSTABLE Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
®�D Not Valid without Red X-Press Imprint
Map/parcel Number /.4 n
Property AddressI "�
[5 Residenfial Value of Work$ 10 001bMinimum fee of$35.00 for work under$6000.00
Owner's Name&Address O V C1 �
Contractor's Name Dw m vtcm Telephone Number �p'36n" 27(/Gj
Home Improvement Contractor License#(if applicable) O07 ( Email: ao c c @ YM140'
Construction Supervisor's License#(if applicable) 0z 6(/)D
dorkman's Compensation Insurance .
Check one:
❑ I am a sole proprietor '
❑ I am the Homeowner
['I have Worker's Comp sation Insurance
Insurance Company Name
Workman's Comp.Policy
Copy of Insurance Compliance Certificate must accompany each permit. -
Permit Req (check box) � ..
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to CL
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
*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.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
d.
SIGNATURE:
QAWPFILESTORMS\building permit formslE)2RESS.d6c
01/25/17
i
27w Corawommakh ujfA&rsachusettls.
Deparb�teztof rnd-artrialAcdderits
Q ce a,f Im atiem
_ 600 WasifiW—ox:,%wt
Bastan,CIA 02111
i-mm snr mgop1dia.
WarIcers' CGmpens3fittnTmmn2nce Aff Lwit Bwlders/Cuntractars/FlecfricianslPlomhers
Applicant Information Please Print
Na=(SusaleegsfiOtgati2�v daa
�ityJ'�fatel '�'V, ,�' ��� Phonei�• �� �>�• �� _
Ar u an employer?.Ch-e�rapriafe bma ' T of project r
1. I am a 1 � ❑I am a general aonf ractor=d I Type P ] eq�ed}:
employees(fall anandfoc part-fiime�* lave hmdfEte salr-c�is 6. 0 New omsl ucft=
2.0
I am a sole prop lisied aatfie attached sheet,. 7 ❑Remodeling
ship and haves ao employees These sub-corlractors have �,0 Demwlitioa
working :Forma is any capadty. - enTfoyees aadhave wormers' 9. ROd ng addiiica
[No vv-o�comp.insurance comp-iMMMVO
wed:] 5. ❑ We are a•corpotafifln and ifs 10 0 Ek#dcal repai m or addition
3:❑ I am a homeowner doing all work officers gave eseacised their 11-El Piumbingrepaim or additions.
mysdf[No wokk ,camp- eight;of tmempfion per&TGIF a❑Roafrepairs
insurance required j i c.152,§I(4)6 sadwe have no
employees.(NO worke& 13.El Other
comp.ittsoaa w mquired.]i
'Bayapgfi �stcheda box#ltims'also fill autthe section beEm:sh singdefrwoaeec=3pensa&npQHcgiafaamsnaa..
Snmeoaraerswho submit ffiis affidavit indicze- fky smdm'Owaac mcl6 eahae outsidecontmctorsmnst svhmitamwaffidaeyt indicating sack.
rCouttactotsii�st ebecYthis Irax most attadn aaaddifumal sdxeet sbou iagtheaameof the sub ca�sckas�d stafeteltefi arnot dJnse enlitiesha
employees.TftheMffi-C atractaesbaveenpIoye?-%tfiey pmvi&their wadMa'ramp.pallqyaUMbes
I aw aces evtpfgvr hTurt;is pratzd&, n�nrkets'cottaFertsafima itts�frir�artca jvr m}*empin}�ees Heraty is Mar paHey ari jab s&e
ittf or matiart
Insmance Company.'
Po-ficy 44 or Self-ins.Lic. R21AjC 7.D'r Expirattio-MD de: 2
Job Site Ai ddresm '?[ cu W CifylSta Wl tp: 1.o1/� �W
Attach a copy of the warkere compensationpalrcy-dedasation page,(showing the poricy,member and expiration date).
Failure to securer coverage as required.under Seckbn 25A of MGL a 152 can lead to the imposition of criminal penalties of a
fine up to$L,54b OU attilfar age-year imprisonment,a$teell as civil penalties in the forte of a STOP WDRF ORDERand a Rate
of up to$250-C tl a day a Qaiast the violator. Be adhdsed ftrat a copy of this statemetut.may ba foav nded to the Office of
hmestigadom of the DIAL far m—mince covmge yedfrcafim
i
I da Ifff Eby er tlts mdd psrtaIties afF ty flaai•dlae ia,f arua#imi prm &nf abafv is&aA w rarrect
$iffiatiare Date- ho h
OJfsial use wily.. Dv atat w to in tfib axeQ,fir be cmnpreted by ciiy artatru rcutt .
F
City ar Town Per nuflLicetYse#
Issuing A thor€ty(drde one):
L Board of HeaItlt, 1.BuMing Department 3.QtylTown Clerk 4.Electrical hispectoe S.Plumbmg Inspector
6.Uther
Contact P'trrson ! Phone#:
— —. — --- 6
vrmatio n. and ins cfions � .. .
Ms*cc�e GeheaalLaws 152 regm=all=qgoy=to FuvidD wmkme comP=Mfion firf ELbir employee,-
Pursnantto this fie,au.ernPIo a--is deemed as"_eveaypeason m..$ie service of another under any eortmd ofhire, y
express or nnPHDC�:oral or vzh=.'°
An Moyer is &Cfinrd as"an indxvidval,partner ,asso�on,corpor�on or ofhe�IegaI e�rtp,or any two or mare
o€rite foregoing is ajo�Vie,�Tnr�ma tha legal Fe Ares Per of a deceased employer,or Sle
receiV=or t ro s of MLindiviCTM,
,paxft0rfsp,amociaf m or othm Iegal entity,employing cmp1oy�- However the
owner of a dwelling house,having not more thantffi=aPardnents du o residesS�erem,or the'oc of ffie-
dwe]1mg house of anofer who employs peisans to do maims ce,construction or repair woik on such dweIImg house
or on the grot al& or bmldmg appt x n tti mzb sfionotbecanse of such map loymeattbe deemedto be an employer.'°
MGL chapter 152,§25C(6)also States ffid"C' MMy statL-or local I=Ldm agency shall Withhold$ze issuance or
renewal of a Hr,—sa or permit to oper-±e a'4USkess o ti
r to CM bdngs in th e mm co for any
aPFti�twho has aotprod-aced acceptable evideum of cdmpM-mm wi(3t the hmurance.coverager-eq¢ised.
Additiona Iby MCA chapter 152,§25C(7)states-NDI M file commanweaM nor lay ofits poIrtical subdivisions shall
ear into any contract for the prance ofpublio wm3c untl acceptable evidence of ea[UPI=cewAth 1ILerec�
ent�of this chaptrs have Been.P=Moted to the cordr-c .a> hol�tyf
ApPlicaa-fs '•
Please fill oir am worker''compensation affidavit completely,by chug the boxes that apply to pour dtoaf 0n and,if
nmessm[L SPPIY sub_co r(s)��s)' es)mdphononnna r(s)alongwith$ieacerCfficate of
;cost ce Lid LiabZfy Corupauies(f LC)or Lsited Liability Pmt=ships(1 LP)'-W no eqploy=other t m ffio .
members or partneis,are not ibgaimd to Cary Wmim s'compensation insurance If an I LC or LLP does have
employees,apolicy is requited. Be advisedtbatthis a$davitmaybe snbmifled to the Department of Industrial
Ac i,deds for confr�afion of fi=an ce coverage. Also be sru a sign and date ire affidavit TTie affidavit should
b e-ret arced to the city or town tip the appHcEd a fioi the pemdt or license is being regaeste no t the D Department of
Tn rin ciri aI A c d�„� MmIdyou have any gnesdons Ieg�IDg Elie Ian or ifyon are required to obtm a workers'
coarpems on policy;Please call the Departmeot at the n=berlistE below. Self-insured companies should et�r their
self-ins�mice license n¢mber on the appropriate line.
City or Town Officials .
f
Please be sore that the af5davit is cnmpleta and prioted.Iegffily. The Departmenthas provided a space of the botfnm
of the affidavit for youin fiIl ot�inthe event the Ol�ce oflnyestigatinns has to contactyoMregardmgthe appHcant
Please be sere to fllinthepermitlliceaserurinbe- whichwillbe>zsedasareference mbeL In addition,anaPplic t
$tat must submiL rav]tple p=itll-cense aPPi�ons in a�givea�year°need only submit ane affidavit indicating cat
policy nfo=o ation(if necessary)and tmd er"Tab SJe Ads"the applicant ahotld wry"an locatiew in Cc -Y or
town).'A copy of t3�e affdaviti3�at has beer officially stamped or madcr by the cry or town may be provided to the
applicant as prooftbat a valid affidavit is on file for fnfnre'permits or Licenses Anew affidavit>mtst be tilled out ea rh
year.Where a home owner or citizen is obbining a license or penmrt not related in arty business or commercial vie
(Le.a dog license or pemtif to bran leaves eta.)said person is NOT xeqa�ed to complete this affidavit i
The Office of lnventigafinns wouldhb--to thank you m.advance for your cooperzfoa and sborjAyou lave any questions,
please do nothesifate to give IIs a call
The Deparimeufa address,telephone and fax rnmzbra:
I of Massacb-USCM ,
Depadamt c6fhdmftj.,AA.wdenta
-`ref.4 f 1 ram-' -4900 m t 4€6 or 1-M-MASS�
Fax#617`27 7M
Property Address:
51 Childs Street,Centerville, BP 30597 F:o 16 3 2 6 7 Co
Massachusetts 02632
DECLARATION OF HOMESTEAD
I/We John W.Gruber and Sally Ann Gruber,hereby declare homestead pursuant to M.G.L. c. 188, §3,,with respect to the
herein-described premises and state as follows:
1. We are the owners of the premises at 51 Childs Street,Centerville,Massachusetts 02632,by virtue of:
(a)[X] deed from Alexander Tseitline and Natalia Zhidkova to John W.Gruber and Sally Ann Gruber to be
recorded herewith
(b)[ ] the Will of Probate Case No.
which I/we occupy or intend to occupy said premises as my/our principal residence.
2. I/We am/are:
(a)[ ] unmarried
(b),K marred to each other
(c)[ ] married to who is a co-owner of the premises:
(i)[ ] who also occupies or intends to occupy the premises as his/her principal residence and who has the
benefit of a declaration of homestead under M.G.L.c. 188,§2 recorded with said Deeds:
(a) at Book ,Page (b)[ ]herewith
(ii)[ ) who does not occupy or intend to occupy the premises as his/her principal residence.
(d)[ ] married to ,who is not a co-owner of the premises:
(i) [ ] who also occupies or intends to occupy the premises as his/her principal residence.
(ii)[ ] who does not occupy or intend to occupy the premises as his/her principal residence.
Si rider the penalties ofperjury this 29th day of June,201,E
1
J ' 'W.Gruber 'Sally Ann Grubctr
v
Commonwealth of Massachusetts Barnstable,ss:
On this 29th day of June,2017,before me,the undersigned notary public,personally appe ohn W.Gruber and Sally
Ann Gruber,proved to me through satisfactory evidence of identification,which were river's License;❑ State ID; ❑
Passport; ❑Other Government Issued'IDrd Other, to be the person whose name is signed on the preceding or attached
document in my presence,and who 9wote'oi';af�rmed to me that the contents of the document are truthful and accurate to the
best of his/her knowledge an"e'fief_.
Lv -
= Rebecca C.Richardson, Notary Public
My Commission Expires: November 23,2018
198&2017 Standard Solutions,Inc-781-3z"MO BARNSTABLE REGISTRY OF DEEDS DeclHome
JOhn F Meade, Register
COMITY REGIS RY OF DE_E_ry8
,: 3n 68
Fee: l F281E,j9 Cons, s•�.' '3�i t�tltl_I i„t
Vf: - `r,.i' i,:S_I�`f`{ .i:i i.'t'l ✓L:.�[ ::
, e t
QUITCLAIM DEED
We.ALEXANDER TSEITLINE and NATALIA ZHIDKOVA,married to each other of 17 Morton Road,
Newton,MA 02459
In consideration of THREE HUNDRED SEVENTY-FOUR THOUSAND FIVE HUNDRED and 00/100
($374,500.00)DOLLARS PAID
Grant to JOHN W. GRUBER and SALLY ANN GRUBER,Husband and Wife,as Tenants by the
Entirety of 574 Jones Way, Sacramento;CA 95818
With QUITCLAIM COVENANTS
A certain parcel of land with the building situated thereon in Barnstable(Centerville),Barnstable County,
Massachusetts,bounded and described as follows:
NORTHERLY by Lot 6, as shown on a plan hereinafter mentioned,one hundred eleven and 14/100
(111.14) feet;
EASTERLY by Childs Street,as shown on said plan,one hundred ninety-three and 00/100(193.00)
feet;
SOUTHERLY by Lot 2, as shown on said plan,ninety-six and 49/100(96.49)feet; and
WESTERLY by land now or formerly of Esther L.Flinkman,as shown on said plan, one hundred
ninety-three and 56/100(193.56)feet.
Being Lot 4 containing 20,036 square feet,more or less, as shown on a plan entitled: "Subdivision Plan of
Land in Centerville,Barnstable,Mass.,For Lester F. Childs,Jr., Scale 1"=80', August 1961,David H.
Greene, Surveyor,Hyannis,Mass.,"which said plan is duly filed in the Barnstable County Registry of
Deeds in Plan Book 166,Page 25.
The above described premises are conveyed subject to a road taking by the Town of Barnstable of Childs
Street dated April 1970 and recorded in said Registry in Book 1468,Page 161,and to an easement to
Cape&Vineyard Electric Company, et al dated October 20, 1960,and recorded in Book 1095, Page 538.
There is granted as appurtenant to the above-described premises the right to use the twenty(20)foot way
shown on said plan for access to Long Pond,in common with others who are now or who may thereafter
become legally entitled thereto.
Said premises are conveyed subject to and with the benefit of rights,easements,agreements,reservations
and restrictions of record,if any, insofar as the same are now in force and applicable.
The Grantors hereby release any and all rights of homestead to the property conveyed herein and further
certifies that no other individual has homestead rights in the subject property.
Meaning and intending to convey and hereby conveying the same property in a deed dated December 11,
2007, and recorded at the Barnstable County Registry of Deeds in Book 22538,Page 228;
PROPERTY ADDRESS: 51 CHILDS STREET,CENTERVILLE,MA 02632
1
Executed as a sealed instrument under the pains and penalties of perjury this day of
2017.
ALEX R
7tTTT) r 1
IVN 1131..'1l-1 GrilLJ11V V t1
COMMONWEALTH OF MASSACHUSETTS
��r n��G•�I ss 1 ��,c.1A 2 l� 2017
Before me the undersigned notary public,personally appeared ALEXANDER TSEITLINE and
NATALIA ZHIDKOVA,proved to me through satisfactory evidence of identification which was
M�55CAC -S(1-As_)t"U',s L �.e.�7 to be the persons whose names are signed on the preceding or
attached document and acknowledged to me that they signed_ it voluntarily for its stated purpose and who
i C..1__ t___ ...,.,__iaLt- ..Cal-...:__
swore or at finned lU medial dic conienis Ui u1e i1UtiUiiiciii aTc uuiiuw diiu a��wdu w w� uwe ul ul�u
1LL1V W 1l.LLbV Ga11LL tl VllVl.
Nota Public:
My Commission Expires:
LAURELLE F. SMITH
NOTARY PUBLIC
COMMONWEAL"H Or"!iASSA'I-HUSETTS
My Comm.-Expires May 28,2021
ngait%TAni r nrhit+TflV #%r i%rrne%
W 1A11%)1AULL nr_l,�iaini ur uccuO
inhn r Honda Dodie+ow
e
P
r
01
Roofing and Siding
of Cape Cod,LLC .
BBB. y
68 Winslow Gray Rd
West Yarmouth, MA 02673
508-360-2749
e-mail: rsocc&yahoo.com
roofingandsidingofcapecod.com
HIC REG#170787; LIC# 102600
Job Address:
Name: John Gruber Town:
Address: 51 Childs St Job Phone: 916-578-5588
City: Centerville Other Phone:
State: MA E-mail: seacreatures@sbcglobal.net
ZIP: Estimator: Dmitry Labkovich
07/08/17
We hereby submit specifications and estimates to furnish and install new roofing as follows:
1. Strip existing roofing and remove debris. Calculated (1 layer). Anymore layers of roofing
needed to be stripped will be additional.
2. All gutters will be cleaned out,grounds cleaned up and nails extracted with magnets. We utilize
magnets so as to minimize your exposure to personal injure and/or property damage from nails
left behind at the job site.
3. After removal of roof, wood deck will be inspected for splitting, rot or other deterioration.
Owner will be advised of need for wood replacement prior to commencement of wood
replacement work.
4. Along all eaves of house. Ice & Water Shield waterproofing underlayment(36 "wide) will be
directly adhered to the wood deck. Waterproofing underlayment is installed to eaves to protect
against interior leakage and subsequent damage from wind-driven rain, ice and snow dams, and
freeze back conditions.
5. Install waterproofing underlayment in full width (36 wide) to all valleys and 6" to all rake
edges. Install waterproofing underlayment at all vent pipe collars and any other projections and
skylights. Underlayment adds additional protection against leakage at critical terminations.
Over remainder of house synthetic roofing paper will be installed and nailed to the wood deck.
6. Install new white drip edge to all perimeter cave edges. Drip edge is installed to protect from
leakage and rot and to provide a neat and clean perimeter profile.
7. All existing vent pipes will receive new aluminum vent pipe flashings with neoprene gasket
collars,or copper if doing red cedar roof.
8. At all eave edges or roof, shingle starter strip will be cut an installed with sealing strip at lower
edge of roof in accordance with manufacturer's specifications. This provides a watertight and
wind-resistant termination for your roof.
9. Storm nailing: Because we live in a severe storm region, additional (storm) nailing is strongly
recommended by Roofing and Siding of Cape Cod, LLC, the manufacturers and the National
Roofing Contractors Association. Secure new roof with 50% more nailing, upgrade minimum
standard (4) four nails per shingle to (6) six nails per shingle, 1 1/4 " long. Nails will be
galvanized with a rust-inhibitive coating.If red cedar roof,then using stainless steel fasteners.
10. Shingle installation: Supply and install roofing shingles according to the manufacturer's
specifications,according to the below selected material and warranty.All work to be performed
by insured professionals.
11.Install waterproofing underlayment surrounding chimney. Underlayment will extend up vertical
portion of chimney a minimum of (2) two inches. Caulk all lead flashings together around
chimney with Dymonic caulk. This is not a guarantee but a maintenance procedure. We cannot
guarantee chimney from leakage with roof job only. See chimney proposal if applicable. We
cannot guarantee existing skylights or venting:units unless we replace them with new ones.
12.Install new Broan Bathroom Light/Fan Combo and vent it through the roof.
The above s specifications are required to meet the National Roofing Contractors Association(NRCA)
roof standards, as well as to meet manufacturer's specifications for warranty requirements. Touch-up
painting may be required and is not included in this proposal..
Roofing and Siding of Cape Cod, LLC warranty: products and workmanship (100% Labor and
Materials)for 10(ten)Years after installations.
CertainTeed warrants that its shingles will be free from manufacturing defects. Below are highlights
of the warranty for LandmarkTM. See CertainTeed's Asphalt Shingle Products Limited Warranty docu-
ment for specific warranty details regarding this product.
• Lifetime, limited transferable warranty
• 10-year SureStartTM warranty(100%replacement and labor costs due to manufacturing defects)
• 10-year StreakFightefrm warranty against streaking and discoloration caused by airborne algae
• 15-year, 130mph wind-resistance warranty
Landmark, with Life-Time Warranty
Labor and Materials: $9,400.00
r� wc>rI
If acceptable, initial here Color -- \
Ventilation System
Ventilation is a system of intake and exhaust that creates a flow of air.Effective attic ventilation
provides year-round benefits,creating cooler attic in the summer and drier attic in the winter,
protecting against damage to materials and structure,helping to reduce energy consumption and
helping to prevent ice dams.
EAVE VENTING: Perimeter eave venting will provide your house with the necessary intake
ventilation to prolong the life of the shingles and the wood sheathing to ensure properly balanced
ventilation system in compliance with FHA requirements and to provide cooler attic temperatures in
the summer and less moisture laden damaging in the winter.
Vented Dripedge
EXHAUST: At peak of roof,an approximate(2)two-inch-wide continuous gap will be cut out of deck.
Air Vent, Inc. Shinglevent lI solid vinyl ridge vent with external baffle will be fastened over the
opening in the deck. Shingle caps will be cut, installed and fastened over the vinyl ridge vent into the
decking with 2 % inch coated roof nails. Shinglevent R comes with a 30-year material warranty from
Air Vent,Inc. Shinglevent H vinyl ridge vent provides you home with the necessary exhaust ventilation
to prolong the life of the shingles and the wood sheathing to ensure a properly balanced ventilation
system if used in conjunction with eave intake ventilation, and provide cooler attic temperatures in the
summer and less moisture-laden damaging air in the winter.
NOTE. With full ridge and Soffit veriting in place, gable louvers must be blocked off to prevent
negative air flow.
Labor and Materials: $600.00
If acceptable, initial here �If
• Block Gable vent from inside(plywood):
Total Contract:$10,000.00
r
Job is estimated to commence approximately _3_ weeks after deposit received unless otherwise
noted here:
Work is scheduled to be substantially completed in approximately: days If acceptable, (both)
initial here:
Start and completion times are approximate and subject to change due to, but not limited to, the
following circumstances:weather delays,additional work on previous jobs,permitting delays,etc.
This is the entire agreement. Any discussions or verbal agreements are superseded by this agreement.
Such agreements,even those of the smallest nature,must be in writing to be recognized.
Any work above and beyond the specifications outlined in this proposal will be priced on request. All
additional work, including travel time and lumberyard runs, will be subject to extra charge. In the
event of rot repairs, roof repairs or any related work requiring immediate attention, we will proceed
without customer approval.
We look forward to working with you;please call if you have any questions.
Sincerely,
ROOFING AND SIDING OF CAPE COD,LLC
ROOFING AND SIDING OF CAPE COD, LLC will provide cleanup on a continuing basis and all
debris will be removed from site.All products installed by ROOFING AND SIDING OF CAPE COD,
LLC will be to manufacturer specifications.All work will be performed by insured professionals.
All material is guaranteed to be as specified and the above work to be performed in accordance with the
drawings and/or specifications submitted for above work and completed in a substantial workmanlike
manner. There will be no refund for special-order windows, doors or any other non-stocked materials
after three days from approved proposal. All warranties will be null and void if account is not current
and paid in full.
Owner to move all personal objects, furniture, etc., from work areas.All items against walls should be
considered for removal during any exterior siding jobs, additions, etc. to guard against damage. In the
case of any roofing and ridge venting, dust and debris should be expected and any items in the goic
should be removed. ROOFING AND SIDING OF CAPE COD, LLC is not responsible for any
damages if said items remain in place.
Curtains, drapes and window and door treatments may need proper reinstallation or replacement by
customer due to sizing on any window or door replacements and is not included in jobs contracted with
ROOFING AND SIDING OF CAPE COD,LLC
I
i
Any alteration or deviation from above specifications involving extra costs will be executed only upon
written orders and will become an extra charge over and above the estimate. All agreements contingent
upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary
insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work
to be taken out by ROOFING AND SIDING OF CAPE COD, LLC. Owners who secure their own
construction-related permits or deal with unregistered contractors will be excluded from access to the
guaranty fund.
This Contract not valid unless signed by Corporate Officer:
Acceptance of Estimate
The above prices, specifications and conditions are satisfactory and are hereby accepted. ROOFING
AND SIDING OF CAPE COD,LLC is authorized to do the work as specified.
Payment will be made as such:
1/3 Deposit_3,333.00
1/3 Beginning of work 3,333.00
_1/3 upon completion 3,334.00
Date: .1 1 J, 1
Signatures: IA1 �
Note: No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of
such contract. You, the buyer may cancel this transaction at any time prior to midnight of the third
business day after the day of this transaction.
E
k
j
{
i Asses !sor s map and lot number I ``�.. ` �
Suva e Permit number * ; `3(
f� I Z DA"STAXLE,
House number .........................:y.. .........0................... 9pOp�NAB 9�
I C MAI
TOWN OF BARNSTABLE
' - ZBUILDIAG INSFECTOR
APPLICATION FOR PERMIT TO t.,•,t? '�� 2 CT i lu•C'1_ A t t;t� .c� I c��
-TYPE; OF CONSTRUCTION- ...•�.,..�c�;r•d........ Y.-!#.tvm: .....................................................................................
I
'a EF=i.........�...............19.,.
TO THE INSPECTOR OFBUILDINGS:
The undersigned hereby"applies"-for a permit according to the following information:
r
Location ...k.�t.......-� ..... .�5�'..�� .4.......: .T:............. ..........! e4..............................................................
ProposedUse :...h.. n ................................................... ................................................................................
ZoningDistrict ..... ..............................................................Fire District ..... ::?..... ....... . ..................................
/�
Nameof Owner . � �.���.�.! : .: ......81QN, C O......Address .............. - .................,..,...............................
Name of Builder ..................��..4 V1/1 ................................Address .....................�� �-C
..................................................
� ffjj ( i
Name of Architect ...........t...... :..................z ....................Address ................6 C �.4...!..! ...........................
Number of Rooms .........( .........Foundation ` .���A�Z cQ KA�t2. �`��.
Exterior l' �t'`CI�L c� / e✓�. ..! '.5?................Roofing ..................4.:5 ph a..................................................
OAkI .... fL-T� Y dl�L 1................ lY��t�'�(.)Y
Floors �. ...................�.................f.... Interior ...........�..��.y..........?'�.........�.........?. �..1..-................
Heating ....r.........�...... .. C . .....
1. ........... ? .........Plumbing ............X.C...... ...�: '.�`.`........."..:...'��' .� s..
Fireplace !4.) .......................Approximate Cost ................. � .:......................
,
Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
i
� ''tom • -
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 d _ �� . .T -//Cr.: ........... .................... ..
s-7 y
Consuetion Supervisor's License ...:�� ....:%, r��l.......
BAYSIDE BUILDING CO. A=249-2
Story
296 One
No ................. Permit for ....................................
Single Family Dwelling
...............................................................................
Location .Lot 4, 51 Childs S.......Streete.t........
Centerville
...........................................................
Owner .....Baysi.de..,Building..Cb.
.......... .... .. ............... ...
4-
Frarre
Type of Construction ......................r.....................
................................................... ....................
Plot ...................... Lot ................................
Permit Granted .......April.'..12,...............19 84
........... .....
Date of Inspection .....................................19
Date Completed ......................................19
t
TOWN OF` BARNSTABLE ...
?� Buildi,nj lnspector
$ 'Cash .
''°""'•'� OCCUPANCY PERMIT:" Bond , %
Ba side Building,C' - Centerville KA '
Issued to y Address °
All
lot #10 .4 Childs Sheet; Centerviile
Wiring Inspector f i4��� s� Inspection'date,.
Plumbing Inspector/r �� n ✓'� Inspection date.
Gas Inspector ! ss1A �.. . . Inspection date .y�k_^f 1„ AA.-
.-
I/Engineering Departine`nt N ,Inspection date
Board of Healthy/''j {i): (�i.�¢�/L Inspection date:- j
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. .
I3uilding.Inspector
FROM 1
TOVffl OF BARNSTABLE �
BUILDING DEPARTMENT
Mr. Francis Lahteine .
367.MAIN, STREET HYANNIS, MA 028M
Town Clerk Phone. 776-1120
' 4PF�f tir lq s8'.'4FpiF"i Y'+''b'4.
SUBJECT: i r
FOLD HERE • •• - - -
DATE,August -
-7 1984 MESSAGE �.
Work hasbeen. Meted under�Pezm�t #2�i296 (Bays de pu l ding Co.)
Please release Bond ;
.. ... , dSk++�'(+.$•y+•4-♦:Y'!`'"-4 4 y,.�m.r-.t,'..ii Y:+ia�oh - .. _ •
SIGNED
DATE.
s
- -' - - REPLY, .�.
_ SIGNED .` I
N87-RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY
PRINTED IN U.S.A.
SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON LNTACT.
T 12#
rv• � ' ; tzi
-SIP
ia3-CPO
_
cos~y,,"^ W
�n 3
RICHARD
A. ' .
(J�a' EAXTER y -
`v No.2sNS I a
ate
CE,e T/�/EO 1 07" F��•4 N
�• �0CAT/OA/ CE�JT ILV/LGL%
/ CrAL T,yAT TN
SNoWit/yE,2E0//�0�1f�GYS W/r// SCA O_ 4 -/l a4
7""NE•,S'/OE.0/,t/E �i N�SETBA Cf� ;off A,�/ ,eEF'E,2E.(/C�
,eE4vieEMENTs of T�16' 7-owNct� , Q
,COCA TE'l�
OATS% .4-l IS
Tiy/S f�,[��//S �t/oT B/aSEO ON Alvl .2E'G/STE.2E0 L /O SU.eV6'Y��
/i(/ST,2vM,Ei�/l,,5've✓EY� THE Q�TE.21i/.C.L.��'' MASS• ' + ' ', � ,
-�0�,�5'ETS.Sh�ai✓�V S�,lovt� NoT g� AF�,o�/C.4i�T ,�?/.niJ L�A G E
Assessor's map 'and lot number,.,.. .;Net.:..P ..a2...'.... THE
Sewage Permit:number ...
- Z 9T4D E B ABH L a
S
House number ................ ...c...J.:® ..�....�........'.. rq VZ ��a ^y. ' -t ,. 900�"6 9
•.
TI�LLFb
_ t~ � a:
TOWN OF BARIN�S.TABLE
BURDING - INSPECTOR
APPLICATION FOR PERMIT ......
TYPE OF CONST i I" RUCTION ..� 3 .:.....t'. f�V1/1 .....'.................................:.
�.y. . ...............19
°` ......... .... ..
TO THE INSPECTOR OF BUILDINGS:
The undersigned here�b./y applies
-for an permit according .to the following information:
Location ... Y.#••E•........�:�F'l t..�G�. ... �............. '..........' '•` .�. :...... ..................
ProposedUse ... .5 L.C Vl ,C..e..................................................................+.. ......................................................
Zoning District ..... —. .....Fire District '..:.. N f .w...�;... . .. .....................:.
Name of Owner ... .}��.PQ:. -5. .....&SON...Co......Address ..............C:.:!....*...................................................
r -Name of Builder ..................5....:!!!....`................................Address ..................... . ..........:.............................
cc II
Name of Architect J t.. �.... �. R.U:I..�..1 .
..................Address ........:........
Number of Rooms .......... Az........................
Foundation ....... ...... ...
Exterior I ../... .1`.��l ...............Roofing ............... f'\el ......................
...................
Floors 4K.. 1a f.11l(;Z ...... (O.y. -`..................Interior ...........(C..VQ:!;5.1.U! IN...... .::�1`�4-� ..........
Heating .....F.HA........... .1. .....:............................Plumbing .........I.lf.c...... �
'Fireplace ....6&f.c k....4...61a>�.k.......................Approximate Cost ................. .......
1 •.
Definitive Plan Approved by Planning Board ________________________________19________. S1
Area .................................... .....
Diagram of Lot and Building with Dimensions Fee ............ . .............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
III r
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 .. . : .. ... .....................
Construction Supervisor's License ... .....
BUILDING..CO.
r
No ....R�96.. Permit for ....... Sto _ s
.. ...................
.Single FE-ily Dwelling.:................ e".
Locationt.
...................Centerville..............
Owner*;...P?LY ?-de Building..QQ.........
Type Of' Construction jD ........ ' ? ........ .. =a, _ ,.r 1't �.� s
............................................... r...... .................... L'' .—'ems ��. � �. � � 'r" t '� '•� !Y `' r ,^ v7r�.-�,.,, ..,..�- " � .„�
Plot 'Lot -A ......`°... ........ ;�,
L..
Aril 12 gq ,-
Permit Granted r " 19 `
Date of I .. 19�
Date Compplted ..... ..... '19 -s Gam} . .. ..�
A•'• t
*,-s
f
Towu of Barnstable 9
' I ac�rtrax d r,,onrhrJ}vr,Lnue.lea
RA WrABI3, _ I .egwa.tol;yr .8:rc .2,.
sues. - — —
ae39, p,� Thomas;;. Caster,Director
r o Building Division
Tom Perry, Building Commissioner X-P RE S PERMIT
200 Main Street,,Hyannis,MA 02601
Office: 508-862-4038 JUL 2 9 2003
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENT e W& BARNSTABLE
a l Not Valid without Rrat X-Piers Imprinr
Map/porcol Number 2-H ( C) 2
Property Address_!�;` MA ---
00
Residential Value of Work_ o06,
Owncr'e Name dt Address `J l���(1 �, e e-�A --
S ( Cl\i\as Cenfi Er-Vi e , M 0zcP3z- —
Contractor's Name ?Cw �^ \
Tcicphox10 N amber ( _>()�5..) --
Home Improvement Contractor Licen:,e 0(if applicable)
Construction Supervisor's License#(if applicable)
f8Workman's Compensation Inswance
Cbeck ono-,
❑ I a=a sole proprietor
❑ I am the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name V Ci.V�. �"
G• I G
W orkrmn's Comp.Policy# _�Q
Permit Request(chock box)
Re-roof(stripping old shinglon) All construction debris will be taken,to U D
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Rc-side
❑ Replacement Windows. tl-Value (maximum.44)
❑ Other(specify)
•Whore required: Issuance of this permit does not exempt compliaacc anth other town d9R triu'nt rcp4tim,e,I.C.itlstmc,Conscrvatian,cir.
J
Signature .
Q:Forr,Ls:oxpmtrg
Raviec4121901 ,
gCQBQrM CERTIFICATE OF LIABILITY INSURANCE i
[PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Mc Shea Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Osterville, Ma. 02655 INSURERS AFFORDING COVERAGE
-4 - 11
INSURED E
Paul J Cazeault & Sons Roofing Inc. n
aC1_aIns mrii _�o of Illinoi
1031 Main Street Osterville, Ma 02655
COVERAGES I
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO HICHc THIS CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH �
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILSR POLICY EFFECTIVE POLICY EXPIRATION LIMITS
TYPE OF INSURANCE POLICY NUMBER ')ATE MMIDDIYY DATE MMIDDIYY
EACH OCCURRENCE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ ,
CLAIMS MADE Gil OCCUR MED EXP(Any one person)
A TB I 0 4/3 0/0 3 0 4/3 0/0 4 PERSONAL&ADV INJURY $1 QM� Q Q _I
GENERAL AGGREGATE $2 QQQ
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1 QQQ�QQ Q_
PRO LOC
POLICY
JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
(Ea accident)
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
(Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY $
(Per accident)
NON-OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
AUTO ONLY-EA ACCIDENT $ _
GARAGE LIABILITY
EA ACC $
ANY AUTO .OTHER
AUTO ONLY: AGG $
EACH OCCURRENCE $ _
EXCESS LIABILITY
OCCUR CI CLAIMS MADE AGGREGATE
$
DEDUCTIBLE
P
RETENTION $
WC STATII- OTH-
WORKERS COMPENSATION AND TORY LIMITS ER
EMPLOYERS unBlurY 7 P JUB-9 2 2 X 6 5 3 5 0 2 0 8/10/0 2 0 8/10/0 3 E.L.EACH ACCIDENT
E.L.DISEASE-EA EMPLOYEE $1
B E.L.DISEASE-POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
— — ---------- —
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL. DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. _
AUTHO ED REPRESENTA IVE
c)ACORD CORPORATION 1988
r':uC: flc�r•r _;I.11'I_i.; � U�tnl1 Ma0O?
....., I_rir)Irl., Itj/'U/:lUO:, � I;UUlll,lll' i' l:"Ir •
• II ll�ll IIII I, 1.1:11,1 .illll ,.i,.11 l., r,l .uLll.l; . 1,�111111.I III�I L.
-
.,is
UOAItD.GI l_i1:UJ1Su LiUll_I,IN1.; 1<I:c,tll.,,ill,ti:.
: CGrl;;.1'kuc i'101', -
tyulllln,r:'C:;
• Uirl ula; `
•ob: I;
kc::(rlClu(1:'00 - -
I'/\Ut_.1 CAZLAUUl-
1505 MAIN --I-
NIA (- -'
fie I2 ,0
Board o�Building. RepIzl ions and'Standards
One Ashburton Place'- Room •1301
Boston. Massacl?uscus 02108
Home 1nlhrovcnlcnt.Co»tractor Registration
Registration: 1037,14' '
Tvl Private Corporation
Expiration: VW200%
=AUL J. CAZEAULT & SONS, INC.
_ pul Cazeault
I'.O. Box 2781
irleans, MA 02653
Ulxlalc Address an(CrOut 11 c:u'tl. Nlarkl'cason'for ch:utPc.
// \illlrctis Itcucw:rl Employment Lost Card
' ../��,' �i r1/IILIII(,I/!I//I'I///�. I�',_.(/(Gk11I1.'/7IIJ�� - • -
;u:lyd of BuildingKct utalions an(1 tit:uulards
'License or registration valid,for individul use quly,
HOME IMPROVEMENT CONTRACTOR before'tile expiration(late. If roultd return lo:
'Registration: 103714 lioar(I of Buil(liii;1tegulati6ns and standards
Expiration: 7/912004 .Qnc Asldlurtolt Place Rin 1301
Type: Private Corporation
Boston, lla'. 0210,S
'. :AUI_T S SONS, INC.
� a
Property Owner Must Complete and Sign This Section If Using A
Builder
I, 11 ` �-' , as Owner of the subject property
U
hereby authorize to act on my behalf,
in all matters relative to ork authorized by this building permit application for (address of
job)
Signature of Owner Date
00HIv
Print Name
2