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HomeMy WebLinkAbout0066 CLIFTON LANE CD CO C ! �-��-o n : ►...�..M e �. e o a a Xk * S �n of Ba`rns table Permit� . t�J 7�ow Fapires 6 months from issue date ulato Se>�ces Fee EC 12 g ry - i�iuvsrn$is: * ZD M"QQ Thomas a F.Geiler,Director lE OF eA Building Division � '1 11 ZA TA erry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.mLus Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERAHT APPLICATION RESIDENTIAL ONLY / )�/ ��� Not Valid without Red X-Press Imprint . Map/parcel Number "L b( Property Address W �. r t4� jti .. C A U;:���. 1M Residential Value of.Work q 2 �ro Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name r 'U mP lit t /J 06 C�"`�'� Telephone Number Home Improvement Contractor License#(if applicable) ! a Construction Supervisor's License#(if applicable) 1] 7 ,❑W orkman's.Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [�-I have Worker's Compensation Insurance Insurance Company Name (� ,An C U- Workman's Comp.Policy# W al Sf. Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ` ❑ Re-roof(hurricane.nailed)(stripping`old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side `\\ #of doors . Replacement Windows/doors/sliders:U-Value V (maximum .35)#of windows .Smoke/Carbon.Monoxide detectors 4 floor plans marked with red`S and.inspections required: Separate Electrical&Fire Permits required. . *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 required. SIGNATURE. n-VPFTT.FS\F(-)RMS\huildine nermitforms\EXPRESS.doc ne.C,ommonweatm uj l iaxNuc;ruo i.cn Department,of Industrial Accidents ' Office of Investigations 600 Washington Street Boston;.MA 02111, vww.massigov a Workers' Compensation Insurance* Affidavit::Builders/Contractors/Electricians/Plum. ers Applicant Inforivation 1 Please Print Legibly • - Name(Business/organization/IndivduaI): L`'�l1 e �� i►PD�` •Address: City/State/Zip: Phone.#: Are you an employer? Check.the appropriate box: .Type of pir oject(required):. 1.[] I am a e to er with` . .4. kI am a general contractor.and.I. Y _ 6. 0 New construction employees (full and/oiperrt-time) * have hired the stab-contractors ` 2:❑ I am a-sole proprietor or partner- listed-on the-attached sheet 7. 0 Remodeling ship and have no employees These sub-contractors have %. 8. []Demolition„ workingforme.in an ca aci employees and have workers' y P ty 9. .F Building addition comp [No workers' comp,insuraance. insurance. required.] 5:.Q We are i corporation and its - 10.0 Electrical repairs or additions officers have exercised their 11. Plumb* repairs.or additions 3.1 I am a homeowaer.doing all work ❑ g 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors.and state whether.or not those entities have employers..if the sub-contractors bane employees,they must provide their workers'comp.policy.number. I am an employer that isproviding 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: 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 tmder.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 certify under the pains and penalties of perjury.fhat the information provided above is true and correct S7. i mature: CA. Date: Phone# Official use only. Do not write in this area,to be completed by city or town official City`or Town: Permit/License# Issuing Authority(circle one): J.Board of Health 2,Building Department 3.City/Town Clerk 4..Electrical Inspector,5.Plumbing Inspector -6.Other Contact Person: . Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'.compensation.for thew 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 legalentity,employing employees.. However e owner of a dwelling house having not more than three apartrments and who resides therein;or the occupant of the. dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing.agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant wlio has not produced-acceptable evidence of compliance with fhe.insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until-acceptable-evidence of compliaLce'vrith.the insm-ance . 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,sbpply sub-contractors)name(s),address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships,(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to.sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license.is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete*and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you.regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications 'n 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 maybe provided to the applicant as proof thata 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 fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said pees-on is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give"us a call ' * :7_> The Department's address,telephone-and fax number: :i�Commouwealth ofM=aohus Office of Invic do 6QO Washingtcffi St=t Boston,l lA 2111 Tel.#; 617-7-27-4%0 ext 406 aF 1-M-MASSAF Fax#617 727-7749 Revised 11-22-06 wwwmass-go*ia 26/2012 8:30:I7 .A24 PST (till-"c) FROM: 1{)00057TO: '15.8 .302086 Page.: 2 of 2 ACC>bl CERTIFICATE OF LIABILITY INSURANCE 9tlT 412Bft�IYYY1? THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORBAATION ONLY AND CONIFERS.NO RIGHTS UPON THE CERTIFICATE WLDER.THIS CERTIFICATE DOES NOT AFFIR9AATNELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT,BETWEEN THE ISSUING INSURER(S),AUTHORIZED RFPRESE14TATIVE ORpRODUCER,AND THE CERTIFICATE HOLDER. II IMPORTANT: if the catificate holder is an ADDRIONAL fNSURED,'the policy(ies�must be endorsed, It SUBROGATWN IS WAIVED,subjmct to the leans and conditions of the policy,certain policies may requite an endorsement:.A stateaneat on this certificate does not coofesrrights to the certificate holder in Neu at such endorset,ne s PRoDucnl PAUL 13 SULLIVAN INS AGCY INC T 1467 S MAIN ST P,r FALL RIVER,MA 02724 MMMERMIAPPORD1101COVErAGE NAIL! CASURER A JOSEPH DUARTE&JOHN DALEY VA&MRc; DSA J&J REMODELING 15 WILSON WAY Ntau o: MIDDLEBOROUGH MA a2346 Ns~r.: RF_ COVERAGES CERTIFICATE NUMBER: REVISION ROVENIUM FOR THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREQ.NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE'MAY BE ISSUED OR MAY PERTAIN,THE MSURANCE AifORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBjECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. P CY .PDu Y txv LONrT9 - - It3R TYF*OF INSURANCE I POLICY Taff R LTR EALxt OCCURf>gIdCE f . GENERAL LIABILITY - - - - - - PRIEMISfS ffia ocartenoe S _ _ COMMERCIAL ORAL LIABILITY ! D (/Mt enema) f CLANS•MADE OCCUR PERSONAL 8 ACV INJURY S GELS RALAGOREOATE S PRODUCTS-COIdMOP AGO f GENL AGOREOATE LIMIT APPLIES PER; f POLICY PRO tOG a art ! LIMIT S F—TAUTOVIDIMILt UABLITY - - ,.. BODILY ttKllA2Y(Pbr Vinson) ANY AUTO : BODILY INJl1RY{Pm ateii*d) _ Al OWNED SCHEOULEO AUTOS AUTOS racadeM GE S ❑NON•OWNM NIREO AUTOS AUTOS S • f . EACH OCCIIFAENOE S UNaRELLA LOD - .OCCUR AGGREGATE f EXCESS LUe- CLAIMS.LAADE pE0 RETENTION 2/2/2012 2t2C2Qt3 wc ATtMf wo'tMRS COMPENSATION WC5 31538480p 012 T YLI A ANO 6MPLOWEPT U AWLrrY V r N - .. -E.L.EACH ACCIDENT i 11�Ot) ANY PROPRIE1OAIPAR1WEMX£GVTNE NIA - E.L.DISEAQE-EA EMPLOYEE OFFiCERNOMBERF)ICLUDEO? .� - _ (Mandatory in NH). E.L•DISEASE.POLICY LOOT f 5000t? It rr6t,deserbe under - 11 PTION Of OPERATIONS heb a DESCRIPTION OF OPERATIONS I I„pCATIONS I VLMMIP to (A1tat hACOR01Gt,Additional Remadta ltehedule,R twrr apace it required) Workers Compensation insurance coverage applies only to the workers CDmperlsafion laws of the State of IAA. NO PARTNERS ARE COVERED BY THE WORKERS'COMPEtISATION POLICY. \ EL . . C T A--E HOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICES CANCEL�EQ BEFOREIN TOWN OF BARNSTASLE TWE EIIPIRATION DATE THEREOF. NOTICE volt. BE SLIVERED ACCORDANCE VATH THE POLICY PROVISIONS. 200 MAIN STREET HYANNIS MA' 02601 AUTNORIZfoMe MSEWATNM fir. ,,; JeH Eidr t>< 0 1988-a010 ACORo CoRPQRATION. All rights reserved. 6►CORD 24(201ttfDS) T D name and logo am tegWered mar"of ACORO of l —LO mV issued-cettLILratea• CERS rc0.. 11951321 CLl6NT DOE: 19t51U' na.a Andac son AY26/2012 a:27•51 Art rage 1' This ra[ti llcaCe 4dn oels and svper3edes'ALL P 08-20-'12 06:09 FROM-THD PRODUCT August 17,2012 Barnstable Building Dept. The following is a list of our approved sub-contractors for The Nome Depot. Ericsson Torres-CSSL 4,100546 HIC#-163528 Robert Reposa - CS#60526 H IC# 147080 oT'rt►ofiy Thomas=CS#51899 HIC# 152121 Joseph Duarte - CS#70077. HIC#132349 Douglas Szynal CSSL# 103950 HIC# 146142 Brian Laroche- -CSSL#100478 HIC#152612 Joseph Mckeon CSSL#98863- HIC# 132614 i If you have any questions please contact Mike Bedard our permit coordinator at - 508-962-6942 or myself at 617-438.9017. S cer y, ussel Jo t Branc stallation Manager . THO All-Horne Sorvices,Inc. 908 Boston Turnpike• unit 1•Shrewsbury,MA 01545 Mane:774.275.2139•Fax:5M845.6076+Toll Frei:800.557-5182 Al oblfu Product; NFRC �out,i.�—;lung r �lLntaaa cie caLbie guiiiocina •'' . . ,srgu::iLou—E ; ;►sgcirlI,Gw--:: lt8" Class i 3.1d ram Vi::rio Natloraf Fenesfradon " RatingCoundf® vo i,aarina sd �.a ; ain.viario lawinado ;htl R.riClo j Con rojiila� ENERGYPERFORMANCE RATINGS I EVAWACION DE RENDIMIENTO ENERGETICO U-Factor Solar Heat Gain Coefficient Factor-U Coeficiente:Ganancia de Energla Solar 24 (USJFP) (MetrrcoM ADDITOIV�►L.`PERFCyRMANCE RATINGS } EVALUAC.ION SUPtFMENTARIA DE RENDIMIENTO Visiblefransmittance TransmisiondeWiVisible .. t o . 44 Manufacturer doulates that these songs conform to applicable NFRC procedures for determining whole product performance.NFRC ratings are.detennined for a foxed setot environmental conditions.and a specific product she.NFRC does Trot recommend arty product ,. and does not wartard the suitability of any product for any specific use.Consult manufacbuervifterawre for other product performance ; Infomiation.www.hh.org •' Este fabricante.eslipula quo estos valores cumplen con los piocedimientoq apWles de NFRC pars deternlaar d rendimlerrto total del' producto,Los vaiores usados por NFRC son determinados por un conjunto fijo de mndidones amblenWa y un tamano de pmducto especifico.NFRC no recomienda ningun produdD y no gardndia qua el productD sea adecuado para un use espedAco.Conwfte con el folieb:del tabdcante para el uso..aproplado de este product.www.ntrc.org Unit qualifies Ior MERGY STAR region(s): Northern, North � �� • antral, Soutb Central, Southern., (gyp may[ �� f id-��G f1�FL 3TItN1... T.R iani.ded caalafir,^ pavr& IA(a) A regiori(es)_. .W47ERCY STAR: Iatta, 9TC: 29 ti Norte CenLral, Sul Central, Suc. IRD: Rain OO/Glaris 1/8" ProSolar/d—LC25 yi Tested Size: 48" x 80" i M- Raluerzo UO/Vickrio 3.18 =/H-LC25" DP +2 h/—2 5 Taroaho probado: 121.9 cm x 203.2 cm Applicable 'rest staadcird(s) : ANSI/AAMA/NWkVA101/1.a.2-97,AA ' MA/WVMA/CSA101/1.8.2/A440-05,A AMA/wxA/csA101/i.s.2/A440--08, . 7605100/02 g1668 xs Burnett 5319696 Keep tha label for possifile'ENERGY STARS rebates.To team more visit www.energysior gov t _. Guaide esto etiqueta pain posrbles reembolws ENERGY STAR®Pura ronocei m6s ocerca de afro,isite www.energystacgov. • vlie tpamiinaiewea�o�Gac�ivae�la ffice of Consumer Affairs&Business Regulation "License oY registration valid for individul use only • ME IMPROV NT CONTRACTOR before the expiration date. If found return to; Office of Consumer Affairs and Business Regulation egistrat! : Type 10 Park Plaza-Suite 5170 Ezpi Supplement .'ar 'Boston,MA 02116 The Home Depot a MARK NIADNA ' 2690 CUMBERLAND. S ATM,GA 30339 Undersecretary of valid with ut signature . • ,. .E ,: y • _ • HOME IMPROVEMENT CONTRACT. PLEASE READ THIS /� / Sold,Furnished and Installed by: Branch Name Boston Date/J�3 f �v TEED At-Home Services.Inc. xyWa The Home Depot At-Home Services 345A Greertwood Sweet,Unit 2,Worcester,MA Oi 607 . Branch Number:31 Toll Free(NO)657-5182; Fax(508)756-8823 Fedcr4 lb# ME Lie>#C 02439;RI Cont U416427, Cr ti-56S522;MA Home tmprovenwat Contractor Reg.#126893 Installation Address: C if bar LQ fiC� LC r/i �� /7 4 2•� -- City .:. . State Zip. em s): Work Phone: H000e ftw. Cctl Plx.e- �. L60573 Home Address: &J/ / Z jo ie god rr1i�laim/ (If different Irom Installation Address) Qty,. State. Qa Zi E-mar7 Address(to receive project communications and Home Depot updates). _ w ❑I)m NOT wish to.receive any remarketing—As from The Home Depot_ Pr�oiect Information: Undersigned("Customer").-the owners of the property loca ted at the above installation address,agrees to buy, and THD At-Hoare Services,Inc.("The Home Depot')agrees.to furnish;-deliver and arrange for the installation("Insb latiod of all materials described.on the below and on the refeaery ed Spec Sheet(s),all of which are incorporated into this Contract by this refercnec,along with any applicable Stare Supplement and Payment Summary attached henAo and any Change Orders(collectively, "Contract"): _ Iob# (rm�ree�t Pmndutla: s #- froject Amount J !� ❑Roo�g❑Sidmg rndows ❑Insnrlytico , 05 36 ggf- ❑Gome<s/Covers QF�y Doors❑ V. < ❑Rarfing❑Siding❑vlrundo—.❑Insul7. ation ❑Guttcas l Co,CM ❑finoty Doaas_i7 _ []Roofing ]Siding❑wrndow•s J insulation $ []Gutters!tbvus ❑Entry Doors ❑Roofi ng❑sidieg�❑vlrimxiows❑Insntatibn -_ $ ❑Cmtrems/Covers'.[]Entry Doors blinimom Z54n Deposit ofCaamaetAmwnt teapmem►sfimdfl�a�ttraq. Total Contract Amount $ POV�LQ [ Cnstotner agrees that,immediately upon completion of the work for each Product,Customer will execute a Completion Certificate Eone.for,each-)?roduct'as defined by an individual Spec_Sheet)and pay any balance due_ As applicable,each Cuslomc:r under this Coiitiact agrees to be.jormly and save ally obligated and liable berettoder_ The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s)included herein,at its discretion,if The Home Depot or its authorized service provider determines that it carmot.perfotm its obligations due to a structural problem with the home,environmental hazards such as mold,asbestos or lead pain other safety concerns,pricing exrurs or because work required to complete the;job was not included in the Contract. Payment Summary: The Payment Summary# .Zf-L:4 _included as part of this Contract, sets forth the total Contract amount and payments required for the deposits and final payments by Product(as applicable). NOTICE TO CUSTOMER You are entitled to a completely filled-in copy of the Contract at the time you sign. Do not sign a Completion Certificate(uote: there is one Completion Certificate for each hsted Product as defined by individual Spec Sheets)before work on that Product is complete. In the event of termination of this Contract,Customer agrees to pay The Rome Depot the costs of materials,labor,expenses and services provided by The Home Depot or Authorized Service Provider through the date of termination,plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM Tim DEPOSIT PAYMENT OR OTHER PAYMENTS MADE, WITHOUT LIMPITNG THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acceptance and Authorization: Customer agrees and understands that this Agreement is the entire agreement between Customer and The Home Depot with regard to the Products and Installation services and supersedes at(prior discussions and agreements,either oral or written,relating to said Products and Installation_This Ageement cannot be assigned or amended except by a writing signed. by Customer and The Home Depot.Customer acknowledges and agrees that Customer has mead,understands,voluntarily accept¢the terms of and has received a copy of this Aft. Accopted by: , Su 'fled by: !� d• �- x 6- Custo s=Alq nsultant's Si lure Date X --� b^ - ( T one No- ��f Mer's Signature Date Sales Consultant License No. CANCELLATIONS CUSTOMER MAY CANCEL. THIS (aa applicahlc) AGREW"Pff WITHOUT PENALTY OR OBLIGATION BY DELIVE ZING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON THE THLRD BUSINESS DAY AFTER SIGNING THIS AGREEMENT. THE - STATE SUPPLEMENT ATTAC1EED HERETO CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY . LAW IN CUST�'S STATE. iHOTIf.E:ADDInONAL TORMS AND Cf"MMONS ARE STATED ON THE REVEIM SIDE AND ARE PART OF THIS CONrRACr Zd WbUS:8 600Z 6Z %idy S22Z29£805: 'ON XUJ pu6wEt: WOW t 1 Office of Consumer Affairs and usiness Regulation 1 O Park Pla?--- - Suite 5170 Boston,lVlassachpsetts 02116 Nome Improvement C���tor Registration . s;; > >== —-.:- Registration: 132345 Type:, Partnership 1 r� Expiration: 1/1112013 Tr# 2073D2 J &J Remodeling } T ...... �- Joseph Duarte. 15 Fall St: Wareham, ma 02571 :1Update'Kddress and return card:Mark reason for change Q Address F1 Renewal ❑ Employment". Lost Card P8-CAY 0 60M-04/04-010121E OflSce of Coneui � ifsiueS egu s oa Licensa or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date: 1f found return to: TawHOME Iation• •132349 � Type: office of Consumer Affairs and.Business Regulation Regis10 park Plaza-Suite 5170. Expiration: .: /t112013 Partnership Boston,MA 0211E odeling; Joseph Duarte 15 Fall St. Wareham,mg 02571 t JAdersccrccary r. of va d without signature �l.t••urhu,ctt.- Dcll.u•npent 1►t Public Sufc(� � Bo.u•d hf Bulidind Rel�uLttiun�.ucd '+puulard� Construction Supervisor ,License License: cS 70077 . JOSEPH C'DUARTE. 15 FALL ST WAREHAM,MA 02571 , J Expiration: 12/30/20.12 �..uuld,ciu�ml' Tr#: 70 8 Tr) �ri�;� z9 56Z . s:ZZ= ti0Z�Zo 10 „o�'"`'• TOWN OF BARNSTABLE. 213?8 Permit No. - 1 "MnAU i Building pInspector cash 3U�x(-J f 9 OCCUPANCY.. PERMIT . Bond No building nor structure shall be erected, and no land,building or structure,shall be used Jor a new, different, changed, or enlarged use without a, Building,_-Permit therefor. first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspejer.”a3� � 2(,7� Issued to Christ: Yeraco Address 298 Brighton St.,,Belmont, MA lot #111 66. Clifton Lane, hest Hvannlgnort Wiring Inspector f 1 Inspection'date Plumbing Inspector' s+-Y ° ,Q, ;,° Inspection date Gras Inspector f f� � Inspection date Engineering Department -f-� � / ��:f �{�� e Inspection date f.� '�- / 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. / /Building Inspector EY r•�M i e' �' ,(., p_ 4 .. f• iJ �� ij{�b.,t ,� '�'tk kp�T"� + �k1 r" IM 440 F y e: i{tx t +�� Y F 4{ "SG y� \xp `• xt t t t 47 { n\� � "' �,.t� — r � t i 7 S/ C/�G r f '� �•��f� ,fit„° �e,�.r�; � ��,I l;. t - _ � 7 '` .f E\ \ ra- Q -i: s''� i,<.� T t �1• t` ��,a Y x 'S ,� r � ,• III V t.y j__,A �.� �',� f � rk - ^ i� � < J 4 � '+x � �ty e. r `-_r X •- l fi« �. 'It r + ' E i_ '° f "' i t � F f't �, i"� z �j,y � '�� s a' ,� < t",�T -� u:• F 4� 3 U �//'/��. - V, „ {, + , '3.�r t~?���;T t P*} AS.. at... r 1 ' p h S 3 , ; r r f 7S/ GG ' �� Y � .r• _ .�C---S `S 3 Cv'S , �..`'v�/ T 7 sV� P _ +i � f , f 1 I , r 1 CERTIFIED PLOT PLAN i NEW- 'CONSTRUCTION ONLY = Y F�6 TOP 'OF° FOUNDATION IS ! FEET IN ABOVE .LOW POINT .OF 'ADJACENT ROAD A = SCALE:: I = 3G / D11TE =�khc IN_l`19�s ELDREDGE ENGINEERING CO:'lN i CLIENT CERTIFY THAT,-THE �!-d c SHOWN ON -THIS PLAN IS LOCATED E®ISTERED REGISTERED JOB NO`.?5, AN 3 Y ON. THE GROUND' AS INDICATED ' D . CIVIL I LAND, CONFORMS'' TO THE ZONING LAW S-, > ENGINEER . SURVEYOR DR. BY 9t P OF BARN �ALBE 33 ^NO MAIN ST 712 MAIN ST �-.--t --�- =S0 ,YA`R-MOUTHi MASS.,' NYANhfIS,Y$MASS.' SH'EET�L OF DAT E REG. LAND SURVEYOR i f' 1214 r4 tg `S-� .5 r'.S�J � - ate', ,• ti � t � III } y •} q k t I /75,v 0 } /,,J- e A/ - -.t. - i r r�-4 •rry L&AGr=/NCB _P/T '{ $ .,rt �,.. 7 -5tF �•�—..� /000 G:qL } J r h trda • r` - P' +1 � 3-G�j!G �I. E, f,t r,� ,e>�f ft. v n1 ofEllj f�N K: yys, 1 I a 9A O n� 13 v ;I F r - ' A ; 38 TO hl 'C }'ip 'a t i:� �•s ,,rh •z'L --__•._[-�-.`� /S� � a .t �� r' ! � i -,�' 1 e 75,00 ,s t F 1 b aur11KlS r W,i 2-21G2�0 Q GISTS S/0NAV. LEGEND ."EXISTING _SPOT- ELEVATION: ®,<o CERTIFIED PLOT PLAN` EXISTING. CONTOUR -- - p ;- = GUr //� °ems/�To 7 AJ6 FINISHED ' SPOT ELEVATION : O.O f rlN1SHED- CONTOUR' ;.0 _'i�}/V y/s�ORT �trt P' } i IIN APPROVED BOARD OF HEALTHTA g t k ®ATE AGENT rt, SCALE, '� _ ,3D- ' DATE='VZS�7y} 1 -- IN _.._:.,.f CLIENT __ -------- (' 'CERTIFY THAT THE PROPOSED a v EGISTERE REGISTERED 7�U3 f BUILDING SHOWN ON THIS 'PLAN h J013NO. €r{ CIVIL LAND CONFORMS TO THE ZONING.- LAWS ENGINEER SURVEYOR DR. ®Y OF BARNS . E MA 33 N MAIN ST 712 'µMAiP1,,STV e I cH: ®Y S0. YARNI'OUTH, MASS. NYANNIS, MASS. SHEET OF 2 'DAlE REG.' LAND SURVEYOR_; _ i = sue= ...._.. . .... -•^"- - - .. _ i /Y07-EE/TNE/4 THE SgPT/G TANK DIQ`k 20� — MoR E TT 7. "O/AM ET.E� F_ TE COL'ER _- :. -c . .-•: S1•JALL:" tE. /9ROUGf,IT• TO G/�.4OE. i•�i✓ .EXTRA " T L76i�?/ r /ROqNPyC PIPE iy Nr O> '/- ERE SfALL` 3E^A5T TE P/TCN EVE 1 /A Y-GONGRe /03,DEL-E✓ �18%PEq US E:U fi ! . ! CiR.4L>E . /. . CCU VE.4. CG EAA/ j ( trr— � •' � p) -TI.T/—Tr-rTTrr"TTr-I"'l7-r-T9—r.7j1 I _ i 1/ftYa.. / O} �/B' 6, T i :I f /RON P/PE I. C U J1- -70 D a o 1 e a 'a . s.l I ld aA oo QASHED STDNE i4"PER �r _ SEPT/C 4 NK B a X I e� • ' - i � i 1 •E FFECT'/VE �2 1 • IOEPTH • e 1 ' '� o I WASHED STONE f Jay��1.....�..•:d'T�`,:>v'-6'�`�� i i O 2. 1 ► i�:- • • • • 1 1 P p q o o� 1 i Ib_ o• ;,� ° PI �--- PKECAST SEEPACrE ' °*P P/7 OR EQ[J/✓. i !N{/eRT EL'E✓s4T/DNS r_L Y 9 ?s ..__ � /N1/ERT AT BU/L1�/NG /� —o FT. - SEE T�iUL`ATIO-N, - — ---� /v'' FT. v/,41v7- r C� i i /NL ET SEPT/C-'TANK OUTLET SEPT•/G TANK :�I AFT F .. I GRJVNo Nlfl TER"TABLE.= //VL.ET.G/STR/a9lJT/DN DOX `���_�Fir SECTION 4F - t L ou;T�'ETDISTR/8JT/UN BOX_ `T-`�FT. S`1✓.STE/>`1 I ' //V[.ET LE<+CN!NG �/ r ems:-FT TA�CJLAT�ON - L.H'ACH /VG vIMENS/J/V A —jy--FT. ' SCALE, �4 = / - O b 1 /HENS/ON $ FT. I DES/G'/V CRITERIA D D/HENS/ON C_� FT.M ✓: ; - GARBAvE D/SPOSAL L/N/T .._— _ a SOIL SO/L TEST _ 1 L TL�ST #L SOIL.TEST,#2 t ES .4'TFD fLOlam/__3 3 cJ GAL.I DAY R.�SO _ / TOTAL T1M S Z 4 /�7`/ I NuMdER OF .:EACNfNG: P/T5 _ FcEK 100.0 �-ELFY IOATE OF SOIL TEST ___ --_— t i 5106 LEACH/NG PcK V%T —SQ. FT. RESULTS /WITNESSED NY 7 �. O G �P�/rCOLAT/ON R/4TE I .�.GSSTtaAil/M/N�INCH i evTTO/of'l Eracri//vG PEK F'Ir,—..__S4- Gr c.cA /'i hE/tCOLA►T/ON ,RATE TOTAL LEACH//✓G-AREA L t RESERI�E LFACN//VG AREA°'_Zb T. ' 50.6 SO/ F ,ThoF ",.4 �,�. s� ter_/� r F U su►viK�s N ELOf�El�G��/�lG/N�ER/!VG co NG No 22162�0 Q , 712. MA/N ST 33 NO, _ T g FG/STEP ` 14YANN/3 MASS �O Yi4.RMC�UTHf M SS { NO GR0UN0 yYATEf�I E�NCOUNTE�EG '- �MAL� T t�'y _ C_7 'CsI�OUNa Y�.lfTER A - .IOB NO. �qo 34 ,SKEET 2- OF' t Z� ` Aioessor's map and lot number 3�,f _ 7 � _ a/� . •i� �-- .30.....E Y ��N ��,` Sewage Permit number ........................................................ W ENVIRONMENTAL. r , .............:................,House number ................... . . Tr riq pF 'n t639. _. TOWN OF :BARNSTABLE' ,7 BUILDING IN$PECTOR APPLICATION FOR PERMIT TO .. ���,s�..................................�� A� �L C'1�� .. .................................................................... TYPEOF CONSTRUCTION .................. ............................!�I.....�,Y...... ......................................................... ......... AY.3d..................19.1.1.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit/accordi-n/g to tthe/ followiW,�e formation: ,Q Location .... ® ..�� ......CL/�7,d�.V..... N. .1N. . �/Vlf/.oa 7a ........................... Proposed Use ........ L L / (?........................... `............... ...... p o� � J 7 Zoning District ..........a.....................................................Fire District �JO oc� .r�? .�........y........... .. ........ .i..d!:! Name of Owner Alk/S.....�"..:.!�eo. ..................Address `.��........................................��......... IL Name of Builder 0w�£ ....Address ........................................ Nameof Architect ............................................:.....................Address .................................................. o " Foundation PUMOIQ C o A C,e r7� Number of Rooms ......... ....................................... .............................................................................. 00 .XS10mo 47-- i�VIIXI-ES Exterior ............................................................:.......................Roofing ..................................................................................... Floors ..........0 7..................................................Interior .............1� ���L........................................ r:. Heating ........C l �'�' T/�.1.e...........................................Plumbing ........`.... .Z{ .................................................. ...................... �/ ®G Fireplace J�Q�� ................Approximate Cost .............................................. Definitive Plan Approved by Planning Board ---------------____-----------19________. Area �J Z ......... ........... ............... Diagram of Lot and Building with Dimensions Fee �o rs.c�............. SUBJECT TO APPROVAL OF BOARD OF HEALTH �Ai �� aD 5�3 d r 1 December 10, 1979 House to be occupied during Summer months only. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ` 1 Name ...... .... .... C ...... .................... SYeraco, Christ' A=247-5 t 21378...... Permit for single••famii y...... DwcaI 1 itIg..................................................... j Location Lot. 13A.....666 .ClYftm--Ic....... ...................... - Owner ........Christ•Yeraca............................. Type of Construction ............wood.................... ............................................................................... Plot ....... ............ Lot ................................ Permit Granted ....................:jam. 1 ..::1979 Date of Inspection ........................... 19 Date Completed ...(. .......... ..........19 PERMIT REFUSED . ... .,. ��....� . 19 r ,/ s - : : - -h............ i ..................... f, •f - �s Vs.......................................................... ? _ . . ..................................................... ve .......................................... 19 .. . ............................................................. ................................................................................ Assessor's map and lot number `, .r...... _.. o%THE rc SewagePermit number ........................................................ Z BAUSTAI L • House number ................... ... .............................. 9 MA66 • t. �p 039. 6� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ..................:.............................................................................................................. TYPE OF CONSTRUCTION S1 A C � �'�/�I� r .... F4 41 V 6 AMY.So..................19. TO THE INSPECTOR OF BUILDINGS: .The undersigned hereby applies for a permit according to the following information: �� ✓ice.......r. �`�-a�/ �I/ � ?" �!.��v�t// 'Q ................................ Location ........................... ................................... .............................. ............................... f «A.)6 ProposedUse ........ .. ................................................................................................................................................... ZoningDistrict ........... �........................ ...........................Fire District .............................................................................. Nameof Owner ....................... ............................................Address ...................................................,................................... Q(�A/ _ 4 Name of Builder ............................... ...........Address Nameof Architect ..................................................................Address ............................................:...................................... Number of Rooms ........................'+........................................ Foundation .... .......n................................................................................. © � CS' Exierior ..... ........... ..........................,........................ Roofng ......... ...............................................Floors ,f��� ..................................................Interior .............. Heating .FL CC 7-/ / - Plumbing , .............. . ....................................... ........ .................................................. Fireplace ............A1(.).A). .................................................Approximate Cost ...... A,d .Q.............. ................................... Definitive Plan Approved by. Planning Board ________________________________19________. Area ............. Diagram of Lot and Building with Dimensions" Fee .X3.k ............ SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 ,le• I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. y d Name .............. ............. ,� _� .................................. , Yeraco, Christ ` No .2]3Z8—. Permitfor —' . .. family ' ---.'o�wmlliag----------------' Location ......... � .............. '...... ~..~'^.°^-- � � | Chris � � ' � .............. ......................-- � � .....! PermitL " " Granted � Date of Inspection19 - -' . . � . � � ' PERMIT REFUZED � ......................................... ------' lA � /�� � —. . . ..------- / ' < / ^=~�= �—'- ^'f'' ~-----^—`-----~— ^� ` . ' ' —.--.—..—.— ------.—.--..—.----- ............... ........................................... ................... ' +� ` A ' rove6 ---------------- lA ----^--'-------~^'^------^--- � � � .................. � . �