HomeMy WebLinkAbout0061 CAP'N ISIAH'S ROAD c
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�OfIHETp� Town of Barnstable *Permit#
Expires 6 mouths jrnm issue.dale
Regulatory Services Fee
BARNSTABLE.
9 MASS. Thomas F. Geiler, Director
AIFOMAya PRESS PERMIT
Building Division - ,N
Tom Perry,CBO, Building Commissioner �FQ �� 9
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us TOWN OF BARNSTABLE
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number_..__&-?ff 0 70
Property Address _ 'j.
ed y
Residential Value of Wort. (I `7 Minimum fee of$25.00 for work under$6000.00
Owner's Name & Address Pd:/�'l UY t. V o
�
Jvc�� �-+mot p �r`l9�z
C:'ontractor's Name Tele hone Number
I Ionic Improvement Contractor License# (if applicable)
Construction Supervisor's License# (if applicable) C�
❑Workman's Compensation Insurance
Chec one:
I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name !� /
Workman's Comp. Policy# y l
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing layers of roof)
IN R side
❑ Replacement Windows/doors/sliders. U-Value (maximum .44)
'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc.
'Note: P erty Owner st sign Property Owner Letter of Permission.
A c y of the ome Improvement Contractors License is required.
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�.'\A I'I II.I:SU ORMS\huildingVC
r n forms\EXP ESS.doc
Revised 100608
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David Sawyer Construction
318 Meiggs Backus Rd
Sandwich, Ma 02563
508.539.1992
Proposal Submitted To Work Address
Ms. Patricia Pronovost 61 Captain Isaiah's Rd
508-428-1448 Cotuit, MA 02635
Work to be Performed:
*Strip all sidewall shingles on 4 walls of house(price per wall $1,700)
Replace with new R& R White Cedar Shingles
*Install
Tyvek Paper
Paper Splines
Window Caps
Lead along chimney as needed
Replace all rake boards with Azeck Trim
Replace all corner boards with Azeck Trim
Replace rotten trim on windows as needed
*Clean & Remove all debris from work place after job and take to landfill.
Total Investment& Labor: $ 7,640.00
Payment due in full at time of job completion.
All materials guaranteed to be as specific,and work to be performed as stated
above. Work to be completed in a workmanlike manner.
Any alteration or deviation from the work specifications involving extra costs will be
executed only upon written order, and will become an extra charge over and above
the estimate. All agreements contingent upon strikes, accidents or delays beyond
our control. Please remove and or secure any fragile household items.
Not responsible for broken or damage to household items.
Five Year Labor Warranty/Plus Manufactures Shingle Warranty.
We may withdraw this pro al if of accepted within 30 day .
Respectfully Submitted r, ('
Acceptance of Proposal
The above prices, specifications and conditions are satisfactory and are hereby
accepted. You are authorized.to do the work as specified. Payment is due in full at
job completion. 7�
Dat l v Signature" r::Y:
y
t�.
F
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations'
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensati Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
A lica at Information �-- . Please Print Le 'bl
IL-
Name (Business/Organization/In vi u ):
-Address: (�
City/State/Zip- Phone-#: �b�i� 3�f✓(-' �
Are you an employer?'Check the appropriate box: Type of projtet(required):
1.❑ I am a employer with 4. ❑ 1 am a general contractor and 1 6. ❑New construction
have hired the sub-contractors
employees(full and/or part-time),*
I am a We proprietor or partber-' listed on the attached sheet 7. .❑Remodeling
s p and have no employees These sub-contractors have g. '❑Demolition
working for me in any capacity. employees and have workers'comp.
❑Building addition
[No workers'-comp.•insurance comp. insurance.$
required] 5. We are a corporation and its -10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself. [No workers' comb_ right 6f exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152, §1(4), and we have no
employees. [No workers' 13.[�JOther
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 subnrit a new affidavit indicating such.
tContractors 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 ernployecs,they must pmvidt 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.M Expiration Date:
Job Site Address:` l zz
f G�-f�lS City/Statdzip:
Attach a copy of the workers' clympensation 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 ce ' nder the pa' s"and penalties ofperjury that the information provided above is true and correct.
Si a `'„ '
Phone#
Official use only. Do not write in this area,to be completed by city or town offuiaL
City or Town: Permit/License#
Issuing Authority(circle one):
I.Board of Health '2.Building Department 3. City/Town CIerk 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 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
." ofthe foregomg-engag m a jom en rpnse,-auac moZu3id n` lie lbg represen�atitTe3r6f- ilecea r�3 empJuyervrthe "—
receiver or tfustee of an individual,partnership,association or other legal entity,employing employees.'However the
owner of a dwelling house having not,more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced-acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL,chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall .
enter into any contract for.the performance of public work until acceptable evidence of compliance with the inssura_,�ce
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-conti-actor(s)name(s),addresses)and.phone number(s) along with their certificates)of
fim ance. 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 retumed 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 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 ebpy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the
applicant as proof that a valid affidavit is on file for fufurc permifs or licenses. A neW affidavit must be filled out each
•year. Where a homeowner or oitizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license of permit to bum leaves etc.)said person is NOT required to complete this affidavit
The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call
The Department's address, telephone-and fax number:
be Commonwealth of Massachusetts
Department of Industrial Accidents
Office of lavestigatfons
600 Washington Street
Boston, MA 02111
TO. # 617-727-4400 ext•406 or 1-877-MASSAFE
Fax# 617-727-7749
Revised l i-22-06
www.mass-gov/dia
I _
'L i_e• 7 in� "i-t�•.n ✓,:..j'!r •fr% �y�/;-���t .��_i .
:v office of Consumer Affairs and'Business Regulat'ion
ff
10 Park plaza - Sulte 5170
Boston, Massachusetts 0211
Dome improvement Contractor Registration
Reqistration: 134313
Type: Individual
Expiration: 10124/2011 Tr« 289550
DAVID SAWYER CONSTRUCTION
DAVID SAWYER
318 MEIGGS BACKUS RD.
SANDWICH, MA 02563
Update Address and return card.tMark reason for chi;
Address Renewal Employment Lost
S-CAt ii SaF.t-ad/D�-Gt012tu •
/,ir. (S'rrrrnrcurucrcl(�. o� Gdrvdrrr rove
� License or registration valid for individul use only
Ti. Office of Consuincr:Affairs 8x Business Itegulatioa before the expiration date. If found return to:
3, T HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation
;: ``•"r Registration: 134313 IO Park Plaza-Suite 5170
4'!i /
�. Expiration: 10/24/2011 Tri/ 289550 Boston.lt9A 02116
Type: Individual i
DAVID SAWYER CONSTRUCTION
DAVID SAWYER :
318 MEIGGS BACKUS RD. ` f( /- ` ' `_ _
SANDWICH,MA 02563 Undersecretat•v blot valio t sign tore
-.:L`•'.11`:l1tESClt'� - t::i::i•'t;et:t2: ttl t'til::ii
3wwd of >1lllti;?: '?i'L':SiaittNe•• and taiill:ll't!'+
...: _
License: CS SL 98859
Restricted io: RF,WS
DAVID SAWYER
318 MEIGGS BACKUS ROAD w
SANDWICH, MA 02563 "
Expiration: 1/27/2011
( •.iiuii ..;,.ii,•, Tr=: 98859
Town of Barnstable TOWN 0F BEI�
oFt"erow� Regulatory Services #' ��A�L�
`� 20
Thomas F.Geiler,Director '� h�� ib'
n : 38
'" MASS. ` Building Division
�•'rF1639. � Tom Perry,Building Commissioner p_..
200 Main Street, Hyannis,MA 02601 DIV
www.town.barnstable.ma.us � r
Office: 508-862-4038.E Fax: 508-790-6230
PERMIT# V 61 FEE: $ e�X7 enO �N
SHED REGISTRATION
ti 120 square feet or less
_-Location-of shed(addr(As) Village
Property o er's name Telephone number
8x 17- 03o 0- 1 o
Size of Shed Map/Parcel#
Sienature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature.is_required)
Sign off hours_for..Conservation 8:00 9:30&3:30 430
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW.PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
a
Q-forms-shedre�/ j
REV:042506
Town of Barnstable Geographic Information System April 16,2010
�" 038050 038063 �t
#177 #48
038047 �, y
#178 Xc9� \ ' 1
'L 038049
S9 #191 G
ttt
11 �03#8 06 7
J 38068 21
pp #35
038069
T9
038048 0
#190 *
j
038070
#61 �1
037012001
#430
x
i
037019
"' 75
t
037012002
037020 037010 #41 B
#85 ! #304
l
°328V9 Feet 037011
#374
DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map.038 Parcel:070 Q N
boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel
7"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:PRONOVOST,PATRICIA A&PAUL Total Assessed Value:$347600
are only graphic representations of Assessors tax parcels.They are not true property Co-Owner: Acreage:0.46 acres Abutters W E
boundaries and do not represent accurate relationships to physical features on the map Location:61 CAPN ISIAH'S ROAD
such as building locations. Buffer '�,�
J "ermitEngirleri4ig Dept. (3rd floor) Map �j Ir Parcel 0 76 #
` - House#' e�f/�O/ c/,= - Date Issued
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee
Conservation Office(4th floor)(8:30- 9:30/1:00-'2:00)
Planning Dept. (1st floor/School Admin. Bldg.) TME
Definitive Plan Approved by Planning Board 19 .
BARNSTABLE.
�} TOWN OF BARNSTABLE `.E° �'��
,
' N Building Permit Application
Project ktr et Address e C z2- ' 5 al
� � � a
Village,� L.c)/�=-Uu..�' '
Owner ' Address
Telephone
`Permit Request
First Floor square feet Second Floor square feet
Construction Type
Estimated Project Cost $
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 ❑No On Old King's Highway ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing 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: ❑Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ElNo
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(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
Builder Information
Name Telephone Number
Address 7/ License#
C6 Home Improvement Contractor#
Worker's Compensation#4', /S
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 9 /57
�
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
_ FOR OFFICIAL USE ONLY -
PERMIT NO.
ISATE ISSUED
MAP/PARCEL NO. a
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION `
FRAME ,
INSULATION { Y
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL '
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
�.me T le
Town, Barns
- � of tothe . :
• •�
e�►1 Department of Health'Safety and Environmental Sete
ICPS
Building Division
367 Main Sttrtf,Hyannis MA 02601
Rama C-t _
Office: 508-7,90-6227 Building C.-
Fax: 508,90-6230
For office use Only ;
Permit no.
Date � AFFMAVIT
HOME MWROVEMENT CONTRACTOR LAW
SupPLEMF"NT TO PERMIT APPLICATION
MGL c. 142A requires that the "Teconstructfon, alterations, renovation, repair, modernization.
conversion, improvement, removal, demolition, or construcdoono of than ditton to any our dwelling flnl�a pre-existing
owner occupied building containing at least one but not � contractors, wits
structures which are adjacent to such residence or buildin be done registered
certain exceptions,along with other requirements
Est. Cost ��
Type of Work:
Address of Work--
Owner's Name
Dace of Permit .-application:
I hereby certify that:
Registration is not required for the following resson(s):
Work ezciuded by law
_Job under5I,000.
Building not owner-accupied
Owner pulling own permit
Notice is hereby given that:
EIR OWN PERMIT OR DEALING WITH UNREGISTERED
S PULLING THUNREGISTERED
NT WORK Do NT HAVE
CONTRACTORS FOR APACCESS TO THE,�BI�ATION PI'�G�ROS GM ORS AND UNDER MGI.O I4ZA
SIG,IED UNDER PENALTIES OF PER=Y
apply ermit as the nt f the owner:
I hereby a fy for� p /
S$ Registrarion NO.
Contractor me
Dire
T�l[' �!/lIIJJJlllJ11'CII t 1 O lIT1Qc lUtiC1I1
Dt.part"Iellt of Indiurrlal Accidents
OffICZVfISyeSuyallons
\�H 60H ff ushinquin Street
4; Bmwin.ATayx U3111
Vlrork-en' Compensation Insurance Affidavit
AliP EYE inftirni:w' in — _ Plc'tse PR(NT
name
Inc ,inn / ) 6= AC, se-11—
ett. 06� 1 b+ nhnnc a
I am a homeowner performing all work myself.
I am a sole proprietor and have no one workin in any capaciry
I am an empiover providin_ workers* compensation for m% employees working on this job.
cntnn tn, n rmt /Z�/u1--C/� �4✓�S't
•ultlrr•c-
nhnnc a•
in-mr-:nrr rn. �G ✓ licv 0 7 S _
i am a soic proprietor. general contractor. or homeowner(circle acre) and have hired the contractors listed beio« ;'i:e -c
the �ollowin_ workers' compensation police::
cmmn•tn," nntnr•
ntidrr—
fit— nhnnc�•
in<iirnnrr rn nniicvii _._..
cnm^�n� Warne•
nticlrr«-
rir�•• nhnnc�•
in,mr--nrc rn
nniic�•
.Attach additional sheet if necciiarv_.:: ::.�"' ` = '��.......... _. .._..,... ._......... •...._,:.. _.......,..._._..._ --
F:uiurc to secure cm-craec as required unucr::ecnoo,9A of mGL in ran lead to the imposition of cnmtnal Penalties of a fine up to SI..`OU.UU atturur
unc %cars" imprt,nnment:t. %%ell as ci,"ii penalties in the form of a STOP lt•ORK ORDER and a fate of Sl00.00 a day against me. I understand that a
com of this,imcntcut ma, be fur„•ardcd to the Office of Inveatieations of the DIA fur coverare verification.
/rio irrrcnt c rit rurdr r/r air s err pcaa/uis ojperjurt•drat the in ormariorr prorided above is true peed correct.
cic^atur: Oatc a"
Print natnc jog& t'l Phone#
cial use unh do not„rite in dtis area to be completed by cin or torn o(liciai -
r'
Pet•tnit/license rt r'tl3uildin,Dcpartmettt
city nrtmwn: I=Ucensinrsuard L
�cicetmen'+UfGcc r
chcci: itimrnediatc resmunsc is reyuircd C211c2tth Ucpartment
i phone ft• r-,Uthcr `
contact nerson:
Information and Instructions
Massachusetts General Lzvs chapter 152 section 25 requires all employers to provide workers* c()mPrtts:iiittn
emniovecs. .As quoted from tiie "iaw"'. an einpturee is defined as every person in the sen•ice of a1tt)ther undo:;:;;
contract of hire, express or implied. orni or written.
An em plut-cr is defined as an individual. Partnership. association. corporation or other Iegal entity. or am• cn\•u or
the fore�_oin�_ em_a_ed in a joint enterprise. and including tite le•�al representatives of a deceased employer. or:hc
recei\t:r or tntstee of an individual . partnership. association-or other legal entity. employing employees. Ho«,e%,--
owner of a dwelling_ liouse not more than three apartments and who resides therein. or the occupant of the
d��cllin�_ house of another who employs persons to do maintenance ;construction or repair work on such dwellin_
or oft the __rounds or building appurtenant thereto shall not because of such employment be deemed to be an e:^p .
MGi._ chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance 01
ti�a1 of a license or permit to operate a business or to construct buildings in the commmi-ealth for sny
icnnt who ltas not produced acceptable evidence of compliance with tite insurenee coverage required.
.AOL; i011:111y. ncithcr the commonwealth nor any of its political subdivisions shall enter into any contract for the
pc-iQrmz::ce of public wort: until acceptable evidence of compliance with the insurance requirements of this ciao:
bec:: prczc:,ted to the contractinc authority.
al�l�lic�nts
Plc:.,se ill in the \vorkers' compensation affidavit completely, by checking the box that applies to your situation
sucrivin_u company names. address and phone numbers as all affidavits may be submitted to the Departmc.nt of
( .-r, trial �ccidet:ts for contirtnation of insurance covera_e. Also be sure to sign and date the atTdavit. The
.%,it should be returned to cite cin• or town that the application for the permit or license is being requested.
:he Dcrartttte:;t of-Industrial accidents. Should you have any questions regardine the "law" or if vau are rec:::
.o ubtzin a Nvorkers' compensation policy. please =11 the Department at the number listed below.
City nr 'roAxns
Plea= ne.;ure that tic affidav it is complete and printed legibly. The Department has provided a space at the boror.
cite :�- aav it for •ou to fill out in the event lice Office of Investigations has to contact you regarding the applicant. F
be _ : to fill in lice permidlicense number which will be used as a reference number. Tlie affidavits may be return,
•:te Department by mail or FAX unless other arrancements have been made.
The Office of Investicstions would like to-thank you in advance for you cooperation and should you have any quest
please do not hesitate to _ive us a ca11.
Tile Depart;nent:s address. telePitone and fax number.
The CommotnveaIth Of Massachusetts
Department of Industriai Accidents -•
Office :If Investigations
600 NVashinbton Street
Boston, IYla. 02111
fax 1: (6I7) 727-7749
nhone =. `6 i-) = - '900 e::T. 406. 409 or _
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• � . - _ . __._ �'.�._ _. ^. _ _ - 'COTUIT MA 02635 •` - �"�
S
TOWN-OF BARNSTABLE Permit No. 21899
' Building Inspector _
s.urr.n Cash -
re�o•
OCCUPANCY PERMIT Bond _ XGIg
No building nor structure shall be erected, and no land, building or structure shall be
used for 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 Inspector."
Issued to Roberts Realty Trust Address , 56 Main St. , Kingston, MA
lot #52 61 Cat)'n Isiah's Way. Cotuit
Wiring Inspector (,� �� Inspection date e00
z- 4 Z�
Plumbing Inspectorr^ 4.i Inspection date f
V�
Gas Inspector „ ( f / Inspection date
Engineering Department Inspection date - 4O
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
i
-
Assestr's magi and lot nn_71?
.. ...-....... 1J�.:K....... -A
yp%THE
Q .
Sewage Permit number ... ...7.7. ............................... �' ♦�
C SEPTIC SYSTEM MU
} / f
House number ....................:...! b.1................................. INSTALLED IN COM rhea STSDLE.
WITH TITLE 5 ° ,G39.Ar
9 �0 YAy
VIR
TOWN OF BARNS 4
„ toms
BUILDING IASR CTI
APPLICATION FOR PERMIT TO ..... . .................................................
TYPE OF CONSTRUCTION � d P .•.
............ ........... .... .......... .............................. ........................................
' ....... .......27 a...............19.7.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
7 ,6
C
Location ........... ................................................1.4�!/ 1�1., ....... .r�.r.............:.06 T0l. ......................
Proposed Use .....:.L./J.. (5.x .... ./..... . c.��
G.:...... .5...........................................................................
Zoning District ' . ....... ..............................................Fire District 120- frr
District ................ .......... ......................................
Name of Owner . .....0 .......:.. ....
,�e,r�S.../. �:. ...//ItJS7 Address
Name of Builder �oGzuliCT. i.��SYZ�� G!(/(�t UZ
............ ..Address ......:........................ ..
.Name of Architect .RQ.l.l.................`...�1�'? .........Address .....
Number of Rooms ......... V......... ......................................Foundation . ....�J4�red,,........ .ClytC►'� 2
Exterior ...... ...�fK . lP....................................Roofin . !F.�.Y4.. ..T.........
Floors /. `:'.......................W !.�. ���o! ....Interior .... 1`! .COC ... C�:...e ...:.........................
rr a 0 L—__ ........Plubing Heating c ...........................
�o r
Fireplace ..v............ ....................Approximate Cost "'-. ..ao
Definitive Plan' Approved by Planning Board -----------_______-----------19_______. Area ...............�......... ..........
Diagram of Lot and Building with Dimensions .........Fee &��
. ....................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
444,3
A
Vq t
VoP
w
tIF
SIP
r`
40
116
I hereby agree to conform to all the Rules and Regulations of a Town o arnstable rding the ab e
construction.
U
am ................. . . .. ......................
Roberts Realty Trust
-A
f NJ 21899.. Permit for two story.........
............... ........................
„single ..............
.............. ...
Itcation .........1 1..Cap'n.. iah.ls.Way..........
..... ....�Ls....... .... .....
..........................Q.Qlat..........................................
Owner .............R 1 ..........
Type of Construction ................. r.c=q..............
............................................................ ...................
Plot ............................ Lot ..............#52...........
Permit Granted ........December...1.8......... 79-
.............
Date of Inspection ........ ..........................19
Date Completed .. ..... 19
d
-r-.PERMIT REFUSED
(0 ra. n
........."i-,P...... ................................ 19
.......... ......................................................
............0.3
....................................................
Sp
...............................................
......................................................
Ap p r a 01r,...... .................................... 19
. . ...............................................................................
................................................................................
Assessor's mop and lot number :.,7...q...:. 7r�� .K........ _ C/ �i" � 7�
v Q�OF TN E Tp�I
Sewage Permit number ..................7 Q.....:.........................
Z 13ASH9TODLE, i
House number .....................:"!" ..1!,...!..................................° ^ y YAB6
/ , pp 1639•
MAI a�
TOWN OF BARNSTABLE
BUILDING, INSPECTOR ....................................................
~
APPLICATION FOR PERMIT TO _ :.( n 54,v s c^ ......... lw•�
TYPE OF CONSTRUCTION / t
( C jG
. ... ..Z. ?.......... 19..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
' Location ............................................. .........................................................:..............................
Proposed Use .......c...J!.•�..........................
....../r / ....l...:::74 i r /... (,,:..:. ..s:............................................................................
Zoning District � %�
•.!c`��: :!....!.....................................................Fire District ................. ....... .............................................
Name of Owner r���r 5..../r�c.,(;•r lilv57.....Address r��....� i'� , �•i .Jr.:...... ".�ti � / i�� ��, �= �r
:.. ............. .... r........................ ✓. ..•.
r ) `/ 1
ueY'J l ' Address T /�/CefG( !:.. i`ct<Sf � ....... �...ia7j!'�
Name of Builder ............:..................... .)cry-ram,-c.. :g.........�. .............. ..
Name of Architect /�o Jam✓ /. . X....................Address ...,........................................
• L
Number of Rooms .•
Foundation � / c°
Exterior � ..e. ....•y!.•�v` t•u . g .......
.�`c'...................................Roofin �I '/:4 ' .!.: :............
, ...
Floors �.f.. C G2rC -...............�....... ( !...Interior ....�...,..I..............T.
Heating J..4'`�cwcl T`l� l W,a"ir`!.,....b � ................Plumbing .: ::... :.. c�� ...........................
....................... .......... ..
Fireplace L� is w�i l.c; G��.�....................Approximate Cost .�7`f`„(.����.....^........................
............................ ............... t;!:
Definitive Plan Approved by Planning Board -----------_------_-----------19_______. Area ...... .1� 4: ... .:
Diagram of Lot and Building with Dimensions Fee .. ..........................
i
SUBJECT TO APPROVAL OF BOARD OF HEALTH
61, P !`
cep
P
�4 t 416
I hereby agree to conform to all the Rules and Regulations of the Town of-tarnstable:regarding the above
P,•
construction. , a
A• zt ,
5 Name ................. ..........................
Roberts Realty Iruo'^ =38~?O
,
'
No --.2l8Q9permhfor .............r t�r�___.
single
4 r
family dwelling .
----------------~---------'
^Location .......b.l_Cap,�..Z.�iab.'.�..Way____. `
Cotuit . _
'
uuuer�u nealty Trust
Owner
�
Type of Construction ............fram.e.................... \
/
�---� � .
. .~ � . . .
December 18 g � `
re,'nn c"umeu
.... \
""'= of Inspection"Completed '
.
Date
� ~
\ '
� .
\ .
`
PERMIT REFILISED
'
.�. 19
�
........./ - ....................... '
'
---------'' ' ' — -----''
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AWC, SETBACK V?GQUIQEM&WTS O1= TNt=
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DATE 12 11 "1� -
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REGIS'tUZt-T> LAWO SUevLYov-S
THIS l7i_l�t-1 t5 LJOT BASES Ow 4&J - OSTEV-V%Ll r-- 0 /1rCaSS•
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