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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIO —�
Map. . g Parcel' a.� Permit# 7 Ll 731
Health Division ,s Date Issued 2 /
Conservation Division
IZ G y Gy` Application Fee dv
lC aIr-,-��` b f} 03,
Tax Collector Permit Fee CIO, �C
Treasurer SEPTIC SYSTEM MUST BE
Planning Dept. INSTALLED W COMPLIANCE
Date Definitive Plan Approved by Planning Board ENVIRONMEN 'i6E AND
TOWN REGUui TONS
Historic-OKH Preservation/Hyannis
Project Street Address 3O W It-i sAmA-Lopw S
Village l_ 07DAT.
Owner "Ro&P^T MCA-L,e S Address 3 0 CAP�,-J dtOA V5 - C07-aIT.
Telephone �(�J�500 - 31eZ - 10212 I°Nl SOS 420— 1 3Z3
Permit Request '01FMU514 tzXOn+,J I V: 00 JEXTeGZyZ �E�, 14Sf___h-) -TNepJ%
1 t-3 'i`TS 70%-Cf✓ , 'rRACT A I`} 14 ` 6P2 STVXW`5 5uN9WM —
0 tj S0t iol ena5
Square feet: 1st floor: existing 1310 proposed 203 2nd floor: existing .1 8 proposed Total new Z03
Zoning District Flood Plain Groundwater Overlay
Project Valuation 1 500 v Construction Type WVD0
Lot Size v(Q 2- kajl.- Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure 4 RA�ZS Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes BNo
Basement Type: P9-Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) 13 90
Number of Baths: Full: existing 2. new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing �o new First Floor Room Count 7
Heat Type and Fuel: ❑Gas 9 Oil ❑Electric ❑Other
Central Air: ❑Yes 4 No Fireplaces: Existing 446 New Existing wood/coal stove: ❑Yes A"o
Detached garage:O existing O new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:UI(existing ❑new size Shedpdexisting O new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes No If yes, site plan review#
Current Use SLN,LG r/111_;T Proposed Use
BUILDER INFORMATION
Name nP tr �.?ADr4g:1T-?ADGaV3WWe95,, .k Telephone Number (s0 429 -ODo I
Address?.0 •8OX 133 License# — C)t8o 5 ?
164 -2960L ST. Home Improvement Contractor# r'00/3
C T wl j' -InA n o3 5 Worker's Compensation# 148--133 x S6Z- b-03
ALL CONSTRUCTION DEBRIS RESULTING FROM T IS PROJECT WILL BE TAKEN TO Brr
A IA� a�wx�, .4 112v0q
SIGNATURE d tl DATE -
FOR OFFICIAL USE ONLY
PERMIT NO.
e
DATE ISSUED
MAP/PARCEL NO:
i ADDRESS VILLAGE
OWNA
DATE OF INSPECTION:
FOUNDATION' 3
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL >
} PLUMBING: ROUCIS FINAL
s m� > �
GAS: ROU&I Q n C FINAL
C7 m -
FINAL BUILDING r01�►�.:� 3 -
DATE-CLOSED OUT
a,
S C � •
ASSOCIATION PLAN NX�_S
----� Kenneth F. and
Land In ...BAR,NSTABLE,,; Cotuit.... Belonging to..Nancy,B;,,Mulford,,,,,,,,,,,, Deed in Book............... Page ,.
Land Court'Certificate No. 98934......in Book 807....... Page..54...... In .Barnstable., Registry.,.District .
Land Court Plan 34623E with Certificate No. 58784 July -18, 1973
RecordedPlan ........................................................................................................... Date of Plan ......................................
in „Barnstable Registry..District,..in............ Book...472........No.6�...... Filed Plan No. ,Sheet 1 of 4...
MORTGAGE INSPECTION PLAN THE BOSTON FIVE CENTS SAVINGS BANK, FSB
Lava No. 30 Cap'n Samadras"Road, (Cotuit) Barnstable
Louis V. Sorgi, Jr., Esq.
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August 20, 1986
JN 49965
Scale l"=qo it(3 v3 V
Kenneth F. and
, „and In ...BARNSTABLE ; Cotuit, ,, Belonging to..Nancy„B...Mulford Deed in gook...............Page....
Land Court Certificate No. 98934 , its gook...807....... Page..54...... In ,Barnstable.. Registry..,District..................
Land Court Plan 34623E with Certificate No. 58784 July 18, 1973
RecordedPlan.......................................................................................................... Date of Plan ......................................
in „Barnstable Registry District,, in. ..,... gook...472........No. 64...... Filed Plan No. ,Sheet .1,of 4.................
MORTGAGE INSPECTION PLAN THE BOSTON FIVE CENTS SAVINGS BANK, FSB
Loan No. 30 Cap'n Samadras' Road, (Cotuit) Barnstable ,
Louis V. Sorgi, Jr., Esq.
200. '
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August 20, 1986
JN 49965
Scale 1"_40. V
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RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings,Additions $50.00
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE //-
p,3 square feet x$96/sq. foot= t 8 8 x.0031= l0(9, 41
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/sq. foot= x.0031=
plus from below(if applicable)
GARAGES(attached&detached)
square feet x$32/sq.ft.= x.0031=
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq. foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00= 1�3 0 , 0 o
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable) p /�
Permit Fee 9 l
projcost
—-� The Commonwealth ofMassachuserts
Department of Industrial Accidents
MCC Of1ffYest f9V1,6as
600 Washington Street
Boston,Klass. 02111
Workers' Compensation Insurance Affidavit
� li tit• ti _' =- :.h. :��'�' v.: - _ ••• -
name: -P�to)e.G-T �r\�C►1:� �OIZ I'�1�C�I�� U1111-1���5�, �,�JC
locition� �• Q • l�oX i33 i �-I- Sc4-1r)I�L sT• .
c;r/ CJ�UI I �� a �7. 3 5 .,,one'-'
I am a homeowner perot-ning all work myself.
Q I am a sole proprietor and have no one working in any capacity
I am an employer providing workers' compensation for my employees working on this job.
m anvname:
city. A
insurance co.L01 6." T,,1S. CJ . OF tlls tt-V t oolicv# .: .f 73 3 yE`.:S.EO ,'"�` E) •:-;
Q I am a sole proprietor, general.contractor,or homeowner(circle one) and have hired the contractors listed below who have
the following workers' compensation polices:
comnam•name:
address:
cin: phone 9:
insunnee co. nolicv 9
comnanv name:
address
cirv: phone
insurance co eolicv
•Attich scidicionafsheet if ncc rV �i' ..:-... _� •. -' - =_-_—. _.•ti, _ . :e"
F:tilur;to secure coverage as red_i red under Section 25A of,'YtCL 152 can lead to the imposirion of er:minal penalties ora fine up to s1.5oo.00 andlor
one.ears'imprisonment as -e:l as civil penalties in the rorm of STOP H'OR1:ORDER and a tine ,r 5100.00 a day against me. t understand that a
copy orthis statement . v be "`erg.arded the tce orinve Nations or the Dl.>for coverage verincz non.
i do herebs cerrift n er r e 7 `ns a pe a( es at th information provided above :s tr•1e and correct
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Pint name R �• I 1 Ck&-TT -T A 7G iJG Q4t r.e = oil 41 -o- Q i —
[(`A otricial use only do not :c in this area to be completed by city or town o(ricial
lk
f cin or tn-n: permivlieense -Building Departnc:tt
C [;Licensln,B oard
t C check irimmediate r:s-:-se :s required [Selectmen's ORcc
} [Health Departtncn:
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contact person: phone 9: r'Qther i
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.+�'4 :�. ONSIIMERIl�TFO
aches istate. en echo w�
The Massachusetts State Building Code(780 CAM) includes provisions to ensure that houses and
house additions meet energy efficiency standards. This supplemental .CONSUMER INFORMATION
FORM is to be filed as part of the building permit application when a builder/contractor or homeowner,
constructing/installing a house addition with very large percentage of glass to opaque wall,seeks to utilize a
special energy conservation exemption option for "sunroom" additions to,an existing house (780 CMR,
Appendix J, Section J1.123.1). This FORM is not intended to prevent a homeowner from selecting a
"sunroom"of any size, configuration, orientation,form of construction or percent glazing, but rather is only
intended to assist homeowners in becoming aware of some of the important energy conservation and year-
round comfort considerations involved in selecting and utilizing a"sunroom"addition.
The connection of "sunroom" structures to residential buildings may create comfort and energy
consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In
the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list
of product and design considerations that a homeowner may wish to consider before actually
constructinglinstalling a"sunroom".It is recommended that consumers carefully review these options with
their designer, builder, or contractor, in order to minimize potential..energy consumption and/or house
discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired
are important considerations.
PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS"
• Solar Orientation and Natural Shading
• Type of Glazing
• Insulating value
• Solar heat gain
• Frame materials
• Glazing to frame sealing and gasketing materials/seal durability and/or
weather tightness of the sunroom
• Adequate ventilation Operable windows and fans
• Applied Shading Systems
• Insulation level in floors,walls,and ceilings
• Possible Sunroom isolation from the main house via a wall and/or door or slider
• Heating and Cooling Methods: Efficiency,Zoning and Controls
Homeowner Acknowledgment
The Massachusetts State Building Code, Section J1.123.1,..requires that the actual property owner(not the
owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to
issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential
building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read
the information in this document concerning sunroom comfort and energy conservation.
Signature of Actual Building Owner Date .
3o CAR,,) &MAO�Zks
Print Name Address of Permitted Project
(w) 500 - 31,2- (02I2
CHI 505 q.10 -- i323
Owner Address(if different than project location) Owner's telephone number
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°F%VIE,° Town of Barnstable
Regulatory Services
saxrisxaer,e = Thomas F.Geller,Director
'`b,, 0s .��� Building Division
tED MA'S
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
'improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. f c
Type of Work: Estimated Cost 1 Soo
� ^nI
Address of Work: -3D
Owner's Name: 03�R� JC°13-1 E5
Date of Application: f Q'J fzMW—
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under S 1,000
[]Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PEN F Y
I hereby apply for a permit as the agent of the owner:
i\ 3 03 ?0&r9, 1?hxX� UADL;,e Tic O 13
Date Contrac r Name Registration No.
OR
Date Owner's Name
~00-K—b60 cf enGosed space _
1A-Masonry only r 1 _Tfae Toamrmra�uuea a�✓�aaaac�ivarlla'
I-1 8 2 Family Homes BOARD OF SUILDIN REGULATIONS
Failure to possess a current edition of the ; ` Llcense: CONSTRUCTION SUPERVISOR
Massachusetts State Building Code I- i
is cause for revocation of this license. 1
Numb��` S 048859 ?: �
• � � BI d-tet'.�•-021?3/-\ 1944 .
D4 Tr.no: 16409 '
ROBERT R PADG € 0,
DIG SAFE CALL CENTER: (888)344-7233 184 SCHOOL ST/ -X'33 j.11
• ( ,,.., l
f ( COTUIT, MA 026351; Y Administrator
Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: 100131 Board of Building Regulations and Standards
Expirations 6%9/2004 One Ashburton Place Rm 1301
1 Boston,Ma.02108
sType: Private Corporation
PADGETT BUILDERS, INC.
Robert Padgett
PO Box 133/184 School'SN t•o ���p _. _
Cotuit,MA 02635 � " Not vali with sienatu e
Administrator
°FVE Tp Town of Barnstable
P 1'
Regulatory Services
vBARMABL&� Thomas F.Geiler,Director
m 039. Building Division
pTED MA'S a
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-8624038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
�0 kLES , as.Owner of the subject
l property,
hereby authorize ��F�t --Q n��(�"EfI�J.Ic to act on my behalf,.
in all matters relative to work authorized by this building permit application for:
30 �P'►� ��A��u s
(Address of Job)
Signature of Owner Date
Print Name
QTORMS:OWNERPERMLSSION
'Engineering Dept. (3rd floor) Map Parcel 0 "` Permit# Z_(]4
` House# GUG ate Issued
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) r ,,` V 6U
Conservation Office(4th floor)(8:30- 9:30/1:00- 2:00)
Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC *REGULTIONS
E
Definitive Plan A roved by Planning Board 19 INSTALLCR
W
TOWN OF BARNSTABL� MIND
Q� TOWN
Building Permit Application
Project Street Address 30 Cap 'n Samadrus Road --
Village C o t u i t
Owner Robert B.& Marie' E. Scales Address Same as above
Telephone !Home: ( 508)420-1323 Office : ( 508 ) 362-6212
Permit Request To build a Post & Beam Garden Shed
First Floor 96 square feet Second Floor NA square feet
Construction Type Wood, Post & Beam frame, Board & Batten siding
Estimated Project Cost $] , 120.00
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 M No On Old King's Highway ❑Yes ®No ..
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other NA
Basement Finished Area(sq.ft.) NA Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing NA New Half: Existing New
No. of Bedrooms: Existing NA New
Total Room Count(not including baths): Existing 1 New First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other NA
Central Air ❑Yes ❑No Fireplaces: Existing New NA Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) NA 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
Ad ress d - License#
I O - / 9W3 Home Improvement Contractor# 93
Worker's Compensation# /�w e—&d a as6ro/94
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 ATE oZ — —
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PERMIT NO. i
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION ,
FRAME
INSULATION
FIREPLACE ,
ELECTRICAL: ROUGH FINAL
PLUMBING: £6ROL H FINAL
GAS: - • ZOLlI FINAL
FINAL•BUILDING
DATE CLOSED OFfl`I ,
,r
ASSOCIATION;PL: N N
• k
MORTGAGE INSPECTION PLAN THE 30 Cap'nC Samadras' Road, FSB
(Cotu t) BarnstableSTON FIVE CNTS SAVINGS NKJ
Le" Nb, ouis V. Sorgi, Jr. , Esq.
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August 20, 1986
a
JN 49965 r '
Scale 1"_40. V
Garden Shed laid out on February 15 , 1997, by R. B..- Scales
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The Town of Barnstable
9�A ' � Department of Health Safety and Environmental Services
rFDMA'�A Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements. /
Type of Work: Est.Cost I �6
Address of Work: '77 -4�'Iz O�ro3.S�
Owner's Name p
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under$1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR
D to Owner's Name
The Common wealth of Massachusetts
C Department of Industrial Accidents
Office ofinYesGgations
600 Washington Street
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
f licant iitforniatt n: lea e_P.R aih :•s-K->1 ,. — ...
name:
location:
city phone
I am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
I am an emplo er providing workers' compensation for my employees working on this job. a
I
fig.,
com any name: , ..
00 f'�D
;
address: ;•;:; . :.:....:•.::...... ::
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f1S
ct
hone#:
-
insurance co. :L.I V V : olicv#,51
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.:.:
I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have
the following workers' compensation polices:
company name:
address:
city:
• phone#•
insurance co.
policy#
company name:
address:
city:
phone#•
insurance co: policy#
.Attacb additionafsh'eeFifrecessary - �s�:•�':.'-_:p .�> - ^ r-- - T
Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or
one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a
copy of this statement maw he forwarded to the Office of Investigations of the DIA for coverage verification.
J do hereby certijy under t pan n aft' erjury that the information provided above is truce and correct
Signature �+ Date
Print name Pu �" 1 Phone# / (r YC ` l_J
official use only do not write in this area to be completed by city or town official
�•' city or town: permit/license H nBuildine Department '
❑Licensing Board
O check if immediate response is require) Selectmen's Office
pHealth Department
contact person: phone : 00ther
r-85 0
.-� DEPARTMENT OF PUBLIC SAFETY 58550
ONE ASHBURTON PLACE , RM 1301
i' BOSTON , MA 02108-1618
CONSTRUCTION SUPERVISOR LICENSE
Number: Expires:
Restricted To: 1G
JAHES D MCGRATH ` Detach bottom, fold sign on
PO BOX 708 - ='back, and laminate license card.
S DENNIS , MA 02660 Keep top for receipt and change
of address notification.
HOME IMPROVEMENT CONTRACTOR ;
Registration 109374
Type - INDIVIDUAL
Elpiration 09/11/96
PINE HARBOR BUILDING CO. INC.
JAHES D.. MC6RATH
_f4 taO BOX 708/120 G1 UESTERN RD. +
�orvas roa S fiERRIS-?Ri 02660-
r . CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT DATE
JOB LOCATION 30 Cap 'n. Samadrus Road, Cotuit, MA 02635-1384
PROPERTY OWNERV Robert B. & Marie
CONSTRUCTION SUPERVISOR e5 U Ll C Oy-owh NUMBER 0 19b 16. PHONE • -760-y
ADDRESS JAO Wf5JeMS, n
. LICENSED DESIGNEE (IF ANY)
2 . 15 Responsibility of each license holder:
2 . 15 . 1_ . The license holder shall be fully and complete v
resnonS_ble for all work for w;'ch he 1s Sune_va' * . He shall he
responsible .or seeing that all work is done pursuant to the St-`
L'B ;1dinc Code and the drawings as approved by the Build_nc
Of=icial .
2 . 15 . 2 The license holder shLall be responsible to superv-set e
Construction, reccn Strucz-Lo i, a1terat_On, repair, re.mova i C=
cemol-lt_on involy=nc the structural elements - of build-nc= a-..
St_c,z, reS only pursuant to the State Buildinc COCA and all
aOD_ l_CaDie Laws O.E. the Cormonweelth even though he, the 1;Cc_:ce
holder, is not the permit holder but only a subcontractor c=
contractor to the Dermit holder .
2 . 15 . 3 The license holder shall ;_Tmmed-ately not-fy the bu;ld==c
of=-cial in writ-nc of the d;scovery of any vi olations wni ch, are
covered by the build-nc permit .
2 . 15 . 4 Any licensee who shall willfully violate Subs ec-;--
2 . 15 . 1 , 2 . 15 . 2 or 2 . 15 . 3 or anv other sections of theses rules a d
rec-slations and any procedures as amended, shall be subject to
revocation. or suspension of the license by the Board.
2 . 16 All building permit ammlications shall contain the name,
Signature and license number Of the construct-On sunerviSor who is
to supervise those. e_ncaced in COnsz uc ion, reconstrucz-on,
aiterat-en, repay_, removal or Qemol-Ltion as regulate.^. by Sect_cn
109 . 1 . 1 of the Code an these rules and regulations . In the even
that such. licensee -s no loncer sunerv-sing said persons , the wor_r
s.iall Lmmediately cease until a successor license holder. is
substituted on the records of the building department.
I have read and understand my responsibilities under the rules a-nd
rec:liations for li ee^sine construct-on sun_ e=isors in accordance
wi
ll Section 109 . 1 . 1 o �f the State Bu?lQnc Code . I understand tie
conszr c--ibn inSDec-z on procedures and e sD_ ecific ins-_ eCt_o-:S as
called for by the buildinc official .
LICE-NSED CONSTRUCTION SUPERVISOR
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
I m
DATA
r TOWN OF BARNSTABLE
t� �•�I
BUILDING PERMIT
PARCEL ID 038. 028 GEOBASE ID 2246
ADDRESS 30 CAP'N SAMADRUS ROAD PHONE
Cotuit ZIP - •
; LOT 10 LC3 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CT
PERMIT - 21769 DESCRIPTION BUILD 8'X12" SHED
. PERMIT TYPE BADDS TITLE . BUILDING PERMIT ADD SHED
.CONTRACTORS: MC GRATH, JAMES D. Department of Health, Safet,
. ARCHITECTS: and Environmental Servicesv
:•TDTAL FEES: $25.00 �1w
"'gOND s.00
�QONSTRUCTION COSTS $1, 120.00 Q�
r 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE P
ABLE.
MAS&
.03
OWNER SCALES. ROBERT B & MARI1►
ADDRESS P 0 BOX 1384
BUILDING DIVISION
COTUI.T MA BY
DATE ISSUED 03/17/1997 EXPIRATION DATE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THE F. Ell RARIL�G R PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED B�RISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND
FOR ALL CONSTRUCTION WORK: THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
• , • = •
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 .
TT e-
2
3 << ENGINEERING DEPARTMENT
\ BOARD OF HEALTH
OTHER:
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.
f
' 2p _
Assessor's map and lot number ................... ..... :..
!1 .. MET
•, � ',� PLO OrI,
i
Sewage Permit number .... ......
0 30 Z 9AESSTSDLE, i
Rousenumber ........................................................................ y MAB6
� Op �6}9.
'oTE'p YFY Or•
TOWN OF BARNS TABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .......1..��0)....h......
•.................�........... .../.. ................................................
TYPE OF CONSTRUCTION ............... S.... .......................
i'
..............�Z.!3..... ..............19 gZ
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according tol the following information:
,
Location ............... o �2S.........�..A ........................................... ..v.A..... —T"c....T- ..............................
ProposedUse ......... °-. .....`. !1.�......... 1. . .` ......................................................... ...............................
Zoning District ..............R..r..............................................Fire District .....,�p....t.1...... ...........................................................
n L '
Name of Owner ....L.,...��mo ! t9 I r c Tvt T-
2 ......... n............. ...p. ` .... . ress .......... .............................................
Name of Builder .... ? "j...CIT�I�Y iC1.01 QS .........Address
.............. ........ ...................................................
Name of Architect ....moo�. ......1+5.... rJ!�. .........Address ..............................................................
Number of Rooms ........ — 2. �A�.........................Foundation .....PU.. .�.......�vo�l /t.�.T .......................
�........................
Exlerior QpJ gl>......c?tt thf�C.� ...Roofing ..........�f1.714<<..�......................................................
.......... .....................................................
Floors ........0AR-. $_.r........4...04(L ..................:..........Interior ........���>tT�D`�................................................
Heating dl�. . }(oT �� Plumbing �tiAS 7t C �....W? ........................
... ................... . ......... ......... . ....... . ........................
Fireplace ......N! ..........M rr)L..................................Approximate.Cost ��60
.....,...... �.......................
...............
Definitive Plan Approved by Planning Board -----------__-_-__-----------19--------. Area
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
2� 1
7p- - Vk = 1408Sr
5glb S r
�AQaec.�= 484, sF, sr=O
OCCUPANCY PERMITS REQUIRED FO NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable�regard'ng the above
construction.
, ;.. Name .........................................................................
Construction Supervisor's License �
COTUIT BODEN REALTY TRUST A=38-28
2473:f Story
No .4............. Permit f r ......11............................
Single Family Dwelling..............
i Location Lot #2 8 „3 0 Cap.',n Samadru3 Rd.
. .................... .
Cotuit
...............................................................................
Owner .Cotuit Boden Realty,,,Trust
Type of Construction Frame
................................. ...........................................
Plot ............................ Lot ................................ `
a
January 19 , 83
Permit Granted ........................................19
Date of Inspection ....................................19
Date Completed ......................................19
.S 9
Ass&sor's ma and lot number . ... ;" "'
P u.0 . . .... .....' .`... ......, Sir �im.61�i IUiISi �
c J d y IN
p� THE
Sewb a Permit number g .... ...........�...... ,.... �H'-- 'JVIT�I TITLE a
House number 0 30 ENVIRONMENTAL CGS'c "4 .. Baaa�a LE.
........................................................................ ,y ,y 9p
TOWN OF BARNSTABLE
BUILDING ]INSPECTOR
APPLICATION FOR PERMIT TO ............b.01.0 ...
TYPE OF CONSTRUCTION ..............wQQA..:.. - A.......... .f Z....�O�I S.......................
.............. Z.�3 ?...................19 8Z
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ............... oT#?� L°,A.� ►.1 SAw( 1D v .....1 !4�J C T�+... ...................................
:. i............
ProposedUse ......... .&A.&A..,......`-.o.N. . ....�� .1.! . .........................................................................................
Zoning District ..............k..F........................................:...Fire District ..... c?1'�
......................................................
Name of Owner �Oi�t iiII �i 44 I T;(7c1Ox ($3 �Q'Tv(1—
.....:....t !!l'..... . /4 .. ress .......... ....................................... .................
Name of Builder .... W'..."G!�b4g ...........Address 'f I
Nameof Architect ...� .......f 4 ... ..........Address ....................................................................................
Number of Rooms ........ &ATAS .....................Foundation .....Pc�J ......��.0.AIC�.,R.�-T .......................
.........................
Exterior ....... Qt�.D...... .. .!'��:�!>;.t.........................:..........Roofing ......... G`!4�i. ..........................................................
Floors ........ . ......... .............................Interior ........SItIL 1 !Q1?. ......................................:........
l�1.. t� l4� D p
Heating ........................ ................ ...........,......................Plumbing .........D. S.`�1 C ... 6...�.........................
¢ .4
Fireplace ...... -.."......Ir?��d.L�- ..............................:....Approximate Cost .............(6(��b0>....................
Definitive Plan Approved by Planning Board ----------------_-----------19___-___. Area .... ... ........................
Diagram of Lot and Building with Dimensions Fee - . ........................
......fa
SUBJECT TO APPROVAL OF BOARD OF,HEALTH
' 2� 1
`FTVh = 14a8Sr
,1
2Sg' yob 2�� i�tt
In
zl�
OCCUPANCY PERMITS REQUIRED F . NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar ing the above
construction. .
Name. ..... ./..1... .............. ......................
Construction Supervisor's License �� �`k
COTUIT BODEN REALTY TRUST
N� 24733 112-
............ Permit for .........Story...........................
Single Family Dwelling
............................................................................
Location .............Lo t #.2.8............3.0.......C.ap......'..n.....S...a....madrus Rd.
...
Cotuit
...............................................................................
Owner ..CO.t.Ui t...B ode.n...Realty. . ....Tr.u.s.t
.... .. .... .. .. ....... .. .. .... .. ....
Type of Construction Frame
..........................................
..................................................................................
Plot .............................. Lot ................................
Permit Granted .....!T!P�WAAXY...1-9........19 83
Date of Inspection .....................................19
Date Completed ...........4.................. 19
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NEW ADDITION FOR: DESIGNED/DRAWN BY:
N I ? COTUIT BAY DESIGN
z "I .. n 43 BREWSTER ROAD
o MARIE & BOB SCALES MASHPEE,MA. 02649
w (508)274-116630 CAP N SAMADRUS ROAD COTUIT MA
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