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HomeMy WebLinkAbout0112 SPUR LANE 112 SPUR LANE t C e �'1 LS4 ����� RS � �4 � C�. �ri�es �-�. r, C f. �: f r r c r Application number .....0........................... (��. ..... Building Inspectors Initials... . .. ..................... Date Issued....t l...r. ..lQ...1. ................. / Map/Parcel.....U v v,gyp ��... .... .................................... tT MOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 112 Spur Ln Marstons Mills NUMBER STREET VILLAGE Owner's Name: Jessica Benoit Phone Number 508-736-5240 Email Address: Cell Phone Number Project cost$ 12,900.00 Check one Residential X Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK 0 Siding Windows(no header change)# .CD Insulation/Weatherization 0 Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to S&J Exco Dennis CONTRACTOR'S INFORMATION Contractor's name Anatoli Sivitski �Cexir� «caia� Home Improvement Contractors Registration(if applicable)# 168043 /,?o21 T'7 (attach copy) Construction Supervisor's License# 106040 (attach copy) Email of Contractor capecodinc�gmail.com Phone number 617-710-1001 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY/S/N A.HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. .+ F APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location (s)of each tent I If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town-of Barnstable. Signature Date APPLIC T'S SJGNATW Signature 11m4 6: Date 4/18/2019 All permit applications are subject toabuildingofficial's aP roval rior to issuance. . The Commonwealth of Massachusetts Department of IndustrWAccidents Office of Investigations ir 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organiation4ndividual): Address: �(.C;06- �a� c ri✓ cE-t%Q . City/State/Zip: bYq D Ol Phone#: Are you an employer Check the appropriatebox: Type of project(required): 1.❑ I am a employer with 4., I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for mein any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp'insurance.: 10.❑Electrical required.] S. ❑ We are a corporation and its repairs or additions 3.❑ I am a homeowner do' all work officers have exercised their 11. Plumb' mg ❑ mg repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance ]t c. 152,§1(4),and we have no employees.[No workers' ME]Other comp.insurance required.) *Any applicant that checks box#1 mast also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they am doing all work and then hire outside contractors must submit anew affidavit indicating such. rContractors that check this box must attached an additional sbeet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. �/ l Insurance Company Name: i m �Q c¢ ,g/ Policy#or Self-ins.Lie.#: ,Rd, 09,&>76cZ Expiration Date:86e O oq�o.2.O Job Site Address: 1 City/State/Zip: /` c am �i�t/� 1144 OZd;� Attach a copy of the workers' ompensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA forffisurance coverage verification. I do hereby c . It pains enalties of perjury that the information provided above is true and correct Si Date: Phone#• i Official use only. Do not write in this area,to be completed by city or town o 1cia1 City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: "9 a The Commonwealth of Massachusetts Um Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Anatoli Sivitski Address: 27 Mill Pond Rd City/State/Zip: West Yarmouth, MA 02673 Phone #: 617-710-1001 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓ I am a employer with 3 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: 9. Building addition required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. ✓ 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 employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: AmGuard Policy#or Self-ins.Lic.#: R2WC940123 Expiration Date: 06/03/2019 Job Site Address: 112 Spur Ln Marstons Mills, MA 02648 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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 that the information provided above is true and correct Signature: 4ma&& SziA Date: 4/18/2019 Phone#: 617-*710-1001 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: • DATE(MMMD/YYM ACCO CERTIFICATE OF LIABILITY INSURANCE 06/15n018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY 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 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER CONT NAM ACT Linda Sullivan DOWLING&O'NEIL INSURANCE AGENCY PHONE 508 775-1620 1Fax No: E-MAILDR SS: Isuilivan@doins.com 973 IYANNOUGH RD INSURERS AFFORDING COVERAGE NAICO HYANNIS MA 02601 INSURER A: AMGUARD INSURANCE CO 42390 INSURED INSURER B: CAPE COD HOME IMPROVEMENT INC INSURERC: INSURER D: 27 MILL POND ROAD INSURER E: WEST YARMOUTH MA 02673 INSURER F: COVERAGES CERTIFICATE NUMBER: 281511 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE-OF-INSURANCE ADDL BR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE F1 OCCUR PREMISES Ea occurrence $ MED EXP(Any one n) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑JET LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident) $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION Y/N X PER O - ANDEMPLOYERS'LIABILITY STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? WA WA WA R2WC940123 06/03/2018 06/03/2019 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY 1 IMrr $ 1000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached it more apace is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwdtworkers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AnatOli SIVItSkI ACCORDANCE WITH THE POLICY PROVISIONS. 222 Buck Island Road 6-8 AUTHORIZED REPRESENTATIVE West Yarmouth MA 02673 �� Daniel M.Cra y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD .y ., L1�:�:C�/lZlll�:C Vl L`JLlillilLC The above prices, specifications and conditions are satisfactory and are hereby accepted. BELCAPE CONSTRUCTION,LLC is authorized to do the work as specified. Contractototal: $ If acceptable, initial here: Payment will be made as such: 003 1 Deposit 1/3 $ a .Start day.payment 1/3.: $ Upon completion 1/3: $ Date:: �. _ - _,..Signatures:.. i Note:No work shall begin prior to the signing-of the contract and transmittal to the-owner of a copy of such contract. You, the buyer may cancel this transaction at any time prior to midnight of the third business day after the day of this transaction. Accepted B : �� Date:-_3/A THIS PAGE IS PART OF AND IN P Y CONFORMANCE WiTff PROPOSAL: 112 Spur Ln Marston Mills l Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home Improvemen-t-Contractor Registration Type: LLC Registration: 182457 BELCAPE CONSTRUCTION LLC Expiration: 02J05/2020 42 WOODBURY AVE l HYANNIA,MA 02601 Update Address and Return Card. SCA 1 O 20M-W17 iu.�eCG�- Offlce of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only fifPE:LLC before the expiration date. Iffound return to: IFIgaistrifflim Exalration Office of Consumer Affairs and Business Regulation 7- 02J05/2020 10 Park Plaza-Suite 5170 ^1 Boston,MA 02116 BELCAPE CONP,T U71 -IQ191 Lq0 ARLOU DZIANIStv�'�—=�' 42 W OODBURY AVE HYANNIA,MA 02601 Undersecre out signature Mry I I AC R® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) il`.� 1 06/04/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIR'AATIVELY OR NEGATIVELY 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 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in liou of such endorsement(s). PRODUCER NAME:CONTACT Linda Sullivan DOWLING & O'NEIL INSURANCE AGENCY PHONEow,. (508)775-1620 I FAx A/C No): E-MAIL ADDRESS: Isullivan@doins.com 973IYANNOUGH RD INSURERS AFFORDING COVERAGE NAICk HYANNIS_ _ _ MA 02601 INSURER A: AMGUARD INSURANCE CO 42390 INSURED INSURERB: CAPE COD HOME IMPROVEMENT INC INSURER INSURER D: 27 MILL POND ROAD INSURER E: WEST YARMOUTH _ MA 02673 INSURER F: COVERAGES _ CERTIFICATE NUMBER: 410125 REVISION NUMBER: THIS IS TO CERTIFY THAT THL• P, ICiES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ,:iY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED n't f,tAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS Of-:'iCtl POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I __1ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE . r POLICY NUMBER MMIDDIYYYY MMIDDfYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCU,� AMA R T D PREMISES Ea occurrence $ MED EXP(Any one person) $ - N/A PERSONAL&ADV INJURY $ GE_N'L AGGREGATE LIMIT APPLIES P-rr GENERAL AGGREGATE $ POLICY ;JECT ;LOC i I PRODUCTS-COMP/OP AGG $ $OTHER I AUTOMOBILE LIABILITY I (CEO OMBINED SINGLE LIMIT accident S _ t ANY AUTO BODILY INJURY(Per person) $ i ALL OV!1171) S-^,HC^."-i:f` I N/.'� BODILY INJURY(Per accident) $ ,1011-P,r; AUTOS _ AU:O� PROPERTY DAMAGE ! I HIRED Al110S AUTOS - I I Per accident $ i i i UMBRELLA LIAB I ACC(,2 I EACH OCCURRENCE $ r EXCESS LIAR i II4 I _G'_'' '_-�I.D_E N/A AGGREGATE $ I DED !RETENTION$ _ I $ WORKERS COMPENSATION X ISTEARTUTE I I OERH AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? N/A NIA N/A R2WCO23262 06/03/2019 06/03/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under ' DESCRIPTION OF OPERATIONS be'nw I E.L.DISEASE-POLICY LIMIT $ 1,000,000 j I N/A DESCRIPTION OF OPERATIONS I LOCATION°I t.:,i!CLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Workers'Compensation benefits v/;: ;�paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in 'es other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insul r :,). l he status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at wAw.mass.gov/Isvd,..^ .Crs-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Anatoli Sivitski ACCORDANCE WITH THE POLICY PROVISIONS. 222 Buck Island Road 6-8 AUTHORIZED REPRESENTATIVE West Yarmouth MA 02673 t /\\ Daniel M.Crowley,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) Th.:?ACORD name and logo are registered marks of ACORD Town of Barnstable Gc� 0-:_ � Building _ Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept 163� Posted Until Final Inspection Has Been Made. Permit e Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-18-4161 Applicant Name: todd leduc Approvals Date Issued: 12/24/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 06/24/2019 Foundation: Location: 112 SPUR LANE, MARSTONS MILLS Map/Lo_ t, 027-104 Zoning District: RF Sheathing: Owner on Record: BENOIT,JESSICA R&GARRITY, KYLE E Contractor Name--,TODD LEDUC Framing: 1 Address: 7 SHORT WAY Contractor License: 6SL-106019 2 SANDWICH, MA 02563 �, Est. Project Cost: $3,176.00 Chimne Y: Description: Insulation;See contract Permit Fee: $85.00 j Insulation: Project Review Req: Signed installers certificate requirered to close l 1 Fee Paid:' $85.00 Final: Date: 1 12/24/2018 Plumbing/Gas Rough Plumbing: -,Building Official y Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after`issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for.public inspection for the entire duration of the work until the completion of the same. ; ! f Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:; 1.Foundation or Footing .-� Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT I �MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING i City/Town:I_ —Tr MA.' Date:_ . ermit# 70 Building Location — 1.L_ t LL_ r "5 Owners Name:l lf�l Type of Occupancy: Commercial Educational Industrial Institutional Residential New: 1:21 Alteration: Renovafon:12/ Replacement: Plans Submitted: Yes NoC. FIXTURES z Z rn l 0 w Y n ay U Z CL ui z U)w Z n Z z u) _ n- w N P w Y v7 ° X m rn w o �' z >- E W Z U) (9 U LL w Z U ~ 0 O U) � FU- > > O O O z Z U) ~ _ a a a o O z ¢ O SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name: _ \ ���� _ � �... I I Corporation Address,�Z)(,," 'E�� � ^M City/Town 1 t- -C e- tate: IJA I_ a t Partnership I } Business Tel c a Fax: �— - -- Firm/Company f Name of-'Licensed Plu ber: +'� K INSURANCE.-GOVE -E: I have a_currAr t liabill r rnsurarice policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes jNo If you have decked Yes please indicate the type of coverage by checking the appropriate box below. cT �— A liability iA urancel�policy j Other type of indemnity Bond i OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement Check One Only Signature of Owner or Owner's Agent Owner El Agent I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my . Knowledge and that all plumbing work and Installations performed under the permit issued for this application will be In compliance with all Pertinent provision of the Massachusetts state Plumbing Code and Chapter 142 of the General Laws. [APPROVED Y F Type of License: , me- tle( _i 1 Plumber Signature Lic nsed Plumber astei LEE rylTownj r Journeyman �a License Number: OFFICE USE ONL okAi i pj AS t i i r - P p" , MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town _ ^�T MA: Date: `� ermit# BuildingLocation:�� ' �— �/ L "5 Owners Name: h' Type of Occupancy: Commercial Educational0 Industrial Institutional Residential New: 1:21 Alteration:0 Renovation: Replacement:E] Plans Submitted: Yes No FIXTURES z � z a Y o 1 J 2 hU- W N � z 1¢- Y N Q V u) O XO . tr ¢ z mwaaa > O� Z n a.a wz 7- n O a. Q u_ ¢ Y = O OF a Y Q = w w w LLI cn SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 K u FLOOR 4 1 H FLOOR 5 FLOOR 6 FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name: _ Corporation Address. J �.,. � . J Cityrown 1 :State: MA El J '" Partnership I it s .. 0 Busine Tel c Fax: �--� � � — Firm/Company Name of Lice'tsed Plu ber: INSUR--ANCE-nOVE E: I have'a;currQ, liabili :insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes, rNoEl If you have e%cked YYet's please indicate the type of coverage by checking the appropriate box below. A liability fturance policy Other type of indemnity Bond 0 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement Check One Only Owner El Agent Li Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my . Knowledge and that all plumbing work and Installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. FAPPROV Type of License: i Plumber Signature 1 lc nsed Plumber —� Master f Journeyman {� License Number: ED OFFICE USE ONL ob�ti? /�?-774,ea, 75 G) 0 i ( C(.C."I n s-tu o u:-r wM L-I- A uk wk OuGT /0 r7) r B. NEW BUSINESS (Refer to Pul BARNSTABLE I 2009-076 APPROPRIATION OF $26,000 FF ORDERED: That the Town Council hereby Town's Insurance Recovery Fund for the purpose fire and was lost in the fall 2008 at the Hyan authorized to contract for and expend the apprc authorized to accept any grants or gifts in relation SPONSOR: Town Manager r 7 Ouns br' S o V-"3 �j .� sox Cc I-vi 4, iw�'R rf�G 6)9 Rot Q TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel,".r. 11�� q�a(Oss Health-Division Date Issugd Conservation Division :,,,Application Fee Planning'Dept: ;1Perrdit Feb Date Definitive!Plan Approved by Planning Board Preservation Historic OKH I Hyannis Project Street Address 0., SF, ,12 "Kko Village Owner 1. TA eA-" L-V i-- Address LAat5- Telephone Permit Request 0 Pi�-"1/,,L6 mxl :cv-\ 'Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ­6� Zphing District Flood Plain Groundwater Overlay Project Valuation .-Construction Type ON k OE�Vlr Lot Size A C;240- Grandfathered: ZYes U No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family U Multi-Family (# units) Age of Existing Structure 2 'i F-5 Historic House: U Yes Wollo- On Old King's Highway: L3 Yes Q<o Basement Type: 9<1_1 L3 Crawl L3 Walkout Ll Other Basement Finished Area (sqft), ce-YI.SS71" Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new -n7 Half: existing new Number of Bedrooms: existing 0 new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 216as L3 Oil Ll Electric Ll Other Central Air: Ll Yes -[;k<0 Fireplaces: Existing New Existing wood/coal stove: 'Yes Ll No Detached garage: 0 existing 0 new ,size—Pool: Q existing Ll new size _ Parn: Ll existing UWew -size 1 Attached garage: L3 existing LI W .new size —Shed: /existing Vnew size 00 Other: 2 C, <1 NJ - Zoning Board of Appeals Authorization Ll Appeal # Recorded 0 En N) > Commercial Ll Yes Zo If yes, site plan review# Current Use Proposed Use ae-z,, APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Numbe SOF1 1 0� 9b Address VZ_ S eve— License ,9MM61z NW-133-ONI'S L Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t914 - SIGNATUREX 4AaLa_J&_ RQ&VIAt.2 DATE 4 - 92 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE . OWNER ' z ° s S DATE OF INSPECTION: FOUNDATION FRAME INSULATION .FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING,?!2�� ` f • DATE CLOSED OUT ASSOCIATION PLAN NO. V The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizatiorandividual): A t-tA-l_ l i Address: L,� LVY . City/State/Zip: A/\49-5T vVl hone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-.time).** have hired the sub-contractors 6. ❑New construction ..2.0 I am a sole proprietor of partner-" listed on the attached sheet T. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'.comp. insurance comp. insurance.$ ,required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3 I am a homeowner doing all work officers have exercised their I LF1 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑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. ZContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy.of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. �(Ido hereby certify under the pains andpen�lalties ofperjury that the information provided above is true and correct Signature: AhL�laMo 2 dm;& Date: Phone k Offuial use.only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 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 of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or 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 fok the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),-address(es)and.phone number(s)along with their certificates)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 in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license.or permit to burn 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: The Commonwealth of Massachusetts De,paztment of Industrial Accidents Office of Investigations, 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia Town of Barnstable Regulatory Services s.�xstur.e. Thomas F.Geiler,Director .MASS t63p.. A Building Division PIED l� Tom Perry,Building Commissioner -..200 Mairi:Street;--Hyannis,MA 026D1 _......... _.._. . .. _.__......... viim.town.b arnstable-ma.us Office: 508-962-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: j `� �� j JOB LOCATION: I � S�U 1Z [ _A V 42-STI�) �"�n�l t�L LA number ^� /� street village "HOMEOWNER..: Ptnl4-'(,� 1T 1 fL-Q►'Ytl uu<, name /� L^ home�pho�ne q work phone# CURRENT MAILING ADDRESS: L� �i7 c�1j Lan-e_ St)t1f� �:fq;,CiWWJ� !t(&7 cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellinys of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"bomeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned."homeowner"certifies that.he/she understands the.Town of BAmstable.Buildigg Departnnent minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. f morn; /10si atirre of Homeowner ' Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowoer performing work for which a building permit is required shall be exempt from the provisions of this section(Section 1 D9.1.1 -Licerrsmg of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall ad as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Liernsing Construction Supervisor,Section 2.15) This lack of awareness oftrn results in serious problems,particularly when the homeowner hirrs unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is uhimatcly responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application. I that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt sucb a familcertification for use in your community. Q:forms:homccxcmpt L Teti Town of Barnstable Regulatory Services sasxsrwst.E, . v" Mass. $ Thomas F.Geiler,Director �'jDrE1619. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town-barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign-This Section If Using ABuilder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RM S:o WNEUERMIS SIGN T- i N � o .ry. ---- _ z _ i U Oft 4 /Pa 2a - J � l O .o !Ze j1 .ajy '^a•. f ; �:y i6,Jir-i:i:ya .. Fes,s ,='Cw ,%.k;fl j,ji^+Mi. N`. ..."�°'Ts,'r " :id . rf.., .u'�'S:iU�` ��.y�,y'n�1t,�¢f�;'+� s.._L:ti..r . . ,.+.t�'•+;'�ft'{� �,l 'Y"y�. ";,'1.F.L ,'►.rt►'f�� �_�r. Town of Barnstable OF 1HE_lp� Regulatory Services BARNSfABLE, Thomas F. Geiler, Director x. � + 9 MASS. g Building Division �A t639. �0 rEon��" Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MX 02601 www.town.barnstable.mams Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: LOCATION: UNDER THE PROVISIONS.OF 780 CMR, THE STATE BUILDING CODE, SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY DISCONTINUE THE USE OF THE CELLAR/BASEMENT AREA FOR SLEEPING PURPOSES. LOCAL INSPECTOR j SIGNATURE OF RECIPIENT ODEM DE SAIDA DATA: LOCALIDADE: DE ACORDO COM 0 PROVISORIO 780 CMR, CODIGO DE CONSTRUCAO DO ESTADO, PARAGRAFO 3400.5.1, VOCE ESTA ORDENADO DE DEIXAR DE USAR, IMEDIATAMENTE, A AREA DO PORAOBASEMENT PARA 0 PROPOSITO DE DORMIR. M l INSPETOR LOCAL ASSINATURA DO RECIPIENTE . � I i Assessor's office(1st Floor): 0 Assessor's map and lot number "r �oT INC>o� Conservation 6 — B�$�?i'C r: Board of Health(3rd ` _ 'iV'' , I �� LE e j Sewage Permit number �Q � / �IV C snit' Engineering Department(3rd floor): ,i eNV1, • House number �" / f?o� �J� ® p�KE4 o MR4 6� Definitive Plan Approved by Planning Board 19 eV'�� a� CQQ�`ANQ APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only L�Z1Qr1,S TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 00 TYPE OF CONSTRUCTION (9 �l 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: T 0-- Location (DY� �" ©� L)S� —°' f! S o O L Jrj i o f17(,ri-hD? ;'b wo %�-- Proposed Use PD Zoning District " Jj 11-,r Fire District l .�li=f2U1, m��t"5 C ykIf I Name of Owner f`C(c)lr'�il Oc�t�c `l Address _��� S (JUY ��.n J� /-S yt_r YVI f 11 Name of Builder l.Ur 'e,_ Address Ji 7 ge Name of Architect Address Number of Rooms Foundation�r—' f�Ls51� Ziv�cj ��� -t � Coc�Exterior � �-zcit Roofing �P rlO Floors Interior Heating --------- ? Plumbing �^ Fireplace Approximate Cost r f?oO oa Area Diagram of Lot and Building with Dimensions Fee g1 j3 / OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar 'ng the above construct' Name e -4 Construction Supervisor's License Yt 1 _ l BRAGG, .ROBERT & LAUREL No 35118 permit For BUILD PORCH ' Single Family Dwelling Location Lot /69 k42,.9ggff==Tane Marstons Mills Owner Robert• & Laurel Bragg Type of Construction Wood Frame Plot Lot Permit Granted June 11 19 92 'y , ,D•ate of Inspection 19 Date Completed �� 19 • _ � t LAI In r TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOBI LOCATION F f N mber Street Address Section"0fTo_wTF_ HOMEOWNER" U r Y D UJ� l- �O0 Xd,�;3.- r Name. Home Phone Work Phone lUi`Av PRESENT MAILING ADDRESS -:- . ' a - City/Town State Zip Code The" current exemption for "homeowners" was extended to include owner- occupied dwellings of six units or less and toVallow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109. 1. 1) t The ,'undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regdlations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Depar ent minimum i p ti!on procedures and requirements HOMEOWNER'S SIGNAT E 41 APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. MISC5 . i HOME OWNER'S EXEMPTION The code states that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work., that such Home Owner shall act as supervisor. " Many Home Owners ,who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction. Supervisors, Section 2. 15) . This lack of awareness often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the unlicensed person as it would with licensed supervisor° The t Home Owner acting as supervisor is ultimately responsible. To ensure that the Home Owner 'is fully aware of his/her responsibilities,: many communities requ ire, ..'as• part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification• for use in your community. t ; Assessor's map and lot number ... . ...,... �oF THE r0� • P n Sewage Permit- number -1 � •. o d Z BAHH9TADLE, i House number ..................LTA..'/.., ..z-, ........................:............ 9p0 39 0 M A8 t 6 00 BlJlo , q `FOMPYa\ TOWN OF BARNSpTABLE ' :. l BUILDING INSPECTOR�o :S I NU C� J..���4.I'F). .E0.!!1 .1.APPLICATION FOR PERMIT TO . ......... �..'.0 ........... TYPE OF CONSTRUCTION ............1....:5:(.. ... ..:...fit.... .C)C . ........r...N�-.1 ..t..-...................................... TO THE INSPECTOR OF BUILDINGS: 'The undersigned hereby applies for a permit according to the following information: Location ....L0 ... ?..1............//,.......... tiz.....�..lt.&s ProposedUse ................................................................ ... ... . . . I t Fire District �.(.PFU,I ,��r �S�f'd�U 1 C, Zoning District ....................... .......... .�..... ...... . .............. Name of OwnerC� P�' ..F�. ... .Uh'P{� .��FC1g9SAddress .. ...I'!..°1.4.Y2F ..:.�•U�11�i,�,,tl,Ul'�r7i`$ v 1 1 a a �l� sT ... . ...G 1. Name of Builder ` P UC lPSh. 9....Address .... .. /1 ��.l".....S...L..... .................. �. �K:.;.. N��. .�?. . Nameof Architect ..................................................................Address .................................................................................... � Number of Rooms ..................................................................Foundation .:.......C......�'.....C�...............I�.J.C'..1�.`.............................. Exterior l . .... .Roofing ....../ %' C,?a.l .................................................... Floors C'.c .�' � .......Y.:. /��.IUC'�PU 1Y4. Interior ..�.t.�,Pfl.K .ve.!�:........ ............................... .... J..' Heating .!.�'.N.!..J'.�.0... .............. ........... Plumbing ........ .I..!� (D/L.) ,11A ti� 1. .. .. Fireplace w .........................................Approximate. Cost �� UD Oo ......................... ....ra...... ' r -� ,......................................r........... Definitive Plan Approved by Planning Board -«__ _--------19 73. Area ��. ..'�^ 5 ...J-.T ..... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH GOP 35 i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding,,the above construction. Name .............. Construction .Supervisor's license ...��... J� d BRAGGS, ROBERT F. & LAUREL A=27-104 16 y No ..�5 8 5`... Permit for ..... ne...S.tory........ ......'.`..Sixl.gle...Family..J)w.el.l.ing........... Location ....Lot...69. ................... ........................ Owner ..... ...Braggs Type of Construction ....Frain&........................ ................................................................................ Plot ............................ Lot.............................. ..... Permit Granted ......19 83 Date of Inspection ....................................19 Date Completed ......................................19 p . E)oa/o t- 1- rz , ,o• TOWN OF BARNSTABLE 25855 � Permit No. _-_------_--------_-.._- Building Inspector UA"STAa Cash OCCUPANCY PERMIT Bond ___X,_- _ 6� Issued to R b_,t. p. A Talitcal, Rmaci3 Address 61'. 1.12 Smir Tanpr �3-rrst�rts i•;i_].ls. Wiring Inspector l /�ro _ Inspection date Plumbing Inspector jt�� �i ^ Inspection date Gas Inspector `h Inspection date „Engineering Department, 1'� .„/. ' `'? Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .................... .................. ........p .... _ Building ._ g Ins ector FROM `~ TOWN OF BARNSTABLE ~; Mr. Francis Laht BUILDING DEPARTMENT + o .�«., S f A«N a r•b�.: g N R Y W!�R V�67 .MAIN STREET HYANNIS, AAA 02601 Town Clerk be toe•w rte P•a�e".Iev+•+5�w.waq� Phone: 775-1120 SUBJECT: FOLD HERE DATE March 13, 1984 MESSAGE i - AFC??."f_f«�i`Y•ges rr M:i. �•R.+! .. j Wyk Y • A k,4258 .( . . b&.,Laurel, rag ? • , . . •Please����e &??�.`Y R,•e w'�YI+I4i,awtrwR4'�YS r�?s 1�e*'a{''�'Y'tl'P t P•F it i'iY . a I ' 'SIGNED i DATE .. - / - ' i? iV1 � .REPLY SIGNED Ne7.RMi - - RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY ' - • • PRINTED IN U.S.A. SENDER:SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. r • 1 Ln Go j ' � �`' � 3�'t , n iA" �, 4�4 L A' W J CZ-00T/F/ A:14 oT AM'Z.AA./ ScApX-E: 1'' = 30' DF�iTGi: 1Z .� 1�2L- hATz�D �p� EFE,ee,VcE: L �q - n� . 3�, z1 Z , ��, q z G(-�A2 L c.S �/• 'bu C 14 CS u CY = f-/EBEBY CE'BT/FY 7-AvoQ7 Ti./E BC 1A..o1VF SHOh/A-/ O.V Ti-//S 'fNpL-A.V /S LOC.gTEa OA/ 77NE yeocrvn .vs s ADWkl NE'eo,:W- LZN OF Mq�S - O ARNE v� S H. OJALA -' 426348 N G A,v a sc�ev Yo a� 1 !Sj Z 20cJTE 6�4^-�.eMOCJTs-I, MIaSS. . a�ar� .ems. �. c�.evc♦roe 1 Assessor's map and lot number .�..:�� :k. . ... .. r ! ..� � t Sewage Permit number .7�.... . ....... � BARNSTABLE, i Hbuse number .................. C,:.......................::: ,\o, vooy 16 9 r 00a YPY 6\ TOWN " OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO QIV.. �` ..L�.!....... I( .�FJ. . GZ.I�}��.I. .1.. .I.IQ y� � TYPE OF CONSTRUCTION .......... .1.....5 TQ.f--j...... ...................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a/permit according to the followinginformation: Location ....fti.O.. ....r!... .1............//1. ........ .U.� ..'...`"" .... .... 1.�'S...( ..... f...lt.(..l.l ProposedUse .......................'............................................................................................................../.''.��...... ....^.........:................... ................................Fire District �'YI V..(.I.� 1��.(..�.d-.Sl....�.�.C......... Zoning District ........................................ / G y� .... �... l / Name of Owner Q.��'l' .. ...�.0(-'C'1�k,.D,tQggQ Address ..�i •F....P/.TG Aere ;....W. . . q...1212t.S Name of Builder ) C[1''I. ...1!•... �°/l.� h..... .....Addresso..� .�... ...... G(.4A?S CkLk Nameof Architect ..................................................................Address ....................................................................................... �...............................................Foundation .... ..... Number offbRooms .................J) 7 f� I Exterior �GZ j'J. a4.!".. ...�....��?<.7.e.Ce c? Roofing ....../ .Y? . ................................. Floors .{ /-' P ...... ...../��(UQU Interior .. .1e� '0C° C............................................ .... .... ............ ..................... .�.e.O r..t.�°.........................................Plumbing �.� �......... Heating ............. .... ... �UM. (.N�17....................... u Do Fireplace .........................PC?...............................................Approximate. Cost ................h........... Definitive Plan Approved by Planning Board.`— ---------19 Fr�. Area Diagram of Lot and Building with Dimensions Fee /�7� SUBJECT TO APPROVAL OF BOARD OF HEALTHN✓ 14 t9� PSI / ZV� ` 3 5- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .2. ... .........P,d4e.!o....... ............. Construction Supervisor's License .. .�SJ� ........ BR,4G-6S, ROBERT F. & LAUREL 25855 One Story -iNo J............... Permit for ................................... Single Family Dwelling ........................................70 ................... Location ...Lot 69 , 49:2 ............................................................. .Marstons Mills ................................................................................ Robert F. & Laurel Braggs .....Owner. ............................................................. Type of Construction F.ram.e............................... ....... .. ................................................................................ Plot ............................. Lot .............................. December 7,' 83 i�,Pronted .....�/........................ Permi .........1.9 Date of Inspection/::!9;.." ..................19 Date Completed ..... . .. ..............19