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0065 TUPELO ROAD
(d� � /� p � n � , T �i� ,� � � � ,. � � � a ,. � � � o .. � � � ,. - o o ,. � � i ., o e c 9 �. 6 .� f. ' � ,. � . .. n � n i M o G - l t () � � a IL .� ' r �. n ,' a �# ,. � � o n ,: Vain ir, o .. o , ,� �� .� �, ,�. ,. ,� o ,, o ,. o � � � o � .. _ ,� r e,., o �, o ,� .. � ., c '� .� � � � - .. � �r �, , � �� �a r�, r . o � ,� a a ` �. � r ', � � Q o � .. a ,. � o �, � E ., ,. .. .: ,. ,. � a � ,. � - ., � -�- ,. r _ f 9 ., ., �� � v� .. ... ...... ..�- . �-..�. �ti.t.... 'y. Town of Barnstable ' m �. .�. ._ . . _ �. .� l 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, HARIWASM X Posted Until Final Inspection Has Been Made: Permit 1639- r Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-663 Applicant Name: Carl Rebello Approvals Date Issued: 03/06/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/06/2019 Foundation: Location: 65 TUPELO ROAD, MARSTONS MILLS Map/Lot: 057--107 Zoning District: RF Sheathing: Owner on Record: FONTANA, PHILLIP S&JANE M Contractor Name:', Carl J Rebello Framing: 1 Address: 65 TUPELO ROAD Contractor License: 6 084358 2 OSTERVILLE, MA 02655 , Est. Project Cost: $2,917.00 Chimney: Description: Rigid board&Air Sealing L Permit Fee: $85.00 Insulation: I Fee Paid:` $85.00 Project Review Req: I r Date: ,� 3/6/2019 Final: v� Plumbing/Gas Rough Plumbing: __. ",Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. 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 Final Gas: work until the completion of the same. 1° + � s -- —�- r Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection 1 Rough: 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 7.Final Inspection before Occupancy Low Voltage Final: 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). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Engineering Dept. (3rd floor) Map 7 Parcel Id ;7 4�rmit# House# s Date Issued Board of Health'(3rd floor)(8:15 -9:30/1:00-4:30) a Z " L.�, L - r4,P4 V � Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Ply cr flnnr/- ;81 A a�._ Dia�; b-. EPTICSYSrTE T®E TALLEDIN d 19 WITH ENVI�4NNIEf B�. C� ol. G� TOWN OF BARNSTABLE) REGU p s Buildin Permit Application Project Street Address U 5 -T V E Lo O ko Village __-roA/S Owner__R i c-H j4R a 1, 1VIA) Address &5 Tue 67GU t�6 Telephone 50$ y a'-9 3 H 11 Permit Request pR 14, A 61770--J b b -To -�'Tnq-6� 4b b 7-0 First Floor p square feet Second Floor 15 `{ square feet Construction Type tA.�cob 'Ceki t4i 6 Estimated Project Cost $ a�4 U-VD Zoning District Flood Plain Water Protection i Lot Size q14 /UO Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure l 99 3 Historic House ❑Yes J�Wo On Old King's Highway ❑Yes ANo Basement Type: 0 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 116 Number of Baths: Full: Existing 2— New Half: Existing New No.of Bedrooms: Existing—_New Total Room Count(not including baths): Existing New b First Floor Room Count Heat Type and Fuel: ta-(I�as ❑Oil ❑Electric ❑Other Central Air hes ❑No Fireplaces: Existing New 6 Existing wood/coal stove ❑Yes ((No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Attached(size) .-V A a ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use Siti xL E �AVW t Lu Proposed Use i N(,,1 5 F40"i L U Builder Information Name Ffycrylg fi5 m op-SE Telephone Number 509 ` X F /S S t Address 393 L,9K65,YoA6 b-4. License# O g q) y slq&lb W iG if Home Improvement Contractor# to Worker's Compensation# 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 3At A�6i SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) r FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED: r . MAP/PARCELNO �• o i r ' ADDRESS VILLAGE �1 y OWNER DATE OF INSPECTION: ; FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: - ROUGH FINAL 27s . PLUMBING:.-: _." R( FINAL r..; GAS: FINAL zt FINAL BUILDING ., �+$ DATE CLOSt-b JT ASSOCIATI��N SANQO. . i i 6- /A - < p REV 4 Ex• T�4} CON(.WALE l �^ �� A L uN', � G N REJyJE ExyT Dew h h IL'aP'[nNT. LiL o p, i5 cr eVw 4 NA)S VO' V T.4"Cp.J(.SV�O AClEyf+VENT 1 9 I I a RJBN G. �. 10-U•WYfi.n,DE 7? Y IF rODNDATWN DDE.j CnU.,nA OUAa NOT_00.UNDE0. A• 1. /r'e,--p•• `j n W .: C,icNfN a'SJtiP II OVT TNAN-..POUR la'pEEP VAR •"J I54V., \ G,QyT GEDDR PEA nI N ( I 81 •CFt Our FCL+O R' PtA11 RIDGE VENT t Uf,P EDGE VENT ©. .��•. �wcc+%r'-1.0'• axlD R.,otG Ec E/LTJC. Y _ /f Y� A[T S 4AiE (r+ATCN —OVEf OAR"L6 � N Q - - Ix6_.F CIA �. _ EO..Cc A2,R000 OVFR�2Da Pl`) R—C E%Oi DDRCac OFZ -- ` R 19 !/b'OC� Nr 6,Try IA IAL_LBDf. NIN OOu,+DDOc /j CNE DUEE Ix4 TNR TRIM T ,-8ek ALO. I L,A)) L,TE m cC - do c$ND��y %r')•0 5.8 G,..T �wN t.♦'aC. A C)S B L'°%Gr C $�xGx BI !-dnY NEADERf O NI•xt� me P. axL 3 c/1.bC E 1..._-. F 7 r MVEciOU .7veyu Rif •b R J/r'pAG C dn,o ND2-1 syy..o AL. I /• i _ -- axt P•r.jILE f��t.o)_<`i�`Cl. I -t"NIL N /"CON/. ZOAJI DAN/ Pxtcr BEION) F,PAMING- GGCTION S�l��r�_/.O• FLU , v -�,7L -=--------=-----' ?FAC EIE VAT ON _ 1 ' ADD.1I'oN PLANS FoIE 716M Ha/t_f E f •• con. �` S,IACON MA(oNE-7DNN fON SOC 77�'F67 The Contntontrealth of Afassachusetts Dc partnient of Industrial Accidents - Y Office of111MV9211ons \_,':'�'•_=r �' h00 N'ashiYi,, Street t�+�•. Boston. A1axs. 02111 Workers' Compensation Insurance Affidavit AI)12li nt information• Please PRINT(ebi "'�� 7'� name: _ Hol�'I f}S MoRS Incasittn: (,p 5 / u tq&o A •b city .570&_S A,cC's 17M, nhcmcft-_`O-F _3((/ Fj I am a homeowner performing all work myself. , I am a sole proprietor and have no one working in any capacity I am an emplover providing workers' compensation for my employees working on this job. cmnnanv name: address• city: nhnne#• insurance co_ nolicv!! 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: comnanv name: address: cit.•: nhone#• insurance co. nolicv# .. •t•• Yw - _ �.:t.. .. _ _- -�r�._;:���Z;��T"r�.w;S- •-fir•:"-,_ -__..•w...y. .i.._._._ companv name: address- city: nhone#: insurance co. nolicv# final sheet if necessa - _'� _ "`�'"'��'�^" ^•"�__ R '^' Attach additi'nal T. -. .-••.,__: _-�:•-•:..•.y = - .-rT_ _..� •.. ......"':�'^..�.: .:�:►....-: �.. r:iilurc to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties ies of a tine up to S1.500.00 andiur unc wears' imprisonment as swell as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a cope of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereht certi ttder Nis pains and petra/tirs of perjury that the information provided above is true and corprect. % Signature Ao Date a'(( Print namc , lifo�/- s MoRs6 _Phone# ' official use unI% do not write in this area to be completed by city or town official ^ ,� city or tnivn: permit/license# rltluilding Department Licensing hoard ttC3 cheek if immediate response is required C3Scleetmen's Office ► ' k' C311calth Department contact person: phone#: rlOther r Information and Instructions Massachusetts General Laws chapter 152 section '_5 requires all employers to provide workers' cim reiisation for the employees. As quoted from the "laws . an einpinree is defined as every person in the service of another under anv contract of hire, express or implied. oral or written. An einplurer is defined as an individual.'partncrship, association. corporation or other legal entity. or anv two or mor the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the rccciver or trustee of an individual , partnership. association or other legal entity, employing employees. However th owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the d%+elling, house of another who employs persons to do maintenance , construction or repair work on such dwelling ho or oil the `_rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance of- renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant ,%vho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into anv contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter h been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits 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 cite 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 requires to obtain a workers* compensation policy. please call the Department at the number listed below. City or,ro-,%-ns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o- the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plea be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any question please do not hesitate to give us a call. . ►..y..v��... ...� .— ..... .-...•. � Z�r...�. _....�w._A.._ww_a ..: ..�......+w.;.w!.r-,�wCrrlr'-n'.rn�.�v..�e...- Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone 4: (617) 727-4900 ext. 406, 409 or 375 OFZlIE rqw� f 0 The Town-of Barnstable BAMSrnBM 9� Department of Health Safety and Environmental Services ArEDMo�s 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: /r-�orJ Est.Cost s/ � Address of Work: (p�S T�'PG �L� M1mSZUX).S n 1&61 Owner's Name 9 IG mil d L) '�X/L C�y��y Date of Permit Application: alu 1 4 - 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 ermit as the agent of the owner: c-s o� Ioq� Date Contractor Name Registration No. OR Date Owner's Name .. •,. 1' .i' - r!"�. '✓:r�G G I ,f !Ad- �7 , G ,• .G 1- 1,�.'.,i•. ,��• 'A RENTAL 081IC SAFET � •� : - PE QR IItEAS ' G 4 ,; `"•ri: fires �21/1991 ti 08122' Oil Y w JlBRAS VIRPSE UIEWE OR t e , r.'�fIY�YICH MA 2.563 r�41�t• +� Is I' , . HOMEIMPROVEMENT ONTRAGTQR_ s fiRegistrat 'ofi 104:2A6 ' .r plratlon: 47/, 798 OMA ORSE REMODELING I s o8a No se Lakeshore Dr anti ADMIN s , San ►i c M 02563:' I ' dlr 2 op 2 Slb'r '�VILDll�6CIO -Nt LU9, •R E�•GG•55 h Prr oe m IJ OF MASJq 1 \ �1 � r PETER SULLIVAN H \ No. 29733s Elk \ \ 9 c 'N \ `` FSS'AA c r► RD —— .�. tag,Dow 7 .DES 16►J -PATA .51146L E FAMIW :9 $EEr1 =Mf- 1 OF 2 40 6AZ5A&E 61Z19VEV- 'PAIL,-( l=-DW 3x1lo-'T4o.'-PT> DiG bwaAC, 215SMAL PIT 1 -10V0,442(-/ ' s`tvJF- 51DEMLL APEA = 113B SF i tO a 5F X 2.'5 -a•4-76 a M, �U pIJ 1�AuL BOTTOM AgrA = -7 6 s F TOTAL t)E616N = 540. 6pP•. ..r.�p ELD �oArb f TOTAL VA I L.y M Yl = 37�0�Pi P.4V[,AT1oN aTE 61l'+N 2v1IN�t S 4AMT-OA1S MLL; `N N OF �9ss i�14l�D �� 9c PETER y�N GA A. M SU L UWJ fig.eaoee No. J 733 t` Y tlr ass/ONA L 0 �zv� ! it 70"L&. TF= 63 12�13/gs LV A-VA h=V=L—V .C. 2 `I' PKT INV. 6AL 9)8 •v lxiv wJ 0CK WPi't� �6m' MOW ��VEa-�.T STONE s4AU- BE 14-2.o 10 6ezi-1r-1 ED FLOr PCB N ����� ��Flc�— Lo�1oN • �1 o �W o su1 Lam; P r7o I;IATI=; Io •4.93 fro W9 M- �� _ PLAN QE'f`EREIJCE� 1 GEY[1FY T4IAT' T �lNl>A.-r n1 %OW W NE2WN C0M'F - 5 WITH -Mf- 51PEWE 1-orr" 7 6 6P �x r . M4)- Ct 111C7 TDWN OF-BAQA',TABL?, 3 d+rro 15 0�r l-04� Itu Z oF3 DQ-1-�- In-�q3 8A XYF1z � NY6 INC.. pzm=r--`filDQAL LAUD 5uZvEyoe5 711K RAQ K NOr F3MED o*J AN Iq5TL't7WtE+ r SURWCY My TNE: QFFSerS 4 4oma:) +Jut' 73E oSTElLvlu� MA44 . uSet) T-o G- TABU5N 'RZCpatzt-y u wE5 APPLIC-AwT,, r� Stbe �VIczIIJG . Town of Barnstable RE Fill'' " uaxereeit 200 Main Street Hyannis MA 02601 508-862-4038 Application for ]Building Permit Application No: TB-17-1955 Date Recieved: 6/21/2017 Job Location: 65 TUPELO ROAD,MARSTONS MILLS Permit For: Building-Insulation-Residential Contractor's Name: Craig Bishop State Lic. No: CS-109777 Address: Sandwich, MA 02663 Applicant Phone: (774) 205-2001 (Home)Owner's Name: Fontana,Phillip Phone: (774)238-7013 (Home)Owner's Address: 65 Tupelo Rd, Marstons Mills,MA 02648 Work Description: Weatherization&air sealing O Total Value Of Work To Be Performed: $3,413.00 -NN) au Structure Size: 0.00 0.00 0.00 Width Depth — Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this'application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is.issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Craig Bishop 6/21/2017 (774)205-2001 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project'Cost : $3,413.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee:, $85.00 Total Permit Fee Paid: $0.00 T� �I� I�Sa N®� � P� I�,• ., e °�. TOWN OF BARNSTABLE BUILDING DEPARTMENT _ »iar = TOWN OFFICE BUILDING � rut 9 t639. � HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: June 22, 1994 Db An Occupancy Permit has been issued for the building authorized by Building Permit #...3,6402...._._1 .._1.__.»..........................................................................................»..........»...».»................. _ .» . issued to Bayside _Building.... _Co. ....._......................._.........._...._.......... ... ._...__ Please release the performance bond. !,SA :LISMS bUILDINki -PEMMk I ij,7E .19 PERMIT NO:.. _NQ .364 92 - cl" _ . _L, b cl'-� ADDRESS uel tu 0 U 5 6 4!:) LICANT (NO.) (STREET) (CONTR'S LICENSE) i.ti IU lc.' n.4 LU i '.jT!(NUMBER OF -DWELLING UNITS PERMIT TO STORY (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) C o- ZONING u o c! u, DISTRICT AT (LOCATION) 65 T Na r s t (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT—BLOCK SIZE BUILDING IS TO BE FT. WADE By FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP —BASEMENT WALLS OR FOUNDATION (TYPE) Sewaqej#93-560 REMARKS: Bond AREA OR 1108 sq. ft. 140, 000. 00 PERMIT $ 157 . 00 VOLUME ESTIMATED COST $ FEE (CUBIC/SOLiARE FEET) ifzLy;.;jde bldg. Inc. OW — BUILDING OWNER DEPT ADDRESS BY— " i THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER-TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. 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 THREE CALL -APPROVED PLANS MUST BE RETAqNEO ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY Is RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL cEmBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. . INAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET /BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS --rl,L It 11 D_� LIZ 12 2 PA 4- L-GIH 1 &"v 3 HEATING INSPECTION APPROVALS ENGINEERINQ.WPARTM(=N �W C�ii//a�vjJ�� 7 H LT 9 BOARD OF v v OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCF'r :AIL THE INSPEC- jPERMIT ^vE NULL AND VOID IF CONSTRUl—': -'-'!ONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED TW :;'JS STAGES 0: WORK I' .:ED WITHI%.' SIX MONTHS OF 11 POR BY TELEPHONE OR WRITTEN CONSTRUCTION. PC N 0 T TM�> TOWN OF BARNSTABLE 36402 o , Permit No. ......:......... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ■ML 67p V HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Bayside Building, Inc. Address Lot #7, 65 Tupelo Road Marstons Mills, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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. April 6, 19 94 Building Inspector i TOWN , OF BARNSTABLE BUILDING DEPARTMENT = rAR1°T = TOWN OFFICE BUILDING � rqa HYANNIS, MASS. 02601 �OIUY Y• .,. MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit # ..� ._............................................................................................... ._.._......_» .. _ . . issued to .. _..� _.p ..I�/1? ':... ................................ . ...._... ._...__. C/. (/ i Please release the performance bond. TOWN OF :0S:TTS BUILDING ' PtRMIT ' jA7E 19- `)3 P MIT'N.0- NQ 36402 71--APPLICANT ADDRESS ip uc5tervi e 4 (NO.) (STREET) 2 Sin-(jlu Dweli I' 710UMBER OF �CONTRSLICENSEI PERMIT TO (—) STORY -DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) Lot #7, 65 Tupelo Roaci, tlarstons n4lilis ZONING RF (NO.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT_WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewagej#93-560 Bond AREA OR 1108 sq. ft. 140, 000. 00 ESTIMATED COST FEE MIT 157. 00 PERMIT s VOLUME (CUBIC/SQUARE FEET) OWNER bayside bldg. iric. BUILDING DEPT ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. 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 THREE CALL -APPROVED PLANS MUST BE-RETMNED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND I FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. I. I PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. * POST THIS. CARD SO IT IS VISIBLE FROM. STREET /BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 L 3 HEATING INSPECTION APPROVALS' ENGINEERING DEPARTMENT A 6 2 Ll 9 BOARD OF HEAL H OTHER E1 YI/t D SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCE'r :TIL THE INSPEC- PERMIT —ImE NULL AND VOID IF CONSTRL1 --IONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED TW ;JS STAGES r): I WORK I' ED WITHHK SIX MONTHS OF D' rOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PC: S NOT-," :,!;OV':- �.��..��..-���,.-.���.�..�-��-�.�����.�•;.r...'::��,....c.��. � ��.��"`^�'�-.�.^`"l'..°'� �guar^"'.-z����-� COMMONWEALTH EALTH DEPARTMENT OF PUBLIC SAFETY I' ONE ASHBORTON.PLACE F 'MASSACHUSETTS n -806T6Ff; ^� I� LICENSE CAUTION EXPIRATION DATE CONSTR. SUPERVISOR 04/19/19 9b EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB NONE 06/30/1 993 005645 PRINT IN APPROPRIATE D BOX ON LICENSE. 9 SRIAN T DACEY zo 62 FERBR OOK LANE BLASTING OPERATORS SS 027-46-5956 m CENTERVIII IMA 02632 MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) FEE u^.O O PAID7 UU NOT VALID'UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNATURE OF MMISSIONER I ' I 04/19/1956 2 2 1993 THIS DOCUMENT MUST BE « SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF IGNATURE OF LICENSEE THE HOLDER WHEN EN if . I!%i�l �'•�,�0 OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION.� ER i I SP{���.T fLOOF'SK�NfaL6r 1 -----------' '-'- ---......._- �... L1 _ l- J IrF _ I' I �� — 1 I L�L•i LT...2.QOF SNIN GLFC✓ .................... iJ ..i. _ _ --... ..-----... r1 n r C . L �. -- r- 1.L-__i t-- n i f-1 C1._ _i -= r-.. 1.r.. .� 1° - , E _ ..._ :._ - L �._. J .- ' �_, L,_:.J •,_ �_..—� _. .. 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' - ASTER 13EbrtooAA, — — — CATNU-0raAL i "�Rr�•� �- M AccEyS` isIJ 4�-(:::i" p N 30 57• 3o S7 30 S7 3o CS7 3o S7 __..__._—_... _........- ...... . ...__. 34' CD--.... I • i - • I I �Cal .N EY Fo o r l v B��ALL �ROU N n Y 1(i'• p I �.. I I I-v _ 01 - - � �mil_......... ... ; i I - - I m - %�^ I a���Z•�cot4c2.'.SLA3� I I f.t-1 I p _Z pEG.N'CdLUJ/�Nh I i P I CO/K A:c T G 2 A y� �- ..F l L1.- y I o rz COMMO TH OF MASSACHUSETTS DEFA 7 OF LNDUSIRIAL ACCIDF-N IS 600 WASHINGTON STREET anpoei BOSTON,-MASSACHUSETTS 02111 Scone, WORKERS' CONPFNSATION INSURANCE AFFIDAVIT 7 _nseelpermiaee) _ i principal place of business/residence ar v,2 6 3 (Gty/SatcaZp) reby certify, under the pains and penalties of perjury,than. ,in an employer providing the following workers'eompensarion coverage for my employees working on this nee Company Policy Number . m a sole proprietor and have no one working for me.. m a sole proorictor, n�nt contnaor r homeowner (circle one)and have hired the eontraaon lined below ve the following wor cmpensation insunn¢policies: of Conrnaor Insurance Company/Poliry Number .. of Contraeor Insurance Company/Policy Number of Conrn=or Insurance Company/Policy Number I a homeowner performing all the work my-self N07T-- .)'leas- 6c awuc tsar wbilc bomeowners wito empicy persons to do maintenance, eoostruetioc or repair work on a of not more time three uniu to wnjcC the homeowner aiso resiou or on the Frouncs appurteoant tdercto are not eeocrOY d to be cr_movers unarr tde Worm en' Compensauon Act(GL C 152.sea. 1(5)). application by a homeowmer for a lieeasc t may erccnce the ico aunts of ix employer under tite'Woricrs' Compensation Act and :/tat : coop-or this stat=ncnt will be forwarced to tier Dcparattcnt of Industrial Aeadents' Office of lnsurana for mvc-1-F on inc :nv :aiiure to secure �ernee as reeuirec undo Seenon_5A of MGL 15= can lead to the imposition of aiW:iaa+ per alnc e of : iinc of ue to S)500.00 and/or impruor=tnt of up to one N-ea: and avu penaiues in the form of a Stop Qiori:0rar. an a 00.C,0 a Qav a€a:ns: mc. j N YJ / . OF A. WTER A. MAZ5745. .M/1.1,5 %-•�/� ,S"/oE�/.c/� A�t/O s'ETBA G� Y O �•�I TE 'D tG. 14,IT? .t E'QU�,C�E�-1E.t/TS off" T.�/�' 7-owNaF ' �•L.4�t/: : .2E�'6,2EiC/G'�, 3R�14-� S6l- 2 /NST,eU�/.Eit/T S'U.21/E'}i 7-y� �P_EG/STE,eE1� l,�.t/p SU�YEyQt� O,�,Ss-E'�-5 Syaf.�/ S.�vt�€ �:'�TE•2Y/.C.C�a HJ.4,SS. %SEQ Tp OE'T�' Assessor's otfi,;�tst Fbor): - Assessor's,40 and,lot number �,CJ S /':. / f �: SEPTIC sySTE THE tli/tl r A ConcerVBllOn �r, � - :`}-+� �!�.� i � S YALeE�® IN co c WITH of Health(3rd floor): H TITLE ���T�� Sewage Permit number 4 S d �— ���811®14 Engineering Department(3rd floor): ������ o ■ua \,� House,number �2�1 TOt �EGUUCB® �°j� Definitive Plan Approved by Planning Board L4- 19 ' APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2.W VM.only TOWN '. OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION _ L�l/GT Uril ✓L�lnzt.� 19 2-3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according tto. the following information: Location At / C�,GJ !�e4 2. Proposed Use � Zoning District Fire District Name of Owner Address 14 v c t Name of Builder Address Name of Architect �• Address Number of Rooms r2 Foundation Exterior Roofing `` � Q&414 Floors T ��C.� Interior Heating �� ��- / Plumbing r yG y 4 � ©20� Fireplace i1�ti!iiC.f�l, Approximate Cost Area a' Diagram of Lot and Building with Dimensions Fee 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 o!0'6r 5 ( J BAYSIDE BLDG. INC. M, No 3 6 4 0 2 Permit For Two Story �p Single Family Dwelling A •`Location Lot #7 , 65 Tupelo Road ' Marstons Mills Owner. Bayside Bldg. Inc. Type of Construction Frame Plot Lot Permit Granted /�December 21 , 19 93 Date oor 19 Date;Compl.�ted 19`