The URL can be used to link to this page

Home My WebLink About0120 TUPELO ROAD i i Zo � �� o a .. _ _ ._ _. _ . .��_w_ Assessor's offioe (1st floor): �J _ THE Assessor's map and lot number ....... /........zn�? 3..... Board of Health (3rd floor): Sewage Permit number ..........7` '...... .L.�i....... ... r..:............ 2 339B39?I►DLE, i Engineering Department (3rd floor): (� +oo rb 9• House number ...�a? G v 3.... .................. .............. 0 YAY d' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only " TOWN OF BARNSTABLE BUILDING ,-I-N,SPECT0.R „ APPLICATION FOR PERMIT TO ..:............ TYPE OF CONSTRUCTION .. ..........:..................... ..... ...:........ 0 ... fll?a. -...................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....4-0.7.....f,..3 ..:.U�.. .�2L4...............R.lxl.,........1% /r./1, ®.yC.:.......... ..........f`�A ....................... Proposed Use .... �e....... fJ/r? ..L. .......GyIL� .................................................j................................. Zoning District ....J. .........Fire District ........ ....d.. .r.......................................... Name of Owner ..7�S.........T 2�. �.".�.r....?...:....Address �i.'.9rC3.4, RU.s� ?aR , /y1/ �.�•� �n Name of Builder m �'...............................Address G Name of Architect .. ........�..•F/ O/(/. ........................Address .................................................................................... Number of Rooms ........8...................................... }.....:..........FoundationDG/,f�E�....C, .4..!1!�.t.st. E..................... .../... Il6�n...,...Roofing ...... �'��fl`�G. /J./a.�°r.,�.ES........... ... h/h9 . . ....�....... Floors' f3/?l� oUD �.t/0.....�, LI.C�':.................... .......Interior ...................................................:. y /./............ 1 Heating /Of��C'ED /moo/ �i9T�/?...... . U �/G-.......... .................................. . q.............. Plumbing .................................................................................. Fireplace .0/y .....................................................................Approximate Cost ...... ............... Definitive Plan Approved by Planning Board ------------____________________19:_ . Area .......................................... Diagram of Lot and Building with Dimensions S dr C� Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED.-Fdk NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name1: . . .. . .......................... Construction Supervisor's License .................................... JORDAN, JAMES A=57-103 No ....3.0-5.4.3. Permit for ...1.21...S.t.Q.r.Y............ Sing.�!�....F�kajjy pKq Tjg............ ............ ..... Location ....... ....t11P.P-1'Q...Raad .................M.ar.s.tons...Mij.1.5.......................... Owner ....James..Jordan...... ................................ Type of Construction Zrame............................ ............................................................................... Plot ............................ Lot ................................ Permit Granted .......March.................24,, ................19 87 Pate of Inspection .....................................19 Date Completed ......................................19 t j� j/ Of • I " Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstab le.ma.us Office: 508-862-4038 Fax: 508-190-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 7 00 Property Address if�� LLP�LD esidential Value of Work Minimum fee of$25.00 for work.under$6000.00 Owner's Name&Address_OfAW/V -�? 611fb S7)Xt e Dom Ak D W.-3ki 420 -T4,p e,t,o Ab, M1mj7r-A 1-41 LLS Contractor's Name ,IOU,4-7- aL0-V- fiop r*6-- Telephone Number Home Improvement Contractor License#(if applicable) 0 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance X-PRESS PERMIT Check one: 2008 ❑ -'I am a sole proprietor JAN 3 ❑ I am the Homeowner I have Worker's Compensation Insurance TOWN OF SARNSTAB"L_� Insurance Company Name � �C Workman's Comp.Policy# to LV 0 o� 3 0RD Z Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) Ali construction debris will be taken to y/j'n-/49U 11f ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/do.ors/sliders. U-Value (maximum.44) �'' 1` f`� *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ti ***Note: Property Owner must sign Property Owner Letter of'Permission. copy of the Home Improvement Contractors Licensequired. SIGNATURE; Q:Forms:expmtrg Revise061306 r The Commonwealth of Massachusetts Department of IndustrialAecidents 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/Organizationadividual):. R060Q•*T •Address: 14- 30 T16&j'A-A1Ae t,�J City/State/Zip: 02&q?_Phone A SU?— ao- lltls6 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 snb-contractors 6. El New construction . 2.El 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' co insurance.$ 9• ❑Building addition [No workers'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 11.❑Plumbing repairs or additions myself [No workers' camp. right of exemption per MGL 12.9<oof 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#I must also fill out the section below showing their workers'campensation 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 additionalsheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contactors f ave employees,they must provido their worker;'comp.policy number. Tam an employer that is providing workers'compensation insurance for my employees Below islhe policy and job site information. Insurance Company Name:_ h-TLi9" -)C_ C-HA-rz TR Policy#or Self-ins.Lic.#:_ W W Q G 7 3 p a'Lp / Expiration Date: 1! Job Site Address:`# �oW TµPG60 City/State/Zip:/ 0.2k 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 maybe forwarded to the Office of Investigations of the WA for insurance coverage verification Id6he*rebycerV5Lizpderfhepains and penal ' -perjury that the information provided above is true and correct: Signature Date: 11310,9 _ Phone#: "5/d — 17 — qq S& Official use only. Do not write in this area,'tb be completed by city or town offciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: 07/05/2007 11 :03 FAX 5084201637 FREDERICKS INSURANCE 2 002/006 m ; • �,-f t..- Atlantic Charter Insurance Company VDAC NCCi Cu. No.:29211 Policy plumber: WCV00730201 1. INSURED: Prior Policy Number' WCV00730200 Tyndall Roofing LLC Producer: 30 Jillian's Way Fredericks Insurance Agency, Marston Mills,.MA 02648 Federal ID Number:204616445 Inc. R 1046 Main Street Risk ID Number: Osterville, MA 02655 Business Type: Llrr,�.d Liability SiL,gggg NONCLASSIFIABLE ES't•ABLISHMENTS { Other Named Insured: Other VVork Places: 2. POLICY PERIOD: The Policy Period Is From: 7/11/2007 To 7/11/2008 12:01 A.M.Standard Time at The Insured Mailing Address j 3. COVERAGES: A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA i B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy.limit i Bodily Injury by Disease. $ 100,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any, listed here' COVERAGE REPLACED BY ENDORSEMENT WC 20 d3 06A All states except Monopolistic State Fund States D. This policy includes these endorsements and schedules: See WCE105 _ 4. COVERAGES: The premium for this policy will be determined by our Manual of Rules, Classifications, Rates & Rating Plans. All information required below is subject to verification and change by audit. PremiumBasis Total Rate Per Estimated Code Classifications No Estimated Annual $100 of Annual Remuneration Remuneration Premium See WC 00 00 01 Minimum Premium: Deposit Premium: $500 $607 Interim Adjustment: Annually Estimated Premium (Minimum Premium) $500 Servicing Office' Surcharges) 7 25 New Chardon Street Boston, MA 02114-4721 Total Premium and Sur harge(s) $507 • •----• .... Dat�AY 2.5 2007 Issue Date 05/25/2007 Countersigned By: _ CoPYrl9ht Form:10pm 1987 National Council an Compensation Insurance ✓lie V�Dirt rizaruu o�`�lccrtctJe } Board of Building Regr.Iations and Standards Licew,e or registration valid for individul HOME tM tion: E-JT CONTRACTOR befordthe expiration date. If found retur; — Registration: 116(.64 Board;of Building Regulations and Stands Expiration .505 One A liburton Place Rm 1301 Type Lto Hability Corporation Boston;,Ma.02108 'rYNDALL ROOFING LLC ROBERT TYNDALL` 30 JILLIANS'•NAY hAARSTONS MILLS, MA 02648 _ _` Deputy Administrator ? ;Not valid without signs urea Town of Barnstable . voF�HE T°�"o� Peg-datory S er does s Thomas 's Geiser,Director tuilding Di 810n Tom.Perrh Builftg Commissioner . 200 ivlain Stceet, Hyan�,MA 02601 . '. ymm.town.barastable.rna-us --- Pm 508-790-6230 pffice; 508.862-4038 - Property. owner-Must -complete and Sign This Section if Using A Builder D -SK 1 ,as owner of the subject property - •'to actonmybe hereby authorize matters relative to work authorized by tli s building permit application for. - -- (Address of fob) a e. zgnature of Owner S C�� riatl�Iame _ • S2 OWNER AUTHORIZATION KA-W yl I, o w (Owner's Name) owner of the property located at (Property Address) VAA (Property Address) herebyauthorize r, , (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my pro,ert . Owner's Signature Date FF 8 2012 ✓ I C1�� /mom/.0�2�'� 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567' Type: Private Corporation =-- Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD. HYANNIS, MA 02601 1xUpdate Address and return card.Mark reason for change. Address Renewal ❑ Employment Lost Card DPS-CAI 0 50M-04/04-GIO1216 Office o umer Affairs Bus ne ReguI tion License or registration valid for individa!use en.!y HOME I I WMAZX; before the expiration date. If found return to: Registration: 153567 Type: Office of Consumer Affairs and Business Regulation Expiration: 1.2/15/2012 Private Corporation 10 Park Plaza-Suite 5170 - Boston,MA 02116 OD INSULATI0'I4'jNC._ . HENRY CASSIDY 455 YARMOUTH RDc,' HYANNIS, MA 02601'.': '. Undersecretar Atalid ith t si ture Massachuset(s-d.)cpxrtntent of Public SalCtN Board of Btiilding Regulations xnd Standards'- s. ldonstruction Supervisor License License: CS' 100988 HENRY CASSIDY 8 SHED ROW WEST Y-ARMOUTH;:MA 02673 Expiration: 11/11/2013 ('unmiissi"Ot'� Tr#: 7620 . J 4 y w The Commonwealth of Massachusetts Department of'Industrial Accidents Office of Investigations a 600 Washington Street F yco v`0�a Boston, MA 02111 www.mass.gov/dia Worker's compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Ca p e C G , L 1, Address: C1ty/State/Zip:-4aP9k? (5, 61A a2�L Phone#: Z q 6 " Za�Zq 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 have 6. ❑ New construction employees(full and/or part-time).* hired the sub-contractors listed on 7. ❑ Remodeling the attached sheet.$ 2. ❑ I am a sole proprietor or partnership These sub-contractors have 8. ❑ Demolition and have no employees working for employees and have workers' comp. 9. ❑ Building addition me in any capacity. [No workers' insurance.$ 1o. ❑ Electrical repairs or additions comp insurance required.] 5.E] We are a corporation and its 11. Plumbing repairs or additions officers have exercised their light of ❑ 3. ❑ 1 am a homeowner doing all work exemption per MGL c. 152§(4),and 12. Roof repairs myself. [No workers' comp. we have no employees. [No workers' 13. Other er1 ZQjU insurance required.] t comp.insurance required.] s *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 attach 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. 1 ant an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. Insurance Company Name: �� U f'(3tVlC�' CZ, 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 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 ma a forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do here c under the ins and penalties of perjury that the information provjded bove is true and correct. Signature: Date: ��lj /Z Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I Date: 4/19/2012 Time, l0t13 AM Tor Cape Cod Insulation, Inc @ 1508-778-5735 Rogers R Gray Ins. Page: 002 . r Client#:4597 CCINSUL ACORD. CERTIFICATE OF LIABILITY INSURANCE D4119/2012rrv) 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(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 lieu of such endorsement(s). PRODUCER 'NAME: Margaret Young Rogers&Grey Ins.-So. Dennis PHONE 508-760-4602 FAX 508-258 2102 AIC No Exl: A/C,No 434 Route 134 ADDRES S: youngma@rogersgray.com P.0.BOX 1601 PRODUCER South Dennis,MA 02660-1601 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:Peerless Insurance 18333 Cape Cod Insulation Inc INSURER B:Ohio Casualty Insurance Company 455 Yarmouth Road INSURER c:Atlantic Charter Insurance Hyannis, MA 02601 INSURER D:Commerce Insurance Company 34754 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. N R TYPE OF INSURANCE DDL UBR POLICY EFF POLICY EXP TR POLICY NUMBER MMIDDIYYYYi (MM/DDIYYYY1 LIMITS A GENERAL LIABILITY CBP8263063 04/01/2011 04/01/2012 EACH OCCURRENCE 11,000,000 X COMMERCIAL GENERAL LIABILITY DAM: E T RENTED PREMISES Ea occurrence $100 000 CLAIMS-MADE FX1 OCCUR MED EXP(Any one person) $5 000 _ PERSONAL&ADV INJURY $1 000,000 GENERAL AGGREGATE $2,000,000 tGEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,000,000POLICY PIFCT RO- LOC $OMOBILE LIABILITY 11MMBCKVMK 04/01/2011 04/01/201 COMBINED SING LE LIMIT ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY(Per person) $ X SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS $ B UMBRELLA LIAB X OCCUR 0001254514645 04/01/2011 04/01/201 EACH OCCURRENCE $1 000 000 EXCESS LIAR CLAIMS-MADE AGGREGATE _ $1 000,000 DEDUCTIBLE $ X RETENTION 10000 $ C WORKERS COMPENSATION WCA00525902 6/30/2011 06/30/201 X WC STATU- OTH- ANDEMPLOYERS'LIABILITY Y I N CRY ANY PROPRIEfORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED? 7N NIA (Mandatory In NHI E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) Workers Comp Information Included Officers or Proprietors CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S80552/M68179 MEE " TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mapes �- Parcel:' Application Health-Division - i�- ' Date Issued INV. Conserva'tlsvi %n Application Fee Planning Dept. 1\a Permit Fee aJ Date 40itive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street�Address .1,;2,0 Village ��4 /M. 70yk?ew Sg/ Address Telephone ue'd, Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total.new Zoning District Flood Plain Groundwater Overlay Project Valuation D 6 6, &onstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0"' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes .ErNo On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout U Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No. Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use - Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � �L� G'� �i o�1�� Telephone Number 07 F �-7 / 4114 z Address ,S� �' License # Home Improvement Contractor# 4?, / ;? OF Worker's Compensation #1a. O6J�oZ5 4/• ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO k� SIGNATURE DATE FOR OFFICIAL USE ONLY "r APPLICATION# r ti DATE ISSUED ,wL MAP/PARCEL NO. ADDRESS VILLAGE OWNER s" DATE OF INSPECTION: 'FOUNDATION' 3 e S i FRAME 'K _INSULATION;, 4 u FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS.: ROUGH r.,> FINAL ::FINAL BUILDING''': T. R. ,. r _ DATE.CLOSED OUT ASSOCIATION PLAN NO. i TOWN OF BARNSTABLE CA COD INSULATIONR1Z AUG IS AM10: 41 lia-1-1 El®® 1155R 01ASS SEAml.55 SPRATEOAM SDSPENDED BARS GOfIERf iNSYWNON CEIlIN05 1-800-696-6611 OIVISIO! Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: 7 — i z, Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village C�ossseNt DO,"�eowsk,i f 2.o Tv ptLe a-tf j Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) (1C) (30) (X) ( ) des Floors ( ) ( ) ( ) ( ) ( ) Walls U'lul Sincerely H y E C si r, res dent C e Co sulation, Inc. V Q 1Y �v -��.ti.�ir�? f•��! :Y !dY''?d'EE"1'�'.°+��!v+".�-�r.^.-;,�.,R..�..'qc�,;rnr.�r....,s.:. ..,sr,,,,�,^'-c -. ., .Tr.r- u ... �. �� Q�THE TOWN OF BARNSTABLE 543 e Permit No. .3.0. ....... • BUILDING DEPARTMENT "a:: I TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond ....X....� �� O� CERTIFICATE OF USE AND OCCUPANCY Issued to James Jordan Address Lot #3, 120 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. .....October.. 19.E ..... I9....87......... . ........... Buil g Inspector a �..° °•.° ° TOWN OF BARNSTABLE ° BUILDING DEPARTMENT TOWN OFFICE BUILDING out °b 'bs9• `� HYANNIS, MASS. 02601 MEMO TO: Town Clerk;,_,,, ` FROM: ' Building Department DATE: -An Occupancy Permit has been issued for the building authorized by BuildingPermit $k........ ® /.. .............. ....................................................... .. ..................w.._._................. _._ .... issuedto .. ...... 1................................._........................................._... ... ..... _........._..__.._ Please release the performance bond. TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT DATE-- ti\r;_-^_�,9'_, PERMIT NO. APPLICANT ADDR!_' INQ:1 (STREET) • ICONTR'S LICENSEI PERMIT TO (_) STORY I4UMBER OF_DWELLING UNITS _ (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ' ZONING AT (LOCATION) DISTRICT IN0.) (STREET) 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) iEMARKS: -lEA OR PERMIT )LUME _ ESTIMATED COST $ FEE $_ (CUBIC/SQUARE FEET) 7WNER _ BUILDING DEPT. ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENT ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WE'.L 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 '3E RETAINED 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 !. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. ?. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET �]B(/U IIILLDING INSFIVTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT (�_11 OTHER BOA ALTH WORK SHALL NOT PROCEED UNTII.THE INSPEC- ?E RMI T W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED UN THIS CARD CAN BE TOR HAS-APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SI MONTHS OF DATE THE ARRANGED FOR BY TELE-,HONE OR WRITTEN CONSTRUCTIOI, PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION. M t OTS 40 ' Q E�CISr/P-1�y �0�1•SDQTton1.N 40 o O ZZ W W PO �=411. 41 -- �TU PE -. SO' L .v, t�- tZtvATF LDS, hA FO UN DA't't o o CC:2Tl Ft C.A-1-1 of l 43, ,=5G1 Ste' - 1 .i tooIr ,. - �.! r .. r/'� '� ' u. .' y 1 mow.., - ,.PI- :Z rr{}• = y'r` � �`r .. �C �,� ., I 1 ;F tt"'1,..�� 1. '�,_' � }• � ,�• •I�• � O% c1„ Co Ok,�,;, ,a,►' Ct 1p;Sc.*40 , '�'►►1+yYk; P r x. '�Ii E. Fes. = 1, rt �i y / ',•'I'�� -�c � 1 `'�, 4' P q 4J. s oc U E h O . BNC:2; S JH OF M C,��:1 `%1A k U-r � m A. � WALTERE. J•�.N1F S;. �O` ,, , SMITH,JR. #15128 r*►� }� � 1.TER`` FSS/ONAI NA U Sty 4 c; � "t xart.«..�,•..,A /OZ.50 to a•" .. �. Q C otsT..®OK 000 Ccnc. 9 -7 A ea CO"c•LEACWM4 Plr• , Sdp+/c- Tali k 4S A a o & AAA , a► o 0 4 A AA Bor• PIT F-Lay l I OO.tJ O LU GROoy4t> `-o Ps,TA pES IC,ty DA -A ; �RCo�..o.TI �N RATS: 2 M/N1PAJG�-.l DRo P S UZ Sol � „ I TEST -PcjZf=oRM Ev 30 3 (Bt=DROOMS K. 110 GPD = 33o C PD LEACNIt.Ie., 1; mE NO GrAREBAcie DISP05AL lJ.SE. _t COO GAL.Sr=Prl(-T 0 0BD ; S�N� 3o-7--rout Z x 1•o 153.g G p p 32 ).9C PP �ow� Tcsl'P-LCAPActTy FkoV,PEP 483.8-GP0 . C N oTE— D ISPOSA S\(STE-M DiEslC7NED I N Rom` Ac�oRDANGt= Val ) TA PR0VIS10NS o.F ,,T-I T 1-.E . 5 c T l4 S 11 ASS. EN\1 l ko�11�FN TA G o c;>G N o Geov+,,v) W o� Assessor's offioe (1st floor): O ��T of THE To` Assessor's map and lot number ....... /........ .... :.... �� T�� y1� Board of Health (3rd floor): ' `••1STALL.E® IN COIIAPLIAN Sewage Permit number ........1`57.'.>../.6...... ..':....... t EaaasT,wLE, S WITH TITLE 5 Engineering Department Ord floor): (� ".� a co z639. :..�a+b....�!t.c ......,.... �Nq�iBONIAAEINTAL CODE AID_ ',>O YAY,� House number ............................ .. TOWN! REGULATIONS u r j APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only- TOWN. OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ....An TYPE OF CONSTRUCTION 7I /x G � :........ulO ...l". =ft.... ...................................... ..19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....C..O..T.... 3...........1.(�i... ./.I.O.............. ........4 .1..1J. '..........le?A.................. Proposed Use .... r I L L`f�s�'�`L� ................................................................................... L ........... ..r1"(J....... .�........... Zoning District ...... ., ,5./../1. /Y. T/../.Lr..... :.... -. .........Fire District ......... — Name of Owner ... ......... .............Address ........... a.......l,?Ui..TDRS/ �.. Nameof Builder .............. .F'...............................Address .................................................................................... Name of Architect L ��iio�t! ..........................Address........ ... .......................................................... Number of Rooms ........9.....................................................Foundation 8PA. Rgp....� 7-.E.^..................... ExteriorC.L ,�.G3bh?%�P.��.0ef �1-64'I�.Ail'G..G .�rD�I��.P...,..Roofiing ...... �a`' s ue' .�.....�7.0J/. 1.�?�L.?�5........... fC.�e'MAa�A��R Floors 0,...........................Interior y f rieatin �i�........./ ..... Gf.-. /................Plumbing .. /j Fireplace .Q/y .....................................................................Approximate Cost ...... �..�D.l��.. .......................... Definitive Plan Approved by Planning'Board ________________________________1 Area . .... '.. " Diagram of Lot and Building with Dimensions / Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH i` f . 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 ... ..6.. . ....................................................... _ _ Construction Supervisor's License .f 4-114.'i: • ' JORDAN, JAMES 30543 112 Story _No.„......I........ Permit for .................................... Single Family Dwelling ......................................................................... Location ,..Lot...#.3.........1.2.0....Tupelo...Road Marstons Mills ............................................................................... Owner ..... a.m.e.s...Jo.....rd...a.n............................. ..... .. Type of Construction .....Frame..................................... .............. ...... Plot.............................. Lot .................. March 24 , 87 Permit Granted ........................................19 Date of Inspection ...................................:.-19 Date Completed ... ... ........Z.....19 t