HomeMy WebLinkAbout0085 WAKEBY ROAD Z��� ��l����' 4
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Scott A. Fitzmaurice h �(
P.O.Box 805,Monument Beach,MA. 02553
508-524-7888 ` NG
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Attn: Nancy T04/NOF ZOZ0
Town of Barnstable Building Department BgRNSTge
200 Main Street �E
Hyannis, MA. 02601
Dear Nancy,
Thank you for taking the time to speak with me by phone yesterday
regarding the home at 85 Wakeby Road in Marstons Mills. As I
mentioned I am executor, of the Estate for my close friend Susan Bethel
who died on January 3, 2020. Susan had some disabilities and was not
able to get everything done in the home as a result.
I have attached a'permit application to add a bathroom and change the
fixtures out in the existing bathroom. I'll be taking care of the work
myself to save the estate some cost. Attached is the floor plan requested.
Thank you for checking on the number of bedrooms listed with the
assessor's office. The BOH has indicated that the home has a 3 bedroom
title five.-- The home has been historically used as a three bedroom.
If you would be so kind as to let me know how I might get that
designation charged from a two bedroom to a three bedroom, since I
believe we are compliant in that use, I would be appreciative.
Have a great day and thanks again.
Sincerely,
Scott A. itzmaurice
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' Town of Barnstable
Building Department
qp Brian Florence CBO
+ Building Commissioner
+ HARNBTABIE,
bIASB. 200 Main Street, Hyannis,MA 02601
j'bJA R� www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: �/
JOB LOCATION: -5 �,�a /� e,& /I
number street village
"HOMEOWNER": iSETHEL Ecl TA T cS C.(7 !J F1 I ZfY11W2 C E
name !� home phone 8 work phone if X E C V7 r1
CURRENT MAILING ADDRESS: I� V G X 9-0
rhaA) UrncAlT C3E4Cl1 mom, C7-z 5�
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings 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"homeowner"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 Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Signaturp,'f Homeowner iV
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'SEXEMPTION
The Codestatesthat: "Any homeowner performing work for which a building permit isrequired
shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);
provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act
assupervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of
a supervisor(see Appendix Q,Rules& Regulations for Licensing Construction Supervisors,Section 2.15)
This lack of awareness often results in serious problems,particularly when the homeowner hires 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 ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,
as part of the permit application,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 to amend
and adopt such a form/certification for use in your community.
i
Building Permit Wizard 6/9/20,10:03 AM
ENGINEER ARCHITECT
No engineer selected No architect selected
STEP 4:SETBACKS&REQUIREMENT INFORMATION
Required Provided Existing Proposed
Front 30.00 0 No of floors including 0 0
basement levels
Back 15.00 0 Total Height(ft) 0 0
Left 15.00 0 No of Bedrooms 0 0
Right 15.00 0 No of Bathrooms 0 0
Open Space 0.00 0 Living Space Area(sf) 0 0
Lot Coverage% 0 0 Cellar/Garage Area(sf) 0 0
Total Area(sf) 0 0
Sign Length 0 Sign Width 0
STEP 5:INSURANCE
Insurance Type Type of Coverage Other Coverage
No Insurance Liability Insurance Policy, liability waiver
STEP 6:ADDITIONAL INFORMATION
Yes/No Description Notes
STEP 7: DOCUMENTS
No files attached
Prev �/ Submit Application
https://portal.viewpermit.com/Secured/BuildingPermitWizard.aspx?...WbspSUhgFfVvWFRtSIJ901NZdFjoLUSYctjVcn26+ckMjl8fTnGQOkcIFYuuVg== Page 2 of 2
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Application Number...,&
. BUILDING DEPT. /j�
BA MASS. LE, ` 111 ................Zoning District........................
MASS. �, Permit Fee........ ...
i639' AUG 2 8 2020
TotalFee Paid....l.f........................................................ ......
TOWN OF BARNSTABLE
/T Imp
TOWN OF BARNSTABLE Permit Approval by.................................on................ ...... ..
BUILDING PERMIT
SCANNED ma
p................C./... e�..............par cel........�d. ..........................
APPLICATION
Section 1 — Owner's Information and Project Location
Project Address WAt<,.13 X Village MA-2 57Z1VS l yi !�S
Owners Name S JS� ITN L �� f C 04sC'� 5� t, r Z- M g o r,C-
5'08 52y
Owners Legal Address ISS tnlgtC�� y �cl
ii
City V/l/t-7/L5[z7)V_<; iM i I IS State ,M Zip
Owners Cell # E-mail NL4
Section 2 —Use of Structure
Use Group ❑ Commercial Structure over 35,000 cubic feet
❑ Commercial Structure under 35,000 cubic feet
Single/Two Family Dwelling
Section 3 - Type of Permit
❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use
❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm
Rebuild Deck Apartment ❑ Sprinkler System
❑ Addition ❑ Retaining wall ❑J Solar
❑ Renovation ❑ Pool " ❑ Foundation Only
Other-Specify
Section 4 - Work Description
s c dv, 0 5 Of- �_, re- 'r-✓s 4-0 2o_4.r- C/oo2-s (Dr-
Last updated: 1/31/2020
Application Number.... ,....................................
Section 5—Detail
Cost of Proposed Construction OM Square Footage of Project
Age of Structure Dig Safe Number
# Of Bedrooms Existing Total# Of Bedrooms (proposed)
110 MPH Wind Zone Compliance Method ❑ MA Checklist�,WFCM Checklist ❑ Design
i
Section 6— Project Specifics
i
❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors
❑ Plumbing ❑ Gas ❑ Fire Suppression
❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom
Water Supply ❑ Public ❑ Private
Sewage Disposal ❑ Municipal On Site
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
Debris Disposal Facility: 1, ! I am using a crane ❑ Y
p Y � �,�D 6�t 1 1 g es No
Section 7— Flood Zone
Flood Zone Designation
Within or adjacent to a wetland, coastal bank? Yes ❑ No
3
Section 8 — Zoning Information
Zoning District P F Proposed Use Lot Area Sq. Ft. / 5
Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site)�_ 1
Setbacks Front Yard Required Proposed
Rear Yard Required Proposed2 g
Side Yard Required Proposed .�
Has this property had relief from the Zoning Board in the past? ❑ Yes , No
Last updated: 1/31/2020
Application Number...........................................
Section 9— Construction Supervisor
Name '(p Telephone Number 5rk lya_'�
J
Address 3 J 8/4�� �y City AW _State_k[`Z/ _Zip &o ' �3
License Number License Type Expiration Date
Contractors Email �J11 12�5' DeT�j� Cell #
I understand my responsibilities under the rules_and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Buildin e. I u erstand the construction inspection procedures,specific inspections and
documentation req ' ed by 780 C and the T of stable.Attach a copy of your license.
Signature 07
Date V 67,
Section 10—Home Improvement Contractor
Name �G r� Telephone Number
Address City State Zip
Registration Numbed e2 Expiration Date t1V— '.�
T
I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780
CMR the Massachusetts State Building C erstand the construction inspection procedures,specific inspections and
documentation required by 780 C and the To of Barnstable.Attach a copy of your H.I.C...
Signature Date--'s/L r9 0
�
Section — Home Owners License Exemption
Home Owners 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
APPLI - T SIGNATURE
Signature Date e i_ o�
Print Name Telephone Number
E-mail permit to:
3
Last updated: 1/31/2020
t
L _
Section 12 — Department Sign-Offs
Health Department C' Zoning Board (if required) ❑
Historic District ❑ Site Plan Review(if required) ❑
Fire Department ❑
Conservation ❑
For commercial work,please take your plans directly to the fire department for approvak
Section 13 — Owner's Authorization
cv't� - i'v` y�` 7 , as Owne f the subject property hereby
authorize G Ca u ley to act on my behalf, in all
matters relative to work authorized by this building permit application for:
(Address of job)
7/7;A-
Signature of Owner date
5co Tr f/ t�
i
Print Name 1
l
. 1
a
Last updated: 1/31/2020
Qk The Commonwealth of Massachusetts
Department of IndusftidAccidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov1k a
Workers' Compensation Insurance Affidavit:Buflders/Contractors/Electricians/Plumbers
Applicant Information Please Print Lezibly
Name (Business/Organization/Individual): (f-J �Z� co,U
Address: .35 /17 ls4q Tfp A)6-
City/State/Zip:& .2 a4Phone#: e2
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a ployer with 4. ❑ I am a general contractor and I 6 ❑New construction
e oyees(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 g• ❑Demolition
working for me in any capacity. employees and have workers'
= 9. ❑Building addition
[No workers'comp.insurance gyp'insurance• 10.El ram] 5. ❑ We are a corporation and its repairs or additions
3.El officers have exercised their I am a homeowner doing all work ex per 11. Plumbing repairs or additions
myself.[No workers comp. right of exemption p 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 mast submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have 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: 8/a1pVA)
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 cation.
I do hereby certify and a pains and enalties jp that the information provided above is true and correct
Signature: Date:
Phone#
Ojfwkd use only. Do not write in this area,to be completed by city or town ofJ`icial
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 for 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 certificate(s)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 munber 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 permittlicense 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 bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department 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 4-24-07
www:mass.gov/dia ,
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Town of Barnstable Building
SAMSTABLIL Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
AS& Posted Until Final Inspection Has Been Made. Permit
M►+` Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-20-2329 Applicant Name: GREGORY M. CAULEY Approvals
Date Issued: 08/31/2020 Current Use: Structure
Permit Type: Building-Deck Expiration Date: 02/28/2021 Foundation:
Location: 85 WAKEBY ROAD,MARSTONS MILLS Map/Lot: 043-024 Zoning District: RF Sheathing:
Owner on Record: BETHEL,SUSAN Contractor Name: GREGORY M CAULEY Framing: 1
Address: 85 WAKEBY RD Contractor License: CS=009013 2
MARSTONS MILLS, MA 02648 Est. Proct Cost: $0.00 Chimney:
� t
Description: build a 25x8 deck with 6'x12 ell for second means of egress from Permit Fee: $ 110.00 Insulation:
rear doos of house. build a staircase to grade
Fee Paid: $ 110.00
Project Review Req: Date: 8/31/2020 Final:
Plumbing/Gas
Rough Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit iTcommenced within six months after i,Mn 2. icial Final Plumbing:
All work authorized by this permit shall conform to the approved application and thetapproved 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. Rough 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
Final Gas:
work until the completion of the same. I I
issued until all applicable signatures b the Building and Fire Officialsare provided on this permit. Electrical The Certificate of Occupancy will not bepp g y g P Elect ca
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing Service:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MG c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
Town of Barnstable Building
B-?ST ABIL& ; Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept
MAM Posted Until Final Inspection Has Been Made. Permit
.es¢ �� .
rµ+• Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-20-1705 Applicant Name: Scott Fitzmaurice Approvals
Date Issued: 08/13/2020 Current Use: Structure
Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 02/13/2021 Foundation:
Residential Map/Lot: 043-024 Zoning District: RF Sheathing:
Location: 85 WAKEBY ROAD,MARSTONS MILLS
Contractor Name: Framing: 1
Owner on Record: BETHEL,SUSAN Contractor License: 2
Address: 85 WAKEBY RD Est. Project Cost: $6,500.00
Chimney:
MARSTONS MILLS, MA 02648 Permit Fee: $85.00
Description: Adding one bathroom, updating fixtures in existing bathroom. Fee Paid: $85.00
Insulation:
Project Review Req: Date: / 8/13/2020 Final:
Plumbing/Gas
'\1 Building Official
Rough Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced—within six months after issuance. Final Plumbing:
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. Rough 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. J [ Final Gas:
The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and-Fire-Officials are provided on this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work:
Service:
1.Foundation or Footing
2.Sheathing Inspection Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
fi Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
r
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
�, t1
Map_ Parcel a Permit#
Realth Division s-''"��'a-� l� {° Date Issued 0 0
Conservation Division /—" �4 ` / �� �� Fee38�ca
Tax Collector 00 x5,g 6154 1 Application Fee _5 d
Treasurer C�tIE,vil
5
Planning Dept. a���6�T�'��OD� hecked in By
Date Definitive Plan Approved by Planning Board " ^� � Approved By
Historic-OKH Preservation/Hyannis
Project Street Address g�5_
Village
Owner C✓ u'e7A,/, at-{�i�Q,Q Address SQ tiy-1
Telephone ( ,5v�z) N� f gq5
Permit Request 1 '�'Gi X!Y
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Valuation 'i�1)e(?) Zoning District Flood Plain Groundwater Overlay
Construction Type
p Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
d
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
a Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
o Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing new
J Total Room Count(not including baths): existing new First Floor Room Count
`IHeat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other =
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal§toIve: ❑des OQNo
<t '
w'
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑ex i #Fng ❑neVVI sizer
o �
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
BUILDER INFORMATION
Name r,-_.P�. L,/1E1Telephone Number
Address 3 License# I1 d5�5✓5
Gi oL�t,t Home Improvement Contractor# d5 0515 17
Worker's Compensation# mk, 0A1_517-)
ALL CONSTRUCTION DE RIS RES TI FROM THIS PROJECT WILL BE TAKEN TO-ef=N I
SIGNATUR DATE
s ` FOR OFFICIAL USE ONLY
PERMIT NO. '
DATE ISSUED
MAP/PARCEL NO.
r; ADDRESS . i VILLAGE
OWNER r �'
} DATE OF INSPECTION:
y
FOUNDATION 3!1/0-6 k9
FRAME
i
INSULATION
- FIREPLACE
f .-
ELECTRICAL: ROUGH FINAL,'
PLUMBING: ROUGH FINAL
j GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT ,
ASSOCIATION PLAN NO.
F ,
Aa
�4
{'r
yam!
2,5
its
"s ./!ZB '(�OOlYI7ZOIZllIB�AA�L o�✓/�(tiLddQCiLCIOP,�b
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 110555
Expiration: 10/20/2006
Type: Private Corporation
NORTHERN HERITAGE BUILDER
SOAk BURKE
191 AIRPORT RD � �
HYANNIS,MA 02601 Administrator
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number CS 058984
Blitfida .-08120/1964
r' Explres Q8/20/2006 Tr.no: 914.0
ResWcted°:00
JOHN BURKE
149 OLD COUNTRY RD
E SANDWICH, MA t 82j
Commissioner
7
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�1 ■ TiRGET. ���s ea
99 Enterprise Avenue wavw.ontargetservices.com
Utilit Services Gardiner,Maine 7-58
Y �1600-598-0Gzs fax2o7-5963302 email: 5CI'+'RIIIII$@OIItaTgBtwTV'1C85.Com
Date/Time , 12/12/2005 12.55.47 PM
To : JULIE BADOT
Company: NORTHERN HERITAGE BUILDERS
Tel.: (508)-775-4353 ext. Fax: (508)-775-4610 ext.
This message is being sent in response to your request for underground cable location.The following represents
a1st of responses for the indicated member.These reponses only pertain to the specific member.
Ticket#: 20055100718
Place : BARNSTABLE, MASSACHUSETTS
Address '. 85,WAKEBY RD
1-CCMCAST Ticket Screened on 1211212005
This ticket is clear of conflict and has been screened by
On Target Utility Services
If there are questions regarding this transmission or if you arrive at the site and have a question
about the markings, please call 1-800-598-0628, extension 3347
We would appreciate"your help in speeding up the notification process.
Please contact On Target with a current email address or fax number. Thank you.
AMIMA 64zi QR7�
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I
Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
� �.'.�. Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but notmore thaw 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:"
w�ated Cost
Address of Work: �J
Owner's Name:
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
[]Work excluded by law
❑Job Under$1,000
[]Building not owner-occupied
[]Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I herebyja0ap as the agent of the owner:
Date Contractor Name Registration No.
OR
Date Owner's Name
Q:forms:homeaffidav
°FNHE T Town of Barnstable
r
Regulatory Services
• BAMSTARM
MASS, r Thomas F.Geiler,Director
1639.
'OrEo.,,,prp 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 A Builder
I, 5tv7� �` as Owner of the subject property
hereby authorize U I rndLAIP-✓✓l � �i o act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Addre4s of Job)
Si afore of OL)caner Date
I
J
Print Name
Q:FORM&OWNERPERMISSION
a'
I
o z
N Q �
ti
1 0 1
4-o
FRONT ELEVATION
Scale:1/4"=1'-0" U U U
Northern Heritage Builders,Inc W a k e b y Road A—`Z
SMOOK Architecture and Urban Design,Inc. Barnstable, Massachusetts 30 December 2005
4'-0" 24'-0"
7'-10 1/2" 7'-10 1/2" 7'-101/2"
RAMP DOWN -
0
1:12 SLOPE
DN
CIRCULAR DRIVEWAY
3R @ 8"
2T@12"
GROUND FLOOR PLAN
Scale:1/4"=1'-0"
c
Northern Heritage Builders,Inc W a k e b y Road A 3
SMOOK Architecture and Urban Design,Inc. Barnstable, Massachusetts 30 December 2005
t•
WOOD CAP
(2)2x4
4x4 POST
BEYOND
4'-0" 24'-0"
2x4
EQUAL EQUAL EQUAL EQUAL a BLOCKING
-� (2)2x4
SIMPSON
CONNECTOR
2x6 (3) 2x8
STRINGER
-
�' HED
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I II I I I I I I I-IL_-I CRETE
IIII�I III OTUBE
II I I I I. I I i I I III—
UJ U u
4'-2" 7-10 1/2' -10 1/2 -10 1/2" _ -
_ III I I I i I
NOTE: =T 1 III III
ALL LUMBER SHALL BE PRESSURE TREATED. I I
i I
SIDE ELEVATION OF RAMP RAMP SECTION
Scale:1/4"=V-0" - Scale:1/2"=1'-0"
Northern Heritage Builders,Inc W a k e b y Road A 4
SMOOK Architecture and Urban Design,Inc. Barnstable , Massachusetts 3o December 2005
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P`pF1HE 7p The Town of Barnstable
NW p*
BAB.STABLE. Department of Health Safety and Environmental Services
7 MASS. 0
t6}9• �0
prEo WO a. Building Division
367 Main Street, Hyannis, MA 02601
Office: 508-862-4038
Fax: 508-790-6230
Inspection Correction Notice
Type of Inspection
Locations ,y���;1 Permit Number l 1
Owner Builder �46" L
One notice to remain on job site,one notice on file in Building Department.
, The following items need correcting:
G CJ sL;r w,,eyGVL SD V C�C-
Please call: 508-862-4038 for re-inspection.
Inspected by 2,
Date
I
i
EXpireebMonuujr...-
00
Nl Recrulato Services Fee r �
•�gA�tt9SiA8tL1•N b ,,
KASS a Thomas F.Geilw,DlreMr a (�
wjq-
Pr101A°� Bll11d1II9 DIYISIOII g�'
Peter F.Diliatteo, Building Commissioner
367 Main.Strew, Hyan is,MA 02601w �
` ess
Office: 508462-L38 M PERMIT
Fax: 508 90-62-10 AR 1
EIPRESS PERIti�IT �PPI:ICATION - RESMENTTJQN�Y 510p1
Not aGd wirhosa Pad T.FrmImprurt QA'
tti STABLE
lap.,parcel 1ftuaber 6.�-`/ 1_L
ropem►Address
R Residcatial Value ofWark b0
/D,D
)wnei s Name d:Address
12P ,A31g h/l�J
;oairactor's NameTelephone Number'
lome Improvement Conaactor license 4(if applicable)
r
;onst action Supervisor's License={if applicable) : +
-lWorka=,s Com sensation Insurance
Check one: -
Q I am a sole proprietor
I.am the Homeonaer
c� Q I have Worker's Compensation Insurance
nsusance Conip=y Fame
Yorlanaa•s'Comp-Policy c
?ettnit Request(check box)
Z 'Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers ofroof)
IV Re-side-
Replace'=ni1V-indoti,-z. U-Value (=xi==.44)
Q Other(specify)
•Where nquimd: Issuance of this pamit does not exempt cwM iaaae with otha town deparc?=t Mutations.i.e.Historic.Conscm4non.::c.
. 1
Sigrt7=c `
i- Q:Fomu:e�pmtrz:rer{Yp6t)t
spovo
l�
d� � n' � ttis10�
MINUTEMAN PRESS- HYANNIS,MA• 508-778-0220
TOWN OF BARNSTABLE
BUILDING PERMIT
PARCEL ID 043 024 GEOBASE ID 2629 �
ADDRESS 85 WAKEBY ROAD PHONE
MARSTONS MILLS ZIP —
LOT 5 LC351 BLOCK LOT SIZE j
DBA DEVELOPMENT DISTRICT CO
PERMIT 66750 DESCRIPTION STORAGE CONTAINER UNTIL 4/30/03
PERMIT TYPE BMISC TITLE MISCELANEOUS PERMIT
CONTRACTORS.;--PROPERTY-OWNER,
ARCHITECTS: Regulatory Services
TOTAL FEES: $25.00
BOND
CONSTRUCTION COSTS $.00 tHE
753 MISC. NOT CODED ELSEWHERE 1 PRIVATE ; Z
* BARNS1'ABLE, •
Mass.
BUILDING D IS ON 1'
DATE ISSUED 02/03/2003 EXPIRATION DATE
TOWN OF BARNSTABLE
- BUILDING PERMITz:}
PARCEL- TD .Q43 ,024,_ r GEOBASE ID 2629
xADDRESS 85 t+lAKEBY ROAD
MARSTONSMfLS ZIP
I .� 1{k { •1 •l y '•7 � [ Vtrl�y, ! fY r! y n �l , S Tt� 1 '�I
F rt i
Lj 7T = �'F ,T5 .;L'C514 SOT° SIZE,
I DBA` 7 r r ,r s "'DEVELOPMENT ,L1 bl'STRICT CO
'C i rrt71� .Yy w..•Y<i y F Y �x*:1i l firs-v.. Yy K. 4 t y y yi r,c i't,! Y �,.�
h C•Y.�i yr t'fi�' !` F y*��' n rc Cy::�'r 4, ` •"°l'r„ n:. ",t +'.k a � ` . 1,.
" .EI�MIT - ,DESCRIPTION--
;STORAGE_• CONTAINER .UNTIti
h Y
PERMIT "TYPE BMISC TITLE MTSCELANEOUS PERM.TT
CONTRACTORS: PROPERTY OWNER Departinent of -�
ARCHITECTS Regulatory�Services
TOTAL FEES: $25:00 �.
I. BOND $.00 0+ I
CONSTRUCTION COSTS $.00
753 MISC.-, NOT —CODED E'LSEWHE t +"1 PH VATS
■AR1VSfABLE, • -
MASS.
BUILDI 'G D ISION
s BY .
I r �ATF,ISSUED 6 Oz/0 /2003 EXPIRATION DATE' F
I� y `.. t .! _ , ''```� '4 ..3. � a '�jlP� y r i � -. � l J'i�. '. 1 �-� + J4• e nw r 1\ .y: Mr , F��
M � Y '4' 1 - f. t-(»�N i '�h i ,✓ 1H F lr i TY'. y, `• � t 1
C(THIS PERMIT CONVEYS.NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS,ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED 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 OFTHIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE""APPL"fCABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED.UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH-
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
ANICAL INSTALLATIONS.
4.FINAL INSPECTION BEFORE OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
i I
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
_. µl
i
I
2 2 2 '
I
i
. . i
3 1 HEATING INSPECTION APPROVALS ENGINEERING.DEPARTMENT
i
2 BOARD OF HEALTH
OTHER: SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.
I
I
I
I
I!
I '
I
I
I
I
I
I
I
II
II
I
I
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I
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II
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t
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map �3° Parcel Permit#f
Health Division M taC -OI�- �'�/ Date Issued-A
Conservation Division f-S� ����` �- Fee q,(In`
Tax Collector � (7 I C? k iy L 3/16/10a Fie 066/ 06
PIP1
Treasurer QL _ D o'2 SEC SYSTEM MUST BE
Planning Dept.
INSTALLED IN COMPLIANCE
�UITH T1TLE 6
Date Definitive Plan Approved by Planning Board ENVIRONMENTAL,CODEAND
TOWN REGULATIONS
Historic-OKH Preservation/Hyannis
Project'Street Address 0-S R:D
Village
Owner S 09/tV 64M e� Address
Telephone
Permit Request Io/L D I N& M.DI/VG CAMWG(N' C 6 C07,�k
AW i era 1347e- A-WD 06vc
Square feet: 1st/floor: existing proposed 4E6b1 2nd floor: existing proposed Total new S400
Valuation T� b D Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size GrandfatKered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure .6o LT 1q)t Historic House: ❑Yes NNo On Old King's Highway: ❑Yes No
Basement Type: "�6 Full ❑Crawl (> Walkout ❑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 0
Total Room Count (not including baths): existing y new First Floor Room Count
Heat Type and Fuel: ❑Gas 10il ❑ Electric ❑Other `
Central Air: ❑Yes Of No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage:❑existing ❑new size Pool:Cl existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:Cl existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name �!�-��/�v ���— Telephone Number
Address yGe� 1 v f' License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
~ SIGNATURE ' DATE ����
FOR OFFICIAL USE ONLY f
PERMIT NO.
DATE'ISSUED
MAP/PARCEL NO. '
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION: a
A
FOUNDATION Ury/o�a0 �. D
FRAME 3 y o D
INSULATION Q AL n 2
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGI FINAL
FINAL BUILDING
"''_may_.., �.•i qa � 4 -.
- DATE CLOSED-OUT -
"
ASSOCIATION PLAN NO. o c'J
ta
P
t
c l
q
The Town of Barnstable
Regulatory Services
Thomas F. Geiler, Director
-Building Division
Peter F. DiMatteo,:Building Commissioner
200 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790=6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations;renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing.at least one but not more than four dwelling units or to structures which are-adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type.of Work:'/Ino/1-7th fi Q � Estimated Cost !KO.D D 0
Address of Work: W-✓V 3 �� ,/��� ��LL
Owner's Name: s�S L L
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
Building not owner-occupied
Rpwner pulling own permit
Notice is hereby given.that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner: '
Date Contractor Name Registration No.
OR
q:forms:Affidav
:rev-122001 S ,
r
Table.LS.2db(wedged)
pmLriptive Package for 0"mad TwaFamily Reddaadd BaiU"V Heaad whis Fad Fads
114A)QMUM 14}nYfOHI1l1!
Glazing Glazing ng Ceiling Wall Flo Bntmt� 9Lb Eqoncnt a
Ammer c R(%) U.valu value' R valual R•vdud Wail Pltsimesa
Package R.ra1ao &fit
mi to 6SOD Heath;Degree Dam
Q 12 0.40 3E 13 19 10 6 Nama1
oroxi
R 12% 03 ES 2 30 19 19 10 6 5 AFU
S 12". . 030 3E 13 19 10' 6 ---
T 15% 0.36. 3E 13 2S WA w1 Notsmi
U IS•/. 0.46 3E 19 19 !0 6 Na:mal
FM
v M/. 0.44 3E 13 23 WA WA A
w 15% 0.52 30 19 19 10 1 6 85 AME
X 18% 032 3E 13 25 WA MA Nommi
Y 19% 0.42 3E 19 23 WA WA Nar:sal
Z 18•/. 0.42 3E 13 19 10 6 90AFUE
AA 19% 0.50 30 19 19 10 6 90AFUE
1. ADDRESS OF PROPERTY:
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:
3. SQUARE FOOTAGE OF ALL GLAZING:
4. %GLAZING AREA(#3 DIVIDED BY#2):
5. SELECT PACKAGE(Q—AA-see chart above):
NOTE: OTHER MORE INVOLVED METHODS OF DETE M 4ING ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
YES: NO:
q-forms-f980303 a
t ��
Footnotes to Table J5.2.Ib: Itehts, and
Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, sky
basement windows if located in walls that enclose,conditioned space,but excluding opaque doors)to the gross wall
area. expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement.
For example;3 ft'of decorative glass may be excluded from a building design with 300 ft'of glaring area.
2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with
! the National Fenestration Rating Council (NFRC) test procedure, or taken-from Table J1.5.3a. U-values are for
whole units: center-of-glass U-values cannot be used.
! ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full
insulation thickness.over the exterior walls without compression, R 30 insulation may be substituted for R-38
insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity
insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing-must be placed between
the conditioned space and the ventilated portion of the roof.
'Wail R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include
exterior siding, structural sheathing,and interior drywall For example,an R_19 requirement could be met EITHER
by R-19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing- Wall requirements apply to
wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction.
'The floor requirements apply to floors over unconditioned spaces(such as unconditioned ctawlspaces, basements,
or garages).Floors over outside air must meet the ceiling requirements.
`71-e entire opaque portion of any individual basement wall with an average depth Iess than 50%below grade must
me=t the same R-value requirement as above-grade wails. Windows and sliding glass doors of conditioned . .
br..,ements must be included with the other glazing. Basement doors must meet the door U-value requirement
d_scribed in Note b.
'The R-value requirements are for unheated slabs.Add an additional R 2 for heated slabs.
' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more
than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest
efficiency must meet or exceed the efficiency required by the selected package.
'For Heating Degree Day requirements of the closest city or town see Table J5:2.la
NOTES:
a) Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels.
R-value requirements are for insulation only and do not include structural components.
b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested
and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value
in Table J1.5.3b. If a door contains glass and an aggregate U-value'rating for that door is not available, include the
glass area of the door with your'windows and use the opaque door U-value to determine compliance of.the door.
One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35).
c) if a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with
different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to
the R-value requirement for that component. Glazing or door components comply if the area-weighted average U-
value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors).
- 43
The Commonwealth of Massachusetts
. Department o Industrial Accidenft
�� . ��_ : 01rfCeoflaraulOal�ODs .
--_ — 600 Washington Street
Boston,Mass. 02111
Workers' Com easation Insur=ce Afridavii
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location
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::..�:. .:.•.uia�a`�ycx,�.,`c�;4owio'�a�;w;`�ea::jo��#�eheio:&a•..,<ySl, ... ..�5',7� �3t"•' a..4?-.,�.'.13,J+.;ay:aF: .::•.'�>t�o?..f.,G�'i�t:+•:R?+,M.:22.5.?•.,•>:•:^,_:::?..
FIRWINAM
Fsdbae to sees se:sgeirsd o3sder Secd=ZSA otMGL 152 sss Lsd to the tsspsrMsao[t3rbRiEd pmaitls Oyer Am op to St im"d/or
one yeas+bcpri omeeat as vmA ss eiv4 poles fin tha term ota ti7U'P WORE Ox=d a aw ocnoom a drq svd:at me:I delsismd t'bat a
aW of this statsmeei mq be forwaedad to the Ofdm of Iatartltslloss ottha DlAtas.
I do hefcby rke a�sdPa ojpe�rrry ' r prsHded trboar it mid earre:d '
Dde
Plictn� S/US�/ t�' - �S'o� �l APS S°
oindai Use only do not write in this arcs to be c mpletd by cef or toss a@dd
dty.or town: P M.:. ❑$ C peFa '�
r; Qllceasint Board
❑cbrdcif lazsat•te mponse is required ° QSdecosea's OMce
_ QHe&uhDeP-VM92d
contact penon: pbone 0% ❑0thtr
9/93 FJA) '
Information and Instructions
assachusetts General Laws chapter ISZ section 25 requires all'empIo Y�to Provide workers' compensation for thzir
1plovees. As quoted from the-"kw", an employee is defined as every person in the service of another under any c
hire, e:cpress or implied, oral or written_
i employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of
ed is a joint enterprise. and including the legal representatives ofa deceased emplovez, orthe rec.-:�•e: c:
foregoing J g to ees. However the owner of a
rstee of as individual,,parmersiu association
p, or other legal legal entity, employing emp y
veiling house having not more than three apartrncass and who resides therein,or the occupant of the dwelling house of
other who employs persons to-do nia=* an=a ccsnnct=or repair waik on sari dwelling house or on emrmric cr
dldiag app�� the_
thereto shall not because of such empoymen
lt be de=med to be as employer.
. . .
:GL chapter 152 section 25 also states that every state or local.licmmg agency shall withhold the issuance ar renewal
a license or permit to operate a business or to construct buildings in the commonwealth for any applicsat who has
rt produced acceptable evidence of compliance with the in_R'*Ance coverage required. Additionally,
rmmnnwealth nor any of its political subdivisions shall�into any conntact for the performance of public cvorl;uazil
:ccptablc evidence of compliance with the MS===requite of this c�aptcr have been prese�ed tc fire corarsc**''?
rthority. -
v
72
PER
PPlicants
sjta�and
least fill is the woriccts' camp ensatim affidavit completely,by eheclang the.box that applies to your
nam=s,address and hose m=mbers along with a�cate.of insurance as all affidavits may be
[pPI�'m8 � p Also be sure to sign and
tbmaaud to the Departm—t of Industrial Accidents for of insurance coverage.
ate the affidavit The affidavit should be,rc=2ed to the cite ortowntbatthe applicaliaa for the pctmh or lic�or is
ring zequestcd,not the Departaira>:of Industrial AccidccM Should yen have any the"law"or if you
c to obtain a wormers' compensation policy,please cin the Depa=eai atthe number listed below.
///r%
'ity or Towns
The D artmead has ded a span at the bottom of the
lease be's=that the affidavit is complete and printed legibly- p the I" C pL-ase
davit for you to fill nut in the evcatthe Off ce of has to c�hiactpon regarding �P
e sure to fill is tl�e pe tllicease manber which will be used as a refezmcz n�er. The off davits may be sea n t^
ie Department by mail or FAX unless other have beeatnade.
Be Office of Investigations would Ice to thank you in advance for you cooPeradaa and should you have any questions.
i
lease do not hesitate to give us a call.
1711117
'hc Depar==A's address,telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
O1I1cs ot.lpyestlpatloas
600 Washington street
Boston,Ma. 02111
fax it: (617) 727-7749
phone-#: (617) 727-4900 eXL.406, 409 or 375
RESIDENTIAL BUILDING PERMIT FEES '
APPLICATION FEE
New Buildings,Additions $50.00
Alterations/Renovations $25.00
Building Permit Amendment S25.00
FEE VALUE'W,ORKSHEET
NEW LIMN SPACE
t x$96/s .foot= x.0031
square fee q
p us om below(if applicable)
ALTERATIONS/RENOVATIONS OF EMSTING SPACE
square feet,x$64/sq.foot= x.0031=
plus from below(if applicable)
ACCESSORY STRUCTURE>120 sq.I
>120 sf-500 sf S 35.00
>500 sf-750 sf 50.00
>150 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building pest:
square feet x$96/sq.foot= x.0031=
STAND ALONE PE
RMITS
Open Porch x S30.00=
(number)
x S30.00
Deck
(member)
FireplacelChimney x$25.00=
Inground Swimming Pool . .$60.00
Above Ground Swimming Pool $25.00
f... Relocation/Moving $150.00
(plus above if applicable)
Permit Fee
projcost
4:
I
BARNSTABLE, . The Town of Barnstable
MASS. •°' Regulatory Services
A'F�►�"a Thomas F. Geiler, Director..
Building Division
Peter F. DiMatteo, Building Commissioner
200 Main-Street,Hyannis MA 02601 .
ce: 508462-4038 Pax: 508-790-6230
3/
HOMEOWNER LICENSE EXEMPTION
. ` n/� Please Print .
DATE:
JOB LOCATION:
number A ,/ ,' street $y (�g Y 7 village
"HOMEOWN$R": : �US/�/V �U� �i . SI��9�
name home phone# work phone# .
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include_owner-occupied dwellins 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,Qn.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`homeowner"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 Barnstable Building
Department minimum inspection procedures and requirements and that he/she will comply with said
proced and re uirements.
Si gpa " of Ho owner
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 homeowner 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 the homeowner engages a
person(s)for hire to do such work,that such-Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are ass uming.the responsibilities of a supervisor(see
Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in
serious problems,particularly when the homeowner hues 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 ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part.of the permit .application,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 such aform/certification for use in your community.
Q:FORMS:EXEMPTN
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 6q3 66 —y Parcel LDT`5' 3 4 Permit# 6
Health Division TOWN pF BARNS i�,BtE
Date Issued 3Z-0 3
Conservation Division 24�3 BAN 3 , PM 2 Application Fee
Tax Collector Permit Fee
Treasurer 01�!ISIOP�
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address 2 ���i Js'c_� )��
Village
Owner �US./1'/y Re,-lLZ Address -
Telephone VLo (�S
Permit Request Si /C/Yl, C���• ��i "1 C. �� /?� Z/Z, 1 ( '7 y���Q�
T,�
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project-Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes,attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure M9? Historic House: ❑Yes C*o On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _
Number of Baths: Full: existing new Half:existing new
Number of Bedrooms: existing — new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas 190il ❑Electric ❑Other
Central Air: ❑Yes C$& Fireplaces: Existing j New Existing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool:❑existing Cl 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 A No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name � '�'� �� Telephone hone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
n
SIGNATURE nILI-1
rl-,. �'I
DATE 1 c3
VI
j' FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
'1
OWNER
DATE OF INSPECTION:
FOUNDATION
i
FRAME
k
INSULATION
FIREPLACE
m: ELECTRICAL: ROUGH FINAL-
?y PLUMBING: ROUGH FINAL
i
GAS: ROUGH FINAL !�
s,
FINAL BUILDING
i
r ,
e
DATE CLOSED OUT
ASSOCIATION PLAN NO.
t.
�.:..-. XiiwtaF►vw{'....=r��Ys�M`.av1:�.blly�rr.N'v.+'�.�1J .r-,J."t' i'�?y."v.�i=Pf='r .,..y;ty��.r�aw.. r..s-- r�='�r�rfi .;
The Town of Barnstable
BARNSTABLE.p a Department of Health Safet nd Environmental Services '
MASS. 0 P y .
039. �0
�°rFo►��' Building Division
367 Main Street, Hyannis,MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection f /? /
Location s 141/9 A- /r 6 V Permit Number
Owner .S G.S/V^/ 65f/r/ C L Builder D
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
9'A 9/o a 1�ti I S1i 7/--/9 //,a os t- /e.g m
A/o Tic /S 7-0 T///•y ,V c s o i
o r✓ i %/-1 i' /°z vc a /s `c S S
/7" S ry�'.��`,f z` c. rJ S�s /9.y %d 719v Nu art
14L V w e e /Y p n/ /`�L a o le 7-c /1 cam, Td c Slf
s Ti4•�arVr1 ins 7� G ti�' HFIF U A/T•
7-6
d
Please call: 508-8/62-403 for re- nspection. O
Inspected by
Date 01 a 9le _-z
T
37. Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644
Fax: 508-790-6304
December 11, 2002
Ms. Susan Bethel
85 Wakeby Rd.
Marstons Mills, MA 02648
NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF
HEALTI+REGULATIONS, NUISANCE CONTROL REGULATION NO. 1
The property owned by you located at 85 Wakeby Rd., Marstons Mills, was inspected-on
October 8, 2002 and on December 6, 2002 by Sam White, Health Inspector, because of a
complaint.
The following violations of the Town of Barnstable Board of Health Regulations,
Nuisance Control Regulation No. 1 were observed:
105 CMR 410.602 and PART VII, SECTION 1.00 (RUBBISH): Rubbish throughout
property. Numerous amounts of rubbish were observed at the above address including
but not limited to: broken doors, old insulation, (1) couch, (1) VCR, (1) microwave, (1)
treadmill, kitchenware, cleaning solvents, (1) floor fan, (1) television antennae, boxes of
various household items.
Per your conversation with Health Inspector, Sam White on October 21, 2002, you were
granted an extended period in which to correct the violations.
You are directed to correct the violations by January 31, 2003 by removing all
rubbish from the property.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten (10) days after the date the order is served.
Non-compliance could result in a fine of up to $500.00. Each day'&failure to comply
with an order sh constitute a separate violation.
PER ORDER OF HE BOARD OF HEALTH
Thomas A. McKean, R.S.
Director of Public Health
Town of Barnstable
Q:HealdvWPBethel
Town of Barnstable
Regulatory Services
Nud• Thomas F. Geiler,Director
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
December 11, 2002
r Ms. Susan Bethel
85 Wakeby Rd.
Marstons Mills, MA 02648
NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF
HEALTH REGULATIONS,NUISANCE CONTROL REGULATION NO. 1
The property.owned by you located at 85 Wakeby Rd., Marstons Mills, was inspected on
October 8, 2002 and on December 6, 2002 by Sam White, Health Inspector, because of a
complaint.
The following violations of the Town of Barnstable Board of Health Regulations,
Nuisance Control Regulation No. 1 were observed:
105 CMR 410.602 and PART VII, SECTION 1.00 (RUBBISH): Rubbish throughout
property. Numerous amounts of rubbish were observed at the above address including
but not limited to: broken doors, old insulation, (1) couch, (1) VCR, (1) microwave, (1)
treadmill, kitchenware, cleaning solvents, (1) floor fan, (1) television antennae, boxes of
various household items.
Per your conversation with Health Inspector, Sam White on October 21, 2002, you were
granted an extended period in which to correct the violations.
You are directed to correct the violations by January 31, 2003 by removing all
rubbish from the property.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten (10) days after the date the order is served.
Non-compliance could result in a fine of up to $500.00. Each day's failure to comply
with an order sh constitute a separate violation.
PER ORDER OF HE BOARD OF HEALTH
Thomas A. McKean, R.S.
Director of Public Health
Town of Barnstable
Q:HealdVWPBethel
PL� yr
c
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Assessor's map and lot number ....../...............................
f
�T _
SewagePermit number :.........................................................
TOWN OF BARNSTABLE
Z BARNSTADLE. i
"6 9 DUI•LDING INSPECTOR
. �'0 YPY a•
APPLICATION FOR PERMIT TO ...`-p!ff 'UG ...../ ....... � e,///i'! ....�..Sl.L/?y..............
TYPE OF CONSTRUCTION . �
TO THE INSPECTOR OF BUILDINGS:
The undersigned(hereby applies for/a permit according to the following information:
Location .....jB1 ' .' lyv!le:l1...../!l� .... ,/ .............................................r, ......................................
...... r.. .... .. ..
Proposed Use .... ........................................� �` �l�' ..................................................................................................
.......... ...........
Zoning District ............. 1...............................Fire District �-� ����
...................... - ' .......................... ..................................................
Name of Owner U ..... 1> //'�r1r7';,.. . ��
,.y..�. ................. Address .........................................................
~� /G'��fIS!�l�t/it� j f.................. ..
. Name of Builder .....:... ..........`.'y....4...........................Address .......... .....................................................
Nameof Architect ..................................................................Address ............................... ........................... .......................
4,1�1 ..' ..
Number of Rooms + ...........................Foundation .....�f✓�/P�e/ �� �� .` '
Exterior ...... �1f.�.!..2.........I.........................................Roofing ..... h'l l,,.....................................................
�f
Floors f%� ,(�................................................Interior ........�.�'........
Heating `'/!. % .........................................Plumbing ... �...... ..................................................
Ile
Fireplace L/�1�yr �!I.......................................Approximate Cost Al" z5fvd
...`. .................................................
11
Definitive Plan Approved by Planning Board - - ------- - 19_ f�P" Z11( Area ..... ..............
Diagram of Lot and Building with Dimensions 1.� '.`t IL r' ' 1 � ~
9 9 r,'� �u,.� �J Fee .. . . .................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
Aq� a 'c �-4/J 44
I hereby .agree to conform to all the Rules and Regulations of the Town,of Barnstable regarding-the above
construction.
jj �.
��:; .�
Name .. .....................................................
�
/
` DePaozl Realty Trust
/ � S '
/ �o '��.-��9l��Pamni� �v ..������..������.—. `
�
` ----------------dwelli ---..
/
� Loco�onlmt.�#5—.85. .��a�-----. ' `
' Mars tons Mills
--'----------------^-----^—'
DePaml Rmal Trm t
Owner --------'��.--..�--------.
(
' �mm�
Type ofCon$rucdon -----�����.-----
'
----------^-------^~—'-----''
! '�
' Plot ............................ Lot ................................
>
Feb. 23, 78
Permit Granted -------------.l�
( Date of Inspection ------------.l9
�
/ Date Completed ----------.--lg ~
/
� -
�
PERMIT
/ J- P
> ' '
^
Ju
-
--."�
'
� Approved ................................................ lq
'
}
> --------~----^—^—^^--------^
�
'
( ----------,~---------.~.—.....
| -
`
,
SERrfC
L/
Assessor's map and lot number ......�.�. ..`....?7..........�' ,' (�IST,qL E pSTE�M MU( t
NCt
�= Sewage Permit number N. ......... .......... RFC STY CODE D T
u,fy ................... U IONS. N TOWN
THE Tco
) TOWN OF . BARNSTABLE
e+ Z 13 ENSTODkB .•
VAS` BUI��L.DING'. INSPECTOR
9�0 39• "
t� �0 ypY a� •—t t-: 3 ci
f, co y' 0
ci AFRLICATIOW'FOR"PERMIT TO ............................................ .......,��G��� ....1..5........Y..............
�'• TYPE OF CONSTRUCTION ......... .................. ........................................................................................................
8 ...... .. ......9........
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebyapplies for
for a permit according to the following iiinformation:
Location .... D7 ��—,.4 � �iG' o - /.� �-r��
... /� ,,./. ..........y............... .�.................. .... .................... .....................................
ProposedUse ....v. ' lt!..�...........................................................................................................................................
Zoning District ..... .�... ��... ......`...................................Fire District .......................elA ........
Name of Owner l/�/6�1p //fir r/ Gr/�/� ......................
.............. ................. ....../ ...... ........ ..........Address ........ ...... ...................................
Nameof Builder ....... .......................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ..... .............. 1 ............................Foundation 10�lr'e'lrl.... Csy/P
Exterior ...... j� � ..........................................Roofing ............ •� 1.......................................................
',/ BG
Floors/�A�°�DQ................................................Interior ......./'" `d �
Heating - �/ Plumbing. � f� .................................................. .
Fireplace ........Lll ...��.......................................Approximate Cost .......... .. ® ....................................
Definitive Plan Approved by Planning Board - - ------- - - 19oy�--. C��e C Area .... ...... �..
(f#i .c7
Diagram of Lot and Building with Dimensions 0600� it��h Hof Fee ..... 7�—
•` a
. ......................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH �QM�PCYf 500, 00
� DSO AAA
I hereby'agree to conform to all the Rules and Regulations of the Town f Barnstable regarding t above
construction.
Name ... . ..... .. ..... ................. ...................................
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DePaul Realty Trust
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.
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^"`"location ..= ---`�;� @5..,==e�y--4-.------
Marmtmnm Mills
----------'----------'-----''
������l Re�1 Trumt ' ^~
Owner ----------.��----------.
Type ofConstruction -.---wood...�����.----.. �
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Plot ............................ Lot ....................
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Permit Granted .----�- . �----.-.lV
Dote of Inspection ........
-. ............................. 9
Dote Como|e�e6 ����' J�� p �� . -..l� �
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PERMIT REFUSED
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................ 19
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``�„�• ''�.w TOWN OF BARNSTABLE Permit No. �}19902
{ YIWPTAU Building Inspector- Cash $500.00 _(Build r)
� /YL
OCCUPANCY PERMIT Bond
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to DePoul 1k3Alty `rust Address 040 Ilcutcr.�i Road, M- ratona Tlillo M
lot 05 05 11Atx3by Roads Narotouc 11illn
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
THIS PERMIT KILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
.........................................I............, 19......_ ........................................ .... ............................................................._._
Building Inspector
TOWN OF BARNSTABLE19982
Permit No.
Building Inspector $500.00 (Build r)
NARIST.n Cash ----__--
Yua
OCCUPANCY PERMIT Bond
No building nor structure shall be erected, and no land, building or'structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to DePaul Realty Trust Address 848 Newtown Road, Marstons Mills MA
lot #5 85 Wakeby Road, Marstons Mills
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gras Inspector Inspection date
Engineering Department 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.
...................................................... 19......�_ ................................... .................._......_.`._............................
. ............
Building Inspector
TOWN OF BARNSTABLE 4�1---
Permit No. -- ---9982---
n �L' Building Inspector cash $500.00_(Build r)
RYA
�a110 OCCUPANCY PERMIT Bona
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to DePaul Realty Trust Address 848 Newtown Road, Marstons Mills MA
lot #5 85 Wakeby Road, Marstons Mills
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department 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.
..................................................... 19.._._ ...................................... . .................. ........ .___ _
Building Inspector
I 0`;`'p TOWN OF BARNSTABLE Permit No. ----------—----------------- gO
{ "A"nA Building Inspector
• Cash --------------- —
�O
OCCUPANCY PERMIT Bond ----__ -------
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department 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.
....................................................., 19»...._» .................................... ........................»».».......».......».»..»».»..».»_
Building Inspector
1
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