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HomeMy WebLinkAbout0125 WHISTLEBERRY DRIVE �� �h�� . e� �r A 0 0 � � •� o .. _................�r....r� ��'� � n, _ �..- .-�A....+...-.y..... ;i Of IKE, Town of Barnstable *Pe1I0r��� Expires 6 m0A.Hisfroln issue date BASTABLF- : Regulatory Services Fee i6 S � Thomas F. Geiler, Director �ArF0� Building Division Tom Perry, CBO, Building.Commissioner 200-Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid witlrout Red X-Press Imprint Map/parcel Number (&?-j Property Address_/� �{��,�GS� �'l Ll d t� I r `[u/s [Residential Value of Work , 00o Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name i� ep' P ne Number r Home Improvement Contractor License ff(if applicable) ' Construction Supervisor's License#(if applicable) a ��© �� fl � �rkman's Compensation Insurance SEP 2 2 N09 Check one: ❑ I am a sole proprietor 'TOWN OF BARNSTABLE ❑ I m the Homeowner ave Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy#E Copy of Insurance Compliance Certificate must be on tile. Permit Request(check box) lJ Ke-roof(stripping old shingles) All construction debris will be taken top, L ''I� ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) *Where required: Issuance o(this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Qne OwneU��E� Letter of Permission. proveonstruct Supervisors License is required. SIGNATURE: QAWPFILES\F0RMS\Expr\s\EX PRE SPERMIT.DOC Revisc06O4O9 i The Commonwealth of Massachusetts Department of Industrial Accidents !i 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 Le ibl Name (Business/Organization/Individual): Address: W h- City/State/Zip: MAPhone #: dzvee�3 �2 AWi"ana n employer?Check the appropriate box: Type of project(required): 1. a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.l required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. - Roof repairs insurance required.] t. c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: �A Expiration Date: Z ug�1 1 Job Site Address: 1�� f,� �i -C /�c-i� �7i '� !/ t•(/�City/State/Zip:��( Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. 1 do hereby ce tify ender -ins nd pen ties of perjury that the information provided above is true and correct. Si nature: Date: �u Phone#: J r >t 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): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: a 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-contractor(s)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 number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts 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 �1HE Town of Barnstable Regulatory Services 9 wwMAM E g," Thomas F. Geiler,Director i67y. �0 3 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 0SLo-Narj'e Ab-n Cass , as Owner of the subject property hereby authorize, Pr,-,dL-, to act on my behalf, Ao— A in.all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date SP—- C Print Name If Property Owner is applying for permit please complete the .Homeowners License Exemption Form on the reverse side. Q:FORMS:O W N ERPERM IS S ION I Town of Barnstable of tME tp� Regulatory Services r awxrtsrAs Thomas F.Geiler,Director 1639. �•� Building Division lED MA'I a . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 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. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any 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 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 personas 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 a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC Qj/L17137 11: L4 JUOOOOUJJU �� i`iu� �+^ •�-��+, +,•�- . .-- -- -- ACO,R,D CERTIFICATE OF LIABILITY INSURANCE DAr0910312009m PRODUCER Phone: (SO8)88M207 Fax: (508)888-0550 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ALMEIDA&CARLSON INSURANCE AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O.BOX 719 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR SANDWICH MA 02563 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Granite State Insurance Company POST&BEAM OF CAPE COD INC INSURER B: BOX 365 INSURER C: SANDWICH MA 02563 INSURER D: _ INSURER E: N COVERAGES -� a THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIC/�TtD, NOTWITF(WNDINt ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAf.E-m(�Y BE ISSUEDMR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS 4'',CONDIT10N3 tSPBUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTR I BR TYPE OP INSURANCE POLICY NUMBER POLICY EFFSCTIVG POLICY EXPIRATION Q"" LIMI ORNERAL LIABILITY EACH OCCURRENCE _ COMMERCIAL GENERAL LIABILITY PRE E3 n�occi�l w CLAIMS MADE OCCUR MED.EXP(Any o e petaon) g p] PERSONAL 6 AD INJURY I C"Ct GENERALAOGREGATE 8 GEN'L AGGREGATE LIMIT APPLIBS PER: PRODUCTS-COMPIOP AGG. S POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY (Per Pareon) a SCHEDULED AUTOS HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S Peraccl t GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY; AGG $ EXCESS!UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE S T RETENTION S $ WORKERS COMPENSATION AND WC004997969 I 12/27108 12/27/09 TORv7uMlTs OTHER EMPLOYERS'LlARILITY E,L.EACH ACCIDENT S .100,000 A ANY PROPRIGrOklPAkTNGMXGCVTTJG O►FIOW 11GMCSR 4XOW001 E.L.DISEABF.-PA EMPLOYEE $ 100,000 Ny".mane."dar SPECIAL PROVISIONa W.w E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER: DESCRIPTION OF OPERATIONSILOCATIONSfVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE Town Of Barnstable Building Department TO DO 80 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, 200 Meln StrBet IT'S AGENTS OR REPRESENTATIVES. Hyannls MA 02601 AUTHORIZED REPRESENTATIVE (508)790.6230 Attention: aryjo Anderson ACORD 26(2001108) Certificate# 6786 O ACORD CORPORATION 1988 s Off,,Aof, As m'er a��s cBus`ine"ss egu a on License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration;" ,l29348 10 Park Plaza-Suite 5170 Expiration:.�•-8/17/2011 Tr# 287647 Boston,MA 02116 lug Type.:.. ';IndividuaL�' Paul Pacella Paul Pacella 132 Lombard Ave f W. Barnstable,MA`02668';; Undersecretary Not valid ithout signature iYl;tssachuxctts- DCpartmCtrt ul'Public Safch Bo;u'd uJ•Buildin(f �. Const .\ Rc"Iul;ttiun.-S ;u)tJ St;inrl:u'ds ruction Supervisor License License: Cs 68602 Restricted to: 1G PAUL R PACELLA 132 LOMBARD AVEt` W BARNSTABLE, MA 02668 Expiration: 8/28/2010 ('ununi�siuner . Tr#: 1661 r, A L 0 Assessor's cl Ass ssor's map,'.and lot number ....6.3......? ........ �P 6SE;T STEM:MU HE Sewd 0, 1, IN COMP number ..........ge Permit numb ... WITH TITLE 5 , louse number ..................................:... :T .......:.: .:: ENVIRONMENTAL CO AB LE ... IL TOWN REGULAT110 639- NO SubjECT TO APPRO,,L CTOWN . 6F ,.,BARNSTABLE A p P R 0 V E D BAAf4SUBLE CONSERVATIDN Barnstable Conservation iss 01k COMMISS101,4. 0 Co'o 0' BUILDING"ANSPECTOR 4s, pod oa ...........APPLICATION FOR PERMIT TO .... ........... .. .........Dwel�. ....fty........................................... TYPE OF CONSTRUCTION ...... ...... ........................................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... .....13..... ... ...... ...................... ,Proposed Use ........ P.........................................:........................... ................................I...................... ZoningDistrict ........K..).......................................................Fire District ......... .. ..... ........................................................... Name of Owner .....Address ..A.7/......A!ft.n`A&k...6. Je.111 Name of Builder W1.1.1ral... .......... b4e!�...Address ........... .................... ................... .............I......... ...... 41 Name of Architect X'4.•... 0-L. "'d g ,a 11--5 5.(J.4:...Address ....................................�Ijflwze*...... . Numberof Rooms ...............7..............................................Foundation ....... -�e....................................... Exterior _5h.�4j)e.5.....4�... .............Roofing ............... ................. Floor y; s, ........ I.4.....Me.5..Interior ................Pl;_i le r. d ej:.w...... Heating .................Plumbing ......A...... .............................. Fireplace ........ .......'Pi l.e.r4.- ................................Approximate. Cost ....f... ......... Z2 S- 7. Definitive Plan Approved by Planning Board -------------------—-----------19--------- Area ....... Diagram of Lot and Building with Dimensions / / 7C Fee ....... . .............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r 2S r Lr 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. 11 Name .... ...................... Construction Supervisor's License ... ....... LeBLANC, WILFRED No ..28649..... Permit for ..:.One...Story......... Single Family Dwelling . ......................................:........................................ Location ....Lot. . ...1.3........1.2.5....Wh i s.t.l.eb e r.rv..Drive . . .. ......... . . . ...... . Marstons Mills . ............................................................................... Owner Wilfred LeBlanc.................................................................. Type of Construction ..............Frame............................ ................................................................................ % Plot ....................... Lot ................................ Permit Granted ... N.Q.v e mb.P-r..B.............19 85 ........ . Date of Inspection 5.Z. 19 r DateLCompletecl .........1-9... .......... > ,f � Jj , cc co M �). 0 1-- M C -7 7 tv r. to - M C-) Cl) Cr ri cu 11- 4 r-j �., .-.. .: ........ ' S� ....Assessor's map and lot number " t CF TN E Sewage Permit number .......� �Houl'tte , Y . BABB9T11DLE, nu" ..................................... ......... v roes /�J .................... 0o 1639 e00 QUP a` TOWN OF. BARNSTABLE /- 1 J BUILDING INSPECTOR {APPLICATION FOR' PERMIT TO ...Dives.... .5�O..r: ........�,�f°:,�. ...E?. .....................:�f.............. TYPE O �) F CONSTRUCTION ......:......(.�IQ. ...... —y.. 1............................. ................................................ TO THE INSPECTOR OF BUILDINGS: e The undersigned hereby applies for a permit according• to the following information: Location .......l�of".... ....---... ,���$. .. .�'F'. ........ �'1.k°6...... ..� /&S...r�✓s�./�. .......................... I >' ProposedUse ........U-51 �-14--C.,..................................................................... ........................................................... ZoningDistrict ........i�..F....................................................Fire District ............ .:.. ....................................................... Name of Owner ..riV..J&d.....0'...L.�.���?G.....Address o1.7/......... ..... ilr. ....A7:......1-�.1� .' ''..................'' '` .... Name of Builder .. c J �... . .�....Address ................................. ........................ Name of Architect J?'4.�... /��V.. ....�55..0.4:...Address f� k Numberof Rooms ............... .7..............................................Foundation ......... ...................................... Exterior .. JI!�.J.��j.,Z?.�...... .............Roofing .. ......................... .... Floors J� / � ...... t...If..5..lnterior .......... / •..�fJJf!, .......... Heating 7Y1� .:... ��''..... Q. :} .0 '.Plumbing ......ll....... �7�f..f'/.(����'1.`�?.............................. Fireplace ....... ...... I.Y..e. .�.�� ................................Approximate. Cost ..., lU���1. 7` ��. Definitive Plan Approved by Planning Board -----------_------_-----------19________ . Area ....� .......s ... /.: Diagram of Lot and Building with Dimensions Fee` . ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1'e�q S r� r d m 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. 1 Name . ...... .........ia..... ....... .................... Construction Supervisor's",License ... ' LeBL&NC, WILFRiD A~63-92 , / ~ u 286�9 One Story No -----. Permhfmr ------------ Single Family Dwelling ' ----'=----.—.'------=-------. Location —L»c..l.3�—'l.25..Wbiatleberry..DriVe � ` ` ~ Maratoua Mills --------.-----------------.. Owner —Wilfred .LeBlanc. - ' - Type of Construction -----�rame....................... . . \ —~------------------------ r � Plot --------- Lot ----------' x ' , November 8, 85 , � Permit Granted -------------]g ' . ' ~ ' Dote of Inspection ------------]V Doha Completed ------------'lq ' �� �*�Cl) (~��� <7 / ,?�v T ' ' ' , , U ^ . ^ . .�. ..� ��. _ .— o,. ,.- -.w , � -.. ••v,py�^ :;:.� r .. , „ r« ,..-`.,., ..yen. .. .� c.: •.. .,.� -r o � TOWN OF BARNSTABLE Permit No. ..?€r,.40...... BUILDING DEPARTMENT wa TOWN OFFICE BUILDING Cash . HYANNIS,MASS.02601 Bond ...... ... CERTIFICATE OF USE AND OCCUPANCY Issued to Wilfred LeBlanc Address Lot #13. 125 Whistleberry Drive M'aratnna NTi 11�_ Maacanhiiaattz j 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. ........JW40 .1... o 19.. (� ....... ....4- Building .... `............... .�•.. Inspector TOWN OF, BARNSTABLE BUILDING DEPARTMENT _ ssaraT TOWN OFFICE BUILDING out HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy -Permit; has been, issued for'the building"authorized by BuildingPermit ................... .........:1. -7..._............»................................................................................„......_.....................»........»». Gr/ issued . ................ ,CIJ,. ,...................................................................».. »...»..._.».....»».........»..»»..»»»»» Please release the performance bond. • �,,�!S�EPT. FILE COPY/WHITE FIELD COPY/YELLOW--hrl LILANT -»� �` '. tw: D�° BUILDING. Qa 3' TOWN OF BARNSTABLE, MASSACHUSE17S PERMIT 4, a _ ^ WALIDATION 2VH=63-92 "' 869DATE NGV+'lIlber b (g 85 PERMIT NO. � _.-�rti►. APPLICANT Owner ADDRESS Ownp2 • (NO.) (STREET) 7 (CONTR'S LICENSE) PERMIT Build dwelling_ 1 ) STORY Single family dweliin, NUMBER OF 4DWELLING UNITS L (_ �` a (TYPE OF IMPROVEMENT) NO. '(PROPOSED USE) ` lot #13 125 Whistleberr Drive, Niarstons Mills ZONING up AT.(LOCATION) y DISTRICT (N0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE I FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIC ro• 7777 TO TYPE USE GROUP BASEMENT WALLS'OR FOUNDATION (TYPE) REMARKS: Sewa,,ye #85-874 VAREA OR OLUME is _ 2258 sq. ft. 12.5,000 PERMIT .101 . 75 ESTIMATED COST FEE • (`�� (CUBIC/SQUARE FEET) .� rJj 11 redp P. LeBlanc ! OWNER L??11;,'//�),'�, 4/1 mar21lPX 1rCJ_t3, IOLU1t, i°.>t� BUILDING DEPT.,— i __ADDRESS: BY pop. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY C PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE A i PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES-AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINE i FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONOITIOI OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ' MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS R.E- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUC.TURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL M (REA'DY TO LATH 3. FININAALL INSPECTION BEFOREE FINAL INSPECTION HAS BEEN MADE. IN OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING I S ECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPE4TION APPR6vALS- /r 1, 2 2 2 1 3 V HEAT;NG 'NS?'ECTIN APP OVALS REFRIGERATION INSPECTION APPROVALS j ITO DON STABLE' I E DIVPION o-HER —_ I2 y i 'NCP.K S—AL'_ NCT -P0=EE0 UNT:L Tf+E PERMIT INS INDICATED ON 7H15 GAF STAGES iA5 APPROVED 74E '!A?! US I WORK I! / ;� w RANGED FOR BY TELEPHON iAGE_ F CONSTRUCT;- PERMIT- -=* ••�\- // � K =' � •� .,swa N NOTIFICATION. r. 5c draI=�� LOT 13 n 431773 S.F, LQ 41 pleEpAi2ET> FOIE? • t,,/i/{'��d L�6/an. c -/lc/E17 PLOT ' PLAN e OC AT/OA/ S on s` JrGALE : / "' = �10� DATE :- ii--G-BS.. • 54 Pe L.C.P. F s S .NE�E�1' CERT1Fi! 7�4AT THE. BC!/LD/u�. o�' GE RGE G� SAJOAjAJ OAJ 7"/-'5 Pt-,9AJ /S LOC197EV C)AJ. THE e LO Gr2olj�UD A q 6HOAJA/ HE 'AAJD 714M- /T U isoi ; do g c c"Ai FOi2M TO 774 E ey LAWS of 7HE Tol iAj - of WHE��J .�O1v�TieUGTED : Q.S1 ri �.O GJ � Gil E C_L E�', �n c . � g ' � � �;,, � • Y�9�MoUTH, MA55 . DATE I