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HomeMy WebLinkAbout0362 WHISTLEBERRY DRIVE �Co Z �h��-t�b ems' _ _ R _ �. _.._ . R _ _ --- _ - __� Town of Barnstablea e. __. ._ Building t �rw {Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept { atRMNM"S& -Posted Until Final Inspection Has Been Made. Permit i63� � 1 cj " Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until.a Final Inspection has been made. Pljl Permit No. B-19-2669 Applicant Name: GREENMAN, DAVID B Approvals Date Issued: 08/19/2019 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 02/19/2020 Foundation: Location: 362 WHISTLEBERRY DRIVE, MARSTONS MILLS Map/Lot: 062-034 Zoning District: RF Sheathing: Owner on Record: GREENMAN, DAVID B Contractor Name: Framing: 1 Address: 362 WHISTLEBERRY DR Contractor License: 2 MARSTONS MILLS, MA 02648 Est. Project Cost: $0.00 Chimney: Description: Shed 8x12 Permit Fee: $35.00 Fee Paid: $35.00 Insulation: Project Review Req: Date: 8/19/2019 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. • �'' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: f 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: 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 $�1dmg Department Services - Brian Fiorence,GBO $ ma $ Building C0m 0ner . J�• .. �In IS� Y&AYr, l - .,= www.toWa barssfildGma us moo Iffi�iTlA.L ONLY 200 square feet or lei Jaceionofd a(addmo) village -Property owner's name Telephone simofShea� MqAWwI# $yamb maim meetwa HlstodcD did . ll�g'slBs�osic tea jm�ion4 • You must Me wi&Old WWs Highway ComWisire(dpatem is required) -- . Sip of how far Q�aBos 6:�-9. dot 3:3A-4:30 PIZAS&NOM IFYOUAREWMM(THE OFARY0VffiADOM COMMMUM THCRZ XAY BR.A R$VZW PROCM AND APFUCATIN PM PLUM M TM APP OPRIM COIVIlV MONFORD1gTAII.B. • THIS FORM MUST BE ACCOWANIED BY A PLOT PLAN _ 00 oo y L � v • I fig. G � ce ���S� .� �- ����, O- ��-fo o 40.o owr �.y b .0 .(4 LOT 2c) Wj-ao ti � o to Co P40T Pl.,1 N lWAs/1VT.fIAOE Ffo fOUNOATION`,000♦4T/ON PUN . /NSTiPIJ•MENT.7URVEY�WO 1.5 FOR THE ?E OF THE QAN/iC GdNG Y. U/yoFN /VO LOT 2� 'QCUAlStANCES ARE OFFSETS TO BE 4E0 FDA' FENCES, WA�t►4d, HEOGled, �j; j�J�S 7'� LE .0 �"► NEO As . 8 OF M 04W ENG/IlIEE R08ERT Gr• 40 EAST rw,MOlJ7 y�G ANC. RAY ONO EAST Fit"O&ry, �0 3 Y No:21583 gat PA rc6 SNEET� p� cis T7 LiPA/!1'!V jSf'. CNE ;(PP/t BYf N P,(Zee „4 -NO. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map LQ L12_2-- Parcel Application # �/s gab Health Division Date Issued Conservation Division Application Fee �c 56 Planning Dept. Permit Fee �" S Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis le Project Street Address Village VACM" -_N5 Owners) w d bwnmay,) Address Zkk2 Telephone ���- Permit Request ',(` Se NS(1M 'Pt (,S-� - Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total al ne)& -� Zoning District Flood Plain Groundwater Overlay _ Project Valuation 19 Ctq.9��Construction Type 1.Y1CU lCA r- Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) 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) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes tKNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I Telephone Number Address `'1 ® �1/17 �� ( � IG 1 up License # MCQ t Home Improvement Contractor# 5� _7 S�\ l� p 0 Worker's Compensation # ! '� EmailVDWnd (0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I i t FOR OFFICIAL USE ONLY 7APPLICATION# i `DATE_ISSUED E' MAP I PARCEL NO. w . j f ADDRESS VILLAGE, �- OWNER DATE OF INSPECTION: \ FOUNDATION FRAME w� INSULATION ' FIREPLACE �. ELECTRICAL: ROUGH FINAL s"ll PLUMBING: ROUGH FINAL GAS: ROUGH ' FINAL FINAL BUILDING E's DATE.CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 a` Boston, MA 02114-2017 ' M y0v www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ><bly Naive (Business/Organization/Individual): Insulate 2 Save, Inc Address:410 Grove Street City/State/Zip:Fall River, MA 02720 Phone #.508-567-6706 Are you an employer? Check the appropriate box: 1.❑.'I am a employer with 20 4. ElI am a general contractor and I Type of project(required): employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp, insurance.$ 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, §1'(4), and we have no 12.❑ Roof repairs employees. [No workers' 13.❑■ Otherinsulation comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am cin employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insuraiice Company Name:Liberty Mutual Insurance Policy#or Self-ins. Lic. #:XWS 56418741 12/10/2015 `n Expiration Date: Job Site Address: 11�S City/State/Zip: MIS Attach a copy of the workers' compensation po icy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as,civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si ature: Date: l 22 Phone#: 508-567-6706 Official use only. Do not write in this'area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority.(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone# i Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 180747 Type: Corporation z s Expiration: 12/29/2016 Tr# 261507 y 41 INSULATE 2 SAVE , INC. '^ ROLAND LANGEVIN -'410 GROVE ST - FALLRIVER, MA 02720 Update Address and return card.Mark reason for change. - Address Renewal Employment ❑ Lost Card SCA 1 0 20M-05/11 ` l-%/1C�49i!/IYt072[uCltll�b�n�/�(iIAJI'fL7G/IJR�IG Co./Expiration:;- ffice of Consumer Affairs R Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: 12/29�2016 Corporationegistration: -80747 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 — Boston,MA 02116 INSULATE 2 SAVE;):INC ,y z T ROLAND LANGEVIN' ,., 410 GROVE ST FALLRIVER,MA 02720 Undersecretary Not valid without signature Massachusetts -Depaftr:-lent of Public Safety Board of Building Regulations and Standards Construction Supervisor License: GS`103861 ROLAND LANGEV1N 536 EASTERN AYE. _ Fall River MA 02123 Expiration ^o"ntssioner 08124l2015 I CERTIFICATE OF-,LIABILITY DATE(`MIDDIYYY) �. ABILITY INSURANCE I 12i9i14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER:THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.: THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(es) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Anthony F. Cordeiro Insurance PHONE (508) 677-0407 I AX N (508) 677-0409 171 Pleasant Street ADDaRE Fall R'i.ver, MA 02721 SS: hsouza@cordeiroinsurance.com Fall I INSURERS AFFORDING COVERAGE _NAIC k INSURER A:Liberty Mutual Insurance i INSURED INSURER B: l Insulate 2 Save, Inc. - I NSU R EIt C 41U Grove St. INS - Fall River, MA 02720 URERD: INSURER E: j INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - _,_-____ " TAOD SUER i PdlYd EFF PO'UCY DCP - _... LTR� : TYPE OF INSURANCE I I POLICY NUMBER I MM/DDry MM/D07YYW LIMITSA (�GENErrALuaBJLITM I i% Y I Y IBKS 564187411 12/10/14 12/10/151 EACH OCCURRENCE is 1,000,Q00 I X[COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED ETI I PR MIsE.s rFa«n rencQ)_ Is 300 000 CLAIMS-MADE 1 OCCUR I I I MED EXP(Arryore perscn)-TS 51000 PERSONAL 8ADVINJURY 1$ 1,000,000 GENERAL AGGREGATE —II s 2,000,_000 _ GEN'LQGGREGATE LIMIT APPLIES PER I I (PRO- PRODUCTS-COMP/OP AGG_I S 2,0 0 0, 00 I X I POLICY I I I1 LOC I S — A AUTOMOBILE LIABILITYI ($AA 56418741 I 12/10/14I 12/10/15 CONBINEOSINGLELIMIT a acciden s 1,00:0,000 ANY AUTO I BODILY INJURY(Per person) 15 ALLOWNED SCHEDULED I AUTOS X AUTOS , I I BODILY INJURY(Per acc dent) S AUTOS NON-OWNED PROPERTY DAMAGE $ X MIRED AUTOS X AUTOS I i I Peraccident I I ( S A I X I UMaRELLALIAB X OCCUR I Y Y �USO 56418741 12/10/14I 12/10/15I EACH OCCURRENCE S 2,00.0,000 �� EXCESSLUIB i CLAIMS-MADEiI I FAGREGATE 5 1.0,.000 _ I DED RETENTION S I 1 i ( �— I S WORKERS COMPENSATION I (}{y1g 56418741 I I X� A I 12/10/14 12/10/15 /CSTATU- I OTH•' LITY v r N DAY.L1S91TS1 AND EMPLOYERS'LIABI ANYPROPRIETOR/PARTNER/EXECUTNE I I � I OFFICERWEMBER EXCLUDED? NI AI i I E L EACH ACCIDENT._. I$ 500,000 (Mandatory.in NH) I E.L.DISEASE-EA EMPLOYE s 5OO,OOO If yyes describe under (' I DESCRIPTION OF OPE RATIONS below I I E.L.DISEASE-POLICY LIMIT s 50,0,000 I I DESCRJPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Rerrerks Schedule,if more space Is required) Proof of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. i • AUTHORIZED REPRESENTATIVE I ©1988-20 10 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phnnv Fax: E-Mail: '-CIVWG:r Ci n ciCx.S'ao;; t'it~UDt Rugi Amine Silo Z1@6 i - Coca-arxc:fkmw iion.i.-2G8;9 l I 5 IIu CT CocJ:-ar3nr R6gtstrr.5,?n No 6tu12G W ut A-cant,Sumo 3'8r I ::rOt;iu,iY:.a(tits -41D 36&1926 X_6Iti7 __59i;✓i5a?i.a_ CON T RAC ~� =.Wz Fa ,.J 8 9t - ba.Cra� �-f 7H 4v;CNK r.F, .vid 8 Green,11m, 3ab'b°,� - - ^_�.. : ofRwce-r .....__--- � ^ .I_ 362 Whisdeberry Drivec VICE .TAT_ -- ----- Marstons - _ a A1R 51:ALING:i=lnv.i. ---..... ,l@Y L.�'hG.....,. 3. _ _. f --...... �erlUC(1• tJt tatX7Y a,'id m'}+r'Si21y[C ,'' I zc�,aua in urt}rhL uIf s:.otsF rai iucJ ,�,Uctyd�trr4r p� 7AS7 :�ic1i �yy -- ---:;: Sr - 1 3r �� air c:.tiCJ1�11 praduCt9_ Pci,ri:,r., UDOr air uw'if,tV. stcrl.:l�tD 0.: -�c-.;ti .z'ia to:•=uue lnu!ln:��6a ...�,}%:.�,:� _ 'l�;i: 21i�`�k, ..- __.— n0L 8etall tw pia u aY 10hcal.l,tciJ'ELr�PDf J At utc wn yc !t S:d) (5}t1011a7p�ttnw_. 1.as to 7SU&� w 'Pt OriJ,c a fir, ur,L•�:::_: ' •}, Piag oiJ:�" suet :taaliais\t:u Ix livacri::tiwt,k;",ud s w, -~f~ci s,-�t• r ce:,s ar a:o{3[t+tCta:d bt•tia: �+r1)r� Gii�y'�t:f;Inc is!:u1a!:::tJ•.:i:; na.'„°aw„t•vx... ._.....,. `Ct�of u:n LOOi L?cilu' -�; i;�:i;�li; t�1tCu;it4t7 ?"M PLAT:�ruvidc labor 3Fli(mur-ci••1-En inc,�tr g da"' , i:i77C qCC= ulciai w(R.r)j.i w 3S.QQ i L55 Provide/poi•and )ua,t cx tit onctl alt C i weir r u>L to isuut;irt t._i�.'tct_�!'(J):::tirJtr�c�•.t•; �---••.,.,.:.V., ; c r iantJ DLluwL r •.tl]i.f't j�. .a _,�� f:ISE Cno ( ) a foreligibittring .ui-U illcyjUr rS_Utc �blcia t0o95 for the riir SGikin�C tC `t i O crs 75j-°,c a+iG i �r�-act. I. (orUrcRllety: -tocxc utd n G,_., rraurrl Curtudr, _ . IYour hu G.1L11 of your�34RJ.:.S-:. ...and PM md_-W.rre Ulc wmb bntir l,aiu,�r ti-orlc bc- � air qus�lity; usti0 r siU r~I xrluy ci yaw l c >d sLua tJ :4. '°rrt3t cti zy u t ,I jn iLerrt!i,� :s'd(4,-r r r '-'C�3;�1�.� I r.,•;_ti,��. • '-u 7KIC -,1ruc 00 TOW. I '` +��rzo+�u;-r�u�.,, c:_'r�+,��ccc�f ��F 3a7C�fijL9•t;�, �� � i u++�to aF:.,rta►catt.vy f4um * 'VcSp i Gr aer 6a{r g i >iee�ee FOR ca )F "°Ar--carat,, _ G�cc+�2tb,s j n `�TS1C,;a is - raae!-'�"' SCg1,J7 r" �.y)c`��'►t�la„�•BR�11tI.Y.G;U&tiT• ,{ I •. . ..;. :.;::: Towu:•,;of.�.ar�ast�ble Tj cgs Torn'".." ;wilding copper 2Q0��� �'gY�s;=MMia1•:Q2601 .wi�i''�w'n:iiarostableia4a:tis � . c :0 vv . :• n.atl its zP]ative - :,� ►;. 1,3 PA " oro �fmces; pined: ta�tr Dare.. Ec� D .OR -OWNLO ; NOV 2 6 2014 oFWE rqk� Town of Barnstable Permtt# � Expires 6 months from issu ate Regulatory Services Fee { { { swxtvsrnsre. { MASS. Richard V.Scali,Director i639• �� ATEo��A Building Division . Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION ,- RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address & ,Z 0 IDS esidential Value of Work$ -31 6 OU 0 C� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address }1l! �nf P,Iq Al.A- q �3 2- w G► r s T1 F-A jr-a a y D 2 . /14/r�srowK It c LS Contractor's Name ©Pyy,fJ Telephone Number dcj Home Improvement Contractor License#(if applicable) 1 42 6 Email: Construction Supervisor's License#(if applicable) 6 (o RM ❑Workman's Compensation Insurance ®PRESS IT Check one: �am a sole proprietor OCT —7 2014 ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ Re- of(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum .35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: 4 Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc i Revised 061313 The Conintonlvealth of Massachusetts Department oflndustrialAccidents Office of Investigatlons 600 Washington Street Boston,MA 02111 Ivwminass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Il lectriciaas/Plumbers Applicant Information Please Print Legibly i Name(Business/Organization/lndividual):_ Address: 1 b 1- 13 jz City/State/Zip:_ M/:�- (KA2, Phone#: Are you an employer?Check the appropriate bo Type of project(required): 1.❑ I am a employer with 4. P11 am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole propridtor or partner- listed on the attached sheet;t 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity, workers'comp,insurance. g, ❑Building addition [No workers' camp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LE]Plumbing repairs or additions myself.[No workers'comp, e.152, §I(4),'and we have no 12.Q Roof repairs insurance required.]t employees.[No workers' ME]Other comp,insurance required.] *Any applicant that checks box#1 must also Ell out the section below showing their workers'corripcnsation 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. lContractors that check this box must attached on additional sheet showing the name of the subcontractors and their workers'comp.policy Information. lam an employer that is providing iporkersr compensation insurance for my employees. Below is the policy and job site irrformatlon, Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address:#3&,P- W 1 S T&E g X 61?, City/State/Zip; S lIJ-41`t, Alt f"62&Ll if 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 ofMGI,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 i of up to$250.00 a day against the violator. Be advised that'a.copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. lido hereby cent under the sins and penalties of e ry that the information provided above Is true and correct Si ature: D ate: 16`� � Phone#: Jd Q� • Of leial use only. Do not write/is this area,to be completed by city or town o1liclaf ti City or Town; Permit/Llcense# l 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." 1 -An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more j 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 oil 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 licenshug agency shall withhold the issuance or renewal of a license or permit to operate it 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 per 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 4 members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have f 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. SeIf-insured companies should enter their self-insurance license number on the appropriate line, City or Town Offlcials 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 permittlicense 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(ifnecessary)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 it 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 Eke.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 r Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-87?-MASSAFE Revised 5-26-45 Fax#617-727-7749 www.mass.gov/dia _ ,f s1IVORKERS' COMPENSATION"ANDEMPLOYERSkLIABILITYINSURANCE�POLICYR 1 i`v r�u � xzw 'ar 3 ws'y t-C ? '. � 5..` �,£ rf.':,.` X' 1:,.,..}n{,KwXg !nformatloPa g e x'jd „'`±n,?2 a+.`t+.7 �Y}' �r"��a"` Yr\, Q Qyo Atlantic Charter Insurance Company VDAC NCCI Co. No.:29211 Policy Number: WCV01168000 1. INSURED: Prior Policy Number: New Robert F. Tyndall Producer: 80 Brigantine Avenue O'Briens Centerville Insurance Osterville, MA 02655 Federal ID Number:174560293 Agency, Inc. Risk ID Number: PO Box 610 Centerville, MA 02632 Business Type: Individual SIC:9999 NONCLASSIFIABLE ESTABLISHMENTS Other Named Insured:See WCE106 I Other Work Places: See WCE107 2. POLICY PERIOD: The Policy Period Is From: 7/11/2014 To 7/11/2015 12:01 A.M. Standard Time at The Insured Mailing Address 3. COVERAGES: A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states liste here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B D. This policy includes these endorsements and schedules: See WCE105 4. COVERAGES: The premium for this policy will be determined by our Manual of Rules, Classifications, Rates & Rating Plans. All information required below is subject to verification and change by audit. Code Premium Basis Total Rate Per Estimated Classifications No Estimated Annual $100 of Annual Remuneration Remuneration Premium See WC 00 00 01 Minimum Premium: Deposit Premium: $500 $500 . Interim Adjustment: Annually 1 Estimated Premium (Minimum Premium) $500 Servicing Office: 25 New Chardon Street Boston, MA 02114-4721 Issue Date 07/01/2014 Countersigned By:— Copyright 1987 National Council on Compensation Insurance Form: 100mv r Town of Barnstable Regulatory Services �a�xrr te� 'Richard V.Scali,Director1639. + �jDrED MPI p,0 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 6" , as Owner of the subject property hereby authorize , P(j to act on my behalf, in all matters relative to work authorized by this building permit application for. a' bp , (Address of Job) ' "Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature er Signature of Applicant PS.Esc. 'Print Name Print Name Q TORMS:O WNERPERMISSIONPOOIS Town of Barnstable Regulatory Services �oF rofcyy Richard V.Scali,Director Building Division f saR braUss.ss.LK ' Tom Perry,Building Commissioner 9$ 1639 ��� 200 Main Street, Hyannis,MA 02601 QED MAt a 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 J 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,RuIes &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 t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRFSS.doc Revised 061313 e tpoa�vr�aoo�wealt�o��/�cr�}aac�i%oe(, i Otfice of Consumer Affairs&Business Regulation License or registration valid for individul use only before the expiration date. If found return to: OME IMPROVEMENT CONTRACTOP, Type I Office of Consumer Affairs and Business Regulation egistration: . 119766 i lO.Park Plaza-Suite 5170 - Expiration::�8 28/201.55 DBA Boston A 021?.� . WEBB CRAFT DAVID WEBB 25 MEADOW VIEW DR;:; - '' gam- s�- EAST FALMOUTH, MA 02536 Undersecretary ; Not valid without signature ,II Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-046189 DAVID H WEBB -`� t` 24 MEADOW VIEW DI; E FALMOUTH MA 02536 Expiration Commissioner 10/29/2014 i :L S PERMIT Town of Barnstable *Permit# �r O �p�' miss a dai H t 7 2012 Regulatory Services R ve ASS iG39•:59 ��' Thomas F. Geiler,Director �[7 1 TprEo �a F BARNSTABLE Building Division . Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 4P 3(o 2 ble, /1/4/jjs TO,ct Residential = Value of Work S C7, O 0 Minimum fee of$35.00 for work under$6000.00' Owner's Name &Address h.A-v i b CA LA 9MAlflj-" 34e2-- Wk; mr- i3gglzy fig, In insr w Ills Contractor's Name 4J. L{-: 1/ya-73/3 Telephone Number 3396j Home Improvement Contractor License#(if applicable) 119 76 6, . Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: 211 am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name c. Workman's Comp. Policy# l% -00 r] 36 P-o :�opy of Insurance Compliance Certificate must accompany each permit. 'ermit Request(check box) �Re-roof(stripping.old shingles) All construction debris will be taken to JtwLUkT# L96i-1 L�— ❑Re-roof(not stripping. Going-over existing layers of roof) Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ' A copy of the Home Improvement Contractors License& Construction Supervisors License is required. NATURE: VV JJPPII.ESTORMMhnildine nennit fnrm APYPR FQR dnr. Massachusetts- Department of Public S;,ICtN. Board of Building Regulations and Standards Construction Supervisor License License: CS 46189 DAVID H WEBB 24 MEADOW VIEW DR E FALMOUTH, MA 02536 Expiration: 10/29/2012 (•ummissiuner Tr#: 5127 Office iff I onsumerirs�c Buness egu ation — - HOME IMPROVEMENT CONTRACTORLicense or registration valid for individul use' Registration: before the expiration date. If found return to: 1.19766 Expiration: 8/8%2013 Type' Office of Co DBA nsumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 »-=j CRAFT DES IGNy _-4 i Boston, VIA 02116 DAVID WEBB !fit 25 MEADOW VIEW%DIZ '-. '= EAST FALMOUTH,MA 02536';,:1$1 / r`"`' Undersecretar Y � Not valid without signature .. d l'��KERS'::CO:��PESAI'1(�R1 AN® ,EWLOYEF�S`L.I/�B1Ll'9"Y'INSURA'iVCE F'�®LICY Information Page V�IC:00 00 01 Atlantic Chanter Insurance Company VDAC NCCI Co. No.:29211 Policy Number: WCV00730206 1. INSURED: Prior Policy Number: WCV00730205 Tyndall Roofing, LLC Producer: 80 Brigantine Avenue Fredericks Insurance Agency, Osterville, MA 02655 Federal ID Number:204616445 PO Box 427 Risk ID Number: Osterville, MA 02655 Business Type: Limited Liability SIC:9999 NONCLASSIFIABLE ESTABLISHMENTS Other Named Insured: Other Work Places: 2. POLICY PERIOD: The Policy Period Is From: 7/11/2012 To 7/11/2013 12:01 A.M. Standard Time at The Insured Mailing Address 3. COVERAGES: A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A D. This policy includes these endorsements and schedules: See WCE105 4. COVERAGES: The premium for this policy will be determined by our Manual of Rules, Classifications, Rates & Rating Plans. All information required below is subject to verification and change by audit. Code Premium Basis Total Rate Per Estimated Classifications No Estimated Annual $100 of Annual Remuneration Remuneration Premium See WC 00 00 01 Minimum Premium: Deposit Premium: $500 $500 Interim Adjustment: Annually Servicing Office: Estimated Premium (Minimum Premium) $500 25 New Chardon Street Boston, MA 02114-4721 Issue Date 06/14/2012 Countersigned By: DJUN 14 2012 Copyright 1987 National Council on Compensation Insurance Form: 100mv The Commonwealth of Massachusetts Department of Industrial Accidents W Office of Investigations d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): . vvL-77303 Address: `( ),7L-`moo`- 1/t P.kJ p/Z . City/State/Zip: �ciLtu✓.�7,fi a�,�� Phone.#: Are you an employer? Check the appropriate box: Type of project(required):: 1.❑ I am a employer with "am 4• L 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 shipand have no employees These sub-contractors have 8. EJ Demolition working for me in any capacity, employees and have workers' comp. insurance.#' 9• ❑Building addition [No workers'comp.insurance P• required.] 5• ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LEI 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' 13.0 Other comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: /trL/}wZ C C'� 237Z Policy#or Self-ins.Lic.#: �/C y o o 7 3 p go Expiration Date: Job Site Address4 3 b1z, City/State/Zip:NI4 ASryIyj 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 DU for insurance coverage verification I do hereby cert' nder the pains•and penalties p jury that the information provided above is true and correct. Signature: Date: '7 /7 1 2_ Phone k Official use only. Do not write in this area,tb be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): .1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: i tIKEr 'Town of Barnstable ti Regulatory'Services . . Ha ASS.r�MASS. � Thomas F. Geiler,Director y �pTFD,59. A`0 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstab le,ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Us ing A Builder I,�DR a� i G r e e-i JAA kA h , as Owner of the subject property hereby authorize & �'�, W (� (� to act on my behalf, in all matters relative to work authorized by this building permit application for: 3 w 1,;sTz,��3,�� ,� b (Address of Job) f.� Signature of Owner Date Pnnt Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. !1-Ff1R IvfC•(1WNFR PFRMI.CCT(1N Gor-�PA.v`>' + 00 Ap) y y 20. oi c E LOT � ~ • 2,�) y LOT-ao Q Rt y a a � o 6C'2 � D co TANJ /GOT Pk AN WAS NOT AlAOE FROM FOUNOAT/ON 1w00QT/ONV PUN .4N /NsmelwENT caevEY.4w /,S FOR THE OT 20.) U.SE OF THE 0 4NK aV4 Y. UNDER NO ,� / ` / C/RCUMST.4NCES ATE OFFSETS TO BE x� ��� 1 �� V LhSEo FOR FENCES, W..444,5, HEDGES, ETC. NED 46Y: . OF ROBER I IP4y Aflf0w ENG/NEEI��A/G INC. T G� GO EAST FA�.mourgE. y/Gyyyq y RAYMONO E•457 AX"OU AKA. OZ536 x�j 90 No:21583a oQ srfA� PATE: .Sh/EET� s% A O I SEi' ZS ar /o// �Pv10'N '. CNE 14AOR eYf P 4N-NO Assessor's office(1 st Floor): Assessor's map and lot number �'lo 'rJ J 7 0 K� of TMcMP to Board of Health(3rd floor): ` U aTIC SYSTE M MUST Sewage Permit number . Engineering Department(3rd floor): �/� %ATH TITLE House number. :% r� �`'� W:. �ruMA`�EMTAL C0—'4' 39. Definitive Plan Approved by.Planning Board ' 19 p(�� /� �,n, ' a�J�rJ'1Lfl REGULK9 LSd�c eJ Yt►Y APPLICATIONS PROCESSED 8:30-9:30 A.M.Iand 1:00-2:00 P.M.only� r TOWNf OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO , TYPE OF CONSTRUCTION i a 19 — — TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following infor ation: Location W h I Isd1 c-r` ri Proposed Use �eitil\ Zoning District Fire District Name of Owner �QV,1,0( WlGt" Address I #- t� r Name of Builder U 17 G. / r l l U€ �r�s Address 10 C j6yr i r Name of Architect Address rr Number of Rooms Foundation �rtU {l2 C Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barns ble regarding the above co struction. f Name Construction Supervisor's License GIS �� ' GREENMAN, DAVID At e. ti M1'C f• • - T o 3'4035 Permit For Add Deck t rN ,c Single -Family dwdlling }` m7. .Location. Lot; #29, 362 Whi`stleberr'y Drive 1 , -rr Mar`stons Mills.' r t a Owner' 'David--Greenman Type ot Construction .Frame Plot Lot 2. r - 1 r IL Permit Granted O_ ctober• 30 19 90 • i Rate.oflln'spection' ,19 _• Date Completed- 119 I »• r ,, -; t. - - 1 i 7 .- .- :•: fir ' g r ji rl Al r t 1 r , 4 Assessor's map and lot number .....?`J ` ..... ...... p...... �oFTNEro�♦ Sewage Permit number ......................................................... Z BJHBSTADLE, i House number .................. .. ?.. -......................... v roes l-✓ �mo a' TOWN OF BARNS'TABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... ?NsTO���T i �I�'ENC.I TYPE OF CONSTRUCTION Doi R ................................................S 19nrJ.. "S TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit• according to the following information: Location ....4qT � ! � rs-rLYCF.KRY �AIVE , HAS H ( .. '. .... . ................. ..................... .;. ..........................................I..�..1...�...... ................................... Proposed Use S ti..LE Aa l t L.,Y t 1 wEt�L t ram, Fire District �' . Zoning District ......................... n..................................... 6JAvlb 9 �ilo�1' Ira �RMQNAn, (_AUKA AVE . l �NTF-AVU-LF- Nameof Owner ................... ..................................................Address ........................................ .......................................... c SN p� A, S"r' t3RF.tuS� Name of Builder ... �......N.11"l. A :................Address t"1 AI . ►................................. Name of Architect Address "'` .................................................................. .................................................................................... �O Ups j �tV cRtr-r- • Number of Rooms .....................:..............:.............................Foundation ................................ ........................................ 'w Exierior . CIS.-X CLAPWAP,11 / k.) ASPHAt_'r .............. ...................................................Roofing ..................... .............................................................. x ,� Nye. Fkv A Floors a w LL .....................::...............................................................Interior .................................................................................... Heating (�.... .g.�....�....................................................Plumbin t .y Ave— . 0 000 Fireplace ..................................................................................Approximate. Cost ...4....� Definitive Plan Approved by Planning Board __5________19 ,[__ , Area ".'4 �`8 Diagram of Lot and Building with Dimensions Fee I to SUBJECT TO,APPROVAL OF BOARD OF HEALTH d � W vz o ,j r INV J OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .- '""� ��\� Construction Supervisor's 'License ' GREE0MAN, DAVI & CY0TBI& _A,-6,2-34 ` ``/ ' 28471 lj Story No ................. Permit for .................................... - ' Single Family Dwelling . . ---------.---.. --------.. � � ` Lot 29, -ge Wbiatle6erry Drive ' Location ............................................. Marat000 Mills ----.--------.------..`------ - David 6 Cynthia Greenman Ovvner --------------..�------'' . . ' . Frame ' Type of Construction -------------- ' ' ` ........................................................... plot --------- Lot ----------' ^ ' . . - S��t 26 Permit Granted ��----yJ �—'. —]V 85 ' - DdKs of Inspection —..................................19 � Dote Completed —.-----'�-----1P, / . � �r ,t, ` . - ' . ^ ~ ` - ^ ^ ` ` ' . ' ' ` . ' Ae/^ ~ i . . � ..,1••�.,.�"r. „ r •-i..y$��y�..-..._ ... 5 '>....'7-{ti.',i rS•llril�ryy`r'�t��'�'fSo. rr' i f .f (Nln J' !1•''s..' rT..'t.-r'w._ '� .'J'rYi r.i f�tt F T 5 1 ��, � '♦`/�li ,.J '0.�� � Y'.Y.f�I'y' �`'•�.ti1 1-'�' L4•.'�'1'•''. Assessor's office(1st Floor): Assessor's map and lot number �lo �•""D 3 ^ �p�•TMEyto` , Board of Health 3rd-floor: 7n Sewage`Permit number ) �� 7 a Engineering Department(3rd floor): t, >ssaa9rsncc .' House number Definitive Plan Approved by Planning Board 19 ' o'Y�r d. APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only C7�" TOWN . OF - BARNSTABLE ' BUILDING INSPECTOR APPLICATION FOR PERMIT TOjC .+rt 4 TYPE OF CONSTRUCTION °� .. ) 0 — 30 19 l� TO THE INSPECTOR OF,BUIL'DINGS: The undersigned hereby applies for a permit according to the following infor tion: Lr Z Location Proposed Use Zoning District Fire.-District Name of Owner �r 11�1i1 Gvti Address " Name of Builder 0 vl 15k 1 l�I CQ U`z �I� Address 10 C I o 6 f 1 I 4 n Name of Architect Address {, S Number of Rooms Foundation �V' I UOrfi KC Exterior j Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost U�IJ Area �Ul, Diagram of Lot and Building with Dimensions Fee SDr OCCUPANCY PERMITS.REQUIRED.FOR NEW:DWELLINGS I hereby agree to conform to all the Rules and-Regulations of the Town of'Barnst ble regarding the above,co struction. Name: Construction,Supervisor's License .GREENMAN, DAVID A=062-034 w � No 34035 permit For Add Deck Single Family dwelling Location Lot #29, 362 Whistleberry Drive c Marstons Mills _ Owner David Greenman Type of Construction Frame Plot Lot Permit Granted October `3 0, 19 90 - Date of Inspection .19 , Date Completed 19 PERMIT COMPLETED 1/1/ y `., �,�► TOWN OF BARNSTABLE Permit No. ---- Building Inspector cash .... - -------- - - ,e39. NO OCCUPANCY PERMIT Bond Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ................................................... . 19......_._ .................................................................................................................. Building Inspector /HEREBY CERT/FY THAT 1rr/S LOT/S NOT LOCATED /N FEA,-,eA4, FLOOD HAZARD ZONE -"AS SHOWN ON THE F£RERAL FLOOR,INSURANCE RATE MAP FOR THE TOWN OF COMMUN/TY PANEL NO, EFFECT/YE G24TE A7BER7 E. RAYMONA R.L.S DATE NOTE: NORTH ARROW NOT TO 0 BE USER FOR SOLAR.PURPOSES y �. � ~Ox J 0 ����1�4-�- G2A►.1CiE2R-� a �a f 00 _ AV'' N e k- boo (4r- 0 I b 00 L . I ' y .Nn • Ga.r„? C > y n , Ci R� �"0 r � O z LOT2,2) m ei 4�285�SF p LOT ao a • D no co TN/J ^or PLAN wAS mrMADE Fmo FOUNOAT/ON LOCAT/ON PLAN AN /NsmumENT %wewY ANO /.S FOR THE OT 2c5 _ WE O.r THE QANK 01NL Y UNPER NO �/ �ISTL� e 1 • U 2 I V c, C/RCUMJSTANCES ARE OFFSETS TO BE y� USED FOR FENCES, WAA kd, HEDGES, ETC. OWNER a y= Of Mq,rq,cyG ARROW EAGINSERING +1AAC. RO . RT 60 EMIST 4400U N H/G/yWAY E. RAYMOND Z-4sr Fit L.-mourN AU OZ536 90 No.21583Q woe pATE� SNEETt GIs �'AWMW Y: ECA'EO • APPR BY. PUN-NO. 1, Assessors map and lot 'number ......J..a. ...' . ....... .... b g ?Q... ........::..... SEPTIC SYSTEM MUST B THE o� ropy ��c Sewage Permit numberr ........... .... // Z ; INSTALLED H T T�E SLIA Z BAHB$TADLE. House number ................................ W rasa .................. .. . .......... ENVIRONMENTAL MENTAL CODE '63Y.a�Om A P » ,� V..8 a�> : N O F BARNS j&Nfilf'r i>r• > Barnstable COA V&t101A C onto, I L D I N G I N S P E C T O R e.•..... .. a =:�,, APPLICATION FOR .PERMIT TO .....�NS.'.RUC�' �ESIaEN '(,� • o b BRA ME TYPE OF CONSTRUCTION .......4 ...Q................................................................................................................. ..............Avi�..... ..............19a5.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �O`i' Z9 Lv�*STii..El3ER Location ................... ...ERFky... hQ.IVE....I.... AN 37ON........'t(�LS........................................... Proposed Use ...........+1y&LC................. ..... M ............................................................................................ .. k Fire District C'1)' ZoningDistrict .... ................................................ .............................................................................. Name of Owner ...+-?AV1� �CyAI'iNIA f R 4AY Address ......LAU.KA 'AUe } `E&J-M VIL'LE .... .... ........... ....................... Name of Builder I CN4EL.. S'}-IAA M A 1 N S-- I�REwS p ...................................................................Address .................................}..............................\................ Nameof Architect ..................................................................Address ..........n}.......................nn...--.............................................. 11 Number of Rooms ..........Foundation ...1"OCJ '� �7NC E.-r ........................................................ ..................... ......................................... ExteriorChx �CLAP�3obRD ba-e Cj�k A'SP14ALT................. .............................. .............................Roofing ..................... .......... .............................................. C,hX ` )4AAbimoob �CeRPEa'r��l ""L. 1* FsM uA L.L Floors .................................. ..................... ... .........................Interior .................................................................................... - Heatingg 010 �I-i 1. ....................................................Plumbin ......... vp . .......V........................................... Fireplace ..................................................................................Approximate. Cost ..AC®.,.QQQ............................................ r Definitive Plan Approved by Planning Board _ �l _5________19 �_. Area .....1..................................... a,a Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH.Da � j 0 �uiilS'�L,E113ERA� , � �v ti OCCUP%A CY PERMITS'REQUIREU FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the To n of Barnstable regarding the above construction. Name'...................................... ... ........... Construction Supervisor's License ..00..�v. +171 ......................... GIEENMAN, DAVID & CY THIA 4c, A41.1.... Permit for .1 tSTor .................. Single i] ell ...... ........................... Location ......LqtjL2: ....3.6 ..Wh.ist.l.!��er.ry..Dr. . . .... ...... . Marst S2ill .................laii 4EMXK��R Owner .....D...a.v..i. .d....%... ...Greenman................... ...... 0 Type of ConstructionS...FS, ............................................. ................................ Plot ............................ Lot ................................ Permit Granted .......Sept. 2.6................ 19 85 Date of Inspection .............19 Date Completed .......19 -J