HomeMy WebLinkAbout0268 WINDING COVE ROAD �'(� 8 Gc3i,� � C,w��`t�'� � .
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YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cpst$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you.
must do by M.G.L.-it does not give you permissiori'to operate.) You must-first obtain the necessary signatures on this form'at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office,.1 st FI-., 367 Main St., Hyannis, MA 02601 (Town'Hall) and get'the 6'usiness Certificate that is '
required by law.
ipyg.3i�5s�Ea":�,•�,. DATE: o'Ly 5 Fill in please:
+ �M APPLICANT'S YOUR NAME%S:
BUST ESS YOUR HOME ADDRESS: C1 G�£ (,y'�/�G///� ,i2c�C7G
u �� •, 5 1
TELEPHONE # Home Telephone Number 5C •�C�
. 777NAMEOF CORPORATION!
..•. ...
_
NAME OF NEW .. < �. r
BUSINESS, !.fl(PE,OE.BUSINESS:: r ` C:;..; :i'$
IS,THIS A HOME.00CUPAT O :. .:-
�.< .
ADDRESS.OF B � %.•>.
. .. ... . .... .. � l// .�G✓n.. �G .�� .�i�. .'�il� ,.:•.MAR .PARCE ;.• _ _
./ L;NUMBER;::::
When starting a new business there are several things you must do in order to'be in compliance with the rules and regulations of the Town'of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth
Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
I. BUILDING COIV� FF E
This individ� rn d of a y pe i r quit ants that pertain.to this type of business.
MUST COMPLY WITH HOME OCCUPATION'
.
�*ti ' at RULES AND REGULATIONS.- FAILURE TO
M T rq
COMPLY MAY R5SULT IN FINES.
U
IQ
2. BOARD OF HEALTH
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
3. CONSUMER AFFAIRS(LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
Town of Barnstable
Regulatory Services
a Richard V.Scali,Director
nnxxsr.42M
Building Division
9 M^S $ Tom Perry,Building Commissioner
1639. A�0
CFO MA'1 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax- 508-790-6230
Approved: PA
Fee: S
Permit#: cP0/S o /
HOME OCCUPATION REGISTRATION
Date:
_ 3-)-QflJ'_S-
Name: S�-f e ph ecly)/ e_ Phone#: 5d h• Q74a 'D22 17
Address: �lY� 6JI 11,d 1 a (6 Ve— k)odt - Village: Ma rs ktu lInIll5
Name of Business: /awl qo n
Type of Business: CCc?�S (21') Map/hot /
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located within
that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there is
no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,
odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of
normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation. ,
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned `ve d and e. 'th the above restrictions for my home occupation I am registering.
Applicant: Date: 3 .�
Homeoc.doc Rev.103113
i
� consavvMofl
11/14/14
Thomas Perry, CBO
Town of Barnstable
Building Division
200 Main St
Hyannis, MA 02601
RE: Insulation Permits
Dear Mr. Perry,
This affidavit is to certify that all work completed for insulation work at 268 Winding Cove Road
(application#20206993) has been inspected by a certified Building Performance Institute(BPI)
Inspector.
All work performed meets or exceeds Federal and State requirements.
Sincerely,
Conor McInerney
ConserVision Energy
c
M
376 ROUTE 130,SUITE C
SANDWICH,MA 02563
508-833-8384 WWW.CONSERVTODAY.COM
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
ApplicationMapO 577 Parcel- # l 1
Health-Division , Date Issued 1
Conservation Division ;; Application Fee
Planning Dept. Permit Fee L
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation / Hyannis
Project Street Address ( G
Village Yl�.� 4S&S i (I S
Owner ka4A Ot,4 4P5 t4 Address 25Y lsha aj lj�x (DOlrz "l
Telephone SCE$"^7`l l0- 1 (0 96
Permit Request KPtn ��_ jTc :&Lpmcc � + S -f XJ14 ;c f gu kle ,Q�4�
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
�o
Project Valuatio Construction Type
t
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., ), . �
Number of Baths: Full: existing new Half: existing `-. . new` _
Number of Bedrooms: existing _new r
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 41-7
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: LI-Yes ❑ No
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name T 07 ' 7 n. �XgP_. Telephone Number S �:� lW
Address 2.00 c Q t — �Q License # 1 0
v5�Cl`�tY1P UVl6f' Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE I l
+I FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
h ,
MAP/PARCEL NO. -
ADDRESS VILLAGE
'-OWNER
A
DATE OF INSPECTION:
t{ FOUNDATION . .. .. —
r _
�s
FRAMEv
INSULATION'
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
7GAS: ROUGH FINAL
r INAL BUILDINGk_,
s
r .DATE CLOSED OUT;_
ASSOCIATION PLAN NO.
y -
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): t, CXi2c Jq _ V
Address: 2c.*0 50 (f 4
City/State/Zip: 0, V Phone #: �_d 7 ., 7
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
, employees(full and/or part-time).* have hired the sub-contractors 6. New construction
2. I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling
G
These sub-contractors have' ship and have no employees 8. Demolition
working for me in any capacity. employees and have workers' 9 Building addition
[No workers' comp. insurance comp, insurance.$ ❑ g
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' 13.0 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:
Policy#or Self-ins.Lic.M Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereb rtify under the pains a d en ties f pe jury that the information provided above is true and correct
Si ature: Date: j
Phone#: —7 7L
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#:
TKEY-i . Town of Barnstable
Regulatory Services
a.Axxsn�st..� .
MABI Thomas F. Geiler,Director
�
Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.b arnstab l e.ma.us
Office: 508-8624-038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
A AfLQ as Owner of the subject.property
hereby authorize fiL
lu
to act on my behalf,
61
in all matters relative to work authorized by this building permit application for.
(Addres�oob)
5igna of Owner Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on -the reverse side.
Q:F0RMS:0 WNER.PERMISSIDN
Sr-
• w
��oF ray
Town of Barnstable
TKE
„�. o Regulatory Services
Thomas F. Geiler,Director
16.19. .�� Building Division
PrFo�i a
Tom Perry,Building Commissioner
200 Mairi.Street, Hyannis,MA.02601
WWW.to wn.b arnstab l e.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTTON
Pleare Print
DATE:
JOB LOCATION:
number street vil}age
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
eityhown states, j rip code
T1he current exemption for"homeowners"was extended to include owner-ot;cupied•dwe]Iines 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.
DEFIIIITION OF HOMXOW7\1ER
Persons)who owns a parcel of land on which he/she resides or intends to rrside, 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 constrgcts 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 Budding Official, that he/she shall be
responsib]e for all such work performed-imder the buildirie 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. e
i
The undersigned"homeowner"certifies that.he/she understands the'Town of'Blmstable Building Department
rr,in;r+�um inspection procedures and.requirements and that he/she will comply with said procedures and
requirements. ti
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.
HOMROVeR'ER'S EXEMPTION
.The Code states that "Any homeowner performing work for which a building permit is required shaD be exempt from the provisions
of this section.(Scctio i 1D9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that succh Homeowner shall act as supervisor."
lri'any homeowners who use this exemption are unaware that they arc assuming the responribilities of a supervisor(sec Appendix Q.
Rulcs&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness bft=results in serious problems,particularly
when the homeowner hires unlicensed persons. In.this ease,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. mire 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 hrJshe 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 formfccrtifica ian for use in your rDmmunity.
Q:forms:homccxcmpt
j E01➢1Mt3NNEALTH:OF M-----
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AS A MASTER UNRESTRIC p --
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UES�3 Eg EN 70 -
.E IDLE c : -
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ft tj
�1690. 02/28/12
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Town of Barnstable
o� Regulatory Services
c neRN1R'ARr� « ThomasT.Geller,Director
MASS.
Building Division
'Oren r�rt 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: t!
JOB LOCATION: W
ber
W street village
"HOMEONER": L 6 — S a 0 ei c —/0(0
name home phone# work phone#
CURRENT MAI:WG 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.
DEFINMON OR 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
rest onsible 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 t
rmninpnm inspec ' roc es 1 equireipents and that he/she will comply with said procedures and
rffiA
Anature of Hom caner
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 constriction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor." i
Many homeowners who use this exemption'an 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 t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
of�goy, Town of Barnstable
0
'Regulatory Services
.�. HARN6TARf ,.R t
nr�►es g, 'Thomas F.Geiler,Director
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, , as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit
(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 of Owner Signature of Applicant .
Print Name Print Name
Date p
QTORMS:OWNERPERMISSIONPOOL•4 612012
Town of Barnstable
Regulatory Services
BARNSTABLE.MASS
t639. � Building Division
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
• I
Inspection Correction Notice
Type of'Inspection
Location Permit Number 2 D // 06 3 S P
Owner Builder
One notice to remain on job site, one notice on file in Building Department. ,
The following items need correcting: /
�2 N
fftjq-j-,t/CrJI��
�— �D ,
i V
iI
Please call: 508-862-4@8-for re-ins ection.
Inspected by
Date //
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map ®S� Parcel- 643 Application #00 1 l WQ
Health Division Date Issued < lg t
Conservation Division Application Fee S�
Planning Dept. Permit Fee �d
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
CProject St r e Address a(e Y W
Village
OwnerK ` Add essri
Telephone _ 17-? 3ca_
ka (e lit., Y 10�hz
Permit Request C_00Kkyrt (QXdO u1 fi //,;L LTv1 41e Ivt °�X, iuc ✓�M + iA/Y4tJ
('ta4- (.,Jcjl 1-of--go Or 4f netj I alosLp,
Wlo,�LtltAkh I�QW6&j o2 Q)(U!ftt&f 0 V1
Square feet: 1 st or: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
=P oject-Valuation Construction Type
Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes 0 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 ❑ -� o. C
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use co
f=
APPLICANT INFORMATION
. BUILDER OR HOMEOWNER)
Name Telephone Number 50 4�j—77(0—10
i)Iss &AV—TV\6 License # a?1f
AN Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RC:SI.lLT FROM THIS PROJECT WILL BE TAKEN TO
A L
SIGNATURE //Mj/ 4DATE
i
s
` FOR OFFICIAL USE ONLY
e
ti APPLICATION#
DATE ISSUED
MAP/PARCEL NO. R,
ADDRESS VILLAGE
OWNER
! I
`( DATE OF INSPECTION:
! FOUNDATION I
f
FRAME
INSULATION-SIA��r1 Qo «����&Kq,
FIREPLACE
r ELECTRICAL: ROUGH FINAL"
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
f ASSOCIATION PLAN NO.
The Commonwealm of Massachuset r
' DeParbne of Industrial Accidents
Office Ofbzvesbi ,adans
600 Washington Street
Boston,MA 6211.1
WwW-
Workers' Compensation hunrance Affida��g�a s/Contractors/Elec
A ficant Information tricians/Phambers
Name Pusincss/ Please Print L '
tion/Individnai):
Address: 01Ce bj(, & t�
cnyistaz;p -
Phone
Are you an employer? Check the aPProP to box:
1.❑ I am a employer with 4. ❑ I am a general contractor and I T'YPe of project(required):
2.1] employees(f In and/or part-time).* have hired the sub-contractors 6. ❑New construction
I am a sole proprietor or partner- listed on the attached sheet 7. Remode
ship and have no employees iffig
These sub-contractx�rs have ❑
worming for me in any capacity. employees and have wat:kers 8. ❑Demolition
[No ens'camp•hisRnance comp,insurance. 9. $�]
re ❑ We area ❑ �addition .
d.] 5• corporation and its 10.3 a homeowner do' ❑Electrical repairs or additions
mg an work officers have exercised their 11.❑Plumb'
Myself �°workers' comp• right of exemption per MGL °r additions
insurance required.]t C. 152, and we have no 12•0 Roof repairs
employees• [No workers' 13.❑Other
cam. insurance required.J
t�Ftomaowners who submit this afnd�avitt mdifiIl out the section below showing their wozlo rs'compensation policy kformatim
#Contractors that check this box mast atnichod gedd�rtz a doing
�an Work and them hire Outside contr=tars must submit a new amdevit indicating such.
cMPloYeas. If the sub-contractors have to �0 name of the sub-coatxactnrs and state whethrr or not those entities have
�P Y� they must pro direr Workers comp.Policy camber.
I am an employer that irPT'vv&ing workers coarpensaiion insurance or
r"form�on f my employees. Below is the policy¢nd job site
Insurance Company Name:
Policy#or Self-ins,Lic.#
Expiration Date:
Job Site Address:
city/S
Attach a copy of the workers, compensation policy declaration page(showingthe policy ,
Failure to secure coverage as required tmder Section 25A of MGL c. 152 can lead to the number and expiration date).
fine up to$1,500.00 and/or one-year imprisonment as well as civil imposition of criminal penalties of a
Of up to $250.00 a day against the violator. Be advised that a c Pities in the form of a STOP WORK ORDER and a fine
Investigations f the DIA for ' e cove copy of this sTstenzent may be forwarded to the Office of
rage verification
I do hereby under -
P pen ofP that the informadon prm�ded abo a is tr
Si and correct
Date:
Phone#
Official use only. Do not write in thPs area to be completed by city or town 0Lrcia4
City or Town:
Issuing Authority(circle one): PennWUcense#
L Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical
6. Other .Inspector 5.Plumbing Inspector
Contact Person:
Phone#:
t �
THE
Town of Barnstable
�
Regulatory Services
• �rr. • Thomas F.Geiler,Director
1639. Building Division
Toni Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-408
Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
P / Please Print
DATE:
JOB LOCATION: �`►� C J�V` ��KJ ]
s et
village
"HOMEOWNER":
name hoAc phone#
work phone#
CURRENT MA LING ADDRESS:_ E a,LA—e—
city/town state
zip-code
The current exemption for"homeowners"was extended to include owner-occupied dwe lime
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 p d 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"hom weer"certifies that he/she understands the Town of Barnstable Building Department
inspection c ures 4q7uirets and that he/she will comply with said procedures and
r ments.
, of Homeo
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 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:forms:homeexempt j
Town of Barnstable '
Re
gulatory Services
Thomas F. Geller,Director
1639. �1
Building Division
Tom Perry,Building Commissioner.
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8
Fax: 508-790-623 0
Property Owner Mus
Complete and Sign This ection
' If Us' A.Builde
Owner of the subject property
hereby authorize
to act on my behalf
in all matters telative to work authorized by this b ertnit
P.`
Address of job)
**Pool fences and alarms are the respo sibility of the a
are not to be filled before fence is installe and Pools are not to t. Pools
P be
utilized until all final inspections are be rmed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
UORMS:O WNERPERMISSIONPOOLS
o U
NEW WINDOW CAB •�
cl]
132
1 I 4 e ,I � •i in
O
00 KITCHEN ] STEPS GARAGE
DINING ROOM
BENCH 11'-6'X21'-O'
Z
d
J
Q
-� 9FF-________ _____ LIN.
HUD OOM .-I STEP
---------------
BATH
3 1/�' I/2' 1 I
I I I
= LIVING ROOM I 1 I
I I
Q CI] l 1 0
I I
X I I I Iv �
MASTER BEDROOM
. f
October 2011 360 Hon wn Av<nue
sm.e aoa
Proposed First Floor Plan PM-:'"°g°"""`"`�18
Ylmne: 617.7679696
/•'ac 617.767.Y233
Scale:I/4--I'-0"
waw.akmmialy.am
MacNeel Residence Eck MacNeely Architects inc.
Cape Cod,Massa 'setts Arehlrocrure I—MrUadgn c--l—m—g—
DMING ROOM [ITCMEN MILD ROOM
GARAGE
f_________________�
` a:Z4
I I
I I
LIVING ROOM
I 1
1 I
1 I
1 1
• 1 I
yyyT_\�A _l I 1
I EXISTING FIRST FLOOR PLAN
SCALE: I/1' y-o'
September 2011 's m—i A,--401
f
Existing First Floor �°"6M 6173v,eM 02118 f
F-.' 617.367.9696
WWWr: 617.3ti7.9753
Scale 3/16"=P-0" F
.«ml�llwy.�
MacNeel�Residence Eck MaeNeely Architects inc.
Cape Cod,Massa 3usetm Arehtrecm.e hunbrUcrrgn Co t—flanMangg—w
J
Os—
tv `
S �
t C-SD
r
September 2011 SW II.M—A—.
Suim 403
Proposed & t Floor Plan P' 61W7-16 377
""x
MacNeely Residence Eck MaeNeely Architects inc.
(ape cod,MassaC usetts AreAirrenur Inrr.Gu Dnixn C��nvnmriun MarmQrmrN
e
/ f
. i
Mudroom/Half Bath Construction
❖ Floor construction 2 x d 16 " oc
**** Wall construction 2 x 4 16" oc
❖ Ceiling construction existing 2 x 6 1611oc
❖ R10 rigid insulation in floor
❖ R15 batts in new wall
❖ R30 batts in ceiling
❖ 2 0 min fire rated door
❖ 5/8" firecode sheetrock throughout garage
r
�:• `SS PET"
Town of Barnstable
e�T
� *Permit#
®r Regulatory Services Fee
6 ` �°mom
i BARNS I AaLE_ Thomas F. Geiler,Director
fn AAf•'l
Building Division
Tom Perry, CBO, Building Commissioner D
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Offide: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number_ 057`6,!3
Property Address liL/(t,L( ((A �(f �OaQ
a� s
Residential Value of Wor / Minimu fee $35.00 for work under$6000.00
Owner's Name&Address (�
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
i❑ am a sole proprietor
am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
Re-roof(stripping old shingles) All construction debris Will be taken to
Re-roof(not stripping. Going over existing layers of roof)
20"Re-side
rr #of doors
eplacement 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 t me I p ovem t Contractors License & Construction Supervisors License is
requ' ed.
GNATURE:
1
WPFILESTORMSIbuilding permit formslEXPRESS.doc
vised 070110
The Commonwealth of Massachusetts
Department of Industrial Accidents
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 'bl
Name (Business/Organization/Individual): (,(
Address: 02 �� (
City/State/Zip: S Phone #:
Are you an employer? Check the appropriate boz:
1.❑.I am a employer with 4. ❑ I 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. eRemodeling
ship and have no employees These sub-contractors have 8. Demolition
working for me in any capacity, employees and have workers'
[No workers' comp.insurance comp,insurance.# 9. ❑Building addition
r ed.] 5. We are a corporation and its 10.❑Electrical repairs or additions
3.Lflain 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. 00frepairs
employees. [No workers' 13.[1 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.
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:
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 hwurance coverage verification.
I do hereby un a th i and p a 'es of p )jury that the information provided above tr and correct
Si ature: Q
/ Date:
Phone#: r '(�
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
-h
THE Town of Barnstable
'} B AaxMBs,�•'
Regulatory
Service
s
MASS
Thomas F. Geiler,Director
s639. �
o►r+A''' 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 Usin A Builder
as Owner of the subject ptoperty
hereby authorize to act on my behalf,
in all'matters relative to work authorized by this building permit
(Address of Job)
Pool fences and alarms are the responsibilityof the e applicant.
t. Pools
are not to be filled before fence is installed and pools are not to beutilized until all final inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
I
Q:FORMS:O WNERPERIvIISSIONPOOLS
OFT„E Town of Barnstable
Regulatory Services
3 BABN6rABM _ Thomas F. Geiler,Director
Mess.
�A i639• 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
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: y
JOB LOCATION: ag (ti �(fe� �Iaac�
fier
treet
y / village
"HOMEOWNER": lJL SOO _2?4._/ J
name a phone# wo phone#
CURRENT MAILING ADDRESS: .6 I mu-e�. Q
LA—
ctty/to 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"homeo er"certifies that he/she understands the Town of Barnstable Building Department
inspection p e es and e, ' e is and that he/she will comply with said procedures and
Xature
nts. f�
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 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:forms:homeexempt
�• "'.o TOWN OF BARNSTABLE
,. •,� Permit No. -------------------- _._
• 4 Building Inspector cash ----_-�_--
rua
,619.
all
OCCUPANCY PERMIT Bond ------ _--__Issued to DbLvLn Freermn 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.
.................•w....i........w....�........... . n............ .........w......i«....i..... ....a4....w....w. ...ww...................................w.w....
Building wInspector
TOWN OF BARNSTABLE
aJ yew
BUILDING DEPARTMENT
= VAR = TOWN OFFICE BUILDING
' rua
t639. �� HYANNIS, MASS. 02601
our w'
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit�hass`been -issued for tithebuilding authorized by, _
Building Per it $�. _s��!._. ............ . ._.._............_.. __..._.. .....
issued to
Please release the performance bond.
P
k I
Lu
(4- o >
LOT 3.1 p,
Gov
X
� o
04
T/,Oi=/fi-D AN.OT / MPiL Ate/
L O cA�rio.t/: C
oT U l T f� S S
scA.c. = o a rc: U S 4
LoT " 31 PLAN BK . z�2 PGS. 2� 3o PHIL.Bp-C>(D
2 NE.eEBY CE,C.T/FY ?N�iT TIE 6V/LD/�c.�JQr t1
/S .40C_ A:iTE=a 0" T.yE
y eouvn As -WAVO wA.1 NEtecw! Of
I C
1 ARNE
I 1' H. `i
OJALA .H
wry ca�o�e en9ir�ecrir�9 �. #26348
C/V/L �,vG/,vE�C3
L q Al Z) SG%AFVB YO Q3
BOc/TE 6�i^-Y��MOc/Ts-/, ML�S3. aArr "0,*.. 4:WAY6fscievcYo.e.
57 — 43 pv-s,
Assessor's map and lot number ..... ........... .... 7.............
. I . nD
�7-
swuviTH
1E
wage Permit number ............................... ........................ aNV 31003 IVIN3
9 Mill
H6use number .........f ...... ...... MASIL
30NVIldW03 NI 0-
38isnwW31SAS
TOWN. 'OF BARNSTABLE
RUILDING 11S.PECTOR
u—z-
APPLICATION FOR 'PERMIT TO .......................................................................... .....................
TYPE OF CONSTRUCTION .....................
....�LT .................................................................
e-1
................................................
TO THE INSPECTOR OF BUILDINGS: MA UTOP4.5 K4--5
The undersigned hereby applies for a permit according to t/following information:
-T-
Lo 49=2:6- T MA
Location .............................i.......................................................I...................I................................../.........................................
L. .1—Amw eV i RtE51D ,1C(- (,I 4-rrquwD
ProposedUse .........................................................................................................................................I..........I.........................
G....:.
F? FZoning District ........................................................................Fire District . E.-Ait rq�A f.).,Tft .................................
Name of Owner ... rrzkf I. ,5),j
.............. ............
Z4 is
M.:q......
V4 11 N U Av,
Nameof Builder. ....................................................................Address ...................................... ........................
Nameof Architect ..................................:..................Address .....................................................................................
Number of Rooms ...6...... ...Foundation ....R.RlItEn.............................................
... .... .... .... ...... .. .... .. ........
Exterior I?C (-L6'P131).6ftP......Roofing '3"C%LA-sPj44' 4-T............................ ..... ...................................................:...........................
Floors .... ........................ .................. .....................'............Interior .......t.....6
A mper j V-1
... ......................................................................
947113
Heating .........................................................................:.......:Plumbing ...:'-�............................................................................
Fireplace ... ..... ........................Approxi.mate Cost ...... ...............................
Definitive Plan Approved by Planning Board -4. 1"-1-1---------19-73 . Area ....... ... .............. ......
Diagram of Lot and Building with Dimensions
Fee . .......
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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 .:,f...........................................................................
.5, L- 0 Cs �G 83
FFEUW, MERWIN
No Permit for ... ...............
...........S44n� JF iY.PW911.31.19...................
Location
.................
...............................
OwnerJ��.Freemn.................................................
Type of Construction ..Fr.am.............................
.................................................................................
Plot ............................. Lot ................................
Permit Granted ...August 16,..... ..........19 84
......................
Date of Inspection .19
Date Completed ......... ............................19
Ll C(oem e- 4 Ce e--S
If
r
e- ow
La 4d e- C5
g2
Ass map and lot number ...........
ossor'4 r ........2P
Sewage, 'Permit number ........................................................
MAMSTAM
House number ........................ ............Q ...................... KABIL
00 2639.
0-Pj;k,j
TOWN� OF BARNSTABLE
BUILDING INSPECTOR
APPLICATIONFOR PERMIT TO .............................................................................................................................
TYPE OF CONSTRUCTION ....9.B........ F...... .................................................................
.......7:kAS...................19... . ... ...
TO THE INSPECTOR OF BUILDINGS: MAasmAs wis
The undersigned hereby applies.for a permit according to t/ following information:
LOT- 31- W1 N, DINC-), GQIC— FC4,4o 4n=z—% B-a f z V4 5-P 1-3 L t--
Location .*...........................I.......................................................t..................)..................................0..........................................
m wi i Ot--5 1 D (—P-ri4cm
ProposedUse .............................................................................................................................................................................
Zoning District ....Kf:...........................................................Fire District ......... ................................
Name of Owner ...
(? )-j
............................................Addres's ............
a.
Nu m-, B"'Lntt 6 IL-
Name of Builder' . OZ
....................................................................Address ...... )A........ ...................
Name of Architect' ......................................................Address ................................................... .........
........................
6 + ZG
r of Rooms La V?4 kxxy ......................
Number ..................................... .......... ...... ... ....Foundation .......... ..................
Exterior ... ......Roofing .........B"m AspmqLT.......... ....... ...........
(Atlpi�T 1011 VII-44L,3 C,
Floors .................................................(................. Interior ........6................
Heatin -4F ...... ........................
............................... . ................�.i....... PlyTbing .................
Fire pl ace .... .. .... ... .... m ' .....
. . . ........ ..... ................................
Definitive Plan Approved by Planning Board --------19 Area ..........................................
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
-x-
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 ....I -
........................................... ..................................
FFMVJAN, DMERWIN --A--46-3-1—
\f
No .'.26.8.47... Permit for tX)rY
. .... . .... ..........................
Single Fam:Lly.Dwelling
.............. ..................... .......... ..............................
Location ...Lot 31, Winding Cove Road
........................
Marston Mills
...............................................................................
Owner .....Me.r.win..Freeman.................................. . ...... ................
Type of Construction .......Frame
...................................
................................................................................
Plot ............................. Lot .................. ............
`Permit Granted ....ALIgLat;..1.6..................-19 84
Date of Inspection ..........19
Date Completed ........
.................... 19
�-o
Assessors map and-lot number ...........................................
"70 OFTMET��
Sewage Permit! number .:...........` �...........Y...........
IJ£Ji( 1V ((�, -rF_ f2f/I ' S
4 House number ... . ....... ......................L'.......................... 900 "6 9
o�0war a�
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...:..CoNI.Mv
........................c T.........4D...........DI.......T'10.....n!...............................................................
TYPE OF CONSTRUCTION y 3..........rZ.4M E
................. ...........................................................................................................
L7- JANvorq 19 5
....... ............
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ....�o.T...31,.... /►J.........................................ci WVtE 1Z�oo,...Yl1�nsroN �I,wf...I.!.!A................
EAOProposed Use ..... ..
Zoning District ............................................Fire District �/JYISRt ..1I....f
Ll- zwlnl rzr��A►J 31 WIN171NG G�qe 90 NrLsraN MILL MA
Nameof Owner ......................................................................Address .................................................................................... ft
'J /� M
Name of Builder l/A((NVrn �f)IL1311-JclIL` ,••Address J54 11)Qlnlsiitt"Ls'r � ARtvIOVIII /��zf� 111Q
Y
Nameof Architect ...N.I. ....................................................Address ....................................................................................
Number of Rooms ,` ....................................................Foundation ..........................ouTZ WN�R
I ' ................—Di...........................
Exterior W Sla INGL!` ............Roofing .........13LACIL �W('115L r.......................................
........................... ...............................
Floors bjw.p ........................................... riVz 63 ! .1S14Q .............................
.......� L �(L It ..... ..
�/JD1AN > LLL<iTLl �f
Heating T CL7t L...........Plumbing ..............
Fireplace 1'tASUN - FR0II.Anfll N L 5mveA ost P)J o G0
Approximate l
I y1T Z
..........................................
Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area /
Diagram of Lot and Building with Dimensions Fee ..................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
3 L--E A►I AC Imo)L:!6 PL&hl ,
y
y
, �
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS � ' A
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. �✓
� N�
Name ..... .... -"�`_ ........... �P . ..i,. ... .. . ...............
r
Construction Supervisor's License .. 666$3
'
FREEMAN, ME0RI0 A~057-043
28881 Build Addition
No ................. Permit for .................................... '
� Single Family Dwelling
. -------------~------------.
i Location .....Loc.3.l........2.6O..Wiodin.g...Co,n�..Road
. ^
Maratoua Mills
| ----^---------------------'.
' Merwin Freeman
Dvvner ----------------------
. .
Frame
Type ofConstruction -------------- '
. _
~
----.----------------------
Plot ............................ Lot —_________..
- -
`
Permit Granted .....JArguaxy'24............. q 86 �
-- �
Dote of Inspection ...................................
Dote Completed ........................................ '
'
'
'
.
-
'
~ .
' ^
° . .
-
` —
_
^-
^
,� �jJe-7 —US/� ®• OGc�p/Fhc.y [R�-r�RiA
Assessors map and lot number ..................... ........! ...........
� NlvS I C ETO
r Sewage Permit number ............. , &,P( 0 O)t)N h
p V/V i �'2f4 t B6BH9TIiDLS,
a House number .. ..a.� '?... '�1- s rasa
o
oo�,i639• �0
f TOWN OF BARNST SYSTEM
/ t �� D IN .
Wff"Tff LE 5
VIRONOENTAL.COD
BUILDING INSPECT0WE AND
70M,
1.0NS iY2��T ADDr"R0 N
APPLICATION FOR PERMIT TO .............................................................................................................................
TYPE OF CONSTRUCTION ........y...1B........rRd7Y1 r✓...................................................... ................................
1Z JANV-6r0f 19..�5.... ............
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according tyo�the followinyg�,,informattiioon:
Location ....La.T...3j.. ..p Jn).AIN C) 6wc fZaAA r lAC?�IQ N...I.J.11.4.4��. .I.!.!!�............. ...................................
�.
Proposed Use ......... ..... ........ .........................
Zoning District 1 W1R5T4�J I�l-
.•..........................................................:......Fire District .................................f..........................................
I'1� wI� .r�A►.1 31 U)N.DINc. Gavc 9,0 Nrts�i~t MILLf MA
Name of Owner ............./........................................................Address ...
...................................................I............................. 1
VARt4Vrti 'PH IiLf3rWc)IL 15G �AI�ISrn '�Arcmovi►r �, (YIA
Nameof Builder ......`............................................................Address ....................................1.................:......�...rz..�...........
Nameof Architect ...N. A....................................................Address ............ ......................................................................
Number of Rooms ..................................................................Foundation ........0 UT2t10 W �5t
....................IJC2 .... .........................
Exierior ......W. -.....St'FING�s�..........................................Roofing ........ LAu� �PµO ........................................
Floorsnn..._.... ......... . ......................................................Intenor ......... ..................5..............s ............................
Heating ../cADWN�- >JG� ..�1tCf)lrL ....:...Plumbing.......................... ...........� .............. R 1A
I�ASojri-'1....'..1TRI tt56R.u'19• f;im- �uv� 41.6 766 as
Fireplace .................... ...........Approximate. Cost ...........I.........:............................................
UR4G1-- f- i5t4c L— �M�MNt�J
7—
Definitive Plan Approved by Planning Board -----------_______------------19_______. Area 2�� . f....�.................
(SUBJECT
iagram of Lot and Building with Dimensions Fee
..................................
TO APPROVAL OF BOARD OF HEALTH
S A i Ac1�►t� PueN ,
• I
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. n
Name ......�/Jv.—•1 ..................................
Construction Supervisor's License �d66
FREEMAN, MERWIN
28881
Build Addition
AoPermit for ....................................
Single Family Dwelling
...............................................................................
Location .........................L o t 31, 2 6.8..W.i.n.din.g...Cove...........Road
.................... .............................
Merwin Freeman
Owner ..................................................................
Frame
Type of Construction ..........................................
................................................................................
Plot ............................ Lot ................................
Permit Granted .....JaAuary..24.............19 86
Date of Inspection ............................ *...119
eo
Date Completed 19
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