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HomeMy WebLinkAbout0012 SHARON CIRCLE �a �Sh4�o� C'fr�i ,. . .- _ � _ �� •A r S ,. Cl�a�c�ec( c6�r-f,�c�oY �7/�a v BUILDER INFORMATION Name �E�-t5, -INL�.Ls�(,f'I►9Va?✓Si�l�✓ Telephone Number2— Address 6J2 Y9-KLA VZ '!::2 License# 0 Qq- ✓VI h't LL,S ►�'1�9 _ ��- G Home Improvement Contractor# Worker's Compensation# kl-l-CONSTRUCTION DEBRIS RESULTING ROM THIS PROJECT WILL BETAKEN TO �U M rnS i in SIGNATURE DATE 0 - -2- 9-' ' D Z Tj TO.4VN OF BARNS LE B LDING PERMIT APPLICATION Map �a`�v2 Parcel ���f OW OF E3��� IAgL� Permit# �.�. - �� Al �LL Z Health Division , �U�1� ate Iss 1_U ,qV Conservation Division /�� : Fee 0 s,o. Tax Collector `�` t 7�e _w6r—INISTALLED IN COMPLIANCE �' n-P�ICwlm/mm,�UnSE 110 Treasurer %`,,,-i H TITLE 5 Planning Dept. + V'!R' Date Definitive Plan Approved by Planning Board �V Historic-OKH Preservation/Hyannis Project Street Address NC Village 651,e-v i i i (1-g- Owner clm _ w—p h,I Address i 2- (n y- i r)AI Clvc Telephone 50 +an i '' 6-1 6-8e ['mR.Q_ Sag 911 S&SIB Permit Request 123 c4u saa(z n j4"X /L A &E19_-SQA/ �m o�-P�lsriofG � 2 Square feet: Ist floor: exiting/UDq proposed 2nd floor: existing proposed Total new Valuation M-NEREZoning District Flood Plain Groundwater Overlay Construction Type n Lot Size a .S7 A.n,^ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. .s Dwelling Type: Single Family Ud'_ Two Family O Multi-Family(#units) Age of Existing Structure Historic House: O Yes IrNo On Old King's Highway: ❑Yes O<o Basement Type: ❑ Full R'Crawl O Walkout ❑Other Basement Finished Area(sq.ft.) MIA 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: ldGas ❑Oil O Electric ❑Other Central Air: ❑Yes ©lqo- Fireplaces: Existing ✓ New Existing wood/coal stove: ❑Yes a<o Detached garage:O existing ❑new size Pool: O existing O new size L Barn:O existing O new size r Attached garage:O existing ❑new sized Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded O Commercial ❑Yes O No If yes,site plan review# Current Use Proposed Use A6i� BUILDER INFORMATION Name72 is a�p 1"r !'.�-f ,ems o[no.Mill agig. •- jelephone,Number- Address 1 rrA L 1-��- 1�t�1 License# 093 665- { M J A i4-5-mlk. S _, t - - 0364-9 Home Improvement Contractor# Worker's Compensation# W C c/ .300 32(g6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO am Ste, - ke SIGNATURE DATE /� FOR OFFICIAL USE ONLY PERMIT NO. r . - ' DATE ISSUED � i l MAP/PARCEL NO. ADDRESS VILLAGE OWNER ,DATE•OF INSPECTION: FOUNDATION i FRAME INSULATION ~ FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT ASSOCIATION PLAN NO. • - lo. _ •J11.B VOIttAJ7091.1/JlrlLll� 0�../IJL.ItdJCJ.I.'�lrA(:� I .. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 044884 I Birthdatei 02/23/1954 Expires: 02/23/2604 Tr.no:. 17239 Restricted: 00 DENIS M WELLSCHAMBERLAI-N 60 CAPT BAKER RDA MARSTONS MILLS, MA 02648 Administrator 4 Town of Barnstable ti Regulatory Services ` BMWSfABLE. ' Thomas F.Geiler,Director v asnss. g' ' fo;p- Building Division Tom Perry;Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date 2 U Z AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work:__ ('pNS I YliiL l)0k)--V O 'OY9LZ Estimated Cost Address of Work: 7i .S t09 a-&A) C ✓CU.E Owner's Name: T1't U/`V►9� l��'LI�hG�`7 Date of Application: G Z Z I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor.Name Registration No. OR Date Owner's Name Q:forms:homeafdav Ft r --__ The Commonwealth of Massachusetts - Department of Industrial Accidents = elfice oflaresti9atioos . _ 600 Washington Street _ Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit ' name: �Q_a..,i.5 C/✓ji�—S'— vl < � < location S>'� D G I a&, - �S/Fi� �1 �-LL � � � city phone# ❑ 'I am a homeowner performing all work myself am a sole ro netor and have no one worldn in ca achy %/G% %%//%%%%%%//G%%%%%%%%//%%%/���%%%%%%%/�%%/G�%%%��%�O�/%%%%�%/�%%%%/ am an empl er_ ravidin workers' compensation for my employees working on this job.+ :r.::::::::::::::::.:::.:::..•,..,+:.,•:,•.•.•.:•..,•::•.--:.t:.: -'�:C::::�:C::{•i::::::::::::tu'.+}ii:{:isii�ii:•:�:::•,i:!::�::'.::::?:�:•:•:�i:•'tii:�:�:•:ti%:.::v?:'r::::•.::�i::i:•:{J:�:':�i:':•is�rii:::�i::::::;:•,:j;isisi<�::C::ii::Q:;:�i::!ii:}:•.'•:•}}:Ji'•i:•}:i}}>}:-ii}}:{•}: .:::...:.:.:F•:;:v:4::�:?;v:}:•i:i}}:{{<}::i::ti ix;•,j}:;;�}Y.•:iiii}:•%::}}:4i:•}}}i:i}:: :.�{:.}:•}"}:•}}}':::}:•i}i:??ivi+ii:4;Li:-iii:{v:i:�i ii:•}:?;;:`�'::i..:::..:....:.:.:vr•}::?•i:?•}:4:•:;?•}}:•i:•?::•}}:i4::;•}:{�}:::-}ii:i:;?ti6:4:;F.;}}>}:v.4:::}:..........n. .. r;.:........:.....t.•::......:•::.v• .tom .............. . <??<' a:: r. `D...,`.�1 �:?'%isi%� i�iY'%!i.i '':�"'rig:`•'ri%�_'.ii%'fi% �; iii%?% i ;'�%^;•>'L{•}:•}::c:•i:ar.;o-:;• lLtl am a sole proprieto general contractor,or homeowner(circle one) and have hired the contractors listed below who lion o workers co ensa following ••• the fo mP..................p.:.:::.::.:�:.:...........................:................................ ........: ..........................................................................................i.....:........n....v-.�::::.::::n..................,.,i ..........r:^:4:•}}:•:{•}i'F:.v::::•:�::ish}}w:^;;??4:•i:...,Y.y.+4::4}:Yri iiYi:::is{v.::: :i:};;'.•;;::yii:?:�i:isjtiisii::ifiii'Ji:iiii:C��iiiii%ii i'vi'{^}:•y.v::.:.n:::?:n.•:•••:•.;v....:...i}:�>:is{�i:}}::::W:i??;:.;':?.;{•:�r;:i•.}v:;;:;;:t:?{}.-::•.�:.�.v'::;;::::n;rti:...+.4}}::<:i•:iiiTiii{?:>:is�iYS:•;::•}:4}}:{L{:•^}?;?•}:•}.}}:->:;^+:::;:; :<tii•}:h}}i:4:L??;•i:::ii?'+vi'itii";}i�:}}{'{4i:i�:S»iiiS.j}iiii:5:}::'.`v:vi}:^:•i:{{}.}}}:'ri;:ji i}}:iiiiiiii•�':t::�?:tii:;:i:i:•ii}:r.. :..::::...v:.{:O}:}i:•}}::is}:t;i•{:iiiii::}}:.-•}}'r'iii ti:i:}>{'ry} .. ,... :......:.::.....:[•}:w....:.::.:.:..:.. . :};:}•:}i}hL$?�::-tiG v';!?�v.:. ......... ....................... ,.................. ............n:v....,, r........:-::r..... ::•:::::::....r;.,.........v::.v::{:::::::.i::::nv:::::.v:::.............W::v:rv;}-{•}... 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Fafiure to secure coverage as required ender Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the of a STOP WORK ORDVR and a fine of$100.00 a day against me. I understand that s copy of this statement may be forwarded to the Office o vestigations of the DIA for coverage verification - I do hereby-certi nder-thep -andpe perjury-that-the-information-pr-o.sided-abvve-is-ir"-and-correct _.. Signature _ Date Print name I�t I S^ '' ^l�Jf 7Ls - GHJ3iirS C- //ti ' Mone# official use only do not write in this area to be completed by city or town official city or town permit/license# OBufiding Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office _❑HealthDepartment contact person: phone#!; ❑Other OrAsed 9195 PJEa Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. ;. ) ►r _ ,.. , ; ;' ► r 1 �, An employer is defined as an individual, partnership,.association, corporation_or other legal entity„or any two or more of the foregoing engaged in a joint enterprise,-and including the.legal representatives of a deceased employer, or the receiver or trustee of as individual,partnership, association or other legal entity, employing employees. However.the owner.of a . dwelling house having not more than three apartments and who resides therein,-or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer: MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit.to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence'of compliance with the insurance coverage required. Additionally,neitherthe' commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Departmerrt.of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The.affidavit shouldbe 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 require to obtam.a workers compensation pohcy,please ciT: he Depaitmerit atthe number listed below.: VON City or.Towns ' Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of%e 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.pernutThcense number which willbe used as a reference number..The affidavits may.lie're'tiime<Tt�+,. the Department by'mail:or FAX unless other arrangements have been made; :. a. The Office of Investigations would like to thank you in advance for you cooperation and should you have anY9uesttons, . 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 Offlce of Inyestigauens 600 Washington Street f Boston,Ma. 02111 fax#: (617) 727.7749 phone#: (617) 727-4900 ext. 406, 409 or 375 V Town of Barnstable Regulatory Services • aniuvsznar.e, y MASS. g Thomas F.Geiler,Director 1639. �'�rFD MA'1 A,0 Building Division Peter F.DiMatteo, Building Commissioner 200 Main Street, Hyannis,MA 0M01 Office: 508-8624038 .a; Fax: 508-79076230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR d- 4 _I 1, owner of property located at / hereby certify that � 7a�/ i's no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# , issued on 2000_. . 9 f t I understand that the project under construction must cease until a successor licensed a: Construction Supervisor, is submitted on the records of the Building Division. tr rtc 2- PROPERfY OWNEA DATE i i q/forms/newcontr reference R-5 780 CMR rev:122801 t �- . i ';t'iy"wpt 1 � � .t.� fir. 4Airk�'�,�5�� i �, � �a-a:;, 11 - '�.:y,R 3a ,¢ J ` P/,; a /� ,�� , `� `!` `,+ �� f 1 � ' � _� 7 ' Y� 1 r oFtME►� Town of Barnstable Regulatory Services • s BAMMBLE, v MASS. Thomas Thomas F.Geiler,Director �pEE1 39. p Building Division Peter F.DiMatteo, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY Construction Supervisor License. # Q 4'(f-9S q, hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# , issued to (property address) 12, SihMOIJ on ; 200_ The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) K copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation'Insurance Affidavit. Road Bond(if applicable) { '02 LICENSE HOLDER DATE q/forms/newcontrb rev:122801 r RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE J04- square feet x$96/sq. foot=tj(,,;4, - x.0031=.1n"04 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot:w-= x.0031= plus from below(if applicable) ' ACCESSORY STRUCTURE>120 sq.ft1 >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) r , Permit Fee L✓ projcost r LOCATION OF PROPERTY LINES MAY NOT BE ACCURATE STANDARDLEGEND W AP 122 MAP 1.2.2, MAP 122 1 1 O 2 NOTE:not all symbols will appear on a map, ' 139 1 '4 142 I # 111 GOLF COURSE FAIRWAY U # 77 x # 89 �XJ X_#_9-9 X EDGE OF DECIDUOUS TREES _ _ x'`� ElEDGE OF BRUSH r i ORCHARD OR NURSERY v V V v EDGE OF CONIFEROUS TREES l� . MAP 122 r_ _ MARSH AREA MAP 122 EDGE OF WATER 143 101 9 7 = = DIRT ROAD # 10 T DRIVEWAY ��PARKING LOT -----_ PAVED ROAD — - - — DRAINAGE DITCH MAP 122 — — — — PATH/TRAIL 145 PARCEL LINE # 20 wito E--MAP# MAP 122 21 i PARCEL NUMBER 1 O 0 #1860 r HOUSE NUMBER # 89 2 FOOT CONTOUR LINE jS is 10 FOOT CONTOUR LINE Elevation based on NGVD29 4.9 SPOT ELEVATION MAP 122 MAP 122 MAP 122 �� STONE WALL 147 144 99 -X—X— FENCE # 28 # 12 # 79 RETAINING WALL RAIL ROAD TRACK STONE JETTY SWIMMING POOL L PORCH/DECK MAP 122 90 BUILDING/STRUCTURE 149 MAP 122 DOCK/PIER # 36 98 HYDRANT # 63 A VALVE ® MANHOLE 0 POST 0FP FLAG POLE T O W N O F 8 A R N S T A B L, E G E O G R A P H 1 C I N F O R M A T 1 O N S Y S T E M S U N 1 T p SIGN ® STORM DRAIN M PRINTED SCALE:IN FEET *NOTE:This mop is on enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetria(man-made features)were interpreted from 1995 aerial photographs by The James 1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE a TOWER We 0 30 60 National Map Accuracy Standards at this do not represent actual relotionships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards "YYYs��"„ I INCH=60 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from 2001 Town of Barnstable Assessoi s tax maps. d LIGHT POLE 0 ELECLRIC BOX sit � { ✓�ie'"t�a��L�iaa�uaeu�l�a_a� l�.�uccleuretla^' r BOARD OF BUILDING REGULATIONS.( License: CONSTRUCTION SUPERVISOR± Number:'CS 023665 j Birthdate'. 03/23/1940,, ' ? Expires: 03/23/2002' d 'Tr.no: 21067 ; Restricted To: 00 '+ RONALD C FREGEALI 188 TIMBER LN ( .• �i! y} MARSTONS MILLS, MA 02648 Administrator ` 0 Boai-dc1 Building Regulatiops and�taridards x HOME IMBROVEMENT CONTRACTOR r} Registration: 124590 Expiration: .7122/03 ; Jype: DBA ; Olde Mill Remodeling Cor. ' Ronald'Regeau ; 188 Timber Ln � Marstons Mills,MA 02648' Li! I I i I I The Commonwealth of Massachusetts -=.= Department of Industrial Accidents - _ Office allmrestlgatloos 600 Washington Street Boston,Mass. 02111 : Workers' Co m ensadon Insurance Affidavit name �Q.�►f m n Fie a 6e n u location: (2 St T b g Cifv A&A N o K%S -l/l t (i S -AAA S S O 8,6 4 t phone# SD g•4 a$' L 8 ❑ I am a homeowner performing all work mysei£ I am a sole erne and have no one worlds in any acity ''i//❑/// % /O / /�i10/�/�✓ %//a �il�iii" D/////ODD//////%/�%iy0///%%%O/OOiOT%O/%//,. I am an employer workers' Job- for ::}:::::�l t #i2jtN �v an conin -� :::.:.. on X- .., _,.�...E� g atv tr. 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Tsai: j ':? :si>: :`�::::`::i:>:`::i:::;:::::5%:�::i� FaH�e to secure coverage as required under Section 2SA o[MGL 152 can lead to the imposition of criminal penatfles of a Hue up to 53�00.00 and/or one yam,Imprisomnent as weEi as dvfi penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I mtderstsnd Hwt s copy of this statement may be forwarded to the Mee of Investigations of the DU for coverage verification. 1 do hereby certi the pains pendder of perjury that the informadom provided above is&w and coned. �,t v Date 'VOV Sigtfature Print name tl _Phone# official use only do not write in this area to be completed by city or taws official peeadtnicaue# ❑gtc=dn Department city or town• ❑I,(cen+ing Board ❑Selectmen's Office ❑check if Immediate response is required ❑Hesith Department contact person• �phone#; ([e,vaa 9195 PJN r Information and Instructions , } Massachusetts General Laws chapter 152 section 25 requires all employers to provide worckerof an many cthoe�c er employees. As quoted from the "law", an employee is defined as every person m the serve of hire. express or implied. oral or written. An employ the er is defined as an individual, partnership, association, corporation or other legal entity, or any two or more er the foregoing engaged in a joint enterprise. and including the legal representatives of a deceased employer, or trustee of as individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds c building appurtenant thereto shall not because of such employment be deemed to,be an employer. MGL chapter 152 section 25 also states that every,state or local licensing`agency shall withhold the issuance nt or h of a license or permit to operate a business or to construct buildings in the commonwealth for'any applicant not produced4cceptable evidence of compliance with the insurance coverage r theiperdformaati na publiche until commonwealth nor any of its political'subdivisions shall enter into any have been presented to the contracting acceptable evidence of compliance with the insurance requirements ofthis.chapter authority. Applicants ' compensation affidavit completely,by checking the box that applies to your situation and Please fill in .he workers comp + , supplying company names,add sand with a certificate of insurance as all affidavits maybe res mimbers along a Also be sure to sign and submitted to the Department of Industrial Accidents for confirmation of insurance coverage. or town that the application for the permit or license is date the affidavit. The affidavit should be returned to the city nts. Should you have any questions regarding the"law"or if yc being requested,not the Department of Industrial Acci lease Department the member listed below. are required to obtain a workers' compensation policy,p City or Towns rinsed legibly. The Department has provided a space at the bottom off Please be sure that the affidavit is complete and p ons has to con you regarding the applicant. Please affidavit for you to fill out in the event the Office of Investigatid e �tact_her. The affidavits may be reoarned to be sure to fill in the permit/license member which will be have been made. the Department by mail or FAX unless other arrang The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions- please do not hesitate to give us a call- The Commonwealth Of Massachusetts Department of Industrial Accidents amce of Im►esduadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 °FINE T. ti The Town of Barnstable • eABxsTABLL � g Regulatory Services 059.. 1p�Mpl Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. J�.S Date ' 0 2/ AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: /4x 16' .1 Sea 90 u 54 N R°°n - AD 4 trio U Estimated Cost Address of Work: 0. 3 h il FON C�Tyc 1�G 1)5 T-e Ut « �"S S Owner's Name: Th o m t4 S u►-�h�' Date of Application: IQ 0 U I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR c. ACCESS TO THE AR BITRATION PROGRAM OR GUARANTY FUND UNDER MGL c RBT .142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: N Date Contr r Name Registration No. OR Date Owner's Name q:forms:Affidav:re v-070601 p 'C.P.. W.. (� Assessor's ma and lot,number ....... .. ... ....,.. ,. r u' •• O�Ec.• /t�lr- /2�1,/B�. SINE TOE♦ Sewage Permit number �O easa 39 • 9 • House number .................................... A°�LB, ....................................... s6 f G �t0VAR TOWN OF BARNSTABLE BUILDING INSPECTOR a -f-ri APPLICATION FOR PERMIT TO .... .................................................. ................:............................... TYPE OF CONSTRUCTION ..........19��� r , TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:' Location ... .............................................. ........ ...........e�:... ProposedUse ... f! �7 �"". � ... ........ �z-.GG.« ....... .............................................................. Zoning. District ................................................................. ..Fire District CA90�.. ........C....~4..1.:........... r Name of Owen ERVj� c. C Nr/G�T7' .R454.6nlMdt-Zss .......f.g..7 1A-.......�>.,R...........), ,4+(/�V/ ..M� Nameof Builder* 'S/ ......... ....... .Address .....................f..'........................................................... Name of Architect .Address ~-- Foundation .1 :�J a r eC�D�1/C Number of Rooms ............................................................. ....................................................... L Exterior �-t`..�...a 2:.......�N J 1'✓G....�.........................Roofing .... ` . ! ..."....................................................... �y a �,� O. �,�, �--�� ��................1................. Floors ..............�...`....... ................................r........Interior .................................................. C..... 10";A S r/C,Heating .............................................................:....................Plumbing . :., .................................�.�.. Z....................... Fireplace ...................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area .......�...... ....W............ Diagram of Lot and Building with Dimensions Fee .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i i J 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. J� Name .. : . . . .............................. .......... OSTERVILLE HEIGHTS REALTY TRUST A=122-144 121 ' 1 �{ Y No ................. Permit for ,One. Story Single Family Dwelling ............................................................................... Location Lot #56 12 Sharon Circle - Ostervil,le ' ................ .................... :;� Owner Osterville Heights Realty `i ust ....................................................... Type of Construction Frame ............................. ..................................:............................................. Plot ............................ Lot ................................ Permit Granted February 3, 19 83 Date of Inspection ....................................19 Date Completed ......................................19 TOWN OF BARNSTABLE Permit No. ___24781 i ImsuA Building Inspector cash -- .... 1 OCCUPANCY PERMIT Bond *49 w No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector," Issued to Osterville Heights Realty Tr Address "lot #56 12//Sharon Circle, !!Osst/teryille Wiring Inspector Inspection date Plumbing inspector � � � Inspection date Cxas=Inspector— .d�! Inspection Engineering Department,�. �''G/ 1 Inspection date �/`a 6/83 THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ................... ........} , 19 ..........._, .../Building...Inspector _�_ • . I •I , C�a 0 Z? P ni ti f� P t 0 R \J f; S , �� OO LOT 5� z-j , 5 Z- g f A°� �o V1 p r c bT .e I I ti :r N 0 �� t � 4 rou,u pd.T'ro�u C��.rI FlGA►T IoIV ;. LOT- .510 --')HAZ0iJ CIC.C.LE 0Af-W5TAMLE , MA55, SLAI_E I"= 30' DATE' IZI2$/8Z E On the ba:;is of my knowledge, informLttion and. t belief, T certify to Thg Tok,n o4 /-we'701- & W M , M. �,c/A C k! IG r- � A 54oL. IAJ4 . that as a result of a survey made on the ground aox So ) No- FAc.Ntour4 , �1A55, on iz 2 Bz , I find that: The' 'structu.re(s) are located,Tow.) the site as shown. /rn ae," lzane-e wilh ,46 .) .Zmn.n�r _Lau�3 ��"'VZH or Mks The title lines and lines of occupation of the �o� WILLIAM site are as shoini hereon. wAawlcK The site i:; situated in Flood gone oa- o.z1 c" No. 19771 ti Community :Panel No.z-,57"/ ao15A Date: 3 V c,sTEa``�1o�" Date: z //11 URVE Uilliam T�:. Warwick,1tLS I 6r Assessor's map and lot number ....[O 97, .1 {] X:.... C/' vide, Sewage Permit number gQ2 `7 Z HAHdSTAHLE i House number ............................... I................ r ' rasa pN10.................. �p t6}9. \0� r.', SYSTEM IVIIU- T O N OF B AIR N S j AA 4 �jCWPLIANCC-t. 1ITLE 5 E-tk RONfltiENTAL CODE AND BUILDING IRSPECTOR"^` RIw ULATlO S ' a sT,��ccT + APPLICATION FOR PERMIT TO ....v..�......................................./.l!...��...�.............................................:.. TT � TYPE OF CONSTRUCTION ...... .U......l..V. V�d.!� I ..................................................................... _ i / ............. ..l13..........19 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a .permit according to the following information: Location ... .t�. # C 2/�f�0 1� � L s T �.Yi�G..r.:.... �4..................................... ...... ..... ................................. .... . ... ..... ProposedUse ...` f! �}.L' ..... ........ .�zGG !Y�.......................... ....1-1-................................. Zoning District ........................................................................Fire District Name of OAA QRVlLz, f� �!�/ 1�.. i¢.ZTY d� .......18..17/3G`iA- ......... ............................. .... .. .......... ................ Name of Builder" . 'S'f 1 .....:. C.:! ........Address ..................... .`......................................(................... ....Address `— Name of Architect ...���.��............................................. .................................................................................... /d Number of Rooms Foundation lA r� C ................................................................. ............................................................................ Exierior e�D 2 ��1.17v .Roofing `�� ..... .... . ... .. ...... . . ... . ...... ................ . .... .. .. . ....... ...................... ............................ Floors �G�.�. ... .....................!�:�� .....r.......Interior ...S' Gc'C �-� ...................................................................'PlumBing^:: :.........: •S'.T�.`y .......:..: II Fireplace .................... .... ........................................A Approximate Cost ............................... ,..��/J p pp ....3 6k, ..`'.................. ............. Definitive Plan Approved'by Planning Board ---------------—-----------19_______. Area .4 1 7�r......... Diagram of Lot and Building with Dimensions Fee .............................. .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH ,T" 1 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. lC— ��` Name ..... .................... i OSTERVILLE HEIGHTS REALTY TRUST <: 24781 One Story No ................. Permit for .................................... ti'. Single Family Dwelling ............................................................................... Location ...dot„ #56 12 Sharon Circle ..................................... Osterville .............................................................................. Osterville Hei hts Realty Trust- Owner .................. .....A ...............9..................... Type of Construction Frame ............................................................................... Plot ............................ Lot ................................ Permit Granted ....February 3, :19 83 Date of Inspection ....................................19 Date Corn leted ........... .: �'.�".93.19 { o b t o. T fi 1p j� � A _ i t n fl� O• c f X _ '`• !. p tA s R W p Z t• Y N JK Cxw L S !w U N q o c cr s v LA f-n r i 1a1 q � s: ;! rn -Q N LA o , I �s fa ice ' � I I i i t, G' IT F `9 WR 16 N i I �•, r ' S . 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