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HomeMy WebLinkAbout0164 TOWER HILL ROAD y Towe-�OZ e P Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 7/18/19 Brian Florence CBO Town of Barnstable Building Division 200 Main St. BUILDING DEPT, Hyannis,MA 02601 AUG 0"9 2019 RE: Insulation Permit 19-1894 TOWN OF BARNSTABLE Dear Mr.Florence: This affidavit is to certify that all work completed for,164 Tower Hill Road,Osterville has been inspected by a third party Certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey .� Town of Barnstable � Building ��� ; Post This Card So That it is Visible From the Street-Approved Plans Must be Retained.on Job'and this Card Must be KeptBAR I M°S' Posted Until Final Inspection.Has Been.Made. =bs �; Permit ¢ SWhere a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. - Permit No. B-19-1894 Applicant Name: William McCluskey Approvals Date Issued: 06/10/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 12/10/2019 Foundation: Location: 164 TOWER HILL ROAD,OSTERVILLE Map/Lot: 142-017 Zoning District: RC Sheathing: Owner on Record: MIORANDI, RALPH E&DONNA Z Contractor Name:` ,WILLIAM J MCCLUSKEY Framing: 1 Address: 164 TOWER HILL RD Contractor License: CSSL-102776 2 OSTERVILLE, MA 02655 Est. Project Cost: $5,000.00 Chimney: Description: Add R-30 fiberglass, R-19 fiberglass,and R-10 rigid insulation to the 'i Permit Fee: $85.00 attic.Air seal the attic plane with expanding foam.General Insulation: weatherization. ,' Fee Paid:' $85.00 Date: ! 6/10/2019 Final: 6 U Project Review Req: Plumbing/Gas t Rough Plumbing: 4 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: Service: 1.Foundation or Footing A 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) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: _.,teary"''_^:...., .-,..t'r•",•Yci r✓ ;`.-3_.:� y*-.�•w'�ls'i�,.�', r���.�r*.r'.✓ei-^.- rn�t-.,f1�n��:..-:+.:.n.r;r�-''-' -�^-n�i"Y�+.:,,::�tvi-.."y+rsa,,tira,x:r:,,q�.rrai.r:.-ra[", Assessor's office(1 st Floor): Assessor's map and lot number /7� Q/ "_ �. p� "E to Board of Health(3rdfloor):Sewage Permit number Engineering Department 3rd floor: = iasas9rsnt House number, / (p 7 °o,.�1aso•6 ; Definitive Plan:Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.'and 1:00-2:00 P.M.only T WN :_: OF. ' 'BARNSTABLE AT - � 3 /BU LDING INS .ECTO fro APPLICATION FOR PERMIT TO (WI /IE TYPE OF CONSTRUCTION V �(/ 19 91 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location l ll �OG'VC�� Cr P posed Use L wt Zoning District / ` dire District ame of Owner R&A4TD►V ' I II� /VWV�ABd ! Touxxc N Name of Builder Address Name of Architect " Address Number of Rooms Foundation F Exterior Roofing Floors Interior r Heating Plumbing Fireplace Approximate Cost • Area. Diagram of Lot and Building with Dimensions Fee ` l { I 1 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl 'regarding the above co structio . bs C -Name Construction Supervisor s Lice /e MIORANDI, RALPH & DONNA Y A=14 2-017 C91 No 34493 Permit For Rebuild Fireplace & Add Deck Single Family Dwelling Location 164 Tower Hill Road Osterville Owner. Ralph &. Donna Miorandi Type of Construction Frame Plot Lot Permit Granted July - 3 0 , 19 91 Date of Inspection 19 Date Completed 19 G �3 ° o • PERIIIUT CONtPLft'ED-11i1 SN�t�IN /�� �l,�il� 9�y ��yUlEu/ s� �y�vv�n��r'�l D��7� r• i l Town of Barnstable �oFtru r Permit# ti Regulatory Services Lpeees6Inol lisfrontissuednre .. an.uvsrtisrre, —.��, — v Thomas F. Geiler, Director Building Division -PRESS PERMIT Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 OCT 2 7 2010 www.town,barnstable.ma.us Office: 508-862-4038 TOWN OF B .N§T7, 30 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not V17 id williout Red X.-Prer,r Imprint Map/parcel Number O � Property Address ❑ Residential Value of Work "� Minimum fee ofS35,O0 for work under$6000.�00 t Owner's Name & Address_�� —� 9&& M -- MAD Contractor's Narne Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: VI 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(hurricane nailed) (stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed) (not stripping: Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders. U-Value #of doors J— (maximum .35)#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 Ho e I vement Contractors License & Construction Supervisors License is required. e SIGNATURE: QAWPI-ILES011MSIbuiidingpermitforms1EX SS.doc The Con7nroirwealll7 of-Massaelruselis -- De�varlmerrl of ln.rlrrslrial Accrilenls ' �Jr Office of 177vestigafions I.� .. ; .. nglon Street Boston, AL4 02111 it,-wm rnass.go i,1dia Workers' Compensation Insv.r-ance aiffidx,it: Builders/Con.tractors/Electric ans/Pliunbers Applicant Informadon Please PI-int Le 'blv Name(&l^sine&sAOrgauizatiou.'Individual): D Address: W E City/State/Zip: � Done #: Are you an emp.loyer? Check the appropri V Type of project(req red): 1.El am a employer ureth 4. sn a general contractor and I employees(full and/or part-time).:« .have lxir�ed.the sub-contractors 6- ❑New constnrctiom 2.❑ I am a sole proprietor or partner- listed on.the attached sheet. 7. ❑Remodeling These rub-contractors have ship-and have no employees These ❑.Deuro.litiau working :for me in any capacity. emp)gyees and have workers' [No workers' comp.inslu-ance comp_insurance.. 7 9. ❑.Building addition required..'] 5. ❑ We are.a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a.homeowner doing.all work afEicers have exercised thew 11..❑Plumbing repairs or additions inyself [No workers'comp. right of exemption per 1IGL 12.❑Roof repairs insurmce:required.]r c- 152,§1(4), and.we have no employees_[No wordcers' 110 Other comp-insurance required_] 'Any applicant-thatchecls box#1.must also fillout the section below showing iheirwor3ers'comapensaban policy infonmtian. I Homeowners who submit this.a.ffid;wit indicating they are doing&If'w:aris and then hire outside contractors must submit.a vew affidavit indicating such- %Canirac.tors that check this box must attached an sdditional sheet s1wwJagtbe:amne oftbe sub-contractors sad state whether at not those eatitiesbave earployees. Ifthe sub-conicactorsAave employees,.Thzy.must provide their wurkers'comp.policy number. I am nn Nrp1o}err lltnti4 prat r".dirrg7trork rs'corrrpertsrchon irisrrrrrrcce for rrey errcpla�ees. B,eZow is the p.alicy nil.d oh site u foruratio& Insurance Company Name: Policy#or Self-ins_Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of.the ivoa-kers' camperrsation policy declara Lion page(shoiiing the policy number and eipir•ation:da.te). Failure to secure coverage as nquu•ed under Section?jA of NVIGL c. 152 can dead to the imposition of criminal penalties of a fine up to S1,500..00 and/or one-year imprisonment,as well as ciial penalties in the form of a STOP WORK ORDER and a fine of by to$250.00 a day against the violator. Be advised that a copy of this statement may:be forwarded to the Office of Investig<ztions of the DIA for insurance coverage verTication. .I do hffYebv c pt' rartder thepairts and per hies siry that the tr118 ar correct Simature: Dote: Phone M O( cin1 rrs.a onl>'. Do not write err tlrr's area,/o be couipirrted by,crib'or town gcial City or ToSvn: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 1 C'itY/I•own Clerk 4. Electrical Inspector S.Plumbing Inspector 6. Otlie.r Contact Person: Phone#: The Commonwealth of Massachusetts -- Department of Industrial Accidents Office of Investigations �C 600 Washington Street t Boston, MA 02111 sy www.mass.gov/dia Workers' Compensation Insurance Affidavit: Build ers/Contractors/Electrici ans/Plumbers Applicant_ Information Please Print LeL-iblY Name (Business/Organization/Individual): / Address: City/State/Zip: Phone #: Are you an employer?•Check the appropr ate box: Type of project(required): 1.❑ I am a employer with 4• ❑ I am a general contractor and I 6 ❑ New construction eiriployeas(hill and/or past-time).* have hired the sub-contractors.. . _ _. _ listed on the attached sheet. 7. ❑ Remodeling 2_ZI am a sole proprietor.or partner- These sub-contractors have ship and have no employees 8. ❑ Demolition employees and have workers' working for mein any capacity. 9. ❑ Building addition No workers' comp. insurance comp. insurance. 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] 3.El I am a homeowner doing all work officers have exercised their 1 1.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.eRoof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.�ther �a� comp.insurance required.] 'Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc 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: P -7 Policy#or Self-ins.Lic.#: o_,a�� c�J ! Expiration Date: d `� Job Site Address: of /� i�/ '�'1gt �ity/State/Zip: Uo`1 li G� 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 MOL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-yeas 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. 1 do hereby certify der the pains and penalties of perjury that the information provided above is trice and correct. i / D - S i nature: c ,.- ate. Phone#: 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#: . _. 0I►E Town of Barnstable t Regulatory Services vX3.^ptnsSe�'�++ Thomas F. Geiler, Director Ljo .679 A� ra,,,Ar Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.ma.us Office: 518-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: a JOB LOCA"FION: / t, OS/L/ IZZ6 numb e ), street I village "HOMEOWNER" jM '507 3/ 6P6- � name home phone H work phone N CURRENT MA[LNG ADDRESS: , city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to.the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner'cert'fies that he/she understands the Town of Barnstable Building Department minimum inspection pr e res and requitement nd t e/she will com with said procedures and requirements. t S'gn re omeowner Approval of Building Official Note: Three-farhily 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 ofconstruction 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 cannotproceed 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 understnnds the responsibilities of Supervisor. On the last page of this issue is a form currently used by several(owns. You may care t amend and adopt such a form/certification for use in your community. i Q:IWPFILESIFORMSIbuilding permit formslEXPRESS.doc Revised 0721 10 t, ofYHEr . Y i i + &1RNSI'ADLE, � " .. Town of Barnstable plfD MA'S A Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to action my behalf, uz all matters relative to work authorized by this budding permit application for: (Address of Job) Signature of Owner Date Print Name L roperty Owner is applying for permit, please complete the Homeowners License Exemption Form on the rse side. FILESIFORMSIbuilding permit formslEXPRESS.doc TOWN OF BARNSTABLE • BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please-`pri DATE •• =..,;••,r;Ct' CY JOB, LOCATION . Cam--=• � � /L%�J�' :•'pia:;t: :" Number Street -f� ' addre s •: 1 /M 6 0 Section of.•town- HOMEOWNER" I I/'� /� �j J Name I V Home phone Work phone PRESENT 'MAII,ING ADDRESS ity town . •,,.... . State P code The current exemption for "homeowners" was -' dwellings of six units or less and to allowe such d homto include owner-occupied dividual for hire who does not eowners to engage an .in-. acts as supervisor. Possess a license, provided that the owner-- DEFINITION Or HOMEOWNER: Persons) who owns a side, on which there parcel of land on which he/she resides or attached or or structures is intended to be intends to re • a one to six family A person who constructs more than one home in a two_ Y dwelling, y to such use and/or farm structures., considgred 'a homeowner. on a form ac Such homeowner" Year period shall not be Capfable to the Buildingshall submit to the Building for all .Such work performed under the 0buildin1 that he/she shall be resOonsiial The - undersignedermit. (Section 109.1�1j ble .Building .'!homeowner" assumes ,responsibilit g Code and other applicable codes, by-laws,Y for compliance with the Stat . The undersigned " rules and regulations. Barnstable Building"homeowner" certifies that he/she understands the Town of • and that he/she willDcornrtment minimum inspection '• P y with said ocedu -es procedures and requirements HOMEOWNER'S and requirements. SIGNATURE 49 � o APPROVAL OF BUILDING OFFICIAL Note: ! Three famil • to co family 'dwellings 35, 000 cubic feet, or larger,r Ply with State Building Code Sec tio • n 127. 0 g r• will be required ,.Construction Control. HOME OWNER'S EXEMPTION The code. state that: "Any Home Owner 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.Ownei.:if z Home Owner engages a person (s) for hire to do such work, that '•suc shall act as supervisor. " h Home Many Home Owners who use this exemption are unaware that the are assuming' the-'responsibilities of a supervisor (see A y ion for licensing Construction Supervisors, Sectiond2X14� •Rules and Regulations often results in serious problems ) This lack of' awarerieE unlicensed persons. In this case�ourrBoardacannoteproceedn the ome againstrtheres inlicensed person as it would with licensed Supervisor. The Home "Owr astir. as supervisor is ultimately responsible. ne To ensure that the Home Owner is fully aware of his/her responsibili r communities require, as part of the permit application, that the HomeiOwneran 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 tp amend and adopt such a form/certification for use in your community. i I ( ) SEPTIC SY S 0111 f17 S Assessor's office 1st Floor): ; ,.ti���T BE Assessor's map and lot number Y INSTALLED IN COM'PLIANC �Qvai�wE To�� Board of Health(3rd floor): 1 _ e Sewage Permit number %6 y� d ����TITLE e Engineering Department 3rd floor): 6 - ENVIRONMENTAL CODE A I1ASd9TLDLE u g P ( ) l c�, TOWN REGULATIONS � r.a House number � °o oeyq. Definitive Plan Approved by Planning Board 19 �0 MA!d' APPLICATIONPS �E S�Q�f 0D8:30-9:30 A.M.and 1:60-200 P.M.only rr"Baysnst, 1� CE,i_ �K.^l� 1onn �. . N O F B A R N S T A B L E ADD r MI G INSPECT0 pope i�ne.d Date APPLICATION FOR PERMIT TO �fAmlv vk� -ZF L TYPE OF CONSTRUCTION 19 9� TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the followin information: 6 Location T I Proposed Use / Zoning District Fire District' ame of Owner PA�1 I mobvi 41)61419 dC"ress l �Qa6e dw, OJ�Vlm� Name of Builder Address Name of Architect �— Address Number of Rooms Foundation Exterior Roofing Floors /� Interior Heating Plumbing Fireplace Approximate Cost 15 ��o (2n Area / �D Diagram of Lot and Building with Dimensions Fee � g� I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable egarding the above construction, • t� Name Construction Supervisor's Lice e MIORANDI , RALPH & DW NA a r• C C➢ No 34493 Permit For REBUILD FIREPLACE & ADD DECK Single Family Dwealling C Location 164 Tower Hill Road . e Ostervirle + Owner Ralph '& ?Donnia Miorandi • 3 Type of Construction Frame a F is F . j . Plot Lot Permit Granted July . 3 0, ` 119 91 i Date of Inspection 19 Date Completed 19 . r sd -- h e TO�AN- I Of 113 TI St-n file Jy% f.Sain Jua::,iiN-2113hJ MA 02<,O1 Ofoc: 508--194--6227 F= 508?75 33Q•4 P-9phemsscn BmlrmgQami=oncr For office use only Pamir no. Date AFFIDAVIT HOMEDd PRO VE.MEMrCON RACI p,L&W SUPIENEKTM PERMITAPPLICA31ON - MQ,c.142A scquires that tk-recongroano altcsarioas,trnarc�tioq modaziaa q ;. improvcmcat, m-al,danolitiorL or ootzsuuuion of an addrtiaa to may p Qvaa•emupkd . building containing at Ica_st one but not morn than four dudurig units cr to suucancs which axead}aomi to such residence or building be done by rrgivcn:d contactors,Qith certain exc g3dctts,along with other =qd=mc=- TjW of Rork: //��//I�=r'� Est.Cost_. Oa,; _ Address of Work: ✓ /b �l �d G!��.S 0� � D2tcofPclmitApplic2tion: I hcsctt-cenifvthat: Rcgistr26on is not rgwrcd for the follouinF rcmn(s): Work<xcludcd bry 12w Job undo 51400 Ecilding not<mmci-*CCLpiC O%•ncr pulling own permit 2�otict is IrcrcbA si�cn th2(: O c PULLT,G THE I 10V, i�r••., O DSI.?T'ZC V,Tri:LI'REGI=- ED R CO,,,-FP .CTORS FOR APPLTCADLE } 0�''i P..�=O�i'•��i t:O=i; DO 1"OT F:A.%T- ACCESS TO Try Or C-U c�� F1�t7 L�7LF.? 1<2A SICINED UNDER Pr-NALTICS OT PEAL,.)' OR D��c cm,cr's rurc F,E TOWN OF BARNSTABLE. . CERTIFICATE OF OCCUPANCY PARCEL", ID 142 017 GEOBASE ID .; 7818 ADDRESS 164 TOWER HILL ROAD PHONE Osterville ZIP. - LOT BLOCK LOT SIZE DBADEVELOPMENT r . DISTRICT CO PERMIT 11259 DESCRIPTION ADD' 2ND FLOOR PERMIT TYPE, BADDI TITLE BUILDING PERMIT ADtepar k iment of Health, Safety CONTRACTORS: and Environmental Services A9CHITECTS: TbTAL FEES: ego BOND $.00 _!1► CONSTRUCTION COSTS $.00 '753 MISC. ,.NOT CODED ELSEWHERE : BAMSPABM i OWNER MIORANDI , RALPH E ,& D 1639. p 3 A ADDRESS 164 TOWER HILL RD OSTERVILLE MA BUII, N. D , � DACE ISSUED 10/30/1995 EXPIRATION DATE BY L�����.���lG�- DIVISION APPROVALS FOR CERTIFICATE OF.00CUPANCY TO BE SIGNED BY Y EACH DIVISION HEAD UPON COMPLETION ,BUILDING: DATE: COMMENTS: . ' 16 PLUMBING: y. DATE: COMMENTS: ELECTRICAL: DATE: COMMENTS: GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: l OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.: DATE: COMMENTS: OTHER: DATE: COMMENTS: 9 TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIME,,,- .... ...,..._ :�yn•....t�jui�:.n�rr ': -n^.;r:• T. it'P'2:r` Tr -'..rC.'S.J.'. c t..,: TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING""PERMIT 10 95 N4 V 37718 DATE 19 PERMIT NO. APPLICANT Robert J. Glover ADDRESS P-o* Box 703, Maruton3 'tolls - U39 6 (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Remodel & build shod (_) STORY Single kramily dwelling NUMBEDWELLR N OF G UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 164 ZONING AT (LOCATION) t `ndd. 'T1'•l ILL,;, 0 UfiCt'rV1J C DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BYT FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION i TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: ir_!Jc:Y�t: #'95-110 AREA OR 800 !: . C. 40 1 000 PERMIT 1���•lJr7 VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) OWNER .!rtl u ljoima :•iiora- idi ADDRESS Ib4 "h :r.� tu.-A Road, osc,,rvii e BUILD D T� BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER_ THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: T ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL OUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH).3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS o� ��� z./5� GPI--� , ,-2 tib�� • �r.� �,� �� � � . 0,7 qrpr 2 9/i gi 9_r e4 2 �1��� o �I've e 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 2 BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC• PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. utis9 `�a� Assessor's Office Ost floor MaD Lot 6 1 ox - Permit# Conscrvation Office 4th floor 1 6 �1+ Date Issued 5' !vz 19S Board of Health Oid floor A ve Enginecring Dept. Ord floor House# Planning Dept. 1st flooi/School Admin.Bldg.): " 9ARNBiABIl. ^'� MAAB. Dcfinitive Plan Approved by Planning Board 19 w� or �' 639..� (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) 0 TOWN OF BARNSTABLE: I 1 / Building,Permit Application �® Pro'ect Street Address Village CJCY Fire District Owner111n�lLjoAddress l 1 yum u., Tele hone Permit Rc uest: CCA-AF W Al VA-MIS DL O � /V_ e e� A cooOSIZODr GA"'GE. ,���� �ox•a a� �� Zoning District /� //��n� Flood Plain Water Protection Lot Size - � C)A clef' Grandfathered Zoning Board of Anneals Authorization Recorded Current Use �5/ C����0(�1/L� ALL GI/ Pro sed Use Construction Twe WOO RAMF Eaistinz Information Dwellin T Sin le Famil � Two family Multi-family Age of structure Basement bM Historic House Finished /� Old King's Highway Unfinished ,y�-s Number of Baths No.of Bedrooms C Total Room Count(not including baths) First Floor Heat Twe and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached y�-� Barn None Sheds Other Builder Information Namc GW V EIZ Telephone number Address ,0 a��D V 7 ,1*; License# Home Improvement Contractor# Worker's Compensation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ZDVeiV-7?� ZIVNDflL�- �Q© G Pro'ect Cost y� oob Fee SIGNA �-�� DATE 9� BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T 5/10/95 ` FOR OFFICE USE ONLY 142.017 ADDRESS 164 Tower Hill Road VILLAGE Osterville Ralph & Donna Miorandi OWNER DATE OF INSPECTION: FOUNDATION FRAME �. INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: FINAL FINAL BUII DING:._ DATE CLOSED OUT: , ASSOCIATE PLAN NO"•• a 1��(�",���/�r�V� ///���+J Iy� �/� /``�J��]yy��•.yy��� 7� /yy�/1�/�) 1� �1/r►',y�`^■ �`./)\��/�`9(/��(] ...................._�_.._.._......_......_._. ' .Y� ./V�._.iL LN�//�►A�....._i b�eb ............_ ........._..._._Sca►l.�= t'=_4Q' b :... :_.1. ..1� ...._.._........_...__._..... Mo . Aqe iris i 0 F) pt2s�. i lot 22 pecc 100.00, UA.= .30t ArU E.s or 6ec v, n N lot 16 �' 10t 18 E: , to t� tzo. 164 dwELLtirrr �+� W an%untbn Is Used on Assessor's Inlormation and may not be exact. 10 100.00 ,q2oA6 �9ssess�rs ,�� 142, .Lai/7 i t cFt-tFV thAt tots plX0 W seen PWMpeb pop IWYLP-,son-(;l & r- 2v-3,shetL &zt6 Boscorz ptv- the b(Mi.LIM shotM NgeOn does n0C fALL to &S�F,c" fAma►- fl^36 hia►sa►pt, tea► vm W&' +� conxruntrw op. osteizvtLLe a pr.L vetch An eFfeCuv6 bAM op: 8.19 •ss a sr We UxActon or the bcMulnc boes 4!0.3 CODFORM co tx LOCAL zonim WlAL05 to n ��° mecc when CO Wtdh W,spFXrO U iuw ho btrt nstotim, Meag jtg6aXrr& X this pLw) wAs not' n-Aabe poa pecopbux pujiposes oti FMCL56 top &eb ILAICOLOD� 1&L squpctons wwl?tcatctor� op p�p��. UM Na*nstons, uutiabu-)q oppces, pis wi-b%- veVm coa)pAnV m off, 10"Or OUPAttorn Cray 13e accompLtshc-b Z69hx-)ovv -,z hvwve;:4 ma,-0233,9� OOLV By AD aaCrf4P2Ce tn5ZR i MM suP-VeY phone 6a sw-z6 W cm aw,asz3 • I; y ;ti� � 61 � i u of I _�-� i 4 �; .a• ��` �: 's 1- +j�' .�: v�l• i I t Fay a i i/ � i I t� � � r I `. i � � � N G G • ZIV\ \ v\ � i� L COMMONWEALTH DEPARTWENT OF PUBLIC SAFETY t OF ONE ASHBORTON PLACE s� r MASSACHUSETTS 3, � BOSTON,MA 02108 L1 E N S E EXPIRATION DATE O I!S i J U F'��t; V I S J k CAUTION Q 5/`4/1 9 9 h EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB {;O N E 2/:'rs/1 `l?4 i.I?G ti�S ti PRINT IN APPROPRIATE tEP� ° BOX ON LICENSE. �� 7• - K-J is I{T J kit-O V ER j � .�.. - #� c) �Z X. 703 BLASTING OP�RATOIRS '� SS ty Ct?4-46-3173 +�I:�itSTO?4 M11-1-S NA C2 b4 • ; musi, NCj=UDEPH011Q. PHOTO(BLASTING OPR ONLY) FEE• `, ( r I FEB O o +��1. 1 i 0 U C;0 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY r B U I `1 HEIGHT: I STAMPED-OR-SIGNATURE OF THE COMMISSIONER DOB: (J 5 I;�4/19 51 _ 7.1 .�. THIS DOCUMENT MUST BE t T SIGrJf(R,IIG�H F1K6 CARRIEDON THE PERSONOF IGNATURE OF LICENSEE THE HOLDER WHEN EN- 01'HER$-RIGHT THUMB PRINT GAGED INTHI$OCCUPATION. COM IS$O ER HOME IMPROVEMENT CONTRACTOR f 1. :Re9istratip 1111571 s : { ;Type .- . INDIVIDUAL Expiration 12/09/96� !' I .' ROBERT J GLOVER i ROBERT J. GLOVER is a0 BOX 703/185 CURTIS BOG 'RD. AOM(N(STRAMR `,1ARSTONS MILLS MA 02648;. 11/02/94 17:02 V6177277122 DEPT IND ACCID w- Co fill, o/ MaJJaC11.u6etb' aLJa�artme►tE o�.�'•ndu�tria[✓dcccdent9 . 600 W uAiniton St.t James J.Campbell Bolton, /i/aaac"I& 02111 Commissioner Workers' Compensation Insurance Affidavit (aomsedpe�macee) with a principal place of business at: (ccrist"Jzly) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number () I am a sole proprietor and have no one working for me in any capacity. O 1 am a sole proprieto contractor homeowner (circle one) and have hired the contractors listed below who have the ollowing workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number () I am a homeowner performing 2II the work myself. I unders[and that a copy of this stztement will be forvrzrded to the Office of-Investigations of the OIA for coverage verification and that failure to secure ccve-age as req-,,ired under Section 25A of MGL 152 can lead to the Imposition of criminal penalties consisting of a fine of up to S 1,500.00 and/or Cr.- years' impri<onm.,ent as well as civil penalties in the for:of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this ay of 19 V Licensee/Permittee Building Department Licensing Board SeIectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 j TOWN OF BARNSTABLE BUILDING PERMIT # • t i ! I S I . I ?�922 :2g27_ a= 2azz AS.�h'/./GT SiviNrj L E 1, o I f i � �f�7POSL-O. �GiS'iY O F: I � rovTR CTOR•' � I i JQO$ERT �'GcvE,e C'oTU�T/ /YlA I Z1IL Y'26'�r�� Sh/EET ND. . o 17 /14"41-/W ze.-- ce—C.�-7r- 7_2- FRI -LE-Z_ VIA?77011V s 1 C 7 0/R 31 i i I _.__ L-_J N G�Ft�ClE AREA C a-A C _�..Ii ...m.-4..ev. �' F/FCP/POCF W/Ti'i .T7o�/yp.71 �� N elf+%7/f'F.✓H/£.(.0 BO/RD l�s-i:r'/./. . a, IS- -n c � o Cr,/ST/NG GCRCH a II Ij I — F/RS T a�L OOR P/_A/v • ' �Ro/nSEO P/�'/v5 pF C25✓7-/pFjC7-0R.' ' vo 7... ..I.-.....__.._._.....� �...._—i .. ..�..-_.__...i ........ ........-i. ILa i G ._._. .. -.._......._.__.._.._ ... 2.127. � I SAT.Y iJ :, A .o C1 13FOROp I .6-0 �14 s- _ IJ � 19 V� ry N il < 4 3-0 N 11 �• I i IiI i .�,I °� Y tlll o_ .. I� i r '29�21 �� I / fn 9-O KN!-!!VF/•L ­J A/�lS ...........-................. ,- SEC n�/O FL�o o r?_-f'/-✓�N �ECO��O �¢LGOR.Y�/_r9N 1 ' COW Tid'.9C 'Oft ,4osc,4T(.,LavcR .COTU/T, /Hi?