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Home My WebLink About0061 WINTERGREEN CIRCLE Cal Gc�i hie ,�-ee h Ci r-, � Town of Barnstable y �OF ISE 71 P o Regulatory Services • Thomas F. Geiler,Director t1, 6.4h ,,. y RARN6TABLt, l B� 9 MAC i639• Building Division �0 G 2C Q e Tom Perry,Building Commissioner SS 200 Main Street, Hyannis,MA 02601 3' www,town.barnstable.ma.us ViS,o W Office: 508-862-4038 Fax: 508-790-623( MIT _68�� FEE: v g PER 12 d SHED REGISTRATION 120.square feet or less � , �. WJn,, 4e0a14eo ry •II Location of shed(add ) Village C Wft R e id Jr, A0 Property owner's name Telephone number �(0 Y- Size of Shed Map/Parcel# . Signature Date Hyannis Main Street Waterfront Historic District? Old Icing's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) ' Sign off hours for Conservation 8:00-9:30 &3:30-.4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAMS. THIS ]CORM. MUST BE ACCOMPANIED BY A PLOT PLANT Q-forms-shedreg REV:042506 v 1 4. a- to I � S� ems,s�•* . '. . I R!HAND yG� BARTER coi Na 24048 4°��''¢�c� ; • �25•o.v T l F 1 ED P nor �.Q� •• Ho sully L oc.AT'l v" c5'rT-MV I Q G 2A� 5- 12-83 ' Staotiut-1 PLA►J REFE2E►•1GE.:�"�� :. ��uTtFY 7t4A7 THE Fo {�►� u1RE� G�P�YSe�►TSF �r O ' N t►-�6 • A,1.JD SET$/1GtC QEQ D IS }t_AiJ �p2.. RL�Tsol� . `jMQ.�- -To wt, oF: tiT-�31.1� A1.1. p wlT�-1 tr D . PLAN . •LoGAT't= t 5uevc�o�' GoI 5 v� LG; o� vN AN TNI-s pLAt-t IS �O T��AOF�SFTS Sllot�w APPt_IGA.FJT' U.N-M(JMEt.lT 5UQV�`{ _ , , �►= 1 n--r LuWeS Jo Town of Barnstable *Permit# S _ Expires 6 months from issue date Regulatory Services Feed Thomas F.Geiler,Director X®PRESS PERMIT Building Division QQ��'' Tom Perry,CBO, Building Commissioner AUG - 9 2005 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us TOWN OF BARNSTABLE Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint /lap/parcel Number DI I 690 ,P- 'roperty Address � -Xt .Residential Value of Work pC C." Minimum fee of$25.00 for work under$6000.00 owner's Name&Address l 60d�m64 a-4 156l/ 1 1 ec J contractor's Name Telephone Number Eiome Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance o o Check one: c ❑ I am a sole proprietor r I am the Homeowner < -'' i I have Worker's Compensation Insurance S > �b d 7- Insurance Company Name Workman's Comp.Policy# -- a; Copy of Insurance Compliance Certificate must be on file. 00 rn Permit Request(check box) ,per Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over. existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) '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. Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations ' 600 Washington Street Jy� Boston,1114 02111 wwx.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly (dame (Business/Organization/Individual): _r:l��oAt O Address: City/State/Zip: �;5� Phone#: Lre you an employer? Check the-appropriate box:. Type of project(required): ❑ 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 ❑ I am a sole proprietor or partner- listed on the attached sheet 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. [] Demolition working for mein any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its required-] officers have exercised their 10.❑ Electrical repairs or.additions ❑ I am a homeowner doing all work right of exemption per MGL II-El Plumbing repairs or additions myself.'[No workers' comp. c. 152, §1(4),and we have no 12.® Roof repairs insurance required.]t employees. [No workers'. camp.insurance required.] 13.❑ Other ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information' 11. :omeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such mtractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'corm,policy information !man employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site 'ormation. ; urance.Company Name: licy#or Self-ins.Lic.#: . Expiration Date: 1 Site Address: City/State/Zip: tach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ilure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a e up to$1,500,.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP VOP K ORDER and a fine tip to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of . restigations of the DIA for insurance coverage verification. o hereby certify under the pains and penalties of perjury that the information ormation provided above is true and correct atur6.4- Date: 0.� one#: O,f xial use only. Do not write in this area,to be completed by city,or town officiak City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2..Building Department 3.City/Town Clerk 4.Electrical In 6.Other spector 5.Plumbing Inspector Contact Person: Phone#• 1er 1 -.1. 9 �4ssessor's map an lot n tub IHE J Sewage Permit number ... v ....:`....` ......................... G!?�! t ,der b F w H. n� BdHd9T/IDLE, i House number ......... ................................................... ��( 2NG/ C 9 _.; Sb a 39. 'FO MR p ' TOWN OF . BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT .TO .......f� ...T/r !•J s ....... ...................................................... TYPE OF CONSTRUCTION ..... ......Vwz=U.Z.1!vk............................................................ �7' .......... .C............... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: iec/ �Sfe ry r ll 55 Location ........./.N................................. ........... ........f�..................�i................................................................................... Proposed Use .......QNZ;.....t-1 f1.� ....... .:.............................. ...Fire District .....�J.�:. :Zoning District .....�.5.�......:.................:............................:..... ......... . ...................................................... Name of Owner lv!�fd..�Q'T�£S�� l.f�n...................Address ..l`. ...�ii.C.r&/.....W ...... iS.............. Name of Builder ........................Address YK....... ! .... ........... ...�.,& Nameof Architect ..................................................................Address .................................................................................... �n Number of Rooms .......6%:......................................................Foundation ...�...../.y.4'<:i:Jw... Exierior ......?...... ......Roofing .....l.. .... .:..:.................................................... n � ' Floors ::/. 14:.....................................................................Interior ... S!.!.": (::�!.:u� fit.//� Heating ... l.zlz�...................................................Plumbing r� Fmeptace ....�1�..1 Gd�l-.. ..............................................:.........Approximate Cost ....�./.. �.....4................ .1 ....... . Definitive Plan Approved by Planning Board ____________—____ �Q kt.. S ........ ------�9-------. Area ...... ........ ' Diagram of Lot and Building with Dimensions Fee �� . .... m.,v..... 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 rez;�_m ....lK .:...� ` . y= ................ Construction Supervisor's Licensel1�..b...l:. I............ THEW, EDWARD A. JR. 1 5075., - S y . . i 2 N0� ... PLr-mit for `` Single Family Dwelling .............. ................................................................ 61 Wintergreen Circle Location ................................................................ Osterville ............................................................................... Owner ...Edward A.....The ............. ....................... ....... Type of Construction )FK.4TnQ............................. .................................................................................. Plot ............................ Lot ................................ Permit Granted ..MAayAW...16..,....................19 ....................19 83 Date of Inspection ,..................................19 Date Completed ........19 -kV -44 tz f 032 ' 4 I ' e AICHARD MA. O1E■ h Ma 24048 SURy �� 12r7•D0 T 1 F 1 ED PLOT • LOCAT l ot.4 _( 1ZV I�-�•� GC ALt t Q S- IOL tts 1 �.�RTIFY THAT TINE I`oU1J�l�{c�l� SNo�utl 1-IEQ�o►.1 GwIPuYS W ITN THE 51vr.LIWC-- AuC> SET13AC-K QEQUIRENAE A; Oiz 1T14C1LRL.�sT�1�. .. 5/VI L" low V olr; A2�JtiT'A►3L.3aTb-v. 3/�/�Z : ; •LoGA'T—= , WITL-It D PLAIL1 C�AT� ��-IZ-�3. . C QEGISI'�ZED t�No SuevEYocZs THtS pc..Al-I IS � OT BAiE'V v►-i AN osTEczvtL-LE o McasS, IIJ'S"frzuMEIJT 'SUQVGy 4 T14E oF1=5F74 5i4oWLM APP�I calms Tj IJOY 6C uieo To �c LOT'_ i s lit r TOWN OF� BARNSTABLE 25075`,°�,'•. it No. r Building Inspector 3AINITM Cash ■ua - -- '— A env '(a X-- MAY M` OCCUPANCY PERMIT Bond ----^ _ Issued to Edward A. They, J.L Address r Wiring Inspector Inspection date Plumbing Inspector A,f Inspection date Gas Inspector Inspection date Engineering Department Inspection date C " 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. I Building Inspector FROM TOWN OF BARNSTABLE Mr, Francis Lahtein - Y BUILDING DEPARTMENT Town Clerk �_g ` M '�36YMAIN STREET HYANNIS, MA 02WJ Phone: 775-1120 SUBJECT: `y FOLD MERE - ` •} DATE - v MESSAGE - - t w�•<F6wd icx s 7 m_M e w ♦ r .,a ♦ •.• v !e a . dy Work has, gar?�gte.4.un4e,K-,Pe3;M t.* .#.2!�Q7.5,.(gclWard ,A: Thew,, Jr, Please 4qke. e4 •.H. Nf,4 IP .. f. $Y¢� SI' NED DATE L. t! REPLY ' SIGNED N87-RMI _ , •RECIPIENT: RETAIN WHITE.COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. Assessor's ma5—d lot ne mber I..�./....'..I...cI .......... ypi THE tOlr i �3-.1 s'1 / Q Sewage "Permit number ......................'......................, Le ................................................. €,e��G House number ........�..1....�. 3� �NG/N� 90�1639. a L�� • b � TOWN OF BARNI STABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... .rf�'4 .�� . .T.�T.�!�/... !�.............................................................. TYPE OF CONSTRUCTION .....9/neO.. ..6 M ......PYK/..11L<Ani ............................................................ ......IZ A TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...1 �Gre2nJ .........OSfe�v�.�l�: /I/IASS .............................................................................. Proposed Use .......QM ..... l? /J/X........ (-5/✓/;'/I/,rC:............................................. ................I......................... ZoningDistrict .... .:. .:.......................................................Fire District .....a1.5 .......:................................................... SP Name of Owner ................................ ....................................Address .....Y..,,..1.......!^..,l.......................('.a.!!,✓4!.:5.............. Name of Builder PA.C. ...4.. ........................Address ` ,p ` :/�.....s K!................. .r1Z Nameof Architect ...................................................................Address .................................................................................... Number of Rooms .......6......................................................Foundation ... Ar ,f:.Op ....... ..... ................. Exterior C /;(? lad,.! .��.2..... ....... ... ......Roofing ..... 5 Floors ... .iV/, .S/ F�_l «..........................................Interior ................ . ............................................................... Heating i,1e%��,!../?ii�...............:........::..:.::....:.:.:....:......Plumbing :.:?2.::�r�yS...........:.....:.....:.......::....:.. :..... �i Fireplace .........,..../..........:...........................................................Approximate Cost ............y�........................ ............................ ,..._ Definitive Plan Approved by Planning Board -------_____—_---------19 . Area .......................................... Diagram of Lot and Building with Dimensions Fee N ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH' t I � L s OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the"above construction. a _ Name C.:��I Gsi r�/c� ... ............................... "'� Construction Supervisor's License v.4..(. ............ THEW, EDWARD A. JR. 25015* 1 Story No .................Permit for ..... ..... ............ Single.. Family Dwelling Location ... 61 Wintergreen. . . . . . ....Circ . le ....... . .. .... .. ....... .... .... .. .. Osterville Owner ..Edward .A....Thew,....Jr'....:...:....... = Type of Construction ..FramQ,,,,,,,,,,,,,,,,,, ................................................................................ r Plot ............................ Lot ................................ ,r Permit. Granted.,...May.. 16, .....19 83 Date of Inspection ....................................19 , Date Completed .......................................19 _ Iv II C� F I .'..,fit+.,.. .. ............ ...... . _ . ........ ... ..... .................................... ........ ._ j F . I l ,*