HomeMy WebLinkAbout0123 WINTERGREEN CIRCLE 0
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Town of Barnstable
.��..�.���... �. .�,.0.. Building �
sABM
Post This Card So That it is Visible From the Street-Approved Plans`Must be.Retain.ed on,Job and this Card Must be Kept.BAMS ; '
s' " Posted,Until Final Inspection Has Been Made. Permit Where a Certificate"of Occupancy is Required,such Building`shall Not be Occupied until a Final Inspection has,been made. 1 Jl 1llJl
Permit No. B-19-1178 Applicant Name: RetroFit Insulation Approvals
Date Issued: 04/11/2019 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 10/11/2019 Foundation:
Location: 123 WINTERGREEN CIRCLE,OSTERVILLE _Map/Lot: 119-076 Zoning District: RC Sheathing:
Owner on Record: PETRUCCI, BRIAN&MARY KATE Contractor Name: RETROFIT INSULATION INC. Framing: 1
Address: 123 WINTERGREEN CIRCLE Contractor License: 160461 2
OSTERVILLE, MA 02655 Est. Project Cost: $5,993.00 Chimney:
Description: 12" layer cellulose open attic, Damming,6" layer Cellulose floored Permit Fee: $85.00
attic,propa vents,install insulated hose&roof vent to bath fan, Insulation:
Fee Paid: $85.00
install 4 x 16 soffit vents, Install R-19 fiberglass to kneewall slope, Final:
Air Sealing, Install 2" rigid board to common wall,install 10 ml poly _ - ' Date: 4/11/2019
over open ground in crawlspace,install 2" rigid board to perimeter "
walls within crawlspace. Plumbing/Gas
Rough Plumbing:
Project Review Req: 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
2.Sheathing Inspection T Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
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:
"Per acting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A).
�. Fire Department
Building plans are to be available on site
? c�
Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
YOU WISH TO OPEN A BUSINESS?
t .r
For Your Information: Business certificates (cost$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 permission 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 Business Certificate that is
required by law.
,-. DATE: 3 JJI�i-f t Fill in please: -
�IU e uLC.
' ����a�s�•� . - � APPLICANT'S YOUR NAME/S: �
' � B SINES
S YOUR HOME ADDRESS: I(-3 � e� - r-ccn C'r
f:
TELEPHONE # Home Telephone Number 'DX-/ S ?�
av �S`¢ilCu�
NAME OF:NEW.BUSINESS TYPE OF BUSINESS: Mtn c Crr�i /)r�Iq
IS THIS:A HOME'.OCCUPATION?* YES NO.`
ADDRESS OF BUSINESS O_15 �i�� r` MAP/PARCEL NUMBER I �'107� [Assessing]
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.
1. BUILDING COM*he
OF CE
This individu f n p it re ui ements that pertain to this type of business.
�VIUST COMPLY WITH HOME OCCUPATION
ignat ** - RULES AND REGULATIONS. FAILURE TO
�OMMEN Q
l I
2. BOARD O EALTH
This individual h e n info me t e p r 't re u' ements that pertain to this type of business.
= Authorized S' ture** IVIUST ti.UMPLY WITO,ALL
COMMENTS: - -
3. CONSUMER AFFAIRS(LICF,I�JSING UT ORITY)
This individual has beeei forrr�o licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
I
Town of Barnstable
Regulatory Services
Richard V.Scali,Interim Director
iHARMMURAO Building Division
MASS
i639. ��� Tom Perry,Building Commissioner
Fp 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax 508-790-6230
Approved:
Fee:
Permit#:
HOME OCCUPATION REGISTRATION
Date: /�31�L4
Name: Phone
Address:_ a'� ��^� ercf�^cer� �° �— f
�/oo t� Village: �S�!`vi`�1 C-
Name of Business: C. De prope wee
Type of Business: L170&Cq12c Map/Lot:— 0 10,
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 vplumes,Q
and no increase in air or groundwater pollution. _
After registration with the Building Inspector,a customary home occupation shall be permitted as of subject to �
following conditions:
O
a The activity is carried on by the permanent resident of a single family residential dwelling yunit,located within
that dwelling unit _.:_�+ W
a Such use occupies no more than 400 square feet of space.
a There are no external alterations to the dwelling which are not customarycy s
in residential buildings,and there is
no outside evidence of such use. �
a No traffic will be generated in excess of normal residential volumes. W r"
00
a 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.
a There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of
normal household quantities.
a 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.
a There is no exterior storage or display of materials or equipment
a 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.
a No sign shall be displayed indicating the Customary Home Occupation.
a If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
a No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit
I,the undersigned have read and agree with the above restrictions for my home occupation I am registering.
Applicant 5
Date: A 3
Homeoc.doc Rev.103113
Town of Barnstable
Regulatory Services
• � Thomas F.Geiler,Director
BnRNSMBLFE •
9 >�. . $ Building Division
039. �0
0 Mpg°i Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601 ry
Office: 508-862-4038 Fax: 508-790-6230
PERMIT#
✓ � FEE: $ � � • >
SHED REGISTRATION
1 120 square feet or less
Location of shed(address) Village.
L �L
L i1rn 17 37OU
Property owner's name elephone number
/o X /a Map/Parcel# 4}
Size of Shed
Signature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction? d
Conservation Commission(signaturere a qired)
PLEASE NOTE: IF YOU ARE BE JURISDICTION
IOND APPLICATION ATION OF THEF ABOVE
COMMISSIONS,THERE MAY
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
I Q-forms-shedreg
R.EV:121901
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Loc 6
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lot
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File No..
Wn X=- C7'C Wr`Gli4.� t_'S C -WX--5e tLbp't� '7. F eNo
Fit j�2393
LASE NOTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for precise
ermination of the building location and encroachments, if any exist; either way across property lines. This plan musa t tot be
d for recording purposes. or. for use in preparing deed descriptions and must not be used 'for variance. or building plan
poses..This plan must not be: used to locate property lines..Verification of building locations, property line dimension's; fences
lot cronfigurstion can-only be accomplished by an accurate instrument survey which may reflect different information than what
shown hereon. Please note that this is 'NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY".
COLONIAL LAND SURVEYING COMPANY_ INC.
f t
1
TOWN.OF BARNSTABLE BUILDING PERMIT APPLICATION
Map E Parcel 0:7 & - Permit#Health Division �y' 27 2va7i-�� Date Issued 2
Conservation Division 2� �0 Fee �i�Q
Tax Collector .�/a°7
r _ �C/� ads �i�
Treasur ; - d IC SYSTEM MUST BE
Planning>'Dept. _ INBTALLED IN
COM 5 1ANCE
WITH-�
Date Definitive Plan Approved by Planning Board _ ENVIRONMENTAL CODE AND
f'' i>. I TOWN REGULATIONS
Historic-OKH Preservation/Hyannis
Project Street Address C r-c_, w
Village (-)S,J V (. O c
Owner cc l `I- a tc_4 S .M,1 t( 1,-k Address ,
Telephone
Permit Request � SJ�`c1L� �LC�&tAZl61-0 l ') I,,,J-t7ic k (? 1J yu iAX1 CLeyq ,
Square feet: 1st floor: existing proposed q� 2nd floor: existing ' proposed y Total new
Valuation ��� 000 Zoning District Flood Plain Groundwater Overlay
Construction Type (.CJr ✓tt .
Lot Size a'`100 Grandfatliered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure h" `>r5 Historic House: ❑Yes V No On Old King's Highway: ❑Yes d&No
Basement Type: kFull ❑Crawl ' ❑Walkout ❑Other
Basement Finished Area(sq.ft.) - D Basement Unfinished Area(sq.ft) Ql
Number of Baths: Full: existing ZL new Half: existing new C7
Number of Bedrooms: existing 3 new b
Total Room Count(not including baths): existing new First Floor Room Count 3
Heat Type and Fuel: ❑Gas ❑Oil Electric ❑Other
Central Air: ❑Yes 4 No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes A�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
BUILDER INFORMATION
Name �� L�SQ.i � (� �Y/Ve —Telephone Number QQ F-q AJ-3--L101
Address `7 License# 0 0
�tiV`ST6,V 5 IVL c,0 S Home Improvement Contractor# 10 a-(0 1
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L?_-A U-W__Ci�&0 0 t%�J.Q&2ga,
SIGNATUR DATE
a.
FOR OFFICIAL USE ONLY
MIT NO.
DATE ISSUED ;.
r
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
.
DATE OF INSPECTI0�1c
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING rw
i
DATE CLOSED OUT
ASSOCIATION PLAN NO.
y
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fit �
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Winokur, 1; nokwr, Serke y * ;Rosenberc 1Cm6on Morhja� Co.
ow.dyvUlhg shown. hereon, Comes liotrfau 16 a,speed TEA&f LOO&
ham cna wi6 am oWectrve date of 7-2-nariA qtw 1occ hbiv oP. s �
Ow twitulg-•�d0es•-'conform(,to tu tocax coning 6y taws i t,e�ect�
oFw smx im went, msmctto horisonfrd duttetut'Z__f Scale: i" = 60'
or to OMMP -From tNbtatLDn aD orcem,,Ct'a Date: 4 r 0-�'z
Lultedmf
�r Mau- C-awmL laws �4o A-Sect'wt�v 7. File No.
C�u�pttr ���
OTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise
tion of the building location and encroachments, if any exist, either way across property lines. This plan must not be
recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan
This plan must not be used to locate property lines. Verification of building locations, property line dimensions, fences
figuration can only be accomplished by an accurate instrument survey which may reflect different information than what
hereon. Please note that this is 'NOT A BOUNDARY SURVEY" and is 'FOR MORTGAGE PURPOSES ONLY'.
LONIAL LAND SURVEYING COMPANY, INC69 Hanover Street Hanover, Mass. 02339 Phone: 617-826-7186 • Fax: 617-826-4823
call ir"u
=- Tlie commonweauix
Department of Industrial Accidents
600 Washington Street
• _ it Boston,.Mass 02111.
Workers' Compensation Insurance Affidavit
name J ) (,-1Q y'SJCt— l (1 /l� I ✓►1 C7�`�l l `�C
location
ctty M�t,ywTc�V� .�-v y S -
phone#
I am a homeowner performing all work myself
am a sole proprietor and have no one worldng in anvEJ
I am an employer providing workers' for my employees working on this job.
comvnnv name:
address:
.. one. .:.:.;::- . ... . ..
city:
in su ra n cc co. // ///%////
- ❑ I am a sole proprietor,general contractor, or homeowner-(circle one)and have hired the contractors listed below wh;
have -
the folloWing workers' compensation polices: '
comvanv name: '•"' '
..........
Mon
addr es S
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companyn a m e ::•.:-..}:;.}•.}}••:::...;:•:••::•.: •::. :::.... •::•::.•::::• :::::::::::•.:::•::::•::....:...:.........;::::•::•::.t..:-..
address:
one .. ...... ...:.
city- :. ;.:.:.:::::.::•:.:::.:::::::.::::..
... .. ...... ........... •�: :":�::•:: ..:;is"':.:}:
4;Li:J:<riT:•iii ::}:,i:!`�:i; :;y}:>:;iij:i:iiji:!^iii::::::i iri::•:::}.....?vi}ii:::.
,......... •• a otuftninsi penalties of tine np to 51,500.00 and/o
Failure to secure coverage as required under Section ISA of MGL 1S2 tan lead to the imposition P
one rears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against me. I understand that n
copy of this statement may be forwarded to the OlIIce of Invesfigstiom oftheflIA for coverage verification-
1 do heresy if} under the pains d p alties of pedurq. the inforntation prm'ided above is truce tvid a eat
Date 7
Sigmture `
Print narne
c> o racial use oniy do not write in this area to be completed by city or town otIIcial
permitNcetue# ❑ButldIng Department
x city or town: ❑Licensing Board
❑Seiccnneds O(Sce
FI check if immediate response is required ❑Health Deparment
contact person:
phone#: ❑Other
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employe�onp�o�service workers'
of another under any�+-=---=
employees. As quoted from the "law",an employee is defined as every p
of hire, express or implied, oral or wriam
An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more c:
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rec=ve:
trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a
dwelling.house having not more than three apartments and who resides therein, or the occupant of the dwelling house of
another who employs persons to do maintenance, construction or repair work on such dwelling house or on the group:
building appurtenant thereto shall not because of such employment be deemed to bean employer,_
MGL chapter 152 section 25 also states that every state or local licensing agency withhold the issuance or rene-
in the commonwealth for any applicnn:was b.
of a license or permit to operate a business or to construct buildings ' neither
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,
commonwealth nor any of its political subdivisions,shall.eaDer into any rc ntract fo the Performance of public work ur-'
acceptable evidence of compliance with the insurance
of this chapter have been presented to the coatrac'
authority.
p
r; Applicants
a -
y' the box that applies to your situation ono
a Please fill in the workers' compensation affidavit completely,by checlang M_
and home along with a certifitcate.of insurance as all affidavits may be
supplying company names, address p.-_ numbers _ ' --- --
ri Accidents for coon of insurance coverage.-Also be sure to siza-m-'d
.` submitted to the Department of Industrial - 's
date the affidavit. The affidavit should be retnmed to the crt9 or town that the application for the pemint or Iic...0
the "law" or �'c
not the Departrneat of Industrial Accid�• Should you any��0����
being d' oli lease call the Department at the number listed below.
are required to obtain a workers' compensation p cY�P
ice,• ��/� ""
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
affidavit for you to fill out in the event the Office of has to contact you regarding the applicant. Please
be sure to fill in the peauitllicense mumber which will be used as a reference number. The affidavits maybe recur=to
the Department by mail or FAX unless other anangemeats have been made.
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.
1717
The Department's address,telephone and fax number. -
The Commonwealth Of Massachusetts
Department of Industrial Accidents
0111ce of Investigations
600 Washington street _
Boston;Ma. 02111
fax#: (617) 727-7749
phone#: (617) 7274900 eat. 406, 409 or 375
r
7=CURApp=w1s1
' TabladSl.2b(�aad) _
Prtsc�pd►a PacJca;e!or daa and Tw04F=dY Rn*k=W Boitdtap Hand with FO2d Foeb
MAXIMUM alIIVOHUM
a u Hour 8219mom Slab g
1
3"1 to awo Heads;Desren D"V
Q 1 . 0.40 13 19 to . 6 Now !
R trA OM 30 19 19 All 6 No�mni
S IrA 050 39 13 19 10 . 6 U AFUE
T 13% 636 38 13 2S WA WA Noma!
U 13'lS OA6 3a 19 19 10 6 Noma!
'r i»i 1RRa �e 43 WA ;��: !S AF11E I
a IVA W2 30 19 19 to . 6 is AFUE
i x IV/. an 3= 13 2S WA WA xoram!
Y IVA 0.42 33 19, 25 WA wA Nomai
Z IV/. 0.42 3t 13 19 10 6 40AFUE
AAlE'/. 030 30 19 19 10 . 6 90 AFiJE
1. ADDRESS OF PROPERTY: I �' vJ �✓' t�,P�V.C�v`c-�
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: z 1-3c)
3. SQUARE FOOTAGE OF ALL GLAZING: , (O
4. %GLAZING AREA(#3 DIVIDED BY#2): i
S. SELECT PACKAGE(Q—AA-see chart above):
NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
YES: NO:
q-forms-f980303a
780 CMR Appendix J
Footnotes to Table J51.1b:
Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, -and
basement windows if located in walls that enclose conditioned space,but excluding opaque doors) to the gross wall
area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement.
For example,3 fl of decorative glass�y m�be tested and documentedcluded fim a building by the manufacturer glazing acc rdance with
=After January 1, 1999,glazing
the National Fenestration Rating Council (*RC) test procedure, or taken from Table J1.5.3a. U-values are for
whole units: center-of-glass U-values cannot be used.
' The ceiling R values do not assume a raised or oversized truss construction. If the insulation achieves the full
insulation thickness-over the exterior walls without compression, R-30 insulation may be substituted for R-3 8
insulation and R 38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity
insulation plus insulating sheathing (if used . For ventilated ceilings, insulating sheathing must be placed between
the conditioned space nuts the vand"lated pa watt of the:oaf.
'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include
exterior siding,structural sheathing,and interior drywall.For example,an R 19 requirement could be met ErftiER
by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirem= apply to
wood-frame or mass.(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction.
'The floor requirements apply to Hoots over unconditioned spaces(such as unconditioned crawlspaces,basements,
or garages).Floors over outside air must me-a the ceiling requirements- -
'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must
meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned
basements must be included with the other glazing. Basement doors must meet the door U-value requirement
described in Note b.
'The R-value requirements•are for unheated slabs.Add an additional R-2 for heated slabs.
' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more
than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest
` efficiency must meet or exceed the efficiency required by the selected package.
'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a
NOTES:
a) Glazing areas and U-values are maximum.acceptable levels. Insulation R-values are minimum acceptable levels.
R-value requirements are for insulation only and do not include structural components.
b)Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested
and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value
in Table JI.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the
glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.
One door may be excluded from this requirement(Le.,may have a U-value greater than 0.35).
c) If a ceiling, wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with
different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to
the R-value requirement for that component. Glazing or door components comply if the area-weighted average U-
value of all windows or doors is less than or equal to the U-value requirement(035 for doors).
43
of rr+E rq,�,
_. „APNS."M : The Town of Barnstable
9g,A "9: � Regulatory Services
Thomas F. Geiler, Director
Building Division
Ralph Crossen, Building Commissioner
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fix! 508-790-6230
Permit no.
Date
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 m lli
ore than four, or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. f � II
Type of Work: , t�✓lJ Estimated Cost
Address of Work: C,t, W
Owner's Name: ,t
Date of Application:���[ jJ�
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 ag=t of the owner:
Date. Contractor Name Registration No.
OR
Date Owner's Name
q:forms:Affiday.
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- - ✓1ce �omvr.�a.taeal!/•o�./�aooacleuaelta
BOARD OF BUILDING REGULATIONS
cense:.CONSTRUCTION SUPERVISOR
Number-CS 009693
P. .
Eiplres:.08l2Z2001 Tr.no: 7680 5
- - - `=Restricted•To: 00
BRUCE E ROSEWELL _ l
72 WATERS EDGE
MARSTONS MILLS, MA.02648 Administrator �E
✓fie
lugBoard of Building Regulations and Standards4
HOME IMPROVEMENT CONTRACTOR
Registration: 102615
Expiration: 7/2/02
Type: PRIVATE CORPORATION
JAMES A.COYNE,INC.
Bruce Rosewell
164 Mid Tech Dr _
W Yarmouth,MA 02673
Administrator s
i
Engineering Dept. (3rd floor) Map Parcel -Qf fo `"'� Permit#
House# - Date Issued
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee $'OE'J a
Conservation Office(4th floor)(8:30- 9:30/1:00-2:00)
Planning Dept.(1st floor/School Admin. Bldg.) t THE
Definitive Plan Approved by Planning Board 19
i✓' _ BARNSTABLE. '
�,- TOWN OF BARNSTABLE'
Building Permit Application
Project Street Address IA9, 14
Village
Owner �/ t,(►�r P.i �,�i�- Address ��n�,�iLQ_ If
Telephone
Permit Request �._ da 014§0 q
r ,,,r• 1
First Floor square feet Seceor square feet
Construction Type
Estimated Project Cost $��j (f� l
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing New
No. 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
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
Builder Information
Name Telephone Number
Address License#
Home Improvement Contractor# �Q ,
Worker's Compensation 'ItJC��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
SIGNATURE 6DATE /d 4(el '
BUILDING PERMIT DENIED FOR HE FOLLOWING REASON(S)
6
F
_ FOR OFFICIAL USE ONLY
PLtYtMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE -
,
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
+
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL _.
,
GAS: ROUGH FINAL ,
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO. i
I
_ I
�• ,�'ai�t�j-'y '' ry _ ! ^^ - 'N{„y"` t � ,`�^ jh�(,(..■t�M����(��/��,( `f'�.
� �c L, �� �V%% � .�,t �l./���eV4LW�Afi;�IiV44VGLfN�' ..cS •'+FI ; ,`�i Vr �:: k
`t •'' V Y 2V
INEi. C'0
a
°HO �TMPRQVEMENT N}TR.`A-3TO.RS; REG¢
071 Sr>rBAfi.U1?-h.^.?�bugr ' nrta gon <jPt•'�C1'Y�TYa' `c1�"evsTrd;�'.�'' R3-oa ddcl
f� 30--d`*1 a:-'ttiC�(.W• 's �I!I . �,� xa'., :Y�} ' tt. < e
��(± �� •� n� �'°��•� ��' ��_�'Bo'ston;,�MMassachusetjts 0`2�r1�CE3� �. _ l� ' �'�; ,' � `
y� <. �, :n 'S - -v,r E.:iw `n. � �+• �v 4 ''� --''�s'x1 ''�4 4 l r �'�K. a-rM' fd •aY
WOrtI�ETtMP:OVEMENT�CONTIRAC T•O�R,
�i�o'�''�Y�0;371���
���� 1„ +�'{"K,��'�?°' ram' +r•;�•�< �„ r `���. './uy',: h e�P ,� 6 �t � _ � ,51Eic�i � Lrs/����.
r��fr-7�.YPe� �AR��N�ERSHIP°' `��`� �. ��,���• `��� r .k"�`� � _`t �' .� ''�_ �°J�'f ..w.�:-,�y��, „_ ,�..
HOME PROV ENGON:RA TO 3
EM Ta�,.AT RA
{ r
st�r`�.-��. •.`,�, .'t�1..y r ,I� '� _ ,n>aS"hr .. _
PAUJ CQZEAUL3T &�SON'S -ROOF=3NG TYPe ARTERSIiIP
''��P'au1 ,wJ .Cazeault x .I. Exp mmom. `0�/m00`.
��3- a� ,�..:. FT��' =�"•'�� �;� 3 r�3--.v�E F� � +,. .�+s 9y +
22 G?l't1Cl`1c1-1't R:dndP
:� `'6`�_ •.�•� � � j- . ,' � .}, � `� Ili. .� ` ',� PAOL�J AZEaaS 'ROOfI
O:r l,e.a.ns .MA Q2653A
� � � ;�� ",: �" h :�-�• a,,$ '� >,A �' � ��I ,-- i1 ,�Pau1J�4az�eau°�t�_�� r�, �es,`
ytf,� '73.�• t �'�t..�5'—:��A,�_.�'�#�*1radL.�;��h»���_�°,—,'��"�a�f�t� ;� _-_.. ._ '._�1'u`+� ,. �r .�+_�:- -'`[�2����2�'�'�K �T---�o—_,—•�,"•—=—
01"['A'R I'M E NT OF P1JF31.IC AFETY 1.36726.
ONE ASII1`41JRTON PLA(:E; 1'2M 1301
B0STONP..,MA 0.7.108--161.8
CONSTRUCTION SUP[_RV:C.`30R L:f•(;t_Nsl- c
Number Expires:
cs 026325 0/20/19s.,y
Restricted To.
r
PAUI. 1 CAZFAU1.'I 1 �1� y
15t35 MAIN S7 r '�� '.,.,.:_
r ;
OS T'E F�VI L I_I_, 1�1A �ZG55 �j� tc, ;��t,
�
T s Keep top fot r-ec'e.ipt avid change
6'f. ,jddl^ess rint.i. fi.r.�lt.i.cln..
' -- ,�1e '[oonvnonure ��°�✓�aoaac�uaelta� s
DEPARTMENT OF PUBIIC SAFETY
{' d CONST.04-ONUPERVISOR LICENSE '.j
Nu ari.7 .Expires:
w
Ca AU.LT I
�,.*,
1585 NA -ST !:
'�, OSTERVILJE NA 02655
RANCE ACORD,. CERTIFICATE OF LIABILITY INSU DATE(MMIDDIYY)
CSR DR
PAULJ-2 09/29/98
PRODUCER ONLY
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Drake,Swan & Crocker Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
Agency,
14 Lot,s Hollow Rd. ,PO Box 429 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Orleans MA 02653-0429 _--— _ —COMPANIES AFFORDING COVERAGE
COMPANY
David D Rust A Assurance Co. of America
Phone No. 508-255-3212 Fdz No: ... _ - - ._. ........ ... .._._.._-- ... . .
Ir 1SLIRF_'D COMPANY
B Credit General Insurance Co.
COMPANY
Paul J. Cazeault & Sons, Inc. _-_ C -__.-__.___-_-- ------------
P 0 BOX 930 COMPANY
Marstons Mills MA 02648 D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
IYPL"OF INSURANCE POLICY NUMBER DATE(MMIDDJYY) DATE(MMIDONY)
L 11? •
- GENERAL AGGREGATE $ 1000000_-
I GENERAL LIABILITY -- --' ---—
05/01/98 05/01/99 PRODUCTS-COMPIOPAGG $ 1000000
A X I COMMERCIAL GENERAL LIABILITY CFP25552812 -. - - -
I OCCUR PERSONAL&ADV INJURY-- $ 500000
CLAIMS MADE LX - _—
! I EACH OCCURRENCE $ SOOOOO
OWNER'S&CONTRACTOR'SPROT
( I I FIRE DAMAGE(Any one tire) $ 300000
-----
MED EXP(Any one person) $ 10000
I
ALI'[OMOBILE LIABILITY COMBINED SINGLE LIMIT $
! I ANY AUTO
ALL OWNED AUTOS INJURY
A $
I (Per person) -----__---_
SCHEDULED AUTOS - ---
j 11uRLU AUTOS BODILY INJURY $
(Per accident) ..__._-_-- --'-----------
;NUN-OWIJEDAUTOS —
I - - PROPERTY DAMAGE $
4 I AUTO ONLY_EA ACCIDENT $--__--_
ARAGL LIABILITY
OTHER THAN AUTO ONLY:
ANY AUTO ^— -_---
I — EACH ACCIDENT $
i
AGGREGATE $
---�—I EACH OCCURRENCE $
i LXCL6SLIABILIIY -
! AGGREGATE $
UMBRELLA FORM --------'--'--'—"'-_- —`
I I OTHER THAN UMBRELLA FORM $
WC STATU,- OTH-
I WORKE F_tv RS COMI-' SA i i01.1 ANDI }` TORY LIMIIS_I-__-__ER
I EMPLOYERS'LIABILITY I EL-EACH ACCIDENT_ -- $ 100000
B TIiEPROPRIETORI -}{ INCL SWC17005902 08/09/98 08/09/99 EL DISEASE-POLICY LIMIT $ 5 0 0 0 0 0---
PARTNERSIEXECU1 EL DISEASE-EA EMPLOYEE $ 100000
OFFICERS ARE: EXCL
1 OTHER
I
I
I �
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS
Roofing. Corporation active 10/l/98.
I
I
jCERTIFICATE HOLDER CANCELLATION
1 PEACOC 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
I EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
I
j10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND U12ON TIIE COMPANY,ITS AGENTS OR R PRESENTATIVES.
AUTHORIZE EP OALTIVE:1�
I ,
I '
ACC
ACORD CORPORATION 198
The Town of Barnstable
P Department of Health Safety and Environmental Services
1�e¢ �e
� Building Division
367 Main Stnxt,Hyannis MA 02601
Ralph Cmssen
Office: 508 790-6ZZ7
Building Commission
F= 508 775.3344
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the-remnstruction,alterations,'renovation,repair,modernization,comwSion,
improvement,.rcma%%, demolition. or construction of an addition to any pre adsting owner occupied
building containing at least one but not more than four dwelling units or to sftacmm which are adjacent
to such residence or building be done by registered contractors,with certain aceepdons, along with other
requirements.
Type of Work: it
,
Address of Work:
OR•ner.Name: /
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work ctoduded by law
Job under SI,000
Building not owner-oocupied
Owner pulling own perm#
Notice is hereby given that: CONTRACTORS
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGIS htm�
FOR APPLICABLE HOME IIvv1PROVEMEN r 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 o%•ner.
Oil
Date Contractor Registration No.
OR
i
The Commonwealth of Massachusetts
� Z1-
' i Department of Industrial Accidents
:MY Office of/nyesMatioos
600 Washington Street
+� Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
IV
name
location:
city (1 `z° I phone>Y
❑ I am a homeowner performing all work myself.
❑ I am a sole proprietor and have no one working in am►ca achy
❑ I am an employer providing workers' compensation for my employees working on this job.
comnnnvname• IpAute -GAZEAUET--8r-SE)HS R )OF34i^
address: ::..
citV. M Aaczpnv M=L=,(Cz-- _ Phone#: 4 2 8- 1 177
insurance cn. oiicv#
❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who
have
the following workers' compensation polices:
comaanv name:
address:
dtv ohone#:
iiisarance cn. ;.:: ,:.:::.::.;. ........ ..
comnanv name:
address-
dw. phone
....•..
_:.
huarance co. .:... .::.::.:::.:;..>.::..:: oitev#
FaOure to secure coverage as required under Section 25A of 11GL 152 can lead to the imposition of criminal penalties of a line up to 51,500.00 and/or
out years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and aline of 5100.00 a day against me. I understand that a
COPY of this statement maybe forwarded to the OIIlce of Investigations of the DIA for coverage verification.
I do hereby certify under the pats and penalties of lerjury that the information provided above is tru.-and eorreed
Date �a �� —9 1
Signature ` -
•r
Print name PAUL CAZEA LT Phonell_ a?tt- 1 1 77
LcheckiMmediate
nly do not write in this area to be completed by city or town official
town: perndtAicense 0 ❑Building Department
CiLicensing Board
response is required ❑Selectmen's Office
❑Health Department
on• phone#, ❑Other
(mmea 9195 PIA)
1 717
TOWN OF BARNSTABLE Permit No. -
Building Inspector
��uxan Cash _ _ -- -------------------
� wa
i07o- `
°"'~ OCCUPANCY PERMIT Bond
Issued to Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
Board of Health Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
19............ .............................................. .............................
Building Inspector
F
)OSEPH D. DALUZ• - '!TELEPHONE, 775-1120
Building Commiuiontr EXT. 107
TOWN OF BARNSTABLE
BUILDING INSPECTOR
TOWN OFFICE BUILDING
HYANNIS.-MASS. 02601
MEMO TO: Town Clerk
FROM: Building .Department
DATE:
An Occupancy Permit has been issued for the bui juthori ed by
Building Permit # cr_ `�� �� issued to
Please release the performance bond.
l
I
i
i`
A�
ki
4 N
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n�
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w _9
S'
r @ftdQ
t-7 G
WIL AM Ni.
o WARWICK
No. 19111 \��
S 0 R `�`'a° G2 `dam
On the basis of my knowledge, information an
belief, I certify to 7To4d,94 aP ,2
that as a result of a survey 6ade on the ��roi,
) on ze z9 I find that:
j c-:,{?T I F l SAT 10f AThe 9.triieture(s) are located on the site tie
�0"-(" LO l/� I I.J �1 6_mot! a Y_.(� .1� L hown.
l
qhe title lines and lines of occupation of tr
a r Y tz v 1 L,t: M n.s ti' site are as shoim hereon.
I I z �� y. n :_ .V-'-- 1n` , �� The site -is situated in Flood 'one
Community :Panel N0.250,:::ol ea Date: 1.4,71
z/v Date: i
Yj���:. �:✓1 rJo. F�L.i^.Dur!~� , M Ac�'S'• .
- Uilliam T:. ;�4rwick,ILLS
— 6
Assessor s-�ma
p and lot number .......l./g . r, BpiTHE
Ll Q
Sevpge aPermit number ... .. ... ....
tp�y°�
•Q
33ARNSTAXLE, •
House nuihar '............................ .5...........:.....:..::.'::.:... 90 N a
� . 039.
CEO UP6�6
TOWN OF BARNSTABLE .
BUILDING . INS ECTOR
�..APPLICATION FOR PERMIT TO orl� ......... ................................................................................
o �-- rn
TYPE OF CONSTRUCTION ............ W .. ... ...... ......... ....... ...........................................................
........... ...................................I9D...
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: �—
Location .............../...- .... .!..........w.......... ......t�................. . �.......................................................................�...............
. n r .
ProposedUse ................:.4/ LPJ..:I .. 1�.....::............;...............................:..........:...:.:...........................................
Zoning District ..................Fire District
..................... (,...,,/..................................................................
. ..... ... ...........
Nameof Owner ..,........�.............................................. ,.... .. .......
Name of Builder ...... . 5
c 1
fi-
Name of Architect Apr .. .�. .... , .� A'ddress .........T. ... ... . v, fi..
Number of Rooms ............... Foundation .......:. ............a...
.........
Exterior ... ll•.� o1in9 . :••• "••t•••.......................................
I/' � (J �� •Interior ./t�--�'1 Fe2v
Floors �
( � . ...............:. .....f..Plumbing ..........�C/.::./. . .... .. .... ... /!
Heating ...................... '
" �� ..........................................A Approximate Cost ......y�.C/
Fireplace .................... .. pp ..�.................................................
Definitive Plan Approved by Planning Board ---------19________. 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. w.
Oi✓�--
/ Xv
Construction Supervisor's License
S L S TRUST ?(0
27190 One Story
No .....:^.......... Permit for ....................................
y
�i gle-Fandly—Dwel l.i.ng......................:
Location ......IAAAz...123..Winter.gree-..Circle
...................0stervill 05terville.......................................
Owner ...... ....TRUST..................................
Type of Construction L.Frame
................................................................................
a
a
I Plot .............................. Lot ................................
Permit Granted ..NoVember..6...............19 $4
Date of Inspection ..................................:..19
,
Date Completed ......:................................19
l D-010
Asse ap and lot number ryry^ �+ 77 {�
....�1. .-.6.................y. r i�11CS��SiE�� MUST
�fTNETO
"'STALLED IN 001�3PLI
Sewagr=' .Permit number ......D�.. ..........��......_�j �/ WITH T171 '7
Cn-. -Z BAH3�9DTa LE, i
,.
House number .......................................j............................... 'oo w 9.
3 �9
10 t/G
TOWN OF BARNSTABLE -
BUILDING • INS ECTOR
L
APPLICATION FOR PERMIT TO .............�. ..v �...... .... .....................................................................................
TYPE OF CONSTRUCTION W�p �' `rne'.............................................. ......................................................................................
�. ...................19�...�..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: �—
Location ...............L�. ...(........... ..........44%..1./.'.............�� ...................... ...................................................................
Proposed Use (f
� �.............. ��................................................................................................................
Zoning District ................ .... .... .............:.................Fire District ....... `.^.............................
Name of Owners............�•"••�....��.�..�.�.. ..............Address ...��/`1�..... .... :.i.....1....�..�.......... .����/��1�
Name of Builder .... . '.- ddress
1/- ................. .�..� i..................................
Name of Architects ..��:/.%.p .... ,,C'G,�./., / .Address .. ... r/.`!..J .� .
Number of Rooms ...............��............................... ..............Foundation ........ .. '' ...........
Exterior ...(. .... . . . .... ± •••F••.✓••'.•'•.�1...: . .. mg ...........�1.1../ ! v .....................................
�^. .1NC��..JD..........................Interior ........... ... � �'��
Floors !...............................
Heating ............ ......GJ... ... ..........................Plumbing ... . ... . ......G . . .... .
Fireplace .................... .. ..........................................Approximate Cost ......yp�eI .....................................
Definitive Plan Approved by Planning Board -----------_______-----------19--------. Area ........ ............/.!. mot
So
Diagram of Lot and Building with Dimensions Fee ........ . ....................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
kit
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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 ! --.......................
Constr*onSupervisor's License !J (./
,C
S L S TRUST
-,a o 27,190:::. Permit for .... e..sto '........... _
+5inc�le Family Dwelling,
Location t 6 123 Winter le
w
Osterville J
` .Owner ...O S L STrust
. .. . ..... .....................................
Type-of Construction FM ...........................
.. ............... ......... .................
.... .... ........
Plat
ti ............. Lot ................................ V
4 November 6, 19 84
Permit,—Grant ed .................................... ...
Dote,of Inspection .............................. .....19
Date .Completed ........, `'� c7:.....`19
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Assessor's office(1st Floor):
Assessor's map and 1 t
Conservation Board of Health(3rd floor): L/ c� t ssa»r�nt c
Sewage Permit number / �n`'�
rua
Engineering Department(3rd floor). i639•����'
39"�� � orEr
House number � �
Definitive Plan Approved by Planning Board 19
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO Ct,tj Sj 1rU L I C3C)V NL•Q✓'
TYPE OF CONSTRUCTION (,(�IJ I/'(_/1 -Q_
ace 19 93
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location
la-3 UjtIIJ 1lee YeP4) Clrul e OsJ-eeot
` Proposed Use �l a ✓�['/Vl .
�m
Zoning District / I C Fire District
Name of Owner�!Q PtV 1 UC 1 S/tq r T h Address
Name of BuilderIr UC-e II ,eLy e Address 9 41 WG Lleby IN Aa,/-JOm, A,
Name of4lreh+tect �d.��. {C'�-Q V' : Address
po LJoy 6-�,
Number of Rooms Foundation 'P;x (S ti 5
Exterior sh r Vje Roofing Q SQ h A.. / 7
Floors Iy/ Wt9e)d• t� Cc, y�er/ _ Interior
Heating I-ec- /rl C Plumbing
Fireplace !v h Approximate Cost �WV
Area C
Diagram of Lot and Building with Dimensions Fee _ey
Se- e /4TTa�/►�c�
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.
Na
Construction Supervisor's License
I -
SMITH, PAUL & VICKI
r
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No 35817 permit For Build /DORMER
Single Family Dwelling
Location 123 Wentergreen Circle
Osterville
Owner. Paul & Vicki Smith
Type of Construction Frame
Plot Lot
Permit Granted April 2 7 ,- 19 93
Date spect on �L`,' �- - 9-
Date Completed 19
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COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY
1010 COMMONWEALTH AVE. a
'XIY OF i BOSTON,MASS.02215 f r
MASSACHUSETTS i ENCLOSE CHECK OR MONEY ORDER
I
LICENSE FOR REQUIRED FEE,
EXPIRATION DATE CONSTR. :iUPERVISOR
06/30/1993 ( MADE PAYABLE.TO
RESTRICTIONS !g EFFECTIVE.DATE LIC•NO.
NONE >.,.P�;..r `g 06/30/1 991 009693 9 "COMMISSIONER OF PUBLIC SAFETY"
kBRUCE E ROSEWELL (DO NOT SEND CASH).
94 WAKEBY 'RO
MARSTONS MILLS `MA
SA 0264 SE OTE FEC'Iy1I'�/)I\/7NCREAS.E
FHOTO(BLASTwG OFF ONLY) FEE: ' %'' r 0 jam/
100.00 E FECTIVE FEB. 1, 1989
NOT VALID UNTIL SIGNED BY LCENSEE AND OFFCIALLY {� [�
HEIGHT: STAMPED-OR.SIGNATURE OF THE COMMISSIONER APR +(�� �J 1 Jq
D i;�(OT I TACy_`LICEN TU STUB
CARGOON THE MUST..BE' SIGNATURE OF LICENSEE ��11 IGN�a* IN FJN�JsOVE SIGNATURE LINE
CARROD ON THE PERSON OF; Q
THE HOLDER WHEN ENGAGAI - +
OTHERS-RIGNT 1-8 ORwT ED IN INIS OCCU VAl10e �J'.ry f, ') l: COMMISSIONER ..
C...P•CJ`I., .
20OM•2.87-81429 L.
(� —171. nna-rerum�//.o�✓��t4u�e�N.fel4
�-` HOME IMPROVEMENT CONTRACTOR
Registration 102615
Type - PRIVATE CORPORATION
I up, Expiration 07/02/94
James A. Coyne, Inc.
Bruce E. Roswell
94 Hakeby Road,
ADMINISTRATOR Marstons Mills MA 02648 ,
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