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Home My WebLink About0111 ACORN DRIVE IN Me UPC 12543 �� 4 Now 53LOR , woSnNG9. NN t„E Town of Barns4rble *Permit# O x h �i Expires 6 months from issue dnie Regulatory Services . ;cs• Fee � ;,�.; � � 3b � $ Richard V.Scali,Director Building Division Tom Perry,CBO,Building Commissioner _-- — _..---- —200 Main Street,Hyannis,MA 02601 -- ._._._ _www.town.barnstable.ma us — Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTLALL ONLY I A 019 l n Not Valid without Red X-Press Imprint Map/parcel Number 0I/ 9 n� Property Address !f /4 !�/� 611 e Lt�A&S�r- 3 t S r --,e [-E residential Value of Work$ Sj9t O 0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address r Z4 W Aft Tz_ SL &f-SLt 1 f 1 A cog�-t b Wrsi- Contractor's Name Dq,y VC 14 CG.Irk Telephone Number Home Improvement Contractor License#(if applicable) Q 31 1 L Email: J�)V E C R L L L e N 0r.Yv14l L. C 0* Construction Supervisor's License#(if applicable) 0(o Oa (oS ❑Workman's Compensation Insurance Cbeck one: am a sole proprietor I 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) XRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to / WO Of UdQ`Jrf ❑Re-'roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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 Home Improvement Contractors License&Construction Supervisors License is ztred. SIGNATURE: Q:\WPFILES\FORMS\building permit fonns\EXPRESS.doc /f2�_A.T. Revised 040215 ��/ I , ne Comaaompeakh of-Vassadiasetts D,eparbmeut,of Industrial Accidents Office ofWssligatiom y 600 Washington Street _ Boston,MA 02.UI wfpmYnass_govldia ------- �V�r�ers'-�dffipensa�an Insui�c��'�ffi�avi��ildersiC�nfractr�TsfEIecEi�cianslP�bers -. . . --A 3yHcant Infnrmafroa -- Iti a=(Busine=M4=i7atirmJBn d \ /Q J IA 14 C . Add>ess t-Cp P r)CA OV G(gS C crtyis!!& &..l Ma-41, W/9- Do!SSA Phone i,11- Are you an employer?Check the appropriate bum Type of project(requi edy- I.❑ I am a employer With 4 ❑I am a general confractor and I employees(fiz atrdfor part--time)' * have lured the sub conbmctors 6. ❑New constructica 2. ole prRpaetor orpartner- wed ogthe attached sheet. 7- ❑Remodeling f/ ship and liaise no employees These gab-co�actars has*e g ❑Demolition wad ng for me is any capacity. employees and hay a workers' [No nraricers'comp.in: comp-insuranoe t 9. ❑Huildmg addition reTiked] 5. ❑ We are a corporation:and its 10_❑Electrical repairs or additions 3. I am a homeowner officers have 4!=ise.d theft ❑ doing all work 1L❑Plnmbiagsepairs or additions o workers' _ right of exemption per MGL 3��nce required-] c.I52, §1(4k aadwe have no, 12.E]Roofregairs employees.[No vmd=' 13-❑Other comp.inmwance requited.] *Any apphuatthatcheftboxKmmsidufillouttheswfionbeiow gtheirwoskea'campeusatiaupM&7iUfnrmsaon. 1 Mmevaners whn submit this Adam 2m&t _q they are dGmg zH wad[and then bim outsike co=Rctors=mct submit a new aiadavit'^d'�such Kant w0=that check this boat must attad ud sa additional deei sbnwing the nzme of the sub�as and state whether or not these effides hxve employees.If the sub-cont=±orshave emplayees,theyrrstpmVdde then wwkers'camp.13Ghq number. I aril an entpZgjwr thatis prauidirW workers'coug7ensatian inmaraure for any Eetow is tltepoli y arad,job site inflor madom Insurance Company Name: Policy 411,or self--ins.Lic.; Expiration Date: ' Job Site A,ddres-� 1 ed�./t �/Z City/Skafeit tp: W i D l¢'1L IL{� �' Attach a copy of the workers'coaupensationpolicy declaration page(showing the policy number and expiration bate). Failure to secure,coverage as required under Section 25A of MGL t<157 can lead to the imposition of criminal penalties of a fine up to$UOD OD andlor one-year imprismunank as well as t:ivsil penalties in the form of a STOP WORM ORDERand a fine of up to,$250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of imvestigations ofthe DIA for insurance-coverage verification- I rta heri c f}' ter tees ' s 71dr ofper,jrwrp fllatfhe informadwr-ptmitW ab4m g is true avid correct Sitmature_ lute: Phoneik QgTcial use airfy. Da not at rke inthb area,to be campfeted by toy artown o�J`rcial City or Town.: PernutlLicense# Issniag Authority(,circle one): 1.Board of Health 2.Buii[Xmg Department 3.fitylrosrn Clerk d:Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: i i I ��pF 7HE Tp�O t SA8N6I 2a +` ,.� Town of Barnstable ArED MPS i Regulatory Services j Richard V.Scali,Director ._!_._ Thomas,Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us t Office: 508-862-4038 I Fax: 5.08-790-6230 I i Property Owner Must Complete and Sign This Section If Using A Builder . i - I, 1, aJ c tt (,J ATL T Z i , as Owner of the sub•ect property ' Rom,,pba ld'6 hereby authorizA KI /} Q 01.E_ �� j! to act on my behalf, in all matters relative to work authorized by this building permit application for: I (Address of Job) j i e&,.- Signature of Owner tD Ae 1 i Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. i i I QAWPHILESTORMS\building permit formAM PRESS.doc Revised 040215 i Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement', ntractor Registration Type: Individual y Registration: 123111 DAVID A. CARROLL J. .-:I W!1 Expiration: 12/09/2018 12 Frederick B Douglas Rd. N.Falmouth, MA 02556 P. i -1` Update Address and.return card. Mark reason for change. SCA 1 0 20M-05/11 n ddr.ass El Penewz! L� Employment 0 Lost Card GF/ie Wpamm onruea1l/z olatadaclwde,% Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: rxd'. Expiration Office of Consumer Affairs and Business Regulation lugcs::Registration 23111; 12/09/2018 10 Park Plaza-Suite 5170 Boston,MA 02116 DAVID A.CARROLL_- DB/A Cape Cod.RemgdeGng and Design DAVID CARROLL _ 12 Frederick B Douglas Rd;-' N.Falmouth,MA 02556 Undersecretary Not valid without signature I N Fn 6> Ol C O .� u c (a �n 0 p f0 t > NNj6 > 0 O V ccN L O L H 0 o c > 'E " Massachusetts.-Department of Public Safety o ° N Board of Building Regulations and Standards 0 C 7 O 1 O T 1-_ �vit5ir'iiCiYu❑�ii}�ci r7i0i a oc Z c 8iiiiiv 4t cLicense: fSFA-060265. 'b DAVID A CARROO o c 12 FEDERICK B b0 -p a d N FALMOUTH 1VIA •. V O ~ W cc � � �` Expiratior LL � LL Commissioner 031081201, Mckechnie, Robert From: david <dvecrlll@hotmail.com> . Sent: Tuesday,January 24, 2017 4:15 PM To: Mckechnie, Robert Subject: Re: Roofing Permit for 111 Acorn Drive,WB certainteed landmark color: cobblestone grey-.Let me know if you need anything else Thankyou,Dave Carroll Sent from my iPad On Jan 24, 2017, at 3:49 PM, Mckechnie, Robert<Robert.McKechnie@town.barnstable.ma.up wrote: From: Mckechnie, Robert Sent: Tuesday, January 24, 2017 3:48 PM To: 'dvecarlll@hotmail.com' Subject: Roofing Permit for 111 Acorn Drive, WB Good Afternoon, While reviewing the information that you submitted for this permit I noticed that you did not describe the replacement shingles. Normally you would put that info on the express permit application (color, type)and in this case,OKH would have to approve also. Could you please send the info so I can add it to the file? Email is fine. Thanks, Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 1 Assessor's map 'and lot number....... /..tp...... 9 FTNE ( PRii L M MUS U 6sL T COMPLIANCE Quo o�y g ..� INSTALLED IN CO o Sewage Permit. number r............ . ... ................:•..... ro :.. WITH E5 TITL i BA"STSBLB, i i House number .........................�...1��............................... G' ENVIRONMENTAL CODE AND 9 MU& TOWN REGULATIONS cyAva`0m t TOWN OF .BARNSTABLE BUILDING;;,.INSPECTOR :APPOCATION FOR PERMIT TO ... ......A ....... .G.`. .a.f.. ..... cN ............................ -TYPE OF CONSTRUCTION. .� a ..... l . ............................................... 1 ............ . .... ./Q... ...j.S?Z......19...65 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........��.../�C.Q. .!v... '.a�.�i� s .... ! .! /3 �. ."/!'��..:............. ..Ft ?e�...... ProposedUse .............. Y...... 'e.l ................. ................. Zoning District .................RF.............................................Fire District ..... i� ............................................ Name of Owner/ sP.ne��.:... U.. ..0.fdy$a!1!Address ..��/.../Q.L:Q�r''U..f IP J�X��Q.............:Address 3.I. �,.404, �!. ;/? s�/r 10i7 Name of Builder .................. ... ...... ..." ........... .. ........ .. ... ...... ...... �.. ....... . �. ,. it It a_,L 6 4/ Nameof Architect ...............................//....�...............................Address .................................................................................... Number of Rooms .............................0..............................Foundation ........ .......:�U�lt�a �i.... rr k Exierior c��!�,�............ J '�-�k. W•. .�1. !iJ...Roofing .......%23.`�........AotUe A"'`............................. ' Floors /g . ...............................................Interior .......,�4a......Der i. u pe0..(!4 c Heating r. !�!i..�.01 ................................Plumbing ...........Jr/40 ..+� Fireplace ...................."'_":'.................................................Approximate. Cost .............�n�,:. ................... ............. Definitive Plan Approved by Planning Board -----------________:_________19_______ . Area ........a.-Yo... ................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 4,. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding t above construction. Name ....... ... ... a Construction Supervisor's License ........O!PI9..AO....... JOHNSON, GLEN MR. - & MRS. No ....RUM- Permit for ..Addi.t.:Wn......... ...... ...... .'ng$.2 .:Lp.Jamily..Dup Uing......................... Location .......III Acron Drive ......................................................... West Barnstable ............................................................................... Owner ........Mr...A.Mrs. Glen...John.s.on....... ........ ........ . . .. Type of Construction ,...Frame........................... ........... ................................................................... Plot ............................... Lot ................................ Permit Granted ..........October...25,.......19 85 Date of Inspection ....... ......19 Date Completed ............. .............:'19 J M Assessor's - r � r map and lot number .... > `�,� .. THE f tp� Sewage Permit- number " Z BAS39T/►DLE, i House number .......................... ........I........:.......:.,... V MAO& m� p 1679. . �6 YFY tree TOWN . OF B:,ARNSTABLE�, BUILDING INSPECTOR APPLICATION FOR PERMIT TO �t .��.......1�...�:ay........�.......................................................r ................... .. TYPE OF CONSTRUCTION .................48. ....:�0!2.. .. f ' `1 ............................................... ....................... 6....J.a........ 19.. ?.�� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........I/I... l' +' ... . ...��.... ...................................... .�.�...... Proposed Use ............./ ��%1� ...GiJ{�/ (J!U �r-� /�,�....... R.F.....................................: Fire District �/l� Zoning District ....... ............_................................................................... Name of 7A,5W •�C9�!�SQ�Address -y� • - ,� Name of Builder .............. C7 ......f•'�.d�-'. G..Q..............Address �4 ........... Nameof Architect ..................................................................Address ...............................................�.................................... Number of Rooms .............................0..............................Foundation ........r�S2f/r�C'=+, ...... .,.. . Exterior .�� ,,-� ��*. .... : .. ..Roofing .......".z-�'�...g ....f.=�SP&41-/.............................. /. / +�................... + Floors '' 4........ / !1� .. �2YW�•%.✓�t�.�0/...G . . ......................... ....Interior ..... ,C .........,`....,....... .... Heating rU...... ' ! .................................Plumbiri9 ..........11i/6(JC. Fireplace ..................................................................................Approximate. Cost .............�0�... ..M-........................ Definitive Plan Approved,by Planning Board -------------------__.---------19--------. Area .......(P ..` ............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH cs-i) �t 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 ..... .... . ............................. Construction Supervisor's License ....... ...... JOHNSON, ;GLEN MR. & D". "VA=216-012 _ No ..28594.... Permit for ......Addi;Wii......:...... Singlejamily,..,D?� ing...................... Location ..... ................ .....................we s: ...Rarns.zab.l e-....................... Owner ...... .......:. Type of Construction ....Frame ................................................................................ Plot ......... Lot Permit Granted October... 5.,:...::19 85 Date of Inspection ....................................19 Date Completed ::............... 19 j