HomeMy WebLinkAbout0115 BUTTON WOOD LANE UPC 12543
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o� ° TOWN OF BARNSTABLE Permit No. ----_28694
Building,Inspector Cash __---Wa
OCCUPANCY PERMIT .� Bond —_X _J Z_�A
4 i
Issued to Keith Wood Address
Lot #15, 115 Buttonwood Lane., West Barnstable
Wiring Inspector �! � _ Inspection date /
Plumbing Inspector�L-}pen J Q �, Inspection date
Gas Inspector �' ! / Jam' Inspection date
Y. Engineering Department',` Inspection date
Board of Health ~ -. G _� -)he Jf�C��____ 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.
019 �� /zf7--
................ ...... ..... ......... ---- _ _-----
/r Buis ing Inspector
1,
'�•� TOWN OF BARNSTABLE
BUILDING DEPARTMENT
y = sesa... TOWN OFFICE BUILDING
rua
�'�OIwY►�� HYANNIS, MASS. 02601
AiEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has been issued for the building authorized by
Building Permit #......_ __...._.............................................
........._. .... .. _.... ... .. _ _._..... ......
issued to ......r! a�2 ��t� ...........__...................._.........._..........
... .
Please release the performance-bond_4tl
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t oc.4Tio.v: WEST BAP-WSTASLE , MA.
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t"= So` Is 198S
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LOT .'1S — PLAN aY,. 232 , PG. S"9
Z //E�EBY cEeT/FY 7-!•Vi47- TL/E. 6lJ/LD/�c/�r
5/-�aN/.�./ O.V Ti-//S PL.�i�l/ /S LOCATED O.t/ Ti�•�/E
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926348
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.�OtJTE 6�4^-1�.eMOC/Ti-/, M�7S�. afiTc- �e�. L.Fi�va su�v�c✓o.e
Assessor's map and lot number ..... :............................ .
L . SEPTIC SYSTEM MUST B �P`' THEt�`o
Sewage Permit number ............�5 ..q.E- .................... INSTALLED IN COMPLIAN
-� 4 SARNSTAME, i
'House number /.�: .................... WITH TITLE 5 NAG&
.. P//� ENVIRONMENTAL CODE A ''�o6ar.a.0�
A P P R 0,V & D I 1014S
couservaiUm CrICI�W , N. OF BARNS
$� "a" BUILDING INSPECTOR '
APPLICATION FOR PERMIT TO ............... ......................................................................................
G�oo �
TYPE OF CONSTRUCTION .................................................17..�L......................................................................
.......................... �. ........ �
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location L• d✓ f E`��D 11� GcJ 6 .040 om/`/-�i /t .......
................... .... ........... ............................................................................ ...'.....
�c✓%LL �j C
ProposedUse ................... ... .. .................................................................................................................,:........................
ti
Zoning District .............
.................I.........................................Fire District ..............................................................................
Name of Owner 7/f (/V O �.........................Address) -.. a'G�2
Name of Builder s`."J:!/.".`.LL S........ L._) l�d/k/..Address :-..-.. 7!✓.... /►/��.......
.J�1t .... !Y°y/f
Nameof Architect .......... ......L...............................................Address ....................................................................................
Number of Rooms ........ r �`�^��� " ...............Foundation""aq uzeZ) CU'��«ZG��G
...................... .................................
Exteriorld.A!2.?............. /R M.L...........................Roofing .../. f Lc7—.................................................
Floors /y �LU d d .............................................Interior �l �`—f CSC........................................
Heating �7/ .� -.....................................Plumbing ...... ..... ...?� fle................................................
Fireplace ......... .......:..............................................................Approximate. Cost .. ........................................................
Definitive Plan Approved by Planning Board -----------------------------19 --- • Area �1.. ....J'"""........
Diagram of Lot and Building with Dimensions Fee ........ ...1�,?�.r� „ ...........
SUBJECT TO APPROVAL OF BOARD OF HEALTH v
/&
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of ornstob�garding the above
construction.
F
Name .��........... ,�. ..!�' ..............................
Construction Supervisor's License ������
WOOD KEITH
.a .....2aUk Per ft for r:,l..StcuW..single
..............................
LocationlPt....15'r
... .... Uttonwmd..Iane..'
Wes�. Sable
............... ....... ... .............................................
KPj
Owner ..............0...2.. -Wbod...................
Type of Constructicla ..... .%r f............
............................... ......... ............... ..................
Plot ............................ Lot .................................
Permit Granted .....................12/19........1985
Date of Inspection ........19
Date Completed .......19
M
3
Assessor's map and lot number ...... .........�......... .�,�...... . i
�K �G � / �pF?MEtO�`
Sewage Permit number ......... ..g... s— � �
..................... .
Z BARNSTODLE, i
.!House number �// s SAM 0
0039.
�Fp YPY a•
• TOWN OF BARNSTABLE
4 BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .............. G .................................................................................
TYPE OF CONSTRUCTION ,........4/a 0- 1,., . ML
A �
TO THE INSPECTOR OF BUILDINGS: 4,
The undersigned hereby applies for a permit according to the following information:
Location ��.d ... .`'?.. J.G, 13 fj� G 6.e4 !/v t >`� /ti/. � ......
.. ............................ ............
.... ..,. ... .. .
a,
4
ProposedUse r'�� - ..�.... .........................................................................................................................................
42V_
Fire District
Zoning District ..............................I.........................................
Name of Owner .L.°!�.......... ..Address-- ,_
r�
Name of Builder F:aiji�L .........:.�}G•...--�/ /'1Q./jL_..Address E �yl) !y*1.�G; (C....................
......................
Nameof Architect ...........................f......,:%............................Address ..........................................:.........................................
Number of Rooms r) ....... / Ge "'f................Foundation �?.`�,: ,!'..Y�......�O!`/��.. `
.. ...... r
Exierior Ld A.:'.o..............�. .RA.M.47 g � t .........,...................................
c/'' �✓ /J
s
Floors ...........1'................�.r................. Interior
✓ �.�...`.G..t...o....c...r..y.............................................
Heating .............. ....:...... ..... ........................................Plumbing .......�� - ,�fr �!i� .�
......,..................................................................
Fireplace Approximate. Cost
......../................................................................ �. .. ...........................................
Definitive Plan Approved by Planning Board ________________________________19________. Area ..........................................
Diagram of .Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
ri I
Z.`' i 7� �
- s G
i
v
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. lu4cl.
ti / / ..
Name . .
Construction Supervisor's License .... ....
WOOD, KEITH A=217-46
A=217-46
:tg qjrj 3
, g
No .... Permit for ....... ...$jxlgle........
family dwellj4)g. ... ...........
... ........... .........I.,
............................... ....
Locatior� ? --15.........1X5..'3uttonwmd..Lane...
Wes.t...Barnstab.le.............................................
...... . .................. ....
Owner .......Keith ............................................... ...... ..
Type of Construction ......fxams.........................
................................................................................
Plot ............................ Lot ................................
Permit Granted .... ........... .........19 85
Date of Inspection .....................................19
Date Completed ......................................19
a
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Town of Barnstable *Permit# 0oaw/y
Expires 6 months from issue date
Regulatory Services Fee 00
g Thomas F.Geiler,Director
>c63¢ ♦0
fort' Building Division OK
Tom Perry,CBO, Building Commissioner f
200 Main Street,Hyannis,MA 02601 I
www.town.barnstable.ma.us
Office: 508-862-4038 Fa) S SS PERMIT
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY NOV O 2006 A
Not Valid without Red X-Press Imprint
✓lap/parcel Number ®%-k(3 TOWN OF BARNSTABLE
'?Residential
erty Address k59�
Value of Work �g�� Minimum fee of$25.00 for work under$6000.00
)wner's Name&Address
�-CS �t3a�IG
;ontraotor's Name / �- � Telephone Number So%
come Improvement Contractor License#(if applicable) I Z56 cl S
;onstruction Supervisor's License#(if applicable)
�rkman's Compensation Insurance n
Check one: c:e, �`srvl6 UT �' 4t�`1 KSP�t.�
❑ I am a sole proprietor zolm �lY� C
the Homeowner G``fit—
I have Worker's Compensation Insurance
nsurancd Company Name
Vorkman's Comp.Policy# Q C-1`LS A S �6� '� 02S
,opy of Insurance Compliance Certificate must be on file.
'ermit Request .check box)
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. a
Home Improvement Contract License is required.
SIGNATURE:
!:Forms:expmtrg
.evise071405
i
The Commonwealth ofMassachuseits
Department oflndustrid Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.massgov/dia
warkers'-Compensation Insurance Affidavit: Buflders/Contractors/Electricians/Plnmbers
Applicant rmation Please Print Lem'bly
Name(Business/organizatioa/individaW OL.Ujql�-U Uu3tiU�
Address: LOAA�
City/State/Lip: �ARAA&24-- Phone#: Sot,
Are on an employer? Check the•appropriate boa: Type of project(required):
1. am a employs with I_ 4. ❑ I am a general contactor and I 6. ❑New construction
employees(fall and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or pa lner- listed on the attached sheet t' 7. ❑ Remodeling
ship and have no employees These sub-contractors have & ❑ Demolition
working for mein any capacity. workers' comp.insurance. . Q. ❑ Building addition
[No workers'Comp,insurance S. ❑ We arc a corporation and its 10.❑Electrical repairs or additions
reqnfivd.] officers have exercised fieir
3.❑ I am a homaeowaer doff all work right of exemption per MGL 11.0 Plumbing repairs or additions
myself.[No workers' comp. c. 152,§1(4),and wehave-no 12ERoofrepairs
inswanee required.]t . employees.[No workers' }3.❑ Ofllea
comp.insurance required.] .
'Any ap*aat that chain box#laaad also M out the section below showing ibeir workers'eompenszdmpolicyin�onaetiow
t Homeownaa wbo submit this affidavit indicating they are doing an work aadthen bite outaide contactors must submit anew affidavit indicating such
=cwtraatoss that check this boa Est attached an additional sheet abowing the mmne ofthe sub-=tmbtors sad their workers'covV.policyJnforn3at1m
ram an employer that Is providing workers'compensation Insurance for my employees. Below Is the policy and job site
Information.
Insurance CosnpanyName:
Policy#arself-ms.iia#: �JC�2`�jS?S? $J04'�2S BapirstionDate: to A
Job Site AddressMS �s�9 1 WSJ p �.1�t�<� City/State/Z.ip: AAA 2NS 4�i
Attach a copy of the workers' compensation policy declaratfon page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 rian lead to the imposition of criminal penalties of a
fine up to$1,500.90 and/or one-year imprisonment; as well as civil penalties in the form of a STOP WORK ORDER and a fmt
of up to$250.00 a day hgainst ike violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DLk for insmisance coverage verification.
1 do hereby certify under the pains and penalties of perjury that the information provided above Is true and correct
Si tort: y 10 2 b
Phone#: S 059
0f rcid we only. Do not*rite in this area,to be completed by city or town offrciaL
City or Town: PermitUcense#
Issuing Authority (circle one):
1.Bo2rd of Fearth 2.Building Department 3.City/Town Clerk 4.Electrical.Iaspecter 5.Plumbing lanspect6r
6. Other
Contact Person: Phone#:
Application:to:
Odd King s Highway Regiollal'Historic District Committee
in the Town of Barnstable for a
CERTIFICATION.OF EXEMPTION
Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans, drawings, or photo-
graphs accompanying this application. .
TYPE OR PRINT LEGIBLY DATE ��2
ADDRESS OF PROPOSED WORK L'� ! � ASSESSORS MAP NO. 2
OWNER ZE D WOQD ASSESSORS LOT NO.
HOME ADDRESS �� ���� "" LaiaawkTEL. NO.
AGENT OR CONTRACTOR
ADDRESS TEL.NO. n �O`� 4b�10 L
This application is for exemption of proposed exterior construction on the ground that:
❑ (1) It will not be visible from any way or public place.
(2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission.
(Check applicable box)
PROPOSED WORK: Describe and furnish plan of proposed work,showing location on lot,and, if an addition is involved, show
ing location of existing building.
ti
Sla D�
Owner-Contractor-Agent
Space below line for Committee use. .
Received by D The Certificate is hereby
CEHE
iK 2
8 Date --'
HISTORIC PRESERVATION
Approved ❑ The categories of work entitled to exemption are Q10n
Disapproved ❑ the back of this form.
i
OLIVER KELLY
9 PEREGRINE LANE
SOUTH YARMOUTH PH/FAX 508 775 4498 MA. REGN 128957
MA 02664
INSURED
Sep 24, 2006
Proposal submitted to Jean Wood of 115 Buttonwood Lane West Barnstable
We propose to supply all materials and labor necessary to remove and replace the
existing roof at the address above
All debris to be removed to town transfer.
Aluminum drip edge to be installed on all eaves.
Ice and water damage protection membrane to be installed on first three feet of eaves and
in all valley areas
Remainder of deck to be covered with#30 felt paper.
25 year limited warranty 3 Tab style shingle to be installed. (Similar to Existing)
Bathroom vent pipe boots to be replaced with new.
Cobra ridge vent to be installed on entire length of all ridges with hand nailed caps.
Repair/Augment chimney flashing as necessary.
Protect all walls, windows, decks, plants and shrubs etc. during roof strip
Obtaining of town permit.
At a total cost of$5400
For use of 30 Year limited warranty Architect style shingles add$400
Payment Schedule;40%with signed contract, balance upon completion.
Respectfully submitted, Oliver Kelly
Proposal accepted by, & "-ee Date 9/ O /2006
If acceptable, please sign and return one copy and keep one for your records.
This proposal is valid for 45 days from date above
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TOWN OF BARNSTABLE Permit No. _____2i.694_ _
NO,0Oak -
Building Inspector*Mir cash
0011
OCCUPANCY PERMIT Bona X_
Issued to Keith flood Address
Lot 015, 115 Buttone-rood Lane, {Vest Brrnstable
Wiring Inspector _ Inspection date
Plumbing Inspector Inspection date
Gas Inspector j Inspection date
� r
x 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 MASSACHUSETIc4 STATE
BUILDING CODE.
......'•................f .......:..�......, `.....................................................................�. .._......_..._. .__
Building Inspector
LowAy MutuM Group
PO Bum 7M
P ..NH03802-7AM
Mutua Telghcme(80%653-7393
Fax(603)431-5693
May 25,2006
TOWN OF $ARNSTABLE
720 MAIN ST -
IiYANM,MA 02601-
RE: Certificate of Workers Compensation Insane .
Insured: 01.1M KFLI-Y .
9.PBRSORINE LANE
SOUTH YARMOUTH,MA 02664
PoficyNumber.. WC2-31S 3389044U5 E&cihu 12/=WS fisptt81.1w. 12=006
Coverage afforded under-Wadm Cation Law of the Mawmg state(s): MA
_ Fmnlovers Liabilittr.
BodilybduryByAcddent: S 100.000. FaehA—c¢ident
Bodily Iajury by Disease: $ 100,000 Each Person
BodIIyh*acyby S S0.ODO: Policylrlm _.
As oftbis date,the above afteneed pofiCfialder is insmed byL' ex bOMMudTIM Insurance Co under the
policy listed above.
The insu=aacc afforded by the listed policy Is subject to all the terms,gxclusions and conditions,and is not
altered by any requirement,teen of condition of any or other documents with respect to which this ceriiSeate
maybeissued.
This car&c ate is issued as a matter of inhWmtion arty and cantos no i�t upon you,--. c�ticate holder.
This eeatlEmme is not an msu�pohc y and does not amend.mod,or afiea a m Coverage affusded by the
policy listed above.
Tf ahis poficyis cancelled before the stated e�tation tote;L'beatYBtvriR to notit?y you of sucdi
.mncellatioa...
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cc: Insured:.=� . .:�-.,,pr+od�ar ofReoosd:
ccIdsuvok. .Y SAMP�II�ANCRA�NCY INC .
9 PEREGRNE LANE- i2fiNT�BIShs BD
SOUMYARMOUM MA GM4 - RYAMRS�•MA 0250I.