HomeMy WebLinkAbout0208 CARLSON LANE J
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SINE Town.of Barnstable *Permit#
~O Expires 6 months from issue date
Regulatory Services Fee L-3
MAS& $ Richard V.Scali,Director
i6 3q. �0 "V
QED MA't a
XPRESS PERMIT
Building Division . A,
Tom Perry,CBO,Building Commissioner JUN 2 5 2014 �QJJw
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us TOWN®Fl
Office: 508-862-4038 YY'V
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number Property Address of 0 ef,:X w 1-5n 1 l� A,,. &j 2(A� 1 �'
Residential Value of Work$n Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address ( 0.vr O 1 e �� S
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
orkman's Compensation Insurance
Check one:
[T'I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy# (. 171025 40 2 4
Copy of Insurance Compliance Certificate must accompany eac permit.
Permit Request(check box)
e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken
❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#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
required.
SIGNATURE: %Q�
QMVPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 061313
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2 to Commogrnwalth of Massachusefts
Department of i�irdrrsftial Accidents
- [},,ice of Investigations
600 Maylr&zgtom Street
Boston,MA 02i'11
wnw.iriasmgov-/di a
Workers' Compensation Insurance Affidavit:Builders/Contractors/FAectricians/Plumbers
Applicant Information f y Please Print.Legibly
Name(Susmess/O�ganizationilndividoa[): �' LL � ��
Address: / (' S 5 o
CiWStatr/Zip: 2!v Phone 4-7
Are you an employer?ChA the appropriate box: Type of project req uired)=
. contractor and'I ❑
I.El I am a employer with 4. ❑ I atn a �c 6_ New construction
employees(full andlorpart.-hme}* have hired the sub-contractors.
2.-Ejf am a sole proprietor or partner- listed on the attached sheet; 7. ❑Remodeling
ship and have no employees These sub-contractors have g_ ❑Demolitioa
working for mein any capacity employees and have workers' 9_ ❑Building addition
[Nowork:ers' comp:inanranre comp_mcivancF
required] 5..❑ Vile area corporation and its 10_❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers ha-m exercised their 1I_.❑Plumbing repairs or additions
myself [No workers'comp_ right.of exemption per MGL 12-❑Roof repairs
insurance required,]l c-152. §1(4} and we have no
employees-[No workers' 13_.❑Other
comp-insurance required-]
*rflay appUcml that checks boat#1 amst also fill out the section belmv shnceing their workers'eom pensaaou policy u3fmnm2tcn-
T Homeowners who submit this af5dsvit inTicstiag they are doing aR nook and then hire outride contracmrs]nS6t submA a new aibdwit- rued,C—13
ZCantoctors thst cbea this book mast attached an additional sheet shacking the name of ifia stt-amft3ct3rs and state whether ocnot these eaities have
employees. If the st*-contnctois have employees,they must provide their workers'comp.policy number_
Lam art employer iliat isprm,i&Yng it,orke-rs'congmnsation insurance for sty employees: Helots is the policy and job site
informiatton_
Insurance Company Name:
Policy 4 or Self-ins Uc.4: ja,1G Zj ^ O Z& '3 V,9F�PirationDate:
Job Site Address: a dg k+" I S rAj 1�� City/StawZip: 3'(4tA 1
Attach ai copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A o€MGL r 152 can lead to the imposition ofcriminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up.to$250.00 a,day against the violator_ Be advised that a copy of this statement may be fnrwarded to the Office of
Iuviegtiptiom of the DIA for insurance:coverage vinrificatio -
I do here sunder the pains arrd penalties ofperjury thatthe information prmulRd above is hue and correct
Signature: Date_ a S �
Phone
Official use only. Do not unite in this area,to be completed by city or town officiaL
City or Town: Pe rmitUcense#
Issuing Authority(circle one):
1.Board of Health 2.Binding Department 3.Cityfrown Cleric 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
6
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied, oral or written_"
An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the
receiver or 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 grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance.coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compbance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants —
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certifacatc(s)of
insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The of adavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant
Please be sure to fill in the permit/license number which will be used as a reference number. In addition;an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number.
The Commonwealth of I�Iassachusetts
Depaitmemt of Industrial Accidents
office of kyestiptious
600 WashaVan Street
Bos'iou,MA 02111
Tel.A 617-727-4900 w 4-06 or 1-977 MASWE
Revised 4-24-07 Fax# 617-727-7749
www.mas&go-=fdia
MID CAPE ROOFING
_ 11 RUSSO ROAD
r WEST YARMOUTH, MA 02673
508-775-3799/508-385-8801
Barry Merrill & Paul Merrill
Job Site Address Mailing Address
Name: Caroline Banks Name:
Street: 208 Carlson Ln. Street:
City: W. Barnstable, Ma City:.
Telephone: Telephone:
We hereby propose to furnish all the materials and all the labor necessary for the completion of:
roof replacement of the dwelling at the above address. Mid Cape Roofing proposed to remove
and dispose of the-existing roof. The roof will be replaced with CertainTeed Landmark Pro
Designer shingles.The shingles will be max def 250 lb. Color Weathered Wood
Aluminum drip edge will be installed along the gutter line. Ice&Water Shield installed on bottom
edges to protect ice back-up. 15 pound felt paper will also be applied to the remainder of the
roof. The shingles will be installed using (6)1% inch roofing nails. New pipe vent collars will be
installed. Ridge vent will be installed along the ridgeline of the roof to provide proper venting of
the attic space.The 5 Skylights in the home will be changed to Velux Solar powered Skylights.
Mid Cape Roofing guarantees the workmanship for a period of 10 years. All walls and
landscaping will be protected from damage; the property will be raked and cleaned of all debris.
All material is guaranteed to be as specified and the above work is to be performed in accordance
with specifications submitted for above work and completed in a substantial workmanlike
manner for the sum of: $27,200.00-All discounts have been applied.
Payment made as follows:
Deposit of: JIQ00.00 the day the job is started and remainder to be paid on completion.
Any alteration or deviation from the above specifications involving extra costs will become an
additional charge over and-above the estimate and will be discussed with the homeowner.
Respectively Submitted bdcC,aup�e of
NOTE: This proposal may be withdrawn by Mid Cape Roof i g if,not accepted within 30 days.
Acceptance of Proposal
The above prices, specifications and conditions are satisfactory and are.hereby accepted. Mid
Cape Roofing is hereby authorized to perform work as specified with payments made as
outlined above.
Accepted: el- f 2
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o w c Unrestricted-Buildings of any use group which
.n U) 'contain less than 35,000 cubic feet(991m3) Of.:..
3
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rn c L) a0. Failure to possess a current edition of the Massachusetts
E V State Building Code is cause for revocation of this license..
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� m o For DPS Licensing information visit: www.Niass.Gov/DPS
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Mee✓ �.� m of onsun,
HOME I Affairs&B siuRe /
IV►PROVE gulatiop
1'r Registration: MENT CONTRACTpR
Ez iration: 1:61458.
d P 10/20/2014
: APE ROOF1Nr:' Partnersfiip
BAR
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RUSSO Rp �:
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UTF► 'MA�2673': 7
Un ersecretaty
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Zjcense.or registration valid for.mdividul use only, `^;n
a� before the expiration date. Tf found return to;: .;'. ;
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.Off ce of Consumer Affairs andZu iness Regulation:.:.';
101'ark;Plaza-Suite 5170 .
Boston',.1V1A 02116
Not alid wrthou signature a
Application to' y-
P.F�
Old King s Highway Regional Historic District Committee
l
in the Town of Barnstable for a
CERTI FICATE OF APPROPRIATENESS
Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans,.drawings or photographs
accompanying this application for:
CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction: ❑ New Building . ❑ Addition ❑ Alteration
Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other
2. Exterior Painting: ❑
3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign
4. Structure: [Jf Fence ❑ Wall ❑ Flagpole �] Other
(Please read other side for explanation and requ remen s).
TYPE OR PRINT LEGIBLY Y . ' �: DATE
ADDRESS OF PROPOSED WORK ASSESSORS MAP NO. I ��
OWNER 9-o bP_r—A- m c c\c r o` ASSESSORS LOT NO.
HOME ADDRESS I_d-.r-1 at- IF Zr TEL. NO. 3L� ' 7 60cg
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
-76 r t -C w6
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AGENT OR CONTRACTOR r 12c� 5 et ,e5 TEL. NO. g SS
ADDRESS Ib 7e-ep j n,-;A Lennie Ite
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including
materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed
locations of new signs. (Attach additional sheet, if necessary).
Si n e d 7?'(1 �u-� �� , . Gk4l C`
9
(" —~-- — Owner-Contractor-Agent
1 O Pa w e• r itt
to The Certificate is her �/ /� Date
By �*
Approved IMPORTANT: If Certificate is apprcved,approval is subject to the 10 day appeal period
L provided in the Act.
Application to '
,wjTN;PIh N ,"
S�PN�OPN'N"S�i.P,w�
Old Kings Highway Regional Historic District Committee ,
in the Town of Barnstable for a
CERTIFICATE OF APPROPRIATENESS
Application is hereby made, iritriplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs
accompanying this application for:
CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction: ❑ New Building . ❑ Addition ❑ Alteration
.Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other
2. Exterior Painting: ❑
3. Signs or Billboards: ❑ New sign ❑ Existing sign �Q Repainting existing sign
4. Structure: (Fence ❑ Wall ❑ Flagpole Other
(Please read other side for explanation and requ remen s). q
TYPE OR PRINT LEGIBLY DATE h —2 Z I—
ADDRESS OF PROPOSED WORK 03 ASSESSORS MAP NO. I
OWNER t—} rYl c c�C r%e-"% o` ASSESSORS LOT NO. I`1
HOME ADDRESS �Da n r Imo^ 1—�r-1 2 LL> . (�c��2►� TEL. NO.
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
k e e 1 e �CYI c h�� ra u%�-� '? 6 W 6
> ke, e C1
AGENT OR CONTRACTOR ,
LAY` S et�a5 L i TEL. NO. (4!_� _ SS 2
ADDRESS l -2 kp'e. 1 e_
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8, other side), including
materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed
locations of new signs. (Attach additional sheet, if necessary).
Signed 4 �
`l� 1� ) G(-fGk-IL
(" Owner-Contractor-Agent
to 2 ' The Certificate is here Date
T D►,!Nf
By
Approved IMPORTANT: If Certificate.,is approved, 4ppr.,vai is subject to the 10 day appeal period
provided in the Act.
,4
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Assessor's office(1 st Floor): SEPTIC'SYSTEM MUST BE
Assessor's map and lot n mber D ® INSTALLED IN COMPLIAN
Conservation — `j WITH TITLE 5 ' •� .
Board of Health(3rd floor):J�} ENVIRONMENTAL C0DE
Sewage Permit number L � ` ��% . r. n �n rle:t ssa»rant
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Engineering Department(3rd floor): °° t°30'
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House number 2 0� �0Y1�
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
TYPE OF CONSTRUCTION L ),
19 _93
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according td the following information:
Location �-�-V r� r— C[�r1 C?� ►'l Q ��, �C3_r /1 �Ta—h I Q
Proposed Use J I t� , ✓r� rY� ,
Zoning District `r Fire District
Name of Owner ress G�k—r lso n L✓\
Name of Builder e .U'Xl r'C` S QY_18S Address 2
Name of Architect ye) Address
Number of Rooms Foundation
Exterior Roofing
Floors Interior
Heating Plumbing
Fireplace Approximate Cost ( n
Area `�g
Diagram of Lot and Building with Dimension Fee
Nj
..... ,J/00, All
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin .the abov nstru ion.
Name
Construction Supervisor's License m( 1 6 3
MADONNA, ROBERT & PAULA
No Permit For BUILD SWIMMING POOL
Accessosy to Dwellinq
Location 208 Carlson Lane
West Barnstable
Owner. 'Robert & Paula Ma(1nnna
.Type of Construction Frame e
1
Plot Lot >`
Permit Granfed July 1 , 19 93 y
Date of Inspection 19
Date Completed 9� 19
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-PART OP K. IT, fZ/QrS�
As or's I nap and lot number .....11.33-.1.........................
Sewage Permit number ...... �'S.. �4p.......® ...'
TAB i
y . .
House number ......................... .�... .... �-- `a MAWS rasa L$
.............. 9�
b 6 ��,v ✓ s- O 263q.a�000
-
TOWN- OF BARNS AR
�
BUILDING INSPECTOR CMA 2 1985
APPLICATION FOR PERMIT TO �3�L ��d'.�/:'�.. /�J � �1/
.............. ........ ....... . .. ................... ......... ............ ... .... .. ...............
TYPE OF CONSTRUCTION ..��(�O..tJ��..............................................................................................................
................................................19........
TO THE INSPECTOR OF BUILDINGS: l
The undersigned hereby applies for a permit according to the following information: �(25
= Location ?`...... :.� dh......��+,A-'e.... p. ,�/.1�. �� .......� �` ✓�. CA-
P
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roposedUse L /6 .........................................................................................
Zoning District ..... / Fire District ............................. .............. .. .............. .. ..............
�I/�D�OOiIJf�....
Name of Owner G!4.... .j.........!... .111/0h2yl Address ............ ......................................`.. /
Name of Bui� 1.�t7/Q w...�1.6 ..Ngkess ....1.7.,CRM�1.Td....�'Ay .s,. .... ......"- ,
Name of Architect .................Address
Number of Rooms Foundation �6}iC2��
.............................................................................
Exierior .�/�P�uzSaQ. �............................................Roofing � ....Cil�� n
f. ..........................................
` 7 .- /1� i� � �i�C
Floors ��..!��.................................................................Interior �..........`u.Q..................... .....cS��9 . .........,
� _ J J�
Heating rir'. :j..1�O.1. t?/!s7 -.���. /...!.............Plumbing .2.....4...
Fireplace � �1?? `� .....................................Approximate. Cost e�
......................................... . .......
Definitive Plan.Approved by Planning Board--O—' �__-----------19 Area t.(�..,n...� ......"....
Diagram of Lot and Building with Dimensions ................... .....................
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 To Q"rnstae g ing the above
construction.
Name . .. ....................
X, 0g33a.0
Construction Supervisor's License :.:........... .... .. ............
4D,06AI?� -RC6 iA 7-
'--F a=u F s,---!a c
.,1-Ni ...30745 Permit for .......two...story_...
it single famil.Y. dwelling....................
... . .............................. .......
Location ..............2.0...8....Carlson Lane................
West Barnstable
...............................................................................
Owner ...Paul...F.....Williams Homes, Inc.. .. ...... .. .... .... . . .... .. . . .... ..
Type of Construction ..............f.r...a..m...e....... ..........
................................................................................
Plot ............................. Lot .........A14................
Permit Granted ................Mqy.. ...........19 87
Date'6f Inspection 19
Date Completed ./Jo.....z5''47/.........19
At
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K, 14, dO
Assessor's map and lot number ...... ...........P, ...... 0*THE 0
Sewage Permit number .......T-s 4o........0 k- 8
....... .. ... ..... ... ... .. ... ..
DAWSTAX
House number .........................#.:?-�S............................ NAAW-1
1639; '
TOWN OF , BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...�� ....... ...... ......... ........
TYPEOF CONSTRUCTION ....................................................................................................
................................................19........
TO THE INSPECTOR OF, BUILDINGS:
The undersigned hereby applies for a permit according to the following information::
X
Location 4, ................ .............
............................. ..................
ProposedUse ........z........'. ............................................................................
AgDistrict ..... ................................................................Fire District ..............................................................................
............... /,�ZZx/..,..?..&,ffAddress . ................... ... ............................
Nai'0-41 of Owner
11!7 J .
Name of Builder .........../........e..............................................Address .._y...;.?/ a....:.................................................................
..........Address,,,.',./",)//< 'IWZ). ...................
Name of Architect ......................... .............................. ........0 ..
...................................................................
Number of Rooms ... .........................................................Foundation C"al
Exterior ....................................................................................Roofing ..............
.......................................................................
Floors
I.,?
...... .............Interior
............................................... .............:..................... .. ............
.. ... ......
................Plumbing ................ ..................................................................
Fireplace ... Z6...... ......................................Approximate'Cost y........... ..................................
Definitive Plan Approved by Planning Board/,--/ -----------19 Area .........
'f Lot and Building with Dimensions
Diagram 0 Fee ........,Pa...................
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 .
.. .
..............................................................................
Construction Supervisors License .............. . .. ............
. . .
Paul F.^ Williams Homes, Inc. �.
30745 two story
No ................. Permit for .................................... 1
single family dwelling
Location 208 Carlson Lane
West Barnstable v
............................................................................... ,
Owner Paul F. Williams Homes, Inc.
Type of Construction frame
......................................................... . .............. "{
Plot ............................ Lot ............#14
....................
Permit Granted ..................1` Y..1.4.........19 87
Date of Inspection ....................................19
Date Completed ......................................19 ~
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PERMIT PLErED 1/1/ -9�?
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C ER T/F/EIS PL®T LAN
FOR :
TOWA(OF: LOT: /�x 14A E
SCALE-: � -�' DATE Y .30, /9,66
/ CERT/FY THAT W14AT 13 ,51 OI�/W ON Tf//S PL,4 N /S AS /T E.Y/STS
ON THE GROUND kVD CONFORMS TO TNG TObt/A/ REWL4T/ONSA7
7HE TIME OF CONSTRUCT/OM.
PATRIC
rA,4 ®6/ TH3 MA
,,two TOWN OF BARNSTABLE Permit No. ....30745....
BUILDING DEPARTMENT
I swan I TOWN OFFICE BUILDING Cash
M�
HYANNIS.MASS.02601 Bond .......X.......
CERTIFICATE OF USE AND OCCUPANCY
Issued to ROBERT MADDONA
Address 208 CArlson lane, West Barnstable
USE GROUP FIRE GRADING OCCUPANCY LOAD
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.
November 1 91
.......................... 19.. ......... ... .
Building rispector
+
,fjwE TOWN OF BARNSTABLE Permit No. ..Ai? 4
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
7 \Yl
HYANNIS,MASS.02601 Bond A t
CERTIFICATE OF USE AND OCCUPANCY
Issued to ROBERT MADDONA
Address 208 CArlson Lane, West Barnstable
USE GROUP FIRE GRADING OCCUPANCY LOAD
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.
November 1 91
.......................... 19........... .. ........... ...........
' Building nspector
BUILDING PE3:fIT NO. '3C�7�{.� �'= - �V,
ASSESSORS PARCEL NO.
CO NIT INTUATION Or ROAD BOND
The undersigned ou-ne=/contractor hereby agree to maintain the__- road bond in
force unt=i the following work ite=s are cc=leted to the sat=sfactien of the
E nginee_ing Sec_4.on of the Detarrent of Public works:
lca= and seed shoulders as sac-,. as
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TO W OF.BARNSTABLE, MASSACHUSETTS'-
. ' BUIL'DING ...-E .
Aw133"1 DATE 19 87 PERMIT f�• t � P��ti�S�.N;�� ��
APPLICANT owner ADDRESS
.(N0.) (STREET) - ".CLC•OWf R!"S L CENSEI.
Y
PERMIT TO - ' I STORY 7 NUMBER OF .;;• S t.t,.}r��,,....
F 'DWELLING UNITS
AT.(LOCATION) ZONING•
(NO )let�J1/ -2O8C.;r d Et RarnirFah3Q+ E7I
DISTRICT—" _
' BETWEEN. AND
(CROSS STREET) (CROSS STREET,
SUBDIVISION LOT LOT
BLOCK SIZE
BUILDING.IS TO BE FT, WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM*IN.'CONSTRUCT•ION
i
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE) ,
REMARKS: ,wase y_,,,
AREA OR HOND.'.. :
VOLUME' ��9 S(� ft ESTIMATED COST __ -1H0.000 PERMIT � _L203 OO j.. (CUBIC/SOUAgE FEET) "FEE
OWNER ' wi-1 11 a,
n r, Fimm�c 7 r 1
ADDRESS 561 Ul fl{r Ctraat '4 lrr h(� ( ^ BUILDING DEPT.
fl'7(75Q BY
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MINAL INSPECTION
TI TO BEFORE
FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1
2 2 --- 0�— 2
/d
3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
OTHER 2 BOARD OF HEALTH
WORK SHALL NOT PROCEED UNTIL THE INSPEC- P E RM 17 WILL BECOME NULL AND V01 D I F CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SI MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTIOI, PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.