HomeMy WebLinkAbout0717 CEDAR STREET 7/-7 Cf
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`oF1He r Printed On: 12/2/2019
Complaint Call Report .
717 CEDAR STREET, WEST BARNSTABLE
pTE °�00 Case# C-19-744
Case#: C-19-744 Address: 717 CEDAR STREET,WEST Date: 9/25/2019
BARNSTABLE
Owner Info: Property Info:
MEDEIROS, DIANE D MBL:
717 CEDAR ST 109-015-013
WEST MA 02668
BARNSTABLE
Owner Notified?:
Complaint Details:
Type of Complaint Classification of Complaint Method of Complaint
Building Code, Medium Priority Phone
Complaint Summary:
Requestor reports that the roof is being repaired without a building permit.
Action History:
Action Taken Date Description Fee Inspector
Close Case 1212/2019 B-19-3198 was issued $0.00 bowerse
and closed
Inspector Assigned to Complaint: bowerse Filed by: parvini
Comments:
Comment Date Commenter Comment
Date: 12/2/2019 Town of Barnstable
�� -1 ��
Application number...............r............. .... ...........
'PJJJFR7i,1J� Fee ............. .0.:. .................................
• w - � e
i � •
NAM 6 SEP 2 2039 Building Inspectors Initials..... ..................
q (�, l G�
M0� Date Issued.......t._.a.v~......k..............................
F TOWN�,)� 8AHNS--ABLE G _
Map/Parcel.............:0 ! �' —
TOWN OF BARN STABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
wy
Address of Project:
N643ER STREET VILLAGE
Owner's Name�c ('1.�-}IV t Phone Number
Email Address: Cell Phone Number
Project cost$ � � Check one Residential. U Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize c 4 ��� r 1z
to make application for a building permit in accordance with 780 CMR
Owner Signature: Date:
TYPE OF WORK
❑ Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization
❑ Doors(no header change)# Commercial Doors require an inspector's review
oof(not applying more than I layer of shingles)
Construction Debris will be going to • f.2 , W f'� S'}�, ���.,1 -• G 8'O
CONTRACTOR'S INFORMATION
Contractor's name i C�g L✓ /'\C T
6 Ho�m Improvement Im rovement Contractors Registration(if applicable)# (attach copy)
Construction Supervisor's License# d 0 Lf 9 a'. (attach copy)
Email of Contractor M I Le f � J �G s
14 6 P'® �n+�^g. Phone number c �
BALL PROPERTIES THAT HAV RUCTURES OVER 75 YEARS OLD OR/F THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
or
APPLICATION NUMBER....................................................�t.....,,,,
*For Tents Only*
Date Tent(s) will be erected Removed on number of tents total
{
Does the tent have sides?Yes No ' (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide'a site plan with the location(s) of each tent
Fuel source being used LP tank 20 lbs. or> Yes No , if yes, a gas permit is required.
Natural Gas Yes No , if yes,a gas permit is required.
If food is being served at.your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval.
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand
the construction inspection procedures,specific inspections and documentation required by 780
CMR and the Town of Barnstable.
Signature Date
APPLICANT'S SIGNATURE
tSignature t' Dated P 5-
h�
All permit applications are subject to a building official's approval prior to issuance.
w The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organizationtlndividual):
Address:
City/State/Zip: Phone#:
Are you an employer?Check the appropriate ox: Type of project(required):
1.❑ I am a employer with 4.X I am a general contractor and I
employees(full and/or part-time).* . have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
workingfor me in an capacity. employees and have workers'
Y P h'• t 9. ❑Building addition
[No workers'comp. insurance comp.insurance.
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12. oof repairs
insurance required.]t c. 152, §1(4),and we have no
WR
employees. [No workers' 1310 Other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
=Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lie.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal 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 forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify der the pains and penalties of perjury that the information provided above is true and correct.
cS ature: Date:
Phone#:
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
ow r<r.
Information and.,Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to 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,constniction 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 compliance 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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(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 cant'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 affidavit 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 in 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 Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington.Street
Boston, MA 02111
Tel. #617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax#617-727-7749
www.mass.gov/dia
i
RooF/SID
Adc1res P
s °f p ,°Ject:
Office of Consumer Affairs& Business Regulation '!
HOME IMPROVEMENT CONTRACTOR i
TYPE: Individual
�e 1 tr 'or �xgira.�l4t!
04/12/2021
M1CHAEL W. GOMES ;
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MICHAEL GOMES _`
540 STAPLE ST. "
E. TAUNTON, MA 02718 � GL. arc
n U dersecret .
Fa C' ! i
Itlr� Commonwealth of Massachusetts
e up Division of Professional Licensure , .�
?fupt Board of Building Regulations and Stanc aro-
chest. Constribri� rvisor
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MIC,HAEL WCsOM r
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�40 STAPLE S
FAST TAUNTONP A 0271, ;
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MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza TOWN OF BARNSTABLE
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392.6108. FAX(8001811�814 7 N 1'
8/27/2016
Form of Notice of Casualty Loss to Building
Under Mass. Gen.Laws;Ch.139,Sec.3B �� i
BARNSTABLE BUILDING COMMISSIONER
367 MAIN STREET
HYANNIS MA 02601
Re: Insured: DIANE G MEDEIROS'
Property Address: 717 CEDAR ST.WEST BARNSTABLE, MA 02668
Policy Number: 1258479
Type Loss: Water Damage:Appliance failure
Date of Loss: 08/21/2016
Claim Number: 408718
Claim has been made involving loss,damage or destruction of the above captioned property,which may either
exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any
notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the
attention of the writer and include a reference to the captioned insured,location, policy number,date of loss
and claim or file number.
MPIUA Claims Division
CMA00021
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Ctngs14ighway Regional Historic District Committee
in the Town of Barnstable for a
;n Yli, S
CERTIFICATE OF APPROPRIATENESS
�7-^-AWI`cation Is hereby made, id triplicate, for the issuance of,a Certificate of Appropriateness under Section 6 of Chapter 470,
AtKs and Resolves of Massachusetts, 1973, for proposed work as described below and on plan, drawings or photographs
�'ilCooinpanying this application for.
e x77"
� CHECK CATEGORIES THAT APPLY:
a Exterior Building Construction: f New Building ❑ Addition ❑ Alteration
)tidicate type of building: ❑ House ❑ Garage
..•. ge ❑ Commercial ❑ Other
$•Exterior Painting: ❑
Signs or Billboards: New sign ❑ Existing sign ❑ Repainting existing sign
f A.`�'Structure: ❑ F,ence❑
Wall
}• ;•r. ❑ ❑ Flagpole ❑ Other
v; (Please read other side for explanation and requirements).
rs J'YPE OR PRINT LEGIBLY DATE � /G
'► ADDRESS OF PROPOSED WORK --Jk/( I '' _.!✓, L ASSESSORS MAP N0.
4.,OWNER ll//�Kc�OJ �Jv, /�f/�f y / , /402 o1( /MVO r
, °�,,,. : • L ASSESSORS LOT NO.
' 4f,N"OME ADDRESS
k .�G C✓�G 0 .T/ /1 a4w of rG 10�I TEL. NO.3Ly
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
. AGENT OR CONTRACTOR TEL. N0. —76 7 ZZ
..ADDRESS �J �✓• /� GC/�'7 S-�� /�C
'..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 exist ng signs and proposed
+`.locations of new signs. (Attach additional sheet, if necessary).
c o �,F
� �N
� Signed
l•. Owner-Contra" •Agen
Spa below line for Committee use.
y J: Ifteived by H.D.C.
I 6?0 rit"0 ,ae,L etc... V_-_,u
Date _._. • The.Certifi to ' here ate
7 J f
Time
B I U
Y
Approved — IMPORTAINT: If Conifieslte Is approved,approval Is subject to the 10 day appeal period
provided In the Act.
° Disapproved ❑
)
Form "A-l"
n
OLD KING'S HIGHWAY HISTORIC DISTRICT
S p e c S h e e t
11
Foundation Type
Siding Type
Chimney Type -I ooD inc'n, Color
1 Roof Material Color
it
7
Pitch S �- �•
Windows Sal. Size
Trim Color
Doors Lf Color
ShuttersL1��
Gutters
Deck
Garage Doors C r,-- Color
WA
Notes: Fill out completely, including measurements and materials/colors to be used.
Three copies of this form are required for submittal of an application,
along with three copies .each of the plot plan, landscape plan and elevation
plans, when applicable.
*Plot plan need not be "Certified", but should shbwl-a11 st'ru'ctures on the lot
to scale. '19
APR 6
11911
��� a\1v17 J I�Sa las
4.err�..�t.?tf:• �� /4-�l, Nii. •s► ti*,,4�,.-.y.w y'f s.•,+,<. -,.s.�r�'f -4 .r .�`r•`=-%-r•. ,.1. ' ,---W ..*.f�
71
Assessor's office(1st Floor): q
Assessor's map and lot number. 1 ' U 4 1� _ �o�THE
1 To` .
Board of Health(3rd floor):-
Sewage Permit number // �� // ✓ r •
13ARBSTAILE
Engineering Department(3rd floor): ma sy/ r.es
o
House number t639-
Definitive Plan Approved by Planning Board 19
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1-.00-2:00 P.M.only u�
TOWN * OF BARNSTABLE
. BUILDING INSPECTOR .z* M
APPLICATION FOR PERMIT TO i L,17
TYPE OF CONSTRUCTION
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location
Proposed Use �� A—
i
Zoning District v Fire District
Name of Owner 2 ZX Addres/fu Is
Name of Builder le,�rAddress
Name of Architect Address
`� -." •�
Number of Rooms Foundation
Exterior Roofing
Floors 4 !/ Interior ./:/
Heating .� Plumbing C t
Fireplace-( —) e zz Approximate Cost
Area
S Q �
Diagram of Lot and Building with Dimensions Fee
e
Z /
3C-
r
. I ,
• j
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the ab-ve construction.
1 '
Name
Construction Supervisors License
i
NICKULAS, DONALD
A=109-015-013
0113
No 3 4 410 Permit For 11 Story
Single Family Dwelling
Location Lot #6, 717 Cedar Street
W. Barnstable
Owner Donald Nickulas
Type of Construction Frame
Plot Lot
Permit Granted June 20, 19 9 i
Date of Inspection 19
Date Completed 19
''ERMIT COMPLETED1/1/ �� "
r� .
/ Assessor's office(1st Floor):
Assessor's map and lot number J ly 7 J• '0 ( 3
Board of Health(3rd floor): 4y
Sewage Permit number /� D _ INSTALLED K=j
Engineering Department(3rd floor): /y -^y r WITH TITLE �Beaa�a LL 2
House number • /.� / ��r'1 WITH
C
Definitive Plan Approved by Planning Board 19 TOWN' rY
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN ' OF BARNSTAL=LE , CO PzR
r S 1
BUILDING I N S P E C T O ne,°ate°n commission
s
ig
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION zz
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a per it according to the f ing information:
Location
Proposed Use S�.
'�
Zoning District , L Fire District rr zy
Name of Owner i/( `� !�� �r Address�U ��� � z . � C��� f /�[--
Name of Builder -rA dress
7
Name of Architect Address
Number of Rooms / Foundation i
Exterior tl� J 4` A C'<f>'C4�7G rs Roofing t /�
Floors Interior
Heating Plumbing
Fireplace Approximate Cost V
` Area 4 /DOg
Diagram of Lot and Building with Dimensions Fee R(Q, 73
47
C-C CA."
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding a construction,.
Name
Construction Supervisor's License
NICKULAS, DONALD
No 3 4 410 Permit For 11 Story
•: '.` Sii 41e Family Dwelling
Location Lot #6, 717 Cedar Street
o
W. Barnstable
Owner ' Donald Nickulas
Type of Construction Frame
Plot Lot
Permit Granted June 2 4-,' 19 91
Date of Inspection��'�� 19
D I t 19
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�I,; TOWN O7.F BARNSTABLE,-MASSACHUSETTS B I D' G ` PE m'
A-109-.015.013 r. t f��l},
DATE June 24 19 91 P RMIT'ryO,�O 34di�ti r
1- AP.PLICANT•' Nlckulas Bulldees ADDRESS OX '�V , W•• �arnata'bl ,
#2 2 65_ ,<
i (NO.) (STREET) •,• r (CONTR S UCENSEI
dr PERMIT T-Bui-ld. Dwelling 1§ Single. Family DwellingUMBER -0F r -�
(_) STORY WELLING UNITS } •�
1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
'•AT (LOCATION),_Lot #6, 717 Cedar Street, W. Barnstable
INo.I ISTREETI DISTRICT.
BETWEEN
AND
(CROSS STREET) (CROSS ST REETI•C
SUBDIVISION LOT
LOT BLOCK SIZE .:• r / k s
BUILDING IS TO BE FT. WIDE BY F7, LONG BY FT. IN HEIGHT AND SHALL CONFORM JN CONSTRUCTION
0--TYPE USE GROUP
BASEMENT WALLS OR FOUNDATION
REMARKS. Sewage #91-268 ITYPEI. n(,
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4 .Bond
l
AREA OR 1008 s ��nn
x 4 VOLUME -Q/�t' ESTIMATED COST $ 55 P 000• 00 PERMIT. 81 , .•
( y r (CUBIC/SQUARE FEET)
� OWNER `Donald Nickulas
,ADDRESS BOX 507, GV. Barnstable BUILDING DEPT. i' w
3`r 'BY
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'Pdlt�7'Al E1J`I""a P*0181CTc'W' -.• •:'•t -u..11.:3...rb�:�1_..2t;S.(•:
O'R'1Z5:—'rl•1`E'1SSTJAIJ"C-�`O�''Y-I-rI$-HERMIT DOES NOT RELEASE THE APPLICANT FROM TH ONDITIOkai
NS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL -APPROVED PLANS MUST I E 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,.
ELECTR1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANI CALF INSTALBLIATIONS.O�=
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO LATH). ;
3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE,
OCCUPANCY. ,e �•
POST THIS CARD SO IT IS VISIBLE FROM STREET.
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS
ELECTRICAL INSPECTION APPROVALS
V iAt
AT H E IN 1 G INSPECTION APPR'OVALS1 ENGINEEpING DEPARTMENT
I nd
I
\ ( a rj T ' BOARC),QF H LTH
� �;9;2. " / .Z7
OTHER
SITE PLAN REVIEW APPROVAL
I
WORK SHALL NOT PROCEED UNTIL THE INSPEC. PERMIT 'II!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE
CONSTRUCTION. PERMIT ;S ISSUED AS NOTED ABOVE, ARRANGED FOR BY TELEPHONE OR WRITTEN
NOTIFICATION.
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LOT 5
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FAUN ,
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21
LOT 6
45, 229 +/- SF
(1.04 +/- AC) LOT 7
00• LOT 8
LOT 10
i # 91-130-6
CERTIFIED PLOT PLAN
LOCATION : CEDAR ST. W. BARNSTABLE PREPARED FOR:
SCALE : III = 50 , DATE : 05113191
REFERENCE : L— 6 PB 462 PG 32 NI CKUL A S HOMES
I HEREBY CERTIFY THAT THE STRUCTURE
SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND AS SHOWN HEREON. P`1H Of yqs,
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down cape engineering inc. o•32,602 Q
CIVIL ENGINEERS ttR/
LAND SURVEYORS /Uv 3/99/
RTE 6A - YARMOUTH, MASS. DATE RE SURVEYOR
I
DEPARTMENT OF PUBLIC SAFETY
COMMONWEALTH 1010 COMMONWEALTH AVE.
OF BOSTON,MASS.02215 1 ENCLOSE CHECK OR MONEY ORDER
MASSACHUSETTS
�5�.. LICENSE FOR REQUIRED FEE,
33 CONSTR. SUPERVISOR
EXPIRATION DATE MADE PAYABLE TO
06/30/1993 o EFFECTIVE DATE LIC-NO. "COMMISSIONER OF PUBLIC SAFETY"
RESTRICTIONS 0 6/3 0/1 9 91 002265
NONE- (DO-NOT SEND CASH).
LARRY D' NICKULAS m ''
BOX- 395
WEST HYANNISPORT -NA . 02P EASE NOTE F�, INCREASE
PHOTO(BLASTING OPR ONLY) FEE: • ' •�E EC T I Xt EB. '1. . 1989 '
100.00
NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY _ Y(,�•�.
• HEIGHT: STAMP OR-SIGNATURE OF'THE OMMISSIGNER. i
SIGN NAME IN FULL ABOVE SIGNATURE LINE q
• •,a, SIGNATURE OF LICENSEE ZF,�
T DOCUMENT MUST BETHIS •: .
CARRIED ON THE PERSON OF
ER i
I{ - THE HOLD WHEN ENGAG OMMI$$IONER
OTHERS RIGHT TNUMB PRINT ED IN THIS OCCUPATIO �I�� _ �iJ
• ` .. .. 'Sri v�!ib�"'M•✓ (, - � r _��,.
. �200M•2.87�1429 ....._.a_.-_.L- _ ,
)
TOWN OF BARNSTABLE 34!1O.....
� Permit No..
BUILDING DEPARTMENT
! ' ! Cash
TOWN OFFICE BUILDING
HYANNIS,MASS.02601 Bond ................
I
CERTIFICATE OF USE AND OCCUPANCY
Issued to Donald Nickulas
Address Lot #6, 717 Cedar Street
West Barnstable, Mass.
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.
August 27, 91
19................. ..........1....... ......................
Building Inspector
M+ s.,,,� ,_ �r ,.;, _ �� ,.i.. a �y.,, g, i� +Wt •3 � ,fie:
TOWN OF BARNSTABLE Permit No. ..3 o
BUILDING DEPARTMENT
Cash
TOWN OFFICE BUILDING
........
►�o.►Y HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to Donald Nickulas
Address Lot #6, 717 Cedar Street
West Barnstable, Mass:
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.
01
August 27, t9 ....g1 Q
Building lnspector
{ ,.r�� � '"L .' ,Y....rr .,,.+ti,�L'y,,;,yr���r'�%ice,.-.n•t-..: •'�I ti,,,•• r ` -^
r .
TOWN OF BARNSTABLE
_ BUILDING DEPARTMENT
_ )AR IT TOWN OFFICE BUILDING
MAIL
HYANNIS, MASS. 02601
�o rnr►�
MEMO TO: Town Clerk
FROM: Building Department
-DATE:
An Occupancy Permit has been issued for the building authorized by }
BuildingPermit #.......:. �1. ..... ..................:'............................._.............................
issuedto /�ll. ................................_..................................
.
Please release the performance bond.
i
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