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HomeMy WebLinkAbout0731 CEDAR STREET i '1 Sim UPC 12543 No. 53LOR., 'fir HASTINaS. YN t S s oF�rqt, Town of Barnstable *Permit - � Expires 6 mor�hs fr issue date ' Building Department Services 1�'eeTrD IV , _ : B,ST,mIZ : Brian Florence,CBO MASS, 039. �$ Building Commissioner �1 1°rFp Mp'l 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number � � Property Address 4��" b Residential Value of Work$ C'160 -UJ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 'todo-.4-c _ d 44 kA :!y 'gyp Contractor's Name /3 i 1/i HOS h- Telephone Number 61,41 �Ip Home Improvement Contractor License#(if applicable) l000 2__� Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurances Check one: r AUG R a�'7�� El am a sole proprietor l �t�/�, El the Homeowner � I have Worker's Compensation Insurance RNS D r LNG Dtc Insurance Company Name 4 -� A � �d CJ ..�/�S Workman's Comp.Policy# �'✓�� ��I I ZG/ /7 Copy of Insurance Compliance Certificate must accompany each permit. es Permit Requ check box) Ly", C__ e,4 e-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to e w r✓�"� ❑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: '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 me Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 08/16/17 I i Town of Barnstable r Regulatory Services URMA Richard V..Scali,Director ecM.�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I rheodore Mandel , as Owner of the subject property hereby authorize Fill Bill Croston Building Contractors to act on my behalf, in all matters relative to work authorized by this building permit application for: 31 Cedar St West Barnstable (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. ` Signature of Owner Signature of Applicant Print Name Print Name �- o7 �) Date i The Commonwealth of Massachusetts Department of Industrial Accidents s 1 Congress Street, Suite 100 Boston,MA 02114-2017 . www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: 0. /1. � 3 City/State/Zip: (�,��aL^ark P,L D'Z`f-r Phone #: 6`V Y 79/ J M Are you an employer?Check the appropriate box: Type Of project(required): I.31am a employer with V employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑ Demolition 3.❑I am a homeowner doing all work myself[No workers'comp.insurance required.]t 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. twill 10 ❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole I I.❑ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.E?Itbof repairs These sub-contractors have employees and have workers'comp.insurance., 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§](4),and we have no employees. [No workers'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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: A- w 2G Expiration Date: 11f 17 Job-Site Address: / C I C .1 A- G City/State/Zip: 4✓ ljrwiiS'4'+O4 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, y§25A is a criminal violation punishable by a fine up to$.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. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. j I do hereby certi nder the;a& ies of perjury that the information provided above is true and correct. 2® /j Sie nature: Date: i Phone Official use only. Do not write in this area, to be completed by city or town official i i i 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 i Contact Person: Phone#: 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, 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 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 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 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 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 i 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 burn leaves etc.) said person is NOT required to complete.this affidavit. , I The Department's address,telephone and fax`number: The Commonwealth of Massachusetts i Department of Industrial Accidents 1 Congress Street, Suite 100 i Boston, MA 02.114-2017 � Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia ACC:) CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `.� 10/03/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME; Christine Davies DOWLING & O'NEIL INSURANCE AGENCY PHgNE 508)775-1 A 620 tC A/C No E-MAIL ADDRESS: cdavies@doins.com 973 IYANNOUGH RD. INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURERA: AIM MUTUAL INS CO 33758 INSURED INSURER B: WILLIAM W CROSTON INSURERC. WILLIAM W CROSTON BUILDINGCONTRACTOR INSURERD: P 0 BOX 138 INSURER E: OSTERVILLE MA 02655 INSURERF: COVERAGES CERTIFICATE NUMBER: 90521 REVISION NUMBER: 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM DD MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RE TED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JET LOG PRODUCTS-COMPIOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per.person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Is UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X I STATUTE ERH AND EMPLOYERS'LIABILITY YIN _ ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? NIA NIA NIA AWC40070134192016A 09/08/2016 09/08/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below 1 E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorizallon is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govAwd/workers-ompensaVonMvestigations1. Sole proprietor has not elected coverage. Continuation of above Named Insured:WILLIAM W CROSTON BUILDING CONTRACTO CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Villages at Brookside Condominium and TDG Management Inc ACCORDANCE WITH THE POLICY PROVISIONS. 4 Preston Court Suite 101 - AUTHORIZED/1CRE PRESENTATIVE Bedford MA 01730 caj. f.� Daniel M Cr y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved'. exo 61114"area"eal��n�C-Y�liaaa ?e%iuelld Office of Consumer dffsirs&Business Regulation` License or.registration valid for individual use only ' HOME IMPROVEMENT'CONTRACTOR before.the expiration date. If found return to: Registratiori ''100023_ 'Type: } Office of Consumer Affairs and Business Regulation'f '' 10 Park Plaza-Suite 5170 Exptratton:-6/8/2018 DBA• ' ( � 3 �fr, Boston,MA 02116 BILL CROSTON BUILQING CONTRACTOR i WILLIAM CROSTON' _�_ 155 SUOMI RD �- '=�-' •'� t' "HYANNIS,MA 02601 ..-Undersecretary i Not valid without signature /J Massachusetts Department of Public Safet `®� Board of Building Regulations and Standards License:CS-014112 s= Construction Supervisor WILLIAM W CROSTON JR 65 SUOMI RD HYANNIS MA 02601 CCtll� . „ I Expiration: I Commissioner 04/26/2018 l ri e .l e y�omro�anneoea/lX o��i!aaaae�iueel�it - . fogOffice of Consumer Affairs B Business Reguledon' j License or registration valid for individual use only HOME IMPROVEMENTCONTRACTOR k before the expiration date. If found return to: RegistraUon�,11:00023_" 'Type: s Office of Consumer Affairs and Business Regulation' i.. Expirati6ii.?f=6(8/2018 'DBA 10 Park Plaza-Suite 5170 T'�- f �= Boston,MA 02116 'SILL CROSTON BU ? NG CONTRACTOR WILLIAM CROSTON; ) .55 SUOMI RD 'HYANNIS,MA 02601 p. e Undersecretary$i Not valid without signature 4' ir. Constrtsction'Supervisor ' Restricted 'to: ' Unrestricted-Buildings.of,any,,psgggbuV hiCh.contaih.'Ie pahan;8�i00.O c'jbic'feet(991 cubic me' ters+)of."iSnelosed space. Failuie to'p'ossess a curre nt edition of the Ma State Byilding Code is causese ssachusetts for revocation of this license. ''DPS.Licensinginformationvisit:WWW.ASS.GOV/DPS I o Assessor's office(1st Floor): Assessor's map and lot number %�. /0 ©��. O /` 'STEIVa MUST BE + Board of Health(3rd floor): ` :INSTALLED IN COMPLIANCE Sewage Permit number WITH TITLE 5 Engineering Department(3rd floor): ENVIRONMENTAL CODE AND a,artia t t House number �� T o Definitive Plan Approved by Planning Bo d !f —l0 19 N RECUL�TI®NS o�a�t,Y APPLICATIONS PROCESSED 8:30-9:36 A.M.and 1:00-2':00 P.M.only TOWN . OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION �`�2:w, GSA i a-%,, J,90DG 8—O jJ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: t •' Location e q ,> Proposed Use \n S1,4)64 73�m/.l 1' Zoning District '' ' Fire District U11, cA A Name of Owner S.,<��� \ � r� �, �,nd Address 1 244 W�.�,�� e:\ r,«_ ��hQ �r, ,.J N Name of Builder %.&Lt Cc,,I— f�, _ Address 'ZO \►J�r.���17�.�rx.2 t-c,rv� UJ , iavnnar��� Name of Architect Address �— Number of Rooms Foundation c Exterior � � Roofing Floors (�A�1 Tl► lr�DO[7 Interior 1_L. Heating !gS Plumbing Fireplace / Approximate Cost Area k Diagram of Lot and Building with Dimensions Fee �-;s f 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. G ` Name �* Construction Supervisor's License MANDEL, SUSANE & THEODORE j e No 34171 Permit For Build Two Story Single Family Dwelling Location Lot #5 . 731 Cedar Street ' West Barnstable. Owner` Susane & Theodore Mandel Type of Construction Frame Plot Lot r • Permit Granted February 14 , 19 91 ; Date of Inspection 19 r � l Date��,' omp�et�d g' 19 .. rn rut TOWN OF BARNSTABLE 34171 Permit No. . BUILDING DEPARTMENT I' I TOWN OFFICE BUILDING Cash ................ �Nl ,679. x '�o.►+� HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Susana & Theodord Mandel Address lot #5 731 Cedar Street, 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'10.'0 OF THE MASSACHUSETTS STATE. BUILDING CODE. Jul 3 91 � G^ ............y.. .L9:.... ............ ... ' Building" spector ONIE 19 PERMIT NO. APPLICAH`, a ADDRESS IND.) (STREET) (CONTR'S LICI PERMIT TO (_) STORY NUMBER OF (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) DWELLING UNITS , AT (LOCATION) ZONING . (NO.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) (CROSS STREET) 'UBDI.VISION T LOT BLOCK SIZE LOT IILDING IS TO BE FT. WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUC 'TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) MARKS: EA OR :UME EST I MATED.COST $ PERMIT FEE (CUBIC/SQUARE FEET) NER DRESS BUILDING DEPT. BY HIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK -OR ANY PART THEREOF, EITHER TEMPORARI; 'ERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST B PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBT: FROM THE DEPARTMENT OF-PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONOF OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. I'"oTIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARA INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED F- I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY I ELECTRICAL, PLUMBING AN S RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS z HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL ' WORK SHALL NOT PROCEED UNTIL THE INSPEC. PERMIT W:LL BECOME NULL AND VOID IF-CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF .WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE, ARRANGED FOR BY TELEPHONE OR W NOTIFICATION. .�''��••e TOWN OF BARNSTABLE BUILDING DEPARTMENT ! nRNST : TOWN OFFICE BUILDING riva t63% HYANNIS, MASS. 02601 'moo r�,�c►-. MEMO TO: Town Clerk FROM: Building Department ' DATE: 71 9/V An Occupancy Permit has been issued for the building authorized by BuildingPermit �#........4�?.7»! .»� �1 ...................... ..........»......................._...... ...».» issuedto ..»..».». »..»...».».».» » .._..»»»»..» ......: .».......». .........................» .............»...»»....»».»_». »»_ »»» » » I Please release the performance bond. • e CJA'rE 1B PERMIT NO. ' APPLICANT ADDRESS •� (N0.) (STREET) (CONTR•5 LI, NUMBER OF PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING DISTRICT . - AT (LOCATION) (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT '•UBDIVISION LOT BLOCK SIZE )ILOING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONS TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) MARKS: - EA OR PERMIT EA ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) NER BUILDING DEPT. BY DRESS - HIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPOR IERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MU' PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE C( OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. p;,')IMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEP INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRE[ • ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING A A FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLAT. 1.2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERSIREADY TO LATH). 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 jjz tJ z N� J Ci HEATING INSPECTION APPROVALS EN NEERI DWAREN j G� a - �JT1J �. v `1 BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT '+/!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON TH: TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHO( CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. I r,NNwouvi w a✓w R d' Old King's Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, id 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: 5�1 House ❑ Garag e ❑ Commercial ❑ Other Z Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK Lai S C oAc,-, cik-�n.,��� �-,Ajy-fZ, kJ ASSESSORS MAP NO. Iv4eRiv IN OWNER 505 x)a, -VJ1Q6<0f":L• � ASSESSORS LOT N0. h1 S'OlV HOME ADD RESSarJ��h� Ie`47MQ-, Q-r1 Lo � ��, 1, (y) OQ TEL. NO. '1`l1-�11o3a oz�'73 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). ►M r ri�v� Pct'r)Ci Trct Si-e-e C fGW0-�� Pry ��X 323', 51 n\e- ;a GC L - u-)us'�-.err\ R� AGENT OR CONTRACTOR �1 t QVNC.-L ! t CA PCL.`\ TEL. NO. ADDRESS P C� IJ�'^X Ci 3 fY)a ,Z(c(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 existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). SignedL�/�L'�'Cp�lfi� Owner-Contractor-Apent h. Space below line for Committee use. Receivedby H.D.C. Date ;The Certificate i by2 Date Time i/ � K By.; Approved IMPORTANT: If Certificate Is approved,approval Is subject to the 10 day appeal period provided In the Act. Disapproved ❑ TNO/LNA371 7.]or1e"✓ ------------- all w3w Yod o3yv.,(3yd I W oT e-oi .9,w i to .vMvru „o-,/•.�; awis .. 7%VYV9 av>Z .9ll.M 7""Vo 7� ,OL J we�lodeO aopaodml B�lPIlnB , ri(i f 1;,i 3 r 3 ,:7 7 I Avhw911iS.^r�01010 •'� 319VISKWO40 NMOI NOIlN/13'�.' 06610 1 130 630 0 ONN f •. O3A13O3tl G3AOHddt/ I matt aU •II ��J ILJ f � � IIIII NOLL A373 1H9i,V NOlLV.�J7.r 1Nc! %I . .• fJ71: a�rnd 00, 00 ' 0 OR ,(.Yi.} LLL 'EZ �ILI Ijrh f H ll a J— i`; -4 ISFi y = l�L • W o Y Ll II -'-- - i y J CC � r FIF37- .S 1 •• O—'-- III G ,`\I � �\aJ`- `v,� y L31 1 ui ui Zc 4c 7-1 cc CA ----------- zt IC NI kt' J kp' I C , V ' I• I � r�l q' O I ! I .v�r. '�I •� � i LL, J ;s' C3 • I If - ',: 2 I Ti•� j I I I ' •I T V I • I I • W ' X y ' I I •I I I I I - i :2 i SEW BY:PLYMOUTH MORTGAGE 00 2-12-91 ; 10:31 ;PLYMOUTH MORTGAGE C0-+ 303 988 010.�;+# 2 -`- s a6x8 CENSUS a .RA`CR'.. n . PlYmaukh Na-viifiF0 GQ. WOK WNER, Theo ore 8, Handal MORTGAGE I N pEi�CT 1 0 N PLAN OF LA ; D r I N W, BAR,NS° T `A LE ' Lot I t :SCALE: 1 60' FEBRUARY 11, 1991 2 5.001 4 � 03AC,t 3 23,Zr4 t i ® 2i� C1 I eaar a' rett I CERTIFY TO PLYMOUTH MORTGAGE CO, 'ANDS ITS 'TITLE IN �J�A CE CpMP.ANY,: THAT THERE- ARE NO VISIBLE ENCRA CHMENTS PR,* EASEMENTS'`'EXCE�TS' $H2OWN`' AND THAT THIS PLAN WAS PREPARED UNDERI MY IMMEDIATE SUPERVISION. "THE LOCATION OF THE FOUNDATION is IN. COMPLIANCE WITH 'THE LOCAL APPLICABLE I ZONING BY - LAWS WITH RESPECT ! TO HORIZONTAL, WMENSIONAL REQUIREMENTS ! �. THE FOUNDATION SHOWN HERE FALL �� 1 , WITHIN A SPECIAL FLOOD . HA Z NE AS �0' DEL I NEATf Q A MAP .OF COMM� N ITY # 50001, DA?'E�' L� /85.BV THE F i I i A, r _ Land 8uw6yers Civil Englrleara . (01be Poston Xub Alton.Qua.., XM 172 *41tatit." ' L`61 NOTES% (1) Tho deelerations bade above so* an the basis of my knowledge, information, and belief as the of a mortgage plot plan tape survey inspectian made to the norsal standard of cart of registered. land ors praatioing in kassethusatts. 0) Declarations bra ssde" to the above named client only as of this (3) This plan was not eade for ricordlnp purposes, for usi In preparing deed descriptions or for can— ieno. (A) Verifications of proptety line disensionF, building offset$, fences, or lot genflpuration bay oapi(sbed only by`an accurate laetsument survey, is p �. _�.�A.rF�-+sow. _s �,#��-� ---'��s-�.-.--..•-+`��•__�� ..,..(. .., '� �' .._�Iw.�'Il,...I r....�y'• ' ,�1,. :,..7"•� —'+Y""QJ:..��:•VW`'�r.•.eti•t._:ir Y'..I"•.♦�`��1..5v�.T,r_! ..�P.hTr.r�/"''�:i�.�r,•"C yt�I✓��� .9. �•k J'4,.JY"^'F ¢Assessor's office(1st Floor): Asses`soi s map and lot number /J. O/ � v�>rTHE to` Board of Health(3rd floor): Sewage Permit number > 9TULE ` Engineering Department' ep rtment'(3rd floor): us 1 House number , /. • °Q�639• Definitive Plan Approved by Planning Bo d :1 119 47— �rav APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE . ; BUILDING INSPECTOR I~PI APPLICATION FOR PERMIT TO ti 1�y.����.t-�. \ ` TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: (� `Location �_� 3� � � .�c.v- S *� ot� 17�,r`•.s ta.b� t Proposed Use Wx—k— Zoning District ' ' 'Fire District �orr- ' Name of Owner S.,t�„�. \��,��rQ VV� , �• . Address 1 ? Name of Builder Wjtj—_ t_ Address 26 �►.�����1s1,.�•r� ��,h� U� , Yg,,,�,;.`t� Name of Architect Address Number of Rooms Foundation • ver � Roofing Exterior 9 0� Floors ��� />�F1y�D01� Interior �/�i�� 'Heating I g�S Plumbing Fireplace / Approximate Cost Area Diagram of Lot and Building with Dimensions, Fee ' 3 i. j � t J ' ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS -� l I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding.the above construction. '}I ' Name /'l ` s. # p Construction Supervisor's License O� MANDEL, SUSANE & THEODORE A=109-01.5-014 /l�9-0�� No 34171 Permit For Build Two Story Single Family Dwelling Location Lot #5, 731 Cedar Street . West Barnstable Owner 'Su sane & Theodore Mandel Type of Construction Frame Plot Lot Permit Granted February 14, 19 91 Date of Inspection 19 Date Completed~ 19 PERMI COMPLETED 1/1/ 7�- l7e5 � pf TMr>O TOWN OF BARNSTABLE 34171 Permit No. . BUILDING DEPARTMENT I ""'� TOWN OFFICE BUILDING Cash 'q ,ego• }( 'ire•►+} HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Susana & Theodord Mandel Address lot #5 731 Cedar Street, 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 i BUILDING CODE. July 3 91 ............................. 19................. ....................� .�.............. Building spector 4. + CHI J; V T, 1!L A CWA AP. ?4 _hk A Yle le S~T r fN b 4 v Zli -if C_,� at yr T 'Y S� A LX, ELI FY I V 7A w7A Ir f 4A z 1,07 1 A tN it 4" ly- P3 COL A. TlW7 "7 7C� lol _jwl BSA i 44 _-Z�L AI A" MAMA Lj' Aa— Mi CkELE .1.7 4jL 'A ' 41— . 3 ct; ng it; u —Vju vit" Ot Z t S y .s Lorw ,� :LOCUS 'MA,P' lb 9 L oT I atQb r414k ff r - — { &N-DEL o I C L d r TJJZI'T� , 10-2�_go Ur; 3 0 1990 I/ 4 I OLD i`e'' s KGHNAY ! ( 1 R. E C E t V E D M OCT 3 0 1990 CIVIL ENGINEEF_S L&r4D SuvzvtrYb�s OLD KIPJu'S !;IOHUVA ;zrFl 6� YdOMaU- qo - 3� �- I