HomeMy WebLinkAbout0085 COACHMAN LANE UPC 12543 .
No.5�3LOR
HASTINGS,MN
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map /0 y� Pazcel p ' itt#
ee// /,, AML
Health Division /VO 6W Date Issued
'S' 2004 APR 26 P �
Conservation Division � pfr�ca Fee
Tax Collector Permit Fee
06�Is o�
Treasurer �EPTIC SYSTEM MUST SE
Planning Dept. INSTALLED IN COMPLIANCE
i,,i,rW TITLE 5
Date Definitive Plan Approved by Planning Board ENVIiw3,.1u,t !VIAL CODE AND
Historic-OKH Preservation/Hyannis TOwiv REGULATIONS
Project Street Address 6�� CWCh►yl d 0 LOLPIZ
Village XY P;Sf &rmsf"I:
Owner G-rFAM W el JAEreSCL 60 CMI/Address S5�Vhm(I,(- kal7e
Telephone
Permit Request t20 0 m (D
Square feet: 1 st floor: existing proposed 3&0 2nd floor: existing /Sq proposed Total new .3
Zoning District Flood Plain Groundwater Overlay
Project Valuation (oa Od0 Construction Type W000I h9 2-
Lot Size 1 - 0 1 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family W(/ Two Family O Multi-Family(#units)
Age of Existing St7Full
re a Historic House: El Yes o On Old King's Highway: ❑Yes q�No
Basement Type: O Crawl 0 Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1.I90 _
Number of Baths: Full: existing new Half: existing O new
Number of Bedrooms: existing IF new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: i(Ga O Oil ❑ Electric El Other
Central Air: El Yes Flo Fireplaces: Existing I New Existing wood/coal stove: ❑Yes o
Detached garage:O existing O new size Pool:O existing ❑new size Barn:O existing ❑new size
Attached garage:P/existing O new size Shed:O existing ®new size JOY1 L Other:
Zoning Board of Appeals Authorization O Appeal# Recorded❑
Commercial O Yes 4A0 If yes, site plan review# KI-r� eli e
Current Use re_3 i d e vi ha) Proposed Use ►''eN d fill H90 d ed -f f r4 room_I
BUILDER INFORMATION
Name 7—� 0 ry)A S U? o ) S V e(ZT', Telephone Number _5'03 771 P9 5�
Address 1 G ill e- (Z.9-V S-r— License# C ,
Y�l���s. o a 6 j Home Improvement Contractor#
Worker's Compensation# kC)
I
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO )C- )Te6 v Q�-
Gb m Q C d2 S (2e;T:uSe, 2O CI G dn/ g1/�eGL
L/
SIGNATURE j �� DATE r 0 7
t
FOR OFFICIAL USE ONLY
r -
PERMIT NO: +
(' DATE ISSUED
`r MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER. _
c
-r r
DATE OF INSPECTION:
FOUNDATION -0Fd �/��
FRAME rozx � 0
INSULATION 46/40'&V ON
FIREPLACE
ELECTRICAL- ROUGH FINAL
rn
} PLUMBING: ROUG�q ` FINAL
y cr _
i GAS: ROUGIr; y FINAL
J . cx�
w FINAL BUILDING t}is
moF_
DATE CLOSED OUT" a m '-
ASSOCIATION PLAN NO. O
r -
)i
. ._.- Gf1ae i�ariimoozuea�e o�,,/�aaac`ivaella
�. BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
_ ,,ssue-�. I
Numbti_.-CS 001810
I. Bi• teeQl C/1944 i
r �r
ices:`"01 3 2004 Tr.no: 16309
THOMAS R B.OIS-Ul BR- A �
15 CHERRY STD Fil"
HYANNIS, MA 0260"1° '
Administrator
rn
C oA cAIM .4IV L: AWE
R- 6412. 78 � t
a
36
88•f ti
o- v
LOT ZD
LaT /8
L or / � m
4¢,
TOWN :WE-Sr BAeNS TABLE'
FOR,
S['AL E : /"= 40' h.4r"C' :.38��Si;
I HEREBY CI RTII' t A�' T tE: AB.4YE '-MT,LINO IS LOCAT ON VHE iiliA D. ;
.. AS SIiQ N q i'IiA ' i Gt NI�aR fiI D TO THE-..,R( 'S. ZOI3INi . S MIX-
AT WE T1011. IT it QCNSiltUCT�D Alb TI T THIS -MMTCA4- T�tloi .i*- WAS
PIR'F(�tOV"JR. AC.G'(}IiDANC2 t.iTH. .THE, T94*'ICAL STANDA-4H9 Pbk- 616RT0.01
I,OAt#. LRBp '1`IQN`3 AS ;AAb tH BY. Ii � sAeHUS£'i' 3 $'Oi IA'I'II7I .D I D
SURF S AND. CTYT , Cs_INBI $, IdGQRPt7 AT 'A. ;
t
I RIBTCP 66STA R.l.'S DATE
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e pxrkzga far ottad7xo•F' {c(eatir`t Huildio�ga�t�
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�etfing s R-yxluc� W� uer
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31 13 NA � Nome
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U I5% 0.44 3s 19 19 10 Nom-A
v 15'A 041 30 13 75 NIA NIA Namol
tE'!. 032 31 13 25 N/A NaA PO AFLT9
X tg�/� 04x 38 13 19 10 6 gO.AFU
Y tgy, 0.42 38 19 19 10
x IIIA o.�a 30
t,A .
�� p,DDRE59 OF PROPERTY'
W
- • g�OR�ALLS. 3•�E�
2, S(:v�.Rs FOOTAGE OF ALL ATE LSD
3. SQUARE FOOTAGE Ole ALL CILAZVG'
h. °�° GLAZVG AREA(43 DIV 8Y#x)�
®r
5 �gLECT FACKAOF,(Q
.,.Ap,.sae apart abaYb):
VOD B O F ORMAP�NG�RaY RgQLTIftEMENTS
OVERMORF,IN�(OLVED M� II�
COTE. AyaAYAILABLL, A5KVSFGRTHI
UIVDVG WSP1�C'COR APPROVAL
B
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fl80303a '
q•foccti• '
oF,HE,° Town of Barnstable
Regulatory Services
S BARNSTAB E. Thomas F.Geiler,Director
y i639, `��
a Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Fax: 508-790-6230
Office: 508-862-4038
Property Owner Must
Complete and Sign This Section
If Using A Builder
q pr�A- 8e I ,as Owner of the subject property
hereby authorize l l" I D ml( S to act on my behalf,
in all matters relative to work authorized by this building permit application for.
CO&C6p7W lsxn�, , �n1Psf �a��r�f� "A
(Address of Job)
-a 0�f
Signature o Owner Date
r
Print e
Q:F0RMS:0VINERPERMIS SIGN
°Ftr Town of Barnstable
Regulatory Services
anxKAM x i e Thomas F.Geiler,Director
039.
ABED MA'f A Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-8624038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. X
Type of Work: r-50 m `a dd 1 h,011 ' / Estimated Cost l po�00
Address of Work: 96 COa L-^�'i ma/7 lane- ys-f •�Q ��'�'
Owner's Name: 0 2)P—1 1
Date of Application: &- 0
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
❑Building not owner-occupied
El Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
L/,7,G—0`� '�✓� � f;
Date Contractor Name Registration No.
OR
Date Owner's Name
Q:forms:homeaffidav
RESIDENTIAL BUILDING PERNHT FEES
APPLICATION FEE
If �c
New Buildings,Additions $50.00
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET T
NEW LIVING SPACE
3 to O square feet x$96/sq.foot= 3 S�'4 x.0031= IO 7, ZY
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$641sq.foot= x.0031=
plus from below(if applicable)
GARAGES(attached&detached)
SToQ/3G�1Z 8 9�Sf square feet x$32/sq. ft.= 3 0 7 x.0031=_
ACCESSORY STRUCTURE>120 sq.ft.
�2y8' >120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Permit Fee ��� l�
pTTHETp�� The' Town of Barnstable
WP f O,w
M +'�SaSnVJli/
e a � Department of Health Safety and Eavironmental Services
MPS' Building Division
367 Main Street,Hyannis,MA 02601
ice: 508.862-4038
508-790.6230
PLAN REVIEW
Owner: /Vfl R� /'1!2S 13.0 CG Map/Parcel:_ ;/ Jr 0 `V D
Project Address: _�c� (fo/9CNAoN U/ i9�Q Builder: &IIe/Z 7—
The following items were noted on reviewing:
6'rri L' '�e e0 !/"ie.Q
(p�t/C ScA.g S
SoFf,•T
C. r0,!/Wj,gTi.p/�/ faP J�eG/� y /O �eGarr�
�r949Z)e_
S%0A/9 a F S lAe D
Reviewed by: 4!�
Date:
i
C
e'o•
• TYP.tl'OYM.CONC•LL ED
} PT Tyr.'"Nor"
>00 N DEON)•xI•xra.
OAMP4-ROORNO CeA OE.
F NN r1 )'•ID' Yo' r'o• LYo• APPROVED.i S M NEW
__ _ _ NANA
1 --- r -_ ----r--------- 1
------ --- --- - --- -------
1' r--- -1' r---------- - - r �- 10'►T� EXISTING
DROP '' ' Y x�'KET 'POIAED GONG.DLAD o E a
' • ' 1 1 , I i / b EXTERIOR DECK
} 1 1 1 tl'x b'COIC.Pm
! 1 •, I 1 BASEMENT I • corvAGTEoullAllw
1 I •1 I 1 I
arose
b A AEI i i �� �e I , b FOOTING FOOTIN,D TAI _a'rONGRET WALL Txtln TYP.MANOMe DIAP.T.eu Trr.am
A HECK
C NC.BLAB -
1•. 1 1•• 1 I ; ;b
APROX.
' ' TYP,ITe'RODO CN no
•.I 1 1
_
---------------- --- -------------
1
1 1 r r --- ,
I I
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1 '
1 1 1 I
! FOUNDATION PLAN
I----------
Dttl 1•ARER TYP,IUNOERe
r 1 '
1 / 1 r 1 i 1 1 1 e I D 1 D 1 1 1 Iu
e n v / 1 1 I e e 1 1 e n
I 1 I EXISTING 'i 1 1 1 e f 1 e 1 e e
I 1 lIZ/TP.RAU110 I'1� I
1 ) e 1
1
t 1 1 A I IeI n )
NEW ' ' f FLOOR FRAMING PLAN
i I I DECK i EXISTING
e ' I DkD , DECK '
t L I TO•xD' I�
' 1 1
t+• , 1 II
�' fY D•Y I 10W YO' i•e'
I
. T
fU0• )•M• )axu Nl(TI e1X11
NEIII
b B10RAGE b
1 OEM �
� �� � �o = EXTENSION y o w b I
�o STIlDT • OF KITCHEN O'• b '
r o � � b 1
APROx.
iaY �
'NEW F011NDATKTN WALLS atl'••is,Oz
•v u
1
1
EF=STING - - - - - - - - --------------------
Is, QL!!EN
EXtUda
T:xIBT xt IIA a GARAGE
EXISLJNI.WALLS , EXISTING
NFW RX T,WAI 1 a
EXISTING
1-------------• 1-------------- FAMILY anon
NPW MAI 1 a I I 1 I
1 I I 1
� i � � RDOF FRAMING PLAN
FLOOR PLAN
BLIIREB! TOM BOIBVERT JOB ADDRE341 DATE REVISION DRAWN BY PAGE `.SALE
B5 COACHMAN LANE DF516N EXTENSION OF EXISTING KITCHEN t NEW STUDY 04-01-2004 .0 0e$�/I$
WEST BARNSTABLE MAA266a JB � V4% I'-0D
1 1 PDICNAeE 01 DRAl,"U IEAvEe Pt":DER REDrORE1DLE=CO WCE UN ALL )EXACt VZE AND REeFORCEIIENT Or ALL CONCRETE"TWOe )ALL POOMM WALL EXIEID DEI.OD 1AOetl►C VERIM•DEPTN.
NOTE LOCAL D WOO COOED AND ORDM'W 6.J D DEe4xe MA7 IIpT e e ICLD REDPOINDIE MOT BE DETERMDCD DY LOCAL 60L CONDM2 AND ACCEPTABLE •vepolr eTR1CTMAL IIIETTENte ItlR o[ebN•s® Pp.BOX
DARNeTADI•MA.DYAD BODI)TSOpO
pop BITE CONOMMO OR►OR TUE UN Of WIDE DIUIRtl)OM'a COMTRWTWIL PRACTICE►OF CONDTRECTIML YERE•I•DE60H L"m LOCAL ENSIPCER. IItN LOCAL ENOIaER AIO BIRDDID OISCYIA
EXISTING �•
EXISTING
1
EXI6TINCA
BEDROOM
2XV RAFTERS W 16'OG.3 13
Q R OG.
VI'PLY.6WEANDR)
ff PLT.6WEA7104
ICE AND DATER
x ICE AND WATER ASPHALT 6HIItlLE6
A6PNALT aooaNG A6PWALT 6WNISLEe o 2
e. OG. _
r TYP.MANGER Rso N6�
TKD eTRAPPNG
VY WALLBOARD t• MCA,.a b'Or—
p IIY PLr.ONeAINMG
EN4 EXISTING L EXTENSION EXISTING r wK WRAP OR EOuet.
KITCHEN OF KITCHEN {xgggtjE 4
��TIP.w411X5 .•�� DVf
(WAi� ARD ��
ION
CIOL ORD6. WC 6wNGle6 ��•�� J)/A'T/G RR PLY. RD N6(�LA ZAT STORAGE
/ I rYVEKvY PL LRAP R E EHEQ
NA6ED GU®. aw CRAP OR EQUAL A'TNK:K
un.e e OG. COWL.Sue
70 C' S-0' P.MANGER RM INSLL.. ® •�
EXISTING DECK NEW DECK
V
REAR ELEVATION EXISTING BASEMENT 3
BASEMENT I �
j - QR055 S=GTION(a)
CR"55EGTION(A)
2 2
TYP.1X8AX6 EXISTING
RAKE DRDS.
. 1 ■
LW ASPHALT SHINGLES
150 ASPHALT PAPER
— — V2 PLY.SHEATHING
CM.5RD6. WC OWNGLEe
CM.LNtDO.
I
I
Il—
LEFT ELEVATION I
VENTED DRIP EDGE
5'ALUM.GUTTER
SIDEWALL
TYVEK OR EQUAL
• IXS FACIA in PLY.644EAT14ING
IXS SOFFIT
1•IR BED MLD.
IX6 FREIZE
_ SHINGLES STARTER
COARSE
p 2X6 P.T.SILL
12 VAC6 BILL SEALER
2 - • (JETVE
RAKE DRD6. EAVE DETAILSUD(g'4NCNOR BOLi6
EXISTINGTYP TKe/aslp- 9 6'O.L.
p SILL D=TAILS n o
` SILL 1
W/c SN6iGLE6 TYP.uA/TNs
cNR.eRDe.
RIGHT EL=VATION
DER TOM BOISVERT JOB AD R 4 : 85 COACHMAN LANE DATE REVISION DRAWN BY PAGE Sr�I FF
QE$1Gtl EXTENSION OF EXISTING KITCHEN t NEW STUDY
WEST BARNSTABLE MAA2668 04-01-2004 � JB
PURCNA6e OF ORAWINGe LEAVED PURCNA6ER Re6PON61DLE FOR COMPLIANCE UTII ALL 7 EXACT O11P AND RE(wORCFMe NT OF ALL CONCRETE POOTD/06 D ALL WTDIG6 6WALL EXTEND DELOW FRO6TLN TH E VERFY DEP .
L 1 LOCAL DIDLDNG WAX CODED AND ORDIRANCE6.J D DE6 MAY NOT Be WELD REEPONIUSL E MUST DE DETERMINED DY LOCAL 6Oa TO COIm17N6 AND ACCEPTA6LE A VERIFY 6TRUCIIRAL ELPMENTS FOR DESIGN I DUE esei DARNSTADLE MA p7Hp Doe)1P+OSDO
FOR 617E CONDMION6 OR FOR THE U6E OF TW26E DRAUNG6 DURNG CONSTRUCTIOK PRACTICES OF CONSIRIICnOK VERIFY DE64N UTN LOCAL ENGINEER. UTN LOCAL ENONEER AND OULDNG OFRCAYA.
o• TOWN OF BARXSTABLE Permit No. 27833 r
Building Inspector
snn.a i Cash ------- -
OCCUPANCY PERMIT Bond
Issued to L M BUILDERS, INC. Address
Lot 19,, 85 Coachman Lane, West Barnstable
Wiring Inspector / �� Inspection date
Plumbing Inspector ,/ _ _ Inspection date ` d
Gras Inspector - Inspection date Ale I s -
Engineering Department-
epartmen /e— Inspection date - '
Board of Health Inspection date 112 3 SSG
M +
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 MASSACHUSET76 STATE
BUILDING CODE.
................ -�. 19. �� / ` ..._.......__a.. w....,. ....;........ .l,
Building Inspector
4 Y #
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
= MAN asa a = TOWN OFFICE BUILDING
� ru
HYANNIS, MASS. 02601
�o Yr•Y�' �
MEMO TO: Town Clerk
FROM: Building Department
DATE: a�
An Occupancy Permit has
been issued for the building authorized by
Building Permit ..................................._......
w
issued to ... .. 1/ .. ... .._+!/YfC 1................................._..._...._......
..
Please release the performance bond.Ill
I
t
Z' 0 A co' AIM 4 Al LANE
6 4/2. 78
ry
c -
a
' 36
Lo T ZD
LC�T /8
L. o T I "�
• 4 41 l B S t S.F,
70WM : l4//,F.5 T BA ems TABLE
SCALE : /"= 40' 10.4rR' : 5-1 - 8S R
I HEREBY CERTIPY'THAT THE' ABOVE .DWIRMW IS LOCATFD ON' THE GROUND
AS SHOUN JIIAT IT CONFORMED TO THE TOWN' S ZONING SETBACK. RBGUT,A.TIONS
AT THE TIME. IT- WAS' CONSTRUCTED .AND THAT,THIS• MORTGAGE 'INSPECTION' WA3
PERFORNED.'IN -ACCORDANCE WITH -,THE TECHNICAL STANDARDS P6k,00MAGEA.
LOAN•'INSPECTIONS AS -ADOPTED _BY THE- I��}SSA:CHUSETTS ASSOCIATTOW.OF LAND
SURV j RS AND CTYIJL ENGINEERS,IN:CORMATED. - {.
,CHRISTOPIf R COSTA:.•R. L.S : '` DATE
ALL C.4 PE LAND SL/RMEY L''oA/SL/L rA A/rS
171 FFAs r A--4L m o aril t//c ajv,4 y cA s r =A L MOU rN, A4.4.
Assessor's map and lot number ..... SEPTIC SYSTEM
I�iUSTIBE OFTNETO
INSTALLED IN (ONAPLIANC
Sewage Permit numbers .2 �
•
r Z BAHB9T
WITH TITLE 5 ABLE,
;✓ •
House number L r E�IEld1�()N9AEb�TRlI ��'�= : ' ro rang
Q ..............................
L� ,.......... TOJAIN trf ,.. ,. O 1639. 00
` 0 MPY a�
TOWN 'OF 'BARNSTABLE
BUILDING INSPECT
�_.M �hui�dE25 i►�c o�
APPLICATIONFOR PERMIT TO .............................................. ............................................ .......
TYPEOF CONSTRUCTION ................. a. ...... ............................................ ...................................
.................. . ....... ......... .........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the follow'n informati
Location ..........��t?I��I mAP4........l .........YO!.....��........... .... �... ... ......................................................
Proposed Use ,� A uD k-56 M Fa-m I L-y 0 5
......................� ................................................................................... . . .`. .... ...... . ....................
Zoning District ........... .............................................Fire District .....� f ........ .....
Name of Owner
�lil �lU �F� 10.0............Address "II -1,UX—rj111kj�7 a LUE,9Tb0ez
Name of Builder .....W.0 .6...... . . . ..... Um(�E2 C (�
..........................Address .......0 Lo U 15 6 U-NTI ue
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms `�'.................................................Foundation . T....
................ ..............................................................................
Exterior ✓
�� , GJ I I4G LCS..............................Roofing ........... P .. .... ................ .................................
..............................................
Floors ��............................................................Interior ..........
rz
Heating �Nwlol L..............................................Plumbing f ULL PKW6
Fireplace ................ .L` (✓.L..................................................Approximate. Cost ...........9✓. ...............................
... .
Definitive Plan Approved b Planning Board _-__
Y 9 - ----- - 9 -- • . Area ......... .
Ob .
Diagram of Lot and Building with Dimensions Fee .........v....... ...........!Ll
SUBJECT TO APPROVAL OF BOARD OF HEALTH
60 NO.
c
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 /. .v�t.........f.:':.....���......r.....T l..Ll.: .............
Construction Supervisor's License .........
L M BUILDERS, INC.
1--ONo Permit for ... ...........
i n.g.l.e...E4Mily...PVQ. .J�i.n
.........S....... g............
location .Lot 19 .......8.5....Co.a.ch.m.an...Lane.
. .. Coach. .... .. .... ..... .
West Barnstable
...............................................................................
Owner ....L-A-Bu.i.l.d.e.r.s.,....1.nq..................
Type of Construction ...................Frame.......................
...............................................................................
Plot ............................ Lot ... ............................
Permit Granted ........Nay y... ...................19 85
Date of Inspection ....................19
Date Completed ...
(?"w...........19
Iva lee,
Assessor's map and lot number ....../. ........ ..... E Toy
�oF
Sewage Permit number ................�� .....�..
33AWSTAXLE,
House number ....... N63 AB&9
.......................................................
1 -
00
TOWN OF . BARNSTABLE
BUILDING INSPECTOR ,/,
f- .-n .Y�..I.. ...�s, I►..c �,/ l � ���
APPLICATION FOR PERMIT TO ....................................................................................
TYPE OF CONSTRUCTION ..............................................�,km.c................................................. .. ...................................
.............................. ......
TO THE INSPECTOR OF BUILDINGS:
The undersigned''
ndersigned hereby applies for a permit according to the following information-
......................... ..
I �.Location ..........N6 A U.M A .N... .... T..........U ........... ...... ...................
Proposed Use ..... A6:.1.0 ............ ......................
....................................................................................... .............
...............Fire District -:��.......................
Zoning District ...........................................
Name of Ovvner ..... L6(-. 9-6 4\0 .
..................................................................Address ... ....... .......................................I..............................
...........!J .......................TMIL
Name of Builder . ............. ............................Acl�q �-umoef�- TIZ/1 .
!2�ss 1..;............ . .................. ....!
Nameof Architect ............................................................... Address ...................................................................... .............
Numberof Rooms .............. .................................. ................Foundation ..............................................................................
Exterior ...................... I N A00A Li
..............................................................Roofing .................................................. .................
.................
N6..
Floors I .Interior ......... ...............................
Heating .............. ...................................::.........Plumbing ........... U L-L-
................................:................................
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
0
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ....... ..... ... ... ..............
Construction Supervisor's License ..........
ovo
L M BUILDERS; INC. -Br--t5-2--WB
.�,7.8.3.3 1�2- Story
No . .. Permit for ....................................
........ ...Fami-ly...Dwel-li-ng............
Location .......Lot....19, 8.5...C.oa.chm.an...Lane
.. .. .. .... ....... .....
West Barnstable
...............................................................................
Owner .......L...M...B.u.i.l.der.s.,....Inc.................. .. .. .. . .. .... .. .. .... .. .
Type of Construction I ....Frame.....
.. .. ............................
................................................................................
Plot ............................ Lot ................................
Permit Granted ..:May....2........................19 85
Date of Inspection ....................................19
Date Completed ......................................19
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w 'HUNE;IMPROVEMENT°yChONTRACTOR "
Registration �1034770-WA-a;;z
DO; TYPe VINDIVIDU lt"l �
`�ExPirationi� 07%08/96'' ``''
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J.OERWEINSTEIN. .:.+
F WEINSTEIN'�
�s ZADMW�STAATORv;;^ ^(17bXSurt DrlBoz,55:SEABR00KJ
I--.I� -;kASHPEE MA'02649
P
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DEPARTMENT OF PUBLIC SAFETY '.
ONE ASABORTON PLACE
BOSTON,MA 02108
LICENSE
CONSTR. SUPERVISOR
EFFECTIVE DATE LIC-NO.
05/31 /1993 .042097 ,
JOSEPH F WEINSTEIN x
8OX 55 SEABROOK VILLAGE
MASHPEE MA 02649
'I NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY
STAMPED-OR-SIGNATURE OF THE COMMISSIONER
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SIGNATURE OF LICENSEE,
+ � COMM, IONS b
Of'(F4E Tp�
O
The Town of Barnstable
s ''^h � I)�'��ar"tllll'nt of Ile-1101 Etivirunincrttal SerNices
J�►�<" Building Division
367 Main Street,H32ruiis MA 02601
Office: 508 790-6227 Ralph Crosses
Fax: 508 775-3344 Building Commissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the-reconstruction,alterations,renovation,repair,modernization,oonversion,
improvement, remmal, demolition, or construction of an addition to any pre-existing owner occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent
to such residence or building be done by registered contractors,,with certain exceptions,along with other
requirements.
Type of Work:__ I�(,D N Est.Cost -
Address of Work: A rn�S
Owner Name: C �E g, A 1,A C M ) VQ- Iles` R"
Date of Permit Application: : ' aq —,j ct
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that: i
O\�WTERS PULLING THEIR O«'N PER ITT OR DEALING Wrli UNREGISTERED CONTRACTORS
FOR APPLICABLE HOME. IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE
ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UDDER PENALTIES OF PERJURY
I hereby apple for a permit as the agent of the owncr.
Date Contractor name Registration No.
OR
Date Owner's name
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: 5• COMMONWEALTH OF MASSACHUSETTS
IDErAI::1,,jT_N,- 0 17 TNMI-ISTRIAL ACCIDENTS
600 SHINGTI,ON S1_11 _ET
BOSTO 02111
fames J Car):)Dei
c�m:ssr�ne WORKERS' COMPENSATION INSURANCE AFFIDAVIT
(licensee/permincc)
With a principal place of business/residence at:
Ciry/StatdZip)
do hereby ccrcify, under the pains and penalties of perjury;that:
1 am an employer providing the following workers' compensation coverage for my employees working on this
-P c S T
Insuranc_Company Policy Numbcr
( ] I am a sole proprietor and havc no one working for mc.
[ ] l am a sole proprietor, general contractor or homeowner(cirdc one) and have hired the contractors listed below
who havc the following workers' compensation insurance politics:
Name of Contractor Insurance,Company/Policy Number
Narric of Contractor Insurance Company/Policy ]dumber
Name of Contractor Insurance Company/Policy Number
0 I am a homeowner performing all the work myself.
NOTE Plcasc be aware that wbilc borocowncrs wbo cm-ploy persons to do maintenance,construction or repair work on a
dwelling of not more than three uniu in wbieb the borncowner aJw resides or on the grounds appurtenant thereto arc not gcneralll•
eonsidcrce' to-'bc employers undcr the Workers' Compcns:tion Act,(GL C 152,scot. 1(5)), application by a bomeowner fora license
or permit may evidence the legal sutus of an cruploycr undcr the C✓orkcrs' Compensation/Set.
1 understand that a copy of this statement wiU be forwa:ecd to the Dcca:tmcnt of Industrial Accidents'Ofiiee of Insurance for.eoveragc
vcrifteation and that failure to secure coverage as required undcr Sccaon 25A of MGL 152 can lead to the imposition ofstiminal pcnalttes
consisting of a fine of up to S1500.00 and/or imprisonment of up to orc year and eivJ pcnalues in the form of a Stop Work Order and a
fine of S100.00 a day against me,;.
Si ncd This day•of S 2 . 19
�• A
ccnscc/Pcrmirtcc Licensor/Pcrmiaor
a v +
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•
, . :...:.::..:.
:.:..:.:.:.:.
i I�iIS C;CR i WICATE IS ISSUED(:G�A MATTER OF INFORMATION ONLY A_[
ZogOrS & Gray In$ Acgcy, Inc. r-ONFERS NO RILBHT'S UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
5 ROut@ 6A DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POUCIEB BELOW.
andwich MA 02563 COMPANIES AFFORDING COVERAGE
`0228,00 LETfEFI
COMPANYA LIBERTY MUTUAL INS.CO.
COMPANY B
LETTER
OSEPH E*TWEINSTEIN DBA
W• CON LETT12111STRUCTION CO
� @R C
76 SURE DRIVE
COMPANY
SHPEE MA 02649 LETTER
OOMPANY
>VEF3AQE6` :.'.>::.>:.:::...' :.::::'';: :::::..:.::.:..:::.::..::::.:...:..........:..:........... ..LETTER
THIS18 TO ....:..........:....:....:..,:;:.:..;.....:..:...,..::..>:.:.:..:.:..:......................:........:..:.:....:.....:..:.:.:..:.::....:.:....,.:...:...:.:•:..::.::.::.;:..;:....:...:..:.....
CERTfFYTNAT7HEPOLICIF60Flr :..:.:........:..:...:.:. ..:..:.::::..:.:...............::..,.:.:....:.:...:.:<_::..:........:..:..::.:..::....:.....:.:....:..:.......:.:.....::.:....::..:.......
ISURAtJCC LIBTED BCLOW f1/1Vt ttEL'ry ISSUED TO 7HE INSURED NAMED ABOVL'FOR 7HE POLICI''PERIOD
INDICATED,NOTWITHSTANDING ANY REOUIREIAENT,TERM OR CONDITION OF ANY CONTRACT OII OTHER DOCUMENT WITH RESPECT TO WIIIC14 PHIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDCD BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN RLDUC£D BY PAID CLAIMS.
s
TYPE OF INSURANCK POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION '
GENERAL
DATE 0.41A/DD/YYI DATE f,,IMJU jM LIMITS
UggIUTY
OOMMERC(AL GENERty LIABILITY GENERAL AGGREGATE 6 I
CLAIMSMADE OOCUR, PAODUCTB-COMP/OPA.00. b f
OP/tlER'B 6 CONTRACTER'S PACT, PEFLOONAL 6c ADV.CJJURY R
EACH OCCURRENCE y
FIRE DAMAGE(Any one fire)
AUTOMOQILE LIABILITY MED.EXPENSE(Any one poraal) 6 E
ANY AUTO IBINE061NGLE 6
ALL OWNED AUTDO LIMIT
I
SCHEDULED AUT'08 BODILY INJURY
HIRED AUTOS (Pot person) 6
NON•OWNEDALITOS BODILY INJURY
GARAGE UABIUTY (Per awdenq 0
PROPERTYDAMAOE S
'.XCESiI UABILITY
UMBRELLA FORM EACH OCCURRENCE 6
OTHER THAN UMBRELLA FORM AOGREOATE
WORY,ER'S COMPENSATION
AND BTATUTORYULIrTB
TO BE ISSUED EA011aoc(o�NT
u
eMPLOYERo• Aew 07/26/94 0
TY 7/26/95
D*ME-POUCY UMrr 6
THEN OSFA.SE-LAOH EMPLOYEE C
',✓
;IPTION Of OPEIt4T101(S/LOCATIDHSAIEHICLe$/LPECIAL ITEMS
:..::...::..:...:.:.:::..::>.:.::.:..::..:..:::...:.::..:......:.::.;.::.:..::::;:.v;..::.:::.::::::::...:...:...............::..:.:.:. ..:..:;.<....:...:.:.::.:..:..
N OF BA-R-NSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO. BUILDING DEpAgTj,�Ej�T MAIL ,1, DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
# 7 7 5`3 3 4 4 LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILIT Y OP ANY IKJND UPON THE COMPANY,(TO AG ENT$OR REPRESENTATIVES.
AUTHORIZED REPREOElufm Ive
ROGERS& ORAY INSURAAgCE ACIENC'Y.INC._ w`
Permit#Assc%sor's alliice 1st floor Ma Lot t%
Conservation Office f4th floor � Date Issued d�'/ 9
Board of Health Ord floor
Engineering Dept. Ord floor) House#
Planning Dept. 1st floor/School-Admin.Bld ®�►®�� i
6""e S L►Rlid[A61d,
Definitive Plan Approved by Planning Board 19 ��a� �C®�
(Applications processed 8:30-9:30•A.m. &1:00-2:00 p.m.) ell ,®
TOWN OF BARNSTABLE)v, ' TA
Building Permit Application - •-
Project Street Address IRS cA-c L Chu �A-N CLoz 0- 19�•
Village4 r n1 Fire District f /
Ow `ncr -C r e �� 'f�C.Mom,tit tE- �t`ce � ��� Address A Q C o P, c
Telephone L 2 0~113 •
Permit Rc uest: (' Y' '3 ra
Zoning Distfict Flood Plain Water Protection
Lot-Size 1 , ��s'� Grandfathered
Zoning Board of AApMls Authorization Recorded .
Current Use -es L �9T/Jfe a Proposed Use S�
Construction Type t
Existing Information
Dwelling Type: Single Family Two family
1 ,Multi-family
Age of structure a� v f Basement type �� V \ ,� C e coluC(\e[e
Historic House /j r3 Finished
Old Kinp,'s Highwav Unfinished !�
Number of Baths No. of Bedrooms 2
Total Room Count(not including baths) () First Floor
Heat Type and Fuel C7 � 1j (]2 ,a S Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name �(e v Telephone number y 1 � L� )Z
Address U? -h .So r� l/c- License# Q L{ 2- ®�
Home Improvement Contractor# u
Worker's Compensation #
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO?v^�
Go
Project Cost
F 7U t•
SIGNATURE DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
t�
BPERM T
PERMIT Z#15K
`J ji FOR OFFICE USE ONLY
EACMAN, TERESA & GREG BELL
ADDRESS 85 COACHMAN LAN TABLE VILLAGE BARNSTABLE
OWNER TERESA EACMAN & GREG BELL
e
DATE OF INSPECTION:
FOUNDATION (�
2
FRAME Zd
INSULATION e
FIREPLACE
ti
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ,_ : ROUGH FINAL
FINAL BUILDING.
DATE CLOSED OUT:
ASSOCIATE PLAN NO.
f�o�TM�>oo TOWN OF B ARNSTABLE Permit No. -
e ______
Building Inspector
NAUSTl1L
• Cash ------- -----
�
OCCUPANCY PERMIT Bond
Issued to Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
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 MASSACHUSETTS STATE
BUILDING CODE.
.................................................. . 1.9........... ..................................................................................................................
Building Inspector