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Home My WebLink About0049 CURRYCOMB CIRCLE i lJ �l NO. 152 1/3 ORA EM 10% o c o 0 �. .. �� r1 .. a...� ,. +wr-+r "�"ti,�eLW.s:m�•tfslY:uv �M•w��,..rbs��uuireLL•�'ti4`•2}'"' _ — -�'. L��_.. ...c.wu.�d.•leWsd� �... r.. . .ry fi wr! - w.r... _ '�^___ �_ _ _ — ._ ._`�=f9n4u..Gv.-....r1•.r�ec..•r' waWi:•r.�..�..0 � ... ��.�+�'! .__.. ._....� � . r_�+r`. v�. I R 4. f j jjj}jt FI V '� �. Q E �� . �. s f �' �ff' E t� t w �- a Application number.... ..R.......................�.......q... Fee ...................... .11.................................................. Building Inspectors Initials...................... h JUL 03 tr" . . Date Issued.................2.1:S11.C}................................ Map/Parcel........1...:...... .............................:........... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: �ZcJ Cyr2�/e0/Y1,8 61V-to-- tV-69r2ibrzq6G&r. NUMBER J � STREET VILLAGE Owner's Name: _Z?7d� -5�r—t mpA 5.e. I: Phone Number Email Address: �y�f/'�C �s�. Cell Phone Number eq--9-1 Project cost$ 80 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize Zi&LX b to make application for a building permit in accordance with 780 CMR Owner Si e: Date: C/o TYPE OF WORK ❑ Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) , Construction Debris will be going to /_OG92 6�%r f/ yl*tf l o(frfI CONTRACTOR'S INFORMATION Contractor's name 11 A140D Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor � 1 111,44Uo @ 6DM 64,0.M-f Phone number 5-69 F1_3 3�,�0 ALL PROPERTIES THAT HA VEfTRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. -,i APPLICATION NUMBER *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 yourevent 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 Siornaty1re Date wl',gwl All permit applications are subject to a building official's approval prior to issuance. t � 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 I Please Print Legibly T Name(Business/Organization/Individual): /� IAJD06 Address: A&_7-W4" _z5e4'f`, City/State/Zip: _/ A' d � ! Phone#: 2�4Y P -3��0 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I ployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.Ly'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 tY• t 9. ❑Building addition [No workers'comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 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. tContractors 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 c unde the pains and penalties of perjury that the information provided above is true and correct Si atur Date: N Phone#: 5� � ��6 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#: 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-contractors)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 pennit/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 Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 021 It Tel.#617-727-4900 ext 406 or 1-877-MASSAFE ' ' _. Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia Commonwealth of Massachusetts lI Division of Professional Licensure Board of Building Regulations and Standards Construction,,15b'OS'erI & 2 Family CSFA-062822 Expires: 03/28/2020 DANIELCWOOD.: r; u ' 32 FEDERAL EAGLE RDr 't.Y; DUXBURY MA Commissioner C14 TDanvrrzareu+ea�/1 a�C101�avac�i�0e�1 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration: �'1,52773 Type: _ Expiration:-;=0l2s 12018 DBA J GROUP :- .. DANIEL WOOD •�'' z r _ 153 POWDER POINT'¢V DUXBURY,MA 02332 - Undersecretary • Office of Consumer Affairs& Business Regulation- Mass.Gov Page 1 of 2 Mass.gov Office of Consumer Affairs and Business Regulation (OCABR HIC Registration Complaints Registration # 152773 Registrant DANIEL WOOD Name DANIEL WOOD Address 45 Driftwood Drive City, State Zip DUXBURY, MA 02332 Expiration Date 09/27/2020 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search Site Policies Contact Us https:Hservices.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=152773 7/3/2019 11/20/00 11:48 FAX 5274874 0 002 FROM ?HONE NO. NOV. 10 2HH0 10tO&W P1 r ' 'apsto ensue� �d C orris. MM 1 GO WMEI og ,'1'iON hus�Stamp 8 vff��Y it Cwdom wltea o=leormt , Off '00 M tw building pem ° m yvali,tics in��a width�r� v of om addieioe an adsting house (790 C R c+onstas�csiaer om � "s'inro�oma �• �;a1 eas:g�r oansavtati'cso eace�mpt'i� �+ a bpmepv+netr � seledtia$ � App-Ift Y, Section 3S_12.3.1�. This FORM is oat i�od to p MVC=t bM ttelr is my aa�oa®"of any sbk%caa6gnratioa.or essdon.fart::of aatloa Cr p�� muaded to assist bawvwams in bmwain a wvm of stmee of*e jwPw=uwU caLwvafto tad y round COMMIan eammidl involved in selecting and uffizing a"wW00am"adTsbw- nw oonnmta = of %anoom^ savcoww to naidmrcW buildings 1n a:2ft wMfM ate eaV ---- ptma issues dos to momwoned sales gain or aecootruded station=mling of the main home bi the sdeadca and maWilm ian cf"samaams,metlnde i bakm is a oemwec opm-w&-d Usi of p oderet wed design aomaidwaboas that a homeowner mw Wish to consider before acmally a'som+eomA.It ismended that consunicrS ewaflb►review that gWQwa with *cir deaignv.'b alar. of .e n- NcEae, in ureter to —;w—ime po ntial a owu cousuzintim and/or house discomfort h s In addldo®.the qa3 a+ss and repnssation of dw eoanpomy a iadividnais to be hkW are ingmfftaixt aamwadmatioas . PAAD17Cx MM DffiGM MMEMSMIMNLRIMAMM TO M M O0- B'_' • gob r Osieomlisa and Nadal Shading • Type ofGUM"g • boubsaingvdse • Soltw'bnt pin • mterhls • .. Olminff-to tar mud gw lsedW motw1aW anal durabilft and/or . vmathw tigbtmew offfie sum Adequate wentlatlem-•Opwabledit3dows and fps • Applied Shading Spfe® • .1waladva level la Odom wma.asd;cow . •='Pwaffie Sunreem Bela den imm The mob b uie via a wa0 and/or door or*Oder • $ester wid'Coormg 31mheds-011clency,Zoning and Cantrob Hvmeawaff Fkan to ug. I mt M w Maaaacirwetls Stiete Building Coda, Sedtiaet II.IZ.3.I.n qu M%W the aewd nronerty aweter(nut the owxnes agent or repteaa obve)mkovwledp mccipt of this CONStJIvl M DMORMATIOAI FORM prior to b wm xw of a Building Permit far a peojeet drat i "stdmtoom" additions to an exiaing raddeatki fig:-_as aoeosdtwoo with this tequimmai .the tmdlmaiged bawby aw, q►ledges that 3bvlw has=ad dw-Wansasion In rids do=91M Ceavermng suamoomo CnamRAt and energy cceservatdon. SiQ nowe of Adf4ft Building dwmar Drc: � 9C �'S� '�s;c y c'efiv6 �i%� ✓.� � �7.•.Sru s�. I�SJ v�� print Name Address of Pa mittad Prefect Owner AddM5(if ditffei+art d=prndect Iecw<>moa) Owner's teiephoaa number 11/18/00 09:43 TX/RX NO.0978 P.001 11/20/00 11:48 FAX 5274874 001 +"- a MOBEL AMERTCANA RO ASSOCIATION, INC. ADULT w„TERFRONTRESIDENT0PINED COMMUNITY . 7201 151. St.NE, St, Petersburg, Fl. 33702 Phone: 727/526-9141 Fax: 727/527-4574 FAX TRANSMITTAL TO: FROM: -J4 G, rn. SUBJECT: DATE: �/� Z a o 0 FAX: No. of Pages TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel O Permit# -L Health Division �� s �� Date Issued Conservation Division 6 se //�3! � Fee Tax Collector ft .11 Treasurer 111,340 EPTIC Ey MUST BE Planning Dept. > �1 , INSTALLED IN COMPLIAi'�CE WITH TITLE 6 Date Definitive Plan Approved by Planning Board N A ENVIRONMENTAL CODE AND TOWN REQULAT10 Historic OKH Preservation/Hyannis Project Street Address I Cif R 001 GG•a'►'► CIL F Village CAI. j*bARNSfi}btt Owner ay _ S To vY\ a Address coeezy CGp 6 r,C_�Y Telephone Permit Request v I 14ct J t- n S G k) Rr-1 , �P X is Square feet: 1st floor: existing,/S00 + proposed A114 2nd floor: existing A/vN-e- proposed -2 9'F Total new Valuation 7 f= L 4 16 Zoning District Flood Plain Groundwater Overlay Construction Type wc:a Ff-R n Lot Size /.5: .21 Grandfathered: ❑Yes Cl No If yes, attach supporting documentation. Dwelling Type: Single Family 9"" Two Family ❑ Multi-Family(#units) Age of Existing Structure V r s Historic House: ❑Yes UYNo On Old Kings Highway: ❑Yes UWb Basement Type: Cull .❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) N0 Ad E Basement Unfinished Area(sq.ft) /�L5— D 0 Number of Baths: Full: existing new D Half: existing new Number of Bedrooms: existing 2 new 0 Total Room Count(not including baths): existing 5J new / First Floor Room Count (� Heat Type and Fuel: f"Gas ❑Oil ❑ Electric ❑Other Central Air: MY'-es ❑No Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes Blo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:O existing ❑new size 0 Shed:❑existing ❑new size Other: ' Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial Cl Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name l?b 6 e-igI Ig r jives Telephone Number Address Q 13®X /o a..Z License# LO03 2 VAP d AT Home Improvement Contractor# 0 Worker's Compensation# cc i a I— ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO —1—Y-vl tJ3 fer iUW SIGNATURE DATE / 7 100 h FOR OFFICIAL USE ONLY IT NO. f DATE ISSUED ., A MAP/PARCEL NO. - ADDRESS - VILLAGE OWNER DATE OF INSPECTIO at FOUNDATION Z l FRAME oL hj INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING gA « ` DATE CLOSED OUT ASSOCIATION PLAN NO.. 'r —Y The Commonwealth of Massachusetts - a - Department of Industrial Accidents OIfl000110859989005 _ 600 Washington Street - - Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name �G fJ �F4 ✓►1 1-5 S r� 12 0 3 G,2z ` ou a6fi 4 location: /� / ;�nxa i� V h O �' /a hone# �(/�' b — I a caner performing all work myself. [y�I am a sole rietor and have no one worldn in any achy ol %%%% workers' co ensation for my employees working on this job.: an 1 residing mP......:::.:::::.:::::::::.::.;:.;;;:.;:::::.::::.::::::.:::.::.;:.;:.;;:.;::::::::::::::::::.::.;:.::::::::::::::.::.:::.;:.;::.::::::.:::::::::::.:::.;:.::::::::::.::..:.;:.:;.;:. I am emp .P......................:::.::::.::::..::. ;.::: :::::::: ::::.:::::._:..:.:::::.::::::::::::::::..::::.::::::::::::.::::.....::::.:::::::::::.::::::...:::::::::::::::.:.::.::: .........................................:::::::::::::.............:. ::;;; 1 Y am fi mQ any n y q:;:::.;....:..:: .. ..... >... an :.......:::..:............:::.:... .. ::..; q'sura ❑ I.am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have polices: followln workers co p.............::::::: . ::.:::: ::: . the g..........................1°P :.::::::.::....::::::.:::.::.....::::::::::.::::::::...:::..:::::::::::::::::..::::::::::::: :::::::::::,::::.::.::::.:...:::.:.:::::::::::::::::..:.:.::::::::::::::::...::::::::.:. ' ' < Y` ;> <2: �:;:>:::�:2� ``::: '.','",':C:':` d "::{('::':';''F:x::'..?.. :::........ :.>:,: »r> z .:: ::::::::::.�::•._:>:�::::�:::• :�:.�::::•::::.;:•::::�::: One ..........:........:......:..............;;::.:.:::.:.::......:............ > >...................................................... . ranee ddres ....................................................................................................................................... ............................................................................................................................... ............................................................................................................................................. ..............................................................................................................................................................:::: ................................................................................................................................................................... ............ h ::.::::.::::::::::::::::: :•........ ........... ............ ..................................:::is::v............................ .....:.;::::•'::::::::::��:::::.;�:.}};.:�,:.:v.... ................::................:::...................... .. :n.. .........................................i:•i:•>iii:•ii}ii:?i•:>iii:v:4iii•ii>i:^:�i:v:?Gi::?:tibii:•:»ii:•iiiiiii:?•:i•iiY:i':::.ii}ii:hi}::::::::nv::::::::::::.:................... .....................:::::::::::::::::{:a:3i>:J>i»'r;�i}}i>ii:•::i?:iL?'rrY.:'ii�4:{:::.:..•.;;+ii:'�+�i:4}:i�iiiY.v:i>i}:>.}i?'r»>`:t:>i:; :}is4i?iiiii::•i>i:•i?i:??;i;'J>i:'v: ............................................::,........................ ........ li :: ;??:::i:ii:CY.i?;4i�':vii::�i;:i}::i:h Yi;:i:Y:�.:::{Jii:;$,:�:�i:'v1:?.::.v:::.:•n:::+.::.:•::.:.:::.:::: ........... ra0. ice �/. a of criminal penalties of a Sae up to 51,500.00 and/or Fwh a to secure coverage as required under Section 25A of MGL 152 can lead to the hnposNlo that one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Hee of$100.00 a day against me. I understanda copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. 1 do hereby certify pains and enalties of p�1 1'the the information provided above is&w and correct Signature ��' Date 1/ DO g i N Phone Print name C137ift'n- ly do not write in this area to be completed by city or town official permitilicense 0 ❑Banding Department ❑Idcensing Board medists response is req� ❑Selectmen's O®ce❑Health Departmentn• phone#; QOther (nsW 9o9s KA> Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until requirements of this have been resented to the contracting acceptable evidence of compliance with the insurance requir chapter P authority. ' Applicants ix ,. Please fill in the workers compensation affidavit completely,by checking the box that applies to your situation and address a hone numbers along with a certificate of insurance as all affidavits maybe supplying�Pan3'�� dd and b P - : `: submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and ur 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 lease call the are required to obtain a workers compensation policy,p Department at the number listed below. City or Towns 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/kicense number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made.. The Office of Investigations would like to thank you in advance for you cooperation and should you have any_questions. please do not hesitate to give us a call. 'The Deparfznent's address,telephone and fax number: " The Commonwealth Of Massachusetts Department of Industrial Accidents 11111ce of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 Y� °= The Town of Barnstable • EAaNSTABLL 9� MAM Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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. Type of Work: ! (?,,'' Uc&T—1 a N Estimated Cost. Address of Work: Ctiv'3RvC6?n6 -�Lre-� w` ��d}t�►�15��ti Owner's Name: �� qv C "�W #V -- S I �wt P Date of Application:— Z 7 G 6 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 ❑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 the agent of the owner: N -7LO 49 Da a Contractor Name Registration No. 1 A OR Date Owner's Name q:f6nns:Afdav LIVING SPACE Value (high end construction) square feet X$115/sq..foot= (above average construction) S 8.� square feet X$96/sq. foot (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value - For Office Use Only InclusionarY Affordable Housing Fee Residential Commercial** Property Owner's Name Project Location Project Value Permit Number **Existing Sq. Ft. **Proposed*New Sq. Ft. Fee $ IAHFORM 1/3/00 � ✓lze �ominzoouuealU a�✓�a.�«„ board a. f BUI:Iri�f:�b1lXS:miIS 88:1 S:a�.1+!!e!' HC;vlE I&lr-R%0'a.CV...Al CL-V7RA(,l%%itt RegiNj--AM-1Ogc, t O a15 C �':p;.�ur►', try%U�1�ifisC � Typo: li IVIIjUAL---J ROBER C J.SPRINGER Robert Sg.;P,-r 75 Indian%od Rd �l!!.L'vnls,%,.MA 02%70 -1i�iRi�►d:t( � BOARD OF BUI4 DING R4R-* License: CONSTRUCTION S Number:'CS 003262 Birthdate: Q7129/1.9.47 Expires: 07/29/200!—_./Tr.no: 195C Restricted To: 00 ROBERT J SPRINGER _ PO BOX 622 '�ARMOUTHPORT, MA 02675 Administrator i I . oNSUMER.INF'OTIa► — suNIl;OONrS" �., � = A., a us StafeB::' dingCode; 180;C1NIIt ` pendg, e¢tio ° L" .Zr3a)- The Massachusetts State Building Code (780 CAM) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to an existing house (780 CMR, Appendix J, Section J1.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size, configuration, orientation, form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually constructing/installing a "sunroom". It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading • Type of Glazing • Insulating value • Solar heat gain • Frame materials • Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom • Adequate ventilation-Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The-Massachusetts-State-Building Code, Section J1.1.23.1, requires that the actual property owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. 111143 a 6 Signa of Actual'Building Owner Date 1 _i Mc� -� r U C�` '�f Cv rry ce,�,6 c., r W. �3Arn�sT�r6 Print Name IAddress of Permitted Project l Cu(,t.,)eOrtI CX R 4-2$ 77. Owner Address(if different than project location) Owner's telephone number -App4cat : Stum 1Acatiottof�mperty: barnstiz}�1e. i I LO.r= 10 oo . , JT0 0 - �V I .3 } r 5 PAC 110,49 2 4 1�W>:LL 11�t G t � I Driveway Er10-0ach'rnerlt � Lo-r.40 I I ref 7163 - 155 Mood,pane: 290001 0015G floodf zone: C IA OF i PAUL' J IIQYEy certi- y -that thus titortgage ulspectlon. was.prvpar 44, r o T. Xt Louis V. �Sorgt Jr. s� C3ank t nite& of Texas u GROVER y ' �' �• o31311 She Lela shown hereon, does not Mall tn.a specialEk f looc� ° howd/ area wt'6am efflective date of 8 -19-86and rdie location o'F -Vul�`�a4 the dwel ling doea conf orm.rto th.e local ion l ng 6y-laws attht tune oFconstruction, wit[L respectto horiscntal dintertSiotla� Setback requirements or is exwiM-�-orn vtolatt:on er1,f�oreeiiu're Scale: 1 Date: 7- I 1-94 dctl,on, under Mass. &nera laws Chapter 4oA-5ecttorv '7. File No. 337G9 i. I PLEASE NOTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments, if any exist, either way across properly lines. This plan must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This plan must not be used to locate property lines. Verification of building locations, property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY". I COLONIAL LAND SURVEYING COMPANY, INC. 269 Hanover Street • Hanover, Mass. 02339 Phone: 617-826-7186 - Fax: 617-826-4823 SPILLER'S 573241 ---- Jlppltcarn : stum 1AcatfOr t�, ' -p I��y� �arnstl�lE \ i i i 'LoT= 10 170 00 , . V ! S PAC EF ck, v�a,49 1-cs, �n �YQ��,�i15,Z3�t b1N>;LL1N G II oo� -Possi b1e Driveway Erlcroach-rnell-t � I LC `r,.40 7163 - 155 lod an¢�. 250 001 o015G �00dj MOF y4` � gone: C- � s PAUU �yN hereb6yy cer* -that Vii5 mortgage utspecti"on. was_pmpared,-for 3 GRO. H AttTweW . ..l,,cu' V. Sorgi Jr. �- 15ank Vnite& cf Texas, Fs.0, .J + -1 u 3l3lt c7he ng shown, hereon, dots VtotcfaU, im a spedca FE V&-Roocd hmm& area wt&am effective date of 8 -19-asartd >e locahbill OP U the dwelling doe; confer q rto *i,e local,g Mng Gy-laws ", eifvw, tune cwtthe oFcorv;"ct%on wi t, respectto hor�scntal dinlert siorloc� scale: 1" setback requ,t:renl iits or is exxm.pr�-on vtola.6m a4oreet�ttienx--' - Date: 7- II-94 dctLbm under Mass. &neML laws Chapter 4oA-5ectt'ory 7. Bite No. 33769-f _ i PLEASE NOTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments, if any exist, either way across property lines. This plan must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan j purposes. This plan must not be used to locate property lines. Verification of building locations, property line dimensions, fences or lot configuration can only he accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY". I COLONIAL LAND SURVEYING COMPANY, INC. 269 Hanover Street • Hanover, Mass. 02339 Phone: 617-826-7186 - Fax: 617-826-4823 SPILLER'S 573241 ---- �x�sTin, y SSRck 'RooK IR-30 -rNs%A - 2 x v Z R a9 CDx _ zX (o Tea: IL'' _ STUMP ,Tab ¢ �sph»�T Roo*- 2x 10 RaFTMRS W, —��„ ---- Sof(ir VENT ...._...._— - kRpes.ra_(aer�r� --�•xl. �—w��—��.�X �-1 .. - ....__ ---- - R 0. C Z4-- /max 4=/ x P NrodeA s ALUM. G,jTTE c�- 4'B" 'Z P Ly F� _9.n1E S s C.Ti o 4 $o1'P�T t�Acly? To -- 7-C. v., To Mv�T�L� 2 --- -- /t 11 WAIIS 2 ----- W•C . Sl��wyLES 2x4 - Ii. oN IXS ivi CORNEA 3a5— - - ----- 1/2 CONGA ETF -- - ---- 2k$ 13 E ArM . �ovNdAT',oN SEC:r, 2 " BElow GAAc1E 16 T --- C2♦ ,-t srrp — --�---* — --- 2-29 P.Yy -- --- ! 2 k IO P-r- R r P3� S 3 PTlp } CW2t CW24 -- - - PT RlJorwooa 4' N 'I� CTYP '� Ln 4 - - �I 0 ° `q - I W ' „ •--�— C29 CW2'?' _ {' I �2 C6NG�YE7E Qa R 30 f A3YL4rlO*J • S S' X { I — i Ek 't, 9 _._ Ff I I y ReA!l EI9vATiew � Qight �FVRto.r S P p S'o �_L-0 s w::.;.,,.�y.^'t.Hn'7'+:ov^y4�i:.`�f�'r.:lEt-,rw.F}�pytj{t.�X$:��r'^�ej1.�:�r.1Fi�f�". "GG'-�'Ir:Y'. �' t �Qtyn•!e'�7�t�,y+�'"' "'r�t='�+n�" •^mil'..-ryd6�. yi:',e•;�:�fy`+utl� Z. i °FTME>� . . . .� The Town of Barnstable BARNSTABLE, ' Department of Health Safety and Environmental Services 'OTFo a,►�" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: ��, b.{� Map/Parcel:/i�" Y Project Address: vl 1�U v v' �' Builder: The following items were noted on reviewing: w D "-r- Q r i Please call 508 862-4038 for re-inspection. TInspecte-dby: I ` I Date: \ t \ 4 , 0 ' q:building:forms:review a Assessors 'map.and lot number ... ..... �'�......�� _ FTNE T ' d Sewage Permit number .........gS..�...�.0s.a.......... ro Z BAMSTAIILE, i House number .. ... ?'I..(.�`...................I................... 9 rues . . �. , Op 1639• \00 �O N a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................. ........ ....................... ...................................... yY. TYPE OF CONSTRUCTION .......::............... ...... Kel.C!t .�............................................................... ..... .....M......./.................19. 5 t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a nermit according to, the following information: Location ........... Zo-.-/......' -/...........carl .,,.C.�a......�•..1. ...............""..:....... �_ e. `S;n.41 WG ............ ProposedUse .................f �(J4� .wl.............................................................................................,.............................. Zoning District /` .....................................Fire District ..................!..C.—O.,. Name of Owner ...... ....... L.S .........................................Address .......13�...... ........ s Nameof Builder �G .4c�- // /(.. .....:..Q.�..............................r.....Address ................................................................'.................. Name of Architect ......Nv .T.ys'l�� .pC.��q!Q....Address ........./`~ GA . ..'....QU?.!y.P.!er...... Number of Rooms :.Foundation C"b�l!Ir .......................... Exterior s��'�9 S Roofing ....................................:........................................... J..................................................... iUL�/.6V6O40 s f� r/�UC Floors ..... ....... ... .................................................Interior ..................................... .......... Heating ...............:.......�. ....S.................................................Plumbing ................ ..... .......... ... Fireplace �S Approximate. Cost .........:.Y............................. ................. ........................................................ Definitive Plan Approved by Planning Board ------------------______________19________. Area .....,.................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH, } .L 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 ... .:��/..`............................ O L Construction Supervisor's License ........................,........... S L S TRUST A=151-4-6 No ...2 .7.9... Permit for A St9E-v................ Single Family Dwelling ............:k............................................- ...................... Location ...............Lo 4.1.,......49...C.u.rry... ...qircle West Barnstable .................................:.............................................. Owner S L S. Trus.t ................................................................ Type of Construction ....Fram.e.. ........ . ..... .................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .....February 28,.....19 86 ................ ............ Date of Inspection..... 19 Date Completed .......................................1.9 B 4 T" 11rc 4s /sue �� 6 s Assessor's map`and lot number ... ........................... THE 8 5C f S OIL �� SEPTIC SYSTEM MUST o ' Sewage•Permit number g a ,,• INSTALLED IN COMPLI ' BABBn9eTl1DLE, i L WITH TITLE 5 House number ..-% .�1/. .............. ............................................. ENVIRONMENTAL CODE ' Oypg.�`0� TOWN OF TXii BUILDING INSPECTOR APPLICATION FOR PERMIT TO +h' U�,.. 1 a ST��................. .... ........ .......................... . TYPEOF CONSTRUCTION ......................... ...... ............................................ ................ Ile7 �.......r ................19. 5. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a rmit according to the following information: ............................Location .......... CJ ..... ,1 Q '.. ....�� 1. C 'S'l..>� .�- ......... n ProposedUse .................f p. .......................................................................................... ................ ....... ....................Zoning District 'er..............I..........................Fire District .....................C.. :......................................... .... Name of Owner .......5'L S....7_e..? S .......................Address .......I.5.�.....�.L 1 ..! /. ...�.3. ........!.d�/9/�Nt s �t Name of Builder �,G �-...=�l:�f-G .... �U�`L,....,Address ...........p........................................................................ Name of Architect ......A. 111_ile,.77 ....Address ......... ........ ! N/071T .P�!�T...... It Number of Rooms ..................................................................Foundation �f c........u7%Ga� .. ..................................... Exterior ....................... 6'�..'� L ..................................Roofing .........................(5(5 7.4 Floors �L_Y&/(5d� Sh L�^Tl�a'G� ...... .....................................................Interior .................................., .............................................. vc Heating ....::.................��.5.........:......................................Plumbing ................>�....... ....... . PC al Fireplace ........................ ..r�..-5..............................................Approximate. Cost ................................... .(.�................ .............. / sor l �7 . Definitive Plan Approved by Planning Board __�/� � __-_______19__ _ . Area ...../. r �,•�................... Diagram of Lot and Building with Dimensions Fee ....... 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 ... . .. .lf. ..................... Construction Supervisor's License o .J„LII „. V S,L S TRUST No ....L897y Permit for ....1..1...Story........................... . ........Single Fam.i.17..Dw.......e 1 l..i.n.g...................... .... . Lotation ....Lot 41,....49..Curry Comb Circle `West Barnstable ............................................................................... Owner .........5...L...S...Trust.....................;........... Type of Construction: .....Frame.......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ......... ......19 86 Date of Inspection ....................................19 Date Complet.,4 ...... ....1,9 c -S SECTION G�. x 1 Q —SEPTIC TANK— 1 D BOX LE AC TOP OF FOfV / . .� 2 _ r RAMSL)• "2"OF41ST0 N"' WASHED,STQNE OUT OUT- IN* SEPTIC ': , TANK. �I, , 4 ELEV. ELEV. ELEV. ELEV. b { AV. C 40 ELEV. ELEV. 1 - 4Z 'WASHED STONE: / r i 1413� ! W6 j HOLE LOG / TEST . . ; ��tir TEST BY �. GC>r.IL ou O ", A TEST GATE 6 1 65 WITNESS DESIGN � BEDROOM HOUSE /0 �� /6� 6� T.H% 1 - T.H. 2 ELEV..i'�p,Q ELEV.;�.D 41 1�1 s LO DISPOSER DISPOSER [ .;! t o5l tS ,;, Z4'+ 50,0 PERC RATE �.2 MINAN. '� Z G 'Sfo 1430) CLF-A►J w110 N I �- e^MSam Ag�p�FLOW RATE (GAL./DAY I e� AB SEPTIC TANK.3W ' (151= \ REQ D SEPTIC TANK SIZE _ ____� we . . cxc l �' Ig2.0> LEACH FACILITY ' SIDE WALL `it'8*-G o 15U.7Z.-(Z.S) . '376.8 ¢H&bL BOTTOM �(6" /2)2 . .50.2.Q (110 1 . 50�M G/D. , 441 I54 SILT tlira. TOTAL ZAO sp. l,_ / t5 ��j(: .• I I' USE: LEACHING PIT / SIR NO &EFF DI A- x 4V IS3=;:r DSPT44 WATER ENCOUNTERED � NOTES: (UNLESS OTHERWISE NOTED) ✓1�r ,L OU 5 X��: 16.7eG 1.DATUM(MSL) TAKEN FROM 2Ad bhlr-0. QUADRANGLE MAP Q.'MUNICIPAL WATER I S -------AVAILABLE 3.PIPE PITCH:'A"PER FOOT . 4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO- -44 O��tFt OF G S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. 6;PIPE JOINTS SHALL BE MADE WATERTIGHT ARNE H. 7,CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. STATE ENVIRONMENTAL CODE TITLE S $ ALA SITE _ - MAN Y M $ Tw.b p�a.,_I FOL. PYa7LY.c� wc+GlCc�.�i``C �.._ao .�+y��'p N B C _ LOCUS: L.OT41 �}tlJ_ 0 tito'e' �E U�D PoZ. .�LG'.`�'-Z'*'� L-��+G �r'd.�,n.,►t� . OF Gr�cL W.�wl�sT016Lc RE NGINEER _ .� ARNE 1 t � G� REF:l-oT4) �VI�iT�tHll LC down cape engineerin PREPARED FOR: t-�E.i3E g • _ CIVIL ENGINEERS � O LAND SURVEYORS .f� BOARD OF HEALTHen" FVi LAIV U OR- //' NTOURS. (EXISTING)............. d�A�tST?�L'St� IUDMA SCALE L s�� (PROPOSED)-0-0-0-0-- APPROVED DATE MA DATE l! i i —[,OT-IC) .i 4-1 I � CENT pR pA 12 E D FOR: /.o cA=riO.v: Cill��C.o G �„ _�► 2 12 � ,2 EFE.etc/cE: 2, NEeEBy CE,eT/FY TNAT T,4E BviLa/�t/G �"� Of Mq - y.20U,1-40 lg4S Wit,/ "EeEOAI I 1 l #26 it down cam en9iraeerir�9 `'��,�,�� C/�//L E.VG/.VEELS • LAND SUlV6YOB3 G-'OUTE 7-,A-i a/grc- .ems. L �4�va sueVt✓oe (�; g �►`' � 1910 imp- III it, TOWN OF f1ARNSTABLE, MASSACHUSETTS PERM.IT A-151-4-6 r' JOB WEATHER CARD d.. February 28, 86 - p) y�4 I.Cbe Sol lows �QV. DATE �� 19 a w PERMIT 1, 2 .�`C-= APPLICANT ADDRESS ' (NO.) (STREET) (CONTR'S LICENSE) Build Dwelling '1} Single Family Dwelling NUMBER OF PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) LCfG 41, 4J lorry LUt4D I.Y.C"C:Ya:, .iCESL LOAX:XxLi iIfLY=U ZONING &,A: I AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE f ' BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION 1 TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) ►�-- Sewage ##85-1052 REMARKS: '- Band ti 1272 sq. ft. 50,000.00 PERMIT 76.25 AREA OR .VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) f 1 S L S Trust ! �c•_� -� h 1 OWNER T 3 e na.a r,t t 32 ...,.. ......, �.,...� =..«., BUILDING DEPT. .,!'a (�/ 1 .ADDRESS BY [, THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPO.9&ftILY OR. PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPART4ENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ' 1 MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR �GR ALL CONSTRUCTION WORK: CARD TKEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 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. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I 1 �G ) o , 1 I • 4 1 3 HEATING INS- CT PPROV S a e4 REFRIGERATION INSPECTION'APPROVALSIV t -t,..'H E R P, Q H 12 2 • I 'NCRK SnA.L_ NCT PROCEED UNT;L THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSPECTIONS iNDICATED ON THIS CARD INSPECTOR -iAS APPROVED 'HE VA-ICUS + WORK IS NOT STARTED WITHIN SIX MONTHS_O_F DATE TH-E—CAN,BE,ARRANGE-0=FOR-BY-TEL-E'PHONE STAGES OF CONSTRUCTION. I OR WRITTEN NOTIFICA-T''9N. �-----^ "`PERMIT i5 ISSUED AS NOTED ABOVE. �5,` ��- •�^ �� rem �Y y i �' r J - rl ,tr ,� � �_� , � .� � - __ � .... _ __. _ r \ i �, �� ,/ i ;,�' x » _ _ _ �..-� .-�� `�"�. ,� � _ . � .�i yr-��-rT� _- :,.Tr,�,yy 1.l c �� . �� ,_ x: �,L. ��..° i '•;ems TOWN OF BARNSTABLE BUILDING DEPARTMENT ssRI°r =out TOWN OFFICE BUILDING � °+ i639. HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: Wt—41F ' An Occupancy Permit has been issued for the building authorized by BuildingPermit $k.... ...... ._._......._........................._......................__.... ._.._ ...._........ �_.. ... .. __ issuedto ............_.......... ...................................._.... . i i I Please release the performance. bond. fi l I • °> TOWN OF BARNSTABLE• 28979 . Permit No. __ { _ Building Inspector cash OCCUPANCY PERMIT Bond _x____ . t Issued to S L S Trust Address. Lot #41, 49 Curry Comb Circle, West Barnstable I 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. .........I .... . ,�?....., 19_ ............ ...... ,GG.... Build n Inspector o•"' > TOWN OF BARNSTABLE permit No. . = Building Inspector Cash OCCUPANCY PERMIT Bond _—X �----- L • f Issued to S Z S Trust Address Lot #41, 49 Curry Comb Circle, West Barnstable Wiring Inspector`i 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. Q,/ .........�..t/)91L.. �.. 19..6 .. ..................................... _ _. ..._.... _.... ._ Buildin Ins ector