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Home My WebLink About0044 TILLAGE LANE o �llll �.RE�vc�oo llll UPC 12543 No. 53LOR T.c�ySJ� HASTINGS. MN r. - -w•-, �-.. - -« _...;..�.::�.,_�`d!,.. -r_aA _ _ .,�..«wre-. = .....m ua..�ti«,.?� ^ �_ .,�►r.Ac,•..«l��,..n�..„ca r �.ar..�A'`!'__ -. _ -�'":�.'T.^_^._^+!...:--_fir- .��v-_ ,.�.r;+P"r.*"` '+�"-�'dR`.!E77�--r.�� ..,..t-.:..._.,,vC,.�:.,�.-�,tip,. ..•..t-.C:... ., «. - ... -:. ..,.. .:.��; _ _ Town of Barnstable �r Building t Post This Card So That it is:Visible From the Street'-Approved,Plans Must lie Retained on Job and this Card.Must be Kept 6 Posted Until Final Inspection Has Been Made. Permit • Where a-Certificate of O�pancy is Required,such-Building shall Not be Occupied until a Final Inspection has been made.. Permit No. B-18-2957 Applicant Name: Rick Anderson Approvals Date Issued: 10/05/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 04/05/2019 Foundation: Location: 44 TILLAGE LANE,WEST BARNSTABLE Map/Lot:_136-002 Zoning District: RF Sheathing: Owner on Record: WHITE,PAUL M&DONNA M ' Contractor Name—:' -,RICHARD W ANDERSON Framing: 1 Address: P O BOX 717 Contractor License: CS-007714 2 WEST BARNSTABLE, MA 02668-0717 ! T T _, Est. Project Cost: $21,050.00 Chimney: Description: Build new porch and replace four windows. # i Permit Fee: $ 157.36 + Insulation: 57.36 Project Review Req: All hardware must be in place for framing inspection Fee Paid: $Date: ,_' 10/5/20/5/2018 Final: Plumbing/Gas i Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after'issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the;approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and str'uctures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for.public inspection for the entire duration of the work until the completion of the same. J r•'� ff tl Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this'permit• Service: Minimum of Five Call Inspections Required for All Construction Work: ^f' 1.Foundation or Footing �# ^� _ �.* Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT C a) Town of Barnstable *Permit# Regulatory Services Fee .S awe. Richard V.SealL Interim Director Building Division X-PRESS PERMIT Tom Percy,CBO,Building Commk*wer J U L 1 0 2014 2W Main Street,Hyannis,MA 0260I :.,* www.town.barnsuble.ma.us Office: 508-862-4038 "� m ,`R LE EXPRESS PERMIT APPLICATION - RESIDEN'I'tA Not VaW»4dlotrt Red X-Pfm Imp ort NWparcd Number IS a Property Address 7`7 ARe Wagial value of work$ 16, 7/3 11limimum tee of SX00 foi;work Tde r S60MOO Owner's Name&Address f Pr�c lcl r Q (,( W c1 Telephone Number q - 7- �OC� Contractor's Name —�r►,��c�}�� F��.- ��l Home lmprwmneW Contt ctor License#(if applicable) l 7`324J F�sil: Consuuction Supervisor's License#(if applicable) 0 I�7 /� 7 jSLW0rj3='s Chan InsO&= Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Names Workman's Comp.Policy#41 C/907wk,3fp,3 Copy of humranoe Complfioije Certificate must aoeompany each permit. Permit Request(check box) ❑ R&roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Wkdowstdoors/sliders.U-Value '_ a y (' 7°m11°°'3#of doors :Z��ff ❑ SmokelCarbon Monoxide detecmis 4 floor plans marked with red S and inspections regahv& Separate Electrical&Fin Permits required. °Where rapmed: Immee of this pent does not ennnpt cowhwm with other town depm'mteg regUlOWa.Le.H18W&.C0m9erv4KM 2h I ***Note: Property Owner must sign Property Owuff Letter OfPermiesion. A of the Home Improvement Cont mdors LiiCOW&Construction Supervsors Liconae is r SIGNATURE: T:1WVDd V3w1ftg Chw*NW"M Revised 061313 .3un.2S.2014 23:SO RAM CONBOY T ATEWAL AMRR 7111 545 1293 BALE. 4/ 6 ' Renewal YI Lnsv,c 0!41�N bYARde>:9eri. RENEWAL By ANDERSEN `I mtho�zIV;m� cr EV.S.0 W.;XIS.5 2fir�illSnnRt>Ftd • Una lit, .I n..trtismzs-. masers sm"nla rr .e.k".Ge,.m ; Phone tt4iG.5(;3.2!VM•Fax 44ILC43d KW2 , II en+nmtus�uoae-o�:o SoatLrsa New Ha��NYadows,ILC d/b/n � RomwalbyAsiltmemef SeuehemNewEu,4md CUSTOM WUVOWAND DOOR RBMODEUNGAGRUAMN17 DM 41A�Vcoww �l ar+tasslrea�.r�e.a.ca:t eetrrr�^aa: rrhYlAd&=. AM Wi lye 2 / e r.ro td c!,N-9-4 9'`o°0 Nu�,Dzr.+—�ed �•O�— 11 yApQ.:�♦O'1.�•4 Bu)YeN)bur*Ju+nthlund as rnity s„r•eccn to pan hwe the prodocu and/ar aelsiteg a&x,ifiem Nov Faigtand .,11G'd/b/n Rmewrl by And cr cn of Smtbem Mew lrne and("CAm Mrs or',in amus"u c with tlwe henna an d umcSitiaa. the front and the revues of this agivemtnt and on the mtl�chcd rxscilir. tieln tifirctRa)4rrlhz tiaNiy,ohm Agtccrrrcnt"� 13 Condo O ROAT Taut JobAmoutzaL bmated Swop Dz r Medtod of paymmc 4!! D Fimrxzd Deposit Ralceatiald(33%X, � -.�'8l✓k�!s t sea Cardt am a Far any-maitiMUM 113 of ttli Batarar v PA Strut Ojai)431Xi: proms orrL(F�e n e Ged4t Area)by dim Ws Esomted C*M08�Otte; %you tn0u Balmer at Start ot)ob wad da Bib=on Sul/ d Ar�a OftKe on&-Runnel Completl°Il lob arena be Made by aedat Comomon o(leb�3l XrJ / cud and in=be node by tllet9c bank dxtk or wtt. Bayer(¢)e9ees and understands that the■Agreauseae coaatie us.the a+kiss aaa..etenamg the parties,and that tAere are ao verbal naderstoadmas chnrging any of the corms of this Agreement.Bryer(al; nawkdS-that Bases) (1)has read this Aseeemeat,anderstalsds the trans if this Ageeemems,and has received a feted,signed,and dated copy of thin Agreem4aq indadimgilbe two atsaclited Notices of Cancellation,on the slate first above and(2)was orally iafatme:d of Buyer's r14W to ciswelthis Agreaalaoat.DO NOT SIGNTHIS CONTRACT IT ANY BLAME SPACE& (RAode lslad Sabi Only)Notice to Buyer (1)Do not sign this Agreement It any of the spaces ad t'br she agreed terms to rise sanest of then nvailahie information ary Nfi blaah.(2)You we eatltled to a copy of this at the time you sign it.(3)Yana may at any time payoff the fail aanpaM balanca due made,this Agreement,and In sal you stay be eadtled to receive a partial rebate of the finance and insurance cba%m(4)The saner bag ao right to un ja enter your premises or commit any breach of die peace to repossess goods paaehased under risks Agreeasaeat.(3)Yea y caaml thisApeemeat If ft has not been signed at the main a415ce or a hraaeh office of the antler,paro.ided yen'rotiiy ►dbr at has at her amain office orbraneh office shown in theAgi regiment by ve#xtered or certified mail,whicb shall be pi ae!later{hat+,aid+mkt of Qa Mutt calendar day aft"the dory ost which the buyer aigas the Agimment,eschudirg Sw da any bouday on"hock segalar mall deliveries am not mad-See the accomparyingnotiee of cancetlaition form fir as of bryerws f%hta. It d the cteuntm r edrna' a e ttI Cototttrxt tretJnn J Rtaewalbv ofS By: ��jf /j�' �_eJ� Signature Prim XWftnfPmduaUtknikpir i` Peirt:Notue PrintNaane YOU THE BUUM(S).MAY CANCEL THiS TRANSACTION AT ANY Ti M PRIOR TO BIT OF THE THUM DOS UM DAY AMER TM DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE Tp CEI3AMION FORMS FOR AN E XPIANATION OF THIS RIGHT. i — -— —— -—— — — — — — — � — — — — — — &—— — — — — —{1a— — — — — — — —— — — —°ee NOTICE as CUCELLAMON Pate of Tmnsacdon�„_.�_ ~ You rang cancel I Date of Transact ' You may cancel this without any penalty or oblkgation,within l this transaction,without any ty or obligation,within three business days from the above date If you cane(any three business dqs burn the dabs.If you cancel,any Party traded tn,arty payments made by you under the l property traded 64 my p4m% made by you under the Contract or Sal;,and any grdable Isntrument enoecuted i Contract or Sale,and any le instrm a uent wcuted by you will be returned within ten budnaes days followInS I by you will be IactmnBd widt business days following recai by the Seller of your eancelRadnn notice,and any l receipt by efts Shcar ar your patios notice.and securty interest arising out of the traraaetloe will be tocurity (nuoresc arising cue a transaction will 6e eattexle 411 tancef,�yeatrr mutt make aralbble to the Saallar I a:ancaigd If u cancel, u available w the Seller at your rulaonco.In VAStandally 4a good condition as whim l at yew rrsi enoe,In good certdktion as when received,awry goods delivered to you under this Contract or i removed,any roods delivered t0 under this Contract or Sala or you nhtty,k/you wish,comely with the Irsstr uctiom of I Sale•or you H you wllh.ca with the inter ut rheas of the Sadler the return shnpmawtt of the gonads at the the gWw reg ing the return t at the goods at the SOW%ea�et-� ttnd OIL if you do make the goods available Saber's expense and risk.if yota a th goomd available ve� to the Satter and the Bader doau not�Ic thv up within to dw Seller and the Sutler d the up taarrhty days of rate slate of aasnaellatten,you teeny"resin of I twenty,slays of the afaat=of ion,you may retain or <Gsaoso➢/the goods wisatout nary further ChNation.if you I dispose of the goods widuout r obligation.if you laa7 be matte the groats available to the getter,or if ya,a snare I fa8 to madce the goods Sadler.or W you,tgiroe to raurn rho goods to the S We r and laic to do s4 dwa you l to return doe roods to the"I fell to do M then you ra Whin Gable br perliormance of a!1 ob6gatiorhs under the l remain liable r performance I* wW*the Co11"U .TO aatrtcal this transa�oTh map or deliver n signed Cantrtct:To cancel this t rataa mall or defivcr a signed and � wpy of this aancellatkon notice or any, othin I and dated copy of this canon notlea or any, other vnitteah acticc,o►send a telegram to Renewal byAndtrsen of 1 written notime,or send a tote Renewal byAndersers of Soadhern Now Entland at 2f Albion Roa4 nt:oln, af, I Southem New E and at Road.liraoobkR102865. NOT LATER TIiM MiDMGMT OF - � l Date) TFldN MIDNIG F H ffi—&SY CANCELTHISTRANSACTIO�N-' f HEREBY CANCELTHISTPAICTION. aa/aa4 aDthane iMtht Nea1w ONs eaapnh lyrMwa Harm OA. MA Cow etc Bays Cops=Y09w Buyer Casper,Pink �I ,r Southern New England Windows d.b.a Renewal by Andersen of SNE �6 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Canstrurtiun Super0wr License: CB4)95707 $ItIiAN D.DENMSON '- 7 LAMBS POND CUtC Charlton MA 01507 Expiration Commissioner 09/08/2014 Office of"Consumer Aa1rsdBuslnessegulahon 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home improvement Contractor Registration RegWtmfioo> 173245- TW& Suxftmerd Card SOUTHERN NEW ENGLAND WINDOWS LLtmr1_ BftBlMta DENNISON-BRIAN 1137 PARK EAST DRIVE WOONSOCKET•RI 02895 Updab Address and Teton earl.Mark rrssoo 0n c6anga.- err•o mca, Adds' —,Rrpewal f Employmm [U Lori CW "--0Rkr olCaasa c Albin&Bolo-11 t�•1b. Lieenr m registration nod for Nmftvldrl me roily ,�,.(�j,, beforr the ntioo due.1f Mund retina to: Wt•t'FEYE IMVAOYEItE1ti CONTRACTOR �W '`T7y,l' 001ee of Claeumer Affairs and Basiru Regolatinm N1r9'Ropbtratiorc.1M45 -Type: '10'Park'Plam=Subt317D ��pn'91AS0U 90ton.MA 02116 SOUTHERN NEW ENGLAND WINDOWS U.C. RENEWALBVANDERSON DENNISON 11RIAN T 1137 PARK EAST DRIVE + WOOFSOIXET.Ri t12695 Uaderaerrebry Nm slid wilYoat ritaamre .. ._.. +I 1 A i . The Commonwealth ofMassachusetts Department of l—dustrial Accidents Office of Investigations 600 Washington Street Boston;MA 02111 www.tnassgov/din Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/PIumbers A licant Information i. I Please Print Leeiblv Name(Business/Organization/Individual): Address: a(2 /oA/ KDGF City/State/Zip: l.!/l/CD N , /e,r, o�abS Phone#: YD/ ,? g' ?YDO Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with e2 4. ❑ I am a general contractor and I employees(full-and/or part time).* have hired the subcontractors 6. ❑New construction. 2.❑ I am a sole proprietor or partner-, listed on the attached sheet. 7. (]Remodeling ship and have no employees Thy sub-contractors have 1P �P oY 8. ❑Demolition working for me in any capacity. employees and have workers' 4 Buildingaddition (No workers'comp.insurance comp.insurance.: ❑ required.] S. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing-all work officers have exercised their I L Plumbin❑ g repairs or additions myself.[No workers'comp. right of exemption per MGL' 12 ❑Roof repairs insurance required.]t c.15Z§1(4),and we have no employees.(No workers' 13.gOther G() fJ comp.insurance required.) 'Airy 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 hue outside contractors must nit it new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub.wnaactors and sM whether or not thosee Cities have employees. If the sub-ommaeton have employees,they must provide the workers'comp.policy number. 1 am an employer that 8s providing workers'compensation insurance for my enploym Below is the policy and job site information. Insurance Company Name:_& 4 - Ur Policy#or Self-ins.Lic. 3 Expiration Date: c� �/ l / , , Job Site Address:_ 7� r /GG�'{G� ,`�' I - City/5txtelZip: r - 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 ofthis statementmaybeforwarded to the Office of Investintions of the DIA for insurance coverage verification I do hereby under the pares and penalties of perjury that the information provided above is a and correct Si azure: c ` `7 / ?hone#- Offidal use only. Do not ry*e m d*area,to be compided by Wor town o 7ciai City or Town: Permit/License# Issuing Authority(circle one): i :,.Board of Health.2.Building Department 1 iatyPfo m Clerk 4.Electrical Inspector :.Plumbing Inspector 6. Other Contact Person: Phone#• CUenW.30124 SOUTNEW ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(M=DNYYY) 6/06/2013 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 RUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)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 a Anita Little Willis of New Jersey,Inc. E ExI,856 914.4660 1015 Briggs Road,PO Box 5005 E HAIL No: 856A141881 ; anita.IlttleQwiliis.com PO Box 5005 Mount Laurel,NJ 08054 AFFORDING COVERAGE NAI:s INSURER A;Selective Insurance Co of the S 39926 INSURED INSURER e:Argonaut Insurance Co. 19801 Southern New England Windows LLC INSURER c:Beacon Mutual Ins.Co. 24017 DB/A Renewal by Andersen 26 Albion Road INSURER o Lincoln,RI 02865 INSURERE: INSURER'F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS•IS TO CERTIFY THAT THE POLICIES OF'INSURANCE LISTED BELOW k1AVEBEEN 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, ��NNgg]EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MR TYPE OF INSURANCE i ADDLJSUBN POLICY NUMBER POU APINSK LIMITS A GENERAL LIAR uw S202945900 8/10/2013 08110/2014 EACH OCCURRENCE S1,000,000 X COMMERCIAL GENERAL LIABILITY Ea o ;L os $1 OO O00 CwMS4NADE OX OCCUR MID EJLP OM one ) $10 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s3,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-CoMPIOP AGG s3,000,000 PROPOLICY F-IJEC LOC $ A AUTOMOBILE I'Aenm S2029MOO 8/10/2013 08/10/201 Z'",NED SINGLE LIMIT 1,000,000 X ANY AUro BODILY INJURY(Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS OS BODILY INJURY{Per accident) $ X HIRED AUTOS X NON-OWNED pRO wMAGE s $ A X UMBRELLA LIAR OCCUR S202945900 8/1012013 0811012011 EACH OCCURRENCE $5 000 000 EXCESS L" Ll CLAIMS-MADE AGGREGATE s5,000,000 DED RETENTION $ C AMOR1¢RS COMPENSATTol1 0000068028 RI 112013 08121/204 X wC BTATu °TM AND EMPLOYERS'LIABILITY g ANY PAOPRVOWARTNERJExc�tLVE AIC927818352394 812112013 08/MIM E.L.EACH ACCIDENT ti OOO 000 OFFICERMEMBER EXCLUDED? N N I A I�In a E.L.DISEASE-EA EMPLOYEE $1 000 000 DESCI NNON OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aftsoh ACORD 101,AddWonal Raeub SeMd;:M etas spaq Is required) CERTIFICATE HOLDER CANCELLATION Southern NE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 26 Albion Road ACCORDANCE WITH THE POLICY PROVISIONS. Lincoln,RI 02865 AUTHORIZED REPRESENTATIVE • 6L 01988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S215109/M215088 AXL Y r DONALD F. HENDERSON, P. C. ATTORNEY AT LAW 0 776 MAIN STREET HYANNIS, MASSACHUSETTS 02501 617-77S-ISO4 DONALD F. HENDERSON PLEASE REFER TO FILE ANITA J. MCCARTHY-DREW NO, September 1, 1987 Mr. Joseph DaLuz Building Inspector Town of Barnstable Hyannis, Massachusetts 02601 Dear Joe: I have examined the title to a parcel of land containing 35,200 square feet, more or less, which lot is shown a plan dated December 1965 and filed in the Barnstable County Registry of Deeds in Plan Book 206 Page 51. That plan was signed by the Planning Board under the subdivision control law on January 24, 1966 and again on September 6, 1966. The lot went into separate ownership on September 23, 1966 and in my opinion is presently a valid building lot under the Barnstable Zoning By-Law. The .lot is currently owned by Paul M. White by deed dated August 8, 1985 and recorded in the Barnstable County Registry of Deeds on September 6, 1985. Very truly yours, DO4Dona . HEND RSON, P.C. By: F. Henderson DFH:djp �^ Assessor's offioe•.(1st floor): Assessors map and, lot number .. Board of Health (3rd floor): C> Sewage....Ptem.tt dumber ......... ...................................... :. F�96`r�I TITLE 5 �a� Engineefi�ng: a`.4mont (3rd•floor): i:�L��q ® MENT 1 ��q p YA°9. 0� ee ^ T� uv. �'� � L. V®� 9 p 163 House n nk r?'. ..;f `t`...........1� ............ T(awm FBEGiIDL.ATIONS #APPLICATI0N8'!-04016ESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only A P P R O V $TOWN OF BARNSTABLE 24"a ;mec°'s° 0=16111MilILDING INSPECTOR UPPLICATION FOW&MIT TO ....0 O tea. !1lJC ..�-�..,J�1.^?� ... � r�c�*'��f .� . ... ................... �- TYPE OF CONSTRUCTION ......��, C .. ! :/!'I�........................................... ........ ...................... ...r.. ....................19. � TO THE INSPECTOR OF BUILDINGS: J The undersigned hereby applies for a permit according to the following information: Location ......... - .......b.11Gcy. ....... ............... .............................................. ProposedUse ...........l�1PS.l( r .r-.(.................................................................................................................................... Zoning District ............... r............................................ District ...."U• ....ti ��T!I!1..................................... Name of Owner .......... ... .............................Address .........lf ........ C�.�`!�ZC .e.. �uK................ Name of Builder ..... ��C.C...1�.`. X 6...............Address ........... ........P..: :.. G?k... .............. !�� Nome of Architect .-.\-L-�'0-rc ...7.......... .......... ��L`�1G 5..../...:<GG1.>.............................. Number of Rooms .........(I.......................................................Foundation ..../..iZ.�t-P4...� Cvt. [.C� . ............................... Exterior .............C. y ..�J1T/vL!�1..�%. 5 .....Roofing .........43 .m�1...................................................... l.. ........ . (/ ' t - Floors ... ....................Interior P1�1 P.....�� ,jcJvrs............. .:- .. `....` L.........................Plumbing .....1....V.0. ....1...at/'f/". ...... /.....�..Z. A/)< . t / Fireplace ........... vrla.11<.4... .....:�.. ldG...............................Approximate Cost .........�.�.C1 f..� -f�.: ........................ . Definitive Plan Approved by Planning Board _ _ --______________19621. Areavd:v-., Diagram of Lot and Building with Dimensions Fee ` SUBJECT TO APPROVAL OF BOARD OF HEALTH • I 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 ..O.C�,�lo.� .............. White, Paul No. ... Permit for .....tj stvor ..... ............ ........ sin le famil welli ............................Y. .. ....... ..Le. ................... 44 Ti Location-,.......... ...4 Ap...... ................... West �rjsta e .......................................�iA§��I ........ ..................... Owner ..............Paul 1�h A e . ....................... ...........10.. ........ A Type of Construction ...... ....frame............... . ............................................ ....... ...................... Plot, ............................ Lot ............#.2................. Permit Granted ....... .......19 87 Date of Inspection ....................................19 f2 .�—i Date C mpletei' ............. ... 9 t 4� 1 - Y l HILL ROAD jr F o' r I v�~ L o-r Lj C��cP p82�{q :PG ;c7 �o o � 3 Pg 24q P 101 G M m (o.66'-Ac. ,I �I I ie�.os G E JOB # 87-356 CERTIFIED PLOT PLAN PREPARED FOR.- LOCATION. TILLAGE LANE W . BARNSTABLE SCALE: I =40 . DATE: 09/22/87 REFERENCE: PB 206 PG 51 BAYSIDE BUILDING I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. BUILDING CONFORMS TO SETBACK REQUIREMENTS A" Or OF THE TOWN WHEN CONSTRUCTED. ARNE s� OJALA down cape engineering ae ' CIVIL ENGINEERS \ 9f ___ T LAND SUP,VEYORS A_ ROUTE 6A YARMOUTH MA DATE REG. D SURVEYOR TOWN OF BARNSTAIB.LE, MASSACHUSETTS U.I L D 1 N G `y PE R nll l 1' A=136;.2. DATE n 19 87 --T PERMIT APPLICANT'. ' ADDRESS I .. � 0•1 � S7RE ICO��iTERS'�.I PERMIT 70• ( � ) STORY �' NUMBER OF VEM N -NO• Ja.rl�}1c (PR 0.1POSED d5E)r'�'n, I T nfOWELLING UNITS J ZONING A7 (LOCATION) dd 'T'i 1 1 i� i n� a irrc� 'f anr� CrJn¢t rt h F, (N0.1� (STREET) � DISTRICT— i{1'� _ BETWEEN AND (CROSS STREET) '" (CROSS STREET) SUBDIV40N LOT LOT BLOCK SIZE BUILDING IS T�OE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION 1 TO TY E':' USE GROUP •_i BASEMENT WALLS OR FOUNDATION- . y` .•> (TYPE) REM R,KS: •� 7 e�i 1�Gi1d VOLUME" >1 (1(1 4CY fi-TSI PERMIT ESTIMATED COST $ 16C) U00 Q�) FEE • ICUBIC/SOUARE FEET) - OWNER. Dal, Wh t,, `a ADDRESS' tiiJ --�.:r � p$ABid-' BUILDING DEPT.. .C� �J��V�I..Ll' BY - i F ANY APPLICABLE SUBDIVISION RESTRICT IONS. N MU ISPEC of THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE NSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR LL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. PLUMBING IO PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL FINAL INSPECTION TI 70 LATH)BEFORE FINAL INSPECTION HAS BEEN-MADE. . FINAL INSPECTION BEFORE OCCUPANCY.. ' POST THIS CARD SO IT 1S.•VISIBLE FROM STREET ON INSPECTION APPROVALS PLUMBING INSPECTION,APPROVALS ELECTRICAL INSPECTION APPROVALS 1 � 1 - 2 ^/L f -- 2 — HEATING INSPECTION APPROVALS ENGINEER I EPAfrTM 1 4 OTHER 8 OF HEALTH a a F E INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION TAGES,OF rp ORK IS NOT STARTED WITHIN SI: MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAn BEARRANGED FOR BY TEI_EPHONE`gOR WRITTEN ERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. e v o'er . Assessor's offioe .(1st floor): FTNf T Assessor's map and, lot number .'./j'lj./�.P.'� fQ..�k!z. /!. Z �o °�.♦ f Q w �Board of H�aloth (3rd floor): Sewage,,Pe�mit i ,pumber ..........F . -. .�a`............ ........ t Biaa9TGDLE, i i Ertginee�i ,�:., atmnt (3rd floor): L 0� 16}}9,a\e�' House ri mE rt. .:: ...................... ... ........... ..... ............... ' o MAI APPLICATIONS�'`'P�2OCESSED 8:30-9:30 A.M. and' 1:00-2:00 P.M only y TOWN OF BARNSTABLE UILDING INSPECTOR 2 J�- APPLICATION FOR PERMIT TO .... 2,.. ..`. % i (� ................... TYPE OF CONSTRUCTION ......��?C .. �1, lx'tP.....................................:................................................. r ........ .(,... 10..................19-�-7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........�Q'� ... ........./..i.f.YGc .L....... ! <................. .. &2U2,.4,t,14119.............................................. 'Proposed Use ...........��?5•/. . . �.. .. ......................................................................................................... Zoning District ............... ......................................:.............Fire District ....`1/. .... roF✓1..................................... Name of Owner f.............................Address .........� ..... Name of Builder ..... 1 ' .y.��(0...1 ....�-a...............Address ca."l/.I........Pe—, �k...�` .. � ...................................Address .......... .5.. 5....1. /1.`�.............................. Name of Architect Number of Rooms .........{......................................................Foundation ....1.0rW.P_<l... D.?LIK. ................................ Exterior .............(�. ..f�11� ..yl.li� V 5 ll��° Roofing .........4; ....................................................�2 �. �...... .... Floors ................ �.......................Interior ..........� P..... � drri...................................... Heating ............1.L1.. .:..... . .. .......K� ...........::.::. ...Plumbi'n <.. /� r Fireplace ...........�4,:f.K-.......��A.CY.`...............................Approximate Cost .........IA.,&� Definitive Plan Approved by Planning Board _______________19 �. -d�� 4 t Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. j SUBJECT TO APPROVAL OF BOARD OF HEALTH � I i i 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 .....�i ` f 2... ........................... Construction Supervisor's License ... 4�.� White, Paul A=136-002 No ...... . . 31240. Permit for ....................................tw o story . single family dwelling .. ......................................................................... Lqqationi 44 Tillage Lane .............................................................. West Barnstable ............................................................................... Paul White Owner ......................................................... ........ Type of Construction ...........frame..................... ............................................................................... Plot ............................ Lot ..........#.2 . ............. ...... Permit Granted ............ 87 Date of Inspection ....................................19 Date Completed ......................................19 �� v�r.+-r- -,.-•..-,--�-..». ...,F„�,f.��,.�...._,....,_._ .�...•"„�.�'- sw':.'..".'�1'r�n^' 'rv"'!.F-e�l*4f"^. '�' - •.r7.. ..t. p • +`'t O�THE. TOWN OF BARNSTABLE Pm 31240 { e erit No. ................ • BUILDING DEPARTMENT a.aan I TOWN OFFICE BUILDING Cash .w. a HYANNIS,MASS.02601 /' Bond ......X... CERTIFICATE OF USE AND OCCUPANCY Issued to Paul White Address Lot #2, 44 Tillage Lane West Barnstable, MA USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 21 87 ............................ 19................. ... ......... . .!. ............. , . Bu}l ing Inspector ��..� }� �•.w TOWN OF BARNSTABLE BUILDING DEPARTMENT = ssaser : TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 r MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit.....�/„......... .._.................................................................._....................._ .. .........._....... w_ issuedto ......../.....!..4 .................................................................................................._............................ Y Please release the performance bond. A icl— �oFr►+r r � Town of Barnstable *Permit�20/0 0Pdate Regulatory Services Erpires6monthsfromissrr • awRvsr�B[e. Fee 1639- �� Thomas F. Geiler, Director �AjF)MA•t a Building Division Tom Perry, CBO, Building Commissioner UP 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038www.town.barnstable.ma.us EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ax: 508-790-6230 Not Valid tvititorrt Red X-Press Imprint Map/parcel Number_ - � --�— Property Address_ ; LL AG, Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name & Address S - Contra or's Narne Telephone Number Home Imp vement Contractor License #(if applicable) Construction Su rvisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ,PaESS PERMIT ❑ I have Worker's Compensation insurance AUG 2 4 2010 Insurance Company Name. �r I �F BARNSTABLE Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit nailed)Reque t (check box) [/Re-roof hu ( tied) (stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed) (not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value #of doors (maximum .35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvemen ractors License & Construction Supervisors License is required. SIGNATURE: Q:IWPFILEST0RMSlbuilding permit forms\EXPRESS.doc Revised 072110 Tire Connnoirivealth ofl'fElassachuselts Deparlinenl of Industrial.Accidenls Office of Investigations �-' 600 Washington S/reel - � Boston, t L 4 02111 1•vrtnv.rnass.govldia 'Workers' Compensation Insurance Affidavit: Builders/Conti-actors/Elecctiicians/Pl;umbers Applicant Information Please Pant Lepiblti' Name (Business/Orgmizationdndividnai): A�•--� W� W�� Address: L4 If '[: Name, LA3. Phone 0. 5 d;jy-2)6� S Are you an employer?Check the appropriate boa.: Type of project(rrquired): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. ❑New coustniction ?.❑ I am a sole proprietor or.partner- listed on the attached sheet_ 7. ❑.Remodeling slup.and have no employees These mb-contractors have g_ ❑.Demolition working :for me in any capacity. employees and have workers' [No workers' comp.insurance comp_insurance.. 1 9. ❑.Building addition reclurired.] 5. ❑ We are.a corporation.and its ME]Electrical repairs or additions 3..�:I am a homeowner doing all work of ..cess have exercised their 1 l..❑Plumbing repairs or additions ►' myself [No workers' comp, right of exemption per MGL 1 insurance required.]T c. 152, §1(4),and.we have no ❑Roof repairs employees.[No workers' 11❑Other comp.insurance required.] •Any applicant thst checks box#1.must also BE out the section below showing their workers'compensation policy inform ian_ 7 Homeawn4rs who submit this affidavit indicating:they are doing all work and then hire outside contractors must submit.a new.affidavit indicating suclL 1C'autractars that check this box must attached sn sdditiaasl:sheet showing the nsme of the sub-cantracrors and stare whether or not those entities have employees. Ifthe sub-contaactorsIave employees,th;ey.amst provide their workers'comp.policy number. I ant arr ernpio}ear flint is pro>>iding ttrorkers'conrpertsntion irasrtrrrrcce for rcty e�9rplayees. Below is the policy anal job site inforNlf dolt. Insurance Company Name: Policy#or Self-ins.Lc.#: Expirrttian Date: Job Site Address: City/state/4: Attach a copy of the workers'compens9lion policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of NfGL 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 roves ations of the D.IA for insurance coverage verification. I o h by c tify ruder t paut nrfPena ' s ofperjury that the htforrnntion prmdded above is true and correct Si tum Date: Phone#: Offinal use only. Do not write in this area,to be completed by city or town afcial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Tawn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#. 6 of THE rp� • HARWSTAELE, 1639. A Town of Barnstable 79• Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO 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 as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to w authorized by this building permit application for: (Address of Jo Signature of Owner Date Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESIF0RMSlbui1ding permit formsIEXPRESS.doc .Revised 072110 • 9 y P�0jHE sy Town of Barnstable Regulatory Services X3�^jYASABLE'JASS. Thomas F. Geiler, Director CbA ,619. A�� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.ma.us Office: 98-862-4038 Fax: 508-790-6230 ---------------------=_____ HOMEOWNER LICENSE EXEMPTION Please Print DATE:�77 10 I / 10B LOCATION: ' LLA(c--- LAoici_ number street village � qq "HOMEOWNER�q U►•t �iL: I name / home phone N work phone N CURRENT MA[LNG ADDRESS: _ 0 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigne eowner"certifie at he/she understands the Town of Barnstable Building Department minimum inspection proc dures an wire 1 ents and that he e will comply with said procedures and requirements. Signature of Homeowner , Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing ofconstruction Supervisors);provided.that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 O�TNE� TOWN OF BARNSTABLE 31240 e Permit No. ................ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash .b,,. X �auT HYANNIS,MASS.02601 Bond ............... CERTIFICATE OF USE AND OCCUPANCY Issued to Paul White Address Lot 02, 44 Tillaga Lane West Barnstable, 11A USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 21 , 87 i��.r..��,..............19................. Building Inspector