The URL can be used to link to this page

Home My WebLink About0376 WOODSIDE ROAD 3 rJ(o Lo,>nd s! P Pd, sa?,Ldo UPC 12543 No. 553LOR HASTINGS,MR 37(o GvooDsroE �� , �v6 Map �5z - o�9 f A I l I. f i Town of Barnstable *Permit# 7o,3 6� Expires 6 months from issue to Regulatory Services Fee _ Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 . www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint / Map/parcel Number �f � V - /& Property Address r 4_-,.�idential Value of Work �� h "_`_ Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ✓�1- llW lJJ� Contractor's Name I ,d l V �-�' Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) �p ❑Workman'sCompensationinsurance -PRESS PERMIT one: ff he I am as ole proprietor MAY 2 2 2��7 ❑ I am the Homeowner ❑ Ihave Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# ►"t Copy of Insurance Compliance Certificate must be on file. Permit Request(c box) e-roof(stripping old shingles) All construction debris will be taken to I ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maxim .44) *Where required: Issuance of this permit does not exempt compliance with other town a1 Mons,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner� tter of Permission. A copy of the Home vement Contractdr0Li¢ej%is Z ' ed. SIGNATURE: Q:Forms:expmtrg Revise061306 \ ' gl- _62 le 0 Board of Building Regul ions and Standards One Ashburton Place -Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 134313 Type: DBA Expiration: 10/24/2007 DAVID SAWYER CONSTRUCTION DAVID SAWYER 318 MEIGGS BACKUS RD. SANDWICH, MA 02563 Update Address and return card.Mark reason for change. PS CA1 soM-0aosPcassa Address Renewal ❑ Employment Lost Card a I -cx -� Board of Building Regul ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 134313 Type: DBA Expiration: 10/24/2007 nA%nn cA1A1V1=R r0NCTR1 IrMON David Sawyer Construction 318 Meiggs Backus Road Sandwich, MA 02563 (508)-539-1992 Proposal Submitted To: Work Place: Date .0 t-s-trip, Remove, and haul Away all old roof and or sidewall shingles. .NSUPPLY&INSTALL: COLOR:t/r or au- A, 4-- Pq�y. 5)dejoil oy, t,-.;z L/,-u_dc ck�)()Q CLEAN&REMOVE ALL DEBRIS FROM WORK PLACE AFTER JOB IS S 1T _,66"") �= 7 COMPLETED. ALL DEBRIS TO LANDFILL. TOTAL INVESTMENT FOR MATERIAL&LABOR$ 1 All material is guaranteed to be as specified,and the above work to be performed in accordance with the specifications submitted for the above wo and co lete in a subs tial wanae manner. Payments to be made as follows a CG Any alteration or deviation from llia;ror—k specifications involving extra will be executed only upon written order,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control.Please remove and/or secure any fragile household items. Not responsible for broken or damage household items. 10YEAR LABOR WARRANTY/PLUS MANUFACTURES SHINGLE WARRANTY. This proposal y withdrawn by us if not accepted within 30 days. Respectfully submitted ACCEPTANCE 6F PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.Payments will be made as outlined above. f StgHa r v , D/Q4 -b 5A l I CtCty U ►' r The Commonwealth of Massachusetts " Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston,A" 02111' w)vw.mass.gov/dia ' Workers} Co'MP ensation Insurance kffiddvit: Builders/Contractors/Electridans/Plumbers Applicant Information .Please,Print Lec_q Name(Business/Organization/TndiVidual): . Adoress: CP, & Q City/State/Zip: J t C Phone A: V/I��`J�J ( �� Are youan.empioyer? Check the appropriate bog: :Type of pioject(required):. 1:❑ I am a employer with 4. ❑ I am a general contractor and I mP 6. []New construction . employees{full and/or part-time).* • have hired the sub-contractors 2N�] a'sole,proprietor or partner- listed on the'attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. []Demolition tivorkin for me in an capacity. employees and have workers' g Y P t5'• �• 9. ❑Building addition [No workers' comp,insurance comp,insurance. 10. Electrical repairs or additions required.] 5. [] We are a corporation and its ❑ P 3.❑ I am a homeowner doing all-work . officers have exercised their 11.❑Plumbing repairs or additions ' right of exemption per MGL . . myself. [No workers comp. � oof repairs-- insurance.required.]t c. 152, §1(4), and we have no employees. [No workers' 13. Other comp,insurance required.] "Any applicant that checks boz#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tcontractomthat check this box must attached an additional sheet sbowing the name of the Sub-contractors"and state whether arnot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.pohdy number. compensation insurance for my employees. Below is.the policy and job site lam an employer that is providing workers' information. Insurance Company Name: Policy#or Self-ins.Lic,#: Expiration Date: lob Site Address: /��/d' City/State/Zip: i Attach a copy of the workers' compensation policy declaration pa, the policy number and expiration date). Falure jo secure coverage as required under Section 25 A 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$250.00 a day against the violator. Be advised that a copy of�LhL statement maybe forwarded to the-Office of InvestiQatiors of the bLA foi insluanee coverage verification. T do hereby certify under the pains a d p nalties of perjury that in provided above is true and correct. DEte: Si atone: — , I� Phone#: f F1RC, se only. Do not write in this area, tb.be.completed by.city or town offzcial. own: ' I'ermit/L•ic ens e r uthority(circle one): . of Health 2.Building Departtment 3. City/To;vn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: As s is ma and lot number ......: ......) r E F T ' < Sewage Permit number S R�0 fN d� °+► g ........................................................ q qF lV Tq Tj r House number C G(% Ry-CO�F y>i,�i�aa T�LE, f ..................................... . .L9T/o bF V ' q�y� o�p 'a• r TOWN OF BVRNSTABLE - BUILDING IN-`SPECTOR APPLICATION FOR PERMIT TO ................................................ 'a. a i TYPEOF CONSTRUCTION ..................................." � 1rC.............................................................................. ..��......................9..7.�'" — .— TO=T-ME-INSPECTOR_ OF-BUILDINGS: The undersigned hereby applies for a ermi accordi g to t e f Ilowin informatio Location ...... .. o.J ....../. ...... ...6Q.4..�� .`...... . t ... �!`f Qi' S at�/. . .///1¢/2 ,(l$ �. l� .. ProposedUse ............................................................................................................................................................................. Zoning District .............. .................................-. Fire District W.. �U""'<.�,- .... ............ ..... . ...... .r .. .................... ... Name of Owner ....�1.9..:'". ......................Address .....).0......�i.!7..... ......�:...r'l��e... Name of Builder ......)4!1.�!.45 .M ✓171.� �..........Address .......................... ......................................................... ......... . ...... .. Name of Architect ..... ..a K�.�.f......1... ..�........ .rn�.f..'..........Address .................................................................................... Numberof Rooms .......6........................................................Foundation •........:�'/....x.....a .......................................... ` f Exterior .......... �1'r.�.. ....e...................................................Roofing .............c/ ...!! /Z!!�,'W( . ................................. e ................................Interior .. eG...........Floors ../.il... ...................... . ............ ......... ................................. ................ . /lJ < Heating ....X(I ..... ........ae........................................Plumbing oed •o0 Fireplace .......... .................................................................Approximate Cost .............. .............I............................... Definitive Plan Approved by Planning Board -----------____—-----------19 . Area ......l.q.4.... ................. Diagram of Lot and Building with Dimensions Fee ,, � �' c SUBJECT TO APPROVAL OF BOARD OF HEALTH �I I hereby agree to conform to all the Rules and Regulations of the;.. n of Bar table regar t bove construction. Name ... .................. � Smith, James M. 0 " 20947 two story A � ^ Permit for° single fAi�i dwelling ................................................... ................' 376 Woodside Road Location ---------------------. West Barnstable ' --------------------------' ' James M Smith Owner ----------�— ----------. � . frame ' Type of Construction -------------- � � ' -----.--------------------.. ' �� Plot ---------. Lot ---- ------' � � � January 4 79 � Permit Granted -------------]g � Date of | ------------lV ' � Dote Completed ......................................0*0 � � ' PERMIT REFUSED � ~ ' . lg--- � ^ ....................... ! � � | « -----' _ ................- ....7::*4�� . . . .. .................... ---....--.^—.-----.~..--.------... ` 'Approved ................................................. lV � � � . -------'-------~----------- ---------------------^^''--'— Assessor's map and lot number ...................................°........ Sewage Permit number ........................................................ Z 336SHSTADLE. i House number ....:......:`............................................................ qO MA6a p i639• `00� CFO MAI a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................................... ..............................:.:.............:....................................:.. TYPEOF CONSTRUCTION ...................................................... .................................................... :........................... ....... ....................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location i ............................. .... ...... ...............................: ....... ProposedUse ............................................................................................................................................................................. Zoning District Fire District .. u ....... Name of Owner ................. '......... ......... .......9 ..°:..............Address ........ ............:.. �, u Name of Builder ! ........Address ........ r Nameof Architect ......... ...:...... .....::/: .. ....... ........° .........Address .................................................................................... Numberof Rooms .........:.........................................................Foundation ............:........................................................ Exterior ..................................................................Roofing ........ ...` .:............... ................................... q . 0 Floors .Interior .................?.::: :......................................................... ....................:.....:................................... Heating .....................................................................Plumbing ............................,..................................................... 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 u I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ................. ...................................................... Smith, MIJames M., famil ` -----..gle�--��.��++*��------ Location ----3?6.. West ' ------------..�9�3��!��p��------ . \ [�vner ----..Jsuoea..�t.. ------- . x ' Type cnConmruo . ! � . -----------' ' . � P| January 4 ' ' Permit Granted � . Date _ .. � . ! �--- Completed—' , ( . . � / � I REFUSED PER � .................... lV ! � . ........................ .......................................... \ }� --`�' .......... v ............ —. .---------. . ) w . ...............~` ` 8 � ~ | --.�-------------.. lV � ! ' ' / ) ' ----------------------^'---' � ` / ----------------------.--~.- NMI'=111 - y A/ 5 Su Can — L- / 7 I 35, 0S4 s,F M �, M N Al cp 19 (• . . �\ � .. \ SUR i A' a c o CERTIFIED PLOT PLAN NEW CONSTRUCTION ON Y = 'l�? ,AL TOP OF FOUNDATION IS FEET IN i ABOVE LOW POINT OF ADJACENT SA III kJS'! A 4 I. A, AASS ROAD. SCALE: P"--/0 ' DATE : /ZIzZ179- �LDREDGE ENG/NEE_RING C0. lN� >z'�,v�pa' riaN CLIENT I CERTIFY THAT THE _ SHOWN ON THIS PLAN IS LOCATED EGISTERED REGISTERED JOB NO. �1Ib_ ON THE GROUND AS INDICATED AND CIVIL LAND ENGINEER SURVEYOR DR. BY . A .A_ltil '` CONFORMS TO THE ZONING LAWS I --- - - 7 OF BARNST, BLE MASS. z1 nJC '�AI": CT _ ?�7 .. n 1♦ (-�-_ CH. B.Y.Q. / /- .OJ. , /.,._.J.-_ r,., .f/ 1 '�;_r�_�1 ti�_^✓�� ' ._+ 'JJ J 1'� . IL—IVI M,Id- J I .—.--...�.__._' i /-� �/� 0 YARMGUTN, MASS. HYANNIS, MASS. �✓�`�1-- �.y ----�-- -- SHEET. OF 1= DATE REG. LAND SURVEYOR TOWN OF BARNSTABLE Permit No. ------------------------- 1 »n.0 Building Inspector .... Cash --------- —- COA 1639- OCCUPANCY PERMIT Bond ----—_-------_� ��J No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor fiVst having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to ;ems A. 0•liiltCi Address 9 J.3 i,ain St. \Gs;. r =.� J-7ti T-100�j!7,�-aA Ponrl, "t--W- `1-1.,stable Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. ...................................................... 19...... ........................................ .....................................__..................._.._...._ Building Inspector