HomeMy WebLinkAbout0061 BETTY'S POND ROAD (� � 3G�.r�on� �?�c .
Cape Save Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fag: 508-398-0399
4/9/15
Town of Barnstable
Thomas Perry CBO
Building Commissioner
200 Main St. Hyannis,MA 02601
RE: Building Permit#201501437
TO: Building Inspector(s),
This affidavit is to certify that all work completed for 61 Betty's Pond Road,Hyannis has been
inspected by a third party Certified Building Performance Institute(BPI) Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely, c
NJ
William McCluskey
m
Wl
ti TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map a 70 Parcel d $ Application #CSC�� So I �l J
Health.Division Date Issued 3-3(-/S
Conservation Division Application Fee
Planning Dept. Permit Fee 7�5
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address Y 15 �&!)J
Village N-., .n n is
Owner � &,okre S Address b rz.M1 C
Telephone_ 5 Q$ -1-3 S 6 $ oho
Permit Request fJJ R- 19 CLAJ US cah ud is the oiAi r.
±kt `c [ e aAJ bvsM en w1A expoid I'nc team,
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 5<00 Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood%dal stove:0 Yes ❑ No
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑exsting ❑ new 'size_
Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: '
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes �(No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name '1 1 mrjlhlp�, � ti� Tk Telephone Number
Address &r& License# T
! &r'M QYCgg �}/ ' 6 6 64 Home Improvement Contractor#
Email Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO
SIGNATURE DATE 3A3 113
i
i
FOR OFFICIAL USE ONLY
r
x * APPLICATION#
cl
DATE ISSUED
t
MAP/PARCEL NO.
j(4
1
ADDRESS VILLAGE
OWNER
r
j
-� DATE OF INSPECTION:
? FOUNDATION
FRAME
y
INSULATION
1
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
j DATE CLOSED OUT
ASSOCIATION PLAN NO.
The Commonwealth:ofMassach# etts
f Department of Indi strial'Accidents _
t+, 90 tto of Iiavestigations
S fI
l Congress Street; Smite 160
Boston,MA 021 .44017
�.,
www.massgov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant information Please Print Legible.
Name (Busincss/organization/lndividual) Cape Save Inc
Address': 7D Huntington Ave
City/State/Zip: South Yarmouth, MA 02664 Phone#: 508-39&0398 _
Are you an employer? Check the appropriate box: Type of project(required-).-.
4. 1 am a general contractor and I
1. 1.am a.employer with�_ 6. ( blew construction:
employees(full-and/or part-time). have hired the sub-contractors -
2. .! am-a sole proprie"tor or partner= listed on,the attached sheen., 7. []Remodeling.
ship and have no employees These sub-contractor`s have g; ( l)etnolition ,
workin For met.n ati ca acit .. employees and have workers'
Y.. 9 �[] Building addition
8 y p comp. Insurance t
[Noworkers ;comp.insurance.
required.] 5. 0 We Are a.cotporatiort and its 10.0.Electrical repairs or additions
3.[] 1 am a horn " ner doing all work.. officers have>exercised their I L Plumbing repairs or.additions
myself. o workers' comp. right of exemption per,MG:L
y P c. 152, 1(4)�and eve have no
12•� Roof repairs
insurance required.] 13.[]✓ Other ,insulation:.,
employees. [N.o workers'
comp. insurance required.],
*Any,applicant ltat checks box 91 must also fill out the section.below showing their workers'compensation policy infoination:.
t Homeowners who submit this allidavit indicahng.they ate doing all work and then hire outside contractors,mastsuhmrt a new aftidavit'indicating such.
=Contractors that check this box must attached an additional sheet showi ng the naive ofthe sub-contractors and state.wwzther oi-lot th.0-entities liave
employees. if the sub-contractors have employees,they must provide their workers'.comp.policy number.-
1 am an employer that is providing workers'compensation insurance fornry gmployees. Belofwtstho policy and job site.
information
lnsurance Company Name: Wesco Insurance Conipan�
Rblicy#or'Self-ins.Lic.# WWC3085633_....., _ Expitation-Date:. 04/09/20!15
� 1l
Job Site Address: .5 0 n d City/State/Zip: O,nn►
Attach a copy of the workers'compensation pq He ecIaration page;(showing the policy number a d expiration date)
Failure to secure coverage:as required under Section 15A-of iVLGL c. 152 can,lead to the imposition of criminal penalties of a
Erne up to1,500.00 and/or one-year immas WORK ORDER and a-fine
,.
of up to$250.00 a day against the violator: Be.advised that a.copy of this statement Maybe,forwarded to the:0fr1ce;of
Investigations of the DlA for insurance coverage verification:
do hereby certifytinder the ains and enalties:of er` that the in orination provided above is true and'correct:
Signature: a
.Phone.* 508-398`-039 ;
t3�cial;rse only .Do not}vrite i�this;areu, o be completed bpi city:nr town.of�cah
City or'Town:. . 1'ermitLLicense<# .
Issuing Authority(circle one); +
1. Board of Health 2.Building Department 3 Cityrfown Clerk:. 4 Electr>cal-:Inspector 5.Plumbing Inspectol
6. Other
Contact Person: _._ Phone#
A va CERTIFICATE 4F LIABUTY INSURANCE 1A�io✓2f
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 AR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER
IMPORTANT: If the certificate holder Wan ADDITIONAL INSURED;the pollcy(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.endorsements.
PRODUCER ME ' Colleen Crowley
Risk Strategies Company ?HONE . (7$1)986-4400 FWAX.
CNo:(781)963-4d20
15 Paeella Park4Drive -ccrowley@risk-strategles.com
Suite 240 INSURERS AFFORDING COVERAGE _ - NAIL!.
Randolph_ Nk,, 02368 INSURERA:$eleCtiVe InS- OF 1America
INSURED INSURERdJU1Imerica LPinancial Alliance 10212
Cape Save, Inc INSURERC WeSCO 11I.Sl ranee Companya
7 D Huntington-,Ave INSURERD:
INSURER:E;:
$413th, Yarmouth MPa, 02664 INSURERF:
COVERAGES CERTIFICATE NUMBER:CL14111085532 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED.BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND.CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILSR POLICYEFF POLICYEXP
TYPE OF INSURANCE POLICY NUMBER MI I ".LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,`000,000
X COMMERCLAL GENERAL LIABILITY PREMISES E o=rren $ 7 00,000
A CLAIMS-MADE OCCUR S1994480 0/16/2014 -0/16/2015 MED EXP Any one persoop $ .. 10,.000
PERSONAL&ADV INJURY $ 1,0001 000
GENERA LAGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS='COMP/OPAGG $ .. 21000,000
POLICY X' PRO- Ell LOC $
AUTOMOBILE LIABILITY Ea acciderd' s 1. 000 000
ANY AUTO BODILY INJURY.(Perperson) $
$ ALL OWNED SCHEDULED 6796600 1/6/2014 1/6/2015
AUTOS X' AUTOS BODILY INJURY(Per accident).$
NON-OWNED PROPERTY DAMAGE
X HIREDAUTOS X AUTOS Pereccident $
X- UMBRELLA LIAB ;X OCCUR EACH OCCURRENCE 1$ 1,000,000
A EXCESSUAB CLAIMS-MADE AGGREGATE' $ 11000,000
Hil 1994480 '0/16/2014 0/16/2015
DED RETENTION . $
C WORKERS COMPENSATION fficers Inclu8ed for X
VAC STATU- OTH-
AND EMPLOYERS'LIABILITY Y/N OR �' ER
ANY PROPRIETORIPARTNERIEXECUTIVE overage. E.L.EACH'ACCIDENT 500,000
OFFICER/MEMBER EXCLUDED? a NIA 3085633 /9/2014 /9/2015
If yes describe under(Mandatory be ander E.L.DISEASE-EA EMPLOYE $ 500,000
,
DESCRIPTION OF OPERATIONS be,low E,L.DISEASE-POLICY LIMIT $ _ 500,000
DESCRIPTION OF OPERATIONS I LOCATI DNS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,It more space Is required)
Issued as evidence of insurance. Tssued as evidence of insurance.
Thielsoh Engineering, Inc: is listed as additional insured as respects General Liability as required by
written contract.
CERTIFICATE HOLDER CANCELLATION
msong@capelightcompact.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Cape Light Compact ACCORDANCE WITH THE.POLICY PROVISIONS.
Attn:: Margaret song
PO BOX 427/SCH AUTHORIIEDREPRESENrAl1VE
3195`Main,,Street
Barnstable, Mil, 02636
`chael Christian/CLC �� --�� ' � '='~
ACORD 25(2010/05) @ 1988-2010 ACORD CORPORATION. All rights reserved.
INS025(201005).01 The ACORD name and logo are registered marks of ACORD
HOME OWNER WEATHERIZAT10N WORK PERMIT:
PLEASE COMPLETE AND SIGN THIS FORM AS
THE APPLICANT HOMEOWNER.
7&4. et—�-'' hereby consent to and agree that Weatherization work
may be done by the Weatherization Program of Housing Assistance Corporation on the property
located at:
f r/V-
..
The Weatherization work done will be based on programmatic priorities and availability of
funding and it may include all or some of the following measures:
Weather stripping; air sealing; attic& basement insulation; exterior wall insulation; ventilation
measures In consideration of the weatherization work to be done at my home I agree to the
following:
1. 1 give permission to Housing Assistance Corporation the property with such equipment
and materials as may be necessary to perform Weatherization.
2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for
the weatherized unit on an ongoing basis for no more than five (5) years after the
weatherization work is completed.
I have read the provisions of this agreement and give my consent.
Home Owner(signature)
Home Owner email Date:
9 ( ) Date: Z ' 1 7
A ent: Signature r
Weatherization Contractors:
Adam T Inc Cape Save
All Cape Energy nergy Solutions
Alternative Weatherization Lohr Home Improvement
Building Science Construction Resolution Energy
Cape Cod Insulation Tupper Construction
C y�czu �
Office of Consumer Affairs and Business Regulation
;r 10 Park Plaza- Suite 5170
Boston, Massachusetts 02116
Home Improvement Cotfactor Registration
Registration: 171380
Type: Corporation
r �r u Expiration: 3/14/2016 Tr# 249649
CAPE SAVE INC.
WILLIAM McCLUSKEY -
7-D HUNTINGTON AVENUE ..
SOUTH YARMOUTH, MA 02664 „'
Update Address and return card.Mark reason for change.
scA i 0 zoM-osn Address [] Renewal 0 Employment Lost Card
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
egistration: l71,380 Type: Office of Consumer Affairs and Business Regulation
Expiration s 3/1 2016. Corporation 10 Park Plaza-Suite 5170
_ ^ Boston,MA 02116
CAPE SAVE INC. '
eg
WILLIAM McCLUSKEYn
7-D HUNTINGTON AVENUE~�
SOUTH YARMOUTH,MA 02664 a
Undersecretary Not vali ithout signature
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supen-isor Specialty-
License. CSSL-102776 '
WILLIAM J D'IC C-LUS Y 'r
37 NAUSET ROAD s
West Yarmouth MA 02673,
Expiration
Commissioner 06/28/2015
C90 1 SO 106
Town of Barnstable *Permit#
FaViies 6 monthsfrom issue date
Re-gulator , Services. - Fee. , s 0
I=Is�RxsmaBz.E 1
MARK
Richard V.Sca6,Interim Director
i639.. � • .
` Building Division �e��� PERMIT
Tom Perry,CBO,Building Commissioner
" 200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us MAR Q 4 2015
Office: 508-862-4038 TOWN O AMPT6 1LE
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 0 b 1 f
Property Address 1 IT Y "
;Residential Value of Work$ 1p 3dj Minimum fee of$35.00 for ork under$6000.00
Owner's Name&Address 1,10-r y "
Contractor's Name "mod�l.k 2GU � Telephone Number �u Y � �
Home Improvement Contractor License#(if applicable) <�0 �G-7 Email- C(.t` 2'ea-d
Construction Supervisor's License#(if applicable) 0 3� .,
IDWorkman's Compensation Insurance x
Check one:
I I am a sole proprietor fi
01 I am the Homeowner
IF! I have Worker's Compensation Insurance
Insurance Company Name C 4 e��
Workman's Comp.Policy# J p�Cf '� 0o%1 3
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Req st(check box)
! Re-roof(hurricane nailed)(stripping old shin les) All construction debris will•be takeri to `m
g
Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) -
Re-side
0; Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows
#of doors:;
• Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. '
Separate Electrical&Fire Permits required.
*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 Im rovement Contractors License&Construction Supervisors License is
required. ti -
SIGNATURE:
TAKEVIN_D\Building Changes\EXPRESS P AEXPRESS.do s;
Revised 061313 '
_ 3
�TME.
`1. Town of Barnstable ;
Regulatory Services
t ;Richard V.Scali,Interim Director
s. Building Division
- Thomas Perry,CBO . ._
Building Commissioners .
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 '
r
as C4ner of the subject property r ry
hereby authorize ��i to act on my iiehalf, +'in all matters relative to work authorized',by this building permit application for: -
(Address of Job) '-
Signature of Owne , _ Date
Print Name
1
If Propertyowner is applying for permit,please complete the Homeowners License Exemption Form odthe
reverse side.
si
T:IKEVIN Muilding Changes\EXPRESS PERMI•IIEXPR ss.doc t, +
s
Revised 061313 Fµ '
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'# V/ae�ana�rea�uaecrl! a���r:ilczclurel�
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
' OME IMPROVEMENT CONTRACTOR before the expiration date If found return to:
Office of Consumer Affairs.and Business Regulation
eg!stratlon 168607 TYPe
;�Exp►ration 3/8/2017 DBA
10 Park Plaza-Suite 5170
Boston,MA 02116
k CAZEAULT ROOFING-.&REPAIRS
} RICHARD CAZEAULT: ,
198 FIVE CORNERS RD Q �o
CENTERVILLE,MA 02632
Undersecretary Not lid witho afore
�s artt rtof PO
MassFiclaalsef'as -
s a� i�' F �s�ia`svt?s ast S$ar y
a Construction,Supsso�-_
CS-100393
P CA7. AiJ1.'PUR
RI Five Corners Itosd T�
.. n IirIA
Ce ville :� T
031101
< Comrisssioner: . , <
i
CAZEAULTN
ROOFING & R PAIRS
PROPOSAL
Proposal Na..1.4-1197
December 20,2014
To: HAC Work to be performed at
Re: Tavares 61 Bettys Pond
Hyannis MA
A
We hereby propose to furnish the materials and perform the labor necessary for the
completion of:
NEW ROOF -
1. Remove existing shingle roof t
2. Install new aluminum drip edgew
3. Ice & Water barrier first 2ft, all skylights and penetration and rake edge
4. Cover roof with 15 lb felt
5. Re-roof with 30 yr architectural shingle ,
6. Install ridge vent
7. Flash all pipes and penetrations .
J8. Remove all rubbish from project
Labor and Materials, $6,300. {
All material is guaranteed to be as specified,and the above work to be performed in
accordance with the specifications and completed in a substantial workmanlike manner for
the sum of Sig Thousand and Three Hundred Dollars $6,300 with payment as follows:
Six Thousand and Three Hundred Dollars$6,300''due upon Completion
Respectfully subm' -
Richard P. Caze t,Jr.
198 Five Corners Road
Centerville, MA 02632
(508) 420-5482
Acceptance of Proposal No. 14-1197 a
The above prices; specifications and conditions are satisfactory and are hereby accepted. ,
You are authorized to do the work as specified. Payment is outlined above.
Signature Date
s
•
• . L . 1
Acc.�xr `" CERTIFICATE OF LIABILITY INSURANCE DATE
(MM/DDMYM
15
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION,IS WAIVED,subject to the.
terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: Berkley Assigned Risk Services
McShea Insurance PHONE FAX
A,C.No.Ext: 800 634-4589 - ('C.No.): 866 215-8118
1550 Falmouth Rd RT 28 Ste 2 E-MAIL
Centerville, MA 02632 ADDRESS: Policy Services@berkleyrisk.00m
INSURERS AFFORDING COVERAGE NAIC#
-INSURER A: ArAdea In,
INSURED INSURER B:
Richard Cazeault Jr
INSURER C:
198 Five Corners Road - INSURER 0:
Centerville, MA 02632 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR .TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP
LTR INSR WVD (MM/DD/YYY LIMITS
(MM/DD/YYYY)
GENERAL LIABILITY
AUTOMOBILE LIABILITY $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS'LIABILITY YIN To
LIMITS ER
ANY PROPRIETOR/PARTNER/EXECUTIVEEl E.L EACH ACCIDENT $ 500,000
A OFFICE/MEMBER EXCLUDED? NIA WC-20-20-003093-03 02/04/2015 02/04/2016
(Mandatory in NH) 500,000
If yes,describe under E.L.DISEASE-EA EMPLOYEE $
DESCRIPTION OF OPERATIONS below E.L.DISEASE POI 500,000
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule, if more space is required)
Coverage
Election Category Elect.Status Name State(s) All Entities/Locations
Sole Proprietor Exclude Richard Cazeault Jr MA Cazeault Jr
198 Five Corners Road Centerville, MA 02632
CERTIFICATE HOLDER CANCELLATION
SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Town Of Barnstable AUTHORIZED REPRESENTATIVE
Building Dept
200 Main St
Hyannis, MA 02601
y Signature_
ACORD 25(2010/05) BRAC 3139
Assessor's map and lot number ..: '�.a:... �� C —� 7J11
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Sewage Permit number ................................. ...... `v+iTH A i ' STATE
A �i��(yE� pJ p n t/� q� ,I
' ? _ S*ANITA.'; �.}�.i 6J� t�1��4.4 8�..1V[-�1`{ J�
~ QyQF.YHEtp�y f TOWN N OF BARN `T�`BLgE -
'k 33AHHSTADLE, • t« l
M�a ,� BUILDING ' INSPECTOR
�p b3q. 00 .«.
=f APPLICATION: FOR PERMIT TO .... .(�1..1.C!.... ................................................ .
R TYPE OF CONSTRUCTION ..........L— ?.(d..............................................
~ ...... .... .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
.Location � �'.-T7"�J -.—.... ... .......... .... ..........................:...........................................
Proposed Use ..... a�'.l t� l.G,�.��.....�:.../!.� /./.l!'I ...........................................
Zoning District .... � iSl4�rJ 's.............?� ...........................Fire District ......... ........................................
Name of Owner CriC{.�C?..(f.:...1..ft1r,;Z./� .... .'..Addres .i4! ifs.
Name of Builder . �/Y1�45.. � /�� ..Address 1 . `!.��DtI�!� ....1.� :.... ... .� �.�..'.�:
Name of Architect ..... � ! I�°.... .� ..:..✓��/.� �^.....Address ......................:..........................................:....:.............
Number of Rooms ...a�.. O..Q.h7. ..:..a. 5..........Foundation .... i% E'r ".... ?..1..O.C/c.........................
Exterior .... .�7 ..... <Xr?�... �1/ y.� ,5........Roofing .../ ?..... ..... 1.....7/. ,�1.....................
�. ...4e1 /....... �....�'Li�� t i.n . ..interior ......1'?.•.,ee.. ..4Ja11......t
Floors .......� y �( �.. `�,
Heating ......./7:z.-�'c..��....d�.1 ... ( ...............Plumbing ........`SP\l-f-d r?.Z'�.Gf�C!..........................:::...........
Fireplace ...........Ala.. .........::...................................:.....Approximate:Cost - ao in.0 e. C
Definitive Plan Approved by Planning Board ____'____�=___��____19��. Area .. .......... .. .....................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH — .2—/,/ -7 F
I hereby agree to conform to all the Rules and Regulations.of the Town of Barnstable regarding the above
construction.
Tavares, Feliciano *Z290 L-88
No ....... Permit for ......2�4!ition
.......................
..................and...revip.d.e .................................
•
Location 6.1-AAM...s...Pod. o.a.d....................
. Pond .... . ...
........................... ..........................
Owner ..Feliciano Tavares
................................................................
Type of Construction .........wood..f.r.ame............... . .. .. . ......
..........................................................%....................
Plot ............................ Lot .................................
March 3 78
Per it Granted ...... 119
ate 7o F 71 n s p e c t�i , 9
. .. ...........................
4-
> Date Completed ..................
9
PERMIT. REFUSED
........................................................... .... 19
..................... .................................. .....................
............................................................................... .
................................................................................
...............................................................................
Approved ................................................. 19
...............................................................................
................ ............................................................
f �
Assessor's map and lot'numberi -� . .. �. . �..T........ ...... .�................- V 1
tq Sewage Permit number ...// • ' ...........
01
w � ,
ell `' TOWNS OF BARNSTABLE
THE tp� cam'?
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y{ , Z BASBnS LE. • (0 —a W ;
iG39.a\000 R0. 0 �._ BUILDING ' LNSPECTOR
s �o war ... /
ti
o APPLICATION FOR PERMIT TO .:... �tl l Is7/iJ3OC'
TYPEOF CONSTRUCTION ..........f�......!; ? .....................................................:....`...........................................
co
co
O e. co
9U�L��'7 i ��
h ............:. ................................19........
ti
TO THE INSPECTOR OF BUILDINGS:
The,undersigiinedd hereby applies for permit according to the following information:
Location !... 'Sf'.. /: ... ./. ... •?.:......... . ( /JS......................................................................
V r /
ProposedUse ..... �. p<?i � ��... .........� (J ;/ / CO............................................e..............................................
Zoning District - ! •�„' -..... ...........................Fire District •�`�
..... ..........
Name of Owner ��"./ r r� /Ft,t/ i'� c l..Addre�s,�T�r' ;<. 1 /lr��� / �1. t - ................
-.-...-..�.`.... ..........I ........ � /` .. ,
Name of Builder 1/A Ic'C . �`J e v -....Address ���h li..............................................• !.:/P l/'rlU �
... . v
_ Name of Architect ....1IA( y i.ZW!f r.....Address .....................................................................:..............
/ /
Number of Rooms h K �Ii.!?, 5....................JCc.-t..Y?. .........Foundation ....�.. rr/�.; �' � /G' t' (/
Exterior ���. �`.....�:c" /a r... h.!.//C{ lc" ...Roofing ...... .../.r� /, ._�Pa� 7`.;!fz�
J
Floors v .. ......Interior ....:zf � . !...1...{!....... I` C` t'r
.Heating ....... .. ...........................:....... !........... ..................Plumbing ...........�........ ..... .... ........................................
Fireplace ..........: !'.L....h....................................................Approximate Cost C1,.............0....�...............................
r
Definitive Plan Approved by Planning Board ________ � �_�.�1______I - 77. Area r ._ ...................
Diagram of Lot and Building with Dimensions Fee/ ..` . ...................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ,. .......
Tavares, Feliciano M-290 L-88
No .19.994..... Permit for 4.4i.ition & remodel
.......................
...............................................................................
5
Location ......6.1...Be.t:ty.'.s..j?.qu.4,.Aqad................
.....................Hyann...........................................
Owner ....Fe.Liciaxk9..TA.VA'K.P,.Q........................
Type of Construction wood frame..... ....................................
................................................................................
Plot ............................ Lot ................................
Permit Granted ..........March...3..................178
..... ......
Date of Inspection ....................................19
Date Completed ......................................19
♦
PERMIT REFUSED
........................................ ...... ......... 19
A�
......... .... ...... ..... .. ................
............... .... ....... ........ .....
........ ....... ....................... ............ ..... ................
............ ......... ... ....)...... ...... . ............................
Approved ............. ..... .......................... 19
...............................................................................
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