HomeMy WebLinkAbout0015 BUCKWOOD DRIVE � .
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Town of Barnstable
'THE
Regulatory Services
�� ,
do Richard V. Scali,Director
BMWSzAB Building Division
r$ MAM Tom Perry,Building Commissioner
1639.
orE p Mat°i 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
• Approved: .
Fee: `
Permit#: .(z_1X)/b
HOME OCCUPATION REGISTRATION
Date:
Name: P,0916/0 //7 • dE Phone#: ��B ��
Address: l�j �v�� L.l��—�� �,P Village:
Name of Business:_L"' 1 ,_r_�� r/7�/Z/r- —O F
Type of Business: i9i"avTi�/� Map/Lot: 033
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling there shall be no increase in noise or odor;no visual alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes,-
and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carved on by the permanent resident of a single family residential dwelling unit,located within
that dwelling unit. .
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there is
no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,
odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of
normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the'Customary-Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person sho,-)fe employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned,,have d and 'th the above restrictions for my home occupation I am registering.
Applicant: Date:
Homeoc.doc Rev.103113
YOU WISH TO OPEN A BUSINESS?
F&Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by.M.G.L.-it does not give you permission to operate.] You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 15t FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the,Business Certificate that is
required by law. C
DATE: I- 15 Fill in please
APPLICANT'S YOUR NAME/S. ew,Z/- e Q
I ESS YOUR HOME ADDRESS.
t y.o73&—,9 —
TELEPHONE # Home Telephone Number
NAME OF CORPORATION:
NAME OF NEW BUSINESS ,i, O TYPE OF BUSINESS_ Kliil/ i' i�
IS THIS A HOME OCCUPATION? YES NO
-�----
ADDRESS OF BUSINESS / MAP/PARCEL NUMBER_
(Assessing)
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the.information you may need. You MUST GO TO 200 Main St. — (corner-of Yarmouth.
Rd. & Main,Street) to make sure you have the appropriate permits and licenses required to leg�l� W 0PJ PATIO
1. BUILDING COKq ISSiO ER'S OFFICE RULES AND REGULATIONS. FAILURE TO
This Indivldul his n W.r f ny rmit re ul emants that pertain to this type of busI-RQ4PLY MAY RESULT IN FINES.
Au ho d I/ e** _
p i COMMENT -
2. ElOA104 HEALTH
This Individual has.been Informed of the'permlt requirements that pertain to this type of business, w
Authorized Signature**
COMMENTS:
---------------
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This Individual has been informed of.the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
5TpB�E Town of Barnstable
F ZHE Tp�
Regulatory Services
PM 2. 00 Thomas F.Geiler,Director
&UWgrABLE,
�' Building Division
prFDQ ��
ION Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601 ,
S J Fax: 508-790-6230
Office: 508-862-4038
PERMIT# .� FEE: $
SHED REGISTRATION
�1
120 square feet or less
,j BC. /
a- DOG .0ri'tx l� atml'r
Location of shed(address) Vi age.
( dolm I' ffidi656L Cron,n -7g0 - 3gl7
Property owner's name Telephone number
Size of Shed Map/Parcel#
ibz Loq
Signature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature required) Z 0 c
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
Q-forms-shedreg
REV:121901
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A3SESSO R5' LOT 1Q.e
41
NOW PRE--EX 3NjVG. YOXCQWF'pRMING
tDE
ONE• "RC'-1" This MORTGAGE INSPECT p �'n y or '-FLOOD 2Ql�'�' . "C"
—Ralik Use OnIv
REF 'T. :,.,� Q,�,�. PI.• N REF: e434 L' r A X moo..
------THAT THE BuII,AING , ti ,�'
!aHOWI`T i"R THIS PLAN IS' LOCATED ON THE GROUND AS �Ii 5���
SHOWN AND THAT ITS FramoN DC1ES CONFORM �� ' PAVL A_ CONSULTANTS
TO THE ZONING LAW SETBACK REgUIREMENTS OF THE mes , 40B (SUITE 1)
TOWN OF �' aNfl- '__�_ �._—_.._,_ANT) T14A rsa 3 INDUSTRY Rc}A�D
LAIREA
F DOE. 11F WITHIN 7'1[ SPEC:IA1, F1,00r) HAZARD �jc � �`' � MA&STONS M1LL4, NA. o2ewn
A SHOWN i?N ME' H ii.C!, MAP 1)A'I'F;TI �:1.•> &, C'3*;L: 4�ti OtI55
'� T' ! C!1 f—I'.�n^� ;� �(.7r C?� I�tJL?,'a � " ---• '�a,,'�'iti 140
X
t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map t Parcel Permit#
.�x Pr, a
Health Division , Date Issued �' h 11 -
Application Fee v
Tax Collector a o a Z— k)L �(� Permit Fee �.�. 3...�'
3 tJ
Treasurer �,�- p�.� � w�x jtl'+I SEPTIC SYSTEM MUST SE
Planning Dept. INSTALLED IN COMPLiANCE
WITH TITLE 5
Date Definitive Plan Approved by Planning Board ENVIRONVENTAL COCE ANL
Historic-OKH Preservation/Hyannis TOMI RECLIU. TIO:,S
Project Street Address Lo U4_
Village n
Owner Address S a-L✓C--
Telepho )? d /
Permit Request / n is w000-r%
�J
Square feet: 1 st floor: existing�D! proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
_ d®
Project Valuation `�^ Construction Type
Lot Size 1-7 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 ®-N-0—
Basement Type: .U rull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) X
- Number of Baths: Full: existing f new Half:existing new
"N'Umber of Bedrooms: existing Z. new
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: 'Gas . ❑Oil ❑Electric ❑Other
Central Air: ❑Yes &a-No Fireplaces: Existing New Existing wood/coal stove: ❑Yes
Detached garageisting ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size
y
Attached garage:b isting ❑new size Shed:�14xisting ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
-Name &L ro n Telephone Number / L// �•. -"
Address (14000 of Dr'.L�_e_ License#
r
Home Improvement Contractor# s
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE �� Lo
FOR OFFICIAL USE ONLY
PERMIT NO.
Y r' DATE ISSUED
f •
g MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME !G I-,K w7 O k JA
INSULATION
FIREPLACE
ELECTRICAL: ROUG ` FINAL
PLUMBING: ROUGH-.,' a FINAL
GAS: ROUGH- U. FINAL
FINAL BUILDING
ter,
DATE CLOSED OUT
ASSOCIATION PLAN NO.
_ The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of/nyestigations
600 Washington Street
Boston,Mass. 02111
Workers' Compensation.Insurance Affidavit
name Co�►n � r "t�.l IP��(A.- l.�l"�YI i�
location 1 S/ t,C:.4 00"L Lam=
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S hone#m a h eowner performing all work myself.
[� I am a sole proprietor and have no one working in any capacity
[] I am an employer providing workers' compensation for my employees working on this job
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[] I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who
have
the following workers compensation pol
ices:
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snsurance co��•
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby c ify u der the n n nalties of perjury that the information provided above is true and correct.
Date
Signature 0Print name l 1 ��'G�— l_...Jean f n Phone#��UO
Mal
official use only do not write in this area to be completed by city or town official
city or town: permit/license# i-1Building Department
[]Licensing Board
check if immediate response is required ❑Selectmen's Office
[]Health Department
contact person: phone#; FlOther
1
(mvised 9/95 PIA)
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
public work until acceptable evidence of compliance with the insurance ter have requirements of this chapter performance of pu p P q P
been resented to the contracting authority.
b g
615,11
P
Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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.
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/license 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 Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406
,TIME Town of Barnstable
. �
Regulatory Services
BAMSMLA ' Thomas F.Geiler,Director -
1KASS
9`bPrf%6 A.tA � Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-962-4038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion,
improvement,removal, demolition,or constriction 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: Estimated Cost
Address of Work:
Owner's Name:
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
0 ding not owner-occupied
�wner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR
Dat Owner's Name
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings,Additions $50.00 S '
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSBEET
NEW LIVING SPACE
�—square feet x$96/sq.foot= �"S �7 x.0031=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/sq.foot= x.0031=
plus from below(if applicable)
GARAGES(attached&detached)
square feet x$32/sq.ft.
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf-1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(number) .
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable) Permit Fees• `�
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4
The Town of Barnstable
Regulatory Services
Thomas F. Geller, Director
Building Division
Tom Perry, Building Commissioner
200 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNERLICENSE EXElYIPTION
/ Please Print
JOB LOCATION:
number street, � t - -3q -
"HOMEOWNER": m - 0e llage
name home phone# •work phone#
CURRENT MAILING ADDRESS: Sd M C-
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 sunervisor.
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 undersigned"homeowner"certifies that he/she understands the Town of B amstable Building
Department minimum inspection procedures and requirements and that he/she will comply with said
procedure d re uir ents.
1
Signature o omeowner
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 of construction 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,S ection 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-Sup ervisor. The homeowner acting as Supervisor is ultimately responsible.
Tn o„mwp thnr tha hnmenwner is fully aware of his/her responsibilities,many communities require,as part of the pen-nit
' yOFIKE rqy� Town of Barnstable *Permit# '
Expires 6 months from issue date
&UNSTABLE, : Regulatory Services Fee
9� 1639. ��q Thomas F.Geiler,Director ArED MA'1 A�
Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601�'a p�
Office: 508-862-4038 A� S
Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTITE 6N403
- Not d X Valid without Red I ress mprint?®
. � WN OF 13qnlVSTABLE
Map/parcel Number 133
Property Address S L W r �!t H`'�c,VON i
-Residential Value of Work 2� ' G
Owner's Name&Address 2. 1 5 S w n;v%
Contractor's Name A) i c.l(.e t On `-�a vVW -1 v.e nt'sy n c. Telephone Number
Home Improvement Contractor License#(if applicable) 13 3 I's I
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
[ I have Worker's Compensation Insurance
i Insurance Company Name ' /�ti �, .v1 I-%Y-4 n C_c (r--ta-�
Workman's Comp.Policy# W c-k-
Permit Request(check box)
® Re-roof(stripping old shingles) All construction debris will be taken to_ Was t �js rCm.�
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
❑ Other(specify)
*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.
Signaturex—
Q:Forms:expmtrg
Revised121901
s
Liberty Mutual Group
PO Box 8094
Liberty Wausau,WI 54402-8094
T eRphone(800)653-7893
11'1 Fax(715)843-2650
December 11,2002
TOWN OF BARNSTABLE
BLDG DEPT
367 MAIN ST
HYANMS,MA 02601-
RE: Certificate of Workers Compensation Insurance
Insured: NICKERSON HOME IMPROVEMENT INC
PO BOX 2476
ORLEANS,MA 02653
Policy Number: WCI-31S-318102-022 Effective: 11/6/2002 Expiration: 1116/2003
Coverage afforded under Workers Compensation Law of the following state(s): MA
Employers Liability:
Bodily Injury By Accident, $ 1,000,000 Each Accident
Bodily Injury by Disease: $ 1,000,000 Each Person
Bodily Injury by Disease- $ 1,000,000 Policy Limits
As of this date,the above-referenced policyholder is insured by Liberty Mutual Insurance Company under the
policy listed above.
i
The insurance afforded by the listed policy is subject to all the terms,exclusions and conditions,and is not
altered by any requirement,term or condition of any or other documents with respect to which this certificate
may be issued.
This certificate is issued as a matter of information only and confers no right upon you,the certificate holder.
This certificate is not an insurance policy and does not amend,extend,or alter the coverage afforded by the
policy listed above.
If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such
cancellation.
AUTHORIZED REPRESENTATIVE
LIBERTY MUTUAL INSURANCE GROUP
This Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those compaiies.
cc:..Insured: -. Producer of Record:
NICKERSON HOME RAPROVEMENT INC PIKE INSURANCE AGENCY INC
PO BOX 2476 PO BOX 1658
ORLEANS,MA 02653 ORLEANS,MA 02653
1 211 01200 2
7�r. Board of Building Regulations and Standards
License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: 1.33851 Board of Building Regulations and Standards
Expiration: 8/17103 One Ashburton Place Rm 1301
Type: DBA Boston,Ma.02108
NICKERSON HOME IMPROVEME
k11T1RK NICKERSON
286 SOUTH ORLEANS RD.
ORLEANS,MA 02653 ``
Administrator Not valid without signature
` Page%a. of noes.
1 �
NICKERSON HOME IMPROVEMENT,INC. 1120
P.O.Box 476
H ANNIS?MA 02601 r °
(508) 790-5880 Fax(508) 255-5107
PHONE IDATE
TO Melissa Cronin 508)790-3417 3/28/2003
15 Buckwood Drive JOB 1dAME 1 LOCATION
Hyannis MA. 02601 same
JOB NUMBER JOB PHONE A—_—
Roof Estimate
Strip shingles off front roof and shed roof over garage
Renail all loose sheathing
Install 8"white aluminum drip edge on all lower edges
Install Ice and water barrier on all lower edges, and complete over garage roof
Install black underlayment felt paper on stripped areas
Install new flanges around all soil pipes
Install 25 year 3 tab shingles to match rear roof as close as possible on stripped using hurricane
nailing
All trash and debris will be removed and disposed of properly
All material, labor and dump fees for above
1
Option:Install ridge vent over main living area Add to above
PLEASE INDICATE COLOR CHOICE ON RETURNED PROPOSAL S zI re
Estimate does not include rot repair -
Only items specified are covered by this proposal
Materials are warranted by manufacturer
WE PROPOSE hereby to furnish material and labor—complete in accordance with the above specifications,for the sure of-
Cont'd dollars is Cont'd
Payment to be made as follows:
deposit upon .signing, progress payments upon request and
balance due upon completion..
All material is nuarameed to be as specified. All work to Ix completed in a professional.
manner according to standard practices. Any alteration or deviation hum above specitica- Authorized (JJ3((W1
bons irwotvmg extra costs will be executed only upon written orders.and evil!become an Signature _ ---
exha charge over and above.the estimate.All agreements contingent upon strikes,accidents or
delays beyond our control. Owner to carry tire.tornado,and other necessary insurance.Our Note- s proposal may be
:vorkcrs are hilly cnvered by Wer kers Compensation insurance. -
withdrawn by vs it not acceoled within 30 drys
ACCEPTANCE OF PROPOSAL—The above prices,specifications
and conditions are satislactory and are hereby accepted. You are authorized Signature `L _� � ?
to do the work as specified Paymenl will be made as outlined above.
Signature
Oa!e of Acceptance:
� �Y K ��� J,^ �: A' Y(. 'Yw 4 t.:A�.qF._ "S �• ` ^�* ��' �4�• •41 Ili
}
7 } }}
rt
05/26/2003 21:36 915OB7906230 PAGE 01
y
Town of Barnstable
Regulatory Services
3 6 Thomas F.Geiler,Director
r t6�a.� •
Building Division
Toxu Perry, BuUdkg Commissioner
200 Main Sweet, Hyannis,MA 02601
I
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I e C�' w vN* A ,as Owner of the subject
l property
hereby authorize JQ , C—k e � erg' _ to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
�J
k.'/6 &JAI _ S J31
03
Signature of Owner Date
lwdlx' ,�a Cron) ".1
Priest Name -
Q:F0RM$:0WNBRPERMSI0N
ma's K• •R M
,*THE
TOWN OF BARNSTABLE
E STABL
OpY- ,�� BUILDING INSPECTOR
,gerr-f e
APPLICATION FOR PERMIT TO A.a_1W.........ae,. ........;P.�......
TYPE OF CONSTRUCTION ............../..4. �/........ ....V...Z..)....... ............................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit-according to the following information:
H,V N114 -5 Location ...1.5...5.q��KWP.��. V.... ...........rA . 1.. )** I
ProposedUse ....GAAA�r.E..................................................................................................................................................
Zoning District ........................................................................Fire District ... il!�.....................................................
Name of Owner .........................Address A A--............
ASS
Nameof Builder ........... `...........................................Address ..................................................................................
Nameof Architect ..................................................................Address ............... ... .................................................................
Numberof I R 97's ................................I..................................Foundation .......... ..................I..:..........I .. . . ...........
Exterior ............. .................................... ..........................Roofing .................... ... . .... ................... .............................
Floors ................... ....... ...........................................Interior .....................................................................
...........
Heating ..................................................................................Plumbing ................................................ ......................
Fireplace ............... ... ..............................................Approximati- Cost ........... ........................
................. ..... ...........
Difinitive Plan Approved by Panning Board ------------------------------19---------
Diagram of Lot and Building with Dimensions to e
7,
o
i.
A
0,
"V
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ./67 ...... .................
Reifeiss, Carl A.
1 ?01 permit for garage r
No ....... ... ..............................
............................................................................... E
Location .......15 Buckwood Drive
1
Hyannis
I
...............................................................................
Owner .......... arl.A. Reifeiss..................... i
Type of Construction ......frame
............................
Plot ............................ Lot ................................
I
Permit Granted .....J..... .anuary 12.... ....................19 2
7
�ii`7L W«c A4 T iA.) ZZJz 4
Date of Inspection � f„ &;;wI tiles*2o
Date Completed / ..........
PERMIT REFUSED f
................................................................ 19
...................................... .... ............. ...
............................................................................... I
Approved .,............................................... 19
...............................................................................
...............................................................................