HomeMy WebLinkAbout0076 FIFTH AVENUE (HYANNIS) '7C� ���� ���.
o Town of Barnstable °RECEIPT
MAW ' 200 Main Street, Hyannis MA 02601 508-862-4038
Application for Building Permit
Application No: TB-16-3264 Date Recieved: 11/4/2016
Job Location: 76 FIFTH AVENUE(HYANNIS),HYANNIS
Permit For: Building-Insulation
Contractor's Name: MICHAEL T MCMAHON State Lic. No: CS-068111
Address: PLYMOUTH, MA 02360 Applicant Phone: (781) 831-1234
(Home)Owner's Name: CAYAN,JANICE Phone: (908)319-5795
(Home)Owner's Address: PO BOX 25, WEST HYANNISPORT,MA 02672
Work Description: Weatherization,air sealing,weather stripping and blown cellulose
Total Value Of Work To Be Performed: $1,800.00
Structure Size: 0.00 0.00 0.00
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she.engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
"I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have-_.
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.'
Signed: Mike McMahon 11/4/2016 (781)831-1234
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $1,$00,00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $85.00 11/4/2016 $85.00 XXXX-XXXX-XXXX- Credit Card
7015
Total Permit Fee Paid: $85.00
;;#� �I'IISf ISNOTA� PII' y ,.§. ,
Assessor's map and lot number ........
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Sewage Permit number .......7................... A
......................... .
House number .......11-1-111-761116.................................................
TOWN OF BARN-STA IN6 am
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...... .................
..........6...............................................
V I .......................................................................................................
TYPE OF CONSTRUCTION ................F I,
........... 64..................97:q
TH-EJNSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
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Location ............... ..........................................I/................................................. ...........................................I
Proposed Use ..........e-R, ,kVAT6-
...................................................................................................................................................................
ZoningDistrict .......................................................................I Fire District ..............................................................................
Name of Owner* .... .9 var�d�,As-T- 4.y� -
... .. ... ... . ....... H .........Address............................... ........ .........
Name of Builder .....H-V 72 1&ir?,12,,T LI-A t+CV t-( .... L025 t-1 13 1A T 2 RW I t.1,4-�
................................................ ...........Address ............................ .t.4�.t...........................................
Name of Architect ...R.A., -D1.14.T:7. .............Address ........ Y�..................................
Number of Rooms .........4....................................................Foundation ... ............................
Exierior ........�° C , 5'1.4, .................................. . ng .....A S P 14.4 L-r
..................... Roofi ...........................................................................
Floors ........7R. e.tt>Croj>.....................................................interior ....... .............................................I
... ........... ... . .. ...... I ... ...
Heating .......6�A�, - P--T- �JA-re ...................
...................w........................ ...Plumbing ........i.........................................................................
Fireplace ..............................................................................Approximate Cost ........23 "D. —
...............................................I
Definitive Plan Approved by Planning Board -------------------------------19---------- Area ........R.�........C,/.*..,.*.*
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Diagram of Lot and Building with Dimensions Fee ................�.............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ....
I .. ...... ..........
T
PPrendergast, Joan A=246-120
No 21329...... Permit for J
single... i�y..::...
.dwe1liftg
Locqtion ••W..Fif.th..A .;. .....
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.................West••Hyannisport...........................
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Owner .... .JGhn..Rrendergast. .......................
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Type of Construction .................. rame............. i
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` Plot ............................ Lot ................................ -
Permit Granted :......... ....Ma '.,.....309 79 +
Nor Gd�n
Date of Inspection .......:... **�f"..` ...... .19SO
Date Completed �.�:.�...�...............: :.19
z PERMIT REFUSED y
................................................................ 19
........ .. ................................................ {
...•.•.... .. .............. .......................
Approve . .......................... 19 "
............. .... . .........................................
Assessor's map and lot number ........ THE
.......... &
Sewage Permit number. ........79..........L4............................ 6)
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House number ......... ................... .......................... MAS&
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TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ......6c>t-'(ST 12,U C_-r A vv)-1 I C,-,( _T� L- L L 1.r- �?..................
................................................................................ ......... ...
TYPE OF CONSTRUCTION ............... f-. ...................................................................................................
........... .................
TO THE INSPECTOR OF BUILDINGS:
The undersigried—_er "plies for a permit according to the following information:
-xv "\ . -I*-e A 4 f.!, PC i,,
Location ..S....rt. .....E.K.i.."....A Vc- , t, I
..................... ........................ ..................................................
ProposedUse ............ .....................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
Nome of Owner ............................. .............. .........Address Sk-14A ..td.47?.C.L! <7.....!' ,A.�r. .............
Name of Builder ....P C6661�,T_ (1A E4e-zrl ...............Address Arc 1-1 1.5 LA t-C 7 V i,,u ,L 6-
................................................. ...................... ..............i......................................
Name of Architect ... ........ ............Address ........ .......... ......... ..............................
Number of Rooms ......... .....................................................Foundation ... ...........t�e) ..... .................................
Exterior ........ ...................................Roofing ..... ............... ........... .. .......................................
Floors ........... .....................................................................Interior ....... .. or
.. .. ...... I.........................................................
Heating ....... A A i V. .....................................................................Plumbing ..................................................................................
Fireplace ..................................................................................Approximate Cost ....... ......................................................
Definitive Plan Approved by Planning Board -----------—--1*7--—-----------19--------- Area ...........................................
Diagram of Lot and Building with Dimensions Fee ..............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
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Name .......; ............... ..........
f
Prendergast, John ' I�O
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No 21339.-.. Perlit for m . --
................. ............................................ �
ioc(Ohon . 19w~.F.ifth..Avm,----------.
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Type
of
Plot
Permit Grinted ...................May....30.....19 79
Date of ln�specfion ....................................19
`
uo,e Completed~�. 19
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P MIT REFUSED
.......................... �
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Approved
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eti 'Town of]Barnstable * ermit#
Tres 6 months from issue date
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: SCAB ; .:.-;.... ... .._�__:..; oM:::: :Regulatory Selrvices ..... Fee ,.
_ ...
r i659 ��� :__.Tliomas:F.Geiler,Director
--. ...._.. :.. ....._.:.::_�...;:..._::...Building Division
-"Tom Perry, Building Commissioner ^' -
200 Main Street,- Hyannis,MA 02601 . .. ®PS
Office: 508-862-4038
_._ ::. . ...... .. . . :0EC..2. : .
Fax: 5 08-790-623 0 . .. : : ..:
..' EXP!RE' :PER�C T-A�'PUCXTY.ON - ..RESIDENTIAL O e OF �Af�E'�
Not Valid without Red X Press Imprint
Map/parcel Number a
Property Address , //�'TDf` Cs'
Residential Value of Work 52 6 0'0 Minimum fee of$25.00.for work under$6000.00
Owner's Name&Address a,j/1_9 "/—m dazzs
kana6 .5 Df
Contractor's Name Telephone Number 7 74,
Home Improvement Contractor License#(if applicable) 1.3 7ty
Construction Supervisor's License#(if applicable) S C2 ,p-/ cJ p C
❑Workman's Compensation Insurance
Check one:
111 am a sole proprietor '
❑ I am the Homeowner '
P".I have Worker's Compensation Insurance
Insurance Company Name e�� f'UrLc ta-t—
Workman's Comp.Policy# L-j C;S I S ` . / —0/3
Copy of Insurance Compliance Certificate'must be on file. '
Permit Request eck box)
Re-roof(stripping old shingles) All construction debris will be taken to Co Al -j
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
*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.
Home Impro nt Contractors License is required.
t
Signature '
Q:Fomis:expmtrg
Revise063004
i
oFTM�,�ti Town of Barnstable
Regulatory Services
ABM Thomas F.Geller,Director
Building Division
QED MA'S a .
Tom Perry, Building Commissioner
200 Main Street, $ya=is,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Trust
Complete and Sign This Section
If Using ABuilder
�Aq as Owner of the subject property
hereby authorize
S d �9- -cam to act on my behalf;
in all rsiatters relative to work authorized bythis building permit application for;
V Sf iS��
(Address of Job)
�$' nature�olwner Date
,.._Lea n �� �r e✓� c�e� �as� .
Print Narm
3k fie �arvmaiaurea�/ a�✓�aaaac�cudrl12
". BOARD OF BUILDI G REGULATIONS-.[_,
License: CONSTRUCTION SUPERVISOR
F Number: CS 081091
�. ` Birthdate: 05/11l1949
i 6plyds 05/11/2005 Tr.no: 81091
i "` Restricted: 00' ' }
MATTHEW M SCAVARELLI
9
181 CAPTAIN IIJAHS`Rb
CENTERVILLE, MA 026ik . Administrator
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I
a
92- 611"w w"eaN a�✓ aaaac/u�aeka j
_ Board of Building Regulations and Standards I
HOME IMPROVEMENT CONTRACTOR
Registrition: 137804
Expiration: 1./612005 I
Type:. Individual
T
MATTHEW SCAVARELLI i
E
MATfHEW SCAVARELLI t�
181 CAPTAIN LIJAHS RD. re,p
CENTERVILLE,MA 02632
Administrator
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