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HomeMy WebLinkAbout0112 FIFTH AVENUE (HYANNIS) PROJECT NAME: ADDRESS: PERMIT# c340 1 3 Q -7 E5 p O PERMIT DATE: 16 �j 'D 3 M/P: �'l '�= { w CADGE ROLLED PLANS A IN: BOA $LOT Via- Data entered in IVIAP program on: Z Z BY: 1 , i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map— Parcel Parcel Application � ��7 VD Health Division Date Issued /o"30 Conservation Division V� Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address 1 d V1 h Village RAJ 9a X S Owner Address Jh) Telephone 01W �� y�� Permit Request f i IA Ant— Square feet: 1 st floor: existi ng7%-proposed _2nd floor: existing proposed _Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size + (r1— Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family LU/ Two Family ❑ Multi-Family(# units) Age of Existing Structure V x4eNb 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 O Half: existing C7 new Number of Bedrooms: existing Q new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: k(Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 2rNo Fireplaces: Existing INew Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: C) Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ -�► Commercial ❑Yes ❑ No If yes, site plan review# CD Current Use w 14 rem Proposed Use y0 APPLICANT INFORMATION r'n (BUILDER OR HOMEOWNER) N Name Telephone Number Address License# _WW 7� �1 .Qa Rao ao i Home Improvement Contractor# 1177610 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE bN/0 i i FOR OFFICIAL USE ONLY ' APPLICATION# DATE ISSUED MAP/PARCEL NO. .I ADDRESS VILLAGE OWNER w I • DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Depx*nent aflndustrial Accidents — - Office-of Investigations-- 600 Washington Street Boston;*MA 02I11 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Bminms/OTmizationa'diviam� �-Q x1 —�o -.Address: . Ci /State/zi :Vu Are you an employer? Check the appropriate bag: Type of project(required?; 1.UT ion a employer with—1 4. ❑I am a general contractor and I employees(full and/or paid tune).* have hired the sub-contractors- 6• Q New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. jQ-Remodeling and have no to y ees These sub-contractors bave � �P Y 8. Ej Demolition working for me in any capacity, employees and have workers' [No workers'comp,incir,ance comp.insurance.$ 9 [wilding addition required.] 5. ❑ We area corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doingall work: officers have exercised their 1I.❑Flouncing repairs or additions myself. [No workers' comp, right of exemption per MGL 12.[]Roof repairs in uran ce required,]t c. 152, §1(4), and Foe have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also i71 out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors most submit a new affidavit indicating such. �Contractms that cbeck.this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub- oniractors have employees,thcy must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees.• Below is the policy axed job site information Insurance Company Name: , �AAA.Y . z Policy#or Self-ins.Lid.# Expiration Date: I ak Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expo ation date). Fatltzre to secure coverage as requited under Section 25A of MGL c. 152 can lead to the imposition of criminal penalises of a . fine up to$I,500.00 and/or one year inmprisonzaent,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 Investigations of the DIA for incrr,-a„ce coverage verification I do hereby c . ' under the pains and penaties of perjury that the information prgvided above is true anal correct Phone# �� F[l3zrdo'f only. Do not write in this area to be completed by city or town offzciaL n: Permit/License# hority(circle one): Health 2.Brd1dingDepartment 3. City/Town Clerk 4,Blectrical ector. 5.'Plumbirr Ins ectn�P r g Pson: Phone#: • ./ ,rIc, � 1 V Yl it Vi`1)Qi ila LA IliC - 3` -- Regulatoy_Services ----- -------- p NAM Thomas F.Geiler;Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannii,,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign Tbis Section If Using A Builder as-Own=of the sub eLt ro l P PAY . hereby authorize` 1/6-).He to act on my behalf, in 2E matters relative to work authorized by this building permit. 1/a i (Address of Job) i Pool fences.'arzd alarms are the responsibility of the applicant. -Pools are not to be filled or utilized before fence is installed and all final inspections are performed and.accepted. - Signature o Owner "' Sig ture:of Applicant, tint Name Print Name Date Q:F0RMS:0VMERPERMISSI0NP00LS 6/2012``. SttE ram, i v rr.ut vi �a.i ua a:a.uX%., Regulatory Services F =nxrtsr�RTR Thomas F.Ge1er,Director T 74AM* Building Division Tom Perry,BuDding Commissioner. 200 Main Street, Hyannis,MA 02601 www.tawn:harnstable.ma,us _ Dffice: 508-862.4038 Fax: 509-790-6230 HOMEOWNERLICENSE EXEMPTION PIease Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current,exemption for"homeowners"was extended to include owner-occupied dweDinp 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 fain structures. A person who constmcts 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 buildm 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 Barnstable Building Department r„-nirnum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containin 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 perfomung work for which a building pemut 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, Ruses&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. ibilities,many communities require,as part of the permit application, To ensure that the homeowner is fully aware of his/her respons the the homeowner certify that he/sbe understands the responsibilities of a Supervisor. On the lastpage of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certificationfw use in your community. Q:forms:bomeexempt .. Boa. � TAYLOR DESIGN ASSOC., INC. SHEET NO. w { of P.O. Box 1313 0 Forestdale, MA 2644 CALCULATED BY DATE Tel./Fax: (508) 790-4686 u _ CHECKED BY V 2. • t P' J&V evi `A SCALE g f►� TAYtA 0 1 ��<,c> � w C-� / yD T�Q .. ... , ........ .... ....... ...... $ �4 � t _ �-'. ... ... t �'''th.�9acy9FTTiOy .�4�Qt..GY (ZeC0 _ CTDi-norJ r: .... .. ..,.. t�_� �r��rz. . orb= �.mo f'%ta ........ ........ . ... . .I �cLt 1.N C�C'F^A.. +r�� �:..v Mil T'G�. ��—�j .r_Z, •O..O P5_! _At.,..rJ...._._. .... ..... t /�!.tJ�. C c:,a.a��r ;�-�G... .............300.0 g Sr�e. _ .. .:;4.000.�PS• C' Z . g ;K�,J._ . cQo'F' .. 'R,ao. -� r-7 "-' ........ ... . L �� x c_o. 4.cQ.. ... ..... �.l . ..... .. t� 9cw ................ ........ �'.arct .- 'g .a.� � t 4 - 1 t3.�4 .. - c o c _ ... 3_ .. fee Z coo ; 460 i JOB r7.ti.O TAYLOR DESIGN ASSOC., INC: SHEET NO. Z OF P.O. Box 1313 Forestdale, MA 02644 CALCULATED BY GT T DATE Tel./Fax: (508) 790-4686 CHECKED BY DATE K' 1J yjSCALE ... ... ............ .............. . .. M ... mo. ... �- ..�t1.�►-�-�N ... .. �. ............ ........_......... . t_.. ...C r T t+�. G►Q..- G.� L. 7_ �L . boa {��[' ... .. .. ...... .... ................ '3 4 P� . ._ .._. .. . . .: .._.. .... . ..c t� ....... s 3� ...._...__ .. .. . ...... ... .. . = -�Z. S 2 Z {fir A ... __ z ZS ... .. �.�.� = S'4 �' . 2. ©�_._�' 7 tic,- .. . . . , .. .. _ ...._ . 3 X l _ _ 3 Z t .. . 8� Pe—' ........ qm 4 (7s�. mac . ......... _ r.. JOB Csr Cc-4�iQ�- TAYLOR DESIGN ASSOC., INC. SHEET NO. of P.O. Box 1313 _ Forestdale, MA 02644 CALCULATED BY GZT DATE '3� � Tel./Fax: (508) 790-4686 .1 L' CHECKED BY DATE l r /-V F . SCALE .... .... .. = . V {Jc.c>cr..... Z�. p c- . .............. �. C�`� C4 to3Z`` z3,� z ......... c_. -c . ec� to ........................ wAuS ? 3 s =._ IS7 it -r 37, ............. .. .... ..... '_ ........ ........... .. - w± . i , 11 THREADED HOLE TOP VIEW u PRECAST VS. CONVENTIAL CONVENTIONAL 12" DIAMETER SONOTUBE: ALLOWABLE LOAD BEARING CAPACITY = = ALLOWABLE BEARING CAPACITY # AREA = ' 2000PSF * (0.5#0.5*3.142) = 1571 lbs. Lrl MAX LOAD BEARING IS 1,571 lbs. PRECAST SONOTUBE: ALLOWABLE LOAD BEARING AT TOP= CONCRETEPSI * AREA / FACTOR OF SAFETY 5000PSI #. (8*8) / 2.22 = 144,144 lbs. ' ALLOWABLE LOAD BEARING AT SOIL = r. = ALLOWABLE BEARING CAPACITY * AREA = 2000PSF * (2*2) B1000 lbs. THEREFORE MAX ALLOWABLE LOAD APPLIED IS LIMITED BY THE SOILS CAPACITY OF 1, 8000 lbs. WHICH IS GREATER THAN THE MAX LOAD OF 1,571 lbs. FOR THE 12' SONOTUBE a SIDE VIEW. GENERAL NOTES: iTEM WEIGHT 1. CONCRETE $000 PSI IN 28 DAYS. . . 2. CALCULATIONS BASED ON•SOIL PRESSURE 0,2000 PSF. SON05 4 MEANS PRE—CAST CO, INC. sr,-� urea 151 ADAMS STREET, BRAINTREE, MA 02184 FOR ADDITIONAL INFORMATION CALL 791=843-1909 JOe. .._ L [—� TAYLOR DESIGN ASSOC. INC. S SHEET NO. }�, OF P.O. Box 1313 Forestdale, MA 02644 CALCULATED BY— DATE Tel./Fax: (508) 790-4686 CHECKED sv O�tl DATE O•�r�✓L.5 fTAYLOR l SCALE e� ..... �1$ I .. a ..... AA, 1-,osJ . ce...... . 4- .. -7 ....... 8 " . � P' _., ........... W _ (�• j .... ;...__:.. • 1 �� r a {r - .. va :3`' x .K. C z YCi ....... 60 t ?.4pc�t— ' e � ... OfTice tffonsrer airs u mess ego a"f ou License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:, 117610 Type: Office of Consumer Affairs and Business Regulation Expiration: 10/25/2014 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 t S N L.MELLOR i - 1 STEVEN MELLOR'= 199 PERCIVAL DR , . W BARNSTABLE,MQ 02668 Undersecretary Not vali -;About signature Massachusetts -Department of Public Safety Board of BuildingRegulations g ions and Standards Construction Supervisor r.' ""�""" License: CS-049879 STEVENL MELLOR ' 199 PERCIVAL DIt W BARNSTABLE �%.�..� n l" Expiration Commissioner 05/22/2014 o Rod CERTIFICATE OF LIABILITY INSURANCE °ATE'M'"°°"Y"Y' 03127l2D13 �F- RTIFICATE 1S 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 04331 -001 (CONTACT r NAME: _ Eastern Insurance Group LLC r ,tlu.Exn: (800)333-7234 id°c.No.; (608)663-8089 233 West Central Street ;EMAIL _._. Natick,MA 01760 I ADDRESS: j_ ....#IWM(SI AFFORDING CQyt$A — _ -._ 11 IN511RER A; A-1.M.Mutual Insurance Company f 33758 INSURED _ Steven L Mellor INSURER B 199 Percival Drive INsu West Barnstable,MA 02968 --_._..._ INSURER E- T„• -'�-•-- . 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 DDL SUER POLICY NUMBER POLICY EFF POLY'Y EXP I. LIMITS LTRI -_-, __--(INSR(WVDi _ fh1MI0p. YYY) jMM/DD/YYYY); jGENERAL LIABILITY ` i ---- -+ ' •'�----'- _ EACH OCCURRENCE I S ^COP&AERCIAL GENERAL UASILl i i ' DE AMAGETb-R€NS10— - — j P S rEa_axuneca; i S CLAIMS-MADE i OCCUR S , MET•EXP(Any one person) PERSONAL S ADti INJURY !S I I GENERAL AGGREGATE S iSDI'L.AGGREGATT WAIT APPLIES P32 l I _ i PRODUCTS-COMPIOPAGG S r—. --�OLICY 3RO OC AUTOMOBILE LIABILITY I COriB4I.4ED SINGLE LIMIT S I Fa accident' A14Y AUTO I — I I I BODILY INJURY(Per Person) S _ _ ALL OWNED SCHEDULED -- .AUTOS _ AUTOS ttt BODILY INJURY(Par acc drrm,S —J HIRED AUTOS NON-OA T SV,.flED t i I ROPERTY DAMA. 15 i ....'. —._ L I I er a-adr=srfl ...1_ i I r•+a _ 5 W t I UMBRELLA LIAR I O.CUR I I )EACH OCCURFc'�t 5 i �- CL EXCESS LIAR I :dMS M A G[I j i I ^D !!!!!! ,AGGREGATE.- Q 0 DEC ' RETEINTIOI•! —I —.___...............YIN I-- — i W RS COf P S T i t --I I r T VC STF T'U ` �TH�- �-pR{�(EE �At �N pq poNN f X TORY LIMITS ER•' �`i AND EMPLOYERS IABI�ITY i .�_.__-� _._:. ...__. •AP Y Pr37PR�=Tp�/M XECUTIVE—i I I E L.EACH ACCIDEN !S �,-•. 1i}®,DDD A O�FICE��MEStBER rx LdLy N :NIA! AWC7020385012012 !12fZ7/2012 12/Z712013 ' i(Mandatory In NH) (�: IY :c � E.L.LDtSF1t5E-EAEivI1,PL�,EE _ 4,000 Ir11• y es descr undr-r I - ---' Dh=cRIPTIOr-i OF OPERATIONS balo„ ' i ! EL.DISEASE-?OLI 1'LIMtT I S ; ,000 1 f ll DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) w II - I CERTIFICATE HOLDER CANCELLATION Town of Barnstable j; 200.Main Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Hyannis,MA 02601 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I; L ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE' v 1988-2010 ACORD CORPORATION.All rights reserved. :ACO.RD 25(2010/06) The ACORD name and logo are registered marks of ACORD __. - Assessor's office (1st floor): Assessor's map and lot number .......dot. . ..... .c� �► P OF THE TOE Board of Health (3rd floor): p� ��«;, q �D 1W Sewage Permit number �L O1A :...... .. . ...................... C _ ASl9?ODLL . Engineering Department (3rd floor): - ENVMal ` °�s�M q �00� House number -' -= o�ar°r APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. onlyNOW TOWN OF BARNSTABLE BUILDING INSPECTOR 1k APPLICATION FOR PERMIT TO .......�L .� .... ... !43.Q..�l.�.1-� .................................. TYPEOF CONSTRUCTION ............................ .. ......................................................................................... ....................8 `e�...... 19 v TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to tthe following information: Location ....j.1.2........ .1`. ..... .\(�........... Ir......ff� i �• .la . ....................................... Proposed Use ......... . .. .. .... ............................... Zoning District .......... ... �.............................................Fire District ....... ...... .. .�z)...J..................................... Name of Owner ....F2 N.IN.I..2...........(. ...........Address .......:f.). . .I&LE=................................................... Name of Builder :5,6*41-v y...�.6 Address 7 Nameof Architect ................... .(...A...................................Address .................................................................................... Number of Rooms ................I................................................Foundation ..........�.45 Exterior � t�j. :F ?I�TZ_ . d'x? (..� Roofing 14 -tb ✓................... Floors ........(r ...... ................................Interior .....G� ^ �w4. .......��2................ ............. Heating ............ r.l.. r rlrtl� ...........................Plumbing ......(.. ... ........... .< ` N.:......... Fireplace .....u.C)..u....C..,V(s...ZA ..............Approximate Cost ... �.. .. .................. a , Definitive Plan Approved by Planning Board ________________________________19--------. Area �.�. ............. � t ` Diagram of Lot and Building with Dimensions 0 Fee ......... ..................... ........ SUBJECT TO APPROVAL OF BO RW11F WE41 TW re ��c �t�a;Il D►lCy z z-34 � Of Q O A a,D �THE The Town of Barnstable * snxivsTas[,e, • Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLEASE FORWARD THE ATTACHED PAGE(S) TO: TO: JUDY ATTN: FAX NO: 790-1388 FROM: LOIS DATE: 1/20/99 PAGE(S): 1 (EXCLUDING COVER SHEET) TRANSMISSION VERIFICATION REPORT TIME: 01/20/1999 10: 30 NAME: FAX TEL DATE,TIME 01/20 10:29 FAX NO. /NAME 97901388 DURATION 00:00: 54 PAGE(S02 RESULT OK MODE STANDARD ECM .•.ice ' -� NCO ADT Security Services, Inc. 111 Morse Street Fire& Norwood, MA 02062 Security Telephone: 781-278-1000 Far: 781-278-1090 Attn: Barnstable Wiring Inspector, I am writing you in regards to an electrical permit that was pulled by ADT J Z;Securit to install a burglar alarm system at 112 Fifth Ave. Please make note that the &,ustom r cancelled the job and the system was never installed. If needed to reference this =fob the a��nit number assigned to it was 67168. If you have any questions regarding this matter please call me. Thank You. W C-i ' U- Cal 1 Sincerely, Annie Kerins ADT Security (781)278-1101 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. /D711w b BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ' [Rev. 11/991 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perlonned in accordance-v%rilh the Massachusetts Hlectrical Code(MEC),527 CMR 12.00 (PI,F_ASE PRINT IN INK OR TYPE ALL IN1 O]UlATION) Date: 02/20/03 City or Town of: WEST HYANNISPORT To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) 112 FIFTH AVE Owner or Tenant DANIEL SERPICO Telephone No. 508-778-0089 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ® . (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: INSTALLATION OF BA&FA Com letion ofthefollowing table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No. of Total Transformers KV A No.of Lighting Outlets No.of Hot Tubs Generators KVA bove n- o. ot Emerge—n-c—y=ghting No.of Lighting Fixtures Swimming Pool rnd. ❑ grnd. '❑ Battery Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches No. of Gas Burners No. of Detection and Initiating Devices No.of Ranges No. of Air Cond. Total No. of Alerting Devices Tons g No. of Waste Disposers Heat Pump Number Tons KW No. of Sclf-Contained ............ ............................................ Totals: ��' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW ecurity ystems: No. of Devices or E uivalent o.of Water KW o.o o.o Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as►•equired by the Inspector of I Pires. INSURANCE COVERAGE: Unless waived by the owner,no pennit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) 299.00 (Expiration Date) Estimated Value of Electrical Work: (Wlien required by municipal policy.) Work to Start: 02/28/03 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I cetnfi!,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ADT Security Services,Inc. LIC. NO.: 1533C Licensee: John S. Bassett Signature NO.: 1533C (If applicable, enter"exempt"in the license number line.) s. Tel. No.: 781-278-1 t 31 Address: I I Morse Street,Norwood,MA 02062 Alt. Tel. No.: 781-278-1725 OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normalk required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑owner ❑ owner's agent. Owner/Agent Signature Telephone No. PER/11IT FEE: $ 30.00 Assessor's office (1st floor): , Assessor's ma and lot number .... ........ ti TINE Toy p ... .. SYSTEM M �P o ..... Board of Health Ord floor): �� prwr���p IN CO ��� Sewage Permit number (� 6P 9HHSTABLE Engineering -Department (3rd floor): ENVIgQ� j oop,,M639 Housenumber ........................................................................ '�`0MPyA,- APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2.00 P.M. only TOE jW TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... ............ ................................... TYPEOF CONSTRUCTION ................:........... ...lw. ........................................................................................... .................. ......19C TO THE INSPECTOR OF BUILDINGS: r Q� The undersigned hereby applies for a permit according to the following information: Location ....j. . ........ ► >b�..... .. .\(.(............W-i..... f..................................... ProposedUse .:.. .1/ . ...V��,��.......................................................... ....................................I......................... Fire District ....... .. '�( Zoning District .......... .... .. . 1 zw&.................................... Name of Owner ....F2 1..r 4.�...........Address ........ . .. . !L ................................................... Name of Builder c.l,O. JTIY... .41..za�r ��j.Address ...N .. !... .V �.�sue..... Nameof Architect ................... ..V........................................Address .................................................................................... Number of Rooms ................I................................................Foundation ..... Exlerior ....(0-0.L-V6..... A>� c;�, 0'�t? ..r{Ss'4. Roofing i'.........�r- � �................... " / 4 u .....L.1.A ...................................Interior .... Floors ......�,�. .. .Y�� : -........ .!L................ ............. Heating ..... L.. ...........................Plumbing ......0 �. ... .�............ .C� ;�^�►�........................ Fireplace ......... C;.)........GL . .+ . '..............Approximate Definitive Plan Approved by Planning Board ________________________________19________ . Area .......... ........ .... ............,.. . U Diagram of Lot and Building with Dimensions Fee ......... .............................. '....... .......................... d SUBJECT TO APPROVAL OF BO RDL-�A W— 6 i r •wo 14 e wilt a A,A3 � IL ✓ W s OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the To n of rnstable regarding the above construction. Name .. .......... '`�'„�'� �.......... Cons on Supervisor's License o �� / ZIVE, RONALD No .... Permit for ... ...&..Remodel .... . . .. ......§ingle... .Famil.Y...Dwellipg%........................ . ... . .... ........ ..... ....... Location ..... Fifth112 Avenue ........................................ .................Xq�!�tJjy.qpnis ort ... ........................... Owner .....R.o.naljd...Ziv.e...................................... -Z Type of'Construction .....Fr me.......................... ...............................................:............................... Plot..............I.............. Lot ................................ Permit Granled ........S.e.p.temb.e.r...3, 19 86 . . ........ . .. Date of Inspection .....................................19 Date Completed .........................................19 • Own rb IL 0 z Cr Assessor's offices (1st floor): �. Q�FTME TO Assessor's map and lot number ....... .. ...w..L d ..... Board of Health (3rd floor): lJ Sewage Permit number 2 EAH3MBLE, t .............. . . Engineering Department (3rd floor): 90o M639• Housenumber ...........:............................................................. �0Ma�°r� V APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR , ? � A� - APPLICATION FOR PERMIT TO ll�..�'�. ... TYPEOF CONSTRUCTION ............................ .. .........Y................................... .......................................... f _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby` applies for a permit according to the following information: a Location .......... PTA ��(.�:....:.......1�!......1--� Y. �..�5 E.�a�[:�. .�..................................... ..�,c1.G ...ti t ti311 Proposed Use .............. ... ..........................................................�........, .......... f ....................Fire District ����'�✓ �.�� Zoning District ..........1..�:,.,.f;......�......................... ` Name of Owner �i'-1 .1...���.......'.. ...........Address �/*lit Name of Builder lJ. k� . d.t�. . .Address .... T Nameof Architect ...................NTA...................................Address .................................................................................... 1 ' Number of Rooms ................................................Foundation, ..... n �N E rV C� ...............................:: ................... . Exterior i �: ......a??r....... .!!!�l aL•. Roofing r. at)�.t- i�1,Y'....... -^ ................... Floors lc. ...... ,": d/,a..................................Interior ...... � `' _a..........t . : :.............�.................. Heating !'.:.. t f7 t/ -' ..........................Plumbing fi ;4.", a i7 -, ......... T ,Fireplace ........ Cost ..................... . E . S Approximate , Definitive Plan Approved by Planning Board __________________ ........., .. � . �-� �h"C --------------19--------. Area ... . ........... Diagram of Lot and Building with Dimensions Fee .( CJ ........................ SUBJECT TO APPROVAL OF BOARD" O:F—HEA.L--TH-- i((jam� .��4 �4 )DW IE fa1LO Zr ti - -� �AA w f11 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 U ' ZIVE, RONALD A=245-108 29871 Repair & Remodel No ................. Permit for .................................... Single Family Dwelling ............................................................................... 112 Fifth Avenue Location ................................................................ West Hyannisport ............................................................................... Owner Ronald Zive Type of Construction ....Fra....me ............................ ................................................................................ r Plot ............................ Lot ................................ Permit Granted ........September 3, 19 86 + ................................. t Date of Inspection ....................................19 + Date Completed ......................................19 lek,errAV i�/ "