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HomeMy WebLinkAbout0067 HAMDEN CIRCLE f7 g ysg�ppc�,, Town of Ba rnstable m Building xPost_This-Cara So"That it is�Visible From the Street�;Appro'ved�Plans Must be,Retamed on'Joband;=this"Card Must be-Kept Posted Untit Final Inspection HasBeen.Made.� � �� �� , ,� w �, 3 � �� '- * ,^`� >. � Permit, µod Where a Certificate.of Occupancy�s Re_quired,"such"Building shall'Not;`b_eOccup�edtunt�la Finallnspection has been=made; '��> Permit No. B-18-2700 Applicant Name: Richard Peters Approvals Date Issued: 08/21/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/21/2019 Foundation: Location: 67 HAMDEN CIRCLE,HYANNIS Map/Lot: 291-309 Zoning District: RB Sheathing: Owner on Record: NICHOLSON,STEPHEN G&SARAH M Contractor;Na e�RICHARD PETERS Framing: 1 - Address: 67 HAMDEN CIRCLE P, .° � -Cor tractor;License CS 106987 2 HYANNIS,MA 02601 N Est Pro ect Cost: $2,988.00 J Chimney:_ Description: replace two double hung windows on the gable end,of house with Permit Fee: $35.00 -4 Insulation: like kind double hung windows. Same specifications;no structural I3Fee Paid $35.00 changes ` 8/21/2018 Final: Project Review Req: n ,' t Plumbing/Gas 7 4 Rough Plumbing: ,Building Official Final Plumbing: 3 x Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorasd{by this permit is commenced within sizinonths after.Rssuance• Final Gas: All work authorized by this permit shall conform to the approved application and the;approved construction document`s for wh chi this permit has been granted. All construction,alterations and changes of use of any building and structures'shall be in compliance with the local zoning by laws and codes. -� -• ` Electrical This permit shall be displayed in a location clearly visible from access street orroad and shall be mam#eined open for public inspection for the entire duration of the r work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided'on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Final 2.Sheathin g Inspection g h:Rou 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage g 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 7.InsuFinal Inspection 7.Final Inspection before Occupancy Health L y Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. O Work shall not proceed until the Inspector has approved the various stages of construction. F Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Town of Barnstable Building p . p tARNf3['ABIS, •.. "`s�4x,":> 7z �. ;' u m.. r r,. � #; r s; T`' Posted Lln#il inalInspection�Has BeenMade =� �� � �, ,x r y h � �� � e„� Permit , ,Med ..: Where a Ce �ficate=of Occupancy s equ�retl;�such Budding shali�Not be®ccup�ed.untii a Final lnspectiort has bee a'dc ,.. Permit No. B-17-840 Applicant Name: MICHAEL MCCARTHY Approvals Date Issued: 04/10/2017 4. Current Use: Structure . Permit Type:. Building-Insulation-Residential Expiration Date: 10/10/2017 Foundation: Location: 67 HAMDEN CIRCLE,HYANN15 Map/Lot: 291-309 Zoning District:• RB Sheathing: I' Owner on Record: NICHOLSON,STEPHEN G&SARAH M Contractor Name: MICHAEL J MccARTHY Framing: 1 Address: 67 HAMDEN CIRCLE .x ,= Conti for lcense: CS-058633 2 HYANNIS,MA 02601 Est Protect Cost: $1,600.00 Chimney: Description: weatherization Peranit Fee: $85.00 ' Insulation: Project Review Req: weatherization Fee Paid $85.00 F Final: Date 4/10/2017 Plumbing/Gas Rough Plumbing: -Buildin Official . ... . r, g Final Plumbing: JpAqThis permit shall be deemed abandoned and invalid unless the work ai Yhor led by this permit is commenced within snc month after issuance. �Y Rough Gas: All work authorized by this permit shall conform to the approved appli ationand the approved construction documents for whic_ this permit has been granted. All construction,alterations and changes of use of any building and structures shall be incompliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public inspection for the entire duration of the -work until the completion of the same. ,. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the duildmga5nd`;Fire Officials are prov ded onithis permit. Service: Minimum of Five Call Inspections Required for All Construction Work �� _ ... 1.foundation or Footing ` K 9 'Rough: 2.Sheathing Inspection � .: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed priorto Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation R 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical.lnstallations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT a o - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 .I Parcel 4 Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fees Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner SA CL, �t/ cl,u� Address s...t Telephone SA t27 733C Permit Request t,��<.�4r:z .k..._ �.,� I't J Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U 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/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑;=existing ❑ raew ' ize_ 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 i m APPLICANT INFORMATION _ (BUILDER OR HOMEOWNER) Name _ Mike Alec-fir-thy C-0 8 wc •on Telephone Number Address P® Box 52 License# West Detinis, MA 02670 Cell (508) 280-6964 Home Improvement Contractor# -169393 .- Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: _ FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT t __ ASSOCIATION PLAN NO. Town of Barnstable Regulatory Services s�KAS& Richard V.Scab,Director 639. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 ,. www.town.barnstable-ma.us Office: 508-862-4038 -hx: 508-790-6230 Property Owner Must Complete and Sign This Section. , If Usi�ngy,A�ui.�ci�z 08 92 7- 7336 I, �SG►�/ ,as Owner of the s*ert propa t:y hcmhy autl orlrxv `� Iv to act on my behalf, " in all matters relative to work authorized by this building permit application for: "-0ow)7 Zfl ziw_ 0o-2 (Address ofjob) 'Pool fences and alarms are the responsibility of the applicant:. Pawls are not to be filled or utilized before fence is installed and all find , inspections are performed and accepted- Signat&e of Owiler Signature of Applicant 3Te, M Af LG�rd�dycl Print Name Print Name X- /12, Date Q;FORMS;014TTFRPFR,41SSIONPUOLti Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-058633 Construction Superviso,. LIPP MICHAEL.J MCCARTHY P.O.BOX 52 WEST DENNIS MA 02870 r1 Expiration: Commissioner 04/10/2018 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiration: 6/16/2017- Tr# 264961 MICHAEL MCCARTHY -._....._.................... ------- MICHAEL MCCARTHY P.O. BOX 52 -....- WEST DENNIS, MA 02670 - ._.........--- --- .._..-- Update Address and return card.Mark reason for change. -'i Address D Renewal ; Employment Lost Card SCA 1 G 20M-05/17 �- ....._. �fe �nneiiznircncctl!/c�`^�L�lastce/rx;eCl 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 '169393 Type: Office of Consumer Affairs and Business Regulation j!V! xpiration: .;6YIf/2U17 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 - MICHAEL MCCARTHY'... MICHAEL MCCARTHY / __��---- 6 RANGLEY LN. ..�._ :��..:..�x_:..:....-•—•— ..--.-- SOUTH DENNIS, MA 02860 Undersecretary ` Not id with oft signature �y i The CO►iIMNweakh Of Al assaChu ens DWOftext of1n u tdailAccidents 1 Cofagows Ste,Su*e 100 BOM14 MA 02114.2017 wwmmass pv1& Workters'Compensation Insurance Affidavit:Benders/Contractors/Elech idans/Plumbers. TO U FILED WITH THE PERB+II7'TOW AUTHORITY. AnNadInformation Please Print Name(Bvdne organi=mon&divid=Q: ►��( ..'I L �a.� �.►n Address: ' 9,G t�nri 5 Z City/tStat Mp: we>.Jt' On,-, I'7/�- 0 ---Phone#: Are yea m Moyer?Qi=v"W to box: TYPE of proleCt(required): l,�.am a aVloyw witheea(fidI and/or pa Wme).t 7. []New contraction 2.®I am a wle proprietor r partnership and haven employees wotldog forme in S. Rewdeling any eepeoity,INo worhts'eorep.l aaraoce mgu imil '' 3.Q I am a homeowner doing all work mysol£lNo wodmW comp.it emanca regntred.]t 9. Demolition 4.[]I am a homeowner end will be hiring conhaotota to eooduct all work on my property. Twill 10[]Building addition eawa kt all coafteam either have workam,compensation user mos er are sole 11.Q Electrical repairs or additions P"Fiftm whit no anp1 12.El Plumbing repairs or additions 5.0 I am a general cenimmr and I lave hired the sub-antmctors Wad on the ate W sheet. , These sub coamtois have employeas and have workers'comp.iasurance3 a 3. Roof repairs fi.a We ate acapoortimt and its officers have axerdsed their right of exemption per MOO c. 14.[]Other 152,144).ad we have no employees.(No watimrs'comp.bwam ee mgaired.] *AM applicant that cbedm box#1 must also fill art lira action below abowiag their workme compeesadoe policy i►dotmsthm. r Hompownets who mk*this affidavit Meatiag tbay are doing all we&and than hire onside common Wort submit anew affidavit indkating snob. gars thateheck Lids brat mnst scorched anaddi ital sheetshowins the name oftl►a sa'o-eemradrotsand state whetheror not&=entities have employees, Ifthe sub4aoatraotors have employees,day mriet provide their wotkets'cramp.policy mmtber. Iran anemp/oyer Bias isprovk ft works'coaapwmWon irrsniaasca for NY employees, Belowisthepoky and job site P►rfua�a#ata. . Instuance Company Name � .•-( !-�'��► ►+v a..9 1�'tiYc J5w C7` Pc1ec.5r It oe del;-ice.Lic.#:� I-75�7 y Expiration Data: 11 ► - t Job Site Address: City/WalZip: Attach a copy of tile.,workers'compensation polky declaration page(shewhe the policy number and expiration date). Faih.m to secure coverage as required under MOL c.1 S2,§2SA is a criminal violation puuieltable by a fine up to 81,500.0o and/or one-year imprisonment,as well as civil penalties in the#brm of a STOP WORK ORDBR and a fine of up to 1M.00 a day against the violator.A copy of this statement may be forwarded to the Of HCO of Investt*Ons of the DIA for insurance coverage verification. I do ko*wo under ten ofper�ury that tie hdbns aifonpra%W abot►e k true andc:orma S' Date: It Ph e#: f6 0 4C,-�.Y(.4 tease oj* Do not wrlse in bole area,to be completed by city or town 4WRL City or Tom PermWLtcense# Issuing Authority(circle one): L Bashi d Health 2.B dWbg Department 3.City/Town Clerk 4.Eketrical Inspector S.Plumbing Inspector ti.Other Contact Pelson: Phone#: m MCCART9 OP ID:KS . ACORD" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDMrYY) 12/20/2016 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(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 NA0MwEAcT Dennis Office Bryden$Sullivan Ins Agency PHONE FAX of Dennis Inc. .508-398-6060 FAX N,:508-394-2267 485 Route 134,PO Box 1497 E-MAIL Essc So.Dennis,MA 02660 Dennis Office INSURERS AFFORDING COVERAGE NAIL# INSURER A:National Liability&Fire Ins INSURED Michael McCarthy INSURER B: Construction Inc PO Box 52 INSURER C: West Dennis,MA 02670 INSURER D: 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. POLICY EFF POUCYEXP LTR TYPE OF INSURANCE JNM POLICYNUMBER MMIDDIYYYYI (MMfDDIYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RFNTEU--- CLAIMS-MADE OCCUR PREMISES occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO JECTPRO- LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COa aMc BWED cideMj SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTYDAMAGE $ HIREDAUTOS AUTOS eraccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ERA AND EMPLOYERWLIABILITY -- A ANY PROPRIETORIPAMMPJEXECUTIVE Y/N V9WC747574 12115/2016 12115/2017 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDEW Y❑ NIA ---- (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,00 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Michael McCarthy has Opted to Exclude himself for Workers Compensation benefits. CERTIFICATE HOLDER CANCELLATION CAPELIG . - SHOULD MY 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. ` Box 427 Barnstable,MA02630 AUTHOW�DREPRESENTATNE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Town of Barnstable -Buildin . . . �Pdst£Th�s Card So That rt is,lLisible�Frorr�#he<Streetx A roved-Plans M s � �_ ,,.... . .- ..._..._ � pp.-, u t berRetamed on.�Job and this�Card Mustvbe,:ICe t + DARh^SPA63.Ca "., - ;, �, ..z<,. .,.a. p +* `.v� ....,. .. ., Posted=.Un �I Fin I Y . t , a ns ection,.Has•.Been 3A -< p ., �- R , .. - here a,Cert�ficate of,Occu anc Re :wined such..Bldm shall.Not:, a cc ed ucn i(;a Fin L w.r. l P Y. q; , . �,. p t al nspectign has been,made Permit No. B-17-759 Applicant Name: RETROFIT INSULATION, INC. Approvals Date Issued: 04/05/2017 Current Use:. Structure Permit Type: Building-Insulation-Residential Expiration Date: 10/05/2017 Foundation: Location: 67 HAMDEN CIRCLE, HYANNIS M" Map/Lot 291 309 Zoning District: RB Sheathing: Owner on Record: NICHOLSON,STEPHEN G&SARAH M x ',Contractor;Name RETROFIT INSULATION, INC. Framing: 1 Address: 67 HAMDEN CIRCLE tongactor Ucense 160461 2Ali , HYANNIS, MA 02601 Est Project Cost: $2,207.00 Chimney: Description: Weatherization I Permit Fee: $85.00 Insulation: Project Review Req: Weatherization Fee Paid: $85.00 Final: <; = Date 4/5/2017 . Plumbing/Gas X�, µma. v . .. ........ Rough Plumbing: Building Official Final Plumbing: r This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six ninths after,.issuance. Rough Gas: -All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. g EP All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or'road and shall be maintained open for pukil mspection for the entire duration of the work until the completion of the same. Y , Electrical The Certificate of Occupancy will not be issued until all app►icable signatures by theBuildmg andFire Off c alsare providedon this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 13 3� 1.Foundation or Footing Rough: 2.Sheathing Inspection .. , 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall.not proceed until the Inspector has approved the various stages of construction. . , Final _. Persons contracting<;Wit iunregistered:'coniraetors:do,:not.have access to th.e guaranty,:fund _(as set forth-ln MGL'c: 42A): --.. : .. . . .. Fire De partmen't� =' Building plans are to be available on site . Final. • All Permit Cards are the prope rty of the APPLICANT' ISSUED RECIPIENT e ' .;. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel cJ� BARNS:TABLE Application # Health Division ?T7 mAR j �� Date Issued 12 7l 0.9 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board ' -------- Historic - OKH _ Preservation/ Hyannis r�M, s � Project Street Address -7 n1 r-CAC ( ��a� n�i�C ( I(„�A O 2-6 a Village Owner �S k.) Address Co ? HA^^Zt:E^-) Gv rtkre Telephone 7 —7 3 3 G ,Permit Request .m a.) 4 N 1 1�j S;,A l (2-- I S UN e-A LL 0 C--/G 3 Cvtu2e_,-r -Ir, f V 1s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1 20,1 *`{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/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: 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 �� rXpk. 1( lw I Telephone Number �0l-) Y3 L Address P 0 A a ar t o -A License # /V 91 ? 7 ( 7 Home Improvement Contractor# Email_ 62-1 G�MA-i,� . CaM Worker's Compensation # 0��s�� O �Cb ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO low SIGNATURE o DATE It7 ( 9 r 3 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. it ADDRESS VILLAGE OWNER i F DATE OF INSPECTION: FOUNDATION -FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT t ASSOCIATION PLAN NO. '4 , „ . .. , t Town of Barnstable . latory Services Richard V� Scali,DirecOr 1.639 Building Division Tom Peery,Buildinl;_Counnissioncr 0260.1 �-svw.t��n:ba�-nsf.:able. ia.us , Off-ice: 508;-862-4033 'Fax- 508-790-0230 ProperLy Owner:Must Complete and. Sig ibis Section 1 ij lac�t:$s�-atil o"UZ�, in all i[1"2”rs rf'.hative to`.R>odc authorzed b Laic b'=tl g enyx ?appkal6on i0r: (Address:of job) - `"Pool fc races and ahmns x-e Lo�resporzsibalitss of the'Itpp'kam. Pools are 10-1 to be l](Id or ut Led before.f once i4 mistalLed-and -all MI-11 ec ons are pcifo=ed and accepted. S* gat - c Ov Cr > j, Te P i nt.Name Friar Harm13at The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia Workers,Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTMG AUTHORITY. Aimlicant Information Please Print Legibly Name(Business/Organizationnndividual): 'Z, t'1 { F-JN Address: 6 1 o--� City/State/Zip: S I'V-N�OA -+ l4) Phone#: Are you an a ployer?Check the appropriate bo Type of project(required): l a employer wilt employees(fulland/or part-time).* 7. ❑New construction In I am a sole proprietor or partnership and have no employees woridag for me in S. F1 Remodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. Demolition 4.D I am a homeowner and will be biting contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.a I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insuratimt 6.❑We are a corporation and its officers have exercised their right of exemption per MGL a I4. err W L✓�1 �,� L 152,§1(4�and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such =Connectors that check this box must attached an additional sheet showing the mane of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and Job site information Insurance Company Name: 'f'—peva Policy#or Self-ins.Lic.#:_j,J (f 0 y O e-) Expiration Date: Job Site Address: lO / 6���`'� hCti ���C�(L City/State/Zip: J j tqq,4_ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiratioddate). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under tlr p ms an4penaltles of perjury that the information provided above is true and correct Si ature: Date: Phone#: Official use only. Do not Aje in this area,to be completed by city or town offudd City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health-.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector §.Other Contact Person: Phone#: omee of-Cm=cr A 'iis aid B. si R am 10 p*kp1m-S-ite 5170 �' � #�Z11 HOM Imp TO 2MG4 RETROFIT wGUTAATION, INC. ' i1 SECONK,MA 02771 lt�fo6fo " Q > at ❑Imt Ged wm a zowkm -- An Opiin,�wrro�atf�i e� wod6wstB li�eM Tim for IRL&JW VA Q�oia>��Ii�ior► y�es$�tatplr'�liM►+�•xC'i3�d��n'� O�esa[l�s��Ixs osd Dfa�rtt lY�r80.�••A'71lDIl31 � � 10liekl9rss-•l�ks9.�t z ftwmy 111J1 MU Ri:Tl�IY . Massachusetts=DepaFtment of Public Safe•+ Board of$uiiding Regulations and Star aids ' , ..ui�ec u�ucnr'odur>>aS7T S%tii'sanx License: CSSL 10•�1 ` ` ,.., .JOSKM J:REILT PO BOX 105 7 . Seelmnk:Mk 027-71.... ►? Ezpiratao ,,�, �•� 'lfi Comrmssim er` 06195130 . .. . . _.. . . RETRINS-01 RBLACKI A L7• CERTIFICATE OF LIABILITY INSURANCE DATE(M201YYY) s/11/201 s 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(lei)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 endorsemept(s). PRODUCER UcenSe#1780862 CONTACT HUB International New England PHONE -1971 Fax 222 Milliken Boulevard o Ext:(508)676 A/C No):(508 078.2150 Fall River;MA 02722-9946 EMAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC N INSURED INSURER A:Selective Insurance Company of South Carolina 19259 INSURER B:Star Insurance Company I18023 RetroF•d Insulation,Inc. INSURER C: PO Box 105. INSURER D: . Seekonk,MA 02771 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TH18 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 WITHRESPECTTOWHICHTHIS 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 LTR TYPE OF INSURANCE - D POLICY NUMBER MM1DD/YYYY MMIDDYY LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ewMs•MADE XX OCCUR X S2187653 08115/2016 08/15/2017 DAMAGE TO RENTED PREMISES(Ea occurrence) S _ 100,00 MED EXP(Any one person) $ 5,0Q0 I PERSONAL&ADV INJURY $ 1,000,000 POTHEP-1 LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ 2,00,0,000 POLICYEC LOC PRODUCTS-COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY EOMBINED SINGLE LIMIT $ 1,000,000 A ANYAUTO �910018200 08/1112016 0811112017 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accidentj $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE _, AUTOS Per accident $ X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 1,000,00.0 A EXCESS LIAS CLAIMS-MADE 52187653 00/15/2016 08/15/2017 AGGREGATE $ DED I X I RETENTIONS 0 $ 1,000,000 WORKERS COMPENSA71ON PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER B ANY PROPMETORIPARTNERIEXECUTIVE C0845201 0810212016 0810212017 F.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? N lA (Mandamry In NH) E.L.DISEASE.EA EMPLOYE $ 1,000,000 If yas descr�e under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached if.more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE National Grid THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 50 Washington Street ACCORDANCE WITH THE POLICY PROVISIONS. Westborough,MA 01581 AUTHORIZED REPRESENTATIVE 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD R December 1,2016 . Was standing in front of the sink,looking out towards the parlor,and 1 saw the man'next door walk right in front of the window,across our front yard. Steve got in the truck and found him walking down the street and told him to stay off our property. Steve called the police and two officers came;we explained the history of issues that we've had with this neighbor. We showed the officers our surveillance monitor(our camera surveillance system was installed on 11/28/16);the officers were familiar with.this man and identified him as Imuru Barbel. The officers went next door to talkto the homeowner but the homeowner wasn't home,only the homeowner's daughter;the daughter told the officer that Imuru Barbel was behind on his rent.. Officer Botsford said that the call number or incident number is 16-59120. The officers informed us that they could not charge Imuru Barbel with trespassing since he was not on our property at the time, regardless of the fact that we did have a puttee of him walking across our lawn at 3:27. They suggested that we could go to court to try to obtain.a harassment prevention order. ' £ BARNSTABLE ` y POLICE DEPARTMENT fli • °f i ti=iu" i t i�•tl i+[3 Yi ( CHRISTOPHER A. BOTSFORD PATROL OFFICER '�RNSTA�r' 308)775-0387 x413 1200 Phinney's Lane www.barnstablepolice.com Hyannis,MA 02601 /V/C,4 6 GS'd Stephen&Sarah Nicholson,67 Hamden Cir., Hyannis MA 02601 it *Q�VIAOsg6 C) THE r 'Town of Barnstable Permit# Expires 6 n s ro�C{�sn�date Regulatory Services Fee (�V IARNSTABLE, : Thomas P. Geiler;Director .9 MASS. =639. a Building Division , Tom Perry, CBO, Building Commissioner. 200 Main Street, Hyannis,MA 02601 www.town.barnsta.blc.ma.us Office: 508-862-4038 Fax': 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ` O 12 Property Address 16 -Residential Value of Work l 06 Minimum fee of$25.00 for work under$6000.00 Owner's Name &Address 1 ooj\! 11�' 60 Contractor's Name iT c 5� Telephone Number_& iG G9 (l G Home Improvement Contractor License#(if applicable) —S(0 ❑Workman's Compensation Insurance Check one: u T am the Homeorwner ® PE1� ❑ I have Worker's Compensation Insurance SEP 2008 Insurance Company Name TOWN OF 6ARNSTABLE Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on.file. Permit Request (check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping, Going over existing layers of roof) Re-side r ❑ Replacement Windows/doors/sliders. U-Value (maximum..44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i/e.Historic,Conservation,etc. N 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License,is required_, GO Cy t-9 =y~ CY) Lt+. SIGNATURE: 'y ` CJI rr, Q:\VJPFILES\FORMS\building permit forms EXPRESS.doc Revise020108 if The Comtnortwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Mai 02111 J� www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumberg Applicant Information /�^ r Please print La bIY Name pusintizrIoTianizationflndMdual): Address: GAL. .--.� 060 City/State/Zip: - ���G Cr Are you an employer? Check the appropriate bar: Type of project(required): 1.❑ I am a employer with 4 ❑ 1 am a gen erg contractor and I 6. ❑New construction employees(full andlorpnrt-time).* have wed the sbh-confractors 2[1I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no curQloyees These sub-contractors have g, ❑Demolition employees and have workers' working far me at any capaLity. 9. []Building addition . [NO workers' comp.Trl nr_C comp.in urance.t 5. [] We are a corpara-tioa and its 10.❑Electrical repairs err additions rtquired-j offic6rs have exercised tbeir 11.0 Plumbing repairs or additions 3.❑ t am a homcowncr doing all work right 6f exemption per 1vIGL 12 ❑Roof repairs myself [No workers' comp., iu,crurance r c. 152, §1(4), and we have no t employees. [No workers' 13.{] Other ' camp,insurance required.] *Any appiirant that checks box#1 rust also fill aut the section below showing their workers'cornparsalion Policy infortrratiort t Homcnwnere who suhn-ut this affidavit indicating they tut doing all work and then hire outside conh-actars must submit a new zffiaavit finding such tCantmctxs tiratehxkthis box must attached an additional sheet showing the name of the mb-cmftaehns and stain whetha or not thosd c064es have employers. If the sub—contmcton have craployas,they must provi&their workers'comp.policy number. I am art ernplayer that is providing workers'compensation insurance for my emproyeec Below is the policy and job site infonnmdon. Inniranca Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job SitL Address: City/StatdZip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lcaA to the imposition of crinylnal pcaaltics of a fine Tip to$1,SDO.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fi of up to$250M a day against the;violator. Be advised(fiat a copy of this statemcrit may be forwarded to the Office of ThycstigiLtions of the DIA for immnanr__e coverage verification.. Ida hereby c!erti under the pains•and of pe Ad,�thheformations provided above/is Prue and correct Date: C� } Phones# �� �✓ V U���� O faint use only. Do not write in this area, to be completed by city or town officiaL t City or Town: Permit'License# Issr{ngAuthority(circle one): I.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Phone#: OfT Town of Barnstable Regulatory Services EAR. Y � N S. Thomas F. Geiler,Director 019., Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder rcia�i , as Owner of the subject property hereby authorize .o to act on my behalf, in altmatters relative to work authorized by this building permit application for: 4 - (Address of Job) S'• ature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable Hof THE Tp� Regulatory Services t saxtvsrwsrE Thomas F. Geiler,Director 0.19. Building Division PTfD �A Tom Perry,.Building Commissioner . 200 Main Street, Hyannis, MA 02601 www.town.barnsiable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please 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 dwellinjzs 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 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) for compliance with the State Building Code and other The undersigned"homeowner"assumes responsibility applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum 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 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 perfomung 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 homcowncr engages a pmon(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,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. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forrn/certification for use in your community. 4 , IL zerea/f/:a� czcrucaely -- —- Board oft Regulations and Standards HOME License or registration valid for individul use only IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 136003 Board of Building Regulations and Standards }Ezp�rat -5/30/2010 Tray 266107 One Ashburton Place Rm 1301 01- ype£ Individual Boston,Ma.02108 • .. BRUCE P. MILLS�I BRUCE MILLS { la # 41 16 CROCKED PO 4 HYANNIS,MA PO �� r Administrator 026 Not valid without signature i Town of Barnstable *Permit#_q a 1 Expires 6 months from issue date ,► . : Regulatory Services Fee a2,5 Q MAM % � Thomas F.Geiler;Director Building Division Tom Perry, Building Commissioner X'PRES s Pc 200 Main.Street,.Hyannis,MA 02601 �7 GR�I'l office: 508-8624038 FEB 2 Fax: 508-790-6230TOWN EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY BARNST Not Vaud without Red X Press Imprint AB ,lap/parcel Number o2! �® 'roperty Address 4 Residential Value of Work Minimum fee of•$25.00 for work under$6000.00 .)wner's Name&Address ,Q-/1�(,�,1�,/� 7t3 �ontractor_s_Name o R mac' D t� .1 Telephone NumberU `� (�Q '(��G� Some Improvement Contractor License#(if applicable) { � construction Supervisor's License#(if applicable) CEZ ]Workmen's Compensation Insurance Check one: EP am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name U 6 V' Workmen's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will betaken to /V►?4 Jr�. (/ . ❑Re-roof(not stripping. Going over existing layers of roofl ❑ Re-side ❑ Replacement Windows. U-Value (maximum..44) '.Whew required: Issuance of this pmmit does not exempt compliance with other town department regulations,.i.e.Historic,Cons etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature QForms:expmtrg Revise063004 f Board of Building.Regulatiorisand Standards HOME IMPROVEMENT CONTRACTOR n Reg!stration36003 E epiration y V30/2006 ' FJLType Iridivii9ual BRUCE P.MILD ` BRUCE MILLS 16 CROOKED POND: HYANNIS,MA 02601 Administrator. ' �• e a 71. �� a�„/e2aoazG�xuQelt• . BOARD OF BUILDING REGULATIONS License.- CONSTRUCTION SUPERVISOR , .I Numbe 5,51 078687 Bjr•I`hate 5.62-9-9 0 F�jlc � �2 ('0?6 Tr.no: 21638 RegQncted00 BRUCE P MILLS ME- �'j i 96 CROOKED PQND��2Fb�-�„r� , , HYANNdS, MA 0260)� ''a ` Acting C mis ones r °F ElaY Town of Barnstable Regulatory Services snai SMELE, Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize: f'V��. � . (`.U5 to act on my behalf, 4� in all matters relative to work authorized by this building permit application for: 7 (Address of Job) lop- S' atu!eoOwner Date Print flame n-zrnv M c-n W NPR PFR MTS STON OFC? J 4 ti. O '05I O^ $ l l r t V - N N r 4� k ! •sTo ,d, `c 4 nNi �M0EN cl �� �\��� � � 1 � ���j, Assessor's map and lot number ....!...1..4.�.( ..a......L...3oq 1� -7 ATEM; S�P` MUST BE INSTALLED' IN COMPLIANCE., Wage'Permit number l0 9 WITH ARTICLE II STATE . ...........................................:............... SANITARY COD E AND TOWN CF?NEt�� TOWN' OF BAIL ' ''R BLE }; g Z E9HHSTODLE, ° 1 Ar BUILDING ! ] NISPECT09 am APPLICATION FORPERMIT PTO . ! ................ ... ....................................................................... c ................................. ,r L TYPE OF CONSTRUCTION ..........:... ...... .....ko: ....../C ....19.. TO THE INSPECTOR OF' BUILDINGS: The undersigned hereby applies for a permit according to the following information: . / {f � ! .t Location ........ . . L................................... ProposedUse ......... ............................................................................................. ZoningDistrict .........................................................................Fire District .............................................................................. Name of Owner ... :�r'�• � .. � ....... �� Name of Builder ... ...�?.L.�?....`.�":•�,�,�• :. :l �!�:��Address .............. � ................... Nameof Architect :..............:. .. .................................Address .................................................................................... Number of Rooms ................. Foundation ZZ � ... ...... .. ` � 2.... Roofing ...... .., .................. .� .. Exterior .... r.. _ . ... Floors ...........C. �"-"16................................Interior ........ ���............................. Heating � 1;�••✓•.G� L �!�,.... ...�a�� ....Plumbing ..................:�1..`.Y.. :..'::...� ./..1. .............. Fireplace ..............eta• ...........................................Approximate Cost .............. ................. Definitive Plan Approved by Planning Board ________________________________19________. Area .......�.. .................. Diagram of Lot and Building with Dimensions Fee I• ............. ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH J f �5 I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Cedar Acres Realty m i i No .1MN..,, Permit for ..Dwelling,,,,,,,,,,,,,,„ ..........S.�,ague..rwily....................................... Location ..f27....Hawptan..Ur............................... Y ............................lly. =nis.................................... r Owner Ged r..4a es..Re-alty.............. ' Z Type of Construction ...W,aod..Yrame............... 92 Plot ......................... Lot ................................ T -Permit Granted ,,,December 8 - 19 77 Date of Inspection ..... .. ... ..... .19 Date•Completed .... �� ...... .19 PERMIT-REFUSED ............................................................. _19 .......................... ................... .......... ............................................................................... .............................................................................. . - .• :. "Approved ............................................ 19 ............................................................................... ............................................................................... , r Assessor's map and lot number .... 7 7 Sewage Permit number .....C ... , 'q............................. E TOWN OF BARNSTABLE BAW TABLE, M AS& "IL 1639. BUILDING INSPECTOR 11 M Ar. APPLICATION FOR PERMIT TO ....................... ............................................................................................. TYPE OF CONSTRUCTION ................/A*/­./-�-J ................................................................................... .................lz......... .....iq.z�i • TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: t 11 1 .11") 1 F /- / 6-� r, /I-I--- Location ............... .......................................................................................................................................................................... .. .... Proposed Use ........... . J I ........................................................................................................................................................... ...................Fire District .............................................................................. Zoning District ..................................................... 4-jAddress ..................... Name of Owner ...............t............................................. .......... .............I........... V Name of Builder ........ ....................................4,/-Z�yAcldress ..................... ............................................................................. & Name of Architect ................. . ......................Address .................................................................................... Number of Rooms ...................I...............................................Foundation .......... ....... Exterior ......:......... . .. ... .... . .... .. Roofing ............................................................... ... ...... ................. . . .. . Floors ........... .......... .Interior .................. ............ ............................. Heating ........ ............................;!.. ..........................Plumbing ............................................................ ........................ Fireplace ..................................................................................Approximate Cost .............. ..... .......................................... fy Definitive Plan Approved by Planning Board --------------------------------19--------- Area ........ ..................... Diagram of Lot and Building with Dimensions Fee ... ..................... .... .... ... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstab16 regarding the above construction. Name ................................ ................................................. Cedar Acres Realty" 19820 ,fit ' Dwellin � - No ................. rmit for ....................$.............. , ................. i4gle..Fami 1Y................................... Location .67..!��Ppton Cir. ..........HY.annis...................................................... Owner Cedar. Acres a..... y............................ Type of Construction .. .....W.aod..F.rame............ Plot ............................ Lot ........9........ Permit Granted December .8 1977 Date of Inspection .... ...............................19 Date Completed ......................................19 PERMIT REFUSED ................ 19 ............. .................................... Approved ................................................ 19 ............................................................................... ............................................................................... i