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HomeMy WebLinkAbout0046 QUISSET ROAD r i I �l f ' Aa........ ._ _----........----- -- X-PRESS P oFrq,,y Town of Barnstable ' *Permit# o UL 2 7 201Z Regulatory Services e�I m e ate 9� 1 OF @ARNITAD omas F.Geiler,Director 0 k $/I/�Z p�D g ; Tom Perry, CBO, Building_Commissioner _. _..... -.-.- - _..... _. _.._...__. 200 Main Street, Hyannis,MA 02601 www.town.bamstable.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 t �� Property Address Qli I("S L.I __V L op 3� Residential Value of Work 700 IVlinimum fee of$35.00 for work under$6000.00 Owner's Name.&Address ice.( 1`R-)- M G(tt'5se+ 20 ; GA a bjA contractor's Name Telephone Number tWD- 360-Z l ilCj -come Improvement Contractor License#(if applicable) :onstruction Supervisor's License#(if applicable) ]Workman's Compensation Insurance Check one: ❑ .I am a sole proprietor , ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance isurarice Company Name 'orkman's Camp. Policy# opy of Insurance Compliance Certificate must accompany each permit omit Request(check box) 'F Re-roof(stripping old shingles) All construction debris will be taken to t.N1 5T oft ❑Re-roof(not stripping. Going-over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum,.44)#of windows *Where required: Issuance of this permit dory not exempt compliance with other town department regulations,i.c.Mstoric,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is required. NATURE: <3t`_4140U./(�, PFILFSIFORMSlbur7ding permit fbnnslE)2RESS.doc Massuc husctts- Department of Public Safeth Board of Building; Re'ulations and Standards Construction Supervisor License License: CS 102600 Restricted to: 00 _ DZMITRY LABKOVICH 13 ATHENS WAY t" WEST YARMOUTH, MA 02673 Expiration':3/27/2013 y Commissioner Tr#: 102600 c � acrc�uaella License or registration valid for in dmdul use only is B mess egu a on Office o onsumer errs, before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Office of Consumei.Affairs and Business Regulation Type 10 Park Plaza=Suite 5170 u Registration: 170787. LLC t A Expiration: 1-2//19/,2013 I Boston,M 02116 LLC. I ,�(� NG AND SIDINGOFCAPe CLOD,' DZMITRY l_ABKOVdCH�� r - I gg WINSLOW GRAYr''R qNottd with signature W.YARMOUTH,MA02673s Undersecretary T ie-cB191tnO3ZYVetlh SfasSachtl3�@ ac o---- -..---_ - ...._ ..._.------__-_.. ---- ----__---- r Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 5� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly --- —Name(Business/Organization/Individual):amzation/Individual �[fliG_-- ---- (B g •_ ) --Cod--"�--------.,.----- Address: 68 1 SUS w �� X City/State/Zip: w' 10MOUw , AtA- 0U13 Phone.#: Are you an employer? Check the appropriate b x: Type of project(required) .4. I am a general contractor and I. 1.❑ I am a employer with g 6. Q New construction employees(full and/orpart time).* have hired the sub-contractors 2.❑ I am a•sole proprietor or partner- listed on the'attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity, employees and have workers' insurance.t 9. El Building addition co [No workers'comp.,insurance' �• required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions •3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions m self o workers'co right of exemption per MGL y � �• 12.❑Roof repairs c. 152 insurance required.]t ' §14( )' and we have no ' employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 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: #Contractors that check 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-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: Lybw SU(,i O 1�1 'Po 5 Policy#or Self-ins.Lic.#: Expiration Date: 2 25- l lob Site Address: Qt @ i SSe t City/State/Zip: �p l' a(// MA O2i 3.Z 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 lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for-insurance coverage verification. I do hereby certiifGy'undder/the pains and penalties ofperjury that the information provided above is true and correct: signature: ��� Date: / Z? /Z Phone#: 502 Official use only. Do not write in this area,to be completed by city or town official, City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3..City/Town Clerk 4.Electrical Inspector 5.Plumbing.Inspector 6.Other Contact Person: Phone#• r d Information and Ins'tructionls Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person.in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the-' receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced,acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance withthe insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self,-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related io any business or commercial venture (i.e.a dog license or permit to bum leaves-etc.)said person,is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any.questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. The Cammonwealth ofMusarhusetts Department of lndustal A..eoxdents Qfte of Investigations 600 Washington Strut Boston,MA 02111 Tel.##617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax#7 617�-727-7749 www.mass..gov/dia �t' ,,�, Town of Barnstable Regulatory Services t BARNf.I'ARi.P f - Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038Fax:-508-790-6230- Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject.property hereby,authorize 177E �Vl�`f .,. to act on my behalf] in all matters relative to work authorized by this building permit 410 (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence'is installed and pools are not to be utilized until all final inspections are performed and accepted. S tut of Ownelj Signature of Applicant Print Name m Print Name D to Q:FORMS:OWNERPERMISSIONPOOIS • •t TNE Town of Barnstable Op Ta,_ Regulatory Services »vsrnsre, Thomas F.Geiler,Director y MA99. `b i639• •�� Building Division ATFO Mp'1� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.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 dwelling 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) 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 minimum inspection procedures and requirements_and that he/she will comply with said procedures and requirements. i 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 performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such' work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,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.. i To ensure that the homeowner is fully aware of his/her re onsibilities many y communities unities require as part of the permit ap plication, 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 form/certification for use in your community. Q:forms:homeexempt A�O CERTIFICATE OF LIABILITY INSURANCE DATE,MM/°°"""' 3/29/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER BRYDEN & SULLIVAN INS CONTACT NAME: 88 FALMOUTH RD HYANNIS, MA 02601 PHONE (A/C,No: E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Liberty Mutual Insurance INSURED INSURER B: ANDREI YARMOLOVICH DBA BEL ISLAND HOME IMPROVEMENT INSURERC: 29 MILL POND ROAD INSURERD: WEST YARMOUTH MA 02673 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 12710229 REVISION NUMBER: THIS iS TO CERTIFY THAT THE POLiCiES'OF INSURANCE LISTED BELOW HAVE BEEN i3SUED 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 ADDL SUBR- POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MM/DD/YYYY LIMITS . GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO-JECT LOC $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT Ea accident $ ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS 8AUTOS AUTOS NON-OWNEDercen IAMAGE $HIRED AUTOS PROPER $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ $ A WORKERS COMPENSATION WC5-315-384176-012 2/25/2012 2/21/2013 WC STATU- 0 7H- AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? 7 N I A (Mandatory in NH) _ - E.L.DISEASE-EA EMPLOYEE $ 100000 'If"yes,descrb:•under -- r...,....- - _ .. _ _ _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. ANDREI YARMALOVICH IS COVERED BY THE WORKERS'COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION ,' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE JOSEPH THONUS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 40 WINDSONG LANDING ACCORDANCE WITH THE POLICY PROVISIONS. CHATHAM MA 02633 AUTHORIZED REPRESENTATIVE / Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 12710229 CLIENT CODE: 1588030 Deb Corby 3/29/2012 9:15:03 AM Page 1 of 1 This certificate cancels and supersedes ALL previously issued certificates. i I j0 o.o r (� 113,,1 c c� 01 00 0 co to W Y' c i �oFn+e rq�o� The Town of Barnstable 9MUMSTAS M$ Department of Health Safety and Environmental Services `b 1639. �� Building Division CFO MP'� 367 Main Street,Hy�RESS PERMIT Office: 508-862-403 8 O C T 19 2001 Ralph Crossen Fax: 508-790-6230 Building Commissioner TOWN OF BARNSTABLE TOWN OF BARNSTABLE Pemu SOLID FUEL STOVE PERMIT date: I'Veu/1 Fee: Owner: f- Gf Phone: Address: G Village: �, T�Vlzra Map/Parcel: `j D �'a Date: _0 o Stove ew Used B. Type: cant irculating c►� C. Manufacturer: 3T�= Lab. No. D. Model No.: Chimney A. Ne g . If existing,please note date of last cleaning) J/ B. Flue !1z C. Are other appliances attached to Flue? O&A D. Pre-fab Type and Manufacturer E. Masonry: ' Line Hearth A. Materials: !C B. Sub Floor Construction: - Installer Name: ��L�./1,� i11��t.�,�_ Address: Phone: Location of Installation: APPROVED BY: . 4 Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector St6e.doc MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIINGG (Print or Type) <(I�INv11P; Mass. Date ID c! 192 Permit # Building Location `'I 0 6l(,je-,yW ,4 Owners Name lb 6er� Type of Occupancy New it Renovation Replacement Plans Submitted: Yes[ No fiz ¢ N W ,A N N U ¢ 0 F = W W ¢ 0 U ® ~ S %� 0 N O u ~ < ¢ _ M O W < ¢ O ~ I < m W � 61 < IC 0 G W W W N J Z < Z ¢ ccVW, ¢ W ~ W ` 2 V F Z I.- Z W W O W F JN.. W Z < W J < C ~ f- Y W W Z O W O IA S < W ¢ W 7 = < ¢ < < o O W a O N 1- ¢ Z t• O i SUB—BSMT. BASEMENT 1ST FLOOR 2NOFLOOR 3ROFLOOl I ITMFLOOR STMFLOOR eTM FLOOR 7TMFLOOR 8TN FLOOR Installing Company Name SNOW'S PT.iTMATN[: & HFATTNr_ Check one: Certificate Address P_O_ BOX 39 ❑ Corporation W BARNSTABLE, MA 02668 ❑ Partnership Business Telephone 362-9111 Firm/Co. Name of Licensed Plumber or Gas Fitter CHRISTOPHER SNOW INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes XX No ❑ If you have checked y&j. please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity C Bond C OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 1.42 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner orOwner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above lication are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issu a applicatio will be in complian ith all pertinent provisions of the Massachusetts State Gas Code and Chapter 112 of the Gen By T of License: `��; Plumber n r or itter Title Gasfitter Master Ucense Number 10705 O /Town 7Journeyman c r� r ah MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBIN (Print or T e1 Mass. Date 190 Permit # Building Location Owner's Name 9 - l Type of Occupancy New ` Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No FIXTURES Z N N Z Y < j N O Z Uj W Y .J z ¢ Z z a r U W N Y C d U. Q d C 3 X ¢ m Q U = O 7 ¢ N W ¢ < W ? Q N Z ¢ S Z W < C O W = < S # 3 O Z = 3 Y m C ~ Q Y Q W LL Y W < FU- > r O N N N ~ Z O O of Z z W O v Z 3 Y j m yr a o ; = r h n Q 3 m o SUB-BSMT. BASEMENT 1ST FLOOR 2NO FLOOR 3RD FLOOR 4THFLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name SNOWr s PT.TTMRTNG & HRATTNr] Check one: Certificate Address P_0. BOX 39 ❑ Corporation W. BARNSTABLE.MA 02668 ❑ Partnership Business Telephone 362-9111 C$ Firm/Co. Name of Licensed Plumber Christopher Snow INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which moets the requirements of MGL Ch. 142. Yes 2 No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond 7- OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owners Agent I hereby certify that all of the details and information I have submitted or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations perfo n r the permit issued for this apnce with all pertinent provisions of the Massachusetts State Plumbing r f r,= BY 1.41 Si—gnature o cen r Title Type of License: Master IX Journeyman❑ City/Town U NL License Number 10705 � -1 ` � � l �' s ��� � � � OL Assessor's map and lot number ...�� ...:. �.. .. ��--��1. a A 7 k- . �OF TH E t0 NSTALLED Sewage Permit number ...... .��......�........f (�t.... . .. o �y ARNSTAD WITH TIT 1 ..��.......� ENY9Ri,85'A9UbEN sA` �'� t B MAea LE. House number pgy R c i639 `e0� TOWN OF BARNSTABLE +f BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... .�-..�1 "zi.......... � �%. -............../..... ................................ r TYPE OF CONSTRUCTION ...... ................ . .. .......... ...........................19z3 TO THE INSPECTOR OF BUILDINGS: The undersigned herebyapplies for a permit according to t6 following information: Location .. ..�r/........... .................... .. . .... ` rP/l'// ...... ., ............. Proposed Use ..Vf— .. . ........... e.j.... ....................................................................... ZoningDistrict .... ..... ..........:......................................Fire District .............................................................................. Name of Owner `�......I.... �.�? 1............................Address ..�. , :.�!'� r.. T.... ........... ��ts Name of Builder .......: I � f Name of Architect .!.lll.. � ... ��1, ....Address �`. �. ...��:� tt0.f� '! ''P ..... Number of Rooms ............ ...... ...............Foundation ., �..�. �.� G / ��.r'n7- Exierior .C �? Q?9:1r�.-f-:...�-71/l./.. 1. �...Roofing .. . .. a�'d✓ .... . ..6!t �.. Il ``-y. Floors :.. ` ...............................................Interior ... .1 �� Ql!1 ........................................ Heating ...... ..................Plumbing ..... I/G ................ ..................... C ....,. .. ........ . .. ev Fireplace ........ �r�.r7........................................................ ...Approximate Cost ...................yG/ 4�9ae? Definitive Plan Approved by Planning Board -------------------------- - 19 - - . Area ?•...................... Diagram of Lot and Building with Dimensions Fee , SUBJECT TO APPROVAL OF BOARD OF HEALTH � 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnst ble regarding the above construction. Name . .... ........... .......................... 2 Story Single Family Dwelling .........t. Ahn(.$�....... Owner .. SLS Trust August 8 Dot& Com L PERMIT REFUSED .^--^-----..—^.^^~....^^—.—.^........—...~ ^~ ` ---.----------~---------~—.07 ~. ' ~ Assessor's map and lot number ...r�/ ....rFTHFT Sewage Permit number ...... ...... ............... C1tfl ..s�.�..,. I BARNSTABLE. i House number /T �. .......`....... r rnsa 1639• CD ........................... ., 'Fp ypY p,• TOWN OF BARN,STABLE - , BUILDING INSPECTOR f APPLICATION FOR PERMIT TO i J TYPE. OF CONSTRUCTION ..... 0.............E. ..... ......................................................... ................................-� .................19.r�..3 TO THE INSPECTOR OF BUILDINGS: The undersigned/hereby applies for a permit acc�o]r�d'ing to Ith -11o'llowing innfoormation: Location d-/� ......1�...........Q..v..�..C� �Q::.C..... � . ��:.�!..(..Cc' f t/l �/L� ... ���.............. Proposed Use ..Ff,.(..V�7?../.��........�t)✓e�..�.�..W ...................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ....... .......... ...........Address n. . T`....� .....� //l�S Name of Builder P.. (r "� / i P. .... ..........Address ..................................................................................... Name of Architect s .j�i?,.�j�,i1-P...... C� fy....Address e��. .j ' �1�../ ��. J► ..... � I Number of Rooms .........` ...........................................Foundation t�". � ,C' --� Exterior -....."? �/I t (�/�lit� Roofin ��. ................ r........... . .... .. ... g .. .....,..�/�..,; Floors :.....:.- ... ... .. . ..................I..................................Interior ... . �f� ..l...�G�G ........................................ Heating- '' ..f^ :. ...................................................Plumbing .J. ........�...v.. � ............................... Fireplace ......../4 ............................................................Approximate Cost .................Lf ..�� (�......................... Definitive Plan Approved by Planning Board --------------------------------19--------. Area ...................... Diagram of Lot and Building with Dimensions Fee ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �i i fir. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. (/1 Name .......... .......................... SLS TRUST A=250—�a� L7-1 2540 3 y No „ ... 1 ... Permit for .. . ..Stor............... Single Family Dwelling A ...................... _ sset RZLad Lot 36 Location ..................................^__ een_-- - —' Qlitsse ............................................... . n-1,s........ SLS Trust Owner ........... ........................................................ Type of Construction Frame ..................:............................................................. Plot ............................ Lot ................................ Permit Granted .....p 4gus t„8............1.9 83 Date of Inspection ....................................19 , Date Completed ......................................19 PERMIT REFUSED ....................................10 o. .. ... tr ..............`.............................................................. .....2:................-:..... ................................... ..........................................................:.................... Approved ................................................ 19 ............................................................................... ............................................................................... p , TOWN OF BAIRNSTABLE 'q 00 Permit No. ------ -------------------- Building Inspector 1Cash su°rr # °"' OCCUPANCY f PERMIT Bond ______-_-_-17J_ Issued to S L S -Trudt 4l Address 6 g Lot 36, 46 Quiaset Road; Center 11.e..--__ . Wiring Inspectors . �,%/O Inspection date Plumbing Inspectors Inspection date -Gas_Inspector ` Inspection date ;r Engineering Departure t ,` j Inspection date Board of Health Inspection date B THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGrNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Buildin Inspector FROM —I - - - TOWN OF BAR STABLE BUILDING DEPARTMENT mr. Francis Lahte >ta g z"`W7" it ►iN STREET HYAN ttS, l64A Town Clelck ;. R. A �� R. Phime: 775-1120 SUBJECT: - • FOLD HERE DATE .. Jan. 20 1984 1 , work has been completed ,.,4 er..P�q��3.#'.s, �Z5.4.Q � �25�5 ,, ,255.07 . 2580-5 (S .tJ 'S rU LTi • SIGNED 7 f ol. > DATE REPLY - - SIGNED N87-RMI RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. - SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. � ion o° �N — n � 7 4 Zo, zO5 5F ' p m 't \ 0 loop �pPc �. r •, . . _� ;Four �,�T�on1 ����'���c�tr� t�a7 Ua oLJ 15h ET <0 An y �+ ,a G ti.1 f Ems/I 11 E,6�.12ti15_tA t3LE,NtA . JIA y" s JLJL' 2�, 1��3 G�►LC {" ,,30� ,On 'the basis o� �Y kn�wledge� infomation and ' . .belief ,.T certify to ..Z-t .�'t��,��u:�"106.A��� that as a result ozP.:a survey mac e on the around vj M. tit WA;Zvj lG!A { A55©G, i plc: j3cY- Qaal quo.rALMovT:N , �,AAt)s. V''lhe ,stx oture(e) are: located on' the site as ./ � + shown /�Cow,Pi'�avrce:WA 7,7,9,h;.2oni ,.The `title. lines _and:`Iines..lkof-occupat o o f the �PLiHoF� site-are as shown hereon..` w1u1gMV �' he site"is ' situated�,`-14.Flood` Zone�,/er,=Na "c o� M Community I)anel No.� ' oo lla19711- t.e^:" WARWICK • ^N+ a 3 �t Date. r ss xf °t �a ;Y�rr x ti_::` ,rrry. 9tia o sTIE {0� r - f Assessor's offioe (1st floor): Assessor's map and lot number ...G v.. .... .!9.9......... �� .. Q..of THE TOE` Board of Health (3rd floor): —t�.�� ��� ,� ��,,, d� o Sewage Permit number ......... .......................................::... pppp g ��® ��V �® , B9Hd9TeDLE, i Engineering Department Ord floor): // ° � `�� ��� '� v YAO9 House number . ........................... C�......... ..�.L ��� ®� �'� o,,�l°3q•a`0 C YAy APPLICATIONS PROCESSED 8:30.9:30 A.M. and 1:00-2:00- P.M. only' .$?PC, � ? , a P = t TOWN OF BARNSTABLE BUILDING INSPECTOR-, � _ APPLICATION FOR PERMIT TO �-d" ° �...�/Z�,.� •„r,........ .... ............................. TYPE OF CONSTRUCTION : +--� �:......................19. ...-- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....."i'�....... ..... .....:.R 5 rC sv Y� M �..f .I� Proposed Use ...� f/� � . .. ............... Zoning District .................. ...1...............................................Fire District .......... . Name of Owner �. 2�ICi... .... d d r e s s .....4<0... t!�ll`}-��� Y`'!�... :........ Name of Builder I�1�.... '� n...Address ...{.Q... '(.,. Q.. .. !V.!...�.... Name of Architect ... ...........................................Address ......... ........................ r 'e,?qf T%Q& �1�")o F� Cor9 'Number of Rooms .................................................Foundation 'Exterior .... • - (tJ•fQ /��T. . r') Floors ....... -- �.........ra.l ..�G<sJ.0 r`✓r'�......Interior ..... (a &c:4'Th4 T4 Heating ....KVA...... ... 1.............................Plumbing ... 4�.Lt,-.... � c!.�.....W.t 1:)..�a.� Fireplace ...... .................'.......................................Approximate Cost ... -�,t.. t!.r.................... 0 ... , .............. . . Definitive Plan Approved by Planning Board __________________________ ......------19---=---- . Area Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH .y. -610 a 1 � t , 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 . �% ! �� . ''� ...... .... 4//)' Construction Supervisor's License OZ494�) ................... n EI-SENBERG, BEN & MARILIN No 29751 Permit for Remodel. . . ...Gara.g.e . ...... . .. ..... .... . ........ . ..... ........ . . ADD SHED .............:............................................................ Location ....4.6...Qui.s.s.e.t..R.o.ad.....(Lot..'.#.3.6).... Centerville ..................................................:............................ Owner ....Ben...&..M.a.r.i 1 i n...Eisenberg .................. .. .. . . ........ Type of Construction Frame .......................................... ................... .................... ................................ Plot ............................ Lot ................................ Peimit Granted ..... ...............19 86 Date of Inspection ....................................19 Date Completed .............................?.. r Assessor's offioe (1st floor): 'THE Assessor's ro Assessor's map and lot number .... .:......................(......... Q� �♦ Board of Health (3rd floor): f °" Sewage Permit number ........................................... :..... Z BAHd9fADLE, Engineering Department (3rd floor): 39• Huse nmber .......(................... ..... 9 APPLICATIONS PROCESSED, 8:30-9:30 A.M. and. 1:00 2:00 P.M. only i TOWN ` OFBARNSTABLE BUILDING INSPECTOR y APPLIC�TI® .N FOR PERMIT PTO �......... qr........... TYPE9 CONSTRUCTION ................. • '-- z................................. ,.<f' ........t................i.................... C° TO THE INSPECTOR OF BUILDINGS: f The undersigned hereby applies for a permit according to the following information: C Location ...... ......t. !.U,f ......: .p........... ..................................................................... ` r=-c Proposed Use ........._................�..... ............. -........:. r- � Zoning District ........................./............................................Fire District .........(. . Name of Owner ................... ...............................................Address ....`T .rJ............/. Lam-' Name of Builder 1", ..f .Jl ... �C ...Address ....r.. ..... J �Y SQ Name of Architect .... ..��............................................Address ......A �:v ST N 1 &11,)0 F--O P-- �r1r�rCci6 Foundation �nC..:`�Tf-� G f�cJ� �=o Number of Rooms ... ....................................... ......N! .a... ....r.....� � Exterior ....4!��... .........Roofing .... .50-4 <7....... . ....M G ............ CoA2�Co� �v 66� c 2 Pam?"' Co�r�rlo�-7'D � Floors ........' `��� ...... �.. tC...�C �� -Fjr�.....Interior ..... Q....70.�d.��.....{J./l/�/J�ll�/� r--?v:5 I N co 1/z B�TH -TO Heating .....I\.)f ) ..................'..........Plumbing _.., c2LL Fireplace ......N f ...............................................................Approximate Cost ....�:�?�...ar�...,aq, .............................. J Definitive Plan Approved by Planning Board ------------------------_-------19______ , Area ....../ .........t.. ./D. Diagram of Lot and Building with Dimensions Fee ,... .. ................... i SUBJECT TO APPROVAL OF BOARD OF HEALTH .y. SO - 4� �oJ� 16r t g�nr��M I �2 ►�` � 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 .:` �/ ��% c !�/ �!'O Z 94-� Construction Supervisor's License ......................I............. EISENBERG, BEN & MARILIN ' A=250-129 No ....2975.1... Permit for ..Remodel..Garage... .................Add,.Shed...................................... Location ........46...Qua.eS.eZ..RRad...0kt;..JD.0... ....................... anR S Owner ......Ben..&..Marilln..Eisenberg......... Type of Construction ......Frame ................................ ....................................... ............................... Plot ............................ Lot ................................ Permit Granted Auguat...5..........19 86 1 Date of Inspection ....................................19 Date Completed ......................................19 5 c �,