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Home My WebLink About0059 SEVENTH AVENUE (HYANNIS) ;SSq _ S e ven� � v e, Town of Barnstable *Permit Expires 6 months from issue date Regulatory Services Fee Thomas F.Geller,Director Building Division Tom Perry,CBO, Building Commissioner �E�iY1I y 200 Main Street,Hyannis,MA 02601 , PERMIT www.town.barnstable.ma.us pp ?nn((�� Office: 508-862-4038 AAx 5082 L230 EXPRESS PERMIT APPLICATION - RESIDENTI %F BARNSTABLE I n r Not Valid without Red X-Press Imprint Q Map/parcel Number Property Address q Avun-Ty) R 1 V f• tk3. k En/Residential Value of Work.-4 5 ✓ • o V Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Lua 5q 1_)UM h om ispqLt Contractor's Name\JrU Telephone Number -r�0 Home Improvement Contractor License#(if a licable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Cher one: [ II am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name 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 PA A D 1 S QS0J ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e,Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Hom p ovem ontractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 �FtM�roy, Town of Barnstable wP� G Regulatory Services W 3AMSIABLE a' v MASS. Thomas F.Geller,Director .� s6g9 �0'pPf 639 Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Mier Must Complete and Sign This Section If Using A Builder I, �� ,as Owner of the subject J property hereby authorize .S to act on my behalf, in all matters relative to work authorized byU building permit application for. 0�- (Address of Job) CLO `I 8 ignature of Own Date Print Name Q TORM&OWNERPERMIS SION f Y Lepar'tment oflndustrial Accidents_ o Office of Investigations 600 Washington Street ' Boston,MA 02111 Workers' CompeIISagion Insurance Affidavit. build Pa A licant Informationers/Contractors/Electricians/Pluxubers Please Print Le 'bl Name (Business/Organizationrindividual): Y Address: 0 j0 y City/State/Zip: MW r G Z�1 Phone #: �q Q Are you an employer? eck the'appropriate box: 1 ❑ I am a employer with Type of project(required): �mPloyees(foil and/or� 4' ❑ I am a general contractor and I part-time).T have hired the sub-contractgrs 6 ❑ New•co 2• I am a sole proprietor or listed on the attached sheet # � nstruction parer- ship and have no employeesese ❑ Remodeling working for me in any capacity. workers csub-o ntractors have $ ❑ Demolition [No workers' Comp, insurance 5. mP• insurance. required.] ❑ We are a corporation and its 9. ❑ Building addition 3•❑ I am a homeowner doing all work officers have exercised their 10•❑ Electrical repairs or additions myself. [No workers, comp. right of exemption per MGL 11. insurance required.] t c. 152, §1(4),and we have no ❑ P bing rVMS or additions 12 employees. [No workers' RoOfrepaias *Any applicant that checks box#E l section cOraR Insurance required.] i 3•❑ Other t Homeownersmust also fill out the tContract°rs that chec who submit this affidavit indicatin on below showing their workers' k this box.must attached an additional sheet showin com Policy mfopensation g the are doing all work and then hire outside mnation.' contractors must submit a new e�davit indicating such I am an employer that is rovidin B the name ofthe sub-contractors and their workers'c information p g workers caan1venQtion iaesurarace for raiy can 1 °� Policy information. p oyees. Below is the policy b site Insurance Company Name: Policy#or Self-ins.Lic. #: Job Site Address: Expiration Date: Attach a copy of the-workers' compensation policy declaration page(showing tie policy Failure to secure coverage as required under Section 25A ofMGL C. 152 c g he policy nurnber and expiratfi®n date). fine up to$1,50Q.00 and/or one-year imprisonment, as well as civil penalti Sn'l ad to the �Posltion of Of up to$250.00 a day against the violator. Be advised that a co of a STOP WOM criminORDER ties of i Investigations of the DIA for insurance coverage v copy of this Statement may be forwarded to the Office oand f a fine g verification. 1 do hereby certify under e and penalties of perjury that the in rovided Si ature: p bove is true and correct Phone Date: Official use only. Do not write in this area,to be completed by city ortown of.ficiral. City or Town: Permit/Liceme# Issuing °Authority (circ]e one): 1_Board oI Health 2 Buildino Yee b. Other � partrttent 3.City/TowB Clerk a,lJiectricai Inspectoa• 5.Pig! mbiea LusPeetor contact Person: Fhone#: Board of Building g Regulations and Standards HOME IMPROVEMENT License or registration valid for indi CONTRgCTOR Regl4tr t oon124310 before the expiration date. If found dul use only Board of Buildin g return to: ,YZ007 g Re ulations and Standards One Ashburton Place R.I301 a.— jMdual I Boston Imes Curley 1� I .Ma.02108 Imes Curley � 17 Fuller Rd. = mtervule,M "a A 02632 �•�---•� Administrator Not valid without sign, re I I i e ♦ � of Assessor's apand l 2 "r'm o : � �p. t CF THE TOE > Sewage. 'Permit-number ........... ........ ........j ........ ........ t n Z 9Bb9TAD L i t B . aHous�`number :... ........=� l `t.: ..� .. ..... i 0 Y Ar. x YP TOWN OF. . BARNSTABLE rBUILDING. INSPECTOR t APPLICATION FOR PERMIT TO .................................................:............:.............................:..........::.................... .TYPE'OF,CONSTRUCTION: ...wC d•D...:..� ...................................... .............................. 014/ TO THE INSPECTOR OF'BUILDINGS: , The undersigned hereby applies for a permit according t the following information: • � q Location. ...... k. 1�'!✓�/l��i ./Y��.. .. .:..5./..... �Z '.:... .. .... ProposedUse ....... /1...:......................... ........................................... ...................................... .................. �— / .........Fire District y. ...................................................... Zoning District ..fC..r /....'... a...:: l�,l � Name of Owner .��..../ .................... .Address ,1� .. ?P�!h >C {�iti1 • : rv��! ?1 Name of Builder X��tl..... �:`��.:..................::.....Address ............... �............:...........................�..:................ ........ Nameof Architect Address.............. . ........... ............... ......... ....................................:................ .......... Number of Rooms .............•:.... ..:...............Foundation Exterior. ...Roofing Floors. .. .................................Interior .......::....,.:.................................,.................................. Heating ..................................................................................Plumbing ........................ ................. .......... K5Fireplace .... pp•........`.............................: ...........:..................A roximate. Cost ......... Definitive Plan Approved by Planning Board ______________ -.__:-______19________. Area. ........ Y...... Diagram.of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 E construction. .4" Name ' . Construction Supervisor's License a ' LEARY, R. F. 26494 No . ..W+Perm+t for .Build Deck............ i - • - 4 _ . J - Z A • - Single Family Dwelli .. ng. M 4' Location 59 Seventh Avenue ` West yannsort.............................." R F. Owner 4 LeaYy............... . ....r........... ti _ y ' Type of Construction ...Frame.:..... t ! �- .................................................� ................ Plot ............................ Lot ........ ........ Permit Granted ....May...25. . .1;9 84 .� r .- Date of Inspection. 19 .Date Completed /A)4 ....... .�.19 t s Assessors map and lot number f�G 2 .. ..�'....�!! P... Y'6- J 1S 3 THE �Q Q�OF tp�y Sewage Permit number y ` ` Z BlHB9TADLE,IL i House number r A,'9............. ....1` -.�.... oi639,a`e� • �NAY TOWN OF BARNSTABLE BUILDING -INSPECTOR APPLICATION FOR PERMIT TO .... .r::t:....................` ' � r TYPE 'OF CONSTRUCTION JAI l .. .... f 19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: } Location ......1if)!C-6.T....... .J ?;Iv l 7�/i�: .. . .��.�....Ji'U17 t` ...... U 1.................................... ProposedUse ........ Z.................................................................................................................................................. Zoning District Fire District ..... U�f�/ti�L'( S ............. �............................................ .................... Name of Owner ...c1..f..........................................................Address !!....... Name'of Builder A...................C.i f�.� .........Address .......``�/1.�.�4..................... ...................... ............................................. Nameof Architect ..................................................................Address ...................................................................................... Number of Rooms ............................Foundation . ...................................... .................................................................. 1 Exierior ....................................................................................Roofing .................................................................................... Floors ........................................... .............. ......................Interior ............................................. ................:.................... Heating ...................................................................................Plumbing ........................ ......,l............. ......................... Fireplace .....................................Approximate. Cost .................................................��4�wwr . ............................................ ...... Definitive Plan Approved by Planning Board ___________________ _________19--------. Area ....... `?!.... ?�............. Diagram of Lot and Building with Dimensions Fee J /.. .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH / ! \� a - r g i 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 _��-L!--1�. . .�.. Ml-�.✓�.�.., .... 4 Construction Supervisor's License. .................................... LEARY, R. F. A=246-153 26494 Build Deck No ....................Permitvfor .................................... Single Family Dwelling .....................; ......................................................... 59 Seventh.Aypja,,Ae_ Location ........................ ......................... West �jy ........................... ........................... Owner ....R. F. Leary ...................... .................................... Type of Construction ........�'. am....................... .............................:................................................. Plot ............................. Lot ................................ Permit Granted PqAY�ta5....... ................19. 84 Date of Inspection ....................................19 Date Completed ......................................19 ��y* qy V yp�¢p�yq w....+•„nr+rs,+tii {,• j� gyp ^y.n^#��Tuy.�9"'y .�,.�""."ad8�4e��'"?;'CY' i,�+.-{^�s!�'"".'n^a.`^rrR"f".4' ,^:e,u..•�'Y`^'. v �e-�W."'.r @��l�VAV�.{+Lb y d�iJH "^�6�°i�k''^ t FEE <s TOwN OF BARNSTABLE, MASS Doc= 3 ; THIS IS1,TO 10ERTIFY".THAT 'A PERMIT IS HEREBY Gf�ANTED TO wDd,c. 6 "��,•o d 5 -.(PROPERTY OWNER) !g - (ADDRESS) ) TO ep (REPAIR){ w a.aoi �>SB��fh8F .�� Ado S3 � a I W ^thy y (TYPE OF BUILDING) t-� -(APPROXIMATE SIZE) - { o« •.:�1 �II!FJ��.�.ZQ ��ffi�h $�� , �C3G� ��j��3fi� Y a n ?'LOCATION' 'd ', 0I S * (STE AIll, NUM BERI `- r s IVILLAOE) R ET . �p#it j.�tQ �qy,�q p[I� i NAME OF BUILDER OR ONTRACTOR y eo at APPROXIMATE COST L �• ...». ...._� .. ..... .... ...._ 1 l p " I HEREBY 'AGRE 'TO CONFORM,'TO AC`L THE"•RULES. AND REGULATIONS OF THE TOWN K OF BARNSTABLE, "REGA DING -THE ABOVE CONSTRUCTION I o fA' r a d Co. IOWNERlk' � r ' ' �1(CO NTRAGTOR) 3 c ( ,p cs ,a I �• ' n '� . ' d I,. BUILDINGINSPECTOR SubleNrto,Approval of Board of-Health .✓ ,._. .. .... ...:.. .._ .„'.., ,.....:e_�5.,_,.-_-st.,.t ,. ..� ).1„s....''. d. -...�:u. ..-.w.? iS:2,,..•ay_a..<..{�,. .tu...a:yu,_. ....e w<.... .. � :1,,. ,.r,... .r„ .,. r .....� i.._i.. ._,..... ....o_, i � � � , �� '� .. a r. �S TOWN OF BARNSTABLE BULK RATE COUNCIL ON AGING U.S. POSTAGE PAIL 198 SOUTH STREET NON-PROFIT ORG. HYANNIS, MA.. 02601 PERMIT NO. 2 w r� J Y a,.. `�� : . ._. � � �� ,�4 � - r i e. r � r . - -- -