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HomeMy WebLinkAbout0043 WHITEHALL WAY �3 � � w� < Town of Barnstable *Permit# OF T� Expires 6 months from issue date Regulatory Services Fee s — Thomas F.Geiler,Director rED MP't-4 Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us --Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number cQ 50 I(P_ �1 Property Address Residential Value of Work' $ b�00, � Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address j E,E t�Q Po ti SCa J-�,C.r)o f n 61 Q,S 93 11 V�_ Contractor's Name S O> i IC I e CTfJ✓YI� ✓►�(JrGV�dVl 2r� Telephone Number 5OV- -7�S'112 8 .Home Improvement Contractor License#(if applicable) 10315 7 Construction Supervisor's License#(if applicable) Co`{ -P E S PERMIT9orkman's Compensation Insurance Check one: ; ❑ I am a sole proprietor AUG ' 2010 ❑ I am the Homeowner qKT ve Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name a,-no G ck-A C�_ (Y)Pt Workman's Comp.Policy# Copy of Insurance.Compliance Certificate must accompany each permit, ' 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 + #of door Replacement Windows/doors/sliders.-U-Value (maximum.44)#of windows 0 *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. A copy,o om mprovement Contractors License&Construction Supervisors License is SIGNATURE: Q:MWPFEL STORMSIbuilding permit formsMPRESS.doc, Revised 090809. �'. i The Commonwealth of Massachusetts Department.of Industrial Accidents, �. Office Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:`Builders/Contractors/Electricians/Plumbers Applicant Information f I Please Print Legibly Name(Business/Organization/Individual):S n i,►)ICI tit V1 T_'vin 4 lrbye_MPy� Address` _,f a.ra e12 M City/State/Zip: Oa(00) Phone#: -60 YL 7 7.5 l Z 7 g` Are you an employer?Check the appropriate box: Type of project(required): 1.U 1 am a e to er with Cl 4. 1 am a general contractor and I Y _( 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors . 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• Demolition workingfor me in an capacity. employees and have workers' Y P n'• t 9. ❑Building:addition [No workers' comp.insurance comp.insurance. re uired. 5: We are a corporation and its 10.0 Electrical repairs or additions 3.❑ q J officers have exercised their I L lumbin f I am a homeowner doing all work ❑Pg repairs or additions myself. [No workers'comp: right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,,§1(4),and we have no �- +. employees.[No workers' 13: .Other. comp.insurance required.] *Any applicant that checks box#1 must also 11 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. tContractors 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: Y` \A Policy#or Self-ins._Lic.'#: t,JC, 70t�.q 9 gl 30fk(�l� Expiration Date: 01 Job SiteAddtesg.' T 0.� 1l _ -.Ci /State/Zi .,ItYG�rt'S` _ M4 Go7faol `I h ty P 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,$1,300.00 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 tdthe Office of Invesdizations of the DIA for msimame covers ewerification:, 1 do hereby Bert nde ns and penalties of perjury that the information provided above is true and correct Signature Date' Phone#: L 7 7 Offlcial 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#: THRE Town of Barnstable Regulatory Services BASM-MM Thomas F.Geller,Director 16 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 Owner Must Complete and Sign This Section If Usin.ABuilder o r' as Owner of the subject property hereby authorize f .Q_' r to act on my behalf, in all matters relative to work authorized by this bdding permit application for. Liav L jo",I .(Address of J b) 7 -2 , - (Q Signature of Owner Date Print•Name If Property Owner is applying for permit please complete the Homeowners License Exemption Ponn on the reverse side. r)-IznR M C•f1 VINRR PF.R Mi.CC1nN CORL�7 DATE MM/DD/YYYY CERTIFICATE OF LIABILITY.INSURANCE ._. OP ID Ds 'SPRIN-1 O1/05 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bryden & Sullivan Ins Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 Falmouth Road ALTER THE COVERAGE AFFORDED BY:THE POLICIES BELOW. Hyannis MA 02601 Phone: 508-775-6060 Fax:508-790-1414 �INSURERS AFFORDING COVERAGE NAIL# INSURED - I INSURERA `Aaeociated Industries of MA` - . INSURER B:---- - - — ��.—.-- Spprinkle Home' Improvement Inc. INSURER C 199 Barnstable Rd INSURER D _ Hyannis MA 02601 _ INSURERE: .- COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN R EDUCED BY PAID CLAIMS. - IMM — TCVr9F0`rfV LUTC`MPIRAT( ---- LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDO/YYYY DATE MM/DD/YYYY LIMITS GENERAL LIABILITY - EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY ) - - _ PREMISES(Ea occurence) $" CLAIMS MADE• OCCUR _F I i. - , MED£XP(Any one•person) $- - 1 PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S POLICY PRO- JECT I LOG AUTOMOBILE LIABILITY j COMBINED SINGLE LIMIT ANY AUTO 1 i (Ea accident) }$— ALL OWNED AUTOS I BODILY INJURY SCHEDULED AUTOS (Per person) $ HIREDAUTOS BODILY INJURY I S NON-OWNED AUTOS (Per accident) i i PROPERTY DAMAGE $ - (Per accident). I GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S - I AUTO ONLY: AGG- EXCESS/UMBRELLA LIABILITY i EACH OCCURRENCE $ OCCUR CLAIMS MADE_ AGGREGATE $' DEDUCTIBLE RETENTION $ 1$ WORKERS COMPENSATION TH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS I ER A ANY PROPRIETOR/PARTNER/EXECUTIV AWC7004943012010 ( 01/01/10 I' 01/01/11 E.L.EACH ACCIDENT $500000 OFFICER/MEMBER EXCLUDED?. — (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE$500000 Ii yes,describe under SPECIAL PROVISIONS below E:L.DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS FVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SPRNKHO DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Sprinkle'Home Improvement,. Inc - - IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Fax #508-775-1350 REPRESENTATIVES. Margo Mack AUTHO199 Barnstable Rd. ell RED A A.SuENTATIVE K flyannis MA 02601 Kelley A.Su ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 11 Office t`Co&mom airs ifsiness egao a tod License or registration valid.for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 03757 Type Office of Consumer Affairs and Business Regulation Expiration: 12 Private Corporatic! 10.Park Plaza Suite 5170 Boston MA 02116 VSKLUE`HOM _ NC. Brad SpntIkie 199 arnsta"Rd _— Hyanrtis, Uriderseeretary c, Not valid.without sign.tore 77 Mits'sac.husetts- Department of Public Sxfet� Restricted to: 00 Board of Building- Re;ulatiorts :tnd Stxndard� 00- Unrestricted Construction Supervisor License 1G-1 2 Family Homes License: CS 6643 Restricted to: 00 BRAD.K SPRINKLE• ' j Failure to.possess a current edition of the 190 LQTHROPS LANE*i' Massachusetts State Building Code W BARNS ,IBLE, MA 02668 ` is cause for revocation of this license. i Refer to: WWW.Mass.Gov/DPS 1 Expiration: 10/8/2011 ('unnnisiunrr Tr#: 5478 �G S� Assessor's Office(lit floor)'Map' ..Lot 4 =?Z-Permit# Conservation Office(4th floor) �ls�� Date Issuedlid — 6 Board of Health(3rd floor)(8:30-9:30/.1:00- 2:00 �.W7117ee 4P 0 •Od "� D /S Cyr/✓.t/I�G7�O Engineering Dept.(3rd floor) House#1 'yam icno Planning Dept.(1st floor/School Admin'Bldg.) co Definitive ved by Planning Board `19esv. TO 11/y TOWN OF BARNSTABLE ` Building Permit Application - Project Street Add ess.' 413 /if I F_IyAtj a Village Owner �'� C D /1 Address 713 �U�jIG Telephone ?9 f �' Permit Request ��✓�� /,) � �j `� D� Pev�, Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of lst&2nd stories) square feet z Estimated Project Cost $ LO J UVO Zoning District Flood Plain `. Water Protection Lot Size Grandfathered? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial ' Residential Dwelling Type: Single Family - Two Family Multi-Family Age of Existing Structure Basement Type: Finished 1� Historic House Unfinished Old King's Highway Number of Baths 3 No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel �� k(14--Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached ^ Barn None Sheds Other Builder Information �^— Name P ����� � Telephone Number Address �/ ��� �� License# o q 7 � 1`'Im 11Yd 61 py Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �6�✓f � _ ; RR�'✓5 L� D� ��1oa1 SIGNATURE DATE BUILDING PERMIT DENIED F R THE FOLLOWING ASON(S) FOR OFFICIAL USE ONLY - PERMIT NO. - J // Qn r• DATE ISSUED 7 7� MAP/PARCEL NO. _ .'S©. �(o Al ADDRESS` zk '2C/ ' r r T VILLAGE OWNER CLeeec- �, YIX f DATE,OF INSPECTION: FOUNDATION FRAME - `INSULATION ' - `` .. > y •-, FIREPLACE, r ELECTRICAL: ROUGH FINAL ,r PLUMBING: ROUGH FINAL - GAS: GH FINAL FINAL BUILDIN Ir r DATE CLOSED O - ASSOCIATION PL - _ ' 11%0 17:(1;: vulrrlrrlL_ T L.oi:>anoii.cuealt�L of 01aejac%u6etb �Uapa.tinenl o��'•�t�ca[�cci 600 UVad ailon sty James J.Campbell Uolfon, Mamadmtelht 02f f Commissioner Workers' Compensation ,Insurance davit m c(AWMLI— with a principal place of business at: do hereby ceitify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my empioYees wort` this job: r Insurance Company , Policy Number I am.a sole proprietor and have no one working for me in any capacity,. () I am a-soleproprietor,,general contractor or homeowner (cirde one) and hzve hired contractors listed below who have the following workers' compensation policies: Contractor . Insurance Company/Policy Picr Contractor Insurance Company/Policy Ntr Contractor Insurance CompanylPolicy Nu: () t am a homeo«ner performing ail the works myself. .--...cG:;i of C S_:ement wit!be fo^r::rced is the Office cf in;e:n7::ora of the DTA for awerage verifica:icr and than fa:iu: ce.erijt s^rec-ed L'ncer Sec-en 2-':A of MGL 152 un Ieaa to Lhe inpositicn of criminii penaftles eonsistine of a fine of t:;, to S 1,500•G ye2::' irm rac-ment.-,Z wen as c t;i penZitie in the for.:-cf a STOP WORK ORDER and a fine of Si00.00 a d..y;Pint me. Signed this day of 14 Wce-nsee/Perrhirree Building Department Licensing Board Selectmen Office Health Department �- c-. ��E ..1 • — CALL: 1 7-727-4c00 X403 404 y05, 4a9, ' .1116 1n0'II/Il/OIII/�/'//III /�•:!/N,JJ//C�//J6.'IIl Sad P'7 OEPARTMENT`OF PUBLIC SAFETY''a i VISOR LICENSE 04 None � , C0N11RJCTI0N ,UPER Number EzPlres: 1C 1 8 2 Family H Restricted To: 1G BRION G MCCIRIHY 32 CARVER ROAD N YARMOUTH, MA 02673 '�' ,✓he L�olle�nolewea�(/.a�'✓�fi/;ui� (tj i�� •'1Y' r : _ HONE IMPROVEMENT CONTRACTOR 'S 1: ' ° Registration 100 j TYPe - ..DBA r } Expiration 08/05/96 McCarthy Builders Arian McCarthy. f ADMINISTRATOR °32 Carw'e'r'�`Road' W.- Yarmouth MA 02673 r ` r . . • The Town of Barnstable aiwvsr BM t �0$ Department of Health Safety and Environmental Services t659. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME DVIPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or-to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: Fy U-- avo 1Z1Xf'-R- Est.kp�- Address of Work: � �T� � awy Owner Name: 5� � L �✓�✓�I Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the o%%mer: (al Q/5 &42� A) Date Contractor name Registration No. - OR Date Owner's name W6-t- GoG rs S vol 1 oq l o: c�. INV �RRi x a3 I Fl 4 Qk 6b qC x, ,9 rz h . u 14,1111I rUe E Ia+L w 125 . 05 I I LOT 4 LOT 5 +1 co LOT 6 DECK-----� N 12 N _28+ — N N NSE#23 ! Lo 0 66 l - 26.2 8 _ 20.8 �- 2 3 t -� I I� I � � I 125 . 00 WHITEH /\ L ,L W.AY RES. ZONE: RC-1 FLOOD; ZONE C THIS MORTGAGE I NSFEC-F ION PLAN IS FOR BANK USE ONLY TOWN: BARSTABLE REGISTRY OWNER: PAUL J- ROBINSON DEED REF:_5540/I80 BUYER: SAEED A. 8 ROBINA F. CHAUDHRY DATE: 3/26/88 I PLAN REF: SCALE: IN= 60 hereby certify that the ui in8 ZN Of M VANKEE SURVEY shown on this plan is located on qs,� the ground as shown and it o� �yG CONSULTANTS position does conform to the PAULA 70 RASPBERRY .LANE o MERITHEW --i zoning law setback requirement of ti MARSTONS MILLS BARNSTABLE I N08 MASS 02648 and does not lie within the special �A,�j"ESS1��PQ flood hazard area as shown on gHOSURVEy� the u. d. � flood map dated 1 . is p an not made from an instrument Paul A. Merithew'� PLS survey, not to be used for fences, etc 4280 - C • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE � . � , ( p95' .... .. JOB. LOCATION 'f 3 G✓�f�Ff/�J.L !i✓/9 f l `P�/�o!/l� Number Street address Section of town "HOMEOWNER" S/ I �c �lll�l�I�f2 Name Home phone Work phone - PRESENT MAILING ADDRESS City .town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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' Stat Building Code -and other applicable codes, by-laws, 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 com ly with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL - Note: Three family dwellings_ 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 01 Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section log. 1. 1 - Licensing of Construction Supervisors) ; provided that..if Home Owner engages a person(s) for hire to do such work, that such Home Owner shall .act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of iwarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed. Supervisor. The Home"Owner-'actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities,. man communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. I 077 APPLICATION FOR PERMIT'TO-.INS , TALL AND,REQUEST. Y FOR ELECTRICAL.-SERVICE Inspector of Tres !! Wmng Permit# ! COM/Electric# Town of i Massachusetts . Bwldip ,Permit# Date 9.. Customer: @ G U C V on(Street#) l! < Lot# in the village of � � utility pole number or underground number . { �+f Q 3 ,Customer's billing address Sad Temporary ;New install tion Change of service Starting Date Job description R 6 v ii,, u 1 i•ar� 0 v K1 P Service entrance voltage Al� a1`� Amperage':/04) ~Phase r Wire size(cu.or al.) ' At. Conductor per phase t Number of meters Water heater Off peak:Yes,— No— Estimated load: Electric heat kw, lights kw, Range dryer Motors, H.P.& Phase Ready for first inspection If Ready for final inspection i Electrical Contractor U r 4�� GI Pt Y+��� Lic.# Y6�� Telephone# 3 6.2 G eQ P. 'f Address C-OYYIa Qrnitn Ae elf a- 014, 3t3 Additional Remarks: Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE ' INSPECTOR OF WIRES L5� INSPECTIONS DATE FEE CHARGE t . Temporary Service Roughing in � �r S' 4'—!SW . Service and Meter r® Off Peak Meter Final Approval car1J _ Disapproved' For the following-reasons;; V CERTIFICATE:OF INSPECTION' DATE To the COMMONWEALTH ELECTRIC COMPANY.The installation described above has been.completed and has this day been inspected and approval granted for Connection to your service. 3 ' ' Inspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR.INSPECTION Permit Good For One Year From Date Of'Issue CA as-, White—COM/Electric Green Inspector. Canary—Town Receipt Pink Inspector's Copy Goldenrod—Electrical Contractor to COM/Electric TOWN OF BARNSTABLE wiring permit PARCEL ID 250 164 GEOBASE ID 32360 ADDRESS 43 WHITEHALL WAY PHONE Hyannis ZIP - LOT 5 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 8951 DESCRIPTION rg dormer PERMIT TYPE BELEC TITLE WIRING PERMIT CONTRACTORS: BURGER, REX ARCHITECTS: TOTAL FEES: $15.00 BOND $.00 CONSTRUCTION COSTS $300.00 753 MISC. NOT CODED ELSEWHERE OWNER CHAUDHRY, SAEED A & R ADDRESS 43 WHITEHALL WAY HYANNIS MA ' i DATE ISSUED 07/17/1995 EXPIRATION DATE rl Department of Health, Safety and Environmental Services 4 1HE Tp v a BARNSTABLE, '9 MASS. �► 1639. 1Qi A BUILDING DIVISION BY GENERAL.DOC REVISED 4/26/95 I - -';7® 16� Office Use Only chr T!ti11lmnniu calif l of �Uri>�ettU : -,Permit No. _ eT��� Lieparttnettt of Jhitttie �afetu Occupancy& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 5/92 (leave blank) _ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 P4 (PLEASE PRINT IN INK,PR TYPE ALL INFORMATION) Date b City or Town of— %C To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number). Owner or Tenant �Q eed C ka uel h y dOwner's Address �4 — Tel. No A A ' .Is this permit in conjunction wit4 a building permit: Yes D No El (Check Appropriate Box) Purpose of Building we (II a t Utility Authorization No. Existing Service 46 u Amps Q o _Volts Overhead ❑ Undgrnd ❑` No. of Meters zw New Service Amps -Volts Overhead ElUndgrnd El No. of Meters 44 w Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work r C a d i 4101, . ww H H d � A A No. of Lighting Outlets No..of Hot Tubs- — No. of Transformers Total KVA - No.of Lighting Fixtures Swimming Pool Above In grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets I a-- No. of Oil Burners Battery Units No. of Switches ro No. of Gas Burners FIRE ALARMS No. of Zones W W , HNo. of Ranges No. of Air Cond. Total No. of Detection and 3 D tons Initiating Devices tx x No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained a 4 No. of Dishwashers — Space/Area Heating KW Detection/Sounding Devices :4I No. of Dryers Heating Devices KW Local Municipal ❑Other ;� - ❑ Connection No. of No. of Low Voltage 4 No. of Water Heaters KW Signs Ballasts Wiring x y, No. Hydro Massage Tubs No. of Motors Total HP Security System H OTHER: '' INSURANCE COVERAGE: Pursuant to the requirements of-Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO O 1 H have submitted valid proof of same to the Office. YES O NO O If you have checked YES, please indicate the type of coverage by checking the appropriate box. / / G INSURANCE_f2' BOND O OTHER O (Please Specify) - 7 ro (Expiration Date) 3 CHECK APPROPRIATE BOX: I have Worker's Compensation Insurance ❑ I have no, Employees E] - Estimated Value,of'Electrical.Work S U 06 Work to Start " Inspection Date Requested: Rough. 7�h Final 4 i, Signed under t Penaltie of perjury: (L e -4 FIRM NAME Vy 0/ f—.lPC-1 C/�c LIC. NO. r 3 y�6� Licensee Signature LIC. NO: z //� Corr' (� _ �04/ Address J 7 Gi✓ Q r t�s�sf j�( �S Bus. Tel. No. —� Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) Asiessor's offioe '(.1st floor): THE Assessor's mpp and lot.'number ..............`�.�......A.5.. Board of Health (3rd floor): Sewage Permit number `..��Q......................... Z DAR33TAILE. i Engineering Department Ord floor): 'J o rasa �%3 ,�� S. i639. 0� 9 House number ....:'...."............................................................... �oYAYa\ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-.2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................................................................... ..............,..............C kb ...................... TYPEOF CONSTRUCTION .......................................... V D%I,...... . e ........................................... .(.�z� .....................19.. .S TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for permit according to the /followin/g- information: Location 1.:. l p C ProposedUse ................................./.`. ...' ..........I !'! ?...... ........................................................................................... Zoning District / C. t! ...................Fire District v y4!-1, S ....... .,. .............................. � c Name of Owner �� " ��'. .... A'ddress dK SOU C,.� yv1�`< GSj Nameof Builder .......................................�........y`."e..........Address .................................................................................... Nameof Architect ....................................................................Address ...........................�......................................................... Number of Rooms .....................C. .......................................Foundation .................1`. .U''���`C ......................................... Exterior (Roofing ................................ t �' A .C.L............Z'..s ........ Z Floors ...........................r �` '.. ...1,,v/H.....................Interior .......................................r.......................................... Heating ��".. �:...X...... ...................Plumbing ................................. ...�?�� . �`�...5...................... Fireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board --------------19 Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH X -7 F OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulation"s of the Town of Barnstable'regarding the above construction. / 1 Nam r , ZZ Construction Supervisor's License .0 v(r 9 GREENBRIER CORP. A=250-164 No ,29980 permit for „One Story...,,. ...... Single Family dwelling..................... a - Location Lot #5, Ahitehall Way,..,_ .................... . . ....................HYannis Owner ......Greenbrier Co .......... rk........................... . Type of Construction .....FRame ............................................................................... Plot ............................ Lot ................................ September 29, 86 Permit Granted ........................................19 Date of Inspection ....................................19 t ' Date Completed ......................................19 F1 oFtNr� TOWN OF BARNSTABLE Permit No. ..29980 .............. BUILDING DEPARTMENT I I TOWN OFFICE BUILDING Cash ).�.3 NASL rin�^� HYANNIS,MASS.02601 Bond X....',./.! CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. Address Lot #5, 45 Whitehall Way Hyannis, Massachusetts USE GROUP FIRE GRADING OCCUPANCY.LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. January 23.... .... 19.....�.7......... � ..-'!'.... f Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT = rAR1° TOWN OFFICE BUILDING � ruL a ,639. HYANNIS, MASS. 02601 f? t � MEMO TO: Town Clerk FROM: Building Department DATE: //Z311� An Occupancy Permit has been issued for the building authorized by Building Permit #... rZ 9.'-5.....0..................................................................................................................... .....................................................................................................»..............................»»... issued to Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA y 0 1L1 d D.TNN Of BARNSTA3lE, MASSA HUSET?S 5U-164 DATE Sep ember, 2.9 19 :ii) PERMIT M1� �. : i_�ut .d Below #001391 ADDRESS (CONTR'S LICENSE 4PPLICANT (NO.) (STREET)' ,:. NUMBER OF 1 .:. ct.L li':`•� DWELLING UNITS 'PERMIT TO iiuii:l il'«L.ii_`.i� (_) STORY NO ` (PROPOSED USE) (TYPE OF IMPROVEMENT) ZONING r r•'1 r. I•.;�c.i•� ! DISTRICT stG'1 . i'Ot ifs, AT (LOCATION) (STREET) IN0.) AND BETWEEN (CROSS STREET) -•_ (CROSS STREET) LOT LOT BLOCK SIZE SUBDIVISION FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUC- BUILDING IS TO BE FT. WIDE BY FT. LONG 8Y TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: i k: :yr f,'i3D-`1J4 45,00U.00 PERMIT $ G. .AREA OR 146'1 _:ii. LC ESTIMATED COST $ - FEE - VOLUME (CUBIC/SQUARE FEET). - J. OWNER 4! BUILDING DE PT. jo.X .`>lU, (;-:atu-�-hilt BY ADDRESS ANY PART F. R TEMPORARIL EWALK 0 -THIS PERMIT COENCROA HMENTS ON PUBL C PROPERTY E NOT LS ECILEY FIICALDLY PERMITTED UNDER TTHE BOUILDINGES MAY E OBTST E' PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE O DIT:; r ;FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDIT,�_" : OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. HERE MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS PERM PERMITS APPLICABLE REQUIREDARFC- INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AN ALL CONSTRUCTION WORK: ;I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. -6. FINAL INSPECTION BEFORE - OCCUPANCY. SO IT IS VISIBLE FROM STREET POST THIS CARD PLUMBING INSPECTION APPROVALS EL CTRICAL INSPECTION APPROVALS BUILDING INSPECTION APPROVALS / � L " -- 2 2 z �C; Lo c HEATING INSP TI APP OVAL ENGINEERING DEPARTMENT 9 7 BOARD OF HEALTH OTHER j 7 - - PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CAR[ WORK SHALL NOT PROCEED UNTIL THE INSPEC- LP RK IS NOT STARTED (THIN SI MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE ORWTOR HAS APPROVED THE VARIODUS STAGES OF RMIT i5 ISSUED AS NOTED /)ROVE. NOTIFICATION. CONSTRUCTION, Zo"a J2c 1 A,43, 540 S.F PJt� r�l Y0t4F /iue, NE/Z D. >; P r iciq M `, 12�' i2oN TRcr F 30'morXr SI;rl ft6K I`5 StOt*�d}9iG` S REAR. a; 23'r' A-SSUMEp �aT 1 � -QT ZtL. h N 44: Z S, Z N z a.s /ls•00 c- 5 II° 0�0' 16" 1N r F (5-01 WIDE. FrA IVP,7F- WAa ) CERTIFY THAT THE or . ZOO 14DA-T►a � �` PAUL A. SHOWN ON THIS PLAN IS LEVY 4 LOCATED ON THE GROUND No. 10G17 , y J f: AS INDICATED AND CONFORMS TO THE ZONING LAWS OF <�'zT�R� MASS. �s a �1 D E RE IS ERED LAND SURVEYOR LEVY A ELDREDGE ASSOCIATES,INC. CLIENT�'PE- CERTI ® PL.OT PLAN ENGINEERS - LANDSCAPE ARCHITECTS JOB NO. C`. ,�;07= �". Wl�l rswoq L L. PLANNERS— LAND SURVEYORS DR. BY, Ah.M I N S89 WEST MAIN STREET CHK�BYt,� ,�3�4RNSTFk' LE (44YANN IS) , M t CENTERi01LL.E, MA. 026�2 SHEET_I OF,_I SCALE.= '° DATE 'Lot8 • • .Y . . `- •As or's offioe (1st floor):- / " Assessor's fnap.and lot number ......... ` 6.'.../�, � cf"THEToy . �t�PTIC SYSTEM MUST �� � o Board of Health (3rd floor): _ 5 INSTALLED IN COMPLIA Sewage Permit number ' WITH TITLE 5 2 Baaa4TADLE, Engineering Department (3rd floor): , I g, rasa House number ` 3 EIo1VIRONMENTAL CODE A� 1639 0� :................................................ '°�0 YAY a� APPLICATIONS PROCESSED 8:30-9:30 A.M. 'and 1:00-2:00 P.M only' TOWN REGULATIONS TOWN. OF B+ARNSTABLE BUILDING INSPECTOR APPLICATION .FOR PERMIT TO .........................C...............:......................:..................../.................................... TYPE OF CONSTRUCTION ...........'............................... . ........................................... E .............f�l ...................... 19..�'? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for permit according to the following information: Location ..........................:....L..(j. ............... ...5 ......... ....46.14.1 1.. y.... ..... .... ................ c Proposed Use ................................../..!.'- . .`C.......... 'E1 ? . ........... ................................................................................ Zoning District ...................tz-C- n.(...................................Fire District ....................... S ... .............. .............................. Name of Owner .......................0 r.��/=. °�.�. lO/�..!?c/wddress ..................... ....��........C...=r;-c.� ..vi�/... S. Name of Builder �...`....-e..........Address Nameof Architect ..................................................................Address .............................................................................'......... Number of Rooms .....................S.ff.......................................Foundation .................1...0"" „CUr`UE7.�.................. Exlerior n c.0 .C. `✓.. f.... ...5..�.��y.(Roofing ......................... �f /..r. f.C.1...................5 ........ Floors ...........................L/.1�1157-i!..�..a.. .ytl / .Interior Heating ....................::.... ��—s................Plumbing ...................................Z...i3, . Fireplace ..............................................:.....................+.............Approximate Cost . .�.. .... .. �'. ... ....... :.............. Definitive Plan Approved by Planning Board -----/C - - ---------------19- ---� Area i•••-- Diagram of Lot and Building with Dimensions ( f , Fee ........,�1 .. ...:......... ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH ley o OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS IJ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstab egardin the above construction. Name ............... . .. <....... ...... � Construction Supervisor's License .......�v1... ..1..� ,GREENBRIER CORP. 0�...?�.9.80.. Permit for ..One,..�.�QTY.............. Single Family Dwe lin ............................ ...... ...................... Lot lit 'k-445 Whitehall Location ...............................I. .......................Wqy... ..........)�.Mnai.s........................................ Owner ......Gr.e.e.nbr.i.e.r..0 .... . . ...... . .... ... ................... Type of Construction ....Fr. e............................ ...................... ........................................................... Plot ............ Lot ................................ September 29, 86 Permit Granted .................................... Date of-Inspection ....................................19 • Date Completed ........147� L 4 ", 1 Assessor's office(1st Floor): - Assessor's map and lot numb S (� C �Pyas YM c to`+ Conservation(4th Floor): ew Board of Health(3rd floor) - t DASiOTLDLt i Sewage Permit number rua Engineering Department(3rd floor):-- 2670'a��� House number Definitive Plan Approved by Planning Board 19 - APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only F TOWN OF BAR NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO (/ A) V TYPE OF'CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location J � Proposed Use Zoning District Fire District Name of Owner ��/ 1 / t-�H9�. Address (� Name of Builder Address 3O" Name of Architect Address Number of Rooms Foundation I r Exterior Roofing Floors �^ Interior Heating ,___� Plumbing �— Fireplace Approximate Cost Area ' A)© Diagram of Lot and Building with Dimensions Fee �� pa 1�� ��l 5 ys►�. q (O AV Y16 /Q / 10 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Siipervisor's License ) CHAUDRY, SAEED No 36981 Permit For BUILD DECK. Location 43 Whitehall Way . Hyannis ` Owner Saeed Chaudrhy Type of Construction 4 • r _ Plot ` Lot _August 24, 1994 Permit Granied f, Date of Inspection: 1 r Frame 19 Insulation," 19 Fireplace 19 �. Date Completed `� l 19 r - r i CO MM O NTWEA_LTH OF MAS SACH USETTS , —I rT=AK MT OF INDUSTRIAL ACCIDENTS ~ -!^ 600 -WAS HrNGTON' STT.EEE�f -6arnSi K'�— B0ST01N, 1 L-�SSACHUS 1 1S 02111 jzmes WORIaRS' COMPENSATION INSURANCE AFFIDAVIT , (licensee/parnince) with a principal place of business/residenec at: (City/s tatdzip) do hereby certify, undcr the pains and penalties of perjury, that: O I am an employer providing the following workers' compensation coverage for my employees working on this job Insurance Company Policy Number kI am a sole proprietor and have no one working for me. ( J 1 2m 2 sole proprietor, general contractor or homeowner (circle onc) and have hired the contractors listed below who have the following workers' compensation insurance policies: Dame of Contractor Insurance Company/Police Number l\2me of Contractor Insurance Company/Policy Number N2me of Contractor Insurance Company/Policy Number 0 1 Zm 2 homeowner performing all the work myself. NOTE Plcasc be : •arc th:t while bomeowners who employ persons to do maintenance,construction or repair work on : dwelling of not more than three units in which the bomeowner also resides or on the grounds appunenant tbereto arc not generally considered to be employers undcr the Workers' Compensation Act(GL C. 152,sea. 1(5)), application by a borocowner for a license or permit may evidence the lcg:l sutus of a.n employer undcr the Workers'Compensation ACL 1 understand that a copy of this st:tcmcnt will be forwarded to the Dcputmcnt of Industrial Aeddenu'Ofiiee of Insurance for coverarc verification :.nd that filurc to secure covcrzgc as required under Sccdon 25A of MGL 152 can lead to the imposition of uiminaJ penalties cor.sis or: fine of.up to S1 500.00 and/or ir- isonmcm of up to one yc: :nd a� pcnalues in the form o(:Stop Work Order and fine of S100.00 a day against MC. Signed this ) g day of 9 Licensee/Permirtee Licensor/Permittor i LOT 6 LP. N�85350 1�4 LOT 5 O � � 0, 'Ipp DECK �•;;;;;;; #43 � �I N�8�350 i LOT 4 RES. ZONE.- 'WC—I" This MORTGAGE INSPECTION Plan is For FLOOD ZONE- "C" Bank Use Only TOWN: -HYANNIS'____ REGISTRY OWNER: DEED REF: _��,9�,L�________--BUYER: JNENANCE------------------ DATE: 51��9�____________ p REF: _388 20 _ SCALE:1"= FT. I HEREBY CERTIFY TO LIl?5_T_.9ATlQN6L BAAK_QF B THAT THE BUILDING tN OF . YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS PA K 6 CONSULTANTS SHOWN AND THAT ITS POSITION DOES N__ CONFORM TO THE ZONING LAW SETBACK REQUIREMENTS OF THEco 40B INDUSTRY ROAD TOWN OF BARNSTABLE _AND THAT N0. g MARSTONS MILLS, MA 02648 IT DOES_NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD p AREA AS SHOWN ON THE H.U.D. MAP DATED 5 TEL 428-0055 + Co unity—Panel ' 250001-0005—C �' o FAX 420-5553 THIS PLAN NOT MADE FROM AN UMEN'I' 14821 GGiI� "PAUL A MERITHEW, P SURVEY, NOT TO BE USED FOR FENCES, ETC. " ' r COMMONWEALTH DEPARTM ~ F P_... ONE ASHB ua ONE i 80ST9.N,MA 021108� �Tot LEY,k!1WR DATE rill n R. O�S� 'tF1� �9R `I RESTRICTIONS j EFFECTIVE•DAlfG UC-NO. } IILL t 104/30/19W 2QtjffiY H0M( �?YAARVLS1 . ' R 0 PHOTO(BLASTING NOT vain UNTIL SIGNED ByUCENSEEAN, HEIGHT. STAMPED-OR-SIG URE NAT OF,THE COMM MUST BE .x IEDON ERSONOF E HOWE HEN EN- I THERS-R16HT TH F 1 CUPATION. p rr Ps _ � �� a fir '�„��'�,. ✓�7P0lMNt0/tILtlI7lUi O� Ud6Q6 l �' _ #TOME fIMPROVEltENTCONTRACTOR I5 Registration 101123 A s ificClrthy"BuilderV W, Tian McCarthy , „ 9 i, �32 Carver Ro'ad � .sa �uMydfss,"A Yar®out 2613 � ' I COMMONWEALTH OF MASSACHUSETTS EXPIRATION DATE 04/30/1995 RESTRICTIONS 2 FAMILY HOME a; ` PHOTO(BLASTING OPR ONLY) 7E& .00 HEIGHT: . _ THIS DOCUMENT MUST BE CMMIEDONTHEPERSONOF - THE HOLDERWHENEN- OTHERS-RIGHT THUMB PRINT GAGEDINTT4^CIPATIQEL i