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HomeMy WebLinkAbout0118 WHITEHALL WAY pp __ _ C� �. j /�O'_ ��.� J�p / e (XJ �G� — � fa �� �I� l II �oFtHE lo Town of Barnstable_ *Permit,# ,4 Expires 6 months jron:ii date k Regulatory.Services F S.Tasr E Thomas F. Geiler,Director ArfO MA'I A �� Building Division Ole,p, S 2010 Tom Perry,CBO, Building Commissioner ��VV�A OP, MIVS 200 Main Street, Hyannis,MA 02601 TAB www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valtout Red X-Press Imprint Map/parcel Number Property Address W R5 Mt LA � J A . Residential Value of Work Minimum fee of$25.00 for work under$6000.00 . Owner's Name&Address k/IOOf - 1 W W14azgAa b)y kywji 944 - Contractor's Name Telephone Number 4a � Home Improvement Contractor License#(if applicable) IZ5,1qz- Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Ch ck one: ?I 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 accompany each permit. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to 5�,S EXGd ( >� ❑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 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 of the Home Improvement Contractors License& Construction Supervisors License is required. - SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.dod Revised 090809 The Commonwealth ofMassachitsetts Departfnent oflndustrial Accidents H_ Office of Investigations i 600 Washington Street Boston,MA 02111 vv ' wwiv.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): !"/ LW Nl Address: j �o <S(.yIIJ UlL City/State/Zip: Phone #:. o""_0q' Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 2.�mployees(full and/or part-time).* have hired the sub-contractors 6. New construction am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. EJ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Pltmbing repairs or additions myself. [No workers' comp. right of exemption per MGL t ,and we have no 12�RoofYepairs insurance required.] c. 152, §1(4) 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 isproviding workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip:- 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 certify itndfWke pains and penalties of perjury that the information provided above is true and correct. Signature: ' Date: 'Phone#: 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#: L >r Information and Instructions 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 with the 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-contractors)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 to 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 Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax # 617-727-7749 www.mass.gov/dia J DIME r° Town of Barnstable R Regulatory Services r + 9snzN 'E AB& Thomas F. Geiler,Director Fa �Aim 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 Using A Builder I, 9"-w0j, V �� , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. l� LAI e hill (Address of Job) e f io Signature of Owner UDate Print Name If PropertU_Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RM S:O W N ERP ERM IS S I ON - t i of z►,E,�,, Town of Barnstable j o Regulatory Services BARNszas Thomas F. Geiler,Director itass. 9�a 16yg. ��� Building Division TFn �A 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 dwellings 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. 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. 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 form/certification for use in your community. Q:\W PFILES\FO RM S\h omeex empt.DOC i � Board of Bui ng Regeulat ons and Standards HOME IMPROVEMENT CONTRACTOR Registration: 125982 �\ Expirati°n 4/1612010. Tr# 264908 J l _Type in41 dividual „ MATTHEW M:DUNHILIs I t ' ! • I MATTHEW DUN, ° t i 16 SWAIN CIR f MASHPEE,MA 02649 Administrator yqF..' .�;V4 t u tmcnt of Puhlic Safct' ` t tandards.. i ,_•_ �lassuchus�tts- Ucl ulations and S Board Of Buildin.,Rc 4; ervisor License Construction Sup x License: Cs 64982 n`kwt " Restricted to: 00 a tµ t I 7THEW M DUNHILL 16 SWAIN CIR s MASHPEE,MA 02649 rr { y5s f Expiration:7/312010 a28444 lh� t;p1. a 4. `4a t 6 �." F , * t •1 t 3 wk r -Y m t ret N License or registration valid for individul use only before the expiration date.. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 a Boston,Ma.02108 Not valid without signature f f Engineering Dept.(3rd floor) Maps Parcel ��s''d� it# �9 5�lod House# � g/j Date Issued 2� Board of Health(31d floor)(8:15 -9:30/1:00-4:30) ee Conservation Office ( or (8:30-9:30/1:00 2:00) �� SEPTIC SYS tME 19 INSTALLED I BE Wl�' q " ITI TOWN OF BARNSTABLE' Building Permit Application 76jecteet Address Village ,�y� Owner Nr n 01 C1 +_S-l�) e- I � I[xf- Address L,*t :�f& .Telephone 5A - -7 • D f.oQ)` Permit Request COYIF54 rLk-_C_+i C 1'n os+ "+ First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Af:o@ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structu Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 6,2,— New Half: Existing New No. of Bedrooms: Existing New Total Room Count(nXGas ing baths): Existing_ New First Floor Room Count Heat Type and Fuel: .❑Oil ❑Electric ❑Other Central Air ❑Yes l>Q 0 Fireplaces: Existing New Existing wood/coal stove ❑Yes 2110 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn,(size) one ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name PTelephone Number el Address o2 d .License# 0 Home Improvement Contractor# /O 7 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 SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 1 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED q I MAP/PARCELS O ADDRESS VILLAGppE', yF . 4r T /•r r _ t OWNER DATE OF INSPECTION: _ FOUNDATION FRAME ` INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: { ;. -ROUGH FINAL _ FINAL BUILDING . IQ � �,✓ DATE CLOSED OUT t ASSOCIATION PLAN NO. r ., a - Suggested Affidavit for Home Improvement Contractor Permit Application For Omce Use only NAME OF CITY/TO WN Permit Yo. Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c.142A requires that the"reconstruction.alteration.renovation.repair.modernization.conversion.inorovement.removal.demolition. or construction of an addition to anv re-ecistin owner-occuoied building-containin at least one but not more than fourdwelling units or to structures which are adiacent to such residence or building"be done by registered contractors,with certain exceptions,along with other requirements. pe of Work: C tA)L , �� ��ecm 5f�1.V Est. Cost dress of Work Owner Name: Date of Permit Application: a I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law _Job under S1,0W _Building not cwner-occupied _Owner pulling own permit _Other (specify) 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 PROGRAIM OR GUARANTY FUND UNDER MGL c. 142,k Signed under penalties of perjury: I hereby apply for a permit he agent of a ow r: D t nt aWtr Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name 1 —__= 3 The Common wealth of Alassach usetts -=-�,: =t Department of Ltdustrial Accidents Office Oflnyestigations _ 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit licant inforniati n: Y> "z_ :....�:..=�-.:..;�Please..PRiNT< eQililv..a:=,~.�.�� ,��•;:��r._.at�� � _ name: location: city hone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an emplo er providing workers' compensation for my employees working on this job. com any na e: . address:rJ f 1 e f t 1 � �S � . r71 S city phone# insurance co. I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors Iisted-belo«'who have the following workers' compensation polices: company name address. phone#: insurance co. ..-. ,. Policy# company name address- city: hone WX­ insurance co. olic # attach additional sheet if necessan Failure to secure coverage as required under Section ZSA of�1CL 15?t aelead to the lmpostUon of cnminal penalties of a.tine up to S1�00.00 and/or one years' imprisonment as tivell as civil penalties in the form of a STOP 1VORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may he forwarded to the Office of Investigations of the DI for coverageverifi f.tit, 1 do herebi certify under t pai n all' erjury that the information provided above is true and correct. Signature ate T7— 4 D _ L� Print name 1 /'� _qMn Phone#TV ( J - ......_ +official use only do not write in this area to be completed by city or town official t �•' city or town: permit/license# s -Building Department ❑ check if immediate response is required ❑Licensing Board ❑Selectmen's Office contact person: ❑Health Department phone K t—Other irmsed b'95 PIAI - L- ��e �Lm'li�j'LQ%YLC�1eG����2 d ��cri.Llacl2u�1•eL�.l t-(] - � � 0O � Jt; DEPARTMENT OF PUBLIC SAFETY 58550 ONE ASHBURTON PLACE , RM 1301 BOSTON , MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 1G , . r. JAMES D MCGRATH �,,• ;J Detach bottom,. fold sign on PO BOX 708 '° = "back, and laminate license card. S DENNIS , MA 02660 deep top for receipt and change of address notification. HOME IMPROVEMENT CONTRACTOR ; Registration 109374 Type - INDIVIDUAL ElpiratiOR 09/11/98 PINE HARBOR BUILDING'CO INC JAMES 0, Mt GRATH i . a BOX 7081120 GT VESTERM R.D AaecsTRAT S DENNIS-NA 02660' ' , I " I f lam' %A/l De) — 132.bo' I 42,I , , I _ I CERTIFY THAT THE rbL)►JDATnt�I �p0%CC MdSe SHOWN ON THIS PLAN IS :��`` CLIENT /� PAUL A. JOB NO._104s LOCATED ON THE GROU ( LEVY AS ,INDICATED No. 1 617 DR:BY: as _ a CHKD.BY:, SHEETI.OF_I_ DATE: '",REGIST R D' LANDS-SURVE R` UEVYqELDREDGEb`WAGNER AssociATEs,iNc. [ : PLOT PL N 'ENGINEERS' - LANDSCAPE ARCHITECTS PLANNERS - LAND SURVEYORS jzl: -3 tml�-AALA_ IN ±` .889 WEST MAIN STREET �Ar11`>> g,M2l`1s7 , P"1 CENTERVILLE, MA, 02632 SCALE : DATE:-?-�-a� i© ��o;ur giq►,t 4� 1". pimp- ilkptD I i NOT= u A-tL WOOD IS wJ.L / ZXN . . 2AF--ERS I � 'DiMC.NSioWil . iNS I i G n Eti o. Loulrr as a'X y �,�L -n�s I , CNbr SWDwN, Lf X y 'Tb Pi ATb L,Of KING, Q ; Pv0-Llu:s • G�l1C���C ply,jooD i 4 � � _ D� I SEPTIC SYS'� DUST SIB Assessor's office (1st floor): � C��pU� HE T Assessor's map and'lot number . � 00`5 `-- / INSTALLED 14 TITLEono ....................`................... 5 P Board of Health (3rd floor): WIT Sewage Permit number .................. a:.......�.. .1 s F• ,s ��fl��T��' CO b 33Agg9TABLE, _ S ��ULATIO NAM Engineering Department Ord floor): tb . `e Housenumber ........................................................................ '".•o�aYa• APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. or lyl TOWN OF BARNSTABLE BVILDIHG INSPECTOR 7-1 i APPLICATION FOR PERMIT TO ...:.. . .. �1 .. /�..uf......... 1. .1.V. ................................ TYPE OF CONSTRUCTION ............. tv.'. ..... C............................................. ....................... .....................9 �c........19. � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for permit acco ding o the'' fol wing informat'on: �• ��//fit.. . ...... �L ��r.. .................................. Location ..lsr//.� ....K.J .. 1� � < Proposed Use ... �1... ... ....... ..Z ........................:............ ................ ............................................................. Zoning District ..... ... ...:............................ ........Fire District ..... ... .. .. ................... 67 Name of Owner 1�� C. .........Address .... .. ....... .....� 1k.... � �......................... Nameof Builder ........ lG.. ?1....,:.........................:........Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .................................... ................Foundation ?O.(A,. a ......��.. .� i� Exterior ... ...C...S �.! .. .� ....... ..: ... ... . .........Roofing ... ..... .. .4- .... . V 4 �!!iC�. .. .InteriorVim. Floors l�l, �.. ..................................... __ � �rieating ...... ... .... ,�....................Plumbirig ... Fireplace ...................................................................................Approximate Cost ......41,S-coo Definitive Plan Approved by Planning Board -----------e4j _.�LQ__19_ Area ......... ?. .........../... 11 5-0Diagram of Lot and Building, with Dimensions Fee / SUBJECT TO APPROVAL OF'BOARD OF HEALTH 4141' 6 ti bo , �e CPO � 5� 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. r Name .... .... t ..... ... ....... Construction Supervisor's License ..0DIT- , 7. GREENBRIER CORP. Permit for ... ......S.tPXjY.......... S. ...i ............. ng.1 Family...aW!:A1.UT1.g....... Location ....Lot...U.3..........1.4,B...W I Way .................... ............................................ Owner .........Q1r 9•Q X!b..K.:L e..r C.or.p Type of Construction ...Fmame.......................... ................................................................................ Plot ........ ..................... *.......... Permit Granted .........J.U.1 y 12 19 88 .. .......................... Date,of Inspection .....................................19 Date Compl7ted /............./?� AZO 19................ t,rf "t W41,I -4L X X .31 TOWN OF BARNST;46LE, MASSACHUSETTS RU1LDiNGPERMI A=272-005 July 12 88 f 1��q��A `����a� caner DATE 19 PERMIT NO,"'CD APPLICANT ADDRESS ( IN0.) (STREET) (CONTR'S LI CE NSEI • Build dwelling i. Single fuiAly dwelling NUMBER OF 1, PERMIT TO (_) STORY DWELLING UNITS - (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) J AT (LOCATION) ZONING J DISTRICT (NO.) (STREET) BETWEEN AND - (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT___BLOCK SIZE BUILDING IS TO BE IT. WIDE BY _ FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTI TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage if86-1024 ' BOND AREA OR VOLUME 708 sq. it/ ESTIMATED COST 45�0flU PERMIT 61.50 _ (CUBIC/SQUARE FEET) FEE �. OWNER 6reanbrier Corp. r'. . ADDRESS ~ ~'� - s ` < BUILDING DE PT, BY � I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY C PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE A PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINE FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIOt OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF .THREE CALL APPROVED PLANS MUST BE RETAINED ON AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHAN CAL ,CAL, ] 1. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMB( FINAL INSPECTION TI 70 LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE ' f OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 f 2 2 --- — uric yid P' 2 a )< �--- 3 �' HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT OTHER BOARD OF HEALTH 9c�C7 �f WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSP i. TOR HAS APPROVED THE VARIOD ECTIONS INDICATED ON THIS CARD CAN US STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CONSTRUCTION. PERMIT iS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTI NOTIFICATION. I 132,bo " n Sb,7 4 ,/ I lla.00! I " - - I CERTIFY THAT` THE itL)l4DATiy►,J CLIENTS SHOWN ON THIS PLAN.:IS ���. ° PAU L A. a LOCATED ON THE GROU LEVY JOB :NO. :No. 1GG17 a A$ ,INDICATED DR BY: _: '_ r r _ ` ` o CHKD.BY. F SHEETI,OF ., tZZ . . REGIST R bxL`:'AND. SURVE R' LEVY,ELDREDGE* 'WAGNER: ASSOCIATESINC: . S ';, 'LOT PL ENGINEERS - LANDSCAPE ARCHITECTS PLANNERS - LAND SURVEYORS IN ' - .889 WEST MAIN STREET 4 AAA.ls; iceTAxe, P'IA CENTERVILLE, MA, 02632 SCALE ;_L-::.��' DATE; ? � 411 ,�•NE>, TOWN OF BARNSTABLE 32061 � Permit No. ................ •" BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash :::............. ''re,uv HYANNIS,MASS.02601 Bond .. CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. Address Lot #33, 118 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. ....October 24.!...... 19.A� ........ h ............�� -� Building Inspector TOWN OF BARNSTABLE 1 = BUILDING DEPARTMENT TOWN OFFICE BUILDING � rrua g t639'� M.. HYANNIS, MASS. 02601 OII�Y t+ MEMO TO: Town Clerk FROM: Building Department DATE: /O�r�/ �0 An Occupancy Permit has been issued for the building authorized b P Y g Y BuildingPermit #..»•:.?.Z12. 6 .»..................................................................................... ::.... ....»......»»....... ..........»»»». issued to <7PP,✓�J /A/'............. ... �JD. .......................................... .»7 »» / r'�'�» �%' .s GL.... Please release the performance bond. IA 00o Assessor's office (1st floor): ,-' � � ��..- ,�•� � O%THE to Assessor's map and lot-number ........................................... Board of Health (3rd floor): � - ^ — f � l ,Sewage Permit number ....................ZT..,�_ .:...................... . -7"vte i BAHB9TODLE, Engineering Department (3rd floor): °oo YA°9 s e `0m Housenumber ........................................................................ OYPTa' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only r TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......... .. ..P.,//�r�/............................... TYPE OF CONSTRUCTION ... .... ?�.: - 1�Gt.........................................................' /....................... . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a��ermit according ;o the /foll/owing informat'on: Location .. � � �. , .. /..� � �..74-2 ��1 /�Cf -S.................................. Proposed Use .le......... ........�...............................................................\.................................................. ............. //`r t .........Fire District ......`./.�!J.��/ l� Zoning District ...,.... . .............�..... ...........� .......�......J.......�........................ � L i Name of Owner ........�-!. e :�..�Pam......... :......Address .....!..�.....!....��............... �............................. Nameof Builder ........ e?n..4�......................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................................................................Foundation Exterior ... �/..C...... 5��� .....�(�,............ 0. ..� c �� ......................... Floors v.f�..f�+ �...e/ ..c:{..�.:!_.. ... .........................Interior `... .:15,).�� T ,G� C .1 ...................................... Heating ....t` .... .:.'.. .....� 1.... `�� ..:.................Plumbing . .z�., ,/1S Fireplace ..................................................................................Approximate Cost ............ ✓, Definitive Plan Approved by Planning Board __________`7'C! - p__19_A Area ....................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r 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. 2 Nam �, ��.�� ' Construction Supervisor's license ..eX _s'....2./r GREENBRIER CORP. C--!�2.9--0oS, 0 t z 7a� No 32061 Permit for .....1 i Story Single Family Dwellin( Location ....Lot...#33., 118 Whitehall Way ..... .......................... ................Hyannis............................................. Owner ...Greenbrier..Cori. ........... ... Type of Construction .........Frame..... ............................ ................................................................................ Plot ............................ Lot .......................... Permit Gran.ed July 12, 19 88 - Date of Inspection ....................................19 Date Completed ......................................19