HomeMy WebLinkAbout0597 BAY LANE �� � ����f �. �►sc
I
T*16
oFt►tE Town of Barnstable *Permit# 79M
Tres 6 months from issue date
„BM ; Regulatory Services F�� ��
s639.► Thomas F.Geller;Director E
si
Building Division
Tom Perry, Building Commissioner OC l 8 , /T
200 Main Street, Hyannis,MA 02601 TOWN OF ?�04
Office:
Fax: 5087 38
90-6 30 B,gR���A�C�
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X Press Imprint
iplparcel Number /42 /d sf 9_
)perry Address- :; .Z AY I-,4 _11 e�4T[�lsJ G,E
Residential Value of Work 900, 00 Minimum fee of'$25.00 for work under$6000.00
vner's Name&Address M IO Al N/A/I�t'�S/A/h / .7"D AA/ InATifE.P
dit I-
retractor's N D,?f4 6_- h/, - G,4A tF1.(9 Telephone Number 3",�1
ime Improvement Contractor License#(if applicable)
instruction Supervisor's License#(if applicable) 4'/41
JWorkman's Compensation Insurance
Check one:
Q I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
nuance Company Name G�
arkman's Comp.Policy# 7 P9t,,116 - 1/ i 9 D b'5' -3 -d 3
ipy of Insurance Compliance Certificate'must be on file. -
rnnit 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
® Replacement Windows. U Value (maximum.44)
►Where required: Issuance of this.permit does not exempt compliance with other town'depwiment regulations,i.e.Historic,Conservation,etc.
***riot Property Owner must sign Property Owner Letter of Permission.
o rov actors License is required.
i .
'nature
vise063004
E,° Town of Barnstalble
�~ Regulatory Services
BARNS ABLE, ' Thomas F.Geiler,Director
niAss.
16 y a � Building Division
ev mp
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
Wj , as Owner of the subject property
hereby authorize TD 46,E //- ALA EG�� to act on my behalf,
in all matters relative to work authorized by this building permit application for:
f,- 9✓ ZXAAC.
(Address of Job)
Signature of Owner Date
Print Name
Q TORM&OWNERMERMIS SIGN
J0lvJlslunupy
0E9Z0 t/W'algEqsweEl
90Z Xos3'O'dNl 6ulenpa210E l
AlaNel8 aruoaO
MNOM
lenpiAlpui adef
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sp-lepugls pug suopuingag But
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' BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number,:.CS 014344
4. BitthdMe. 03/20/1950
Expires: 03/20/2006 Tr.no: 21819
Restricted- '00
GEORGE W BLAKELY-
130 REDWING LN/PO BOX;206 j
BARNSTABLE, MA 02630`
Acting{"
CaVnmisiooner
r
VDAC
WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
TYPE AR INFORMATION PAGE WC 00 00 01 ( A)
POLICY NUMBER: (7PJUB-679X865-3-03)
RENEWAL OF (7PUUB-679X865-3-02)
INSURER: THE TRAVELERS INDEMNITY COMPANY OF ILLINOIS
1. NCCI CO CODE: 13579
INSURED: PRODUCER:
BLAKELY, GEORGE ; W RIDER RISK SPECIALISTS
P.O. BOX 206 PO BOX 115
BARNSTABLE MA 02630 CATAUMET MA 02534-0115
Insured is AN INDIVIDUAL
Other work places and identification numbers are shown in the schedule(s) attached.
2. The policy period is from 12-12-03 to 12-12-04 12:01 A.M. at the insured's mailing address.
3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers
Compensation Law of the state(s) listed here:
MA
B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in
item 3.A. The limits of our liability under Part Two are:
Bodily Injury by Accident: $ 100000 Each Accident
Bodily Injury by Disease: $ 500000 Policy Limit
Bodily Injury by Disease: $ 100000 Each Employee
C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here:
SEE ENDORSEMENT WC 20 03 06
s
D. This policy includes these endorsements and schedules:
SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE
4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating
Plans. All required information is subject to verification and change by audit to be made ANNUALLY.
DATE OF ISSUE: 11 -10-03. WC ST ASSIGN: MA
OFFICE: DIRECT ASSIGNMENT 701
PRODUCER: RIDER RISK SPECIALISTS 28XXD
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map O Parcel v _ Permit#
4 �= �o
Health Division � - _ Date Is d
Conservation Division { l Fee
Tax Collector man M-1-4-4m /N�/ '
Treasurer. ' 01
Planning Dept. i i1b2Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address
Village
',OwnerC�1CS0/U A��,(��,�/?'l �4i¢/�/ 77
Address
Permit Request
Square feet: 1 st floor: existing proposed 2nd floor:.existing proposed Total new
Valuation Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family'(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other `
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# . Recorded❑
Commercial ❑Yes ❑ No If yes,site plan review#
Current Use Proposed Use
B I-LDER-MM1tMATI0W, fie,
Name �4f1/lP Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. _ r
ADDRESS - ` VILLAGE
+ Qitz
OWNER '
DATE OF INSPECTIONS
r
FOUNDATION
FRAME f,
INSULATION "
FIREPLACE '
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
r
FINAL BUILDING
DATE CLOSED OUT -
ASSOCIATION PLAN NO.
s r
i
i
. 11 / � 11 r 1 r r • 1 r •, •�• 111• 1 .1• • 1 r 11 �1111/ • � • r,� 1 • 1 1 r 1
1 11 1 1 11 '
i 1 '
y 1 1 1
II r r r r • 1 1 1 • 1 • 1 1 II 1 I •+• , 11 1 1 M4 all - r 1 r • -./ 1- • • 1
1.
1 1
11 1 I
1
1 1 1
1, II 1•
i • • • 1 :A• rT, 1 1 �•.
• 11 1
M Pica
11 1 11 / 05 � /� •1•11 /!
use only do not write in this area to be completed by city or town official
city or town: Permitalcensto oBuOding Department
[3Ljc=jmg Board
■
■ checkiflnunediste responseOselectmen's Office
■C3HesM Department
■ •
contact person: phone M,
:..:
Information and Instructions
,Iassachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
ployees. As quoted from the "law", an employee is defined as every person in the service of another under any contract
f hire, express or implied, oral or written.
-..n employer is,defined as an individual,partnership, association, corporation or other legal entity, or any two or more of
w foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or
�estee of an individual,partnership,association or other legal entity, employing employees. However the owner of a
welling house having not more than,three apartments and who resides therein, or the occupant of the dwelling house of
who employs persons to do mainteoan , construction or repair work on such dwelling house or on the grounds or
:ulding appurtmaut thereto shall not because of such employment be deemed to be an employer.
-'GL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal
a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has
it produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
-mmonwealth nor any of its political subdivisions shall eater into any contract for the performance of public work until
:.;„*able evidence of compliance with the insurance requkcments of this chapter have been presented to the contracting
I orety.
11 liCantS
R$62 ll in the workers'i:, . compensation affidavit completely,by checidng the box that applies to your situation and
nl any names,address and numbers yg phone along with a certificate of insurance as all affidavits maybe
:miffed to the Department of Industrial Accidents for canfinnation of insurance coverage. Also be sure to sign and
:.e the affidavit. The affidavit should be returned to the city or town that the"application for the permit or license is
mg requested,not the Department oflndusmai Accidents. Should you have any questions regarding the`law"or if you
:wired to obtain a wmkcrs'c®pensaticia Policy,please cal the Department at the munber listed below.
or Towns _
se be sure that the affidavit is c®plete-and printed legibly. The Department has provided a space at the bottom of the
i3vit for you to fill am in the event the Office of has to contact you regarding the applicant. Please
,ere to fill is the peke number which will be used as a refenace member. The affidavits may be retumed'to
)epartimeat by mail or FAX unless other arraagemeats have been made.
Office of Investigations would Ielce to thank you in advance for you cooperation and should you have any questions.
se do not hesitate to give us a cal
rparanent's address,telephone and falc member;
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Imtesugauans
600 Washington street
Boston,Ma. 02111
fax#: (617) 727-774.9
nitnna df• «t 71 T77-Aonn ova AnL Ann _� •f.7a
of TME r�
The Town of Barnstable 9
• MUMSTneLE,
MAM � Regulatory Services
1659. p Thomas F. Geiler, Director
Building Division
Elbert Ulshoeffer, Building Commissioner
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT 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: 5A�// Estimated Cost
Address of Work: 5 / ow 7
Owner's Name:
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
❑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 owner:
Date Contractor Name Registration No.
ate Owner's Name
q:f6nns:Affidav
: . The, Town of Barnstable -.
• Bnsivsrwsta. -
t Regulatory Services
�''�Eo;,�►�',� Building Division
` 367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
,C� J Please Print
DATE: / 1
JOB LOCATION: R/f 7 Z, 1t/' �1`C 14 -
number street y� /! village
"HOMEOWNER": C/�'/ D/v � ' �f�� SO� 11 Zz
name g home phone# work fhone#
CURRENT MAILING ADDRESS:
,�,4`°tisr�ai�,�� A/W
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
proc sand u' eats.
Si acute 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:FOAMS:EXEMPTN
f
F. Board of Buildin 'Re uia$ions
One Ashburton Pace, Rm 1301
Boston, Ma 02108-1618
License: CONSTRUCTION SUPERVISOR LICENSE Biithdate: 03/14/1970
muinhnr CS 073865 . Expires:03114/2002 Restricted To: 113
JAMES R MCGRA-ITI•!
-50 WINTERGREEN LANE
BREWSTER. MA 02631
-- Tr.no: 73865
Keep top for receipt and change of address notification.
Board of Building Regula ions and Standards
= = � One Ashburton Place - Room 1301
Boston, Massachusetts 02108
Home Improvement Contractor Registration
Registration: 132935
Type: Private Corporation
Expiration: -0/3112002
McGRATH POST & BEAM CO.
JAMES MCGRATH
k
259 QUEEN ANNE RD.
y,
HARWICH, MA 02645 _.. ---
r
Update Address and return card.yfark reason for change.)
Address Renewal Employment Lost Card.`
Board or Building Regulations and Standards License or registration valid for individui use only
HOME IMPROVE-MRNT CONTRACTOR before the expiration date. if found return to:
Registration.
Board of Building Regulations and Standards
;. :•„ 132935 Expiration: 10131/2002 One Ashburton Place Rm 1301
Type:
Boston,.Nla.02108
- ,.
McGRATH POST&SEAM CO
JAMES MGGRATH ,���}r
259 pUEEN ANNE RD.
HARWICH.MA 02545 �'
administrator Not valid without signature
The C•telataaaa�mrrallli ra 9fatrstatlaaa�rttr f
Urlsa rlasreat of ludustriarl cculcatat,
d?fllGe®dPt7�1.'�t1, JOBS
•: �:�f � v` lllll if'atxlrin�taaat Sar�•a 1 ,
13astten,Man. (12111
AVurkcrs•Compensation iusurancc Affidavit R> -
a r.e:r.!a:1r�P`q['v ' «. .er.•a www.s. _ '•.m
h �1�',r%�( per, yy _st _ T !� •}^�d,•�, �j�}. .. .... .. ... �_ .
/n:1MC• Ur'��1 ("^J[�`AJ IT'Ci6dF-t"$./"'ie�t cT. ,.9�rcN T.
i1y� 1Crz -
O-t-t'Urrap, V i El l /i y'�-V 3 �r/ i„ti !r `!A; 71
-
0 1 am a homeowner performing all work niMlC
❑ 7t yrC��I am a sole-proprietor and have no one working in any capacity r
1,y �,.•�•�osy�•!r ea:•f.'rs. + ?w .•�':' ..
�"_W
.r..i...rr3r di „a�q,.a5y�-a..tioe.iw.•....� a....®.r_.d��
1 alTl an�nlplgyer providing workers'compensation.formyemplo qe��itln an this lob.
rnml•+nv n ir'
::altlr_l r/ / r rat. a/�5 1.1 ye�-f 1: r/��1..� i(� (�[�`�%;:
1 1f'�Jl`!. tshonca: 7 71
Cow:
iry
❑ I am a sole proprietor•gt°nerat contractor,Or itoat)eown (circle anc)and harr_faired the contractors listed below who have
the foi4otying wDrkers'corhpcnsstion;pohC
.4
remnant•►••imr• �. �� _ ._
nstir:lerr -
- •�.,• tr :�r•;,r r,a'n?1:.-tc1. r":.►o...y_�.��•��d'.Y�:•P' 1• a••�7 1.•:iYt1 ..I�J►.r:daS_...:' ..�..
.._.._, ._ .....-_.-. ..• _......a,:-. +.7 -'a•�:at-d.:.bJw- Sla.ie•r.ai:_.. _ _ md.iil3:r►..a����.
!�rrifiJ191+'iT:1 IIII'-._._. _ ... • r _ _ .---_
Ohl! r k'
\tiaclt adtiiltartal Shtt,�ir ncressarg��� 'C `- •_,.••,.,�y,,,,, '� •b.'.4 v a=�9•�Ltar rs :«a:t.a,"'�=` s?s .-d a�s�as�•�'i� ..,�
ailerc sob secure ctiv era-pr as rrquired issboltr Section 2aA orMGL Ie_can I[ad 3o the imposition czeriminal ficnalties of a fnc up to St•$llt).lih xtldrnr
.Inc+'ears"ilp fifon a cii as civil fseualoic>in the form of a STOr\\•ORK ORDER and a rate of me.nii is day agtaiwat silt, t asndcrstand Clint
retp�Of ibis tali; eni ma+ I for►%arded le the 4 MCC or invcs 'ulopssa [DrA for clis•crage vr.sficaaion:
:rn datrc do"', iJt + [t liatiaism i tit [r t i tl tde srfiaFareotinat ernsDwC
irla7d a 9rrt r is twee•meat roirrtCF.
�i°•flOauPC � - -
?��Print not e 4 II—hone -
ofTciA!n>c Hall da Hart+sritr uriI- arCa iai tic cum[Itelcd b_•ciit'nr tn%%n official
_ ;
C- cil% nr limn: =_• a lOcrnsiailicrncc tlltuildmr!lclsao mctit t,
®Lii•[ta�in�Ituaa•d
I C cSrrl,if iilulardt:lar ocsIm t.r t. rrquircd . (�Srlrriaue'tt>tDrfic[ i,='
OticalUi t)rliat'imrna
t rentaet Iari.ucr. ______._._.�.._ rAeoar�: r'la)thct
NAI
~,•V:r::.�.....:.... ...�...+... _ `.....�....:_��...a�.... "",-�r-�revias+�.yy��n°'°.m�-.rrm'+>< _ s"reyr.''a"r+'€•:^es:..+se t•�n.e.. - ..�.0•...:. ` ^
i
Suggested AM for Home improvement Contractor Permit Application
For ott9ce Use only NAME OF CITY/TOWN
Permit Na
Date
AFMAVIT
t
Home Improvement Contr:metor Law
Supplement to Permit Application
MGLQ 142A requires that the"reoomtruction.alteration.renovation,repair,modernization,eotrversion,inprovement,removal,demolition.
or construction or an addition to any p ::Wstin j owneraoceugjed building containing at feast one but not more than fourdweliine units or
to struetures.which are adjacent to such resident or building be done by registertai.conaractora,with Certain exceptions,along with other
tnquiietaents.Type of Work: C, 5f v cfio ll 00-( Pcy,�i � ��Cft'� A)t� Est. Cost 60
Address of Works
Owner Name.
Date of Permit Application:
I hereby certify that: 4
Registration is not required for the following reason(s):
_Work excluded by law s
_Job under SI,000
Building not owner-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 PROGRAM OR GUARANTY FUND UNDER MGL
C. 1,a2A.
Signed under penalties of perjurv:
I hereby apply for a permit as age t t r:
O ' J
Date tractor Nalc Registration No.
Notwithstanding the above tiotit:e, I hereby apply for a permit as the owner of the above property:
Date Owner Name
CONS 01; SJt"' ^�V?SOR FOEL'�
?LC-SE PRINT: % .
D'�TE
JOB LOCH rION 1
CCdISTRUCTIOPT SJF=:�1i?Surti 2%E O41
U2AMES't _S �� 3 ([3 // c`�JLl +a�-�_-�-_-• r� �tl�" —
AITj).
LICENSED
_
5 Res�ca�_�i? c`f e�c:� license se ho?
_. �_ _ . =`-. �-==-= '=' _•�_'.� �' '`�� - _ _--`+,^,off"; •c__»y .- �`y S..r.o-_--
0 all
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ru
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m.
GS`._ qul ate, • Gw
C,_C'•J i _ pr �:C C•" .+c,�_ ._1.��'. _► __•�i SaIc ersczz f ze
Cam. _ ^L::� ! C S,Ic esSor 1_cense holder a5
5��.._,�._�...�=:` cam?= ---`_ - __.-- -_ - `-,-•� ��_�»:. 0 C?: .__.=::iC^_'�. . '
T�cC C�:.r '�-- _c?"� i:?: . res*cci S_✓�__�i ac llP.CE�
_k -_--, _C:=�^i_sO:! C. �.�S�z�� nG�S SG_S _n Ea=cSz:.cc:Zoz:-
SS
:Q T L: ^cEC
`,.�r.•.• _ r- -^�!r'y�r QC fy .'. C �VeG-Lz-C GS
�p.
PLOT PLAN
FOR LOT P?
Indicate.locatioe of garage cr accm=cry buikfi=.o
Additions with dashed flutes - ----
Sewerage disrosal(ccupool)
Well � 1
(Lve.......... .17 re:r) �t
hbumwlt s
PIA jP- Wn0;enrV.
Rea: Yard Lot« ��
j ._ ........_ i Co 10VA14J0uE-
ec ner lct,
i I r ere
-.._ r_•r.. - J `^.frcJ ice -- ! c^e- ^c•::.
............ aa..W—•age) r
-. ----- --- -- ---- ----------
(Nzme of of meet)
� � I,1fOCT2r)00
l Supplied by
►�»-1, Nx_', Foil:
___ — �-• --- � _��_._ d Sio,G � is
1��mENS�oNN� FJIto
- A u I*A v6 j
G ll�t3cE EN D Lou vl�a s L s
y•��y i! 6LOC.KIN�r. j
_ ���✓E12 ixv
pAch � �
nn
Assessor's map and lot number.. ...�.... .::
�FTNEtO
y �
Sewage Permit number S.:,��..............................
.:...
BAUSTADLE, •
`House number '.......................:::..�. /....r...........i....................... 90oq�nb 9
'E0 MAY a
TOWN OF. BARN STAB --.•__._
' BUILDING INSPECTOR
APPLICATION FOR VERMIT TO ......................1 ...... ... ..!......../. .Q ...... ... .�.......................... ,
1��vc� _
TYPES OF CONSTRUCTION .......................................:........:....................................................................................
............................:�.� �..19... .
'r
TO THE INSPECTOR OF BUILDINGS:
The undersignedhereby applies for a permit according to the following information:
Location ............. �..�..�:.................. �..../...!. .i........... .!..:..
Proposed Use .......... !....1.. ..................
.'!......
................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
so /� P ........................- 4 �a 1/, n , ��� R�, y�,�I/e
Name of Owner ........................... . .. Address .................. . . .....!...............................v.
/.
Name of Buil�der���h/��f.j- -ef—/ / cldress2:'�:�.....�O��l?.
Nameof Architect ..................................................................Address ........................................./.........................................
Number of Rooms ................ .....................................Foundation ...��1(yQ C -GYtG d `Q,
Exterior ...`-' Roofing
.... r�............ �..s.. ►..... �a. .s
.... ... .. ........
at . C nor T c�
Floors ..... " .. ........................... z. .......
�,.. ...............................Interior .......:.........(... �! .............................
6z `
~ i T ` �r * `Plumbing ..... ......
�fo ..... ., "
Heating k,, ' ' �� :...
Fireplace ' �G `� �G;.. .........Approximate. Cost G... Z70�......................................:........................................................... ......... ................... .....
Definitive Plan Approved by Planning Board ________________________________19-------- . Area ......I ...:: ................
Diagram of Lot and Building with Dimensions Fee ..........,q.. i.. ..........
� 1
SUBJECT TO APPROVAL OF BOARD OF HEALTH
w
1
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.
sz
Name .............. .............. -�..�...:!.�....����� ...........
Construction Supervisor's License .. ..//jj
.........................
6
NaIAK, STANLEY P. & JANET A. A=187-49
No .... Permit for ..12..Story................
Single Family Dwelling
...................
Location ....Lot 1B & 2C 597
.......................... . .. .......
Centerville
...............................................................................
Owner ...... jq-met.A...31.Wq-
................ ..... ...
Type of Construction JTK41M.............................
................................................................................
Plot ............................ Lot ...............................
Permit Granted ....... .......19 84
Date of Inspection ....................................19
Date Completed .... .................................19
7r
Rom. Assessor's map and lot number 1...
Sewage Permit, number .. ...... �q ".. ........ ........ I i 14 TI S Lr. 5 Z EARN STABLE. i
House number .......................�-,..(.......... ........... ` AM
IE4 yt 0 900 b 9
ENV
Pf AAPM f3l ;, 1► G YAY Ar
TOW-N � OF BA INSTABLE x
BUILDING INSPECTOR z
"APPLICATION FOR PERMIT TO ......(..� ..�?T .c.C� ...hll .......................... x
.. .........
TYPE OF CONSTRUCTION
3
'^`ITO-THE' INSPECTOR OF BUILDINGS:
The undersigned he'reeby applies fora .permit according to the following information:
Location ... ......C7 .� ................ 1/i..l.(. ....`..<.../.:..
ProposedUse ...........� . . .. ...... ...... ....................... ...................................................
i
Zoning District .......................................:................................Fire District ..........,
Name of Owner l.4`,b`. . ..V..i..f.. � .. ... ddress ��3../..11./.l.l.:n9... !. G�s...E. !.�t. riN�..P?'�/ Ile
Ik
Name of Build ;?:(.er, 417A Q:c. A .�7�/' /v41�/1�(�,ddress:? 3•..••�O1l.!•l� .•. !.f.. •/lG(" ���f/rlllll.........
Nameof Architect ..................................................................Address ........................................../.........................................
Number of Rooms ..: ................................:....Foundation ....Va.ll-)ef.z...... ............
Exlerior ...(?15� S ... .............Roofing ...... . . .................................................
Floors / /, 0� �:.. /�........................Interior .... :f.../.............................................
......
[�
Heating ...1......7�J�r��.. ..... ....41..�::5......j...................Plumbing :....�...:.....'���1 ,..���.....�Tf .z.
�j
Fireplace ....... ......Approximate. Cost ......... 0®0.............................
Definitive Plan Approved by Planning Board -----------_--------------------19________. Area' .................
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
construction.
Name ..... . ........... .. .........
r, Construction Supervisor's License ...C/. ..L�.��..0
-iO4AK, STANLEY P- & JANET A.
too Permit for .... x ..............
.....Single..Farnily..p?�ipg..........................
...... ...... .. ......
Location ...
..................Centerville................ ... .........
...... .......... ......
Stanley Pl & Janet A,..N.Q.w
Owner Stanley
..................
Type of Construction .......
.....................................................................
•
Plot ............................ Lot ................................
Permit d ..............................February 14 ;q -1,9 84
_-Qrgnte s.........11,
Tom-
Date orInspec�ion ............ ...... .. .......�I 1 gp—
C
Date Co7p I ted .2 9.�. 19 OW
e
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�SS
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is
SUM
•`ems /�°�ST�`l V�� '
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X
t
TOWN OF BARNSTABLE Permit No. ____ —_________
• Building Inspector Cash.639 �
OCCUPANCY PERMIT Bona
Issued to Stanlf=y p. & Janet Nowak Address
f '4_p" fx :7 7 -7 Ilan r,-3*le, Cent-ar—'r.I.I.-
Wiring Inspector Inspection date
Plumbing Inspector ,: ,f1_ Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
Board of Health Inspection date
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.
a t
Building Inspector
FROM
TOW .OF BARNSTABL,E
BUILDING DEPARTMENT .
W. Francis Zaht it �67 MAIN STREET HYANNIS, MA 02W1
Town Clerk ��»��.�.►�����.��������,:,�
Phone: 775-1120
'SUBJECT:
•FOLD HERE - _ • -
DATE Oct. 101 I984ESSAGE.
Work has bin c letsc � cx.Pen ii.t xt2.6t)76�f(��anl e P�,&;Janet.
Please release Bed.
�L Lai,i=cz
• "�!tiFYr.2'F�eX?fi•mar i'4 a�?"94-Mm�• _'
DATE
REPLY
' - SIGNED
• _ -
Ne7•RM1 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. "
$EPT1G TASK 330.x1.5.p"/o 9%GcP � I 6 <
I
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-LOT
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Z 6 45.8
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JI��� '--
�.
/''
I
� r .. _ _. -
�. � `
Assessor's office (1st floor): �r
Assessor's map-and lot number .....!(..�7.........�?.�/��;�....... P�oFTHETO�♦
.&ard of Health (3rd floor): (J N
Sewage Permit number ............... a 0 C f°'d (`IIL......�. ... 2 BasasTsnLE, S
\� Engineering Department (3rd floor):
voo 039.
e�0
t.House number .`........................................... .......
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 ...!6.ul jd ^�l rav f..............................4' ln9llljq.....Gov.�...................................
/ / rV
" TYPE OF CONSTRUCTION rpC 6A!V `^
t
r�/r 6 ��
- -------------------..��.- .....19......--
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
LLocation ........... P ...................................................................................................................
/
Proposed Use A, 11416 ' .SSG(/I ti✓1/ (J9 1 do L
r....... ..............................................................................................................
Zoning District ..........Fire District ................. ..... ..........................................
F .............../ ........................................
Name of Owner ...S `A0 �O tUA � � �7 �A� ���t/le
................ ........................................Address ..........................,...... ................................................... ,c
Name of Builder $J(,F?0. ....... ..� 5.......................Address ..�y.3....� ?'/" (vU�(// ...�• ,�,uvl5 1
. ` .................... . .. ......... .,. y
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ..................................................................Foundation . '0a Exierior
..............................Roofing
Floors ................................................................:.....................Interior ... !!L L
Heating ..................................................................................Plumbing ..................................................................................
Fireplace ..................................................................................Approximate Cost ........... ..
Definitive Plan Approved by Planning Board _______________________________19________. Area ............
�.............
Diagram of Lot and Building with Dimensions pRpA�f " �` Fee ...............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
40'
ro
�v
7, 7"`7
/ A 0
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.
Nam . ...... ....�... ....!�� ...........�,.,�j V
Construction Supervisor's License d�1ro73�
NOWAK, STAN A=187-49
29350 Swimming Pool
No ................. Permit for ....................................
Accessory to Dwelling
...............................................................................
597 Bay Lane
Location ................................................................
Centerville
. ...............................................................................
. Stan Nowak
Owner ..........................................................
Type of Construction .............Frame.............................
................................................................................
Plot ............................ Lot ................................
16,
Permit Granted ...........M......ay.....!.................19 86
Date of Inspection ....................................19
Date Completed ......................................19
X � e
'q.
SL
Assessor's office (1st floor):
Assessor's map,and lot number .....�. .... ... ../ ..... Q�of
TII E T0�
"13bard of Health (3rd floor): SEPTIC SYSTEM MUST BE
Sewage Permit number `�C`
9 ••••••••........�............... .. ... .... ...... INSTALLED IN COMPLIANCE tBABH9T11DLE, i
�.Engineering Department (3rd .floor): WITH TITLE 5 b, 0�
a
House number r� °��'�oyara�
F ENVIRONMENTAL CODE AND
APPLICATIONS PROCESSED 8:30 9:30 A.M. and' 1:00.2:00 P.M. only TOWN REG,ULATIO��S
TOWN. OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO v ...................................
TYPE OF CONSTRUCTION ..... Y�C .. ..: !.1� �....................................................................................
�; /�.................19.!6
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........l.......... ...
ProposedUse A- X 4'0......S!fli /..4! ..... ...Q.........................................................................................................
Zoning District .......`.................................Fire District .....-........... ..........................................
Name of Owner S7'A v /V d wA Address ..:'�. �1....°QA Q`Yi'� .�/�
........................................................... ................................................
Name of Builder ....kv!'. a ....... vo.LS �.....Address ..�j..!� Q?�f'...< .f/.fi.�
Nameof Architect ..................................................................Address ....................................................................................
Number 'of Rooms :. .............................................................Foundation ,'VCVY7l.=............
Exterior ...........................................................
...........Roofing ....................................................................................
... .
Floors ......................................................................................Interior ... L.......................
Heating ....................................Plumbing ...........:......................................................................
7/i�o60 Da
Fireplace ..................................................................................Approximate Cost ..........?........'..............................................
Definitive Plan Approved by Planning Board __________________ -_19-____
------------- Area ...........................
Diagram of Lot and Building with Dimensions S'if-Pra�e SH'V'Vr Fee ,,r�,r.l---- ...............
SUBJECT TO APPROVAL OF BOARD, OF HEALTH
,59 '7 ' 3AI X44le—
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.
Nam ...ie.. . .. . .............
Construction Supervisor's license ��� �
f
T NOWAK, STAN
29350 Swimming Pool
No . . ..T. .............. Permit for ....................................
e Accessory to Dwelling
Location .597. Bay Lane
-� �..� .Centerville ....�. ...............
k ... ....� ' ............ . _ 4
x` Owner ......Stan Nowak............ .. ..
r � Frame .�................ w ♦ .-,- � � � •� . { • � i �.
Type of Construction .......................................... ► '.
Plot{.- ........................ L'ot :................
LJ
Ir. Permit Granted ......nX..l'6
Date of Inspection ....................................19 ~
' Date Completed ........... ...,3. ............19
t:,3 "Tis R
'l
1 _ •
ro