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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 900ZM,ZL ua id �LS�OI uosBaa VO1OV2l1N00 WON sp-lepugls pug suopuingag But Pling to paeog � ✓le-�o�vrzoottoeal� a�✓��ovac�uueCfa ' 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 E'Z C.S ru � ._c --_ - . ,.. u�:S 'Gr=1'r- a G.~'%i�r_.. L a %r:. r = _ - FP_ C 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 au -0:;i� �SS • v l� e 't q.to '3 h is SUM •`ems /�°�ST�`l V�� ' GE2T/.may TN,gT THE {7OD4JDt�7-7a.l y; f.�ol-✓✓N yE.e��rl/Cow-!PL ys �c/�rh� -5CA L E- /� F'p• 0.47'E /"-'0 � yE4UieE�9E.c/�S of TNT" 7'ow�t/aF .AAl ,eE�E.E?E�/G•E- 3Al2A-L5T,413C4cT A.vo /s T• �T" /8 �' LET '2 oCA pG.�l�l �7G �oT /►�iAGr�C-�STtr� � �sr�•�9 rf//S P.C.4�//S �t/oT BASSO 4%,V Ate(/ .2EG/STE,2EL� L /O SU�2V6Yt�t� �t/ST,2UM,E�t/T s'l/,21/�'}i� 7"y� QSTE.2✓/.Cl�a /'1.4sS. �. �•4SE TS Syoda/�/Shl�vt� �t/aT 8� A��.�-/C.4�/� s77A N 1,6a,,A SEp 74,1 e 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 USE- ►OOo CrA�. dT �* N IUOQ COAL. v I� 26�S7Z, Dl5P,06AL P►T . v4E 5►Vr WALL AR6ta Ir�os ;5 F �"X '2�:5 r �°•375 G PP I � :y�P/�,�q 3 "' e !y. $.F x 3& Y� ,fig I 'T.oTA4.: C>1<S►GN = q-25. �?o _ T . 1 ! :� � �/Y � :��� ,, -LOT t 'ToTAI.' DA►�-Y� FL�w '33o G P�� � :" � %F `,. '�t� ' [07" n!-`-' `.PE2C'ot_ATION RATE. I'�IN Z ° Z 6 45.8 �G it z�4-� h v y . %,�� v� 43 Hlt rlAh?U r ,= ALAI) ` ( �1� . �. j I �. �$►7 7 t . Nr a 4,, I �►t �t-• - 13i\_..j .... .4a':$ LA NC Not I jwv AM " loon ►NJ #' Kam. DIST INS. SGcrIG 4GJ �I Z 00 6u l'J �CS. 47 I _PIT % iNV , k `.WA!►1GD ,, F y 4 s � . C�QTIFIGR P.LQ-r PLm 4 o:C P.RoFrr `- L. 4 i t I � a N: IT�JZ1/I L-L 3Z 13 ENO. SCi L.E 'pP.T�; M V�/A�- rt.. �t-�� 't F EQEN GE Y�, p p,L.I RE i G E RT►l Y .'. -T 11 tt-�T ?:N Elbw r . 5N. 0,trYN t F 2. �{E.REO►.I 'C,OMFL-` 6_ WIT.N.'T NE S 1�E1=►N� s : � � '� �- (. � AtJD` -5I=,Te GK' R.6RU►Q.C-NIENT.;:DF 'TN�> : ' Aw.�3of � ' F(Z �or.�Ici- I L.oCpTE.P WITH►►J NE Gl.00D RL:L►.I1.1 i DI.TE I-2� 1-3� Cc• :. BA.-AT aV_p- IJ`(E LNG.• J - � - EG 15T E.Q6�'r,.AN o S P w EYo25 I ' '� : 'Tul`S PL QN t.� No_T C3ti5ED os'rECZv►LL • MASSY - -� �i ItuS-t'R.�MENT S�QVE`( �"f�HE : ►JoT APP OWAK -t;>E V5EOT0 VETERI�I►.1� l.cr t_IN, j LIGAN-r• c j 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