HomeMy WebLinkAbout0155 BRALEY JENKINS ROAD l 5� �$rxt e 7e� k s h s�-Rc,�,�.
��
� � o
4 o
e
o e - A a
a a � o
n
ti � � - � � o n
o
o � � � o e
u
{
1 - I
l
Town of Barnstable *Permit. .D �(o
Expires 6 months from issue date
VTgulatory Services Fee
BAM
p16 3; � Thomas F. Geiler,Director
JUl. 1 Z013 Building Division
Tom Per CBO, Building Commissioner
CiAR�S ��Street,Hyannis,MA 02601
-TowN 0 www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY
l-1 � ,Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address s R 6e� � ..
X Residential Value of Work$ 5 " Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address OX i6M T)
Contractor's Name , � ,� Telephone Number �u � 2 - � a.
Home Improvement Contractor License#(if applicable) �v 5-6 Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
I am a sole proprietor
I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box) .
"&xe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to c)aw &I
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side.
❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical.&Fire Permits required.
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
re uired.
SIGNATURE:
Q:\WPFl1,ES\F0RMS\building permit • XPRESS.doc
Revised 061313
1 '
i
the Commonweahh of Massachuseft
arhnent of Industrial Accidents
Off we of Investigations
600.Washington Street
Boston,CIA 02111
wwt�m�gov1dia
Workers' Compensation Insurance Affidavit Birders/ContFactorrs/Electricians/Ph nbers
Aplificant Information Please Print Lgebly
1'1.$me�I1.i�IfIP_@4�TL?A'I�l"J�Af1VWlilUtYJillld�� .1C�` D� V f � .
c
Address_ 3 �n cli 41VVL f fJ As'
City/State/Zip: 0/M r( .Plane#
Are you an employer?Check the appropriate boa: Type of project(required):
L❑ I am a employer with 4. ❑ I am.a.general contractor and i 6_ ❑New construction
employees(full and/or part-time)-* have fired the sub-co ctozs
2.X1 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 wwkers'
[No workers' comp.iumnanre comp.insuran r I 9. Building addition
required-] 5. ❑ We are a corporation and its 141-1 Electzical repairs or additions
3-❑ I am a homeowner doing all work officers have exercised their 11.Q Plumbing repairs or additions
myself [No workers'camp- right of exemption per MGL
insurance mod-]; c-152, §1(4),and we have no 12.0 Roof repairs
employees.[No workers' 13.❑Other
comp-insurance required,]
' YAP&teat that checksboatCirre also fill out the sectionbelowshowingtheawoi$ets'coaapensatimpolicyintmatitm.
Hameaouoers Who sabanit this affidatdt indicating they are doing aIt w o�amd then hue oats&camaactois mna submit anew affidavit indicating suck
IContrxmn that check this boat mast attached an additional sheet showing the name of the sd)-camnamoia and state whether cwaat ftse entities bne
empboyees. If the sub-cmuactws base employees,They ixotst provide thew workers'comp.policy mnuber_
I am an empinyw that is pmviaYng workers'.conTeasaiian immrance for my eneplayves. Bdow is the palky w d job sites
inforrra om
Insurance Company Name:
Policy#or self-ins.Lic.#: Expo&n Date:
Job Site Address: City/Statelzip:
Attach a copy of the workers'compensation policy declaration page(showing the:polity 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 imprisonmentas well as civil penalties in the fcxm 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 isorwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby under the pains and penjhYes afperjury that the informatiou,proW&d a is lard carrecat
Date: 71161
Phone#:
Oj ffW I use only.. Do not write in this area,to be completed by tally or town affi al
City or Town: Permitff kense#
Issuing Authority(oarcle one):
1.Board of health 2.Budding Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone 9:
it e
,.;• k�NI'atitii�huscttS .Dejl ll tment of Public ndar�
Board of.But Rchulutu�n� and Stand u d
r S ecialty License
'Construction Sup
ervi
so p
L 9 9 486
S
S � ..
License: C
Restricted to: RF W S
PETER SMITH 4
O B O
I 36
. X_
P
I
7
CUMMAClUID, MA,0263
i
Expiration: 11/1/2013
Tr#`. 7029
('on�missiuner
a.an;eugllis moq;! en o _ ...
• P. T 1\[ � 4
—i��`— f�ela�aaslap6n'
zo ew 'GinOVYY vy
no
_ 1S NIVVV 9Z i
xyc
6£' ` 9
t ' H11WS 8313d i
1N3W3A02idWl{
9TTZ0.�'Lti.`.uo;sog INOHIHIIWS f 8313d
,uogeln2ag ssau,sn u OLIS a;ms-ezeld 41ed OI yga -
g.P esr�e33E' ,auinsuo33oaa!330 + :adl;1
bGQZl8(g �u011pJ1 x3 1
:o;urn;ar:puno33I a3ep uo!;ealdxa ay;aao a 096041
3 q.
Cluo asn lnp!n!pul ao3 P. uo!;ea;sl;Ial�o asuaa!Z uoyetn�agOssaulsn ' udWi�;si6aa
h211NQO 11V3W3AOZ1dW1 3WOH
1
7ann��x�cnvljy�.�7,y aznro?cLeuo�. p paUJO
i
r-It
ce
at
1 / ,
t{it�
i
g
iM1
k
3 20/3
ti 7 -o 3
r
r
��`TME'0• TOWN OF BARNSTABLE
Permit No. ...��?..•'�.`�...... •
BUILDING DEPARTMENT
{ D°81" I TOWN OFFICE BUILDING Cash
..........4.1
�• �YR` HYANNIS,MASS.02601 Bond ......�...
CERTIFICATE OF USE AND OCCUPANCY
Issued to
Address Lot n1 39 7 55 Ri-pli oy- jonkin.c z2rair1
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.
...... A.pri1..29.!.... 19.....$.7........ !. !fir..
Building Inspector
1. • ' ,e
�Po`T 'O°ie TOWN OF BARNSTABLE
a BUILDING DEPARTMENT
= SARNS
r" TOWN OFFICE BUILDING
a
Mgr .639 HYANNIS, MASS. 02601
r
v
1
MEMO TO: Town Clerk
FROM: Building Department
DATE: Apr
0
} , . • An Occupancy Permit 1as been .,issued,,for- the,,building authorized..-by
IrBuilding Permit #........ - 1. . .................................................................. . ................................ ................................_..
issued to .4..r_1v'..e.��: ....-���'G llceiS._:_r..0............ .✓.. ..... ..r'`5..: _..fv �`1_ C c1/ci.�s /�(
Please release the performance bond.
,t
j } TOWN OF BARNSTABLE, MASSACHUSETTS IOUILDING PERMIT
A-172-206 (
DATE C�l7 V'I.::!l�i c:l' '), 19 U�U PERMIT IN
APPLICANT 1:�=bE'..1 �..`,C3llo:ar TTU!:;C. ADDRESS {_�) (�(ra il+)111'W ) ') Ifs?` •il��.• NG4.�11.? '
(NO.) (STREET) (CONTR'S LICENSEI
l t LL
OF
PERMIT TO 13ulld 1!',eillit£; ( 1 L ) STORY 'U'L'(}=.1''' Fam�l Dwelling. NUMBE-DWELLR
UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) Lot ��13(17s 155 Braley ,fi'ii1�7.TtR It:)c:C)' �'.NT'!i'r�Y'Ji 7 l;.o DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO.BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM,IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: JF�4Vc2} r f66-411
AREAVOLUME 1324 iCi, [• _ ESTIMATED COST $ 5U1600.00 FEEMIT 106. 0
(CUBIC/SQUARE FEET)
OWNER
Lebel Salluws '1';'us8t <� r
ADDRESS 131 Old Rte 13,2, t1y;?S111: BUILDING DEPT.BY
THIS .PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR
® PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY OBTAINED
'FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2..PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTILMEMB -
FINAL I SSE TI TO LATHE FINAL INSPECTION HAS BEEN MADE.
3. FINAL I,JSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO. IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
a �
� 1
2 2 -- --- - — 2 —
`3 ,I' F ;
3 L., C jk HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
L
BOAR F HEALTH
• l � �6
WORK SHALL.NOT PROCEED UNTIL THE !NSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. ll PERMIT IS ISSUED AS NOTED ABOVE. I NOTIFICATION.
l..
Z 8b. Cc 0
7- /Z/0)
V
N 07vx
9
V
�• �>,t h Q
o o �
o
P
+lQ
3 z�. 4743 `l
' � T
CERTI FI E C PLOD" PLAN
L 0 CAT( ON: C44E~VTE��I�� � /yJi� •
F 0 R: �'�--dEG-SaGC,000.5,p��/ Gao/YI,E�T Coe�o .
5 C A L E: /"i 30 DATE:
R E F E R E N C
C�v ,o•LAAv�EG020aC>i97- 3,4 2,e 57- ,a t�
.e��lST2y D A T
�•U9'�L�� 3� ��o c�E' 23
1 CERTIFY TO THE BEST OF I�IY KNOWLE GE E LAND SUR V YOR
AND 9ELIEF FROM INFORMATION ACQUI R
THAT THE�U-40A '7"/OA--" SHOWN ON TH15 PLAN
IS LOCATED ON THE GROUND AS SHOWN HEREON. OF
4osEPH
M. M4
edoNAHAN,JR c
J. M . MON .AHAN, No. 1368®JR . & ASSOCIATES t4o13ER��OQ
IST
PROFESSIONAL LAND SURVEYORS & ENGINEERS `9NQSUR4�
TOWNE PLAZA - 900 ROUTE I34 - SOU_TH DENNI_.S, MASS. vo
. � o6
Assessor's office (1st floor): _ T FTHET
Assessor's map-and lot number ..............................
f........... Qom° °�'♦
Board of Health (3rd floor): SEPTIC SYSTEM M o"
W
Sewage Permit number ........`.................. ........... .... . ..... INSTALLED IN COMP 'STABLE,
gngineering Department (3rd b�.
floor): WITH TITLE 900�
House number ...;1_ f" .— G f- ENVIRONMENTAL 5 '� a.
CO®
APPLICATIONS PROCESSED 8:30-9:30 A.M. and' 1:00.2:00 P.M. only' s�l +`�'t f �pI P`rr
Y ,
TOWN . OF BARNSTABLE
BUILDING INSPECTOR,
APPLICATION FOR PERMIT TO .......... ., ... 5. .2y... !'""cJ 5 .:....................:......................................
TYPE OF CONSTRUCTION � M.�%......................
Q/
.. ...... ....................19_.Q..0
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
AJSLocation ....... ... .7. ..... ......... ...................................�. .......... ....................... �.....�................
ProposedUse �Gv LL C........:.......................:........................................................ ..... .......................................................
Zoning District ...:........1 ..��.......................:........................Fire District v- CD,
..............................................................................
Name of Owner F-............... �S.� S
............ .l......Address .I.. .....D ........... ..13Z y4�wt
Name of Builder Q -".. 5......, G .......Address ....................................................................................
Name of Architect ../..(/ 5/..a.�i........PO�'� Address . . ........�t>2tir.TIf�P.�.......................
7...........
Numberof Rooms ......../..........................................:..............Foundation ....... ..... .............................................................
tc-!�PS / S�1 -� (�sS
Exlerior .............................................NJC �-- .......................Roofing ...........5. ...........................:
Floors ...........P GtJbO. ...............................................Interior ...... ................................:.............
ri
eating .5.......................................................Plu bing Y�-
m .f............ .................................. ................................
Fireplace .............. fj.......................................�............Approximate Cost ..... .� a 6 0
+Definitive Plan Approved by Planning Board ____�,C _� ________19 Area ......... . - .. . . ........L p
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH W
o
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ............. ......................... .. ..... .................................
Construction Supervisor's License .6.43434
...........................
C1, 4r2B'EL`SOLLOWS TRUST
No 30-148 L permit for 1 Story
} ....................................
Sin le Family Dwelling
_
c i .,_...-.. . .....Y.......................................`
-Lot #1.39 155 Brale Jenkins Road
' ='
Location .....................t....................... .................. f^ �,
Centerville - M
1 ... ............... ,
Owner Lebel gallows Trust
• ••
� Type of Construction' ......F........ram..e........................... - `; ,-� ,•� ; . -
.................................................... ........................... ti ...
d.
'Plot Lot ................................
Permit Granted :......Novembe 19 86 <" r
r Date of Inspection ........ ...
r
�Y •
Assessor's office (1st floor): N
_ _ FTNE T
Assessor's map and lot number ....`. r ........... P o
Board of Health (3rd floor): Q-
Sewage Permit number •••.••..•• t EAWSTADLE .
Engineering Department (3rd floor J' o rasa \�
9
Douse number �� � �- o i639mili A,
•
«1.
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
d
TOWN OF BARNSTABLE
BUILDING INSPECTOR
r/APPLICATION FOR PERMIT TO .../.-... —5 7-0 fzy 416 0 5�
,....... ............................................................................................................
....TYPE OF CONSTRUCTION w��� �� M C'........................................................................................
......... ................19...?.C.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
r
/ --- 3 Q b.e.9 c- -- 1 G
LocationL .1....... .........!..................................................m/d-N. .......:�-r........ ...............................................
�GcJ�LG 1�
ProposedUse ........................................."Z.................................................................................................................................
Zoning District ............ ..��................................................Fire District ...............L�o...V...�..............................:..............
Name of Owner - �� -�Id s. 5 l �L�� 7L 3 2 4yqjGil
S
........................... .........Address ..�..�...........................................................................
Name of Builder ...... .........5......P��k........Address ....................................................................................
Name of Architect !I/62?`/:SZ.ID.6G.........!��?.����......Address ...C27��...........Y�2/1T.��.'�. —.......................
...............
' Number of Rooms ...............................................Foundation 00 j
..........................................................................
Exterior ...........n........................................................................Roofing ................... .. ................................
Floors co.ccJClcr�.��........................................:......Interior ........���6JA.�..............................................
................
Heating �� !...........Plumbing ( f C A?,. ............................................ ..................................................................................
Fireplace .............. e.- ........................................................Approximate Cost d 660
...J...........................................,.........pp�
Definitive Plan Approved by Planning Board ----`!_ - ---------19 r'
Area .........� .. ......f
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. /f
J3Construction Supervisor's License �
LEBEL SOLLOWS TRUST A=172-20 - 171-230 `
s'
No ..30148 Permit for ...1 Story
Single Family Dwelling
Location .....Lot #139, 155 Braley Jenkins Rd.
. ..................................................
Centerville
........................................................................I......
Owner .......Lebel Sollows Trust
.....................................................
Type of Construction Frame
.......................... .................................................. .
Plot ............................ Lot ................................
November 6, 86
Permit Granted ................................. ......19
Date of Inspection ....................................19 I
Date Completed
r
j