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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