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Home My WebLink About0165 BRALEY JENKINS ROAD i�� 1 oFYxe t� Town of BarnstAle "permit# P� ti )cpires 6 months e orn r r dat ' Regulatory Services: Fee r Z. RARNSrastY, a MASS. a v$ i639 Thomas . Geiler,Director Building Division Tom Perry,CBO, Building Commissioner, -200 Main Street,Hyannis,MA 02601 www,town.barnstable.ma.us Office; 508-862-4038 Fax; 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid 3vithoir.t Red X-Press Imprint , Map/parcel Number Property Address , � S ` � ,-e ®/Residential Value of Work 7 i ® Minimum fee of S25.00 for work under.$6000.00 Owner's Name&Address .c- 0'`je LLoP,f U 1 �r l` Telephone Number 56 JG 2 �5 Contractor's Name% � �:.�� %'li� A�Ir�_ P Home Improvement Contractor License#{if applicable) � � . 0 Construction Supervisor's License# (if applicable) �' N96 ❑Workman.'s Compensation Insurance Che one �>' r.�Q10 I am a sole proprietor. ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance' TOWN OF �ARN'ST/�Si��' Insurance Company Name Workman's Comp.Policy# k Copy of Insurance Compliance Certificate inus.t accompanyench permit.. Permit Requesf eck box) P Re=roof(stripping'old shingles) All construction debris will be taken to -] Re-roof(not stripping. Going over: ' existing layers of roof) # of doors ❑ Replacement Windows/doors/sliders.U`,Value (maximum .94.)# of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations r.e.Historic,Conservation,etc. 1-01 * Note: Property Owner must sign Property Owner Letter of Permission.'.. copy of=the.Home Improvement Contractors License & Construction Supervisors License'is . r quired: QY OW A'T'.7 T-0V The Coinrnpril•vealih of Massachusetts —� Department of lndustrial Accidenis �57 Office of Investigations 't 600 TYashington Street L!1 Boston, MA 02111 Wit ' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leg ibl Name (Business/OrganizationAndividual): Address:?d ?fit 3 �� dt%A6 Ci /State/Zi vft)I)l vl19. /'1r'f d�n Phone �JJ �� ty Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6; []New construction �Iam loyees (full and/or part-time).* have hued the sub-contractors 2. a sole proprietor or partner- listed on the attached sheet. 7. _❑Remodeling ship and have no employees These sub-.contractors have g. Demolition working for me in any capacity. employees and have workers' 9 0 Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. �'We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions s right of exemption per MGL 12. - , oof.reparrs . ... _. . aired. t c. 152, §IN,and we have no insurance required.]] 13 f] Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavii indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers`comp.policy number. I am an employer that isproviding rvorkers'.campensalion insurance for my employees. Below is,the policy and job site information. Insurance Company Name: Policy# or Self-ins. Lic,#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure to secure coverage as required under'Section 25A of MGL c. 152 can lead to the imposition.of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statemept may be forwarded to the Office of Investigations e D1A for insurance coverage verification. I do hereby rt• a der the pains and enallies ofperjury that the information provided above is true and`correct. Date: Si anahtre: �y Phone#: 6 v J C Z ' 3 •�6 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): ,, 1. Board of Health 2. Building Department 3.'City/Town Clerk 4.Electrical Inspector.5.Plumbing Inspector h Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for.their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." ti An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair.work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until. acceptable evidence of compliance with the insurance ,requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your sihiation and, if necessary,supply sub-contractors)name(s),address(es)and phone Dumber(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with no employees other than the _ - -.,....-.._. ance. members or partners,are not requued to carry workers compensation msuiance,' If an LLC or'LI,P does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit./license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for fixture permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised4-24-07 i ky, L/jA. (w t �e zr S - {� t+ ` i mot•�'��' � .��-� ',;"t,t.,�,�.. i e \' Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expirationdate. If found return to: Registration: T e: Office of Consumer Affairs and Business Regulation 9• 150950 Yp Expiration: 5f8/2012 DBA T10 Park Plaza-:Suite 5170 Boston,MA 02116 PE ER J.SMITH' ME IMPROVEMENT { t _ PETER'SMITH - 3925 MAIN ST `4, �.. :> g CUMMAQUID, MA 02f37 >" Undersecretary Not val d wit out signature 9811766 :#J1 �ouoissiuuu�J t LLOZ/L/LL .uoijejidxg r�4� W £9ZO.�JW 'al(lbb'W 13381S NIVn 9Z6E H11rWS H313d s Y SM`B21 0l'Pai�u;sab 9f?b66'lS.SO asua�r7= asuaoll AllemadS:aoSlA.1adrig uoi;oniIsuo0 snaupurls put. suoi}r.ln aH aippn8 jo p.irog jh•41>.S �.iltlnd.}o luawl irdaQ - sllasnq�t stir lv Map sZ Parcel. c;2,0 Permit#' R S T J House# Date Iss ed 41�oard of Health(3rd floor)(8:15 -9:30/1:00 "``�'! Fee - 00 . conservation Office(4th floor)(8:30-9:30/1:00-2:00) J Qno p SVR INUST BE Alag (1st floor/School Admin. Bldg.) "sY' Y WANCE D fift4- -Pi Approved by Planning Board 19 �, y� W I � TOWN OF BARNSTABLE 'E°"� Building Permit Application , Project Street Address / (O JS aeat Village � �/E 1 Owner ,\' eOV/.e- ?-q(p�/F ifPU Address M :Telephone Permit Request e- _ :,+� 102 l� 16 . ,First Floor square feet Sec d Floor square feet Construction Type Q ` y fj p (� ®� , Estimated Project Cost $ 19-00 Y0 Zoning District , C. Flood Plain Water Protection Lot Size 0 Grandfathered ❑Yes Flo Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure e#-A- Historic House ❑Yes . 01!hlo On Old King's Highway ❑Yes M�No Basement Type: .Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) O` Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing Co New First Floor Room Count � Heat Type and Fuel: "Gas ❑Oil ❑Electric ❑Other Central Air QfYes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes Flo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) 4Attached(size) �� 71- 61161C AW?,4- ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULT G FROM THIS PROJECT WILL BE TAKEN TO y SIGNATURE DATE BUILDING PERMIT DENIED FOR TH FOLLOWING REASON(S) ►��2 'R� f i • FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF,INSPECTION:' ' FOUNDATION FRAME INSULATION n FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ' } ROUGH FINAL, t FINAL BUILDING r DATE CLOSED OUT . ASSOCIATION PLAN NO. + . 1 SUMMERFUN A B O V E G R O U N D P 0 0 L S , w. 'v ? .. �y r THE ESTATE CANTAR, one of the most respected and enduring names in the swimming pool industry, offers 30 years of manufacturing experience and expertise to its SUM M ERFUNI"Above Ground swimming pools. Available in two models, these "made in America" pools are built from tough, top-of-the-line components, designed to give pool owners year after year of trouble-free swimming enjoyment. A SUMMERFUN® POOL...AN INVESTMENT FOR A LIFETIME! A CANTAR SUMMERFUN"' pool is truly a great investment. It will enhance the beauty of your backyard and, at the same time, provide a great way for the entire family to get more pleasure out of those hot summer months. Teaching your children to swim is not only fun, but also gives you the satisfaction of knowing the kids are safe around water. And swimming, is one of the most enjoyable ways to get good exercise — regardless of your age. So, come on in! The water's fine! Bonderized Coating Alkaline Cleansed Chromic Seal Zinc Galvanized Coating Epoxilast®Finish Alkaline Cleansed , , „ „ Our top-of-the-line pool comes in a choice of 48-inch or 52-inch wall heights — giving bathers four extra inches of water depth if desired. The ESTATE pool begins with a super strong steel core, coated inside and out with layer after layer of the finest corrosion resistant materials available (see wall and frame above.) The outside wall is a beautifully finished adobe pattern, applied with our exclusive DURACOTE process consisting of an epoxy base coat, 3-color vinylized inks and a UV stabilized acrylic top coat for extra long life. The 8-inch frame has an extra coat of 6-mil PLASTISOL providing a corrosion-resistant barrier. The ESTATE pool has a beefy 2-piece resin connector cap that attaches to the upright. It also has a 25-year limited warranty and comes in the following sizes: ROUNDS OVALS 12' 21' 12' x 24' 15' 2 4' 1.5' x 30' o.. 18' 2 7' x NEW A DIVISION OF CANTAR/PMAIR CORPORATION 1100 Performance PI./Youngstown,ON 44502 www.cantar.com CALL TOLL-FREE FOR THE CANTAR SUMMERFUN'POOL DEALER IN YOUR AREA 800-448-2343 r L Y °F VE r The Town of Barnstable • s�uvsTnsts. • 9�A � 10�' Department of Health Safety and Environmental Services rfo ram" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossi:n Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date 6 I In 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. 41 /� Type of Work. h9�TAv �U e(� Ad Est. Cost so Address of Work: �S_ d el LT_ Owner's Name �C tot, TC16 Date of Permit 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 1 hereby apply for a permit as the agent of the owner: i Date Contractor Name Registration No. OR Date Owner's Name c TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB. LOCATION / �� 1 f P C f.9 rNS 2 P/ Number Street address Section of town l 7 "HOMEOWNER" v� 7 �� ,W f o -771dl- %� Name Home phone Work phone PRESENT MAILING ADDRESS City town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on Which he/she resides or intends to re- side, 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 Offi.cia- on a form acceptable to the Building Official, that he/she shall be responsil°)1F- for all such work performed under the building permit. (Section 109. 1. 1)� The undersigned "homeowner" assumes . responsibility for compliance with the -Sta= Building Code and other applicable codes, by-laws, rules and regulations. a . 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 wi said procedur and requirements. HOMEOWNER'S SIGNATURE elf APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such ,Home Owne: shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for , licensing Construction Supervisors, Section 2. 15) . This lack of awarene; often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "dwner actir. as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/tier responsibilities, man communities require, as part of the permit application, .that the Home Owner 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 to amend and adopt such a form/certification for use in your community. 1 r_. -__-__-- The Commonwealth of Massachusetts p< S Department of Industrial Accidents Oficeof/nsestigations j � 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: ' location: /& � P��-el J�i�(CI�S• city `P o fz,,L Lit' phone# J0' I am a homeowner performing all work myself. ❑ I am an employer providing workers' compensation for my employees working on this job. .. . company name:. address: city: phone#i insurance co. - olicv# a sole proprietor, general contractor, r homeowner(c' cle one) and have hired the contractors listed below who ve the following workers',,..compensation polices: address:- . city. phone#; - :: insurance.co ohcv# tdinyanv name.- address: city- shone#: olicv# .. ....:. .:......:.:::.. insurance co.: ' Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under lie pains and penalties o ry that the information provided above is true and correct Sigaatur / Date o _ �`/� e Print name u ` `2� Phone# L/� �— Y r official use only do not write in this area to be completed by city or town official city or town: permit/license# []Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Oiflce _ ❑Health Department contact person: phone#; ❑Other (revised 9/95 P1A) 1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted-to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pt;m:16,or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the peimit/license number which will be used as a reference number. The affidavits may be returned io the Department b mail or FAX unless other arrangements have been made. er y The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts .,'tsti,Fest. Department of Industrial Accidents Me of Investigations z ... 600 Washington Street - ... Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 K-:., , .sy-:,ti.*"'.;^.r,,a-"-'^4'r'...;1;`Y 7.•,.}-..Y• r...,:}.+i�.�,a{�!�'rY+'S�.r.+�X?.��;"�'"'a..sG`ee •..,�1f'"w."+L:.'?"LfYf "'y°'� ihc:.'°i`A..7(�:;'e'y'F+�lG'Q.Mr'^P�"_u+,�.. -, .T-. ,.-P•..,..,,.,,-. � .;,,...- �_ w p.TMF TOWN OF BARNSTABLE Permit No. ..317.43..... BUILDING DEPARTMENT IF }D°8;a TOWN OFFICE BUILDING Cash °�tomr HYANNIS,MASS.02601 Bond ...... .1. 4 CERTIFICATE OF USE AND OCCUPANCY Issued to Lebel Sollows Trust Address Lot #140, 165 Braley Jenkins Road Centerville, Mass. 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. December 8, 88 19................. _. .,. ... .......................... Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT = rsaieTAR TOWN OFFICE BUILDING riva HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: 1-- e An Occupancy Permit has been issued for the building authorized by BuildingPermit #: / l•,.......................................................................................................................................................... ........ issued to Ze,1- `_...Sl...L.—�Ws.� �..... .... /��...... / 5 �rfi'..Z�y..: Please release .the performance bond. O ♦- =WN OF BARNSTABLE, MASSACHUSETTS BUILDING PERM. DATE 19 PERMIT NO. •�' APPLICANT ADDRESS ' (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO (_) STORY NUMBER OF_ DWELLING UNITS_ (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 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 (1YPE) REMARKS: AREA OR -- --- PERMIT VOLUME ESTIMATEDF COST � FEE (CUBIC/SQUARE FEET) OWNER BUILDING DEPT. ADDRESS 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 BE 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 UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CAR® SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS i i z 2 0'��— _ ----- 2 f �U } HEATING INSPL-CIIUN APPROVALS j ENGINEERING DEPARIMEF�Ii S S OTHER -- - BOARD OF HEALTH 4� WORK SHALLNOT PROCEED UNTIL THE INSPL-C- PERMIT W!L L B E'_JM Ee tJ U L L AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF i WORK !S NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CGNSTRUCTIO1, PERMIT IS ISSUED AS NOTED AB-OVE. NOTIFICATION. s Assessor's office (1st floor): THE Assessor's Assessor's map and lot number, ....L.,.... .... .��.........�............ SEPTIC SYSTEM MUST B �Q�o oh o Board of Health (3rd floor): �. INSTALLED IN COMPLIANCE e Sewage Permit number C ................. ..... ... i MAUSTADLE, WITH TITLE 5 Engineering Department (3rd floor): _ r,, vo rues m� g g P -6� `1` ENVIRONMENTAL CODE AND O H03 , dousenumber t..................................................................... p YAK APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only' TOWN REGULATIONS, - r TOWN. OF BARNSTABLE BUILDING INSPECTOR I / N C r 1 D 1 /2 �7rd fL5/ # cis APPLICATION FOR PERMIT TO .:.........................................,.,.n............................................ ................................... TYPE OF CONSTRUCTION (Q� rga :!.�......................................................................... ............ ... .... ..:....... ...................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............ ..... .................. ./......................I...............(................................... ......1/ ' Proposed Use ...........�� .ur.J?qA............................................................................................................................. ^...G.................................................Fire District .......L/. ............. Zoning District .................... ......................................... Name of Owner Cam. QL�-OI(/>�......19.0 T7...Address .��.�..G�/�—�...�� i-� � J J��......__........� ..... , ...................................... .AJO� I L � � � Nameof Builder .. ...... ...........��........Address .................................................................................... ��( ll /n� /l w,� // a/�T /v�/� �/�� vri .�. .rv..Address 6� 2/� Name of Architect ........ ..................................... . ....................................... ,.. Gn2�� Number of Rooms ..................................................................Foundation ...... �l c ..................................C.................................... J Exterior ...... � P 5 .Nt .L.LJ�..............Roofing ........ , .P..� ............................................. . . .... .................. Floors J .7. ®Q� .Interior / .............................................................. w C Areati .�!S� .....2......S.....A............S...................PKCf !�. ��Fireplace ........... E5 ..........Approximate Cost ... j.. .............................. ..............................................: . T S /Zy Definitive Plan Approved by Planning Board _____C�_______________________19________ . Area .f.......... ................. Diagram of Lot and Building with Dimensions / Fee ��. SUBJECT TO APPROVAL OF BOARD OF HEALTH A OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the w f arnsta a r i t e bov , construction. i o Const uction Supervisor's Lice �............................ �LEBEL SOLLOWS TRUST 1 4 c. �0 31743 permit for 1 Z Story _ k ... ................................... Single Fami1X Dwelling y Location Lot #14"0.........165 Braley Jenkins Road Centerville............................. r Owner Le.bel. . ....Sollows. . . . ...Trust .... .. .. . .... . .... .. .. ....................... Type of Construction ..;' Frame --- ................................ r �r ................. .................................. 1............................. qPlot ............... ........ Lot ................................ r t March 28 88 -, •,� .Permit Granted ...................... .r.........._....1=9 Date of Inspection r 19 Date Complet d .... ........�/................19 ; 71 7i r 3 0 Wit.. \.. • t � y-' ' � �,.. f r o Assessor's office (1st floor): FTNET Assessor's map and lot number ..: - ........ Quo Board of Health (3rd floor): Sewage Permit number ................. .. .. .!`'�. ... i BABBSTAnLE. i Engineering Department (3rd floor): ` /!, °oo M639- em0 / . .House number ........................................................................ ''�Fo�pYa• APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR ` 3a fL(D I /2 APPLICATION FOR PERMIT TO .............. tz`� 4CJSG ......................................................................... ................................... DO �2fi�C TYPEOF CONSTRUCTION ........................ ......................................................................................................... 7-.1-"!.�-. ... ....19. TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: _ Location .r'....1 ........ ?A�- /.....' J��.�,l J` },r� ! t <C l... `.!f:............... .... ... .... . . r .,. Proposed Use .... ... .... . ..... Zoning District 3.....................................................................Fire District .............. ...........................{ R DEL�ol.�-ou/s lec sT J3 I ? r '3 15 Nameof Owner .... :...............................................................Address .......................... j Name of Builder 1.�.1.��..��OGL-OI.cas.......�t!..V.......Address ...............:................:.......�. ' � Name of Architect A)VR;�.iPCL)45- /.'?."'.Address .T6f't...... ............................................ . 1 Number of Rooms ..............�............................................Foundation ......CO......... ��C.................................... ..........� Exterior ...... /. P 5N NC S Roofing 4 P(-rR �� Floors ...........................................Interior ti"'/ fJf C''�'' Heating C S ..Plumbing .. VG/C w OA`t P-S ...............................................I...................... k ..... .. Fireplace pp g��ES.........................................................A roximateCost ......... '.C7t.dO.. ....'............... Definitive Plan Approved by Planning Board _-J_()G 19 a_ — - Areas Z..... ................ sv Diagram of Lot and Building with Dimensions ""ter / / i�/Jr Fee .........��3 SUBJECT TO APPROVAL OF BOARD OF HEALTH i i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations a' the Town of Barnsta le regarding the above construction. Name .. .. ........... ......................��c�. .......... �: 34 Construction Supervisor's License ................................... LEBEL SOLLOWS TRUST -7,d= 7 No ... Permit for ...S.tory...... .. ........ .......... D.we.1.11..Rq..... ... . Location ...L9t...#AAki...... ..!Tenkins Road ..................C.ent.e.rX.i.1le................................ Owner .. Lebel Sollows Trust ................................................................ Type of Construction .....:FrA]Aq......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .......March 28,.................................19 88 Date of Inspection ....................................19 Date Completed ......................................19 .8.e Ley .L /.cl�S • , � • 'MAR'.• �/O� �407" i N f � . .__ ... s..... � _ ,_ - -.�_ ,,,fit.-�-•.,.,,,,.�,.,.,_ - .....-... .83 A B. 0 tL: T ;`PLOT 3PLAN — FOR euI 4 LOCATION: C'' PURPOSES PERMIT FORS �� _SQ �UiGG�c OSES ONLY : ii LOGO .�. SCALE: / 3U DATE �1�9��i Z3i S V! tr rHls Yua Does g� aRAx AS o�^.rXa RED SUL AND SICNATME, THU THIS PL1N IS AA iRUMSMIZED R E F E R E .N C E.� RURODDCTION AND J. X. IfOa4 W, dR. s ASSOCIA�g ICI /�O /� AND/OY.A YROYESSIONa UHD SIJYPEY08 OR E1vCIl[EFi, �c/ �� -+ �S SI-Illl A./ WHOSE,SEAL APPEARS RMEON, Do NOI tssmlt AN, �- �/ , Aee_k UfsTx�� Q� RLUCUUZUTi l0Y ITS CDXZIST. I CERTIFY TO THE INFORMATION CQUIR DTHATTH KNOWLEDGE NE AND BELIEF FROM THIS PLAN IS OCATE E �oT/o� SHOWN ON THE GROUND AS SHOWN HEREON. tM Of ATE FE SSI O N LAND SURVEYOR J. M. 'MONAH-AN, JR, 8 ASS � � ,io� " O C I A T E $ A9o�VAtF+AN,j t PROFESSIONAL LAND SURVEYORS 8, Nm1 0 TOWNS PLAZA ENGINEERS ��c�stE��° �- a - 900 ROUTE 134 SOUTH DENN.IS, MA. 02660 q�`° sus��-�o J.N . 88-Zo JI ,23 7 1 Is-38 I8` . '• � �-a r• f �6 �� m I 3e. , �Z , o o f .83 A. 6lJ IL ' PL-OT_, P LA- N FOR BUILDING LOCATION: ,Cf PERMIT ��j�� PURPOSES ONLY . FOR �,,/ .�f� tF PfiZS Pu4 DJ-a ADT BF" AN O1ZC1 L RED SUL SCALE /// DATE: �/ZC�i AND SIO-ATL'RE. THEN THIS PLOH Ic AA ORAOTSORIZM REFERENCE �,�,� ,C -T- RPRODDCTIOH A2ID T. 2(. ,yoAN, jR. i ASSpO -yS AND/Ot A PROFESSIONAL LAND SVRMOR OR nGIltEU c/ �c�� S S�/O�IJ�./ WHOSE.HEAL APPEAU HEREON, DO 190T ASSME,tat RL"msaluTt Fu ZTS cog=. I CERTIFY TO THE OF MY KNOWLEDGE A INFORMATION CQUIR D 'THATTHE �N�•oToD BELIEF FROM' THIS PLAN 15 OCATE SHOWN ON -THE GROUND AS SHOWN HEREON. OF ATE t= E SSI O N LAND SU- R VEY O R 0 g AR J . M . M O N A H A OV, J R. 8 ASS MONAMAK At ig OCIATES 13650 P RO F.E-S S I ON A L LAND SURVEYORS 8. ENGINEERS TOWNE PLAZA - 900 ROUTE 134 SOUTH DEN c�UR.I%q N.IS, MA. 02660 suR. J. N . 88-10