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Home My WebLink About0020 BRETWOOD LANE D re t.c pal LZ.I� �y a • a ' 4 s � - '.,, ...,,a, ..,. ._ x•tl', a .. _'.. •. o .y _ F {89 - , a a • , m , e ° a 4 " , ° a Y x e 4 . • i e e . r y _ : k c a " a y v f : , a v F.. t y. <a a f rF y. PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT ; 200 MAIN STREET HYANNIS, MA 02601 DATE: 09/19/06 TIME: 10:59 -----------------TOTALS------------------- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 20063329 PAYMENT METH: CASH PAYMENT REF: Town of Barnstable *Permit#c2ooG 3 3Qg Expires 6 months from issue date X-PRESS PERMIT Regulatory Services Feed` �. o0 Thomas F.Geiler,Director SEP 19 2006 Building Division (:6�)01//?A 6 TOWN OF BARNSTABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 ti www.town.barnstable.ma.us Office:. 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY r Not Valid without Red X-Press Imprint Map/parcel Number Gam/ Property Address c> -jRRzn.. oat l� C�GL1T�r 1�[LL esidential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address�i�/� /¢f�e�'l?'J S ;�_e-) Contractor's Name Telephone Number Z66Z 7?£-:7 701 Home Improvement Contractor License#(if applicable) zw�z7,1 ❑Workman's mpensation Insurance F one:ma sole proprietor m the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name 1 A Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit 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/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. r ***Note: Pr erty Owner s gn Pr erty Owner Letter of Permission, copy of the me pr ement Contractors License is required. SIGNATURE: Q:Fo7ms:expmtrg Revise061306 i d I Board of Bwidmg ftegulahons.and Stanrd HIQdE IIIQPR©1/E�Vf T CONTRACTOR Itegist�ation� 145475 E1O1r2008 ff -Type , �• ER1C ENGELSEN` ' . s'� v•L�'YANNfS��.MA02�k�#� s '�"�. GG..��—� ,.,� ' yH s Adinstr X Department oflndustrial AccidentsY' Office of Investigations- ' . 600 Washington Street Boston,MA 02111 �•" www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plum>bers Applicant Information Please Print Legibly Name (Business/organization/ln&vidual): Address: 9.� ®G-o i o��•..• �® City/State/Zip: Phone#: 48-77® 7 Z 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 ' loyees (fff and/or part-time).* have hired the sub-contractors 6 El New construction 2.L d I am a sole proprietor or partner- listed on the attached sheet 1 7• ❑ Remodel ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. - 9. ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or.additions • required.] • officers have exercised their . 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. C. 152,§1(4),and we have no 12.E?i6of repairs insurance required.]t employees.[No workers- 13.❑ Other co T.insurance required.] *Any applicant that checks box#1 must also fin out the section below showing their workers'compensation policy information: `• t He lneowners•who submit this affidavit indicating they are doing all work and then hire outside cofactors must submit anew affidavit indicating such tcontractors that checkthis box roust attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site informatiolJ. - Insurance.Company Name:_ Policy#or Self-ins.Lia#: Expiration Date: Job Site Address: AA 6-Aknkabnkk Zxj Aa4 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 8TOPVORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ceWfy u er the pat nd al des of perjury that the information provid7717o. ' true and correct. Signature: Date: Phone#• ,�—Q 89- Z c.c92- Official use only. Do not write in this area,to be completed by city,or town official City or Town: Permlt/License# Issuing Authority(circle one): 1.Board of Health 2..Building Department 3.City/Town Clerk 4..Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• °F�► �,,ti Town of Barnstable Regulatory Services MASS $ Thomas F.Geiler,Director i639' AlED►r a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �5 �I?�S , as Owner of the subject property hereby authorize Fyc1 eA"—L-6' ice--(" to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Ali, Signature of Owner Date Q� Print Name Q:FORM&O W NERPERMIS S ION A . V TOWN OF BARNSTABLE Permit No. ---------- 1 BA"ITA�, Building Inspector rua I Cash --------------- — v0 ,p39. VAI OCCUPANCY PERMIT Bond ----_------------_---_---_ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to .IUFaeoi Arod) (waLLUs Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. .....................................I.............. , 19_. . ........................................................................................ Building Inspector � (� �._}_ 1 MUST. BE ; As'sesor's map and lot- umber .l.d..l..A�.l...... 1.� �- SEPTIC SYSTEM PUANCZ 121- 2,7JE ►NSTALLED IN COM W(THARTIC, 11 C 'TOWN. GODS AN Sewage Permit numbs �.i1TgRY t '�4 QyOF THE ro�� TOWN-, OF B A R:N RT A B;L E Ci Y c? BAflH3 LE. • 7 s ova BUILDING INSPECTOR +. APPLICATION.FOR, PERMIT TO ............................................................. ................................................. ,TYPE OF CO$STROCTION W001� FIZ(�M�.............. ... ..... !..................................................... ... �C7v........y.............19.� r1 --TO-THE4NSPECTOR OF-BUILDINGS!-- The undersigned hereby applies for a permit according to the following information: Ug Location�.o -SO �2ETuJoo D 2D ►J TE2 U I l,l,e w Proposed Use ....TZES..��uT 1 AL Zoning District ....................`..............................................:....Fire District ..... .. r ....... .................................................. Name of Owner OSc3 P �N1@��2.4 z�Al 7 I S Address ��.. . MO 0.1 ............................................. Name of Builder ..J. tJ��- Address ......: S T a� LC ......SI\.1.71i.t ............:. R!,1.........' .....-........... ................................. Nameof Architect .:Address................................................................ .....................:.............................................................. Number of Rooms .... ...........................................................Foundation .pogtz_E.. Exterior ......, (-).-R Q iD.................Roofing ......... P.6P&.T:................................................... Floors 11 a — Interior �2 ...................................................... .. ............. ?.l iL,.......................... ........................... Heating ....Plumbin ........................ Fireplace ............. .� ................................................:......Approximate. Cost :..... w�►. ��....................................... , Definitive Plan Approved by Planning Board ---------------__-_-----------19________. Area /...ri. . ................ Diagram of Lot and Building with Dimensions Fee . ........... t Z SUBJECT TO APPROVAL OF BOARD OF HEALTH 02 a 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....� "^� - ....1'�.`1'" .... . ... Ambrozaitis, Joseph !, No1g 41 .... .......... Permit for .Dwelling c ....... ..................................................................... �. Location ..... X..OQ..A'94WQQa. ............... .... ...............G�Tt it.�4xal.a........................... er ... ........JAj$epb..AMbr.Qzaitis.......... y Type of Construction Wood FrnTp . ...... ............................................................. ........... Plot ............................ Lot ....K14$.1. .......... _. Permit Granted .......... ...... .Nov.....2.4........19 77 y Date of In I ........19 r , t Date Completed ..... .. c ..../. ......19 P 7/11 PERMIT REFUSED :................................................... ..... 19 Z ............... ...... _ .......... . .. ................................. . .^`y..•. . .... .. .. .................................... approved 2 ............................................................................... ..................................... ..................................... ' Assessor's map and lot number .;.......................... .�......... .. � , { SewagePermit nu" ........................................................... a y°`T"ET°�° " TOWN OF BARNSTABLE Q . BARNSTABLE, i °moo 39. BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....�:,;�1J.aT !Z �?C:.r........�i��l1.�..��?.......................................... TYPE OF CONSTRUCTION .....t: �..................................................................................................................... ............1.;) 'a\1......!..................19. !. 7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...A.... ..... ..........fALETA.. gca�.......-e. ...........�,�,1.)TEi2:.u.�Ia:�`.................................................... ProposedUse .....I. , 1 ............................................................ .................................................................................................. Zoning District ........................................................................Fire District C— iJTE,t"I Ll ;e Name of Owner .......c.. .......P-4 4-,1 .....Address ......... �:.Y.AO U.I ............................................. Name of Builder .... -4A 11.-......................Address .... �'c.�:� " ,Ll�(�(-.�: Nameof Architect ..'=..........................................................Address .................................................................................... r �� Number of Rooms ...... ...`?...........................................................Foundation .....r..C o.v+:�:................................................... Exlerior .......` � C,l,�a(at?.M � fkt '7" _...._...... ...............Roofing ........... Floors .. ........'�r?....1.1ua t. ................................Interior ..........I IZ !a Al 1................................................... Heating °�� .............Plumbing , --2.......r,.4. Fireplace v _ ........................................................Approximate Cost C 0( .. .............................. Definitive Plan Approved by Planning Board ________________________________19________. Area ?.9. - .............. � r Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....C!2%1....rr.:�...............-.......^................ .. :........ Ambrozaitis, Joseph 19')v41 DwellingA No ................. PerMVt 'f/................................... .. .......................... ..................................... LOt Location Br.e.twoo.d...84��................... . ........ . ......... .......... renterville ................... — JAo %ph Ambrozaitis 0-wner ............................................................. Type of Constructin Wood Frame ............................. .................................................. Plot .....................k. Lot M168 L 7 Permit Granted �\...........Nov....14..19 77 Date of Inspecton ! A.........................19 Date Completed ......................................19 PERMIT REFUSED ............................Nk� ............................. 19 ................................................................................ ................... ... . ... A Y....... "7Z/� � , A-- - 7f-- .......... .... .... L ..7.,,0..................... Approved ................................................ 19 ............................................................................... ............................................................................... Ask _7'•�'Fif6 ?%yy. cZ T-� HOLES T 0U .61 LA : 4' +0 , W�D f r-----_ DoUri rncZ4�'t"YgE MA#.S PSCT0?1 LOTELEV 30 b LOB t3 a, XtSTIN+s` 30 =/44 -`ON95,i5 s _ ic f �+$ . .r fiNX t-)+°`,ERc%' ' b 10 /r �- TE5 ir�3 NQ I�1R-reR E4cA+. NT-Fx'Eb . Towily U)RTER f5 AVom A9l8 /07-14 LQ-[ (;. . M//V/A4 U/t// 13 U/LDlArG.5 F-7-aAC-- A2,-Wt�U/, e-MF-I/7 S GA L. F20/ 1 T 1 o 5'i 77E /, �20,a0 SE-D ,B E=D 2oo,v/S • SE P T/C 5 y5 TEM CONS 7")2 UC T/ON 5A4AL1- COAJF02M TO MASS 0,e5/GN FLOW �(�� GA1—/0,4y E1VV/;2 0A./M E^,f 7AL, Cope- Ti TL 4 Y ? / i RR SL R ILE REQ:`1� . L.E,�4cRf. ,z'EA 0 •9 /3 .. f/E�1LTfN .IZEC—U.Z-i TiOn/S � � ~ Q G' Too OF ' � OpC'S:EZ7 LEACH' FouNO.�1T/-a7V /MpE,2✓/0us co vaR _ MAn/f-TOLE �Ca✓E,� TD E'X.TEnlD TO TO A2E 1/��t/T Y1/! Ts//A/ /" OF F//�//5�1�D G ADL: ,=20^4 /NF/LT2AT/A/6 -` 3 y 5 rower 2 4"co V"!!: 21 4"CAST/20,�/ 6" Q.,D/A A F""l L,n/E M/N .0 TCN. �"oo /O"MiN /¢" �4"�FDoT w 2. Mini �i ^ ��4!: �2�Digit. -Y_ Mint c /� cooT pp a WAS HEO k 1000 -Y-- / , , - Sro"Z /.vvE,e r /NVE.2T CA P'AC/ TY !/ - SE TA A/.e :41Z 0 Un/" l7 ` BOrroA OF �WA TGIZ T/G•'H T) /A/i/E,27`; • /NVE�T NO GAe45AGE G21n b�,2 � �� - t L O CQ TI per/ 1?1�r 5° E fE1tTR{/t MASS' ' �2EFE2�nICE INC,13E LOT t7 -AS S// r�' ' s -. .SEF�TlC TAA./Af j>lST,tZ.�3UT/ON 80X C7'TLETS� AA/Z> I:a.aCAIIAi0 sir } At�tT P jjR ONC2E TE S7',2E.VGT?�/ 3000 f° k ' ! UHF� �. _S T�EL , 633 20000 'r O L AD G av ,�rl� z .r r-)2/VE'WA &107- TO BE LOC�17'ED " 4/�7 O✓E2 5.YSr�,-4 UnfLE55 i/- 20 _r HEREBY CERTIFY TWA? TYE EX/Sr/N 6- Z'E-S/GA/ LO.dD1AJG /S USe-D. tH OF FDuNDATION LOCA7/ON /5 CO)FRECT A5 rl� SNOWN AND . DOES CoAbc-0 4 . WITH. TIE GEQfGE 3U1L 1?l�J& SE-raffCK �EQ UtR EMS NT •5 oF' taw. `^ ?'RF � 'f"fl�N flF �'�I.s R ie/�`7!�$L E �'� 9F �' ttt'� - :: _ •� �lSTE v 6/ U,ATE NE<1L77-,/ .QGe-vT" 25��' �� y Q p�,E'O�/�iL :.