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T0'Wn of a3rnstable *Permit# '-011 U 1038
{ Fxplres 6 months fr�sue date
Regulatory Services� ' _ Fee
Thomas F.Geiler,Director.
Building.Division 31jJ)
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601-
,,- www.town.barnstable,ma.us
Office: 508; 2- ,03v8,� r Fax::508-790-6230
EXP"8S'PERMIT APPLICATION RESMENTL_L ONLY
Not Valid witha kt Red X Press rinprint
Map/parcel Number c
Prop
rtyb�
e Address J I
wacsi.dcritial Value of Work Minimum fee of$25.00 for+rvork under$6000.00
a MJ��.Owner's Name&Address " Ejo 0-
15� CAr ,
Contractor's Name V t1l.e�113L .�iL T phone Number' q® `�
)10 Home Improvement Contractor License#(if applicable) `T
Construction Supervisor's License#(dapplicable)'"
❑Workman's Compensation Insurance -
Ch�k ona s x"
® I am a sole proprietor `
❑ I am the If
I have Worker's Compensation Insurance ; :va
Insurance Company Name`
Worlm=,s Camp.Policy;#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box) F
[✓]/Re"roof(stripping old shingles) All construction'debris will 1.be taken to
❑Re-roof(not.st-ipping, Going over .existing layers of roof)
❑ Re-side t
E] Replacement Windows/doors/sliders:, 'U-Value (maximum 4q)„
*Whcrercquired: Issuance of this permit does not exempt compliance with other town department regulationsj.e Historic,ConserVanon,-etc:
***Note Prope er must sign Property Owner Letter of permission. *,
, „
'A c py oft ome I proVement Contractors License is required:
SIGNATURE: 4
* Q Forms:expmtrg
Revise061306' '
x
v ..
. . . Town
'gyp .
"oFYHEIpw own of Ba.lr'I1Stable.
�� do
Regulator Services
y MASS $ Thomas F. Geller,Director
Buildi.n.g Division
Tom Ferry, Building Commissioner
200 Main Street, Hyannis,MA 02601
"'W-town.barnstable.ma.us
Office; 508-862-4038 Fax: 508=79.0-5230
Property Owner Must
Complete and Sign Thds.Section
If Using A B uild.e r
tQj , as Owner of the subject property .
berebyauthorize to act on MY behalf,
in all matters relative to work authorized bythis building permit application for:
n f
(Address of Job)
•� ���sue.- _.�_._...
Signature of Owner Da
Print Name
Q:FOR-M S:O W NERP ERMIS S ION
- The CarnmonNeafth ofMassachusetts
Department o}Findustriar,4ccidents
Offrce,of Investigations
d 600 Urdshin-ton Street
Boston,l{ 4 02111
wNw.m ass.gov/dia
Workers' Compensation Insurince_Affidavit: Builders/Contractors/Electricians/Plumbers
AmplicantInformation Please Pant Le 'bi
Name(Business/Organization/Individuuaal);• \�j
' •.Address: • (1��
City/State/Zip: t,�l t�I S 1 1�7 CQ Q I phone.#: f I .
Are you an employer? Check the appropriate box:
1.❑ Iama ernp10 yerwith
4. [] I am a4general contractor and I •Type of project(required):,
41 'a'soleproprintororpartnrr-
oyees (full and/or part.time).* have hired the slrb-contractors 6. E]New construction2. 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'
[No workers' comp.insurance comp.insurance.$ p• []Building addition
required_] 5. [] We are a corporation and its 10-El Electrical repairs or additions
3.❑ I am a homeowner.doing all work officers have exercised their 11.[]plumbing repairs or additions
rayselL [No workers' comp. right of exemption per MGL
insurance required] t c. 152, §IN,and we have no 12. oofrcpairs
employees. [No workers' ..13.0 Other
comp.insurance required.]
*Any applicant that checks box#1 most also fill out the section below showing Rieir Workers'cornpcnsalion policy utfarrnalion.t Homeowners who submit this affidavit indicating they are doing all work and tbcn hire outside contractors must submit a new affidavit indicating such•
tContractors that check this box must attached an additiona?shtct showing the niune of the sub-contractors and state whether ornot those entities havc
employees. If the sub-contractors lave tWloyecs,they must providh their workers'comP•P olicY number.
lam an employer that is providing workers'campensaflon insurance for my employees B
information. eInW islhe policy and job site
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 e
Failure to secure coverage as required under Section 25A of MGL 6. 152 can lead to the imposition of c ' xppenal ilration date),,
fne tip to$1,500.00 and/or one-year �P rtmina penalties ofa
y imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to 0 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations.ofthe urance covera e verification.
16 her by certi - der t p ins•a penalties ofperjury thaf the information provided a ove "s true and correct
Sienatutrc: QQ
Date: J
Phone 4: -1 —
Official use only: Da not write in this area,Yo be completed by city or'totM official
City or Town: Permit
/License#
Issuing Authority(circle-one);
L Board of Health 2.Buildi.ngDepartment 3.City/Tovsrn'CIerk 4.Electr
6. Other ical inspector 5.Plumbinglnspector
F Contact Persons Phone#/:
I3bvlr w mg egu, ions an an ar s License or registration valid for individul use only
,.i HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: 124310 Board of Building Regulations and Standards
Expiration: 6/1/2011 T_r# 284683 One Ashburton Place Rm 1301
Type: Individual Boston,Ma.02108
r _....,.
James Curley
James Curley `M ,
287 Fuller Rd. A
Centerville,MA 02632 as l V - - - - -
Administrator loot valid without signature. 4
Massachusetts- Department of Public Safety
Board of Building- Regulations and Standards
Construction Supervisor Specialty License
License: CS SL 99138 I
Restricted.to: ,RF,WS
- JAMES CURLEY I
287 FULLER ROAD..
CENTERVILLE, MA 02632
•
c—
J�� Expiration: 1/28/2012
Commissioner Tr#; 99138
Boa ii of Bull �n R gulaliAns_aad_SG ndards=•.,.. ww __- ,• N
else dr gistration tialigiT0r mdi�idu!use only-.
r c.
HO E IMPROVEIY, NT CONTRACTOR before the a !ration date, found ieturn to:
Re stration _9 a.„dx. .—Board of Bui din;RE91 atio s-•and-Sj-an,dards
24 �10
E` iration 8ft/2p•g OneAshburta PlaceRm130'
_ Tr# 1 0 873
TYPe -lndivid al Ma.0 108
-
Boston,
James • urley-
James urley
287 Full r.Rd.
e A 02632 1/Administrator of ah
...Y—ot.y l without
i
# 7 P a .l
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# s ° LEGEND
CER�'IFIED ' PLOT PLAN
� XISTiNO' SPOT ELEVATION OxO. of !
'EXISTING CONTOUR =--- p
lFINFSHED SPOT ::ELEVATION O.O H o� �f^ r,T 7 � Ts .4TN
ROBEF�T \s- 1 CFnfTCk'V/L.G-
y
FINISHED CONTOUR¢ 0 `. B. y.
a ELMl�GI "I i IN
' APPROVED = BOARD - OF HEALTH ,, wo• 9assTk�,t
ISTV
"S ' t.
•DATE AGENT' .A3' SCALES l" �3o DATES 7 ,
/&
3#1 LQREDGE ENGINEERING CO. YN -- T('C"�.n 1 CERTiIrY THAT THE - '�"°wA �'/oW icy
v Fri EEERE REGISTERED �d-d SHOWN 'ON THIS PLAN IS LOCATEQ
` TIQ NQb...„.. OM THE GROUND A9 INDICATED
IL LAND } GONFOfeMg TO TNEi,
a'+ A-•�'f ZONINp 4►A1�$ t
EER SURVEYOR 'S Of; IIARR3iTADL. MA.88.
if
g ' it
;Ti2`'MAIN STREET CN� Y4h %? /3 �- {.
HYAN,N'I S, WASS.
TE REG. LAND SURVEYOR,
Y
4/ "SEPTIC SYSTEM MU
INSTALLED IN COMP
WITH ' 33ABISTABLE,
ENVIRONMENTAL CO i�jq-
T01.0 KPIULATIOP0
TOWN 'OF " �RARN!- L
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .....
TO THE INSPECTOR 6F BUILDINGS:
The undersigned hereby applies for a permit according to, the following information:
~
......... �k/(...................
� Name of Owner ......[v\.C-!7n\/1N--��.0 >............Address ------ ---------------.` .
~T� �� Y��_ -�� ^( // /« .
Nome of Builder �Z ' ��\ ����'\��{�J� y� A66ny� �=�����
—' ^��^-- —' —'[7- ' -----r _ —_---.--,_______
��_ JL
Nome of Architect —.���'�.���.�—..9�����\��-------'Addemu ------�x���T�.----------------.
��
i
Number of Rooms ---.......................................... .-Foun6otion ........10T,.�� ..... .................
Ex|erior — / � �\ -------.RooGng '----. K\���l'-------------
n
Floors .......... «� ----|ntehor ----.�1�\\�z��d��------------.~--
u
^ ' Heating �-- .'.. —»(�1.�� ...................M"m6ng ---1-../� —�-----..--------� .
A
U � �
Fireplace --m���!��..�Jft��d~—�—.���/��J����.----Approxi �
�2��z.�!����.. --..—~ _,____.^_
Definitive Plan Approved by Planning Boar
lQ -. Area — ..�.�?!---------
. �
7--
Diagram of Lot and Building with Dimensions Fee � . __
SUBJECT TO APPROVAL OF BOARD OF HEALTH
�
-
.
\
\ m(
'
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS `
'
I h&reby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
, construction.
. Nome At— .... ....................
^
Construction Supervisor's License ........^,y. ......
8 |
" ' .
� r - fIYDItAuT •. -
r .
BR D 4, T 'S PA T H
��GE : r y0.. _�iC I V_f1.TE r WA �F Lt9VE-N1E�lT
f 04
ivo 30�
-•; ��.-. Q
_ 6 36
�. 07.
boy ,�:
i o. 2 ° ? L -O;T )
I � '� _ Y �;0 �EPn� •
RFRVE •t+l`
LEAGr/
Pm
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J .
aaly
! � ZoNc /Z
y LOT 7 /5 oGo .s-r �
I Aps® QQ QQ
TIES T I 0 2-7 I /O p'�
_ \ �a, _
oW )vOrr C,r/ANGfAV T
ASsvtiNG04Or
r"
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OF Mqs Fw.
o A GN LoT- 7 B¢�nc -,-s Prrg7� . /5
O - N...ZOti� S.. CIF /UDLIL -
r ORS.
cn
- -
.,,, No.1095 O � WEB' ZO/vt' .'Or Ccw/r¢iliuri0./ •
c TV
a.' p
RFScIOnigLEa�
; LEGEND
` •.EX.ISTINO SPOT ELEVATION OxO OF CERTIFIED PLOT.' PLAN
EXISTING .CONTOUR,--- 0 — ��`�N !�qs�� for 7 / F7-s ATH;
K,FINI;SHED ; SPOT ELEVATION RoaERT.. y E
' Fi1�ISHEDY CONTOUR. 0 B. _ _.�.',E�-TY1��F
. , ;•? , i EL DREDGE I N
x $ No. 19367 0
APPROVED BOARD OF HEALTH` ���. Fcr R ..`` >: ,���
N 4 r s 5� S w., ,
hl�S`y0 E AGENT , '
y SCALEs. /`�c',3o DATE 3 6
4
LOREDGE ENGINEERING CO. IN CLIENT -E I CERTIFY THAT THE PROPOSED
IV
Al
CA
EGISTERE REGISTERED J08 N0: 85009BUILDING SHOWN ON THIS PLAN
rry � �L ,:CIVIL ". -LAND _ CONFORMS TO THE; ZONING LAWS
DR.BY
_� ENGINEER -r.-_ SURVEYOR OF BARNSTABLE, ASS.'
k :. - =Y
?I2 MA1 N STREET CN HY.' �AT
MA:SS�
SHEET�' sOF2= E REG. LAND SURVEYOR
4
Assenor's offioe (lst floor): .%% `' CJ p�
x tNE
Asse sor's map and lot number lc...� :' V .:. � f TOE`
,ii30ard.of•Health`(3rd floor): a 04 I_ SEPTIC SYSTEM MUST B
.s........ ` . ..Sewage Permit number I >; BaH39TSDLE,
INSTILLED IN COMPUANC MASL
Engineering Department (3rd floor): o0
.House number ..........:....................... ....................:..........L...... WITH
r-3 TITLE S
APPLICATIONS PROCESSED `8:30-9:30 •A.M. and 1:00-,2:00'P,M.+only NVIRONMENTAL CODE A
' TOWN REGULATIONS'
f r , TOWN OF BAR NSTAB�LE
ay BUILDING : -INSPECTOR
APPLICATION .FOR PERMIT TO ..:..........:....... r/J
TYPE' OF: CONSTRUCTION . , .4SR4'JTk. ..........................................................................
Y TO THE INSPECTOR OF BUILDINGS: r
The undersigned hereby applies for a permit according to-the following information:
Location .,... vZ....../.....!64!��C .Y..4�'�?..y.4.�P.......... . ................... ................................:
a
ProposedUse .. �� ..e.2.. 0 !,?--........................................................:.........................................................
. C. lJ
. Zoning District .................................:.....:......:.........................Fire Distract ... :.Q .. � ......4.%�.......�.11�.. .. ..,>..............;.
i
Name of Owner ......7(�A� ................................Address
Name•of Builder .:...................: ..Address
Nameof Architect .....:..........................................:.................Address :..................:.........................................................:......
Number of Rooms ................................ .................Foundation ..C..AnC:/E.� ...:. , -�G�
/ Lc�a r�
Exterior ..... ,a! - !'. ?.. ..................�...................... Roofing ..: <a a�12��C� -K .................
7� f. ...:K ...?��...........
Floors: ....�.tic.�.!1���../...........................................................Interior ..... s ( w� ..........................
rieatingrs�? ......... .................._.. ...........::....Plumbing . ....................................................................
00
Fireplace ..:...............................................................Approximate Cost ... �� .................... ...... .............
Definitive Plan Approved by Planning Board ------------------------_-------19____ . Area ........ .. .... ........ ..:...
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD ,OF HEALTH' KW
" IM/1
lz
m ,
%
t°
.ZO/, S$
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 ..(1.(N.?W.4 ..........
`REED, MELV%N
_30288 Permit f r ....Build Garage
iv ..... ....... O ................................
,t - Acc ssor . to Dwelling
f ........... f R
Loca e� EE2T-1 Bridcfet' s Path r
� `• Centerville.....,-'.... ........
1i ....................................... .........
Owner „Melvin Reed
.. ......;..........
Type .of Construction ......Frame
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....^.... s ..... ...... .R ....'..........:....... f ... Y .......... i tF . '
zPlot .............................. `tot ................................ r
December 15 8,46 c�
.. Perm it--Granted ............................... ..°.19 ,
Date of Inspection
Date Completed .:..... ......................... 19
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