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HomeMy WebLinkAbout0190 BUCKSKIN PATH 2, �.v 'Av 'KVAJK Ulf NF4 4 w tV IM14 h�,A"4 iM I'll",-.— NO J'A jT qui!.�t,-vuo�i MR A�wm, ; ­1� W�;Iilo, WV� Xi Q ,tij No MR, 1� AUM!"INNEW '(11"R vkl m f g.'Kigg -wag 4 v MY C MAVFI� P"L as Ipw ng 0111 ON. I' gg "i mWax m T NY qg�w, pal 11IR It y v­ K, To W4 �wv M!, M Town of Barnstable . Building Post•Th�sCard;So"That�t isUisible`FromaheHStreet,�A "'roved PlansMust beRetamed on Job and=th�s Card;Mustbe.Kept BA1ti:SC'ABI.E, "'C. " Permit b Posted Until Final Inspection Has Been'Made f S4 a Where a Cerf�ficate ofOccupancy�'s Required,such Building shall"Not be Occu wed until a Finallnspectwrihas bieen made k Permit NO. B-19-2940 Applicant Name: Abraham Lemotte Approvals Date Issued: 09/19/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 03/19/2020 Foundation: Location: 190 BUCKSKIN PATH,CENTERVILLE Map/Lot: 170-074 Zoning District: RC Sheathing: Owner on Record`. JOHNSON,PAULA A Contractor,,, ame:` :SunRa Solar Inc. Framing: 1 1. Contractor License; 187618 Address: 190 BUCKSKIN PATH 2 CENTERVILLE, MA 02632 itst Project Cost: $ 1S,146.00 Chimney: Description: To install a 3.6 kW DC roof-mounted solar photovoltaic system, Permit Fee: $127.24 using 10 solar PV panels(at 360 kW DC per solar:pariel), plus 1 ) Insulation: Fe`e Paid, $ 127.24 inverter. Date 9/19/2019 Final: H) Project Review Req: " I fgy Plumbing/Gas s. Rough Plumbing: ;Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after:issuance. .All work authorized by this permit shall conform to the approved a pplication,and theapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures'shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clear) visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: pY work.until the completion of the same. !` Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and=Flre Officials are provided on this;;permit. Minimum of Five Call Ins pections Re o uired fr A I I Co nstru cti o n Work. , Service: 1.Foundation or Footing Aj' ' Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT I'D Application number..�.8. ........(.,? 2�1........................... � [ Fee ............. ................................................................. LL Building Inspectors Initials.. . ................................ MA'SPAIN (AF Date Issued I'ABLE ........9 .k��,�.. ..................................... TIN W� Map/Parcel.......... ....... ................................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: `1'6 F3atc zc NUMBER STREET VILLAGE Owner's Name: /�fl u -topes, Phone Number Email Address: Cell Phone Number Project cost$ Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK Siding Windows (no header change)#-Q Insulation/Weatherization E1 Doors (no header change) # Commercial Doors require an inspector's review 0 Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable) # �J � � (attach copy) , Construction Supervisor's License# 0 2—s o ?7 (attach copy) Email of Contractor: (,' 0 Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. �p�r��roouc I off fee of Co HOME IMP mer'gryairs&g �c/uJelrJ j f TYPEMENT CONrss Regulation f E.Individu RACTOR 1� Re Istratlon,� 1 PETER EO11 rE ioMART ` 041INO 9/2020 PETER 2980 ARD MEORTINpits=� l SANDWICH MA 02563Vo i .� _Y` `�• Undersecre' tary F Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards I Constrjj:ctibrlSiSpervisor CS-025077 E-spires: 04/12/2020 PETER C MEOMARTINW 29 BOARDLEY-RD SANDWICH MA.92563 ' � I Commissioner The Commonwealth of Massachusetts `l Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 ' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le0b1y Name(Business/Organization/Individual): `E>7e yL 111&, A4f Address: 2-Ci City/State/Zip: r ��vec p! Phone#: Are you an employer?Check the appropriate box: Type of project(required): L❑ I am a employer with 4.XI am a general contractor and I employees(full.and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. , 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P n' t y 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.Rl Other. 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 affidavit 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 is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: 4/41 IU)f4T4/4 C. - Policy#or Self-ins.Lic..#:. AyC "70 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- fore 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 statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the ins a enalties o erjury that the information provided above is true and correct. Signature: p� Date: — Phone#: 71f �7 �— �1 757 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 6.Other Contact Person: Phone#: Information and Instructions f 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." 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 situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required.-Be advised that this affidavit 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 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 may be provided to the applicant as proof that a valid affidavit is on file for future 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,MA02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#61.7-727-7749 Revised 4-24-07 vvww.mass.gov/dia APPLICATION NUMBER ............................................................ *For Tents Only* Date Tent(s) will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event ' Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. 1�fA , da�3� 1 AC oRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYM 0812TH8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(iss)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCERAGT E: JIM HINDMAN Schlegel&Schlegel Ins Broker IT N 508-7714=1 608-771063 Street34 Main West Yarmouth, MA 02673 A00R6S: schlogeffneurance@gmaii.com INSURER(S)AFFORDING COVERAGE NAIC>i INSURERA: NGM INSURANCE COMPANY 14788 INSURED INSURER B: AIM MUTUAL Adilson Segolini INSURER C: DBA SEGOLINI CONSTRUCTION " INSURER D: 117 Minton Lane W Barnstable,MA 02668-1818 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EtXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER tMM1DQ3fYM (MMA)DNYYY) LIMrrs x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE " $ 1,000,000 CLAIMS-MADE OCCUR PREMISES o�, $ _ 500 000��_ $ _ 500 000 MED EXP one n $ 10,000 A MPT8486U 05107/18 05/07119 PERSONALBADV INJURY $ 1,000,000 GEN'LAGGREGATELIMITAPPLIESPER: GENHRALAGGREGATE $ 2,000,000 POLICYjam❑ F LOC PRODUCTS-COMPlOPAGG S 2,000,000 OTHER $ AUTOMOBILE LIABILITY CO i E IN LIMIT $ Ea accident _ ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $� AUTOS ONLY AUTOS HIRED NON-OWNED PR PERTY DAMAGE $ AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED RETENTION$ S. WORKERS COMPENSATION PER H- AND EMPLOYERS'LIABILITY YIN AANY PROPRIETOWPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 100,000 B OFFICERlMEMBEREXCLuoED? N❑ NIA AWC-400-7026026-2015 0&23118 06=19 pdandatayinNH) E.L.EL.DISEASE-EAEMPLOYE $ 10,000 M yes,desatbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS i LOCATIONS i VEHICLES(ACORD w.Acidkianal Remarks Scheftde,may be attached If mac space Is required) ADILSON SEGOLINI HAS ELECTED TO BE COVERED UNDER HIS CURRENT WORKERS COMPENSATION POLICY ( I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN SEGOLINI@HOTMAIL COM, ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REP TA E 1 0 .9 2015 ACORD CORPORATION. All rights reserved. ACORD 25(201.6103) The ACORD name and logo are registered marks o ACORD Assessor's Office t flo r) Map' / �b Lot d `7 Conservation Office(4th floor) q � Date Issued a I - Board of Health 314 floor)(8:30-9:30/1:00-2:00) r Fee . Engineering Dept. 3rd floor House#Jp Q �� ®a .� �Inc Planning Dept.(1st floor/School Admin. Bldg.) o!/� --� , 9 / � ii, BA t RNSTABLE. Definitive Plan Approved by Planning Board 19 t , w ?�`" .e,9�'�� TOWN OF—BARNSTABLE � e "� ' t Building Permit Application Project Street Address ;�)f7W to t 11L,, 3 3 VillageF.tJT�ZU� Owner 7—C-2 L�a G Lam? Address ,Lc24 PA7721 Telephone S�C9� — 7 is(,_C-4 Permit Request A_c bhA 1_7- ilea ' c,3A,,y g/e- S ��� S9 s?:sAa 6&. Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st& 2nd stories) N�,q square feet Estimated Project Cost $ �Q o®x OF Zoning District [✓ Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use �i.S , ��„iT A�_ Proposed Use Construction Type LJOa 7 Commercial Residential. Dwelling Type: Single Family Two Family ---- Multi-Family �---_ Age of Existing Structure goo yes a — Basement Type: Finished Historic House Unfinished 11 Old King's Highway Number of Baths / No.of Bedrooms Total Room Count(not including baths) 15_li First Floor Heat Type and Fuel Central Air �� Fireplaces / Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information NameA07ZJr;o.'% _ Telephone Number Address License# �_j 03 ?-gyp Home Improvement Contractor# Worker's Compensation#TR� v(����. NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PER DENI R THE FOLLOWING REASON(S) ,-r j ti FOR OFFICIAL USE ONLY , PERMIT NO. 9199 7/21/95 DATE ISSUED 170 074 MAP/PARCEL NO. 190 Buckskin Path ./ - �` j� Centerville. ' ADDRESS �.. 9) VILLAGE Chester & Elizabet.h Vogler„ OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE .' ) ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - ' fN i GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT r'o -`I`°e L ASSOCIATION PLAN NO. ,.. { ._ r 111,02/94 17:02 $817 7 27 7 122 DEPT INN. ACCID f Jr^ 1..0132JYL0l2lUP.QI i of Ma.MacIzade& ' ..Uopa�finenl c��iu�i�afriu[✓�tccic�anf�' 600 9Ahl: y n SIMd James J.Campbell fon, ii/aaaac wsA 02f!1 : Commissioner Workers' Compensation Insurance Afridavit IGMIZFO�� - hf� c ) with a principal place of business at: )ay /Steed do hereby certify under the pains and penalties of,perjury, that: O I am an.employer providing workers',compensation coverage for my employees working ; this job. , -7P- VR? -671!7440-0 k CI � - 1 rance ompa Cey Munibir O I am a sole proprietor and have no one working for me,in any capacity. O tam a sole proprietor, general contractor or homeowner (circle one) and have tired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Numbe il Contractor � _y insurance Company/Pocy Numbe Contractor ' Insurance Company/Policy Numbe O I am a homeowner performing ail the work myself. l l'let YS:mnd Li4t a copy of this s=te.nent will be fo.arded to d--e Office of Investigations of the DIA for coverage verification and that failure to s ccrerage..:s me iced under Section 25A of MGI. I SZ can lead to the imposition of criminal penalties consistine of a fine of up to S 1,500.00 ane yea.s' imprhorment;�s well as civil penalties in the tom:of a STOP f WORK O DE :nd a Me of S 100.00 a day against me. Signed is daY of 19 . Licens ee Building Department Licensing Board Selectmen Office Health Department ...,. ..rn.r,. . ...��nArr tvtrnt)vAA-rtnu rAtI - ,St7-777-4900X403- 404. 405, 409, 375 The Town of Barnstable z & Department of Health Safety and Environmental Services 59- P Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790-6227 Ralph CrosseII . Commissic Fax: 508 775-3344 Building For office use only Permit no. Date 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 ooarpied 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. Type of Work: A Cost 4A Address of Work: Pg 4�, Owner.Name: Date of Permit Application:_t! I hereby cen&that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-occupied ner pulling own permit Notice is hereby green that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITHUNREGGIISTERED ACCESS CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. a35rg VWr Date Contractor name Registration No. OR Date Owner's name NORTHSIDE BUILDING CONSULTANTS, INC. FINE HOME BUILDING & RENOVATION 141 MAIN STREET•YARMOUTHPORT•MA 02675 (508)362-2210 (508)362-9802 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY F:Ilar�to ooss�ss a csrren� OF ONE ASHBORTON PLACE �sss�hypttsStat�BalldtAg ug MASSACHUSETTS BOSTON,MA j2106 Cods IS ChlllsS f0tflwv= LICENSE of this IiceCAUTION EXPIRATION DATE JAC 34 CONSTR.. SUPERVISOR 0 2/07/1 9 96 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB ry{ITyE o 06/30/1993 015833 PRINT IN APPROPRIATE BOX ON LICENSE. P GARY A ELLIS � 20 CAPT SIMMONS g BLASTING OPERATORS Z 4J YARMOUTH MA 02664 z MUST INCLUDE PHOTO. m m PAID PHOTO(BLASTING OPR ONLY( FEf 00. 00 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: sT ED-OR-SIGNATURE OF CO MISSIONER OAF THIS DOCUMENT MUST BE « SIGN NAME IN FULL'��B°p�yE S�aNAT .INE CARRIED ONTHE PERSON OF SI TURE OF LICENSEE THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. IONER �ILG l%�Z I�iYZ i�iit'4E«� Z'. 46 HOME IMPROVEMENT CONTRACTORS REGISTRATION Board- of. Building Regulations and Standards) One Ashburton Place - Room: Boston , Massachusetts 02108. z;{� I c, "Y' f p+ 4 y Y 4+ HOME: IMPROVEMENT CONTRACTOR hRegistration 103508 Expiration, 07/08/96 ! T'i,Y s r j; , VK� 1A,d�,,,,, ', ^ TYPe - PRIVATE CORPORATION - wI,. Sr,? �y� ,, , • w {� 41HONE.INPROVEMENMONTRACTOR' r"y !'" • r a' a 'R;egtration ,1435088 '� Northside Building Consultants ,Inc . ;-, TypeP'RIVATEtiCORPORATION ;Gary A . Ellis I • pry Ezpiratlon 07/08/96�;, 14. 141' Main St . �I �z f _R , , r* a Yarmouth ort" MA 02675 ifil in >~ p � �Northside BuildgConsultant r �Ellis�` �s�` lA1"Main ADMINISTRATOR: ��s,a a x r 'A !1 t �k � yanllouthporkR .42675 ;+ .. ,,d k n`�yJ!:.i.�F�� '+�y 1,+�'`�r.',st»� r.;'d ��M����l,P��• �.:,i Assessor's map• and lot number 1!....... ........... Sewage Permit number ..................... ..`....................:` ✓ ' ��Q� y� p BABH9TADLE, i House number ...... NAB& ........:.:................................................. p 'ot63 0 9•a�9 0 MIR ., TOWN OF BARNSTABLE BUILDING INSPECTOR { ( , /U� XI C/OSt�� 1CJ C- APPLICATION FOR PERMIT TO ...... 1 .. .. .., .....✓....1........... .. 1V............ j. ............ ............................ y TYPE OF, CONSTRUCTION ....................19 T TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......�..� ........ .),IJC./l...S/�'iill 2...................................................................................::................. ProposedUse .....a ......��.9./!'1.....1.Y.rt�t`'.....1 .G ...................................:..................................................... Zoning District ...... ...................:...............................Fire District \_., ��/,P/r„v,,, ...QKIK71.k���..r....`` Name of Owner .4._.�� /r.. ....1 `.l�.. . ..................Address ...,�..90 Name of Builder ......7.A.v.�...(�,f.�) IV.f-AJ..Address y`�.6. . 1��•�li/C'�.>� 4..�.(_„r�iv� Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................. .........................................4 Foundation ......1� �Sf1.�1�/f1 �.��.�?.�.�........... .... ...... .............. Exier.ior ..... ........V- .Jes ........ .Roofing �7.•S�/lr /T\1f'✓/INS/, 5...� ...�/�o �t/���r� Floors ...........................................................................Interior .................................................................................... Heating / g ....... V.r................... Fireplace ..... `... f..................................................Approximate. Cost'......(. P.a.�..:.0-©............�. .... Definitive Plan Approved by Planning Board --------------------------------19--------. Area " IZ... ....................... ............ 4 cl Diagram of Lot and Building with Dimensions Fee 0 ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH , / _-. ---- ------__- --------------------- i r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS E 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 .p. �l.' . VOLGER, CHESTER A=170-074 27294 ADDITION No ................. Permit for ................................ ... Ij.-074........... .. ........Single...Fami.1v..D.wejj-i)ag............... ...... ........ ... .. ........ . Location ........19 .... ..... ....... .... ......... ...................... . ...................... .......... Owner .........Cb9P1.QK..YQ19er.......................... ti Type of Construction ....Fx-ala........................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .....December 3,...................................19 84 Date of Inspection ....................................19 Date Completed ......................................19 Assessor's map and lot number .:f,,�Gl.............. ......... •` �----� F THE r0� SEPTIC SY TES Sewage Permit number .......:....:....:... �'. b US INSTALLED IN COO LIAN. AHB9T11DLE, i Huse number ..... .....®:�.�.:.. WITH TITLE 5 '�.. � i639• 6� ENVIRONMENTAL MI CODE ..�OypY°� ... TOWN QF BARNS ,` - ��$E R -y BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....3iL ep.....pa& .!�................... TYPE OF CONSTRUCTION ....................197' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... 0...... U -S"iob1V.....7.. Z...................................................................................................... Proposed Use ....sZ'�.t ?-a.q.l.'.:?.....�. .��... .. ......................................................................................... Zoning District ........v:.........................................................Fire District �.i°.a.v4.� l./..'<.Ac......... Name of Owner ..................Address ..✓.-912....a1C!il..S/t.>. Name of Builder r....6,Fj� N(XV..Address ys.4`� iy✓1rc' ..�`'. ..1. !!!l . 1 (�l�� Nameof Architect ..................................................................Address ........:............. ............................................................. Number of Rooms ................/.........................................: ..Foundation I./ .......yz& V!Q /...Ll.. Exterior ... ......4 -bAX.....��'1�N. .(.�°5............Roofing .... t�.�.f�X4l..�.,J.�'d.�� 1.��oS...�....,�l.o..�//�,q/�r., . ... /� Floors .............................................................................:.........Interior .................................................................................... . Heating ✓Vd tiG ...........................Plumbing i.�!.. . .,V..1� Fireplace ..........il.J/.� f..................................................Approximate. Cost ...... �qa ........ .. Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ........... . Diagram of Lot and Building with Dimensions Fee /(0................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH �o-C)/1P, �!�/��01✓ Al OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations oft Town of Barn t lVre ardi g the above construction. Name' . . . ............... ....... . . ............... . Construction Supervisor's License Q Q.9.,.1.7............ VOLGER, CHESTER 27294 - No ................. Permit for ..MP:MON................ Single„Family Dwelling .... ........ ...................... Location ..1.9.0...Buckskin...Path.......................... . . ................. ......... . .................Centerville .............................................................. 7- Owner ....Chester,Volger ......................................... ................... Frame Type of Construction .......................................... V ................................................................................ Plot ..................... ...... Lot ................................ 4� 'Permit Granted December ..3!........19 84 ............. Date of Inspection ...19 Date ,Completed ......... ...19 � � � E r � � l �Yy i I 1 �J Py�FTHEtO�y TOWN OF BARNSTABLE i • i EAUSTADLL "ASL 1639. p M BUILDING INSPECTOR O•E' pY Or APPLICATION FOR PERMIT TO ...... .. P...................:............................................................................................ TYPE OF CONSTRUCTION ........��. '�.�'.AI.I.1". ..�'............................. TO THE INSPECTOR OF BUILDINGS: The undersigned.1 hereby applies for a permit according to'the following inf rmation: // Location ...... .... ': .............../ ./ ��� .. /'r�, ...... �. �.�........ ProposedUse " '' rra................................................................................................................................ ZoningDistrict ........................................................................Fire District .............................................................................. Nameof Owner ......- .......: ....:........... r....C'' ....... .................Address .................................................................................... • Nameof Builder ............F%....................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms y ..................................................................Foundation ................:......:� .......................................... Exterior ........................................Roofin ®�f I 'a � 3 FloorsM ... . !".. ...... .... .................................................Interior '.... �e-a..... # "' ...................................... Heating .....ip F; e..."".....:,................................................Plumbing � • , _ ......................._............ ............................. Fireplace ..........-' ' ... ............................Approximate Cost Difinitive Plan Approved by Planning Board ________________________________19________. Diagram of Lot and Building with Dimensions Y W A Li U') m � 0- Nam - W W v7 70o dz d O U O ca add U - m c "m n- a O o Lt- 0 d .:::) 0 _j 0 0 CD mot► WSW N � � Q0 Z � 0- p N > , w � b I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the a construction. _ \ �1 Name ... .... t' %'! \.. r Small, Alan j DEC 31 1971 a `p 14209 one story f No ................. Permit for .................................... �r single family dwelling ............. D.....B ........,.................. Buckskin Path ............................................................... Locationn � I, Centerville ....................... ................................. Alan Small Owner .................................................................. i frame Type of Construction ; i ................................................................................ Plot ......................... .. Lot ..........#-33................ ' !gyp Permit Granted ........ugust 31 19 71 Date of Inspection ....................................19 ff Date Completed ........ 1.......19 1 K PERMIT REFUSED ................................................................ 19 l _ ff ..... ...... ........................................................... ....................... ....... ............................................ Approved ........................................ 19 I ......................................................t........................ ...............................................................................