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HomeMy WebLinkAbout0052 CAP'N JAC'S ROAD �c� CG.� Ys �CAS. l�` CrC � '�' � .: ,, ,, , p -. ,. - m :. r , , .�_ ,,; �. a ' � o a � .. .: e c n ' i - � .: m .. o ..., v .. .. -, .. 'a Town of Barnstable BuRd il'i i:l Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept E 1\r a f0m Posted Until Final inspection Has Been Made. Termit Where a Certificate of Occupancy is Required,such Building shall Notbe Occupied until a. Final Inspection has been made Permit No. B-17-4121 Applicant Name: Russell Cazeault A royals pp Date Issued: 12/0.1/2017 Current Use:- Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/01/2018 Foundation: Location: .52 CAP'N JAC'S ROAD, CENTERVILLE Map/Lot: 194-056. Zoning District: RC Sheathing: Owner on Record: CONNELLY, MICHAEL T& KATHLEEN A Contractor Name: PAUL J. CAZEAULT&SONS, INC. Framing` 1 Address: 52 CAP'N JAC'S ROAD Contractor License: 103714 2 CENTERVILLE, MA 02632 Est. Project Cost: $ 13,900.00 Chimney: Description: Remove existing shingles on the entire house except for the front Permit,Fee: $70.89 breezeway. Install new asphalt shingles. Insulation: Fee Paid: $70.89 Project Review Req: Date: 12/1/2017 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: b this work authorized This permit shall be deemed abandoned and invalid unless the o y permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved 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 clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.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 Town of BarnstableREE��PT 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-4121 Date Recieved: 11/30/2017 Job Location: 52 CAP'N JAC'S ROAD,CENTERVILLE Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: PAUL J. CAZEAULT &SONS, INC. State Lic. No: .103714 Address: 1031 MAIN ST, OSTERVILLE, MA 02658 Applicant Phone: (508)428-1177 (Home)Owner's Name: CONNELLY,MICHAEL T&KATHLEEN Phone: (508)681-0416 A (Home)Owner's Address: 52 CAP'N JAC'S ROAD, CENTERVILLE,MA 02632 Work Description: Remove existing shingles on the entire house except for the front breezeway. Install new asphalt shingles. CD Total Value Of Work To Be Performed: $13,900.00 0 w Structure Size: 0.00 0.00 0.00� Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the'Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have'coverage unless he files his intent to accept coverage. I hereby certify.that I am the owner of the property which is the subject o f this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued;it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be.made at least 24 hours in advance. Signed: Russell Cazeault 11/30/2017 (508)428-1177 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $13,900.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $70.89 .. 11/30/2017 $70.89 X}OGX-X)OIX XJCOC- Credit Card 0985 } Total Permit Fee Paid: $70.89 3 \ r� 0441 cU f- Town of Barnstable *Permi, p -o-N,3 Expires 6 months rom i sue date Regulatory Services Fee swxrasTABM 9� NAM. 10i Richard V.Scali, Director ArFD MAC p Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma:us- Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY (� Not Valid without Red X-Press Imprint Map/parcel Number j4q L Property Address 6-9 �N tJQ C� 201 Residential Value of Work$ /000f Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address A- ('A-(X ! �� (�O IVAJQ ff. j . Contractor's Name _4/q/V j_�19/V f(4 1:fa1VXQ Telephone Number 5D8 3 6 9: 6'9n9 Home Improvement Contractor License#(if applicable) " /Q Email: .oppN u*ly1 C/ ,Pf2N/C0 udkpo,� Construction Supervisor's License#(if applicable) '� � -PRESEI PER MN ❑Workman's Compensation Insurance A�� 15 �� Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [ I have Worker's Compensation Insurance TOWN-OF BAR STABLE. - Insurance Company Name Ag c oe rp J' Jc-�(J,9N Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will.be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders.U-Value cki2SDrJ (maximum.35)#of windows o� #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,.etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: ' Q:\WPFILES\FORMS\ uilding permit forms RESS.doc Revised 061313 i - The Commonwealth of Massachusetts 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 Legibly Name(Business/Organization/Individual): Z cJ � �5� '/?CY M0101IQ I/N-P Address: �Y . UC . 2,0 eor)fSP2(e 02 63 City/State/Zip: Phone#: OeP 36 V 6909 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with . 14. ❑ I 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 working for me in any capacity. employees and have workers' 9. ❑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 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no . employees. [No workers'- 13.❑ 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 the policy and job site information. � n Insurance Company Name: /, ayog2 Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: ,-off. C,e` 4 k, Jac S R o w"I n,c 2tJlIle City/State/Zip: �7 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 statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c rti nder the pal and penalties of perjury that the information provided above is true and correct ,mow` Si ature: Date: V C/,. /S- ODIC-( Phone#: Y2722 3,61( 6"?O q 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 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 certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry 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,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia LMG 3/25/2014 11 :44 :12" AM PAGE 3/003• Fax Server ACCvfR& CERTIFICATE OF LIABILITY INSURANCE DA y2 �WO01YY - 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(ies)must be endorsed If SUBROGATION 1S 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 endorsement s PRODUCER BRYDEN & SULLIVAN INS NAM 88 FALMOUTH RD HYANNIS, MA 02601 W. Ao M INSUi AFMMNGC13VERAGE NAIL# INSURER A: LM Insurance Corporation 33600 INSURED INSURER B ANDREI YARMOLOVICH IN9rJFERC: DBA BEL ISLAND HOME IMPROVEMENT 29 MILL POND ROAD INsuRERD: WEST YARMOUTH MA 02673 lrsuRaRE,. INSUFIER F COVERAGES CERTIFICATE NUMBER: 1957 541 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE 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 AFFCRDED.BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IMS. - TYPE OF INSURANCE win POLICY NUMBER Umns CCWA3MAL(EIERALUARUTY EACH000URRENOE $ a AIMi MADE OCCUR PRE USES Ea o=rrwm $ MBJ EXP one $ PERSONAL&ADVINJURY $ GENL'AGGREGATEUMTAPPUESPER: GE4ERALAGGREO4TE $ POLICY M ❑LDC a PRDDLJcrs-COMP/OPAM $ OTHER: $. AUrdVDBILEUABILM, NbLhLAM11 $ ' ANYAufO BODILY INJURY(Per pwsm) $ ALL AUTOS ®- � BODILY INJURY(Peracddwt) $ H ED AUTOS ® ti am $ : $ 11LA LIAR OOQhi _EA CH OOCUFNCE $ E)aXM LIAR HCLAIMSA4ADE AMFEGATE $ DED RETWTION $ . A WORKERS COIV E%ATION WC5-31 S-384.176-024 -: 2/25(2014 2 W2015 j AND EMPLOYERS U A13ILnY YIN ANY PROPRIETOR/PARTNER/EXECUnVE EL EACHAOCIDENr $ e 10000 OF�FICERIL0MEREXCLUDED? �N/A NF ^ ((MMyy�� ryry""In fj EL DISEASE-EA BuP _ $ 10000 bB DESCRIPTION OFFOOPERATIONS below EL DISEASE-POLICY LIMIT $ 50000 D MN CF OPEERATIOrB/LOCATIONS/YBiCLES(AOCFa 101,AdddwW Rene Sdwd %mry be amched It more space h ngWned) Workers compensation insurance corerage applies onlyto the workers compensation laws of the state of MA M' n This certificate cancels and supersedes all previously issued certificates,only as the relate to workers compensation coverage. ANDREI YARMALOVICH IS COVERED BY THE WORKERS'COMPENSATION POLICY. CERTIFICATE HOLDER. CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE, • n. THE, EXPIRATION DATE 'THEREOF, 'NOTICE WILL BE-DELIVERED IN 200 MAIN STREET -..; " ACCORDANCE VM THE POLICY PROVISIONS. HYANNIS-MA 02601 AUMORIZEDR ITATIVE uc - _ J .a: LM Insurance.Co oration ' 1988-2014 ACORD CORPORATION.:All rights.reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD COU NO.: 195,76541 CLIENT'CODE: 1588030-.Anne Chandler-3/25/2014 8:33#48 AM'Page 1 of 1 + BARNSrABM • MASS. , Town of Barnstable Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,'MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This,Section If Using A Builder as Owner of the subject property hereby authorize g;�e /a5�, e L4" -to act on my behalf, in all matters relative to work authorized by this building permit application for: R (Address of Job) 171 /.� OSignature of Owner Yate Print Name If Property Owner is applying for permit,please complete the Homeowners'License Exemption Form on the, reverse side. 4 QAWPHLESTORMSIbuilding permit formAsmokecarbondetectors.doc. Revised 050412 Town of Barnstable Regulatory Services opt Richard V.Scali, Director Building Division Tom Perry,Building Commissioner Mnss. e 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: �D� JOB LOCATION: J P k l.Q.W IV JQ CC, 12 0 6 n 4e2 y i/I ,nu�mber / , /street village "HOMEOW ( NER": 1 L;akal Wfil)e l name me phone# work phone# CURRENT 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 homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,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 Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. 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 with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner 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 the homeowner engages (s)for hire to do such work,that such Homeowner shall act g ges a P erson as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner 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 t amend and adopt such a form/certification for use in your community. Massachusetts -Department of Public Safety f `7 p ._. .. Board of BuildingRegulations and Standards f.Go sum. o�it Business lt, 9 �,� Offiee of.Gonsumer Affairs-&Business Regulation cs Construction Supervisor s OMEIMPROVEMENT.CONTRACTOR,. License: CS-105964 Registration17�476 Type IVAN V IVAIVIUS O �� ^s Expirat�ib �71,�2720�4 Supplement, 174 Upper County d t� BEL ISLANDS Hb:irE IMPROVE VL NT S I Apt 1-14 Dennis Port MA 03,639 ` r IVAN .IVANIUSHE( .29MILL-POND` Expiration W YARMOUTH,MAQ26T3�` Commissioner 01/01/2016 Undersecretary i License or registration valid for individul:use only ' before the expiration date. If found return'to: Office of Consumer Affairs and B.usiness.Rggulatwn 10.Park Plaza-Suite 5170 -ard Boston MA 02116 5= rfi �L N'ot,valid withonf gnature,.. j KY TOWN OF BARNSTABLE Permit No. __-------_---------------- ,AMn.0 Building Inspector cash OCCUPANCY PERMIT Bond _.__.--__-- Issued to i _ Address Wiring Inspectoryd > Inspection date Plumbing Inspector ' 3 �, �,, °. . Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. �r .................................................. 19......».... .......................................................».....»»........................... »»..» Building Inspector FROM -. ' TOWN OF. BARNSTABLE BUILDING DEPARTMENT Mr, Francis Lahteine 367 MAIN STREET HYANNISF MA 02WI. Town Clerk . Phone: 776-1120 • SUBJECT:. FOLD HERE ` DATE March-13, 1985 WE E S 3 A G"E Work has been completed ender .Building Permit ,#26436 (.lames K. Smi'th) '. Please release Bond. DATE REPLY . SIGNED Ne7-RM1 RECIPIENT;RETAIN WHITE COPY,RETURN PINK COPY • - . f PRINTED IN U.S.A. SENDER:'SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. 4t t k Yy' 171lo"� cb t7 f�/V' ' i��• `�.Lc���at" R ,: rd1 AP ; LZ`_ SIFIT SOTTO AA =A cA ► I , ..�. G��� � :: , 1 . �` •clue:l ��;.,: }4�}1 EQ,CpuiTIC4.1 PATr--1 11�IW 14IItw OQLFfJS '_f I. ( }•` �" � 0 7 r,.. l.1 � �!' U �" '� � ' � f•�. 1 �i���. �.�, .+'�.�.�°. 4 -.-..'►7•"rr�7. ., .J" 7 t�.t, .�,.a �r'•1•, 1 • ,� + � ,thy. I 1 � ' �.''�i. if.,''' t ;�- F /�/3;4 r \IA OF, 1 i , ,..�✓'t"" �. "S� _bas4 _ ., I „ �9�. � i � •� � '+ 4p'F�j{ • �� � i� ' bkx ���`y �� Y.+, CJ I ..., f o: ., . THULIN a - f V 1 j Y Ei..1. 4T' ..Mw'29_A 6v 1 et t 1 •Q VIA' 1 , ` r q• < , r v, � t(o.,lA3��:� • : . . �•'� ~ 6 `�1 1 s ,' rl � c.`r f� �"� ' t� 4 } OIS7 �e,,. _ .. � i • ''•`f' (f•. ..•w+..-�.•.n•+•-•.••w.•w'w+,�«wnnw. .�..w.�. .a � j 1 F+^.'-�,�•f x � ::..,,. � ' �. ' ,.,. —, 7.-r l•. .. „ 1. I '^ ,. ,.1�.4•• 1 I DP FLMIV .t'� fin-- =7 yr„ 4•yip. .`: N Civ upo \AUW ' i.1 {' i� •iU} ,, 11 Wool 16 ' YJ►T�'4 '� ,. , � tt• ' �, , tea'' '1 // 1 � 1 1 'L � r , K 1E y, s wQ44Ju� 1 LTDNFs' I a E {. �6: C sR.T 1 F 1 ! ptZo F1 i..E.• l..acarto�.1 _:�. S _ •. :,.�.lo Sc.�s 1 A 84 W !Cl2cF' E►.Ic.fi::� f Cait'TIF-f i or 4r 'rw4u e-61 • �vutuG, 5�1osM�.1 i r , z 6,e,,t-f'�i O F T N n • i ^ i, f ...1 ANC � G'Q v1 M i ("BAC WAG77, 1 \ l..�c� b K ; 'CbwN ; oF. t3Ac21J�•I�dL�"p.IJD � 1 a . . ' . jLoGAT VdlTti41 t••! 't'a1E - 1+'DATE `� ..'r _-1.` �C ✓1 1 QF.GlST ¢E� LA Cl SCE-Vepv TIfIS tPt+de.l 'IS► UOT 16AIED OU AU Y.aM EiT OtiT N1 L� acA.C;- ,rW�' o1.FFs¢T; iNout�► uoT6 USeA AppL1GANT J�1•J�C-5-.. ' _. 71�11 ' wT �tur-.x ' rtAssess r.'s rnap and lot':number :....... THE - ' yY Sewage• Permit'_ number .. 31 1 '� xilt.: Z BAHassantE t tHouse number .... :. � U pigm �q rasa. . .... ..... j0 . iN$TAL 6i � 6 � E��c�! s 1 r 4 O YPY a. Pr 1 TO.WI� OF •:BARNS STABLE, BUILDING : INSPEGrTDR , ,". r + ' APPLICATION FOR PERMIT TO Construct Dwelling h TYPE_ OF CONSTRUCTION ..........11.0.()d...fsSallie..........................•.............. .... ... .... x, 7 May 8�. . d TO THE INSPECTOR ;OF BUILDINGS: k The undersigned hereby applies :fork permit according to=th 'following rnformdtiorr:+ x; hot 18 Gapt••.,.. I s Road CenterrilleLocation ............................ .. ..., ' yja Single fmilProposed Use ...... ..... ............................... .... . .. ' ..... Res Cent. .........................................Zoning .District, .:... .,. ... ... ..... ......... ....... .........Fire, District .... Name of Owner" James K. Smith Address Barnstable r Name of.Builder .James Ka Smith Address .. . '. . Name of.Architect A ........ ...: ..:... Address . :....... .................:... ...... Y r Number of Rooms 5.:. Foundation q. �D. ....... ......... u.re'd...concrete.... Exterior clapboard &..wr C s.Ss... Roofing ,Z 3SJla t . ±..................... r , t' Floors wall to wall..: i dr wal� ........ ......... .... ... .. .. :..,. ......Interior ......:. ..,�.. . ... ... ................................... Heating gay,.arm...ai .:.. .Plyrnbing .... :... .. Fireplace ...............one.... ..... .. ... . ... Approximate. Cost .... .. Definitive Plan Approved by.P4onning :Board .___ ________________ ______19 _____ . Area � �. .:. ..,.: { Diagram of Lot and'Building with_�Dimen.sions Fee f.....f .7 040 SUBJECT TO APPROVAL OF BOARD-OF HEALTH ``\`r ��iti 61^rl 1 DUX ay 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. r Jr ;Name .....1//��\t'WWAA �M.�,...... .F........ Construction Supervisor's License Q _` (J�...`.�........... .. SMITH, JAMES K. 26436 One Story N.o .. .... Permit for f Single Family Dwelling r .` �' - Zt ya. �r1�4C S LvJcatioll .Lot .18. • - ad t ........... ...Cex terville....................................... .a Owner..James K. Smith.......:.... .... E { Type of ConstructionF: Frame.:..... '................... . - � ivy iR' -y- Plot : ......................... Lot_. ....... .......ILI t,`r,•� Permitl-Granfed :May .l5.F..................1.9 84 Df�bnspeetion ...................`: . .19 ` Da a Completedi j........................ l . ... .. . .. ...... .. Town of Barnstable *Permit -SHE EXpTses 6 months fro►n issue date o' Regulatory Services Fee t M AM Thomas F.Gellert Director Eo 1 ''mg Building Division Tom Perry, Building Commissioner .—,�F' ME r 200 Main Street, Hyannis,MA 02601 e ice: 508-862-4038 IAN 3 1 2005 c: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL Or BARNSTABLE Not Valid without Red X Press Imprint arcel Number / Lz�� !P � ty Address sidential Valve of Work /�4fd Minimum fee of•$25.00 for work under$6000.00 is Name&Address 'e i4'� (57 'actor's Name Telephone Number � 1 e Improvement Contractor License#(if applicable) traction Supervisor's License#(if applicable) 'orko a s Compensation Insurance . Check one: I am a sole proprietor ❑ I am the Homeowner WI have Worker's Compensation Insurance ranee Company Name '' ����'C :kman's Comp.Policy# )y of Insurance Compliance Cer ' cat�must be on file. mit Request(check box) ❑_Re-roof(stripping old shingles) All construction debris will be taken ❑Re-roof(not stripping. Going over existing layers of roof) Replacement Windows. U-Value (maximum.44) Where required: Issuance of this permit does not exempt compliance vnth other town department regalations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement retractors License is required. mature 'e J ?omis:expmtrs .�..nL9IV1A Town of Barnstable °^. Regulatory Services ' snxtvsr" a, Thomas F.Geller,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize.'. �©lk _to act on my behalf,• . in all matters relative to work authorized by this building permit application for: (Address of Job) d. d Signature of er ate �/�/m00%�i�' � G'��"Y • Print Name e� !€ � lie 1°ommzoozusea� a�,�aaac�utaell2r Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR i - lj `,� Registr:@IDraa\100497 006 'ate Corporation ' DAVID COX,IN a _ David Coxes 19 LAVENDER LN W.YARMOUTH,MA 02673 {{ Administrator