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0062 CAP'N LIJAH'S ROAD
Ila A, �-�G .e. /�G�--J e 0 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel U v Application 78 Health Division Date Issued Conservation Division -- Application Fee Planning Dept. ? Permit Fee Date Definitive Plan Approved by Planning Board k Historic - OKH Preservation / Hyannis nn � n� Project Street Address Cq rN L 54 Y 5 Village Cevitflq 11.E Owner_R C,�Q �- �� t4�1 Address ��'"� By Telephone V v -710 -7 ( Permit Request Ada O r M er-- to n Y-\ W1 .' rn r--N p' r ®pt►1 .+0 1-5-hV1 54r, r W Square feet: 1 st floor: existing6 7L-proposed 0 2nd floor: existing proposed&Total new .2 l o Zoning District Flood Plain hn Groundwater Overlay Project Valuation 00 0 Construction TypeyyW Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 1 Two Family ❑ Multi-Family # units) Age of Existing Struc re Historic House: ❑Yes No On Old King's Highway: ❑Yes ®'No Type:Basement T e: b Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) 7Z- Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new /J Total Room Count (not in luding baths): existing 11 � new / First Floor Room Count Heat Type and Fuel: 4 G s ❑Oil ❑ Electric ❑ ther TT Central Air: ❑Yes ®'No , Fireplaces: ExistingNew Existing wood/coal stove: >SYes ❑ No 9 Detached garage: ❑existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes >�No If yes, site plan review# Current Use l°Si GP Proposed Use- c5��'►(�; APPLICANT INFORMATION (BUILDER OR HOMEOWNER) QQ u Name g``Cha��/ ✓ � ��� Telephone Number C� b WO Address b C�t � �� � CJ License# C 5 7 ®2(03 z, Home Improvement Contractor# /3( -7 2 Worker's Compensation # `, / ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Mir57_�� 5 /*0I5 SIGNATURE � ' DATE i , t FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP i PARCEL N0. _ ADDRESS ' VILLAGE 4 OWNER , DATE OF INSPECTION: !<,FOUNDATION` _ FRAME 12121)I o ; I INSULATIONt ` FIREPLACE c ELECTRICAL: ROUGH FINAL ;r ,4 PLUMBING: ROUGH FINAL GAS: ROUGH .`. r : FINAL FINAL BUILDING"+ DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth ofMassachusetts Y Department of IndustrialAccide)zts Office of Investigations .600 Washington Street . t Boston, MA 02111 yy rvrvw.m ass.go v/dia Workers' Compensation Insurance Affidavit'. Builders/Contractors/Electricians/Plumbers Applicant Information r Please Print Lefibly Naive (Business/Organization/Individual): �fc�qrd - Q[411+P, Address: h tlu� J City/State/Zip: (ev,4rV'11g A0Z Phone #:. re ou an employer? Check the appropriate box: Type of project(required): {� 4. I am a general contractor and I I am a employer with ❑ 6. ❑New construction employees (full and/or pa t time)•* have'htred the sub-contractors:. . _,_______ _•,..._ . 2.❑ I am a sole propnetor.or partner- ,listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, Vmo lition workin for me in an ca aci employees and have workers'g Y P h'• 4. ilding addition o oworkers' comp. insurance comp. insurance.) e .] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. / cluircd am a homeowner doing all work officers have exercised their 1 1.0 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.❑ Other comp. insurance required.] *Any applicant that checks box#) must also fill out the section below showing theirworkcrs'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such, tContractors 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 employers,they must provide their workers'comp.policy number. I am an employer that isproviding workers' compensation insurance for my employees. Below is thepolicy and jab site information Insurance Company Name: ZL't�r v Policy# or Self-ins. Lic. #: �j �� 05gDA1 V L— fo xpiration Date: 6 r`�� 2� yz` Job.Site Address: t CQP��� J w City/State/Zip: AA (Z� 6 _ Attach a copy of the workers' compensation policy declaration page (showing th.e.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 $1,5D0.00 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 un the pai s and penalties ofperjury that the information provided above is true and correct. pi -7 Si ature: -a � Phone 4: 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 oC.Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 61 Other Contact Person: Phone#: Z o ation and fnStructio-P 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 con(rac 1 of hire, express or implied, oral or written." An employer is defined as an individual, partnership, association,corporation or other legal eotity, orp any two r the e Of the foregoing engaged in ajoin(enterprise, and including the legal rep resenlaLives of a deceased em to er, receiver or Lrustee of a❑ individual, partnership, association or other legal entity, emp)oy�ng employees. However the owner of a dwelling house having noI more than Ihree aparLmen Ls and who resides therein, or the occupan l of the dwelling house of another who employs persons to do maintenance, constriction or repair work on such dwelling house or.on the grounds or building appurtenaot thereto shall not because of such employment be decmcd to be an empl er. oy " MGL chapter ]52, §25C(6} also slates 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�vho has not produced acceptable evidence of compliance with the.-insurance coverage required: , y Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth no'rIany ofi(s political subdivisions sh 11 i' enter into any contract for theperforr>lance ofpublic--Work until acceptable evidence of compliance with (he insLtranec requirements of this chapierhave beenpresented 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 conLraelor(s) name(s), addresses)and phone numbers)along with their certifieaie(s) Of,/ insurance, Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the rnembers orpartners, 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 lodustrial Accidents for confirmation of insurance coverage, Also be sure to sign and date th-e affidavitI. The affidavit should be returned to the city or [own that-the appliaahon 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 s,W ork' compen cati on p olicY,Please call the Department at the number listed beloW, Self]nsLued companies should enter their self-insurance license number on the appropriate line. City or Town Of()eials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space at the bottom of the adavil for you to fill out in the event the Office of Investigations has to contact'you regarding the appli cant. Please be sure to fill in the perrnit./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 ity or policy information()if necessary)abd under"lob.Site Address" the applicant shou)'d write"aJ] locations in _(c e b rovided to the town)."'A copy of the affidavit that has been officially stamped or marked by the city or iov/n may p applicant as proof that a valid affidavit is on file for fu turc permits or licenses. A new affidavi tjnust be filled nti( each year. Where a home owner or citizen is obtaining a license or permit not related to any businessor commerci a] venture (i,e. a dog license or permit to bum leaves etc,) said person is NOT required to complete this afidavil. The Office of lnvestigalions wou t e o kn yumrim�a-d� r-YQ nneratino and should youhaye any q uestions, . please do not besitate to give us a call. The.Deparlment's'address, telephone and fax number: The COMInonWealtl•l of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02 1,1 1 Te). 4 617-727-4900 ext 406 or 1-877-MASSAFE Fax 9 617-727-7749 Revised 4-24-07 www.lnass.gov/dia , AWC Gicide io Wood Cnnstructioir iil High PVhid Ai•(_,ns: I1011TAr )Ki1.1d Z011e Massachusetts Cheddist for Conlp'liance (780 clrR 5301:2.1.1)' Check Compliance 1.1 SCOPE .. .am5 'U�ej WindSpeed (3-sec. gust)................. ...:........ ...... .......................... ................................................ 110 mph WindExposure Category.................................................................. .............................................................B Wind Exposure Category................Engineering Required For Entire Project ........................................0 1.2 APPLICABILITY Number of Stories (a roof which exceeds 8 in 12 slope shall be considered a story) stories S 2 stories Roof Pitch ................................•...... .... ................................(Fig 2) ..... ................. �9 12:12. Mean Roof Height ........................ ............................:.........(Fig 2)....... .... ft _< 33' Building Width, W ................................................:..............(Fig 3)................................................. o�ft s 80' BuildingLength, L ..............................................................(Fig 3)......................................I.........._ ft s'80' Building Aspect Ratio (L/W) ...............................................(Fig 4)................................................. 5 3:1 Nominal Height of Tallest.Opening ............................. .....(Fig 4)................................................ <6,8, 1.3 FRAMING CONNECTIONS General compliance with framing connections.... .............(Table 2)................ :............ ....... ............. 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete................................ .......................................................... ConcreteMasonry .............................................:.......::............ ............................................:.:................ 2.2 ANCHORAGE TO FOUNDATION1'3 5/8"Anchor Bolts:imbedded or 5/8"Proprietary Mechanical Anchors as an alternative.in concrete only Bolt Spacing—general ........................................:.(Table 4).............. in. Bolt Spacing from end/joint of plate ..............................(Fig 5)..................:..........I...... in. s 6"—12", Bolt Embedment—concrete..........................................(Fig 5)...... ..................;.........I.............. in. i 7" Bolt Embedment—masonry....................:....................(Fig 5)....,....... .:............................. in. >_ 15" Plate Washer..................................................::.:..........(Fig 5)....:....................;...................... > 3" x 3"x 'W' 3.1 FLOORS Floor framing member spans checked ................................(per 780 CMR Chapter 55)................................... Maximum Floor Opening Dimension...................................(Fig 6)...................................................._:ft_ 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall (Fig 6)....................................... Maximum Floor Joist Setbacks Supporting Loadbearing Waifs or Shearwall................(Fig.7)....................................................... ft s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwail............._:.(Fig 8)...................................................... ft s d Floor.Bracing at Endwalls..............:.........:............................(Fig 9)................................................................... Floor Sheathing Type ...,.........................................:..... (P. P )..................I........ ...(per 780 CMR.Chapter 55 ...•..•- Floor Sheathing Thickness ........................:.................. .....(per 780 CMR Chapter 55)..:.................... in. Floor Sheathing Fastening............ .....................................(Table 2).._d nails at in edge/_in field .1 WALLS Wall Height Loadbearing walls.........................................................(Fig 10 and Table 5)....................... -ft 5 10, Nsn Loadbea{+ag-walts r_ _ (Fla 10 and Table 5)........................... ft s 20' i Wall Stud Spacing ....... ..(Fig 10 and Table 5) _ in. s 2 '.o.c. ;— Wall Story Offsets ................................:.......................(Figs 7 &8)............................................ ft s d 2 EXTERIOR WALLS' , Wood Studs i Loadbearing walls................. . ..............(Table 5).,. / I Non-Loadbearing walls..................................................(Table 5)..............................2x� ft—'in. Gable End Wall Bracing Full Height Endwall Studs ............................................(Fig 10)..........................................................:...... WSP Attic Floor Length,. .............................. .........,....................... ft 2!W/3 'Gypsum Ceiling Length if WSP not used ....................(Fig 11 ft >_ 0.9W and 2-x 4 Continuous Lateral Brace.@ 6 ft. o.c. .. (Fig I I)—...........I............. or 1 k 3 ceiling furring strips @ 16"spacing min. with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Double Top Plate Splice Length .................:...................:..................(Fig 13 and Table 6)....:................................_ft Splice Connection (no, of 16d common nails)..............(Table 6).....,...................................................= ATVC Cuifie /0 GJ%od Corr.t•tr11C6011 irr. 110 Mph 1111-1rf Zone r N'faSS�C11rISetts .C`heC.lclist f'oi Cotnl�Ii�nCe (71;oc.�-rrzs3of.z.l.l)' . Loadbearing Wall Connections Lateral(no. of 16d common nails).......................'.........(Tables 7)............................. Non-Loadbearing Wall Connections Lateral (no. of 16d common nails).................................(Table 8)..............:......................................... Load Bearing Walf}Openings (record largest opening but check all openings-for,compliance to Table 9) Header Spans ......................................I..................(Table 9).................................._ft_in, S I _ Sill Plate Spans ........................................................(Table 9).................................._ft_in. S 11' Full Height Studs (no. of studs)....................................(Table 9)......................................I................. Non-Load Bearing Wall Openings (record largest opening but check.all openings for compliance to Table 9) Header Spans... ...................................:...................(Table 9)...............:.................._.ft_in. s 12' Sill Plate Spans..:.`.........................I..............................(Table 9)............................I..... ft in, s 12" Full Height Studs (no: of studs)....................................(Table 9)......................,...,............................ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension, W Nominal Height of Tallest Openingz ............................................................................... s 6'8" SheathingType........................:.....................(note 4)..................................................... Edge Nail Spacing .........................................(Table 10 or note 4 if less)........................ in. Field Nail Spacing..........................................(Table 10) ..... in. Shear Connection (no. of 16d common nails)(Table 10)...................................... ........... ..... Percent Full-Height Sheathing...................:...(Table 10).......................................:............_% 5%Additional Sheathing for Wall with Opening > 6'8"(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening2..............................................:.......................... s 6'B Sheathing Type..............................................(note 4)..................................................... Edge Nail Spacing.........................................(Table 1 i or note 4 if less).....,.................. in. Field Nail Spacing.......................................:..(Table 11).........................: . ' Shear Connection (no. of 16d common nails)(Table 11).......................................................— Percent Full-Height Sheathing........................(Table 11)..........,.......................................... _% 5%Additional Sheathing for Wall with'Opening > 6'8"(Design Concepts).................... Wall Cladding Rated for Wind Speed?.......:................... 5.1 ROOFS Roof framing member spans checked?.......:................(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang ..........:........................................(Figure 19) ............._ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary,Connectors Uplift................................................(Table 12)......:.....................................U= plf Lateral..............................................(Table 12).............................................L= plf Shear...............................................(Table•12).............................................S= plf . Ridge Strap Connections, if collar ties not used per page 21,...(Table 13)............................... T= Plf Gable Rake Outlooker............................. (Figure 20 ft s smaller of 2'or U2 ' Truss or Rafter Connections at Non-Loadbearing Walls Proprletary Connectors Uplift.......................:........................(Table 14).....................................1......U= lb. Lateral(no. of 16d common nails)...(Table 14)........:..............................L= .. lb. Roof Sheathing Type................:.:................................(per 780 CMR Chapters 58 and 59) .........,.. Roof Sheathing Thickness.....................................:.....'............................................._in. >7/16"WSP R�sf�f�ea#t�rig Fast rifle........................................... aNe-2).............................I........................... es: This checklist shall be met in its entirety, excluding the specific exception noted In 2, to comply with the requirements of 780 CMR.5301:2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the.WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 1 i c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure JBb xception: Opening heights of up to 8 ft. shall be permitted when 5% is added to the percent full-height sheathing squirerrients shown in Tables 10 and 11. he bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade.. r Town of Barnstable �o Regulatory Services �. rj lxrrsTkstE Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main.Street,_Hyannis, MA.02601 www.town.barnstable-ma.us Office: 50 8-862-403 8 Fax: 508-790-6230 EfO)%EOFMNER LICENSE EXEMPTION P_Icare Print DATE: q-05 —` JOB LOCAT70N: V a P®� l� V V L ��f 6Y nU ber IA strmt village „HOMEOWNER": ,\�G�'4r� . ' 08`7q9 '0b `"7 T b --(6Q3 • name ,p horrmphone# work phone# CURRENT MAJ NG;ADDRESS: city/town state, rip code T)7c current exemption for"homeowners"was extended to include owner-occupied dwel inu 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- superyisoL DEFAMON OR 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, attachcd 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 bomnoRtier:. Such "homeowner"shall submit to the Building.Official on A form acceptable to the Building Official, that helshe shall be responsible for all such work performed under the building permit. (Section 109.1.1) 'Ihe undersigned"homeowner"assumes responsibility for compliance with.the State Building Code and other applicable codes, bylaws,niles and regulations. The undersigned "homeowner"certifies that.hdshc understands the Town of Barnstable Building Department minimum.inspection procedures and requirements and that he/sbe will'conaply with said procedures and re ements. Signature 0f"H0Mr0VMcr Approval of Building Df5cial Note: Three-family dwellings containing 3.5,000. 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 perfomring work for which a building perrvt":is required shall be exempt from the provisions of this sccbpn.(Scc6cn 109.1.1 -Licensing of canstniction Supervisors);provided that:if the homeowner engages a person(s)far hire to do.such work, that such Homeowner shall act as svpcn isor." M°any-homeowners who use this rxctnption are unawv-c that they,an:assuming the responstbilitics.of a supervisor(sec Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.1.5 This lack of awarcnecs,oftrn results in serious problems,particularly when the homcowncr hires unlicensed persons. In this ease,our Board cannot procccd agairm the unlicensed person is it Mould with a licensed Supervisor. The homeowner acting as.Supervisor is ultimately responsible. To ensure that the homeowner:is fully aware of hiv'hrT rLsponnbilitirs, many communities require, as part of the permit application, that the homeowner certify that he/she understands the respcnsibilitics of a Supervisor. On the last page of this issue is a form cur=t)y used by several towns. You may care t amend and adopt such a form/ccrtification for use in your cornmunity. Q:form:homcczcrrapt T[HeEr° ti Town of Barn-stable F Regulatory Services t H:lA.?IbTASL-E. auss $ Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnytable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Ow7ie r Mus t ' Complete and Sign.This Section If Using A Builder as Owner of the sub'ectproperty J . hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signatuxe of Owner Date Print Name If Property Owner.is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION Office o onsumer airs smess egu a ion HOME'IMPROVEMENT CONTRACTOR. - Registration —,131427 Type: 4Expiration: t7/20%2012 Individual R . RD D.PLAN i 'j - ;a I - � RICHARD PLANT �1 ` 62 Captain Lgah s Rpa�¢ 3, 44.� QY 1 CENTERVILLE, MA$2632 . -�✓ Undersecretary t .. .y Massachusetts- De t pa tmcnt or Public S itch Board of Building Re-ulations and*Standard:s Construction Supervisor License License GS 73142 a RICHARD D PLANTE II_I *., _•�' 62 CAP'N LIJAH'S RD x . ' CENTERVILLE, MA 02632 a Expiration: 7/30/2012 �, Commissioner Tr#: 449 _ 1 License or registration valid-,for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 i Not v �d without signat Nlassachusetts - Department of Public Satet'. Board of'Bu ilding dmg� Rc�ulationti .tnd 6tandar(is Construction Supervisor license License: CS 73142 RICHARD D PLANTE III e . 62 CAP'N LIJAH'S RD 1' CENTERVILLE, MA 02632 a Expiration: 7/30/2012 ('ummissioner Tr#: 449 By: Yankee Survey; 1 508 420 5553; Feb-23-01 5:31 AM; rage iri } ., LOT 33 V "J - cn � M y b y - y u3 491. DECK LOT 34 •"" y 184.77 y e 58443 20 LOT 35 / y ZONE- "Rp" Th'a MORTGAGE INSPECTION 9enk�IUse For only FLOOD ZONE C" HYAN INS - . � . - _ '- - RRX O ER' QED REF: 2a121 LVAW_*-.MA,8Y !MA� IM_ &L fE: « ----- .. la%4& &.Td -,E4AYM___ ___ - FLAN REF: . 74L - SCALE:ERE Y IF" _30_ FT: ur- THAT THE BUILDING t YANKEE SURVEY 'WN ON THIS PLAN IS LOCATED�ON THE GROUND AS PAM CONSULTANTS AWN AND THAT ITS POSITION DOES --- CONFORM THE ZONING LAW SETBACK REQUIREMENTS OF THE w � 40B (SUITE 1) OF - ) -----M AND THAT MO" INDUSTRY ROAD OES- - 1.1E WITHIN THE SPECIAL FLOOD HAZARD HARSTONS MILLS, MA. 02648 A AS SHOWN ON THE H.U.D. MAP DATED munit Panel 2500 TEL 428-0066 420-660(�a- ________ THIS LA NOT MA E FROIdINSTRUMENTSURVEY NOT TO BE USED FOR FENCESBUILDING. PER PPS E;Tc. 30t''75 JF i Town of Barnstable Regulatory Services �nie Thomas F.Geiler,Director Building Division saxiaMBLE, » Tom Perry,Building Commissioner "'AS& 200 Main StreetHyannis, 9� t639� `0� � MA 02601 Office: 508-862-4038 Fax: 508-790=6230 March 1, 2012 0 f •r - Richard Plante 62 Cap'n Lijah's Rd. - Centerville, Ma. 02632 , RE: 62 Cap'n Lijah's"Rd.,Centerville, Map: 192 Parcel: 182 Dear Mr. Plante: This letter is to inquire on the status of a permit issued by this office on or about - September 9, 2010 and remind you that 780 CMR requires the successful completion'of ' all required inspections. The permit was to construct a dormer for and office/family room and the last inspection by this office was on or about December 22, 2010 for the insulation. To date no final building or electric inspections have been done.- You must contact this office by April 1, 2012 to explain your lack of progress or arrange for.the necessary inspections. Please be advised that your electrician must arrange for-his own respective inspections as necessary. Thank you for your prompt attention in this matter. Respectfully; r La zon ocal Inspector (508) 862-4034 PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT- 200 MAIN STREET HYANNIS, MA 02601 f' DATE: 10/25/10 TIME 11 :47 -----------------TOTALS----------------f PERMIT $ PAID 35.00 I I AMT TENDERED: 35.00 !t AMT APPLIED: 35.00 CHANGE: .00 r` APPLICATION NUMBER: 201005759 1 PAYMENT METH: CHECK PAYMENT REF: 591 ' T©wn,,,of Barnstable Permit: ' S >' Regulatory Services Date: i �. �p*VE roy, Thomas F. Geiler,Director y�P ti� Fee: ,�,� Building Division HARNSTABLE, Tom Perry, Building:Commissioner MASS. 200 Main Street, Hyannis, MA 02601. ATfp �a www.town.barnstable.ma.us Office: 508-862-4038 Fav 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Dco Owner: 1 4 + �a�l ne: 00 ! 74 r� Install at:4z- C4A1 L t-t• 1 illage: Map/Parcel: (�.� Date• v Stove � A. New Use B. Type: adia / ircu ting C. Manufacturer: Y' D Lab. No. D. Model No.: Chimney �=— A. New/ Existing (Id ing, ple e note date of last cleaning) V` B. Flue Size C. Are other applia c s at ed to Flue? rk) D. Pre-fab Ty - of clker E. Mason me nlined Hearth A. Mate ials: B. Sub loo Constri- ti _ Installer A J` Name: 5 e l I A4r) Address`_ Phone: O — 7 Q Location of Installation: "Cl ¢-- H.I.0 Registration # Construction pervisor ORchecky Homeowner Installing, no license required APPLICANTS SIGNATURE �'ti/ J APPROVED BY: Please make checks payable to the Town.of Barnstable -' *This constitutes an official stove permit after inspection, photographed, and approved by the Building Inspector Q:'forms:stove j'•. � . Rev 103107 _ The Commonwealth of Massachusetts s �- Department of Industrial Acddents ' { a Office Of Investigations .: 600'Wash ington Street r Boston%=MA'02111' s �M •ftii•vw.mass.gov/dia Workers}Compensation Insurance Affidavit: Builders/ContiractorsTElectricianslPlumbers Applicant Information Please Print Le ibl Name(Business/Organizationadivi dual): G`Ci Address. �V �l� City/State/Zip: -- Phone Are you an employer? Check the appropriate box:.,,, Type of protect(required) 1,❑ I am a employer with 4'. []&I am a.general contractor:;and I-• " 6.1.10.New construction'. employees i full and/or part time) * have hired the sub contractors t , 2.0 I am a'sole proprietor or partner= listed on`:the attached sheet 7. '❑Remodeling ship and have no;employees' These sub=contractors}lave , g,. []Demolition workin for me in an ca aci � employees. and have workers'`` g Y P - ty 9. .�Building addution'f [No workers' comp. insuuance r comp insurance,$ 5. [� We are a.corpor'ation and its r '' 10 ❑Blectrical rep airs.or additions ' 3. /quired.] am a homeowner doing all work X o$icers have exercised their 11.❑Plumbing repairs or additions m self o:workers'coin . right of exemption per MGL j4' , y [N p 12:[�Roof repairs insurance required]t c.;152, §I(4),and we have no Y employees. No workers' comp.insurance required.], *Any applicant that checks box#1 must also illl out the seohon below showing their workers'compensation policy information t Homeowners•who submit this affidavit indicating theyaie doing all work and then hire obtside contractors must submit a new affidavit indicating 1contractors that check this box must attached an additional sheet showing the name of the sub.-contractors�and state whettier;ornot,those entities have employees, If the sub contractors have employees,they must providb their workers'comp:pohq number. I am an employer that is providing workers'compensgtion insurance for rrcy employees. Below'is the policy and jobgsite information. 4 Insurance Company Name: Policy#or Self-ins.Lic,.#, Expiation Date lob Site Address: City/State/Zip s `' Attach a copy.of the.workers'compensation p61xey declirafion page(showing the policy nu .ber and expiration date) Failure.to secure coverage as.required:uinder Section 25A of MGL c.:152 can lead to'the imppsition"of criminal penalties of a fine up to$1,SOO.OQ and/or one- 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 cop yoflhis-statemea maybe forwardedto•the Office of Investigations of the DIA for insurance:coverage verification,'' f y 5 i.a. I do hereby certify under the p 'ns d penalties ofperjury that the information p*rovided:above is true and correct. l •Datei , Si — afore: Phone##' C�CI Y. Official use only. Do not write in this area, to be completed by,city or town official. .i A a 4 City or Town Permit/Licenie# Issuing Authority(circle one): A.Board of Health:2.Building Department 3. City/Town Clerk 4.Electrical'Inspector 5.Plumbing Inspector 6.Other Contact Person: ' Phone 9.: ,M Town of Barnstable �FZtiE Tp� • "o Regulatory Services ` Thomas F. Geiler,Director BAMSPABLE, MAss. A �e3� A,�� Building Division rFn � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �J Please Print — DATE: (iO rl D . JOB LOCATION: V Z CW `I number l Y-) street village ..HOMEOWNER": �!t" 0 Plgg+ 5iV `776 `of �! 3 name home 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 a person(s)for hire to do such work,that such Homeowner shall act 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. Q:\WPFILES\FORMS\homeexempt.DOC THE ro Town of Barnstable ' r Regulatory Services " 1AMSTABLE. Thomas F. Geiler,Director MAss. 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 t Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building penrlit application for: . (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION I - Town. of Barnstable� a astable Regulatory Services �{y�fVE P Thomas F.Geiler,Director • snruvsra�. Building Division w sKA q eg Tom Perry,Building Commissioner � c 1r1A� 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 ADDroved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: -3 —2 —� Name:ii G 4go '0 P67 kzL Phone#: 5 qpL 7 F0 `l G 7 Address: L CYk? l '�S"!) �(� Village:_ Name of Business: T l/ole 4m _/_ !�,�✓�JPh�` Type of Business:_[ Lm` Td y�/ �6�j D� Map/Lot: &" ' ze INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such.use occupies no-more-than 400-square feet of'space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by.such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant (epDate: — G —� Homeoc.doc Rev.5/30/03 I YOU WISH TO.OPEN A BUSINESS? For Your Information: Businesse crtificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1'°FL.367 3 Main Street,Hyannis,MA 02601 (Town Hall) DATE: Fill in please: � ) / �p APPLICANT'S YOUR NAME: G �`��' `-� .77 bRd BUSINESS YOUR HQMEA4DRESS: ` Cep TELEPHONE # HomeTelephone Number ��C� `�90 �`1 y NAME.-OF NEW BUSIN SS a .. M . . e TYPE OF OUSINE.S IS TI IIS A:140ME OCCUPATION 'YE5 NO have ycia beam giveri.appro 1 rQ th ptn .d'vis'i Y 5 NO �- ApDRESS pF QUSIN>=55 .. %/-- MAP,�PARGEI,N:UIVIB>=R `,�I — When starting anew business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this_town. 1. BUILDING COM ER'S OF ICE MUST COMPLY WITH HOME OCCUPATION This individu I ha n infra ed-o permit requirements-that pertain to this type of businES AND REGULATIONS. FAILURE TO A thorized Sign re COWLY MAY RESULT IN FINES. COMMENTS: 2. BOARD OF HEALTH. This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER-AFFAIRS (LICENSING AUTHORITY) This individual has been informed of.the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Town ®f Barnstable- *Permit#, Sr R Expir 6 onths oin t sue date �C-p�ES Regulatory Services Fee J AN 2 3 Z006 Thomas g F.Geilerr,Director .QF BARNSTABLE Building Division 'TQ�j1�N Torn Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.townbarnstablema.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Yalid without Red X-Press Imprint Map/parcel Number Lot -,;q Property Address _ f'11 c �y Residential Value of Worla U 0l0 " Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �t G'?9 rU u Contractor's Name Telephone Number. Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: []/am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workmen'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) -side �00 6e r0'e S Replacement Windows. U-Value (maximum.44) *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. Home Improvement Contractors License is required. -0(pX SIGNATURE. kl( Q:Forms:expmtrg Revise071405 +Department oflyiditstriaiAccidents ' Office of Investigations' ' . a ; 600 Washington Street Boston,MA 02111 `9 •r w .mas&gov/dia Workers' Compensation Insurance Affidavfli: Builders/Contractors/Electricians/Plummbers A hcant Worrnatibn Please Print Le 'bl ' Name (Business/org ization/Indmdual): t G!� 7/4f �. Address: CPA Cq �� ��, "1 �Jr�J ,'�� city/state/zip: ���I r�� /P !rl� 076 3 L Phone#: 5P6 7VO. Are you an employer? Check the*appropriate box:. Type of project(required):' 1.[] Z am a•employer with 4. ❑ I am a general contractor and I ' 6. ❑New construction employees(fall'and/or part time).* have hired the sub-cofactors on the attached sheet $ 7' ❑ Remodeling 2.[] I am a sole proprietor or partner- listed , ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any'capacity. workers' comp.insurance. g, 0 Buildfng addition o workers' comp.insurance 5• ❑ We are a corporation and its • officers have exercised their • 10.0 Electrical repairs or.additions equired.] . 3. I am a homeowner doing all work right of exemption per MGL 1Y•❑ Phvmbing repairs or additions myself;[No workers' comp. c. 152, §1(4), and we have nq 12.❑ Roof repairs insurance required.]t employees.(No workersi 13.❑ Other • cornp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submitthis affidavit indicating they are doing an-work and then hire outside contractors must submit a new sifidWit indicating such. tContractora that ebeckthis box must attached an additional sheet showing the name ofthe subcontractors and their workers'comp.policy information. am an em information. ' Insurance.Company Name: - - Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address' City/Stateat: 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 oriminalpenalties of a fine up to$.lAOQ.00 and/or one-year imprisonment, as well as,civil penalties in the form of a 5TOP'WORK ORDER and a dine of up to$250.00 a day against the violator. Be advised that a copy of this statement may e forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the ' 'ns pen ties o.perjury that the information provided above is true and correct. Si ature: r U Date: 061 Phone#: F ff icial use only. Do not write in this area,to be completed by city or town offic4L City or Town: PermitUcense# Issuing Authority(circle.one): 1.Board of Health Z.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information aril Instructions Massachusetts General Laws chapter 152 requires°all employers to provide workers' compensation for their employees. ' to this statute, an employee is defined as ...every person in the service-of another under any contract of 14re, pursuant p express or implied,®rah or written." « , association, parpora#on or other legal ezmtity,or any two or more An employer is defined aS_:p4 mdivl4uA.,pa� WP•: A the foregoing.engaged m 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. How. - owner of a dwelling house having not more than three apartments and who resides therein,or.the occupant of the ^ who employs persons to do maintenance,construction or repair woi'Ynu such dwelling house then Y P o �P dwelling house of an or on the grounds orbu building appurtenant mereto shall not because of such employment be deemed to be an employer. chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or MGL rceewal 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 pliance with the mmoav*ealth noz any o'fits•politm'cal subce coverage 8ivisions'shall Additionally,MGL chapter 152, §25C(7)states"Neither he o enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance iegnirements of Ibis chapter have been presented to the contracting authority." Applicants ; Please fill:out the workers' corr&sation affidavit completely,by checking the boxes that apply to your situation and,if. necessary,supply snb-contractors)name(s),address mu address(es)and phone mber(s) along with their certifieate(s) of ' Limited Liability Companies(LLC).or Limited Liability Partnerships(LLP)with no employees other than the insurance. Lime r members mit 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 u have any questions regarding the law or.if you are required to obtain a workers Industrial Accidents. Should you ° lease call the Department at the number listed below.. Self-insured companies should enter their compensation_pohcy,.P._. . _ —. ..— -- -- - • - —-..__._—_..�...— — ...—• —--...--...—_.—_._._.._. __. ._..-- — self-insurance license number on the appropriate Ime. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please affidavit savi to fill in the pernut/license number which will be used as a reference number. In addition,an applicant* that rest submit multt .e permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"&e applicant should write"all locations in (city or A copy o€the••affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof thax a valid affidavit is-on file for.future permits•or'liceases..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 ventare (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 lile to thank you in advance for your cooperation and should you have any questions, please do not hesitate td give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts . Department of Industrial,Accidents .. a �Mce of�avestigations - r b00'Washingfon$ reet� . Boston,MA 02111 Tel.#617-727-4900 ext 406 or'1-,877-MASSAFE Fax#617-7274749 Revised 5-2645 www,ma'ss.gov/dia �4e �x i 34 M 16587 S. F o N \ 35 �f l Yx i`( lz 2fi 1 CAPW ' LIJOWS ROAD MORTGAGE PLOT PLAN SCALE: 1 IN.= �3p FT. DATE: Tt)ne 9.13 PLAN REFERENCE: BEING LOT lF¢ ON A PLAN BY /'har/Ps Al, SavPr�DATED fl,,or. //. /.9 73 RECORDED IN_2j REGISTRY OF DEEDS BOOK 11,52 PAGE I HEREBY CERTIFYTHAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN, AND CONFORMS TO THE ZONING LAWS OF THE TOWN OF CENTERVILL E SH OF M� I CERTIFY THAT THIS LOCUS DOES NOT LIE WITHIN THE FLOOD HAZARD ZONE AS _ GEORGE DELINIATED ON MAP ��� GEORGE N GIUNTA N COMMUNITY e9 e!�z 6 NEHOIDEN ST. NEEDHAM GIUNTA y No. 27011 THIS PLAN NOT MADE FROM AN INSTRUMENT SURVEY, NOT TO BE USED -FOR FENCES, ETC. FOR USE OF BANK OI�LiO 9N� su?" � Assessor's offioe (1st floor): DD. Assessor's map and lot number ...�y� �Qo�. PC SYSTEM MUST E ofTNEto` Board-of 146alth (3rd floor): CK"'LLED IN CQM,P�IANC� Sewage Permit number .....��..:-.�l..'.$..7............ 2 BAB39TABLE Engineering Department (3rd floor): r^ 1 0�� �l � ��� ����. v d, $'.�c?' 9 ENTAL CODE AP Q '�O 1639. �oa� House number ........................................................................ oar a' vt APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR t APPLICATION FOR PERMIT TO ............. .......................................................................................... TYPEOF CONSTRUCTION .......... ,1..C. ...:................................................................................................ ,......................19:4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................................... . ....................J....................................................................................................................... nlcProposed Use ......:.........Yl.......'........... ................................................................................................................................... Zoning District ........` �../.��.. ............................................................Fire District ............... VQ Name of Owner `/ '^CX `.6...5:..... ..``?.ti .........Address ....... �L'.'z ................................................. ...0... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................................................................Foundation ...... .. .......:...............3 ................ Exterior ....................................................................Roofing .................................................................................... Floors .... ...rr!! .�`��.......................................Interior .................................................................................... Heating .......................................................................Plumbing .................................................................................. Fireplace ......................................................................Approximate Cost ............ ... . G")...........................I............... Definitive Plan Approved by Planning Board ______ __ _�---------------1973__ . Area ..19V............................. Diagram of Lot and Building with Dimensions Fee St/ SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 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 .....'( .�. .'..: 4........ .................... �J Construction Supervisor's license .................................... JRSY`H, DONALD S . --,No ....0954... Permit for ....13.11a.ld...D.ec.YL..... w' Y.............. . ......... Location ... ...Road...... Center v. '}.�.a,e.............................. Owner ....Donald S . ForS. ka.............................. t Type of Construction .F. ........................... ............................................................................... Xr ' Plot ........................... Lot ................................ p C" July 6, Permit Granted ........................................19 87 Date of Inspection ...................................19 '} Date Completed ..................F..W .........19 r i � � t r � A � Assessor's-off ive (lst floor)' ` | Assessor's n`op on6;lot number .� ............ ' Bueft of Health (3rd fl oor): -�~&��� Sewage Permit nb�i6�/ `/',^'�/�--.--_---.. it, � � +� v������ NASL Engineering Depadment'(3»d fbm�' � �~ [° ] � House num6e,=-----.�-.---...---'��'��----��-� ' APPLICATIONS PROCESSED 8:30'9:30 A.M. and 1/00'2:00 P.M. only ~ ' TOW������T�J �� �� �� � �� ���� �� � �� �� �� N� �� �� ���l� � � �� �� BUILDING � NN N N �� N ���� ' INSPECTOR �� NNN0-N� N �� N� �~ == � ���� � �� �� ` APPLICATION FOR PERMIT TO --' ---------------------.�-------- ` \ / ) ��c�� ` ^ TYPE OF ---.*x�-�`r �*��/............. - ------- ' . ' - f� --�'-------]q�L!..-7 TO THE INSPECTOR OF BUILDINGS: `~ L �xo g i ' Th6 � according nform6f���� , ^ /~ | \ \ ��� �� \ �'�� ^ �_4/ ���J\ \ \� A��5 S Locohon '1-'��.��------'x-��----. ... ....................................................................................................................... ProposedUse -- .-'�����7!�......................................... ......................................................................................... Zoning District ..... ..J�..�~../ ' -------------.Fi/e District '/^ ............................................ \ � /�\ \ \ Nome of Owner '\ \��k ^�-'\-»� 1��\.................A66nss --.��J-!.'.«!�'�---.���' .-..��.��4���^,_ rl��� . ^ / ` i Nome of Builder ----------------------'A66ness ---------------------------- . ` Name of Architect .......... ...... ....................................... .......Address --------------------________ � * ~ -~ ���� - Mvcnbpr of Rooms ----------------------Foun6ohon -�.�������-������---_'����.................. ^ ' Ex/c,ior ----------- ^ . ------------'RooHng ---_,�� .`.�--__________..�_______' ~� ~� Floors - --.w .�|nne,ior ...............................\-___^_____________. ' ' ' ' . ^ ^ Heating ---------------------------.P|um6ing --------...--_____________,___ - . Fireplace ----','�---------------------App,oximote Coo --- 4)............................................ ` --7� Definitive Plan Approved 6v Planning 800n6 _r--ly���' ' � An�o 'x^�rx�- -'' ' ` � -r---- .�~ Diagram of Lot o�6 Building with Dimensions /� ~ Fee /t� �. . ' ^* r-------------' SUBJECT TO APPROVAL OF_BOAAD OF HEALTH . . ^ . , ` . � , ' . . - ` ~ ' ^ ^ x ' � � . ' ` ' � � ~ ' | ^ ' ' | OCCUPANCY PERMITS REQU|REDFDR NEW DWELLINGS | hereby agreeto conformto all the Rules and Regulations of the Townof Barnstable regarding the above ` construction. , n _ Nome -.J-.�....���!��...�.�-..\�.� .,.^~^~ -.���,_^ ` ` ' Construction Supervisor's Licenser ---'------^- FORSYTH, DONALD S. A=192-182 10954 Build Deck No ................. Permit for .................................... :�.Sincgle Family Dwelling Location ....62 Cap'n Lij ah' s Road Centerville . ............................................................................... Owner .....Donald S. Forsyth Type of Construction' Fra . .me............................... ........................................................:...................... r Plot ............................ Lot ................................ Permit Granted ........Ju1.Y...6.!...............19 87 Date of Inspection ....................................19 ~ Date Completed ......................................19 i i If +� n ti:�i �„$t.R^c i't,�5..,. !` ±,•..��'�'"7r.� 6}�., ,1.�'L.�{t cr� „�F�FT��*�+ ;Y�i rT`4, - +.�1��;r�Ke�r„��;I v 'P 'C e_�e.5.,`� -�'�,'"'-"�''°"�,.�"r'�rT._ E { '7- T .. "{,'$'•^' '. . 3 a •r*°'�fa e. a � :-�,j..c pi f�"r'..q + w v `Y �`�, _. c �,r �`" r s� s�,� .kf f � `y'�,5�,� ��� �.r �' �i� ,r ..;:p s. 3.,+. -✓'-a tir{ .. �� 1 Syr* .r- f ' .� .s y � Y.,a,f 4p .. 1+r�' .:S r• .p t : ;, G, r Y s f,- t-' �. x I.a �a f'r ,T, �t q � ..r'Y 1fW N .•;� A� + '� c: � � � i R :'�• +-�. ; r -. 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INSTALLED IN COMPLIANCE WITH ARTICLE 11 STATE o*TMETo ^� ' " GkD �D WR9 TOWN OF BA1 � - i BAWSTUILE, i "b BUILDING INSPECTOR e MPY a I APPLICATION FOR PERMIT TO .....Bu i.1 d ........................................................................................................... TYPE OF CONSTRUCTION .... One Fami1,Y,,,O�j,el,1,ing........................................................ ....................3...'.:.9...7..........19..?6. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lgt 34 LaP..t.. ...r....� .J.ah...Rgad.,....Center...ill................................................................................. Proposed Use „Ow e I 1 i n g Zoning District .....RC..............................................................Fire District ..,Cen,tEr.—Osterville .............................................................. Name of Owner Tel,legen-Fe, ,P011,e...A.s.sn.�......InAddress ZO Corporati.on Roa.d.,.. Penn s ..... ............ Name of Builder .Te. .le9en-Fe,rrone...As.soc. ...I.A@dress .ZO.,,Corporat ,on Road, Dennis Nameof Architect .......N.Qne.................................................Address .................................................................................... Number of Rooms Slx .....Foundation 10" PoUr.ed. ....Con . c..rete. . ... . .. . ....... . .. . .............................. Exterior .5.113►�... 1.Y.. ....Cedar...+...Q AP.0.4a.1~d...........Roofing ....23.5...l. ,...A.SR.Nalt............................... Floors ...1.'.'...Rine....ay.e.r....1/2.!'....Ply.w.oad.................Interior .... 12'I....SheetroCk ................................................................. Heating .........Plumbing 1 1/2 Baths PVC Waste FUTA....-.....Gas................................................ .............................................................................. Fireplace ..Yes - Used...Masonry, .....................Approximate Cost ...�.20S000.,.00......... Definitive Plan Approved by Planning Board ______9 =__ 10__- 19_7 3_ . Area .. RCs7........... ... ... Diagram of Lot and Building with Dimensions Fee ....... ................. air SUBJECT TO APPROVAL OF BOARD OF HEALTH d r �9 a� i d I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. C� Ne ........................................................ Tell=ge"-F=^^=== Assoc. 18429 1 1/2 story, No ................. Permit. for .................................... singlefamily .................. ------------ ~" *�� -_ ' - Lijab Road � ^w,p xnn --.,...---_..-___________.. � ' Coymtmsnrilla '.--.----------------------' ~ Tell Assoc. Owner -----..��....''..'.............-------' ' ` frame Type of Construction -------------- . | ' --------------------------' ' #�� Plot ............................ Lot ___________ / ' � Permit Q,onx*6 -- --'—.lV 76 ' i . Dote of Inspection .. . q.—.lg Dote Como��a6 .....- ���� l� ' ~�--''r � --'� � ! PERMIT REFUSED ' ---------''----------- �� | < ' --------------------------' —_----~-----.-----------.—~. � .--------------....--,.—...---.. ----~--~---`~-----^^'—^^--^~'— . Approved .............................................. 19 , \ ________________,,___,.~___. ' < \ --------------------.----._ � . ' Assessor's map and lot number .......... ts, q n . k. .,' �./ `� et ; Ar 4x Sewage Permit number ..::.:................. yoFTINET TOWN OF BARNSTABLE Z BARNSTABLE, S "6 O Y a BUILDING INSPECTOR CFPY APPLICATION FOR PERMIT TO ... TYPE OF CONSTRUCTION ..... ?9„F9.0 i.1.Y.72.'i ...............................'...'..........19...i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location :` A...'j4...t-L C.4: 'n....�-:�.it,!?.,,kn 4....CariteTwi . C........................{.........................:............ .......... ProposedUse .. ' ' ....�:; .'............................................ ...................................................................................................... Zoning District " Fire District ....'��.`�:�tL • " ` Ltd ............................................................. .............. :t......................................... Name of Owner ..i . , :u :��h,��' + 'c;r+ ... .`{` ...... .^ .....L.�:a.�l..c�f �..........` .•...?,S..... ."........... - - Address Name of Builder . �:'. .�:9r'^��"'1�.a.�.=''. �..:���C+�.P...TAaclress .20 .`,,:,r-ro!3re l"I"an..:�''Dari.....Danm.� '........... ....................................................... .. ..... .... .. .. .. .. ........... ........ Nameof Architect .......�F: ,ttE ................................................Address .................................................................................... Number of Rooms .......!........Foundation ..............� �_ifitCll3 t.. Exlerior ...f`..� P. .. � .} .... +^� ....!���....Lh,,..Av�tthaa.i:......................................... '.....`.:....:..............Roofing Floors ...i Ri ;1fa :a: t�+n I _II4Siv��nr�..................................:......................... .......................Interior r,........................ .... .. ....................... A ',per ct i !� .� �>t ., 1�{yeR' U Heating . ....:...Plumbing ...... ! Ifir. a�€1 lcp3Liiry pp 2►a i��7'0" OL' ++P Fireplace, ... ..... ...... ........................................A Approximate Cost .... Definitive Plan Approved by Planning Board _______ ___"'____ - -----19__------. Area ..........R..�....... !....:�!'�� Diagram of Lot and Building with Dimensions Fee � ' #..............I................. ............ i SUBJECT TO APPROVAL OF BOARD OF HEALTH } ' •..+ ,!'�' S�,y � Sys 3 / S '�. (! .rw. - I hereby agree to conform to all the Rules and Regulati;a:m of the n of Barnstable regar ' the above construction. e ........................................................ ....................... Tellegen Ferrone Assoc. A=192-182 F 18429 1 1/2 story, No ................ Permit for .................................... single family dwelling ......................................................................... rt Location ...I,,�.Capt. 'n Lijah Road ..... .. ................................................. Centerville ............................................................................... Owner Tellegen-Ferrone Assoc. .......................................................... Type of Construction If rame ................................... .......................................... .... ............ . ......... Plot ............................ Lot ... .......... f Permit Granted ...........J ne 4 1976 Date of Inspection ......... .........................19 Date Completed .......... ..........................19 PERMIT �LFUSED ........................................ ...... ........... 19 / ..... ............................................................................... Approved ................................................ 19. ............................................................................... ............................................................................... Town- ®f BarnstAble Permit.- Regulatory Services Date: . i v �ppTHE T°y,L Thomas F. Geiler,"Direttor P Building Division Fee: 3.5� BARNSTAB Tom Perry, Building Commissioner y MASS. g 200 Main Street Hyannis, MA 02601 $plED MAr A www.town.barnstable.ma.us Office. 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: Phone: Install at:!o OOvl L r`t% Village: e+, 'c�/i'rl` ' Map/Parcel: M12/ DatejV `���zom - Stove A.. New Use B. Type: ad / i ulating C. Manufa urer: dY Lab. No. D. Mode o.: r. Chimn A. N / E stin (If existing, please note date of last cleaning)/6h7 WC� B. F1 e Size r other ap fiances attached to Flue? rjC) Pr -fab y and ufacturer E. sonry: Line mined earth Materials: - -Con- Cr loor Construction: r� I st ller i me: J e d tkrd 044 Address: 2 C4-Oy1 L,.` P one o - 7 446 4 ocation of Installation: �-- H.LC Registration # Construction pervisor# OR check Homeowner Installing, no license required APPLICANTS SIGNATURE � 1v J APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an,0 ffcial stove permit after inspection, photographed, .and approved by the 1 Building Inspector _ t Q forms:stove Rev 103107. fon-el yl -_-- Cel g J ,, FTI ------= - � ._- p e ckZ - . ..�._.�.....�_..� _._...� _u ,_.�.._...,�a ---.. 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