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HomeMy WebLinkAbout0152 CAP'N LIJAH'S ROAD v ,v p �F _-a5' �.. r Yro ; � ,." �. �kk-':'F ...i3't ) i �i ,�p f ..�"' �^.� I �G k 6 [i •-iL :f f'�.`�, 1 9 1}3' r a a oo 0 p Town of Barnstable *Permit# ` c23060 Expires ti monIsfrom issue date Regulatory Services Fee —_2 aatwsraeE Thomas F.Geiler,Director .S PERMIT Building Division D MAt Tom Perry,CBO, Building Commissioner. JUN - 4 2.008 200 Main Street,Hyannis,MA 02601 ARNSTABLE www.town.bamstable.ma.us officeT- Q- F3P Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ;t 9(;>?- �pC Property Address Ca n b C.l.f 7S �"" ' eenix,v t [�sidential Value of Work" Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 5 Co fn Li3ahS co-rik.ryl(Ie_ MA o Pc Zak - Contractor's Name�•�. �ZQ�t y 1� (Aral,. �S O� V�/��`j Telephone Number ����ti 7 -3�6 Home Improvement Contractor License#(if applicable) oSC� `I [�orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ m the Homeowner have Worker's Compensation Insurance Insurance Company Name c V A Workman's Comp.Policy# O 7 W Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) p [9/Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping.. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value - (maximum .44). *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. ,:::�A� "'X SIGNATURE: Q:Forms:buiIdingpermits/express Revised 123107 The Commonwealth of Massachusetts Department of Industrial Accidents Office of fnvestigations 600 Washington Street Boston, MA 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeib1V Name(Business/organization/Individuo):5•T•C a'Zec C-na ' AddTe55:�f J4 ri'►-S�-rpr,ct �-- �.o" �CcX-�� ��l�.t*ac� ��.,o� . City/State/Zip:'0 A,&JV --1 14. Phone.#: so c Are yop an employer? Check the appropriate bo= Type of prof eat(required): 1.t�7/I am a employer with 2-� 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. ❑Remodcling ship and have no employees These SUb-COntEactors have g, ❑Demolition workingfor me in may c employees and have workers' y capacity. 9. ❑Building addition [No workers' comp.-insurance comp.inmnrance.t mpfired.] 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 ram-)t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other camp.inctwmee 1eq=ed.] *Any applicant that eh=1z box#1 rwst also fill out the section below showing their workers'compensation policy information. t Homeowners who subrdl this affidavit indicating they arm:doing aIl work and then hire outside contractors must submit a new affidavit indicating such %contractors brat check this box tmmst attached an additional sheet showing the name of the sub•wnhactnrs and state whether or not those entities have employees. if the subtontraetoms have employees,they must providb their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ^ Insurance Company Name: C!V°1 Policy#or Self-ins.Lic.#:20 7 0-St4<600 Expiration Date: j O� Job Site Address: I tea- LGo(Z b `�5 `M M. city/state/zip: Qenkmd�Q r AA 0--;�6 2v-- Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure w sccme coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penaltim 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 WA for insurance coverage verification. - I do her c fy under the pains-and penalties of perjury that the information provided above is true and correct Si e• Date: Phone#: Offtcial use only. Do not write in this area,tb be completed by city or town q�j`uiaC 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#• r 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 Wit, 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 representative's 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, §250(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 bas 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 in urame 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-contractors)name(s),address(cs)and phone number(s).along with their certificate(s)of insumuce. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not regi fired to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Bg advised that this affidavit may be submitted to the Department of Industrial Accidents for confinnation 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 nu nber listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Towp 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 till in the permit4icense 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 on;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 fiitaire 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 fo any business or commercial venture (Le.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 tit give us a call The Department's address,tzlephone•and fax number. The Commonwealth of Massachusetts Dgm-tment of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 TO. #617-727-4940 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia I� . l om�nauoea/�/v o�./�czaaiic/u..aeCt li -- Board of Budding Regulations and Standards ;i . License or registration valid for individul use only .HOME IMPROVEMENT CONTRACTOR ( before the.expiration date. If found return tg: , Registraton:Y,105024 ik Board of Building Regulations and Standards i,ltExpiration 71--16/2008 One Ashburton Place Rm 1301 ,!E Boston,Ma.02168Ij j ype Supplement Card J.T.CAZEAULT&ISONS O PLYM'; . ; l 61 j JAI��'S CAZEAUk�.� 51 ARMSTRONG N. ROaD 'f,<,• " PLYMOUTH MA 02360 �r L. Y`^ Administrator No alid without signature t I. ACORDTM CERTIFICATE OF LIABILITY INSURANCE 04°AT/28 /DDIYYK"' DATE PRODUCER 1-860=560-2766 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher Risk Management Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Columbus Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hartford, CT 06106 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:continental Cas Co 20443 J.T. Cazeault & Sons of Plymouth, I'nc. INSURERB: 3. - 51 Armstrong Road _ INSURERC:. - Plymouth, MA 02360 INSURERD: INSURER E - COVERAGES 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 AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDT POLICY NUMBER POLICY EFFECTIVE 'POLICY EXPIRATION - LIMITS LTR N DATE M DD Y -DA MM DD Y A GENERAL LIABILITY 2071255218• 05/01/08 05/01/09 EACH OCCURRENCE $1,000,000 PCOM _ DAMAGE TO RENTED 300,000 MERCIALGENERALLIABILITY _ PREMISES Eaoccurence $ CLAWSMADE 5-1 OCCURMED EXP(Any one person) $10,000 _ - - PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER:. _ PRODUCTS-COMP/OP AGG $2,000;000 POLICY X JECT PRO- LOC A AUTOMOBILE LIABILITY 2071255221 _ - - 05/01/08 05/01/09 - - - - COMBINEDSINGLELIMIT $1,000,000 X ANY AUTO - - (Ea accident) i ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS -(Per person) $ - X HIREDAUTOS .BODILY INJURY X NON-OWNEDAUTOS - - ` (Peraccident) $ - PROPERTYDAMAGE $ (Per accident) GARAGELIABILITY - - AUTO ONLY-EA ACCIDENT $. ANY AUTO - - OTHER THAN EA ACC $ AUTO ONLY: AGG $ - ' A EXCESS/UMBRELLA.LIABILITY 20.849392315 05/01/08 05/91/09 EACHOCCURRENCE- $5,000,000 X OCCUR 1-1 CLAIMS MADE AGGREGATE $5,000,000 HXDEDUCTIBLE � - - - . $ - RETENTION $ 10,000 - $ A WORKERS COMPENSATION AND - 2071254800 OS/O1/08 05/01/09 X WCSTATU- - DTH- - ER EMPLOYERS'LIABILITY- - E.L.EACH ACCIDENT•- $1,000,000. ANY PROPRIETOR/PARTNER/EXECUTIVE - OFFICER/MEMBEREXCLUDED? - - - - E.L.DISEASE-EA EMPLOYEEI$1,000,000 It yyes,describe under - SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 " OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS. Evidence of Insurance. Job, project number, location: CERTIFICATE HOLDER CANCELLATION*10 day notice for non-payment of premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL ilding Division IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR '00 Main Street REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE / A USA ACORD 25(2001/08)pvenkhar ©ACORD CORPORATION 1988 8622216 4 Town of Barnstable Y BARNSCABLE. `HA SS. Regulatory Services Thomas F.Geiler,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 I, r, QVk�xf DC q JR ,as Owner of the subject property hereby authorize --y-T•(2aMAL)Wa4'�� 4jty/3l-041 i7-R L.to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) q[OK: Signature of Owner Date "DOW Print Name Q:Forms:buildingpermits/express Revised 123107 _ )k TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �GI a 7 Lot a Permit# �J 1 99 Health Division � Q Date Issued �� 1 D 200� olj Conservation Division AUG 1 "1 Fee Tax Collector Treasurer py Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address c� k PS CaldLAe�::&A , Village 2 Owner a- Address Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new I ,uation Zoning District Flood Plain Groundwater Overlay Ci truction Type Lot ze Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family Cl Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes O No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil Cl Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑new size Pool:❑existing ❑new size Barn: ❑existing ❑new size Attached garage: ❑existing ❑new size Shed: ❑existing ❑new size Other: "N Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use _. _ _ _ _ _ _,-.Proposed Use -- BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 1,1-", VDATE (> I / FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED y I MAP/PARCEL NO. ! t _ ADDRESS VILLAGE OWNER , DATE OF INSPECTION: FOUNDATION w FRAME INSULATION i FIREPLACE .a `i ELECTRICAL: ROUGH . FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT . r r ASSOCIATION PLAN NO. , n 1 a i r ree r •• • Mo Certifkate of 11anx Rezigtanre { • ISSUED BY OPUCATION Academy Tent & Canvas Dot*heOtod of C1 Me. monuiodured 2910 S. Alameda Street F-337 Los Angeles, CA 90058 (213) 234-4060 this is to certify that the materials described on the reverse fide herod have been flame- retardant treatie for'_ �sp�f,�, nonflammable). 660 MAC ` E�1A Q pnr -.cZ,MA passe ADDRESS CITY STATE Certificr4lon !: hereby rnaads than.(Check "a" or "v) M (a) The articles described an the revers*side of this Certificate have been treated with a flame-retardant chemical" 'approved and registered by the State Fire Marshal and that the application of said chemical was .done in conformance with the laws of the State of California and the Rules and Regulatla6s of the State Fire Marshal. Name of .chemical used..................................._...........................Chem. Reg. No............................. Methoda� application........................................................................................................................ xj (b) The articlan described on the reverse side hereof are made from a flame-resistant fabric or material registered'and approved by the State Fire Marshal for such use. Trade name of flame-resistant fa%ric or material used............... Viny!......Reg. No...F:337 ... The Flame .Retardant Process Used will, Not Be Removed by Washing (wtli i�will retj David Bradley ,' B Tom Shapiro . President Name of Applicator or production Superintendent y Title PLEASE NOTE: The Mj assachusetts State Code requires a permit for tent installation. Please contact your local building department with' this certificate for your event. t '01-08-17 13:19 PARTY CAPE COD INC...5087595478 P.1 ,OUCER. CERTIFICATE OF LIABILITY INSURANCEc MC DATE A>r�►ooz 1�/a7/on rRooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ARA Insurance Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 2700 Rockcreek Pkwy. , Ste, 400 ALTER THE COVERAGE:AFFORDED BY THE POLICIES BELOW, N. Kansas City MO 64117 ; Phone: 800-821-6580 Fax:816-474-1931 INSURERS AFFORDING COVERAGE INSURED FINSUR R A Safeca Ins. Co. Of America INSURER B '. . Pa� t Ca�pe Cod Inc INSORFR c 66aeArthur filvd NSLRffiu Pocasset MA 02559 NSUREF E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,PERM OR CONDITION OF ANY CONTRACT OR OTHER OOr,UMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CCNDITION5 OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY MAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE CF INSURANCE PD;.ICY NUMBER I POUC7F;FF11TiVE POLIO: i bATF(M1fM111i>YY DATE MWDDM^ LIMITS GENERAL LIABILITY I EACHOr:C4URRENCE s 1"900;000 A }[I COMMERCIAL GENERAL LIABiLITY CP7767181B 12/17/00 I 12/17/01 �FIRE DAMAGE(Any mefire) S 100,000 CLAIMS MADE �OCCUR+ r MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $1,000,000 _I GENERAL AGOREOATE s2,000 000 GEML AGGREGATE LIMIT APPLIES IES PER: PRODUCTS.COMP/OP AGG $1,000,000 }( POLICY PRD4T Loc I - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accidanU f ALL OWNED AUTOS - -- SCHEDULED AUTOS BODILY INJURY. $ I (Pat person) HIRED AUT06 BODILY INJURY -- - NON•OWNEO A(ITOS $(Per ealtlent) ��- PROPERTY DAMAGE S (Per accident) J GARAGE LIABILITY AUTO ONLY-EA*CC[ bENT $ ANY AUTO OTHER THAN EA ACC $ ! AUTO ONLY. AUG S 1:XGty5 LIABILITY EACH OCCURRENCE $ i OCCUR U CLAWS MADE AGGREOATE $ DEDUCTIBLE. S. RETENTION $ S WORKERS COMPENSATION AND TORY LI T U. I Ea EMPLOYERS LIABILITY I —. .._ E.L�ACCIDENT $_ E.L.DISEASE•EA EMPLOYE $ E.L.UISEASE-POLICY LIMIT S OTHER A Rental/Sales Inv, CP7767181B 12111110 12/17/O1 Blanket $445,000 Special w/Theft $1000 Dad CESCRIPTON OF OPERATIONSILOCATIONSNEH!CL E51EXrLUSIONS ADDED BY ENOORGFVFNT^PE:f. PROVISIONS Certificate Holder as Loss Payee with respects to: Rental Inventory CERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER CANCELLATION FIRFAL3. tiHnt.ILD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE First Federal Savincjs Bank EXPIRATION DATFTHFREOF,THE ISSUING INSURER WILL ENDEAVOR To MAIL of America 10 rJAYs WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE Coianmerioal Services Division One Firstfed Park LEF 1.til)T FAILURC TO DO SO SHALL IMPO6F=NO OBLIGATION OR LIABILITY OF Swansea MA 02777 ANY K,ND UPON THE INSURER,TS AGENTS OR REPRESENTAYIVE9. ARA Insurance .Services ACORD 25•S(7/97) ACORD GQRPORA71ON 1988 101-08-17 13:26 PARTY CAPE COD INC.5087595476 P. 1 Massachusetts Retail Merchants '`Workers' Compensation Group, Inc. 190 Forbes Road Suite 237 Braintree MA 02184.2613 Certificate Number: 1004-07 Coverage Period: January 1, 2001 to January 1, 2002 Item: 1 Participant' Administrator: Party Cape Cod, Inc. First Cardinal Corporation 660 Mac Arthur Blvd. 210 Washington Avenue Ext. Pocasset, MA 02559 Albany NY 12203-5335 1 (800)438.0160 Business form: Corporation Agent: Other workpiaces not shown above: See Schedule First Cardinal Corp, Item: 2 Certificate period is from January 1, 2001 io January 1,2002 12:01AM standard time at the Participant's mailing address. Item: 3A Workers'Compensation Coverage: Part One of the certificate applies to the Workers' Compensation Law of the states listed here: Applicable States; MA B Employers'Liability Coverage: Part Two of the certificate applies to work in each state listed in Item: 3A. The limits of our liability under Part 2 are: Bodily injury by accident, $100,000 Each accident. Bodily Injury by disease: $500,000 Certificate limit. Bodily injury by disease $100,000 Each employee. C This certificate includes the endorsements listed on the attached endorsement schedule. Item: 4 The fee for'his certificate will be determined by our manual of rules, classifications, rates and rating plans. All information required below is subject to verification and change by audit. See attached schedule. 0500406 Issued: December 3,2000 + I Assessor's offioe (1st floor): �} la Assessor's map.and lot number ...../� ..-.12�. .:...�._.. P�oF THE rot` +F and of Health (3rd floor): —t� wage Permit number Z B6H39TADLL S Engineering. Department (3rd floor): 'oo rasa 1639, 0� fouse number .................................. �:o ...................... �F0 Mo 1b, APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING �ANSPECTOR APPLICATION FOR PERMIT TO n <..(�a .... .. +rsf !:... �1 .................................................. jj r TYPE OF CONSTRUCTION ..... ,! '" .........................................,................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .} .64XV.......e � ................................................................ Proposed Use .. ifR +. r'....?A............................................................. � /� ............................................Fire District ....... ..�� ......... ... ... ..Zoning District ................��`...........1 .. .. ............... . .............. Name of Owner . 96-: . liar a .......T)5. 1.�... .............Address .Z;P......A!f.��,�i...b:A C f'/f✓{!{,!-,� Name of Builder L...*....... ..��!J:F+©5� ��7 ...........................Address ................. ,.,,�..� Nameof Architect ......;...........................................................Address .................................................................................... Number of Rooms ................../............................................Foundation '��� ....Q..��lor ................................ t .'' ,� ' Exlerior /~ ! «' .r+" ..t.....� (.fls!�"... P---4-.*j.....Roofing ... ! 5� �• ! ....'............................................. Floors ........ ..... .............................................Interior 's sr C Heating ./-14"'"`" .� .� . ........Plumbing ........?r... ..... ...................................... . Firepp .............Approximate Cost ...- ., Gr �� lace ....................................................�............... C►k"� Definitive Plan Approved by Planning Board ________________________________19________ . Area ��/ ...:�..,.. .!..±. Diagram of Lot and .Buildin with Dimensions ��. 9 g Fee ....................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH Ir N1. C9 U OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' } Name .. !,.. !?':............�.................... ' Construction Supervisor's License .17064;5 '.............. DOYLE, ROBERT & JUDY A=192-172 No 32008„ permit for ..Build Addition Single Family Dwe.11ing._........ Location 152 C Lijah Road.......... Centerville ............................................................................... Owner ......Robert. &. Judy...Doy71e.......... . Type of Construction Frame .................................. ............................................................................... Plot ............................ Lot ................................ e Permit Granted ........June 17 , 19 88 Date of Inspection ....................................19 Date Completed ......................................19 c �� G Assessors offioe"(1st floor): J �7�7 ; .01 // p( //uC ��FTHET�� Assessor's map, and -lot number .... . .. 5���'OG � re P o oard of Health -(3rd floor): �� "'zv •; � 8 UST apt ewage Permit, number t _ 1 .ram BASl9TADLE i engineering Department (3rd floor): 39 so �A°a 0� louse number ......... !-` /o C. ...... .. bN APPLICATIONS PROCESSED 8:30..9:30'A,M, and 11:00-2 W P.M. onlyt TOWN 'OF BARNSTABLE BUILDING INSPECTOR APPLICATION 'FOR PERMIT TO G�G�i.e r�!!f.(. I ..................................................... . r TYPE. OF CONSTRUCTION :. t yy TO THE 'INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followi"ng information: Location ... !1.r..:.........:.:......... "l�..l tw..11e..................................... ...................... ProposedUse ..... ............................ .... ................. .#. ............. .: Zoning District ...............�.(f........... ...............Fire District ................. ��-... Name of Owner ® ✓'I%�.>,J�41 ..... 11/.� :.,........Address ..� a�.....: `� !f..�.4:�-.......L't'y ✓f!!f/-Y . Name of Builder 4.r.../P� /..-t'1� ° .......... ........Address l�I.PGIJ�..I %�i?/...... . Name-of Architect .......... ..............Address' ............................................................:.................... _ r Number of Rooms Foundation ./ l� q..4. _6,...... ....................... // /Q.c Exterior `!\ jJ Ca�O' ..1..... ....Roofing ... -r �L� . ` Floors fJr/ .....:..........Interior .. - �. /MC ......:.................: t Heating /... .. ... g ............................... Fireplace pp '....� .............................. Appro ximate mate Cost ... .. �.�..� � ......�.... .............. Definitive Plan Approved by Planning Board ______________________________19________ . Are (.. ... nT...!..>. 7,. Diagram of lot and Building with Dimensions j Fee ' SUBJECT TO APPROVAL OF BOARD OF HEALTH zc) k z. _ •9 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. (�`.. + Nam .................. .................... 1 ` ,' Construction Supervisor's License .®QG437 DOYLE, ROBERT & JUDY f No �3200.8 :-permit for ...Build Addition e Sin4le Family Dwelling Cap Location 15 2 : L i j ah-Road L a e P Centerville , s Owner .......................Robert &. JudX..............................Doyle � _ . . •� -Frame _ , - •- ,/ �� , ' i i � � � .,r' _ - - Type of Construction ................................... .. .„ .. ... ...................................................1 - ' f } A' •IP.. ' .. � .. i..yp.. . , l Plot .f.. .... ......... Lot .......... - ' Permit Gran'ed June-"°1.�.!..:.- ..{19 88 Date of Inspection � .. .19 .k Dote Completed. .........19 r �. W ir �, its: '^ '� �+, •�``F ' '' i• I THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A , m / �C(�J- LI DATA Assessor's map and lot number .......................................... 0. Sewage Permit number .......................................................... AFT"ET°�� TOWN OF BARNSTABLE Z BABISTADLE, i "6 BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPEOF CONSTRUCTION ..................................................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....................................................................................................................................................................................... ProposedUse ....................:........................................................................................................................................................ ZoningDistrict ........................................................................Fire District .............................................................................. Nameof Owner ......................................................................Address .................................................................................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors .................Interior ............ ..................................................................... ........................................................................ Heating ..................................................................................Plumbing .................................................................................. Fireplace ............................................................. . ...................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. Tallageo~Ferrone A=192-172 � � l 1/2 storyNo - .. Permit for -------____._ .�sing.L .family ............ � �l^ab �oad Location ..��—.—�----.�.-----------'' ' ' Centerville � ---.------~---..—..---------' . � ^ �elle�e�~�arrm�e CJvvnar ---______________�____. � Type of [ono framConstruction --- —--- ------,. � ..... . rxz Lot � ' � Dacembe'r 13 ' 76 Permit Granted ......... � � . Dote of Inspection .................................... ' Date Completed ...................................... � � ' PERMIT REFUSED � ' --.--'-----.---...------- lQ ' � ' .—.-----------.~---.—.-----,—. ' ' '—'-^^^^—``--'—^^^------~^------' . . , . ^^^--^^^—~^---^~^' . � . ' ........ . . lQ � � ^ . . ,,,,_,_ / . { . .................... ..............................................^—'~^~ ` . � | � . Ass ssor's map 'and [of number .../..1... :.....f-... 7a 0 M ` SEPTIC SYSTEM MIST BE r 76 is - INSTALLED IN COMPLIANCE Sewage Permit number .......................... g, WITH ARTICLE If STATE SA!aiTA `l CODE AND TOWN TORN OF BAR �' �TT �BLE i BARNSTABLE. i apYa DUI'LDING INSPECTOR,. APPLICATION FOR PERMIT TO ...................... ................................................................... M 4" TYPE OF CONSTRUCTION .............................�`` � :G.,... ....................................................... ...... ' i .......... t-r ...... f..t............................1 9.:2K ` TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the/following information: Location ............. Q ...#.. 1..... �...<.J .... . 1..4.!d �1........... �..�t ................. ................................... ProposedUse .......... ....ti ./.�r"c.......................................................................................................................................... Zoning District ........� c7` Fire District .......Cr Cr 1 ........Ur i.................................. Name of Owner .../..F �!... ./{r1lCo:v ..............Address ...................jk!r .V-df..5............................................... Nameof Builder ................../... �1^�✓.........................Address ..................... .............................................................. Name of Architect .........Address Number of Rooms ......... ......................................Foundation .......... l , Exterior .(�...... (.........Roofin 3 , t .... � c'�:Z.�(....'..... .....I. I �. g :J......,5... ... .........-/r� Floors Ai x �.// 1. .. ... ..l !f..........Interior ....... ...a.. 4 zZoG Heating ... !,�... :........-:....�.�. ..... yn ... `...1..: V'..(.............................. Fireplace .......G .S..47 -Z... .Q !!? ...............Approximate Cost .......... ... 1..b.C?.�r................. Definitive Plan Approved b Planning Board __---_________________---------19-________. Area ...Ov?.,e 5�.............. pP Y 9 Diagram of Lot and Building with Dimensions �d• Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. .4J��/ AJ....... . .......... ..... Name ............................1.. . ...�' / ... . ash 5. Ta& Ferrxne 1 1/2 story ` . . . . . . single ^ . —.��.'—'�.. -----.�------.. 1P,11 / . �_~~� ==�= Lijmh Rm�d Location -----.�--.�____________. . . Centerville ----------.---------�------� �a�l �6rrmne ' Cxwne, .---. � _____.__.___. ` Type of Construction --- --..^'---.. . ' ^ _---.—^---------.----�---,--.. . Plot --------_. L6t ---.#24 . ......... ............ ' - ' . . . ` ^ . December 13 78 Pe,mh 'Gnznne6 ........................................lV . ' . Dote of Inspection ..^'�\.]9 �~�n ' Dote Completed .��,�^$�'.�"�.----..]g ' - - . PERMIT'REFUSED ..—'--''.---..—,--_.------.. 19 ' ' ' ...—.----....----.—..----,----�.. . ^ ..~_.~--,.------...--~--..—.—.~ r'--~—''—'—'--^^~—'�_----^^—,--^^ / ' . ' ^ ' --^—.—..---..................................................... ' ^ . , Approvo6 ''--------------- lQ' ' � � -------'---------'-----`^^--^ ~ . -----i------------___._,.,.,_. ^ � J ^ | 4o ` 2 - 76 =4i.b9 Lo i Z3 <iuL sr L. Aro (' � \ .J •� 20 K.,. .3$ ,( 13. 1 s s sE*^c ,, / /j Ci/G�ate / r i- ►1l�S0$Su+L._. J 6 SaxZW . 'fj r io461 N /� � Fs �' � �• � iJv �A~r=�•tL 'SC,4 . Mi viMLn/l 3 U/c_D/niG S.E7-8,4Ck- A26gU/,2 e-MF-t/T.5 2 0 ' A,e0A/T /o T2EA;2 `. FP20 pO SE.D _ .3_ BF_,DI20oti1S SEP T/C. 5 YS TEM CONS T2 4J4C T/ON ` SHA 4-4 C0AJF0A M To AIA ss . 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