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HomeMy WebLinkAbout0336 CAP'N LIJAH'S ROAD . : a , _ .. Fw t ., � a z .. . � .. .. ry . . � r ". � .. q. , r .,. .: f .. ., � �. . .. �f. ... - �. . ,. .. .. ;. :. � ... .� � m W .. ,, .. _ ... _ , r .. .i.. .. ,:: .. .. � - N � � � � „�r .. .. a .. .; � ,. �,. 4.- �:_ .- c' .. � '. . m .. ., ., y. _. a � � ., ,. _ °`. ._ ,� �_. . . „ri ,, , . .: ,. t, ,; �. -. -; ,. ,. ,. . ,� ,' a .r �. m ., . , a o . • �. , ri . , � a r - ; .� . ., .�_; k a ,° „. � v _ . ,. � _ _. ,. s„ .. � �.I , : ., . ,:. . -. ._ .. . _ .,. r r . ., . �. � : , A .,« .,. �. �- _ �� .. . . u .. .; � ,' ,. .,. .. a .. - r ry . .. .. l .�� �- :.. _ . ,. �. � .� r� ,.. ' ., .. C �t _ l n V �,�. _ e 5, .. ,. � v w -. - s, ;., � r � ;- o � .. �. .�. , .'_. e- .�. n , ,. .. �r '. .,,. , ,. - - _ , �,. ;,,r N '; s ., � �. ' ,. r. ''P,, t� � r� _ .. r s „�.. �..�...ti ' � .. ., ,., .. � �, - u .. .'., .. ,. .. n-. � ,... is .". :, ... - t, ..-_ r _ .. m .�, , .� . .: .. .. ''. — -` . . .. ,: w �. <, �.., u 3 3�0 .' / Aso '✓ice x. u TOWN OF BARNSTABLB Permit No. Building Inspector cash saunas t0}0• °vo OCCUPANCY PERMIT Bond _---------------- _1_l s3 Issued to J. P. Breen Cb.a."hli Address lot #21 336 Cap°n Lijahs RnAd, Centerville Wiring Inspector �/ �� ; �� Inspection date Plumbing Inspector Inspection date { Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. . .. _ ....'`................................. 1 19......_... .r..� ..... r' ........................................_........_.................._ Building Inspector .p P lot number .... � ..1......... cF To1� ess is ma and THE F ¢ . � r: Sev�rloge Permit number .... ::.................•...... ; d�Q� o� -� «' ���� g^g�.iar� '� Z B9BB9TSIILE, i / ..�,, n Fa" RGG g N L House number ........... .�7 ........................................ �gip .', `erg Cott" . �1' 039. ED TOWN OF $ATABLE . 0 ,� �. AUILDING "INSPECTOR APPLICATION FOR PERMIT TO .... ................................................................ TYPE OF CONSTRUCTION ...............W 1.9: ............................................................................................... ................. Z.:.L. ............19 .Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit ac ording to th fo........................ lowing informatio Location ....... �,/•...... �...... .. ....!K_...........:.. ..................... ..... :v ........................?� . .............................. ProposedUse ..... J........ .... ................................................................................................................. ZoningDistrict ,...... � ..... ......................Fire District ........:.............................:...........................:........... Name of Owner .. .p............. ................:...... .....Address .ZL2:�a! .✓"'!��` .....,....................... Name- of. Builder .....:.. ... ...... ..................... ... ... ........Address ........ .�.. .. ..........:. :..............:......................... Name of Architect .......... ......................Address .................................. .................................................................................... Number of Rooms ........................`...................... ..Foundation ....... d P .... Exterior ...... .... .........................Roofing ................... ... .oF-�l................................................. 42 Floors ............ g�................................................................Interior ............U,....,,,,. .....:................................................ Heating ... .:.."`'.....' ... ....................................Plumbing ?................................................................... Fireplace ..........01�.. ................ ..................................Approximate Cost .......:. .5. ....................................:.............. . . Definitive Plan Approved by Planning Board -----------____________ �.a �� ------19_------. Area .......... . ............. . ............. Diagram of Lot and Building with Dimensions Fees J S' SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 .................................... - 7 P. BREEN, CO. INC. 24737 One * Stor Mb .......-. Permit for ..................................... • -Single Family Dwelling ............................................................. #21, 3 Lot 36 Cap'n. Li j ahs-.,Road,,' Location .............................................................. . �Centervi.11e' ........... .......................... ........................................ OOW .....J P. Breen Co. , ' Inc. wner . : .......................................................... Typ& of Construction ....Frame....................................... rj ............................................................................ I. Plot .....:....................... Lot ................................ January 19 , —` 83 Permit Granted ............I...........................19 Date of Inspection ............. ........19 t Date Completed ....... ..............19 A ti Assessors map and lot number .... ... ...... ....... THE f ✓ pi Tp� Sewage' Permit number Z BAB LE,NAGIL i House number 9�� b 9- 101 TOWN ' OF BARNSTABLE B I-LDIH . y U I N P �T �R G SECO f .tip i APPLICATIONFOR PERMIT TO .... ..... ......... .....................�� ..... ..................................:...................:......... TYPE OF CONSTRUCTION ...............eQ aA.................................................................................................. ................ 4�..::.�..`�.............19 .'. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to-the following information.-, Location .. :.. ?.l ............... �� -'..fit....... ° � ....... � ............. ¢ (a�„c ,`NS✓.............................. ProposedUse ..... ...1.. .. r4 4 '... ................. ......... .................... ......................................................... ZoningDistrict ........................................................................Fire District ................................................................. Nameof Owner .. - .�.. .... :................ .........Address 2Z.2 ................� .............................. Name of Builder ....... �4......... aa:-� . ..........Address .... ....................................................... Name of Architect .....Address ........... Numberof Rooms ....`..�................................ ..Foundation 1 ...........r..�......... ................................. Exterior ) o o c� � L r Roofing �L' ............ ... ................ ...............................,r............................... ............ .'...f�... . Floors ..................Interiors � I g ... 1 G� (.-o Heating .................................................... ..:�...............,Plumbing ........... :.......................:.............................. Fireplace ... - ..a. ......:........................... t ...............Approximate Cost .... .j.r..`..�'............................................ ...... .. ..:. ... _. Definitive Plan Approved by Planning Board ______________________________;119________. Area .........�..Q...!.v..: ............ Diagram of Lot and Building•witheDimensions Fee ..... SUBJECT TO APPROVAL OFIABOAD OF HEALTH fi y t s OCCUPANCY PERMITS REQUIRED FOR NEW' DWELLINGS ` I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .y... �' r✓`�'`Y.. y4A���....................... ..Construction Supervisor's License s � - � -. � •r errs. J. P. BREEN, CO. INC. A=193-107 4737 One Story No ................. Permit for .................................... Single Family Dwelling .................................................................... Location ...L.o.t...#.2.1.........3.3.6...C.ap.'.n...L.i.j.ahs Rd., .. ..... . .. Centerville ............................................................................... Owner ..J. P. Breen..Co,.,........;......................... ........ .......... Type of Construction Frame............................. .. .... .. . ................................................................................ Plot ............................ Lot ................................ Permit Granted ..............................January 19r..........19 83 Date of Inspection ....................................19 Date Completed ......................................19 �13011.2 Town of Barnstable s * ermit � Expires 6 months from issue date Regulatory Services Fee i BAMRrABM + Thomas F.Geiler,Director' �kc— fOMA'tA �L✓ Building Division Tom Perry,CBO, Building Commissioner . . 5 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 1 Not Valid without Red X-Press Imprint Map/parcel Number 1 l—v Property Address /�G `-- D /v �/11i �- Ap, El'ke—sidential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address PkM 2 ZA I/V774 77y r Contractor's Name G'i AV Telephone Number Home Improvement Contractor License#(if applicable) 1�e"1Y(I Construction Supervisor's License#(if applicable) V (79 ❑Workman's Compensation Insurance 20�2 �Chec ne: APR 2 5_ 0 l am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance rOVVN ®F EIARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Not Property Owner i st si : Property Owner Letter of Permission: A-copy of th` ome provement Contractors License&Construction Supervisors License is quired. SIGNATURE: ✓��,. �� _` - C:\Users\decollik\AppData\Local\Microso Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doe . Revised 072110 The Commonwealth of Massachusetts Department of Industrial Accidents , ` -Office of Investigations • , J 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): �Z11z' � rU(16 V01 C(5�4 Address: 0+( b City/State/Zip: Lam' %C� �' `Phone 4: Are you an employer?Check the appropriate box: " Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I. * have hired the sub-contractors 6. ❑New construction loyees(full and/or part-time). • listed on the attached sheet., 7. '❑ Remodeling 2. I am a sole proprietor or partner- - - t. 'These'sub-contractors have ship and have no employees �8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance$ 9. ❑ Building addition required.] 5.,❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. _ Insurance Company Name: ' Policy#or Self-ins:Lic.#: Expiration Date::- " Job Site Address: . ��G" W � 7T ��, CiTy/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and'expiration date). - Failure to secure coverage as required under Section 25A-of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP'WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insur e.coverage verification. I do here certi under the airs d penalties of perjury that the information provided above is true and correct Signature, ' Date:: / / 7 • r 2S r� Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector_ 5.Plumbing Inspector' 6.Other # Contact Person: Phone#: i � - x �' _ '� _ - .. �f _ = .. I � � �• .. � .. J � _ � � _ '. t ,_ , �. � .i - � , �• 5 f, a oniY inaw;au�us ` �a;;a found return to..uiation 1_seror revstrt- n Gate If na Bus►ness R g _ Lieen a the evOra er Affairs a essgeg°tanoo Offi a°f Y,a a Suite 51�g &B"'m 10 Y av er Atta;rs OR a Op- 0um pNtRAO� Type' Boston,M MP�OVEMENtO Ottee o` 9 pgP i HOME anon: ��13849 Registr 4fA.)IT 3 S s;gnature iratio VP��ON \: Withp°t ExPREN� t va' pM � o PE EPuI���'j` g raecseeretafl' PERRY cOM IPGE OR1vzE U 36 OHO PRWICH,MP U265✓ OF, i ' m MA . .w rCIW WTO �� �}:.� .. - ..,� -;`"�' :- a . . .,-.� - * -� ',b.,, '> `' '�._. -ray `"� \;4 .n � a�! y k3� �a� =*'ar•-.a; - + � - ..�. �*�,: ..... r ,a �r'.. '- R'.. ,�up:�§}, � .'- -�*' '' � `���+�•. {'� x 5;� � �'�'� ���ry ,�.+ !as4�"4" ,�3a ��.• ;�.., - .a § a #;,:�,� » r � 40 x ' n t s •"r .:5 gt.'.tJ ",,''y. c°'S�' it "' 3`, tl% 2 �^' �t'.t :a .w is y w '� �'4P' ,+. ��ag, , `< - •. u' _ k fia.�'AY t� nW: '�" '.„ a �'^�.» wr'S^M1 �4 e» sp,'V' -R.9,..., ,�+ }:.k F. �y.a a, ',;. -:-rd yp .T•, k ..: �'�, i .,' � a *„� �, "-� � �'' €_.rr st„f r ,, ..s yy "�..:.:+� `r •+a.� _ ,�r - " S� illl!I dt a i X� b�r r : �a lR \ \ \ a, \ .n�: � ��. ...J �� F. i,.�.:' -.,Y��x�,�\a�..,'!a�\�•r.. '.h. \x�r, \�. - \.\t„���` ':\ \ �\, ,\� yu...�. \F;"��\.i �\_.\\," \'—. �\`� .O � \dWl�.. �.,*... �vAA A,,v � "." ` =,. P.°.''�„t «.•z• �" �.'�: ���� �'r W ..' ,�" ,�,.,�„ '� er. , spa t .�. �A. �z�..� ��. �" �\ 1,�. �'\ e r .�. x InI���Md" s'h� t �„ snxxs'rABU& • _ .. MAM 39. Town of Barnstable 0MA'I A1� - ,• a ' Regulatory Services Thomas F.Geiler,Director Building Division., Thomas Perry,CBO Building Commissioner r. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office:,508-862-4038 :k. Fax: 508-790-6230 R Property Owner Must 'Complete and Sign This.Section '• If Using A Builder I, 1-\ �1�1(� Z ,as Owner of the subject properEy ' hereby authorize e'U�- ll> � to act on my,behalf, F in all matters relative to work authorized by tlis building permit application for:. , - (Address of Job L l Signature of Owner Date u L Z Z cellf� F t, Print Name If Property Owner is applying for permit,please.complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRFSS.doc Revised 072110 t Town of Barnstable *Permit# 7 s_- �,S_3 Expires 6 months from issue date BAMSTAHia, Regulatory Services Fee q 16 9. ,0� Thomas F.Geller,Director ��EDMA'Ip Buildin Division g X-PRESS PRIT Tom Perry, Building Commissioner AUG 4 2004 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 10, /0 Property Address C , � v [Residential Value of Work O Minimum fee of$25.00 for work under$6000.00 F � Owner's Name&Address sa, Contractor's Name Telephone Number i Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor :,I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman'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) ❑ Re-side ❑ 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. e Improvement Contractors License is required. ignature Q:Forms:expmtrg Revi e.WAMd 7 Y 4 :•4„ 1a>+ -,: '"•,@aJ'm, - r {'. x a r. t •�2'•Y•a �`,,;p a�J'o ;'+ Pq f J�'�y� \� A ? •.+•?s y � •rtin4r; � :• YR.,, a � y�, �w 'A• a \ 'i •' j+ :n ♦< +g Vs, :r ` r",.aR J .y- \ a r o., r ' stA f m•{ Trr ., All �,e. A��1 mw+)Jf'ic �Rr t-, , •� .. m � i'�� � rt'v /.✓ P #' �.,.m ryt't. ftj'iaD:, .�`' 4` ,.. +�{, w :n.,,.. .v.�r� - ` ,•1 ..Y 5rr '.y�',c?..•. :.P'�,•''`M"w •,.»<3� ; r'i: s .'4•,s'�"" �„ a.,. �i .�,.!r�i..,,,r./+ .� -...^+' tN' s �. .pi► ,. 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