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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 0� Parcel_ DL Permit#
Health Division I 1 Z Date Issued Z'S
Conservation Division Fee
Tax Collector ijC �1 71b
OPP 6�
roe W Rs% (,�
Treasurer SEPTIC SYSTEM MUST EE`
INSTALLED IN COMPLIANCE
Planning Dept. WITH TITLE 5
Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND
Historic-OKH Preservation/Hyannis
TOV147N RECULATIONS
Project Street Address 678- %ke
Village �L
Owner c� -- `mo o Address $ °41�►�1�� &-4C ►�[[
Telephone �'"� � 3 5- '2 7/d 9 1 Y'4,MV% �tr
Permit Request l `e.C ►oati g �. StA
7t Square feet: 1st floor: existing proposed 2nd floor: existing /S 7 proposed Total new
X Valuation A()1, Oro Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size` y Q c ('P.S Grandfathiered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
7" Age of Existing Structure Historic House: ❑Yes ZNo On Old King's Highway: ❑Yes o
Basement Type: Full ❑Crawl ❑Walkout ❑Other
K Basement Finished Area(sq.ft.) qdo Basement Unfinished Area(sq.ft) 7aa
Number of Baths: Full: existing .3 new Half: existing new
X Number of Bedrooms: existing new
Total Room Count(not including baths): existing 7 new First Floor Room Count
Heat Type and Fuel: M Gas ❑Oil ❑ Electric ❑Other
X Central Air: dYes ❑No Fireplaces: Existing I_ New Existing wood/coal stove: ❑Yes YNo
Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size
Attached garage: lexisting ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes XNo If yes, site plan review#
Current Use Proposed Use /iQP/t50—A-( 6 f 2
BUILDER INFORMATION
Name Telephone Number`-~q
Address 4 c (Y\2 ty w PL J License# _ T
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
FOR OFFICIAL USE ONLY
4 PERMIT NO. '
DATE ISSUED 5
MAP/PARCEL NO.
ADDRESS VILLAGE -
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME -
INSULATION
FIREPLACE /
ELECTRICAL: ROUGH FINAL'
PLUMBING: ROUGH FINAL '
GAS: ROUGIf FINAL ;.
FINAL BUILDING cam,
€ o
DATE CLOSED OUT •.. , , -„ 1 -
el
ASSOCIATION PLAN NO. " `i ; t
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�F THE T
The Town of Barnstable
• BARNSTABLE, •
9�A MASS. �0 Regulatory Services
'Eo +° Thomas F. Geiler, Director
Building Division
Peter F. DiMatteo, Building Commissioner
200 Main Street,Hyannis MA 02601 .
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION — -- — — �—
Please Print
DATE:
JOB LOCATION:
number street village
X "HOMEOWNER":
name home p one# work phone#
�C CURRENT MAILING ADDRESS: c�7 e) U-S
ci /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
Persons)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
cedures and re ire nts.
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 caret amend and adopt such a form/certification for use in your community.
f.
Q:FORMS:EXEMPTN
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The Commonwealth of Massachusetts
Department of Industrial Accidents
x = , _ Offeaollams�fOslrO�s
_ - 600 Washington street
3 , Boston,Mass 02111
Workers' Com ensation Insurance Affidavit
name: Q Tea ®rC�i.JS�
location 5 / r �B Fq l
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Y1 h ��'r� /� -- ®�(� 1 phone t
❑ I am a homeaw=performing all work myself
❑ 1 am a sole proprietor and have no one worlaag in aav rapacty -- Oz
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ce"of this statement maybe forwarded to the Met of Lnatigadem of Ca Dl&far.=vwMV Tadftllsl6
I do htrcby certify Ike Pt wMd z wit roc and coned
Sigaatiae Date <=.b b i
PJ mt same r 3 r-a L ) Ph=$
oincw use only do not wt to is this area to be=zopieted by city or few a oIDdd
City or town: pi�itnlomse N �Ba�+t Aep
❑Ikensinc Bo`�
❑cbmkUt.,.nediate response is regasred ❑Sdecunen's Onlm
_ ❑HnithDep-Un99d
Contact person: pbaos tl; QOther�_
4cr�9/93 PJA)
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for th_iz
employees. As quoted from the "law", an,employee is defined as every person in the service of another under any cant~-
of hire, express or implied, oral or written.
An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of
the-foregoing engaged is a joiin enterprise. and including the leP1 representatives of a deceased employer, orthe rcc..:ve:
trustee of an individual,partnership,association or other legal eauiy, employing employees:However the owner of a
dwelling house having not more than three apartments and who resides therein,orthe occupant of the dwelling house of
another who employs perSOnS to do maintrnane^ CC�sti¢Ctioa or repair work on surd dwelling house or on the T^ c c:
building appumnant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local.licensing agency shall withhold the issuance or renewal
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,nc+ the
c =mwealth nor nay of its political subdivisions shall curet into nay contract fnr the performance of public wow uzzIIl
acceptable evidence of camplim=with the n+s**rance regaircm=ts of this chapter have been presented to the coarr=
authority.
.Applicantmid
Please fill is the workers' compensation affidavit completely;by cber. ingthe.boxthat applies to yknatirm
all
supplying company names,address and phone mnnbcrs along with a certificate-of insurance as—affidavits may be
s to the Departtneat of IndustrW Accidents for ofim'urance coverage. Also be sere to sign and
date the affidavit The affidavit should be.retumed to the city ortowathat the applicatian for the permit or license is
being requested,not the Depart:aeat of Industrial Accdde ft Should you have any questions regarding the`mow"or if You
are required to obtain a workers' =:npcnszdciL policy,Please czU the Depatttaeet atthe munber listed below. .
moo..
City or Towns - _. . .. .
has provided a space at the bottom of thy
Please be suze that the affidavit is complete and prizrted Iegi�Iy. The Department
affidavit for you to fill curt in the event the office of -has to cc==you regarding the applicant. Please
be sure.to fill inthe pemutllicease m=bei which wMbe used as a rcfetracx niiiaber. The affidavits maybe remmea to
the Department by mail or FAX unless other anaagements have been made.
The Office of Investigations would like to thank you in advance for yen cooperation and should you have any gu =Ous-
please do not hesitate to give us a caEL
The Department's address,telephone and fax number
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Dince of Invasduatloas
600 Washington street
Boston,Ma. 02111
fax#: (617) 77.7-7749
phone #: (617) 727-4900 ext. 406, 409 or 375
w
q
The Town of Barnstable
Regulatory Services
Thomas F. Geiler, Director
Building Division
Peter F. DiMatteo, Building Commissioner
200 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing.at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: ,MqA-+b,"�/fj f k/44y, aC Estimated Cost Id"0b
Address of Work: c5'? (A Lyme, 9UR A n+�;
Owner's Name:
Date of Application: �-
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
i
Date. Contractor Name Registration No.
)( ® 9� O y R
q:forms:Affidav 5 j �
:rev-122001
Y1
'T
I 1
RESIDENTIAL BUILDING PERMIT FEES .
APPLICATION FEE
New Buildings,Additions $50.00
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
s
NEW LIVING SPACE
square feet x$96/sq.foot= x.0031=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF VaSTING SPACE
gc-�_square feet x$64/sq.foot= x.0031=
plus from below(if applicable)
ACCESSORY STRUCTURE>12.0 sq.f�
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf-1500 sf .106.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0031=
V
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(mimber) J
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool .$60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Permit Fee
projcost
L
Assessor's office(1st Floor):
Assessor's map and lot numb ZZ� �UT� SEPTIC SYSTEM BE �Of THE>o`
Yr Conservation(4th Floor): _INSTALLED lid O®MPLI NG' �P e
-
Board of Health(3rd floo WITH TITLE 5 i Dea»r�nt c
number sewage Permit ENVIRONMENTAL COCNE .A N" .
rua
Engineering Department(3rd floor):: : •"TOWN �E�^���'a ���,� °o��a3o.`.
r
House number T` Drr
Definitive Plan.Approved by Planning Board r/d 19
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO Cb N Q!02 Utg- "V YM 4 'j)VZLL//U q
TYPE OF CONSTRUCTION ��/ ��� �-e►� ��,
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location S' C(r'L}!(�of «� �C6F��C y.r �`{h
~J tJOJI SQo2("
Proposed Use !�;t N LG _:P4 nA t N
/ r
Zoning District RE d I o
02 /o Fire District C —(0 -
Name of Owner OLOC �{y�ga�NS i��? 2E T (157- Address Sr= 4 M F_fgQQw (z4RCLE_
Name of Builder Address
Name of Architect Address
Number of Rooms _9 Foundation _�Q�l2f CcNc2 t E
Exterior �"'"1' S'�'"V9 eC-s Roofing J 5ati-4L-i
Floors L^1 .moo cJ� t/tlx��f �ema Interior Iff's7'Z2
Heating "� 2 7 � S Plumbing �fa�fa2 ?�-� / /RUC
Fireplace Approximate Cost 68 6
Area
Diagram of Lot and Building with Dimensions Fee
t1 _
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 Si ipervisor's License
L
No ` Permit For
Location
Owner'
Type of Construction
Plot _ Lot
Permit Granted 19 :T
- j
ti Date of Inspection.:
Frame t9
Insulation
• S
Fireplace 19
Date Completed 19 T ^' -
; off . _ + •` � ,
t
--
OF I�;7USTRLI ACC
IDFhrIS
_
i
-.-''," . NCE AFFIDAVIT
(licensee/Pcrmincc)
With a principal place of busincss/residence at:
(G ry/S catc/Zi P)
do hcrcby certify, undcr the pains and penalties of perjury, that:
over O l am an cm l v p providing the following workers' compensation coverage for my employees working on this �
job.
I
Insurance Company Policy Numbcr
( ] l am z sole proprietor and have no one working for me.
( ] 1 am 2 sOlc proprictor, Ecnc-i ccnt--,a r ainsLu=c�c
ncr ( ircic onc) and have hired the contractors listed bclot�•
who ha\-c the folimving workers' compensation po ides:
,nz N 4 tee.C u�rioa� �� a n (0 , 3 I s 3 �fr'sS
N;Mc of Contraaor (*Smc" ;R SCQ W� insu:ancc Com any/Polic), Numbcr
N2mc of Contrzaor lnsw=cc Company/Policy Numbcr
Namc of Contractor Insurance Company/Policy Numbcr
l am < homcovrc. o
tvrfor:nrno all Lhc wore: m}•scrl:-
?ACT PJc;,c be :w-:,:e ;��il< Lo meow:ers--;o cm-ploy persons to co r3.inten=Cz.construction or repair work on
e -c11ing of r.c: rnor< ,L:-- t.rcc uniu it ti•ZICL t c borncowccr Jso relics or on Lc Froun6 appurttaant tbcrcto arc not EcncrJl;-
eonsidcrcc Le i:- cr=rievr:: u ccr L e G'or.cr:7 Cornpcn:-Lion AC, (GL C. 152,ice-,. 1(5)), application by a bormcowner for:lieen5<
or perr it r..:v c.•idcccc t c 1cFJ cf s cr`^lover c--�cr Ut c Cotnpccs:tion Act-
1 ur.dcntznc tr.:t: ce�v e!ti is sc:,c:-:cr.r will be forwa:dcd to the Dcprtnent of lndustril Accidents'Ofuee of Insurance for eo�erazc
�crifuaior.�,� f�'.crc Lc:ccc:c c .c7:,2c rccui:cd ur.cc Sccvcr ?;P.cf MGt 152 c:rs lc:d to the imposition of_rrjzninJ pcnJtics
ecr.z e`: ..^e of: =l;�!.r f, : ,d/or iM ri:or:::cnI Cr. u^ to one c YenJL:es Ln the form of: Stop Work Order one'
fine cf S i GG.:. : c: Tn -
Signce C2}'thi< o: 5,9;,17--
r
4 �iGC�c�
i Licensee/i, rmitzcc Licensor/Purnitzor
0 2.9-! 12:28 '$508 7,90 1414 BRITEN SULLIVAN 001
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NO R1GIFIS UPON 114C 0-DR-ITI!!t`_All"1101 DITIL'ITUS C1911711=i DOBS NUT At:M,
3RYDEN & SULLIVAN INS I rxnW)ORn1.1atJill;UOVKY.AGE.Al-1-01 I IYU117PUIJCIl1S111I1.OW
3 8 FALMOUTN, ROAD CONVANWS Ar IORDINI 1 Q:OVER AG11, _ ._—
IYANNIS MA 02601 _
comIANY. A TRAVELERS -IN1•SI:IR,?lt,NCR' CO
rxrrnlle
—__ — cVMPnNY �� :(I;1;:13L�RTY MUT'U71L
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JOSEPH L. M0NG2R COMPANY —
?O BOX 203 ),-t•1T'1t —
ELLFLERT, MA 02667 COMPANY
Iainim
COMPANY
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(92tTE11CATP.MAY DE MUM OR MAY MKI--A M,'nll;lNttlkANClt AI3I,01t1)11)11Y Mn-,P011CDI'SS I)jZC:IU)s,J)klttltl:IN IN S00 EC:i'1'O,,T1.AM IMMS,
F XC4_USIONS AND CONDITIONS Or,SVC11 POI,ICDi,'t.I JM(IN SHOWN MAY HAVl11I11441UMUCED BY PAJD Cl 1Ar15. _
tx) lK)11Ct NJ1t1Ecr1V11 1011CY E PUUMON
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cl-ums MADE.nOtx1ilt. 1117xsoNA1.h ADV.MIURY r. :I., o 0_ii,_0 0
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FAX #771-1230
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- :• A.��OR,t%1t)K6tL'ICIfS114R'4'A'ii4i( .. _- ..• ^...^ .._ ...�
' �iomas eN �eoz9e
ATTORNEY AND COUNSELOR AT LAW
776 MAIN STREET
HYANNIS, MASSACHUSETTS 02601
508-775-5386
May 25, 1994
Building Department
Town of Barnstable
Town Hall
Hyannis, MA 02601
Re: Lot 2, Craigville Beach Road
West Hyannisport, MA
(Olde Hyannisport Realty Trust)
Gentlemen:
This will confirm my opinion that the above referred to lot need not
be canbined with any additional lots to conform to current zoning
requirements.
I believe that the existing homes on Lots 17, 18, 1 (sane over 100
years old with separate owners for up to the last 50 years), and outstanding
building permit on Lot 4 leaves Lot 2 as an unbuilt upon lot in single
ownership.
Very truly yours,
tsN. ��e
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TOWN OF BARNSTABLE
BUILDING DEPARTMENT
h HOMEOWNER LICENSE EXEMPTION
Please print.
DATE /
JOB LOCATION S7 �P.�� 1fe l` c
94
Number Street Address Section Of Town
"HOMEOWNER" AI
Name' Home Phone Work Phone
PRESENT MAILING ADDRESS s F11 1&�EIJ46 j QA/
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 such homeowners to
engage an individual for hire who does not possess a license, Provided that
the O'�rrler 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 to six 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, by-laws, rules and
regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Department minimum inspection procedures and
requirements
HOMEOW14ERIS SIG14ATURE
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35, 000 cubic feet, or larger, will be
required to comply with State Building Code Section 127.0, Construction
Control.
HISC5
HOME OWNER'S—EXEMPTION '
The code states that:
permit Any Home Owner performing work for
(Section 109. 1. 1 _ from the provisions of which a b
is required shall uilding
Lice
Home nsi th
ng of Construction Supervisors) is section
Owner engages a person(s) for .hire to do such ' provided that if
Owner shall act as supervisor. „
wor
k, that, such Home
Man Home -y .
Y Owners who use this exemption are unaware that the
the responsibilities of a supervisor (see A
for hicensin9 Construction 'Su ervisors' Appendix , �' are assuming
awareness often results in serious 5) Rules and Regulations
Section 2.15j . This lack of
-Owner hires unlicensed ersons, problems, particularly when the
against the unlicensed person as it'would 'witho this case- uice°ard cannot Home
Home Owner acting as supervisor is ultimateIth licensed-
onsed supervisor.ceed
P ible. The
To ensure that the Home,; Owner ,is;fu'l'ly aware" of his/her
many communities require er responsibilities,
Owner certifyq as Part of the permit application, ,that the .Home '
On the last that he/she understands' the responsibilities of a su e '
You may page of this issue is a form currently used by of a s P ryisor.
y care to amend and adopt such a form/certification for use towns.
community.
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`���'►���` - �`�'� �` � '�°LDI�NG PERMIT
T
TOWN OF BARNSTABLE, MASSACHUSETTS Bl�J
A=24k;222 14$--
DATE March 7 19 95 PERMIT NO NO 32
APPLICANT - Nancy Shearer ADDRESS 56 Seameadow Circle, Centerville
IN0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO . Riiild T)TJWp;P o ( 2) ,STORY Single Family Dwelling - DWELLING UNITS. 1
(TYPE OF IMPROVEMENT) N0. - (PROPOSED USE) -
ZONING
AT (LOCATION) 578 Craioville Beach Road. West Hvannisn_ort. MA DISTRICT--AB
. (NO.) - - (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN.HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE - USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
AREA E 3104 S ft. 120,000.00 PERMIT 244.80
VOLUME Q ESTIMATED COST $ FEE
i (CUBIC/SQUARE FEET)
OWNER _K. B. Development Corporation
ADDRESS` 56 Sea Meadow Circle, Centerville BUILDING P
BY
/011
't u°itiSf; `-.k4iu` FS%•^'' t¢.- t ' +. kr �' c:'"�. Y'� :i.�, .. _ _fir
TOWN OF BARNSTABLE, MASSACHUSETTS Gu1` D I N G PERMIT
A= .222 DATE March :7 1995 NO. 37472
PERMIT
APPLICANT Nancy Shearer ADDRESS 56 Seameadow Circle, Centerville
(NO.) - . . (STREET) (CONTR'S LICENSE)
BER OF
PERMIT TO Build Dwelling ( 2 STORY Single Family Dwelling DWELLING UNITS 1
.,(TYPE OF IMPROVEMENT) NO. .(PROPOSED USE)
AT (LOCATION) 578 CraiSville Beach Road, West Hyannisport, MA DCSTR CT_RB
(NO.) - (STREET)
i
BETWEEN
AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
i
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I TYPE)
REMARKS:
vowME 3104 sq. ft. 120,000.00 PERMIT 244.80
ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
i
OWNER K. B. Development Corporation
ADDRESS 56 Sea Meadow Circle, Centerville BUILDING P
BY
' EASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
i. FOUNDATIONS OR FOOTINGS. MADE. WHERE ACERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MINAL INSPECTION
TI TO LATHE FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 2 2
Ap
7 _/2,
3 1 HEATING INSPECTION APPROVALS GINEERING EPARTMENT
FT
2 BOARD OF'HEALTH
rItfERet 1 SITE PLAN REVIEW APPROVAL
/a
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF II WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. t PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.
CERTIFICATE OF OCCUPANCY
TOWN OF BARNSTABLE
.� a ..
Department of Health, Safety
BCoo and EnvAMmental Services
2 STORY SINGLE FAMILY DWELLING 246 222
f
2 •,
SHEARER, KEVIN G & 4 MASS'
g 163go. A�
578 CRAIGVILLE BEACH RD ' TRAYWICK MARTIN C
• - t 56 S Row 921rl'
Craigville — 'CENB ' 'D D )2
DIVISION APPROVALS FOR
CERTIFICATE OFLOCCUPANCY
TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION
BUILDING: : DATE:
COMMENTS:
PLUMBING:-, �j DATE:
* { *COWENTS:°'�'•
i
r.: ELECTRICAL: " DATE:
t' -
COMMENTS:
GAS: DATE:
COMMENTS:
CONSERVATION: DATE:
COMMENTS:
4
OKH: DATE:
COMMENTS:
HISTORIC: DATE:
COMMENTS:
FIRE DEPT.: DATE:
COMMENTS:
OTHER: DATE:
COMMENTS:
TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE
COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIME."/
'- � • -,--`�=��,f �f ••--.--`�� 4A.CALLT3.FILL1fi.E OF OCCUPANCY
TOWN OF BARNSTABLE
e
II
Department of Health, Safety
BCOo and Env mmental Services
Z STORY SINGLE FAMILY DWELLING
; ` 246 222
t _ # .
BARNSTABM
SHEARER, KEVIN G & 1VIA88.
16gq.
Y
678 CRAIGVILLE`'BEA.CH . , TRAYWICK MARTIN C �q
56 `SEA MEADOW STREET
C ai ;vx11e - C ; 1$ D: G D Si �•
a �. !lC>>CS? '
4
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART(THER9OF/EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK:,. APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR"
2. PRIOR TO COVERING STRUCTURAL MEMBERS `• HAS BEEN MADE.WHERE A CERTIFICATE OF.00CU- EC CT LATIONS.
T INSTALPLUMBING AND MFOR
(READY TO LATH).. PANCY ELECTRICAL,IS REQUIRED,SUCH BUILDING SHALL NOT BE EL
N ECH-
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
ANI4.FINAL INSPECTION BEFORE OCCUPANCY.
' •
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 1 I
d
- I
• I
2 2 2
I
I
'I
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
I
2 BOARD OF HEALTH
OTHER: SITE PLAN REVIEW APPROVAL
I
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS. TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION. 508-790-6227
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