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HomeMy WebLinkAbout0011 DEEPWOOD CIRCLE �i J�� �� _ _ _ � i / Z071,9 2 Fuller St. Carver,MA 02330 ' mcmahoninsulation@gmail,*com 781-831-1234 Date:February 20, 2019 Permit#:B-18-3444 ry Address:11 Deepwood Cir.Centerville Attn:Building Inspector Jeffrey Lauzon for the Town of Barnstable, We installed the following insulation/completed the following work at 11,Deepwood Cir.Barnstable, _ Including; • Walls: dense pack cellulose to fill wall cavities via "drill-and-fill" methods This work has been completed to stretch energy codes applicable at the time of installation.The walls have been scanned for voids(missing insulation) with IR scans by our own crews. This work is utility funded and audited, and is held to the highest standards of workmanship and quality. All work has been completed in compliance with State Building Code 780+CMR: Please don't hesitate to contact us with any questions! Respectfully; Michael T. McMahon Owner 781-831-1234 3IZsl�9 INSULATION 2 Fuller St. Carver, MA 02330 mcmahoninsulation@gmail.com 781-831-1234 Date:February 20;2019 Permit#:B-18-3444 Address:11 Deepwood Cir.Centerville Attn:Building Inspector Jeffrey Lauzon for the Town:of Barnstable, We installed the following insulation/core pleted the following work at'11 Deepwood Cir.Barnstable, Including: • Walls: dense pack cellulose to fill wall cavities.via "drill-and-fill methods This work has been completed to stretch energy codes applicable at the time of installation.The , walls have been scanned for voids (missing insulation) with IR scans by our own crews. This work is utility funded and.audited,and is held to the highest standards of workmanship and quality.All work has been completed in compliance with State Building Code 780 CMR. Please don't hesitate to contact us with any questions! Respectfully, Michael T. McMahon Owner 781-831-1234 Town of Barnstable Building So That�t isrVisibleFromaheStreet� A, ,roved.<PlansMust be.;Retamed onJ,ob and#his;Card Must'beKept r s� pP �" ,i �' " .�s,: .a> Permit M" Posted Until Final Inspection Has Been Made l�i3j}*aS ,,, " ;P, ','. �.. , '°.'k'.'. ., .,a„ N `?- i Y" . ea + Where a Certificate*o#Occupancyas Required,rsuch Build°rng shall Notf Occupied u.nt a Final Inspect on has been made Permit No. B-18-3444 Applicant Name: Michael McMahon Approvals Date Issued: 10/26/2018 Current Use: i Structure Permit Type: Building- Insulation- Residential Expiration Date: 04/26/2019 Foundation: Ma Lot: 169-013-010 Zoning District: RC Sheathing: Location: 11 DEEPWOOD CIRCLE,CENTERVILLE _ _ p/ g g Owner on Record: MESSMER, MARY PAT& ERNESTJ TRS Contractor Name: .MICHAEL T MCMAHON Framing: 1 Address: 11 DEEPWOOD CIRCLE Contractor License: CS-068111 2 CENTERVILLE MA 02632 Est:Project Cost: 8 652.00 J $ Chimney: Description: Weatherization,weather stripping, air sealing, blown insulation Permit Fee: $94.13 Insulation: Project Review Req: Fee Paid; $94.13 Date. 10/26/2018 Final: 1 1g f Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shallbe in compliance with the local zoning by-laws and codes. Final Gas: This perm it shall be displayed in a location clearly visible from access street orroad and shall be maintained open for:public'irispectionfor the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are'.proJided on this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing g Rough:. 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 0 wU �e Enti A=L- 5 Cr r Town of Barnstable *Permit p� Expires-6 months from issue date Regulatory Services Fee Q�!2) tunas Thomas F. Geiler,Director i63q..A�0 D1�t Buil ding Division Tom Perry, CBO,Building Corrulussioner 200 Main Street Hyannis,MA 02601 , www.town.bamstable.ma.us Office: 508-862-4038 r Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/Parcel Number 169/013/010 ' Property Address 11 DEEPWOOD CIRCLE CENTERVILLE,MA 02632 ®Residential Value of Work $ 7,000.00 Minimum fee of$25.00 for work under:$6000.00 Owner's Name&Address ERNEST MESSMER 11 DEEPWOOD CIRCLE CENTERVILLE,MA 02632 Contractor's Name NICK LAGADINOS Telephone Number 508-428-4097 Home Improvement Contractor License#(if applicable)#104804 Construction Supervisor's License#(if applicable) # 12653 ®Workman's Compensation Insurance X-PRESS MIT Check one: 0 C T 2 3 2007 HI am a sole Proprietor p - am the Homeowner TOWN OF BARNSTA�LE ® have Worker's Compensation insurance Insurance Company Name AIG Workman's Comp. Policy# 7483541 Copy of Insurance Compliance Certificate must be on fide." ' , 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 0.31 (maximum.44) ANDERSEN 400 SERIES *Where required:Issuance of this permit does not exempt compliance with other town department,regulations,i.e.Historic,Conservation,etc. ;j * * * Pro e e must sign Property Owner Letter of Permission. " o Improvement License is required ; SIGNATURE- 'IV _ ,7 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 1' a SC Address: 1}�)V IC 1V I L 1Zs City/State/Zip: )t► 164 D 4 6 3 5- Phone#:_ SZV)--4ze 4qZ Are you an employer?Check the appropriate box: Type of project(required):. 1.( I am a employer with U _ 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I:am a sole proprietor or partner- listed on the attached sheet. t 7• ® Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9• El Building addition [No workers' comp. insurance 5. ❑ We are a corporation and.its required.] officers have exercised their. 10.❑Electrical repairs or additions ,3.❑.I am a homeowner doing all work right of exemption per MGL I LF] Plumbing repairs or additions myself. [No workers' comp, c. 152,§1(4),and we have no 12.[3 Roof repairs insurance required.]t employees. [No workers' 13.❑ Other comp.,insurance required'.]. *Any applicant that checks box#1 must also.fill out the section below showing their workeis'compensation policy.information.. t Homeowners who submit this.affidavit indicating they ate 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 dame of the sub toritractors and their workers"comp.policy information. I am an employer thar isprovtding workers'compensatmn insurance for my employes..Below is the policy and job site 'informatiotr Insurance.Company Name: &Mr�r Policy#or Self-ins. Lic.#: pnl,6 74A.�,.��I Expiration Date: l Job Site Address: �� 4 (�'L�iUt,�J 071�' r";rat'• City/State/Zip: C'eYl�!'tlt��a ate i}—a7(a?Z 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 S 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investi-ations of the DIA for insurance coverage verification. t do! reb -certify un th pins and penalties of perjury that the information provided above is true and correct Si-nature� Date: U Phone#: _ "LZ�- ` Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing.Authority(circle one): - I. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ✓�ie �arrv��wozrueic/�a�✓I��,��a . , Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 104804 Board of Building Regulations and Standards lug Expiration 7115/.2008 One Ashburton Place Rum1301 Type PrNW6 Corporation Boston,Ma.02108 LAGADINOS BUILDING&DESIGN ,1NC , Nicholas Lagadinos 13 Thankful Lane � Cotuit, MA 02635 Deputy Administrator Not vali i you signa ure 1'-6° 04/25/07 WED 11:06 FAX 1 508 420 5406 LEONARD INSURANCE. AGENCY 1@ 002/002 L�COR 1 CERTIFICATE OF LIABILITY INSURANCEF�DATENINDDIYYYY).sL2 y7 (S0$)428-6921 FAX (508)420-5406 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOATION Leonard Insurance Agency Inc ONLY L AND His CERTIFICATEF NO DOES NOT THE CERTIFICATE END OR 7 0 Box Avenge ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, P 0 Box 444 Ostervil l e, MA 02655 INSURERS AFFORDING COVERAGE NAIC# INSURED Laga inos Building & design. Inc. INSURER A. National Grange Mutual Ins co. 147$$ 13 Thankful Lane INSURER s: AIG X511009 Cotuit. MA 02635 INSURER INSURER D: 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 WIT}{RESPECT To WHICH THIS CERTIFICATE MAY BE ISSUED A MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI,THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 00' TYPE OF INSURANCE POLIGY NUMBER POLICY EF Er:TIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY NL5B87460 01/01/2007 01/01/ZOO$ EACH OCCURRENCE S � 000.000 X COMMERCIAL GENERAL LIAQILITY DAMAGE TO RENTED 5 SOO.OOO CLAIMS MADE OCCUR MGD EXP(Anydne person) S 10.00 A PERSONAL a ADv INJURY S 1.000 000 GEML AGGREGATE LIMIT APPUBS PER: GENERAL AGGREGATE 8 Z 000.000 PoLICY JECf Los PRODUMs-cDmPtDP AGG s 2 000.000 AUTOMOBILE LIABILITY ANY AUTO COMEINED SINGLE LIMIT (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY JURY $ HIRED AUTOS NON-OWNED AUTOS BODILY(ParraccldenpY S r PROPERTY DAMAGE (Pet accident) S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHERTHAN 'FA ACC S AUTOONLY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE g DEDUCTIBLE S RETENTION s s WORKERS 00MFENUATION AND WC8934483 01/01/ 0007 01/02/2008 $ WCs qTU- OTFd EMPLOYERS'LIABILITY B oFFICREbwtPin B�RIE'r ocRaT"unm E 'E - EL PAC H ACCIDENT s 500.000 WeWbe undar G.L.DISEASE-EA EMPLOYE S S00 000 SPEL PROVISIONS below OTHER EL DISEASE.POLICY LIMIT S S00 000 DF,.eft Tr on Cape Cod.ION OF OPERATIONS!LOCATIONS!VEHICLES! 1 EXCLUSIONS ADDED BY ENDQItSEM. QfT 1 gpF�lA!PROVISIONg We CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE AeOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEPT, Town of Barnstable OUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 200 Main St. OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPREStT1TATNEs. Hyannis, MA 02601 AUTHORUEDREPRE5ENTATWE - Stace Sear ACORD 25(2001/08) FAX: (SO$)42$-7709 TACO p CORPORATION 1868 2 Town of Barnstable * Regulatory ServicesBA STABLE. MASS. ie�q• ,0� Thomas F.Geiler,Director, �FDs Building Division s ,:Thomas Perry,CB0 Building Commissioner 200 Main Street, Hyannis,MA 02601 - www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must w . . P Complete and Sign This Section If Using A Builder 1, . ltT ew-- , as Owner of the subject'property hereby authorize to act on my behalf, c in all matters relative to work authorized bythis'building permit application for: 1Z (Address of Job) Signa r of Owner Date Print e Q:Forms:buildingpermits/express Revise091307 ,mot' yoFtMEti Town of Barnstable *Permit#? 4 S' U O� Expires 6 months from issue date BARNSTABI : Regulatory Services FeeMAS _ 02 039. ��'� Thomas F.Geiler,Director , •A'fDN1P`� Building Division Tom Perry, Building Commissioner - �?-7. �y sae 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 JUN 1 ;) 2005 Fax: 508-790-6230 ��[�I F BAh�ST���EsL� II EXPRESS PERMIT APPLICATION - RESIDENTIALUI f j q Not /Valill Valid without Red X-Press Imprint "~ Map/parcel Number `/6 / ®/4-3 6/ C� Property Address / / CJ Residential Value of Work 200 iQ Minimum fee of$25.00 for work underr$6000:00 . Owner's Name&Address Contractor's Name 0_eA AAt Telephone Number s Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) Vorkman's Compensation Insurance ry Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name IL, " Workman's Comp.Policy# �9 �49 6 12 j 42 V Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) I Re-roof(strippingold shin les All construction debris will betaken to e '� shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side. r ❑ 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. ZrAIntractors License is required. Signature Q:Forms:expmtrg Revise063004 Fraser Construction , Roofing & Siding Specialists Payable immediately upon completion NO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are: CASH- CHECK- MASTERCARD-VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1 '/2%for every 30 days. the payment is late. Possible Extra—After the shingles are removed from the roof,we will lift one sheet of plywood to make sure that the insulation be not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, insta 1'n�the panels,turning the plywood over and then re-installing the plywood.' If needed, this would be charged for as an extra at the rate of$4.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards,.plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the raze of$40.00 per hour,plus materials,plus 20%overhead mark,-up on total extras. FRASER CONSTRUCTION Warranties the labor for 10 years FRASER CONSTRUCTION Warranties the shingles against Slow-Offs for IO years. CERTAINTEED Warranties the shingles and labor 100%for the first 5 years, and then on a pro rated basis for 30 years total if the shingles become defective. CERTAINTEED Warranties the shingles to be ALGAE resistant for a full 10 years. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire; tornado and other necessary insurance upon the above work_ We,if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION: Carries.Workman's Compensation and Public Liability iusuraace on the above work .: DATE OF ACCEPTANCE: 6 SUBMITTE 'nBYs t Homeowner // l *as e.1 ons ruction The Commonwealth o Massachusetts Department of Industrial Accidents — Office of investigations -' 600 Washington,street, ;`h Floor Boston,Mass. 02111 y�am'r �qe' Workers'Co m ensation Insurance Affidavit: B+.uc7,ilding/Plumbfn 7/Electrical Contractors aw {� '1`IT�'dnxt;�'Ii�'a' a r wT ^�Qtii��'��,d -�+• :rf�l�l"•!.e- ,i�.�^ ^m �atr .�,^ �, m s8�•`. t?• t i?s3i'�. name: (— address: —7 84 ! `-� dd v city \ L) state:' tate YV - zip: & 3c< ohone# work site location(full address): ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction❑Remodel !❑ I am a sole proprietor and have no one work' ' an�{/caPaci [S]Buildiri Addition i j;7y5',• '•. `'�i.`:"ia? �:<,.+' 'y�y,,YS"'i�h•'.•,�k�`;s° "•.'..�: >; •,g'. a!'"}i'•4' : SFr 7.0,_' r• tt.a;.•• .�•;•..•. g i''nit �. 4!� vs€.>'..: i '�•i?>l aP., er<S`.:::a;,vi;.r�K"s��°���$'•? y Vic; 6•+�7 s v� � "a;.���; LC)I am an employer providing workers' compensation for my employees working on this job. company name address:' city: hone#• insurance co. Dolicy# ��.3:�a;3't.e{g"o�'`�,E�:?'!.kf•:n3i'•ui'"a.�ii�ut:§s� 1a:9.1''�-�• ,�..�#..c:..R �, �; t a,... �i�::::. ,fu:.:n.,..� ..r, .r:€. :j, :,r. kM :a.'�a:;e:?ds.tn.4• .c-u,caz�Na�':ffi' b��::S�'r�.=t.::%::;.. .Hi'u:�.4`:?r.-_u..wtfi�:'�`§4,. ..::+::fiari.•�,z:��:i�# <;':x�c�.:•a�::ui•3:•��•::°�xti�e:va. ' ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address city phone#• insurance co. olicy# yLrdu';=S:p .xz`.'•;.'inla!f � '-1�;..� -rats ^yf;r �,i•,r. �;i.�:. :.8..i..,c>; ..: ,... +,..r.'�4�'�e, 34�',ai:��iVr.r -�.t.::{w'�s:°.'•4•' ..r.: ,5'� `7k'l�.c.>..•�;`.y,,.,�.i.f`i`� rvi? "company name: address: city: phone#: insurance co. IDMICY# 700.��:�g.�•,;'$��dlhd.W-15`Me.AM'6re,'3ws'a. e t �. Y -41 4)rY „rs ;Rfi... n •r Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1400.00 and/or one years'imprisonment as well.as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a• copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. ' I do hereby certify un the pains a d f per that the information provided above is true and eorrec Date s, Signature ( t� is -Print name I�. l_ Phone# ` official use only do not write In this area to be completed by city or town official city or town: permitAicense# ❑Building Department ❑check if Immediate response is required ❑Licensing Board ❑Selectmen's Office contact person: phone#; ❑Health Department (revised SepL 2003) []Other Information and Instructions Massachusetts General Laws chapter 1.52 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives,of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However-the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. . Ya> r s •�ew'M. "'q fi .'1�Y. .��' r r�� . .��".•;•::•r.> tt,,,, f Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers'. compensation policy,please call the Department at the number listed.below. t„ arx.. r z-• r.c.w a a�. r E M r.�x s. '"Ask"��E.• f ;t�Y �.�::�i�.rm�Tk .-'ra.'.;e£"t�;'�'tiir" ,(r;`- i+'.. ..ti% ,:? VNof^ x �';• f: "•^ ^"�, ray. :. .."s:. ..f}; 1•".. . r +s�w ,y+..•�a'tT.rrti#i .,.C#`<�r,'"�', d `",:0.a .s ':a?. ,,°k'. '�'i` 3t"e'',_. R!8'�¢`•.'w. Srilss, b:t rr,.t `t'iY`� x..i� City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. .:i.. x} }. ..�,, :.�.• - .ww:: :w+r •�. # .F "rs.^„ 'COY' •cY6, 3'e- 'ye-�,kc;'+�HF.aut �a '°,,•.�;"'<�ti�f••.�•!'fi�!.•�.?�:�x,�.: �8�'R�y, ..j�.'�ir�i: .. `°r�'���'�• :�..., &,. fix.�+�l'�,�_ �`>;. "�. •�� :�,��''r -�_�� ad �5at` •rk Tnrst'# '.3�' t Y :7 ��,•r.r ro `4i..} :r ti,'a-�` wq.+. ��' "�'�, The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`s Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext.406 e - ' Board of Building Regula HOME IM O fio /�aaaza F s and Standards VEMENT CON TR,gCTOR License or r Re istrt� registration valid for ind —112536 befot i the expiration IVidul use only ,w 2007 - Bowl of Build' alat If found return to: r One Ashbu gReg ions rton Place and Standards DRASER CONS ; Boston,Ma 021Pl Rm 1301 AN ERA08 SER 71 TARRAGON CI COTUIT,MA 02635 k e Administrator t _ Not valid , without Signatur e 4 . w a , ' cti� 4€ . • . Jn � . Y ems. a e r ."Sp'-y"f�.'-Y'R-'w.,.VZ.�.�.1—.rr '..h..-4�,. r..lw.. .-•<<.•.•aT,r�}'1.1tif.tt0°' Wir"ws111yYYtifwa{=AS..^ .. �.,fD'+. a,Sy V.N{7'afiS'%'���I�w..w..f....�..�sr,.�.,ry.r-.M..•(^ oF,HF, � The Town of Barnstable P� O SAE.MASS. Department of Health Safety and Environmental Services t639• `0� plFDMPya Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection P!! Location t � -l �;pt'/'oA40 Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: -i � o 2 � � Please call: 508-862-4038 for re-inspection. Inspected by s � Date " za TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' Map 1 b1 Parcel- 0/31 ®1O ��� Tic sli STC.zu , Permit# .' 3 Health Division ' ���HN 6�6t� �� ued Conservation Division �'1��----b• L�TgL' Fee 7 7� Tax Collector S _ �� �� '�' E � Treasurer Planning Dept. 4,1 Date Definitive$Ianpftoved by Planning BoardHistoric-OKH Preservation/Hyannis ,Project Street Address Village C e e r-0l.L F, , AA 0 - owner 04T_N&i_ 'A1 _Q_ Address ®� 1 Telephone •' � 77/ ' Permit Request, oyC, u O OJD De-Uk_1 eon GT' Ma- x l Apol tAoAn /6-rJD X /9 Datz- Square feet: 1st floor:existing 42ool proposed rY 2nd floor:existing .9/0 proposed Total newer Estimated Project Cost ` a o o Zoning District - Flood Plain Groundwater Overlay Construction Type �Da Lot Size J?, 5 49 ` Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family: UV!'O' Two Family ❑ Multi-Family(#units) Age of Existing Structure ,Historic House: ,0 Yes �o On Old King's Highway: ❑Yes 8<0 Basement Type: ❑Full Werawl ❑Walkout ❑Other .Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing . new - Dnrt= Half:existing new Number of Bedrooms: existing new' Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: C as O Oil ❑ Electric ❑Other Central Air: O Yes UkNd*" Fireplaces: Existing New Existing awood/coal.stove: ❑Yes ❑ No Detached garage:0 existing 0 new size Pool:❑existing ❑new, size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed.0 existing ❑new size Other: f Zoning Board of Appeals Authorization ,0 Appeal# Recorded❑ ' Commercial ❑Yes QW1b If yes,site.plan,review# Current Use ' ry L Proposed Use Z" C, i BUILDER INFORMATION Name b) AC/fC-Ys-,5M Telephone Number Address %� { �/�/S A14 License# .0/4/a5g GISTZ'V/LL — �'✓l�4 ` Home Improvement Contractor# 0 4�(0,515— Worker's Compensation# w'r 32 ALL CONSTRUCTION DEBRIS RESULTING.FROM THIS PROJECT WILL BE TAKEN TO - a a SIGNATURE DATE • FOR OFFICIAL USE ONLY . PER IT NO. DATE ISSUED MAP/PARCEL NO. t . * 1 • i •'� iF,Y �* 'M. { �; a �. . ` . - : . ADDRESS VILLAGE OWNERrr j r * ., ,:`�- `� +'•:; i.,, 'E " a �, � s,�3 ' � x ,_ F, ' DATE OF INSPECTION • `' x ' { } ' : FOUNDATION " FRAME .= t �'7� /GJ • J ' ~` � V �� 4.' " �... ' •' Y . ♦ wr dry. _ �T + ,. INSULATION. - + It FIREPLACEr `C ELECTRIC AE. Ea `'ROUGH FINAL PLUMBING: ROUGH FINAL' w'v•. Viz.,. .. , '.r :;-• - -• • . , GAS: ROUGH FINAL FINAL BUILDING, t DATE CLOSED OUT Y ASSOCIATION PLAN NO. �� t � ._-- The Commonwealth of Massachusetts Department of Industrial Accidents JII , 600 Washington Street - Boston,Mass. 02111 Workers' Corn ensation Insurance Affidavit 1 name � c"�`�' 1r ��f Air /M e-9s I"C—Jz location lvooa o city oir c phone I ❑ I am a homeowner performing all work myself. ❑ I am a sole vgrietor and Dave no one worldn in any ca aciri► am an employer providing workers' compensation for my employees working on this job. company name '/l�>�f! ' St+.✓ address phone#� S cites � ®S'��'r_r�9c.c._� � insurance co. 12ev S� D polig# ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: : :: com anv name: :.: '.;:.;;:;:.. ... address::: dttr phone#- .::::....:.::.;. :::.:.::......:....::::::.........:::::.:..: .. Insurance co eom any name: ::.::::,.;>:.;::::.... • . .' .. .,.... ...... ::.;. address: ..<:.;.::•. ;:.:.. . phone' :.. .. '.:::•:::............. .. .. :.....: .... ... .. ...:.:.::.'.......:..........�:..:.:::ii::p:..�:is ii:.i::vi'i::::::..::...,:•.' 4:i'v:{:.i•:: ....... ...............................:.: .. ... :..i::..i::ii:X ii:i::is^iii:ti:•:•is j:{:i:::i:<C:•y;v!:vii::iY tiv:}: ...... : :ii itunrance'co:. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of erhahul pendfks of a Sae up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. !do hereby certify under the pains en of pe6ury that the injorraatioJe protdded above is tru•and correct Date: u signature - Print name - K. f� S'sa��J Phone# Cfficidse only do not write in this area to be completed by city or town ofllcial wn• perndtilicense# Mullding Department ❑Licensing Board if immediateresponseb required ❑Selectrnen's Office OHedth Department erson• phone#; ❑Other_ 4awned 9/95 PJA) �FZMIE . The Town of Barnstable • anRxsrau.E, • Department of Health Safety and Environmental Services 1659.rEc5► Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen. Fax: 508-790-6230 Building Commissioner 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: IAA/>/© cl, Estimated Cost AO¢d0 Address of Work: /� 1�E��/����d7 IC1 �"— �°✓Ts°(�tC��'� Owner's Name: &iPQWAE:�a 7- oa Date of Application::3:F_,/,L`/ I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav Xf[ _. to ✓7e�io�x�nanus/Di o��uaeQ' yHOME..IMPROVEMENT CONTRACTOR ' +'.Registration . 100560 jYPe ,,OBA 4 G Expiration 06hVO s � ;M K -NICKERSON BLDG.,`8' REMOD Melbourne. K. Nickerson Zeyd3/fhis Way ADMINISTRATOR OsterVille MA 02655 lie �ammo�zureaCC� a�✓�/�aa�uc�x�welty r DEPARTMENT OF PUBLIC SAFETY z CONSTRUCTION;SUPERVISOR LICENSE Nu®ber Expires: Restricted{To'µ 00 NELBOURKE';NICKERSON Cq$A'&'13 TNIS WAY' ,r OSTERVILLE,� NA 02655 Jun- 16-99 05 : 19A C .C. Insulation Inc. 508 778 5735 P ..02 MAScheck COMPLIAidCE REPO?.T Massachusetts Energy Code Permit # MAScheck SofTwa-e Vpfsion 2 01 i Checked Cy/Date I I ITY: Barnstable STATE: Mas5achuse is HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached iEAT'ING SYSTEM TYPE: other (Ncn-Electric. Resistance! DATE: 6-14-1999 DATE OF PLANS: 6-1-0-&D TITLE: New Addition PRO.:ECT VEORMATI&V 11 Deerwcod Circle Centerville Ma- C262. Messmer p_ojeet COMPANY INFORMAVIOS: J.'.-. Scanlan COM:DL IANCE : PASSES Required UA .. 91 Your (some ?? Area or Cavity .Cont. Glazing/DooL Per:ineter R-Value R-Value U-ValuE UP. ------------------------------------------------------------------------------- CE:IIINGS 324 30.0 0.0 _l SAL S: Wood Frame, 16" O.C. 453 15.0 0.0 35 GLAZING: Windows or Doors V. O.29C 11 GLAZING: windows or Doors 60 0.332 2(1 FLOORS: Over Unccnaition.ed Space 288 30.0 0.0 9 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design .described here is consistent with the building plans, specifications, and other calculations Omitted with the permit appli_ati.on. The proposed building has been designed tc meet Lhe reqji ements of :5e Massachusetts Energy Code. The heating load for this building, anJ the cooling lead if appropriate, has been deteryinec using the applicable Standard Design Conditions 0und n the Code. Tye NVAC equdpment selected to teat of cool the building shad: be no greanor than 123% of the design: load as specified in Sections 7QCMR 1310 and J4.4. Builder/Designe ------•_--- Date-_ -..._-- I Jun-16-99 05: 19A C .C. Insulation Inc. 508 778 5735 P' .03 MASCheck INSPECTION CHECKLIST Massachusetts Energy Cc`? MASCheck Software version 2.=1 New Addition DATE; Bldg. ! Dept. use ! I CEILINGS: I 1. R-3n Comments!Locat_0n-- ----.-- -- j WALLS: J 1- wood Fame, ` comments/Locat'1_cn�, _.------------- ------ I j WINDOWS AND GLASS DGCRS: I. U-slue: 0.2r j For windows without labeled 0-values, describe feature=: # Panes____ Frame Typf-- Thermal Break? { t las [ No j Comments/LO at_on—_ --- — -- .. 2. U-value: 0.3-1 I For windows wiLnott labeled J-values, describe features: psnes __ _ _ra:nt: _--- - Thermal Break I 1 Yes I l No 'type j Comments i Loca C i on—__^.—_ .—.—.—..-- I j FLOORS: ] 1. over Unconditionod Space, R-3D Comments - _ I A-R LEAKAGE: { ; joints, penetrations, and all :ether such openings in the building enveiove th a'_ are sources of air leakage must be sealed, When i installed in the building enve_.ope, recessed lighting fixtures shall meet one of the fallowing requirements: 1.. Type IC rated, manufactured with no penetrations between the j inside of the recessed fixiure and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. j -, Type IC rated, in accordance with Standard ASTM E 2P3, with no i more than 2.0 cfrn (0.949 Ws) air movement from the the j conditioned Space to the ceiling cavity. The lighting fixture shall_ have been tested at 75 PA or I,&, lbs/ft2 pressure j difference and shall be labeled. I { VAPOR RETARDER: i Required on the warm—in—winter side cf all non-vented frame ( ceilings, walls, and floors. j MAT'ERIALS IDENTIFICATI-Ohl: be identified so that compliance can NaterA is and equipment must be determined. Manufacturer manuals for all installed heating j and cooling equipment and service water heating equipmenu must he provided. Insulation R-values and glazing U-values must be dearly marked on the building plans or specifications. r Jun-16-99 05 :20A C .C. Insulation Inc. 508 778 5735 P .04 I DUCT iNSUTA71CN: . j1 Ducts shai_ be insulated per ;able a.4.7.1 . DUCT CO�VS'rR.LU;"'IU`i j J I All accessible t3'.nts, seams, and connections of supply and renurr. { duct4:ork locanedi outside conditioned Space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using iastic and fibrous backing tare -.__tailed according to the I n:anu`a *_ure_'s inntalLation instructions. Mesta tape may be I cmi.tted where gaps are less then 10 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEN;FEF:ATURE ('ON:'RC�S: I I I Thermostats are required for each separate HVAC system. A mama] I or automatic means to partially restrict or Shut Of` the heating i and/or cooling 'input to each zone or- floor shall be provided. i I HVAC QUIFMS0 SIZ:NG: i I 1 Rated output capac_Ly of the heating/cooling system is not greater. than 120 cf the design load as specified in Sections 78CCMR L.310 and J4.4. I [ SWIMMING POO15, All heated swimming pools must have an onlo`_f heater switch anc require a comer unless over 30t of the heating energy is from non-depleLanle sources. - Pool pumps require a time clock. j HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F' must be insulated to the following levels (in. I PIPE SIZES lin.) I HEATING 5YSTEMS: TEMP (F) _ ' RUNOUIS 0-1" 1.25-2" .0-4" Low pressure/temp. 201-200 :.0 i.5 1.5 2.0 i Low temperature 120-200 0.5 1.0 1.0 i.5 I Steam condonsate any 1.0 i.0 1.5 2.0 COOLING SYSTEMS: I Chilled watei or 40-55 0.5 0_5 0.75 i refrigerant below 40 1.0 1.0 1.5 ( ) CIRCULA"ING HOT WATER. SYSTEMS: I Insolate circulating hot water pipes to the following leve15 (inn : I PIPE SIZES (.in.) NON-CIRCULATING ; CIRCULATING MAINS & RUNOUK� HEATED WATER TEMP (F) RUNOUTS 0-1' 0-1.25 1.5-2.0' 2.0+ i 170-180 0.5 1 1.0 1.:5 2 A' 140-100 1 0.5 I 0.5 1.0 1.5 I i00-130 0.5 I 0.5 0.5 1.f ----NOTES TC wIEID (Building :apartment Use only;------------.------------- • -mac '� a ii �FGG yrlrr{a4v CoJRa1fY —' __.. .... K•6� tpf'vyJl� R.l. yds� —__ --:- .. I ii ng ------------------ 17 Ir jilt ci P C KlulLbyJ � fJlx�� �X I"Irc 01 If1G 4 +•GGtS yi %Gt►n lKx.rlr.if f sm��„ t%s�� G(GO i Odra a t G�o ,r Gil so11 � •� W L%B 'x I=7k� M�{ Wrd, aKw � �! ♦NA 640 f hw�fto OPIOA I. I awl x Gam i I Aw )aXOnAO _0JYL I • l � ; • � r nl t�nr, Wwa-lav�v> - 77 " r L117-11 -[I i ,! Z II_ 'l r 3 1 r1- ��iF31I , ! ill 1. • � d Y �� r §.� i 'M`r r i .I., .�•-_ -'— yt1 t+�1/4. R7rJ.G pav�O =fix: ., Mn-r- �i4G:. '�$ i l ,t ` • '�� .. m i i r 1 I I ._I. I .` 1,Lj I� •....Lodfrrhl�f TRgYo --— Gw6� � 72 � JaWOOPc- f 11V �O�I'IION I $ 4 p p ei If.. • �f I ' Lg�' �Rc. ado �v I ► or ul�yN.IG. , !,! rvoA��t,m►� k r�e.J Jyr adok p�; j :l F.1,� — a AVG 'llAt,Vr..1t —� G�IG Kl"e- "(40 ' g � Q� mud "eIrl R+ce."df . A��� pfkn Jrw lily �pJpff tw (,d��d (4YrrF.-Y, �,o.! t, fW s -(rs«(co old ... ) dRd 10 � Alpeogt � G11D:�� f►s+�(rA mo - _ I GR+IpI. t�iki t- u�—41 ---- b� --- -- �,7{p!/�gi o �DIl I �I I I I ♦ I 6s�'RlC1(C{.�Otl/ 31�6 91L. Iw,�ow� krKfo'b R 9-GrU� �RTp +--—-t (--}- r ( a�Arb F(ri.TFfv f�ow,,e- p y G�Kt I I lniRt �. I Erb � (� LA ik _ t 1 —f' t`t• .�1 I R p o vim. N L � . I gtr6 F{P:►�.:'off I ''""��,,,,""""��'' .a►P-Go' I !� tla i FKiyf. ry�(ca I �nwlon� rl'n xRid,llo I J�/�cfuf.{r-Jn�1 (�ul LiFG�l( i0. �i i1G foZ� (ut �#, r i Cw>D DN1 1,�Ru•f a�l�fulczPL+�r�.�lawdf Z � fi �i�iJtXfivsl 3r''(t0� fl(werO TM�f1�(� uaK }EwJ, ell �b o.� t ,Y,�6x rbi� 9 Z-7ee1&,�,�ra (�� vVi1.'�o�L+F''� 4JhM1�R ;�,�i►+(lsL�N��I� tM Vaa.o,•tAtD. ..Tom;� '�"`n.f�.�.�to ors-,_-- p G�,vr t1"ar" MOR T CA Cr;"' .INSPECTION PL.\ ~ � JOB # 98-298 } ADDRESS 11 DEEPWOOD CIRCLE VILLAGE CENTERVILLE TOWN BARNSTABLE 3 APPLICANT ERNEST & MARY MESSMER DEED REF. DB 9342 PG 33 ASSESSORS MAP '169 PARCEL 13-10 PLAN PB 387 PG 69 LOT# y 10 .1) 0 i ` ,D�Ep �,92200 t LOT 10 A! 17,549 s.f. 5� LOT 'll 14 WOOD DECK LOT 9 I SCALE: 1 INCH 40 ft. + r ?f�F it THIS IS NOT AN INSTRUMENT SURVEY THE BUILDING AS SHOWN COMPLIED WITH THE !" FOR BANK USE ONLY. BARNSTABLE ZONING BY—LAW BUILDING NOT FOR CONSTRUCTION, FENCING*, DEED SETBACK REQUIREMENTS WHEN CONSTRUCTED DESCRIPTIONS*, RECORDING*, PROPERTY LINE (UNLESS NOTED ABOVE) AND THERE ARE NO DEFINITION*, LOT OR LOT COVERAGE AREAS*, VISIBLE EASEMENTS OR ENCROACHMENTS OTHER OR BUILDING OFFSETS* THAN UTILITIES OR AS NOTED ON THE PLAN. *requires INSTRUMENT survey . THE DWELLING DOES NOT LIE IN A FLOOD HAZARD ,ZONE AS SPECIFIED ON COMMUNITY PNL. 250001 0015 C DATE 8/19/85 PR EPARED EXCLUSIVELY FOR FIRST FEDERAL SAVINGS t BANK OF AMERICA of ARNE cyG H. 8 t ° DATE RE IS a� URVEYOR off 508-362-45411 fax 508 362-9880 down cape engineering, Inc. CIVIL ENGINEERS -.- --___-_�.--__-- --_.—_--- LAND SURVEYORS „ 939 main St. yarmouth, mass. 02676.: Assessor's ma and lot �' .f ....... .p number_...... . .. ..°%7Neto� I'Sewa a Permit number '.TS Z BAUST&B E. i House number ............ .. f� 9 MA6a p� ................................................. �p 1639. 0 OMP`(a�9 TOWN OF BARNSTARL�E-_=_.. ._ BUILDING INSPECTOR . APPLICATION FOR PERMIT TO .... '��: d i�r � '�'`>''�' �yE17'2 ........................................................................................... TYPE OF CONSTRUCTION ............ ............................................. .................................. P...:.!. ....��.................19. :... 46 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........'`.C!�.......��....... pfuO00 �.........t� .....(P................................................................................................ ProposedUse ..... '<.:. . .lG.....,c. .??�Ct/.....//C.''`f ...................................................................................................... Zoning District !� R .....Fire District ....�-..��.:�' a�='` ................................................................... ................................................................. Name of Owners U„��,,,,, Ui� G 7�v5 7 Address es �'oX S/ I................I t�fv. . Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ... .......Foundation ' Exterior ...Roofing .....�....c?�,.�. .?`....................................................... ............................. ................................................ Floors ..................................Interior .... `i yw v� Heating �- /�« B ...a,i ......................................Plumbing r 'Z"'R r f/�............................................ ................................ ............................... Fireplace /p.4�.4c 7G2...............................................Approximate. Cost.:fs' <l>fc1 "............................. ..................................................... 1,4 Definitive Plan Approved by Planning Board _ r> �_______19-��_. Area% .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ny � 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 .... .. cr:':................................. Construction Supervisor's Licenser� .'�... DAVID BUILDING TRUST No .28460.... Permit for ..One„Story............... ...........Sing-le..Family.Dwelling Location ...Lot 11„DeeP.WQ.4d...Urs e. Centerville ........_„ ...................................... Owner .....David Building.,Trust................ Type of Construction .... xame........................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .......Septemb.er. ...24. .,.....19 85 ...... . .. . . . Date of Inspection ....................................19 Date Completed ......................................19 r « ~~ SEH -Assessor's moo and lot( umber 9 iUST BE %TNE WITH TITLE 5 0 ENWRONMENTAL CO MAGIL mxf TOWN '0 F* - BARINSTABLE BUILDING ' INSPECTOR TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Zoning District ... Nonm of Builder ----------------------'Ad6res ---------------.--.-----.---- Nome of Architect ----------------------A66res --------------------.------- Number of Rooms .. .................................... ..........Foundation —�l�������,----------' Exiorior —/W -------------Roofing —' ....................................................... /��� ^ Floors --''�'^.��������^�.---------------. |nterior —./%7J/ !�;/6........................................................... Heating —, �9/—..�7 -5:.. Plumbing �� /` ............................... , ! Fireplace -- .---------------.AppnzximoteCoot 1e9a/O.O.Q'............................ ....'^�e� Definitive Plan Approved by.Planning Board 19u/ Area ......S.-./............ Diagram of Lot and Building with Dimensions ' Fee Sz)__ � - � SUBJECT APPROVAL OF BOARD OF HEALTH ��� q, . | . . 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. Nome ..a ............................................................... Construction Supervisor's License --.............. b�'�=--)AVID BUILDING TRUST 1 No _2.84h0... Permit for ..One..Story............... r .........S-in91e_..>:am:L1y..Dwe 11:Ln Location ...i.tat..1.Q.......11-De:epwood...Cix-r-1e• + ...................Z..CerLLewd.].1e................:............... Owner .......DaSaiA..Bui1ding...Tzu_-,t.............. Type of Construction ....•............ . ............. Plot ............................ Lot Permit Granted .`° �September••.24.,.....19 85 Date of Inspection ....................................19 Date Completed 19111' P r � f a•TM TOWN OF BARNSTABLE Permit No. -_28460 {s Building Inspector cash --------- ------------ 1639. OCCUPANCY PERMIT Bond ___ ----- - - Issued to Davia Building Trust Address Lot #10, 11 Deepwood Circle, 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......_._ ...................................... ............................................................ Building Inspector I ..� °•. TOWN OF BARNSTABLE BUILDING DEPARTMENT = rsaiSTAU TOWN OFFICE BUILDING rUL 'ay t63q.M.`� HYANNIS, MASS. 02601 �0 qY MEMO TO: Town Clerk FROM: Building Department DATE: ro �✓� 9 � An Occupancy Permit has been issued for the building authorized by Building Permit #......�...��..�14 6_ ... _ ..................................... issued to qv/C?� 1�C75.....Y.r............./:!. .1. .... �.. e� ��oop�..el„. _ .. �'. �" "r' Please release the performance bond. f THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m ^ACC DATA TOWN OF BARNSTABLE, MASSACHUSETTSPERMIT ` - JO`B WEATHER CAKD_ • C :•`i, R • DATE'I �19 u— PERMIT NO. APPLICANT ADDRESS (NO.) (STREET) (CON TR'S LICENSE) {:�;t•_.._`,.ir:., �. ..... T, .^....mot .�it" NUMBER OF PERMIT TO i_) STORY OWE LLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) DISTRICT (NO.) (STREET) i 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 OR _ r a PERMIT a VOLUME _. _. — FEE .� (CUBIC/SQUARE FEET) - - OWNER BUILDING DEPT. ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR �,e PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- j> PROVED 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 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 A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL OUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CAR® SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS /�� A14 °,00;e / HEAT;NG NISPECTINZ AP ROYALS REFRIGERATION INSPECTION kePROVALS .�->� �',�j4//M//1/ -Y- A , 6, - ---_ -{` z C 1-7 NCR'( SnAC_ NCT �POCEED UNTIL THE PERMIT WIVLOBECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS iNDICATED ON THIS CARD NS-EC70P -iAS APPROVED 714E VA.- CUS WORK IS NQT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE. E T AGES Jr CONSTRUCTION. PERMIT IS ISSU AOTED ABOVE. OR WRITTEN NOTIFICATION. i 1 f , b �OVPJ� q � � i411 I I S49 ,0FL{�or Al RICHARD �1'a �F A. 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