HomeMy WebLinkAbout0041 ENSIGN ROAD 4Al RD.
ACTIVE
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NO. 152 1/3 BGR
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° T03VN OF BARNSTABLE BUILDING PERMIT APPLICATION:-
Map Parcel .0� iApplicatron#.' �o0W3 Z"
Health Division Date Issued. t Z-R 16,25
Conservation Division
Application Fe
Tax Collector Permit Fee.,t
Treasurer
Planning Dept. 7
Date Definitive Plan Approved by Planning Board - C
Historic-OKH Preservation/Hyannis OPs
Project Street Address �� �(® � ��4_
Village
Owner . Cdi Address
Telephone
Permit Request dr?� GM ,
Square feet: 1 st floor:existing (Z proposed 2nd floor:existing proposed Total new
g
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting---documentation.
fir• ."' '�
/ V
Dwelling Type: Single Family C ' Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes a-Ko-' On Old King's High ay: ❑LYes 0'No
Basement Type: Urfull ❑Crawl v❑Walkout ❑Other Cn
Basement Finished Area(sq.ft.) / ,� pSZ Basement Unfinished Area(sq.ft) 8( 8
Number of Baths: Full:existing 1 new Half:existing Z_ new
Number of Bedrooms: existing new
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: d Gas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes 0"No Fireplaces: Existing New Existing wood/coal stove: ❑Yes �o
Detached garage:❑existing ❑new size Pool: exi ting ❑new size Barn:❑existing ❑new size
Attached garage:@'existing ❑new size Shed: existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes,_site plan review# --
Current Use Proposed Use
BBUILDER INFORMATION ,�J
Nt amen FY, t6_6 t't�J�Iy Te1ephone=Numberu '1Tr
Addressi/I U12' License#
Home Improvement Contractor#f
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RES CTULTING FROM THIS PROJE WILL BE TAKENTO
S ATURE q DATE, G /
l
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCELNO. '
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION Av-"7 4-130 OS F
67 FRAME r�� 5b10 d
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
v FINAL BUILDING Dl� I�Zo1o9
1 Y
'h
DATE CLOSED OUT
ASSOCIATION PLAN NO.
Town of Barnstable r'
Regulatory Services
BARNSrABLU Thomas F. Geiler,Director
MASS. f
399.. Building Division
Thomas Perry, CBO,Building Commissioner
" 200 Main Street, Hyannis,MA 02601
www.town.barnstable.maxs
Office: 508-862-4038 Fax: 508-790-6230
PLAN REVIEW
Owner:.— r Map/Parcel: JYr 667
Project Address--'f J Builder: QW
The following items were noted on reviewing:
' SMoke- d -eCzr -ItAeA abo'v< a
2 51S Tv ot- a bee-61-k e J r- I-& Out I►�)
J
b C- a
lit k Old e w.Kr a 1 a I)6 L'U J . O wu e 0-f Ira4'1 .,'4-A r�r tJ la'/
1 i A* &n I 4 1 ` i
S4A rs
Reviewed by:
Date:
Q:Forms:Plnrvw
r
The Commonwealth of Massachusetts
Department of Industrial accidents
Office of Investigations •
d 600 Washington Street
Boston, AM 02111 ,
www.mass.gov/dia
Workers"Compensation Insurance.Affidavit;.Builders/Contractors/EIectricians/Plumbers
Applicant Information Please Print LedblY
� �
I�Iame(Business/Organization/Individual): eT_�
=AdcireSS " 4'1 c-T1(�S t-C,
City%St�ttat y , � t LLe—. l D 3z_ Phone.#:
Are you an employer? Check the appropriate box: Type of i o'ect(required):.
_ YP P )
1.❑ I am a employeram a with 4. I general contractor and I
.
employees(full and/or part.time).
* have hired the stab-contractors 6. New construction .
2.❑ I am a sole proprietor orpartaer- listed on the-attached sheet. 7. [ 'Remodeling
ship and have no employees These sub-contractors have 8. 0 Demolition
workin for me in an capacity. employees and have workers'
g Y P tY• $. 9. 0Building addition
[No workers' camp insurance comp.insurance. 10. Electrical re airs or additions
quired.] 5. We are a corporation and its ❑' P
ram, • officers have exercised their
am a homeowner domg:all work 11.❑Plumbing repairs or additions
.�_ a, �.,
w
�m sel£ [No workers' co right of exemption per MGL
Y . ,.(N: • n?P 12.❑Roof repairs
insurancesequired]f C. 152, §1(4), and we have no
------- - employees. [No workers' . •13.❑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.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors frave employees,they must providt;their workers'comp.policynumbcr. ,
Iam an employer that isproyiding workers'compensation insurance far my employees Below is thepolicy and job site
information.
Insurance Company Name:
Policy#or Self-ins,Lic.M Expiration Date:
Job Site Address: 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 may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
�I,6,hlicrebyrerdd.. undeerr/hepa�ursandpenalties ofperjury that the information provided above is true and correct.
Sture � Date: ...R v
Phone #:
Official use only. Do not write in this area,Yo 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 CIerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:.
I
Town of Barnstable
Regulatory Services
` BARNSTABM ` Thomas F.Geiler,Director
Mass.
p�& Building Division
Tom Perry,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.
�yp ' '` JV E'stimated'Cost ��'
T e of W-ork:
Address of Wor1.-"6_/
Owner s Name V��
Date of Ap�p Lion '(
�.I hereb+yxertify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
ding not owner-occupied
-- Owner,pulliiig,own permit=°4: _,_ r
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.
to
°7
Date Owner's Nam
Q:fomnslomeaffidav
I
REScheck Software Version 4:0.1
Compliance Certificate
Project Title: New Room over garage
Report Date: 10/11/07
Data filename:C:\Program Files\Chedc\REScheck\Geghom.rck
Energy Code: 1995 MEC '
Location: Centerville(Barnstable),Massachusetts
Construction Type: Single Family
Glazing Area Percentage: 11% a .
M Heating Degree Days: 6137,,.
Construction Site: Owner/Agent: _ Designer/Contractor:F` '
41 Ensign Road Bob Cleghom.
Centerville,MA 02632
„ t
• LOSMV Lem
MMOMm...
Ceiling 1:Cathedral Ceiling(no attic): 627 19.0 0.0 33
Wall 1:Wood Frame,16"o.c.: 432 13.0 0.0 , 213
Window 1:Vinyl Frame:Double Pane with Low-E: . 46 0.370 17
Door 1:Solid: 20 0.180 4
Door 2:Solid: `'25 ._ 0.070 2
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 576 . 19.0 0.0 27
Furnace 1:Forced Hot Air.99 AFUE
Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other
calculations submitted with the permit application.The proposed building has been designed to meet the 1995 MEC requirements in
REScheck Version 4.0.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Name-Title Signature Date
J
... - is •
t
New Room over garage Page 1 of 1
REScheck Software Version 4.0.1 ;
Inspection Checklist
Date: 10/11/07 ,-
Ceilings:
❑ Ceiling 1.Cathedral Ceiling(no attic),R-19.0 cavity insulation
Comments:
Above-Grade Walls:
❑ Wall 1:Wood Frame,16"o.c.,R-13.0 cavity insulation
Comments:
Windows:
❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor-0.370
For windows without labeled U-factors,describe features: "
#Panes Frame Type Thermal Break?' Yes No
Comments:
Doors:
❑ Door 1:Solid,U-factor.0.180
Comments:
❑ Door 2:Solid,U-factor-0.070 '
Comments:
Floors: Y
❑ Floor 1:All-Wood JoisVTruss:Over Unconditioned Space,R-19.0 cavity insulation
Comments:
Heating and Cooling Equipment: F
❑ Furnace 1:Forced Hot Air.99 AFUE or higher
Make and Model Number:
Air Leakage:
❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed.
❑ Recessed lights are 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5 clearance from
combustible materials.If non-IC rated,fixtures are installed with a 3"clearance from insulation.
Vapor Retarder:
❑ Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
❑ Materials and equipment are identified so that compliance can be determined.
❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
❑ Insulation R-values,glazing U-factors,and heating equipment efficiency are dearly marked on the building plans or specifications.
❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a
manner that achieves the rated R-value without compressing the insulation.
Duct Insulation:
0 Ducts in unconditioned spaces are insulated to R-5.Ducts outside the building are insulated to R-6.5. r
Duct Construction:
New Room over garage Page 2 of 4
e
All ducts are sealed with mastic and fibrous baddng tape.Pressure-sensitive tape may be used for fibrous ducts.Duct tape is not
permitted.
The HVAC system provides a means for balancing air and water systems. P
Temperature Controls:
Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or
cooling input to each zone or floor is provided.
Circulating Hot Water Systems:
Circulating hot water pipes are insulated to the levels in Table 1. '
Swimming Pools:
Lj All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-.depletable
sources.Pool pumps have a time dock.
Heating and Cooling Piping Insulation: t
HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2.
F r '
New Room over garage Page 3 of 4
Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Non-Circulating Runouts Circulating Mains and Runouts
Heated Water Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" '
Temperature(°F)
170-180 0.5 1.0 1:5 12.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0 a
Table 2:Minimum Insulation Thickness for HVAC Pipes
Insulation Thickness in Inches by Pipe Sizes
Fluid Temp.
Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4"
-
Heating Systems
Low Pressurefremperature 201-256 1.0 1.5 1.5 2.0
Low Temperature ' 120-200 0.5 1.0 ' 1.0 1.5
Steam Condensate(for feed water) Any 1.0, 1'0 .' 1.5 ' 2.0
Cooling Systems
Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 .
Brine '< Below 40. 1.0 .1:0. 1.5 1.5
NOTES TO FIELD:(Building Department Use Only)
x
s
r
•r.
New Room over garage r Page 4 of 4
f
�oFTHE, Town of Barnstable
Regulatory Services
BAMSrABM Thomas F. Geiler,Director
MAs&
019. A.�� Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION A
Please Print
DATE: 0—1
JOB LOCATION: �(` tv)gza ly � � �(/`4 t
number street /may village
"HOMEOWNER": �`C/ �C /�lV SVR--�?B -7641—
name home phone# work phone#
CURRENT MAILING ADDRESS: 5e1W6;_
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and .
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be.
responsible for all such work performed under the building permit. (Section.109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes, bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town ofBarnstable.Building Department.
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirem ts.
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 S_upervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a fomm/certification for use in your community.
r
BOUDREAU&,BOUDREAU,LLP
396 NORTH STREET s
HYANNIS,MASSACHUSETTS 02601 '
Telephone:(508)775-1085
Telefax:(508)77170722
G? .ya
- ct! "
;Z
Philip Michael Boudreau C_
Mark H. Boudreau' .
January 8, 2068
Tom Perry, Building Commissioner ,
Building Department -
Town of Barnstable
200 Main Street
Hyannis, MA 02601
RE:Robert G. Cleghorn
41 Ensign Road, Centerville/Map 147 Parcel 067
Dear Mr. Perry:
As per our recent office conference,-I represent Robert G. Cleghorn with respect to his
ownership of 41 Ensign Road, Centerville. Mr. Cleghorn recently applied for a building permit
to finish off space above his garage yand discovered that his pool had inadvertently been installed
less than the required ten (10') feet away from his rear lot line.
By way of background, the neighbor to Mr. Cleghorn's rear had his property surveyed to
determine the exact location of his rear and side line set backs. Mr. Cleghorn used the same
surveyor for a plot plan for inclusion with his building permit application. Craig Larson of
Yankee Land Survey Co. discovered an iron pipe on the neighbor's property that appeared to be a
boundary market.
The on-site survey determined that the pipe was installed approximately 2 to 3 feet away
from Mr. Cleghom's lot line. I enclose a letter from-Mr.Larson confirming these facts. It
appears quite certain that the pool installer's measured just over ten feet from the pipe before.
installing the pool, causing 2 '/? foot encroachment into the rear line setback. As the pool was not
installed parallel to.the rear line, the encroachment is only part of the length of the pool.
I am requesting from you a determination that this accidental encroachment is,de
minimus and does not render his property in violation of the Zoning,Ordinance; thus allowing
him to proceed with his building permit application: Enclosed please find a letter from the
neighbor to his rear indicating full support from Mr. Cleghorii. If this request meets with your
discretion and approval, kindly sign where indicated. Thank you for your kind attention to this
matter.
Sincerely, y
Mark Boudreau
MHB
AGREED TO:
Tom Perry, Building Con m r v
Town of Barnstable t
k .
i o
1 _
'S 1
N.
p .
: .A.{
_. Yankee Land Survey'Co.'Ina -
40 Industry Road
Mars' ns Mills. MA 02648
508-428-0055 phone 508-420-5553 fax`
yankeesurvey@comcast.net
www.yankeesurvey.com
January 4, 2008
Attorney Mark H. Boudreau
396 North Street
Hyannis, MA 02601
Re: 41 Ensign Road, Centerville, MA -Robert G. Cleghorn
Dear Attorney Boudreau:
Yankee Land Survey Co., Inc. performed surveying work for Mr.Cleghorn in October of
2007 on the above referenced property.
While on site we discovered that an iron pipe had been installed approximately two to
three feet'-away from Mr. Cleghorn's actual rear property/lot line.
The pipe has since been removed, and new survey stakes have been placed on the ground.
Fe- el-free to contact me if you have any further questions or concerns regarding this
matter.
Sincerely,
Cr
a Larson —
ankee Land Survey, Co., Inc.
r
12/11/2007 21: 03 5084287644 CLEGHORN PAGE 02/02
Mark Boudreau, Esq.
396 North Street
Hyannis,MA,02601 December 11,2007
To whom it may concern,
lvly naine is Paul Hamel Jr. and I reside at 107 Ensign Road,Centerville.I am a neighbor.of
Robert and Joyce Cleghorn who reside at 41 Ensign Road.
During a routine survey of my properly a misplaced iron marker at the Northwest corner of Tny
property was discovered. The proper placement of this marker moved my property line closer to
the Cleghorns property.
The Cleghorns applied for a Building Pennit which required a Certified Plot Plan be obtained.
The Plot Plan showed an incursion into the ten foot setback requirement of two foot six inches by
their swirnming pool apron and the Building Permit was denied until this Problem is corrected.
i_
This issue causes me no harm or inconvenience and I have no problem with the apron placement.
My entire rear yard is fenced with a six foot high stockade fence and I cannot see the pool at all..
We have always been good neighbors and do not wash to cause any hardship due to this
unfortunate discovery.
Sincerely,
Paul Hamel Jr.
` I
' The Commonweatth of Massachusetts
Department of Industrial_tecidents
Office of Investigations
d 600 Washington Street
Boston, MA 02111
` www.mass.gov/dia
Workers`Compensation Insurance.Affidavit;,Bugders/Contracto.rs/Electricians/Plumbers
Applicant Information Please Print Lezibly
Name(Business/Organization/Individual):.
Address:
City/State/Zip: MAJ ZbiL phone.#:
Are you an employer? Check the appropriate box: -Type of project(required):,
1.❑ I am a e to er with 4. ❑ I am a general contractor and I
mP Y 6. New construction .
employees(full and/orpart.time).* have hired the sub-contractors .
2.[O"'I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling
ship and have no employees 'these sub-contractors have S. ❑Demolition
workin for me in an capacity. employees and have workers'
g Y9. ❑Building addition
[No workers' comp.insurance comp.insurance.$
required.) 5. ❑ We are a corporation and its 10.ZElectrical repairs or additions
officers have exercised their 11. lumbm- repairs or additions
'3. I am a homeowner doing all work �' , g eP
myself [No workers' comp. right of exemption per MGL ME]Roof repairs
insurance,required.]t c. 152, §1(4),and we have no
employees, [No workers' ..13.❑Other
comp. insurance required.] .
*Any applicant that checks box#1 must also fM 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.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees, If the sub-contractors leave employees,they must providb their workers'comp.policynurnber.
I am an employer that is providing workers'compensation insurance for my employees Below islhe policy and fob site
information
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: 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 tip 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 may be forwarded to the Office of
Investigation of the DIA for insurance coverage verification.
I do herebZce ' g, ! nd penalties of perjury that the information provided above is true and correct:
Sitmature: Date: 4� rU�
Phone#• � 6
Official use only. Do not write in this area A7 be completed by city or town ofj7clal
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector S.Plumbing Inspector
6. Other.
Contact Person: Phone#:
�Op1HE,p� Town of Barnstable
Regulatory Services
BAMSPABLE Thomas F. Geiler,Director
y NAM $
�p s63q. �m Building Division
TED MA'I A
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
— ----------------------
HOMEOWNER LICENSE EXEMPTION
�t Please Print
J
DATE: /t/ •� /
�n'u7mber p street 4` village
HOMEOWNER
°`" name home phone# work phone#
y F. r
CURRENT.MAILING ADDRESS: 5&fi
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance.with the State Building Code.and other
applicable codes, bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable.Building Department.
minimum inspection procedures and requirements and that he/she will comply with said procedures and
req ents. -
Signature.ofHomeo er
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 ofawareness 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 ofa Supervisor. On the last page ofthis issue is a form currently used by
several towns, You may care t amend and adopt such a form/certification for use in your community.
BOUDREAU &BOUDREAU,LLP
396 NORTH STREET
HYANNIS, MASSACHUSETTS 02601
Telephone:(508)775-1085
Telefax:(508)771-0722
Philip Michael Boudreau
Mark H. Boudreau
January 8, 2008
Tom Perry, Building Commissioner
Building Department
Town of Barnstable
200 Main Street
Hyannis, MA 02601
RE:Robert G. Cleghom
41 Ensign Road, Centerville/Map 147 Parcel 067
Dear Mr. Perry:
As per our recent office conference, I represent.Robert G. Cleghom with respect to his
ownership of 41 Ensign Road, Centerville. Mr. Cleghom recently applied for a building permit
to finish off space above his garage and discovered that his pool had inadvertently been installed
less than the required ten(10') feet away from his rear lot line.
By way of background, the neighbor to Mr. Cleghorn's rear had his property surveyed to
determine the exact location of his rear and side line set backs. Mr. rleghorn used the same
surveyor foT a plot plan for inclusion with-his-building-permit-appl-icati-on._ Craig.Larson of _
Yankee Land Survey Co. discovered an iron pipe on the neighbor's property that appeared to,be a
boundary market:
The on-site survey determined that the pipe was installed approximately 2 to 3 feet away
from Mr. Cleghom's lot line. I enclose a letter from Mr. Larson confirming these facts. It
appears quite certain that the pool installer's measured just over ten feet from the pipe before
installing the pool, causing 2 Moot encroachment into the rear line setback. As the pool was not.
installed parallel to the rear line,the encroachment is only part of the length of the pool.
t
I am requesting from you a determination that this accidental encroachment is de
minimus and does not render his property in violation of the Zoning Ordinance, thus allowing
him to proceed with his building permit application. Enclosed please find a letter from the
neighbor to his rear indicating full support from Mr. Cleghorn. If this request meets with your
discretion and approval, kindly sign where indicated. Thank you for your kind attention to this
matter.
Sincerely,
-'`Mark H. Boudreau
MHB
AGREED TO: -
"Toni Perry, uiiding Com 'r
Town of Barnstable
Bldg. Dept. : fi
200 Main St. ,
Hyannis, Ma:,02601 .. L ,. >• `� `�. �, ,ri°
t. x
• • 021A $ 00.410
0004606238 JAN 02 2008
MAILED FROM ZIP CODE 02601
.1 ---V51ter Zurosky
53 Cayuga Ave.
` ! e n
Mashp ,a MA,-- ��4A
a bF�� i ski RETURN TO SENDERNO MAIL RECEPTACLE
+
UNASLE_ TO FORWARD
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Op THE N• Town of.Barnstable
"0
Regulatory Services_ ,
BARNSTABLE,
9 MASS. + Thomas F. Geiler,Director
�ArFnia. a`�� Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
January 2, 2008
Walter Zurosky
53 Cayuga Ave. x
Mashpee, MA. 02649
RE: 41 Ensign Rd., Centerville, Ma. Map: 147 Parcel: 067
Dear Mr. Zurosky
This letter is to notify you that the pool installed under permit#82241 has been found to
encroach on rear setback requirements. As you may recall, the permit was issued based on
a plan submitted showing the pool 55 feet from the rear property line. The pool is, in fact,
7.6 feet off the rear property line. As the contractor to whom this permit was issued,you
are responsible to ensure the pool is placed in accordance with the plans submitted.
Please contact me with your course of action to bring the property into compliance.
Failure to bring the property into compliance will result in this office forwarding a
complaint against you to the Building Board of Regulations and Standards. I may be
reached at(508) 862-4034 with any questions. Thank you for your'+anticipated'
cooperation in this matter.
t
By Order,
e L. Lauzon
Local Inspector
Qzoning5
oFIMEl Town of Barnstable
Regulatory Services
* snxxsrns[.e, ti
y Mass. $ Thomas F.Geiler,Director
�A 1639. �0
TFnr,,or6. Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
January 2, 2008
Robert Cleghorn
41 Ensign Rd.
Centerville, MA. 02632
RE: 41 Ensign Rd., Centerville, Ma. Map: 147 Parcel: 067
Dear Mr. Cleghorn :
This letter is to notify you that your application to finish over the garage can not be
approved at this time due to a zoning violation at the above referenced address. As you
may recall, a pool permit was issued to Holiday Pools on February 15, 2005. Based on a
recent survey the pool was not installed in the proposed location and encroaches on the
rear setback. The pool must be moved or a variance issued by the Zoning Board of
Appeals to bring the property into compliance. In accordance with 780 CMR no building
permits may be issued while a zoning violation exists. Please contact me with your course
of action to bring the property into compliance. I may be reached at (508) 862-4034 with
any questions. Thank you for your anticipated cooperation in this matter.
By Order,
Jeffrey L. Lauzon
Local Inspector
Qzoning5
oF1HE ra �. Town of Barnstable
Regulatory Services
BARNSTABLE, «
v MASS. g, Thomas F.Geiler,Director
rFo �a Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
January 2, 2008
Walter Zurosky
53 Cayuga Ave.
Mashpee, MA. 02649
RE: 41 Ensign Rd., Centerville, Ma. Map: 147 Parcel: 067
Dear Mr. Zurosky
This letter is to notify you that the pool installed under permit#82241 has been found to
encroach on rear setback requirements. As you may recall, the permit was issued based on
a plan submitted showing the pool 55 feet from the rear property line. The pool is, in fact,
7.6 feet off the rear property line. As the contractor to whom this permit was issued, you
are responsible to ensure the pool is placed in accordance with the plans submitted.
Please contact me with your course of action to bring the property into compliance.
Failure to bring the property into compliance will result in this office forwarding a
complaint against you to the Building Board of Regulations and Standards. I may be
reached at (508) 862-4034 with any questions. Thank you for your anticipated
cooperation in this matter.
By Order,
Jeffrey L. Lauzon
Local Inspector
Qzoning5
s`
;f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map / Parcel Permit# R P 2 4
Health Division .). — oh Date Issued 24 51os
Conservation Division Z I 1 G� ' 0
Application Fe
Tax Collector <Z" n I , c I /1 Permit Fee &0. O 0
Treasurer
SEPTIC SYSTEM MUST SF
Planning Dept. INSTALLED IN COMPLIANCE
Date Definitive Plan Approved by Planning Board WITH TITLE 5
ENVIRONMENTAL CODE AND
Historic-OKH Preservation/Hyannis TOWN REGULATIONS
Project Street Address
Village
Owner �`1 �.�� Ll�!® jf� � Address
Telephone ?(a
Permit Request %AJ 1 e4- X_-6 7 J1JAZY( CfkAd,
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation ��� �° kr Construction Type
L de
/ ,of Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.,��
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) "'f I
a
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes-- ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout , ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) JI
cr1 Number of Baths: Full: existing new Half:existing � new r
Number of Bedrooms: existing new
-)-'Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool:❑existing new size&aZ_-_Barn:❑existing ❑new size
Attached garage:❑existing Elnew size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑ No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name f``11 Telephone Number •
Address C/ License#
�� Home Improvement Contractor# �2 � 2
Worker's Compensation# (n k04—6,77 kghl-A _�3
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO2
SIGNATURE DATE
FOR OFFICIAL USE ONLY
i'ERMIT NO.
DATE ISSUED t.
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER J
r r
DATE`OF INSPECTION:
FOUNDATION c,1 1-4 — —(�
FRAME
INSULATION
FIREPLACE
F , t
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH n„ FINAL
M co
-
GAS: ROUGH g FINAL r
h FINAL BUILDING20
,
' 2 g
DATE CLOSED OUT Q' co
ASSOCIATION PLAN NO. "�'—�
i 7
j
f4
ti
The Commonwealth of Massachusetts
Department of Industrial Accidents
-- wee MaRy"Ifoym
_ 600 R'ashine ton Street
��~ xs Boston,Mass. 02111
Workers' Co m ensation Insurance Affidavit-General Businesses
Till
name'
address 447
state /•�/�F- 2it>��-CP 1C/ vhone# �'
work site location(full address) �F �/U�6�e0l w����!'��� �4 °
❑'I am a sole proprietor and have no one Business Type: LJ Retail❑Restaurant/Bar/Eating Establishment
working in any capacity. [IOffice❑ Sales(including Real Estate,Autos etc.)
❑I am an em loyer with em to ees(full& art time). 0 Other
%/ %/%//%%%////%%%//%%/%%////O%///%�%/�%%%////%%
I am an employ providing workers' ompensation for my employees worlL;ng on this job.
companv name pf't9 '.:•. ;
address �t.✓• ,•
city JJ��:i('Gi pbone# �..�'• s.: ;
mmmm.1nl/r/-/n e-/en'
/////
�] I am a sole proprietor and have hired the independent contractors listed below who have the following workers'
compensation polices:
com an name: •.. :
siddressi
one#
City:.
insurance co. : -
olicv#
i%/// /i//% / . /i/l
V. •�•'
com-iiii.�name: - ••� _
nddress
cit<:,. ' ' hone#
7•
insurance co. ;
Fallure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500:00 and/or
oae years'imprtvonmeat as we➢as civil penaltles in the form of s$TOP wORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement maybe Forwarded to the Office of Invntigatiom of the DlAfor coverage verification:
I do hereby certi under the pains enalties of perjury that the inform ation provided above is true ar eorr ct
Signature Date 2— 1f ('
Print name IfC/ L Phone# 2° �"
i official use only do not write in this area to be completed by city or town official -
city or town: permit/➢cense# ❑Building Department
❑Licensing Board
❑check if immediate response is required ❑Selectmen's Office
❑Health Department
contact person: phone#; ❑Other
(revmed Sept 2003)
1
r
Information and Instructions
Massachusetts General Laws chapter 152 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
permit to operate a business or to construct buildings in the commonwealth for any applicant who has
license or
of a p
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.
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.
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.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Qtltce of In"StIgaugns
600 Washington Street
Boston,Ma. 02111
fax#: (617)727-7749
phone#: (617) 727-4900 ext.406
r
y
Town of Barnstable
ti
� a
y Regulatory Services
'* BARNSIABLE, " Thomas F.Geiler,Director
MAIM
039..E e,`` Building Division
Tom Perry,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. 1
11VC0,1�Z{� �L EstimatedCol vC/
Type of Work: �� YS �
Address of Work: 7� 'UlJ����v ��'�✓ �� l ���� ,
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.I42A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
C tr for Name Registration No.
Date
R
� rGOI
Date Owner's ame
Q:forms:homeaffidav
J.
THE Tn_ Town of Barnstable
Regulatory Services
"B Thomas F.Geller,Director
E16�v a � Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable..xna.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby autho ' 41 4f2J to act on my behalf,
in all matters relative to work authorized bytl s building permit plication for:
(Address of Job)
i
Z i/ SS7-
SijdAGre of Owner Date
Print Name
QTORMS:OWNERPERMISSION
A I zu- ;
i � � .STANDARD LEGEND
NOTE:not all symbols will appear on a map
O .•-------------- ---_.�,� GOLF COURSE WAY
1 \ FAIR
3 6 ` \ i EDGE DECIDUOUS TREES
-----
-' ' OF
` ) EDGE OF BRUSH
j \ ❑ _` ORCHARD OR NURSERY
MAP 147 Y `,T V EDGE OF CONIFEROUS TREES
MARSH AREA
/ -
` EDGE OF WATER
#—5-/ DIRT ROAD
4 DRIVEWAY
E-PARKING LOT
I��-- PAVED ROAD
DRAINAGE DITCH
\ •• PATH
• AP 1' PARCEL LINE**
—
j' ) .. opito c —MAP#
Kam' o 21�—PARCEL NUMBER
7 /
I #rasa E HOUSE NUMBER
2 FOOT CONTOUR LINE
Ok �r N�1' / / _. — t0 10 FOOT CONTOUR LINE
Elevation based on NGVD29
/4.9 SPOT ELEVATION
STONE WALL
\ FENCE
RETAINING WALL
1
/ y 1 4/ ' RAIL ROAD TRACK
MAP 1
STONE JETTY
-
------/ f 11 \\ �/ h\'�MA� 14 7 � P00.i SWIMMING POOL
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11 / '2 / i \ � }�� �q / �', V, — - : PORCH./DECK
0.1 / ./ \ 1 I (4 j.' / fit.P ❑ BUILDING/STRUCTURE
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T O W N O V B A R N S T A B L E O E O O R A P H I C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T o SIGN ® -STORM DRAIN"
H PRINTED SALE:IN FEET *NOTE:This map is on enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetria(man-made features)were interpreted from 1995 aerial photographs by The James
w -- E I"=100'scale map and may NOT meet of property boundaries. They are not true locations,and W.Sewall Company. Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE n TOWER
Q yQ 40 National Map Accuracy Standards of this do not represent actual relationships to physical objects Corporation. Planimetria,topography,and vegetation were mapped to meet National Map Accuracy Standards
•j I INCH=40 FEET-* enlarged scale. on the map. at a scale of V=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's tax maps. O LIGHT POLE, o ELECTRIC BOX
r 102 -.3"3109 afp mintas 0 pamaKs Not E IAAlAt N[aul.¢ ,
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i. Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration:. 128202
r
Expiration::i 3/10/2005
TYpe Private Corporation
HOLIDAY POOLS
WALTER ZUROSKY `;`
a 53 CAYUGA AVE
t MASHPEE,MA 02649 r
Administrator t
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Ail.
Map 1 Parcel Permit#
Health Division Date Issued
Conservation Division ICI ���� leer
Tax Collector SEI�TIC SYSTEI'ti 6ic
INSTALLED IN GOMPL"AKr,
Treasurer )
1.2.2 WITH TITLE 5
Planning Dept. ENVIRONMENTAL CODE AK5`1
TOWN REdGULATI O
Date Definitive Plan Approved by Planning Board
_ U
Historic-OKH Preservation/Hyannis
Project Street Address' C 6X) an
T
Village
Owner db - Address
Telephone
Permit Request C% 6 1::�v0 b)11J
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Estimated Project Cost /5-0 r-Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family_ Two Family:❑ Multi-Family(#units) _
Age of Existing Structure d Historic House: ❑Yes m-Nb"� On Old King's Highway: ❑Yes W o
Basement Type: W,Kul ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing ( new Half:existing / new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ®'Gas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes @"No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
'BU)ILDER INFORMATION
Name�� cam' ��1�' Telephone Number
Address!l( C /_ �/ License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE _ z^ 2- 1919
r* ,
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/T'ARCEL NO.
i
ADDRESS VILLAGE
r.
OWNER j
i
DATE OF INSPECTION: ;
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGIt : ` __:� FINAL
'
GAS: ROUiGH, ^: FINAL
FINAL BUILDING
DATE CLOSED OUT
i
ASSOCIATION PLAN NO.
• 1 / 11 1 1 / 1 1 1 1
' 1 J • �
■ 11 1 11 • • ' • • ' t 1_ '1 :1 •• 111•�.11 • • 1 • 11 ' :11/1• 1 ' '• 1.� 1_ • / 1 •1
1 t
1
1 1
I 1/ 1 1 �• 1 • 1 • • �1 • 1 t•
1
•1 11 1 1 1 � 1
1 1
1 1 1
1 1
1 1 1 1
1 f
IN I III
• itl 11117
177.
u1 I 1
1
1 1 n
:...:. i,
town
oflicial use only do not write in this area to he compk-ted by city or offirfal
C)Buadint 1 parbInel
city or town,
L3UcenWng Board
Oflice
Departilinent
phone 0,
contact person:
•:_:. .>. :.. C:>awn i .,coq>i,♦ �i<,i-.,.
OF1HE
: . . : The Town of Barnstable
• wuvsrnsc.E.
Department of Health Safety and Environmental Services
lfo,,,ptA Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 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: N)b!C5TN FOOW Estimated Cost `
Address of Work: G�E16/J P\,O 4t CLb M#-
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$1,000
[]Building not owner-occupied
FD4Ywner pulling own permit
Notice is hereby given that: '
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c..142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR
Date Owner's Name
q:forms:AffidaJ
se3T¢ �e
Office: 503462-4038 Ralph Crossen
Fax: 508-1790-6230 Building Commas.
HOMEOW EE LICENSE EXEMMON
Please Print
DATE l Z r.Z-p•�
IOB LOCATION: J
omnber stela village
"HOMEowNat �°X=`7� - C G#
• awe home phone 0 work phonc s
CURRENT MAILING ADDRESS:
MA-
�y state tip code
The cmreat exemption for was extended to include overt led dwellings of six unit
or less and to allow homeowners to engage an individual for hire who does not possess a license,am,v oei• d
tat the oym ncts tie=endsa _
n INITION OF$OMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is
intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or
farm sauc=cL A person who coasn'aets more than one home in a two-year period shall not be considered
a homeowner. Such"homeowner'shall submit to the Buihdiag official on a form acceptable to the
Building Official,that • t
(Section 109.1.1)
The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and
other applicable:;odes,bylaws,tales and regulathm
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
proc and eaa.
Signanae of Homeowner
Approvai of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to compiv
with the State Building Code Section 127.0 Construction CD=
HOMEOWNER'S EXOWI10?1
no
Code stater that: "Any homeowner pafotmmg work for which a building pemtit is required shall be cxempt from
the provisions ofthis section(Section 109.1.1-Licensing of construction Supervisors);provided that ifthe homeowner engages a
persons)for hurt to do such worm that such Homeowner sw set as supervisor"er a ass>�g the responsibilities of a supervisor(see
Many Imnumwnas who use this exemption are uaatraee that they
Appendix Q,Rules&Reguiations for L ccnsing Consuuetkm Supervistm.Section Z1S) This lack of awartness oRen tssults in
serious problems.particuiariy when the homeowner hires un iceased pasoas. In this cases our Board cannot proceed against the ,
uniicaued person as itwouid with a licen Th
sed Supervisor. e homeowner acting as Supervisor is ultimately issponsible.
To ensure that the homeowner is fully aware of his/her responsibilities.n=Y coannuaities require.as par'of the permit
application,that the homeowner certify that heishe undesstaads the responsibilities of a Supervisor. On the last page of this issue is
a form canto ly used by severai towns. You may care W amend and adopt such a foratfacrtif cation for use in your community-
Q:FORAIS:EMAFTN
r
The Commonwealth of Massachusetts '� S
Department of Industrial Accidents
Office of Investigations
600 Washington Street V-1, ►"�
Boston,MA 02111,
www.mass.gov/dia '
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers
A licant Information .Please Print Legibly
Name(Business/Organization/Individual):
Address: -`F( �- ,l S'l(�iy l'c 2z yC GLE z—'
City/State/Zip:_� ��A Phone.#:
Are you an employer?Check the appropriate bog: :Type of project(required):.
4. E� I am a general contractor and I
1.[I I am a employer with 6. ❑New construction .
`employees(full and/or part-time).* have hired the sub-contractors
listed on the-attached sheet. 7. ❑Remodeling
2. I am a'sole proprietor or partner- These sub-contractors have 8. []Demolition
ship and have no employees employees and have workers'
working for me in any capacity. $. 9. ❑Building addition
[No workers' comp.insurance comp.insurance. 10.[�Electrical repairs or additions
required.] 5. We are a corporation and its
3.❑ I am a homeowner doing all work . officers have exercised their 11 LDTlumbing 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
ther 13.❑ O
employees. CNo workers'
•
comp,insurance required.]
;Any applicant that cbecks 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 trust attached an additional sheet showing the name of the subcontractors and state whether ornot those entities have
employees. if the sub-contractors have employees,they must provide their workers'comp.policy number.
compensation insurance for my employees. Below is.the policy and job site'
I ant an employer that is providing workers'
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: 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 tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fime
of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investi ations of the IRA for insurance coverage verification.
I do hereby certify u der the a' s• enalties of perjury that the information provided above,is true and correct
Si afore: Date.,
Phone# Dg
Official use only. Do not write in this area, to be completed by.city or town off cial.
City or Town:" Permit/License#
Issuing Authority(circle one):
.B.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector
6.Other
Phone#:
Contact Person:
oFVE rqr Town of Barnstable
Regulatory Services,.
BMMSTABLE, Thomas F.Geiler,Director
1639.9�A
�f039 & Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
October 3, 2007
Robert Cleghorn
41 Ensign Rd.
Centerville, MA. 02632
RE: 41 Ensign Rd., Centerville, Ma. Map :147 Parcel :067
Dear Mr. Cleghorn :
This letter is to notify you of violations of 780 CMR 110.1 at the above referenced
address. As you may recall, a permit was issued on or about April 13, 2001 to construct
an attached garage with unfinished storage above. It has been observed that additional
work is now being done without the benefit of a building permit. A stop work order has
been posted. You must apply for the necessary permits or dismantle all work for which
you have no building permit by October 17, 2007. Failure to comply may result in
criminal prosecution in accordance with 780 CMR 118.0. 1 may be reached at(508) 862-
4034 with any questions. Thank you for your anticipated cooperation in this matter.
By.Order,
a
r L. Lauzon
Local Inspector
Q:zoning5
TOWN-OF BARNSTABLE BUILDING PERMIT'APPLICATION
6
Map `7 Parcel Permit#
Health Division ���1�� y��;� '`; �- � � •' Date Issued `� b
Conservation Division Fee7r7
,
Tax Collector; //���
f SEPTIC SYSTEM MUST BE
INSTALLED IN COMPLIANCE
Treasurer, _ ; WITH TITLE 5
Planning>Dept. a>>' `.w .:s, VIRONMENTAL CODE Ad
N REU4A,TI`jf3
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis R
,Project Street Address EMSIGN R-D
Villager
a f
Owner T e wT rf-c G b o I'z.m Address 4t ' E A S l Call RD '
- t
Telephone6 ;
Permit Request e d o�e p 6'y l a` 31 -e—z—ayQ I W d r i /17[ (h n
i
Square feet: 1 st floor: existing /v �;_ proposed " (7 . 2nd floor: existing proposed Total new
Valuation I l7 o 6a U Zoning District Flood Plain Groundwater Overlay
k
Construction Type f iD
Lot Size Grandfathered: ❑Yes Cl No If yes, attach supporting documentation.
Dwelling Type: Single Family O' Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes Cr'I l�o On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other f�
Basement,Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half:existing new
Number of Bedrooms:- existing new :
Total Room Count(not including baths): existing new" First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other n(o lwiyi—
Central Air: ❑Yes t ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing mew, size Shed:❑existing ❑new size Other: Atuxtim h GtUr
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑ No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
NameyoNi ff In C Telephone Number (5-0?)
Address 10 License#
/Ufg itC)rt- ��( [t_S ��SS 4, Home Improvement Contractor# l6� 6
Worker's Compensation# WC-5- 0531S�j
. A
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO V-VM a0 t_-k- nt sw-'A(
SIGNATUR DATE 1�!X
a
FOR OFFICIAL USE ONLY
PERMIT NO.
"DATE ISSUED _ J
MAP/PARCEL NO.
ADDRESS VILLAGE'
OWNER
DATE OF INSPECTI ,
FOUNDATION - a
FRAME Y «'!/✓�' r l I�. ;
,
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL "=
PLUMBING: ROUGHi .s y FINAL t r
•:T� �•3 "rA S:v . - `K __ i ':J'" r a F — s;_ i. ,L4 ..r '— .. 4
GAS: - ROUGH- � FINAL _ s
FINAL BUILDING
DATE CLOSED_ OUTS y t )}
ASSOCIATION PLAN NO.
1 '
Tile Commonwealth of Ivassachuse=
r
Department of•Industrial Accidents
� U 01�lcaallapestlgatlods _:
600 Washington Street `
Boston,Mars. 02111na I
Workers' Com eation hmur=ce davit
i'f0/�////%/�i
,
city AA—iSrtaw ALIt5 ✓11S 617&491 phone ia(izg)4'oX �4-8-
❑ I am a h=cowner performing all wmric myself ,
❑ I am a sole aivcrietor and have no one-w7ting in anv caaacity
I am an emp.ioyer Providing woM=,.' leas Mon for my employees wa6dng on this job.
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Fz&=to seem=cvvvmce as teg=ed®der Seetimt tts of MQ.152 eaa lead to the iugxm —of aim®al penalties of a fine up to SI400.00 andk
am years'imp tisoa®rot as wea as dva peaaltiea is the form of a SLOP WORK ORDER and a an of SI00.00 a day a;atusrme. I undeaemd thu s
eepF of thin statemeat maF be forwarded to the Ocoee otIayestl�tfona of the D1A for coresa;e te:i�adan.
I do herrhy c the p aad pma&=of PQIurY that dm wformuion pr�vn&d abvm u trrr..=d coned'
S• GNU.' Date
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EST/MA TED PROJECT COST WORKSHEET
LIVING SPACE Value
(high end construction) square feet X$115/sq. foot=
(above average construction) square feet X$96/sq. foot=
(average construction) square feet X$57/sq:foot=
• GARAGE (UNFINISHED) square feet X.$25/sq. foot=
PORCH square feet X$20/sq. foot= 000,cV
DECK square feet X$15/sq. foot=
OTHER square feet X$??/sq. foot
&4
Total Estimated Project Value
I s
The Town of Barnstable
9�. 1 �,� Regulatory Services
Thomas F. Geiler, Director
Building Division
Elbert Ulshoeffer, Building Commissioner
367 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: 60%t0r r1 bi-e�.eaur+y Pm .A--U PCtwy) rLR1&e_-Estimated Cost . -00
Address of Work: Q-( F&kS 1(-,K PZ Ge)L)r-e► )t 1 Le. M L6
Owner's Name: RQLP,- deokokfd
Date of Application: '?i
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:
!fl
Date Con actor Name Registration No.
OR
Date Owner's Name
q:forms:Affidav
i A
Z
.._� _ •_ -
# .J BQARt CW�fjUlf;p>wp
Uaenss:..CONULATiQNS
F STRUCtIpN SUPERVISOR
Nurnbsjm.. 023685
002 03,2� tt y
- R _ I Tr.no: 21067
acted To pp
RONALO C.FREGEAU
188 TIMBER LN =
MARSTONS MILLS,.pqq p
2648
_F '� Administrator
STANDARD LEGEND -
52 NOTE:not all symbols will appear on a map
_ GOLF COURSE FAIRWAY
,36 moo EDGE OF DECIDUOUS TREES
EDGE OF BRUSH
p l ORCHARD OR NURSERY
MA1 1 4 V__V 7-7 EDGE OF CONIFEROUS TREES
MARSH AREA
— — EDGE OF WATER
59 DIRT ROAD
DRIVEWAY
I �PARKING LOT
PAVED ROAD
— - — DRAINAGE DITCH
— — — — PATH/TRAIL
MAP .1 PARCEL LINE
Mavtto E--MAP#
21 F—PARCEL NUMBER
#1e60—HOUSE
41 2 FOOT CONTOUR LINE
r
10 10 FOOT CONTOUR LINE
f�1 Elevation based on NGVD29
4.9 SPOT ELEVATION
00o STONE WALL
-X—X— FENCE
RETAINING WALL
MAP 14 7 RAIL ROAD TRACK
STONE IETTY
6 147 SWIMMING POOL
PORCH/DECK
25 7 U� 0 BUILDING/STRUCTURE
\ # DOCK/PIER
HYDRANT
6 VALVE OO MANHOLE
0 POST 0" FLAG POLE
T O W N O F B A R N S T A B L E O E O O R A P N 1 f 1 N F O R M A T 1 O N S Y S T E M S U N 1 T .p SIGN ® STORM DRAIN
N PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The lames
"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE m TOWER
w e 0 20 40 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Plonimetrics,topography,and vegetation were mopped to meet National Map Accuracy Standards
s 1 INCH=40 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's tax maps. ¢ LIGHT POLE o ELECTRIC BOX
TOWN OF BARNSTABLE Permit No. -------._-_---.
i »I.0 Building Inspector
X"L • Cash ---------------------
WO
L\
OCCUPANCY PERMIT Bond ----_____-__
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department 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.
.....................................................1 19......_ _ ................................................................................._......._....w_. --
Building Inspector
. m
3 ,.2,9
o Cl
L oT
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w \\�G l <a"? S,3 3 s ~. OFVi
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1 7 W T ! N M74 Q y
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L 0
22 2 �
I
CERTIFIED PLOT PLAN
"'
NEW CONSTRUCTION ONLY c : = ��! t_ ! ;-
TOP OF FOUNDATION IS 3 FEET IN
ABOVE LOW POINT OF ADJACENT 3.t11' ,�1S",f',�SL4 JASi�+
ROAD.
SCALE. i' 4;:� DATE : . 611 /92_.
GR�Eii//3 2�c`/2
LDREDGE' ENG/NEER/NG COIN I CERTIFY THAT THE r-Uv,y»A-rr v
--� CLIENT SHOWN ON THIS PLAN IS LOCATED
EGISTERED REGISTERED JOB N0. 2. `' ON THE GROUND .AS INDICATED AND
CIVIL LAND ,1,� CONFORMS TO THE ZONING LAWS
ENGINEER SURVEYOR DR.BY' OF BARNSTAB�f , 4A;SS.
712 MAIN STREET CH.BYt E� C6.oi 82
H YA N A I S, MAS S. SHEET f OF DATE ()MG. LAND SURVEYOR
WAs§4ss76's map and lot number ............................... :`.
• CF THE t0
1 — _ SEPTIC SYSTEM MUM 1
S6wage Permit number. ..............7L............... ro
INSTALLED IN CO{",�P1.4AN'�_E
Baa89
� B .Z TSDL � •
House number �;::..................................... ..r0.............................WITH TITLE 5 s rasa
fl 0 a ENVIRONMENTAL COL y r D o 3 a*e�
TOWN OF BAR.NSTABLE
BUILDING Ias
NSPECTOR
01V�
APPLICATION FOR PERMIT TO �1. . .
' �/? ...
TYPE OF CONSTRUCTION .............:............... .d , ....... .......... �:.............`.......................................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies fo permit according to the following informs ion:
Location .. .
-` / 1. ..�� C.�..... . .....�L '�/...... ..........:0. ............. '' ... ............. ............ ...
. '�! /
ProposedUse ................................. 1:!�j`�......... / !r ........................................................................................
Zoning District .......................
�....C:-...................................Fire District ...............C- ....... .................... .....................
Name of Owner ...........Q`P7��4� Address ........�..� h. ��'.�, ..�. vr...
" Name of Builder. .......... ............................Address
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .............. .............................. ...............Foundation ... (.��.`��"4
��!'�..`'.��.......�V'Y.. .
Exterior ........................C ..... ./1.' ...�s ! ..............Roofing ................
......................
Floors ... ..... f... .�`"� :.............Interior ...................... �.r ..a .�.1........................
X �S .15 /1 C d���
Heating .............6........Plumbing ................. v
.. ......................... . .... ...........
Fireplace .......................... r..........................................Approximate Cost
Definitive Plan Approved by Planning Board _________________ Area ......../L...!.... ....�-5 ..........
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH ��
I
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl regarding the above
construction.
s
Name ............... .............. ............
GREENBRIER CORP -
~r � �i. � . mOu~a Story.....................................
'
^ V----.. '
'
^
,
Location ..L�—t— .— I.4. _Eno '
` — .. —�I8—.. . .. ---------..
Center
nd�Lle
` --------.—.—.--------------- '
`
Greenbrier C
� Owner .........................................
Type of Construction ..�����.............................
' . � .
...................--.----.^-----^---'�---.
Plot ............................ Lot ................................
� . ' ~~
'
June I, 83
< Permit Granted ........................................
, Date of Inspection ------------1g
' Date Completed
� p `== '�
4
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Assessor's map and-Gt-nul�b
eF ............................................
THE
Sbwage Permit number ...1�..... ...........................
33AUSTABLE,
House number .......................................................................... MAO&
t639-
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ............... /.......................... ..............
.......... .. ......
TYPE OF CONSTRUCTION ..........................................................................................................
....................
TO 'THE INSPECTOR OF BUICDINGS:
The undersigned hereby applies fo
rz.q.permit according to the following information
r-1/9 I ji-
Locati ..... ....... ........
on ............. ... .........
.............................. ..... ............................................. ..................
2.
Proposed Use ................................. ....... ...................................................................................
..............
C>
ZoningDistrict ....................... .....................................Fi're District ............... .......................................................
.......Address ........ o
Name of Owner ... . .................. ...... ......................
Nameof Builder. .................. ......................... ...Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .............L::�..............................................Foundation
................................C.......... ..............
Exierior .......................f,........ Roofing ................... ..............
..............
Floors ................... Interior ...................... ...0.c—A.........................
.......... ....... .. . ... ....
y—***—***--*—*—
C C OA�517,2,ej
Heating .................... Plumbing .......................... ......................................................
................................................. ..........
Y-2
1 5-500
Fireplace ..................................................................................Approximate Cost ....... .......;�......
Area ........ V
Definitive Plan Approved by Planning Board IJ C Is,
..................................
Diagram of Lot and Building with Dimensions Fee ................ ................
SUBJECT TO APPROVAL OF BOARD OF HEALTH tj
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 ................. ...... .................... ....
GREENBRT.ER CORP. A=147-67
No .1.4.0.8.9.. Permit for ..One Story.
Single Family Dwelling
...............................................................................
Location „Lot #18 41 Ensign Road
..............................................
Centerville
...............................................................................
Owner Greenbrier Corp.
.................................................................
3
Type of Construction Frame ,
...............................................................................
Plot ............................ Lot ................................
}
Permit Granted ........June...1..................19 82
Date of Inspection 19
Date Completed ......................................19
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ASSESSORS GRAPHIC SCALE & CONSULTANTS
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UNIT 1, 40 INDUSTRY ROAD
MARSTONS MILLS, MA 02648
TEL.• 508—428—0055 FAX 508—420—5553
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