Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0006 GORHAM LANE
VAV,16�k: IV1�1UN5191fl, WvWWWW cg ez ME; kl U'A`;A9,`j Vj WTIIA'� -"AT R.1;9T, 1,7 wv S i�la;,Rit�w AP"efrX A-U D1 Z If y,�irOX ,v iNg NN 14NAEIAZWl 1 W-,,jr,, NN 1 M"Y V 1 5;Wla gpiil'o�p� �5 'g N M I out v A M R mmNgn P ,n 'A I g NT"mom 1 0--1,4g �,P.Qj'q NAA A , m- MIR, IN NOW ,evk, T t 'JA Te� WM-VP -Ne h 41" upp NOW= mz nx gmus W., RX4 * I a Vol `16 11 1 4 ; vpi KIN, B" Alm "'Ail ?!!,Mp l Oragaj,%� Imi""'of"V65 !"'�,4%,YU� e "M TIJA g ZZ ,500.0, 1 vr "ll p f ffiw A T� HER) '.IN INNS"T .V�11..01 h! p q man W kl �M"qvq� V", N1 U 6! Q, 1 m_*y R Q oz 9 Ug fflVilnj INNXX 1"4 q 01 MIX 9xv V Nit g N Y's IM Cr )W4 _04MV10 1�13 W. W,,'&.18011 N11, �'Wvi AR mail! ��o ni, I MIN 0i WE -00, jg� . .... § oz I" RINK pA 1W, M, �W -1v w"i W U."t �qy. pg�iggd 01,nvin "MAN.", jp g4'j fq. _`-P,_ Ile gg, ,VIFAAW�2�1' IR g '047M P01141� f Tz R,Z. A A .1 JRI� -,,mmaw yg q �gg ANN gi Mfg ly Yy!l 'fia ......41�'-,'A ni, _iil� X ,i I A , g4 W�l m "mom 0, gTip ARM A m Will jg"f,q,r� 4 t�VT WIVE "'WOR0. iq W&11.,�Alj W V�poq� IV, N P 414 111 MR Yfi 21 K"I",!;I', �Al T N� 2 i`v i va, MEMO- 4� Jh"11 1,04 AND 4 aam! �q) N F gow qIg R I IMIT zg� Awl MUM 4� =wUMM. M.,A,A p VAJO f p, QW0 "W-6, It e "A;, Will, fl N , k , I A lk,� SE�, I ji 4 lltkl"'rl"�A'i4 'i.. T �� 5111 '14 IN 0 ilk W NNW ql� A, A Ail �,:W�mgj I NONE 0 gym Aw" 0 ,W ii,11A, Ix RI r �L�, R A R k 'W Iffil U"MUNA J F R, A'0" Af '�p " f?��l � AN gums gamt A, k" no m aq IV 12 moo t R ,6-'m U, b TIP �T r--- E i ,.� ------. ..�:.:� _ .��wr.. __ ._ _ _ ._ _ Town of Barnstable Building t =Post�Th�ss"Card�So:T.hat-rt°issl/is�ble�From�the;Str,.eet;-Atf; rouedlans Must be^Retamed�on Job antl this Card,°Must�beKe1# � �-'` Permit � Posted Until Finai Inspection�Has�Been Made . + Where a"�ert�ficate ofOccupancyas Required,'such Buldingkshall�Not�be$Occupied"=until a Final"lnspect�on�has beenYmade ej ililt cAa-.:��aaa,xr-s�.�:^ ��,nfi.�.. o. .,� .., .w_# .4. .. ��,-�..:''�5:,,. > ,.:.� ... ..,�', .m....f„ ..v ..R. ..A s mK..�. e , �s:✓S.t e _.,.a-» e ,r.e:::a .X,�i.,.s. '.5 ..i6.<io�,��,��.^'. Permit No. B-18-1921 Applicant Name: DAWE,JAMES E Approvals Date Issued: 07/03/2018 Current Use: Structure Permit Type: Building-Deck Expiration Date: 01/03/2019 Foundation: Location: 6 GORHAM.LAN E;CENTERVILLE Map/Lot 193 100 Zoning District: RC Sheathing: Owner on Record: DAWE,JAMES E £ Contractor'Name Framing: 1 k Cortractor•Ucense Address: 6 GORHAM LN 2 CENTERVILLE, MA 02632 Est Project Cost: $0.00 s Chimney: Description: 2'x16'deck 2'x10" pt lumber- 16" on center composite floor Permit Fee: $ 110.00 m Insulation: decking 36" railing system 4"x6" pt posts 8"sono tubes 4 ft all Fee Paid: $ 110.00 components with simpson string ties Date. 7/3/2018 Final: Project Review Req: Plumbing/Gas Rough Plumbing: Building Official a Final Plumbing: z This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months,afterassuance. Rough Gas. All work authorized by this permit shall conform to the approved application and the approved construction documents for whichthis permit has been granted. All construction,alterations and changes of use of any building and structures shall fje in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for puk lic nspectign for the entire duration of the work until the completion of the same. t Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are;provide0'J this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work:£ ; 1.Foundation or Footing 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" (as set 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 (Application Number.................................................... 4 `;Section 5—Detail Cost of Proposed Construction i:�Q.SquareFootage of Project Age of Structure r Dig Safe Number # Of Bedrooms Existing `Total# Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method F�,MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics O Wiring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing ❑ Gas '❑ Fire Suppression ❑ Healing System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public 0 Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Floodlone Flood Zone Designation Within or adjacent to a wetland, coastal bank?. Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed } Rear Yard . Required, Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last=dat-i 2/92018 o Application Nimmber.g...... &. ............. BABNSPi�s[�, + Penni#Fee. ... .��. . •• .v Other Fee.. , � TOWN OF BARNSTBi °�• Total Fee Paid...................»................................................ �LE � ...............On.. .... �•••••••••••• BUILDING PEIMII MT ......... .....................Pi=L.......too..................... APPLICATION Section Owner's Information and Project Location Project Address Qe, V7I] age Ca Owners Name e Owners Legal Address G Les-/ CityC.i-�-.T State Zip�513 2 Owners Cell# ' ed L\- E-mail Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire st uctrre) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild Deck , _ Apartment - ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool. ❑ Insulation Other—Specify Section 4 -Work Description S ` T Aat mybhNE 2J9=19 PRESCRIPTIVE10 RESIDENTIAL . . . CONSTRUCTION F. POST REO EM] Nt'S Figure 8B.Alternate Approved Post-to=Beam` Posf Ca Attachriteitt All deck post sizes shall be 6x6(riomuial)or larger,and .: P the maximum height Alill be in accordance w116 Table and measured from grade or top of foundation, � m h arm whichever is highest;to the underside of the beam:: Under.prescriptive-limits of this document;8x8 no posts can be.subshtuted anywhere_in Table 4 but are lmuted to a maxnnum height of 14'-0" Posts shall centered on footings:.Cut ends aniTnotches%of posts shall o , be Meld treated with an approvr�d preservative(such as t coppernaphthenate)[R4021 2] The beam shall be o<e o �f' + � attached to the ost.b notchin as shown:m Ft 8A . tix6min P Y... g. .. ;post i _.. _. J - or by:provi"g an aPPraved post to connect the €° beam and post as shown in Figure 8B::A113-ply.beams I shall:be connected to the post by a`post cap.All tlirough :.: :.� bolts:shall have.washers under.the bolt head and nut C z. Attachment of the�bearn to th side of the post;without notchiing is:prohibited(see Figure 9) Figure. hibited'Poat=to-Be Chment 9 P ::Condition ro Provide diagonal bracing pacahlel to the&eaii at each comer ter than Y4 in hei` t as shown in -Figure 10 Diagonal bracing is:prohiibiw on center. St.,Bracing shall be`fastened to the post atone end and the beam at the other:with'/z":diameter lag screws For non-ledger decks,(see Figure 11)diagonal:bracing rnroi,gn nacs, Nwe S�ipport or teams w/ may be omitted at the beam:and posts acl�acentto the tag screws a: `rasten®is only as arohb house aeanre Is required,nazis:: see u A Figure 8A Post=to-Beam Attachment£ Requirements (2)Y2 tltameter sk+gte:3 or 4 through bolts nominal or double : with wasfi®is 2 nominal hearri 22 cu .: min muse : ss Ftgure10 'Diagonal Bracing bearaully on a otched 6xe � �6xfi min sa_ ' y ZZY2 :. N 2! 1/2"dia 2x4 typical (1) meter t. iag screw with m d washers typical Typical Post A[Sptice _., DIAGONAL BRACING'PAi2ALLEL T0`BEAM Note:.Diagonal Bracing is:proiol&ed on center posts:- American-wood Council`. a. t _ �µ OF 4S o^ F� S�CyG o THOmAS - 3s` E. KELL€Y w TEK Og- 4a.... SUR-4 THOMAS E. KELLEY CO. ENGINEERS—SURVEYORS 346 LONG POND DRIVE SOUTH YARMOUTH,MASS. 02664 CERTIFIED PLOT PLAN LOCATION SCALE ./ DATE . . PLAN REFERENCE .�a��� .fit'. ��� ,�•f,��-�y ' = I CERTIFY THAT THE �.� ... ... ...... . .. ...... _ SHOWN ON THIS PLAN IS LOCATED ON THE GROUND qAS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBAC REJQU �I TS F THE TOWN OF Q/rJ` 7 WHEN CONSTRUCTED. DATE . .l� ���. . . li. �f ` `.� PETITIONER R GISTERED LAND SURYE OR The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.govldia Workers' Compensation Insurance Affidavit: Bwlders/Contractors/EIeetricians/Plumbers Applicant Information Please Print Legibly Name(Business organizationdndividuaD: `71 e 1,, 2- �V-� -� Address:Co �4A(v, L-t_j r City/State/Zip: LL �`" Z'. Phone#: S1% Are you an employer?Check the appropriate bow Type of project(required)' 1.❑ I am a employer with 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 7. ❑Remodeling , ship and have no employees These sub-contractors have g, 0 Demolition workingfor mein an c employees and have workers' Y aP�Y• 9. [jBuilding addition [No workers'comp.insurance comp.incnrance t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.)4 I am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myself[No workers' comp. right of exemption per MGL 12.0 Roof repairs i insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Arty applicant that checks box#1 mast also fill out the section below showing Chair workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing ail work and then hire outside contractors must submit anew affidavit indicating such. Contractors that check this box must attached an additional sheet showing tho name of the sub-cunt actors and state-.yhether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. . I am an employer dual isproviding workers'compensation insurance for my employees. Below is the pohky and job site information Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: • a 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 fiw=ce coverage verification. jIdoherebycerti 'nder the pains and penalties of perjury teat the informationprovided above is true and correct:ttire: Date: C 1�� Phone#• ®SS - a Of 1dal use only. Do not write in this areg to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#• � F*rn S - ' 16 ' I� 7L Xr / 0 0 nck i ►d►� Soy (2 ncrefe ovjc�� 6� a r-4 0 n C e 4e Gz Application Number............................................ Section 9—.Construction Supervisor Name Telephone Number Address City State Tap License Number License Type Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Contraction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section-10=Home Improvement Contractor Name Telephone Number Address City State Tip Registration Number Expiration Date I understand my responsibilities under the rules and regulation for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspection and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date r, l Section 11—Home Owners License Exemption CHome Owners Name: ' Telephone Number�"� �I' ��3On Cell or Work Number �� - %A D I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and docamentation required by 780 CMR and the Town of Barnstable. lSirJature Date I<i_ APPLICANT SIGNATURE F1 Signature Date ®;y A f Print Name-� .Telephone Number E-mail permit to: T e..f.....i..a�.i.n in nm o ..t Section 12—Department Sign-Offs - Health Department ❑ Zoning Board(if required) ❑ historic District ❑ Site Plan Review(if regdmd) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire deparbnent for approva.L Section 13—Owner's Authorization as Owner of the-subject property hereby authorize to act on my behalf in all ' matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date I Print Name r � ! Lest wdat:d. 2/9/2018 - 6 Gorham La ,Centerville 28/11 Town of Barnstable Permit: Regulatory Services' Date: 0,p THE T � �ty,� Thomas F. Geiler, Director Building Division Fee: 3,� s^MASS. Tom.Perry, Building Commissioner 1639. � 200 Main Street, Hyannis, MA 02601 .)0h.011 RFD�y a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: (, �.(� Phone: Install at: Village: C:,pw,T� Map/Parcel: ^l I I,®U Date: Stove A. Qw Used.T. CM B. Type: Radiant/ irculating ' C. Manufacturer: %APS. Lab. No. ^ D. Model No.: 4I Chimney A. ew Existing1 existing, (%+ g,.please note date of last cleaning) B. Flue Size_ C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer , E. Masonry: me nlined Hearth A. Materials: . _S ti B. Sub Floor Constriction: �d,� y Installer Name: Address: Phone: . Location of Installation: H.I.0 Registration# Construction Supervisor# OR check Homeowner Installing, no license required APPLICANTS SIG T RE C APPROVED BY: , Please make checks payable to the Town of Barnstable *This constitutes an of stove permit after inspection, photographed, and approved by the Building Inspector Q:forms:stove Rev 103107 I'he` Commonwealth of Massachusetts Department of Industrial Accidents Office oflnvestigations 600 Washington Street �< Boston,M4 02111 vWW.mass.gov/dig Workers' Compensation Insurance Affidavit: Builders/Contractors/Electrlicians/Plumbers . Applicant Information Please Print Lefyib Name(Business/Organization/Individual): Address: C City/State/Zip: C,L r,3 izn L-ur_ Phone.#: 'S� Are you an employer? Check the appropriate box: . I am a general contractor and I ' :T.ype of project(required): ❑ • , 1, I am 4 g a employer with ❑ 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. 7.1E]Remodeling These sub-contractors have P ship and have no employees 8. �Demolition working for me in any capacity. employees and have workers' 9. 1❑Building addition [No workers' comp. insurance comp. insurance. required.] 5•.❑ We are a corporation and its 10.❑Electrical repairs or additions 3.[} !I am a homeowner doing all-work. . officers have exercised their 11,❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12,[:]Roof repairs 4 , and we have no insurance required.]t c. 152, §1O _ ' employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill o.ut 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. lContractors that check this box must attached an additional sheet showing the name of the Sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers compensation insurance for my employees. Below is.the policy.and job site, , information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: 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$250.00 a day against the violator. Be advised that a copy of this'statemerit maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains•and penalties of perjury that the information provided above-is true and correct, Signature: Date: lb—tl —.k� Phone Official use only. Do not write in this area, to be completed by city or town official, City or Town: Permit/License# _ Issuing Authority(circle one): .-I.Board of Health 2.Building Department 3. City/Tosvn.Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Town of Barnstable o�THE r� Regulatory Services Thomas F. Geiler,Director xus-� t, t6S9. ,�� Building Division Tom Perry,Building Commissioner 200 Mairi.Street, Hyannis,MA 02601 R^ww.toWn.barirstable.ma.us Office: 50 8-962-403 8 Fax: 509-790-6230 I101N EOWNER LICENSE EXEMPTION Please Print DATE_1$— i f— l JOB LOCATION: C.,�at \.11Jw,. U�1;,�1.�LL number street y� village "HOMEOWNER 1,(��+V_: S'; L4Z", name home phone# work phone# CURRENT MAILING ADDRESS: city/town - state zip code l The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a'license, provided that the owner acts as supervisor_ DEFINITION OF HOMEOWNER Persons) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures m uctures accessory to such use and/or far structures. A person who constrgcts more than one home in a two-year period shall not be considered a bomeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that be/she shall be responsible for all such work performed under the building permit (Section lo9.1.1) r The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. i 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 requirements. Vt-1- 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 perfomring work for which a building permit is rcquimd shall be exempt from the provisions of this section.(Scction 1 D9.1.1 -Licensing of construction Supervisors),,provided that if the homeowner engages a pa-son(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 Appcndiz Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serous problems,particularly when the homeowner hires unlicensed persons. In.this case,our Board cannot proceed against the unlicensed person as it' uld w'th a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responmbilitics,many communities require,as part of the permit application, that the homcowncr certify that bc/she understands the responsibilitics 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 fonn/ccrtification for use in your community, Q:fonns:homccxcmpt Trti Town of Barnstable Regulatory Services swxxsxAat.E, v Mass.. �. Thomas F. Geiler,Director Eo I> �•� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstab l e.ma.us Office: 508-862-4038 Fax: 509-790-6230 t Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject.property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 5i.gmtume of Owner Date Print Name If Prop erty.Owner is applying for permit please complete`fhe Homeowners License Exemption Form on'the reverse.'side. Q:FORMS:0 WNERPERMISSIQN Town of Barnstable *Permit# OC(e / Expires 6 months from issue Regulatory Services Fee Thomas F.Geiler,Director Building Division X-PRESS PE Tom Perry,CBO, Building Commissioner R'r1�1' 200 Main Street,Hyannis,MA 02601 JUL www.town.barnstable.ma.us � 20 0 6 V Office: 508-862-4038 TOWN OR:8 NK6 k LE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Ali Not Valid wit/:out Red X-Press Imprint Map/parcel Number 193 — I Property Address l hW UM, h1k4W +✓1 U__., 2/Residential Value of Work F E;Q . Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address OD C%k lX L 1 , C ITCH V LZI ' Ci��` lX —Telephone Number u- 460 2� Contractor's Name �� I:J (J Home Improvement Contractor License#(if appli b ) I o Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance rk one: am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ZRe-roof(stripping old shingles) All construction debris will be taken to D QSpGCI r � ►�Q�, ❑Re-roof(not stripping. Going over existing layers of roof) R ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. _Home pr-evement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 r ✓�xe V�oorv�naiuuea�C o�✓�aaaaclu�aelta Board of Building Regulations and Standards License or registration valid for individul use only HOME IMBROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registr One Ashburton Place Rm 1301 FEzra trfl / 007 � � Boston,Ma.02108 y� di !dual ,w James Curley James Curley r 287 Fuller Rd. u\,, �'=y Centerville,MA 02632 Administrator ! Not valid without signa ure I I� OtWE Toy, 'Town of Barnstable P� ti Regulatory Services • snFMLAMS&t E Thomas F.Geiler,Director pE1639. � Building Division. Tom Perry, Building Commissioner 200 Main Street, Iiyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �� 1J1 -,as Owner of the subject property hereby authorize � �(��` to act on my behalf, in all matters relative to work authorized by 's building pemut application for. (Address of Job) Off, of Owner Date Print Name Q:FORM&OWNERPERMISSION I he Gommonwealth of'Massachusetts 07 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02II1 M www.rnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/ludividual): TOW Address: - , City/State/Zip: fdl—M& pn U q� p �� i � �tl '� hone#: � 1 Are you an employer? Chec he-appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I a loyees(full and/or part-lime).^ have hired the sub-contractors 6' New construction 2. I am a sole proprietor or partner- listed on the attached sheet 1 7• ❑ Remodeling ship and have no employees These sub-contractors have &. [] Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' romp. 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 11.❑ P Bing repairs oT additions myself.(No workers' comp. c. 152, §1(4),and we have no 12,L9 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 workers'compensation policy information: t Homeowners wbo submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'coanpensation insurance for my employees. Below is the policy and,yob 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 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 do hereby certify under-the pains and penalties of per ury that the information provided above is true and correct Si a Date: 1 G Phone#: 1 Q ' `7 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 ?.Building Department 3.City/Town Clerk m.Electricai inspector- 5.Plumbing Insp-eetor• 6. Other Contact Person: Phone#: As ar 1�t'#Ilr Ma- Lot 00 Permit# q / Conservation Office 4th floor J � �lr Date Issued Board of Health Ord floor - G G}/ En ineering Dept. Ord floor) House# Co - �S Aft i s 44 �'!, Definitive Pla rov'e� Ala oard 19 lica i s mocessed 8:30-9:30 a.m. & 1:00-2:00 .m. TOWN OF BARNSTABLE" ' Building Permit Application Proiect Street Address Village d u)T E u I L b �- Fire District E1 ©S( iy1 1F1'RU—p 1 S T21C I (hvnerl'ZPtLPNS. P14VLt -5 {MJ MC-ekjgrjCE) Address �OQZt( K31d�1 L!�/?J� Telephone '_5 �Zg'f77�1 -. Permit Request: `0 O Oooe 6U t� (Z.. / g)p S 'E"kj 1 A) Z X!S 1-1yk PL=c°lc, '•a Zoning District Flood Plain Water Protection Lot Size LC 3 q�, S Q UM? ndfathered r ZoningBoard of ApMls Authorization Recorded Current Use_ S 1 ilk&I-1= F441 i1-�Z OW EtLll"o— Proposed Use Construction Type W O0U PD-fiM G- Eaistin2 Information Dwelling T Single Family i/ Two family Multi-family Age of structure 1 U 2 S Basement type C°U UU N eZ Historic House Finished Old King's Highway Unfinished P� Number of Baths No. of Bedrooms Total Room Count(not including baths) jG First Floor Heat Type and Fuel Z-. Central Air 0 Fireplaces Garage: Detached Other Detached Structures: Pool Attached !/ Barn None Sheds Other Builder Information Na me LP)4 Mj C Cu Telephone number Address (o(ro(Z do 484 J License# 6th)7E Z1LLL5- M/-'} Home Improvement Contractor# Worker's Compensation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TO Project Cost � ( , Fee XSIGNATURE DATE j I I9 e 9 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY ADDRESS VILLAGE OWNER , DATE OF INSPECTION: FOUNDATION FRAME ✓l4 v V� l X INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL G: ROUGH FINAL .�: ROUGH FINAL FINAL BUILDING: 9, DATE CLOSED OUT: ASSOCIATE PLAN NO: _ 4 I , + i Tile ClNrrrrranWealth of Massachusetts Department oj Industrial Accidents a _ ,. . - � OI/fceo/Im�sr/9atlens 601) 11a-vitin tl,nStreet N` +: Boston,Mass. 02111 �- Workers' Compensation Insurance AUtdavit _ —T;,_ _..___.._--. {�Rltcnnt-tmormaiion nams R AI P q S location: &OR H A IM LA city A)7 L R 01 LL.E k1,1q Q Z L?J• Z_. nhnnc{+ Q-fam a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity _ I am an emplover providing workers' compensation for my employees working on this job. om address: cite phone#- insurance co ppficv# .�..Y .-.t_ _- I am a sole proprietor. general contractor,or homeowner(cute ogre)and have hired-the contractors listed below who ha the following workers' compensation polices: m anv n•t c- re city phone#? curnnce n nelicv# -. -� •--;'.:-.:- -- �e •,..a.••re•r.-r—�•.T�*she.v•-'�T-*v.�-��+.�rS•'1''�7+�4 "°"-.r1.•�"'"•'""y'i'g"'"�- m ov name* iddress- Citv- phone#t jncurinc rn policy# .Attach additional•sheei if'-'-- ME Failure to secure coverage as required under Section 25A of A1GL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/o. une Years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine ofS100.00 a day against me. I understand that COPS'of this statement ma%•be forwarded to the Office of investigations of the DIA for coverage verification. I do herebt•certi •unfit r tl�e pains and enalties of peryurr that the information pmided above is true and corr�eM Signature Date Print name AWN s ����e K !1J Phone# 7ard ofiiciai use oniv do not write in this area to be completed by city or ttma official cin ar town• permit/licettse# n8nilding DOMcc cc DUccusing OM check if immediate response is required �SeiectmenOfiealth Decontact person- phone#; Mother Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for th employees. As quoted from the -law-, an empl(rvee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An emplarer is defined as an individual, partnership, association. corporation or other legal entity, or any two or me the foregoing engaged in a joint enterprise, and including the legal represcntati%•cs;of a deceased employer, or the receiver or tntstce of an individual , partnership, association or other`legal entity, employing employees. However tl owner of a dweilina house haying 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 Itc or on the ,:rounds or building appurtenant thereto shall not because of such employment be deemed.to be an employ( MGL chapter 152 section 25 also states that even,state or local licensing agency shall withhold the issuance or rencival of a license or permit to operate a business or to construct buiidings in the commonwealth for any • produced acceptable evidence of compliance with the insurance coverage required. applicant who has not pro p P . 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 been presented to the contracting authority. ... •.' 'i% �w t'L�'t' .\='. _ • :^Y.. .i�irJ r.INs��-.ici7 arJJ.`.. ,;.7C::. .u�}.y�c .r��,.w�a�' �'•e i'••��` Applicants Please `ill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers 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 require to obtain a workers' compensation policy, please call the Department at the number listed below. Gtv or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom , the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plc be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questic phase do not hesitate to give us a call. The Department's address. telephone and fax number. The Commonwealth Of Massachusetts a`sy' Department of Industrial Accidents r Office of Investigations u 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 '� phone #: (617) 7274900 ext. 406, 409 or 375 The Town of Barnstabl. ' ces �$ Department Sft and Environmental of Health Serve Building Division 367 Main Street,Maaais MA 02601 Ralph Crosses Off= 50S-790-6227 Big COMmis: F= 508-775-33" For office use only . . Permit no. Dau AFFIDAVIT SOME BEROVEMENTCO TRACT RLAW SUPPLEMENT TO PERKM TION aio alterations;renovation,tpa>w moderatzauon,eonvesdon, MGL a 142A requires that the"tzaonsttu n, ed improvement..rernotial, demolition_ or oom=cion of an addition tom v owner h ee zl3a� asz building containing at least one but not more than four dwelling twits o along with other .to such taidence or building be done by tt&crcd conmacom.with certain tins, tzquire:aeats Type of Work: LD O F O l2UCLI AJ D61 K Fsi Cost 3.Do o Address of Work: Owner.Namc IAA LP H S M C(T m IC Eu Date of Permit Application: I herzb<certify that: Registration is not required for the following rcasou(s): Work caducled by law Job under S1,000 Building not owtter-O=uPied 7 ---Owner pulling own pawn Notice is hereby given that: CONTRACTORS MT OWNERS PULLING Mini OWN PER MT OR DEALING DO NUS EE1 A CF�S To TIC FOR APPUCA13LE HOME aIROVEME'1`1T ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I.hc¢by apply for a permit as the agent of the owner. Regisuation Na Date Contra=name n OR ' TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB. LOCATION �p GQ 2 H _QL/lzc Lz'- -Number Street address Section of town "HOMEOWNER11 L 5 f 1 S . N4 L&t S 1` I. m Vm LE j q2 U_�2, 9 Name Home phone Work phone -- PRESENT MAILING ADDRESS L 6r0 2 t1!9 M --A f1} eEAJ'TE f I V L E_ MA 07L 6 3. City town State Zip code The current exemption for "homeowners" was extended to include owner-occupie dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"- shall submit to the Building Offic: on a form acgeptable to the Building Official, that he/she shall be responsil, for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes .responsibility for compliance with the S Building Code -and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirement: and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE / APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000.. cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. HOME OWNER'S EXEMPTION 'The code state that: "Any Home Owner performing work for which==, building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that. il Home Owner engages a person (s) for hire to do such work, that such Home Owr. shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations. for. licensing 'Construction Supervisor`s, ` Section 2. 15) . This lack of awaren. often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed. Supervisor. The Home "Owner,'act �as supervisor is ultimately }responsible.To ensure that the Home Owner is fully aware of his/her responsibilities, . m. commu nities require, art of th q as �p e permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On t; last page of this issue is a form currently used by several towns. You may care to amend and adopt such a .form/certification for use in your community. f 14.0 %% BATH BATH o BEDROOM oscr FAMILY ''d'TT�CNED: o C ROOM `r :•C�1�RAGE:•:•: o DI NI NG AREA 16.0 LI VI NC F ROOM : C KITCHEN N 32.0 M f S rt a a '� ��r'u' � � t►yvN-��j����y�fy�jar'4�s.�\ti`. ` � �Gi. i :, j ♦ Fry ?�" M'! #: t�' _ {� yto I t 7,11 It�{1/4�y r.tr, �. , � ♦4�'a "`J�t Jt1yt� 1 r t !)tt f - Y>1' • n --s. � rn /►I s ► 45r. �r J 1 ? , "''/ � .'j)� k�(��)� h.�ez �l °l I��•� ��:�t� Rt,t-. /tiS 1 d z , p t.. 4 Hri � rr { e r 'F 'tF J I r Y>S Li... ,� �_ ''�.,�rL'+�aM•. t'��r qrt t ' 4' S t...k rL 1tr 3, �,ht 14 1 it L)ri f t aJ �Sti L+t , .Ft ,y, l rc I c! �uaimp: =� �. rA::tt itti�M 1} , tfy e rfj 7.1 . t '� !✓• 1 y S r rµ1 a , r 1 SC y � � pM yt I,1� ° ff� J.4'flri ti lk(` r~�(`a4•f1�^"��.,.�.\v--r �)...1'�11 t1 1';') +•��'. t lit I.' i; SI 1 r ,1., y .+;; ;;;..'{�.. ,{ .�4e��wr�e�Ne+`:':w'.Y�i•:�`L�i�{,yw'+_s.40 '`r1 t @r? {h cy tll Fil: '"d��(L(r to r:� ��:; ,,,,.✓ � .4� .1..,. l i. L 51 .h rY r t, �i z`f{!t y� ex�'�'�.S$�gyp''{ ✓r✓,�,,,,ti, - rr i. � . v t r� ,� 'l Yt�c! i �I>tia trity:l,h ° y�1k,�1•1 bp�ny�}�<aYT"r �.v�,,��r'. � 7 �t hh��y,+�� �y: r ' ' t'ttN,.� t 1'` 84 Sr 11r1 1 'r1A'�r 3�,��A41�� �`+`�".�"� �yt � ,' � ,•Yl�r,_ � x:rJ ; S „'.:v ar z � } {t �Qj-3e1 r •ySY't.a "'�r..'--.�.. "'xt��]' 1 �'r 4,,�,yd y ,i,. II-! jf 1 t �. " S 1 ��. t,° i fk d, jam^ rJw.r��vt t .'J",�L"w•-wi 't s"?.5..`1 r� � j.!\1 "S�"vT. .a� t 4 r 1 � 1tr y 1 � 'r 1 J r � r.. (1' � �A "1.p'•�+-.t rtt hir 1 / ir, 4t �v r r►, �'` t � j( a I�K y"d..s n� - r .rw tr at ai: t� n,. :F rptYs T cf .r'r i .:( y,►.+IW,e t.I ria ) �„�1�4��r'k��- !/ 1 � r '� Si ky � r; nt i(✓i�r{ t N L 7'NJ 1P ✓, -.Gr.r l cVl.�i55 4.� r'!�rrwGf `'J ",�.r�'t ' t t '� r .t 1. k rta rrth. r.+!iy uh 1 i k r Ir( ' .t^tF7rf�,r�"IT � i•: r t '9 t 1'i� A t i�I .,} 5 � �it t l� ,� t.�(I�y�rtR:r\ r 1�,��yt1 f' `e! ��n', r§ ,1a 4,rt',�! 7 4 S J'f l t y 7fj I y' t" r%FS p•t5yvq?h'4 ,� iti,r qSR 4. l�� i n tlJft�.rUy1 4iy � k 1,, `i14F5 y/. r>`r. ���e�,.,,fYzti 'ti .,tY 1 �� ,. i ; I'.r.J 1 .♦ `� XZ'Jrt f S ')If"flljl r'}nj pit 'y ttJ rt?1 �� ti :.: dr Y;.c 1ti� �.,rlci'CJv i�i :y e 1 a4�{ 11[ i4 +,:, �d1(l nr,S rtnr+ al/l;t)Th hlit'�b .lya tr rli ltl,;r Ih, e r�. I � i� �i�cpis � rtr � Pth,p,r y'n� y�4 J1 ?lyf r 44 d>"sv t, �{d-.�'�' �nv� r�i�n'. t S#?ty r• �`t s�rt, to ( ! ,1 9 Ih, r f' y(koSS"S•Ir .,"rsi?! of t�+� Srl t� ,,YJ t,. 4L :3Sltlt {,}t1Y;{i j � ,�fF`T� rJ:r+ tt N� hit-'(t}Jd�?..'itffi'ihX 4� .1��1 � '�� j1II'ill•ryN!iri��� 'Lf���YF�y +�t� r :�(, �' 4� r,i:; `•; e � ��. ,a,{. , ti.�l,�. r stir. .,lN l�C�tti;"r,..:J,,�.�7,R X r, 1�'t' a r . P � s y 0116. raa� �oh � ��-� Deep P I � i 1 • 9 '-� a - 'ham iT JL ® 00 t S I' t Y 1 e oachvnevtt - t , a r \ lAD.poi s gat 14 GN u 20eQ l5,342 t5� 9,9. C arha rd . m' F100d Zomel- C �PC��Q,L I�f p, Zu 0 001 0015 C, `N�Afa trwt tfilsylarl Furs beetiyrep'ar�d"f Fs o� 7PAULy�, Ct� �Oiti . V. Sor i �% 8�`Tf1�Boston ' v� C¢Mts 6uvi dli�¢liing sfwwnon cfaes obot fA11 ut a spacuil £f�l c v R H �31 S QitYi tatana da& 8'19-SS At1d SIC IOiCRtiOtl heisr Con rm to t>i"ie local ion -law$ i» Mcornt� K o s ,.wiK to Fiori3 "Ua di )"imul �`71�itS,p1anuaas mad.¢` ttXortii or use in de�cl desc ' aan -- %'_40' rx�}xu3aoses ,..1�',. �t}aar><ng �, SCa►tg I a�eci�icatWr�o,�6utlding WationL�sro l� di n"Lor�s, Orlot' ccn rutiat ttday be pig o.1y an accurtate uu¢y ra, 4831'gZ �o�hicfi may r¢ 'dl�eaif infot'rt�at�wn w&*is shown. fVmon. µ� COhO�t�sl., 1. � SZ.��2 ir1C COt�ja►�. 1r)C. Z69.1V1')O%VM SZpeeC,f W-AOVeM t NS.S. 02339 •phOnE 617-6261-7t86 FAX 611.6Z64.623 TOWN OF BARNSTABLE 20748 Permit No. _----__---- _ t W . . : Building Inspector MAU Cash aso X OCCUPANCY PERMIT Bona 4j 4. `rMNo 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 C. F. Stanley Address Capt. Lijah's Rd. ,Certerville lot #11 6 Gorham'Lane, Centerville 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. ...................................................... 19.__. ........................... ..... .._............. . ..................... ............._..._... Building Inspector Y } TOWN OF BARNSTABLE Permit No. -_��i 48 -- Building Inspector - - -— % Cash -- OCCUPANCY PERMIT x - -- Bond `No building nor structure shall be erected, and no land, building or structure shall be used,l,or a new, different, changed, or enlarged use without a Building Permit therefor first Waving 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 C. 1'. Stanley Address Capt. Li jah's Rd. ,CeriPrville lot #11 6 orhar Lane, Centerville Wiring Inspector Inspection date Plumbing Inspector Inspection date Gras Inspector Inspection date /Engineering Department - � ..1 �� Inspection dates a>-f .��,-lr� THIS .PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENT$. ....................................................», I9„„__ ............................................ .................... M_ Building Inspector TOWN OF BARNSTABLE Permit No. 20748 -------------- ---- 1 SAWIM , a Building Inspector Cash ----__—_-- 'Oow�6,o d .- ,Fa,v OCCUPANCY PERMIT Bond -- _ _--- "No building nor structure shall be erected, and no land, building or structure shall be used wfor a new, different,;changed, or enlarged use without a Building Permit therefor first diaving been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." t Issued to C. F. Stanley Address Capt. Li jah t s Rd. ,Certprville lot #11 b Gorham Lane, Centerville Wiring Inspector Inspection date Plumbing Inspector f Inspection date Gas Inspector �. {� `� Inspection date Engineering Department s'. I` ! 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. ..................................................�, 19....— ................................... ......... ......... Building Inspector fi. - r6r`• "Ft> .•' � ���µ of �Ssio o� LH061ASE. yG KELLEY � SURY THOMAS E. KELLEY CO. ENGINEERS—SURVEYORS " 346 LONG POND DRIVE SOUTH YARMOUTH,MASS. 02664 CERTIFIED PLOT PLAN LOCATION >� �JIC �I- 4��. ��/ �-f•.. SCALE J = ?. . . . DATE . .19.�1. . . PLAN REFERENCE . Aj CERTIFY THAT THE . ...... SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK EQUjRTS�?F THE TOWN OF -�`..�TE�f��CL�v/�1�r.S�• ,.,J WHEN CONSTRUCTED. DATE . PETITIONER GISTERED LAND SURY OR II' - - IR. a k r �SH OF �4gs� 61 ifi O� THOidkS �GN f v KELLEY w GIST�� pQ su THOMAS E.KELLEY CO. ENGINEERS—SURVEYORS 346 LONG POND DRIVE SOUTH YARMOUTH,MASS 02664 CERTIFIED PLOT FLAN LOCATION �'JT���L.C �, SCALE .I. DATE PLAN REFERENCE . 1-© �1. . . . ��... . I - ti�r4Ta I CERTIFY THAT THE �.� ... ... ....... .. ...... SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE L�T.4ti � SETS, "UJ / N,TS QF THE TOWN OF C,4a�T. WHEN CONSTRUCTED. l�ICfLCv/1A .S1• DATE_ .9� ... - PETITIONER: GISTERED LAND SURV OR " so r's map and lot number ... ,<..:........:.................' !I /` �'�,��k� _ p�Id � .,:- xE ypf t��♦ ............. ... t. Sewage Permit number ............ ......��..�..1.� ...:. ..: SEPTIC, SYSTEM*MUST 8E . ;: INSTALLED IN COMPLIANCE = BaEaST/IDLS, House number WITH ARTICLI� II STATE • 90o Me a .................... ..........................................._ SANITARY C-ODE-,AND TOWN �0 Ypr a e TOWN .OF BUILDIHG, INSPECTOR . APPLICATION FOR PERMIT TO ' TYPE OF CONSTRUCTION !"' ... /-;Pl� .....oZO........197 . TO THE INSPECTOR OF BUILDINGS:_ The undersigned hereby applies for a permit'according to the following information: Location (T.ol- d/s�... h.. �✓ ` ......'�.GD. .. ..1� .:............... ............ .... ................................................................................. ProposedUse ........irk!/�5.nf........................... ........................................ ....................................................... ............... Zoning District ....:..............................................:..:.................Fire District ..... ..Q Name of Owner ...... 7 .....J1A..!!.1., .`..'.......................Address ..... z�. �.ITd ,� .. `...`..... .. ........ Name of Builder ..............I.........`....l�...............-........................Address .................................// .............................. Nameof Architect ..................................................................Address .................................................................................... d C Number of Rooms .......... ....................................................Foundation 1 � � Exlerior sle, ,� CJ/[0 �.`../'`......:........Roofing /� ... ........ ...........:............. L ......... ............. ....... .............. Floors . ��� C'��. C'� ........Interior cam C''ef C.....�.................................... Y..... 5:........... .. �� Heating L�•C (/`�U' C'/OL`...�2GE�G//C� �� g l�iZ�Z�S �........... ........................... Plumbin .......................I........ ..... �............... . A Fireplace �...............................................................Approximate Cost ............-......r....... a.. .................................. Definitive Plan Approved by Planning Board --------------------------------19--------! Area .......:..1......". !.....s ...,... it SO Diagram of Lot and Building with Dimensions Fee !... ........-............ SUBJECT TO APPROVAL OF BOARD OF HEALTHIF D w� . o � 1 V - p - - I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rego ?Ding the above j construction. Name .. Stanley, C. F. A=193-100 ss� , ...2Q;j48•• Permit for ..1..1/.2.stoz'.y......... .......... Location ............6..Gorham-Lane........................ ............................eutervillQ�............................ Owner G.....F....Stanl,e Type of Construction ..frame.................:. _ .... ............. ...........................:................... Plot'.........................:.. Lot ..:.......#11.........._.... Permit Granted October 24 19 8 Date of Inspection ......1.9 ' Date Completed .......................................19 - t PERMIT REFUSED . 4 .. . ... ...................... 19 F ` � .4. .. . . . ...................... - • , ......... ................................................................. 1 , �'Approved'..:::........................................... 19 t i Asrsessvr"s map and lot number ............................................ THE Sewage Permit number ................:.. '. ............................. /_�� BABBSTODLE, i House number ......................... ......:D.................................... °oO M6 & 39- iL 0 NO 0.* TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ........... . ...............................................................................................:.......... TYPEOF CONSTRUCTION ..............................:..........:.......................................................................................... ......... .. ..........................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............` ...../........:..........'............... '.:/.... r....... 4.....1/..........f...........!.................. .......................... ProposedUse ............ .............................................................................................................................................................. Zoning District ..•.................•......Fire District ........................... .............................................................................. .Name of Owner ............. ..... .......!......f...'.r........................Address ..... ............:.......:. .:'............................I................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect .............. .................................................Address .................................................................................... Number of Rooms A .....................................................Foundation ..........................................:................................... ...........................Roofing 'Floors .....'.................................................................................Interior ..................�...,...........I.�....�............................................... Heating .......................................................`.......:.....:....:.......Plumbing ........................................................................... ....... Fireplace ................/ .Approximate Cost............................................................... ...........�............' ...................................... Definitive Plan Approved by Planning Board ________________________________19--------. Area `%. *,J ............... ....................... Diagram of Lot and Building with Dimensions �'[j(i :w Fee .....................�....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH s, . I I hereby agree to conform to all the Rules and Regulations of the Town of.Barnstable regarding the above construction. Name .............%/....:...............y...................................... r- C. F.?" =193-10 0 P Lq�2 st orNo ..... Permit or .... . . ... .y....... ............ ..... ............ Location ........6..G.orham...Lan.e.... ...... ................ .. .......... ...... . Centerville ........................................................ ..................... Owner ..........C.....F......S.t.anley ....... .................... Type of Construction .................frame......................... -------------- ............................... )............................. #11 Plot ............................ Lot ............................. . 05,1 24 �8 Permit Granted ............ ..........................1 Date of Inspection ......... ..........................19 Date Completed ......................... ............19 PERMIT RER SED . ..................................... ......................... 19 . .................0. ....... . .. .... . .. ..I...... . ...... ......................... ............ .......... ....,�... .. ............ • . ...... ..... ......... ..................... ................. .. ................................. Approved ................................................ 19 ............................................................................... ............................................................................... A