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Home My WebLink About0002 LAKE DRIVE V , e " 6 I + I + 4 t BUILDING DEPT. r EN EROY S40OLLM0MS MAR 0-9 2021 i ' x ( I I -378 Route_130 TOWN.CF BARNSTABL ► 1 ( Sandwich, MA 02563 r PH:774-205-2001•844-90-AUDIT ! Permit Affidavit # ; } � 1.; Permit#:1 // r ' i 1,1 Craig Bi hop,confirm thatthl weath rizati n and arc sealing completed at � �+u! # has been.completed in accordance with 780 CMR. ' I+ A/1igrnature`: G 2f'Gd Date: 3 . / 1 it i I � i } ( • 33}�e, I � r I - r r • I j EMEROY SOILLM43) IDS 11i 1 I i , 378 Route 130 Sandwich, MA 02563 r r ! `PH:774-205-2001 •844- 1 + � 90 AUDIT E ' �. Permit Affidavit s , I I I iPermit,#: I � j � I41i L,I, Cra,g;B;is h+.op, confirm,that the weatherization and air sealing work completed at i � I ! ` has been completed in accordance with 780 CMR. r I (Signature: i r Date: 11 I 1 , I i 1 I , 1 � ? � ' 1 Town of Barnstable *Permit# Expire nths rom issu date " IS Regulatory Services Fee J�J P Thomas F.Geiler,Director T .2 6 �0� Building Division /ull� ��/ff✓OF 0 mt Tom Perry;CBO, Building Comsstoner.. eA&/VS .200 Main Street,Hyannis,MA 02601 '9S( ,www.town.bamstable.ma.us . Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTLA_L ONLY Not Valid without Red X-Press rinprint Map/parcel Number �° O ✓ g� Property Address [Residential Value of Work 46 . 00, Minimum fee of$25.00 for work under$6000.00 M Owner's Name&Address (�OIL ri� Sty�1 tr Contractor's Name `�`'�t�� La Telephone Number I —�� Home Improvement Contractor License#(if applicable) Q. Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Che one: [9am a sole proprietor ❑ I am the Homeowner Ej I have Worker's Compensation Insurance, ' Insurance Company Name Ft. Worlman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file.', Permit Request(check box) Re-roof(stripping old shingles) All'construction debris will be taken.to F I I ' D LJN-aj S jl ❑Re-roof(not stripping. Going over ` existing layers of roof) . ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) 'Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note- rope wrier ign operty Owner Letter of Permission. A py the Improv ment Contractors License is required. SIGNATURE; Q:Fomis:expmtrg Revise061306 I _ ofIHFr o , TO.wn of Barnstable. ; Regulatory Services + M"NSPAMM, s �1 �es �7 �� •�9 ,�$ Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 "'w.town.barnstable.ma.us Office: 508-862-4038 Fax: 50B-790-6230 Propert Owner Mush Complete arid.Sign This Section If Using A Buildeer as Owner of the subject property. herebyaurhorize to act on my beb4 in all matters relative to work authorized by this building pest application for: . �- Vie.. D�� . �? J �`�I . • (Address off ob) Signature er Date. said Print Name Q:rORMS:owNERPERMISsrOrr - The Cammomveatth of Massachusetts Department of IndustriaL4ecidents Offtce of Investigations 600 Urasfiington Street Boston,MA 02111 www.rnass.gov/dia Workers`Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Le 'bI Name(Business/Organizotion/Individual):_ w Address: 0 0 X 3 City/State/Zip: l(��S v A'T Opp U Q (' phone.#: 1 a Are you,an employer? Check the appropriate box: 1.❑ I am a employer with 4. ❑ I am a general contractor and I Type of project(required): eOployees (full and/or part time).* have hired the eub-contractors' 6 ❑New construction . 2.[�I am a•sole proprietor or partner- listed on the'attached sheet: 7. ❑Remodeling ship and have no employees Thew sub-contractors have 11 working for me in any capacity. employees and have workers' 9. ❑Demolition [No workers'comp.insurance comp,insurance.#' 9• []Building addition required.] 5. (] We are a corporation and its 10.j]Electrical repairs or additions 3.❑ I am a homeowner doing till work officers have exercised their 11.❑plumb ing repairs or additions rnysCl£ [No workers' comp. right of exemption per MGL insurance,required.]t n. 152, §.l(4),and we have no. 12'U Hoof repairs employees. [No workers' 13.[] Other comp.insurance required] *Any applicant that checks box#I must also fill out the section belowshowing tbeirwarkers'compensation policy inforrrration. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additionalsheet showing the name of the sub-contractors and state whether ornot those employees. If the sub-contractors(rave employees,they must pruvidt their sv0r]cas'comp policy number• entities have Xam an employer that is providing workers'com information. pensation insurance for my employees Below is the policy and job site 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 ofMGL c. 152 can lead to the ' osition theof criminal ),fine lip to$1,500.00 and/or one- earvilnaltis �P �penalties of a of up to$250.00 a day against the Violator. Bemadvised that a copy of tbis statem rit may form of STOP to K ORDER and a fine Investi Rations of the Py. Office of e covers a verification. I do he eby certi der th ins•an penalties vfperjur}r,that the information provided above is ue and colrect; Sienature: --7 i f� n n _ Date- . J Q`�lJ I V . Phone #: "� V — 0 Icial use only. Do not write in this area,'to be completed by city or town official City or 'own: Perrriit/License# Issuing Authority(circle one); -L Board of Health 2.Building Department 3. Quy/Town Clerk 4,Electrical Inspector S.Plumbing Inspector 6, Other. p Contact Person; Phone#: 671-71 i Ba�aol t Ong egu7a"Cios anlan ar License or registration valid for individul use only lugHOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 124310 Board of Building Regulations and Standards Expiration: 6/1/2011 Tr#- 284683 One Ashburton Place Rm 1301 Type: Individual. Boston,Ma.02108 - James Curley N Jam -es Curley '�•. r ,/r 287 Fuller Rd. „w'"=• �'% Centerville,MA 02632 Administrator --'T "I\ot valid without signature Massachusetts- Department of Public Satet. Board of Building Regvlati one and Standard . 1. Coristruction Supervisor Specialty License 1 License: CS SL 99138 _ 1 Restricted-to: RF WS I. JAMES CURLEY I : 287 FULLER'ROAD ' CE,NTERYILLE, MA 02632 „ i . Expiration: 1/28/2012 T ('ummhssione- m a Board of Building Regulations and Standards " HOME IMPROVEMENT CONTRACTOR License or registration ti alid for individul use only _ = before the expiration date. If found return to: - Registration 924310 Board of Building Regulations and Standards. Expiration _g�}/2009 One Ashburton Place Rm 1301 •Tr# 130873 'Type andi.Vidual Boston;Ma.02108 James Curley James Curley = 287 Fuller Rd. Centerville, MA 02632 � uti Administrator . Not-valid without ure Assessor's office(1st Floor): ;Tic SYS FE $ MUST ME Assessors map and lot numbs o�.. ?Q 0�� LED Ill Cf�� PUANC o`oi Ywt to`` Conservation 2 —2 J'-- 72 WITH TITLE 5 Board of Health(3rd floor): +y.tvIRONMENTAL CODE AND Sewage Permit number — �� MONS MA t seat�ri►nci Engineering Department(3rd floor): q 'o o630. n \�d° House numberW t Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN' OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO /vST�'UC�T SECOd/J/ �'GUO/� r Gam` TYPE OF CONSTRUCTION L4.)000 + 19 7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use Zoning District ` Fire District Name of Owner 1Q9,QMr 56Y/d EW Address Oq 114Kr Name of Builder UCE , 0-C .Lf�l�nOy Address_ 5� /e Tol g Name of Architect �' �� 7tf-C# OC Address r r �! Number of Rooms 7 Foundation Exterior 'y�G�S Roofing Floors Interior Heating ,��7 • Plumbing Fireplace � SL �y Approximate Cost 0d 0 Are /i C� Diagram of Lot and Building with Dimensions Fee 0 to OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re ng a above construction. Namef Construction Supervisor's License SNIDER, ROBERT No 35397 Permit For ADD DORMER - Single Family dwelling Location 2 Lake Drive Centerville Owner. Robert Snider Type of Construction Frame <f. ! r Plot Lot ' + Permit Granted September 281,,/ 19 92 Date of Inspection ` 19 (, DatetCompleted 19 • . I f f 'f '.:{ ��1 � !Ft "I S3` It / J{. 47