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0048 LARCH LANE
a � o o a _ +, c I+ 9 '� Town#of Barnstable *Permit# Expires 6 nths from is a dote w7 °� Regu1at0iT Services ,Fee _.Richard V.Scali Director. Building DIV1S10n Tom Perry,CBO,Building Commissioner. x =� 200 Main Street;Hyannis;MA"02601 —_ - - www.to_wn.barnstable.ma.us Office: 508-862-4038 'Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - REkDENTIAL ONLY ' O 0 ^O 13 t Valid without Red X-Press I�rint P Map/parcel Number ` R Y�Property Address Residential Value of Work$ '�( - Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ALL. _ t � r Contractor's Name �5 Telephone Number., p7�1 Home Improvement Contractor License#(if applicable)_1� 4'( 1 Email. (, 1e�1 ffi i 'GAsb, Construction Supervisor's License#(if applicable) ; G" - .- vR = ���l�q��W{�[.q� �r{J��JJq] ,,,,�,'/y�8'1r/►l'.(�(�(,,1,'11���_{r■■■{y/�rp1,yy'1'1 n WWorkman's Compensation Insurance Check one: ® I am a sole proprietor as �. , FEB. Q 9' 2016. i r ❑ I am the Homeowner w ❑ I have Worker's Compensation Insurance ®F.BARNSTABLE; Insurance Company Name s (Jl Workman's Comp.Policy# W C C,_&0o N 1 ,7320 l'a Copy of Insurance Compliance Certificate must accompany each permit.. e Y Permit Request(check box) Fj Re-roof(hurricane nailed)(stripping old shingles),All construction debris~win be taken to s Re-roof(hurricane nailed)(not_stripping Going over existing'layers of roof). ' Reside i a [� Replacement Windows/doois/sliders.U-Value e& ": (maximum,32)#of windows #of doors , ❑'Smoke/Carbon Monoxide detectors 4 floor plans marked with `red S and inspections required., iSeparate Electrical&Fire Permits required. 4 *Where required: Issuance of this permit does not exempt compliance with other town,department regulations;i.e.Historic;Conservation,etc. Property mus ner of Perniiision. ***Note A copyff the Owner o'et Improvement Contractors O ntra to s Letter License&Co struction Supervisors Licen�se is require SIGNATURE: _ Q:\WPFILES\FORMS\ ding permit rms\EXPRESS.doc+ Revised 040215 �.y «tom • T7te Comrnompealth of-Musad imet sts L Degarhme nt a}'Iardashid Acddents O,fTwe qJrLnnn6gadons 600 Washing on street BvsiriyzAM 02111 wPvmma=gvv1dia --Workers'-CaffipenatnanIusuaie ffin±=ceders(Cantractars�'EIeians/Piumhers ' AJ3PH-ant Inftrrmafian - --- PleaseP'rinf-E:eez"b y Ades: � �TY�7�' U,�l - • Are you an employer?Check the appropriate ban, Ty a of project(required): I.�n 1 I oat a employer with 4 ❑:I am a general confrsctor and i 6. ❑New construction, employees(full an&or part-timer* 'have hired.the sub-cvmtaacton 2.❑ I am a sale proprietor orparr- Tisted onthe attached sheet 7- Remodeling- ' ship and have no employees nie se sub-contractors have 9--❑Demolition woddng forme is any capacity- ermglores aiidbme WoMIC s' 9. ❑B�uildmg additiort - [No woda ms'comp.insurance comp.n, required-] 5..❑ We are a rbrporation and its 10-❑Electrical epairs or anions 3.❑ I am a homeeuner doing all work officers have eaescised thek 11❑Plumbing repairs or additions t,wod=s' a of exemption per 1 fGL ❑ reps ; €c�e�e&]i c.F52,§1{4�and wehaveeno. 17 Ito of en plopees a workers' n-0 Other comp_insurance required.]. 'Amy appficeutfat ckedsboa#1 mast also Maui the sectianbeIow shag M&wwlee campensa$aupo&cy iUFMM=5mL # who sub d[his dfid.,9=&catmc they am doing zU waft sad tben hrce outside caatncw=w submit a new amdaeat iadicstiM sac ft:anlzactoESYfistcheck this bay mast attadud sm addiii-al deet sbammg the aameof ffie sd)-r�sad statewhelha ornatthnse ea itkshste' empbyees.If the sub-caatzdms have emgTayees,they mustpmvi&tb&warkew-mmp.paTi ynumber. - I am an seep sr flratis pmuidir �varkets'eaa3perrsa[iatr iaasraraeca f or my emplaJ�eex $etoty is d lepVacy and job site information. - Qt Imsarance Coffipauy Ygatne: __, ` • Policy#or pelf im s.Lic.# %-J C'� Sol 1-75 20 i`SA F4irstiaa Date_ / Job Site Adder u 4 �, LA): Attach a Dopy of the trorl`ers'comrpensationpolicy declaration page(shoaling the policy aurnber and expiration dale). Failure to secure:coverage as required.under Section 25A o€MGL r-15 can.lead to the imposition of criminal penalties of a fine up to$1,50D.OD aadlar one—year imgrisousaeut,as welt as civil penahies in$te farm of a STOP WORK ORISER and a fine ' of UP to MUG a day against:the violator. Be adsised That a copy of this statement may be forwarded to the Office of Investigations of the DIA,for insurance coverage verification. F I d'a hereby csrfrfp a ndir tPte pairs and penalties crier,jury fhat the infar ma€=prov&W abmv is hang and Carrect Sion_at„re- ti Date: Phase 07 OjoWal arse anl. Do riot write in this ar ea,to be 6ampieted by�ar faun t�,f j`rcitrL City or Town: 4 PermftUcense if Issuing Authority(circle one): 1.Board of$ealth Building Department 3.cityirown Qerk 4.£iec&ical inspector 5.Plumbing Inspector 6.Other ` Contact Person , Phone#- ormation and Iast-ncfioxls hassaclrusefts Ge=ml Laws chi 152 requires all employers'to provide wo:.(I= conIPensatron for tber£emPloyeas. Pm:sua3tto this sty eZ is defined as."_.cvmy person in the service of another under any contract of hire, an.��3' express or implied,oral or veziftr of An nnployer is defined as"an individual,parfnershi;p,association,corporation or other legal enfhy,or arty two or more of the foregoing engaged in a joint a tmp d=,and inclndmg the legal sepmsentdives of a deceased employer,or the receiver or trastee of an md' ' ,ai par nershap,associai=or other legal entity,employing employees- However fhe owner of a dweIItog house having not more than t3rr ee apartments and-who resides lhe:rein,or the occupant of tbe: - dweIling house of another who employs persons to do make,c ns race on or repair wolk on such dwelling house or cnthe grounds or building appurbeamrtthereto shall not becanm of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold ffie issuance or renewal of a license or permit to operate a business or is construct buildings in the commonwealth for any Trance the insurance.coverage " gpplicantwho has notprodnced acceptable evidence of comp with �g egag�- Additionalb,MGL chapter 152,§25C(7)states-Neither the cometcmweahb.nor any ofits political subdivisions shall enter into any coma at for the performance ofpuhhe work until acceptable evidence of compliance:with the insur C6. regcIreMemts of ibis chapter have been pres th ented to e ca*f•wting aufhozity." it Hcanfs A-PP Please f al oizt the worms'compensation affidavit completely,by checId g the boxes that apply to your situation and,if necessary,supply sub-cont a r(s)name(s), ad&ms(es)mdphone numbers)alongwiththtir ceatiicat*) of ;ncrm•ance. Limited Liability Companies(LLC)or Limited Liabiility Partnecsbips(LIP)wifhno employees other than the members or partner are not rued to catty workers' compensation insorance. If an LLC or LLP does have empIoyees, a policy is required. Be advised flat this affitdayitmaybe submitted to the Department of Ind"cfrial Accidents mr confrimation of iasnrance coverage. Also be sure to sign and dat e the affidavit: The affidavit should town that the application for the emit or license is being requested,not the Department of be retuned to the city or agp p Iudustiia l A c dPa,ts 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 Self-inroad companies should ester their self-insurance license number on the appmprxate hne. City or Town Officials . Please be sore that the affidavit is complete and printed.legibly. The Department has provided a space at fiie bottom of the affidavit for you to fill out in the event the Office oflnves•figat,ons has to cordactyouregazdmg the applicant Please be sure to f M in the pennh'lliccme mu aber which.Will be used as a refermce number. In addition,am.applicant that must submit multiple pernit&cense appliratioms in any given year,nerd only suhmit one affidavit indicating cosent policy mfono?ation(if necessary)and under"Job Site Address"the applicant should write"all locations in (ciLy or town)_"A copy of the-affidavit that has been officially stamped or marked by the city or town may be provided to the •. as 'roof that a valid affidavit is on file for fofrse permits or licenses A new affidavit must be filled out each applicant . aPP P - year.Where a home owner or citizen is obtaining a license or permit not related to any bT�mess or commercial 4enture (Le. a dog license orpe nit to bum leaves etc.)said person is NOT rmgakcd to complete Ibis affidavit ns The Office of Investigations wound lake to fhank you in advance for your cooperation and should you have any quos-ti0 please do not hesitate to give us a call The DeparfinenfS address,telephone and fax number The Ca0MMM' ZtbC dI� Usetts Deparbnent c&lz&istdal Accidents office of lavegtgatio= Baston,MA Oil l l T(,-L 4 617' -4900=t 4-06 car I--&77 1v1A RAC Fax 9 f 17`27 7M Revised¢24-D7 p �trft F a MASI 16396 . Town of Barnstable — - —Regulatory Services -� --� Wehrud V.Semi;Dfteetoi Building Division Thomas Perry,CBO Building Commissioner ' 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 1 .? \ ' ' ! ,: °,Fax: 508-790-6230 -- Property-Owner Must-r Complete and Sign This Section If Using A.Builder I.�D uoyj;Z Z 1qk f f A-L ,as Owner of the subject property hereby authorize 4/e5S2IIA to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature o er Date q , Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESTORWbuilding permit forms\EXPRESS.doc Revised 040215 Town of Barnstable Regulatory Services oFTr �ryr� Richard V.Scali,Director Building Division ` sARNn"tE, 'rns � Tom Perry,Building Commissioner 039• 200 Main Street, Hyannis,MA 02601 rFo www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Q' HOMEOWNER LICENSE EXEMPTION DATE: Please Print f 4 `JOB LOCATION: YYY G1 number a street �/ village' �7 "HOMEOWNER": -ajVjo V 1J I� '� K J�r1'l_ � �� � l � 6 `U" name I home phone# work phone# 'CURRENT MAILING ADDRESSv '` \_C.�. ° tO M4__ �D Q— city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwelling 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 hermit (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 requirements. V AA15a,,n�nt� le-- Sigiiature o Ho eowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1—Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt.such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 sr �� �` a'Y ,`�' � t` ,�,h� 4�*_ S �. � � „q 2•i"�h� �.a ,�,,,; ty� F a� .'�� SJ w { w ..` ,..,`y � t"" �y� °J •. §¢ tly,� t � is i� :� ✓ g Y fi, �A441 rf..� , ,. .' > 4• H � ,� r .. " �11�.: gF, Gr4 +�` 4e`f': "�� ga^MtR "h'� 40 �Y xe f"(.'taiir)rrn�ni f�lf/l[ l/rhJdrx'[�[rJS�Gf' ; r��<< Office of Consumer Affairs S B.usiness Reputation License or registration valid indrvidul use.only F==�7HOMf IMPROVEMENT CONTRACTOR _,before the expiration date: If found return to 1 q i Registration 184114 Type; Office'of Consumer Affairs and Business Regulation Expiration 12/17/2017 Individual 10 Park Plaza=Swte 5170 Boston,MA 02116 4 ALESSANDRO LOPES + ALESSANDRO LOPES # 9 TIMBER WAY A SANDWICH,MA 02563 Undersecretary. N a Id withougnature a I y G K' y n° Sdd/noEysseW1'M m,, .:1!sin guo1j-eWJ0ju1 Ou sua�l Sda JOJ , •asua»� s14110 uoijmAW Jo; asnep Si fapc � uip in8 ajejs s asny�essew*aye o uo�I!parVajim a ssassod of aanliej X. .1 a H yL '���dS DSO �►u� (£�u 16f�) as n.algna 0004S E uc� ssaj UUMOO � m . . gaTqm dnoA asn Hug o s uYpjing = pad ads aun 3+P« h a k s , •.. M, ...' '�` <- e .P -r. NYTS�'�,�",�4Y�4w #��Rt,y* •ffi +, 9a..rn 3+*;,r 4r.1�' a`ate 3 'sw,i s I ! Massachusetts - Department of Public Safety Boars of Building a ulations and t- n ar s. Construction Savior License CS-095996 J' Sandwich MA 02363 commissioner .0,5109/20-16 , f /HILfWr1WTM • t cm 1 intoA i C ur LIA61L1 1 T IIV,Ur1AMoIM 1/07/2016 THIS CERTIjICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:if the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil Insurance Ag (S'N o Exs);508 TT5-1620 No): 5087781218 973 lyannough Rd,PO Box 1990 E-MAIL ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIC 1t 508 775-1620 INSURER A:National Grange Mutual Insurano INSURED INSURER B:Associated Employers Insurance Alessandro Lopes INSURER C: - 9 Timber Way INSURER D: , Sandwich,MA 02563 ry- INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSLR TR TYPE OF INSURANCE NSRADDLSUBR WVD POLICY NUMBER MM/DDDY EFF M�DY EXP LIMITS A GENERAL LIABILITY MPT0605H 1/28/2016 01/28/2017 EACH OCCURRENCE $1 000 000 lin—M MERCIAL GENERAL LIABILITY PREMISES Ea occurrence $500 000 CLAIMS-MADE I OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY jEa LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident r $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC50050117132016A 1/2W2016 01/28/201 X WCY LIMIT OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 OOO DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE C.r� ©1988-2010 ACORD CORPORATION.All rights reserved. 00 ya Ass ssor's map,and lot number. ....j .' G° J �� ��' fi��pqtq���D�j'�'�' }�_ .. ...:............ THE Sewage Permit number ............ Z t- BASB9TADLE, House number ®. . .............r............. :o rasa p i63q. ♦� J 'FO MAY A , v Sar +.atilo ,.- rvati a., , 1N OF BARNSTABLE .30 �'� INSTALLED IN COMPLIANCE ®d at WITHTITLE 5 LDING INSPECTOR ENVIRON�AENTAL CODE AND c TOWN APPLICATION FOR PERMIT TO 11► (� J/ U�� `, REGULATIONS TYPE OF CONSTRUCTION !N. ..f.........tg ..............:..............., ........E.!. ........1�. .19.g� \TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according / to the following information: Location ............... .....1..3...........v'-. .G:.�.7......... . .........6 t 11 J72.(���1 �.................... ProposedUse ............. ............ ........ .................... ......................................................................... ZoningDistrict ..................l ...................................................Fire District .....................C. Q...........................................', Name of Owner .........,J.LS.. ,MUsl� ............. Address ........1..`'`....q .O....12.. .......�ayl�/dai/s ' Name of Builder / � .... � .....Rl tldress .................................................................................... Name of Architect .../.`....00.-85. ......D. s/.q�Z.......Address 614........ ..A aU.T�`�.. 2.7.......... ............ Number of Rooms 5 Foundation ......:... g Gd�� C�/u...... 4F .................................................. Exierior ..Roofing Floors QCL�..................................... .Sk.E'.;PTdZQC / .Interior <.................................... Heating �. 5...............................................Plumbing ��- / G � Z_�d�. . Fireplace ....................... I--,>................................................Approximapte Cost ...................��.........,... Definitive Plan Approved by Planning Board ___ ________ �______19 0_ Area Al. /...._..........:... Diagram of Lot and Building with Dimensions Fee — SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reggr 'ng t e above construction. Name . fp� visor's ......r. .. A........ Constru.ti License ...........................�/ ;J�S L S TRUST 29586 � Story No .........:�..... PePmit'for ............................. s Build Dwelling .............................................1..�s............................. Location ....LQt .' Jf3 48 :La" ,;; ........ r Cent�ryille ..................................._ . ............ ... . .......... - .. S L S =Trust Owner ............................Fr.................................. `•'Type of Construction' .......... ......... .................. F ............................................ ......... Plot ............................ Lot ................................ Permit-Gronted ........Jl•}.Ty.A....................1.9 86 Date of Inspection. A 4......f1.1.3...19 NO Date Complete ! r.../`�.........19�� 1 t u.` 1,7 y Assessor's map and lot. number. .... ... v�. .. • .'-' F THE T Sewage Permit' number ..............t ,... .. a. ... d�Py �y°► zi y BJBB9TABLE, i House number o S r rasa k �0 Jul a TOWN OF BARNSTABLE __j BUILDING INSPECTOR y APPLICATION FOR PERMIT TO fC !� ..................... ................................................. ......................... ....................... TYPE OF`CONSTRUCTION ......................................�ef/ J. ........... `�. �.......................................................r ........!.f .&WJn........ .......119...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following infor/mation: . Location ............... .'3.........J.... ��........... .. �:.t:�........ ,(;Lr'�. {' ;?F o //. � . . .......... �C1J C I_ . 14�. ...............................................................................................................Proposed Use ............. ................�,...... �..............,. Zoning District ..................!`... ..........................................Fire District .................... -:......��'........................................... Name of Owner ...........7.�-.>`. f L U.. . �.............. Address ........ ....�....f: .....t ..7<...��72........�.�;thrJ��/ s .� r / Name of Builder .. !..... : �... .::�'f4ddress ........................ ........................... ............... Name of Architect ... ?.� ..�!.p ..... .t. S!.f.! .......Address ...Le ..... 11 1�J.. �.. .' .............................. Number of Rooms Foundation r".i u r 0 C61 �f�r T�.......................... . ................ .b................ ..... ..............,...................................................... Exterior ............... ............. :a ..r. .............. ...........Roofing ....................../...... .............................................. Floors !>t__�� !�1.�i+` .........'................................... Iriterior +ti €'Tt2 �- Heating ...........................................................Plumbing ..... .... ..... .. ,.!. ��-r�FZ. ..........�:...:/�� Ty. /�. �C Fireplace ............................. :......Approximate Cost .....................:......:...................................... Definitive Plan Approved by Planning Board-'- -------- .. - 19 --�. Area �/ .�7it .•:••............... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH + .,r YFp#� M _1✓ Ir OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS i I hereby agree to conform to all the Rules.and Regulations of the Town of Barnstable regar •ng the above construction. _ } i . o,! 1,.I v Name . . . .. ..... .. :.. ; uConstructionSpervisor's License .......U�. �� /...... S L S TRUST A=189-006, 0� l No :..�95€...... 'P*eimit for ...1.?...Story........... Sin3zle Family Dwelling ....... ......... ....... Location :...,Lot i�13, 48 Larch La e ........... Centerville Owner S L S Trust Type of Construction. .......Frame ...................................................................:............ Plot ............................ Lot Permit Granted ..........j!4 Yy..1A...............19 86 Date of Inspection ....................................19 Date Completed ............19 ... ,- _ ..- r � .-. * .. .. w.s- -.--,>rr+t. 'zy', .nt::�%��.a;v�tv £- .ti'a�.. '�- 4.:. � ._ � �. r: , ;•,e ,,,. a"f�...+. , r.t.. i t �ypf�ETp+ TOWN OF BARNSTABLE_ Permit No. ....29586 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ! 4b�tcOhv ' HYANNIS,MASS.02601 Bond X / t CERTIFICATE OF USE AND OCCUPANCY Issued to S L S TRUCT Address lot #13 48 Larch Lane, Centerville USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .� December 17 8'6 ............................ 19................. ............ ......................... Building Inspector ' Sr TOWN OF BARNSTABLE BUILDING DEPARTMENT S IARISTAIM TOWN OFFICE BUILDING HYANNIS, MASS. 02601 X MEMO TO: Town Clerk FROM: Building Department DATE: f`��G / 7 I S-6 An Occupancy Permit has .-been_issued for .the' building authorized by Building Permit #......... . „.5� ....:...................'.........._.............................................. �....... `...................................»» issued to Lam......._..//L✓.s .-....`��......./.3... ........`-f'/"G�' ,.G/f'�Ue...._...._.._ _.» Please release the performance bond. tsUILDI TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT A=189-006 JOB WEATHER .CARD ut E DATE July 1 86 2gpf �1 I x " PERMIT NO 4 e • �re�?el/SOIIOTA�s U@V. Corp.APPLICANT ADDRESS 19 1.1i Old Route 1.32, Hyc1:7C io 008121 (NO ) (STREET). (CONTR'S LICENSE) Bt31'1�i .�wel.lLri' S£;. t :3i11 .1, dwell n , NUMBER OF r4; PERMIT TO f� (_) STORY f DWELLING UNITS L • IP`'p.' - (TYPE OF IMPROVEMENT) NO. `(PROPOSED USE) ifi a ZONING -z�'• FF #1:3 Asti 'LuL't :; .p.€ cL .i AT (LOCATION) i'•L f3'r (No.) (STREET) DISTRICT ° BETWEEN' AND (CROSS STREET) (CROSS STREET) n LOT r; SUBDIVISION LOT BLOCK SIZE rI ,. ;BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION c y TO TYPE i4. USE GROUP" BASEMENT WALLS OR FOUNDATION a3 _ (TYPE) r 1� REMARKS. w. e #66-'-.i 94 % fa AREA OR ✓ i 3�1�1-S[� . `i 1 VOLUME T r 4 ESTIMATED COST . '�"(�L FEEMIT .� (CUBIC/SQUARE FEET) t OW T L 5 Trust Z. a BUILDING DEPT. BY l $� w AODRESS J_. ()id lSUUte 1 Yg� f1�'rJ:t,11L's.r IA E BU (_( r l?. I ,t :.THIS..PERM IT,CONVEYS NO RIGHT TO OCCUPY: ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER T MPORARILY OR p 4 r a PERMANENTLY EN,., OACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER T:HE BUILDING CODE, MUST BE AP- ® PR"OVED. BY THEM J;URkISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FRO THE DEPART-ME-M.T OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES-NOT RELEASE THE-APPLICANT-FROM THE CONDITIONS r r�=••i5 OF,ANY':A.PPLIGABLE:SUBDIVISION RESTRICTIONS. .":'": - <, r)4 MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE .. .. .rINSPECTIONS REQUIRED FO'R S v ALL CONS^T.RUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS" ARE REQUIRED FOR ELECTRICAL, PLUMBING AND 1 :fOUNDAT�ONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. F `✓ '-.'2--;PR.,IOR-To::COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL'NOT BE OCCUPIED UNTIL EMBERS,(READY To.LATH). _ FINAL I 3-,FINAL`INSPECTIQN.BEF0RE INSPECTION HAS BEEN MADE. - ��.�,,,• -.00CUPANCY. ;" "• =r , PAST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS e i s..s , ! 1 j�F . 41 .�y �, a - 2 2 � 2 g A � B - HEATING'.INSPECTING AP p ROVALS REFRIGERATION INSPECTION APPROVALS BOARD OF HEALTH , : F f. OTHER 2 2 / 4 Fri), r RING WCRK SnAL_' NCT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS' INDICATED ON THIS CARE NSPECTOR 4A5 APPROVED -!+E iARIOUS - WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE F.RRANGED FOR BY TELEPHONE ,STAGES OF CONSTRUCTION. _ PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN ND;IFICATION, r 1 - /400 o7 13 0 39 \9 �% 21 N 03 Zo CERTIFIED PLOT PLAN LOCATION• ,,tfA F O R: G�•BEG-SoGGolUS � lj�cGpp/y1�,�-C4�'�. /3 4` SCALE: / 2'=30 " DATE: -JlJA'/E z7, /981— R E F£ R 'E N C E: 6E/A-/6r l_,07,/3 iqS SNouJ� 7�8 ,eEG/ST2�/ cs,�•p��/>.5 /,v D AT 1 CERTIFY TO THE BEST OF MY KNOWL DG REG• LAND SUIrVEYOR AND BELIEF FROAA INFORMATION ACQ IRE Jo THAT THEOU�yr�AT/o�/ SHOWN ON THI LAN IS LOCATED ON THE GROUND AS SHOWN HEREON.. 3►``S�`NOF joSEPH M. v MONAHAN,AL H io J. M . MONAHAN , JR . & ASSOCIATES No. t3 � '�EGIS1Ea�' CSC` PROFESSIONAL LAND SURVEYORS & ENGINEE.FtS suR��+ T`.OWNE"'PLAZA . 9OO_9OUT-E- I34 SOUTH- DENNt__S� MASS. 85--/S8