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HomeMy WebLinkAbout0036 LAWRENCE LANE Vill, oA MW .0K fill W.Aw"g mums .................................. 'ENV MR' i low map .mom, RT� i 0`4 MWOR: NOW I MEWS. . 2 gm 40;W" syWN;jv. pFt►,E rp�, Town of Barnstable *Permit# �' i Expires 6 mop i rom issue date Regulatory Services Fee snxivsrABIX 1639.9 nsnss. Richard V.Scali, Director ,otFO MA'I A Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY L(� (,� Not Valid without Red X-Press Imprint Map/parcel Number //_ 1(J Property_Address 3(D LAWIi E/VCC t 4A/E: CEAlrEAVILI—, ,lVA Residential Value of Work$ �5 ®Daa, Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address D/l V/Q 1,�6/T/1 ./0oP,KKA y�G LA Yvw&\/CF 4A/V5 C%En/i E q VILLC, M/4 Contractor's_Natrie .�j Teleph`one Number. 7� Home Irprovement Contractor License#(if applicable)_ T6� �7 Email: tj1lP�J� Construction Supervisor's License#(if applicable) (�S ❑Workman s:Compen a ion Insurance ,. `Check one:. c ESS a �❑„Iuam a sole proprietor 0-4a-m' -th&-ITomeowner MAY — 2 2014 T haveWorker's Compensation Insurance Insurance Company Name TOWN OF ARNSLABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ( J'Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ym eY ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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. A copy f the Home Improvement Contractors License&Construction Supervisors License is requi d. SIGNATURE: Q:\WPFILES\FO \building p it fonns\EXPRESS.doc Revised 06131Vv y" ` - Q The Commonwealth of Massachusetts" Department of Industrial Accidents ` Office of Investigations 600 Washington Street - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly it carile(pu`siness4ori nization/Individual): Address: . .�... _City/State/Zip:- Phone#: Y3.6 7 3 [Are you-an=employer?"Check the appropriate box: Type of project(required): 1: 1-am a employer with 4. I am a general contractor and I �"'°s employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction . •2y l""I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' $ 9. ❑Building addition [No workers'comp.insurance �rcomp•:insurance. 10. Electrical repairs or additions required.] 5:-8 W-are a corporation and its ❑ P ' � A- officers have exercised their 11. Plumbing repairs or additions 3.❑�I_am a homeowner doing all work ❑ g P myself [No workers' comp. right of exemption per MGL 120Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp:insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors 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 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 ify under thg ins and penalties of perjury that the information provided above is true and correct" ai: ature I'1"---Dater, '�� one- Official use only. Do not write in this area,to be completed by city or town official 1 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the,service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-NIASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass,govtdia 4/30/2014 11:58:06 AM PST (GMT-8) FROM: 100005-TO: 15087906230 Page: 2 of 2 DATE(MM/DD/YYYY) A�C,ORDO CERTIFICATE OF LIABILITY INSURANCEF4/30/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS,UP®N 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 C6NTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ­ . I d IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies).(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 endorsements . PRODUCER MARK SYLVIA INSURANCE AGENCY NAME:ACT - 404 MAIN STREET PHONE _ FAX CENTERVILLE, MA 02632 E4YlAIL° ! ,f t 9I A/C,No: -ADDRESS:_r INSURER(S)AFFORDING COVERAGE NAIC A INSURERA: LM Insurance Corporation 33600 INSURED INSURERB: JANIL B ARRUDA 56 TOWER HILL ROAD INSURERC: OSTERVILLE MA 02655 INSURERD: . - - INSURERE: - INSURERF: COVERAGES CERTIFICATE NUMBER: 20032510 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 CONTRACT OR 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. INSR TYPE OF INSURANCE DL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY - COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE OCCUR DAMAG ET PREMISES Ea occuErrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ . GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO- ❑LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ 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 UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION WC5-31 S-363081-023 . F12/28/2013 12/28/2014 STATUTE ERAND EMPLOYERS'LIABILITY - Y/N ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT - $ - 100000 OFFI CER/MEMBER EXCLUDED? NIA ❑Y - - (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 100000 If yes,describe under 500000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)- - Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA: THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR.JANIL B ARRUDA This certificate cancels and supersedes all previously issued certificates,only as they relate to workers'compensation coverage. 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 BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 200 MAIN STREET HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE - 1 ' LM Insurance Corporation ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD.. CERT.NO.: 20032510 CLIENT CODE: 1649676 - Lucy Garfield. 4/.30/2014 11:55:13 AM -(PDT) Page 1 of 1 - - - t of-Public Safety Board of Building. Regulations and, $ • r . 1 U : CS-L*95996w OH WISpI ! . W Expiravort 05 4 ' i Ow 00 CN Sk � r 0 , a 7/3 JZ _j idua UA L ��„ . TIER . SAN 0,2563 r s rr, Xt / ` wer,. .*�*" T"'''„+M",, *M!F.'+^MN+�'+Mg' w-r.:drYkkwn^4+�.,w;' .c t rr.' ,y"� Vq. .,.. :.1*' .�+:, i,+�..►- �••.y,�...�+dP„eM�w�ri-�+'+�6'.�k+� :.. *d t RC i � ', -! s F¢F awl a3.a » r+ rr •�. „er. �, ,,� r +�V _ ^r�a� � RW��•,H'r,+�r �,,a��x,yi,.*.� w r ', +^ ''.rj.�r �6,:.,""`+:'*'bP"�ir"'-x. ,M.0., ^ .. "k."v w : .r ti*t.+°-'WrF A r+�.g�i..E, F wuF, <.+rsY{.7,��"�,arnfi,SAM.r4 JO. all "I , 40 yr v a X` r+�<�+a irx nw-°dea'+ r ��,..., *41`M' " a+e�"1„gy_,�"I'ip... `"'�b...F+r i+"f'.'�+1W..A�IA.f '�78 •-+F ••qy,�:��a � '�i'M..�y�.� � '¢"� w ��q� � ,ear �5.... �s,,.etr`k:*i'. r�f+i.Ys_�.�.�aK.., .*A.,'TT#�i...a„1v,:.w'!.•, rm��J4"G°+"7^^,y'1�... �Rw., ..+r i-».,,..t6. �;�..F;, ..i�+. s,.. ^-Y,:-�-,T.'�+,?��- '�`�,•- ed , itc oe or r st'ra i6a wall for �n ,ivi.-d use only before the ex OT11,0111 d"'ate. tow, Of ,c f C � uI'mtc . ai Viva,. Rus s-n a � as f 7 OA0 . ` . m _ot a i ���t. oast, S Ln_at-ij'l' :. Oa r h coati I' ,000 cli � � I ��. c 0—P p AC- a on 3 I.ACot,St ,afa�'t �,'. A'�' '�R � . N. 1 �WE Town of Barnstable Regulatory Services WSPISTABM MASS g Thomas F.Geiler,Director 1e5y. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 � www.town.barnstable.ma.us r Office: 508-862-4038 ;� Fax: 508-790-6230 j Property Owner Must Complete and Sign This Section If Usin-a A Builder I, `` `'� - , as Owner of the subject property hereby authorize A -AS' A N 6 90 -7 L O P,FS to act on my behalf, in all matters relative to work authorized by this building permit LAW ENCE LANE �?'FIVTF_AViLLh., M/ (Address of Job) w - **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. ture of Owner Signature of Applicant aJ a TW L PoP,K K/A Print Name Print Name o 7 Date WORM&OWNEUERMISSIONPOOLS 62012 Town of Barnstable Regulatory Services n"MST•BM '. Thomas F.Geller,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 H OWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street lage "HOMEOWNER: name home phone work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include oi r-occuDild dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a lie se, r, ided that the owner acts as su ervisor. DEFINITION OF HO O Person(s)who owns a parcel of land on which he/she resides°or intends to s' e,on which there is,or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/o farm structures. A person who constructs more than one ! home in a two-year period shall not be considered a homeowner. Such"ho wrier"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be res onsible for all uch ork Derformed under the building ermit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance 'th the Sta Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the own.of Bamstab Building Department minimum inspection procedures and requirements and that he/she will comply with said rocedures and requ ements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubi feet or larger will be required t comply with the State Building Code Section 127.0 Construction Control. HOMEO R'S EXEMPTION The Code states that: "Any homeowner perform' g work for which a building pe it is required shall be exempt from the provisions of this section(Section 109.1.1-Licens g of construction Supervisors);p ovided that if the homeowner engages a person(s)for hire to do such work,that such Ho eowner shall act as supervisor." Many homeowners who use this exemption are un ware that they are assuming the r ponsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Cons ction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeo er hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a ceased Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decoUlc\AppDateL\Ucal\Microsoft\Windows\Temporary Internet Files\ContentOutlook\QRE6ZUBN\EXPRFSS.doc Revised 053012 • � ,., -t rh ._, voJ*•;. .. ., , '�w�c `t: .. sra7`,�gr.7,;�: ��+rn�w'xd+"..'F•t'� ,.'�'�.M,y�Y ,. ryw :ky.7 ,� .. ,,,.,i.... max.-..�. .7..k ..''��,iw. Assessor's office Ost floor): � ' Assessor's map and lot number ..... .�.��...-. 7.r -/.. .' � �Q..°FTMErO`o Board of Health (3rd floor): ,0-- /1 �IP�� Sewage Permit number ........................1...,1...............�... ....... Z DAUSTAMLE, • Engineering Department (3rd floor):i 3� �00 639 House number • t � �YAY a` 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 ........f�!`�J...,,. .............................................. TYPE OF CONSTRUCTION .... ............................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... G.... i? tiles.......... l`!` %'...y:...G"1.:: 7?c ..��� ' ...................................................................... ProposedUse ..2GS,'i/��=.•rCF ................................................................................................ ZoningDistrict ........................................................................Fire District .............................................................................. L �o7T Name of Owner Gvl�!/Arn �� �� �`/o'�'"� y• 's Address .......%.J9 Name of Builder �r.�.:%vr•Tdc� /�-!�..........................Address „✓YrfJ/oST?...+5 H!it,iS Name of Architect ......1�/¢..:.........I.....................................Address _ Number of Rooms ..............................Foundation �..-we/ T�. ars dX.%sr/r.................. ................................. \Exle for /9h.......s.<�iuG.?�'..............Roofing ....���P..!z!�1..7.-.................................................... .... Floors .....Lv.00..................................................................Interior z........ ...................................... Heatinga/9P�umbing....... .... ............................................... .............................. ................................................ Fireplace ...F..y/S. '{rE%. ..........................................................Approximate Cost ... .���! oO40,oe7 f ............ . ................................. Area A/G.../�/lf�,q Diagram of Lot and Building with Dimensions Fee ......................................- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................ .............. .��--:.---a�:...................... Construction Supervisor's License .....'� .. :.r�..��......... SCOTT, WILLIAM J. & NORMA Y. A=190-252 No ..,32680 permit for ...Extend Dormer SinRle...Family...Dwelling........... Location ...36 Lawrence...Lane . ......................... Centerville ............................................................................... Owner ....William J. & Norma Y. Scott Type of Construction ....Frame....................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ...March 6 , 19 89 Date of Inspection ....................................19 Date Completed ......................................19 r . Assessor's office_0st floor): ,l �-�s Assessor's map and lot nu�/�ber ...../�./..9�...-. Sa?-..... Rr T�f TOE` Board of Health Ord floor):r/y -' �`� Q o� T� Sewage Permit number ..'........... ..(... ........ .f� V..9 ED C Engineering Department' (3rd floor): i _ , �, "`' 1 639 House number, �0 ........................................ti3..6.:...................... E! .: ,�+1�9ENNi11'A L Ca• 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 :? lr��...../?aiZ ? ........%l!/�....../�f�� ?��P� .1 TYPE OF CONSTRUCTION .:.. M...!! ....................... ......................................................... t r "' ....19... � f ` TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following: information: Location ... ........ r�...f..., Jwrrr ram:. ProposedUse �.....................................................................................:.................................................. . Zoning Di'strict ............................................................... Fire District " ... S�oT7r R Name of Owner /.+ /�tlf-!n.:T�>:<z + ...N..o!�''?!�..y .. .Address .......4 .a9 !'.0.......................................:................... • Name of Builder ��.t.�7`v a.�!....::�'`4e................. 0-pr..�?►g�STa�S vt' .........Address .��'c�"C....,�-/..... ... ........ ... . .M..?�.....�/...!��- • •. Name of Architect. ..... 1.Y/ .......................... Address ell .Foundation .. ....�r. EU25T>. ..... :. 6CT�z Number of Rooms .';...7...............:........................:....:.,........ � .f..?D.....�.......�o ari„�X/ Exterior. ?/=y...C.EQ./}?lL......�.<if!rt*!r. ................RoofingT.......:...........::..:.............................,... Floors .........:... .........:..........:..........:..................Interior. .../ .��.. '?°its '.���..................:..:................ Heating (v�.! .... /.�� ��...... mbing ............:....:................................................................ Fireplace .. jG Sz lam.................... .....A Approximate, Cost Pp 0.. ................................... Area Diagram of Lot and Building with Dimensions feetf UU s r , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above ' construction. Name .. �. ' Construction Supervisor's License t...#..l.5/ rf SCOTT, 4Ii4JAM J. & NORMA Y. } No_:,326.80:. Permit for .Extend Dormer Sin le Famil Dwellin - ....._.......J....o-................Y......................9............ -g Location + 36' Lawrence...Lane.. .:• •.......... r - � 1 .Centeryil.l.e............ , William -J. & Norma Y. f ` , r Owners . ......... .. , ........... ....Scott Type of Construction ..Fraltle...............j C f r Plots....... .. ..... Lot te........... ... i � '� • N March Permit Gran',ed .......M . 6............19 8 9 Date of 'inspection .........:...........................19 ' Date Corripleted .. 19 r �: G or CR JIGf ��7z(:'d Assessor's map and lot number .... ` .: .. ., ..�:!{:.... THE TOE Sewage Permit number ............... :�"�%. ......................... �f° Z BAUSTADLE, i r House number rasa O i639• �EpNPya\ TOWN OF BARN, STABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO `�-' / , r7 !1�% ! . TYPE OF CONSTRUCTION .................�2�.9.1.......4....,!f,. .............................. .............................. ..............................19 .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �� ,r'l `................ ................................. ..... ..., Proposed Use kiC? -� �C 1.� '. ' r �'r'el<e-.' .......................;.................. ........ ........... ........... ................................................................................ Zoning District ......................................................................Fire District .... :`.' 4 ...........�f.`:t........��.�.p...f................... Name of Owner ....< Cs2.A... �////,/..!,p. ...���!�..Address...... °�F' f�1�1.(.:�-�.�................................... Nameof Builder 7�"7°' - ,. ...............................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... r Number of Rooms ................................Foundation r L�r Exterior ... G►;....`... .....................Roofing — !�" Cal t q ............... .......... . ..... .....f" ...................... . .............................. Floors ' � �% r ..........................................Interior t�s ...............I....... ._,,r ��,s Heating :h(...�.........�"�...�........... ..........Plumbing ....c .. '.. ................................................. Fireplace C�JP? ............Approximate Cost Definitive Plan Approved by Planning Board________________________________19________, Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH Qr✓ 33G I hereby agree to conform to all the Rules and Regulations of the Town of-Barnstable regarding the above construction. ., ............Name ...... ...... ..................................................... 1 THE CENTERVILLE CORP.- A=190-252 No .22.442.... Permit for ...1:1ne...1./2...Stoxy Single...Z4;.nijy....Dwe.jji ?g.............. .. Location Lot..#.7....3.6...Lawxexae.e...Lane.... j ..................Centervi, le................................. C , Owner .....T e...C.e jj t.q xv..i,l xp......... Type of Construction .,'.tame.................................... ....................................... ........................................ -Plot ........................ Lot ................................ Permit Granted .......Peptem-bex...4.,...19 80 Date of Inspection ....................................19 Date Completed ............. ........................19 { PERMIT REFUSED ........................................ ....... .. ri 19 .................................. .d. ........... .. ........I.. .V. ................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... +Assessor's ma and lot number ... e ' SEPTIC SYSTEM.1gIlUTHE STALLED Sewage' Permit number ...................�l7 q. ....................... •• IN IN COM WITH TITLE Z BAUSTADLE, House number ......................: '•.................................... ENVIRONMENTAL CO a TOWN REGULATIO c MA-f A,- n TOWN OF ", RARNSTABLE BUILDING I�N'SPECTOR APPLICATION FOR PERMIT TO n.S..Y !:.....:........ :.............. .............................................. TYPE OF CONSTRUCTION ..........................-1.........:.....:. .. _ .....................:............,...........,................... oce ...............................19........ TO THE INSPECTOR OF BUIL-D•INGS: The undersigned 'hereby applies for a permit according to the following information: Location 'v�„� 7 ProposedUse ......v -........�.�.. �.� .. ..... ......................................................1 ° .......................... • Zoning District ........................................................................Fire District ....Cry . ........................................................:. Name of Owner J�(!/l..k4(<.e/.j1L...(1��Address .... L°t�.. . ................................. Nameof Builder .............I.............................. ...................Address .................................................................................... Nameof Architect ..................................................................Address .....................:............................................................... Number of Rooms :.................................................................Foundation .......... Exterior ...................................... Roofing I Floors ...... L' d� o®Z�.�.........................................Interior ..... i� Heating. `.... /`.... ........ ... `.Z-3........................Plumbing ....C; .4a-71.;s ...................................... ......... ..... O Fireplace ...........�'�............:..................................................Approximate Cost .............y.. ........................... .......... Definitive Plan Approved by Planning Board ---------_----------------------19-------- Area ... ..T ............... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH j ear 33(t=, _. s a _ I hereby agree to conform to all the Rules and Regulations of the Town o Barnstable regarding- the above construction. Name ............. .... ..................., ' f T`HE CENTERVILLE CORP. JNo ..2.2.4.82.. Permit for ..One„1/2 StorX I `• Sin .e...FamilY Dwell ' ..... ..... ................... g............... Location .LQt...#t.7....36.Lawrence Lane" i ................Cexit,exv.?.11.e.................................. _ I terville Cor • .. f Owner .'�'X1e..C. .n................................P.-........ . . i z . � t Type of Construction r.aMe........................... ►. ................................................................................ Plot ............................ Lot ................................ } Permit Granted September 4, 19 80 ..p + Date of Inspection .. Date mCom eted ...1... .1.1.... 19 PERMIT REFUSED ~ t..... ..................................... 19 1" ... . r:.. . ...... .............................. _ ................ .. - �. "., .................................................. ......� .�............................................................. ... �! Tv 4 i •� - 1 Approved .. ........................................... 19 ..........5...... ............................................................. -. -. .............................. :.. TOWN OF BARNSTABLE Permit No. -_--------_---------- i 11AUn.,i� Building Inspector Cash ..T& -------------- �p OCCUPANCY PERMIT song No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. .....................................................1 19 ................................,............................................................................ Building Inspector .. ..,.,�— ...._,..M.,....,.......m.. .' '& ,Y '�esr+r :a t - "asw.a.nrrw ,-.. ':NZ e.' ' ? m '� I t �d 1. 0 q !� j '. fix' - - • �' s . -( /a. :. •` S.h xf Y! J h - ..I -_) !"/r.":....'T i!'✓ .. - I �':C rj,- l.. ' 'F�T. \ . t t L J ( :YJ%?nl SON _ . w I' +' , ` /ono/ CaFc'. c F"G 1/ . x 1 L��. ' � w .. . I 1. k - �':, 1. r,� - 7 /i:/G, 2p7 y `ar : o' A � II 411 ah t�. is Y5 I Ir�F,'� �Ffi ;-+' ,/ �f zz }a4_+ �'11 g: `�- °fl, rt'"PI�,r k r fi - '� l Y 1. {' 11� Q y � , l� 11 y {` 1 ' Pr C` A .� _ � , , .kM 3 v �j +�h � t ) `� , , 1. d k� , �.,,� YP Y ¢ t ,' xf �,+ t J ,r }� `(-, '4 \� P t i �� . *" 't ,-- ' _ , .- - r. s,, .y G ,. A.t ....:.W 1..Y.. \<, .. i{{�� ..: - �... :• `l ..- , ,+ter.:. �' �j 1t ;_!, ' y x i� ....€ 3 U 2,�s�,. NI- # x l r7 a, {� '/ [fi ,f� f - U 4 E? - i f. t t i � k� f py ; �9,, � I' . 1,, J V „�`� r. . � �, t . x r .,� �� _ .• �' �P 4s as If� ` ` �� RICHARD �qsG ,y, i r1, `-,,�. O'HE.ARN =. RICH -•. . z�a�i v> D- A :J'} �i1, Q—r /sY (.+~'� s4 No;k9a ,7 ±fLy F�19. . O / ;� suRv i � f a•rI . ' �/g F 'y► °a 1_. LEGEND= ., ; 111 1 Sao. .. EXISTING SPOT E T . . - . ION O,A - 1 EXISTING`:`:CO:NTOUR - 0 - _,,. r _._ SH .. SPOT ELEVATIAN;S 0.0 FIN LSNED CONTOUR 0 PROPOSED PLOT PLAN APPROVED• BOARD ,OF HEALTH 5 � sT%'& MASS. ' DATE AGENT. L. "r.'�` 2, r ,�v .L '� *' , w .. � ,..,.d0 R ✓. O HEARN, INC., RL 5,}'RS ' A I{ 0 1348 ROUTE 134 e i EAST DENNIS, MASS. ' DATE`: : 6 Z 9 :: . g / '.=3 0:... GALEr. TOB d-7�. � © y-ma, CLN RJR. BY l h'' SHEET Z OF Z— a M rz , ,/ q N 1 :3:n1 b 'S d "-tfii•,a;*,.-»...n�a.-+'-...�.+e ••»,',N-; ^f�,rv,,,�',�,,.�,,.,.r::w",4a'-v f.0 ,p..,m.:a_ ,. ,,�,.."��,,pi?,.. �..,. Iy JF?"" 1 `�"'^ 'i-ry 4;.j;,s -i+n5t4+'�J+`v^.y^n!�;.r.