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HomeMy WebLinkAbout0099 LIAM LANE o � o c Town f Barnstable Permit# ! Z 6 Fxp0 Tres 6 mont/rs rom issue date DEC Tgulatory Services Fee a 2 o 2007 Thomas F.Geiler,Director. TowN OF gq Building Division I� �°' R�`STfaLfirry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNIIT APPLICATION - RESIDENTIAL ONLY /!� // Not Valid without Red X-Press Imprint & Map/parcel Number 76 1 la 00 Property Address ❑Residential Value of Work ,�®.D D® . UU Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name ° Telephone Number Home Improvement Contractor Lice e#(if applicable) d 579 g: Construction Supervisor's.License#(if applicable) ❑Workman's Compensation Insurance �t Check�one: ❑ I am a sole proprietor I am the Homeowner ` I have Worker's Compensation Insurance 6 Insurance Company Name Aacz�� / :qZ Workman's Comp.Policy# k e-, 'Tod 1,5 7/O 1 a V f 2 Copy of Insurance Compliance Certificate must be on tile. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not.stripping. Going over existing layers of roof) ; ❑ Re-side Replacement Windows/doors/slide s. U-Value , (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other,town department regulations,i.e.Historic,Conservation,.etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A y,pf the Home ov ent Contractors License is.required. SIGNATURE: 410,111�1 ` Z:Forms:expmtrg tevise061306 ' -The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111' wrdw.mass.gov/din ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbe.rs ; A-ppUdant Information Please Print Le gib Name(Business/Organizationandividual): Address: City/State/Zip:/State/Zi Phone.#: - R" i ty p; �Zo 37ee you an employer?Che the appropriate bog: :Type of project(required)-. 1. I am a employer to er with 4. ❑ I am a general contractor and I • y * have hired the sub-contractors 6. ❑New construction . employees(full and/or part time). 2,❑ I am a'sole proprietor or partner- listed on the'attached sheet. 7. ❑Remodeling , ' ship and have no employees These sub-contractors have � g, ❑Demolitions 'iyorkin for me in an capacity. employees and have workers g 3' P tY 9. ❑Budding addition [No workers' comp,insurance comp,insurance.$ required.] 5. We are a corporation and its 10.❑Electricalr"epairs or additions ❑ officers have exercised their 1. Plumbin repairs or additions ' '3.❑ I am a homeowner doing ill-work ork . 1 ❑ , g P • myself.[No workers'comp. right df exemption per MGL 12,❑Roof repairs t, insurance.re ed t c. 152, §1(4),and we have no j employees.[No workers' . 13. Other 4to i comp,insurance required.) r*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Horncowners,who submit this affidavit indicating they are doing all work and t}imn hire outside contractors mutt submit a new affidavit indicating'such. A�tContraetors that check this box trust attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. Ifthe sub-contractors have employees,they must providb their workers'comp.poicy number. Iam an employer that isprovidingworkers'compensation insurance for my employees. Below is.thepolicy andjob site information. `� Insurance Company Name: g Policy#or Self-ins.Lic.# Q ! . Expiration Date: i15 4�e Ci /State/Zip: ' �C4 O fob Site Address: t3' Attach a copy of the workers'compensation policy declaration paae'(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 Investigatio ferage verification I do hereby certify t*der the pains a' en Pies ofperjury that fhe in provided above is true and correct. Si azure. j/ Date: Phone M" Official use only. Do not wrtte in this area, fo be completed by.city or town official City or Town: ' - Yermit/License# Issuing Authority(circle one): J.Board of Health 2,Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.Other OFTHET Town of Barnstable Regulatory Services " '" ASS. E Mass. Thomas F.Geiler,Director ,y m �, �A 1639. �0 lEo,r„►�" 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 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize xv., to act on my behalf, in all matters relative to work auth d by this building permit application for: J (Address of Job ' Id .!f _e Signature of Owner 'Date H) 1 G4_ Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. tHE Town of Barnstable �Op Tp� " Regulatory Services C BARNS'TABLE, Thomas F.Geiler;Director Y MASS. �p. 16yg. A,0 Building Division rED '� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s).who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements: Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction 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 t amend and adopt such a form/certification for use in your community. use eai -p�wur°°a 3;z- '�O�"'�GO' ation and Standards License or registrationtion date If found return td for.individul o only , Board of Bu�ldmg Regul before the expiry Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR One Ashburton place Rm 1301 Regjstration 125799 Try 262231 Boston,Ma.02108 Exprratiort 1/30/2010 0 -:=.; e Fnvate Corporation p I+ C.J.RILEY BUILDER INCr, A . r CRAIG RILEY f I i i j` D of lid wi out signatur 10 B WIANNO AVE `� mU Administrator -- -- OSTERVILLE,MA 02655 `— Client#: 10798 2RILEYCJ ACORD,. CERTIFICATE OF LIABILITY INSURANCE 0DA,TE(MM/DD/YYYY) 8/1 s/O7 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO.RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis,MA,02601 INSURERS AFFORDING COVERAGE NAIC# INSURED - INSURER A: National Grange Mutual Insurance - C.J.Riley Builder,Inc. INSURER B: Associated Employers Insurance Compa P.0. Box 382 INSURER C: - Osterville,MA 02655 INSURER D: .. INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MMIDD/YY LIMITS A GENERAL LIABILITY MS059664 05/02/07 05/02/08 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 7REMISES(Ea occurrence) $rjO OOO 1.CLAIMS MADE 51 OCCUR _- _ MED EXP(Any one person) $5 000 X BI Ded:500 PERSONAL&ADV INJURY $1 000 000 X OCP - - GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $1 00O 000 POLICY F PRO LOC JECT El 'A AUTOMOBILE LIABILITY 109059664 05/02/07 05/02/08 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS ,. - -BODILY INJURY $ _ X SCHEDULEDAUTOS (Per person) X HIRED AUTOS - BODILY INJURY $ X NON-OWNED AUTOS _ (Per accident) PROPERTY DAMAGE $_ (Per accident) GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ANY AUTO - OTHER THAN EA ACC $ AUTO ONLY;- AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ R EDUCTIBLE $ J ETENTION $ - .. .. _ $ - B WORK WCC5001591012007 05/05/07 05/05/08 WC sTATULIMIT TH- ERS COMPENSATION AND LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $SOO,000 OFFICER/MEMBER EXCLUDED? _ E.L.DISEASE-EA EMPLOYEE s500,000 If yes,describe under _ - - SPECIAL PROVISIONS below - E.L.DISEASE-POLICY LIMIT $500,000 OTHER -. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - RE: 28 Bates Street Osterville,MA -02655 Operations performed by the named insured subject to policy conditions and exclusions: CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN 230 South Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR - REPRESENTATIVES- . AUTHORIZED REPRESENTATIVE ..._...c--•-•r. .f .. `•'�is� C^ fy ACORD 25(2001/08)1 of 2 #48781 MAK 0 ACORD CORPORATION 1988 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map l to JL Parcel G 1(4"G U 9 Permit# (0® 9 Health Division Date Issued Conservation Division _- w- Zooms SE.pTIC SYSTEM MuLIIAi�E ion Fee Tax Collector -o� p ImsTi"ED IN COMP WITH TITLE 5 Permit Fee Treasurer ENVIRONMENTAL CODE AND Planning Dept. TOWN REGULATIONS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 22 d— l/JM Z_ /1 Village Owner Po r( p C,y L-&F, Address 2i 614 IL-f Telephone � 0� `�2d V C/211 Z- Permit Request `(L L Cl y /=clr ( c✓�Ar p.•,h� � �� ��' e, ,�(� l G x Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District J, Flood Plain Groundwater Overlay Project Valuation 7107) LtoD Construction Type ,e/O O C( h Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family W Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's High gay: ❑' %No Basement Type: W Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name A T"J�Z fL�- Telephone Number 7 S,`7 Address l L Y e-t H i= timid Ll License# 06 ZZT� 3 Home Improvement Contractor# 71> � KcL,14 Worker's Compensation#�/G - 2uP_(c 14 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1� O - FOR OFFICIAL USE ONLY - -PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS " VILLAGE " OWNER f DATE OF INSPECTION: FOUNDATION ` 4 FRAME INSULATION • ;:.,5 "3 ^erg FIREPLACE S . ELECTRICAL: j 401JG'II- FINAL PLUMBING: i ' ROUGH: FINAL GAS: '°'ROUGHS FINAL ' 'c . FINAL BUILDING DATE CLOSED OUT.., AS PLAN NO. " tir 4'� a C.o7nmurc rvr-""Ik Uj -_-=- rt Department of Industrial Accidents - — • ' 0197CC Of IOYCSffgBtfOdS 600 Washington Street Mass. 02111 > --•••. ; � Boston, -- `� Workers' Com pensation Insurance Affidavit / / j • - hone# . , Lm a homeowner performing all work myself ; NON, a sole rietor and have no one wbrl m m ca amity /%/%%%% / %//l%// /G/ i% % ensationformyemp Yam......... . 'din workers co :•:::.:::t: rove .....::..,•,,.,... ,:... r.:.:. er �.. 4:.xi.}::?.}:;}::t;Y:.:?::.:::.:....r ..T:::.:.n-::::::}}:4:.r:........:.::�4;:.}::.}{i :.}•..:.:......:..::: an oY ............. ...4n...•:::•:::.vr••:4.;;•:v.,.n..�,::.Tr:$ri>•:... ,........,.�:,•::.%:.}$i:.::.::::%..:.:.r::r:: r.:.::::};: P ........ ............ ..,..._.r:. , ...... .. 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'� F *S00.1}0 sadlor d�to Secure covtmie as segttired tmde�.Section 25A of MGL 1S2 eaalead to the imposttinn off p��q of a one tip to Sl e yam}imprisonment ad wen as dvD.penalties in the form of a��pof the DIA f r c�overaie�veriffcationoQ a day�Lsinst me. Imsdesshmd that a Py of this statement may be forrrarded to the OMce of Invesdi _ io hereby certify under the paiiss anal penalties of Perjury that the information provided above is truf and carted Date ggpatwe , Phone# - 'Tint name ofPlctal tLse only do not w rtte in this area to be completed by city*or torn biracial peraiit/1lcewe# • ❑BundingDepartznud city or town: ❑Licensor=Board ❑Seletfm&5 Oince ❑ checkif immedi+de response is required C3SealthDepariment phone#; ❑Other •• contact person: r (�syssed 9/45 P71a - Information and 'Inistructions husetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their -es. As quoted from the 'law'., an employee is defined as every person in the service of another under any contract express or implied, oral or written.' Moyer is defined as an individual; partnership, association, corporation or other legal entity, or any two or more of ;going engaged in a Joint enterprise, and including the legal representatives of a deceased employer, or the receiver or of an individual, partnership, association or other legal entity, employing•employees. However the owner'of.a zg house having not more than three apartments and who rentenance , sides therein; or the occupant of the dwelling house of r who employs persons to do mai construction or repair work on such dwelling house or on the.grounds or appurtenant thereto shall not because-of such employment be deemed to be an employer. Whapter 152 section 25 also states thatevery state or local licensing'agency shall wifhhold the:issuance or'renewal tense or permit to operate a business or to construct buildings in the commonwealth fo•r any applicant who has -oduced acceptable evidence of compliance with the insurance coverage required. Additionally,#either the onwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until table evidence of compliance with the insurance requirements of this chapter have been presented to the'contracting cants e{�in the workers'. compensation affidavit completely,by checking the box that applies;to your situation and lying.comp=y,�es, address and phone numbers along with a,certificate of insurance as all affidavits maybe fitted to the Depar ent�of Industrial Accidents for confiimation of inc��rai�ce coverage: Also be sure to sign and. the affidavit. 'The,affidavit should be returned to the city or town that the application for the permit or license is 3 requested, not the Department of ludustrW Accidents.' Should you have any questions regarding the'law' or if you squired to obtain 4-workers' compensation policy,.please call the Department atthe number listed below. or Towns use be-sure that the affidavit is•complete and printed legibly, The D epartrnent.has provided a space at the bottom pe f the iavh for you to fill out in the event the office of Investigations.has to contact you regarding the the applicant. in er�aitlIicense number which will be used as a reference number. The affidaN#4-may be=bXELii3 to lire to fill the p �_....,:.:.._ Department by mail or FAX VhTess"otI Cn&iangemmts have'be=.made: Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. ase do not hesitate to give us a call. e Department's address,telephone and fax number: The Commonwealth Of Massachusetts' Department of Industrial Accidents Dffice of lnvestlgatlons 600 Washington Street Boston,Ma. 02111. fax#: (617) 7274749 phone#c (617) 727-4900 eat. 406,409..or 375. W q The Town of Barnstable Regulatory Services Thomas F. Geiler, Director -Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no.Date �0 '6� AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing.at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with-certain exceptions,along with other requirements. Type.of Work: r_Y10615- j5�xi C Estimated Cost (]U Address of Work: 7 Owner's Name:' 0�� Date of Application: �� Z- I hereby certify that: Registration.is not required for the following reason(s): . ❑Work excluded by law []Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. ' SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as a ent of the owne e Contra for ame Registration No. OR q:forms:Affidav :rev-122001 o-r G z,u s $,F rn A° N 11 3_7- t a1 3�, �po"Y S.B To PLAPLOT N t' fWim Vf Ng'TNUC?ION ® 1� D.. 13 FEAT S , DATE WcW C ..:�eY10N _.. �sr.I�NT ,. :SCALE _ h- { ,: CT, e �omvnzavzupp�,� �✓�aQaae�tu4el!;.. BOARD OF BUILDING RE_GLAT U a ! License CONSTRUCTION I�7NS �1JPEF�VISOR ? ' Number ESa 0®2283 �a k B'ihlate 47131ik943 = r Expires'0 l31l20©3 Tr.no: 610 -- - -- Reatcted t oA J THOMAS F FITZPATRICK PO BOX MONUMENT BEACM MlA_`D3$53 � ' Administrator Board of Building Regulations and Standards HOME Fkl� OVEMENT CONTRACTOR lug Registration- 105038 ,,Ifcafton _ ,. !04 ividual !' THOMAS F.FIT A RICI�`,tt2,� Thomas Fitzpatrati�, 1 LYNNE LA. MONUMENTBEACH,MA 02553 � '� Administrator L oF�HE rti The Town of Barnstable (0c ) C� b. " BARNSTA6LE. Department of Health Safety and Environmental Services 9 NA1639. SS. 0a _ �ptFD MPy a e Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner. Map/Parcel:17 Project Address: `- �`: 1 `� Builder: ,p Si The following items were noted on reviewing: -ice l/L ram" 1.� "d t ►� to Reviewed by: Date: - CO) 'Z)Z2 q:bnilding:forms:review kr � t� ! {.lo/WSJ(„_ sr� g4i 2 Y lG � vil � �`ta3 rig! {is< 1 ', hy� �!• 11 i 1tf1 + +'fr� j `f w�` (! ..� � h - r 43 �Hilo, gy p`Jg 1 '$�t S 5ow `} f' xis eF % t7�y1 ixw i. oil\ 'it'-"t'� µ ;€ wYr3',,€y# / / •,r{'rf 1 I Ki k¢�.°F V:Y, uVz en NMIKa c� 5f S S MEN Ag aM 3kdLQ ti fv/ , � elv 1,, IMY �. G 4y l a ; {AA:x S�r•1S "lair L i - f �� L 'i; .',�Y`, ijx . KAT 6 r °Ft t Town of Barnstable Regulatory Services E MASS. Thomas F.Geller,Director 039.Mass. �'prEn Mop e, Building Division Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PERMIT# "` ' FEE: $ SHED REGISTRATION 120 square feet or less 579 Location of shed(address) Village Property owner's name Telephone number G j Size of Shed Map/Parcel# 9 re Date Hyannis Main Street Waterfront Historic District? Ai Old King's Highway Historic District Commission jurisdiction? �JU a)w Loc, /OA) Conservation Commission(signature required) -J' G yb"Up too ' �PbM PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:083001 _7V Assessor's office (1st floor): ```1` ' ��77 Assessor's map-,and lot number .....1.4...l...-.1.4Q.4-....9 SEPTIC SYSTEM MUST B Q o*T"E Toy♦ Board of Health (3rd floor): a _ S 5 BC ' INSTALLED IN CQMPLIAN o. Sewage Permit number .:...................................................... WITH TITLE >; BAas9TAX . engineering Department (3rd floor): ENVIRONMENTAL CODE A��°900 039 cI o1 �L i= � 0� Ouse number ........................................................................ F' @€f �EOI�� a`�I®: � �0 N Ord 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 ......C.O.hS rwC±............900..i^........l..J1:C7.n........................................... TYPE OF CONSTRUCTION .......\fV. ..D..0A ........:............................................................................................... ` ......................%5 1...:..........1916 I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location .....10:i'.....#..... .:.1............L.a:4rv.�.........JGtu�Q........................................................................................................... ProposedUse ........:. .4:n........�00en.................................................................................................................................. Zoning District ......,-O..,1L,......... ... ..........................Fire District ......C844, 1if m :. Name of Owner !:." e- .i'`A,�...:.............Address ......4 L+ 1 per.('................p t cam.N....... .a,�a.......... Name of Builder JOvxv1.... :...TCA. t0f ........................Address ..rl.......Pic:}"Y.'.a...1.4......... ............................. Name of Architect ...5.�k+.'w........ GcX.�t-�Q,....................Address .................................................................................... Number of Rooms ..................I..........................................Foundation .... -...........I. y?C......?,.Q..° ................ ,.Y/�.................................... Exlerior W�,�Q ...Ce Lr.... ............. ...Roofing ......ASP.JJ......��c Floors ................................Interior ........ . . Cj<.. 19A . ... ................................ Heating ��g�ivs�S............... ....Plumbing ................lf�.......................................................... Fireplace .....................V.Q....................................................Approximate Cost 1 �Q t. ............................................ Definitive Plan Approved by Planning Board _______________________________19________ . Area ..... .:(.Q.....Sq...r'- .......... Diagram of Lot and Building with Dimensions Fee a� . ...... .1..l....---...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 ... la a (a....... i - ,j,'-_j30RADINE, PIERRE 29290 Addition No ................1. Permit for .................................... Single Family Dwelling ............................................................................... Location......Lot-..#,.1.9........9.9...Liam Lane........... Centerville .........:..................................................................... Owner ......Pierre...B.o.r.adin.e.......................... ........ . .. . . ........ . Type of Construction .......Frame................................... ........................................................................ ....... Plot ............................. Lot ................................. Permit GranteMay..2.,.................. ..19' 86 Date of Inspection ..... 1,9, Date-Completed .......... .......................19� 1. 6V Q r7 Assessor's office (1st floor)- THE TO Assessor's map and lot number ...... .. .... Board of Health (3rd floor): sewage Permit number ........................................................ i33AMISTABL", �Engineering Department (3rd floor): - C� ... le MAG& 163 'House number ....................................... ....... 9- ....................... 0 MAV 41 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 ...... ! b:V(±............9 ga Y.,-%......Adl av ........................................... TYPEOF CONSTRUCTION ....... ......................................................................................................... 1.............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... ............ ......... Q............................................................................................................. Proposed Use ............S., .........&)0.V.,%................................. .................................................................................................. Zoning District .......2 .......... ........I......................Fire District ...... ti-m.................. Name of Owner .... ........fO.r. .................Address ....9.1........... U, .........ta ........CAJ��v;(Le.. Name of Builder t.-x V\....1....Ta. ........................Address ..r.7...... .........6�............................ Nameof Architect ...S.� (......... ..::....................Address ..............I..................................................................... /I Number of Rooms ..................J........................I....................Foundation ....ce'. .-11.I- A............).;.�!X..... .................. ........................ .................. Exterior ....... ................ .... "Roofing ......Ar-tv-, ..... Floors ................Ce'j T Interior .......... ...................;.............. ek--� .................................................... 7" Heating ............. ......................................................Plumbing ................ .......................................................... Fireplace ......................)\ ...................................................Approximate Cost ......... .............................................. Definitive Plan Approved by Planning Board --------------------------------19-------- - Area .....2RO....� ..&........... Diagram of Lot and Building with Dimensions Fee ........L/............................... SUBJECT TO APPROVAL OF BOARD OF HEA4TH 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 .......... .................................. V Construction Supervisor's License ... al 62....... - ` C>wv`ar .......pi����_Boradioe_________ � Typo of Construction .......FTAIR#........................ ' . . . � � -----------------------_-- ` ` � Plot ............................ Lot ................................ . . ' Permit Granted .........----�May..2" —'lg 86 ' ` Date of Inspection ------------lV ` . Date Completed .......................................lV '- � . , | . ' ` ^ —. . ' . ' - ' - - ' C04. U / E 1cT>: i A" r lATU12AL. s�w� 'ro P.eMA i N Q�-J- D�sTu2BeD im' FRo^^ �i14,E C=F WeTtA ►co uµLes-- A of .erE�.tr i s 1 't}IE srfirE w i.A�,DS Q 1 ,T L oT W w 1: 1� 3S 3k, Ll Q` a=G, W . m � �T ,9 � � � � : �T �� �� ,, .0 2.t,Z-7 4- S:F, N ^� YEA2 F«,--,D (Fij=)cDD A) AND F�cx�D ao o Zc�ti.lE G� ExGE==hT A5 fiLv�p I Zo,�E (sr(A DLSD ,r A �r c Nov. 29. 19 a2, 76 m �T 'OL 3c' FQc>wr S.B. \� 1MOF � io' s e. 12 S.B, a CERTIFIED PLOT PLAN 4NQ SUR�f'y C.'EN 7-L,-,�'V./ L Z...E EW CONSTRUCTION ONLY TOP OF FOUNDATION Ig_;3 FEET IN ABOVE LOW POINT OF ADJACENT SAJl h.51A.4 t ROAD. SCALE, = 50 DATE1 z7 8z. F�vwr�g7i oiir LO89DGE ENGNVEFR1Na CO`!N . CLIENT I CERTIFY THAT THE EaISTEREO~ REGISTERED '""'" '""' SHOWN ON THIS PLAN IS LOCATED Job N0. ,..:. �.�. ON THE GROUND AS INDICATED AND CIVIL LAND CONFORMS CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR.lIY�; OF BARNSTABLf I M 33. 712 MAIN '3TRE.ET H YA N IA I S, M AS'S. SHEET-L-OF: DATE R4,6. LAND, SURVEYOR ` ' dc Assessor's ma and lot/number . .. ... . . ... '1 0*THE Sbwage Permit number ........ .............. .......I........ BARNSTABLE, Ouse number ......... ........................... ............. MAO& pow 6 39- TOWN OF `BARNSTABLE BUILDING INSPECTOR. APPLICATION FOR PERMIT TO ....................................... .................. ............................. TYPE OF CONSTRUCTION .................................... ................. ......................................... ................ ...... 19..r�� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit;according to the following information: Location ............................... ........................... ......... .......... /,(.............................................. ProposedUse ................................... . ../.*. . ..7.1 .. ......... ......... . . .. .. .......................................................................... Zoning District .....................f.ll�.. .. ../ C 0 . .. ..... .. ..............................Fire District .............................................................................. Name of Owner .....C,,., C 0 t7.9...Address ................. ..................................................../ ............... Nameof Builder. ....................... .......................Address .................................................................................... Nameof Architect ..................................................................Address ..................................................................................... Number of Rooms .......................e...........................................Foundation ........... .........(.. ............... A tom .. . ..Exterior ............... .......�A-�..... Roofing ............ ...................... ..... ... . ..... .............................. ............. Floors ........... ..... ........... ....................Interior ...................... ..... ........ ................................ Heating ................ ...... a................Plumbing ................ . .................. ................. Fireplace ...................................................................................Approximate Cost .............. ... .7,1 o I. ............... ...................... Definitive Plan Approved by Planning Board �41'/ -------'I-q-x Area ..... Diagram of Lot and Building with Dimensions i j Fee ....... .......................... ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH o 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 ...................... ...............................i........... ...... GREENBRIER CORP P A=167-16 No 244,13,,, Permit for ....J.i..Stoxy............ Single Family Dwe,llinq Location .....Lot 19......... LiaI11...La e. ...................Centeryij.J.Q.............................. Owner ....... reenbrier...Q.4.x:P.................... Type of Construction .........F'.>ZLMe.................... .......................................................................... .. Plot ............................ Lot ................................ i Permit Granted ..Sept......28..... .......19 82 Date of Inspection ....................................19 Date Completed f , lo®°/O Assessors map and I er ......:........... ...................... 1�vU q�. of 7HE t0 TIC SYSTEM - Sewage Permit number c .3--5/...5........... INSTALLED" N TOt �L• ems% Y�lT� ii i,:, 35 STABLE, i House number ..........{ .. i09f /9OO MAS �................. ENVIRONMENTAL CODE �i6 a�e� TO Ws 11E !` OM 4 TOWN OF B A R.N S T "rB ALCONSER!!ATlON M COMMISSION BUILDING I SPECTO APPLICATION FOR PERMIT TO `v' /. ./! (� P TYPE OF CONSTRUCTION ................................... ® ............f;i !?{'r......................................... X' .............. 19..1,?`� TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for a erjyj;tLSLccording to the following information: Location �1�...................:.......... .. .........4�--.C/� .........:f�/1.4 .......................................... ..................................... ProposedUse ............................................1 � ,....... .r0.. .... ....... Zoning District .....................�.. ......�...1..:...........................Fire District � ................................—... ................................ ......... i l Name of Owner .....� .rU/ 1 -.... ...Address ................1. ® ..5� 0. ...�........ :x Name of Builder' ..:................... /'..-Q,..................Address Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..... � � C.ow I...................... ..................... .................Foundation ........... ..... ......... Exterior ............... �� ..� �.`� ..f..:."r`.C.G�hf' ........Roofing .5 ... � �� Floors �/ .....................Interior ................../v! . ............ ....... . .......................................... Heating"-........':.......F.. •�::...:X:.:.:. .... g ( .�F..: ..... Fireplace ................................. .Approximate Cost c Definitive Plan Approved by Planning Board ______�' ___ _ _______ ________ Area ...........�............................ l (=�OOti 5 Fee ...... Diagram of Lot and Building with Dimensions . �*z (� c ............................ SUBJECT TO APPROVAL OF,.BOARD OF HEALTH` -Z �. BavD OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnst regar ' t e above construction. P Name ................... '... ' . ~ (�REENBIlZI�D CORP. � � . ` � . / 0441 �r] l� Story 4 �--._-_.. Permit for .................................... SingIe Family Dwelling ' � -------------------^------' � Lot #19 99 I'ianz Lane Location ..... . � -~ C���ey��ill«y \ . � ............ r .. Greeobriez Corp~ `C)wxna — '..r------------------.. ' ' - Irzaoze Type of Construction' ........................................... ` ^ -------------------..------. . plot ---------^ Lot ................................ ' . ^ . . Sept. 28 , 82^ Permit Granted -------------.lg / .. . ~ Date Completed ... ' ' / . . � . . . . . , . ^ — ^ - -- ---- ^- D��uQB�D i� 1?r. n �°t pF' vlErto4►.►Gs uu A i-ATs m is n LED +4E ST�FTE W E'Cl.r°W►t?S �•. L oT 10 �pt00 C. 110 Al �J p N /k c: 1 , 1yCl �o' S e P CERTIFIED PLOT PLAN j NEW CONSTRUCTION ONLY. 2t ; > TOP OF FOUNDATION IS__.;.3 FELT 'wr'w"`- IN v> ABOVE LOW POINT OF ADJACENT £ . , r'ar �`1�'�"",� ,L, 1� �• ROAD. OS DATES 1 LD DGE ENGI Eg' J 0 C /IV � '� I CERTIFY THAT THE F`'v"'°A`'` °"' SHOWN ON THIS PLAN IS LOCATED EaISTERE® REGISTERED ON THE GROUND AS INDICATED AND CIVIL LAND JO� O�O. ,...,,...,�,.,. ` ' t ',44 ^'1 CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR I .aYi . . ..�.....�. AF BARNSTABWE, M SS. CH. 712 MAIN 'STRE.E.T r q 21 H YA N R I S, MASS, DATE LAND SURVEYOR 1; 9 Alk =24.41 j �� hlc�►t=: ALL f-JATz,L?AL c c �l'rFa -ro P. AAA �� ,__r-� , ion' of wc�c�Z'r.IU: u�ItS . (f, — o ^ 61 r>FF jl.ITID-IT IS Fj Cr il pEr? A Q1C£ Z224 E Ig ` (�\ Tl I � 6� Lo-r 20 LiAAA LAtAff � /i G / a � b LA (S�CIA&C;BLAOfttf °ry4 p nM' E SN OF f 9 c $ (r� fOnO•L-SAL 9GVfICTAWC. a V! -- — jlot�cPoR��, 4 7jI NU SUR��'y O,T TO LCIG of ev�$sH /`\ " la. ��•E oo 1 �C,TEST� 74. s, F 10 '24- II 20 ' LEGEND % oF f� �� EXISTING SPOT ELEVATION 0><0 CERTIFIED PLOT PLAN��"V 'ss;�\ EXISTING CONTOUR ——— A e Lc=>T 19 — L \ LA A ..l _ .FINISHED SPOT ELEVATION [� � �, C������, `-LEE- FINISHED CONTOUR 0 0 M' RSE to --- --- 9 No.10951�Q 1 N APPROVED = BOARD OF HEALTH ForsTEP O�FSSIONAIF���'\r GATE AGENT SCALE, I = 5©' DATES LOREDGE ENGINEERING CQ—INCCLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB N0. 62 c'! BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEY DR. J.Q. - OF BARNSTA®f E , MASS. 712 MAIN STREET CH. BYES �.F>E q a �'L •, . �';�': .;:ry. . _: - NYANN I S MASS. ---� - ' SHEET OF 'LLAN- - - -- R-V ATE R.EG. D SUURVEYOR s i o�a�> 24413 TOWN OF BARNSTABLE� .. Permit No, Building Inspector � siarSTan -� Cash -------------X-�---� OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different;-changed, or enlarged use without a Building Permit therefor first having-been obtained from the Building Inspector. No building shall be occupied unti -a- certificate of occupancy has been fed by the Building Inspector." j Issued to G'TeenbrieYCorp—. Address �t3X :7tQ, Centerville lot #194 99 Liam ?ale, Centerville Wiring Inspector - Inspection date Plumbing Inspectors .�'aY�. ` Inspection date Gas Inspector (}�� iC1 ��L�. t Inspection date 4 Alov Engineering Department 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_...p CJPG 0 Building Inspector J Assessor's ma and lot number Sewage Permit number Z MiSTSDLE, i House number NAM y.................................................................. 9 0 �O 1639. 90 �EpyYpa� TOWN OF , BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............... �r.� ....................... ... ..... . ... . ......:/o X...s�... ... .. ....... .... TYPE OF CONSTRUCTION S ....: !eAA .... ..... �........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit ©according to the following information: Location ..7... .... 1-:1 .:....�07 �.. ...f......... ........ N� �41�/l-L ......... ' 5.............. J' roposd Use .........� V� . � �P ... ...... Zoning District' ............ ....................................Fire District � ' Name of Owner ... / 12(�. ........15� �. .�.N ........Address ........... - �. '. ................................................. pp q p Name of Builder / C.t , ......I�.Q .......Address ......7 ( 1 17 .....1 ......`v.. N U!S Name of Architect ....... Address .:................... ............................................................. Number of Rooms .............. ...............................................Foundation trn1s Exterior .............................Roofing ....................................................................:............... FloorsC-�.�t'��T...................................................Interior ...................................................................................... ` Heating ..........GA..................................................................Plumbing ..................f7`..... ................................. Fireplace ............................:...................................................:.Approximate Cost Definitive Plan Approved by Planning Board -------------------------------19--------. Area .. 'S�-!C� ........... Diagram of Lot and Building with Dimensions Fee ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH � 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. i Name ..��,! ..rf..� s �`�`........... Construction Supervisor's License .................................... BORIDINE, PIERRE A=167-16 24883 ADD TO DECK No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location 9J14iAM..,LanQ................................... Centerville ............................................................................... Owner .....Pierre. . ...Boridine........ .. .... .. ........................................ Frame Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ....March 25, 19 83 Date of Inspection ....................................19 Date Completed ......................................19