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HomeMy WebLinkAbout0030 LUMBERT MILL ROAD �30 .ran 6eY4- 1' i I ( ewd l d a P� .e v a � v 5 0 e o r , �lul�G Town of Barnstable *Permit#Exp �" Regulatory Services 6»ninths rom issue date ` MASS, 165 *1 Q Richard V.Scali,Director Fp 0 r� 72016 Building Division W111 OF 8A HNS Tom Perry,CBO,Building Commissioner TABLE 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ' �D - !I O D Not valid without,Red X-Press Imprint Map/parcel Number Property Address 3 0 L A/i`� - (�1vr✓;�`e /�� ��6 3 Residential Value of Work$ )3,3)0 Minimum fee of$35.00 for work under$6000.00 , Owner's Name&Address J oSq2,,,`o-e- aYi.t(✓ 30 �w"� /4'( 4/1 l y,0 A , /`1� OZ6 32 Contractor's Name ��✓i�+'u�yk �'yIGy, Ac. //f' ydaq TelephoneNumber ,`09`215d-SZ011 Home Improvement Contractor License#(if applicable) U /13 Email: a>c✓��a u (J wo rEwC k�v�oCo�•e.co h. . Construction Supervisor's License#(if applicable) C�'10285-3 ❑Workman's Compensation Insurance C,beck one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Req est(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows l' #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 o /Home rovement Contractors License&Construction Supervisors License is P P requi SIGNATURE: C:\Users\Decollik\AppDat icrosoft\W' dows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 • � � ^ � Massachusetts -De � - partment of Public Safety _ y. : • I Board of Building Regulations and Standards Construction Supervisor License: CS-102857 M Center St Ste 1St /r Hyannis MA 02601 , Expiration a Comniissioner 11/30/2018 • - �,- f� ,per �e cpo�rn��z�icaecc�o�C�occ�cu� - ' -\ -0ffice of Consumer Affairs&Business Regulation 4 TRACTOR ME IMPROVEMENT CONTRACTOR ,:167:113 Type: xpiration 8/11/2016, LLC MV CONS TRUCTION'SERVICES LLC. MAKSIMS VALAU a 235 GREAT WESTERN RD= r j S.DENNIS, MA 02660 ,_ Undersecretary Massachusetts -Department of Public Safety . Board of Building_Regulations and Standards Construction Supervisor License: CS-,102857 ```G[• IS MAKSEVI S VALAtr 68 Center St Ste 11 Hyannis MA 02681 - Expiration w Commissioner 11/30/2016 wCZ - License,or registration valid for individul use xonly before the expiration date. - If Office of Cofound return to: nsumer Affairs and Business 10'Park Plaza-Suite 5170 Regulation Boston,MA 02116 i Not valid wit f signature I OF THE Tq� _111�s * BARNSTABM 3 9. Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder Ir� I y S q �` V"�� ,as Owner of the subject property hereby authorize l/a�t au /�y LOn''�'"Gr�a*� 'y`?' 1<<-to act on my behalf, in all matters relative to work authorized by this building permit application for: 3 0 f..v/►1�0�-z'� lu� �� �. �R-,.�,2V�i,r!!.� !LL�- G 1 f�31� (Address of Job) Siddature of Owner Date I os.e 12�� Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 77je Commonwealth.of Massachusetts Dqun 'nerat of ImLmoial Accidents Office of Inuestiffatio,ns 600 Washington SWret Boston,AMA 02111 fvmv.nias&gov1dia Workers' Compensation Insurance Affidavit.BtdiderslC.nntracturs/ElectiricaanslPlombers Applicant Information Please Print Legibly Name(BumesdQVmimhon&drddoa0_ /'I V ��i r. o�• v.7.�3 do Address: 2-3 5— Ir'rec i c�� k City/Stat&Zip- S, S 111f! 026010 Phone� t57-VJ'- 2L�8�32-0 9 Are you an employer?Check the appropriate boa: T of project r 4_ I am a contractor and I Type P J (required): 1.❑ I am a employer with ❑ general employees(full and/or part-time)-* have lured the sub-comtiactoas 6. El New construction 1 0 I am a sole proprietor or partner- listed on the attached sheet_ 7. ❑Remodeling strip and have no employees These sub-contractors have g- ❑volition wodring for me in any capacity. employees and have workers' 9- ❑Building addition [No wodws'camp_insurance comp-insurance., required_] 5- ❑ We are a corporation.and its 10.❑Electrical repairs or additions 3-❑ I am a homeowner doing all work offioers;have exercised their I L E]Plumbing repairs or additions right of lion myself [No workers'comp- r per MGL 12.❑Roofrepairs insurance required.] $ c. 152,§1(4),and ue have no employees.[No workers' 13-0 Other -r0 comp-insurance required] •m applicant that checks box#1 ntnmt also fill out the section below showing thek workeTe oraopensadon policy infortnrtim I Homeowners who submit this affidavit in&cating ahey are doing all wtulk and then hire oatt;id'e contractors nm9t,submit a am,affidavit indicatimg sack gContractors that checI this b=mast attached an additional sheet showing the nmne of the sub-contactors and state whether or not those entities lime emVhYyees. If the sub-contactors have employees,they rmest provide their workers'comp.policy number. I am an employer that is prmvidWg workers'compensation insurance for rray employees Below it the policy and3ob site information. Insurance Company Name: Policy#or Self-ins-Inc.9: M Expiration Date: n,� Job site Address: 3(o `u �' . City/State/Zip: �v/ � /GX 0 2�(3Z, 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 are-year impnsomment,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 ofthis statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hemby cartfy under Nand natures of pe► aty that the inforwration prided above is bars and correct Si tore: Date- Phone 2S-.f'3L0y Official use only. 13o not write in this area,to be completed by cio or town official. City or Town: Permit/License 9 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9: oFt Town of Barnstable *Permit# - `Z O� Expires 6 months from issue date Services snRxsresi.E. � Regulatory Sery s Fee _ a ,°� Thomas F.Geiler,Director QED M°�A Building Division Tom Perry, Building Commissioner r� 200 Main Street, Hyannis,MA 02601 X-P R S S P R�4 a Office: 508-862-4038 Fax: 508-790-6230 AUG 1 0 2004 EXPRESS PERMIT APPLICATION - RESID Not Valid without Red X-Press Imprint S-�A.5 . Map/parcel Number ` �G b Property Address / Residential Value of Work I Z d 00 Minimum fee of$25.00 for work under$6000.00 " t Owner's Name&Address » c , < � Contractor's Name)Z25 S-,`�Zr,/ :aa 1 r-fi �t Telephone Number 7 � - 9'7 _ Home Improvement Contractor License#(if applicable) 0 0/ Construction Supervisor's License#(if applicable) ❑Workman's ompensation Insurance RIhave e: a sole proprietor the Homeowner Worker's Compensation Insurance Insurance Company Name , I/i— 3/7 Z /J —0 Z 3 Workman's Comp.Policy Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will betaken to ❑Re-roof(not stripping. Going over existing layers of roof) C9 Re-side ,Replacement Windows. U-Value (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must si roperty Owner Letter of Permission. Improvement actors License is required. Signature {- Q:Forms:expmtrg Revise063004 HEroe Town of Barn..stable Regulatory Services Thomas F.Geller,Director tb s6.9� �• Building Division prED � TomPerry, Building Commissioner • 200 Main street Hyannis,MA 02601 . WWW.tawn.b arnstable.ma,us Fax: 508-790-6230 off ice: 508-862_4038 Property Owner ust - -..._ Complete and Sign This Section If using A.Builder 1 ,as Owner of the subject property . ._- ) 10 act on my behalf; — - hereby authorizeIn all matters relative to work authorized by this building permit application for: 30 114141IJ Address of Job) gigna ture of er Date print Name ` '4Results Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City, Name, or License number Select Search type: r, AND r1 OR `i.Search'' Search Results Reg. No. Applicant Street City State ZipI Name lExpirationj CAROLYN 24 ST. BOBOLA, 130611 BOBOLA FRANCIS HYANNIS MA 02601 CAROLYN OWNER 3/31/2006 CIRCLE Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.us/bbrs/hic.pl 8/13/2004 iu t 41 TOWN, OF BARNSTABLE Permit No. ____28467 } n Bnildiilg Inspector Cash __________�___1_— 't019. OCCUPANCY PERMIT Bond __x___� Issued to Robert Wenger Address Lot #8, 30 Lumberts Mill Road, Centerville Wiring Inspector ,y �� Inspection date . Plumbing Inspector , � .. .r- 7 .� 'Y Inspection date A, _ �`1 Gas Inspector �t � Inspection date g Engineering Department �»A C�' C Inspection date _71— Board of Health Inspection date U , 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. .. .. '`� Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT ssaaar TOWN OFFICE BUILDING MYl i639. C HYANNIS, MASS. 02601 �OIUrY�' MEMO TO: Town Clerk FROM Building Department DATE: .2/ An Occupancy Permit has been issued for the building authorized by Building Permit $k._ 2...�. . ... ...................................... issuedto ................,................... ...................... ..... Please release the performance bond: /Ri-REBy CERTIFY TNT 1n/S Z3,713 NOT ZocATEO /N FE�..�t'A�. Fd.00o HAZi1 RP.� E "AS SHOWN ON THE FEDERAL FLOOD✓N&IRAACE RATE AMR FOR THE TOWN OF' coAfmUN/TY PAN,& NO. EFFECTIVE RATE;.,.,.,, RoBERT E RAYMONP, R.L.S AATE NOTE- NORTH ARROW NOT'TO 0 { BE!/SEp FOR$OLAR PURPOSES. > y � px 'An 1 ip a \oh f8 �D1~7 y - trJrd) QS c 5.3 6. SST�,14 2.0 �o cA p FpuJ pq i►o>� Q y O 4i' 0 0 1:0 w O R1 O \moo- v U� Co o ft, Q) 71va PLOT PLAN WAS NOT AM,& FROM FOUNDATION 400*4TION= PkAN AN /Nsrfi/A/ENT SUR.VEYAAI!/ IS FOR THE - 8 USE OP THE BANK aV4 Y. MPER NO C/RCId a7 4NCES ARC OFFSof TS TO ,BE o���a`tN aF MA�s�cyG A w EV, 'E�R.��/NG g ROBERT EA$� /'WLWO / n HIGHWAY E. RAYMOND 90 No.215830 �F 9FGIs P� J's, /�z•30� S�pT Zr7, /98=j Io�/ OS�Q Pl XsCXIRW.l 14 NQ s��s Assessor's map and lot number l.. �./�.v F T......... ......... ........ . SEPTIC SYSTEM MUST Sewage .Permit, number ......:.g5_ �..`�?�..................' 4 < ': INS LLED IN COMPLI House number "&�� WITH TITLE 5 9 BaEa LE, . ENVIRONMENTAL CO®E yaY.�`e• TOWN OF BARNSTIA � BUILDING INSPECTOR APPLICATION FOR PERMIT TO v� 1L-j.......... TYPE OF CONSTRUCTION ... .... I.. . .��.............................................................................. .:. .....................19 TO THE INSPECTOR OF BUILDINGS: s ; The undersigned hereby applies for a permit according to the following information: Location ...... ......M .... . .�......11v""'.".V��.1.,I-'LT ...................... ... .................................... ProposedUse ....<�;.1. . ............................................................................................................... ZoningDistrict ....................:.....................Fire District ..........:. � ...�1................ . .. .................................................... Name of Owner. 9-aa- ' ......Address ;5aS...... M? ......... J Name of Builder . . �. �Og1 +...... ...Q)Q��....Address ................:........................................................ Nameof Architect ..............r...�.................................................Address ......................................................4......... I................. Number of Rooms .........:....` ..................................'.............FoundationYQ)s).(�Xz.....a6�GkY� :..... .................Exierior f.................................Roofing Q ................................................... FloorsCpr wcx\s).o......................................................Interior ....................................................... . ? . ..(- ]................................Plumbing ...... 41 �^�� .............. Fireplace '. Nh.... ........Approximate. Co 00- X f Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area ` /.. ........... ��. .. Diagram of Lot and Building with Dimensions Fee SUBJECT TO.APPROVAL OF BOARD OF HEALTH etg c 3a 2� 2� ���- •gyp OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. , 1 Name . Vs..J.Q,�,F. ....... ............... Construction Supervisor's License V. 5-. �o....... ROBERT Permit for ..Two Story t I • Single Family Dwelling .... ........... ................................................ Location Lot 8, 30 Lumbertt Mill Road Centerville.....................:.................. OF Owner ......Robert Wenger..................... ............................. '• -� _M �� io- Type of Construction Frame.......................... ..; ....... ................................................ t� 4 s -,Plot ........................... Lot ............... .. .......... Permit Granted .... Jai...� .. ..1,9 85 Date of Inspection .........................::.......::'-19 a .. Date Comp tel ..:-707 ..............1-9 v .. /� .... Assessor's map,and lot number ................... --- 4- gS - � 6C� " Sewage Permit number ........................................................ . ~ Z SARNSTULL House number ..........................4.3n... .............................. ' MA/6 b u G 000 63 9.a`0�° TOWN OF BARNSTABLE BUILDING INSPECTOR ��� ��j �C,plc n rJC�L� 1acn APPLICATION FOR PERMIT TO >. �..J.:..........1.............. Y TYPE OF CONSTRUCTION ..., .rll.:�)'>".�,...)........ y 6...1..1.):..................................................................................... �. .............................. -JO THE INSPECTOR OF BUILDINGS: _ The undersigned hereby applies for a permit accordingnto the following information: Location ........: 1!c�1 'T ....... g. ....1�k 1 .. �.1.h1. ................................. Proposed Use ...... .s....�_(Y-xl.4 `1. ..................................................................... : ..................................... Zoning District ...............::#................................................:....Fire District ...... ^...��...................................................... Name of Owner z57....1+,��. �� ��,.. ....Address ...... M)..S;s. �-,<� �)��:A*t.(c q . J� .... Name of BuilderYr.�.....�a.... � n-r-^....Address ................................................. Nameof Architect ..................................................................Address ........_........................................................................... II Number of Rooms Foundation ............. ................................... !�1. .. .......... .�.�1s.).�' .! >. ..... �. ................ Exlerior .................................Roofing .... �1. `�!�V ................................................... Floors .......................................................Interior R-uc---, zzz.. . Heating , .... .... ................................Plumbing ......0 ?' .. .............................................. Fireplace5...................................................Approximate. Cost .................................................. ................ '� 1 Definitive Plan Approved by Planning Board ________________________________19________. Area ... 1..©......................... Diagram of Lot and Building with Dimensions Fee ..... ��. GJ . ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH g� zo SZ-° z4 2� 2 t �1 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 ... ........................... ...�.� _ . 4 Construction Supervisor's License .......:......>..... � WENGER, ROBERT A=168-100 Nqa .28467.... Permit for wo St.gry �/ .......... Single Family Dwelling ......•....:.................................................................... Location .,Lot 8, 30...Lumbert. . .... ... Mill Road .... ........ . ... ........ ...... Centerville Owner Robert Wenger .....................................................:.......... i Type of Construction Frame . .......................................... ...... ......... ....................................................... ,Plot ............................ Lot ................................ Permit Granted .......Sep.t...J.0...............19 85, . Date of Inspection ....................................19 Date Completed ......................................19 80 ab r