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HomeMy WebLinkAbout0029 MONOMOY CIRCLE . .. , . 9 � �o�� o �: x a { Town of Barnstable Building Po•"t'�rTe�aU,�nCw:teS4^riril tdF�fiineaaltTeln tcc tiUn,.x>axHmn acgs..xmqB*i se eoRn"eeo MAE& ed' de.eSd��rL,�r,s.e�uec t.h-*„-�BA u P';tpl'ld rom2y,ae;sdh,uP^a ll.a,l..dnwN.,f,s l o M^%t�*'¢ar"bu�es tO bcec a�u"R'e'i�tea.d�,in uendt�ioltk,nea s„JFoinba�al°nIan;d sr-te he"icas t Cioao-r3n,v•d h aM�su:,b?s,6;e�.,,t,%: e� $ Permit eW s .. . ..d T��a , N;4? �,� p,, y� �,q ; M� :. :� �.,.° t M��,• �,�� •,� �� x,p ,� ,� >.a�e,�„�.� ,. ,Ep...,k r.:�, �..... >�. . �. ,,.,,, ..`�„ -� Permit No. B-18-1398 Applicant Name: Approvals Date Issued: .05/08/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/08/2018 Foundation: Location: 29 MONOMOY CIRCLE,CENTERVILLE Map/Lot 190 160 Zoning District: RC Sheathing: Owner on Record: MORGAN BRADFORD S& NANCY M C n'tra for N me=, Framin 1 Address: 29.MONOMOY CIRCLE Contractor License CENTERVILLE, MA 02632 Est Project Cost: $22,000.00 fy _ Chimney: Description: re Permit Fee: -roof and re-side $ 112.20 a Fee�Paid $112.20 Insulation: Project Review Req: � Date 5/8/2018 Final: - �; R5, Plumbing/Gas Rough Plumbing: , Building Official ,. a ten'. Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved appllcationand the approved construction documents for whichFthis permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zomngby7,laws<and codes.. Final Gas: This permit shall be displayed in a location clearly visible from access street o roai`d a d shall be maintained open for public inspect n for the entire duration of the work until the completion of the same. ; , Electrical The Certificate of Occupancy will not be issued until all applicable signatures byxthe Building and ire Officials are:provded n thls permit. Service: Minimum of Five Call Inspections Required for All Construction Work. a 1.Foundation or Footing , Rough: ` 2.Sheathing Inspection ��`- � �•�`% � � -� - �^� �'��� ' 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall.not proceed until the Inspector has approved the various stages of construction. Final: ':.Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 14AY -�3 � b T �Im 18 Town of Barnstable *Permit c,'(� ot'Ir E�Tres 6 months from issue date Building Department N'ee BARNSrA131A ABLE Brian Florence,CBO ao v "'"163 9. a� Building Commissioner 1°rFp Mpl° 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERAUT APPLICATION - RESIDENTTAI. ONLY [q 0 Not Valid without Red X-Press Imprint Map/parcel Number �! V Property Address a ;',� [C}'Itesidential Value of Work$�r OW o Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 11-All aA yV m—w nn /Yo r v a-,-? IJ Contractor's Name �T/ �i1 �Ql,�h Telephone Number g 77C~ ZF® (7 Home Improvement Contractor License#(if applicable) ! 3 Email: 6OYe/<pUdCFJleMail,tv�. Construction Supervisor's License#(if applicable) 10 b 6 - Workman's Compensation Insurance Check one: U-T'am a sole proprietor ❑ lam the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# GI/CC 0 IJ(S C Q 17/1 Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque 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) -side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *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 Nroperty Owner Letter of Permission. A copy of Home(0pr ement Contractors License&Construction Supervisors License is required. SIGNATURE: ` \4 1 C:\Users\decollik\AppData\LocalVv icrosoft\Windows\lNetCache\Content.Odtlook\9NNOKXYW\RESIDENTU,ONLYEXPRESS.doc 09/26/17 COREY &' C -OREY 66 The Roofers 66 OPTIONAL ADDITIONAL WORK: �I , REPLACING BOTH SKYLIGHTS ON THE BACK SIDE WITH 2 NEW VELUX VENTING l/ SKYLIGHTS AND THE FLASHING KITS WILL BE ADDITIONAL------—----------$3,000.00 .9 POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing,Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of S 50.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Scheduled for Completion Within 90 Days of Acceptance and Deposits Received are Non-Refundable After a Three Day Cooling Off Period from the Date of signing. Please Make Checks Payable to: COREY & COREY , COREY & COREY Warranties the Shingles and Labor for 5 years. CERTAINTEED Warranties the shingles and labor 100% for the First 10 Years and the Shingles your LIFETIME if the shingles becomes defective. CERTAINTEED Warranties the Shingles g s up to a CATEGORY III HURRICANE-130 MPH WIND WARRANT. CERTAINTEED Warranties the Shingles to be Algae Resistant for a Full 10 Years. COREY & COREY carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: O 4 . O'2 • I7 ACCEPTED BY: SUB TTED r BRA01MNANCYMORGAN ARME S FARYAN HOMEOWNER(S) COREY & COREY 0� i, COREY & COREY "THE ROOFERS" ROOFING,SIDING&MORE 67 SEA STREET#A4, HYANNIS, MA 02601 PHONE: 508-7.76-2900. SIDING PROPOSAL WORK SCHEDULE: All Siding Work is Normally Scheduled for Completion Within 60 Days of Acceptance and Receipt of Deposit Providing the Materials are Available. Please Make Checks Payable to: COREY & COREY COREY & COREY Warranties the Shingles and Labor for 5 years. COREY & COREY Carries Workman's Compensation and Public Liability Insurance on the Above Work. DATE OF ACCEPTANCE: O 4 , O '� SUBMITTED BY: Aen Safaryan ACCEPTED BY: ) I � JBRAD AND NANCY MORGAN N SYAN HOMEOWNER(S) COREY& COREY V r The Commonwealth of Massachusetts Department of Indusin al 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 Lef6bly Name(Business/Organ ation/lndmidmi): �f m Address: 6 7 sP ce s 4 City/state/?p OGhO►t s 62_ . / Phone# 5_03 — 7 761-2 9 DU Are you.an employer?Check the appropriate boa. �,/ Type of project(required): L3 1. I am a employer with_� 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have worlds' ❑Building addition [No workers'comp.insurance comp_insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. o workers' right.of exemption per MGI °OmP• Y2,[a-Ptoofrepairs insurance required]I c. 152,§1(4),and we have no employees.[No workers' 13.[4$ther comp.insurance required.] *Any applicant that checks box Al must also till out the section below showing their woikers'compensation policy information- 1 Homeowners who submit this affidwi t indicating they are doing all work and then hire outside contractors mast submit anew of tided[indicating such LContractors that check this box must attached em additional sheet showing the time of the sub-couttactars and state whether as not those entities base employees. If the subcontractors have employees,they must provide their workers'comp.policy number.. lam an employer that is providing worriers'conrpetrsation insrrratrce for my erttployees Below is the policy surd job site information. Insurance Company Name: Policy#or Self-ins.Lin-4: 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 tke form of a STOP WORK ORDER and a fine of up to$250-00 a day against the vi later. Be advised that a copy of this statement may be.forwarded to the Office of Investigations of the DIA for• ce overage verification. I do hereby certi r tOf d i ' of p ` ►y that the information provided a bove is tnte and correct Signature: � Date: Phone#: 508'77e"z �y Official use only. Do not write in this area,to be completed by city or town official, City or"Town: Permit/License 0 Issuing Authority(circle,one): 1.Board of Health Building Department 3.Cit}Ilown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#-. ACORV CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/21/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S)„AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 endorsement(s). PRODUCER CONTACT Ashley Paiva Southeastern Insurance Agency, Inc. PHONE (508)997-6061 FAX e (508)990-2731 ac N 439 State Rd. E-MAIL SS:apaiva@southeasternins.com P.O. BOX 79398 INSURERS)AFFORDING COVERAGE NAIC# North Dartmouth MA 02747 INSURERAArbella Protection Insurance 41360 INSURED INSURER B AEIC Armen Safaryan, DBA: Corey and Corey INSURERC: 67 Sea Street INSURER D: Unit A4 INSURER E: Hyannis MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBER:2017-18 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 ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD MM/DD LIMITS $ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE a OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurtence $ 9520046441 03 9/18/2017 9/18/2018 MED EXP(Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: '' GENERAL AGGREGATE $ 2,000,000 X ❑POLICY JEC LOC PRODUCTS-COMP/OPAGG $ 2,000,000 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) ccident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DID F RETENTION $ WORKERS COMPENSATION - PER OTH- ANDEMPLOYERVLIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA A B (Mandatory in NH) WCC50050150912017A 9/18/2017 9/18/2018 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Display Purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ashley Paiva/AMP — ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 onm4nti fv1?ssachusefs Baparimeak of Public Saety � = _Hoarsi of Building Regulations and Standards _ UCsn&e--CSSL-106102 ARMM SAPARYAflf ^y 6T s"zr er Apr A4 Hyxims MA 02m = _ -�' lsfi '�•yyy�-_ Expirafion: Commissioner 101022020 Office of Consumer Affairs and Business R"Wation One Ashbuftn Place-Suite 1301 Boston, Masdm%usM 02108 Home trrProvemeit'Conhractor Registration _ = Types • incraddual _ _ ism ARMEN WARYAN _ - . _ �ic 0911a/2at9 67 SEA ST APT A4 HYANNIS, MA 02601 - - . UpdateAftmssmidfeben=nvL 2MOSM Off1w of CoammWAffds&aukR rwneF IMPFtovlM►IEf1ts r.ONTRACi3pR Re h&affmvAd for bmiIvM"am arty TYP>=lndara b9fteibemspeatlandade- ffftmdmWmtm - Rgc)' on z OIHoe�Constm�imAffsand Rat 10PwkPW%;9uft - l�oq MA 02f16 f UB/A COR&Y;A -bORi?Y.7 SEA '4 AMEN SAFAF�XA'I�= MAKNO,MA 02601-- Undersomifty Not valid vu t6mut Town of Barnsta le *Permit# Expires 6 months from issue date Regulatory Services Fee _ OD Thomas F.Geller,Director ( J#e— Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.tovm.b arnstable.ma.us Office: 508-862-403 8 Fax: 508-7 90-623 0 EXPRESS PERMIT APPLICATION = RESIDENTIAL ONLY j1 Not Valid without Red X Press Imprint ap/parcel Number operty Address D o D �t� 'j V �AA Residential Value of Work Minimum fee of.S25.00 for work under S61000.00 vaer's Name&Address 0. F PS . . % l qU)ntractor's Name � � � 1�` Telephone ATumber • � "� �?a ome Improvement Contractor License#(if applicable) � - '•s-licei�•e-�(zF-zpp�eab}ej Y ��l '7 a`� .. . ... . lworl=an's Compensation Insurance. 2!eI o e sole proprietor W PERMIT ❑ I am the Homeowner SAY ❑ I have Worker's Compensation Insurance o 9 2�07 surance Company Name TOWN OF BARNSTABLE ;orkman's Co_ Policy# I spy of Insurance Compliance Certificate must be on file. :rmit 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/sliders. U-Value (maximum.44) °Where required: Issuance of this pe='t does not exerTt compliance with other town departrnent regulations,i.e. f servation,etc. ***Note: Prop Owner must sign Property Owner Letter of Permission, A c of the Home IMPIOVement.Contractors License is.required. £Z :b 6- GNATURE: Forms:expmtrg nise061306 ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111' www.mass.govldia ' Workers}Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Pleaso Print Legibly Name(Business/Organizationadividual): . Address: City/State/Zip: D Phone A: Are you an employer?Check the appropriate box: :Type of pioject(required):, 1.❑ I am a employer with 4. [] I am'a general contractor and I b. '[]New constructionftmp . loyees (full and/or part-time).* • have hired the sub-contractors • 2. I am a'sole proprietor or partner- listed on�he'attached sheet. 7. ❑Remodeling • ship and have no employees These sub-contractors have $, []Demolition: fox me in an ca act employees and have workers' g Y p city. t. 9. ❑Building addition [No workers' comp,insurance comp,insurance. 10.0 Electrical repairs of additions required.] 5. We are a corporation and its 3.❑ I am a homeowner doing all work . officers have exercised their 11.[]Plumbing repairs or additions ' myself.[No workers'comp. right bf exemption per MGL: 12,[]Roof repairs insurance.required.]t c. 152, §1(4), and we have no 13.0 Other 3� ' employees. [No workers 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, tContractars 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 ant 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: I 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 tip 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 thq violator. Be advised that a copy of this statement maybe forwarded to the-Office of - Investigations of e 1]IA fox insurance coverage verification. I do hereby certi under the pains nd penalties o erjury that the information provided above,is true and correct. Si tore: �`' Date: d1b 01 _ Phone F. ard nly. Do not write in this area, tb.be completed by.city ar town official 4 Town:' Yermit(License# ority(circle one): ealth 2.Building Department 3,City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Contact Person: Phone#: y Information and 11 t�llctl s Massachusetts General Laws chapter 152 requires all employers to provide orkers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the se ce of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership, association, corpora on or other legal entity,or any two or more of the foregoing engaged in a' joint enterprise,and including the legal repre entatives of a deceased employer,or the receiver or trustee-of an individual,p ership,association or other legal tity,employing employees. However the owner of a dwelling house having not mo e than three apartments and wh resides therein,or the occupant of.the dwelling house of another who employs pe ons to do maimitenanee,cc lion or repair work on such dwelling house or on the grounds or building appurtenant th eto shall not because of su employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"eve state or local licens' agency shall withhold the issuance or renewal of a license or permit to'operate a bu ess or to construct dings in the commonwealth for any applicant who has not produced,accdptable evi - ce of compliance 'th the insurance coverage required." Additionally,MGL chapter-152,§25C(7)states"Ne. er the common• althnor any of its political subdivisions shall enter into any contract for,the performance of public• ork until accep le evidence•o.f•camnpl:r*vwith�lie insurance requirements of this chapter have been presented:to th contracting au ority.'• Applicants Please fill out the workers' compensation affidavit comp le ly,by c cking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address(es)an hone er(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Li bility artnerships(LLP)with no employees other than the . members*or partners, are not required to carry workers' comp e- ati insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit a submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pemmit.o 'tense is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the w-or if you are required to obtain a workers' compensation policy,please call the Department at the number list d elow. Self-insured companies should enter their self2ffit2ranC a licease number on the aP P ro riate-line. City or Towp Officials Please be sure that the affidavit is complete'and printed legibly. r e Dep ent has provided a space at the bottom of the-affidavit for you to fill out in the event the Office of Ines gations has o contact you regarding the applicant. Please be sure to fill in the permit/license number which will be ed as a refe ce number. In addition,an applicant that must submit multiple permit/license applications in any giv n year,need o submit one affidavit indicating current policy imafommation(if necessary)and under"Job Site Address"the applicant sho write"all-locations in (city or town)."A copy of the affidavit that has been officially stamp or marked by the em or town may be provided to the applicant as proof that a valid affidavit is on file for future p is or licenses. A ne affidavit must be filled out each year.Where a home owner or citizen is obtaining a license permit not related fo an business or commercial venture (i.e.a dog license or permit to bum leaves-etc.)said perso is NOT required to comnplet this affidavit. The Office of Investigations would like to thank youin vane for your cooperation and ould you have any questions, please do not hesitate to give us a call The Depaximent's address,telephone-and fax number. D ant of Industdal Accidents of TaU'Vesstiptions 600 Washinatofi Stmot B-¢stonx.MA 02111 TO. 617-727-4%0 ext 40,6 or 1- MASS.AFE Revised 11-22-06 Faye#617-' 7-7749 w .mamaovldia �oFIME 1p� Town of Barnstable. Regulatory Services + BARNSPABLE. MASS. Thomas F.Geiler,Director z63q. �0 ]Building]Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 50.8-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, b All G- A,) ,as Owner of the subject property he. Y reby authorize �a � �t„U �� to act on m behalf, in all matters relative to work authorized by this building permit application for: . (Address 4 Job) F ��V E d7 Signatur er Date Print Name `y' R E, • .. QTORMS:OWNERPERMIS SION 6'�ie �o7,>razo.uaeaLCl o� /�cr�oac�uaelza __ .-_ . . e Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Re Fstration; 113046 Board of Buildin Regulations and Standards g g Expiration 5/12/2009 Tr# 129650 One Ashburton Place Rm 1301 . 1,{ IFS= .Y {!.�• iT pe;DA Boston,Ma.02108 y CONSTRUCTION SERVIq',.-- ; ROBERT McCARTERti y `. A } . 15 EVERGREEN DR��%�~:��<�� MARSTONS.MILLS,MA 02648 Administrator Not va 'd without st nature Assessor's office (1st floor): A.L LED IN COMPL1" .;�r-E o THE Assessor's map and lot number, ....... ��..�.`. z 1 H TITLE 5 Board of Health (3rd floor): p Sewage Permit number .... , -.•l�r?` �[. EIS , ,w'fgsWENTAL CODE b,ND ' U i ............ Z BABd9TABLE, i Engineering Department (3rd-floor):. (1N REGULATIONS +oo t639 House number. .......................................... ..... .., ..�...7Tt �Y �0mo, e 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 BUILD116'' INSPECTOR APPLICATION FOR PERMIT TO ..:...�/.I :.�.�./.vW...................:..............................:.............................. ............ TYPE OF. CONSTRUCTION ....:: 1.: ..o.1J.,........ .........�Q. .. .......................................................... .............................. .5...----.....19.:53 TO THE INSPECTOR OF BUILDINGS: The.undersigned hereby applies for a permit according to the following information: yy� Location ...... . .......1. ./...Q. Q..� ..0. ......�1..f.��.'.......C.����PLV.�..�.1.� ...:.... .............................. ProposedUse _. ..............................:................................................... . Zoning District ....:..............................................................`...Fire District .......... Name of Owner •. ......./e� .. ............ � �.:.�. �' �:2.D.�.6.�.N ..Address S � � v Name of Builder ../...�I..JS�. .C..CONVt. c.°....Addressf/l,C�•�i/.,(, .1....5`� .Name of Architect ..................................:..:................... .........Address ........ Number of Rooms ....a�..................................... ......... ......:..•.Foundation ......................................... C.e.Wq. :..«....C_4.< -r...e. ...A<' .. �. .-�.................... ... . : . . Exterior Q.. .,........:......:......Roofing ,�?.... .". . .. . . . .................. , Floors ....r•�.q...... ........ ......:,..............................................Interior ..... .................... rieating . ... ............. Plumbing / F !`.....a.y.......o.'.. ................................ g ��/j .. ... .............................. .. .... . Fireplace ......,N J ........................ .........Approximate Cost ... ....... . Area �('.f�,.... Diagram of Lot and Building with.Dimensions Fee IV© 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 . ..-. a — v:. ' �. MORGAN, BRAD & NANCY Ak 32114 Addition .. No ..................Permit for .................................... :Singl-e' Family Dwelling y Location 29 Monomoy Circle V Centerville Brad & Nancy Morgan : ' ~ Owner " Type A,-Constructionn ..- Frame +......... ................................ ........ v `:: •' ,Plot, ,.:...... Lot_"........... .................. t Permit Granted .......J..0 y =.+2.5... .. ...:19 88 . ,y. Date of Inspection ..:... ..... t, Date Completed ........�� ...............1901 iVI r r _ 'fir r r Y r�` � • - t JI , ,� _ I s • I,O T Z(. col Z • `� �*� �Qa tom. Gr LO'( 28 a�sr i -T- s NO t C-. 'tN I S I N rD Was Tat{ r-Ram FI.A t f7vN G FUR•.. 5M1?1� F MG 4 10AHAN �`ZT` Ivl rOK�MOe.TGA4E puRpos K�Nrr on(