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" - ter `k°' w `'`• T. ..,r, �}, d ,.�, :a. . 41 �+ 'I'v It 07 ` » .>, L .S S `� 'e � ["� �F ..� �..5 r tnr_ .r ,,,e .;.� '" ti f• 3k f' it, 41, tt AA '' U i ... ^,r .{! � - - � -'t� .!< „ • .�,'• � x s to k y I n 4 r � a 5 _ A . - 1 � , e r , y , h Town of BarnstableBuilding t srA Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MA �$ Posted Until Final Inspection Has Been Made. p j t sbg4 ♦ 6i 1 s Where a Certificate of Occupancy is Required,such Building�shall Not`be Occupied'until a Final Inspection has been made. Permit NO. B-19-2023 Applicant Name: . RANGEL, FILIP PEIXOTO Approvals Date Issued: 07/16/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 01/16/2020 Foundation: Residential Map/Lot: 147-099 Zoning District: RC Sheathing: Location: 206 NYE ROAD,CENTERVILLE 1 Contractor Name:', Framing: 1 Owner on Record: RANGEL, FILIP PEIXOTO Contractor License: 2 Address: 63 EAST OSTERVILLE ROAD Est. Project Cost: $8,000.00 s ; i. Chimney: OSTERVILLE, MA 02655 Permit Fee: $90.00 I I Insulation: Description: finish attic to make it the new master bedroom t' Fee Paid:1 $90.00 Project Review Req: SMOKE DETECTOR UPGRADE REQUIRED. NO FLOOR)PLANS Date: 7/16/2019 Final: SUBMITTED FOR ENTIRE HOUSE. NO INSULATION,SUBMITTED FOR NEW WORK. Plumbing/Gas ._ Rough Plumbing: Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after,.issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. t. i nd Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building°a Fire Officials are;provided on this permit. Minimum of five Call Inspections Required for All Construction Work: ` Service: 1.Foundation or Footing h: 2.Sheathing Inspection � .�� Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed"'""""' '- 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy � Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: 1HE BUIIDIAI O 0&%ppli cation Number... ..................... 0 ..... JUA( 20 2019 MASEL Permit Fee........................................other Fee,....................... %639. 110W/v 0FY ARIvS%� Q, ETotal Fee Paid............. .....k-� ............................................ ...... 7��11� TOWN OF BARNSTABLE Permit Approval by... . ....................On BUILDING PERMIT 0M �.�. ......Parcel....0p......... ....... APPLICATION F Section 1 — Owner's Information and Project Location Project Address �?,Cfo NSEL, ZOO> Village (29 otac Q 16wners Name Owners Legal Address—JOG t\)JE:-, L City—J iq State M k zip OZCo 3 L owners; Cell# �'5079 q46 2>0 qq E-mail 14&Nott— G-ppci, Co vv\ Section 2 —Use of Structure Use Group— ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single Two Family Dwelling Section 3 — Type of Permit F-1 New Construction E] Move/Relocate E] Accessory Structure E] Change of use El Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm Rebuild El Deck Apartment ❑ Sprinkler System Fj Addition ❑ Retaining wall ❑ Solar V F-1 Pool Renovation El Insulation Other—Specify Section 4 - Work Description, Last undated: 11/15/2018 Application Number...i.....♦............................................ Section 5—Detail, " Cost of Proposed Construction Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage ❑ Smoke Detectors -� Plumbing ❑ Gas a Fire Suppression ❑ Heating System ❑ Masonry Chimney O.-Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes kNo Section 7—Flood Zone I' Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ ,Yes ❑ No Last updated: 11/15/2018 The Commonwealth of Massachuseft Department of IndustddAccidents 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 Name(Business/Organization/Individual)• J Ij PAtv GL� 2 Address: City/State/Zip: CEO,)� U,l O�Phone M 50 0 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. ❑ I am a general contractor and I 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. T ZRemodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor mein an capacity. employees and have workers' Y aP tY• t 9. ❑Building addition [No workers' comp.ins>ance comp•insurance. rm.ed.] S. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.El Plumbing repairs or additions myself[No workers'comp. right of ekemption per MGL 12.❑Roof repairs � c. 152,§1(4),and we have no� insuaance required.]t 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. tContractors 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: /'f UVA) Policy#or Self-ins.Lie.#:7i1t"V r `7 09 i Expiration Date: ! f b 010 �d� [W l,�L f U 1 City/state/zip:/State/zi cedaf (� �C. : —61 Z Job Site Address• � tY P� 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. 152can 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 instuance coverage verification.' I do hereby certify er. Wallies of perjury that the information provided abTlz� is true and correct Si /I Date: Phone#• OP wl �509 y4G �o-P� ' Ofj`Ycial use only. Do not write in this area,to be completed by city or town official a. City or Town: Permit/LicenseiI# 1 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Me trical 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 iii 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 entity,or any two or more of the foregoing in a joint enterprise,and including the legal representatives o a deceased employer,or the receiver or trustee of individual,partnership,association or other legal entity,em Dying employees. However the owner of a dwelling ho having not more than three apartments and who resides erem,or the occupant of the dwelling house of another ho employs persons to do maintenance,construction r repair work on such dwelling house or on the grounds or boil ' thereto shall not because of such em yment be deemed to be an employer." MGL chapter 152,§25C(t7 also that"every state or local licensing a ncy shall withhold the issuance or renewal of a license or permit to pemte a business or to construct b tugs m the commonwealth for any applicant who has not produced a eptable evidence of compliance ' the insurance coverage required." Additionally,MGL chapter 152,§25 7)states"Neither the commonw nor a�of its political subdivisions shall enter into any contract for the perform ce of public work until accer a evidence of compliance with the insurance requirements of this chapter have been p ented to the contracting a ority." Applicants Please fill out the workers' compensation affida 't completely,by ecking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),ad (es)and phon numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or L LiabiI Partnerships(LLP)with no employees other than the members or partners,are not required to carry work comp lion insurance. If an LLC or LLP does have employees,a policy is required Be advised that this vit y be submitted to the Department of Industrial Accidents for conformation of insurance coverage. Also to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the or license is being requested,not the Department of Industrial Accidents. Should you have any questions the law or if you are required to obtain a workers' compensation policy,please call the Department at the min er ' below. Self-insured companies should enter their self-insurance license number on the a line. City or Town Officials Please be sure that the affidavit is complete and printed 1 gibly. T\PDartment has provided a space at the bottom of the affidavit for you to fill out in the event the Office f Investigto contact you regarding the applicant.Please be sure to fill in the permit(license number whic will be useasare \and ber. In addition,an applicant that must submit multiple permit(license applications' any given year,needit one affidavit indicating current policy information(if necessary)and under"Job Site ddress"the applicantite"all locations in (city or town)"A copy of the affidavit that has been officially ped or marked byr town may be provided to the applicant as proof that a valid affidavit is on file for permits or licenseaffidavit must be filled out each year.Where a home owner or citizen is obtaining a li e or permit not relainess or commercial venture (i.e.a dog license or permit to burn leaves etc.)said p on is NOT required e ' affidavit. The Office of Investigations would like to thank you advance for your coond sho d you have any questions, please do not hesitate to give us a call. - The Department's address,telephone and fax numb The Co awealth of Massachusetts Degarkn of Industrial Accidents e ofI,nvestigations Q Washington Street Boston,MA 02111 Tel.#617-72 900 ext 446 or 1-877-MASSAFE Revised 4-2¢07 Fax#617-727-7749 www.maw.gov/dia 'lawn-ot.jarasLame $wilding $eparf�aent Services Brian Florence,CBO IM °f Building Commissioner 0 T : 200 Main Street, .Hyannis;MA 02601 RLSayS�LFLra f www. ownbarnstable-M51-us Fa x: 508-790-6230 Office: 508-862-4038 HOYMOWNER LICENTE EKEMTtON ` I'ZI �S✓ �1 4, PicasePriat, . DATE:— nn ( 1( / AA e�rrrr yf � ! �Q�`,�UOII.L • 30BLOCATIw,� VMagc .� ncmmbcr 0 "aoME0WIUW: wad uric# Hama home phi# - -+ �• . CII1?2%1TMAiLINGADDRESS:� zip code The dent exemption far"homeowners"was extended to include owner-occIIpied'dwel7inas 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- DEFD=0N OFHOMEOWNIER persons)wha owns a parcel of land on which_helshe 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•stvctures. A person who constructs more than.one home in a two-year period shall not be considered a homeowner. Such"homeownee,.shan submit to the Smldmg Official o S action acceptable to the Building Official,that he/she shall be responsible for all such work perfn�ed under.the bmldine permit_( The undersigned"homeowner"mssumes responsibr7ri'y for compli nce with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that the understands the Town of Bamstable Building Department minimum inspection -procedur c ents and that he/she will.coImply vrith said procedures and requaemenis. S1 rfi Approval ofBw7ding Official Dote: Three-family dwellings conte-m�ing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 ConstructionControL HOMEOWPIEH'SRxnrPTION 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 215).T'his lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot would with a licensed Supervisor. The homeowner acing as Supervis proceed against fhe unlicensed person as it or is vis ultimately responsible. i 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 this issue is a form currently used by several towns. You may care to amen adopt such a formlcertification for use in d and your community- Q:\GJPFl-ES\FORMSkbuiiding permit frnmsk=RESS.doc 08/16/17 _. _ - _ Town of Barnstable Building Department Services =Asxsraas Brian Florence, CBQ u�aa Building Commissioner eo rub 200 Main Street,Hyannis,MA 02601 www.town.hamstable.ma.us Office: 509-862-4 38 Fax: 508-790-6230 Property Owner Mu t omplete and Sign This ection If Using A Btzil er as Owna of the subject property heteby authorize _ to act on my behalf; in an tnattets relative to'work authorized by this ding permit application for. (Address of J ) . **Pool fences and alarms ate the re onsibili\is.�inseci cant Pools are not to be filled or utilized be re fenced all final inspections are performed and cepted. Signature of Owner Signatare of A pp1lcant . Print Name Print Name Date Q:FORMS:owNMB RMIS 8I0NP00LS Rev:08/16/17 Property: 206 Nye Road, Centerville, MA 02632. Fire Alarm Total Height/head room: 7.5 ft Proposed Insulation: Ceiling: R-49 Wall: R-15 Lauzon, Jeffrey From: Lauzon,Jeffrey Sent: Wednesday,June 26, 2019 8:59 AM To: filiprangel84@gmail.com Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-19-2023 Applicant, Please be advised the above application has been reviewed and the following is noted: 1) No floor plans submitted for entire house. Mandatory smoke detector upgrade required with the creation of new bedroom.Smoke detectors to be shown on floor plans. 2) No insulation submitted for new conditioned space. The application is denied pending the submission of the required documents.And, if aggrieved by this notice;you may file a Notice of Appeal (specifying the grounds thereof)with the Building Board of Regulations and Standards,within forty-five(45) days of receipt of this notice. Respectfully, Jeffrey Lauzon Chief Local Inspector (508)862-4034 Jeffrey.lauzon@town.barnstable.ma.us i 9 q Application Number........................................... Section 9- Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption h Home Owners Name: Cg- Telephone Number_�OS �� ��� Cell or Work Number \-JJS O �a I I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachuse State Building Code. I understand the construction inspection procedures,specific inspections and (documentation re q ' ed by 780 CMR and the Town of Barnstable. � ,Signature Date APPLICANT SIGNATURE Sia Date 6/9�-201qtr U / Priftt ame ' //PTelephone Number 1zgAh'59-61, p� -CC) m E`-mail permit to: I ( (l�N(r �r-(�YlGlr y Last updated: 1 IM/2018 Section 12 —Department Sign--Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval, Section 13— Owner's Authorization i L , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name Last updated: 11/15/2018 SMOKE DETECTORS REVIEWED N T B E g ILDINGPT. DATE l o o FIRE DEP �Ee - MENT DZ 90TH SIGNATUR ARE REQUIRED FOR PERMITTING ®�� �� �s QDS { E �Y �; lrfj 'I 1f �. tl I. E I t f• Y� NUJ �� , a 4,. g. t oo r G�►A NCrE fj q t i 1 11117I/y --------------- L -I- i yy UPGRADE REQUIr i � u C G OF f 37AC4 Up CS,"lr, J�;t rC'-t111;t C� PF� ' IhWHEN ' r Dr CEC(r_tiFtS f f�i TFIF Etd(-A FCD, �P.LOED�CREW - Ot4E OF~;PAC?ECE.�!fEFIt�U Ai'iE:s�;AF'� a �J oa M Ft'yfff �S ;�~^Q�J`:?� FOR THE _ v, „ATF f' E eLECTAJCAt. Nol E, A SFPA I I1d57At..t1(fl!�ti OF SP,4,'r'E C,E VE iCA'a"T' PE( F!T La �rT ;_ai 3r'(THIS RFwsJ!f;L:�CPIT. .. ` s _21 r`) , s I I - j !a. Unfinished Basement /oa- l �• t J °'� � , �, :� I - ` Town 'of Barnstable *Permit# Ex�tres 6 months from issue date Regulatory Services }r Fee r • pq /rye]] _ fA>ZNSrASLE 1Mass Richard V.Scali,Director Building Division DEC 0 0 2016 Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02�60°il*l OF PIi www.town.barnstable.ma.us tll►- E Office: 508-862-4038 Fax: 508-790.-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number P--ro ep rty Address) �0 nP i✓c� Zb , C C fC V l� I�i� 0 G 6 9 Z�- ❑Residential Value_of Work$ ��0 - 00 Minimum fee of$35.00 for work under$6000.00 ,kOwnerrs Name&Addresses AIC-6 Contractor's Name n/ �' Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole propnetor Iam-the-Homeowner have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(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 �Q iGA GV [t�ReplacementiWiridows/doors/sliders-U=Value -(maximum .32)#of windows by AN DRX)60 ,� #'of doors: 1 ❑ 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. I ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is uired. SIGNATURE: Q:\WPFILES\FORMS\building permi orms\E RESS.do 06/20/16 U 1 The Commolr7t7e ikh qfManachuretEr Deponhwaut&frndvsb ia1 AcClJmt - Boston,MA 02HI , • tpFVti�Tl1Q��XV�l�iR • Workers' C ensa Ins7xzce ffidzv :Bu ildex-dCnntractars/Fledrk au&iPhumhers Applicant Informpfirm Please Print cN roe-(H l `Y 12A Al�r � r � .�.� D t 0Z& 'o ,fkLsMtel �i W (/ `11 Phone Are you an employer?:Qreckthe appropriate box: �� Typc of project(require* L[],lama 1 v.*ith 4 ❑I am a gesreral coatiactor and I Y❑ employees(full for part-ime * lnve hired i fie sub•comtmdors 6f Ides o oa 2.El am a sole proprietor orpartuer- fisted on.the attached sheet rf�. Elsip and have no employees These sub-contractors bate 8. ❑Demolition wod'zing forme in any employees andhave ViCdC s' ' 9. El Burp ad3ifiou LI4 odmm'comp.r�nrame comp.%.,crtratArp I .K� �, 5. ❑ We are a cotparativa anal its lO_❑Electrical repairs or adddions (37 I am.a I omeoumer doing all work officers have exercised ti 6ir 1L❑Plumbingsepaizs or addSiioas i' of on per MM— mysel€[No worlaets'oamF- ugh h F L.❑Ito ofrepairs c.I52, I andwe have no ��� �, rid j Y § ( 1 13.❑O ther employees_(No wormers' � cam-msmanwe ) *Any zW iczmt&zt checkssboa R mast also fiIIo¢�th�sectioab�iow�asriag theawadce��peasafi�*+*peTicgi�o�msaa� # eonruers�rhosabogtdtis�dae iv g6neyazedain�slEwadsadtfien]�autsidocv�cWts�ctMffamit1nemaffida-dt1"dies6nasacb_ fCo izt check t1ds beat must&ttRr1x in additiamsl sheet sbndng then—of 0se and state whether armatt wrie emtitieshn-P employees If the avb-camtmda hm empIoyws,theymmstpmrldetbea srodmn*c=p.pGhU m nilser- I am an euipLgw that is prauiitirtg ivarkers'congwLsadmi hmarance for my emp&nFwm Setow is iifie paUcy and job rife i zfbrnxatiart # ' Insurance Company Name: ' Poficy or Self-itsIic_ lmpiratiouDate: Job Me Address: f r a cityl5tate zipl Attach a-copy of the workers'carapensationpolicy dedEaratian pap(showing the policy mrmber and expiration(late). . Fail:=to secure coverage as required under Section 25A o€MQ,e.1 572 can lead to the imposidon of crimistal penalties of a fine up to$UOaOD andlor one y6ir impsisonment,as.w611 as civil penalties in$ie form of a STOP WORK ORDER and a fm.e of up to$250_00 a day against the violator- Be mh ised that a copy of this sbdement may be fnrwarded fin the Office of Irry ns of the DJA for insurance covets , Ida Ireraby, csrlify n aj` ' rp fhatfhe in,farwraffvaprovi&dabmw is true and correct ?lu}ae. 7 0 0ro - -- t),daZ use wily. Do not write in f#ds area,to be cmnpleted by city artann ajokfizE 4 _ My or Town: Pmmiftff.Acense;g Lwuing Autiiarity(dcle one): � I L Soared of M21.& I.BmIffing Deparlmeat 3.CAylrawn Ckxk 4.Electrical Inspector S.Plu mlz ng Inspector Ci.Mier Contact Person: Phone#: 6 hiformation, and Instracfions Mk&-.:M�etts General Laws ChBPtMr lu rmloirw an empIoyers In provide worts'campMSEton for fheg employees. PMMM-Mttn this sib,an anplayee is defined as=every person in ihO SCXViCe of another under any confract ofhu-e., mq ress or ia3pHDd,oral or WEhMf An employer is defined as"era individual,partnership,assorieiian;Corp or ofhea legal eut�y,or any two or more of the foregoing engaged is a joint use,andinchiding the Iegal of a.deceased employer,or isle receiver or trastee of an iUH ideal,partners Jp,associefion or ofherI entity,employes employers- However the own=of a.&mIling house having not mote�fhree apart new and resides fheae m,or the occupant oftbe - dweJIing house of another who employs pess�s to do maintenance, an or repair work.on such dwelling house or on the grounds or bmld'mg appurfEna�thereto shall not becanse sack employmed be deemed to be an employs." MCA chapter If;2,§25C(E]also that¢e°Pery sfafE or 10=1 agency shaII withhold$ere issaance err renewal of a ticeuse or p ."to operate a business or fx co ctbuildings in the commoawealth for any applicanf:.who has notprodn acceptable evidence of coin ce,with the hmurance-covexage required." Additionally,MGT-Cbaptcr I §25CM states Neither the nor a'ay of its political subdivisions shall enter into any Contra.et for the p ce ofpublio wodc acceptable:evidence of compliance with the ins�ce.- r�m is of this chapter have era prese ed to fhe anfhozity." Applicants - PIease fill opt the wodC W Compensate affidavit co Ietely,by g the bo5ces t apply to your situation and,if necessary,supply sob-contraCEor(s)namets address( and phone mnnber(s) along with their ceaiifrcate(s)of insurance- Limited Liabflky Companies(LL or Liability'Peituesshrps(LIP)wiffi•no employees other than the members or paortne:x4,are not regzmed to cany ric c�ensafion irFar�v ca- If an LLC or LLP does hate employees,a gt�.policyisre Beadvisedfhat affdayitmaybesabmiftedtatheDepmfinentof Iudustrial Accidents for confnmaiion of insurance coverage. a be sure b sign and date the afdaTiL The affidavit should be mtrmmed to the city or town that the applicati for permit or license is being requested,not fhe Department of J n T 1 A ccidmts. Should you bane any the law or id:you ai a rcqui ed t3 obtain a worlmrs' compen ratio„policy,please call fhe Depmfm the numb lisrd below: Self-insured companies should enter their s elf-;T,mr ce license mmnber on far, Ime. City or Town Officials Please be sore that file affidavit is complete priled legibly- The epar[menthas provided a space at the bottom of the affidavit for you to fll out in the event Office of Inv has to co�rst youmg the applicant_ Please be sure to fill in thepenaiYlicense which will be used a.mf:v cenIImben k-addition,an applicant that must Sabm,,L muht pjo p�Jlicease apply in any given year. only sabmrt one affidavit mdimEng eosent policy information(if necessary)and IIndPa`Jo Sife Address"the ippl should write"all locations in (may at copy of the:-affidavit that has been o sfampe d or mazlced the City or town maybe provided fn the - applicant as proofthat a valid affidavit is on fiI for balm perm s or licens A new affidavitmust be fIled out each year.Where a home owner or citizen is o a license or permit not to any bn s or commercial (i.e.a dog licxnse or permit to bum leaves etc_) person is NOT rU10 red complete this affidavit The Office oflu s would lTketo. you.in advance for your coop and shouldyon.hav'e any questions, please do not hest to give us a call. The Deparfinemfs address,inlephame and fax ea: c;)f �y MA Oil11 T�L 4#61 -4 mt4€16 car i—M-MASS � Fax f 7 727'74 xovised.¢24--07 �VE Town of Barnstable Regulatory Services ` Richard V.Scali,Director1639. - ► Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 Property Owner ust w. Complete and Sigruilder his Section f If Us' A I , as Owner of the subject property hereby authorize to act on my behalf in aIl matters relative to authorize by this building permit application for: (Ad ss of Job) _ R y M C **Pool fences and alarms the r onsibility of the applicant Pools are not to be filled or, ed befor fence is installed and all final inspections are perfo ed and accept Signature-of Owner Signature,of Ap . cant 4 Print Name Print Dame Date QTORMS:OWNERPERMISSIONPOOIS Town of Barnstable Regulatory Services �T Richard V.Scali,Director Building Division > . t Paul Roma,Building Commissioner MAM 639. &�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 r �l HOMEOWNER LICENSE EXEMPTION DAT�E (� v -26,lb Please Print. p JOB LOC 6ATION: C,{G V V� IC.ID '-"`,q toy number Istreet village �loi owi ^: ri I,a PAN 50 & s2oq 4 T- b name I home phone# work phone# tCURRENf MAILING_ADDRESS? 1(J� � O.�T4W I Lf-- 7-0 0<,T-F-2vI't« MP- 0t6qT . city/town state zip code The current exemption for"homeowners"was extended to include owner-occugied 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 unders' ed"ho owner"ce es that he/she understands the Town of Barnstable Building Department minimum inspection procedur is and /"she will comply with said procedures and requirements. SSignature of Homeowners 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." t 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFELES\FORMS\building permit forms\EXPRESS.doc 06/20/16 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application f Health Division Date Issued � ' ��Y Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/Hyannis r Project Street Address Ny , Pi Village LL\AAQfVlMi, A Owner i? apNu-c-, Address 5Rme Telephone Permit Request L e&i�(1NU ZS fleD 12ooVA ;Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Tot new Zoning District Flood Plain Groundwater Overlay' W Project Valuation 500,ao Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting cldcume t tion_ t' rrs Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1 Telephone Number 5-0 g 3� o Address 40� License# VA(�_ OZr _%Z Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE - DATE kliaoM r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. s r, r: ADDRESS VILLAGE . F OWNER DATE OF INSPECTION: FOUNDATION FRAME _ INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE;CLOSED"OUT ASSOCIATION PLAN NO. 27W GammompmUk afMassachuseits Office rr,f estigations 00 Wkyylringt=Street r .datttan,MA 02H mom aaamgavIdia Worke& CGmptnzsation Insurance Affidavit Builders/( ontra:ctursMectcicianMumbers Apple-ant Information s Please Pant Le ibis Name anineWOiganinfimf hEd&4: G-rr �1( 14NkL Ad't3ress: .�{� N�E ` a 2h3 CityfStat&Z p: Cg vt fe r vi t(� Phone 9 SO (0 Aire you an employer?Check the appropriate bozo Type of a acm " r . �tri fractos and I project{���� L❑ I am a employer with 4 � I a 6- ❑New suction employees{full anrllarpart#ame}. * have hire&the mb-conbactom 2❑ I am a sole proprietor orpartner- listed on the attached sheet 7. ❑Remodeling strip and home no employees These sub-contractors have &. Demolition. vnd ng for me in.any capacity employees and haw.wodcers'. 9- ❑'Building addition [No workers' camp.i=ranee comp-insura�I - regaired] 5_❑ We area corporatim and its 10 0 Electrical repairs or additions 1[ I am a homemner doing all work officers pace e=rdsed their 11-0 Plumbing repairs or additions myself [No workmrs'temp. right.of eimmption per MGL 12-0 Roofrepairs htnuanee require&I t c.152,§1(4�and we hime no e�rployees_[No wores' 13_❑Other camp.inmwmce,required-] *stay agp�t that checks boa-1 amut also i�out the sectionbelow shDwkg their�Ca ns'could stion policy i linmeaarnets er}us submit this sfhdapiR iodic they ate doing alI�rc�k anti 4ien hiia outside cogttacros mns#smimit a new sffid3vit indirstin such_ 1CantER a thst r'beck this box most zttacbed su arlaw osl sheet sbvpdng the nee of$ie mb-- c and state uhp*er mmot those eiIIies hive emgltryen If the sub-t tmctam have employees,they nest provide t Ax warps'comp policy number. I am an ernplr�yer that ispra iiditrg Yorkers'congwnsation inrurarnce for my ampFuyrzas Seionf•is thegoiicp erred job site information- Insurance CompanyN me: tt Policy#or Self ins.Lim ` / ExpirationDate: Job Site Address + 5 t City/State/Zip: Attach a Copy of the wGrkers'compeasathm policydedar'ation page(showing the policy number and expiration date). Failure to secure coverage as regtriredunder.Section 25A of•MGL c. 152 can lead to the imposition.ofcriminal penalties of a fine up to$1,500.00 and/or one.yearim ns t,as well as civil penalties in the faffi of a STOP WORK ORDER-and a fine c3f"up to$250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of. Investigations of the DIA for insurance coverage vmdfication_ I do hereby cer* .ceder Eha an penalties afpedury that the i of ormatian prmriiLed a �r017� correctBate � i f trial use andy. Do not write M thiF arert,tnis camp£eted by c 0 or town ofj4ciaL City or Town:. PerruiffAcense# Issuing Authority{circle one}: L Sward of Health 2.Building Department I CityHowrn Clerk 4.Electrical hmpBctor 5.Plumbing Iaspectur 6.D&er Contact Pecsan: Phone#- 6 Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an mnployee is defined as"___every person in the service of another tinder any contract of hire, express or implied, oral or written An employer is defined as"an individual,partnership,associatio corporation or other legal entity, or any two or,more of the foregoing engaged in a joint enterprise,and including the gal representatives of a deceased employer;or the . receiver or trustee of an individual,partnership,association or er legal entity,employing employees. However the owner of a dwelling house having not more than three apartm is and who resides therein,or the occupant of the dwelling house of another who employs peisons to do maint ce,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not b ause of such employment be deemed to bean employer." MGL chapter 152, §25C(6)also sus that"every state or I cal licensing agency shall withhold the issuance or renewal of a license or pe 0.ait to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of ompliance with the insurance.coverage required." Additionally,MGL chapter 152_� 25C(7)states"Neither commonwealth nor any of its political subdivisions shall enter into any contract for the pen ante of public work tit acceptable evidence of compliance with the a-isu-ance requirements of this chapter have be resented to the co tracting authority_" Applicants Please fill out the workers'compensation affida t comp etely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),addres es) d phone number(s)along with their cen ilficate(s)of insurance. Limited Liability Companies(LLC) or L' Liability Partnerships(LLP)with n.o employees other than the members or partners,are not required to carry workers' ensation insurance- If an LLC or LLl' does have =; employees, a policy is required Be advised that this affi maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage, Also be su to sign and date the affidavit The affidavit should be retlnned to the city or town that the application forth permit o tense is being requested,not the Department of Industrial Accidents. Should you have any questions re ding the Ia or if you are required to obtain a workers' compensation policy,please call the Department at the n ber listed be Self-insured companies should enter their self-ins rancE license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed le ly. The Departm\afffidavh rovided a space at the bottom of the affidavit for you to fill out in the event the Office o vestigations has tou regarding the applicant Please be sure to fill in the permit/licease number which be used as a referb r. In addition,an applicant that must submit multiple perm:itllicense applications in an given year,need oit o affidavit indicating current policy information(if necessary)and under"Job Site A s"the applicant shte" ocations in (City or town)."A copy of the affidavit That has been officially ed or marked by tr town y be provided to the applicant as proof that a valid affidavit is on file for future p is or licenses. ffidavit m t be filled out each year.Where a home owner or citizen is obtaining a license o permit not relatebusiness or mmercial venture (i.e,a dog license or permit to burn leaves etc,)said person is TOT required to complete this affidavit The Office of Investigations would hke to than you in advan 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 Commn m aTth Q assachusetts Depaximent Gf Inds Accidcuts OfRce of lka esti..g� ' S Wo W4,S�7IT1<tan Str�el ��s�on,IAA Q�l 11 Ta A 617 727-41,1Q0 W 406 or 1477-MASSAFE Revised 4-24-07 . Fax#617-727-7749 amass -dia f Regulatory Services �dr ro�y� Richard V.Scali,Director F ° Building Division t sAxrrsrAsra Tom Perry,Building Commissioner 9� 1619. ��� 200 Main.Street, Hyannis,MA 02601 QED www.town-barnstablema.us Office: 508-862-4038 Fax: 508-790-6230 / HOMEOWNER LICENSE EXEMPTION rO/ �/ p//, P(ease Print DATE: / (/ / /`".� /' I JOB LOCATION: l`l In - �O ( ,Q�f2l y 1 �l F—' number/ Sl=t village "HOMEOWNER":___G�11Y ly'>� �n(�-," ` ^y name hom phone#. work phone# /r � ^ ° I CURRENT MAII.ING ADDRESS: �;U l!� Nf � C$✓�.�-Q✓�1/V I I il(�_. . tAAA 67z�3Z cityAown 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` ome caner",certifies that he/she`understands the Town of Barnstable Building Department minimum inspection proced s e e is and that he/she wiH comply with said procedures and requirements. Si of omwvmer Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger w-M 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 shaU be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a persons)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 2.1S) 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 fuIIy 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. Q:\wPFILES\FORMS\building pemut forms\EXPRESS.doc Revised 061313 I o�T"Eti Town of Barnstable Regulatory Services • RAIMSABLE. MASS $ Richard V.Scali,Director i639. 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 ust Complete and Sign- 's Section If Usina A B ' der - - L , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Pool fences and alarms are th responsibility of the applicant. Pools . are not to be filled or utilize before fence is installed and all final inspections are performed d accepted. Signature of Owner Signature of Applicant Print Name Print Name Date QYORMS:O WNEUEPWSSIONPOOLS -= SMOKE DETECTORS ,REVIEWED , � 37 r 1,7/,y iA APIs rr.Bl.c BUILDING DEPT. DATE � u FIRE DEPARTMENT. DATE j ? BOTH SIGNATURES ARE REQUIRED FOR PERMITTING F UPGRADE REQUIRED THE ulr�c of STATE BU,Uk,�G C- e LLING WHEN A CL .,: DFTECCORS FGR THE ENTIRE C ONE t P�OEiE SLEEPiPdG tif':E`!S ARC ADDED.L CREATED 9� NOTE. A SPRPTF P R tFf IS RETW. !RED FOR THE ' ON OF SMOKE DETECTORS-THE ELECTFJGAI INSTAL.LATf,,. PERMIT 0-F-S 0 T SAf!SFY THIS">E�JIhEtAE�IT. �.f s �„ �Y.✓. :°j�,,s�,�S%fir�dJ .- • 0 � ri m �1 N blol . 6 F 7(Ln vo 4 G!�:, }� rr --------------- a \ r y ' N s 6K '7 Town of Barnstabl y� Wpj OF k '��,,� Regulatory Services !: Thomas F.Geiler,Director An $ Building Division 1639. ►`�� Tom Per Building Commissioner Perry, g 200 Main Street, Hyannis,MA 0261f.4 www.town.barnstable.ma.us Office: 508-9624038 MI Fax: 508-790-6230 PERT#'o/� E: $ SHED REGISTRATION 200.square feet or less Location of shed( ddress) Village Property o er's name Telephone number X _ Size —of Shed Map/Parcel# Signature ate Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission`(signature-is-required) Sign off hours�for Conservation_8:.0.0-9:30&'I 30=4:30; PLEASE NOTE: IF YOUARE 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:05201 �66 5 6 , o LOT: ,21E 672 63 03 cfl LOT W 671 ZVI + 5.0 cn 5.5' 17.5 41 O - Q) f-. 38.0' 28.0' \ 00, S851054"W LOT 673 LOT 670 i FLooD zoNE "c'"_ FO UNDA TION CERTIFICA TIONREs ZONE.- : "RC"_ TOWN: BARNSTABLE SCALE.•1"—30' PL.REF.•386 94 ELEV NSA I CERTIFY THAT THE ABOVE FOUNDATION IS LOCATED ONNT�� �, � YANKEE SURVEY CONSULTANTS THE GROUND AS SHOWN, AND s'�;ti pate 143 ROUTE 149 P. 0. BOX 265 ITS POSITION DOE'S' � . � �;. CONFORM TO THE ZONING LAW MIrr!T NEVv 4 MARSTONS MILLS, MASS. 02648 SETBACK REQUIREMENTS OF �'° 320S0 a TEL:. 428—0055 _ a;c, 'I)- r.^� �J FAX.•.' 420—5553 _BARNSTBLE — — ----- � � t ,'r JOB PA UL A. AlERIT11E.W DATE. , 9Z92 NUMBER 166.5 6 o LOT � 672 �63 � o LOT 671 5.0' 5.5' 17.5' ti W 11 J CJ� o� o � ` 38.0' 28.0'. �z LOT 54 W_ 58510' " 150. 00 673 i LOT 670 FLOOD ZONE "c"_ FOUNDATION CERTIFICA TIONREs ZONE.- "Rc" TOWN. BARNSTABLE SCALE.•1"=30' PL.REF-386 94 ELEV N�A I CERTIFY THAT THE ABOVE FOUNDATION IS LOCATED ON THE GROUND AS SHOWN, AND ,�� °F "''ss�� YANKEE SURVEY CONSULTANTS IT'S POSITION DOES _---- A. PA�UL ti��� 143 ROUTE 149 P. O. BOX 265 CONFORM TO THE ZONING LA WF��Tr!Ew MARSTONS MILLS, MASS. 02648 SETBACK REQUIREMENTS OF 9' �!o. 32098 ,o ' TEL: 428-0055 _ FAX 420-5553 — �ARNSTBLE__--- � n�n:'�. JOB PAUL A. ERITHEW DATE. -29192 NUMBER_50127 Assessor's office(1st Floor): mr 1p c 9. Assessor's map lot number �� � sepri �® /� THE t0` Conservation Board of Health(3rd floor): �' n �� plT AU ITADL Sewage Permit number IV®� ua Engineering Department(3rd floor): "� House number s r 3: Definipve Plan'Approved by Planning Board APPLICATIONS PROCESSED 8:30-9.30 A.M.and 1:00-2:00 P.M.only r' TOWN -• OF , BARNSTABLE BUILDING I1SPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION AAARc1a /Z, 19 yZ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Z-o i- /- f\! I2eo.40 Proposed Use 5 1 w-_c r FA AA rL v RL-f-sr t7x-Ale-Lr i Zoning District yr-NT-1 141_ Fire District l rCi\[tF� II I Name of Owner, A,1I F N -5MRL- Address O• G6 "3(� /�N tl`rz U,LLG Name of Builder 13"1L�,y Gc�M-12141\0( Address�d. ( � �o���/�FIVtr ycL�t= /V\(q Name of Architect LV A Address D\G/ Number of Rooms / Foundation �o U I?L© Gcs tV _ 2 r--t-F Exterior E D 1'}R S i N6 D Roofing - p 5 P H flLr Floors 2QE1-- 4 V I WAIL ya aL\ [VooP Interior RLuN 13,06I2 PI'' 2/_/- 5r4 Heating F 146 — G•` 5 Plumbing P/Z-lc Yeo Fireplace Approximate Cost Z; man> Off^`- l/ L7 Area a Diagram of Lot and Building with Dimensions Fee O 00 ��rr z� 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 Construction Supervisor's License �J d L1641 ; SMALL, ALLEN 9 �. No 35068 Permit For 112 Story Single Family Dwelling Location Lot #671, 206 Nye_ Road �. - t Centerville _ Owner _AllenSmal1 i Type of Corstruction Frame cu Plot i lI 1 --Lot oc- I rr 4�S 7 2 + Q Permit Gran3ed May '19 , _ 19 ` r ! III .Date of Inspection _ ' 19 Date Completed 19 ; f O,v , "�, fig• �' � n, r '.j 1 � rf�I 1• a - _ s TOWN OF BARNSTABLE 35068 Permit No. ......:......... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash i619 ` - X �a4+' HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to ALAN SMALL Address lot #671 206 Nye Road, Centerville USE- GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. June 25 92 .. .... .... .............. . 19................. .. . Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized .by BuildingPermit #._._..... a.� "-------------- ............... ..... .... ........ ...................................».. issuedto ......_............ ,.... :A ................ ......... ...... .... .,. ....................................._. . Please release the performance bond. IMP " NSTABLE, MASSACHUSETTS B U I In.S I N G 'PERM U -099 May .19 92 DATE 19, PEF�AQI,T NO__ • • ANT Ross Building Company ADDRESS ox .} enterV1,11k, (NO.) (STREET) - (CONTR'S LICENSE) .:PERMIT TO Build dwelling (1 ) STORY Single family dwelling NUMBER UNITS' l OF (TYPE OF IMPROVEMENT) NO. (PROPO'SED USE) DWE .. AT'(LOCATION) lot #671 206 Nye Road, Centerville ZONING RC DISTRICT -' (NO.) (STREET) BETWEEN AND (CROSS STREET) p. ,-(CROSS STREET.) - e LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT. IN HEIGHT ANDSHALL.CONF.ORM IN.CONSTRUCT I TO TYPE USE.GROUP. BASEMENT WALLS OR FOUNDATION . . (TYPE) REMARKS: Sewage #92-101 BOND AREA VOLUME �6AS. sq. ft• S3,:000. PERMIT 80.75 ESTIMATED COST FEE - (CUBIC,/SQUARE FEET) OWNER Allen Small t Box 5 entery le, t j BUILDING DEPT. ADDRESS BY p v } }N1''�F�'�PT11C'WORKS.-THE ISSUANCE'OF�THIS PERMIT DOES NOTy RELEASE THE APPLICANT FROM THE COND1T101 OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR AILL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FORELECTRICAL, PLUMBING AND 1' FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2! PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE.. 3. FINAL INSPECTION BEFORE - OCCUPANCY. POST THIS CAR® S® IT IS VISIBLE FROM STREET I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS Zi 2 . — s � -,� z 3 n✓ HEATING INSPECTION APPROVALS EN ERI G DEPAA R If ` C) DOFHE9L3 OTHER SITE PLAN REVIEW APPROVAL U� ` WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION TOWHAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTI NOTIFICATION. T. y OD t / 3C ACE rA 1 l� ► N 1C> AsTE x - s b 4. i1 j n d ;O', -,71 V� I � cI I i t r ijl, 4 t , i i U P l Y t i Gt 1 --- F2os r W19C c. Ff 1-A` V-V MtAt•-t �'�IPLE Zxt 1 T ' I , •J.. 8 FOut..ro,� ��or" P1_Atu '. �t-Cori SCALE �4,� c+ Y „ .o. 8 16 �� (AI b . i1/1, 1:^..1 it •\. 2 < .. \ I 1 I DRIP - - - -/ENT J yxs I r 10'7� ?. •f Y- �-xa tAL- o I `a FRUA SpFrI r d ulny; 77 7�°.G AIN I e•y � SILL I I I i