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Home My WebLink About0141 NYES NECK ROAD 0 1V ISM , k N�, ilW' M,ffil i,: J, T,, kLi-:r.11 Y Nil jowl oF OKA AM; if, ANITt VOOK" WAS JR ,i`,11?,,�AVPUA1yTAP"M iTtyp�r'q,'�TMW iy� 'it kg; HIS Z, Mia BY R qI ggy gy, Vvg r dim 1, Mml t -V Ny If Mot RIN XW 6 Mil ...... owl a MIS OR R,�,ATT W111r 51 1�1 MR, W, Y 'I V,'" "ask!"MA I Ara v. �"M`tq tfT tfji�jqi�j� vo, -f 41 All till MR CVV'QW�, NO I ��`S'11'OT", v,If" �-e—W NA�' s.g IRV' X, MOWaf qww q- t M v, ,, M I , ,R'lly kl �&,Iv� �!" 1 111 5,5 011 "1-I qwqu --ni, 15; "e_g IRE k Any I�Umw Pg. IM UER -17 MR q'ii, v pg r - ""Ruff R M. MU 1� I, ?,in 41 I ""T ug pgg�t� dr Min 3,g "I dygy v Imp M 9.4""t"R, 1-,Tq loll My IWO M16 tA I:g�gtj Ike ,qj,, "M-q, I�A Wit z T V 4N sas Mail jj!A "a MOW li MIA mow '11YOV 7- -Ai "t !, owl a Town. of Barnstable ' Permit# 2 163/ F.Vires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division ® `7f?,�og Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis;.MA 02601 www.town.barnstab le.ma.us Office: 508-862AO38 EXPRESS PERMIT APPLICATION - RESIbENTrAT O YFax: 508-790-6230 12 h Not Valid without Red X-Press Intprint Map/parcel Number c�✓ V� Property Address + I [Residential Value of Work'. 4 + Minimum fee:of$25.00 for work under$6000,00 Owner's Name&Address Contractor's Name ��Y 1 C�(�( P Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 91 ❑Workman's Compensation Insurance rIm a sole proprietor .E PERMIT ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance JUL - 9 Insurance Company Name TOWN OF BARNSTA110—:. Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) YRe-roof(stripping old shingles) All construction debris will be taken to ►'1 1>) ��`.I ❑Re-roof(not stripping, Going over existing layers of roof) �— ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Whcre required: Issuance of this permit does not exempt compliance with other town department regulations,i.e:Historic,Conservation,etc. ***Note' _ Property it ist signPr� erty Owner Letter of Perrmssion. Arco �oftbeYoine Imp veme�t Contractors License is required. . 1 r SIGNATURE; Q:Forms:ezpmtrg t� Revise061306 ' The Comnomveatth of fassachusetts . � be - partmettt oflndustriaCAccidents - Office of investigations 600 Washington Street .. Boston,MA 02I11 www,rn ass..gov/dia Workers"Compensation I4sur9nee Affidavit: guilders/Contractors/Electric Applicant Information ians/PIumb ers Please Print Le •bI Name(susiness/Organization/Individual); ! ( S Address: 0 City/State/Zip: �115, ozkv 0 Phone.#: F an employer? Check the appropriate box: a employer with 4. [] I am a general contractor and I 'Typeof project(required):.loyees (full and/or part-time) * have hired the stab-contractors 6 ❑New constriction .a'sole proprietor or partner- listed on the•attached sheef: 7..E]Remodelingand have no employees These sub-contractors haveing for me in any capacity, employees and have workers' 8' ❑Demolitionorkers'comp.insurance comp.insurance.$ 9, [�Duilding additionred] 5. EJ We are a corporation and its 10.[]Electrical repairs or additionsa homeowner doing all work officers have exercised theirf [No workers' comp. right of exemption per MGL ' Plumbing repairs or additionsnce required] t c. 152, §10),and we have no 12: oof repairs employees, [No workers' 13.❑Other COMP. --------------- insurance required.] *Any applicant that checks box#1 awst also fill out the section below showing their•wvrkors.compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and ihcn hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additionalsheet showing the noire of the sub contractors and state whether ornot those entities have employees. If the sub-contractors lave employees,they must providt their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below hike policy and information P cy fob site Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/StateMp: Attach a copy of the workers' compensation policy declaration page(showing the policy number and e rpiraff on ), Failure.to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition of criminal pe alti dafea fine tip to$1,500.00 and/or one-year imprisonmant; as well as civil penaltins in the form o f a STOP WORK OlZD nities of a Of up to S250.00 a day against a violator. Be advised that a copy of this stat a ER and a fine 7nv ement may be forwarded to the Office of esti ations of the 1) or ins ce covera a verification. I do her y cem nd the i a d penalties ofperjuiy that the information provided aho a is true and co recta ' Signature: r q Q Date: I Phone #: - Official use.only. Do not write in this area,•fo he completed by city or town offclal City or Town: ' Permit/License# - Issuing Authority(circle one): I.Board of Health 2.BuiIdingDepartmenf 3, Ciiy/Toyyn CIerk 6. Other 4.Electrical Inspector 5.PlurnbingInspector Contact Person: Phone#: � 'pFTHE Tp� I Town of Barnstable., Regulatory Services + 1A"STABLE. + y WAss Thomas F. Geller,Director �AlFD:Y9,a Building Division Tom Perry, Building Conurdssioner 200 Main Street, Hyannis,MA 02601 vv w-town.barnstab1e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A•Build.er I, ��(oC:d� ,�►V 1 ' r �� as Owner of the s I_ ( � ubject property herebyauthorize J C � to act on rnY e bhalf . , in all matters relative to work authorized,bythis building permit application for: , (Address of Job) Signature of Owner VDate Print Name QToxMs:owrrERPExMIssroN Massachusetts- Deliartment of Public Safety Board of Building Regulations and Standards Construction Supervisor Specialty License License: CS SL 99138a Restricted.to: _RF,WS JAMES CURLEY 287 FULLER ROAD i CENTERVILLE, MA 02632 • I Expiration: 1/28/2012 Conmiissiuner Tr#: 99138 Board of Building Regulations and Standards License or registration valid for lndividul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registrafi'6n-`__1.24310 Board of Building Regulations and Standards -•Expiration:_0112009 Tr# 130873 One Ashburton Place Rm 1301 T-J" . e_a�dvidual Boston,Ma.02108 YP�^_ James Curley James Curley 287 Fuller Rd. Centerville, MA 02632 Administrator Not valid without re - I Bb� of u)� n�` e u a �o s an an ar s License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 124310 Board of Building Regulations and Standards Expiration: 6/1/2011 Tr# 284683 One Ashburton Place Rm 1301 Type: Individual Boston,Ma.02108 — - James Curley James Curley 287 Fuller Rd. Centerville,MA 02632 Administrator "loot valid without signature '' r• Assessor's office(1 st Floor): Assessor's map and lot number ®� �`N ��®�� o�-THE rofr Conservation(4th Floor): Board of Health(3rd floor): Sewage Permit number I I r B!y�' ��' �E C a �6 • Engineering Department(3rd floor): House number ' /® Definitive Plan Approved by Planning Board ? 19 �S APPLICATIONS PROCESSED 8:30'-9:30 A.M.-.and 1:00-2:00 P.M.only TOWN ' O.F BARNSTABLE '.BUILDING INSPECTOR APPLICATION FOR PERMIT TO Build addition to bathroom (8 t X 10 t ) TYPE OF CONSTRUCTION Wood r , — October 20, 1993 19 TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for a permit according to the following information: Location 141 Nyets Neck Road, Centerville, MA. Proposed Use Summer residence Zoning District ' Fire District C—O—!<fiA Name of Owner Robert 0. Anthony Address 56 Bacon Lane, Centerville, MA. W Fit —6t »,rf a� �R hfrn cm P Name of Builder RQbei-t Qv--A � l Address Name of Architect Address Number of Rooms One Foundation Cement blocks Shingle Adphalt Exterior Roofing Wood YJood Floors Interior None None Heating Plumbing Fireplace No Approximate Cost 92,000.00 Area Diagram of Lot and Building with Dimensions Fee (} OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name , 01 � S'S? I ( t ( �3 Construction Si ipervisor's License ANTHONY, ROBERT O. -7-767 No Permit For ADDITION } Single Family Dwelling Location. 141 Nyes Neck Road Centerville ; c Owner Robert O. Anthony t Type of Construction Frame ' c. Plot Lot I Permit Granted October 27, 19 93 Date of Inspection: Frame 1 19 r ' Insulation `" 19 t Fireplace 19;.__ ' Date Completed 19 I - E i A2. $'�bgka, r - I I