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HomeMy WebLinkAbout0018 PATRICIA STREET �� : ,. ,. r - ,e M = ,. � , ,. ... ,:� �. � .� s, � � ,-, � � . ,. ,. ,. � ., ,. , �. a;, , . .. y� � _ �' � �, ,. .:. r a_ .. k ... .. .. � .. .. �. .. .. ,� ,. ,. .., ., � .. � ., ��. e _ � t, � - - .. - e .. .. i. �. ., - - A Town of BarnstableBuilding POst;Thls,Card So That.rt rs 1/is�bie From the Street-.A r-ovedrRlans"Must be,l3etained on;Job and tthis Gard"Must.be-Ke t s6�p. .�`; iRosted Until Final InspectronHas-BeenMade� � � � '� w �:� � $ � �s �, .� �R Whereya Certificate of Occu ane,:�s._It urred such"Buldm .shall Notbe Occu red°until a�F�na�lns'ectron,has"been�ma'de � e1 mit �.�,.<�<..�:.� : � � ��. ._ p.•:may . ,. q .. ..�'... .�.�.. g � s. .. .��..p. . . "�p` ,,.� .. .. ...�.,. :�.. ...., �, Permit No. B-18-2251 Applicant Name: JEFFREY WRAGG Approvals Date Issued: 07/13/2018 Current Use: Structure Permit Type: Building-Smoke Detector-Fire Alarm Dection Expiration Date: 01/13/2019 Foundation: System Map/Lot 246 055 Zoning District: RB Sheathing: Location: 18 PATRICIA STREET,CENTERVILLE I cntractor Name JEFFREY L WRAGG Framing: 1 Owner on Record: KIERNAN,JOHN F&DEBRA D Contractor License CS 075746 2 4� IF �. Address: 1 HICKORY STREET .0 " EstP"roJect Cost: $0.00 Chimney: MELROSE, MA 02176 Hermit Fee: $35.00 Description: smoke dectors-whole house Insulation: Fee Paid $35.00 �€ Final: Project Review Req: HOUSE GUTTED-UPGRADE REQUIRED. �� Date 7/13/2018 i Plumbing/Gas Rough Plumbing: N �;.: B �� � uilding Official p�y Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterissuance. Rough Gas: � . All work authorized by this permit shall conform to the approved application and the approved construction documents forwhichthis permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by Laws and codes. Final Gas: 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 work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by�the Building and Fire Officials are provided artthis permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footin g 'x Rough: "�� �:.� 2.Sheathing Inspection s Final: 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 Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation tow Voltage Final 7.Final Inspection before Occupancy Health 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. Final: "Persons contracting with unregistered contractors,do not have access to the guaranty fund" (asset 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 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # — f Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 64v-4�L� S IrAfT- Historic- OKH Preservation / Hyannis Project Street Address Villagel' � -�dU Owner �3'04J' 0690,+ KIER1 40 Address 141CJCo1h Telephone �1-7 Permit Request oemycas 3UILDING DEFT. JUL 13 2018 Square feet: 1 st floor: existing 9H0 proposed 2nd floor: existing prop,%edyr_ o An icTota new, Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type .Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family El- Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes I&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: 3 existing —new Total Room Count (not including baths): existing ( new First Floor Room Count Heat Type and Fuel: 5-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 �Es y Li Telephone Number -7 q '30 P Address S_ 14 Sr License # 0­7-4-7 V16 yftnimporcr M OwS, Home Improvement Contractor# 14g77 Email ,;d4k?) ZW60XrgYhA1 .coyh Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I. 1 FOR OFFICIAL USE ONLY 3 E ,.APPLICATION# t DATE ISSUED rs MAP/PARCEL NO. t c ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. oomy MAP O4. -eF.,.._... y .. T'y aszcx x,%wf :�?�.y4�-1- r '.x. srr-' " jtrc xx J P7- � "# a '`�„�-•-•is,i,1y { ,k,ysr 1 �A ., 3'i ''�5 �'Ta•4�s ''�`"5t �j � s ,T"C �"f. -x^„s -�`,.-,�� a x is x _NEW 1W - �" ;Sk,. v'."t''.�'Ff'ny, 3•z�yC5§ � ." tr E ' "�,r 5` .,'� �'L 1• f ts"a S 7 FA r s yrL- j¢� xkS �_�, ,.T�3 x�t' '. 1slY�.i�" s � r€�fi 'S' 4 r, '✓� y �'t8 HIS St• I"y�'i�ai` ,,„ ,d+•� k LA' s�t Wn .� IMM 3-s iP,+s, WA WIN- tPt- Ft a 'k A4 a > � 7 � i 3 r4'h .!' �h 11y-i. -i 1 'v t. F .. 9, own iq--J � _ � F•.: boy, + _ - F i r �- �}fix•r ti r 1 . .. - son s a r WIN 42 4MEN ` , IS t:� 'A-try #� ..?k '! T'fix ,, :-, A .• R -3 � n t�. `' ,.-' ` 4�Q,. � sr t xlit load oil two isAws lad ANY .: cp .. f0i#1 - tag salvo if Ni y� �R - y �s s r: � t�.t�a.4 t 4.r }� •l t z - r J F } ... .. . P � r a T iz, z 1 gi$�,�.2 x ,•3 ram. T ram. ,� Y .. Vow Y� yyx�� •te.Lz.H Fr'S-C y7.r n ; ,, f.� r 1� ���✓.(�"c,$�x^c.J`��s�sl.i>"r_Su,� � Y -7 �,t�r Y�� r s t l ? i4 _ y Y` N i r�/e�a�rz»zalacoca�(/a�C-'flao:;uc/udnt(1 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 149773" 02/21/2020 10 Park Plaza-Suite 5170 JEFFREY WRAGG Boston,MA 02116 rl II JEFFREY L.WRAGG 54 EILEEN STREET J t Id W f!iout signature YARMOUTHPORT,MA 02675 Undersecretary Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor CS-075746 Expires: 09/20/2019 JEFFREY L WRAGG 54 EILEEN ST' YARMOUTH PORT MA 02675 Commissioner . Caan•�vea�� c�x�ef#s . Office-af 609 washhwt ttsftr�d scrvWurnOMgOrf�a AppHc2mt UVAM16"an Please PrintFreer F Addre= S� Ed Un S I rare y=an earpIager?(Meck•the appropriate bo= Type of Ps'"jest(rid)_ L❑ I am a anplayw wi& 4. ❑I am a gal contclzx and I C6 ❑New employees(fxsll anc Lbr pad4ime�* Tie h iredflie 2-M51I am a sale prcpdetar or partner- listed as fie aibsrberl sheet ?- 213=W&Hng �ese sub-cflmfsactars.ha�e sh£p and base no� � T & ❑I3emolHan matl3ag forme is arrg capaciLy: em Ao�andbare Wo€ors 9- ❑BwIIil addifiou [NO GIs'ems.Ts SUMMM Cobap-t,rertrartn+ -1 S. ❑ We are a oaaparzma and its 10-❑Elez�repairs or adds 3.❑I am-a laomwwoer doing Z v mk a Tm=hate•exercised thew 1 L❑19umbing rF pS-or a�cm ' v��' tight of e�iau per l�rfQ. ❑ xTairs immance d_j E F- c. 1{4 aadwe lie ua a >Roof eteplayeeaWosvadom& 13-El'Dtber c°amp-io� ] �AgF 6�YS�l m e�C sn aata baaar a�¢tas*��ti�apegia� # mnevsvo�st�O salmmst cisig�nepsr�dam rg�3r aid Beal cr ,,,,,�sabmitaa� macs surly rCa��s�t eiserY t3 z br i Lt scdi6�sit thea:me of the a,¢is-coed sa�e,xiset�s�aet Bwse h - des.r€thg�-���„�.,,.�� ���vm,���'�-����• law m�errcglo�sr fly ispsauidirrg n�crkerss caaaiiafit irtsziragea�vr�aurp�S $dvev it�rspFrFicy area faFa spa n�arra�na, . Tasnr=C CmnpamyNamM- Pfic�* or Self-ins IGGia aMdn Job Site Address= Af ach a copy of the erarkere compensafionpelrcy deciara4ina page(showing the p Acy nmazber and empiratina date). FaslBte fo secu age as requizEduader Sera 25A o€MQ.a 152 can lead in i m imposition of cumamai peaahies of a time up to$1,54D OO mWar one-yearimp ism=enf;as well as dvU peaakies in the foam of a SIUP WOKK CEDERand a Eme o€up to$250M a day aggnst hie violator- Be advised fid a copy of fis s-Extern mzgbe fxwuded to the Offim of 1� eftbe D�for cavera�ve�.orL . Ida fter-aby &Sins andpeffaffes afFa a y fhatffg i�ar wmTvaproF&W abates is fnu and camect Date- £? ;W arse Mly. Da nat mite is ffn!y arse;fit be cmprete d by c#arfoortr 00rcfral caY or'am= Fe�rdflT;reasse� tdrt:k one): L Bw"d of DdlaxgDepartmmt 3.6fyYrowa a[m* -,L.UectricalEuspwlar S.Phmbbg Inspednr 6,other Contact PPersan: Phow 6 TO i d T O 1_ 1 16 1 4 6 .. 4 �C(Tuf � p,u �v t� �n,� ►�y �l. ,s .�{( -, , C-' y�,;i� 1 �' 40 17 l--i b 1 G pRdo , pf�rtN� - 6- W$VT ------------ SMOKE DETECTORS REVIEWED r�ASA UILDING EPT. DATE N _ Z FIRE DEPARTMENT DATELL BOTH SIGNATURES ARE REQUIRED FOR PERMITTING � � 0 Barnstable Bldg.Dept. CISS Approved by' locos-9 s� permit#: 1 S-L� � �2Erl�4 ovErlC. l Q —.SMOKE ° Town of BarnsBuilding to a rd o ShsapS FinalhisCa UtiPostT ERARNSTA %63 Poste t it is Vkisible From the Street 'Approved'gPlans qM^ ust be Ret ained on Job and this Cafird Must be K'yerp t fg 4 Permit. Where a Certificate of.Occupancy�s Regiiiredsuch Buildmgshall Not be Occupied until a Final"Inspection has been made -. _:r^;,.,s;:xCx.m^.�u•:r..:., _�a....w;w]..........-a.:ra.+.Mi.9Lv..Mr.m-:A.«...—......MSwr,..l.r+»yxae.t,a-..sµ_:-:n.-sr..,........w.�.y.n.m..e-.......a-"k.wxe.e..k.:T:'S;.,.-w:L..e lw..:n.w............i:lso...-.�...a..w:.=aw<a.».....-+--"' - Permit No. B-18-523 Applicant Name: JEFFREY WRAGG Approvals Date Issued: 03/09/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/09/2018 Foundation: Location: 18 PATRICIA STREET,CENTERVILLE Map/Lot: 246-055 Zoning District: RB Sheathing: Owner on Record: KIERNAN,JOHN F&DEBRA D Contractor Name :.JEFFREY L WRAGG Framing: 1 Address: 1 HICKORY STREET Contractor License CS 075746 2 MELROSE, MA 02176 �' s Est:1,066jeN ct Cost: $97,000.00 Chimney: i Description: Demo interior down to the studs. replace all new reconfigure 2 Permit Fee: $544.70 =i bedroom closets to become master 1/2 bath.Vault din Insulation: room � i .Fee Paid: $544.70 ceilings. no other changes. ` Final: O c. { Date 3/9/2018 Project Review Req: 7X " Plumbing/Gas Rough Plumbing: .. r� Building Official 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 application and the`approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-law' s and codes. Final Gas: 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 work until the completion of the same. -k Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on thi permit. Service: t. � ! Minimum of Five Call Inspections Required fo_rAll Construction Work: 1.Foundation or Footing �' Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected atthe throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health 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. 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 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ayeT5210Q Map Parcel a.;� _��J Application # Health Division L Date Issued Conservation Division ' Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH — Preservation/Hyannis Project Street Address it PA-TMOA STRQT Village Owner �T- dtW d-beZ4 106KOPP Address I_IMAD O SPI T,A&IZOQJ A qLl 7` Telephone Permit Request _DEN THC A1TENOIL DOW TO W STV6, Rg"tC 4U-A ), RG-6010F,(6U9-t a 8itvM corset 10 138ome� Ai`tR 164I[f, VA-T P!OUG 0610M 6.1-riLjNb-, ko o I wIZ Gf PGks Square feet: 1 st floor: existing 41q proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0�17AD Bd n Construction Type Lot Size Grandfathered:' ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family P' Two Family ❑ Multi-Family(# units) Age of Existing Structure 1°967 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 6 Half: existing new Number of Bedrooms: 3 existing _Q new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Ja Gas ❑Oil ❑ Electric ❑Other Central Air: )0 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 ❑ ZE Q Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use 79 cn APPLICANT INFORMATION rn (BUILDER OR HOMEOWNER) ,Name ��� r _ � `i �� Telephone Number '-)7Y —353 4;Y71 Address 59 1 I Lz m S License# 0 Home Improvement Contractor# 14g1��3 Email , Ie_,Q) Capa�orneJv sold aG®rn Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DATE 0 -al r1� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL J PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . .: .. ;,.. ..: _.., , ..., 4 - .; x :, w k 3 e r si 'r ''+ _ ._ .:s.� .: .::.;:; a >3'# .may . . .. a C� �e Wagnnzo,mwraCl1 1/bAawuc�uae!!d Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE_Individual before the expiration date. If found return to: Registration _- Expiration Office of Consumer Affairs and Business Regulation �,,-,Li�--.�r...�-,:I.,��i�1.�_--�-"- 149773 02/21/2020 10 Park Plaza-Suite 5170 JEFFREY WRAGG _ Boston,MA 02116 "' ' ! r r« �S 2 ,F'- . JEFFREYL.WRAGG ` �.2 CG t,154 EILEEN STREET YARMOUTHPORT,MA 02675 t Id W out signature M Undersecretary a -.�v 3' x � °' - '� - -.+ate-�'r' ,� .e,s +, ',.� � .+'1.,t -y�. T :.'+ 'A § Ss �3w f2'roa$�`+wS'� ,w `� :z a ,� r"�„ .x t'." �, 9 t an «sue-s''",y''"" �. "�S-..,�x "- �. n� ;.r _ .« >. - Commonwealth of Massachusetts = �� x .a4 1 -7' Division of Professional Licensure �,� t F rf :. Board of Building Regulations and Standards ` X ConstruOtiori iSnpervisor »a f ry , `,` .' Expires 09I20/2019 . CS075746 � »;:: „ - p „b p r: r , ,� JEFFREY L WRAGG M i t ors � � , F , ' �,,, , 54 EILEEN ST 4 N " I. rL I i. ti >$ z ,� YARMOUTH PORT MA 02675 -im °' . 1: . -. 91k M Commissioner ,* `: The Crnwa€t3t afrt Offwe Of 600 Wabur- tax Sbrzf Aston,HA 02111 wwm mesx,Vedm Warleers' Campeusafam Insar2nce davit Rmld qml ers AypHcmmdlufmrmaf,'m, Please Pry Name . z • �-S�( E�IP.en•Si .. Phme 7N- 32 -6?7 Are you an emplayer?f heckthe appropriate bad rpm of project re a }= L ElI am a anp1�w 4. ❑I am a geiera1 coabmct=and I 6- ❑New ooasim iasx employees CfA air Part-dimes* 3 lxizedfiie 2,251 am a sole prqi6.etx orpart=- lead on tie a6tached.sheet. `f- plzemm&Hng m s Masse mb-c�ractnts.have sip and ham g. Demolsfion waoddmg forme is any capadiy. .' andhave ems' [No wudm 'cam.msmznm ccmP-tn�� $ 9. Q addition mFfte -1 5. ❑ We we ar Pmmf=and its 10-0�cai=epaizsciadc as 3-❑I mmm.a££bemeamner doing a1i wm& offieem have exercised their - 1L0 �P�ar acidiiions ' im=ce requie3.1 i r- 1(4�aadwe f me no END wa&m& 13_El cam- 1 �a�IIp 8 i�'19t.�ELZsTbt=cl=mst Rlsu f.Oltthe 5cfz=b6uwS4. * finale 0 ken;S mmff Pmlicyi'EE imL .. are a�fmmbmksarissffdzvtmpgdmyxmdOic6-sgVxmkend&ml� nt�ceca sit canes d mdit�m�saki -a�� cbecl�ihi�b�z� e�msd�5�alshadsbe$ngtheasmeaEtte =dsh¢evhEflmarzatahnseenfid�sl employees 7ft}� esl�e r�Ta sfieg=XA pmvi&2&k -wk-e t=p.I m1k5�— lam as eaigIaPsr flint isgretuidrrrg�urrrI�ets'crrn insnraacavr eergl SeFoev is fl�sg aradtab sits �arraairaa -P�ficg�or�elf-sns.I.ia�� x _ _ 1 ..a .. • ' Job Site O &'FAIG4 5r Atbwh a copy of t1m tvarkere compenw iaapoliry demotion Pam'(A•wmg dm FaHcY ammber and epira#inn fie). Falmm to semen cavmmge as,regairednudes Sew 25A o€MM m 152 can lead to fiie imposition.of c al pem of a fire up to$1.,50D OD mWar one-gimp isa as wen as civil penakies in tfie farm of a STOP WORK C=Mznd a f of up to$250M a dap against the violates Be advised gida copy offis staterzurybe forwarded to time Office of InvHous oftbe DI&for covemp redEcafion- b=awdearmct PhL a,ftia£axe aafy. 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I3Ic,c,kez < Zti.t- nc;r Oj TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 9-- .. nnA�l Map afto Parcel S 0- BUILDING DI=PT Application # ��� 7 Health Division Date Issued Conservation Division A�IsiJ FEB 2 7 ZQ�] Application Fee Planning Dept. TOWN OF BARNSTABLF Permit Fee .,?02 S d Date Definitive Plan Approved by Planning Board 4 Historic - OKH _ Preservation / Hyannis Project Street Address 1� f ACIA- 51 ` Village Owner -0I0v PEO Address I 41QQJ&q 51 A8WSC AA- 0+06 Telephone�,i� Permit Request T)EM LE 4-AL-NY W+rynQgS DatC 6e!MQS �(U to 080t is is' o bKmg Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District AB Flood Plain Groundwater Overlay Project Valuation 3S�OCO e00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family D� Two Family ❑ Multi-Family(# units) Age of Existing Structure I!J(Q Historic House: ❑Yes DLNo On Old King's Highway: ❑Yes &No Basement Type: 0 Full W-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 Telephone Number Address S�( IbECIy ST License # 077 Sr-?� Y0A)ftO" A)� Home Improvement Contractor# Email �� f'(� caQa6r Aet0_mnoJel �GQrn Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO n � DUMP SIGNATURE DATE FOR OFFICIAL USE ONLY z APPLICATION# DATE ISSUED ' MAP/PARCEL NO. t ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH - FINAL FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. F The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100. Boston,MA 02114-2017 www mass.gov%dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lezibly Name(Business/Organization/Individual): � Address: City/State/Zip: i6mooNdRi-,AN 9,7 Phone#: -?'7q 32 P- _ Are you an employer?Check the appropriate box: Type of project(required): lQ I am a employer with employees(full and/or part-time).* 7• New construction 2. I am a sole proprietor or partnership and have no employees working for me in $• ®Remodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself.(No workers'comp,usurance required.]t 9. El Demolition 10 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11. Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions. 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have workers'comp.insurance? 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no 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. tCoutractors 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: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address:_ P9 PAkI(-fA- 57 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 MGL c. 152,§25A is a criminal violation punishable by 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 S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert' der thepains andpenalties ofperjury that the informationprovided above is true and correct Date: 4 Phone#: cia1 a ly.-,Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other -Contact-Person: Phone#: t f Vxe T✓0VIMo-7rd tie aIII,a��J�CIJSI/cx','f3' .. Office or Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration: 149773 Type: Office of Consumer Affairs and Business Regulation expiration 2/2 an Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 JEFFREY WRAGG - JEFFREY WRAGG ;f 54 EILEEN STREET YARMOUTHPORT,MA 02675' Undersecretary �- Nof'vali `�h signature II : b Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-075746 Construction Supervisor M JEFFREY L WRAGG 54 EILEEN ST. YARMOUTH PORT MA�02 Expiration: Commissioner 09/20/2017 Town of Barnstable Regulatory Services NAMs Richard V.Scali,Director ►� Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �o� E' d� �� ,as Owner of the subject property hereby authorize k,A�/ _ ' /'<z_. S to act on.my behalf ,. in all matters relative to work authorized by this building permit application for. S1 (Address of Job) Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. of Owner Signs e f pplicant Print Name Print Lazne o� / ra�0/7 Date QYORM&OWNE"ERMISSIONPOOIS j Assessor's office (1st floor): �// $� � av j FTHET Assessor's map,and' lot number .:!.b 'P.J .g�.���..� , r' c� : , �o g p � ' .Board of Health (3rd floor):- C k.- � � �G •�� °��', ' fO ss"{{�� ii�►� Sewage. Permit number 5�. .^.y .9..�. ........ .... �.; ti§ �,� ��• Aaa9TsntE H J ( Engineering Department (3rd,floor): �� YOB ���VTO _• +:'� 'oo r6}9•a\e� '1 House number ..... .................. / ............................... f OILS a gar Definitive PIan:Approved by Planning Board _--__19 APPLICATIONS PROCESSED 8:30-9:30 'A.M. and 1:00-2:00 P.M. only TOWN 4OF BARNSTABLE :. - BUILDING INSPECTOR ; - APPLICATION .FOR PERMIT TO ........... .............................................. ............... .• ........................... 0 ,CFI(S,-I v 6 .S U'U 15 0 0,, TYPE OF CONSTRUCTION ..:.....�I. ................ ............................................................. . ... ................... s ..... 9..... = 19.�e TO THE INSPECTOR OF BUILDINGS: The undersigned hereby /applies for a permit-.according to the following information. . Location ........ ................ .. .. . .. ............ ... .._....: .. ... /... ,.:.: ......... .....!:............ ......... .................................................... Proposed Use ............SI.'ILO..�!e....... !ll..l ,.....�7cnl eG+, l�c/ ........:........:....................................... a Zoning District- :. ..............:........... ...Fire District :...:... ..................................... ..................... Nome.of Owner 1 ...ha•Y'. .e.a....G......:1..� .Q.v.l.��J...Address ..�,f•S�.�..........P.. 1�C' ........ • / n <f .. O .I .. .. .. Name of Builder ... l.��j....��:....1,dWI &�.!1................Address .....��. .....be-reT ... Name of Architect ...................... ...........................................Add`ress ................................... Number of Rooms........................4...... ........ ......... ..........Foundation ...............eQeve.Y..G1e.....k:1:0..C./k............ Exlerio. lj(�...c. ".�...................................Roofing .............. aS�O''!, •�.. Floors ........................6fl!/. .e?! ........:............. �— Interior ............. !!'.C�..Lc11�.. ........... Heating .................{ ......... 9.4,�....�)Cc..s�!^' ..........Plumbing. ........ ........... . ......... �4.tJ�.............;...,........ Fireplace .........'......:..... ot.................... APp ...:......f l �.Qr... Area ` � ............ Diagram of Lot and Building with Dimensions Fee S'29f� '....... .... . . .ti.. if . -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. r ...G.......60-ty.7 �. ........................ Construction Supervisor's License .. Q,<..l...Z ......... CHITOPOULOS, CHARLES A=246-055 ' - No :3.21`.4.9:.. Permit for ....B.LJil.d..Additi•on ...dwe3:•1... .......... r 'Location ...J`.$.P.atri.�•ia•• " .......... _ sx. .... ......... CF . y Owner,......Char.les...Ch-it© t......... Type oP stru lion .ram e ..... .� . ' Plot Lot ................... ...........1... .. Permit Gran`ed .... Agg.Lus.t...9.;.......19 88 Date of Inspection '.. .. ..2. . ' Ilbote Completed .. .19 -- t `✓ o co IV _ 1 j - 57& -71 Aw • + i } i��....__._ - ..�„_......v..-.+..-...-�...,.-.-.-+:..—.._........ ..-...�...._..�.,._a-...:P....Y._,._.-.....-.......�.�...t,.,_._..s..,-.....r.:^._.-.v._.e.,,�...._.....:......_«.:..,.._..r..............:�+~wr..,,....an_..^+i.__,.^wM+c+w-.-.�._m.�.-._.r...•_..r+.-.._....._....._.._.....e...._.-....- -«_.�..~._... ........,.._....,..........�..+-...;,......--:_..a,-»:..-..�..-....-.......-..,......:....._,-w-__ ' P g 7> r • i R i 4 BUILDING IDEPI FEB 21 -- 4 f 1 _ a — t . j BARNSTABLE y.. lyi 1Y A i i ) i t- ' ,tom �••- ''fir-.�„"� 'Gr . j Ft F v M , t,s iJ � 4r f t k ✓ ., /'). !S' r v; 5' d}� ' t y , • m t 4 9 , � _ ..ram' l ♦ sw!^ ♦.`- T [`...� ATE r r DONALD I. MEYER REVISED ftf essioul ui *Desigw P.O.Box 532 DRAWING NUjd W # So.YArmoutk MA 02W 3 t (508)394-52% �� r s � � I ' � r r (I la IN 4 , —ar y ( ^� � .......�.b®eliE1."tom="1R•.'R`+e,-"� ; ..e.._� A j k _ 'k "'4-`!fr 4^-"' 7-7. i51. rL 14 f , r,. , , 4! S S 'I 7 r - 'r 1 �: r } � 1� .f � J .=•{._.� � 4r../1✓a..^ � _ t �•�.b✓ ... ...k...J'� ,. f n��? t � ... S�.d �V 7 "d _. f y fir. I � s t r s �� — �'I � u � ;,P •• ,. ',,. .�. .,,�-... r_ ,i a , �`A Y;?�,-a ;� .. t' '"�� 4, ;}; '^ `�,_��d„d44'`,r".1'�t.,:w"•"4`�. r r 1y t Y 1.j DATE DONALDMEvrRREWSED I N LU Professional Building Designer x P.O.Box 532 W a ' So.Yarmouth,MA UZ(s6r4 � K� ER (508) 394-5296 � � 4�