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HomeMy WebLinkAbout0119 PATRIOT WAY 4 e .e tin. , a i n v • .x -... a ., - .. 7N pp i -7A fir- / O � - '_ _ - -1 .. - .. - ., ,� _. � .. - �. .. . � � �� � �,' L.- .. i _ � ... _ x .. - tl P ,. �� r �, . .. � � .. .. .. - e.. ,� 'v .' y ,. I �S#iE TOE Town of Barnstable *Permit Q6 0 674 6Y Expires 6 months from issue date PERMITRegulatory Services Fee r�nss $ Thomas F.Geiler,Director 5 2006 Building Division TOWN OF Tom Perry,CBO, Building Commissioner BARNSTABLE 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMrr APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint ap/parcel Number L Q Q operty Address Residential Value of Work t�10!o. Minimum fee of$25.00 for work under$6000.00 ovner's Name&Address GJ e4�/ �� •�r�i��� �i4 )ntractor's Name Telephone Number ome Improvement Contractor License#(if applicable) onstruction Supervisor's License#(if applicable) ]Workman's Compensation Insurance Check one: ❑ I am a sole proprietor 2rI am the Homeowner ❑ I have Worker's Compensation Insurance isurance Company Name Torkman's Comp.Policy# 'opy of Insurance Compliance Certificate must be on file. ermit Request(check box) (�Re-roof(stripping old shingles) All construction debris will be taken to It C f ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: . Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is re aired. IGNATURE: kForms:expmtrg .evise071405 The Commonwealth of Massachusetts Department of Industrial Accidents ! Office of Investigations ITT / 600 Washington Street Boston, MA 02111 ��� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legiblv [dame(Business/Organization/Individual): ��� /n,yk!f Address: /City/State/Zip: & ent 0I - Phone #: -'7��✓�/ Ire you an employer? Check the appropriate box: Type of project(required): ❑ 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 El am a sole proprietor or partner- listed on the attached sheet. Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its quired.] officers have exercised their 10.❑Electrical repairs or additions [�iI am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.z Roof repairs insurance required.] t employees. [No workers' 131-1 Other comp.insurance required.] .ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. iomeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. zm an employer that isproviding workers'compensation insurance for my employees. Below.is thepolicy and job site formation. surance Company Name: )licy#or Self-ins.Lic.M Expiration Date: b Site Address: City/State/Zip: ttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). tilure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ie 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 up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of :vestigations of the DIA for insurance coverage verification.. do hereby certify under the pains and penalties of perjury that the information provided above is tru and correct atur : Date: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: +r. `fi� �in._ �� f'�' _ J �• e 5=";°"Av�i� aar�' a-.. � • �.�'��;i+ae �' ' '°`".''.c`.r _ `\_*�� -fie jfl• _ ti r r= °r-..,. _ � E I{ Y• • W • — — — i Fj � a r ' r 4.. y �'�VA� ` t r,, � >:'. Gig"" � ,f"?A�E�� � �, .�.'. l x ti� � � � � , �� —y •� .a^. e �j��T�'L •�„ �r� i� � 7 n JJI w �.p ;(d V v ( lr': � � �, �....,rs�.;ts's'e �..- � �'y' ,'., � �, i� .,^,i.$ a '�,d,',r94?' r ,�_'""•R`7£...w.p i.��tj# Y .4 h 5 •e r- i i�rr�j7�f�`�/y� �..�F �.;;. '� ,.r, / � T �G .}i A e ysg1��,M � <�a�'.� �_�"'. 1 Y VIA 04 •Ol .• • 4 p t+ {i �„ a ^TIC �'1. t•FJ Y f k•1 » t:t 'C �';3 -�'C�. j 4 � ..! �,�'}��t�' #+ v. -s M� � y`• a �, ;�xtj�t F - a � /.,pa. t' e — iA ------------- N /. 2-7 S 3 E -7ry 3 lid G 7 Z s,F N ^^ E E `e. �• v \ 3a bAv '/•,:I 41 o su CERTIFIED PLOT PLAN NEW CONSTRUCTION ONLY : L0 S I''Q T-R 0T w,4 TOP OF FOUNDATION -IS ABOVE LOW POINT OF A_DJACENT I FEET ROAD. � dIhs�.� A & A ..� A as ..a �ELOREDGE_ENG/NEER/NG do. IN SCALE: / "�50 DATE : tE01STERED� REGISTERED CLIENT W��•'wC-- I CERTIFY THAT THE Fp iVD r CIVIL. SHOWN ON PHIS PLAN IS LAND JOB N0. _�k'.��� s/ LOCATED ENGINEER - --- ON THE GRO'OND AS INDICATED AND SURVEYOR DR. BY: 'A_.�.`/yj. CONFORMS TO THE ZONING LAWS 33 NO. MAIN ST OF BARNST 712 MAIN T. CH. BY: .. , P, /3 , L � MA S, . 30. YARMOUTH, MASS. HYANNIS, MASS• SHEET1_ Of /`- REG. LAuh CIIR,�FYn O 11 ^ W l j � z \1e � I tv / y PLY MIL S 4 I - i Assessor's office(1 st Floor): . �7 7 oCSo � � ` Assessor's map and lot number THE , SEP WQ o o Board of Health(3rd floor): Sewage Permit number r7 9'—-7' b PIN# Engineering Department(3rd floor): 's=_ s 9rsnL6 J: House number � /`[/4 � + �e7��� � r' 9. Definitive Plan Approved by Planning Board 19 co APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only ®� n TOWN , OF BARNST ' i BUILDING INSPECTOR DQ1:e APPLICATION FOR PERMIT TO _ �DCC� /�! �Pf7�/y N i A1G Ricca TYPE OF CONSTRUCTION 19 b •• ° TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / C.C,..o/TY7/� Location Proposed Use Zoning District Fire District Name of Owner �G L'� Address Name of Builder 0� C � 'I EILl Address &!f Name of Architect /y Address Number of Rooms Foundation �oGK Exterior P�/V/r100/U ts'l- ,AJ-61,n Roofing — hqlj Floors �J�/,eJ0U�5 Interior Heating GEO ��� � �.� r/�S� Plumbing roximate Cost ��d• Fireplace APP �.- Area Diagram of Lot and Building with Dimensions Fee �y 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. c Name Construction Supervisor's License (y) ' q4 FIELDS;." FLORENCE PYE c No 34482 -Permit For Remodel & Add:ATo Single Family Dwelling Location__ 119 Patroits Way ' Centerville r ' Owner. Florence Py e Fi el ds Type of Construction Frame ` S i` Plot Lot Permit Granted' -July �24, '4 19 91 �^ Date of Inspection' 19 G Date Completed 19 i b �. N -es • /. ` . 3 y xmS 4 L -cz-1 .� cs o� 4- J Assessors map' and lot number ..../.1.......... . ............ f, � EPTIC SYSTEM MUST B cF THE Toy Sewage Permit- number Vie.' ."77i(p.. INSTALLED IN COMPLIAN WITH TITLE 5 ARNSTAB/ A o L House number. ...............:.............1.../:.. .:.. .................... NVIRONMENTAL CODE 39- TOWN REGULATIOI�I� `'�eMAX TOWN . OF... ,BARNSTABLE BUILDING INSPECTOR :APPLICATION FOR PERMIT TO ... ......4FFT....l 1T !?QoU l c rwp b0,e1q�� TYPE. OF CONSTRUCTION ...................0..0.09)...... ...................................................................... ........................0........:.....Q......19.. S� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: location .......1" T � l /4 �� �.C!v2.Y1 LG.��. ........... 455............................................ . ..... ............. .. ProposedUse ........ / TQ.Q ............................................. ............................................................. ............... J Zoning-District ... .. ..........................................................Fire District .. Name of Owner .... lJ/jE ........f7.V6...........Address ........�f.!���.���...N�.�.�1....4�..F�/.�c T � ' Name of Builder ......«/ /'f/�...... lL���.�........Address ......�/�T�2�lJ js G(� /......c4r-.z/..lt�nzr Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .............. ...... ...0....V..�.........................Foundation .............................................................................. Exterior .......zrkzk ,/ 2C....... ...........................Roofing ........ 5Ph.6x.1- .................................................. Floors ..........P.. vo.....f.-. .Cyan....................................Interior ..... .S`i0 cJ d�i Heating ........��.�:C:f�./..C........................................Plumbing �?liV./..��.....'....................�'.�..':... ..� 7L Fireplace ...........`. e...x-..-1.e..................................................Approximate Cost . ,7Od......... ....... ............................ Definitive Plan Approved by Planning Board ________________________________19________. Area �!. ..:..... .. `(z.. Diagram of Lot and Building with Dimensions Fee /..........®...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH - y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 4 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. L .. . Name �. y ,,Q............................ Construction Supervisor's License ..Q6�! Z1111 PYE, FLORENCE No ....283.0.4... Permit for .,Build...Dormer .............. . . .. . ...... ........ . . 'k Sin le D, llin.p . ............ .. ............Y.. ........................ Location ... 444 Patoits y...Wa...................r.......... .... ........................ Centerville ............................................................................... Owner .....Florence..�yi�............. ........... .................... Type of C6nstruc;ion ....Frame...................................... ............................................................................. r Plot ............ ......... Lot ... .............. August- 8, 85 Permit Grante d ...................................... Date of Inspectio. ...19W Date Completed .........f... 74-4'V .........19 > M M ri s TOWN. OF BARNSTABLE.. Permit No. ___-- 20838 Building Inspector - se�rr.n Cash ----- °�pY. OCCUPANCY PERMIT / ' Bond; "No building nor structure shall.be erected:;And no land, building. or structure shall be used for a new, different, changed, or enlarged.use without a Building Permit therefor first having been obtained from the Building:Inspector. No building shall be occupied until a certificate of occupancy has been issued-by the Building Inspector." Issued to -Banner Home Corp. Address 76 West Main St. ► Hyannis lot #15 _ 119 Patriot flay, Centerville wiring Inspector �' r - Inspection date V + Y T Plumbing Inspector�.�� Inspection date Cras Inspectorf f Inspection date ,+''jEngineering Department !Inspection date-/- -% Y 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. ...................... f` ......_... 19 f ............... ...... ..... Z Building Inspector I IN A � 7 L S F. M l llJ7 f 13 Ln xi l tit t. tu,1 grit `•J,!� .. - .. �� � 4 -' w�'���,�8"�4Y���'+ l?':M1 p s a .. +f 31,1 • r -TAN S; P CERTIFIED PLOT, PLAN` LJ T /S pi4TR/UT t C —AI7-,�2 r// L NEW CONSTRUCTION ONLY : - ,' ' TOP OF FOUNDATION IS FEET .., . 1N R _ r ° ABOVE LOW POINT OF ADJACENT `l A1l&S ,t_AS I ROAD. r ; SCALE: / — v DATE '? (ELOR£DGf ENGINEERING CO. IN�C I CERTIFY THAT THE 1�pyyyo!9Tiv/✓ -- - -- - _..,...._ _ _ C L I,E N T �tEGISTERED REGISTERED SHOWN ON 'HIS PLAN IS LOCATED ,} CIVIL LAND JOB, `N;0,. 1'��y O,N ;T'HE GR0�1WD A9 INDICATED AND Al ,�} CONFORMS Tb THE ZONING LAWS ENGINEER SURVEYOR DR. BY _—_ OF` BARNST L , MAj�S. f BY CH.. , _R, p; /3 • / 0 33 N0. MAIN ST 712 MAIN ST. � ,. 7 tiY SO_ YARMOUTH. MASS._,.__NYANNIS, ,MASS. SHEET --- , Assessor's map and lot number ................ .................... THE Toy 7X H CTIC -11 S Sewa Permit number ........................................................ $ANITAF�y CODE AND STABLE, • House number '//./............................. REGULATIONS. MAO& ............................. ....... 00 1639- tou Ar. TOWN OF BARNSTABLE BUILDING 1,111SPECTOR y APPLICATION FOR PERMIT TO .... ........... ........... . ...........OA ....... L -41 LvE TYPE OF CONSTRUCTION ............... ........... ............ . ...... ..................................................... ............ ....... ...............19..2F TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......I,- � ...... .......... ........2 — z\j .................. . ... ProposedUse ......................................................... ....................................................................................................... 00 V - Zoning District ................V'41 Fire District . ......................................... Name of Owner Aw.?9.,Fk... ...(20RAddress ......PC. ..... ..... ......... ....YA Nameof Builder ................. ......................Address ........................... .............................. Name of Architect .................... .....................:....Address ................... ....Address ............................! / ..................................... Number of Rooms ..............I P..........................Foundation ..... ...... Exierior ....CL4A aoAs P".A....Roofing ................. ....................... ............Interior ..................... Floors ... ...R7T. ......................... Heating ......�Ab.,A, .... LE �C. ...Plumbing ....a-0.4) .2-iF�. �...?.....Y.�................ Fireplace ............................^3c.Z�PE ..............................Approximate Cost ............. .................. Definitive Plan Approved by Planning Board --------------------------------19---------- Area ............ Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH- I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardi the above construction. ,Zd..i he • Name ......... .......... .......r........ .. ... . .... . ..... Banner Home Corp. - . m �---.-3-8 l 1/2.......................... o !�—'No * 288Parm� for ' ~' � aiugIe fami dwalI '----------------------~--- ~ ` Location ........Il9...Patriut..V0av_______.. , .-______..0 �........................................................ Dauoer— Boma C . ' Owner ----- —^------oro.^------.. ^ - ; Typo of Construction _---�����------ -----.----.�----'—`--.------- ' Plot ............................ Lot _--..�#l5____ ~ ' November 20 78 Permit Granted -------------.l9 [ ' '&� /d 0�7�e� . Date of Inspection —. —��—.�.�.�---']V ' u�'���^� 5� ' Date Completed 'f* �� ,^ . lg ' ^ � .. _. � . PERMIT REFUSED ........................................................ ......'~l9 . ^ --.-----..--...--.._---~ ................... .—_.~--.—.—..—....--.--_.—.---.—. . ` —.-.~---.-.~.—...--_....�..................... .—~—......—.---.~....--~.�~.~^--.— . Approved .................................................l9 -------','------~---'-''--'—'-- ` ------ ............................................................