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0202 PATRIOT WAY
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I ! r�is �a ,y.� rt: t,.;a 5 3:a, t a a ,rtai, '} f. t 1 r, h. 1 ',i•r• :•� -r �. -.�r'^' ` `, ..' u , ,` -tS... ! 4 i ..":,.: r,,.ke d.. ,a ,:3, �e r ;4 t::+�:.§ 4 /-, ' � ,. .? �' -:.' .x t p. .- ,... : x$ ,:.t', �:.,,v. ...;,,�a.,:.. t ,. 1�-..,:,gr „i7.. .. -., k%t4 r71v. ,r.,; r :;;"' a,H.. •�.r , >• ;',1,: „T�. f' �}r4} � !. ,,di a t., ,1�9 :%1`4t�+ 19''4�' f�f�r y.r t rreSAi T"i'z�o-p.,,F,,r t � :�`I!,y t } (y,3 <:t,4- 1 J � 4rr`rinta•!. .. ,'.� .•'�E"+� f, �.�. yfj t F ,}; 'f. §. ,��_�,�• '��l'i1�'an",'S��, �:r,{re?F Y�.; �f:f '�1.t�h F"U t .�_ f+°�,�+' ''�,t! ..,7,rt. s• ;r"rli �I99�pii i tq� aG1 ii44�xII�ddi r— rr Of THE A Town of Barnstable *Permit# �3 C;_ ' Regulatory Services FeeJ6mont�/r,�yjr/o`nz issue date . : RABNSTABLE, . y MASS w 1619. ,gym Thomas F. Geiler, Director alEo MAi A Building Division vv ®®pr��+c�+�0 t Tom Perry, CBO, Building Commissioner X-PRESS PERMIT. 200 Main Street, Hyannis, MA 02601 Www.town.barns table.ma.us ji�hl l 9 Office: 508-862-403 8 : EXPRESS PERMIT APPLICATION - RESIDENTIAL00'N� :gARMgT LE Not Valid wirhoul Red X-Press Imprinl .vlap/parcel Number /? Hroperry Address Residential Value of Work � Minimum fee ol'$35.00 for work under$6000.00 t wner's Name & Address \�, k ` f MSFFpr �f ,ntractor's Name P •� �,� Telephone Number utne Irriproyerrient Contractor.License#.(if applicable) [ yo ,nstruction Supervisor's License #(if applicable) tq cn lti'urkrnan's Compensation Insurance Check one: 14-am a sole proprietor ❑ I am the Homeowner ❑ 1 have Worker's Compensation Insurance t ranee Company Name 1nIan's Cornp. Policy # of Insurance Compliance Certificate must accompany each permit {t Request (check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to � � � ca, 1 Re-roof(not stripping. Going over existing layers of roo!) l Re-side iP r"ik 14qr� #of doors ® Rep laceinent Windows/doors/sliders. U-Value_ P G 0 (maximum .44)# of windows 3 'Where required: Issuance of this permit does not exempt compliance with other town depanmcnt regulations,i.e.Historic.,Conservation,ctc. `"Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License is required. URE: C�4(1{J A.1 C'.L..:IA:.... ..-•..:. f.._.,... ^ inn rrr „- I The �', Q nurrorneenlrll n 1'Ilnssncllrrserr`s -- - DepartTrient of IndustrialAccidents Ofti—Ct' Of ITJ1rPSl'IgnrIOT1S -- �' 600 1-3'nslliTrgr071 S'Zreet tr.� -BOS101, M4 0211-1 ``mac say. }n101'.Trinss.gOVIdin 'Workea-s Compeus it on Inso.rance Affidaiit: B till ders/Con:try-tcton/El:ectticians/Plumbers . Applicant Information Please Print Lefibh \ azr�e (Business/Orgaui-atidnQndividt>al): �j(3�19�..� p• %Juj �C�t�l t e�-e�C� �Or 0-t � C�aJ•�Cr Address: City/State/Zip:lrG k__ i. �'�.� � Plionc Ave you an employer?Check the appropriate.boy.: Type o3'project(required): . 1:❑.I am a e mplo},er vvrith 4. ❑ I a-m a general contractor and I . employees(full amd/or-part-tune). * Have hired the sub-contractors 6- ❑.New construction 2 �j� listpe on the attsched sheet. y- ❑Remodeling aim a sole propriesar orpartmes- _ ship and have no employees These sub-contractors have PS. .Denwlitiom vtrorking :for me in any capacity. employees and have,warkers' [No workers' comp.insurance c6mp_insurance.:? ❑.Building aclditiom 5. We are..a corporation its 10:❑Electrical repairs or additions required-] ❑ P 3.❑ 1 am a.homeowner doing all work officers have exercised their I Lo Plumbing repau-s or additions myself [No workers'comp. right of exemption per itifGL ❑Roof repairs' imumtice:required.] i c• 152, §1{4): and.we have no employees. [No workers' 13..❑other cotTtp.:insurance i etlat-ed.] 'Any sppEcaut:thstch.ecls box#1.must also fill out the section below,"sln.awing theirworl-ers'conrpensa:ti:on policy inforrnartian- 1 HanreouruErs who submit this.affidavit indicating they ue doing aIf'w:ork and then hire outside contractors must submit.a neav afi4davit indicating such. ConIractors that check this boa trust attacbed ssn sddidonal sheet showing the name of the sub-contractors slid stale whether or not those entities have emplayees. Ifthe sub-c.ontractomhave emgloyLes,.ihey.must provide their workers'comp.policy number. T alit all»emip&oyvr that is providing workers':conrpensa.i'iort uasarrance for tt[1,employees. Uelort,is ilie pal.icp-ai?.d job site it fOYNtdL�DfL . Insurance Company Name: Policy#or Self-ins-Lic.#: E:xpim6on Date: Job Site Address: Attach a copy of.the ivorkers_' compeirsat on policy eciaratio-a page(.&IIoxidng'the,policy number and eapixation da.te). Failure to secure coverage as required under Section 2.5A of MGL c. 152 can lead to-the imposition of criminal penalties of a ,fine up to$1..,500.00 andfor one-year imprisonment,as well as civil penalties in the form of a STOP WDRK 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 D.IA for insurance coverage verification. I ado horcO,} certify r^^t. der thepains andpenattiei ofperjury'that the it forrttatioltprot idid.a borra.is true and correct i ture: �J Date: I Phone# Lsbg ,I 1(—q it's Qfficial.us.e:only. Do not write in this area, to be coliiplated by cih'or town officia1 City or Town: Permit/License# - IssuingAuthoi it)•(ciYrle nne): 1.Board of Health 3.Building Department 3.`Cty/Toi;fir Clerk 4, Elec:trical'IWpector S. Plumbing Inspector 6.Other l U 1,,....,11..1 _ - OtYce of Coeme'iA�it dsiae Regulation HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use only Re gistration: 1.v101149 before the expiration date. If found return to: T e. a YP . J Expiration: 6/2=012 Office of Consumer Affairs and Business Regulation... f .. Individual ' 10 Park Plaza-Suite 5170 Boston,MA 02116 John Dunn _. 80 MARIE ANN TEfZR',; CENTERVfLLE, 02.i3f Undersecretary Not valid without signature 'v t�lassachusctts Departincnt 1)1' Puhlic Safm Board (it'Building Regulation.. ;,,,(IStandards Construction Supervisor License License: CS 14007 Restricted to: 00 ad. JOHN P DUNN BOX 924/80 MARIE ANN TER CENTERVILLE, MA 02632 c— • Expiration: 5/25/2012 (' uuuissi ucr Trg: 24061 0 Cp THE r " BARNSTABLE, • - . MASS. Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 wrv.w,town.barnstable,ma.us Office: 508-862-4038 Fax: 508-79- 6230 Property Owner .Gust Complete and Sign This Section If Using A Builder; as.Ownei of the subject property hereby authorize to act on mybehalf . , in all matters relative to work authorized by this building permit application for: (Address of Job) • Signature of Owner ` Da e '.rint Name r FProperty Owner is applying for permit, please complete the Homeowners License Exemption Form r, P the Lverse side. \%VPFILMFORMSIbuiUng permit Iornis�E-XPRSSS.doc :tt.vised 072110 f Town of Barnstable Q3C� *Permit it • Expires 6 months from is date Regulatory Services Fee Thomas F.Geiler,Director X"PRESS PER PERIft ding Division Tom Perry;CBO, Building Commissioner ( V NO V p 2 g 2040 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us ice: 508-86.2-0338 OF ARIY€$T: 13L4 - Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red x-Press Imprint reel Number Z y Address 26-z_ OeWram"Yale a► dential Value of Work ZX� Minimum fee of$25.00 for work under$6000.00 s Name&Address 2-0 2, tor's Name Telephone Number mprovement Contractor License#(if applicable) (�fappiieabl anan's Compensation Insurance Check one: . I Ea sole 2roprietor the Homeowne ❑ I have Worker's Compensation Insurance e Company Name n's Comp.Policy# Insurance Compliance Certificate must be on file. .equest(check box) Re-roof(stripping old shingles) All construction debris will be taken to (� 4— Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: ope O r must sign Property Owner Letter of Permission, op of H e Improvement Contractors License is required. URE: pmtrg 06 Department o 'Industrial Accidents Office of Investigations d 600 Washington Street Boston,MA 02111 `�M s�•J www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plunribers ,plicant Information Please Print Legibly me (Business/Organization/Individual): 1� [dress: 70Z: Q4+('(o S - ty/State/Zip: 0e&Ville 6Yla, Phone #: 41a.r L-190 you an employer? Check the-appropriate box:. . _ _- - Type of project(required): - 1 am a employer with 4. El.I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors } I am a sole proprietor or partner- listed on the attached sheet $ ❑ Remodeling ship and have no employees -: These;sub-contractors have 8.._.❑ Demolition workingfor me in an capacity. - workers' comp. insurance. Y P tY• 9. ❑ Building addition [No workers' comp. insurance. ❑_ 5. We area corporation and its u� officers have exercised their 10.0 Electrical repairs or additions I- 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 Roof repairs insurance required.] t /Y employees. [No workers' 13.❑ Other comp. insurance required.] applicant that checks box#]must also fill out the section below showing their workers'compensation policy information., teowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such actors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy inf6rrnation. an employer that is providing worker compensation insurance for my employees. Below is the policy and job site motion. ance Company Name: y#or Self-ins.Lie. #: Expiration Date: ;ite Address: - City/State/Zip: eh a copy of th orkers' compengation policy declaration page(showing the policy number and.expiration date). re to secure coverage as required under Section 25A of MGL c .1.52 can lead to.theposition of criminal penalties of a ip to$1,500,00,and/or one-year imprisomhmt- as well-as-civil penalties inAhe form ofa STOP WORD"ORDER and a fine to$250.00 a.day against the violator. Be- advised that a copy of this statement may be forwarded to the Office of aigations of the DIA for insurance coverage verification. - hereby cent u e the p ins a d penalties of perjury that the information provided above is true and correct attire: , . �. Date: ie#: fcial use only. Do not write in t . area,to be completed by city or town officiall, ity or Town: Permit/License# suing Authority(circle one): Board of health 2.Building Department 3.City/Town.Clerk 4.Electrical Inspector 5.Plumbing Inspector Other 'ontact Person: Phone#.: Assessor4 office(1st Floor): (� `'>.:4ssessor's map and lot number l l 3 1 s26t�� ��TM Ir t0 ervation ����i�° d of Health(3rd floor): ' ������M�� y� COMPLIANCE .P •. age Permit number ✓ INSTALLED ICI t ssaseTantt 14fITH TITLE 5 ■••• :Engineering Department(3rd floor): C6 AN °° i"L House number ERIVIRIDNMENTAL �o ear a Definitive Plan Approved by Planning Board 19` REGULA-TIONS APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 0 d -a-xi;5f/n �,e48At4,, 461d � y 1) e _ y TYPE OF CONSTRUCTION do rur�r?o /q i i g 9..3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use ��S t e%.-, r7dl Zoning District Fire District e o ' I, Im Name of Owner 1,V 11 a4z-, /7[Q g/,'S Address a a' �� /-,07,5 Name of Builder n//GAOIeLS .44,1_57 Address `( 144-A-4_V S4?—I�V4. Name of Architect !'� 456)u S' Address c�1 65- Number of Rooms /�� Foundation Exterior rlr�� Roofing S�i 2 a�[_/��� d Floors Interior _DA 6j � L6J Heating - �- Plumbing �6a- FireplaceX«�7h:5v�,�ild�y Approximate Cost T Area E je ® ® 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. Namew`� Construction Supervisor's License 00 HIV WI 'IAM �. No 36004 Permit For Remodel Sinale Family Dwelling , ` Location 202 Patroit Way f , Centerville _ Owner William Higgins r s { Type of'Construction Frame O \ Plot Lot r Permit Granted July 2 , 19 93 Date of Inspection 19 t ;k Date Cornpleted 19 Z'tac F� " l • t '4M.1t \ . TOWN OF BARNSTABLE11 � . e Permit No. ---- Building inspector srurrsc Cash 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 C4.rk & Elaine Tolchinsky Address 134 Mayflower Terrace, S.Yamiutt lot #75 202 Patriot Vlay, Centerville Wiring Inspector Inspection date Plumbing h�spector Inspection date S� Gas Inspector Inspection date Engineering Department f� !c<� L� , rt-I Inspection date i 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. ,r f ............... 19ff ...................../Building.Inspector 'J J ' �AssAor's map and lot number ....../. .�..1. 1 ..'j��` OA. PcM- THET 9 SYSTEM 6VIt1 Sewage Permit number ........................................................ SEPTIC SYS 13E INSTALLED IN COMiPL'tANC Z BAB39T/1DLE, . House number ......-`�.{ .a............................:............. 6"JITN ARTICLE II ETA V "e 9 STATE ,i 13 0 ` SANITARY C0'DE ANVD TOWN �°war°` STAH TOWN OF BARNLE BUILDING INSPECTOR s APPLICATION FOR PERMIT TO ...Mark„& Eiane Tolchinsky ; ; ; .... .......... TYPE OF CONSTRUCTION single family residential ................................ ....................................................... April.......... ....................19�g.... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lot # 75 Patriot Wad Centerville: MA 0 63 ....................................... �......2.................................................... Proposed Use ......iingle...family...residential...........:................................................................ single famil residential Centerville-Osterville ZoningDistrict .......................................................................Fire District .............................................................................. Name of Owner Mark & Elaine Tolchinsky Address 1.34 Mayflower Terrace So. Yarmouth .......................................... .... .................................................. Name of Builder Suffolk Realty Trust ,,,..Address ..P...O.....Box 308 Centerville.„MA,...... ............... ......................... .... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Six .Foundation .....L?oured concrete ..............................:.......:.......................... ............................................... Exierior cedar shingles.....................................:. Roofing ...asphalt...shingles..:......................................................... ..... Floors .,carpet over underlayment Interior ..Skim coat plaster ..... ..... ..... .................................... Heating ...Electric ....Plumbing .........RVe................................................................................. ........................................ Fireplace ...brick.................I...............................................Approximate Cost ......... .................................. Definitive-Plan Approved by Planning Board ________________________________19________. Area ... i 303,3 'Z.., ° a Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Ali r 'jr \� 961 '2,2, �Y t � l I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name J���� ........ .. Tol`~^iosu,. Marl, & Elaine . . 21I96, 1 112 to --'' Permit— for —'' . ^ singleXamily dwelling ` —'---^------'-----' --- � 202 Patriot Way Location ~ ' on ---..---.----.--.\.----.. . Centerville ----^--------------~------'' . . Mark & 8laiue Tol Ovvne, ------`--------..���.���--. frame Type of Construction --------------. � ^ --------------------------. Pk #T� � � .------.�..�—. Lot ----------.. - � ' Permit Granted ........ ^l-8..............lV 70 D6taof | ...................................]9 - Date Completed .��, .���,--]g ' '_� u —'''��' ' PERMIT REFUSED - � � + ' .^------.-------..---'.—. l9 ~ ' � � �,--.�—.--~..�------.—.--------.. � ^ .. ..-^'....'''.----'.^^'-----~~--''r--^—' [ ..��.---...--^—...---.~..---..--._--`- ` ' -----.—.....---~—..'...----... r—'' . ^ . ' Appnova6`'--------------- 19 ^ . ^ . � . . � .....................'.........................,,............,,,'...,...'' � � . 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