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HomeMy WebLinkAbout12 TELLEGEN TRAIL FORMERLY 0398 PHINNEY'S LANE ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued U Z- Conservation Division Application Fee ? Planning Dept. Permit Fee. Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis ^ // Project Street Address 1 Village l n-1a14'N ✓A Owner_ qy %o L e,y-P Address Q Telephone Permit Request CT i -k I k G'Ir% rUDC vT ti vvir` Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 0 \~ Zoning District , Flood Plain Groundwater Overlay Project Valuation ,A S Uta Construction Type L�.J0c3 o Lot Size �2 ,A ch,c Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling.Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure ��� Historic House: ❑Yes a-No On Old King's Highway: ❑Yes a-No Y Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) b Basement Unfinished Area (Sra_n Number of Baths: Full: existing Z- new Half: existing new Number of Bedrooms: existing Total Room Count (not including baths): existing _�new First Floor Room Coun-Pl 3 Heat Type and Fuel: was ❑ Oil ❑ Electric ❑ Other IO Central Air: ❑Yes ❑ No Fireplaces: Existing New 0 Existing wood/coal stove ❑Yes 3<o Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 2' isting ❑ 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 .M k K.9 L.\ Telephone Number s-0 �C- �/ ' ��' i Address'i.) _) ? "%motif!%1 Iyu License # u C12 C Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 SIGNATURE YV\il DATE r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER z DATE OF INSPECTION: 1 FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING q 12,7h2:k9 DATE CLOSED OUT ASSOCIATION PLAN NO. ortF, Town of Barnstable y Regulatory Services �aaxsraei� Thomas F. Geller, Director MASS. $p�Ee79� Building Division Thomas perry, CBO, Building Commissioner 200 Main Street, Hyano_is,MA 02601 " . wwvs�.town..barnstable.aia.'us ' Office: 508-862--4038 Fax: 508-790-6230 PLAN RE-VIES Owner. LEAV E_/L Map/Parcel: Z U. 0$ Project Address���j$ P/-} 1���1`s L#v Builder: �� a- The following items were noted'on reviewing: kcAME.-.,T' mr PC(L hRE5�P1.P'rZI�F_ DES�C-,n1 F-0 f- D ECKS C, xIEqU-T4cO O.e) Reviewed by: Date: - The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street. Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information P Please Print Legibly Name(Business/Organization/Individual):. A^ - �-c 1K�u 2�. ( 1(�•f Address: ,) �ti� f.�.. City/State/Zip:/, ®� e���r Phone sd 6 Are you an employer?Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. EJ I am a general contractor and I employees.(f tH and/or part-tim.e). * have hired the sub-contractors 6. ❑New construction.. 2.Ef I am a'sole proprietor or partner- listed on the-attached sheet: 1. ❑Remodeling shipand have no employees These sub-contractors have •8. ❑Demolition working forme in any capacity: employees and have workers' [No workers' comp.insurance. comp.insurance. 9. D Building addition required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all-work officers have exercised their . . I L E]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 Others (1 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.. $Contractors 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. Jam an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information Lasurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 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 Section 25A of MGL c. 152 can 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 insurance coverage verification I do hereby certify under the pains•and penalties of perjury that the information provided above is true and correct. Si ature: Date: V. / L Phone#: 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): .'�Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5:Plumbing Inspector 6.Other Contact Person: Phone#• °FtHe,�,�ti Town of Barnstable Regulatory Services * BARNSTABLE, 9e MASS. Thomas F.Geiler,Director ljo i6g9. 10 TEo��A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 i www.town.n barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder 4V ( o I, A tr , as Owner of the subject property hereby authorize f Vl ( �'(-��� L �/✓Z- ( to act on my behalf, in all matters relative to work authorized by this building permit. 3 9 PV/i'Ve C S LI+141� (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. y t . Sig#t e of Owner Signature of Applicant f -DA l/ L v�2 l . ,• Print Name Print Name a . Date Q:FORMS:OWNERPERMISSIONPOOLS,6/2012 € THE 1p� Town of Barnstable ' Regulatory Services BMMSTAaLB, ' Thomas F.Geiler,Director MASS. i639• •�� - Building Division AIFD MA'I A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICEN EXEMPTION Please Pr t DATE: JOB LOCATION: number stre village "HOMEOWNER":' name h e phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was ext ded to ' clude owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for d' e who d s not possess a license,provided that the owner acts as supervisor. DEFI ITION OF HO WNER Person(s)who owns a parcel of land on which /she resides or int ds to reside,on whichthere is, or is intended to be, a one or two-family dwelling, attached or d tached structures ace ory to such use and/or farm structures. A person who constructs more than one home in two-year period shall n be considered a homeowner. Such "homeowner"shall submit to the Building O cial on a form acceptable t the Building Official,that he/she shall be responsible for all such work performed and the building ermit. (Sectio 09.1.1) The undersigned"homeowner"assumes res onsibility for compliance with the to Building Code and other applicable codes,bylaws,rules and regulati ns. The undersigned"homeowner"certifies th t he/she understands the Town of Barnstab Building Department minimum inspection procedures and requ' ements and that he/she will comply with said ocedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwelling containing 35,000 cubic feet or larger will be required to compl with the State Building Code Section 127.0 Cod struction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any hommv,ier performing work for which a building permit is required shall be exempt from the pro ' ions of this section(Section 109.1.1 -Licensing of c nstruction Supervisors);provided that if the homeowner engages a person(s)for hire to do s h work,that such Homeowner shall act as supery or." ' 11 Many homeowners who use this exe ption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Constructior Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Superviso is ultimately responsible. To ensure that the homeowner is fully a are of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands th 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:forms:homeexempt - �... t ° v'.. Q`S' •,mow... .. R<I�/ n�e4�, ¢, bt*�' , i a I � f } } } f i { - t`7 ' "` j � ± ... ` _ � � t { .+ { - a � �, �+�_ ..i.�� n�1 �e 1 ��,. •g'' � �� � s � 1. ', .'.' i 1t I. y( i � t � 4��i I• r J,v�,P I r•, _ � I � r I i I ' ,�. 1 t • '��� T .S,��,..�,,,,-!_ = 4 �_ t .�_ , I .__ ��.,._.;_. { ._,.�,..�t�r - i_ { . e' •. i }... � I j - { -.i i 1 ' a• } f ' _ .. � f��'���+� ® �wa'�(gyp'! c�;,r�..-a� �� f �: �� i( f ti, i _ t � t } l ►� 1 '•-� Z o E z D J se re tic NOTE; A55 e LoT `x G7' , Or r. T�w i.a /-y d-pl a/S ,. o n N LDT 3. � , k . ` 47 s M L o,T. , y 6 �2;-,7 58 52 77 ,•?!. ;} 4s yam, a. w� CERTIFIED PLOT PLAN ROBERT 147 ELOFc7GE f ado. t93s� G, IN LL Qi'��'�ECtSi f Jai•' , LN�S AgAS ASL4 MA ; l SCALE, DATE , I CERTIFY THAT THE ,. r CLIENT SHOWN ON THIS. PLAN IS LOCATI �8l8TERE0 RESISTIERED �® �: 3o ON THE GROUND AS'' INDICATED AN CIVIL LAND CONFORMS TO THE ZONING 1A1�9 ' x # ENSIN'EER SURVEYOR DR.BY� OF BARNSTAB E , MA88.. CH+BY .� / - 712' MAIN 5TREET � HYANAISt ..M AS,S. SHEET_ -.,/-OF/ A�TE REG. . LAND SURVEYOI'; e •S AIL ° -`r&I i r r ,r x . i i � r l -yYrrt 1 r' TME `7 o Town of Barnstable *permit# d7�� ` p n 1 Expires 6 m Dnths from'sue date Regulatory Services Fee Thomas F.Geiler,Director 6 Y 9 Building Division om Perry, Building Commissioner O T 1-100 Main Street, Hyannis,MA 02601 PERMITPRESS Office: 501- -4038 - Fax: 508-790-6230 MAY 3 1 2007D EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint T® OF BARNST BLE Vlap/parcel Number /36ZO9 Property Address 9 Q �)i wSn1 t=�I 4 �] t�L-ice 1-ft Qc L 1 til All. aZ [Residential Value of Work&S Q — Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address n AVte ( 6-1A U L::k PH;rjfj S Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance . Check one: WI am a sole proprietor am the Homeowner ❑ I have Worker's Compensation Insurance ti Insurance Company Name © C; Workman's Comp.Policy# _ Copy of Insurance Compliance Certificate'must be on file. . to c. Permit Request(check box) ZZr ` s� L� Re-roof(stripping old shingles) All construction debris will be taken to 6ASS It ❑Re-roof(not stripping. Going over existing layers of roof) v rn ❑ 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. ome Improvement Contractors License is required Signature Q:Forms:expmtrg Revise063004 Its, N r -- -- -- -- --- - Department of Indusidd Accidents Qffice.of Invesdgadons 600 Washington Street Boston,AM 02111 www.massgov/dle Workers' Compensation Insurance Affidavit Builders/Contractors/Electridans/Plumbers Applicant Information Please Print Leeibly Name pniness/orpnization/Individual): DAJ c- �.t;AQ 6rL Address: 39 ? 'P w n1N z :j S 1al City/State/Zip: c=�i t:'2.r 11 cs 1''ta :• Phone#: S-6 a - 77.5 • ���(, 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.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. g, [3 Building addition [No workers'comp. insurance 5• El We are a corporation and its 0. Aduir(A] officers have exercised their 1 ❑Electrical repairs or additions 3.011 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, ❑ Roof repairs. insurance required.]t employees. [No workers' comp.insurance required.] 13.❑ Other 'Any applicant that checks box#1 must also fill out the section below showing their works='oa�nsation policy information; t Homaowners who submit this affidavit indicating they an doing an work and then hire outside coubachm mud submit a new affidavit indicating such. ZContracrom that check this box mud attached an additional sheaf showing the Hems of the sub-contractors and their workers'comp.policy information. I am an employer"b providlna workers,compensation Insurance for my employm Below 1s tare poky and fob site information. Insurance Company Name: f Policy#or Self-ins.Lia M Expiration Date Job Site Address: City/Statrjzip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to sewn coverage as required under Section 25A of MGL c. 152 can 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 inay be forwarded to.the Office of Investigations of the DIA for insurance coverage verification I do hereby eenify under the pains and penalties of perjury tho the Information provided above is true and correct S' ature• Date: a Phone#: 0,,�?eial use only. Do not write In this area,to be completed by city or town offlcid City or Towns Permlt/License# Issuing Authority�(clrcle one): 1.Board of Health 2.Building Department 3.Chy/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector k s 6.Other Contact Person: Phone#: iniormaziun isjum xnalx u.,%,iL.,iLa►;P do vide workers' compensation for their eerwloyess Massachusetts General Laws chapter 152 requires an employers Pro ee is defined as"...every person in the service of another under any contract of hire, Pursuant to this statute, an employee . .._ ... express or implies oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more including the legal representatives of a deceased employer,or the of the foregoing engaged in a joint enterprise, io �. However the receiver or trustee of an individual,partnership, sociation or other legal entity,emp to ying emp Y owner of a dwelling house having not more than o apartments ��won o repair work on sd who resides therein,or the uch dwelling house dwelling house of another nt Of the who employs persons lo ent be deemed do be as employer." or on the grounds or building appurtenant thereto s U not because of -emp yin ter 152, 25C(6)also states that"every st or local nsing agency shall withhold the issuance or MGL chap § renewal of a license or perms to operate a business r to con rust buildings"1n the commonwealth for any applicant who has not produced acceptable evidence i ceom annce with we lth the many of�b politiealgsnrbd�io� shall Additionally,MGL chapter 152,§25C(7)states `N enter into any contract for the performance of public wo acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the co cting authority." Applicants Please fill out the workers' compensation affidavit co etc by checking the boxes that apply to your situation and,if sub-contractor(s)name(s�address( and p ne number(s)along with their certificate(s)of • . necessaryit or L' Liab ' Partnerships(I.LP)with no employees other than the insurance.. Limited Liability Companies(LLC) members or partners,are not required to carry work cmnpens 'on insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this davit may a submitted to the Department of Industrial Accidents for confirmation of hmwcc coverage, so be sere to go and date the affidavit. The affidavit should be returned to the city or town that the application f the permit or lm a is being requested,not the Department of Industrial Accidents. Should you have any quesdo regarding the la or if you are required to obtain'a workers' compensation policy,please call the Department a number listed be w. Self-insured companies should enter their self-insurance license nurnbtr on the appropriate e. City or Town Officials Please be sure that the affidavit is complete and ' ted legibly. The Departm t has provided a space at the bottom of the affidavit for you to fill out in the event Office of Investigations has w ontact you regarding the applicant Please be sure m fill in the pernuttlicense n er which will be used as a refer a number. In addition,an applicant that must submit multiple permit/license app cations in any given year,need only ubmit one affidavit indicating current policy information(if necessary)and under Job Site Address"the applicant sbo write"all locations in (city or town)."A copy of the affidavit that has be officially stamped or marked by the c' or town may be provided to the applicant as proof that a valid affidavit is file for future permits or licenses. Anew ffidavit must be filled out each year.Where a home owner or citizen is o g a license or,permit not related to any \,�,e,s or commercial venture (i.e.a dog license or permit to burn leav etc.)said person is NOT required to completeffidavit The Office of Investigations would lice thank you in advance for your cooperation anld you have,any questions, please do not hesitate to give us a call. The Department's address,telephone fax number: Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia Town of Barnstable Regulatory Services Thomas F.Geiler,Director snatvsrABM 1' � 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 10A!q 9.9 2,00-7 JOB LOCATION: P CC' TGa%1(i I G aZ`_31 number treet p village "HOMEOWNER": DA VL U A jen_ .l—d P -77y Z 26(a name home phone# work phone# CURRENT MAILING ADDRESS: 39 co i7 H;ti &ACaw &I city/town state zip code The current exemption for"homeowners"was extended to include owner-occlpied 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"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requii ents. b e S re o omeowner 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 shalt 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 2.15) This lack ofawareness.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 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:forms:homeexempt TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit Health Envision Date Issued �� I L Conservation Division l Fee 00 Tax Collector SEPTIC Treasure! INTLL�® � ��G�� T a COMPLIA ..P Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANRD TOWN REGULATIO,%�,S Historic-OKH Preservation/Hyannis Project Street Address Village 4-�� Owner P.4clib C ! Address � ? Telephone Si Permit Request XWL-PiC ?F-" /; f(( swp—b Square feet: 1st floor:existing` proposed 2nd floor:existing proposed Total new Estimated Project Cost 73000 Zoning District Flood Plain Groundwater Overlay, Construction Type F6P.r- Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. 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 0 new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new sizeOther: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name P(, 6o007 �'P,oP(�cnr Telephone Number 2 Z Address 3W License# S' 4 YS/3- ff,L_A-A_1S L- Home Improvement Contractor# 060 9 3"7 K Worker's Compensation# �{ %16 3 o f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 7 AA FOR OFFICIAL USE ONLY - �. PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS" ' r VILLAGE Y OWNER` ` a DATE OF INSPECTIONS FOUNDATION FRAME INSULATION f •T FIREPLACE f f ELECTRICAL: ROUGH " :,. FINAL PLUMBING: ROUGH . ' — FINAL - GAS: . ROUGH FINAL a - ' FINAL BUILDING, rY DATE CLOSED OUT 4 ASSOCIATION PLAN NO F `4" w W. /244 D f . f`r r k• vet TN D Zo, IS 30/�0 SA 7-tgAck:S lVorE .nssuM�� nor PRToriorr mil, w,ws L o'T 3, G of o 1 4� 7,Sr' r 5 .> 749 - LoT 37 y 16 l Z�Z-r7 SS /8G 7 CERTIFIED PLOT PLAN Rd@ENT ELDREDGC'; o. t9367 BEN No. p�� Afcistc��° e IN h SCALES / y;:, DATE_ s I. CERTIRY'.THAT THE CLIENT*- ®t�TERED R�®ISTERt:D SHOWN ON THIS PLAN IS LOCATED CI,VLL �: LAND JOB " 0• 3° ON' THE GROUND AS" INDICATED AN.D ENAINE R SURVEYOR �q,�Yr CONFORMS TO THE; ZONING LAWS ;... OF ®ARNSTAa E , MASS.` T12•-MAI N `STREET CFL®Y� z� ./ ' HYANAIS MASS: i •/ SNEEi'_,,.OF ATE RE®. LAND.-3URVEYQR:. TOWN OF BARNSTABLE Permit No. --Z8530 Building Inspector Cash ------- 1639, OCCUPANCY PERMIT Bond -------- Issued to rrpen!--rier r— Address 35- Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date J-) P Engineering Department Inspection date Board of Health Inspection date 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. ...................................................... ..................................................**.............................................................. Buildinff Inspector . a s�.... t.,, -w; t:'.YF ;r"�` ttas;gl ,:,tfa:��»„,,,:Fwy,t,t'rvsy,r: .`,..•,f;�,�r". � ��.�::.g;'�:�:'F 3'�. ';r. w�_�r.:•.y� .. °• TOWN OF BARNSTABLE BUILDING DEPARTMENT 2 shs16rAX : TOWN OFFICE BUILDING NAM 1639. HYANNIS, MASS. 02601 YR! MEMO TO: Town Clerk FROM: Building Department DATE: )ec S An Occupancy Permit has been issued for the building authorized by 36 Building Permit � ....... P .J�.^ia� n.� issued to .. .-��.... � Please release the performance .bond: a G � �25' vvr@TH �' 5e.rrgnck.5 f 0T'E;_ f1sSu,HED for ZZ o y o PL 4-7 o N r- 5's 78.r N LoT 37 y Zz ,7 SS sf 52f a a3 r-- CERTIFIED PLOT PLAN �. c,coEFar Wo. 19367 Cj IN SCALE, y�.> DATE : s - E� �� k N,Bk�<^� I CERTIFY THAT THE ,6` .,�,jP <., CLIENT ®IiTERED ��®ISTERED "�'�"�' SaOMIN ON THIS PLAN IS LOCATED JOB POQ. . 30 ON THE .GROUND AS' INDICATED "D CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR OR.RY$. OF ®ARNSTA® E , MASS. ,,, CK BY ' r.. 712`1NA1 N STRE.E.T H_YA`N R i S, MASS.: :' SHEET!.OF/ ATE REG.. LAND SURVEYOR 1d - �I D`' N 63 z_vA, n 125 S OF , A. S 0 / 4 �T ^f`\ \ v Caw 6 Cl i a �a F•.� I � � �U)�H, 01 N s `. w 1 3 •' y t 4yF 'k F rc ' �\� A' ►� rz°141 P 0, TP R. `q ` EGE 0ySq' 1301, / f � IXISTINS SPOT ELEVATION . Ox0 ` �07,6- 3 3 CERTIFIED PLOT PLAN `^ .EXIETIN0 CONTOUR .-_— 0 : NLSNEO SPOT ELEVATION �] d'r 3 , PN/wn/�'y s 4✓-= w+h IN1,.8MED CONTOUR 0 CE=NTZ—;e 1a_ ;NOTE♦' The location of any existing un_ derk.� •ound sewerage, �N r� � . wells,,;'or' other. utilities shown on this plan is approx- ' � ? mate bnly' as determined from records' and/or verbal \ AA SS* -` information,,;The contractor is responsible for the : S��A.' �� ?�. Verification of the existing locations in the field. SCALE'. � � '�� r DATE 6 �.DREOGE-ENGINEERING COt IN CLIENT..,....: i CERTIFY THAT THE PROPOSED r 4: EOISTERD1961STERE,O JOB N0.' 830 BUILDING SHOWN ON THIS PLAN LAND CONFORMS TO THE ZONIN LAWS DR.BY A _..f.� OF B R N S TA B L E M A 3 9 Pei �wdfa E 01 �`■f■L Y�' , ?12 M�! N $TIiEET,. CM. BY' 2 �? - ;,V:.-� ! �r �'; {■■ <�+; NYANN'19,' MA98 I9HEET OF D R T E REG. LAND SURVEYOR t ■■6 ` .Assessor's map and ft�nl�uomb .... .�.. .K c SEPTIC Sl'S`6E :� MUSE �oF Toy THE y a g d8 Sewage Permit number ......;:.. S..... ...._'......................... INSTALLED IN C®�IIPLIA i WITH TITLE � 33ARNS8TLBLE. 8 House number ......................... ENVIRONMENT C o 9- T®WN REGULATIONS '�0 war a` TOWN OF BARNSTABLE BUILDING INSPECTOR �j � r APPLICATION}FOR PERMIT TO �. �-C C. /_.D c,.� -.ff..:....... . ..... ......... ........ .................................... TYPE OF CONSTRUCTION ........... .......D.QA..: jJC............................... ............. .... 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following inf/.rm,:, tion: Location .. Q ...../0,�1,✓. . .� ../.. 7.......4.. �.�� lr/C.................................... c � X Proposed Use v5.77/ C. ���1 .! ...................................................... .......................................................... ..... ... ... ....... . ZoningDistrict ....... ...........................................Fire District ..... C ......................................................... C Name of Owner .... ?'�c.� ...G1. J.. .. �6 �....Address .....Jl...t.. .!...�J��.Q...... .� �. .....v�rl./�.... Nameof Builder ............ ................................Address .................................................................................... Nameof Architect ..................................................................Address ..........................................................;........................ Number of Rooms ........ .....................................................Foundation ... � ..` �� �............. LL / Exterior '(!r / 3 �S.......Roofing s-�.... r // Floors ...... �. .... ....... ....CCct� .......................Interior ......�..... f'. Heating ...... ...........W.. ...� .... ••fit.., .................Plumbing .....",Q...4.��!. .11,4 5........................................... Fireplace ........r <,.......................................................Approximate. Cost .......... ... ) 0.0 Definitive Plan Approved by Planning Board ------------- ____��_________19 Area .......................................... Diagram of Lot and Building with Dimensions �x �e-1 df Fee cro SUBJECT TO APPROVAL OF BOARD OF HEALTH Z� �ID /�°� 5` � " V\ . 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 ................. ........A... ir. Construction Supervisor's License .. Q ........ G#rREENBRIER CORP. gY No ...28530... Permit for ................ .:.......Single. Family...DwelX;[I,g..................... Lot 37 �•' � ` t Location 1.....39.$ Rk lxlilcy.'..s..Lan.e. ..................Centerville..................................... ti Greenbrier Corp Owner P.:.......................... . .................................... Type of Construction .Frame.............................. -a '• Plot ................ ........:.....•Lot............. - ................. s Permit Granted ..••• October 11, 19 85 w r Date of Inspection ....................................1'9 = Date Complet d �qq 19a d•: a. ....... 4 4 �