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HomeMy WebLinkAbout0215 PINE STREET (HY a: .r. �y i, u i v Application number..&.I.............................. F . .. ................. ........................................ KAM Building Inspectors Initials 1619. Date Issued. ti .......CRP�l Map/Parcel. � . .. lJ;'�. v ........... TOWN, OF BARNSTABLE . . 4 !�N EXPEDITED PERMIT APPLICATION: ROOF/SIDINGfWINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION F- PROPERTY INFORMATION Address of Project: - � Y, NUWER rEET VMLAGE Owner's Name:-�6 �il C ".8 JQ k� l: Phone Number �'� Z` 7�- ?-T�{ Email Address: Cell.Phone Number Tq W Project cost Check one Residential `� Commercial . OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK 4d/.' �� Siding . b--Windows (no header change)'# ❑ 'Insulation/Weatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer,of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SURJER PROPERTY IS IN e ►J1C7n01r n►cTD►rr Vnll MIICT nRTdIN MICTMI ADPWRIA1 RFCnRF d PFRMIT rAiV RF IMIM APPLICATION NUMBER f *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X P Additional tent dimensions can be attached on a separate piece of paper. r Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be,attached.Provide a,site plan with the location(s)of each tent Fuel source being used LP tank 201bs. or>Yes No____,if yes, a gas permit is required. Natural Gas Yes- - ' 'No ,if yes,a gas permit is required. • +. R If food is being-served at your eventplease'obtain a Hedth'Department'approval between the hours of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approvak,,; *WOOD/COAL/PELLET STOVES .. r Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Av Telephone Number '2 '�" Cell or Work number I understand my responsibilities under the rules and-regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection p dures,specific inspections and documentation required by 780 CMR and the Town of B tab Signature _ Date APPLICANT'S SIGNATURE I Signature _ Date I 1 All per"itlications are subject to a building official's approval prior to issuance. 64 The Commonwealth of Massachusetts ti - Department of Industrial Accidents . ` Office of Investigations 600 Washington Street ., Boston,MA 02111 www.,massgov/dia P ���; - u Workers' Com ensation Insurance Affidav><t:$uilders/Contractors/Electricians/Plumhers Anphcant Information "Please Print Legibly Name(Busines`s/Organuation/Individual): Addres �I �� I' ilia �✓ �1�r./�✓1 ► 1,�,�'. Vl. �1-��' � _ , - "JCity/State/Zip: a Z 6� .7 < Phone#: `�® B'-�9 Are you an employer?Check the appropriate'box: 'r Type of project(required): 1.El with i am a employer4. E I am a general¢contractor and 1'.. 6. �❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner.. r_ : listed on the attached.sheet. : 7..[]Remodeling ship and have no employees These sub-contractors have .r g 0 Demolition workingfor me in an ca aci employees and have workers' Y P h'• # _ �9. `�Building addition [No workers'comp.insurance `°comp:insurance. required] S. We are a corporation and its . 10.0-Electrical repairs or additions- , officers have exercised their �1 LQ Plumbing repairs or additions . ,I homeowner doing,all work. -- myself. [No workers'comp. right of exemption per MGL 12.0•Roof repalrs . F insurance required.],t c. 15.2,§1(4),,and we have no employees.[No workers' `. 13.❑Other 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. - I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site - informadon. Insurance Company Name: Policy#or Self-ins.Lie.#: 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"paiiiindpenaW ofperjury that the information,provided above is true and correct- Si ` ature: Date: Ph ne#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permii/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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursu to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or' plied,oral or written." An employer i defined as"an individual,partnership,association,corporation or other legal entity,or any two:or more of the foregoing gaged in a joint enterprise,and including the legal representatives of a deceased employ ,or the receiver or trustee an individual,partnership,association or other legal entity,employing employees. owever the owner of a dwelling use having not more than three apartments and who resides therein,or the occu t of the dwelling house of ano r who employs persons to do maintenance,construction or repair work on ch dwelling house or on the grounds or buil ' g appurtenant thereto shall not because of such employment be deeme o be an employer." MGL chapter 152,§25C(6)als tates that"every state or local licensing agency shall withh d the issuance or renewal of a license or permit to erate a business or to construct buildings in the com onwealth for any ;applicant who has not produced ac table.evidence of compliance with the insurance overage required." Additionally,MGL chapter 152, §25C( states"Neither the commonwealth nor any of its olitical subdivisions shall enter into any contract for the performance f public work until acceptable evidence of pliance with the insurance requirements of this chapter have been presen to the contracting authority." Applicants Please fill out the workers' compensation affidavit co Vb by checking the b es that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(esone number(s)al g with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limitility Partnership (LLP)with no employees other than the members or partners,are not required to carry workers' ation in an . If an LLC or LLP does have employees,a policy is required. Be advised that this af be submi to the pepartment of Industrial Accidents for confinnation of insurance coverage. Alse t ign an date the affidavit. The affidavit should be returned to the city or town that the application for th or li e s being requested,not the Department of Industrial Accidents. Should you have any questions rethe law f you are required to obtain a workers' compensation policy,please call the Department at the listed be Self-insured companies should enter their self-insurance license number on the a ro wate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly._ Department has p vided a space at the bottom of the affidavit for you to fill out in the event the Office of Invest' ations has to contact y regarding the applicant. 'Please be sure to fill in the permit/license number which will be ed as a reference numbe In addition,an applicant that must submit multiple permit/license applications in any giv n year,need only submit one ffidavit indicating current policy information(if necessary)and under"Job Site Address' the applicant should write"all 1 ations in (city or town)."A copy of the affidavit that has been officially stam or marked by the city or town ma be provided to the applicant as proof that a valid affidavit is on file for future ermits or licenses. A new affidavit m be filled out each year.Where a home owner or citizen is obtaining a licens or permit not related to any business or co ercial venture (i.e.a dog license or permit to burn leaves etc.)said pers is NOT required to complete this affidavit. The Office of Investigations would like to thank you in dvance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number The Comm nwealth of Massachusetts Departm t of Industrial Accidents Q ice of Investigations QQ Washington.Street Boston,MA 02111 Tel.#617-t7-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application - Health Division Date Issued Z Conservation Division Application Fee ^ Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis r �h+prT.t— SEND Project St r t Address V �d 0 Village l�/V' G l Owner O o� AddressIle Telephone Telephone 5�9 ' �� 7 �7� Permit Request `// FG ��� C2����D�. /n G Q V `S' r Ot CS1J c r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District p Flood Plain Groundwater Overlay Project Valuation .©Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family C&-/Two Family ❑ Multi-Family (# units) Age of Existing Structure 6 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: mull ❑ Crawl ❑Walkout ❑ Other Q Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new 615cy, �LE J5 new 1. Number of Bedrooms: existing _new AY 04 �� Total Room Count (not including baths): existing ��new'O Firs�' or Room Count Heat Type and Fuel: ❑ Gas ❑ Oil �ctric ❑ Other OF BARNSTABLE 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 5�% 7 F-?Ll ` U& l Address �� Q�,'/f�,_f C:✓-�ic14-� OCR License # ��6 7 f Home Improvement Contractor# / l v Worker's Compensation #XCS 93W-7 S A ALL COfSTRUCTlO DEBRIS RESULTING FROM THIS PRO,,.JEC WILL BE SIGNATURE DATE l' FOR OFFICIAL USE ONLY APPLICATION# I DATE ISSUED s MAP/PARCEL NO. L' ADDRESS VILLAGE le ' OWNER �Y s h DATE OF INSPECTION: S ^. FRAME i INSULATION��_�;,,.;�•�;;a ,; xt.W:,<. FIREPLACE �t F ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING' ` DATE CLOSED OUT ` a ` ASSOCIATION PLAN NO. HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. f- ry- tij hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: �•_�' ! e's� Gal ' P' 104/ The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather stripping; air sealing; attic& basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home I agree to the following: 1. I give permission to Housing Assistance Corporation the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. have read the provisions of this agreement and give my consent. � p Home Owner(signature) Home Owner email: ` `,. � � � �.° ' Date: Agent:(signature) Date: Weatherization Contractors: Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Tupper Construction Cape Cod Insulation 09 2016 06:12AM Tupper Construction,: Co, 15087785010 —page 1 r25*iTUPPER CONSTRUCTION CO.um 546A Higgins Crowell Rd,WEST YARMOUTH,MA 02673 PHONE: 508-778-0111 FAX 508-778-5010 ' VWWV.TUPPERCO.COM Date: Town of Barnstable Thomas Perry CBO 200 Main Street Hyannis, Ma 02601 (508) 790-6230 fax 4 Re: Insulation Permits a s Dear Mr. Perry This affidavit is to certify that all work completed for permit application. Issued on has been inspected by alcertified Building Performance Institute (BPI) inspector. All work perfor ed meets or exceeds Federal and State requirements. Sincerely, Richard Tupper - License # CS-69058 � . Town of Barnstable, $ De arOment of Pub`hc Works' o►usa 382_Falmouth Road,Hyariius MA Q26Q1:: http//www t©wn barnstableana,us _ Office: 508 790 6400. Daniel Santos;Duector Fax:; 508.79U-6406' ;Rog"er Parsons,PE.Town Engineer E SUBJECT Numbe"ring of Buildings Map No. �aq:!g _.FarcelNo. 06 ,!!OQI } Date:`C9cr C1IS:.: Dear`:Propety Owner; Notice is hereby given in accordance with the General:Ozdinances of the Town of-Barnstable; Chapter lII;Article.V,l umbering of Buildings; adopted March 31.,1931,zev eed July 21,1994; public convenience and necessity requires the assignment of number t. for "your' property l"ocatecl on., 1 !t 5."ra2�'T C�sN4tat4lr: ._.._. STREET NAME VILLAGE" This,number should be affixe'ii ta,your building so thatit"is visible from the=streetaa outlined' in.Exhibt"1+",Town of Barnstable Rules and,.Regulations:for Numbering of Buildings f Please contact Mi Frank=Schlegel at the Engineering Division at(fi08)'790;-6400x 4942 and be prepared;to°provide all telephone-num ers.at thislocation=so that;your E-91 ;9ccount iecorels can be confirmed when the correct building number,is posted: Roger;Paxsoris;P.E; Town Eng-meet 04.,! uiB Rules&,Regst , ✓Common.Questions Z-Mt Map:: Assessors'Change"Form ParcelEd t, Page 1 of';1 3 ° Logged In As: Friday,October2'2015 Frank Schlegel Appllcatian Cerite� Road5ystem ReporC's. Raad';5ystem r Tlt rcordhas�ieenufpdEtd Rarcel Detail' Pa'rcei:IDi 248 l3Of 2 SewerAcct: 1 7/R i. Uol , r., Devel Lot: LOT'2A owner; CHOY,MLYNN tN _ ... ..._..__ ...... ..... ... Co owner: ..:.:.:........ Street; 9230,3RD/AVENUE. _ ........ City SOUTH BLbOMINGl O(t Sta"te: N zip 55420 Locatidn: 215j PINE�STREET(HYCENl') Vivage Centerville x ate? W. 0 Road Index 1258 Pri Frontage: 37 m 'To set road,," can also enter road'index and',tab,out,OfTold: Secondary Road Sec Index` 0000 � Sec,Frontage 0 !I Visions Location: 239 PENE,STREU Y,CENT) Last updated. b/212Q15 10 31 2�A No, Bidgs: Account No, 328470 Lot Size(acres): Iv 41000918 ' State Glass:: 1010 W Year Added i 1988 Fife`Dist �- Deed.Date' 313/Moa 1 Deed Ref..: 22721/10 Land Vaiue> 69800 Bldgs Va[ue; 115900 Extra Features 22200 Condo:GompieX; Building 6 http./l ssgl2/Intranet,_bf ata/ParcelEdit aspx?ID 17927: 10/2/2015 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.]' You must first obtain the necessary signatUres on,this four at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,-1st FL 367 Main St.,;Hyannis MA 0260) (Town. Hall)and get the Business Certificate that is required by law: �. . k DATE: 0 O Fill>in le p k' 4 �r *.fix =` ry € .APPLICANT'S YOUR NAME/S: 9 C Vmtm BUST ESS ' YOU H ME ADDRESS:`' ! 4z ;i4 let Cfl >�� Cf t F r TELEPHO N NE # Home Telephone umber - - ` NAME OF C014PORAtION"3, NAME OF NEW BUSINESS TYPE O.F BUSINESS-` r r IS THIS A HOME OCCUPA OJV�: ES NO <.i' 7 • ADDRESS OF BUSINESS' i`. y:" IQ MAP'.:PARCEL NUMB_ ER "/ DC3 Assessin . . When starting anew businesere are several things you must do in order to be in compliance with the rulesyand regulations of the Town of k-.. Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO ER'S OF I E ~ This indivi ual h s e' infor _ ,d any er it requirements that Pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO Auth ;ze g. tuFe _=—� COMPLY MAY RESULT IN FINES. COMMENT ; C�/lv) ti. Q ` 2. .BOARD OF HEALTH '. This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY)- This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** _ COMMENTS: Town of Barnstable tKE Regulatory Services - P '►� Thomas F.Geller,Director s�texsTwar.E. Building Division MAM �" Tom Perry,Building Commissioner s6;q. ♦0 Alm Mpe 200 Main Street,;Hyannis,MA 02601 www.town.barnstable.ma.us' Office: 508-862-4038 8-790-6230 Approve . Fee: , d-O Permit#: =9 D HOME OCCUPATION REGISTRATION _ Date:_ 0 O� e V /4 IV Name: I 6,9hd /e0Uif)62wlione#:, 50L3 20 C o v p Address: P/-0 aohk 61- A Village; Name of Business: / -� S �k ud j p h Type of Business: §Ma /Lot: p —9 oC2,�ob.2 INTENT: It is the intent of this section to allow the residents of the Toiim of Barnstable to operate a home occupation «zthin single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwellnig: there shall be no increase in noise or odor;no visual'alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or grounndrwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located«itlnin that dwelling unit. • Such use occupies no more than 400 square feet of space'. • There are no external alterations to the dwelling w1iich are not customary in residential buildings,and there is no outside evidence of such use. • No trnfFic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,it excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot contaiinig the Customary Home Occupation,and not vvitlnin'the required front yard. • Tlnere is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one ran or one pick-up truck not to exceed one torn capacity,and one trailer not to exceed 20 feet in length acid not to exceed 4 tires,parked on the same lot containing die Customary Home Occupation. • No sign shall be displayed iidicating the Customary Home Occupation. • .. If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation uho is not a permanent resident of the dwelling unit. I,the undersign d,have read and ee mth the above restrictions for my home occupation I am registering. Applicant: Date: 0 (9 Homeoc.doc Rev.01/3/08 or) Map Parcel 0e-� Permit#' 13 House# Date Issued io � m Board of Health(3rd floor)(8:15 -9:30/1:0Q-4 A} Fee, ��S�s O 09 Conservation Office (4th floor)(8:30- 9:30/ 1:00-2:00) Planning Dept.(1st floor/School Admin.Bldg.) �� ►q Definitive Pl= roved by Planning Board 19 s A ELARNSTAM AM BU, ' TOW_ N OF BARNSTABLEF°"�°'',� l Building Permit Application 'f Project Street Address t t,,.-< 5 T Village `s-Pi► Owner FA CV0,k(a„& 'p(Cl J+ Address Telephone '-7`10 —00 S Permit Request7� '.First Floor square feet Second Floor square feet Construction Type , Estimated Project Cost $ 360� t - Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No. 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name OQ CW\ C . TA"tn Telephone Number Address rj l i K1 cry\ Q ,(C License# Cc, 4",t ►MO . Home Improvement Contractor# Worker's Compensation# iueIV5 V7 D 36 3 O o 7 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO X". ei1dZ/ + SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) r FOR OFFICIAL USE ONLY _ a E ` PERMIT NO. - DATE ISSUED. MAP/PARCEL NO. , ADDRESS VILLAGE ,OWNER � c _ _• - � . , �, � - - � - •. _^ ..,. DATE OF-INSPECTION:, FOUNDATION FRAME , ,4 INSULATION 1 , FIREPLACE ELECTRICAL: ROUGH FINAL,• ' PLUMBING: ROUGH FINAL. GAS: ROUGH FINAL a FINAL BUILDING f DATE CLOSED OUT ASSOCIATION PLAN NO. l \ SHED REGISTRATION F C\ location of shed(address) property owner's name size of shed nature date Old King's Highway Historic District Commission jurisdiction? THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN shed a BUYER: Franklin Randlett _.a -i Ili 6.4�, __. ... o �8 I �+ -fir 3 f j i i i �ct 1 � ' \\ I � N i I tAIE T.TO " THE ( ldv xort�a�Corp, ) MORTGAGE INSPECTION PLAN AND ITS TITLE INSURERSSURER& I CERTIFY THAT THE BUILDINGS SHOWN DO ( ) ppNFORM TO SETBACK REQUIREMENTS LOCAIM IN I.E. (FRONT. SIDE, & REAR SETBACK ONLY) OF Bamsa 0 C64rc_ t yt l-lLF— WHEN STRUOTED, OR ARE 11TLE VII, CHAPTER 40A. SECTION 7,�UNLESS OTHERWISE NOTED ENT ACTION UNDER MASS. G.L. MASSACHUSETTS I FURTHER CERTIFY THAT THIS PROPERTY IS Not LOCATED IN THE ESTABLISHED FLOOD HAZARD AREA.COMMUNITY PANEL NO.: 250001 000y0 DATE: 8 19-85 DEED THIS COMPANY IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT TO THE RECOROL'D BOOK 986 DATE OF THE LATEST DEED OF RECORD. PAGE 282 WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY LINE IT IS ADVISED THAT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENTS. CERT. N0. NOTEs Book 2653 PaRe 297 THIS CERTIFICATION IS BASED ON THE LOCATION OF SURVEY.MARKERS OF OTHERS, AND DOES NOT PLAN BK. PACE REPRESENT A PROPERTY SURVEY. VERIFlCATION OF S(jRVBY tRUSED AND OFFSETS AS SHOWN MAY BE ACCOMPLISHED ONLY BY AN ACCURATE, INSTRUM,F�{. OF PLAN / 380 DATED 67 THIS CERT1FlCAl10N TO BE USED FOR yAGE SES ONLY. �y1.�E Zo ,1996 OFFSETS AS SHOWN A A T USED FOR THE ESTABLISHMEN S SCALE: r-30' Palo BRADFORD bA ENGINEERING CO. �V P.O. BOX 1244 JAMES W. BOUGIOUKAS R.L.S. 9529 HAVERHILL MA. 01831 I TEL (508) 373-2396 Assessor's offioe (1st floor); �r/p�� a®��Q �`�(� - fSTE I 7 ME f T Y(J THE Assessor's map and lot number ...........................................• Board-of Health (3rd floor): 7 �� WITH TITLE 5 Sewage Permit number ........�. n ............ „ .,.'a CODE G Z BasaSTABLE, i Engineering Department (3rd floor): �( l r-TOWN REGULATIONS 'oo rb 9, eye House number APPLICATIONS PROCESSED 8:30-9:30 A.M. and' :00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... ro ................ .06; 4....... ............................................................................. TYPE OF CONSTRUCTION ......j1�04 ....... ...[ tsi:�!'........................... .......... A-P........2.3..........19-0— TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a p mit according to the following information: Location .... . �/Vf'. �:� r 1: G! (C...... .......... ... .......... ..... . ?.. �: �Gr/. Proposed Use ..... ........... , CAle. •i• ....... ........... 7 ...... :. Zoning District ......... .. ...... .. ................................................Fire District ........... /r.. .. ......... . Name of Owner . . .... /.��+...... ... . .... Address ..��L1....... . ...G�?/....:. litl�.�./.<..... Name of Bu r k ......................Address ...... ..... ................ ... ............................. .... ..�....... eG�'-cy Name of Architect . .. 1.7..... ... Gk. .. .............................Address .?.`........... .. .. / /i✓7G1'.......'.f. ? Number of Rooms ............ .................................................Foundation .... . . /s.LQ .... ®'r],�ZC GL......' ExIerIOr ... :. ...1......... ........ f:T!/.:4.:G.:.......... ......... Floors ................................................Interior .... ...Z....f!?.�1........(1��.<.<`�:.�.'.................. Heating � �� L.)..!'G°......................................................Plumbing ......,,1...:........ ............................................. Fireplace . ............................................................Approximate Cost ....... �^� � Definitive Plan Approved by Planning Board _____________________________19_______ . Area G1. �.... ....... Diagram of Lot and Building with. Dimensions Fee .......1'(J`.:................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH `? 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 ...... ................ Construction Supervisor's License ..�J .Q.R...... DACEY W11,LIAM E. Permit for ....1 ....S tort............ .. ....-t...... o r :jingle Family Dwelling_...,.... ....................................... ..... Or Location .....Lot...#.2A,.. _M1b A Pine Street N......................... Centerville ...........................I.......................................... ......... 4 Owner .......William......................E........Dac........ Type of;Construction ...,Frame......................... ............................................................................ Plot ..:,n...................... Lot ................................. Permit Granted ....S..... !�e2.� ber...8,,..,,,.Iq 87 Date of Inspection ................. ...... ..........19 Date Comple?ed ...... 1 9P "* V 7 � f �$k _ y i 3.. ,ter A`'�����M� {�1� A ` £.•. lg­ d r No r,� i r t �C -'S l YA � iL\$'�lF• t a-y Ryy Fah "�ssc x�ts� d''a?3L ```+� xy' jYr34i.- C , y ' N. +.tp i Y.a b v .• •• 'y t�«ed+y``� i^i�X'f.�L�'���t3 rf Af � t z I CERTIFY THAT THE • .rM . SHOWN ON THIS PLAN. / LOCAi'E�- THE C I�I� PAU1.A v+ N o LEVY.. AS lCAT:EJ v No 1067 � y r 73 rJt ?,/�.�v+S ,!;`• Q � xt� ro i i d `7t ilt1 �" Y . k2 , LEVY a ELDRE .E ASSOC 3 � ���� OLD/N ,z' e r ,k,• a �f L '�`ta/'his 01''. ° .Y � £ ��'9 yF �#1 ��k�r '� xt`' c'a'zyn.'5�4�d,°, 1• s ENGINEERS LANDSCAPE ARCh�1TE.CTS; � 4f F ,v:° PLANNERS_,LAND`SURVEYORS ` mm y L -.A, h.3 � .�. Y�.IG�•y+���.!•f 'i� � r r Mp� � ya'SR 4,� +ii����i1� I,I� = r� � f�4•,F�a1+•J �*T., .+". ,�`,,yam., s>: _ [• f� y^f7' t. r;�,. �'.b v'w 5�+� � �� f *N�nr" �,yt £ ' " r6z�",'; t��y; 'k��"''���'��7'�. �t`�� r AArn Y� • . . .. S.�'?9-, MAIN g p } � P�m/�3 �� � �n� �s-:r r�? t s-. ����V !I'7-K.�J�„►�J,trx`r r H'k �`i"t' wy„ CEI�ITER ILI.E*.MA :�2� 2 ° ' 'r , S. ®ArE��� 26k c r ++fir a a r.-�,.- :.. ..z;...,._,.,....„4,_....-r- ..,...-.,i,•.:.T�.;�r�,f,,,,;•,,;::.�,. ,....�_,,�; �,.�_ .,x,_;..,,pp,,,�--+�r 0f f -7 9�5_3 of a TOWN OF BARNSTABLE Permit No. .. 31172 BUILDING DEPARTMENT Cash TOWN OFFICE BUILDING i639 ` v �°hopr HYANNIS,MASS.?02601 Bond . ................ CERTIFICATE OF USE AND OCCUPANCY Issued to William E., Dacey Address Lot #2A, -5 Pine Street Centerville, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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. December 31, ............................ 19............ ... .......... .... o .. ........ Building Inspector G • J.�cC��rirL. C�C �l�ce _..rJoc 93pf 7u�r arr, Tot , p rruJ, �ZaJ.t ueel�i 08699 1ne 198 7 fyj Tosei �aL�z To : �. Building Inspector Town of Town Offices 4,401is MA D2(v0 / STATEMENT Re : Contiguous ownership of lefz,4 Pne Starer" dert.r?rvrIle as shown in Plan Book 3?0 , Page(o-t at '54rnSta6le Registry of Deeds and also shown on Assessor ' s Map ay$ as Parcel 3- 2, i r,-z r PRESENT OWNERS XvQi 13eei11 grSCti /1'ea/ Trvs r DATE ACQUIRED : 5/7/8 DATE RECORDED TITLE REFERENCE 577ViZZ • niiCniCn is ni:ni�i� i�i:i:i:ii�i:i:i:i�i:)�i°�i:iC i�i:)�iC iCniC'iCn PRIOR OWNER(S) �vG�r/ Ere; DATE ACQUIRED. DATE RECORDED TITLE REFERENCE yg3/167 PRIOR OWNER(S) DATE ACQUIRED DATE RECORDED a/3/8 TITLE REFERENCE �rennQr/ PRIOR OWNER(S) Gay DATE ACQUIRED iJ2V17? DATE RECORDED r/2j(/7? TITLE REFERENCE 2�o53J.�97 I , William A. Price , Jr. , Esquire hereby certify that the above named present owner(s) of 'Pao-J 3-Z at no time during their ownership contiguously owned other le;6& 9i parcels 3-113-512ol as shown on Assessor' s Map Q4T since T4Hvgrcf 3� /95r7 PRIOR OWNER(S) : G'ar'fiHt�rca ,�4rs�/i DATE ACQUIRED DATE RECORDED /8/ TITLE REFERENCE 33 9o�i I , William A. Price , Jr. Esquire hereby certify that the above named prior owner(s) were the last owners to contiguously own P4 -eoe/ 3-2 -- - with other parcels or lots . Respectfully submitted , William A. Price , Jr. q .