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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
TOWN OF FARNSTABLF
Map Parcel N S Application # V I
2012 ffr N-�� ►1 � � �L
Health Division ` d €• t . Date Issued _ Z-o I D�
Conservation Division Application Fee
Planning Dept. —D �� YS-T-A.
_- y Permit Fee
8 6i.
Date Definitive Plan Approved by Planning Board 712-I�
Historic - OKH _ Preservation/Hyannis v
Project Street Address Z 4 0 1"r:n[ P, 41 n e U mj
Village Cp-(%4erY,I I
Owner N accI e, i-H"0 Address same
Telephone 5 10
Permit Request 310 C@l`illyc ::kn :05e,
�=
box si `�ensc I� - 3 cel�a� e
kC S 1 'c n n� � � emA45 4ko
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 15, Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure 1 1 7 9 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: AGas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes I(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 ►am 6i / Inc.— Telephone Number Wig- 399. 09?
Address 1n4-�0.,-Ne License # a c 10 & 43-16
�Se CA �afm0 ld , (�� Oab b 4 Home Improvement Contractor#
Worker's Compensation # awc 33
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO l CLUNWA
SIGNATURE DATE d� I
5
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE.
OWNEW
DATE OF INSPECTION:
FOUNDATION
FRAME
+� INSUrLATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
.r
4 PLUMBING: ROUGH - FINAL
F
t GAS: ROUGH FINAL
FINAL BUILDING
r
4
DATE CLOSED OUT
r
ASSOCIATION PLAN NO.
460 West Pain Street
HODS TNG Hyannis, B'!1> 02601-3698
ASSISTANCE ENERGY & HOME REPAIR
T (508) 790-7106 F (508) 790-
CORPORATION 2425
HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE:
nt_�nsr "i r�err n��n ctnN ee irv�ii nn�
THE APPLICANT HOMEOWNER.
I ftAA11c A �' . I U hereby consent to and agree that weatherization work may be
done by theWeatherization Program of Housing Assistance Corporation (hereinafter referred as
"Agency") on the pro erty located at: ,
1111
Theweatherization 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& caulking of windows and doors, insulation of attics sidewalls& basements, attic
and other ventilation measures and possibly replacement of badly deteriorated windows In
consideration of the weatherization work to be done at my home I agree to the following:
1. I give permission to the"Agency° its agents and employees to travel onto or across said
property with such equipment and materials as may be necessary to perform weatherization
work on said property.
2. The H ousing Assistance Corporation reserves the right to inspect thefuel or utility bill for the
weatherized unit on an ongoing basis for no morethan five(5)years after theweatherization
work is completed.
I have read the provisi ons of this reernent as Iist d f y give my consent.
t
Home Owner: (Signatur 6L,4
Data ! -
I
Agent: (signature)
Date: I
HAG approved-Weatherization Company:
Ali Cape Energy, Caliber Building&Remodeling, . Cape Cod lnsulaiion, e Save Creswell Construction,
Frontier Energy Solutions, Lohr&Sons, Peter Smith, Resolution Energy, Rock Solid Construction.
Cape Save Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fax: 508-398-0399
2/1/13
Town of Barnstable
Thomas Perry CBO "
Building Commissioner
200 Main St. Hyannis,MA 02601
RE: Building Permits
Dear Mr. Perry,
This affidavit is to certify that all work completed for 240 Prince Hinckley Road, Centerville has
been inspected by a certified Building Performance Institute(BPI)Inspector.
Ceiling: R-30 cellulose
Walls: R-13 dense pack cellulose
Basement: R-19 fiberglass—box sill
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCluskeyi
cp
pFtKKE� Town of Barnstable *Permit# ,s`2 6
' ~per Expires 6 months from issue date
, MAM : Regulatory Services Fee
, ; �m� Thomas F.Geiler,Director / 9►O
Building DivisionPEP
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601 R
0
Office: 508-862-4038
Fax: 508-790-6230 ��®� j®04
-EXPRESS PERMIT APPLICATION - EN T IAL ONLY
+ ( Not Valid without Red X-Press Imprint
Map/parcel Number ! '7 f 1 `i
Property Address Yd /1�1i-viml n� �� ✓r Q
Residential _ Value of Work 1000
Owner's Name&Address
Contractor's Name elephone Number
Home Improvement Contractor License#(if applicable) / ,/
Construction Supervisor's License#(if applicable)
e®Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name /~ -f f Z
Workman's Comp.Policy
Permit Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken tozCc
❑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.
rove Contra nse is required.
Signature
Q:Forms:expmtrg
Revise053003
{
Fraser Construction
Roofing & Siding Specialists
TOTAL INVESTMENT:
XT AR 30 - $9,150.00
LANDMARK AR 30 $92325.00
Payable immediately upon completion
NO MONEY DOWN - NO Payment at the start or part way thru
Payments accepted are:
CASH - CHECK- MASTERCARD -VISA -AMERICAN EXPRESS
.Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood
sheathing, lead flashing, or other carpentry needing replacement will be done
and charged for as an extra at the rate of$50.00 per hour, plus materials, plus
20% overhead mark-up on total extras.
i _ a
FRASER CONSTRUCTION Warranties the shingles and labor for 10 years.
FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years.
CERTAINTEED Warranties the shingles and labor 100%for the first 5 years,
and then on a pro rated basis for 30 years total if the shingles become defective.
CERTAINTEED Warranties the shingles to be ALGAE resistant for a full 10
years.
Any deviation or alteration from above specification will be executed upon
written orders and will become an extra charge over and above the estimate. All
agreements contingent upon strikes, accidents or delays are beyond our
control. Owner should carry fire, tornado and other necessary insurance upon
the above work. We, if not accepted within thirty days may withdraw this
proposal.
FRASER CONSTRUCTION: Carries Workman's Compensation and Public
Liability Insurance on the above work.
DATE OF ACCEPTANCE:
SUBMITTED BY:
/)4&
Homeowner r �ction
Pf:-.cJ� L�f /rIr h vrot�J �a.)6/7 h�a�./ {�uc� f 1�a� c✓,/l lo,�� �`jcs�/
Axe-.
Enginwr n_g De- .(3rdDfiloor) Map / 7j Parcel /6L5 Permit# t ! 6- -7 3
House# Date Issu d
Board of Heal (3rd floor (8:15 9:30/1:00-4:30 a,7 f
Conservation Offi (4th floor (8:30-9:30/1:00-2:00)
Plannin Dept.(1st floor/School Admin. Bldg.)
Defi ' ' e Ian Approved by Planning Board 19 SEPTIC BE
° DNS u a�� CE
TOWN OF. BARNSTABir W1
4,'�s?.CNMEN CODE AND
Buildi ermitApplication MUM RCMDULAMONS
Stree ddress 11(�e_
Village
Owner Address
Telephone
Permit Request
First Floor square feet Second Floor square feet
Construction Type
Estimated Project Cost $
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 Telephone Number
Address % C; License#
Home Improvement Contractor#
Worker's Compensation#
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
SIGNATURE j DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
. c Y
.l
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
y� MAP/PARCEL NO.
ADDRESS i VILLAGE-
'OWNER
i
1
DATE OF INSPECTION:
FOUNDATION
FRAME' >
#INSULATION
FIREPLACE s
ELECTRICAL: ROUGH s FINAL '
PLUMBING: eROUGH.` FINAL
GAS: R6'GH 1 FINAL
FINAL BUILDINGS ~" - ,
DATE CLOSED OUFt tl" r
ASSOCIATION PL'Af0. I!p iris ,
g`) .. s
The Town of Barnstable
Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 i Building Commissioner
For office use only f
Permit no.__
Date
AFFIDAVIT _
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
Est.Cost a S O?I
Type of Work:
'
Address of Work:
Owner's Name
Date of Permit A plication:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under 51,000.
Building not owner-occupied
wner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FOND UNDER MGL c.142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
Date Contractor Name Registration No.
OR.
_ .. OW 's Name J
S1UGL� ��.Mll...`•( - � 33t=DiZAOM 4 , ,
QC GAtza4---e U►cl !
2adt 1_� t`'Low = I ib +� 3 t � �3D G•P�D: ,
Talk = S-&c> 1SG % • A.9c7 G.P•D.
USA- I o0O 6A,t_ RIOP
;�JSPOSAL PIT^- .USE - (COcoo
t cawALL �Atzt_�,e, (So S.P.
0, '
T'TYJNI A¢EA z ST=• YwniC o`
'a SO S►f'. A 61.1P.1?.
T-DT4 i_ T3d1 L�f FLDW - - sibJz P.3�D 6 PD• ,,i Mom.
VEt1G�L�TIG��1 QtbTE ��•tt.l 2htt►J�.02l�SS. t Per
A.
BUTEA
s
2! 7 7 -7 y
Tor TAT F.uo i
a oo.o
1-I«. 1416 hV
4:
ttJV 97,O
LdlNl d"P.v loon i9`.� 4
s�ptt. 4'pve� vls�r. iw. Gp.t_.
-Box 96.4 Stprlc o ,
tuv f To�tK
bELIS6 lOo0 9s.& ItNv, IM/. ' '.
G5 GAL. 9G:0 GG.L
PIT
t WAWEp
SToWE:; g`1,8
CEtZTIPIEC) PLC),T"
LauAT1o1-4 GENT w1t`� .
- /1 g/7 j
�0 U/A-' .. -� 1t�'t_t?,t.,1 1Z�i is�,; _►•i C'.C.
GMtZTI I=,q TWAT- T14G- FDUttDgT 10 SNoWI.1 - -
�-1F:Qt_o�J
Aklb SC-TiL'�tiGIGQUI�CMruT� OF T►-1C
7ow►.2 oi= ''13 ��NS'f �t3�r PL, B I<, 3010 pG, z Z.
. - _ _ tZEG1St�tZ�D i�IJG 5U2V�.Yvt�
THIS "OT L�•,c� v+ ► �N o>TE����_�c_ v /I;C.LSS.
ItJSre:J:.�t.,w�• �,uc�.il_�, � �t�t;►=: c��'���_�`� t-It✓tJtx� A.1-�r�t✓t <_�.r-..iT
' t 'r-�:C"_ U'.[.- • ITi� i�!'-1 [_t�Mt�ji:�_LO-T-_
SS u•r�. i�
USA l C->OC:> 64L_
yl5PCx1�L PiT - ust= idoo Gnu --
S Q;r--U/,ALL AaEE-A = t 50 -
p SF' ,c 2.S 3 7S e-.P.V. >G (►� `y
y :
B�1"1�N1 pQEA s Sp
TANK. ..... _. _�
-----------
TOTAL aeox
ToTGL pQIL`( rLDW = 9,o .'C•'Ex�'.
['EcecDL.&T 1c,Li z?&7- � iU 2A�t�U 02 Lr--%. � V
�
PiT
z 77
•ram z�
�y
r�
a 40
Qk
44
-�
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M
w y o -
.1 GO`I � Rp� �� (W• GAL':'- _ .�� .k-� ro�'AE
_ lz
To�1K
r �t Se loon 16-9 ► `w • ,
t
`add
Y r
f*RV !_aac�1
Al
PIT
G
-
• CECTt�tED . pLbT PL./.��..1•�`�`.�
t2• LJ
cn t-,
T 14 tr FOG -5u�u
t-1F.1`t_t�fJ Gcan.tPL.�S �/tT1.L TtaL gt�E Lt►-��
-TowU cl- ..r rs c 7 A,BLC:.
>AT -- — r-- -- -- — G
o.t DT EIA a r-
O
TOWN 03 BARNSTABLB > 2143A
`Permit No ---------- -
Builc>zng."Inspector cash 48_40 q 0
x
�'"•"►` OCCUPANCY PERMIT Bond
F �
"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. Atan &W. t Address cottQfmate
:Cat #299 240 Pkirme Hinektey Road,,Cevtavitte
Wiring Inspector t - .�`' '• ;- 7 spection date '_r7`
Piumbing ,'l-wetor Inspection date
Gas Inspector [ Inspection date
Engineering Department gr /` r 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.
.aiBuilding�Inspector
6
^7
,2
=:�ssor's map`ar d lot number
o OFT ETO
71
Sewage Permit number ......... / l.......................... ... .
1* SEP11C
House number ......................:.....a..`:��...............................; INST •
ALLED IN E
TWITH TITL TOWN 'OF RXR N S TA 14IMENTAL CODE AND
OWN REGULATIONS {
BUILDING I*S?E 6T
R
'APPLICATION FOR PERMIT TO '`"
TYPE OF CONSTRUCTION
'.....................19 7.�'
TO THE INSPECTOR OF BUILDINGS: '
The undersigned hereby applies for a permit according to the following information:
Location ....�P'el......2'.F..,q....... ... .. .... .. . ....... .........; ......... . ...............................................:.....::...................................
.........................Proposed Use .� .. .... .............................................................................:.....
ZoningDistrict .........................................Fire District ..............................................................................
Nameof Owner ................... ..............................................Address ........................................................... ..................
Nameof Builder ....... '�..................................Address...................... ....................................................................................
Nameof Architect ......�...........................................................Address ....................................................................................
Number of Rooms ....../ Foundation ..............................................................................
Exterior ....................... ............................................:..............Roofing ...........
Floors .............................................................................Interior .... ... !...................................................
Heating /^ ..Plumbing-......a
Fireplace II'K'0. '`. ...............................................Approximate Cost 4to 60. 47
Definitive Plan Approved by Planning Board ________________________________19________. Area �.��. �..........
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH ®O
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg rding the above
construction.
Name ..............................�................:.............................,.
' -
Date Completed 19
PERMIT REFUSED
lgr---'---^------------''
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