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,i
' Town of Barnstable *Permit -
Expires 6 months from issue date
Regulatory Services Fee
BAaxa2Aat.E
1 `0MAM Richard V. Scali,°Directory n
pTFD MA't a ���• V
Building Division
Tom Tom Perry,CBO,Building Commission 200 Main Street,Hyannis,MTUON O BARNS.r
I.ABU
www.town.bamstable.ma.us l�!
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - 'RESIDENTIAL ONLY
2/ o r.l r ^ D tl,LNot Valid without Red X-Press Imprint
Map/parcel Number 7
Property Address e1 c 161.r cl s 0 0, a y
Residential Value of Work$ 6 ®Od o� Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
Contractor's Name _.1._I/W!1! Tylq�K4s4&t,hV Telephone Number
Home Improvement Contractor License#(if applicablex�_/05 �� mail:.
Construction Supervisors License#(if applicable) 2 6 ,
LJ workman's Compensation Insurance
Check one:
l[x I am a sole proprietor -
❑ I am the Homeowner -
❑ I have Worker's Compensation Insurance
Insurance Company Name
�+ i
Workman's Comp.Policy# W S" 3 / C '--3 tll w-" 02Z"
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box) !` ✓
❑ Re-roof(hurricane nailed)(stripping old shingles) All.construction debris will be taken to Tyr ��
[],Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
Re-side
❑ Replacement Windows/doors/sliders.U-Value - (maximum.32)#of windows
#of doors:
Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*Where required`. Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property. wner must sign Property Owner Letter of Permission.'
A cop o the Home Improvement Contractors License&Construction Supervisors License is
requi e .
SIGNATURE: 19
Q:\WPFILES\FORMS\building' ermi o s\EXPRE doc
Revised 040215
1,
r `
Town of Barnstable
RegulatoiySeimces
KAM
Richard V. Sca14 Director
►` Building Division
Paul Roma,Building Commissioner'
.200 Main Street,Hyannis,MA 02601 ,
www.town.barnstable.ma.us j
Office: 508-862-4038 Fax: 508-790-6230
Property
Prop a O Must
_
Complete and Sign This Section
If Using A Builder
h
I D , as Owner of the subject property
ccYl ✓a � us "en.KD
hereby authorize to act on bay behalf,
in all matters relative to work authorized by this building permit application for.
-7-, k
(Address of Job)
**Pool fences and alarm '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.
Signature of Owner ,._ Signature of Applicant
S� � )n e e 40 uS a
Print Name Print Name
ate -
QYORMS:OWNERPERIMSIONPOOLS
Town of Barnstable _.
Regulatory Services
piF Richard V.Scali,Director
Building Division
• Paul Roma,Building Commissioner
19• M�� 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTIO
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
i
CURRENT MAILING ADDRESS:
city/townVsh
tate zip code
The current exemption for"homeowners"was extede o er-occu ied dwellings of six units or less and to allow
homeowners to engage an individual for hire who dss icense,provided that the owner acts as supervisor.
HOMEOWNER
Person(s)who owns a parcel of land on which be/sh ' ends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures acch use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a . Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shallle for all such work performed under the building ermit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility f r compli a with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she derstands the To of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will co ply with said proc ores and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings conta' ' g 35,000 cubic feet or larger 'll be.required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTIO
The Code states that: "Any home weer performing work for which building permit is required shall be exempt
from the provisions of this section(Sectio 109.1.1-Licensing of construction upervisors);provided that if the homeowner
engages a person(s)for hire to do,such wo k,that such Homeowner shall act as upervisor."
Many homeowners who use this a emption are unaware that they area uming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for icensing Construction Supervisors,S tion 2.15). This lack of awareness often
results in serious problems,particularly w en the homeowner hires unlicensed pe ons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The h eowner acting as Supervisor is
ultimately responsible.
P
To ensure that the homeowner is fully aware of his/her responsibilities,many c mmunities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page-
this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doe
06/20/16
a
t A
Town of Barnstable ;p *Permit Eap
�JL10
Regulatory Services Fee 6 >rs rotttis e
. -
• BAMSrnste •
16 Richard.V.Scali,Director
s639• �� . ,
Building Division
Tom Pero,CBO,Building Commissioner
200 Main Street,Hyannis,MA 02601 "
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
/Q� EXPRESS PERMIT APPLICATION - RESIDENTIAL-ONLY
�/� A
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address �%� 2j kA a12090D J R0, �e' , %eR V i lf" ) M"
Residential Value of Work$ -AVO c9 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address C0 n(40_C e rl C7C pS l Q/V
�'g IY4 0265,Z ,
Contractor's Name 2fiAN -L o q Iv,L esp_Q/,j xb Telephone Number S 1)?,3 6Y 6409
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable) (,�j "'�G5-96 V
®Workmaii's Compensation Insurance `
Check one:
-PRESS a-Eanp
❑'I am a sole proprietor
❑ I am the Homeowner '
I have Worker's Compensation Insurance t y SEP Q 8 2015
� �VT �I.
Insurance Company Name TOWN
t [)
Workman's Comp.Policy#
Copy of Insurance Compliance`Certificate must accompany each permit.
Permit Request(check box) `
Re-roof(hurricane nailed),(siripping old shingles) All construction debris will be taken to l,Z/Z/n: DLC/7)_1�17-e
❑Re-roof(hurricane nailed)(not stripping.,Going over existing layers'of roof) .
❑ Re-side
❑. Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
❑T Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and ins_pections required.
Separate Electrical&Fire Permits required. A
*Where required:.Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. t
** Note: Property 0 er must sign Prope Owner Letter of Permission.
A copy the ome Improveme Contractors License&Construction Supervisors License is
requi ed.
SIGNATURE: ti �-
Q:\WPFILES\70RMS\building permit fo XPRESS.doc
Revised 040215
s
• BARNS'r"LE, • 1 '
Town of Barnstable ,
�prED MA't A `.
Regulatory Services
Richard V.Scali,Director
Building Division
4 .Thomas Perry- CBO,
•Building"Commissioner + :
200 Main Street; Hyannis,'MA 02601 `
ww .town.barnstable.ma.us {
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete'and Sign This Section
If Usin-'A Builder
I, [ a-0L 6 ,as Owner of the subject property
hereby authorize P �/�'(/Y1�11 g, VIhact on my behalf,
in all matters relative to work authorized by.this building permit application for:
i
'R C,oi/*fi<:. I le M p 62'� �
(Address of Job) -
Signature of Owner Date `
t
CA r)&,a A) L1 SLJ)!.
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side:
QAWPFILES\FORMS\building permit fomis\EXPRESS.doc
Revised 040215
Town of Barnstable `
Regulatory Services
g rY
of may. Richard V.Scali,Director
o .
Building Division
Tom Perry,Building Commissioner
Mass.
9�A i639. ��� 200 Main Street, Hyannis,MA 02601
rec► ° www.town.barnstable.ma.us
. 4
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMP ON
DATE:
Please Print
}
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was a ended to include caner-occu ied dwellin s'of six units or less and to allow
homeowners to engage an individual for hire who oes not posses a license,provided that the owner acts as supervisor.
DEFINITION F HOMEOWNER
Person(s)who owns a parcel of land on which he/s resides or' tends'to reside,on which there is,or is intended to be,a one or two-
. family dwelling,attached or detached structures acc two-
s to s ch use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered.a h meo r. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall b res o sible for all such work performed under the buildin ermit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility fo compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she un er ds the Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will co m ly wi said procedures and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings conta' ' g 35,000 cubic feet o larger will be required to comply with the State Building Code
Section 127.0 Construction Control. .
HOMEOWNER'S TION
The Code states that: "Any home er performing work for hich a building permit is required shall be exempt
from the provisions of this section(Section 09.1.1-Licensing of constr tion Supervisors); provided that if the homeowner
engages a person(s)for hire to do such wo k,that such Homeowner shall ct as supervisor."
Many homeowners who use this xemption are unaware that they a assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations f r Licensing Construction Supervisors, ection 2.15) This lack of awareness often
results in serious problems,particularl when the homeowner hires unlicensed p sons. In this case,our Board cannot
proceed against the unlicensed person s it would with a licensed Supervisor. The omeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowne is fully aware of his/her responsibilities,many c munities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilitie f 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc t
Revised 040215
�,►� Town of Barnstable *Permit#
Expires 6 months ra issue
Regulatory Services Fee
enxivar[+BL& f IQ
� MAM Richard V.Scali,Interim Director
i639 A1�
Al�IMF
Building Division
Tom Perry,CBO,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Map/parcel Number
Not Valid without Red X-Press Imprint
� �(�I 3 ��
Property Address
Residential Va1ue of Work$ 3 M 7 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address and u, Housd 11 i k sicb0nison
%V d
Contractor's Name w—A Telephone Number !®/�"7®°�— 3 Y
Home Improvement Contractor License#(if applicable) d� ,� Email:
p Pp �
Construction Supervisor's License#(if applicable) 0
Workman's Compensation Insurance
Check one: OCT �� 2014
[I
I am a sole proprietor
❑ I am the Homeowner
Ihave Worker's Compensation Insurance TOWN OF BARNSTABLE
Insurance Company Name d)C_k) #6 V Sh'-9R6 S . Co
'
Workman's Comp.Policy# W 6- ��
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
Re-side
Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows 2—
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
'Where required: Issuance of this permit does not exempt compliance with other town department regplations,i.e.Historic,Conservation,etc.
***Note: Property er s sign Property Owner Letter of Permission.
A copy of H Improvement Contractors License&Construction Supervisors License is
required.
SIGNATURE:
TAKEVIN DBuilding Changes\EXPkiKS AM XPRESS.doc
Revised 061313
9
HOME IMPROVEMENT CONTRAC■
PLEASE READ THIS
Imo, Sold,Furnished and Tn%talled by:
Brench:Name:Boston Nor*&Sooth Date:u . THi)At-Horne Services,Tnc.
d/b✓a The Home Dept:{At-Hume Services
Branch Number.31 and 33 908 Boston'1Lmpike,Unit 1,Shrewsbury,MA 01545
` Toll Free 877-903-3768
Federal ID#75.2698460;ME Lic#.C 02439;Rl Cont.Lid#16427
CT rd
iC_�y5522;MA Home Improvement Contractor Reg.#126893
Installation Address: l(X�C+I� � t en�,e tit& 9 G a� 3'—.
City State Tip
P�wrehaseu{s): Work Phone: Home Phooe: Cell Pbone:
Moore Address: -
(If different from Installation Address) City State Zip
E-mail Address(to receive projecA communications and Home Depot updates):
❑I DO NOT wish to receive any marketing cmah7s from The Home Depot
Project Information: Undersigned("Customer'),the Owners of the property located at the shove installation addre s%,agrees to buy,
and THD At-Home Scrvices,Inc_(`The Herne Depot' agrees to furnish,deliver and arrange for the installation("installation")of
all materials described on the below and on the referenced Spec Sheet(s),all of which are incorporated into this Contract by this
reference,along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders(culleetively,
"Contract"):
job#: tinewm xeaaavr) rrCiS Spec Sheet(s)#: . Project Amount
hoofing OSidin ICWndows LJ Insulation �s $
T Yo J ❑Gullets/Covers ❑Entry Doors ❑
❑Rc&iao Siding LJ%Wows 0 Insulation
❑Gutuz,/Cwcw []Entry Doors ❑ $
Roofing SiZ windows Insulation $
❑CAM=/Covers []Entry Doers❑
Roofing USiding 0 Windows Insulation r
❑Gutters/Covets []Entry Doors ❑.__
1►9'inhn=25%Depaslt of Cnntmd Amaamtdlte open pgecutjon t f thb c0nn9CL
MamePmuihasm may wit dqw*more than onoddrd orhere Cour act Atnaun. Total Contract Amount $ 31�>
Customer agrees that,immediately upon completion of the work for each Product.Customer will execute a Comlpletiunn Certilicatt:.
(one for each Product as defined by an individual Spec Sheet)and pay any balance due. As applicable,each Customer under this
Contract agrees to be jointly and Severally obligated and liable hereunder.
The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Products)included_herein,at .
its discretion,if The Home Depot or its authafized service provider determines that it canna perform its obligations due to a structural
problem with the home,environmental ha=&-such as mold,asbestos or lead paint,other safety concerns,pricing errors or because
work required to complete the job was not included in a Contract.
Payment Summary; The Payment Summary# M "[ included as of this Con
Contract amount and payments tired for the de 1� sets fret, the total
required posits and Coral paymenu by Product(as applicable). _
NOTICE TO CUSTOMER
You are entitled to a completely filled-in copy of the Contraet at the time you sign. Do not sign a Coriupletion Certifi eate(ar":
there is one Completion Certificate for each listed Product as defined by individual Spec Sheets)before work on that Product.
is complete.
z
In the event of termination of this Contract,Customer aWees to pay The Horne Depot the caves of materials,labor,expenses
and services provided by The Home Depot or Authorized Service Provider through the date of termination,plus any other
amounts set forth in thk Agreement or allowed under applicable law, THE.HOME DEPOT MAY WITHHOLD AMOUNTS
OWED,TO THE HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS MADE, WffHOUT
LOWING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS.
A,ccevta a and Authorization: Ctutomer agrees and understands that this Agreement is the entire agreement between Customer.
and`Thc- -tome Depot with regard to the Products and Installation services and supersedes all prior discussions and agree.•rrtents,either
oral or written,Mating to said Products and Installation.Ibis Agreement cannot be assigned or amalded.cx(.Lpt by a writing signal
by Customur and The Home Depot.Customer acknowledges and agrees that Customer has read,understands;voluntarily accepts the
terms of and has received a copy of this Agreement.
Accepted by: Su by
X o-Y• .�
Cris er's Signature to Sales C sultant's anature
X ' d Y
Signature Telephone No. �
Customer's D
Sales Consultant Iaoense No,
CAN ELLATiON': CUSTOMER MAY CANCEL THIS W applicable)
AGREEMENT Wr1MOUT PENALTY OR OBLIGATION
BY DELIVERING W1tri-M NOTICE TO THR HOME
DEPOT BY MIDNIGHT ON THE THIRD BUSINESS
DAY AFTER SIGNING THIS AGREEMENT. THE
STATE SUPPLEMENT ATTACHED HEREM
CONTAINS A• FORM TO USE IF ONE IS
SPECIFICALLY' PRESCRIBED BY LAW IN
CUSTOMER'S STATE
NOT10"ADDITIONAL TERMS AND CONDITIONS ARE STATED ON TJM REVERSE SIDE AND ARE PART OF T1111i CONTRA(-r
OW-14 White-Branch File Yellow-Customer
Tel 'WdT£:s TTOZ TZ 'ady .TLZM9£i30S: 'ON XUJ p,26wer: W08J
c
°F1HE Tati Town of Barnstable
Regulatory Services
* anaxsTasLe,
y Mnsa _ Thomas F.Geller,Director
Building Division
Peter F.DiMatteo,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-8624038 Fax: 508-790-6230
PERNHT# G FEE: 5 .00
SHED REGISTRATION
120 square feet or less
dZ CoZ2
Location of shed(address). Village
' 1
®e? 7
Property owner's name Telephone number Epp
13 'If
Size of Shed Map/Parcel#
�o � �►, 3 G -20
Signature Date
Hyannis Main Street Waterfront Historic District? {
Old King's Highway Historic District Commission jurisdiction?-
Conservation Commission(signature required) j• 7 d�
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED B Y Y A PLOT PLAN
Q-forms-shedreg
REV:121901
a
N/F
ALEXANDER H.
Iv LANGER
N/F �R
ALEXANDER H. LANGER u��,
' 54,187
1.24 a es
i gay �
CONC.
FOUND. p;
LOT 1 CONC.
O
FOUND.
21.1't �� ril
s? LOT 3
IT". /
`A
V-4
cz .O
'A 4.TA cp Fps
a -.I2 1<C ZO►J
20 ip� 10�
JOB # 95-216
CERTIFIED PLOT PLAN
LOCATION :. RICHARDSON RD. CENTERVILLE, MA
SCALE : 1" 50, DATE : 1-2-96 PREPARED FOR:
REFERENCE LOT 2 LCP 42673A PENDING
PRESTIGE PROPERTIES
I HEREBY CERTIFY THAT THE STRUCTURE
SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND AS SF{QWIJ HEREON. �titH OF ,y
ARNE
ii �eoa ses=sera 3 a. �:
down cape eagineertag, iac.
,(�G a. q
CIVIL LNGINEERS ,i�tY f l l f
2
IAAND SURVEYORS -- ----`--- — — ---------
4 ko main st. yarmouth; ma DATE kAt o SURVEYOR
N/F
N ALLANGERR H.
N/F �R
ALEXANDER H. LANGER u�2,
54,187 sf
1.24 acres
CONC.
FOUND.
LOT 1 CONC. �°�°c
0 FOUND. 1
jv 21.1'f `9 �'
LOT 3
� 220 3
cz .0TA
® 26i
,z
JOB # 95-216
t
CER TIFIED PLOT PLAN
LOCATION RICHARDSON RD. CENTERVILLE, .MA
SCALE : 1" 50' DATE : 1-2-96 PREPARED FOR:
REFERENCE LOT 2 LCP 42673A PENDING
PRESTIGE PROPERTIES
1 HEREBY CERTIFY THAT THE STRUCTURE
SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND W SHOWN HEREON. tt1 OF M
own ore sos-3a2-qs4� ARNE
imc 008 36T0 H,
CIVIL ENGMEERS iia4tV7Zt ! ! f
LAND SURVEYORS -- - - - -------
vao
�'qt
mein st. yermouth, me DATE SURVEYOR
4 Assessor's Office(1st floor) Map / v Lot - i A Permit# q7
Conservation Office(4th floor) ��f Tq S Date Isssuued 9-
Board of Health(3rd floor)(8:30-9:30/1:00-2:00) P4,1 („ _Fee C
Engineering Dept. (3rd floor) House#1 a-ZAfll
Planning Dept.(1st floor/School Admin. Bldg.) khy .,t,1.4. JL„•.`,�,L`�n�® '14
- _ i (/ •��Cf 4 NSTABLE.
e • e Plan Approved by Planning Board 19
TOWN OYBARNSTABLB
49" Building Permit Application
Project Street Address C�° lZ:cLO'd sa+�
Village ['`e,��,e.v `!4 !4►�$ OZ(, 3. '. �* - �`��6 ��
Owner ,e s�: Address /6�l s �a le4 ov6 IZva�l
Telephone �Sa � •7-7 -rrg�D 3 . `"' C2,.d cr v /4 M� !lJ G 3
Permit Request pe 6-3
•Total 1 Story Area(include 1 story.garages&decks) i 6 6 square feet
Total 2 Story Area(total of 1st&2nd stories) 6 YG square feet
Estimated Project Cost $
Zoning District R C- Flood Plain C Water Protection
Lot Size S 3� Z Grandfathered?
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use srrFc F 27-n1 c�
Construction Type
Commercial Residential
9
Dwelling Type: Single Family X Two Family Multi-Family
Age of Existing Structure nil Basement Type: Finished
Historic House Unfinished K
Old King's Highway
Number of Baths No.of Bedrooms
Total Room Count(not including baths) 5 First Floor 3
Heat Type and Fuel Gl'f 67 has Central Air _71E"'` Fireplaces 6u'�
Garage: Detached. Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name �e u 1/a.s Telephone Number '-71"nv 3
Address i 6 v s �"�°v t Z �• �'' / License# QO Q(_3 �7
-I4 mil' 611Z 6 3" Home Improvement Contractor#
Worker's Compensation# 1111 - 00 - 0q'7 31
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION E SULTIN ROM THIS PROJECT WILL BETAKEN TO
SIGNATURE DATE 7/1ZI/Y�
BUILDING PERMIT IANI
FOR THJ FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PERMIT NO. 9 7 2 7-
DATE ISSUED 8/15/9 5
MAP/PARCEL NO. 210 134 002
;
48 Richardson Road Centerville
ADDRESS VILLAGE
Gerhard D. Bleicken
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME .. _ - , •
-INSULATION - �Cw
. i _
FIREPLACEt • ��� � �=�
ELECTRICAL: �RbUGH FINAL
PLUMBING: :ROUGH - FINAL
GAS: % `�H'ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT ✓J
ASSOCIATION PLAN NO.
ice.
F°" ► TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY
PARCEL ID 210 134 002 GEOBASE ID 42929
ADDRESS 48 RICHARDSON ROAD PHONE (508)771-0003
CENTERVILLE, MA ZIP 02632-
LOT 2 LC PE BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CO
PERMIT 13669 DESCRIPTION SINGLE FAMILY DWELLING
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES:
BOND $.00
CONSTRUCTION COSTS $.00
756 CERTIFICATE OF OCCUPANCY gpgpgTABI.E, +
& g
OWNER PRESTIGE PROPERTIES, INC. , 39 �0
ADDRESS 1645 FALMOUTH ROAD ED Mfg
SUITE E-1 BUI /DIN<
CENTERVILLE, MA BY
DATE ISSUED 03/08/1996 EXPIRATION DATE
TOWN OF BARNSTAI�LE
BUILDING PERMIT
PARCEL 210 134 002 GEOBASVID 42929
ADDRESS 48 RICHARDSON ROAD - PHONE
CENTERVILLE, MA ZIP. 02632-
LOT 2 LC PE ".;BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CO
PERMIT 9727 DESCRIPTION SINGLE FAMILY DWELLING
. PERMIT TYPE BUILD TITLE NEW RES/COMM BLDGjY��Rlent of Health, Safety
CCEdTRACTORS: BOYD, DOUGI&S - and Environmental Servicesv
ARCHITECTS:
TOTAL FEES: $168-40
. BOND
1.00
- _-
CGNSTRUCTIbN COSTS $E5,000.Q0
`10 i SINGLE FAM HOME DET�ClHED 1 z PIt-rVATE P• s1•AlI #
OWNER j BLEI CKEN, GERHARD DF `�, ' ,, p 39'
ADDRESS 85 GROVE ST 0203E
WELLESLEY MA X
'
BUILD I ,
DATE ISSUED 08 '15/1995 EXPIRA .�C� DATE By -T'
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED-W JOB AND INHERE APPL"1CABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEeT POSTED UNTIL.FINALSPECTION' PERMITS ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.-WHERE A CERTIFICATE OF OOjVU-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH-
3.INSULATION.•,.,,.,,:.._. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS.
4.FINAL INSPECTION ESE OCCUPANCY.
Mal 6011 i M
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION-APPROVALS ELECTRICAL INSPECTION APPROVALS
00,
1 co
-
2 k _ 2 r ` 2
Z
3 1 E CT N APPROVALS ENGINEERING DEPARTMENT
!-!l,
wl
'• ����a�_ .. �„ ,+ BOARD OF HEALTH
OTHER: N SITE PLAN IEW APPROVAL y'
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- 'INSPECTIONS I DICATED ON THIS
THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED.WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSZRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. - `` NOTED ABOVE. TION. 508-790-6227
`Op�HE TO, The Town of Barnstable
O�
BARNSTABLE. • Department of Health Safety and Environmental Services
MASS
i639. �0
prEO MAC a Building Division
367 Main Street,Hyannis, MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection
P
Location t(. Yj N � Permit Number
Owner , ' " , Builder D2& t(,
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
LV
SIA Y?f ,--,6 V-
1t
(:3x:!
ha
s
Please call: 508-790-6227 for reeinspection.
Inspected by ��
Date �� `�/!
The Town of Barnstable
BARNSTABLE. • Department of Health Safe"n-d Environment et vices
MASS. JA
i639' N0O
Bui ding Division
367 Mai Street ' , 01
Office: 508-790-6227 Ralph C sen
Fax: 508-790-6230 ing C missioner
Inspe 'on Correction otice
Type of Inspection
Location S0`n 4ern it Number
Owner Builder ��\ L
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
CZ-i--
Please call: 508-790-6227 for reeinspection. 0 ( `
Inspected b -, ;� � ✓�Ins
p y c /
Date
HE?" The Town of Barnstable
9BARNSTAAgC,LE.
MASS Department of Health Safety and Environmental Services
039, �0
Building Division
367 Main Street,Hyannis,MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection —P-FV— �
y v -
Location C ��L-, Permit Number �f 7
Owner � ,�7--� y BuilderrT C�S
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
1, "."Ve6K I F-u) otv-0 V/ CA t L-C
f") Y\ FU o i, — F�-6,,,-r
l � ,
Please call: 508-790-(6227 for reeinspection.
Inspected by �1
Date
r-
PRESTIGE PROPERTIES, Inc.
Builders • Developers • Realtors
November 15, 1995
Barnstable Building Dept.
336 South Street
Hyannis, MA 02601
Att: Ralph Crossen, Building Commissioner
Dear Mr. Crossen,
Enclosed please find revised plans for the dwelling to be built at lot#2, Richardson
Road, Centerville.
At the time the original plan was filed and paid for, I had planned to construct a 24'
x 34' Cape with full rear dormer and attached 14' x 22' garage.
We have pre-sold the same house footprint with two shed dormers and a detached
garage.
If any further information is required, please notify my office. Furthermore, if this
change requires any additional fees, I will deliver upon notification.
Thank you for your time and consideration.
Sincerely,
Prestig roe ies, Inc.
William . O'Brien,
Presiden
WMO/as
1645 Route 28 Suite E1 • Centerville,MA 02632
_ ttj
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1 DATI IM I
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3. MINIMUM PIPE PITCH TO F3[ 1//Fr Pl-.R FOOT_
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4. DESIGN LOAOINC, FOR Al I PRFCAST UNITS In 8F AASHOH..
5. PIPE. JOINTS TO BE MA[If WATFRTIGHI.
6. CONSTRICTION DETAILS TO HE IN ACCORDANCF WITH MASS.
FrJVIRONMFNrAL CODE TITI-F V. 01`1'4-(::Otl'�)
PROPOSFD WORK SHOWN MUST BE STAKED IN FIELD BY THE
DESIGN PROFFS01ONAL RESPONSIBLE FOR THIS PLAN 10 ASSHRF
COMPLIANCE WITH APPLICARI-E LAWS.
8. PIPE FOR SEPTIC SYSTEM TO SCH. 40--4" PVC.
SEPTIC PROFILE: -
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SEPTIC DESIGN: (GARBAGE Dlr:,POSF.R IS
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W 7- I_e- -
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FROM Fl . BOT-rom: GPD DATE:
7ALF:C. PD OTAL:
S.F.
S.F.
M 19 FROM Ft
\6 OF R
down cape engineering,
5U'(ZV_fa�)t-J V AR E ARNE H. yG
OJAAA
CIVIL ENGINEERS LA
S o.26348
LAND SURVEYOR (20 ' V'AV E KAe �-�T No. 30792
PHONE 508-362--4541 FAX 508-362--9880 BOARD OF HTALTH clsit
MA _E 71Z',
DATE ARN OJALA, L. DATE 939 main st. yarmouth , ma P