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0173 ROLLING HITCH ROAD
�///�../�J � r` )� �t / � - � �\ .` II 1 Town of Barnstable ]Building . . : enxivarwece Post..This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept ' $ Posted Until Final Inspection Has Been Made. �elr' Il� t63� �� Permit Mn+' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit NO. B-20-970 Applicant Name: Steve J Spenlger Approvals Date Issued: 04/08/2020 Current Use: Structure Permit Type: Building-Solar Panel- Residential Expiration Date: 10/08/2020 Foundation: Location: 173 ROLLING HITCH ROAD,CENTERVILLE Map/Lot: 192-101 Zoning District: RC Sheathing: Owner on Record: CAMPI,CRISTIANO Contractor Nam�. VIVINT SOLAR DEVELOPER LLC. Framing: 1 Address: 173 ROLLING HITCH ROAD Contractor License: 170848 2 CENTERVILLE, MA 02632 Est. Project Cost: $32,102.00 Chimney: Description: 174 Rolling Hitch Rd Installation of roof mounted photovoltaic solar Permit Fee: $213.72 systems 18.24kw 57Panels Insulation: Fee Paid) $213.72 Project Review Req: Date: 4/8/2020 Final: Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit" commenced six months after Issuan2. Icla Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and-Fire-Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy •Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Buildingplans are to be available on site p Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: .c c� AMZRICAH I ®✓ULAT® AMERICAN INSULATION INC. americaninsulationmass@gmail.com 781 381 4000 Affidavit Letter 04/16/2020 RE: 173;Rolling-Hich-Rd:Centerville.:MA� 0 6 Dear: Centerville. MA. Building Department.. American Insulation certifies the installations of following work areas as the corresponding R-Values with Open cell in place foam in Closed cell sprayed. Work Areas R-Values X Basement - Exterior walls 2x4 - R21 3". Closed cell X - Basement Ceiling 2x8 - R30 - 8 Open cell Quick-Shield 112 -(R-Value) is formulate by multiplying the R-Value per inch, Which is 3.7 by numbers of inches applied. (Open cell spray foam) Quick-Shield 108 -(R-Value) is formulate by multiplying the R-Value per inch, Which is 6.7 by numbers of inches applied. (Closed cell Spray foam) If there are any questions or concerns please do not hesitate to call 781 3814000 Sincerely, Ca is We Mour Director „ . Town of Barnstable Building . � l�l reaivsrn Post This Card So That it is Visible From the Street.-Approved Plans Must be Retained on Job and this.`Card Must be Kept - Posted Until Final Inspection Has:Been;Made. Permit ib3q. ♦� � Where a Certificate of Occupancy is Required;such Building-shall Notbe Occupied until a Final Inspection has been made. Permit No. B-19-1112 Applicant Name: Approvals Date Issued: 04/24/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 10/24/2019 Foundation: Residential Map/Lot: 192-101 Zoning District: RC Sheathing: Location: 173 ROLLING HITCH ROAD,CENTERVILLE R '� Contractor Name:`., Framing: 1 Owner on Record: CAMPI,CRISTIANO Contractor License 2 Address: 173 ROLLING HITCH ROAD Est. Project Cost: $30,000.00 Chimney: CENTERVILLE, MA 02632 Permit Fee: $ 203.00 i Insulation: Description: Take off 3 insides walls make opening and putting beam above Fee Paid: $ 203.00 ceiling. remodeling 2 Existing bathrooms(making bathroom bigger) a� { Date 4/24/2019 Final: Laundry w/guest bathroom. install walls and.ceiling on basement walls. no partions walls. f a Plumbing/Gas Project Review Req: BASEMENT PLAYROOM MUST HAVE PROPER:EMERGENCY Rough Plumbing: ESCAPE, HEADROOM ANDCOMPLY WITH 2O15 IECC.a z :,,Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afte'rfissuance. Final Plumbing: All work authorized by this permit shall conform to the approved appl,[cation and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained.open for public inspection for the entire duration of the Final Gas: work until the completion of the same. ` I Electrical The Certificate of occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:l Service: 1.Foundation or Footing 2.Sheathing Inspection i -` Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining'is installed a` 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund” (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �s, °d.-Ltx too ------------- • .� �. � ���� � ,-ter w • r_ _ -- — Barnstable Bldg.Dept. Approved by: v •° Permit#: �q /�Z � ,-'_ • 11I g/I q L V w Yoj r:D j -e A e- . sa � o 5 � uoLQ � a J o �n a 4h ti Al �Q-.��12. �/a��j✓/.F.�o Mr ,HINVIN`7 -V-b" y POCIW- T` CfOV ------------------ • ----------------- � ~ Application Number. ...... .. I,.l v .... t 1AENS ABLE, • MASEL jermit Fee.......................................Other Fee.... ................ Ep Mfg Total Fee Paid............U.oa .� ....................... ...... TOWN OF BARNS TA:B Approval y.. ................On.y1Z .�`1......... Permit royal b � BUILDING PERMIT �j Mv.................f !.,9�1.........Parcel.............10.. APPLICATION M � 4 Sechona_- Owners_Information-an`d=Projeet.-Locations C� Project Address 3 .o�- tr c Village e dt'LL-e_ Owners Name C/VS k akk,&- Owners Legal Address 1'2D city. - C0.4 dzievt- State zip 0263 2— Owners Cell# `i ! 2 f 2 E-mail 4jZf:�� 4 n.v �t- Section 2 —Use of Structure Use Group ❑ 'Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling ' Section 3 —Type-of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) X Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ . Solar Renovation ❑ Pool ❑ Insulation Other—Specify —Section.4--Mork Description /�re\ I* tJSI'A t&zt� cc'3c(C R,v�, l±L C �-e LL -bt sew G Last undated: 11/152018 W A_L S k ° 1 Application Number.................................................... i Section 5—Detail Cost of Proposed Construction 30 000 Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) ?j 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design } d Section 6— P Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing Fire Suppression ❑ g ❑ Gas ❑ ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No ,. I Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No 4 - E Last updated. 11/15/2018 Application Number........................................... Section 9- Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell# 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 procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date �Section_11 --Home OwnersTl;icense-Ezemption� � p i Home Owners Name: &4AAAk-�,� LL A Telephone Number *+q �E d 26 L Cell or Work Aillber ( o ' (o 2 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 procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PLICANT- SIGNATURE s Sigo ,.t�'a�oy _ �'Date D ' �PrintN me 0aAAA Tele hone Number. ��c r- p t E=mail permit to:) r 4A Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department D Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take youppans directly to the fire department for approval, Section 13— Owner's Authorization i as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name Last updated: 11/15/2018 aweGz�c& Triple 1-3/4" x 18" VERSA-LAM®2.0 3100 SP PASSED FB01 (Floor Beam) BC CALL®Member Report Dry 11 span I No cant. April 4,2019 09:29:19 Build 7133 Job name: 173 Rolling Hitch Rd File name: Address: Description: City, State,Zip: Centerville,MA Specifier: Builder: Chris Camp Designer: Joe Madera Code reports: ESR-1040 Company: Shepley Wood Products 0 131 23-00-00 132 Total Horizontal Product Length=23-00-00 Reaction Summary (Down/Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live B 1,3-1/2" 6440/0 1925/0 B2, 3-1/2" 6440/0 1925/0 Load Summary Live Dead Snow Wind Roof Tributary Live Tag Description Load Type Ref. Start End Loc. 100% 90% 115% 160% 125% 0 Self-Weight Unf.Lin.(lb/ft) L 00-00-00 23-00-00 Top 27 00-00-00 1 floor Unf.Area(lb/ft2) L 00-00-00 23-00-00 Back 40 10 14-00-00 Controls Summary value %Allowable Duration case Location Pos. Moment 46199 ft-Ibs 66.0% 100% 1 11-06-00 End Shear 7062 Ibs 39.3% 100% 1 01-09-08 Total Load Deflection U327(0.828") 73.5% n\a 1 11-06-00 Live Load Deflection U424(0.638") 84.8% Me 2 11-06-00 Max Defl. 0.828" 82.8% n\a 1 11-06-00 Span/Depth 15.0 %Allow %Allow Bearing Supports Dim.(LxW) Value Support Member Material B1 Wall/Plate 3-1/2"x 5-1/4" 8365 Ibs n\a 60.7% Unspecified B2 Wall/Plate 3-1/2"x 5-1/4" 8365 Ibs n\a 60.7% Unspecified Notes Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360)Live load deflection criteria. Design meets arbitrary(1")Maximum Total load deflection criteria. Calculations assume member is fully braced. BC CALL®analysis is based on IBC 2015. Design based on Dry Service Condition. All FastenMaster screws may be installed from one side of multiply Versa-Lam beams. Connection Diagram: Full Length of Member H s 4 L 0--- 4 w1 b Triple 1-3/4" x 18" VERSA-LAM®2.0 3100 SP PAE FB01 (Floor Beam) BC CALL®Member Report Dry 11 span I No cant. April 4,2019 09:29:19 Build 7133 Job name: 173 Rolling Hitch Rd File name: Address: Description: City,State,Zip: Centerville,MA Specifier: Builder. Chris Camp Designer: Joe Madera Code reports: ESR-1040 Company: Shepley Wood Products Connection Diagram: Full Length of Member a minimum=2" c= 14" b minimum=4" d=24" e minimum=1" Calculated Side Load=350.0 lb/ft All FastenMaster screws may be installed from one side of multiply Versa-Lam beams. Connectors are: FMFL005 Disclosure Use of the Boise Cascade Software is subject to the terms of the End User License Agreement(EULA). Completeness and accuracy of input must be reviewed and verified by a qualified engineer or other appropriate expert to assure its adequacy,prior to anyone relying on such output as evidence of suitability for a particular application.The output here is based on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call(800)232-0788 before installation. BC CALCO,BC FRAMER®,AJS-, ALLJOISTO,BC RIM BOARD-,BCI®, BOISE GLULAMTM,BC FloorValueo, VERSA-LAM®,VERSA-RIM PLUS®, .. . The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Bulders/Contractors/Electricians/Plnmbers Applicant Information Please Print Legibly Name(Business/Organization/Individ ��k WVW ,Address: City/State/Zip: W e A' O-ZO 3 Z- - -Phone#:`� "�' - (6 2- 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.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. DaRemodeling ship and have no employees These sub-contractors have S. El Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.msur,,,ce t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12. Roof airs insurance t c. 152,§1(4),and we have no ❑ required.] employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#I 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 information. Insurance 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 o DIA for insurance coverage verification. 1 do hereby c u epaws and penalties of perjury that the information provided above is true and correct -signstore: Date: 0y 0 g7zol � J one#: aAq — S6 - 2. 6"2, } / Official use only. Do not write in this area,to be completed by city or town ojj`icid City or Town: Permit/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#: r Information and Instructions Massachusetts General Laws chapter 152 requires all employe7g to provide workers' compensation for their employees. Pursuant to this statute,an e#W1qy7 is defined as"...every p on in the service of another under any contract of hire, express or implied,oral or am An employer is defined as" individual,partnership, ociation,corporation or other legal entity,or any two or more of the foregoing engaged in a int enterprise,and incl ' the legal representatives of a deceased employer,or the receiver or trustee of an indivi partnership,also ' 'on or other legal entity,employing employees. However the owner of a dwelling house ha ' not more than apartments and who resides therein,or the occupant of the dwelling house of another who loys persons to maintenance,construction or repair work on such dwelling house or on the grounds or building app thereto not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also that"eve state or local licensing agency shall withhold the issuance or renewal of a license or permit to ope to a b iness or to construct buildings in the commonwealth for any applicant who has not produced accep ble evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ublic.work until acceptable evidence of compliance with the insurance requirements of this chapter have been pr en to the contracting authority." Applicants Please fill out the workers'compensati n affidavit co letely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)n e(s),addresses d phone number(s)along with their certificate(s)of insurance. Limited Liability Compani s(LLC)or L' iability Partnerships tZLP)with no employees other than the members or partners,are not required cant'workers'co ensation insurance. If an LLC or LLP does have employees,a policy is required. Be vised that this affida ' y be submitted to the Department of Industrial Accidents for confirmation of' ce coverage. Also be su a to sign and date the affidavit. The affidavit should be returned to the city or town that a application for the permit r license is being requested,not the Department of Industrial Accidents. Should you ve any questions regarding th or if you are required to obtain a workers' compensation policy,please call th Department at the number ' below. Self-insured companies should enter their self-insurance license number on a ap line. City or Town Officials Please be sure that the affidavit is mplete and printed legibly. The Dep ent has provided a space at the bottom of the affidavit for you to fill out' the event the Office of Investigations has contact you regarding the applicant" Please be sure to fill in the p sense number which will be used as a ref \en. In addition,an applicant that must submit multiple p cease applications in any given year,need onlne affidavit indicating current policy information(if necessary) d under"Job Site Address"the applicant shoall locations in (city or town)."A copy of the affidavit has been officially stamped or marked by then may be provided to the applicant as proof that a valid a vit is on file for future permits or licenses. Aavit must be filled out each year.Where a home owner or ci ' n is obtaining a license or permit not related tess or commercial venture (i.e.a dog license or permit to b leaves etc.)said person is NOT required to cos davit.The Office of Investigations woul like to thank you in advance for your cooperahould u have any questions, please do not hesitate to give us a The Department's address,teleph a and fax number- The Commormealth of Massachusetts Department of Industrial Accidents Office of Investigates 600 Washington Street Boston,MA 02111 Tel,#617-n7-4900 ext 406 or 1-877-MASSAM Fax#617-727-7749 Revised 4-24-07 w.rn .goy fdia • , B � '► ! ! Safeguard - 1 P r O P e r t 1 e 5 7887 Safeguard Circle Valley View,OH 44125 800 852.8306 p _..W/O#204896925 216 739.2900 p 216 739.2700 f Town of Barnstable Building Commisioner 200 Main Street Hyannis, MA 02601 Date: l_/22/2019 To Whom It May Concern: En O' O We are writing to inform you on behalf of our client: Cenlar Mortgage FSB, th previoUT registrant for the property located at: Address: 173 ROLLING HITCH RD, CENTERVILLE, MA, 02632 o Please be advised that this mortgage/property has: sold to a third party. Please know that during our research, we have found no process in which to formally de-register this property with your jurisdiction. Please contact us directly at 800-852-8306 or ypr.orders@safeguardproperties.com if in fact you have a process in which we are not yet aware of. Otherwise,please consider this notice as a formal de-registration of the property on behalf of the client mentioned above. If you have any questions or concerns,please feel free to contact us, directly. 2 N www.safeguardproperties.com PW o� Town of Barnstable *permit# . - 2 p� Fires months from issue date ti �xivsrAar.E.:. -;.. _..... ;- .:Regulato.ry Services - _- 9 mass. ie 9. Thomas F.Geiler,Director .. cbp a�0 rFp-i,�r -.Building Division" -"Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601..- n Office: 508-862-4038 x.PREsS PER.'," = > ` Fax: 508-790-6230 �� LUI� EXPt2ESS-.PERlMT.APPLICATI-ON RESIDENT �YI". Not Valid without Red X-Press Imprint /��f�� TOWN OF BARNS TABLE Map/parcel Number Property Address �� 0)t3�i li/� D 'jJ" �� - �vae d " Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address /�� � -= z ' ate-�'6 �•��'� Contractor's Name:. ��' ��. 459'�jC�elephone Number �-- Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) "Or 's Compensation Insurance Check one: 4 ❑ I am a sole proprietor ❑ Lpynhe Homeowner have Worker's Compensation-Insurance Insurance Company Name Workman's Comp.Policy# GC" Copy of Insurance Compliance Certificate'must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to . ❑Re-roof(not stripping. Going over existing layers of roof) Re-side �Ieplacenient 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. " Home Impro y9ment Con icense is required. Signature Q:Forrns•expmtrg , Revise063004 ` ..°F 'Okti Town of Barnstable °�. Regulatory Services gThomas F.Geller,Director 163 +p Building Division TomPerry, Building Commissioner 200 Main Street, Ijyamis,MA 02601 www.town.barustable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder 114 ex, as CWner of the subject property hereby authorize to act on my behalf, in all rriatters relative to work authorized by this building permit application for. (Addliss of Job) Signature of Owner Date i- f Name n.vn4 t�T C•n W NAR PFR MTfi SZON r A TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel /D 0 Permit# •, 3 `? Health Division - Date Issued ` Conservation Division _ Fee �2 Tax Collector Treasurer Planning Dept. .1.. Date Definitive Plan Approved by Planning Board p Historic-OKH Preservation/Hyannis ; Project Street Address `7�) ' 1 Village 1&L1_L1Zf2 Owner Addresses . Telephone d t Permit Request _ d 1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new d Estimated Project Cost " Zoning District Flood Plain Groundwater Overlay Coostruction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. j Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) 6 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 ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑, Appeal# . Recorded❑ k Commercial O Yes ❑No If yes,site plan review# 1 - Current Use Proposed Use BUILDER INFORMATION Name Telephone Number11 / Address 3 License# Home Improvement Contractor,# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNAT 1 DATE _ FOR OFFICIAL USE ONLY RMI"T NO. -13 DATE ISSUED _ MAP/PARCEL NO. � r � "' r 3' .• � � F- .. y "' ;{ �. v .. '., .t � .. tA ADDRESS , }' +VILLAGE " OWNER DATE OF INSPECTION FOUNDATION - r FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH 'FINAL PLUMBING: ROUGH FINAL' i R �• f ` GAS: ROUGH FINALt FINAL BUILDING16 DATE CLOSED OUT ASSOCIATION TLAN NO. ' ti � Y I367Main Street,Hyannis MA 02601 ` l � ` Dffice 508'-862-4038 + Ralph Crossen Fax: 508-790-6230 Building'Cornmissioner 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. Type of Work: _ Estimated Cost .14 Address of Work: , Owner's Name: 0AA-A Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by taw O1ob Under$1,000 Building not owner-occupied E30wner 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 FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereb apply for a permit as th ent of a owner. &3:2 ta Date C ntractor Name Registrati6n No. OR Date Owner's'Name q:formS:Affidav Assessor's office (1st floor): Assessor's map and lot number. '...1..L... '.:�.a�...........nn Po®L � �Q�Oa?NE Togo Board gf Health (3rd floor): fZ Sewage Permit number ........................................................ c,£sc Z h BAHHSTAME. 1�l 12. Teet rnea ^Engineering Department (3rd floor): 2 f,b,r��v� 5�yo}« Rnkl '°o 1639• �0 ouse number ..... .............+. .........j.?.✓.... .. (��1nn t Era ct1 ��YP�ale a9 �� � APPLICATIONS PROCESSED 8:30=9:30 A.M. and 1:00-2:00 P.M. only f qc�1��V SEMC SYMEM MU&F BE TOWN 'OF BARNSTABIMLED'11 CAPUMCE wffm ME 5 BUILDING I N S P E�C T O RIMIROMMENTAL CODE Ake. TOWN REGULATION'S APPLICATION FOR PERMIT TO ... �/Y. 1/ UC I ........... &4(C"....../B TYPEOF CONSTRUCTION .......0—.U..AMC.........................................................:......................................... ........... .................19 � TO THE INSPECTOR OF BUILDINGS: `/ ^ The undersigned hereby applies'for a permit according to the following information:,- Location .....,,1,93.......... .......M9.......... ......... ... .............................................. ProposedUse .....1 .......................................................... ...... ...................................................... ZoningDistrict ..................................................Fire District ................ ...�................................................... Name of Owner l?offgr.....(2 .......Address Name of Builder Y..... lo/oftE.......\<�,....Address /p ....4Y�31-X Nameof Architect .........'........................................................Address .................................................................................... Number of Rooms ...........Foundation ................................ Exterior ...Roofing Floors .......................................................................................Interior ..........:......................................................................... Heating . .................Plumbing Fireplace r''y ..............Approximate Cost ......�j.. D ....................................................... Definitive Plan Approved by Planning Board - 19 - Area' r ......... e Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH - A OCCLUP.ANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree-to .conform. tg..all the ,Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ............................................. Construction Supervisor's License .�.��,, .......... CROCKER, ROBERT 29891 Swimming Pool 0 .................. Permit for .............. Accessory- to Dwelling ............................................................................... Location 173' Rollin.g...Hitch Road Centerville ......................................................... AX Robert Crocker Owner ......................................................... Type of Construction .....................Frame...................... j� ................................. Plot ............................ Lot .............................. Permit Gran*ed ......�e.p.t.emb.e.r...1.0.'?......19 86 N P .. . . ......t. .. . . -. Date of Inspection ....................................19. Date Completed .....................................19 W -tilt rb ra M M fr- C to 0 SiC) t ► ���:' : . i /�Z s;•' ��� c.-C3 JET 9813 LL:L:v t-V '�• f;. ��� \. . �W ! 'A .� _.. ``� to �� ,L.-4JP-9� eytj�%�.••�+t1:L+' •� O" D:C'�,/�Nrr,Y... �Cb� � ,��J- ' / � / ���:���� O ,.. �' l.�,�.,` �-�� ��1�✓® ����`aE.r.�/��/J.-J.� .r �f Qr VD VA TZ ZIAla 6 - 1 :) �'•' t ���� ^ ~�,, :Anil :4v�t_ o t , r��: , ,� -°LL sw�rD _,�.- e d....I.. I' PCOL v mlli M'u= A-- vc,.AJ 7:��-,C �? .��,3+ae�*cct.A 1.'�h.^.r+-'e•-i'G;�.y.�:�.YwSt+,=,...L.uai'..:�'6�.�:.W.. -"'_""'.'�, � - :�': -':. �. ,v ¢ �� pole T!� sal 4 7 V,4.✓L,�d[-�;,•v �. D S E7-,OAC4-- '•2E(PU1Z e— �• C Lum F'r Oil!T CEP r C 3 y'5 T,e.M c=C� `!'2 L/G?''ON 5 HA" CnNF0.2A,4 TGL MA GAL., Z;PA Y L'!/`//`eONM.A/7,4Z``4=45N.-- ?�TLE G t ` ' N ;� rc'A T� w . . .. !' j ,_, i. q/ f./.J T�� '�L.Lam- ._f-r-.ri r,.,s•es "�. r .n/�.,•�.Aw +: M. _ _ r ►..A t/ �A4spssprls map and lo t num . .. l.... THE. Sewage Permit number ......... ........................... SEPTIC SYSTEM "YSTALLED IN OMHouse number .................................. ...................................... W1 TITLE 51, TOWN OF BA.RNSTAfinEE- - -` CCr BUILDING .- INSPECTOR ..................................... APPLICATION FOR PERMIT TOP&K ... 1.15WI4.)l...Dme.. TYPE OF CONSTRUCTION .....a4eo.d... e............................................I..................................................... .............. .............................. TO THE INSPECTOR OF'BUILDINGS: The undersigned hereby applies for a permit-according to the following information: .. ...... .......... Location .......L... ........ .... . ........... ProposedUse .......1voF46.....Z'f&4L-Y..................................................................................... ......................................... Zoning District .../C rl.'2.4...................................Fire District ........... Name of Owner '.&Udo�ciclress ...Ak�0 ..Myo- Name of Builder ��O&....ee. f/4.y.g. ........:...:.....Address Nameof Architect .................................................................:Aciclress .................................................................................... Number of Rooms ........(10...............................I......................Foundation ..................... Exterior Roofing .... ................................. ................. ... ................ ....... ................Floors .....1&424w.A.......................................................Interior L............................................................ Heating .......................................Plumbing ............................................................. Fireplace .!ff e_x...............................................................:.Approximate Cost .......................I......... ...... .. .Definitive Plan Approved by Planning Board - ----------- Area ........./f%.......�1 ------------------- ... ...... ......... Diagram of Lot and Building with Dimensions Fee .............T SUBJECT TO APPROVAL OF BOARD OF HE I ALTH d A1,0 A < /d.e' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding, the above construction. Name ..................................... t d/b/4CREATIVE HOME) , t HAYS, SANDRA J. Nof Permit for ...One...S.tcary.......... x Single Family Dwelling F l . ...................................................5................. Location- Loth 4 9_.RoU„i;1g...Hitch...Paad Centervil ...........................le................................... r Owner ......................... 4r < Typd.of Construction ......F.rame..........:............ "" + i Plot .. ...................... Lot ................................ - Permit Granted _ 80 Date of Inspection 19 i' '' Date Corn ..pleted ... .. .. . .........19 I PERMIT REFUSED f....... i ......... 19 - l Co .i .n ........... ....... LM ............ ....................................................... i Approved11,•............................................ 19 ,,. . ................. .......>.:................................................ .... .......... ......................................................... i f TOWN OF BARNSTABLE -_-___--_ �`` •" Permit No. ____________--_ i SAUn.X Building Inspector Cash -- -------- --- 'Oo �D V0 OCCUPANCY PERMIT Bond ----____ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Crerr 14nn .q Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. ...................................................... 19...... _ ........................................................................_......................................_ Building Inspector i2C act I 1 (� I U 36 F ?g,- -�� i S3 �4 9 , C i I Z.57. o o e's I i I SILL t-LE1% - ---- �O,4D PLAIV - L 0 CA 7-1O/V : CEivTEIZVII L �n 1A - - - - - SCALD -I„ _>ta`I�L1 T,- - 1 PLAN 2EFET?ENC I : :t�iJ1`i -/NG FOUwDAT/OA./ [.00,47-1 �`• l� _�� ,l,�{`�',! .4S SHOWN AND_ Lac��__COn�Fo.�M n' E THE l�U/LD/nr6 SETl3�C� �EQui��M�'7.5 OF THE TOWN OF 3.fib r'//S -A (3 4.E uRV ------ --- --------- -- - LQ urz 6;72 �6 ' — _ T�EG• S �' ✓E ya��� L- Z- c ci)U .r s C•�O wEL[. d T,a YGO)L-- C': 9 Wle-LOW.5T. YA/ZMO[17 0.0T Mq.