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HomeMy WebLinkAbout1070 SHOOTFLYING HILL RD r • i G u Town of Barnstable Permit# ,p Expires 6 months from issue me Regulatory Services Fee r.�nss Richard V.Scali,Interim Director ib3q.A�� r Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY l� I Not Valid without Red X-Press Imprint Map/parcel Number ] r ss ,/ 6" l /�-�L 1���11 '�/I dr, Property Add e , esidential Value of Work$ ' Minimum fee of$35.00 for work under$6000.00 er's Name&Address f nGt 0 w& Contractor's Name Telephone Number,�CX� f O Home Improvement Contractor License#(if applicable) r 3 1 Email: Construction Supervisor's License#(if applicable) �0 0 ` rkman's Compensation Insurance It'PRess t Ch one: IT t5-a a sole proprietor OCT 3 Z ❑ Tam the Homeowner 2014 ❑ I have Worker's Compensation Insurance TOWN OF BARNSTA6 Insurance Company Name Workman's Comp.Policy k- f xcb C-) Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) / nailed (strippingold shin les All construction debris will be taken to Re roof(hurricane ) shingles) Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: El Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. s Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: roperty Owner must sign Property Owner Letter of Permission. copy of th ome Improvement Contractors License&Construction Supervisors License is - required. SIGNATURE: TAKEVIN_D\Buildi4910 EXPRESS ERM XPRESS.doc Revised 061313 The Comriionnwallh of Massachusetts Departmeait of Industrial Accideyals f?} ce of Investigations 600 Washington Street Boston,M4 02111 mmy mass,gos dia Workers' Compensation Insurance Affidavit:Bmldersif:ontrasctors,AEIectiric anss/Plumbers Applicant Information Please Print Le 'blv Name Oksinessfor�tiortai iv dad): POO ' atu Address: z ' City/State/Zip: SOL4tt/. vv Phone 4- Are you an employer?Check the appropriate box: Ty I pe,of project(required): L❑ I am a to with . 4. 0 I am a general contractor and I '� .6. ❑New construction employees(full and/or part-time)_* have hired the sub-contractors 2.p I am a sole proprietor or parer- listed on the attached sheet. 7. [—],Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition e and have workers' wanking any capacity.-, s' .9_ ❑Building:addition :, �o w.ozkers'eomp_instuance > _ : carp.t�urauce.x . ,� retlnired} 5 ❑ We are a corporation and its 10❑Electrical repairs or additions I❑ I am a homeowner doing all work M. officers have exercised their 11.❑Pl g repairs or additions myself[No workers'Comp_ right of esempnon per&1GL" Roof repairs insurance required-)1 c.152,§1(4),and we have no employees-[No workers' 13.❑Ether A comp.insurance n quired.J. *Any applicant that checks box#1 must also fill out the section below showing their workers'compensaban pohcq information Homeowners Homeoners who submit this affidavit indicating they aae doing anti woak and they hue outside contractors must submit a new affidavit indicating such_ YContractors that check this box must attached an additianad sheet dt wmg the name of the sub-contrkctars and state whether or not those entities have employees.,If the sub•contmctors have employees,they must provide r work ',comp.pohcp number• I am an empWer that bs providin g.rvorliers'cougmusadon insurance far my employees. Below is the policy and job site information. Insurance Company Name: . Policy#or Self-ins.Lic.#: E pirationDate: Job Site Addriss TovF�'» t 77 Citylstate zip: Attach a copy of the workers'compensation polio declaration page(showing the policy number and;eapkation date). Failure to secure coo ge as required under Section 25A of MGL c:152 can lead to the imp.Asitkm of csiaainal „ ,des oaf a, fine up to$1,500.00 an&or one-year imprisonment,as we11 as civil penalties in the..form of a sT C?P WORK ORDER and a fine of up to$250.001 a day.agaiust:the violator_' Be advised that a.copy of this statement may be forvuarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce gander t e pains and alfties of perjtity.that the informa&n pm ided above is true and correct , Si tore: Date: Cu , Cfficial us a only. Do not write in this area,tv be completed by city yr lo!vn�fcial City or Town: Permit/License Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk d.Electrical Luspector 5.Plumbbag Inspector 6.Other Contact Person: Phone#: 6 Y17/2014 Office of Cons,aner Affairs&Business Regulation-Mass-Gov The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) ` Consumer Affairs and Business Regulation R ,: Home Consumer Fights and Resources . Home Improvement Contracting Home Improvement Contractor Registration Lookup You can search/fier the registration M by any of the criteria bebw. Search by Registration Number 1,1343.13 :Sears Search by Registrant Name Search by City Tap Code -Search Registrants Click on the registration number to view complaint history. You can also view arbitration and Guaranty Fund history. The Ist is current as of Sunday, March 16, 2014. Search Results RESPONSIBLE REGISTRATION EXPIRATION REGISTRANT NAME INDIVIDUAL NUMBER ADDRESS DATE STATUS DA1/msAVUI'E2 }h/YER, 13A1�ID �134313 3'lLB MEIGGS:BACKUS i0/2412015 Ctiment ..: CONSTIJiION RD.` SANDWICH,.MA 02563 ©2012 Con P, nw ealth of Massachusetts. Mass.Gov®is a registered service mark of the Commonw eafth of Massachusetts. ` MassaGn-1-1.,setts ..-b,64rtmenf of Public;zafety~= oatd of:Building.Regplatfons and Standards ConstrucdUn.Supen soi•Spedulty License:CSSL-09SM9 DAM R SAW YE `318 MEIGGSBA r ,SANDWICH iration I J/ses oca sb mausHcAicenseelist aspic Commissioner 014 e'vice 2015 1 'Office of Consumer Affairs&Business Regulation- Mass.Gov Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) f� Consumer Affairs and Business Regulation, % Home Consumer Rights and Resources Home Improvement Contracting HIC Registration Complaints Registration# 134313 Home Improvement Contractor Registrant DAVID SAWYER CONSTRUCTION Registration Home Page Name DAVID SAWYER Address 318 MEIGGS BACKUS RD. City, State Zip SANDWICH, MA 02563 Expiration Date 10/24/2015 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search http://services.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=34624 1'0/30/2014 snaxsrrxsu. ; KM�, Town of Barnstable Regulatory Services Richard V.Scali,Interim Director ' Building Division Thomas Perry,CBO Building Commissioner - 200 Main Street, Hyannis,MA 02601 www.fown.barnstablema,us Pax: 508-790-6230 . ---Office: 508-862-4038 _-..... . _ � __ '. - _ .. .._. - I( ,as Owner'ofthe sub ectproperty I, �t�1�r�� �rnc��1'�n 1 . hereby authorize DaylidJ w to act on my behalf in all matters relative to work authorized by this building permit application for: (Addres of ob) ` ignature w r t, Date PrintName If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. , I ��� ° Assessor's. map and lot number ...1......,../r;...........t........ THE ' G _ 9 $ �Q o Sewage Permit number ..... . .............................................. °mod � • w ,, •w ` ��/ A/�4p v "���ai Z BABBSTADLE, i Hougle number. ....................70.............................................. ` �/�°����/��L T�� soo�ra39 a ' g� e °p°gy � � l� r� o yaY. `eo TOWN. OF BARN Aft A ®�`' BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... j t/c..l. .......... .s.� .1... ........... .�.� .Y. P TYPE OF CONSTRUCTION .............k&A...... �.C`............'......................................................... / .7 ..... ...19 .D . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information4 : Location ....... Li. r ' .�t) .. �`. ..`ti . (71l .......:. � :.17Z•'C,�/C........... -Ile- j............. ry.............. �f .....�............ Proposed Use ...... 1..�1.. ,4e...... 1 !!! !. i�.1„'�, /L ................................................. Zoning District ........W-b:-�...I...........................................Fire District .......... .T`�1 v� G.� .Or�.... ......... ...... ....... Name of Owner .....V.,C.LL'—dN.. ..... ....; k.A C!! .Address ........ .I..3�.Y. nl Y—da o� S"vo V d✓f�t Name of Builder .... � ..... �-. ................7 Address rv4>.. ..`.... .�.�'I.LW.R..... j �h Name of Architect .... .t. ...........Address r er n e Number of Rooms .................... (I ......................................Foundation Exierior .. ..... ..... W 4 ;. ............. ..............j......Roofing ............... ��1&(..(...... Floors ...W.0.. .! w,l(..c. .RPQ .-f. cN ..f.. ..Interior ..../..r .......J...`:r.'.............. ............................... He ... ............................................... g ...... r?. .............. .......'f. ........................ .... ... ....,. Plumbin Fireplace n .....................................................Approximate Cost ..................7...z,. .�.J..................,...... . .................... / Definitive Plan Approved by Planning Board _ -----19-- Area 1........ G, Diagram of Lot and Building with Dimensions Fee ............ .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH d 00 , t l i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. C Name .... .Y/..{l...! ...... l L LINDGREN, SHI,RLEY L. 2 3 i i09 One Story ............ Peftt for .................................... Single Family Dwelling ......................................................................... Location' ..L.o.t...#.lA......1.0.7.0...S.hoo.t...F.1y.i--,,ig Hill—Road .. ....... .. .. .... . Centerville ............ ......................i1i........................................... Skirley L. Lindgren ' Owner .............................j.................................... Type of Construction ....Frame .................................... . ............ ................................................................... Plot ............................. Lot ................................. tv November 4, -Permit Granted .........................................19 31 Date of Inspection1. ...................19 ...............Date Completed ........ 19 /zo PERMIT REFUSED ...... ........ ........... ............................... ... 19 . ................... .............................................................. ti ................. ............. .............................................. ................................................................................ ............................................................................. Approved ........... ............................ 19 ............................................................................... Assessor's map and lot number .......... sTNE Sewage Permit number ........1.. ..... ............................... e`` 0� . Z H9HHSTADLE, i Hose number ....... /� t' .......................................... 9 rhea i pp 1639. \0� � �'0 MPY a• t TOWN OF BARNSTABLE BUILDING INSPECTOR r APPLICATION FOR PERMIT TO ...�U1 J...t 4.........A .5.1z�./:f........... TYPEOF CONSTRUCTION .............................................G` iYt.C` .....................................................................J ..................19... l TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ ...C.d..............................::............................................... ................. s n �� G �, ............ .......... ..... ................... Proposed Use ....... 1.h..f, ( ......i v'''.d..l.V1... ..e..((„�..�� C.................................................................................. Zoning District .........I�,..b..:...1.................. /...................Fire District ......... Name of Owner ....::S'!:1.t l,`�J ..ct.t.y1 CrP .Address ........ J . .�.. ..... ............................................lt � !1i Name of Builder ....h A.� ...... ...(U.1 P11 r ss .....�(��> 1 /!�� i l�wiv �} r L . ............ ...... ........... . . .., .. ... �. r .. tt I L Name of Architect .: �� ............Address ���+ �P e C Number of Rooms ............ .......!,L .............I.............................Foundation ..W . .r . ................................................................. Exterior ..Cr '�r(J.O� �......... ... .... .......... ......Roofing ..............�L,044 ......�.................................... Floors ...W A 1I.,.- 1'a Ee,c� (��Q. �..v.l.n!.` ..�.. Interior /.�-..f f... 1 l L.r.e./.f.`.".°.� . ............................ ..' Heating .1�!!. ..........`/ ! ':.5.............. ..........Plumbing ......` r cc........ ... ......................................... Fireplace ..........n....................................................................Approximate Cost ................. ..Z ..`...`.............................. Definitive Plan Approved by Planning Board ------19_ Area ........ .................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �l 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. _ ..•«...,,.-.�.�.....�., 'Name ..:. • .......... LINDGREN, SHIRLEY L. -Jyz--/� 00 2 3 6 0 9., No .............. .. permit for ..0 e Story... .. ............ ............. A Single Family Dwelling ............. Lot #lA 1070 Sho" Location ..............................................9.t Flying Hill Rd. .......... ..................Ce.n /.......rvi.11e............I................. ..... ... . .... .. Shirley....... A,Lindc 6n Owner .. ............................ ...................... Type of Construction. rame ............. ................................................................................ Plot ....................... Lot Novembe, 4 81 .......19 4q.Permit Granted .... ....... ...�c 4 Date of Inspection ........... .... ... .......19 Date Comple d ....... ........... .................19 PER REFU E D .............................. ............... ............. 19 ................................ ................ ... ......................... ............................................... ............................... ..... ........................... ... .. .... ................ .......... Approved ................................................ 19 .........................:...................................................... .............. ............................................................. f• - C t I15cj 00 LoT � p p 14 � oP 4-7.t A k�a ; 20, s•F t �1 l�L SecQ 'S 1 1p CERTIFIED PLOT PLAN a R E,ftf! L=r I A SACX=57r" hd 1 LL 2t> C C. ✓,T Cl�N TEE D-v 1L_LE7 NEW CONSTRUCTION ONLY TOP •OF FOUNDATION .IS 3 I F T �Nv suR��� IN ABOVE. LOW POINT OF ADJAC N. �, �� � ROAD. SCALE: I "=40� DATE: ELDREDGE ENGINEERING CO-INci CZ=EEAi-J 1 CERTIFY THAT THE �cu�sDA-no'J CLIENTS SHOWN ON THIS PLAN IS LOCATED EGISTERED REGISTERED JOB NO. I ON THE GROUND AS INDICATED AND CIVIL f LAND CONFORkIS TO THE ONINO LAWS r � ENGINEER SURVEYOR DR.BY _ OF BARNS TA E `SS. f 712 MAIN ST. CH.8Yr HYANNIS, MASS. SHEET I OF I DATE G. LAND SURVEYOR 4+ i 05 tt l.� O_7 U +I Q F 106 0, �. 73} N TES r rirX i' _ o .. y 1 >� eC ` ✓u � . � %76 oc� i CK_ - �'�N ELLhS .p No.29874 4 �chJ C I 4N0.5uRN�yy,a wiG7"}i 12-J 5 g E '�„ I�CERTIFIED PLOT PLAN \t. Li , 'LEGEND � aria , `� R EXISTING SPOT ELEVATION OxO I ��� EXISTING CONTOUR— p ----- r, /fit ER �\�'� (D-r / 5Hr)e) l r7X1,l 6 Hie- FINISHED SPOT ELEVATION OUR 0 FINISHED CON:T af�, ��I� G ��� > . f ( � 1�. iti5 r .N APPROVED BOARD OF HEALTH DATE AGENT ' SCALE: /r 40' DATES ?//4/01v L DREDGE ENGINEERING CO. IN CL ` A IV 5/�� IENT I CERTIFY THAT THE PROPOSED' EGISTERE REGISTERED JOB NO. mil/ BUILDING SHOWN ON THIS PLAN CIVIL LAND ,,, CONFORMS TO THE ZONING LAWS ENGINEER SURVEY R DR.BYt --� — OF BARNSTA'�LE, %MASS. : o'• .� 712 MAIN ST. CH. BY ` wA' HYANNIS; MASS. Z SHEET�L OF DATE REG. LAND SURVEYOR I • ..:., a^ -_• -'}_... - r. �-.,�y[. n- .,_.._d fix. ,,j.•�Y.'�ca�. .. :::4 3:.,1,.. Le.:t. ';' b: 2 -al,->r-4-`� - _ ^4.. y -,.mx •..,� r••a��.;= o� -.,.• �?� !! ..,1: k. 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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 boarl2Y L. 1,Ln(l4ren Address IJ0 Ale-tv i e '_i.Ti:ie, iOl.W .qua Wiring Inspector Inspection date Plumbing Inspector .� Inspection date Gas Inspector Inspection date Engineering Department �' `:u z .��/r/ : 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. ......................................................1 19...:.._ _ ............................................................................................................._._ Building Inspector