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HomeMy WebLinkAbout0107 SOUTH MAIN STREET �ti �IY"�*, ;ttIa 1 ii ' 4 r f r F .k � f;r i 1 y + 1y� 4�x y N �p t �ryi P �'yy - . [ %,t i N: ICk �' �. ,.zN7'i .,+'�Ih �AFJ. }- =„dkryt .l,x.IF�1�����Wi. �� r ' �r ! . ..'.. 4 - �dld q M � ' t ` y b., 11 Q � r M' N y @@ 3 NC •S ��jy U q i V °� .4f. If, o o y o :u {!. ! j. rr A s u , it i5x "'fie x !e xr' N .. , 1. a ,erg 1 Y' .�.. ,,: yME P Y' o tl , A ! ' d , u d P I III LL 3 W ;4 „ II . t 1 N ;.I G t a` Yl MY. S 4 II �, M I�II M II i s 4�ti t 11 pi. 6, ° p ,.4 i1 Y , :7 4ff G ,I ' �' ' 1 1!5 i vu 41 dl i f V. ,.4, R ISI t, 1 ,6 :1 c.. `k ' ! G.. h ;v n 1 i r `p Ii> 6 t. y 1 q t4 A ' E A ! I. 6 C �• `E - °I� a a r, �' ' N c 1, ► ;, b. e rt �r� ,. 1 R 'i G,f .,' s _ ,R ,A,. �q. 1; ! 1 1 { 1 .e a �. ,A j ij w e a, ,- r , , i , v i6 t a f i i b i ! ;;a =.ate o- +, N A � 'o ,r�: `�Ititio ,,.�l v rf( ,,, 'I ,:,vet ,� xi y A!u ° 4,` II�. a I I.�PI.IL,, „ i` y ;; t , r' ,Y, ,,... $,:.. ,Y ' p i' Y AEI .I a w , I u. n � n I a .. N:` ti- � , o y _ p } . w d � " , ! .1 q+° "i, : G , u : w - I , col,�rh doe., S 'Town of BarnstAble "1'ermill op , F:rpires 6 nrn N/rsfro is-sue darn Regulatory Services Fee 9 00' Thomas F. Geller; Director �� 1619. 1� Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 5�, www.town,barnstable.ma.us Offiice: . 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid wi/how Red X-Presr Imprint Map/parcel Number �2a Z� Property Address Z) Residential Value of Work L/ 0 K Minimum fee of$35,00 for work under$6000.00 Owner's Name A Address -7-� --lam :Contractor's Narne_�,�j�1!>r�/ Telephone Number -G Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) VWorkman's Compensation Insurance Check one: -* ❑ I am a so le proprietor s PE MT ❑ I am the Homeowner T su , ❑ I have Worker's Compensation Insurance Insurance Company Name : v l l,_ u.A i TA P Y .._�,��E��� 1�� B1a Workman's Comp, Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request (check box) �Re-roof(hu:rricane nailed) (stripping old shingles) All construction debris will be taken to A ❑Re-roof(htirricane nailed) (not stripping. Going over. existing layers of roof) [] Its-side Replacement Wind orvs/doorslsliders. U-Value #of doors (maximum .35)#of windows *Where required: issuance of this permit does not exempt compliance w(;h other town department reguiations,i.e. Historic,Conservation,etc. +� Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Horne Improvement Contractors License & Construction Supervisors License is required, SIGNATURE: Q:IWPFILE iFdRMSVbuilding permit forms\EXPRGSs.doc E ' 1; The Coitimoirivealth of Affassachllsetys °•, Department ofli;•.dustrial.Accidents 001ce of Investigations 600 Wash'ingto7i Street Boston, M4 02111 '°��'" rtt.�rt•�ti�:rrrass.g©w'dia Workers' Co.mpenS260n Insurance A_ffida-it: Builders/iC'outractorslLlec jidins/Plumbers pnlicaut Informadon Please Print L Aegibly Name (Business/Orguuization/Lndividual):�� CitylStatelzione Are u tuu amployer?Check the agproprinte box.: Type of project(required): 1. am a employer with _ (] I ruin a genesaI contractor and I 6. ❑.New constniction employees(full and/or part-tune).* have hired the sub-contmc(ors 1❑ I am 6 sole prnprieaor orpas r- listed on the attttohed sbeet 7.�2emodelutg ship astd have no employees Tlbese sub-confr'actors have 8. ❑.Detzw.Jitiou �workingfor me in an capacity., employees and have workers' pa y x 9. ❑.Building additiono workers' comp.insunuicecomp.insluaute.,wired.) 5. 0 We are.a corporation.and its 10.[]Electrical repairs or additions 3.❑ Item a.bomeowzlsex doing all work officers}�ati exercised tl>esr 11.0 Plumbing repairs or additions snyself[No workers'oomp. right of exemption per MGL 12•❑Roof repairs insurance required.]t c. 152, §1(4),aad.wehave no employees.[No wmi-ers' 13.❑Other comp.insumam required.] +pay apptkaat that chacls'box Ml.must also AU out the section belong tbatviag their workers'compensation policy infon=tiaa. f Hameawma wIlo subtuit this-&Mi"vtt ia&ating they are-doing aH W4Xk and then hue ouWda cewtractors must mbenit a uaw affidavit indicatiag snclt. 1Conoutert that check this bat tssast attacl ed a®sdditicasf sheet showing the Calm of the urb•cmaracwn and state whether or not those entities have enrptores. ifthe sob-cantmcltats:bane employees,iheymmt prutnde their workers'comg.policy number. !taut an eutployar tlt�t is prat�r"ding rtrarkers'coirrpaatsKlz'ox irastamnce fvr rra� emp2o}�eas. .Belou,is thopolicy and job site utfarmatian. Imurance Company Name: Policy#or 5&ias.Lac.* ate we Expi.mdon Date:��� Job Site Addren: za,,�4 z 1/�/� - City/state/zp: jj Attach a copy of the workers'toatpwma'tion policy declarntiuta page(ah-owing the policy tsumber and expiration date). Failure to secure coverage as required under Section 25A of lvfGL a 152 can lead to the impositian of crimirnal penalties of a t fine up to$1,500.00 and/or one-year imprisonment,its well as civil penalties in the form of a STOP WORK ORDER and a fine of up'to$250.0o it day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Imwtigations of the DIA for instxmce co-,mnge ves-&cation, I ado hereby cret UA u&pjar thepains and pwiAx :es ofperjury that the urfornsrrtian pratndad-a boy tru ti te is e an correct i Date: Phone# offi cial Arse on!>'. Do not tvrita tit this trrerr,is be cottipleted by city or tomt of ciaL r Town: Permit/License# Authouity(tittle onto): of Health 2.Building Departmtent 3.Cityffoiim Clerk 4.Electrical InspectorS.Plumbnrg Inspector er 6AltMR'ADL6, Town of Barnstable Regulatory Services Thomas F.Geiler, Director Building Division Thomas Perry, CBO Buflding Commissioner 200 Main Street, Hyannis, MA 0260I www.town,ba rnsta b le.ma.us OMce; 568-8624038 Fax: 508-790-6230 Property Owner Mtist Complete and Sign This Section If Using A Builder I'.. . 00;0� /��.._........._. ...__. l as Owner of the sub;ecE ..............._.._.... . ......_. . . ._. .. ... .... ... . . property hereby authorize �.4) ,✓�r, to act on my behalf, in sL matters relative to work authorized by this building permit application for: (Address of Job) S:&mature 0f96er ace Print Name It Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. DAVID-2 OP ID: KG ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 06/29/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED. REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . CNTACT PRODUCER 508-771-1632 NAME: Northwood Street, Agency,Inc, 508-393-2965 WC, sg; (AIc,rtop—_-- Main9 - No hwo Street,Suite _-- AIL Hyannis,MA 02601 AooRess: INSURE 6 AFFORDING COVERAGE �__�•,,,.NA_IC e INSURER A:Travelers Insurance CoTpp n>� _ —_ - INSURED David COX, Inc — - INSURER B P.0. Box 401 INSURERC: S Yarmouth,MA 02664 INSURER D• -----�-- ---_ INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TC WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -......................... .... r . POLL F POLICY EXP LI MIT;-_.. ITS.......,.._.........._ IRSR( TYPE OF fNSURANCE POLICY NUMBER MMIDD/YYYY IYYYY I (�OENERAL LIABILITY l EACH OCCURRENCE S — 1,000,00 A I COMMERCIAL GENERAL LIABILITY 6801481 M786 03114/11 03/14/12 I�AG is RE ccu re _ _ r PREMISES T BOO OOO (�a occurrence) f J CLAIMS-MADE �OCCUR MED EXP(Any one person) S_ _ - _ 5,000 X Business Owners PERSONAL&ADV INJURY 5 1,000,000 GENERALAGGREGATE S 2,000,00 1 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMP/OP AGG S 2,000,00 POLICY — PRO• LOC $- COMBINED SINGLE LIMIT 1 AUTOMOBILE LIABILITY Ea accident _ �_ ------ L ANY AUTO BODILY INJURY(Per parson) $_ ALL OWNED r-1 SCHEDULED BODILY INJURY(Par acadentl S AUTOS I (AUTOS NON OWNED PROPERTY DAMAGE 5 NIREDAUTOSFAUTOS Par — S UMBRELLA UAB !OCCUR EACH OCCURRENCE _ S......... I EXCESS LIAR CI MS•MADE AGGREGATE DED I RETENTION S § l WORKERS COMPENSATION O 111b . E3_ AND EMPLOYERS'LIABILITY X T RY.LlMIT6 ___.. .E.3_..._._._._.._._ I A ANY PROPRIETOR/PARTNERIEXECUTIVE YIN SKU691 OX742211 0711 S/11 07/15/12 E.L.EACH ACCIDENT S 100,00 OFFICERIMEMBER EXCLUDED? 1 NIA I DISEASE -EA (Mandatory In NH) I I E.L._DISEASE•EA EMPLOYEE E -- - 1 OO,OQO It ea,desalbe under E.L.DISEASE-POLICY Llmrr s S00,000 DESCRIPTION OF OPERATIONS below � — — 5 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION TOW NBAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS, 230 Main Street Hyannis, MA 02601 AUTHORVE�D/REPRESENTATIVE (y�/, 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD Office of CW'onemer fairs&k a ine-ss Tizegu a� "� License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:. ,,A00497 Type: ! Office of Consumer Affairs and Business Regulation Expiration: 31252012 Private Corporation 10 Park Plaza-Suite 5170 I Boston,MA 02116 DA 1 COX, INC i ' David Cox \ 19 LAVENDER LN W.YARMOUTH, MA Q2ii73 Undersecretary Not valid without signatu i Massachusetts- Department of Public Safety 1 Board of Building Regulations and Standards ! Construction Supervisor License License: CS 63537 vr�,;: " Restricted to: 00 Sated- "W. ._ DAVID R COX PO BOX 401 1 S YARMOUTH, MA 02664 Expiration: 10/15/2011 (bmmissioncr Tr#: 5822 3 -a r oa- � i o�sjactj sly tine/� 6 1 r_ 1 ` (' ,t ice.._'. . �� 1_f ,'dr"S ., .r e !^, I'^� 1 � f +. �.`�, , „ - ~y ti:. .,-� �I L� , ` s 4 i f .. j y , 't.4�ti. �•. - , t f �� - � � � FJ -� ` \ t� - i � �. '� .may � _) —r Y f •i � �oF 2 Town of Barnstable 4, *Permit# 0 F Pk Regulatory Services Leeesbnrorrhsjrorrrissue swRvsrxata, y pass. •�, 1619. ,�� Thomas`F. Geiler, Director " BUilding Divilily- sion. ` �'J Ib�L4�1 a Toro Perry, CBO,'Building Commissioner 200 Main Street, FIyannis, MA-02601 www.town,barnstab16,ma.us - Offic e: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERIVIIT APPLICATION RESIDENTIAL ONLY. N�!�Valirl Tv1!/r0111.Red X-Press hirprbi! Map/parcel Number ' . . Property Address 1 ll S �o YI ltiM, r 3 Residential Value of Work " Minimum fee of$35,00 foir work sunder$6000:00` I Owner's Name & Address Contractor's Narne L) Telephone NUM erti Home Improvement Contractor License #,'(ifapplicable) wr; Construction Supervisor's,License#(if applicable) PERMIT ❑Workman's Compensation Insurance Check one: ,' OCT 26 � 20110'. ❑ Kama sole proprietor TOWN OF BARNSTABLE I am the Homeowner � ❑ I have Worker's Compensation Insurance Insurance Company Name , Workman's Comp,Policy# Copy of Insurance Compliance Certificate must accompany each^permit. ; Permit Re nest (check �box) R Ya CS ' Re=roof(1urricait nailed) (stripping old shingles) All-cons tructionAebris will betaken to ❑Re-roor(hurricane nailed)(not stripping.}Going over existing layers of roof) El Re-side #'of doors E .Replacement Windows/doors/sliders. U-Vallte h• (maximum.35)#''bf windows # *Where required: Issuance of this permit does not exempt compliance wiih other town department regulations,i.e.Historic,Conservation,etc. Note: Property ROwner must sign Property Owner Letter of Permission.'. A copy of the Home Improvement Contractors'License & Construction Supervisors'License is req aired. 31GNATURE: The Cawinioirwea h of.Afassachuselis -- Department ofIndustrinl Accident Of}iGe Of IImeSd'rb t7.110nS 600 Wasl inklorr Street Boston, r 14 0211- �i"",,� }N'147{'.f11f1sS.�'OV�drtr - Workers' Compensation Insu.l:ince_�Ufdatiit: Bullders/iC'nil:tra do;sJElectizci ill s/Phnnbers Applicant Information. Please hizitLejTibly Na ne(Busines-,^Orgy LatiomZndividttal): Q +1 Address: ®/1 ca)'t-, nY)4 - City/State/Zip. e Yn A Phone Are you an employer?Check the appropi3ate box: Type of project(required).- L El am a employer itrith 4. ❑ I am a geaetnl contactor and I * have hired.the sub-contractors 6 �New construction employees(fu11 andtarpart=fiitne). , I F1 I am a sole proprietor or partnef- listed on the attached sheet. 7- [:j Remodeling These smb-contractors have ship.and have no employees $. rnotit�on .,.. e to 'ees and have ivorkers' ODe marking :forme in any.cap:ac ity. '� Y . comp-tnsurinee.:l p• �.Buildsn,g addition [No workers' comp insi>�nce p 10. Electrical repairs or additions required.] 5. 0 We are a Corporation and its.its 3. .I am.a.homeowner.doing all work officers.hatie e,cercised their 11..E Plumbing re-paits or additions in yself No workers' co right.of exemptiuu per NI TOL - 3 [ # �' c_ 152, 1 4 .and.�,ve have no 12.[ Roo frepairs. insurance:required.] ( ). employees. [No workers' 13.:0 Other cautp.:insuraace required.] 'Any applicant thatcbecls box#].RlI1.Ci also fillout the sec(ion below syarring tneirwnrkers'conrpeasa:ti.on poli.eyinfonw-rian- t Homeowners who submit this affidavit indicating they axe doing all wark and then hire outside contracrnrs(oust mbmit.a uaw sffidavit indicating such_ =Catstractnrs that check this box inust attached an sdditionaf:she.et showing the:nauxe of the sub-coixtrsctars so.d stele whether or not[hose entities have employees. ifthe subcontractors have enxplo}'ees,.fliey.must provide their workers'comp.policy number. I alit an entpIcyer that is proatrding'nrorkers'corrrpertsrztYon insurance for rrry errcplarews. B,elowr'is th q paltry'.rtrtrl jo.b site . inform atiO/L Insurance Cotrtpany Name: Policy#or Self-ins.Lio.. Exp:irntion Date: Job Site Address: City/State/Zip: Attach a copy of.the workers' compensation policy declaration page(shoiidng the policy number and espu•ation date). Failure to secure coverage as required under Section 25A of MGL c.. 152 can lead to the itx�position of criminal penalties of a fime up to$1..,500..00 and/or one-year imprisonment,as well as citril penalties in the form of a STOP WORK ORDER anal a fine of up to$250.00 a day against the.violator. Be advised that a copy of this statement may be fom arded to the Office of Iiivestigations of flie DIA for insurance coverage verification. I do ltor eb certi uAder tho paints girl pertath:es of perjarry fltat Nta it forrraRtiazI proyzBerl nboyre is trtea a td correct: , I,.�� ' _ /� Si Lure: Date:'l1ICA ., 6 (� Phone#: o official use onll'. Do not write ht this area,to be coutpleted by cht?or town ofcial City or Toi n: Permit/License# Issuing Authority(chile one): 1.Boarrd of Health 3.BuiltEng Department 3.Cityffoii,n'Clerk, d: ElectricaI Imspector..5.Plumbing Inspector b. Otlie.r Contact Person: Plione tl; 0 Town of Barnstable ' Regulatory Services IE3`p`jp(inssg , . Thomas F. Geiler, Director Tamer Building Division Tom Perry, Building Commissioner ' 200 Main Street, Hyannis, MA•02601.1 www.town.barnstable,mims : A. Office: 598-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE.EXEMPTION Please Print DATE: � � O JOB LOCATION: ) 0 Se,1KD, m q, gey number street village 'HOMEOWNER-A)ck ne..L. iF_A-TorZ� t,1l']-IS_'71 y C's-0 �36 name iome phone N — �york hone H - $ � - CURRENT MAILNG ADDRESS: J 6 SQ�)� M 10L Q'n l-2 ttZ U ., L,-e 1y)Y\ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to.the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) ry The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection 4procesnd requirements andthat he/she will comply with said procedures and requirements,meowner .` Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State-Building Code Section.127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 1,09.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack ofawareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of s 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:IWPFILESIFORMSIbuilding permit formslEXPRESS.doa Revised 072110 T pF THE Tpk x ■ aARNSTADLE, MASS. 019: Town. of Barnstable �� prFO MA'S A Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property-Owner Must Complete and Sign This Section, If Using A Builder 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 If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESIFORMSIbuilding permit forms\EXPRESS.doc ,*THE TOWN OF BARNSTABLE • 13ARIS ABLE, 2639. 0 M BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... ... ... . . ......... ............................................................. TYPE OF CONSTRUCTION .........C/ Z......... . ..............0................................................ . ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .................... ...... ..... ......... ........................... Location ......&_41... A . ► ProposedUse ........4/, 9 ...................... .............................................................................. ............................... lz; ..............................Fir-e District .................4 . ii� ......... Zoning District ............e...................... .................. ........................ Name of Owner .... Address Y?? ...... Nameof Builder ........ ..................................Address ..................................................................................... Name of Architect ....... - ........ ................................Address ....................................................................................­.....x do Number of Rooms .........................................Foundation ............... Exierior ... .. ..................................Roofing "t. ...................... Floors ......................................................................................Interior 0—,A— ng .... ................................................Plumbing Heating !? !' ............... ............. Fireplace ..................................................................................Approximate Cost .......!Tf.- ........................ ........ Definitive Plan Approved by Planning Board ------------------------------19--------- Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH k t�tv L L 4 n) tt� j I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........... Bearaa, Francis IC, No —± ... Perni� for addto u�z��m�� ------.. � ~ --- .diw* _______,,,__.. ` \ Locobon —.— � I07 South 8lain Street ........................................................ / ' � .--..,,--. __________.. | � Owner --- .E._Bearpq................... . � . . Typo of Construction —.------.f�zooa.--. . ---.-----..—.--------------.. � \ Plot ............................. Lo� 1. --'--------' "[ ' } . . O , - / . . Date of Inspection ~ � lg , ` --~ Completed .... �^ -- . � PERMIT REFUSED ................ 19 . ' ^ ' . . - .---.----,.—.,--------~------.. | ' ` —_---.—.------------------- ( - � .—.------.---.....~..—~..~----.. � V ---------.---------.-------. Approved ................................................. 19 | � .---------.------.—.----...—^.- g ^ v ` -------'-------------.---.—.. ' ' . . | | Assessor's map`and lot number, .. .:C.... TBE toy c Sewage Permit number !� I Z BA"STAILE, i House number .. ......... . ^. ..:... NAM TOWN OF. BARNSTAB-LE BUILDING 'INSPECTOR APPLICATION FOR PERMIT TO -� �"` :...... r . "TYPE ,OF CONSTRUCTION _ .. .�ia,®bt!'` ,,t ........................... f ......................... 1. ................. 19. TO THE INSPECTOR OF BUILDINGS: t , The undersigned hereby applies for �a11permit a,,ccc�ording to the following information:/ Location ............'.rI4 .7 Sa u- A. !/f �'1 .S PAL i^1/i ll'P ProposedUse ....... 4�-V�....... f:.. ....................................................................... Zoning District .............Fire District ,,[ /l Name of Owner .......�1./.�.�...4.Q.�......... � .��.L®.......Address .../� .....5d. �!?... .�1.:!d1.h..S ..S..f91. ahl 1, •; Name of Builder A k'....�.1qa :f...( .Address �� �/I ' Nameof Architect ..................................................................Address .................................................................................... V t Number of Rooms ....... .........................................................Foundation .. .., 'EE' `1 / f Exterior .�,A�t ............Roofing ... ' A to, . ............. ................ P/ottz Floors 4-I ..-..............� :..............................................Interior ... . :,....................................... .......... Heating . ` ...................... ............Plumbing .......Aw ................................................................ E .. ................. Fireplace 411A�)..............................................................Approximate. Cost .........& ........................................... Definitive Plan Approved by Planning Board -----------_-------------------19________. Area .....144).' ......... Diagram of Lot and Building with Dimensions Fee -""""� • SUBJECT TO APPROVAL OF BOARD OF HEALTH ,' •.� . OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ' ` a I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......... . ......................................... ' . Construction Supervisor's License ��. .. �.. . .. ... 4 - BEARSE, ELWOODi-i .. A=228-128 No ... Permit for ...ADDITION............ Single Family Dwelling.............. Single..Family,,, Location 5.tr.eat...... ............... .................................. Owner ....UuQ.Qd...l3Q.4X.5.e............................. Type of Construction ....F17.aMP P.......................... ................................................................................ Plot ............................. Lot ................................. Permit Granted ...Nqve.mbe.r...1.8.4......19 83 ..... ....... .. Date of Inspection ....................................19 Date Completed ......................................19 N 119 117 = 31 A .64AC a -' 120 30AC 116 2 w• p .27AC \2'( iq z 6v a N 121 .36 AC 115 $ .27AC _ 31 90 V. /Zb C APP 4 s0 ``„. 100 114 �30Pc. 2$ G 3 w o 112 O 2'3 Oh p Oj 41 AC U d a ;oa , 35 sac, ol N 2 ao \�RG u So o O U a1 u 8 •PARTRIDGE WAY 113-5 h CL•`. o-►�` 97 . 35AG- 50 C d r�0 2 � o � 133 Q .�Z ,gyp. Oq weT �41)P a N 0 AG 7-071&- . •oQ � , Q v Qr \�co afl "? �a. ...Assessor's map and lot numbe .. .... of THE to Sewage Permit number Q .... ; e�Q ♦� ARN6 E. i f House number ..w.. . . 'a " a L t O,o�1 39• �0 a; } �EaMPYO' T®W.N BARNSTABLE U-UIL DIN G 11 S P,`rE CT0' w APPLICATION FOR PERMIT TO :..` .. .. .............. TYPE OF CONSTRUCTION .....Ot„ru..... ... .:... .' ........ ` �? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: /P.7 S� VJA...........i.1?��. ......5 ae� rv. l& x�1... Location ............... . . .................... .. ........ ,�.......... .. .. .. .�.... ........................... ProposedUse ...... .Kl,.... .-�Z_C,. .................................................................................. Zoning District ....................................Fire District ..................... .................................... ......................................................... Name of Owner 414VQ 0 .. 166 .CA! ..Address ...A2. SO.u`I`(. /Il�l.1...S ..0 eXACO/.`.(vi<!� .:. ..: ..,Name of Builder !~...L.>. .. .�- .. .........:.......................Address . . li Name of Architect ............... ...............Address Number of Rooms ....... .........................................................Foundation .. . . Exierior . '{.� �1'' '" ........:..Roofing .. w ' c ' Floors6411... ....................................................................Interior ... .. Heating .... ... ...Plumbing ............ .... . . .. .. . .... Fireplace ...... ..............................................................Approximate Cost ........J..(. O.4 ............................................ Definitive Plan Approved by Planning Board -------_----------____----------19________ . 7Area ....`. 00 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH y..Y-K OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform-to all the Rules and Regulations of the Town of Barnstable regarding the above. construction. Name ........ . .. .. .. .................... Construction Supervisor's License .. .... .... BEARSE, ELWOOD No� 25788 Permit for ..ADDITION.................................. -.iSingle Family Dwelling .................... ............................................. ............ Location 107 South. Main Street ............................................ Centerville ............................................................................... -Elwood hearse Owner .................................................................. Type of Construction ....Frame ....................................... ............ .................................................................... Plot .......................... Lot ................................ Permit GrantLd ...Xavambex...I ........ig 83 Date 8 f jhsodctio . ................... ... 19 Date Completed 19 f t � } t a r i i a M f4 n e e F , E a. ti e e: 19 x 1W S OUR 0 0 M" "Our most popular Sun Room at an affordable price." • Beamed cathedral ceiling • Concrete slab • 6sliding thermopane glass doors • Insulation,electrical, pine interior - • Complete from foundation to painting We,are complete specialists forresidential additions. FREE Estimates,complete design service,references,quality craftsmanship FUTURE DESIGIN BUILDERS Te 1. 362-6741 *Price subject to site inspection.