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HomeMy WebLinkAbout0050 THISTLE DRIVE i ti� '� ql � `' �§, ,.rS t« bur• "qq a� �' i! r ��y� �fv R. n t � ��. I.rt'vd,b ,�n ili ,r°'J (�3 ! ,�'"a�1,, •3d', 6 �,4 •.y .�n1 9''?..°�' " u� ,ITt 47 t '1 r , • U 1S 8 i 1• 0 � Y s t I 1 : s Y •r V 1 M1 4 , n • t J . ✓ l of r /65, 1. Ira b isry. we ov o n 1 t f CERT ( FIE D PLOT FLAN L-O C AT 1 o w: 'F.✓ 7�Ef?✓ice E -- -- -. _ _ REFERENCE .. .3E/iv'G 4 oT'te 1,C3 A S J',wow•v o.✓ P4 .4IV OF- I(/M43E'/7T A4/LLS': ORAwv f"DR �'L_-TrR C'. SA1, �A F'f ALS. Nl1 V Z /9 7� . ' 1 ` #Y a,ARn/.S 7A©L.F" -t s'ogV",CY CUMScJ_ rA�v7_S i—C. _ �l (_ v f .r. 7- Y A 1?Aw7._-, v r Ci MA_f. fAit . R E G L A N0 SURVEr'. l HEREBY . C E. F, 1.., I F Y i t-+ A T T .N t i U I L Q t N Ci �.. SHOWN O N . j tI.15 P l_ 'S L n C. A E 00 N .. THE G R U 11 ^i DS . 5 ►� OilY:N ME ! E Ors A D T H 'AT I T ,pO S -- C O N F O R 1 ' U T H I ;�;�yVA0. Mac. Z ON I N G' E3Y - t A VV5 O F T ►i F 1 w N O F ._ -- --- - . T E D. ria Or - ;k��'r EY /r P1 C C N T P U BARNSTABL. E SURVEY ONSULTANT.S, INC . WEST rAR ►,aO ; Tai ASS 4405uE;�`� , �� -V. .;'.7�•! �•:�• r.. .. 2. ', °!'i �i.G.4�_+ r�e9c.^.'� .a. . _ .. •a .. ��_r y��4i C��+.,� Town of Barnstable *Permit �� &spires 6 months from issue date )(.PRESS PERMIT Regulatory Services Fee' 2pO6 Thomas F.Geller,Director JUL 2 Building Division � 'OWN OF BARNSTABLF Torn 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 Not Valid without Red X-Press Imprint Map/parcel Number —® P k Ci -g� _ Property Address Qom- Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ri CJ,e JON Contractor's Name_ 1�� ) Q T� Telephone Number A 0% Home Improvement Contractor License#(if applicable) �D Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: P-Tla�ma sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. , Permit Request(check box) e-roof(stripping old shingles)e All construction debris will be taken to ❑Re-roof(not stripping, Going over existing layers of roof) ❑ Re-side Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign property Owner Letter of Permission. Thome Improvement Contract ucense is required. ht SIGNATURE: QTorms:expmtrg Revise071405 1 ne uommunwearrn uj lnus•sucnua�etcy Department of Industrial Accidents 9-3 Office of Investigations W 600 Washington Street Boston, M4 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizationdndividual): Address: City/State/Zip: e - Phone#: U= _ 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 oyees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet I ElRemodelin g ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. workers' comp.insurance. g, ❑ Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL l l.❑ Pl bing repairs or additions myself.[No workers' comp. c. 152, §1(4),and we have no 12. Roof repairs insurance:required.] t employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 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 FContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers compensation insurance for my employeem below is the policy arcd,p®b 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 of the DIA for insurance coverage verification. I do hereby certify der the pains and penalt. s f perjury that the information provided above is trace and correcz Si afore: Date: 41 /ao Phone#: ®� official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing?authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Piumbing Inspecter j 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write "all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture . (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. T 617-727-4900 ext 406 or 1-a77-MASSAF Fax ;; 617-727-7749 Revised 5-26-05 w-w-w.rnass.gov/pia Town of Barnstable Regulatory Services = Thomas F.Geiler,Director �p i6,�' •,� Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 www.town.b arnstab l e.ma.us >ffice: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. 'If Using A Builder is-AL as.Owner of the subject property hereby authorize to act on my behalf, in all r mtters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner F Dat Print Nam WORMS:O WNERPERMMSION r - i p t I 1 i ✓Lte (Jomnzarauro<a�` c+�✓� c�aeGtel� �' BOARD OF,BUILDING REGULATIONS License: CONSTRUCTION.SUPERVISOR Number CS 078000 Bttthdate: 02/03/1961 ) 4', Expires 02/03/2008 Tr.no: 17177 !1 Restricted 00. SCOTT H QUILTER PO BOX 727 �- W HYANNISPORT, MA 02672 Commissioner ua.s r —'... .. ^fx.:�,' wa'm*.;i:"�•�^' k�'.,w�,+y,sN�mr ,�'.•:,* �„t-.;wu '^+s a�--< i^t^","*'"f ,^"A.� �: x. `�� ^4y�,� > ,�-.' M t✓ 'w .;r n � "-., 1. -: ' .Y �1 '� �*'" » •,t. y;'✓fZE T009Y7/rItO�I2IUJeClLfiG O�v� r ,r "� �p,aw,^ a "r 1 »+, v �' � '�* 11::ard et TUMing Kc ulat any auJ�' a 1a t " A t 1sc:0r cgtstlatlOil Vall(1 far Indl �di t+APi20VEir1EnT CCN ftZACTOi if `ire e! expiration d tte ,f foun( F,�q �to Fc e f P tst,ahan132691ding aReg i bons and stard ds l '$ �`"Ashburton Piace^ 1,3O1 x 31200 ] i,Crt " %0'108 mat t ; ,t. 'T-r '�YvPp �p ividual,." 4 y e (``r. fi ii �i_TER a> -,�' '�N.,��F� �� �� ,d ,'�Q$, �� n„�, �}y, «:'.k ,+F•,:w-.a �F�'+.,.w<� � w l �!✓EERRY HILL RQ� �Cr—t'F��.RVILLE;MA.O'fi3' Nei alt tt vs:ut 5io^11gtUrf * rr TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE l JOB. LOCATION 6 < by c; LZc ICJ Y' -Number Street address Section of 'town "HOMEOWNER" . - Ali GYl l4 C1-j V Name Home phone Work phone PRESENT MAILING ADDRESS 1_<4LC vr .0 City town State Zip codt The current exemption for "homeowners" was extended to include owner-occup-, dwellings of six units or less and to allow such homeowners to engage an i dividual for hire who does not possess a license, provided that the owner acts as supervisor DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to i ' side, on which there is, or is intended to be, a one to six family dwellinc attached or detached structures accessory to such use and/or farm structuri A person who constructs more than one home in a two-year period shall not f considered a homeowner. Such "homeowner" shall submit to the Building Off on a form acCrptable to the Building Official, that he/she shall be respons for all such work performed under the building permit. . (Section 109.1.1) The undersigned "homeowner" assumes ..responsibility for compliance with the Building Code -aad other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirement and that he/she will compl with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be requires to comply with State Building Code Section 127. 0, Construction Control. i ' HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for whi,q#. � buildi permit is' required shall be exempt from the provisions of this section (Section 109. 1.1 - Licensing of Construction Supervisors) ; provided that Home Owner engages a person (s) for hire to do such work, that such Home shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assumi the responsibilities of a supervisor (see Appendix Q, Rules and Regulati for .licensing Construction Supervisors, Section 2.15) . This lack of awa often results in serious problems, particularly when the Home Owner hire unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "6,wner, as. supervisor is ultimately responsible. _. .,. To ensure that the Home Owner is fully aware of his/her responsibilities communities require, as part of the permit application, that the Home 'Ow: certify that he/she understands the responsibilities of a supervisor. Oi last page of this issue is a form currently used by several towns. You r care to amend and adopt such a form/certification for use in your commun_ I r • -- The Commonwealth of jifassachuset15 °-= f Department of IndustrialAccidents -'- � -�:�_ � Of�iceolln�esliggliens 600 Washington Street Boston,Massa 02111 MWorkers' Compensation insurance Affidavit 7aall l I V✓ U i I�Catic,n O L e ail , t U+�d2 U 1- L C ❑ t am a homeowner performing all work myself, r ❑ I am a sole proprietor and have no one working,n any capacity u �11❑ I am an employer providing workers' compensation for my employees working on this job. falupan x n res9 cite: insup ce ` ❑ i am a sole proprietor,general contractor,o homeowner'c Ye one)and have hired the contractors listed below who have the following wurke.rs' compensation polices: a�lte�s:. ��� S t•Y'�.:lt. Q;r r:, �,r_�� �� :. . • r9ri . OLc . . ALP li . M tym tan- . ci • in.u9�ance c . F•ailure to secure coverage as required under ScctiOn 15A of MG1.152 can lead to the imposition ofcriminal penalticy of a fine up to�t,.500.00 aad!or , nee years'imprigOnmrnl as well as civil prnaltie5 it1 the form of a STOP WORK OitDER and a fine of�lOO.UO a day a>;ainst ihe. 1 anders[and thn[a copy Of Il►is statcmeni stay be forwarded to the()[Tice of Jovestigatinea Of llie DlA far coverage verification. I do hetehy certi ' under the pains and penrt/ties ofperja that tfte information provided above is true and Cvprect. Sign2turC atc Prim narric F'1 V✓1 6-1 I I CW +Q IV 0, Fhcnc rfAvc4if use only do not write In this arcs to he completed by city or town official city nr town; permMiccnac# -Building Department �i,ieensiaK 1doard Q check irimmediate rceponac is required 08clectmen's Offrcc OHcafth Department contact person: phone —Othcr ' I fmi%Cd 1094 PW Information and Instructions Massachusetts General Laws chapter 152 section 25 regoires all employers to provide workers' compensation"for their ernpioyees. As quoted from the "law",an employee is defined as every person in the service of another under-any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual ,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shrill enter into any coutTaet for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company na►ries, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would 1 ike to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. NIP All I The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office 61 Inveslipaous 600 Washington Street Boston,Na. 02111 fax 4: (617)727-7749 phone#: (617)7w7-4900 ext.406,409 or 375 i t . .� The Town of Barnstable • snaxsTnst.�, • ,�� Department of Health Safety and Environmental Services 'OTFp3.(A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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: f= ! a. c Est.Cost ®vv Address of Work: 5;0 �"Li / l 1'LZ 1 lYT�2 u< < < C Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied y Owner 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 hereby apply for a permit as the agent of the owner: ; C0 H . a � Date Contractor Name Registration No. OR Date O ner's Name Engineering Dept. (3rd floor) Map Parcel Permit# / ' House# 0 D to Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:3 0;2 S,0 O {FA,r., Conservation Office(4th floor)(8:30-9:30/1:00-2:00) ,ZlJ YS TEM MUST BE L q3 7AL 01 PLIANCE wl'� APPFOV nn 19 El\lVIRONM E AND TOWN OF BARNSTABLE Building Permit Application ;Jectreet Address 0 2 N-1 u 2 Village l_e,,,+2.V Owner_ a_� J). Address v`Z9 Telephone q )14 a-7 ©g Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Is" 000 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Ud/ Two Family ❑ Multi-Family(#units) Age of Existing Structure q �S Historic House ❑Yes arl�o On Old King's Highway ❑Yes fib'40 2 Basement Type: Ud/Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1 Number of Baths: Full: Existing 3 New Half: Existing 1 New No. of Bedrooms: Existing \3 New Total Room Count(not including baths): Existing New First Floor Room Count 7 Heat Type and Fuel: B/as ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes 9<0 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ((Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name ( cti - Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1 ) r? 6 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S). 12 � 3 V C k A o S4-r 4- `\ �.. ,; \ �� � d :� � ... ` •..:.F _ ♦ , / 1 / ♦` //// \ / �� �_, � � - �� \, AID w 1006 ��s {'►�✓ t Zvi e2�rl e. In 6• ak fir. Yoe! v n.d Oto L, _ _ _ _ _ _ �� -6 � - ---- E6�TIC SVS'i'SM PAUST BE Assessor's offioe-(lst floor) - S pp AP E t Assessor's map Land lot number ........ .d.�...�.� :.... �- r ��Q�+i�E�r�� �o o� Board of Health (3rd floor): E 1 WITI'i�i'ME 3 �Q Sewage Permit number ...... I����•x� �9TADLE,i Co a- Engineering' Department (3rd floor): 39• �e House number ........ ........ r a b4�C ' Al APPLICATIONS PROCESSED 8:30-9:30 'A.M. and 1:00-2 OT'P.M. onlys " TOWN "OF BARNSTABLE RUItDIHG;' -IHS_PECT0R APPLICATION FOR ,PERMIT TO ..... ... .o. ..... .TYPE OF: CONSTRUCTION .....W...C).o.d.... ........ ............ .. .................... ............ ..`..ZZ.i.....o..)9....:.-. TO- THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the .following information: Location .....5.0..... .�.,�T. :. . ..r.. .......... .� . .C. .:.. .�.... s:.. a�� ProposedUse .H:Q.m.—e.........................................................:.......::..............................................:. .. Zoning •District. ....Fire District ...q.�.t e.l:..r ............................. i ....... ......... ...... :............................ Nome,of Owner .. .. .��..:r` ............:'...4�. .tX!✓. �1kFdd ' ss SQ..!v!!�Q Nameof Builder Address.......................................................... .................................................................................... Name of Architect S{;.VVLtAE,�, U .....................Address ........'C`'�!1.... . .Foundation- C..`P. .. ., r .. Number of Rooms ................�...... ....... .. . ............� ..... j11 C.,CL..f��...............:.............,.....:........ `. . Exterior ...( Q ,. .. .u.Q.� . .......... ......................:..........Roofing .......:�!� '�.° �............. ........ Floors ........... .�!t<.�..�J k-�}. ?.�4?Ct:......................................Interior ......0 t." ...W.4.1- -.................... 1 r g ..C? ...W..C .T.�!2.............: :.w.�....................Plumbing Heating .................................................................................. Firep ...........Approximate Cost-�A... ... i......0 lace ............����............ .....:...........................:.... S U� .... Definitive Plan Approved by Planning Board __________ ��, �. --------- 19._- Area. ........ .. ................ Diagram of Lot and Building with Dimensions ., Fee ........... aO SUBJECT 'TO APPROVAL OF BOARD OF HEALTH � . 09 Nrk/ a s 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 r construction. r Name i' a� ..:....A. l .....`............. . Y' Construction'Supervisor's License .... ............................... GLADSTONE, HARVEY M. 30085 ADDITION No .Permit for �' - •, Sin�le ;Family Dwelling;, - - Location istl�. t r ..........................Cent.... le... Harvey M Gladstone Owner .....: .. _ _ ........... ..... ......... Type of Construction .......FKaIri9,............... ..........f' ....... t r.. .......... Y. Plot i.:... ...... r"L'Ot �. ..................................... -October+ Permit Gwnted ........... . 27z. ." ....19 86 Date ofVInspection•............. . f� .. ...19 e ►' _ i -� Date Completed ..... ...19 w1X, - Y i $ f Assessor's offioe (1st floor): ++�--�� ' '�� Assessor's map and lot number ........ .....f...�.�"...(.� ......... TNEro�� Board of th rd floor): Sewage Perlmit(3 umber ............ ..�� .... '?..... d� c� g � � � Z BJBd4TSDLE, • Eng H u'seernumbepartment (3rd floor)°............... -� �................. - '°0,,�MAAL 0 pY.a\0e� b 41e a APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M..only TOWN OF BAR.NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....,... .f�. ..I �.. TYPE OF CONSTRUCTION ..rD TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......�................................,...... D.r................ ..............�................................................ ProposedUse ."fin. ! ..0:........................................................................................................................................................ LL Zoning District ....................... ...... ....................................Fire District ...C. .NT�..I^.. r .................................... Name of Owner ..I...1..I••!.. .��. .r.`,...... .".'.!... . . .1!✓J,taA.1ddress Q.. !l�l� .r.... .r......!rt e J?;•rlr..l,.�� ...... �✓I. Nameof Builder ....................................................................Address .................................................................................... Name of Architect S� G GL, .Address . .... (P G��l 11 Lily-u'j �r=' i?o aan!\ p i Number of Rooms ................�:......... ............. .)Foundation ...G...:..,�'�?.c..�]!...........4...........................::................. CE c��.....�!l?..0.0.��......... J Exlerior ......... ..............................Roofing .........�.. ��.Q../.1..................................................... Floors ' ,l t.49 1 L�l.l�),vc�. .......................................Interior .....1�.r`i...1: M .................................................... Heating ....�r�rx.....................Plumbing . ............. Fireplace N h..............................................................Approximate Cost A......5 Oo p Definitive Plan Approved by Planning Board ---------------------_----------19________ . Area ........eo0. . ..................... Diagram of Lot and Building with Dimensions Fee .........�� c0 .................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH _ r� J 6- ' ` G r X 14 0 N x� A(tv OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..N.O.",/!! -� ..1. �,....................... Construction Supervisor's License ...:................................ GLADSTONE, HARVEY M. A=171-065 No .... 085 Permit for ..... DDITION Single Family Dwelling .......................................................................... Location ....50 Thistle Drive ................................................... Centerville ............................................................................... i Owner Harvey M.....Gladstone. . . . ................... . ...... . . ...... . Type of Construction Frame - ............................................................................... . liPlot ............................ Lot ................................ f t � Permit Granted ......October 27, 19 86 Date of Inspection ....................................19 Date Completed ......................................19 � � r C-0 j E `�l t R171 065 . P E R M I T [PMT] ACTION[R] CARD [000] KEY 99155 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT [B30085] [10] [86] [AD] A 350001 [LK] [01] [88] [100] [NEW ] [CE ADD'N ] RESIDENTIAL PROPERTY ° MAP NO. LOT NO. FIRE DISTRICT - SUMMARY STREET 50 Thistle Drive Centerville -73 LAND 8,G 171 65 C-0 0) Blocs. a OWNER - TOTAL ��.- . `RECORD OF TRANSFER - DATE SK PG I.R.S. REMARKS: 7� LAND .�"/0-a Lot.163 BLDGS. 6 p ea TOTAL So?SO i 0 U o Rl,•3 aC LAND 'T--- — - - BLDGS. i /� - -.TOTAL I _ LAND e. i ._._... BLDGS. 4 •,TOTAL q LAND BLDGS. P' Werth Lilil M. & Gladstone -Harve M. 6/17/80 3111 195 ($1.0 roraL ' SO .T( Lo. DR\ C. /NL4 R/CE GT fR FRI (j ASS ESjAIF�f' LAND 1 1'\\ NT M� BLDGS. 0L632 VD)D C9RD /7/�G"b rn TOTAL }@ IAND ( BLDGS. I _ TOTAL F \ I 'LAND INTERIOR INSPECTED: I PIv TOTAL DATE: i % S LAND ACREAGE COMPUTATIONS r �j BLDGS. LAND TYPE #OF ACRES PRICE TOTAL ' DEPR. VALUE TOTAL f HOUSE LOT - .SS �o �/ OO c/r=.'O d' LAND [[t CLEARED FRONT 0 BLDGS. F REAR - TOTAL E WOODS&SPROUT FRONT LAND -- REAR BLDGS. j' . -WASTE FRONT TOTAL - REAR LAND BLDGS. rn TOTAL LAN D 3 y - BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. CDR. INF. VALUE HILLY TOWN SEWER LAND �Q ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL 1 LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. i.,. TOTAL TOWN OF BARNSTABLE, MASS. UNITED APPRAISAL CO..EAST HARTFORD.CONN. / FOUNDATION BSMT. & ATTIC PLUMBING PRICING LAND COST Cone.Walls Fin.Bsmt.Area Bath Room Base Q BLDG.COST - E Con..Blk.Walls Bsmt.Rec.Room St.Shower Bath C. Bsmt. PU RCH.DATE Conc.Slab Bsmt.Garage St.Shower Ext. Walls PURCH.PRICE. Brick Walls Attic FI.&Stairs Toilet Room Roof RENT Stone Walls Fin.Attic Two Fixt.Bath Floors 1 i Piers_ INTERIOR FINISH- Lavatory Extra Bsmt F 1 2 3 Sink y. Plaster Water Clo.Extra Attic - 1 EXTERIOR WALLS Knotty Pine Water Only Double Siding Plywood No Plumbing Bsmt.Fin. Single Siding Plasterboard Int.Fin. - 1 Shingles TILING •70• - ! Conc.Blk. G F P Bath FI. Heat -,L z2 So day _. - . . . . . Face Brk.On lot.Layout Bath .8 Wains. Auto Ht.Unit -J- 3J10189 ' jJ Veneer Int.Cond. Bath FI.&Walls Fireplace 4- 8 2 Co..Brk..On HEATING Toilet Rm.FI. i Plumbing -- 9 Solid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. -- Tiling 4' Jy _ 7y•— 2_ ��_._ _ ___ — 2G — •Steam Toilet Rm.FI.&Walls Blanket Ins. Hot Waterge C, St.Shower Total Roof Ins. Air Cond. Tub Area Floor Furn. © T 9 X ROOFING ->Ale.. - COMPUTATIONS 3,'Z(e$O .I Asph.Shingle Pipeless Furn. - S.F. --- ----- _ i89� 6 Wood Shingle - No Heat - S.F. (p SQ 23 6 r/ 0 I Asbs.Shingle Oil Burner — PR,re0 E g /O �`S'F' -7 iS7 7i NJ REM �FStiREU sFRE Slate Coal Stoker 7 L.F 7 O 79, - _ I Tile Gas � S.F. a � Q � OUTBUILDINGS ROOF TYPE Electric S.F. 1 2 3 4 5 6 1 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED Gable Flat Hip Mansard FIREPLACES S.F. Pier Found. Floor ,( I Gambrel Fireplace Stack Wall Found. 0.H.Door LISTED j FLOOR Fireplace / Sgle.Sdg. Roll Roofing Conc. LIGHTING 3 /7/6 Dble.Sdg. Shingle Roof Earth No Elect. 18� DATE i Shingle Walls Plumbing Pine Ha dwoodwW O ROOMS 3 g�/0 Cement BIk. Electric Asph.Tile Bsmt. 1st f'a,3 TOTAL -- Brick Int.Finish PRICEDA Single 2nd 3rd FACTOR REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep.- PHYS. VALUE Funct.DBP. ACTUAL VAL. -I DWLG. 1 2 3 4 5 6 7 B 10 .TOTAL'.';.:. t1 PROPERTY ADDRESS I I ZONING I DISTRICT CODE 'SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHD KEY NO. 0050 THISTLE DRIVE 10 300 0 LAND/OTHER FEATURES DESCRIPTIONI ADJUSTMENT FACTORS TT, UNIT ADJD.UNIT Lane BylDate sire Dimension LOC./YR.SPEC.CLASS ADJ. CONO. PE PRICE PRICE ACRES/UNITS VALUE Description G LA D S TO N E. HA R V E Y M M A P- CD. FF.De rh/Acres #LAN D 1 26 P 80 0 CARDS IN ACCOUNT - L 10 1BLDG.SIT 1 X .3 =10 197 39999.9 78799.9 .34 26800 #SLDG(S)-CARD-1 1 176.400 01 OF 01 A BOTHER FEATURE 1 1.200 COST --7u4wuu- IN BATHS 3.1 U X C= 100 13000.0 13000.00 1.00 13000 a #PL 50 THISTLE DRIVE CENT MARKET p FIREPLACE U X C= 100 3100.00 3100.00 1.00 3100 B #DL LOT 163 INCOME A SHED S 10 X 12 1986 C= 96 10.3 9.8s 120 1200 F #RR 1711 0118 USE p APPRAISED VALUE p J A 204.400 A PARCEL SUMMARY T U aND 26800 A S LDGS 176400 T 0-IMPS 1200 M TOTAL 204400 F E N IN CNST E DEED REFERENCE Mo Ty DATE Recoraee -PRIOR YEAR VALUE A T Boot, Page '^�'pe S.DATE Pr'o- LAND 26800 T S 3460/1211 104/82 BLDGS 177600 U TOTAL 204400 R E BUILDING PERMIT E S T I M A T E D-8 3 S Number Date Type Amount LAND LAND-ADJ INC ME SE SP-BLDS FEATURES BLD-AOJS UNITS 26800 120 16100 830085 10186 AD 35000 Con sr. Total Year Built Norm. Obsv Class Units I Units Base Rare Adj.Rate A 19 Age DIP,. Contl. CND. Loc. %R.G. Rept.Cost New Adj.Repl.Value Stories Height Rooms Rms Baths a Fi.. PMywell Fec. 01C 000 105 105 52.95 55.60 72 82 12 89 100 89 198146 176400 1.0 8 3 3.1 12.0 Description Rate Square Feel Rept.Cost MKT.INDEX: 1-00 IMP.BY/DATE: J G 6/87 SCALE: 1/00.46 ELEMENTS CODE CONSTRUCTION DETAIL S SAS 100 55.60 1892 105195GROSS FAMILY;DWELLING CNST GP' T FFG 30 16.68 364 6072 *-----26----* STYLE 03RANCH 0.0 R 1SB 100 55.60 824 45814 10 FWD ! DE3EGN-AOJMr -01YES'IG_Nf-ADJUST----5: FWD 85 8.50 488 4148 *--14_ -* O EXfiER.:lALLS 01WOOD rf AAE CT. C FSF 90 50.04 416 20817 *=--16--* * ! EAT/AC TYPE 02GAS --6. *-12-* ! 32----26----* 1NfiER.fI1 ISH 00 -------------------0. T ! 18 INTER.LAYOUT Ti o6� ___ 6.0 U 16 ! 16 16 INfiE11 MfALTY -01ABOVE EX TER. K.0 R 1SB ! ! FSF ! FLOOR STRUCT -J0 ------------------6.0 A W *--14-*---44--------*-10-* ---26----* - L p EFLaOR COVER-- -DO ----- -------�. E ToralAreas Aux= 852 Baae- 3132 ! FFG ! ! OOF-TYPE---_ -00 ------------------U.-O BUILDING DIMENSIONS ! ! ! E LE C T R I C AL 00 -U 0 T. SAS W20 S02 W36 NO2 W14 N26 FFG 26 26 26 OUN6ATfi _ 6N- 00 ---------------Vq'-9 A W14 1 SB N16 E12 NO2 E16 N04 FWD ! ! BASE -------------- --- ---------------------- N10 E26 S.32 FSF E26 N16 W26 S16 ! ! " ! -----NEIZ,HBOR 606 368Z-EEflTFIFVILLE L FWD W10 N18 W02 N04 W14 .- ! ! ! LAND TOTAL MARKET 1S8 E14. SO4 E02 S18 W44 .. FFG *--14-*--14--* *---20--*X PARCEL 26800 204400 S26 E14 N26 .. SAS E70 S26 .. *-------36------* AREA 1229 VARIANCE +0 +16528 STANDARD 25 ` TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 171 065 GEOBASE ID 9915 ADDRESS 50 THISTLE DRIVE PHONE Centgry i t le Z I P ILOT 163 BLOCK LOT SIZE DBA 1. DEVELOPMENT DISTRICT CO PERMIT' 16059 DESCRIPTION 16 K 24 DECK W/SCREENING PERMIT TYPE ' BADDD TITLE BUILDING PERMIT ADD DECK CONTRACTORS: PROPERTY OWNER- Department of Health, Safety ARCHITECTS: �. and Environmental Services i TOTAL FEES:,, $25.00 TtlE BOND ro $ 00 T, CONSTRUCTION COS $5,000.00 I 434 RESID ADD;YALT/CONE 1, PRIVATE P.. 3B # i MABLE, � 639. OWNER GLADSTONE; HARVEY` M ADDRESS 50 THISTLE DR V CENTERV CLLE MA BUILD NBY ...�_ j DATE ISSUED 06/24/1996 EXPIRATION DATE ' 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 OF THIS 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 ON JOB AND WHERE APPLICABLE, SEPARATE THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR - 1.FOUNDATIONS OR FOOTINGS .� 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 I I I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I I 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL y I WORK SHALL NOT PROCEED UNTIL -,,PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS I THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I � BUILDING PERMIT i f f i f