HomeMy WebLinkAbout0037 THOREAU DRIVE 37 /+s�r � �'��
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Town of Barnstable
'TIME, � Regulatory Services
Thomas F.Geiler,Director TOE
Building Division ��
snxxsrn R�STq
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�ArFDMp'1�,� Tom Perry,Building Commissioner CE'
200 Main Street, Hyannis,MA 02601 P/1 3; 3
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: POA7"R< G230-1,-
PERMITOOI3n FEE: $ — J
t
SHED REGISTRATION
RESIDENTIAL ONLY
&0 200 square feet or less a
A
3-�' -Th0 f-� _ N ,V ( 661)y vim ) Mo
Location of shed(address) Village
�l9tq/v6P 8 , (AL a-) ,n� 50g 36Li )5 D
Property owner's name Telephone number
3
Size of Shed Map/P rcel#
13 .
Signature Date
Hyannis Main Street Waterfront Historic District? Al
Old King's Highway Historic District Commission jurisdiction?
If over 120 square feet,you must file with Old King's Highway
Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30-&'3:30-430�
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg
REV:052813
I
Map Page 1 of 1
Town of Barnstable Geographic Information System new sear
Parcel Viewer Custom Map Abutters Map Size ® Zoom Out i i i i i i i i iln
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selecting check boxes below
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Town Boundaries
SRI
P—� Road Names
(7, Voter Precincts
13
( \ 101132 c
101171 M1 p27 a r}}, ` F. Map&Parcel Numbers
0370 k Ys � .�ti
ri Parcels
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" � �h^''' (-''•: FEMA Q3 Flood Zones(Current Maps)
Not for official Flood hazard determ
AE(100 yr flood)
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AO(100 yr Flood)
®VE(100 yr Flood w/wave action)
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V� X500(500 yr Flood)
r FEMA Preliminary May 2013 Zones(su
p 37
Expected Adoption Summer 2014
AE-100 year ood
AO-100 year flood
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VE-Velocity Zone
0.2%Annual Chance Flood
*
Open Water
"�teif7B F. Neighboring Towns
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Streams
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Set Scale 1"=46 I Aena LPhotos I MAP DISCLAIMER • --
Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIs
BarnstableMA y1.2.4748(Production)
http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=191231 11/14/2013
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Town T of Barnstable :
-Regulat�o`ry Services
oFIKE Thomas F.Geiler,Director ,
Building Division
BAMSTASLE, ► .Tom rPerry;Building Co turn ones
MA38.
cb i639. 200 Main Street,Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-190-6230
� v
September 15; 2010
21
1E
Michael Holland
1126 Main St
4S
-Weymouth, MA 02190
p RE: 37 Thoreau Rd:, Centerville, Ma 191 Parcel '231
p.
21'4 Swift Ave.-, Osterville; Map: 166 Parcel: 038 ,
6: Dear Mr: Holland:
Based on a review of our records;the following above referenced addresses need final
building inspections. As the home4improvement contractor on record you are required by
780 CMR to ensure'the successful completion-of all required inspections. In,order to
avoid further action,by-this office, youmust contact this office and arrange for
compliance. Thank you in,advance for your prompt attention in this matter. Please call
(50'8) 862-4034 with any questions.
- ,�,
By Order,
n / 1F -
r L Lauzon
Local Inspector
(508) 862-4034
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TOWN OF BARNSTABLE BUILDINGPERMIT APPLICATION..
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Map I"1 / Parcel � ' v Application#' 6624650
Health Division Date Issued 1
-77
Conservation Division _ Application Fee
Tax Collector Permit Fee C;�,Or7 OD
Treasurer
Planning Dept. f
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address Q erw 1Z
Village 0 Z-Nkeg 111 e P,
Owner F_1cx,^Q _ 05exW•„ Address -7( ?- �c 9atb►'z ST
Telephone • 3`-�`7 11? Z. M't�ok `'''`�, cm NHS�'
Permit Request ADD 7 f`0 �F 1 u x.. AL 6'1 J 5 T��� ���kt. G.5 �-e.✓
5
Square feet: 1st floor:existing proposed �AmL_ 2nd floor:existing_ proposed Ada Total new S
Zoning District Flood Plain Groundwater Overlay
Project Valuation lb,06b Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
l
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
O
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No
Basement Type: Cd 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: 0 Yes ❑No
t ., -
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size,
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: `h
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ,
�No
Commercial ❑Yes If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name tA•UOXJA J\�o � 5 COA4T. : rVu Telephone Number l• 335- �27�
Address L ,r� ►�A� License#
C�ZAI,0 Home Improvement Contractor# I3/Z7(6
Worker's Compensation# )6k_IZ60a via
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L . A , C• C9
SIGNATURE Av I A4 DATE b (�
:4
.r FOR OFFICIAL USE ONLY
,e
APPLICATION#
DATE ISSUED
on
MAP 7'ARCEL NO.
ADDRESS VILLAGE
t OWNER �-..
A 1
• � l
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE ._
ELECTRICAL: ROUGH FINAL
k �
PLUMBING: ROUGH FINAL -
GAS: ROUGH FINAL "
FINAL BUILDING
6.y s
r�Y2,
DATE CLOSED OUT t `
ASSOCIATION PLAN NO. �
>r
r
The Commonwealth ofMassaehusetts
Department of IndustrialAicidents.
Office of Investigations ,
600 Washington Street w
i
Boston,M4 02111 r ,
www.mass.govtdia
Workers"Compensation Insurance.Afidavit •Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Narae(Business/Organization/Individual):. Ho I I+pj O' �'• 50,75 e c%t 5 Z G
•Address: �/� ��✓'n �Zi?eG
City/State/Zip: S, fi" Phone A 74 .333 5-- 1Y2-'?j
Are you an employer? Check&e appropriate box: Type of pi oject(required):.
1. I am a employer with 30 - 4• ❑ I am a general contractor and I
employees(full and/orpart;time).* have hired the sub-contractors 6. ❑New construction .
2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have,; g• Demolition
working for me in any capacity. employees and have workers' 9 Building addition
[No workers' comp.insurance comp.insurance.$
required.] 5. [] We are a corporation and its 10:❑Electrical repairs or additions
3.❑ 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 repairs
insurance required.] t c. 152, §1(4),and we have no .
employees. [No workers' .•13.❑ 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.
tContractors 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 f zve employees,they must providb their workers'comp.policynumbcr.
I am an employer that is providing workers'compensation insurance for my employees.Below isihe policy and f ob site
information. n
Insurance Company Name: 1%eSo✓ 'L C $/W& d t f A
Policy#or Self-ins,Lic.#:_ /,tom /.76 6 9-la 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 ofMGL 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
Investig lions of the DIA for insurance coverage verification.
Ida hereby certi :cnder tkepat an penam,e ofper'ury that the information provided above is true and correct:
Sieneture: _ Date: 3r 6 7
Phone#• S- 7
Official use only. Do not write in this area'to be completed by city or town ojjriciaL
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#:
E, y Town-of Barnstable
Regulatory Services
* � Thomas F.Geller,Director
MASS.
i61{A Building DiYIS10n
ED MP b ,
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 509-862-4038 Fax: 508-7.90-6230
Permit no.
Date
AFMA' U
HOME IMPROVEMENT CONTRACTORLAW
SUPPLEN[ENT 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:Ae3: �,�D�T/O�l Estimated Cost 70 as a
,Address of Work: /%6 e&G J �CG
' 6� Id'%J• owner's Name: ,Q/liJv_,(�i �- �f�i qde .. �
Date of Application 3 a Q
I hereby certify that:
Registration is not required for the following reas on(s):
OWork excluded by law
nJob Under$1,000
JgBuilding not owner-occupied'
DOwner pulling own pennit
Notice is hereby given that:
OWNERS P` IMG THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES.OF PERJURY
I hereby apply for a permit as the agent of the owner:
Dafe Contractor Name Registration No.
OR
Date Owner's Name
z'anle.ts3.la(scsTmancdj
prsseriptira ps4mgri for due sz8 Txv-F'tmup Raideatw Balldloge I cstexl WiltF'µeh
l4fA7CfMt]M • 1VRIKIl1iUM
5 •Heailag/Cooling
. iQlazing Gfazla$ Gelling wall Floor 13ueairat ent ,R(fidea
Arca1('J.) U-valn� R-values ' R vducl R•1'Rluc� Wev lender Fm
Pam' S� 670I to ODD Arsilag
..-...�31——I.3—..•...-.-1.9_ _� 14-
<R i2'1a DS? 30 l9 ��19 �10i J5 � Notrasl
I2Y, 0.30 38 13 19 14 6 fSFUE
B 13 3 N!A. }ormal'
T 15% 036 33 -NIA
Tlocmal
U IS'f. 0.46 38 19 19 1 10 6
15*! 0.44 31 I3 33 NIA 83 AFUE
S' 3D I9 ]9 U AFUE
�y 15Y. 0,3Z ]D Normal
.x 18Y. 03Z 38 • !3 2N/,L NIA Noma1
;SY. D.47 38 19 23 NIA NIA
Y 4 90 ARM
Z 13% Q,4� 38. 13 19 Id 90 AFUE
AA 11% 0•.90. 30 19 19 ID
I, ADDRESS OFPROPER,TY: :37
2, SQUARE FOOTAGE OF ALL.BX ERIOR WALLS, 7�
3, SQU.ARE FOOTAGE OF ALL GLAZING.'
9/6 aLAZTNO AREA.(#3 DIVIDED BY•#2): ,4.
5, SELECT PACKAGE(Q..AA-sea chart ab QYe): - 3 "/6 ;
.NO OTHER MORE INIVOLYEI7 METHODS OF DEiERNMiING ENERGY REQUIRENIENTS
ARE AVAILABLE, AM•US FORTHM INFORMATION&
BUILDING-INSPECTOR APPROVAL:
YES:. NO,
-ins-po0303a •
4
f
of ram; Town of Barnstable.
Regulatory Services
�reni.E,$ Thomas F.Geiler,Director
`b°rF �a1' Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable:ma.us
Office: 5 08-862-403 8 Fax: 508-790-62.3 0
Property Owner Must
Complete and Sign. This.Section
If Using A Builder
as Owner of the subjectproperty
. J
hereby authorize V-,- to act on my behalf,
in all matters relative to.work authorized bythis building pesXt application for,
-1%iQe,G c/ �C.
(Address off oEY
/4 ,3dla
ignatun of Owner Dfte
64,9/6��
Print Name
I
QFOP MS:0 rYNERPERMIsS ION
$3; ✓a {�omvnwauue !✓[�aaaaee/� I -
BOARD OF 13UIDlNGREGL1�fO�IS ;I
s ; License: CONSTRUCTfON SUPS ASQl2
$ " D1111ER'S UCENSE"
Number CS 066103 027580014
- ! - QarE4,19ra CLASS RM NSM SEX
5" I 01-28-1965. D 60 R
Sam
{ Ezpii!e3.OfL8F2008 338fi '
i Tr.no: 1 01-2&20"08" = -a-
? Res{nc�d 00 HOLLANDx
AAC'HAIL.J HOOLLAND MICHAEL J
1126 MAIN'ST 32 SFIE[LA WAY
/ HANQVM.MA
5WEIFII»bUTH, AM b2� o (5 Go—
i _ oxi3s-see"�.•...�....� p �.�4
Com"`Iflissioh� a
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Board of Building Regulations and Standards ,
HOME IMPROVEMENT:CONTRACTOR M.HOLLAND&SONS CONSTRUCTION,INC.
aRegistration: 131278 www.holland-construction.com r,
Expiration:. 6t2&2008
Type: Private Corporation MICHAEL HOLLAND
mholland®holland-construction.com �'
M.HOLLAND&SONS CONSTRUCTION.INC. HOLLAND
MICHAEL HOLLAND 1126 Main Street a Weymouth,MA 02190 CONSTRUCTION
1126 MAIN ST. 781.335.4275 t s 781.340.0077 f Dmgn&C t..aw.
WEYMOUTH.MA ngi-ci i n..... a__:a_----
E•E.Za 9i'�i �+ � i ` ` E , !"P e + 3 8,�► - '1 DATE(MMA)DIYYYY)
`.`:. �.v,®RTIFIC a � e LIABILIa Ra g SURI A�`ICE I 9/26/2Q67
PROuuceR
� (781)986-4400 PAX- (i$]_)963-4420 .r T63i5 CERTIFICATE IS i•�SUE(? AS A MATTER OF INFORMATION
jRisk Strategies Company ( ONLY AND CONIFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1
400 North Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1
Randolph MA 02368 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERA:NGM Insurance Company
M Holland Construction Inc. INSURER a:Safety Insurance Company 33618
1126 Main Street INsuRERc:Insurance Co State of PA
INSURER D:
Weymouth NIA 02190 INSURERE:
ERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED To THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANYI
REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 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'
AG REG TE LIMITS SHOWNMAY HAVF B ED BY PAID CLAIMS.
INSR ADDI. POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MMIDD LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 11000,000
$ COMMERCIAL GENERAL LIABILITY P=GETo RENTED
S IF nce $ 500,000
A B CLAIMS MADE ®OCCUR MPK39348 6/l/2007 6/l/2008, MEDEXP(Any one rswn $ 10,000
PERSONAL&ADV I URY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000r
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ 2,000,000 I
S POLICY J CTT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANYAUTO (Ease) $ 11000,000
B ALL OWNED AUTOS 2701034 9/16/2007 9/16/2008 BODILY INJURY
$ SCHEDULED AUTOS (Per person) $
x HIRED AUTOS BODILY INJURY $ CST, -
B NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $ CSL
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANYAUTO OTHER THAN EAACQ $
AUTO ONLY: AGG $ _
EXCESSIUMBRELL1LIA68JTY CUK39348 6/l/2007 6/l/2008 EACH _
OCCURRENCE $ 51000,000
B I OCCUR CLAIMS MADE AGGREGATE _ $ 5,000,006
A DEDUCTIBLE $
RETENTION - - '
C WORKERS COMPENSATION AND NC1762842 1/3/2007 1/3/2008 X I WCSTATA OTH
EMPLOYERS'LIABILITYUL
ANY PROPRIETORIPARTNERIEXECUTNE s E.L EACH ACCIDENT $ 500,000
OFFICEMMEMBEREXCLUDED? E.L.OISEASE-EAEMPLOYE $ 500,000
8 Yes.describe under
SPECIAL PROVISIONS below _ - ELDISEAS -POLICY LIMIT $ 500,000
OTHER
DESCRIPTION OF OPERATIONSJLOCATIONSNEHICLES!EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
issued as Evidence of Insurance. RE: TD BankNorth, 17 New England Executive Park Drive, Burlington, NA. Please see
attached addendum for Additional Insured(s). Corporate Officers are included under workers compensation coverage.
CERTIFICATE HOLDER CANCELLATION
MOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Equity Office Properties Management Corpo EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -
Attn: Carrie Murphy 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT
7 New England Executive Park Burlington, MA 01803 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
l INSURER,ITS AGENTS OR REPRESENTATIVES.
AUTHOR®REPRESENTATIVE
Michael Christian/HST''
ACORD 25(2001108) O ACORD CORPORATION 1988
INCr194,n�no�no. nuns�,�,�
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 IECC
REScheck Software Version 3.6 Release 2
Data filename: C:\Program Files\Check\REScheck\Ubaldini Residence.rck
PROJECT TITLE: Renovation to The Ubaldini Residence
CITY: Barnstable
STATE: Massachusetts
HDD: 6137 ;
CONSTRUCTION TYPE: Single Family `
WINDOW /WALL RATIO: 0.04
DATE: 08/20/07
DATE OF PLANS8-20-07
PROJECT DESCRIPTION: `
Addition of a second story to the home and'
renovation to the first floor ,
DESIGNER/CONTRACTOR:
M Holland and Sons -
1126 South Main Street,
Weymouth, MA
COMPLIANCE: Passes
Maximum UA=413
Your Home UA= 276
33.2%Better Than Code(UA) e
Gross Glazing
Area or .Cavity Cont. or Door
Perimeter R- alue R-Value U-Factor UA
Ceiling 1: Flat Ceiling or.Scissor Truss 625 30.0 0.0 22
Wall 1: Wood Frame, 16" o.c. 774 13.0 0.01 63
Window,2: Metal Frame:Double Pane with Low-E, 10 �0.340 3
Wall 2: Wood-Frame,.16" o.c. =797 13.0 0.0 65
Window 4: Metal Frame:Double Pane with Low-E 10 0.340 3 .
Wall 3: Wood Frame, 16" o.c. C 467 13:0 0.0 36
Window 3:Metal Frame:Double Pane with Low-E, 33 0.340 11
Wall 4: Wood Frame,'16" o.c. .-467 13.0 0 0, `35
Window 1: Metal Frame:Double Pane with Low-E 37 0.340 13
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 750 30.0 0.0 25
Boiler 1: Other(Except Gas-Fired Steam), 90 AFUE
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been designed to
meet the 2000 IECC requirements in REScheck Version 3.6 Release 2(formerly MECcheck) and to comply with the
mandatory requirements listed in the REScheck Inspection Checklist.
Builder/Designer Date'
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y ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery CO)
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w
. The Town of BarnstableMAS& .
• BnarrsrnBi.E,
epartment of Health, Safety and Environmental Services '
'�EDMo'�A Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
May 28, 1999
Ms. Valerie Thomas
66 Peter Rd.
Plymouth,MA 02360
RE: 37 Thoreau Rd.
Centerville, MA 02632
Dear Homeowner:
It has come to the attention of this department that there has been work performed
at the above referenced address in the past few months.
This office has no record of permits pursuant to CMR 780 Section 110.1 Please
contact this office and rectify this situation within 7 days.
Sincerely yours,
Cj,wa—
Thomas Perry
Local Inspector
Certified Mail #Z 203 500 431
RP/pcb
Y7
_ ao .
-4 - i7
20 �
t
AeAssessor's map and lot number ...../ /— — .....40 r X
071 ED SEPTIC SYSTEM MUST BE
I!N,'S T aLLED IN COMPLIANCE
Sewage Permit number V
v ....... ....�..�.�............................. k ITH ARTICLE It STATE
VkNiTARY CODE AND TOWN
ro�"Qyo�tNE T���� TOWN OF BAR.N STABL E
,i $AHH3TdDLE, i
1639. �� K, BUILDING INSPECTOR
APPLICATIONFOR PERMIT. TO .... ..........................................................................................
TYPEOF CONSTRUCTION .........:... ... .. .......................................... ............................................
...... ....4�......
19.
TO THE INSPECTOR OF BUILDINGS: +
The undersigned h reby a lies for a permit accord* to the following information:
Y
Location ......... ....... .................... j �................./.. ... . ... ... .......P.6v.d ..................................................
ProposedUse ... ...............`. ................ ....................;...................................................I.........................
..
Zoning District ..................................... ..... ..........................Fire District . ................... ....................................................
Nameof Owner ................ .... ... . ......................................Address ...... ........... ..................................................
r
Nameof Builder .....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address .......................`..`........................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
� f
Exterior �... ................................................Roofing .... . .... :..:...........................................
Floors ......a-vA- . ...................Interior ......
.. ...................................... .... .. . .. . .. . ............................................
_ Heating / ..... ................................Plumbing
Fireplace .... .�. � . .,� Approximate Cost ............... .a... . . .............................
. . . . .. ...
Definitive Plan Approved by Planning Board --------------------------------19--------. Area � '
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
m i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r arding the above
construction.
Name ... .....&.......... ..... ..........................................
r
Small, Alan E.
16613 permit for a story
No ...............
single family dwelling
................. ...............................
Thoreau Drive
Location. .........................................................
Centerville
................................................................................
Owner Alan E. Small
................ ...............................................
i
Type of Construction frame
....................
................................................................................
Plot ............................ Lot ....... .............
September 26 73
Permit Granted 19
Date of Inspection ... .. . ...1........'44�"� {
Date Completed ......................................19
PERMIT REFUSED
................................................................ 19
...............................................................................
................................................................................
...............................................................................
...............................................................................
f�
Approved ................................................ 19
...............................................................................
..................... .........................................................
��t -q
Assess�r's map and lot number ..� .............................. 4,4 7yCe
e)x _--_
//- qy- 73 ----
Sewage Permit number ..... ............S.4'1— T
yofTHETo�° TOWN OF BAR.NSTA.BLE
i BAHBST"LE. i
"6 9 .•� UUILU ' G INSPECTOR
o�'n unr a
APPLICATION FOR PERMIT TO .......... ......................................................
TYPEOF CONSTRUCTION ................ .......................................................................................................
................................................19 2�>
` TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Al
.
Location ............... ... .. ... ...... . ... ...........��Y�....�................................../. .. . ..............:.....:.......�...............
ProposedUse ....../ . . ........ .. ...... ...... ..........................................................................................................................
ZoningDistrict .................................... . .................................Fire District .............................................................................
Name of Owner Address ............ ti........................
Nameof Builder ................... ............. ..........................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ............. ....... ............................................Foundation ..............................................................................
Exterior ........ ........................................Roofing ...:................................................................................
Floorsz"e......................................................Interior .... . ............. ........................................
Heating- ..c..1/Y..G ..._...... ,..... ......Plumbing - v.:..... ...................... ........:........
Fireplace ............... .r.`' ............................................................Approximate Cost .......�?.. ..�:.. ....................... ..
Definitive Plan Approved by Planning Board ________________________________19---------. Area ........ .. .........
Diagram of Lot and Building with Dimensions
Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
/r
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reLding the above
construction.
Name .... ............................. ............................................
Small, Alan
16721 one story
No ................. Permit for ....................................
A* Sb sin
....................gl.....................................e family duelling.....................
Location . ...Thqreau Drive
.................................................
......................Centerville.................................
Owner ..........A19A..Small
Type of Construction ..........frAX0......................
................................................................................
Plot ............................ Lot .......... ...............
Permit Granted ..........November 12......19 73
.................. ....
Date of Inspection
Date Completed 7177 7.. -/.....19
PERMIT REFUSED
................................................................ 19
........... .. . ...................................................
. ...
...............................................................................
...............................................................................
...............................................................................
Approved ................................................. 19
...............................................................................
...........................................................................
Y
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