HomeMy WebLinkAbout0069 WARWICK WAY 0 � l
3
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U TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel TAREApplicatio
�;)0/540_2�n
Health Division `' 'r= "F' ti Date Issued
Conservation Division Application Fee 40.0DPlanning Dept. -- Permit Fee
Date Definitive Plan Approved by Planning Board -
Historic - OKH _ Preservation/ Hyannis
P pj ct Street Address
Village L� , /�'�' o
Owner M/�ie�Gt,i t' sKo,2 /h klo6 Address S J+ a-
elephone 796 f
Permit Request �d'^S bye�'rx,��Dc/ a �cc� �� 30 - Rqefc df
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation_'974;b� Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing —new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
4
I
! Name - Telephone Number ✓�O�- �Z�•7�l�i�
Address CO �'Q'2'"' c `� License#
d.� '�—
� Home Improvement Contractor#
Email oGeoac &CO*W44T, Aef Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIG DATE `� ���
i FOR OFFICIAL USE ONLY
APPLICATION#
,A
DATE ISSUED
4
MAP%PARCEL NO.
ADDRESS VILLAGE
OWNER
•
'. DATE OF INSPECTION:
FOUNDATION
0
FRAME iol $� �I3It�
INSULATION
f
FIREPLACE
€ ELECTRICAL: ROUGH FINAL
t
I.
PLUMBING: ROUGH FINAL
{ GAS: ROUGH FINAL
FINAL BUILDING
'r DATE CLOSED OUT
AS PLAN NO.
�'� _
Town of Barnstable
pF[FIE?r,
Regulatory Services
Richard V. Scali,Director la�L
• Building Division BARNSTAB11
•AxxsrAsi�, # -
9 MASS. - n s h us '
163q. .• Thomas Perry, CBO 1639-201J
ArFD"1°r� Building Commissioner SDI
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
t
May 22,.2015
Horace Thayer
69 Warwick Way
Centerville, Ma. 02632
RE: 69 Warwick Way, Centerville, Map: 171 Parcel: 099
Dear Property Owner,
This letter is in response to application number 201502213 submitted to add a deck at the
above referenced address. Unfortunately,the application can not be approved at this time
because of the following:
1) The construction documents submitted'do not show compliance with 780 CMR.
Specifically,the support beams are under sized based on'the design shown, the footing
depth is not below grade the minimum required for frost protection and no lateral
restraint as required is shown.
Please do not hesitate to contact this office with any questions.
Respectfully,
y L. Lauzon .
Local Inspector
jeffrey.lauzon-@town.bdmstable.ma.us
(508) 862-4034
-J
i.,�l Chf-�
Martha&Horace Thayer
69 Warwick Way
Centerville
Addendum� ��a
1. Eight footings will be dug to depth of(minimum)r42",concrete poured into 8"sonja tube.
2. Posts will be 4x4 pressure treated and set on top of 4x4 post 4ac4or on top.of each footing.
3. There will be four carrier beams,each 4x8x12'(Actual length will be slightly less than 12'.),
each set atop two posts. .
4. The perimiter frame and joist system will consist of 2x8x10'pressure treated. All joists will be
set 16"OC and secured in place with 8"joist hangers at each end.
5. Floor boards,stair treads,and chair rail seats and backs will be 5/4x6xl2'ChoiceDek Beach
House Gray(#229060),screw fastened.
6. Stair stringers made from Pressure Treated 2x12. Chair rail frame to be constructed from 2x12
PT.
7. The deck,as well as the back l6`x12'room,will be skirted with white vinyl lattice;held in place
with 2x4 PT frame and screw fastened.
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the uonmuinweaan gmassacnuseus
. Department of Industrial Accidents
Office of Investigations
` 600 Washington Street
Boston,MA 02111
www.mvss.gov/dia
Workers' Compensa'�fi a Insurance Affidavit:Buffders/Contractors/Elecfricians/Plumbers
Applicant Information Please Print Legibly
Name(Business!orgmizafioaamdmduaI): a —
Address:
- City/Sta&Zip: v//�� 0 � -ahone
Are you an employer?Check the approp ' to boy Type of project(required):
1.El am a employer with 4. am a general contractor and I
employees(fall and/or Bart tie) -confrac
m .
have hired the sobtors 6 ❑New cons(raction
2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling
ship and have no employees These ors have 8. Demolition
working for me in any capacity. employees and have workers' 9. ❑Bmildmg addition
[No workers'comp.fimuance comp.insm-ance 1
required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
officers have exercised their
3:0 I am.a homeowner doing all work - 11.❑Plumbing repairs or additions
myself[No workers' comp. right of exemption per MGL 12.❑Roof repairs
L msurance required.]t c.152,§1(4),and we have no
employees.[No workers' 13.El other �-
--comp.iusoranCe required..
*.4rryapplicant that checks box#1 mast also fill out the section below showing their workers'compensation policy urihmzation.
t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors mast submit a new affidavit indicating such
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors andstate whether or not these entities have
employees. If the sub-contactors have employers,they must providc their workms'comp.policy number.
I am an employer that is pr vuffng workers'compensation insurance for my employee& Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.# Expiration Date:
Job Site Address: City/State,T . -
Attach a copy of time 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 tmp 0250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DU for insurance coverage vetification.
Ido,'her certi under p and penalties of perjury that the information provided above is true and correct
S. ✓ Date: 3 z
'Phone#
Official use only. Do not write in this areas to be completed by city or town ofj ICW
City or Town: PermitlLicense#
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#:
Information and Instructions- •
Massachusetts General Laws chapter 152 requires all employers to provide wogs'compensation for their employees.
Pursuant to tUis 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 m'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 prodaced.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 ofpublic 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-contra.ctor(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 as 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 tine 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-insuranrz 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 per iWlicense number which will be used as a reference number. In addition, an applicant
that must submif 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
(Le.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit
The Office of Investigations would like to drank 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.
Tha Cominoni�ealth of Massachusetts
Department of Industrial Aocidents
Office of lavestiptions
600 washagton street.
Boston=MA 02111
W� #f 17-727-4900 ext 406 or 1-877-NMI AFE
Revised 4-24-07. Fax#617-727-7749.
wwwmmgGWdia
. Aoyknj,MA t2M
• - _ wEc�ts.Fgrr�r�� .
'��-�rs' ��p �F�isrrran� �avi-��.�dersf�:abrf�ch�rs/�f�cfrFci�sf�r�ers
t re sit empIn er?t�heckf rs r rcp,-4�tr b� Phonz;�-
Type of• mt
_ .h I anta geamal czmfzatix and I- 0
eraglayees{full arEdforgar #ime3* hn`un�fhe subpar €ois I4Teur
2_❑ I am a sole prvpEiatr}r orparfner- listed oa fire #arhed s 7- ❑Remodeling
ship and have na employees T sub aoufirscfais have S_ E]Demafctioa
evodng for is any �m�and have WDAMn 9_ addifico
• �j�aroiices' pomp.f•n¢irr�r_g • ,�Btvlt�tn-g
5. 0 We are a corpora omm d its .10_E]3�lecEml repass ar addifians
❑ I am a homes dour aII work affirms have=cis_•d their 1 LO Piumbmg repairs or ad&fs aaz
=YsTf INo woa±='romp- :dg�of e=mp5osr Per MM _ LIC RDof repairs
i c-157,§1(4} aadwe Lava aD -
n cixs�nre -I-�
' : emglapees.[Nav�or�rs' .
' _ - COID�I_msmanrp re{�IItrLYL� -
�"Bnp�'p5�fat chedcsbas�l amstaLso ffi antt�se�oabelv�shn��.ieawa3s�s'mmneasatioupaT�-ia�r�[itrzc
�SUmPbWIIESSYhTi�Y,ccY:3ris�d�:;.n�*�`*�..��y x:�=r.�mg sIIr.��te_�±*�a�hi�cou�xa�snmstsah�Rsaerc,a�dseit m"'��
a$gat IElk this box mast sth{c3se3 m zddifiansI sheet shag the n�of 63E Sys m3statp ahether ocrmtfiv3se des fi v�
mmg . Ifthe sm-�cshim emnlc}-ee;theyapt pmKi&%dr-—kea'camp.pay
Iwn azr awrpInper rhrrtispra AW morlkers-c-0MPM rdiair insrtrrrgcs for=v emFLayges Seto_w is fhrpQRU and jo6.aits
Ltf 9FtaFilZ�L a4.
F41CRfTPT C0MPMYNzxd
NFscg 4 Cr Setff-ius_lic ExgisafionDate.
Jab mite e� CdyfStatelZg_
Attach a:copy of the vmrkere cDinpm=tivn pnI'itT dec�rsfiou page(sat fh po member a ad afion date').
Failure to se=m-con_rage ss repire dnztdef Secfim SA of NiGL.c 152 cm lead to the imposition Df ci miaal pmzlfits of.&
fire trp to L50QOO.andlor an�yeariurpuso ,as�eII as civ11 gesallies in the.form'of it STOP WORK ORDER-and a fine
of up-to S7250-00 a dwy agasust the violator_ Be advised that a rxW of ffris statement maybe ceded to the Office of
IfrresEtgs(ions of the DIA Exit fn�r�m_re caverage verifies.. . � -
I do.h9r i-by 5F thlrp mts airrtg ffratfhe_iaformc#ian prMidgd r hat zs hua r!•caF��ct
t . .
1
Qjykud ims=L L Do-nut wr&r in Plus areas to ha cavTleted by ciiJ:ar t nm v icinL
or Towm P ,;cease
Ajatho-riiy{mrle oue}: • - .
L Som:•d of HeaWr 2.Bulling Degarh cot I CiWFa-gn a=k 4.EIec:rical Easpwivr S.Pku churn actor
-6:CWhrr .
Cota�et person: Y'hn•�#: .. . -
6
lassarmso s General Laws chaptm-152 requires aII employ=in provide workers'compeansatioa for their Iayees
Prue to this stat at%an enp£ayee is defined as�__evtjy person in the seavice of anothea undrr any contract ofhire,
Pis or ncoplied, drat orWritt=" .
An anp&yj�z is defined as``jai individual,partneashuo,asmcaiion,corporation or other legal eroLity,or any two or more
in a oil and' the l mrtatives of a deceased employer,-or the
ofihe foregoing engaged J e�erprise, m-clndmg egal repi�s
receiver or#mstee of an indrvi.dnal,parinemhip,association or other legal euiiiy,employing employees. However the
owner of a dwelling house having nDt more than flue aparfineds and who resides therein,ar the occupant of the •
onse of another who Ia mr=to do maintrmanm,construction.or repair work on such dwclliag house
dwelling h � ys p
or on the grounds or building appmt want thereto shall not because of such employment be deemed to be-an.employer."
25C also states thA'eve state or Iocal licensing agency shall withhold the issaance.er
1�iGI,r�apter 152, § (� 'every tFsmg
renewal of a License or permittn operate a business or to comtruct buildings in the commonr-Qralth for 2.ny
applicant who has not reduced acceptable evidence of cohi Reece with the ins�rr�nce.coverage required.''
pp P P P ._
Additionally,MGM chapter 152, §25C(7)stairs'Neither the commonwealth nor any of its political subdivisions shalt
contract for the erfon ante of nblic workuatil arse table evidence of compliance with the�ncnr�nce
enter into any p p _ P
requirements of this chapter have been presented to the contracting authority.'
_ APPlicants
Please fill out the woikeis' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary, supply a b�ntractor(s)name(s), addresses)and phone numbers)along with their ceri:ncatt(s) of
insurance. Limited Liabilay Companies(LLC)or Limited Liability Partnerships J=)with no employees other Than the
members or partners,are notroquired to cant'wormers' compensation iL once. If as LLC or LLP does have.
e affida i a be submitted'mthe Department of Industrial
. e Io ees•a policy is re.-gii>te�t B advised that this vit y p
mP Y � P
t o ,d
e da sh u_
Accidents for confirmation ofTn�nce coverage. Also be sure to sign and date the affidavit Th affi M
be mtom.ed to tine 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'
compemsation 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 fliat file affidavit.is completz.and printed leglily. The Department has provided a space at the bot, m.
of the affidavit for you to fill out is th.e:event the Office of Investigations has to contact you regarding fhe applican't
Please be sure:to hill m the pmmitllicense number which will be used'as a reference number. In addition-an applicant
that must submit multiple peffiitllicense applications in any given year,need only sobmif one affidavit indicating current
on ifn=ms and under"Job Site Addrts:s"the ' licaat should writz'0 locations in (city or
policy mfnrsaati ( ary) aPP .
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. Anew affidavit must be frilled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial-emt.re
era etx said eason is NOT to complete this affidaYit
I 'ce e o permit to brim leaves(i_e,a dog h ns r p •) p requn�d P
The Office of Investigations would like to thank you m advance for your moperafion and should you have any questions,
please do not hesitate to give ris a call_
The Department's addrr ss,telephone and faxnunber.
at CDm-mDav? azj h of Massachuszb
D mrt o-f I -Eal Aocidc�ats
of kv=zLati m"�
Bagtm,MA 02111
Tel..-t4 61`-727-4. Q�±4-66 ar I 477-MAJCSAFE . .
R=4 617-727-774
Revised 4-24-D7
� 90VIC is
f
Town of Barnstable
Regulatory Services
TKE rotyy Richard V.Scali,Director
Building Division
t Tom Perry,Building Commissioner
1 ��� 200 Main Street, Hyannis,MA 02601
QED a www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
f` HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: ?i 2
JOB LOCATION: G� f.JA-r w c C(C W ( �VfAAF
n bar [�� street village
village
HOMEOWNER": ° A4zV SAF- Z g• 9/6 �—
name home phone# work phone#
CURRENT RENT MAILING ADDRESS: C�
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)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations. _
The¢un ersi ed"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
ce ores d e ents and he will comply with said procedures and requirements.
y
Sign re of Homeowner
Approval of Building Official
k,
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
action 127.0 Construction Control
V _ - I 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 109.1.1-Licensing of construction Supervisors);provided that if the homeowner
engages a persou(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 of awareness 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 a 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:IWPFII.ES\FORMS\building permit fomms\EXFRESS.doc
Revised 061313 '
,r 'WE Town of Barnstable
Regulatory Services
r I Richard V.Scali,Director
1639. � Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
i ,
Property Owner Must
Complete and Sign This Section
If Using A Builder
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)
Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
Q:FORM S:O WNERPERMISSIONPOOLS
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Town of Barnstable
Regulatory Services
BARNSTABLE.
Y MASS. $. -
Ec Nu,+A?0 Building Division
200 Main Street,Hyannis,MA 02601
Office: 508-862-4038 - j
Fax: 508-790-6230 i
I
Inspection Correction Notice
Type of Inspection
Location to�7 (�1 A Permit Number
Owner Builder
One notice to remain on job site, one notice on file in Building Department.
The following items need correcting:
1 r
r
r
Please call: 508-862-4038 for re-inspection.
f+ �
Inspected by I.ee j. I I.A, "-{
Date (
Asses�gr's map and lot number / ,1• � '"� �..,.�
K..�w.arnJyti pi THE
Sewage Permit number ...... � ..... f.�"l!?t.. 't!•
Z BABBSTABLE, i
House number � ..&.`..................... ................................... 9 rasa
�p 2639.
D MAY a�9
TOWN OF BARNSTABLE
BUILDING INSP CTOR
. /� �,
APPLICATION FOR PERMIT TO 6ASJ&�...........�... ...... ....................y...... .. /� .................
TYPE OF CONSTRUCTION ........ dQ. 1... ..................................................................................
...... .. ..... .�
. .7................19.
TO THE INSPECTOR OF BUILDINGS:.
The undersigned hereby applies for a permit according to the fol Fowi g information:
Location ...... ....... p / ...............................................................
ProposedUse ....... 1'n .1 ...... . !.1...( /?i ............. .......................... I..... ..............
Ile
Zoning District .. ., d (/C.P, Gc ;,�. Fire District, . ,��•+.,1 .14.11'f... ...................
.Pl. Address_S_lq.. J�c I Imeo ��U'PJl•`1/S Al
Name of Owner .. d :G.�..C �.�.:•�. ... ....... ... .
S
Nameof Builder ....... ..w. . ...... ....8 ................Address ...................................................................................
Nameof Architect ..................................................................Address ........................ ....... ....... ...............{
Number of Rooms ...... � ........ ...........:...... ........Foundation ... �` ea. Gee �
..Exterior ./...�jC".G"2... / �..C.�.4�r! f7/fl '...'.Roofing !.... `„ D UL. ..... .� Q.!.�f... ............
. ..... . .. .. .
/" %"
i ® '
` T � 'Oo Interior
........
Floors .. .. .................... .. .. .. . ........................4........... ...................
v k
Heating ............................Plumbing ............. ..
tc n 4 �,..
Fireplace NP t /t l't ....................Approximate Cost .................. UO �..................................._
Definitive Plan Approved by Planning Board ________________________________19________. Area ;:.......................................
Diagram of Lot and Building .with Dimensions Fee .............................................
k
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1
t,1
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Towh of Barnsta le regarding the above
construction.
Name ..... .. ..........................................................
Construction S ervisor's License l '�l v
5
f COOLIDGE HOMES A=171-99
25367 One Story
No ................. Permit for ....................................
4 Single Family Dwelling
...............................................................................
Location Lot 24,. 69 Warwick WaX
.Centerville
Owner .....Cool. ...idge. ...Home. s................................ .. .. ..... ....... ....
f
Type of Construction .....Frame...........................
.......... f
................................................................................
Plot ............................ Lot ................................
Permit Granted ......August 1, 19 83
Date of Inspection ....................................19
Date Completed ......................................19
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4
p and lot numberHE
../•'/•..�!�. T......
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Sewage Permit number ......O:.cJ: 1..� :.... /11. 'v. �p „ . :
-14
es _t'33,HB9TADLE, i
Hdusenumber ...... ............................'............................ ! i; _ ._ so 11 s
ENVIRONNIEr'-d-l-AL 0 MA-4 A,.
TOWN, OF BARNS�' AB; U ,
BUILDING ANSPJECTOR �3
APPLICATION FOR PERMIT TO ... TF..:!.. ..... - ...... .... ... . .......:..........
TYPE OF CONSTRUCTION .....:.. :Wt !'r ......(....f ...................................................................................
.......... ..)J..............19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the Z,4w
i7g information:
�d �I/ ff j r c�� W A l�,Q(/����..............................................................
Location ................ ...( ...1•••........... .( .!!Y..........................y...................F... .
Proposed Use �n !� C�!F2!/.. ........ /.k ... ...............................
Ile
Zoning District Fire District .. ...
Name of Owner .. do.�l.f y.� ...� f.�.....................Address)/K ��L J w�'C...... .../............ �
W f,f dti .............Address Name of Builder ..................... ............................ .......................................... ...................l
.....................
Nameof Architect , c \ ` 1 ` L...........:............................:.........................Address ....................................... .................:......:....... ..........
Number of Rooms ....: .L�........ .........................................Foundation `... .........
Exierior � 1..�!UG��p�.f'. ir: '� / �ft.... .f....Roofing ....... . 1... .. �!.5..7`..... "..... Pf....................
i( r
Floors
Y4 G Interior
Heating ........... ...... ........................................:..............Plumbing ......�..}� .
Fireplace 1rm F� I l ol!tCc ... /......................Approximate Cos11t ........... (w.-0.........................
CC.....
sod
11
Definitive Plan Approved by Planning Board ____________________-----------19________. Area ......................1... ..............
Diagram of Lot and Building with. Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH Bo,),o
F
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree,'to conform to all the Rules and Regulations of the To n of Barnsta le regarding the above
construction.
Name .... (/ . ..........................................................
Construction pervisor's License 04 :................
,. , -XOOLIDGE HOMES .
• f
253647 Pe mit for •••One Story
Single Family Dwelling
Lot 24, 69 Warwidk Way
Location ............................................ ................ - y
Centerville..................... .
w Coolidge Homes
Owner .. ......................... ....
...ys
Type of Construction .Frame.........................................
....... .. .. ......
Plot ....................... Lot .......................... -
Permit, Granled ...Aug1AP.t •.1.r. ..... -19 83 `
` Date of'-Inspection
Date Completed ..��. ......... ...:19
i'
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TOWN OF BARNSTABLE Permit No. -__25367
Building Inspector cash
----------�
YL
- =-- -
.
4 �--- OCCUPANCY PERMIT Bond --------------'Ago
Issued to Coolidge Homes Address ,R
Lot 24, 69 Warwick Way, Centerville---.
Wiring Inspector `�i� Inspection date/� "'q'iF 4
Plumbing Inspector + Inspection date
Gas Inspector A Inspection date
X Engineering Department Inspection date
J
Board of Health W -+L1'7 G/ Inspection date
THIS PERMIT WILL NOT, BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE. '
19.....;_._ :................................................................. ...................... ........._....
...;_�
r Building Inspector
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