HomeMy WebLinkAbout0023 WOODVALE LANE 09 9
a
�.; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
b
Map Parcel � Pp
A lication #
Health Division Date IssuedIV
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis.
Project Street Address W o er__ 4(16
Village Ce n'i"r,N't' he
Owner I Ff M W kelan Address SIM E
Telephone 5 0� 8 3 0:�9,
Permit Request I I 105C dL � " '6 t
a.t �� 1 'I' � d' I` 6 I MTh A I�l
c N 0
Square feet: 1 st floor: existing proposed 2nd floor: existing .proposed` To nev �
Zoning District Flood Plain Groundwater Overlay a 0 c
Project Valuation 4 4 0 D Construction Type �
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting do-Gum tion.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
LD
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)
C
Name c� c• (elephone Number
Address T i�'k`f b /�°, License #T I N A �3�
Home Improvement Contractor# 1 38
Email Worker's Compensation #WLVC3D8 503
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO (QL1,h
SIGNATURE DATE l
FOR OFFICIAL USE ONLY
t �
APPLICATION#
-DATE ISSUED
t
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
x
.k FRAME
,ry
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
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ass save varUMACT os
IM
corrrrrtaCT
i PERMIT AUTHORIZATION .FORM -
P
f
. �
I, Pe1�y
owner of.the property located at,
Aj
(Qwner's.Nam printed)
vo
(Property`Street Address) (Cityfrown)
i
hereby authorizeahe Mass Save Home Energy Services Prog"ram assigned Participating
Contractor listed below to act on>my=behalf and obtain a building permit to perform-insulation
and/or weatheeization'work_on my property;
Owner's Sig.nature- -
Date;..
FOR CSG OFFICE USE OIVt Y
Conservation Services Group has assigned'the following Mass Save Home.Energy.Services.
Participating Contractorto.the.'above referenced project:
Participatin :Contractor 'bate
Rev.121-32011
c,c
Cape Save Inc._
7-D Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fax: 508-398-0399
12/8/14
Thomas Perry CBO � �
Town of Barnstable
Building Division C>
200 Main St. Z:.
Hyannis,MA 02601
RE: Insulation Permits
Dear Mr. Perry
This affidavit is to certify that all work completed for 23 Woodvale Lane (permit#B 20143054)
has been inspected by a third party Certified Building Performance Institute(BPI)Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
r
William McCluskey
r
- own of Barnstable *Permit# /!d&6
� �—�—
Expires 6 months j�.issue date
PERMIT Regulatory Services Fee
2008 Thomas F.Geiler,Director
BuildingDivision
RNST
TO ABLE Tom Perry,CBO, Building Commissioner V
200 Main Street, Hyannis,MA 02601
www.town.barnstabl e.m a:us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number Igo
Property Address
Residential Value of Work -"00.po Minimum
\ fee of$25.00 for work under$6000.00
Owner's Name&Address�YIaCZ`O ��`1C1\
Contractor's Namep -zz, Telephone Number�JC" Z LO' �cJ�
Home Improvement Contractor License#(if applicable) in
NWorkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
�] I have Worker's Compensation Insurance
Insurance Company Name n Q)YA
Workman's Comp. Policy# \yJC lo�llln`�
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
ARe-side
❑ Replacement Windows/doors/sliders.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.
A copy of the Home Improvement Contractors License is required.
SIGNATURE:
Q:Forms:buildingpermits/express
Revised 123107
Page 7 of 7
CAPIZZI HOME IMPROVEMENT INC.
SPECIFICATIONS AND ESTIMATES
STATE OF MASSACHUSETTS
LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT
I,
OWN THE PROPERTY LOCATED AT
IN , MASSACHUSETTS.
I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR
A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING
CODE.
I GIVE MY PERMISSION TO LESSEE
TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS
STATE BUILDING CODE.
SIGNATURE OF OWNER: ' x2a
OWNER'S ADDRESS:
OWNER'S TELEPHONE:
LESSEE'S SIGNATURE:
LESSEE'S ADDRESS:
LESSEE'S TELEPHONE:
APLLICANT'S SIGNATURE:
APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635
APPLICANT'S TELEPHONE: 508-428-9518
RESPONSIBLE OFFICER:
RESPONSIBLE OFFICER ADDRESS:
RESPONSIBLE OFFICER TELEPHONE:
9 the
OItVETo Town of Barnstable *Permit# ! ®9` ,
�P� p Expires 6 moetl+s jrota issue date
BAMSrABLE. : Regulatory Services Fee G�6, ®D
v MASS. �+
c� i6.39. Thomas F.Geiler,Director
Ajfp�,tA
Building Division ®pz
Tom Perry, Building Comnussioner Ss
2200 Maui Sheet, Hyamus,MA 02601 SE'rj I T
Office: 508-862-4038 TON 2004
Fax: 508-790-6230 OFB'4R
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY NST,ge
Not Valid without Red X-Press Imprint �E
Map/parcel Number V ) �Y✓
Pro,e" Address (/� V�Q Q U Vl, 1 �c.•
Residential I Value of Work ' C
Owner's Name&Address
• �� ����y�� �� P-o . ��� C.���eu�i tie � ��t��
Contractor's Name t / e
�IY�J CUL!/ -I/ 1 JI � Telphone Numbe �UU'
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance-
Check one: ;a
❑ I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name %�,(ir\rAA
A (�
Workman's Comp.Policy# U
Permit Request(check box)
❑ Re-roof(stripping old shingles) '
0 Re-roof(not stripping. Going over existing layers of roof)
❑' Re-side
❑ Replacement Windows. U-Value (in maximum.44) (�
[Other(specify) fnOA I 6MD�K1/
*Where required: Issuance of this permit does not exempt compliance with other to depar(menf regulations,i.e.Historic,Conservation,etc.
Signature
06/
Q:Forms:expmtrg
Revised 121901
CAPIZZI HOME IMPROVEMENT INC .
SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 2?279
STATE OF MASSACHUSETTS
LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT
I, V 4
CIA I /
OWN HE PROPERTY LOCATED AT j /J
z e2_ boa ,
IN MASSACHUSETTS.
I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT INC
TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,
THE MASSACHUSETTS STATE BUILDING CODE.
I GIVE MY PERMISSION TO
LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE
MASSACHUSETTS STATE BUILDING CODE.
SIGNATURE OF OWNER:
OWNER'S ADDRESS:
OWNER'S TELEPHONE:
LESSEE'S SIGNATURE:
LESSEE'S ADDRESS:
LESSEE'S TELEPHONE:
r
APLLICANT'S SIGNATURE:
APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , COTUIT, MA 02635
APPLICANT'S TELEPHONE: 5081428-9518
RESPONSIBLE OFFICER:
RESPONSIBLE OFFICER ADDRESS:
RESPONSIBLE OFFICER TELEPHONE:
ACCEPTED BY DATE
THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL #
Town of Barnstable *Permit# 7
p Expires 6 months from issue date
V
,,,x„�,IIs, ; Regulatory Services Fee U
Thomas F.Geiler,Director
Building Division ®®
Tom Perry, Building Commissioner X-PRESS PERMIT
200 Main Street, Hyamiis,MA 02601 A U G 1 9 2004
Office: 508-862-4038
Fax: 508-790-6230EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
NotN OF B'4RNSTiq���
/ Not Valid without Red X-Press Imprint
vlap/parcel Number /��
?rope Address
esidential Value of Work Minimum fee of$25.00 for work under$6000.00
er's Name&Address Me'. k i4 l �
Contractor's Name �r C� Telephone Number
Home Improvement Contractor License#(if applicable) 3�
Construction Supervisor's License#(if applicable) .
orkman's Compensation Insurance
Check one: ,
❑ I am a sole proprietor
❑ am the Homeowner
have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certtficate6 must be on
Permit Request(check box)
EYAe.roof(stripping old shingles) All construction debris will be taken to
SRe-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum•44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Home Improvement Contractors License is required.
Signature
O:Forrns:exvmtrg
David Sawyer Construction =
318 Meiggs Backus Road
Sandwich, MA 02563
(508)-539-1992 Z
Proposal Submitted To: - Work Place: Date I
�-
2433
Strip,Remove, and Haul Away all old roof shingles.
SUPPLY&INSTALL: / ,
3o arrk, 5
Mu, ,
G
Cam- tny
3
CLEAN&REMOVE ALL DEBRIS FROM WORK PLACE AFTER
JOB IS COMPLETED. ALL DEBRIS TO LANDFILL.
TOTAL INVESTMENT FOR MATERIAL&LABOR$ qr3S •O(� --
All material is guaranteed to be as specified,and the above work to be performed in
accordance with the specifications submitted for the above work and completed in a
substantial workmanlike manner. Payments to be made as follows. �pl
Any alteration or deviation-from the work specifications involving extra costs will be executed only upon
written drder,and will become an extra charge over and above the estimate. All agreements contingent
upon strikes,accidents or delays beyond our control
10YEAR LABOR WARRANTY/PLUS MANUFACTURES SHINGLE WARRANTY.
NOTE-This proposal may be withdrawn by us if not accepted with 31kdays.
Respectfully submitted
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby
accepted::You are authorized to do the work as specified.Payments will be made as
outlined above.
17
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