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HomeMy WebLinkAbout0021 CRYSTAL RIDGE ROAD oFsKKE T�,. Town of Barnstable *Permit# Expiresfrom-issue-date- ® Regulatory Services . Fee r, srnsLE, Thomas F. Geiler,Director '�, A3 , g Buildin Division /rq T � ®% Tom Perry,CBO, Building Commissioner t* ��•� �(� 200 Main Street,Hyannis,MA 02601 p /� www.town.barnstable.ma.us Office: 50858 -4038- Fax: 508-790-6230 4EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address ( L 5' a4 F Ttesidential Value of Work I l Cs Q M1inimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contracto -'s'Name. 1'Y1(10 `A e �`� Telephone.Number L� l9d) Home Improvement Contractor License#(if applicable) OWorkman's Compensation Insurance Check one: - 0 I am a sole proprietor ❑ .I am the.Homeowner E-71ave Worker's Compensation Insurance Insurance Company-Name \►ll iU o Workman's y# !Policy Comp. � s LID-i �; 1 szl 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 �j 0.Re-roof(not stripping. Going over existing layers of rogf),. Re=side 0 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.• f f . SIGNATURE: .� Q:\WPFILESTORMS\building permit forms\EXPRESS.doc i Revise020108 w f �a„vnzoruueca(�L o�✓�Qd6p�"`d 'I - License or registration valid for individul use only before the expiration date. if fou d Standards Board of Building Regulatio return to' ns.and Standai ds nlation Board of Building Reg m 1301 s ali " - HOME IMPAOVEMENT CONTRACTOR One Ashburton Place R . — Registration: 126480 Ma.02108 Exp�rat�on 618/2010 Tr# 267766' Boston, 4 s t Individual I �1 �TYpe - MARK HERBST ifr MARK HERBST Not valid without signature 35PEEP TOAD GENTERVILLE,MA 02632j Administrator Construction Supervisor License. i Lic Ense:. Cs 48546 _ ( EYplration 1/27/2010 Tr# 14362 6 i 1 es ri 00; � f {' MARK•D' HERBST C5 P��-T TOAD R , ENTERVILLE,MA 02632 � II }; Commissioner u �S a � , t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations , ' 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 1� Please Print Legibly Name(Business/Organization/Individual): ti Address: 1�11 City/State/Zip: ���� Phone.#: �� (0 a Are you an employer?Check t e appropriate box: Type of project(required): 1.[1—1 am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-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 8. ❑Demolition working for me in any capacity. employees and have workers 9 ❑Building addition [No workers'-comp.insurance comp. insurance.$ required.] 5. 0 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 subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. pp Insurance Company Name: Policy#or Self-ins.Lic.#: (9 Off ) -6 Expiration Date: l �� Job Site Address: 0) 1 dlq / /C+ �° ' ` City/State/Zip: Attach a copy of the workers'compensation policy dec aration 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 covoraLye verification: I do hereby certify u er th pains an enalt' s o erjury that the information provided above is true and correct Si tore: Date: 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.Plumbing Inspector 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 foregoingg-engag in ajomt-enferpr�s�-in7u—d-ui`g the legal represen-ta'tive�oftdeceased-empi�rf 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 fm 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-contractors)name(s),addresses)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 maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew 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 bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to.dmik 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 Ar�cidents Office of Investigations 600 Washington Street Boston,MA 02111 TO. # 617-727-4900 ext-406 or 1-877-MASSAFE Revised l i-22-06 Fax#61 -727-774 t.. www.mass.gov/dia sTti Town of Barn-stable �« Regulatory Services vi+sass Thomas F.Geiler,Director 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Us ing A B uilde r as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RMS.O WNERPERMISSION Town of Barnstable ��zt�roryti Regulatory Services Thomas F.Geiler,Director MAIRS. . �+ Building Division Tom Perry,Building Commissioner 200 Main--Street,—Hyannis,-MA 02-6-01 R'ww.town.b arnstable.ma.us Office: 508-962-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMMON Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellinps 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 undersigned."homeowner"certifies that.he/she understands the Town of Barnstable,Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hilt 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 ofhiArr 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:formns:homeexerrpt Jan 05 09 10:49p The Business Group w - 508-588-7676 p.1 MARK HERBST 35 BEEP TOAD ROAD CENTERVILLE MA 03632 508-420-6216f774-238-293$ e ' -' www.markherbst.com PROPOSAL SUBMnTED TO WORK PERFORMED AT Jim Larva o ' , a = 21 Oystal Ridge Road SA14tE . WOW r ` 508-420-4560 , . 5tt8-586"6639 or 508-588-7676 We herby propose to furnish the materials and perform the labor n�essary for the completion of erfo . . New Roof; = RWOM 1 Javerbf eXMM&Rfs—s - lnstalt ice&watershield at doe&in vaffay arm t 4. lnsw 1516. felt amr fnsttaf!Cerfah7 Teel shingle ofc�fro e Install 2gm vend f ridoe Replace all Plumbing boots Storm Ram aY shingles 1(y AA 8 debris cleaned JJJW indudes material.labor&dumper QLit h Teed Wood De 30yr aurae resistant $7 f loo OOL 1 " [,-dain Teed Emmi-M 9 e resistart 12.225.OD( 1 6mose check&initial choice above Thar*You All material is guaranteed to be as'specMed. The above work wilt be performed in accordance with the specifications submitted and completed in a substantial workman-like manner for the sum of-as specified above&Nerifred with your irr WS t Dollars{ }with payments as follows: @ slot with balance due In full upon completion b f *Any alterations.from above proposal involving"extra costs will.be added under a separate written,agreement.and become an extra � charge over and above said proposal. ' RESPECTFULTSUBMITTED: 1 E Mark Nernst ACCEPTANCE OF PROPOSAL The above price,spec " 'ons and nditi satisfactory.I herby accept this proposal. You are authorized to do the work and payrents win be asPspeaf� a e. _ - .. J - . SIGNATURE, *This proposal may;lam wits drawn by said company if riot accepted within 30 days. NOTICE NOTICE T . OTO EMPLOYEES EMPLOYEES The- commonwe'alth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Poston, Massachusetts 02111 617-127-4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I(we)have provided for payment to our injured employees under the above mentioned chapter by insuring with: ASSOCIATED INDUSTRIES OF MASSACHUSETTS MUTUAL INSURANCE COMPANY NAME OF INSURANCE COMPANY 54 THIRD AVENUE, P.O. BOX 4070, BURLINGTON, MA 01803-0970, ADDRES"F INSURANCE COMPANY AWC 7016215012008 - 01/10/2008 01/10/2009 POLICY NUMBER EFFECTIVE DATES P O Box 494 Leonard'lh;3urance Agency Inc Osterville MA 02655. (508)428-6921 NAME OF INSURANCE AGENT ADDRESS PHONE Mark Herbst 35-Peep Toad Road ' Centerville, MA 02632.. EMPLOYER ADDRESS 01/04/2008 EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above.named insurer is required.in cases of personal injuries arising out of and in the course of employment to furnish adegUhte and Peasonable hospital and medical services in accordance with the provisions of the Workers CompensAtion Act. A copy oftlieFirst Report of Injury must be given to the injured employee. The employee may select his or her own physician.. The reasonable cost of the services provided by'ihe treating physician will be paid by the insurer,if the trelttine fis necessary and_reasonably connected to the work related injury. In cases requiring hospital attention,employees are hereby notified-tbat the insurer has arranged for such attention at the NEAREST AND BEST MEDICAL FACILITY NAME OFF- 105PITAL ADDRESS TO-BE POSTED BY EMPLOYED MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) TOWN OF. BARNSTABLE Date 19 L � Hyannis, Massachusetts permit i2� Building G��j w gy Owner's AT: Location ?/. ,/W �� A�. Name �. G� c _ Type of Occupancy: New ❑ Renovation ❑ Replacement l GPlans Submitted Yes ❑ No ❑ « ape „ apc p er „s ►- s O J « W H N r ' H 2 S « « ►- aZ « o a o X. ►- « O W < Z = ~ « O Z > W W = Y Z W ►' F S tl M Z J_ f' F W W tl 0 > M. M U J F W < W > Z Id tl Z < eG < < O O W O W F- G S O tl Y 1a ; O tl J t) t > O t► 1- O tUa—aaMT, �4* BASEMENT taT FLOOR %NO FLOOR iR0 FLOOR ITN FLOOR 5TNFLOOR GTMFLOOR TTNFLOOR M FLOOR (Print or Type) Installing Company Name Check one- Certificate orp. Address ❑Partnership ❑Firm/Company Business Telephone 4/a2f<L Name of Licensed Plumber or Gasfitter. I hereby certify that all of the details and Information 1 have submitted(or entered)In above application sue true and accurate to the►e"of my knowhedle and that all plumbin/ work and YuuYallons performed under hrrnil WWad for this application will be In oomplanae with eE perunent FovWome of the M"seehusetu Stec Gm OP&and chapter 142 of the Geeeal LaWIL 1 have Informed the owner or his agent that i .do not have liability Insurance Including completed operations coverage. Signature of Owner/Agent I have a ,current lia ility Insurance policy to Include completed operations coverage. By TYPE LICENSE• P um er Title Gasfitter Signatyre of Licensed City/Town: aster Plumber or Gasfitterourneyman 204// APPROVED (oFFice use ONLY) J Lic►nse iC7 — BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE APPLICATION FOR PERMIT TO DO GASFITTING NAME A TYPE OF BUILDING • A✓ ;1 LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE 7 -1?� 1g G GAS INSPECTOR ��TMFTO TOWN OF BARNSTABLE 33002 PermitNo. ................ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash .6s9. x ��du+ HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Bayside Building Co. Address Lot #10, 21 Crystal Ridge Road Cotuit, Massachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD 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. October 10, 19 89 Building Inspector I �'fy��•'. TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: ! D/-) An Occupancy Permit has been issued for the building authorized by ;Building Permit—#.......... ( /� .......................... .........................................................................»................. ..� . .._ issuedto 1 -' ............................. ................ ... _ ... _. ...._ Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A , m / �C(�'J LI DATA ' BUILDING PERMIT " ' TOWN OF BARNSTABIE, MASSACHUSETTS DATE " 19 PERMIT NO. APPLICANT _ ADDRESS INO.1 (STREET) (CONTR'S LICENSEI - - NUMBER OF PERMIT TO (=) STORY - DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) ZONING' - = DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO'TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR _, VOLUME ' - ESTIMATED COST " ` PERMIT- . (CUBIC/SQUARE FEET) S .. �. OWNER ADDRESS ,. .. e _ .,. ... ... _...-- '-�- - �� BUILDING DEPT. + BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR ® PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING ODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERSC 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 THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH 3, FINAL INSPECTION BEFOREE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. y. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 09 ;gin --------- S, HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT OTHER G- �.,r� ?�. BOARD OF HEALT I "Qti L.�C].,�G '�� ro WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT '++!LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN EBE N CONSTRUCTION. ARRANGED FOR BY TELEPHONE OR WRITTEN PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. -r,....�<x..r �r.�,:L`•. ti' ia. 'a y'tttrr•,.a.+.r. �2: ,'3st ''.5 °' K %"' ' :"nt!'y+°',,9".'.+S,01� ''�°w:W.b'Fy? ,'v '- -'. .V #ri�}x�;,'r!t=t �� '� '�• 'sr,7,{�y'.T jfit-hr�} 'e.,,.r, Assessor's office (1st floor):` _ 1 Assessor's map and lot number . ......wS.........��(2.... c� Cad 6 �Q..oFTNETo`o Board of Health (3rd floor): .. a d Sewage Permit number .....,. ': .-. �.... Z E9SIST&BLE, Engineering Department (3rd floor): -:;i , FX oo 1639. �0 Housenumber .......................................................... ...... �DYP�d' Definitive Plan Approved by Planning Board ------LL_-c �__---_______19 SO— APPLICATIONS PROCESSED 8:30-9:30 A.M. and. 1:00-2:00 P.M. only TOWN. OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. �. .Tl��UC / ......5 �/(yG/ �' '��h�Z—.Y �O W� a ............................................. TYPE OF CONSTRUCTION ..........(00 d 6 f—)e4o1 K .................................................................................. . ............................ Lfh'..L.. r07'..- �.19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......�-U7 /0 CR 11-�r ,e f' P/ a !Q) C'o7-v lT ................................................................................................................................................................................. Proposed Use Zoning District ,,pC Fire District ......C47� /........../�..! ................. ................................................. Name of Owner �� ��5 / '� f3L� 6 co 13L)............................................. .................................................................................... ez 4 Name of Builder ..................``.. .Yj7�� ...............................................Address ............ J7�Y�? ......................................................... Name of Architect /er"�N�'�� Address C670 �:............................�....................................................... Number of Rooms ..................................................................Foundation .................................... ........................... Exterior �a l-� �.... ...5 / ..........Roofing .../ .L�C.......CO Pf ch2 .. .. ............................................. Floors /¢. ...V//V . {", /� .... 6YP.5.//Y/ .........................................................Interior ...... Heating :,. 5.....�..`..r!.. ......lN, .T� Plumbing PVC...."/ CUP110)5 3 /✓ T�f S ......................... ............ ......................................................... Fireplace 4 f�R/G<< ..........Approximate Cost ................. ......................... 'r ��NN C,�Ll�© /a Area ......................................... Diagram of Lot and Building with Dimensions Fee ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ,. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. - Name ................................... ....................... r Construction Supervisor's License . .�� /� BAYSIDE BUILDING CO. A=56-2C00 : -�C 0 No ...33002 permit for ...1 ...Story.....,...... Single Family dwelling..........,, Location ..Lot...#,10, 21 Crystal,,,Ridge Road Cotuit .....................................................................I......... Owner ....Bayside Building..!oq........... Type of Construction ....Frame ............................................................................... Plot ............................ Lot ................................ Permit Granted ...,,,,.,,,June 22, 19 89 Date of Inspection ....................................19 Date Completed ......................................19 FRONT. 'ELEVATtO` �''> -CEILING ASSEMBLY G.W.A,' • _. ' TOT!#I:'r 'R— 31,k•17 TOP SUPF-CC U= U3 WINDOWS. lr�F1QERGLAS3 t `---SHEETROCX ' QNRS: .., BOTTOM SURFACE a• ���<: PLYWOOD INSIDE. SURFACE •- ' :, ?t�.s 0.62 R= 0.6s REAR ELEVATION. N. WALL ASSEMBLY G.W.n:.J `` �•'r. ,<: "�:x JGLES R 2 O.45ETROCK TOTAL R �,� ;a7s':.,:;::-'4rir�•':'+(�: D.t3T — t�/j�• uu r . .. / / .,, e: .a ry,ViI1JDD h';.: Gii.•;��'TLr�r1� 't:G y, 'SIDE LAS'S •t'•:!'• s:� :;''•..tj;�, INSULATION ION h—, SURFACE RESISTANCE ••. •;;u FINISH FL00g r DOORS*.- R= 0.91 s '• -. .•� FLOOR. 1/2" PLYWOOD ASSEMBLY — ; .- �.•�N.. Its susFLooR TOTAL. R - a• is ._: U -• 3i RICKT . SI^E.,ELEVT A LC•�=: ' R= .6Z + Ott, Dows ,� ..•,r..` - ' ram" FIBERGLASS �' tr✓+ °. IJJSULATION tic. R Ag FOUIr`DAT{4JJ ..WALL WALL ASSEMBLY -�co,s: i•;�:�'�` . +, SUPF4CE RESISTAt.,CE h1A •'^f • S R a 0.61 Y USED tv jg .'. INSTE 'OF FLOOR INSULATION ) ..a>,• •' .r.. + ,••�. TOTAL' R LEST tttgl E SURF — U — G.ti•J.r'.. •I '• R o. • - R a p 1" YROr u r•'''''•�f :• .R° DOORS: - _S ERM;t4ENTLY 1N3TA 'INSULA T 10,1q • ' S=CT10N l{iJ1701'1STO,! LLEO. :�STOP.�.1 T�• EF USEO _GCATIO.N. r ; OCR ,1 R t •--._�.._ ._ ' �.t ,1; Cq�,STA f G C`124.15• � R�'4� �• � N 0 a O O COIVC 1 LOT 11 LOT 10 44, 938 +/- SF ~nmi (1.03 +/- AC.) LOT 9 i 183.94' # 86-55n_C-10 CERTIFIED PLOT PLAN LOCATION : CRYSTAL RIDGE RD. COTUIT SCALE.. 1 ° 50 ' DATE : 06119189 REFERENCE : LOT 10 LCP 23747-B PREPARED FOR: I HEREBY CERTIFY THAT THE STRUCTURE BAYSIDE BUILDING CO. SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. OF �qS JOHN ys down cape engineering inc. McELWEE CIVIL ENGINEERS � No z LAND SURVEYORS tJa /9./9B9 RTE 6A - YARMOUTH, MASS. DATE 'gyp p VEYOR Assessor's office Ost floor): CF tH E TO Assessor's map:and lot number T Board of Health Qrd floor): JNST_ALLED IN C MPLIANCE e�Q Sewage Permit number - -. `� �.... .. WM TME S Z BAH. ST&BLE. i . rasa Engineering Department (3rd floor): ENVIRONM � House number`. ��S �'CODE ANC :.... ................ .Tp Op 2639. \0 Definitive Plan Approved by Planning Board __ ___1 _= --_:.________ftWULA111ONS APPLICATIONS PROCESSED, 8:30y-9:30 A.W. and 1:00-2:00 P,M."only r JOWN- QF� BARNSTABLE BVILDING, ' INSPECTOR , w . i 5 TR U� ,v Y ...5 I.A 0 r9-� �y �r� APPLICATION .FOR PERMIT TO....CC1...... .. ....... .....t......... ..................... ........ ..... ............... .......... TYPEOF CONSTRUCTION ....:................. 4�......................................................................................................... 3, ...........1.:.......L?% """ a. .t9. TO THE INSPECTOR OF BUILDINGS:' The undersigned hereby applies for a.permit according- to the following information: Location ,...'.' D7......14......CA Y.STAL )Q/17ar Alb COTJ /T ............................................................................................................... 'i Proposed Use ... �C%G ................... .... .............. ,.Zoning District. ........... ..........:.:........................:...........Fire District .:. ....... ....................................... • 15 /�� D 8DX 95- CAR✓�� Nameof Owner ... Address ................................... ............................................... Name of Builder .................. m............................:.Address 5�1 A'19� 4 ...... . ,Name of Architect ...y?........�r9�✓SD ,v .................. Address ......CCU f* ......................... ............ Number of Rooms doevleje76 ....eOAJGle,0;-� ................ .................Foundation ......... Exie for L ....I°J,C.. ..a... ... .5/t/:/N(oL�................Roofing, "...p: .. ..CDPP��............ Floors N!..9..V� yL...C /e �-. .. ?,lL�........:InteriorI il/. :...4... Y�✓-(J/!� rieating (.� 5..... �:}�..... '.!.. �.......................Plumbing .:PVC�.....Y..GU/ yg91Q J 16ft7/ .—........ ................................ Fireplace NCPE14..,8L•DC`C.... .......... ....Approximate Cost ....... (�.U� .... Area. ..... 6!.©:..... ` ....:. V ' Diagram of Lot and Building with Dimensions Fee ..... ®� • OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of-Barnstable regarding the above construction. Name ............................. ........... .......:..' 6.... ...... /p .,5S Construction Supervisor's License ....U. 0 , •� .BAYSIDE BUILDING CO. z y =' ,"No 3300.2.. Permit for ..11...Stor Single Family Dwelling :..... ... .... Location Lot #10, 21 Crystal Ridge Road _ ... ...... ................... • `Cotuit ' - ........ _ is , n Ba side Building Co Owner ......... ....................................................... ._ Type* ofi�Construction . Frame f ' F. yp .. ............. .... t Plo .:.,n...:....'.t:'........:.. Lot - ..� � � 1, ....�........................... J Permit Gran led'—.,June: 22. !. .............19 89 - t Date pj l6s, ction ....................................19 Date mlet�d . . `.GC!.. ..OL! ........19 043 0 "1 �7 i - - Ufl I LE-JI Ulu DIG1�_ L.UC I t,LE FZ9n5 GOE: AP2 A E 0U I t1>I K Gs Go 1��' 89-S GENTZ CUI rye e C,uly owl CW14 cwl - - IEM II'1'��III��IIII11I Ml 11 says ioE r>u«D(tjcv C= SNc .`r. 2EAcz CLEVATIQh1 -C E.N'T E 2lJ l y_y_E 11^4115.6 114. /A - (` Q �- AFRRCVEO BY: REV 9EC T , y cF :DIC_k. � C-uG y LLE:'�RASCOE * OR�WINO NUMBER �,E�ev4TIC"> 89 5 SHEET �OF 1 _ - _ ........... .. __V-._... ......._.. ..,.._... ._ 1 c 5 I I III Mill 1111 IT 1 I C.E.NS"E'.fLvlcLe:. J BOALE APPROVED BY ORAWN BY: 1 -- _rl DATE: S REVI9EO 1 1 _ xe_. .._...,.' .. .., _ _�_�_.-...._-�... _,-..-_-•-....-...,...-�,...._...,,-,..,.._.-,�...,...,... ..".. .,. [jAW%O NUMB RtrE%/^TLo9-5' O-F-9 R v _]YGO p-�CE!:LK_.�..IZ 0..11. _m'.. O WN 'C.4TIB 5'•o9/B. � - �'.pD/B q.pD/B.. 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