Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0220 LEWIS POND ROAD
��� �=w,s �n� �� ---- _ _ _. __ _�� all Town of Barnstable *Permit# Regulatory Services Ce 6 months from issue date • W NSTAni.E. y ranee. Richard V.Scali,Director 039. a _ t Building Division =� �� Paul Roma,Building Commissioner O.� 200 Main Street,IIyannis,MA 02601 0A2 Q www.town.barnstable.ma.us 1e'eeR 5 8L38 Fax: 508-790-6230 TOWN OF 8AHNPERMIT APPLICATION. - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number d �' Pro=ial dress of a 6 � 1 S �c�i10( _RA Value of Work$ �9c� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ®� - _R0 U.) n S O Y1 Ef , f4 MA o Contractor's Name, Z&CVN9, lOmc , L.t_c Telephone Number 3G 8 ".V 9'1( Home Improvement Contractor License#(if applicable) � Z 6 Z ,Email: ( d y Construction Supervisor's License#(if applicable) 5 13a -J orkm Compensa ' n Insurance Chec one: I ole proprietor I th Homeowner have ker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# +' Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping,old shingles) All construction debris will be taken to Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *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& Construction Supervisors License k required. _-- SIGNATURE: , C:\Users\decollik\AppData\Local\Microsoft\Windows\1NetCache\Content.Outlook\L7U69LF2\EXPFESS(2).doc _ 01/25/17 s Y M MASS .3 0 � Town Barnstable s6g9• 10� own o arn , FD MA'S s Regulatory Services 4 Richard V. Scali,Director Building Division Paul Roma Building Commissioner 200 Main Street, Hyannis,MA 02601 ~ www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 'i Property Owner Must Complete and Sign This Section If Using A Builder I,_X 72.4VI o �C�7lMSc�a�/ , as Owner of the subject property hereby authorize R-0/`l/`} to act on my behalf, in all matters relative to work authorized by this building permit application for: �O —7 C � 4 00 Le Ufr S 11Wo .& 007u r 1-0 Oz6 S's- 7 (Address of Job) Sigi re of Owner e Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. ik C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 The C'ommtaratseakh of Massachusetts Depa m rlt o indnstrirtl Arcs dents" Office of Invest tabors 00 Washington.Street V n,# m gos,1 en Workers' Compensation Insnrannree- . " avi# B ea Crntr lE ers Appficant infbrmation Please Print "b " Naane Musiues thgataizatioa>llndxvidt Addrm: 2 �9r rq^ L,yrY� City/State/Zip. Ca tuil P 1can Are you an employer?Check the appropriate box:1 El I an a employer with, 4. I am a c�n and I Type of project(r"uired): " (full and/or pwt-time).* have hired aan su tDrS 6. ❑Neua 2.KA am a scale proprietor or partner- listed on.the attached met. 7. ❑.remodeling skip and have no employees These sus-contrae#om have S. ❑Demolition wow for me in:any capacity. employees and have worms'(No wror rs'camp.inmarice comp.ms 9. ❑Builtlin .: h required.) 5. ❑ We are a cotporation and its 10❑Electrical repairs or additions .❑ I am a homeowner dining all work officers have exercised their 11,❑plumbing repairs or additiow myself [No workers'comp. right of exemption per MGL insurance required 7 c_152, l(4),and we a l-2',[���,, f employ w� .[Nooxic " l3-tCd€t�ther corm,msuranre regjtired-1 •may- pl�aatdwt checks box#1 long a3so fill om the section bel=ghowing&eir wedere coupensatm pojicy n a Lion. M.vrbo sabma this affidam m&cxtmg they are doug all wwk and then huecontmcwrs maw submat a new affidamit indir mg such;' 1C=twtors drat check this box not stuche&an additioug sheet showing,the nsn*of the sub-contracton and,date whetha it not those entitift hm � emPlo�.Uthe ham eMP40Yeel,they m1w;PlOvide thAt w p Policy number. I art an emplo)'er that is proving worker'eompensaden jasurancefor my e ployem Below h the pvhcy andjob 5r't8 informcdon. Insurance Company Dame_ Policy#or Self-ins.Lic.#: Expiration Date: Jab Site Address: Citys tatelzip: ,Attach a capy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as mired under Section 25A of M L c, 152 can lead to the imp of criminal penalties of a fine up to S 1,500.00 an/or one-yea imprisonment,as well as civil penalties in the farm of a STOP WORK ORK ORDER 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 umnance coverage verificatiom I do hereby certr;fY onde r epa1.2 iins and nratta"es 000d 4 'that than iarOrm ai on prided above is bw and covrecL . St Phone : to t3}3 acaart use only. Do not mate in this area,to be completed by.c or town offiCiAL City or Town: Permit/License Issuing Authority(circle one): I".Board of Health I.'Building Department 3.Ci y-/Tow tl rk 4.Electrical Inspector S.Plumbing star fi.Other Contact Person- Phone m 6 Town of Barnstable Regulatory Services o�IKE Richard V. Scali,Director �^ Building Division sAxrtsrAlaLE , ' Paul Roma,Building Commissioner MASS. 039. 200 Main Street, Hyannis,MA 02601 Ebr a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Ple,ase 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 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 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 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. C:\Users\decollik\AppData\Local\Microsoft\Windows\1NetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 f . - _ �J.1[6 �f F%IG/N(17Z1ttCrCRlf�?C/C'iY'GCIJ�L/r,/(/lJC'.l�I Office of Consumer Affairs&Business Regulation ri tHOME IMPROVEMENT CONTRACTOR tegistration 147262. Type Expiration: 6/23/2017 Individual P.ZACHARY ROMA J•..._, PAUL ROMA 29 BAY BERRY LANE COTUIT,MA 02635 Undersecretary Massachusetts Department of Public Safety 'Board of Building Regulations and Standards License: CS-103429 Construction Supervisor PAUL Z ROMA ' P.O.BOX 142 COTUIT MA 02635 Expiration:. Commissioner 09/30/2017 • 1 -�- N EEO S ITT Scr+� pox- ��P i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel / -Application # Health Division "DM .5);�l p_ %A Date Issued 3 0 14, Conservation Division l�/ /�� Applicatior Fee Planning Dept. Permit Fee r' Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project-,Street Address Lew Is V-i, Ilage_ C— �U d— Ownerm Address Telephone---a cl 70 3 7,�- OO 7 C/ PermitiRequest 4 U lUh ,Gd 0 ' d d (�S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay A& 00 Project Volu_afi�n 0 60 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Farnily ❑ Multi-Family (# units) r Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No CD Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other a Basement Finished Area(sq.ft.) Basement Unfinished Area(sq ft) <: CD 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 Counter 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) t ., ,-.._,,,,�... gName_"7 i�eyl &11e,5k Telephone:Num6e 9 7y 3 7G 0^7� .�� � ��� Address �-t1 r5 y� License# �v ► 0�3 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE) ''ATE? d FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ;`r MAP-/PARCEL NO. �- ADDRESS ti VILLAGE t . ,k OWNER DATE OF INSPECTION: FOUNDATIONI FRAME t. __INSULATION FIREPLACE I ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS:--, ,,- - ROUGH f,r FINAL FINAL BUILDING` l 7 :- DATE CLOSED OUT r ASSOCIATION PLAN NO. A :A - r t� j. . Zte Commonwealth of Massachusetts Department of pndustrial A dents Office ofbivadgadgirs =1 kOO Washington Street Boston,MA 02111 wwMinass gav/dia . Workers' Compensation 14SU UCe AfEldavit:SBilders/Contractors/Electricians/Plumbers ALPplicant Information Please Print Le 'b ly �N3II1e(Bnsness/Org�izefirn,/Fnrirnri�aT); � ����„S f •• "Ar do ess�`. Ct/ S Ct i hone.#-` �� 3 Are you an employer?Check,the appropriate bay -Type of project(require 1.❑ I am a employer with •4• � I�.a general contractor and I � employees(fall and/or part-t�e1:* have hired$le sub=contractors 6. E]New ccmetTaoti,�; 2.❑ I am a•sole proprietor or partner- listed on the-attached sheet. 7. Q Remodeling ship and have no employees These sub-c have 8. Demolition warldng for me�any capacity. cmployees.and have workers' No workers' comp.insurance comp...insnrance;t 9. []Bmldiag addifion - Cregtmed j 5. ❑ We are a cozpakation and its IQ[]Electrical repairs or additions I am a homeowner doing aIl work officers have exercised their 11.❑Phnnbing repairs 6r additions myself [No workers' comp. riglt 6f exemption per MQ,- 12.❑RDafrepairs insurance required J t .c. 152, §1(4), and we have no .Y employees. [No workers' 13.❑ Other comp.insurance reccered.] kAuY applicant that checks bar#1 nmst also f M om the section below showing then workers'compensation policy information. t Homeowners who submit this atndavk indicating they are doing all work and then hire outside contwctoa.must submit $Conhactncs that check this box mast attached an additional Sher a new affidavit indicating such. t showing the name of the sub-contractors and state whether ornot those—Ployers. If the sub-coatracina have emPloYees,fheY mUstp uvid'e their work=,comp,policynumbm. entities have lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Tn -anr_?Company Name: Policy#or Self ins.Lic.# ExpiratiouDate: Job 3itE Address: _ Cray/Statelzip: Attach a copy of the workers' compensation policy declarafian page'(showing the policy number and expiratian date). Failme,to,secrrre coverage as requiredunder Section25A ofMGI,c. 152 can lead to the imposition of crn�al fins up to$1,500.00 and/or one- err p pena tes of'a Ye �pIIsoument, as Well as'civr7 enalties 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 statemer¢may be forwarded to the Office of Invesfi insurance of the DIA for covera a verification. I do hereby certiYy under the and penalties of perjury that the information provided above is true d cnrrecG cPhone# a -- Offxid use.only. Do not write in this area fa be caWleted by city or.town offzriaL To 4`ny wa: p . atmitlLic ease •Issuing Authority(circle erne): -I. Board of He ala 2.B be artmeut mldiitg p 3.City-Mown Clerk 4.Electrical Inspector S.Plumb' e eta r 6. Other ' P Contact Person: Ph one . y Town of Barnstable o� Regulatory Services ♦ t * >3nxxsxear�, « Thomas F.Geiler,Director 0 19. 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 HOMEOWNER LICENSE EXEMPTION :17 Please Print C�_—JOBIOCATION: Oc C�(J I �U✓�F'�� 1 V 1� � number street / village l �72037i0075,r name home phone work phone# t-CURRENT-MAILING ADDRESS:. 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 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 4reqments.—•�-- of Homeowner (Approval of BuildingOfficial _,. 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 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. i 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 fomr/certification for use in your community. Q:forms:homeexempt Town of Barnstable s Regulatory Services MASSf Thomas F.Geiler,Director i639. �1 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 . A Property Oamef'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 (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and.pools.are not to be utilized until all final inspections are performed and accepted. s Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS i s _ Configuring Your Custom Sectional ' Draw your space on the graph below (one block equals one foot)and lay out your space using the 1/4 inch scale drawing of each component you choose. re e� c �J P Scale: 1square=12 inches 0 �jOlaf 1 t � i N j i i i i� Q G Iz � p t Q C_ RdNotes: GrOVA ✓' I ce V) ! n G ti a v. j boston www.bostoninteriors.com Configuring Your Custom Sectional Draw your.space on the graph below(one block equals one.foot) and lay.out your space using the .1/.4'inch scale.drawing of each component you choose. Scale: 1 square 12 inches 14 Notes: 0 Yle- Y-00 M 0 boston www.bostoninteriors.com 'THE Town ®f Barnstable *Permit# O,^ Expires 6 month ro ue date Regulatory Services FeeMAK Q tr°� Thomas F.Geiler,Director 'Building Division U Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERWr APPLICATION - RESIDENTIAL, ONLY Not Valid without Red K-Press Imprint Map/parcel Number Property Address Ayj2 1 n�', ( 7,07A d� esidential Value of Work ITIX G Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address QrAOl NIA Contractor's Name f—r�.S2+C " Cron¢-Ery� � �-�i L C C Telephone Number �50 )yag���0 Home Improvement Contractor License#(if applicable) � l a J 3�o X—P R ES S PERMIT Construction Supervisor's License#(if applicable) ct-7-r0(8 _ DEC f 2rWorkman's Compensation Insurance , Check one: ❑ I am a sole proprietor I am the Homeowner TOWN of BARNSTABLE . I have Worker's Compensation Insurance Insurance Company Name ur)i pry R re. 1 nsur n Ce o Workman's Comp.Policy#__ Copy of Insurance Compliance Certificate must accompany each permit.., 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) ❑ Re-side #of doors ' ❑ Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows *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&Construction Supervisors License is SIGNATURE: . Q:\WPFILES\FORMS\building permit forms\EXPRESS. - Revised 090809 i Tke Commonwealth of'11?assaelsreset* 1 igpwtmerat of Indttstrdal.4ccdden1s Offwe ofInvestdgadons 600 Wiashington Street i Boven,MA 0211.1• j wwrs.rnass gov/ddia WoaJkersa Compensation Insurance A;�iGEdavit-Iuflder-JCotatractorsll lee-tdeians/PI,,bers A Iica.at Information Name(73usiness/D Please Print L 'b tgani2ation/lndividual): 2 Y Cans-k'-- c-�1 Address: City/State/Zi : OLrt Are oa as ear to er? '3 Phone 4: P y Check the appropriate bore: 1.t9l am a employer with V 4 Q I am a general contractor and I Type of project(required): i 2.❑ employees(M and(oz•part-time)* have hired the sub-c onttactors 6. 1 am a sole proprietor.or Q New construction partner- listed on attached sheet. 7.. ❑Remodeling i ship and have no employees These sub-contractors have' working for mein any capacity employees and have workers' $ ❑Demolition j [No workers'comp.insurance t comp insurance t 9, ❑Building addition r'q�.1 5•Q We are a corporation and its 10.❑Electrical rtgairs or additions I 3,Q I am a homeowner doing ali work offic en have exercised their myself[No workers'comp. - .= right of exemption per MGL I I.Q Plumbing repairs or-additions insur'an required-j t' ' c 152,§I(4),and we Izave no 12-Q Roofrepain; employees.No workers' 13.0 Other ` warp.insurance required,] � Y applimaai that checks boa#I mast also ffii out the seetion belowsh t Homeowners who submit this affidavit indicabn ewmg�reh zlrers'co a+e policy iafrnmatioa TConiraeton;that eheckthis boas must g�i are doing alI work and then hire outside conpsetors must submit anew affidavit iodic I o attaobpd an additional sheetshow�g the mate ofihe su indicating such. empl yees Ifthe sub-conUamrs have employees,tbey roast pro�vi�their workers"eo b-obnhaetors and smte whether or notthose entities bave mp poliey number. . . dam an smpCoyer•'thai�p�'idFirg wetkers'conrpensotion iirsrirance or informalaon f ►aJ' PloYees• Below is thepolfcy and job site Insurance Company Name: Uh,� �r.•e '�+215'U�`. Gr7C'e �� n j Policy#or Sett-ins.L is # UV C 92"9 1"'36 i Expiration Date: o� a2al� Job Site Address jZRG�1!`� CftyJ tawzip:�� m— Attach a copy of the woHMM'compensation policy declaration '� —�- � Failure too Secure coverage as rs ukW Under. ��(showing the Policy number and expiration date). 4 Section 25A ofMGL c 152 can lead to the imposiiiou of criminal penalties of-a fine up to$I,500.00 and/or one-year nmprisonmertt;as well as civil of'up to$250.00 a day against the violator. Be advised that a Penalties in the form of a STOP WORK ORDER and a fide Investigations of the DIA for'insurance coverage verificationy of this statement may be forwarded t4 the Office of { -�Ftwy Guru es of pe&uy that.the infornumon provided above is true and correct ~� ! S � one#: Of}ixaal use only. Do not rv►ite in this area,to be completed by erty or town offidd City or rown- j PermitfLicense# Issuing Authority(eircie one): i I..Board of'Health 2..Building Department 3. sp 6..Other City/Town Clerk 4.Electrical Irr ector S.Plumbing Inspector. ? Contact Person: Phone M I _ II Massatfusetts-IDep<tu tment of Public`Safet� Board of-Building Regulations and Standards Construction Supervisor License License: 'CS 97668 DEAN 1 Si=R 104 TWINNY�1'EW L +NE EA 02536 Expiration: SM2013 C'onunissioncr, Tr#: 16692 _�� Office of Consumer Affairs andVUSiness Regulation - - 10 Park Plaza- Suite 5170 '-w Boston, Massachusetts 021-16 Home Improvement Cozit&ctor Registration -----......... _._. Registration: 112536 ;•; Type: DBA Expiration: 3/23/2013 Tr# 209024 FRASER CONSTRUCTION CO. - DEAD FRASER P.O. BOX 1845 COTUIT, MA 02635 turn card.Mark reason for change. Update Address and re E] Address Renewal Employment Lost Card DPS-CA1 0 5010-04/04-G101216 �o„vrrc u�ecz � lo�✓�c ac A a License or registration.valid for individul use only \ Office o onsumer alrs slness egu a on. before the expiration date. if found return to: HOME IMPROVEMENT CONTRACTOR i Type: Office of Consumer Affairs and Business Regulation Registration: 11253610 park Plaza-Suite 5170 Expiration: 3/•23/?-013 DBA Boston,MA 02116 F R CONSTRUCTION CO. DEAN FRASEP. j 104TWINN VIEW LANE t r...• E FALMOUTH,MA 02536 Undersecretary, Not vah wit ut sib re' FRASCON-01 MOSU CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 101512012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT (508)676-0309 NAME: Suzefte Moniz ` Viveiros Insurance Agency,Inc. aNCDNNo,ExL;508-676-0309 375 Airport Road E/C. c,No:508-324-9147 Fall River,MA02720 ADDREss:SMon1Z Viveiroslnsurance.com INSURERS)AFFORDING COVERAGE "C R INSURER A:National Union Fire Insurance Company INSURED Fraser Construction LLC INSURERS: P.O.BOX 1845 INSURER c: Cotuit,MA 02635- INSURERID: INSURER E• - r INSURER F• - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, IL IR TYPEOFINSURANCE ADQL W POLICY EFF FOLICINIMIDD EXP LIMITS INSR VD POLICYNUMBER MMlDD GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY PREMISES Ee occurrence S CLAIMS�YADE OCCUR MED EXP(Any one person) $ PERSONAL&AOV INJURY S GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S POLICY n PEO LOC S AUTOMOBILE LIABILITY - CO acrid 0 SINGLE UMIT S ANY AUTO ALL OWNED BODILY INJURY(Per person) S AUTOS AUTOS BODILY INJURY(Per accident) S MREDAUTOS SCHEDULED NON-0WNED' PROPERTY DAMAGE AUTOS Per accident S UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIAMUTY X TORY UMrrS ER A ANY PROPRIETORIPARTNERIEXECU7IVE Y/N WC009930601, 9/26/2012 912MO13 OFFICERIMEMBEREXCLUDED? ❑ N/A E.L EACH ACCIDENT S 500,000 (Mandatory desc elfin - E.LDISEASE-EAEMPLOYE S 500,000 It yyes,tlescribe under , DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Fraser Construction LLC- _ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 31 BOWdoin Rd ACCORDANCE WITH THE POLICY PROVISIONS. Mashpee,MA'02649- AUTHORIZED REPRESENTATIVE', r ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD r Fraser Construction ' LLC *CONSTRUCTION P.O. Box ,1845, Cotuit MA. 02635 ROOFING SPECIALISTSEmail: raser_const'_ru_ctiom cr verizon.net w-ww.fraserroofing.com FAX 1-508-428-0123 508-428-2292 HICL#112536 CS#97668 RE-ROOFING P OPT AL DATE: September 4, 2012 PHONE: 970-376-0074 NAME: Ben Gaieski EMAIL: gaieski.ben@gmail.com MAIL ADDRESS: Same JOB ADDRESS: 220 Lewis Pond Rd Cotuit, MA 02635 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's'specifications .. and local building code. C� -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Fraser Construction will include a 4 Star Upgraded warranty with the selection of any 30 year shingles or any Lifetime shingles. Certain T eed SureStart Plus- The extra measure of protection when a credentialed company installs an Integrity Roof System. 4 Star warranties have a 50 year Non-Prorated Coverage for any lifetime shingles, which will cover incase of any in warranty repair, Labor and Materials, any Tear-Off, and any Disposal Fees. Upgraded wind warranty available on the following products when special application methods are used. See description-below and in the CertainTeed SureStart plus brochure enclosed. ASS' US ABOUT OUR OVERHEAD CARE CLUB! Supply and Install - CERTAINTEED LANDMARK: LIFETIME WARRANTY CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. . With a SureStart Plus upgrade customer will receive 10 year 130 mph wind-resistance warranty with six nails in common bond area, Fraser. - construction•includes six nails in common bond area at NO additional cost. See actual warranty for specific details-and limitations. Color: PRICE-$8,250.00 Initial 1 Supply and Install - CERTAINTEED LAND PRO: CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural. 'Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 15 Year Warranty against ALGAE Containment. Landmark PRO is engineered to outperform ordinary roofing in every category, keeping you comfortable, your home protected, and your peace-of-mind intact for years to come with a transferable warranty that's a leader in the industry. With Max Def colors, a new dimension is added to shingles with a richer mixture of surface granules. You get a brighter, more vibrant, more dramatic appearance and depth of color. And the natural beauty of your roof shines through. ,With a SureStart Plus upgrade customer will receive 10 year 130 mph wind-resistance warranty with six wails in common bond area, Fraser construction includes sax wails in common bond area at NO additional cost. See actual warranty for specific details and limitations. Color: PRICE-$8,595.00 Initial Supply and Install - CERTAINTEED LANDMARK PREMIUM: Limited Lifetime Warranty, 10 year sure start protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi-Layered, Laminated Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 15-year Warranty against ALGAE Containment. 10 year 110 so ph wind-resistance warranty Wind warranty upgrade to 130 mph when CertainTeed starter & CertainTeed hip & ridge are used. See actual warranty for specific details and limitations. Fraser construction includes six mails in common bond area at NO additional cost. Color: PRICE-$9,295.00 Initial Supply and Install - CERTAINTEED LAND TL: Lifetime Warranty, 10 year sure start protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi-Layered, triple-layer thickness, Laminated Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 15-year Warranty against ALGAE Containment. 10 year 110 mph wind-resistance warranty, Wind warranty upgrade to'130 mph when CertainTeed starter & CertainTeed hip & ridge are used. See actual warranty for specific details and limitations. Fraser construction includes six nails in common bond area at NO additional cost. Color: PRICE-$9,650.00 Initial Note: Price includes removal of back sheathing and installing 5/8 CDX plywood. Supply and install roof vent for bathroom (QPS_f4 `IS , Own ;,5) Price-$125.00 Each '''Initial 'J4- { Skylights Remove and replace Velux S06 VS Skylight Price-$1,495.00 Initial Sun Tunnel Install Acrylic Dome Sun Tunnel 14" with 4' extension Price-$995.00 Initial_ Low Profile glass exterior Price-$1,195.00 Initial Product Installation Details Supply & Install - (Soffit Venting) hick's Ventilated Drip Edge or 8" Aluminum Drip Edge with existing soffit vents. Smart vents over white drip edge. Protection against damage to the roofing materials and structure. The most effective system is a balance of air intake and exhaust, that creates a uniform flow of air through the attic. This system creates a condition in which the roof temperature is equalized from top to bottom, supplying a uniform air flow along the entire underside of the roof deck. Supply 8a Install - CertainTeed Winter Guard or Carlisle WIP: (Ice & Water shield) (WIP- Water & Ice Protection) , Waterproof Underlayment System (aft. on eves and - valleys, 18" on rakes, walls,and skylights) Water. and Ice Protection (WIP) is a self-adhering roofing uriderlayment used on critical roof areas such as eaves, rakes, ridges, valleys, dormers and skylights to protect roofing structures and interior spaces from water penetration caused by wind-driven rain and ice dams. WIP may also be used as covering for the entire roof to prevent moisture or water entry. Supply Sa Install - Surround Underlayment (A Typar Brand) A smart alternative to felt, it;is water's toughest opponent, creating a secondary water barrier that reduces the incidence of leaks caused by storm damage, wind-driven rain, ice dams and worn roofing materials. It is a waterproof, synthetic polymer material that will protect your home against moisture intrusion. Supply & Install - CertainTeed Swift,Start With self- adhering asphalt starter course on all eves, and rake edges. CertainTeed requires this product for Integrity Roof Systems and upgraded wind warranties. Supply & Install-Aluminum Neoprene Soil Pipe Flashing Supply & Install- Midge Vent Shingle Vent II High performance ridge vent with external baffle. (As recommended by CertainTeed) 3 FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public • Liability Insurance on the above work, certificate available upon request. ' DATE OF ACCEPTANCE: ` Homeowner Fraser Construction, LLC .For comp agy use ongy Date Received Date Started: Date Completed Job estimate: Dean/Mike # of squares: Billed Material ordered Extras Paid Available Discounts L ' 1 w-.�-�� ��T,.. sy�`.��,�..z� ltl,. ,F. ����M�F•F►.� - � s'�k z ',.-� .i�. J � t�.pi� rs- �y aK ��� ,�, r-y.�.?i` `-+►-. __""��y.-"�� �s+vv,►....'`,=.��fl��_ .. Stc"'y; - _ - 5/27/04 220 "Lewis' Pond Rd . , Cotuit - I � pF New 1��T wiS Pond--Rd . Cotuit •� _ ��rtiY'..t sa'dl f�'A�A'�a-�i C� f,l3t � ��r '*'-�. t�'E`FFtS. �'y �.� �t ,.,-i-� -��: �ar�- - _- -.rd°' AL � t, - .,. __ `tom.-.. - � - _. f '•1-- ��, � N�• . tit �.r Y. IKI SO n.d,!-'- Rd . _ "r�* fir- .��� [�. " '. , ;�d � i, 1f.• ., ji � ,i �, �..�,�,= �,.�+''~V ''• � ''¢ ,J '1- 78 WWI S. Ilk _ � t ' \ r�� `.�;T C �' 1 7. ) .�. f - •fit+ - .s� ` - - zi a i Town of.Barnstable Permit# /3 tT Expires 6 ponMsftom issue date Regulatory Services Fee MAM Thomas F.-Geiler,Director i639• Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 coG www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �� Not Valid without Red X-Press Imprint Map/parcel Number / A �/ Property Address o`� l__L�fill r 5 flrru� QdGt (/ �� 0.2(� -3 S Residential Value of Work$ —3(X, Minimum fee of$35.00 for work under$6000.000� e y� n 01 Owner's Name&Addre � 1PS ✓�-� PU ox uatl co <a_/ Contractor's Name ( . Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) PERMIT ❑Workman's Compensation Insurance X-PRESS Check one: ❑ I am a sole proprietor. J U N 7 2013 91 I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name TOWN OF BARNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. ; *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 t Home Improvement Contractors License&Construction Supervisors License is required 1 SIGNATURE: Q:\WPFILES\FORMS\buildingpennitforms\EXPRESS.doc Revised 060513 �r ION ; the C'ommonvw-alth ofMassac iuse Depwhnent gf IndushialAcciden& Orke of Inmfigations _ .. 600 Washington Street Boston,MA 02111 nww.masLgov1dia Workers' Compensation Imurauce Affidavit_ApifficantlInformation Information Please Print Legibb' � o Name I): 6 e I es A dress: 0 &a,r S Pun Off_ City/State/Zip: s Phone ip L Are you an employer?Check the appropriate box: ' 4_ lam a contractor and. Type of PTfl]�(regairetl): , 1.❑ I am a employer with ❑ t 6. ❑New construction employees(full and/or Part-time)-* have hired the sub-contractors 2_❑ I am a sole prt�prietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition woddng forme in any capacity. employees and have waakers' [No workers'comp.insurance comp_iasurance.I 9. []Budding addition required.] 5_.❑ We are a corporation and its 10.❑Electrical repairs or additions 3.X I am a homeowner doing all work officers have exercised their 11-F Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12_❑Roof repairs insurance required..]i c_152, §1(4),and we have no employees_[No workers' 13_❑Other comp.insurance required.] *Any appb=that checks boat#1 mast also fill out the:section below sbowmg their wode a compeosagim policy mformatim ?Homeawners w1w suhamit this u idzvxt indicating they are doing all woos and then hire outside contmctors umst submit a new afdavit.mdicating such. icontracm n that check this boat most attached an additional sheet showing the name of the sub-canfinctm and state w}adw ornot tbase entities have employees.'If the snb`cmttactcrs have employees,they must provide their workers'comp.policy 6umber. I an an empin.�w that ispr*YiAWg workm'congwaadon inmrauce for my.empinyem Bellow is Stu policy aid job site information. kwx mce Company Name: Policy#or Self=ins.Lie.#: Expiration Date: Job Site Address: city/Stat[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 a, 152 can lead to the imposition_of criminal penalties of a fine up to S 1,500.00 andlor 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,Aohttor. Be advised that a copy ofthis:statement may be forwarded to the Office of Investigations of the DIA for instuance,coverage verification. I do hereby cerhzpander t andpenah as ofpecluty that the information,provided above is true and correct Siena, Date: 'Jv!'i �.� Phone#: �Z D 3 7C OG 7 Offs id use only. Do not write in this Qraa,tW be compbted by cay or tawvi offrcrat City or Town: Permit(License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityffown Clerk 4.Eleetrical' Vector S.Plumbing Inspector. 6.Other Contact:Person:, Phone 9: X'6' C- of t� • BARNSTABLE, • 1639. � Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO 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 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) Signature of Owner Date Print Name If Property Owner is applying for permit, please.complete the Homeowners License Exemption Form on the reverse side. - C:\Users\decollik\AppData\Local\Mier6soMWindows\T,emporary Intemet Files\Content,Outlook\QRE6ZUBN\EXPRESS.doa - Revikd 053012 ��HEti Town of Barnstable Regulatory Services B"MASS.� ` Thomas F.Geiler,Director 'Building Division Eo�+ Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE EXEMPTION Please Print )B LOCATION: number J' street village -ioMEowNER°°: v, r,�s �c i� �g c/ �s7�G �l�D ;_3 Oo / name home phone# / work phone# URRENT MAILING ADDRESS: v 3� city/town state zip code he current exemption for"homeowners."was extended to include owner-occupied dwellings of six units or less and to allow omeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER erson(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- unily dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one ome in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form :ceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 09.1.1) he undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, ylaws,rules and regulations. he undersigned'ho epwner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection roce es and re ements an that he/she will comply with said procedures and requirements. gnature of Homeowner pproval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code -ction 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 'om the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors); provided that if the.homeowner igages a person(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 ee Appendix.Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often cults in serious problems, particularly when the homeowner hires unlicensed persons. In this case,.our Board cannot roceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is Itimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the ermit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page r this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in )ur community. \Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc evised 053012 Confi`uri-ng Your Custom Sectional 19 Draw your space on the graph below (one block equals one foot) and lay out your space using the 1/4 inch scale drawing of each component you choose. SMOKE DETECTORS REVIEWED Scale: 1 square= 12 inches "IT nATP I AT B TW S GNATURES ARE REG UIRED FOR PEF MITTNG Ilk- I I 11 ..I T - -- -- -�- , -- -- - -T H, I I I T tlOteS: Lj : 4r'`:� '-NL.' 01 H lbostonom, www.bostoninteriors.com Y"Ylcl 4,c X-i e.- V- 0 Cc;.f 4-o "J 'k rl-9 (c, Coor cd rnv�<e 1Cc�rloc �� rrCv�l.Ux.iU� tUlr.iv�� �jCti�l'vrtcn �) I ,-------- CG(�-Clyl ,MGAL;xt r ct tu✓-m L oc-4 ecl L�� �l�iC�- Gl� S I`tt✓-S Configuring Your Custom Sectional Draw your space on the graph below (one block equals one foot) and lay out your space using the 1/4 inch scale drawing of each component you choose. SMOKE DETECTORS REVIEWED Scale: 1 square= 12 inches WAusL 7113 i FI E D PAR MET OAT E VOTH IGN TUR S AR E RE,WIRI F(R PE RMIT rING i IUour — - T -- �—- --- i I I � I Via• _�s�� c�;��i;�i � f I I. I I I I i dotes: (L% )= ° ---r t'" ' 6: L ! J , a On M0 , bostonml www.bostoninteriors.com cc once; TI 40 ------------ C'Vor cd �rn0L� 1 �100'q YYtov'1.UX_iU�N OL(arm vvrn"U 17� �"1 Li� �4�.. C� ;� I�at✓,� I Assessor's map and lot number ......... �.... ,• moo. OFTIIET�� Sewage Permit number ..Qrz<......4fnx er-n..... ,1P:�,!� v Z 33AUSTABLE, i y p� House number ............................. ........................................... oo YAM1639. ♦� �F0 MAI�\ TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ :K!;.te ...................• '•• "-' ..............................� . .................. TYPE OF CONSTRUCTION ................�.� �...........4 4'4-o' 'd`�+ . .............................................................................. �:.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information- Location ... ....... .......... //,`-''.......... ... Z&. .......... 0 /. ..T................................. ProposedUse .............. . ......... ..7`.`.'.!.......... ............................................................................................... ZoningDistrict ....�.......�...................................../......................Fire District .............................................................................. r Name of Owner ........�.......�<?.��. ?IeO4,A...Address ........... ...... «t.C/.. .....esl..e�! ... Name of Builder �� .!`..... E Z!.-elr!r..Address ............. .W-7 Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .................................. Foundation ........ J6..d��.. .�� Exterior ........... . .. /.. .. ................................... .Roofing ............ ............... ............................................... 46_. Floors Interior ...................................................................................... .................................................................................... Heating ............... ...............................................................Plumbing ..........................................:....................................... Fireplace ........................... .i. ..................................................Approximate Cost .................. °-�ooO.... 'a...................... Definitive Plan Approved by Planning Board ________________________________19________. Area ....... E.�..v .................. Diagram of Lot and Building with Dimensions Fee zo ""— SUBJECT TO APPROVAL OF BOARD OF HEALTH r i r. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .........I........................�............................:.'............ J. George CA=20—�133 23387 Build No ................. Permit for .................................... Frame Garage ................ Lewis Pond Road Location ............................................ Cotuit ............................................ ............ ......... J. George Owner .................il................................................ Type of Construction ......Frame............................... .... ..................... .................................................. Plot ........................ ... Lot ................................. Permit Granted .....Au /t........ 18............19 81 ....... Date of Inspection ..... ................ ...........19 Date Completed .............. ...... ................19 PERMI REFUSED .................................. ............................. 1.9 ............... ......... ... .. .... ...... ................... ........... /V....... . . . ............ .................................................................... ......... ............................................................................... Approved ................................................ 19 ............................................................................... ................................................................................ Assessor's map and lot 'number .............:.............................. l 1 - SEPTIC SYSTEM �dl�.° P T �� Er Sewage Permit number LED :. '� d WITH I� TIT L,= BAHB9TADLE, i Y V T 5 90 House number ........................................................................ � _ rasa � NVIRONI ENTAL C(I)'- - aiypY.a�Om TOWN OF BARNSTA�� � I��'� BUILDING 11SPECTOR . �9.O.C� APPLICATION FOR PERMIT TO ........`�t1..1.f!!r�! ........................ .. ............................................... TYPE OFi CONSTRUCTION ................I.O -1-. ............ ��zl..��'..:...................... ......... ..................191r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........... ! ..........�r-. �1.`�......... a!t ..:.. � �G:��.,�................................. ProposedUse ........... .,�'!P! . .........4�`...........................' ............................................................................................. Zoning District ............................Fire District .............................................. Name of Owner `J........ ......L. .;:? 4000;a...Address .........4.Z ...... K/..�..�..... R�Sf�..... Name of Builder ?`/. ....Address .....4.c!C................. Y oq"o 0.L srt Nameof Architect ..................................................................Address .............................,...................................................... Number of Rooms ............ Foundation �O.A a e� Exterior ........... ................................................Roofing ............ ,, a..........................Y............................... Floors ......................................................................................Interior .................................................................................... Heating ...........................':...............................,......................Plumbing .................................................................................. Fireplace ................. ..... .t. .............. . .. . ..........................Approximate Cost ............ voO.....ate...................... Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ........14V . 0-*.............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH (� .sue 1 hereby agree to conform to all the Rules and Regulations of the Town of B�rnstable r`garding the above construction. Name .................... .............................................. J. GEORGE 23387•, Build No ................. Permit for .................................... Frame Garage................... F eLo2 O -2-2-2--Lewis Pond ;Road LOGatlon ............................................:.................. ` r.COtU1t c� t • .............................................................. r r r Y Owner�..........Ge or ge.......................................................... Type of Construction .Frame ' 44g i ............ ............. ...:.............. ..... .... ......... � Y;; Plot ............................ Lot ................................ Permit Granted 2A4.93A5.t... s}9 81 ,, �r . tr ,41 � s� nd d ��• f ) -•t tt s - Date of Inspection .;......19 Date Completed ................ :.7.....19�`� p PERMIT REFUSED ?' •- -s =! = ', .............................. '.p �19 . ................. } .......................... ... ........ ..... .. .T. .}. ............ .,.. ...... .... .., ................................... .......... ............. .... �.. ti................................................. Approved ................................................. 19 ............................................................................. 8 aj` i ..................................................... f �s o.�s �� J SEPTIC SYSTEM MUST Bt INSTALLED IN COMPLIANCE WITH ARTICLE II STATE SANITARY CODE AND TOWN REGULATIONS --- ��Q�°`�"E.r°�°� TOWN OF BARNSTABLE BA"ST"LL i fh 69pY BUILDG INSPECTOR k pY pr• L J/�� APPLICATION FOR PERMIT TO ....���...�J.....�.....................r.�!.r-�. .................................................................. TYPE OF CONSTRUCTION :IM............................................... .SAT.........................19..7,?. TO THE INSPECTOR OF, BUILDINGS: The-undersigned hereby,applies for a permit according to;the following informations Location .. %../f.....A.�•r�.!LS.... ONO..../�O.e3/� COS/P'�. !4 :.....:........ ......................................... .......................................... ProposedUse dRJ..../7.,02!`1��.................................................... ..................................................................... Zoning District ..ee4e.:.Z......................................................Fire District .. �.U............................................................. Name of Owner .:eW/.L.�......�1..4.Q ...................Address ..... :........................N � o A` Name of Builder /Y./ /_' ,51O�fi 6/d/'ls .....Address .CGG.tilC9ClO/GL ,P. !�S,S ...............,................ Name of Architect .... !®!`Tt ............................................Address ............................................................ Number of Rooms .....�......................................................Foundation PRm'.0ew..... ............................ Exterior S•li/�U DES �,.G'� .d2 Roofing ...../9..5/�i .��T..... �1��� ................... y....... r�.............................................. ........ Floors �rh`/.4...f�...�`.'T�'`tcS......... a. ..sf... ......Interior .................................................................................... Heating ..... ..LG��C Plumbing................................................. .................................................................................. i .. ®� Fireplace .... S.................................................................Approximate Cost ........6.........o............................................ Definitive Plan Approved by Planning Board ---------------___-___________19 Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH R� �s I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........ . ...... .......................... Ge orge, Emily 16383 1 1/2 story -'No .*................ Permit for ..................................... single family dwelling ................................. aao Lewis Pond Road Location ................................................................ cottlit ............................................................................... Emily George Owner .................................................................. Type of Construction ......................frame.................... ................................................................................ .......Plot ............................ Lot .............#14............ September 17 73 Permit Granted ........;� .......... 19 Date'of Inspection ...e. ... 19 Date Completed ...... ....... ...................19 PERMIT REFUSED ............................... 19 ..................... Z.,..................... .......................4/ ...................... ............................................................................... ................................................................. Approved ................................................. 19 .. ............................................................................... ...............................................................................