HomeMy WebLinkAbout0535 MAIN STREET (COTUIT) 3
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map I Parcel - Permit# ^773 a
Health Division � � _ Date Issued �I r���
Conservation Division Fee
Tax Collect -� SEPTIC SYSTEM MUST BE
INSTALLED,IN COMPLIANCE
Treas er WITH TITLE 5
Planning Dept. ENVIRONMENTAL CODE AND
TOWIN REGULATIONS
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address „f2_3,5� d
Villa e t 06�fT
�fr R.&-1 LL S J'IiLr/L Address • 50 e_
Telephone
Permit Request - ` ��� A(S((5R� TZ , 6kisT, c&l Cou Poem /W b t/l 6
n •
k
Square feet: 1 st floor: existing proposed nd floor:existing proposed Total new
Estimated Project Cost Zoning District Flood Plain T Groundwater Overlay
Construction Type t�Jj1F:g= T
Lot Size Grandfathered: ❑Yes W<0 If yes, attach supporting documentation.
1 t
Dwelling Type: Single Family (Q/ Two Family ❑ Multi-Family(#units)
Age of Existing Structure I q.a'1 Historic House: ❑Yes ❑445' On Old King's Highway: ❑Yes 3416
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 0 o If yes,site plan review#
Current Use Proposed Use
r
BUILDER INFORMATION
Name 7� Telephone Number S'/
Address ML--S: AkA2%bawl Rd License# a-SU7,) `?(��
I�BT(,uT, AM . Dak d S Home Improvement Contractor# l60746
Worker's Compensation# /6/1
0
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE;�/�10 _TT-DATE
FOR OFFICIAL USE ONLY
• .'"fir r r ' s a � y r v f '• ._ a ^ ie• � � t '~ ` •' r• -
PERMIT NO. _ }
DATE ISSUED :
MAP PARCEL NO.
ADDRESS `- VILLAGE
OWNER
t
r
t DATE OF INSPECTION.
FOUNDATION
FRAME E.IJ -
1 t -,
I INSULATION
tr
FIREPLACE x"
!mot * -
ELECTRICAL: RO
T' FINAL
,• g t i '1Y
t
PLUMBING: ROUG FINAL -
• IRS
GAS: r' ROUGH 1V FINAL _ Y'
FINAL BUILDING
DATE CLOSED OUT
IIII�F` t
S ASSOCIATION PLAN NO. f '
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel OQa ' Permit# r � g
Health Division _ G,. >'``� "' � Date Issued � (�
or /._ /.
Conservation Division 6113� j� �, Fee 51
0
Tax Collect � � TIC SYSTEM MUST BE 4 e
Treas er INSTALLED IN COMPLIANCE A
'" � � WITH TITLE S }
Planning Dept., ENVIRONMENTAL CODE AND
TC 1111I REOUL.AT!CMS
Date Definitive Plan Approved by Planning Board
Historic-OKH! Preservation/Hyannis
Project Street Address ,��32 W pi S7)2EET
Village COTL� lT
Magi L lipsAtrIL Address cJG�tr►
Telephone 1 a0
Permit Request !X14� 6LZEAI S�w Tb ckolr, Sc"Cfi pp&r f /W b t1-6 j14CA?
q' XL(, L�iA�uC rtu T' (�q LN ,+l f. ,�E RE , �Z M PI
Square feet: 1st floor:existing proposed nd.floor:existing. proposed AE)' Total new
Estimated Project Cost 2710'Zoning District 9q0 Flood Plain Itsj Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ®'No if yes,attach supporting documentation.
Dwelling Type: Single Family U/ Two Family Ll Multi-Family(#units)
Age of Existing Structure (��(� Historic House: O Yes ❑f On Old King's Highway: ❑Yes a-No
Basement Type: ❑Full O Crawl O 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
Hel Type and Fuel: ❑Gas ❑Oil O Electric ❑Other
Central Air: ❑Yes "❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No
Detached garage:0 existing ❑new size Pool:0 existing O new, size Barn:0 existing O new size
Attached garage:,0 existing 0 new size Shed:0 existing ❑new size Other:
Zoning Board of Appeals Authorization '0 Appeal# Recorded l]
Commercial 0 Yes 0<0 If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION =
Name 7f-- Telephone Number --/
Address )/a//-< A 16a) Rd- License# O-S,0r7,�) '70
7-a1'r. Od6 a Home Improvement Contractor#
Worker's Compensation# W Q109 y(,e 1645:
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO1[�C _- rn
DATE
SIGNATURE� � � UG _
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:- hrprovement disclaims any rasponsfhiliiy for any and rW o,re aws
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--- -- The Commonwealth of Massachusetts
" 4_ ....... Department of Industrial Accidents
Office affolyestfgatfans
t
600 Washington Street
Boston Mass. 02111
Workers' Comyensation Insurannrccee davit
name:
location: �� 1
city
❑ I am a homeowner performing all work myself.
❑ I am a sole oroDrietor and have no one working in any ca acity
�Q I am an employer providing workers' compensation for my employees working on this job.
co\mnnnv name: (2A r1�_/
address: /lLC/[��/dAJ (�`C� .
city: 0 ! Y 6d,6 3S nhone#: C.SDd') �o2g- 9Sl F
—1 -
insurance cn. ' [,��q ` niicv# W C - �d�
❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who
have
the following workers' compensation polices:
comnany name-
.
address:
city phone#-
:::
insurnnce co. oitcv#.. ::..:- ;:. .,.;..::.:::.::;..:<:<.;;:.;
comnanv name:
address.
city• phone
insurance co. :::>:;>:.>..:;:.....::::::::<:.>.. . . oiicv#
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S 1.500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification.
I do hereby certify under the pars and penalties perjury that infor ation po hide eb ape it tr+u`n,and c d
Signatur Date
p
Print name r9 EI)F 1 c.V— V. RA S C H EZZI` Phone �cJ g /.S
fcontact
ly do not write in this area to be completed by city or town ofIIcial permitilicense# ❑Building Department❑Licensing Boardmediate response is required ❑Selectmen's OMce
❑Health Department
n: phone#; ❑Other
w::.:......,.::.
(temea*95 P1A1 -
1
: . The Town,of Barnstable
• snar,srnace.
9� MA&& �,� Department of Health Safety and Environmental Services
1659. ' Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no. ,
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors;with certain exceptions,along with other
requirements. � 11.
Type of Work: � stimated Cost �l•
Address of Work:—,r-,3 e
Owner's Name:
Date of Application: !
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
[]Job Under,$1,000
❑Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Lao . �,4,_ZZZ
Date Contractor Name ;*gX,p�tegistration No._
OR
Date Owner's Name
q:forms:Affidav
i
HOME INPRIIIIEHi CONTRACTORGf1ie �anvnZo uuea/�/z`-o�'��
Regis(ratioo:
a E 100140 1. �° _ BOARD OF BUILDING REGULATIONS r<:
xPirailon. b�13i0 j License CONST,UCTION.SURERVLSOR }
1YPe: = 2-r eta i i
Private Corpo�atio I Number CS 051032` {
�, S `�� 1
PPIZZI HONE I HPROV_EHEH1 , h
5742Ezpies 09126/20
�MNs oR 1645 He Rd.' 00ihoeas CaPizzi Sr _
CotUit
a
�
.
HA 02635 THOMASX.`CAPIZZI:JR
280 PERGIVAL
W°BARNSfABLE, MA 02668 Administrator
o� I'
�/ inaom�uP R�
ATIONS
' ""�'`��;'°�"t ✓1u3 � uea�!,lt ���zveac/uwetG1 ,:_!� I �* � ' BOARD OF BUILDI NG UL
tth'� .dl7L79204t1 0�., ,.,:: .
License: CONSTRUCTION SUPERVISOR
OEPARTKENT OF PUBLIC SAFETY
ah Number: CS 007454
Rk CONSTRUCTION SUPERVISOR LICENSE I
r 3
yx Number Expires::
Expires:02/24/2002
86tfigted T64 00 j._ I I Restricted To: 00 1.
' } THOMAS CAPIZZI
FREOERItk V; 0b 1II; 1645 NEWTOWN RD
, I Administrator
e'er ,�1860 BOURNE`R0' COTUIT, MA 02635
PLYMOUTH, NA 02360 ! I
r E3s1U6�►1t,E �Daniel :ByP
VAos1ACQ- �
C-o'C��Z, Nl, � 189 Na�arPauct 9�
ClamnaquiQ M iW7-0361
63
Das t<N Orr
A.SS S-tA u t.4C,
15
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v�l Ar c... �5'
Cv j cTxc ja [.o A o As C-R F&cbc w.
wQ`_ ►sx &.S + i5 xtee t- 15 x%s 1'LB+t5 o t Ilse S o31
� 0 K ct
ti
S �C Kctd' of� �qsf��e
e ®� DANIEL E. �G
a BRAMAN ' ►
a o STRUCTURAL
N0.3655 V' ,
a
s�PfF�SIONAL E��O\�e•
►►®vvvad
R MSBEAM V2. 0 - Gravity Beam Design
Licensed to: Dan Braman, P.E.
Job: Hosmer Residence, Cotuit Steel Code: AISC 9th Ed.
SPAN INFORMATION:
Beam Size (User Selected) = W10X19 Fy = 36. 0 ksi
Total Beam Length (ft) = 14 . 00
Top Flange Braced By Decking
LOADS: Self Weight = 0. 019 k/ft
Line Loads (k/ft) :
Distl Dist2 DLl DL2 Pre DL1 Pre DL2 LL1 LL2
0. 00 14 . 00 0. 503 0. 503 0. 000 0 . 000 0. 790 ..0. 790
SHEAR: Max V (kips) = 9. 18 fv (ksi) = 3. 59 Fv = 14 . 40
MOMENTS:
Span Cond Moment @ Lb Cb Tension Flange Comp Flange
kip-ft ft ft fb Fb fb Fb
Center Max + 32 . 1 7 . 0 0. 0 1. 00 20. 52 24 . 00 20. 52 24 . 00
Controlling 32. 1 7 . 0 0. 0 ' l. 00 20. 52 24 . 00 --- --
REACTIONS (kips) : Left Right
DL reaction 3. 65 3. 65
Max + LL reaction 5. 53 5. 53
Max + total reaction 9. 18 9. 18
DEFLECTIONS:
Dead load (in) at 7. 00 ft = -0. 162 L/D = 1040
Live load (in) at 7 . 00 ft = -0.245 L/D = 687
Total load (in) at 7. 00 ft = -0. 406 L/D 414
.w.� �..:c a�--� r-:.�t::y-�,�u�+'N.%'m.}.: '$t��.SY�•�a':. � J�t'�'. ��' "z�'.r�i�i`%�« '�n���ixr z .1.hF:,.''+�3 ;Ytk'� .t iZ. +ti`,�,,t+'�7 :�Y- "'ti Ti.,'.,'�.'��w:�`,,sd'`„t���'&
• a 't.��N,.y.. «'w w Dry 3�;" ,+3.' �/ s•„ a. r.. s. ..d3`. �..r .x`:..
Assessor's office (1st floor): /�
// /�'
Assessor's map and lot number ....O ..d... .. Q�oF THE rot♦
Board of Health (3rd floor):
Sewage Permit number ............ • ►--
Engineering Department (3rd floor): M40a
�1
ps,t6}9-
Housenumber ........................................................................
Definitive Plan Approved by Planning Board ------------------------_-------19________ .
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 . �� .. /— .. ` � i!/''�CZ.-:...................................
TYPE OF CONSTRUCTION ..CI�Oc?!� F,iE°��!1/1��- ........................................................
..............7�:�r--..........------..-19- �
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
/�� ,
Location !"� 14 Z. .......:.. T.........._..'�.. .L ... :................................................. �...........................
...................... /
ProposedUse ....,54n .....................................................................
Zoning District ...........1.�,. ..ram, . ...............................................Fire District
r
Name of Owner X/( 4i'd!L .�........................................Address ..........................................
Name of Builder \�411i.,A...!1v Address
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms'........! .....................................................Foundation .. ./l(CEC, :.
.....................................
Exlerfor k. ./.T ...h...... ��. .�C........................................Roofing ...... !. .f�i �41. /.'/...........................................
V1,.N
Floors .... .. .,..�.................................................................Interior ....�:.,_....-..r........ . . .... ....................................
Heating . . .. .. `..........Plumbing .......................................................................
'.....r..... .
n
Fireplace .........Approximate Cost ,ao� 6,71 �(
Area :............................ --�.
Diagram of Lot and Building with Dimensions Fee .
a�
c .....................................
000
c
44
�> I
J
I
I
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 l�� ,�C-cam ��
y:....,..,... �........ ................... ._........:........�......:..
Construction Supervisor's License O .�. 56.%q...........
HOSMER A=021-005
No ..33H8 ,, Permit for .Add„To„ &„Remodel
Single _ Family_.Dwell,ing
Location ....535...Main Street
. ..................Cotut..................................:.........
Owner .....Hosmer............................................. }
Type of Construction .....Frame......................
...............................................................................
Plot ............................ Lot ................................
Permit Granted ........J.1Jly.....3.Q.►............19 90
Date of Inspection ....................................19
Date Completed ......................................19 4
PERMIT COMPLETED 1I1/
h�� � O/W
Engineering Dept,(3r floor) Map Parcel 005, Permit#
' House# Date Issued 3 �o
Board of Health(3rgoor)(8:15 -9:30/1:00-4:30) '"SfVF4�VW Fee
Conservation Office(4th floor)(8:30-9:30/1:00=2:00) X-6 F
Planning Dept.(1st floor/School Admin. Bldg.)
Definitive Plan A proved P nn'ng Board 19 SEPTIC SY T BE
u � INSTALLED� , s . ANCE
OWN OF;BARNSTABI�
�- IRONMENTAL CODE AND
Building Permit Application TOWN REGULATMMS
Project Street Address
Village C01V 11'
Owner d W ILL. ArSARBAM SMl=l%-� Address 1,2 4 ;d
Telephone �1 "-/a;L Ll) /4 f_':SL ,e
C
Permit Request E�'YI �/'E 1 eG 1 J1Y 6 *Q S L A1\11 R l✓ BOLA)
First Floor /4 0 square feet Second Floor j6 25 square feet
Construction Type 1, 60 6
Estimated Project Cost $ %f1�C�
Zoning District Flood Plain Water Protection
Lot Size i I� U\ Grandfathered ❑Yes ❑No
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing New
No.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 -
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
Builder Information
( /J�
-"Telephoneephone Number 4Q� N 7�/Q
Address `C� �icense# n
7 LP27
me Improvement Contractor#
Worker's Compensation# 2ZIJ
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOZ /Yl
1<7
SIGNATURE - DATF,/
BUILDING PERMIT DENIED FOR E FOB LOWIN REASON(S)
,C
f FOR OFFICIAL USE ONLY
PEAMIT NO.
D�,ATE ISSUED•
MAP/PARCEL NO.
VILLAGE F
ADDRESS - a
OWNER '�•° `,; �a .':mac � - + � ` _ -
DATE OF INSPECTION:
FOUNDATION
FRAME w
INSULATION - -
FIREPLACE
ELECTRICAL: ROUGH FINAL :
PLUMBING: " RC Q'5 ; FINALS ,
c. te
„'
GAS_ ROI 0 . ;' FINAL''
FINAL kILDING �' -� `'f! + `
«; m C) f
DATE CLOSED OUT P -
ASSOCIATION PLAWN63 - =
,
The Cottltnonivealdlt of Afassachusetty
ii __=�•�= Department of ludirrrrial.4ccille»is
a 1. office off nves119a1108S .
690 !f'ashinrtun Strect ;
Boston.Mass. 02111 -
Workers' Compensation Insurance Affidavit
i li :in inf•rm ion• ._... Pi---- -�. --,•.....�.......-..---•_..,.—........�..._--------- --- -
Se RINT
loc.—Ilionsot
.
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o• rihoneil � O
1 am a homeowner performing all work myself.
_1 am a sole proprietor and have no one working in any capacity
I am an employer providing workers compensation for my employees working on this job.
cnnmam• n•tmc• ��p� AA ����
in ( hnne I!• �.
i � 2� C�oc2;(�
incur:tnce ^n � � Holier•tY -7 7 _,-._�•.•_• ,•
G I am a sole proprietor. rencrai contractor, or homeowner(circle o)te) and have hired the contractors listed below who have
the following workers' compensation polices:
cnmannv n•ttne- -
a(I(Irecc•
Ctt�" phone 0'
incur-inrc rn pniicv 0 _
cmmrlinv nntnc-
addrccc•
city phone#•
insurance cp pplic�•
Attach additio_nal sheet if nrces_saty �y;r;3 * -^+ "� _" " '''' ' ""- '' '=: -' ' ""'"' = ""- "' -^
•Z 1a '` -� •.air. ..ru...—.77
Failure to secure c(tver:tre as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a line up to S1600.00 andiur
unc cars' imprisonment as%%cll as civil Penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a
cop} of this statement may be t to orrice of Investigations of the D1A for coverage verification.
1(10 h hr c t • is t •tta •s of perjuly that the information prorided above is true and correct.
�d - � Z Si_aatur —Date � 7Q
Print name Phone# 42-P -2 ! 7 C ,
:.'•oRcial use univ do not write in this area to be completed by tiny or town ofriciai `
ciry or town: permit/license if nBuilding Department
C3Ucensing Board [,
check if immediate response is required ClSeleetmen's Office t
�•. 011catth Department
h
contact person: Pone#• r10ther. 5
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P
DEPARTMENT OF PUBLIC SAFETY
CONSTRUGTH SUPERVISOR LICENSE
Nu�Der Expires:
s
Restricted
�ETER I B�LOQEAU ,
231 PRINCE AVE.
MARSTON MILLS,, MA 02648
U
'1
Ralph- Crossen
Building Commissioner, Town of Barnstable
Town Hall
Hyannis, MA 02601
October 17, 1997
f
RE: 535 Main Street Cotuit, MA
Dear Mr. Crossen
We are planning on building a new house in the back of an existing house
per the enclosed plot plan. When we can occupy the new dwelling, we will
take down the old existing structure. The time frame for building the new
house is approximately five months.
Sincerely,
Merrill Hosmer
��J a�v��llLtti �
Barbara Hosmer
Maintenance Meld Re ®rt
Job No.: Customer Acc,t�./No.: TSN:
Street Name: -5 3.!r ,r Town:
Name: M&--i2 L I Reported by:
Reported: 3 LQ 2 W.O.No.:
Disbursed: Maint.No.:
Started: S Code No.:
Finished:
.... ............................................................................................................................................... ........................ ............................................
1) Removed
2) Meter#
3) Read'g
4 Size
Maintenance Request.
Location:--Main--Service--(circle)
Pipe: ❑Good ❑Fair ❑Poor
Wor Done: ai6ompi ed ❑Inc®mplete ❑Temporary Type:❑CI ❑St ❑PE
a Density: ❑High 17Medlum
AL
Coating: ❑Good ❑Fair❑Poor
Coating Type: ❑xtru ❑none
❑coal tar other
Size: Age:
Soil
...............................................................
Type:
❑Main ❑Service❑Branch Service❑Gust. Pipe❑Meter[Reg. Soll Condition:
❑Police[Backhoe[Loader❑Welder❑Other
<<><
> << <<€ t�'i�or€lf� s►i�<::3ttd€� :. .,:. :.............a: <>><:«««< <> <>< .........
Contractors Name: Loam&Seed: ❑Yes ❑No
Address: (ft x ft) Size:
City/Town:. Patch: ❑Yes ❑No
Equipment Type: Cont.Dig Safe#: (ft x ft) Size:
Type Work: Other(type):
Operators Name: (ft x ft) Size:
Operators License No.: Phone No.: Comments:
`'$ar >
❑Leak Made Safe OPlnned at MAM ❑PM Pipe: QGood ❑Fair ❑Poor
Leak Grade: 131 132 133 % gas/lei (circle one) Type: ❑CI ❑St ❑PE
Pressure Test: lbs. Test Duration: Min.—Hrs. Density: ❑High ❑Medium
P r❑Chart ❑Gau a ❑ ass ❑Fail Test Med.: [3alr Othe
::<::>:<:>:>:� f ..<..................:...............
CGI No.: Test Witnessed By: Depth:
Leak Code: Frost Depth:
Location of Leak Type of Repair Bit.Thickness:
How Reported Cause of Leak ❑cobblestone ❑Relnf.Concrete
Pipeline Pressure: ❑H.P. M.P. ❑L.P.
Contractor Name: Phone: Locators Name:
Billing Address: Date Located:
❑ Reset only Distribution Piping Costs: ❑ stake ❑ paint
Signatory hereby requests this work be done and agrees to pay cost above. remarks:
Authorized B
OLeWw OConst$Malnt Oftlneed2q OCorroslon ❑M 1
PAWINWORITWORKI\BLUMAINT.DOC ?/15/96
Stock Used Retirement
No. Sze T e
item . Foota a Size e
A AND NMEN 13
Preins ted
Cut at Main
Sealed at Main
Seated at end of Service
Sealed at BUIldin
O/S Riser Removed
Main Condition G F P circle one
Meter Removed Y N circle one
Comments:
Sketch
...
Loam&Seed: Yeses No ...............................................
(ft x ft)Size: ........<........ .......s.............. ...
Patch: [] Yes[]No [ ..
(ft x ft)Size: ... .... .... ...
Other(type): ........<........!....................... ...
...
(ft x ft) Size:
Thickness: .............................. ... .... ... ...
.... ..... ..... ..
comments: .......................:.......................................... ............. ................... .... ... ...............
......................................... ... ..... ...
...
...
...
.......y..... ... ... .. ...
.......�....... ........{................n..... ... .... ... ... ... .... ... ... ... ... ...
.......:.........y........}........{.........; : .. ... ........ ... ...
:........:. :........i........:........I...... ... .... ... ... ... .... ... ... .... .... '�..
:.. ..i... ..:... ..
:
.......n........y.................{........n........�........• ... .... .. ... ... ...
... ... ....
... ...
'.......:........:........:........:...... ... ... ................... ... ... .... ... ... ... .... ... '.F.r..
................................... ... ... ... ...
....... ........:........................................... .................. .... ... ... ...
.......:........�............. ... ... ... ... .... ... ... ... .... ... ... _ ... ... .... ...
... ... .... ... ... ... ... .... ... ... ... .... ................... r
... ...
.7-28-95,
F:123\WORKSLUEeIN.WK4
49 *Cotuit ,fire i!gtrict
COTW Uater Mepartment
1926 �ai 4300 FALMOUTH, ROAD, P.O. BOX 451
JU V COTUIT, MASS. 02635
PHONE (508) 428-2687
FAX (508) 428-7517
March 10, 1998
To Whom It May Concern:
The water service to 535 Main Street was turned off on Tuesday, March 1 Oth, in
preparation of a demolation project headed by Peter Bilodeau..
Sincerely,
Sheri Leavenworth
Business Manager
I
Commonwealth Electric Company
` 2421 Cranberry,Highway
,OG ((��I��JJ��� ` Wareham,°Massachusetts 02571
ll���EEJJJ�J[ , Telephone (508) 291 0950
„.
484 Willow St
Hyannis, MA 02601
March 6 1998,::
To.Whom It May Concern:.
3
Please be advised that the electric service and meter previously billed,to Merrill J Hosmer r
have been removed from 535 Main Street, Cotuit, pole 80/27..' .
It is our understanding that,the building is to be demolished. 3
r 3,
Very truly yours; w 2,
Patricia Raymond,`
Customer Service Representative
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TOWN OF BARNSTABLE :1
CERTIFICATE OF OCCUPANCY
ARCEL ID 021 005 GEOBASE ID. 911
..DDRr;SS 535 MAIN STREET (COTUIT) _ PHONE
COTUIT ZIP
LOT BLOCK LOT SIZE
DBA DEVELOPMENT _ "� �, �" DI STRI CT CT
�I
PERMIT 30863 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#26382
PERMIT TYPE BCOO, TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: r Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES:
BOND THE
CONSTRUCTION COSTS $.00
Qi►
756 CERTIFICATE OF OCCUPANCY
+ BARN3rABI.Fti #
MASS.
039. A�
Ep M1o►l
BUILI�I IVI ON ,
BYE
DATE ISSUED 05/12/1998 EXPIRATION DATE
U i
WT BLOCK T0111 .IZE _ —
DPA DEAPEL PME►• T s):LS721CT, CT
PEWIT 26 332 DESCRIPTION FITNIGLY 1?AMIL"r llWYLLINS
PFRMTT TYPE -BUILD TITLE NItW R-RF&SJIDPWTTAL BLDG FNIT
CONTRACTORS: 8T WDEAU B1!I LDERS, INC.- Department of Health, S,_afety
ARCHITECTS:
and Environmental Services
BOND _ T..00 ptr�M1E
C',ONSTRWrE lON COSTS 11235„DOU.00
101 SINGLE ;!CAM hOME DETACHED 1 PRIVATI?
:. BARNSTABLF,
MASS.
039.
Fp MAl
BUILDING;DI'VISION
By
DATE car = 10 ' tt !1:> 7 UP IRA �ON l:►�1` E �
i
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY•fN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS 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 FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION
PERMITS ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU-
ELECTRICAL,PLUMBING AND MECH-
(READY TO LATH). PANCY:IS REQUIRED, SUCH BUILDING SHALL NOT BE ;
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HASJBEEN MADE., ANICAL INSTALLATIONS.
4.FINAL INSPECTION BEFORE OCCUPANCY.
POST THIS CARD SO ITIS VISIBLE FROMSTREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
loozolvz
3 _ / 1 HEATING INSPECT ION APPROVALS ENGINEERING DEPARTMENT
a 2 �" 1 ���pi
BOARD OF HEALTH
OTHER: SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL PERMIT+WILL BECOME NULLAND VOIDmIF CqN INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT,STARTED,WITIJ,Si CARD CAN BE ARRANGED FOR BY-
VARIOUS STAGES OF CONSTRUC MONTHS OF DATE THE PERMIT IS:ISS�1D'AS TELEPHONE OR WRITTEN NOTIFICA-
TION. * • NOTED'ABOVeFt «psi `, `,,,,,", i 'c 15� ;*d*I TION.
�� / N
BUILD,I, NG PERMIT
14'a
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1,
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QUERY PERMITS : QUERY END
"QUERY PERMITS
PENTAMATION----------------------------------------------------------- 02/09/98
PERMIT NUMBER 26382 PARCEL ID 021 005 535 MAIN STREET (COTUIT
PERMIT TYPE BUILD NEW RESIDENTIAL BLDG PMT
DESCRIPTION SINGLE FAMILY DWELLING
CONTRACTOR
PERMIT FEE 728 . 50 VARIANCE
STATUS A ACTIVE
CONSTRUCTION TYPE' 101 GROUP TYPE 1
APPLICATION 10/20/1997 EXPIRATION
VALUATION 235000 . 00 DATE ISSUED 10/20/1997 COMPLETED
DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE----
(N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/
(F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT
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The Cuninionwettlth of"Afivuachus cif_t
Department, Industrial Accidents
►• • \3 1- ;;,,�. - � Ofticeo//avestlgat/ons".
h(1(l lf'ashinrrun Street
;;.,;' Bmwon, ,11uas• 02111
Workers' Compensation Insurance Atfid. it
i li :inirif rtn inn': _ '__. r'- — -�•. -•...,,,....._„_..-•._._,..._..._....,,._.____._� _____ ,.- _
narne-
ocat' n �J
c•t"' ' hnn• G�
I am a homeowner performin_all work myself.
71 1 am a sole proprietor and have no one working in any capacity
I am an eniplover providing workers' compensation for my employees working on this job.
c_nimmov narnc:
atldress i �� . .
insurance cn. •�- 4 1 a
I I am a sole proprietor. general contractor, or homeowner(etrcle ate) and have hired the contractors listed below who have
the following workers' compensation polices:
Company natnc:
address:
cirv- phone 0-
insurance rn. policy t!
en oil nans' natn(
addresc-
city nhnne 9-
insurance co "Olio•
Attach additional sheet irneccssary - -: ^- i �i' ":5 _" " — -- ��yr�'" • �' _ '
:a-�..�rrr�I---_�.—� .�JI_'...+:�'• ���__-._.e.��—....w._._.t,.—_��_a__.._-�.ilY!•�.L`�it•.lwie w�.sL
Failure to secure coverage as required under Section:SA of AIGL 152 can lead to the imposition of criminal penalties of a line up to SI.500.00 and/ur
unc%cars' imprisonment as%veil:ts civil penalties in the form of a STOP NVORK ORDER and a fine of S10o.00 a dad•against me. I understand that a
Copy of this statement mat be o to Ol ice of Investigations of the DIA for coverage verification.
1 doh hr e t ns t eon •s ojperjun•that the information prorided above is true and correct
SiEmntur Datc 17
Print nae Phone# � / �C ,
m
:.' official uc unls do not write in this area to be completed by tiny or town ofriciai *`
yin•or town: permit/license it nl3uiiding Department
Licensing Hoard
Qrchcck if immediate response is required Osclectmen's Office 1
(:IIlcalth Department ,.
contact person: phone#: rj0thcr
information and Instructions
Massacre scits General Laws chapter 152 section '_5 requires all employers toprovide workers' cempensa-ion forth
emplm s. .As quoted from the "law". all cmrpinree is defined as every person in the service of another urdcr any
contract of hire, express or implied. oral or written.
An cnrpinrer is defined as an individual, partnership. association. corporation or other legal entity. or all-,, two or me
the foregoingenuaged in a joint enterprise. and including the le-al representatives of a deceased employer. or the
receiver or tntstee of an individual , partnership. association or other legal entity, employing employees. However,
owner of a dwelling_ house having not more than three apartments and who resides therein. or the occupant of the
dwel line house of another who employs persons to do maintenance , construction or repair work on such dwelling_ the
or on the _rounds or building appurtenant thereto shall not because of such employment be deemed to be an empio%•e
MGL chapter 152 section 25 also states that even• state or local licensing agency shall withhold the issuance or
rene��•if of a license or permit to operate a business or to construct buildings in the commonwealth for sm•
applicant tii•ho has not produced acceptable evidence of compliance with the insurance coverage required.
Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the
performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter
been presented to the contracting authority.
Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying company names. address and phone numbers as all affidavits 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 require.
to obtain a workers* compensation polioY. please call the Department at the number listed below.
Cin• or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. PIE
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned
the Department by mail or FAX unless other arran`ements have been made.
The Office of iilvesti:atioils would like to thank you in advance for you cooperation and should you have any questic
please do not hesitate to :=ive us a czll. ,!
r..y... .+.._ ...__..--..,._. .•-+...w�.•..r-...ems..•.—..v+-s��..• ..--.�raw....+w�. ... .wr�ew�r-7r._T•vw�.��•..��..
Tile Department's address. telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents _..
` Office of Investigations
600 Washington Street
• Boston,Ma. 02111
fax #: (617) 727-7749
riot -106. 409 or 375
Restricted To: 00 Q�' C
DEPARTMENT OF PUBLIC SAFETY G
CONSTRUCTION SUPERVISOR LICENSE 00 - None
Number:, Expires:
1G.- 1 & 2 Family Homes
' Restricted To: ; 00 Failure to possess a current edition of the
Massachusetts State Buiilding Code
jV jsW PETER J BILODEAU is cause for revocation of this license.
237 PRINCE AVE
MARSTON HILLS, HA 02648
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Assessor's office (1st floor):.
Assessor's map and lot number ....... . . THE T
Board,of Health (3rd floor): `� u
Sewage Permit number �� ✓. ... .. . .
• flU L Z 13AR33fADLE, i
Engineering Department (3rd floor): � 1 ��� ��f moo,, �a• \e�
House number .
Definitive Plan Approved by Planning Board ------------------------- ���'�W
i� �a��.6wu►��u _ o�nY°
APPLICATIONS -PROCESSED'8:30-9:30•A.M. and 1:00-2:00 'P.M.'-only,
' TOWN - OF BARNSTABLE ,-
BUILDIING INSPECTOR
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-
R APPLICATION FOR PERMIT TO .(L� Q.lDI .:�L`.. ,F=.. CC1C) .'.........:...........:
,
TYPE OF CONSTRUCTION ...........:...
713�--.. ....`....19.�t'�
TO THE-INSPECTOR OF BUILDINGS: ;
The undersigned hereby applies, for a permit according to the following information:
4.Location ...... ....d�/.1 ..... .. ..e........1 ...�..C�..1... ::................
Proposed Use ...S' ............. ...................... .
Zoning District ^..... ........ :........... . .:.....:..Fire District .......... .Q. :. .............
F,
Name of Owner C7„3 ........, . ......'Address
Name of Builder ,/.: `. .1. ::I!Yl ,.7TJ . ..l..S. :.....Address
Nameof Architect ..:......:.s....:......:....:........_...........................Address ........::..._::. :.................................................................
Number of Rooms :........ .. . Foundation ........................................
:...:............................................ ... ..moo:����:.�.�::..........
Exley for 1 /..1.�...0 .1� �C.t..............................:.:....Ro,ofing•.:..... g/�tf��4..1.. ..........:.........................
Floors �./iE'.. .. LCC .`„`..............
.. . ..1.... ..................... ..................... .....::.Interior ... .
Heating . .$.. ' .......................................X./� [.. ![' .......................::.:...........".:.....Plumbing ..............
F
Fire lace ............................................................... roximote Cost .. . .
............... .
Id
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 .. -
.......
Construction Supervisor's Lieenseol..5:. 6 .... ........
_ f
HOSMER
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1
1 . ♦ t' -
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` No ...33.$.86..-Permit for ..4dd..,TQ.... pdel
�.e...F:amUY..AWe 1!.?A ng.......... _
Location .St]t;..5. `... c7.zl.. .e Q. ... ...................
........kAt.l1•.it...........................•........... ^1. . •� !• '_ •r• '
Owner Hosmer. '
;-
Type of Construction . ..�''.�:�zI14.............:............ •^ ,.✓^,. r .
...f. .......................... ........ ......... - ' -
t
i.
Plot, ............ Loti ....
Ju l ....3.D.c........;.....19 90 Permit``G anAed ........ ...Y •:. `
Date of Inspection .`..................................19
ti -
Date Completed .....,.. .....19
O xLL.��� l Y oYtl py' t 1. Ir• � 1./- _ _
:4 y
.. � TOWN OF BAR.NCTABLE
CERTIFICATE OF OCCUPANCY
PARCEL ID 021 065 GEOBASE ID 911
ADDRESS 535 MAIN STREET (COTUIT) PHONE
COTUIT ZIP -
LOT BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CT
PERMIT 29937. DESCRIPTION
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: Department of Health, Safety
ARCHITECTS:
and Environmental Services
TOTAL FEES: .
BOND $.00 OxTHE
CONSTRUCTION COSTS $.00
756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P
BARNSTABLE, #
MASS.
1639.
BUILDING DIVISION
DATE ISSUED 04/03/1998 EXPIRATION DATE ----`-
bngineenng Lept.(Jrd floor) Map Parcel Permit#
House#
Date Issued
r
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee
Conservation Office(4th floor)(8:30-9:30/1:00-2:00)
Planning Dept.(1st floor/School Admin.Bldg.)
Definitive Plan proved P nn' g Board 19
�RNBTABLE. .
L; tE0 MKS 6`�
OWN OF BARNSTABLE
Building Permit Application
Project Street Address E 3
VdIage_ C D�T V IT
Owner L 1 f R R 11 L, R[� p �I D S/ IIz 1 Address
:Telephone 6-021 AQ0
I Permit Request 'R �l/C � l�,1/N 0(/S - Aab �� AU f Q)
. .
.First Floor /4 0 square feet Second Floor square feet
Construction Type Woo h �--_
Estimated Project Cost
ZoningDistrict �.
� Flood Plaines Water Protection
Lot Size aw Grandfathered ❑Yes ❑No
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing New
No.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
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None
❑Shed(size) -
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
/ Builder Information
✓✓✓Name �lephone Number
'. Address ,, License#
�I6me Improvement Contractor#
:Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN.(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED,STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE,/
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
I
�Bngiif eririg Dept. (3rd floor) Map 0 o; / Parcel lj - Permit# _ 6163 3 F 9
House# ` ,S 3S" Date Issued l D
4
► Board of Health'(3rd floor)(8:15 -9:30/1:00-4.30) 9 7K,.53 j See 07f
5-0
Conservation Office(4th floor)(8:30-9:30/1:002:00)
Planning Dept.(1st floor/School Admin. Bldg.)
Definitive Plan Approved by Planning Board / 19
UST BE
TOWN OF BARNSTABLK IN ST - MPUANCE
W US
Building Permit Application ENVIRONMWAL CODE AND
Project Street Address Q.,k".A TOWN REGULATIONS
r '
Village
Owner 66 �t4n2,"IAI./ Address --5E ],
'Telephone
Permit Request ' a
� First Floor
f CS square feet Second Floor 0 0 - �� square feet"
Construction Type
Estimated Project Cost $
Zoning District Flood Plain Nd Water Protection
Lot Size ¢ Grandfathered �4 Yes ❑No
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes JdN0 On Old King's Highway ❑Yes ❑No
Basement Type: Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) K�f Q
Number of Baths: Full: Existing New Half: Existing New
No. of Bedrooms: Existing New
Total Room Count( of including baths): Existing New First Floor Room Count 45
Heat Type and Fuel• Gas ❑Oil ❑Electric ❑Other
Central Air Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size-) sl::� ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes No If yes, site plan review#
Current Use Proposed Use
• Builder Information
Name�� [ ( o Telephone Number �8 L
Address License#
i Home Improvement Contractor#
Worker's Compensation#.7 7 W I M D TUL
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT. j
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATUR - DATE —7
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS 3 VILLAGE
OWNER
c ,
f + i rV
DATE OF.INSPECTION:
FOUNDATION
t .;
FRAME _
INSULATION #
1 ,
FIREPLACE
ELECTRICAL: ' ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ,ROU 5 FINAL + i
•FINAL BUILDING -
N
m
..DATE'CLOSED OUT
ASSOCIATION PLAN NO? N
1_ \I