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HomeMy WebLinkAbout0156 MARINER CIRCLE �/�, � I (, i i f � v X-PRESS PERMIT Application number b JUL12020 2020 Fee ........................................ ................................. TOWN OF BARNSTABLE Building Inspectors Initials..../�"�" i�,•'� JJ Date Issued....L�-4. ................................... Map/Pa rce l..........". ....... .. ........................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION r Address of Project: )�� rJ��, �; fe ( 4,,,V NUMBER STREET VILLAGE Owner's Name: C,��I_ ����„ Phone Number Email Address: Cell Phone Number Project cost $ Ste' Check one Residential V Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a b Ming permit in accordance with 780 CMR Owner..Signature: Date: 72ll,�—ha TYPE OF WORK ding ❑ Windows (no header change)# ❑ Doors (no header change)# Insulation/Weatherization 0 Roof(not applying more than 1 layer of shingles) ❑ Commercial Doors require an inspector's review Construction Debris will be going to - ❑ Certificate of occupancy with no construction(complete below) Occupant/family relationship or business name or Existing amnesty apartment(attach a copy of recorded comprehensive permit) CONTRACTOR'S INFORMATION Contractor's name M,ke'McCarthy,Construc#ior PO Box 52 Home Improvement Contractors Registration(if appli #3ennis, MA 02670 (attach copy) Cell.(508) 280-6964 Construction Supervisor's License# CSL-58633 1JWr.169 3 Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS/N •••����•�....,+....••+ ...... ■00--A BAR 2 A nnnO%S iA R A nY'nAA/T/-A A/ nr 80-0-1 id-M APPLICATION_NUMBER } $' *For Tent9 Only Date Tent(s)will be erected Removed,on a %* number of tents total "V1 Does the tent have sides? Yes No = ._ = ,of yeis!please�" attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or> Yes No , if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. WOOD/COAL/PELLET STOVES * :Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name:Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date ` a APPLI NT"S SIGNATURE P . Signature .�� .. • ,'��' '�'•'�'+•�t Date All permit applications are subject to a building official's approval prior to issuance. ? 91 - 32s• �Sz � DoaoSign Envelope ID:DA2FA81C-FE73-4ABC-B431-AB287C1CDOD9 l of SHE rah C 611 — 1vS6� © ►a�� �2- 3� y Town of.Barnstable nAsxsraee.E, ` Building Department Services Mass.1639. Brian Florence CBO rFv Yl 116, 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 1, Carol Quinlan , as Owner of the subject property hereby authorize ,�L, �e.��t to act on my behalf, in all matters relative to work authorized by this building permit application for: 156 Mariner Circle Cotuit (Address of Job) DocuSigned by: Signature of Owner Signature of Applicant Carol Quinlan Print Name Print Name 2/19/2020 14:07 PM EST Date l The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston,MA 02114-2017 www rnass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNUTTING AUTHORITY. Applicant Information Please Print LeLribly Name (Business/Organizationdndividual): O $ox.5:2 Address: west Dennis, NIA 02670 City/State/Zip: CSL-58 rie IC-169393 Are you an employer?Check the appropriate box: Type of project(required): 1.04 a employer with employees(full and/or part-time).* 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working.for mein❑ 8. E]Remodeling any capacity.[No workers'comp.insurance required.] 3.M I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. El Demolition 10 Q Building addition . 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I I.E]Electrical repairs or additions proprietors with no employees. .❑Plumbing repairs or additions 5.� 12 I am a general contractor and I have hired the sub contractors listed on.the attached sheet. 1 .�RoOf repairs These sub-contractors have employees and have workers'comp.insurance.1 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they.must provide their workers'comp.policy number.. I am an employer that.is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. OF,(( Insurance Company Name: �'�Jvr.c ����;���.� F f( I✓Nc, Policy*or Self-ins.Lic.#: �. / V✓ U 33 to 6 Expiration Date: l S )as Job Site Address: City/State/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 MGL-c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify r e i and penalties of perjury that the information provided above is true and correct. / Si natureg: Date: -Official use only. Do not write in this area,to be completed by city or town official. Citpgr�Town: �>. Permit/License.# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Im rovem ct r n Co tr Registration 1� n a o § Type: Individual Registration: 169393 MICHAEL MCCARTHY . Expiration: 06/15/2021 P.O.BOX 52r WEST DENNIS,MA 02670 � x Update Address and Return Card. SCA 1 0 2OM-05/17 r'/ee �inrizo2air.�.c��a��T2�ss¢c�%��edGy Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Individual before the expiration date. If found return to: Registi4tloh Expiration Office of Consumer Affairs and Business Regulation 1fi9393 06/15/2021 1000 Washington Street -Suite 710 MICHAEL MCCPgi�T�fY-� Boston,MA 0211d17 J r I., / MICHAEL F.MCCARTHY iv, 6 RANGLEY LN. 'e: _�,:<_`` ,Q(GG :/aGfi�i i/ I SOUTH DENNIS MA 02666 Undersecretary {-` Not valkWiithout signature Commonwealth of Massachusetts Division of Professional Licensure BUILDING PERFORMANCE INSTITUTE, INC. Board of Building Regulations and Standards erg. - _ 107 Hermes Road.Suite 210 �riJ�ti't� t1� f Conssor Malta,NY 12020 (877)274-1274 CS-058633 E�;pires 04/10/2022 www.bpi.org MICHAEL J II,CCART PO BOX 52 WEST 1DENN&mkl026y '' Michael McCarthy BPI ID#:5023246 PIk.tl'•T' al�IIt7i...,_ Commissioner dia Frc-�a.,�.,. - 5M (SEE REVERSE SIDE FOR DESIGNATIONS AND EXPIRATION DATES) IME Town of Barnstable *Permit# o)j � �aU Expires 6 months fr�sue date * � E P&OTRegulatory Services Fe 9 crass. $ Richard V.Scali,Director wA i639. EP 10 2014 TED N►ptf A Building Division or q��L y TOWN OF BARNSTANeE perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL. ONLY Irk Z L� Not Valid without Red X-Press Imprint Map/parcel Number V \\ Property Address *4 V [Residential Value of Work$ ir1 0�0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address .-� Contractor's Name Dk1w ` _ v Telephone Number:50&-501? q(0 y® Home Improvement Contractor License#(if applicable)_ f7—S9 I -Email: b6C( Construction Supervisor's License#(if applicable) q 9 10 5?4rkman's Compensation Insurance Check one: ❑ I am.a sole proprietor ❑ am the Homeowner Rr I have Worker's Compensation Insurance Insurance Company Name -sey_-" A R-L- Workman's Comp. Policy# w c�s`' i s ®4 —03 Copy of Insurance Compliance Certificate must accompany eacA permit. Permit Requ t(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 the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doe Revised 061313 The Commonwealth of Massachusetts t Department oflndustrial Accidents Office of Investigations 600 Washington Street" Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): 0 L—k v a Address:'::j�j 4L City/State/Zip: 'ty� PA Phone t5 o% ScA t-t( 4_0 Are ou an employer? Check a appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or pa -time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling These sub-contractors have ship and have no employees g, ❑DemoLtion working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'comp.insurance comp.insurance. .[] We are a corporation and its 10.❑Electrical repairs or additions required.] 5 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. No workers' comp. right of exemption per MGL 12.[YRoof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name. Policy#or Self-ins.Lic.#: Q ✓ 2J�� J ®t t !� � Expiration Date: Job Site Address: 1� AAQAA0e1L e41&CA-'1r— City/State/Zip:COW%7V 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 of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ti eMhe pains and penalties of er' ry th the information provided above is true.and correct. Signa Date: [__10 2�l Phone#: j —L 0 Official use only. Do not write in this area,to be completed by city or town official City or Town:' Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f ,aco CERTIFICATE OF LIABILITY INSURANCE F 1/1712014 DATE(MM/DD"YYY) 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 DOWLING&ONEIL INS AGENCY INC CONTACT NAME: 973 IYANNOUGH ROAD PHONE c No M: FAX A/C No: HYANNIS, MA 02601 E-MAIL ADDRESS: INSURERS)AFFORDING COVERAGE NAIC# INSURERA: LM Insurance CO tl 6 0 INSURED INSURER B: OLIVER KELLY DBA KELLY ROOFING INSURERC: 8 RHINE ROAD INSURERD: YARMOUTH PORT MA 02675 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 18970709 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMID MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS-MADE a OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY D PRO- MTLOC $ AUTOMOBILE LIABILITY Ea MD S d.n INGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident AUTOS H AUTOS ) $ HIREDAUTOSNON-OWNED PROPERTY DAMAGE AUTOS Per accdent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ / $ A WORKERS COMPENSATION WC5-31 S-338804-033 12/28/2013 12/28/2014 we sTATu- o�l- AND EMPLOYERS'LIABILITY y/N TORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? Y❑. N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 100000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state MA. THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR OLIVER KELLY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE LEDDY BUILDERS THE EXPIRATION DATE THEREOF,_ NOTICE WILL BE DELIVERED IN 104 STUDLEY ROAD ACCORDANCE WITH THE POLICY PROVISIONS. SOUTH YARMOUTH MA 02664 AUTHORIZED REPRESENTATIVE Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/06) The ACORD name and logo are registered marks of ACORD CER7 NO.: 18170709 CLIENT CODE: 132 955 Deb Derochemont 1/17/2014 11:06:36 AM Page I of This certificate cancels and supersedes ALL previously issued certificates. y LLB ROOFING 8 RHINE ROAD. MA HIC #128957 YARMOUTHPORT MA 2 ' e' c-19 . com August 6, 20 i 4 Proposal submitted to Mr. Stuart Boyer of 156 Mar finer ircle, COOL- MA We propose to supply all materials and labor necessary to remove and replace the existing roof at the address above All debris to be removed to town transfer, " l)'te altjminum drip edge to be installed on all eaves. Ice an8..,wa er damage protection membrane to be installed on the first three, feet of eaves btrd3 around.all protrusions, a Rem rrt r of deck to be C a ere with #15 Felt Paper. C. 2tN -7J t(,gNflASgp..t,(, Lifetime limited warranty Architect style shingle to be installed, (color to be specified) All shingles to be storm nailed: ( ) Bathroom vent pipe boots to be replaced with i new. Repair/Replace, all flashings as necessary including chirriney. Install Shingle, Vent 11 Midge vent on all ridges with Hand Nailed Caps, Protect all walls, windows; docks, plants, shrubs; etc, during reef strip. Complete cleanup of area during and after procedure including all nails and clearing of gutters, I Replace damaged and rotten White Cedar shingles at roof step up to right of garage with a ek trim, Obtaining of"Iowa Permit, At a Total Cost of 90 ' m Payment schedulebalance upon completion. ResPeCtfUlly Submitted, Oliver r belly. Proposal accepted by, ,&&t V,6 Dat. 12014 If acceptable please sign and remit one cd y to the address"above, keeping a copy for your records,.this proposal is valid for 45 days from date above, plea`:e call to Verify thweaftEK, Office of Consumer Affairs and Business Regulation = 10 Park Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Regiskstion: 128957 Type: Individual E'kpirAon: 6114/2015 Tr8 Oliver Kelly Oliver Kell 8 Rhine Rd Yarmouthport, MA 02675 ' ' Up"Address and return card.Mark reason , sea 1 0 2GM4Wjj (] Address'0 Renewal D Employment G_%/re`(�cuuirc-n.•�nrN t�''•{-h��:aclt�sclh •___- -: - -- - '•� OM of Consumer Affairs&Business Regulation LIcense or rnigmtIon valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration data If found return to: MktmNon- 128957 Type; Office of ConsumerAff ars$ttd Business Regulation ir86on: ._W1412015 Ind'roidual 10 Park Plaza-suite 5170 Oliver Kelly Boston,MA 62116 Oriver Kelly _ 8 Rhine Rd. Yannouthport MA 02675 Uader3ecretarg Not valid without signature Massachusetts -Department of Public Safety * Board of Building Regulations and Standards , • - � �r��lCiiE�sit,_re�?�C_�''�?`;if3'`'r�'rse]i - License: CSSL-099167 OLIVER M KELL 8 RHM ROAD , ,r Yarmouth Port MA 02675: ,r Expiration Commissioner 09/28/2015 THE E. TOWN OF BARNSTABLE v ~ ' BUILDING INSPECTOR �� �� NNN0—NNN ���� N �����~�.0� 0NNR ' ^ ^ APPLICATION FOR PERMIT . .............................................. - TYPE OF CONSTRUCTION ................................................ � , . ' .'--��� ./���--_—.]��—' � ..�/— �-' �,�� ..TO THE INSPECTOR Of BUILDINGS: The � undersigned hereby appliesfor according the following information: { � Location —�^�z?l—../����—..������1�������. ----�.����«<—.--------^---.—.-------. � . , - Proposed ` Use —. --------------------''' -----.— ' , Zoning District —. �� ' , . — —.. Fire District _______ . \ Nome of Owner .. /'x�'—A66rex -- C . —.---~—. � ^ - ` ^ Nome of Builder ----Ad6n*ss -----------------.---.------- . Nome of Architect --------' ------------Addrex -------------------------.--. . ^� ` Number of Rooms ....................... ' . — _.'----.Poundoti ...................... � Exterior //������� ������� ------�Rooh Floors —���� Interior Heating —' u��' , --------.F1um6ing -- —.�� __________,___ | , � Fireplace '---..�������'!r�.----------------..App,oximo�e [oo ---����'������________..��_. Definitive Plan Approved by Planning lg���'' Area —..!��.������L��l'...... ~� cr Diagram of Lot and Building with Dimensions Fee .............../.!_________ | ~_ZJ SUBJECT 0 APPROVAL OF BOARD OF HEALTH ' ` ' � | ' ' � � � ~ ` ' | hereby agree to conform to all the Rules and Regulations ofthe Town of Barnstable regarding the above construction. � Name ............................................... . | Cedar.Acres Beal�' ��uot ' � No ...... Permit for .1.. ..dv���-i:jng - ---~.------.—..-------.----.. Location '1Qt Jt.124... �a.r.Iaer'~G�� ..... ^ ' ..........................Co±ui±—..----------- Owner —�-e dac..Acz.es..Je 2jl.ty'.T ra h--- Type of Construction ' ' ' ............................................/................................ Plot ............................ - ' ` Permit^ ~'~^'~~ Date of /nupecti Date ` . Ul E MIT RE USE _ . /. PT �~ lg — ' ' � ...................................... ~ ------ --,—~. . ..... .��.�'---_.—.. . —� �`-� —'l— ^ ............................................................................... ' ^� � -----�`--------..--.~-----.—.' � - v Approved ................................................ lA -------.------------------... . ' -----------^-------~—'^^'—~'^' | Aosessor's map and lot number . ....- ../.���.� ;.1�: d�J 0*THE r0 Sewage Permit number ....... ....................................... „ a � House number // STABLE, M TOWN OF BARNS =�`Cs WN_ ODE AND REGULATIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO �. ......... . 9 .............................................. TYPE OF CONSTRUCTION ..: .. ... .. ... .... .......... ................. ............................... ..... . ......... ... i7T.............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followin in / - Location ..../� .. .. .... .... .. . .............. ' !f........................... ............................ ... ProposedUse .. . ''�' i'� ......................................................... ............................................................ Zoning District ........ . . .................Fire District... ......................... ........... r..................... Name of Owner � ..'.e. ....li�,...Address ........S_--./._ZviofA...................... Nameof Builder .... ..:..... . ......................:=� .............Address .................................................................................... Name of Architect ..................................Address .................................................................................... ................................ Number of Rooms ..................Foundation ....�.. ... .� �` ......................... ............................................. ........... Exterior . ........ �.... ..... ........ :...................Roofing ........ . Floors .....�. ... ......1,....... . f ..................:.................Interior ... .. . f� ............................................................. Heating .!'� ......... :.... ..........................Plumbing ...... ... .�....�1��,: ............................. .......... � ,q Fireplace ..:...............................................................................Approximate Cost .........e,- ......................... .. ..... Definitive Plan Approved by Planning Board r ____19 . Area ....I .S.. ...... ....!...... of Lot and Building with Dimensions 3 /i Diagram 9 Fee ..............!............................. SUBJECT TO APPROVAL OF BOARD OF HEALTHQ/J. 5 � !11` 71f 'q d I hereby agree to conform to all the Rules and Regulations of,the Town of Barnstable regarding the above construction. Name ...... ............... .: . .... .............................................. ?."CPdar_,a Gres Realty Trust 116 ..... Permit for .... ..4Urx...ftelling ............................................................................... Location .....19t.. ..Maririe '..Oix..,.......... � ................ .................................................. y " Owner .....CP.d4r..AgrQS...Realty...Tx:ust........ Type of Construction ........frame....................... Plot ............................ Lot ................................ ' Permit Granted ..................Nov;.....1.3.:..19 79 Date of Inspection p ��, ... Date Completed .... . .... ...............19 • x PERMIT REFUSED j ......................... ...............................%;19 ............ ...... .*........................................... . .......................................... E i ............. .. ..4,.` ....................................... �. / '�' .r r y•. fz .............. �.P. . .. ". S 1" J � , Approved .......=:...�,;......................... 19 .......... . .. . ..... ......................................... ...................:........................................................... All r p TOWN OF BARNSTABLE Permit No. --------_—------_____ Building Inspector cash AA raa OCCUPANCY PERMIT Bond ----—---___ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ..................................................._, ............................................._................._.__ .....__..._.._.__ _ _ Building Inspector ti+ n i TOWN OF BA$NSTABLE Permit No. Building Inspector Cash __-_-- '+O fal ` OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address - _a 1 r •, L Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ..................._..._....................._.. 19—— ............................................................... _.. . _. .....__.. ........ . Building Inspector FR°"TOWN OF BARNSTABLE F BUILDING DEPARTMENT Mr. Francis Lahte ne 397 MAIN STREET Town Clerk HYANNIS, MA 02601 { Phone: 775-1120 l L SUBJECT: FOLD HERE DAT3anuary 30, 1980 , .MESSAGE Work has been completed under Building Permit #21829 (cedar �i Acres Realty Trust) . Please release Bond. SIGNIQD 1 DATE i REPLY SIGNED N87-RMI RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY-,-- PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. FROM TOWN OF BARNSTABLE - BUILDING DEPARTMENT' fir. Francis Lahteine' 397 MAIN -STREET Town Clerk - HYANNIS, MA 02601 Phone: 775-1120 SUBJECT: FOLD HERE - °AT,'anuary 30, 19 0 MESSAGE Work has been completed under Building Permit #21829 (Cedar Acres Realty Trust) . Please release Bond. 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