HomeMy WebLinkAbout0159 MARINER CIRCLE i
15q
i
i .
v� /0
u�
1 Town of Barnstable *Permit�C2015011
Facptres 6 mo i s fr m issue d
♦
Regulatory Services Fee
+ BARNSPABLE
MAC'
1639. Richard V.Scali,Interim Director
��
rE0 MA'S A
Building Division
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 PERMIT APPLICATION - RESIDENTIAL ONLY
n✓I� N y,Valid without Red X-Press Imprint
Map/parcel Number
Property Address 6J r1-,T AA4+- O b �'
N<esesidential Value of Work$ fp��� Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address �i2f /� trt�f
AIY4 C,t,mot-. CAI r,.P- /�,,.�1' a•'� S-.yam'
Contractor's Name Telephone Number S� fa c� - +114_ .
-. t
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance XPFIESS
Check one: ■-���'T"
❑ I am a sole proprietor
[�I am the Homeowner OCT _g 2013
❑ I have Worker'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
❑I 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
re fired.
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 061313 Email .
t ,
The Commoirwealfh of Massachuseft's
Deportment ofludushial Accidents
O,Tce of Investigafions
600 Washington Street
Roston,M,4 02111
wn Pv masmgin)tdia
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
'-Name 9ksiness10zp3izafiw&di.,,idna0_ �•9,r le— ''�'�' -
14cdress:
=City/Stat:elZip-. ' t"'�~'r � '¢ o s� Phone#- S-y S�- Yoe-`f/G
Are you an employer?Checkthe appropriate box; . Type of project(reoluireti):
l._❑ I am a employer with ¢- ❑ I am a general contractor and I 6- ❑New conshuetim
employees(full and/or part-time).* have hired the sub-contractors.
2.❑ I am a sole proprietor or partner listed on the attached sheet. y- ❑Remodeling
ship and have no employees These sub-contractors have g- ❑Demolition. .
w for me in an capacity. employees and have workers'
working Y � tY- t 9- ❑Building addition
(No worken' comp.insurance comp.lnsuranC
required]
5. ❑ aye are a corporation and its 10_.❑Electrical repairs or additions
3-.- I am a homeowner doing all work officers hn-e exercised their 1 LE]Plumbing repairs or a:dditims
myself [No workers'comp- right of exemption per MGL 12-.❑Roof repairs
insurance required.]f c.152, §1(4} and we hRVe no
employees_[No workers' 13..❑Other
comp.insurance required.]
*Any a &mA that checks boot g1 must also fill out the section below showing their workeie compensation polirp iaibrmz&m-
T Homeowners who submit this affidavit indi citing they ate doing all w dt sad then hire outside contractors mast submit anew affidavit indicating sad_
+rCoutmctors that cbea this boot must attached an additional sheet showhq the name of the sob-caaft2c0oas and state whether ornot those esrtities have
employees. If the sut-cmtractars have employees,they nmst pmvide their workers'comp.policy number.
.1 am an employer that is prmidvrg workers'cotttpermdion insurance for my employees Below is fire policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.I.ioi 4: Expiration Date:
Job Site Address: City/StatelZip:
Attach acopy 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 31,500.00 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
Im—estigations of the DIA fior insurance coverage veriEcation.
I do hereby certify underthapd1is andpenal€ies ofpetjury thatthe information provided above is true and correct
Signature-', Bate: ��/_� 1,3
02kial use only. Do not write in this area,to be completed by d°or town o,Q4ciaL
City or Town: PermitUcense#
Issuing Authority(circle one):
1.Board of Health 2.Binding Department 3.cityirown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phane*.
6
Information and Instructions d
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuantto this statute,an employee is defined as."...every person in the service of another under any contract of hire,
express or implied, oral or written"
An employer is defined as"an individual,partnership,association,corporation or other.legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the.occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal-of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance-coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
,,pplicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance- If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial -
Accidents for confirmation of insurance Coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would Ile to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of kvestigutiom
600 Washington Street
Boston,MA 02111
Tel.#617-727-4900 ext 406 or 1477-MASSAFE
Fax#617-727-7749
Revised 4-24-07
- www.massgovfdia
s .
±I -
Town of Barnstable
Regulatory Services
`* rinxxsrASM ' Thomas F.Geiler,Director .
i6 `0$
'�Ev Mo+• 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
Please Print
DATE:
JOB LOCATION: S 04/)-7Z/',cl$- a tiv �
number street village
"HOMEOWNER;,: -e2✓rrs. zr 4-1.6* yi4:;
name home phone# work phone#
CURRENT MAILING ADDRESS:_` �--
!.v ® 24 3 r-
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occuRied 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.
DEFU-TMON 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
n
acceptable to the Building Official,that he/she shall be responsible for all such w ork 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
proced and r quirements 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
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in
your community.
C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRFSS.doc
Revised 053012
I
oFs►+ET , Town of Barnstable
Regulatory Services `
9&A.HN LF,g« Thomas F.Geiler,Director
619. Building Division .
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.to/This
Office: 508-862-4038 Fax: 508-790-6230
Propert
Complete ann
If Usi
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work a thorized by this building permit
(Address of Job)
**Pool fences d alarms are the responsibility of the applicant. Pools
are not to be fille or utilized before fence is installed and all final
inspections are erformed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
Q:FORM&OWNERPEPMISSIONPOOLS 62012
Town of Barnstable *Permit#r-)), & ��
Expires 6 montl from issue date
X-P ESS PERMIT Regulatory Services Fee
Thomas F. Geiler,Director
DEC - 6 2007 - Building Division
Tom Perry,CBO, Building Commissioner
TOWN OF BARNSTABi,E
200 Main Street,Hyannis,MA 02601 01"
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number'
�r � t^i;
Property Address;Residential Value of Work .5-re-?o Minimum fee of$25.00 for work under$6000.00
pp !? n
Owner's Name&Address �t
Mr'�t:'�t� =u�
Contractor's Name • .......ia l.:�..,' f L�- r K7-'y1'� Telephone Number '�l �'� % CJ l�
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one;
I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
Er--Re-roof(stripping old shingles) -All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
,
*Where required; Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner,Letter of Permission:
A copy of the Home Improvement Contractors License is required.
iIGNATURE: a.._�.> •-Zf
�Torms:expmtrg
tevise061306
Results r F' Page 1 of 1
Home Improvement Contractor Look Up
Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number
Select Search type: C> AND C OR ,Search
Search Results
Reg. No. Applicant Street City State Zip Name Title Expiration
DOUGLAS L. WILLIAMS BOX Williams,
102227 - CENTERVILLE 02632 Owner 7/1/2008
CUSTOM BUILDING. 1069 Douglas
Total of 1 Records
matched.
Back to Home Page -
- BBRS Privacy Statement
http://db.state.ma.us/bbrs/hic.pl 12/6/2007
_ ` �j� "j/�p II7//Y000ZLIlP.2�L/L O�✓NGQb6�LUt1P. .
Board of Building Regulations and Standards
lugHOME IMPROVEMENT CONTRACTOR• - "
Registrattort ' 1..02227
- 7/1/2008 Tr# 128668'
Type DBA
i DOUGLAS L.WILLVQS CUSTOM£BUILDING
Douglas Williams t .^\
222 PINE ST.
CENTERVILLE,.MA 02632 . Administrator.
' The Commonwealth of Massachusetts
Department of Industrial accidents
Office of Investigations
600 Washington Street
Boston,MA 02111'
www.mass.gov/dia '
Workers'Compensation Insurgnce Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Fndividual):
'Address: 'i����fU(�•c
Ci /StateMZi l ✓ .`� Phone.#: G�-�(7
ty p.
Are you an employer?Check the appropriate boa: :Type of project(required):,
1.El I am a employer with 4. Q I am a general contractor and I
have hired the sub-contractors 6. ❑New construction .
'.empioyees(full au)l/or part time)•*;
2 1I.a.m a'sole proprietor or partner- listed on the'attached sheet. 7. ❑Remodeling
' P and have no employees . These sub-contractors have g• Q Demolition'
for me in an capacity. employees and have workers'
• �rorking Y P t5'• 9. ❑Buu1dmg addition
[NO Fyorker8' Comp.insurance comp.insurance.$'
required-)
5. Q We are a corporation and its 10.❑Electrical repairs or additions
'3.❑ I am a homeowner doing a71•work • officers have exercised their 11.Q Plumbing repairs or additions '
myself[No workers' comp. right df exemption per MGL 12.Q Roof repairs
insurance.re e ]d. t c. 152, §1(4),and we have no •'
employees.[No workers' 13.Q Other
comp.insurance regirired.] . '
*Any applicant that checks box#1 must also fill out the section below showing then workers'compensation policy infmination.
t Horneownema A&o submit this affidavit indicating @roy are doing aU work and:lien hire outside contractors must submit anew affidavit indicating inch.
tcontractors that check this box must attached an additional sheet showing the name of the Sub-contractors and state whetber ornot those entities have
employees. If the sub-conhactors have employees,theymust provide their workers'comp.poky number.
I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy.and job site,
information.
Insurance Company NMne:
Policy#or Self-ins.Lic.#: Expiration Date: -
Job Site Address: City/gy p-
Attach a copy of the workers'compensation policy declarafion page'(showing the policy number and expiration date).
Failure,to secure coverage a8 required:under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine tip to$1,500.00 and/or one-year imprisonent,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 maybe forwarded to the-Office of
Investiaations of the DIA for imma ce coveragB verification. '
I do hereby certify under thepains•aitdpenahles of perjury thatfhe information provided above,is true and correct
Si attire:—`� w_ Date:
an /
i
Phone 0 �3 c,Cs. -'`r 7
Official use only. Do not write . this area, to be completed by city or town:off�ciaL
City or Town: ' Permit/License#
Issuing Authority(circle one):
J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other '
Contact Person: Phone#:
mot ► Town of Barnstable
Regulatory Services
iKnes�BIwo Thomas F.Geiler,Director -
i639.
'°lF Mh'Is 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
5 }
Property Owner Must
Complete and Sign This Section
If Using A Builder
cr
I, P ewe , as Owner of the subject property
hereby authorized (,�,L� , A-wL to act on my behalf,
in all matters relative to work authorized by this building permit application for.
Address of Job)
12 6
gnature of Owne Da
Print Name
If Property Owner is applying for perniitplease complete the
Homeowners License Exemption Form on the reverse side.
Q:FORM&O WNERPERMISSION
Town of Barnstable
OF SHE 1p�
Regulatory Services
yvP O,�
sntuvsrwat s Thomas F.Geiler,Director
MASS. Building Division
ArED .�s Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
vtww.town.b arnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER':
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state ? zip code N\ ti
The current exemption for"homeowners"was extended to include owner occupied dwellings of six umt�br,jess 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 atform acceptable;tp!the;$tiiTding 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 dAd requiiirements and that he/she will comply with said procedures and
requirements._ E t
Signature of Homeowner
Approval of Building Official ' '�``"w``sj'' '` }'e.,•l..a/ Y.
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 of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:foTms:homeexempt
Doug Williams Custom Building Co.
P.O. Box 1069 Centerville, Massachusetts 02632-1069
508-775-1500 866-524-0070 fax 508-775-1503
www.cgpecodhomebuilder.com
e-mail homebuilda(a comcast.net
� irrco�uuea�C� a�,/l/�',crrsu�fivae� $
BOARD OF BUILDING REGULATIONS '
License: CONSTRUCTION SUPERVISOR
Number: CS 016981
Birthd Me::03/07/1947
Expires: 03/07/2008 Tr. no: 16167
Restricted: 00
DOUGLAS L WILLIAMS SR
PO BOX 1069
CENTERVILLE, MA `02632
4" Commisslorier
Assessor's offioe (1st floor):'
Assessor's map 'and lot-number, ..vC �. . �OF YNE TOE♦
4 .. J f °`11C SYSTEM MU
Board-of Health, floor): U/� l� °.
4
Sewage Permit. number.. ..................�`.................. s .AUED IN. COMP LE
Engineering- Department_ (3rd floor) • �. WITH TITLE 5 'oo 39•°
House number ....::........ .-........... 1..... �?� a`
.� r G VIRONMENTAL co
APPLICATIONS PROCESSED -8:30r-9:30 A.M. and• 1:00-2:00`P.M.•onlyt TOXIN REGULATIONS
TOWN OF B`ARNSTABLE
BUILDING INSPECTOR
APPLICATION :FOR 'PERMIT TO . : .. U✓. .... Z,X/ �,r�/.�%�/J f.(�1�...............................................
TYPE OF CONSTRUCTION ......4Wa.P.... ... ..........::....::.......................:.:...........................:..........
Z
w �y
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies' for a permit according to the following information: '
Location ... 'Ol ...A .7..../s7T; . .„f.' .l . .........�.1T//.T...........................:......... ..........................
ProposedUse .... rl. : .. _ ........................................'......... f... ..................................
Zoning District c...... ........Fire District .... ..
Name of.Owner. ................................Address /J .. ll/c"�3��--..Ln!/. ....... Jv/77
Name of Builder ... .... `� �Z2-
,jQ..........�:.........�.......�...:..................Address/.��f.�.r.,/l/.����!�.'!(/,/LJ�'��....... 'r././.�.>..T..
Nameof Architect ..................................................................Address ..............:.................................................:...................
Number of Rooms ...............�.............................................Foundation ....7..���1/�z�` ...�` �sl >?�-............
Exterior .....W. U ..: /../I«L ..?.... ......................Roofing ........ •S'r�!` ¢ l '...................................
Floors ��/.f �, � �: !'. L�Tr.:..............lnTerior .....j7� c�1,4... ...:...................................
Heatingr' G-�. ............................................Plumbing ..........64............................. ..............................
r
ao
Fireplace �1. ................................I...r..................:.....Approximate Cost ........ ..... .v...:....�..........................
Definitive Plan Approved by Planning Board __________________________ 19 Are ............
Diagram of Lot and Building with Dimensions Fee .. .. ... ................................
SUBJECT TO APPROVAL O OARD OF HEALTH, ,
30 S ,
1 - •per - •
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS p t
I hereby agree to conform to all the Rules and RegulatiIs of the Town of Bare- g.ard'ing the above
construction.
Name .............., ....�............ M� ..........................
Construction Supervisor's Lice se .....................f�...�`�...
FIT,TON, -ROBERT
f -
No+:... 9947, .=Permit for BUILD..ADD -
...... sf
,
Sin le Famil Dwellin
Location .Lot �47. .....Uq..Mal:'?a.�..C.�.�C7
Owner. ...Robert Fitton z
v . - •- �.
Type of Construction- ,.F94W.................:!........... � a ,, •
'
Plot• ? ............ Lot .......
Permit Granted .........:Sept...22,. .1 q 86
. ., ,
Date of Inspection ....................................:1,9
M
Date Completed ._.... ..el,.?........, .... - } -
"b-�r �r"` � efiyr:M `, � - � % V �r7`�, r ! � ,�s •. - •, - n.
w to R�] �_ Mt=��t _, - . " _ .• �". {,�'• � , � .. 'H .. � • . �4
', w -
,r
Assessor's offioe (1st floor): _ u
,jAssessor's map and lot number :.. `.........
.............. ...
Board of Health (3rd floor): rO�Q
Sewage Permit number ......(J. �� /�� .:... ....................... Z E9B33TADLE. i
Engineering Department (3rd floor): 9 "639• �eo�
House number ....................................... ...............�.......(.......� .✓` •Fp mA�a•
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 ... .... ........................... .............................................................
TYPE OF CONSTRUCTION ..... ......��...K .....................................................................................
.......•---... .. 2. • 1g_
- -----....... %
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...tia�`..�i!..'7....�SS... ? �w�'z- Gl ........ 'U77J/T.................................................................
Proposed Use ....Af . . ........... ..'..i....7................ ..............
Zoning District t.......... .........................................Fire District ....!,
Name of Owner l •?(�T... � /v...............................Address / � �}!//1� —
Name of Builder ......................Addressl � /l/.�lG% /(����
Nameof Architect ..................................................................Address ..........:.........................................................................
Number of Rooms ..............2--.............................................Foundation ..../2"...'
Exterior .....(iUO'�J./_�..:._ri7//.V�7 � ..............................Roofing �'... .5'�C�! G. ............................I.............
....
Floors ..........(.!' /....(�r)G!q.l ................Interior .....,.S Tr���`(.G............'.............................
Heating ...................:........................Plumbing .......xl/e4.....................................:t........................
Fireplace /Z G ...................�......................................Approximate Cost .......�d:.. 0.0.................�........................
-----)9-------- • Area o� S r 1'
Definitive Plan Approved by Planning Board __________________________ `�.-„•--�,�-•••�...........
Diagram of Lot and Building with Dimensions Fee 4_.,.�CJ!.
SUBJECT TO APPROVAL O ABOARD OF HEALTH
30
oeo
A �
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS O
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ....... . ....... .......
Construction Supervisor's License ............Q .C....v y
FITTON, ROBERT A=23-53
No 29947 permit for Build Addition
.........................
Single Family Dwelling
..........................................................................
Location Lt , Circle
........o.....#47................159.............Mariner......................
Cotuit
...............................................................................
Owner .......RQbert. Fitton
.............................
Type of Construction ..FTame.............................
...............................................................................
Plot ............................ Lot ................................
Permit Granted 22, 86
....p Sept.t........................19
Date of Inspection ....................................19
Date Completed ......................................19
�o '�o
Assessors map and lot number ... THE
F roe
SEPTIC SYSTEM MUST „
S2wage Permit number" ......:................ ®.��..............:...... INSTALLED IN COMPLI C '�
5 Z i
House number ...................................1�`^l sea'
"'""' WITH TITLE BaEB9TADLE,
ENVIRONMENTAL COD 39• `00
REtYLATIONS 0Mara
TOWN 'OF BARNS'flwfl,L
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .. `!".......� .......... ..................................................
�./ }
TYPE OF CONSTRUCTION ...... ............... ...... !�G�/,� ,,.... ... .................. ......:............................................
� ..............19. �
TO THE INSPECTOR OF'BUILDINGS:
The undersigned hereby applies for a,permit accordinq to the following information:
Location .. Ll. ........ .... . ......... . ............ ... .....................................................
Proposed Use ` ........................................................................I.........................
........... . . ......... ................................. ... ..... ... ..
Zoning District ............ .. ............................. ......................Fire District ........ � (
Name of Owner ... ...��^�.. ....�. .... .........Address ............ ........1 .�,
;Name of Builder ... ............ ...............................Address ....................................................................................
Nameof Architect ..................................................'................Address .................... .................................................................
Numberof Rooms ...............6........... ..................................Foundation . . ....... .. ................................
Exierior . . .. ... ....... ....... ....................Roofing .....�.................�...... ....
Floors .........................................Interior .... G �� .........
�` .... '
Heating ...... ............... .... ....:�...............................Plumbing .........../,�:........................................................... l
Fireplace ............................Approximate Cost ...j6 �
Definitive Plan Approved by Planning Board ___ __________1 _______19_ �. Area ....... / .. .. . . ......
Diagram of Lot and Building with Dimensio s Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTHQ�D
1
L) .
0
L�
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re arding the above
construction.
NJ... . . .... ..... .............. ..............
CEDAR ACRES REALTY TRUST
No Permit for ..One Stork'...........
............. ..
Sing.je..F aZily...D.wp
................ .............
Location Lot.,#4.7...1.5.9...Marluez...Cl r.c 1 e
Cotuit .
.................................................................... ..........
owner ...Tr-ust
Type of Construction ..Zrame...........................
................................................................................
Plot ............................. Lot ....................
Permit Granted ... ......................19 81
Date of Inspection ....................................19
.Date pCpletel ......./..........11-7/7..19 4�
PERMIT REFUSED
....... ......................................... 19
2
.. . .................................................
x . ..
...................................................
0
.....................................................
Approved ..,—............................................ 19
...............................................................................
..............................
f
l2S a40
K
C Z U�'' �r •t
yG� S
D
9 ;lDmTJAV
O Z O
q 0
MorXj>
z c
o n m
g pr 7.
�^ n � m
XR
4 fib° 0 4m
v (TI, H
m 0
.� L E ��
m 4 n
PLAN SHOWING r
i
FOUNDATION LOCATION S
C O T UI T, MA SSACHUSE T T S
OWNED BY G��tai4k' i9C'�' �P. ".4G?..l� 7"•8, (Ti
SCALE �'= 40 ' GATE Z71r'C ✓� J g$ J
NORMAIY GROSSIMAM----— — REGISTERED LAND SURVEYOR 3 —
i HEREBY CERTIFY THAT THIS FOUN04TION 15 LOCATED 10 of N4s� �-
ON TrHE LOT AS SHOWN AND CONFORMS TO THE TOVY
OF BARNSTABLE ZONING REGULATIONS REGARDING t w►0�"1A*s Ni a l
o Glll S IANal
FROM STREET LINES AND LOT LINES . "
`�, 12) 5 Q 1 (A
�r�...� _� �:. I Z.-S��� ivy ➢
MC .RMAN GROSSMAN R.L. S. DATE
'.o TOWN OF BARNSTABLE Permit No. ________________________
{ ���� Building Inspector cash
Oo�pYPY`\ 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.
.....................................................1 19...... „ ................................................................................._................_....._...._
Building Inspector
Assessor's map and lot number .., ......,
r
SeS,/age Permit number �
Z 33lSB9TAXLE. i
`Jbuse number m�
i p t639. `00
D YFY tr'
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..............................r.. `...................................................................................
TYPE OF CONSTRUCTION ....... .9 .....!. % /
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies forta permit according to fthe following information:
Location ✓�.?� �f �! d'�CZ ?i?(1...................................................r .... ... ................. ............................ ...
Proposed Use 1 /�`� C U1 ...........................................................
Zoning District i� ......................Fire District �h.. !
Nameof Owner ...................... .. ...'..!.. .. ^..........Address ..................................................... ..............................
Name of Builder f j.�s� ; [.G�' ......`.:r..............Address
........ ........
Name of Architect ..................................................................Address .........-........'.'. ............
........s `....`........................................
Number of Rooms ...............( ..............................................Foundation .1'./ ...................................
r
Exterior ,.:.. Roofing ..... .......................... . .. .....................................
...� ?1 f Gu .. .� ,.4�,r� �.Floors �• - ..........Interior . ...........:.
Heating ";.......................................Plumbing .. %^
Fireplace ................. ..........l.................................................Approximate Cost ...C�(........................................................
Definitive Plan Approved by Planning Board ____14 f_ 19__Z�O. Area
Diagram of Lot and Building with Dimension Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
r Li ��,� ✓
r
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ° `.............................................f, '• G �f ( 'j..............
CEDAR ACRES REALTY TRUST A=23-'=�3
J a3 - s3
2-3081- One Story
No ................. Permit for ....................................
Single Family Dwelling
...............................................................................
Location Lot #47 159 Mariner Circle
............................................................... y
Cotuit
...............................................................................
Owner ...Cedar. . . ...Acres. . ...Realty. . . ....Trust. . . ,
.. .. .... .. ..... .... .. .. .... .. .... .... .. . ..
Type of Construction Frame
.............................
................................................................................
Plot .......................:.... Lot ................................
May 81
Permit Granted ............x......................19
Date of Inspection ... ................................19
Date Completed .. ...................................19
PERMIT R FUSED
....................................../........................ 19
..�........./doO /��...............
...............................................................................
...............................................................................
Approved ................................................ 19
...............................................................................
...............................................................................