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Home My WebLink About0414 MARINER CIRCLE .,. � �� i f I Town d Barnstable 4e�I Expires 6 months from issue dat Regulatory Services Fee + BARNSTABLE, t M"039. Thomas F.Geiler,Director rEp MA't� Building Division (Q, Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis;MA 02601 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 Numberp�`'C (J Property Address -�/y ��-�`qfr �' i-1�� ®ZU, � �'J7,� D_ ?� [Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ZP,S%% Y-�'r^c� 1�/E� "�, Contractor's Name " a,: Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) a ❑Workman's Compensation Insurance Check one: NOV 1 4 ❑ I am a sole proprietor n l am the Homeowner TOWN OF BARNSTABLE ❑ 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) P.Re-roof(stripping old shingles) All construction debris will be taken.to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is requir d. SIGNATURE: Q:IWPFILESTORMS uilding permit forms\EXPRES .doc Revised 070110 ?lee Coln mo> stwahth of Massachusetts Departn mt o,f Indmirial Accideraty 0flwe of Investigations 600. Washington Street w Boston,MA 02111 wwwu..mas&gov1dia Workers' Compensation hsumuce Affidavit: Bu lyderslContractors/Electiieians/Plnmbers Applicant Information Please Print Lepibl- Name duai): es//`C- Address: City/statejzip: f Phone o Are you an employer?Check the appropriate boa: Type of project(required): L❑ I am a employer with . 4.. ❑ I am a general contractor and I employees(/lull andhrpart-tim�e).s have hired the sub-ContFacfmrs 6. ❑New construction 2.❑ I am a sole proprietor or paroles- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition and have workers' working for the in any capacity. . employees 9. �Building addition [No workers'comp.insurance camp.insurance: �rewired] 5. ❑ We are a corporation.and its 10.❑Electrical repairs or additions 3.4� 1 am a homeowner doing all work officers have exercised their l L❑Plumbing repairs or additions myself o workers' right of exemption per_MGL mY � comp- 12.0 Roof repair insurance required.]r c. 152, §l(4),and we have no employees-[No worl��ess' 13.El other camp.insurance required.] ;Any apphcmU that checirs bog#1 must also fill root th+e section below shearing their wwken'compensation pommy information. Hamem mers who submit this affidsvit indicating they are ding all wed axed then lime ownde contractors mast mbmu anew affidavit indicating such. ZContractors that check this box must attached as additional sheet showing the none of the sub-conuxtors anti state whether or not those eniities have employees. If the sub-tcatzassors have employees,they mug.provide their worked'camp.policy aumber. lam an empLo3,"that is provh 'ng workem'co Tensation insurance for my employem Be iv is the poffey rind jab sb#e . information. Insurance Company Dame: . Policy 41,1 or Self-ins.Lie. Expiration Date: Job Site Address: City/statelZip: 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 time of up to$250-00 a day against the violator. Be advised clout a copy of this statement may be fore wiled to the Office of Investigations of ihe.DIA for insurance coverage veeiic aticn- I do hereby,cer y der the 'is and rr 's ofpeiVu7 that the info.rmidion proeyidced aboire is hue and correct a ` 5i Date: Phone#: O, riot use only. Do not write in this area,to be c nnptetad by.cio.or totm of ciat City or Town: PermitUcense# Inning Authority(circle fine): 1.Board:of Health 2.Building.Department 3.C ty/Tovsn Clerk 4.Electrical Inspector.5.Plumbing Inspector b.Other Contact Person: Phone#: 6 OF t r Town of Barnstable i Regulatory Services " '" MAS& Thomas F. Geiler, Director OArF1639. a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number - street village "HOMEOWNER": name home phone 4 work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form ,acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned "homeowner"certifies that he/she understandstthe Town of Barnstable Building Department minimum inspection pro edures req, rements d that he/she will comply with said procedures and requirements. S' atle of Homeown 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, Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 070110 oFtHE ; MAMS * x 9� 1 . ,� Town of Barnstable prfD MAC A Regulatory Services . Thomas F. Geiler,Director , Building Division Thomas Perry, CBO Building Commissioner 200 Main.Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize / �C 7��tc�� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on.;the reverse side. Q:\WPFILESTORWbuilding permit forms\EXPRESS.doc Revised 070110 1 1 CAPE COD '�� ,`i, 61A L . INSULATION � M� � b, 21111INCA! m2 KI 2: 57 EIBEROLA33 SEAMLESS SPRAT FOAM SUSPENDED BAT GUTTERS INSULATION CEILINGS KI'MP" a=ie�ss'.:ey�Rw',plyay 1-800-696-6611 ?b ' ' Town of Barnstable I Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit h application. All work has been„inspected by a certified Building Performance.Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village l�e g �i e �e��j : : �11�1 'M'A�('i N•es- C'�(' Co��- 1 Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings # Slopes kel\11-1 ( 1 ) Y ( 7�) a0) (Y) ¢ 4 Floors r - { Walls ( ) ( x) O O ( ) � Si erely - • • i H my E a i Jr, resident ape Cod Insulation, Inc. #' _ 4 „ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued l Conservation Division Application Fee Planning Dept. „ Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address Li Lt Village C Off- k o'Z-b3 S Owner L2S tc e. aec -1 Address 414 r A(r t Ors' Ck r Telephone S V'T- -7 3-1- 3 a1 to Permit Request Irl” cX 0--9-0 Ce.(1U\0SC -\,D e*, �i�a �� iti C l ei ew�'i-er if ort, ZjO6,r SCA, r� �-+` C Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 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 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: q Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: q''existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: - - Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 44 'Y GP'Ss 1 0-Y Name Tug w-kk oN) Telephone Number Sol- "7 7 S- to y Address '[ SS k\pAn*A-_, mya,, License # W 0 ot 1'7 Home Improvement Contractor# L53 5 -7 Worker's Compensati11 n # WC V) n O S 259 0 I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKENTO k SIGNATURE DATE 0 i c FOR OFFICIAL USE ONLY t APPLICATION# DATE ISSUED MAP/PARCEL NO. ' ADDRESS - ` % VILLAGE _ - f f OWNER t DATE OF INSPECTION: j _FOUNDATION T FRAME INSULATION ` FIREPLACE ELECTRICAL: ROUGH = FINAL PLUMBING: ROUGH FINAL ROUGH Ff, FINAL �;1F�CNAL•BUILDING11-A :ir F 1.r t v i DATE CLOSED OUT t ASSOCIATION PLAN NO. Z 1 The Commonwealth`ofMassachusetts Department of Industrial Accidents Office ofhzvestigations 600 Washington Street - h, % Roston, MA 02111 . .�yy wwiv,rnass.gov/dia ,�A. ,° - � • .. Workers' Compensation Insurance Affidavit: Builders/Contractors/I lecti icians/Plunlbei-s _Applicant Information Please, Legibly Name (Business/Organization/lndividual): CA 2� � S',v 11 �`a 'r �Aer� _ -^U C Address: ✓' City/State/Zip: ZL Phone #: S�0 7 7 Are you an employer? Check th appropriate box: Type of project(required): I.[� I am a employer with _ 4 ❑ I am a general contractor and I. 6 ❑New construction eiriployees'(frill -ling and/or'part-time).* have hired the sub-contractors 2-❑ I am a sole proprietor.or,partner- listed on the attached sheet. 7. Q Remod ship and have no employees These sub-contractors have g, 0 Demolition working for mein any.capacity. employees°and,have workers'" 9 Building addition No workers' comp. insurance comp..izisuranc.e.$ 5. FJ We are a corporation and its required.] 10:� Electrical repairs or additions 3.❑ I am a homeowner,doing all work: officers have exercised their A 1.[]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MOL .12.(],Roof repairs insurance required.] t c..152,§1(4), and we have no employees. [No workers ' 13.[].Other�.n0ar�6�� A+,tom comp, insurance requ-red.] 'Any applicant that checks box#1 must also fill out the section below showing their workers';compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached,an additional sheet showing the name of the 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'"comp ensatio r,insurance for my employees. Below is the policy and job site information. Insurance Company Name: �f ►C el C Ce Policy#or Self-Ins, Lic.#: (�A 0p _579of Expiration Date: �p �0 ._ Ci /State/Zt C_0-6't N\N - (mac -63� Job Site Address: L V`n�Pc('1 � C� r ty p: Attach a copy of the workers' compensation policy declaration page(showing the`piol,c number and expiration date). Failure to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year inmprisonment, 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 forwarded'to the Office of Investigations of the DIA for insurance coverage verification., Ldo hereby certify ru e pa' andpenalties'ofperiury that the information provided above is trite and correct. ". ,Gate, Si nature: - — Phone#: S o 7 �5 Ll 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 2Auilding Department 3, City/Town Clerk 4. Electrical Inspector'5. Plumbing Inspector . . 6. Other Contact Person: Phone#: "'•-• �:"U L'll '1'v: 11k L 9,1!,08'/785735 " Rogers & Cray Ilya. pcluo; 002 Client#: 4597 CCINSUL ATE(I4MIDDIYYYY)CORD_ CE TIFICATE OF LIABILITY INSURANCE 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 tha cartificale holder•is in ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION 15 WAIVED,allbject to the terms and conditions of lhu policy, cutdain policies may raquira an endorsement.A statement oil this certificata does not confer rights to the cerurica[a t older in liau of such endorsenlent(s). PRUDUCEIZ CONTACT - Rogars S Graylns. -Sa. Dennis N¢W1E ._ Margara_t Young - " --- 434 Route 131 C,vc:Nix,�508-760-4602.. � IF�N� -- P.0.Box 1601 ADDRESS: RODUCER— �_--_---- South Dennis, MA 02660-1601 CUSTOMER lou._ OJSURE❑ INSURER(S)AFFORDING COVERAGE Cape Cod Insulation Inc INSURER A.Peerless Insurance 455 YarnlOUth Road INSURER a:Ohlo Casualty Insurance Company Hyannis, MA 02601 INSURERC:Atlantic Charter Insurance -- INSURER 0,Commerce Insurance Company ---- INSURER E: - - INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS 10 CERTIFY I t IAT 1 HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.N0TvVl I HS'I-ANDING ANY REQUIREMENT,TERM OR CONDITION CIF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TC)WI-ITCH 1'1-ITS' CERIIFIC.A[E MAY HE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT-TO ALL THE TERMS, CXCLusiONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN,REDUCED BY PAID CLAIMS: MIT TR 'r'rPE OF INSURANCE AMC tlrm NSR VD POLICY NUMBER - IWN/DniYYYY PO PNOLICY EXP M/D0/YYVY LIMITS - A GENeuALUABIu(Y CBP8263063 6410112010 0410112011 EACHOCCURRINCE $1 000000 X l:(IMbILKCIi\L UL NLKAL I.IAL411_I I Y DAMAGE O RENTED M61,41 ES l a....... $100r000 —I GI AMI5 null)[ l x OCCUR MLO EXP(Any onn pa,son) $5;000 - -'- ---- _-. PERSONAL BADVINJURY $1,000,000 -. . . __.... --• -- --_._._ a . . ,GENERAL AGGREGATE $2 000,000 GI N, [(,ca<L(.An L Irou r APPI Irs _I Lk PRODUCTS-COMPIOP AGE: $2,000,000 ruI ICY Pro — I p auroaloBaELwBtlrry 10MMBCKVMK 0410112010 04/01/2011 GOMBwr_DSINGLELIMIT uvv<(Jlo , - - IEaacudonU $1 000,000 . BODILY INJURY-(Parpersuil) $ -nl l UVtlIV11)All Il,l�i - ' - - B[]gll Y IIV.IURY(Par hrridenl) $ DAMAGE _ X PROPERTY tIIKI'.11 nU1(??; (Per accillenl) - X NL'IV OvvNl`U Pd110S $ - P UfrIBIiELLALIAf3 X OCCUR MEYAPP397725 - 0611V2010 6410112011 EACH OCCUR .$1 UUU'0U0 [�cess uAe Q_Alfvl'i MADI= _ AUGRlGATC $1000000 ULUIIi.:I IUl F � �, � -.. . X KI Irrnit:IN . 10000 C AND EMPLOYERS COMPENSATION LIIT WCA00525901 613012010 06/30/2011 X WC STAIU-.` cyn AND Eh1PLUYEKS LIABILITY - - _ ____._... nfilhlll''klll(IkirFlklNlht EC YIN N '""� NIA E.L.EACH ACCIDENT $500,000 OLI l I KiF.JI:MIII k 1-XCLl10FD9 (IYlutnalwym Nil) - E.L.DISEASE F..AEMPIOYL:E $500.000 II rd-.tlU.i,.I IIRI undal ---- UL=.SCHIr'IION UI-OI'FhAI]ONS belUw E.L.:ONFASI- POL ICY LINIIT `$500,000 DESCRIFnUN OF OPL'RATION5 I LOCATIONS I VEHICLES(AI(ach ACORD 101,Additional Romaiks$Chadulu;d more space is ruqugod)"Workers Comp Information Included Officers or Proprietors (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment ~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE_ THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED.IN ACCORDANCE WITH THE POLICY PROVISIONS. _ AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION,All rights resurvacl. ACORD 25(2009/09) 1 of 2 The ACORD name and logo are registered marks of ACORD 4S54814/M53353 MEY Die r� 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 _ Type: Private Corporation �x x ti i r Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD. HYANNIS, MA02601 rl Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card IS-CA1 is 5OM-04104-6 1 01 2 1 6 Office o`�`'mer Affairs us ne Regul ttion License or registration valid for irdividu!use n!y HOMmk6 fMn;; u eta before the expiration date. Iffound return to: Registration: 153567 Type: Office of Consumer Affairs and Business Regulation Expiration 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 - •OD INSULATIO:N;,;[NC,;,_, HENRY CAS SIDV' 455 YARMOUTH RDp HYANNIS,MA 026 i, 4 YtP_a Undersecretary It alid ith t si ture I = Nlassachusetts - Ueiru'lrnent of Public tiufeh BOMA ot"Building Rcrr„ulatior►s uul St:uttlrtr(Is Construction Supervisor License License:'-CS 100988 a Restricted fo: 00 ` x ke hp HENRY CASSIDYWAR �,r 8 SHED RO\N °� r r WEST YARMOUTH, MA 02673 K f . Expiration: 11/11/2011 (ouiuissiuncr Trm: 100988 460'West Main. Street �. .. O�SFUN 3j�trmus, 1� -3698 �- SISTANCE r � R, PM T (508) 790-71066 .F (5(18)7140-2425 , IRPORATION T•1 Y on all lines HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. Z / e-/-r r ,� hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency") on the property located at: fy The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping& caulking of windows and doors,insulation of attics,sidewalls &basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows.In consideration of the weatherization work to be done at my home I agree to the following: 1. I give permission to the "Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent. Home Owner: (Signature), Date: Agent: (signature) Date: HAC approved Weatherization Company: ( one c�,�Q �,t,�� a� Caliber Building&Remodeling QCape:C:od Insulation Cape Save Creswell Construction Frontier Energy Solutions Lohr&Sons Peter Smith Resolution Energy Rock Solid Construction i. 1;`,;j- (i`, f '`•. c:t.=OP-,` S' EV, i,orlf=crr;.i.t.rdu s-t9 rJAssewor's map and lot numbe ..a 5.4 ...4 �.� THE ,x Sewage Permit number .... ..... .. ......../.��. ..................... �1C SYSTEM.M /� OTAUM IN COM . ABLE, i House number . ......q/......................................................... WITH TITLE 5 90 rasa DOWI WNMENTAL COD 079•a`e� TOWN OF BARNST MtOrULATI BUILDING A-NS.PECTOR APPLICATION FOR PERMIT TO ................ TYPE OF CONSTRUCTION ... .. . .. .... .... ........ CJ ................:. ...........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: d4a` Location ... . . . ... ProposedUse ...... • ............................................. ............................................ ........................................... Zoning District ..... N—e............................................................Fire District .........14 ................................I.... Name of Owner .... .... ..................*.........Address .�........ ..... ...... ... .... Name of Builder ... . �� .....................................Address Nameof Architect ...............:.................................................:Address .................................................................................... Number of Rooms ........ .............................................Foundation .. �.... .... ..... I it //mi�ll ti � 001(a/.-If Exterior ../�/. .... .. Roofing ...... ........ ......... ........... ... . .................:...... Floors . .... ........... .................... .................................Interior ....... .......................................................:........... Heating �Z ....... a�-t ..L...........Plumbing Fireplace ..................... Approximate Cost ....... �....... 0�1................... Definitive Plan Approved by Planning Board _ - Area �ip.. .. . 4_ Diagram of Lot and Building with Dimensions �d Fee .... ........... .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 30 IJ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ::.. ...... .... . .. ... ....... ...... .. ............................ I1 L Theo Construction P40 .....21.a92. Permit for ........one-stary........ single family dwellina............... ......................single ................... Location ..........414 Mariner Circle* ...................................................... Cotuit ............................................................................... Owner .....Theo. . ...Con.s.tru.c.tion................ . .... . . ...... . ...... . ........ Type of Construction ...............frame................. .............................................................................. Plot ........................... Lot ............. ............ December 17 79 Permit Granted ........................................19 Date of Inspection .............................:.......19 Date Completed ..... ..........19 o to PERMIT REFUSED .......... 11........................................ .19 . ..... . ..... ............. ................................................ .................................................. ...1.an. ............................................ -:3 cr 00 Approv ..........M,................................... 1Approved ............................................................................... ............... ........ .................................................. j -11 A Assessor's map and lot number �1 r, -A.� T Sewage Permit number ?/. ....'��r�S�..................... Z 11 STIIDLE, i House number p i639. �fp YPY A\ TOWN OF BARNSTABLE y f A ti BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ... ................................................... r .19.!�/ TO THE INSPECTOR OF BUILDINGS: 1 The undersigned hereby applies for a permit accordi/ngfig/ to the following information: Location ,a��fGa/�!ti{!d� ........ ? ...........:........:.......................................... . .. .......... ,..,...,,.. ............... . ProposedUse ...... � L ° - !r-.......................................................................................................................................... ZoningDistrict ..... ..............................................................Fire District ......... - ............................................... Name of Owner ....... .......Address f....._.... y... �.............. .................................. . Name of Builder ?C ... '[hrJ. ..tl....... ...............Address .: t..... :? �G.ti"...................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .........;, ............................................Foundation ... ..... ........................... Exierior ��a� ................Roofing � Floors .! ✓......................................................Interior ......../;. ' !r✓................................................ .................... &. 4 Heating :.. ..IZ ...........Plumbing v Fireplace ..................... . "` ................. Approximate................................... Cost ........ ................................ 'v o Definitive Plan Approved by Planning Board __ -. _:__:______ 19 Area !...........f......... Diagram of Lot and Building with Dimensions Fee ....&'.... '�5 ....... ....�.................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ' •�A I�A I 30 _ r � 5 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. y Name . ,. ......... ............................................................ Theo ConstrUcticin ,. -� A=24_87 r No ........21892Permit for .......p e..s or,y......... ............single family...dxe�Ij.7,�.................. Location ........414 Marinep,•,C7.rc.Le................ Cotuit ............................................................................... Owner ..........Theo. ................... ...... Type of Construction ............frame................... ............................................................................... Plot ............................ Lot .............. December 17 19 Permit Granted ........................................ 79 Date of Inspection ......... .......................19 Date Completed ...........................!..........19 PERMIT REFl75ED ................................... ..................... 19 �.............. ............. ....................................... E =1 rr Approved ................................................ 19 ................................................................ ......... /G ............................................................................... �j Q aor.� f o o ' � a NO a `{ o 6-o -o � p o � 3o t t� 0 �z<5"•o a i - PLAN SHOWING 30. FOUNDATION LOCATION C O T UI T, MASSACHUSE T T S OWNED BY •�/`l�.�Q �.G.�i/cfi'1%�• �Q�p. SCALE : ' / ,•- 40 DATF: ✓1�ov. z¢�i9?9 NORMAN GROSSMAN----- - REGISTERED LAND SURVEYOR ��ZN Ot ��ASs9C' I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED ON TINE LOT AS SHOWN AND CONFORMS TO THE TOWN c NORMAN GROSSMAN H OF BARNSTABLE ZONING REGULATIONS REGARDING U .p 12775 p SETBACKS ,FROM STREET LINES AND LOT LINES . • �� SURO NORMAN GROSSMAN R.L. S. DATE TOWN OF BARNSTABLE Permit No. -_-------—--------- IIA"ITAU Building Inspector � rua Cash ------------------------ ,r 090 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. 19..._.__ .................................................................._._ ....... .......... ...._. .. ._._ Building Inspector Foundation Certification in Cotuit, MA . Prepared For : Michael Sweeney, et ux. Assessors Map: 024 Lot: 025 Baxter Nye Engineering & Surveying Community Panel Number 250001 0021 D N Zone C Registered Professional Address: 4364 Falmouth Road, Cotuit, MA., 02635 Engineers and Land Surveyors Plan Reference: Lots 24 & 25A 0 Plan Book 571 Page 90 78 North Street, 3rd Floor Deed Book 15,278 Page 210 Hyannis, MA 02601 Phone — (508) 771-7502 Fax — (508)-771-7622 Owner. Michael Sweeney, et ux. Job Number. 2007-049 Scale 1" = 40' Date 11-04-2011 o 0 °' w c3 } Q (� 1 OF O� o V) Q 1` C,O�� o 0) Ido PARCELS 25 & 25A PLAN BOOK 571 PAGE 90 41,934 SQ. FT. f S . F 3 0.96 ACRES f U► w CB DH FND CB/DH FND S oe Own bt 1 ro 1, CB/DH FND EXISTING FOUNDATION �.010 1 FIELD LOCATION DATE: Z NOVEMBER 2, 2011. .000 too 0 0/ 1 . � do 1 �= 5do = �` to 0 do do ,/ 000eS do do do / ido I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE FOUNDATION SHOWN HEREON IS IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS LOCATED IN RELATION 'TO THE MONUMENTS .SHOWN AND IS NOT LOCATED �� > � WITHIN A SPECIAL FLOOD HAZARD AREA. JOHN THIS PLAN IS NOT TO BE RECORDED NOR 1S IT TO BE USED TO ESTABLISH PROPERTY LINES. R's N 29874 O REGISTERED PROFESSIONA- LAND SU VEYOR N BAXTER NYE ENGINEERING & SURVEYING DATE 0:\2007\2007-049\SURVEY\worksht\2007-049_cpp-garoge.dwg, 11/3/2011 11:51:02 AM, l:l, MTM - 12: 55 F r ap.£