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HomeMy WebLinkAbout0431 MARINER CIRCLE �� �G�f,-�e r- Ci�'�l� � .. _ _ I / �� Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee &� s ,0$ Richard V. Scali,Director Building Division Tom Perry,CBO,Building Commissioner O' , MIT 200 Main Street,Hyannis,MA 02601 www.toam.b.irnstable.ma.us . JUN 24 Z015 Office: 508-862-4038 _ TnVV, ®� � x- 5STA 0-6230 EXPRESS PERMIT APPLICATION RESIDENTIAM ORLY�STABLE Not Valid without Red X-Press Imprint Map/parcel Number •�c� Property Address V . , ❑Residential Value of Work$ 16,000 Minimum fee of$35.00 for work under$6000.00 II n' Owner's Name&Address r Contractor's Name �j CI�T.\� co�-� a`� ��`L Telephone Number M 1­2-6 7 ,--1 7 3 7 Home Improvement Contractor License#(if applicable) 7�2 3 7Z Email: SPh�r c P Gt f 4eo"-t a C �r Construction Supervisor's License#(if applicable) �S P 0/1, orkman's Compensation Insurance „ Check one: ' ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance / S � Insurance Company Name od e K 01Wk %re-L� � ��, �ft-eAA-- Workman's Comp.Policy# 1:�G 3�S "3 f 115 2 4 '014 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side Replacement Windows/doors/sliders.U-Value 6• �� (maximum.32)#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 d. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 . s. o, 1 22ie CamwannwaUh of Massadjusetts 3 arbnmt of Industrial Accidents ©Kke of luvwfigations .600 Washingtm Street Boston,MA 02111 nwmwas&gov1d& Workers' Compensation Insurance Affidavit:Builtiers/ContractioisfFIectd ans!Plumbers Apipficant Information 1 Please Print b Name a�_ �A /�c �+ D a AA Address: U 7 1�;�`r` 40 4e City/ tateJ p: �'��r 7 C�r U j a Phone `7 g 2G7^ /7 37 Are you an employer?Check the appropriate box: Type:of project(required): 4. I am a contractor and I 6. ❑New co�sGnrcfson 1.❑ I am a employer with ❑ i employees(fall an&or part-tisne�* have hired the sub-contractors 2.❑ I am a sole pmprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sob-contractors have 8. ❑Demolition working far me in any capacity_ employees and have workers' 9_ Buddingaddition [No workers'pomp-insurance Comp_ c e inenran 2 ❑ d-] Xm We a a corporation and its 10.❑Electrical repairs or additions3.❑ I am a homeowner doing all vPozkoffumrshave erred then 11_❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12_❑hoof repairs irmnance nTdw&]T c.152,.§1(4),and we have no . employes.[No workers' 13.❑Other comp.insurance required-1 Flay applicant mat checks Lox C most also fill out the secdm bebaty sbnw their wodme campe—nn.policy infetntioa Homeowners wbo submit this affidavit umhtstimg they are doing all wank and then him outside coahsctots most submit a new affidaeit indicating surIL ZConnacms that cbeck this ban must attached as stld tim sheet d umi ng the name of the sub-camas and stato whether ormzt those eadfies have employees. iftbesubtoattactorbaveempioyee%ftymatstprovidethek workers'comp.policy number. I am an emptayer that is protzding workers'compensadon insurance for my employers. Below is the policy and job site i"yormatiom Insurance Company Name: , Policy#or Self ins.I.ip.#: Expiration Date: Job Site Address: City/StatdZip: 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 o€MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 andlor one-year imprisonment,as well as civil penalties in the form`of a STOP WORK ORDER and a foe of up to S250-00 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 asrti,��uutder Rpairls m!d per �s ofpetyrrrt�thatthe infarxr ado n pravicled aba, is true a�/ld correct Phone#: l 0 r!j 7- Offic d use only. Do not write in this.area,to be completed by city or loom offilciaL City or Tonrn: Permitffkense If Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Citylrown Clerk 4.Electrical Inspector 5.Numbing Inspector 6.Other Contact Person: Phone H: saaiasfrwsM • ' ,�� Town of Barnstable .etED Mpl A Regulatory Services Richard V.Scali,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 Y• Property Owner Must Complete'and Sign This Section If Using-A Builder k . I, I ub as Owner of the subjectproperty rf � l hereby authorize e co L^�� i rC to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 4- 23- Signature of Owner Date Print Name o r If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILES\FORMS\building permit forms\E)PRESS.doo ' Revised 040215 Town of Barnstable Regulatory Services zNe t�yr Richard V.Scali,Director °* Building Division Tom Perry,Building Commissioner nsnss. 9Q� 059. ,e� 200 Main Street, Hyannis,MA 02601 pTFD www.town.barnstable.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 The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page 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 040215 UseSac tts- artt DeFp €actf f'ub)t .Of.13 'Id OU atttStad �'Csc[rtE€tltr#�s6��l�,#'titiiF�• �� r� Lirt .GS-09447i 6µ k LIMAS ,VINSK .. � . CE Y. 212615 - Office of GonsumerAffays 8c.Business Ciegulat ofn`tt LIrense or registration valid f X, OME IMPROVEMENT CONTRACTOR: before the eap�rafioa:date If found'VI ul use only egistratlon t5237� return 10 xpiration 8l23I2096 Type Office of Consumer Affairs and Business_i2 DBA_ tora'►dc+i'•'�aia Su�te.5170 udatIon BAITIC.COMPANY Boston,MA,02t16 - t LINAS.REVINSKAS 87 CAMP OPEC:HEE RD" CENTERVIItE Undersecretary Not:val►d without signature �I j THE T Town of.Barnstable *Permit#zaOO& Expires 6 months fro<ISS ate �1' ^ Regulatory Services Fee x x MASS. Thomas F. Geiler,Director 039. 10 al fD MA'10 Building Division D � Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 . www.town.barnstab le:ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RES>IrDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number O �� Property Address L/.3% 1�l/�2 1A)02 d426,616- 697V I EI'Residential Value of Work. L /?t7t7 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address.___ Contractor's Name 1Vt�r�i �u� Telephone Number q r Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 0/ ❑Workman's Compensation Insurance Check one`. IT ❑ I am a sole proprietor - PRESS❑ I am the Homeowner . [�I have Worker's Compensation Insurance. NOV 2 4 2008 Insurance Company Name Ll n✓� /4yW TOWN OF RARNSTABLE Workman's Comp.Policy# 1,16-23 A-593 OV dL-7 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑Re-roof.(stripping old shingles) All construction debris will be taken to %��zwLrJt/D2/f� GYL ❑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 exempi compliance with other town department regulations,i:e.'H1' Brie Gohservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permissi 1, A copy of the Home Improvement Contractors License is re�ulr�Id r SIGNATURE Q:\WHILESTORMS\building permit formsTViESS.doC Revised 100608 i ne c.ommonweatti: of Massachusetts Department of Industrial Accidents v Off Ice of Investigations 600 Washington Street r�� 1 Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electjcians/Plumbers Applicant Information Please Print Lebly Name(Business/Organization/Individual):_U-W-ZYI- ' I AnI—..L4 �M Address. - City/State/Zip: v Phone#: Kb V Are ou an employer?Check the appropriate box: 1.[�I am a employer with 4. ❑ I am a general contractor an4i Type of project equired): employees(full and/or part-time).* have hired the sub-contractors_ 6.- ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached,sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑DemoLtion working for me in any capacity. employees and have workers' [No workers'comp.insurance comp. insurance.' 9. ❑Building addition required.) 5. ❑ are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised kir 1 I,❑p ing repairs or additions myself.[No workers'comp. right of exemption per MG insurance required.]t c. 152,§1(4),and we have no 12.0 Roof repairs employees.[No workers' 13•❑Other comp.insurance required] }Any applicant thatchecks box#1 must also fill out the section below showing their workers'compensation policy infori b ion. 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 subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers comp,policy ndiinber Iam an employer that isproviding workers'compensation insurance for my employees. Below is thepo/icy andjob site ormation. ,+ . Insurance Company Name: La Policy#or Self-ins.LicA: 1, '' w is _y nn -- Expiration Date:.-L Job Site Address: 3 to Ut` 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 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 copyof this statement may be forwarded to the Office of Investieations of the QU for insurance coverage verification Ida hereby certify under thepains andpen ies of perjury that the information provided above is true and correct Si tore: Date:., D r — Phone#: Official use only. Do not write in this area,to a completed by city or town ofciat City or Town: Permit/License# Issuing Authority(circle one): 1.B4hrd of Health 2.Building Department 3.City/TowWClerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: PSone#• ,> Liberty Mutual Group Liberty P.O.Box 9090 :.,,. 1Vlutucii Dover,NH03821-9090 10� _._ Telephone(800)653-7893 Fax(603)-245-5330 October 16,2068 TOWN_OF MASHPEE ATTN:BLDG INSP 16 GREAT NECK ROAD NORTH MASHPEE, MA 02649- RE: Certificate of Workers Compensation Insurance Insured: OLIVER KELLY 9 PEREGRINE LANE SOUTH YARMOUTH, MA 02664 Policy Number: WC2-31S-338804-027 Effective: 12/28/2007 Expiration: 12/28/2008 Coverage afforded under Workers Compensation Law of the following state(s): MA Em foyers Liability(Limits): Sole Proprietor/Partner Coverage Election: Bodily Injury By Accident: $100,000 Each Accident The workers'compensation policy does not provide Bodily Injuryby Disease: $ 100,000 Each Person coverage for.. . Bodily Injury by Disease: $ 500,000 Policy Limits OLIVER KELLY As of this date,the above-referenced policyholder is.insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms,--exclusions and conditions,and is not altered by any requirement,term or condition of any or other documents-with respect to which this certificate may be issued This certificate is issued as a matter of information only and confers no right upon you,the certificate holder. This certificate is not an insurance policy and does not amend,extend,or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date;Liberty Mutual will endeavor to notify you of such cancellation. AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those companies. cc: Insured: Producer of Record: OLIVER KELLY, SANDPIPERINS AGCY INC 9 PEREGRINE LANE 12 ENTERPRISE RD SOUTH YARMOUTH,. MA 02664 HYANNIS, MA 02601 10/16/2008 I r. Jl e omwzl�~i�� I/ Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement:_Contractor Registration Registration: 128957 _ Type:. Individua[ Expiration: 6/14/2009 Tr# 131109 Oliver Kelly Oliver Kelly 9 Peregrine lane S. Yarmouth, MA 02664 }` Update Address and return card.Mark reason for change. DPS-CA1 CP 5OM-05/06-PC8490 Address Renewal [] Employment Lost Card ✓fie Coomvnzoozusea o�✓�aaoacfivaeCYa -_. -. - Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: % Board of Building Regulations and Standards Registration 128957 One Ashburton Place Rm 1301 n.Expiration 6/14/2009 Tr# 131109 Boston,Ma.02108 Type Individual Oliver Kelly Oliver Kelly 9 Peregrine laneQ ao.� South Yarmouth,MA 02664 Administrator Not valid without signature �,.r .� ,r �Ia54achbsetts m Dcliarteni of 1 u0- �c S 4f (xr Bo t�d iif Built�n� Re4ft I ions xrtd'Stafld9 u d* .'Construction Supeywi;sbr Specialty License k License; CS St 99167' y Restricted to-,RF Vti 3 OLIVER KELLY 9 PEREGRINE LANE SOUTH YARMOUTH{MAW664' � r � �-•�- -�-��� x,� Expiration•_9(28l2011 rr� ty 3 mm�n .iuu Tad 99167 - /�i i f F.� �1 - A f.• rs . • Town of Barnstable _ Regulatory Services HARDWv esce� Thomas F.Geiler,Director Building Divisio.>GI: Tom Perry,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 0L'.J to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) nature of Owner Date Print Name If Property Owner is :applying for permit please complete the. Homeowners License Exemption Form on the reverse side. Q:FORMS:0 WNERPERM ISSI0N Town of Barnstable �pF SHE Tp� Regulatory Services = Thomas F.Geiler,Director BwxtvszABt e - , KAM 039. A.O� Building Division rfD r�i Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA_02601-. _..-. ... www.town.barnstable.ma.us Office: 508-862-403 8 Fax:. 508-790-6236 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 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. . DEFINTITON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that_he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements.. Signature of Homeowner Approval of Building Official PP g Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comiply 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 persons)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 Mould 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 ammd.and adopt such a form/certification for use in your community. Q:fomrs:homcexempt THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^�C C DATA ARNSTABLE, MASSACHUSETTS BUILDING PERMIT. DATE 19 PERMIT NO.:�_._:• RANT ADpRE55 (NO.) (STREE i') (CONTR'S LICENSEI NUMBER OF •. PERMIT TO )17 i.( (t) •!. -._ 1__) STORY --DWELLING UNITS- (TYPE OF IMPROVCMENT) NO. (PROPOSED USE) - -_ ZONING ' AT (LOCATION) _ _ - DISTRICT-- IN 0.) (STREET) BETWEEN _ _ AND _ (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT__ BLOCK _SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY _-FT. IN HEIGHT 4ND SHALL CONFORM IN CONSTRICTION TO TYPE USE GROUP_ BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR PERMIT " "I VOLUME ESTIMATED COST $ _ _ FEE (CUBIC/SQUARE. FEET) ' OWNER - BUILDING DEPT. ADDRESS _ BY _- THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, -ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR ® PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY B.E OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS, THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS FT OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. 5 MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION NORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICA1"PLUMBING AND-- I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATH). FORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SRO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 12 Lh WLcC `IK. �v7 ��`^-h Cl✓.� HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT OTHER BOARD OF HEALTH PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION WORK SHALL NOT PROCEED UNTIL THE INSPEC- � INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTIOr PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. /HEREBY CERTIFY THAT ZHrIS /,OT 45 NOT 1,OCATEP IN FE` ,f,4L F,L OOP HA.ZARR .BONE c " "AS SHOWN ON THE FEPERA/, Fl,60P INSURANCE RATE MAP FOR THE TOWAI OF 134I2n/5•TA13LE , coltilw1wry PANE, NO. EFFECTIVE PATE ROBERT E. RAYMONP, fF 4,.5 OATS NOTE: NOR711 ARROW NOT TO BE(/SEp FOR 604A11?PURPOSES. y m • a � Opx LUG 3�� C) O Q y n y Z � N C LOT / �5 yza a 3► 'L o± sF 'n � � oa IN I W 2 i 4,E. Rl NIQ EXIST. p O I �2,0 47.-,5 Ill:oQ, a C) Qi 1 io p n CAP-If-JE2 y � THIS iol,07" 04AN WAS i1fAOE FOUNDATION 1,O Fi4'oifl C,4TlON Pk AN AN /NsrnImeNT SY1 RVEY.4Np /.S FOR THE LLO T 14/ MAZE KIE2 CIECLE USE OF THE BANK ON4 Y. UNDER NO C/RCUiLISTANCES ARE OFFSETS TO BE USED FOR FENCES, W.444,5, HEP6'ES, _ A STA3LE,/ ETC. ---- _ _ _. _ ONNE�P BY G r>a� �Es 2L7Y -T-$2sr. OF M�gf9C�G ,QeROW ENGINEERING INC. ROBCRT �, 60 EAST FALMOUTfH H/GHWA Y RAY E. E.d ST FALmoz1 rH, MA. 0253 6 ©� No.215 3o �o SCA1, ,,//E: PATE: SHEET LAI.A! ORAyYN,BY CHECKEGBY APPR BY:�' PUN N0. f�P � �Z�FZ, <,�.a, „•.. ,_�..,,,�.g.. Y�:�..�;; :r'+�=.e�,+r c•�.,��� .o<,...r,.+ev-�r'..re,.:..�;Yerrza '^��`,"`�*,H...�. .<.-...-.F.-.^s,•«-^.-*r.r � .. .-..._.. �,...,.,,,.. • 1 O TOWN OF BARNSTABLE . Permit No. ..2g3.64..... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash �terrr HYANNIS,MASS.02601 Bond ......4Y...�. . CERTIFICATE OF USE AND OCCUPANCY Issued to Dennis Star Construction Address Lots 14, & 15, 431 Mariner Circle Cotuit, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY-THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 9, 88 .......................... 19................. • .................... ......... Building Inspector Assessor's map and lot number ........ 2/ •- 7,6 - O/< 7 /", _ / -��'�I THE �y P�. Sewage Permit number ..........................................FY 4 x✓ 'ISTEM m �� A 1 r lkkS ALL 12%� y ` sTSE E i House number ............... ... ..: . .. .....:g....................:. ; r V�9,$ '° L15-i oo,o� b 9 L 40 } TOWN OF BXRNSTABLE BUILDING . INSPECTOR APPLICATION FOR PERMIT TO .....J.v:..1.�........ . g.`. ............ w ill t ` .... TYPE OF CONSTRUCTION ...........�1.,.).. .F?..A1`........ '. ....:::...:?..................................................................... .�...5.,........ �.........................19.34 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... 4..� .../.S ✓l'�r.0 Cc� Vl i- ................................................ Proposed Use ......5 -a` ...... �)..1.�...... ?.``' S..�l.!. `5................................................................................. Zoning District ................�. ................................,......Fire District .. v . .................................................................. Name of Owner S, « �y CSC « k Sc, . � ti >.. ......... �.:......:................Address .:... ............................................................. ..... ...`� L . Name of Builder CC o •\- e C���.0 � 5,;,,,,,,,,,Address " t ....� ... o ................. ........... ........ ............. .... .. ..... Nameof Architect ................................................................:.Address .................................................................................... Number of Rooms Q ce.ouy ,S ..�..... ...FoundationOU� c� C o�C �� C � �c'O'���5 • t Exlerior ...................................................................c...cLc ` Roofing ..,�1 S c\- S`��.�:1r1`�- S.. ...................... G < C L FloorsW ....... ..... ...............Interior ... ........ „ W............. �............................................... t\ Heating ... ?.. ... .......:Plumbing"...:. c. ......... ........ .............. Fireplace .......... .....`.\ !....'J.. ...... ............Approximate. Cost d............. ..................................................:. Definitive Plan Approved by Planning Board r----19 20-. Area � ... ......... ......... Diagram of Lot and Building with Dimensions Fee ' ........ SUBJECT TO APPROVAL OF BOARD OF HEALTH QO 4 LL OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Named ............. Construction Supervisor's .License �. .................................... DENNIS STAR CONSTRUCTION ti'a 298r,-,4 'No ................. Permit for .,,,One Story ..................... Single Family Dwelling ............................................................................... Location ....Lo.t.s...14...&...15.......4.3.1...Mariner. ...Circle .... . .... . .. . . ...... . ...... Cotuit ............................................................................... Owner ......Dennis Star Construction............................................................ Type of Construction .................Frame.......................... ............................................................................ Plot ............................ Lot ................................ September 2, 86 Permit Granted ........................................19 Date of'Inspection/10.. ..... .. .................19 Date Comp, t d . .. .... .......19 zov 114, Assessor's map and lot number ... ../.. ....... . J 74 O/z i // _ /? — /—l�`� '" Q�OFT ETO�* - .�_� N Sew .Sewage Permit number ......... ................7............................. t �`° d� o� House numbed" ............ Soo�sa�a L�' ........,.�.......:.. µ ...................... + 9 S _ YPY A, TOWN OF BARNSTABLE - z: BUILDING INSPECTOR y APPLICATION FOR PERMIT TO .... v.�..! S�. `.`. ...r.`- ^� 1� �. `��W1.'A`�........................ .............. ....A........... F TYPEOF CONSTRUCTION ...........U, .. ..>..�X�........ . .................................................................... j ? ...::.......i..��....................19.. 4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...L..�. .S ! I S .M0.0 lA.r C V'�\-x C� �t ..................................................................................... ;.............................................. Proposed Use ......�J...\• •9`.c........ ... °"^�).�.�......??.w �..11.1.�^9................................................. ........................... '" ............Fire District Zoning District .................. . ..... ........................... .............................................................. I� Name of Owner ......................Ad .... _.'� . ��.. ......5 . dress LA C"c *�-� c S o. �/C, .....C`..... .................................................................................... Name of Builder ............Address A.L ' Cncet. A- C k \b(Z So YCkc ate . . ( . c . ..........................................................:.......... Nameof Architect .....................A...........................................Address .................................................................................... Number of Rooms 3 3`cc�t.cow.5 �tti I ?!�`.4.�-. ...Foundation Exlerior ..........�.�A� � A S S� �\ . �. .......... Rf � ...................... Floors l ......CL".K' i ..............Interior ....... ..........................w0. `\-Heating . C' S..... .:Plumbing Fireplace ...... .. ......\,.1N.�.�1.�...�..�4.w\............Approximate. Cost ....�J �� :... ....a................................ ... � o Definitive Plan Approved by Planning Board _`_�________________�_ (�____-19�_____. Area ..:....................................... Diagram of Lot and Building with Dimensions f Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH i •� r u, I • LL B ,. - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the,Town of Barnstable -regarding the above construction. -- � � Name .................................................................................... Construction Supervisor's License 8 ................ DENNIS STAR CONSTRUCTION A=024-072 &073 A - 6,2 No 29 ..... Permit for ...One...StoDv............ ......... e..Fam Single,.9 Fame ..PWAI 1 i.ag..................... Location ...L.o.t.s...#.1.4...&...1.5.?.....A31.Jkjriner Circle .......... Cotuit ............................................................................... Owner ...Dennis...Star...Construction. . . . . . ..........Dennis Type of Construction ......Frame.......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .... September 2,....................................19 86 Date of Inspection ....................................19 Date Completed ......................................19 ro No dNQ,Yt& 1h 470 avv,.4 C) 4q 0