Loading...
HomeMy WebLinkAbout0021 MOORING DRIVE ��� � � ��� jr I I i �� I i J �� .Town of Barnstable *Permit 30�331 LTires 6 nths from issue date aT Regulatory Services,, Fee snFwsrnaM nsass ', Richard V.Scali,Interim Director I 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 Not Valid without Red X-Press Imprint Map/parcel Number W-3 05u Property Address l /�0®(6/l e'1 (Residential Value of Work$ 7 t ;Coo Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address (.tJ1 CIO C wit' ' Contractor's Name AV(calk_ 6(I 8L", Telephone Number' C7T 776 —,7 �q Home Improvement Contractor License#(if applicable) . j3Jr� Email:S(pllMGrcwds�+nGurls¢( ,1cr �r� �:� •CsXt Construction Supervisor's License#(if applicable) CCO ❑Workman's Compensation Insurance `-P p� „ ER Check one: x} NIT ' [�I am a sole proprietor ' ❑ I am the Homeowner DEC Y'7 Z0 13 ' ❑ I have Worker's Compensation Insurance. * ` y ' Insurance Company Name ' 40 �. T® TALE4 • Workman's Comp.Policy# �4 "0.� 3 " Copy of Insurance Compliance Certificate must accompany each permit. Permit Re st(check box) A ' Re-roof(hurricane nailed)(stripping oI&shingles) All'construction debris will'betaken to tot4& df— t Vt k7j'Vt ❑Re-roof(hurricane nailed)(not stripping. Going over 'existing layers;of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value t (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is , required. SIGNATURE: T:\KEVIN D\Building Changes\EXPRESS PERNIITAEXPRESS.doc Revised 061313 u Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-047667 PMLLIP M VO R PO BOX 64 COTUIT MA 02635 Y* r _ Expiration Commissioner 09/01/2015 exeonaaiaa�ecuea�l�o���at�irc�cclelh Office of Consumer Affairs&Business Regulatiod r License or registration valid for individul use only x)ME IMPROVEMENT CONTRACTOR' befog the expiration date. If found return to:gistration: 109558 Type Officti.of Consumer Affairs and Business Regulation piration: 9/21/2014 Indivfdual 1.0 Park Plaza-Suite 5170 Boston,MA=02116 - MARK VOLLMER a MARK VOLLMER 1 , IU/ 1455 SANTUIT NEWTOWN RD COTUIT, MA 02635 r Undersecretary, " Not valid without signature f , 7be Counnonivealth of Massachusetft 1Depaphnevit of Industrial Accidents -- _ Office oflnvestigatioras + . 600 Washiaigton,Street , Boston,IVA 02111 ivmv.ntass.govldaa , Workers' Compensation Insurance Affidavit:BmlderslContractors/Electricians/Plumbei-s Applicant Information m� V /J// �/r/� • ' Please Print Legibly Name(Busin�ns ,nUdividuao- (l GlI(I�l� �fJw�lG/l i GityfStatelZap: OM l ;c( j� Y Phone 4 Are you an employer?Check the Appropriate box. T of project r 4. I am a general contractor and I 7 p J (required): y 1.❑ I am a employer with ❑ employees(full andfor part-time)-* have hued the sub-contractors 6 ❑ e ro traectiorQ , 2 ,I am a sole proprietor or partner- listed on the attached sheet. . 7. ❑Remodeliug ship and have no employees These sob-contractors have $ ❑Denwlition w°fig �Y� ty for me in ci F employees and have wo&ers' ` - Y 9..❑Building addition [No workers'comp.insurance. comp"msuramca.1 mod] • 5" ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing.all urork officers have exercised their 11.❑1PJm� g repairs or additions myself [No workers'Comp- rightt of motion per MGL. 12.,L—vJ,/Roof repairs ur insance require&]1 c:152,§l(4),and ure have uo _ employees.[No worlms' 13"0 Other `comp.insurance required.]'' •Aay appt cm that checks box Al zaast also fill mu the section beloix showing their woiken'courpewation polio•informatisn- !Romemaers who submit¢his afhdav+it mdticating they are domg 01 vtoa£s andiPtm hire outride contraclars�-t subnut a new•sffidaT.it indicating suc1L kontracaors thm check this box must attacheid an additionat sheet shotcivg the gams of Fhe sub-ccmtractors sold state whether or rat fhiose enttfts have employees. If the sub-contnuors:have a plzyees,f leg•mast prmide their workers'camp.police number. { I cam an employer that is prnn&ug 1vorkers+compensa on insurancefor niy etilployeeL Belojv is tihepoliq and job site inforaladol6 Insurance Compamy Name: Policy#or Self-ins-Lic.#: E pintioA Date-. Job Site.Address= City!S:tatetZip: ' Attach a cop;;of the workers'compensation policy declaration page(showing the policy slumber and expim-ation 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-Fear imprisonmen �as well as civil perm--Ries in the form of a STOP WORK ORDER and a fine of up to$250M a day against the violator" Be advised that a copy Iof this statement may be;fornrarded to the Of ice of Investigations of the DU for insiu mce coverage verification. } I do I—eb�y certi 'rtrad i'ilte it ,orldpell�Za ofpeijrJt. 1Ttrlttli+iraforralrlt oll ofo�iifed abo►' is tp.!lB;aPlrl eorrar.L Si tore: baste. r)_Ab � Phone Official use orritl. duo not write in this area,to be cornpleted by raty.©r tolt+ra,official. City or Town: PerinibUcense# ' Issuing Authority(circle one): 1.Board of Health ?Building Department 3.Cityrfown Clerk..4 Electrical Inspector S.Plumbing Indlector' 6.Other ti' Contact Person: Phone#; ,, - . 6 t - Town of Barnstable ' Regulatory"Services t- Thomas F.Geiler,Director ' Building Division Thomas Perry,CBO . Building Commissioner 200 Main Street Hyannis,MA 02601. - .www.town.barnstable.ma.us ` Office: 5087862-4038 r Fax: 508-790-6230 Property.Owner Must t Complete and<Sign This Section ' If Using:A Builder 1, o u f S b kl-- ,as Owner of the subject property , hereby authorize Ck �J to act"bn my,behalf. in all matters relative to work authorized by this building;permit application for:. y0(1�f11 �- (Address o Job) .f 4 ti 3 Signature of Owner Date u Print Name., If Property Owner is applying for.permit,please complete the Hoioeowriers'License Exemption Form on the reverse side ti i _ .. 'y.. C:\Users\decollikWppDataULmal\Microsoft\Windows\Temporary Intemet Files\Content Outlook\QREbZUBN\EXPRFSS.doc Revised 053012 ® Parcel . OP_ Permit# 19 6 3 L � Conservation Office(4th floor)(8:30-9:30/1:00- 2:00) tN4V Date IssuejV. Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) e (s Engineering Dept. (3rd floor) House# . / A SEagP.�.ICp���� SHE (�q(� MI i 19 EW1v6.RONpAE L` TOWN OF BARNSTABL �� �;�e ,.N� , i Building Permit Application Street Address 62 Q CO Village co . IL Owner �, L i S P ���GJ Address / 0 ) Telephone ,Permit Request CCi 7 G�i T "First Floor square feet Second Floor square feet Estimated Project Cost $ l '9 0 0, 0 0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use / Proposed Use Construction Type Woo I Commercial ` Residential Dwelling Type:(S:ingle::F:a�mil i Two Family Multi-Family Age of Existing Structure j� Basement Type: Finished Historic House -Unfinished Old King's Highway Number of Baths No.of Bedrooms T Total Room Count(not including baths) First Floor Heat Type and Fuel � S Central Air TIC Cc /f Fireplaces Garage: Detached Other Det hed Structures: Pool Attached C Barn None Sheds Other Builder Information Name tP1 Telephone Number (so g 3 Z f l Address 3 a S J vd- Pl Gl -e S 4 License# ®� f re!il �-Pl. (j r�Le AA L7 2 � 3 2- Home Improvement Contractor# Worker's Compensation# C T 0 7 31 h 7 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �d h 37614 CL SIGNATURE C`�2^ DATE C � �` �/ 9(0 BUILDING RMIT DENI D FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY P 'MIT NO. U t s DATE ISSUED10 - 'MAP/PARCEL NO. ` Alf RESS ' VILLAGE _ 4 OWNER f DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE . s e � ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL _ �i GAS: i ROUGH FINAL i FINAL BUILDING 2 • F - -. - F DATE CLOSED OUT ' ASSOCIATION PLAN NO. f ••"ee P `' �. ,� Y�•+vET'�. '�� yx sXS.""t�s� �- .',is � ;NOME IMPROVEMENT CONTRACTOR. E irpe INDIVIDU& 44 w r , x66R6EA�LAINk 1 38 PIeaaant t± ne AV* .�� '�. dj+.:F.uSp,''�M•.Au?y�,l,i.,;ur4s�5^jt '/:a � F t E oy / G � E cr p `r N ,i � i X� J Yf' 0 - r a Inc .. - :.;il =t Department of Industrial Accidents 6110 !i•asit iiwot;Street Boston.Mass. (1 111 Workers' Compensation Insurance AMdavit Please PRINT le ibl� name: �� r " city ��I/l7'Ql (��. { / /A (� nhone# 3Zao`' —/ S 7 1 am a homeowner performing all work myself. p 11wwa.�maas�ole proprietor and have no one working in any capacity L�.Jau...:r:ai�4w�r !Yin^=�'r•'�T'!�'."y"�.a..,er I am an employer providing workers' compensation//for my employees working on this job. m comon •name: Is if d.g cO 2c- CO - 4 address: _�5� �/ P S vt %�1--'P S (/ city: Ce ld-rl•( A-e i l/ l; J nhone M SO 0 31 insur•t1­1 ,e ,# Z" O / 3 I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: •:(ldress- city: phone#! insurnnee co noltey# tom- .�:-::�1: � �...: ��J,:.,t .•Tt�va�a'*�:'y .R{i r :F :-iL`^�' 7�:i"�?.'r:9... �'•rRyOT�"�":"?�S crimpanv name! address: - city nhone#: insurance co nolicv# :Attach additi6nal sheet if oeeessa cst': YKs'as':.�:�i..t1 sp :'c'T{. � -.'..LC�_�� Y__ ��-_. � r J i^ n•^'.�'. •... Failure to secure coverage as required under Section 25A of DfGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/ur une years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement mac be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certifj• t !cr ehc pains and pe al ies of peryuty that the information provided above is true and correct g p / Signature ate _ Print name / l l� Phone# 2, official use only do not write in this area to be completed by city or town official city or town permit/license# riBuilding Department Licensing Board p check if immediate response is required OSclectmen's Office OHcalth Department ' e r Y contact person: Phone#• r lOther ITved 3,95 PJA), The Town of Barnstable r �g Department of Health Safety and Environmental Services S61Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790.6227 Ralph Crossen F= 508 775-3344 Building Commissior. For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,moderaization,conversion, improvement,,removal, demolition, or construction of an addition to any pre-eadsting owner occupied building containing at least one but not more than four dwelling units or to su ctuues which are adjacent to such residence or building be done by registered contractors,with certain cmepdons, along with other requirements T of Work: W Est.Cost Type Address of Work: /1/1 11 6 Oaner.Name: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work aCduded by law Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITfIt1NREGISED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c- 142A SIGNED UNDER PENALTIES OF PERJURY I hcrcby apply for a permit as the agent of the cm-ner. od— r , Registration No. Date _ Con or name 8 OR -. -_ rhuner's name �, � �•o �. �.�—...ram . . a A m f 11 � �� •� ��.�� ,��� • � r / i ' I/ _ _ � � �.l ���r.• moo` 1 !1 '� v Dom• ` � ,Assessor's Office(1st floor) Map � � f Parcel � _ Permit#, ,,,,Conservation Office(4th floor)(8:30-9:30/1:00-2:00) l�, f� ." Date Issued :/Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Yr1' Fe ^w ,6-29 t1?� ;/Engineering Dept. (3rd floor) House# Planning Dept.(1st floor/School Admin:Bldg.) �G"�� BLE, Definitive Plan Approved by Planning Board 19 J ®g® jam TOWN OF BARN, STAR j� ®� Building Permit Application Project Street Address o` (VI'Da� ? 2 Village Owner Poov L V" S Address k MOOR-+,�e,--' b d�_ Qz`r-v FT' Telephone S'V 8' Lf Z D S—Q.3 O Permit Request — — First Floor square feet Second Floor square feet Estimated Project Cost $ Ed-zr2) Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use P P oYtF_ 1+0 M F Proposed Use S Construction Type LA o-o y9 FOE"I; p nv P o Ur�-" (P� N 0 r-vu L 6 A-s 1-=� •� Commercial Residential Dwelling Type: Single Family f Two Family Multi-Family Age of Existing Structure CJ �I W_S Basement Type: Finished f 4A-Y%P1-O_. Historic House Unfinished Old King's Highway Number of Baths �Z No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel w G A S Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds ✓ Other Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) _ — FOR OFFICIAL USE ONLY PERMIT NO: 1 DATE ISSUED MAP/PARCEL NO. - ADDRESS VILLAGE OWNER DATE OF INSPECTION: } FOUNDATION FRAME t3® _ ! Y INSULATION ��`� ► - , • 1 y , I FIREPLACE 2 - ELECTRICAL: ROUGH FINAL i — :• - PLUMBING: ROUGH FINAL + t . •,�,��,-� ��k,• , FINAL • l - •' 4 _ .., } ._ � � � GAS: .ROUGH, ' ar!" } — FINAL BUILDING' DATE CLOSED OUT ; f ASSOCIATION PLAN NO. ' ° r t , , TOWN OF BARNSTABLE - f • -BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE SAC JOB LOCATION 1 (1'10 0 IeA 'Number Street address Section of town "HOMEOWNER" -�r4 yy V c S /3 ' sD$' L/ Z U 5-0 30 Name Home phone Work phone PRESENT MAILING ADDRESS C4D02u✓cr City/town State Zip code The current exemption for "homeowners" was extended to include owner-occupiec dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire Who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sy who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 Offici on a form acceptable to the Building Official, that he/she shall be res onsih for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the St Building. Code -and other applicable codes, by-laws, 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. HOMEOWNER'S SIGNATURE �o�✓^✓✓/ APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction -Control. . J HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for whicht;.,.a--Ililding permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that. .i: Home Owner engages a person(s) for hire to do such work, that such Home Owl shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming _the responsibilities of a supervisor (see Appendix Q, Rules and Regulation: for ,licensing Construction' Supervisors, Section 2. 15) . This lack of awarer often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed_ Supervisor. The Home"Owner: act as supervisor is ultimately 'responsible. To ensure that the Home Owner is fully aware of his/her responsibilitie's.. a communities require, as part of the permit application, that the Home 'Owner certify that he/she understands the responsibilities of a supervisor. On t: last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community i 4 i { 7 i . I The Commonwealth of A/assachusett-s t 1Wl DePartment o Industrial Accidents offceof/ZWOS ga1/oos '�'I.W 6(/(/ Washing;ton Street .��' Boston.Alrrss. 02111 � ' Workers' Compensation insurance AMdavit _ AR�hcant mtormaiion _ — Please W;,�IIt�Y� �— V'� r 04 Jan 0 � AJ - C�;ti .� refit— � 2636, ✓ Zo Sc�3C7 am a homeowner performing all wort:myself. I am a sole proprietor and have no one working in any capacity rl I am an employer providing workers' compensation for my employees working on this job. e -manny name., asl d rest• . C61xa nhnne#: . insurance co neltcv# 1 am a sole proprietor,general contractor(or homeowner role one)and have hired the contractors listed below who have the following workers' compensation polices: company n.-I address: city- phone#- - '-sura - nelicv# Lam:==,.._ ..- --- :....s�•�,•.�..•rrer•�••,-�•r-�• - - - m ov name: address: city- phone#• ---- policy# Atinch idditiansi'sheei ifaccesses nK' .YpLn ,.;•��+.,i!r ti i n:.; �RMa �: Failure to secure coverage as required under Section 25A of 111GL 152 an lad to the imposition of criminal penalties of a fine up to S1SOO.UO and/or one •ears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement maybe forwarded to the OMcc of Investigations of the DIA for cove. ge verification. �I do herebr certif y u •r the pains and penalties of perjuty that the information provided above is true and comcL Sienacure Z-. l -B e-`�` - 1 Q �nt name 1- �e &6 R-, - ✓ one# l Z-y �Cl-3© r oRcial use only do not pyrite in this area to be completed by city or town official city or town: permitfilcense# r lluiiding Department �Liceasing Board cheek irimmediate response is required OSelectmen's Office C3I1alth Department • contact person: phone#t nOther I re%nW ITS PJAI - : The Town of Barnstable . Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Ctossea onice: so879o-6M Building Commis Fax 508 775-33" For office use only Permit no. Date AFFIDAVIT HOME MOROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"recon =ctiOn,alterations;renovation,=Pair'Mm u"i= . on, improvement,mmov-4 demolitionu or construction of an addition to any pre-adsdng Owner 007*ed building containing at least one but not more than four dwelling units or to US M r 1 which am adjacaft to such residence or building be done by registered contractors,with certain c=ptimM along with other Type of Work: f�+• t2& fl� rto'-' Est Cost Ln �) — Address of Work- al -2 6e— Oaner.Name: ���L S'�F-t3 P 4 ZDate of Permit Application: I herein certify that: Registration is not MFired for the following n:ason(s): Work=ludedby law _ _ob under SI.000 Building not awns-ooeupied Z/ Owner palling awn pcMdt Notice is hereby ghren that: CONTRACMRS OWNERS PULLING THER OWN PERmrr OR DEALING WrM DO NOT HAS�S TD T FOR APPLICABLE HOME 54PROVEMENT WORK HE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. I42A SIGNED UNDER PENALTIES OF PERiURY I hereby apply for a permit as the agent of the owner- Date Contractor name Registration No. OR I I Oc5-�._( 41,S IAT A--� Ouipep �. Ctop VIEW of F,�' ,troi �G � f AR CIE COLCAk 't%y �51& T,483E0 DJ FDe 5t)An,tia- I' NE�,.J P1'-1�•.:r.7 C�E� �itia ��"i `� \may ExeosE0 i C'}{gtic�F- �Nr��Y2 Q vT� iC tv,A �r-. wALL_ (N� 2c.NaJc4� �Oti OF {'L r4- �Ter+ — � t'�'����- R€ New /-SP+1A- F1 (r- F-aDf= 10 <<��� 13 L 'C 0 Co A-e.4o�2 . ,2r000— pF2 Pk--A 'v 3) M� FIT rvk/ F2riMINa- L t � �,,�s � ] �o^���2.-a�.S-a is • L�) 2 0 1" (2 ►F F (Z^7 (� " w e u�. �. 4 r'I_. a2�. (, FD ,2 Lvr4 i4 rJ• I >t �'c3 w , ,..rY el �) Al C ►}� , ry t `('.� g� 1 rvc��...7d._� i_P:r� /V C� �K r$ Z-u L-J l 9-1 -JG- �'J Aj S H-F-.r IT w vt r I L o ft � RO -0, rop- P-0-F i j 13 A 10 As%fssor's map and lot nu r ..... ... .��. � .. FTHE r yy Sewage Permit numberv...3 /..................................... 'NS FMC SYSTEM M Q `� ALLED IN COMP AXLE, i f House number ................. .�.. ........................................... WITH TITLE .5 90 a RONMENTAL CO® ' �b3q. Y A" TOWN OF B A R N S TXftOIAT+®Ns BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....................................... ® , ......... ... TYPE OF CONSTRUCTION .....1,104 41 ................. ............................................ .......... .. . ..6 ., . ..................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accor�inAg'to� the following information: Location .... �./!4........... . Cr !. ....0:......................................................... ProposedUse ............ ............................................:.............:.......................................................................... Zoning District ..........................................Fire District Name of Owner ...�I�� ..L ........Address ..................y ,UT. lu. ................... .... Name of Builder ... /Yj�� .'� ..........Address .Name of Architect ..................................................................Address Number of Rooms .................... u..........................................Foundation ... . Exierior ................Roofing ...... .. ..................... .. ..........ilk............................. ..................................... C/� Floors Interior ................ . Heating. /...'.. ./�.'..�!�....� :.... ......... .... .....:......Plumbing .....................M ............:...................................... Fireplace Approximate Cost .....:........ Definitive Plan Approved by Planning Board _ _0-----19 Area .....1. ...`......... ____ _ ___ Diagram of Lot and Building with Dimensio Fee �,�,�.. .. SUBJECT TO APPROVAL OF BOARD OF HEALTH ��jAj I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .. .. . ........ . . ............................................. Theo Construction Z2435 one story N1%................. Permit for .................................... single family dwelling ............................................................................... 21 Mooring Drive Location ............ Cotuit ............................................................................... Theo Construction Owner ..........................................:....................... ti frame Type of Construction .......................................... , ................................................................................. 7 Plot ............................ Lot .............#112.......... Permit Granted .........August 19...........19 80-. Date of Inspection ....................................19 Date Completed 19 PERMIT REFUSED ...........S......... ........................................ 19 tr .......... ..................................... ft ....................................... CO ..................................................... n ................................................. i-- ex Approvect!......... .................................. 19 ni . ................................................................................ ............................................................................... zo r la.0 /25.4 O -Z.33/4 b .� 14 61 r c Vi- •j u PLAN SHOWING � a a FOUNDATION LOCATION .. W COTUI T, MASSACHUSE T T S OWNED BY: TCr'�,o C�4) S�'-re. SCALE : / ��_ S(D DATE: NORMAN GROSSMAN----—— REGISTERED LAND SURVEYOR I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATEDOF ON 17HE LOT AS SHOWN AND CONFORMS TO THE TOWN OF BARNSTABLE ZONING REGULATIONS REGARDING ' SETBACKS FROM STREET LINES AND LOT LINES . NORMAN GROSSMAN R.L.S. DATE c �„��""'• TOWN OF"BARNSTABLE � e Permit No. __2 2 4 3 5 " Building Inspector Cash ---___--- "u& (T/ 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 Theo Construction .. Address South Yarmouth WiringInspector f � • _ ��•y Inspection date Plumbing ector l Inspection date 4 Gas Inspector c• � — Inspection date r. Engineering Department � - 1f� Inspection date /� = � THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. �' Building~Inspector .. -....... S � O'er Assessor's map and lot number . �:.� .. ..:.... .......:..-,.�✓ � OF�METO Sewage Permit number �.................................................... d Z BAHBSTADLE, i 'House number .. . ro MM& .......................................... p 1639. 6� ,EpOR A\ TOWN OF BARk-NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPEOF CONSTRUCTION ....................................................................:......................�........f................................ ' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. ..... .........! ./:..::.. .... ..::: .: !tt ... i',�...... ProposedUse r.... ............................................................................................................................ Zoning District ........................................................................Fire District ........€.Wz--f .................................................. Name of Owner ............................_ ?C / 2Gt .......Address .................. �1.......!.. (( ,r Name of Builder .....J E Ll3 f-..r%d l.;;{.. ... ..........Address ...........................:.... .................................................. ................... .... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ' ........................ Foundation .... ✓r ....G 't"11; rl-... .. ............................. Exterior r-r�CGi "C :`sue+�L <�� ,......Roofing .......;!i•,v) ,�. Floors ..... ........L`....�`.`:..................................Interior ........:,�.�?t,G�f!'wY."'` � �. �'.............. Heating . ...... Plumbin ....,..... Fireplace ................ .��..::..................................f............Approximate Cost 11 0o Definitive Plan Approved by Planning Board _____ _'`f 1 ✓ ____19___���. Area Diagram of Lot and Building with Dimensions t ` Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH fi --------------.. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable.,regarding the above construction. f Name ....:� �.:':1 e' ..... t'r.. :..... .... ....... Theo Construction A=23- 4 i 2243 one story No ................. ermit for .................................... single family dwelling ............................................................................... 21 Mooring Drive Location ................................................................ Cotuit ............................................................................... Theo Construction Owner .................................................................. Type of Construction ............. .2me Plot ............................ Lot ...........#112............ u st 19 t9 80 Permit Granted .... F . ............... Date of Inspection .............(((/......................19 Date Completed ............ .........................19 PERM�T REFUSED ................................t .... t,. L... 19 . .. .. ...~...................... .i ....... ....i ................................. ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... As ...0 sgssor's�-map and. lot umber ............ %TNE S wage Permit number ..............010 ......................................... SEOMC SYSTEM M INSTALLED IN COME LE,MAO& House number ................. 1. WITH 163 .S• COCA Ir -BARN TOWN OF rtjt ATinms BUILDING' INSPECTOR APPLICATION FOR PERMIT TO .................. ........... ........................................ TYPE OF CONSTRUCTION ...... ...... ........................... 0........ 9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... �...... .................................................................................................................. Proposed Use ...... *....(/ ............................................................................................................ ......................... T ZoningDistrict ...............Fire District ........................................................ .................................................... .................. ... ..................�6 ..............Address ............... ...... Name of Owner........ .................... Nameof Builder Address ..................................................................................... Nameof Architect ........................\ ...Address .................................................................................... LO Number of Rooms ..................................................................Foundation ........................... ........... /tk.................. .Exterior ...W.......(!20r�... . ...g1_11- .14 ....................Roofing ........1___-1.. . ............ A'.. ............................. Floors ....... W............. ... ....... .....................................Interior .....g Heatin ...... ........ ... ........ .........................Plumbing ................ ................................................. Fireplace ................... ............................................................Approximate Cost ....... co 6rd-C......................................................... Definitive Plan Approved by Planning Board - -------- ----------19 Area .... ..................... Diagram of Lot and Building with Dimensions Fee �K.!................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the 4Town Barnstable regbrdit. g..the above� construction. Name ...... .... . ........... e�.... ............................................ THEO CONSTRUCTION I _i� .2.2a5-9... Permit for .Qne...S.tary............ sin 9.1e..Fami1 D�wal.ldn- � sr. q. ............ Location,Lczf :#:11:2�21...ivlooig. D } ........... ...................... .................... Owner ... Ib.eQ..CQ.>«.��C 5?Xl................ Type of ISsesta Jon ..F.r.amp........................... .............................. Plot ...... .. _ Permit Granted ...69ctobeA ..2.t...........19 80 Date of Inspection Date Complete .............. .........19 PER IT REF El) .... . ..... .. .M. ................................. 19 ,.............................................. ........ . .................. ........ .%'7:.. 4.y, r .................................. r Approved''�::..... ....................................... 19 - Assessor's map and lot number ...... ......�`� ...A'............ -- Q�Of THE �4 3 Y-/ Sewage Permit number ........................................................ d� � y�`.',', Lj- Z BAUSTADLE, i ,louse number .........I........z./.....!Y........................................ 9 M"" Apo,11639. 'Fp 11{1Y M1• TOWN OF BARNSTABLE BUILDING _INSPECTOR ,z APPLICATION FOR PERMIT TO ................ �LL�lrl !,,............................................. ....................................... TYPE OF CONSTRUCTION ......., ....... `. .. :... .. ......................r..f:..... ..-........19. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................................................. ........6 ....................................................................... ................................... Proposed Use — .................................... .............................................................................................I......................... ZoningDistrict ...........................................................:............Fire District ............... ............................................................. Name of OwnerT ' r `..............Address ...............~ .....` j ........................ Nameof Builder ......Address ............................................................~..................... Nameof Architect ..................................................................Address .................................................................................... JT Number of Rooms ...................(...............................................Foundation r I.0 �.. LF . f ,� (X v Sri.;,K_, ..� (t.....r) Exterior ...................................................................................Roofing .........:.. ........ ............ / ' / �....<... Interior { :.......r .......>.✓'." ! �, Floors .........�....,..:.a.:.............. ................................................ ............... ....... ...................................................... Heatingg ......:...................................................... Fireplace ..................................................................................Approximate Cost ........._ ............................................................................................ Definitive Plan Approved by Planning Board :__ '_':__________19_���. Area .......................................... Diagram of Lot and Building with Dimensions `f Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. - Name ..... Z� ........ :.............f:.......:r/..r' .......... { THEO CONSTRUCTION A=23-54 . ne Story No'l2 .55.... Per - or .:.................................. ...... .i e..F.amily...Due lUng............... Lo tion , Ott,. 2..ZLAQ.orinq ,Dr .............. ..GOt.u.�, ........... ..................... ...... Owner ..r. .....o..... ................ 9 Ty f Construc '. ...... ................. } ....................... ......... ................................. Plot ........................ L t ................................ Permit Granted .. ,,,Ctobe , 19 80 Date of Inspect' n .......................... . .......19 Date Compl ed ......................................19 PERMIT REFUSED .............. ............................................. 19 ............................................................................... ................................................................................ ......... .................................................................. ............................................................................... Approved ................................................ 19 ............................................................................... .................... ......... ....................................... ' -t a 4:' .r vyS f }45 }s .i� •r'.:: y, �`. .r. � � ' ' _ �r' • N xt�f� dVI�C: wc � 14 t-fµ tl} . ,PLAN S�f OWING N LOCATION � w �Fo�c �Na}a�ri o _ Y xi q 0 .y COT IV�ASSA,fiitlSE T S .74 ` SCALE ! .OWNED BY' OATE ,}cl • 'I /$tea �k r ` NR.Ali4N GftO'SSAFAN- — - —>REGISTERED,LAND SURVEYOR CER.rIFY TWR 1NQAr104 .IS ;I.00ATEt3 �� y QN wE toT-A$ SHOWN AA!V'D CONFORMS Tl� °TNF .TDINN OF VAKIV-STABLE" ZONING MOWN SE'TBActi f.ROM ST��� T'rLINE�,AND LDT4 L1tuES i Rt SMAN N • � to � �t DA7� ��� sub �a4 `�a.'. � f4 aJ +4 -'. Fn fr.• tl�C eta <+F� ° � `�`'4b i .`a r <,,,,,r � T � � t„ tr fr tiYf?I :��S'»....'Ke v,�..u+�..�•:-w..�#.r '3•�6`�0.Mi