HomeMy WebLinkAbout0145 OLD KINGS ROAD ol
PPIP-1
Assf s ap an ot number ... ..6.........,4.....
oF?HE TO�y
o
Sewage Permit number .... 12,`/................................ 141 SEPTIC SYSTEM MUST
�- E 9T AD3ADLE.
House number ..�..............�..75 . !Sg.............................� INSTALLED IN COMPLIAN M�°a
WITH TITLE 5 � nwava���
TOWN OF B A R N'g=#XV0DE AND
IONS
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ........CO. Uc..�............................................................................
TYPE OF CONSTRUCTION �� �......� '..................... ..:.....................................................................................
...................�b-
.6...............19...F'�!
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ..... a." ....I.v......... .../..1..> .L5.......R.�..........�Z:6.. .................................................................
Proposed Use
Zoning District ...... ........ ..........................Fire District ............. ...1....................................
.....................
Name of Owner ..../1l1 CS/.,f�'l(. ��(,rC .........Address S-Z�e � '�� f
...... .! .. ..................... ... ......... 1................ . .�............... �.. ..
Nameof Builder .......... '.........................................Address ....................................................................................
Nameof Architect ..................................................................Address .......... .........................................................................
Number of Rooms '......................................................Foundation .... �. .C.............j.....G."`` �
Exterior .........gJrl..i�..!5�.4.!' ��. ..........................................Roofing ....... 5 ` .........................................................
Floors /�`. ...V`' Interior .....� v ^�
......... . ....................................................... ti ... . .r...............................................................
�
hieating /,�PC :I . ......:.....................................................Plumbing ............ ;,l
..........�......................................
Fireplace ....... �. le 07�p
.� :.'.................................................................Approximate Cost .....��...................................................
�f ,
Definitive Plan Approved by Planning Board _________________._____19_____ . Area ........./../...�e ',zt., ..:.:.
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name
-►...dZ�.. .........................................
McSHANE CONSTRUCTION
NO ............}..... Permit for ....On.e Story............ .Sinqle Family Dwelling
Location Lot #19...145. . ....Old...Kingg...7 gad
.. .. . ....... ........
Cotuit
...............................................................................
Owner M Shane Construgt cgj3........
Type of Construction ..Fr"0
................................................................................
Plot ............................ Lot ................................
Permit Granted ......January. ........ .........1 21! 19 81
..
evy
Date of Inspection ............... ....19
Date Com leted ...... ........ ... ..19
�i
-
+,; = PSRMIT REFUSED
Za?
.......... .:.. ........................................ 19
..... .fit.0.rM.....................................................
............ .�. ......................................................
...............................................................................
..............'..................................................................
Approved ................................................ 19
...............................................................................
...............................................................................
Assessors map and lot number ..:......
- ypf 7N E
Sewage Permit number ....�� --2.. ?..................................
r' f BAUSTADLE, i
House number , ......... MABB.
Op t639• 9�
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ....... ��.! . 5.? '�. ...................................................................................
TYPE OF CONSTRUCTION ......... � 'M
................... . ...............19....
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for
a permit according to the following information:
Location ........ .'? ...../.`.3......... . l, ...... .. = � .�.1.............................................................
ProposedUse .......... ..! .... �.�t.M..... a:�....................................................................................................................
ZoningDistrict ..... ...... f.... .........................Fire District ........... .. ......................................................
Name of Owner .. !?! " :.....L...'.r�.'a .........Address ......+� .? ?s� 1 CEO..... ✓> �' i( (S
Nameof Builder �'�. ........................................Address............ ........... ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms (, ....................................................Foundation ... J C ���� _
......................
'1
Exterior ................Roofing ...........:�
Floors ....................................................Interior ......
Heating .... ...... g ...............................' ...
Fireplace ....... .'................................................................Approximate Cost ....i ......................................................tJ fi
Definitive Plan Approved by Planning Board ___________________-----------19________. Area ................ ............................
Diagram of Lot and Building with Dimensions Fee L ...... -.
............................ ...........
SUBJECT TO APPROVAL OF BOARD OF HEALTH
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ..... ?. .:'...� ........./.(..:t'`�-'-`—�''..................
� CONSTRUCTION
� 22821 ' One. Stozy '
� No -----.. Permit for .—.-----------.
� Single
..]�an�il _Dv«elli�g_._.. .. -
. .---.—.--.... —.--.--' ----.— .
- I'ot #19 I45 Ol' �i '
Location ---.---..�....----..��—������..Jl���
�
� Cotuit '
-~--'---~''~—'--------^—'------~'
�
� »8cSl�az�e (���oot
C)wo�or —.---------.--���!������--'. ~
�
I7
Type of Construction ..�.ra.mle-------..
,
� � ^
.,.... —.. -----..-----'-. .... '
�
'
PlotZLO
Date Completed ........./—
PERJT REFUSED
`
,
'
`
-
�
�
,
-
^^^'—'-----'~'----^^'---'--
Approved ___------------- lA
-------~—'—'—^--^^------^-
----,---------..----^-......
PLOT PLAN
Fool tT
lmdfcati l6cadou of garage or acccuory building
Addltions,wwl daAed llii6 ---------------
Sewui=e disrosal (ccupool)
Well
n .....ft. K itr)
+utter a I
2mc Idassle
of / R Yird
Lot i
eal
...ft.
I o o S�fl g u.AJ o M R
1! this Is �. APR P Lf Chia 11
Corner lc%t �J / .'Q cca-ncr lc%
--I: -, v c IL
s,y r write W EIt' 1 i/Hb' n� hill
n d U aaroe c�!
name
•..q ' �XS
other rrrct. m Sldcyard HOUSE Sldcyard othcr rrr
h- eP.
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o;
s«C Bac)c
. •(Lot. ?�::.`�.. ...ft. front a[c) Cl
• aasoo
0
------------------ - ---- ---
(Name,of.mcct)
� ir,rormatosi o
Sup'plised b�• �.�'OT r �AfQ
�!Mwk Ncrth.701nt
4ssesi&2 map;.and lot number. WO?........................... SEPTIC SYSTEM MUST f THE
INSTALLED IN COMPLI
Sewage Permit' number .............m- ........ ... •
WITH TITLE 5 Z BAUSTADLE,
9PEI�®NMENTAL ,�
House number ......... ....... ....... ......,........:.......:. CODE a
63
TOWN OF ,BARNSTABLE
BUILDING,.. I CO.NSPE T R APPLICATION FOR PERMIT TO .�...X... .......:.....�(AN..NM.................................................
TYPE OF CONSTRUCTION ............!.N.f Q ......�CoIN!I er........................................................................
.................... .Q.!!.9... ../.. 19A
TO THE INSPECTOR OF BUILDINGS: Vu,,C-3
The undersigned hereby applies
ap/p�'llies for a permit accord' to the following information:
Location .................1�.....046.....iK1.. .,s.... .il4oad. ...............L-aru .10,.,..............................
ProposedUse ..................S. A�......R0.0./.A....................................................................................................................
e
Zoning District ........................................................................Fire District ....... ® t!�.�...
Name of Owner ...61.r5.e....M01.41V..01j.h7t(INAddress 53...®�-'�J. f. �...1� �..... .. .6
Name of BuildeAme, Vw-m.e . . �.enl 4s-4cdress .. > Mkt .. .. .....�.. .�fAIVIX
c4pel UGC l�
Nameof Architect ........ .. .............................................Address ....................................................................................
Number of Rooms ,Rt7m..'5...14 jV ..........Foundation ..........Novo. Pa.Lt.I^
Exterior .....!r'kAe...... e... OA ..ti.�Aiii9?....�>...............Roofing .......... A� ��f....,.J/U& ht ......................
Floors � �'... ...........................Interior ...........� �o..it .. r..............
.......................... e...
Heating ...................................................Plumbing ...................IN. . ......
� 6�
Fireplace ............� ..........................................................Approximate Cost ........ ... �...e..:.......................
....
Definitive Plan Approved by Planning Board ---------------------
__
---------19________ . Area
Diagram of Lot and Building with Dimensions Fee 0
........�.. ...........
SUBJECT TO APPROVAL OF BOARD OF HEALTH
p
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar ' $ the above
construction. ,!
Name .. .. .... .,. . ... .......... ....
Construction Supervisor's License a/.D ...............
� i
Wightman, Mrs. Marilyn
....30235.. Permit for add to single
,No ........... .......................... ..
.............f.a.milv...dwe.�ling.................................
. . ....... ...... ......
Location ................ .............
...............................Q.Q.t.14U...................................
Owner ........... .........
Type 4'Co' nstruction ..............f.-r.aWq...................
.............................................
Plot ............................ Lot .................................
...... . ...... .
Permit Granted ......D e c.e.mb er...1............19 86
Date of Inspection /n�'.-v...................19
Date Completed .....................................19
o'l
4r
V.
Assessor's map and lot number .....00?0?.. .... ... ...........
oF7HEro
Sewage Permit number .......... . . ...........:,�.......
9-TAM LE,
House number .... ... ......... NAM
1639-
MO
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..........1.4?....)(J�`.. ..........Sj(A.IV..f..q®m..................................................
TYPEOF CONSTRUCTION ...............LJ..Q 0 C�.......1 1A.M.I�...........................................................................
..................luav,... 19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit accordin t the following information:
Location ................1-,!�.....1046......KIN..5-5....... .4. .06,)..................C, U.rf.t... ..............................
ProposedUse .................. ......Roam............................................................................................I.........................
Zoning District .............I...........................................................Fire District ........ AL
{.. .... ...............................................
214 11,Name of Owner ... A...t. .......... .. . It....A.I.
'U*d d ... A v 1.x
Name of ress
Nameof Architect ..:,... ..........................................Address .........................................................;..........................
Number of Rooms 7PAL A!1. ...........Foundation ..........NOVO ........P0.t4.jr............................
Exterior .....ovc...... ...�zen.-4:1E..... . ...Roofing ..........A*(-�t.......5h.,, 1,ts.....................
Floors ..........Co.&JGnr.e.....V............................................Interior ........... .8 d.. r................
Heating ..............E..)-e—.C... ......................................................Plumbing ....................N.A..........
Fireplace ............. /A..........................................................Approximate Cost ......*.�. ,rj-0 0 L5 0
. ... . ............ .*., ,*
................................;.....
Definitive Plan Approved by Planning Board ------------------------------- --------- Area .... ...........
Diagram of Lot and Building with Dimensions Fee ..........;,:�51............................... ... ...
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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 . . . .. .. .. . ........ .. .. ... ...............
0 2
Construction Supervisor's License 10 ..............
Wightman, Mrs. Marilyn
A=022-003
No ................. Permit for .................add O................
single family dwelling
...............................................................................
Location .................. ...
95 Old Kings. ...Road........... ....... ........ . ........
Cotuit
...............................................................................
Owner Mr..s.....Marilyn. . ...Wightman. . ........... .
.... . .... . ........ ........ . ......
Type of Construction frame
Plot ............................ Lot ................................
GI
Permit Granted ....December 1..............19 86
Date of Inspection .....................................19
Date Completed ......................................19
7
0/0
E
r PcLf
Permit#
6s' or's Office(1 st floor) Man
w f
Conservation Office 4th floor Date Issued J
Board of Health Oid floor
Jf Engineering Dept. Ord floor House# / �� SEPTICNAT
UST B�
Planning Dept. (1st floor/School Admin.Bldg.):
Q�95TA5
Definitive Plan Approved by Planning Board 19 ENvIRO . ore Ap
(Applications processed 8:30-9:3 .m.& 1: 0-2:00 .m. TOWNIONS
4
O OF BARNSTABLE
Building Permit Application
Protect Street Address / ®Wt ► CO-f-Li c
Village ('—AEn t Fire District
(hvner Coo-be� Address /q�Lol p(
Telephone'
0q
Permit Rc uest: lxe rr -e(v nt iG�4grv— / W x q"54 �t'�c4 PJt*.
Sf�eejjce � ,-X ® tA)J.� e t/ 50 /( Aele IA) nr
Zoning District Flood Plain Water Protection
Lot Size . Grandfathered
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type
Eaistin2 Information
Dwelling Type: Single Family V� Two family Multi-family
Age of structure IS Basement tune
S
Historic House Finished
Old Kings Highway Unfinished
Number of Baths No.of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name a6C AI Telephone number
Address S fug . e License# 0103,50
"Vkt,S wo Home Improvement Contractor# o
Worker's Compensation #kc ) 3(-� yz5zS 'I> 'A033 '
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 Yktz 4l�l�/
L4I�.��
r Pro'ect Cost -2�000
F
SIGNATURE DATE_ I
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
BPERM T
3/28/95 3�5fg`.�'�
FOR OFFICE USE ONLY
022.006
145. 01d Kings Road Cotuit -
ADDRESS VILLAGE
M &• M Corbett
OWNER a
DATE OF INSPECTION: r
FOUNDATION
FRAME - •. • -' , + - - ,
INSULATION .
FIREPLACE
J r
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL ;
GAS: ROUGH FINAL ,
T'A '•i'J / w • i
FINAL BUII.,DII�f
h=M. i•I
DATE CLOSED, p
ASSOCIATE
f-
COMMONWEALTH t)EPARTMENT OF PUBLIC SAFETY; fk#kNtp "°°°►fiwt
OF `ONE ASHBORTON PLACE Ms°itsStat°Br1N1°P
MASSACHUSETTh p BOSTON,M.A 02108 ? `
LICENSE. CAUTION
EXPIRATION DATE CONST-R. SUPERVISOR j
07/23/1 9 95 EFFECTIVE DATE UC-NO• FOR PROTECTION AGAINST
RESTRICTIONS THEFT, PUT RIGHT THUMB
NONE 06/30/1993 Q103S0 PRINT IN APPROPRIATE
R g BOX ON LICENSE.
R¢BERT A MACLAUGHLIN
0 2 GREEN TEAS.. WAY � BLASTING OPERATORS
� YARMOUTHPORT PA '0267;c MUST INCLUDE /PHOTO.
PHOTO{BUSTING OPR ONLY) F»E �}
1 b.O.Q O NOT VAW UNTIL SIGNED BY LICENSEE AND OFFIGIALLf
HEIGHT: STAMPED-OR-SIGiIATUftE OF THE COMMISSIONER i JUL 2 1993
�i/ {{{,,,��—THIS DOOUMENT.MLST BE q O E p{ ggOVE ��C �INE
CARWEDONTHEPERSONOF AA f�T{..� IU�—�' Ci
THE HOLDER WHEN EN
•
OTHERS-RIGH T THUMB PRINT GAGED W THISOOCUPATION.
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ON NL SACI- SETTS 02II1
games C2nppei BO` +
Cor.,n ssc.1 4 WO M.
_ ''CO MPF.W MA T0N-. ISUR�Na AFFIDAVIT
p k qe ; .I.
a - rz
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a �
- Y t a.. } 4 y
(licensee/permiaee). >f
with•a principal'place of business/restdcncc ar i
//�'�/)1(sus _ t
(C.rry/Statc/Ztp)
do.herc6y certify, under the`pains and pcnalncs of perjury,that
];am an employer providing the following workers'compensanon cov'cragc for my employccs'working;on this
P
41 � •`
Insurance Company; , `s Pohry Number
O I am a sol proprietor and have no one woriung for mc.
i Z t 1 ..
I am a sole: ro riuor, general contractor or ha�mcownet (arde one) and have hired the contrition listed below
J P. P
who havc:the following
workers' compesuacion incur. - poI}�
, k rs
t'S'
4
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s,•.- ., -
Y Insunce CompanylPoltry Numbc .
Name of Contnaor t; 4
. ,r � r �'F f
s f y lPoli Number'
l\amcof Concnaor° Insurance Company cy _
!j L'Yat r t '• ,L S t 3L
M1 t a / `+ 4
f` a
Iamc`of Contnaor x lnsurinee Company/Pohry Number;
..y i `
elf
o a
I am a homeowner performui all the work mys ,r
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f �:r .a ` t
NOT>~' Please'be aware that while hotaeowaert wha'emVlov penoas to do iauatetsaaee,coastructioa or rcpajr work on a
d.yeiiing oI not.'iflore th-aa taxer--I.. , I. whtrb me hoiaeowac: also resides atoa tbe.groua9 apput oo�t, boracowoer for a 1 case
considered to be'etaoloy' uaarr the-J'oticea. Cotapcas�.0 A4t�Gl"' - 1.-, !sect.a(S)).app ,
or•perm t rnav,.rnaeate be legal status of as eaavloyet uaaet theVorkcrs Compeasattoa Act.
f ume-stand tha a capv of this so( . nt win!be f' rw, ed 0 the Dc
pattmestt of Industnal Acadents,O nee of Insurance for mvcngc
veneration ant:that.utirc to secure covet7ge zs°reeturen�ttcsu Sce°on 25A�ot'+�GL 1:53 csa lead to the tmpostuon of aiminsl p�nalucs
consiitine of a tmc of up;to Sl 500 00 and/or tmpnionment of up to one yar grid avd,ppn ,in the form of a Stop .1-1 Ordcr;arid a
fine of S S 00 00 raav agunst the t ,._
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:his dati of,,;,
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Suggested Affidavit for Home Improvement Coniraetor i q.Mit Application
For Omce Use Only /) I�I,AME tQ.E CITYlI'OWN-
Permit Na
Dale
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Home Impc'6 owertt CQtitmoor Law
Supplement�44 Wert-,A -piication
MGLc.142A requires that the"reconstruction alteration renovatiort repair.modcrriization,conversion:inprovement,removal.demolition.
or construction of an ndditien to any pre cistirttt oVemtrt�ccvoltt t+itil�ine cdttt�ine a_ ►icastone but not more than four dwelling units....or
to stntctures which are adjacent to Such residence or huildine by¢onc bV rt&tstered contractom Witt;certain exceptions,along with other
requirements, rr r j j 7
Type of Work: =, . /,,z �;6 ^�" t/ >l 1 �', {rev Est. Cost
Address of Work t l �i i i �'
Owner Name: ►r� �
Date of Permit Application: ? S "
I hereby certify that:
Registration is not required for the following rea$on(s):
_Work excluded by law
_Job under S1,000
_Building not owner-occupied
_Owner pulling own permit
_Other (specify)
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING, WITH,UNREGISTERED
CONTRACTORS FOR APPLICABLE H,QME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PRO.GRx:1i OR GUARANTY FUND UNDER MGL
c. 142A.
Signed under penalties of perjury:
I hereby apply for a permit as att age t of the owric
Date ontractor .Nan Registration No.
OR:
Notwithstanding the above notice, I hereby apply for a permit as the owner of the above propert}":
Daic Owner Name
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t 1
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AB -Rwfl
TOWN OF BARNSTLE, QSSACHUSETTS
PIE
A-022.006 DATE March 28 19 95 PERMIT NO. -N 9756A
APPLICANT Robert A. MacLaughlin ADDRESS 29 Green Teal Way, Yarffiout port 1010350
` (NO.) (STREET-) (CONTR'S LICENSE)
PERMIT TO Renovate (_) STORY- Single family dwelling NNUMBERNDWELL6 UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
145 Old Kings Road, Gotuit ZONING
AT (LOCATION) DISTRICT—
(NO.) - (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 AND SHALL CONFORM IN CONSTRUCTION
TO TYPE. USE GROUP BASEMENT WALLS OR FOUNDATION
Jl.
(TYPE)
REMARKS: Sewage #81-24 -
AREA 00 VOLUME No area change 3,000.00 PERMIT 50.00
ESTIMATED COST FE
(CUBIC/SQUARE FEET) -
OWNER M & M Corbett
ADDRESS 145 Old Kings Road, Cotuit, MA p2 .35 BUZND
BY
A,
A!
TOWN OF BARNSf'A'BLE, WASiACHUSETTS 't LWAV PERMI
A=022 i-006 DATE March 28 95
19 PERMITNO. N9 375U
APPLICANT Robert A. Ma6Laughlin ADDRESS 99 Green Teal Way, Yarmouth port , UTU350-
A IESS
~
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Renovate Single family dwelling NUMBER OF
STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
145 Old Kings Road, Cotuit ZONING
AT (LOCATION) (NO.) (STREET) DISTRICT
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE" USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Sewage #81-24
AREA OR No area change 3,000.00 PERMIT 50.00
VOLUME ESTIMATED COST $ FFF--
(CUBIC/SQUARE FEET)
721 cotuit, MA UZ63.5 8 U I L 0 rl'Z
145 Old Kings--R—o-a- 1!N;G�
OWNER M & M Corbett
�Ee
ADDRESS BY
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMP�'q� OR
PERMANENTLY* ENCROACHMENTS ON PUBLIC PROPERTY NOT SPECIFICALLY PERMITTED UNDER THE BUILDING--G.Q0 BEE-'RUST AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES As WELL AS DEPTH AND LOCATION'OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APP1:1-6ABLE SEPARATE
INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS,BE,EN
I ELECTRICAL, PLUMBING AND
I. R FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS E- MECHANICAL INSTALLATIONS.
z. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO LATH).
3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE.
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 2 2
3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
1
2 BOARD OF HEALTH
OTHER SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIOLIUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.
BUILDING
PERMIT
'!
OLD
/70,o o I i
h I /,
9 ti^•� 2-1400 spGr
d 7�Po �— 2�
33,t a,_Gi 6 1 __ ►�M O DE �V 0
o T.0 �"
7W di
--
�tnt,l2F DSf N ® rN
8oX PiT �y
PF
I'! L
/ 76,o 0
Norz�— ✓ATIa•✓ssE� � v
f�ss�.w,6rD DA7't.r^9
CERTIFIED PLOT PLAN
LOCATION
i le
SCALE � . �''�.`. . . . DATE ,�./.✓5' �9�t i
PLAN
Of UA �
g
ED D Fl 1-1p/vd. G�c/E7VD04YA.1 Iy
q �o27a'®
I CERTIFY THAT THE 4�T'377y`v
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
AS SHOWN HEREON AND THAT IT CONFORMS TO THE
SETBACK REQUIREMENTS OF THE TOWN OF
----��' . .BA??^!57*043.4E� . . . . . . .,. WHEN CONSTRUCTED.
DATE4tt!
PETITIONER: 7,�NNi j �S S° ►'y f, �r
REGISTERED LAND SURV R
TOWN OF BARNSTABLE Permit No.
{ »n.>L Building Inspector
7eA/Yl
Cash --------------------
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 lir k-AAYSL2:'UCL1v1i 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.
.....................................................7 19......__ ......................................................................._.....__................. ---
Building Inspector
Ora
Tlie Commonwealth of Massachusetts PrmdtNo. �06�
Department o Public Sa
eP° I f ctY Occupancy ec Fa Checked
�! BOARD OF FIRE PREVENTION PEGUlAT1ONS 527 CMR 1?tlo 3/90 p"vehW*)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All wrk to be performed In accordance with the Masaachusern Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date J
TOWN OF BARNSTABLE To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described bel w.
Location (Street 6 Number) l (::�JZW
Owner or Tenant �� ���p_^ ' 6
Owner's Address
Is this permit in conjunction with a building permit: Yes ❑ No (Check Appropriate Box)
Purpose of Building _Utility Authorization NO.
Existing Service Amps % 2-0/ "-2 3 Olts Overhead Undgrd ❑ No. of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No: of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
p�. No. of Lighting Outlets No. of Hot Tubs No. of Transformers Yo-tal KVA
N 'D No. of Lighting Fixtures Swimming Pool Above In-
A, grnd. ❑ g n ❑ Generators !(VA
(Y\ \ No. of Receptacle Outlets No. of 011 Burners No. of BatteryEmerts
gency Lighting
J No, of Switch Outlets , No. of Gas Burners FIRE ALARMS No. of Zones
No. of Ranges Total No, of Detection and
8 No. of Air Cond. tons Initiating Devices
No. of Disposals No. of Heat Total Iotal
Pum s Tons KW No. of Sounding Devices —
No, of Dishwashers Space/Area Heating KW No. of Self Contained
Detection/Sounding Devices
I No. of Dryers Heating Devices KW Local 0 Connnnectioection❑Other
Co
v No. of Water Heaters KW Wi Sig No.
nof Ballasts No. of LowiVoltage
QNo. Hydro Massage Tubs No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liabilit Insurance Policy including Completed Operations Coverage or its subs antial
L5�S equivalent. YES NO I have submitted valid proof of same to this office. YES❑ NO [tj
OIf you have checked YES, please indicate the type of coverage by checking the.appropriate box.
E
(g n INSURANCE ❑ BOND ❑ OTHER ❑ (Please Specify)
�—J (Expiration ate
Estimated Value of Electrical Work S fO 1b
e
Work to Start�2 - 2"/ ��,� Inspection Date Requested: Rough 3 -')L 7 j'7) Final ` 3
Signed under the penalties of perjury:
FIRM NAME_! LIC.-NO__
Licensee f�cL C—d1i(y(�C/6 Signature C. NO. yY
Address Bus. Tel. No.
�.��� 6 ��f'�`��.J'��t�, �d�c� c
Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its su
stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit
application waives this equirement. Owner Agent (Please check one)
Ielephone N//Y 2 PERMIT FEE S
Signature of Owner or Agent �_
� , i� -15 '1 . ., I -
t sessor's Office(1st floor) Map Lot Permit# 17 r�J
Conservation Office(4th floor) 3 Date Issued /� " 'T— 7\3
• f
Board of Health 3rd floor 8:30-9:30/1:00-2:00 J!�
( )( ) ✓
tl
Engineering Dept.(3rd floor) House#1 f INST .LE PUANCE
Planning Dept. (1st floor/School Admin. Bldg.)
Definitive Plan Approved by Planning Board 19 TOWN09 AND
®AI$
TOWN OF BARNSTABLE
Building Permit Application flip,'
Project Street Adtress
Village
Owner / . Y:F . Address .
.Telephone
Permit Request O J"
Total 1 Story Area(include 1 story garages&decks) square feet
Total 2 Story Area(total of 1st&2nd stories) square feet
Estimated Project Cost $ 1,5" —
Zoning District Flood Plain Water Protection
Lot Size CL,e-r¢ Grandfathered ?
• Zoning Board of Appeals Authorization Recorded
Current Use /�E�i�c�i Proposed Use
Construction Type 'W"I a J 0
Commercial Residential yf6
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure /,3 Basement Type: Finished
Historic House Unfinished
Old King's Highway
Number of Baths a No. of Bedrooms
Total Room Count(not including baths) (o First Floor .S"
Heat Type and Fuel .5- Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Info
rmation
Name t4f COS//(_O. 4-OC.. Telephone Number����
Address � //OLt l�/�� U�/}')U F
eg ' #
�107 Home`Tm iotF��t`Contra V r I�> p
Worker's Compensation# ;�EV,2/ors '�,/ti 1.tdf'y?n
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
SIGNATURE/r6)/C,4&LWDATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
0
Jr
• t '
PERMIT NO.
DATE ISSUED r fi
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION: !
FOUNDATION t
FRAME '
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: _ Rd I GH FINAL '
;.r f
FINAL BUILDINS `::4 .
t1:1'��YsT - •
Ql
DATE CLOSED,OUT--1 °
ASSOCIATIONPLN 1Q ,
9d I
11:02'94 1;:02 $Slii2i i1 2. DEFT UIM sV%-l++
�—_ ,. 1�,01jZJYLO/ZU/P.rLLLiL O� ��R.��QCJ2iL�ld� ,
' �QPLtIilli�ftl.O� ✓�(r(.if.Mw
t 600 1/Vaj4i#W SfMd
" ,�ames.l.CampbBp �,r"udssuma 02f!1
Commissioner
Workers' Compensation [ttsmmace Affidavit
I, DONALD E. GIRARD, President
(floea:edpa�es/ '
with a prinapai place of business
C .W . CONSTRUCTION CO . , INC. , Adams , Massachusetts 01220
(Qt1r/Sts�ZW
do hereby certify under the pains and penalties of pe*W, that:
I am an employer providing workers' comp on coverage for my employees w(
this Job. ,
Travelers Insurance Co . (,N_TTR SOAu�� i i
Insumanee Company Policy Hmnber
O I am a sole proprietor and have no. one working for we in any capacity
O I am a sole proprietor, general contractor or homeowner (drele one) and Have Ilia
contractors listed below who have the following workers' cal pensadan poficier.
Contractor Iosm'anaepanylPoficy
Contractor Insurance CompanylPoficy
Contractor Insurance Connpanylpoiicy
O I am a homeowner performing all the work imself.
I dnclumund�.a=a coR'f of&,is s:tc., m wW De feemrded to d e 01fiGc of tnveopaoat of dss WA fr cove m and sleet
ae c:re u r<c::ed under Section 25A of MGL 152=teed m else h P`*con of a'at*t pia of a fte Gf uP tO S 1,:
rears' ftft::raanc as weii as civil oamities in ttse f .of a STOP WORK ORDER ad a fhse of SI00.00 a day gpitut re.
Signed this-
, day of August 23, , 14 5
DONAL E. GIR.A D
GcenseelPermittee Building Dot
Uceming Board
Setectmens aff ce
e
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
DATE ZQ
JOB_ LOCATION %V624
- Number St eet address Section of town
"HOMEOWNER"
Name
Home phone Work ptione
PRESENT 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 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 Officia.
on a form acceptable to the Building Official, that he/she shall be responsibl
for all such work performed under the building permit. 1. 1)
(Section 109.
The undersigned "homeowner" assumes responsibility for compliance with the Sta
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 com.piy with said procedures and requirements.
HOMEOWNER'S SIGNATURE„ ` Z
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.
HOME OWNER'S EXEMPTION
The c6T state that: "Any Home Owner 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
Home Owner engages a person(s) for hire to do such work, that such Home Owner
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 Regulations
for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board cannot proceed against the
inlicensed, persbn as it would with licensed Supervisor. The Home "dwner, actin
as supervisor is ultimately kesponsible.
To ensure that the Home Owner is fully aware of his/her resaonsibilities,. man
communities require, as payt- of th,n periiit application, chat the Home Owner
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 to amend and adopt such a form/certification for use in your community.
Department of Health, Safety'and Environmental Services
Building'ItMOM
KAM ' 367 Main Street,Hyannis MA 02601
1"9.
Office. 7 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Building Permit Procedures for Re-roofing
1. Building permit application form must be completed.
1A.1 A--pl-*--..ti n ign.aff required from the
Assessor's Office(1st floor Town Hall)
Engineering Department (3rd floor Town Hall)
3. Homeowner License Exemption Form must be submitted if homeowner is acting as
general contractor or builder for the project.
4. Workers Compensation Insurance Affidavit must be submitted.
5. Home Improvement Contractor Affidavit must be submitted.
6 Home Improvement Contractor's License-copy must be submitted
7. Fee to be paid before permit is issued.
PERMrr
Rev 2/13/95