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HomeMy WebLinkAbout0025 PINEVIEW DRIVE -_---- __ �� '\ v _ / \ r yr �T tMEp Application number....��...................................... Date Issued............9 . ......... aa&Nsr.,ar e AUG 0 1 s�:5 rot �41 �1 .. ..1g Building Inspectors Initials........ ............... 'RFD M@►'�� . C��-� ' K�1c51 � Map/Parcel......... y........�.�.� ........................... TOWN OF BARNSTABLE EXPEDITED,PERMIT APPLICATION: ROOF/SIDWG/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY FORMATION Address of Project: �2-S ey �- NUMBER STREET VILLAGE Owner's Name: 2j3e,+ K n<<& Phone Number a o Email Address: c�,,;�4 r3 6 e Cam►«S4 a C Cell Phone Number y(S- 44 q Project cost $ `7 2 — Check one Residential vl Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Sep �-{(Q�� C' � -� Date: TYPE OF WORK L-3 Siding U Windows (no header change)# 3 ❑ Insulation/Weatherization Doors (no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) / Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name (�t�u� `7�n�,'so r� - Sovi�2�n +�P�J �rS ��,� 4il-n dow S Home Improvement Contractors Registration(if applicable)# 17 3 2L q_5 (attach copy) Construction Supervisor's License# S 7 07 (attach copy) Email of Contractor L.Jee� ; I. C frn Phone number 1/01- 2 Z R -�Too ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN, A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. r APPLICATIONNUMBER............................................................ *For 'Vents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan"with the location (s) of each tent . If food is being served at your event please obtain a health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire(Department approval. *W®®D/C®AL/PELLET STOVES x Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date A-MPLICANT"S SIGNATURE Signature Date 3 All permit applications are subject to a building official's approval prior to issuance. Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement-Contractor Registration Type: Supplement Card Registration: 173245 SOUTHERN NEW ENGLAND WINDOWS LLC Expiration: 09l18/2020 10 RESERVOIR ROAD SMITHFIELD,RI 02917 20M-OS/SCA t Ca Update Address and Return Card. �1/T ��B �LS'77/72/.?,CL'P.O.LIIl• L�G'�Zi-i!LC/I.CG)CGGi Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Re-algM 6 . Expiration Office of Consumer Affairs and Business Regulation 1;Z3245_ 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW-ENGLAND-WINDOWS,LLC Boston,MA 0211 BRIAN DENNISON ,Q �G --- 10 RESERVOIR ROAD u " SMITHFIELD,RI 02917 Undersecretary ft ffWithout signature Y Corr onwe:alth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards CflnStri1_ tYl ` Uervisflr CS-095707 p i res: 09/05/202,0 r' BRIAN D DENNISON 8 BLACKWELL DRIVE CHARLTON MIA=01507 1, -'y' _ - Commissioner CZL • The Conwtonweald of ddassachusetts Department of Industrial Accidents 1 Congress Stree4 Suite 100 Boston,MA 02114-2017 _ wlww mass goY1dia orkers'Compensation lnsurance Affidavit:Bulldens/Contractors/ElectriciaoMiLmbers. TO BE FILED WITH THE PER.`=DIG AUTHORITY. Analicaat Information (* Please Print Letibiv N3[Ilt'(Business/Or�tti7ation/Individual): 1 (�� p� �Q nQ�� t � Adder: y vot r (Zc� City/State/Zip:S M(-Hl-0j e-ld,R?! O-M g Phone#: y0/-Z7,r- ? 906 _ Are you an employer'Check the appropriate box: Type of project(required): 1. I am a employer with �� mployees(Cull and/or part-time).* 7. ❑New construction am a solo proprietor or partnership and have no employees working for me in arty capacity.[No workers'comp.insurance required] B.' Remodeling 3.01 am a homeowner doing all work mysel£[No warkers'comp.insurance required]* 9. ❑Demolition 4.❑I am a homeowner and will he hiring contractors to conduct all work on my ProPenY- l wife 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole I LC3 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions i.o I am a general contractor and i have hired the sub-con=tors listed on the attached sheet. These sub-contractors have employees and have workers'comp,insurance.: 13.Q Roof repairs 6.rl We are a co ration and its officers have exercised their right 14.[tither !,J;✓ pc�J . � �of exemption per.MGL c. 152,¢l(4).and we have no employees.[No workers'comp_insurance required.] *Any applicant that checks box#l must also fill out the section below showing their workas'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the and state whether or not dioso etuities Nava employees. If the sub-coatracoors have employees,they must provide their workers'Comp,policynumber. I am an employer that it protddina workers'compensaden insurance for my employees Below is the policy and job site informadolc Insurance Company Name: 'T"t l^P W fi, Policy#or Self-ins.Lic.#:WCri131,��0?y Expiration Date: L.O Job Site Address: g,y ?BP Cityy/Stateizip: t!�0 /`—r Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifMon. I do hereby CerR under the p penalties of perjruy that the information provided above is true and correct Simature: 34' Da 7— S E ff only. Do not write m this stag to be completed by cry ar town offtcirun: Permit/Licease# ority(circle one): ealth 2.Building Department 3.CitylCown Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#• AC A� DATE(MMIDD/YYYY) �-'R& CERTIFICATE OF LIABILITY INSURANCE 12i2812018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed, If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT CoBiz Insurance, Inc.-CO PHONE FAx 1401 Lawrence St., Ste. 1200 o E • 303-988-0446 A/C No:303-988-0804 IL Denver CO 80202 ADDRESS: COMail@cobizinsurance.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO.01 INSURERS:Firemens Insurance Company of WA,D.C. 21784 Southern New England Windows, LLC. dba Renewal by Andersen of Southern New England INSURER C:Homeland Insurance Company of New York 34452 10 Reservior Rd INSURERD: Smithfield RI 02917 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:787175890 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER . POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 1/112019 111/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE a OCCUR DAMAGE TO REN PREMISES Ea occurrence $300.000 MED EXP(Any one person) $1o,am PERSONAL&ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000.000 X POLICY❑JET LOC PRODUCTS-COMPIOP AGG $2,000.000 OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT $ a accident 1 110.00D X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ $ A X UMBRELLA LIAB X JOCCUR CPA3158728 1/112019 1/1/2020 EACH OCCURRENCE $15,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $15,OOD,000 DED I X I RETENTION$ $ B WORKERS COMPENSATION WCA315872924 1/112019 1/1/2020 X I STATUTE ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $t,000,000 OFFICER/MEMBER EXCLUDED? FN N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEd$1,000.000 If yes,describe under DESCRIPTION OF OPERATIONS bebw E.L.DISEASE-POLICY LIMIT $1.000.000 C Pollution Liability 7930073340000 1/1/2019 111/2020 Each Occurrence $2,000,000 Claims-Made Policy Aggregate $2.000,000 Retroactive Date 06/2012013 Deductible $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATIONAL PURPOSES ONLY AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD r Renewal Agreement Document and Payment Terms byMdersen. dba:Renewal B Andersen of Southern New England Y g Robert&Elizabeth Knight MRMI.....T Legal Name:Southern New England Windows,LLC 25 Piney Rd Rl#36079, MA#173245,CT#0634555, Lead Firm #1237 Cotuit,MA 02635 10 Reservoir Rd I Smithfield,RI 02917 H:(508)428-8684 Phone:866-563-2235 1 Fax:401-633-6602 1 sales@renewalsne.com C:(413)244-2913 Buyer(s)Name: Robert& Elizabeth Knight Contract Date: 07/15/19 Buyer(s)Street Address: 25 Piney Rd, Cotuit, MA 02635 Primary Telephone Number: (508)428-8684 Secondary Telephone Number: (413)244-2913 Primary Email: knight386@comeast.net Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document, the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this "Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $7,923 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $0 Balance Due: $7,923 Estimated Start: Estimated Completion: Amount Financed: $0 6-8 weeks 6-8 weeks Method of Payment: Cash/Check We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only;an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. Notes: $2,640 dep. 1/3 at start, 1/3 at comp, permit/taxes PD in North Pole Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER:Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 07/18/2019 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC dba:Renew y A/d en of Southern New England Buyer(s) Signature of Sales Person Signature Signature Cory Battista Robert Knight Elizabeth Knight Print Name of Sales Person Print Name Print Name UPDATED: 07/15/19 Page 2 / 10 Town of Barnstable *Permit# �FI FiE Tp� Expires 6 months from issue date Regulatory Services FeeY y� &AMSrest e b t [ U v� AS& g Thomas F.Geiler,Director �j�� -Wc4 059- .0 '°�eo►�w+' Building Division Elbert C Ulshoeffer,Jr. Building Commissio lkV 367 Main Street, Hyannis.MA 02601 w "P RE'S PER . ''I Office: 508-862-4038 f ,JUN 6 2001 6+ 1 Fax: 508-790-6230 EXPRESS PERMIT APPLICAMO-t N OF 13ARNSTA6Lt Not Valid without Red X-Press Imprint Map/parcel Number Property Address . Commercial Value of Work � t [,Residential OR ❑ _ Co ,rn�A Owner's Name&Address r Telephone Number Contractor's Name Home Improvement Contractor License#(if applicable) , / . fn ,� ► I/ La Construction Supervisor's License#(if applicable) gWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ( Re-roof(stripping old shingles) rl Re-roof(not strippirig. Going over k„ existing layers of roof) ❑ Re-side ,L 6 maximum.44) ❑-Replacement Windows.`U-Value t Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic.'Conservation.etc. ' ,s Signature expmtre TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel SEPTIC SYSTEM MUSTPermit# AV--Ar3� Health Division 3 — J) INSTALLED IN COMPLIAN&Issued Z-- Conservation Division E WITH TITLE 5 Fee NVIRONMENTAL CODE AND Tax Collecto T®��N REGUL ,° � s : ,. 7 Treasurer Planning Dept. s Date Definitive Plan Approved by Planning Board ` Historic-OKH Preservation/Hyannis Project Street Address PI&V l co "MI Ike, - r Village CA 171 j Owner Address S4rh e- Telephoned �Q 1 Permit Request e- L /&h �f1 t )b M Square feet: 1st floor:existing proposed 2nd floor: existing /proposed otal new Estimated Project Coo 1 Zoning District Flood Plain /y Groundwater Overlay Construction Type -- Lot Size Grandfathered: ❑Yes Flo If yes, attach supporting documentation. Dwelling Type: Single Family A Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes &LN0 On Old King's Highway: ❑Yes ko Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new _,lZmber of Bedrooms: existing new ' Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other 4 Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No ,,Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:U existing ❑new size Attached garage:❑existing ❑new size . Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ko. If yes, site plan review# Current Use Proposed Use o BUILDER INFORMATION Name / 2Zo F. fir) _ -F Telephone Number -qs/i- Address /� Le D /�LeS;UI 7�.00,- License# 0-S4 2A 7 q .P.I T. AIA Home Improvement Contractor# f C /OCR 7 7 o Worker's Compensation# WC 5s�6 6 V ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 77r DATE _ — 2 0e) f FOR OFFICIAL USE ONLY - r PERMIT NO. DATE ISSUED �- MAP/PARCEL NO. ' ADDRESS VILLAGE • OWNER DATE OF INSPECTION@ _f 1 FOUND.ATION FRAME17: -;4 C't f� O INSULAin f� 'N +-� FIREPLAC_En ,.. ELECTRICAL: av TROUGH FINAL PLUMBING;: ROUGH FINAL >; in Z:I " GAS: ROUGH FINAL - FINAL BUILDING {! {{ ' DATE CLOSED OUT "~- ASSOCIATION PLAN NO. The Commonwealth of Massachusetts + L' Department of Industrial Accidents � �°_-_ �-�� Olfice ollayesllgaltioos 600 Washington Street Boston,Mass. 02111 1 Workers' Compensation Insurance Affidavit —� name- rum Ail, i location cityZin e.il ❑ I am a homeowner pert all work myself. ❑ I am a sole proprietor and have no one working in any capacity //////lG /�1�////!%�l'/////// //l///////%/%%%/////%//%/%/%%%/////////////�'///%/%'lull///,//(!Cl/,1��'////l/!!!Z%!ll✓-----/---- (JQ I am an employer providing workers' compensation for my employees working on this job. ' comnnnvname: OAP-121J /TbIYI� _lliL���II�r address: r1U� l 1e&J72JW Al AL . city: 1.0 741 r aidAalk 3S phone#: C.Sad') til�S 4S18 insurance co. Policv# W (o ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who. have I . the folloning workers' compensation polices: comoanv name: address• dtv phone#t insarance co. oluv# company name- address• city: ... phone#: . ... .....:.:>.:: .: insurance co. :..:...:.. ::. olicv# :::;...::...::::,:. >:>::>''; ``: ::: .:.......- ction 25A of MGL 152 can lead to the imposition of criminal penalties of a Otte up to;1,500.00 and/or Failure to secure coverage as required tinder;e one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Qne of 3100.00 a day against me.•I understand Hutt o COPY of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verfIIeation. 1 do hereby certify under the pains and dppJennalties perjury that the information provided above it true and correct j Sigaatur��" y' Date d ? - Print name r9 EI)F-xl CA V. (R h S c jj = roe 0-mo;zZ i Phone# YQ g' -/S/8" oMcLal use only do not write in this area to be completed by city or town olneial 11 city or town: penni0icense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Oince ❑Health Depatttttent. contact petaon: phone#; ❑Others y� (WAM 9195 PJA) 9 i 9BA 1 Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 BuiIding'Commissione Permit no. Date AFFIDAVIT _ HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. TYP e of Work: Estimated cost � 33. illb Address of Work: - 02-� pi ne(fecJ3 LA,ke :T Owner's Name: . ( � Date of Application: 2 2- 3 ®<) I hereby certify that: Registration is not required for the following reason(s): Work excluded by law OJob Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME EUROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. �3 0 � �•ZZ / ,� ©0 ate Contractor f4ame Registration No. OR Date Owner's Name q:forms:Affidav e. �1 �1ce � Ila HOME :I p OVEN ccLO jj 1 '\ ✓1tP v/OIIt iYtdO4�Dl ENT CONTRACTOR ,+° a BOARD OF BUILDING:REGULATIONS.Reglstratlo � ` -- -r_�► r.100J:40 YPe PRIVATE CORpORATION 5rr a �• i.License CONSTRUCTION:SUPERVISOR f; XP1rat10h1 "�"� = Number CS W7032 O6/23%Q0 - CAPIZZI Gam ; HOME'IMPROVEMENT �� s i EzpirQs 0.9l26l2001 tr.no: ;5742 As. Ca IJVC r' . d ' nDAMMvisr --p_1 45 Newto lzz ., �r .. Restricted;To. .00: 1 n Rd 1. Cotult MA 02b35 THOMAS.X CAPIZZI JR PEFtCIVAL DR` W BARNSTABLE,'MA 02668 Adm,inistrafor : >. ,. .::' ...,.rules• As.W.'.�V'V' ... ,., ,. , /^ ^M/f� CLCf2GUletltl' } w R t'�s7.: Tie v�anL�na�r^wedlt� e .P redc/auvetl� aj` DEPRRTMENT OF PUB It, SAFETY .. z. 9 ii DEPARTMENT OF PUB. ION I t ' { , fi CONSTRI! TION SUPERVISOR LICENSE k •,_ J CONSTROC;fION SUPERVISOR LICENSE „� HOOP;: Expires: t Restrtcted'To FREOERIFL V .RASCH III +4 (� .1645` gP.WY@WN'RD .- ]@60 BOURNE:"R0 +1 COTUIT, 'MR 0263,5 PLYMOUTH, NA 02360 1 i/2 s�o0 ► Z.aCl , oAv2Y S. L � 21Yy f i /N �O__L' Tl�i/�J _TD �TG� -5Y,5 77i,�J [ _. G Sao ' -�',�� � ' XIS iN -3--2 IO FFJ S T i EX 1 L N/f� a LA �0? MCA 2� .. 5 0 I c I , I / w:7zcty- 1 2rJ- l3Zep - 4�0 766S - 2 JY41 J.r/-I LL 5 R T .�BDT O�1 �Z fk` -aA/ �J�LLIIJ 64� Lk&V'oi o-sOrb Ajew LI Al 0 OR - � G�/r/,t?f_/��/� GAG. RS > L G 5-719 -C-Iij L i - S F T ( S S j y �� 4' t . �� ,� { ff e1 �. �� � � � � _ i --� �; `� � ! — f `� ,} a ; �— — — _ ? �_ .. I .. :. 'd � F 1. ; _ _ . � _ 8 � t _ _ _ i 1 � F 1 � I�I j } � i o i ! .. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Ala Parcel ;l I Permit Naa{I!f __ion Date Issued VIVISioll , Fee 0,11 Tax Collector - - Treasurer G 7 �/ 4> Planning'Dept. _ Date Definitive Plan Approved by Planning Board i Historic-OKH Preservation/Hyannis Project Street Address r7 Pl&,P-C III eu) Zve ve Village C6 Rt 1 T Owner &Srk7t 13I9UAtZE Address n &AJCLIIE&J SS t .Telephone � a " • - ` Permit Request cs U L L e. oZ �5L N t� tt Ida. e-— a-3�! Z_�J S 0? k Y # �PIRC S I Z� Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay ' Construction Type I � — Lot Size Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes tqNb On Old King's Highway: ❑Yes 4,No Basement Type: ❑Full ❑Crawl ' ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing ' new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size ` Other: Zoning.Board of Appeals Authorization ❑ Appeal#. Recorded❑ Commercial ❑Yes kNo If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Nam / elephone Number Address XCIIJ License# da&3 Home Improvement Contractor# 160 7TO Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE idjida JZ &qd Xr DATE _� l 7_ • . FOR OFFICIAL USE ONLY t. •— e + It PERMIT NO. , c' �' ��� N •. - ... ., •: .. ` ' - • � y ,�- ' f✓ t ' A r I i DATE ISSUED MAP/PARCEL NO. •Vie. — "` • ' 'a .$ �---YYY_ ,,,. 'F .... :1 ° a 4....' "J�r - • "6 ....• ADDRESS. ,,>� ; a . � p `VILLAGE ` OWNER DATE OF INSPECTION: FOUNDATION - • •. • •7• FRAME INSULATION FIREPLACE � j ^� `%: - i� —:�• —, •, • ,f — . ' ''"' .� , ` ELECTRICAL: ROUGH FINAL -R ' i' t • ~ s PLUMBING: ROUGH FINAL GAS: ROUGH � FINAL FINAL BUILDING DATE CLOSED OUT r° ! rt A * ASSOCIATION PLAN NO. Tlie Commonwealds of Massachusetts + + -- '- _O Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers'Compensation Insurance Affidavit QrntnfiQiC,/� /��/!/ /�� r. ' / """ ... name: ocation 92 &4'u , city ( 4,;; ohone# ❑ I am a homeowner performing all work myself. ❑ I am a sole provrietor and have no one worldn in any capacity -------------- I am an employer providing workers' compensation for my employees working on this job. eomonnv name: (!AI Z* IEJ HWME =0A,*0g JAF_W"r address: /&#r A1eUJ7V W Al city: 0 M i T • . Gouge 3.S phone Insurance co. olicv# 4V sfrz ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who haN-e the follo«ing workers' compensation polices: eomponv name: address: dtv ohone#: insurnnce cn. Voliev#. ;�:. :::n,;•..'-:: company name: : .:.;::::,•:;:... .:. address- ... . fflurance CO. olitw# ......... Failure to secure coverage as required under Section 25A of MGL 152 an lead to the Imposition of criminal penalties of a Bne up to S1.500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Me of$100.00 a day against me. I understand that a copy of"statement may be forwarded to the Office of Investigations of the D1A for coverage verincation. I do hereby certify under the pave andpennalties perjury that the information provided above is&a,-and correct dp c� Date Print name rie Ed Ems%CK V. Q A S C k_nr rnt GAe/ZZ, phone 1 t�D g—9 S I$ Ccontact nly do not write in this area to he completed by city or town official town: perm"cense p QBuilding Department _-- QLicensing Board---- - ------- ,mmedLtero useia mrrd -po req Selectsttea sOffiu----- OHealth Departmennt n: phone IF; QOywr (Rwea 9,95 P1A) - The Town of Barnstable 9� �m�' Department of Health Safety and Environmental Services 1659�- Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner Fax: 508-790-6230 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, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building.containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. n Type of Work: s0 t Est. Cost Address of Work: �/ 0/ l e f w �ricle Owner's Name0 Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEE OBLE HOME PERMIT WORK OR DEALING WITH DONOT HAVE CONTRACTORS FOR APPLI ACCESS TO THE ARBITRATION PROGIZAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 90 '7 L —7 ' Contractor Name Registration No. Date 050 �a - P /2-V . OR wners `Jame ✓he ell"1n2ar2ureaal. o`�•�(aJ9ac�c2Je UL�'ARTNtN' a_ju !. ';A-cT'i .CN ir,UCTTON `,!'_Ri'.a0R .+`R RestrlcedTo: 3a HOME IMPROVEMENT CONTRACTOR Aww'4 dTHONAS CAPI_"c Registration 100740 ?64S NEWTOWN. RG Type - PRIUATE CORPORATION 01i1?, Expiration 06/23/00 CAPIZZI HOME IMPROVEMENT, INC v as Capizzi, Sr. ADMINISTRATOR 114455 Newton Rd. Cotuit MA 02635 --------- --- ✓�ie i�cYn2ox��uueal� o�:.flaaaac�adeC/� DEPARTNENT OF PUBLIC SAFETY CONSTRUGT:ION SUPERVISOR LICENSE i Number: Expires: Restricted To:. 08 THOMAS X c-APIZZI JR 280 PERCIVAL OR W BARNSTABLE, NA 02668 ✓�c 'Ci1a»rono11urjealCl 0/1 1.l4aanliudetl� DEPARiht"NT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: _Noires: Restricted To: 60 _ FREOERICX V RASCS i- BOURNE RD PIYNOU X NA 02360 Map () Parcel ermit# House# Date Isued Board of Health(3rd floor)(8:15 -9:30/1:00-4;99) Fee pP CW. - sic Conservation Office(4th floor)(8:30-9:30/1:00=2:00) ��.��colgwgOA c E Planning Dept. (1st floor/School Admin. Bldg.) '��I�?®�°rl s ALAI) Definitive.;Plan Approved Planning Board 19E Oddre TOWN OF BARNSTABLE" ry i' Building Permit Application Project S;t Si Village '�r r T— / II Owner _- � �� ),-I . LY'e m d A Address Scl i%Yt =P ,Telephone 7 ) Permit Request LG/ � c_ First Floor square feet Second Floor 9 square feet Construction Type Q �� L Estimated Project Cost $ Q Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling r, pe: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of E 'sting Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement T e: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finishe sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Exists ng New Half: Existing New No.of Bedrooms: Existing New Total Room Room Count(not including baths): Existing New First FT, Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove es ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) rS d Other(size) 16 Zoning Board of Appeals Authorization ❑ Appeal# !Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name 2�)— q' P ��� (` (r Telephone Number Address ,�a J License# Q CQ 04-P, Home Improvement Contractor# /O 0 / O Worker's Compensation#.41 Z5 U --3,9-) 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 A s 4-�4.P SIGNATURE DATE �e BUILDING RMIT DENI FOR-JHE FOLLOWING REASON(S) `N' r , FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED .. ' � � - ,. _ --� ' ' .. •- _ �� . MAP/PARCEL NO. ADDRESS VILLAGE i OWNER c — DATE OF INSPECTION: FOUNDATION w f FRAME - INSULATION FIREPLACE I ELECTRICAL: ' ROUGH FINAL' PLUMBING: ROUGH FINAL • - GAS:' . ROUGH FINAL • ,,; � I p •, , ; � t ._ - ! 1 ,. we � 1 S 'tea FINAL BUILDING DATE CLOSED OUT . ASSOCIATIONjPLAN NO. ' f t1�! The Town of Barnstable 1"9. tee$ Department of Health Safety and Environmental Services �,�,,{• Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6Z27 Fax: 308-790-6230 Building Commission: For ofnce use only Permit no. f Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least .one but not more than four dwelling units or to structures which are adJacent to such residence or building be done by registered contractors, with certain exceptions.along with other requirements. Type of Work: ' `� w c�.2G Est.Cost ® ' Address of Work: -S 91 y i P w Owner's Name �Q� l�° J V111 1A ^ I Date of Permit Application: S e Y I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Jab under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS .PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HONE IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c- 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the a t of the owner. s� 9 Can r Name Registration No. OR Date Owner's Name _ The Commonwealth of Massachusetts 'n< - -=••y� Department of Industrial Accidents :. 600 Washington Street IX Boston,Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: location: city Phone# _- ❑ I am a homeowner performing all work myself. ❑ I am a sole pro rietor and have no one working in any ca acity %/% ///////// %%% % %%%%%%��///%%%�%%%%%%%�%%/%/%�///%/////%/// ❑ I am an employer providing workers' compensation for my employees working on this job. companv name address city phone#: insurance co. Rolicv# 'am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: /j . . . company name: J` aadrets // 61 S z ` >, city L P� U I 1 `P phone#. f O :. m9arance co. # lO 5'Q %33�.2 : cam anv name: _. address: #phone : city .... Insurance co. <: _ olicv# Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one 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 may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certi der the pains and penalties of perjury that the information provided above is true and correct S �/�� ? Signature--, Date GL-_ Print name e 1 P Phone# q�d 0 l0 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other :. : (rmsed 9/95 PJA) Information and Instructions ` Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any coutrac of hire, express or implied, oral or written. An employer is defined as an individual. partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver c trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds o building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha- not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and one numbers along with a certificate of insurance as all affidavits may be supplying company names, address and ph g submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investlgadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 - d- n LO N LO \� 04 O / 00 LO - 00 / LO N o, ' I M Property shown on this plan are for esgessing pas snsi:do,not Pep`reient aa`6al, relationships 4o physical objeM ........... ----------- .4w .............. --- ------- _ _ _____ _.__ ___ __ .___ -__ . ____ _._ _ ___ ____ ___ _ __ __ _ ___ ____ _.__ ____ ___ __. _ _ ____ ............... ............. ...... ......... ____ __ ___ _.__._ _.__ __ __ .. --............. . ........ ........ ........... ............. ---------- ----------- ----------- Bt A S. 3- S JtA DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR,LICENSE Number Expires:` Restricted°To i BEORGE J'; ALLAIN �*+► 31 JOEL RD` S YARMOUTH, NA 12664 HOME IMPROVEMENT CONTRACTOR Registratioi 100105 Type — IND:VIDUAL__ Expiration 06/09/00 GEORGE ALLAIN '116 SHEAFFER Rd. . �terville MA 02632 ADMINISTRATOR The Town of Barnstable Department of Health, Safety and Environmental Services KM = Building Division Ids¢16 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission: Home Occupation Registration Date: 2I A'� r-Name: )b 1 ey+ _ 1� -r Address: R tinQu�eL.,j -Ave Village: CO �y 1 �' Type of Business: C_a Y''1 y a-2� P✓y�C.PS Moll ot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor, no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in . excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. L the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: l Date: 12 t(w �� . . °= The-Town of Barnstable 9� KAM Department of Health Safety and Environmental Services 16,39. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038. Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION Location of shed(address) Village. UU►w b�.i I"t l g� ,56a 4 d v '7 5 ;9 6 Property owner's name Telephone number Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction?. Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-tbrms-shedreg I hereby certify that this foundation is located _ ►-e C to on the lot as shown and conformed to the Town of °s A I I-" ,�.. Barnstable Zoning Regulations,regarding setback ^.,.by M from street lines and of lines at the time i �,�tN of 4RBERTwas mw0�L RAYMONO 7 Q e t Raymon , ate -IkL 2= n m 0 POUT ��SL*1?9) OD c+ 4 0 acv (Da )q m e+ o � `. A O i 0 LDT 5� ;may C+ o ;v�- o Co ►c+i 8 N z �t Ex i Sti� N - C �ouR1Gw►7JOP01 ,Qp PIA-16 VAE ;7,el LIE *W F tau Lx - �a �' 5S AAL /,6 ` 5ARh15TABLE lL,Orarr) MA. 001 A(zc2okf LOG► G7� /Z•�� q11,6/43 `\ Assessor's map and lot number .... .. F INE to y .. u ; ° Siva a Permit,: SYS number )� k gsr— am, g {+ d : EAHB9TADLE, i�A House number �7.\...: � � w r:" 90o rb 9 - _ r WiTI i 1 1TU �y 'E0 MAI TORN a OF. BAR , ti'T ;' � � .._ . . lS AB,L E a f BUILDING i I LSPECTOR r Construct APPLICATION FOR PERMIT TO ' Wood Frame TYPE. OF CONSTRUCTION' x k ...November...30.!..............19..83 TO THE INSPECTOR'OF BUILDINGS: The undersigned hereby-applies for a permit accordir)gi to the. following .information: Drive - Location ' ' .........Lot 55 Pineview..,Vt i .r....�0 17t7. �...NSA.............................: ..................... .......... ...... Proposed. Use .............Residential ...... :...................... r, Zoning' District ..:.:........... RF. :................ :...........Fire District ........ .,,.COtUit.............................. ...... ..... .... ............................... r)P,,,Nf S S TF22 ?%P�'�Trc�,.i ' Name of Owner ..........SP.e•rO•...14Q.911Ari. ,iA............:,Address .24....Great..P,ar d:.,Dxivre.,...S.....Yarmouth, , MA Nameof ;Builder ........Sdme..................................:..............Address .......:;.............Same..................................................... Name of Architect NA ........Address Number of Rooms 5 .............................. ..............: e..........:.. ...Foundation .......... .P.oaared;..Cancs: tom::...............:.... ,. q ......Roofing g Ekierior ......:.................��4���,..Sh,i.A. ]..e..:...:.:.....:.... .....................:,Psphell..'t....................................... ....:. ...:;.interior Floors ............................ly.woad.::......................:...:.. ......................Sheetoo,ek........::......:................ Heating ......................k'HW...-..:Gets.................................. Plumbing ....................2...Ba-th.............................................. Fireplace p One....................................................Approximate: Cost ...... 2.5.,p.p 13....:..:.:....... Definitive Plan Approved by Planning,Board __________________ _ � o s' -- ---------1 9-------- . Area ...... .. .... Diagram of Lot-and Building with Dimensions g 9 '} Fee, ......... ............................ SUBJECT TO APPROVAL OF"BOARD OF HEALTH 3 OCCUPANCY PERMITS REQUIRED FOR'NEW DWELLINGS 1 17 hereby agree to conform to ail the Rules and ,Regulations of the Town of Barnstable regarding the above construction. r Construction Supervisor's Licenseclv..�i � -QENNIS STAR CONSTRUCTIODI ne No ..26459.... Permit for ...O...............to.... ......... s` ^...............ngle Family..Dwelling........ a Location Lot. 55 r.....25 Pineview-Drive T Cotuit ....w...... .Dennis..Star.•Construction"........ i t1 ,F � - Y • Owner .. .. ............ �. Type of Construction* ..Frank............................ ' .. ..............................................._ ........................... s' Plot ............................ Lot ................................ 84 Permit Granted May 18, ....... ................19 - Date of:,Inspection 7" .- f..........19 r _ Date CompletedTen T ,oz ar Assessor s map and lot number'.. �..'"; ,�. !�. __ .. . _---- ,..,.. Cf'f ET�� Sewage Permit' number .............. Z 33AWSTADLE. i House number .................... ...................:�.... :........... M639 m� 'ED YPY d. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Construct r TYPE OF CONSTRUCTION ............I..................Mood• Frame......................................................................... ovembe r...30.1..............19..8 3. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Drive Location .........................Lot 55 Pineyiew.. ......��?:�:?�. :ka....Ma.......................... ................................... ProposedUse ...............Residel7•tal................................................................................................................................. ...............................Fire District C.Oftlit.............................................. Zoning District ......................................... ................ IJP�.N' `� S TFirL Co STWvr7�v,, Name of Owner ...........5pq—Fo...Theoh3rid s..............Address .2.. ....G e.af.—P nd...nx; c..,.... . � MA Nameof Builder ........Same.................................................Address ......................Sit me..................................................... Nameof Architect ......NA......................................................Address ......................NA......................................................... Number of Rooms ......5.........................................................Foundation ................P.wrP.(3..Comr-re:t ....................... Exterior CEA4)z $hingI—e.........................Roofing ......................Asp-}a-z't-1.t............................................ Floors ..........................P,VWQAd.........................................Interior .....................Shmetro-c?........................................ rieating. .....................k' T ...-...� .........:...........:..............Plumbing .......:.......::. ? ? . .:...:....................................:.. Fireplace ......................Qne....................................................Approximate Cost ......,�5?.5.y.0-01n............................................. Definitive Plan Approved by Planning Board -------------------_-----------19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. 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�ri; /%/i;...... a. ....................... - _-- 'vim-- ' Construction Supervisor's License . .�............. DENNIS STAR CONSTRUCT A7--40-123 No 26459 Permit for ............. Single . Family Dwellin� ...........;.......................................... ....................... Location 25 Pineview Drive................................................ .................co.........tuit.... ......................................................... .... Owner ......Dennis Star Construction Dennis :................... Type of Construction . ......FraM......................... .........................................................................:....... Plot ............................ Lot ................................ Permit Granted .......May..1.8....................19 84 Date of Inspection ....................................19 Date Completed ......................................19 TOWN OF BARNSTABLE Permit No. 26459 Building Inspector Cash ------- OCCUPANCY PERMIT Bond x to enrds Star constructc) Address lot 55, 2; Cotui t Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ................................................."... 1............. .......... ........................................................ Building Inspector t J FROM Tf WN OF BARNSTABLE BUILDING "DEPARfiENT � rtfll vx. Francis Lat e _ MAIN STREET HYAMIS, MA -tom 1.V Vitiw.R x�fx t voysM a«xi.aro n.c ak rw Phone: 775-1120 SUBJECT: FOLD HERE . . DATE -M E S..S. GE'A �- �. �'QtW;V i�hy"°M,t4'iG.aF in i4•i`r..K Kj;#F ... .:. ... .. ..., ' tidy • - Work has bpen:. Meted under. Permit 2# Iss tmstructl an . ,a tl V'Cl lM knai u.'g'e5k •IC9 r' AN M•R`t'2f"4Y A'k I,*.n"4$•'a ow♦xw+,f',xp 2xx yp..x YK•ffi='#--"*d2+aFu'PE"F. - Please"- relea� Hotel. - `eve�d�.�s,e•�•ti•,+r..aa..-u+w Wr ewt'�v+r+�^ta�s.v�w a.x�g w'Iat"Y sa+kr.,s��ss a+w DATE - - .. '� ,, L2diAtizz REPLY . • ' .. - SIGNED - N87-RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY i PRINTED IN U:S.A. SENDER: SNAP-OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT: I hereby certify that this foundation is located C on the lot as shown and conformed to the Town of Barnstable Zoning Regulations,regarding setback f° m t from street lines and of lines at the time i �Ep�tl1 Of was c 7�t o y � o • g ROBERT QQ c E. Ca 'M P. RAYMOND CA + 'd Raymon , .S . Date No.21583 9 0 m ID P6UT Z� o p H co 0 E 15- -f 9• 6 + � � gal M (ID a m m Ct m � Ca3 91) 24 3 6,0 j S� f ED M a c+ O M LaT 5� 0oM "c+ ►�i 00 � 0 C+ , m vw C+ wa 0 PV �• d0 m tp C+- C+ �+ 025 NsiSTi 4- N C F6UAJagTJ0X V l.. 00 _. �.� -r -67S PiAeviEV VEiuFM 13A.Rr 1 STABLE 1,60r I•r) MA. ari�jto �: vie ate .�rpc NEEZ I WG 1 NC.