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HomeMy WebLinkAbout0214 PUTNAM AVENUE ,� f i _e �,� r 'StFS15 Town of Barnstable *Permit# — L--7 s7cv ® ° 'r mon hs rom is date Ex 6 t f sue a Regulat rr Services Fe snartsTaa� , �r 9� A,O� VIMJc ia1AJ7V.S ali,Director �. 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 �,3/7��/� ��( Property Address o2l yj� aj y m Jt/L (/I_� Residential Value of Work$ Yj 72— — Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address j y c�i t� �agt^✓e y Contractor's Name a ALE 14fb9J6J.S /36,1 /Jtsp/( Telephone Number No( � o(] Home Improvement Contractor License#(if applicable) 73 Z 4157 Email: Construction Supervisor's License#(if applicable) CA S 7 0 7 NWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor . ❑ Prm the Homeowner [have Worker's Compensation Insurance Insurance Company Name (20 rl r;d ilzste/'n 1/1 S C. C Workman's Comp.Policy# WZ i� 3/562O F 1 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 0Re-roof (hurricane nailed)(not stripping. Going over existing layers of roof) e-side �I Replacement Windows/doors/sliders. U-Value • 3 U (maximum.32)#of windows #of do';ors: ❑ 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 wrier must sign Property Owner Letter of Permission. A copy the Home Improvement Contractors License&Construction Supervisors License is require SIGNATURE: C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOlDHR\EXPRESS.doc Revised 040215 r , gre r �r g I-TAndemen s14aa� aaD!br d�d.�csen. �5�set�i� n�l:usdd tii rvay Aewl tr .,10 itprn New Emulld wMW--As,tlC, z14 P--aLnarr►hwwre FU 93 ,79;+I1 #1 73 3e CT t0fi341SSS,,- !Ld di.fermi.#123 turf PASS Difi35 5 22351Pavc 4101-6334awlSa? rener.,aisne:ccm G k�B'l 9617 Cmuo-inati s) Navi& jud"I'Af i Garr-yey aai®t' tt [Jaeat�.00117,,11;6 Qruviraisaa s) S4a2ce Add .21 ; kiteh�!AI,Aij, r,41 s.06ouit. MMASS.026351: �Q1�E13'9 f Ta leuflSlaLti Nllti&-. 'See647 I, IL- G81. lS,IJI'f� Pru�ry�ilu�ail j,����4�'�i��''�'�u�r��I.1��10;�C�� . . . - -. ... 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IarinI:IMtft—b€ Print 1`vaaeie „: Southern New England Windows d.b.a Renewal by Andersen of SNE 1lassachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-095707 �,_-mstru'ctlion Supervisor BRIAN ® DENNISON 7 LAMBS POND CIRC -� CHARLTON MA 0150�.., _ x �--� Expiration: Commissioner WOM018 Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Enrflirelbn. 9/19/2016 DENNISON BRIAN 26 ALBI.ON RD - LINCOLN,RI 02665 . .Update Address and return card.Mark reason for change -----`—.__��—_ ----- p�►edt�e-p nese�w,i—CJ-rmplo�v�ir_Ct-lest-cata-- ----.. ^- --acn i"O iasaam *.EXpjr*Wn: of Comam m er Ada &Basleess Hegoisdon License or registration valid for iod'rvidul ass only E-111PROVEMENT CONTRACTOR before the expiration date If found return to: Office of Comumer Affairs and Business Regulation istratlon: 11?245 - Type 10 Park Plan-Suite 5170 ;WISM16 SuppWraW---Ord Boston.MA 02116 SOUTHERN NEW ENGLAfdI311WNDOWS LLC. RENEWAL BY ANDERSON' DENNISON BRAN 26 ALBION RD - r LINCOLN.RI 02865 Uaderserrehry of valid without signature _ The Commonwealth of Alassachusetts Depa-tnrent of Indristrial Accidents I Congress Street, Srrite 100 h Boston, 114 02114-2017 fvww.mass.gov/dia ' Workers'Compensation insurance affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED IVt•'ITH THE PERIMITTING AUTHORITY. Applicant Information Please Print Legibly Vale (Business/Or;anization/Individual): Zer r, J 12 LD(A)A, Address: City/State/Zip: 04U(�S' Phone4: Are you an emplover?Check the appropriate box: Type of project(required): I.il<"I am a employer with 2c)-temployees(full and/or part-tune). 7. i\rety CORSLrLLCtton 2.�i am a stik:proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.iNo workers-comp.insurance required.] ' 9. ❑Demolition 3.❑i am a homeowner doinn all work-myself.[No workers'comp.insurance required.]t. 10 F�Building addition. 4.0 1 ana a homeowner and will be hiring contractors to conduct all work on my property_ I will ensure that all contractors either have workers'compensation insurance or are sole It.❑ Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5. 1 am a general contractor and i have hired the sub-contractors listed on the attached sheet. �_ 13.� ofrepairs These sub-contractors have employees and have workers'comp.insurance.' r fi. we are a corporation and its officers have exercised their right of exemption per NIGL c. 11. Other rJ tnd a of li?,31(1),and we have no employees.(No workers'eanp.insurance required.] r &c_e MtC/►-t— =Any applicant that checks box.41 must also till out the section bclo'r shoring their workers'compensation policy information. s Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ,Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers`comp:policy number, I atn an employer that is providing workers'contpeirsation insurance for nay employees Below is the policy and job site information. Insurance Company Name: � GS/1✓�� trl" ' Policy#or Self-ins.Lic.#: CA 3 13& o - Expiration Date: 7-7 Job Site Address: q ('D-ad 11el 4ve City/State/Zip:_ C,:& .1 /1 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 S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigationsof the DLL for insurance coverage verification. I do hereby cei ' tnder•the p 'is card penalties of peijury that the inforanation provided above is true and correct. Signature: z& Date: to . Phoney _,fn I, ". 1 Official rise only. Do not write in this area,to be completed by city or tovtr official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.iPlumbing Inspector 6. Other Contact Person: Phone#: 3OUTNEW-01 UOLLINGER OATE(MMIDD/YYYY) d..� CERTIFICATE OF LIABILITY INSURANCE I 5/2912046 II IIS. CERTIFICATE IS ISSUED AS A MATTER• OF INFORMATION ONLY AND'CONFERS NO RIGHTS'UPON THE CERTIFICATE HOLDER.THIS i CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER,THE COVERAGE, AFFORDED SY THE`POLICIES � BELOW. THIS CERTIFICATE OF INSURANCE DOESI NOT CONSTITUTE A CONTRACT BETWEEN THE.ISSUING INSURER(S),AUTHORIZED 2EPRESENTATWE OR;PRODUCER,AND THE CERTIFICATE:HOLDER IMPORTANT:. If the certificate holder is an ADDITIONAL INSURED;the,policy(les)must be endorsed.. If SUBROGATION IS WAIVED,subiect to the terms and conditions of the:policy,;certain Policiess may require an endorsement A-statement on this certificate does not confer rights to the certificate holder in Iieu of such andorsement(s). CON ACT ` ,?RODUCER NAME:. �CoBiz Insurance,Inc.-CO PHONE. 9884"6' I :AA 303.988-0804 321 17th St. ac No azt:(303) Denver,CO 80202 A less:CoBiz9nsurance cobWnsurance.com ! INSURE AFFORDING COVERAGE NAIC#. INSURER A:ContirientatMestern.Insurance Company 11.0804 INSURED INSURER'S: Southern New.England'Windows LLC INSURER C ! DISIA Renewal by Andersen 26 Albion.Road INsuRER,D: Lincoln, RI.02865 j INSURER.E.: } INSURERF: COVERAGES CERTIFICATE NUMBER:, 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 CONTRACTOR OTHER.DOCUMENT WITH RESPECT TO`WHICH THIS i CERTIFICATE MAY BE ISSUED OR MAY PERTAIN-; THE INSURANCE AFFORDED BY.THE'.POLICIES.DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS: t JCCLUSIONS AND CONDITIONS OF SUCH;POLICIES..LIMITS SHOWN;MAY HAVE.BEEN REDUCED BY PAID CLAIMS. '!NSR TYPE OF INSURANCE. POLI EFF , POLICY LIMITS I L R INSD'MD POLICY NUMBER MMIOD:. C MMID 1 A X; COMMERCIAL GENERAL+ABILITY i j EACH OCCURRENCE $ 1,000+000 I DAMAGE TO RENTM 1 CLAIMS-MADE 1 X's OCCUR t jCPA3136080 10710112GIa i 07101/2047 i.PREMISES (Ea.occurrence) ' 3' 10000.' H D- xP iAn one n) B 10',00 — E Y Pew I I PERSONAL B,ADV INJURY S 1,000,000 f CEN'L.>GGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE b Z�OOO+OO ( POLICY: jEC I LOC I PRODUCTS-COMPIOPAGG i b L�ODO,000 EIMPLOYEE BENEFI I s 2,000,000 OTHER: OMBINED' INGLE LIMIT i 1,000,ODdi AUTOMOBILE LIABILITY 1 i. t ., 1 !; Ea accident ! A ; .aNY AUTO CPA3136080- 07101T2016 i,07101/2OIT, BODILY INJURY(Per person) .3_ ALL OWNED SCHEDULED I BODILY INJURY(Per accident) 3 I AUTOS AUTOS I -~VCWOWNED I PROPERTY DAMAGE g ! 'Per accident j _ HIRED.AUTOS .AUTOS j i I g X I UMBRELLA LIAR X j OCCUR ACH OCCURRENCE 13 5,000 000 �zcess LwB CPA3136080' 10TI01l2016 10T10112017 I AGGREGATE I $ }\ CLAIMS-MADE I 1 OED X ' RETENTION 3 0 I I ! regale s 5,000,000 WORKERS COMPENSATION STATUTE ERH AND EMPLOYERS'LIABILITY YI N i ! I I ` 1 000 000 I A ANY PROPRIETOR/PARTNER/EXECUTIVE I I I'NIA iWCA31.36081 OI/01/201.6 0TI01/20�1T, E.L.EACH ACCIDENT 3 + + OFFICER/MEMBER EXCLUDED � l t I I I E.L.DISEASE-EA EMPLOYEd$ 1,000,000� (Mandatory In NH) III es,describe urWer j I E.L.DISEASE-POLICY LIMIT 8 1,000,000 !DESCRIPTION OF OPERATIONS below 1 DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space.is required) fi 1 CERTIFICATE HOLDER CANCELLATION I SHOULDRAT ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE FJEPIION. DATE: iTHEREOF NOTICE. WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS: AUTHORIZED REPRESENTATIVE ` t I i ®f988-2014 ACORD CORPORATION.- Alf rights.reserved. ACORD 25(2014101) The ACORD name arid-logo are ceg s"�a`red marks of AC6 ssessor's Office(1st floor) Map 031 Parcel 6 o• 00l Pe it# ate5�'7 ., Conservation Office(4th floor)(8:30 9.30/1.00- :00.) Z 113 10,1 Date Issued 02 — S Board of Health 3rd floor 8:15 -9:30 1:00 4:45 2J o '� i i/En neern Dept. 3rd floor House# E g g D )p ( _ 19 rl r ^C ii B t'i�J�.��", TOWN OF BARNSTABLE� � �� -�1 ® Building Permit Application Project Str 't Ad s Village Owner /✓�v` -- (��r r,'r�cr Address Telephone Permit Request SC t �� S�GS<_ f First Floor �b square feet Second Floor square feet G Estimated Project Cost $ S_� . Zoning District Flood Plain Water Protection Lot Size /• '�� Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential " Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detac ed Structures: Pool Attached Barn None Sheds Other Builder Information Name V✓�'�_ 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 All i nn SIGNATUREidt DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 2.,3 - _ DATE ISSUED MAP/'PARCEL NO. ADDRESS VILLAGE' t OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH . ' FINAL GAS: - ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 4 G pn o \ LOT 1 LOT: 2 o 1 -:�__:-:gyp. �ti • �j,.c' \ \s�, ix o- �q�� Ix i ..00� \ \ 39.1 RES. ZONE- "RF" This MORTGAGE INSPECTION Plan is For:. FLOOD ZONE- "C" Bank Use Only TOWN: -CQTUff— — — — _ REGISTRY OWNER: MARK E. _,k_ ZLISS4 A._PO2&IER_ — DEED REF: - - - -BUYER: -EEFIN9NCE - - - - _ - - - - - - - DATE: _ / /93— PLAN REF: 472,172 — _ SCALE:1"=_ 60'__FT. I HEREBY CERTIFY TO PLY9Q-VTLLAW TGA.GF�_______ oF'" COMPANY INC. __ THE BUILDING ���� Mgsf YANKEE .SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS CONSULTANTS SHOWN AND THAT ITS POSITION DOES ____ CONFORM A. � TO THE ZONING LAW SETBACK REQUIREMENTS OF THE HAE 1Ft-1- 40B (SUITE 5) TOWN of _ BARNSTABLE_--_ ��¢• zo9s __AND THAT g INDUSTRY ROAD IT DOES_ 1VOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD � J,�fG1STER''o q MARSTONS MILD, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_2/�/�9�__ 01 �V� "") s{ TEL: 428-0055 Co unit —Panel ,250001 0018 D *��- FAX 420-5553 _ THIS PLAN N07 MADE FROM AN INSTRUMENT PAUL A.-MERITHITW. PIS ----- SURVEY NOT TO BE USED FOR FENCES ETC. 41309 KJH SI 1 r � 2X�t a ' The Commonwealth of Massachusetts - •+_l� tl�11 Departm nt of-Industrial Accidents 600 fiashitt.;ton Street Boston,Mass. 02111 Workers' Compensation Insurance AMdavit A51ica�n__reformation: Please PftIlWJe�ly name: r ��5-rf-to city nhonc# �1 am a homeowner performing all work:myself. I am a sole proprietor and have no one working in any capacity I am an enlplover providing workers' compensation for my employees working on this job. camnaany name: address: city: nhonc#• . insurance co. Polity# 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: address: city phone#: insurnncc co. policy# �. 'fT:_ '.N.._ .. _ K'ntiJ:r.Ti:.:.7t�y?"?.y.••.�,:��'KS-,�S'Gs��� _—_ __-- 'TJ4[/�O�E�{'�r +7w.� 7 y,•,�4y'3�gws7�".. �mnarn•name: address: city: phone#: insurance co. polity# :Attach additionat'sheet if necessary :•:.•: YAL ?•r+�t��s�+�+i.vj� DeiyCa `sM. w+�i Failure to secure coverage as required under Section 25A of 11+IGL 152 Can lead to the imposition of criminal penalties of a fine up to SI,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. 1 understand that a copy of this statement mat.be forwarded to the Office of Investigations of the DIA for coverage verification. I do herebt•certify un� •r the pains attd itat*cs ojperjuiy that the information provided above is true and corrects. Signature / ate l V Fr Y Print name ir /G1G N �/ . ��l rl Phone# r ocial use only do not write in this area to be completed by city or town official city or town: permit/lleease# nfiuilding Department C3Ircensing board ' 17 check if immediate response is required CSeleetmeo's Office contact person: phone �liealth Department F #; nOther (Mtsed V95 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 e►nplo.vee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An emplm+er is defined as an individual, partnership,association. corporation or other ;'gal entity, or any two or more of the fore=oing engaged in a joint enterprise, and including the legal representatives of a deceased emplover, or the receiver or 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 tiie d%vellin�; house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 1'52 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the in 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. �a�.��-��q.w. ��!!!.:y:•e.. •�h:!sii:. ',\:.1.+���' :."aa��ay:., r..:.'✓t•[.v:♦:�ti ��.t ..y.:;_ns w1:. �•�,•�.a.Y: "i. • L' Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying-company names. address and phone numbers as all affidavits may be 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. !• .T.! ...... .. .> T.i ire` .sr ', .Sal, :.,a: .: Cite 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 to 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. T�!!�'!�,w•. _ _ +t•r.v►•• 777 .�•,�..... •�..yt.nt- �. i•.a...Y"�w"'_ -r.+.�s!w.�ww.,+ww+...�!w• The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street --- Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 J I� .f J . The Town of Barnstable 'N"� f Health Safe and Environmental Services P Department o Safety 165 `� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Cross= Fax 508-775-3344 Hag Commissi For office use only Permit no. Date AFFIDAVIT HOME nmpROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL a 142A requires that the-reconstruction,alterations,renovation,repair,modernization,conversion, impnmmergt removal, demolition, or construction of an addition to any PM-C dsting Owner 0=10ed building containing at least one but not more than four dwelling units or to structures which ate ad1acr-nt to such residence or building be done by registered contractors,with certain eroce dons, along with other tcqniremeats. Type of Wo Qv'�� 5 Est Cost Address of Work: I `� Owner.Name: Date of Permit ApPlicttion: I hereby certify that: Registration is not required for the following reason(s): Work ctiduded by law Job under S1,000 Building not owner-occupied Owner periling own Permit Notice is hereby gi<-en that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALING WITHUNP-ECOTOW FOR APPLICABLE HOME RAPROVEMENT WORK DO NOT HAVE .ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERTURY I hereby apply for a permit as the agent of the owner. Date Contractor name Registration No. OR TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. ( - • �� DATE ~-� Z �.e�.' ��� . •• - . JOB LOCATION f kill, '� CA i t " 'Number Street address Section of -town "HOMEOWNER" clI%�9�/ IrG (�D� I cr � •--- Name Home phone Work phone - -- PRESENT NAILING ADDRESS ty .town State Zip code The current exemption for "homeowners" was extended to include owner-occupi 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(sj who owns a parcel of land on which he/she resides or intends to r 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 structure A person who constructs more than one home in a two-year period shall not b considered a homeowner. Such "homeowner" shall submit to the Building Offi on a form acceptable to the Building Official, that he/she shall be respons. for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the 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 ro ures and requiremen- and that he/she will comply wi said ur and requirements. HOMEOWNER'S R S SIGNATIIRE APPROVAL OF BUILDING OFFICIAL _7"�r�!O, Note: Three family dwellings 35,000 cubic feet, or larger, will be require to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home. Owner performing work for which;tea-rffi it permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that Home Owner engages a person(s) for hire to do such work, that such Home C shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assumin the responsibilities of a supervisor (see Appendix Q, Rules and Regulatic for licensing Construction' Supervisors, Section 2. 15) . This lack of away 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 "C(wner:'a as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities communities require, as part of the permit application, that the Nome *Own, certify that he/she understands the responsibilities of a supervisor. On last page of this issue is a form currently used by several towns. You mz care to amend and adopt such a form/certification for use in your communit r 77 (3 0 ddd:::3d::„�d:c •::=:� ii LOT 1 COTUIT MA 02635 4: �L-J1d"4d:::: d a,". HENDERSON REALTY TRUST I �mea� _ -- - la c - i .r - I I .Ya [AGENT : CHARLES LEONARD 428 58551 (.CO FEE : 2 .5 ) YOU CAN HAVE IT ALL .. 4 BEDROOM WITH GARAGE SOON TO BE BUILT OVER AN ACRE OF WOODED SECLUSION BUT NEAR THE° BEACH , VILLAGE , AND BOATING . ; TYPE : CAPE COD . ; NO ROOMS : 6 BDRMS:- 4 ; BATHS/LAYS : 2 ; AGE : TBB ; LIV SO : 1200 ; ACRES: 1 .33 ; MI/RECR: 1 I -------------- ------- --------_—_—_------ _--- _ ---_ __-- - _ __—_----.----. ; GARAGE : 1 CAR ATTACHED :�BSMT ` FULLT— WTR/SWR : PUBLIC/PRIVATE ; UFFI : NO ; FOUND: 26 X 36 ; FIREPL : IN LIVING -ROOM LIVRM : 1ST 17 X 13 ; WTR ACC : WALK DINRM: ; HEAT/COOL : FHW/OIL ; KIT : 1ST 16 X 13 ; M BED : 1ST 12 X 13 LNDRY: 1ST ; BDRM2: 1ST 12 X 13 FAMRM: ; BDRM3 : 2ND 12 X 14 ; OTHER: LIVING/DINING : BDRM4 : 2ND 12 X 14 ------------------------- ----------------------------------- --------------` PROPTAX: ; ZONING: RES YR= BLDG ASSESS : ; LAND ASSESS : ; PLAN BOOK/PAGE : _ ; TITLE BOOK/PAGE : 4308/283 I ---------------------------------------------------------- _ APPLIANCES: DISHWASHER RANGE SMOKE DET . —�-- -- — DIRECTIONS : RT 28 TO PUTNAM TO SIGNS INFORMATION DEEMED RELIABLE BUT NOT GUARANTEED ` , -- —w —BUYERSSHOULD— -- Verify all information on this listing -for accuracy ; have inspections made by a qualified inspector . Understand that Broker is seller 's agent . Know that ; brokers make no representation regarding any condition of subject property I f y KEY MAP �o�y �o ASSESSORS MAP 37-PCL 16 I CERTIFY THAT THIS PLAN HAS ZONES RF 8 • •gi` BEEN PREPARED IN CONFORMITY WITH THE RULES AND REGULATIONS OF THE DATE:TERS OF DEEDS. sU o j o� `P�o� o Zo 40 LOT 3 0 1.24 ACRES r 9 \ \ N \ - LOT 2 1.25 ACRES N \ \ 0. LOT I ,_m \ \ m 1.22 ACRES A q � \ w 9\AS..f- \ \ NASA SA F►D. aAA FPD. N DOWN f3 -16 \�026; ,(C G 9 A 2S 0 P \\ \ ; 39j40. r a _ IZ r . IC' T71 ml Z A 8 k-a l� o,., G C er i 4,4 �p� � . aij� — 2- X Ga �iv�� - .c� r New Hampshire Precision Metal Fabricators Inc. 25 Industrial Drive, Londonderry,N.H. 03053 • (603)668-6777 • FAX(603)668-7755 n <, Assessor's office(i s l Floor): �� o f ��7—O f 6 —O 0 F T Assessor's map and lot n,mbar /f� T SEC SYSTEM M �o �"f p` Board of Health 3rd floor): n Sewage Permit number 7 INSTALLED IN COM LE Engineering Department(3rd floor): t� JS ENVIRONMENTAL rua House number `' a' ` r C5 �� Definitive Plan Approved by Planning Board 19�� OD APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN REGULATIo 15 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �— I TYPE OF CONSTRUCTION � ' J 2I 19 i94 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following inforniationr Location Proposed Use e/Pr C Zoning District Fire District Name of Owner I L (4¢.0 L 6) L'� , 3��Address Name of Builder Address Name of Architect Address n Number of Rooms Foundation Z r� _ Exterior VA L w v Icls Roofing Floors 0a L== ao-11 Interior ur-A Heating "� Plumbing '�- o� Fireplace ( Approximate Cost 0 b Area ��C A Diagram of Lot and Building with Dimensions Fee qo tt► 1 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. Namo Construction upervisor's LicenseSCO THE HENDERSON REALTY TRUST Y No- 33875 Permit For 1 z Story Single Family Dwelling I Location Lot #161, 214 Putnam Avenue a Cotuit Owner- The .Henderson Realty Trust _ ' Type of;Construction - Frame Plot .'� Lot ice' r" Permit Granted' . July 191 - 19 90 Date of Inspection 119 Date o to s 19 F �. g- ?M + ` _ M0 J �. C . _ r 4 r � r I ,,Two>o TOWN OF BARNSTABLE Permit No. ..33875 BUILDING DEPARTMENT TOWN OFFICE BUILDING `Cash ML cur HYANNIS,MASS.02601 Bond ......... CERTIFICATE OF USE AND OCCUPANCY Issued to The Henderson Realty Trust Address Lot #1, 214 Putnam Avenue Cotuit, Mass. USE GROUP--_ FIRE GRADING OCCUPANCY.LOAD THIS PERMIT WILL NOT BE VALID, ;AND T:H-E,B.UILDING',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 November 28, 90 B ►lding Inspector. TOWN OF BARNSTABLE BUILDING DEPARTMENT _ Bsai°r TOWN OFFICE BUILDING ru a "63 HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has beegn' issued for the building authorized by 4 Building Permit #.. ... ( ,. ....................................................................................................._................................ t issued,'to�+�.1'f��. .. ............ sU/x7,fl„1.. ....................................................... ... ... _.. _.._ Please release the performance bond. r-- �T/. ry RICHARD --� ,cry' •; - • • BAX Wo.yTn�EeRn� w ols ,GaG,4T/OTC,/r / 7/,may THAT Th',C-�Urc//ji��'!on/; ;, ��TIJ/7J• � J. /4?wllt.r .2E �,e Eit/C �OCAT.E'� Wry-y/,c/ TyE �.�oa�,�G4/,f! P�-�✓ z '/�-/ fit- /r- IT� J1 n '71AT�:_.7'/�-5b 7"ti/S O.L.4.v/S �f/a7 �3-�1SEO Oiv,4,,V .2EG/STEr2�� l�q,C/� SU2Y�yar3"� U5-7 52V11- �oT LLB a _ 0�,4s-E 7s Syo1,�/y S.�f/LI� /it/,S _ � .�,L /G',�jt/T J���i� � •�� TOWN OFIB B1dSTABLE, MASSACHUSETTS t BUILDING PERMIT A-037-016 ?;J.u*Yy 1.'914; 90 _ Joseph Breen DATE ._,..Y 19art�-2$ Pa"�I> t'��i�. APPLICANT ADDRESS , 560 IN0.) (STREET) (CONTR'S LICENSE) PERMIT TO Build dwelling l� Single family dwelling NUMBER OF 1 STOFr? DWELLING UNITS (TYPE OF IMPROVEMENT4-"' .NO. - (PROPOSED USE).,,. AT (LOCATION) oZ14 Fut.naia Avenue, otu t - ZONING (NO.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) _ (CROSS STREET) SUBDIVISION LOT BLOCK SIZE T 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 t 1 - (TYPE) ' REMARKS: Sewage #90-267. BOND AREA OR 1271 :9q. ft. 60,000 \\ 1Q1.75 VOLUME ESTIMATED COST $ PERMIT (CUBIC/SQUARE FEET) - OWNER rile Henderson- Realty Trust ADDRESS maracOil 8, BUILDING 0EPT.. BY • l -` I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY -PART THEREOF. EITHER TEMPORARILY OR } PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE; MUST BE AP- PROVED BY THE JURdSDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEW CODE' MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THECONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MI NAL INS RE INSPECTION TO BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. _ POST THIS CARD SO IT IS. VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 � z 2 2 3 HEATING INSPECTION APPROVALS ENGINE G DEP TM T 1 y to g- N rvr, BOARD OF HEALTH r OTHER SITE PLAN REVIEW APPROVAL U WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CONSTRUCTION. ARRANGED FOR BY TELEPHONE OR WRITTEN PERMIT IS ISSUED AS NOTED ABOVE, NOTIFICATION. r � y n i i o 1 ►---- 3"TIAKCONC.. SL^" N i O L*.2� +1°TI lMI.CONC. FTC.. FQP, cw d GIROELZ f�C�ctTFltltt� LALLY COL. O COMPACT F I U- 1°>-TC, PR0.1.(I'TNK.) SIDE5 F P.FOUND' j :L :..�•• I 9 1 i i O 6'�Ilw.wnll_S ON I'.q.'KE3"�1{K.UNT.COI�C FTC• �.v'• d) 4" lo' nR0p 2-Z)' .---------- - I FOONOn11QN PL&N . Zx lD.-RIr)GL . 2a10 R/1FTER y —2.8 nOPMER V,&r E-v,5 I l2"PLYwOon- I 12 1%3 STRAPPfN:C� m 619'..PLk\VOOY9 r LA i Ix3 STP.!>PPINCt. j l 12.. SN E]rTROCtS— 1 0 2��STUDS\v/Phil INSUL. ��� � 1v KITCHEN _ Si0"T?U%<kvo0Tj I 2Y10 I�l NYJL,%-n oN �<,\. \• .'3121i1i?\vt7,,C{IR1�EPy \r/ram WNTLRdP.00F1MCt • SE A . 3�r 2r, c&PF-•�/Gf�p,1LG E ,ALE: 114',1*,0, 1APPROVED BY: L'TE. ., � I. I �� � � _ . 4 -�--___ __.� TOWN OF BARN; PERMITS COMPLETE:'• _type matches 'B+' and permit.date TYPE WORK 753 MISC. NOT CODED ELSEWI 753 MISC. NOT CODED ELSEWI 753 MISC. NOT CODED ELSEWP 753 MISC. NOT CODED ELSEWE 753 MISC. NOT CODED ELSEWE I 753 MISC. NOT CODED ELSEWF 753 MISC. NOT CODED ELSEWI 753 MISC. NOT CODED ELSEWE i 753 MISC. NOT CODED ELSEWF.. .. 753 MISC. NOT CODED ELSEWf 753 MISC. NOT CODED ELSEWf . , I �v,.r.;,�,�,.�a� .yjs,;�„+-_.i.a,,...w,+a�'o+�r^�:.';�'���+,�5�yt+�"''gn'.!�rcl 'x �a.'d".�"�:'�rc •..;F,.e.,Y,,��,ti,,w-�?. ,�,'�-�5.ti4i' -Y7P.:.,�d-,�.,�4 ty�a6.�'".'}2 w8�.#�a "_r";;�.�6- ;a..,. „-�t, Assessor's office(1st Floor): DT Q f� I tc Assessor's map and lot number /!�R)- ©F, / � Board of Health(3rd floor): e�P..uF THE .. Sewage Permit number x- t DADd9?LOLL i Engineering Department(3rd floor): a' f FJS C rus House number Definitive Plan Approved by Planning Board 1�.Sc�-Te�.f' u -24- 19�1 y. APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only El ( TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO q. ,t,x_. � .r(,tis.�: ( ) TYPE OF CONSTRUCTION n Lt""-o 2- 1 19 r c) TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit.according/too the following/information: j�f Location 7 p Proposed Use -cfQ-r,rc� , Zoning District ' ' Fire District r UST r� t 04-V truer � 4-t � jtName of Owner L c�rt�A-. ,- ' Address �sf a. r max.. Name of Builder f �r..e a, _ �-� �. Address —I/"..�. Name of Architect Address Number of Rooms Foundation ! Exterior L �' Roofing t "t" Y'd I,- Floors 0, ca,-4,.A 044 M uIJQ� Interior r Heating t Plumbing Fireplace Approximate Cost Area lc�72 Diagram of Lot and Building with Dimensions Fee eZ, 7, f 1 - r y 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS l -I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. f Name Construction Supervisor's License �� ' THE HENDERSON REALTY TRUST A=037-016 ` 037 011 , cal No 33875 Permit For 1; Story Single Family dwell-ing Location Lot #P 1 , 214 Putnam A`:iPnue Cotuit Owner The Henderson Realty Trust Type of Construction Frame Plot Lot Permit Granted July 19, 19 50 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED 1,1/..�/ /m% A6 ON/ Of PETER ► / - - o SULLIVAN l No. 2,9733 . . y I FF�GrsTa ,�y�,`` NAL /9 ZHOF RtCHARD I T o / /�• i A /y� c4 BAXTER z W tm aeontk \ N 7. . , . 17. 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Ft�le M4z E�- �A/49r2 �.+to,1710 I GeIZ'T'I�--Y -T"NA'T -FP FOWG4"0'J'5 ww N OtJ cA1 1_`(S �v I-f 14 -r 1-�� sl y�-i t,►E P-G=ST 1�tA ( AQ b SURVOr' �•N� �C? r 'FZEQUIR ' t,/1E—Ts �F THE O�TERV I LLl�-ti ML,55, T -0w W d F gAlsrA•slr-- /A-* .j b I S r\/ oT A PPt-�GQ EST" . J r� - -5ZES&� l OG,a'T � \rUIT1� 1 N TH1= 1-�� 1�I., 1 fJ TINS4fJ I s NCTrp dtJ.4N IlJ57JR!- �, 18 "C(b �. �� ��,c��_ ��w N •5}-}OU t� �T '•S� V s� To L-c)- " i .� �� •R� AS�I+till ;E+1µSLES \ Lttin FL.,�IN7 \� / 1,UL14 TC1M(OFT) .tvwrC CE�1d SN�NG'_ES \\ , c . 44 s ' LEFT i_LE\/NT10IN_ _ P,i�HT ELc\��1-TION -- ,� 6-1-7•428.9213 It AS1PHILT 5MINGLG9 -- --_ - � [.c.ca✓+vhoti0.nf — - Ued'�n -. - @Ust®m • = I �foes agns �a.4n,.. - .•.za �. c opyr'gnt 'C:' !!)Ho cI,f?,. A11 R'gnti -.-- _ -- :EAT) fLASHU4 - Reserved A PPR 0 VED 14'.1' p.. JUeJE 10 NO-- °187 TOWN OF BARNSTABLE ^ �, n,N Building Inspection Department I.G w•�7E RT 4rjLE 1.40`E 1.10 TRIM. __ _ C Z L1 6KICK STEPS - - - CC4C,S?LAN W ; : . 2 _ 1 Cj 7— 0 ----'- —'---- —' i— / . • IDO N al ?iEnROGM Q. I - -LtOS• � GlC1• t r-C LDt. 'CLot. L:1 I n) �ncc�?ORnC>t StcoN� �LCOR pv„� IT 7�Lb�,L v c Z•.prw Cf,noc naRNciC - 1 '� 12'•0" I +Z.` 6,8.. I`.a- 51e`F,c.60sufuTfo_K:•._ . SO8.420 •S2°J5 I, t ,1 ' KITCt;EN. . nlH�l-1 t"•428- 213 I ' i ,r� P�Ef�RCC).A �, �uaa q Zws.c011C.cL�.e�v/ . , 1 eVl O n i at �t� _ .`sf.' t10G>5.w,µ• _. I /� a om rrr,»Jl I • ..1 I _ 1' deg ogns - , � I 4• \� •sTt copyngnt .J 1990 - {{ Q!Cccuu nc.ncn wrR� All fvco Reserve0 �I - 1 , � t 1 I l. I S j w I P�E",ZOCN� gf I Li VINGrn'COkA i Uo I /.< U j C ' � YTjll 1 I f v - _ _ 61 �) J AIUN.GUTTER - ,_. : �oRno�®��� rF+ - _ _ - 508.42O •52�5 fs3.428•.92131 (Ee!/i I n ZA.24 t`UVI.. za.,c 8svt x1.z4„ SLJL. Cd.rn.&A C.L.M.Q. qa.r).�. �IJStOn'1 ,dses igns Awns.C LT"[R - COpyrignt ` +QNO All R,gnts Reserved i _ - .. - ; S�•`<.�NSIlL:. 4�+1R u�5�1.. II..tq wfUL - f, SUNE 7U.I�$9 �p�p--��77�, lftLN.OH.SCOUT ClYM1�,. .w_. -. WNITt.Czn&IL.S141416Ur. i U C U Z READ ELEV/,TICN :.. . . � u U x U T