HomeMy WebLinkAbout0126 RALYN ROAD lc>e
'I
Town of Barnstable Buildin
g
iPost.ThWCard So That it is Visible From: he Street Approved Plans IVlust be Retained on Job and this Card Must be Kept ��
ns $ iPosted.Until Final InspectiomHasBeen Made ` Permit
Where a Certificate of Occupancy s Required,such Building shall Not be Occupied until a Final Inspection has Been made ;�
Permit No. B-18-3959 Applicant Name: todd leduc Approvals
Date Issued: 12/03/2018 Current Use: Structure
.Permit Type: Building-:Insulation-Residential Expiration Date: 06/03/2019 Foundation:
Location: 126 RALYN ROAD,COTUIT Map/Lot 022-050 Zoning District: RF Sheathing:
Owner on Record: PAPPAS,PETER F TR Contractor Name:" TODD LEDUC Framing: 1
Address: 126 RALYN ROAD k <Y P Contractor License CSSL-106019 2
COTUIT, MA 02632 j Est Project Cost: $6,823.00 Chimney:
Description: Insulation;See Contract ; t Permit Fee: $85.00
` Insulation:
Project Review Req: - , ) Fee Paid:,' $85.00�
4 r Date: Y 12/3/2018 Final:
Plumbing/Gas
6 Rough.Plumbing:
( °*° Building Official
- Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized,by.this permit is commenced within six�months after issuance.
. . Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and st'uctures!shall be in with the local zoning by-laws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same.
� ��•�»--• Electrical
c 1a
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Official's a"re provided on this'permit• Service:
Minimum of Five Call Inspections Required for All Construction Work: F'
1.Foundation or Footing r Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firestflue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map oZZ Parcel,': GSA `. Application #
_ o 6, l'4
Health Division Date Issued
Conservation Division `- Applicatidn F
Planning Dept. Permit Fee'
Date Definitive Plan'Approved by Planning Board
Historic - OKH _ Preservation/Hyannis
Project Street-Address ?_ f�, s2 iL,i
Village '
Owner vva Address JU Q ti cJ
ele hone ��6 - -'1
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Permit Request MZC e 20l 0,
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation il5 6 6 Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting-documentation.
Dwelling Type: Single Family: ❑ Two Family ❑ Multi-Family(# units)
rn
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ 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 ❑ No If yes, site plan review#
Current Use Proposed Use _
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
VN'
ame pca �j,pp� s TelephoneNumberddress td L License #
Home Improvement Contractor#
Worker's Compensation #
r"
ALL
L CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
d w,,2
tSIGNATI@_RE't / DATE
1
§
-
\ FOR OFF CI L USE ONLY
9
APPLICATION#
{
ƒ DAfE ISSUED
\ ` .
{ MAP PARCEL NO
ƒ ; /
} ADDRESS VILLAGE
i
OWNER
\ DATE OF INSPECTION:
\ .
{ _FOUNDATION
#
\ FRAME
{
} WSULATI W `* J
} FIREPLACE -
ELECTRICAL: ROUGH •FINAL
( .
PLUMBING: ROUGH FINAL .
\
\ GAS: Ate• ROUGH, FINAL
( , ,FINAL BUI DINGd. A�
. . . .
\ . z
(
( "
\ _DATE CLOSED OUT,
( ~ �
( ASSOCIATION PLAN NO.
( � . ,
\ �.
t
The Commonwealth of Massachusetts,
1; Department of Industrial Accidents
Office of Investigations
600 Washington Street
Bostojr;MA 02III
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Bnilders/Contractors/FIectricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): ----------------------
t
Address:City/State/Zip: Phone#
r-E]
you an employer? Check the app75.
ox: /
I am a employer with I am a general contractor and I Type of project(required):
employees(full and/or part-time). have hired the sub-contractors 6. ❑New construction
. I am a sole proprietor or partner_- listed on the attached sheet. 7. ❑Remodeling
ship and have no employeesThese sub-contractors have
working for me in any capacity. employees and have workers' g''❑Demolition
y��[No workers' comp.insurancecomp.insurance.# 9• ❑Building addition
3 X1/required.] We are a corporation and its 10.0 Electrical repairs or additions
I am a homeowner doing all work' officers have exercised their 11. Plumbin r
U myself. ❑ g epairs or additions
v ys [No workers' comp. right of exemption per MCrL
insurance required.]t C. 152, §1(4),and we have no 12.0 Roof repairs
employees. [No workers' 13.❑Other.
comp.insurance required:]
*Any applicant that checks box#1 must also"fill out the section below showing their workers'compensation policy information.
t 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 cntities'havc
employees. If the sub-contractors have employees,they must provide then workers'comp,policy number.
am an employer that is providing
information. workers'compensation insurance for my employees. Below is the poticy and job site
Insurance Company Name: a
Policy#or Self-ins, Lic.#:
Expiration Date:
Job Site Address:
City/State/Zip:
Attach a copy of the workers compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form'of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification
I do hereby certify�under the pgins and penalties of perjury that the information provided abov is true and correct b
tSi aturi�: - Date: -
Phone#: 52
1 '^
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Official use only.;'Do not write in this area, to be completed by city or town offciaLr
City or Town:
Permit/License#
Issuing Authority(circle one):
1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
of Txa r.�
Town. of Barnstable
�4- y Reg ratbty Services
c r
R*,�*1Rrr Thomas F. Geller,Director
KARS
zbs� •� wilding Division
Tom?erTy, Building Commissioner
200 Main-Strcet,_Hyannis,MA_D2601
R'ww.to wn.b arnstab l e-ma-us
Office: 509-562-403 9 Fax: 50&-790-623 0
HOMEOFihQER LICENSE E`XEMM0N
Pleasx Priat k
DATE: 0 7 L2
sO B LOG4TION:
number
strzet village
912-
name home phone# work phone#
CURRITT'T MAILING ADDRESS:
3 `t c � s
c�
statz
Thr,current exemption for"homeowners"was extended to include owner-Decupied dwellffiu of six units or Icss and
to allow homeowners to rngage an individual for hire who does not possess a lit:ense,provided that the owner acts as
Rup=-YisoI.
DEFIhr oN OF HOh'l 0Vr1\Ta
Persons)who owns a parcel of land an which he/she resides or intends to reside, on which tbcre is, or is intended to-
bc, a one or two-f an-1y dwelling, attached or detached structures accessory to such use and/or farm st uctttros, A
Parson who constructs more than one home in a twa-year period sba l not be considered a homeowner, Such
"homeowner"shall submit to the Building Official an a form acceptable to ffi.e Building Official, that he/she shall be
responsible for all such work ocrfiormed imder.thc building Hermit (Section 109.l.1)
The undcrsigncd"homeownrr"assumes responsibility for compliance with the State Building Codc and other
applicable codes, bylaws,rules and regulations,
The undersigned"homeowner*'certifies that.he/she understands the Town of Barnstable Building Depar tmznt
nainiamm inspection procedures and requirements and that he/she will comply with said procedures and
rcguiramcnts.
7
Signatin of Hoc-cowncr '
Approval of Building Of5cia1 ,
i
. Note: Three-family dwellings cDIl ining35,OD0 cubic feet or larger wM be rrqu red to comply with the
State Building Codc Section 127.0 Construction Control.
HOMMOWNER's F-xE IMbx
.The Code statrs that: "Any bomeownc perfm'ming work for which a bmIding penult is rcquin:d shaD be exempt fT=the provision a
if this section.(Scotion ID9.1.1 -Licmuing of canstru on S'upmrisors);provided that if the homcovncr mgagrs a pasm(s)for bin;to do such
work,that such Homeowner s:b4 act as supervisor.,`
} my homeowners who use this excmptian an unaware that they an assuming the r=porrsibtli6cs of a supervisor(sec Appendix Q,
vlcs&Regulations for Licensing Coastructian Supavisora,Section 2.15) This lack of awanm=s bftcm results in serious problems,particularly
hen the homeowner hires unlicensed perrorrm In.this case,our Board cannot proceed against the uaIicensed persaa as it would with p bmmsed . 1
TM-,'isor. The ho eovrocr acting as Supervisor is ultimately responstb)e,
To MIMM that the hamwwner is fully¢wart of his/bc rrsponaibilitim,marry communitirs require,as part of the pmn't application,
at the homwwnrr=tLy that hdshe understands the respa='bili6rs of a Supervisor. On the last page of this issue is a farm cur t)y used by
venal towns. You may rare t ammd and adopt sucb a fmmV=rtifir-t M for use in your corrnnunity,
"omzs:homw:crnpt
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Town of Barnstable
Regulatory Ser ices
sAtuverwsra.
Thomas F. Geiler,Director
z6;q. ♦0
" Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
L , as Owner of the ero subject
l P P rt9
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit.
(Address of Job)
Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled before fence is installed and pools are not to be
utilized until all final inspections are performed and accepted.
Signature of Owner Signature of Applicant -
Print Name Print Name
Date
Q:F0RMS:0 WNER.PERMISSIONP00LS
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ofiKEz Town of Barnstable *Permit#
Expires 6 months front issue date
,A , ,8 Regulatory Services Fee
AIMb& $ Thomas F. Geiler, Director
J rA1vvv999
Foamy PRESS PER B` ilding Division Vr"
qTom Perry, CBO, Building Commissioner
AUG 1 9 2Q0200 Main Street, Hyannis, MA 0260.1
town.barnstab l e.ma,us
Office: 508-862-41%VN OF BARNSTA Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number O 0Z 2 b U
Property Address t9A L' / RD ^ y'
p
Minimum fee of$25.00 for work under$6000.00
❑ Residential Value of Work ��
Owner's Name&Address �1�
Contractor's Name Telephone Number S�.F J60 0 7 tSl
Home Improvement Contractor License#(if applicable) 6
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
ft�'I have Worker's.Compensation Insurance
Insurance Company Name A l 1;+01� M v ry m 11Y f
Workman's Comp. Policy# A w L '7 b 8 �/ / 3 U/ bo
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
`/Re-roof(stripping old shingles) All construction debris will be taken to
Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
Replacement Windows. U-Value (maximum..44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc.
'Note: Property Owner must sign Property Owner Letter of Permission.
ome provement Contractors License& Construct Supervisors License is required.
SIGNATURE:
Q:\WPFILES\FORMS\Express\EXPRESS PERMIT.DOC
Revise06O4O9
Page No. ,t of 1 Pages
MOLINARI HOME IMPROVEMENTS
SPECIALISTS IN ROOFING,REROOFING,REPAIRS, PROPOSAL
DING&GUTTERS 93 THOR
93 THORTON DRIVE
H 3-771- ,MA 02601
508-771-3750 �'`� 61
508-888-3750 7`U
PHONE DATE
TO
Mn e. MRS nnnnne'
JOB NAME/LOCATION
11'f"J.� W ROY! N O'n
rnTt ITT MA
JOB NUMBER JOB PHONE
We hereby submit specifications and estimates for.
OC._Onnc" CA,ITTOr Onnr AOcn ..
w'1 STRIP nF C'VTCTTNG ROOF QWTN!/ L.c �� NernO e. - VspoJ c OT 0,,
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it rWCrt< �"I AC`WTNI(..: � AOnIINIn rWTMNIC'V Amrl rnlITC'O t7l A�W I,IWCOC NIrr,r,--QnRY _
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TIlST 1!...!._ NFIVJ ri iTTERS ON FRONT nNin ROCK r nc uni icy/ 'N�►-UD1N�i �(�C�(��,� V✓N�-�� 1Y€�E�S�jR
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Wp Pr�p,.�ose hsreb to furnish material and labor complete in accordance with the above specifications,for the sum of:
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- � - dollars($
PNMELntto, e/ry...dVs�l.vs:RC
I.•I nATn ••1n nNl r...n....MI ,MI IC1...NI,lr•.,cI...MI !c1...N1,I T! n,.icl ' TI W C1 C... n\.. v/C.. IWInO ! - THE CTnI nnr.n Tn aF
f I•
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All material is guaranteed to be as specified.All work to be completed in a workmanlike manner - - -
according to standard practices.Any alteration or deviation from above specifications involving - -
extra costs will be executed only upon written orders,and will become an extra charge over - Authorized —
and above the estimate.All agreements contingent upon strikes,accidents or delays beyond Signature i
our control.Property owner to carry fire,tornado and other necessary insurance.Our workers
are fully covered by Workmen's Compensation Insurance. Note:This proposal may be .'(� n;1 Y
withdrawn by us if not accepted within days.
Acceptance of Proposal -The above prices,specifications
and conditions are satisfactory and are hereby accepted.You are authorized
to do the work as specified.Payment will be made as outlined above. Signature
Signature
Date of Acceptance:
1
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
'Boston, MA 02111
•�•`� www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): i
Address:
City/State/Zip: ���` Svu� P ne.#: �
Are yo n employer? Check the appropriate box: Type of project(required):
1:' I am a employer with . _3 4. ❑ I am a general contractor and I
employees(full and/or part-titn.e).* have hired the sub-contractors 6. El New construction
2.❑ I am a Sole proprietor or partner-' listed on the attached sheet. T. ❑Remodeling
ship and have no employees These sub-contractors have 8. ,❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers'comp. insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I LF1 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.P?goof repairs =
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13.❑Other
comp.insurance required.]
*Any applicant,that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
XContractors 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 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: 'f—� l t`�l �t-yfiU i� Ae, S
Policy#or Self-ins.Lic.#:_A- W C-7 06 / / 3 a ./ a-a 0% Expiration Date:
Job Site Address: ,6_A4A. 19 0 City/State/Zip: Ct� A-LeA4
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine tip 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. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA'for insurance coverage verification.
.1 do hereby cerli under the pains and penalties ofperjury that the information provided above is true and correct:
Signature: Date: ze —
Phone#: O 7 ,Y 6—
Official use only. Do not write in this area, to be completed by city or town official
City,or Town: Permit/License#
Issuing Authority(circle one):
[6.
Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
Other
ontact Person: Phone#:
1
Information and, Instructions
Massachusetts General Laws chapter 1S2 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as "...every person in.the service of another under any contract 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 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 the
dwelling 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 152, §25C(6)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 insurance coverage required."
Additionally,MGL chapter 152, §25C(7) states"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 nth the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary,supply sub-con6actor(s)name(s),-address(es)and.phone number(s) along with their certificate(s)of
insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
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.
e sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
Please b
i
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
c information(if necessary and-under"Job Site Address" the applicant should write"all locations in (city or
policy .)
town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related io any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to.thank you in advance for your 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 Investigations
600 Washington Street
Boston, MA 0211,1
Tel. #617-727-4900 ext 406 or 1-877-MASSAFE
Fax# 617-72777749
Revised 11-22-06
www.mass.gov/dia
Assessor's map and lot number .'.��:.�.,...! J........ .. ........ Bpi TH F t0�
Sewage Permit number LJ....-7..... 'J.......
EA"STADLE, i
House number .............�.......I............................................. MAM�..'" :o 0 �
Oe, 39• �0
C 'FO MPY a'
TOWN OF BARNSTABLE
BUILDIN-G INSPECTOR
APPLICATION FOR PERMIT TO ...... ...�dKr..1......
�. �. .............................. .....................................
TYPE OF CONSTRUCTION ................/' �fGli ,` /� �( � s�L✓ .................................
TO THE INSPECTOR OF' BUILDINGS:
The undersigned/hereby applies for a permit
l�according
/�to the following information:
Location ........... ' .''. .....+!.. .......... ?,If ............................ ...................................
Proposed Use �`' �%°�" .d... ...
.............................................................................................................................................................................
ZoningDistrict ................. .................................................Fire District ......... .......................................
Name of Owner �`'/P' � ��. `:......Address .............................`
............................................. ... ,,.. ......r_.......�...............
Name of Builder ....a.;. " ? ...... ..c�..✓ .` ...............Address ........3.k... ......le.._ `
:!."'".�... .. ��.� `:.� `4/
Nameof Architect ........:.........................................................Address ....................................................................................
Number of Rooms Foundation Co'�C't-e/---.. ...........................................................
Exterior .......//7/®r�.............................................................Roofing ............ �%;G?....��'..��
...............................................
Floors -°� .. '..................................................Interior i i z 5-` �:�tr,, 1 i'•�
.............I........... ........
.. . ............................................
Heating . t "�........:.....f...................................................................Plumbing ..................................................................:..:............
Fireplace /` .................................................................Approximate. Cost J �
Definitive Plan Approved by Planning Board ________________________________19________. Area ......................
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
f
f
l�
�y v
t
i
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 ' ;-; �+ - w;—
Construction Supervisor's License
1
1
BARGER, JAMES A=22-50
No .22.7.611-•••• Permit for ..l z Story
Single Family Dwelling
...............................................................................
Location .... ot 11, 126 Ra yn Road
Cotuit
Owner .....James..Barger
........... ................................................
Type of Construction Frame
................................
...............................................................................
'j
Plot ............................ Lot ................................
Permit Granted .....,March 18, 19 85
..............
Date of Inspection ....................................19
Date Completed ......................................19
r
fa Assessor's map and lot number .a ..�.r��" ..................` THE T
'q"_P7JC SYSTEM
BE
{ MUST Sewage Permit number .....� .^....!... ..... r.:r........ . ;NSTALLED IN COARPLIANUM
2�' WITIN TITLE : H9BHn9eT11DLE,
� i
House number .......... ... ...�'.......................................>.' �,� i a+�3 i AL '"`'' ` '°° 1b39,o�
MAY a'
TOWN OF BARNSTABLE
HUM- INSPECTOR
APPLICATION FOR PERMIT TO ...... . . . .. ..........G. ... .. .... .. ... .............................................................
TYPEOF CONSTRUCTION ................ ....... . . . ... ............ ........ ... .. . ... . . ........ ..................................
........... ..../.(a.............19�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
.D / - -... r�.....�. w".�...................................................................
Location ...............
Proposed Use ....... .....................
Zoning District Fire District ......... .lw�. G-.s.. ...........................:....................................... ...
e _J
Name of Owner ....... ���.... 'P .........Address d. .. ( !�.�....+'.�l �D ? '1f ....
Name of Builder .J...... �. :.......Address .......... .G ......1���..�..�4.G. .��`..'�...�JG�//
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ......................................................Foundation -cU"�T.Cil. 'e-r
........... .. ... ..................................
Exterior .......zl.vejJ.W......................................................Roofing ............ �P! ...........................................
Floors �! ........f.....................................................Interior /0
14W.
... `.. .....................................
Heating °.........Plumbing _r........... ................................................
i U7J`G
Fireplace .......... .......................................................................Approximate. Cost .......... ....................................................
Definitive Plan Approved by Planning Board _______________________________19________. Area l �.
Diagram of Lot and Building with Dimensions Fee ..... .. .....................
SUBJECT TO APPROVAL OF BOARD OF HEALTH zz4'�/��
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 ..... _,.... .°71&"..' ......
Construction Supervisor's License .v.(�...17. 3)..
BARGER, JAMS
el No .276....... .... Permit for ................
........Single. . Family..Dwell.i n(j........................ ...... .... ............. ........... . ..
Location ...... BPI ..R0ad............
cotuit
. ...............................................................................
James Barger
Owner ..................................................................
Type of Construction ..............Frame............................
................................................................................
Plot ............................ Lot ................................
Permit Granted ...... ..............1985
Date of Inspection .............19
Dcite Completed .95...................19
TOWN OF BARNSTABLE Permit No.
{
Building Inspector
Cash _--.-_----- -- ....
OCCUPANCY PERMIT Bond ------ -
Issued to Address
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.
................................................... 19.......... ...... ��'''-.r ...�!�'.� .. .................................._....
Building Inspector
y
t
..� °•°o TOWN OF BARNSTABLE
BUILDING DEPARTMENT
_ rAU°TAIM TOWN OFFICE BUILDING
rua
'��or�t►� HYANNIS, MASS. 02601
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has been issued for the building authorized by
Building Permit #.. ................................G...j................... ............................
...............................
_...._...........
..........
_....
t�` - .. � -fit......
issuedto ............................. .......... ... ........._.......:................_............».............. ...........
V
Please release the performance bond.
n
i
.. i
iC' R'�P
z7 "
jc�r 1LL1AN
C.
jv NYE
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