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Home My WebLink About0049 ROOSEVELT ROAD � _-_ - ,� � i 1 �- ---�. I �, 01/11/1995 23:19 918028624926 PAGE 02 Town of Barnstable Permit: .Regulatory Services . D�/6 0 4 Thomas F.Geller,Direeter J//,A I o Building Division FCOj WAM 'y¢ Ubert C Uishoeffer,Jr. Building Commissioner 367 Main Street, Hyaanis,MA 02601 Office: 508-862-4038 Fax: 308-790-6230 -- TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: 1.1 ,f rritl°� 13thir Phone: � 5 H 1 6 Address:_q�&22aP=Le_/4 Y lei Village: (204 ld 1 Map/Parcel: ® 3 Date: T--e.b Stove' , A. ew/Ust B. Type: tadiant/Circulating i C. Manufacturer:_ e_o c- S6 n e— Lab. No D. Model No.: Chimne=!&isfin� A. NewI existin ,(f g please note date of last cleaning) U✓I kV)b t,d 1 ail B. Flue Size ��. 2— C. Are other appliances attached to Flue? t D. Pre-fab Type and anu-acturer E. Masonry: LincT°d/Unlincd , Hearth A. Materials: B. Sub Floor Construction: lnstaller�- Name: m11 440 L)S-6 Address: �• cYcd oil 1 . Phone: t=4 Location of Installation: APPROVED BY: y Please make checks payable to the Town of Barnstable •This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Stove.doc � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# ;20 e��Jtn Date Issued Conservation Division e Feev� Tax Collector- • Treasurer -e elZ`Z16_6 r i Date Definitive Plan Approved by Planning Board •�Ffistortc-'�'f�i 'PresewatianL�jcaanis ' ��i�(,Q �' Project Street Address /CCU 0, Sc t'lf' Village ,Owner 1--m1`j �' "�9P� Address mR. Telephone ' Permit Request. S (ate o�aZ c�Q Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost`E+' 5(ok. Zoning District Flood'Plain Groundwater Overlay Construction Type tb D Pz Lot Size Grandfathered: ❑Yes ET-No If yes, attach supporting documentation. Dwelling Type: .Single Family U-- �Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes o On Old King's Highway: ❑Yes UPda' Basement Type: ❑Full O 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 U If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name ch i Z�Z,.: � �rz) ihP�n Telephone Number 4.27- —9 T/9- Address License# l -Z C)7a 7V 9 Home Improvement Contractor# /06 7�1a Worker's Compensation# M 996 6 /D J-5— tAee_. ' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY _ r _ • PERMIT NO. f" •.� :. S. r - � , .' •• ,4' .r -. - , � ` ' - DATE ISSUED" MAP/PARCEL NO. 'r ADDRESS ° ' f i. VILLAGE OWNER DATE OF INSPECTION: , + 1FOUNDATION mac' 1 FRAME i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL A 'e PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING u 1 DATE CLOSED OUT r ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts Department of Industrial Accidents -, ►� — -- Office o//nyesUgaUoos 600 Washington Street _ Boston, Mass. 02111 Workers' Compensation Insurance Affidavit ME namc ll� - , . �L1�� OYD 3� u city phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. comoan.vname OP Pl ZZ/ E X Pie yirJoy"gr city: CQ l C.- `T Q /03 � phone# ��d� �JSI[� L insaranccco +1 C/ T,![�16-4<1 049AJ :CAIS I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who h., , the following workers'compensation polices: company name: address: phone#- .. msarance co::;: Pow# - i company name. address city,:. phone# insuranaeco: policy# Failure to secure coverage as required under Section 25A of N1CL 152 can lead to the imposition of criminal penalties of a fine 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 line of 5100.00 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 certify under the pains and penalties of perjury that the information provided above is true and correct Signature zu c�'�/"eJ �. l�-P Date . S� Print name V. R4So—�f, IL or- Q,14%cZPhone# �.�11 official use only do not write in this area to be completed by city or town official city or town: permit/license a rl Building Department pLicensing Board �.: �check i[immediate response is required Selectmen's Office i QHealth Department contact person: phone N; 00ther P —60 (revised 3/95 P)A) The Town of Barnstable r • + 1ARNSr"M • Department of Health Safety and Environmental Services TEo nw't°i Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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 an im ro Y Pre-existing owner-occupied P 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: �� Oc_ t �'��/ Estimated Address of Work: )Q.OfS&K 7— Owner Is Name:/T •� , �` �(/ � Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law . ❑Job 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 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 agent of the owner: Date Contractor Name ,APiLLi j10mE 4uegistration No. OR Date Owner's Name q:forms:Affidav -- it HONE INPROV GT1ze Vanvrnae nutvPlta ENE NF CONTRACTOR k�" 'Regis — 1__ r NS• a .�.� LATIO tion: , .. ILDING REGU �. j' �� BOARD OF BU j� 007 4 Expirai 0 y RUCTION SUPERVISOR T io ONS �: License C p • IYPe. 2, c f 1,. 32 E ''"• 0570 Pr• � � S 1 v �.;' Number: C N ate Corporatlo �s ! CAPIIZI HpNE—` Thomas INPRO� VTR' ISTRATOR CaP1I11 4 �5;"9 Expires 09/26/2001 Tr.no: 5742 ts/ $r. 1b45 Newton Rd. RestrictedTo: 00 , Cotuit N I i J R A CAP AS X M _...... 02635 � THO � - ....-...... 280 PERCIVAL DR ! W BARNSTABLE, MA 02668 Administrator 1 : i�na u*�/woeClo &/7L172002U�P,QA.CIZ BOARD OF BUILDING REGULATIONS BOA I � R 1 r• RVISO .,. .1 .z.. CONSTRUCT SUPERVISOR � _�.. License: CO C DEPARTMENT Of PUBLIC ' 1 CONSTRUCTION SUPERVISOR LICENSE �,x , Number: CS 007454 Number. Expires; I> P. Res;trOted ro 00 r I I Restricted To: 00 a fCa V. flASCH III9 THOMAS CAPI711 RED 1645 NEWTOWN RD BOURNE RD J r COTUIT, MA 02635 Administrator PLYMOUTH. N8 02360 be ,� .., �•r - - a 77 r A. Assessor's map-and lot number .�9 :/3 FTHE r�w Sewage Permit number �`"/!.. ..... ... .......:' r BARNSTAML SEK IC Sy House number ..... ... ........ �._ .. � .........RG�.... i •r 'h to'°;"b 9 WC 4 TITLE TOWN OF BARN S- 1, n{ r. E -.. TOWN ftr. kil-A ONG BUILDING 11SPECTOR 4 - a APPLICATION FOR PERMIT TO �:........................... .... TYPE OF CONSTRUCTION ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to thefollowing information: Location .....LQ.7..... ...7........./�, P.S.CC'..l„1 l.¢.. .A4....... ........................................................ ProposedUse ........ ea le.. _ .!.J. .......... . ....................... ............................................. ................................. Zoning District ......R1.-:./..................................................Fire District ....... ........................... ...................... Name of Owner .... ......�� ...... ..t...,.,................Address .... :.o..-. c?.15.....�''.......... ..f... Name of Builder . .........................Address ............ Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ......................SL7.:.....................................Foundation ............. ..................................................... 5........C-1st ......... ..................Roofing ............�ss.�..h..�.f ................................................. ,Exierior ..f,.s�c�o�....S.h.i r;y(P wbor Interior ...... Ja 5.�e. y, .............: .............Floors ...C:cn...r:.s?.:�.. ........................................................... :. Heating ..f ....W.........4 JA...........................:.:............Plumbing .......... .. .3........................................ ............. ...................................................................Approximate. Cost ......... ...��...® OCOO Fireplace .......................................... Definitive Plan Approved by Planning Board ----------------_---------------19________. Area mot.'•t� Diagram of Lot and Building with Dimensions Fee SUBJECT TO kPPROVAL OF BOARD OF HEALTH Imo IV OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and RegulationsI.. n of Me le r n he above , 1 construction. Na ......... aL . i Construction Supervisor's License � ........... J RBCA9,'OJAMIE ... .. . No ...... Permit for . . . ....... Y I Single Fandly..P?�e;Lj�g....... ............... ........... ............... Location ... ... 49 Roosevelt Road ........................................... 6btuit .................. Ow' ner ...................................... Type'of Construction ...Frame.........I................... .................................................e .................. Plot ..... .................... Lot ................................ Permit Granted ..:APril 12,..................19 84 ............... Date of Inspection ......................................1.9 vj Date"'Co ipleted ....... ......19 Of Assessors map and lot-number. ,`3�"' '..........cam; - THE Sewage Permit: number �.(,?.. `� !........., 'c. i 33ABB9TIILLE, • , House number ....7./..... 0 5c'.��C. 'R. , . so rasa a• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....::.................................. TYPE OF CONSTRUCTION ....................................................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ' Location ..... -4 ..... A.......... o . ..f..tL� ......1. ...... ? ......................................................... Y ProposedUse ........;SFx �F.lP...... !. ..................................................................... .................................................. ZoningDistrict ......'4.. .`..1..................................................Fire District ......C.®................................................................ Name of Owner ..... i ,�a' �`... ...........Address .O 1S cl . ................................... ... �c3ti9C� t �N � �a Jt -j y 7 �C( �.2- 4a Name of Builder .....wT .[ _��.P ...... v ..`................Address ....... �1.............. - ........ Nameof Architect ..................................................................Address ................................................................... ............... Numberof Rooms ......................�n.......................................Foundation ............ .:.. ...:................:J:........................... i Exterior ..l.va:a,A....S.PA.,:.n CJ!4.S....... ...................Roofing Floors ��..! ..f?..t.. .............................................:.............Interior Heating .. .... .........�.!A..........................................Plumbing .......... ...... �('>. ........ O 000 Fireplace ..............�...................................................................Approximate. Cost .................,�r......a........................................... Definitive Plan Approved by Planning Board --------------------------------19.--------• Area .........' .. ................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH � t N, rv\v OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the TQ46 of Barris q le reg'�dirig the above construction. .� Name. .. c? ,.. :.:. V !�:`�f!.. ' � �M Construction Supervisors License .3 .. ,. __C..,,....... r REGAN, JAMIE A=39-139 No 26294 permit for 1 i Story ............. .................. Single Family Dwellin(j....................... ......... ...... Location ... ot 37 49..Roosevem .Rd ....... ................ Cotuit ............................................................................... Owner Jamie Regan Type of Construction ..... rame.......................... + ................................................................... .. ... .... Plot ............................ Lot ................................ a i Permit Granted Aril. 12,...................19 84 ....... f Date of Inspection ....................................19 Date Completed . .................19 r { I I „• TOWN OF BARNSTABLE permit No. 26294___- ' Building Inspector Cash OCCUPANCY PERMIT /!r. Bond ____X__�___ Issued to ,I've PegM Address Lot 37, 49 Powevelt RUad, Cotui:t Wiring Inspector Inspection date Plumbing Inspector h ,1 ..ram.. Inspection date Gras Inspector � � Inspection date }C `lr ,-Engineering Department, r 4 1,4, Inspection date--)- Board of Health ` 1�. Inspection date /,f THIS PERMIT WIL 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 118.0:OF THE MASSACHUSETTS STATE BUILDING CODE. f F Building/Inspector j . FROM TOWN OF BARNSTABLE BUILDING DEPARTMENT ►� �L.tLs Fta'ricis. i.Ia tteim �.�;I.M•.�� ' ` j Town leark «.....�""` w��'��36? MAIN STREET HYANNIS�; MA D2 M i Phone:.?T5-1120 SUBJECT: FOL HERE }5' DA E .. MESSA-GE work has bey cxxr?feted =der.Permit,,#26294 {Janii e , Please re1e&se-•Bmd .� ..�;.. • • _ SIGNED- f i t J < 1 DATE .. 7 .. j. REPLY , 1 SIGNED :I .� . .. - N87•RMi _ RECIPIENi, RETAIN WHITE COPY,RETURN KINK COPY Y • - . PRINTED IN•U.S.A. ' SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK°COPIES WITH CARBON INTACT. rw5tl + �` Y � • ` !• ^. {. � .t1S.�T�.,,. • ..�� 4>f.�+l�-:-a.-,./�!➢92:.�.:.� .3. a •�.M.r, • , 3 .1:'!-� 1'� ��i ! t. f t'. .1 f f ��r!!w' /V-S- .- •*,_...!�4,/'«THY `�` #��M R �''' t � '• 'a" * ! . �S a a �� A j ..��'y...0 .,�'°'..,�_._S.F ..., �s ,,.' r + �. r �- r` •, 1114 N . " , pL,OT i� ` ?L T L , • " .. • � a�,��, .C , it ---� - . .:.�7$�I T'- , EX/SS �N0 4 "T./w iS�'T y �/T _ CONFORMS TO » 29 E s. q�bJig►.� �9s /,S'BA k � :�L :S , S�.9iV0�'' sw�vE-Y�no► , Y ; ,�„'., ., .M ` ..' � �+�. l;"' ��:1�". 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