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HomeMy WebLinkAbout0109 ROOSEVELT ROAD ��9 �tl'lSW�Lfi` �. T — HomeWorks r n Energy, Inc BUILDING DEPT MAY ® 4 2021 Insulation Affidavit TOWN OF BARNSTABLE HomeWorks Energy has installed insulation at the following address that meets or exceeds Massachusetts building code and IIC requirements. Project Address: Permit.Number:EXPR-21-400 Jeffrey Twaroq 109 Roosevelt Road Barnstable Massachusetts 02635 Location Material Addt'I Thickness Final Assembly R value Attic floor Cellulose 7 49 Sincerely, I Adam Glenn CSL#106148 HomeWorks Energy Inc. HomeWorks Energy 101 Station Landing,Suite 110 Medford,MA 02155 wxpermitting@homeworksenergy.com (781)205-2201 P�OFSHE rgt�o Town of Barnstable *Permit# Expires 6 months from Issue date X Regulatory Services Fee '+ s�xrrsrwHr�, • v HAss. Thomas F.Geller,Director i63g• �� �AjEo ru►�" Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red g Press Imprint Map/parcel Number Property Address lO 2 ��C3 5�1✓�lTc"� /� �OTG�/'�` j� c�� �� [�Residential Value of Woik Owner's Name&AddressE����� Contractor's Name _Z e �d-5 / S u!/ Telephone Number Home Improvement Contractor License#(if applicable) /C 77� iy Construction Supervisor's License#(if applicable) �3 S _ 'b RMIT AM ®Workman's Compensation Insurance AUG — 7 2012 Check one: jI am a sole proprietor I am the Homeowner NSTABL.E WI have Worker's Compensation Insurance TOWN OF BAR � a, Kce Company Name �SSc�C'� PCs �/J'!✓1�Q y�,�5 Workman's Camp.Policy# Permit Request(check box) (] Re-roof(stripping old shingles) All construction debris will be taken. ❑Re-roof(not stripping. Going over existing layers of roof) E�Re-side' Replacement Windows. U-Value o �/ (maximum.44) *where required: Issuance of.this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property 0 must sign Property Owner Letter of Permission. ome Im ov ment Contractors License is required. Signature Q:Forms: g Revise053003 The Commonwealth of Massachusetts bepartment of Industrial Accidents Office oflnvestigationsp " 600 Washington Street- Boston,MA'02111 .UV www.mass.gov/disc 1 Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le2iblY . Name(Business(Orgy izat;on/Individual):"A M—C-V fl CfJS O S f •Address: 6z—g 41t�� City/State/Zip: `fhhone.#:��s6�. �77- e:1;, Are you an employer? Check the appropriate box: , -Type of project*(required):. 1.❑ I am a employer with 4. Lam a general contractor and I ' * have hired the sub-contractors 6. El New construction . 2.eloyees(full and/or part-time). . I a'sole proprietor or partner- listed on the-attached sheet.' 7. [ Remodeling ship and have no employees These sub-contractors have "S, El Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance. $• `9. ❑Building addition . fficers have exercise required.] 5. We are a corporation and its 10,[]Electrical repairs or additions .3.❑ I am a homeowner doing all work od their 11.[1Plumbing repairs or additions . • myself [No workers' comp. right of exemption per MGL 12.❑Roof 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. $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. 1 am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showia 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 yerification .I do-hereby certi under the pains•and pen a of erJury that the information provided above is true and correct Signature: t Date: Phone#: Official use only. Do not write in this area,lobe completed by city or town 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.PIumbing Inspector 6. Other Contact Pelson: Phone#: . i of r Town of Barnstable h Regulatory Services 3 B JA ' Thomas F.Ge-ner,Director nsess. i6J9'� Building Division Tom Perry, Building Commissioner 200 Main street, Hyannis,MA 02601 office: 508-862 4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder the.subject plop etp ...._..._. .. hereby authorize S '� ... .to"act on my..behalf,. in all matters relative to work authorize l•by this building.pe=:At-application%for'. (Addtess of Job) Signa f �ner Date \Aj a r v Print Name IVIIWN.M nUSCUS - ucllar Ulrcttt UI FUUltl Jalut� (/T/_ .P� ���� y✓[�GC7.ddlLGN.IJP. 6. Board of Buil(rn!- RcluhUi(Ins7uul Standards Office oof Consumer Affairs&BusmessRegulation rConstruction Supervisor License HOME IMPROVEMENT CONTRACTOR License: CS 40858 Registration: 402827 Type: A Expiration_ 7/2/2014 DBA DAMES D'FELLOWS �I FEL OWS BUILDING&5 SOME fMPF7OVEMENT r; 5 MAIN ST. Pl- � a MASHPEE,"MA 02649 James'Fellows 5 Main Street rest Washpee,MA 02649 Undersecretary �-- - �y Expiration: 9/30/2013 ('ummissiuncl a:r ;: Tr# 1z812 r p1S6oi4T+: k License or registration valid for individul use only Lj "I before the expiration date. If found return to:. Office of Consumer Affairs and Business Regulation I 10 Park Plaza-Suite 5170 Boston,MA 02116 F l Not valid without signature � II f Town of Barnstable *Permit# "Expires 6 mriy_h.fr m i-76ne . Regulatory Services Fee snantsrnai&�=� � "' Thomas F.Geiler,Director s63R � r�� 20 Building Division 1A /V OP lO Tom Perry,CBO, Building_Commissiorier 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-4038 E Tax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint 4. Map/parcel'Number Property Address T( 1 r✓ ''Residential Value of Work- O w Minimum fee.of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name�Sr S �. ' `�'�`'"'� Telephone Number Home Improvement Contractor License.#.(if applicable) 0 b zZ"l Constniction Supervisor's License#(if;applicable) 4Z ❑Workman's Compensation Insurance Check one: am a sole proprietor ' � 4 I_I I am he Homeowner Z- 0 e_ ave Worker's Compensation.Insurance . Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All constnlction debris will be to ❑Re-roof(not stripping. Going over existing layers of roof) f Re-side ' #of doors' { Replacement Windows/doors/sliders.U-Value (maximum.44)#,of windows *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. t, A copy of the Home Improvement Contractors License&Construction Supervisors License is. / required: SIGNATURE: �`�— � � - C:\Users\decollik\A Da oval\Microsoft\Windows\Temporary Internet Files\Content:Outlook\4STGU5QO\EXPRESS.doc Revised 0908 9 lie Conimonwallh of Massachusetts Deparhrrent of Indatstraal Acciden& QKwe of Investigations ' 600 washulgion street Boston,MA 02111 - wnnv.mass.govldia Workers' Compensation Insurance Affidavit: BuilderslContractorsJElectric anvl4umbers _Applicant Information Please Print I*Pibly Namne(Budneas/O on/ a�lun1): u Address: S Vh&(V3 r� QtylStateMp: F 01 A-> �Z*LO Phone## 0 00 -C?7 Z l Are you an employer?Checkthe appropriate box: T of ect .r 4_ I s®a contractor and I � lam] (required): 1.❑ I am a employer with ❑ �' 6. [-]New construction employees(full and/or part�e}* have hired the sub-contractors 2: I am a sole prrsprieftisr or parer- listed on the attached sheet_ �+• �'�g end have rto employees Them sub-oc>t ac8m have g. ❑.Demolition e and have worms' worlEi fos tame in any capacBty. employees 9. ❑Buildiug addition (No wo^kess'comp_insurance. CQmp-insurance., required-] 5_ ❑ We use a corporabon and its M❑Electrical repairs or adds 3.❑ I am.a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additiow myself [No Workers'ooup- tight of emwTkou per MGL 121-1 Roof repairs iasutance regard-]1 c_152, §1(4} and we have no employees (Nowm4rers' 13.❑otter con]p_Mmmance mquired.] *Any app that checks boa#E— also fill out to sectian below shamag,dmir wo*UW amppenseum policy in&rnWdML s who submit this•affdavd inicating they am domg ale work and rism hie aaaade co=ELcMu>mi submit a new aS it indicafiog sGAIL kantrachm that cb wA this hm must attached an ndditi mal sheet sbuwaog the name of ffie coubw nn and'state whew air not thaw omfifies base employees. If the m&con=ctms Lave rmphUees,they anal pmVide their workers'amp.policy mmibu I® Qa ea pdaysr tbet ispravidzttg workers'c� ieasvtrtistece,for toy streployers Bdow is thapatacy Mid job,site inform Insurance CompanyName: Poky#of Self-ins-r C.#: Expiration.Date: Job site Address: C:itylstate/zip: Attack a copy of the workers'compensation policy det:Iarathm Page(showing the policy number.and e:piratian date). Failure to secure coverage as required under Section.25A of MGL c 152 can lead to the imposion of criminal penalties of a fine up to$1,500-00 and1dr one-year imprison as well as civil penalties in Oxe farm of a STOP WORD ORDER and a fine of up to$250.DO a day against the violator_ Be advised that a copy of this stakw enl may be forwarded to the Office of Investigatiofls cf the DIA for insuauce coverage verification. I do hereby ey am thspama rteltiss epetlrrry tlietthe irrfot4t®at n proWded above is trite and corm -7 G mate: - 0 3 - /d Phone2- OX-d rasa only. Do not write in this area,m be compietad by city or town official City or Town: Permitll ieense Issaing Authority(circle one): 1.Bow d of Health 2.Bmilding Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: phone#: 13ARI s A11M ; MAM 'own of Barnstable -IMO�R Regulal ry Serviees- T'homas-F.Geiler-,Director, Building Division Thomas Perry,CBO- Building-Commissioner 200-Main"Street, Hyannis,MA 02'601° www.town barnstabie:m&us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder F I ��.�\` '" ► tiJ fa �v ,as Owner of the subject property hereby authorize V `00 t,,3 er to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signatur oU 8wn r , ate Print Name H Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 i T�=- I, - -- _ _ _ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR ' Registration: 102827 Expiration:• 7/2/2010 Tr# 271928 Type: DBA FELLOWS•BUILDING&HOMEIMPROVEMENT I James Fellows 5 Main Street Mashpee,MA 02649 Administrator Massachusetts- Department of Public Safety Board of Building Regulations and Standards t # Construction Supervisor License License: CS 40858 Restricted to: 00 JAMES D FELLOWS 5 MAIN ST MASHPEE, MA 02649 1 1 t + Expiration: 9/30/2011 { Tr#: 2587 t'ummissioncr a i THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / � LI DATA i License or remotion valid for hwIvmml on only \\ before the expiration date. H found refurn to: j Board of Building Re`nlatlons and SWWards One Asbborton Place Rm 1301 i Boston,Mo.02108 i Not vw wkbm iiinnivs ,l • Resbicted to: 00 00- Unrestricted 1G-1 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Refer to: WWW.Mass.Gov/DPS ` offic Assessor's maps(1st Floor): �9 1-5 ' c' •• ��STEM MUST®�.� QyOF YMf TO``. Assessor's ma and lot number Board of Health(3rd floor): ? CGMPLIANC Sewage Permit number ✓ � ��0■�,.,MLE`S t BAHd9T4DLL Engineering Department(3rd floor): S7AL C®® �? cries House number O f, TOWN REGULi� 6 e_- °O 1639• ®� Definitive Plan Approved by Planning Board 19C �o MAY d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT To TYPE OF CONSTRUCTIONc�O� 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use-4& Zoning District Fire District �Tv Name of Owner eq'e,f 1 W�-f'D Address l�yj Name of Builder \S �-rOZ» L Address Name of Architect Address Number of Rooms Z Foundation TO Exterior Waz)L T� �� Roofing A--s ciA,,P,L--", Floors Interior W `` Heatin 9 ` = �� Plumbing ' Fireplace Approximate Cost Area —7 Z O b4- Diagram of Lot and Building with Dimensions FeeLA l�c7i r Cam"' r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barns bl re rd' a above construction. Name Constr on Supervisor's License TWAROG, JEFFREY No 33369 Permit For ADDITION n - Single Family Dwelling Location 109 Roosevelt Road . : Cotuit - Owner Jeffrey Twaroq ' Type of Construction Frame wry Plot Lot ' Permit Granted November 171 ' 19 89 Date of Inspection /� 19 Date Completed 19 CIA YI R�p �:�ti rc>or c_ \ ` p _. LU )Z` V x.. ell r PAC 2n13 ..... .. _.. > ( _. . / m �.... . .. ...... O > i 2 J W i LU S ¢ 2 U r co toU U !n ...E ....... ._ .. _ ...... I 1 _.... _ .... .. ..... :...... - .s_ _..... .. ,.. .. I 41 — - LO .. .. i .. M C i N _ .... N i 6e co 1.0 N.N �..... . .. Z M ,2 /JcSU LET l 9 k`1 {N V..... .. Yi >Qo �'•y .... ... mp iF-N N �_� r ..... , .0 CO 5 ro zUSU4 �, . O d N Of CD . .. }M .. - o = ZD F.d E: ... LO LIL ............. ............ ............ ......................... ....................................... .............. .......... ............ ............................ ................... k 11 ... ............... w Z-d .............. <-?-N1ST1NG NCw sNt�kN 'PZao fA m ......... _._ Ul �. -a G-�. S_�, act-v �x _ 0 30 CD _ CO0- m N t/1 o><N OT. a N CD an _ W. nL w►- 1r, 'r3a't�4' o N c- U p o M a o d a m m r m W m ��. X _ _....... _.. ...: _... _ . _ e p p O Q : y -a-1 �I A �kt, T 1N �c uSC ........... .. .... .... ...._.. __ ...... �... .. �W w��� ^ < C= o COO- i AOo 6 d N=u) NCo k $ ©F�4 itit p c D N ;K CO�CD x f .� _... ...... . £ - w N) �n OD NOl CO C a T� 00 CD Ir 3 ct . M _... _ ... u m7o{mc mp>a moZ�a }m ...._. _ _ ..... c m .......... a�� 7 Assessor's map and lot number .... .2.l.l `S SEPTIC SY TE l3 LLED 1N COMPLIANCE Be �oF THE tp�. r P Sewage Permit number .....v�.i`/.....ry!.. .y..... %qTA � P�COMPLIANCE�� wam TITLE 5 t SAR33TADLE, House number .....�0 ..............:.......................................... r-.x1go*,%!k`oEINIT'AL CODE��i�� 900�0639.AGa a\e�' r r,1% La G:a4' p ypY TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........��? � Y 2- � `� C{AY�!�5 ..,�,�`re� tJ TYPE OF CONSTRUCTION ........kX)0 ......'T ` :. T `............................................................. ................. za..............19 .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby^applies for a permit according to the following information: Location ....... ....... ..................!,,A�..v\. .......�!.��............... Proposed Use ..2 ��►C...� . (.............................................................................. Zoning District ...�,.�..........................................................Fire District ....................................................... ��l'T �1/.9�d Qom, �®� G�Se�CV I�.Name of Owner ......... `.............................Address ......... .................................... ................................... t Name of Builder ... y .. .�. ....,, r �..........Address ...:.`�., ..... !rS �......�5. !MC7U�`t Nameof Architect ...............................Address '. ................................... .................................................................................... Number of.Rooms ....Foundation ......((^^�� 1 Exterior Roofing .....A� ....��.-.--.11........................................................... �........................ Floors 4.E�lti!� ../.. ./A.f.�................................Interior .......+d>./' ���.......:............................................. Heating ... `............,..............Plumbing ........... ?:CK.&...................................................... Fireplace .... ... .......................................Approximate Cost .....let,. ...:........................................ Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ................. .... Diagram of Lot and Building with Dimensions Fee Ll .�......... .......................:........... SUBJECT TO APPROVAL OF BOARD OF HEALTH 6 r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the To n of Barnstable regarding the above construction. Name ..... .....-. .. ... .................. ........... Construction Supervisor's License ��'~l• . . TW AROG, JEFF 1 No .27141 Permit for ....Build Garage Accessory to Dwelling F ; .... ...... Location 109 Roosevelt Road CA cotult !q w a� T ..................... .................................. ......... �� }"� "'. �Jw+�..a.,n F ,•..� .. •+_+�.. 4 Owner Jeff TWarog `' C « y: .................................................................. ._„ w l f i Type of Construction � .............. ...........`................................. ............................... Plot ........... Lot �, --- -1 October 24, 84 Permit-Granted ......... ........19 �` Date of Inspectionh;�. 7.1�5�. 19 .Y Date Completed � . :19 : U> ���. .4 t • 1 :.,i.J X ��. i'1 Assessor's office(1 st Floor):Assessor's map and lot number 9 /-,5-6 ko�tNE To Board of Health(3rd floor): / / �,'�Q�� `♦� Sewage Permit number 1 -k/ r T Z MUST&= i Engineering Department(3rd floor): fr' / �o rasa House number r�... ° 1639. Definitive Plan Approved by Planning Board' / ~ 19' I �MAY d• APPLICATIONS PROCESSED 8:30-,.9,:30�A.M and 1:00-2:00 P.M.only TOWN OF BARNSTABLE ` BUILDING INSPECTOR APPLICATION FOR PERMIT TO .It TYPE OF CONSTRUCTION �� Y 111\5 19 �t TO THE INSPECTOR OF BUILDINGS: / The undersigned hereby applies for a permit according to the following information: /. Location 1 00\ 5r Proposed Use Zoning District- ,/ 1 � p Fire District A 1 `�1 V L` 6 `Name of OWner�C�' 11-1 \WG��D Address tCo\ �a U �'C l Name of Builder rCaQ`� r�z � -'�sn��'t Address 2�l G�S,-f t� �`1� �'. �/{►��w�(3 '� Name of Architect Address Number of Rooms Foundation 0 t Exterior L 1 Roofing Floors ��+r( �� Interioru W�� Heating 41�Jkj �m C=6�) Plumbing } Fireplace ""' Approximate Cost 321,600 • ,s ` � � 3�Q ,p..N Area •' f L and Building with Dimensions Fee <�Ji ,�. Diagram o of a g Ct-•— - o � N 7- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barns able reg rdi g he above construction. • Name Constr ction Supervisor's License��,3 0 - r TWAROG, JEFFREY A=039-156 No 33369 Permit For Build Additicjn Single Family dwelling Location 109 Roosevelt Road Cotuit Owner Jeffrey Twarog Type of Construction Frame Plot Lot Permit Granted November 17 , 19 81 Date of Inspection ' 19 r Date Completed 19 i PERMIT COMPLETE© 111/1L oo/7 � ;sessor's map and lot number 0? ..4q, ...............�.../5......... • � •` ���- _ SINE SeLnrde Permit number y:.....................:...... SEPTIC SYSTEM MUST EE � �LIANC .� INSTALLED IN INSTA �oSTATE = BaSa9TsnLE, House number .......:..... .....:./ 9 ! RTICLE 70W 'oo rae9 . .....................................• �NiTe-I �,, ze Sa"NITA,'?Y CODE AND ,,�aMAI rT4��'� r� TOWN OF BARNS�TABLE BUILDING INISPECTOR APPLICATION FOR PERMIT TO .ConstrUCt Residence - single family .............. ................ TYPE OF CONSTRUCTION ....Pin gle Bamily Dwelling .......Beet enb er................19..M TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..............Lot...�4.X...Roosevelt...Drive, Cotuit............................................... ........................... ProposedUse ......Primary. Residence..................................I............... ................................................................... Zoning District ........................................................................Fire District ........................................ Name of Owner ...JeffRNV... TWaTO.g...3:R4...••••.••Address ..106 Locust Lane, Barnstable ............... ...................... Karin k. Twarog Name of Builder .Jay••Construction Coo.,...ZRgp,ldress BOX 11, F81mOLith 02�41 ........................... ................... ....................... Name of Architect rr ..... ...........n................ rr a ....................................... ............. .Address ...................... ...................... Number of Rooms ...f1..... Foundation ....�Og4Zp!�• Concre e . .................................................... Exterior ......yerti•cal siding.....................................Roofing ..asphalt...shingles...................................... Floors hardwood z carpet &. vi47ID..••..••.••••.......•Interior ......sheetro. . ck .. .. .............................................................. "".,,..."._Heating ...9AA.................... ...Plumbing ...P.VC........................................................................ Fireplace ....One......................................................................Approximate Cost ..4P.1.900..................................... �...........� s = Definitive Plan Approved by Planning Board ________________________________19________. Area ................ .................... Diagram of Lot and Building with Dimensions Fee . .....�� SUBJECT TO APPROVAL OF BOARD OF HEALTH 40t,0 h I hereby agree to conform to all the Rules and Regulations of the Town of Bar tabl regarding the above construction. Name ... :.... ... . .... ��.... ,' .,.;warog, Jeffrey E. & Karin A. 2.0797 one story t. No .......... Permit for .................................... single family dwelling ............................................................................... (Z 109 Roosevelt Drive Location ................................................................ ........... ................cot-u-i-t....................................... C; 4 Jeffrey E. & Karin A. Twar Owner .............................................................. Type of Construction ..............frame................. C ................................................................................ tc., i-� Plot ............................. Lot ...............#54 w�4 10 4:4 November 9 78 Permit Granted .......................................19 Date of Inspection ..... 19 Date Com A 0 pleted ...... ...... .................. 19 PERMIT REFUSED C, 0 . . ............... ......................... .. ...... 19 .. .... .... .. .... ........... ....................... 7, . . ........ .. ... .................................. ...... .�.. . .......... ... . .. ......... ................4-- all C,11 r 7-1 ....................................................... ..... ... t-11 Approved ................................................. 19 4 ................................................................................ ................ ............................................................. Assesso,-'s map and lot number ............................................ ! li!`r /`J� 0` - /,; ` /, / . THE y Sewage Permit number Z BARNSTABLE. i House number .................................�.................-................. 9� MABa p 039. `00� E MPY a• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ion ;trtac c............t.. e (`I eacE - ;; ................................................................................................ TYPE OF CONSTRUCTION .... :.'.r F r q-= 1 v '1 I n r ................................................................................................................... ......... ................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..............j.o ... rf�.'....�dQ �`.�..`....' z.�.v�.3..."OtU.:t.................................:........:... ProposedUse .........7.JIC. .r3...:�GB].d:GIlGe........................................................................................................................ ZoningDistrict .........................................................................Fire District .............................................................................. Name• of Owner C f free E.. Ta'aro^...a11d..........Address ..�.�F?...y oCu st...Lane....Via'-":y':.'�.... ............... Lri n '.:raz o� Name of Builder J 'v Coll„trUCt10n Co. . +11CAddress ...:�Ox 511. Falmouth „ (-;41 J -- tt ti rs r1 n rr Name of Architect ..............................................................11 ....Address ......n.............................................................................. Number of Rooms J.�.ye......................................................Foundation ....t?Pu.r.e eQnerete . .................................................................... Exterior ......VF;Tt' Ca:` sidinr Roofing „a5'?balt shintzles .............................................................. ...... "u toc,, . C .r?et ° vinyl Interior Qheetrack Floors ..................................................................................... .................................................................................... Heating `�.�.....'....... `.........................................................Plumbing ...... ....................................................................... Fireplace .... ......................................................................Approximate Cost ..`!:c.+`�c:C.................................. ..... IF�Definitive Plan Approved by Planning Board -----------_------_-----------=19____ . Area ................. Diagram of Lot and Building with Dimensions Fee -7..75 SUBJECT TO APPROVAL OF BOARD OF HEALTH \/.xt 4 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �7��-Q Name ... r;�':�.?.... ..�............ `i. .........I.......... . . Twarog, Jeffrey & Karin A. V A=39-156 No ..........?H9�ermit for ...... . ry.one .sto ... ......... ........ .......sin le...fami.lV..dw.elliAG..................... ........ ... .... ........ Location .....109 Roosevelt Dr- y!� ...................................i ................. Cotuit ............................................................................... Owner ..... & Karin A. Twaroa . ....................................... Type of Construction .......frq]AQ........................ ............................................................................... Plot ............................ Lot ..........Yt.5.4............... Permit Granted ......No.vomb.e.r..9............19 78 .... ........ . .. .. Date of Inspection ....................................19 Date Completed ......................................19 ...........r ............................... ......... . .......... .... ...... ........... ................... ................. ............................... ............................. ................................. .................. Approved ......................................... .. 19 .............. .............................................................. ............................................................................... Assessor's map and lot number .....)3.2. THE uF to Sewage Permit number .... -(0(9 .............................................. 33 STAILE, ................................................ House number. ..... -00�......... 39- MAI TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... G.........2...... ...Cf TYPE OF CONSTRUCTION ......... ................... .................. CPO ................16 ..............I 4A.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informatiolh'� Z�y I � Location ........ ..................1: .......... ........6b....................................................... ...... .441.. .................................................................................................. Proposed Use ..2 ZoningDistrict ............... ...........................................Fire District ..Oam�.A .... ..................................................... f -% ..t -P-60-c')eci e-, ��11 -Y Pli.W. ..........................Address AP9�...........................................................................Name of Owner ZQ.4...T........ Name of Builder .... ......rt-VX .........Address ..... ....... 6gxvxl Nameof Architect .................................................................Address .................................................................................... Number of Rooms ............1.21.................................................Foundation P ......................... Exierior .....7n..7:'JA.............................................................Roofing ..... ..............I............................... .Floors ... ai.tQ. ...............................Interior ......., W.C.\,k I. Heating ................... ................................ ..Plum bing ...........N.C.1 11........ ........... ........................ Fireplace .....��C.&CA..... J.�.............. ........................Approximate Cost ...... ............................................ Z-6 -A a If Definitive Plan Approved by Planning Board,- --------------------------------19--------- Area ................. ..0. -7 Diagram of Lot and Building with Dimensions Fee .............................................\�(9 --!�: SUBJECT TO APPROVAL OF BOARD OF HEALTH ry IN OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the To of Barnstable regarding the above construction. Name ........ .. ................ .................................................... Construction Supervisor's License ............ . 17 ]WQ\8OG, JEFF A=39-I56 . � No ... Permit for .Build. ........ --..^2�ace5a{=Y..tz�. ....................... . . Location l08 Bcx��eze�l±. Ik�a�. - —.� .. . ------ --.—.--. �otz�L� T' --------'------'' ,' - -- ---� � ^ . Owner -/Jeff.TWazog.------------.. ' ' r Type ofConstruction .....Fzazmm.......................... . . -------------~-------.----- ^ ^ Plot ............................ Lot ................................ ' . ' / ~ Ootzdzer �4 84 � ^ ' Permit Granted ---------'�.�:--]g ' . bate of Inspection .......................... --]Q Date Completed —`----------..]� . ` - ~ � - / ° ~ \ - . ' ' _ ^ � TOWN OF BARNSTABLE Permit No. ----------—-----------------_ 4 »n Building Inspector cash --------------------- mum OCCUPANCY PERMIT Bond ___ -'/ No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Jeffr--.y �s aeili ii. 'i�,ai Address P`. �J-ust. Ln. ,Rarnstat',i,_ 1 nt. #54 10a ''Cn�pvel t• Drive, COttlit Wiring Inspector Inspection date Plumbing Inspector 11 �• f Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ,� f..e i., /�` ...................................................... 19...... ........................... Building ..:Inspector _ ..__........_._ 5 I TE CA ,;Iz3g NOT -m 6 cyl 4 E- +- 1 f'//✓;5/,� r 1,A pJ-= (/'�/ �. ,_._ ///A�� ! /�{ 1}emu,'. 7 j �•'' 3 }/.^/IQ /(� �-1/ •..-I�/ �— \� � `/ V ���+. �!w- �I l�I. ��� `1.'�+Jn'ita�M �y y_ .. _. - /!•�, /�.�� 4Y��M� V�•4. '! 4��f,�/ � _�V �LTi• ', �.4 • • p ♦ \�`• w�•r.+/�.� �. Air•�• yj,. i.,.r �.�...- :. f �{7(i..4 • • • L'k IY K ih!' 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