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Home My WebLink About1074 SANTUIT-NEWTOWN ROAD Town- of Barnstable dl g lil Il s PostThis'Card So That,rt isUisble`From"the Street Approved Rlans Must be;Retamed onJob andahis�Card Musi beKept - sAItNB'CX63.R. ' 0 5' ; �z ., :� rs { a, `.' ,�t 1,, fY;,c.' s• F M P�ostecl Until�Final,lnspection Has BeenAMyade � � � ��y ° Whe"re aCert�ficate of Occu anc is Re„ uired,such,Build�ng shall+Not be Occupied until a;Final Inspection has been made Permit Permit NO. B-19-2772 Applicant Name: Stephen Dickinson Approvals Date Issued: 08/28/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/28/2020 Foundation: Location: 1074SANTUIT-NEWTOWN ROAD,COTUIT Map/Lot: 027-047 Zoning District: RF Sheathing: Owner on Record: BURDICK,ALBERTA M 4 C%ontractorµName .STEPHEN'T DICKINSON Framing: 1 Y; Address: 1074 NEWTOWN ROAD Contractor license; CS=081843 2 COTUIT, MA 02635 Est Project Cost: $8,480.00 Chimney: Description: Same for same,replacing 13-wide double hung windows u factor Pefmnit Fee: $43.25 Insulation: 0.28/0:30 AFe"Paid ' $43.25 Project Review Req: n �� Date 8/28/2019 Final: If L �trn Plumbing/Gas r Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work a hor edPby this permit is commenced within six rnonths�after issuarim. Final Plumbing: All work authorized by this permit shall conform to the approved application and the�approved construction documents fOK hich this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning°by laws-"and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for publiclinspection for the entire duration of the work until the completion of the same. x final Gas: ZV The Certificate of Occupancy will not be issued until all applicable signatures bythe Bwlding and.Fire Officials are'provided on'this permit. Electrical 81, Minimum of Five Call Inspections Required for All Construction Work ' 1.Foundation or Footing z '', ,.: �' s Service: 2.Sheathing Inspection X s. Rough: 3.All Fireplaces must be inspected at the throat level before firest fluealming is installed b .. 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable *Permit# 6 S a Expires 6 months from issue date Regulatory Services Fee �a •� -PRESS PE RIT Thomas F.Geiler,Director OCT 16 2007 Building:Division Tom Perry,CBO, Building Commissioner TOWN OF BARNSTABLE 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 6 X) Property Address ' o `d o � Residential Value of WorA.D 0160 Minimum fee of$25.00 for.work under$6000.00 Owner's Name&Address � 'I lA r 02_63.5- Contractor's Name 44cffiA • Telephone Number Home Improvement Contractor License#(if applicable) 137 Construction Supervisor's License#(if applicable) U S 7 ❑Workman's Compensation Insurance Ql�pck one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Worl man's Comp.Policy"# 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 tAt`tdt I `Td� t 1 S Sty ❑Re-roof(not stripping, Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders. U-Value (maximum.44) *Whcre 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. A copy of the Home Improvement Contractors License is required. SIGNATURE: (PV111474 :Forms•ex mtr Q p g - Revise061306 ' L Js vr+ Bod Bu1Idin� �` icc�a[IQEI„to. . g Regulations and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use only Reglstrgon: 112719 before the expiration date. If found return to: Board of Building Regulations and Standards A twn 4/20/2009 Tr# 259912 One Ashburton Place Rm 1301 � _ z , 3TYpe DBA Boston,Ma.02108 THOMAS R. DEMAYOx BLIIL--DER,{ THOMAS DeMAYO` 95 NORTHWINDS`LN W. BARNSTABLE, MA4026t8 ~ Administrator Not valid withou ignature f T The Commonwealth of Massachusetts Department oflndustrial Accidents'" Office of Investigations 600 Washington Street Boston,MA 0211.1 , www.m ass.gov/dia Workers*Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information OP Please Print Legibly Name(Business/Organizationadividual):_ 1R Dotal a Qc,t<<ldlL r Address:_ LS LaAA t Li. 6Ctt`n.S4a.A b oy�s 5 City/State/Zip; - 0-%G&t PhoneA (5DS -3(n4-7')90 Are you an employer? Check the appropriate box: Type.of project(required) 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part time). * have hired the sub-contractors 6• ❑New construction . 2. I am a•sole proprietor or partner- listed on the•attached sheet: 7, ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' insurance.# 9. ❑Building addition [No workers'comp.ins courance mP required.] 5. ❑ We are a corporation and its ME]Electrical repairs or additions , '3.El officers have exercised their I am a homeowner doing all work 11.❑Plumbing repairs or additions amysel£ [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' ..MW Other_ RC ra o comp. insurance required.] , •Any applicant that checks box#1 most also fli 1 out the section below showing theirworkers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then him outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additionalshect sbowing 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. lam an employer that is providing workers'compensation insurance far my employees Below islhe policy and job site information. Insurance Company Name: Policy#or-Self--ins.Lic.M Expiration Date: Job Site Address: City/State/Zipt 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 6. 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 may be forwarded to the Office of Investigations of the i)IA for instnBnce coverage verification Ido hereby certcfy;tndjerr theeppains•andpenalties ofperjury that the information provided above is true and correct: Sienatur l /!' Date: /6- fie`) _ Phone#: 6Dr— Official use only.. Do not write in this area Yd be completed by city or town offciaL City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6, Other Contact Person: Phone#: ' Hof 1HE Ip�y . 'town of Barnstalble. Regulatory Services ► iARNSfABLE. • _ hUM $ Thomas F.Geller,Director �A Building Division Tom Perry, Building Commissioner Z00 Main Street, Hyannis,MA 02601 www.town.barnstabk.ma.us arnstable.ma.us Office: 508-862-4038 • Fax: 508=790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder . r �► , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address �(y . ( s of Job) Signature of Owner Date . I A_ZY L Pnnt Name Q:F0P_MS:0 WNERPMMIS SIGN q ee 1C ;7 / / 7 Assessor's map and lot number ........... ........... ......... SEMCSTEM _ X INSTALLED IN COMPLIANCE Sewage',Permit number �.....`'... c3 WITH ARTICLE II STATE q... SANITARY CODE ` REGLI AND TOWN TOWN OF BARNSTAB `�'S° � � yOfTHE T�� i HAHBSTLBLB, i t 7 `b 9 �•� k = BUILDING INSPECTOR y .. APPLICATION FOR PERMIT TO �. .�.. .. �.: C 7 ....... c' ...................................................................... TYPE OF CONSTRUCTION . ...!....: :!`l.' . .. ........................................ ........................... ....................7.... ..:�.P.........191 �. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informs on: �f ....../�.` ..1.......... ........ .. :4: f ,/......1�. ... ...z .A.!L.� .........................................� ...................... Location ? 'Y .... .. ProposedUse .... �t .. .. .! .. .1��.. ...................................................................................................................... c J Zoning District .............f.4�..�.. �.........................................Fire District . f". .. ;./...... .Y..:C.....�J .!!",.............. Name of Owner ... .4': �.. :. � ......... �•. . . cl '...... .......Address .............. ...... Name of Builder .�.. .4° c'....: .. .� .......Address5��: f.J. =J: �"�-. .., .J�?.iYr�:.� '`l � Nameof Architect ..................................................................Address ..................:....:............................................................ Numberof Rooms .............-!................I..................................Foundation j. ..C' ..... ........................................... (.� -i LZ .�ea�ij•!r ilArRoofing .� .. .f Exterior ........... ............................................ .. r(. ....:.................................................. Floors .....tm=' �. ./.�. 17 .:...... :�. .......:....Interior :L:L..................................................... l 'l Heating .. ......................Plumbin J :..:.......�! .j� .......� ..... Fireplace ........... .. .. ....................................................Approximate Cost .......,2. ... ... .. �' Definitive Plan Approved `by Planning Board ________________________________19________. Area ............ .... : ........ Diagram of Lot and Building with Dimensions Fee f 7 SUBJECT TO APPROVAL OF BOARD OF HEALTH ' qo !L T6 I hereby agree to conform to all the Rules and Regulations of the Town of B stable regard in a ove construction. .. .... .. ... .... � Deyoung ° George R. . ' �� No -�^�r��.. Permit for -----. --.. single��,�� - ............. . � ^pcunpo -...� ---------' - ' � |_ � --.----..��-�~ �� -----. � ' Owner ---. � Type of Construction --..�raM#o-------. � | ^ / � ---.--.-.-_----------------- P|c» - -------- Lot ---�^,p�� -----.. ` � �u]sr �I Permit Granted ---.��.-�- ................lP ^~�� - - � Date of Inspection ------- lqDate / � Completed . ' � . PERMIT REFUSED | -----.--.---.------.--.. lA ! .-------------------------- � � ( � ^----~----------~-'^-----'--' ' .:------..------....~--,.--...-.- ' . . \ ----.-----.--~---.-...------.. . ' � � Approved ~--------------- lg . � ---------.-----~----.------. ^ - ` -'�r--'�'----^---------''-^~''-'- ` . . ^ ^ � . � � -