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HomeMy WebLinkAbout0052 SCHOONER DRIVE _ 1 J v� �Gf�©4/lJ�l� �f��1�� �./�� l ,; E �,� E, r ....... ------ -5 6 C , . 2. —_ �, z Me .' The Town-of Barnstable „ . + tARNSIABLE, s 9 MAW. $ Department of Health Safety and Environmental Services 1639. A�0 - Building Division re 367 Main Street,Hyannis MA 02601 . Office: 508-862-4038`. ' , t 4 Ralph Crossen Fax: 508-790-6230 Building Commissioner 3 TOWN OF BARNSTABLE Permit. � SOLID FUEL STOVE PERMIT Date: Fee: 2 j i o d Owner: -bAj A� L��� Phone: 321t^ 5-63o'57-303 evZ3-3 CY P-0, a3o.ic Address: S''A- 'tyj.�' Village: ('e`r v e 7— ,MaplParcel: �' ®I"2 0 0 -S Date: Sto . sN l Use B. Type: Rad' Circulating C. Manufacturer: t ckRIM4 570A./k, Lab. No. D. Model No.: -S!5�70 r Chimney A. New/ xistin �(If existing,please note date of last cleaning) ��Q (cJ� haw') B. Flue Size e-;,.� gef VA ` -0 5 G &A T + A" C. Are other applianceg attached to Flue? No D. Pre- T e and ufacturer Masonry: Line nlined rou'-V/4f S♦e To 5'•��" Hearth 11 nn A. Materials: . G� �oo�' ex Sty Vt B. Sub Floor Construction: gv,-r-or>.-eal'ee/ �,u e4 w poor 4W o r' -et r-a res-t' oK Installer Name: TT-enA o vie- Address: JV Phone: 7' t -7 f y Location of Installation: E-Aj-577,•V APPROVED BY: 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 -P. ,W, A �'•v� --(-a o'4` �'ct� n�r5 S 5'{eC(' ���e- ;5 ��rt��'�o� -f o� �p�e�`�rv��s V 1 e- i 5 ova ( HA►�tui yl� +Most- o-r ►45 1&41� J,� e5 +o 6" �1 ,PiNGt� -l'm f eni o GG"rS + f-ltt� s4-e J,e , A+ "pFjz�,wi m4*c. Is lwvv OP eC4 �4 ;f- �� : � ._ Off; � ��,;�,� w�u►,v F�.��r,Go1 s, .s. Btic 14_ cg✓s e f tiers an Gio le. 9 �.�. = P 4-w V w.s'S t 1 ;i{ , 3 r r• , � d , +ifs -�!` >A,xtlr�c�L ;c CONTACT YOUR LOCAL BUILDINGOFFICIALS ABOUT'RESTRICTION SAND INSTALLATION INSPECTION IN�YOUR AREA��f�°� ���•k K' tiv,���.a-t •.tp^,'�r,.� t,r.a;,._ • ,� 'n"1.'•+�,�q�• 6 �'( ' , r?r � �Listed�Room Heater';�Solid Fuel Type� � > .,•r;;' wW ` �` a � a i41so Sw ':fo tabler Mobile Home Installation'`:Pursuant to'(lJM)84 HUD 1 Warnock Hersey- Manufactured�by: Serial#f -`�� Intertek Testing HeaYthStone - �� Services NA, Inc. C ©7 u s 4 Quality Home Heating Products Model Name:Testedto UL 1482, ULC S627 317 Stfford Ave. M HOMESTisvilleT 05661 EAD 8570 ],,!j � orr WARNINGS ; PREVENT HOUSE 4 FIRES �r rtiF+Ft .�jq, ' ' ',.� tt,-41 k ,.. „« .. �;,�t t i!1 .,�,.�i•�,iv •� :,. 'I }�'.,' 4 KL` e'! 9 1�h,l,T. Do not use grate or elevate fi[e Do not operate wdh'doors , Install and use only in accordance with manufacturer s installation Build wood fire directly:.on f open. instructions and our focal buildin `codes hearth: Y 9 Do not obstruct space CAUTION:Special methods are required when passing chimney Do not overtire.If the heater or under heater. through a wall or ceiling. Refer to local building codes. Do not chimney connector glows,you connect this unit to a chimney flue serving another appliance. are overfiring. (See Manual) TYPE OF FUEL: ROTE:Replace glass only with 5mm CERAMIC IR or NEOCERAM Solid Wood Only IR glass. - WARNING,(MOBILE HOME)An outside air inlet must be provided i CAUTION:Hot while in operation.Do not touch.Keep for combustion and be unrestricted while unit;is in use children, clothing, and furniture away. Contact may Ins ect and clean ehinin fre uentl under certain condttlons cause skin burns.See nameplate and Owner's Manual. P y q Y c of use,creosote buildup may occur rapidly ` MINIMUM CLEARANCE TO COMBUSTIBLE MATERIALS* - FREE STANDING INSTALLATIONS HEARTH INSTALLATIONS BACKWALL WALL - - 3 6 9 12 -_ A C - _ 26 TRIM OR -. - - - MANTLE DEPTH < ' 22 - A 26' (660mm) dT COMBUSTIBLE LI NE B 23 (584mm , MANTLE THIS aBovE� Af C C 18 (458mm; T �' fi }iVt�a aJ r �N to 'e l HEIGHT ABOVE PARALLEL CORNER - 6 TOP OF ALL UNITS STOVE' ARE INCH 48" Moximum 59" Minimum VENT REQUIREMENTS:6 inch - - - 36" Minimum diameter,single wall,minimum - - ... `- 24 MSG black or 25 MSG blue ` steel connector with listed }` fiy ! factory bwlYType HT chimney wAiL Yn . a Wes' D 9 y4to Side Trim mesonry ch��mneyt��no 14rtoS�deWall , !' ° - ! PauHs 1 "ALCOVE CLEARANCE TO.COMBUSTIBLESI This unit comes with standard 4" legs kand 4it , NOTE- For a factory built fireplace installation must be installed on a non-combustible flooring. 41 the fireplace must meet the additional When installed on combustible flooring the requirements shown in the Owner's Manual. optional 6"legs and the floor heat shield,which 6., VENT REQUIREMENTS:Must.include a full height must be attached to the ash pan,are required 41 listed HT Chimney liner per 1777(U S)or ULC If the floor is wood or other combustible floonn , S635(Canada) �y't, I III:T ;t or F 7 r 1� the stove,must Lie placed ori'non combustirblei 46n 3"ta."�OPTIONAL.COMPONEN .S � y ; floor protection thaf extendsFat least l6 to:the I` ���, T Re"ar Heat Shied Par #+95 68700 f 4 *"�` ` 9 kl Ifi� iz IDu°tsideAlr'�K1 Pa # {95 53,700 " } front and 8"beyond each side;of the fuel loading � , h„ i' and ash removal o enin s. r�' °n FLOOR PROTECTOR SIZE " t�, Legsf, �• rPart#95`507.00X0 P. 9( ) x a l .ia F4 ti p, I txt, ' 'r l(y Surround ;I rb�{Part#95 59710 c;C",•'4r *Refer to the Installation Manual for additional clearance information,Installation Instructions,and Operating Instructions. U.S. ENVIRONMENTAL PROTECTION AGENCY - standards e 41 ttt : Certified to comply with July 1;1990 particulate emissions' } a •.I ,, l.., �`.:t' •1� I�. y';•:. t :',i xJ�$,'tr'��u1.` `i }h i �:..��.rtz"-5°T.k;� ��4t•'L""�,'I,;�ul a«T+A€'41� I ` r #t ''''}°f(r:- fa t t 17 F, :a l i 1 il:•t'� °v e e ,; i •�i.,. ..,. s 4 Date'D_Umanufacture.: . ¢¢ �I ¢�i• 4,:y �ftljir10117 4 1 2000` 2001sx, 2002 . Jan x Fetii' °'MarA 'J (�It f n P t t �a4s s 1 R ; IIAll' T pTs :s y� ( k`. /• ' 1'r �1 d:1 i t`' � '�� � ` 5 ,` � a u 7 d ti �I DO NOT"REMOVE OR COVER THIS LABEL I Town A00-16 of Barnstable *Permit# Expir 6 months from issue date Regulatory Services Fe MAS'• ,mI,E 9� 19 ��� Thomas`F. Geiler,.Director,ArEQ a Building Division Tom Perry,CBO,' Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 1, Not Valid without Red X-Press Imprint Map/parcel NumberCz/ �(' �---- Property Address �� J r' I-�b (� U FJ Residential Value of WorkA mo0� ors Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 61Uf Contractor's Nam �. TelephoneNumber�So�� Home Improvement Contractor License#(if applicable) Zd ;,� t Construction Supervisor's License#(if applicable) 4 Workman's Compensation.Insurance Check one: X-PRESS PERMIT El am a sole proprietor ' ❑ the Homeowner I have Worker's Compensation InsuranceJUN 2 7 0 2 12 Insurance Company Name Worlanan's Comp.Policy# se; ,9 TOWN OF.BARNSTABLE Copy of Insurance Compliance Certificate must accompany each permit.. Permit Request(check box) ['Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side. #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Constructi required. on Supervisors License is oe- y SIGNATURE: Q:\WPFILEWORMS\building permit forms\EXPRESS.doC Revised 051811 The C'am.mairw eah*of Massrackzwetts Dep arhnmt o,f Industrial Acdde+r r Office of Ifa tigiz6ons 6M MuZzi noon,Street Boston,AMA 02111 wrvvk�mrrssgovfdiu Workers Compensation Insurance Affidavit:Builders/Conbmctor&Flectric ans/Plumbers Applicant Information / Please Print I*-Mb y Name ss�izetimdudividnal}- i Acldreess: city/st$te/zip: Phone 47 LS!�> AF1, u an employer?Ch . kthe appropriate boz: Type of project(required): 1_ ar a employer u -_� ❑ .I am a geaeral txsnizactor and I employees(fall andfor part-tim,e). have hired the sub-contractors b: 'El New comstuc ion 2_❑ I am a sole praprietor or parts er- listed on the attached sheet 7- ❑Remodeling These:sob-contractors have ship and have no employees8_ ❑Demolition wcddng £or me many capacity.. employees and have worl=s' [No wodoers'comp.insurance comp.insurance-1 9_ .❑Building addition required-] $. ❑ We are a corporation and its 16-❑El€ctdcal repairs or additions OfEM shave exercised tbeir 3=❑ I am a hom�eawzroer doing all work 11.0 Plumbing repairs or additions of on per MGL 12❑goof repairs myself.[No worke<s'comp. �� �p� insurance &]S c.152, §1(41 and we have no �e✓ea employees.[No workers' 13..�Other We- camp.mstuance required.] t�+iay applic�r Sit chedes hoc#1 mast also fill our the 5ertion below showing their wode a compensafimpolicy inf anmrtiaa Homeowners who submit this aftidxvv indicating they arc doing an wook and then hue outs&contracton= submit a new affidavit indicating snob_ tCoatiactots that check this boot must attached as additional sheet showing the oMe of the sub-ca wactm md:mte whether oraot those entities have employees. If the sub-co®ttactnts have emplayee%they=nT provide their wakes'Comp.policy number. I am an emp&jwr that is prvvid�tg workers'cotrrpensrdfon insurance for my emplal ees. Below is the poncy and Job site Information. Insurance Company Name: t,UjZ Policy#or Self ins.:Iic.4: 6 9 Ue yS-7r Expiration Date. as-13 Job Site Address: S�IaVhGr (0/ ���'�13�4i t; /� Citylstatei'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 c-au lead to the imposition of criminal penalties of a fine up to$1,500-00 and/or one-year.impriso t,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 fortmded to the Office of Investigations of the DIA for ins;rance,coverage verification I do hereby cRWfy tinder he pains and Iftres of*dury that the itr format&onproWArdabom is true and correct Bate_ 4 aG a Phone#: t,►j�icial use only. Do no#write in this area,to be completed by city or town afficfal City or Town: PermitlLicense Issuing Authority(drde one)- 1.Board of Health 2.Buildiing Department 3.City/rawn Clerk 4..Electrical Inspector._S.Plumbing Inspector 6.Other. Contact Person: Phane#i 6 t °- lot Y • BAMSreBl.E, • Town of Barnstable A�FD MA't A Regulatory Services . Thomas F. Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: M8-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder V�17as Owner of the subject property hereby authorize I` �Ce to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) ignature of er Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption`Form on the reverse side. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 051811 �tHE Town of Barnstable Regulatory Services KAM�' * Thomas F.Geiler,Director 1639. & Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us. Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is; or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person wto constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection )rocedures and requirements and that he/she will comply with said procedures and requirements. signature of Homeowner \pproval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt rom the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner :ngages a person(s)for hire to do such work,that such Homeowner shall act as'supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often esults in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot iroceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is .ltimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part.of the ermit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page f this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in our community. :\WPFILES\FORMS\building permit forms\EXPRESS.doC .evised 051811 -P Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 ..Home Improvement Co�4ntractor.Registration Registration: 126252 ` -1✓ a Type: DBA Expiration: ,5/6/2014 Tr# 223508 M. A. SLIWA HOME IMRPOVEMENT MICHAEL SLIWA P.O. BOX 1461 � k MASHPEE, MA 02649rj tm -u Update Address and return card.Mark reason for`change...' ,j 1 ia50M-04/04-G101216 0 Address 0 Renewal 0,Employment Lost Card Office of Consumer Affairs&B siness Regulation License or registration valid for individul use only. HOME IMPR ONTRACTOR before the expiration date. If found return to: Registrati ,y ,2625$ Type: Office of Consumer Affairs and Business Regulation Expirati n 576L2014 DBA 10 Park Plaza Suite 5170 Boston,MA.02116 SLIWA HOME EMENT 1 :-\1 ;HAEL SLIWA REDBROOK RDt`r SHPEE,MA 02649 Undersecretary No valid wit out signature. a •;_ iVlassachusctts - Depiii-tmcnt.rtf Puhlic Safety Board ()f Buildin!�Regulations it Stanrlai rls Construction Supervisor License ' License: CS 82655 - } y MICHAEL A SLIWA i f PO BOX 1461 MASHPEE, MA 02649 a Expiration 101422012 (uiiimisiunii Tt#: )_' DATE(MMIDDIYYYY) ACCO CERTIFICATE OF LIABILITY INSURANCE 6/5 TE p012THls GHTS UPON THE CERTIFIC EIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERSOR ALTER TIHE COVERAGE AFF0 DEDTIFICABY THE POLICIES THIS CERTIFICAT CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND ED BELOW. THIS CERTIFICATE OF INSURANCE ERTEFICATE HOLDER.UTE A CONTRACT BETWEEN THE. ISSUING INSURER(S), AUTHORIZ REPRESENTATIVE OR PRODUCER,AND THE C ies must be endorsed. If SUBROGAT11 ION IS WAIVED, subject to IMPORTANT: If the certificate holder is an ADDITIONAL INS quire an policy(' ) the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). coNrper Norah Mccormick NAME: FAX (508)457-1269 PRODUCER PHONE (508)540-1919 AC No: Waquoit Insurance Agency E-MAIL nmccbrmick@mccormickinsurance.com . D NAIC# 516 Waquoit Highway INSURERS AFFORDING COVERAGE INSURER American Insurance Co m an Waquoit MA 02536 INSURER B INSURED INSURER C M.A. Silwa Home Improvement wsuRERD: M.A. Silwa INSURERE: p.O. BOX 1461 INSURER F; Mashpee MA 02649 . REVISION NUMBER: COVERAGES CERTIFICATE NUMBER:CL126501527 ERM OR CONDITION OF ANY CONTRACT OR.OTHER DOCERE N S SI UB ECT TO ALO WHICH THIS TERMS THIS IS TO CERTIFY THAT THE POLICIES OF INSURAN TE LISTED BELOW HAVE BEEN ISSUED TO THE INSU EH AMED ABOVE FOR THCT E POLICY PERIOD INDICATED. NOTWITHSTANDING. REQ RTAIN,N CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED PPOLICY CLAIMS. XP LIMITS ADDL SUBR, POLICY NUMBER MMIDDIYYYY MMIDDIYYYY INSR TYPE OF INSURANCE EACH OCCURRENCE $ LTR GENERAL LIABILITY DAMAGE TO RENTED. $ PREMISES Ea occurrence COMMERCIAL GENERAL LIABILITY, MED FRCP(Any one person) $ CLAIMS-MADE OCCUR PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS-.COMP/OP AGG '$ GEN'L AGGREGATE LIMIT APPLIES PER:. PRO- LOC. COMBINED SINGLE LIMIT POLICY Ea accident AUTOMOBILE LIABILITY BODILY INJURY(Per person) $ ANY AUTO BODILY INJURY(Per accident) $ ALLOWNED . F SCHEDULED PROPERTY DAMAGE $ AUTOS AUTOS Per accident NON-OWNED $ HIRED AUTOS AUTOS . EACH OCCURRENCE $ UMBRELLA LIAB OCCUR AGGREGATE $ EXCESS LIAB CLAIMS-MADE - - $ WC STATU- OTH- DED RETENTION$ A WORKERS COMPENSATION E. EACH ACCIDENT $ 100,000 AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y❑ NIA 68621JB4575P10912 5/25/ 012 ,�/25/2013 E ,DISEASE-EA EMPLOYE $ 100,000 OFFICER/MEMBEREXCLUDED? � . L.DISEASE-POLICY LIMIT $ 500,000 (Mandatory i NH)n If yes,desc be under DESCRIPTION OF OPERATIONS below OCLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) DESCRIPTION OF PERATIONS 1 LOCATIONS 1 VEHI CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable AUTHORIZED REPRESENTATIVE ©_1988-2010 ACORD CORPORATION. All rights reserve ACORD 25(2010/05) . The ACORD name and logo are registered,marks of ACORD Inlcn21;igmnosLol Assessor's office(1st Floor): Assessors map and lo"n6 0 ^ !. � 011 �� poi THE tp� Conservation(4th Floor _ SE�6 t - vP ♦w Board of,Health(3rd flo WT L r^ Wit' Sewage Permit numbsf C Engineering Department(3rd floor): Vr� '`` a `� House number . ` ® _,..SAL CO cesr Definitive Plan Approved by Planning Board 19 E n' APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only, Gv ��� F TOWN OF 'BARNSTABLE ;BUILDING ' INSPECTOR ' APPLICATION FOR PERMIT TO 4 TYPE OF CONSTRUCTION 3 f w✓� / <L_ 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �� ,'� 4 .o�'�' .���n P ✓ v v e® Proposed Use fi Gam.+ P Zoning District !ZT Fire District 0--,ED 17— Name of Owner �� V 4 ,,e e -Address V /: X" zt f V Name of Builder na Address e X Name of Architect ��sse���c rsi�.f r Address y-,Ue Number of Rooms Foundation �UL/ Exterior ,za a �/ Roofing Floors Interior 45,f P ✓ Heating a / G I'l , ,� Plumbing Fireplace S Approximate Cost Area `� — Diagram of Lot and Building with Dimensions Fee S 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 va-,e Construction Supervisor's License A!w '8TANTON, JOHN & JOYCE No Permit For BUILD DWELLING Location 52 Schooner Dr, Cotuit } OwneriJohn & Joyce Stanton Type of Construction Plot -{ Lot #5A Permit Granted ,,'August •19 , 19•, 94 Date of.,Inspection-. Frame A9111 19 Insulation Fireplace A© 19 Date Completed � 19 I =AM ' 1 J r f ! r r� TOWN OF 13A1tNSTABLE BUILDING_ I;RM.1T >-�- •�`� CONMIONWE=H OF .. «C� DEI'11�T�NT OF LNDUSTR2AIi►ACCIDEN -I-S 6 o oWASHINGTON STREET fames J Gar:n)oee BOSTON, MASSACHUSEI-Z()2111 or.:-L-Ssrone: 'WORKERS'.COMPETISATTONU�SNC:EARIDAVIT • widt ��hoe of -. principal p business/rc !dime• . ` do hereby certify,under the pains and penalties cf perjury.thm r ` l j j I am an employer providing the following•workers'compensation coverage for my empiovccs world o job. n this Insurance Company Policy Numbs I am a sole proprietor and have no one working for me r I am a sole proprietor,genera] eontnaor or omccwncr drdc one)and havc hired the con -tractors loud below who have the following workers'compensation insurance policies: Name of Conmaor nsurancr Company/Policy Number . fame of Cons .aoi Insurance Company/Policy Number Dame of Contmaor Insurance Company/Policy Number Q I .m: homeowner performing all the work myself. 1`'OT�.Please be aware iat while boraeowacrs woo eraalov persoas to 10 eaiateaante.ConstcuGiiioa or tcpairwot�oa: ctwcliint o(r+ot more t5as t rcc Lams in wale'; tie bor:eowaer also rc:icu or cc t c Frouncs appurtenant thereto art clot�:eaera- i eonsiccrc2 to be c Salo' —4 cr tac Corl;crs•Cor--�c.:aation Ac(Cl—C 152.rcc 1(S)),application by a bomcowoer fora lieeaSe or permit nav cYiccccc tic lcral runts of an crcalovcr uadcr tic:'orlcrs'Cor_pcasation Act cc:-c-: WiV be iorwZ.7cce to :c✓:�:-c-.toi e-ccs: ��Accdcncs'Ofnu orinsur::4 for co�c '-=c rcc�i:ct z-cc:Scrc:'c ci.l; - G_'.;:cr.ic:c to t:.; is position cf c: -ta:l per.�� cc-Si:C-r cis 1:-c ci t r tc r;crG.GG r.c�o: i i o--rt o:c- to c-c%•c::r.c c� �c-; iu i. 6c form of:Stop Cori:Orcc:_n. fine of S 100.00:cat:€:ens:roc. Sicncc this r • of 19 o iasor,r_rr 17,C;: JOHN H. STANTON 5-13/110 JOYCE E. STANTON J& 13 BUILDING ACCOUNT 1 P.O. BOX 1240 026 p�j �flyG� COTUIT, MA 02635 'L � opa of $ rJd 7•{ 47 Fleet-Bank - Meshp.COMM"011lee 83481 - •'t. Mesnpee.Mal s..husetts 02848 - - KONYi6flY IYP +11:0 L'1000 L 3B1:. 9 3 S 68 .-9 30 2 II!. 0 31, i� , I � L-C>T L A---fOf tJ1 . n i 4,5 to ✓ � `ol) o.2s874 ST NId 0 �v�, LG% C1✓I�TIFIED PLbT L OCAT10+-4 Ca7-U I r- C R T 1 *-{ T I-1 A T' T I-1 G � G a WVZEaQt-I CCAAPL I-(G W 1TFA TI-17-- 51L�C.t_.lt-lam (�7- 5,4- A W7=> 'SL---rt3ACLC W GQ U I FZ ENt E uTS OP T P TbwU of 3B �sI.�csr � ��+P/r�FL �2v5T L-�G�TC—�. W l T1-�t�l T�-lt✓ LooU 1=LAI KI bATr✓ oe. �-►.94. t,-j QCGlS'CC=IZCI� L�I�ip Suev�Yot<< T I-1 15 C7 L A I-J I S t...I�T AS CEO U�4 A W G l,�I°;f tJ �tJT SU�vc�{ 1 0F Skopol. APPt_t CA.►�IT' Jc�/,� 577��/T�/ t`..IG`C �C U 5l:[� •1'CU :�L.:T'C l?ti4 F��C� Ln-c" �.t r:C-S - r n. Yr • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION Number Street Address Section Of Town HOMEOWNER" — Name Home Phone Work Phone PRESENT MAILING ADDRESS X /2 v City/Town State Zip Code The current exemption for "homeowners" was extended to include..owner- occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and - requirements HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or 'larger, will be required to comply with State Building Code Section 127.0, Construction Control. xiscs y HOME OWNER'S EXEMPTION The code states that: "Any Home Owner performing permit is required shall be exempt. from theProvisions work for which a building r (Section 109. 1. 1 - Licensing of Construction Supervisors) ; this section . Home Owner engages a persons) for hire to do such w Owner shall act as supervisor. „ °rk. ,thatosuchdHomet if Many. Home Owners who use this exemption are unaware t the responsibilities of a supervisor (see -A hat the for Licensing Construction Supervisors, Sectiond2X150 y are assuming awareness often results in serious problems ) Rules and Regulations -Owner hires unlicensed persons. • particularlyhwhenatheck oHome aq'ainst the unlicensed , erson as it would cwith ase olicensed ur Board cannot Home Owner acting as supervisor is ultimatelyProceed supervisor. The responsible. To ensure that the Home Owner is fully aware of his/her responsibilities-, many communities require, as part of -the permit a Owner certify that he/she understands `the responsibilitie of a ssuper On the last page of this issue is a form currentlypPlication, that the., Home You may if used by severalptownsor. y care to amend and adopt such a form/certification for use in ns community. your :Y t�1 PETER y G� � 10lbb SF T WETLAH4 SULLIVA 56, 144 sF a u P L A� (> No 97.3 (oc, 032 S F t TOT A L- f ,ST _ so _ `S`s/OAIA N �- tTv IT (L1�lE.Q = 52,�a.� g P�S-rA('��E - MAS+tPEE 4� 49 � ,i di `} TOW1� LIJ.IJ� �� / ,L �, �54 O I IN 24 ' / / Qdj ��./i Illy I. �� /. np. . aR _ •• ! i �/ /� /// �� / � ate^ r, � // �• �\ wa ���\. - •, fi =r ct ST Of 0 Nr _ d \ ` (Alp 48 4iR4 1 Sv 57.4 \ ! L T 4 A PFGISSE�� \ I Sg cl AO - �� by SE oaooearr �aa.�e - o wA,�a o� 100, I -PATA 51f16LE RMiW 4 $EVV-wM4' �'o �AtzF3At;E GR��J�E>Z 'PAID( FLOW : 4 x I I o = 44o L PD 5EP1-1 C I T41V— 44 o x s o-7e c� o G P D saE Pc.A- U7G 1 500 C-.AL S.T. LOT -2iSFMA L PIT 2 - i o0o U,o,L % I- Foo-r 57z>.,4e SlDEWALL AREA Scrfa���Q Q�vl= 3 ao SF X 2.5 = -7 SP �Pt7, Gc-ry i T- BoTTpM A i o o G f A I•p I oo G.�D, M A--P 44 S P c L 12 - o 0 3 '►'�L �,16►J = s5o �, TCTAL DAILY rLDV = 440^�pp PE¢z-O LATI oN OA7F- I.. �, 1 M i N u"1'E 5 o e. Lt:ss � OFAM ACAS OF SUWON 29874 c Ho. 29733 r:fGPSTI E s�'�STB IN`.�ALL QlS- C ONAl E c QS A5 2e5ep,.j I O To W i n11ti I c>F- (:j" T�sr P - a238 FLU N a..rr- a6 0� q4 TF Loh M P•'�' 5/S Lp CZ) bKT w. �Nv G,4L IN-4 54.a 2LZi occ INY $CK 5;.5 53.1T !! Fria 53as 7 ANL GAL 'tip cL=-ocN WIr U sA-,,40 WM9E� OoTE: AGt.. 5�••r� i cmzC) sr-r -jTo' '�I MAsj �14. 'a� '. 2�J6�Qc�L� d6ES NOT ADDL—I ��Q •p� �'•tQL(. '8E '1�Z.D 61TE 'SEW A6E p15FbSA-L 8 ` A !'FI® p111T" R A N VELOPED 'PtzoFl Lam- �0 N r o SGA L� Lct^ow S ��r v I r AA A ss I _ lrowntEEL F� ELT 38.5EL-4J.V0- f'-,cnnnt cF /3A"1c. 1 ��L�% I "= 4c' DATE-i < -T-1t•94 EDIvE QiyE2 = E'-pta� aF�'P(...quD 1 YrI _ PLAN izeire RVC& C E � 'T�-1 dT T�{E ,..pL A u �r= �n-�to ��, C �,•,��r 1 r3�Q-� - tow w NE2EDN COMPL S WITA JJAE SIVEUQE STi4f�LE , Mai SS. � FoR ALp�� cA D i-rA L IJor L-OaTleD LE I' 4a:' DATE i i •12.93 NYE INC, -TTllS ad�J IS N 33 ,E�J oN AN l�5'1Y.c74tEly't' p>?OF 551oF.ldL_ LAWD SoZVSyce5 SUraleE AND THE DFFSETi 411OOt,> Ljor 23E o z�vlL ��INe. s usc� To GSTABLISN PW-TeTzp-y U WL-1 5t'Erzvlu.E Mn� , ,�PpLICQN'Z'; �a�+�, SrltlrTa.J�ET ilk, f i ! .II Je, .t l -... �.. ��..� 'ri� is4•I� ii:'_5 t_3-jiFit;•• 1 � i I I I I I I i I I I I'I / r ! I I ' , -�—Iih�•1✓�.uz rr N. prls.s �\i \ 6 .,•�.� ri 01 •4 I ^t �"hn�y(Pww �I'�K1,+1L �l„+.N^.r I ��.�b4rWr•-+� , � I •+\e• �� �\ I I 1 JI Ir�`dati .( 1'Wl a...ws I ye•1 ll"` �Il \ 3 1 / I�sA ft r4.4 \� I.�,- 'll+.+,l u.r.l SI Y M N�*I ; '`•J al `•\ `\ � 7 Cotuit re artment 3 Z -- --------- - - 1 t r}7ierlTyiAe uNu X 2ndF1w-_Ouw To m I y . - N;1 NoteSi -; ' - Reviewed FOUNDATION PLAN i� I e. - m LLij aa as � - � � W , — . . : ELEVATION WN PNob ttr+ ^ ELEVATION 2 sc...t vs•a r-o-; Scar.iw.r-0• Yj . z �4 k�(' x 00 i ELEVATION $ ELEVATION 4 �a j t� scu.S:v�•=rb• SCALE 1/4•=rb• i � F + J m ELEVATION $ Z WNO� O W OONSUIT ONOET/FOR AOONIONIIL NOTM N k k LU euv�noN,cev - k H ----- m:s LAJ kd�a N V --_- -- _____-_-_ - — _--___-_ ELEVATION 6 � eua vv�rd J t} NE?: si;..t: ji}:'ii }°Ei}lii� ie' }io I � { I I \ a '-i-.I�;,f 4J.�i" inKs 'I<�.t.F..LL. I ��e Nal� .i• �\ '�\ I i s ...jM�Lb..u.� ,r� I�-0YL�n•t•.,...a � � r I ��`i.t `� 3 I 7' I N Z 3I 31 I - WAIT _ I -I - I a} i I I J s � I i N i. I N7; I FOUNDAMN PLAN S—A i 1 } .7: I i ' � ✓^ m uz s e I � L L fj i I I W m .. .9 • `\ i {o � 55z N IK LD I V m "s • I 3 c N-i N i f FIRST FLOOR FRAMING PLAN _ 13 scue vY•=r-a �td I { 1 1 I I I I rn+t.oan I . .. ._ '_ U 4e41 \ <4 PU Fu YROO. LV LU lu LU ' i ttp J..7' _..-_ —_ I-F-✓ _I b'o�i - LL.:l .d% G ir-.•�::�;.hr1l ?+I 0 moutl tw.o aaw �' j /\' y�.t�w a� �_�,� Iw'...t I-., dI��' � .�a �' �© y.% V�f�^y r w•i' / J x i Y • J : I FIRST FLOOR PLAN ``'-�_�1 J �I i TI L) LU � I � fro I I I I \\ \ tl ! ! R i - — b i Lu Nit i T S 1 SECOND Roos FRAMING vuw _ �j I - 1 1 ii�ii:i'•SS-'y I I .q>, hw• lit' ,r I . 1 I I f- ko• 11'.0' �'J I � �. ' i •�I � yl ✓.�.W1c F'w ' «M To envy woloo. yyy i aocoo.i 0OLL'r I r N a -i .i •a .' ® �� M� IL 8 _ 2 u •o .tl cuo7ir u t; © z TO mI /. I :1«.a s I � i � (1� h •, I r,� �7 LU W coI j r / W� q � N• e N i i SECOND FLOOR PLAN ' sole ia•=r� ''/. . TT 4 d • 'T-i yli r��l r 1 i I I L: k Fw ........ �•ea LJ.uu4 L+. STOR.`Q i i sro-Aa rI I � I I IJ ' iN.IY ROOD r/� - :..I.l•o.. 111 :1 Iy..Y,:. � A-D Roo. lN/i1 SIFFEN KJROI y � i I, � T � I ai JTC ltv rr� I I SECTION SECTION y - auae yr=r-o � F aWe irk'=P4 MOIEs ue iYVRx 1ME8s m161++ae BPECT® U • pZs �i a k r ATTIC i V I /naa.cz we Arnow Q I am AF Fart- hPG-Od j moo, wac.ow J s W .- --aLLM..... .1 I au. ti ! SECTION' (I SECTION SECTION t sine v.•=r� ..••,a`yr=r•� roue Ir.•-�4 1 3 .wf>o TOWN OF BARNSTABLE 36968 Permit No. . .... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ................ ♦ ,Y� �A 0070•� HYANNIS.MASS.02601 Bond (John H. Stanton P. 0. Box 1240, Cot is CERTIFICATE OF USE AND OCCUPANCY Issued to John and Jovee Stanton Address 52 Schooner -)rives M of -"5A) C ot•li t_ ',Lk 0763 USE GROUP FIRE GRADING OCCUPANCY LOAD 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. i i I January 13 95 . 19................. ....................�j................... Buildin6 Inspector PAYABLE TO: John H. Stanton P.O. Box 1240 Cotuit, MA 02630 I s S�Z2f�S_ .pT .,�'G Ov • oz� n0# APPR0V C v ,f•ME TOWN OF BARNSTABLE Permit No.' Vq......... BUILDING DEPARTMENT $600.00 TOWN OFFICE BUILDING Cash ................ John H, Stanton '>terrv~ HYANNIS,MASS.02601 Bond �.. .. P. 0. Box 1240, Coti 1t) CERTIFICATE OF USE AND OCCUPANCY Issued to John and Joyce Stanton Address 52 Schooner Drive (Lot #5A) Cottuit. MA. 02630 USE GROUP FIRE GRADING OCCUPANCY LOAD 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. January 13 95 ` % 19................. ........................................... Building Inspector ; THE FOLLOWING-. , IS/ARE THE. BEST , IMAGES FROM POOR ' QUALITY ORIGINALS) 1 Mn � pAtA A!IRY 3 ' •71 - STDI9 - 6 4 Owner -- iPLICANT ADDRESS '.ii.7?.iY..C'(.i. (NO.) (STREET) - - -_- y'LICENSE) PERMIT TO Build D4ie .l Si(j I.'� «�i? ;.(.y1.C'. .! ii'(4' :?i_fNUIr..." (_) STORY '"'''�� �'� 'DWEU_INp (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) { AT (LOCATION) Lot #5A, 52 JC SZUCi?1 L 1.Driyiz', L.citu.:.�. D ZONING STR CT_ (NO,:) (STREET) - BETWEEN - < AND - t .(CROSS STREETI" - (CROSS STREET) -- LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE. '' - FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE 'USE GROUP BASEMENT WALLS OR FOUNDATION i....i (TYPE) Swage; #94-387 REMARKS: John h. Stanton ($600. 00 P.O. Bor"t,t�1240, Cotu: t AREA OR �k„ F 1�308 sq.. ft• � 160�,,000. PERMIT 1Q�4. �`J VOLUME N ''._ ESTIMATED,COST FEE (CUBIC/SQUARE FEETI jolin ,� oYce< Stanton OWNER ADDRESS 13 y ,i"� Kz - Tj ��—FR-OM-TH ` s TC-WORD.-THE ISSUANCE 0--r_HIS ER MT DOES NET`—RE�SE�HE APPLICANT ROM THE F CO�ITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ` MINIMUM OF THREE CALL. .APPROVED PLANS MUST BE RETA!NED ON JOB AND THIS WHERE APPLICABLE 'EPARATE INSPECTIONS REQUIRED FOR PERMITS ARE13EQU:ZE FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, REQING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE.3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILD) INSPECTION V LS t, PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS jo IL \ 2 NJ 2�.nn 2 Sn'bICf �Dt V__S Cetu:r Tp - `� l/.,31 9s HEATING INSPECTION APPROVALS ENGINEERING D PARTMENT 345 BO RD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTE'. CONSTRUCTION. I PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION. Bud-L' PE3`iIT No. 3 ly 6 �Y . Dn ASS f SORS P SRC-? NO. 0 a--5 U CONITINUATION Or ROAD BOND The urdersig—m e oc.-ne_/contractor tie_ebv agree to aair.Laiz t:ie=: road bond i-z farce unt=1 tie foiloki;.g war?, ite=s are cc^?eted to tue sntisiaction of to �Sec_'ou of tZe De�ar�:.:ent of Public wor:�s: Ica-- and seed shoulders as socn as wza_ e_ pe—_ ts: 1 Obli,772�7-1 I � -U1{. Kt -F :5-A 5=�1; GO:;7_-_CT.,?,) — (pr_nz -na-e ) - — --- ------- i BUILDING PEKiIT NO. :3 ASSESSORS PARCEL NO. o CONTINUATION OF ROAD BOND The undersigned- oumer/contra ctor hereby agree to Maintain t.,e_- road bond iz force unti? the follow.Lg war'- itets are co=?eted to the satisfact_on of the En gineer�:.g Sec_-_on of the Derar=ent or Public wor_tis: Ica-- and seed shoulders as soon as weather per—;ts: other e_mla_n i SL� 'aJ G;_. _ ,Gy •.... . C�" t) — (print -name ) -- -- — ---------- I - A 7H0:.1Z.:ON � 1 � � �� r � � - - . i { � , - I � �- ____ . _ � _ td !} i,��/.�..(1� tr h:;r"5�"°#(,r+t� v� =+��y,�` ,yx" d�^g •F4 i� � °:.'cy�y�3� .a �, i�7 Z^Y 2 ,�,� .a fr � �01 �, Wr'-Y`x'.. "� +t'".t'3y} i*. +'gyfnti 'Z•'tC'' 1 r�s tsz.^,.a"g'§. � .�,r� & b',yyx{Nt y�(� ,4 �t '�,�"#'4s� � � /y� ���;ts.�t'. „�,t.'�.$ '�4�i-�a�• ?c A R �:i,.. I•4 1V �.>&t. .V fY , 4 t_ 1� $�C` a4�, �y\rl�t ?'�� 2tAe"` / � _--��,-�tF4TE��,, 7 t 2ac� �1.9 ;,wr raf�;j:2hSP.� MC� x�:• 'a(� �,� i a a Owner >` �< e _'i r< 3C15te�'-B@ APP>�L.IGAT} k L s ADDRESS -- (STREETj�"t' .:,"vY .� S,t:,b ( rt• 1'IGE 6S NE) k`} d„i� 'Y`3'£+.r•r �.Bulla rDwe11'sng ( 1�•.'� E ��N I` PERMIT TO 7 STORY �3 Y n9 . _,,'(T„4PE OF.I MPR OY E M E NT) �' +� �:NO.>e a +•."_-,,,•(.PROPOSED USEI •_+��, a ��x =`�+c ,4 c�;,'•• x .:�:Kf'�i�•,. �:'�`. :?i { s5A ;_ 52 Schooner Dri�tex `oOsTR cr- f T ,Lot , , Cotuit AT(LOCATION) n ' - v`yIr .-�'>tf°' (NO 1 :•w, + ;s ,4.''(STREET) ;e 'mgo.! •'�3"^ :r'^✓,$e *.�' $F:� � � � (°s.a'." .•:�#�e~��� r,��'�` s�1" M�s t f�" �;.t-r 'fi'r � F q�,� i's� � _ a" �.�y; „"r �'T. 6."<"'y BETWEEN x G +s AND s1 SFr ..(.CROSS STREET) .'(CROSS ST.REE7) P 3 f y a t r. r LOTjt < 1 M :-';,'SUBDIVISION ' ' LOT BLOCK SIZE *� (.: :T l��.t�•' .�Ft .1�# at � +r t^ E. > � , r .. r-r �'� t, t' •' }a'"e1'� -. Ty'�z°""` -.tK 4v, ? P ,�Y jv. t r' I � 1 -Y ak .. W rzi4 -."•W'"%,.t' F o-.1.�; a kt`-,...a"k ,s�,;s -, `, P'k 1`�N BUILDING IS TO BE FT WIDE BY FT LONG BY FT IN HEIGHT AND SHALL CONFORM•IN.CONSTRUCTION '^% r 9"!ep a±.i_✓-i< '-rw„ 5.. y ,>y-eF' - . .A'?. ,1� � Q `�s+ ..'�. .k.�' .� T :.c� �_., + ... '��:- ��:-"w., Y� N�[�;,nN� £J+,�r � r � '� . .✓,4� rp,>Y�-i v� 1 TO TYPE 2 USE GROUP BASEMENT WALLS OR FOUNDATION t " Tt, p, (TYPE) ` Y + Y' Sewag94-387 4.� {' REMARKS - -"• W" a }.. - '' r � `: .r.._, _ es xJohn .H. Stanton P.O. a BQ� 1�40, Cotult AREA OR z �3OS $ ft a ZVO j OO�' ' # i VOLUME .t / ,' / " �' q• • # ESTIMATED COST �'' FEEMIT Q. 104. 75 u .(CUBIC/SOUARE FEET) Y _. s _S �. {} ._: •- £ v 2 rJohn "& Joyce'E. Stanton .. , OWNER s. • •. ;x 1240, Q (, *BUIL ix t ADDRESS^ B _ � •;.. � � _ -; ` ' 'F ry� 4 t , _'.. ,per � '� J - , 3( dd,..s J> Y r "`S a = fi -✓ �� s ,• ` . MI SE HE LIC> N FROM H �C ONDIT IONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS -WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: _ ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY, POST TH15 CARD SO IT IS VISIBLE FROM STREET BUILDI INSPECTION V LS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS IV 2 ZT-,.,n 2 S'ov ICF btJe,:! S Ca-tv,r r-,e;_� HEATING INSPECTION APPROVALS s ENGINEERINC�� IL__. _ Gt ws /-I3 2OTI1 N - 14 1 S BO RD OF HEALTH ���� ci2)1_111� OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'I!!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF II WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. 1 ,PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE Inspector of Wires Wiring.Permit# COMAlectric # Town of r-�nsJc �=� Massachusetts3 Building Permit # o� Date (4 Cii§tourer---� on (Street #) �2- Sc Lot # in the village of -utility pole number or underground number Customer's billing address Temporary w installatio " Change of service Starting'date ,5 � 614 Job description Service entrance-voltage `/- ,� Amperage Z � Phase Wire size (cu. or-ai:)40 Conductor per phase N,umber of meters�Water heater Off peak: YesNo Estimated load: Electric heat kw, lights kw, Range dryer Motors,'H.P. &Phase ` Ready for first inspect i� 1J©`� t ,CiC Lic. Telephone # Ready for final inspection Electrical Contractor / A, a o•�h o�c..—� ,ci 2Z� i_ --- 4ddress Additional Remarks: f Do Not Write Below This Line ELECTRICAL"WIRING INSPECTION CERTIFICATE'' INSPECTOR OF WIRES` INSPECTIONS DATE FEE CHARGE Temporary Service Roughing in Service and.Meter _/1 3�y Off Peak Meter Final Approval 10)11 10 Disapproved* T /' 'For_the.following reason ��+ �� aa-s► is ear � 9/ �� CERTIFICATE OF INSPECTION s Date fir` ';e�cij�`f To the COMMONWEALTH ELECTRIC COMPANY. The installation described-above has been completed and has this day beeninspected and approval granted for connection,to your service. y In ector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46 INSPECTOR'S NOTICE fj APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE /� t W Inspector_of Wires Wiring Permit # �1 COM/E,}.e�ctric # 284338 Town of y`� 5 �'�. Massachusetts Building Permit # Date i4'-kr, � < Customer' -. C� ��.^ 'C t-'�'�" ` on (Street#) Lot# in the village of 4 `" ° ' utility pole number or underground number _Customer's billing address '., :Temporary N w installation ` "` Change of service Starting date Job description `° " L Service entrance,voltage T.0- ��j Amperage ` Phase v Wire size (cu.-,or at) o Conductor per phase � „ .,,Number of meters Water heater Off peak: YesNo— Estimated load: Electric heat, kw, lights kw,Range dryer Motors,H.P.& Phase -Ready for first inspection t� � � � ��� � Ready for I'Val inspection Electrical Contract9�_ ' I„A�� 0 -c Lic.= - J Telephone ` �_..'�"""w,�,r.�."i- Additional Remarks: Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS r DATE FEE CHARGE Temporary Service Roughing in Service and Meter ` Off Peak Meter Final Approval Disapproved* 19_12�-Po '. 1y >, ` *For the following reasons;�4t ar.�6� ' c0'r1/,w f'x-7- �T 'Aw'-'v7'>' f a x- -v.cry' 4// l,:/ ;4ms .ofr.r ly-—PWo w z;w o-aee CERTIFICATE OF INSPECTION Date A, To the COMMONWEALTH ELECTRIC COMPANY. The installation described abov 4q been completed and has this day been.inspected and approval granted for connection to your service. 111 l 1 �MMTJE� U Inspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From.Date Of Issue CA 46 INSPECTOR'S COPY TO COM/ELECTRIC r - F I lie Urnrnonwealih of Massachusetts ° "`�` a,ty Department of.public Safety BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12'00 tk��r.ncy A' Fee a.`red J/90 Uea+e tlt�n►) APPLICATION be FOR PerformedPERMIT TO PERFORM ELECTRICAL accordanceAII work with the Massachusem Electrical Code. S27 CMR 12:00 WORK (PLEASE PRINT IN INK OR TYPE AIL cF INFORMATION �- City or Ton o��gQ_yJS.'�A�L.� Date The undersi To the Inspector of Wires: fined applies for a permit to perform the electrical work described below, Location (Street & Number) SZ 06'ner or Tenant Owner's Address C Zs this permit - n with a buildin in conjunction 8 Permit:: Yes 8"° ❑ - Purpose of Building `�,� (Check Appropriate Box) � { C Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd❑New Service No. of Meters Amps �� / ��O- Volts Overhead ❑ Undgrd� No, of Mete:s__�_ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs - No. of-Transformers Total No, of Lighting Fixtures Swimming Pool Above In- KVA 8rnd. ❑ grnd. ❑ Generators KVA No, of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting No. of Switch Outlets ` Battery Units No...of-Gas-Burners;-—. .-- ,. _. . _ -_ FIRE ALARMS=a=`-No.`of�ones �-�_.� _.. No. of Ranges No, of Air Cond. Total No. of- Detection and tons No. of Disposals Initiating Devices No, °f Heat Total Total s Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Self Contained No. of Dryers Detection/Sounding Devices Heating Devices Municipal o No, of Water Heaters + of ° N 1CW1'Ocal Conner rIon❑Other, KLl • ° o Sims Ballast Low Voltae g s Lrin No. Hydro Massage Tubs No, of Motors Total HP OTHER: SURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current LiabiliR Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES❑ NO U I have submitted valid proof of same to this office. YES❑ NO If you have checked YES, please indicate the type of owe age b checking the g y 8 appropriate box. INSURANCE'S-_BOND ❑ OMER❑ (Please Specify) 34------------------ ��� Estimated Value of Electrical Work S ZQU iration to Work to Start �- JCfCpspection Date Requested Rough Final IL- under penalties of r Peu' rY� _ FIRM NAME License Signature LIC. NO; - Address- Bus. Tel. No r��- j=:" Alt. Tel No. OWNER'S INSURANCE WAIVER: I an aware that the.Licensee-does-not-have-the'-insurance coverage or to s - - - stantial equivalent.as required by Massachusetts General Laws and that sry a application waives this requirement. Owner ignature on this permit Agent (Please check one) _ (Si I—re of Owner or Agent Telephone No. . PERMIT FEE S