Loading...
HomeMy WebLinkAbout0023 TOPSAIL CIRCLE i � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ' rcel "l v Application lication # Health Division Date Issued a Conservation,Division Application Fee o w �- Planning Dept. Permit Fee �0-- Date Definitive Plan Approved by Planning Board �-- Historic- OKH Preservation/Hyannis Project Street Address PP3a l Lg/ Village CCTUT Owner Address � i� _L� Telephone Permit Request of x f l - C41144k Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Ov erlay Project Valuation Construction Type ' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highwayo ❑Yes ❑ No c c Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other + Basement Finished Area(sq.ft.) Basement Unfinished Area (sq ) _4 Number of Baths: Full: existing new Half: existing Number of Bedrooms: existing _new m Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) $04,' S43 �'IS aFi'iC�= Name �J� Telephone Number 3�i S44-S"o cell Address � � � � License# Home Improvement Contractor# 12_60 1` Worker's Compensation # G-INA130W ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Lug SIGNATURE DATE J t FOR OFFICIAL USE ONLY f r APPLICATION# DATE ISSUED MAP/PARCEL N0. i ADDRESS VILLAGE OWNER DATE OF INSPECTION: t FOUNDATION FRAME t INSULATION ' 4 FIREPLACE r i� ELECTRICAL: ROUGH FINAL I% PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDIN 1 -95) DATE CLOSED OUT ASSOCIATION PLAN NO. r µ The Commonwealth of JUassacnuserza• Department of Industrial Accidents Office of Irt-pestigations 600 Washington Street Boston, MA OZX XX • wwwanass.gov/dia Workers' Comp ewation Insurance Affidavit: Builders/Contractors(EIectdcians/Plumbers A licant Information please Pant Le�ibl Na e, (Business/Orku z tion/1Ddividual): ktigy Address: City/:tateJZip: Are ou an employer? Check the appropriate box:. Type of pz oject(required): 1. I am a employer with f 4• ❑ 1 am a general contractor and 1 6. ❑New construction employees (full and/or part_timd).* have lazed the stab-contractors 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 employees and have workers'any capa.�ty. t 9. []Building addition . [No workers' camp.•iuyuranGc CDC'tnsurance. 10_ l a or additis mquired] 5. [] We arc a corporation and its ❑Electrical re pirs on 3.❑ lam a homeowner doing all work officers have cxerciscd their l LEI Plumbing repairs or additions myscl£ [No workers' comp. right 6f exemption per MGL 12 ❑Roof repairs insurance required.] fi c. 152, §1(4), and we have no . employees. [No workers' 13.❑Other, comp.insurance required.] `/wy appli=t that checks box#1 murt alto;fill out the sccdon below sbuv ing their workers'coroix MLa on policy information. t Homcowncn who subllolt thin affidavit indicating they arc doingall work and than hire outside contractors must submit anrw affidavit indicating such. kczntiactors that cbeckthis box trust add-but an additional sbett showing the name of the sub-=trncw, and stair-wbctber arnot,thosd entities bane employees. If the sub-conhaetDrs have carrploycra,they must pru-Yidc their wDrkcrs'comp.policy ntmiber. I am an employer chat is providing workers' camp ensadoa insurance for my employees. Below is the policy and jab site j information. Insurance Company Name: — Policy#arSelf ins. Lic. #: KV6"13`X111.1 ExpiratiouDate: Job Site Address: �y_ rail City/State/Zip: � Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverago as required under Section 25A of MGL c. 152 can lead to the imposition of criminal pemalties of Ew uT to $1,5D0.D0 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a Rao Of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to tho Office of JrYCsti &tuns of the WA.for' 11'aancc coverage verif cation. Ida hereby certify under the pains-and penalties of perjury that the znfarmadon provided above is true and correct, Si afore: Datn: Phone# �' Official rise only. ,Do not Write to this area, to be completed by city or lawn offcclal City or Town: Permit/License# Issuing Authority (circle one); 1. Board of Health 2.Building Department 3, City/Towu Cleric 4.Electrical Inspector 5.Plurmbing Inspector 6. Other Contact Person: Phone ff: Massachusetts General.Laws chapter 152 requires all employers to provide workers' compensation for their employees: pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." " t An employer is defined as "an urdividual,Partnership, association, corporation or other legal entity, or any two or,more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the re,ceivex or trust=ofanindividual,partnership, association or other Iegal entity, employing employees. However the owner of a dwelling 4DUSe having not more than thrcc apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintcnanca, construction or repair work on such dwelling house or on the,grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construc,t buildings in the commonwealth for any applicant who 15as not produced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL ohapter 152, §25C(7) states `Neither the, commonwealth nor any of its political subdivisions shall enter into any contract for the perr"ormanet of public work until acceptable evidcace of compliance a,zth the ince requirements of this chapter have been presented to the contracting authority." Applicants °lease fill out the workers' compensation affidavit completely, by checking the boxes that apply to.your situation and, if leccssary,supply sub-eontractor{s)name(s), address(cs) and phone numbers) along with their certiEcate(s)of nsvrance. Limited Liability Companies(LLC) or Limited Liability Partnerships (LLP)with no-employees other than the nembers or partncis, arc not required to carry workers' compensation insurance. If an L..LC or LL.P does have :mplvyecs, a policy is required. Bq advised that this affidavit may be submitted to the Department of Industrial �ccidcnts for con51Mzti0n of insurance coverage. Also be sure to sign and date the affidavit The affidavit should . �r returned to the city or town that the application for the permit or license is bring requested, not the Department of ndustrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' :ompensation policy,pltaso call the Department:at the nur4ber listed below. Self-insured companies should enter their elf-insurmrro liccnsa number on the appropriate line. 1ty or Tower Officials Itase be surf that the affidavit is complete and printed Icgibly. The Department has provided a space at the bottom f t1w affidavit for you to 511 out in the event the Office of Investigations has to contact you regarding to applicant Icasc be sure to fill in the permiVbcense number which will be used as a rcfcrcnce number. In addition, an applicant iat must submit multiple permitllicenst applications in any given year, need only submit onp affidavit indicating c=cnt olicy information(ifnccessary) and under`Job Site Address" the applicant should write"all locations in (city or A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the )plicant as proof that a future valid affidavit is on file for permits or licenses. A new affidavit.must be filled out each ;ar.Where a home owner or citizen is obtain a license or permit not related do any business or commercial venture e, a dog license or permit to biirn lcavcs etc.) said person is NOT required to complete this affidavit ie Office of Investigations would h` e to thank you in advance for your cooperation and should you have an} questions, mase do not hesitate to give us a ca1L e Department's address, tcicphone•and fax number. The C6immonwealth of Massachusetts Dep1a1MDnt Of ladust ial Accideats Office of Investigations 604 Washington Street Boston, MA. 02111 TO. # 617-727-490.0 ext 4.06 or 1-M-MA.SSAFB Fax# (517-727-774�1 d 11-22--06 vr,,,,w.mas,-.gov/dia �p7NET � Town 'of Baarnstable Regulatory Services xARxsrtsr.E, v MAS-. Thomas K Geiler, Director tb � Building Division Tom Perry, Building Commissioner 200 Main Street; Hyannis, MA 02601 www.town.barnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property owner must Complete and Sign This Section ff Using A Builder ��K[�5 , as Owner of the'subject property hereby authotize C'r�ll� to act on my behalf, in all rnattets relative to work authorized by this building permit application for: (Address of Job) Siihire of Owne ate Print Name If Property Owner is applying for permit please complete the H_ omeo.wners License Exemption Form on th:e reverse side. Town of Barnstable N�ofTHe Regulatory Services ^� Thomas F. Geiler,Director ' A&'. 163q. Building .Division Y� ��� b PrFD �a Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 www.town.barnSt2ble.ma.us lice: 508-862-4038 Fax: 508-790-6230 H011'IEO'9MrER LICENSE EXEMPT70N Please Print DATE: JOB LOCATION: number street village "HOMEOWNER":' name home phone 9 work phone# CURRENT MAILING ADDRESS: city/town state rip code The current exemption for"homeowners"wag 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. b);FINrT70N 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 strictures accessory to such use and/or farm structures. A person who constructs toore 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 procedures and requirements and that he/she will comply with-said procedures and requirements. Signature of Homeowner Approval of Building Official Note: :Thxee-family dwellings containing 35,000 cubic feet or larger will be required to comply with the hate Building.Code Section 127.0 Constriction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions f this section(Section 109.1..1 -Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such cork,that such Homeowner shall act as supervisor." Man unaware that homeowners who use this exemption arc unawa that they are assuming the rnsponsibilitics of a supervisor(see Appendix Q. .u)cs&Regulations for Licensing Construction Supervisors,Section 2.IS) This lack of awareness often results in serious problems,particularly 'hcn the homeowner hires unlicensed persons. In this case,our Board cannot pmcccd against the unlicensed person as it would A�th a licensed ipervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homwwncr is fully aware of his/her responsibilities,many communities require,as part of the permit application, at the homeowner certify that hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by vcral towns. You may cart t amend and adopt such a fon✓ccrtification for use in your community. � r 8 / 14/08 10 : 50 : 29 AM 4170 ® 03/03 y j ACORD CERTIFICATE OF LIABILITY INSURANCE 8i14i2o 8' PRODUCER (508)540-2400 FAX: (508)289-4111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Murray MacDonald Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE y HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 550 MacArthur Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bourne MA 02532 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Arbella Protection 41360 Steve Kady Mhsonry, DBA: Steven Kady & Son INSURER B:Travelers Indemnity 25658 P. 0. BOX 49.3 _ INSURER C: INSURER D: Falmouth MA 02541-0493 INSURER E: E E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT;TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN.IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADO'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE MWDDfYY. DATE MMIDDIYY LIMITS GENERAL LIABILITY. EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100 000 PREMISES Eaocairrence $ A CLAIMS MADE ❑X OCCUR 8500028586 8/14/2008 8/14/2009 MEDEXP An one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 X POLICY PRO-- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _ ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per acadent) GARAGELIABILITY AUTOONLY-EAACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND I O STATU- OER EMPLOYERS'LIABILITY - ANY PROPRETOR/PARTNERIEXECUTIVE E.L"EACH ACCIDENT $ 500,000 OFFICER/MEMBEREXCLUDED? 6KOB93lX732107 8/29/2007 8/29/2008 E.L.DISEASE-EA EMPLOYEE$ 500,000 If yes,desaibe under SPECIALPROVISIONSbelow E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER - DESCRIPTION OF OPERATTONSAOCATIONSIVENICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Barnstable EXPIRATION DATE THEREOF, THE ISSUING INSURER HALL ENDEAVOR TO MAIL ZOO Main Street 26O1 010 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT Hyannis, MA FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE I INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE S Harrington/SMH ACORD 25(2001/08) ACORD CORPORATION 1988 INS025(oAo yna Page A of 2 7319 Board of Building Regula ons and Stan ar s One Ashburton Place - Room 130.1 iBoston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 126014 �. Type: Individual Expiration: 4/8/2010 T 265049 STEVEN KADY 'S.TEVEN KADY PO BOX 493 FALMOUTH, MA 02541 �� s� Update Address and return card.Mark reason for change. -•--� El Address Renewal Employment E] Lost Card .DPS-CA1 as 50M-07107-PC8490 N r : ' ✓/ze Vim�in�rnuuect� a� /faaaae/auaeda ,1 ~ tj BOARD OE.BUILDING REGULATIONS iLicense: CONSTRUCTION SUPERVISOR I Number CS 059847 F, i Birthdate 10/03/_1956 - y �R2M — tr Expires �la0/03/2008 Tr no 4232:0 ' L' Rest�c reAf } h t `P STEVEN .'ADY PO BOX 493 fALMOUTH, MA 02541 ~': Commissioner ,--A-z-jessor's office (1st floor): THE tO Assessor's map and lot number . .. ..................... Board of Health (3rd floor): Sewage Permit number ..........................................�j........... t EAUSTAILE, & Engineering Department (3rd floor): 263 MAB9. Housenumber .............................................3....................... 0 MAI 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 CONSTRUCTION ..........4�47-15-.��..... ....................................................................... ............... ................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information.. Location ...Z.4-74 ... -ex- ' ......C.X< ......... ............................................... ti ProposedUse .. ....6;.O��7........ ...... ......................................................................... ZoningDistrict ............ ...................................................Fire District .............................................................................. Nameof Owner .... .......7 ...... .................................................................................... Nameof Builder Address .................................................................................... Nameof Architect ..................................................................Address ...................................................................................... Number of Rooms .....7........................................................Founclai`ion ......e,,4:0 e��............................. Exiei ....................................... -io ..............Roofing .......... -1 Floors ........./4 .....................................Interior ..... ........................C ............................. Heating ........... ...OZ.e�.....................Plumbing ....... .......................................... Fireplace ......... .............................Approximate Cost ........ .................................... Definitive Plan Approved by Planning Board 4`9 ___------1914 Area .......................................... Diagram-of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 Construction Supervisor's License ................................... CA McSHANE, JOHN A=018-096 OCr � No 29538 permit for One Story Single Family Dwelling r Location Lot 4.2, 23 Topsail Circle .... ..... Cotuit J ............................................................................... ,. Owner John McShane .......................................................... Type of Construction Frame ................................................:............................... Plot ............................ Lot .......................... Permit Granted ........June..23.,...............19 86 Date of Inspection ....................................19 r Date Completed ..:....................................19 ry Mssessors office (1st floor): . 61 Q � THE _ Assessbr's map and lot number ... Y................. .. �f o Board of Health (3rd floor): SEPTIC SYSTEM MUST BE Sewage Permit number ........:.'........g ....... ,. i:I:..:.. ... INSTALLED IN CQMPLIANC = EAUSTADLE, Engineering Department (3rd floor): WITH o rasa House number #..2..3.........::............ �NVIRQ TITLE 6 9°�0 NTAL CODE AND APPLICATIONS PROCESSED 8:30,9:30 A.M. and. 1:00.2:0W.M. only TOW REGULATIONS TOWN- OF f BARNSTABLE BUILDIHGC INSPECTOR •APPLICATION FOR PERMIT TO �ac � �!�'.7 '.. l. ...� !, �...... (!fs !/../!� TYPE OF CONSTRUCTION .......... .A........ . 53z L .0................ ... ................................................ ......... . . ...... .... /........19. t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...[ `.. ... ..�34e—Z...... / ........6!../....1� ..................................................... Proposed Use .��..��`�...... ......,u�.l�t1..�<./,C•(�!..,�1`.'.................... .................................. ...................... Zoning District r ....Fire District ...................... Nameof Owner v . � '` � .�?! .Address................................ .......:..... .... .. ..........................,............................:............................ Name of Builder <..1. awtf<..... .C-.. j�/ e.Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .....T.........................................................Foundation r>C/�-�� �� C��--"��-� ^. ..... .. .. .................................... Exterior . , ` ..... .. /..��✓. .".flD.......Roofing .......... j .. . ...... Floors . .....................................Interior .....=./G��'.� �e ............................... ............................... Heating ..` ... /....(5....................Plumbing .....��*�............................................ . ..... ell Fireplace �, '� .............................Approximate Cost ........ D d..................... . .................. .. .. Definitive Plan Approved by Planning Board __ � __(P-----------194 . Area ...�®. .'....... . ` Diagram of Lot and Building with Dimensions S� Fee �/ ' � SUBJECT TO APPROVAL-OF BOARD OF HEALTH h �f /E=� G✓ `--' .20 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. =t Name q4�.... `G°` ............... Construction Supervisor's License .................................... cSHANE, JOHN 29538 One Story io .............. Permit for .................................... aing.l,�J�4�Rily Dwelling . ............. .... ............................................ Location .....Lo t*#2, 23 Topsail Circle ......................................................... Cotuit ............................................................................... John 'McShane Owner ...........................I Frame Type of Construction ................................ On 54 ................. .............................................................. Plot ....... ............ ..... 'Lot ................................. Permit Grqn,ed ...........................June 23, 86......... 1*91 Date of -nspection7:7,??7 ..... 1 Date Completed ....... ..............IV. rx-� e..z -r'Y...—....ey..Y...,,•.u:. _.- ..._Y Y,_- r _.tR:' ,�("�:7 . ^a ,. � .'�....r.�'.r'�{"�i.,» ... � f... • .r6 ^1...� .+r'L'"..w. .. ;r i.i o`TME TOWN OF BARNSTABLE Permit No. . • BUILDING DEPARTMENT z 9 si {D°$; TOWN OFFICE BUILDING Cash ....... "huur�� HYANNIS,MASS.02601 Bond .... 1� CERTIFICATE OF USE AND OCCUPANCY Issued to u0nil iulcbnane Address • i1�7: 1tC� C:5 '1"(�p5a11 l;lrClE'. C:C)`cul- ' 1'idssd<:i1UsetZ5 USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 19.................. ..... � Z. ...... Building4' pector�.— TOWN OF BARNSTABLE BUILDING DEPARTMENT _ a TOWN OFFICE BUILDING � rua g .679• �or�Y►� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit hasbeen issued for the building authorized by BuildingPermit # /i ��. , ?:. ...................................... ......................................................... ......_......» ...... ... .......»» issued to ......... .k .;�.. ............. :..................._............................... Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM A�C DATA J , -BUILDIN t`I' TOWN OF BARNSTABLE, M.ASSACHUSETTS PERMIT JOB WEATHER CARD •-� DATE 19 PERMIT NO. APPLICANT „ry.. ADDRESS ti (NO ) (ST .E TIf �y pr^ .i'a dor (CONTR'S LICENSE) i J..._l.i.l -1?,. p, _ 9 . , a _ t t.l tt.!i. ,..Sy NUMBER OF-• PERMIT TO (_) STORY F. DWELLING UNITS J (TYPE OF IMPROVEMENT) _ N0. (PROPOSED USE) f. - l. :9sz. ) :G, r;i:. _ .t: ZONING Gh AT (LOCATION) DISTRICT (N0.) (STREET) BETWEEN AND ' (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE i BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION ( t TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION 1 is_t .. (TYPE) �: ' REMARKS: AREA'OR (. {P,gill) PERMIT C . VOLUME ESTIMATED COST^.$ FEE (CUBIC/SQUARE FEET) - J7(:Lc l'IC ail Lilt: - OWNERy -r e BUILDING DEPT. ADDRESS > BY f<' THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OF oilPERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST,BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF'PUBLIC SEWERS MAY BE OBTAINEC 1. FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS t( 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. MA E. HERE A' CERTIFICATES OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. .2. PRIOR+TO COVERING STRUCTURAL IRED,SUCH BUILDING SHALL NOT BE OCCUPIED LINT MEMBERS(READY TO 3, FINAL'.INSPECTION BEEFOREFORE - FINAL INSPECTION HAS BEEN MADE, .^5r OCCUPANCY. -ffosT CARD SO IT IS VISIBLE kFROM STREET B ILDING CTION P LS PLUMBING I SPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 14 (ovt Z 2 67 3 3 HEA'TI 'NSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS jE I G z BOARD OF 'HEALTH 'WORK S,A.L'- NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND*VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CAR( TA E S OF 7iASCON APPROVEDRUIN '4E VARlcus WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CA.N BE ARRA14.GED FOR BY TELEPHONI STAGES OF CONSTRUCTION. PERMIT IS.ISSUED AS NOTED ABOVE. OR°WRITTEN NOTIFICATION. N 2®'3B'46"E 7 23®. 79 ir \ , Z \...... a r pT 2 � M g 5 ly 27a•56 •W. S 18• 8 Do I j t � PLOT PLAN OF LAND "TO THE BEST OF MY KNOWL EDGE, THE FOUNDA TIONw.ea L OCA,TED IN SHOWN ON THIS PLAN. IS AS IT ACTUALLY EXISTS A P��N of Mq BA PNS TA BL E MA SS. THAT I T CONFORMS TO THE TOWN OF BARNSTABLE Z s�� REGULA TIONS, REGARDING YARD SETBACKS" �• DAVID y� PREPARED FOR CHARLES n �DA T 'APR.22, 1986 C S2 085 I� y Mc SHA NE CONS TPUC TION 4 i — — — �s•� , R.L.S. O -t0 DA TE.'APR.22 , 19B6 SCALE.• !'� 40 FT. — — SURVE, FLOOD ZONE C :` CAPE 6 ISLANDS SURVEYING TEA TICKET - MASS.