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HomeMy WebLinkAbout0015 CENTERBROOK LANE ,• ,{ � � /' � t' ,. ,_ � o � '� � o �i n�. ,. o R � � � a i - - � _ i .. .. n � ,. .. ,, ,. ' � � o 011144.6 (64 172 8 a Application number...... ..��.... ........ ® 0 i ' Fee . ......;........................ .................. S S JUL 24 hi Building Inspectors Initials...... .,, @................... ` A TOWN O� iVZ" I�3 L4 Date Issued.......... ��� ............... j Map/Parcel.......!....... ...! .0.................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: AaVrt "Ll NUMB PR STREET VILLAGE Owner's Name: ��,,rt+ G��I;*'1 Phone Number 5 , JV6 Email Address: Cell Phone Number Project cost$ Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK Q Siding ED Windows (no header change)# Q Insulation/Weatherization 0 Doors (no header change)# Commercial Doors require an inspector's review oof(not applying more than 1 layer of shingles) Construction Debris will be going tom,✓ y� e,�L „�,•r CONTRACTOR'S INFORMATION Contractor's name d�ss�4,f �sr►c �n�a„c v► tar Home Improvement Contractors Registration(if applicable) (attach copy) Construction Supervisor's License# 4�ft/j (attach copy) Email of Contractor Q6 �ht number ALL PROPERTIES THAT HAVE STRUCTUhE§OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS/N A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER ............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am -9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date 40 All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):� �av/.�,�,4 �w ieaW4.4�_h ZI-t- Address: Ot9, go City/State/Zip: Phone#: A,ree,yoouu an employer?Check the a ropriate box: Type of project(required): Zj 1. am a employer with 6 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 8. ❑ Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. ❑ Building addition [No workers' comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing 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. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: / ice Policy#or Self-ins.Lic.#: gffl W oftj Expiration Date: S``J—de j Job Site Address: /ra, sylv1� ��►r'e City/State/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 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si ature: Date: Phone#: 1W `�12 AM- Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: , FDATE EMM3DDJYYYYj R 1 IFICATE OF LIABILITY INSURANCE05/2312018 CERTIFICATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORRl1ATiON.ONLY AND CONFERS NO RIGHTS UPON THE.CERTIFICATE HOLDER. TMiS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE.COVERAGE AFFORDED BY THE POLICIES BELOW: THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. if SUBROGATION IS WAIVED,subject to 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 su ch pndorsemen s). ou cER CONTACT NAME., Donne Ostrowski _ INRoark Sylvia Insurance Agency,LLC PHONE . 508 957-2125 i 1AICC NoI:(508)957-2781 P 404 Main Street >•MOIL .mark marks iviainsurance.com Centerville,MA 02632 INSURE AFFORDING COVERAGE __ NAIC It INsuRERa,Farm Family Casualty Insurance INSURED INSURERS' ----- Thomas Home Improvements LLC INSURER C: — PO BOX 177 INSURER0, Centerville,MA 02632 INSURER.E.: - INSURER F a COVERAGES CERTIFICATE NUMBER: RE1/ISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I5SUEQ TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TL WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I5 SUBJECT TO ALL THE-TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,L SR POLE Y EFF i POLICY EXP LIhuTS R TYPE OF INSURANCE POLICYNUMSER M DlYYYY MI Y L 5/01/2018 5/01/2019 EACH OCCURRENCE ;9 .1,00II,000 A X COMMERCIAL GENERAL LIABILITY 20OIX1416 is 100,000 N PREM SE a gmagmie CLAIMS-MADE j OCCUR I MEp EXP(Any one San' S 5,000.. - l PERSONAI.B AOV INJURY 1$ 1,000,000 IGENERALAGCREraATE 2,000,000 i � !t N1 AGGREGATE LIMIT APPLIES PER: i PRODUCTS_ COMPIGFI AGG $ 2,000.000 IX I POLICY 7 EC LOC l *� OTHER: COa IN I L $ AUTOMOSILEUASILiTY + n BODILY INJURY(Per persnr) $ �• ANY AUTO DINNED SCHEDULED 1 BODILY INJURY(Per acc+dent) 3 AUTOS ONLY i AUTOS PRO_ERTY DAMAGE S NON-ONMED Pr reldsntl i A OS ONLY AUTOS ONLY S 4 EACH OCCURRENCE UMBRELLAL[AB $ OCCUR AGGREGATE ,5 _— EXCESS LIAR CLAIMS•MAOEi ••"7P S DE D RETENTION 5/01/2018 5/01/2019 P R OTH- i A wORKERSCOMPENSATION ( 2001VJ8053 T AND EMPLOYERS•LIABILITY E.L.EACH ACCIDENT $ 1_II00,000 APrVPRaPRIETOR/PARTNER1ExECUTiVE �Y YIN NIA E,I,DISEASE-EA EMPLOYEE $ 1 r000`000 OFFlCERIMEaA6EREXCLUDED? L_T.i 1,000,II00 (Mandatory in NH) E.L,DISEASE-POLICY LIMIT $ if yes,describe wxier 0E8 RIPTION OF OPERATIONS b2! I # i01,Additional Remarks gchedute may be attached it more space is requiredl oSSCRtPTtON OF OPERATIONS I LOCATIONS I VEHICLES(ACORp Carpentry Insurance coverage is limited to the terms,conditions,exclusions,Other limitations and endorsements. Nothing contained in the Certificate of insuranoe shall be deemed to have altered,waived or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANICELLATiON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE . THE EXPIRATION DATE THEREOF, NOTICE IMLL BE DELIVERED IN Troy Thomas ACCORDANCE WITH THE POLICY PROVISIONS. 499 Nottingham Drive Centerville,MA 02632 AUTHOitUOREPRESi?NTATIV6 ®19$8-2©15 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs&Business Regulation Registration valid for individual use only HOME IMPROVEMENT CONTRACTOR beffore the expiration date. If found return to: TYPE.Zomorabon Office of Consumer Affairs and Business Regulation ReaistratiQn; r ti 06108/2020• One Ashburton Place=Suite 1301 185422 Boston,MA 02108 TROY THOMAS HOME IMPR4 W- ENTS,INC. TROY THOMAS �'¢- - 499 NOTTINGHAM f)R Not aid without signature CENTERVILLE,MA 02632-=' Undersecretary LL Commonwealth of Massachusetts censure Division of ProfeU'af ons ional and Standards _�' Board of Building Reg ecialf Constructi.. rViaQ�Sp Y ipires;04113/2020 CSSL-099913 TROY A THOMAS � i 499 NO7TINGifAM DR $` CENTERVILLE My41 02632 w 3 1 Comm ssioner oTH 0 M A HOME IMPROVEMENTS PH. 508.328.1635 4 a Exterior remodeling Experts BBBa Web: www.thomashomeimprovements.net Fully Licensed & Insured P.O. Box 177 Construction Supervisor Lic #99913 Centerville, MA 02632 THOMAS HOME IMPROVEMENTS I.I.C. PROPOSES TO PERFORM THE FOLLOWING WORK: Location of proposed work: Jane Paolini 25 Center Brook Lane Centerville, MA 02632 Date on which construction should begin: June 2018 The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that cannot be avoided by the contractor shall not be considered as a violation of this contract. The contractor agrees that when such delays become known to the contractor,the contractor will advise the homeowner as soon as possible. The homeowner hereby acknowledges that in certain remodeling work,the demolition process may reveal defects in the existing structure which must be repaired, creating additional work which may need to be carried out in order to complete the work described in this contract. In such case the homeowner agrees that the duration of the work and the schedule date of completion may differ,and that such variation is not to be considered a violation of this contract. Cost for labor and materials under this contract: Front of Main Home only $4,650.00 30 yr.GAF/Elk Timberline HD Architectural shingle(Life Time Limited Warranty) Proposal to install white cedar siding on both cheek walls would be an additional $1,110.00 In the event that while stripping the roof we find rot that needs to be replaced,the homeowner then has to agree and authorize any replacement or restoration. Then in addition to the above contract price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly rate of$55.00 for a carpenter and$35.00 for a carpenter's laborer, plus the cost of materials. Thank You for Giving Us the Opportunity to Help You Improve Your Project -Roof to be stripped and cleaned of all old shingles and debris -Roof to be papered with weather watch leak barrier,Synthetic roof underlayment, and installed with Timberline architectural shingles using galvanized nails. (Storm nailed) -8" white drip edge to be installed -Timbertex premium ridge cap to be installed -A 10 yard dump trailer will be needed on site; and will be removed at completion of the job -Contractor will be responsible for all building permits needed at the property -Tarping of roof is included in roofing proposal total NOTICE REQUIRED BY LAW With the agreement of the contract$500.00 of estimate is due. Further payments under this contract are as follows: 1/2 of the estimate due at the start; and remainder due at completion of the job. Balance of all materials and labor shall be payable in full upon completion of work described in this contract. Payment as agreed upon shall be made when due. Any payments which are delayed shall be subject to a finance charge of 1.5% per month. The contractor warranties the workmanship completed under this contract for a period of years from the date of completion. During the stated warranty period the contractor shall be responsible for the service of the repair or adjustment, but the contractor shall not be responsible for the normal maintenance, repair due to abuse, misuse, and or normal wear and tear,which shall be the responsibility of the homeowner. All warranties for the materials supplied by the contractor shall be passed directly to the homeowner. The homeowner may be required to register or mail in such warranty card or evidence of ownership in order to activate such warranties. Homeowner failure shall not create any responsibility for the contractor under the warranty provisions;the choice of repair of replacement shall be at the discretion of the contractor. The homeowner acknowledges that the form, content, and notices contained in this contract are intended to comply with the applicable portions of the Mass. General Law Chapter 142A, and regulations promulgated there under. In the event of any instance of non-compliance, only such portion shall be invalid and the remainder of this contract shall be in full force effect. In addition, any such portion not in compliance shall be read and interpreted so as to have its intended meaning to the maximum extent allowed under such law and regulation. Signed as a sealed instrument on this date: Date: Homeowner ����� Contractor U1/Lb/1 1J:-1!3 JIbIJU(JUb1Jb PAGE 02 Town of Barnstable *Permit# za Lo FApirev if maxthrf vm Lraua dcia i a�tww Regulatory Services Fee �� ! Thomas F.Greiler,Director Building Division Tomperry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-4038 ®PRESS. PERMIT Fax: 508-790-6230 N 1 Z003 EXPRESS MR-MITAPPLICATTXON - RESIDENTIAL ONL - /J jam, Not YadidwllhoutReaXPJ•essImprint TOWN OF BARNSTASLF a/pat:celN=ber party Addzcse. �� ���r/7`� 6�ao, IU �� 111 `iasY4, - [tesidetttial Value of Work ? aez's Dame&Address �J %1J ��B /: (y {'r1 ►#r�e�e�'$-Ne: �� T�Q fil/1/ s��!/ Telephone N=bcrJ_d no Improvement Contra.gtor License#(if applicable) _. ''zuction Supervisor'a License#(if applicable) 's Compmution Insurance Check one: IRna a sole proprietor am the I3omeowner I have Worker's Compensation Imurance trance Company Name ' rka llm a Comp.Policy# mit Request(cluck box) El Ae-roof(stripping old shingles) All construction debris will be taken to []Re-roof(not stripping, going over existing layers of roof) [�Ro-side S�'it/f-A LOS 6 yJ 7— � ❑ Replacement Wiudows. 7J Value (maximiun.44) [] Other(specify) •Whams nQuired: Issuance of t di vetmit does not wte=t compliance with other town department reguladom.A.e.Historic,Cc uacrvation,etc. rAt=e �rufs:exptntt•� �aadla19o1 J -77 VAr 610 9 NJ Z9 t) 43 4v '(w) . l/v L 5 39 19 3 . ) am /do , 4ar &Ilvm Map 20 PF, CERTIFIED PLOT PLAN ,of lJore:! ASSuouro I-or p"7lFc4--7o.,j Pt:92- 777 4 �M777707-7 Se C7. At ZF-A17-&�11Z, L/I I-L46 -AX L A*j A77 OR IN 1 . 1iT so SCALES DATE i ENSWRM I CERTIFY THAT THE 7--7 Di%l RE SHOWN ON THIS PLAN 13 LOCATED 9 ISTERE ' SISTEREV ON THE GROUND AS INDICATED A" 405 NO -CIVIL LAND I CONFORMS TO THE ZONING LAWS .EiNS I ENGINEERS SURVEYOR OR'By' OF BARNSTABLgj MASSI-0159 712- MAIN STREET CLoys 9, 101 HYANRIS, MASS. $MEET I or fA—T/—E RES. LAND SURVEYOR- Assessor's office (1st floor): THE / '- Assessor's map and ,lot number .:,/.Jap�.:�Z3F.... :.... Toy♦ Board of Health Ord floor): d �" a , Sewage Permit number �. ...."l/0.Cf.' ............... ........... Z BAHa944DLE, Engineering Department (3rd,floor): j J� 'ao,,�Mb 9 0� .I.House number ............... ...:..:....:. Du a` Definitive Plan Approved.by Planning Board _----------_--------------------19________ APPLICATIONS' PROCESSED 8:30-9:30 A.M. and 1:00-2:00 PA. only TOWN OF - BARNSTABLE . BURRI G i SPECTO APPLICATION FOR PERMIT'TO � �� ... ........ .. ..... ..... ,,..... ................... . .... TYPE OF CONSTRUCTION ............ GL £ ...............:.. .. .................. 9.d CJ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to. the following' information: Location ...... .....1. . {Z1. .,,P�I�O../ .LNd .....�Z..C. �t1.. U/.'�1... .�. -.... .. 7 ProposedUse ...... .�f1�...../...D..yf ::.........:............:...........::........................................... ................................ ....... Zoning District .... � .5/..GK 4-v.I..*,.......:.......................Fire District ` / r Name of Owner /.......................Address Name of Builder ,�lr.... /.11.5:.�yP .. !•1. 7..: .........Address��Je'�. Nameof Architect Address .`�'`....:. ..................................... ... f ........................ .......... ............................. a d Number of Rooms •...1..........................................................Foundation Q. . ............................ Exlerior ...S.�?�. VJA.61..........................................Roofing , s ....... ........................... Floors ........................'......::.............:...:......:Inferior ., � ..... .......... Heating e� 4Y1•. �. ........:.........Plumbing X... ....... .............. ,/ '9'� Fireplace .�1� /'••�................................................•..............Approximate Cost.....oCJ/.....:..... '................... ........... Area,. 049 Diagram of Lot and Building with Dimensions • Fee . ........... ............................. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS, I hereby agree to conform to oil the Rules and Regulations of the.Town of Barnstable regarding the above construction. Name . ... ....... . .................................................... Construction Supervisor's License' .. .......... ...................... •°;,PAOLINI, JANE 31935 • Add Porch y., T -No :........ ....... Permf for .................................... ' Single Family Dwelling Location ............................................15 Centerbrook Lane 4 - • - _Centerville x Owner' Jane...Pa.°.11.n.l........ ......'r.................... .......... t ` Type of Construction .. Frame 9.......}......... ...:.. .. .:..... ............ ' s , Plot.(.....ry ................... Lot '.......'.`....... .......... Permit Granted ........MZLY..!.Z-..... /^�19 88 h ` 'Date of Inspection .`'......................`.: +19 Date Completed `.. ^. /71" !r`19 f r .. 'mil � s �� � � r � � � x Y 'y . •� - , A e J/ I �... .. a. 4:i.ks w::=;w:.'`!' ,:.' "'�s�:: .Y.y:k3r t;ram'"'(r ;x, ...F�.,t<x�:gi'""il h'� .�;,ai+�•�w��ii,++"+ _3Y ..S . t .> ,. , Assessor's office (1st floor): � THETD Assessor's map and lot number .. ., ..— _3 ....... .. �♦ Board of Health{3rd floor): oSewage Permit number ��. ... .,......... `, Z BA"STADLE • - Engineering Department (3rd floor): J5 Vo YA°' Housenumber ................................... ..�.......r................ 00 26 9 Definitive Plan Approved by Planning Board -------------------------------19________ . t. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTO APPLICATION FOR PERMIT TO � .. � . . �/� X,/,��5� .... ......... .. . ....... ......... .. .S//(JAL .h . . TYPEOF CONSTRUCTION .............................................................. .... .........1��".'.`�..:..,................................. .................. ..a, ....---......19A2. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......45 ..... t`',f(/.. .f��j Q:/ ..h..f�f ...... .. t ia1...•1...t`' .U„�./�.1°.�..f.r1/ .-.....(..Lq ... y ......................................................................................................................................................................:........................................................................................... Zoning District ...Fire District Name of Owner �` ���/� /.,........ ..................,..........,.................................Address ,...v .� ....,.,..........��....�.....�:,.1.<....,.�.f�!<.�L9�7i5,t/lfj1� v T, • f Name of Builder A....,.TU..S..��!? ..<..rr l�. (.W..r.............Address .....! � !t...... .�... / ?:.. ...:: i Nameof Architect ....:.............................................................Address ................................................................................. Numberof Rooms ..../................................................................Foundation ............................................................ Exier for t`s- !3� f�.i '1�^/r C Roofing � 1.. .............................. .......................................... � .................... Floors ....� ...? .� .........................................................Interior //... .................................................... Heating ......:.............: ! ..........t.....: .t.P,umbifi9 :.//�,�C�...... ............................................................ Fireplaces. ....:..Approximate Cost �!�1`rJ.•. , ....................................................... h _� ... ............................... Areo .... ®�.� Diagram of Lot and Building with Dimensions Fee ............. �0.................... J- 4-7 J t 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. , -• r)a�w Name . .�;. ... .... ................................................ V Construction Supervisor's license .............I...................... PAOLINI, JANE A=172-238 No ..,31935 Permit for ..Add. Po...rc.....h . .......... Single.,.Family,..Dwell.ing.......... Location .....15.. ....Centerbrook. . . . . . ...Lane.. . .... .. .... ....... .. . .. .. ................. Centerville ............................................................................... Owner Jane Paolini Type of Construction Frame. ............................................................................... Plot ............................ Lot ................................ Permit Granted ..M !y...2 A...................19 88 Date of Inspection ....................................19 Date Completed ......................................19 Assessor's map and lot number Irp- THE ro iSewagel Permit number ........... ..............� MARISTAXLE, Hduse number ....................................... It NAB& ......... 039,MAI TOWN OF BARNSTABLE BUILDING INSPECT-OR APPLICATION FOR PERMIT TO ..........................()6.5 ......... .................................. TYPE OF CONSTRUCTION .................................... ............ipe,,.4 ,................................................. ilivr� ................................................19....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Z. ....41.......... ....T Location ........................................... .. ..................................................... ProposedUse ...................................... .......... . .. .................................................................................. ZoningDistrict ......................./Z.0.....................................Fire District ............................ ..... .................................. 0—. ....Ac1dress ................ ......... ....... Name of Owner ................. ............. .6 ...C)......0..... Nameof Builder ......................... .................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .....................6.......................................Foundation .................� ........ Roofing ...................4� Exterior ...................................... .... :? ....... �-( ............................ Floors .................. .......... ......Interior ............................... f 41A. ... .......... Heating ......................... ..........Plumbing ...............:................ ......... Z 6....... Fireplace ..................................................................................Approximate Cost .......................... ...........�.. ........................ Definitive Plan Approved by Planning Board ------19 Area .......... ................ Diagram of Lot and Building with Dimensions Fee .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH z- 2 Y kA 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 ........................4��:0 .... .............. Construction Supervisor's License ........ GREENBRIER CORPORATION.' A--±:72—=i0 . ,4 7o 27367-, One Story No ................. Permit for ......................... ...................... Location ......Lot...4 15..Cente4r6ok...Lane ...... ... .... ........................ ....... Centerville ............................................................................... Owner ...'Greenbrier...Corporation ..................... . ............................. Type of Construction Franle................................ ................................................................................ Plot ............................ Lot ................................. January 2, Permit Granted ........................................19 85 Date of Inspection ....................................19 Date Completed ......................................19 i TOWN OF BARNSTABLE Permit No. 7357 } U"ITAa ; Building Inspector Cash OCCUPANCY PERMIT Bond ----------- X issued to Greenbrier Gorp,. Address lot #4 15 Centerbrook Lane, Centerville Wiring Inspector t j `"— Inspection date ,. " Plumbing Inspector_4 �'1 Inspection date Gas Inspector ,� A 0 Inspection date Engineering Department, Inspection date. _ - Board of Health `"rf y �_ Inspection date r 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 �/ �. .. 1„ '...... ... Building Inspector F�p�of r�iew TOWN OF BARNSTABLE BUILDING DEPARTMENT S �saasT : TOWN OFFICE BUILDING HYANNIS, MASS. 02601 MEMO TO: Town Clerk i FROM: Building Department f, DATE: An Occupancy Permit has been issued for the building authorized by Building Permit #.» r,C -- ......... »..._..... issued to .......... »ate» L.�.....: ................ ..: ...»» . ». .. .».» Please release. the performance. bond. . A 1 ° f u 4 t All a f lm qV x s wsirt _ . t , r b. {,S / /...7 ,'lJ tJ O fly rya �XN OF,hlgs ,. S 3` / y 3ZO o� AL l Slv tJ.D01 ARSE ? r; KS GISTS LEGEND FS ONA� �`' 3 �°.., w '0-10TINA4"SPOT EL,EVAT100d QUO, tr PLOT PLAN CONTOUR _ ® 1, � CERTIFIED ° � 52 9D. SPOT ELEVATION; Lo P�TO U R ® �' 1�HE® CO K , The location •of any, existing under ion d sewerage, h AN xfl#;w�eXbls or other; utilities shownq on��tris4tpian is ap2rox � maCe :only,:as determined from r..ecords and%or verbalSAAAS' a, formation '`The-contractor is,"responsib'le for` the"' •'� �' J � ` � cation` of the existing o.cations bri4,the tfaeld. SCALE� / /'=30 DATE /013 RDG� ENCrIJIIEERAN�i'CC� �0�4►� C6af�NT." _ I .CERTIFY THAT THE PROPOSED 4x 4076 BUILDING 'SHOWN ON THIS PLAN RESIST J#40 NO1...�......,� , CIVi>.: LAND{: �t �` CONFORMS TO THE ZONING LAWS, N@ NEER R y QR BY OF::B.ARNSTA.BL ► MAs >- x: , k� lE 7.12'. MAI N S'I•REETJ � C HYANIII:S, .rM,A$3; ' S � `0F y ATE REa. LAND" SURVEYOR ,< MEET ,.. Assessorrs-map and lot number .. ... 1 ..' 0.....� SEPTIC SYSTEM MUST BE cFTHEro 1.1 Cog Two INSTALLED 1N COMPLIANCE Sewage Permit number ............ ............................. VOTH TITLE zi� ENVIRONMENTAL CODE AND t H9SHSTAELE, s r �la :e number ..........� ............................. ° NAM TOWN REGULATK,dNS Op�OYpYa�9 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... .................. I................... ./ .. li/ :! G .................................. TYPE OF CONSTRUCTION � � .7.................19....�..W TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: � ccor .......... .Location .....................................4.(� ...........1 ... ....... ProposedUse ..................................... /. 1...t........ . :.C .................................................................................. Zoning District ......................:/Z.cr.................................Fire District ...................................� Name of Owner .................. :.Address ............................ ..-.0...... Nameof Builder .........................5, -?.-L11'--:................Address ..................................................................................... Nameof Architect ..................................................................Address .......................................................................:............ Number of Rooms ..................../�.......................................Foundation ................ .......��'.�c"'�u.�Zt . .. ......... .. ... Exterior 5. "` �`�. ......Roofing Floors `-�.1�-/�(�1...... . ��s�;r�............`L ,y?�! 7...�1�.�J.IA....... ...... /...... Interior ................................ Heating ......................... ...........Plumbing ................................1... ..ZL ......... Fireplace ..................................................................................Approximate. Cost .......................... ...... yl— Definitive Plan Approved by Planning Board --------- __Y ______19_ __ Area ....................... .. ............... Diagram of Lot and Building with Dimensions Fee �... SUBJECT TO APPROVAL OF BOARD OF HEALTH 2Z z � t � t o� 1� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable arding the above construction. i Name ............ . ............... ....... ....4... ... ..... Construction Supervisor's License .......0.. 1. . ` _ ' . ° . ' ' ' ' . . . ' ' . . � . � . -` . / ~ ` - ' ~ . . . ~ , / ~ -J ' ` | . ' ~ ./ ^ ' '- ` ' ^ . . . ^ ^ . . . . . . -- ----~,.- ^. _--__ . ---