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Home My WebLink About0040 COVE ISLAND ROAD i r 4 r rt �, s Town of Barnsta *Permit it . %, E�tres 6 months from issue date ' Regulatory Services Fee Mnss. `Richard V.Soli,Direct 039. ♦� ®//��JJ� IQ . . . Building Elivisi2l>� / ` 01 .Paul Roma,Building Commissioner l� 200 Main Street,Hyannis,MA 0260 T y �l www.town.barnstable.ma.us Office: 508-862-4038 �911e Fax: 508-790-6230 EXPRESS PERMIT APPLICATION: ' - RESIDENTIAL ONLY - 1 w ®/_ Not Valid without Red X-Press Imprint Map/parcel Number V / t(J Property Address qt ° C C-)V j;�' `5 L N 00. "au. C:C5 0�-J-t e( !t L., estdential Value of Work$ / 6a -Minimum feecof$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name u►� �t Z x _ .Telephone Number 6_0 9- e ZI -7Zi � Home Improvement Contractor.License'#(if applicable) 141 l fo Email: C-D LACt TjZ& Cv r1A11ri i, LOA1 Construction Supervisor's License#(if applicable) " C.5 6-7 55:Z ❑Workman's Compensation Insurance Clok one: I am a sole proprietor{ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name , Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. . r Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side Replacement Window doors liders.U-Value (maximum 32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. ` Separate Electrical&Fire Permits required. '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 ome Improvement Contractors License&Construction Supervisors License is 'eq SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 27m Commomveakh c,fMassac ruseittr , Deparhmeut cr,f railuctrid Accid _ fi e of 600 FPaskington Street ' withu mass gti vIdia WrtAMIS' C=Ilensa:tinn.I ce davit~Builders(Cntracturs/Ele&tricianslPhumbers AppUcantInformiatiau K Please Print~ I Y Addreos: IS-7 0(2 . . Caty�f Patel of l L` r16- (�ZED'�' Phone;� Are YOU an employer?Check the appropriate box: _ Type of project r egnired : I.El I an a 1 with ❑I mn a general contractor and I employees(andfor part-time)-* have Fired the solr-caadra s 6. ❑I�ietiv oonsixnctiozi p ste an the attached sheet 7- 0 Remodeling 2.�I am a sale etas or lid hdh _ . ship and have no enplauyees 'Mese tub-contractors have 8. 0 Demolition woddng fur me in any capaci4y. ertilrlayt and have x�a�ers': 9.:Q S.uikdmg addition [No wodom s'comp imsura=e c11P-%n1r1ct I ` required-] $- E] We are a zorpora6m and its 10-❑Electrical repairs or aaiations' 3.❑ I am a homeowner doing all walk otizcers have exercised their IL❑Flumbing repairs or additions mysdf[No workem'camp_ ?ice of esemprfian per&fQ. 12_❑Foofrepairs incatsanre required-]T �,,'',I-Lit,§1(4)6 aadwe have no employees.[No WoA=s' l�_❑€?flier s cow_sasurastae required. # ny W ikas 6MtdbedMbGx R mmst elsa fiIloutthe 5ectianb9awd Misin&Eirwa&ee compMMffimPaHryudpe=sE= H=Mawners who submit dM aifidaet M icaiiag tLey Ma d=g eg WC*sad then bile aatside rDntzxC M:rmst 535mit a new affidazftldharl;ag sadL ICaatrsctaas1hitcheckihisboxmustatt six snadditamalsheetshoxingtbemaneof the sub-camtructm and sta#ewhe marnatthoseeafftieshsee employees.Ifthe�,s•�� „�hace empIaS s,ehe3'nmstPnn'ide xh it wa&eW tamp.pa7i y aumher_ I am are ezzipIayer fliat is pra�dutg workers comgreresrdio",utsriratwx jar my eaxp&F W-es ReNv is the pa cy and job site in orma iars. Insurance Company Name: Policy-",L or Self-ice Lim E-Viratiou Date: n Job Met Address . . a Cityl5tatrJ . , Attach aropy of-the workers'comapensationpolicy declaration 1age-(showing the poRcy,number and expiration date). ' Failma to secure coverage as required.under Se-lion 25A of MGL iw M can lead to the imposition of criMJnal petlaltbes of a fine up to1,54D 00 and for one-year imprison,as well as cif penalties in the fa>m of a STOP WORK fll*DER and a of up-to$250-00 a day against the violator. Be Fidsdsed mat a copy of this statement maybe forwarded to the Office of Iavestegations of fa r insce coverage =erct#iaa I do kCtceiiy to pains andpsrtaIfies a.Fetl}'fhatfJte infarwxatZorrpnarfkW abmra is trarg and correct Sitatture: Date: Phone ik- a,Eial psi aril'.Do slat mate in this area to Fie cwnp&ted by cUy ortairn qjoTml CRY or Town: gw�ense;g LegAuth>ri4(circle one): • f• » 'L Board of Health Bwffifiog Departrrieat.3.f ityfTowa Clerk 4 Electrical l tspector 5.Plumbing Inspector 6.Other { Cdh#act Person: _ = Phone* 4 �' 6 information and lastructions M8 MCjr=Mfs C=-D a Laws chapter M rmIMM all employ=to provide worbMas'compensation far tbeff employees. pamaazttD this ,as Magee is of aaofheru deer Bay Camtrad ofhhe, express or implied,oral Cr written." An.mmpTaya is defined Bs"an figEwit3nA parfnersh�,associatiom,carpor ion or ot�Iegal entity,or any two or more of the foregoing eaigaged aJo ,andinchidingthe Iegatreprese afrves ofa deceased=3ployer,or$ie reiver or trastee of an indrvidnal, �prp,association or ofherlegal entity,employing employees. However the ec owner of a.dwelling house baving not more than fi ree apart news and who resides therein,or the occzpant of the - dwmMug house of anniher who employs pens=to do mace,construction or repair worm.on such dweIling house or onthe grounds orbuddingappmteo--rttherein shaUnotbmanse ofsnch employmentbe deemedto be an employer." MGL dupter 152,§25C(6)also Strips tbst'every state or IUcal sensing agency shnH withhoId fhe iss lance or renewal of a Iicense or permit to operate a business or to construct buff ings in the commoawealth for any applirantwho has notproduced acceptable evidence of compliance win tb:e km ranca coverage required.." Addidonally,M M chapter 152,§2SCM states-Teitb=the cr,T=r,,,weaTth nor;�.y ofits political subdivisions shall f nips into any contract for thepmE=ance ofpubho workuirI acceptable evidence of compliance with the msmanoe.. regtdremertsofthis chapter have been presented to the cn„ti gautiioZrIy" A ppIic Please fOl obt the woihms'compensation affidavit completely,by chDcdag&e,boxes that apply to you sitnBf and,if necessary. ' Tv sab-C ac I(s)name(s), ddres ases)and Phase numbers) along with their=-bfcst*) of insurance. Lm=b!,d LiabE4 Companies(LLC)or LmntedLiabi7iCy'Parfne�b=ps(LT P)wiihno �Ioyees other tin the mere bers or pis,are not required to cm:ry worke& compensation htsnzance- If an LLC or LLP does have employees,apolicy is regn:imI Be advised-that this affidayitmaybe sabmitted to the Department of Indusfrial Accidents for conffimation of iu=m=coverage. Also be sure to sign and data the affidavit: The affidavit should. be reiameti to ihe city or town that the application for the peuoit or license is being requester not the Department of hjdast,al Accidents. Shouldyou have any questions reg -ding the law or ifyou ate requiredto obtam a work=' compensation policy,please call the Department at the number lis�below. Selfrfimued companies should en4-_r their s elf-i asuraace license number on the appropriate line. City or Town Officials f - Please be sure that the affidavit is complete and Friutmd.legibly. The Department has provided a space at the,bottom of the affidavit for you to frll out io.the event tho Office oflnvestigatios has to contact you regarding the applicant Please be sure in fill in the pem�tit/license minber which will be used as a reference number. In-addition,an applicant that must sabmit nzvttiple peuniilIicense agglitations in any given year,need only submit one affidavit indicating current policy information(if nec�y)and under`Uob Site fi� ess"the applicant should write"ail locations in (may or town)--A copy of the affidavit that has been officially si'aatped or maimed by the city or town may be provided to the applicant as proo-fthat a valid affidavit is on file fAr furore permits or licenses A new affidavit must be fIled oirt each year.Where a home owner or cftien is obfiaiai a license or permit not r@afed io any burin=or commm cW Y&ut= (Le. a dog license or peon in bum Ieaves eta.)said person is NOT rajcdred to complete this affidavit The Of of Invesdgaiions would film to thank you m advance for your cooperation aad should you have any questions, please do not hesitate to give us a calL The Depar mf's address,telephone and;Fax number: The CMMQU *of MassachnseM -finmt cif Accidtints RQstm.,MA 02111 Tt<L.617' -4 eQE 4-06 or 1477 M &, Fax 9617` 277749 Revised 4-24-07 W .ma� �dia I �VE Town of Barnstable Regulatory Services Richard V.Scali,Director es� ►�� Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstabk_ma.ns ; Office: 508-862-403 8 Fax: 508-790-6230 .v .. a .. p. Property Owner Must Complete and Sign This,Section' If-Using A Builder e. I, ?7119co Kle2:)A �, J* i ,yas Owner of the subject property hereby authorize_, A-C(EY to act on my behalf 7 in all matters relative to work authorized by this building permit application for: . • CoCIE .l SLAVI) R11 Chi✓Te2✓ru,L (Address of Job) **Pool fences and alarms are the'responsibility of the applicant Pools are not to be filled or utilized before fence is installed and,all final ' inspections are performed and accepted. Signature-of Own Signature of Applicant _Print Name Print Name Z ,. Date '. . Q:FORMS:OWNEItPERM.SSIONPWIS Town of Barnstable Regulatory Services pkT Richard V.Scali,Director V Building Division `* Paul Roma,Building Commissioner KAM e39. &� 200 Main Street, Hyannis,MA 02601 p www.town.barnstable.ma.us Office: 508-862-403 8 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 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 perforrhed 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: 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. -ram + HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages 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 results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doe 06/20/16 . "=.✓i�,�»:s,.�..>�lze �parrvrnareulea`��iaaacu•�uaeCrd... ... a Office of Consumer Affairs&Business Regulation da HOME IMPROVEMENT CONTRACTOR TYPE-',Individual R tra`tion Expiration l 129816—' , 11/08/2019 I EDMUND V.LACE`L R t • _ t ' _ 3 ',,ice I EDMUND V.LACI�- 137 STURBRIDGE OSTERVILLE MA 02655 Undersecretary - Commonwealth of Massachusetts Division of Professional.Licensure Board of Building Regulations and Standards Constrq-ibn ISdpervisor CS-075573 i"-` E��ires: 09/19/2019 EDMUND V LACEY 137 STURBRFDGE'DR OSTERVILLE MA;002655 Commissioner °Fn+� Town of Barnstable *Permit# o� iExpires 6 months ftom issue date Regulatory Services Fee + BARNSPASIXMASS • /01 Richard V.Scali,Director _ co �fc irwAr a ;, TOWN 0�, bAh�� .�-ABLE 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 Map/parcel Number 0/�[/o ( Not Valid without Red X-Press Imprint Property Address 1a coy _ 1 S j�M E'xesidential Value of Work$ /7� /00 0. O p Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address /(i�n D (T U r ol y Contractor's Name &I Telephone Number 7 7 Zf -5_21 -2 p 5 Home Improvement Contractor License#(if applicable) / '9 5- 3 W $ Email: S U S V►I��D_t7i h jo P1 dLir Cb PI-N Construction Supervisor's License#(if applicable) f(� ❑Workman's Compensation Insurance Che�ck ne: P- am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) [4e-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 ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. •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 Improve nt Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PI0IDHR\EXPRESS.doc Revised 040215 r The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 F Boston, MA 02114-2017 ,�•�''y www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): F ye-FAI Y S U S y Address: �1/ f'J/VF 1 10 0 R /� City/State/Zip: W. YAOI m a 6&-A4, /'f A Phone 4:_7 7�j — 5-2/ -- Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. [:]New construction 2.Z4-9n"a sole proprietor or partnership and have no employees working for me in $. ❑Remodeling any capacity.[No workers'comp.insurance required.) 3. I am a homeowner doing all work t 9. Demolition ❑ g myself.[No workers'comp_insurance required.) 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑Building'addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.gPtoof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Arty applicant that cheeks 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 the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 Signature: Date: Z- 7 '9 — 1 G Phone#: 7 7 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#: Massachusetts Department of Public Safety Board of Building Regulations and Standards I License: CSSL-106081 1! Construction Supervisor Specialty a EVGENY SUSHKO 41 PINEWOOD ROAD 3i WEST YARMOUTH MA 02673 - s i ZU� l.J, Expiration: Commissioner 06/08/2020 4 - Office of Consumer Affairs and Business Regulation - 10 Park Plaza- Suite 5170 Boston,Massachusetts 0211.6 Home Improvement Contractor Registration - Registration: , 185388 Type:. DBA Expiration: 6/7/2018 Tr# 289241 SUS HOME IMPROVEMENT EUGENY S. SASHKO 41 PINEWOOD RD. WEST YARMOUTH, MA 02673 Update Address and return card.Mark reason for change. scA i 0 anon-Wn Address Renewal Employment Lust Card •.. Office of Consumer Affairs&Business Regulation License or registration valid for individual use only 'HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: R istration: Office of Consumer Affairs and Business Regulation g „ e9 185388 Type. � ''Expiration:..6/7/2018 DBA 10 Park Plaza-Suite 5170 _;��' Boston,MA 02116 SUS HOME IMPROVEMENT EUGENY S. SASHKO 41 PINEWOOD RD_ WEST YARMOUTH,MA 02673 Undersecretary Not valid Tnature SUS HOME IMPROVEMENT 41 PINEWOOD RD. W. YARMOUTH, MA 02673 PHONE 1-(774) 521-2054 CERTAINTEED LANDMARK LIFETIME-ALGAE RESISTANT ARCHITECTURAL STYLE RE-ROOFING PROPOSAL June 28, 2016 MINOS GORDY 40 COVE ISLAND RD CENTERVILLE, MA TEL: 508-775-2830 SUS HOME IMPROVEMENT herby proposes to perform the following services in a neat and professional manner and in accordance with the manufacturer's specifications and local building codes. Remove and haul Away All of the Old Asphalt Roofing Shingles (one layer) from the Barn. Supply and Install CERTAINTEED LANDMARK AR: COLOR: CHARCOAL BLACK. Supply and Install 8" WHITE ALUMINUM DRIP EDGE on All of the Eaves. Supply and Install #15 BLACK SATURATED FELT ROOFING PAPER. Supply and Install CERTAINTEED WINTER-GUARD (Ice & Water) WATERPROOF UNDERLAYMENT SYSTEM Supply and Install AIR VENT SHINGLE VENT II RIDGE VENT Supply and Install 8" WHITE ALUMINUM DRIP EDGE Clean and Remove Debris from work area after job is completed. TOTAL INVESTMENT -----------------------------$ 19,900.00 . PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Normally Scheduled for Completion Within 45 Days of Acceptance and Receipt of Deposit Providing the Materials are Available. SUS HOME IMPROVEMENT Warranties the Shingles and Labor for 10 Years. CERTAINTEED Warranties the shingles and labor 100% for the first 10 years and the shingles your LIFETIME if the shingles becomes defective. CERTAINTEED Warrants the shingles up to CATEGORY III HURRICANR-130 MPH WIND WARRANT. CERTAINTEED Warrants the Shingles to be Algae resistant for a Full 10 Years. SUS HOME IMPROVEMENT Carries Workman's Compensation and Public Liability Insurance on the above work. DATE OF ACCEPTANCE: ACfEPTED BY: loadMINOS GORDY EVGENY SUSHKO HOMEOWNER SUS HOME IMPROVEMENT r 40) oix. 1 .fit dc -Asp essof's map and lot number ..../. /...... W. ........ �EP`�((;S�j �E UST BE *IRE TOE i INSTALLED IN COMPLIEN �Q O cjJ Sewage Permit number .. ,Q2 ..1/..6.........................n..... WITH TITLE 3 �0 • ENVIRONMENTAL CODE X 'B0s E. Rouse number' �= TAl1L ......................................................... MABa fi� 90 0 �1 t TOWN REOlI-.d�TIQNg oOypY.a��m TOWN. OF B A R.N S TA B IFUMuCT TO APPROVAL 01- BARNSTABLE C®NSERVATION COMMISSION DULDING INSPECTOR APPLICATION FOR PERMIT TO .... TYPE OF CONSTRUCTION ....S%fi(6Lt. ��... ///�........................................... G%1 .. .......................... 19. Z TO THE INSPECTOR OF BUILDINGS: -The undersigned hereby applies for a permit according to the following information: • to Location ...�<f�. ..4��..... :�.1- N.U.....i`-.Q. ?!�................................ ProposedUse ........UW.CL[!.q�P....... . ................................................................... t ( 11 Zoning District ��1�.?T1< I�. :�................ ...........................Fire District /..k.. ........... Name of Owner ..... D(A A..................Address ..fir . ....! �.. ..............�:� i. Name of Builder' ......41.u.% ......................................Address ........... 11 ,'�. .......................... ii Name of Architect ..,.(..... /C(,CU� Address .. yi1' r/�fGly,.. �%l' /� . . ..................: ......... Number of Rooms ........./0 ...........................:...Foundation ........&4!4e7 .............................................. Exterior ....Roofin OO �1! 11�(01�� .................................. 4 i Floors .....�®®�..................................................................Interior' .... /..fez.-.��«G .4 ...................................................... 7Diagrarn Hea ng %VOl.. ! � %............................ .. . .Plumbing ........ .. T6S... ................ ........................ Fireplacer ppO.......0.....................................................A roximate Cost ......................./............................................ Definitive Plan Approved by Planning Board _______________________________19________ . Area ....�- 1 .................of Lot, and Building with Dimensions Fee ............`.. "��`� SUBJECT TO APPROVAL OF BOARD OF HEALTH (fdVL.SSt.4 "7_rAP f 6iA1F,Fe1A)6 /704 714 k1,# 02.744 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. 72 Name .. .. /l/t ............ i"'2SOOS-A', .-NORTMAN r 2-4792 V-2 SItO Y, ` \\ � d-��............... Permit for. .................................... ." ......Single Family Dwelling 4......................................................................... _Lot...*#*6,8***"*40 Cove Island 'Rd Location . .................................... Centerville' .................................................................... Norman Sousa ';f Construction ....Frame ame.......................... . Type .... ....... ............. .................................................................. Plot ............................ -Lot ..................kl� .............. February 1 4� -,7 83 .Permit Granted ......*........................?,:�....... .19 Date of Inspection ..........................1:1.......19 Date Completed .............................. A 9 Z2 719 7 -, 7 --Pee , /4��V V it 44 oo* Q CIO �3 V Go ✓ ! 'G�- P' f y yj % T 1• .. �.. 'R 3x ay- iT6e''°'_'l4°Y 4 1 r4 i - R' l AI -I, J / k 137E�gq � 9i�� yiitJt`•!t TOW 0 AR ST LE SAC SE 8 r t PERMIT` S ,� Y_ C ��/� {� �3. ! 4 �Tv1�, !� _ )eFJ :�t t ` x -j � L , }ti ,�� Yz3i VALp'IDATION sk�jif_7Y. c. (�1 {�f r V A=187r 6.1 �r � /�_ Q 14 .,(g r `83 PERMIT NO: 247..92- •— Fr<c, w� ; owner~ _._.- _ADDRESS-------, _. r €y -- •--�^^ (NO )" (STREET) .yam '� (CONTR S LICENSE) ( # ` l�C} yu _ y ( .x NUMBER OF' } PERMIT TO* ', R ll 7C1 dWellTn ( 12) STORY'~ Sin le 'family dWellin DWELLING UNITS (TYPE-OF.'1MPROVEME NTT""" ^^NO _ "" (PROPOSED-USE ""'-"' L'��'°�I�,.�'H '.n Cove-1 C.ehterville. iSTR = ` v D1 �" DISTRICT � . (NO) (STREET) m BETWEEN T AND �(cgoss;§TREEr) + - . —"(CROSS"STREET) LOT ' : t LOT BLO K SIZE } m SUBDIVISION rt r ip BUILDING IS TO BE FT WIDE BY FT,LONG BY FT IN HEIGHT AND SHALL CONFORM,IN CONSTRUCTION 77 _ -0 v ? TO TYPE USE GROUP BASEMENT WALLS OR.FOUNDATION f k (TYPE) O REMARKS 32 Sr+WHCTE52-'11� Conservatism/5� 3-828" o f `Construction) $324.0 Y Y 7�1 L (Cove land' � -AREA-.OR + r lZ5`OOOe.00 FEEMIT 4.S ( r " `= '- ESTIMATED-COST .� 9 0 VOLUME4 -(CUBIC/S ARE FEET)'. ' s y z Norman Sousa # OWNER o BUILDING DEPT i ADDRESS a } �—P'��E�� s5` "�-,,'4.z��,.,. rC3N .c. -O� �..s. "i�r •,�� q,' i,T-s t t. i^ -t L C . .. (i4ffldaviv oti=reve.se side of application to be completed by a6t6die' agent of owner) : .r a u, c k S. >`a.: lr-:... 4. INSPECTIONS REQUIRED FOR "rcniw, iS`:.nc ndv , - ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND A 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 JS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS r ( 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT r� § I OTHER BOARD OF HEALTH e1J -3— -7- r�7 PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN E WORK SHALL NOT PROCEED UNTIL THE INSPEC- I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTE TOR HAS APPROVED THE VARIODUS STAGES OF PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. CONSTRUCTIOK. I � .. r o THE TOWN OF BARNSTABLE Permit No. ................ BUILDING DEPARTMENT Cash ;N } TOWN OFFICE BUILDING �O6jY HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Address 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................. ........................................... Building Inspector 1 Assessor's map and lot number ....:�/J... ....... � ofTHEro • �y ��• � Sewage Permit number ...... ....:'........... �Z .:.............................. Z BAUSTADLE, i House number 40..,ftli................. .................................... 9� NAMt639- TOWN. OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. k1?A?„Cr/CX1/a... /?ryll .........................../ ...��.� '/...................... ��J a ��ar� TYPE OF CONSTRUCTION ........1..:............................................ ............................................................................ � F � 1 Xr ............................19. YG TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies forga permit according to the following information: Location ...... ..... ......... ........ ? x.........:.......... Proposed Use .. 1 �i ? 3 �.. ..l�t1 ' . . ..:.�Cq .... tr`F..:? 1 'i I1� .... ..................... ................................ ... .. Zoning Districts X" �la.�.. ~� i�k�l7a' 7Ui\ .,� 1.?.........�........... '..s........... .... ...........................Fire District .:.. .....................:�..... Name of Owner Address ........_...._................:...... ....................I.......................... S Name of Builder' ......f�l.!!'!tl` . ....:.:.................................Address ::..,...... .........................:......................................... Name of Architect ..,, �1� 5..........!%. !C.. �/...............Ad'dress `....�� /SS e Number of Rooms ......... ...................................... ..........Foundation:. ('?nw,l ...................................................................... Exterior . .l�.r�(a.!' .....), -�,!, a ,l,,.!: .........................�*..`......Roofing t....��:��?0n...,,i-5. '1�>vUr,.-...................................... Floors ................... t Interior. .. Heating �.. 11Q ` . !9 !`�� a Plumbing .....• ... 9!r'!Y .... .. .... ....................................... Fireplace; 2 .........Approximate Cost........... ..!:3....fi�.�....4.... ........................... -11f/L .3/ a...0C. Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ...... ... ..4... .............. Diagram of Lot and Building with Dimensions s Fee �.. SUBJECT TO APPROVAL OF BOARD OF HEALTH Id A �4 J 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS s Ihereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. +i Name ...... ' k .. :Ut ...... ............................. 1 SOUSA, NORMAN A=187-61 No 24792... Permit for ....12-..Story........... •} Single Family Dwelling................ ... i Lot # Cv # Location .............68...............40.... o........e.....Is... lanRd. .......... ... i Centerville i ................... ...................................... Owner Norman Sousa .................................................................. Type of Construction .F:1:Me............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted .,Februa.0 14, 19 83 Date of Inspection 19 Date Completed ......................................19 i eras r i O V � J , �2 r-o u N D NT t o N A,;t (10 s In I /ZG/8,3 PLAt�I RED�R�iaCE. � 1 cERT!F Y -rl�P.�r L EST G.g TME: F��s't1 O NS TIAE TOW os BhR ST� �E s��+i AZZ BAXT .�L Nye R. tsT . t,.o�K ss +s t >tGRS D&T E i TH lS PLAN 15 �T eA�SIF-V Oh4 At,-.I PucA►yT. {NC?FzM/� N SG�u$ 1NSTRUME 't"SUR�t .V f THF- Orr- sertk i stiff