HomeMy WebLinkAbout0143 ELLIOTT ROAD � a
IV
wn of Barnstable *Permit# e._0 �'7 L)
'4 gyres 6 months from issue date
uilding Department EVee
Brian Florence,CBO
sntnvs
9� 16;9. �m Bu'lding Commissioner
Street,Hyannis,MA 02601
�1 16 www.town.barnstable.ma.us
Office: 508-8621 +"b�� Fax: 508-790-6230
EXPRESS ERMIT APPLICATION - RESIDENTIAL ONLY
�'t b1 Not Valid without Red X-Press Imprint
Map/parcel Number. �(
Property Address 145 EI 1 16:" — W at��, _2',
❑Residential Value of Work$� ,v Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address 2 ��
Contractor's Name06_0t.4'_ Telephone Number
Home Improvement Contractor License#(if applicable) G l `�" Email: C'0 5' G6 z
Construction Supervisor's License#(if applicable) CS" D / Mg
❑Workman's Compensation Insurance
Check one:
I am a sole proprietor
I am the Homeowner
0
❑ 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)
❑ 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
Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
'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&Construction Supervisors License is
required.
SIGNATURE:
QAWPFILESTORMSTMESS2017
Yh-e Comu3omveaith off Massaddlrusettr
Departmeut o,fladusdrid Accidera s
- Office 0OMWN igadem
600 Washington Stmet
Boston,MA 02111
-- winumasmgm1dia
Workers' CGmpensafronInsm=ce Affidavit Eu ldersiCantractursfEI¢ ti Lane lmmihers
Applicant Inft rxnation PleaSE'g`FZnt
Name 1Bosblesstl3igaa-��. at� �D��` CGS .
Address
Are you an employer?Check the appr priate box: Type of project(required):
I.❑ I am a employy with 4. ❑I am a general contractor and I 6 ❑New cons fit
employees(fun andfor part-time).* 'have lhire3 the sabr contmctors
2.,;I am a sale propdetos orpsrt mT_ listed on.the attached sheet; 7- ❑RernodeHng
ship and have no.employees These sub-contractas have g-.❑Demolition
wotiring for me in any capacity. employees and Imewodwrs' 9. ❑Building addition
Sv[No aecerg,'camp.iumtrance comp_snsarance#
required-] 5. ❑ We are a corporation and its 10.❑ElecEcical repairs or aclf§6,ons
3.❑ I am a ltomeoh=er doing all work officers have exmdsed their I L❑Plumbing repairs or additions
o
myself
�o'���'�F- Tigbt f nou er MGL d ehavea�a 12_❑Roof
repaizs�`
insurance required-]Y '§I(4' 13_❑{?the- i� d,L/
employees-[No woikess'
coup.insurm=required-]
•Any L"ficmtdiatcher3mboarh>nnsiatsaix�looithesectioabeiowshasdug eirwozlcexs'cn�peasatiaapa&cgiuformaaoa
T Rameownem Who sul m&dm;s Uwa imdicatmg&E!y axe&mg all ve¢t sndd ieahma autsidecontcac nrc— submit ane-waffidaeit such_
rCaalract=11=c1 a 7r this baud mast attaches as additional sleet sbodsmg the xome of the sub-cauftmtmm a2d state Whethe or notihose emfitleslixwe
employees.Ifthesub-eontsctamlinm employees,dieyrmuipmttide&&workers'cmp.policy zimubm
I atri art etrtpiay�crr€herd ispnnddirrg tvdrrkers?cotuperrtsrdiiait insctrartcs fvr ctx enrpla,} es. $efoov is the paticy arm job site
irtfot�rsaf€an,
Insurance Company Name:
Pofiey 4 or self-ins.-Uc-;9: F_piratioa Date:
Job Site Address: City/Stated :
Attach a copy of the wort-ere compensation policy-declaration page(sha%viing the policy number and expiation date).
Fail to secure coverage as requiredunder Section 25A of MGL a 152 can lead to the imposition of criminal penalties of a
fine up to$1,50a 00 andfor one yearimpdsonment,as well as civil penakies.in the form of a STOP WORK ORDERand a rMe
of up to$250-DO a clap against the tidolator_ Be advised brat a copy of this stateme i maybe forwarded to the Office of
1mveskigations of the DIA for insurance coverage verifrcataioa-
l do fterRby c ' t txatdar tits ' sand a.fl7er ury&at fJta informa#ictrprmiiW aboi iE trans attd c rrrect
siscatuM , Date oc O s
Phase ® ! U Sy
0,ociai um anty. Do that tvrke in fids urea,to be evinpTetesd by city artoirn offic fiL
City or Ta ww. PertmiitUcense#
Issuing Aatirarity(circle erne):
L Board of Health 2.Rui dnig Departcneent 3.C tp Town Clerk 4.Electrical Inspector 5.Plumbing hupecter
6.Other
Coact Person: Phone#:
Laformation and. Tnstruc-ions
mm setts General Laws ahaptF r M rues an eemplloyess'fn provide work='compensation for their employes.
pm s�this sty,an cnpIayw is defined as-'-every person in the service of another u der aay contL c ofhae,
express or i mpliec%oral or wile n_"
Au.�&yEr is deed -�mfyidual,partuersfiip,assoc dd A corporation or other gal a y,or any two or more
of the foregoing engaged is a Joint eotm-pdse,and inchidmg the legal representatives of a deceased employer,or the
receiver or trustee of an individual,p ip,association or other legal entity,employing employees_ However the
owner of a dwelling house having not more than three apartmea s and who resides therein,or trio o=4xmt ofthe -
dwaIImg house of anofer who employs persons to do maitmanee,construction or repair woik on such dweIling house
or on.the grotmds or buddmg appul�theretn ffiOnotbecanse of sack=ploymentbe dc=e;dto be an employer."
MCrL chapter 152,§25C(6)also st&s that'every state or local licensing agency shall withhold the issuance or
renewal of a Hcense or permit to operate a business or to construct biffidings in the commonwealth for any.
applicant who has not produced acceptable evidences of compliance With the**«* ce.coverage req ed_"
Additionally.MGL chapter 152, §25C(7)stairs`Neither the nor airy ofifs political subdivisions shall
ear into any contract for the perfomaance 0fPnbho work un7ff acceptable evidemm of compliance with the;um-ace..
require�enfs of this dhapteahave beenpresented In the contacting authoizty:'
ApPlic=-&
Please fiII outrers
the wozi ' compensation affidavit complD# ,by cb=Jdag the boxes that apply to your if
anc�if
necessary,supply sob-eoutlaCtor(s)name(s). addrrm(e5)and phone=mber(s)along with their ce;rti ac 8t*)of
Dance Limited Liabrib y Companies(LLC)or l imitedLiabiility P Fs(LLP)wi(hno =3ployees other.than the
members or partaeas,are not required to cagy workers'compensation insor-,moe- If an LLC or LLP does have
employees,a policy is rmpimd. Be advised that this a$davit maybe submitted to the Depa-invent of Industrial
Accidents for confirmation of msar;mce coverage, Also be sure to sign and date the affidavit The affidavit should
bezettmmed to ihe city or town that the application for the permit or license is being requested,not the Department of
Tndnstag Accid a,is Shonldyon have any questions regardmg the law or ifyou are required to obtain a workers'
compensation policy,please call tip Departme±at the number listed below. Self-inscz companies should enter their
s elf-m saran ce license nmnber a a the appropriate line.
City or Town OfFariats
r _
Please be sure that tbJe affidavit is complete and pruned legfly. The Department has provided a space at the bottom
of the affidavit for you in ft11 out in the event the Office oflnvm��has tD root you re�g the applicant
Please be stare to fill in the penmfi ceuse mrnber winch wM be used as a reference number. In addition,an applicant
that must submit mult ple permit Uceose applications in any given year,need only sahmit one affidav indicating con ent
policy inform¢tiaa(if hey)and ceder`fob 5`he Q_dess"the applicant should Ovat-"all locations in ( '
or
town)"A copy of the-affidavit that has been officially stamped orr marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for futme'pennits or licenses_ A new a$.davit must be filled out each
year.Where a home owner or citizen is obtab3ing a license or peart not relatr d to any busmrss or commercial venim e
(i.e. a dog license or permit to bum.Ieaves etc.)said person is NOT xegoi and to complete this affidavit
The Office 0fJuvestigaiions would hImto 6ank you.in advance for your cocperafian and should you.have any goes-Lions,
please do not hesitate to give us a call.
The DepmtaL fs address,telephone and fax mmber.
T CO a tb�of Mas�usetts ,
Depaimmt c&Mziti z�Amidenft '
(Moe of ? o
EQ4�ashin�tan
Bwtau.,MA Oil II
T(,-L 4 617- -4 =t 406 or 1-�977-MAMkFR
Fag#617 727 '749
Revised 424-07 p -m _ gfdi�
°FTHE rqy Town of Barnstable
ti
Building Department
Brian Florence,CBO
�Ar 1639. a�� Building Commissioner
Ep Mptl
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 5.08-790-6230
Property Owner Must
...Complete and Sign This.Section
If Using A Builder
V1
1�1 as Owner of the subject property
hereby authorize ' to act on my behalf
in all matters relative to work authorized by this building permit application for:
(Address 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 o et Signature of Applicant
�Gt tom- �Yl Cg
e0c,
Print Name Print N e
Date
Q:FORM&OWNERPERMLMIONPOOLS .
Rev:10/17
1LUWII Vl DarllataulC
�oFtHE ros, Building Department y
Brian Florence CBO
+ t
Building Commissioner
BARNSTABLE,
v MASS. $ 200 Main Street, Hyannis,MA 02601
i6;9. ♦0
�pIFD MPt p 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 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,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.
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 of 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.
x
' r
l -
... y V iLL� O�I77iJ72N/2CUBC000iZ O�V/�GCCQQCLckelieM
r�\\ Office of Consumer Affairs&Business Regulation {
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only .
'* TYPE:Individual before the expiration date. If found return to:
Registration Expiration Office of Consumer Affairs and Business Regulation
��� 33775 08/06/2019 10 Park.Plana-Suite 5170
R GER T.COX71 _ �J Boston,MA 02116
" �.
ROGER T.COXs-
19 SOUTHEAST
CENTERVILLE,MA 02632 Not Vaiid WithoUt signature
Undersecretary;
9
®1 COm
Division onwealth Of A4
Board OI Builq�g rofeSsiOOal L,assachusetts
ensure
CS 073885 COnSrrNct,8�,`-t,egli/atioof and Standards
�. q. visor
ROGER T w' i`1 EkPires.
19 SpUT CQX J -I -0311212020
CENTERVI LE MANE . y
Com ,
. _ Mionsssi y�
• E- r �2.��
U/ze WpwnirnVU0ea4'A C��,JadxaQeM
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR i Registration valid for individual use only
TYPE:Individual before the expiration date. If found return to:
fegistration Expiration Office of Consumer Affairs and Business Regulation
08/06/2019 1.0 Park Plena-Suite 5170
Boston,DNA 02116
R GER T.COX1" I— N
ROGER T.COX
19 SOUTH EASTaNE-
}�
Not vid without signature
Undersecretary
r
Construction Supervisor
Unrestricted-Buildings of any use group which contain
less than 36,000 cubic feet(991 cubic meters)of enclosed
space.
s
Failure to possess a current edition of the Massachusetts
State Building Code is cause for revocation of this license.
For information about this license
Call(617)727-3200 or visit www.mass.gov/dpl
Commonwealth of Massachusetts
t ( Division of Professional Licensure
�l Board of Building Regulations and Standards
Construcctibn�S0pe.rvisor
CS-073885 1 ' U11,ires: 03/1212020
r '1
Isar- i.
� .: ..
t i V
ROGER T COX � U.
19 SOUTHEASTT LANE
CENTERVILLE M'A 02362
~�0ISS336-N "
Commissioner
Town of Barnstable
Building Department Services
MASS. ` Brian Florence,CBO
Building Commissioner
�ED Mfd
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize / ''0, I� CUB`- to act on my behalf
in all matters relative to work authorized by this building petYnit application for.
(Address of Job)
**Pool fences and alams 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 Owner Signat4te.of Applicant
Print Dame Print Nkme
Date
QFoxMs:owxERPERMIsslorlPools
Rev:09/16/17
Town of Barnstable
Building ],department Services
Brian Florence,CBO
c Building Commissioner
200 Main Street, Hyannis,ILIA 02601
VAS& www.town.barastable.maus
1639.
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE ExEMMON
Please Print
DATI3: -l-/�
JQB LOCATION- L
. number�y strset/.� villagep ✓ ,J p(^�
.`HOMEOWNER": �ir/� / I l-e�r�(Yy v J �`9�0 �� T 7d
�e r / home p`h�onee## work phone#
CURRENT MAILING ADDRESS: I r_3 G/I/�0� l"�' `
city/town. State • zip code
The current exemption for"homeowners"was extended to inchuie 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.
DEFrTMON 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-
fam>7y 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 budding men it. (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
proce and quulaements and that he/she will comply with said procedures and requirements.
Signature of Homeowner
Approval of Building Official
Dote: 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 EXENEMON
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 formlcertification for use in
your community.
Q.\WPFILES\FORMS\building permit f n=\EXPRESS.doc
08/16/17
• fo�2ZJc���
Town of Barnstable *Permit# 61 q 3
XVIres 6 months from Fssu dale
• a Regulatory Services Fee
NAM
, +m� Thomas F.Geller,Director
�EOINA'l� Building Division �,..,.
Tom Perry, Building Commissioner -PRESS P���
200 Main Street, Hyannis,MA 02601
Office: 508-862-403.8 OC ( 1 8 2004
Fax: 508-790-6230 � ` � :
EXPRESS PERIVM APPLICATION - RESIDENTIAL ONLY OF 8� 2N i,
Not Valid without Red X-Press Imprint
Lp/parcel Number .,LA 9 3 Oct
,perry Address y i✓l t t o* 9-twa k Ce4A�V w Sk, iA 21(,3 L
Residential Value of Works o Minimum fee of-$25.00 for work under$6000.00
l .
rner's Name&Address �� h AI If SS 41nd✓c,
pp tj
intractor's Name Telephone Number Sv 7 y Z Z y co Z a
ime Improvement Contractor License#(if applicable)_ j Y3 .3 j
instruction Supervisor's.License#(if applicable) $9 a�? 3
�Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
have Worker's Compensation Insurance Durance Company Name T( AowT' �� rj
orkman's Comp.Policy# 10 YSA 0 3-3 —0 y
py of Insurance Compliance Certificate must be on file.
emit Request(check box) i
.Re-roof(stripping old shingles) All construction debris will be taken to 6q4qf.L A 0-4 1 P
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
�/ae TDomvn�ruueat ./�aaaae�uraelta
❑ Replacement Windows. U-Value (maximum.44)
Board of Building Regulations and Standards
*Wheremjuired: Issuance of this permit does not exempt compliance with other town dep HOME IMPROVEMENT CONTRACTOR
Reglstr 358
***Note: Property Owner must sign Property Owner Letter of Pe io =.: 06
Home Improvement Contractors License is required. e: t rbility Corporation
lure CAPEWIDE ENTE
RICHARD CAPEN
o-
one:expmtrg 205 BLACKHORN
'sc063004 MARSTON MILLS,MA 02648 Administrator
Town of Barnstable
Regulatory Services
asnss.
snxxAM ` Thomas F.Geller,Director
r� 1639.
63. � Building Division
Tom Perry, Building Commissioner
200 Main Street, Iiyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, <f::(V1 ,as Owner of the subject property
f
hereby authorize A (A-Uu u!', to act on my behalf,
in all matters relative to'work authorized by this building permit application for:
(Address of Job)
Signature of CmNer Date
Print lame
r
. .
3
QTORMS:OWNERPERMISSION
of TOWN OF BARNSTABLE Permit No. ..C......��.��®
m BUILDING DEPARTMENT ,
e"8K: I TOWN OFFICE BUILDING Cash QQ. ...
K HYANNIS,MASS.02601 Bond ..... ...,1. ..
11111
CERTIFICATE OF USE AND OCCUPANCY
Issued to, Peter Dairld, Trustee
Address Lot #8, 143 Elliott Road
Centerville, Piassachusetts
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 119,46 OF THE MASSACHUSETTS STATE
BUILDING CODE. ,
i i
Au u s t 19 87
/ �i �,� �
..........!..., 19................ ....... ........
Building Inspector
i •
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
TOWN OFFICE BUILDING
r�ra
�g .659. �� HYANNIS, MASS. 02601
�o r�r►•
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has been issued for-the building authorized by
Building Permit # 550 .o2 46 01 Z.10................................................. _................................ ...
issued tor....QA� e................. �!� ... � r. ....... r/A4��r�� ........ ,�_
I'
Please release the performance bond.
e BUILDIN
r
TOWN OF BARNSTABLE, MASSACHUSETTSPERMIT .�.'.
JOB 'WEATHER CARD .,.
•x it �„' Iry .e
;� DATE 19 PERMIT NO.
a Jy APPLICANT I". ze �O ADDRESS
'" IN0.) (STREET) L(CONTR'S LICENSE)
NUMBER OF i c
_ PERMIT TO (_) STORY "' DWELLING UNITS
'(TYPE OF IMPROVEMENT) NO. . (PROPOSED USE) ZONING
..
AT (LOCATION) Zby / v! O'f( DISTRICT
.15-)
(N0.) (STREET)
€ t BETWEEN AND
n (CROSS STREET) (CROSS STREET) '
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE • FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTI
a
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)' ..
REMARKS:
n
` AREA OR .i 1 '.:
PERMIT
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET) s'
OWNER �1"
BUILDING DEPT.
ADDRESS BY
44 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY
® PERMANENTLY..ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE <
PROVED BY THE JURISDICTION: STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAIN
FROM THE DE-PARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIO
-O.F.ANY APP-LICABLE 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
r"Y ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING'• AND
1. 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 r�-#
n rMEMBERSIREADY d0 L'ATH1. FINAL INSPECTION HAS BEEN MADE, a,
v.;§FINAL INSPECTION BEFORE -
z JOC.CUPANC'Y`''1!`
4= POST THIS CARD SCE IT IS VISIBLE FROW STREET
{`BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS. ELECTRICAL'INSPECTION APPROVALS
3( I 4A
-4, 3 HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVAL'
i4
_O?HER 'Z 2
;�N flaJ�t�ia�q KS ,
WGRK _nAL'_ NCT PROCEED UNTIL THE P LLERMIT WI B COME NULL AND VOID IF CONSTRUCTION INSPECTIONS iNOICATED.ON THIS`'C.
NsaECT;R HAS aaaRcvEo ?4E 'J�alcas * iaS NOT S7gRTED'yiTHIN SIX MONTHS OF. DATE THE CAN BE.ARRANGED FOR 13YTELEPW
K,. d
STAGES OF,CONSTRUC?iON. ORmWRITTEN NOTIFICATION.
� PERMIT�iS ISSUE AS NOTED ABOVE. �
ll
ti
y E � RICHARD
BARTER Hi}
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Assessor's map and lot number ... .. .."'.....I...... -4,�:......:..• CF TH E t0
Sewage Permit number,.......... � .............................
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,.. House number ��';..g.......... ..s.`�..:......:�?...:��.......... roaq�B,HB9 LE,0639
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TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .....NEW CONSTRUCTION.......................................................
TYPE OF CONSTRUCTION ............. ..................................................................................................
„SeP,tember„16,,,,,1985,,....19,85,,,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ..........Lot. 8a...goliot..t.....R..o..a..d...a...C... ntry.i..1.1.e...............................................................................................
........
Proposed Use ..PCi,Vdte...H4me,.
Zoning District ........ ;.*.F'r District Cenaerv.1-l.l.e/0s.teru:i.l.le...........................
Name of Owner .... ........... .... ........ f .......Address ... .� ...:v....�-{.�.?...? �-1.......
G.'1PLf,�!'
Name of Builder ...PAJ.9Ie...LCOMP.any..............................Address ....4114..Mai.l Stneet.,...Center 0?.1.e,--M_A.....02632
Name of Architect .TP.r.•r.y..L.Li.f f...AS.soc.i.a tes...................Address ..1Q.1.�..Redate••��?„I� II�!<tt�.i.�9...�1,�....02-601.......
6 Pour d
Number of Rooms `..................................................................Foundation .........�.....Con.GCete.............................................
Exlerior ...�Apbb®edd&&WWhite Cedar,.Shi.n9l.e.5..........Roofing ...........Asph.al.t..........................................................
Floors ...Oa,kv...�dCQCt..&..Vin1y1..........................................Interior ...........Sheetrock.....................................................
Heating Forced Q AterAy...01.1...............................Plumbing .........?....1./.•.2....baths`...................................................... ...........
Fireplace ....YeS..................'.....................................................Approximate. Cost .......S].25,000.............................................
Definitive Plan Approved by Planning Board _-__-__�l-'�____ ______19 __ _. Area � .................
- f ` �d
Diagram of Lot and Building with Dimensions Fee �--
SUBJECT TO APPROVAL OF BARD OF HEALTH (� ,
3
/V
T �
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
i
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 .. "
........... .... ......
PETER DAIGLE, TRUSTEE A=248-Al
309
28620 , Two
Permit for ..:............Story.....................
Single Family Dwelling
Location ,..,,Lot 8, 143 Elliott Road
.....................................................
Centerville
...............................................................................
F Owner Peter Daigle, Trustee
• .............................................
Type of Construction .... rame
................................................................................
Plot ............................ Lot ................................
rtmit Granted November 1, 85
Pe .....................................19
[1 ate'of Inspection .............................:......19
"
Date Completed ......................................19
r,
0
4
y
1
4' '7•%/ems
Assessor's map and lot number- ... .. .`.......1...:.,......
.f .. '
ST M T S *THE
SEPTICT
�. SYSTEM MUST
Sewage Permit' number :..................�.r�......�.....
_ � WSTALLED IN COAAPLIAN
WITH TITLE 5 Z BAHHSTABLE,
MABa
House number QT... .................� J?...:.A... ....:AKA '.... ENVIRONMENTAL CODE A �1639.a�e�
TOWN REGULATIONS GypY
i TOWN OF BARNSTABLE
BUILDING INSPECTOR
r,
NEW CONSTRUCTION
APPLICATION FOR PERMIT TO ....:.....................................................................................................................:..
TYPE OF CONSTRUCTION; .......:....:WOOD FRAME
„September.. 6.�..:.: ....19.$5...
t .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ..........Lot.A,...El 1 ott..R00.2...�Qn e.rX1. le............................................................... ...................................
ProposedUse ...Pr7.Y.d.t�..N.Om� .................................................................................................................................
Zoning District ......... !.ire District ...Cen.terv.il.l.e%OSterv.i.1.].e...........................
Name of Owner .,: ... .....:...... .... ..��.../. ? :.......Address ... � 1 e ................. 76e.......
Name of Builder ...PAJ.9l.e...&..CA111pdny..............................Address ......4.C14I..Ma.i.n..Street,...Cen•tervi•1.]•e•,••4MA.....02632
Name of Architect Te.r..ry..L.uff...ASSr ciates...................Address ..10.1.9••Raate••1•32„••Hyanni•S•,•••M•A•••••0.2.601.......
Number of Rooms 6 .........Foundation R91a as Con.Crete.............................................
Exterior .... .dpbo rd..&..Whit.. Ceddr...$h1.n.gleS..........Roofing ...........ASPla.dl.t.....................................................
Floors ...Oa.k�...Carpet..& .Vi ny..1..........................................Interior ...........Sh:eetror.k....................................................
F Heating For.:Ged..H.Q.t.-.Wate.r..by...Oil..............................Plumbing .........2..W.2..bd.ths.................................................
Fireplace ....YeS........................................................................Approximate. Cost ......$1.26. 400
Definitive Plan Approved by Planning Board ____________19a_ Area ........../U../ .................
od
Diagram of Lot and Building with Dimensions Fee
SUBJeT APPROVAL OF BOARD OF HEALTH
i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
�I
I hereby agree to conform to all the Rules and Regulations of the To arnsta a regarding the above
construction.
Name ..... ... ..............................................
Construction Supervisor's License �` ........
.-,,PETER DAIGLE TRUSTEE
I' ,'-tNo .... Permit for .....Story..................
Sing........... ......................
Lot 8,
Location ..... 4.5...Ell.i.o.tt..R.o.ad.........
.. . ...... . . .... .. . ....
Centerville
............................................................
Peter Da�Aie Trustee
t4 Owner. ........................ ....A...............................
Type of Construction .....Fr.....am.e............................
...............................................................................
' 4 Plot ............................ Lot ................................
November 1, 85
Pe�enit G ................... ..........I Granted ........... 9
C*te a .....Inspection ......... ................ .
qj�
.. .
Date Completed ... ......Ar..19
74.