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Home My WebLink About0181 ELLIOTT ROAD Ewa Ff4 mi P7 M!, "T Rll� T�l q'i,11,;k I I I ii 1� s,J 13 ri, izil I." 1 , 1, i 4i,I;,ltk,; K Lill I—if ti 1 4� 1,k,V "-";� iii if z kfi, �l Ali l fit It F)i'i:I""�, -";", e, ",f, I ;;,"lw -i "'Ic it kit ihj"4l if Or",I'Q ji 71 it 14: if fly I `�Vj vi� 41�iipi i, c kivq H -m Iij? vii, I%z ov vi,A-1 ifIfiIitifIifit1 tfitIffIIffyf� It7a itTi Lauzon, Jeffrey From: Lauzon,Jeffrey Sent: Tuesday, February 11,2020.3:07 PM To: 'rpeters@marvinbymhc.com' Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-18-3736 Applicant, Please be advised building permit application TB-18-3736 is deemed abandoned as per 780 CMR R105.3.2..If you wish to proceed with the project, a new building permit application will be required in order to obtain a building permit. Please do not hesitate to contact this office with any questions.Thank you. Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 Jeffrey.lauzon(a-),town.barnstable.ma.us 1 Lauzon, Jeffrey From: Lauzon, Jeffrey Sent: Tuesday, November 20,2018 9:45 AM To: rpeters@marvinbymhc.com' Cc: Lauzon, Jeffrey Subject: ViewPermit, Permit No:T13-18-3736 Applicant, Please be advised that the above application has been reviewed and the following is noted: 1) No property owner authorization has been submitted. The application is denied pending the submission of the required document.Thank you. Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 jeffrey.lauzon town.barnstable.ma.us 1 r� Town of Barnstable RE�CEIP�T o unstvsra;iete. 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-18-3736 Date Recieved: 11/9/2018 Job Location: 181 ELLIOTT ROAD,CENTERVILLE Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: RICHARD PETERS State Lic. No: CS-106987 Address: Duxbury, MA 02332 Applicant Phone: (508) 771-6278 (Home)Owner's Name: BUCKLER,CHARLES W& ELAINE F Phone: (508)775-2189 TRS (Home)Owner's Address: 181 ELLIOTT ROAD, CENTERVILLE,MA 02632 Work Description: replace(1)double hung window in first floor bathroom, like kind, no structural changes Total Value Of Work To Be Performed: $1,020.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance f6r every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State BuildingCode or an other code ordinance or statute regardless of what might be shown or omitted n y g gh o the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Richard Peters 11/9/2018 (508)771-6278 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $1,020.00 Date Paid Amount Paid E Check#or CC# Pay Type Total Permit Fee: $35.00 11/9/2018 $35.00 XXXX-XXXX-XXXX-i Credit Card r 9588 Total Permit Fee Paid: $35.00 a 1 , > Town of Barnstable e � Building §Post This Card So That it�s Visible'From the Street Approved "?l annYMwwv-, b ,,•,v-: Cy„r dMuR n be Kept v MAS&1639, Posted Untif:F�nal Inspection Has Been Maded ° �� Where a Certificateof Occupancys Requiredsuch Building shall Not be®ccupied uwntil a Final lnspect�on hates been made r Permit No. B-19-4036 Applicant Name: Richard Peters Approvals Date Issued: 12/03/2019 Current Use: . Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/03/2020 Foundation: Location: 181 ELLIOTT ROAD,CENTERVILLE Map/Lot: 228-197 Zoning District: SPLIT Sheathing: Owner on Record: BUCKLER,CHARLES W& ELAINE F TRS Contractor Name:; y RICHARD PETERS Framing: 1 Address: 181 ELLIOTT ROAD Contractor'License' CS 106987 2 CENTERVILLE, MA 02632 Est.-Project Cost: $2,197.00 Chimney: Description: replacement of(2)double hung windows on first floor with (2) new Permit Fee: $35.00 double hung windows of same size and specifi'cations.' No'structural Insulation: es Fee Paid $35.00 chan g Date.,; 12/3/2019 Final: Project Review Req: Replacement glazing in hazardous locafions shall comply with the safety glazing requirements of Section R3 Plumbing/Gas Rough Plumbing: Building Official ' Final Plumbing: This pe rmit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. permit has been ranted. Rough Gas: All work authorized by this permit shall conform to the approved application and the=,approved construction documerits for which this g g All construction,alterations and changes of use of any building and structures shall bye in compliance with the local zoning,by laws and codes. This permit shall be displayed in a location clearly visible from access street or.road and shall be maintained open for public inspection for the entire duration of the Final Gas: completion of the same. work until the coin f p a Electrical i n'turesbthe:Buildnand:Fire;Officialsare rowdedonthis'ermit. The Certificate of Occupancy will not be issued until all applicable s g a , g. , P P p Yw ". � e =. j� Service: i Minimum of Five Call Inspections Required for All Construction Work..; „� � g �w :; 1.Foundation or Footin >' f Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Jolt— Town of Barnstable *Permit# 3�3 Expires 6 onths from' u ate . °T Regulatory Services m e RARNSTABM 059. Richard V.Scali,.Director Building Division r Sep� Tom Perry,CBO,Building Commissioner IV 8 2015 200 Main Street,Hyannis,,MA 02601 OF�q p� www.town.barnstable.ma.us ST R� Office: 508-862-4038 Fax: 50�799230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint Map/parcel Number Property Address � i �2 eoI i2oAb - VResideritial Value of Work$ y,p OS'Sr Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 100 A-ia : 6eX7e7MI46� V4A 0 3 Contractor's Name W 1` -1( ,0-,t(j3 Telephone Number: 71`f Z z, 39-kj Home Improvement Contractor License#(if applicable) lP 0 —! :f. Email:d1t R Z51M t-? P mil,(— CA/Lki bEL. Ca Constru tion Supervisor's License#(if applicable) 0-?> �l orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I the Homeowner have Worker's Compensation Insurance Insurance Company Name K(sV i5112-A7V-tVL� CDo4eA-iJV Workman's Comp.Policy# ��L)73 01 - 0 O 3 7, 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) e-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 Improvement 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 The Carn>7tanwealth ofMassachusaft Deparhnent of Indusaiai Acciderrrs 09we of Investigations 600 Washington Sheet Boston,MA 02111 wrvw nlasxgov/dia Workers' Compensation Insurance Affidavit.Builders/Contractors/Electricians/Plumbers Applicant Information Please Print 'b A Name(BusmesslOrgsnizafian/lndividnal): �N6 (�i91�t(3 CI'L DP��f 7�� 0"��/C ',D C� Address: IF -0ll ►� City/Stat,1a,- Y �S i/i�,f! D p 0 I Pjlone fk 1-7`7— ZU- 3 9s U A57am. an employer?Cbeck the appropriate box: Type of project(required): 1_ a employer with /SO 4.❑ I am a general contractor and I 6 New oonsttuction employees(fall and/or pact-time)-• have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for mein any capacity. employees and have wodcers, [No workers'comp.insurance comp.insurance-1 9. ❑Building addition required.] 5. We are a corporation and its 10.0 Electrical repairs or addiinons t 3.❑I am a homeowner doing all work offioers have exercised their 1 i.❑Plumbing repairs or additions myself[No workers'comp:, right of egemption per MGL 110 Ro repairs insurance required.]Y c.152,§1(4�and we have no employees-[No workers' 13: ther comp.insurance required-] 'Any apybamt dst checks box#1 mast also fill out the section below sbncaing their workers'o=peesadon policy information T Homy wlm submit this affidavit mating they are doing all work and dLen hue outside contractors mast submit a new affidavit iadicatiag sudL kontrw1urs that cbeck this box must attached su additional sheet showing the nmse of the sub-cCuttiOats sad state whetber or not those entities have employee;.Uthe suhtout actor have employed.,ffiey mast provide their workers'comp.policy number. I am arc employer that is providing workers'congwasalton bmrance for my employees. Below is thepalicy and f ob site information. Insurance Company Name &-0 V 4 PA-P/ Policy#or Self-ins.Uc.9: (a 1)s D (P 7 Expiration Date: Job Site Address: W 1 r%�1 D I 4 Q• City1State/Zip: �'V/Uz �1 Attach a copy of the workers'compensation policy declaration page(showing the polity number and expiration date). 0 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 WORD ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for itmnance coverage verification_ I do Hereby caeriiyy p4der thepains and penah'ies of perjruy that the information provided a is bw Si Fn d convet tare: (Ni Date., _ � Phone#: 3 90 Offldd use only. Do not writo in this area,to be completed by city or town a,pclat City or Town: Per mitUcense Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing In.%ctor 6.Other Contact Person: Phone a: - 6 QV" 7parrvrraaiaureaCC/z afG/tmwacAtoW ice of Consumer Affairs&Business Regulation License or registration valid for individul use only E IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ° Office of Consumer Affairs and Business Regulation egistration;-.:1'60991:_ °� Type: 10 Park Plaza-Suite 5170 Expiration:=g%17b2Q1`:6 Supplement Crid Boston,MA 02116 MARINE LUMBER 0PERAT0R1'INC,s% CHARLES WHITCOMB, 134 LOWER ORANGE yST;` `:"= 1 �1 NANTUCKET,MA 02554 Undersecretary Not valid without signature 1p ` Massachusetts -Department of Public Safety -Board of Building Regulations and Standards ConstructiewSppervisar ' - License: CS-083184 CHARLES A. C Lai PO BOX 501 West Hyannisporf v � •1 y � �,•G. �y ..'1,JAA Expiration Commissioner ` 04/28/2016 MARVIN DESIGN GALLERY a complete window and door showroom by MHC Permit Authorization I� ickleiLas owner of the subject property understand that Marvin Design Gallery by MHC and Marvin Windows and Doors Gallery are departments of Marine Lumber Operator located at 134 Orange St., Nantucket, MA and hereby authorize 4 r—"-VO to act on my behalf, in all matters relative to work authorized by this building permit application for; UI (Address of Job) Signature of Owner(s) Date Vol ° Print Name(s) f • / r Marvin Order Management Performance Summary Report Date/Time: 9/25/2015 3:54 PM Job/Project Name: Buckler Residence/Integrity 8.14-15 Sales Rep: ED KEARNS - PKVersion: 0002.04.OD Quote/Order Number: MD5VGDF/AWA74726 Organization Name: MARINIfHOMECENTER f ENERGY - - ENERGY , STAR Most Canada ENERGY STAR Most - ENERGY Efficient Energy Metric U- Une Mark Unit Unit ID Brand Product STAR Efficient U-Factor SHGC VLT OR CPD Number STAR Canada Canada Rating Factor 1 5 in Uvingroom 3 in front Al Integrity _ Wood-Ultrex Traditional Double Hung" N,NC 0.281 0.32 0.54 56 MAR-N-272-00528-00001 1 23.00 1.59 2 Bedroom Front Al Integrity Wood-Ultrex Traditional Double Hung N,NC 0.28 0.32 0.54 56 MAR-N-272-00528-00001 1 23.00 1.59 Glossary Certified Product Directory(CPD)Number-a unique number used by the NFRC to organize product listing of certified products. Condensation Resistance(CR):Measures the ability of a product to resist the formation of condensation on the interior surface of that product.The higher the CR rating the better it resists forming condensation. - - ENERGY STARis a program of the U.S.Environmental Protection Agency designed to recognize products that meet strict energy efficiency guidelines.Learn more about ENERGY STAR. _ Solar Heat Gain Coefficient(SHGQ)measures how well a product blocks heat from the sun.In warm climates,the lower the number,the better.Here you want to keep heat out by choosing windows that reflect solar radiation.Less heat coming into the home means lower air-conditioning costs and a reduced carbon footprint.In cold regions,your windows can also help you take advantage of solar radiation,which is free heat that eases the workload of your furnace or other energy-powered heat source.A higher solar heat gain coefficient means a window will allow more heat to pass through. U-Factor:(Btu/hr.-sq.ft.-*F.)A measurement of the amount of heat flow through a product.The lower the U-factor,the greater the resistance to heat flow and better its insulating value. The National Fenestration Rating Council(NFRC)has developed and operates a uniform national rating system for the energy performance of fenestration products,including windows and doors.For additional information regarding this rating system,see www-nfrc.org/WindowRatings. - NFRC energy ratings and values may vary depending on the exact configuration of glass thickness used on the unit.This data may change over time due to ongoing product changes or updated test results or requirements. i ACORN° DATE(MMrD01YYYY) CERTIFICATE OF LIABILITY INSURANCE 1IMMIDb,s THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WANED,subject to the terns and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not canter rights to the certificate holder In lieu of such endorsemen s PRODUCER Risk Strategies Company ME: Judi March 15 Pacella Park Drive, Suite 240 PMMF. 761=s61-0325 FAX Ne: 761-338 442E Randolph,MA 02368 E MaLElm, .... ADDRESS: march risk-strate ies.com INSURERS)AFFORDING COVERAGE NAIL/ www.ilsk-strategies.com IlvsuRERA;Travelers INSURED INSURERS: Marine Lumber Operator, Inc. DBA Marine Lumber Co., Inc. INSURER C 134 Orange Street INSURERD: Nantucke{MA 02554 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 23138628 REVISION NUMBER: THIS IS TO CERTIFY THAT"THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RLTR TYPE OF INSURANCE.. L BR - POLICYEFF POLICY.EXP. - - LTR - POLICY NUMBER 111111 MM1D LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE f CLAIMS-MADE El OCCUR :OAMAGETOMWTEU PREMISES Es eMrrence) f MED EXP(Anyone ) i 3 . - .. .PERSONAL BADV INJURY _'.3. .. .. GEN'L AGGREGATE LIMB APPLIES PER: GENERAL AGGREGATE S POLICY ElECT ❑.LOC PRODUCTS-COMPIOP AGO S OTHER: _ E . AUTOMOBILE LIABILITY Ea accident ANY AUTO i - SOOILY INJURY(Per,Person) ;E I ALL OWN AUTOS ED AUTOS BODILY BODILY INJURY(Per eoddent)'.S NON OMED PROPERTY DAMAGE : — HIREOAUTOS 'AUTOS Per UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 EXCESS LIAB CLAIMS-MACE AGGREGATE t DEO RETENTIONS $ A wORKERscoMPENsanoN 6KUB0167NO3512 12118R014 .12/lM015ER STATUTE PER E AND EMPLOYS'LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT i 500,000 OFFICERMIEMBER EXCLUDED? NIA' - (Mandatory In NH)t yes describe undef E.L.E DISEASE•EA EMPLOYEE S 500,000 OES(RIPTION OF OPERATIONS below E-L.DISEASE-POLICY LIMIT 111 600,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHXCLES tACORO 101,Additional Rsmarles Schedule,may be attached If more space b required) - - - - CERTIFICATE HOLDER CANCELLATION Marvin Design.Gallery SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED FORE 9 ry RIB BE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 73 Falmouth Rd. ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis MA 02601 — AU MORRED REPRESENTATIVE 01988.2014 ACORD CORPORATION, All rights reserved.. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CERT NO.: 23138620 CLIENT MDE: MARI11-2 vudi March 1/21/2015 3:52:32 PH fEsT1 Page.a or 1 A-C) S73 OF THE.r Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee IARNSTARLE, Thomas F. Geiler,Director 9�P 6 9 �� Building Division �9�ISIa� 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 Not Valid without Red X-Press Imprint Map/parcel Number r / _ Property Address UZLf ? Residential Value of Work Sate'• Minimum fee of$25.00 for work under$6000.00 , Owner's Name& Address ��.i�trgje le ktl Contractors Name_/15� te�r-�' ��.!�'�'c:"� Telephone Number_ Home Improvement Contractor License# (if applicable) C .,MWorkman.'s Con Insurance F�� a :, t J ';$J Check one: i;;!�I..am a sole proprietor SEP 12 2008 ❑ I am the Homeowner. ❑ I have Worker's Compensation Insurance TMAN OF SARNSTABL Insurance Company Name !�7 Ci" i c .! L. �'_ �'- Workman's Comp.Policy# 0 .k Copy of Insurance Compliance Certificate must be on file. Permit Request(check box), ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) di'le— ❑ Replacement Windows/doors/sliders. U-Value __ (maximurn..44) *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 is required. sxGlvArllxE: QMVPFILES\F0RMS\bui1ding permit forms\EXPPLESS.doc Rcvist020108 W' 1 PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 09/12/08 TIME: 12:23 ----------------TOTALS----- -- ------ PERMIT $ PAID, 25.00 AMT TENDERED: 25.00CHANGE: .00 fi r I° APPLICATION NUMBER: 200SCIS083 PAYMENT REF: CASH I i The Commonwealth of MaEsachusetts Department of Industrial Accidents Office-of Investigations 600 Washington Street Boston, MA 02111 f www.mass.gov/dirt Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A Ucant Wormation Please Print Letrib� Nainc (Business/organization/Individual):��5 SGa�Ys� iP S� Ad( Te55: •e— City/statelZip: Axe you an employer? Check the appropriate box Type of project(require: 1.Q I am a employer with 4. I am a general contractor and I 6 ❑mew consttuction employees(full and/or part-timL).* have hired the shb contractors 2.�x am a'sole proprietor or partner- listed on the attached sheet 7. 0 Remodeling ship and have no eMplayees These sub-contractors have g. Demolition working for me in any capacity. cmployrcr. and have workers' S Building addition [No workers' C;p7rlp.-irrsrrranrC Mrop.lncitranGe.$ 5 [] We are a corporation and its 10.0�Elcctrical repairs or additions ruiTr ] . officers have exercised their 11.❑Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself: [No workers' comp. right bf exemption per MGL 12 ❑goof repairs incrtrar5ce r t c. 152, §1(4), and we have no eguuEd] employees. [No workers' 13.E-1 Other-- comp.msurancc required-] *Any applicznt that chctks box#1 roust also fill out the section below showing their workers'cornpmtsaiion policy information. t Homcowncm who submit this afdxdt indicating they=doing all work and thcn hire outside contractors must submit anew affidavit indicating 6vch- rCcmiractors that check this box must atlanhed an additional shcct showing the name of the sub-etmfzact=and stale wbctha or not those cntit cs have employees. If the sub-contra bm-r have mnployccs. tbcy must provi&their workers'mTap.policy number. .I am cue emplayer thaf is providing workers'compensation insurance for my employees. Below is the policy and job site information Lannanco Company Name: Policy#or 9rlf-ins.Lic.#: Expiration Date: lob 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 Section 25A of MGL c. 152 can lean to the imposition of criminal penalties of a fine rip to S 1,S00.00 and/or one-year imprisonment, as we11 as civil pcnalties in the form of a STOP WORK ORDER and a.fine of up to S250.00 a day against the violator. Be advised that a copy of this stat=iit may be forwarded to the Office of Investigations of the DIA for iinnu _n coverage verification. - I do hereby cerkfy ceder the pains-and penalties of perjury that the information provided above is true and correct Si c: Date: Phone# -7 2 C( G' ( ✓ 3 O fetal use only. Do not write in this area, to be completed by city or town officiaL City or Town: Perminicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Phone#: N N OF fHEr Town n of Barnstable i ReguIatory Services �H" 'MASS, Thomas F. Geiler,Director �'rED �a�m Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma:us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must „ Complete and Sign This Section If Using .A Builder X CAR[ uJ`- �� , as Oviner of the subject property hereby authorize Zope 5 to act on my behalf, in altmatters relative to work authorized by this building permit application for: 14 0 ej ce F-... (Add-ress of Job) 0q. '-signature of Owner `* Date Af OCU C— (I Print Name - If Property Owner is applying for ermit lease complete.the Homeowners License P nY P P Exemption Form on the reverse side. Town of Barnstable ��op 1He r�o Regulatory Services (; Thomas F. Geiler,Director + BARNSIABLE, p MASS. g, 0.59. Building Division pJFD l'��a Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 vt'ww.town.b arnstabl e.ma.us Office: 508-862AO38 Fax: 5.08-790-623,0 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 dweHia s of six units or less and . n to allow homeowners to engage an i.tdividu;,l fu:,�i.G v11ir u.;cs uui possess a 1.1G=,�,.....e,proS:ded fb.at ., t he o.uner acts as. supervisor. DEFINITION OF HOMEO'ii'NEI2 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 tnore than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall subunit 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 an 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 cast,our Board cannot proceed against the unlicensed person as it would Hrith 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 t amend and adopt such a form/certification for use in your community. �oara o7B*ng .egu ationsl tan ar s t k I Construction Supervisor License License: CS 95996 Expiration 57g/201,0 Tr# 95996' ju Restriction 00 4, ALESSANDRO LOPES= .� 8 WESTON CIRCLE HYANNIS, MA 02601 Commissioner Board of Building.Regulations and Standards I j HOME IMPROVEMENT CONTRACTOR Registration;- 156744 Exp�rat�on 7t31/2009 Tr# 256294 Type. In,dMdual ALESSANDRO LOPES I ALESSANDRO LOPES, I 8 WESTON CIRCLE, NY HYANNIS,MA 02601 Administrator .. . e DATE �Ki nr iv. 0 IFI� � f 92/2008IRDCR .. h PRODUCER THIS\CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE)AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 JVIAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE, MA 02655 COMPANIES AFFORDING COVERAGE _ COMPANY NAUTILUS INSURANCE COMPANY --- -- -- -- —� A — — INSURED COMPANY ALESSANDRO LOPES g LIBERTY MUTUAL FIRE INS. COMPANY 8 WESTON CIRCLE — HYANNIS, MA 02601 COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L R I TYPE OF INSURANCE POLICY NUMBER, POLICY EFFECTIVE POLICY EXPIRATION LIMITS T I I DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 A X I COMMERCIAL GENERAL LIABILITY NC743384 e'`'. 02/11/08 02/11/09, � I � ! PRODUCTS-COMP/OP AGG $ CLAIMS MADE [_1 OCCUR /�/`J PERSONAL&ADV INJURY $ OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000 FIRE DAMAGE (Anyone fire) $ j MED EXP (Anyone person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) —I HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident hPROPERTY DAMAGE $ I GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ --- EXCESS LIABILITY EACH OCCURRENCE $ j UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ B WORKER'S COMPENSATION AND 0696379 08/06/08 O8/O6/O9 T.Rv LM17S i EMPLOYERS'LIABILITY - - _ - EL EACH ACCIDENT - $ _ 100,000 THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE -- - OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CR�IFICATEHOLOER�' E NG L44 .. .,�� . .,_�.. , �. .. -_�._ :., .� ��, �� TION� . �� ,�,� ��•��.,��" .�� ?may ,m_.�� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E1PPIIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OF BARNSTABLE _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHO�p RE�TATIV§`;A'� �ACORD 25,S 1!„9„5) Assessor's Office 1st floor MaD Aav Permit# 373 j Conservation Office 4th floor Date Issued Board of Health Ord floor) M"Ll- Engineering Dept. Ord floor House# 1 r{(J'. '� Pln nip t-- st-Itw--dS'chwLAdmin._Bld ,t r ► wu+arestt, DrA+Ery ved •n -Boardf 19 i �� 'aIa � ��(Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) w TOWN OF BARNSTABL , Building Permit Application; f Protect Street Address I F_ LLI 0 ` R ct a-Sr Village '` r t��/.-�2 ti I' ( � b-11 Fire District Owner C 14 r'�- (2 S w- C7 C[l r f� Address ( �l Telephone �:? -7 S S 7 :5 3 Permit Request: Zoning District Flood Plain /"/d Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use *,tJM ProRgsed Use C O S Construction Type «00 1 4 Existing Information Dwelling Type: Single Family S X6,4-0 Two family Multi-family Age of structure S_Y4_� Basement type C-0 /V C/Z Iz ( ram Historic House /t Finished IV 0 Old Kings Highway 1Y6 Unfinished Number of Baths No.of Bedrooms Z, Total Room Count not including baths) 1— First Floor li Heat Type and Fuel O_L T-rp�` / I J7 Central Air Alfo Fireplaces L. J Garage: Detached '-Y\/ p Other Detached Structures: Pool N Attached 1'&5F s Barn �� m None Sheds Other Builder Information Name Telephone number -36 a- 3 7,33 Address License# C/ 6 YZ �� J Home Improvement Contractor# f a 5 F Worker's ComMusation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULT G FROM THIS PROJECT WILL BE TAKEN TO 13�,., *.-,f' `b 93 b 5� 0 Project Cost Sd O,� �^ FeeS� SIGNATURE DATE /�2 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY l9 7 ADDRESS a / VILLAGE t- OWNER ��/• -- a ,� DATE OF INSPECTION: FOUNDATION =` ' FRAME •I � c/']1.7 v ? i 45 INSULATION )C i FIREPLACE on ELECTRICAL: ROUGH FINAL PLUMBING:.., ROUGH FINAL GAS: ROUGH FINAL }, FINAL BUILDING: ? DATE CLOSED OUT: t f ASSOCIATE PLAN NO. 'j COMMONWEALTH � DEPARTMENT OF PUBLIC SAFETY failure to possess a cn►rsnt 6F ONE ASHBORTON PLACE }ANassachnsetts Stat@Building MASSACHUSETTS BOSTON,MA 02i08 a #Cody/sc�lr�otorrsvocsups j of this llcoi iii ` LICENSE ! EXPIRATION DATE 1 �J j CONSTR. SUPERVISOR � CAUTION 08/�/199.5 ~ 12 . 31 'j' EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRIC-DONS ;� THEFT, PUT RIGHT THUMB N(WE 06/30/1993 015047 PRINT IN APPROPRIATE i.o BOX ON LICENSE. HARRY J GERRIOR ,It 1660 NW PHIANEYS LAf r �BLA ;I GObE' RA QfS BARNSTABLE MA 02630 CLuP�OTo. t,m .�I OPR ONLY) FE �00.00 VA lip n NOT -..yy LID UNTIL SIGNED BY LICENSEE AND OFFICIALLY µ'ti1 HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER r �• ••+'t� ��yI/ f/� THIS DOCUMENT MUST B „ ,i�r"��Vf SIG RE OF LICENSEE '«`SIGN NAME IN FULL ABOVE SIGNATURE LINE • �,i '� V /�-fr, CARRIED ONTHE PERSONO-.- _ THE HOLDER WHEN EN , OTHER$'$K�k}FJ}7pM8'PRINT GAGED IN THISOCCUPATIONER'I ' fI' 4 #3 r�� '� '��,i�, �� f HOME IMPROVEMENT+,it' ACTORI f t #z �Registrat>on 4148587b ;. z " Type IND71VIDUAL1Nw'.' Ezpiration�> 08/20/96 yr I I , s'kty* � � Harry'J6errlor EnterpTlses r, ar ytJ iGerrtor `�"'�O� �'60�Phinneys�Lane/P0�`Boz 294 '`, • �4 r ADMINISTRATORi4xnFh f 5 [ , }•4��'"t ��$��4� kf�'s ::�.r1'.�C ors.e s•.s;,:<a..+.....w�u:;.: -�.....:�..�=+::Y;:.a-Vtyw.t..,.. . The ToWT1 0-fl "IT"T1ct,iTJIC 3o t:;a,n Sum H3•211i,s MA 02601 Office. 50&79"227 Fax 508775 3344 Ralphelossm IkICommissioncr Far office use only Permit no_ Date �- 4�7 AFFMAN Tf ROME IMPROVEMM CONTRACTOR LAW SUPPLEMENTTO PERMITAPPUCAUOK MGL•c-142A requires that the-r=nsuuaioq aItcmtioaS� on.=mVembork; reaocation, improvement, rrrnoN21, demolition,or arnstnxtion of an addition to aay prao-posting vQvaer building containing at least one but not more than four dwelling units or to strueiinos which axc adi _ ifi such residence or building be done by registered contmccors,vdth certain exceptions,along with other - n�- Tjpe of work-: C Est.Cost Address of Work: Date of Perrnit Application_ I hereby certify that: Registration is not required for the follouing rc2son(s): Work<xcluded b%-12a• Job undo Sl OW Building not cwncs-occupicd Owncr pulling 4o km permit Notice is hcrcbv giNcn th2c 10\V 'EP4S PULLING TF—PIR OWN PLF-•-JTOR DEALT'�G VVITrl UNREGISTERED C01�'7TtACTORS FOR APPLICABLE HONE t,'OFi; DO N:OT HAVE ACCESS TO TKE /-,RcT7R,e,Tl0'\'PR0GTift1,;OR GUI,Rt?�Ty FL^,'D L �DLF,};Gi c. ]<2A SICKED UNDER PENALTIES OF PLR py Crcbr 2Y^-,1, for 2 Ir i1 rmit 2S ,C 2^Cfi l r / t _ L'.c cN, c; D2tc J Cont�c e; 2rc P.esistration 3�'0. OR Date Owner's name L G C r ST koP� a XC- LL—Ji —11 ax(. sI LL. �.^. .ate-.�._�_�. �--^•--s � i E s . /V X/ T .v i RW,HAFiDBAXTER A. �r I T t•-r LAW I _CE,e T/F/EO SLOT F=I.4 Al P,eoposEa / CE.e T/.c"Y THAT THE .4t�Z) y-/0 �-- i J'1410WIV 1714SeEGLI/COMf�L YS W/Ti�i� SC,4 L / - O.q T� A.vl�SETQA C,' ,BA XTE.e�NyE /NC. ZXIIS .�.C.4.t//S i(/4T B.4S,E"O D,v ,4i(/ AEG/STE,eEp L1c{,c/p SU.eYEy2�r� 0,��5'ET.S'Syol✓�3/Sf,I�ULL> �t/OT 9� ,z�T /NES, .4F�� /C,Q/�T" �/4.4i�LES FUC:-�k L E: 11/02/94 17:02 %T6177277122 DEPT IND ACCID Q 001 C2 orn4nonweaCt{i o/ Vai6ac1jttJett6 ' aUaParfinent o��nc�u�fria�✓dccic>lenf.� 600 I/Vwknyton StMot James J.Campbell &Ion, ///amackw4tt 02 f f f Commissioner Workers' Compensation Insurance Affidavit ((Iansec/permiaee) with a principal place of business at: (GcY/Srsee�ziv3 do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number JK l am a sole proprietor and have no one working for me in any capacity. O 1 am a sole proprietor, general contrauor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number O I am a homeowner performing all the work myself. I understand that a copy of this s:stement will be forwarded to the Office of Investigations of the DIA for coverage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisdne of a fine of up to 51,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this � day of /2 — % '7 , 19 Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 40/4, 405, 409, 375 TOWN OF BARNSTABLE BUILDING PERMIT # 3 �7940' Assessors ma and,lot number p THE Sewage Permi'w number ..............�)...... ..,...�...................... Z SARNSTADLE, i House number ........*z,3....5.......................................f 3 rMAO& .�_ � 163q. I- � Ufa {�' � TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION .......... ......:.........................................�..................................... /.. '. .............................9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for /aQpermit according to the following information: ... ............Location ...�1 . ........ / < � �,.. .. ...... .............. ................................................ I; j ProposedUse 7 i,z,.� ..[- `��??-�1.................................................................................................................................. ZoningDistrict ................ .. .............................................Fire District ............................................................................... !!Y C��1 � r� .. ...............Address ... n.,.. C! .�.�J� �s ................... Name of Owner :.:..- /� Name of Builder .... r7e ... ti1 �-!.r'-4...........Address .. � �, i ' .zF ......................... ...... ... .(� /�-. /1 Name of Architect �''f?..!�? Wit....: .,..;. Twt �------...Address ... �� U✓•...:................................................... Numberof, Rooms. ..................................................................Foundation .......��!r�l..M.......................................................... Exterior ..... �{ �'4 .`... r$° ........................... ... .. ....... �......... .....'. Roofing ........ .................................. /a Floors . l rf� - !?.,............... }. � / .....................Interior ........... L! , Heating : ! ,'. +:.::...:::......... ........ . .............. .....:.::.:.:..Plumbing-.... . ......... .... . ........ . . ....... .......... .o.... Fireplace } ..............Approximate. Cost �� 3 p ................................. . .............................. �...................................................... t --------------1 9--------. Area ...... .. `J� F/ Definitive Plan Approved by Planning Board __________________ .................. ......... .. �. rru l Diagram of Lot and Building with Dimensions Fee .............. .................. t, P SUBJECT TO APPROVAL OF BOARD OF HEALTH ✓7 1-� �r�i' 10 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 .fir /tea ,craf"! �.� , s�✓ °................ elk Construction Supervisor's License .... ..,.... !....... j� BUCKLER, CHARLES A=228-1-3,9'� 28212 Two/Story i No ................. Permit for .................................... f Single Family Dwellin .............................�. ..... ..................... 79 Locatiqp 'AS Elliot Road ..._...... ........ ................................... Centerville ............................................................................... Owner Charles Buckler .................................................................. Type of Construction ...Frame............................ ................................................... .. . ...... Plot ............................ Lot ................................ Permit Granted ......July..1 .j.................19 85 Date of Inspection ....................................19 Date Completed ......................................19 • n f Asses is mdp and lot number/�.. ?..........��4?� -i� 9—o� /.z/o THE G� � � F roe Sewage Permit` number .......... ..:...�/. . .�.............. � �i C SYSTEM MUST INSTALLED IN COMIFT'LIANAV ZAR19 ABLE, House numbe� .................. . ....- .......... ....1 1....:f'-�:-5:: / �"_�IT1-I 90a . �,�'�L� t�'s O 1639 • ' ►`�"' TOWN OF BARNSTAB1L1-`- ` L kj BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......................... ?J .... ......................................................... TYPEOF CONSTRUCTION ..........a. . .................................................. ............................................................ Z....�............................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following i formation: Location ..44 ....................... ,Cr ...� �?1........:.........Cr.� �r4� 7..,,. /I/................ ProposedUse .. ?l . ............................................................................................................................. ZoningDistrict ............... .�.1�t...........................................Fire District .............................................................................. r Name of Owner �...............Address ...G .2��-��L*� e Name of Builder ........Address .. ......................... v Name of Architect .. 'ft ../..........Address ... 1 �� .................................................. Number of Rooms ..................................................................Foundation ... Exterior ..—� : . ..Qp ..,` !............Roofing ......11 ....................................................... a Floors1 � ....................................................Interior ............a/p. .!(............................................ Heating ...� �,,....1............................................................Plumbing .......... ..... 00i : ...........,................................. , Fireplace ..................................................................................Approximate. Cost ..... .: ,......................................... Definitive Plan Approved by Planning Board ________________________________19--------. Area ......A..Ov..... . ........... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH X X,I�, yPb _ I 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 .... �" .. '. . .. f `.................. Construction Supervisor's License D./�� .....9..... s 4 -BUCI�I-—R, CHARLES No ..Z 1.Z.... Permit for J.V.ild,-,,,2„Story,--, ' .........Sing7,P..FAMiky...]WOUink....................... L,*ation ... �......................................................... Lot 5 lI� Elliot Road fi Centerville " Y ......... ...............................:.................................. Owner .....Charles Buckler ^ ' ................,........................................... o Type of. Construction --Frame f Plot ............................ Lot ................................. - Permit Granted .......July........16.....,....................19 85 i Date of Inspection ....................................19 ; Date Completed /�1.." `/............. .19 r lit 4 C,-14 .S5'b� 4�"!'7i�.a"�1Sb - _, �_�_ 1 ��ifanS•�'�`✓��-.ESN/ - . . ' Q'CZt,�ifa'r7S O�b''7' O�a'�1S/99a' /Yb' p O..�Sd'•� 1 o/Y S//Yb'7'd S//Y.L • /�� ri /�tr?"� i1'/b'7da�O7�' �/Y1 /Yl/Y�C/�f yd.�1b'.707' t.. ��/Y�c-3'�...��a' !Yb'7d �NiNo.1. 3iYl .�O '.�!✓Y��a'//)d�a' Q/G �..c b-(::, - 7-7 V---) f�1//N Ste(7v'!-y0��'Y»a'�itf N/yfOryS � t t b££61 atd ,� �.qp (� , 40 ry 7T IJ 1 oFtME TOWN OF BARNSTABLE 'ui � Permit No. ................ BUILDING DEPARTMENT wean I TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond :...... CERTIFICATE OF USE AND OCCUPANCY Issued to Charles Buckier Address !.,ot 5, 181 Eiiic,-t Road 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. D€:c,c:.,qaur.. 1..s 19..... ....... tea" f y Building Inspector t TOWN OF BARNSTABLE BUILDING DEPARTMENT ! SAXISTAU : TOWN OFFICE BUILDING rua �°♦' i6J9' �� HYANNIS, MASS.`02601 r 1 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by ? uilding Permit $k..... „.................................................... ...................................... .......................... ..................... issued to Z-........ � JG 'L. �'" ......... � f�G /l� `.. Please release the performance bond. 7 +r'Mtv�cle�rw•�rw�.,-gc,;�+/�'""'��41 , ;arr,r�J.n��.�..�.. .,e. r,;*. 1•• . PINK-DEPJ..FILE COPY/WHITE-FIELD COPY/YELLOW-APPLICANT COPY �''�°.'� z'o° ` U,IL,DING as T W OF BARNSTABLE, MASSACHUSETTS P WIT N. VALIDATION DATE July 16, 19 85 PERMIT NO. • NO 282. APPLICANT Triple H. Service ADDRESS 347 Wheeler Road ^#01 (NO.) (STREET) (CONTR'S IJCENS-i PERMIT TO Build Dwelling (L..) STORY Single Family Dwellin . NUMBER OF y _DWELLING UNITS ` (TYPE,OF IMPROV T) NO. ' (PROPOSED USE) AT (LOCATION)_ Lot S, r1 Elliot Road, Centerville ZONING ' IIDISTRICT (NO.) (STREET) BETWEEN AND (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 CONSTRUCT! TO"TYPE USE GROUP BASEMENT WALLS OR FOUNDATION .. (TYPE) REMARKS: Sewage :84-116.1: . Bond .AREA OR 4• PERMIT 102.OU VOLUME 1604 '3 fta ESTIMATED COST $ 65.000.:00 FEE (CUBIC/SQUARE FEET) Charles.Buckler' .OWNER Qn eTV Q BUILDING DEPT ` ADDRESS. BY. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDE WALK OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECI L LLY PERMITTED UNDER FICAY PART TTH.E BOLDING UIERMSRV, ® PROVED BY THE JURISDICTION. STREET OR AL . AS DEPTH AND LOCATIOI � I OF PUBLIC. =t:'c aODE y,r.IgY LEY GRADES AS WEL dE MUST BE FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS P£`nMl; DOHS NOT RELEASE THE APPLICANT FROM THE C6rDi?lC OF ANY APPLICABLE SUBDIVISiON RESTRICTIONS, MINIMUM OF THREE CALL INSPECTIONS REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- ELECTR ,I PLUMBING NSTALLATION S. MEMBERS(READY TO LATH AND MECHANICAL 2. PRIOR TO COVERING STRUCTURAL OCCUPANCY BUILDING SHALL NOT BE OCCUPIED UNTIL 3. FINAL INSPECTION BEFOREE FINAL INSPECTION HAS BEEN MADE. _ OCCUPANCY. 'POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS . ELECTRICAL INSPECTION APPROVALS 1 2 2 -- 3 ' HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVAL: 1 ' ENGINEERING OTHER ? ...—.-._— ------- - -- -- 2 BOARD OF HEA TH P lid V V4iNSPECT C i� 2.C C!GLG-`WORK SMALL NOT PROCEED UNTIL THE PERMIT 'HILL BECOME NULL AND VOID IF CONSTRUCTIONNDICATED ON THIS C� INSPECTOR HAS APPROVED THE VARIOUS WORK IS NOT STARTED°WItHIN SIX MONTHS OF DATE-THE STAGES OF CONSTRUCTION. CAN BE ARRAt(GED FOR BY TELEp— ' PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION. r G'n .�wI1 D 7.77 . .. r.�.vgr�•p � S'�: d7•q""�,u v�� tr FW_Anf 1:,.t;, - O;.Fi-T'tP').'•:;. PICK-DEPT. FILE COPY/WHITE-'FIELD;COPY/YELLOW-APPLICANT)COPY 7 D Q ` 1 + UILDING. a. S TOrVNN OF B�ARNSTABLE, MASSACHUSETTS P RMIT . " rJ VALIDATION �F 7 k. DATE July 16,, 19 85 PERMIT NO ''Na ',� 282 2 Triple H. e i Service 347: Wheeler-Road 4 0T8dy APPLICANT P , ADDRESS (NO.) (CONTR S LICENSE) . (STREET) Build LhdC'11.1nQ Z STORY Single Famil DWe11in DWELLING UNITS NUMBER OF PERMIT TO (_) y (TYPE.OF IMPROV T) - NO. . (PROPOSED ZONING.. J .C. AT (LOCATION) Lot 5, Elliot Road, Centerville DISTRICT . (NO.) .(STREET). 'BETWEEN~ AND (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 TO TYPE _USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage :84-1161 Bond AREA OR . - PERMIT 102.OU VOLUME 1604-.Sg• f t'• ESTIMATED COST S 65,000.,00 FEE -(CUBIC/SQUARE FEET) - 'Charles Buckler s. OWNER ell erV a BUILDING DEPT ADDR SS�. 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 pop. MUST BE PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAIN FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CON!DIT.!C• OF ANY APPLICABLE SUBDIVISION REST.RIr..TIONS. MINIMUM OF THREE CALLAPPROVED PLANS MUST BE RETAINED ON JOB AND THIS INSPECTIONS REQUIRED FOR WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FORELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. i 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3, FINAL INSPECTION BEFORE - OCCUPANCY. - 'POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTIP_L4 APPROVALS t Jtiat ! . 2 2 2 3 HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS ENGINEERING OTHER 2 ------- 2 BOARD OF HEA TH t � WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIC:: INDICATED ON THIS CA E:�SPECTOR HAS APPROVED THE VARIOUS I WORK IS NOT STARTED WITHI%. IX MONTHS OF DATE-THE CAN BE ARRANGED FOR BY TELEPHO STAGES OF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION. )