HomeMy WebLinkAbout2220 FALMOUTH ROAD/RTE 28 a a o Tom. l v k c,�,
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Town of Barnstable final Inspection Affidavit
` Date:
C
Thomas Perry, CBO Q t
Building Division
200 Main Street ` &a
Hyannis, MA 02601
RE: Insulation Permits
IN)
Dear Mr. Perry,
This affidavit is to certify that all work completed at: .
Street: 1220 j A f vhyu+t x fZoe�� IZ 4-e 2 S`
Village: 4b0 r\'-1[(ram
has been inspected by a certified Building Performance Institute (BPI) Inspector.All work
performed meets or exceeds federal and state requirements. r
Permit application number: 2�r4a �tS 7
Issue date: l 2 4 f K
Sincerely,
Francis Shed an
President
Frontier Energy Solutions, Inc.
502 Harwich Road
Brewster, MA 02631
Office: -774-237-0410 ,
Email: fssfrontierenergy@gmail.com
- t
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map pp Parcel A i'Tcation #
Health Division Date Issued !S
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address �( Z2® 0eA4,®v+i-_ / i1 k• 2�
Village Cg&k 2'r-t
Owner _T0 SOLI 1 AC4 V Address I gr� �i'\-����-- �G�SS��', Q6V"—
Telephone s6 s�-' ��� ' 2�''l I���Ln�', NA A 0 2!�_3 ?—
Permit Request r_eQJoSte- � 1lD � 2 6.-� k1 , eW6,((
DOL I O 2 -6 e T� L G C r_V"_w4(( . yael�F (�`t"� �,X n'a 11 S+ ��`-f u nac c
Square feet: 1 st floor: existing proposed t 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction TypeCD
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach im porting aocun]�ntation.
-1 x�
Dwelling Type: Single Family L`7 Two Family ❑ Multi-Family (# units)
--4
Age of Existing Structure b Historic House: ❑Yes &No On Old King's ighway-U Y( r o
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing —new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal #, Recorded ❑
Commercial ❑Yes 34"No If yes, site plan review#
Current Use �� cC _ Proposed Use �SC�-
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name S6ly WO S : Telephone Number
Address >vnIV'�C.1/� � License#
1>reysr. 1`�.,`'� �2� Home Improvement Contractor#
Worker's Compensation # VWL-' 100�� �61T3 ls,'2 14A
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
Qofin �/aa U/l - rG�Cyu NA 0244 5-
SIGNATURE DATE I `�'I 3I
t
FOR OFFICIAL USE ONLY
y
APPLICATION#
--DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
4
4
DATE OF INSPECTION:
FRAME .. .- _ ...�
t= INSULATION..:.
' FIREPLACE
ELECTRICAL: ROUGH FINAL
j PLUMBING: ROUGH FINAL'
r
GAS: ROUGH FINAL
FINAL BUILDING
.._DATE CLOSED OUT
ASSOCIATION PLAN NO.
- The Comrnvnwealth afMrassachusetts
Depaarmiew of Industrial`Industrial Acdrtdeft
0f € .r e aiavxfs
f.domes tag
bllD Wshlrtgters street
. .i3tort,MA 0211"1
% W mass. 0 v1dia
Workers*Compensation Ins .x an e. Affidavit: n.t r.e�/� tractors lectri ctsasCer ;
Name{Bus t=Mrwizati0Uft&vidt W.t-
City/Stateal �Z..�rtT i Otte#
Are you an employer?Check the appropriate boa
Type"ofproject(ree):.
,�{ 4. Iam-a contractor and 1.
�.aim a employer with
* have.aired the stab-coaftwors. �= New caiisttucticsas fi
employees f full anfot'part time}.
2.0 I am,a sole'proprietor or partner- listed an the attached sheet:.... " 7. Itemodelixt
�'hese sub-coutractcus bays,.." .
ship and have no employees 8. .0 Demolition
,vatkiag" for me in any ca acity. emgioye and bate-workers'
[No workers'comp,lusutance
co insurance; BWdsng addition. [
5."O ii are a cutporafi and lts 1011 Electrical"repairs or additions
r�T
3..:( . l am a h:atrteowaer doing all wcrrlc" . officeis have eased:their :'" 1 l [ Pluttrbing repairs or addition
sal£jNo�arorkeas'c not.of e�cempbon get MGI.
§ f ) 0 �
msurancer . ? omp. c, i52,, l anii we have tlo.. l2 oof repairs
;. o:
.. l3." tlfher
i,. 3a.{� t am a izat3teawttcz airing.as s enipltiyees-[Ne3�it?rleers'
general V ont sor co iasttxance
t.: w {refer to#4)
a
Is 'Any WlicW that cheeks box#1 maA also fitl mu."the seetiom below sltawiug then crati¢rs'compenwAoilkhey infbin adan
{.: t Hom enwnm wbo submit this affidsvft:indicating*cy are doing all wo*and then Bite outside cautracum must submit anew afidavtt-&-tiag MC L-
i
lCanttactoas t}i chsctt this boa must attached=sddWowd Whet showing theism of the sub-rmatra m ami state what'ha.ar uat tltoae s�ttitiea beau..,
rmployecs.I dw subcannamn have 8ui toycm dtayamn Vnwide"dwC :wafkM,camp.PohGF
e
' I am an empl
oyer psavidi markers cortryetasattvn tnsarance for n+Y elayees: eedoat:is Ae proltcp and job site ,
l?, infonffiv on:
insurance Company Name:_ fga,�t —C Lo
Policy#or Self-ins.Lic.*: V i,P [ f 1 } tioti Bate
Job Site Ad&vss;.222 .: lInn"ey p taw p o 3 2-
Attach m COP?'"tift�ie i�orkets'compensation.pollcy declaration:gage.fsbowlug:tb po q anumber atstl expiration date).. .
Fail=to secure"ciivera�e.as rewired under Section 25A of MGL-1 C.:152.can lead.to the.imposition of gal,penalties of a
flue up to$1,500.00 and/or one,year imprisonment,as well as civil penalties iit"the'form of a'sTOP WORK ORDER and a fine
of up to MOM a day against.the.violator. Be advised dies a copy of this"stale eut'may be forwarded to the Office of
investigation$.of the-DIA.far insurance covetmge verification.
I do herebe.t:nrtt�y tender a wits and peraal'tles of pgWry that the informal�t n providedabove to i end correct
} Da% i2 f
Ph - i'
OflkW use only. Do not wrke.in this area,to be wwpieteo'by dv sr tows offidaL
City or Town: PermitiL:icetase# ..
Issuing Authority(circle one):
i. 1.Board Of Health Z.,Ruilding D.ePartment 3.City/Town/Town Clerk 4.Electrical Inspector :5.ftimbing Inspector .
iw Other
contact pen otte Phone*
:
3/18/2014 1 : 10 : 10 PM 8740 2 03/06
;4c CERTIFICATE OF LIABILITY INSURANCE OATBt YYTi
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO#€[C3 m UPON THE CEF3T1F1CATE momER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATWELY-AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTTTITE A CONTRACT BETWEEN THE ISSUING INSURER(S).AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CE MFICATE HOLDER.
IMPORTANT:N the certificate hoirler is an ADDIFTONAL INSURED,the porky#esj must be endorsed. If SUBROGATION IS VANED,subject to
the terms and conditions afthe Paficyi certain policies may require an endorsement,,kat Iement can this cedificate does not confer tights to the
certificate,holder in flea of such eradorsemwvtls�
PRODUCER 005w-001 ,(affray fare
Rogers 8 Grapinsurattce Ago lTcy �. ($QOj5881$Ot AJC.Na: (608)3$$-0246
434 Route tad
South Dennis,MA OM-.
___. sN�klRBrll.: A-lAt Mal"Insurance Con"ny 33788
MURED
RMRSFronfer Energy Scfutlons the ;
502l4aravads Road, i
Brewster,MA 02631
COVERAGES CERTIFICATE NUMBER.- REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 14AVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TT•E POLICY PERIOD
INDICATED. NOTNTHSTANMG ANY REQUfflE MENT,TERRA OR CONDITION OF ANY CONTRACT OR 01VER SENT WTH RESPECT TO WHICH THIS. !
CERTIFICATE'MAY BE ISSUED OR MAY PERTAIN,THE.INSURANCE AFFORDED BY THE POLICIES DESCRIBED MEREIN IS SUBJECT TO ALL THE TONS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOTAPII AWAY"AVE 13MN REDUCED BYPAID CLAIMS.
TYPEOFIHSURANCE I POUCYNUMBIER u ' POLICY. Llmrm
GENERALI AMUTY - -EACHCCCURRE14CE. S
CO.A 'CIALGENS V_UAE9_1iTt DA tt r. 3
CLAIM&AIADE' Ili. A9�7SP"(Anyane�eean3_ .g._......._..__
[ PERSONAL 8 ADV IN.AIRY S
GEIFR AL.AGGREGATE $
AGGAEGATE LINT APPUGSFM. PRODUCTS-CQ16YOPAGG $
S xY o- C
t AUTOMOBILE LtAEM Y - $
ANYAUTO BOD1LYiN,1URY(Il.Y4�eatwnl $ - .
ALLOV44M SCHEDULED
AUTOS'SCHEDUL SOLllLY.iPdJITRY(Paracd } $ -----
HIRm Auros UTO;MNQ? Par ecd&n lmpmy C
fr
llmmrd.LAtm OCCUR EACH OCCURKNCE $
EXCESSLIAa HCLAMLWE AGGREGATE $
DID RErlNnON S 5
t` 't�t l#4f4 XCT
A. t rl IB E L NIA V WC-1804104631S.201 lA 3M40114 311411'II1S EL F1�Ct ACCIDENT $ 1,U9.....
I ndatoryln t4Hi E.L.DMAOE-CA DAPLOM S 1,m 000m
'GPSRATrONSbekw I iF_L.,`DlSEASE_pOUCyLlwT $ t tlo$,f3@lf ffo
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DESCR1f:riWt6F0Pl�iR7[ONSrfACA'r�NSIVB�fd-t {AtLietrAC6RB494.AdatmlRss�a[ksBNtewffmoi2s�Ceissn"vad}
A
CERTIFICATE ifOLDER CANCELLATION
Tovtn.of5arch .
130 Main Street WOULD ANYOF THE ABOVE DESC1RMEDPOLICIES BE CANCELLED BEFORE
Sandwich,MA 02663 THE E MRATIONi DATE THEREOF, NOTICE MILL BE DELIVERED IN
ACCORDAIME WTTFI THE POLICY PROVISIONS-.
i
- RTdTt3S7RV.STKEPRESVNrA7tYE
(D188$-3410 ACORD CORPORATION.AN rlglds reserved.
ACORD 26(2o'W185) The ACORD name and loge are registered maths of ACORD
3201
only
ofCw -
muuerAfEdm&Roan
License oar T�-
txost vs�ad fob iiAdivtdui t Se [ti3'
cgaLg�eon
-NE IMPROVENTEW C OWRACMR . hefose the expiation,date.If found MUM to:
- 16WS4 T}tP-- Offi=of Consumer A#esrs and Bnsiaa_cs Regulation
Roston,MA 02116,
FRC}i�tTtER E-NERGY SaLIfIiSS .- .
�F�ryRy.rAlNCIS��ySmEEaH�Af�t .., :...
U."efTEt8n!
- Restticted To_-CSSi4C:-InwhHonConbadw
Massa-usetts.-Depart ret iof Pubi.Y Safety
'Board of BWd-ing Re
gulaftns.and Standards
itse:tL tit.
.51
FIR-ANCM.&SH&MIk _
-
FWAUMto possess a ctumntediition of the Aliassachuus�
stte-wom Code is caysefo rrevocation of this license.
For t? 51icsia�irtfanreatsanva3t uu�ov/ES
Cot m ss a er 02(17W&
i
�.IF
460 West Main Street
k MA 02601.-3698 '
FIOte3�ng �� z . - Hyannis, '
Assistance "M''' Tel:(508)771-5400 Fax(508)775274M)
. corporation
TTY on all lines
Cape cad
Free Weathernzation . J
Your tenant has requested and is eligible for weatherization of your rental home
through. government funding. This will be provided at no' cost to you. Program
regulations permit .us to spend around $2,500- $7,500 in materials and labor per
dwelling unit.
Program regulations require us.to weather-strip and caulk doors and windows; insulate
attics, sidewails and floors. All work :is professionally done by established private
contractors. We will conduct a final .inspection to make sure that all work.is completed
to specifications.
If you request, you will be informed of the estimated measures before they are done '
and provided with a list of the actual measures and costs following the completion of
the work.
We also need proof that you own the property. A copy of a CURRENT-TAX OR
DEED listing.you as the owner will satisfy this requirement.
Please fill in all blank areas of the enclosed agreement and return with the proof of
ownership as soon as possible.
If we do not receive-the, enclosed form within two weeks, we will do a basic
energy audit of the horse, but no. weatherization work.can be recommended or
done..
If you have any questions please call Suzanne Smith at 508-771-5400, ext. 1.23.
LANDLORD: ,J*2�;�-e_ TENANT: `� ��� QM' txl_
email: A&A•fQn wtE1'lM.q ecL Ma;/ CaM email:
-,
PHONE:{home} PHONE:(home) ��6� •
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(cell) �`Q� 24 7 1
2?
TENANT/PROPERTY OWNER/AGENCY WEATHERIZATION AGREEMENT !9
1. The Parties to this Agreement are the following: r.
1
(hereafiti nown-.
(print your tenant's name) -1
- 0 YIrIA it (hereafter known rop er) `
(print your name) Sfr
and Housing Assistance Corporation (hereafter known as Agency). In consideration of the mutual promises
hereafter stated,the Parties agree as follows:
2: The date of Agency's signature will be the effective date of this Agreement.
1
3. Property Owner,and Tenant consent and agree that the
Aggeennaq may do the following with respect to the property
located.ar�et�� �
unit# . and currently leased or rented to the
Tenant:
a) Enter.the premises for the purpose of performing a Weatherization inspection. ,
b) Enter the premises to perform Weatherization work which the Agency determines in its discretion is
necessary and appropriate as a result of the Agency's inspection of the property and in accordance with
the appropriate priority'list for the type of dwelling. The Agency and the Agency's contractors may also
enter the appropriate common areas of the building for the purpose of accomplishing the Weatherization
work. The Agency and representatives of the Commonwealth of Massachusetts, Department of Housing
& Community Development (DHCD) may.further enter the property to•inspect any and all work
hereunder. The Agency will provide reasonable notice of the timing of the Weatherization work and
inspections. The Weatherization work will be performed in accordance with the Property-Owner's
consent as further specified below:
***:INITIAL ONLY ONE OF THE FOLLOWING***
I consent to performance by the Agency and its contractors of any Weatherization work determined
. ,necessary and appropriate by the Agency as a result of its inspection of the property. I understand that
the Agency will provide a detailed statement of the actual work'performed and the associated value at
the completion of work.
I will provide a separate consent to performance by the Agency and its contractors of Weatherization
work following my receipt of the Agency's inspection report and a statement of the estimated work and
associated value. This additional consent will be sent under separate cover as Attachment A. 1
understand that the Agency will provide a detailed statement of the actual work performed and the
associated value at the completion of the work.
4. The Prepeity: vu►er i;i�oarstai�is:and ages tat ary arii�`'aii` rv � int;fusn .rG6nted-,,.epairg for ; hlch e
h...
Property may also be eligible, will be performed at the Agency's discretion. The Agency estimated completion of
the Weatherization work by the end of 2013.
5. If the Property Owner is required to make repairs to the property prior to the commencement of Weatherization
work by the Agency,the Property Owner will be notified by the Agency and\will be required to make.the repairs as
soon as possible. Except where the Property Owner receives a written extension from the Agency, time is of the
essence in the performance of repairs by the Property Owner.
6. The Property Owner and Tenant authorize the Agency to receive a statement from the fuel supplier/utility supplier
as to the quantity of fuel/utilities used at the above address in each of the past three years and the future three
years. The information is to be used only to determine the cost effectiveness of the Weatherization.
improvements.
7. The Property Owner agrees that the rent for the dwelling unit will not be raised because of any,increase in the
value thereof due solely to the Weatherization work performed.
f
J
8_ . In consideration of the Weatherization work hereunder, the Property Owner further agrees that upon the effective
date of this Agreement and during a period extending through 2013/2014, approximately one
year from the time the work is completed,
a) The present rent $13'60•QU'per month will nos be raised for any.reason. (The rent amount must be
filled in). Heat included in rent?Yes.____ No j/
,r
However,this Paragraph (8a)will be'waived by the.Agency In writing if,and only if,the premises
are leased under a state or federal rent subsidy program, In which case the actual rent.charged
ti by the Owner shall conform to the standards of the rent subsidy program. -
Please state which Housing Subsidy program your tenent,is on and through which Agency:
b) The Property Owner will not institute any summary process action for possession except in the case of
non-payment of rent or other good cause related to the Tenant(or any successor Tenant).
c) In the event the Property Owner decides to sell the premises, Property Owner shall comply with one of
the two requirements below:
—The Property Owner shall not-sell the premises unless the buyer agrees(with a copy forwarded to the
Agency) in writing prior to sale to assume all obligations of the Property Owner set out in this
Agreement;or
--The Property Owner shall pay the Agency an amount equal to the cost,as certified by the Agency, of
the Weatherization materials installed and labor performed,in the premises"as of the date of sale. Said
amount shall be paid to the Agency immediately upon sale.
9. (Applicable only if Tenant's heat is included in rental payment and blanks are filled in) At the end of the
period set forth in Paragraph"8 above; the rent shall not be raised more than % per for an
additional period of one year, and the provisions of 8b and 8c above shall continue in effect for such period.
However, the rent provisions of this Paragraph 9 may be waived by the Agency in writing if, and only if, the'
premises are leased under a state or federal rent subsidy program, in which case the actual rent charged by the
Owner shall conform to the standards of the rent subsidy program.
10. The Parties agree that the terms of this Agreement are incorporated into any other lease or agreement between
the Property Owner and the Tenant, and between the Property Owner and any successor Tenant, and if there is
any conflict between the provisions of this.Agreement and the provisions of such other lease or agreement, the
provisions of this Agreement shall govem." However, if such other lease or agreement, including without limitation
a lease or agreement under state or federal rent subsidy program, contains stronger protections for the Tenant,
such stronger.proiections"snail appiy.
11. For breach of this,Agreement by the Property Owner; the Property Owner shall reimburse the Agency in an
amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor
performed on the premises, as well as attorneys fee and court costs. The Property Owner may also be liable for
damages to the Tenant in accordance with applicable law; in such instance, the Property Owner shall reimburse
the Tenant for attorneys fees and court costs. Without limiting the foregoing, the Agency may at its option
terminate this Agreement,by providing written notice to the Property Owner and Tenant, in,the event of breach by
the Property Owner or Tenant.'
12. Performance,of the Weatherization work hereunder by the Agency is contingent upon the availability of funds to
the Agency from the commonwealth of Massachusetts and the federal government,as well as the eligibility of the
Tenant under WAP program 'requirements. The Agency may terminate this Agreement, by providing written
` notice to the Property Owner and Tenant, if the Agency determines that the unavailability of funds or ineligibility of
the Tenant warrants termination.
}
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The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant or any
successor Tenant is the intended beneficiary of the Agreement and shall have a right of enforcement.
Owner's Si nature: Date 0Pro arty d l
Phone: So
Address:
Tenant Signature �f t _ Date l
Agency Approved Weatherization Company
All Cape Energy / Adam T. Incorporated l Cape Cod Insulation / Cape Save /
Frontier Energy Solutions Lohr&Sons Inc. -/ Resolution Energy
Agency Signature Date
l
r
Assessor's office (1st floor): cFTNE>o
Assessor's map and lot number ........... ,,......,.,.�.................... Q.. �♦
•� 44
Board of Health Ord floor): ......... .......... ...............................
Sewage Permit number i BAWSTABLE, S
..... .
MAS
engineering Department (3rd floor): '°o 39
House number .......:%rr;f'.... .,?. ....V,......................... owara'
APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only
- r
r
TOWN OF BARNSTABLE
BUILDING ' INSPECTOR
APPLICATION FOR PERMIT TO r!�! �'!` :........ /E r!`?.'! F I y
TYPE OF CONSTRUCTION ......4:�-.°�?C,A-7.....'c °`!l yyt ......................................... .�.........................................
; b� l... s..........I 9
U "
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the, following information:
Location ....- ........... ........................................................................-............................... Z
f
ProposedUse ... F c i r�' .1. .. .......51.^! ..� ..........� ..`. ''.!...!. ................................ ..............................
Zoning District �(..................................................:.......Fire District .......... .............................................................
.
Name of Owner ..d�l ?rz clf�:`�, r]E'i `/u�'xl��fAddress ..,jt... � r$P.o ..-r ... � 1rc �j
�7.............)...... ........ .
Nameof Builder !!r.............................................a'..........Address ..............................................�........... .........................
Nameof Architect ..................................................................Address ......................-.............................................................
Number of Rooms /� �_ .� C(...............................................Foundation .:..... r'
Exlerior kr-.,.,k'aRoofin ��S i ?,1.'-=�./, ........ .........................
Floors P/( : J` ��.. . /', ( Z,z2 P,r� InteriorA.k,-(I? �: ...C"l.:t: `y . !...........
Heating > ..+fGf� K (C � ySt`" <� f............Plumbing S 'J .. C� ..... .�...� E ...................
Fireplace r+i ...............................Approximate Cost . .��G!oclo
........................ ........................................../.........
J -t
Definitive Plan Approved by Planning Board ____ - -_, -----------19 Area ............r. `BO O
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
mp
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:
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� F
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable+regarding the above
construction.
Name ...... ..
Construction Supervisor's License ..�.p!.. .......�..7........
J
PLYMODU�TH BAY DEVELOPMENT A=169-011-001
/`` � .r '
No ..29252.... Permit for ...1 Story
. ................
Single Family Dwelling
...................................................
Location .... .....2220. . ...Falmouth. . ...Road
........... . .... . ........ . ...... ......
Centerville
...............................................................................
Owner ....Plymouth Bay Development
.......................................
Type of Construction ..,.,,,Frame
................................................................................
Plot ............................ Lot ................................
Permit Granted Ap.ril. :24, 19 86 t
.... . ....
Date of Inspection ....................................19
Date Completed ......................................19
.Air 9
oF�NE TOWN OF BARNSTABLE Permit No. ....29252.....
BUILDING DEPARTMENT
NAM TOWN OFFICE BUILDING Cash "
��rDUVk� HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to Plymouth Bay Develppment
Address Lot 57, 2220 Falmouth Road
.Centerville, Massachusetts
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.
October 28 19 86 ��.............. _
Building Inspector '
-3, c ws.. • ,�
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
t »iT % TOWN OFFICE BUILDING
rua
HYANNIS, MASS. 02601
s
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has been issued for the building authorized b
P Y g Y
Building Permit #.. .... . ............ ............. .._..................
__._._ .... ...... t
issued to ;L?{ .... •� //J:....it`l/JIo ,;�A
I Please release the performance bond.
B ILDIN%M
TOWN OF BARNSTABLE,-MASSACHUSETTS '
mpm'E M m l"
1
JOB WEATHER CARD
DATE — 19 PERMIT NO
APPLICANT _ ADDRESS _
IN0.) - (STREET). ;C.ONTR'S S-ICENSE)
i.
J NUMBER OF .
PERMIT TO (_) STOR,Y ' DWELLIGUNtTS `
(TYPE OF IMPROVEMENT)- NO: (PROPOSED USE) _ -.+
s. ... _• �, .; .� ,ice ,_. ;r;;.x-^- ZONING..,;
AT (LOCATION) r ✓ DISTRICT
(NO.)
i •" t
i BETWEEN ' S 61P� r AND
G y �r _'• ( RUB`- STPE T (CROSS STREET).
i, LOT
r SUBDIVISIO>, �_ _ LOT BLOCK—.--SIZE
BUILDING IS TO BE FT WIDE BY" _ FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIO'
r)
TO TYPE USE GROUP_ BASEMENT WALLS OR FOUNDATION _
(TYPE)
.REMAViKS:
VOLUeE ESTIMATED COST PERMIT$ FEE
(CUBIC%SZQUARE EET) '
OWNER
RESS
`BUILDING DEPT.
ADD BY r ..
THIS PERMIT CONVEYS P'O RIGHT TO OCCUPY .ANY STREET, ALLEY OR SIDEWALK OR ANY•PART TREREOF. EITHER TEMPORARILY OF
tooPERMANENTLY. ENCROACHr•` -,TS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY BY THE JURISDICTION,:;.STREET OR ALLEY GRADES AS WELL AS D.EPTHANIS.LOCATION OF PUBLIC SEWERS MAY BE DETAINEE
P` r '-M ENT 'F'aFS.L1E;-�C WARKS Tuv �egUANCE O�T,k�S PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONf
OF ANY: AiPLIC !E SUB D IVrS(O�N3-E
.� MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL-INSPECTi C`N HAS BEEN PERM17S ARE REQUIRED FOR
ALL CONSTRUCTION WORK:
.,.�.- . ELECTRICAL, PLUMBING AND
1. FOUNDATIONS',OR FOOTINGS. CARD
A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2- PR-1rJ4 T�=¢QY£RING STRUCTURAL_Q_UIR.EDiStiitW--P.>�tL-G1:NG_SHALLt� OCCUPIED UNTIL f !"
MEF,BERS IZE ADY-`TO LA TAJ I - � _ .v
3. FINAL !NSPECT!ON.BE FORE FINAL INSPECTION HAS BEEN MADE_. -----
OCCUPANCY. - .
IBIS CARD SO 1-7 IS VISIBLE I;R®� STREET POST-'A
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS - ELECTRICAL INSPECTION APPROVALS
,2 2 - -- — 2
.3. HEATING !NSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS
O_H' -- _ ------.------. i� --
r Was
- -��;•. WCRK SnA.LL NCT PROCEED 'T' T P--- r _------ — ,I O, UN.;L HE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARE
INSPECTOR HAS APPROVED 74E VARIOUS ,WORK IS NOT STARTED WITHIN SjJ( MONTHS OF DATE ?HE CAN BE'ARRAV_ ED FOR BY TELEPHONE
STAGES OF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. OR. WRITTEN.N FICATION.
,.
s IERESY CERT/IrY U47 ZnAS IAT/1 AiOr,, 4 CAMR /N FE*..RAC(. FLOOoP HAZA.Rp Zav r".4S %5NOWN ON THE FEPEMAL FI.00IP,INWRA1 KC RATE A"P. FOR THE r4WN
J. C 04 N/TY .,P.4/YE,4 i1A0.
ff+E47/YE 44TE ..
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AN /,WShf4/MEMT SUR,VEYANR /.S FOR TM '
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l/SE Off' THE BANK ONLY. UNoE'+P NO LQ_T 51 F.
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C/RCUM.STANCES ARC' OFFSETS rO BE
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USED FOR FENCEtiS, I�YAL,(,�, HEP('ES,
:._
Erc. IYNEO BY•�-YMUU ep
.4AP*f0)Y E G/NEERI/V6 INC.
00- �ROBERT 60 EAST LAf H y
v RAYMOND E•�ST-FA L f,/f,/T A• Q�7V�
9 No.21583 �
�oFcIsTEa�o�`�� �E � I
,4 MN 40P !a"&. 4 P�Pw��s�x.
4 .
Asse sor's office (1st floor):
CF TH E tOfr
........... . .....................
Assessor's map and lot number Q�� ♦
Board ,of Health °(3rd floor): �NConn EPTIC SYSTEM MUST B
�,-- 0 _ F INST D C
Sevgage Permit number ......................... �....................... 'INSTALLED E. t
MPLIAIV • BJfiB9TeDL
Engineering'Department (3rd floor): '�[. ENVI
ITH I LE S 9 2
OO ,
i H,ouse number ....... c?. ...........,................. RONME �0M a'
...:..., NTAL CODE AND
APPLICATIONS PROCESSED 8:30-9:30 A.M. and, 1:00.2:00 P.M. only �'f'1.IA/M REGt1LATIONS
A P P R O V E D Ti oWN. OF BARNSTABLE •
Bar stab e Conservation Co
BUILDING , INSPECTOR
Signed Date
APPLICATION FOR PERMIT TO ..CC�� G...... ....t.. .. ..........................- i.)rrl. .....................................
- �Ql�-fit, U
TYPEOF CONSTRUCTION .... ..................... .................................................................................
. K
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies -for a permit according to the following information:
Location ... .' ... ...................... !g .,ILcOc ......:6�c��. Ce Y7_-ee /i e`...it'4, ..Q b 3 z
..... ............. ..........
J
Proposed Use ... e.. .1. Q fir. 'L......s�~!`! ..� ....... ..1. . ..... .. ---I.........................
ZoningDistrict ........tec.........................................................Fire District ...... ...............................................................
Q
Name of Owner ..!..� . ... ..!f 1,24 '1�Address .. T U7 �� ��'
.......... ........ ............ ...�............... ................ J.
Name of Builder C�dAddress ............................................ ... ....
Nameof Architect ................ .. ..............................................Address .......�..............�.................-.....-....../.e....o...y..t..........................
..Number of Rooms / . ...... . .I , �lL�� 1 �` j •
Exte for F1�. .. ��', .. .. ..r�� C!!9�40.11doofing ...���l/..... . ..... s....`.^� ..........................
U , �A
Floors Interior .. � G4� .........
... ..... ... �. ..... ........ � �� ... _ /
Heating ./C•��7./F�.L...... �`'�?(_' ............Plumbing 'rC..":. A �d �'0.....................................
.........
..
. R ..................................................Approximate Cost;''S j�®�
Fireplace ................... �...... F ...T:....: . .........................7. . . .
Definitive Plan Approved by- Planning Board }
---�----------19 Area .......... O i
Diagram of Lot and Building with Dimensions
• Fee .........:................................... I
SUBJECT TO APPROVAL OF BOARD OF HEALTH �Q
S
i .
OCCUPANCY PERMITS REQUIRED -FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl, rega ing the above
construction.
Name. .. .. .. .. .... ..
Construction Supervisor's License .. ... ...
PLYMOUTH BAY DEVELOPMENT
,.•,•2925�„ Permit for 1� S or
........ .....Y.... ........ ,
Single Family Dwellini......... ............. .... ..................
ti
Lot 57, 2220 FalmouthxRoad
Location .. .......... ............... ........................
Centerville '
..................................................... . . ......................
Owner Plymouth Ba Develo m
�..Y.... ent
......t.�..P..........;....... -} _
-Type of Construction ..;•,.�Frame4,; -
fl
-, r+
.. Lot ................................
:April 24, 86Permit Granted -
Date of Inspection ...................
' Date ompleted .. ./ .-��
1
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