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HomeMy WebLinkAbout0050 GLENEAGLE DRIVE t / ,. 'V.,. ,�J r � / h + 1 t r -1 r �f Y +r 1 •x1..,�I • 4 r r � � � ., r � r' t ' � ,.. V t, r .. - r 'r , .�,�t 'n• �x - f _ r... 'L. ,. 1 :•J' •f'1 f -,. ,'' rl V ° .I'+.,f��•1 jrr,l�'N ' `i f r, _ r r D r r �f f'• �� �� -.r+r J �. rb�i4 rr . .. 'f !• � � � r� 'Y� f r. r. / (��ff . fSYr r�. x / Ar�' r r��1�Nir ' li� c �.t LI Or Lfff� n A i r,7 l &Ckl i i town w .aarnstame Building Department Services FZHE ip� o Brian Florence,CBO Building Commissioner RARNAMX Sr . ' 200 Main Street,Hyannis,MA 02601 Mass. v i639• .�� www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Approved: Fee: Permit#: ' - ( Q HOME OCCUPATION REGISTRATION Date: - 15 Name: PAO . ihd.e,i!Sm Phone#: S� GhL.: � � Address: r� Village:_ �✓l-�-v'-�i� �� . Name of Business: WRAI 2-�p t-P_0� Type of Business: Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the.dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carved on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residentiaf buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing-the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall bg employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read agree with the above restrictions for my home occupation I am registering. Applicant: Date: _'" /�-3 /J!� Homeoc.doc Rev.06&0116 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you ' must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessaiy signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st Fl., 367 Main St.; Hyannis, MA.02601 (Town Hall) and get the Business Certificate that is required by law. f DATE: 'Z3 ) g Fill in please: F y .�F�ISia2l fk � � e 11 i y .t P1 �i�rS� ? APPLICANT'S YOUR NAME/S: e lJ u,��° E' l� r 'o'� �rt-ay i>•� BUSINESS YOUR HOME ADDRESS: Dr: rvi►le- (a ryl_���Y G$ faa�� Uryy 570.`i7-7 otf r& - a3 _TELEPHONE # Home Telephone Number 5 O- - O S(v 50g - �o80-3ZS6 . Email Address: Wade,hrCot,k e-_.1 14 ns 0.hDA. GoS✓l NAME.OF`CORPORATION:`` EeA S r . NAME OF NEW'BUSINESS TYPE OF BUSINESS GL,r'-k IS THIS A HOME:OCCUPATION?._Y YES - NO _ ) ADDRESS OF BUSINESS' . . O vl in,� ��- MAP/PARCEL NUMBER I 1 6� (Assessing) When starting'a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the apprbp.riate permits and licenses required to legally operate y 1u i ess in this town. P1 — I 6MPLY WITH'HOME OCCUPATION 1, BUILDING COMMISSIONER'S FFICE RULES AND REGULATIONS. FAILURE TO This individual has been in r 47of any p 41 )tequirements that pertain to this type of business. COMPLY MAY RESULT IN FINES. Au r Signat r ** - COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 1/25/16 Thomas Perry CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 RE: Insulation Permit 201508869 Dear Mr. Perry This affidavit is to certify that all work completed for 50 Gleneagle Drive,Centerville has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey DEC 2 2 2015 -27OWA'tOF BARNSTABLE BUILDIN�rb ffi�jA LA -'M�LF Map 9 Parcel Application # Health'Division Date Issued' `{ G Conservation Division Application Fee Planning Dept. Permit Fee �� V Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address 50 &1 e n�,�,`G Village C2++.n►i( le Owner Seafk Atidef'JOA Address S can e, Telephone JT4- 0•39 31.33 t�- 38 t.6 .s, a,.J R-t�{ Permit Request rA d by LL II � 't.AJ RSl°fne4__tt- W"T4 tk0 Adlin1 4d!iM Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 8 0 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No 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 KNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ���� C C- e_ Sk-G Telephone Number 5a R 318 0 34$ Address �-- --� )n� rG License # C r l_ S• a ew-��+ I '' ft Q 6 V Home Improvement Contractor# 1 3$O Email Worker's Compensation # WV C 513 6A -4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE Z DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. b ' ADDRESS VILLAGE OWNER 5 a DATE OF INSPECTION: FOUNDATION c FRAME `+ INSULATION t FIREPLACE f ' ELECTRICAL: ROUGH FINAL } PLUMBING: ROUGH FINAL 1; GAS: ROUGH FINAL FINAL BUILDING . t DATE CLOSED OUT ASSOCIATION PLAN NO. r...,..:- - 4l _ •'..,' rrl� w l.h� .r`-r `f ^ ''e .,t' . • -,,The Commonwealth of Massachusetts t:l,t .,:a r ar w F,;,, 1 Department of Industrial Accidents, z:: .f. t .z l f ''r ► G1 S 4: .t 1 t 1 Congress Street,!Suite,]00 a= 1 t ,.I V fBostoti,N1A 0 H4-2017 .;, � �''. . � .. it r.t ;,i.�. •,. .. ., ,. :,f.• �� t ar.. .�+�nFf 5("' i.it.t - - C.ei "'71 1 a l ww».massgov/dia - ey r .,. ....._ _ _ ,_.. ,. �..;# .•ram., -+.�.c». ^• h.,.,.1 ,N'orkers'Compensation Insurance Affidavit`'Bandits/Contractors/Elects cians%Plumbers. •TO BE FILED WIITH THE PERMITTING AUTHORITY. „;t. Applicant Information { Please Print Legibly - F 'Name(Business/Organization/Individual) Cape Save Inc I 7-D.-Huntington Avenue Address., • ' t _City%State/Zip:South Yarmouth,MA 026-64 Thone#.508-398 0398 Are you an employer?Check the appropriate box: Type of ploject r utred t `` 1 -1 ✓�I am a employer vnth employees(fulland/orpart-time)° -+ t S+-yam i 7 New construction - -. m "1•, ':r F.' .� r -. _e r ; i •f.F ­ tfa psi' y'�• ': p 2.❑I am a sole-proprietor or partnership and.have no employees working•for•m in,,-e irr * •$,. Remodeling. any capacity..[No workers'comp.insurance required) ,.•t 1 r•i:lt r r• i D , r, <, a , �£ , d °n!• s t' 9."❑Demolition-;;.:. 3.[]l am a homeowner doing all work myself.[No workers'co.mp,insurance required]t 7 - - `- .10:[]'Building addition ,__ i "4. 1-dnr a homeowner and will be hiring contractors to conduct all work on iii m 1 wilt-` _�. l r„ g Y P PAY- f • .t}. ., t I ensure that all contractors either have workers'compensation insurance:or are sole I L[]Electrical repairs Or addtttons proprietors with no employees. i ,.Q hs , 12.❑Plumbing:repairs or additions . F 5.Q I am a general contractor and Ihave hired the sub-contractors listed on the attached sheet. ` These sub-contractors have employees and have:workers'comp,insurance.- 13.❑ repairs re airs 14.0Other insulation i r6.0 We are a corporation and its officers have exercised their right of exemption per MGL c, t s 152,§1(4),and we have no employees'.[No workers'comp.insurance required.] T _:*Any applicant applicant that checks box#1 must also Ml,out the section below showing their workers'compensation policyinformation. sir V" t Homeowners who submit this affidavit indicating.they are doing all:work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an.additional sheet.showing the name of the sub-contractors and state whether or not those.entities,have } 1 j employees. If the sub-contractors:bave employees,theymust provide their workers'comp.policy number.'- _ t I am an employer that>is providing workers'compensation insurance for my'employees. Below is the policy and job.$te µ information. Insurance Company Name:Wesco Insurance Company - r r' Policy#or$elfinLic #.WWC316274' -' 04/09/2016: . = s Expiration Date: ,- .r Job Site Address: 50 CTl -City/State/Zip°rCenterville Attach a copy of the workers'compensation policy declaration pagea(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment;,as well as civil:penalties in the form of a STOP WORK ORDER and a fine.of up to$250.00 a i _ day against the violator.A.copy_ofthis.statement,may -he forwarded to the Office.of:Investigations of the DIA:for insurance.. ._.. coverage verification. I do hereby certify under th pains and penalties of perjury:that`the information provided above.is true and.correct t Si attire:' Date: 12/22/15 Phone#:508:-398 0398 'Official use only."Da not,write:in this area,to'Le'completed by city or town:'O iciat— 1 - ' E u City^or Town, j� -1 t�•r <r �� a 6 4 ra .. Permit/License# .: 'fJ,•ts.: r Cr3,.''i:,.:�'£��,r i "�.e t. Issuing Authority(circle.one). 1.Board of Health 2 Buildin , P De artment 3 Ci _g /Town Clerk 4,Electrical Inspector 5 Plumbing.Inspector._,..'ss € 6.Other a _ _ 'Contact Person:'- `'` Phone:#e -76 ACORD® u DATE(MMloon^rvY) CCA CERTIFICATE OF LIABILITY INSURANCE 10/14/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER CONTACT NAME: Colleen Crowley Risk Strategies Company PIiCtN E : (781)986-4400 FAX No: (781)963-4420 15 Pacella Park Drive _ AD�SS:ccrowley@risk-strategies.com Suite 240 INSURER($)AFFORDING COVERAGE NAICf Randolph MA 02368- INSURERA:Selective Ins. of America INSURED INSURER Allmerica Financial Alliance Ins Co 10212 Cape Save, Inc INSURER C:Wesco Insurance Company 7 D Huntington Ave INSURER D: - INSURER E: South Yarmouth MA 02664 INSURER F: COVERAGES CERTIFICATE NUMBER:CL15101402127 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. INSR TYPE OF INSURANCE POLICY EFF POLICY EX LIMITS LTR POLICY NUMBER MMI� MMIDD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE Fxl OCCUR PREMISES Ea occurrence $ 100,000 81994480 10/16/2015 10/16/2016 MED EXP(Any oneperson) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY�JECT a LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILELIABILRY COMBINED SINGLE LIM= Eeaccident $ 1,000,000 ANY AUTO , BODILY INJURY(Per person) B ALL OWNED SCHEDULED AUTOS X AUTOS A4NA96796600 11/6/2015 11/612016 BODILY INJURY(Per axident) $ X HIRED AUTOS X NON-OWNED - - PROPERTY DAMAGE $ - AUTOS Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 _TIDED RETENTION Nil S1994480 10/16/2015 10/16/2016 $ WORKERS COMPENSATION officers Included for X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIEfORIPARTNERIFXECUTIVE NIA Coverage E.L.EACH ACCIDENT $ 500,000 C OFFICERIMEMBER EXCLUDED? , N❑ IMendatoryinNH) VWC3136274 4/9/2015 4/9/2016• .E.L.DISEASE-EA EMPLOYE $ 500 000 If yes,desaibe under DESCRIPTION OF OPERATIONS below + E.L.DISEASE-POLICY LIMIT Is 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) National Grid Corporate Services-LLC d/b/a National Grid,.;Action Inc, Colonial Gas Company and NStar. Electric are all included as Additional.Insureds with respects tOLthe General Liability coverage of Named Insured as required by written contract. , I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Housing Assistance Corporation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 460 West Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MPa 02601 AUTHORIZED REPRESENTATIVE Michael Christian/CLC ' ©1989-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) To 'abl biwA Torres Richard'V''Scab,miftior: IV S OEL Tam er y W Cb ane�r= . ?A0;?�ana Straw�ya�us,:Tv1A flZ;601 . IWWW iNu.to s4blerna. ' ar so8 0240�8 Con ee,atc3 '1s S� xox lf�U xa Ahux der r-il lop- 1 �IlIt073ze Eta 2tCL�p�I �Gi:: iu:alls�attets;rela <:authoi zed i s h �' hCation-€ar Aa v'6 -�- 3 =. rye l 1 ;��� idttoib e.]l Cl Q 1I£1 7,� D410 CI1�E :�secaonsa�e,peafoxmed anti�cceped. � ' ..,. of Amer _ , .�S b�:_ cat • -Ar z r C.�a�me: =P�rc Name Date . �tC'Vl\1�Wn�T'/,�ti.(.0/rI.V/o A7�1\/i�[r.�W�' • � _ - . Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cdntfactor Registration w --T -M Registration: 171380 Type: Corporation Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. fi'r WILLIAM McCLUSKEY - --- • 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 "���_ _ -------------- -- fi}tr r Update Address and return card.Mark reason for change. sCA, 0 loan-osn, [ Address 0 Renewal 0 Employment Lost Card �T r`tcfr rriiiruriu�.tclt�a�r?��(crJGun�rcre//a ` Office of Consumer Affairs&Business Regulation License or registration valid for individul use only Q 'OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: ;171.380 Type: Office of Consumer Affairs and Business Regulation Expiration 3/ 20a6 Corporation 10 Park Plaza-Suite 5170 _ � Boston,MA 02116 ! CAPE SAVE INC. ` WILLIAM McCLUSK6­2 MY 7-D HUNTINGTON AVENUE g SOUTH YARMOUTH,MA 02664 Undersecretary Not vali 10 rthout signature ( Massachusetts -Department of Public Safety Board of Building Regulations and.Standards %Aplis License: CSSL 102776 ' WILLIAM JMCU 37 NAUSET.ROAD 1 2- P West Yarmouth 1VIA Expiration Commissioner 06128/2017; i Town.of Barnstable *Permit Expires 6 mont/u•from issue date Regulatory Services Thomas F.Geiler,Director Building Division w . °�41 z� 07 m Perry,CBO, Building Commissioner SEP 9 2007 200 Main Street,Hyannis,MA 02601 www.town,bamstable.ma.us Office: 5�� 2 03Br� 1��T Fax: 508-790-6230 EXPRESS P 16HT APPLICATION - RESIDENTIAL ONLY Not[valid without Red X-Press Imprint Map/parcel Number Property Address Q K (a q� 2 - � �f,(-f-i l�i 1 V/r" � e �L � � � ��-- [.Residential Value of Work V A �D 1 60 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address -T• �t� u j7 15061 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor am the Homeowner , ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Cornp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) &-Y-e-roof(stripping old shingles) All construction debris will be taken to Lk ❑Re-roof(not stripping. Going over: existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.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. i I SIGNATURE: Q:Forms:expmtrg f Revise061306 i i Department of Industrial Accidents ' Office of Investigations: 600 Washington Street Boston,MA 02111' y• www.mas&gov/dia - Workers Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers kpplicant Information Please Print Legibly .1�31ne (Business/Organintion/Im&vidual)'. 4\oYke 01 )1Sa> kddress: C11-e+.0 -ity/State/Zip: tl • PhoneOq .re you an employer?Check the-appropriate box:: 'hype of project(required): ❑ 3 am a employer with• 4. ❑ I am a general contractor and I employees(fall'and/or part-time).* have hired the sub-contractors 6• New construction El I am a sole proprietor or partner- listed on the attached sheet t 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance.* 9. ❑ Binding addition [N workers' comp.insurance 5. ❑ We area corporation and its uir ] officers have exercised their 10.❑ .Electrical repairs or.additions. I am a-homeowner doing all work right of exemption per MGL M❑ Plumbing repairs or additions ' -myself-[No workers' comp.• • c. 152,§1(4),and we have no 12,[ <oof repairs insurance required.]t employees. [No workers" "% �% 13 ❑ Other •m camp. wance required.] , ny applicant that checks box#1 must also fill out the section.below showing their workers'compensation policy information: `. omeowners who submitthis affidavit indicating they are doing all work and then him outside contactors must submit a new affidavit indicating such mtacton that check this box must attached an additional sheet showing the name of the sub-contactors and their workers'comp.policy information. . vn an employer that is providing workers'compensation insurance for my employees'Below is the policy and job site formation. :uranee•Comp any Name• ]icy-#or Self-ins.Lie..#: Expiration Date: b Site Address: 'S 0 . Li1jb - ' City/StateJZip;!5L� �" e���LG,� tach a copy of the workers' compensation policy declaration page(showing the policy number andexpiration date). dure to.secure coverage as required under Section 25A of MGL e. 152 cari lead to the imposition ofcriuunal penalties of a ,e up to$.1,500A and/or one-year imprisonment; as well as.civil penalties in re-form of a STOP-WORK ORDER and a fine up to$250.00 a day against the violator. Be advised that a copy of this statemeaf maybe foTirarded to the Office of iestigations of the DIA for insurance coverage verification. 'o hereby certiffy er the pains a d pen .'es of perjury that the 1nformadon provided above is true and correct attire:. Date: O l G one#• Official use only. Do not write in this area,to be completed by city.or town o•fficiaL City or Torun: Permit/License# , Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#• Information and. Instructions y fassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. nrsuant to this statute;an employee is defined as"...every person in the service of another under any contract of hire, rpress or implied,oral or written." �n employer is defined as:"aa?pdivi� a1,.P �sb�P�:association,corporation or other legal putity,-or any two or more f the foregoing-engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the eceiver or trustee of an individual,partnership,association or other legal entity,employing employees. HoweV.er.*e .wner of a dwelling hoes a having not more than three apartments and who resides therein,or.the ocaapaut of the welling house of another who employ$prom to do maintenance, construction or repair woik•on such dwelling house a on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." v1GL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or.permit to operates business or to construct buildings in the commonwealth for any Ipplicant who has not produced acceptable eddence•of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its-political subdivisions shall "Ater into any contract for the performance of public work until acceptable'evidence.of compliance with the insurance -equireme'nts of this chapter have been presented to the contracting authority. 4pplicarrts Please fill out the workers' eom�ensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractoT(s)name(s),address(es)and phone numbers)alongwith their certilipate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,' are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retained to the city or town that the application for flee permit or license is being requested,not the Deparfineht of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below, Self-insured companies should enter their. self-insurance license number on the. line. City or Town Officials . Please be sure that the affidavit is.complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant; Please be sure'to fill in the peraiittlicense number which will be used as a reference number. In addition, an applicant' that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"'the applicant should write"all locations in ' (city or town)."A copy-of tlie:affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that-a valid affidavit is-on Me for;future permits.or-licenses..A new affidavit must be filled out-each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.).said person is NOT required t:o complete this affidavit The Office.of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: ' The Commonwealth of Massachusetts . Department of Iuclutdal.Accidents . . .. • '. . >. ..Office gf Investigations 3' -600'WashingEon Sheet 4 Boston,MA 02111, TeL#617-727-4900 ext 4G6 or•1-877-MASSAFE Fax#617-727-7749 evised 5-26.0 wyy _Mq S.90v/44 To _ Date Y -Time WHILE YOU ERE.OUY M of Phone Area Code Number Extension. TELEPHONED 45LEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTSTO SEEYOU URGENT RET NED YOUR CALL Message rato MAMPAD 23-021-200 SETS EFFICIENCY® 23-421-400 SETS CAHBONLESS iHE The Town of Barnstable BARNSTABLE. ` Department of Health Safety and Environmental Services 9 MASS. i639' �0 °•Eo►��., Building Division. 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location (Sye—� GEf Lz Permit Number 13 1- Owner GO �-,1'\P.ti' -, Builder One notice to remain on jobsite, one notice on file in Building.Department. The following items need correcting: r 'T'W�Q f�(A] 1 0 eLc% I Q� 6 �ST7 4 Please call: 508-790-6227 for reeinspection. Inspected by Q &-vj Date r s r f Parcel Permit# J3115 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) WC- \ZYYlo,CIL 'Date Issued-k- - Board of Health(3rd floor)(8:15 -9:30/ 1:00-4:45 };� ,, Engineering Dept. (3rd floor) House# �� �YST 1VZ I ALL�■E�®6. SCE 19 RON� _ �IVD ! ry; TOWN PEG DNS TOWN OF BARNSTABLE ' Building Permit Application ProjecWS�'treetddress .5'0 �1--/'/✓)S- Village -� /✓TF/2d✓/ L L t; �' Owner • 1-9 /N �a iyiv 07-l,, £ '; (1L Address Telephone 'D -7 C! 4� PPermit Request First Floor %% square feet Second Floor a square feet _ s Estimated Project Cost $ dz . crz- �• Zoning District ��. Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House 0�) Unfinished Old King's Highway We e�. Number of Baths No. of Bedrooms CiD Total Room Count(not including baths) 6 First Floor Heat Type and Fuel Central Air Fireplaces f ) Garage: Detached / Other Detached Structures: Pool Attached ✓ Barn None Sheds Other Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTUIbS ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE. ,Z 2— BUILDING PERMI DENIED FOV THE FOLLOWIN REASON(S) ' FOR OFFICIAL USE ONLY PffnMIT NO. D TE-ISSUED P/PARCEL NO. { s DRESS. - VILLAGE I ' OWNER y s DATE OF INSPECTION: FOUNDATION � ✓ FRAME? T V�, �(�'' V�,` ]j {' `✓3�" f INSULATION FIREPLACE `-ELECTRICAL: ROUGH FINAL PLUMBINGc , OUGH FINAL . r .. ' 4 • GAS: ! �} Q1JGI FINAL _ In FINAL BUILD'If DATE CLOSED,O ; ASSOCIATION P NOS rn w Tile CI)nttnonlfealth of?Itassachusetts lit : Department of Industrial Accidents � Affee dig OstlgalONS �1 _ 61111 11'asid �►tnn Street tf•� '` ''„+�' Bnston.Ata3-x 02111 Workers' Compensation Insurance AMdavit _ I am a ho eowner performing all work-myself. am a sole proprietor and have no one worl:in;in any capacity 49 ,- rl • I am an employer providing workers' compensation for my employees working on this job. address: nhone& 'ncurince co neftn•!! .--.—.--^• ----r-- r_. ,... ,....,.,,_..>..•....,.:. .�......,.,.�y...�+ter .. .. . . I am a sole proprieto , neral contrac o , r homeowner(circle one)and have hired the contractors listed below who hav the following workers' compensation polices: COMpanyna addresse phone#• ' • nelicv# .... • ton _- .. �", COMpanv name* Address: t ' nhone#, Uglier,0 _ SU :Attach additional sheet if lleee3!Lr `z -+`'���"�"� RM ►~Ln�• y y � L Failure to secure coverage as required under Section 25A of A1GL 152 can lad to the imposition of criminal penalties of a fine up to 51300.00 aawor one years,imprisonment as ivell as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a eopY of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. !do herehr certify umler the pains and penalties of perjurr that the information pmWde4obovris true and correct Signal Print name one# r official use only do not write in this area to be completed by city or town official city or town: permit/lieease# nBniidiag Department (JUcensing Board check if immediate response is required (3Seleetmeg's Office (311calth Department contact person: phone#r nOther Information and Instructions ' Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the employees. As quoted from the"law", an employee is defined as every person in the service ofanother under anv contract of hire. express or implied. oral or written. An Implorer is defined as an individual. partnership, association. corporation or other legal entity. or any two or mor the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However the owner of a dweiIing house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling ho► or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the in coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter h. been presented to the contracting authority. ► .. ... {: '•T• .. {�t•::r.i i . .�: -•.'...•^Y• .�.�_�'d'a.�.7. :.r. �Sv:::_�i a�Y�'r:�.r _ i^ Applicants Please 'All in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as ail affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance covera=e. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plea' be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t. the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any question please do not hesitate to give us a call. �- - ._ _..... :. �;,: _ .. '�• _- ... - ...+j,.,.d: _�::.' , :sir. :,.:•s' The Departments address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents r Office of investigations Y,y; 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION Q Number Street a dress Section o town "HOMEOWNER" (I� Nam Home phone Work phone - - PRESENT 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 such homeowners to engage an in- didi iv'dual 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 re- side, on which there is, or is intended to be, a one to six 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 Stat Building Code and other applicable codes, by-laws, 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 compl with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFF CIAL Note: Three family dwellings to comply with State Building Code OSection 127. 0,o Construction lControlquired HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person (s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities' of a supervisor (see Appendix Q, Rules and Regulations for . licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed. Supervisor. The Home " wner- actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, . man communities require, as part of the permit application, that the Home Owner 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. r . z The Town of Barnstable . NAM1�$ Department of Health Safety and Environmental Services Building Division 367 Main Strut,Hyannis MA 02601 Ralph Crtt = OT= 308-790-6=7 Hag Commi= Fos 308-775 3344 For aT=use only . Permit no. Date AFFMAVLT HOME n"ROVEMENTCONTRAC.ZORILAW SUPPLEMENT TO PERMM AM ICATION MGL c. 142A requires that the*r=mstruction,altantions renovation,rg2ir,mod=izadM conversion, imprvve:nent..remov-4 demolition. or construction of an addition to any Pre-existingowner 00MPI� bniIding containing at least one but not more than four dwelling units or to snc=cs which arc adlaoao to such residence or building be done by regi cr d coatrac tom with certain CXcC;doss, along with other Fst Type of Work: , Address of Work: 110 Qv� Oc�ner.N _ Date of PamerIicui '� I hereby certify that: Regisaation is not required for the following reason(s): Work cmcluded by law _ ob under SI9000 Building not ewne-occupied Owner Pulling own permit Notice is hereby Shen that: CONTRACTORS OWNERS PULLING TI�iR OWN PR WORK �N��' SIEM ASS T+0 THE FOR APPLICABLE HONE ARBITRATION PROGRAM OR GUAFLANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY I hercby apply for a permit as the agent of the owner. Date Contractor name Registration No. OR : erc . ,�. � .tf l�R."Wr. 6"�! is �� ' `f f r ; �K r f xi; fi ry Ej 9 r M t� o- g(+� k r s e f j e 'E + f 4 LOT 50 O 3 ; CID _ _- . 01 o LOT 0R- o 51 c) _-#50= SHED 1 O ' N7B;28;20"Nr i� i LOT 52 RES. ZONE- "RC" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.. "C" Bank Use Only TOWN: _ N1ERULI _--_—_ —_ REGISTRY OWNER: y_IOLET—V ALEXANDER___________ DEED . REF: _24-84,�241---------BUYER: -JAMEZ-I_&_��9N-9—00 ffD �---------- DATE: _10�12193 -_-_--_-___ PLAN REF: _�60 71 __________SCALE: l"= 30FT. I HEREBY CERTIFY TO ,10EAV lialud is---------- EE SURVEY ---------------------------THAT THE BUILDING �w OF `,E SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS CONSULTANTS SHOWN AND THAT ITS POSITION DOES _ _ CONFORM PAA o UL r 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE MERITHCIAP U . TOWN OF __________AND THAT No. 320"3 INDUSTRY ROAD IT DOES_ NOT-- LIE WITHIN THE SPECIAL FLOOD HAZARD ?I MARSTONS MILLS, MA. 02648 F Fci rc�:. AREA AS SHOWN ON THE H.U.D. MAP DATED TEL: 428-0055 CO u t — a e 250001 0015 C �_' FAX: 420-5553 �'_� _____ THIS PLAN NOT MADE FROM AN INSTRUMENT PAUL A. MERITR PLS SURVEY NOT TO BE USED FOR FENCES ETC. 12704 DPC Agessoejs offioe Ost floor): FTNETo � l..q! ' Ili � .Assessor's map`and lot number ....... .... .............. ........ ro P f Bo�-rd'of Health (3rd floor): Sewage Permit number ..... ....................... .•......... Z BlBd9'lODLE, i Engineering Department (3rd floor): / 4 t6 9• House number ....:..................................... ............ ..Q �'/�.. *"� ''rEc�ar a• APPLICATIONS PROCESSED 8:30-9:30"-A.M. and 1:00-2:00 P.M. only TOWN OF'° BARN STAB LE,. BUILDING INSPECTOR LL I/ APPLICATION FOR PERMIT TO ...........................................STrr-d /4N �`,C/I-" " ��hKO�►'v\ .............. ........................................... (/J'� u h TYPE OF CONSTRUCTION ..................�.................. .......t".-......................................................................... Z........... ....................19.. � TO THE INSPECTOR OF BUILDINGS: ..,, The undersigned hereby applies for a permit according to the following information: _ Location 5'U........!�6Z 1.... .�^ �iN .....z........ ...!^............ ................................................................................................ ,� ' /Z �� ' Proposed Use ' '.'!,.�.....................�'.'.!...�......... '?.��!..��......'.......�lA.)'\���.�.................................................. Zoning District Fire District _ G `. Name of Owner � Address /11,01leC11✓ -trd %1:.................................................... ... Name of Builder ..'?..1.. .7 .G!.>d!w...../.�.v.!........°. �...Addtr-ess .............................. .... � aye` Nameof Architect..................................................................Address .....................................:,.............. Number of Rooms /..................................Foundation ....IU �'GhG�t Exterior ........W.H. .......L....-CGf...... . :r!l.a. �Z....................Roofing .......1 5 i of ll s4! Floors ........:...;". .Ghf............................................slnterior ,.......f............................................................................ Heating Plumbing"':c..:..................�.�N.i............................................ f/!7 .. ....................... � Fireplace ...................y.U...... ............................................Approximate Cost.?........................... ...G................. Definitive Plan Approved by-Planning Board -------------------------- 19______-- . �.:�. Area ....................... Diagram of Lot and. Building with Dimensions ...ee .............. SUBJECT TO APPROVAL, OF BOARD OF HEALTH Pa vs't / r /4- , e. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS, I hereby agree to conform to all the Rules and Regulations~of the Town of Barnstable regarding the above construction. � r Name .. i... ... . .... .................................................. Y y. t Lt Construction Supervisor's License 42/..Ve1 z...:.......... ALEXANDER, MR. ANDREW A=191--,,162 No ....3.1.12.7. Permit for ...Build-Addi-t-ion .........Slagle..Fzmily...Dwelling...... ,Location ...5.0...G1 eia—Eagle....Drive........... ....................Centerville.............................. Owner .......Mr.....Andr.ew..Al.exander...... Type of Construction .......Exame...................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ......... 19 87 Date of Inspection .....................................19 Date Completed ......................................19 111 1 Or Assessor's offioe (1st floor): /n '' SYSTEM MUST BE Assessor's ma and lot number ......... .......l �`�' a P .......................... 'r gum ® 9N COMPLIANCE Q�oFTNErp�i Board of Health (3rd floor): TITLE 5 Sewage Permit- number :. .................................. �� T�L CODE ��� Z SAUSfADLE, Engineering Department (3rd floor): / ,�o EEG g®® pTIONS �o039, Housenumber ........................................... ............... ..� O YPY a' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00'P,M. only TOWN OF BARNSTABLE RUILDING INSPECTOR APPLICATION FOR PERMIT TO .... TYPE OF CONSTRUCTION .................. °✓....�.`:..`.:......... !'...:?:..'Z......................................................................... ".'..N.. S .. 19.. � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / n Location i ........"{................. ........................................................................ pp / Proposed Use S . vi /Z G�vyi`1)....... .....``....�'!�11. � ,$............................ .. Zoning District Fire District Name of Owner G' Z...�.�....�y��!'l`1�... 'x.�.Q::'.'..��'.:'.Address ..�.....� z.`�.�..cf..L.........v' ...ZTi+?.....-t�.v`cl-,Gi:'.. ��'L p r- Name of Builder IZ� �IZ�GGfQ'(!✓../✓c�i.......�.rSf. AZress .......................... .....0/'7..`.......!.�5.�..�.r�..����� ................ . .. a Nameof Architect ...................................................................Address ..........................................pp......................................... * Number of Rooms ..................................................................Foundation .......0 . . s.............. a Exterior ...................Roong ..... .... Irf ..... .... .................................... Floors &e`er� ..........................Interior ........ 7 •z-L ..... ....... ............................... ......................................................................... I .Uh rieating .. .....L..................................................Plumbing ....................... .(�h."t............................................ Fireplace Viz................................................Approximate Cost j�`d`Pi—C/G ........................... .................................................... ............... Definitive Plan Approved by Planning Board ------------------------_-------19________ . Area ......../...SJ.a....................... . Y Diagram of Lot an,d Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH N 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. - � P Name ..... ..................... .. .................................................. 1 Construction Supervisor's License ,.al. .z.............. M.w non ALEXANDER, MR. ANDREW Permit for ... d Addition No ...................... . . Sincrie Family... ...... ................................... 50 . Glen Eacle Drive Location .................................................... ......... Cen-tervilie ........................................................ Mr. Andrew Ale.,cander Owner .................................................................. Type of Construction ....F.r.ame........................... .. ....... Plot ............................ Lot ................................ Permit Granted ...Augu 5 t ,4... 7..............19 87 Date of Inspection ...........................:.........19 Date Completed .............................. 19 C-Z sor s mop ond,rot number . ........................................:. SEPTIC SYSTEM ` THE T i EM MUS P a number o INSTALLED IN CO�PL15ige . o � . 2 WITH TITLE Ba$a9a is, . 5 House number ........... .. ...... ................................................. ENVIRONMENTAL9 M COD 39 \0� L TOWN RE(�sa LATIf��1R YPY TON OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ..................................:.......................................................................................... TYPEOF CONSTRUCTION .................. ....- v ........................................................................................ ................ ...�. � ........19J� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby/applies for a permit according to the following information: Location `�� ?.! '(/F,q�,(ar �'�..............`-G/YiE/Z v�/� ......................... .............. ... ...........................:.................................................................. ProposedUse ......... !2G�!% :................................................................................................................................... ZoningDistrict .....................................................:..................Fire District .............................................................................. Name of Owner ,/-�z�`1�s9�!/Ji'��. Address .J. ... i<E/t/ ��.`.....%2� ...................... ........... Nameof Builder . ... .................... .................Address ..................................................................................... r. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ........................................................ Exlerior ......................J�Z .....................................................Roofing Z..........eqA......W.J�. '!.?!..��................................ Floors .Interior Heating '� G�.. ....Plumbing ..........104 ........ ... . .................................... 3 Fireplace ..................................................................................Approximate Cost �® Definitive Plan Approved by Planning Board __________________________ 2'�� 'r.� ........... .. ------19--------. Area .................... ... ®O Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 .... ...... .........i........... ..................................... Construction Supervisor's License .................................... ALEXANDER, A. 28234... Permit for ADDITION ................. .............. ...... . ........ sirig�, e.'.Familv Dwelli��.&....................... .............. .. ............................ A L location 50 Gleneag.;�i��..P)7ive n ....................... ............................ Centerville ................................................................. ............. A Alexander I Owner ................................................................... Type of Construction ........Frame........................ .......... ................................................... . ............................. Plot ............................ Lot ................................ Permit Granted .........jAly..2.Z...............19 85 r. Date of Inspection ....................................1.9 Date Completed ....... ..................19 k7 tz M — 75. In 3 0 W rj co /-/G�i�h -' Assessor's map and lot number ........................................... O%THEro Sewage Permit number .............. ................. 33 STABLE, vo AB& House num ber ........... ............................................. N039. r- am A ,,,-TOWN OF BARNSTABLE 11,411DING INSPECTOR APPLIC TON FOR PERMIT TO T,YPOF ................................../..........I............................................................................... ;7CONSTRUIETION .........t _..D ..... ........................................................................................ ..........................7_1! .2......... TO THE-"INSPECTOR OF BUILDINGS: A T,4�nclersignecl herebyapplies for a permit according to the following information: ........................................................ Location ........ ...............................n�..... 4; ................................. ............ ProposedUse .......... ............................................................................................................................ ...... ZoningDistrict ........................................................................Fire District .............................................................................. 10 a Imo, Nameof Owner ................ ............ ..Address . ................... ........................................................ Name of Builder ............. ................... ... ....................Address ................................................................................... s. Nameof Architect ..................................................................Addy ss .................................................................................... Number of Rooms ...............Foundation ........ ........................................................ ...Roofing ..... .......... Exterior ...................... ............ .......... 0 Floors ................... .............Interior .................................................................................... Heating ...... Z /�,, I/Al . ...................U.. ..................................Plumbing ..........149t,<).....—77...o.o ,F..................................... Fireplace ..................................................................................Approximate, Cost .. .. . ...................... ....... ............................... Definitive Plan Approved by Planning Board --------------------------------19-------- - Area .... ....... Diagram of Lot and. Building with Dimensions Fee ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agre'e.-to 'conform to all the Rules and "'Regulations of the Town of Barnstable regarding the above construction. Name ... ................ ... ....................................... Construction Supervisor's License .......... A. ALEXANDER A=191-162 No ..28234.... Permit for ..pp.; TION ............... Single Family Dwelling Location 50 Gleneagle Drive. Centerville ............................................................................... Owner ........A... .. Alexander. .......... . .......................................... Type of Construction ....Frame ........................... ................................................................................ Plot ............................ Lot ................................ 4 Permit Granted ... July 22 , Date of Inspection ....................................19 Date Completed 19 Assessor's map and lot number ..�./..`.�'..�...... ........:. 6,O ` j'CJj*-" SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Sewage Permit number .E-6 � WITH ARTICLE II STATE .......................... . I L. SANITARY CODE AND TOWN CFTHETp TOWN OF BARNS'f Afftt $8SB9TAIiLE, i .+j ° 1639a:•0� ; =, BUILDiNG' INSPECTOR i (2 ........... '�:.. ......... : .. :.. • � APPLICATION FOR PERMIT TO .... ... .��: .. ........... TYPE OF CONSTRUCTION ......................Vjn, ,Q ... .... .. .... ..... ......... .......am .......................19.2�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according 7 following information: T c L Location ..............�...........4?.......�....... ........... .. ..... �.................... ... ................ ........ ......... ProposedUse ................ :. . ....... ..... /.. ...................................................................... ZoningDistrict ........... ............................................................Fire`District ............... ..................... ....... .............................. Name of Owner ..... Address .. ..��.. ...�� .rt.cs,,t..:.4!a Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................... Number of Rooms .....................At.......P.........................Foundation ..... ............. ............................. ........... •T. Exterior ............ .. 4.. .. ............lei..... ,........Roofing .................... ...... ........................................ Floors ......................Interior Y.�/. -i......................................... WL..k..........dS./.. ................Plumbing .......................,1. ............................................... Heating ................ Fireplace ................. . ..................................... Appr ximate Cost ...�. i.oQ.. ..... ......................... 6.- 2 ��Z / .3� S' Definitive Plan Approved by Planning Board 2C------- _______. Area ........./.........Q.�................. Diagram of Lot and Building with Dimensions Fee ....... . ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH � x C, 4FO -aa�_ Zo I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ........ .C .........,............ � ` . .`" ^ Permit" " .". ^ ' Breen, 4oseph 16489 one � single�.� � ��.���� ������;�s�t� --.Loco�on $---����������—Drive.����. --. � Centerville ---`----------------------'' ! � � ����� Owner ----.������_____________ , fo#uoe : Type of Cons/ruction -------------- ----.------.---------------.. , v � Plot —. Lot -�� �-------.. ------� --.. � 1 , Permit Granted Date of X � r Inspection - > Date o|a+e6 ..................... ' ' ^r. *p [ � [ ^ / ^ ~ PERMIT REFUSED lP � ^^---'`---'---'---------' . i y~���& .--..��.��lJ-----.-------------... . � ^ 8 / ^-----'—^^—'--'---'-----------' ` � \ —'-------'------~~--^'—'~----' | ` [--------.------------.—.---~. � � / Approved ,'--------------- lA � � . ^ -----------------'-----'--'—' i ' j . ] ` ---------------------'^^^''^^— . ' . / � | t - { } 6 , i - %1x V arc p ' v ;r ,� � , e � ZX�.✓ors - ✓D� ,, ✓ '� , c jG- rl.>,�-- T1` � "X'r qr te lot Pr i P f i r rr f t , , i `