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HomeMy WebLinkAbout0209 GLENEAGLE DRIVE,�,�q G�enea� le -D�. — , Town of Barnstable r°w Regulatory Services °fYHE Thomas F. Geller,Director Y Building Division * BARNSTABLE, " y ' MASS. Tom Perry, Building Commissioner ArEola 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit# HOME OCCUPATION REGISTRATION Name: �' �, � Phone tt:* `7 Address: d I fk/Vl Ids V'� Village: Name of Business --M G____—Pf►_at� --- -------------------------------------- Type / .. of Business: �' G1A . � Q r ap/Lot: ` 1. 1 U. INTENT: It is the intent of this section to allow[lie residet.ts of tfle Tow ri of Barnstable to operate 'l home occupation within single family dwellings, subject.to the provisions orsection 111-1.4 of the Zoning ordinance, jiroyuled that the activity shill not he discernible from outside.the. divelling there,snail be no increase ill tiorse or odor; no visual Ateration to the premises wliicll would suggest a..ytIIIrig otller tlaala a residential Ilse; lio increase in traffic above nornutl reSlClentIA VOILInteS; and no increase to air or gouruhvater pollution. After re8istration with the Building Inspector,.a cuStorlMly IIOnae occupation shall he perrlaitted as Of right subject to tIICs following colulitiotis • 1'lie activity is carried on by the pernaalienf resident of a single family residenliat chvelling unit, located ivitlliil that dwelling unit. • Such.use occupies no n.ore diad I-00 s(pui feet of spice; - • There are ❑o extern d;dteratious to the dwCIling idiic•h are not cristonlary in resicfeiltial bLIildiugs, iind tllere is no outside evidetice of"such use: • No traffic grill he generated ill excess.oflaoanial residential volunies. •- 'File use does_not involve the production of otlensive noise, vibration,snuzke dLISt or other:pal'tIC'ular matter, odors, electrical disturb Mice, Beat,glare, huna.dlty or other Objectionable effects. '('here is uo storage or use of toxic or hazardOUS IMIteri,ds, Or flammable or explosive materials, in excess of rlorm�d Iaouseliold qua.11tities. A.ny need for pW-king genetated by such use shall be Met oil the sanie,lot containing the Custoniaty Home Occupation,quid not w6fltin tl.e renuire(I ficiitt yard. a • `('here is no exterior•storage-oi-display of naterials or.egmpn.ent. • There a-re no commercial vehicles related.to the Customary I-lorlle OCcupatiou, other-than Otte van or one pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet ill length and' lot to exceed ,t tires,parked on the same lot couta wing the Customary Home Occupation. • No sign shall be displayed indicating the Customary blonae Occupation. If the Customary Honie Occupation is listed or advertised as a business,the street address shall not be included. h • No person shall be eniplo.yed in the Custonialy Home Occupation n ho is'not a permanent resident of llle dwellilig unit. I, the Luldersigiled, have read and agree eitlt the above restric[ions for Iny home occupation I aill registering. A plicanl: C a✓��� bate: f YOU WISH TO OPEN A BUSINESS? For Your Information: " Business Certificates cost $30.00 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.) Business Certificates are available at the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and 200 Main Street Offices at the Licensing counter. DATE:February 21,2011 4 Fill in - ` please: ' APPLICANTS YOUR NAME: Matthew D.Clark m ' BUSINESS YOUR HOME ADDRESS: 2os Glenea le Drive, PO Box 75 a 34 % FK ' Fx g f ?; r (774)487-7183 Centerville,MA 02632 TELEPHONE # -Home Telephone Number: (774)487-7183 NAME OF NEW BUSINESS "MOC Photography TYPE OF BUSINESS Portrait,Wedding,&Event Photography . IS THIS A HOME OCCUPATION? . YES X . NO Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS 209 Gieneagle Drive,Centerville MAP/PARCEL NUMBER 192/146 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 appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING C MISSI NEW OF CE This indivi u eef►4 f ed f ny permit requirements that pertain to this type of business. Aut iz d Sign re** MUST COMPLY WITH HOME OCCUPATION OMMEN - - ----�' RULES AND REGULATIONS. FAILURE TO 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: ' . � _ . _ Ea7Jires b nrontlrs om issue e Regulatory Services- Fee �.AA MMBLE, Thomas F. Geller,Director Bdifg DIvaslolla. Tom Perry,CBO, -Building'Commissioner 200 Main Street,Hyannis,MA-02601 w.�taj,-te��:liarnsta�le.nia.us Office: 508-8624t138 Rix: 508=790-6230 EXPRESS PERMIT AI PL1CATION RESIDENTIAL ONLY Not 31&d firiih oul Red a=Press huprini Map/garceI Number ne Z_ Property Address residential Value of Work.®��_ Minimum fee of$35.€)€)for work udder$600.0 00 Owner's Name&&.Address � L-"4Q.k___. Contraptor's Name k. - W t L_C, c t4� Telephone Nuinber .75;- - 7).s--t s erc Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) FlWorkman's'Compensation Insurance Check one: d� ! P.4! a sole:propr-ietor, I am the Homeowner _ [] I have:Worker's Compensation Insurance 'OWN ,6��` A R N S LAB i E. Insurance-Company Name Workman's-Comp.Policy#t Copy of Insurance.Compliance Certificate mustaccompanyeach.permit Permit Request(check box) -roof hurricane nailed)(stripping old shingles) All oonstructioh debris will be taken to ❑Re-roof{lwrricane nailed)(not-str-ippi.ng. Going over existing layers,ofroof) [ B-side `,4-Q-ri 1c- #of doors 0 Replacement-Wirido4vs/doors%§Biers.-[-Value Eniaxinium.35)4 of,Vindoivs *Where required: 'Issuance of1Nspennii 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 D the, 02t1e 71YLpro.vement..Contractors jucense c Construction SuperYlsors License is required. SIGNATURE. ' a C:\UsersWeebi it\AtitrData`d ocaPivf+crosof#Wttidmvs\Tttnpnrary Internet Files\Content.0udook\DI�V 87AA.7 TRESS Revised b721140 r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 9 600 Washington Street Boston,MA 02111 ww►v.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): c�r1 r .-i•� Address: — �f-OG If City/State/Zip: Llr-14—�t Phone#: 5—,"?'5'-j3�-CJZJ Are you an employer?Check the appropriate box.: Type of projeet(required . 1.[1 1 am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.E44,im a sole proprietor or pager- listed on the attached sheet: 7. Remodeling ship and have no employees These sub-contractors have- 8. 0 Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition (No workers'comp.insurance comp.insurance.1 required.] 5. © We are a corporation and its 10.0 Electrical repairs or additions 3.n I am a homeowner doing all work officers have exercised their l l.0 Plumbing repairs or additions myself.Ito workers'comp. right of exemption:per MGL 12.E]Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.INo workers' 13.fl Other — comp.insurance required.] *Any applicant that checks box#1 must also fill out the:section below showing their workers'compensation policy dormation. t Homeowners who submit this affidavit.indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors Dave employees,they must provide their workers'comp:policy number. I am an employer that is providing workers'compensation insurance for my employees.. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: nn r Expiration Date: Job Site Address: d�7 l3i /`�' 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 M(3L c. 152 can lead to the imposition of criminal_penalties of a fine up to S 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance_coverage verification. I do hereby certify under the pains and penalties of perjury that tke Wormrmation provided vluove is true and correct Si tore: Date: t d 7 6 ff d Phone#- s`� °-Z9 1� Offmal use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License Issuing Authority(circle one): L Board of Health 2.Building Department 3 City/T-own-Cterk 4.Electrical inspector 5 Plumbing Inspector b.tither Contact Person: Phone#- Office _ HOME"' P ROVEM sinessvlahon Y ENTCONTRACTOR� Registration "r1p2227 Expiration M 7/1/2012 TYpe: p DBA ` LAS L. W►LL►AMS �y641 t Cil CUS701k►BUILDING F 8r<Iit�L't't `eg6t O O Douglas Williams i-� �i � 222 PINE ST. `at ' s Cr ti�'CS t fU` rl CENT . . s F"Amtl;a !"`1 r i �� , ,4 t 1 Q ERVILLE t .N UndersecretaryDougWall llll'en`jeC ku tiwumss`a hktoir�l 8uIlding Co ;+ J (D n s ,lu nitllNo Taxi ''°xP pm ki ! ,f. ": a {5 e f i..�y, i nu"L,•u '^ �naplite tlm 4oz,mdiw t ' S} } 1� W ��,n/ [[//T''��JJ ii"V i �4 � ult to-4oCFNPnnmlgyRmwwtl �ny>du�s tend. ! sV .� s st i d p i 1 y s .'TF srll'' ) ' J.s c`` � C'' dl. i+� ,, .l'e v - 3 n p„1 _ O . �}r i"Ii 1 i u>,t .� (�' �•. ���{71 -. - - - � J �r:sgar)J ri f t �>��r-.�f EPq� �•ixt��tC�t.�'IYfz�� ry ' ��Ifit�II� s�r r 5 (� � 0 h•`• - - � s} Ulf irtrl- tl t m--10�$'�Bd_St,�.Igy i r S '� r K i� s s ,� ; � ��„ r•� F•� I/�1�r 0 S� {h } Yti; ito eptl52enNon'te wl d Ran Na dau oh in+!nep,, ttime6 a 74 ert o 4' --.-.-i; r� ail Ii ,J IF�••C/. /'� V V' ' - � � ;f � S � �!! t J it �. {`0$ �p9C 17•',�1g'r i J3 A Q t J _. tt NAT•6P80at�� SSA n. !t! i: d i)7. ••.-- .,.,. '7 `I (� -(DrD efCertlQgnpnA Y'�r""".• --,. ;,1�t at 51M4: if�4 fi r ' t - I � `"2 � �. � M�� Cn ,Irmo O„zT0f0 t��;s t 7t} (1 �•"^^+-ti.� li ucde?ni"""'----•--•:;cam, t Mrcnortn F,Ine cNa _'�-- n ;�j<r11it( - 3i�.a ,� on+ryMoleln�e,y lnnrpnntm8 O f"h ttU�Nttti-. � oneh ly ,� Q Ul t7 Ba;tr D�hai'Ymertt or P ..,,u: a d rtf 8uildin., R ultiri S; ^ tt�•t� .,•�•_ " 'n-r m Op Construction Suluti 0. '* On W and StarUl;lryl� License or registration valid for mdrvidul use only j(gyp t` O License: CS pervtsor License before the expiration date. If found return use Restricted 16981 i , V M �•{ for 00 d Office of Consumer Affairs and Business Regulation.: DOUGL,gsJe'° 4 "V ¢tit 10 Park Plaza'-Suite 5170 N MMMM�+►► L WILLIAMS SR ��"hu.l Boston,MA 021.1�6: CD PO BOX 1069 S RVI CENT LLE, MA 02632 ' f` ("","u•�siru,i,�. Expiration: � Not valid without signature 3/7/2012 i. Tr#: 19320 aF� swxxsres�. M Town of Barnstable Regulatory Services Thomas F.Geiler,Director Biulding Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fat: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder _,as Owner of the subject property hereby authorize s C'1-3 t L-J-e 67"S to act on my behalf, in all matters relative to work authorized by this building permit application for: C7� ew (Address o Job) (s le7- r Signature of Owner D to Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\LocalWicrosoft\windows\Tanporary IntemetFiles\Content.4utlook\DDV87AAZ\E)TRESS.doc Revised 072110 F �oFt Totiti Town of Barnstable *Permit # S 5 O•* Expires 6 months from issue date Re�'''11ato Services Fee 0-�S ' 06 • aAExsTASM b 6j -• & Thomas F.Geller Director bip �� Building Division Tom Perry, Building Commissioner �PRE � E IT 200 Main Street, Hyannis,MA 02601 J U L 1 '9 2005 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF B,ARNST EXPRESS PERM APPLICATION - RESIDENTIAL ONLY Not Valid without Red%Press Imprint Map/parcel Number I C( a (10 Property Address abcl C� 1 e r�e� Q `—,Or- 0o/\6gJ1e_ Mff CSaloaz Residential Value of Work �52.3O `t Owner's Name&Address �6n►1GL i� CAC�_f L_ Contractor's Name -L(p r,A Kit. ky'n ic_ U e_nri*_af Telephone Number /R- Home Improvement Contractor License#(if applicable) 103 IS 7 7 Construction Supervisor's License#(if applicable) o 3 Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner P?have Worker's Compensation Insurance Insurance Company Name M tAA_VQj_ j'051 t 1,ra1r1,C_9, , Workman's Comp,Policy#- y y,,3 O IQ W q 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) ❑ Re-side Replacement Windows. U-Value ® ,3 /r-� (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. ome Improvement CMense is required. Signature Q:Forms:expmtrg Revisco53003 The Commonwealth of Massachusetts 02 Department.of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA.02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aimlicant Information Please Print Legibly Name (Business/orpnization/Individual): �nr�n lLl nn �-w\fJ,-Oy P me J Address: City/State/Zip: Phone#: so Y " 7-7 S- 1 Are you an employer?Check the appropriate box: Type of project(required): 1.�-I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7• ❑ Remodeling ` ship and have no employees These sub-contractors have 8. ❑ Demolition i 'workers comp.insurance. Building working for mein any capacity. 9• ❑ g addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their lion per MGL 11.❑ Plumbing repairs or additions 3.Elri t of ex I am a homeowner doing all work exemption p myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Ro repairs insurance required.]t employees. [No workers' 13 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: '- t Homeowners who;sabmit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and,�ob site information. Insurance Company Name: At. Policy#or Self-ins.Lie.#: -7 OCR y 9 4 ,30 1 a CQs Expiration Date: 5 Job Site Address: 0O9 C 4E!� e- Lr City/State/Zip: Qa rvJ(;g_ M(+ Ca(o3Z 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 lead to the imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year imprisomnent, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c er th airs andpenal ' s rjury that the information provided above is true and correct: J Si ature: Date: Phone#: J b`�" -7 7 5" 1-7 rf ial use only. Do not write in this area,to be completed by city.or town q�cial. or Town: Permit/LIcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more of 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 dwelling 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 house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL 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 operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"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 have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), addresses)and phone number(s)along with their certificate(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 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. Self-insured companies should enter their self-insurance license number on the appropriate 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 permit/license 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 the 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 file 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation bd 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 Industrial.Accidents Office of Investigations 600 Washington Street Boston,MA 02111. Tel. #617-727-4900 ext 406 or*i-,877-MASSAFE Fax#617-727-7749 Revised 5-26705 VAW.mass.gov/dia JUN. 9.-2005 9:54Arl A.-I.M. MUTUAL INS. .- NQ.-602 P.2/2 CERTIFICATE OT WSVRAW ISSUEDATIL(ivlh/,6D(YY) '^tiODUCER T S CERT'll7ICA EIS LSSUED AS A`MATTER OF INFORMATION ONLY CONFERS NO RIGHTS UPON THE.CERTIKCATE HOLDER. THIS CERTIFI(ATE Bryd,=&Sullivan Ins Agency DOES:NOT AMEND,EXTEND OR ALTER THE COvERAGE AMRDED BY T POLICIES BELOW. Inc 88 Falmouth Road COMPANIES AFFORDING COVERAGE Hyannis,MA 02601 i INSURED Sprinkle Home Improvement Inc COMPANY A,I.M.Mutual Insurance Co 199 Barnstable Road LETTER A Hyannis,MA 02601 — i COVERAGES THIS IS TO CER•TIFYTHAT THE POLICIES OF 1NSURANCS LISTED BELOW HAVE BEEN ISSUED TO THE INSURL•D NAMED ABOVE FOR THE PO Y PERIOD. INDICATED,NOT WITHSTANDING AArY nQUMFE-MNT,TERM OR CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO RICH THIS_ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL T M TERMS, EXCLUSIONS ANi'D CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 00 TYPE OF INAMANCE POLICY NUMBER POLICYrImcTIVE POLICY E7071uno LDdiTS LTA DATE(MWDD/YY) DATX(MM/DDIYY) GEN'EDAL LLI6II.PIY GMRALAGG9I2G4TE S COMMERCLIL GENERAL LIABILITYPRODUCTS-COMPIOP AGG, $ IMSMADEODCCUR PERSONAL&,ADV.INJURY- S WNLR'S CONTRACTOR'S PROT. 13ACH OCCURRENCE S FIRE DAMAGE(Ara am fim) $ MED.EXPENSE(Ara one porn) S AUTOMOBILE LIABILITY COMBINED SINGLE 11CHEDULDD NY AUTO LIMIT S ll OWNC•D AUTOS BODILY INJURY AUTOS (Pcr P.—d S HIRED AUTOS BODILY INJURY ON-OWNED AUTOS (Pcr=ILl o S GARAGE LIABILITY PROPERTY DAMAGE i I'wnJTY EACK OCCURRENCE S MBRELLA FORM AGGREG,rTE S = THE•R TNAN UMBRELLA FORM - OTKBK OMMR'S COMI ENSATION'AND XAIWIORY _ 7004943012005 0$11312005 05113/2006 ELPdCHACCIDENT s 7 Sp0,000 A HE PAOPR15TOR! Y INCL EL DISEASE-•POLICY LIMIT S ARTNERS,EXECUTIVE 5a0 000 ARCERSARE: LKCL SLDISEASE.PEAL MPL0YEE s SD0 000 (riHER - 7 i DESCIOPTION OF OIEEAMOr,4NlLOCATIONSNEEUCLES($PECIAL ITEMS .. CERTIFICATE HOLDER, CANCALLATIQN SHOULD ANY OF THE ABOVE DESCRIBED POL1421ES BE CANCELLED*on THE BRAD SPRIl\IUX EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDYAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAM ED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIj9ATION OR 199 BARNSTABLE ROAD - LABILITY OF ANY RIND UPON THE COMPANY, ITS A(yR TPS OR. REPRESENTATIVES. AUTHORIZED REPRESENTATIVE � HYANNIS,MA 02601 v BOARD OF BUILDING REGULATIONS' tL, Iin rd rl Huild a9 Rcµ laluneaa SSlosd�nl+ License•CONSTRUCTION SUPERVISOR °f� �' (.p HOMC INPROVENEM CONTRACTOR Number.CS 006543 I 14 RaaistraUo IOP57 r Birthtlute:to/09l1555 ',r Expra).an:9/52008. Bayles 14l08i2005 Tcno:. 5711 TypaPrttefa Cmporadun Restricted:00 - - I - ! i SPRINKLE HOMERAPROVEMENF MC: BRAO'K SPRINKLE' 1 Brad.Slnlnyte y 1901.OTHROPS LANE "-. 1998utnsmriie Rd •W ftRNSTABLC Mtt 02905. .�•+G- ,�'✓'•":"" 'Atlm nI4lrBtat H annis;.MA U2WI - ------------------ Y 'cdmint,vpmt- 7,7 _ d e d + s 1 ° 'h' ,„rd^�(: :� '..aa, E'�,An.��' l _ ' THE N OWpN OF BARN STABLE � BUILDING � M N �� N �� INSPECTOR | ��0N N N_N0 � ���� � �� �~ � �=�� � m� �� APPLICATION FOR PERMIT TO —..\ — '* — —. ^ .................... � L � TYPE OF CONSTRUCTION -------.*�° c`pan�,------------------------------ --.---..,. .............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the.6o||owing information: � Location ...... .~C�,�����,��,..�*�~ .�* ....... . ....................................................... ProposedUse .......... �—~-----------..______________._______~_._________ | Zoning District ...... '.—..................................................Fire District ./.' ^=/�.z�---------------. Name of Owner -- — ^��-----.AJ6nss —��x���.� . +.. \�^�uu��. �/�� Nome of 8oi|6or ---��'—,���°,,4='-----------.A66res -------.---.------.----.------ Nome of Architect ................................................... ..............Address ---------------------------- Nom6e, of Rooms ------��--------------�Foun6otion — -------------. � ^��^� ` Exlerior --. -----.---.Roofing --- ---------------- Floors --- ----------------.]n�hcv ---..� ------------------ -- ` � Heating —'�~ ��'����— �/ /' .+�' +--------'P|um6ing --. � y�' -------------_—.. ' ' Fireplace ........ .......--------------Approximo^e Coo —. .. ........................................... � /f-v— Definitive Plan Approved 6v Planning Board '--'---'--_-----_—l9---- ' Area ���-----------' ' Diagram of Lot and Building with Dimensions Fee _______� � SUBJECT TO APPROVAL OF BOARD OF HEALTH ^_ . ' tot I hereby 9gree to conform to all the Rules and Regulations of the�Town of Barnstable / ^ � . | � ~ � ^/ regarding the above ' Breen, Jmoamh l l�3 ^ . ^ ' �B(IRIUAg ...... Location 4401.Gl --- �eo�az��l�� --------.. —�'y^-----.. / [�vnar .............Joaeph..15-re.e.1a.......................... ^ � � Type ofConstruction ...........IzmMe................... � --------------------------/ ' . ^ �2U ' Plot .................. Lot ..�---------� December 31 74 � Permit Granted -------------]g Dote of Inspection ------------lg / Dote Completed ------------.]g . � ' ' PERMIT REFUSED ' - ................ lV � � ^ � --------.-----------------. ' . '—~-----...------.--------.--. \ ' � --.—.,---.---..—.--.~---..-----... ' �— --------------,—..--.--.. Approved ................................................ 19 ~ . � ' ^ ' -------'-------------'~—'—^^- -----^------------'------~'~' ' Assessor's map and lot number '.. 9 ."'.. .......... �r 1— 7 SUTI,C SYR= ' T'NE INSTALLED IN C®MPLIAI%" Sewage Permit number ......... ..�...................................... WITH ARTICLE IF STATE S ITARYS-09 y. �Q �7NETo�o TOWN OF BARN y, kk'r, 1i BARNSTAIILE, i s ° :oaYAr. r BUILDING INSPECTOR i tl APPLICATION FOR PERMIT TO .............. ... ..... .. v���-j��/+ .4 ........ dude�'8( .................. TYPE OF CONSTRUCTION .............:. �' g AV't?....6X ........................................................................................... L.—.Jv 19/,�.................. ..... .............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following- information: Location .......`.,9,..f.. ¢.... .. .G�zc .`�: r I/ r.......`.IGkLA�! 4' ! -5t+....................................................... ProposedUse .......... .. .Cv .............................................................'�►.........................................,............................... Zoning District ...... .....................................................Fire District .`.. .� COf ................................. ......... Name of Owner ...... ... i*%.-". . ... <t,?................Address ... �r...4.11-.0 Nameof Builder .............. . . ................,..,..............Address ..................................................:................................. Nameof Architect ...............................................:..................Address ...........,........................................................................ Number of Rooms Foundation ....%" �'+�� Y .1........... b. ... Exterior ....... ..........Roofing L Floors ............ ........ ..............................................Interior ...........V11� 'Lh a....................................................... :. . : . Rom' Heating ..... ...........................Plumbing .......... Fireplace ......... .t+ ...........:................................Approximate Cost ..4?a....cC+..:.- Definitive Plan Approved by Planning Board ________________________________19________. Area P&.................................... Diagram of, Lot and Building with Dimensions Fee .jl........................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH i .loT2�' W t� 3y /Y " ,bs° J hereby gree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... .. ...................... Breen, Joseph j 17533 1 1/2 story, No ................. Permit for .................................... single family dwelling .............. ........................................... r � Location ........ Drive .......................Centerville. ......... .... ................................... t Owner ...........Joseph Breen . Type of Construction frame .............................................................. Plot ��20 ......................... Lot ................................ I December 31 74 Permit Granted ......... ....................19 Date of Inspection /: . .. .. .................19 i ' t Date Completed ...... ......7175.........................19 l 1 r PERMIT REFUSED ...........................................................: t E ............................................................................... . .... ... ....... .................................................... { J Approved :............................................... 19 ......................................................................... ............................................................................... BREEN, JOSEPH A�1 2»14b I FEES + 0 a T01�JJ(N ,�OF `BARNSTABLE, .Mass q-d b W 7 m THIS IS, TO CERTIFY THAT AO'4MIT IS HEREBY GRANTED TO Josaph Rrauu ............................ ....... ......... ........... .......... _ ..._.....................__ . _......_......... O � { (PROPERTY OWNER) (ADDRESS) Build 1 1/2 atory ftr dive nE �rrF TO ...:_ ......... ......... .....- .._---------_..�,.�.._ ... ..... .... _........__ ___ E'I Ub (BUILD) ' `(ALTER) •... ° (REPAIR) , mA d single fmi.ly mil.ling 1224 eq. ftoo ' ..� ............. .. ...... (TYPE OF BUILDING) .:..:... ....... L...... :.,..,. ...,..................»._... )APPROXIMATE 91Z[) M• lot 020 apo"41ir�� C4atavvi.11a Tal.4 LOCATION .... ....._. �._... _ F. ...... ......................................... ..................._._ J ISTR[ET AND NUMBER) ._ (VILLAGE) or .+�L37j NAME OF BUILDER OR CONTRACTOR �` Py APPROXIMATE COST R I HEREBY AGREE TO CONFORM'TO ALL THE RULES AND REGULATIONS OF THE TOWN t: OF BARNSTABL REGARDING! THE ABOVE CONSTRUCTION. o P9 c a '. cis 0 ..... .-... ................ .. tV o- , � - _ (OWN ERI _. ICONTRA CTOR)• BUILDING INSPECTOR Subject to Approval of Board of Health-* rt' a ..-,_.....«,.....r.. ....�_._ ...... .. :. ,. --. - «_. ..... a .... � A$ M !'S (,S�'1 J.�R x] ';� . ._ Cµ,; '!#•[+ wy�<?.�raj. ` „;�x ,� . r .;., ...a .ILtea Lr; ; :h«"�� k.'F3,�i� �� � 6•y T t L 4 �M tt9 l t TOt,'JN OF BARNSTABLE BULK RATE COUNCIL ON AGING U.S. POSTAGE PAID 198 SOUTH STREET NON-PROFIT ORG, HYANNIS, MA, 02601 PERMIT NO, 2 lq � _ � � � .,_..: r .. �� r } I _ ,. `� ��� ��J r1�,