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HomeMy WebLinkAbout0153 GUILDFORD ROAD � �k �'"t /P a v'• "� ��M,,,/!!�t` ;r*� � ., .r. r.Y. •,r 'S. fr b,.. - �_ 7' r gyp° 6,4, ... x4 fit•..a. .... ,, ,, sfk c r ,.,yf..� '�px�. :r.".1 �M"'•w. ,a� ; :n�",. (y „+.'1,j�py}' �t,,, ��"1...x7g,1 »{- '�E 'c , Xii:u;r� _::=Fgir?RJy� i��tx. '- ,1,°' � +rr; i p� �u�v�'Pr�,'I�I G�N�''�'�7�` o+j sa;R�yr �➢j �pp� '`'a�i6'� 'E'�)r��3y, �uA{ �.. , �w �i ^., ,`� 0 f ,. f-. rt G. o ,r� ��r f, c e M !t s t at f x �� W 1 1;9 Q-- �6 °FUKEE it°w 'Town of Barnstable *Permit# - ti Expires 6 mo4?hs front issue date Regulatory Services Fee • saxrisrnBrs. v 1 ��� Richard V.Scali,Director ® S 5. 0� $RFD MP'I a Building Division 61 No Tom Perry,CBO,Building Commis goner V 0 2 2016 200 Main Street,Hyannis,MA 02600WN www.town.barnstable.ma.us OF8ARk ,� Office: 508-862-4038 Fax. 5 f 0-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number O /3 Not[valid without Red X-Press Imprint Property Address o ❑ Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �?O j&r 60A Ctr A J /53 C7ui Ij,:ed, j �2ol t�,t�er, ✓ PIA Off.(, 3 7— Contractor's Name '/?Jo J rail / 4tSo/j Telephone Number 0(,�R gQ(] Home Improvement Contractor License#(if applicable) /73 Z y s Email: Construction Supervisor's License#(if applicable)__06S 7 a 7 '[BCrkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ lZm the Homeowner I have Worker's Compensation Insurance Insurance Company Name aft t;0ek .l Workman's Comp.Policy# (d6f- �q 3 J-5420 F Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) [❑ side Replacement Windows/doors/sliders.U-Value ,$D (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. ;Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property KOwner must sign Property Owner Letter of Permission. 'A copy thL.Home mprovement Contractors License&Construction Supervisors License is require SIGNATURE: C:\Users\Decollik\AppData\Local\Microsofl\WindowsUemporary Internet Filesltontent.Outlook\21`101 DHRIEXPRESS.doc Revised 040215 r, 11.eme i i m ent .DO mn mr ribs �' r r� T rr�mi l e °6 d RkrsaB b Jih des tmd . ®q� �Enahi z . . LL51sli EI4? SvLtt4n 14 5i b,KYCl�3 4wolms'LLC 153 Gti dOu�i Rd . ' FM:MOM,MA#173343y T N SM•S Lead!'EFtr[eq#1 "� _ Pilo:�IG1 6-33 uG4 t? reri +�l5ne. �n i » .:fVaerrt► � r.. �"Id ah9. ffrti[.r t C7i p'5viet l d&smi: Rd. C-4ft, irul.1i i0m-.01252�� 0 c-'. 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C{r�ro+ ahrr[amens�a�cuts�§, ro4'. 3 9a .:[ee€� ro co[© [ �[id d�xecl x IFni tE1�a :r.�adr ia` t ass Q' mll�amJam c►ra�6 da.� �gaai¢ai aL}xn .urrd ,:, ralll:.en a araeIl u �U as rii 1' mil dais i�UC n4 ,'. O O C N R B�1i �j jrr.eLre�a��iea�e 9l 166"'� Oyu wt elitutl0 ,' �f III F�t�i�r ai` aii-6 q ,R, YOU,.THE.l� R. MAY,� ,S• ON T. �V'(�T. R T i�rDDNIGHT :1; ,Y _ �°iG�`fC'C� Ft Bll�"if ll ' l�a�l? � IRT[ ID� TI� d+al: #t '� rY; FOR AN dltus . r}4TMS rtd` a�f i£n�land r ,mnnr dI 3:listi I.klsIlJ�I Pima Nhrm dF� w r10f5 l'tr�tuaii Frm1a t r ns� l�`ror�t ftila�¢t I - Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-095707 Construction Supervisor f � BRIAN D DENNISON , 7 LAMBS POND:CIRC� CHARLTON MA.01607 �. n lA Expiration: Commissioner 0910812018. WpaMM""Welz � � - Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration F i— —'_ Registration. 173245 Type: Supplement Card Ij { Expiration: 9/16/2018 SOUTHERN.NEW ENGLAND WINpIIL. 1! BRIAN DENNISON 26 ALBION RD MEN LINCOLN,RI`02865 Zlpdate:Address aid return cord.Mirk reason for change. scan a 20rw-0.v1; - [D Address _E]Renewal [j Employment I:ost.card t �rn:7irriii2i raANCY4ln�lrr. il of Consumer Affairs&Busines r i Regulation Registration valid.fondividual use only before the OME.IMPROI(WENTiCONTRACTOR expiration date•Iffound return to: uOfHce of Consumer Affairs and Business Regulation egistration iy32q Type: 10 Park--Plaza•Suite 5170 Expiration_9h19/2Qt8< :Supplement Card :Boston,MA 02116 �w� SOUTHERN NEW 6diANDi'WMDOWSUC. RENEWAL ByANDERSON ' BRIAN DENNISON ``. 26ALBIONRD t LINCOLN,RI 02665 -Uhders ary Not.valid,without,signature t The Cominonivealth of Massachusetts Department of Inditstrial Accidents I Congress Street,Srrite 100 Boston,iM-4 02114-2017 )yYt�mmass.�OVldia Workers'Compensation Insurance Affidairit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERt11ITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organizati(in/individual): (d, t( ,address: 1ao "�0� - r � b City/State/Zip: 9 t��i�'�S Phone 4: Are you an employer'Check the appropriate how Type of project(required): LX i am a employer with 20-t ployees(full and/or pan-time).* 7• 0 New construction 2.Q I am a swe proprietor or partnership and have no employees working-forme in 8. Remodeling any capacity.[No worker'comp.insurance required.} 9. ❑Demolition 3.Q 1 am a homeowner doing all work myself.f No tvork-ft'comp.insrrance required.)' 10 Q Building addition a.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I I.0 Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.F—J I am a general contractor and I have hired the sub-contractors listed on the nrrached sheet. 13.0 Roof repairs these sub-contractors have employees and have workers comp.insurance.* 6.Q We are a corporation and it,;officers have exercised their right of exemption per MGL c. 1=1.6 ther t.Jr rq&,J 152,§1(41),anal the have no employees.[No workers'comp.insurance required.] /` I.t ei•.o.: — "Any applicant that checks box RI must also fill out the section bclor:shorting their workers'compensation policy information. t H ntncowners who submit this affidavit indicating they are doing all work and then lire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name orthe sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. y I ant an employer that is rovidisg workers'comPensation insurancefor v enpPto ees Below is die policy andJob situ information. Insurance Company Name: f' , &S[,e1Rk) Policy or Self-ins.Lic.n: C a 13(a D 8,1 Expiration Date: Job Site Address: I S 3 Gut Ic�-�o�'eN (( J. City/State/Zip: f �;1� Attach a copy of the workers'compensation policy declaration page(showing the policy number and ex 'ration 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 day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DLA for insurance coverage verification. O I do hereby cep - ruder the p 'ps and penalties ofperjrr)y that the information provided above is true and correct. Si nature: Date: - - / Phone n: Official use only. Do not write in this area;to be completer)by city or town official. City or Town: Permit/License issuing Authority(circle one): 1. Board of health 2.Building Department 3.City/Town Clerk 1.Electrical Inspector 5.Plumbing Inspector . 6.Other Contact Person: Phone#: SOUTNEW-01. UOLLINGER CERTIFICATE OF LIABILITY INSURANCE DATE`MM'DD,YYYY' 61291ZO16 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 REPRESENTATIVit OR PRODUCER,AND.THE:CERTIFICATE HOLDER. IMPORTANT: If .the. certificate holder is an ADDITIONAL.INSUREDthe policy(ies)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,Certain:policies may requlre an endorsement: A statement on this certificate does not confer rights to the certlficate holder In lieu of such endorsement(s): COWrPRODUCER ACT -NAME: FAX CoBiz Insurance,Inc.-CO a°NN EA:(303)988-0446 WC No:(303)9884MM 821 17th"SL Denver,CO 80202 ADDRESS:CoBizlnsuran obizinsurance.com iNsuRERM AFFORDING oovERAGE NAIC d INSURER A:COrldfiental Western Insurance Company 10804 INSURED INSURER B: Southern New England Windows LLC INSURER C DIBIA Renewal by Andersen 26 Albion Road INSURER D Lincoln,RI 02865 INSURER.E: INSURER COVERAGES CERTIFICATE NUMBER: . REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED:BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEFOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,:TERM_OR;CONDITION;OF ANY CONTRACT OR OTHER:DOCUMENT WITH RESPECTTO WHICH.TH.IS CERTIFICATE MAY BE ISSUED OR.MAY PERTAIN."THE-:INSURANCE'AFFORDED BY THE..POLI CIE S 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- ADDL .U EFF POLICY EXP LIARS LTR- INSD":WVD POLICY.NUMBER MID 1,000,00q A X COMMERCIAL GENERAL LIABILITY j EACH OCCURRENCE '$ CLAIMS-MADE OCCUR I I CPA3136080 07/01/2016 07/01/2017 PREMISES Ea oemmerloa s 100,00 I f MED EXP(Arty one person) $ 10,00 PERSONAL A ADV INJURY s 1,000,00 GEN'L AGGREGATE OMIT APPLIES PER: GENERAL AGGREGATE s 2,000,00 X POLICY JECTT �LOC ? PRODUCTS-COMPAOP AGG 1 S 2,000,00 OTHER EMPLOYEE. is 2;000,0 AUTOMOBILE LIABILITY M MilEWED SINGLE UMI1 $ 1 000,00 er[ , A X I i 07/00 TWURYTffP") s.- .!,kW . 26 1 ALL OWNED ^SCHEDULED I BODILY INJURY(Pm accide s AUTOS AUTOS NED I PROPERTY DAMAGE s HIRED AUTOS AUTOS. i II Per aoddeM s X UMBRELLA LUU': X OCCUR � EACH OCCURRENCE $ 5;000;000 A EXCESS LIAB CLAIMS-MADEJ CPA3136080 07101/2016'07/01/2017 AGGREGATE $ DED X- RETENTIONS O I 9gr@gate S $;000;OO TH- WORIIERSCON7ENSATON STATUTE ER AND EMPLOYERS'.LIABILITY YIN 1,000.00 A ANY PROPRIETORRARTNER/EXECUTIVE CA3136081 107/0112016 07/01/2017 E.L.EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? N/a ; 1,000;. (Mandatory In NH) E L DISEASE-EA EMPLOYE S If yes,desmbe under E.L. . DISEASE-POLICY LIMIT s 1,000,60 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached I more space,Is required) CERTIFICATE-HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED-BEFORE THE' EXPIRATION .DATE THEREOF, NOTICE WILL.BE DELIVERED IN ACCORDANCE'WiTH THE POLICY PROVISIONS. AUTHOR=REPRESENTATIVE - ©t888-2014 ACORD CORPORATION. Ali rights meserved ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD BOISE- BC CALCO 2003 DESIGN REPORT - I Pq Wednesday,January 26,2005 11:32 Double 1 3/4" x 9 1/2" VERSA-LAM@ 3100 SP File Name: Padgett_Onagd�ahler.BCC: FB01 Job Name: Roger Engdahler Garage Description: OVERHEAD DOOR HEADER(S) Address: 153 Guilford Road Specifier: City,State,Zip:Centerville, MA Designer: Joe Madera Customer: Padgett Builders Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: 1 Standard Load-20 psf 11,0 psf Tributary 12-00-00 BO 81 2800 Ibs LL 2800 Ibs LL 1444 Ibs DL 1444 Ibs DL Total Horizontal Length-09-04-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 09-04-00 Live 20 psf 12-00-00 100% Member Type: Floor Beam Dead 10 psf 12-00-00 90% Number of Spans: 1 1 roof Unf.Area Left 00-00-00 09-04-00 Live 30 psf 12-00-00 115% Left Cantilever: No Dead 15 psf 12-00-00 90% Right Cantilever: No Controls Summary Slope: 0/12 Control Type Value %Allowable Duration Load Case Span Location Tributary: 12-00-00 Moment 9902 ft-Ibs 61.7% 115% 3 1 -Internal Neg. Moment 0 ft-Ibs n/a 100% End Shear 3524 Ibs 47.7% 115% 3 1 -Left Total Load Deft. U361 (0.31") 66.5% 3 1 Live Load: 20 psf Live Load Defl. L/547(0.205") 65.8% 3 1 Dead Load: 10 psf Max Deft. 0.31" 31.0% 3 1 Partition Load: 0 psf Duration: 100 Notes Disclosure Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360)Live load deflection criteria. The completeness and accuracy of Design meets arbitrary(1")Maximum load deflection criteria. the input must be verified by anyone Minimum bearing length for BO is 1-1/2". who would rely on the output as Minimum bearing length for 131 is 1-1/2". evidence of suitability for a Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing particular application. The output above is based upon building Connection Diagram code-accepted design properties Consult project design professional of record or BOISE technical representative for connection design and analysis methods. Installation Member has no side loads. of BOISE engineered wood products must be in accordance Connectors are: 16d Sinker Nails with the current Installation Guide and the applicable building codes. a=2„ d To obtain an Installation Guide or if b you have any questions,please call b=3" (800)232-0788 before beginning c=2-3/4" a product installation. d=12" —� • BC CALCO, BC FRAMER@, BCI@, C \ BC RIM BOARDT"' BC OSB RIM BOARD TM BOISE GLULAMT"' VERSA-LAM®,VERSA-RIMO, _ • \ VERSA-RIM PLUS@, i VERSA-STRANDTm, VERSA-STUD@,ALLJOISTO and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 5 ASSESSORS 56104 0" N MAP 172-79 �' So• LOT 88 PARK ASSESSORS MAP 149-845 � N 6 rrrrrrrrrd' rrrrrrrrr,r?. 110.0 ,;rrrrrrrr rrrrrrrr Cp ,rrr,rrrrrrrrrrrr • rrrrrrrrrrrrrrrrrrr ENC rrrrrrrrrrrrrrrr,rr DECK „rrrrrrrrrrrrrrr , � rrrr r,r„rrrrrr�j. �61 5 SHED �rrrrr r rrrrr r.. .rrr � ,rrrrrrr rriiiirrrr DECK r ,,,,rrrrrrrrrrrr, THE SEPTIC SYSTEM rrrrrrrrrrrrrr„ r WAS BRA WN FROM THE \ T s r r r r r r r r r r r r r TOWN OF BARNSTABLE "Syva6" r rrrrrr rrrr, c'- SEPTIC/NSTALLERS CARD err rrrrrrrr COLD ?°;;;;;;N; o O FRAME s AREA=15882--S.F. so ASSESSORS SHED 0o MAP 148-13 N. moo. LOT 86 • (1 GARAGE FOUNDATION 0� O ASSESSORS MAP 148-14 1� 9 LOT 86 [FLDOD ZONE "c" FO UN1�A TION CERTIFICA TIO RES ZONE.' "RC" AN-CENTER VILLE SCALE.'1"=�30 PL.REF.'24 7 84 ELEV NIA CERTIFY THAT THE ABOVEYANKEE SURVEY CONSULTANTS OUNDATION IS LOCATED ON : ���`�a l"��S�acy'; P. 0. BOX 265 THE GROUND AS SHOWN, AND a o P���s E�FO G v UNIT 1, 40B INDUSTRY ROAD IT'S POSITION LaOES'_ SSEPHEN N o J. D ova r MARSTONS MILLS, MASS. 02648 CONFORM TO THE ZONING LAW ��, _ • TEL: 428—0055 SETBACK,REQUIREMENTS OF . oF� ,o� e "ANSTAELE ` oFAX 420-5553 y---- -------- :pp�q SUS �� STEPHEN J.' DO YLE R.P. L.S. DATE. _8�24105 NUMBER 53820FND TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Lr � Parce a 13 - Permit# R 1 1 14 Health Division r&'/ d Date Issued / / -6 Conservation Division �+ �--��� �'" Application Fed/ /00 Tax Collector _ Permit Fee , 7 4 Treasurer n. Planning Dept. EXS 1NG SIC 3Y Date Definitive Plan Approved by Planning Board ��MRED TO STEM Of BEDROOMS Historic-OKH Preservation/Hyannis Project Street Address 16 3 G t iLtj IraRD RD . Village �'C�(Zy tLLe Owner �OG" Q . A-,Jo lit K�l_ _ Address S*to L5 Telephone (, Uo 0 4A- f�15`l Permit Request ID- k-->•Acv1.en 24 g Z't- _& JC LE Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District � � Flood Plain C Groundwater Overlay tJ A t- Project Valuation d 6D Construction Type LM0 69AM15 Lot Size 5 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family �' Two Family ❑ Multi-Family(#units) Hcx�Sc Age of Existing Structure .-!), 3 21 Mks Historic House: ❑Yes �Bo On Old King's Highway: ❑Yes vQ No Basement Type: ❑ Full ❑Crawl ❑Walkout 60ther Netj gAAA�E TD t✓ Sl.. g Q?'J_ QRWC 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 y ' s_l Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other € Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yess, O No �, __ Detached garage:❑existing new size 6hsf Pool: ❑existing ❑new size Barn:❑existing` ❑new—size -t cyflI co Attached garage:❑existing ❑new size, Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ _ Commercial ❑Yes *4 No If yes,site plan review# Current Use tW 6-ri t-CUS ei� R?P�-ice Proposed Use BUILDER INFORMATION Name J6-rT l��i ephone Number (SO ! Address -P� f33 License# Bit f1�21- Home Improvement Contractor# l.0 lt, a � ����� Worker's Compensation# 7 7 ALL CONSTRUCTION D RIS RESULT NG FROM THIS PROJECT WILL BE TAKEN TO r SIGNATURE DATE (Y U S . E FOR OFFICIAL USE ONLY i 't PERL4IT NO. DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: _ t FOUNDATION (�t�� "���(�S<Q-Z y FRAME /' �S D Z - U C d INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL • r Im GAS: ROUGH % FINAL r FINAL BUILDING tU � r w DATE CLOSED OUT ASSOCIATION PLAN NO. 1 r, c c f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE , New Buildings $100.00 �� h Residential Addition $50.00 Alterations/Renovatious $50.00 Building Permit Amendment $25.00 mn nrinnmrn�i . FEE VALUE WoRKSHEET NEtiv LIMG SPACE square feet x$96/sq.foot= x.0041- plus frombelow(if applicable) AI,TERATIONS/RENOVATIONS OFFMSIING SPACE square feet x$64/sq.Foot= x.0041= plus frombelow(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= ACCESSORY$TRVCTURE>120.sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= . (number) Fireplace/Chimney x$25.00.= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 - Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 THElpk� The Town of Barnstable BAR145TABLE. Department of Health Safety and Environmental Services 9 MASS ! sa79• Building Division 367 Main Street,Hyannis,MA 02601 rice: 508-862-4038 x: 508-790-6230 PLAID REVIEW Owner: r QA n Map/Parcel:_ .'�} �� 0113 TD Project Address:_ ht11 ( �,�d Builder: w,04 p 1. r b The following items were noted on reviewing: ©V) Liz L ' � f R Reviewed by: p Date:_ A��' Town of Barnstable Regulatory Services B^M "Bl E'MAS& Thomas F.Geiler,Director �j01F0�A`� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �04*v, C-- E-�=4 DA RL- ,as Owner of the subject property hereby authorize 1��e:--rT LLD 2S F t �� to_act on my behalf, in all matters relative to work authorized by this building permit application for. 153 gtkl -DFO�ZO RD, C-r-, CI1'CJ iL' LJE , M A p 2 Q-3 S (Address of Job) Signature of er l'" Date we aGt�2 C. �i�1C�J1� 1- Print Name :FORM&OWNERPERMISSION .K The Commonwealth of Massachusetts Department of Industrial Accidents F _ y, 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses name: � � �►�1�a� y)f� /I�� ri� S ANC address: 0 o x i 3 3 l 8 `t KCD ST city C o_ra T state: ap62(e SS phone#(Sce) 424�-U00 work site location(full address)' 5 t ill-D'COR-0 RD. ) �,/� 0 �(0 3� ❑ I am a sole proprietor and have no one Business Type: ❑Retail ElRestaurant/Bar/Eating Establishment working in any capacity. [IOffice❑ Sales(including Real Estate,Autos etc.) ❑ I am an em toyer with ens lees(full& art time). ❑Other %/l% %///rl///1//.ii %/// ///%%///0//%l/%////O/ %%%///////////////�%/%////l/%/%%/ %�%%%%/%/% I am an employer providing workers'compensation for my employees working on this job. 6. company name: address: city: pbone#•.'.. . Q-7 insurance co: olic I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: company name: "• .. address city phone# insurance co. tilic° # address: city: Insurance co. . , olicv# Fellure to secure coverage as req d under Section 25A of MGL l52 car lead to the imposition of criminal penalties of a tine up to 51,500.00 and/or oac years'imprbonment as we c (1 peaaltla!n the form o a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be�rwa ed c OtR f Inv gatfons o e DLl for coverage verifleatioa I do hereby certify and the sin n s of e jury e njorm •on provided above is true and correct Signature f Date I I I?,I0$ Print name 10 - Tr.1t. Phone# )�( OEM roicial use only do not write in this area to be completed by city or town o dialy or town: permit/license# ❑Bu lding Department - ❑check if immediate Board immediate response 1s required ❑Selectmen's Ofnce []Health Department contact person: phone#; ❑Other (reraed Sept 20M) 5 .- { I Ts�om�novuaea`!/c o�✓�aoeadeuaek2 _ --- — --- -- -- BOARD OF BUILDING REGULATIONS 0 35,000 of enclosed space I License: CQr18TRU.CTLON SUPERVISOR (MOL C,112 SAWIA•Masonry only Number, 048859 pG•1&2 Family Homes I 61 Failure to Possess a current edition of the i j Massachusetts State Building Code E J , Is cause for revocation of this license. Tr,no: 16904 „-:- _. Rest ROBERT R PADGT<< 184 SCHOOL STIPOQ373; COTUIT, MA 02635 Acting o m ss ner DIG SAFE CALL CENTER: (888)344-7233 ✓fee �anh�ea� kl o�„���ac�usael� _ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 100131 Board of Building Regulations and Standards Explmtlon: 6/9/2006 One Ashburton Place Rm 1301 .Type: Private Corporation Boston,Ma.0 08 PADGETT BUILDERS,INC.; Robert Padgett / PO Box 133/184 School Sty� rc•.� Cotuit,MA 02635 Administrator Not vali without s' ture I r IE To' w, a of Barnstable Regulatory Servides Thomas X Geller,Director 330ding Division ' Tom Perry,Building Commissioner' 200 Maim Strew Hyannis,MA 02601 Office: 508.862-4038 Fax: 508-790-6230 • permit no, . Date • AFFIDAVIT' ROME WROYEMENT CON'Z'RACTOR LAW SUPP7.EMM To BERM[T APi'LICATZON • MGL 0.142A requires that the"reconstrmction,alterations,renovation,repair,modernization,conversion, • -improvement,removal,demolition,or constracdon of at edditionto any pre-existing owr,►er-occupied b*ing contammg at least one but not more than four dwelling units or to structures which are adjaoent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements, Type of Work: 'C�hc�-tab 1�2� G (�Cs� Estimated Cost 25. Or�v Address of Work-. I S u�LTJPDRp • 1�. C��I"►uj� C) n owner'sName; 110 A�� �f�`e�Dl �G1�F1 ir1 L bate of Application; I hereby certify that: Registration in mot required for the following reasons); []Work excluded bylaw Ellab Vnder$1,000 []Building not owner-oecupied • []Owner pulling owsi permit , Noticeis hereby given that: , O RS PULLING THEIR OWN PTRM[T OR HALING WITH UNREGISTERED CorrrPICTORS FORAPPIACABT,E HOM3IMPROYRU3NT WorXDo NOT SAYE ACCESS To THE ARBITRATION PRO GRAM OR,GUARANTY FUND UNDER MGL a,142A, SIGNED UNDERPENALTMS OF PERJURY .Thereby apply for aperznit as the agept of the owz�e , Date Fhoqur-�j?lnftT 6p w5. -Untr actor Name Aegistratioallo. • OR Owner's Name ' Engineering Dept. (3rd floor) Map 14 8 Parcel 0.{ 3 Permit# 7 FS House#- Date Issued t% Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 9 2 —t$8 n Fee ;2 S cep 0) ]3DD Admin Bldg) �1ME r and 19 ' BARN ABLE. _ TOWN OF 7' 'E° �'�� _ x Building Permit Application Project Street Address y (t-t>C d Z) Village CAN -k—c-Vty t Owner Qo C E►t . tN G Address fi { Z� r Telephone �� s� + Permit Request -�vl-e.L w i T t-F L j d-t r' CI-0 f &1- ;V V e le- ` t koNT- _ gcnt evi Q `ciM© v..c_ � � 5��7�c.�2 tci �iri, >2 ,,t , ao k A-c t w �t-t `F of t,(ra 0 w 'First Floor nn square feet Second Floor square feet .Construction Type k wt Estimated Project Cost $ Z oo o p o Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Ef Two Family ❑ Multi-Family(#units) Age of Existing Structure z Historic House ❑Yes `allo On Old King's Highway ❑Yes U 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 9 New No.of Bedrooms: Existing Z New Total Room Count(not including baths): Existing `7 New First Floor Room Count Heat Type and Fuel: 316as ❑Oil ❑Electric ❑Other Central Air ❑Yes tallo Fireplaces: Existing -47-- New Existing wood/coal stove a-fes ❑No Garage: ❑Detached(size) Other Detached'Structures: ❑Pool(size) ❑Attached(size) LYliarn(size) \Z.,c 14- 9_None &9-hed(size) x lZ ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If es site plan review# Y Current Use Proposed Use (� Builder Information R Name Telephone Number 4 7 7 Address Ujwt e- License# O ( S Z 0 O y Home Improvement Contractor# 0-1 0-7 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING;AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Z-Z- el BUILDING PERMIT D NIED FOR THE F&LOWING REASON(S) FOR OFFICIAL USE ONLY _ PERMIT NO. DATE ISSUED 2 MAP/PARCEL NO. K~ - t ADDRESS ` VILLAGE - - '- r OWNER DATE OF INSPECTION: i i t ; 4 FOUNDATION FRAME i t t ` ' . . : ► _ _. - � i�a�..,... INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL { PLUMBING: ROUGH FINAL i F. GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t i x c( � � O C-c, �o0 1(� 0tt x( , Sri A-c.- �C -D O U-1 to Zx ` erne r� i . The Town of Barnstable t asarrsrnar� t WAS �m�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. ; Date AFFIDAVIT - HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION ' r r MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. 00 Type of Work: Est.Cost Z o cDo Address of Work: Owner's Name ©C� �--n- y-t4--c- Date of Permit Application: P S 2 - 9 7 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied — Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IIVIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. S-Zi Z 7- 01 Date Contractor Name Registration No. OR Tlrc• Comtrtonivealth of.4hissacliusetts • �'el I:_�- Department of Industrial Accidents A � Y � f Office all911MOS 21IMs 600 !f achingtun Street Boston. A1ass. 0 111 Workers' Compensation Insurance Affidavit Armlic.int iriformatitin• - PlcTie P R I NT!E-'i jj'�'""`"�"- name: location: CM, nhone I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity _ .•nw•......_.rO....w_....._.+.w�.-:9Mvl�.�.f+ASlR7..�.�T._. �P'-.^�V!�.�'!T�'.A��� � f•�..w.r..__.. Cj I am an empiover providing workers' compensation for my emplovees working on this.job. conulanv n: roe* address: city: Ithnnc#• insurance co. polio•# [j I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comranw nitne: adtlrc5�• citw: phone#• insurance rn. nolicv# ._..__.-.... .._ ...�_—....... -�_�r-/J Y.i___ rY.�:ilr.rrrJr••_— - - iT'•J^►w�-.S,. - i -.� cmmnariv name: address: city Phone#• insurance co. nolicy# Attach additional sheet if necessa'ty; - --�� may.-_ •:�.� •- +•—.:73 -^�==-7' :a��..�r�.ri! �—•' .' :� �'� ...�.� �L-Y._..s=...,....-.`y_�._��.a...... ilY!'�i�..iC•. c:....aL F::iiurc u:secure cttver:tec:ts required under Section Z5A of NIGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 andiur une wears' imprisonment:is well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a Copp of this statement ma% be forwarded to the Office of Investigations of the D1A for coverage verification. l do hereht•cerri • tnder the pains and penalties ofperjupt,41that the information prorided above is true and correct. Si=nature - Date � f 2Z �� Print name O G cC✓_ C,L�A L4-C Phone# `1 2 8 7 , �1 official use only do not write in this area to be completed by city or town official city or town: permit/license# riBuiiding Department C3Liccnsing Board I] check if immediate response is required oScicetmen's Office ►_ riticalth Department contact person: phone#: r'•IO1her 4 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 einplgree is defined as every person in the service of another under any contract of(tire, express or implied. oral or written. - An rmpinrer is defined as an individual. partnership, association. corporation or other legal entity. or any two or nor; the foregoing cn�gagcd in a joint enterprise, and including the le=al representatives of a deceased employer. or the receiver or trustee of an individual . partnership. association or other legal entity, employing employees. However rh; owner ofa dwelling house haying not more than three apartments and who resides therein. or the occupant of the dwcllin�- house of another who employs persons to do maintenance , construction or repair work on such dwelling fro: 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 even-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 commoni•ealth for any applicant who has not produced acceptable evidence of compliance with the insurance 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 been presented to the contracting authority. 77 Applicants Please fill in tine workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits 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 requires to obtain a workers' compensation policy. please call the Department at the number listed below. City or Towns Please be sure that tlne affidavit is complete and printed legibly. The Department has provided a space at the bottom o: tine affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pier be sure to fill in the permit/iicense number which will be used as a reference number. 17ie affidavits may be returned 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 questior 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 NVashinaton 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 3 �-,J 0 k 0 2 t� ��ck TrcQvf C-1. ' Number Street address Section of town "HOMEOWNER" 6C-If-, ✓l- 6 , e- C1AA -L- Z, S'lS • • . Name Home phone Work phone - - PRESENT MAILING ADDRESS k J ' •' e�N ►�2v e r t_ w-s� , 61to 3:z-- City town State Zip code The current exemption for "homeowners" was extended to include owner-occupies dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) 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 or two family dwelling, attached or detached structures accessory to such use and/or farm structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building offic'_ on a form acceptable to the Building Official, that he/she shall be resnonsih- for all such work performed under the building permit. (Section 109.1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the St 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 comp rh said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35 , 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. 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 Owne: 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 ''Owner- acti. 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. Assessor's office(1st Floor): // _ 0 / Assessor's ma and lot number - �7 U Q ISCP f THE>o p .,4 dr. /Y�.`� d �/�T`��/4cP �° �� ���°���� Board of Health(3rd floor): Sewage Permit number C1'lr�6���j��t Z DAHII9TdDLL i Engineering Department(3rd floor): House number VQV,VA], REGU ' a��r 40 Definitive Plan Approved by Planning Board 19 ttl' APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN . OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO- kyt%_D TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information::�n. Location Proposed Use �tJ�T`�- Ss- Zoning District Fire District �Ap Name of Owner C,-P—yL Address 1 a L 4—h go eft® QQ CF-44 Name of Builder ri+— Address Name of Architect '®" Address Number of Rooms Foundation .✓ f L�'�� 5 Exterior Roofing Floors ��c'��'�� /��Zeslvc�lc Tdl��B.T� Interior i Heating Plumbing Fireplace Approximate Cost600 Area 13 Diagram of Lot and Building with Dimensions Fee �e%Jg6 i� vsE t.L. 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 f ZOO ENGDAHL, ROGER C. No 33602 Permit For Build Deck' Single Family Dwelling z . Location 153 Guildford Road Centerville Owner. :.Roger C.- Engdahl t Type of Construction Frame Plot Lot ` } Perrnit Granted March 23, 19 9 0 L r f Date of Inspection 19 Date, 19 r 1 f • •� 1. .. I\ sy.- -. r;•r :..+:xr .,R.. �+!rF#rl.'r.-7 ,.Nn.-:-- i +.4..n+"�v, ,^s'r: •��;, • .-:�T .�.u_hFgce:.:.�,'` ""-3a+ otr,gin rKu, „r«u.-,+5 <�±^*; , n d`af wr. 5 r •.•, � 7`,. .f y it »rA :: '. .,r. x'+r.atr,,€t. _ ;_ F µ r Assessor's office(1st Floor): �/ r Assessor's map and lot number 0 7 a —:- poi THE Tod, Board of Health(3rd floor): W I'4 4 ' W"I- WQ Sewage Permit number Z DADISTADLL Engineering Department(3rd floor): r'iva House number °o 1639• Definitive Plan Approved by Planning Board 19 �o YtaY d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only ' T e-2 TOWN OF BARNS�TABLE r BUILDING INSPECTOR APPLICATION FOR PERMIT TOa TYPE OF CONSTRUCTION •!�, 1 t 'cy,l 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location i r� '�`?, �.��t�...sy �x.� ��.� Proposed Use Zoning District sC- Fire District ff a Name of Owner r . t"d�'� 4 ,�• Address s k} f J fs:...IN 1-' .c ? a i Name of Builder `E . r e , Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors c ��yq ��7P:5,r 7"a1 r»lr_= Interior Heating Plumbing Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee 9 9 _. 1 r aNt, ,. # f� .,..• ..._ .. 1.fit.. _.._..._ .� ._. ..,..�� % i #AV r, 33 $ Vi OCCUPANCY PERMITS REQQJRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. - t tiros Name �+y�..,� �_ a,�+'• �_����, ��.- Construction Supervisor's License' r. :NGDAHL, ROGER C. A -0'..3 No 33602 Permit F Zuil7ck Single Family: Dwelli na Location 153 Guildford toad Centerville Owner Roger C. Engdahl Type of Construction Frame. Plot Lot Permit Granted March 23, 19 90 Date of Inspection 19 Date Completed 19 1 PERMIT COMPLETED 1,11 1 ..,., Assessor's map and lot number .�,.�..�.�,..�::.... ... ,, S'EPTIC SYSTEM MUST VE y� INSTALLED IN COMPLIANCE Se age Kermit number .....lt� ... ... .. : CLE II STATE - WITH' ARTICLE ARTI y SANITARY CODE AND TOWN ts; FTHfT ,,� TOWN OF BAR ABrE O O Z HAHBBTABLE;IS �) • "�� . RUILG1 G I SPIECTORI c'2 �E�tlpY�' ter, C.? • y APPLICATIONw~FOR PERMIT TO .. :. ..... �. �, 5 .. �? . .I ....4?4!.� .......... .............. n i a TYPE OF CONSTRUCTION ........4.(-L9KA. ...:.:t-1L�-S .. ........................................ c, . Gr3 .................19-7 8.. GY 3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......l.a.. ..... (9lc,loi21�......."� D............... FiTEt�.7tC_LC................................................... �oo ..` ......... ProposedUse .........G,iz Iia-.1.�t4-i.40.P.f .......................................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner Q C�cS ...... . ('t C-, L....Address ��� �v ...... �►z �.ot�t� �.... .................. .................................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... r-- Number of Rooms Foundation ...1. !iM Nr-.S '•?SA.... ?s...t�.°..ti�`�..7.. .................................................................. Exterior ............ A ........... ..................................... Roofing ......... 4 ....................................1 . . ( o t� ..:c:�.....� ................................Interior .................................................................................... Floors .............. Heating .... .......................................................Plumbing .......��b ............................................................ V0 Fireplace ..................................................................................Approximate Cost ..............!.Q,4.0......................................... �-- Definitive PlanApproved by Planning Board ________________________________19________. Area .... S� ' Diagram of Lot and Building with Dimensions Fee .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �d ZCwq. 6 ' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nameel�.A......... .. ....... ` . � . . . ' ' . ^ � ° ' ' ' . ' � .. ` . ' . - . � . . . - ^ . � . ` . � . . � Engdahl, Roger C. Permit for May 8 27 PERMIT REFUSED ' 19 � - ^ / . . ..................... ......................................... ' �~ . ' ` ~^'~^^' . ............ lg ^ ' ' -----.-----..—......— . . . ' ^ � ............................................................. . . � _ TOWN OF BARNSTABLE ft 039- BUILDING INSPECTOR am APPLICATION FOR PERMIT TO ]�O ������.����� ......................................... ---.. --. ..�=' TYPE OF CONSTRUCTION ........ ..........�". !�.c`____._____________________ [" �C � —.!�\. —. -------.lg.�'�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: �+ ~~ Location --!��'��—'��.L].//�l�-�..�C1.��--.^�!!��r�----..�:;�.!�T7�.�.��!�=L��..—.----.--------.--. ' P Use ---��..�������.+�J�]��f�—..------------.-----.--..------..---------- Zoning District --------------------.---'Fivu District ............................................... � ~ � �� � � �'� r����]� rc� . t�— (S � 6 ` '\Namo of Owner .. � L � .� -----.—' — . ^ Nome of 8ui|6*, ----------------------'A66nesu .......................................................... � Nonm of Architect ----------------------Ad6n*ss -------------------------.--' ^ ' _^ � r�! � ���Nom6er of Rooms ----------------------Foun6otion —� —. .. . . � ...—' � Ex/orio, .....................f\�.��-----------------.Roofing --'.....................-----------------.— F|oors ----' ..--'...-.....!.......------------|ntericv ----------------_—__________ Heating ..........�������= ......................................................Plumbing ....... ;..................... Fireplace ---------------------------.Approximote [ox .............!D.L/0 ................................ Definitive Plan Approved by Planning 800nJ lg---- . Area ... ~~ ' Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH � - � � .- . ' - - ~ - ^ ` . . \ - � � | han»bv agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above � construction. ` Nome'� —.��..�—..����.����.��. ����, . ' --��—.� \ . ��^... - - ^ - Engdahl, Roger C. A=148-13 i No ...................0181 permit for ad/greenhouse .. ................... & remodel garage r ................................................................. 153 Guildford Road rLocation ................................................................ � l Centerville Owner .......... C. Engdahl..................... Type of Construction .................... Plot ................. ..... Lot ................................ t Nlay 8 78 Per, Gr ........................................19 f Date f Inspection .... .............................19 ,1 Date Nompleted 19 I` \PERMIT REFUSED .... .... 19 ` �. .. f . .�........................... +. .......................................... ................................... .............................................. ............................... , tApproved ................................................ 19 I ............................................................................... i • ............................................................................... IQ Assessor's map and lot number �.../. �2:7...1.�1..; ... oFTaEro Sewage Permit number . , n. ����t !�!.. .. .. .. ..... f Z BARISTAML i House number ............................. AGL � .............................-Ij 9�0 rb 9 \0� p Ala- TOWN ' OF BARNSTABLE BUILDING INSPECTOR. APPLICATION FOR PERMIT TOv< < �`�"� 2- /�� ZX �2. �. TYPEOF CONSTRUCTION ..................................................................................................................................... / .�.�........Z..................198 .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following infoAr�m.,a_tion: Location ............�.LJ.................."'U/L.�..P�.2.�............��....... .... .i!!.1..�� �.�� L' ................................... Proposed Use .STO ZoningDistrict .................................................... ................Fire District ............................ Name of Owner .......,j��..........................,,...,�...:!'../�.!.S.?......:�...Address ...Z::ES....... �vl... ................................................... Name of Builder ....4K-..rr..f4... l�C !¢ c.Address �� r U/�� PO�o /Z/) ...... .... ........ ........................................................................ Name of Architect ................Address Number of Rooms .....................Foundation ... .!�1 �'✓T.....&I.�. .. Exterior .....77'!�.k..... ..............................................Roofing ......... !1 . ............................................ 7 Floors ......a.��.....................................................................Interior ................................................ Heating ................-..............................................................Plumbing ........................................................... ................... Fireplace ..................................................................................Approximate'Cost .......... ..........I.......... Definitive Plan Approved by Planning Board -----------_______--------- _19_______:� Area ..... z............. � • 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 T wn of Barnstable regarding the above construction. l Name .�? .�,1.........�. .....,. ....... ......................... Construction Supervisor's License 0 Z4O ENGDAHL, ROGER C. A=148-13 25029 Build Shed No ................. Permit for .................................... Acces.sort'...to,..Dwelling.................. Location ... uildford. . ....Road. .................... .. .... .... ..... ................den iter.Y.?.. e.................................. Owner ...gger...0 ..Engdahl E119&-WAI.................... Type of Construction ......F.T:AMe....................... ................................................................................ t Plot ............................ Lot ................................ May 3, 83 Permit Granted ........................................19 Date of Inspection ....................................19 r Date Completed 19 ' r f Remodeling•Carpentry•Additions Roger C. Engdahl 428-8757 153 Guildford Road 362-3142 Centerville, MA 02632 coo (( Oro/G.��. j ZP Cpsys . 40 ss r 6�-c 4oe , r • R - . VAssesl'or's map and lot numberTHE ...1..:.1.. -..� . Sewage Permits number . . .0.:...... ... 1 . �P t Z ZAEJ3TLDLE. `House n ' umber` /J .3 M6 L O G 9�0 -.TOWN OF ,- BARNSTABLE ' BUILDING,. INSPECTOR G /.> /ZXlL1 F APPLICATION FOR PERMIT TO ..................................................... �� TYPEOF CONSTRUCTION .................Z-....................... 4H4.............................................................................................. ..Td$...,.........Z..................1.9 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to thefollowing information:" Location .....................................c/<�..........................AZ...................v . ... le.V..� ��4�1................................... ProposedUse ..............5�� ��.:...?�..................................................................... ................................... ................. Zoning District .................................................... Fire District .... .F Try: L{JItC. ............................ Name of Owner ...R49.6.. . .... ...Address ...1��. .....wlt1,�,�®/1�..... �..................... Name of Builder .... .......... Addres* ...j✓r.........L?,U..i-,U,?o..20 ./L'�) ...................... Name of Architect Address eke_of Rooms .......:.:... ..................................................Foundation ... r ,r..... ...... Exterior .......f... .......... .......................................r f/ Roofing /''/ 1/ ........:....:................:................ Floors ...........4..y....................................................................Interior ......:.............................................................................. Heating ................... `..........................Plumbing ..................... ................................................. . 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 ° t OCCUPANCY PERMITS REQUIRED'FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of e T n of Barnst ble regarding the ove construction: ' Name ... ....................... -_ _.._.... r. ... ..'.................... • Construction Supervisor's License �� ZDO .1 ENGDAHL, ROGER C. ,r 6 . No Permit for :Build...Shed ................ Location 15.3...Gu.i ldfoxd...Raad............. . ........Center�il�e............................... Owner Ragex...C......E III..................... J Type of Construction ...Fra-aa.......................... { ......... ........ _................ ....... Plot . ...... ......... Lot ................................ - Ma 3' � 1 • Permit Granted ............y......l.:........:........19 83 y Date of Inspect :�...f...:t.X.3......19 0,3 �� f ` Date Completed ...................... 19 j _ > r J� CENTER VILLE ASSESSORS 00 33 MAP 172— 79 1 �6 v7' ss Q LOT 88 PARK ° ay ASSESSORS " MAP 149-84506 110. ENC. r,r„rr,rr,,,rrrrr, -c DECK �61.66 DE CK 11111#153 SHED rr,rrrr. . . rr„r � LOCUS MAP ,,,,,ri,,, � O + r,r„rrrr,,,,,,, g. DECKrrr,r,rr,rrr,r,,,� PLAN REF.' , 247-84 ASSESSOR'S MAP.' 148-13 „rrr,,,r, rrr ,\ r,,r,r✓,,,,,,,,,,,r,r,„,,r,„,,r r,�r o.� _ „R C „ THE SEPTIC SYSTE! ZONING. g OWAS DRJWN FROM THE , , M#W OF BARNSTABLE SETBACKS.' 20 -10 -10 SEPTIC IMSTALURS CARD DEED REF 1754-120 FLOOD ZONE. C COLD tio'r„rrrrr,rr + o�e „rrr,,, •r FRAME r °3 `` �o0 4. PLOT PLAN OF LAND ' AREA=15882.±S.F. LOCATED AT ssoe ASSESSORS 153 G UILDFORD ROAD SHED ^ — ' O CENTER VILLE MA oo,, ♦ MAP 148 13 �' �♦ ♦;o_ LOT 86 PREPARED FOR: ASSESSORS ♦♦ AGE � 'p � ROGER & CAROL ENGDAHL MAP 148-14 1 ♦ 0 �''` 1 ' sz� ♦ ♦ �. 1 � JANUARY 04, 2005 LOT 86 - �► r �� REV- REV • f STEPHEN � o J. �' ► REV.• ti. YANKEE LAND SURVEYORS & CONSULTANTS ONBOX TA TS GRAPHIC SCALE t o T��,� -o s UNIT 1, 40 INDUSTRY ROAD zo o io zo ao , MARSTONS MILLS, MA 02648 TEL 508—428—0055 FAX 508—420—5553 1 inch = 20 ft. SHEET 1 OF 1 JOB #' 53820 JF r W 71Z . Q< w x r 75 a 71 o a 0 z y s Y t� a tQ } Q N i� 77 Q N 77 75 N 74'0" C96"5i1m5) t .r 77 0[l E 77 �M Q) g z TEF �1 O ❑❑❑❑ r []Flo❑ (96"SUPS), 9 � O NEW GARAGE FOR: DESIGNED/DRAWN BY: COTUIT BAY DESIGN o ,-'. "' ROGER ENGDAHLER 43 BREWSTER ROAD MASHPEE,MA. 02649 I 153:GUILDFORD ROAD CENTERVILLE, MA (508)274-1166 rc a � y f t �ai•o1l ——————————————————————————— _ I ^� I I I o IJ v; a''a v z" Q I I I I (MIN.) (8b"5tU(75) I I I a° No'n I I Eq Zp,,O �m Cp ^ v N 0 a z' A \ I N 7 O � y > N I ltlTa- t NEW GARAGE FOR: DESIGNED/DRAWN BY: Y � — o � � 9 C) z�. \Im ' COTUIT BAY DESIGN ROGER ENGDAHLER 43 M ROAD MASHPEEHPEE ,,MA. 02649 153 GUILDFORD ROAD CENTERVILLE, MA (508)274-1166