HomeMy WebLinkAbout0004 HALYARD WAY and (,O
o y
1
Town of Barnstable Building
Post This Card So That it is Visible From:the Street-Approved:Plans Must be Retained on Job`andthis Card Must be Kept
MM Posted Until Final Inspection Has'Been.Made.. e�ilil�i634 a�`f 1 111 1
Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made
Permit No. B-20-845 Applicant Name: Michael McMahon Approvals.
Date Issued: 03/25/2020 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 09/25/2020• foundation:
Location: 4 HALYARD WAY,CENTERVILLE Map/Lot: 194-084 Zoning District: RC Sheathing:
Owner on Record: MIKSIS, EDWARD IF&STEPHANIE N Contractor Name:"-.MICHAEL T MCMAHON Framing: 1
Address: 8 EDMUNDS WAY Contractor License;:: CS=068111 2
FRANKLIN, MA 02038 Est Project Cost: $4,865.00 Chimney:
Description: Weatherization, Air Sealing, Weather Stripping, Cellulose, Permit Fee: $85.00
Insulation:
Fiberglass Fee Paid:` $85.00
Project Review Req: Date: 3/25/2020 Final:
Plumbing/Gas
Rough Plu
mbing:
m h u b
' g g•
ui ink oa
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan Final Plumbing:
All work authorized by this permit shall conform to the approved application and the':approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas:This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. Final Gas:
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and,Fire Officials are provided`onthispermit. Electrical
Minimum of Five Call Inspections Required for All Construction Work: t
1.Foundation or Footing Service:
2.Sheathing Inspection
Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed - r � g
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation
7.Final Inspection before Occupancy Low Voltage Rough:
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
• �M,q•T-L. 5
Application numb s.l.. .......
�� i
Date Issued...............a�. .. .�.. ...................................
Building Inspectors Initials....... .. I .. .... ...............
AUG 0 9 2010
.1 � R� ��
�� Map/Parcel..............: �.
TOW �. a� D......... ...................
TOWN OF BARNSTABLE /
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
..Address of Project:
NUMBER RREET . VILLAGE
Owner's Name: ga� AZ44 -- Phone Number-5-0T-399
Email Address: AN P-/AJ -f NE -WIAJV C OAC4:Eb Ni'Cell Phone Number �
Project cost $ C/529,Ott Check one Residential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize
to make application for a building permit in accordance with 780 CMR
Owner Signature: Date:
TYPE OF WORK
❑ Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization
Doors (no header change) # Commercial Doors require an inspector's review
CVfRoof(not applying more than I layer of shingles) r
Construction Debris will be going to
CONTRACTOR'S INFORMATION
Contractor's name `
Home Improvement Contractors Registration(if applicable) # l l�P� (attach copy)
Construction Supervisor's License# /0 �f�fy (attach copy)
Email of Contractor Phone number 6 ")--`IAf,2
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
I
APPLICATION NUMBER............................................................
-_ *For Tents Only*
Date Tent (s) will be erected Removed on number of tents total
Does the tent have sides?Yes No (If yes please attach floor'plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
�I
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent
If food is being served at your event please obtain a Health Department approval between the hours .
of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approvab
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
I.understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand
the construction inspection procedures,specific inspections and documentation required by 780
CMR and the Town of Barnstable.
Signature Date
APPLICANT'S SIGNATURE
Signature_A" 0Date
All permit applications are subject to a building official's approval prior to issuance.
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Stephen P.mazzur
� 1 —U10 mark Lane
02P7 S Harwich. &(5Q8)797.9212 Y, ,
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lye hereby submit sDecificatmis and estmrtesior /_JCC1Ll - •. i-- T �'-�
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we propose hereby to ftiraish materialsadlabor—complete in accordance with the above specifications ftg Rte sum'af:- � el5a.
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with payments to be made as follows: 4,060.00 n `
C{fJ//YY77��/2f7O/� .
MY+ �naeCitalBniTmahC�espOaflnaaBinwir9shC" Respectfully
ailbeeaRtlmyepm xr74nuda,andfBimBanextraGBrpe Submitted
am ane aeWe Vw s.Qi—At ap-a*wide"upon dte�accmaes or oamys 6eya o aacmed. NO—this prmpusal may be vathdrawn by us it oat accep*y
Zcceptance of propoga
The above prkes,sOeakations atd WoNons ere sestactoty and arer—
hereby aecepW.You are audmrhed to do the work as spedw.
Paynrerl YAW made as maned above.
oateofA=pUmT Signahxe
Airrso aas�. '
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1 of 1 8/2/2018,9:39 AM
The Commonwealth of Massachusetts
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
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): ��F PH+EAl
Address: /O /L1l� G-siN
City/State/Zip: #ARM crf '/MA•, Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I m
a employer with 4. I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have . g, ❑Demolition
working for mein any capacity.- employees and have workers' 9. ❑Building addition
[No workers' comp.insurance comp.insurance.:
required.] 5. ❑ We are a corporation and its 10:❑Electrical repairs or additions
officers have exercised their 11. Plumbingrepairs or additions .
3.❑ I am a homeowner doing all work right of exemption per MGL° ❑ p
myself. [No workers comp. p p 12:❑Roof repairs
insurance required.]t c. 152, §1(4),and we have no
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 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 have 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.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP 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.
Ida hereby certi der he pains a d penalties of perjury that the information provided above is true andcorrect
Signafore: Date:
PhoneaZ—
Official 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):
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 r. `
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
i 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 c
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and;if
necessary,supply sub-contractor(s)name(s),address(es)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.
a _
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 permittlicense number which'will be used as a reference number. In addition,an applicant
that must submit multiple peniiit/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
a 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 burn 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 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
r Department of Industrial Accidents
office of Investigations
a 600 Washington.Street
Boston,MA 42111
Tel.#617-727-4900 ext 446 or 1-877-MASSAFF,
Fax##617-727-7749
Revised 4-24-07 �
www.mass.govJdia
�, ��e`L`'arr�iirorciunir�/�.o/Cl�a�oat�u�el�i f
Office of Consumer Affairs&Business Regulation,r
HOME IMPROVEMENT CONTRACTOR
1 TYPE:Individual
/,. Registration Expiration
lA7634 07/24/2019
.I SST HEN P MAZ�,UR
D/B/A STEPHEN P MAZZUR ROOFING+SIDEWALL
I - - -
STEPHEN P MAZZUR
i 10 MARK LANE 4 I
j HARWICH,MA 02645
i 1 - UnderseGr_efary
r�
Commonwealth of Massachusetts
f Division of Professional Licensure ' +
? .. Board of Building Regulations and Standards ,;i }.
ConstrueArN Upervisor
i CS-104459. �IR E�ires: 09/02/2 19
n
i STEPHEN P MAZZUR_'r'
10 MARK LANE] w'
HARWICH MA 02645.
Commissioner
• h
7
!; 'Registration valid for individual use only
before the expiration date. If found return to: I.
Office of Consumer Affairs and Business Regulation'
10:Park Plaza-Suite 5170
;Boston,MA 02116
� I
Not valid withSof signature
Construction Supervisor
in
. Ugrestricted-Buildings of any use group which Cont.
less tFi 'n'35,000 cubic feet(991 cubic meters)of enclosed .'.I
space.
I, tY tI
• -4
FFailure to possess a current edition of the Massachusetts
'r State.Building Code is cause for revocation of this license. d
For information about this license
Call(617)727-3200 opvisit www.mass.gov/dpi
q
YOU WISH TO OPEN A BUSINESS?
EForYour Information: Business certificates (cost$3.0.00 for 4.years). A business certificate ONLY REGISTERS YOUR NAME in town w 'must do by M.G.L.-it doesnot give you permission'to ope.rate.) Business Certificates are available at the Town Clerk's Office, 1°` FL., 367h Street, Hyannis, MA.02601 [Town Hall]
• }R Mmlmin, "e r. Fill in !� oA
APPLICANT'S YOUR NAME: J AS LrJ i?-�N T
�.�.:�.F,,. � • BUSINESS..
. . YOUR HOME ADDRESS:A H ALA►a R iK�fay
w �ENT'LRVi Lr= 1ps
TELEPHONE #
Home Telephone Number
NAME OF NEW BUSINESS E W
IS THIS A HOME OCC[1PATIbN? TYPE OF BUSINESS: `�0 R
YES NO GltiSa� Fto�
Have you bee a ng: Ivisior�.
ADDRESS OF BUSIfVESS• o M:AP PARCEL NUMBER
i
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
Mpy need.. You Rd..&Main Street) to make sure you have the appropriate permits and licenses-requir d to INelgally operUST GO oe you business to this to orner f Y mouth
1. BUILDING COMMISSIONER'S OFFICE
This individual has been informed-of any permit requirements that pertain to;this type,of business.
Authprized Signature*
COMMENTS:
2.' BOARD OF HEALTH
This individual has been informed of the. ermit re p quirements that pertain to this type of business.
Authorized Signature** V�
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:
X-PRESS PERMIT
OCT 2 9 2007
TOWN OF 4zkii'NSTASALE
" Town of Barnstable
GFTHE rq� � ermit#
Pires 6►nondis jrona issue dare
5
MUWST„ai,E, s Regulatory Services Fee
v MASS. Thomas F.Geller,Director
�p 1639. .0
Tf01A°'`� Building Division
Peter F.DiMatteo, Building Commissioner
367 Main Street, Hyannis,MA 02601w F
Officer 508-862-4038 TO� 1 r' la t I '
.Fax: 508-790-6230 �®F 0d
EXPRESS PERMIT APPLICATION - RESIDENTIAL ON6PIP V
(1,J o Not Valid without Red X-Press Imprint STgB�
II T
Map/parcel Number
Property Addres
coo
Residential Value of Work 66,50
Owner's Name&Address & / �.:5. !77/&15/.S
Tele d 9�fI
. Contractor's Name ���/1 /�'/� honeNumber/�✓/�(�� P �
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
5 r*kman's Compensation Insurance
Check one:
❑ I am a sole proprietor,
❑ 1.am the Homeowner ;
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Permit Request(check box)
❑ Re-roof(stripping old shingles)
Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows: U-Value (maximum.44)
❑ Other(specify)
*Where required: Issuance of this permit d not exempt compliance with other town department regulations,i.e.Historic,Conservation;etc.
Signature
Q:Forms:expmtrg:rev-070601
OFFICE
11
® CARE FREE HOMES, INC. TOLLFRE:(510-997-111111
.Builder's Lic.#021330
General Contractors MA Home Improvement
CFH
Contractor's License
239 HUTTLESTON AVE.(FIT 6)•FAIRHAVEN, MA 02719 #100503 MA.
, #15179 R.I.
NAME /V, t/�iQ1', �� � �i�'J�/,J DATE --,2 c
ADDRESS 'I�S ZIP CODE Q.:263e
ADDRESS OF JOB ! Ey .rTi�'8LC TEL SO-
NAME OF SALESPERSON Or' d(/G jT1 . TEL
JOB DESCRIPTION
INS W OlT N/� 4� T r
!ilITZ Plop -1-0
+ 440 Pile/s
F
Scheduled Commencement P 7.0 `D Gt�t lCS
Scheduled Completion G// E,tv.
NOTE:Replacement of missing or rotted lumber is not included unless specified.
The Company hereby proposes to furnish labor and material to complete the above work for the amount herein.Fulfillment of this
order is contingent, however, upon the want of strikes,fires and any natural disasters,the ability to obtain materials,or any other
conditions beyond the control of theompany. �+,
Cost of Project $ Q��-� Uw PAYMENT TERMS _ camo
94G
(down payment cannot exceed 1/3 of Contract price) Date
1. You,the Owner,may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.
2. You, the Owners, agree to pay any and all expenses incurred by Care Free Homes, Inc. in collecting money due under this contract and
enforcing the terms of this contract,including but not limited to,reasonable attorney's fees,interest and court costs.
DO NOT SIGN THIS CONTRACT IFTHERE ARE ANY BLANK SPACES
CAR E OM S,Ioe
C TED:
• ; '•'Buyer acknowledges`'" -Owner -By. receipt of fully completed
CARE FREE HOMES,INC. copy of this Agreement Owner
All contractors and subcontractors shall be registered by the director and any inquiries about a contractor or subcontractor relating to a registration
should be directed to:
Director,Home Improvement Contractor
Registration,One Ashburton Place,Room 1301
Boston,MA 02108
Tel.(617)727-8598
All necessary construction-related permits will be obtained.
It shall be the obligation of the contractor to obtain such permits as the owner's agent.
Owners who secure their.own construction-related permits or deal with unregistered contractors shall be excluded from access to the Guaranty Fund.
The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the
contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulations
and.th996sumer shall b quired to submit to such arb• tion as provided in MGL.c.142A.
ZUWOwner
Contractor
NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor.The
owner may initiate alternative dispute resolution even where this section is not signed separately by the parties.
SMITH, ^^ME^ K. A=19
. .
p����� One Story _
No —..
Single Family uw��� ' . c
----.. --.
^ Lot l, 4 Bu
Loco�on —'—
--------...---' ....7...................
Centerville
.
—r----------------~--'---'—
'
O�«�er ..Jamea..���� .Smith.. __' � .
—. ---.. — . ---.. . ------.
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` Frame
Type of Construction -------,._'..r--..
. .
—'-------''.----''.—'r—'------- -
F1ct ............................ �� .��----.—'---.
- July` 3O, 85
Permit Granted .........................................l9 ~ �
'.
Date of Inspection .-/----------.]A '
.
Dote Completed .. .................................l9
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• Assessor's map and lot number ..P.".1,.......�.� �d �� � �C �'}
0FTHETO
SIT....Sewage Permit' number .......................................... ...•... d �
Z BARNSTABLE, i
Houte number '' /l """a
G NPya`�
TOWN OF BARNSTABLE
BUILDING ' INSPECTOR
APPLICATION FOR PERMIT TO ..................:......Y..,........:..... .. .....:..:r.......•....... ..........................................:..
TYPE OF CONSTRUCTION r/� �.e �: .. -���-!`?.�G,;�..........................................................
....................
...............19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
rt 6.11/ tWzu.� ��
Location .. . :.F�.✓. ....... . ......... ...... .... .............. .................................... ...................................
ProposedUse ....s-:� �tX..c�,... ........... ......................................................................................................
U
Zoning District ........... ..•.. r�'� �...................................Fire District ..................................`....
Name of Owner r'??'. . .�J��? - .........Address ....... ...............................
Name of Builclp.:.:�'. ...Z1...:. . ...........Address ....... .................................
Nameof Architect................................................................Address ....................................................................................
Number of Rooms ..........- C- 'S .................................Foundation .. A! .... ... ........
Ir
Exterior ry�2 /? � .. ....�rG�.:. .....��:..............Roofing ... ...Ee. .. .� '?'��L�� . . ..............
d � �. ,41
Floors ............................................Interior .............. ...... � .. .....................................
Heating ....... 7 n'/r`'....! -` ....................Plumbing ..........A4.� �.......................................
Fireplace .......................... ........................................................Approximate Cost ..............�..................�.......................:....
Definitive Plan Approved by Planning Board _____— = _________19-a--,-- Area ..........................................
Diagram of Lot and Building with Dimensions / / ,4 P Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTHj047L---,
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 .... .... ................ ..........
V
Construction Supervisor's License ......1:j...... .........
SMT� , JAMES K.
25fti�. POrmit for One Story,
No ...................................
Sing.l. .e Family Dwelling
. ............... ...................................... ..................
1, 4 Halyard Way, ;, .0e
Location „Lot........................................................
Centerville
........................................................,..................
Jameg-K. Smith
Owner ...............................................em.... ...........
J
Frame
Type of Construction ..........................................
Mm
..................... .......................... .............................. 4
Plot ............................ Lot
�`'July'-;30 85
Permit Granted ... .................. .....19..............
r
10,11
Date of Inspection ........19
-.1,9...................
Date Completed
7
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fol
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Assessor's map and lot number:'..!..
THE
SEPTIC SYSTEM M
Of O�
Sewage Permit number .........................................
INSMADIN
•
House number ..............
90 rasa
LE,
n . .Grp ............ ,�►i EP4 Co `•�
. uLATior�
TONN OF BARNST
; BUILDING INSPECTOR
A _
:APPLICATION FOR' PERMIT TO ....: .. . . r�. ... .. . . . .... . .... .. ..................../...5...:....e...
TYPE OF CONSTRUCTION" ................. ........f>' d....... .. .... ...............................................................
' .. ... �.:.............19
TO THE INSPECTOR OF BUILDINGS: "
The undersigned hereby applies for a permit accor��dingg�to the following information:
/... ... ..... ...
Location ... �....... .... ... . ...... ..........C ,c . ...... . ..................................................
ProposedUse .. .. ......... ............... . .. ... ......................,....................................................................I.........................
Zoning District ........... . .... .. ... ....l..l..r: .4....Fire District .. . . .. .............. ,
Name of Owner ... Address
Name of Build .. ... ...............Address ..... ................................
Name of Archit a
..................................................................Address .....,..............................................................................
Number of Rooms ...... ` Foundation
.. .. ..... ............................. .rI.C� ...('C%�
6�
Exterior .... .:.�t.:..5!?:..............Roofing ® ..............
Floors Interior ...........
........
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Heating ....... . . .... ... ....'&A . .. .. . . ............................Plumbing ......... ..... . .....................................
Fireplace ...............Y.. ,�5,. ..................................................Approximate. Cost ......4®/....... ............................
JJ
Definitive Plan Approved by Planning Board ____,1 __ �---------19� Area ........../?.........................
Diagram of Lot and Building with Dimensions � .o.?
g 9 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 ... . . .. . ......... . . . . .. . . .............
Construction Supervisor s License .......
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TOWN OF BARNSTABLE Permit No. ------2-R25%-------------
Building InspectorVWSTAU Cash
wa / --
--
°`"Y` OCCUPANCY PERMIT Bond -----_
Issued to James K. Smith Address
Lot 1, 4 Halvard Way, Centerville
Wiririg Inspector ��� ��"� Inspection date
Plumbing Inspector ~ Inspection date
Gas Inspector � � _ Inspection date 7P A
Engineering Department J � � � Inspection date �`3 �
Board of Health Inspection datef _I
THIS PERMIT WILL NOT\,BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE.MASSACHUSETTS STATE
BUILDING CODE.
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................................... ls_...__ ..........................................................
..�....__.._.� .._...._......_.�._
Building Inspector
MOP-7
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��p� '°•°ew TOWN OF BARNSTABLE
BUILDING DEPARTMENT
! ssaY�r : TOWN OFFICE BUILDING
rlua
i639' �� HYANNIS, MASS. 02601
MEMO TO: Town Clerk
FROM: Building Department
DATE:
1 An Occupancy Permit has been issued for the building authorized by
Building Permit $�_ � _.._ .__ .................... ................_... ....... .. .. . w
issued .to 1„!� .e 4 Zfel Vic'.?....
Please release the performance bond.