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0243 HUCKINS NECK ROAD
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M1�,rfl. u t f� ,�Yd ;�t.• •Y F r * a6 Town of Barnstable Permit# �t� Expires 6 months from issue a i�' Regulatory Services Fee • anaxszneM • M"& �1 Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 'TOWN OF OA— 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint Map/parcel Number Property Address d1 S I,/� CIt Pj O� 9 Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 1 (,0; rA 4 e 3 U Contractor's Name 1Mcx(c5 Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) S ' ©O 61 f ❑Workman's Compensation Insurance j Check one: &' I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name t Workman's Comp.Policy# 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) ❑ Re-side ❑ Replacement Windows/doors/sliders:U-Value (maximum.35)#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 Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 060513 i. •2. The Commonwealth of Massachusetts Department of Indiah al Accidents Office ofl inuffligat ons _ 600 Washington,street Boston,MA 02111 n. .mass.�d a Workers' Compensation Insurance Affidavit-Builders/contractors/E'lectrician&T umbers Applicant Infornnatian Please Print Legibly Name i}: C,�.�c.,r 57tjan so o,\ Address: M9 t 'Ur cityfstatriz p: L.9 Phone:� -7 3?-olG l 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 employees{full a�lorpar#�im�e}_ s have mired the sub-contracto 6. ❑New.c�nstructzan 2.K I am a sole proprietor or partner- listed on the attached shut_ 7_ ❑Remodeling ship and have no employees Zee mb-contractors have 8_ ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp_insurance comp_insurar�I 9. ❑Building addition . ❑ We are a corporation and its 10_❑Electrical repairs or additions 3.❑ required] officers have exercised their I am a homeowner doing all walk 11_0 Plumbing repairs or additions, myself [No workers°comp. right of exemption per MGL 12_❑Rnofrepairs insurance required.]t c_152,§1(4) and we have no employees_[No workers' 13.0 Other comp_inmraznce required.] •Any appkM that check,boar#1—st also fill cut thie:sectian below showing Chew waakers'comrpenmdon policy infarmrtiom: I Homeovnms wbo submit this:aliidxM indicating:dwy a re doing all wank:and thm hire outride contracom—sst sidmita new affidavitindicatingsach- 1Cauhactors that check this boat nosh attacbed am additional sheet showtag the mane of the sub-cautzacmu and:state whetbEr ornat rinse entities Iuve employees. If the 5nb-coutucturs Nape e7np10yee8,they must providie dw r workers'camp.policy mmter. Ian an emptoysr that is proof drirg norkers'conWensadon inmrasce for my aMpinym& Below is thepacy aid job site information.. Insurance Company Name: Policy#or Self-ins.'L c.#: FxpirationDate: 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 ofMGL c 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 andlor 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 clay 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 caWfjV a e peals and penahim ofpedwy that the.inforttrrrlAmproviArd above.is tests and correct i Date- l 1 J Phoone 9- sa — G t✓ offid t use only. Do not write in this area,to be comp&ted by CRY ar town gJciaf City or Town: PermWLicense# Lwu ng Authority{circle one}: 1.Board of Health 2.Budding Department 3.City/rowvn clerk 4.Electrical'Inspeetor 5.Plumbing Inspector 6.Other Contact:Person: Phone#: 6' IKE • snaxsrnBM • �,,� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, d Ol�� Od��e , as Owner of the subject property hereby authorize �GLd-�7�--- to act on my behalf, m all matters relative to work authorized by this building permit application for: (Address of Job) ature of GVwner Date 1 Print Name If Property Owner is applying for permit,please.complete the Homeowners License Exemption Form on the reverse side.. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 �1HE, Town of Barnstable Regulatory Services BARNSTABL1a Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print ,ATE: DB LOCATION: number street village 1 - 30MEOWNEW': name home phone# work phone# URRENT MAILING ADDRESS: city/town state zip code he current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow omeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER erson(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- unily dwelling,attached.or detached structures accessory to such use and/or farm structures. A person who constructs more than one ome in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form ;ceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section he undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, ylaws,rules and regulations. he undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection rocedures and requirements and that he/she will comply with said procedures and requirements. gnature of Homeowner pproval of Building Official Note: Three-family dwellings containing 35,000 cubic feet.or larger will be required to comply with the State Building Code action 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt -om the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors); provided that if the homeowner igages a person(s)for hire.to do such work,that such Homeowner shall act as supervisor." .Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor ee Appendix.Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often cults in serious problems,particularly when the homeowner hires unlicensed persons. In this case,.our Board cannot roceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is Iitimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the ermit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page i this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in )ur community. \Users\decollikWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc evised 053012 I 243 Huckins Neck Road, Centerville, MA Sunroom 157'x 11'6" Laundry Bedroom Room 11'6"x 11'8" _ L 8'4"x 11'8" ' Kitchen DiningRoom 12'8"x 10'8" 11'6"x 10'8" Living Room 4 eX 15'2"x 21'2„ Bathroom Garage 91x 7' 19'6"x 217' v-T h 2F_Q4.T-,eEV Bedroom SMOKE DETECTORS REVIEWED 21'4"x 12'6" �4 18�3 L BUILDING DEPT. DATE FIRE DEPARTMENT AT BOTH SIGNATURES ARE REQUIRED FOR PERMITTING rrJ r.sfAssessor's offioe (1st floor): VV Assessdr's map and lot number ...:�`~. THE ro Board of Health (3rd floor)A(b.R^ 06 ' Sewage Permit number Engineering Department (3rd floor): oo NAB er' House number �l 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 / iu.::�:..... .. ....... .�� . ..... ............ .................. TYPE OF CONSTRUCTION ................................... /.........,.......`... .1....`... .. ..................... / ............... ...............:dn.......19..K.4. TO THE INSPECTOR OF BUILDINGS: w The undersigned hereby applies for a permit,according to the following information: Location ..::.. �'a�(` . .........!... .? ......:... :......... .....� .. �r'.' � './r�C'. %.f ..r...................................................... :... .: ProposedUse _?. .F - .6. . ..................................................................... .. .�... ................................................... Zoning District .......f... r.............................................Fire District .......0/- .. �/ .......................................................... Nameof Owner ` ...O M..... 4.;......................Address .................................................................................... Name of Builder ... .!.l.h%.rJ...........Address .................................................................................... Name of 'Architect ........... 77 ..—__ ..................................Address .................................................................................... .............................Foundation �Q..o .go...... Q CI 7—� �Number of Rooms ........�...................... ............ Exterior ..� / .....C ©f��.......................................Roofing .... 5. .....%!.��1...................................................... Floors ......t J.. .. ..................................................................Interior ..... �' . `l� /./.`...............................I................ Heating ..ail ...."..W ..........•f/ /. ...................Plumbing ..... ... ldt . . ........................................................ Fireplace `�-�:...............................................................Approximate Cost ..Q. C➢ Q O. G 0 .. .. ..................................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area ......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. tName ............................ 6. p, e Construction Supervisor's Licensee ......... :.............. FINKLE, WILLIAM A=252-119 30378 12 Story No ................. Permit for .................................... „_,,,,,Single Family Dwelling JrU La��v�e�U_ ..� V. Location .................' Lt rY3 S-rwc�,� .... ....... Centerville ............................................................................... Owner .William Finkle ............ .............................. Type of Construction ....Frame ............................................................................... Plot ............................ Lot ................................ Permit Granted ..J-anuazy...1.4.,..........19 87 Date of Inspection ....................................19 Date Completed ......................................19 I " ,r e / :.:.,..F+w _ _. .. .. F r.•;7�qF't�7f."^"-�^R,:y+�4'9wr,.w�±q?N°'"".`r'�'.w.v�vY"`y.�"����' `"'�_„�{ st3i,;:r'�,'�'�'ffi"�...,.'r`.'."�aS.:ice-�.�'!��.;:�;""'�eL".`: 'r�" �;;K4.: - 1 �\ - � t TOWN OF BARNSTABLE Permit No. ...3037.8..... MAS ...................... . BUILDING DEPARTMENT I TOWN OFFICE BUILDING Cash ,639• \ HYANNIS,MASS.02601 Bond ......x. CERTIFICATE OF USE AND OCCUPANCY Issued to William Finkle Address 243 Huckins Neck Road . Centerville, Mass.- USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. October 2$.►..., I9......... .... ...... Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT ! asanxAIc : TOWN OFFICE BUILDING HYANNIS, MASS. 02601 �OIUY M. MEMO TO: Town Clerk FROM: Building Department DATE: I An Occupancy Permit has been issued for the building authorized by BuildingPermit #....��� - . ................................................................. . ..........................................._................. . ......._ issued to ../��.J..�91'qs�....,Al-me`G............2 .1�..y.�`�c��.�s'64 Cce, /C2d C ^'„� Please release the performance bond. '°OWN QF BARNSTABLE, MASSACHUSETTS F�' .I. MI.� A#2 Z;1 5. DATE I:1 nll �� 19 APPLyGAf�F" ADDRESS 87 PERMIT teat (N6.1 A!1 ?LLA P RM 70 ' Erl '� ! IC'oYa fr!$ EtSE) — . �l3 tl�a� ( ) -STORY n '� NUMBER OF ELLING UNITS A1� AT (LOCATION) <r� jar 7 n �.. - ZONING ' DISTRICT—. 'RDT- .. BETWEEN r S STREET) - - - ..5 (CROS AND '� SUBDIVISION (CROSS STREET). S = t LOT BLOCK SIZE i BUILDING IS TO BE FT. WIDE BY i I FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION rl Ord T+ffirH kYPE - USE GROUP .s \ BASEMENT WALLS OR FOUNDATION" 1 (TYPE) REMARKSA n y, TF AREA OR BOI1C�'VOLUME �f ➢ r� �1 r� � vY' 1 11PERBlG/SO UARE FEET1. 4t _ ESTIMATE COST t.� .R 11�t1�7n �n FEEMIT. ��ry. [-r� O`WNER h. ADDRESS 11.E BUILDING DEPT. BY - y i . VEYS NO RIGHT TO PERM,ANENTLY.�ENCROA ENCROACHMENTS ON PUBLIC PROPERTY, NOT ANY STREET, SPECIFICALLY PECILEY FIICAILLY PERMITTED UNDER DEWALK OR ANY PA RT THEB�ILDINGECODEM MUSTRBIE Al PROVED .BY THE 'JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE MUST BE E ® FROM.THEiDEPARTMENT OF PUBLIC WORKS.. THE ISSUANCE OF THIS PERMIT DOES.NOT .OF.-ANY` APPLICABLE SUBDIVISION RESTRICTIONS. i RELEASE THE APPLICANT FROM THE CONDI710t t MINIMUM ONS THREE CALL APPROVED PLANS MUST,BE RETAINED AND THIS WHERE APPLICABLE SEPARATE INggPECTI,ONS REQUIRED FOR AL1.CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL.IN$pECTION HAS BEEN'' PERMITS ARE REQUIRED FOR 1`FOUNOATIONS OR FOOTINGS. MADE. WHERE A dERTIFI ATE OF. OCCUPANCY IS RE• ELECTRMECHANICAL,INSTA PLUMBING AND Z MEMBI TOICOVERING STRUCTURAL .QUIRED,SUCH BUILDING•SHALL NOT BE OCCUPIED UNTIL MEMBERS(RE TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 9 FIN9C INSPECTION BEFORE OOCUIPANCY. "s*= POST THIS CARD SOa1T IS VISIBLE FROM STR EET BUILDING INSPECTION:APPROVALS PLUMBING INFECTION APPROVALS ELECTRICAL INSPECTION APPROVALS . 2 # 2 Al�S 2 /�4 " 3 HEATING t SFECTI G APPROVALS REFRIG 'R TION INSPECTION APPROVALS •• r r //' ` GD RING ' OTHER •/ C.- r 2 2. � 80A D �F HEALTH r ) r WORK SMALL NOT PROCEFO UNTIL THE PERMIT WILL BECOME NULL APID VOID IF CONSTRUCTION NS PECT.lONS LN D.I� DON THIS CA; HAS APPROVED THE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE .per i >°STAGES OF CONSTRUCTION. CAN BE ARRANGED FOR BY TELEPHOt PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION. .. a .g I J�4s sessor's offioe (lst floor):` ? �•- t Assessors map_ and lot number ` - °���E Board of Health (3rd floor) • �p ''- e� o" wage Permit number ............ ..y .'..`. .6.:`......:-..... SEPVC - _ BAW, ABLE rasa Engineering Department (3rd'_floor): ' IVS ALLED IN CO P��®E '000�,63Q• \0� t House number ..........:...............�...................................... ; , a. WIH" LI CE 'E 0 UP APPLICATIONS PROCESSED 8 30-9:30 rA.M. 'and 1:00.•2:0o-'P.M onf ���®��E .VX�M`CO 4 ow DE ARD 4. -T TOWN =0F BARNS ' r BUILDING I'L D I N G I1 �. SPECTOR e `,. 'APPLICATION FOR PERMIT TO . o . :. .. �,.. ............ TYPE"OF 'CONSTRUCTION . :................: ... T 1` ` • r 1 0J • TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies -for a permit according to the following information: EIQ J0 Location e!1 `.`. /.X.S.........• (! o........1i•E l!I .../�t!G. .., .o.:.........................,.:....................... Proposed Use, ht1 .. Urt-,Y/,y.Cal..... ............................................................... . ... ........ Zoning District :.... ... .:.. .....•-../.............................:..............Fire District ...:..... y Name of Owner'to�.(,.11J ......�.k. G-,.�. ::...............Address '......................................................:............:................ Name of" Builder G '..�`. ✓!.[.h:.�...... ;.Address ........................ ........................................................ Name of Architect ...........: --.—........................ .........Address Number of Rooms ......... ....:...........................................:...foundation �C� .�s/..:.....,-V .c�c7. ................ Exterior .. �,C./- �...... jr !Y.4.�....... ...........................Roofing ....(.Y.� ...(!L. /........r ...... .. ..... Floors ..... 411. .................:............. ..Interior .r <./.........................."............... ................... Heating . .. .::..k.:!�� W��� .:... .£:......:..Plumbing ..... ... ........................ .... .... r ® �/ Fireplace ........ .............R............:........:. .........................:..........Approximate Cost ...�.....'...a.Q.O.`.......6................................ Definitive Plan' Approved by Plarinirg Board'_____"__________________________19`_____ . Area •...../ ..... . 1 Diagram of Lot and Building with Dimensions Fee / .1.i✓ ....* i. ........ SUBJECT T APP VAL OF BOARD OF HEALTH �DP7 . 2- 7"YD , 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: j • :4 Name % ./ ......................... Construction Supervisor's License.............................. �iyi FI KLF, WILLIAM i 3.0378.: Stor s No Permit for .z. �'. �' Single Fam �.:. � �. ......... f Location .................... .. C,enterv,ille ........................ ., .......`.................. " Owner .....6Villiam Fink Me....................... f Type of Construction -Fr.Ule............ + ... ., ...... .............. .........................36 Plot ..... .......... 'Lot'..' Permit Gran'ed January 14 , l 9 87 Date'of Inspection ....................................19 b Date Completed z,�lsZZ ......:...19�� Co In V- x_ r e: '' .t ✓ i 41e L oT 82 •oo e 0 �9T 2.q.3 8' L oT g LaT 83 0 MM cd F- LAKNl [ W AV I N UF --i C E RT I_F_V THAT THIS ..BUIL01 NC- WAS LOCATE-D :.ON- i.a/ia/,s6� A.tvQ .: .� "AS BUILT" PLOT PLAN TO THE " BEST OF MY INFORMATION, BA R cJ ST A g L , MASS. KNOWLEDGE AND BELIEF THE. LoT 2a NucKi nl 5.. r,iEc.K, D. CFNTEP.JICL ,F O U N DAT.10 n1 SHOWN ON THIS R J. OHEARN AV HAS BEEN LOCATED ON THE SWAN RIVER PLAYA GROUND AS INDICATED. �� °f �,q� 35 ROUTE 134, UNIT 2 P s'�y SOUTH DENNIS, MASS. 02660 DATE: 1 a s SCALE: I- EARN 6 �G N71 OB NO. -gs- 30F? CLIENT: RAF)EO D E AtGISTERED Afq DR. BY SoR, ,P P SHEET OF � t