HomeMy WebLinkAbout0051 HYDE PARK ROAD a
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Town of Barnstable *Permit#
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Regulatory Services Feee �e '�
A NAM
Richard V.Scab,Interim Director
IIA�
Building Division
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Tom Perry,CBO,Building Commissioner 3'L�'�`l
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma us
Office: 508-862-4038 Fax:508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Map/parcei Number %7� 6 aGd without Red X Press
Property Address
Residential Vahxe of Work S ��(O 0 r Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address l �R/d s1'�.SC/-)
ot
Contractor's Name _� ) fJ t) � WAWA uId&UA,, Telephone Number�1�1-2 z� �Vy
Home Improvement Contractor License#(if applicable) /73 245 Email: _
Construction Supervisor's License#(if applicable) o -7 PERMIT
[Workman's Compensation Insurance MAR 2 0 2014
Check one:
❑ I am a sole proprietor
I am the Homeowner TPWN OF BARNSTABLE
I have Worker's Compensation Insurance
Insurance Company Name Ada-n �
Workman's Comp.Policy# t✓ 2
Copy of Insurance Compli6nee 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 3 (maximum.35)#of windo��
#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 ewanpt 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
requ
61ttl�
SIGNATURE:
T:WEVIN MBuilding Charges1EXPRESS PERh4r1WG RESS.doc
Revised 061313
_ The Commonwealth of Massachusetts
Department oflndatriaiAeeidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
A 'b
Brant Information Please Print Le
Name(Business/Organization4ndividual): N L t d-
Address• dL to 1OA/ KO
City/State/Zip: L t/l/Cn/9 $bS Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1. I am a employer with A Q 4. ❑ I am a general contractor and I
e have hfredthesub-contractors 6. ❑New construction
employees(full and/or part-time).
2. I am a sole proprietor or partner-
Listed on the attached sheet. 9. ❑Remo�.doling
❑ -
ship and have no employees These sub-contractors have g, (]Demolition
working for me in any capacity. employees and have workers' 9 ❑Building addition
[No workers'comp.insurance comp.insurance.#
required] S. We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I I.[]Plumbing repairs or additions
myself.[No workers'comp_ right of exemption per MGL 12.❑Roof repairs
insurance required.]t c.152,§1(4),and we have no
employees.[No workers' 13 Other �iU/ d
comp.insurance required.]
•Airy applicant that checks checks box#1 must also flu out the section below showing their workers'compensation policy informat;oa
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contactors mustsubmit a new affidavit indicating such.
#Contractors that deck this box must attached an additional sheet showing the name of the sub-contractors and stem whethf or not those entities bave
employees. 1f the sub-contirs have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers compensation baurance for my employees. Below is thepolicy and job site
information. �1
Insurance Company Name: SlJ1'6LR1 4
Policy#or Self Lic #: 02 d 3 02 Expiration Date:
Job Site Address: � 7c—�— City/State/Tap (�/
Attach a copy of the workers' mpensation 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certi under the pains and penalties of pedw y that the information provided above is �rrecL
V Data: 3 Z
Siortature: —
Phone
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.'Plumbing Inspector
6.Other
Contact Person: Phone#:
l
Crre M:30124 SOUTNEW
DATE e:�l�n�roDmYY)
ACORD. CERTIFICATE OF LIABILITY INSURANCE U61M3
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE L.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATI)JELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to
the terns and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rlghts to the
certificate holder in lieu of such endmement(s).
PRODUCER ;NAae; Arita Little
Wilds of New Jersey,Inc. a" a E„ .$56 914- 6660 a,;856Ai4-1881
1015 Briggs Road,PO Box 5005 E�aA� , anita.Ilttfe@wtHis,com
PO Box 5005 INSURER(S)AFFORDING,COVERAGE NAIc S
Mount Laurel,NJ 08054 INSURER selective Insurance CO of the S 39926
INSURED INSURER B l Argonaut Insurance Co. 198011
Southern New England Windows LLC INSURERc:Beacon Mutual Ins.Co. 24017
D/B/A Renewal by Andersen INSURER D•
26 Albion Road
INsuReR e
Lincoln,RI 02865
INSURER F t
'COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF 04SURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY COISITRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE D uBR POLICY NupeaeR OLICY EFF I.XP I UMrM
LTRA GENERAL uaBILrrY S202945900 081104013�0811012014 l EACHOCCURR ENcE $1 000 000
PRX,COMMERCIAL GENERAL LIABILITY 1 ?,aMrroe) $100 000
CLAIMS-MADE 51 OCCUR i I ( MED EXP(Arty om wean) $10 000
l PERSONAL&ADV INJURY S 1 D00 000
GENERAL AGGREGATE s3,000,000
FGO"'41 AGGREGATE LIMIT APPLIES PER: I ( I PRODUCT CompIOPAGG 53 000,000
POLICY PRO LOC S
A AUTOMIDENLELIABILITY 5202945900 8/40/2013 08/10/201 Ea�BINd SINGLE LIMIT 1,000,000
X ANY AUTO BODILY INJURY(Par persm) $
ALL OWNED SCHEDULED i BODILY INJURY(Par accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE S
X H IRED AUTOS X AUTOS ! I Per aoclda
1 - S
A X UMBRELLA LIAR OCCUR 52029459004 1012013 0811012014 EACH OCCURRENCE 8 000 000
EXCESS LLAB CC A1AIS.MADE AGGREGATE SS 000 000
DED I RETENTION S { $
C WORMRS COMPENSATION 10000068028-RI 8J21/2013 08121/2014 X wC sYtFrATU[,^I OTFI-
AND EMPLOYERS'LIABILITY �
B ANY PROPRIETORIPARTNERIEXECUTIVE�YRN� !AIC927818352394 812112013 08/211201 E.L EACH ACCIDENT S1000 000
OFFICERtMEMBEREXCLUDED? L!�' NIA:
(Mandatory In HIS i E.L.DISEASE-EA EMPLOYEE $1 000 000
describe or i E.L.DISEASE•POLICY LIMIT $1 000 000
yyeess i I
DESCRIPTION OF OPERATIONS glow
r
DESCRIPTION OF OPERATIONS i LOCATIONS t VENICLES(Attach ACORD 101,AddItlonal Remarlm Schedule,If irwre space Is required)
CERTIFICATE HOLDER CANCELLATION
w
Southern NE LLC: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
26 Albion Road ACCORDANCE WITH THE POUCY PROVISIONS.
Lincoln,RI 02865
AUTHORIZED REPRESENTATIVE
I
0 1988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD
#5215109/M215088 AXL
Renewal
RENEWAL BY ANDERSEN` N1lucasc 917g149
byAnde' rsen. CT U0 i,sc PLY,34335
26 Mbion Road - Uncoln,RI 02865 re:d rumctxa7
1lIIeD0f/ eHP,I�CEM[nf a+Anxnsnt;-m,un,
Phone 866.563.2235•.Fax 401:63S.6602 rcdn t than to tat 666636'
Southern New England Windows,LLC d/b/a
Renewal by Anderson of$outbera New England
CUSTOM WINDOW ANDp DDOOR REMODELING AGREEMENT J
13,q_(.)N Date olAHreeneat
Bwj-(,)St—Ad&—Cty SwA.md4Cade IRMO..` �` -
.(feAft-rvi l lc r4 11 t _
e�txaaddf 0 1G�/Oe )(�(fGt),t`fAiK FlDmer 962E ,�ZpU63
ekphoae Number. Tdephom Number:
Buwr(s)Inrebl-jointly and setrraln•agrees to purchase the.products and/or ser6ces of Southern New England 1V indpws,LLC d/b/a Renewal
bj �6dei�n of Southern New L•'ngland 'Contract6e J,in accordance with the terms and conditions ikscri6ed on the frunt and the rctrrsc of
this agreement and on the attached specification shcet(s)(collectively,this"Agreentent"). ❑Historic O Condo ❑HOAT
Totalfob Amount 7l6 Estim acted Snrdng Date: Method of payment: U Check O Cash ❑financed
Deposit Received(33St;): .7�tNL —••- 6 Ld It
Credit Cards are accepted for deposit:only-maximum 113 of the
Balance at SOrt.ot)ob(3396)_ protect cost.(please see Crier- q d Payment fomt)By s'g Ing this.
Estimated C omptation Date Agreement you adatCswlt dge that the Balance at Stan of job and the
Balance on Substantial � 6 W K Balance on Subsutrttial Completion of Job cannot be made by credit
Completion of Job{3396): �) �' card and must be`made by personal Bieck,bards check or.ash
Buyer(s)agrees and understands that this Agreement constitu'tes the entire understanding between the parties,and-that
there are no verbal understandings changing any of the terms of this Agreement.Buyer(s)aeknowledges that Buyer(s)
(1)has read this Agreement,understands the terms oe this Agreement,and has received a completed,:signed,and dated
copy of this Agreement,including the two attached.Notices of Cancellation,an the date fast written above.and(2)was orally
informed of Buyer'a sight to cancel this Agreement.DO NOT SIGN THIS CONTRACT.IF THERE ARE ANY BLANK SPACES.
(Rhode Island Sales Only)Notice to Buyer.(1)Do not sign this Agreement if any of the.spaces intended for the agreed terms.
to the extent of then available information are left biaak.(2)You are entitled to a copy of this Agreement at the tune you sign
it.(3)You may At any time pay off the fall-unp.aid balance due under this Agreement,and in so doing you may entitled to
receive a partial rebate o u f the.finance and insurance charges.'(4)The seller has no right to unlawfully enter your premises
or commit any breach of the peace,to repossess goods pmehased under this Agreement.(5)You may cancel this Agreement
if it has not been signed at the main office or a branch ollice oIf the sellers provided you.aotify the seller4t:his or her main
office or liraaih office shown in the Agreement by registered or certified mail,which shall be posted not later than midnight
of the third calendar day after the day on which the buyer signs the Agreement,excluding Sunday and.any holiday on which
regular mail deliveries are not made.See the accompanying notice of cancellation form for an explanation of.buyer's rights.
8u}rr(s)nYeitt:d the cotuumcr cducation.materials prt»detl b}the Rhode Island Contractors Registration 13oarcl. (l3uxrr'slairials)
Renewal by.Andersen of Southern New England Buyer(s) Buyer{.)
Ky. w a
Signature of uct Manager tf(gature Y , Signature
t VIt""' bOb i r" (lr Sc+eV
Print Name of Product.\1artagcr Print Namc Print.Name
XO% THE BUYER(S), MAX.CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD
BUSINESS DAY AFTER THE DATE OF THiS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS
FOR AN EXPLANATION OF THIS RIGHT.
- - - - - - - - - - - - - - - - - - -
N 00O X NICE OF CANCELLATION -
Date of Transaction —.You may cancel Date of Transaction .You may cancel
this transaction,without ny Penaidty or obligation,within this transaction,without.ahy penalty or obligation,within
three business days from the above date.if you cancel,any I three business days from the,above date.If you cancel,arty
property traded in,any payments Made by you under the I property,traded in,any payments made by you under the
Contract or Sale,and-any negotiable instrument executed I Contract or Sale,and any negotiable instrument executed
by you will be returned within ten business days following I by you will be returned within ten business days following
receipt by the Seller of your cancellation notice,and any I receipt by the Seller of your cancellation notice,and any
security interest .arising out of the transaction will be security interest arising out of the transaction will be
cance-led.if you cancel,you must make available to the Seller I canceled.lf you cancel,you srwst make available,to the Seller
at your residence,in substantially as good condition aswhen I at your re sidence,in substantially as good concrMon as when
received,any goods delivered to you under this Contract or I received,any goods delivered to you Linder this Contract or
Sale;or ycu may,if you wish,comply with the instructions of I Sale;or you may,If you wish,comply with the instructions.of
the Seller regarding the return shipment of the goods at the the Seller regarding the return shiprnentof the goods at the
Seller's expense and risk.If you do make the goods available Seller's expense and risk.If you do make the goods available
to the Seller and the Seller does.not pick them up within to the Seller and the Seller does not pick them up within
twenty days of the date,of cancellation,you may retain or I twenty days of the date of cancellation,you may retain or
dispose of the goods without any further obligation.If you I dfwise of the goods without any further obligation.If you
fail to make the goods available to the Seller,or if you•agree. I fail to make the goods available to the Seller,or if you agree
to return the goods to the Seller and fail to do so,themyou I to return the goods to the Seller and fail to do so,then you
remain Iiable for performance of all obligations under the remain liable for performance of all obligations under the
Contract.To cancel this transaction,mail oodeliver a signed I Contract.To cancel this transaction,mail or deliver.a signed
and dated copy of this cancellation notice or y other 1 and dated copy of this cancellation notice or any other
written notice,or send a telegram to Rene b A de . n of I written notice,or send a telegram to Renewal byAndersen of
Southern New England at 26 Alblon Road, 1 '1 865, 1 Southern New England at 26 Albion Road,Lincoln,RI 0286S,
NOT LATER THAN MIDNIGHT OF I NOT LATER THAN MIDNIGHT OF
Date
I HEREBY CANCELTHISTRANSACTION. I I HE(Date)
CANCELTHISTRANSACTION.
Buyer•.sign— PAnt Name Oats &ryers Slgnatioe Print Name Date
RhA Copy:White Buyer Copy.Yellow Buyer Copy:Pink
,
c
Southern New England Windows
d.b.a
Renewal by Andersen of SNE
Massachllg'etts -Department of Public:Safeiy,
k Eoard of Building Regulations and Standards
Construction Supenisor' _
License: C3-095707
1;1 S
BRIAN D DENMSON '
71LAMBS'P-o EIBC r
C6artton
Expiration
Commissioner ;09/08/2014
c7Ja
OfficeofC serum rAffairslnYdusness�eon
10 Park,Plaza-Suite 5170
Boston,Massachusetts 02116
Home Improvement„Contractor Registration
Registration: :173245
4 ;'d,� Type: -Supplement Card
SOUTHERN NEW ENGLAND WINDOWS LLi't ?1 E,�IratlOn: anagota
DENNISON BRIAN p
1137 PARK EAST DRIVE
WOONSOCKET,R102895
3 !' Update Address and reh,ro card.Marls ream.for Choate.
❑Address p e Rew"I E)Employment Cj Lost Card
e of Co sa r Again&B sum Bap hew Lis or registration valid for Indivldul rase only
E IkIPROVE61ENf CONTRACTOR before the expiration date.If found retuio tu:
Office of Consumer Attain and aasiness Regulative
RoBlatratlon: 1ZM45 Typo' .10.Park Plana Suite 5170
EXPh8#0n:9A9120ta Supplement Plod Boston,MA 02116
SOUTHERN NEW ENGeAND WINDOWS LLC.
RENEWAL BY ANOERSONi ij
DE
NNISRK BROW ..
11J7 PARK EAST DRNE r. -
WOONSOCKET,RI 02595 Uu&—.tsry Not valid without signature-
Assessor's office (1st floor): //
Assessor's map and lot number � .0e...!.7:3'"z(? y FtaE
..� Tory
Board of Health (3rd floor): �Q ,
re °�
Sewa a Permit number ............. ( ....1.0 •g ... ...........�.< ........ Z BARNSTABLE, •
Engineering Department (3rd floor): � ;`j`Sl�- 9°o MAM
b 9• ems
Housenumber ................................:..:.................................... a war a`
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUI-LDING INSPECTOR
Cn
APPLICATION FOR PERMIT TO iJ ...... . . .... ...................................................................................
TYPE OF CONSTRUCTION ........� o 'l!
Ky -�
TO THExINSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: '
Location !^8•i...... .........!.! .�:P.... ?Z: ............. -?l z, tl[ '........................................................................
Q
ProposedUse .....i�PS... , .r.. ...............................................................�:........................; ..........................................r...
Zoning District .......�... Fire'
........................................ ..............................................................................
r ^ a
Nameof Owner i'?lr./h....��.................Address ....................................................................................
Nameof Builder ............. .......................................Address ............. t..........................................................
Name of Architect ........... .... .... 1�-?C n .P..................Address ............. ✓ ........
Number of Rooms ............111:;1..................................................Foundation ......&uU(:...CfSYIC-F��e�C
f
Exle for .........` v ........ tX ............................Roofng ............. .......................
...........................
U
Floors 0 .......... c -.:... lf(i�h.._�................Interior% ....�.. �7��.. ^..... !:n.? ..... ... .a.........�...
V� Plumbing
Heating .............f`..... ............................................................... g ............ ... �V................... .r...................
�r
Fireplace f' n �C'l� i�,1�c�`...........................Approximate Cost .............. . ..L�...v00.............................
�.................. .....
Definitive Plan Approved by Planning Board --_t' ____________19__ s , Area .........................................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
'K
a
y \
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 .()bs�. yS
...... ......... ...............:...
BAYSIDE BUILDING CO. 173-16
7_5 3—
C I VC7
No ....297.1.7... Permit for ...Y..............
,.,,,,,,,,Single„. )�A�qily..N.0 i ................
. .... . ...... ....
Location ......W-V..114 ...Hyd.q V.arX........
.....................C.Pmttixv.:Ulg..................................
Owner ......BaYs.idg ...Co.................
Type of Construction ..........Frame.......................
................................................................................
Plot ............................ Lot .................................
Permit Granted ...............Tul-y...29...........19 86
Date of Inspection ....................................19
Date Completed .......................................19
(70 �� i
SUBJECT TO A?Pt o!J`\Z OF
Assessor's office (1st floor): J n STACLE C"°°:���''I i:J�1
��I�� .D�% �7 ' .!..�? EAC.F�.. of?HEtO
Assessor's map and lot number .... C^ °.,,,,,,.:�. Q� �♦
Board of Health (3rd floor):
............ .-..` ...:..:........:.... MUST BE ;
Sewage Permit number ••• �. SEPTIC SYSTEM i BasasTADLE, .
Engineering Department (3rd floor): �� I F`j,$, `. INSTALLED IN COMPLIANCE _, "b39
a
r
House number c 0
WITH TITLE 5 'FD OR
APPLICATI@NS 1PRD(M— SE0 D8:30-9:30 A.M. and 1:00-2:00 P.M. INARONMENTAL CODE AND
B4,rnstTV Ille Conservation �c..:mission EGULATIONS
= WN
t OF BAR
NPABLE
S rya Daa
ILDIHG INSPECTOR
T TO E APPLICATION FOR PERMIT ...:.] J i,1, .,�` ? ... „
w -a 1.. ........ .............
' TYPE OF CONSTRUCTION ...:....W.0 ....... ft c`u -!............................................. ...............
................ .. . ...... ..................19
TO THEMINSPECTOR OF BUILDINGS:
The undersigned' hereby applies for a, permit according to the foollowing/ information:
........
Location ........... .. . ........`t. C.....!.G�i —.........:.. GC �4�° .................... ............................................
Q
ProposedUse ......!�25.1 t-AXI,)c......................................................... ...............................................................................
Zoning District ....... ... ..................................................Fire District .... ��,.
Nameof Owner ........ '..... ... .................Address .............0 ................................................:
Nameof Builder .............. ....................................Address ............. . ..... ........................................................
Name of Architect ............ ?.... .... cis .. .. ..................Address ............. 1..............................................................
...
Number of Rooms ............ ?..................................................Foundation ......:1.(gtl C........QA4� �je. ............................................
Exterior .......... n!k1 1 t,�V�. ...........................Roofng ......... .................................................
v
Floors ..........0.41<........ . .......vV ? ?..............Interior ............ jai!.�.�-...... 4`.!ka.c,......
e
Heating .........F.H:.W........................................................Plumbirig ..........4 .......1 ` ................
Fireplace ........................APProximate Cost (.,! v60
....................................
Definitive Plan Approved by Planning Board __- ------------19__`�s . Area 17`6O..... o.T...�,
Diagram of Lot and Building with Dimensions Fee � Q...
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 ...(�/. .Y..!y..
... ........ .....
6S�US
Construction Supervisor's License ................/..................
•`��, BAYSIDE BUILDING CO.
r �
No .29.7.L7..... Permit for ....J aLatory...............
...Single Fa?l �v vel.J.i g.......................
-
c < Location .....L.9.t..#.4.,.....S1...Hyde...Park............ f
}
utP-zvi 1Ie...................................
Owner .......Bax.S.],t��..� ................ r u z�.�d.ing...C.a.. •
Type of Construction Exime............... "
# .............................. ....!...........................................
Plot ............................ Lot ................................
s
.14 'Permit Gran,ed .....,Jul. 29 19 86
Date of Inspection :...................................19 4 '
s
Date Completed .........2 ....,�:.✓�...........19���
t
ey
�• pf THE r° TOWN OF BARNSTABLE Permit No. .2U.17......
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash ..............
HYANNIS,MASS.02601. Bond .....X. �.
CERTIFICATE OF USE AND OCCUPANCY
Issued to Bayside Building Co.
Address Lot #4, 51 Hyde Park
Centerville, Masdschusetts
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.
March 3, 87 �C t fl-��. � --
19................. j............... ..............
Building Inspector
..�•� TOWN OF BARNSTABLE
BUILDING DEPARTMENT
r'Baaaa:.0 e'
rua TOWN OFFICE BUILDING
.639• � HYANNIS, MASS. 02601
MEMO TO: Town Clerk -
FROM: Building Department
DATE:
An Occupancy Permit has been issued for the 'building authorized by
Building Permit #...... .j",717
._...... .................................................................................... ........................._...........
issued to /„She...... GQS......c ............ .......# '�. Gf4 :.. r' �f
..... . ......... .
Please release the performance bond.
1
i
1 '
I
BUILDING
TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT
. JOB WEATHER CARD
2 1 It
Lt.� `� s.
DATE i 19 "% PERMIT N0. P
y APPLICANT l)fvI12 ADDRESS `}r;hc,
(NO.) (STREET) (CONTR'S LICENSE)
4:CJ..il1� I -i f NUMBER OF
iit3llf_i > DWELLING UNITS
P! PERMIT TO A; (1� S4fORY - ..-ta. . . ;.)'r.'� i.�_-_.?.
(TYPE OF IMPROVEMENT) NO.' ,(PROPOSED USE)
AT (LOCATION) U(:;L $4 j k, U t i r ZONING
> >1 dC r` DISTRICT--
(NO.) (STREET) -
BETWEEN AND
( (CROSS STREET) (CROSS STREET)
LOT
4. SUBDIVISION LOT BLOCK SIZE
(
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIOI
G
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS. -- Jcwiige e6u-42'
AREA OR '0 4 U :ill• L t � .(i(i PERMIT 4
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET) -
3 litl`t` Iue i►iiG.
-OWNER
BUILDING DEPT.
r
ADDRESS BY
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY Of
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP
- oll. PROVED BY THE JURISDICTION-STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINEI
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION.
I OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
j MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
I ALL CONSTRUCTION WORK: ELECTRICAL,, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
3. FINAL INSPECTION BEFOREE
I MEMBERS(READY TO LATH FINAL INSPECTION HAS BEEN MADE,
f - OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
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3 HEA-T:NG 'NSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS
4
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SnALC- NCT PROCEED UNT:L THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSFECTiONS iNDICATED ON TH!5 CA,R;
INSPECTOR HAS APPROVED THE VARICUS WORK.IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHON;
STAGES OF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION.
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JOB # 84-198
CERTIFIED PLOT PLAN
PREPARED FOP. .
LOCATION. LOT-4 HYDE . PARK BARNS .
SCALE: 1 "=40 ' DATE: 07/28/86
REFERENCE:
PB 406 PG 8 BAYSIDE BUILDING CO .
I HEREBY CERTIFY THAT THE BUILDING
OF
SHOWN ON" THIS PLAN IS LOCATED ON THE
GROUND AS SHOWN HEREON 11 Uf �� ARNE H. yG
OJALAN^.,
A CIVIL
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