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HomeMy WebLinkAbout0016 JAMES OTIS ROAD 6 IAW p'Si 5 MAL e r y , Town of Barnstable *Permit# pn Expir4L6 months from issue date • a Regulatory Services Fe t • 04 MAM 1639. : IAnNB1'HBIE, Thomas F.Geiler,Director 8 j 7 7 Building Division Tom Perry,CBO, Building Commissioner C112:s/11 200 Main Street,Hyannis,MA 02601 www.town.bamstable.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 f 21 f,,Z0,2 Property Address ! 6 jiq, Cts 07—,S rn,44 ��%�e"W r 1-r�q Q 3 �]C Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name A_)1} / Telephone Number Home Improvement Contractor License#(if applicable) �1i4 Construction Supervisor's License#(if applicable) 'J14 ❑Workman's Compensation Insurance RNMIT Check one: REF' ❑ I am a sole proprietor a I am the Homeowner TOWN OF BARNSTABLE ❑ I have Worker's Compensation Insurance Insurance Company Name �l Workman's Comp.Policy# '_/.4 Copy of Insurance Compliance Certificate must accompany each permit. i 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 #of doors ® Replacement Windows/doors/sliders.U-Value ®i r (maximum.35)#of windows *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: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Oudook\DDV87AAZ\EXPRESS.doc Revised 072110 i The Commonwealth ofMassuchnsetts Deporitimat of IrartTrtstrial Etccirletats Orke of Investigations 600 Washington Street Boston,MA 02111 - iv v.mos&gotr/din. Workei-s'Compensatioln Insurance Affidavit:BmldersiContracturslElectric anslPlumbers iicant Information Please.Print ' Name Musmes3JOrganizationftdividnaD: s3 Address: Z& ( k .S D (S .F CityrstatrJziP- ..) >°.0-V "CCp ZS a Pho�#: IS-0 -Ya? S- Tz Are you an employer?Check the appropriate bar. Type of project(required)_ LEI I am a employer with 4- ❑I am a general contractor and I 6- [J New construction employees(fall and/or part-time).: have hired the sub-contactors. 2.0 I am a sole proprietor or partner- listed on the attached sheet 7. 0 Remodeling. - ship and have no employees These sub-contractors have' $. Demolition working for me in any capacity. employees and have wadws' 4. Boilding'addition [No workers'comp.insurance comp.insurance i ❑ . 5. 0 We are:a corpmration and its 10.0 Electrical repairs or additions 3.�required] cx�cers have exercised their I am a homeowner doing all wok 11:❑Plogrbing repairs or additions • 'myself [No workers'comp_ "right of exemption per MGL 12. frepairs insurance c.152,�1(4X and we have no ❑ °° required.] 13.®{)thee [JF` employees.[No workers' comp-insurance required] 'Any apptitffi thae checks boa#1 must also fill out the section below showing their watkere Compensation policy iafarmrdan. Flomeotvaers who submit tins affidavit indicating they ate doing all wmt gad then hire outside contractors Must submit a new affidavit indicatio;sack. lContracurs that check this bin must attached an additional sheet showing the name of the sub•comtar on and state whether or not those entities have emphWeEs. If the sttbaonttactors have employees,they must provide their workers'comp.policy number. lain an employer that is providing irvyken'compensation insurance for my enrglnyees, Below is the policy dudj©b sits infortndtion. Insurance Company Name: Policy#or Self-ins.Lic.#: EapuationDate: Job Site Address- City,`statelz*: 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 tine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties m the farm of a STOP WORK ORDER and a sae 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 hemby caWfy nnder thepains and penalties of perjury that Hoe information provided above is Inca and correct Sitmatare: f�.�t� � Date: Phone#: ` - 'Is—?d - Offieirrl use only. Do not tsrite in this area,to be completcvl by city or town orciad City or Town: PermitUcense# Issuing Authority(en-de one): 1.Board of Health 2.Building Department,3.Cityffown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Parson: Phone#: 6 Town of Barnstable Regulatory Services ' MAJak Thomas F.Geiler,Director ,F1639. Building Division Toni Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: t number J street village "HOMEOWNER": name // home pyhoonee# Q work phone# CURRENT MAILING ADDRESS: /6�1 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(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- 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 Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,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 comply with said procedures and requirements. eV Signature of H ow omener— Approval of Building Official Note: Tbree-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 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 from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages 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(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner 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 caret amend and adopt such a form/certification for use in your community. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 Town of Barnstable *Permit# <�- Expires 6 months from issue date MASS. Regulatory Services Fee 1639• .0 Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 IT ff ce: 508.-862403 8 X.*PRESS PERM ax: 508-790-6230 JUL 1 8 2005 EXPRESS PERMIT APPLICATION - PRESIDENTIAL ONLY Not Valid without Red X Press Imprint TOWN OF BARM1I BLE parcel Number arty Address (D ftVy')e� .esidential Value of Work ((0 rX)--' Minimum fee of-$25.00 for work under$6000.00 er's Name&Address s m �a to ractor's Name ,Q�j' ,�L p ( `— Telephone Number a8- - to Improvement Contractor License#(if applicable)_ [03`7 J L4 struction Supervisor's License#(if applicable)_ Torkman's Compensation Insurance Check one:' ❑ I am a sole proprietor ❑ I am the Homeowner have.Worker's Compensation Insurance rance Company Name �r-(�j —Way C.- • �'� rkman's Comp.Policy#_ Qj G� F� (0 )y of Insurance Compliance Certificate7 must be on file. • ==ram rut Request(check box) )2(-Re-roof(stripping old shingles) All construction debris will be taken to V ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum,44) 'Where required: Issuance of this peanut does not.exempt compliance with other.town department regulations,i.e.Historic.Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. nature orrm:expm isc063004 - The Commonwealth of Massachusetts Department of Industrial Accidents - aNce 0111085ffoot/OOs = t 600 Washington Street Boston,Mass. 02111. Workers' Com ensation Insurance Affidavit name location city ( e `fG r Yl /I teq— phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one working in ca ac�ty I am an employer providing workers compensation for my employees working on this job.47, :corn an name:: > ,.... :. .:: .. • .. `> ;s �81«rCss 1� P, ` ll: :phone# .... ;':; ?` c�tv ;i:j:.:%.�.�_.� :;;i:: �,is�':>�>::<'r.:'�+ii:;;:: vi%'::;i5;::';::::•2::i`::�':;;:`::';'-i:;`:: ;:;:':?c?;;.: insurance.co:;. .. .. . . .. ........ ❑ 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: :»>' in v < n sine co D an aB�T "-hon >n ci#v� ...................... ...................................................... . . :..........:..........:....:::::::....::::::.:.::::::::::::: :..........::.::::::.::.:::::: can :rame.::,::........::....:.......................:..:..:.....:......,..:,.:...::.. :,:.. ....:,..:.. ..:..:.:.:..:.. :.:.. :.......::••..: boa o � h::z: IX Fafinre to secure coverage as regndred under.Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that o copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above uE and coned Signature Date �/24i)M' print name �,��P�.t�I Phone# omcw use only do not write in this area to be completed by city or town oMcLd city or town: pernnit/license# - • (3Bullding Department Dhicensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Departrnent contact person: phone#; .— ❑Other• Oev;,ad 9195 P:A) E'Ois Town of Barnstable P. °^. Regulatory Services )flBNSPABLE, t Thomas F.Geiler,Director WIM Building Division Tom Perry, Building Commissioner 200 Main Street, Iiyannis,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 ABuilder as Owner of the subject property hereby autho ' ,to act onf my behalf, IL „r; M in all matters relative to-work authonzed,by this building permit application for, (Address of Job) j� O�5 ignature of Owner ate �ariat-Nk= O-t0Pi'IS:OWNMPERMISSION + 4;.,+ y c#c S DATE � - CERTIFICATE OF LIABILITY INSURANCE PRobucER 2004 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McShea Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ma. 02655508-420-2011 INSURERS AFFORDING COVERAGE INSURED Paul J CaZeault & Sons INSURER A: Roofing Inc. INSURER B: t s Insurance 1031 Main Street INSURERC: Osterville, Ma 02655 INSURERD: — INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 ,000,000 COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ CLAIMS MADE ®OCCUR MED EXP(Any one person) $ kL _ LGL034776 04/30/04 04/30/05 PERSONAL&ADV INJURY_ $1 ,000 ,000 GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND X I ORY LIMITS ER EMPLOYERS'LIABILITY 7PJUB-0095964A04 08/13/04 08/10/05 E.L.EACH ACCIDENT $100,000 B E.L.DISEASE-EA EMPLOYEE $9 OTHER E.L.DISEASE-POLICY LIMIT. $_900 Ono DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL p DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED RE I ACORD 25-S(7/97) 0 ACORD CORPORATION 1988 1 d 1 Client#: 19989 2GAZEAULTPA ACORU. CERTIFICATE OF LIABILITY INSURANCE F5109105 0 -, PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling &O' Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St.PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Western World Paul J. Cazeault&Sons Roofing, Inc. INSURER B: 1031 Main Street INSURERC: Osterville, MA 02655- INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MM/DD/YY DATE MM/DD/YY A GENERAL LIABILITY NPP925580 04/30/05 04/30/06 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $50 000 CLAIMS MADE FE OCCUR MED EXP(Any one person) $2 500 X BI/PD Ded:1,000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1 00O 000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS . (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ LIMITWORKERS COMPENSATION AND TWO STATU- OTHER - EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Paul.J.Cazeault&Sons DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN Roofing,lnc. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 1031 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Osterville, MA 02655 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #M38166 LS1 © ACORD CORPORATION 1988 1 Board of Building Regulat ons an tan arils One Ashburton Place - Room 1301 Boston. Massachusetts 02109 Home Improvement`.Contractor Registration Registration: 103714 Type: Private Corporation Expiration: 7/9/2006 PAUL J. CAZEAULT & SONS, INC., ' Paul Cazeault 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card.Mark reason for Chang DP8-CAI G SOM-04/04•G101216 Address Ej Renewal Employment Lost Card ccueal!/ 0./�«aaac/ulta ��LC OOfN)t09 L O ._.- �"- Board of Building Regulations and Standards - — HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use uuly Registration*, 103714 before the expiration dale. if found rcluru to: Expiration::7/9/2006 Boardof Building Regulations and Sl:uul:n"ds Uuc Ashburton Place tint 1301 :Type:;PriyateCorporalion Boston,Ala.02108 PAUL J.CAZEAU•LT,&.SONS,.INC' Paul Cazeault 1031 MAIN ST OSTERVILLE,MA 02658 Administrator i ��+* O�iir�eviuue� . u��,flu�/r*we(la No BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 026325 Birthdate: 10/20/1959 Expires: 10/20/2005 Tr.no: 8603.0 Restricted: 00 PAUL J CAZEAULT _ 1031 MAIN ST OSTERVILLE, MA 02655 �� Administrator =_ = Board of Buildin eqqulations One Ashburton Pace, Ism 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 10/20/1959 Number: CS 026325 Expires: 10/20/2005 . Restricted To: 00 PAUL) CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02655 Tr.no: 8603.0 Keep top for receipt and chanap nf &I ` • . r n TOWN OF BARNSTABLE Permit No. _-�26898 Building Inspector . sm�m Cash ------------- �OYP�Y� OCCUPANCY PERMIT . Bona Issued to 21-1an E. Small Address Lot 169A, -16-i mes Oi is Road,,. (-'ent...exyil.1e Wiring Inspector /��f /sue- Inspection date Plumbing Inspector , Inspection date Gas Inspector ' , "* _ y Inspection date `Engineering Department !f Inspection date Board of Health �;� j •ti �/ Inspection date 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.JN`ACCORDANCE':WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING_COD_E. 'f� -s, Building Inspector FROM -� TOWN OF BARNSTABLE Mr. Francis Iahtear3e: BUILDiNG DEPARTMENT Ta�m Clerk � ,r•.�� . 367 MAIN STREET HYANNIS, MA 026M ,f ...• Phcine: 7751120 SUBJECT: I FOLD HERE • - DATE Novemter 51 1984 w Work has'been CQr�pleted�tu�dPr!Pent�2b89$ �A3 an E:��S ally:•��a._{ ��.�. ��x Please,release-Bond .. • - - s y+n�+k+R'>•l±�!AyR�w....a.r�,r,c wAx - '. DATE - REPLY { y - SIGNED Ne7•Rmi RECIPIENT: RETAIN WHITE COPY,RETURN PINK,COPY PRINTED IN U.S.A. SENDER:,SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. I 1 R S�rC r� � $ <a1NGLr FAMILY - BGOROoM .. . . y -GARBAGE 6WNDE2 �, tp�iat t_�( F o W = 110 X P. D SEPTIC TA►vK = 44-a 6.P. 0. T't U51= «r-✓O GAL, MI�, j J I x 4 M2c91 l P'eoP 1 015Po5AL PI-r U6C-2-loco GAL. ?IT'S AedA P 5 t DaWALL ARCIa 1 50 5.t= o .F X I 2• 3 GP 5 5 BOTTOM A$ZF-Al ., ell 5o S.F x 1• o 50 G.P, o. ('alp 'wI '7oTA 1- C>E.51GN a ArZ5 (�,P. D. X2 r J N ToTAt- pA1LY F�-ov.( ,• .. !' to - : ., f if PER.GOLATIoN GZATE I'�IN ZMIN oP-LE55 '� ` .,_ F• .I I 1 Ill Or M ``H OF Mq (oo•c7 5"1, �. , .f RICHARD c�G� ��. D CVID A THULIN v HAXTER i v Np. 2997640 1i 4Q�ST�PyOQO,rISGf -r6`�T 2'1g7 FG-S; TpP FND= I'• HOLs: 12�i4�i33 ;^y�FJrr �y/�y `t I tNV. CDs it ii S� iott., Z DtST. INV. S�PTi'G I' SALIaY IGA�... + '' I' j f' ; LEAGu f T r 3 64we'Z. INV.; INV, G WITH 54..Z 54-4 it q WASK1ip a CERTIFtao Pt-0T PLAW I P`R.D F I L -- I�oCA"rloN CEIdT>rrzv�u� ._ I. i 13' No SCALE " - ScAt_E 'r '1= 5v ° a pLP,N RE�E26N GE I GE RT�FY -THAT "CND 1'oU�1�1i'(lo1.J : N5"WN N_9c -_oN COME>U` 5 WITN'f HE S t o6LiN C. A►.ID 56T5Ar-K 2.6Q01P-eM6NT� oF f.. 'C4�E- � J 2 �LA1J SMAL1INC: f, .-TOWN or- "H ARN5TAPSLEIAN-D IS our I trOGp.TED •WITVAIQ T E GI oOP PL AIN 2 S ' 13 DAT E'S'I1{8� E3AXTE Q `( I µ i 7_E6 D'L-Aw o 5 u RN�YQes 'TI1l•j PLA1�l l �j NorT- E3l\�jC_U p►d At.1 - -- oSTE2.Vlll-� MASS f w� .:s r I�15-T-R�MaNT ' SV2Ve -r1-•1E 4)1=F5675 6Uou►,'D No"C• DC- 'u5ED'To :DfE-7ER1f\I►.lE t_o'r I_II-lE�j APPLIGP.►JT "• t. Assessor's map rand lot number.' ...�. .... .. TIC SYSTEM UST Z� oF roe Sewage Permit number ' ....... ......... ...... � 19 H TITLE 5 � HAHb9T1DLE, House. number ................ l ........ y ...Will ONMEN;TAL OC, AND,•. =,o M6 9 o C c TV r-_( LAT IS t { TOWN OF BARNSTABLE p. ;B, ILINSPECTORg '. F. U - • 4 - G APPLICATION FOR PERMIT'TO ... %..`.. 1....... ... ...................... .............................................. TYPE-,OF CONSTRUCTION .. `''r - : :.... M z ..............1 � rr„ „ .. ........ 1 TO THE INSPECTOR OF BUILDINGSr'. , The undersigned('hereby applies for fi'ipermit according to the following information: . Location :L 4"!....' ... G 9.. .. �4� .::" ........ , . .... .................. ProposedUse ..... ....................... /:. ...._.......................................................... ....................................................................... Zoning District ............................ .....:.........................Eire District .......................................• Name.of Owner..>"..G .. ............. Address ......... ..... .. ......... + Name of Builder ... n......................H.............................Address ...................... ....... ................................. .,Name of Architect.......................................:.:.........................Address .............................:.... Number of Rooms .:.:... ..... . ..Eou'ndation .:•...:..................... Exterior ........ . ..... ............ ................ .....Roofing .... ................................................. ::........Interior ............... .....�YF� Heating ....... . t.. .............................. ..................Plumbing...../.......................... ................................... Fireplace ...f .. . ....... .......................Approximate Cost .... �o.. j...� .............................. .. ... Definitive Plan Approved y Planning Board __ __ ___19________. Area' ..1 ?. �......... -- - ... Diagram of Lot andh Building with Dimerisions t Fee ,,++ �• ... ...f.. .4?...S.o SUBJECT TO APPROVAL OF BOARD OF, HEALTH N,00 { vu All I r ' • - n .. - . .00CUPANCY PERMITS REQUIRED-FOR NEW DWELLINGS hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the. above ' construction., .R -a Name . ................. ...... ... . Construc,tion Super isor s Lice nse 5 �'_ SIqiTL, ALAN E. A=171-202 _ • - 7��� No 26898 Permit for 2 story, ..........ingle'family..dwelling....................... _ t 'Location"Lot••169A....16 James Otis -Rd....... Centerville 4s ...... Y Owner Alan E. Small.......................................................' Type of Construction. ........p....Frame.... ?......... t. . ...•..•••..• ...........................� .............................. . • �. ° � � e S� � ; Plot •/ ..... .Lot""""...................... -Permit.Granted ..........AuSust..24 .. . .19 84 a _ Date .of, Inspection ." ..19 9 Date Completed Y..: .(............T �� ;r -k Assessor's map and lot number .....�....................................... �~ THE Q Sewage Permit number ...0 L................................ :�'�:�.:.. ...:... B House number / E't + y �MAOOLE, r. _ �Op��b3i - M p,p T-OWN - OF BARNSTAB-LE BUILDING INSPECTOR i A APPLICATION FOR PERMIT TO .........,. ......... TYPE OF CONSTRUCTION ............. ? Lam.... ..................................19........ TO THE INSPECTOR OF'BUILDINGS: The undersigned hereby`\applies for `a-,)ermit according "to the following inf/orrmation,:C__ / Location ..f!. .. ..t/G.✓....' �.... \1'/ 1�G�.... :../-� .....,� ..........>,..�.0 ...LE 2,i.��......"r............................... Proposed Use .....f G� fl.1...................................... ZoningDistrict ...........................c`........................F..............Fire District .....f..........,.................. . ....................................... Name of Owner ...:(�� �z:....... .......I... ..r:.....................Address .......f ,e ..CF....................................... , Name of Builder ....................................................................Address .................................................................................... ofArchitect ..................................................................Address .............,......�................................................................... Number of Rooms ................Foundation ..... -U....... f C� C/r " Exterior e-fir r . .......................................................Roofing .... �-� - .........................� ............................... ©tL t c_ .........................................................Interior ....v; Floors .................................................................... f � � Heating . ........G�...................I..............................Plumbing / �- ��CF • � z ................. ~s , Fireplace ...!V-Z I ........................Approximate. Cost II. Definitive Plan Approved by Planning Board ________________________________19________. Area 4...4 ....................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r 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. � ft ( l rrr E Name ....... ...... ................................................ Construction Supervisor's License fr` �'f`-" F* SMALL, ALAN E. A=171-202 No ..... Permit for ....2..Story................ ..........single ,fam ly..(Iwelliug..................... Location Qt ..Rd..... ................ ....................................... Owner .......Al-an E. Smal-1 ........................................................... Type of Construction ............Fr WM.................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ............Augus.t..24.......19 84 Date of Inspection ....................................19 Date Completed .........................................19 /O-V7� Z- 2Z-- �A� . t Assessors map, and lot number . ............ ..: .......... t . SEPTIC SYSTEM 11i9tJ Toy THE Sewage Permit number �� — INSTALLED IN COIh�PLI 0 a) WITH TITLE 5 2 Tanis. House number `. ....�!�:� ."�......(?r!,S<.,,,,C ,�?�i 1(, EINVIRONME1NTAL COD a m0 TOWN RECULTAO,�°"�o�ara�0 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....�� ....... .......:�....%10-_ - . ....`...................................... TYPE OF CONSTRUCTION .....a.. WZ:..... �/`�^.^� �: . ............................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location T!..5.....f,'Q4 ?....... .. !!�S .................. ProposedUse .�oZ...�-Q ...C?A �� ........................................................................................................................... Zoning District .............!..1..�...............................................Fire District b�'r:!.-Is�vr..................... Name of Owner ............Address (G.3A.M.!�S...07:I.S....Ro41Ib........... ................. C F Name of Builder ..... C' -�....f�-.V?!!�.�$.�.......�-.................Address x2.t�.C-C:...N.isA,.G.�e� ...�.E3��:�......... Name of Architect .Af.A..0.. !1AW.RbAtJ......................Address >.. .. ? ................................................... Number of Rooms .... ..... p P� ...G�l���-. .........................Foundation �� C .. .. ................................................. Exterior �!! !� h S ..S...!'v....l�-5..............................................Roofing .........I?...4�..T............................................................. Floors ........................................................Interior W.tKaRA....DKq.L .4k0........................................ Heating ....�........................................................................Plumbing .................................................................................. Fireplace ...Q..........................................................................Approximate. Cost ......... ................... Definitive Plan Approved by Planning Board -------------------_-----------19________ . Area ....��./.lB.......................... Diagram of Lot and Building with Dimensions A 1 A c1n EAD Fee ........o !..`-..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 6oi �- 10 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 o.t(O .11............. MANFREDI, RICHARD N. , 'r No 28370 Permit for Two Car Garage _ Accessory to Dwelling ' ............................................................................... Location •• Lot 1.69. , 16. ..J...ames... ... Otis Road - . . .......... .. .. ...... ........ ....... — ` Centerville.................................... - `:••: r • r Richard N. Manfredi-''' Owner .......+............................................................ ��-. :. Type of Construction ......F.........................me _. _ s _ �• .�. '............................................ .......................... yiPlot ............................ Lot ................................ �! `w Permit.Gran'ed .......August.................................19 5 - f Date of Inspection 71.9• 10, Date Completed , w7r J 4 \ Cr ri y 4 +•" "ar , Assessor's map and lot number t� �..�... THE ro Sewage Permit number ....................... ..- .�J..........,5 �E i Z BAHBSTAXE• i House number .........................E....�s......ar!i..5...........tLJf;� ►LUe t r rasa 16 3 9. `00 r 'Ep MAY h' TOWN OF BARNSTABLE M . .._. BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... .Sy%,0°•�•-& .......a..1C.a^ ,... - c?:.°N•� . .......................................... •CI TYPE`OF CONSTRUCTION ..... ...... .v -3c�C? �0... ..... .................................... . .... ?..................19. O THE INSPECTOR OF BUILDINGS: The un,de signed hereby applies for a permit according to the following information: 0T8 Location .................�.�.q.. .....::Z.A.M E-.:5.....ca .....R Ue.,.!•!D....... !4jA.1�.P. ................ F� Proposed Use ;�%...CAk.... ............................................................................................................................ i n Zoning District .............�.. .4-...............................................Fire District Cl sr:.:..L.C�v.r.................. . ............................ . Name of Owner ............Address `.47. L .M. .... 1. ... t3 b............................. C g"-T£.)P-U;1!L Name`of Builder ...............Address .s`�>��..e.,.jmc,.�4... .1.k'A-x f)n....... ... Name of Architect .(.4..0.. ......................Address }.' .. ..Qn�f....................:.............................. Number of Rooms ... �:..�� !+,.... �=�' ��... .... . ..............................Foundation .....!�............,....�.,................................................. 1r1)c�p P AhA)N U................................................Roofin S ��iLT Exterior .. ....... .... g .........�?..................................................:...................... Floors ..-........................................................Interior 1�..��a. .! ...�... .`I,.!� t. l ........................................ Heating .......... c� J................................................................'. ......Plumbin Fireplace ....�-�............................................................................Approximate. Cost . .h. ?.... ......... Definitive Plan_Approved by Planning Board ___-----------_---------------19________ . Area ;�.Ae.......................... Diagram of Lot and Building with Dimensions (J-ev A c-4%Eo Fee ;: �� .......... ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 50� 4- a • l �..�- _ F r to C Iq► �'s?ti t~: i F _ 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. t Name ...40.,, �n ............................... Construction Supervisor's License OIL a .1... ............. MANFREDI, RICHARD N. A=171-202 I 28370 permit for 2 Car Garage No ............ ................................ Accessory to Dwelling ............................................................................... Lot 169, 16 James Otis Road Location ................................................................ Centerville ............................................................................... Owner Richard N. Manfredi .................................................................. Type of Construction Frame Plot ............................ Lot ................................ 'Permit Granted ....Augljs.L..2.9.,..............1985 Date of Inspection ....................................19 Date Completed ......................................19