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HomeMy WebLinkAbout0220 JAMES OTIS ROAD d W' ;� (f�f ti Y e, 1 r }r an , IN 'j.. F r 1 r;� � k . i .. r , a y:r , Fr ZlE �ah��.: h 6w:fi 1- , x f ' a a re�� I r I �i 4 1- fl,11-1 � .F; r r — � 3 ' .N IL f �'4a '+ o _ fix ' e. E�. r r 'W� Fit Y.. �; f YY 11 a r ,s I' II . .I ;, " �Ir ° Il N'3.a. o N nY�,�� r� �p� .w c - 1r, 3 t i .; .„ 1. °.. , f ,' , ., N 9 ° a Y.', r '�.. �} r e P [ [._P ry. w ' , J,. k� k a e 'N ', a - ❑ x yY f'o §r s i r I a a. ¢ !!> rQ P,: " ,t r 1 ! 9 'i r� C Y �J '4 I 4 f;a N' _ � �.� I 1. W a P 'v Y �� rL a 'u 1 Id' bF. :a [ % " a t-Y e vri' q: d SR y } P 'Xis f} 1 tr N„ ! 1� i Y Y ! :f Y.. .:l' Y ,p hp N,r s t j b # i. rof' ���i f E i p1. ..aa a f ,:, s 3 I t Y a F,i' n, r .r 1 1 ; �` e"° 9�' a '"' rt iy c .r'p '� .re iie. t, a 111. v r 4N'� f r' o ,�,.�u w i q ti 4 �F.s r^ k 'N 4 .A v f1. .YY` ri[ i r, J [ u � rw ,.; - - Y r Y J d ,N re k ti '� +'It f " , f 11 e N. oti y Y 'Y o r ! s P i(` 's 1� �:. tr f.�y ( }< k I y,, O y ¢ �` }: it i i, r N4 n .Y' ;�, '.a 0 , ! r fix. r' .Y i .ry y n r r , :",�� I_, j" ,,t4"O,"",� ; 11".�','��l I:.:I 1, , �"1'1� Y > f 1. V:"� t — ❑ ',, ' P r 4 ii y � . .,e k. J �. r Mgr v 't % tad. "6 �Y- ,. , F k ff y X�W � � a w Y I Y ° J d o � a a o tr� - Ra". q s . �_ .. J 9k ,> at �:. 'I .M�" - p va ro._ 3 .. '° r .. , oF1NEr Town of Barnstable Expires 6 months from issue.dale p Regulatory Services Fee � BARNSTABLE, « v� 639. 1� Thomas F. Geiler, Director e'er ArE�Mpl A Building Division Tom Perry, CBO, Building Commissioner 200 Main'Street, Hyannis, MA 02.601 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 — n D'o q Z Address �� P.S OILC P (eA.1gV,'Pe=ential Value of Wort. 'Minimum fee of$25.00 for work under 6000.00 - / Owner's Name&Address 9,U ae/vl S ( Contractor's Name J Vooxy WC1 TAI"C- Telephone Number ��'" fv �/�� 6 ko Home Improvement Contractor License#(if applicable) Construction Supervisor's License# (if applicable) 7 Q To ❑Workinan's Compensation Insurance -PR ESS PERM Check one: ❑ I am -sole proprietor JUL 2 2 2009 ❑ I n the Homeowner have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Narne �A� ��✓ Workman's Comp. Policy# rJ tti Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old.shingles) :All construction debris will be taken to ❑ Re-roof(not,stripping:'Going over' existing layers-of roof) VRe-pecement Windows/doors/sliders.'U-Value Qt SS (maximum .44) b ds1.�lINo"',Ws *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 is required. SIGNATURE: Q. "PI-II.IS\F0lZM.S\building permit forms\EXPRESS.doc Revised 100608 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 LeLibly Name(Business/Organization/individual): / A-1SBGtc,`f/ _Si/1J C Address: /as cre City/State/Zip: �NovNS 6 G�1" �/ © a��Phone#: 7/ - yOD Are you an employer? Check the appropriate box: Type of project(required): 1.9I am a employer with O-LO 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑Ne construction 2.❑ I am a sole proprietor or listed on the attached sheet. 7. emodeling partner- shipand have no employees These sub-contractors have 8. ❑ Demolition working for me in 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 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL . 12.❑ Roof repairs insurance required.]' c. 152,51(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: 0L4-1-� Policy#or Self-ins.Lic. #: g Expiration Date: © / Job Site Address: d �/�✓!v� �$ City/State/Zip: �'Mg �r/ ✓/ S a, 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 I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: ��-- Date Phone#: Official use only. Do not write in this area,to be com 1>�by cit,or town official. . Citv 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#: 5u per, Customer Name: NR t�S. b v C.4 Qfl P Year Built: Renewal by Andatsen of RI&Cape Cod Renewal Sales A meat AAdrm: �Q .TA n rf s O TIS 12 n Customer 1DA- 1137 path Fast Drive !l!IUCn. Gcy,State.Zi (��4 0?[3 2 Otder Nurttber. Vltoonsoclaer>RI 02895 WINDOW REPLACEMENT �A d—C-*wn - Phone-Name: S'D�_t�1�0- Go6�' _ licence-*R112259-MA 119353- Phone-Work Page: of Datr CM562725 Email: UNITS Taedrso o tt GRILLES ~ b� S ROOM fit g k $a � ` ; vD $! � r "� ��j• SFRKE4 .w $a E J P1 � a a s IN 11 is I � v t4 13 1 N1,14,%-r '3 t3 { 43-2 .:� �_. fl �•1� w� ! a � � Sf9 n m m ro m , M m o Proposal au or th..bwm�iadew.end doon+nbcpm.:kd Gos nLe ooul.woueramulm ae am�Tht ' 1 ur- �°O1 oc Scpatc�pinmo8�eMc) Subladwpn. ftrult McAw pmpoatl remdoreRd bm l0 and L . m�•••r••^••br b-,,b C+rmu.v gad Rol-l by Andm b10 w— _ vro�•d yr� _ ldb ibtll twr!ww . N n z - (�C'J q Sys wDIImr w►..a C....."Acc .n l ehyweoemedw.rueoet�aoea.,,nda�Ryuamdmme�e.dth. �9 f�/�1./ © 1�s[oedlawEapeorcs ❑ CnaueCaN cn .ane.asmn for_ '. .gees.m p y dK mom.m.ed in rnk.g®ass end.eomo.g w eervn 1¢.wC a See Reverse Side fax Term and Condigona a[Sale.Yrnr.the 4us ee.may cancel Total ❑ RA0ndna this transaction at or m midnight of the third bueiaeee day after. the date of t6ia uuppnnssaceion.YleaaeSee attached nodoe of caocelL�tion for an _' r!" so-TIN PlIku 0* eitplsaetirm of tbde rlglu. TomtAtlt�arMeowCredlorwFyya+r:s , / rasao..Ma.d.w�Neam.d�Md �0/ x (A�__ f E 7 i L y.d er, i�r o v mw m dsc aedu!steer cawm,..igh�) tNortAlnElt CastElms d.d.er Yt.I v Drno i�v� Spmw Ora"Noes 7ohlAmouMc1Agr"ment title nor annm Dam Utmw MpNov co Dent lleearwd b4 Aed.rsm Nen�v Sfgmnee D*mt Requirod a rpdMlrrtErdar c*i N ei,lwWtrin9n y�y trna.dhl+�+err��ur nn oa.welaWWnsUbo N®emsfWwes.rni6lembkmnp.Mbl SmImeCman[mvkdon�ty eWdrewM .dua+noe N of,,.do., m. aywnee�d.nw�.Irve..sl ey uwmd.ny. 4I O o N Mn•edadbroe i.ddd IhdaW+oM.w >dartlr 10'd Md .cldt+.9►olaMimwwri m,yku Inter"sepere�enn��eo ��akc narv� Aeamaoe mks- a^dahep.you bo�enplrsrw7nar oPPaR• PAee lnrLuto 66or,mreetWr.IifdOr99timp Q paamy.or.r aeo4e, wen6aed ouwekc nomd. atfieaddarlMa7r mnmadLe dd.b eArte - ie..rad edeeeii dee Im••n�'rF.daesand vote-Renewal tv/kwman y4a w-IM MINim pink-mw mrmor4 and digmW of pmduas repo ard.. 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To er a Q10d CERTIMATE OF LIABILITY INSURANCE OP ID tse� se t LN L I3 I U A f. �t�1 1 Upo F �� �� �c� s Nt���7Yi t�3jR9 € ld s f?t r } � SCIRA 3ttAT Y THE t I=Qt Id It I tom: �' oho-40 .°^-769.950 X:401—°769-9SO2 AFIt� 3 €a C # tx NALGO - 1P.M..R k S&xBS.» a3.4 acn A 4S4F�Atiz i co � r e of i*3�Lt? a �#xrasa 3�s�a331 �z�acesrtnc*Cv, 'Cutter HeY,- 10'Ping �137 park East, Drivz €rr 02095 TAB PMVJFZW INVJMVXE U$1W MON PAVE€ 9#lS Fj>TO TAC MLMM t•lAv VD MOVE A MC-pOLICYM&ED W A€.'T$ AM RF.CUMPSM,TM4 W MOM— Or AKV CWMAa Ionx arriM V M {r2T r ffCT To tiVA 04 TH !�(CAM MAY ��OR MAY PTAIA TA fA €3& E r s $OF_z WREN t t T TO ALL THE MW.£-AMMW"AM C=Mt4 QF Mx" POLICC9a Ag—Mr-.44rE 3 adrf MAY Y"aT.MEN RWJCED ICY PAID CLAPA, ft ttkSLdtZSds POLMY rar arm r T` ,� sn�r nl , 10000R a sirate 4100,0000 Qi3 €LSpG OEM ru t' UWAPKma PEA -COUMPAW 12000 00 UCY - Loc A 7X ANY AUTO ALL.ti`y%MDA f3a tY Vkmm SCHEDURI)AMY a Ad I TJr£dTtta SWILY€F {P�t st�tafssstl `. EMPTE dP" • } R ai 8 tail fiY`I X, t3 OWY-Pit AMMW Pon=0MIMSPELLAUADWY EAW OMMa= $ 1000000, meal k+�d�dtt�C FY�3ATYt#Ai�1SJ "} .A a r 't'D E s G €t $ €}L 000 saF-�lt3. VfSsC t3�°A4Y t i d3 Ci2 fkPJ P fl �TSC$A t C s V I#c i Fc d C s 73 s Ft 1�I C t N ....-..._ CANCELLAMON TT� f Z W ANY OF TES AZOVS ESCR€� FOUM99 bC CANC e�r��tAi33 PTES1Tt At DAW TtOMV,INS 1 M SOIR VOL eMCAVOR TO RAM. 10 DAYS WR TTU; Building Cont. Reg.' a d tZGMC,4To cCn'M=T8 HOWM WIEDTo IM LEFT:DVr MUM T€300aO I� Dept, o ui t ti tMPtss�€t OWC4MON OR tdRB 'Y Of ANY ctas N Ts €A'ST .R,icy $crrs OR one c4pitol mil stir AG 0 AG RG CORPORAT100 1598 Restriaed to: RF.VVS lbtt achWVM llartment cif:Public `;6t.� IA- Masonry uefY. Bcr41`41 aft.."OjjdaqL, Wgpletions and StandArd% RF- Roof Covering Co"trtt'tfion Supervisor Specialty License WS-Windows and Siding i gcense: CS Sk SF-.solid VIM Burning D@VkV k ire rieted tra , s ,:, DM-Demolition only Failure to posw%s a currant 0ditiPh Of 100 Massachusetts Strst+t 6441far*Co4e is cause for revocation of*14110114c, bi,womi a 1 Refer to: .WWW.MASS-(iaVWS - � Expiration: 3/23/2012 { cif Board wilding Regina ons and Standards st4 One Ashburton Place - Room 1301 ' Bostan. Massachusetts 02108 Home Improvement Contractor Registration RegistrMlon:, 119535 Type: Private COMMOti4t1 Expirybon .M412409 Trot 1 R1 a MOON ASSOC INC JAMES MOON 1137 PARK EAST DR, .. WOONSOCKET, R102895 Update Address and rdurn caftl,Mnfk tvJtbgfl Address ,.... R=VWal ; 4t►ipinyttn+4tt t!3f t- ffl :,., .flr f%'.filar xrzvam¢Nwragee�� V/1 _&au.4o,,WCs - _ - 11011w1 of building wplfjfjo64 and Standards License or registration vast#'tnt-itttilvidtit nRe tttii TRACTOR before the expiration ditto, 1f follild t M iNtP OV r�tltra t:t!f �( t1M�I�T �t� Board of Bunting Regnlnt 119N dtitt!31t1{fftlff'tt§.. 1 9@§j§ "dt�ff= .110i 3S one Asbburtott Oi,Ace ltttt 13ft1 r, Now,::7/24/2600 Trt .130185 Boston,Nis,01.190. . 4ntd CarWattisor, WON A9906 itd r t Fit§@N iiYPAK*W54-, �.:Notvritid�tthnttt�i�n�tnr Nv6dN§@§K9f N ON—&, Admiahlrator Engineering Dept.(3rd floor) Map �] Parcel JQ 0t P-JS" Permit# House# ";L D Date Issued q Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) ee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) r�� '� NO f�o�a( ►�� 2o��S Planning Dept.(1st floor/School Admin. Bldg.) 4'T `" pfTNE Definitive Plan Approved by Planning Board a 4- 4 9 • BARNSTABLE, ' MASS �fo►s9. Aa+'� TOWN OF BARNSTABLE Building Permit Application Project Street Address �-c M.4 S (9%I S ([� . ��cs� 1.6.t 13 Village C-Q v i ey U t Owner Q_Nl-e 5 LJ c) r h.0 AJ t Address 5 Q At Telephone 411- 2 Permit Request CIOSP 14J 5'12i-7r()AJ OF c 406 Ro U to U AJ v I c,�`t✓c� First Floor (A square feet Second Floor square feet Construction Type_ W- 09 c9e4 �!naM,.p Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family [ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No;, Basement Type: ❑Full ❑Crawl ❑Walkout ❑Others ryR 'T- C/ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other —AIDA. -_ Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Al 4 Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use _T,l2 Builder Information Name V`U�.­Q \�BS g i.Ue r �+_ V 2 42 �Je, one Number �/ U �-`����y C� /��1��'1�`�` l Address 9 ��L.p(.�.�/ ( �, License# 609 0 3 ,tyU✓' S bt)S At i �j S . Home Improvement Contractor# R Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS. PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PkOJECT WILL BE TAKEN TO. , VIA)S k�� 1-2 SIGNATUR DATE BUILDING PERM T E FOLLOWING REASON(S) J FOR OFFICIAL USE ONLY , PERMIT NO. DATE ISSUED I_ MAP/PARCEL NO. •- f ' ADDRESS VILLAGE OWNER i r � DATE OF INSPECTION: FOUNDATION _ FRAME ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH FINAL N , GAS: . ' ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT s _ Xq/(T 7 ASSOCIATION PLAN NO. The Town of Barnstable RARMAT,%- E.g` Department of Health Safety and Environmental Services MASS. n;a•"'� Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Pn ,a Location l✓ U JTAAA-' 'e J Qra Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: i Please call: 508-790-6227 for re-inspection. Inspected by �5 Date r The-Connitottll-ca1111 of ifassaaluselty Department of Inditstrfal Accidents ,,• MCC Of19YESA921lvtrs r 608 t f•ax/d/t.,"tun Street 4r +• Bastott.Man. (13111 �•' Workers' Compensation Insurance Affidavit �l�Pi tint informatititi —PR I NTleb'ily L �� !�- 2 - Inc�t�n �� ' �j ` ) ✓ mhonr I am a homeowner performin=all work myself. I am a sole proprietor and have no one working in any capacity [] lam an empiover providin_ workers' compensation for my employees`working on this job. coomanv name, •uldrecc• tin.• nhnne i!•' nalicv 44 incurnncc cn •-..... _ . _-may _.R•.�.. A—• M••w••••-. �..�--•._�-w�r��•__ _ __ — [� Tam—a,sole proprietor. general contractor. or homeowner(circle one) and have hired the contractors listed beio%y who the following workers compensation polices: Cnm Inv name• atktirccc• yin nhone ii- incnrn nniic% >`t mern .�_.. _ _� ..._ �•T S. - „ _ ��`- •- '__..__.: .. .._ .�___..._. ..:.ter.._.-._ -•' Cnm am• name- addr"c- tin• nhnne it• in%urnnce cn _ _ l►tdtc`• Attachadditio_nalsheetifnecessary. -7- Faiiurc to secure coverage as required under Section 3A of NIGL 152 can lead to the imposition of cnminai penaities of a fine up to SISOU.UU an one%cars' imprisonment as weil as civil penalties in the form of a STOP WORN ORDER and a titre of 5100.00 a day against me. 1 understand thz cope of this Niatement mac be forn•arded to the Olrce of Investigations of the DIA for coverage verification. 1 do perch• • ift•zinder e prints and pctrnllics of perjure•drat rite information prorided above is true and correct. Si_nature - Datc Print name��= �``� � Phone t~ �"`1� '�ofricial use only do not write in this area to be completed by tiny or town ofrrciai permit/license 0 rltluilding Department C� cit, or town: C:Liccnsing Huard f sciectmen'N OITcc f_ [ check:if imtnediate response is required C211calth Department i .. _ r-rlrhrr t i 'lassachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their mployees. As quoted from the "lam'. an cnrpinrer is defined as every person in the service of another under any ontract of litre. express or implied. oral or written. .n c•»rpl( rer is�dcfincd as an individual. partnership, association. corporation or other legal entity. or any t%vo or more . ic foregoing enuaged in a Joint enterprise. and including the le al representatives of a deceased employer. or the :cciver or tntstee of an individual , partnership. association or other legal entity, employing employees. Ho%+-e\,er the caner of a d\%•ellin__ house haying not more than three apartments and who resides therein. or the occupant of the \%-cliin�_ house of another who employs persons to do maintenance , construction or repair work: on such dwelling hour on the __rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. !GL cllaptcr I52 section :5 also states that every state or local licensing agency shall withhold the issuance or neis•al of a license or permit to operate a business or to construct buildings in the commoni-calth for sn- ;plicant «•ho has-nett produced acceptable evidence of compliance with the insurance coverage required. iditionalk. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the 7forntanec of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha en presented to the contracting authority. plicants ase fit'- in the workers' compensation affidavit completely, by checking the box that applies to your situation and -piyin_ company frames. address and phone numbers as all affidavits may be submitted to the Department of ustriai .-accidents for confirmation of insurance coverage. Also be sure to si-n and date the affidavit. The ::a%•it should be returned to tite cite or town that the application for the permit or license is being requested. the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required ,c:ain a vorkcrs' cotnpettsatiot; policy. please call the Department at the number listed below. - or Tmi-n5 'se be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of ifridavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas ure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to Department by mail or FAX unless other arrangements have been made. Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. se do not hesitate to anve us a c-211. Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents _ r i Office of Investigations 600 «'asiiin;ton Street Boston,Ma 02111 fax #: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 The Town of Barnstable MUMABM M Department of Health Safety and Environmental Services 16,3 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissi For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirement. !� (;Its�� i,V ��7[Du Type of Work• lleml Did�c �L Est. Cost Address of Work: r)-�-n -wx S Owner's Name ij y"-A t S Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law { Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. 6 - 6-- 9 :2 LAAM ( Date Contractor Name Registration No. OR p µ r 't'-T_ i—�"`.y-- (. c -..'. _. - -- I--�---.j. �' ��..-_.}-._ :` -'- >. . i , .._, ._ .r -.k y {^" 1--„+ — '-"_� ,• k .'t _ , Lj f � - 1 .•1 - _•. __ ._.....i. �--. ., _.. I .� _ � ..t.— -t. ��.� *-_-....� Y--+..� ' •__•_t_..•�..__ r..._ i I I.. _ , i. _. _ r J�/ �. �{ �y �_�. ` � � e.. r ...1.._ #1 # } i Y I i � + i r 'r Ld _.,.c. I ....., t .._._..._��..�t...._r-- r _''_•^`'ry--."t` —+ ._..•._j.--'y,. d.i.,�_-.,_ "}.___�.-_ j_ la 7 .�_ -t i.�..�.......�__a'r." --•- �- t r �' '_"") _. poi• l �� }" _��' '� _ � } { I .� 1 �' � I } } � I � � ' t � � �� } I �� 1 ��}�,— � �—j 1 h��i�JC.��.����i2c.�G��y. -� I }_ ► {{ 1 _10- f __ i Y_ J_,-_.�. _`�'_ .-T... ._�. . .�. _ __ _r . i_ } r ,1 ,vfi...-� i_ _ ._ .t - r• _ 12 } -- I i ,...t__ t -•��-.�- �...__� .y__-r__. �-- �_-� _..','-.- �-.�_-..r.,,,..W�----__.1_-� _..i.u._._.Y__-� _ ' t,,.,T, �t .4 -.4 '_-T r f --�__ f I F + I - ( i I �. \ JRN-12- [•sac. _._._ .-.,.._,.•..•.,..,.... _...__;_._ ,............... .. ..._ ... .A \!{i!✓_ < •:G`1�till.Y,irAWLlaa....F+o.'r':. _.Wrr.sutf.[2w..••.n w,i. ....i—;_...... .::7.'..�. .. •.— _N6'\"�F•' .j t ` .. Ir}.e , •� .• 1 ! l ! ^� l�1i.YIy ad.'.. rs�'s, .... •.. PAD . . . ...:... .. ; Gx157"i.�/G� LaT .. 1 !�z� 4 CERT1 Ff ED PLOT PLAN ! i CIkIITIEY THAT THE �oQ' wDATI0N LOCATION C i5N T�-izV t t�.L,= ':.SHOWN.. HEREON. COMPLY$ WITH, SCALE DATE 3- 3 ! "a:7 : THE SIDELINE AND SETBACK .R.E-QUIREMENTS OF .THE TOWN OF PLAN REFERENCE STA UE AND I S Mc�-r t_o-F' 13 LOCATED .'WITHIN THE . FLO.ODPLAIN. (2 N TLZ V 1 LLB H)G-H L4,K1 DS -3� � � � � eaxTER * NYE, INC. f THIS, PLAN IS NOT BASED ON AN REGISTERED LAND SURVEYQtg `. INSTRUMENT SURVEY AND THE QSTERYILLE^- MASS. I — rCIA ' FT- vwv f , 11 ` I ' � � � i � j �``"` �... t1I1r _.._�_ -�--� 1 � � ,lF""�'�"' � �� l ? ! �" � f I � { ► i � 1 t ( i � �� ,.._ r. , Fes.-. r - T___'i._... 1-_.. __._f__ ."'y'. _ t."-.'t-_ �'. .? _ _-!• Y .1 -.1.� �. .T. _1 { A. t { t�- k C`eI Q-d`vadIle t i r ' t"t i r { I - r r 1 I I a I _... r I I i �• ! f F � i f t , } 1 t' 1 Q�tNE}� TOWN OF BARNSTABLE Permit No. .30812 BUILDING DEPARTMENT Cash NAB � TOWN OFFICE BUILDING N 16,3 U,3 HYANNIS,MASS.02601 Bond (.....X.. CERTIFICATE OF USE AND OCCUPANCY Issued to Alan E. Small Address Lot; #13, 220 James Otis Road Centerville, 114assachusetts 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. june 15, 87 19................. .. .... . ,. ..L......... !Nl X. Building Inspector. �r ` e'�Py�`��•. TOWN OF BARNSTABLE BUILDING DEPARTMENT S sANAST irua : r TOWN OFFICE BUILDING • � g' t639' HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building epartment DATE: (O S a An Occupancy Permit has ;been issued for the building authorized by Building Permit # ,.....0 .. / x� ........».................._... �..._. issued to .................. (!f / :.?! ...- '(0"11 .'...��....`...::. ::.: ............................. _ ._......_.. �. . 7" . Please release the performance bond. TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT DATE l ,t_ ) 1 19 6 7 PERMIT IN '•t9-!'41n }'. .3laii ` t-`:7! :.E`._ APPLICANT �t�i 1.c..[i ADDRESS � VI [ Ir (STREET) ICONTR'S LICENSE) _ PERMIT 70 2Jali 171,�;., .' ' '•(` (_�J STORY �i3.'Li 1-e L`'ij.ICI,�_j-,% ii6�C .�1.1. iJJUMBER OF (TYPE OF IMPROVEMENT) -� NO. b'W ELI_ING UNITS (PROPOSED USE) AT (LOCATION) 1- '�I-13, �o::� uC:.la.� i �.)•... T ZONING L L:i7 t•.I ,..� t .,j a f-'' �' l.l<� DISTRICT �1:,(• (N0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK _ SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION _ (TYPE) REMARKS: OL.ti1 e.1.:J f.. Ti 86-674i AREA OR VOLUME 16 1,t., a_l.. Q .t e-!. PERMIT $ESTIMATED COST `P 1-,3>., UiliJ t)'1 FEE (CUBIC/SQUARE FEET) OWNER J l.cit Z.i -C,/11. DEPT '.„ BUILDING ADDRESS . BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE. APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL WHERE APPLICABLE SEPARATE APPROVED PLANS MUST BE RETAINED ON JOB AND THIS INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ELECTRICARE REQUIRED FOR AL, PLUMBING AND I. 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 MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 o 3 ,.AS HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 OTHER 2 � BOAR HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED HE INSPECTIONS INDICATED ON THIS CARD CAN BE WITHIN SI,', MONTHS OF DATE T CONSTRUCTIOt. ARRANGED FOR BY TELEPHONE OR WRITTEN PERMIT 15 ISSUED AS NOTED ABOVE, NOTIFICATION, r : , I i � ^J 7j I . . tJ i G , I A �� �. _ �N - � I 4. II , _. 1 13 ` T r r . f 1 o F 9 , , 1 , I t r, i i ; Ka 24048 4 . r t t ----- CERTIFIED PLOT PLAN I . CERTIFY THAT THE FouNQAT lo ly LOCATION C��T �zV► ��-c; ....SKOWN. HEREON- COMPLYS. WITH SCALE DATE 3- 31 ' g ^7 TH.E `SIDELINE AND SETBACK REQUIREMENTS . OF THE TOWN OF . PLAN REFERENCE f.N STA BIJE A N D. i S IJ.9T LoT I3 LOCATED WITHIN :THE :FLOODP,LAIN. . .._ _ , -DATE t 3"3�"a� �► : BAXTER NYE, INC. THIS PLAN IS NOT BASED ON AN REGISTERED LAND SURVEYORS IN.S.TRUMENT SURVEY AND THE OSTERVILLE^- MASS. OFFSETS SHOWN SHOULD NOT BE USED TO DETERMINE LOT LINES, APPLICANT ALA &J L. i I AMEJEW 1�41t® s Famb■AIM Or��■19.•_r mmus_�si�e� inm eons®■■■OEM u N ■■■■rims ONs .. o® ssssl�m■■ ::�sl1Mi(w7�!i us men- -. s �►-�rl.>v�■ice a D v•.• •- '. usssmsssNi� m■■m■e mB■NNR!` m■ arwrtitt / r �IQ . .�� ■ � ®■ � ■ s ■■■:��L , ,. f m�J,1m`®baars- -e� � a�■s■s■m®®i� ssssl�®■■ems■■■ m s�� ��eem■■nfiensms linson �.� ►F Homo■®I/■Iriii = Ilsmmmnl®(Nli�p � Imlmm■Knee � Illi■N■ID II '!i limm/■ml0�i �, _ Ilm■mm■ID�111 ., , Ilm■mmmlD I y, of 11m■■�mliefl -y�._ iim■m■Ila ■i>o®����NNN losem■ssr�ssss�I m lies■■■■■■■® • Ir_► ll■■■u■■■■ -�-®- 11 an V�'r . 11 s: � ss■ss r, a®■N®401MV Ills ss - - -- amid no-am IIiA*lldl�■i!IRS�i®�■1lioli ®W11■1411i1■!�■®1�1Y1 ■PUMA fltilll:�iD�►1i 1 •v► • �I r► ■i1■■I�Lownsoe■ BEEN, a BE son InMUSEUM i in :aa■N.. a . .■NNo Assessor's offioe-t(lst floor):r 7�, �a des �. . *THE T��1 Assessors map and lot number ..................... 1 _ INSTALLED IN C® ��� e"' Board of Health (3rd floor): 4_ ; , g?o Sewage .Permit number ................................................... WITH TITLE2 Baansrsnta, 2 ...... . . Engineering Department (3rd floor), . ENVIRIONMENTAL CODE AM2w moo "6 9' \e� House number .........:........'...... .........op��..0...�.rj5-...... / ,►�o Ya. TOWN REGULATIONS YR APPLICATIONS PROCESSED 8:30-9:30 A.M. and' 1:00-2:007P•M. oAly', t TOWN- , :OF BAR�NSTABLE ` BUILDING I-NSPECTOR ' N x, APPLICATION FOR PERMIT TO r .{.. ....................... ..;...................... ............................................................ TYPE OF, CONSTRUCTION : -----------------19L1'.! TO THE INSPECTOR OF BUILDINGS: The undersigned reby applies for a permi accord ng to the following information: Location ........................................:.I.............. Proposed Use .. .................................. . ...................................................... `...:................::.............. Zoning District ..... :................. :.............Fire District ............................... Name of Owner .........................Address ......:... N :............ ' .. Name of Builder .................Address ...........:............................................................:........... , Name of Architect ..................Address Number of Roo ..... ............................. .......................Foundations :.... ... Exterior . . . ...... .........................................Roofing ............. .....................:............:..................t'.......... Floors ........0 SC.•-`.......................... ..... ..................Anterior............. ...` L ........................... ... ... Heating ..... Fireplace ............................ . ....... .......................... ..... ........Approximate C st ....(...... ........................................... : . //-- C? Definitive Plan Approved by Planning Board ------------ -- .-------- _ 9 Area C�.o Diagram of Lot and Building with Dimensions "` Fee r .....................:....... SUBJECT TO APPROVAL OF BOARD OF HEALTH ` 1 y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding a above t construction. Name .. ......... ... ........... ............................ r 0/S7s } Construction ,Supervisor's License ........... ..�...... t4 ., SMALL, ALAN E. yNo ...3 Q 81.2 Permit for ....One...s tort'•........ �" - ...:':.Single-' Family..Dwel .?�q........ "' :" r , i _ ..•- . ..:.. M1 Location ...Lot 13........ Z2Q....aMQ.S...Otis Road Centerv, .................. ...I.e.......... _.• Owner' rAl'an E Small...... . .�.......... • ... Y. � - • - . .-1 �' � - • .. Type of Construction ,. X.G.111e................?........... • ................................................lip ...... .... ......... Plot ............................. 'Lot ^............................. Permit Gran ed ......June.. 3:!..... ......19 s ' Date of Inspection".......................... ...19 - Date Completed kr 14. u y. -fit I _ r • -'tzV � -. ssesso s offioe (1st floor): r' THE Assessor's map and lot number ...... �... ..o�` Tod` Board of Health (3rd floor): ` t_ — Sewage Permit number ....!. �� A'� '................ Engineering Department (3rd floor): 'o M e• House number c�•0-). T,J S. 0 3 e APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF - BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO * a""`� "......::...................................................................................................................... TYPE OF CONSTRUCTION c;: T� r .......---• �.,:...... ...--. 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: � .:. s' t Location ..........................................mod._, `.............. .. ..... .. .... ^ ?...............;......':........................................ ProposedUse ...,.'.... . -. t. ...�::..` ....................................................................................... ......................................... ZoningDistrict ..... ............... ... ,J.... ...................Fire District .:............................... ............................................. Name of Owner ..:� .." `. F --- <� .�� ........Address ........ ................... . Nameof Builder ....................................................................Address .....................'................:................................................ Nameof Architect ..................................................................Address .......................................:............................................. Number of Rooms .............Foundation ......:`...:... .......................................................... Exterior ..... ................... . l..G. -....................................................Roofing ... r Floors .Interior ......`........................................................... ........ . . .....................................I............................. Heating .............•..... `..:... �'�..............................................Plumbing ........... ......................................... _71 Fireplace f.. a..........Approximate Cost . . . ................................. Y �r 4 Definitive Plan Approved by Planning Board _ __-____vhtli 9 i?__ Area 1 f�?- �.................. Diagram of Lot and Building with Dimensions ✓ Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 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 . ......... -'� jLf�c ::f............ Construction Supervisor's License C........ ...........��% SMALL, ALAN E. A=170-209 r. No „30812 permit for „One Story Single Family Dwelling .......................................................................... Location „Lot #13 , 220 James Otis Road ............................................ Centerville ............................................................................... Owner Alan E. Small ........................................ Type of Construction .._.Frame ............................................................................... Plot ............................ Lot ................................ Permit Granted ......June...3 r................19 87 Date of Inspection ....................................19 Date Completed ......................................19 Assessor's offloe .(1st floor): r F HE Assessor's map and, lot number' ! .......:.. SEPTIC SYSTEM MS" ♦ Board of Hdaloth (3rd floor): c�� INSTALLED 1N COW, Sewage,,. 04rnj.t pumber �D ^. .7d... ° ���� ����.� ? Z B9Hd9TdDLE, Engineerl�ng .. jaftm nt Ord floor): ENVIRONMENTAL House nVn1 .................................... TOWN RER�a 7pakL= P I ./A^ APPLICATIONS''PF2OCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..�va J...d.....�z.x..S �'� ..... G�G .............................................................. TYPEOF CONSTRUCTION .......L^�:��a ............................................................................................................... e 7 V i9.. r ......a 1T� ...19.. C.- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: < L Location .... ....... /�c S..... !.'.s .. ...aA.. . .............�.�......` ..........................................................................�.... Proposed Use .l ' D eCk............. .... .................... .. .. ...... Zoning District ` `e Y.A"mv ............ ... ......................................................Fire District ....Name of Owner •t'f'���n._L-�.�......AS.-e..ff........... '�0 ... Name of Builder Address . — - Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....�• .........................................................Foundation ...1�.......G,f1.L??�1��%:...................................... Exlerior ... .�?. �. ...Roofing ...l�e�..(�0......CrAl� . .. ..... .. ... . ........................... ....... ..................... Floors .64.A.....................................................................Interior .............................. ...... ........................................ Heating5.. ...�.a.ffF.....(/'�..4�.. �.�/..........................Plumbing ......�... Fireplace ... .......... : .. ............................................................Approximate Cost .......`..!1. Definitive Plan Approved by Planning Board ______________________________19________ , Area ...J P/V. ,�/-- Diagram of Lot and Building with Dimensions Fee Od SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 � � J 5�1 (:2 OCCUPANCY PERMITS REQUIRED FOR'NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regapling the above construction. �At6me ... ... . . . ... .. .......... .. .. ................................ Construction Supervisor's license ...... VA,9CO;`�WALTER No .............................. Permit for .Build Deck ....S.ing.le...Fa.m.ily...D.we.1.1 4 ng........... Eqcat-ion ,...220 James Otis Road ............................................................. . .................. ................................ Owner .....Walter...Vasco.............................. ..... .... .. .. Type of Construction ......Frame .......................... .. .... .. ................................................................................ Plot .... ...................... Lot .........#..1.3................ Permit Gran+ed .......qj.�ly... ..........�-jq 87 Date of Inspection ............................ .......19 Date Completed .................... .......i gd'l F Assessor's offioe .(1st floor): Assessor's ma6 and, lot number ...�.. .Y..�.. ..� ! Q THE > Board of He'aloth (3rd floor): �a Sewage ..,PeSmit ,number '........... r '...?. ... y..=a....`...�... i BAHDSTIIDLE, i En'ginen4':��ptmnt (3r`d"floor): % 'ao 1639 \e0� House nY�rn r' "' o a' APPLICATION$ PROCESSED,: 8 30-i9_.30 A[M.Cand 1:00-2:00 P.M. only] TOWN OF -,BARNSTABLE BUILDING fH-SPECTOR APPLICATION FOR PERMIT TO ..a.v.4d d Z X peG k �Cd�d 'TYPE OF CONSTRUCTION .......:...................................P...................................................../.............. ................... PTO THE INSPECTOR OF BUILDINGS: ' 1 The undersigned hereby applies for a permit according to the following F,formation: Location ...................................................................................................... ....... .................... ................................................... i r7 v Ltf� " � CCProposed Use . ..................................... ................................ Zoning District .............. Fire District ` Name of Owne l Z � .... It SC.O......... . dress O�e?t�.y!T �f �6// GAT/.... Name of Builder ..........................................Address ......... ... ... ,. / P .:.. ............. :. Nameof Architect ..................................................................Address .................................................................................... ''Number of Rooms ....( .........................................................Foundation ..�.� Cf"ed e ../�.... .................................................... Exlel,ior ...!..... . .................... ........................................Roofing .�`T....��.F!�.d �" .......................... Floors .......................................................:.............Interior .......................................... ... Heating S f�DE. {/ri ��i Plumbing ......v 4 C .......................................................... Fireplace Approximate Cost ��`�.......�... ............ .... ................................................... ..... Definitive Plano Approved by,Planning Board ---------'r___________-_______19 Area ............ Diagram of Lot and Building with Dimensions Fee �' Od SUBJECT TO APPROVAL OF BOARD OF HEALTH / b �.. �1,4 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 E ' r N m4.... 5 Construction Su,pervisor's License .. ....�... —--— --------- a., - ;. VASCO;--:�WALTER A=170-209 31008 Build Deck No ................. Permit for .................................... Single Family Dwelling ......................................................................... Location 220 James Otis Road ............................................................ Centerville ............................................................................... Owner Walter Vasco ................................................................. Type of Construction I... ame ............................................................................... Plot ............................ Lot ..#1.3....................... Permit Granted ........July...2.1.............19 87 Date of Inspection ....................................19 Date Completed ......................................19 i