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HomeMy WebLinkAbout0046 JOYCE ANNE ROAD ij� I l'fiA THIS n'A 't 4A,, BMW I qlars"s 1 IF'," :, . I I `0;-,3,!t4tPTfhii RUN IWI, 1'�!m P1 'AiM. Tygy MIN _h 40 �,qjfj am Tim I'VIT. 'ji, vj� r �qn�, W_ KID "M ttrivi z 1, fA VTI "IX "8, 19 it nywyl silt AA, wNt V k "'AN-1­gpq Iq A MOW?I "WH Awl, t MEMO fl, "till q, fowl fly 11 iP It �'!.i M 4 lam so v h q� b Pt yq, 1� IM i 71,_,,'�J;���1'1'�: y, it I j;;Il n 1, �J, f; 'R""r, ART 041 61- 'ri it 10'e,-I, Wavi I ILK son i J- . . I..I ...... 1 4 m �-It JMV q Into, MoInyqua top 4.�41 IWO,' "AWWR i",I l it 1 H 1 1, -Ali VON N 0 f "i j(i If vil _r �1,14% Wis W.Nowkwuh,tows, ASS II! eh!W RJ ibti wag. WIT N."k � 0 VIM W-V 11 _41,3601 W6 " 0K fit W" owls, i "TA fit i�- if WK NNJI nuf "Wn FIT Q! =Q74WgWW.j ­H 112 pq Man W. ou ­I,A,EA",:­e A ".V Q a,Wv r f PNMR l"AN4,,�i� OW, Anu n VIM JIT vil; :­ .11 mus. mix on,owig- AV NX PW in lv,,j'fk I W owl Q 0 WAY whom,to Ill Wi HIS 41 i's v, W­y Hu Mum, WITH MW )IJ Rh�ciTAAII 4 QA Sn"Albst Two, I MACY INN= W-WWWRI of Vag 0 �o T&SA , �r 'gl, Ti WAN, 104 of "Ilr . 11-A l.il"A"I owl mWal W" U&AW LEN a 4n, " t", 4 WIN MMM W-41 1 HIVE=On W-2400uJi.VA Al� 1 131 IiA 0, J­ low V R$A 1% 4:101 to f,� �§TPAA a �Ig PHI MIN W"u, e" W f4 1�1 rT y WIN -11"T IWO- Q KIT IF, 11,�,111'iiff "i't t,­11 11W 11 1 1, 'ift "+ XG M r, n WIS-014,04 :' v (� i i ril�;I Nj; FI'A`44 i I IWO--Sup 11[r j Of 111 PiP !,T2 Application numb ....s)..t .`'r' ••—• ... .� �. MA � Fee...................................................... ...... .............. Building Inspectors_Initials. DateIssued................. ..... ..........� .................. Map/Parcel.............:................................................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: `7� :0iCc, �� o vie w v� NUMBER- II STREET VILLAGE Owner's"Name: R,_ v --Phone Number ��b Email Address: Cell Phone Number Project cost$ 710c) Check one .Residential Commercial OWNER'S AUTHORIZATION As owner of the above properly I hereby authorize moc,c,,w to make application for building permit in accordance with 780 CMR Owner Signature: 4 9C ' 5,:�:2 Date: TYPE OF WORK E3 Siding O2Windows (no header change)# E-1 Insulation/Weatherization 0 Doors(no header change)# Commercial Doors require an inspector's review. Roof(riot applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION ; r Contractor's name D 9! GC,A Home Improvement Contractors Registration(if applicable) 1 (attach copy) 1 Construction Supervisor's License# C S O��4"7 (attach copy) v?et Email of Contractor rn��G,,,�, 'h o w,�s Caw►r a s Phone number 5 6 S77L�o-7 ALL PROPERTIES THAT H STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER ............................................................ *For Tents Only* Date Tent(s) will be erected Removed on number of tents total Does the tent have sides?Yes No ' (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit , non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or> Yes No___, if yes, a gas permit is required. Natural Gas Yes No ,if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature /& I - Date D 2 lb All permit applications are subject to a building official's approval prior to issuance. i r The Commonwealth of Massachusetts „ Department of IndustrialAccidenis Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): -epo Address: City/State/Zip: rUv yL a'1/!��'Pho en #: 51* )4 ;u-)U Are you an employer?Check the appropriat�e bo : Type of project(required): LEI am a employer with 4• 21 am a general contractor and I employees(full and/or part-time).* have hired-the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.$ 9. ❑Building addition 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 11.❑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 13.[YOther f� employees. [No workers' comp. insurance required.] 'My 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Sip-nature: Date: 2 `v 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 5.Plumbing Inspector 6.Other Contact Person: Phone#: r . n Information and Instructions r Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-oontractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www,mass,govfdia f �1 DATE(MMIDD/YYYY) ALA o® CERTIFICATE OF LIABILITY INSURANCE 10/02/18 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER UUNIALA NAME, JIM HINDMAN Schlegel 8 Schlegel Ins Broker A"CC N E,rt: 508-771-8381 FVC No: 508-771-0663 34 Main Street E-MAIL West Yarmouth,MA 02673 ADDRESS: schlegelinsurance@gmail.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: PHOENIX MUTUAL INSURED INSURER B: TRAVELERS RICHARD H GARDNER INSURER C: 92 PARK PLACE WAY INSURER D: MASHPEE,MA 02649-2725 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 IWUL SUBK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP(Any oneperson) $ 5,000 A CPP0709341 08/20/18 08/20/19 PERSONAL&ADV INJURY $ 1,000,000 GENTAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑ PRO- ❑ JECT LOG PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea acc dent ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ hDXED CESS LIAB CLAIMS-MADE AGGREGATE $ I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 B OFFICER/MEMBER EXCLUDED? N/A WC-0179798 06/03/18 06/03/19 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RICHARD GARDNER HAS ELECTED NOT TO BE COVERED UNDER HIS CURRENT WORKERS COMP POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN MOGAN AND COMPANY INC ACCORDANCE WITH THE POLICY PROVISIONS. 63 JOYCE ANN RD CENTERVILLE,MA 02632 A HORIZED REPRE VE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Office cif,'consumer Affairs&'Business Regulat o' . HOME IMPROVEMENT CONTRACTOR. ` TYPe: Corporation ? :Registration Ex iratior ' 180182 10/19/2016 Mogan and Co'mpdrq Inc Francis Mogan,lr:,=: 63 Jo t yce Ann Rd Centg►Vilie, Undersecretary { F Cemrnonweaith c;Massa gti KProfessionaletts ' Division of Ucensure `Board of E?!�ilding Regulatior s and Standards C0nstr4661I §4.1 Upp .i. sor CS-026071 1�pires: 10/03/2019 FRANCIS E A(6GAN1 f 63 JOYCE ANN,RD CENTERVILLE"1AA 02632` { .ammissioner c ry ••�' Town of Barnstable *Permit# W 2 3 / � �OF SHE ToN� Expires no►tN*sfron ssVerlQfe uAANSTAFILS, Regulatory Services Fee ' *+AS $ Thomas F.Geiler,Director 039. �pTf0MPyl.� BUlidillg Dlvlsloll '170111 Perry, Building Commissioner ft >l?'n 200 Main Street, IIyanuis,MA 02G01 L Office: 508-862-4038 FE,9 1 tax: 508-790-6230 2005 )CYI'It>C5S I'L'IZMI'P APPLICATION - RESIDM A Not Valid rvrt/rout lied X-Press Imprint Map/parcel Number 7Residential e, Address boValue ofWorkw��� / Owner's Name&Address Telephone Number s Contractor's Home Improvement Contractor License#(if applicable)---,,. Lk ------------- Construction Supervisor's License it(if applicable)^ ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor [-] l,am the Homeowner LU/X iliaave Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy Pernut Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (niaximuni.44) [� Other(specify) vadu EA ulations,i.e.tiisloric,Conservation,etc. •Where required: issuance or this pennit does not exempt compliance with other town department reg Signature n.r..,..,.,•..vmnlry Jan-05-05 03:5Tpm From-AIG_ IITI-S16-6903 T-724 �� ilrr.r�('�'� j,"r•��.' , .I/��Ir.fir,_ r.:•.: ,. .,,.. :�: ��`�}} •71(•'M, •'J� �•� }, (�•� �'Li�;lr �� r(i� ' 1��'.G��`''r�' 'M7] ��'�� .-c: . �� 13'h'rd��r .li; 'r°. ,t .Y••'�FOr"�:� t,: "t1• �,;•. y' 'I�t,:.'�q[. �� ,,�Ik,,• � '�,. •�; rll'. '' � ' �r(..r qr'�%i/T'Ki•`t�•, •M��������.�f, \-'V � 1�• :Il,r'':.�'' F.., — r'!Jl'� :d'll!"' ; 7 '11, � "•i' •�bn.'�1(''•1 'I. �'•"5.•!'. �T�r P.�p��: �F,'n .�*, N .i.•.. '.,' r r r 1 '•1•., 'i• 1.r%' k PRODUCER i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS,NO RIGHTS UPON THE CERTIFICATE Employers Ins Group Inc HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 281 Main Street,Sulte#1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Fltehburg,MA 01420 J .• I COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED Rwoume Manag®ments Inc 281 Main Street,Sglte#6 ; F1Ecttburg,MA 01420 :^ ';'T„'v' ,1 N 1.1 I N' .. r �". :�: .1., •7•"r: wn ,IM1.. :f� , "'ti' ' I, ,k I^' .w v, r„• ..�' r� ire.. .( '!;',.. .P:� •i .r}'. THIS IS TO CERTIFY THAT THE:POLICIES OF INSURANCE USTED BELOW HAVE 13EEN ISSUED TO THE INSURED NWIM P ABOVE FOR 1 THE POLICY PERIOD INDICATED,NOT WITHSTANDING ANY REQUISaMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEGTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE t } POLICIES DESCRIBED HEREIN IS SUOACT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID(^AIMS.Co LTRI OFQISURANCB POUCTNUMBER POUCTOTFl.T1CDAT0 P0uCVwmKAT10NDATFi AJqmK IPENW �LONACftOM E o pac4 Gt C Group 1225/2004 12/25/2005 ATUTORr uMrre � lot Appun ro M4 Qpavfmm Orty, ACCIDENT 5 10DADC c►=POUCY LwuT s 50o o $ 100,PDC3 VESCIOPTION OIL OPERAnolrl W11NMOLIM CIAL I7EM51 ;•,. Re COVERS THE EMPLOYEES OF THE NAMED INSURED LEASED M CAPITZI HOME IMPROVEMENTS INC,1645 NEWTON ROAD. OTUIT MA?,i635. 1 CERTIFICATE HOLDER � CANCELLATION $HOMO ANY OF THeAIMM MCRIERO POLICIES 1K CANC(LLR0 i6PQW-'tm CAPM HOME IMPROVEMENTS INC DOWTIftDATES.TWWWfficwMPAWVVLL2QrAVQRTnMA 22 1845 NEWTON ROAD DAYS wRMM NOTICE Td THE c U71CATE HOLDER NAMU)TO THE Ltd;BUT COTUIT,MA02838 FAWMTOMAtL SUM N0MSHALLaftseNOOMmATiONORUAeUMOF ANY IMm UPQN TM C0MPANY,ITS AG0M OR REPft1r5ENTATNM AUTHORIZED REPRESENTATIVE C s.`4 r D, ICATE OF LIABILI �.. ...... , �ooSs 6 TY INSUp� ' C'J. ��ZsZtora cap,- I,fle RANG oPro 437 s �9en HIS CERTIFICATE S ISS C2wxz-1 09/06/09 Cation ave ' '•X°c. ONLY AND CON ED AS A MA So-y HOLDER,THIS FF�NO RIG" UPON Ti�E a u >rAlA o26G9 CERTIF,q/ x'uone:5o a-3s 9- ALTER TIIE CO�p� ES MOT AMENp,q�7EAip E ham os9G Fax:5o8-76o�1go7 RDED6Y'1}#EpOuG1ESBl:LO , " INSUI?tFZS AFF_DRDING vr N COVgG� nas tea: AIG Iq. Jciativnal aB� pX_a"e lmntual inns. Co co 1Ne t ioly t xAc, nusv�tERD: QucitC)tu't 1%0263 IIJSII( jC: �s OxOLI� covEaAGES THE POUCIES Of IN 114sUfrFi2L• ANY EMj3vT` ANCEUSi�B Rt'WJR ElOINHAVEB MAY PERTAIN,'nIE Ili M OR CONDfTt014 OF gAry EBJ ISSUED TO THE INSOT onREj�N POUgEs.AGG►t RANCESH ORDED 8Y THE PO qES DESCR Bid P✓1 RESPECTtO WfiPCH THIS EGAIE UM17S SypyvN MAY HAVE 8 glMC14r UCY PERIOD ICATE ED,NOTYV Ern 4 �'�l►cEp BY Pa�gtE1N 1S sUB,t[-r;7 74 All THE cmnracanE MAY 8E /I}iS7ANDING 71►EDFIh1Srq�gp POUCYfdU�dBgl gAIMS. 7F#iMs, 70l4SAf4DWHOpEOR 1 �L�41TY DAZE(MMIDDlr y) DATE(MrNDD �aict,L unt3aRr �L'502733 � LamCLVNSmtoE aDDCM 04/Ox/04 (),q 05 FAMOC� f 1000000 I f 500000 Gen GATE f ID D(p(qre � F x0000 uNRAprL�srai r'�0^�Q�va�wRr GGREGAIE f1A00o00 MILE L�gg�lY 29 LOC � $2000000 A A IWANO f 2000000 ALL OWMD XVS02733 Amos 01 3 oDuarn� X spy®ems 03./33/05 (ftw j) f250000 8 >�Atrros g �� noDu,vei,Rxty Athos fpspawn) f ODD y IhtMlRy AW AMOLMEMM ODM f _ � r�_ AtltooAtY-64AD�g'N f OOCUR D CDS02733 ASG f 04/01/04 r f"00000 �tF 04/01/05 ACE f Wraunoro f10000 - 33 liohtAM ANYMMIZE HIMp°R` p�9r�r nNE czrVC401093 f a ?bMw 01l01/04 01/01/05 gTom IER 1190090 _ El-D -EAeWtoyM :l0000 D EL-DfyEgE-i�oUCyjjsr i500000 ttDNoporsunotvsiLDCA�sr►'8+�a.�sioccurbyoNSADDF�BYI34DDRs �sP ---.--- DNS CFJ2_"FICATE HDLpFN -CAN ------1 61{pL4M A,ly�71�ABDVEDEPo�S�E CAN(�.I� DATE n•MFUSDt.TIC WAL 1HE EIQ'�tA7WN NDttDEiDi1# +YDRn)MNL 10 DAYSymnEN DQtnRMENDLD9iwinDnO1m�..OVj ETDDDSp DSENo 0SUGAUM OR tJABiIJ7Y DFM1y 1RID UPDN THE VMLL ACo 2po AXi1Ves, RsAt�OR 2b ° anVE � 7/D8) , t COND DRf'pRg710N 798E ' Mo �gStandards 3 Boargula ons and r F One AshbuT-fon Place - Room 130 Boston. Maschusetts 02108 Home improvemenfioi4tractor Registration Registration: 100740 Type: Private Corporation `;i Expiration: 6/23/2006 CAPIZZI HOME IMPROVEMENT,.INC. Thomas Capizzi, jr. 1645 Newton Rd. Cotuit, MA 02635 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card 92. Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: g Board of Building Regulations and Standards Registration:. 100740 One Ashburton Place Rm 1301 Expiration: 6/23/2006 Boston,Ma.02108 Type: Private Corporation CAPIZZI HOME IMPROVEMENT,1 Y omas Capizzi,jr. 1645 Newton Rd. _ � ,�ru✓ Cotuit,MA 02635 Administrator �;���ut r i i ' ..'.. ..• .r..�.f.:...r......•r ..• • x...•,.r.•n :•.m.�..v.�♦CIA Y.. ...a...inr..�.....ram%r f ..•..•. .t. • e.-. ... s r .•.�.r... ....... � .rv. •✓...t . ...•..'ter 1' rT,.d,.i.: ✓NazAA2�tll.JBI B ARO QF BUIL•'•MM90E"AAT!P7t-9�j5 r;. �, o b5 U.no: 7171.0 r asaeir�i ,riira+ +� 1 I " ==3 The Commonwealth of Massachusetts Department of Industrial Accidents office o//ore 9929oos 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit naMrU_Lh0M6& PA location: city phone d ❑ 1 am a homeowner performing all work myself. ❑ a sole proprietor and have no one working in any capacity I am an employer providing woikers'com ens ation for my employees working on this job. fir �..:.. : .. ��: ' I �( ..:;.:: . ....: � ..:.::.. A, Insuranct-ym.. 016)city.: M vhone N: V)b K ❑ I am a sole proprietor,general contractor,or homeowner(circle onel and have hired the contractors listed below who hs.:: the fopowing workers'-compensation polices: cerisnanYnamc- ... photie��. •: ;.,. company.- ame. Rhone# insnraneeo policx# Failure-to secure coverage as required under Section 25A of A1GL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 andro, 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 a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date Q Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license k- Building Department oLicensing Board check if immediate response is required oSelectmen's Office ' Health Department ` contact person: phone If; 00ther twee Y95 PIA) • CAPIZZI HOME IMPROVEMENT INC . r SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, �m -I' v� (L OWN THE PROPERTY LOCATED AT IN e,%Y(f MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGN ATURE OF OWNER: OWNER'S ADDRESS: Li �cP OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: 1 IU 4 APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , COTUIT, MA 02635 APPLICANT'S TELEPHONE: 508/426-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: . LACCEPTED BY e T X `�-1� DATE THIS PAGE IS PART OF AND 44-CONFORMANCE WITH PROPOSAL # i. THE Town of Barnstable Regulatory Services srnsi.$, ' Thomas F.Geiler,Director aUxtv MASS.0 9. ,�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PtptA C 00 FEE: $ J, SHED REGISTRATION . 120 square feet or less A G To Y CC u u� 4o � C Li E 0-vi Li-C Location of shed(address) Village 2( G ° P" CS��) -798 - 2S23 Property owner's name Telephone number . r-a Size of Shed Map/Parcel# '� v; Signature Date c ' cn C.+:) r'l Hyannis Main Street Waterfront historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) 7 7 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLO T . PLAN moo. fa' • ' PLOT PLAN FOR LOT 1 Indicate location of garage or accessory building 'Additions with dashed lines- ------ --- Sewerage disposal(cesspool) • , wen SA t (Lot•er••r•�r.rrr•:r�•rr . rear) I +s Atf Ed�rf cv E Rnar Yards dds is a i lf"is.a. Baer lor, v �. surfte io ite in mo of � `; .Hattie of �essetpeL Sideyard _ HOUSE Sideyard other Street Set Back .. .r.'r...rr..•rrs.rft• . m 0 . . :. (Lac.r.rr.'.sa.�rr•r.r.ir•ft. froatage). ;. \� // rrrrrrrrrrr—�—�rrrrrr—r•.rM.•.w��rrrrrrrrr�rrrr.w—rr•rr,r� w�1r.r�ir�r . (Name of street) information �.. Supplied by .� �,.. Mark North Point mm Y 3 L PLOT PLAN FOR LOT I Indicate location of garage or accessory building Additions with dashed lines--------------- Sewerage disposal (cesspool) ED 4 Wall ® I I I (Lot....................ft. rear) I ...._ Amutti�'s . Abutter's Name Name Lot Yard Lot < 11 . Rear . .. a If this is a 07 v corhet log$ corner lot, V �ricc`lt► . name L � �. name Of .. Sid other street. eyard other street. HOUSE Sideyard • - - • `* Set Back x l' .......••.......•ft. w „a I sT . (Le iL frontage) � - ---- --. (Name of ttreet)-----• � .� �: ham., .: Information ' Supplied by t Mark North Poin a / y .t i-40— COMMONWEALTH OF 1tiigSSACHUSETTS a DEFAR:MEIN OF ND USTRLe ACCIDENTS 600 WASHINGTON STREET BOSTON, MASSACHU�E,ITS 02111 -�:ss.c.-e• WOPMRS' COMPENSATION INSURANCE AFFIDAVIT • 2 " Qicen=.iPC. ec) loor _.._ . ich a principal place of.businesslresidence ac (City/stateMP) hereby urtify, under the pains and penalties of perjury, that: 1 arn. an employe:providing the following workers' eompens:-ion eove:ege for my employe:s working on en-, �'0022:39I q 7y sir.. Company Faii.rNumbe: I as- a sole proprietor and have no one working for me. I I ar- : sole proorietor, gencraJ cant:aaor or ho^cownc. (c:::;:oac; and have hired the eont.ocers lis::� c::: no have the iollowing worl:e:s' eompc.wrion insuranc:: poiici ami cf.Concracor I-su-ace Company/Policy.Numbe. amc.ofConcnctor insL,,:nce Company/Policy-N mbu anc pr Coatracor Ins•-:nc:Company/Policy Nunbc. l a:,. a homcow.,::performing all the work mys:li N C'1 r.: Me=be aware i::w'iie homeow-cen w'o a mpioy peso:i:a do t.zintenamrc,eorstrucioc or rep a1:worix o: : IMI'Mt et Lot more L::three units is which the horceowcc:also resides a:e:tae grounds apounazant t e:cto ire cot �nsice:ec to bee lovers under the Vor ers'Campecsatioe Ar.(GL C.1;:,sc:_ 1(5)), applia:•ioa by a homeowcer for a licc:s: per r:i:::sv evidea:e the legal surss of as emplover ucdc:t e V-'orkc:s'Cc_xssatioe Act �" :.M 2 "• Den:•.— .:dL'.::ral Aeadc d 01:1CC 0: [cr t':ac a ea;�Cl t.is sta .r.,t wiJ oe forwarce: :o... ........ :1::::Cn v.0.t'a:5.:11::C t0 sccurr wy-enzC;s rccuircc unCt:SCz-JOn 7!.-. 152 Cin lc:d t0 ::.0 1rAr10Si::On 0! :L:;:: �::SnC O:.L'? W S1500.00 anc!GO.imcr3onr:C..:Of 0-. to OnC in &e C I O!a$:Op"C:k :;.::L.:: a d:v:r;:a:r..:. of 1� .ic:��•-'"•:mid-- L'sc:�s�:,'Fc::;ii:�o: ' ✓fie �o��amo�r���ea� o����aaclivaetta . HOME IMPROVEMENT CONTRACTORS REGISTRATION board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston, Massachusaet s, 02108 HOME IMPROVEMENT CONTRACTOR Registration 100740, Expiration 06/23/94 Type — PRIVATE CORPORATION HOME IMPROVEMENT CONTRAL ` Registration 101141 . Cap i z z i Home I mpr ovement r Inc. Type PRIVATE CORPORAL Thomas Cap i z•:z i , ,Sr. Expiration 16123194 1'645 Newt on Rd. Cotuit MA 02635 Capizzi Home Improvement Thomas Capizzi, Sr. ://I��6415, Neeton Rd.ADMWWPATM . ti- k .g tL . Assessor's office(1st Floor): �Q t SEPTIC SYSTEM MUST B� �ME To Assessor's map and lot number I V INSTALL poi l4oard of Health (3rd floor): : ED ON ����-0 � Sewage Permit number 7 ur _ E�9VIRy@���p��1ppTH��1`�'I`�LE g5 �GdtiAEfAENTAL CODE A DAHd9TODLL i Engineering Department(3rd floor) rrua House numbe' `�� '� � :b"����' °° i6}9• Definitive Plan'Approved by;:Planning Board 1.9 �Fo rw d APPLICATIONS PROCESSED 8:30-9:30 A.M.;.and 1:00-2:00 P.M.only APPROVED OF BARNSTABLE Offl table Conservation Tpat'tmeM . Al ILDIHG INSPECTOR PLLIICATION FOR PERMINTO /WZ O c ;PAO M °✓ ISJj?� TYPE OF CONSTRUCTION �j',/pp� , FLi i✓(�GIlT, /�x �s�L /it/6 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ` Proposed Use Zoning District �,/J Fire District Name of Owner�'�/ fJ�f� ��� Address �Name of Builder �� �� Address Name of Architect Address ��7�1G'�nr•?�r/ux.� �BvPc� c�-�rf-cny�r Number of Rooms Foundation9`z1,VoV,4,0a r Exteriork WV�4Z6�2 •s/f`,' ay5 /` /J' � f c`ra Roofing zt pp � s'h�i.U�e�s Floors Interior Heating lam/N c�/��:Ql �_u� 4"/ Plumbing Fireplace Approximate Cost -3e' Area � r Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding ove cons ion. Name Construction Supervisor's License Q 1 /00 7 RIGO, PAOLO f No ' Permit F© A D I T I ON Single Famiry D '1'llin Location 46 Joyce inn Road > Centerville Owner Paolo Ri ` Type of Construction Fme < r, Plot ' �s .Lot i - Permit Granted January 27 , 19 94 Date of Inspection `�` ' 19 r Date Completed - 19 a'AIM M r i i2 17 ! /fissessor.'s map and lot number, ......... .. �USL- /YU.^�ry3L=/2 e2 TS S�SYSTEM MUST BE Sewa,ge Permit number ........... ...... .................. ................. MI COMPLIANCE WITH TITLE 5 �Qyof7NETo�o TOWN OF BARNS"j),r A La:o: i 33AUST&BLE, i 16 BUILDING . INSPECTOR0 �. APPLICATION FOR PERMIT TO . .... .............. :...... ................... ...................... TYPEOF CONSTRUCTION ............. ''.. .. ......................................................................... ' .................�j/f........................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a. permit accordingJo the following information: Location ..........�. �....�..................... � .C- ../.'efv:g.�.... ...............G..".` l�l. .... ProposedUse � 1.. .........: .............:.... fl.... ........... ........................................................... Zoning District ........................................................................Fire District .........cG o.............:...................................... Dip o Name of Owner .. d Y�... ...!...... 1...............Address .................... /. �� ......... ..........s� G W Name of Builder ...0 1.�. �. a�.��.. .. -.�.�.�.P..1."'.:..Address ..... ...:........................................ ..................... Nameof Architect ......................................................:...........Address .............................:............... .................................. Foundation .....0.m.?�4-d. ��� ..Number of Rooms .......................�......... ........................... Exterior ....G..... ... .! . . ..........................Roofin.g .......... �J!!!�.� ....................................... Floors '�ad ���.!®�..........Interior ...................................... 'Heating /`f-CDT..f!iC�� �r Plumbing ( �(��..� ..... �/�. ........ .. ........ ... '....................... ................................. '._.,._- Fireplace ..... 0 .....:..Approximate Cost 7 j .............. .............. ........... .- .................................... ............. Definitive Plan Approved by Planning Board -------------------------------19--------. Area ...... ....... ............ Diagram of Lot and Building with Dimensions Fee SUBJECT TO, APPROVAL' OF BOARD OF HEALTH D' Pc)' -j� I qQg F 5 2�q iY` qv I hereby agree to conform to.all the Rules and Regulations of the Town of Barnstable regarding'the above construction. Name : ...................................................... HAM, HAROLD F. 22302 'No ..................'Armit for ...�:�QKY..... 0 ..... ..!�Y A4 Single FamilY Dwelli .. .... ....... ......... ....................................................Vn Location ... jP yq.(� ..Rd. .. ......... qat§�Xlyille............................. ............ Harold.. . ... a.ral.d. ........ Owner ...... Type of Construction ........Frame..................... .. .. ....... '01 ............I....................................................................... Plot ............................ lot ................................ Permit Granted 21�..........June ) 9 80 .................. Date of Inspection ...... .. 9- Date Complete 9 4n L W PERMIT REFUSED ....................................................... ..... 19 J ............................................................................... f LO ......................... ..... . ...... . .............. ........... ............. ................................................. App ............................................. 19 ir ....... .................................... ..................... ................................ ....................... - -.-. �..- _.. .-.�.- .. - •' ••--• :�=+!'. ....r ...+`.��'x^.• �,,,F•.�..--�'.1.....:..�+""..:_ ...,�y,"Hf„�,�; ,. �,CsDc� J,.,' i;..e. .. �.-:,r..-�.. „�-,.w�..s«.r..s..:.•�-s.G�Se-�-�.:. .... . .�-t Assessor's map and lot number � ..............���. Q� ` ' "v` G l3 -Q r Sewage Permit number ........... ........... �:.................... yo*THET TOWN OF BARNSTABLE BAENSTLDLE, i 0 9T�e�� BUILDING INSPECTOR �fp ppY Or• • �.,. 61v S n2U C 5 Y, �� lam?,��(� APPLICATION FOR PERMIT TO ......................................�........... .... ......................................�.. ..................... TYPE OF CONSTRUCTION .........:........ a :............x✓....f.: ..................19..�?Q TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: -ray'" !D li � � c1 10E�` �✓(1r/l�j Location ..............�....:.................................................. ...............:....................................................................................... Proposed Use — /�'lfi1 ..... � r ............!; -.::',•............................................................ . .. Zoning District ........................................................................Fire District .........(fa- ............ .................................................... Name of Owner ..T T KI'Off[. V?... ....!..f.. ...............Address'... r ... 1/i� r1 c�.a ......... r.........�� I t ) T-i`Z cJ Nameof Builder ......,................................... .......................................................: Nameof Architect ..................................................................Address ...............................1.................................................... Number of Rooms ........ ....................................................Foundation t! Gf �O �C '�C �� Exierior ..............................4...... .:......,...,......:............................Roofing .................... ............................................................... s -. ....../Sit Interior .. . . .Floor ....... ........................... ..............r.. ... ...................................... Heating �/A � W 677 a2•' J ..Q i.L ........Plumbing �? �Z_ " �.... ... ..... Fireplace ............l.� .. .....� . i` .............................................Approximate Cost ...... /� ..E .f .! .. "`.................................. Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee .............:............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of.Barnstable regarding the above construction. Name ... .,:.., ........................................................ HAM, BAROLD F. ` A=209-I07 ` -- ^ � °6�o�l� No .2�����- Parmi� for —.�,v...-------. - ' - I� il .... D�elI..... ��----- �� . ' .............. ` ��t �8 �8 ��z� Road - Location ---------�!��9�-------- .....QgAt����ill��_______________ . ' Harold ~_.~. ~=`= F. Type of Construction Fitame ' - - ' nc* ' ^ Permit ...2A..........l9 80 . . . ' Dote of -- lV - Date e��]~��~ � . . ' PmRmmmr REFUSED . ' . . , . ~ . � . w'w, � .—._—....L/ � / ` ` ........................ ---'''-----^ � ----.--.—.—.. �--.----.--..--~... . . ' . . . - . , . Approved .......................................... lA ^ ' --------~-------------^---'' ^ -------`.`-----------...—.....,, , D ES l ,.ti.t c�n�`TA SEPnc T'A WV. • 4 °5x2oo '/.= ,rj'q0 6PD urr= 1S�L.. 1 v� , 7t�t,► �` T>kSPoSAI. PST 27.l0 �t Sias LPO BOTTOM A2F-A z kill 4(� lI3 f 1 o t t13 &PD PEQcp�..AT Id1.l �.T1= t bd °� AUN Oe Lam. 1 t F !D t �Z AiZ ' S i F NT t q �-61% . iOP FWD * bo +' X FIRS V15c IWV C*AL. qL,g Svsfaf;. 'got. SIG T76uu. �•. 4t �iAIJ ' I cno r a ,9I. AA ;r bsV• R. PI T WiTtb 8 c Taw4 A 90,0 11 1 T A i-l 5 �� c�.rz T t=� �a u..o PL ;:;IIzo F•1 L-S-::• L.00Artoi..► c,va=� ?,... ►� t do 1 b lam. P�-a l�1 QED r�c t= l Cs-6s[Ti F%f T"AT Tay► "eQ-S.C>W COMPL-Y S ©� AwD S "TBAGK REQvieS--/VlFL4-rS OF TUE 1t wr.s SI5 PGA , lL�. �a-rt;� �' � � •�J .f� �a►x�-e.e e, u�t E: �4.�c,. (=►m. I�� �, 7-a4wgTr. QED LAA-J C> 50eVE'10e; T414 PL&W IS IdOT 16A5ED OU AU -W4TP.0 T OSTE�XVtLLS• • AAaK- SVeve/ 4 T61G o;=FSET; '5"CKJLD VoT $E USE> APPLdGAuT To PeTF-CmiWL �-OT L(WS4. E �Lm-T ` t � 1 naA�•t Son�'�SGs.PL7� " ._,. . �. _.__ _ �_ I --,-_ _, •� � -'- 5E T'+G TA,W%4 • 4"x200 '• '190 e�P1a 4 vtSPCYSAL. pV7 vgE SiveWALL To-rxt— 1>66t6o4. PgZ��c,'�'r'�c�•.f, -P�:t'4. t•t� � Mrs,- o¢t.t�,+S��# ;`�` :� ,v "�.' ��� r�{� �_ ;.. _ .� �"_ -"`1 , ADO J, ; aF� -", • , rY. ��.�, ».,_� 3 i i •�. � � � '+T g !`. f �S • ram+. +a+�+..-. .. v, r! HARP. l J(` Yt a All Ate 't eft. .�!� )� 1 A __�- ! � i._.... •�, � r+ TbP i'1,1P a tom• MF - .> n ruv • ILO ,. r d..Pvg vtsr. t mac.• R vl PIT,. , i 10 i ✓ . C�2 T , /- s {Jo' ,`.. M Pt-:'`F S w.i T1 T�►EihEt �is �' iL6Qutti�MEb�iTri CF• THE ' ` �� � Aia1D `C'BACeC . . tLl`:�tST i= w at> L A1J tb 4IZVE` V_r. T�N6 Pt-o� 14 UDT 8A5ED OU AU t6j4TWMEUT 04,TE-ZVtI MAZS• 5U>�•ic"! >; TN` OFFSET; 15"OuLts JOT 8E USeJJ' gQp�LMA.Wr' To vmTeZM1wL 4cT L.tiJF�y. , �.�,,.a C-49�..� 4 TOWN OF BARNSTABLE Permit No. --_------------------- l Building Inspector A■..� Cash - --- � ,ra V0 t OCCUPANCY PERMIT Bond ------_-------—___t No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. ................................................1 19...... ................................ ......�.............�...1..�...�..�._._.._...._ Building Inspector Assessor's map and lot number ...................................... ..... . v � OFTIIEr� .. Sewage Permit number !.h�...�1. ��..:...... K S6"C SYSTEM Hou number .. ........ w �� I�D BAS ASIL E, ............................................. STAL1. 11V.t'® 9A� 26 ` 0� a` TOWN OF B' ARNgAmy -. BUILDING INSPECTOR .APPLICATION FOR PERMIT TO . . .. . . .. . ... . . ... ... .. ..... ............................................. ...:..... -TYPE OF CONSTRUCTION .:.... .C,l,/Ki.:C.<,• ,,. .,,.,•,,..,,,,,.•..••.••. 2.4.........19... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: L . � Location ..... �J......v�,YG'........I.? ................ ...............celilz K al Proposed Use ...... 1........... .�................................... ............................. ............... .............. . .... .... .... ZoningDistrict ....... ,(.......................................:.............:.Fire District .............................................................................. Name of Owner .......H.1. .!......................Address ...7IK....S/��G�e.. .................... Name of Builder Ju)1�1.L�... � ' �!NI...:.G?/�� - Address �I.r �S Name of Architect ........................... ....Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors .Interior Heating :...............................................::Plumbing ............................................................................ Fireplace ..................................................................................Approximate Cost ........ C Definitive Plan Approved by Planning Board ---------------_----------------19________. Area ..../ .. ............. • O Diagram of Lot and Building with Dimensions Fee �Q — SUBJECT TO APPROVAL OF BOARD OF HEALTH < rbx I K Dec 1 0 Gq.RA� . SePnc -r4N K 3 �• I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ..... - C .................... q f F � HAM, HAROLD No ..?A' 8 Permit for .....B.ui ld f ... .Private Swimming Po .. ..... qiV Location ............ 77.....oad.:............. Centerville ` ....................................................... ................... Owner ...Ha................ ..........................Hm ..................... .� Type of Construction ...Steel. . . ...W.a.11...Vin. Y 1 .. .. .... .. ..... .... ..... .. .......................................... ................................. Plot ......................... . Lot ............................ Permit Granted .....J.UXle...I.x.....: r .....::19 81 ` Date of Inspection Date Completed ..................�.........7....19 i PERMIT REFUSED rt. ............ .:..................... I ............. .b ................ ............... .. .............. :._ .... ......................................... t s ............. .................................................... 3 r Approved ....'.............:............................ 19 . ...... ............................................. ................... : r , Assessor's map and lot number --- THE Sewage Permit number !a ... .... �.�..:..,:..:..e�......... ro V. 323 STAIILE, i House number ....:!....` ......................................................... yO MABa O 2679• �0 E MPY M• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION /d 1.I'G //c!/ Y,,., : � :ll I a, s�:!X.. '®. ?'r +c•�!- - '!h/� �.... . .........r.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................1...,..................................... ............................................ Proposed Use f r?� r ?,:�/7...........►�` ®/I .... ................................................................................................. ZoningDistrict ...... `..:.�........................................................Fire District .............................................................................. Name of Owner :1, Q ..��........}l r�'1.....................Address ....r� ....... Name of Builder J:�'110... /t?Ppl 'X, e,k'A!l ..:.Address ......rr ./.[ ...... �..............f✓` !? (/ >� ..................�� Name of Architect ..................................................................Address .......... ........................................�............ Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ...Roofing................................................................................. .................................................................................... Floors ......................................................................................Interior ............................................................................... Heating .............................................................................:....Plumbing .......................................... Fireplace ..................................................................................Approximate Cost ........ ..... ............ Definitive Plan Approved by Planning Board ________________________________19________. Area °' `�-� ............... .....................I.. Diagram of Lot and Building with Dimensions pc� g 9 Fee ,......�C�..:':`:�...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ! r i 30 Yf �� �f A 7bx tZ 2P7"7C Tf?N K iii I Ski (' �© W C l I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / Name .... . , r��j��! iT:...................... - r•r-.at�x..f:., � ., .a eta, � - HAM, HAROLD ��A�=-209-107 23158 Build No ..... Permit for .................................... Private Swimming Pool ................................. .......................................... Location ... .............. Centerville ............................................................................... Owner ....Harold.. ..Ham.................................... A .. ..... .. .... Type of Construction Ste.el... ................................................................................ Plot ............................ Lot ................................ Permit Granted ......J.une...1 .................19 81 Date of Inspection ............ .......................19 Date Completed ......................................19/ PERMIT REFUSED ............................f.................................. 19 ............................................................................... ................................................................................ Approved ................................................ 19 ................................................................................ ............................................................................... �sessor's map and lot number ..�....................l.....i , 71C THE tp�4 Sewage Permit number ... ............ 5 lelL.'� House n mber ...J�....:`��............................. ......... .� WITH TITLE 900 �63�{. ENVIRONMENTA L CODE ' am 4 a TOWN ' OF, BARNSTrA e" . _ BUILDING 1ASPECTOR _• . APPLICATION FO PERMIT TO S '�LCT—" G(J Q��IiJ FOR,"PERMIT' ........ ................ o TYPE OF CONSTRUCTION f'�1:.. .. :.\l:.A.....a/N-��.................. .. b� ................. ..................19.g.. � " TO hTHE INSPECTOR OF BUILDINGS. -The -undersigned hereby applies for a permit according_ tto/the,followin informations= Location ..:. :... �.�Q.. ........................ ��� �tJ� Proposed Use .. JC,�`'' ......l...`'t. C� -G-1,( ............................ .. Zoning District .........�.... ....... ....Fire District ....... ............................................'➢R' ........ oev Name of Owner.!,1....� ..( .......................Address ..�1� ....................................... .. Name of Builder ............. !..��' ........ ...............'....Address C`�'�-�'/ � ... . c1 ..... ...... �� ..... ....:.... . Name of Architect ................ ......... .. ...... ...Address ..... ... ... ... ........ .. ..... (3 Number of Rooms Foundation . ! .O.:M �k� 'e��........... ... C- —�'1 ...4�... �Q ........Roofn.g f...T,.� :' {. / Ezierior ............ . .... ` Floors. 1. ........................ .......................... ....... .........:...Intei`ior r.. ...` l.K.( (...,... 14 Heating �....... ............... ............................................Plumbing ............ .......... ...... ............. . . ...... Fireplaces .Approximate Cost/ Definitive Plan Approved by Planning Board ------------________-----------19-------- Area ro Diagram of Lot and Building With Dimensions . %J Fee ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I14$ y ( I $ 9 N b 22 4-A.,,-r i4p OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the To f Barnstable regarding the above construction. z Nam ...................... ........... Construction Supervisor's.License Do(o�Z z TELLO,, PATRICK _ rNo ..25086.. Permit for ...1 Z Story............ S.ing.le�.F a...m.ily. ...Dwe. . l l i ng ... ....... ....... .... .... .. .. .. . Location Lot....7..........58 Joyce Ann Road Centerville ............................................................................. : A * Owner Patrick. . ...Costello ` .... .. . . .. Type of Construction ...Frame••••••••••••••••••.••••••• c _ tt , r� ......................................... ........................... -Plot ............................ Lot ............:................... .{ Permit Granted .May :18. ....:19 8 3 , Ic �r Date of Inspection .....................................s19 Date Completed .....r s A,lp ...........19�� r i L.,. • "r 1z 71w%-� Assessor's map and lot number .................................... THE P�oF Sewage Permit number ....45 �77�........... ........... DAWSTABLE, House number .......................g.......................................... NAG& 1 2639- 4 MAY Ar* TOWN OF , BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...........................'` '........... ...... ... ,�el .................................. TYPE OF CONSTRUCTION ...... 4C .. .................................................... ............... ............... ................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: LocationX.q.............7............... .........................................e...... .......................... ProposedUse ...,................................ .............................................................. ZoningDistrict .... ..........::....................................Fire District .... .................................................................. 5 X-e Ile Name of Owner ........... 1-0 ..............Address....................... ............................................. ................ .....Address .... ......Name of Builder el LI4.. ..... ...........�0�74�g /�. .............................................. Name of Architect ................................... ..............;.Address ................. ...... . . ...... .. .......................................... 1, 41 Number of Rooms .........../-11..................................................Foundation Y ........ .................................... XExierior . ........Roofing ........................ ........................................................ rLfi Floors ....................... ................................ ........Interior .5;�6 ......... ................................Heating ... ............ ................7............................................Plumbing ............. ........................................................... Fireplace ....... ........................................................Approximate Cost ...... ............................................ f Definitive Plan Approved by Planning Board -----------—--—--—----------- Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH iJ G-7-- tt - �,�., 4jj ,1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and. Regulations'of the ToWK'of Barnstable regarding the above construction. Name---;�7................... .................I........................................ Construction Supervisor's License .............................:1"... yoq ` 25080 l� St�ry ^7 � No -----.. renx�.nor --:------..�,�.. Single~z���il� Dwellin g ---.. .. ._____ ____... Location ......5.8.. ..Auzo_Rd'� _____.Centerville___________ � Owner — � lIo___.___ Type of Construction ....l7zanue________. --------------------------' Plot ............................ Lot ----------' Permit Granted ...May...l.8...................... V 83 Date of Inspection .................................... � Date Completed ...................................... � ' - ( ' . ` ( � | � / � � � oL_LlV _1_1_E_.-__ ... •�:./Yis Vim• �:.�� ��C yJ K i ��� ' ' _ c � < f �oTV • �'- �ELLSE D � LX4-� l?TL.1T-.F,f�� cam-C i • I , �w��,C � Vic,- `�` j It -J2 jo Ei • - - __-. . J'- \- � � C ' ,\� � �1��--�` � -f ��',.,���.Cam;, �. (•..r -- - �A l - - 1 c .