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HomeMy WebLinkAbout0226 MAIN STREET (CENT.) TM9..� � � ,, �` ��-r�r/'� ..5� �' . . _ , ,. � � �. _ . ., . ,, �: r: .__ � . H .. y 0 `4` 1 9 - e .. '�! 1 4, [ TKE Town of Barnstable *Permit# qW O„ Expires 6 months from issue date Regulatory Service Fee Richard V.Scali Director Eu� Building.Division APR 14 2016 Tom Perry,CBO,Building Commir,!�Tfg r �p �p 200 Main Street,Hyannis,MA 02 ��.®�fl � rA�L www.town.barnstable.ma us Office: 508-862-4038 Fax: 508-790-6U30 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY q Not Valid without Red X-Press Imprint Map/parcel Number _! Property Address_ ;2 2- In �i v !!LG�, f '✓�ll� D116'sidential Value of Work$_ 6--0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 9 t,,`kxr- 1jz Contractor's Name C G Telephone Number -t2 ` � v Home Improvement Contractor License#(if applicable) l(P Email: �,Qe.�hv�Z`Sl�,�j Cph� � ,0/ C d� Construction Supervisor's License#(if applicable) D7`/�&y Q�orkman's Compensation Insurance Cher ne: I am a sole proprietor . ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name L i L11 Workman's Comp.Policy# &y��—7,�must �"'-<rJ Copy of Insurance Compliance Certificate accompany each permit.' Permit Re�qu�es (check box) tld"Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to—Zc44 -� ❑Re-roof(hurricane'nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum:32)#of windows Y , #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc., ***Note: Property er must sign Property Owner Letter of Permission. copy o t e Home Im ovement Contractors License&Construction Supervisors License is requir SIGNATURE: Q:\wPFILES\FORMS\ ding permit f RESS.doc Revised 040215 ^01- T71e Commomveah*ofMawac usetts De =hirzfft 0f In&ifYidAcdd-Q7f • _ due� ga�ans 600 Washuigion j eet Boston,2WA 02DIIT ivF m,Ynasm Ilia . WarIcers' CompensatianInsurauceA,fdavit ]B.IildenI�tractlir&UechicianslPlu3nbers Applicant Information Ple ese Piin E�e�"bIy Dame{Bnsmepssgatonda �/' �-C j!!�49 th Address: C�-, Are you an employer?Cireckthe appropriate bow Type of project(recl�e4: LI� am a emplaperwrtb. 4_ ❑I am a general coaimctar andI' * - have hired the su&CUKatract= 6- ❑New consauc ion employees(Tun amcb`or par�iiYme)_ • 2.❑ I am a sole proprietor orpartner- listed onthe attached sheet. 7..❑Remodediag ship and have no employees These saib-confta=have g- ❑Demalifion w me im any cagacit5`- empla��#-e avorl�s' - q-.❑B'udcfmg addition required-] , rN comp-insurance °mP- regaired] 5. ❑ We.are a corporation and its 10-❑Electrical regains or adc5tions 3.❑ I am hom.'eowmer doing all Mork officers have'exemised their 11-❑Plumbingrepairs or additions myself[No workers'camp- TiEftt of emeinpfion per MGL =s rance regaLred.]7 c-152,§1(4k and we have no 12❑Roat•rep-airs employees_[No workess' 13-❑other corms_insurance required.] 'Anyapglics �atcbedsboarwlnm also till out the swfianbetowshm;iagd2e woaezeeampensaffimpaRUiff3msaoa_ #Snmevarneiswho sabot his dfid=f mduatmg they aM dam Sh wa&3a4&M lie autsider=n=e =31t nhMk anew ad—,d,,ft iadicai—SUdL ZCa bear must attched as addilianal street shogtl+easamof doe sob cschra sad sl�etrhe arnottbnse esivr� �p4nyees.IfthesaB-co-atsadnrsbave�pI°�s,tfie}'mvsipmv-ide xbeior trnrke�s'•romp.polity aumbez I am an eucpl�er 6►atis prauiding workers'coo peresafirrrt insrira a for ar}�e�rplajteex BeIoav is fl�R pa£iry arrd jab sits information Itssu�ceComgaayi'laffie: . M1 ! -' - I' f •Policy 44 or Ste€-ius_Lic_ 1n11 C � �'� ,`r�!tp t9 i!�i- FkpirfiaaDate: Job Site Adds /_ !/�• U tit, T- CitylS tate�2a: �+P hi/!/ Aftach a copy of the warkere compensationpolicy declaration page(showing the policy number and'espimflon date). Faiinre to secure coverage as required under Section 25A of MR.c.15 can lead to the imposition of criminal penalties of a fine up to$150a Oa asrVor one yearimprism=emt,as well as civil penalties.&the fora of a STUP WORK€)RDE1Rand a fine of up to$250-Da a clay against the violator_ Be adiased tlxat a copy of this statement r ay be forFratded to the of of Investigations of the DI&€or- ��coverage verifrcatio - I t&hereby c dpsriaies a.fFedury mat file irafonnui&mprnui&d a ig and carrect Si�afnre_ IJ[-dt£: V l G r / Phone ik �. to a, al use Only. Do riat awke in dig urea,to be cr wp£eted by city artown offi- c&L .. City or Town: Per-dff,icense;9 Issue A uthzarity(carte one): L Board of llealtbL 2.Ru.TEng Department 3.City1rown Clerk 4.Electrical Inspector S.PhImbmg fimpector 6.Oth'er Contact Person: Phone#- - 6 ormation and lastracfions tD wo'Pas'compensation for their=ga0yees- i MF s�•;?^u=efts GeneralLaws chapi-�r I52 requires aIl euiplayers �e conirart afhirey prssaa�to this shy,azl.�£oyee is defined��.may pion m$�.e service of�.ot3�.er ffiderr�Y C3:pr=or bpi oral or wZWM ." is defined as"an mdxvidnal,pare,assoCIatiam,corporation or other legal e�y,or nay two or more An err�Ioy f;ves of a deceased employer,Cr the of the foregoing Cd is a joint ,andm d�c the legal saes receiver or trustee of an pax associaf=or other legal entity, �oY��inY�- Howevezthe owne z of a dweIrmg banse having not more than three apartmeAs and who resides therein,or the occ¢paat oftbe- dWMMELg house of anger who employs p.',,=to do mab3t= e.coon or�Faa WD' nsuch dfveIIing house [Hereto shaIlnotbec=e of such employmeutbe&=Iedto be an employer." or on.the grounds or bm7dmg apgm�� . MGL chap § C C� " state or local agncy shall withhold he issuance or tur 152, 25 also stairs that every renewal of a license or permit to operate a bgs ca iaess or to nstract buildings the comm onePealth for any dings- n aPPhcantvlho has notproduced acceptable-evMeuce of cumpfiance WI&the iasuraace-coVCXMge required. MGI,chapter I52,§25C(7)slates Neithm the nor jay of po�ical snbcFivi dons shaIl Ad ona Ily, table evidence of compIiancevrtth f e fi=r�.. eM =i� any contract for the p ofpublic v��u�Z p recfo�e±s of this chapter have beea presented fn the contartmg rho y�, Applicants Please fill.oiit the•FyC6='compensation affidavit completely,by checleag tha boxes�aPPIY to you 0n if �s)�e(s),addresses)and phone mrmbm(s) along with then cerbficate(s) of necessarY�supplyPartn='I iPS(I,p)withno employees other than the . insr��ce. LmmitedLiab7itY Cam-Fames(LLC)� I.iabr7ity . members or partners,are not req=ed to cagy w°ricere compensafim m-s� e 'an= If an LLC or LI2 does have' To ees a policy is required Be adyisedthatthis affidayitmaybe sobmi�d to the Department of Industrial employees,, P ,,,�,3r-ice co Also bestir a to sign and datethe affidavit. The a$davirtshould Amidents.for confirmation of- notfheDeparbneaf of be retried to the city or town that the application for the permit or license is being regaesbA T rT�ef1ia1 Are-TrTents Shonldyonliaveamguesd� mgtT lawor>fyonarere anedtn obtain aworlons' IeasecaIltheDepartme�attbemmmberILttdbelow, Self-fimurd�aesshoulde rtheir compensation pohcy,p self-fi surznCe license fiber on the appropr line. City or Town Office t artmenthas vidzd a space at tba botimn Please be sore that the affidavit is complete and priced Iegibly- 'Ihe Dep �° the applicant - for the affidavit for youth fill oirt lathe event the Office ofluvesti,ga has to confactyouregacc app in the ennit/Iice use nTs nbes which w�be used as a rcfere:nce immber Ju addition,an applicant ease be sue to fill P ==t Pl ear need only submit one affidavit indicating e emlt Ticense "t'atims in any�m Y that mast sabmfi:multipl p �P " � uld wrte:"sII locations in (�Y� = e licant..ho and under `Job S L d&m tb app _ p olicy ml�mafran(if'neces-az'Y) ed or mat}Ced by the city or town may be provided to tha town)"A copy of the-affidavit that has been officially s'Em.P rlc d by Anew affidavit must be fiIled Dirt e arh applicant as prooft3�at a valid affidavit is on file for fzzlure pezJnzts or business or commercial venture year.Whera a home owner or cYL=a is obtaining a lice°se or pest not related to any affidavit Cie_ a dog license or pemzrt to bum leaves a .)said person is NOT regah�to e�lete this should you have any goes.ions. "on and rho for our co eratt The Office of Inves6gafions would Ism to thank youin advanceY °P to Icase do not hesitate &0 us a caIL The Department's address,telephone and faxrmmber- ' - mt Gf Ind zal Amideutq (�tce of�e�fig��o� �4�asbm.�an t . T(�-L:#6I7E- -49W Qkt 406 or I-MMA S AFF, Fagg 617 `2'-'749 1ZeVised4-24-07 • ye -ma. 9pgIdia AM PST (GMT-6) FROM: 100005-TO: 15087756688 Page: 4 of 18 ( RQ®• DATE(MMID F M'Yl� CERTIFICATE OF LIAB INSURANCE LIABILITY IN URAN E 5/8l20O15 AIS 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 be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the poliyy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER FRANK L HORGAN INSURANCE AGENCY INC NAME:CONTACT -- - , 44:BARNSTABLE ROAD Hone FAX PO BOX 250 c n MC.Nn AIL HYANNIS, MA02601 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 9 " INSURERA:. LM Insurance Corporation 33600 INSURED INSURER B: - CAPE& ISLANDS CONSTRUCTION COMPANY INC PO BOX 210 INSURER C: CENTERVILLE MA 02632 INSURERD: INSURER E: INSURER F: ' COVERAGES CERTIFICATE NUMBER: 24610723 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICYEFF POLICY EXP. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MMIDD/YYYY LIMITS. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ; CLAIMS MADE OCCUR A A PR IS S ocRGHcurrence) $ MED EXP(Any one parson) $. PERSONAL&ADV INJURY ; GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE ; POLICY❑JE O- LOC PRODUCTS-COMPlOP AGG ; OTHER: AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT ; e accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) ; AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS _ Per accident i UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ ; A WORKERScoMPENSAnoN WC5-31S-377540-015 5/7I2O15 5fT/2016 ,/ STATUFER TE ER AND EMPLOYERS'LIABILITY _ lOTH- ANY PROPRIETORIPARTNER/EXECUTNE Y r N -- E.L.EACH ACCIDENT $ 1 OOOOO OFFICER/MEMBEREXCLUDED?. � N/A _ (Mandalory in NH) E.L.DISEASE-EA EMPLOYE $ 100000 II yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks,Schedule,maybe attached If more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. . This certificate cancels and supersedes all previously issued certificates,only as they relate to workers'compensation coverage CERTIFICATE HOLDER CANCELLATION I TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE EXPIRATION. DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE ` ^� LM Insurance Corporation mr-t.�L SU/(+ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD , :ERT No.: 24610723 Anne Chandler 5/8/2015 1:54:54 PM (EDT) Page L of 1 * MALRNSTABM 1` ,� Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 66h,'4 �,/ �.`�e ,as Owner of the subject property hereby authorize � � C h to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 1111eke SignaturCof Owner ate Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppDataU.ocal\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 Massachusetts-Department of Public Safety . Board of Building Regulations and Standards • %-onJtruclloL. Supervisor License: CS-074660 • JOSHITA X KOUII� POBOX210 ; CENTERVMU IWA Expiration Commissioner 02/12/2017 (fie Wammo--h9 a��ac/auaeda Office of Consumer Affairs&Business Regnlation%IJV <. HOME IMPROYJ MENT CONTRACTOR Registration:!? '65936':—/ Type: ter•, Expiratio=— Private Corporation CAPE&ISLAND CO;, CO INC. JOSHUA.-KOURI ; f= 55 ELM AVE. HYANNIS,MA 02601 Undersecretary Undersecretary i Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991M )of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS License or registration valid for indivdul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation , 10 Park Plaza-Suite 5170, r Boston,MA 02116 of ali without signature ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# � Health Division 0 Z lj 10 03 SV� y31, ti( NCyiB�F - Date Issued Conservation Division r // ® 20013 Application Fgg Tax Collector 7. Permit Fee J Treasurer % SEPTIC SYSTEM MUST 6E _.... .�a�f I S 10��---�, INSTALLED IN C®NlPLl�s��:` Planning Dept. � SM TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ML Historic-OKH Preservation/Hyannis TOYM REGULATIONS Project Street Address Village Vt Owner Address Telephone 17�r Permit Request '`� �a�✓ � �✓1rr, e /�PziJ A Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new '-0 Zoning District Flood Plain Groundwater Overlay Project Valuation 1032 Construction Type Lot Size 10 t M Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family,411" Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes XNo On Old King's Highway: ❑Yes No Basement Type: V(F ull 4 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 3 SD Basement Unfinished Area(sq.ft) sb. Number of Baths: Full: existing new 0 Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new ® First Floor Room Count Heat Type and Fuel: /fGas ❑Oil ❑ Electric ❑Other Central Air:�es ❑No Fireplaces: Existing New Existing wood/coal stove. ❑Yes ❑No Detached garage:0 existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage.existing ❑new size 2 Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 4dN o, If yes, site plan review# Current-U96-- :;'�WL a — -Proposed Usez- BUILDER INFORMATION n Name Telephone Number J ?�� C( Address �i 0 D� �� License# ©(a 2� G 44L 'fVyj /!ILt,5 Home Improvement Contractor# C l � Worker's Compensation# C�DOZd"J� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO v SIGNATURE '"� DATE ' FOR OFFICIAL USE ONLY P] MIT NO. — DATE ISSUED _ MAP/PARCEL NO. ADDRESS �'~ VILLAGE OWNER. DATE OF INSPECTION: FOUNDATION 1 + FRAME r Ph ; INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL p4I if PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING I 1 iV._:V DATE CLOSED OUT : a "" ' ASSOCIATION PLAN NO. � t _ The Common wea-Ith of Massachusetts J Department of Industrial Accidents Office offayesaatfnos _ - 600 Washington Street Boston,Mass. 02111. Workers' Com ensation Insurance Affidavit name Iocatiore !/ city L hone ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one workiu in ca aci I am an era I ding worke ' compensation for rap employees working on this job. 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Faihue to secure coverage as regvircd raider Section 35A of MGL 1SE can lead to the imposition of crinninal penalties of a fine up to 51,-00 and/or one years'iutptisonmeat a,weII as dvII penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me: I understand that a copy of this atatemmtmay be forwarded to the Office of Investigations of the DIAfor coverage verification. 1 do hereby certify t p ' and aloes of perjury that the information provided above is into and correct Date - signature m Print name / Phone# �UO offlcial we only do not write in this area to be completed by city or town of clit dty or town: petnili icense# ❑Building Department ❑Licensing Board checkif inmudlate response is required ❑Selectmen's Office C3Health Department contacipenon: phone#; - ❑Other_ Oev bd 9195 PJA) r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 also states that every state or local licensing agency shall withhold the issuance or'renewal o construct buildings in the commonwealth for any applicant who has of a license or permit to operate a business or t t roduced acce table evidence of compliance with the insurance coverage required. Additionally, neither the no p P 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 ja the workers' compensation affidavit completely,by the the box that applies to your situation and 4. supplying company names,address and phone numbers along with a rtificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation f;,,�„ ce 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 yJ o h=A� questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call theep at the number listed below. • City or Towns 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 contapt you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be retamed'io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 investlgatlons 600'Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 . Er, Town of Barnstable 4 Regulatory Services sAar.STABM Thomas F.Geiler,Director 9 MASS. g 16 9. 1` Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME RW?ROVENJ[ENT 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 requirements. Type of Work- Estimated Cost o ` Address of Work I% v4e Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 []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 NIGL c,142A. SIGNED UNDER PENALTIES OF PERJURY I hereb apply for a permit as the agent of the owner: fir Date Contractor Name Registration No. I OR Date Owner's Name . � o 0 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq. foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 7 square feet x$64/sq. foot= / Q�� x.0031= 1 plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee proicost i Town of Barnstable Regulatory Services v11MMSTAELLg' Thomas F.Geiler,Director i639. •� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder _.___r...:::........._...;as..0uciner-of the.subject propettp ._........_... ._ elf hereby authorize / to act on my.behalf,. in all matters relative to work authorized.by this building.permit-application for: (Address of Job) LeL Ite— l o 6 Signature of Owner Date Print Name � I O:FORMS:OWNMERMLSSION Board of Bui.ldirig Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement.Contractor Registration Registration: 101587 r Type: Individual l Expiration: 6/26/2004 PRATT CONSTRUCTION CO. -V ' Tracy Pratt $ ---------- 8 Danielle Street/ PO Box 731 Marstons Mills, MA 02635 -- . Update Address and return card.Mark reason for change. Address ❑ Renewal �f—t 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: Registration"*_101587 Board of Building Regulations and Standards Expiration 6/26/2004 One Ashburton Place Rm 1301 Type Individual Boston,Ma.02108 PRATT CONSTRU,CTION_CO Tracy Pratt 8 Danielle StreeUPO B6x 131'` - Marstons Mills,MA 02635 --- ----- Administrator Not valid without signature 71. �omrea�wrea j q t' BOARD OF BUILDING REG license: CONSTRUCTION SUPERVISOR Numb ep �G 046230 Bir=tCsdateu�i3/f��945 E plies 0 Qp5- Tr..no: 9089 TRACY D PRAT `,", PO BOX 1720 COTUIT, MA 02635�M •Administrator a � t i " � 11� • Assessor's.map and ,lot number .0�.���'/./..Q.....�?......... ''� � SYSTEM MUST THE t0 Sewage �Permif"`number ....ZS../.... �./�-... �(.!..?�.... 1 'r�„�N•T© p °w Y Z Co �i bs`71 14erl lg�pNMENTM� V�D Z BAWSTABLE, i House number ..... ........................................... ...... ......:........ "L TOWN REGULATIONS 6,9. t� n 7 iOMPYa' r TOWN OF BAB.NSTABLE ki . BUILDING ' INSPECTOR . �f�i� APPLICATION FOR PERMIT TO ......,. L7E....y......�:........ ..........................................:................:....:.:.. " TYPE OF.CONSTRUCTION .... 6�]�Y4.t ................................................... .................. .:.......................191 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to .the following information: Location ..�.�.� 6 7 � �//��7/i[/Z / .......... .............................. ............ ............. ............/�........... .. ..... �. .............. . Proposed Use .. .�j 5.. O /��4 L...... /0�.....................................................:.... Zoning District .............. e..�r�.t..............................:............Fire District' :(,..,eT1.V�`jw.j,/! ..y.f1 �C' �6 .................... Name of Owner ..v.�f�d�/2� .:�. .:......... s�! A//� r�✓ C , /1✓/ p�Ji... ................. ,,,,, ,., •Address ::,. ... /f ya Name of Builder /r�P/ /� y11 !E� jAddress ,P4�:..F:N:�.�.M .6u��11��5.��`��. .... . .... .......... .... Nameof Architect d:.. /1 ..:...............1...................Address .................................................................................... e ..............:..Foundation IdU�L/� G!D/!>Ch� � . Number of Rooms .................................. .............................. ..... ® elce Exierior ..GU��..ft ..........Clff �. ...:........../. ...Roofing Floors ........Mel........orb{& o.e�......................:............Interior ........................... < A44 Heat ing:� � r5�/.. 1�f' a. ..Y.. ..� 5......:.....Plumbing ...... ...�J.• Tff'. Q�. S......:... Fireplace ff A roximate Cost �wD p A 9 .0 � �. pp ..... .f........................................ - Definitive Plan Approved by Planning Board -------------------_.__________19________. Area G� ..7` ..... .�. . Diagram, of. Lot and Building with Dimensions Fee .. .. ' ♦•a .. , ... . ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTHILI ' ON 1 4rl,, Z. �• - I 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. A .� . Name ..L/, ...........�................................................ Construction Supervisor's License' ......................�..... t v J ` ' 5 ADDITION/ Alter i f l'3040No ....................................: Permit for - Single Family Dwellin(('ff .................................................................../........... Location ......2.26 D1ain...Street.................. ' Centerville .................... ......p........... N ` n l: �• rr ., Leslie s Owner .... ..............Edward........................... r ` Type .of Construction ..........Frame ................................ ` ......................I ✓ r' ` ! ii,t { Plot ............................ Lot r r Perrriit Granted .........e,,ruary.'2'.....19 87 ' Date of Inspection.......OZ.Z ........r*' .....19�� J ` bate Completed <zi 91 - �. �;���/�l,:x�ria wig r �� r c; �• `� "f'_ • ! - 1 /z?,T r (gyp/ ' �vGt •Cic�. �p/ClS r f / ` �. .� t { - 4� 70 ' add �. ' n./ � r i ,t.• t A - r' t'' 00 All In ` s rd Assessor's map and lot number ......�/ E N r Sewage 'PermiC number ......2....7.`�.................. ........... _ Z pBAUSSTLE. House number ..... es i i639• \0� .-TOWN, OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...,.. ...... D.P �CN. f ............. TYPEOF CONSTRUCTION ......Alj.. .4�..... ... ......................................................................................... :� .............. .. . .....................19. �..! I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..r�.. ... ... . A/'v...���.�:.......�� N7 't'Y/��E. /t!.A..........................................6.. ...................................,•. Proposed Use .... 77.q � .....��F :�.... ......�............. ............... Zoning District .............. .: �.r. Fire District .G� rvc tlll!� ... ��ltl11...................... ...................... /. ... ...... j Gt1 fl.C' 1:f F7/IU fl � j Name of Owner ......................... .....:1..�.�5..........................Address ................................................................. ................. Name of Builder �7�Lf/!1! 1.f �`.P'.'`XlAddress .. ?yrr,;e? S.!xy..:! /. ..... Name of Architect �!i lS� /�Q / %/ 1� ,� �fi��( .. If�/`F�L1�/.v��/.itf .... ............................Address ...................................................... ... .... Number of Rooms ......................................:...........................Foundation .�®U�F/J !/o/Jc - Exterior ..,.! ..........__....... ...............,�� ..........Roofing . I Floors ........!"ra .:4..'.�.... Interior �dllm �'S�c�'!�.%......./�t'sr���'................................ / // a T/N ,�� A T f-(f� M a Heatingh�?....5.......... ..(.:,....fd�. .............�......:................ Plumbing ......�......... .....ZaO......... ................................. Fireplace ..( lft' t"...................................6...Approximate Cost/ ............... Q............. .....,.. •I - Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area 2 ... Diagram of Lot and Building with Dimensions Fee ���1 f..J. ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1, c-- /-�/L/A/ A La ! 7;�!. /F / �f._• � / i I dI j ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform toy all the Rules and ,Regulationsf the,-Town of Barnstable regarding the above construction. ✓f _ { Name' ? .:.Pr "'" ... Construction Supervisor's License 1 EDWARD, LESLIE A=209-110 y c No ...30405 Permit for Addition/Alter Single Family Dwelling Location ......22.6 Main Street - x ........................................... Centerville ............................................................................... Owner Leslie Edward .......................................................... Type of Construction .....Frame. ... .. ............................... ................................................................................ Plot ............................ Lot ................................ e Permit Granted ..Fe-brUa.r... .,.........19 87 Date of Inspection ....................................19 Date Completed ......................................19 I� Assessor's map and lot number .� o... :................,< F THE T 0 0 Sew9ge l6e mit number SEPTIC SYSTEM IKVfiUS� INSTALLED IN COMPLI A EAHHSTAELZ House number ......:.....: ` WITH TITLE 5 90 roes � .......................................................... p D!e9 ���qe FaB O 1679• 9� ENIAr�i0aVME9�§i AL CODE 1 i„ ' �MAY a\ TOWN OF BARN S TAILGEAv BUILDING 'INSPECTOR APPLICATION FOR PERMIT TO .... ............................................... .. ./�ll...........All...............:..... .... ...... . .. TYPEOF CONSTRUCTION ..... V.. !: .......:................................................................................................ .............. j� .19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit ac-c�ocrding to the following information: Location .c .a.!�...... �?!.51... ..1............ Z-AV. ....... '1 1............................................................................................... Proposed Use . .X.. �.r.... .!!� .4"d?>�la....,?.i ........................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ..�0!.V.r4!!�.....h��-�.....�.�....................Address ' '� Name of Builder z0©�?Ceq.rp. Address .Address Name of Architect ..—�....................................................... .................................................................................... Numberof Rooms ...:..............................................................Foundation .............................................................................. Exierior ..........................................................................:.........Roofing .................................................................................... Floors ..............................................Interior........................................ ...................................................................................: Heating .'................................... ...............Plumbing.......................... .....................:............................................................ Fireplace .....�..................................p ......................................Approximate. Cost .59A..o.4D.e Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ....... .. .. ... .................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 4?' 3 (05P Ao [f: HOV 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. NameNL.41..4 ....... ....................... Construction Supervisor's License �e d 734 . .................................... LESLIE, EDVMRD No ..2 95...... Permit for 5W?-IIAr T1cj..Fi?QJ....... ........accezSoxy. ..to..Daniell-ing......................... Location ....22b..Ma1n.Strut....... ................... y 4. .......Centerville Centerzille................................. Owner Edward Leslie - ................................................................... Type-of Construction ..... Frame . _ t............................... ............................................ r. Plot ............................ Lot . i Marcli. 11 85 Permit Granted . ` , '.Date of'lnspection ....................... .19. Date Completed � .................... '...19 f i , / / i ' ` ' | | � � THE BUILDING INSPECTOR TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Name of Builder A?K Address /.,�Y.3. Diagram of Lot and Building with Dimensions Fee ..... .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH Jp- No U \ U . \/~� +u/k) r� �OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS | hereby ogee to conform to all the Rules and Regulations of the Town uf 8omgo6|e regarding the above construction. V/n� Name —__'_-----_..y~.�*.�.--_.------, " . Construction Supervisors License .................................... 0 0 __ LESLIE, EDWARD /Lu'9-110 27595 f givuru dng Pool :>. f No �.............. Per or ...... ......................... Accessory to Dwelling _ •. _._ _ ... . ....................................................... r' Location ...226 Main..S.treet ......... .. ...................................... Centerville ............................................................................... Owner Edward Leslie .......... ........................................................ - a H Type of Construction ...Fri........................... ...........................................................:................... Plot ............................ Lot ................................ Permit Granted .......Marda,..11F.............19 85 Date of Inspection ........,............................19 Date Completed ......................................19 ! i r 1 1 � r Ie,, I ! rn � r� � pi?, \_•). � Mist/. cac. I Ilk two --- � e5mT AAA Ll "OF RWHARD A eaxrF_A e C.EIZTIFIED PLc>-r P>I-_-A i toGATIo" �E=►.ITGQ / I GGGZTtt=V T�4AT' Ti-AG �ou►--IDPTIoN5"0 l--J PLAi..I RE-P,V-akjC t-IEQEt5t`1 Cc�MPL.YS W tTN TtAE 5l Li►-1E L-,*7- aut> SET$ACIG {�E4c���ENlc►-1TS of -rN� !'=02 L - aATE GZEGt5iZ3Z�D LAt..4o SU�vc�(o�zS LI OT BA'iP-t:> OSTE.�V�t_t..Er o A,�ASS• „ tt.lST'�cJ c�•IT Su�Vr`! Tt-tL UF�,z �S ��EtGww ARPL-t CA.► -r fit' C3 U5cD Tb nc.TC_.V-M1Ni= L.0-V L-0 `a771 �`'`� �4#sb� map and lot.-number Q..G d.�, :. F ; E '" T M MUST ,iSd BE °7 7 - c. 0 /[ . -0 /� WITH ® IN,C%.1pLIANCt ARTICL Sep% a Permit number ........................ ` ' ODE II S z jag , SANITARY C TArE REGU CE AND TOtijVN �F THE 1 �ATION59 ° n TOWN OF BARNS'�'A13LE WAIST" • i r ° "6 BUILDIHG INSPECTOR 4C C-7 �. APPLICATION FOR,-PERMIT TO ................................. ..................................... TYPE OF CONSTRUCTION ........ .�®..® ..� . .. ................................................. �-Z iV '...... ..........19.�..1. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...........`.o**.r.....`..I.................^...1.'� .�. .........�... w. �. ........................... Proposed Use .... 9..� W ."_q;.......... .1.�-' ......... 'ram �. .. ............................. ............................. Zoning District ... ......................................................Fire District Name of Owner .....................Address .... .b.....� �--`. �►Ef}. �.. ...... . .......... ........... ............ QN Ul yW.1r 0� [B�'` ?e �x/C:Address �® ��� (3;f ICN a � e Name of Builder ............................................. .................. .................�......... .%... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms `� �Q...........................................................Foundation .....................Q....&CD....................:................... Exierior Cl�W d�`! -'. .... 1. � 7.4�-..S........Roofing ....Q.0!0' ............................................................... Floors rN�............................................................ ..Interior .................................................................................... ......�...... Heating ... r..CR�. -......8.'f:..(f-T ..............Plumbing ?s �Z �1-.41$�.. ..... ...... ......................................... Fireplace .......�...... L of.....................................................................Approximate Cost ....!. . ......... ..>........................................... Definitive Plan Approved by Planning Board -----------_--------------------19=_______. Area Q� 5.t ........ ..................._........ s� Diagram. of Lot and Building with Dimensions Fee ��. .�— . ......... .......... ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH \il/ 1 2- 4 Z �L 22� � J. I hereby agree to conform to all the Rules and Regulations of the To . n of Barnstable regarding-the above construction. e Name . ... .... Z .................................... Guy Goletti { 14.3' ,a ......Permit-for ....Dwelling.............. ..............^ . ......................................... ' ^*. . Main...St.p..................... i Location ....�. ..._ ...............Centermillpe. Owner .....Gay..Colett3..................................... Type of Construction ........Wood-Fram.e............ ............................................................................... Plot .A-209.nO..... .. Lot ................................ Permit Granted ..........Jun.e..30...............19 77 Date of Inspection Date Completed .. . /.. 1................19 r E { 'PERMIT YREFUSED w { E ^F ................................... .............. ...... 19 - ► ` ..:............................................................................ -. ........................ .............................................:.. ............................................................................... Approved ................................................ 19 ............................................................................... Assessor's map and lot number ,.�r'1 .....7 7 - Sew, ge P0mit number .......................................................... Q�ofTHE ro�y TOWN OF BARNSTABLE �ABBSTABLE, i ONY1k. BUILDING INSPECTOR APPLICATION FOR PERMIT TO CR` � TYPE OF CONSTRUCTION .........�..C)(01)....... '1..Y1. .............................................. ....... .... ..............................� ..........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................................. ... ...............,............. .........,...........,............................ ............................ o I Proposed Use t ►� rrr L cC � ........................................................... ............................................................................. r. ......................... -. Zoning District ...ILc......................................................Fire District ...... ........C)...............,...................................... Name of Owner .r--T.1.4 �_ �"�`) to G ICt2--`� �� h C ....................................................Address ......................................................... ... .......n ,Name of Builder . N UFy�a OE I16a-�T[R 1 tX/CAddress .0..��. tLT... 1�!`� ^t.. ..... 1.,.�.� ... Nameof Architect ..................................................................Address ........................... ........................_................................. Number of Rooms r_ t ;1�4. C�....................................................Foundation ...?t �. ..........................`....... ... :................... Exterior L L1�1 tr�U. t (l-fi�....fillJ � ........Roofing Pn. Floors /?k.VL.'..............................................................Interior ................................. ................ ................................................... Heating 1L � 'ti2-- �1� '? ...............Plumbing .....�`''`h ...P)ArNe.......................................... Fireplace ............ ............................................................Approximate Cost .........;.ggn.............................................. Definitive Plan Approved by Planning Board --------------------------------19-------- . Area .. � �..... � ........ i Diagram of Lot and Building with Dimensions Fee ...... ...l.6 : ........ SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 t - - ? 4 L 4 ? � y z. L Z IL 'L Z. 4. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ........... ............................................................ Guy Coletti No .... Permit;br ......Dwelling. .......... Location ......... .....GSA.te1,�t.�.l.h .....................�.......0 Ownerr: ...................G>ay..Ott.�.� Z�........................ Type of Construction ........Wo_od..Frame. .............. .. ........ . . .... Plot ....A-209-46... Lot ................................ r �I Permit Granted. June 30 ....19 77........................ Date of Inspection ....................................19 , Date Completed, 19 Aa � ..... .............................e :7 UZI PERMIT REFUSED ......... F.............................. 19 Approved ............,. 9 ............................................................................... ............................................................................... I LESLIE RESIDENCE - ' a 226 MAIN STREET CENTERVILLE, MA- I GENERAL NOTES: REMOVE AND STORE I e�+GnrJ,—­­ All - DA THE JAJ DE—H. EXISTING CARPET AS m T DIRECTED BY THE OWNER. I v H THeaeon o aGPOeJ�nreo - JDO R.HT P — No e^eno...I F,N f *nea;oF I; aL oa �'zeD ac a on. PIa J REMOVE DOOR - OR C ATI n v W." vuav0 Je: • , eO111EIT FIRH DO EIVe »CHOLAGPF anIJJgn REMOVE ALL FLOORING AacHI + 1—DRYWALL ETC.DOWN 11 TO BARE STUDS IN THE EXISTING - - REMOVE GRILL I MASTER BATHROOM DlJcaevnncleJ on THE w JHOP PRA-1 AND THE + r - I ————— —— • .. rTe TTENON R s THE ewac�GCT JGFoae I I 11� / 1111 nwoaa H FJ ConnenCep o ILL.• ; H I • ° • DRAWING]ARE TO DE WED . n Y ----- JGALCD. - • REMOVE EXISTING MANTLE, — I I FIREPLACE DOOR ETC.AS \ /T REQUIRED FOR THE NEW - . I I WORK REMOVE EXISTING BRICK HEARTH I - —————- - I REMOVE AND STORE - �! _ I E%1STING CARPET AS I I I I REMOVE EXISTING DOOR DIRECTED BY THE OWNER I I I I AND SIDELIGHTS _ II I I I I L REMOVE AND EXISTING TUB AS ORE DIRECTED BY THE OWNER. DOREVE NICHOLAEFF ARCIUMCT INC. ' aI:NAE,SplPt . - OSTPJlVLL1E,IMfY65f F _ - PAx T 00 00 00 FILE NUMBER: � o • PROJECT NUMBER: DRAWN BY: JD - �♦ ♦�� _ SCALE: 114• :11_p• DATE: OOCTOBER 31, 2003. REVISIONS TITLE EXISTING CONDITIONS o� DEMOLITION PLAN DRAWING KEY r FIRST FLOOR EXISTING CONSTRUCTION x TO REMAIN EXISTING CONSTRUCTION TO BE DEMOLISHED EXISTING CONDITIONS/ DEMOLITION PLAN - FIRST FLOOR SCALE: IIA P -o° I I I 1 I I I { I , I I _ I I I . 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