HomeMy WebLinkAbout0025 POINT OF PINES AVENUE o
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Town of Barnstable
t ea»srABY.� Post This Card So That it is Visible From the Street-Approved Plans.Must be Retained on Job and this Card.Must be Kept Shed
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pp'
MAS'8. iPosted Until Final Inspection Has Been Made. - - -,
Where a.Certificate of Occupancy is Required,such Building shall Not be Occupied until a final Inspection has been made. Registration
Registration Number: B-20-1454 Applicant Name: KELLEHER, KATHLEEN E& MICHAELJ Approvals
Date issued: 06/10/2020 Current Use: Structure
Permit Type: Building-Shed- Residential-200 sf and under Expiration Date: 12/10/2020 Foundation:
Location: 25 POINT OF PINES AVENUE,CENTERVILLE _ Map/Lot: 210-108-002 Zoning District: SPLIT Sheathing:
Owner on Record: KELLEHER, KATHLEEN E& MICHAEL J Contractor Name ,HOMEOWNER IS APPLICANT Framing: 1
Address: 234 WINDING COVE ROAD a Contractor License: EXEMPT 2
MARSTONS MILLS, MA 02648
E,st:Project Cost: $0.00 Chimney:
Description: 10'x 14'Shed ± Permit Fee: $35.00
S Insulation:
Project Review Re 10'X14'SHED LOCATED AS SHOWN ON SUBMITTED PLOT Fee Paid: $35.00
1 Q ,a Final:
PLAN 3 Date: 6/10/2020
' Plumbing/Gas
Rough Plumbing:
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced wrthin.six months after issuance.
All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or roadand shall be maintained open for public inspectionfor the entire duration of the Final Gas:
work until the completion of the same.
The Certificate of Occupancy will not be issued until all applicable sign tures by the Building and Fire Officials provided on this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work. Service:
1.Foundation or Footing Ile
2.Sheathing Inspection Rough:
3.All Fireplaces must be inspected at the throat level before firest f lue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �- � Final:
t��T
Town of Barnstable
Building Department Services G D I L D I N G D E PT.
SL Brian Florence,CBO J U N`9 ' 2020
L►aruxu = Building Commissioner
.a 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us TOWN OF BARNSTABLE
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# —a,C' &Is FEE: $35.UU
SHED REGISTRATION
RESIDENTIAL ONLY
200 square feet or less
Location of shed(address) Village
Property owner's name Telephone number
Size of Shed Map/Parcel#
E-Mail lLe ll, t�-14 .e7 %�K6- 4 -%
Signature Date
Hyannis Main Street Waterfront Historic District? �'
Old King's Highway Historic District Commission jurisdiction? /v i
You must file with Old King's Highway
Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30&3:30-4:30
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.
TEM 0 ST BE ACCO °ANUD BY A
PLOT PLAN
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eq N CERTIFIED PLOT PLAN
"i � 060.2Y8J4 p L G�_' / 0 ^. . •-. f='r''... . i i vC
,NEW CONSTRUCTION OMLy
TOP OF FOUNDATION 1S?�FEET IN
ABOVE LOW POINT OF ADJACENT 2 AAkl S I AJO16. -MASS
WOAD.
SCALE- l DATE, z.�r
® GE ENGIINEERINe CO INCJ rf r` ic'e,,-.. - 1 CERTIFY THAT THE
°" --` CLIENT SHOWN ON THIS PLAN IS LOCATED
"CISTER�) REOISTEHED 406 N0. 21 Old THE GROUND AS INDICATED AND
CIVIL LAND
� n ... P.AidGAi81oS TO THE ZONING LAWS
0 'Town of BarnstableBuildin
; ,
a�naa�rwr�se Post This Card So That it is'Visible From the Street Approved Plans:Must be,Retained on Job and this Card Must be Kept '
v 6 `�� Posted Unt�L Final Inspection Has.Been Made _ Permit
Where a Certificateof Occupancy is,,'Required,such Buildmg.shall Nofbe Occupied until a Final Inspection has been made
JL
Permit NO. B-19-4134 Applicant Name: ALTERNATIVE WEATHERIZATION INC. Approvals
Date Issued: 12/13/2019 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 06/13/2020 Foundation:
Location: 25 POINT OF PINES AVENUE,CENTERVILLE Map/Lot: 210-108-002 Zoning District: SPLIT Sheathing:
Owner on Record: KELLEHER, KATHLEEN E& MICHAEL J Contractor Name:" ALTERNATIVE WEATHERIZATION Framing: 1
INC.
Address: 234 WINDING COVE ROAD 2
MARSTONS MILLS, MA 02648 - Contractor°.License 175683
Chimney:
Description: weatherization
Est Project Cost: $4,732.00
Perrif Fee: $85.00 Insulation:
Project Review Req: g
t
Fee Paid: $85.00 Final:
Date', 12/13/2019
x $'' Plumbing/Gas
rJ.}` max Rough Plumbing
k Final Plumbing:
Building Official
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved applicationand`th6'approved construction documents:for which this permit has been granted.
All construction,alterations and changes of use of any building and structuresahall be in compliance with the local zgn!p by laws and codes.
Final Gas:
This permit shall be displayed in a location clearly visible from access streetor road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. - g Electrical
Service:
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fir11e Officials are provided on this permit. .
Minimum of Five Calf Inspections Required for All Construction Work:i
Rough:
1.Foundation or Footing • ;,.. M �` . :.. °
2.Sheathing Inspection Final:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage,Rough:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Final:
7.Final Inspection before Occupancy
Health
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Building plans are to be available on site. Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
Application number ............... .......11I.V.....
BARNS
®F
TOWN TABU date issued: �L............19. ...
7
4
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sue, n AB`�' f - Building inspectors Initials ....
s fi Map/Parcel. 1Q t .Q.� LA)
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TOWN:OF B2ARNSTABIEF k °�
. ` .' � ' � ,•°EXPEDITED PERMI'I'.APBLI ::�� F
CATION
ROOF/SMING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
1
<. PROPERTY I'NNFORMATION �* � � �� a *=
Address.-of-Project: f
ER ` STREET Y VII,LAGE
IX
Owner's Name: e ev
.., Phone
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y
Email Address: ,, Cell'phone Number
Project cost$ 73a Check one Residential Commercial
±*`. ,.A` �' "I S. •. F;. "� dt -NSF tV
OWNER:,S AM0RIZATIO
R
As'owner of theL above property I hereby authorize �YInIAplc '
to make application for a building permit inaccordance with 78 MR y«
Owner Signature: Date.
a
TYPE OF WORK
Q aSiding Windows(no header change):# , f *H Insulation/Weatherizatioii s& "4
E3 Doors (no header change)# '' Commerciai Doors'requtre an anspector's yreview _:
0 Roof(not applying more than l layer of shingles)' '
Construction Debris will be`gomg to
CONTRACTOR'S INFORMATION
Contractor's name -
-
$,r. .va:.... `•.�.a». ._ •..rye 's .+n. ,;::e 3 .. :,4� '.'_ ..>� p•
Home Impro' vement Contractors Registration(if applicable)# (attach copy)
gE� s+` ,, 'o-: t F Cty xw t_4• F C 8* h4 ��=�. �>ax'k � x .'a 4 ��
' � �.e �� •-�.� ��xt°;�,a�-a, +^ ,.. ..�.,_ ,-mot x F ty. : £ �� r�� �, x yv r-µ�:.z4,��,,��a�:'`�L��. r�.�„� -
Construchon.Supervisor's Lide_me`# / y '' . (attach copy)
Emailr of Contractor Phone number 7
aler�rz�ilo�cuPiai�-,c,{ y�'-v�
r AdAOPE'RTIES THAT,HAVE.STRUCTURES,OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY I .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.
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
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 approvab
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
i'
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
APP IC 'S SIGNATURE
Signature 16 JDate I
All permit applications are subject to a building official's approval prior to issuance.
I
THE rQ.
Town of Barnstable
y. Building Department Services
Brian Florence 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, Kathleen Kelleher , as Owner of the subject property
hereby authorize cA' VX_I P c o act on my behalf,
in all matters relative to work authorized by this building permit application for:
25 Point Of Pines Avenue Centerville
(Address of Job)
I 9
Signature of Owner i o n
)614 141-4 "1 77��
Print Name Print Name
Date
a
" The Commonwealth of Massachusetts
Department of lndustnal Accidents
i 1;Congress Street,Suite.100
}. Boston,`MA"02114=-2 17
www mass,gov/,dia
Workers'Compensation Insurance A riid"-c Builders/Contractors/Electricians/PIumbers:
TO BE FILED WITH THE PERMITTING.AUTHORITY.
At3nlicant.Information Please_Print.:Legibly,
Name-(Business/Orgatuzation/Iridividual).AL.TERNATIVE WEATHERIZATION, INC;':
Address:2 LARK STREET'
City/StatelZip'FALL RIVER, MA 02721 P)Ione# 505-567-4240
Are you:an employer?Check the appropriate box: T . C°Of r0 ect C aired
161. ✓ Iamae to ees(full and/or. art-
wcpto er with • : onstruction
2.r-7 I am a sole proprietor or partnership and'have no,employees working forme in $. Q Remodehng "
any capacity.[No workers'comp.insurance required.]
9. [3'Demolition
3.M.I:am a homeowner doing all work myself.(No workers,'comp.insurance required.]t
10 Q Building addition
4.M Earn a homeowner and will be hiring contractors to conduct all work on my piopetty. I will'.
ensure that all contractors-either have workers'compensation:insurance or are sole 11 QElectrical repairs or additions:
proprietors with no.employees.
12. Plumbug repairs or additions_:;
5. I am a general contractor and I have hired the sub contractors listed,on the attached;sheet. . "
❑ 13 ❑'Roof repairs
These sub-contractors have employees and have workers'comp insurance t
6.a We area corporation and its officers have exercised their right of exemption per
MGL c..
14OtherINSULATION
` " -i`52 §"1(4);:and we have-no employees..(No workers'comp.insurance required:T `"
*Any applicant that checks box#1 must also fill outthe section below showing their workers'compensation policy informations *;.
t Homeowners who submit this affidavit indicating they are doing all work'and then hire:outside;contractors must submit:a new affidavit indicating such
Tcontractomthat check this.box must attached an additional'sheet-showing the name of the,sub-contractors and:state whether or:not those entities have <
emphiyees. If the sub contractors have employees;"they must provide their"workers'comp.policy number...
Tam an employer that is providing workers'compensation insurance for myemployees Below is the;pol— ai--d-ob site
-information:
LIBERTY MUTl1AL INSURANCE
•Insurance Company,;Name: :
Policy=#or,Self;ins L'ic..#:XV11Q58867158. Expiration Date 06/07%20-Ai '
20
Job Site.Address. � w� d /! SQ' City/State/Zip:
•Ati"ch"copyof the workers.'.-compensa#Qn-policy declaration page:(showing the policy number and expiration date)
Failure to secure covera a as re uired'under MGL c 152, 25A'is a criminal violation hable b a fine u to$1,500 00
g q § P Y ,. P
and/or-;one=yw.,imprisor went,as well as civil pen alties in,.the form of a STOP"WORK`OR-DER-and a fine of upao$250.00 a
day against the violator.A copy of this statement may'..be forwarded"to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify under mod' altii.s of e�ury that the"information provided above is file and correct '`'
Si afore: Date: f� G
Phone*-508-5674240
Offieuil use..only Do not-write in.this a",to be coinpleted;by city or town:offiera '
City:or Town: Permit%License#
si suing A Ahonty;;(circle one):, t`
1 Board of Health,;2;Building Department 3 City/Tawn Clerk 4 ElecMcal Inspector;5 Plumbing Inspector
6.Uther.
Contact Person: Phone:.#
-: Cotrma�ril�reatth at Massachusetts, t
' F3�i�un+sf Prafess►onal.L"acensure � -
Board of Rttilding"Reg tlations�and Standards*
cons isor
CS_�-105454 gyres.051C e21
T01+IOTt1Y1C
68 OtCKINSt31il S „ "
FALL RIVER y
;
r comrnigslornEr
Office of Consumer Affairs and Business Regulation
1000 Washington Street- Suite 710
Boston, My ssachusetts 02118
Home lmprovementCantractor Registration
Type: Corporation
Registration: 975683
ALTERNATIVE WEATHERIZATION;INC. 1 � Expiration: 05/28/2021
2 LARK ST J' of
FALL RIVER,MA 02721 '"�
Update Address and Return Card.
SCA 1 20M-05117
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Corporation before the expiration date. If found return to:
Reaist a- Expiration Office of Consumer Affairs and Business Regulation
1783 0512$l2021 1000 Washington Str -Suite 710
ALTERNATIVE,',,V ERl7J Jt?N,INC. ton,MA-02118
TIMOTHY CABRAL
2 LARKSTuF `t
FALL RIVER,MA 02?21'~ U ivyof VA withoutsignature
Undersecretary
Y �
f
CERTIFICATE OF LIABILITY INSURANCE DATE(MM05/2IDDN/DD/YYYY)
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
NAME:
Anthony F.Cordeiro Insurance Agency HONE oxt Ell: 508-677-0407 A/c No): 508-677-0409
171 Pleasant Street E-MAIL
SS: HSouza@Cordeirolnsurance.com
Fall River,MA 02721 ADDRE
INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: Liberty Mutual
INSURED INSURER B: Ohio Security
Alternative WeatheriZation INSURERC: Ohio Casualty
2 Lark St
INSURER D
Fall River,MA 02721
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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 RUUL bUtSK POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS
x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED——
CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 300,000
MED EXP(Any oneperson) $ 15,000
A Y Y BKS58867158 06/07/19 06/07/20 PERSONAL 8 ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY El PRO- ❑ 1 -
JECT LOC_ PRODUCTS-COMP/OPAGG $ 2,000,000
OTHER: $
AUTOMOBILE LIABILITY -. EO COMBINED SINGLE LIMIT $ 1,000,000
ANY AUTO BODILY INJURY(Per person) $
B AUTOS ONLY AUTOS (Per accident)OWNED Ix
SCHEDULEDY BAS58867158 06/07/19 06/07/20 BODILY INJURY ident $
xHIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
$
x UMBRELLA LIAB I OCCUR EACH OCCURRENCE $ 1,000,000
A EXCESS LIAB CLAIMS-MADE Y Y US058867168 06/07/19 06/07/20 AGGREGATE $ 1,000,000
DED I I RETENTION$ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000
C OFFICER/MEMBER EXCLUDED? n NIA XWO58867158 06/07/19 06/07/20
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000
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)
Action Inc and NGRID,USA,its direct and indirect parents,subsidiaries and affiliatesshall be named as Additional Insured on commercial General
Liability and Automobile Liability polcies.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
NGRID USA ACCORDANCE WITH THE POLICY PROVISIONS.
40 Sylvan Road
Waltham,MA 02451 AUTHORIZED REPRESENT 1 6
1918102015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
PEMGo LIMITED 40835
DATE INVOICE NO COMMENT AMOUNT DISCOUNT NET AMOUNT
8/7/2019 6000448187 25 Point of Pines Avenue ' 7.5.00 0.00 75.00 . ..
ltk.
r q !
Check: 040835. 8/7/2019 Town of Barnstable 75.00
13
Town of Barnstable,
Certificate of Zoning Compliance
Certificate 2019-25
Map 210 Owner Name as of 1/1/18:
Parcel 108-002
Address 25 Point of Pines Ave KIRSCH,MARGARET W TRMARGARET W KIRSCH RT
Village Centerville 90944 SOUTHVIEW LANE
Zone RD-1 FLORENCE, OR. 97439
Single Family Residential Zone Co-Owner Name
Overlay Aquifer Water Overlay %KIRSCH, ELIZABETH TR
Year Constructed— 1982
Lot Size 0.5 acres Property Use: Single Family Dwelling
RD-1 Setbacks:
Front Yard 30 Cert of Occupancy Yes
Side Yard 10
Rear Yard 10 Date Dec. 30, 1982 Permit#24296
Open Permits: No
Zoning Relief: None found in Building file. Refer to Planning- 508-862-4678.
Permits:
Building Permit# 2009-6027 12/10/2009 Re-roof
Building Permit#
Building Permit#
Code Violations:
Zoning Code No open violations on file
Building Code: None on file.
Zoning Violations: No open violations on file.
Zoning Relief: None on file. Refer to Planning for definitive check. 508-862-4678.
Site Plan Review: Not applicable ' .
Zoning History: The subject property was constructed in 1982 as a 2,424 (gross) sq ft single family home
containing 2 bedrooms and 2 full baths on 0.5 acre.
Reviewed by Title Date:
Robin C. Anderson Code Compliance Manager 08/21/2019
PEMCO
". L I M I T E D
PEMCO-Limited
1850 Parkway Place,Suite 500
Marietta, GA 30067
Tawn of Barnstable
Attu: Robin Anderson
200 Main.S:t
Hyannis, MA 02601
Date:
RE: Code Violations Search
Dear Code Enforcement
Please see attached check for the $75 OQ search fee required by your city. PEMCO-Limited
represents Fannie Mae,the owner of record of the property located at:
25 POINT OF PINES'AUENUE,CENTERVILLE, MA 02632
We would like to request copies of the following:
1) Copies of open code violations and summons(if applicable) attached to the property.
2) If there are open invoices pertaining to the code violation or past due liens, please send copies
along with the fee breakdown.
Thank you for your time!
Nicholaus Rice
Property Specialist Z,
Direct: (770)609-6832
nick.rice@pemco-limited.com
r
PEMCO-Limited,4600 S.ULSTER ST,STE 530,DENVER,CO 80237
Town of Barnstable ermit# �y`"'
Expires 6 months from issue date
Regulatory Services Fee a;
Thomas F.Geiler,Director
Building DivisionI�/L��'
Tom Perry, CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.b n rns table,ma.us
Officer 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTUL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number f v
Property Address
[✓]Residential Value of Work y `J Minimum fee of$25.00 for w' ork under$6000.00
Owner's Name&Address I1 ► � ^` SLY t
Contractor's Name �1 �Is" S I Telephone Number
Home Improvement Contractor License#(if applica e) I��
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance PERMIT
Che one: % ESS
[]�I am a sole proprietor
❑ I am the Homeowner DEC 1 ® 2009
❑ I have Worker's Compensation Insurance
TOWN OF BARNSTABLE
Insurance Company Name
W orkinan's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box) ((� (�
[9 Re-roof(stripping old shingles) All construction debris will be taken to Tl q
❑ Re-roof(not stripping, Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Prope weer must sign Property Owner Letter of Permission—
dopy of- e Home Improvement Contractors License is required.
SIGNATURE:
Q:Forms:expmtrg
Revise061306
ofIHF, 'I 6wn of Barnstable.
h egu7atory Services
�x�srenzE, +
y MAC Thomas F. Geiler,Director
� .
rFD►N'� Ruild1Ilg Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
"'W-town.barnstable.ma.us .
Office: 508-862-4038
Fax: 508=790-6230
• � Pro e o '
p � OwxierMust
Complete and Sign This Section
If Using A Bur.lder
1, Cse I� (
as Owner of the subject property
hereby authorize J (ems Ck .ri
to act on my behalf,
in all matters relative to,work authorized bythis building permit application for:
C*-
. Adoff
( dress ob)
- � J� J
si e of OwnerDae •
Print N e
Q:FOAMS:OWNERPEPMISS ION
r-
* sessor's map and lot number .. � C)J,,c I'... - � �
;. o� rot
TM E
Sewage Permit number ...CFC2:-::.V3.1. .......... d�Qy o
/ SEPTIC SYSTEM MUST B t Ba NAM ,$,
House number ................ ::.......................,...... 9� z 6
39
INSTALLED IN COMPLIANCE '�OYPYa�e
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TOWN :OF BAR%StX E pp ,77�� yy��D{{�y
' ANJ
TOWN REGULATIONS ,.
BUILDING .-INSPECTOR
APPLICATION' FOR PERMIT TO .......S.r°.. ,YL •,�..�. . .. ,
,4tr. •cy.�..... � r .. . .......... � ...
TYPEOF CONSTRUCTION, ....�..... ...............................................................................................
} ...Id..........................19..A
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for
�Ca' permit according to the following information: /
Location .....Z:4/7..../C(.........10 ...C. .....4,/L.?.C..f...f:....�'� /` 'r../ ./..... .................
e
Proposed Use ... ^ ?�4/... ... .,� r..Z...........1: �. �1 ......... ........ .................................................
,Zoning District ....1!�iQ. .......................... '-................Fire District .. *°f..lP................................................. .......
Name of Owner .o.:..Aid ress .. . ..............................................................................
Nameof Builder. *-- .........Address ............................................... ........................_........
Name of Architect ........... , .......
Number of Rooms ...
............�....................... .....Foundation
............. ........................................
Exierior .:.... e.2... .C..ol..�' ...........:....................Roofing ...... .xr,,��................................................
Floors ........C.. .P' < .................................. Interior ... .........................................
_. Heating ......... ................Plumbing z.-0Ai .f...............
Fireplace ... . ....................... .................. ..Approximate Cost ....1fla. arc/.....................................
Definitive Plan Approved by Planning Board -------------------_--- ------19________- Area ....
Diagram of Lot and ,Building ,with Dimensions
Fee ..........4�vtP.-.�..,...... . ................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
/61
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable,regarding tlge above
construction.
Name . .. .. ... ...... . .. .................... ...............
T
t.
KIRCSH, MARGARET
24296 1�2-: Story
Perrnit.for ..No ......... ..... ..................................
Sing-t-le itami ly- Dwe 11 ing
. ...............................................................................
Lot #10, 25 Point of Pines
Location ................................................................
Centerville
...............................................................................
Margaret Kirash-
Owner .................................................-...........
Type of Construction ...Fr.ame...........................
.... .......
.......................................
Plot ....................... Lot ................................
August 19 I.j 82
Permit Granted Q
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Date of, pectid .... 9
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Date Completed :.......I..,9�
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$� CERTIFIED PLOT PLAN
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.NEW „CONSTRUCTION ON4Y 1 �NpR fy0� �L_N ?- - V
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TOP OF FOUNDATION IS.. ... FEET IN
ABOVE LOW POINT OF ADJACENT ���j►, i��'���������
ROAD,
SCALE] . / = 'o DATE J
��'«� Y THAT THE
D GE EN N 1 /N - 1 CERTIFY
CLIEaT� � SHOWN ON THIS PLAN IS LOCATED
E8ISTEREO RE41$TD JO® NO. �.., ON THE GROUND AS INDICATED AND
CIVIL LAND CONFORMS TO THE ZONING LAWS
ENGINEER Bu,RVEYOR DR.BY,; .;�'(,
.,., OF BARNSTA SS.
- CM.BYE
. • �....7 I'2' MAIN`.S',T R E.E 7 -.�-�.----- �•12 8 2 ���''._� �=' .,�?>. ...�.:
H YA H n i.S, `MY AS Sa SHEET_�_OF= DATE 0. LAND SURVEYOR
TOWN OF BARNSTABLE Permit No. 24296
= Building Inspector cash
OCCUPANCY PERMIT Bond
Issued to Margaret Kiresh Address
1
Lot 10, 25 Point of Pines, Centerville
Wiring Inspector f�r ,r '—�' Inspection date
Plumbing Inspectorate '+, Inspection date
V `
Gas Inspector Inspection date
X Engineering Department_ r-� '� Inspection date
Y- Board of Health Inspection date `I I9P 2--
THIS PERMIT WILL NOT BE VALID, AND THE"BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
_, _..._.._ Ar
.......... ...........
..,.. :
Building Inspector