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HomeMy WebLinkAbout0028 SOUTH PRECINCT ROAD G ''} ey .. , . � :. n _f .. ' - 7 ,y - q } .. �� �\ .�.. .fir �� .. - i � ... ww�� _ � t lY• � � _ ����� 0 4 5, o � _ �, .. << .: , .. � ,: , 49 Herring Pond Road I Buzzards Bay,MA o2532 P.508-888-1740 F.55o8-833-3377 Resolution E N E R G Y March 25, 2013 .,...�_------ Thomas Perry, CB0 Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Y Re Insulation permits C> o co Dear Mr. Perry:- / ' Thi�f f idavit into certify that all work completed for nsul tion W'O' rk m at 28 South Precinct Road, Centerville has been inspected b P by a.. a certif ied,Building Performance Institute BPI) Inspector. All work performed meets or exceeds Federal/and State requirement. Sincerely, Lisa M. Haglof;--- Executive Office Coordinator TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 4!� Parcel �3S Application # Health Division Date Issued Z l J Conservation Division Application Fee Planning Dept. Permit Feed/ Date Definitive Plan Approved b Planning Board r Pp Y 9 ����, Historic - OKH Preservation / Hyannis I ; UU Project Street Address z s ,z / e."��: �.oa,. Village C44 y Owner A E Address a3 s o.��w "�a�c.•��. �.� Telephone so%- yt,&- \, Lo Permit Request t-w-ty, v--% CA.� k.� Az - S-z�-• Square feet: 1 st floor: existing t sto proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay oa Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .3' Two Family ❑ Multi-Family (# units) Age of Existing Structure kS10 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full Udtrawl &//alkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing U new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# -Current Use - -- -- Proposed Use- _ - -- --- - _ - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name C'I't: .Cn'., .Z>z c_. Telephone Number `Address ti� License # S 3 7- o L z Z�a�sisti w• A o Z'S 3 Z Home Improvement Contractor# Worker's Compensation # I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO -\-,Iy ZZ f-A%-4:-,�w5—a3b.-1 T" A t, 'r..S 3 SIGNATURE DATE 4 - 26 - Q-) r 4 FOR OFFICIAL USE ONLY .. AIPPLICATION# DATE ISSUED z. _ MAP/PARCEL N0. Z .ADDRESS VILLAGE ' OWNER t 1 Y , DATE OF INSPECTION: FOUNDATION=';. ti FRAME ' it INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL ti PLUMBING: ROUGH FINAL GAS - ROUGH- <.,-F FINAL 'FINAL BUILDING;- DATE CLOSED OUT }} ASSOCIATION PLAN NO. _ f I The Commonwealth of Massachusetts ,'. Depaitnient:pf Industrial Accidents I: Office of Investigations 600 Washington Street t� F ,Boston, MA 02111 sy www,mass.gov/dia- Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians(Plumbers Applicant Information Please-Print LeF_ibly Name (Business/Organization/Individual): ,X Ss Address: yew N!S,fi 1,0%y co "?o+�� ,Zoa'—z I City/State/Zip: Phone #: v`8_ B`g - t. �►� Are you an employer?-Check the appropriate box:` Type of project(required); 1.[`I am a employer with _ L, ' 4• ❑ I am ageneral contractor and I 6. ❑'New construction employees(full and/or part-time).* have'hired the sub-contractors.. . __ 2.❑ I am a sole proprietor-or partner- listed on the attached sheet. 7. ❑ Remodeling 'These sub-contractors have g• ❑ Demolition ship and have no employees employees and have workers' working for me in any capacity. 9. E] Building addition [No workers' comp. insurance comp:insurance. 5. �] We are a corporation and its 10.❑Electrical repairs or additions required.] 3.❑ I am a bomeowner,doing all work officers have exercised their 11.❑ Plumbing repairs or additions right of exemption per MGL 12•❑,,Roof repairs myself. [No workers .comp. _ insurance required.]t_ c'. 152, §1(4); and we have no employees..[No workers 1311 Other comp..insurance required.] *Any applicant that checks box 41`must also fill but the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors'must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: �. !►b...... S s N� Policy# or Self ins.Lic. #: W G2- —1 'S '�'�b5 Z Expiration Date: g— Job Site Address: s 'b 'ae.� w►'�vZ.E.C-�w� Q` 32� City/State/Zip: to A•.+s g l 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 MOL 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 ofthe DIA for insurance coverage verification. I do here er rn er the p ins a p�=Ities�of�perjury that the information provided above is true and correct. signature: Phone#: O*A . '8'b`8 ♦'3'-lO Official us'e 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#: Znfo)'Mation and fnstructIODS b Massachusetts General Laws chapter 152 requires all employers toiprlheiserviecekof another Compensation under any con trac of employers. e, Pursuant to this statute, an emplo),ee is defined as `.,.every person f .express or implied, oral or written," her gal ctitltY, or any tWD An Employer is defined as "an individual, partnership, association, legal eoresientalives of aedeceased empl yer, Ootheore of the foregoing engaged in ajoint enterprise, and including g P receiver or trustee of'an individual;p'arinership, association or other legal entity, employing employees. However the .. owner of a dwelling house having not more than three apartments and who resides theiein, or the occupant of the dwelling house o another who employs persons io'do maintenanse of sucth emo"loyme 1 be de mr repair work o d,to be n SLIch an elmployiDg house," or on the grounds or building`Lppurtenani•thereto shall nolbeca P i , 11 y ,.r,;�. . s M... the MGL chapter 152, §25C(6) also stales that"every state orolo local buildings yn the comhmon vealthsfor any uance r renewal of a license or permit to'operate a business or t e with the insurance coverage required." applicant tvho has'not produced acceptable evidence or complianc Additionally,MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall Addi into any contract for the performance of public-work until acceptable evidence of compliance with the insurance enterequirements of this chapter have been presented to the contracting,authority," Applicants • Please fill out.the workers' compensation affidavit completely, by checking the boxe thhathppleir cerlifiy to ocaie(s)ur iof on and, if necessary,supply sub-contractors)name(s), addresses)and phone numbers) g 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 employe it policy is required. Be advised that this affidavit may o sisnba submitted the a the llffrdavit Department affidavitlshould Accidents for confirmation of insurance coverage. Also,be sure g be returned to the city or town Lhafithe application for the permit or license is being requested,not the Department of u have an questions regarding the law or if you are required to obtain a workers' Should o their Industrial Accidents. Sho y y q Self insured companies should enter listed belo compensation policy,please call the Department at the number lrsi W• self-insurance license number on the appropriate line. City or Town Officials M ,," r Please be sure that the affidavit is complete and'pnnted�legibly.0 The E, e.meni has provided a space at the bottom of the a9davil for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. er, In an ca E.x x..; Please be sure'to fill in the pemziUlicense number which will,bes,ed,aas need only submilone, affidavit ndicating,currtent that must submit multiple pennitflicense applications in any giveny ions in (c)ty or policy information(if necessary)and under"Job Site Address" fhe or rapplicantby shoe city orttown maytbe provided to the ed is fall slam Y town).""A copy of the affidavit that has been officially R applicant as proof that a valid affidavit is on file for future permits or licenses. Anew 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 do license or ermit to burn leaves etc,) said person is NOT required to complete this affidavit. (ie. a P , g The Office"of Inve_stlgalions Wouldlike o ankYou��� cooperation'and should you have any questions, please do not hesitate to give us a call. { The Deparlment's*address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of InYestigations 600 Washington Street Boston, MA 02111 Te]. 4 617-727-4900 ext 4061or'17877-MASSAFE Fax # 617427-7749 Revised 4-24-07 www.mass.gov/dia DATE(MMIDD ACORD� CERTIFICATE OF LIABILITY INSURANCE 08/31/2 0 PRODUCER (781) 344-8578 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION C.L. Hollis Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE g HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 27 Glen Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOVV. Stoughton MA 02072- INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:LIBERTY MUTUAL RESOLUTION ENERGY INC. INSURERB:ALLMERICA 43 Fieldwood Drive INSURER C: PO BOX 1490 INSURER D: Sa amore Beach MA 02562— 1 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDlYY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY I I I I EACH OCCURRENCE $ _ COMMERCIAL GENERAL LIABILITY DAMAGE ( RENTED PREMISES Ea occurrence $ CLAIMS MADE OCCUR / I I I MED EXP(Any one person) $ PERSONAL&ADV INJURY $ / / / / GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY JECT LOC B AUTOMOBILE LIABILITY AWN5092655 02/27/2010 02/27/2011 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS / / / / BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS / / I / BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO / I I / OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY I I / I EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE I / I I $ RETENTION $ $ A WORKERS COMPENSATION AND WC2-31S-370523-039 09/02/2009 09/O2/2010 X WCTORY LIMITS ERSTATU- OR EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? 09/02/2010 09/02/2011 E.L.DISEASE-EA EMPLOYEE$ 500,000, If yes,describe under SPECIAL PROVISIONS below I E.L.DISEASE-POLICYLIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSiONS ADDED BY ENDORSEMENT/SPEECiAL PROVISIONS 1 I i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ! EXPIRATION DATE THEREOF, THE ISSUING INSURER. WILL ENDEAVOR TO MAIL j 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT 9 TOWN OF BARNS TABLE ! FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE l 367 MAIN STREET INSURER,ITS AGENTS OR REPRESENTATIVES. I ''AUTHORIZED REPRESENTATIVE HY N IS KA. 029,0 - i 1 sr 49 Herring Pond Road I Buzzards Bay,MA 02532 P.5o8-888-174o F.5o8-833-3377 [Rwassolution E N E R G Y Town of Barnstable July 19, 2010 200 Main Street Hyannis, MA 02601 Re: Jeff Tonello/Resolution,Energy Inc, To Whom It May Concern Jeffrey R Tonello'is one of the principles of Resolution Energy Inc, as well as the holder of ConstructionSupervisor License cs#53202 tr#19157 Exp Z-1411 Home Improvement`Contractor Registration: 162158 tr#280039 Ex......1 26=11. Should you have any questions regarding this matter please feel free'to give us a call. Office#'I-508-888-1740 A Jeff ey;R. Tonello Principle. Sr Phil Haglof Principle 0 ivlil5sill'lIU1l'lll - uC iar 1111Cl11 UI rlrrllll Jillll�1 I— ✓tt6 V�19YL'rn-IYruuecutr[- Up✓accc�w.urcu�cuu Boilt'd of Buitidin!,, Re-ulations and Standards Board ofBuildi-.ig Regulations and StanLlardI 4 Construction Supervisor License I _ HOME IMPROVEMENT CONTRACTOR License: CS 53202 _ Registration 162158 Restricted to: 00 Expiration 1/26/2011 Tr# 280039 JEFFREY R TONELLO Type: Individual PO BOX 1516 JEFFREY R.TONELLO.' SAGAMORE BEACH, MA 02562 JEFFREY TONELLO 60 STATE RD. ,v4G2 Expiration: 7/14/2011 I SAGAMORE BEACH,MA 02562 Administrator Gunmissil ncr' Tr#: 19157 h Restricted to: 00 f D- Unrbstricted Cs,l 2 Family Homes ailure to possess a current edition of the lassachusetts State Building Code cause for revocation of this license. efer to: WWW.Mass.Gov/DPS DIME r � Town of ]Barnstable v Regulatory Services SRAMSrABLF, Thomas F. Geiler,Director 019.� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property OwnerMust Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize Z"�So�,,,;.o..o E,,�e z to act on my behalf, in all matters relative to work authorized by this building permit application for. ' (Address of Job) / Sr tore4 Owner Date - ti Print Name If Proberty Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION Town of Barnstable o Regulatory Services • Thomas F. Geiler,Director snartsrasr.E, Mass 16S& ,�� Building Division 39. °TEv 1'a�a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 1 JOB LOCATION: number street village "HOMEOWNER": name home phone#I work phone tl CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that be/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC e YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL.,367. Main Street, Hyannis,.MA 02601 (Town Hall) DATE: 0 Fill in please: APPLICANT'S YOUR NAME: 0dv BUSINESS YO ME ADDRESS: /Y704-- _A& TELEPHONE # Home Telephone Number NAME;OFlllEIW BUSINESS I$Tk#1S A;H41111E.�M��tlp'ATICI,IiI;_--�-,.;;�:�,,,;Y�S Ha ye you.been given apprQvay fr tF�p bu�ldi ivis' ?:-.YES �f AOOR SS 4i IUSINIlSS 11rIAR/>pARCItI�NUiMtR O r When starting a new business.there are several things.you must do in order to a in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need: You MUST GO TO 200 Main St: -:[co.rner of Yarmouth Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO NER'S OFFICE This indivi ual.h s en iro ed If Any ermit requireme is that pertain to this type of business. __V - Au hori zed Si ture* COM MENTS: r r ' 2. BOARD OF HEALTH This individual has been ' formed of th mit r uirements that pertain to this type of business. uthorized Signature* �� � ,/� COMMENTS: 7/ 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. T., Authorized Signature** COMMENTS: I Town of Barnstable • Regulatory Services Yam. P�orts►+¢'i Thomas F.Geller,Director snxxsi°as�, Building Division 9 KAM g Tom Perry,Building Commissioner 39. �'°lED nv►t',0 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 A.DDroved: a � Perinit#: HOME OCCUPATION REGISTRATION Date Name: Phone#� © Z D Ad ess: Village: Name of Business: J Type of Business: - Map/Lot: q. (� INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4.1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the ' premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: 0. The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. -e - Such use occupies no-more-than 400-square feet of space. a There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. a No traffic.will be generated in excess of normal residential volumes. a The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. a There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. Any need for parking generated by.such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. a There is no exterior storage or display of materials or equipment. There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. ® No sign shall be displayed indicating the Customary Home Occupation. - e If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. a No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling_unit. I,the undersigned, 4ver and agree a above restrictions for my home occupation I am registering. Applicant: > Date: g &'x�2 Homeoc.doc Rev.5/30/03 Town of Barnstable Perm Regulatory Services Date: Thomas F.Geiler,Director a &UMSrABLM = Building Division Fee: i 9 MAW. qj 059• Peter F.DiMatteo Building Commissioner A�Eo �A 367 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 TOWN OF BARNSTABLE _ SOLID FUEL STOVE PERMIT Owner: TnC'�2 lC/'o Phone: Wr`� Install aL 2 ,- iit-) Village: -e -erU Map/Parcel: Date: ZZ1 1 e j Stove New/Used Type: Radia /Circulatin C. Lnufcter: �'<� Lab. No. D. No.: Chimney A. New/Existing (If existing,please note date of last cleaning) F i B. Flue Size C. Are other appliances attached to Flue? J— D. ype and N Unukcturer ' E.QN1ason Line , nlined Hearth A. Materials: B. Sub Floor Construction: Installer Name:6(1 i//t Teo`{f c Address: Phone: 5 6 F7 6 396 Location of Installation: ' APPROVED BY: 1 '✓ � � _ Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection, photographed, and approved by the Building Inspector Q:forms:stove I r. n 1 0(jy'�li t r, il i N S n 1, ! W m W 1` W I rp 4� VO N iP law' �-��,�:r1.� •fir r ` �' Vic•a i a 1� as t. • 1 1 , . I I • . r , v a l r.p� `V rV a . o .firNO J } 4 r _ N c dV C� ti CA P� V3 OCl e a r �i M S r i f z ' ti t� a m lk aw N Assessor's map and lot number �................ ., .. ......... PROF 7H E TQ�♦ +Sewage Permit number ....s n................................. 33ABb9TODLE, i House, number ......................... .... ........................................ ✓ p s639. `00 MAY a TOWN OF BARNSTABLE BUILDING INSPECTO APPLICATION FOR PERMIT TO ........., .,;!, � ...ft: �u��?►'�,�' - .............................................................. TYPE OF CONSTRUCTION ...........: , .."4:.......................................................... . ..............!�7/........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a �permit according to the following information: Location .........:. .........I/........... , C <...... it�?�',_.^g•�. ,�. / n,a;'- .4!�;ve................................... tea. ProposedUse :,194,.1��( .!....�............................................................................................................................. ZoningDistrict ........................................................................Fire District ............................................................................... Name of Owner .........::...o� ...�.�.��....:+,.�.. �....��:... 1.....:.Address „ ...... .... Name of Builder .� �. .,1.�..d .... :.?plc'. .Address ........Z..:� ..,�?......%�!•:,�. ........... Nameof Architect ....../�� �:... -:.........................................Address ..................................................................................... ...:... '.Number of Rooms ............1 ....................................................Foundation ......i/�t.... ��r. ...f': ::7 .' rDZ........................ ofin Exterior .............. �d fi!11.7:? :.. (fr?..!t....� � ! Ro :.. -y. g .......... ......11............... ........... Floors .... - .E :w....................................................Interior ...... ............ ...................... Heating ... Win.-.{"^: •��� ................................................... .Plumbing ......... .. `:C ?c ;......:::..::.Y:.--.... .............— Fireplace ..........J.......................................................................Approximate Cost ............_ .... .............................................. Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area /,. z z.... Diagram of Lot and Building with Dimensions Fee .......... C.<............................ SUBJECT TO APPROVAL OF BOARD OF HEALTHc�0�1 . i fV i 1. 4 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .� _ ......... P. F. D. BUtLD4G` CO. , INC. No ... Permit for ....QX1 P—Stoxy. ........ ..........S.i.n.q.l.e...Fami.ly...Dwelling . . .. .......... .... ....... .. . .. .. ........... Location .,Lot....#.2.1......28....S......P.re.c.i.n.ct...Rd. Centerville ............................................................................... Owner .....P....... . .. ...Bu.i.l.d.in.g..!�q' .!.......Inc:.:, .. .. .. .. . .. .... Type of Construction ....F.r.ame......................... .. .. ....... ........................................I...................................... Plot ............................ Lot ...................... Permit Granted/...May....2....................19 80 Date of Inspection ....................................19 Date Con14pleted ......................................19 P RMIT REF SED .........................1.7....... ... ......... 19 .............. .. . .. .... ... .......... ....... ........................ ................ ................. .......................................... ................ ....Y........................................................... .................Z;........................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Cl(/V �:�� aOle _ 3_>d- �0 Assessor's map and lot number J../�.��� .^�. .. .... yO�TNETp�,i , I` �l aQ� O Sewage Permit number .. ......._.�."..... ................................l�S • # � �+�' ! C SYSTEM MUST BABHSTADLE, i Housenumber ........................r .. ........................................ COM raes 639. VAN Tau is TOWN OF B AIR ODE AND �TIONS BUILDING IWS EtC"Puft R BARn►srA' toBLE ::'• APPLICATION FOR PERMIT TO ....... t'1�kS.�. �,�... � ........................COPww �r.:.!............ TYPE OF CONSTRUCTION ....... ....................:...................................:............................................11 ...........` ...�.. ........19lJ TO THE INSPECTOR OF BUILDINGS: ; The undersigned hereby applies for a permit according to the following information: Location ......... J ......1......... ... . .....� .. .. ..... ProposedUse ........................................................................................................................... ZoningDistrict ............................................................../..........Fire District .............................................................................. Name of Owner ......... FI' -:. ..'4i1/'v �[ ,......Address ........�„�..�..... .�...✓...��... ... .................j...... Name of Builder .... 4 ..Address . ` ,Zc ' .... ... .......... .... Nameof Architect ..... .........................................Address ..............................:..................................................... Numberof Rooms .......... .....................................................Foundation ..... �� ... ..... .. .. ........................ S.Exierior ..........yt.w .......... d'... .. ........ oofing .......... :........................................... Floors :.!�....................................................Interior ..... .. Heating ..............Plumbing -..:.:................ ... . ....................................... . . ........... ................... . Fireplace ........../.....................................................................Approximate Cost ...........t Definitive Plan Approved by Planning Board ________________________________19________. Area .....1.0 9. `.`................<...... Diagram of Lot and Building with Dimensions Fee ..O� An................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r 3 - 3 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...�/�. .... 'P. F. D. BUILDING CO. , INC. 22171 Permit for ...q119...5.t.QXY......... No ................ .... . Single Family Dwellin.q............ ......................................................... Location .........................................Lot #21 28 Sojl..Rr e.cjact '-Rd Centerville ............................................................................... Owner ....P. F. D. Building.. ....................................... Type of Construction ......Frame .................................... . ................................................................................ Plot ............................ Lot ................................ Permit Granted ..........M Y... ...............19 80 Date of Inspection ...... 1 5� Date Completed ......................................19 RMIT REFUSED .......... ...... ..... 19 ........... Aft ............ .. . ..... .............. 99 mot :3 CA C P fro -jj� Approved ..................................... 7 ........... 19 ............................................................................... ......... . ... ........................................................ Lo T / Lo -r 16. ' 3r7 , 00 Lo .7- 2 / 29, 2770 + q N N ' t �� U G o T 4.o -r lJ� �2 xisT• � ZO EFlovNO �3 ' Z8 N 3 4r a r ; r_ CERTIFIED PLOT PLAAJ .4gpVELEROAD LOCATION., FRONT/ /VG LOT SCALE: . / "= ¢O ' DATE: 191?2. 24, 1580 REFERENCE: BEING LOT Z/ AS SNOWAI ON A PLAN RECORDED IN THE BARNSTABLE COUNTY DATE .REG /STRY OF DEEDS PLAN BOOK 081 PA GE 1'7 3 REG. AJvD SURVEYOR J HEREBY CERTtFY THAT THE FOUNDATION SHOWN ON THJS PLAN / S LOCATED ON THE 6ROUN13 AS SHOWN HEREON AND TWA T / T DOES CONFORM TO THE O A BUl LDJNG SETBACK REQU/ REA4ENTS OF !b 4 Ns , THE TOWN OF BH.eiVS7�98LE GEOR�E ' LW, JR. v O C� EOR9E LOW. AND CO. Q/S Y R A RA-1 u -rhl „a•'"`' TOWN OF BARNSTABLE Permit No. 2 2171 Building Inspector cash ---- .Y. 67q. OCCUPANCY PERMIT Bond _ XX 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 P. F. D. Building Co. Address Hyannis Lot #21 . 28 South Precinct Rd. Centerville Wiring Inspector Inspection date Plumbing Inspe Inspection date Gras Inspector Z2 2 Inspection date Vit9gineering DepartmentL Inspection date Q- 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. ................. _._, 19____ ..............._......................... ...._..._. ._ Building Inspector �„�•"" a TOWN OF BARNSTABLE Permit No. ___K 171 M. Building Inspector I unnMm Cash NAIL y�• ----- +s)o• P OCCUPANCY - PERMIT -- --- Bond "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 P• F, D. Building Co, Address Hyannis Lot #21 28 South ,Precinct Rd. Centerville Wiring Inspector r �,�`` . ,ef, -, Inspection date.,/, 1 f Plumbing Inspector'` 'ff Y 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. .............................................._, 19_ .................................... ........_.... Building Inspector 1 TOWN OF BARNSTABLB Permit No. -2 Building Inspector �w L Cash 39. jV OCCUPANCY -PERMIT Bond ------ "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 P- - 1- Bu li r1 inq Co. Address Hyannis Yjc7t 21 25 South Pricinct 7if . Cent Z-C-ti11.A Wiring Inspector t Inspection date Plumbing Inspector _ Inspection date Gas Inspector Inspection date i. 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»» »»» ........................... ..... .................» Building Inspector -= d