The URL can be used to link to this page

Home My WebLink About0087 SACHEM DRIVE ACTIVE �� T r Town of Barnstable y� bJe *l'crntrlll p� Liapires C rrmrit S fr�o�nl1 Us'tic date uaxN3TAIILE R gulatory Services lee � t�r / Q MASS- V Thomas R Cicilcr,Director Building Division Tom Perry,CB0, Building Conunissiouer 200 Main Street, I-lyannis,MA 02601 www_town.barnslablc.ma_us Office: -508-862-4038 • l nx: 508-790-6230 EXPRESS PERMIT APPLICATION - RESII7rNTIAI_, ONLY Nal Valid svilhout Red X-1'rax Irrtprirrr., Nap/parcel Number� g � Pr opc ddress L ❑ Residential Value of Work Misiirr>ulu fee of$25-00 for work under$6000.00.• Owner's Name&Addressf Contractor's Name Tcicplionc Number Home Improvement Contractor LiCCnSe (if applicable) r_ 3�j Construction Supervisor's License 11(if applicable) ❑Workman's Compensation Insurance. Check one: ❑ I am a sole proprietor❑ 4 - am the Homeowner- , X-PRESS PERMIT have Worker's Compensation Insurance Insurance.Company.Name / DU 2 2 2008' Workman's Comp.Policy I Copy of Insurance Compliance Certificate must be on file. C'D -. Permit Request(check box) CPA ❑ Re-roof(stripping old shingles) All construction debris will be taken to Re-roof not stripping. ?� r ( Aping. Going over existing layers of roof) ❑,,Kc-side �, D.Replacement Windows. U-Value (maximum,.44) 'Where rcyuircd: Issuancc_of this permit does not exempt compliance with other town department regulations,i.e..Historic,Conservation,olc. **.*Note: Property Owner must sign Property Owner Letter of Permission. Ho is improvement Contractors License is required. SIGNATURE: Q:FOrms'cXpmtrg RcYtsc0714.05 ,L. I Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. (print) ivo� 4 VL4--�-as Owner / of the subject prope y hereby authorizes Paul J. Cazeault & Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of Job 07 Signature of Owner Mailing Address of Owner PIT, Telephone# Date "? 0 W' (Please return this form to Cazeault roofing along with your signed contract; It is needed for us to obtain the building permit required by your town, to complete your roofing project, thank you) fax#508-420-4555 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map s} Parcel q rf JS - Permit# Health Division Date Issued c Conservation Division Fee ��.• Tax Collector Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address d C A E: .b Village Owner Aj�EAddress %Y&ML Telephone J Permit Regq/uestY Nd Square feet: 1 st floor: existing�� proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing 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 BUILDER INFORMATION Nam Telephone Number Address P License# Home Improvement Contractor# VK Worker's Compensation# 100— V� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNAT DATE D� + FOR OFFICIAL—USE ONLY :. PERMIT NO. ' DATE ISSUED MAP J PARCEL NO. - ADDRESS VILLAGE 6 r OWNER a r` DATE OF INSPECTIO ' 4 FOUNDATION FRAME �. INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. a t 3 ry The Town of Barnstable • �srrsrwsLL0:19. - 9� � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other" requirements. Estimated Cost —' Type of WorTc: i ► .�. Address of Work:_ Owner's Name: Date of Application:- /00L_� 5 Q 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 MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the o r. Date Contra r Name Registration No. OR I Date Owner's Name q:forms:Aftidav v , Assessor's offioe (1st floor):' q ssessor's map and lot, number ...... ....®;qPZ . THE . TO STE �. Board of Health (3rd floor): L��II��I� �� r, q1T LLED IN C . Sewage Permit number .....C?..IS,.... ^3.-g7. STLELE, . °�. WITH TIT N" Engineering-Department (3rd floor): / ,/ �;i;? �NMENTAL 9 House number ..:............................ .~J............ .aP.T../. 't'�� , APPLICATIONS PROCESSED 8:30-9:30 AN. and 1:00-.2:00 P.M. only ts3.l �� OF BARNSTABLE L D I N G `� I H S:P E C T.O R AP L ION FOR PERMIT TOf!g. („Ca±,..�C:Lf. l.t. f.: ........................... :........................°.... \ . . Y OF CONSTRUCTION ......... ...............................................................:......................................... Q=.......................19.J TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......�6. :. '.j.cf.............0.. ....5 ` .N _.A rF ...11... yy� � // �................ . _................... Proposed Use ......... .:��! 't !9 . . ........``'?^ '.: 'li t^ !! ' ....i'a� �fi°:r%l ...... Zoning District .................. ..D.....:.1............................:......Fire District ` 0 ....�............................................................... Name of Owner .......&1.. 61 /.'1.G.!C"!°F'hOT(f..Address ... !......................................... &kn SA ;- Name of Builder ......�../e.!!�lty� ........Address ..D...i1. ... ... �E' '?a... � /H/r ?_ Name of Architect ..........V..l... .....l..�i:`.:�: .......................Address ..... '(. !►'c ... /........ !:... �f;'y.S..r................ Number of Rooms .......... p �� 'J �c R 5� d' ......�9.4�!e�.S...................................Foundation ......I ..............T,....... .........,,dtl.{..�..... �! 4, Exlei for 5 /e.................................................Roofing .....................ie;'..... .calf?-r b.✓!(yi.lE ....................... Floors .......7..i.C/Ie...... ...............................Interior .......��t2f'..�dr�Y&�,..��1.�t.5.1�Y..................... r 4[: ..f.p. ..?�J� .�1F4 ....Plumbing ........S f.4:a < ...i.tn ..:5.�f.�?.1�.4°�yrt....................... HeatingA t l'�ik`t.. Fireplace ......... W ,.............................................................Approximate Cosh....... p ...........................�.o............... Definitive Plan Approved by Planning Board --------------------------------19-------- . Area ...: .7 S-.s�.. ° ,.......... Diagram of Lot and Building with Dimensions Fee i .............�........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH Cz- r r 21'6 see 4-4CLc4.�c� �lo OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......... .:,' .. ..: .:.... ...... • ........................... �' Construction Supervisor's license .....4. .. .f......... �BRINC KJ�t"Fio -`F.-J ,- GILBER No 30475 Build Addition = E Permit for .................................... single Fa mily DweiAing ................................. Lot #19, 87c4Sache�m Drive _ Location .......................... .:....•,............ .............. - . Cente lle ...........-...................... ....11.1 ...... ...... ckerhoff Owner Gi.lb.e.rt Brn....... .... .. .................. a � Frame Type of Construction ...... ....... .................... .......................... . .r.l............................... Plot ......................... Low ... t........... .. . • s 1 of March.. 3 87 f } Permit Granted .............................^..:......19 Date of Inspection ...../••••./y�.!' !zX..........1 A Date Completed .........................31...........19Q 4 \ 1 1 r+Ro�iT 30� � h 5117E (Col1F1R1Ao iw &L ,171 U h I PV-foe 11.5-BC,) F1�DOt�Zd1.1>; C. . o° o l Z o �I �D 119 >{. 22,I I 0 Po 12 d RAU VA 1. 0 1(AI2 3 V r � ISO CA t t o MAP. �IIc �. ♦ .. .' SNc.tIENI. � � i P>z1vE L�r.us OF A g ARNE H. RNE �� WALLA H. `� CIVIL H OJALA No. 30792 4 #26348 p�rf p ^iS1EQ�� k�ai .rf9��dSTER�G�,�'�� 5H0WlLJG N0P0S5p APPI 661J AL ArrrW oN LAI.lD ItJ cE�1EPJi1•t-E N. OJALA F. , BLS DA?� ., >�i2EPAF�ED FoIZ �Ov�ll-1 CAPS EI.�GII�E�211.�� r �UI.�(�Ol1SF�� '�L11 L17 _(ZS ' c1v1� �rvC,1�1EE�5 " l.Au D SU IZvE�(vR5 I r 9Z(o MA►t`1511zEE-f, YAeMo0'frl,MAI's30' r7ATE: �Io�E�llbf�2q,F�8b 4