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HomeMy WebLinkAbout0039 SHEAFFER ROAD � � �� I' °Ft�r Town of Barnstable *Permit#ILIL ar 'b Expires 6 months from r ue e 0-00Regulatory Services Fee snxxsrnB . v� 1639.. `0� Richard V.Scali,Interim Director RFD N1pV A Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ExP"SS PERMIT APPLICATION - RESIDENTIAL ONLY ir Not Valid without Red X--Press Imprint Map/parcel Number L 1 Property Address 3q sh rlr kt-D - uf) Residential Value of Work$ 0.15-0 O Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address q' IMC M 10 .1 Contractor's Name C� , I Y U!� Telephone Number -YZ�P/j M 1 7 Home Improvement Contractor License#(if applicable) 10�hoj Email: —#4e �f 1Gf���d 1 ✓h°_�' Construction Supervisor's License#(if applicable) — Of 24 A fi-d XWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor JI`L 3 U 2v i4 J ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name,L I�IS'� j am, SP�<Il r � N®F 8ARNSTABLE Workman's Comp.Policy# SRO f ot, — of —21 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) - ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #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 Owner must sign Property Owner Letter of Permission. A co of t ome Improvement Contractors License&Construction Supervisors License is requ' d. SIGNATURE: TAKEVIN D\Building Changes\EXPRESS PERMI XPRESS.doc Revised 061313 FTHE rp� * MMSrAaLe, 9�A "639. � Town of Barnstable lfn��s Regulatory Services Richard V.Scali,Interim 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 as Owner of the subject property hereby authorize f(' ['l9T,►177!YIU to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) SA ature of Owner at �`514- A4e'PV Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN_MBuilding Changes\EXPRESS PERMIT\EXPRESS.doc Revised 061313 One Beacon. p lil UF' 8AkN-S3'dg`_E INSURANCE 2005 Nov 14 PN 3: 17 November 9, 2005 Town of Barnstable Building Inspector's Office 367 Main St. Hyannis MA 02601 Insured: Marcus&Lisa Maiden Property Address: 39 Sheaffer Road, Centerville, MA, 02632 Underwriting Company: OneBeacon Midwest Insurance Company Policy Number: PBSW21380 Date of Loss: 11/07/2005 Claim Number: OAA138414 BG6A Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed$1000 or cause Massachusetts General Laws, Chapter 143,Section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 311 is appropriate,please direct it to the attention of this writer and include a reference to the above-captioned insured, location,policy number, date of loss and claim number. Damage: Log rolled out of fireplace and burned wall-to-wall carpet. On this date, I caused copies of this notice to be sent to the persons named above at the address indicated above by first class mail. Signature: Wendy A. French, Senior Adjuster OneBeacon Insurance Group Claims Department 8 Essex Center Drive,Peabody,MA,01960 Phone:(978)817-3128 Fax: (888)789-7339 www.onebeacon.com ineering Dent.(3r ;floor) Map - 7 Parcel 6 `�5! Permit# ;7 Q House# C/ Go Lh Date Issue Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) ���3Ct5� 4 ZI •�ee• - Conservation Office(4th floor)(8:30-9:30/1:00=2:00) Planning Dept.(1st floor/School Admin. Bldg.) O "N lac Definitive Plan A oved by Planning Board 19 JNI TALLE®- tIT Aid® IROId11STOWN OF;BARNSTABEE NR4 Building Permit Application tJ Project Street Address Village Owner � � [ � j���-� Address �rjse �-ff e�� 2 -Telephone Permit Request �. ��l�r��t. / U, L j ad { f First Floor square feet Second Floor square feet Construction Type - t Estimated Project Cost $ 5, ©00 ' Zoning District Flood Plain Water Protection . Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family 5k"" Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes Wr o On Old King's Highway ❑Yes ulf1 o 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 No. 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes L�pNo If yes, site plan review# Current Use Proposed Use Builder Information Name 115141�f27,/ Telephone Number :�klzg__ Address d ys' k/ 11713 7V17- License# 4a'rJ Q 3 2- ellvzziHome Improvement Contractor# Worker's Compensation# 06A) 3137— z 9 Z..( NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 101, SIGNATURE DATE —lf'fie° BU LDING PERMIT DENIED FOR THE FOLLOWING REASON(S) _ FOR OFFICIAL USE ONLY PERMIT NO. DrkTE ISSUED MAP/PARCEL NO. � � ADDRESS , VILLAGE OWNER + 3 DATE OF INSPECTION: FOUNDATION FRAME, INSULATION- FIREPLACE ELECTRICAL: ROUGH : FINAL + r s + PLUMBING: ROUGH' ' f` FINAL GAS: f. •` ROUGH ! FINAL' %n [4 FINAL BUILDING X DATE CLOSED OUT f F ASSOCIATION PLAN NO° � ��•- °FZl1E l� The Town of Barnstable Z ar►xxsrnsi.E. 9ebA 16 10� Department of Health Safety and Environmental Services TEo ram" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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. Type of Work:/xES�6G -)Z Del Est.Cost eve Address of Work: v9 �G'�2 t�y� / Owner's Name �,�}�?7J1�� Date of Permit 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 MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the a,gent of the owner: � /Te7.� �� /'►'J JDS7 �� Date ntractor Name yd.j Registration No. OR Date Owner's Name As?essor's'Office(1st floor) Map Parcel ! t.0 J / Conservation Office(4th floor)(8,30-9:30/1:00-2:00) Date Issued Board of Health(3rd floor)(8:15 9:30/1:00-4:45) L -'`� eeg1S� Engineering Dept.(3rd floor) House# SOEPrICS ` Planning Dept.(1st floor/School Admin. Bldg.) ' INSTALLED 9N , NCE Definitive P roved by Planning Board 19 VWT"� R-A TOWN OF'BARNSTABLRONMEN AND T��UN RE�'ULATiCk` Building Permit Application Projec6 ddress r Village IEA d/«1 F Owner %/ Address l�-e-c-,IF Telephone e2Q —/>G 'Permit Request dSdGi� //�lr/�/L.��/�G ®.✓ 3?���2io�'iaJl",T -, 220/:9 First Floor square feet Second Floor square feet Estimated Project Cost $ s Zoning District Flood Plain Water Protection Lot Size a Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type 1L/k1--11- >�/,iJG ��'L�A19�f✓�/M T,Q, Commercial Residential Dwelling Type: Single Family v� Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House 1V o Unfinished Old King's Highway No Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name a /Z Telephone Number �28-1v�/g Address 4T- u/A1 License# D 3 Z 4/,2.1 9-21 Z2&E 6 Home Improvement Contractor# 42,0202 � Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE yam/ BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) G FOR OFFICIAL USE ONLY PERMIT NO. a ' DATE ISSUED ` f' MAP/PARCEL NO. y , 1 t ADDRESS� _ i VILLAGE 1 ; OWNER r • .+ f f y y � f t DATE OF INSPECTION: FOUNDATION { FRAME INSULATION ' . -i e F - 1 _- '- -- • ; _ '; , -_. FIREPLACE' ELECTRICAL: ROUGH. FINAL PLUMBING: f�ROUGH FINAL _ GAS: = ROUGH FINAL FINAL BUILDING' DATE CLOSED OUT: . ASSOCIATION PLAN NO. r� of Barnstable The Town �� .. - ,,P Department of Health Safety and Environmental Services Building Division 367 Main Stases,Hyamtis MA 0201 Ralph Crosses Off= 508-790-6=7 BidingCommissione- Fa�c 508-775-3344 For office use only Permit no. Date AFFIDAVIT HOME I WROVE141ENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 147A requires that the"reconstruction,alterations,renovation,repair,mode%ni;=ion,cm==n, improvement,.remcn.4 demolition. or construction of an addition to'any pre-cdsting owner o=apied t building containing at least one but not more than four dwelling units or to structures which am to such residence or building be done by registered canuact M with certain aeeepdons, along with other requirements. Type of Work:�.l� �Cmf1 � Est.Cost h�Z�� Address of Work: /2,9/ Oc=r.Name: d:✓ gGGdd Date of Permit Application: I herebv certify that: Registration is not required for the following reason(s): Work ccduded by law Job under SI,000 Building not oamer-ooarpied Otivner palling own p==# Notice is hereby given that: DEALING WrMCONTRACTORS OWNERS PULLING THEIR O N PERMITOR FOR APPLICABLE HOME ROVEMENT WORK DO NOT HAVE ACCESS TO TIC ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c I42A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date /J ntractr nafne Registration No. OR /v - - - n,.e Owner's name THE T TOWN OF BARNSTABLE b�Q h ow Z 33A"STLBLX i ° M6 9 a' BUILDING INSPECTOR APPLICATION `FOR PERMIT TO tt. -4�....a?.... .. +h. ......... `j TYPEOF CONSTRUCTION .... .:.................................................................................... .e................19.Z.A. TO THE INSPECTOR OF BUILDINGS: � O✓���/`-�6`�pl, , /�f„� The undersigned hereby applies for a permit according to the following information: / '✓ �(/ Location .......Gt Z......./�7 "{f'lP.e.l� �9- ...................Q ....Cl ��... f... ............ ............ ProposedUse ....a.!'.!:frn.... . .y....................................................................................................... Zoning District ...... i.........................................................Fire District Name of Owner !?'?.�.s .... `l??F ... /J?:�.c........Address ...!7� Nameof Builder ................ .............................Address .....................ar?��....................................... Nameof Architect ................ ................................Address ..................... ...................................... Numberof Rooms ............ ....................................................Foundation ...................................................................... aF . Exterior .. ....... ... ........... .... ! .....................Roofing . . .......... ........................................................ Floors ... . !?.... .. ............Interior .. ... ................................................ Heating 1 r.........:..........7....I 4:4- .....................Plumbing ....... ..... K l... ................................. Fireplace ....... . . iQ ........L..:)...........•.................................Approximate Cost ......��. ..( P-�I.'.. ............................. Difinitive Plan Approved by Planning Board ---------------------1-1`L__19 _� . / / 2 g Diagram of Lot and Building with Dimensions 3 1 � 0 < : U), t�arc�.s-� 13 4 1••. L 1 �� < 2 (\`�ri m Imo,. o '- - a. L'-- C) U 7 n < za � t 0_ Y 1 H Im Ld 2 cn < U C) U) z 0 � < wr 0- < I U ?_, z z � a a may. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name � `'...... ........................ Nqrnnast I600eov Inc. ` ' . 14730 one story ' No ................. Permit for .................................... ` s^^e~^~ family dwelling .______ ~ . ' � .~.~ WmR&A!nP Location --.---.-----.----------' ` � � ----^---^~'----'—'--^--'------ i Noroeat Homes, Inc. Owner ^---''—^---^^--.--------- / ' frame Type of Construction -------------- � -----^--------^'--^--------' ��/ --------_. Lot --..�.�..:-----. Plot January 27 72 Permit Granted ........................................ � . Date of Inspect ion .................................... ` ^ � ��� Date �m� �°--- 19 ��" 'v�='=" --'�^ —''»'—----- , ^ ' \ . � PERMIT REFUSED . l� \ ~—.--.--,---.~.—.------- / ' -------'-^~^^^~—'-----^—~--`--' �[ ^__,____.___,_.__._.________.__, . ' ..._',...—...—............—..--..—.--. � '~~'~^^----'—'~--^----'—~-----^'— - Approved ................................................... lg . . . � ' � -------.—.----.--......--.—~~—.—. � --------'------------~----^- | [ . �^ �.. /oo .00 -Tv , 0 7 IV7 i /s7"oley,Guoo o /5-+- Co yz' j CERTIFIED- PLOT PLAN LOCATION lop- L � SCALE: ''3� DATE R E F E R E N C E : 9-5 -:5h'ow� ,S u B o/v/s�o� �oG.q•� o,c "L U/YJ,Q E'�T ��/GG S �� A T E I HEREBY CERTI F Y T H AT T HE 8 U I L D I N G REG. LAND S U R V EY, R SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND _ THAT jr D o,�5 C O N F O R M T O THEj� OF ��s�r Z ON LN G ' BY - LAWS OF _THE TOWN OF 9 B A R/V S 7-A B L.E W H E N C 0 N S T R,U C T E D. EKERETT H. GN - � N1HGKlEY I BARNSTABLE SURVEY CONSULTANTS, INC . 171 WEST YARMOUT,H, MASS . NpSISgV�` z s 79.q