HomeMy WebLinkAbout0042 STANLEY WAY may
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Town of Barnstable
IIH*E ti Regulatory Services =
'Thomas F.Geiler,Director
&►I MASS' * Building Division 9 f ZJo�MASS. �q
jFn �a`� 07
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PERMIT9Q� ` S3 FEE: , J
SHED REGISTRATION
120 square,feet or less
L Z�1 J
1-ocatiot of shed(address) Village
w s� c3
r
�opy owner's name Telephone number
x
Size of S Map/Parcel#
S.. a e c Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
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 . g
FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MtJST BE ACCOMPANIED BY A
M PLOT PLAN
Q-forms-shedreg
RL V:042506
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Town of Barnstable Geographic Information System August 24,2008 t
LL !228176001
#51
228109 228104
#30 #471
228123 f
#35
#8196
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228156
#42
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228122 '
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- 228175
228157
#52
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DISCLAIMERS:This map is for planning purposes only.It Is not adequate for legal Map:228 Parcel:1 b6 -
boundary determination or regulatory interpretation. Enlargements beyond a scale of $@IeC1ed Parcel
1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:FREELUND,DAVID M&BETTINA F Total Assessed Value:$409400
an:only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.36 acres Abutters
boundaries and do not represent accurate relationships to physical features on the map Location:42 STANLEY WAY
such as building locations. Buffer ,Mf.,
1
Al
..r Town of Barnstable Ye.°ntit 9
oExpires 6 months from issue dale
• .� g
"k ���� 'Regulatory Services Fee
'Thomas F.Geiler,Director
Building Division
00 Tom Perry,
Perr CBO, .Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town_b arnstabl e.ina.us
F Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Njap parcel
yr;�perty AddToss �VC .- 1�n+'�-� -
_CSC ` '
tii"e ientla.l Value of Work. r� "1t•.���� Miruniuir►fee of$25.00 for work under$6000.00
: f'. sir ,
s & ._ddres5_--�. -
.
a14�
Con+racter's Nan:
C�✓ % l(M Telephone Number-SLS3L(1�
lr>rre I-npro"-e.rneut.Cout actor License#(if applicable)
r' r,strnctian Suptrvisor's License#(if applicable)
j `;V,orkrrai-li s comApeusation Insurance.
Check oue. t
(� 1 am a.sole proprietor
I girtthe Ilomeowner F
(� I have Worker's Compensation Insurance i
iisruance.Company Narne j
,,yo:lauan's Comp-Policy#
Copy of Insurance Compliance Certificate must be on file.,;
Perini,Request ;check box) 4
.1ce roof(stripping old shingles) All construction debris azll be taken to. __ ____._--._ - - ---- ---
(� Re-roof(not stripping. Going over existing layers of roof)
[� Re-side--
Replacement Windows,.. U-Value--3 �'(a-jaximum..44)
"W Here tequaed Issuance of ibis permit does not exempt eomplance with other town department regulations,+.e.Fhsroric,C:'as a,li;Ua,
** Note: M07er OMProperty Owner Letter of Permission.
actors I icense is required.
SIGNT A,rURE: .- -.�.-- -----
e1:P urrrts:expmtrg ,
Revise07 t
_ -•ter--
Town of Barnstable
Regulatory Services
Thoma
s F.Geile.r,Director
s67��1 % Building Division
Tom Ferry, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.bamstable.ma.us
0� y Fax: 508-790-6230
03
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject Pj ra ertT
P �'
act on my behalf,
hereby authorize
in:all�zatlers relative to work authorized by this building permit application for: <
(Address job)
-- Date
S; xe of Owner
r
same
Board of Building Regulations and Standards
One Ashburton Place - Room 1301
Boston, Massachusetts 02108
Home Improvement Contractor Registration
Registration: 118494
Type: DBA
Expiration: 2/1/2007
BAKER CUSTOM ALUM & VINYL INC.
MARK BAKER
P.O. BflX 923 --
CENTERVILLE, MA 02632 --- -. .---- __ _ -- _-- - - _ -- ---
Update Address and return card. Mark reason for change.
f Address 1-1 Renewal f ] Employment ; Lost Card
',)PS-Cat Ci 5OM-041105-PC8698 ` -- -
TOwn Of Barnstable Perxnit�
�.� # 5�5 -7 ( `7
Regulatory ServicesIasi
� as Thomas F.Geleri Director Fee
Building Division
Tom Perry, BnOding Comri"oner
Office: 508462-4038 200 Main Stmt.HYmmis,MA 02601
XPRESS IT
Fan. 508 790-623fl � - JUL 2
.
tot
1"RESS MUM APPLICA ON - gEgR} � 2005 �!Q•
NotVar�dsritlior�RedX-.Pre�Impr�3it _ 'BARfVSTASLE
p/parcel M=ber ?-Ems'
pertyAd&ws a I �UG C .
Residential Vahie.of Woz$_ S MW.."fee of$25.g0 for work under$6000.04
aer's Nam&Address ��
tractor's x8m
Tel ephone Number 7510
at hprovement Contractor License#(if applicable)
struction SuPmrvisoes License#(if applicable).
i .
torkmm's Compensation Insurance
Check one: '
[� I am a sole proprietor
❑ I am the Homeowner
ifa I have Worker's Comp`enntioa Insurance
ance Company Name
�V1 vlr
oaf Irisurgmee c eertiiic te'mt t I Y c► Z-03
be on Me.
it Request(check bog)
e-roof(stcip*g old shingles) All cowhuction debris w0I be taken to
❑Re-oof(not sttippin& Going over_•_egistung lay=of root)
SCf tpr S C
Replacement Windows. U Vahie
tmn.44)-
'� c Issuance of this gamic coos not c - - -
P cDmPSanm wid'ether town depattnent tesulatiam%i.e.Iatstaric,Conservation,etc.'
*"Notre: Property Owner nmst sign Property Owner Letter of Perm►9ssian.
Home Improvement Contractors License is regabe& +
me
c.expmtrg
63004
�aFti Town of Barnstable
P
Regulatory Services
MAS& g' Thomas F.Geiler,Director
QED Mp`l p,0 Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
}
7•/ � 1 , as Owner of the subject property
hereby authorize to act on my behalf,
in all.matters relative to work authorized by this building permit application for:
(Address of Job) ^^
Signature of Owner Dat
rLkA (*
Paint Name
n•F(,lATifC•n7l/A7BD DODeJi(+l+inHr - .
,Y
w YG KI Wt�GI1i v �/INiiQN•N1LaWaNGRW ,,4
J�of Investigations
a 600 Washington$treet ,
.. ,; T,•F.,,. Bostm MA 02111
www.mass gov1dia
Workers'Compensation Insurance Affidavit:Bu lders/Contractors/Electricians/Plumbers
r Please Print Lesdbly
Aunlicant - "Information. .. , � _
on&divt Name Businesslor 'duD•
Aftess:
� h1� J � i y .I•�°r .M
City/State/Zip
f 1-ec(vl `� Phone#: �L�- z q
Are you an employer?Check the appropriate boa.' '! �t` ' Type of project(required):
i 1 I am a employer with -/C . 4. ❑ I'am a general'contractior and I `�: ❑New co structton
* w " have hired snb=oontsactors
employees(full and/or part time). , , It, - c_
,fisted on the attached sheet t -" :,'7. ❑Remodeling
2.❑ I am a sole proprietor or partner- v . � f
ship and have no employees - - These nab-contrac-t;ors'have° 8. Q Demolition,.,_• {
Y cap�Y• '- ;workers''comp:insurance. - ,g 0 Building addition: ,
working for me in an
(No workers' comp.insurance 5. ❑ We are a corporation and its ME]Electrical repairs or additions
r� ].. <. ,: officers have exercised their _
3.❑ I am a homeowner doing all.work : aright df exemption per 11:❑Plumbing repairs or additions
myself [No workers' comp .. �,. c.,152,§1(4),and we have no ` 12.❑Roof repass
,a :i. , + poy . [No woikers'
insurance required-1 t. emlees
7. '.•- k . � '
t +f,�,-, •,,, .. :comp.insurance required.]. M 3
'Any applicant thathe ccks box#1 must"fill oat the section below showing Stein workers'compensation policy!iafomtstioa:.-' 4 >`''
t Homeowners who submit this affidavit indicating Stay are doing all work and their hire oatside contractors must submit a new affidavit mdiceriag such.
tcontractxs.that check this box most attached in additional sheet showing the same of the subcontractors and their workers�comp,policy ormatian."
I am an employer that isproviding workers'compeirsation durance for my,emploryees rBelow.is thte policy;and job site r
information,
Insurance Company Name:
Policy#or Self-ins.Lic.#a C A� 2 3 S� 31 Y 1�o� - .y _ Pxpiration Date: �_ -l�Z3 j A• '
Job Site Address: �?- ., # JF °its 'City/State/Zxp.�Pig T��N�1�,� iCG(i�`'�'Z(o32
Attach a copy of the workers'compensation policy declaration a sho the policy number and u anon date
p P cy p� (. wing P, cy . , �P• � "
Fal'lure In secure coverage as ie+quired under'Section 25Agf MGL cl 152 can lead io tite imposition of criminal penalties of a.
fine up to$1,500,.00 and/or one-year mipmomnent as w fl 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 statcemeat maybe forwarded to$1eyOfficec of
t t �> r, -s
Investigations of the DIA for insurance coverage verification 4 �.P t 3::m% �r ' 't� .*.r. - •�
I do hereby certify under the pavers and penalties of Perjury that the information provided above is true and correct'.
' .•` ._-.a .U' > , .,.r 1: ..t` z"# � sS.%' t -.• - :di �c fYJEYr. } `.4. .i .. ,
5 �,,,*a• ., Date 7 Z-r-r/i
Phone#: Z a
Official use only. Do not write in this area,to be completed'bye crly or townVofficid
7'I'lu
City or Town: - 'Permit/I.icense# '
f
:�s •:;. .titrf? .... r:�lv eta>��
Issuing Authority(circle one): ,
4. Inspector 5.Plumbing Inspector
3. wnClerk Electrical
6.Other
1.Board of Health 2.Budding Department CitytTo p g p
Contact Person: ~' `�'_ + ' ' Phone#:"
I
f
5
4
lntormation latitt JILUSLt t1%;L.KkPlua
Massachusetts General Laws chapter 152 requires all employers to provide workers"compensation for their employees. .
Pursaant to this statute, an employee is defined as"...every person in the service of another under any contract of Isere; °=
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 a deceased employer,or the
of the foregoing engaged in a joint enterprise,and including the legal representatives
receiver or trustee of an individual;P
aztnership,�association or�ot3�er legal aentity,.employing employees. However the
owner of a dwelling house having not more than three apartments and who resides theiem or the occupant of the
dwelling house of another who employs persons to do maintenance'construction or repair work on suchfdwelling house
or ou the grounds or building aPp�nt thereto shall not because of such,employment be diem rbe Mover.t
rah' uU'S, -,S '� {
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall wrthhold.the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence-of compliance with the insurance coverage required:" '
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter iutA any contract foi the performance of public work untfi acceptable:evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting all Onty
Applicants
Please fill out,the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-coirtr;actor(s)uame(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Wbil ty;Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required tea carry workers'.comipensation insurance. If an LLC or LLP does have
employees,a policy is requited. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents foi confirmation of insurance coverage. Also be sure to sign and date the affidavit.- The affidavit should
be returned to me city'or town that the application for the.permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding ffie law or if you are required to obtain a workers'
compensation policy,Please call the Department at the number listed below: Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials (l
Please be sure that the affidavit is,complete and printed-legibly. The Department lias provtdedla space"at the bottom
to fill out m the event the Office of Investigations has to contact You regarding the applicant
of the affidavit for•you , ,,
Please be,sure m fill in the pettntt/hcense number which will be used as a reference"munber. In addition,an raliplicant
that must submit multiple permiftcense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should.write"all locations in " (city of
towns"A copy of the affidavit that has been officially,stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for furore pemrits or licenses. Anew affidavit must be filled out each
year.Where a home owner or citizen is obtaining a.license or pen-nit not related io any business or commercial venture
(i e a dog license or permRID-burn leaves etc.)said person is NOT required_to complete this affidavit
The Office of investigations would like to tliank you in advance for your covperation"and should you have any questions,
please do not hesitate to give us a call. - ��--- y--The Depattmenrs address,telephone and fax numberR
The CommonweaM of Massachusetts -
Depkl me4 d IndUstrital.Acddents
Office of Investigations
600 Washington Street
Boston,MA„02111
Tel,##617-727-4900 ext 406 or 1-877-MASSAFE
Fax#617-727-7749 _ _A
i f
r •` Liberty Mutual Group
�1��� PO Box 7202
Mutual. Portsmouth,NH 03802-7202
Telephone(800)653-7893
Fax(603)431-5693
November 11. 2004
TOWN OF BARNSTABLE
BLDG DEPT
367 MAIN ST
HYANNIS.MA 02601-
RE: Certificate of Workers Compensation Insurance
Insured: NICKERSON HOME IMPROVEMENT INC
PO BOX 2476
ORLEANS,MA 02653
Policy Number: ,WC2-31S-318102-034 Effective: 11/6/2004 Expiration: 11/6/2005
Coverage afforded under Workers Compensation Law of the following state(s): MA
Employers Liability:
Bodily Injury By Accident: $ 1,000,000 Each Accident
Bodily Injury by Disease: $ 1,000,000 Each Person-
Bodily Injury by Disease: $ 1,000,000 Policy Limits
As of this date,the above referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the
policy listed above.
The insurance afforded by the fisted policy is subiect to all the terms, exclusions and conditions,and is not
altered by any requirement,term or condition of any or other documents with respect to which this certificate r
maybe issued.
This certificate is issued as a matter of information only and confers no right upon you,the certificate holder.
This certificate is not an insurance policy and does not amend, extend,or alter the coverage afforded by the
policy listed above.
If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such
cancellation.
AUTHORIZED REPRESE/IN-r_ATIV`E
LIBERTY MUTUAL INSUR-ANCE GROUP
This Ceniiicate is executed by LIBERTY NfUTUAL.INSURANCE GROUP as respects such insutmtce as is afforded be those companies,
cc: Insured: Producer of Record:
NICKERSON HOME IMPROVEMENT INC PIKE INSURANCE AGCY INC
PO BOX 2476 PO BOX 1658
ORLEANS,. MA 112653 ORLEANS. MA 02653
Boarma�i rnt g-egfil"u`ti6(e'K f(fffl
License or registration valid for individul use only
T HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to:
Registration: 133851 Board of Building Regulations and Standards
�.•` Expiration: 8/17/2005 One Ashburton place Rm 1301
Type:, Private Corporation Boston,Ma.02108„
NICKERSON HOME IMPROVEMENT
MARK NICKERSON
12 COMMERE DRIVE
ORLEANS,MA 02653 ,/�cZ' li�--: -
Administrator Not valid without signature
>, Pere No..
.rages 2 ... :
NICKERSON HOM ox24E IMPROVEMENT, INC. 124654;
PO:676"1.HYANNIS
(508) 790 5880 Fax (508) 255 5107
PHDNE
�fl David Freeland
5 sfjl .Mora
42 Stanley Way
Centerville MA 02632 Same
,it)Si+lUtt4BEFY 1i3�FtiflfdE._:
1. Remove and dispose of old skylight and flashing
Supply and install new Velux non venting skylight with new flashing(of similar size)
Patch roof shingles to an existing roof(every effort will be made to match existing roof as close as possible)
Retrim as required interior light chute
Supply all labor,materials and debris removal at � ) skylight
Add$ for ventingskylight zlk
Estimate does not include paint
2. Rj'epl any a do a hung wind
o e and dispo of storm wi` ow if re
emove�and ose old ' dow d e
In\ constructi 'ndow,fr d screen ed below
new�Xte ' windo tri
In�ta 1 new '` nor windo if requir
Suppl laboNmat als and b ' emoval
A. up ply and * 11 white 's vinyl new c wir►1,6w with low n 1/21/2 s� eat
B. Supg y a ins 1 rsen tilt h series ov
Anderse ill p-;^--
12 over 1 0-- ° J er window y
9 over 9 a - ow
• I
WE ,PROPOSE hereby to furnish material and labor complete in accordance with the above specifications,for the sum of:
Cont'd _ dollars
Pavrnent to be made as folloves:
A deposit of 1/3 the total amount of signed items is due upon signing,progress payments upon request,balance .
upon completion
All material is guaranteed to be as specified. All work to be completed in a professional
manner according to standard practices. Any alteration or deviation from above specifica- Authorized
tions involving extra costs will be executed only upon written orders, and,.rill become an Signature
extra charge over and above the estimate. All agreements contingent upon strikes,accidents or
delays beyond our control. O•rrner to carry fire,tomado,and other necessary insurance.Our, This proposal may be
workers are fully covered by Worker's Compensation insurance. v rthdrawh b s if not ac ti, days.
30
ACCEPTANCE OF PROPOSAL—The above prices,specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specified. P yment will e made as outlined above.
Signature
Date of Acceptance:
Assessor's map and lot number ....... �....� . .
r' Ism. !t last w tt..dr r. 7,
i
Sewage Permit number ...1 ..f'. .... >f- c "`'.. .........
r
a �
oFTHETo�° TOWN OF BARNSTABLE .
Z EAR33TADLE, i
°
NAM BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..........................................................� % Iv � ��uCT ........:.....! ..Vf ...................................
PA
TYPEOF CONSTRUCTION ............ .......................................... ............................................................................
�r..................:......... ...................19..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information-
Location 44 ,1' j�'i,A / i 1�illt. ..... .�`.! ....2 ...............
C
ProposedUse � ,� ..................................................................................................
ZoningDistrict ..i......... .....................::.............. ..................Fire District ..............................................................................
Name of Owner '' `�fl:/' ! ........._U101 44.........Address ....................................................................................
Nameof Builder ,...,...................:.......,,.:..� Ia....................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
Exierior ....................................................................................Roofing ....................................................................................
Floors ......................................................................................Interior ....................................................................................
Heating ................................. ..........................Plumbing .................. ..........................................................
/ '
Fireplace ..................................................................................Approximate Cost ........:::.:.r.....................................................
Definitive Plan Approved by Planning Board ________________________________19________., Area ....... ...:.�G.....................
Diagram of Lot and Building with Dimensions Fee ✓
SUBJECT TO APPROVAL OF BOARD OF HEALTH
y
� I
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. rl,Name .... '....... V .✓....R. . ....�.!��r��Q,....-:...
Rougeau, Richard AE228-156
17716 add deck to
No ................. Permit for ....................................
dwelling
...............................................................................
Location 4,0 Stanley Way
Centerville
...............................................................................
Richard Rougeau I
Owner ............................................
frame
Type of .Construction .................
Plot ............................ Lot ............................
Permit Granted .............dee...2..............19 75
Date of Inspection ......... .........................19
Date Completed ........ ............................19
PE IT REFUSED
.......................... ................................. 19
................................................................................
...............................................................................
Approved ................................... . .......... 19
...............................................................................
...............................................................................
Assessor's map and lot: number
Sewage Permit number -
°fT"ET°�� TOWN OF BARNSTABLE
BARNSTABLE. i
"6 9 BUILDING INSPECTOR
�Fo waY°'•
APPLICATION FOR PERMIT TO F
TYPE OF CONSTRUCTION ...........1/" .. ............. (.. .'.1.. ...........................................................
............. . ... ................19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby plies +fTorpermit according to the following informationul
•Location .. .................... . . ... ..... .. ................................j................................:............
�...
ProposedUse .... . .......... ........................... ............................................................................... . ... . .......................
ZoningDistrict .... ...... ................. .................................Fire District ...............................................................................
Nameof Owner . .. .. . . ................................. ......................Address ....................................................................................
Nameof Builder .. . ... .. . ......1.�.:... . ..... ....................Address ....................................................................................
Nameof Archit ct ..................................................................Address ................................:...................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
Exterior ....................................................................................Roofing ....................................................................................
Floors ..........................Interior .....................
Heating ..................................................................................Plumbing ..................................................................................
�j
Fireplace ..................................................................................Approximate Cost ........ .,i...(../.....�...�........0...L�.............
Definitive Plan Approved by Planning Board.________________________________19________. Area ��
Diagram of Lot and Building with Dimensions Fee ........� .....................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
97 o
v
us
e
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name . .......L,ll..c... .. .. . ...... .....
f Rougeau, Richard
No ..17716.... Permit for .....deck......................
...............................................................................
Location 42 Stanley Way
........................Centerville
Owner Richard Rouaeau 5
: ......................................
• i
Type of Construction frame
................................................................................
Plot ............................ Lot ................................
Permit Granted ..............June...2.............19 75
Date of Inspection ...... .............................19
Date Completed .{?. .:........ ,.......... ...
F
r
PERMIT REFUSED
` ................................................................ 19
................................................................................
...............................................................................
Approved ................................................ 19
...............................................................................
- 79
Assessor's map and lot number .....-..1. ....... ...` /T G`
� �pF THE
Sewage Permit number ........,.:1.�.:�..,A�.j�'J...�...... ......... ..:.,Q -
V
Z 33ABHSTdI1LE, i
Housenumber ........................................................................ 9� NAM
O'FO 39-or 0O
TOWN OF BARNSTABLE
BUILDING INSPECTOR e�._``
t t APPLICATION FOR PERMIT TO .. :4� ....... 2'ri 1
.` ....
.................
TYPEOF CONSTRUCTION .....................................................................................................................................
�. `..:.P�...................19��7
------PT0-THE=1NSPECT0R,70E—BU-ILDINGS
The undersigned hereby applies for a permit according to the following information: � ~y
Location .................. `? `�;M N am.........�i(. �� ,........ IU ;I�t�{ ..:............
• Proposed Use // 7 //("�d/r•7? /...........................................................................................................
Zoning District .................... /[................................................. . Fire District ....1.,... 'CP[iL?1y,:; ( 5,, � a �n..........
Name of Owner ...... � C�!.; f7f? .!1.` 11t/C� l /Address ...... .�.. r!s�`�✓ ��'I� ...l f/`� :. ../........... .;
_.
Name of Builder s?1� is/►/..... ?C� ..f?' ...................Address .........................................../// S 7/0r, ..............
Nameof Architect ..................................................................Address .....................................................................................
Number of Rooms �...............................Foundation ..:-'
Exterior ....................Roofing .............`...................................................................
Floors � .........................................Interior I�" ................................
Heating r *�-r �' �f................Plumbing
Fireplace ...................................................................................Approximate Cost ........ 1.. . >...G...........
Definitive Plan Approved by Planning Board ________________________________19--------. Area ..........................................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ..................................E�2� ......................
V
Rougeao, Richard & Sharon
.. VA" 2
mo --'*+���p�nnntor__..to..famiIv_rypm____Locohon ____42. 3tan)�� �
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Owner
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Approved ---------------- lA
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Permit# 41 ®Z
Health Division ::! vim► T-a, Date Issued 10 — 4'— 9 9
" �C�c�1 f�►ea � f�oMe- —
Conservation Division Fee 7 -0.9
Tax Collector
Treasurer
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address
Village
Owner Skpifo,) qc,,SsmU Address `{� -R41UD7 GIB
Telephone l
Permit Request 'Q/nR (A&
? —2 WedeS
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: El Yes Yes CR On Old King's Highway: ❑Yes ❑No
Basement Type: O'Pull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing Z- new Half: existing / new
Number of Bedrooms: existing_ new
Total Room Count(not including baths):existing Id new First Floor Room Count
Heat Type and Fuel: ❑Gas 2'6iI ❑ Electric ❑Other
Central Air: ❑Yes O 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 Cl new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes,site plan review#
Current Use Proposed Use
(� BUILDER INFORMATION
Name 11 ( bou u7°" Telephone Number !fig
Address 10g J04) tti License# 0o59 Y?
Home Improvement Contractor# /[,7 5-!S
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE �(\u-k 6� dN'�. DATE _10-13'-17
1
i FOR OFFICIAL USE ONLY
5 s
k MIT'YNO.
DATE ISSUED '' f
MAP/PARCEL NO. Y
ADDRESS VILLAGE
�. OWNER .i,. • - .; _ .
DATE OF INSPECTION:
FOUNDATION
' FRAME
INSULATION
4i
,I FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
ty
GAS: ROUGH FINAL
FINAL BUILDING..
DATE CLOSED OUT f
} ASSOCIATION PLAN NO.
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Assessor's map and lot number ............... lT.
� THE
Sewage Permit number ........� ' ..7/w
SE e� o�
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House number
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MAX
TOWN. OF 7B A R N W CODE
�noNS
BUILDING -INSPECTOR
APPLICATION FOR PERMIT TO ........... .. . .... .... Y+a ......:.. .. ... . ....... .......................
TYPEOF.CONSTRUCTION ....................................................................................................................................:
� .(....... ...................19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the followings information:
Location ................... ......... .........VLl 1 /.......�ld/«Yf��l/f......................................................
ProposedUse ...................... .................................................................... ................................
Zoning District ..............f ( (� .........Fire District .... /�. .... ...
Name of Owner ......7�Chx.. �a5e ?(DII:��;e>,O&WAddress ....... .......-�T... ss/...'� ......�
Name of Builder 6l'�11.:.../4tg. .. .. . .....................Address ............................................. ...............
.Name of Architect ..................................................................Address ....................................................................................
Number of Rooms .............................../...............................Foundation ....................................................................
Exterior ........................ ..............................:.....................Roofing ..:.................................................................................
Floors . .....................................Interior .....c.C.=. lc ,.r.....................................
Heating ............ ...............Plumbing ......................�..,......................................,..................
Fireplace ..................................................................................Approximate Cost ...............�..................................................
Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ........................`.................
Diagram of Lot and Building with Dimensions Fee ............:�..........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
eNam
Rougeau, Richard & Sharon
No Permit for ......remo.d.el..g.arap
...... . ..... .. .............
to...f-ami�y..,.roo.m.......................
... . ...... ...... ..
Location ............42...S..t..an..l..ey.Way
....................
Centerville.
...............................................................................
Owner. ........Richard & Sharon Rougeau
............................................ ............
Type of Construction ...............fta.mg.................
................................................................................
Plot ............................ Lot .................................
Permit Granted ......December..'.1,1.::.......19 79
................. ....
L
Date of Inspection ....................................19
Date Completed .,?--bA0..............19
PERMIT REFUSED
rn
...........W. . ....5.................................... .19
........... . ..... ... .
O.Z. .............I....... . ..................
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............130. I f, . .
............
5............................................
........... ............................................
100
ch
co
Approvv, 0 ........... 19
...............................................................................
................ ....................................... ......................