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HomeMy WebLinkAbout2870 MAIN STREET t +i�,�✓.,' �Mi dl'h, � �, �A'��4`t�`��';d�33�� �r+ ri r.5�, ���t::�sti ���N'��i: ���/�, Ir .. ib a .r. ,� .�.. y�, :�� .� ;•a .riy. .. - t''{. .+i.�+ '�4+,��r✓ 7 . ' + s ' ^F'�P',7 '� 7" '. 'sq� 1 �� R p .� ',�i _,F :o / .�f� �� .'rt.,,a.�nr�, .f .a.7s.--u. .ykt�.,. - . , 4 <d�> .;.;'t...,,a41 "'- �iW1 rdi' ,��p • ,ti. '9� �,'{ L3�- �:7+;� �'��a1�ra', 4t Al����jn i. a n z � d n ,� =rii :',�t., k, .• d � Y:Ff,., IV. . .,', �. •�rr,.., •..,,� ��yyy' `` • pit. �.'�::_.. ;y t '1f.i� �`1�� "1 � � {l It/� l .1�.' ,4,. I n�' MY�' � r ,�' I 1 y •• de i 2il LLpp�� Mn l IM'i 11 h�� F u , w' •R l� r i� S� • l: � V t �" '{,is r*�..'.`, 'i�..: '. ...��. }. ;1....Y+ i .. , r . , err. •.,... .,t.'.. .:.�,:i �v. ��{,.li.,..';�.''�,.' �•.i' i �`i - - • iii�' •0 of �,x:t. s - .v�'' -;r^ - ii. `t, ;F 4 it `�':� . 4 , irv_ '.r �s i� 3, k!' J,f rG�= ��{{ ' Ate' f iw E'{ r ✓ p ' :� ra : S++ �f 'rc d`z�i tip. . } �•.u; .,� p''✓' 1t1F tti+ fiht1 r • Jti .t. 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Lt..,3Y T`t �i7 ii`�+ q ti�n �5Ai�„xx ; s i,it '�Ai�Ln x� m. : 1' j: -i.' • ti hi` 1 ' i�+Kyy1�;� 1 :�`SR-A i i:'i • +4 . n *a; F j.. ppr'. :r u y t,P w,. .+�.{ j %Ix r1 st' 3ti • r•r • • . �'" -461 +� � "4 ....1„ ir} n i � r e'L.Sr.;sJ4¢t+�..��. _✓�;:„ _,i � %` .t';„ �'.�.., ' . ,• ft s� ` P` ��'u14,.;,1`isr,:�.-,:3.5uaiw" � tie � ' 1 ! �:.Sy -7 i ' � - $ms{ '#.b .�✓_easV, "uw a ,7F iPii "�r:f 11�.�"�'K.J%fdZr.. t.[ S..ew'• 7. l . .+: � �U�d ...x ��s:�{a�G� .5: # zf,t.{st � `d� � �3fd�+�.�',V�A�ld;�Ci�''4a xf ; fl��+ .0�1wa,}�'��;� r�.8v h` ' NSSafS` � R TME :ARC TABLE Town of Barnstable �� c Permit '� Regulatory Services Expires 6monthsfrom issue date aAaivsrwsr.� + F ee % Asa)J mid• Thomas F.Geiler,Director Building Division• Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.banstabld.ma.us Office: 508-862-4038 EXPRESS PERMIT APPLICATION - RESIDFax: 508-790-6230 ENTIAL Not Valid without Red X-Press Imprint ONLY Map/parcel Number / OOS( . Property Address L O 0 � I ((tA) ► = 8 L. _ • Residential Value of Work St 730 — Minimum fee of$35.00 for work under S6000.00 Dwner's Name&Address S S iiv ® (&EA A `n n 8I Ot�� L.(,c. M4 01417 ;ontractor's Name y4LAVI m w() Telephone Number SQdi 3 9 a 7 7 6 [time Improvement Contractor License#(if applicable) /3 a 7 D . onstruction Supervisor's License#(if applicable) 5-3 )Workman's Compensation Insurance Check one: t<I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance urance Company Name irkman's Comp. Policy# oy of Insurance Compliance Certificate must accompany each permit • nit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders. U-Value #of doors (maximum.44)#of windows *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 copy of the H me Im ovement Contractors License& Construction Supervisors License is r uired. • ATURE: • • r r i i • • • • , The Commonwealth o,f Massachusetts i ,-; Department of Industrial Accidents 1 , it Office of Investigations • Ilil;� �. 600 Washington Street • k'N.0" u u f � 4 a/.r Boston, MA 02111 • -'' www.mass.gov/dia • Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly • • Name (Business/Organiration/Individual): MA kCHV THOR .O Address: 8 COI STAN y re - $TYARMOUTM MA 39 City/State/Zip: Phone #: . �6O 3 7c 27 7 b • Are you an employer?Check the appropriate box: Type of project(required): • i I.❑ I am a employer with • 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 0 New construction pK.I am a sole proprietor or partner- listed on the attached sheet.# ? ❑ odeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. g ❑ Building addition • [No workers' comp. insurance 5. ❑ We area corporation and its requird.] officers have exercised their IQ❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions • myself.[No workers'camp. c. 152, §1(4), and we have no 12.0 Roof repairs . • • insurance required.]t employees.[No workers' p E ")<r D� comp. insurance required.] 13.�Other 1� *Any applicant that cheeks box i i must also MI out the section below showing theirworkcers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractars that check this,box must attached an additional sheet showing the name of the sub-contractors and their workers'camp.policy information. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: • . Expiration Date: Job Site Address: City/State/Zip: 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 MGL 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 of the DIA for insurance coverage verification. . (do hereby certify un er he pains an en • of perjury that the information provided above is true and correct iianature: Date: -C^J qL 7'•1 1 . 'hone#: • Official use only. Do not write in this area;to be completed by city or town"official City or Town: r Permit/License# • Issuing Authority(circle one): • . . -- 1 t r I J Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide w,. ers' compensation for their employees. Pursuan this statute, an employee is defined as "...every person in the se ,ce of another under any contract of hire, express or't•..lied,oral or written." . An employer is de...ed as"an individual,partnership, association, corpo tion or other legal entity,or any two or more of the foregoing en_-_ d in a joint enterprise,and including the Iegal re,,resentatives of a deceased employer, or the receiver or trustee of an vdividual,partnership,association or other le:t entity, employing employees. However the owner of a dwelling house •ving not more than three apartments and ho resides therein, or the occupant of the. dwelling house of another wh. employs persons fo do maintenance;•''.ristruction or repair work on such dwelling house or on the grounds or building ap. nant thereto shall not because o such employment be deemed to be an employer." vy • MGL chapter I52, §25C(6)also states 'sat"every state or local li.i nsing agency shall withhold the issuance or renewal of a license or permit to opera a business or,to cons ruct buildings in the commonwealth for any applicant who has not produced accepta. e evidence of comp -=nce with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)sta "Neither the co....onwealtb nor any of its political subdivisions shill enter into any contract for the performance of p:•lic work until ,cceptable evidence of compliance with the insurance requirements of this chapter have been presented at the contrac•..g authority." - Applicants Please fill out the workers'compensation affidavit comp ,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)an phone number(s)along with their certificate(s)of - insurance. Limited Liability Companies(LLC) or Limited ,i.:bility Partnerships(LLP)with no employees other than the• members or partners,are not required to carry workers' co p a ation insurance. If an LLC or LLP does have employees,a policy is-required. Be advised that this affi• ' m- be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also ,e sure t, sign and date the affidavit. The affidavit should be returned to the city or town that the application forth permit or ense is being requested,not the Department of Industrial Accidents. Should you have any questions re_arding the la , or if you are required to obtain a workers' compensation policy,please call the Department at the number listed be,..w. Self-insured companies should enter their self-insurance license number on the appropriate line. - City or Town Officials Please be sure that the-affidavit is complete and print d legibly. The Deparbn 'r t has provided a space at the bottom I of the affidavit for you to fill out in the event the 04ce of Investigations has to ,ontact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a referent number. In addition, an applicant that must submit multiple permit/license applicatio4 in any given year, need only bmit one affidavit indicating current • policy information(if necessary) and under"Job Site Address"the applicant should ' "all locations in (city or town).".A copy of the affidavit that has been officillly stamped or marked by the city •a town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new - davit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any b t,iness or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete • a. affidavit. • The Office of Investigations would li7e to thank y yu in advance for your cooperation and sho . you have any questions, • please do not hesitate to give us a call. . - The Department's address,telephone and fax number The Commonwealth of Massachusetts • ' • Department of Industrial Accidents . . • Office of Investigations* ' 600 'Washington Street • Boston,.MA 02111 • • Town of Barnstable • :►•�. Regulatory 1• g ry Services • $177JGrl R1 A i Thomas F. Geller,Director • •APDmi``A" • Buildin Division g n Tom Perry,Building Commissioner • • 200 Main Street,HyaTrr4q,MA 02601 www_town_barnstab ie_ma.us • Office: 508-862-4-03 Fax: 508-790-623 0 • • • • Property Owner Must • Complete and Sign This Section • • If Using A Builder • • • I, .S0 PN p L E 4 ley , as Owner of the suhJect..ProP AY • hereby a1thor ze M#L4C1t -r/ kit) o / to act an mybP1-1a}f, in 211 rn2n-Prf relative to.work authorized by r11;4 buiding permit application for. Z�}� N► Sr. (4) • tit/C57- 80 N ST4 6LE (Address of Job) • • • ignature of o • t • • Print Name If Property YOwueris applying for permit Please complete. the• • Homeowners License Exemption Form on :the reverse side. • • 0,T1iE . Town of Barnstable • yam. >,s, Regulatory Services • Al ANcr1RL,E, : • Thomas F. Geller,Director • • t • Building Division • dens Tom Terry,Building Commissioner • • _ . 200 Maid-Street, Hyaii MA •02601 • . . . WPM.t1:3 arnitab I ezn.a.us • Off cc: 508-862-403 8 Fax: 508-790-6230 • HOMEOWNER LICENSE EXEMPTION • Please Print DATE • • JOB LOCATION: number . ,sheet village "HOMEOWNER": name berme phone work phone# • CURRENT MAILING ADDRESS: • cityhowa stain 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 ti91?BO1 OW1r'ER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on whichthcre is,-or is intended to- be, a one or two-family dwelling, attached or detached Siructures accessory to such use and/or fans structures. A person who constructs mare than One home in a two-year period char'not be considered a homeowner. Such "homeowner" ah11 submit to the Btnlriin E Ofcial on a form acceptable to the Building shall �pg Official, that he/she s 1 be responsible for all such work perfanmed•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,roles and regulations. The undersigned"homeowner"certifies that.bt:Jshe undcrsiands the Town of Barnstable Building Department minimam inspection procedures and requirements and that he/she will comply with said procedures and requirements. . • Signature of Homeowner • . . • Approval ofBuilding•Ofcisl • • Note: Three-fmn71y dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. • BDI OWNER'S EXEMPTION • • • -The Cade states that "Amy hgmeowncr pefnnrmug work far which a building permit is required shall be arntpt from the provisions f this section.(Section 1 D9.1.1-Lionising of cc/ash-action Supervisors);provided that if the homeowner engages a pesoa'(s)for hire to do such ortc,that such Hamcdwncr shall act as supervisor." • kizay hormcoxwnas who use this eumptiem are unaware that they arc assuming the responsibilities of a supervisor(see Appendix Q, ales do Regi.iladons for licensing Coostraetima Sapcvisoa,Section 2.15) This lack of awareness bflen tenths m serious problems,particularly . tern the homeowner hires unlicensed persons In this case,ow Board cannot proceed against the unlicensed person as it would with A.NCIIISCCI 7avisar. The homeowner acting as Supervisor is ultimately responsible. T.. - _ —_— __ —_ -• . i l • .1.. Massachusetts- Department of Public .Safeh 9 Board of Building Regulations and Standards Construction Supervisor License License: CS 84153 MALACHY THORNTON ?c4' 32 CONSTANCE AVE ,�y. W YARMOUTH, MA 02673 -+ .: ��'�- �s� . Expiration: 1/18/2013 ('unmiissiuncr - Tr#: 8573 i lie eeor���aorcaieall% c/. ,aaaac%ivael4 nJ License or registration valid for individul use only Office of Consumer Affairs&B smess Regulation before the expiration date. If found return to: 1-----a-i— 1 HOME IMPROVEMENT CONTRACTOR• _ Registration::.r.=1;38796 Type: Office of Consumer Affairs and Business Regulation =__ 10 Park Plaza-Suite 5170 1_ Expiration 5/13/2013 Individual Boston,MA 02116 MA •CHY THORNTON4•.4��r. _-.,,,.._;. ▪ y : MALACHY THORNTON� 32 CONSTANCE AVE ▪ : /.z�62 W.YARMOUTH,MA 02673 Undersecretary N valid without signature Town of Barnstable *Permit#a2007660X-- 1� Expires 6 months from issue date v® IESS P5t Regulatory Services Fee j3c2, 6 `/ so, 2 6 NV Thomas F.Geiler,Director E Building Division CI N OF BARNSTp,BL Tom Perry,CBO, Building Commissioner 511:1 7D7 '�OW 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 • Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY G Not Valid without Red X Press Imprint Map/parcel Number 072 / OO Property Address d -'/1'P^41 ; U A> 'TV CS 4 Residential Value of Work .r 3 5 0 /Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address -05/T/V V ` C 1 111 L i/44M Ott) . t 8n00KL1AlfC ,4/ • d 2 It Contractor's Name/- 'A` 4-C 6 1 if (0 A.A 7O A Telephone Number•cO 3 id) 22-g Home Improvement Contractor License#(if applicable) / 3 g "6 Construction Supervisor's License#(if applicable) C 3 tf / ) ❑Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name C 4/ 6 W(U C (A1 S. Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to /fritfloQ 76' ' Ovr°' 7 (� er1 ,/f) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic;Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A c py o the Home proveme t Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 • N..,, . .. , . The Commonwealth of Massachusetts '- Department oflndustrialAccidents "4i�- t Office of Investigations • • •=_9cyll_= • . . • 600 Washington Street • #VLF" 8 Boston,MA 02111 • • i. www.mass.gov/dia • • • Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ' Applicant Information • Please Print Legibly nu Name (Business/Organintion/Individual):. M 4-146//-y . 7- loTitiv to/t) .• • •Address: 3 2_ CC' S 74-A/C C 4U C, W $ ,r4/f/1 W i6 City/State/Zip: f l4 4 Q 2I 7 3 - Phone.#: Sa i 3 N • 2?-9-- • Are you an employer? Check the appropriate box: • 'Type of project(required):, 1.❑ I am a employer with 4. ❑ I am a general contractor and I royees(full and/or part-time). have hired the sub-contractors 6 ❑New construction .2: asole proprietor or partner- listed on the'attached sheet 7. ❑Remodeling/ sand have no employees • • These sub-contractors have4 f P8. ❑Demolition working for me in any capacity. employees and have workers' co insurance.$' 9• 0 Building addition • [No workers' comp.insurance comp required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions '3.❑ I am a homeowner doing all work officers have exercised their . . 11.❑Plumbing repairs or additions myself [No workers' comp. right Of exemption per MGL 12.0 Roof repairs insurance required.] t .c. 152, §1(4),and we have no 13.[] Other employees, [No workers' comp. insurance required.] . . • *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ?Contractors 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. • _ lam an employer that is providing workers'compensation insurance for my employees. Below is.thepolicy and job site information. • Insurance Company Name: Policy#or Self-ins.Lic.#: • Expiration Date: . Job Site Address: 'City/State/Zip: • 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 MGL 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 of the CIA for insurance coverage verification. I do hereby certify under the p ins nd penal 'es f p ' 'that the information provided above is true and correct: • ' Sienatur. / 44(--- rDate:- -2.6i . • Phone#: Official use only. Do not write in this area,'tb be completed by city or town official • City or Town: • Permit/License# Issuing Authority(circle one): . • ' ' .I.Board of Health 2.Building Department 3. City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: . • • Phone#: 'MALACHY THORNTON Estimate 32 CONSTANCE AVE. W. YARMOUTH, MA 02673 DATE ESTIMATE# TEL/ FAX (508) 398-2776 9/13/07 1322 f i BILL TO JOB NAME Susan O'Leary ! 2870 Main St. 111 Lyman Rd. Barnstable Brookline, MA 02467 ITEM I DESCRIPTION AMOUNT Labour Remove existing red cedar roof. 13,600.00 Replace with red cedar CCA treated s ingles. I Install new shingles with stainless steel staples and cedar breather. Install new white 8"drip edge. Install ice&water shield 3'up from chi., edge,in valleys and up rakes. Install roofers select felt paper and ne copper boots on vent pipes. Install copper flashing in valleys where dormer roof meets main roof and along back section of main roof. Cut back plywood for new ridge vent - d new red cedar ridge cap. Materials Red Cedar shingles,copper flashings,felt paper,drip edge,ice&water shield,stainless steel 16,000.00 staples,ridge vent and ridge board. Materials Cedar Breather, underlayment forced r roofing. 2,000.00 *See page enclosed* i Dump Fee To include all clean up. 750.00 Terms A deposit of$18,000.00 for materials, W.7,175.00 when work starts and$7,175.00 upon 0.00 compleoL v�_ pcQiest._. Respectfully submitted ,'/��,� /3—�C-9 j -o I - _ �.._ _ -... ._ Notes Please sign and return to me with deposit. 0.00 1 I _ I accept proposal and agree to the terms of payment.;You are authorized to do the work as specified. Total 32,350.00 Signature ,441---r- t • Board of Building E-�_ Regulations and Standards i _=M�=r HOME IMPROVEMENT CONTR ACTOR License or registration valid for individul =�� Registration before the expiration date. If foundtretu I use only 138796 Board of Building Expiration 5113/2009return to: Tr# 129575 Regulations and Standards One Ashburton Place Rm 1301 1TYpe Individual Boston MALACHY THORNTON ;: Ma.02108 MALACHY THORNTON 32 CONSTANCE AVE. W.YARMOUTH,MA 02673 °f°``Q"'""'` %j Administrator Not . lid without signature ,Engineering De t. (3rd floor) Map �,'7� Parcel ©C� Permit# 1 3 3 House# Z.T'70' `7 Z.: Date Issued 3( ( 4'j Board of Health(3.0 r (8:15 -9:30/1:00-4:30) '-or, - Fee .. /• 0-0 Conservation Office(4th floor)(8:30- 9:30/ 1:00-2:00) BE Planning Dept:(1st floor/School Admin. Bldg.) ONV • ��; � .w �8 Definitive Plan Approved!by Planning Board ° 19 rINS '� -.fi ��� 6. TOWN OF BARNSTA � "' 4 P p r � Building Pe it Application , 3 r Project Stree Address tY 7e5 -r9, Village Owner AO i Address • Telephone Permit RequestL�i�� First Floor square feet Second Floor 'square feet Construction Type Estimated Project Cost $ /O1 fV ) - Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family p/Two Family ❑ Multi-Family(#units) Age of Existing Struct e,J J v.t.o Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: tldFull ❑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 Li 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 ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name - �f�l�C--,� "`Uwcir.) .1(0 PF ALdh . Telephone Number S-C.t) 7,62-210) Address /,V86 act4MNi� 4I , License# < @r, = /a2/9V/ ' tv57 LG 4— 002636 Home Improvement Contractor % Q(j tI!� ( Worker's Compensation# ,,,Ake 62.k,j I I-I 7 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 ZS; A BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 7 • f C, . co • FOR OFFICIAL USE ONLY PERMIT NO. z� DATE ISSUED - r - • MAP/PARCEL NO. - • r r • • l _. .. - , , •J ,r , _ ADDRESS VILLAGE ' , OWNER , , , • DATE,,�}OF INSPECTION: ' • FOUNDATION , • ' - FRAME - , INSULATION I. 7q? — t _ ..! FIREPLACE ///..' - .,.„ ' ELECTRICAL:.. µ:ROUGH FINAL. ' ;,►ice . PLUMBING: ,-ROUGH". FINAL'a I ` • i } -` r GAS:. +:•a /ROB!J9-I FINAL ` ' i FINAL BUILDI'NGc "'.5 v� 7'/7 J r i 4 DATE CLOSE • D T r' , r ASSOCIATION PLAN N• O. • Ft r . i 1 .._kr, 1 _ ....°? 79.-. 6-'8 Asse. sor's office (1st floor): - . ' SEPTIC SYSTEM MUST BE Assessor's map and lot number .1-51/11- ' iNSTALLED IN COMPLIANCE I Bold of Health (3rd floor): 631 / .• # 0 e , . WITH TITLE 5 cti -(1 !) : c.I. Sewage Permit number _ n,t ENVIRONMENTAL CODE AND I_ DARN ST&By, : v MIAS& Engineering Department (3rd floor): ,A6•70 : --hi 00/1.--- . 0 TPVtiN REGULATIONS •:„ ..:639. s House number - 44-oura a'> APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO A ii-joe10410.(7\ TYPE OF CONSTRUCTION Niicl!C a ktrc01/1/4"-^,e_. e fi)j). 19.Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for si_is.erget) accordint1Tg the following information:14p, I) Location PekO • -4 •A .e.,.. :=,. . .)::e. Q.E...... • Proposed Use Zoning District g s•-( - 2„ Fire District . Name of Owner I) Q_Le,cy,-)r...* Address Name of Builder 0 1 C401--e -'),12-g.te , Address G2- Rs-is).*--"'1..k. „-ZiZst] • 'oc. c?),,A,4•ksi. Name of Architect I;)' Y1 e?RN OH •W009 I'M(kNAddress .. Number of Rooms — Foundation 0 — Exierior 4S1C.)k.6., C.. .,p1 en Roofing e,,,Q)\- (S,- c--\)0.,ra..- Floors V).1'4' - Interior Heating ...0.1.t rkpiLc...Q.._ --\,,A- WOLA-s-R.12...,,Plumbing 7e.,S d---te-,"° Fireplace V k., — Approximate Cost 04S,e2cE:›CE) Definitive Plan Approved by Planning Board ____4___,,___i_7.____19__La. Area 00 121 •Hot) Diagram of Lot and Building .with Dimensions Fe"%t 0 0 SUBJECT TO APPROVAL OF BOARD OF HEALTH . ?.. ' • i'6.° , \ -'() • OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS a I hereby agree to conform to all the Rules and Regulations of the To n of Barnstable regarding the above construction. Name /(1-04 1/940S Construction Supervisor's License t 4 a O'LEARY, D. t y • .• +.• . - Alterations No ....2.9315.. Permit for Single Family Dwelling �1, .4, A-Gi-t rk- S'47:, tt, Location a 2870 A • . 1 ^Barnstable - + ' ` II A � D. O'Leary I Owner �."; 4. Frame t Type'of Construction r - Plot Lot t '*Permit Granted May 8,_ 19 86 'f \ , . . , -.. 4.4. ,,„ . .. . . , . tz Date of Inspection - 19 ' , _Date Completed L � � 19 y fk Fes+' ` , _ r i - • L ° {: r . f • ..>T S `1 .4` �. ~ t r • A _ A , ti Y `