HomeMy WebLinkAbout0121 PALOMINO DRIVE 1 3a
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Building Inspectors initials
as� ��#" JUN 212010
TOWN IA bAliNS[ABLE
Date Issued CC..(.2t 1 l Cl.
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Map/Parcel :f
TOWN OF BARNSTABLE
EXPEDITED PERMIT.APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: 1 24 "P A L ® M r'n D -D'R%�/�' - A lud✓rA6'�
NUMBER STREET VTL AGE
Owner's Name: 5-1iZAAJ i T-R.1 Ke (1 H. Phone Number CO P 3 6 Li- I/36
Email Address: 1< S-r'RA NI 6£R e Co MCA) Cell one Number 510? 3 6 y_91 36
Project cost$L,, 3 1OC'u OC) Check one Residential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize _SEE rid c k-e't'' a uTH 04i,47'+°i/
to make application for a building permit in accordance with 780 CMR
Owner Signature: Date:
TYPE OF WORK
"AovL LU I 0.,vt,u 1/e r•l.tuic (it -Fey like i
LI Siding 'Windows (no header change)# I Insulation/Weatherization
® Doors(no header change)# Commercial Doors require an inspector's review
J Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to N6 W a,COroLi0 'broasire, J'PV Ul(e Pa (1'4mLW I C ii
/-14 0 2Ce1
CONTRACTOR'S INFORMATION
Contractor's name 6 AR y G UJ-i-q f✓o v, C 41)4-i2i 116 A-l-e -1 g/e/O ve ',i f ZL
/6 Vs' idea/team/ ?a Coy-bi-t-/H4 "2.4 3.i
Home Improvement Contractors Registration (if applicable)# 1 °a 1 `i 0 (attach copy)
Construction Supervisor's License# C 6 07 L/(o - 6 (attach c��
i 4 s hit-fait
Email of Contractor p EI -( i.1- C. C 4p r- j A. tad�,e . (0lPhone number 6 LiJ U2 4 le
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
APPLICATION NUMBER
*For Tents Only*
Date Tent(s)will be erected Removed on number of tents total
Does the tent have sides?Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X , X , X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
Check one:this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval.
*WOOD/COAL/PELLET STOVES *
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand
the construction inspection procedures,specific inspections and documentation required by 780
CMR and the Town of Barnstable.
Signature Date
C4 /1 y �rJ, cJ6 z,
APPLICANT'S SIGNATURE
Signatur-- 4 1 - Date ® G /17 1/9
All permit applications are subject to a building official's approval prior to issuance.
[locoSign Envelope ID:8DA56154-AE4F-41 F1-9294-5B7AB9AE456B
Capizzi Home Improvement Specifications&Estimates Page 9 of 9
STATE OF MASSACHUSETTS
LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT
I, KEITH STRANGER, OWN THE PROPERTY LOCATED AT 121 PALOMINO DRIVE IN
BARNSTABLE, MASSACHUSETTS.
I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY
FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE
BUILDING CODE.
I GIVE MY PERMISSION TO
LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE
MASSACHUSETTS STATE BUILDIN Flo by:
.T4A111, Straw
SIGNATURE OF OWNER: D26D8EEoo0E0495...
OWNER'S ADDRESS: 121 PALOMINO DRIVE, BARNSTABLE, MA
OWNER'S TELEPHONE: 508-364-4136
LESSEE'S SIGNATURE:
LESSEE'S ADDRESS:
LESSEE'S TELEPHONE:
APLLICANT'S SIGNATURE:
APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635
APPLICANT'S TELEPHONE: 508-428-9518
RESPONSIBLE OFFICER:
RESPONSIBLE OFFICER ADDRESS:
RESPONSIBLE OFFICER TELEPHONE:
'- t,
• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
i ��, i OF 1 NST �L
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Map � I Parcel 05 Application # Isa
Health Division _ !ft 02 Date Issued -zZ l w
Conservation Division Application Fee
Planning Dept. -- • Permit Fee •
iYOrLSIOil
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis vciC` _ g
a�
Project Street Address /J/ , h 4ii,y0 tL
Village 77.,9,eAJ J7 ' //
Owner 4/v/f/ .5 ,4itI7 'J Address Seit r
Telephone (17.' 34 - -i 76
Permit Request Vg.s'c-ii q 1.4 C2,44f' ZZ9
/ CW/v1.0I c ,91d A..I TD doe, ' ee-
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation d d; el Construction Type J .-iSv`/91-7.61,
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 )6,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 Cl Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name Si, rep I /v/vAjlD,r, Telephone Number SO f,7 /`-
Address /e J%) License # / f P�1
Home Improvement Contractor# ,/ �5`, '� 7
Email/fl1e Aigl� /j1�t�hyi0/,0 i, 66ii Worker's Compensation # /e/Sd /9.1/
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
9'/ 0 v ,v1
SIGNATURE DATE
FOR OFFICIAL USE ONLY
PPLICATION #
DATE ISSUED
r '
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
_ . .
•
of TIN, Town of Barnstable
0 Regulatory Services
Richard'V'.Scan,Director
Building Division
Tom rem,Building Commissioner
200 Main Street•liyiumis,MA 02601
ww.town.barostable.ma.ns
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder —
le:TA-L 54-mfter
,as 097Eler of the ject property
hereby virhrwiw. C-c -e—G0/ soia to gtot son raybeialf,
in all routers relative to work authmized by this building permit application for
121 Pal W.V111‘4) sksie ozo3z)
(Address of job)
**Pool fences and alarms are the responsblity of the applirAnt Pools
are not to be fated orutilizal before fenc.e is installed and all final -
inspections are performed and accepted.
s*: '- (1‘ Signature of Applicant
4-PL 5.6 r
.)( Print Name
Print Name
A Date
OTORMS:OWNERPERMISSIONPOOLS
•
� P5 7/v3�� dlG 17?S
/Assessor's office'(1st floor): SEPTIC SYST F,�f 7NE T
Assessor's map and lot number �97— > ,.! :. INSTALLED EM MUST$:IPS'° o�`f
ALLED IN COMPLIAN fI!,`� ' '�
Board of Health (3rd floor): ,,
Sewage Permit number
• 1 bY NIIIIMII 6NV1�gON 1 TALE 5 Z BAHB9TODLE.
Engineering.Department (3rd floor): �d rn TOWN �G�L `•'®®�Al1�9i;''�''�p aY a�e0� '
House number LAT1VI
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only i
•
TOWN OF BARNSTABLE g-0-2-
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BUILDING INSPECTOR
APPLICATION FOR PERMIT TO eatz:C. 4-' 13..1Y!?? !-y v Y) .5
TYPE OF CONSTRUCTION .............).t1 1Sx} u.ps t).lI c' 13A-s1-1(.Y.). -r R,v^^
-37 194g
TO THE INSPECTOR OF BUILDINGS: t • I
The undersigned hereby applies for a permit according to the following information: / D �-
Location l2l 76-14.?✓h) n10........ ...fz,1�C. ' --2 s el-.6)4i. V I
Proposed Use 13.Z S r B.AT 14 ! D.' •
Zoning District c-Pf.-
- i Fire District - NST
Name of Owner C 9 -1-- 445..10.44: ii 4.5 Address
Name of Builder /1.e A^Q.a.` *M t" eel/ Address ca ls fl id /ipt ��
Name of Architect Address
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Number of Rooms / Foundation
Exierior Roofing 1
Floors .A/u'E61 4 c 2 77-C/ Interior - -e- )^ aG7�
�...� �/ r S r' 1-' �, :-/, .
Heating—_ - '�.z-C .._ _
Plumbing , �� Ov
Fireplace A a�-� Approximate Cost ,r eP
- Definitive Plan Approved by Planning Board _`-2t __2QQ 19 54' . Area j/d.k." 4/1/6r-
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Diagram of Lot and Building with Dimensions Fee ..../0-
SUBJECT TO APPROVAL OF BOARD OF HEALTH
•
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' 7
onstruction Supervisor's License AP-5: . / �,9'1. t
JACKSON, CARL & BEVERLY
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No 29692 Permit for Finish Upstairs/Basement
Single Family Dwelling
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121 Palomino Drive
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Carl & Beverly Jackson ,-.
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July j• 23, • ..'Permit Granted19 86
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Date of Inspection -
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-44 Date Conipleted ////?'
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BAHHSTADLE, i
House number • /'cPV WITH TITLE 5 900 MAIM ���
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TOWN OF , BARNS ' E I EKm's ,
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO `�
TYPE OF CONSTRUCTION` • ''k-1(,,, •q ` ` ekA- ' V- "'`t- -,,
v 3 19 9 7 l .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following infor ion:
4- <O ----Q2Qdo . 0r,�L& 1�
Location 1 { i.: /
Proposed Use * �"`�?� -
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Zoning District s ��`� ��' `° I Fire District `k-�5��Lb iL- 2sc
Name of Owner aA Z • Address
• Name of Builder vr-e- `)''722 1 Address � ���...1?d co�,
1,Name of Architect ' /�GL� J Address ( .
Number of Rooms "` Foundation -/€N/! Cc cie*
Exterior W "" ay Ov Roofing AS L2- 7t. ,
Floors A '''� � . COL Interior ,e
� Heating . � 0 It Plumbing C � � 2 � /�
p
0//�`` G `y
Fireplace ... .... . . ` V`� cC3k -k.') pP `.9 � G6` \�� Approximate Cost
Definitive Plan Approved by Planning Board . 19 Area ,/g,?2
Diagram of Lot and Building with Dimensions ' - Fee 7 F ,‘--1-Z3 `
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SUBJECT TO APPROVAL OF BOARD OF HEALTH l 7
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OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the T wn of Barnstable regarding the above
construction. L
Name '
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Construction Supervisor's License T
I
JACKSON, CARL .
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25802
14o Permit for 11/2 Story . -
.-
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‘-‘ , Single Family Dwelling - .
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•-. Lot 102, 121 Palomino Drive
Location
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Barnstable . —, , -
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Carl. Jackson ,
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Date•of:Inspection' "- ' 19 - I . ,
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11(411.
�t"` •. TOWN OF BARNSTABLE
` 3a,- ♦ Permit No. ___.�29GG '
.5�'a1. Building Inspector
. DAIISI.n % Cash
��`""`�� OCCUPANCY PERMIT Bond ____ 4.-14(
Issued to rl. Jackson Address
1_ryt 102, 12j 70?1!-risnr) i?riV , :.a,r-,^+-a1;le
Wiring Inspector icy Inspection date
Plumbing Inspector ' it b�-- -1 7 ) ,O Inspection date
Gas Inspector 'l Inspection date
Engineering Department i' Inspection date
Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
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Building Inspector
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