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HomeMy WebLinkAbout0026 PITCHER'S WAY - - -- - - -- - - i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 36�1 3 ==!}-� Berri �ca�e - 1-7 C5 �. Map ,�6 Parcel' Application #c:M Health bivision ' ? Date Issued Conservation Division Application Fed Planning Dept. Permit Fee (o�_l Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address tf 1( la t Village qCk[-0S TCA,h fi g_ I Tr Owner CV\C•e`t'T e C—a ev Address Saw, he�n4 ihC4 1 Telephone (617) 5 Q - /q4/f WPM �— Permit Request L, 6;E'j t� � sc ©f o",Ck Poor P)a i�I� e)y' t n Q as�m Square feet: 1 st floor: existing 76e proposed 2nd floor: existing 3 proposed Total new 2 (�lmSS -7(411 Zoning District "J Flood Plain _Groundwater Overlay Project Valuation 560 Construction Type OAOJet i r Lot Size (' 3`� Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family. Two Family ❑ Multi-Family(# units) Age of Existing Structure �5 _ Historic House: ❑Yes No On Old King's Highway: ❑Yes No col T Basement Type: A Full ❑ Crawl ❑Walkout ❑Other r Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) -7&v K Number of Baths: Full: existing 13, new Half: existing new Number of Bedrooms: 3 existing _new y Total Room Count (not including baths): existing -_ new First Floor Room Count Heat Type and Fuel: X Gas ❑ Oil ❑ Electric ❑ Other hot I LaVr Central Air: ❑Yes, No Fireplaces: Existing New Existing wood/coal stove: ❑Yes j No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:existing ❑ new size _Shed: existing ❑ new size _ Other 3X 6' a -0 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review # Current Use S ay ie_ itvh. /"I TDL- ® 1 Proposed Use t n APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name tG� �eG rx✓►'� Telephone Number -7-7 q ! 3(v tv b Aekss D5 cuo L`< ce v f License# 1 q 3 �' Ya N in 1 S q- d Home Improvement Contractor# _�6b 3 3 �i Worker's Compensation # /1 FT boo 7Ej �//. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO AAA- d1 S4J1�?SC-1, C4 C �i. /n�• A SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED . MAP/PARCEL NO.. - ` r _ t • ADDRESS VILLAGE - OWNER DATE OF INSPECTION: _FOUNDATION 4 FRAME' INSULATION ,r FIREPLACE f ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH-! - FINAL .._FINAL BUILDING* DATE CLOSED OUT - ASSOCIATION PLAN NO. - The Commonwealth of Massachusetts Department of Industrial Act cidents Office of investigations 600 *rashinkton Street Boston,MA 02111 .UV. www.mass.gov/dia Workers' Compensation Iusuran ce Affidavit: Buflders/Contractors/FIec' ricians/Plumbers Applicant Information Please Print Legibly Name(Business/orgMizatim,d divid„ai;:_ \G�cc -t- m �r-C2• Address: City/State/Zip: kv C4 M 11 CS Met• C960 r Phone.# 7.41 F re you an employer?Check the appropriate box: of ro ect(required):: 4. I am a 'TypeP .l ❑ I am a employer with ❑ general contractor and I employees(full and/or part time).*. have hired the sub-contractors 5. []New construction 2. I am a'sole proprietor or partner- listed on ihe•attached sheet 7. Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me irt any capacity, employees.and have workers' 9. ❑ [No workers' comp.Insurancecomp..ms�ance. Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing i1work officers have exercised their 11.❑Plumbing repairs or additions myself [No wad=' camgp. right of exemption per MGL 12.❑Roofrepairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance reqiiired.] *Any applicant that checks box#1 nmst also fill out the section below showing ih=�workers'compcnsatim policy informalim t Homeowners who subruit this affidavit indicafing they are doing all work and then hire outside conto ictas must suhroit a new affidavit indicating such. $Conthactars that check this box must attached as additional sheet showing the name of thb sub-contractors and state whether or not those entities have employees. If the sub-cath=toxs have employees,they=st providb their work¢a'camp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 1 04/lrel J ea Insurance Company Name: � d J ! •l, _ Policy#or Self ins.!Lic.# (i�7 r6a0 � Expiration Date: �� �S 01-i lob Site Addressa_V Q( 1 (i� e.(5 tJGity C /state/zig:�f n[ VXCt. ;)LG Attach a copy of the workers' com pensation policy declarafion page'(shawing the policy number and expiration date). - Fail='to secure coverage as required.under Section 25A of MOL c. 152 can lead to the imposition of crh: a penalties of'a fine up to$1,500.00 and/or one-year imprisomneir, 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&e Office of Iuvestiaations of the DIA for msTrranre coverage verification. I ilo hereby certi under penalties of perjury that the information provided abope its true arid correct S' e: Date: Phone# 7 4_ Official use only. Do not write in this area, to be completed by city or.town 007ciaL City or Town: PermitUcense# Issuing Anfhority(circle one): .1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: NOTICE OF ASSIGNMENT EMPLOYER: COMBO I.D. STATUS OF EMPLOYER RICHARD PECKHAM JR DBA INTREGITY HOME 000188650 Individual SOLUTIONS PO BOX 1629 COVERAGE GROUP CENTERVILLE, MA 02632 0188650 Coverage under this assignment The Waiver of. Our-Right-to applies 'co `Massachusetts' Recover from Others Endorsement operations only. For coverage is available on Pool policies. outside- of Massachusetts, contact Contact your agent for details. the appropriate Pool or Plan for that state. �-- -- __. �"-� _-�� INSURANCE COMPANY: AGENT rBRYDEN & SULL_IVAN INSURANCE AGENCY INC OR DONNA SEVIOUR " `- " AIM MUTUAL INS CO PRODUCER: 88 FALMOUTH ROAD MS. JUDITH BARRY HYANNIS, MA 02601 54 THIRD AVENUE BURLINGTON, MA 01803-0970 (800) 876-2765, Ext: 8704 AGENCY FEIN:042317371 CLASSIFICATION OF OPERATION CLASS ESTIMATED RATE ESTIMATED CODE TOTAL ANNUAL PREMIUM REMUNERATION -------------=------------------------------ - ----- -------------- ---------- ---------- CARPENTRY-DETACHED ONE OR TWO FAMILY DWELLINGS 5645 $0 8.68 $0 CARPENTRY-DWELLINGS - THREE STORIES OR LESS 5651 $0 8.68 $0 CARPENTRY NOC 5403 $0 9.61 $0 EMPLOYERS LIABILITY 100/100/500 9845 STANDARD PREMIUM $0 _ _-�•- - - - - _ .. _r.. -. ... _.. � .. LOSS CONSTANT 0032 $50 EXPENSE CONSTANT 0900 $159 TERRORISM CHARGE 9740 $0 RISK MINIMUM PREMIUM 0990 $500 TOTAL POLICY MINIMUM PREMIUM $500 TOTAL ESTIMATED PREMIUM $500 DIA ASSESS. 5.9% $0 TOTAL EST. PREMIUM PLUS ASSESSMENT $500 INSTALLMENT BASIS: Annual �DEPO REMIUM'$500 -~`THIS IS NOT`A'BILL COMMENTS _ Cove ar ge effective 12:01 AM on 04/24/12 . Subject +to 05/05/11 Anniversary Rate Date. DATE OF NOTICE: 04/24/12 PREPARED BY: Joanne Shea EXT 530 * * SERVICING CARRIER ASSIGNMENT The Workers'Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street- Boston, MA 02110 (617)439-9030 - FAX(617)439-6055-www.wcribma.org W a�TME ,, Town of Barnstable Regulatory Services aAaivsr, ,a, MASS Thomas F.Geiler,Director 16S9. M1 Building Division Tom Perry,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 �1�� � to act on my behalf, in all matters relative to work authorized by this building permit cc (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signature Applic Print ame Print Name N— Date Q:FORM&O WNERPERMISSIONPOOLS .'THE Town of Barnstable Regulatory Services • HARMNsreaILZE. ► Thomas F.Geller,Director y NAB& 1639. 39. � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street. village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwelling 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 OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed 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,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000.cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for,which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisor;,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many'communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt �p Massachusetts -Department of Public Safety. Board of Building Regulations and Standards Construction Supen isor k° License: CS-094193 kr ``` RICHARD J.PECKHAM JR 204 SCUDDEIt _ Hyannis MA-0R601 C j �^ Expiration Commissioner 07/29/2013 Jlf �fsti License or registration valid for individul use only Office o S >o > es ir����a a HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration166334 Type: Office of Consumer Affairs and'Business Regulation ° Expiration 5/13'/2014. DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 RITY HOMES-MUTIO.NS RICHARD PECKHAM J ,_ P.O. BOX 1269 � " ` CENTERVILLE,MA`02632 z Undersecretary Not vah ithout 4signature ., -_ e - a.rn;eu2rs inogpm pgeA lox 911Z0 Vw`Yolsog OLTS ai!nS-ezuld K1Ed OT no!;uln2ag ssaursng puu s.ueBV JaumsuoO;o aarg0 :ol uanlaj puno33I '31up uolle t!dxa aq;ago;aq ,fluo asn lnp!Alpul.to;pgsA no!luJIS12al 10 asnaa!Z £60Z/6Z/L0 JauoisslwwoD I T09Z0 M smug9ja E tIt1�' 'QQllas bOZ ar I�1IdH?IOTd'f Q�'H.7I2I £6Lti60-SO :asuaol� Josl.UadnS uohanJIS O D spiepuelS Pue suollelnbab 6ulplln810 pJe08 r I(la1eS ollgnd 10 luaw�edaa-sllasnyoesseNl d Town of Barnstable �/ D6�� t Permit# Regulatory Services Expires 6monthsfromi's sAnivsrnsis. Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1 Property Address � � 5 t�JGi` h iiA C S A'V4 Residential Value of Work v Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address t` l �' S�' L Contractor's Name �L' �-� Telephone Number _ ?j y Home Improvement Contractor License#(if applicable) A 3 `y Construction Supervisor's License#(if applicable) IT j ❑Workman's Compensation Insurance Chec ne: am a sole proprietor APR 2 4 202 ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name , r aAtyl, 5a It .. TOW .OF BARNSTABLE Workman's Comp.Policy# 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 �f ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) .❑ Re-side #of doors El 'Replacement Windows/doors/sliders.U-Value (maximum:35)#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. AcoPY of the Ho me Improvement e.nt Contractors License&Constrs uction Supervisors License is required. SIGNATURE: e a � Q:\WPFILESTORNIMbuilding permit foimsTYPRESS.doC Revised 051811 . The Comnronnwalih of Massachusetts Ileparttnent of Industrial Accidents -Ur Office of InvestigatiOns 600 Washington Street Boston,MA 02111 nm v mas&govldia Workers' Compensation Insurauce Affidavit Bmlders/Contr2cturslEtectric ansiPlumbers Applicant Information Please Print Legibly Name(BosiMssQqF1i2ZftMAn1iuidUQ: ax 0( �Y Address: 0 Cenra+Cf u jZ ,e Yea, 09 6 3 Z- City/state zip_ phone#: Are you an employer?Ghee the appropriate boa:: Type of project(required): 4_ am a: contractor an I.El I am a employer with ❑ I general d I 6_ ❑New camshx-Eiuu ,employees(fu11 and/or part-time).* have hired the sob-coubactors 2. am a sole proprietor or partner- listed on the attached sheet. Remodeling ship and have no employees. These sub-contractors have �[— Ilemoliti4M working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insura 2 9_ ❑Budding addition required_] 5. ❑ We are a corporation and its 16.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'camp. right of exemption per MGL 12KjRoof repairs insurance required_]T c_152, §1(4),and we have no employees. o workers' 13.❑Other comp.insurance required-1 t Y gTPk�ehat checks box#1 mast also fill our the section below showing them emrkeze compensatiaa policy iafnrmation_ Homeowners who submit this affidavit indicating they axe dotag all work and then hire outside contactors mast submit anew affidavit and Rt mg sash ZCiwtactors than aka this'b=must attached m additional sheet shmrimg the name of the sub-conuacton aod:sun whether or=those entities have employees. If the sob-ccatractors have employees,they mnurt pmvide rues workers'comp.policy ou mber- am an emplriyar that is prov0ng workers'.compensation insurance for my e3r9zlgj ee L Below is the pact'arid job site irefatmation. Insurance Company Name: Policy#or Self-ins-Lie.#: Expiration Date: Job Site Ahdress: ' City/State/Zip: Attach a cerpy of the workers'compensation policy declaration page(showing the policy number.and expiration date). Failure to sew coverage as required under Sectiort 25A of MGL c 1527can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisons as well as civil penalties in the form of a STOP WORK ORDER and a tine ofup to$230-00 a day against the idolator. Be advised that a copy of this statement may be forwarded to the Office of Iuvestigations of the DIA for'insurance.coverage verification_ I do hererby ce ,nniter!&4 pains and pen - allies ofped ury that the infatmataern:prvveded above is bw and correct. Date: Phone#: 3t✓ 7 Official use only.. Do not write in this area,to be completed by city or town official City or Town: PermitUceose# Issuing Authority(circle dire): 1.Board of Health 2.Building Department 3.GityfFown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone 9: 6 dE� , • BARNSfABLE, • MARL ,�� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division .Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, v� r, , as Owner of the subject property hereby authorize M to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date - G3 tts ctT'e.. G�Se,r - Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side.. Q:\WPHLESTORMS\building permit formsTYPRESS.doc Revised 051811 IME Town of Barnstable. Regulatory Services g rY 9 'm.�$, Thomas F.Geiler,Director �ArrA`® Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state 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 OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person wbo constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall.be responsible for all such work performed under the building g-nnit. ($ ctigq.'j 109.1.1) 22 J The undersigned"homeowner"assumes responsibility for compliance with the State Building Code�&i"d:othei applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. �s;�•,,�t'e, s;�,Gai^ Ett: t.$:... ?E� '',�•t.w.e • .�•`� ���,. +.f Signature of Homeowner µ Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code " Section 127.0 Construction Control. HOMEOWNER'S-EA1 0TION - The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions.of this section (Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as"supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities df�a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is aform currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 051811 ofriceef� °or RfiiQ'�41t $�,a M%& F� Massachusetts - Department of Public Safety �l I Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: ,66334 Type: I Construction Super%isor Expiration: 5/ 3/2012 DBA License: CS-094193 `` it, Y HOM q kiTfONS RI CHARD J.EF)�KHAM k _� 1:4L i 204 SCUDDF.R AVE �t .1 . �. RICHARD PECKHa JIZ� 2�„ Hyannis MA-02601 P.O. BOX 1269 z CENTERVILLE, MA 0263 w `Y Undersecretary l Expiration Commissioner 07/29/2013 License or^registration valid for mdividul use only . before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 I 44 i ij Not valid without signature SEPTIC SYSTEM MUST 8, WITH TITLE 5 33AWSTAILE, TOWN OF BA ^ � . ' �� �N N N N �� INSPECTOR �� �� ' ��� N0� � � N� N ����Nm 0 NN � � . �� m~ � ���~ � �� �� ~ mm��� ���� � �� �� ' APPLICATION FOR PERMIT TO ........ ....... ..................... TYPEOF ---.. ----------------.-----_------_-- ' ..................... ............... ---- � " ' | | TO THE INSPECTOR OF BUILDINGS: The undersigned 6nve6y applies for o permit according to the following information: . Location "7A....... ....... �5 -----,-----------�.. Proposed Use --�`�,���C�����--����^�������---..------------------------.--------. X.6 � Zoning District ----..���6..............................................Fire District —. ..................................... Nome of Owner ---' �6 —. 'A66res /r... Nameof Builder ........................................................... --'A66rex -----------------.--.------- ` Nome of Architect ..................................................................Address ---------------------------- � �~ �� . Number of Rooms .. ----W��-------------..Foun6ohon -----�l-------------------' ��� Exle,io, --' —'.. -----.Roofing --- -------------- Floors -----'���v���l-----------_-----.Interior ---.������~'�.��=���r�l--------_--' —Hedting. ...... ----------....-----..P|um6ing ----- Fi,ep|oco ................ �xt-oo��. ...................................................Approximate Cost .'���. —� ............___ .�� 24? � Definitive Plan 6v Planning Board lv.�--' ' An�o ----' � � . . � . ��r� Diagram of Lot and Building with Dimensions Fee ---.�u—��^�.------ � SUBJECT TO APPROVAL OF BOARD OF HEALTH .2V ' | | ~^ / OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS | hereby agree to conform to all the Rules and Regulations of the of construction. », ''—m ------ ... ......... r—= ... ................ —~�-- �� Construction Su~~~��~/s License 1~��'��—�~ — NICKULAS, LARRY 27117 T Story to ................. Permit for 2.............................. Single Family Dwelling ............................................................................... Location ......Lot...2........2.6...Pi.tctier.s...Way........ ...... . . . . .... .......... . ...... Hyannis........................................... .......... Owner ......Larry Nickulas ............................................................. Type of Construction ...............Frame ........................... ............................................................................... Plot ............................ Lot ................................ L. Permit Granted .......A..pXil...4. ................19 85 Date of Inspection ....................................19 Date, Completed ... . IX..... ............ jo A Assessor's map and lot number ......! �'.. ?.6.......�::_- THE ........... Sewage,Permit number ... 2 Z BARNSTLELE, i House number ........................................................................ Mug. p� 00,e�i639, 9� 'E0 M0 d\ TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............',)„1 1,L .....�1./X-1) .���.........��.�r�fL.��........................ .... TYPEOF CONSTRUCTION ......................�1.......................................................................................................... ..................... ./.::�?................19..:!S!Jr— TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to ,th/e following information: Location f;�i% �........ lr)" /i�d1//1.�� /7:..................................................... ProposedUse ........: / /ml.. .......j..... ............................................................................................ ............. Zoning District ............... ` . �..............................................Fire District ......1611M ! .C�........................................... Name of Owner ............. .X)A9r� it: A %` . .5...Address Lf C X �J ................. /r .... �. It Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................... 6 Number of Rooms .......Foundation Exierior ........1 � ....... ...Roofing ......................................... Floors ................. .r�TT�.....................................................Interior ......... �r4��..•c ,/ .1,,.................................. Heating ...............��!f ...................................................Plumbing ...................... : .1.. . Fireplace ................cZ� .................................................Approximate. Cost ... r. ... --�........................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ..::`..1./............... Diagram of Lot and Building with Dimensions Fee �-41f ;5Dl SUBJECT TO APPROVAL OF BOARD OF HEALTH 2 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding tbe_above construction. Name' ................... ...... - ................. Construction Supervisor's sor's License NICKULAS, LAPM J9-6 No 27697 Permit for 1 ' ... ......... .. .. ... Single Family Dwell ..................................... ... Location Lot 2, 26Pitch.... ... . ...... .. ...................Hyannis..................... Owner .....Larrx Nickolas Type of Construction .... rame ................................................................................ Plot ............................ Lot ................................ Permit Granted ... Pal..4....:................19 85 Date of Inspection ....................................19 Date Completed ......................................19 L 75 43 M� . S 40 CN • /,f `gyp •'` I' .3� r / s a ✓ .V� IOU OTz D z�, _oU IOo No z ct,,gAjcLD i v { FE13 a i f�.SS[ifvy �r1o. r7 a t CERTIFIED tI 0f'499 PLOT PLAN qs �ap . b. RORERT G� a or _Lla-_1 11 ss ELDREDGE H -- 90 No. 19367 IN ��s 9ECISTE�E� v �1 �`+ S V A JO� A ♦ .1 SCALE, /P' _ 30' DATE3 '3Dfta Z3 85' GE ENGINEERING CO.1 1 CERTIFY THAT THECLIENT Fd4ND�rr-,o� E013TERED� REGISTERED E SHOWN ON THIS PLAN 19 LOCATED CIVIL LANID JOB NO.. 4N .THE GROUND S INDICATED AND 4€ ENGINEER SURVEYOR DR.AY, �v CONFORMS TO THE ZONING LAW 4; OFW 8ARNSTA8LE, MA8g: i) �. 712 MAIN : STRE.ET CH.BY` H YA N I S, M AS S. SHEET / OF 1 AWE EO r �� ND SURVEYOR • . , 1 o TOWN OF BARNSTABLE Permit No. - 27697 • s ------------- _ t Building Inspector L Cash Mae, —_----- 1639-- s0 _OCCUPANCY PERMIT Bond 3 Issued to Larry Nickulas Address lot #2 26 Pitchers Way* Hvannis Wiring Inspector > >� Inspection date -71 ` s-- Plumbing Inspector - i ^ Inspection date �1/1 Gas Inspector � Inspection date I/ / %J Engineering Department 7 � � / l� 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. Ja19 � .....................................•1�- ..... .'�' . .... '._.. Building Inspector i ��•.° '�.ew TOWN OF BARNSTABLE BUILDING DEPARTMENT ;ldHdlT TOWN OFFICE BUILDING rqa t639 � HYANNIS, MASS. 02601 �0 rwY M. �fr MEMO TO: Town Clerk % FROM: Building Department• '. DATE: 3 �Y f5 Ai An Occupancy Permit has,been issued;for the building authorized by BuildingPermit #.......... :: .......... ........................_................_................. ._..................* issued to ............... rt _ �� //,1,,,,/t_� ... . _.._ ._. .. _._.... _..._.._ _.... Please release the performance bond. z � _ CA j10 CD i xi 77 t -- - _ y -• a �`- - - DLvrl ` _ i 01 { 1 l -1- - [11t i I Q 9 to i S� I 6 - - U� o ti { w I � l � _ a _• • I li Ef c' �E 05 E si-- _ - - y Cb 1 II. , 1 E t3 i li 7 I 75. z 4 Z C.) i N Co n N t — - -- I �I7_ f7 _ CO Q--J-- IJo . i n CQ 2 ro Q� _ z IB ; 1 ��- -- „c• - - -_. -..- r - � - ,mow .. _.. .. _ - _ EE-- I fi I � -t•�- _-•� — _sue__ ,;...x�� � I - �o 1 ; r ,A3 a`�% T(JWN 0e bAKNZ 1,PWLb rs^L,+� LOCATION Q Cc SEWAGE # 2= VILLAGE L 4A)'J- u LS ASSESSOR'S MAP,& LOT INSTALLER'S NAME&PHONE N0. 1. M "/zob,�J-�ov.✓ �� i C 715-772,E SEPTIC TANK CAPACITY 1 666 LEACHIRG FACILITY: (type) _.� �i��l l$ / -a O (size) NO. OF BEDROOMS j BUILDER OR OWNER PERMrtDATE: Lq ®a COMPLIANCE DATE: a I'a� Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Welland Leaching Facility (If any wells exist on site or within 200 feet of Ieaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished UWV— � 4 - 4 7