HomeMy WebLinkAbout0126 GOVERNOR'S WAY 0
o
Town of Barnstable *Permit#
Exp
' Regulatory Services Fee 6raonYhs issue date
HARMA IX,
, Thomas F. Geiler,Director
3
Building Division
Tom Perry, CBO, Building Commissioner
200 Main Street,Hyannis, MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - .RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address
[p4iresidential Value of Work
6-10 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address �C
k
b J
Contractor's Name !k'/',� �, At) ems/ P
Tele hone Number;�d f �3 U 057 7
Home Improvement Contractor License#(if applicable) 11 6 05 ,- -
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance -- '
Che nIamasole proprietor
-P PERMIT
P P
❑ I am the Homeowner E P 2 8 j li 1'
❑ I have Worker's Compensation Insurance
Insurance Company Name TOWN OF BARNSTABLE
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
r
Re-roof(stripping old shingles) All construction debris will be taken to � CI( //Abo
❑ Re-roof(not stripping.. Going over existing layers of roof)
❑, Re-side
#of doors
❑ Replacement Windows/doors/sliders. U-Value m( aximum .44)#of windows
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License& Construction Supervisors License is
required.'
IGNATURE: 0— ;: /J
AWPFILESTORMSIjilding permit forms\EXPR.ESS.doc
evised 070110
SEP-27-2011 16=57 BOSTON PARKS—MARKETING 617 635 3104 P.01i01
MODE - MEMORY TRANSMISSION STARTUP-Z? 12:19 -27 12'41
'J FILE N0.- 122
NO. COM ABHR/NTWK STATION NAME/ PAGES Mi.NO. PROGRAM NAM
TELEPHONE NO.
W1 INC s 15QS3940MO 000/001
BOSTON PPRKS-PnR<TINS
Town of Barnstable
P Regnlatury Sexvica
nmm F.teller,Dhwctvr
33nildi Division
Tam j?mT,HnHftg viler
240 IV&Stsmt MA poi
www.*mwm be blama.m
ME= 50"62-403$ Fr�r: 5D8_79ti.623t3
Property Owner Must
C 6inplctc and Sign This Sectim
Ifs
ae Owna of the=bj=t px?pen
hesaby u cr to attattt cd=7 be�at�
in zel m++e w Wok maimed by 66 bua&ug pmmk
( diesa of Jab)
**Pool fences and aLm=are the mMmusibility of the applieaut. Pools
are not to be&ed before feace in installed and pook=not to be
urUized a dl all final iwpectiona are Petfomed ate#=a
f
of 0,=tx c of Alrplicsm
6�,2I(J
ptinx N=C
TOTAL P.e1
Assessor's offioe (1st floor); Ls s ��^ - FTHET
Assessor's map and lot number ....................... - �� �♦
Board of Health (3rd floor): ^ ��
Sewage Permit number ...... ....
`4� SysT, 3fADLL. •
Engineering Department (3rd floor): ''r;� 7 ® 1
House number � ��`J� � �' l � Co....................................................................... - _ �'9� TjrLE
E APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.' only � ' qEN- Jr
AL C01)S T 0 W N OF B A R N S T A I
�i���
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ./..1............7................................................................................... ...
TYPE OF CONSTRUCTION .........��.... �1.< .......................................f .. 57Z ... ...................... .....................
.....1... -----..------19.el>
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
L T / U -rit; S /� i1/t/s�Go�i3�Cr
Location ......... ...........l....................... .......�:....... . .............................. . .
Proposed Use ....... !!�r/GSi....... �� 1/>Gr��Y. .G.?'........................................................
Zoning District ...... � .........................................Fire District ../ /L�7/S� �C[
Name of Owner .h.... `� 2 1�vST�f1�a�. ...( !���.... .. -✓.�l�e dress ................ ...........:�...... /.... � .......
Nameof Builder .... ..........................................Address ....................................................................................
Nameof Architect ..................................................................Address ......................................./......._.....................................
Number of Rooms ........... .............Foundation ...p27� �C3�� CG'
.................................
Exterior -(/y� 1/�....¢....� ...........................Roofing ... � 'T1i
...... vG4ls ..................
...
Floors -t
G ? /Jr� ..........................Interior ....
' Heating .........� ...........................................Plumbing .Z1�f .ft��
T '
.........................r.`...................
Fireplace ....0-11/4r ......Approximate Cost UCH C/....--*...... g..........
Definitive Plan Approved by Planning Board ---I/e7---------------19 A7 . Area /....�f✓.. ...................
Diagram of Lot and Building with Dimensions Fee .
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? . .................:..............
Construction Supervisor's License a.re:3..y.....
WOOLLARD, HOWARD W.
ys
No ....31517. . Permit for .. ... cJ
Dwellin /Gara e '
t .. ....... .. .....................g ........
Single. Family Dwelling
Location ...I'.ot..... 13 {.... 12 6...Governor.':s Way
Barnstable "
ti ...............................................................................
Owner .....Howard W. Woollard
..........................A .....................
d
Type of Construction ....Frame
.....................
....... ..... ........................................................
Plot ............................ Lot i
Permit Granted ......DeG.�TTib.�X..-1.7.,..19 87
, v y
"-Date of.Inspection ....................................19
Date Completed' ...���.:—.............. ............:19
h-7199
j•
LOCATION
SCALE . . .���;30�. . DATE Noy. /�/587. AA
PLAN REFERENCE , '-��`�•vG LoT !3 / kL �oJ-
00
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OTC , CDKELLEY
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PowA2D W00e-"!ej - 04W7-/on/E.P-
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CERTIFIED PLOT PLAN
LOCATION
SCALE . ../.°�.=,,�o,' DATE
PLAN REFERENCE
�P�1d 0 ifgs��� --
o�'� EDWARD �Gs I CERTIFY THAT THE -47 Y.)-5.7"/.tip
E. SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
v KELL, f " AS SHOWN HEREON AND THAT IT CONFORMS TO THE
a �6 00 SETBACK REQUIREMENTS OF THE TOWN OF
EGIsl CONSTRUCTED.
J s�o�dl L! Sy _ DATE47
h'o /d4 .57/P /��T Y -,REGISTERED LAND SURVEYDR
FFof TM f ro
TOWN OF BARNSTABLE Permit No. . ......
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
7 '619
679• °
HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to Howard W. Wollard
Address Lot #13, 126 Governor's Way
Barnstable, Mass.
USE GROUP FIRE GRADING OCCUPANCY LOAD
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.
October.. 19.....8$....... ;'........................
Building Inspector
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M ^C&L
DATA
BUIL' blNg P't"'
, TOWN OF BARNSTABLE, MASSACHUSETTS
DATE •- s 19 1 PERMIT NO? � i) 1
APPLICANT `a't•l i•i c::_ �SfADDRESS o-,
` •(NO.) I S T R 2@TI (CONTR'S LICENSE)
'
dPERMIT TO NUMBER OF
t�i:ljSTOP,yI�. i(�WEILING UNITS
(TYPE OF IMPROVEMENT)N I NO. 9 - (PROPOSED USE) -
i
j AT (LOCATION) i'�-�1- ';:l.� , ._i c'.U l-,'��71.:1_'�;i! I \Y1. -•') i DISTRICT
1f� (NO.) (STREET) _
j BETWEEN AND ,.ys
I (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY -FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN.CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION'
(TYPE)
REMARKS:
AREA OR =t j i u1 2„Ot} PERMIT ilsCl.
VOLUME �' - ESTIMATED COST (�!'( 1
FEE $ 1 '
(CUBIC/SQUARE FEET) . -
u 1 i
OWNER . ..,... -
- BUILDING DEPT.
ADDRESS i..... ... ,.... _ _ 9V A.y
THIS PERMIT. CON-VEYS.NO RIGHT TO OCCUPY ANY STREE'T_;:ALLEY OR SIDEWALK OR ANY PART THEREOF.-EIT HER_TEMPORARI LY OR
® PERMANENTLY ""ENCROACHMEN"f5 ON PUBLIC PROPERTY,.,.N.OT SPECIFICALLY PERMITTED UNDER THE-'BUILDJNG CODE,`MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRA E,S AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANC O.F.c.. IS'PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. I - .
MINIMUM OF THREE CALL APPROVED PLANS US . BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED O PERMITS ARE REQUIRED FORTJTIL FINAL INSPECTION.HAS BEEN
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING ANO
1, FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL -
MINAL INSPECTION
SSE TI TO BEFORE
FINAL INSPECTION HAS BEEN MADE. f
3. FINAL tNSPEC TION 6EFOnE -
OCCUPANCY.
RPST. THIS CARD SO IT IS VISIBLE FROM STREET
BUI' I G I ON APPROVALS PLUMBING INSPECTIONAPPROVALS ELECTRICAL INSPECTION APPROVALS
i y oik
2
2 — 2
��vlf� LsayGs.✓ „�j ��._
3 HEATING INSPECTION APPROVALS" ENGINEERING DEPARTMENT
t N c
fa o 6b
OTHER
2 �R L C) p � •BOARD OF HEALTH '
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LLI"B,��COME NULL AND VOID IF.•CONSTRUCT-ION IM.SPECTIOP�9�'INDICATED ON THIS CARD;CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT 'S, ARTED WITHIN SIB: MONTH'S'OF O'ATE T, E gRRQNGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. L PERMIT IS ISSUED'�;:5.NOTED ABOVE. �' ' , - " 'NOTIFICATION.