HomeMy WebLinkAbout0016 BUCKINGHAM WAY /� �°� �
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' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map D a l Parcel n 5(o Application c ,
Health Division Date Issued
Conservation Division Application Fee Q
Planning Dept. Permit Fee l d t • U�
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation / Hyannis
Project Street Address I LO k��lC hn q InQ;m
Village LGAAA�A_-
Owner Rt k:1 �rQ�Y-� Address 1 h Woo
Telephone 5-0 9- 3 3 5 U D
Permit Request ZA sflablC�,1Im t�f oZ so (a,r oh�a1 +a.ie p s nth d
a SaUt AJntkm&I pon l S —Plok rp�P 6AMAA fed ra.i"IM!Pli e_�a -k yNto t 09��s -e y fj !A
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation R 7 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: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑•No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Q
Basement Finished Area (sq.ft.) Basement Unfinished Area(sgjft)
Number of Baths: Full: existing new Half: existing = ne�v
Number of Bedrooms: existing _new
Total Room Oount (not including baths): existing new First Floor Room Counter
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other `"' rn
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 ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
duia�� � h'% i4ef�' 5o 8--4RR- ��.4 a Name ��} elephone Numberp
Address-po Oa l License # I D a 6 ._7 C
fi1�ll -, �1 �a(a 35 Home Improvement Contractor#
Worker's Compensation # (agum Ramey �
ALL CONSTRUCTION DEBRIS RESULTING FROM T IS PROJECT WILL BE TAKEN TO
ax-�► -a,l�l l r" a
SIGNATURE DATE
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED ► -� -
MAP/PARCEL NO. -
ADDRESS VILLAGE ,
. OWNER
DATE OF INSPECTION:
FOUNDATION
{� FRAME
INSULATION -
FIREPLACE
i
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
*x. FINAL BUILDING
DATE CLOSED'OUT
ASSOCIATION PLAN NO.
o
The Commonwealth of Massachusetts _Print,Form'
oa
Department of Industrial Accidents
{=� I Office of Investigations
d�
_ 1 Congress Street,Suite 100
Boston MA 02114-2017
www.mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information �l Please Print Legibly
Name (Business/Organization/rndividual): CO�Al t cJQ Q f"
Address: F0
City/State/Zip: Q(p35 Phone#: �50 a
Are you an employer?Check the appropriate box: Type of project(required):
1.CYIam a employer with I &1_ 4• ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g• ❑ Demolition
working for me in any capacity. employees and have workers'
insurance.: 9. ❑ Building addition
comp.[No workers' comp. insurance P•
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 1 LEJ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL
12.❑ Roof repairs
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13.['Other S'010jr
comp.insurance required.]
'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
lContractors 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.
I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site
information.
Insurance Company Name: /w'ay-de,ts
Policy#or Self-ins.Lic.#:to�__C,{,(,4 12VPP(o R' J`1 Expiration Date:
Job Site Address: 16 ` ur,,K r n q ho-' ► 1/tl Cat l City/State/Zip:rdul I IW - 00 os—
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.
I do hereby certi the pains an realties o erj that the information provided above is true and correct
Signature:
Phone#: -7 -7+5ZI^� 63I
Official use only. Do not write in this area,to be completed by city or town officiaL
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#•
Rightfax N1-2 4/4/2014 7:23:19 AM PAGE 2/002 Fax Server
.,,. . ""!�:-. DATE(MWDDNYrn
p;r
CERTIFICATE OF LIABILITY INSURANCE
FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE
OR pgopUCM AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the
terms and conditions of the policy,certain pollcles may require and endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorseme s.
PRODUCER CONTACT
NAME:
DON BUNKER INS AGCY PHONE FAX
51 MILL STREET BLDG F (A/C.No,Enk (A/C,Nor
E-MAIL
HANOVER,MA 02339 ADDRESS:
73JCD INSURER(S)AFFORDING COVERAGE NAIC It
INSURED INSURER A: TRAVELERS INDEMNITY COMPANY OF AMERICA-
COTUIT SOLAR LLC INSURER 8:
INSURER C:
INSURER D:
3800 FALMOUTH RD INSURER E:
MARSTON MILLS.MA 02648 INSURER F:
i
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
B OaraITFYTHATTHEPOLICI SOFNSURMCELISTEDBELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR T14E POLICY PERM INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED 08 MAY PERTAN.THE INSURANCE
AFFORDED BY THE POLICIES DESCRIBED HMEIN B SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY
PAD CIADMS.
NSfl ADD SUB POLICY EFF DATE POLICY EXP DATE
LTR TYPE OF INSURANCE L R POLICY NUMBER (WA=YYYY) WLWDIYYYY) LIMITS
GENERAL LWBIUTY CH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY
AMAGE TO RENTED $
CLAIMS MADE OCCUR. REMISES(Ea ocaurence)
ED D(P(Anyone person) $
ERSONAL&ADV MUURY S
GENL AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE S
POLICY aPROJECT[-_-]LOC RODUCTS-COMP/OP AGG S
AUTOMOBILE UABILITY COMBWEDSINGLE $
ANY AUTO LIMIT(Ea accident)
ALLOWNED AUTOS BODILY MUURY $
SCHEDULE AUTOS (Per person)
HIRED AUTOS BODILY MUURY S
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE S
(Per accident)
RUMBRELLA LIAR OCCUR EACH OCCURRENCE $
XCESS LIAR CIAI s-woE AGGREGATE $
DEDUCTIBLE $
RETENTION S $
A WORKER'S COMPENSATION AND X I WC STATUTORY OTHER i
EMPLOYER'S LIABILITY YIN U8498BP868-14 032612014 03f2612015 LIMITS E
ANY PROPEWTORIPARTNEWEXECUTIVE Y N/A E.L EACH ACCIDENT $ 500,000
OFFICEWMEMBER EXCWDED?
(Mandatary in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000
Ifym dw•rnbe under E.L.DISEASE-POLICY LIMITS 500,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERA710NSILOCA7IONS/VEMCLESIRESTRICTIONS/SPECIAL ITEMS
THIS REPLACES ANY PRIOR CERTITTCATE ISSUED TO THE CERT[RCATS HOLDER AFFECTING WORKERS COMP COVERAGE
CERTIFICATE HOLDER CANCELLATION
CONRAD GEYSER SHOULD ANY OFTHE ABOVE DESCRIBEDPOLICIES BE CANCELLED
BEFORETHE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED
3800 FALMOUTH RD IN ACCORDANCE THE POLICY PROVISIONS.
AUTHORIZED REPRESENT :!E.:
MARSTON MILLS,MA 02648
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved.
�oF-WEro Town of Barnstable'
Regulatory Services
I : snexsraar�;
y . Thomas F.Geiler,Director
039. Ok� Building pivision
Tom Pcrry, Building Commissioner
200.Main 3(rcxt, Hyannis,MA 02601
www.town.barnstable.rzia.us
Office. 508-862-403 8 Fax. 503-790-623 0
Property Owner Must
Complete and Sign This Section
if UsiD.Z.A Builder
Z, L"'Ssef t -*r-mre ,as.Owncr of the subject property
hctcby_authoriz-e v r �� er$ 1'� o'10lAf U,� �0 10.r to act on my be4alf,
in all matters relative to work authoti7ed by this lading pet-indE application for.
I � `3ucK►�nghc�;-►., I,Ja� Cod-t,�i� - - ..
(AddA,tis of fob} j
F>a,te
Pi�it.Narne
If Property Owncc is applying for permit please complete the,Morneo.vriers License
Excmption Fonn.on the.reverse side.
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turn c, solar energy --- --
ORION SERIES MODULE -� - -
The Orion Series provides exceptional performance. ;-.
r
Utilizing 60 grade A solar cells,Orion Series solar modules are
perfect for residential rooftop to megawatt size utility scale
i
projects. The poly crystalline module is manufactured to ---- -
provide excellent conversion efficiency and maximum i
kilowatt/hour production. All cells are individually flash -- -- - -
tested and each assembled module is quality assured to
exceed warranty performance and quality.
MODULE FEATURES
High-efficiency solar cell construction
-Cell Conversion Efficiencies Up to 17.8%
-Nominal 24 V DC for standard output
-Non-leaded and tin coated ribbon and wash free soldering flux ' I EC
—.
-High transmissivity low-iron 1/8"tempered glass
-Light anodized aluminum frame to prevent the occurrence of
water freezing and warping
-Cross-linking rated above 80% �.,�• 1
-Fully automatic lamination technology n '
-10 Years Performance Guarantee for 90%Performance Output u
-25 Years Performance Guarantee for 80%Performance Output i ,��•
ORION SERIES POLY-CRYSTALLINE SOLAR MODULE
ECOXXXS156P-60
Specifications and Data Temperature Coefficients
Panel Dimensions 64.4"x 39.1"x 1.6°(1636mm x 994mm x 40mm) Nominal Operating Cell Temperature(NOCT) 1150F+35OF(460C+20C)
Weight 41.9 lb(19 kg) Temperature Coefficient of ISC(a) 0.0538%/OK
Cells Poly-Crystalline 6"x 6"(156mm x 156mm) Temperature Coefficient of VOC((i) -0.332%/OK
Glass 1/8'(3.2mm)Tempered Glass Temperature Coefficient of Pmax -0.477%/OK
Frame Anodized Aluminum Alloy;Color:Silver
Junction Box IP65 Rated Junction Box with Bypass Diodes
Cable 4 mm'solar cable(RHW AWG#12) Permissible Operating Conditions
Connector Multi-Contact(MC4)PV plug connectors
EVA EVA Operating Temperature -40OF to+1850F(-400C to+850C)
Backsheet TPT/TPE Maximum Hail Diameter @ 43Mph(80Km/h) up to 1"(25mm)
Wind Impact 5 2400 Pa
Snow Impact 5 5400 Pa
Electrical Data
Pmax Max System Standard
Model (±3%) Vmp Imp Voc Isc Voltage Test Conditions
- -
ECO23OS156P-60 230W 29.80V 7.71A 37.1OV 8.21A
ECO235S156P-60 235W 30.10V 7.81A 37.30V 8.31A Irradiance:1000W/m2
ECO24OS156P-60 24OW 30.30V 7.91A 37.50V 8.40A
ECO245S156P-60 245W 30.70V 7.98A 37.70V 8.47A DC 600V(UL) AM:1.5
ECO250S156P-60 25OW 31.00V 8.06A 37.80V 8.56A Temperature: 770F(250C)
ECO255S156P-60 255W 31.30V 8.15A 37.90V 8.65A
ECO26OS156P-60 260W 31.60V 8.24A 38.00V 8.75A
Dimensions ORION SERIES 235 Watt IV Curve I Various Irradiance
10 1000WIm' Cell temperature 26'C
97.14 S
0►Mr11n0
6
600WIm'
7
rs aewooffF
Ail ... 6
66 600W/m'
6
4
'Ile
Cables 3
2 200W/m'
m
1
0
/ Back View ° 0 10 20 30 40
connectors Voltage M
ORION SERIES 235 Watt IV Curve I Various Cell Temp.
to
s
e
5s.,• II 7
0194mm) L Q
'r 6 75°C
6
60°C
4
3
26°C
2
CAUTION:READ INSTALLATION INSTRUCTIONS BEFORE HANDLING,INSTALLING,&OPERATING THIS PRODUCT 1
Technical Specifications&Data are subject to change without prior notice,contact ecoSolargy for latest data. 0
®July 2011 ecoSolargy Incorporated.All rights reserved.
0 6 10 16 20 26 30 36 40
Voltage M
"Now Values at Standard Test Conditions(STC)=Irrodionce:t000W/m2,Air Mass:1.5.Module Temperature 77°F(2eQ
iL4& Printed on recycled paper using soy-based inks
1370 Reynolds Avenue, • Irvine, California92614 :1: ' info@ecoSolargy.com
• 16 Buckingham Way Cotuit—Russell Frayre
A roof top solar installation consisting of 22 photovoltaic panels and 2 solar thermal panels. The photovoltaic panels are 3'
x 5'and weigh—2%: Ibs/ft2. The solar thermal panels are 4'x 10'and weigh 3'/:Ibs/ft2. The roof structure consists of 2x8
rafters 16" on center with a horizontal span of 14'5". The chart below shows a maximum allowable horizontal span of
1$0NW JMoDw.E�' PlL,OrMA '+f
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16 Buckingham Way Cotuit—Russell Frayre
A roof top solar installation consisting of 22 photovoltaic panels and 2 solar thermal panels. The photovoltaic
panels are 3'x 5'and weigh—2%:Ibs/ft2. The solar thermal panels are 4'is 10' and weigh 3% Ibs/ft2. The roof
structure consists of 2x8 rafters 16" on center with a horizontal span of 14'5". The chart below shows a maximum
allowable horizontal span of 15'1".
Maximum Span Calculator The Maximum Horizontal Span is:
for wood Joists & Rafters 15 ft. 1 in.www.awc.o r
Species Spruce Pine Fir • with a minimum bearing length of0.63 in.
Sire zXs - required at each end of the member.
Grade No, .2 -- — — - --._ - Pi Value
Member Type I Rafters(Snow Load) •' Species Spruce-Pine-Fix
Deflection Linut qJ eo __ _.... _._.. Grade I No.2
4acmg(n) i 6 _. - -- -- — - - -- Size 11M
Wet service conditions? Modulus of Elasticity(E) 1400000 psi
Exterior Exposure NO •Incised lumber? Bendirkg Strength(Fb) 1388.62 psi
No • : Bearing Strength(Fcp) 11425 psi
Snow Load(p- 30 Shear Strength(F�) 155.25 psi
Dead Load(psf) :1 - _
- _ Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 146276
Type: Supplement Card
Expiration: 4/8/2015
COTUIT SOLAR
CHRISTOPHER PETERSON
3800 FALMOUTH RD.
MARSTONS MILLS, MA 02648
Update Address and return card.Mark reason for change.
sCA 1 0 2OM-0511I [� Address Renewal Employment Lost Card
/'c rCcl�rrrirourncal(�o/'F�'�jararic�risr.//;
\— ice of Consumer Affairs&Business Regulation License or registration valid for individul use only
- ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
fat Office of Consumer Affairs and Business Regulation
RegistratiorU'l46276% Type: 10 Park Plaza-Suite 5170
Expiration: 4/8/2015: : Supplement card Boston,MA 02116
COTUIT SOLAR
CHRISTOPHER PETERSON•
P.O.BOX 89
COTUIT,MA 02635 Undersecretary Not valid without signature
1 Massachosetts -Department of Public Safety
t
Board of Building Regulations and Standards
Oinaructioin Super%i+ur
License: CS402975
CBRISTOPHER C-PETERSON
41 THATCHER HOLWAY ROAD
MARSTONS ACOA S MA 02648
xmrat!on
10/07/2014
Commissioner
YOU_WISW TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures'on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is
required by law.
DATE: —aoI, Fill in please:
t'.:a'r;S; ".�, ?,ii �.S;s' ;a.. y;�• :) YOUR NAME/S: U S%Q_LL
xa,�,•,�,:�:;,:,�•s..:_1;il.1�� `z': �;�, APPLICANT'S '
MA� �'•.
I' �` �1 �% ': BUSINESS YOUR HOME ADDRESS: l b B �Gl�i ►^�4 --
`1„s, l� y i t., ,r ,+ti �" V/vl D2
TELEPHONE # Home Telephone Number Ics ZC, b�
d ,illv�iJN.d EIN #: a7—L(� p2$ d
E-MAIL: , 0.�
NAME OF CORPORATION:
NAME OF-NEW BUSINESS k TYPE OF BUSINESS VYIo-k:;;, 0 5 5,
IS THIS A HOME OCCUPATION? YES NO O'?Jo3j
ADDRESS OF BUSINESS. .16 K. h � C,:J Z�a'�"`{ Vv` MAP/PARCEL NUMBER . D — O (Assessing)
When starting a new business there are.several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth
Rd. & Main Street) to make sure'you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COMMISSIONER'S OFFICE
This individual has been informed of any permit requirements that pertain to this type of business.
__Authorized Signature**
COMMENTS:
2. BOARD OF HEALTH
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
3. CONSUMER AFFAIRS(LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS: .
Town of Barnstable
v Regulatory Services
F SHE 1p�
o Richard V. Scali,Director
n&axsxnsi.$.
Building Division
Mnss. Paul Roma,Building Commissioner
1639. s�0�
�1Dlfo 3 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us'
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee:
Permit#:
HOME OCCUPATION REGISTRATION
Date:0-'1
Name: TZ— z sc 11 F`c- Phone
Address: i(o C'N Rx-A;-� Village:Cam' 'i-1 Vv,N 6:Z4 3
Name of Business:
Type of Business: o(r�, e \ dam. sS`��+ --Map/Lot: -a Z l—oS(o
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter, odors,electrical disturbance,heat,.glare,humidity or other objectionable effects.
• There is no storage or use of toxic-or.hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included
• _No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwellin t
1,th dersigned,have r ad and agree with the above restrictions for my home occupation I am registering.
Applicant:
Homeoc.doc Rev.06/20/16
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03, 2
$10.00 Gas Fees Janua
03, 2(
$50.00 . Gas Fees Janua
03, 2(
$65.00 Gas Fees Janua
03, 2(
$50.00 Gas Fees May 1
per day 2012
$15.00 Gas Fees Novei
Each 20, 2( j
$50.00 Gas Fees Novei
each 201 2(
ent $40.00 Plumbing/Gas Janua
Combination Fees 041 2(
nt $70.00 Plumbing/Gas Janua
Combination Fees 03, 2(
"ion $150.00 Plumbing/Gas Janua
Per Combination Fees 031 2(
Inspection
i
Assessor's Office(1st floor) Map a& Parcel (vO&Cmit#
Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Ii Date Issued
Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) S 9y �'� e
Engineering Dept. (3rd floor) House#
Planning Dept.(1st floor/School Admin. Bldg.) B
/� _ •J' ! �RMASS.LE
i ve-Plan Approved by Planning Board r 19_--1 M °� c .e
TOWN OF B RNS �� ED IJ.SN COAPLIA SCE
Building Permit ApplicaIMc '6RC)NME TAL,CODC- XMD
roje Street Address &CZ/
TOWN REGULAT ^-'
Village C��, d /I
Owner Address 15rl
Telephone S: L /
Permit++Request IO I U/�f� ���
First Floor �� square feet 9 6,
Second Floor �� square feet
Estimated Project Cost $
Zoning District�� Flood Plain Water Protection
Lot Size /�_ 1;eve— Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type__�� ��'✓H�
Commercial Residential
Dwelling Type: Single Family !� Two Family Multi-Family
Age of Existing Structure Basement Type: Finished
Historic House Unfinished tl
Old King's Highway
Number of Baths No.of Bedrooms 3
Total Room Count(not including baths) First Floor
Heat Type and Fuel 042 b ¢ral Air Fireplaces f
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name vWL C Telephone Number
Address License# Qy9 ;23L
Home Improvement Contractor# &V 52
Worker's Compensation#2—e'9 ow ael � 7,?
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT. J
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATUREC DATE ��— Odd ?
BUILDING PE jT DENIE OR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PERMIT NO. I �
DATE ISSUED r r
MAP/PARCEL NO. ' r
ADDRESS '� VILLAGE r _
OWNER -
DATE OF INSPECTION:
FOUNDATION �D"�►'�6.
FRAMEt r
INSULATION
FIREPLACE '
ELECTRICAL: ROUGH! ;. ? FINAL
PLUMBING: ROUGH) FINAL
r
GAS: ROUGH FINAL
FINAL BUILDING ^� 7
DATE CLOSED OUT r r r r
ASSOCIATION PLAN NO. - r
• r
r r
The Town of Barnstable
f pFIKE A '.
BARNSfABLE. ' Department of Health Safety and Environmental Services
MASS.
i 1639. .0
+ �fc,,o•" Building Division
367 Main Street,Hyannis, MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection 1�
Location VAAA Permit Number
Owner a fM (�, Builder �- � �)
One notice.to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
A'
. i
Please call: 508-790-6227 for re-inspection.
Inspected by
Date L-
s
ALBERT J. SCHULZ
20269cro.ltr ATTORNEY AT LAW
WILLIAM CHARLES PLACE
7 PARKER ROAD
OSTERVILLE,MASSACHUSETTS 02655-2034
TELEPHONE(508)428-0950
FACSIMILE(508)420-1536
July 2, 1996
Ralph Crossen
Building Inspector
Town of Barnstable
367 Main Street
Hyannis, MA 02601
RE: Assessor's Map 21 , Parcel 56
Current Owner: SPYRO MITROKOSTAS
Dear Mr. Crossen:
I have examined the deeds comprising the chain of title to the above captioned premises
and the deeds comprising the chain of title to the three parcels that adjoin this parcel, namely
parcels 48, 55 and 57, since June 1, 1913. Based on my examination, I certify that Parcel 56 has
not been held in common ownership with Parcels 48, 55, or 57 since October 3, 1975.
The plan, recorded in Plan Book 271, Page 56, bears no date of endorsement by the
Planning Board. However,the Town Clerk's certification is dated May 31, 1973. Therefore,
since parcel 56 was not held in common ownership after the expiration of the freeze period, it is
considered a legal non-conforming lot.
Should you have any questions regarding this matter,please feel free to call me.
Si erely,
Albert J. Sc z
AJS/dab
' Enclosure
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DEPARTMENT OF PUB L C SAFETY
ONE ASHBURTON PLACE, RM 1301
BOSTON, MA. 02108-1618
License: CONSTRUCTION SUPERVISOR AUG 3
Number Expires
JOSEPH C VAUGHN Detach bottom, fold sign on
43 TROTTERS LN back, and laminate license card.
MARSTONS MILLS, 11A 02648 Keep top for receipt and change
of address notification.
I fONS: 1G
/ee Gryv�earu�«l o`�✓��a�cc✓u�aella ;
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a ,HOME .'IMPROVEMENT CONTRA C TORS .REGISTRATION j
Board of . Building Regulat ons , and!..Standards.. I
One -Ashburton-Place R60-m=,.-V301
Boston, Massachusetts02108 I
_ I
•HOME '•IMPROVEMENT CONTRACTOR
7----------------------------
Registration 100513 ? 'Expiration-'406/1.9/98•- -I
Type — DBA I. ' Fl.
HOW IMPROVEMENT.CONTRACTOR
I: "Registration 100513
VAUGHN HOMEBUILDERS I Type- 08A
Joseph C . Vaughn-
Expiration 06/19/.98
43 .Trotters Lane
Marston Mills MA 02648 n i VAUfiHM HOMEBUIIDERS
G� .. .°Joseph C.•Vaughn
Trotters Lane
JJI noMiwslFu,TOR Narston Nills MA 02648
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•" Town of Barnstable *Permi Q
6,m„� ,issue aor<
Regulatory Services lee
11A8� 82013 Thomas F.Ceiba,Director
�bs¢
T F Building Division o
ARIVS Tom Perry,CBO, Building Commissioner V
rAB�F 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
i Map/pa rcel Number Not Valid without Red X-Press Imprint
Property Address
[94te"sidential Value of Work 000 Minimum fee of I$35.00 for work under$6000..00
Owner's Name&Address '�txS fuga (y_
Contractor's Name Pc& c k ( .�J d c,r0l Telephone Number 7 7� '72 3-a5 2a
Home Improvement Contractor License#(if applicable) J 7 R tom/ 72—
Construction Supervisor's License#(if applicable)
❑Workman's Co pensation Insurance
Che one:
I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Requ (check box)
ff Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
#of doors
❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*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 Qwner Letter of Permission.
A copy of the Home Improvement Co ctors License&Construction Supervisors License is
re aired. `
SIGNATURE:
C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc
Revised 053012
valid for in
dividul use...only
License or registration .
date If{0°nd return to' lation
iration and Business Reg
before the QgP er Affairs
' consumer
r` Office of Suite
;v
P• tt y i 4'.
it out signature
Not valid w _
Massachusetts - Department of Public Safety
~ Board of Building-Regulations and.Standards
}. Construction Suocn4sor Specialty
=l. License: CSSL-105951
J
PATRICK CLIFFQ'RD
'? 12 BALDWIN RaAD
Dennis MA 02639. '
Expitatic
Y
Commissioner 06/02/2016
Jt r tt
f`�-i
77
�- Massachusetts -Department of Public Safety.
�-
1 Offce� om a, ,°s�,nesg �y Board of Building Regulations and Standards
HOME IMPROVEMENT CQNTRACTOR [1�� C��nscruction Supers isor Specialty
Re istration: fIr i License: CSSL-105951
9.. 17.472 Type:
: Expiration: t6 L�7 014 LndNidual
"P t: ICK CLIFFO . PATRICK CLIFF9RD >
12 BALDWIN ROAD' 1
Dennis MA 02,639 ° l
PATRICK CLIFFrk
.12 BALDWIN RD I . i
_ Q a
` r 1� g t .,� ; � � `' Expiration
DENNIS`, MA 02638 06/02/2016
5 Undersecretary
't commissioner
j
I
i
f BARMUBMf
UL 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: 508-8624038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
' a
I, Ross F y a y r e , as Owner of the subject property
hereby authorize- P f r c,Ic G 1 t PLA to act on my behalf,
in all matters relative to work authorized by this building permit application for:
I C' ( cU C-6y)AV'0' Wl tnl a u
(Address of Job)
Signature of OZner - Date
(Z u5.5 Frc yr�
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
C.\Users\decollik\AppData\L.ocaiNicrosoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBMEXPRESS.doc
Revised 053012
The Conrnrontvealth of Massadouseas
Department of Lulashial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
rvrvw.mass gov/dia
Workers' Compensation Insurance Affl&vit: Bmlders/Contractursinectrici ans/Plumbers
Applicant Information Please Print Leidbly
None(BasinessiOrganizatiou&dividnel): 1"
Address: J Z LJL�i Y)
City/StaWZip: A (J 2 G li Phone# WY 7 ,
Are you an employer?Check the appropriate box: Type of project(required):
L❑Xamlaysole
mployer with 4. ❑ I am a general contractor and I
exs(full and/or part-time)-* have hired the sub-contractors6- ❑New construction
2. proprietor or partner fisted on the attached she& 7- ❑Remodeling
ship and have no employees Theme sub-contractors have S. ❑Demolition
vwrkitoig forme is any capacity- �11 and have wodrm' 9. ❑Building addition
[No wodcers'comp-insurance omp
required.] 5-❑ We are a corporation and its 10.Q Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have excised their 11.0 Plumbing repairs or additions
myselfo workm' right of exemption per MGL L�
insurance required,]T c. 152,§1(4�and we have no 12. Roof repairs
employees-[No workers' 13.0 Other
comp.insurance required.)
'Any anbczar dw checks ban#1 nmst also tip-out the section below sho>.iag thffi workers'compensation pobcy infa»mmucit-
T Homeowners who snit this affdwa iadirsting they are doing all wad and thin hue outside counsctors ttmst submit anew affidavit iodintmg such.
rfannac=s that check this bom most awctied m addimnal sheet shmtmg the t»®e of the sub-caanacmts and state whether at not those a have
employees. Uthe sub-connactots have employees,they toast provide d—warns'camp-pobcy -
I ant an employer that is protdding workers'conrpensadon insurance for my enployem Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins-lie-41 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 41,500.00 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 Ste Office of
Investigations of the DIA for insurance coverage iwification-
I do hereby certify u►tder the its and pena my that the information pro ded above is true and correct
Si ture: Date: 3 Z
Phone#:
Official use only. Do not write in this area,to be complded by city or tmew of'icia[
City or Town: PermitUceuse#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.Cityrrown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
•' TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY
PARCEL ID 021 056 GEOBASE ID 966
ADDRESS 16 BUCKINGHAM WAY. PRONE
Cotuit ZIP -
_ r I
,LOT 61 BLOCK `' LOT SIZE
;IBA DEVELOPMENT DISTRICT CT
E RMIT .- 20735 DESCRIPTION SINGLE FAMILY DWELLING CPMT.#].7469)
PERMIT<' TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS:ARCHITECTS: Department of Health, Safety
and Environmental Services
TOTAL FEES:
( BOND $.00 Ox1NE
CONSTRUCTION COSTS $.00
l
i
756 CERTIFICATE OF OCCUPANCY * HARNSTABLE, s
MASS. I
OWNER FRAYRE, RUSS 1639.
ADDRESS 51 COMPASS LANE ED MICI
MASHPEE,. MA BUILDI . DIV -ION
BY
.DATE ISSUED 01/27/1997 EXPIRATION DATE
TOWN OF BAR STABLE "tv
BUILLDING• P IT
PARCEL ID 0211056 GEOBASE ID 966
ADDRESS 16 BUCKINGHAM WAYS _ PHONE
. Cotuit ZIP
_ LOT 61 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CT
PERMIT 17469 DESCRIPTION SINGLE FAMILY DWELLING (SEW PMT.#95-94
PERMIT TYPE BUILD TITLE NEW RES'IDENTYAL BLDG PM7'.
CONTRACTORS: VAUGHN, JOSEPH. - Department of Health, Safety
ARCHITECTS: and Environmental*Services .
TOTAL FEES: $328.38 THE
BOND $.00 .
CONSTRUCTION COSTS $106,930.00
10.1 SINGLE FAM HOME DETACHED 1 PRIVATE P.4*:�BA�RNISTABLF,
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OWNER FRAYRE, RUSBEDMA'��`
ADDRESS.' 51 COMPASS LANE
BUILD VIISIO,
MASHPEE, MA ( BYE .".."'.. `
DATE ISSUED 08/23/1996 ' EXPIRAT.HON DATE
,THIS,PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR,SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN .
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS'THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROWTHE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
9.FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
'1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT•BE ELECTRICAL,PLUMBING AND MECH- j
ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. - ++
4.FINAL INSPECTION BEFORE OCCUPANCY.
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BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
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3 1 `HEATING IN TION APPROVALS E E G PARTME
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OTHER: SITE A REVIEW APPROVAL
w WORK SHALL NO ROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORKgk NOT STARTED WITHIN SIX CARE,CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS.OF,DATE>T'HE PERMIT IS ISSUED AS TEL&HONE OR WRITTEN NOTIFICA-
TION. . NOTED ABOVE. ,•' IT '4-
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