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`pFTHE►o Town of Barnstable
BARNSTABLE.
Regulatory Services
•
MASS.
t6yq.
Or, g
Buildin Division
A,fOpAp� �3�"���.r..
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 � }
Fax: 508-790-6230 -. }
-
'tr
Inspection Correction Notice
Type of Inspection
Location JrZ 8t 1-lv-r l r la-4c, I q I VF Permit Number
Owner ' �� C� Builder 16 <'�4-b
One notice to remain on job site, one notice on file in Building Department.
The following items need correcting: I
'( l 9A N,6 R L rU L4 , -r f r— `ru t2 n 1iU?o LJ 409-LL
4r
i
� I
Please call: 508-862- rS for re-inspection.
Inspected by /q 12.,, /
2
i Date
a
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION.
Map s` Parcels yo ��� 2y, Application
Health Division Date Issued LA
Conservation Division , Application Fee J
Planning Dept. Permit Fee � �
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation / Hyannis
Project Street Address .52 F 60Z:U,(T &4 Y Ar'JVe
Village �af•�
Owner G Q _`' -�// Address 52 'f��sa� T ;/3RV 6nI-re
Telephone
Permit Reqdest /(A/ 14 w4 Se MC- N T
Square feet: 1.st floor: existing proposed. 2nd floor:.existing proposed Total new
Zoning District Flood Plain Groundwater Overlay a
Project Valuation �9 0 °O'9 Construction Type
Lot Size_ 3`I,5113 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: 0 Full CQ 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: 3 existing —new
Total Room Count (not including baths): existing 7 new First Floor Room Count
Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other
�a
i Q
Central Air: X Yes ❑ No Fireplaces: Existing New Existing wood/coal stogy ❑KYes �(No
Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: O existing 0 new; size_
Attached garage: I existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: f! CX)
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ �9 i'
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name �. / � frvl Telephone Number
Address o? W r' r/�� License#
S ✓✓16?J' Al= e)EE Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE cr.— DATE
3/
' `FOR OFFICIAL USE ONLY `
APPLICATION#
DATE ISSUED i
MAP/PARCEL NO.
=7 ADDRESS VILLAGE
OWNER
f DATE OF INSPECTION; -
FOUNDATION
FRAME o z -4XL ®� ,QA)
rJ
'INSULATIONN l 3 0��2�C v
V
FIREPLACE
3
ELECTRICAL: ROUGH FINAL
-PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING /✓R 3y� O R!N �or.PFrue�/� .
t
k ma w H v"l t4rc
DATE CLOSED OUT 7
ASSOCIATION-PLAN NO.
T Town of Barnstable
Regulatory Services -
MAS& Thomas F. Geiler,Director
TEo 3F9,I& Building Division
Thomas Perry, CBO,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barns.able.ma.us -
Office: 508-862-4038 Fax: 508-790-6230
PLAN REVIEW
Owner: �E L I Map/Parcel: 0 S&
Project Address .6A8 at(17'&y.Z 0,5 Builder: j611z b
The following items were noted on reviewing:
.. z � �� /�t/Sc���-r�onT. NET d � tQ�3 .h•�►�h-.
Reviewed by: ✓�? /�
Date: . ''��� 7 lt)�f
Q:Forms:Plnrvw
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
lvww.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information }� Please Print LeZibly
Me Na Business/Organization/Individual): � ea,,la 4,/ go-we OU/Ly(y G3e t�iPl'1�1D��°/f ytG_
Address: 1,te�v1�;Gr vv,�vt G�/ se w 'wo'VA+ Nit
City/State/Zip: Phone.#: �/
Are you an employer?Check the appropriate bog: Type of project(required):
1.I� I am a employer with / 4. ❑ I am a general contractor and I 6. ❑New construction
. employees (full and/or part-time).* have hired the sub-contractors
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
workingfor me in an capacity. employees and have workers'
Y P h'• $ 9. ❑Building addition
[No workers' comp.insurance comp. insurance.
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 I LE]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
comp, insurance required.]
'Any applicant that checks box of 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.
tContractors 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.
Iam an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site
information.
Insurance Company Name: / /��y o f
Policy#or Self-ins. tic. M -03 1 L J L6 '" } ' 07 Expiration Date: J uk
Job Site Address: S CO7/il�!-!�' /�✓�/�Q. City/State/Zip: eC,llui/r ! U�L)S
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 Iead 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 WA for insurance coverage verification.
I do hereby certi nder the and penalties of perjury that the information provided above is true and correct:
Si ature: Date: Y'c c,it-
Phone#:
Official use only. Do not write in this area,to be completed by city or town official
r City or Town: Permit/License#
Issulug Authority(circle one):
E Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
s-.
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees:
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced-acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary,supply sub-contractors)name(s),address(es) and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. 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 printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current
policy_information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The.Office of Investigations would like to thank you in advance for your cooperation and should 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 t
600 Washington Street
Boston, MA 02111
TO, #617-727-490:0 ext 406 or 1-877-MASSAFE
Fax# 617-727-7744
Revised 1.1-22-06
www.mass.gov/dia
i
RightFax N1-1 4/1/2008 7 : 43 : 54 AM PAGE 3/003 Fax Server
ACORD. CERTIFICATE OF INSURANCE DATE(MM\DD\YY) 04-01-08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
LOVEQUIST-MURRAY INS HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
PO BOX 38 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
bVEST DENNIS,MA 02670
COMPANY
75SCH A TRAVELERS DIRECT ASSIGNMENT
INSURED COMPANY
B
WINDJAMMER HOME BUILDING&
REMODELING LLC COMPANY
2 WINDJAMMER LANE C
SOUTH YARMOUTH,MA 02664 COMPANY
D
COVERAGE
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING
AN Y REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE
AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY
PAD CLAIMS.
CO POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM\DD\YY) DATE(MM\DD\YY) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $
CLAIMS MADE OCCUR. PERSONAL&&ADV.INJURY $
OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $
FIRE DAMAGE(Any one fire) $
MED.EXPENSE(Anyone person) $
AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS BODILY INJURY(Per Person) $
SCHEDULE AUTOS BODILY INJURY(Per Accident) $
HIRED AUTOS PROPERTY DAMAGE $
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTOS AUTO ONLY-EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGREGATE $
EXCESS LIABILITY
UMBRELLA FORM EACH OCCURRENCE $
OTHER THAN UMBRELLA FORM AGGREGATE $
WORKER'S COMPENSATION AND
A EMPOLYER'S LIABILITY UB-0354L833-08 02-08-08 02-08-09 STATUTORY LIMITS X
THE PROPRIETOR/ EACH ACCIDENT $ 100,000
PARTNERS/EXECUTIVE X INCL DISEASE-POLICY LIMIT $ 500:000
OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $ 100,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIRESTRICTIONS/SPECIAL ITEMS
THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
TOWN'OF BARNSTABLE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT
BARINSTABLE BUILDING DEPT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY
200 A'IAIN ST KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
HYANNIS,MIA 02601 AUTHORIZED REPRESENTATIVE
ACORD 25-5(3/93) Charles,J Clark
•. _ ,per �l:e -Po7.vnzo�nu�ea�i o�./�aaaaclu�aet2a '
�\ Board of Building Regulations and Standards
License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
- Registrafiori:, 158989
Board of Building Regulations and Standards
Eicpiratio`n_:_3L 4/2010 Tr# 265546 One Ashburton Place Rm 1301
e:-:Ltd ' Boston,Ma.02108
lability Corporation
WINDJAMMER HOME=BUILDING&'REMODELING LLC
` t
• > JAMES BIRD ����—f
2 WINDJAMMER
SO.YARMOUTH,MA 02664 Administrator Not valid without signature
�w Board of Building Regulations:and Standards.
I Construction SupeivisorLicense e.
Lice se: CS
96546 {
t F �� B•irthdateN
1/26/1§72
u a xpir do 26/2010 Tr# 9.6546 P
Rest ction-00
JAMES BIRD
2 WINDJAMMER �,- _ -
rSOUTH YARMOUTH,M .
Commissioner ti
Y
•1
1.
tr
+ � 1
THE T°��
Town of ]Barnstable
Regulatory Services
4
4 $" HASS. ' Thomas F. Geiler,Director
y Mass. g �
4i0rEn Nw+A�v, 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 to act on my behalf,
m 4matters relative to work authorized by this building permit application for:
C0774-,;I i Ali9 D 2.6 3 S�
(Address of job)
Signature of Ownt5r Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
Q.FORMS:O WNERPERMISSION
op THE rp�
Town of Barnstable
Regulatory Services
BARNSTABLE, Thomas F. Geiler,Director
9 MASS.
�,,, i659• ,�� Building Division
lED MA'I A
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-occupae.d 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 ovens 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 pemut. (Section 109.1.1)
The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other
applicable codes, bylaws;rules and regulations.
Th".rrdMtlgned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
nunimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements. '
Signature of Homeowner
Approval of Building Official
I
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. I
HOMEOWNER'S EXEASPTION
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, i
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 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
F
i
_-4-5 r ,
I6 61 S�AK✓o�>e
A�
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map
Parc I_ V Permit#
Health Division I u — 70 Date Issued
Conservation Division ' Fee 2.5, e
Tax Collector Application Fee V ��
Treasurer
CheMp1TIyG SEPTIC SYSTEM!
Planning Dept. y -, a. gsS
LIMITED TO � �"�' '
Date Definitive Plan Approved by Planning Board Approved By
Historic-OKH Preservation/Hyannis
Project Street Address oZy wro IT ;3 kkY F
Village C'�j a i
Owner 1. 14 , T*1M Address
Telephone
Permit Request eymNSquare feet: 1st floor: existing— proposed 2nd floor: existing proposed Total new
J-�>*uation Zoning District Flood Plain Groundwater Overlay
Construction Type
Q Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
� v /
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
j Basement Type: Ofull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
2 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
2
-Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
2 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
I
BUILDER INFORMATION
6l 1Z�� 1 Telephone Number Name 9-2 JL
Address �_ ��� ( � �� License# 01
o�l�2i V I LLF Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULT G OM THIS rPJECT WILL BE TAKEN TO TMJ� 00M A
�
SIGNATURE DATE
FOR OFFICIAL USE ONLY
R ,
0
PERMIT NO. >
DATE ISSUED
MAP/PARCEL NO.
ADDRESS , VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION ,
FRAME
e � ,
INSULATION /. � �`Y.EsC��;'�,i�'✓
FIREPLACE
ELECTRICAL: ROUGH FINAL ,
PLUMBING: ROUGH FINAL,
GAS: ROUGH-_l FINAL"
r`;
FINAL BUILDING !!
DATE CLOSED OUT'f
ASSOCIATION PLAN,NO. .�
f
.F Town of Barnstable
Regulatory Services
sst Thomas F.Geiler,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Permit no.
Date a
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more that►four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. '
Estimated Cost SJ
Type.of Work: N1017� pp -
Address of Work:
Owner's Name: (-
Date of Application: ln�k
S'
I hereby certify that:
Registration is not required for the following reason(s):
OWork excluded by law
OJob Under$1,000
[]Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply forl permit as the agent of the owner:
Date Contractor Name Registration No.
` OR
Date Owner's Name
Q:forms:homeaffidav
i •
Town of Barnstable
Regulatory Services
ti ':aixss L Thomas F.Geiler,Director
. 75� ���� Building Division
�D l9S�
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstabie.ma.us
office: 508-862-403 8 Fax: 508-790-623 0
Property Owner Must
Complete and Sign This Section
If Using A Builder
proper bj as Owner of the subject I l P PAY
hereby authorize � � � L ' to act on my behalf
in all matters relative to work authorized by this building permit application for:
(Address of Job)
� Ili /09 4-
Signature of er. Date
�Nay�s J MFG�A
Print Name
Q:FORW:OWIERnRIMSION
. <LjjV
HOME IMPROVEMENT CONTRACTOR
Registrgn: 125334
x .49, njj—1/24/2007
�•_ z'yidual
i PETER C. FITZ
PETER FITZPA
` 20 WINTERFRE
OSTERVILLE, MA �'°yv Administrator
#^ B`.OARp°Of~B;U,ILDI'N:G'REGU;LATI',ONS
lLicense C,'NSTRUCTION SUPf RUISOR
Nunvl er 0492.22
AF ire : d I±9Z2 '. Tr.no: 14422
, >
ResIc e:
R ETER C FIfiZRAT�I F_ J� �/
i PO BOX 1165 ",e- ` g'
OSTE'RVILLE, MA 026 A&nlnistrat`or
i _
Barnstable Assessing Search Results Page 1 of 2
FtidFIwer � - ._... � i�Jd
W"If
^or
Home: Departments:Assessors Division: Property Assessment Search Rbsults+
528 COTUIT. BAY DRIVE 5
Owner:
BOWSER,JAMES C&JANE S Property Sketch Legend
Map/Parcel/Parcel Extension — 1
055 /040/
Mailing Address j BAS-20
BOWSER,JAMES C&JANE S
16
50
%MELIA,THOMAS J ETAL
528 COTUIT BAY DR gg"�
�. 5MT
COTUIT, MA. 02635
3 '30 12
2005 Assessed Values:
Appraised Value Assessed Value
Building Value: $268,400 $268,400
Extra Features: $3,400 $3,400
Outbuildings: $0 $0
i
Land Value: $365,900 $365,900 Interactive Property Map: ap requires Plug in:
jr-
Totals:$637,700 $637,700 1 have visited the maps before . 0� F'O
Show Me The Man �Mllp -
April 2001 photos available _ —
Sales History:
Owner: Sale Date Book/Page: Sale Price:
BOWSER,JAMES C&JANE S TRS 4/20/2004 C172730 $ 1
BOWSER,JAMES C&JANE S 9/9/2002 15568/204 $579,000
TRUELOVE,THOMAS H TR 12/4/1998 11892/022 $ 1
RICE,GEORGE L&SANDRA A TRS 12/4/1998 11892/024 $355,000
TRUELOVE,THOMAS H TR 12/19/1997 C146944 $1
TRUELOVE,T%TRUELOVE,T TRS C79546 $0
2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation)
Land Bank Tax $ 115.74 Town Fire District Rates Other 1
$6.05 Barnstable-Residential $2.12 Land B,
Barnstable-Commercial $2.80
Cotuit FD Tax(Residential) $816.26 C.O.M.M.-All Classes $1.01
Cotuit FD-All Classes $1.28
Town Tax(Residential) $3,858.09 Hyannis-Residential $1.52
Hyannis-Commercial $2.39
http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=055... 11/14/2005
s
TOWN.OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Permit#
Health Division ;,7 70 Date Issued /S d
Conservation Division //�IIOI /9ZL f Fee
Tax Collector :` �,
_.PTIC SYSTEM €UST"
Treasurer /ZG2>/ INSTALLED IN COMPLIAN'CZ
WITH TITLE 5
Planning Dept. ENVIRONMENTAL CODE AND
Date Definitive Plan Approved by Planning Board TOWN REGULATICJJ s
Historic-OKH Preservation/Hyannis
Project Street Address _)CIR Cw,w.. r
Village C .A a
Owner(n 14Y.1 CA Q 6,- Address 0. �
Telephone !so s< L-I
Permit Request (4 X D ) :A
Square feet: 1 st floor: existing D proposed DL 2nd floor: existing proposed Total new 3-b
Valuation f?d h U Zoning District Flood Plain Groundwater Overlay
Construction Type w
Lot Size 30060 T� f Grandfatliered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family 2' Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes d?No On Old King's Highway: ❑Yes dMo
Basement Type: UTull &Crawl Cl Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1 S
Number of Baths: Full: existing new /1 Half: existing 1 new—6 —
Number of Bedrooms: existing_ new
Total Room Count(not including baths): existing new�_ First Floor Room Count
41
Heat Type and Fuel: U/Gas ❑Oil ❑ Electric ❑Other IT-
Central Air: ❑Yes 11211 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing Cl new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:Vexisting ❑new size Shed:❑existing Cl new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded Cl
Commercial ❑Yes , Flo If yes, site plan review#
Current Use R Proposed Use
BUILDER INFORMATION
Name n Telephone Number
Address 0lax �?�+ l Is S P.az %Vr�IT License# _0y
AA 9LA Bqn-a �AtD Home Improvement Contractor#
ya.6� -Worker's Compensation# 390
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO
I
SIGNATURE LDATE �.
>1
FOR OFFICIAL USE ONLY
PEI&IT NO.
DATE ISSUED
MAP/PARCEL NO.
�s. • f y r
ADDRESS. - " may VILLAGE
OWNER }
rpld
=
DATE OF INSPECTION "
FOUNDATION }
FRAME �71,�IE]n&z*=� �
INSULATION
FIREPLACE
ELECTRICAL: ROUGH'- - FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL _
Z
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
d.
f
ESTIMA TED PROJECT COST WORKSHEET
LIVING SPACE 4 Value
(high end construction) square feet X$115/sq. foot:-
(above average construction) square feet X$96/sq. foot=
(average construction) square feet X$57/sq. foot=
GARAGE (UNFINISHED) square feet X�$25/sq. foot=
PORCH square feet X$20/sq. foot=
square feet X$15/sq. foot=
DECK
OTHER square feet X$??/sq. foot=
Total Estimated Project Value
The Town of Barnstable
stable
1659.. `0�' Regulatory Services
Thomas F. Geiler, Director
Building Division
Elbert Ulshoeffer, Building Commissioner
367 Main Street,Hyannis MA 0260I
Office: 508-862-4038 Fax: 508-790-6230
Permit no. .
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: Estimated Cost _.
Address of Work: �.SC C/�f V e� sign, r' �U-e
Owner's Name: _ Cal-d� le�
Date of Application: 6�c" l II ri
I hereby certify that:
Registration is not required for the following reason(s):
[]Work excluded by law
0Job Under$1,000 ' . '
❑Building not owner-occupied
[]Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
, � ' 9,n
Date Contractor Name Registration No.
OR
Date Owner's Name
q:forms:A ffidav
I
The Commonwealth of Massachuse=
Department of Industrial Accidents
• ,� --��- , •� : o1�Iceollaaest/Aaffoos
600 W,ashington Street
- - Boston,Mass 02111
Workers' Compensation Insurance Affidavit
name- �t9�t.e� 0 1 C
cihr phone it `i C1 b c�
❑ I am a homeowner performing all work myself
❑ I am a sole etor and have no one workmg m any capamtv
I am as employer providing workers' easation for my employees vvordng on this job.
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FsOm a to secure coverage as required ceder seedsm 25A of MQ.152 an lead to the tngx=M—of col penalties of a Oae up to SIA00.00 sawor
ow years'tmprbanzamt=weR as dvQ peaald—in the form of n STOP WORK ORDER and n Hoe of S100.00 a day against me. I andetsemd Oud a
copy of Oats so—eat may be forwarded to the OIDee of irrestlgafam of the DIA for coverage verlmtlaa
I do herby certify tinder the p ' and penalties ofpQJWY that the information provfded above a&w mid cotred
Mpatutr - n a l► 16
olndal use only do not write in this amto be completed by city or town o>Ddsi
dty or town• peradUllceme# ❑Building Deparcueat
❑ucensmg Board
Oface
check Himmediate response is required ❑Sde�ea's rtm,
❑Health Department
contact person: phone Other
(lenaad 9/95 PIN
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,7f00ARAppmdi:/
Tabla.tl=(mod)
py tar Oaa and Two•FSE*Rd�BAP Head with Fob Faeb
� c� w.0
Floor 8a� Slsb HWB�
Cooling
cn cu= n . wan paimm
Area'('yL) 1 � BrvaLra Brvaioe' &vwne is vdma'
P 5701 m 6M Depza Dom'
13 19 10 6 Normal
Q I2% 0A0 38 Normal
R 12% QM 30 19 19 10 6 83 AM
S 1Z'ifi 0M 3s 13 19 10" 6 Normal
T 15% 036 33 13 � NIA 6 6 Normal
U 13% 0A6 31 19 19 10 -- -
v 159A FUE
OA4 A 13_ WA WA IB AFUE
w 15% 032 30 19 19 10 6
3: >3 ?S WA WA Nouns!
X IE'/. NIA WA Normal
T IBOA OA2 3= 13 13 19 19 90 AFUE
Z IVA GA2 � 10 6
30 19 I9 10 6 90 AFUE
AA 1E•.li 030
1. ADDRESS OF PROPERTY: �cn
AA n�C
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:
3. SQUARE FOOTAGE OF ALL GLA23NG:
4. %GLAZING AREA 03 DIVIDED BY#2): a
S. SELECT PACKAGE(Q=AA-see chart above)*
NOTE: OTHER MORE INVOLVED MMODS,OF DEI RMI NIN EN
G ENERGY REQUIREMTS
ARE AVAILABLE. ASK US FOR THIS
BUILDING INSPECTOR APPROVAL:
YES' NO:
q.foiras-t980303a
l
780 CMR Appendix J
Footnotes to Table AZ.lb: skylights and
assemblies (including sliding-glass doors, ,
GWing area is the ratio of the errs of the glazing doors)to the gross wall
basement windows if located is walls that enclose conditioned
�be excluded from�e U-value requirement
� excluding opaque
area,expressed as a percentage.Up to 1/o of the total glazing design with 300 ft=of glaring area-
For example,3 if of decorative glass may be excluded�a building
2 After January 1, 1999,gaag U-vahies must be tested and documented by the manufactuuer in accordance with
la
the National Fenestration Rating Comc0 (�Q test 1 me+ or taken fivm Table J1.5.3a U-values are for
whole units:center-of-glass U-values cannot be used' insulation achieves the full
The ceiling R-values do not assume a raised or oversiad.truss construction. be substituted for R 38
insulation thickness over the exterior walls wither P ion, R-30 insulation may
for R-49 insulation. Ceiling R-values mp, ant the sum of cavity
insulation and R 38 insulation may be stub insulation plus insulating sheathing Cif used For ventil a3
ased ings, insulatingS shag must be placed between
the conditioned space and the ventilated portion of the roof
the sum of the wall cavity insulation p� insulatimg sheathing (if used). Do not include
Wall R values represent For maple,an R-19 requirement could be met EITHER
exterior siding,suttcsural sheathing,and Interior drywall.
Wall ���ctionapply to
by R 19 cavity insulation OR R-13 cavity insulation plus R-6 insulating shesg'
wood-fianie or mass(concrete,masonry,log)wall caz�ructions.lent do not apply to metal-flame constru .
s
The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements,
or prages).Floors over outside air must mat the cCmg regwrements less than SO/o below grade must
ne entire opaque portion of any individual basement wall with an averagedepth doors of conditioned
meet the same R value requiremeat.as above-grade walls Windows and sluing glass
basements must be included with the other.Sines& Basement doors must meet the door U-value :requirement
&srnbed in Note b. _.
'The R-value requirements are for unheated slabs.Add ea additional R-2 for heated slabs.
use Rance approach 3,4, or S. If you plan to install more
' If the building.utiIizes electric resistaa=heating �P �
than one piece of heating equipment or more than erne pie=of cooling equipment, equipment with the lowest
efficiency must meet or exceed-the efficiency required by the selected package.
For Heating Degree Day requirements of the closest city or town see Table J521a
NOTES: re maximum acceptable levels Insulation R-values are minimum acceptable levels.
a)Glaring areas and U-values a include structural components.
R•value requirements are for insulation only� do not have a U-value no greater than 035.Door U-values must be tested
b)Opaque doors is the building envelope,,must
a with the
NFRC test Pm��taken from the door U-value
and documented by the maitufacuirer in�d age
in Table J1.5.3b.If a door contains glass U-value rating for that door is not available, include the
glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.
One door may be excluded from this requirement(ie.,may have a U-value p=W than 0.35).
c) If a ceiling,wall,floor,basement wall,slabtd8e,or crawl spa=wall component includes two or more areas with
the ea-weighted average R-value is greater than or equal to
different insulation levels,the component complies if area-weighted
or door components comply if the .weighted average U-
the R-value requirement for that componem. Glaaag to the U-value requirement(035 for doors).
value of all windows or doors is less than or equal
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ON3931adONd1S SS JVVV -----------------
-
✓fie �r omv�no�auieall�i a�,./�/`aooac/zuaeCla
BOARD OF BUILDING REGULATIONS
a. License: CONSTRUCTION SUPERVISOR
Number: CS O49879
BiMULINte: 05/22/1957
ExPires:05/22/2002 Tr.no: 25093
ResMcted To: 00
STEVEN L MELLOR _
PO BOX 334
W BARNSTABLE, MA 02668 � y ! :
Administrator
. � Board of Building R egulations a d�asrta.�uaetic•
ardards
HOME IMPROVEMENT CONTRACTOR
Registration: 117610
Expiration: 10/25/2002
Type: INDIVIDUAL
STEVEN L.MELLOR
STEVEN MELLOR
199 PERCIVAL DR/PO BOX 334 ?
W BARNSTABLE,MA 02668
Administrator
r
00-35,000 d enclosed space -
(MGL C.112 S.60L)
1A-Masonry only
1 G-1&2 Family Homes
Failure to possess a current edition of the
Massachusetts State Building Code
is cause for revocation of this license.
g�g
DIG SAFE CALL CENTER: (888)344-7233
License or registration valid for individul use only
before the expiration date. if found return to:
Board of Building Regulations and Standards
One Ashburton Place Rm 1301
Boston,Ma.02108
1
Not valid without signature
",�� ter- � > �..''v ...yam. ,.•.�.,�� •� . F�.i F„a.. -T _ .�.1�. �.. .. v-,� : ..v�.. ��Q -2Iw' .rr..�.v �+....-..- ...^•�y.�.-- -...�.�. .�,^.r V....�
Yq` , nd lof number .. ..... v...... ��l ' /_ //'�L-
ssessor s map a
SEPTIC- 'Yo Lr.M KIJ•5T B
INSTALLED Its CQO 'P'LIA=E :
Sewage Permit number ....................................................
....... 1p3'I7H ART,a`LE II �TATI
SAi';!T/' Y Cv ��D
�Qyor,TNEr,�`o TOWN OF BARINy9T*XXBLE
i9 BARNST,NABa LE
039- .
DUILDIHG INSPE-CTOR
0 YAY Or•
APPLICATION. FOR PERMIT TO .:........... ... . .......
... .......................................... ....................... . ..............
TYPE OF CONSTRUCTION ...........:..........�i... �..
....... ..... . ................... .............................
t .d/.. ....IG. .19.�J
TO THE INSPECTOR OF BUILDINGS:
The undersigned h reby a plies fora .permit according o the ollowing informatio
a ,. . . .... �."�.�A.. ................ .....
Location .... .. � ..V
.. ........ .. .... .. .. ....Proposed Use:, ... .S..... "" ...................................................................... .........................
Zoning Dlst ct..s.:........... ... ..... ..... ....................... ... ..............Fire District ..............
Nameof Owner .... ..........��. .... ...... ...............Y�.... ddress ....................... .. .......�. ....
Name of Builder ......... ..1 -�!Y4.� .... (/,L-C� dress ...........lF.��..................��.. .'-.. .
Name of Architect ......7 ... ... .........................Address ............. 1...I............
`�............
LA2
Number of Rooms '—�................Foundation
............... C-.....
vl
.............. . ... ............. ..... .......................
Exterior ............ ........................................Roofin g
ll^^
Floors ..............Interior ...�v.l.�.
................. .. ....... .. .. ............................. . .......... .....................
...�
Heating 1 ,..1.. .. .. ............Lt : ... :.. .. .. ......Plumbing ............ .... ... .....................
...................................A .....71 .? .v V.�. ...
Fireplace ......................... ............: Approximate Cost ......
Definitive Plan Approved by Planning Board -------------------__________:19________ . Area ` ��..........................................
Diagram of Lot and Building with Dimensions Fee ...... ... ...............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re ing the above
construction.
Name ..... ..... .. ........... ......................... .........
. .
'
°
_
'
.`.
. .
. '
'
`
^ .
Cotuit Bay Shores
17893 one story,
single family dwelling -
Cotuit
frame
Type'of Construction
' Date of | � ' ' l�
` '''- '— -'� -'' ............ � -~
-_
�
PERMIT REFUSED
� . . . .
.............................. 9
\ ~ `
� . ^----. ~--`---------~------..
^----.. -~------------..-----
� ~ ~ <
' ^-----..>------------_______.,'.
. . ' .
/ 6/ 'App,uve —'�-------------. l� �
�
` ----_--------------. -
. -. ----.
......................................................... --:r�..�... `
- ^ '
Assessor's map and lot number 2 .........
C L_
Sewage Permit number ........................... ...
b�Qy,0,*THETO�♦� TOWN OF BARNSTABLE
113AWSTODLE, i
"b
p M BUILDING INSPECTOR
O•E' pY Or
/ 'n,
APPLICATION FOR PERMIT TO .................. ........ ......... ....................................... .:/ .°: ................................
TYPE OF CONSTRUCTION ............ ...................... ........! ....:... ............................................................
r
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .......................... .............. ................ ...........................................:... .............................................................
ProposedUse ............... ..........................................................................................................................................................
Zoning District ..............\....... ................................................Fire District ................:,...........................................
..................
Name of Owner .. ....... s Address .............................................
......... ................J, ....... .... ....................
Name of Builder ..... ...:... . ........ ........ ......... .'....... ..:......Address ................... ........: .......... .......: ............................
Nameof Architect ..................Address ....................................................................................
Number of Rooms ..........
" ....................Foundation
Exterior ..... .......................................Roofing
Floors .............Interior ........
Heating J Plumbing .......................
... ......... ......... . ......... ... ......... ........
r
Fireplace pp
......................................................Approximate Cost � I _. ..,:
r
Definitive Plan Approved by Planning Board ________________________________19________. Area _............... ..........................
4, /f
Diagram of Lot and Building with Dimensions Fee ��
SUBJECT TO APPROVAL OF BOARD OF HEALTH
o
C
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
/
construction.
Name ..... h'........... ........ :. ..................
Cotuit Bay Shores A=55-40
17893 one story'
No ................. Permit for .........................0..........
single family dwelling
...............................................................................
Location Cotuit Bay Shores...............................................................
...................Cotuit.........................I...............................
Cotuit Bay Shores
Owner ............................./..................................
frame
Type of Construction .....................................
...................................... .......................................
#24
Plot ................. Lot ................................
Permit Granted ....... ........*.....19 75
Date of Inspection ........ .................... 9 Date Completed ..................r...................19
PERMIT REFUSED
....................................... .................... 19
....................................
............................. ..
........... ....................
..................................... ...................... ......................
.............................
Approved ................ ...................... 19
................................................................................
.................. ............................................................
T )E TOWN OF BARNSTABLE
4
OFFICE OF p
B9B39TL 131
S.pAS s BOARD OF HEALTHL.HEALTH �
9 A
397 MAIN STREET
�D NAY m'
HYANNIS, MASS. 0260t �.
Building Inspector
From: Health Department
Subject: Test hole and Percolation Test
examination of the soil at.
�� a 4L4
(Lot) (Addre ( Village)
was made on F- l 2 � _7J and found to be'
(date)
suitable for sub-surface se%•:ages at site ,-of test hole.
Building Permit will not be approved or sewage permit
issued until Health Department receives two copies of plan
showing building, sewage systems . and all other details listed
in Board .of' Health- instructions to sewage. zpplicants.
This approval does not constitute a final decision
concerning the installation of. a sewage system.
All State and local Health regulations apply to final
approval:
( igna Lure)
-6/20/75 ::
Assessor's map and lot number .....................................`....... u.T.6� e �� ,� I
CF TH E
Sewage Permit number,-, �- ...
Z EARISTADLE, i
House number ......................................................................... 9 t63 000
�F0 up"i
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...... ..1.11..�......1..6z....q, .Y.��/..1.fit/C( S;Gvi/✓�,(,rV� O'o U
TYPE OF CONSTRUCTION ..... ....... ....s .l........ r'u.s/././.. ................................................ ...............
.............................../ ........19.
I
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby ,applies for a permit accordingg to the following information:
Location ... ...r�. ........1 ..<?. .!1..! .....1.:?. !. ........:,?.Y ................................................ ...................................
ProposedUse !.1.. . ... .. ..........,��.!.. ............................................................................................................
ZoningDistrict ........................................................................Fire District ......................./.........................................................
Name of Owner.4.z!4.A,5..... k'.U.r./0.�J�..........Address ......,�12..�.......!..!J..1.��.�7". .....&/...l.)(?
Name of Builder .... .. .......-.. �h,.;r1..N.. �w.....(. <.J......Address ...... .fit ..... sr►..v.!v5 n.�.l ......../r..v........
i
Name of Architect ...................Address
Number of Rooms .........:........................................................Foundation ..r.T(J/t!.� ..........:..:..........................................
Exierior ....................................Roofing ....................................................................................
Floors "—.............................'...................................................:....Interior ................................::......
Heating .................. ...........................................................`....Plumbing ................. .. . ...............................;..........................
-- 6,
—
Fireplace ..................................................................................Approximate Cost .......... ..00..... .....................................
Definitive Plan Approved by Planning Board ---------------_---------------19_______ . Area ........./`j.......a....`.!..............`
00
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH.
o _
3a I
PO o L 90
30 Y
- � o
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
NameA11 ?.r/.... .(.2......�`v C..............
�.
TRDLUVE, THV» AS
No --3-4353 Permit or —B—ui—l—d —Svi—mmiog Pool
—.-. . — — --.. .
`
Accessory to [wmalIioo
------.----.---------------..
Location —528 C«»toit Bay Drive '
................................................ '
' Cotuit
---'`----------------------'
.
Thomas ��z��lo�e
Owner _— ........................................................... . ,
'
| of Construction-
'
^ ,
|
� rm/ .
./.� Permit. Granted.
Dote of Inspection Date Completed —.,
WIL
-----.
----'—'�f' ''� ------'—/----
----'
�.
'
'
-/� '
................ ................................................... �
' ^ -
--------- .................................................. . ^
Approved ................................................ 19 ,
. ` .
; --r----''-`.-------^-----^--''.'
� ,
. .................. ^------------....---- .
,
�_� �
t
Town of Barnstable
• P�04 THE T .
Regulatory Services
° 7OWN'OF'BARNSTABL'E
• Thomas F. Geiler,Director
• s,�wsrAIRM
9�A 16`9 Building Division D9 SEP ] g AM 8: 42
lFD►rv`y Tom Perry,Building Commissioner
- 200 Main Street, Hyannis,MA 02601
www,town.barnstable.ma.us
DIVISION
Office: 508-862-4038 Fax: 508-790-623(
PERMIT4" l v `t FEE: $
SHED REGISTRATION
120 square feet or less
ca—t
Location of shed(address) Village
—T-AO-,,.AI t 16.4 .! ti : ttom C, s0 �'-
Property owner's name Telephone number
' x a ' 0S'S'o yv
Size of Shed Map/Parcel# .
926
Signature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature is required) '(
Sign off hours for Conservation 8:00-9:30 &3:30-4:30
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE..
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. ,A
THIS ]FORM. MUST BE ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg
REV:042506
rz
Town of Barnstable Geographic Information System September 17,2009
i
055039 �..
055053
#625
055038
#620
055054.
#557
055037
#622
M. CID
� - � •�,� - ���BqY DPI t/F ��
055040
#528
r --
055003
#0
065042
#536 055043 w a is
111638
0550"
l
#548
055045
#564
M041
#534
0 28 Feet -
DISCLAIMERS:This map Is for planning purposes only. It Is not adequate for legal Map:055 Parcel:040 - .Q
boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel
Owner:MELIA,THOMAS J&MARY JANE, Total Assessed Value:$543800
1'=100'may not meet established map accuracy standards. The parcel lines on this map
are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:MELIA REALTY TRUST Acreage:0.80 acres Abutters
boundaries'anddo not represent accurate relationships to physical features on the map_ Location:528 COTUIT BAY DRIVE - -
such as building locations. Buffer
ask- ,?-A
Assessor's map and lot number ........................ •aP -c,.�a.
yk w d d� �1�y 9 p�31 w,`,✓ iJ�� i yO*THE
... INSTALLED IN compt-I�',�`"C�o
Sewage Permit number .........:.!'�A,.!�p([,��...,-.� -:::�
WITH TITLE 5 •
Z B9HB9TADLE, i
House number ......:.................................................................. -ENVIRONMENTAL D
TOWN REGUi�TI�I��
TOWN:. OF BARNSTABLE
B.UILDIN.G INSPECTOR
APPLICATION FOR PERMIT TO ( .. � /V '.1�. fJ.!�............:5. �.!!!�?.l. G,�......4 .�
.�.. ..........�... ...
TYPE OF CONSTRUCTION ..... .....X ..................<!../.i e.....................................................................
f .........19.. -z
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ....��?..c ........610..V.!:.7."..... ._.,ny........' ../.'..1.�l�...................................:...................................................
Proposed Use ......... .. .!..6..!.!U ..........
�G. ................................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
.y�
Name of Owner ... ..!L(J
/ Co.
..........Address ....... .... .. .
c` n
Name of Builder ....k�.. .......5 ifl.N..k.6t......�rO......Address �q9. .!�.1V�7� I/ ........e,J ......
Nameof Architect .:................................................................Address ..........-....................................................................
Numberof Rooms ..................................................................Foundation .......................................................
Exterior ...........:........................................................................Roofing .................................................... ..............................
................................................Interior ........Floors �......................... ..........................................................................
Heating ..................................................................................Plumbing ..................... ..........................................................
Fireplace ..................................................................................Approximate Cost ®0 �j
............ .......................................................
Definitive Plan Approved by Planning Board ________________________________19________. Area ............./ �. .r!.............t
.
Diagram of Lot and Building with Dimensions Fee /
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1
3�L
Poo
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r
30 i
iQ
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable,regarding the above
construction. /
Name �3.Kl ..s r>�l! f..... .(J.................................
TRULOVE, THOMAS
No 24353, permit for Build Swimming Pool
............... ...............................
'. Accessory to Dwelling
..............................................._................................
528 Cotuit Bay Drive
Location i
................................................................
Cotuit ►
......................................................... .................
Thomas Trulove
Owner ........................................................ .........
Gunite
> Type of Construction ..:..:-. ..........................
Plot ............................ Lot ...:............................ j
r r�
Permits Granted ....$ P.t;......8.r.......✓......19 82
Date of Inspection
Date Completed .........19
J1
!f PERMIT REFUSED I
J .. 9 ✓?r
a• f .,.. i.s .: '........................... ..................
1.....................{ ..............................................� ...........
Approved ....................................... ... 19
� PP Y � :� f� � 1
..................................................... -.o. ............ 7- , >,
....................................................... .`.. ............. :o
ERT .
' ARCHITECTS,INC:
UNROOOOM - ARCmTwm-anmi ummmms-Bunnmre
941 ROUTE 6A, UNIT 8 .
PO BOX 343
YARMOUTHPORT, MA 02675
` tel (508) 362-8883
fax (508) 362-4883
M BATH W.C. W ERTARCNITECTS.CDY
EXISTING
EXISTING RITCIII�I y2CCART:
EXISTING SITILNG AREA
M.BHDROOM ;
EXST. BA
RENOVATIONS
_ FOR:.
CLOS
GAJ
MR.&MRS.TOM
G MELIA
BEDROOM
BEDROOM L LrVINgGR LOOM' 528 COTUIT BAY ROAD
COTUIT,MA.
i
EXISTING FIRST.FLOOR PLAN
_ - NO PROPOSED CHANGES .
THEY PUNS ARE ROT TO OE USED
- - FOR PERWTTWO OR CWSTRUCAON
- PURPOSES UWE55 STAUPEO&St
wTN AN DaCINAL AROOTEM
ST.WP AND go IURE S YARRED
i
AS'PERWT SET`OR'CONSMUCPM SET'.
C
FAT On S.EARR WG THE DIIAMWGS AND .
' { tz�, ,TEST {T(a`�/*./},{�
ELaSTI ,G CRAWL
.1 L . All Cf,NE IDEAS,ARRANCFIIQITR OESIfWR ANU
P Y. M OWED BY AND OR REPflEY7
SPACE - _ THEREBY,ARE OWED BY AND PART CX PROPERTY
E UT MOOTECIS,wG . K TR CW SNAIL
BE R MY BY MY PERSON,E1RY.OR CORPIXU
FOR ANY PURPOY,E%CEPT wYN Sounc .Wc.N
. PERW590N 6 111E'i11OI ERT ARCHIIECTR wG
- PROJECT#; 100208
02.15.08
REVISIONS: 02.26.08
°P. E.P. CRAM4NSPACE WAS&PIPE ,
_j
A 011// ..
- UP
m PERMIT SET: 02.28.08
' - - PROGRESS SET
PRICING SET
PROGRESS SET
EXISTING PROPOSED -FINISHED --------
CRAWL SPACE $ o BASEMENT �s
STEP Le - '
- -- ------------------------------------------------
------------- ______________:_________: :=____________________._____ ---= --==-------------=-_---- -----------r----.--------- .. REGISTRATION
EXISITING _
W.
` B SEMENTD FURN.
. SCALE: 1/4"-l'-O*
D 1 2 a 9
UNLESS OTHERWISE NOTED.
SHEET NO.
I - 4 ExeT. PROPOSED .
t - WATER°'PES BASEMENT PLN.
D
m SIZE CLOSET AS NECESSARY TOTAL NUMBER OF SHEETS
IN SET'
PROPOSED BASEMENT PLAN. . THIS SHEET INVALID
SCALE: 1/4"=1'=0' _ UNLESS ACCOMPANIED BY
A COMPLETE SET OF
WORKING DRAWINGS
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