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0105 TIMBER LANE
l 0 0 � , � � ;, � �� �� o o ., .�- .. o � ofl �.,. � i .�� �, o �� � /. „� �� �. �, :.. ,� .. �,. � Q v - u �I � ,' .. � h � - .. ,. t� rr i� .� .. p � ' n � �� ,O i v .. A� 0 d � ' .. � i�- ` ,� of �. �'� � ' n �i n_ o f. ., r �� t i r� o .' a r. ,. � �. ,� o ii � �1 �I � i. � � �. �i c °' .r a .. a � a n .. � r. �„ o� � .. � �, - � �. .� �. �„ b .. ,. ,� � � �� .. �. � n - � , o � '. .. ��. „' � ,. �; o ,, e. ������ �.� �i o ., n �. . ,. � ,. �' � ., �d, � � w P. ".q. o � �, c, �� .� .� -, �. ,. .. .. ,� � o ° e ,. ° ° �,� .� �. ", i�� '„ .. , ..� � c � �� �� � ( a' ,. ,'.fin � � o y `� ,� � o �. � ,��� r .. � ,� 6 � u � - � _ r, .L '�' � � i. � � � � .. . _�, n �' � .. p � .� ., - �.., ., a �. � ��� � - �, a„ ° �� �� ,. - � �. .� ,. i, � r i ,, ��, n � � Town of Barnstable _ Blilld111g - y� Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept ,. Posted Until Final Inspection Has Been.Made. Permit ` FOMa�" Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final:Inspection has been made. Permit No. B-18-3722 Applicant Name: ODONNELL,WENDY Approvals Date Issued: 11/19/2018 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 05/19/2019 Foundation: Location: 105 TIMBER LANE,MARSTONS MILLS Map/Lot: 149-052 Zoning District: RF Sheathing: Owner on Record: ODONNELL,WENDY Contractor Name: Framing: 1 Address: 105 TIMBER LANE Contractor License: 2 MARSTONS MILLS, MA 02648 _ Est. Project Cost: $4,000.00 Chimney: Description: Close in a Breezeway to Create a Mud Room Permit Fee: $85.00 Insulation: Fee Paid: $85.00 Project Review Req: Must meet 2015 EICC(energy), must have fire seperation Date: 11/19/2018 Final: from garage Plumbing/Gas l Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. D "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire epartment Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT S" a�- l �-4Qv, ... Application Number. ................. ....... .......... TOWN OF Be RNSTAS 2 q(� �J tf t �.J -}V "1 3 D Peed' Fee....:..................................Other Fee........................ 10!$ (� V � .................... Total Fee Paid.................MSG--•-••• . .. .... ..................... . � . TOWN OF BARNS b IVIS on....................... BUILDING PERNIIT ........_..� ............Pa ............ APPLICATION Section I—Owner's Information and Project Location 'l�me� �"� t r �mj Name Owners_Name2 11 V Q 1�1 a 1 _ I Owners=Legal Addresses sate-, M A r�nya�G IL��m� 1 . 3. ers=Cell# -C1 L� ysL\ L4(0b �m it WQ n c +,Q rkQ+ Section 2-Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ® Ingle' T-W-Family Dwelling Seq&a 3�---Type-of Permit � ❑ New Construction [] Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structare) ❑ Finish Basement ❑ Family/Amnesty a Fire Alarm Rebuild ❑ Deck Apartment Sprinkler System ❑ Addition ❑ ReWning wall ❑ Solar Renovation ❑ Pool ❑ Insulation Other—Specify Sectie-i�ionn=4=Worms Descr_Iption 1 T act n 219=18 ........... . Application Number.................................................... Section 5—Detail Cost of Proposed"Cons�uction�l � ��quare Footage of Project �� 1 A-ge_of-.S.tructure Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms(proposed) GGNYlQ 110 MPH Wmd Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas .❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last=dam 2/9r2018 ApplicationNumber........................................... Section 9—.Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell# I understand my responsibitiies under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Bamstable.Attach a copy of your license. Signature Date Section-10 —Home Improvement Contractor Name Telephone Number Address City State zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Bamstable.Attach a copy of your EUC... Signature Date SSe Fe t ion 1- —Home O_w_nersaL-i_cen_w—E xemptionM Home Owners Name: U Telephone Number Cell or Work Number ( I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and docamentation required by 780 CMR and th Town of Bamstable. Signature Date k \ lc?l "RhlC-2tN-SIG---NA URE- Signature Date 1 Print Name W-e ndAA � � 0 Yl Yle,1 I Telephone Number E-mail permit to: e q qS0 U T e o....A.d,a.11 mnni o 4 Section 12—Department Sign-Offs Health Department ® Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire deparbnent for approvaC Section 13—Owner's Authorization L , as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name Lastmdstca:2/9rz018 y � i F t# f _ t . I ram' 6 lI t 2 k g f � , j e f F I ` J � k f i ZZ 1 _ OICIN WN m � r• 1 G Q - J 00-P V "X� 6 2 4 ( i MORTGAGE N PE TIN PLAN APPLICANT- ODONNELL TOWN. MARSTONS MILLS LOT 28 FH � t C cm #105s;s"s"s;;�� LOT 27 ' y 1 *sssaee 61 �� � e� ��•�or t.0 c,�era �STEP'ri 'N �1 J. t. LOT 26 6�• e U °cY� e a �• •� j � E'L-ZZ-:�� FLOOD PANEL. 250001 0015 -C- FLOOD ZONE "C„__ DATED.• 08-19-85 ---------- -- I hereby certify that this mortgage inspection plan was prepared for. Plan is For AMERICAS WHOLSALE LENDER Bank Use Only The location of the building shown does _=_ fall within a special flood hazard zone. DEED REF. = 3945-_0_I0- Per taped inspection it appears the location of dwelling does _____ conform to the local by-laws PLAN REF. = 247-82 in effect at the time of construction with respect to horizontal dimensional setback requirements -- --- or is exempt from violation enforcement action under Ness Cenernl laws CA 40A -Sec 7. Scale 1�� _ —s�0'_ FT. Referenced Deed subject to and with the benefit of all rights, rights of way, easements, reservations — — and restrictions of record, if any there be and insofar as the same are of legal force and effect Date: 06-23-05 -------------- PLEASE NOTE The structures on this Inspection were located by tape not instrument and are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments, if any exist, either way across property lines This inspection must not be used for recording purposes or for use In preparing deed descriptions and must not be used for variance or building plan purposes. This Inspection must not be used to locate property lines Verification of building locations, property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon This inspection is not to be used for any purposes other than mortgage. Yankee Survey accepts no responsibility for damages resulting from said reliance. PHONE.` 50B-42B-0055 YANKEE' SURVEY CONSULTANTS FAX 508-420-5553 UNIT 1, 40 INDUSTRY RD, MARSTONS MILLS, MA 02648 37708 JF The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations iv 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Ririe::Wsiness/Organization/Individual): Ural e_''2"FCL4& Jt�zre GitF/S�t/Zi �Iu� ��S /�'1 �S i' 4 Fee#:� �_7 '- G ro Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 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 workingfor me in an capacity. employees and have workers' � Y P tY• com insurance i 9. ❑Building addition [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 11.❑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#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. ;Contractors 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 isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 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$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 cerd '7r thh pauts�and e=0�f ' that the information provided above is true and correct. ES a Gam`^ V�✓ hate! l Phones# ' `�L-7 �` $ CCp 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#: 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 m6re 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()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 certificates)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 permittlicense 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 burn 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 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE v Fax#617-727-7749 Revised 4-24-07 www.mass.govfdia , r ' Commonwealth of Massachusetts r Sheet Metal Permit Map l Parcel Date: ///7 4 Permit# I J l Estimated Job Cost: $ 7� SEP j j Zrmit Fee: $ O 0�1 Plans Submitted: YES NO ans Reviewed: YES NO Business License# �!J ApplicanMicense# /0 Business Information: Property Owner/Job Location Information: A Name: U�r °���``( Name: t''? r N Street: /�n-�' Z8 19 /Street: �5 City/Town: 0", �'"� h City/Town: f_5 << Telephone: S06 Telephone: V 6 b 1 Photo I.D. required/Copy of Photo I.D. attached: YES ✓ . NO J-1(,� �„� staff Initial "�`"Lestricted license J-2/.M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family " Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional_ Other Square Footage: under 10,000 sq. ft. Von, over 10,000 sq. ft. Number of Stories: 2, Sheet metal work to be completed: New Work: Renovation: V HVAC V' Metal Watershed Roofing .Kitchen Exhaust System Metal Chimney/Vents ' Air Balancing Provide detailed description of work to be done: � n 07 0_"Y em , w�� ,� ,INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes a/No ❑ If you have checked)(SI,indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the i Massachusetts General Laws,and that my signature on this permit application waives,this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this bo ,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: By aster Title ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# O Eli ourneyperson-Restricted Lice se Number: Fee$ ❑ Check at www.mass.govJdpl Email. Inspector Signature of Permit Approval The Comwamwxrttfi qfA&na&useft $eparftext of rRdWhid Accidenft Office 0ovesdgadons ' 600 Washbigion,S`trew Boston,M4 02HI wfmmamgm/0a Workers' Compensalim Lmumuce Affidavit Bmlders/Contracin-sM ers Applicant Inform a>inn Please Print E,ee�ly N&= '74 oxe rd r Address` 1 Z y P-T 2$ Iq citwstatd�- ram-„ &Le 0 YPhcme Are u an employer?eheckthe appropriate bay ' Type of project•(required}_ I. Iam a emploryerwith 4. ❑I am a general confeactar and I 6- ❑New oonsttucti on employees(fan and/or F )-" bove hired ffie sub- ems 2.❑ I am a sole propdetor or part¢er- listed on the attached sheet: ?- [�odeling ship and have no employees These sub-contractors have U❑Demolition wed-ing for me in any capacity- employees and have wodwrs' 9. ❑Building action [No wpd mrs'comp-insurance coup-t^surance t mod-] 5. ❑ We are a corporation and its 10-❑Eleeftical repairs cr additions 3.❑ omer I am a h vmer doing all wodc officers have exercised their IL❑Phimbing repairs or editions mysd f[No wokkers o=F. zi&of Soso per&fGL 110 Bflof repairs ins required-]Y c.M.§1(4k andwe haateno eneployees.[No Viers' 13-0 Other camp.insinzMe reagdu-e&] •Any W5czotthat chedUboa ff1 mast also fM=A he swtionbeiaw shatr ag dwi vmdPeW a mpensat; policyi on- fi ER meawzem w}m submit tins off lniz iod5cstiag they a &m.-d1 wank sad the hoe a�caatxcta s—st submit anew affidm&indite sock fCoatn . I=cbeck this box EstrftdTanadditimalsheet slowing timm—oEfe and adewhedmormtfhoseendtie bxm employees.Iftheanb-co„taict,rsIMMemployee,d1eYm=Pxovidefl1W w —P.policy M I am an eereplafier flea!is pratriding tvarkees'toa>peresatimt uesree tierce for wep Bnrpin3�eex Berow is fine patiey and jab Sue e5 Insurance Company Name: li 5 • ih50c-rin�e° O Policy AtL m Self-ins-IC-4- O U-,-- LI l Fspind aDalm Z Job mte Address` l 0 5- T imn, P i ( 1'1 Cdy� p: Gi! 5 E`-5 N+ 1- Af#ach a copy of the workers'coanpeasatioapolicy-dedaration page(showing the policy number and expiration date). Farinre to secure coverage as required under Section 25A of MQ.d`152 can lead to the imposition,of mminal penalties of a fine up to$1,50Q00 and/or one-yearimpriso=nenty as well as civil,pena n lt s ihe form of a STOP WORK ORDERand a#"me of up to$250-00 a dap against the violator. Be advised 0sat a copy of this statement maybe fnrwarded.to the Office of Invesfigatioas of fire DIA for insurance coverage verifcaticm- Ida hereby tha paces andpmafties of$erji ry that flee u farwra€iarr proud abm7" bz/re d emrect Sisn hate -2 Phone " J v � G / O.oEd d rue wdly. Do twt writer in d s area,to be completed by city artown a,,fjreiat City or Town: Pe-rmitUcense g Lmning A orety,(circle one): L Board of Health 2.Building Department 3,Cltyf£osrt Qerk 4.Dectrical inspector S.Plumbing Inspeeter 6.Other Con12ct Person: Phone#: lbaformation and Instructions , Mamzar7TrTce#ts GrnexalLaWs cliapird M rmes all emPlo"M to Provide Wo I=e=npeasation fz-ftmi'employees. pmsaantfD this s-i ,an et�loyr�is defined as¢_.every person in the service of saothes nnde�r any contract ofhir epress or implied,oral or Writ ram." An ernplayer is defined as an indrviffiA parft=sh�,associafrcm,corporation or ofber Iegal eatdy, any fWo or more of the:fiaegoing raged in aJoint Vim,and.inclndng ffie legal j cjx=m a&=of a deceased employer,c r th z receiver or trustee of an mdvidiN4 PMtne<sbip,associafion or othef legal ealtity,employing employees- However fbe owner of a dwelling home having not more tbEm tb=apmimeats and who resides cr the occopaat ofihe - dwelling hose of anof.er who employs persans tn.do maitmancc,canshuction or repair Work on such dwelling house or on the gruunds or baldingajjn �thmrAD shall not because ofsnch employment be deemed to be an eauplayer." MGL cbaptnr 152,§25C(6)also sfafns that¢every state or local licensing agency shall withhold rite issuance or renewal of a ficen e.or permit to operafe a business or to construct bufldings m the cofumonwealth for any applicant Who has not produced acceptable evidence of cdmpliance,with the insurance cover age required-" Additional y,MGM chapter 152,§25C(7)states fileiiherthe cr==Pwralfh nor any ofits political subdivisions shall ealfer into any contract for the perfi=aoce o 0fpubliwadcurtl acceptable eyidcmc=of com ce pliapwith$ne msm�ncei. req==ents of this chapt=havn beer presented to the c onft :dng aofbDuty." - Applicants ' Please fill orat thZe woilom'compensation affidavit completely,by cbecidng the braces that apply to your situation and,if necessary,supply sub-.confracm s)name(s), addre~as(es)and phone mnnber(s)along wrttr their cmtffcate(s)of insraance. LimitedLiandity Companies(LLQ orL=tedLiabgxtyPmcti3 rshigs(LLP)wifno employees ofbatiza .fbo members or pa b=q,are not reqcdrmd to cagy Worlrc& compensation insorance. If an LLC or LLP does have Be advised that thus of &-vif maybe snbmified fn the Department of I employees,a policy is rimed. ndilsfxial . Accidents.for cones of insmm=coverage. Also be sure to sign and datr the affidavit The affidavit should beTetmmed to!he city or town that the apphcafion for the. rmit pe or license is being requested,not titre Deparlment of iTn usbag A=dents Shouldyon havo any gnestLons regardmg the law or ifyon are rimed to obtain a wmiaers' scat;rn,poficp,ple�secalltheDeParionentatthienumberlistedbelow. self- meaniessbionldearthneir camps elf fiLmraace license na3ber on the appm line City or Town OfEldals f Please be sore that the affidavit is compIet,-and printed.legibly. The Department has provided a space at tine bottam of the affidavit for youth f'H out in the event the Office ofInvestigatio s has to comactyon regarding the ap pEcant Please be sure to fill in.the pence/ ce ose m=ber which vM be used as a ref==m number. In addition,an applicant .that must subm it mubi ple pemitEcense apphtr E&ous in any given yeSr,need only mbml t one affidavit indicating eourat . policy information:�if necessary)and under`cJob she Address"the applicant should writo-HR locations in (city or town)"A copy of-tho affidavittfiat has best ofaciaUy stamped or madced bythe,city or gown maybe provided in Ihe ' applicant as proof that a yalid affidavit is on file for fot[M 6M3.its or rncenses. Anew affidavit must be filled out each year.•Where a home owner or citizen is obtaining a Iicense or permit noticInte d to any bnsmess or commeasial TEnt= (i_e. a dog license orpeart.to bum Ieaves etc.)said person is NOT ragged to com&t-,this affidavit The Office of Investiga&ns would hb-_to thank you m advance for your cooperation and should you have any questions, please do not hesitatz to give M a call- The DeptFfta ofs address,telephone and fax m=ber. - Tha CoMMW 1_ffif of akusetls , Depadmmt C&TT;&EStdal Amidents ( cam of��fig�tio� Bwtw=MA Oil11 Ted..4 61 t7-727-4 ext 406 ar. 1-977 TEA SAFR Fax#617 727-7749 Kevised424--07 - ginaz gDvIdia Y �IN E Town of Barnstable Regulatory Services RARNErIABIX TWAARR Richard V.Scali,Director 039. & Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 i Property Owner Must Complete and Sign This Section If Using A Builder V ' as Owner of the subject property 9 l P PAY hereby authorize 70vo5 i ed -to act on my behal� in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature f er S' tore of Applicant /Q&Ie0!5 'Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS r � ' - rie4t8_ C; Lom fzti on ? . •�' Certifled by James M Diede`•, vGtTraining '` �,/ EPA APPrOved Y""" m September 30.1993 s a � Technician TYPE UNIVERSAL as aeyaraed /xy 40 eqR &2 sobraa q• 2308147 '. 8/11/2011 CeNflcate.Number 'D .President vGl Tretntng DW � .., _ .,. .�..� -_ ..ter }-'Jr'` '•+...._-� � �^_ ' MMONWEALTH OF M SHEET'IV17f;4t'Wp ISSUES THE FOLLOWINXL GCIvNE ' 5' aidESfER UNRESTRICTED JAMES M DIEDE z Lr�, X 666 DRT HEA II (6 8r A/C J Y i BUZ2ARDSrBAY,MA,.02332'bli' `S". y-�1� w 101 '" /28/2019 259060 :, << Assessor's map and lot number P�-RN.. oK�-4`7...P(1T16E SA LOT 1* O I�C fiC741 Sewage Permit number .d.. ..:............................ .............. Q °`T"Et TOWN OF BARNSTABLE ii i BARNSTABLE, i 1639. 0 Y BUILDING INSPECTOR PY a APPLICATION FOR PERMIT TO ............................................ TYPE OF CONSTRUCTION ......... 1 ..:........................................................ ....... ............................................. ......:....... /.> ........97... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: q �" *A C 1 � �f ®q�p_ A�� I Location Lo .. , ..... i.%i.a ..P,....J.�✓�N.V.........A!ft-t AS...MI ........................................................ Proposed Use .S.m.(�Lc ... . a/M.I.Ly.....!.1.Q/.Y`.t—:..................................... .............. .................................................... Zoning District ............ �......................................:....Fire District ........ . ..... ................................ Name of Owner COLUM3 A.LEATRCR....C—OA.......Address I.Q`.�.�=AJVVY ...� t.'JaFAMI M..,...MaSS.... Name of Builder ..........&AMr=. ..........Address �/�G�.. ................................ ............ . . . ........................................................ Name of Architect ... ...... . ..............Address ... o......... ... RQ S.:.... -..�- / 7'6-�. . FooTit...G../Number of Rooms. . .. . ...........FoundatioAn�, ... Exi�rior'eLh.P.� R. II�.��E................................Roofing lh�� T............................................................... C��L TU .OAL . ......... k+ € ..1�0c1�.Floors . .. ... .... ......... ..................................... Interior. ........ .... ...................................... Heating v J.....................................................................Plumbing ltftl. �.....Mb..�CITOE7 M..................... Fireplace U...1.o..4qr. ..E.tq..........................Approximate Cost ..... ... .. ......m... . ......................... . .. Definitive Plan Approved by Planning Board ---------------_______________1'9-______. Area .......................................... Diagram of Lot and Building with Dimensions Fee �- SUBJECT TO APPROVAL OF BOARD OF HEALTH 17 ZX OvER I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name&L ............ Columbia Leather Co. _ S�lY7 9NICl'(C� � _1=�Z��}�-- No ..17.090.. Permit for...2...1/2...abQxY... �� �i��� ,H�. © S3aa� 7't - My"VA jT(YY_3W0_Ff -single.-family...dwelling.................... Location .. .........Timber...Lane...................... ° ld 3 I W VV U Marstons Mills �` ......... .............. Owner Col ... umbia Leather. . ...Co. .. ............. ....... ....... .. ...... a Type of Construction ......... le................... _ Plot ............................ Lot ..........##27............... � Permit Granted RAY...15...........19 74 1 Date of Inspection 0 3AR �� w Date CompletedOP Wk�(invscp J �7..�Y.�G��•:/`�`'�1W�' °�' cv "Nlnrsa •xo�dd� PERMIT •.REFUSED '9� _ _ •` - �°i'L°oC: ................................................................ 19 cd+ °7bwa01 ................................................................................. �Lld�s s . ...................................... ................................................................................ Approved ................................................ 19 ............................................................................... ............................................................................... 9 _- i of r Town of Barnstable *Permit# "S'� C 1 ~O,o Expires 6 months from issue date Rnatasresct;. : Regulatory Services Fee 039. Thomas F.Geiler,Director 0- Building Division Elbert C Ulshoeffer,.Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 w X-PRESS PERMIT Office: 508-862-4038 Fax:.508-790-6230 ��N 2 5 2001 fim EXPRESS PERMIT APPLICATION TOWN OF BARNSTAB!E Not Valid without Red X-Press Imprint Map/parcel Number /'1g10 5 a Property Address /D S TI ► l 3E-Z k11241-5 Residential OR Commercial Value of Work3r GAO Owner's Name&Address Contractor's Name Telephone Number (5�) -Wo -3ie. Home Improvement Contractor License#(if applicable) 106 I / Construction Supervisor's License.#(if applicable) 04/ ,7 a9 F�Workman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# _�L7 l� a'� l0 3 'D — Do y/5-3--e5 )-- Permit Request(check box) Re-roof(stripping old shingles) Re-roof(not stripping. Going over existing layers of roof) F1 Re-side Replacement Windows. U-Value (maximum.44) Other(specify) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Cal expmtrg APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE Insp%v'rof Wires Wiring Permit # COM/Electric# 322053 Toewn of Barnstable Massachusetts Building Permit# Date 1 O x 1 4./9 4 Customer: Mr. and Mrs . Franc J G Ryan on (Street #) 1 05 Ti mher Lane Lot # in the village of Ma r a t on S Mills utility pole number or underground number . Customer's billing address S am e Temporary New installation Change of service Starting date 1011 7194 Job description Ronah wire bedroom a dd i t.i on _ Service entrance voltage 220 Amperage 100 Phase 1 Wire size(cu.or al.) Conductor per phase Number of meters 1 Water heater Off peak: Yes—No— Estimated load: Electric heat kw, lights kw,Range dryer Motors, H.P.&Phase Ready for first inspection tit i 1 1 c a 11 Ready for final inspection Electrical Contractor R P Hi n c k l eTa n d S O n Lic. # A 5 5 8 3 Telephone # 4 9 R_gb 85 Address P_0 - RnX 651 CenterviI Ie, MA 02632 Additional Remarks: Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE Temporary Service Roughing in ,�r� ��3/1��� 0 � Service and Meter r%mr-nn n ►GPM Off Peak Meter Final Approval Disapproved' 'For the following reasons CERTIFICATE OF INSPECTION Date To the COMMONWEALTH ELECTRIC COMPANY.The installation described above has been completed and has this day been inspected and approval granted for connection to your service. Inspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46 FIRST NOTICE TO COWELECTRIC Ilse Connnoilwealth of Massachusetts `" O Y :: ,I rl Dc riMCnt remelt .... 1: �. nQ of Public Sojcty 130ARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 oeevr'�cy s Fee Checked]/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All Work to be performed In accordance Wilh the Maraachusetu Electrical Code, 527 CMR 12:00 (PLEASE PR11TT Ill INK OR TYPE ALL IlTFOR1iATI0N ` " .City or Town of Barnstable 'it Date 10/14/94 .: The undersigned applies for a permit to To the Inspector of Wires: i? g pp perform the electrical work described below, t:. . Location (Street & Number) 105 Timber Lane Owner or Tenant Mr. and Mrs . Francis Ryan Owner Is Address Marstons Mills, MA. 02648 Is this permit in conjunction with a building permit: Yes 110 ❑ Alrpose of Buildin (Check Appropriate Box) ;1 g DwellinCl Utility Authorization 110. -r .. Existing Service _IQ_Q.Amps 110 / 220 Volts Overhead © Und rd ❑New Service g tlo, of Meters 1 Amps / Volts Overhead ❑ Undgrd ❑ Ito. of Keters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work roU h wire bedroom addition. No. of Lighting Outlets NO. of Hot Tubs No. of Transformers Total No, of Lighting Fixtures Swimming Pool Above in- NO ICVA grnd. ❑ grnd, ❑ Generators KVA . of P.eceptacle Outlets Ito. of Oil Burners No. of Emergency Lighting Battery U • No, of Gas Burners FIRE ALARMS No. of Zones Ito. of Ranges 110, of Air Cond, Total No. of Detection and Cons Initiating Devices NO.- of Disposals 11eat Total Iotal Ito. of pesos No. of Sounding Devices Tons KW 'I Ito. of Dishwashers ace S _ p /Area Heating No. of Self Contained '°'• _ No. of Dryers Detection/Sounding Devices _ Heating Devices KW Local❑ Municipal ' Connection❑Other ' No, of Water heaters KW ItO� °f Io. ot Low Si ns Ballast Voltage s Wirin No. lly:lro t•tassage Tubs No. of lb tors Total HP OT)IER: ' INSURANCE COVERAGE: pursuant to the requirements of M,issachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or is substantial equivalent. YES 0 110 U I have submitted valid proof of same to this office. YES( 1100 If you have checked YES, please indicate the ty pe of coverage by checking the appropriate box. INSURANCE 0 BOND ❑ OI11ER ❑ (Please Specify) 12/31/94 Estimated Value of Electrical. Work $ 1000. 00 (Expiration ate Work to Start_ 10/17/94 Inspection Date Requested: Rough Signed under the penalties of per ur y: g Final .j FIRM 11: x . R.P. Hinckley and Son A5583 Licensee _-_LIC.' N0, • "liana T u"""' i p� Signature Addressp_O. hnx 651 Centerville, LIC, NO.A7795 MA. 02632 Bus. Tel. No. 4 8-86R5 O"'NER'S INSURAICE WAIVER: I am aware that the Licensee does not have the insuranl - ce coverage or is sub- stantial equivalent as required by fi-js'sachusctts Cencral wars,and that my signature on this permit application waives this requirement, 'N'ner Agent (Please etleek one) /� • Telephone 11o. /, _ (S,ignature of Owner or Agent PERMIT FEES (/ Assessors office(1st Floor):,: Assessor's map and lot number S . ��CO ��® yoi TMt 71, Conservation(4th Floor): Board of.Health(3rd floor ��"" r �+�`"6? �� • Sewage Permit number E - ��� � �'� Day anc t y Engineering Department(3rd floor):; ) oe)9•`;�a° House-number / OS Definitive Plan Approved by Planning Board APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1`.00-2:00 P.M.only • TOWN O+F - BARNS�"ABLE `BUILDI,NG INSPECTOR APPLICATION FOR PERMIT TO CONSTRUCT 18 X 20 FAMILY' ROOM TYPE OF CONSTRUCTION i WOOD FRAME t /1l�DLM&,, 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 105 TIMBER LANE, MARSTONS MILLS Proposed Use FAMILY ROOM Zoning District 9 F Fire District C-O-M-M- Name of Owner FRANCIS RYAN Address' 105 Timber Lane. Marstons Mills MA Name of Builder S.J. Bishopric, Inc. Address__Box 687 Ostervi l le, MA 02655 Name of Architect n/a Address n/a Number of Rooms 1 Foundation poured concrete Exterior Wood Shingles Roofing Red Cedar Floors Carpet Interior drywall Heating FHA Plumbing none Fireplace none Approximate Cost $20,000.00 Area 360 sa ft. Diagram of Lot and Building with Dimensions Fee LS�� I 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 Si ipervisor's License RYAN, FRANCIS 1„0-5: .TIMBER LANE, MARSTONS MILLS ,lNo Permit For BUILD ADDITION Single Family dwelling Location ' Owner - .. Type of,Construction Plot _ Lot Permit Granted' 19 Date of Inspection: 1, Frame 19 Insulation 4 19 Fireplace 19 19 Date Completed r r i l � t BISHOPRIC INC P. 01 / Steven U o r . • BISHOPRIC, INC. C. Building&Remodeling P. O. Box 687 Osterville, Massa&usstts 02066 (608)420.8165 Fax # 1-508-428-4841 FACSIMILE TRANSMITTAL COVER SHEET Total Number of pageai (inoluding this page) To. 7-5-- T , From S -8 O Rem.^. arm N m ' I U Z M it ( IT. t M m - a " Lor e � I ' z j N 0 ; m a G 1W 71 01 - -- - - - - - -- --- -- - - - - - - - `- tV�6-IN'L i?. `4 A1� 5`L EA a o � pR) — - - - - - - - -- - - - - - -- Q�t-, r3� N1 OOF 161-0 if i yo The Town of Barnstable BARNS7AM e3 \Qb Department of Health Safety and LnNironmental Services Earu�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Ctossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"rewnsVuction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pte-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: Est.Cost UO tJ,tb Address of Work:— Owner Name: Date of Permit Application: I hereby certifv that: Registration is not required.for the following reason(s): Work excluded by law Job under$1,000 Building not owner-oocupied Owner pulling own permit Notice is hereby gi%-en that: OWNERS PULLING THEIR OWN PERMIT OR DEALING NWI-H UNREGISTERED CON-TRACTORS FOR APPLICABLE HOME. IMPROVEh1ENT 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. q 9 oq���� Date Contractor ri3mc Registration No. 67 OR Date Owner's name 8.K. 2678 P Z.4. CLIENT I K,S• PLnN-- f?&. Z4-7 (1. 02 RnNTEE: Rv�N y I LoT Z7 F)Iz 20 4-13 s,r•. PEE y i n, I%t S'Tor2YI 1 I , DtUQIIIPIGI !— ' � G4h�ifl ' Q GG rn' olfivc 0 I I d5+ , I 1 Tim T3 Lr1N E P•&'4A F Mq4 t WILLIAM Gf�• R. BUCKLEY No. 19417� o 4 Ca 1 � COMMONWEALTH f EPARTMENT OF:PUBLIC SAFETY ` OF ONE ASHBORTON PLACE 1 MASSACHUSETTS BOSTON,MA 02108 L'I i E:N' ;E - r CAUTION EXPIRATION DATE (:;•:I i •_, / 3. :':�.,I, 1;:f_W3 1 R. =1_3I ...: y S ii FOR PROTECTION AGAINST '. i . !'EFFECTIVE DATE LIC-NO. RESTRICTIONS ".' �b . + THEFT, PUT RIGHT THUMB , `r ` PRINT IN APPROPRIATE ' i; i:.' !].'::i': " BOX ON LICENSE. BLASTING OPERATORS �' MUST IN LUDE RHOT ` PHOTO(BLASTING OPR ONLY) FEE: ;`��:F�::_ . 1?'•;_. •f•i::�'......: '.'i I) C) ?(••� j ;j^ is�-4,>, I� �- .i {_1(.J„ (-�(„1 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED'-OR-SIGNATURE OF THE COMMISSIONER P �} •• i' HEIGHT: ����. .Jc• , DOB: ` THIS DOCUMENT MUST BE i « SIGN NAME 11 LU'ABOVE SIGNATURE LINE ti .CARRIED ON THE PERSON OF GNATURE OF LICENSEE THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGEDINTHISOCCUPATION. OOMMISSIONER . fl" y ;`P c4ft l;i. 4�- '� t2-..~'6• a..t.�� ��Z�`' .�Ia��t w HOME YMPROVEMEN74I RATORREGISTRAT ION °o'ard Q, { .Bui ding, IR a=1atitims ,an. Sti'andar,`cls� i UQ .+aRfiwMe- itit+ti(. +eW�J0 #, n� .. Bo � sachu_se .ts` ++ ' .�'.+•elf • �`• ,> j k'xr,��'�`" � Q�7+'J. �3 M � ,y�,' � � 4���"� ma's =t�' �,' ,, 4j OM IIPF20Vax E1,1; • `' R �is�at�otn��0�1 �.ExPi�r-:atxa �071 ,�,,, �'Kw q t °Stevex� S�aoPra G L�I At i'a 'rx° � e9M�1 � � ,+..w t!"i p}:e���i � 'r.��'� �1,�SAY 'f'-.� �•�' "4�,�;' p .. ai'�i, $t.'Y V 6 7/ Y•+�-71: , "Fi^� r�., � at- ,x „ " +�='3z�r 7 HI9hpoyn5Road . _ ..� ,1 ,eR ",!�> `�pp.,�,. _� � •a�� f� -.+ �'` N .•ir"d t IC'.. .� � a✓t�1'tF � dam',` 9sf •'f�. . £ 1 � i. ,. .'+y�{�x� •' t ':`-X' '�T,..� �,ti w,�+�!3� _:�'A�X ;n na�i�: -� s�`i �h��Y�a�,',+•I 4a COMMONWEALTH OF MA.SSACHUSEITS JEl'AK:MEN'I'OF P.KIDUSTItIAL ACCIDENTS E C '�. 600 WASHIT'GTON S ELT' names camooeil BOSTON, MASSACHUSE1 1 02111 -c-n:sssone• .WORlaRS, COMPENSATION INSURANCE AFFIDAVIT Steven J. Bishopric Inc. i 1, (licensee/permictcc) With a principal place of business/residcna at: P 0 Box 687 . (City/Scacc/Zip) __ do hereby eertifj; under the pains and penalties of perjury, that: ()(1 am an employer providing the following workers' compcnsation coverage for my employees working on this job. Wausau Insurance Co. . 1513-00-070355 Insurance Company Policy Number j) 1 am a sole proprietor and have no one working for me. j J 1 am a sole proprietor,gcncr l eontnaor or homeowner (eirdc one) and have hired the contractors listed below• who have the following workers'compensation insuranee.policics: Dame of Contractor. Insurance Company/Policy Number ►-amc of Contractor Insurance Company/Policy Number Jumc of Contraaor Ins=ncc Company/Policy Number 0 1 am a homeowndr performing all the work myself 1,MTE ,Please be awue that whili boraeovmcn;who croploy persons to do raaiateaaaee,eoostruako or repair work on a 1..•dling of not raorc thaw three units in which the borocowacr also resides or on the grounds appuruaaat thereto arc not gcactAy considered to be cmploycrs uneer the Worl;cri Compcasatioa Act(GL C. 152,sect. 10)).application by a boraco%mcr for a liccasc or permit may cvidcocc the 1cgaJ status of as crploycr uadcr the Workcrs'Corapcasation Act. i U.-I&rstant: that a copy of this statcrncnt wilt be forwudcd to tr c Dcpa:r::cnt of lndustrial Acddcnu'O1-hcc of l-11cr:ncc(or.cov"a4c verification and that failure to secure coverage as tquircd under Scceion 25A of MGL 152 can kad to the imposition oWrnina)pcnaJucs consisting of a fine of up to S1500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Ordcr and a I fine of 5100.00 a day against mc. Si�ncd this, Vu", day of �L2-6 19 Liccnscc/Pcrmiacc Licensor/Pcrmirzor 14q - SZ FEE -- b0 C0 a TOWN OF BARNSTABLE, MASS. b01 a^" 19 'O 34 w q be U4)•� THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO Ri U O .0:= (PROPERTY OWNER) IADDRESSI �f N 03 000N a TO ............................................................................................_...............................___._.__...................._.............................._. . .._. .............._...... (BUILD) (ALTER) (REPAIR) 03 _.........._....................... _._.._...__.._..._...._._ (TYPE OF BUILDING) �I (( (APPROXIMATE 91ZE) a � op LOCATION .............._._...................................._................................... .. .............................................._._....._........... __...--__ .._ V y (STREET AND NUMBER) (VILLAGE) NAMEOF BUILDER OR CONTRACTOR —._ ---_..._---------------_._.„.........._..._....._............__....._....._......._._...._.._....._......__...........,.._� d Q APPROXIMATE COST PQ b Cy w mce I HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN 21 OF BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION. at oM >A 0 3 " os _..... •_-_..._....__._._.__....._...__................................................................ _...._._..........._............................................._............._........................................................_. V) (V'h (OWNER) (CONTRACTOR) �30 VNV 0 O d ._._..._..................................__........._.....................__..._.............................................................................. �a BUILDING INSPECTOR Subject to Approval of Board of Health. a _ �s f M-C/T Exc. 6 t. THE COMMONWEA;,LTH OF MASSACHUSETTS REGIST%R OF MOTOR VEHICLES 100 Nashua Street BOSTON, MASSACHUSETTS 02114 ASSESSOR COLLECTOR REPORT OF RECORD CHANGE TO REGISTRY OF MOTOR VEHICLES CITY/TOWN Registration No. DATE �' Owner 1't ' Address Attach a copy complete (or Photo Copy) OR information Year, Make of Vehicle of tax bill in items on question right Vehicle Ident. No. Information has been received to our satisfaction that the following changes should be made in the excise tax record. Massachusetts plates returned — Date (Please supply photo copy of receipt from Registry of Motor Vehicles) 2. ( ) Massachusetts plates surrended — Date (Please supply photo copy,or affidavit explaining where and how surrended.) 3. ( ) Vehicle sold — Date (Please supply photo copy of bill of sale.) 4, ( ) Vehicle removed from Massachusetts — Date (Please supply photo copy of new state registration)- - 5. ( ) Correct residential address (If different from address shown on your excise tax bill) ' I 6. ( ) Correct mailing address (Fill in only if different from 45) 7. ( ) Correct place of garaging (Fill in only if different from H5) 8. ( ) Correct valuation (In order to correct the valuation you must give us the name of the person in the Corp. & Tax Dept. who authorized a change in.the valuation of this motor vehicle) 9. ( ) Other This form approved by Commissioner of Corporation and Taxation PLEASE NOTE: If the information requested'above is not supplied the computer records cannot be changed. Signed Authorized Signature Assessors/Collector FORM 830 Hobbs &Warren, Inc.— Rev. 1977 r i �U�' � � ►�r� der ��� F, F i Y. Assessor's map and lot number ..... a::.....:....... ©�, �e SEPTIC. SYSTEM MUS�'B >' .14 o' INSTALLED IN COMPNAI Se gage Permit number ........� ... !` 41.... . .. ...< ��(�'t+t c WITH ARTICLI= II STATE N T Y c Ai 1D TOWN n TOWN OF BARNSTEXAhE MAR35TODLE;?i 'J 'gyp "6 9 Y: BUILDING IN�SPECTOR�OR � o t; Q. APPLICATION FORTPERMIT TOE . .... a �Ct u dt................................................................ ..... ...... y .... a ' v TYPEOF CONSTRUCTION ....m...............00............:���!i��!??:.t�.......................................................................... .......(//f�...... 2..............19..?2 TO THE INSPECTOR OF BUILDINGS: t The undersigned hereby applies for a permit according to the following information: Location ......... 7.......... p .E!? 9..........4441e....:......... 1, 5, 1:1............zy.�lL '-..................... /...�.�,,.. l +�i .. 1.. ProposedUse ........... .A•d A-9..C........Y�......... ........................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. p Name of Owner ..... ..a-.,!.ezr........J���1.. .. .172.. ...... Cam.......................... Name of Builder .......1.l. er.....� we ...... hf, l.S'................................................... * Name of Architect ....�� � �� 1 �i �e....�.O..Address .....1�� 1?tJ/..��............................... ..................... .................... Number of Rooms ..................................................................Foundation .... 0/.....,f Loc. .............. .. ....Roofing / Exterior .....l f%��......... ...�o�.�C .......................... L...a.........6?4 G.�.................................... Floors ......................................Interior .................................................................................... Heating ..............A .............................Plumbing Fireplace ...........A/..............................................................Approximate Cost ......... c ...................................... Ivl Definitive Plan Approved by Planning Board -----------_______-----------19--------. Area ...... ._.. ................ ` Diagram of Lot and Building with Dimensions Fee .......1. �.11 ry....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 9 - 0 a )V E W � 6 <h4 e,,f 4,4 h 'I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regard-l.nig the abov construction. Name .... ' .i�� ..... ... Sircom, johni. it 1 No ..19731... Permit for-410IM-7.94M.C.O.M........... ............ ...................I( ......................... Location ........105..Timbe..r.........Lane....................... .. ........... . Marsio ....................................sq..M4!g......................... Owh6 ..........John Sircom.,............................. ......................... Type of 'Construction ........!9Q.94..JF.rZ4Re........... ................................................................................ Plot .............................. Lot .......14.9.?!52........... Permit Granted .....................Nov 7 ...................1977 Date of Inspection ........................................19 Date Completed ......................................19/0 PERMIT REFUSED — ................................................................ 19 zi- ................................................................... ................................................................................ ................................................... ................... ........................ ...................................................... Approved ................................................. 19 ................................................................................ ............................................................................... / 7�p �_ u• 7 Assessor's map, and lot number . .�: .. .. -� Q /1 r • .yet ± _ , �:.. , � I r 7� � • - ` Sewage Permitr number ' T"Er°�` r • = TORN OF BARNSTABLE .y Z BARES LE S n Mb q e�0 °: BUILDING INSPECTOR n 't•G MPY O.• '� _ y y • , APPLICATION FOR,'PERMIT TO Cr ¢ r :•••••••••••••••••••••••••••••••••••••••••••• CA TYPE OF CONSTRUCTION .............. ............ ...................................�.............. ............................. ..............19. .E . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ; Location ....... �. ..r............ `.............................................................' 't r`:.........'...�............ :...�..:......................... �• Proposed Use ..... ...� .................................= f -'� .......................................................................................... . ZoningDistrict ........................................................................Fire District .............................................. Name of Owner 'r�''1/ .....:.:.� 'r Ai..........Address 1......: ..... .:. ............................... ................. ':.....' r Nameof Builder .......:............................................................Address ...............................:.................................:. Name of Architect .'....:........Address ' ................... .................. ...................... _ r Number of Rooms f ..................................................................Foundation ........................................................' '' ...................... Exterior ...................................•' Roofing ................................................ Floors .......... ....................../. ...... .......................................Interior .... Heating " ............................................................Plumbing .......... Fireplace r ...Approximate Cost �'• A C?•° o ..................... ................................. .................................................................... .................. ....... Definitive Plan Approved by Planning Board -----------_____-----------19________. Area/ � Ll .....:.............:. ............... Diagram of Lot and Building with Dimensions Fee ..... . SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 Y 41;r • f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............................................................"'f,/ �� � / .' Sircom, John 9731 permit ....................... ............................................................................... Location JOJPAbqxq..... ..,q............................... Marstons . .........................:....... ..................... OwFler ..... ... .............................. Type of Construction ......Wo d.Frame.,........... ................................................. ......... ................... Plot ......................... .............. LQn\ M Lr-CO lot P ermit Granted ........ ........'Nov 7 ................ ......1977 Date of Inspection ..... ...................... .........19 Date Completed ....................................... 19 PERMIT REFUSED ......................... ........ ...... ........................ 19 ... ................. 1-k.. ......... .. ..... .......... ..............................: 2........ .......................... ...................................... ......... ........... ............. ............. Approved ................................................ 19 ................................................................................ ............................ ..................................................