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0045 WALNUT STREET
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application 00;Z Health Division Date Issued Conservation Division Application Fee v Planning Dept. r Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis - Project Street:Address &v S Village Ayvs S or- 1 A !S Owner rr'J[�/�.'1�. �i4,� i �' Address 04 , Telephone SO d-s463 - y 3--7a Permit Request Lk -.9 D a 1�i eJ /S�( i y ��92oc&T 7i>_s �a Zc t'l, i9 D&2> Square feet: 1 st floor: existing proposed 2nd floor: existing /6 proposed __C_)__Total new Zoning District Flood Plain G�i Groundwater Overlay Project Valuation 0t0•00 Construction Type &,00-a Lot Size s Grandfathered: ❑Yes ❑ No If es, attach supporting / y documentation. Dwelling Type: Single4mily (� Two Family ❑ Multi-Family (# units) Age of Existing Structure 2,9 " z Historic House: ❑Yes W40 On Old King's Highway: ❑Yes ❑_Mo 9-x Basement Type: Full ❑ Crawl ❑Walkout ❑ Other �- Basement Finished Area (sq.ft.) O Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ 2- new J� Half: existing new J� Number of Bedrooms: existingQnew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: VGas ❑ Oil ❑ Electric ❑ Other 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: '7 Zoning Board of Appeals Authorization ❑ .Appeal # Recorded ❑ Commercial ❑Yes >(No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 25 S aPO Address /� �in f cA� ��/ �C�l� License# C_5 S_V y�/3 ocP-6 yy Home Improvement Contractor# / b to D Worker's Compensation # Pee Tw 64,7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO AZ/_9 749/P SIGNATURE DATE / FOR OFFICIAL USE ONLY ` +� 'APPLICATION# DATE ISSUED �• MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: •�&A&6 FOUNDATION nor- I fro t "' A flu - . 'FRAME "INSULATION ANUS 4d6 kv S-4) w 5 =—FIREPLACE ELECTRICAL: ROUGH FINAL ."%PLUMBING: ROUGH FINAL r, '-GAS: p ROUGH FINAL `FINAL BUILDING v T y m DATE CLOSED 6UT1 _ ASSOCIATION FLAN NO. 4� Town of B.arwtable Regulatory 5eryices gARTt3TA Thomas b L� F. Geiler,Dixector M.LS� - Building Division rEo MJ�• Thomas Per-ry, CBO, Building Co 15SiOner 200 Maim Street, Hyannis,MA 02601 - www.to�vn.barnstable.ma.us . Fax: 508-790-6230 'Offices 508-862-4038 PLAN REVIEW Map/Parcel: Owner: / - S•Lt/y T ST. /l(/�C Builder: Pfoj*ect Address/_ /� -- The fallowing items were noted on zeviuing= J l2eyi'wed by: Date: 2/a.y�/o The Commonwealth of Massachusetts Department of Industrial Accidents Office of-Investigation' s I' 600 Washington Street t� Boston, MA 02111 iy www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ip6//9 /GY &69 CXZ11 Address: /6 A� l i nn 7` O/y cl/ City/State/Zip: Fo12e-9_rl Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. °Y-*1 I am a general contractor and I employees (full and/or.part-time).* have hired the sub-contractors 6• El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additit 3.❑ 1 am a homeowner doing all work officers have exercised their l l.❑ Plumbing repairs or additit 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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �S Policy#or Self-ins.Lie.#: /t'JeC � D06 `79O !'aD D 9 __ Expiration Date: O/d 3-5— tJ19kZ0T S Job Site Address: Z,6/2570n/s ?!27%c Ls 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 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 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 cer ' u der the pains and penalties of perjury that the information provided above is true and correct Si nature: v7 Date: O 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 S. 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 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 untit 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-contractor(s)name(s), addresses)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 pen-nit 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 permit/license 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 Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia 1 1-NERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONCE- AND TWO-FAMILY DETACHED RESIDENTIAL*CONSTR•UCTION , (780 CM-R 61.00) Applicant Name: Site Address: prin! Town: �< S 1—s2 • A l�ylv/yS / Applicant Phone: L -- S Applicant Signature: 1Date of Application: 2W/0 NEW CONSTRUCTION: choose ONE of the-following two'o do 780 CMR.TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAlQMUM IvILNTMUM Ceiling or Basement Slab ❑ Option 1: Fenestration exposed Wall Floor. Wall Perimeter AF•UE HSPF U-factor floors R-Value R-Value R Value R Value R.Value and Depth National Appliancc-Encr R-10, Conservati°h Act(NAE( .35 R-38 R-19 R=19 R-10 4 ft.- 1997 as amcndcd,minim eater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: RES check Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.3.2 REScheck--Web which can be accessed at http-://www.cnrrjzycDdcs-goy/rcsrhtrk/ D]3XX O1V5:012 ALT�kXtOI�S.TO UaSTING rJLGDZNGS.OUER 'EAR OLD* *puildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula.to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b_ a) e? ' "SF 100 x -y90 —&32 % of glazing b a (b) Glazing area equals SF If glazing j.s<:40%.il.9e the chart below. If glazing is> 40 % rgce;d to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING. LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM M�ZI1vfLTiv1 Ceiling and Slab Perir Fenestration Exposed floors -Wall Floor Basement Wall R-•vall U-factor R-Value R-Value R-value R-Value and De .39 R-37 a R-13 R-19 R-10 R-10, 4 a R-30 ceiling insulation maybe used in place of R-37 if the insulation acbieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls, and includingan access.openings). SUNROOM—An addition or alteration to an existing building/dwelling unit where the tot El glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of t addition. In Note: Owner to Information Form fill out Corjsurrzer found iri A endix 120.P . . . ..." .. . . � � | A 14/C di/de to H/00d ConJb�/ctip// /» /y/ph �u� ruoJ: J/0 »lPh Win�/Zon u � � '�� � N48SSaclD3^ ." Checklist for C0111nJ^aDC8 (78O CKYD BO1:l.i|) Compliar � 11 SCOPE ' � -� 11U mph VY�dSpeed C�sec gust)----.--.--------------- ----------___,_____��-B ' VY�d Exposure -------------' ---------- � � ~~ -------� C - -`-- Category � Required For VV�d Exposure Ca�go�'----'Engm ng � --------- -�� i 2 APPLICABILITY� NuhnberofS�hay /omofwh�c axcaodx8ini2s|upesha|| becnnnidamdosto s�ohou ��2s�r�s ` '' � i2'12 Roof � . ----�--------(Fig --------------�---- 33 ------------ � � . 2 -'`--- ^^ K�eanRuofHe�h ' -----'Y�y +------------- ' -- p" -------------' � :..(Fig � --- � �07 Building VY —'' -----------' � -� ` ------------------' , ~ . �y ������� ~ (�g3) ' BuUdk?gLang�. L ---------------'—,--- -------------- -� � 8ui�ingAspm�Ruho (UVV) --^------'------'(�g4)---------------v����-�»�' -�� Nominal Ha�hJcfTaUos Dpe"�"2 .............................:.....(Fig 4)................................................ oo � �a FRAMINGCONNECTIONS General ' Gonara compliance with framing� connections....................(Table 2)................................................................ c_ � � � 2.1 FOUNDATION Foundation Walls meeting nequirem����CMR5�1 ' � ----------.. =_ � Concrete-------------------------------. ����������� � Conure� Masonry -------------^---------. ----------. _ 2.2 ANCHOQAbE3O FOUNDATONp 5/8^Anchor BoKz,inbaddedor5/8^ � �Proprietary Mechanical Anchprsonana|1ornodvain cra� � Bolt Sp4cing-gonora -.-----....---.--...(7ob|o4)-----''.----' �c- | Bolt Spa ' from . -' Fig5L-----��-----'��u±�v/� �o - /� ' puu/v� -----� -- � � in. �7^ 5 Bolt -concn�e ---------.V'� /----------------`_�_ - � ^ ---� in � ��� � ' (Fig � � � � Bolt Embedment-masomy.................. ---- ---------' - - ` ----� ' ` - ' i3~ x3^x�� � P|a�VVasha�..- ------------__--_-_(�g5)__-_-__________. 3.1 FLOORS Floor-framing --------.--(per78UCWRChapter5�>---------.--. � U�o O\ �2�_ft� 12 k4m�m�m �ocvOpening [Xmann|un-----------` ~ '---',---��--------� FuUHe�hdVVaU0odootF�or Openings less than 2' hnmEx�horVVaU (�gO)------------- WaximumFborJoist Setbacks � �d �� � SupportingLoadbear�gVVa� o'ShoanvaU_'---.(�g7)-----------------�__ ��_Maximum Cantilevered Floor Joists � ~ ' � � Suppo�ngLoadbeohngVVa|��nrSheanwaU-----.(�g8 -----------._-----�__ d FlooF8racingadEndwo�-----------------�(�gS)--_-'_---'------------.. 4�__ - 0�nr78OC�RChap�r55> ��............................. � F�orShe�binQType ------------------',. '-� � FkmrShuo�h�gThickness --_-----------:-'(perTDUCMRChapba 55)-'-.:--' +' Floor Sheathing Fpsfer0ng.................................................. (Table 2)' � d nails adjn edge/ in field -��- � | 4.1 WALLS ' / Wall Height ' 1 and � LoadbeahngwaUo . ---------' `v-''------� --�- ----- and --'�L�� ��� gwaos .................................................. -----_ pm'�°�"""�"' andTab� � ___',y� in��24^o�c Wall --------'ve '~ -/--� --- � ---------� ) M �� ' � �' Spacing (Figs -_-_`�_ � VV�USb��D��� -----------------''� /----------' ' 4.2 EXTERIOR WALLS' � � Wood —S°tuda Loadba~o-dngv4—ls- ' — ----- �------'`[o�o5j �^��+�r__ �, in . earing , � Non-LoadbwoUs (Table .-------zx�l in. Go�nEndVaU8mc�g -------,----------,--- ll ' ~ ' l --ds-- ...... - i1)--------------- _n�VB , " ` ~' ~~ Length---S Mu0.SV Gypsum Ceiling ' Y 11)--------------' ohd2x4 Continuous Lotera|8raba@OfLo.c. .. (Fig 1i).............. ......................................... ^ � i with x 4h�cNng ��4 ft. spac�gin end��torhuus bays__�� � or1 x3ceUinQ�bndngsbips �� 1O spacing AWC Guide /o I•Voori Con.strlrc6011 ill. Hi{h I'Vinrf Al-eas: 110 fllhlr I'Ylrlrf Zone Massachusetts Checklist for Compliance (7'80 Ci\'11Z5301.2.1.1)' Loadbearing Wall Connections Lateral (no.of 16d common nails).................................(Tables 7)..................................................... �- Non-Loadbearing Wall Connections. Lateral (no. of 16d common nails)..........................:.....(Table 8)....................................................... v Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9)................................... ft C7 in. < 11' . Sill Plate Spans .............:..........................................(Table 9)................................:. ft in. s 11, 1� Full Height Studs (no. of studs)....................................(Table 9)........................................... t..o....... Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9)...................................1,3L ft in. < 12' c/ Sill Plate Spans.... ..................:....................................(Table 9).................................... ft_C� in.5 1-2*Full Height Studs (no. of studs)....................................(Table 9)........................................ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension, W `Z �� _ `?) 5 6'8" Nominal Height of Tallest OpeningZ y/............................ ....... .. Sheathing Type..............................................(note 4).............. 7 6W Table 10 or note 4 if less .. 4- in. Edge Nail Spacing................:........................( )...................... Field Nail Spacing............................:.............(Table 10).................................................1TA�r 2 in. Shear Connection (no. of 16d common nails)(Table 10)......................... . r� Percent Full-Height Sheathing � 4�.....9 g.. . ......... ...(Table 10)........................... . ............7� 5% Additional Sheathirp for Will with Opening > 6'8"(Design Concepts).................... Maximum Building Dimension, L kV` ' ' 1 -7' Nominal Height of Tallest Opening Z 6'�5 <6'8" Sheathing Type..............................................(note 4)..................................................... 1t,5 9 r/ Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ C� in. Field Nail S Spacing /,A in. P g......... .................:.. able 11 . ....... Shear Connection(no, of 16d common nails)(Table 11)................................e. . .[!_ Percent.Full-Height Sheathing Table 11 ........................... ..........60 /o 5%Additional Sheathing for Wall with'Opening> 6'8'(Design Concepts).................:. Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... 5.1 ROOFS Roof framing member spans checked?...................:....(For Rafters use AWC S an Tool, see BBRS Website) Roof Overhang ............................I.......................(Figure 19) ............. 17 ft 5 smaller of 2'or L13 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U= Plf Lateral .............................................(Table 12).......................................... L=L7b Plf Shear................................................(Table 12)............................................S=77•plf . . _ Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T_�Of y • Gable Rake Outlooker.................:........................(Figure 20) ••••••••-••••.�ft 5 smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift.......................:.:......................(fable 14).........................................:..U=_Vl Lateral (no.of 16d common nails)...(Table 14).......................................L=z lb. r/ Roof Sheathing Type................:..................................(per 780 CMR Chapters 58 a� 59) ...........• RoofSheathing Thickness.....................................:.....'............................................. . in. z 7/16' RoofSheathing Fastening............................................(Table 2).............................:...........................� Notes: 1. • This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are.not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2._ ' Exception:Opening heights of up to 8 ft. shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-gr6de. 1 � r ' `own of Barn-stab!e ti Regulatory Services � r r r ` W-RNS-xstY— Thomas F Geiler, Director t63q- ��ei� ' Foy Building Division Tom Perry, Building Commissioner 200 Main Strcct, Hyannis,MA 02601 `vww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79( Property OwrierMust Complete and Sign This Section If Using A Builder I," J�o �/� as Owner of the subject.property hereby authorize o .. c _ to act on my behalf, is all matters relative to work authorized by this building permit application for. r�s i.GQs A ass (Address offob) Signature o er Date Print Narne If Property Owner is4pplying for permit please complete the Homeowners License Exemption Form on the reverse "s'ide. 1 Town of Barnstable �P of site rosy o . Regulatory Services nAxxsTAst� Thomas F. Geiler,Director ' Building Division PrED �F Tom Perry,Building Commissioner 200 Mairi'Sireet, Hyannis, MA 026.01 www.town.barnstable.ma.us Office: 508-862-4039 Fax: 509-790-6230 HOT[EO'WNER LICENSE EXEMPTTON Please Print DATE: JOB LOCATION: number street • villa'ge name home phone# work pbonc# CURRENT MAILING ADDRESS: eityhown states zip code }. i The current exemption for"homeowners" was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as ' supervisor. ' DEFINITION OF EOMEIOWNER Pergon(s)wbo owns a parcel of land on which he/she resides or intends to reside, on which there-is, or is intended to' be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures, A more than one home in a two-year period shall not be considered a homeowner. Such person who constructs "homeowner"shall subunit to the building Official on a form acceptable to the Building Official, that be/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned `homeowner certifies that he/sbc understands the Town of Barnstable Building Departrlacnt minimum inspection procedures and requirements and that he/sbc will comply with said procedures and requixemen ts. Signatisrc of Homeowner Approval of Building Official Note: Thrce-fame y dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Scction 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that "My homcowna performing work for which a building perrn it is required shall be exempt from the provisions of this scction.(Scetion 109.1.1 -Licensing of construction Supervisors);provided that if the homcoryn'a engages a pQson(s)for hies to do such work that such Homeowner shall act as supervisor." Many hofncowncrs who use this exemption arc unaware_that they arc assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.1.5) This lack of awareness bflen 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 homcowncr acting as Supervisor is ultimately responsrblc. To ensure that the homcowndr is fully aware of hi&Acq responnbilitics,many communities require,as part of the permit application, thaA the homeowner certify that hdshc understands the responsibilities of a Superosor. On the last page of this issue is a,form cuncnpy used by several towns. 'You.may care t amend and adopt such a fomrIcertification for use in your corrvnunity. Boardof-r�o?rinzog, ,./// �. Building Regulations an rnd dauaeCta _ HOME'IMPROVEMENT License or registration valid for ind CONTRACTOR � •1 Registrata nA�110160 before the expiration date. rvrdul use only Expiration:=. Board of Buildin Lf found return to: Y j. g- __1.0/9/2010 Tr# 283157 °� One Ashburton p�Regulations and Standards f� is c TyPe:--Intl" ' �` _-, , ,,:._ _�!�idual ;� Boston ceRm 1301 RONALD E LANDRy:� ,Ma.02108 RONALD V< ., �� i LANDRY� 16 PIMLICO POND'RID FORESDALE,MA 0264% �_ 1 (, Adminish•ator ' � _r!` _ _�� ��. Not valid without signature gnature --... iNlassachusetts- Department of.Public Safet, Board of Buildin Re�aulations and Standards Construction Supervisor License License: cs 57443 Restricted to: 1 G RONALD E LANDRY N. 16 PIMLICO POND RD FORESTDALE, MA 02644 Expiration: 7/17/2011 Commissioner Tr#: 14087 CERTIFICATE OF LIABILITY INSURANCE 1/20/20 0' PRODUCER (508) 540-4555 FAX: (508) 540-9255 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DFM Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 668 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth MA 02541-0656 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Colony Insurance Company Unique Design Solutions Ltd, DBA: Unique INSURER B:American Employers Insurance 35 Chase Rd. INSURERC: INSURER D: E. Sandwich MA 02537 INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR NSRD1 TYPE OF INSURANCE LIMITS ATE(MM1QD/YYYY1 GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence)_ $ 100,000 A I CLAIMS MADE rx-1 OCCUR GL3589221-2 11/26/2009 11/26/2010 MED EXP(Any one person) $ 51000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY JECT PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION WC RY STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) KCC 5006679012009 11/26/2009 11/26/2010 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Pamela Martin 45 Walnut St. Marstons Mills, MA 06248 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN ATTN: Building Dept. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Barnstable, MA IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE D McCarthy/SAM ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(200901) The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001/08) INS025 pio8p8a Page 2 of 2 d Additional Named Insureds Other Named Insureds Unique Shutters Doing Business As Unique Shutters Doing Business As OFAPPINF(02/2007) COPYRIGHT 2007,AMS SERVICES INC I i ACORD CERTIFICATE OF LIABILITY INSURANCE =2009 D/YYYY) PRODUCER (S08)997-6061 ;aX (508)990-2731 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 439 State Rd. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 79398 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. N. Dartmouth, MA 02747 INSURERS AFFORDING COVERAGE NAIC# INSURED Rons Excavating Inc. INSURER A: Merchants Insurance Group P 0 Box 809 INSURER B: Mashpee, MA 02649 INSURERC: INSURER D: =A INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AD D POLI EFF E POLICY EXPI TION LTR NS TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYYYYJ DATE MM/DD LIMITS GENERAL LIABILITY CMP9148246 05/01/2009 05/01/2010 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100,000 CLAIMS MADE [ OCCUR MED EXP(Any one person) $ 5,000 A X XCU Incl uded _ PERSONAL&ADV INJURY $ 1,000.000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY 73 S 74400001 08/16/2008 08/16/2009 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY A X SCHEDULED AUTOS (Per person) $ 1,000,000 X HIRED AUTOS BODILY INJURY X $NON-OWNED AUTOS (Per accident) 1,000,000 PROPERTY DAMAGE $ (Per accident) 1,000,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION WCA9094537 05 AND EMPLOYERS'LIABILITY YIN /01/2009 05/01/2010 X I Two RY LIMITS X ET R ANY PROPRIE BER/EXCLUDE/EXECUTNED E.L.EACH ACCIDENT $ 500,00 O A OFFICER/MEMBER EXCLUDED? I►In rv`L�i�Tn�c j:.a,�Ga:.syl.,f:::) rnn nnn If yes,descr be under C D CC CC- ^EEC CC + +—,.ou- SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS roject Location: Brian Skritkis, 62 Elaine Ave., E. Falmouth, MA 02536 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Ron Landry Builders IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 16 Pimlico Pond Road REPRESENTATIVES. Forestdale, MA 02644 AUTHORIZED REPRESENTATIVE Karen Bernier ACORD 26(2009/01) FAX: 508.477.6069 ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A m / �cc::J IL DATA e- ;i PH•: _ s i C'ATE. y` ,T) OR d vow IY r , a _ 1 AtrFX 9N I E7tCEs9-UF�GQPLLA t.Ii1StUXY ' i _..—w.....•._,_. �^�£��Ar�AR __. i -d:- t tFErEr n,n � ANO EMPt 0Y14R .SALTY ANYrRG KEtuti,anq EA.:."CCE!TaE YlN ^ - {{ 171SFA$E I, n VF T r,t n1�6ASfi P ' r C1Mt1 F OTHER (i I 7 .QF QQpFR 'IONe 1 LOCAT L P:S f 'i E�:E' ti5.i iQFJ By CNuC1R5EblEK!!bP.E^,4�aR ; gi,?N - s �':ilalnuL At rge�t: blRrpt!.ni, M1.1 1v MA 02948 x>p: �G`ERTIFItrA1>~HOLDER r rC —SR'CU:5.4+411 OF TM@ AB3Vr 0£SCAIrr"'MN.iN,1F&9E CMWf C_LEa TaE.f-.V;.RAT.1' ;TRTE''/FAF�JP, Tttp lSSljINQ 4NSURE P tMt tVpCAVON tO MAIL1 U DAYS WRITT![�."` LAMRY CONPTRVCIIQv 1 r.0*ac:E`^'! ,E CEirsls CATF' Hrr, 40'.r1 crt -o rl•r LfrT,OUT rAIL.UFF TO 00 k0 16 V-.7c`CO PMIr. RC`AG II1PCYf. wn CMCtOATION. OR Lrp B:.' r,•. r ;.! UPON TNr. INBVPER,ITq A0q.Vr , FORMIMAL£, t4A 07544 REpR�SfMt ryV $. A(ITTI.4 Y_T`r F'PF¢$E MTh71V �ACORD 25(2009101) Cl 19it�ACORD 09 ACOFt0 C PORATION. All rights reserved The ACORD name and logo ara registered marks $�OCUaed UbiFlq raff"t Bess PIU7 naftwor*, aw'a!,FO'+gP0089.C�m lr+,prnog,vp PUOIibMrry?UO.2^9.1977 i }- 'i..., `!I,y '(i i i l` 1'... i(11)1 j 0,4 C:mm=i'r'YY ovucete ,q:39 ;i °i-efFi,_. __ ... TH c a55.tFi�AS A:.na : r:y F i*iFQRh1A1'IDN ri!5 NO RIGHTS'{;gror��d ak4F uFRTPFICAT� ►1 � r 4 !IF011FIGATF W)I AMVC r-YTENL-)OR 19 SvCn 10,00 .E .000,00 uoo,00 'S voo.,_qoo r - 3 � ; r `r.rr 1 r'n+; �• r� i Via_.. �p��p^y �y Q Q�f t19 �y• i t l C Y iIV3l�if" 7R'T I{„'';.a��7i 1,�. FA qMRG Er. i 00,00 nce of linsuranc: f S 4,y Qf T, �13.�`.€'iE,'Rimio POLiGSE r Bt,CAt, a g vi f sp[a?y�pr:fJN.OAT4VICV:' F ?`h,•SS5!i'.NC WSGFsb i. t �. " 1C► 0A YS wR1I„EN NI;YiCt TO THE CERTWCATt KOWER N' : FAT tz¢ } ¢fy,.,Py [ ,-s,a. rely E .ir: ' gulZ,,t.:¢K O MAIL 3IqC.mNOTiC9,5NAi_L IMPOSE 049OIDLlGA[;.:', 16 -I Cf l i co P(;i:10 RR'-:4 { Of:Aiv i1 h{.'yr+t'r rWE ita-�U�EF,YTs aGo Nvi om AF.,j%RESENl AT.v,:z' F o1"wStdal B, MA t�Z r4" AV FtONZz D RSPRES'FNTA'•SVF _ C nth�a J )enks ACORD 25(2001108) FAX (508)477-6069 tACORD CORPORA'Iii> w. 7 "`'°• TOWN OF BARNSTABLE � 20600 +� �J Permit No. ___----------- j, { ,, nt,�,, Building Inspector eua l Cash ---------------- •O�0 Y0.Y�� OCCUPANCY PERMIT Bond f X---------- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Douglas Beam Address lot #11 45 Walnut Street, Marstons Mills Wiring Inspector Inspection date Plumbing Insp Inspection date Gas Inspector Inspection date ✓Engineering Department Inspection date 4-/- -7 THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 1 .................1........,[......................, 19......__ ...........I................ ...... ........................................._... . . ...... . .......... ............. ilding Inspector FROM TOWN OF BARNSTABLE BUILDING DEPARTMENT Mr. Francis Lahteine 397 MAIN STREET Town Clerk HYANNIS, MA 02601 Town of Barnstable . Phone: 775-1120 L J SUBJECT: FOLD„ERE BOND RELEASE w DATE December 27, 1978 MESSAGE An Occupancy Permit has been issued for work done under Building Permit #20600 (Douglas Beam) . Please release Bond. - ` SIGN D PAL I C DATE /44 REPLY i. SIGNED i• i NenRMI RECIPIENT:RETAIN WHITE COPY•RETURN PINK COPY PRINTED IN U.S.A. i TO TO%VN OF BARNSTA131M BUILDING DEPART: Mr.o'Francis Uihteift-e N 397 MAIN.STRE - '"` town rk t TcSwn of Barnstable HYANNIS, .MA 02601 0L. !' Phone: 7754120 SUBJECT: BONT RBLE= FOLD HERE •'� DATE t. `December 27s 1-578_ MESSAGE , 0-ccupandy Permit.has been issued f©4 work done under Building Permit #206013 {.I?mtglas Beam). Please release Bond. q; ..j �1. - .�: SIGNED t{ i �` .. P � r . J r DATE { _ REPLY {' y ,... N87-RMI I RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. •J i' .� .- • - - 'arm- ��P_" _ � -� � I °`T"`'°• TOWN,OF BARNSTABLE y 20600 .• Permit No. ------------------— i Building'Inspector i "... a Cash ----------- ���"pY� " OCCUPANCY , PERMIT Bond No building nor structure shall•,be,erected,e and,no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until•a certificate of occupancy has been issued'by the Building Inspector." Issued to Douglas Beam Address f lot 611 45 Walnut Street. Marstons Mills Wiring Inspector ;s -!� Inspection datewC��/7 / Plumbing Inspector A , a Inspection date Gas Inspector Inspection date .Engineering Department // e/ ,f�� Inspection date 16 -!--7 THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. Building Inspector 4,4 LOT 36 (Fldo) it EL£V.. F!SSUi.: Ta { ; 1J 1 S f L07 11 L iIn ,,�..�+- ,.j '�q� -_ •- � ''i I rFT i � � ,' ,fit .�, +� rr It LOT 39..41 . 00 i 1 tv �•,!F.p 1 i ' w/1'SroNr_ O jil7ki� ,7 ' 330 G. ` } 1 .. a' 1 A IN v 1 rti L 1 ♦ — G�' 1 1 _ t 7 X i Lrf LOT 1-1 a Tj 411 .77 F , CLj 1` t I f 4 F �N }s..f� f 1 ! ; 7 Ins v Z x,9 �_22•S�j i 3'n �• 'P YP' ! �:r—,��--c. .tea \ ' ?' �:;-i 7. O_ �1✓ '1 , .%1� /-.'v/ 1, ri.Ll y Y^ ;��� fk rfl, /t rr ' j.�'.:i CTi !/1•'.�. r �/ �s/^J,j �,r �.'�CAL� (.'�J!`j�:/l��p7'�� z�Srt� IT; f �`1• ,F+:: r-. i-l.a-.1 ;l✓ ! [OI tl ! 1 ..r �y7 :t SK ETC 'H Pi.AN OF LAMD ifl RSTONS Ml LS ( BARNS;��L-1) :SS. JD- 'i BElQC, LOT 11 A55NOWN OWAPLAN "TALLMIES FOR-' , I. } ; , . 4 DO-WA\LD I M;. CA�?R (F EU7A[3>_T'a �,WOEt�f_l,L ��RS. TALL � S LptAA M,tom I T?U S T- '3"i Al `W S ! - 13 i—[ Y U r }�' ►,� ) s° 1 I SEPTEMBCR 197-) S.R SN&IE ":SE2 iSCALE 1"= 30 t`_ t 1 RTI F'y .�.H d.�f" ..fig;,^ ���� ,�,r3Ao T. ,-1,,! 5,.y��tvrJ 4r,1 ,si.LAta y 4_ T N i S L/�►�1 j I U GAT D �f ?! G R C'1 U?l4 0 A S ' f 7` (S0 1 f,-F-r-Pl E R E O N _ G�avrL. f3UIL AJ G L.,41W3 0r TIE t 1 T� ICJ c> FA.RNSTpz3c �.;4E N CvN STRUCTEp i AND ip �?4>= fZ S 1 fti I !_ ir)tJ S 0 r l r-ZcCnR,t� Aj 1 s4" r �4-jar-� .. �t�� ..� f RN�►_ DAT r` �, ST MADE AU0.25 i978 RL5I'sTEPc t� LA.► i1:> C`Ut ,��EYVR O t LE M)rIlN:;pER INCH oP.0P i 1 tF! of �L ri�'•�� � i ..' t i. �.. .'ice._. ...+ -t , r� „Y+ Assessor's map and, lot number .....1..!..I. �. .�.......E1� 071 3 �'`, S EPYIC tySTEM MIST BE. S ._- Sewage Permit number .......................................................... TALKED IN COMPLIANCE THETo��� TOWN OF BARNS j T�` B DE AND TOEr, F BAWSTABLE, i �� t ""` 1639• BUILDINGr� INSPECTOR; O 9 �'0 NPY h• APPLICATION FOR PERMIT TO .. <//.:L.d..�.... `f/..'... �.v� .... . dv.......... .............................. TYPE OF CONSTRUCTION �` .�?s1.O..... !Q�f? y; — ............................................................................. . ............ ... /� ..., 1....................>9. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...........ZD'T... ..........:�4,f?. .N..,J.T.....; ............ .7.A.. .....m.'..!1.Z.S............................................... ' ProposedUse ...................f.YQ.tn.,z-... ........................................................ .........................I......................... ZoningDistrict ................A.D.. ...i ..........................Fire District .............. .. ........................................................... Name of Owner ........ a.cl C.?4.n11........................Address ........... Name of Builder ........1�.•oi+>,�...0.....f'.7'�q:C.J.ee��ddress .......a?O.,C2i_L4 !�....S T...........� .r? @�.... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ............i�...................................................Foundation .......... Od 2E.G?.............................................. Exterior ...........W,41 ..�.. .......d4F4 ..!V1 .............................Roofing ............. .�....N'b.?./................................................. Floors ............Z.!.ee.eFd. �..........................................Interior .......... ........................................... HeatingFfJ..............................................................Plumbing ............�✓.... ..... ..�'.4?.tO��. Fireplace ........................................Approximate Cost ;zooa. as J�� j...r Definitive Plan Approved by Planning Board _____________________________19_ . Area y/ . .(?.J1 /�!��1 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ?1117 o I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar,ing the above construction. _ Name . ...... �2.,�Gf ............... Beam, Douglas ^ � � ~ �_' . � �u�OO oue .otory � . ----. Permit for ---------^--. . ` � - ` single f�uoily dwelling . .--'-------~---.-..---~----- ` Location ..........45...Walnut.. rmet______. ~ _ ' Marotaoo Mills ' .----_---------.---.------- 8aa� ^ ' Owner ---..�������------------- ^ - Typo of Construction ------frame -------- .~ ----.~-.--------.----,-.---- . ' �P #llPlot --.---.---.. Lot --_-------' -' . ` ' 8 Permit Granted -. ..��--�.lA ? ^ . Date of Inspection ........................... � - ' ^ ~ "p", Completed ...............,. ' �J PERMIT REFUSED. . , ~-..-~^^-~-.~~'~~.-^-'--^—.^^, lg ' ' .. .................................... . . - 6'1 ---------.- =z�' .. ��. .����.-~ . ^ '--------------''^'~'-^.!-`-^''--^' -' . ^^ ---------..``-----. l9 � . - --------------..-..---.----~. --------------------~-^^^^^^' ` �| r L Assessor's map and lot number I ......... ....... .... Sewage Permit number .......................................................... FTMETO�y TOWN OF BARNSTABLE Z BARNSTABLE, i "6 q O y BUILDING INSPECTOR 'FpY pr' j APPLICATION FOR PERMIT TO ......::.:::..:..:. ! r / :......� ............................................................. TYPE OF CONSTRUCTION ' ................................................r.r�-r 19.`...- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location • )r, , ^J,, ti ; /Y/A i?< .!.....IYI ! . ., .......................................................................................................... ..... . Proposed Use ......:'. .................................:........................................................... ..................... ................................................. Zoning District .................R.�.^. ...........................Fire District .....�%..�1C•�................:................................... 1 Name of Owner �. ��-�• .... .. ...... .^.... Address . Name of Builder .r?1,:.1,,r ... ..... -,.f7. Address .................................... ...:.......................... ....... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........... ...................................................Foundation ............ t?�v '.^.............................................. Exierior Sf >i, Roofing > ,P./rlJ. ................................................ ..... .......................................... ............... .......... Floors i.r �, . ...).^" ..Interior ..I- ,j -1 ". . ......................................................................... Heating :��..............................................................Plumbing r r, -4- �1, G,�_• r• Fireplace ...........r" .................................................................. Approximate Cost .........:::.::...�.�' t1.n.......................................... ...... Definitive Plan Approved by Planning Board -----------_______-----------19______-. Area .93,11....:,.... r .......... Diagram of Lot and Building with Dimensions Fee .I o-, ..................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 7� nu ,I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name : :/'% ...........................................................''' I Beam, ugIaa w&=149-2 ` � 20600 oueatory U|` No ' '' Permit for ' � / single . � ~��le ���i�y dwelling ` -------------.-------------. ' ` ' � � Location --_45..Walout..8t��et______.. ' \ _.____ �aratoua Mills ` / ----.----_-------.---.. � Douglas Beam . Owner1 ' Type of � | Plot ............................ ^ ' / � . | � N Permit Granted . A � � ~~'~ of ^~r~^' i ' -_.. Completed_ - . !, ' PERMIT ' ' . . ' ^ . ......................... --.. ............................... ' � ........................... ` ...................................... .� . . ` .......................................... ..--.., ' . . . / Approved lQ / --------------~.—.^'--~.--~--. � ` \ ' � -------------.-------....---.. t"E' tio TOWN OF BARNSTABLE Permit# MASSACHUSETTS BARNSTABLE, Date: �C(q 9 MASS. �► $prFo p. A SOLID FUEL STOVE PERMIT Fee: z Owner: Phone: Address: l�lS1y `�- �`/- Village: Approved by: / Date: 7 D's Stove A. New B.Type/Radiant Circulating C. Manufacturer 1,ab No. D. Model No. Chimney A. New Existing/il'yes, (late of'last cleaning _ B. Flue Size C. Arc other appliances attached to flue? D. Pre-Fab type and Manufacturer E. Masonry/lined Unlined Hearth A. Materials B. Sub Floor construction /6x Installer Address Phone Location of Installation 'Polaroid Photo Necesswy *Tlvs constitutes an olficial stove pennif alter insj)ecli.on rural,tpplwal by Building-Inspector f t x, IMPORTANT ANY CONSTRUCTION THAT INCREASES LIVING SPACE BEYOND 1200 SQ. FT. PER LEVEL MAY REQUIRE THE INSTALLATION OF ADDITIONAL SMOKE DETECTORS NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL PERMIT DOE_ S NOT SATISFY THIS REQUIREMENT. I I i _- 04 ewe SCALE: / 0 APPROVED BY: DR BYE w DATE: REVISED I o 0C f 6;4 1 �S _ DRAWING NUMBER _yam - ELh ffi SCALE. APPROVED BY: BY DATE: /O O REVISED DRAWING NUMBER /ate I ` I I i 1- t I IR IN LQ 1 SCALE: / //z �� APPROVED BY: D N B A1 DATE: !tJ REVISED �-- DRAWING NUMBER �ev �i oy 3 �O 2tAiCHELE � r -- ---� CU DI LO Mo.347-s4 NI°Y STRUCTURfi &`-O S,t/E'ER AFGrStFF `��' k i N - 3'0 010 \, 00 Amy: A4 . - �C) `I I S GOB,�Svey IEa��O�'1 Fl- ' a , Al I i axs >° Z5.LO D/e-p // L� / V/3�� SCALE:/v I/ /_O// APPROVED BY: pgA1yN�/✓C�'iZ,. Q DATExT EVISED %[1^ R/ 0 DRAWING NUMBER 7� oa r. _. lA i L 1 SS (!! 'ram a o�. 2- z is HZIM o't o2�C taC- ti oo 'PZ00/6E [-25p-,ciF-7- sT .2R '.9 X 7 0 o �o s• _ o e .O e 1 _. o ' i dlp N z b e _. a -� e b f a aLU O >t. 6- 4.F1-g- /ci-- 9-m iy� 02 MICHELE ti� 4 CUDILO ' No.34774 N SCALE: / r/^ F�// APPROVED BY: s/ DRAWN BY STRUCTURAL � R, DATE: REVISED cS/ONAL r RAWrING NUMBER /V V o_ . 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ASSESSOR'S MAP- 149-002 0.5 ACRES FLOOD ZONE.• T of / 43.4ft PANEL NUMBER.- 250001 0015 C — DATED. 08-19-1985 —PROPOSED ADDITION =__=#45 ------- --- ! PLOT PLAN OF LAND LOCATED AT ° 45 WALNUT STREET MARSTONS MILLS, MA. °6. 31.6ft 44.3ft p �� ..®..a PREPARED FOR. °;. ASPHALT, :.,.... J �s� PAMELA J MARTIN s� v \7TcRFO N �� o JANUARY 8 \Q' S EPHE , , 2010 LOT 12 �w < ooYLE ® a7a REV ®►�4Af U?\' � REV REV YANKEE LAND SURVEY �. GRAPHIC SCALE CO., INC. 30 0 15 30 60 40 INDUSTRY ROAD MARSTONS MILLS, MA 02648 TEL 508-428-0055 FAX 508-420-5553 1 inch = 30 ft. SHEET 1 OF 1 JOB # 54599 JF