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0380 WHISTLEBERRY DRIVE
Vf' 0 " f o 11 l o v P .f�+...w � �wt1F.MT-...�r'�..,�•f. .nA�n • _�......_ _ �+. R � _ •L�u� - _ R ` ►.� _ Town of Barnstable Building_. _�...w...,. .�.. an SrwetE t Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept i 1639. Posted Until Final Inspection Has Been Made. 'W i � earaa�° here a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. r Permit Permit No. B-19-3249 Applicant Name: Russell Cazeault Approvals Date Issued: 10/01/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 04/01/2020 Foundation: Location: 380 WHISTLEBERRY DRIVE, MARSTONS MILLS Map/Lot: 062-035 Zoning District: RF Sheathing: Owner on Record: CURLEY, DAVID P&ANNE I Contractor Name: PAUL J.CAZEAULT&SONS INC. Framing: 1 Address: 380 WHISTLEBERRY DRIVE Contractor License: 103714 2 MARSTONS MILLS, MA 02648 Est. Project Cost: $4,200.00 Chimney: Description: Strip previous asphalt shingles replace with new asphalt shingles. Permit Fee: $35.00 Insulation: Fee Paid: $35.00 Project Review Req: Date: 10/1/2019 Final: Plumbing/Gas Rough Plumbing: w. 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. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough 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 Final Gas: work until the completion of the same. -- ---• -- Electrical 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:i Service: 1.Foundation or Footing 2.Sheathing Inspection - _ Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Pers con 'ng with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). CC` Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r oF,,,E rqk, Town.of Barnstable *Permit#c:;,)o/M Expires 6 months from issue date Regulatory Services Fee Y S_. 6�, BARNSTABIA 9� ass. $z63q. Richard V.Scali,Director PERIN IT �0 HIED�•(p Building Division . AUG 2 7 2014 Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us TOWN OFI MOffice: 508-862-4038 Fax: 50 ®L.G EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY C� Not Valid without Red X-Press Imprint Map/parcel Number Property Address �r'(S ��M'�?DeY V�?• ��'/`SAS/ %C.�S esidential Value of Work$ soy G O Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address C— &4-Af' Contractor's Name Telephone Number r)8 ' 6 G 3 Home Improvement Contractor License#(if applicable) ! '74 ( Email:14_\/t/L:84?1 (YAMAJt co Construction Supervisor's License#(if applicable) O y 61 � ' ❑Workman's Compensation Insurance Chec ne: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. f Permit Reques eck box) e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to V/d--/(AQ4�wL.�-, 1� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 r JrY� I'c�S C�>I�iP�I SAT9 N D �i�E'LOY R L[A-13 LI V INSUi ICE I�aC3LiC` rt � � t. �: � �;;InformatOonPiae � C _4 S.s..:.7L�..._.��Y�z,,:_..r-s._....�:� u..:'_xe....a.....,at..... ?_- .=. ...a:.._.:a.._...._....:...._,.._........:S.::..:... '1+ `Y ..2...3:.;-Ri..:._R �... �?.....b�ii.. ...:....'b. Atlantic Charter Insurance Company VDAC NCCI Co. No.:29211 Policy Number: WCV01168000 1. INSURED: Prior Policy Number: New Robert F. Tyndall Producer: 80 Brigantine Avenue O'Briens Centerville Insurance Osterville,'MA 02655 Federal ID Number:174560293 Agency, Inc. Risk ID Number: PO Box 610 Business Type: Individual Centerville, MA 02632 SIC:9999 NONCLASSIFIABLE ESTABLISHMENTS Other Named Insured:See WCE106 Other Work Places: See WCE107 2. POLICY PERIOD: The Policy Period Is From: 7/11/2014 To 7/11/2015 12:01 A.M. Standard Time at The Insured Mailing.Address 3. COVERAGES: A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of ou.f liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B D. This policy includes these endorsements and schedules: See WCE105 4. COVERAGES: The premium for this policy will be determined by our Manual of Rules, Classifications, Rates & Rating Plans: All information required below is subject to verification and change by audit. Code Premium Basis Total Rate Per Estimated Classifications No Estimated Annual $100 of Annual Remuneration Remuneration Premium See WC 00 00 01 Minimum Premium: Deposit Premium: $500 $500 Interim Adjustment: Annually Servicing Office: Estimated Premium (Minimum Premium) .$500 25 New Chardon Street Boston, MA 02114-4721 Issue-Date 07/01/2014 Countersigned By: Copyright 1987 National Council on Compensation Insurance Fnrm• 10nmu 1 Vhe�pamvnaarzcueaCC�d�C�/Gluaaac�ier�eCG3 � . Office of Consumer Affairs&Business Regulation ;i License or registration valid for individul use only OME IMPROVEMENT CONTRACTORbefore the expiration date. If found return to: e istration: �.19766 Type: Office of Consumer Affairs and Business Regulation g �1-, a t' 10.Park Plaza-Suite 5170 Expirationr�"`8%2812g_.15: DBA. ; =a Boston A 0211r WEBB CRAFT DESIGN 'S DAVID WEBBf__ 25 MEADOW VIEW DR;-,- EAST FALMOUTH,MA 02536 Undersecretary ; Not valid without signature lot y Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Super"isor License: CS-046189 DAVIDH WEBB 24 MEADOW VIEW DRY E FALMOUTH MA " `.J,•�..� ��� �rit�`� Expiration 10129/2014, Commissioner �� ate�t�rnlrxo�€fc�atlx o�i�assaelirtse D'eprzrtzn r t of rndr s&iid Accidents - Office Of rnvesdga ian s 600 WaYk&zgtom,S`freet Basion,MA 02111 WF6°11r.7AilXss:gm dia 'workers' Compensafion Insurance Affidavit:BuifdersfConfc:ctors/Electricians/Kumbers APPEcant Inferm,ation Please Priaf Lepibly Name(Busies-Oxxani:zafionffiffvidnan_ � A ZhM 63 Addxe.ss_ F6 9OX ti-l/ Ci /Stahl _ c)g•-536 Phonr-47 Are you an:employer?Check dicappropriat, box T of project r 4. Vam a general contractor and I 3130 e E egaired}: Y_❑ I am a employer with 6_ ❑New ennsfrucion erolr%oyees(full aad(orpart-#ima).* have hired the sub canfiacfors. 2_❑ I 7n a safe proprietor or partner Iisfeli on the sttacbed sheet 7_ ❑Remodeling r sbip and hate no employees These sub-coatractors have g- ❑Demolifioa woAang 1-or- m any capacit,r empla)q-�and have workers' 9_ ❑Building addition ffa,workers' comp:insurance comp.insarance 1 ieqoired.] 5-❑ We are a corporation and-its 10_0 Elechical repairs or additions offic s ha"exercised fbeir Ii�_. Plumbin airs or additions 3.❑ I ova a homaau�ner doinb all v,orl ❑ g reP , myself, [No tvorlMrs'comp- right of exzemptioaper MGL 12_0 hoof repairs Linirancerequired.]T c_152, §1(4} and we have no emjrlayees.[NffWDdCeM' 13-❑Other comp_insurance requited-1 'Any anplior-rt dirt checks box-nmst also fill oiA the sectioa below shuwmg diet(voffken'compensstion policy mffi=26¢a- t Homwwne s nw sabmait ih s afdsvd inmrnt UlFy are doing off,, and Sim him oulside coat mcmrs mast sabmnt a nm affidarit la"'�such Coatzsca+cs test cb_�ck tin s bmc must attached au addifioasI sweet sbocring iL name of(fie sob co�ixtocs�md staff veheder ocnot those mm ies have employees_ Htha snb{ontmctas h-a empIoyees,they must pcm-ide lh—:x workers'comp.policy nmnbez p axr an czmp r thrrtisgro~idir (tor era'compRrurhvn irmirancs for my errzg£flpem Below is the pob'cy andjob sure in.formahos t lns-araace ComgawfName: Policy 4,Or Self ins_Uc-h�- Expiration Date: Job Site Address- 41 s n r 11 it R-itt, h 2, citylStaterZip�/}�5���+fS/yl f�(/S/��oa2fa y g AttacTz a copy of the workers'compensation policy declaration page(showing the policy number and expnation date). Failure to secure coverage as ret1dumdunder Sectioa 25A o€MGL c- 152 can lead to the imposition ofcrimhral penalties of a fine up to$1,50O.Oa and/or one-year imprisonment,as well as ciril penalties in the form of a STOP WORK ORDER and a fine of up.to S250.00 a.day against the violator_ Be advised that a copy of this statement maybe forwarded to the Office of hn-estigations ofAe DIA for ins(ance coverage veriEcatton- I do here bp c r rtder tks pa s trnrf pana s th tthe ur.formation pravidW abzme is b-Lw and correct Simatore: Date: Phone A- sag ! 5-66 ©jjYcied use otil . Da rto.•t write in this area,is bs carnple#ed by city or town officiaL City or Town: PermitUCease# Lssuirg;Author4(circle one): 1.Boaxd of$e dth 2.Building Department I Cif rlTown Qerk 4.Electrical Inspector 5.Plumbing Euspmtor .6.Othex Coataact Person_ Phone#_ 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 sta;Ps that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings is the commonwealth for an.y applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the comm, onwcal`h nor any of its political subdivisions shall enter into any contract for the per ormance of public work until acceptable evidence of compliance vith 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 wirh the'u certificate:(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Pa1-tveships(T LP)veihno employes other than the members or partners, are not regL-ed to carry workers' compensation=i duce_ if an LLC or LLa does have employees, a policy is required. fie advised that this affidavit maybe submitted to the Departm_ent of industrial Accidents for confirmation of insurance rover-age. Also be sure to sign and date the affidavit '11e affida it should be returned to the city or town that the application for the permit or license is being requesed, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to ob-iaii a workers' compensation policy,please call he Department at the number listed below. Seri insured companies should enter heir self-insurance license number on he appropriate line. City or Town Officials Please be.sure that the affidavit is complete and printed legibly. The Deparirient has provided a space at the bottom of the affidavit for you to ill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the perm.itll?cense number which will be used as a reference number. In additicn,an applicant that must submit multiple permi(license applinations in any given year,need only submit one aff-Idavit 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 be;n officially stamped or marked by fire city or town may be provided to uhe applicant as proof that a valid affi:icvit is on file for future permits or licenses. A new affidavit mist 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 aifidavtit The Office of investigations would l_ lce to thank you in advance for your cooperation and should your have any questions, please do not hesitate to give us a c711- The Department's address,telephone and fax number: Co-min.o iwf,-alth of Massachu_,-��!Ls Dement of Indust W Accidents Of-ice offvvestintioaas 600 wasymgtou St-c(� t I3as�on,IAA Q�I I� Del,A 617 727-4900 W 406 or I-977 1 iEkSSAFE Revised 4-24-07 Fax A' 6I7-727-T,c91 www.mas.,zz_gov/di a i Town of Barnstable Regulatory Services BARNST"MAM IE'$ Richard V.Scali,Interim Director 1639. ♦0 jDrEDN1Pr� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize b "t/ W415' to act on my behalf, f in all matters relative to work authorized by this building permit. (Address of Jolk **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. tote of Signature of Applicant »nt Name Print Name 6121 Date Q:FORMS:OWNERPERMISSIONPOOLS 10/13 t - i j Town of Barnstable c Regulatory Services oFTHE Richard V. Scali,Interim Director Building Division RAsrrsreBIX Tom Perry,Building Commissioner i+AS& 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma:us Office: 508-862-4038 Fax: 508-790-6290. HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB.LOCATION: number street village "HOMEOWNER": name home phone# work phone# 2- CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeownersto engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who 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 person who constructs-more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building 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/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements., Signature of Homeowner Appioval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming thexesponsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious'problems,.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person a§it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 J A,sessor's map and lot number ............ SEPiIIG SYSTEM MUST 6 �pf?wEro� L� 9 2 - INSTALLED IN COMPLIAN ........ Sewage Permit number ....�...TY.!�1......�.�.-...........{. ^, , WITH TITLE 5 • 0 1e1'gr" ® 9� � ,BABH9TADLE, i House numbero � �.. ��� isi� `r MAIL TOWN S k �O t639. \0� TOWN OF BARNSTABLE ,� ,,� �,, BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............. ....................................................... TYPE OF CONSTRUCTION ..... ........... . . ........................ ...............19.. TO .THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... �.. MCP....... . '�U�.=....... ....... .. ... ProposedUse ... ....... .. .. .. .... .............................................................................................................0............ n ZoningDistrict ..... .. . .........................Fire District .......... ... ........................................................ 67 K Name of Owner ....... . .. .. .. ....................Address ....o... ..... .'/.a.z �....... Name of Builder ..... . . . .. ..... ..... .. . ......................Address ...... .. .. . 4�W.`. -fNK� / ....... Nameof Architect ..................................................................Address .................................................................................... ..r ...Number of Rooms ............ ...................................................Foundation ..��... . . .. . . .. Exterior .. ...............................:.......................Roofing ................. .. . ...... .... ............................................... Floorse...!�.. ilC.�................................Interior ... ............................................................................... �/ Heating ��l -�C.r....................................Plumbin 1 ....r ...........................0.......... A...... ... ......... g Fireplace ,C,C/. ................................................................Approximate. Cost ....�19(.. ............................................ Definitive Plan Approved by Planning Board -----------_______-----------19_______ . Area . v Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. t ... ...G iC�.! .... .. Construction Supervisor's License e4u �9U�....... ............. -LEVI'NGS, DOUGLAS . . No ................. Permit Permit for .'Itao Story Single- Family Dwelling ............................................................................. Location Lot...36.,.....3.80. ..Whistleberry. . ..Dr. i ...... ... .. . . .. ........... ... ........... ... _ Marston Mills Owner, ...Douglas Levings Frame -• w Type of Construction .......................................... _ + ..... ...................................... Plot .. ........................ Lot ................................ / r 4 , Permit,Granted .....Deer, 3, :19 84 Date,of,lnspection/74?. �L.......................19 r �a— -Date. Completed ........ ..... .....19 e .y r oFt>+E rq�, Town of Barnstable *Permit# V Expires 6 months from issue date .AMSrA8L1:. : Regulatory Services Feei�9� MASS. Thomas F.Geiler,Director - 039. Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w Office: 508-862-4038 Fax: 508-790-6230 . EXPRESS PERMIT APPLICATION Not Valid without Red X-Press Imprint Map/parcel Number 0&o?8 3S Property Address Residential OR ❑Commercial Value of Work Owner's Name&,Address 0 *A( AFIG44 Contractor's Name Rag ag Telephone Number 4426 r q q s& Home Improvement Contractor License#(if applicable) �I 60 6 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance X-PRESS PERT Check one: ❑ I am a sole proprietor MAY 3 U 2007 ❑ IAUn the Homeowner . I have Worker's Compensation Insurance TOWN OF BARNSTABL E Insurance Company Name �+T L/Q7 I C GY&A J 6< Workman's Comp. Policy# +)C V 0G- 052-0 2 Permit Request(check box) e-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) �. ❑ Re-side ❑ Replacement Windows. U-Valtie (maximum .44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with o#00.T p nt regulations.i.e.Historic.Conservation.etc. Sisnatu ' expmtra r — 04/06/2007 09: 14 FAX 5084201637 FREDERICKS INSURANCE 1a 002/002 'ACQRQ- CERTII=AGATE OF LIABILITY INSURANCE DATE(MWDIrYY""). PRODUCER 4 6 2007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FREDERICICS IN$upjNCE. AGENCY,INC. ONLY AND COjERS NO RIGHTS UPON THE CERTIFICATE PO Box 427 HOLDER. THIS C.RTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oaterville, MA 02655 508 428-8999 INSURERS AFFORDING COVERAGE NAICtF INSURED Tyndall Rooring, LLC Atlantic Charter in L_ INSURER A suranae Com Robw:'t Tyndall INSURER B: 30 Jillians Way INSURER C: _ w Ma.rstona Mills, Mhi 02648 INSURERD: 5 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY PERTAIN,THE I SURAN R COy RDE OF ANY CONTRACT OR OTHER 00CL1MENT WITH RESPECT TO-WHICH THIS CER[IFit MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED IIEREN(I&SuO IECTTO"AeL tkl2 TERMS,EXCLU$IONS•Ai�l)`C2j MAY BE IS U SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS: a OF IN8URA POLICY NUMBER MM�E TIVE GATE fWDfYYLIMrr$RATION LIMBSGENERAL LIABILITY '' CE gCOMMERCIAL GENERAL LIABILITYYalros $ . ClatMBMADE, OCCUReizon) gINJURY g GENERAL AGGREGATE- b OEML AGGREGATE LIMIT APPLIES PER; PRObUCT8-00MPl0PA00 8 POLICY PRO-- - L0C AUTOMOBILELIABILITY ANYAUTO COMBINED SINGLE LIMIT b (Eaecdtlsnt) . ALLOWNEDAUTO8 �--SCHEDULED AUTOS BODILYINJURY 3 HIRED AUTOS .` (Par Person}. NON-OWNEDAUTOB BODILY INJURY" $ (Per dent) iA PROPERTY DAMAGE b - (Perecdtlent) .•fir GARAGE LIABILITY AUTOONLY-EAACCIDENT 9 ANYAUTO OTHERTHAN EAACC b AUTDONLY: AGO S EXCESSIUMBRELLA LIABIUTY EACH OCCURRENCE g OCCUR CICLAIMSMADE AGGREGATE g DEDUCTIBLE g RETENTION b g . WORKERS COMPENSATIONAND I, Ty_ EMPLOYERS'LIABILITY n lMIT RI ANY PROPRIETOMPARTNEROMCUME WCV00730200 7/11/2006 7/ OFFICEVMENISER EXCU.OEO7 7.1/2007 E.L EACH ACCIDENT B 100000 . ff"yAs.descrmeunder E.L.DISEASE-EA EMPLOYE L. 100000 SPECIAL PROVISIONSDeIOW E. OTHER L.DISEASE-POLICYLfMIT b w -500000 SCRIPrTION OF OPERATIpNS/LOCATIONS J VEHICLE$/EXCLUSIONS ADOED BY ENDORSEMENT/SPECIAL PROVISIONS t0ofing-NOC, and Roofing-built up and Drivers. workers Compensation tns "is p Usk 'oviaPlang AtlantY ChaJrter Ins. Co ' Firoiig'i e brk(e?s=a<.Comp®nsation�Asm: fined - - :RTIFICATE HOLDER CANCELL4T10N Town. Of Falmouth . 'SHOULD ANY OF THE AouvE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION .,FATE THEREOF,THE 188UING INSURER WILL ENDEAVOR.TO MAIL1.O DAYS WRMMN. Building Deparlmelll' 59: Town Hall BCjilare NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Falmol3tzh MA 02540 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES AUTH P THE L Fax# 508-548-4290. O_L�La_duLXL OR025(2001108) CACORD CORPORATION 1988 1. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations t 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Busines .Organization/Individual): ]���- � �UDFl•� Address: 70 1[-L 14- V-3 City/State/Zip STD %GC ,4, OoZ O KS' Phone#: 50 9 Are you an employer? Check the appropriate box: Type of project(required): 1.[31 am a employer with_ 1 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' y p y� 9. ❑ Building addition [No workers' comp.insurance comp.insurance.= 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 I LF] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no /� f2yo� employees. [No workers' 13.BOther /�E 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. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: AT LA'T J C C*h,<7 C Policy#or Self-ins.Lic.#: CVO 6`1.30aZ0 Expiration Date: f 7&J07 Job Site Address #3 96 W I►j STLL P_Y-Y b12. City/State/Zip:/X/ STfJl0/6 �, L Y 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 ceYWf1Vw1er the pains and pen !ties o erjury that the information provided above is true and correct Date: .J 3 0 07 Phone#: St� — [-,?,0 —"1 S1O Official"se 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 I Contact Person: Phone#: Information and Instructions V Massachusetts General Laws chapter 152 requires all employers to provide workers' compensatibn for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or-implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or.1-877-MASSAFE . Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia r Town. of Barnstable Peguxatory Services s3 .�' 't Thomas E.Geller,Director funding Division Tomperry, Buildfng Commissioner . • 200 Mafia Sbceot, Hyaants,MA 02601 . . . .--• �r.to�rn.barnstable.ma,us .-- Fax: 508-790-6230 p{fice; 508.862-403 8 .. Pfoperty Owner-Must -Complete and Sign This Section _-• ' If Using A Builder 0=er of the subject property :•to.act oil mybehalf;,. ham•e by authorize fl/��,�. ' relative to work authorized by this building peanut application f or, . it matters matters rela (Addxess of Job} - - • - - ate. . . ......__;_._,_- ' afore er -16H - pr'sntl�Tame . i s �omrreauueaCll o�,/�aaaclivaeCla __ • of Building Regidatioos and Standards Licerisp or registration valid for individul use.cnly :E IMPROVEMENT CONTRACTOR befor6ithe expiration date. if found return to:, L Boardsof Building Regulations and Standards rati :. tiston 116C64 One AOhburton Place Rm 1301 zp i rat[o_-5%15'2008 - K- --_ ;� Bostosi,Ma.02.108 5 g =E Qiability Corporation MH ' 1 t I' `�' Not valid without signs ure i. MA 0M48 Deputy Administrator .000.0 S FD.e . . l0000, Tt i Al 'fit v 1 5' za. Z J; dam- cows�.� \ 4 ' E `. .TONE C' 10 ...._ ._...._....... •..ts.�, _��. �'ta �1�---i.�-".3'''3.�d6.�:'e:'r.�t.C'�•i .._.......�,u�,:'..1.,i .. ._-:......d.....,_.�..t�..=�.. y.. \Y�r v..i .? -3� .�'.• a� ""�' � � _._d, �'-'s.��a...;�i^....6TaeU'.,iY:'a�,:+3.u�.���..��...._---.. 5�•�--+..6�,:� w"�83�43 `�i:. u.£2.�'.'r.y..,,.u....._r..._<..... I THIS AGREEMENT rn a cl i h i<; c.l;:.l y o t __----.--------- ---—--— • between All Seasons Solrrriurn ; Inc. _NINE NEW VLN],(J[a, DRIVE. SOUTI3 D] VNj_$,_I_">A-Q _6_Q..------ 'And Mr u Mrs. _-- GQRDQN.__nSHTON - - H ___ . 380 WHIS`1'LEBERRY DRIVE --------•- W 61 7-623.-0400 MAR'STONS. .MI.L•LS"-' :MA'• Hereinafter called the "OWNERS" and AII.Seasons Solaritams:.jnc, hereinafter call the "Contractor". W'ITNESSET'FI: Contractor agrees to construct for Owner,in substantial conformance with the specl,flcations set forth herein. the following described sunspace, hereinafter called "the work", to he located at SAME - The Owners Herein agree to purchase and the C.on-tractor herein•lgrees to-sell and construct a sunspace al �10- from wall C.: proximately the following size: Height: ground level-to ridge bar.Width: r existing structure to the front of the sunspace.Length:— _ :or Buys wide.; for l;he principal sun - DOLLARS. Of If any additional construction; or remodeling work is required it is not part of this Sunspace. Conslruclion�Agreement. ALL SEASONS SOLARIUMS, INC. TQ SUPPLY AND INSTALL_..A PROPOSED 4-BAY GR1404GG MODEL SUNPLACE PREMIUM QUALITY GLASS -ROOM ENCLOSURE WITH A GR1 404.GG GABLE EN[:`%!ALL AND CUSTOMER' S CHOICE OF ONE GR41 0PG GABLE ENDWALL WITH A SU ii.-DACE SINGLE PRI : :� ice:' R'ANCE "'DOOR O z ,. APPROXIM'ATELY 5 ' . .PROJEGTI:ON., FOR , ,,,.,.,r..,T+&Rrr 'THERE...IS TO BE INCLUDED WITH UNIT ORDER, FOUR AWNING WINDOWS AND ONE 12" VENT AXIA GLASS MOUNTED FAN WITH REQUIRED ELECTRICAL TIE IN. ALL FLAT ROOF GLAZING TO BE BRONZE SOLARCOOL. CONSTRUCTION TO COMMENCE WITH THE 'DISMANTLING AND DISPOSING OR STOR- AGE OF EXISTING DECK APPROXIMATELY 14 X' 14'. A MON'OLITHICPOURED CON- CRETE SLAB FOUNDATION TO BE INSTALLED, APPROXIMATE DIMENSIONS X 13 ' AND A CONVENTIONAL CONSTRUCTION OF AN APPROXIMATE 16" BASEWALL TO ACCOMODATE UNIT ENTRANCE DOOR HE-IGHT.- .A SMALL`SHED ROdF CONSTRUC- TION OVER EXISTING ROOF DIMENSIONS TO ALLOW FOR UNIT RIDGE HEIGHT SUPPORT. ADJACENT DECK TO HAVE APPROXIMATELY 3 ' -CUT BACKWITH STAIRS TO ALLOW FOR UNIT ENTRANCE. ' ADDITIONAL CEMENT SONOTUBE DECK SUPPORT AS REQUIRED FOR STAIR ALLOW- ANCE ALONG WITH ADEQUQTE DRAINAGE, DIVERTING WATER FROM CEMENT LAND- ING,. ETC. INSTALLATION OF UNIT TO STRUCTURALLY TIE' I'NTO' EX'ISTING BUILDING DIMENSIONS AT'D MENTIONED CONSTRUCTIUN. PROPER FLASHING AND TIE IIV APPLICATION AROUND CHIMNEY DIMENSION. UNIT, TO BE INSTALLED WEATHER TIGHT. ALL OTHER FINISH WORK TO BE COMPLETED BY OTHER: SUCH AS ; ; FINISI-I FLOOR- ING, STAINING, PAINTING, ELECTRICAL, OTHER THAN FAN TIE IN, PLUMBING, ETC. 'ALL NECESSARY TAXES, SHIPPING CHARGES, ETC'. INCLUDED WITH 'PROPOSAL. �IL �E) RIS FRAM �70B INSTAfI LaATI(�N TO BE �TI, N � u I�r R,cO .v;�,Ot ic;SITE. ma era is guaran eed o Ia as specr re , and tine above won< e rfo i r 5 i • 2 3 A i - i i 4 ,f � Z 1 , • k t i COMMONWEALTH DEPARTMENT OF PURUC SAFETY 1;> OF 1010 COMMONWEALTH AVE. MASSACHUSETTS BOSTON, EXPIRATION DATE ; I . ;RESTRIC:TIO'NS .: ` EFFECTIVE DATE .. : ' t 2 _ °� 2 cY i • I PHOTO (BLASTING OPP ONLY) FEE:: ,....•..• '::::I...i . .•:il••r.'t•'fi...l!.;..t..;..a !'(r"I 1: 1':';-,(':.,.:. HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED OR SIGNATURE OF THE. COMMISSIONER- ; I THIS DOC7UMENT MUST BE f CARRIED ON THE PERSON OF OTHERS - RIGHT THUMB PRINT THE HOLDER WHEN ENGAG. 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Assessor's map and lot number 6 '?^ O`3`� — �'""P C SYSTE h� Board of Health (3rd floor): ,0 % E��A Sewage Permit number I Engineering Department(3rd floor): �c �rl (� —R WM House number �fT 3�y �!�"`' TOWN R�Gt� �' Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only _ TOWN OF BARNSTABLE BUILDING INSPECTOR ;q APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION --22 (�L1.��,otto-w1�Sl S4r4nSdja(Ae J� 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: f �,A Location O , T PZ7L�/ �z /N+- �.41asLe/C.tr /� % / Proposed Use S.f AV L O 2 GR-�iy►Yyo Gto-C_ / Zoning District Fire District Name of Owner d ci-u— S C tit,.. Address GJJ ,s7�,ZIAIY 'a U/I1lp r Name of BuilderALC Addressf�`V ��7z�— J1'1• S""D?hn,s •r;r Name of Architect Address Number of Rooms 6>5e. Foundation-MtAAa(dh—PD4Aa./ Exterior P [-1-M O rn /!c A3 S A"o 1,614 .� Roofing Floors. Interior Heating Plumbing Fireplace — Approximate Cost 7; D CJy Area /S I X 1 3 Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform,to all the Rules and Regulations of the Town of Barnstable regarding the a v ons uction. Name l Construction Supervisor's License 0 V7 y LI 4° ASLTON, GORDON M/M 33000 ADD SOLARIUM - � No Permit For _ • Single Family Dwelling ;v. Location 380 Whistleberry Dr-J Ve Marstons Milis Owner Gordon Aslton L Type of Construction Frame j Plot Lot Permit Granted June 21 , 19 89 19 Date of Inspection ro� � � � f Date Completed 19 1 ` IRK I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 33S Permit# Q� i Health Division '� N� a ��l J � Date Issued Conservation Division D .3b/00 Fee Tax Collector �D f�I •� p� I Treasurer Planning Dept. T Date Definitive Plan Approved by Planning Board , Historic-OKH Preservation/Hyannis Project Street Address 2 "eirlZc6 e_d-� Village �'rl.19`/?S740_7 { `l t l`s 4611-4- Ge.. Owner/)f& dr1�s T 46i e G,9L h Address Telephone So 5� © `�S� Permit Request &Ilcl is .s c/7.X T ,-u y Roo . 1 ,� C Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation 00 ^ Zoning District Flood Plain Groundwater Overlay Construction Type tj'ioew v ct Lot Size Grandfathered: ❑Yes 4No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes U••No On Old King's Highway: ❑Yes &,N'o �'— Basement Type: ❑ Full awl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other W, 'o h <, Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 9-No If yes, site plan review# Current Use Proposed Use 5' ct,�) /7 o 51 BUILDER INFORMATION Name ��Z� G�</� 4/J k/+v C Ct•i Telephone Number O Address / �-30.�' lG c12 License# 0 6o, �/el: -7 M 1 .1 Alm O2 CO/ Home Improvement Contractor# le _�S` Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE xo FOR OFFICIAL USE ONLY ` :PERMIT NO. DATE ISSUED MAP/PARCEL NO. _ ADDRESS _ VILLAGE• OWNER lot DATE OF INSPECTION. FOUNDATION FRAME _/ /OI - INSULATION �I I I f d l FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL < FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. Y a , ' ._. •r. „.�h+ _� Y �A; • r j.`k�'rr. .V.;.ys�Y,,,"..,�.._y.7`�c�' ^� .r-.-r;�^I`4 ;w;�,t*:wv.rN ► �y..;r+l n.-. ..�.i J �. �.,, ,i sf"r v �r, t Assessor's office(1st Floor)': O �, P ""^-� OFTNf t0 Assessor's map and lot number �. . Board of Health(3rd floor): Sewage Permit number Z BAH39'fl►DLL i Engineering Department(3rd floor): �,,���. rABs House number a�! t_ ,�° 'bs•9' `e�' Definitive Plan Approved by Planning Board 19 �0 MIR d APPLICATIONS PROCESSED 8:30-9:36 A.M.and 1:00-2:00 P.M.only cr o "1 TOWN OF BARNSTABLE BUILDING - INSPECTOR APPLICATION FOR PERMIT TO A L. 9ILL,41 I Z /°1 _ AA i l TYPE OF CONSTRUCTION �� �(a_�2.: QIJ40"11)141 q �l(l4(S Sly,cd,,gGC� V n A /Q 19 0" TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies //for a permit according to the following information: , 3 O �h• s/� L�� /Nt- Location ,j'Proposed Use —DASSHIL SOb42 .2¢iyA,W-(— �r Zoning District I t ! Fire District Name,of Owner'�77 111� Cra"I U A S h�_t_A_ Address / Name of.BuilcJer�C� SP1�Scsl►1 /4r2/L,,L*j -rTK• Address �(>��tr�lt7�L— A- Sohh#f Name of Architect Address I ' Number of Rooms 612-c FoundationTh��n., S(A6 Exterior Roofing A("y ln�+� Floors Interior Heating Plumbing Fireplace Approximate Cost Area IS X Diagram of Lot and Building with Dimensions, Fee". __ iDf r 4 r I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I he agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above cod nstruction. h y Name 7 �` Construction Supervisor's License ®�f7 y,7 1 ASLtONj*GORDON M/M No- 33000 Permit For Add Solarium Single Family dwelling ; Location •380 Whistleberry Drive Marstons Mills Owner Gordon Aslton Type of Construction Frame Plot Lot . Permit Granted June 21 , 19 89 Date of Inspection 19 Date Completed 19 7 AX/Y. 1141 -� I PERMIT COMPLETED 1/1/ I � � 1 � ..-..'..-..rig..-.r-�....--� -�.�-=�..-»-.t y;�;,t`•Y;'i^CYi'1'Y1':�- i++��'1i»`�+"'"...�'.-.-'T;`'fi,'`"",TW'.ci7°�''�prp'xi''�.+Wtl-�1h'ln� . .. . -.v ti+*a'.� :':-�-' t Np�p°("E►p�ti� Y The Town of Barnstable BARNSTABLE Department of Health Safety and Environmental Services T MASS. 0 p�FDMP+� a Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice f: `Type of Inspection F7rAWe ' Location sly o Ul a�ay 6erk-� Permit Number ' J Owner Builder "1 One notice to remain on job~site, one notice on file in Building Department. The following items need correcting: ar 11 �,0 1 r CQ �; s ; - V,4 -ers tC, 5 � � ~` Len d-ke.w.\ -,n4n ovehv Y)a4 QD -Y,-04M Pe 4kr'+�f'"5 Y) 'C5 L5 Please call: 508-88662_-4038 for re-inspection. Inspected by Date JI K V. 4+ 1 - a�«-,.,0•-�7'+s-r ..7.Ks�F', "�:�',�""� "`'u�+'.,X�}'1P1:'�=i`�`!. �. et•�a .+�^:����/�b�'j�`ri:.'�7:�'°0'�'4�YLi"�'`v"'s�-�""', .f °F INE . .� The Town of Barnstable BAMST"M • ' �0� Department of Health Safety and Environmental Services Building Division 367,Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: -Tjo�\ P a Map/Parcel: n 6,2--- 0 3- Project Address: 3 h-b W vt S b-try, Builder: ?p�e y- WI A n Arqqg 1 j S The following items were noted on reviewing: 4 Please call 508 862-4038 for re-inspection. q'e')rs W /Inspected-by:Date: (� 1 ( too q:building:forms:review EST/MA TED PROJECT COST WORKSHEET LIVING SPACE _ Value (high end construction) square feet X$115/sq:foot= (above average construction) square feet X$96/sq. foot= t' (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER J-cl h IZO o square feet X$??/sq. foot= i Total Estimated Project Value -OC8'666 For O ice Use Only /nc/usiona Aff rdab/e Hous'lha Fee idential Commercial** Property Owner's Name Project Location Project Value Permit Number **Existing Sq. Ft. ** posed New Sq. Ft. � Fee$ IAHFORM 1/3/00 The Town of Barnstable 9 m� Department of Health Safety and Environmental Services t659. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date�d�3 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which'are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. T e of Work: ��Gt O o Estimated Cost 0�g0,6 0" o YP Address of Work: 3 S® 1(-Vr7'c/.l zi b ct-e 12e Owner's Name: A/-ir 1'- Date of Application: l ® � --O o I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law E]Job Under$1,000 FIBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name i q:forms:Affidav 7=CZMApp="j . Rr sa ipt!►e F2du4ps for dna mW Twwf ms71►Ruidmdai Boiidbgp Hama whit Fmd Foeb MAXIMUM lI�VIMLIM Wall ffiab 8 U-va� &vairrj &+Zion R.vaLicJ Wall Ae�rEquipm= Fffldersy' Ptddol4e R.vdoat iwzwod 3701 b6300 Reaebr;DeseeaDaps' Q 12!'. OAO 3E 13 19 !0 6 Norma! It 12% 032 30 19 19 A0 6 Naomi 1 IPA am n IJ 19 10 - 6 U AFUE T 13% o26 31 13 zs WA -WA Namni U 13% U6. 32 19 19 10 6 Nomsai 13 WA W:A lsAFZJE W 13% 032 30 19 19 10• 6 M AFUE x la'A Om 1323 WA WA Noemai T 139A CL42 n 19 25 WA WA Norma! Z IVA 0,42 32 13 19 10 6 90AFEIE AA 190/4 ass 30 19 19 t0 6 90 AnM 1. ADDRESS OF PROPERTY: `,� $® cl/X XlSV 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE. OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q.forms-i980303a 780 CMR Appendix J r Footnotes to Table J5.11b: ,lass doors, skylights. and ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-, basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 fl of decorative glass may be excluded from a building design with 300 flu of glazing area. 2 After January 1, 1999,glazing U-vahm must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Cotmcil (NFRQ test procedures or taken from Table J1.53a U-values are for whole units:center-of-glass U-values cannot be used. The ceiling R-vahus do not assume a raised or oversized truss contrition. If the insulation achieves the full insulation thickness.over the exterior walls without compression. R-30 insulation may be substituted for R-3 8 insulation and R-38 insulation may be substituted for R-49 insulation Ceiling R-values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between me condiiiomcd space Nuci the ve tUted pardon of the.—f. _ Was R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used) Do not include exterior siding,structural sheathing,and interior drywall.For example,an R 19*requirement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-flame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as tmconditioned crawlspaces,basements, or garages).Floors over outside air must meet the cei'Iing requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement desc''bed in Note b. The R value requirements-are for unheated slabs.Add as additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest,-- efficiency must meet or exceed the efficiency requited by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5M la NOTES: levels.`° a)Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than D u ust be tested and documented by the anufacturer, in accordance with the NFRC test procedure o o from tes he door U--value m in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 035). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the ama weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 MY 7, I I ' Ill / I / / • :I .i 1 1 11 1 1 1 1 1 1 1 1 1 /�%/O// IIIA 1 , .► l ■ 11 1 � 11 . . . . . 1 • •. .. 111.�11 . . 1 . II ' :1111. . _ . ... 1 . 1 1 .. N ■ 11 .. . . . . � . � 1 � . 1 . 1 1 1� �1 •' 1 � uI .. , .11 . 1 1 �. 1 ..II , . �. .� . .. ..1. 1 . %//////////,rm/////////r/1VM%//71 M///' I. 1 _ • • • 1 Ill• 1 _MITT • i 1 1 � . offiriol we only _ iff idal city or town* pern"Iceme# nl 1 LjLicenzing Board fmcc ■ • (3HemMDepArftdCUt � • :::. .................:::.»r::: Information and Instructions Massachusetts General Laws chapter 152 section 25 requires'all employers_to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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,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 g authority. Applicants . the box that lies to situatiion and Please fill in the workers' compensation affidavit completely,by checking applies y� } dying company names,address and phone members along with a certificate of insurance as all affidavits 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 retmaied 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 wormers comPeosatiah Policy,Please call the Department at the member listed below. City or Towns 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 Piimit/license number which will be used as a reference number. The affidavits may be rcturiid to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any.questions. please do not hesitate to give us a'call. The Department's address,telephone and fax comber. The Commonwealth Of Massachusetts Department of Industrial Accidents Offide of ImlestlDations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 '-_WIN- STANDARD LEGEND \ NOTE:not all symbols will appear on o map GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES `sue EDGE OF BRUSH �\ !_ ORCHARD OR NURSERY ------ ' � V-YY-7 EDGE OF CONIFEROUS TREES MARSH AREA EDGE OF WATER DIRT ROAD DRIVEWAY PARKING LOT PAVED ROAD -•------- DRAINAGE DITCH ------ PATH/TRAIL PARCEL LINE s s up no<--- MAP# 21<--—PARCEL NUMBER #1860< HOUSE NUMBER 2 FOOT CONTOUR LINE to 10 FOOT CONTOUR LINE Elevation based on NGVD29 ;/4.9 SPOT ELEVATION / � / / j j / �.;-x�• STONE WALL 650 / ;\ ;, , �, y Jf i' � /* ' / �•. / --,6_...r. RETAINING WALL RAIL ROAD TRACK �/ STONE JETTY // //� /2 0 SWIMMING POOL _ 1'' �l //i/ / ;: I I PORCH/DECK \�_ �� jl 0 'BUILDING/STRUCTURE DOCK/PIER- l i i p q l HYDRANT 6 VALVE O MANHOLE o POST Cr FLAG POLE T O W N O F B A R N S T A B L E O E 0 0 R 1 A P N 1' C 1 N ► O R M A T 1 O N S Y S T E M S U N 1 T o SIGN STORM DRAIN tr PIINIED STALE IN FEET 1�!OTE:This map h an enlargement of a s s NOTE:The parcel Ones are anN gra0c representations DATA SOURCES: Pknimetrics(man-made features)were interpreted boar 1995 aerial photographs by The lames mM�POHoTOWER =I0 smle map and may NOT meet of property bourdaries.They are net Rue locatiorq and W.Sewall Comparry.Topogmphy and vegetation were interpreted from 1989 aerial photographs by GEOD w �-r O 20 40 ration. %animeMqt�oqrephy,and vegetation were mopped to neat National Map kaimcy Standards O LIGHT POLE National hlap Accuracy Standards at t4h do not represent actual relationships tD phylml ob'Iects Corpo I O ELECTRIC BOX t tNnt 2 1a FFFI+ enlarged Sapp. on Hre map. oI o smle of I'=10D'.parcel lines were ftitimd from 2000 Town of BormtaWe Assesso(s tmr maps. - --,— y Roo 7- _._.._�._�.2-sue ...._.�!�..w � ro Av.t ..4 LS ,�-- �► I.45 v TC.. r->IZ 9w/V N14MaCe t i >� SKY SK --30 16 N � � A ---.. - . .._ ........ ... X to /6 y Co n AF'7-,F I �� -57`//VG :moo NsG �X. ls.T(/YG i L wa.v I 1 � ' 1 1 i NSW S�N�tN Door►, b NEw /gaDi7T/0N SIN Rooi►� I 36 I � J i �. 83 S 0 S 00"E- hrO•h try. � �a o Crl PROPOSED �o) ? GARAGE 0 N AS 4 00 ADDITION ,n 0 00 �0 rn PRo.' os�o 6 p�`ek Su�Y /?ODM. 5h�k 24.00 GAR. EXISTING HOUSE � peen F h S 89' 46'S0" W 216.37 SCALE: I " =50' 7/13/93 �� ROBB�;t�cy�`^�. B. MINIMUM SETBACKS SYKES F—3 0' � �01 F R- 15' PLOT PLAN OF PROPOSED ,S y,y R o o M PREPARED BY: OWNED BY : Mv, M.s 70 N /Z F c AN ROBB B. SYKES, P.L.S. PERIMETER LAND SERVICES, INC. #380 WHISTLEBERRY DRIVE P.O. BOX 87, WHISTLEBERRY SUBDIVISION, SAGAMORE, MA 02567 MARSTONS MILLS, BARNSTABLE, MA (508) 833-6460 STANDARD LEGEND \ NOTE:not all symbols will appear on a map s QL� GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES EDGE OF BRUSH ORCHARD OR NURSERY v— —" EDGE OF CONIFEROUS TREES MARSH AREA EDGE OF WATER DIRT ROAD DRIVEWAY PARKING LOT _ \ �•� PAVED ROAD ---—-- — DRAINAGE DITCH PATH/TRAIL 1 ' PARCEL LINE ** I j / Aw ito E— MAP# 21 ,—PARCEL NUMBER 9iuo s HOUSE NUMBER — / 2 FOOT CONTOUR LINE # 38 '' - --;;ice— 10 FOOT CONTOUR LINE r % Elmfion based on NGV029 4.9 SPOT ELEVATION •� \ 1 f , i / / / �;' � �--a—�--+ STONEWALL FENCE ° J RETAINING WALL RAIL ROAD TRACK STONE JETTY 52/0 I / /� SWIMMING POOL / / / /f PORCH/DECK ❑ BUILDING/STRUCTURE DM/PIER I J� 1 j li i r I' I (� HYDRANT ,' ,' % �� f f j �J i ;' I e VALVE 0 MANHOLE 0 POST O FLAG POLE / I i T O W N O F B A R N S T A B L E O E O O R A P H I C 1 N F O R M A T 1 O N S Y S T E M S U N I T o SIGN ® WORM DRAIN M PRINTED SUIF IN FEET *NOTE:This map B an enlorpemerN o(o +*NOTE:Tire parcel Imes are only graphic repteseniafions DATA SOURCES: Ploninhics(man-made hmtums)were interpreted from 1 e95 aerial photographs bGEOD y The James 0 UTILITY P00 p TOWER 1°=1 OD'scale map and may NOT meet of property boundories.They are not tme locations,and W Sewall Compom/.Topography and vegetation were interpreted from meet aerial photographs by Stan EI1: 'C'0' w�r � ._ National hlap kcurocy Standards at this do not represent ocival relationships ro physical Objects Cnrporatian• -=lr . t�greDhR and vegetation were mopped f meet National Map A-racy Standards O LIGHT POLE 0 20 40 k at o scale of 1'=100. Porcal litres wore digitized from 2000 Town o(Bomstoble Assasso(s Ica mops. I im—i0 FEET* enlarged sca . on the map. 1'lrinnlrnneeniafinn jinn r)nl Rry xm f1 W. -R2 r BOARD OF BUILDING REGULATIONS + License: CONSTRUCTION SUPERVISOR Number::CS. 031106 Ekoibg-07/042001 Tr.no: 11586 coed To: 00 PETER G MANDRAVELIS_ P O BOX 1647 - � �►:��IO� HYANNIS, MA 02601 Administrator if ,2 HOME IMPROVEMENT CON�R$CTOR``` .± �102359"" iretion• 07/01/2002 t y , Type: Individual PETER G. NADRAVELIS : . Peter Mandravelis . f± airviev Avenue ADMINISTRATOR Dennis MA 0208 .. .. °4 . .. •. _35,000 cf endOsW sPac8, 00 *GL C.112 S.80L) 1A-Masonry 0* 1G-1 8 2 Family Homes Failure to possess a amerd edition of tlu3; Massachusetts State Building Code is cause for revocation of this liomm- . 1 DIG SAFE CALL CENTER: (8881344-7233 r License or re seretu ordY befo e�ration' valid 'for Bo ton MaOn 1p Shb Ira�On date.it dro'dUal 02 8 U�On Place Rin found Assessor's office(1st Floor): _ �i Assessor's map and lot number 6a.— o 3 �Tic � �� c*TNt to Conservation E��" ALL ® IN CO M Board of Health(3rd floor): WITH TITLE 5 � Se*age Permit number �• �,� ['NtE JROMMIENTAL C093 Z'-,iW3TULL Engineering Department(3rd floor): 7 C�j o l s��'" / " o %e39• House number U 0 �o Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2.W P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ��!ice�z-L- O TYPE OF CONSTRUCTION _ (mot/ Q U 13 19 93 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �. Location 9 Proposed Use Zoning District Fire District Name of Owner 9ng _e-1 o 5 .4 S Address 3 Name of Builder /�z���- �.9 sJs—cuv�G► b Address %? /01-,r /e y7jG�-� Name of Architect � Address �y /3 D+ Number of Rooms �� Foundation C'o n e, Exterior SY�11, ,L FS Roofing /9- s� � Floors Interior _S111e,el?z A e e,4 Heating Plumbing Fireplace Approximate Cost a�i�0a I Area Diagram of Lot and Building with Dimensions Fee S-e--tom OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License 0 -3 // B M/ ASHTON, GEORGE 'f No 36.111 Permit For BUILD GARAGE, ADDITION • Single Family Dwelling Location 380 Whistleberry Drive Marstons Mills Owner George Ashton Type of Construction Frame t Plot Lot Permit Granted August 23, 19 93 Da 'Inspe tion 19 Date Completed ! 19 i 'y • 195.00 o S 83' 15,00"E n i PROPOSED GARAGE o o.srs ?4�O ADD1710N In o 00 �� p o r 6 g Ln 4k 24 OO yy. GAR. EXIS nNG �Cn ara HOUSE CA .00 s woe F .L a S 89'46'50" W 216.37 SCALE: 1 " =50' ��a`�H OF 7113193 ROBS c � yG,n • cm EL MINIMUM SETBACKS $YI(�$, 02 F-30' Na95at8 $ S-15' R- 15' �oyAL upg5 PLOT PLAN OF PROPOSED GARAGE ADDITION PREPARED BY: OWNED BY GORDON ASHTON ROBB B. SYKES, P.L.S. PERIMETER LAND SERVICES, INC. #380 WHISTLEBERRY DRIVE P.O. BOX 87, WHISTLEBERRY SUBDIVISION, SAGAMORE, MA 02561 MARSTONS MILLS, BARNSTABLE, MA (508) 833-8460 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY 5 Falluretopossessacurrent OF ONE ASHBORTON PLACE Afassachu"Ottx5t 4 aQ88allding Code is cause for(eseee0" �^� MASSACHUSETTS - BOSTON,MA 02108lug of thislicesaa- L I C E tI S E CAUTION EXPIRATION DATE CONSTR. SUPERVISOR 07/t14/1 99 S n EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS rt•�� i THEFT, PUT RIGHT THUMB NONE �•"' • 0 .30/1 993 031 1 06 o PRINT IN APPROPRIATE 06/ BOX ON LICENSE. o PETER G MANDRAVELIS P o s o x 1:6 4 7 g BLASTING OPERATORS m HYANNIS MA 02601 m MUST INCLUDE PHOTO. ....V...... PHOTO I. TYING OPR ONLY) F 00.00 0 0.O 0 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED-OR-SIGNATURE OF THE COMMISSIONER • � HEIGHT: .I1 THIS DOCUMENT MUST BE « SIGN NAME IN FULL A80 SIGNATURE LINE `> ATURE OF U NSEE • CARRIEDON THE PERSONOF .. -•• ' . �.7 6 THE HOLDER WHEN EN- OTHERS•R1�1-lUMB PRINT GAGED IN THISOCCUPATION. SSIONER 3'� � I ✓/t6 T0097LJn6'Itl1/BGl[IE p���2UdC�d (.I HOME IMPROVEMENT CONTRACTOR i�, Registration 102359 kl Type - INDIVIDUAL Expiration 07/01/94 r Peter G. Mandravelis i . 5 Fairview Avenue Dennis MA 02638 ii / - �.� ADMINISTRATOR Ii { �7 L / j STORRG= f t Y_w,. r - �nX ��� YR ti i CLe SN Of i� C.R t✓innoows �/.�- j _.L✓U.P..P._.S_N.f.:!�_'r.':`��.5_ ..� o -_ I 1t - LEFT_ _Gitouron_ E ry . L 4 i DGE i - • - i i J N r :,,�-', 4 i . ApppOVED BY VTE 9.3 O S 6 AI-4 'lNEREBYCE /FY-7ilAT TH/SLO /SNOT LOCATEI�"/N FEGEiPAL:'FGDOO'"ffAZ•l/?0:��1/V. - "AS SAU&N ON THE F£oERAL FL00o INSURANCE RATE A(4P. FOR TNC TOWN-OF. COMMUNITY !'gNEL NO. EFFECT/YE ci4TE;..._,.� ROAfRT E. RAYMONP, R.L.s I AATE NOTE: NOR TH.4RROWNOT TO BE y USED FOR.SOLAR PURPGiSES. m cal. 9S. Ilk > u of k � 0 Caq e 61 u c. a � QS Z. 16' - O 122 n Q � Z2 L a T �' ?�� o oil PLOT PLAN WA NOT AIAoE Mo,0 OUNDATIOC AU1j AN i--vsrPL/MENT w*fveY.4N0 /S FOR THE - _ _ _ . _._.._.. ... , USE OF THE &4w ONL Y. UNDER NO C/RCUMSTANCES ARE OFFSETS TO BEIWWD ./©1,164106 ,; 5r�a� � : USED FOR FENCES, WALLS, HEpGES, OF,bqs /,^gRifOW 46N& EER/NG INC. y'O�` ROBERT in`� 60 EAST A-UNOUrg H/VYWA Y, E. Ir EAST FALMOUTH AAA. OZ536 RAYMOND 9 No.21583 " SCA.G►F, JPATS' SHEET �920��sr Pe / E�� OR,OyYN RY CfrIECKEOdy` .IPPR BYE PLAN Na ......._ r TOWN OF BARNSTABLE BUILDING DEPARTMENT s k _ seam TOWN OFFICE BUILDING ,611 �� HYANNIS, MASS. 02601 v MEMO TO: Town Clerk FROM: ' Building Department DATE:� - 1 _71 f �d (1 . F An Occupancy Permit has been issued for the building authorized by Building Permit #. // �� ._ ........................................................................_.. ...... issuedto ......_..... _ ... _......................._......� Please release the performance bond. TOWN OF BARNSTABLE Permit No. - { Building Inspector •aun.n Cash _ __.------ _ _ -- y ,ego OCCUPANCY PERMIT Bond Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....................................................... 19............ .................................................................................................................. Building Inspector �r . Assessor's map.and lot number ..... . .... ..... ,� /S.'. ...... i . THE TOE` 'Sewage Permit number ...... .?�...9.z 9:........ �y �i/' cn Z BJBH9TABLE, • House 'number ......................... ..-4t..............................:;:..... R e�p q 6 00 9• \ TOWN OF BA=RNSTABLE BUILDING INSPECTOR •r 3 APPLICATIONa FOR PERMIT TO ....).��� :? C� ...... .................. ..%........................................................ TYPE OF CONSTRUCTION ...... ..................... ...................................�� ....... "V ►' ....................... ""'1...............19.dY TO THE INSPECTOR OF BUILDINGS: t\I The undersigned hereby applies for a permit according to the following information: Location ..... . ..��J(?.......1... ...... ......1......... ............' !1..:..... �?cc�.. /�,. .......................................... ProposedUse .� ....!..-�......�c....� ..................................................... .... . .......................... Zoning District ..... .. -��lnf ..........................Fire District .......... .... ............................................................ Name of Owner 9..... .. ...... .....................Address .... �:.�./o?.G" 4 Name of Builder ..-!� �4�.................Address ......�kh- 1V.W.....:�!��XJ/tf/� �� Nameof Architect ..................................................................Address .................................................................................... Number of Rooms.............(.--,.................................................Foundation ..��.... .� ..... ............... Exierior ..� �Zl�,!��C ........................ ...............................Roofing ...........................:.................... Floors -ram . ................................Interior ..�............ Heating . ..... .....................................Plumbing ........ ��. Fireplace ..................................................................Approximate. Cost ....1..�Jr......................................................... Definitive Plan Approved by Planning Board -------------------_-----------19________, Area .................. Diagram of Lot and Building with Dimensions Fee 9 SUBJECT TO APPROVAL OF BOARD OF HEALTH d� D 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 .... .....v. Construction Supervisor's License .D.M?9 ............... LEVINGS, DOUGIAS A=62-35 No ..2.7.292..... Permit for .............. ...........Single..Fami4y..pwe;L14Dg.................... ........ .... ......... Location ...LOt 36, —186, Whist ,................. .-rXY..Drive Marstons Mills ............................................................................... Owner ....... ..................... Type of Construction ............................... ................................................................................ Plot ............................. Lot ................................ Permit Granted ......December 3 ...........1984 ...................... 'Date of Inspection ....................................19 Date Completed .......................................19 o- __.;- ( -Ai..-L Eel E.A. 5 t k-iu.,a; n��. )IJ ra Al ,�4.73vno E=.7 .C'C. CZ)-- P{TCbi A CLL L A W L f-, tvt v,rat u r j csfa t/b'/F�raj �Grl.�.:'c!✓L 1I ` � � � � l�w►L�S~_� b7>r1Er2�;tS� 5.�¢'ti:C.►�'IED. _ ;, '" - .1- f �, i� � � � i I �i �-- ^►-� Pr,P�.g -ro a►bl to B� T_-. - ,.., tbc CA ST f t�r.J �. x-��o t��E ArJ P✓C O ® �/ �j o ® l� Cl (� ALL SEQToc T<iA11C5 P{Sr2B8�rrBo, Box, Aw10 - L.FhGNYaC--B pfT� SHALL i�E �E�1<a�.JE'd ��(�. N - 2.0 .�..��k L �,�D,.jG,S WHEN 110TALLEPUNOCR WITIG vi( _ - I[J -- Vlk"o✓E Aku MATEB�IAI_ ge�EAT1I oOF LEt�CH�.JEi Prfs f;o�` , ' Y /� `V A. eAt�.BOS OF 1 '7 /4Jp � BL1 c�,y- P �! Fes. 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