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0091 WHITE MOSS DRIVE
n, i A r ._�-++'�....'r-�.M�,r�.._. _}..!'�. r+ ._— _ __ ....-ems _...^___'."''. �._.. _.. �.►,;,...- 9.... L+^. of ble *Permit Town of Barnsta # �CY�oaa�P�f pt• 0 y Fxptres 6 months fr�m issue date N Regulatory Services Fee S j = BARNSUBLL 9 MASS. Thomas F: Geiler,Director 039. �0 Building Division Elbert C Ulshoeffer,Jr. Building Commissioner ®� 367 Main Street, Hyannis,MA 02601w Uf Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION Not Valid without Red X-Press Imprint Map/parcel Number 3 ( w� 6 1 Property Address:. /i Residential OR ❑Commercial Value of Work Owner's Name&Address Contractor's Name � U�-d ��'��` Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) �S U ❑Workman's Compensation Insurance ®� PERMIT Check one: ❑ I am a sole proprietor MAY Y ❑ I am the Homeowner 2008 L� I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# Permit Request(check box) Re-roof(stripping old shingles) L ►� c('�t (( ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) ❑ Other(specify) r' _'_...__.. .......,........... *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation.etc. Signature expmtrg T � Town of Barnstable Regulatory Services = BADIMAEM KAS& Thomas R Geiler,Director 1639.r�'0� Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I4�1�16ArZ ,as Owner of the subject property hereby authorize j) I l Gl 4)U Z to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) afore of Own r Date A46'Abyz Print'Name i Q:FORMS:OWNERPERMISSION i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Businesslorgatuzation/Individual): Address: 5�Pi���� City/State/Zip: Phone.#: Are you an employer? Check the appropriate bog: Type of project(required): 1.� 4. I am a general contractor and I I am a employer with � � 6. El New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a•sole proprietor or partner- listed on the attached sheet 7. 0 Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 0 Building addition comp.insurance.# [No workers' comp.-insurance required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.El I qu a homeowner doing all work officers have exercised their 11.0 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 employees. [No workers' 13.❑Other comp.insurance required.] .'Any applicant that checks box#1 must also fill out the section below showing then workers'compcisdion policy information. t Homeowners who submit this affidavit indicating they are doing aU work and then hire outside contractors must submit a new affidavit indicating such. tcmtractors 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 subcontractors have employ=,they must providb 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: Policy#or Self-ins.Lic.#:7•r/�� �'� � �� Expiration Date: Job Site Address: 6— City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 certify under the ains. penalties of perjury that the information provided above is true and correct Si a Date: L5- O� Phone#� S� �`�L J— (, Official use only. Do not write in this area,tb be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:--- Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing.engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es) and phone numbers) 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 Towp Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple 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.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 biirn 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 tmi give us a call The Department's address,telephone-and fax number. The Commonwealth of Massachusetts Deparhnent of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 4.06 or 1-977-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia t�5�19l�0di 13:3b b0`j4L17��3•- r ,•_.:�.-. �.,,�.�.-�,.�,.,� . ..— --- -- GRANITE STATE INSURANCE COMPANY 73093-0000 wC 446-81-23 13102 , .�.��0 t 3-66-08o7=oc PENNSYLVAN,'A DAV I D L I NNELL JR FREEBOARD LN on Member Companies of YA RMOUTHPORT, MA 02675-0000 American intematiarial Group EXECUTIVE OFFICE& 70 PINE STREET, NEW PORK. N.Y. 10270 SEE NAME AND ADDRESS SCHEDULE - WC990610 WSW i.o MYCOCK INS AGCY WORKERS COMPENSATION AND ERWLOVERS PO BOX 437 . LIABILITY POLICY INFORMATiT M PAGE COTU I T, MA 02635-0437 WIMMISR ND 1 IV DUAL REENEWA[PF&VOW ' 001,392508 oTIIER WORKPLACtMI Nor 9NOINN At MIL-SEE NAME AND ADDRESS SCHEDULE - WC 610 n!M 2 P0LMY PEMW 1WI Lt[stastdard tde nt 16e 4tsurod'v ma0trta Ad&aw FWU 08/01/07 ro 08/01/08 ITEM a A. Workers Conlpensedon ommew Part One of the polkv appffiot to the Vvbrkm Conhpeos&ftn Law of the states Ihxod hero: MA 0. Employers Wabiritr Insu ranm Part Two of the pollar ev Oles To the work in each state Bated In item 3JL The Ilmlts of our IlsbMw under Pan Two air. tlo Slr InJurr br Accidem.S— 100.600 mah a0ddWt BodlIV injury bV Diseftp $ 400.000 Polley omit eocw Injury by Dlseeco B 100.000 each enq*wee C. Other Stom Insuraaca Part Thram of the poker epodes to the*lefts. if aty, Ikead her= SEE ENDORSEMENT WC200306A 117 44 the premium for this oolley wld be d*t&mMed br our Msnuals of Rules, Cisossrfleetlorts. Raton and Rating Pimm. All iefennWon reoolred below 19 subject 10 verlllMOM end 0OW9e bV 4140L Fatimaron Total atteIto Er MANd (7assitintleas Ceae Nurrraar Ramunmrryallon slob of .hemlvm [X Aaaual U 3 Yaar muneehhon w,nual.a a Ysar SEE EXTENSION OF INFORMATION PAGE - WC7754 I EXP67r8S Ct)htSTAttr IttllcEDt MmERB Mif.104eLE BY etATet - . - NINIIdUM PNl3YtUL! TOTAL B imUTM ttp6t11W1 II hidleatad'W"-,Inlemin AMustneants at Welahm fatly 0a Tnodv-. --_ 13 ssml-Attmwuy Coartony 0 R m ilbly ol�osRluamvlu t @1Dott8BNF.lM(MAUHUNDW4 SEE ATTACHED FORM SCHEDULE _ WC990612. 08/30/07 ASSIGNED RISK 66 1 , Issue Date lawing ONIvo 4ulderieetd RuprenantUive WC 90 OC 01 may INS;t[tl=�:c r�nov -'/e Piomv»zo, Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Regis traf ; 120659 RiF 1.n ti19/2010 Tr# 263092 T ec-pB I LINNELL ENTEF2P.RISE$ ,. . . 1—_ �•. • DAVID LINNELL JR i 59 FREE BOARD LAN i YARMOUTHPORT, MA 02 75 r L Administrator j i i i 4 a 1 SIG (� /J n valid for individul use only seor r gis ra w expiration date. It found return to* •:` before the exp ulations and Standards `• Board of Building Reg One Ashburton place Rm 1301 f 02108 t Boston,N1a• Not valid w ithout,Sigj atu R r Town of Barnstable *Permit# . /Lo Expires 6 mondr from Issue date OV Regulatory Services Fee Thomas F.Geiler,Director • 9� s6g9' A�0 'OTED MA't Building Division Tom Perry, Building Commissioner ®PRESS.PEP 77" .200 Main Street, Hyannis,MA 02601 Office: 5 ��0.8-862-4038 OCT 2 0 2004 Fax: 508-790-6230 EXPRESS PEMT APPLICATION - RESIDENT BARNSTABLE Not Valid witleout Red X-Press Imprint y.1vltp/pazcel Number _ Q Property Address 19 Residential Value of Work dd`� � - Owner's Name&Address ® Contractor's Name G�nu�� —���-��-.c� Telephone Number ��'�d-��L9� Home Improvement Contractor License#(if applicable) / fob 9r. Construction Supervisor's License#(if applicable) D 7 Z,20 7 ❑Workman's Compensation Insurance Check one: I am a sole.proprietor I am the Homeowner ,99-I have Worker's Compensation Insurance - Insurance Company Name ,c Workman's Comp.Policy# 02> 2 Copy of Insurance Compliance Certificate must be on file. I Permit Request(check box) 0 Re-roof(stripping old shingles) All construction debris will be taken to []Re-roof(not stripping. Going over existing layers of roof) [] Re-side: IK Replacement Windows. U-Value (maximum.44) *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. Hom Improvement Contra rs License is required. 51 Signature Q:Forms:exPmtrg Revise053003 .e M Town of Barnstable Regulatory Services 3 a,►xxsWic. � Thomas F.Geiler,Director X&M 16s9. Building Division ' g - Tom Perry, Building Commissioner 200 Main Stzeet, Hyannis,MA 02601 office: 508-8624038 Fax: 508 790-6230 Property Owner Must i, Complete and Sign This Section ' If Using A Builder as.Ouwnet..of the.subjectpropetty - hereby authorize to`act on my..behalf,. in all,matters relative to work autho" etl•by this building•permlt•application%for: 17. (Address of Job) Setae of0", Date per}Name � I a Results Page 1 of 1 .s. Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number Select Search type: G AND r OR ;'Search Search Results Reg. No. F Applicant Street Ci lExpiratic 59 LINNELL 120659 LINNELL FREE YARMOUTHPORT MA 02675 JR, OWNER 2/19/20 ENTERPRISES BOARD LANE DAVID Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.us/bbrs/hic.pl 10/20/2004 • I , /v del 031 Parcel 004'Q I Permit# � Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Date Iss ed 7 �9 Board of Health(3rd floor)(8:15 -9:30/1:00- 4:45) K- 13 y �1 Feep2s n 1 Engineering Dept. Ord floor House# `7 �q T7LesY ammng Dept.(1st oor coo rd 19 T 90N ' ►I ,�MFNTq N F TOWN OF BARNSTABLE Building Permit Application Project Street-Address f IAJ kl-r - 40SS De V4., T15K LOT 9L Village ft;N5_0104 A { S �„a Owner ] � 6 � // .mcnx Address Telephone % 44(2) '9k 7I Permit Request B U 4.0 )0t K 1IR s A t-0 i First Floor square feet Second Floor f square feet Estimated Project Cost $ Zoning District/ Flood Plain Water Protection Lot Size ag/k� o sl ff Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type 010) / A h /C �T`� ®CIA,. Commercial Residential Dwelling Type: Single Family ylo� Two Family Multi-Family Age of Existing Structure /C Ins, Basement Type: Finished Historic House Unfinished ' Old King's Highway Number of Baths , A- No. of Bedrooms Total Room Count(not-including baths) First Floor Heat Type and Fuel ""h %0IA- Central Air Fireplaces ` Garage: Detached Other Detached Structures: Pool / Attached Barn None Sheds Other Builder Information Named Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO . ' 7 SIGNATURE DATE' ' BUILDING PERMIT DENIED kVT14F FOLLOWING REASON(S) • • i FOR OFFICIAL USE ONLY PERMIT NO. '3 D',TE ISSUED1 tl M }P/PARCEL NO r A) RESS i VILLAGE OWNER a DATE OF INSPECTION: FOUNDATION FRAME.' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING:F &Oi 01H., FINAL GAS: NI� tIi FINAL FINAL BUILDING_�. �� � � • DATE CLOSED OUT ASSOCIATION PLAN NO. I Open Space Parcel 36 } r 98- 00 1 P6 P Or I Ai"tK1� j N-0 91 h jz .r Sty, Wd. r Ile moss �ippgp� I Vj//,(+ ` 4 Rent -��-_ , At ,Tt�oncOr ,tr. Ftymauttiovir�gs 8sarrk Thu doifarc star► Da1t�a.aro on the bock of my isnauird lnfarmotgn and bClic on t@q ic�ulf `� + t,+fF'lt37 - R�vl�ed o f rfga o pa tk+� fapo aurrVotr ^oda to the norr�a! *s4ar+do�cst taro of r lstcrcd land LB �_-1 do to, _ t 'cfo�ail aro M0dC'#a tf�a aboM4 namod +c l lbn� only oa of r I �+ ,, esreftey be MOR11 10 Pion Reforen �r.o - _ -.�Ji.fNSPECTIONI q LOCO U00-- B ARN STABL Ej ! -4C! 5 /2i/87, F -ot 32 oil a Plan by Levy & Eldredge Assoc. , doted 7/14/88 ; .. M=&dcd In SA dSTASL) Ragistry Of Deeds Door: 428 ,lam ' I hereby certify that the building altp7n , n this Platt as locut.ed on the ground as s�'own hereon and it, canforsn to tti zoning Id of th€ Turin when cOnstructa 'd l certify that. the above property 00as not Iio txlthin d Sp la! !'loud Hazard Zone as delineated..oru tommurity ftop No. ?50C)O l dated p t 8 / l'� /t3 rJ. t T7C9 This Pipi � "apt not mado from an Ins irument �FCl wt o t survey t l r�r3t tie r,rcordod r�r to bo uzed for R s associates. 2Z4.3758 `ences etcf ttnd is drarin for use of tho Mortgagee on i . -.� - Y 30 Gorol rt i}r. Pl mouth Mass, ■ ,o mo ■ ■ ■ ■ ■ ■ ■ ■ ■� ■ ■ ■ ■ � � ■ ■ ■ ■ ■ ■ ■ � � � � ■ ■■s■ i � ��■ � ■ �� � � ■ � ■ ■ • The Comnim"vealth of Atassachusettc Department of Industrial Accidents 6111) 111(uldigpon Street , Bovon.Mass. 02111 Workers'Compensation Insurance.Al iidavit cant Please PRINT Ie"��. ly ' 77 ! � ��ppl! !!!IG•! �J S name location- /d�A-11 gift r�-1% fU lid l�e' 7 nhoncil laFJly �j I am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity 777 1 am an employer providing workers' compensation for my employees working on this job. compnny name, address: �•: nhone#: • insurnnee co noli_cy,# 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comnanv name! address: •. phone k incurnnee co relict It - L :j = "'.-,--::-•- - . _ •.xe.-Q•*�-.-:•-�•.ee•�s�sesr�r_ - - -- '-lavr�vras�:�r`!�;r+�!a���+rz-• .en3±s•�+^:--ass erimpanv name•address—phone# insurance co noliev 0 Atiach additioeal'sheet if rieeessa " •" 'failure to secure coverage as required under Section SA of NIGL 153 can lad to the imposition of crimimd penalties of a fine up to 51S00.00 and/or one rears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a line of SIOOAO a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verilteadom I do herebt•certifj• pains nd pena .Urr• hat the information provided above is tru eaptd co Sienature ate v Print name Phone# official use only do not a rite is this area to be completed by city or town ollicial city or town: ptrmitAteense d t•'tlluilding Department (3Ucensing Board ' check irimmcdiate response is required QSeleetmen's Office [C31lialtb Department contact person: phone#;. m0ther ---------------------------- Im,led P1A) -Information and lnstructions Massachusetts General Laws chapter 152 section 25 requires all emplovcrs to provide workers' compensation for their employees.- As quoted from the"law",an emplgree is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An emplitrer is defined as an individual, partnership,association.corporation or other :.:gal entity,or am two or more o 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 0 ner'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 F52 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 in 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 hav been presented to the contracting;authority. - - .��*w...��+�. .a �"ia`• .lip._'ey:. ... ; y.,� p�•7:�+1 aM:�..u`}4v+••j{,�::�,iC:•-•,,-'.- .. (`' .:. � P.:iT%':r .�. '�'•�s�i:.'.\:t 'gay:. ..:.r-. ;:�= xS. r !�^___�•.. ;+. .. Applicants Please fill in the workers' compensation affidavit completely,by checking;the box that applies to your situation and supplying;company names. address and phone numbers 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 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 for regarding;the"law"or if you are required i to obtain a workers' compensation policy,please call the Department at the number listed below. a wr_— ii _ - .r:7..i. 6:3"!N°�_:.�.. - ��'��RT-»i - .•. _. C. 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 permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Offide of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do,not hesitate to save 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 fax#: (617)727-7749 phone#: (617) 7274900 cat. 406, 409 or 375 The Town of Barnstable : NAM �,$ Department of Health Safety and Environmental Services 6� Building Division 367 Main Street,Hyannis MA 02601 Ralph Crosson Office: 508-790-6227 Building Cpmmis F= 508 T75-33" For office use only Permit no. Date AFFIDAVIT HOME 11V1pROVEMENT 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 nay pm-edstmg owner occupied building containing at least one but not more than four daeiling units or to su""' 'Bch are adjacent to such residence or building be done by registered eoatrac tOM With certain C=Ptions,along with other requirements- Type of Work: 'Ru t U 10 ye ' ez Est.Cost l L- V11, 1 Address of Work: q1I r ORner.Name: {l^ I C."k92 Date of permit Application: I hereby certify that: Registration is not required for the following reason(s): Work ccduded by law Job under SI,000 Building not mmer-0ocupied Ong°wn permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH TJNAEG151ERF.D CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT' WORK DO NOT HAVE ACCESS TU THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGI-c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the ov►•rter. Date Contractor name Registration No. OR n,.e Owner's TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION P1 ase print. ' DATE r/JOB. LOCATION fNumber Street address Section of -town "HOMEOWNER" 4 G V 1�7h Name Home phone Work phone PRESEIV'T MAILING ADDRESS • City town State Zip cod: The current exemption for "homeowners" was extended to include owner-occup: dwellings of six units or less and to allow such homeowners to engage an is dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to side, on which there is , or is intended to be, a one or two family dwellinc attached or detached structures accessory to such use and/or farm structurE A person who constructs more than one home in a two-year period shall not h considered a homeowner. Such "homeowner" shall submit to the Building Off_ on a form acceptable to the Building Official, that he/she shall be resnon_ for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Building Code and other applicable codes, by-laws , rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requiremen- and that he/she will comp w sa . d pro ur s and requirements. HOMEOWNER'S SIGNATU APPROVAL OF BUILDING OFFICIAL Note: .Three family dwellings 35 , 000 cubic feet, or larger, will be requires to comply with State Building Code Section 127. 0, Construction Control. i r i Parcel 0v it# Conservation Office(4th floor)(8:30-9:30/1:00- 2:00) Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Fee L Engineering Dept.(3rd floor) House# ,OFINE Tq;J g eSt nDor/9cr1_�M1111,,v'U ` 4 A TOWN OF BARNSTABLE ,s, Building Permit Application 7ctStrss whi llrz o o 'o Village Owner Address ' f wh/T'_ 40-5 ,/X_ Telephone (6 Permit Request I N&;V 1 )(-36 0,1J_0 scu l"l 47 AO L First Floor 14t)L (0 SQ f-7- square feet Second Floor square feet Estimated Project Cost $ �®00 oa Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use / Proposed Use Construction Type W Q 11Z 01A)VZ, I We4 Commercial Residential Dwelling Type: Single Family I/ Two Family Multi-Family Age of Existing Structure C1 Basement Type: Finished Historic House Unfinished 11_� Old King's Highway Number of Baths 01� No. of Bedrooms 3 Total Room Count(not including baths) First Floor Heat Type and Fuel 907—A121 G4_5 Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name EJw SEnle�i+ Telephone Number ,j O8-`�o�c�l-Y517 Address 16 NOW J VAO R d A0 License# U O a 6,3 b b 3 Home Improvement Contractor# J O.b 0 O Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 76 CJA) SIGNATURE DATE 51A/96P BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) ' 1 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. . AfDRESS VILLAGE OWNER , DATE OF INSPECTION: FOUNDATION FRAME; - INSULATION, 1 FIREPLACE f 1 � ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 1 DATE CLOSED OUT i ASSOCIATION PLAN NO. 1 } J'` ' ►"✓1te �a.�vrrcaouura�!/..a�..�aaoac/uasetGs� OEPARTMENT OF PUBLIC SAFETY CONSIRQCTION.SUPERVISOR LICENSE Number= =:- Expires: ' .Wtrittedjo: 00 ICHRRO T SEHOSKI 7�10 PEEP TOAD RO , CEHIERVIII, MR .02632 ' 4yi �^7 r��}r •,Y�"'f' q{� i�t/� M ME IMPROVEMENT hCONtRACTO Keg' stratiert�' O6OO9 tit ' pa'a� INDIVIDUAC �; ", >" rd T Senoski � �eep:Toad lQ7q c0 h �b�a DMA'_ CeRte 11A 02632 t {f �". ADMINIS7�ATOR �� .�� � { 3 •`='u�.n�x ZY 1 F. • �`' Tite Common"'ealtit of Atassacl�usetts Department of Industrial Accidents _ ;• �, 011/ceollm�es�►gatloas - !. 600 If iavltin,;ton Sircet Boston.Mass. 02111 Workers' Compensation Insurance.AMdavit .eRnlica—n nformation� Please PR1NT,ejx name• Lamrzo • r Inenti�n• �Il w�lam• �o5S 02 �3 cin• MArP>51�/JS GCS nhone 1 am a homeowner performing all work myself. ® I am a sole proprietor and have no one working in any capacity 13 1 am an emplover providing workers' compensation for my employees working on this job. 1 campnny nnme• address: y: nhone# inenresnws•rn, ltehn•# IW .r•.�� -w� .y.., .��q.,,...y.1��+++s�:OJ.O�"."!'•!�!'�'L.•!'!i^_17^•!_�-tL.t:tx.,__. - - --- 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name• address- phone#.- incurnnee co. Helier# fir:_ '..•.":—%:-•- — - :s..a,rv.�•,.-•'--,.eR•«stT^�.�..'r_• - - - -- •TJVE�9.J�e�:r`�:7�*�:r.���?�R�!^--'tY..9453?�!�'�^'^'.aS crimes name• nddress• - rih•• phone#: in�urince ce [Miley# :Atiach additional'shcet if tied -.-•t 3 ;_t r'"�'r, '"`"• ''�qr.' •" "'�»"'�- failure io secure coverage as required under Section 3A of MGL 153 can lad to the imposition of criminal peasides of a fine up to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. t understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. !do herebt• +am er aids nd pe /tiffs of pedwy that the inforntmion pmrided above is true 5ad co Signature ate Print name iL` �D official use oniv do not write in this area to be completed by city or town official city or town: pertaittlicense# r•ttluilding Department (3Ucensing Board ' check if immediate response is required OSelectmen's Office 011allb Department contact person: phone tt;. r901her Imised3;9 PJA) •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 emplgt►ee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An empintter is defined as an individual, partnership,association.corporation or other ;cgal entity, or any two or more o: 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 dwc1ling 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 V52 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 commun++•calth for any applicant who has not produced acceptable evidence of compliance with the in 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 hav been presented to the contracting authority. t,'_'-""'�':^.��.'.':'�'�'.'•��n i.T'•:�: �. .,, •�r.i:i:.'.1:al�.ia.:• i:!;v+;;i-:. �,��•�._ ,.�� y�t,�-:�tts:�,.�`ti`v^,,��:::,;�'r; ';!_ .• _.. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying-company names, address and phone numbers 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 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. :,' 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 permit/license number which will be used as a reference number. The affidavits may be returned 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. r�ar� wr�...Y....f�Z!�!t�•cs+• ..�r:..�..`�v •+.�.::-tiiv�..n •«• ,if�.ui ._:jj::-n ..•-^. `'++'�•'--rr.v!r� .w+�w+r+.vr4.ss 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 fax#: (617)727-7749 phone#: (617) 7274900 cat. 406, 409 or 375 i - The Town of Barnstable NAM ,$ Department of Health Safety and Environmental Services ` Building Division 367 Main Street,Hyannis MA 0=1 Ralph Crosses Office: Sob-79o-6227 Building Commit- F= 508 775-33" For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION ,n o MGL a 142A requires that the"reconstruction,alterations,�renovation,repair,modernization,coaversi n, improvement,mmo%-4 demolitim or construction of an addition to nay PM-C)dsdng- owner 00=pi ed building containing at least one but not mote than four dwelling units or to scut=which art adlacent to such residence or building be done by registered contractors,with certain c=Ptions,along with other mquiremenm qbbl Est Cost Type of Work: n ,,I `nw Address of Work: `� W h I rt /v(tyn:6 10K, Oarter.Name: n?l� c �i4wN Date of Permit Application: �y, 9 I hereby certify that: Registration is not required for the following reason(s): Work eccluded by law Job under SI,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH L7NREG15TlD 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 n,,e Owner's name I 77 - ®P 6n ,Space - Pil I 36 r~ - t y � I t C t ,. P0°L~ b a , Af t ��= 2 -Sty Wd. r. f Dw�!/ing , ICVM If �'" MOSS DR I Vc [he Af charms F encer Jr. a PI mouth SoYin s ar><'atbns MO tZ baron *to on that bo>A o �y knoa.rcIll t1h~Ittitr uT •. I ' pg 1 paCtktn rnpa #uraavy Mad* to Oho n MGI clendo j of Cora of tit 4 od ¢ oua ao `r g in ta�4 "achusatts. t)ociorattors era made t tho above non.ad Client only aoof Mtt1 f Ct irr iPL �oc0�rn= 8i-:RNSTAeI.=7" erence: 'Being Lot 32 on a 'Plan by Levy aEldredge A,3soc-., drjC, l l86 Recorded in S ARNSTABLE Registry of >? du �a��32� ts , pdellneated certify that the building sb n TM i_tit[a Wien isy iootonAttrturt¢t o '' area,n and itMCOrfffirrst3 to the zoning low;,,; of tho [m7n t7hon c�t��tt•bttKt:�'tf. �. thot fineabove rta +rr0 ly Goes not lie tilthin.a d on Community Mop fro. 25QQQi dater! � � l���ot✓ t�tt�arctr ? Ica tra3 `�' �RD ��Plan wos not mode frost on Ing1t, *rnertt d shall not be rccordod or to ire used far @3c,and Is drown for usat of tba Mortgagee or►ly OGit 4 S. s?24.375r3 Ca9oftrn Dr. PtYr+ttutit Morar A t� Q Gam• iR.7 � � � � "� ' �' ° n 16 FT. x 28 FT.* 17 FT. x 33 FT. 12 FT. x 24 FT.* e _ `-- _ 3 21 FT. X 21 FT.* 16 FT. x 32 FT. 17 FT. x 37 FT. 16 FT. x 32 FT. _ 26 FT. X 26 FT.* 16 FT. X 36 FT. 20 FT. X 36 FT. 16 FT. X 36 FT. c.=- _ _ r. 18 FT. X 38 FT. 20 FT. X 40 FT. t—r�l 8 FTC X 36 FT. j `a 17 FT. X 39 FT. LAZY L 20 FT. X 40 FT. 20 FT. x 43 FT. LAZY L 18 FT. x 26 FT. x 37 FT. 90° L �_ dl LEFT OR RIGHT 18 FT. x 43 FT. LAZY L A `�' -.��' ,�, ,�` +�.,,;;,•,r�""" \ '� LEFT OR RIGHT '• '' r- ` - v VV•/w—✓I wiJ1K7v YY:IrJNVVW/V L7niPi.7 9 r �� Alt 1 17 FT. x 33 FT. 16 FT. x 35 FT. 16 FT. x 32 FT. 15 FT. x 26 FT.* 20 FT. x 32 FT.* 19 FT. x 37 FT. 18 FT. x 39 FT. 18 FT. x 36 FT. 16 FT. x 30 FT.* r 20 FT. X 37 FT.* ,rr 21 FT. X 41 FT. 20 FT. x 41 FT. 20 FT. x 40 FT. 16 FT. x 34 FT. 19 FT. X 44 FT. LAZY L 18 FT. X 44 FT. LAZY L 20 FT. X 38 FT. 21 FT. X 40 FT. 24 FT. X 44 FT. LEFT OR RIGHT LEFT OR RIGHT ALL AVAILABLE LEFT OR RIGHT. - ALL AVAILABLE REGULAR OR REVERSE. MEMBER Pools with one-piece step are 1 f ^11 2'6"longer. (Except Lazy L) All pool sins depicted in this brochure arc approximate.Ask your dealer for blueprints. uv u Imperial pools am intended For private residential use only. Caution:The use of diving and sliding equipment can be hazardous.Imperial pools,Inc. ® does not—o,,,end the use of these appliances.If used,—should be exorcised to use MADE IN NATIONAL only equipment meeting the recommended safety codes established by the National Spa USA SPA&POOL INSTITUTE and Pool Institute. Corporate Headquarters:Imperial Pools Inc.•33 Wade Road•Latham,New York 12110•Phone:(518)786-1200•Fax:(518)786-0954 Code No.25116 'Diving boards nor allowed -- R oIMPERIAL STEE) na0� V (9 ,% W © are aana aaoa as a daaoaQ ON Vaa Ro1gLo4 4 POOLS ARE TH, STRONGEST Ia _ WORLDWIDE INDUSTRY '- EXCELLENCE T 717F j, Q .40 STEEL. TRIPLE BEND A-FRAME CONCRETE Of course, it's not just our G \ ' FOR STRENGTH DESIGN FOR SUPERIORITY. RECEPTOR materials that are solid performers. 1 AND DURABILITY. MAXIMUM COPING. d - � � '�I � •� The people at Imperial Pools STRENGTH. �! Imperial Pools only uses quality made For more than 35 years,we've been Throughout the pool industry,Imperial is bring a fine craftsmanship to each zinc coated galvanized steel.Ultra strong The top and bottom flanges of our steel designing and fabricating pools with a heavy- known for its meticulous workmanship and li and every pool they design and with 200%more zinc per square foot than panels measures 7"for the utmost in strength. duty steel wall construction.Why steel? attention to every detail. Following years of commercial grades. Couple that with a unique bolt inter-loc system Because,just like bridges,high-rises and extensive testing and exhaustive research, make. Our quality control is Base steel is protected indefinite) from at the side flange.And for extra support, the interstate guardrails,in round pools demand we've determined that the best way to lock � �'�,�I• P yPP g g P y second to none. ' the elements by a 2-3/4 oz.coating of zinc. full flange dual stiffners are also of triple bend solid support. the cement deck of a pool to its steel wall is This galvanic action combats corrosion by construction. Our A-frames,with their 2"x 2"x 1/8" with our innovative exclusive concrete And our careful attention to detail i � t � providing a barrier between the elements and ANGLE IRON,are the strongest braces in receptor coping. and exceptional dealer support r � the base steel. BENEFITS: the industry. ;} ■the more flange > BENEFITS: have earned us a reputation �--� as,the .o.°` BENEFITS: (" f'^" angles...the more the "^ BENEFITS: ■extruded aluminum,not PVC or plastic. + :!�r• � • � � strength. �� �, "People Company." Maybe that's C ■super strong walls � ! ■2 x 2 x 1/8"ANGLE IRON(not sheet ■smooth,baked on white enamel finish. t capable of holding ■33%more strength why our pools are installed world- than p g w steel typically used). ■allows the concrete deck to be supported y P tons of water. than double bend panels. ■large 90 degree leveling plate with drive by the pool walls. wide,from Martinique to France ` ■durable and flexible to P <M0 stake to ensure locked-in strength. ■excellent safety grip. ■steel wall strength resist even extreme ,,,,GE g ■adjustable double nut threaded 5/8" to New Caledonia to Spain. 4 ground shifting. „� increases in direct pro- u 1 P CI portion to the width rod,adjustment guarantees plumb wall +! /� of its flanges.Imperial alignment. it ,� flanges are a full 7"on the top and bottom. Y ` ON .iv �a z :+.y QQJJ RRRRRR Q 0 Cr I •� �y' O A AIR 0 Z 0 0 N < {y N � 1 w — ,<O 77�jC d N to • �'' rl m , g A � g R� (n N I ■ � N • IN --�-- .42 W11 , _8 le. ,,,^��,,.;,•�;:` SN ini► ui rr( �� 6 � Ij d w b I V) . !2i W v' ca 0 O Rasa W � •gy � � t did r t/p {Lq��,1p���� y ( w 1 .�j del✓`Y /�+U R. Ali Z I— 0.N •� Q�I N< W W N y� 7 u N to I ,+ w o N 1 a 88 as r ' m A> N. • J s .'�;'" I ZOO ZOO N 1 i I mt�3 p Wis . I I , \ • I V! N Jill -►- �mp�Clad Classic and.Contemporary — —_ - " CIS Series Details :, ■ _ — THE POOL COMPANY o �'� �� ua.o out xrenrnee 33 Wade Road•Latham,New York •12110••(6 1 00 66-1200 a OwuCS.m CaIAINIM ua O.IGI• �i.A1Q itEE SET 93/2 ..L LS ST�a :�i 1Y18 "powil 10aM(WOES Cr LLCM AK NOT ALMMSm M GA.GALX STEEL SEE SECT t3r2 AND _ iICYl1AL or PLANS fOR LOCATIONS 1 o.c.•. To SL Osm PA•A•/rjL"ZL. PANEL 9 0T1ETR REiB N BIi•IE rAAT TJC I O-tV./IILEOLTS AND ICPIMIMS ..ar. e 2 W.SHI RS TYPICAL . 1 . rr LL OMTS.NLRS �.3 N OA GRJY.STEEL iM1E1 �•� I EAND 2 A_PANEL HER TYR S-wo YBOLTS.NITS µ cA.c.Lx STEEL AND 2 WASHERS TYP. �� EA.PANEL END S-th•tl IR.BOLTS.NLIf4 o g AND 2 WASHERS TYe i EI,PANEL END `7 f4 Gk GALIL STEEL h .M Y,y B a 1 it CORNER PIECE Stil T'tE 20 IL.TMCIOE44 f rtA 8A.GALX STEEL ;L+ Vt11YL�� Q LcasEn PIECE. M GA.GAM STEEL +e• AE tTwt°�R/ERrrrb:• �T- :2 CJM -BOLTS • v�0 MZ—THINERCKNESS 20 IL_TIAOOE..S -�r� 20 NIL. LINER . -• VWYL LIER SERIES 700 9 750 SERIES 800 9 850(90'CORN R)n S'ER ES 900 8950(90A CORNER) n SERIES 5501000 a 1050(TYP CORNER) s 4A OCTAGONAL SE CORNER n 2 2 z z z - 3-iSY IL MOLTS.NITS 2O'TO ETD OF PO4EL . c�0t dM PIECE AM AID 2 USHERS Tye ®IGAL\0ANi.E.�� A. 4 FINFL END PLANS TOR LDCATnILs e D t4 GACALX STL OTHER TTENS N i1. 16-orQ E1L 4 m M GLtL•LY �'L S-�B'A YBOL77 1FIIS maw 0/2 TYPICAL M. PANEL ZO ILT)IOOOD AM 2 VP.9EIt5 T5'E T {VVLYL LOIER EA.NwEL EtD S-iA's Y.BOl7"+.N1TS AM 2 a A CA.C."STEEL EA-PANEL Do TV" 20 IL.TKX30CSS m I o PANEL VNYL LINK is"GALV-STEM i ��• C(xa+oR PIB[E i I�+ 20 TIICIOESS c . / 1.1 .AT SECT.T ANGLE. I Ex�� 1=10'AT sECLTl1 A Orl AND PLANS / PA GA_GALE STEEL .(`- •'y' = n FOR,LOCATIONS &DLMXML BRACErdir 20 WLTISOOESS �� 2h' ',iN y ► i m O (GALVJ ANGIEAEE M&AND VINYL VIER m -- P TNS 1LSlAN fi q Ilc -' Q-. c'D� o SERIES 1000 8 1050 EL CORNER SERIES 700 9 750 EL CORNER 6 SERIES 700 750 1000 T SERIES T00 STAR CORNER �'%�` NAB Nab u z -/ O o P~rl GA.GRAX STEELP zsre PL GI►GAOL srF>L NOTE AND gcrart Aua�n+aaouD s• SEE KsrnwnoN PIIPEl SEE SECT- rlm 4'ISN.CONC.DEOC O 7 ./1- 3/Y T1fPICJ1l l tIF2 T1fPICAi � L y-�}'-�' NOTE Ila l- O O - V t► 6 ES Y BOLM NITS COPNC pyAll.= I-w*IL BOLTS 'i :•.`-ova;? :-'c_:•'� � • O i20 5 V►' SEa AND Y WASHERS TYP: T';Q L� '�:•...:;>.;:-:':.a..:._. 0 NOTE:sEE CG s12tiVe MPANG E 0 O VNYL LIE]I FOR DIAGONAre.-- SE I . aS/E'�ALLTMFJID0 20�TIOOE35 AND NOIQONTAL4' ROD VNYLW CE LEVELNBBOLT I.0 BCARRIAGE OLTS.NJTS RATE 6 CONC. 1EA.PANEL. /e-E'Y'�CARRABE AT�� ��- YPCAL NOfF:.AL1 BA • V{ 2 '. BRACE)TTYB _ 9ISM L �OL�SEE LLMIMAtegOlux, .$I= NM1 Inisi& PEON MCA.GAL1L lTIEL D' ' G�YB YBOLT3.IYTS is CA.CALK STEM PMIEL SEE SECL e';►'B IL BOLTS. AOWE o AND 2 rBMBi -f • a14 CtGLXAPPIR.E ®' FLLER PIECE Ire•3 I I TYPxAL. Pans 6 2 YtC9ETLs io TYB EA.PANEL EIpJ ' . TYRI•JL EACH 1RNx$' : ':•b'DEEP C:ONL7IETE S 800 .1000 8109D � SAES 600 a 1000 STAIR COF�IER M ` "3-� BABEBOLTS I 20 T+�n/aoess �iAo�L r! caLAR ER OF POOL SEE ARouo sLu `D SPS'TPILL.ATIDII NOTES 2 20 NIL THIOCESS A9D TfPEtlJtl I VINYL LAf7t 1'• � j T 0M NMI • apIE�O�]fT NOTES .L-rx 'X!7 G"At -1 .•'�- LALL GUM STEM 0 PaRIo PROIR IRA7aAL CnIlOIB1 TI I.TI< 0 OOIU OP TM POOL IR NKOCitm OR A TYPU.IeO"arm 1IIPfL L1PEF AT 4 IlOF PAMD IRON I TYPRX M GA,. 1 ASTIR A-ISS MTN AI AQD ML1II®fblYlls. No II I sue. OIIANO OATH.Pf1R.NMN saa OI x M M CLAIITY) I BEND OBEN90N i ALL ra APRS t1O/R STEIBOI'1 R Pwr�wASL A.ILSfALL u S•TSIOI OIRIOACIS COLLAR ATTI!M!O/M OVO�tOf1 CY.X PR/EL DO - AR No m PROP NATnOIII CdlIPIIRII TI ASTIR A-if bic AROIAO4/ILL PDIINTM OTM POOL-TM dlOLIRLiIiL �7D oBE7lSal I .w� c SIRN M ASTIR A-la YLYAI®OOATIN. IAp�P�oTTTL�AI�ARTf1 ,.2 IEL PLL �p IL ALL No=AM TRIIRAOm commom m AM UVRI ICI I1O 1LgT O®sII S:E11C1L AJa10R s Y'I rucc m U1D 1u ROOW TAIII'RD�i9 EI'IBK PLL " P I , •.. PRRD•N•TOIAL OOAOIYi TO ASTLP MSO'f 011RS- ILOAMTL VOTE MA.POOL==OIIa molds IAOV WINK ma LE M AIO A1IR ac PUTE.aLlroIRll trllas AAA sOlOAlta DIL SHALL Im DrM PAM 110017LL LlYR If VDIE TWO OL POOL �1 �. I ,'3� 3�• - � PLATIM SLOE AIJAY PLB 2 Vew TV.Tw a wL I�:�I � IL BDus i I sy a �y�eIBi ftA rj ALL1IMOm.OPTE TAT MAW STVPOIR AM ADANOOA OOPIII ATA RATE HOT LDxP TNAII Vi'FQ POOL �- 1trY1I�2'-�iYY s _ll ■YZB.ANBLE ,i AxO`IItACS1.AMC MTM URN All 4YSIIII POTTY ARM a.TTN POOL we BOf m m1 POR A NRCNMK MUMIL I �slwa M Iwlr 2AM PE tawsK s IRADc arTE ARaRAo M ATou�MEXI vaL TI urr m�IlnLarr TYPICAL. WALL SECTION TYPICAL MALL STIFFENER r2ts'wolox�rTON rultl P'ItlIRIR[or AcaII®soa TI ao Pv aR Lta .- I %WMA M M e/ M NNCWW TRAIo FOR 2''s PM1E1,� AT Min PANEL _4a TYPICAL PALL SECTION AT 'A' FRMIE 2 I - Assessor's offioe. 1st floor q ( ) ��Gli2�f� Assessor's map and lot number ............................................ Board of Health Ord floor): )e Sewage Permit number ........ .............`....2..�../..� i B9Ba9TGBtE, Engineering Department (3rd floor): Cf r-)s 'oo rb39 House number ......................................................................... ,,�oraY0'.e APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................. .. C............. ......... ....... ............................. TYPEOF CONSTRUCTION ............................. ..................................................................................................... ......................Z/ ............19... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ..- ... 7%.....��...� 1./ ..../1 �7 �.......Pe ..../17 �� 11/vS....�✓I/L�s ............ ProposedUse /t, °. .. .C. ........................................................................................................ Zoning District ^ .....................................Fire District ........:�../..f'/�� �................................... .... ......................................... Name of Owner ../..:.� /1. ......... .LL..... ...Address Nameof Builder ....` .?.* ./..'../.6.............................................Address ......�5?......................................................................... Nameof Architect ..................................................................Address ..........n............................./................t..................�.......... Number of Rooms .........1•!?.....................................................Foundation ... .......l;.�Q/Ul:.�/ ..!..��...... ``�� / Roofing ........../. ... / �j ......................... Exlerior � :... n,•�i( 7 .� �......1......I._4.�.'..7......... lr�/',fTl,(�T..... .. Floors ...I�,IN. ......(..:, "1.a� � ......................Interior ........ ,C..� .......................................... Heating LT.>. ........: :. ...:../1745 ...........................Plumbing ........., .......IPA5 ..............................................,... /1l4 h = Fireplace ........_..............f..........................................................Approximate Cost .. ..........................................� • 9 Definitive Plan Approved by,,Planning dBoard ------,✓_L�Q/_____�.7----19__y. Area /J / ....4............. mG0 Q Diagram of Lot and Building with Dimensions 0 Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 6 �G; ��' `-( X 2 v V� • ! (� ' X !� ' ������-mil k Z,Z' eLA !9 r 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 .........!. /..,/.. GBEE0BIlIIC]l COR�lc A=U3l-004-0�I-005-0l2 ' �f ,0 30421 Two Story _ . No ................. Permit for ------------ ' ' ' ' ' i Dwelling ` single Family o � ------------------------. `�ot' �32 ' 9l ` - ' White Mk»ao r)z`. . iocohon------------------.'---. ^ � � , Mazot000 Mills . -------------------------- ' / �reeobrier. CorI�. � Owner --------'r-----------' - ' �r�oue Type of Construction ---------'----. ` ` � , . -------------------------- Plot ^ ---------. Lot ----------' . 1 ' ' Febroazl, 0 , 87 Permit G,onts] ........................................ ' . Done of Inspection -----------'lg ' Done Completed ...................................... . � . [ | � | ` � | ` ` ~ . ^ ' - . ^, � � x � NE TOWN OF BARNSTABLE Permit No. .....3Q421�.... BUILDING DEPARTMENT Cash EASL TOWN OFFICE BUILDING DUN HYANNIS,MASS.02601 Bond ......4`�......... CERTIFICATE OF USE AND OCCUPANCY Issued to GREENBRIER CORP. Address lut 032 91 9hlte Iosc Drive, Marstons ;ills USE GROUP FIRE GRADING OCCUPANCY LOAD 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. U...... r B ilding I specto ��..� °•`ew TOWN OF BARNSTABLE 'BUILDING DEPARTMENT �aaser = TOWN OFFICE BUILDING riva HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: 2 f j ti G 0 7 An .Occupancy Permit has,,-been issued for the building authorized by t BuildingPermit #......_: . .�1 �... _ ......................................................................_......_.........____ ' issued to ..` ;I-ep af A," t� r _ .D f7, ......./,+� _.32... . ..// /.Uh'� �r Please release the performance bond. , d' fl(�i�.)�✓�d�a�,.tl' F., r. PERMIT TO '_C•ac::.!_1 L: (_) STORY "' (TYPE OF IMPROVEMENT) � -' 6 it E L IN G•... N0. :_(PROPOSED USE) AT (LOCATION) 1:!�: •-?._ )i• ni. - ZONING t (NO.) (STREET) L DISTRICT BETWEEN / AND (CROSS STREET) ) (CROSS STREET) SUBDIVISION LOT_ BLOCK LOT SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: • 't.. ' AREA OR VOLUME ' )' "i• I- ESTIMATED COST $ PERMIT (CUBIC/SQUARE FEET) FEE OWNER '�,i'c:.-.tilC3..t_i'• .:�..�i.. ADDRESS BUILDING DE PT.THIS PERMIT CONVEYS NO RIGHT TO r OCCUPY. BY PERMANENTLY. ENCROA HMENTS ON PUBLIC PROPERTY,NOT ALLEY ECIOFIICAILDLY PERMIEWALK TTED UNDER ANY PARTTT)HE BOUILDING ECOOEMM STRBEY APR ES ► PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DO NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JO71SRE- WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTIOPERMITS ARE REQUIRED FOR OUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPAMECHANICAL INSTALLANTIONS.DIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL.NOT BE OCCU MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS WSIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPEC'I'll 1'a AP Rp; ... ELECTRICAL INSPECTION APPROVALS � 1 X 'lf� HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 BOARD OF HEAL1H une. g7. INORK SHALL NOT PROCFED UNTIL THE INSP. ?[KNIT W!LL BECOME NULL AND VOID IF CONSTRUCTION TOR.HAS-APPROVED_ THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDIC PERMIT IS ISSUED AS NOTED ABOVE, ARRANGED FOR B'. NOTIFICATION. y . . . �� y �SGQ sr• �` t F: . 16o'Ps4KrA4•E €. S/iS•a9sBA4ks �ssu.MetO Pox roil v R6Gc,(ccus rcizAC-J/�fof r E E 98.00 ° o T 33 o,ti L ° T 3 1 $ r . LcT 3Z V 600 g� . j .7 i p� N GIN �. 0 k1 • 3.3 �♦ � l v 2.3 � tl 2.3 • h 3'f.o H it I� �f 71. 87 !# a Sg _5 w, 11E I� i I I CERTIFY THAT THE �o uiyZ�,97/ate/ SHOWN ON THIS PLAN IS `�N OF i LOCATED ON THE GROUND ROSIN y� AS INDICATED : o W. WILCOX H li 9 NO.31341 oe psi 9FCIST ER�� ! 2 } i DATE REGISTERED LAND SURVEYOR LEVY a ELDREDGE ASSOCIATES,INC. CER.TIFIE® CLIENTG PLOT PLAN ",nw ENGINEERS - LANDSCAPE ARCH ITECTS JOB NO. PLANNERS— LAND SURVEYORS ° T 3 2- W Hirg wi o e h &IVE DR. BY�� ` IN 889 WEST MAIN STREET CHKD. BY, BARN:srA►3cE, MA, CENTE41Ll.E, MA. 02632 SHEET_J—OF-L_ SCALE=„L:yT� OATEN s� e7 3/ d�� 6- Assessor's offioe (1st floor): ��t/` • // O / �o� f THE TO Assessor's tmaO and lot number to U ..................... - Q..° Board of Hea th (3rd floor): 3 pp�� !r I !�,�EPTIC SYSTEM MIDST BE Sewage Permit number .......................C.t..C?........3.�.�� : INSTALLED IN COMPLIANCE t EAUSTAMU, Eng neering Department (3rdI floor): r CI �,1 s WITH TITLE 5 1 39• e� -{ House number c................................................:..................... . ENVIRONMENTAL CODE A. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00' P.M..only TOWN REGULATIONS TOWN OF BARNSTABL. E BUILDING INSPECTOR i APPLICATION FOR PERMIT TO ..........1%v.............:f .C ..........Y/(/vi4:4 .IAC TYPE OF CONSTRUCTION ...................Uv ............ 1Gh/v ...:........................................................ .................... Z/- 3�.)............19... TO THE INSPECTOR OF BUILDINGS: - The undersigned hereby applies for `,a-� 1permit according to the —following information: ,,l Location ..... ...'�!... ..... / 1. ,1.... U ......../ �.�C��.... Jv ....tM` ............ Proposed Use ........ [..?l/1. .�r�......... Ilv.1. ........................................................................................................ .....Zoning District ....... .i/ ............................................Fire District ........'// U( lJ Name of Owner .....w410:...Address ... Name of Builder nOn-6............................................Address ......����:'.<.......................................................... Nameof Architect ..................................................................Address ..................................................:................................. Number of Rooms ........ . ...........................................�. Foundation ...l..Q(/.F- .......4.r..!.ly . . ....... Exterior ... l li L ..... .....(..� 5........Roofing ........ . ............................. Floors ......................Interior ......... . .. ... fQ. ..................................... Heating .......6.1...... .............Plumbing ........dr ....... .... . Fireplace .....N.4N5.........................................................Approximate Cost .. ..... .���....... ................... Definitive Plan Approved by Planning Board 9--f4. Area ....././.f 2...d.- ...,.... o� , Diagram of Lot and Building with Dimensions -7y?v o Fee ............... .. .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �. X 2fo � l �i Id 2 l 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 ...100*e.�.... �.... Construction Supervisor's License .........(�C/.r .�..9./r.. GREENBR-L"ER CORP. No Permit for .......... Single e Family Dwll. iag.......... .................................................. ..... Loc6ion ....Lot #32., 91 White Moss Drive .................. ....................................... Marstons Mills ............................................................................... Owner ..,......Greenbrier. Corp. .. Type of Construction ...Frame.......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted February 6, 87 ........................................19 Date of Inspection ....................................19 Date Completed ..........