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HomeMy WebLinkAbout0233 WILLIMANTIC DRIVE /i.�/ny • On Town of Barnstable Building M 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 . rnxvsrne� '"^S Posted Until Final Inspection Has Been Made.:a Permit sa � Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-1942 Applicant Name: FRANK DONOVON Ap provals Date Issued: �07/01/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 01/01/2020 Foundation: Location: 233 WILLIMANTIC DRIVE, MARSTONS MILLS Map/Lot: 103-069 Zoning District: RF Sheathing: Owner on Record: SUGDEN, LINDSEY M &TYLER M TRS Contractor Name: FRANK DONOVON Framing: 1 Address: 233 WILLIMANTIC DRIVE Contractor License: 164521 2 MARSTONS MILLS, MA 02648 Est. Project Cost: $ 16,000.00 Chimney: Description: Kitchen renovation, relocate (exterior door) relocate(exterior Permit Fee: $ 131.60 window), install cabinetry Insulation: Fee Paid:` $ 131.60 Project Review Req: Date: 7/1/2019 Final: Plumbing/Gas Rough Plumbing: com perm m f� This permit shall be deemed abandoned and invalid unless the work authorized by this it is enced within six months afte� MRl'Official e. Final Plumbing: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: 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 work until the completion of the same. { Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and-Fire-Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: F 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: c� ea' I .� (,0060 p 'on Number............................................................. PIP MASS. Permit Fee................................... .... Fee........................ 03 BLILI)IN G I)Epr Total Fee Paid............................................................... ...... UN:. 2 . TOWN OF BARN ABLEi . 2 019 Permit Approval by..... ..:. . . .................On..... �.1.!. .�.''1.... �w OF BUILDING PERMI BARN TABS I bl FMV........................................pa=l............0.0.................... APPLICATION Section 1 — Owner's Information and Project Location - Project Address J 3 /f��r�`'� �iC �' Village 0' Owners Name /�h Awl a Owners Legal Address 2 1 A,-c a-z? Lc 4: City A,"IV5��a � LL State J,,,7v - Zip o 2. 6 j` Owners Cell# -ruy 6 Y 2 e7/ P- E-mail Lr� S aRPs� c Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet El Commercial Structure under 35,000 cubic feet I Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System �; ❑ Addition ❑ Retaining wall ❑ . Solar i G 'Eir Renovation ❑ Pool ❑ Insulation i i Other—Specify Section 4 - Work Description PP 4Rrig� cA. {HC6 Application Number... . Section 5—Detail Cost of Proposed Construction CY01 ao Square Footage of Project S`A> 94 i Age of Structure Dig Safe Number A # Of Bedrooms Existing c Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑'Smoke Detectors ❑ Plumbing Gas ❑ Fire Suppression dHeating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: ( �b 1 P (� n � I am us a crane ❑ Yes o p tY��A� LU� �' � I' Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ a Section 8—Zoning Information 1 Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No i T act nnilatn+ 1111 in111 2 Application Number.... Section 9= Construction Supervisor Name Telephone Number Address , ! Z �Jr jbf z , N City /GGtG1rS State Cc� , Zip Q/ License Number G g 6 9/_S9(Lcense Type Expiration Date 6_ /T&-zg Contractors Email � t ck� Cell # S O� iz3 7 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation req ' by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date 6 /O Section 10—Home Improvement Contractor 1 Name --���,cn l �o�►e��/o e_— Telephone Number Address la ll d(dpf e City 's _State�( , Zip 4:��j6d/ Registration Number /T 61{S� Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation requirpd by 780 C the Town of Barnstable.Attach a copy of your H.I.C... Signature _ Date TAG Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date /d Print Name Telephone Number 5060"�e-;�0/60 E-mail permit to: M gtoo I co M-- Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ j a Historic District ❑ Site Plan Review(if required) ❑ i Fire Department El Conservation ❑ 4 For commercial work please take your plans directly to the fire�Partmentfor approval. j Section 13—Owner's Authorization j i � I, ,,.1 'v olLs Owner of the subject property hereby authorize In behalf, in all matters relative to work authorized by this building permit application for: 33 �i//ice d> {�S JZZ1 G4 (Address of job) Signature of Owner date Print Name i 1 I b s 2 E --� TAG .•.'�,. .. K !tl3ifl. Relocate existing window Arab Address;233 Willimantic QHve Marstone Mills.,MA o-648 �?_175 - towards.the left.side - Lrr is 0. windOW location-- •----_._._._._._.__----.-___ __ i ( W2434i4 W3618 i ITT-1 $R C2�36 RW96.18 -. • i 2-0824 ' I FGGS3066PF ! I Replace(1)36X80:Exte:'.r Front t7rool ' + I pl Reace kitchen cabinetsafudi 4hng ' ptuml r ancl:etect#cial m: 9 elm' .. recjulred ! i Olnlny lkoo1 by 10' I I Iri I 4QJ I: it I IIIVVV � I I i r • 1 E§tl8ting..Gt B36, -- — Closet 0 81►VB1s � ill i( W3698W30 S. r E /ic W,n i vuo e a tacluaellr Office of Carisurner A -ai:s&9ui ijness regulation HOME WPROVEs1iE '.CONTRACTOR � :�tegi>ir�tia �;iilad far;l�=•s�._F;�c� TYF2 -lndWual i before the ex}'iraro;i state. If 103:sd eturi:o: rtetlis'ratic�: Expiration Office of ConsumerAtfairs`and 8+asiness Fsgulation 10118i2019 10 Park Plaza-Su;te 5174 =� r Jscn,MA 02116 FRANK DONOVOK i ;:PA;,jK J.DONOVA;ti 10.4 CAFiLOTTAAVE�� < = = ��Dt valid- vitl Q s:Gr.Ot re . 'bridei§edretW R n • U J � Commonwealth of Massachusetts C Division of Professional Licensure i V�{I111 Board of Building Regulations and Standards ! Constr•qptiorS'Suf�ervisor CS-091391 F.?�pires: 10/28/2020 FRANK DONQVAN " I 104 CARLoTTA AVENUE HYANNIS MA 62601 +� " comm issioner The Commonwealth of Massachusetts Department of InduMWAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lep-ibly Name(Business ommizationibdividual)• JJ Address: �d �rf d�✓ G City/State/Zip: cT +8a- Phone#: Are an employer?Check the appropriate box: Type of project(required): 1. am a employer with 4. 2 am a general contractor and I 6. ❑New conshmcdon employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for mein any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance cow'insurance.t 10.❑Electrical required.] 5. We are a corporation and its repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance rep hid]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for ray employee.. Below is the policy and job site information. C Insurance Company Name: S �� J tlStutgtnce a =e S Policy#or Self-ins.Lic.#: n1 1 3 91 07 Expiration Date: & e3 Job Site Address: 9- U-)t, N Goan a r tti[' 1�r City/State/zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisomnent,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 instnance coverage verification. I do hereby certjq�04der the pains and penalties of perjury that the information provided above is true and correct. S Date: Phone#• Ojjteiat use only. Do not write in this area,to be completed by city or town ofj'icial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical 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 constrict 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 numnber(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 pemrittlicense 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 f rtu re permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: ; The Commonwealth of Massachusetts Department of IndusUW Accidents Office of Investigations 600 Washington Street _ Boston;,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MA.SSAM Fax#617-727-7749 Revised 4-24-07 www:mm.gov/dia a TOWN OF BA'"STABLE 7011 UFC 28 Ai 8: a C"E0 SAVE Weatherization i 508-398-0398 December 14,2011 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application #201100139, Status A, Parcel 103069 at 233 Willimantic Drive, Marstons Mills, Permit type: RADD, and issued on 1/28/2011 has been inspected by a certified Building Performance Institute (BPI) Inspector. R-18 Cellulose insulation was added to the attic. Basement sill was insulated with R-19 fiberglass batts. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey Cape Save 7 Huntington Avenue Suite C, South Yarmouth, MA 02664 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map L03 Parcel :`:"Application Health Division Date Issued Conservation Division -!.Application Fee Planning Dept. :. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 2 3 3 Lo\k` An,��r<C' Village im oc(L!S_ � L5 uN L1:L S Owner SU In'b F�Q (,I/�Jb SAY jj� =tntCf2 Address Telephone Lk 2C2 I 1 Permit Request &z4nj - t r—LL lLr-\-9r A Q,.f- 1.. Square feet: 1 st floor: existing proposed 2nd floor: existing 3 2.1 proposed - Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5� ' Construction Type 2.4 LA�� -4 Lot Size SLA / Grandfathered: 0 Yes 0"No If yes, attach supporting locum tation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) -- Age of Existing Structure 191T Historic House: ❑Yes YNo On Old King's Highway:---El Yes' ErNo Basement Type: IYFull ❑ Crawl ❑Walkout ❑ Other � - Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) o Number of Baths: Full: existing L new Half: existing — new Number of Bedrooms: Z existing new Total Room Count (not including baths): existing 42 new — First Floor Room Count Heat Type and Fuel: E(Gas ❑ Oil ❑ Electric ❑ Other Central Air: O*"'es ❑ No Fireplaces: Existing New — Existing wood/coal stove: ❑Yes ❑ No Detached garage: U existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION , (BUILDER OR HOMEOWNER)' Name S AV/6 Telephone Number $ 3q$ ©3Q a- Address CC ftV6 License # 10Z 11 (0 I c O'-ki-4 'm F} 026b C{ Home Improvement Contractor# Worker's Compensation # 0.3 C^00 CrYS) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE L_ j i F€ _ FOR OFFICIAL USE ONLY `h APPLICATION# � DATE ISSUEDh:'= s MAP/PARCEL NO. .: ADDRESS - VILLAGE } OWNER 1 DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE Z ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH - FINAL l ' k iGAS: ROUGH . > .=' FINAL 4,;IRINAL BUILDING s DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigadons 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aoolicant Information Please Print Legibly Name(Business organintiott/individual):_(M_.�1 UAJ} !.s 1-e, \0W_ l�.p,ll� Address: City/State/Zip: Phone#: O�r- 3 qg - O`3� Are you an employer?Check the appropriate box: !.2I am a employer with ar _ 4• ❑ I am a general contractor and I Type of project(required): 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 working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.t 9. 0 Building addition required:] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 1 l.❑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 3a.❑ I am a homeowner acting as a employees.[No workers' 13.Q Other t AIS u L&UC,� general contractor(refer to#4) comp.insurance required.] *Any applicant that checks box#I must also till out the section below showing their workers'compensatiotl�licy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractots mast submit a new affidavit indicating such. tContractors that check box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have check this employees. If the sub-contractors have employees,they must provide their workers comp.policynumber. I am an employer that is providing workers'compensation insurance for my employees, Below is the pollry and job site information. Insurance Company Name: A4-A 0—1 5 (ti( �u�RPt r 1= Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: 2.3 l LL t vv-,"�k n�C, _City/StateJZip: AWTbMi n,( 47)' Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required trader 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 certtfy under the and pe ojperjury that the information provided above Is true and correctSpaba imaturea V\o Phone#4 O,dkial use only. Do not write in this area,to be completed by city or town offlciaL cc City or Town: Permit/License# Issuing Authority(circle one): L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: �. Phone#: 1/2 '4� CERTIFICATE OF .LIABILITY INSURANCE 1M/DD/YYY1� 1/23/2009 PRODUCER (781)986-4400 FAX: (781)963-4420 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Risk Strategies Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 15 Pacella Park Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 240 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Randolph MA 02368 *INSURERSAFFVERAGEFFORDING COVERAGE NAIC 0 INSURED lony Insurance Co Michael McCluskey, DBA: Cape Save fety Insurance Company 33618 7 C Huntington Ave e Hartford South Y outh MA 02644 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PREMI occurrence $ 50 000 A CLAIMS MADE �OCCUR L3643445 10/16/2009 10/16/2010 MEDEXP An one person $ 10,000 PERSONAL&ADV INJURY $ 2 OOO O00 GENERAL AGGREGATE $ 2 000 000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2 000 00 O X POLICY PRO LOC AUTOMOBILE LIABILnY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 11000,000 B ALL OWNED AUTOS 6208200 11/13/2009 11/13/2010 BODILY INJURY SCHEDULED AUTOS BODILY person) $ X HIRED AUTOS X NON-OWNED AUTOS BODILY INJURY $ (Per accident) X PROPERTY DAMAGE $ (Per accident)GARAGE LIABILITY ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION $ C AND ENPLOYERS'LIABILrrY ertificate for Workers WCSTATLI OTH ANY PROpRIETOR/pARTNER/EXECUTIVE� omp. will be issued by E.L.EACH ACCIDENT $ FR IOFFICcFJktEMBER EX^LUCED? (Mandatory In NH) a Carrier. 10/21/2009 10/21/2010 E.L.DISEASE-EA EMPLOYE $ ff yes describe under SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Issued as evidence of insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 56 Pieine cesGol Tavern DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 56 Pierces Tavern Road Wel l f leet, MA 02667 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Michael Christian/SMS CORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. NS025(2oosol) The ACORD name and logo are registered marks of ACORD =_ r.May, Office of Consumer Affai s and Business Regulation c ` 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvem nt Contractor Registration Registration: 164432 Type: Supplement Card CAPE SAVE - Expiration: 10/6/2011 WILLIAM MUCCLUSLEY 8201 S. HOURD CT :. :. _;: : CHAPEL HILL, NC 27516 Update Address and return card.Mark reason for change. ors-cAi to sonrt-oaoa cio�2�s J Address � Renewal Ll Employment (�- Lost Card "7Xe Z!anrnrcansue a 'l-�lasuic/rcrGel Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation , aN= Registration: ' 164432 Type: 10 Park Plaza-Suite 5170 Expirations-;,10/6/2011 Supplement Card Boston,MA 02116 CAPE SAVE WILLIAM MUCCLUSLEY" 7C HUNTING AVE.. . S.YARMOUTH,MA 02664 Undersecretary Not valid wit ou signature �lassa.chusctts - Depailment of Public Safet% Board cif Building, Rc�,ulations and Standard. Construe#ion Supervisor Specialty License License: CS SL 102776 Restricted to. IC WILLIAM MC CLUSKY � Y 37 NAUSET ROADv WEST YARMOUTH, MA 02673 Expiration: 6/28/2013 Tr,#: 102776 oF Town of Barnstable Regulatory Services HARNSIABLE, Thomas F. Geiler,Director 9 MAS& 019..�pN Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 wwtiy.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the sub)ect property hereby authorize �a�J e to act on mybehalf, in all matters relative to work authorized by this building permit application for: (Address of Job) J Signature of r at Print Name If Proopea Owner is applying for permit please complete the Homeowners License Exemption Form on the. reverse side. Town of Barnstable P�0p1KE Tp�� o Regulatory Services Thomas F. Geile'r,Director ' BARNSTABI.I?, 9� 1679. Building Division 1�� ; PJFD MAt p Tom Perry,Building Commissioner. 200 Main Street, Hyannis,MA 02601 myw.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 i HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street .village "HOMEOWNER": ' work hone# name home phone# p 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 homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which be/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 Approval of Building Official ic feet or larger will be required to comply with the Note: Three-family dwellings containing 35,000 cub 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 the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often resuhs in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, sari of the permit application, i that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this ssue is a farm currently used by several towns. You may care t amend and adopt such a form/certification for use in your.community. Q:\WPFILES\FOR.MS\horneexempt.DOC I ��J��N� 460 West I��ain street Hyannis, Ma 02601-3698 ASSISTANCE ENERGY & HOME REPAIR ry w T (SOS) 771-5400 F (508)790-2 25 CORPORATION TTY on all lines wunu.haconcapecod.org HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. I .1 v j<le:'7 hereby consent to and agree that weatherization work maybe done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency") on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping & caulking of windows and doors, insulation of attics, sidewalls &basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the weatherization work.to be done at my home I agree to the following: 1. I give permission to the "Agency" its agents and employees to travel onto or across said, property with such equipment and materials as may be necessary to perform weatherization work on said property. .2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent. Home Owner. (Signature) Date: Agent: (signature) Date: Z` 2 'D I j HAC approved Weatherization Company: Caliber Building&Remodeling Cape Cod Insulation Cape Save Creswell Construction Frontier Energy Solutions Lohr& Sons Peter Smith Resolution Energy Rock Solid Construction All Cape Insulation rpap Few Yn I S-$-i -5j � �� ��� � �CTe2►�� a � � I 1 ���� , � . � , ,� ,,. , , �-, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map v Parcel d Permit# Do 6 a 7-S 46 Health Division Date Issued _ Conservation Division Fee 'Z Y f Tax Collector C Application Fee'�n- TreasuYer Planning Dept. Checked in ByJ t , Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address Village Owner �!- � - Address Telephone _S^� �y�-�'_R0 Permit Request d6" ?, dZ� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed i Total riew Jh Valuation 6U v Zoning District Flood Plain Groundwater Over Construction Type` Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. R: CJ Dwelling Type: Single Family 91 Two Family ❑ Multi-Family(#units) �, r .r, Age of Existing Structure I a Historic House: ❑Yes 4No On Old King's Highway: ❑Yes XNo Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing tit new Half: existing new Number of Bedrooms: existing y new Total Room Count(not including baths): existing 7 new First Floor Room Count Heat Type and Fuel: )I Gas ❑Oil ❑ Electric Cl Other Central Air: 4Yes ❑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:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use A lzoni A Cud da G' BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �P FOR OFFICIAL USE ONLY PERMIT NO. _ DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ` FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL`BUILDINZeA 4—V<- DATE CLOSED OUT ASSOCIATION PLAN NO. ( \ 1im.%. uirtntvrtwcuttrs uj irAaNY vnua;eu.Y Department of Industrial Accidents Office of Investigations- - a 600 Washington Street Boston,MA 02111' www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): l 4,11)( pekr . Address: W, 1M A b L 16Y . City/State/Zip: ..�, �Ju t�l� (Y1 Phone#: Are you an employer? Check the-appropriate box:. Type of project(required):' 1.❑ I am a'employer with 4. El 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 x 7• NJ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp. insurance. g, ❑ Building addition [No workers' comp, insurance 5• ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or.additions 3. I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions ? myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp.insurance required.] 13 ❑ Other *Any applicant that checks box#1 must also fill out the section below showing their worker;'compensation policy information: �a 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 their workers'comp,policy information. 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. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). A- 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$1,50Q.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 statemenf maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains an enalties of perjury that the information provided above is a d/c�rrecx Signature. Date:'. Phone#: SbLf— .7 Official use only. Do not write in this area,to be completed by city.or town official City or Town: Permit/License# Issuing Authority(circle.one): 1.Board of Health 2..Building Department 3.City/Town Clerk 4..Ele 6. Other ctrical Inspector 5.Plumbing Inspector 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?�vidual,...partmers#ip,:association,FoTporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the deceased employer, legal representatives of a ,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. Howev..er:tle 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 work until acceptable evidence of compliance with the insurance enter into any contract for the performance of public requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if. necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below.. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provideda space at the bom 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 pera it/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 thata valid affidavit is on file for;future permits or licenses..Anew affidavit must be filled out-each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office'of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts . -: Department of Industrial.Accidents Office off jnyestigations 600 Washington S�reet� . . Boston, MA 0211 L. Tel. #617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-7274749 Revised 5-26-05 www.mass.gov/dia Town of Barnstable Regulatory Services S Thomas F.Geller,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barustable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. 'type.of Work: Estimated Cost Address of Work: c 3 C�, Q4- fficL,t->�6b S r4 m i �Owner's Name: ,' D nchN c L9 OO Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 []Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date Owner's 16fine Q:forms1omeaffidav OpTME Tpt, Town of Barnstable Regulatory Services BAMStABLE, Thomas F.Geiler,Director MASS. 9q, 039• �0� Building Division ' ATEO MA't a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION (10 0Please Print DATE: � �) / t JOB LOCATION: � 33 W l 6 ( .LG�/ C_ numJbe�r street village "HOMEOWNER": - name home phone#U work phone# CURRENT MAILING ADDRESS: LY 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 homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who 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 requireme ts. i ign ure ofJA6meowner Approval 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 the responsibilities 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 as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt SONW FO O 0i1tIS" e t p I - aches estate- a>I'dingCo e± 0:.cMIt;:' -� en ;.: echo The Massachusetts State Building Code(780 CM) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental .CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, consiructing/installing a house addition with very large percentage of glass to opaque wall,seeks to utilize a special energy conservation exemption option for "sunroom" additions VD,an existing house (780.CMR; Appendix J, Section J1.1.23.1). This FORM is not intended to prevent a-homeowner from selecting a "sunroom"of any size, configuration,orientation,form'of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of.the main house. In the selection and coastruction/installation of"sunrooms", included below is a non-required, open-ended list of product and design donsiderations that .a homeowner may 'wish to consider before actually constructing/installing a"sunroom".It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize- potential--energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading - - • Type of Glazing • Insulating value • Solar heat gain • Frame materials • Glazing to frame sealingand'gasketing materials/.seal dtimbility and/or weather tightness of the sunroom • Adequate ventilation-Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods:Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.123.1,..requires that the actual property owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes'"sunroom" additions to an-existing residential building. In accordance with this requirement,the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. Signature Actual ilding Owner Date Print Name Address of Parmitted G�f,S•'/�c��Lc.� Owner Address(if different than project location) Owner's telephone number :NOW ' i co 10" '2'-4" Ipr 4n v Cl. f � r. ^�AjTbR �--DlzoOnT. I FLn.I CLC. i I � r ' i i • 12o��s 2CcSID�NC.� r2 33 W I�IAr�Ar tr1 t C. 4 APPROVED BV DRAWN By �pJs ECAIE: � - DATE: �'Ito•9C7 p �KtmGe.. 9 �1 N Poo 11�cN A� DRAWING NUMBER n OGt�2� � ��P2 �jl.OrzG 1 R C] I CL. } P CL. ii G ' q LL pL.4l CLG Z 6LOPtD CLG • - ISK�LITc� . 1 ____I II •I I Ib'-3� '3-��" 1�1"10• APPROVED 0 NOTE CHANGES SCALE: APPROVED By DRAWN BV IOVv TOWN Of BARN ABLE DATE. �•�b DaY2.mt�e. q Building Inspection Department � OR AWIND NUMBER I---; 2-. 4 1 V�A2 L�orii I ---------------- v ' Assessor's office (1st floor): Air �j Sl;PI'IC SYSTEM MUST BE cF THE t0 Assessor's map and lot number .......� .-1.............. ©V. ... InsTALLED IN COMPLIANCE Board of Health Ord floor): p. c W MTME5 d Sewage Permit number ..7 .-..�.,t6... �.............. en v i BAB.d9T&BLL. ENI 3E-RONMENTAL CODE ANDNAM Engineering Department (3rd floor): � . TOWN REGULATIONS °,�o pY-��•� House number .................................... 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 APPLICATIONFOR PERMIT TO ................ ................................................................................................... TYPE OF CONSTRUCTION 1C91- ... `M�`' . �- ............. ....... ............................................................. ................ d t ..............19. 0 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ......... c .}�, � ..1.... PryS k�Location ...... . ...... . ................................ Proposed Use ........�? ...........lla f+...." VJ � -?.......................................................................... Zoning District .......1�- .......................................................Fire District ...... .... .. .....k.,. t� Name of Owner .... .. " ... ..Address ...2i3, ... -7L-?11ti�+ '1.�. ...................... Name of Builder 9`C 4S......... ......... ............Address ... ..a ...��lO Q�� ZV III Nameof Architect .... .. ...........................................Address ......' ......................................................................... Number of Rooms .. ......Z..........:.................Foundation ......N 3 Exterior ......��l10-01S?.....................:....................................Roofing ........AS'p.1r�rAL 7............................................. Floors .........�.�..✓.fi�Q'D .........................Interior .................1 � ....................................... Heating ......�9Pss................................................................Plumbing .....�... �1� -......... Fireplace .................� .....................................................Approximate Cost .................. . .. .a............. ..... ........... jw c� Area ........................... Diagram of Lot and Building with Dimensions Fee .... :. ................. 2� 15 11 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam .. Construction Supervisor's License ROGERS, BRADY & BETH No Permit for ...Dormer ....................... Single Family... ....... ...................................... ..... Location .....�.3.3....W.i.l.l.a.m.an.t.ic...D.r.iv.e....... .. .... .. Mar'.stons Mills ................................ .............................................. Owner ...Bradx &...B.et.h...R.og.e.r.s............. Type of Construction ......Frame......................... .. .... .. . ............................................................................... Plot ............................ Lot ................................ Permit Granted ...... ...j9 90 Date of Inspection ...?:7 .........19 Date Completed .............. ........ ........19 V, :�7�.�' •F ;w�v�_n .--_ 7�Y-.. ,�- .,Y�� -�.,;.?�" .!l ..w.;4,�,���C:�G:¢�R�*?4r�,t�, x..��'.•a'n.lf.�e ...:.r� ,. Y �G w`�exr,h�Y.� f._a..c" .�}w,:..._�:�-...n.w }. .._�:� .t .t. Asse'ssor's office (1s1 fldor): ® `TNeT t Assessor's eap and lot number. ....',..L ��............. Quo Board of "Health Ord floor): \. Sewage Permit number ... � '.. ... �a.... .. ,?�...... ' """" Z B6Hd9?ODLE, i Engineering Department (3rd floor): p� r� '�c %639. House number ......................................................... '°�aYP-6.0 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 BARN STABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ........................................... ............................................................................ TYPE OF CONSTRUCTION ........... .............................................. ....... �.... �....... qp TO THE INSPECTOR OF BUILDINGS: a The undersigned hereby applies for a permit according to the following information: '2 3 3 .N 1 l�At� C �v 1�Pri puS � k Location �1....... ....................................... .....TG.. ................... ............................ ................... Proposed Use ....... r T�w��"�1`lCA ............................................................................................................. Zoning District ..... ...................................................................F Fire District ............................... ............l..........'................... Name of Owner �"T"�.... .. -!. ... `C .Address ... ,?J.?2....W1jJ�( ��' ;t .. i Name of Builder .. S�C'f2S....�..�'�.�..... ....AddressZV )l1 ... ......... Nameof Architect .................... ..........................................Address .........--...........:........................................................... Number of Rooms ... ............................Foundation ....... .................................................... Exterior ...... 'a.>.........................................................Roofing ...........!��AP4rJ Floors ......... .....kc-!es-,aP I.........................Interior .............A) PN C- _w4SIT- Heating ...... �$ .Plumbing ` ��^1} .......Cr£ •�•ujpn�...................................................................:. ............. Fireplace ......................`. ....................................................Approximate Cost .................. •. �..............�....�.......... Area .......................................... Diagram of Lot and Building with Dimensions Fee • , 5��I� ti�.1(Z .� 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 ......... ......,.'J�..-�............ �.�............................. - Construction Supervisor's License G ROGERS, BRADY & BETH A=103-69 No Permit for ..:A!qq..Po.rme.r......... ....... .. ' Single Family Dwelling C�...................................................................... Location .-.2.3.3...Wi.l.la.man.t.i.c...Drive ..... .. .... .. .... .. . .. .................... Marstons Mills ............................................................................... Owner ...Rogers................ .. .... .. .... Type of Construction ...Frame* * * .... ................... • ........................................... ............................... Plot ............................. Lot' .................................. Permit Granted ...February 20.......19 9 0 ................ ............ .. Date of Inspection ...........................:.........19 Date Completed ......................................10 PERMIT,COMPLETED 1/1/11- 11(1q1 �0"9 TO®VN- OF BARNSTABLE permit No. �.20770 l Building Inspector Cash OCCUPANCY PERMIT Bond _ X _ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Banner Home Corp. Address 76 West Main St. , Hyannis lot #96 233 Willimantic Drive, Marstons Mills Wiring Inspector Inspection date Plumbing Inspecto Inspection date Gas Inspector 42 Inspection date ,/Engineering Departure 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. ......................._...�_ .._____, 19 __ ............... .......................... __........ .__ ___ Building Inspector 1 a TOWN OF BARNSTABLE, Permit No. y_20770 Building Inspector Cash -- OCCUPANCY PERMIT Bond _ X _ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued,by the Building Inspector." Issued to Banner Home Corp. Address 76 West Again St., Hyannis lot #96 233 Willimantic Drive, Marstons Mills Wiring Inspector Inspection date Plumbing Inspector �� � Inspection date k - Gas Inspector f i ,2 A L. Inspection date c Engineering Department Inspection date / 6 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. ......................___•_-.._. . _._, 19_......._ ..............._......................... _ ...._... ..„ _ __ Building Inspector TOWN OF BARNSTABLE 20770 � Permit No. __________ _ 1 ���� Building Inspector Cash __ !ejq OCCUPANCY PERMIT Bond _ X "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Ernnor Home Corp. Address 76 1..7est 'i"hin St., I'iyaruds lot 096 233 1:illil .ntic Drive, t-tzmtons I Ulls Wiring Inspector Inspection date Plumbing Inspector �� Inspection date Gas Inspector Inspection date Engineering Department ,�'r 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. ..................................................», 19»»__ ............................................. ................_.» Building Inspector er I? Y 9 .� 9 S- JN • NCI i �.cf 9 � O M t O y3 we l/ . N lVe o 1 � } CERTIFIED PLOT PLAN NEW ' CONSTRUCTION ONLY _--; sfe `- M/ Its ; TOP -OF FOUNDATION IS ;L FEET IN ABOVE LOW POINT OF ADJACENT ROAD. SCALE: DATE OCf�yj )(P ELDREDGE ENGINEERING CO. lN� /. ' I CERTIFY THAT TH E/_:;4_#ft& a .a CLIENTWehh e� SHOWN ON THIS PLAN IS LOCATED EGISTEREDREGISTERED JOB NO.����� ON THE GROUND AS INDICATED AND CIVIL LAND �� CONFORM TO THE ZONING LAWS •ENGINEER SURVEYOR DR. BY: � _ OF BARNST BLE , MASS. 33% NO. MAIN ST 712 MAIN ST. CH. BY �aG� � S0: YARMOUTH; MASS. NYANNIS,• MASS. SHFFT / OF DATE f REG. LAND SURVEYOR ' 1 q 1• Asi--ssor's map and lot number ../� ..._ G/ •v _ / . + Sewage Permit number ....................... ..a.......................... SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE 2 33AMSTSDLE, House number ...... ... z_Z.—?. WITH ARTICLE 11 STATE 9°0 tb 9- SANITA-RY CODE AND TOWN O"ixa\e TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO !rl��� .�. j� �m��'�... TYPE OF. CONSTRUCTION ..........: r�/ ,� ?. . P I� ........................................................... ...........).0......... ..........19. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby op ies for a permit according to the followin information: 0 r2STon1 1�5 Location ........ 9. W.. .......:.�.' ProposedUse ............................. ................................................ ...... Zoning District ............... ..............................................Fire Districts..............'. ........ .... l�!t .........�. Name of Owner ..�4.Y.�.!V�V '.>.. � 1�..Address ..1..!a....�:4J��� ....... ... A.'�I.,<....... N ��5 Nameof Builder ........................Sm .................Address ........................... ..... ........................... Name of Architect ..............:v../ .................................Address ............................M.. ....f.. ..................................... Number of Rooms �'6- ............�.Q'L,��..............................Foundation .��:�..... a�..1��.1�. ,,...... Exierior " I.`..1.... ....` �..!:�. .]........Roofing ......... ....... S. ? -�C" ................ ....... ..... ...... ...... ..... .................................. Floors ..... 1 .. .�.../.... .1.�.V..l.. ............Interior ............. ...! ! ..................................... Heating ...PA.E.1k /... .! Y':`r-1 .� ..Plumbing ....... ................. Fireplace .................... cN. ...............................Approximate Cost ....:.... �...&coo......................... Definitive Plan Approved by Planning Board ----------—______-----------19---_---.' Area ...... 4 .....5 137e Diagram of Lot and Building with Dimensions Fee. .......... .................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH WICN40 t � I hereby agree to conform to all the Rules and Regulations of the Town of arnstab/d'ing the above construction. ,,�� Name ... a.:��,'.. ....... �.... .............. ' Banner Homn Corp, b � ' 70 1 112 story I'�lo......20.. 7 .. .... Permit for .................................... single family dwelling ............................................................................... Location ....,233 Willimantic Drive ........................................... Marstons Mills ............................................................................... Owner Bann.er. ..Ho. me..Corp. . ........................... . .. .. ...... .. . .... Type, of Construction frame Plot Lot .........!k:96................ Permit Granted ...........November...I........19 78 -Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED .... ................ 19 . .......... ... ........................................ ....... ............................................................................... Approved .........................................:...... 19 ............................................................................... Assessors ma and lot number C �- -�° J� / 7 �� p ...�..................................... ��/• � � THE f7d r Sewage Permit number ....`:�.........� . .......................... SARESTABLE, House number ..... ............................ q AM O �p 16}9. 0 --- TOWN OF BARNSTABLE BUILDING INSPECTOR _ APPLICATIONFOR PERMIT TO ...............................................:.......;................................................................... �'^� _ TYPE OF CONSTRUCTION ...................:..............................................:.....................:............................................ ................................................ TO THE INSPECTOR OF BUILDINGS: The'undersigned hereby applies for a permit according to the following. information: ��,,nn ` �t►�.�J t�1A2STon�S • Location ........ ' 11!1 )y!C l L ............................................. ....................................................................................... � 1 .`,�.r.)C_ ProposedUse ...............................:..............................,...................................................................:...................................:..... �" ,I Zoning District ............... .. ..................................Fire District-....:....` ....... ......................................................'t....... � Name of Owner ..............................' , `i�mA `/l W m l�s-AT C!� A►-,A , �`��i��S 5 .....................:..................Address .............................. ...... Name of Builder ..........................���.........m...'."......................Address .............................�:j.�k..:..................................... p( Nameof Architect .............:v... ..................................Address /\1........................................ ............................................ Number of Rooms , t l Foundation .............................................. Exierior ....................................................................................Roofing ..........:................:..............................................:......... •�r l t Floors C ors,�. -- / ! l���L :�fZ�,)Aj—L..�....!..............................Interior ......... ......... ..................:.................................... Heating ... - L � .....Plumbing. . . . . . . t./ ................................ . ..................... Fireplace �/t� ". .................................Approximate Cost ....................... • l"7l�f�) ........................................... Definitive Plan Approved by Planning Board ------------_________ ��''� . . 19- ---. Area ........................ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH S ' • 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................:................ � � Banner Home Corp. A= 20770— l 1/2 otur'y � Nm -- -- .. Permit ---------'.'-. ' 4 � single family dwelling -----------------. \� --------- - � ! 233 Willimantic Drive ) . Location ---------------------. ^ ' Marotoua Mills —~--------~---------------. � 8auuor Bb�e Coro. � Owner ---------------:------. � | frame � Type of Construction -------------- _ � � ' -----.--------------------.. � � \ #g� / Plot ' �� � ---~-----' ----------' . � Permit Granted ......jl�qvegUb.er..�[---'.lV 78 � / Date of Inspection ------------lg � Dote Completed ...................................... ' * � | ' � PERMIT REFUSED \ ' ................................................................ lV . / ............................................... . . -----. ' � � ....................... -- . \ � ciz [ ' / ) '—'---~—'^^----'�--`f—'+ --^ \ ___-----.-.—.----......—.----._ � � ' ' ! ___----------._—.. lA | Approved � ` ------'-------~'-------'---'' | ^ � | � ---'~----'------------^^—^^—'^ . �~ � 155362 _ FILE # . " H4588 CENSUS TRACT #;CC I-ENT: Terr Dunning & Terry OWNER : D. Brad & Elizabeth Rogers DEED BOOK 6999 PAGE 322 APPLICANT , PLAN BOOK PAGE LOT same ASSESSORS PLAN PLOT MORTGAGE INSPECTION PLAN OF LAND I N B A R N S T A B L E SCALE : 1 "= 60' MARCH 14, 1990 LOT 93 LCT97 L T 34 4o/ . LOT �X Aso 400 S.F o iL LOT 35 a I95.63' 35, 3 P W111i' manhC Drive, I CERTIFY TO TERRY, DUNNING & TERRY, BAYBANK AND ITS TITLE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCEPT.NAS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MYIMMEDIATE SUPERVISION , THE LOCATION OF DWELLING AS SHOWN IS IN 'COMPLIANCE WITH THE LOCAL ZONING BY LAWS WITH. RESPECT TO HORIZONTAL DIMENTIONAL REQUIREMENTS , OF THE DWELLING SHQWN HERE DOES t WITHIN A SPECIAL FLOOD HAZARD NZZONEFA S . '� "" y�V DELINEATED ON A MAP OF COMMUNITY #250001 r s.� Mo.' r DATED 8/19/85 BY THE F., FFR1 2 R 1 THE EXACT LOCATION OF THt BUILDINGS {` SHOWN CANNOT BE DETERMINED WITHOUT AN ACCURATE INSTRUMENT SURVEY, Land Surveyors Civil Engineers Abe posfOti 172 Willittin i 1efv �ebforb, GENERAL NOTES: (1) the declarations made above are on the basis ofge, *02740 informatio result of a mortgage plot plan tape survey inspection made to the normal standard of care nio ofaregisnd nd ltejregisteredlandief as surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only asdate. (3) This plan was not made for recording purposes, for use in preparing deed descri tionstructions. (4) Verifications of property line dimensions, building offsets, fences or 1 p s or be accomplished only by an accurate instrument survey. of configura i SEP 6AIST T�C SY �U� Assessor's office(1st Floor): `���� Assessor's map and lot num er ' 0 AN COMP Board of Health(3rd floor): Sewage Permit number Engineering Department(3rd floor): TOWN RE LE House number �_ 0�`33 ✓'� ' I ���T] 'ayp. Definitive Plan Approved by Planning Board 19 .a APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN , OF ; BARNSTABLE BIUILDIHG INSPECTOR 7 77 I RMrrT "sSCr1PP�{'d �D�C`i ,e �,� p�k TYPE OF CONSTRUCTION I,.JQp 1--IeAl Yl 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �3� ►1 j►_i»s�!�?�%=�_ r1, '1�4es-os � ��5 a Proposed Use /00Re- -f 06 at 4X /6 Zoning District Fire District Name of Owner .d. GeAW" /,or,ez r Address Name of Builder Ole 4 a (� �d d. Sri ✓A Address 3 7 D zC 4: . r xC Cpp/P r Name of Architect A 6 JI e Address �e 4 Number of Rooms Foundation g�--SahAl /✓ �,P �o4rr�eT Exterior ��� ` p Cj�� Roofing Floors oerrysr. /4ea'c( Interior &A7 Heating /uyti Plumbing A16P'r Fireplace N6 A-r Approximate Cost 39 D G Area Diagram of Lot and Building with Dimensions Feed. r . 0 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I 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 ROGERS, D. BRADY y i , s No 35264 permit ForaPORCH DECK Single Famil Location 233 W i 11 m t-' f. Marstons lls Owner Brady D. Ro_ r Type of Construction Fr- e Plot Lot ;1' Permit Granted August 7, 19 92 Date of Inspection, 19 Date Completed 19 0 woo ; i \w 4{ 1 l t l � i `l f { � I y � � � l��►ir I ?�� Cc c�ra 4 set xi S 4�IL 6 i i i i V �� ...... +i...._.._ J� . _ W I � ( � 1' 1. . � ; 1 w�•�.,� _.__._..�lv ` � 1 {{