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0204 WINDING COVE ROAD
f g ��er4 ..+.. .-r - fC'�h�LLylaYe � ..:,��-• e f r oF1�ram, . Town of Barnstable *Permit# Expires 6 nionthsfro�r issue date Regulatory Services Feeds • aARNsrABLE, + 6 9 `� Thomas F. Geiler,Director �rED MA't A C� Building Division Tom Perry, CBO, Building Commissioner 200 Main Street;Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �J 7 0 3 v Property Address �� In �r Re residential Value of Work T Ch 90 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address � � J Ll/�/lJ�(i/� S /Y,!•� ' Contractor's Name �60S.e4p � � Telephone Number Og /b 19k (, 119 Home Improvement Contractor License#(if applicable)`I a l�t�•Z� J .0 l� <�YV Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance -PRESS PERMIT Check one: ❑ la . a sole proprietor A U G 2 5 2018 ❑ Kam the Homeowner I have Worker's Compensation Insurance TOWN OF SARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over_. existing layers of roof) ❑ Re- ' e #of doors Replacement Windows/doors/sliders. U-Value 0156. (maximum .44)#of window •Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of.Permission. 'A copy of the Home Improvement Contractors License& Construction Supervisors License is required. SIGNATURE: Q:IWPFILESTORMSIbuilding permit formsT_XPRESS.doc i ,\ The Commonwealth of IVIassachuselts t�-M- .Department of Industrial Accidents `=r! Office of Investigations �= {,�'r c.�1--•i v% 600 Washington Street ,4"`' Boston,MA 02111 ;;.., tr N1ii w.Yilass.govIdiu Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pl>trnb2rs Applicant information Please Print L:eaibiv c - � � s 11`�� s!jb9f,'y —CRT bf;•t.7 Name(Business/Organizationilndividual): j' a i✓% -r Y- J Address: Phone#: 2 L6 City/State/Zip: Are you an employer?Check the a propriate b . : Type of prof (required): ,� 4. I am a general contractor and l 6 Vemodeling construction I. I am a employer with have hired the sub-contractors employees(full and/or part-time). listed on the attached sheet. 7. 2.❑ I am a sole proprietor or partner- These sub-contractors have 8. ❑Demolition ship and have no employees employees and have workers' working for me in any capacity. comp.insut•ance.t 9. ❑Building addition [No workers'comp.insurance 10.❑Electrical repairs or additions required.] 5• ❑ We are a corporation and its 3.❑ I a homeowner doing all work officers have exercised their 1 I.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑ Roof.repairs insurance required.]t c. 152,§1(4);and we have no 13.❑Other employees.[No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing.all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 7W co Insurance Company Name: Expiration Date: 3 i Policy#or Self-ins.Lic.#: © Job Site Address: O ^ Q. City/State/Zip: Attach a copy of the workers' compenSa on 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 tine 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 D1A for insurance coverage verification. 1 do hereby certifyyuuse ains and penalties of erjury that the information provided above is and correct. L�' � oa Si nature: ate: i Phone# V ` 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.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: The.Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations t 600 Washington Street Boston, MA 02111 - - �• ,�•`� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl •Maine(Business/Organization/Individual): . + v � � ' Address: ,// JT City/State/Zip: Phone.#: Are you an employer?.Check the appropriate box: Type of project(required):. 1.El I am a employer with 4. ❑ 1 am a general contractor and I 6 �Remodeling Ne construction loyees(full and/or part-time).* have tired the sub-contractors listed on the attached sheet 7. 2. I am a sole proprietor or partner These sub contractors have g• ❑ Demo ship and have no employees lition working for me in any capacity. employees and have workers' y ❑Building addition [No workers' comp. insurance comp• a corpora required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work -officers have exercisd.their l LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs - insurance required.] t c. 152,§1(4),and we have no 13.❑ Other employees. [No workers' 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. iContractors 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 employees,they must provide their workers'comp.policy number. I am an employer that is providing workers' ompensation insurance for my employees. Below is the policy and job site information. / � I S /� Insurance Company Name: C��/ Policy#or Self-ins. Lic. #: 0) Expiration Date: Job Site Address: O W �1� 9 City/State/Zip: �� �/' Attach a copy of the workers'compensation po cy declaration page(showiug the policy number and expiration ate). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do he+c4under the l ains-and p !ties of perjury ar the information provided above is true and correct Signature: � Date: V✓ ����/� — StPhone � �17 Official use only. Do not write in this area,tb be completed by.city or town offcciaL 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 Phone#: Contact Person: i Office of Consumer Affairs&Business Regulation License or registration valid for individul use only — OME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: _ - Office of Consumer Affairs and Business Regulation Registration- Type:TYpe 10 Park Plaza-Suite 5170 .�1,. Expiration; ig/312612 Supplement Card Boston,MA 02116 The Home Depot:At-Hom°e Seivioes DARREN DEMERS,... : : 2690 CUMBERLAND PARKWAYS — A°('fAP'ffi`A,GA 30339 Undersecretary Not valid without signature �Bu>v:tch;t�ctt� ;3rpartm0" ;,f Public ?'afct% . Bn:r-d (if 3tti!dinJ Re,--!Ltlie)it. and �t:andarll. Construction Supervisor License License: CS 70077 Restricted to: 00 JOSEPH C DUARTE 15 FALL ST WAREHAM, MA 02571 --�— —�'/ Expiration: 12/30/2010 t nuni..i opt Tra: 7662 i Z' 80ertl of Rui!dloglite s mad•`•tsaJsrl� i,ietres9 a®rer.4UbAilln Valid (tor indivs�iul usee�ly i'vloetr Ike raosttsm dote. it Pound rt9roen ur JOEL 10%F-NPROYENIEW C004 iIRACTAFe 1111A/d of luibdi t RIPP"otinn8 Loud Standards Registration- 132349� ttnc AxhbwtnA.Vbly Vm i_Illb Euporatb�: 1t1 i1?{!11 i� ??dy1y�W,�qa;IIa4� type: partnership J b J R®moCe" - .lowh Duarte �5 fa!I SI VRtia witDAW9 si�terwn 1pyMgpll®m.ma02571 tOminiw:ntis+ 5 7)7 �� DOME DWROVI M'EI VCOMMACT PLEASE READ THIS Sold,Furnished and Installed by; )#ranch Name: Boston Date: THD At Home Services Jnc. d/b/a The Home Depot At-Home Services Branch Number: 345A Greenwood Street,Unit 2,Worcester,MA.01607 Toll Free(800)657-5182; Fax(508)756-8823 QNortb 33 []South 31 Federal 1p tt*75-2698460;ME Lic 0 C 02439;Rl ConL Lic#'16427 T Lic ti 565522;MA Home Improvement Coottactor Itcg!!t26893 ®Installation Address: city State rp 6 �� Yarchaser{s) Work Phone: Rome Pbone: Cen Phone: t [ "05 I�:�hN s�� )C, Home Address:.-. _ (If different from Installation Address) City State Zip E-mail Address(to receive project communications and Hume Depot updates): ❑I DO NOT wish to receive any marketing emails ttom The Home Depot Pro iect information: Undersigned("Customer"'),the owners of the property located at the above installation address,agrees to buy, and THD At-Home Services,Inc.(' fbe Home Depot')agrees to furnish,deliver and arrange for the installation f'Iustallatiou')ut all materials described on the below and on the referenced Spec Sheet(s), all of which.are incorporated into this Contract by.th,s reference,along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders(collectively, "Contract"): i Job 4: ow—a n�itmK) ProdaMx: See Sheet(s)fi Project Amount �+{ Roofing Siding Windows Insulation $ l./ /7� []Guttcrs/Covers []Entry Doors ❑ ORoofing )]Siding El Windows ❑insulation $ []Gutters/Covers QEntry Doors ❑ / Roofing Siding Windows insulation $ + ❑Gutters/Coven []Entry Doors❑ Roofing Siding Windows ❑insulation $ oGutters/Covers ❑Entry Doors ❑ Minimum 25%Deposit of Contract Amount due upon execu ion of this contract. Total Contract Amount $ Maine Purchasers may not deposit more than one4b 4 of the Contract Amount. Customer agrees that,immediately upon completion of the work for each Product,Customer will execute a Completion Certificate (orie for each Product as defined by an individual Spec Sheet)and pay any balance due.'As applicable,each Customer under.this Contract agrees to be jointly and severally obligated and liable hereunder. The Home Depot reserves the right to issue a Change Order or tttminatc this Contract or any individual Products)included herc.•iry at its discretion,if The Home Depot or its authorized service provider detarminca that,it cannot perform its obligations due to a structural problem with the home envir'omuental hazards such as mold,asbestos or Ica ,other satet croncuans,pricing ernes or because work required td�'omplete the job was not included in the Co payment Summary: The Payment Summary # � ; included as part of this Contract, sets forth.the total Cuintract iumdunt and payments required for the deposits and Puul payments by Product(as applicable). NOTICE TO CUSTOMER Vou are entitled to a completely felled-in copy of the Contra&at the time yogi sign. Do not sign a Cempldiou.Certigfieate.(note: there is one Completion Certificate for each listed Product as defined by individual Spec Sheets)beflure work on that Product is complete. In the event of termination of this Contract,Customer agrees to pay The Home Depot the costs of materials,labor,expenses and services provided by The Home Depot or Authorized Service Provider through the date of termination,plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS MADE, WITHOUT. LIMITING THE ROMI;DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acccutance and Authorization: Customer agrees and understands that this Agreement is the entire agreement between Customer and The H&hDL Depot with regard to the Products and Installation services Bad supmodus all prior discussions and agreements,either oral or written,relating to said Products and Installation.This Agreement cannot be assigned or amended exc t by a writing,,.si�uexl:: ; by Customer and The Home Depot.Customer acknowledges and agn�s that Customer has read. tmdcrstffird v luntanty aci accepts flee terms of and has received a copy of this Agreement. A pm Su y: O Cu oaver's Signature Date Sales Con tant's S antre Date x Telephone Customer's Signature Date Sales Consultant License No. CANCELLATION: CUSTOMER MAY CANCEL THIS (assWieable) AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SiCNING THIS AGREEMENT. THE STATE SUPPLEMf;NT ATTACHED HERETO CONTAINS A FORM TO USE IF ONE 1S SPECIFICALLY PRESCRIBED BY LAW IN J CUSTOMER'S STATE. NOTICE:ADDITIONAL Tf RMS AND CON0r1r1ONS ARE STATED ON THE RFVERSUIDE AND ARE PART OF THIS CONTRACT. 104 08 rev 8-05-08 C SG White—grange File Ye�ow;!�tsltstt)met Plnk-Sales Consultant-... .. ;. Id Wci£T:9 L00Z 9Z '9ad TLZZZ9£80S: 'ON XU-4 pe6wer.: woiu i oF1HE T, Town.of Barnstable *Permit#e5--' 0 ( -3'q7 Expires 6 months from issue dale Regulatory Services Fee - IL I a ♦ • BARNSTABLE, 16 S. �0 Thomas F. Geiler, Director AlED MAC A Building Division Tom Perry, CBO, Building Commissioner V" 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number_ O� Property Address V) UN0LaJG ❑f Residential Value of Wort._ Minimum fee of$25.00 for work under$6000:00 Owner's Name& Address �ZL— C,- Contractor's Name Telephone Number I Ionic Improvement Contractor License#(if applicable) 02 $ S 7 Construction Supervisor's License # (if applicable) ❑Workman's Compensation Insurance X- E PERMIT Check one: APR 6 ❑ I am a sole proprietor ® ?00� ❑ I aart the Homeowner TOWN OF BARNSTABLE [�I have Worker's Compensation Insurancne,� ' Insurance Company Name Workman's Comp. Policy# tJL2`3 t S 33 2 1 D K O 2 Copy of Insurance Cottipliance Certificate must be on file. Permit Request(check box) dRe-roof(stripping old shingles) All construction debris will be taken to `9ia-Q-M.0,.-Jn( ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. 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 6wner must sign Property Owner Letter of Permission. ' A copy of the Home Improvement Contractors License is required. SIGNATt:l2EQ`/ (?.'WI'I II.I:S\l:MlvIS\huilding permit forms\EXPRESS.doc Revised 100608 ' Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Dome Improvement Contractor Registration Registration: 128957 Type:. IndivlWe4 Expiration: r 6/� 9 Tr# 131109 Oliver Kell nne la� _ -\ Yarmouth, MA 02664 �= Update Address.and return`t�krd.Mark, 5 e p54`fit (-o -Pceaso Address Renewal Employment17wostCard bSi.avu' ✓ LMM Board of Building Regulations and Standards License or registration valid for individul use only 44GME IMPROVEMENT CONTRACTOR -before the expiration date. If found return to: Registration. 128957 Board of Building Regulations and Standards Expiration: 6/14/2009 Tr# 131109 One Ashburton Place Rm 1301Boston,Ma.02108 Type: Individual Oliver Kelly Oliver Kelly 9 Peregrine lane �. ,..` South Yarmouth,MA 02664 Administrator Not valid without signature �iass�icitusetis- Department ot•Pill- S:Ifet.�, ; I UP Bi►ai•d 14 Built3inl-* Rc!2uiatioms and'Stan{larils•,° Wi L i;.:CrlaE License: CS SL 99167 Restricted to: RF,V13. •OLIVER KELLY 9 PEREGRINE LANE SOUTH YARMOUTH,MA 02664 ` Expiratipw-.9128/2011 f+r F ti' ��mi .iun�r T=,: 99167., r ne t,ommonweaun of Massachusetts Department of Industrial Accidents Offlce oflnvestigations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electrj�lans/Plumbers Applicant Information Please Print Legibly Name(Business/Organizatiowlndividual): Address. City/State/Zip: Phone#: fib Are ou an employer?Check the appropriate box: 1. I am a employer with 4. ❑ I am a"general contractor and I Type of pioject�equired):. employees(full and/or part-tune).' 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. Demahtion working for me in any capacity. employees and have workers' (No workers'corn,insurance comp,insurance.t 9. ❑Building addition required.] 5. [] V*are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised*ir 11•[]p ing repairs or additions myself.[No Workers'comp. right of exemption per MG insurance requited.]t c. 152, §1(4),and we have no 12.0 Roof repairs 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 infom"Mon. 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 subccontmetors and state whetAcr or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy nOmber. lam 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.�: n�'S S� � lC�i Expiration Date:, G T 09 Job Site Address: City/State/Zip: J'/ 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 Iead 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 QLA for insurance coverage verification I do hereby certrfy under the parns and pe;Ies of perjury that the informatlo#provided above is true and correct Si tire: Date: Phone#: -50 Fs .540 9 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.BOrd of Health 2.Building Department 3.City/Town\Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other ' Contact Person: PSone#• WED 14:16 FAX W ;78 1"18 DOWLING R WNEIL Ilia �OO1i001 1/14/2009 5:59 PAGE 0021002 LMG i xx ��� Liberty Nlutuai Group 1.>b" F.O.Box 9090 P. .�utua�. Doter.NH 0352.1-9090 r Tcicpbonc(800)653-7W-1 Fax(603)-245-5330 .::nwrny 14,2009 •t'XVJ pF RUMOLI'H i.j:N I-L9LL SQUARE ',I;": Certificate nP Workcrx Compensation zneurancc ...-„red: OLLVER K- Y 9 PEREG.RINE LM.H SOtJ—LH YARMOU'I'I.L MA. 02664 .gyNurnbec: WC2-31S-338804-028 Effective: 12/28/2008 Fcpicarirm: .12/23/2{t09 -. nrLr,;e afforded under Workers Corrxr:e�nsattion I�w of tree folowir�stste(s): LyI,A, _'.-::F.layees Liabilit��7�mirsl: I die Prnz actor;?;art �f C:ovr.�r�F.ler_tion.: tn;un,By Accident $lOO,QGLt n`tx h Ace cnt The workers'compcnsa+tion Poky sloes not provide +.�r injury by Disv-awc $100,OW Each Person :overage for: Injury by Disease 50o`00p Pofty Limlis OLt ERY►TELLY t °Ws date, the L—bme-referenced poliicybolde'r;s insured by Liberty Mutual Fire Insurance Co ::;w;:policy listed above. :<Ln"U=ce afforded by the listed poEcv is�-ub'ect to all the tarns,exc wions and conditions,Md is not. red br Taro raciuireinen4 tear_or condition of any o=other documents with respect to which this ficate maybe issued. :crrifica a is issued as a mattes of informl'ion only and corL`_rs no right upon you,the oertificate 11ils certificate is not an insurance policy and does not iimend,emend,or slter the coverage ;::rcic_i by the policy listal abo is :a:s policy is cancelled before the stated ezpiraticn date,Liberty Mutt;ai will end eaves to notify you of ,:ch c:utcxllation_ AITIHORr'LEb REPP.ESENTATNL LIBERTY MUTUAL D-NUIRANCE GROUP is c:tifieau if cretced bq I.IDPi2TY:�trItiAL L�TStJRAtCE Gl24)LT u marettt ash ltnmanea 9a is alYaded by:bogie empad a. Iasured: Prodaf"of Record �_ IVER KEMY SAIKOPIPPA LtiISLIkANCEAGF—NCY INC :'EREGRITNE LArE 12 ENTERPRISE ITU+AD ;ta[,-7:H YARMQU IT-�' MA 026" HY'wws' MA 02601 I M >.L.LY 1t 0FTNG ` 1"EREGRINE LANE 11!TH YARMO.UTH PHIFAX 508 775 4498 MA. REG.# 128957 t_?664 INSURE} 1 ;-rh 30,2009 posal submitted to Mr. Carl Swanson of 204 Winding,Cove(toad, Marstons Mills »r:>l�ase to supply all materials and labor necessary to remove and replace the r::-ig roof at the address above 1 d6ris to be removed to town transfer. Aluminum drip edge to be installed on all eaves. �:-:d water damage protection membrane to be installed on first three feet of eaves and alley areas. i. rs±inder of desk,to be covered Nvith#1 5 felt paper. year limited warranty Architect style shingle to be installed (_Color to be specified) sir,rzplaue chimney flashing as necessary. _p t )rn vent pipe boots to be replaced witty new. ige vent to be installed on entire length of all ridges with hand nailed caps. Al walls,windows,decks,plants and etc. during roof strip. -t:,.;ning of town permit. total cost.of$6900 : :rnt Sch:Jule; 50% uponpject start, balance upon completion. ctfully submitted,Oliver Kolb' , ic-sal accepted by, � Date,? ' /2009 . I TOW_ N OF BARNSTABLE,BUILDING PERMIT APPLICATION Map bs� / o .$ Parcel,'-' ®S'3;03 Application # Health-Division " Date Issued Conservation,Division Application Fee Planning Dept. Permit Fee C.S Date Definitive Plan Approved by Planning Board ( Y �. Historic - OKH Preservation/•Hyannis Project Street Address 20+ Village Mkas-r. o•V S LL 5 Owner CA-P_L, e S WA-Yi5 e Address OWDIWt-- c e-l" Telephone 5-0 •-31[.7- rrA � / 3 Pf Permit Request7_L__Xk5ibfA-, JAL ✓ -"C M - AL 1AA.-LL%"gN4, 2, ,V c-61 trA `V v L •--►J4." ' u J&d of fnkil ow LU ^ "ALL' �- ob:{!6� n LL�•SE' o d..,JY4tnL � e_tgF:-r' dlc/� Lii 5er AoLR�crcti✓2f r, c�t+r�c, - 3srr�ta:w �r� �orprop zaL Square feet: 1 st floor: existing '�2osed O 2nd floore isting WropWd �N Total new Zoning District g r Flood Plain Groundwater Overlay Proje t Valuation '��,SLR_Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type:. Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure 2 Historic House: ❑Yes XNO On Old King's,Highway,: ❑-Yes WNo Basement Type: XFull ❑ Crawl ❑Walkout ❑Other o 2i . Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /5 :b.6. Number of Baths: Full: existing_ new Half: existing o' _new x Number of Bedrooms: existing _new " �: co Total Room Count (not including baths): existing new First Floor R om Coknt '- Heat Type and Fuel: AGas ❑ Oil ❑ Electric ❑ Other Central Air: Ayes ❑ 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:Aexisting ❑ 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 OH MEOWNE_R - �1 _Name C.AP-L _ 1_5pi±-�r 5e— - Telephone Number Sow "� 3-7 - 3/I-7 Address 2,0q W#,y6JW6- &-Iv*;f- License Y►1A-A$an/S III I L-LS MA 01-d`R, Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &o44-LaA6cG-4_ IGNATUREa/ "000 ol DATEI��- y FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO:,. ADDRESS VILLAGE '? OWNER y DATE OF INSPECTION: t� i :3 I:: FOUNDATION ` FRAME s INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL v PLUMBING: ROUGH FINAL - _l ..GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT _ PLAN NO. ASSOCIATION- 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 LeZibly ,Na ev(Business/Organization/Individual): �AdTdi�ess�^Zv={ ���i•JG Ca/�•/� - KC■ity/State� /ZZII Phone.#: 5zg— r3 l►�- Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑ New construction employees(full and/or part-tim.e). 2:❑ I am a sole proprietor or partner listed on the attached sheet. 7.. .Remodeling )3A- erw�-- . ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.-insurance comp. insurance.t re uired. 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions I q ] officers have exercised their 11. Plumbin repairs or additions f��am a homeowner doing all work. ❑ g P 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 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. XContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip:. Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage.as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of.a fine 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 coveuge verification. I do hereby certify, er tf a pa' s nd alties of perjury that the information provided above is true and correct. �Si afore: ,_► Date: I Z D --- - . Phone#• ok —:Z3 7—31 1 — Official use.only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and. Instructions .V 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 ai3eceased employer;or e-..-- -- 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 Nvith the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s), address(es)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP.does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Departiment'of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town.Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant., Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications m any given year,need only submit one affidavit indicating current policy information(,if necessary)and under"Job Site Address" the applicant should write"all locations in__(city or town)."..A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The-Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations, 600 Washington Street Boston, MA 02111 TO. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 1i-22-06 www.mass.gov/dia d , �OpTHE roomy Town of Barnstable ' Regulatory Services awtuasT"LF- : Thomas F.Geiler,Director MASS.' . g tb3¢ Building Division plED NIAt A Tom Perry,Building Commissioner 200 Main-Street_Hyannis.MA 02601. www.town.barnstable.ma.us Office: 508-962-4038 Fax: 508-790-6230 HO)\�OWNER LICENSE EXEMY—0--N / l Please Print DATE: JOB LOCATION: / G Ce�/� !� �r �s'r��,/5 f�r�LS number street village "HOMEOWNER': CA-r L C- r&,6 .S 9`7:3'7-3117 name home phone# work phone# CURRENT MAILING ADDRESS: 2c� n!l�lgJl Co-61. /"AASrvod 5 eh lLc S "A- 0?—b�10 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. DEFINPTION 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 foi 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 procedur and requirements and that he/she will comply with said procedures and re ents. -Signature of N eown 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(sec 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 helshe 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:fonns:homccxempt zTti Town of Barnstable ` Regulatory Services sw�wMAE& , Thomas F.Geiler,Director i639. ��� 619 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02661 www.town.barnstable.ma.us i Office: 508-862-4038 : Fax: S08-790-6230 Property Owiier Must Complete and Sign This Section If Using A Builder as Owner of the subject.property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:F0RMS:0 WNERPERMIS SIGN i VILLAGE V►�FMB 7`z.�/S r c s• _ :� ��� �� 2,�9�fib�• i 4 pq <<� LPJ Cry f; FloenLp, ; , , iflotc�� kk, y -, ON (29 Fi�c `Gi 6r�i % The Town of Barnstable • L►atvsr� • - 9 ' Department of Health Safety and Environmental Services 1a 3' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Grossen Fax: 508-790-6230 Building Commissioner I SHED REGISTRATION Location of shed(address) a,4,,'L0A1, Property owner's name Telephon:;number T7 GS Size of Shed Map/Parcel# CGS GGGl�'Ll� �� .�_3 O CP Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) Iola-3 © Q fjJIS 1'(-)kM IVIUS l-WE A::COINIPAOIED by Zia PLO-Air P'i.,►N i Q-forms-shedreg . �•��. `> 3 • ! .1 ' i Lo O „��s �•�� LOGATIot..t '� � ' -- .:�.. �/I���To�:°S /�►ems 5c1iL V ('f- y,c -'ram f 13 j8i CMuTtt Y Tt4A-r Tt4E_ PLAt,..l R�Fc�cti.IGE t Wr.ot-4 GorvLPLYS WtTN THE 53DE.LIWE-- A►r-> SETL3ACK Q[-4vt9ZGIVE:krrs oP TNT LG' G.Ce DATE ~ I�''f t/)! ,i�..•t.r`t._:`...,�:''�'� ' ,�ti,.: .i ',�.� < i - 8,6�XTEIZ � WYF twe- REGtSrc2�n LA,"oo Su�vC_�fo�S THI'S DLAW IS uOT BASE'S 0�4 nN oSTEW-V% -.Lc o MASS. 1tJ�i>'�tJ.irlLtJ -?U��/E-`f �� T:JC OF ►=5 1-�i StdG��ILD ApPLt CA.h1T' h1G1' Vic- a 3cur—> TG DLi'LC_AAit- tL bite, I _ 1, H- `f y . i e �.. _� _.. ... __ _ � .._ _.� � r r � � .. � _. �._�..-._. .-- . .� r- _'_- __. -. a _-. � _.. .� . . - }. � _ ._ .. �� 1 _.._ f 1 r -f_ _� _ �.. y_.._.-- -t .� �- ._.... _ .�_. _�_ _ � _�._ r _ .a _ r _. .y __ ♦_ t .. 1 _ T.._.._.� _. -a. _. �__ �. __}. _4-- 1___. i�_ __ �_. � i. � .. _ _ ._ w-. _ .r_ .� � �.. � ... � ._.- .. .. T —.... _i _. -.f «. - �_ a--. .. _ r i _ � i _ _a-� .. _ .. _. _ ..._ � _ � .. _ _ r r - J.a �. �. _-� - ` r 1 1 ' � 1 ' ' f 1 Assessor's map and lot number ...........'........ :.............. �pF THE TO Sewage Permit number .......................................................... Z BABBSTODLE, i Housenumber .......................: .............................................., s raea l Op 1639 e�0 TOWN OF BARNSTABLE " U-ILDIN-G INSPECTOR APPLICATION FOR'PERMIT TO . TYPEOF CONSTRUCTION .................... _ ..... ............................................................................................ .............................. 0............19.: " .f, " 'TO THE INSPECTOR OF BUILDINGS: t The undersigned hereby applies for a permit according to the following information: ...... ra7— . ' �.r/i�rii�/�i� lr�v �� 5o� yi°� Ir ............................ Location ..........................y..........................:...:...................:: ..........�...:.............. ProposedUse............`t�---.S/l .-.).v 4.L-.......................................................................................................................... Zoning District .......................Fire District .....Ev!..� ,.,.�d��� Name of Owner � Z...iJ/U�' R' �/Q!U!� Address �y.......F�wT��// ! ..... Nameof Builder ............... . ..................................Address ............................. ? .!'> .......................................... .Name of Architect e� 1�...................................Address ` ............................................Foundation ........✓.h��..%l>�i�?.6.. .& UF. Number of Rooms ..................... �/ � �� - ��!�A� . Exterior ..................:.......f.-....,.........:......�...�...-:fi-c-.:.............Roofing ............./1...'r...PfJ_L�........................./.................. Floors ............ �?71Zs Gu..� ...................Interior �s/.�W*r.wl / / ................................... Heating ........ �7 .................... f. -c..............................Plumbing /�//D 3r (�i�?�:��t-` ...............:....... Fireplace ......................./..........................................................Approximate Cost r��."P .............. .............................................. Definitive Plan Approved by Planning Board -----------_______-----------19 . Area .......................................... Diagram of Lot and Building with .Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above i construction. Name .................................................................................. UNGERLAND, PETER A=57-38 22892. One Story No ................. Permit for .................................... Single Family...pWe.jjjUg ........................................ . ........... Location JLgt...#.2.6...ZQ.4...Windinq...Cave Rd. .................MaKP.t.Qus...Mills......................... Owner ..Peter. ....Ung.er.l.an.d............ ............ .... .. .... .... .. .... .. .... .. Type of Construction- Frame.............................. .. ....... .............................................. ................................. t Plot ............................ I................................ ot Permit Granted ....IM ilp !, 6 ...............19 81 ...... ......... Date of Inspection ....................................19 Date Completed ............../....................19 PERMIT(EFUSED ............... ......... ..... .......... 19 9................. ........... .. ........ ....,,P . ................................................................................ ............................................................................... ............................................................................... Approved ................... ............................... 19 ............................................................................... ................. ........................................................... Assess ........1.�.. L7... :A........... /! ' / G /%"' ~ F THE T sor's map and lot number (/ o 0 SLiWage Permit number ........................................................ $E M SYSTEM IDLE, i douse number ...................... .... �..................... INSTALLED IN OM i WITH TITLE 5wa a• TOWN OF BARNS , ' TAL COC r'l1► BUILDING IRS.PECTOR APPLICATION FOR PERMIT TO ........... af/ /�r. .... .......:......:.. TYPE OF CONSTRUCTION ...................Gd/ 1�. ....f.(''�t 1 ..................................................................... �Y ......... ......1.0.............19.G?..� TO THE INSPECTOR OF BUILDINGS: The undersigned_hereby applies for a permit according to the following information: Location .......f'C)./....7 Gl //10 /if/ .. "5�� .. .t.....1.. /./ / s. . qAj...�/. 5............................. .!� `.............. ProposedUse . � 1T.. . .......................................................................................................................... Zoning District ........................................... .........Fire District !� .. t..�. Name of Owner ......`��L� �4...41/ I�4.eAS! .......Address ..............�� �nn Name of Builder ...............�?'7AI.02�...................................Address ...........................Si ........................................ .Name of Architect .............-54.l C...................................Address ........................... t�....................................... ..(0....: / :..f�al�1�. 7 ...-.�a� .......................... Number of Rooms ................ ......................................Foundation ....... .. ... Exterior .............FGh....( L- �sll? ..5�-?H.� �41 .............Roofing ............11,40.1f:47........................................... Floors ............17`"/ .........................................................Interior ............ ........................ a Heating //7 �W ..0. .44..............................Plumbing ..........�.���� . . ��.. .. Fireplace ....................../..........................................................Approximate Cost .......... ............/....[.. Definitive Plan Approved byPlanning Board ---------------------------- .. ...... . ........ Area ........../../..UI../..................... Diagram of Lot and Building with .Dimensions Fee ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �(�/v® . N I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... ............ 1 ' UNGERLAND, PETER t y � 22892 One Story `�.�J Permit for . ................. . Single Family Dwelling . ...................................................................... Location Lot....#26. . ....204. .. ...Windin. . . ... e g Cove Rd. ' ....... . .. . .. . . ..... .. .... ..... ........ t Marstons Mills........................... y ..................... f Owner ..Pe.ter. . . ...Ungerland. . . ......................... t .. .... .. .. ....... .. .... ....... a Frame Type of Construction .......................................... - ................................................................................ • ♦ F Plot ............................ Lot ................................ r Permit Granted ,._March 6, 19 81 Date of Inspection ....................................19 + Date Completed . � c� PERMIT REFUSED + P 4 .g" 19 I ` �.of..... i ............................................ 4 ..................... .- � .......................................... Cc Wd: qP1 ........... , ® t: K .............. .tea �............................................... ® m 17 a e Approvedr...��.,.,.......................................... 19 r Q �r� ............................................................................... r `\A o0 c� 0 21 Z �1f i w T> i ij , _ FM MO � ��d 1�/Yf1V •S . OL LOCATIO'� MAPe, I CGRTtr--( Tt4AT' THE �ov�lnATtntJsuowu pLA►J SZ�>=c���.tGE t' ZRr.ot-.t CoMPL%-IS WIT" TwG SiVE,Ll► C r� AWr-> SETBACK {ZC-QUIQGAIAE: ,-Cj'S OF TI-li✓: 4•�0 .-Tow v o;= N7 E U(v DATE �� ,j BQ.XTCtiZ 4 U'(F IQC-_ REGISt'CIZi_D LAWO SUevCYotZS •Tt4l'S DLAW IS UOT BASE't7 OW A&J OS'TEt`vtLLG o A�(aSS i 1W5'if�cl,tnEtJ7' SUZve--{ ¢ T:aL 06=G-5r r- 5i•lo!ut.n APPLt C.AtitT ��-;; Kt,T esc Ue>GO To .oe:reCAl'tNt= Lor �t��� 1` '` E���� • .{ �:::� ` rfr GIN ,N 5 � � °a . C*N L o �? O 0� ✓6 cc \ N / O �O \ O <70 / � 'A L o A N — r 00 -74 ly IN e � 000 s TOWN OF BARNSTABLE Permit No. X Building Inspector 1 »n Cash — '�,,t0j 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 Peter Ungerland Address lot #2,6 204 Windinu Cove. Rnsd_ MnrntonS Mills Wiring Inspector f�! / iM Inspection date i i',l ' Plumbing Inspector /�r.. 7s✓/ Inspection date CXas Inspector �. / a Inspection date /Engineering Department JOn A_,�A P, 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. ....... /. ism /� "� _. _. , Building�Inspeetor i Assessor's offioe (1st floor): I ETo� Assessor's map and lot number ........ ..... ... .. .. .1�..... SF—Pmc sysm�Al ` �................ . ....V.-M I��a�l'A1.4 THY 11 Board of Health Ord floor):. �v/ _ r•� M6 Sewage Permit number J ........ !. ® �AENTA t Z BABII9?GDLL, i j Engineering Department (3rd floor): �1 6 �f ,n E�� E Ce! in(� �.�oo 0 \0� Pause number ....... . p� ( oC� ''gip�a 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 ... .� 1.d........1............................................ ........................................j2...... / TYPE OF CONSTRUCTION ....S.q..�.....5..)..C/�\ ...... ......L ?.CaC...........j .!�'1, .....- �SU✓t h ....................\. .......................19.-�'0. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: r /� / r r Location ...2.U. .......VV...v!- .� .. ......C4�J ....... . �. �)...................................................... ..... C / (?4 � . . . .... ...................Proposed Use .... y ...... .......................... Zoning District .... �.S..c U.. �.! ...1.�. 4C............................Fire District ......�.�..,..�.�.. .!....�.�;— ,,I 11 C r-1 �. Name of Owner ..t.... �l.C..(�.� .4.(�.........�..�. . ..�, Address ..... .d'�/ �il� CO i LL o�dC� 21 lYo�c� { Name of Builder r/............................(........ ...... ...............Address .............. .1.?... ............ ... ........... ..CU.�.v..l-� Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .......... ......................................................Foundation .�O.�J �:. .../..S�dl!�.0....1.U.�..�......... ' r �. q 4." ................Roofing .....q� :,5.�..�l .�,:..1...�..Exterior . ... l.� ...................................... ................................................. Floors ` .k C?.0.. :./......CC,e..4..�....................lnterior ...... .....�/.�!II.G.�.�.................................................. Heating ....... .......................................................Plumbin ............ / AFireplace ....VLIJ..til. ..........................................................Approximate Cost . aG:..Q.U...................................... Definitive Plan Approved by Planning Board ________________________________19-------- , Area .... ...n................... Diagram of Lot and Building with Dimensions • Fee ...d.�............. N SUBJECT TO APPROVAL OF BOARD OF HEALTH 1C)5� �Q��� ��7• �. X� S 1 �VL ��Lf-v2eq �I•Y6 Co,IG� G Ir 4 dt C(r �1 t S 1 �\ z 31 x 7 S $L�l�L E\A,"n.C S Ky i 3 or (a "aisjs (o�r(v 8-a qlo-- sl,dcrs X 0 J as. 361-X f `—p '1 R. Y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS f (uxRy �k1y Co�..c Nqs ► oi, kj I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding64ec3bove' construction. S Name .... ... ` :...... .s....V... '."�-1.�.!.....�. ...`t---. r1���` ` Construction Supervisor's License ...�U.. �?..�5..Y..... .. -!TIGHE, FREDERICK MRS. No Permit for .....Build...A.dd.i.tion Sincrle Family Dwei.liag.......... . ................................................. ..... Location '..JLqt... ........2Q4...Wi.nd.i.ng..Cove Road .. .... .. .. . .......... ....... ............ Owner Mrs. Frederick Tig �............ . ............................................. Type of Construction ...Frame ............................ .. ....... .................................................................. Plot ............................ Lot ................................ Permit Granted ...July 1.Tf.................19 90 Date of, Inspection ...... ..............19 Date Completed ....... ..19 ............ Assessor's offioe (1st floor): !I ttt V&k � ' �/ P _ V Assessor's map and lot number ............. ....0 . 9- Board .....,• of Health (3rd floor): i d ............. �..7 r..: . D. �V1 Sewage Permit number .......... = 13AUSTABLE, i Engineering Department Ord floor.): T► �o rasa ''House number " ' „.. ...,., o 1639 �e .............................. r - �D Yp�a• APPLICATIONS PROCESSED 8:30-9:30 A.M*and 1:00-2:00 P.M. only - - TOWN OF BARNS.TABL- BUILDING INSPECTOR = APPLICATION FOR PERMIT TO ... .G�..d..... Q....... f....` ....................... r- I F-, 1 f L TYPE OF CONSTRUCTION ....5.�A.....5..?..G..�\ ...... ..... .C.I...........1 a.!� �.. .....� .SU✓I....tt�..o.C'CrI ( ...................... .......................19..-`U TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for'a permit according to the following information: r Location ... U. �.......W.�. .N.t�... ...... Ol/fL....... .C1.1 Proposed Use ....{.. 5 O.L. ...1!... .I...f...., ..t ... �.. ........... .v .`. y................................................................ Zoning District ....1...�.5..!.V.. �. ...f.....u.............................Fire District ......lJ. .. . ............................................ _ \ L,t..C,is �S Name~of Owner ... .c e. .�..f...�. �-.�� �.A.C7.I.I..C......Address ...Wq W V..1 r� �U�...................LA r 1 IS - Name Name of Builder .......W.�..1-1- (IJC�..1U1�'...........Address ..2.�.�.....a.x......� fU 1 U..�T Nameof Ac:hitect ..................................................................Address .......................................................................I........:.... Number'of Rooms ..........t.......................................................Foundation .7 Q0.0..J..!�.. ....1....5 d�n.4....1..v. .... ...... Exterior . A.,..►. ... ..�.L.�......................................................Roofing .. .5.�.. :.1....1..............< `f Floors . .d6. .. ....C... �.�..�.........................Interior ... .. /. ..� �. ................................................. CJ :r f rleating .......�...........�.................: `................:....!....Plumbing vu� . ... .. ....... ' S-�oG. Fireplace .... .. pp �.CJ........................ ' .GJ..v.1..�C.:.........................................................Approximate Cost ............. .... .............. i t Definitive Plan Approved by Planning Board _______________________________19________ . Area ....rl..4.k....n.................... Diagram of Lot and Building with Dimensions Fee ''r,.�"....d.o............. a SUBJECT TO APPROVAL OF BOARD OF HEALTH c Co(J{ c! ,fir 5v-c �'� Id LIJ/ U,( "` 5 � �<`�� 24efe, �lXb cola 1 byl 5 Cl -i a t �rutpof 12 �lZ w\ VJ�II S \ I� �`, s S 7ucl S ! 31 Yes scL ! (0 0.c Sty i, k 1 s uorr 6x cv 38 v•ulo 5/�t/crs X 0 (uGr ja+ST.S p.s. 3dX ( EALINI40 OCCUPANCY PER 'ITS REQUIRED FOR NEW DWELLINGS y I hereby-agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the abovey construction. d Name ........�........`:5..... �..�.!.... -- Construction Supervisor's License �U (3 ��/ �1 TIGHE, FREDERICK MRS. A=057-038 o -7-0,39 No Permit for .... 1.d...A.d d.i.t i.o i .... .. .. .... .. .... .......Single Family..P��f�.�qi g........ . ................ n LocationLot #26, 204 Winding Cove Road ...............................................................I Cotuit ............................................................................... Owner .....Fr.ede.r.i.c.k...T.ig.he...................... ..... .... .. .. . .. .. .. . .. .. . Type of Construction ........Frame...................... ...................................... .......... Plot..............I............... Lot ................................ r. Permit Granted ........ ...........19 90 66fe- of Inspection ....................................19 Date Completed .....................................:'l 9 PERMIT COMPLETED 1/1 q I