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0010 WOODCREST ROAD
Fit) Wooetc.resa- --7i cC, :St TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map o3o Parcel t,-4T '�� 0�" STA�L� ` Application # d Health Division Date Issued I Conservation Division Application Fee V,0, Planning Dept. _ �. »�� Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village •�—,.,Z-�.e�� w_ ��. Owner Address. o yea-��GLZES� �aw� Telephone_ Permit Request c_d`�v�.G�� TO b�L�+ Ate'"!♦ `f � ►��: s►�� Z-- ��a.6�..-.�p►,[ �o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new r Zoning District Flood Plain Groundwater Overlay �n Project Valuation 3ooc>. Construction Type Lot Size —/ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family l� Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing Z new Half: existing new Number of Bedrooms: 3 existing —new Total Room Count (note including baths): existing new First Floor Room Count Heat Type and Fuel: aGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: Cl 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 i APPLICANT INFORMATION - _ (BUILDER OR HOMEOWNER) Name Telephone Number web - 'aj3 - Address 3-k'% License # -�ft%•� . w•-a• Z:i-L�t.3 Home Improvement Contractor# \":%N i Email Worker's Compensation # c,en.%%N t,3yC i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE i DATE L-7,0 y FOR.OFFICIAL USE ONLY APPLICATION# F DATE ISSUED MAP/PARCEL N0. R ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ° ELECTRICAL: ROUGH FINAL-. PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. Massachusetts.-i)epartlnent of?ublic,Satety Baard of 8udd rig ke9t,i4ations aid StanOargs Cfin4rrurnon&ipen.'Wif Speclydll License.CSSL-102778 39 SMSCONSE D)itlZ! - SAGAMORE B ACFi Z Cbrzmi sionar OW1912018 + - � Off of Consumer Alfdirs&Business R�gulatioa License or,registration valid for individul use only IMPROVEMENT CONTRAC70 before the expiration date. If found return to: r_ ;E glatration: t71251TypeiOffice of Consumer Affairs and Business'Regulation �+ piration: 3fiJ2016 Part hip 1Q Park Ftaza-Suite 5170 Boston,MA 02116 CON-SERVE ENERGY . CONOR MCINERNEY 376 ROUTE 130 SUITE C t SANDWICH,MA 02563 Undersec.eta'y Not valid without signature t _ f� PROGRESS REPORT RESPONSIBLE EMPLOYEE NAME TASK DATE COMPLETE I ' I 1 nrjq%c.ara)I a I IYC Min rnLjwuL.r-n enu I nC Lern I u-suaI r-nLmucm IMPORTANT:if the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms andlIconditions of the policy,certain policies may A quire an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PKdOUCER CONTACT NAME CS&S/WORKCOMPONE PHONE FAX (AICPO BOX 946580 EMAILo,Ext: A/C,No' ADDRESS: Maitland,FL 32794-6680 INSURERS AFFORDING COVERAGE NAIC d 1-877-724-2669 INSURER A "Continental Casualty Company n 20443 INSURED INSURER B: CONSERVISION ENERGY INSURER C: 376 ROUTE 130 INSURER 0: SUjTE C INSURER E: SANDWICH,MA 02563 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINGANY 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ataR DDL uBR I POUCY EFF POLICY EXP LtA TYPE OF VMSURANCE "It POUCY NUMBED M/DD MMD LIMITS A GENERAL LIABILITY Y 6011316335 03M I116 03/11/16 EACH OCCURRENCE . 11000,000 COMMERCIAL GENERAL LIABILITY r�ME � � L t 300.000 CLAIMS-MADE ©OCCUR MED EXP(Any are person) 10,000 PERSONAL 6 ADV INJURY t J,000,000 GENERAL AGGREGATE 2.000.000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-coMP10P Aso s 2,000,000 POLICY JE�CT X LOC A AUTOMOBILE LIABILITY 6011316335 03/11/15 03111/16 (Eaacd COMBINED SINGLE LIMIT (Ea �ade,t) $ 1,000,000 ANY AUTO BODILY INJURY(Per person) _. ALL OWNED SCHEDULED BODILY INJURY(Per accident) AUTOS ALTOS NON-OVMED PROPERTY DAMAGE HIRED AUTOS X AUTOS (Per acdenl $ A X UMBRELLA LLAS NCLAIMS-MADE OCCUR 6011316362 03111116 03/11/16 EACH OCCURRENCE 2 000 000 E XCESS AGGREGATE = 2,M,000 DEDIN RETENTION S 10,000 $ A AmEMPKERLOYYEERS�UAAB�AM YIN 6011316349 03111115 03/11/16 X TORYUMRs ER ANY PROPRETORIPARINERIEXECIJnVE F E.L.EACH ACCIDENT 600,000 OFFICERAGAISER EXCLUDED? NIA (Mandatory In NH) EJ-DISEASE-EA EMPLOYEE $ 500000 If ye&descrbe under DESCRIPTION OF OPERATIONS below EL DISEASE-PouCV Lturr L 500.000 OTHER TORY LIMITS ER E.L.EACH ACCIDENT s EJ..DISEASE-EA EMPLOYEE _ El.DISEASE-POLICY LIMIT Certificate Holder is added as an additional insured as provided in the blanket additional Insured endorsement as it pertains to work being performed by named insured underwritten contract, INCLUDES PRIMARY AND NON-CONITMUTORY 1f CERTIFICATE HOLDER ) CANCELLATION Rise Engineering SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1341 Elmwood Ave Cranston,R102910 AUTHORIZED REPRESENTATIVE ;i 01988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2-010105) The ACORD name and Ingo are registered marks of ACORD i The Conrtnottwealth of Massachusetts Department of IndusMal Accidents ` O.Oce of Investigations t 600 Washington Street Roston,MA 02111 1www.nt9s&gov/dVa Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AmUcant Information I Please Print L eeibty Name(Business/Organize ioafixuvitlttal): Cons Vislon Energy Inc Address: 378 Route 130 Ci /StatejZi : SAndwich, MA 02563 phone#: 508-833-8384 Are you as employer?Check the appropriate bo : 1.Q I am a employer with 6 4. ❑ 1 am a general contractor and I Type OfProject(regWred): employees(fall and/or part-time).* 4ve hired the subcontractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees here sub-contractors have g. 0 Demolition❑ B working for me in any capacity. enPloyees and have workers' [No workers'comp. insurance c mp.insumnee.t 9. uilding addition required:] 5. ❑ V4 a are a corporation atxi its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all wort o cers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. H t of exemption per MOIL 12.❑Roof repairs insurance required.]t c, 152,¢10),and we have no 3a.❑ 1 am a homeowner acting as a employees.[No workers' 13.©Other Weatherization general contractor(refer to#4) comp.insttr'anee required.] 'ADy applicud that ebxks box N 1 must also fin out the section bola showing their workes'eamptau"W pommy kdbrtaatio,. t Hoare wncra who submit this affidavit uxbcatini they ate doing al work and then hire outside eonttaaton mum submit a new affidavit indicating sue& tConDaeton that ebeck this box mum attached an additional sheet sh wIns the asme of the and state wDetlty or not throe etttipd hsve eatployees, If the sub-oontractors have empioyom they mu��tn itr w,orttrs�c gyp•pommy number. I am as enrpiaysr that Is Pvv1AWg workers co haruraRce orinformation, f at3'r yees. Belotw b the policy and job sift Insurance Company Name: CSBS/WORKCOME Policy#or Self-ins.Lic.#: 601 33 66349 Expiration Date: 3-11-2016 Job Site Address: City/Stawzip: Attach a copy of the workers'compensadoa policy tioa page(showing the policy number and exptratlue date). Failure to secure coverage as required under Section 25 of MOL c. 152 can lead to the imposition of criminal penalties of a Pine up to S 1,500.00 and/or ono-year imprisonment,as vlretl as civil penalties in the form of a STOP WORK ORDER and a of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of fine Investigations of the DIA for insurance coverage verifi4tioa I do here adsr Pd and peneld n of p that the lnformadm prorddd abotw is&w and conft% O,Plat we on1A Do not wrke in thb areas,to bs co plod by city or town o,Q?cld City or Town: Permit/License# Issuing Authority(circle one): 1. Board of HeWb L Building Department 3.Cl own Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 1 i i ConserVision Energy HPC Intake Form Call Source: Walk-in Web Newspaper# Referral Scheduled: Acct# Date: Name: Street: City/Town/Zip: Mailing Address: Email Address: Day Phone: Home Phone: Single Family Home or#Units in Building: Owner/Tenant: Heating Fuel: Fuel Type for DHW: Central A/C: Comments: r Style of House: Age of Home: Square Footage of House: zePI'": Y k- , 7• C l11\1UU!!!!Y r S. OWNER AUTHORIZATION FORM oar of property located at hereby auftrize ConserVision Energy,to act on my behalf to obtain a i Ulding permit to parbm mfk on m,Y pmpeow Date PROGRESS REPORT RESPONSIBLE EMPLOYEE NAME i TASK DATE COMPLETE 1 i •. r' j TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,Map�1 0-xo Parcel Application #C;? Health.Division Date Issued �S Conservation Division Application Fee 2� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Q� Historic - OKH _ Preservation / Hyannis Project Street Address c-x--t- z o Q, Village %--azat s�5 -s Owner -1^EN`— .�a Address - Telephone. So$- y ._NQ- �-n -s P o-2 Permit Request ♦y :A�. -C �,L vim•.a X !r� .rL.��� ...�s.`. c, .�'� Z. ,A 6,Z.n�a x Z c7 C.C� o V 0,... Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District �/ Flood Plain Groundwater Overlay Project Valuation-' 3«n,0.0� Construction Type Lot Size Grandfathered: 0 Yes ❑ No If yes, attach,.supporting documentation. Dwelling Type: Single Family 0' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King-'sjHighway�. ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other - Basement Finished Area (sq.ft.) Basement Unfinished Area (sq. ) Number of Baths: Full: existing z new Half: existing new m Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing -4 new First Floor Room Count Heat Type and Fuel: YGas ❑ Oil ❑ Electric 0 Other ' r—a Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: O-Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:�,existing �0 neW size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: _ E _ Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ t= T Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ego �C ,,� �; ��,� Telephone Number Address License # k oz -%-- Home Improvement Contractor# Email Worker's Compensation # r- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE- DATE S l M� { � t� •,ma's , ,= FOR OFFICIAL USE-ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE . y J OWNER r DATE OF INSPECTION: FOUNDATION 4 FRAME. INSULATION 4 � FIREPLACE _ j ELECTRICAL: ROUGH FINAL rr PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL ,:• -FINAL BUILDING • DATE CLOSED OUT ASSOCIATION PLAN NO. a � ` r f t. OWNER AUTHORIZATION FORM owner of property located at hereby adze ConserV3sion Energy,to act on my belts#to obtain a building perrrdt to perform-,,,vork on my PAW OwnerSignan (3 Date i I i 1 Massachusettp -Oep;�rtment o!Poblic"Safety 'l r' Board of Build ag Regulations and Standards Cijfl�tru 1`100 iptr%iuir SptOalt-' License.C3SL-102778 - CONOR D MC1NF,fM 39 SIASCONSEEZFW'Fq SAGAMORE B MAW, 2 _ i '0" S J.�r. ' '`Y Cxpirt�r7n Co mrni siorter 08/19/2016 ,off - r""l/.n`fir,»rn,irrnr ii///,,!..%.�..rr�/...r,:f✓1,' � `..._.,. - Office of Consumer Affairs&Business R gulatloa License or registration valid for individul use only ME IMPROVEMENT CONTRACTO before the expiration date. -If found return to: -jegist ration: 171251 Type: Office of Consumer Affairs and Business Regulation iration: 311l2016 Part hip IO Park Plaza-Suite 5170 Boston._MA 02116 CON-SERVE ENERGY CONOR MCINERNEY 376 ROUTE 130 SUITE G SANDWICH,MA 02563 Qoderseefsry Not-valid without signature 1 r rscrnca cn I a I tyc Lin rr i mm c s anu I nc!ices I trius i s nuL urm. IMPORTANT:If the certifate holder Is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed.If SUBROGATION IS WA subject to the terms and conditions of the policy,certain policies may;quire an endorsement A statement on this certificate dose not confer rights to the certficate holder in lieu of such endorsements. r PRODUCER CONTACT NAME Ct-.SMORKCOMPONE PHONE FAX A(C,No,Exl): A/C,Nc PO BOX 946580 EMAIL ADDRESS: Maitland,FL 327944680 INSURERS AFFORDING COVERAGE NAIC# 1-877-724-2669 INSURER A: Continental Casualty Company 20443 INSURED INSURER B: CONSERVISION ENERGY INSURER C: 376 ROUTE 130 INSURER D: SUjTE C INSURER E, SANDWICH,MA 02563 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINGANY 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RM DDL ISUBR I POLICY EFF POLICY EXP LTR TYPE OF IN R POLICY NUMBE9 MMIDD MIDD LIMITS A GENERAL LIMRM Y 6011316335 03111/15 03/11/16 EACH OCCURRENCE 1,000,000 COMMERCIAL GENERAL LIABILITY vPRE�ul� � t 300,000 CLAIMS-MADE n OCCUR MED EXP(Arty one person) S 10,000 PERSONAL&ADV INJURY i 1,000,000 GENERAL AGGREGATE = 2 00O 000 GEN'L AGGREGATE L@NIT APPLIES MR: PRODUCTS-coMPIOP ADo : 2,000,000 POLICY I IJEcT X LAC A AUTOMOBILE LIABILTY 6011316335 03111/15 03M 1116 COMBINED SINGLE uMIT (Eaacddern) s 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) AUTOS ALTOS HIRED AUTOS X AUTOSDED PROPERTY DAMAGE a accident $ A X UMBRELLA Lone I./\I OCCUR 6011316352' 03/11/16 03/11/16 EACH OCCURRENCE 2,000,000 EXCESS CLAIMS4LADE AGGREGATE 2,000,000 ED X RETENTION t 10,000 = A MW EMPLOY �ERS L"ILIITTY YIN 6011316349 03111/15 03/11/16 X1 TORY UMrrs I ER ANY PROPRETO"ARTNEREXECUTNE El.EACH ACCIDENT50O QOO 0MCERNUBM EXCLUDED? (Mandiruny In MR) N!A EL DISEASE-EAEMPLOYEE L 500000 if yes.describe under DESCRIPTION OF OPERATIONS below El.DISEASE-POLICY LIMIT = 500 000 OTHER TORY LIMITS = E.L EACH ACCIDENT s E.L.DISEASE-EA EMPLOYEE 3 El.DISEASE-POLICY LIMIT nom or OF I- Certificate Holder is added as an additional Insured as pro ided In the blanket additional Insured endorsement as it pertains to work being performed by named Insured underwritten contra INCLUDES PRIMARY AND NONCONTRIBUTORY CERTIFICATE HOLDER CANCELLATION Rise Engineering SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1341 Elmwood Ave Cranston,R102910 AUTHORIZED REPRESENTATIVE ., rJ . � t ®1988-2010 ACORD CORPORATION.All rights reserved. ACORD 26(x010105) The ACORD name and lo®u are registered marks of ACORD f r The Com omvealth of Massachusetts ' Depa ent of industrial Accidents y . Q*ce of Investigadons 6110 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers AmpUcant Information Please Print Ledb Name(Husineworpnizaaowindivi&d). Cons rVision Energy Inc Address: 378 Route 130 City/state/Zip: SAndwich, MA 02563 Phone#: 508-833-8384 Are you on employer?Check the appropriate bo LEI Q I am a employer with 6 4. ❑ 1 am a general contractor and 1 Type of project(required): employees(fun and/or part-time).* b ive hired the sub-¢ontractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- li3ted on the attached sheet, 7. ❑Remodeling ship and have no employm These sub-contractors have g, ❑Demolition working for me in any capacity. �lloyees and have workers' o workers' co c m t 9. ❑Building addition [No comp. insurance p•insurance. required:] 5. 0 a are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work o cers have exercised their I l. Phtmb'❑ mg repairs or additions myself.[No workers'comp. ri t of exemption per MOL 12.[]Roof repairs insurance required.)t c-52,110).and we have no ❑3a. 1 am a homeowner acting as a employees.(No workers- 13.0 Other Weatherization general contractor(refer to#4) comp.insurance required.] 'Any Wtiaat that checks box Ni must oleo till out the section bola showing their worimn-oompanaticd±Doticy ioformatioa f Homeowners who submit rids ailldawt indicating they am doing id work and then him outside eoatractoa must submit a new atmdevit indicating such. tcoattsemn thst chock this box must attached an additional shot s the name of the have t:apioyam If the mboonnt�ots employees,they must nand state wbothe or not those entities have pmvi their worker'�•De�Y tmmba. I ant all enrp/oysr that Is providing ompkers'conrpens n lrurnonce jor enrpfoyees. Below the inJ6nnadon policy and joh site Insurance Company Name: CSSS/WORKCOMP O NE Policy#or Seif-ins. Lic.#: 6011316349 Expiration Date: 3-11-2016 Job Site Address: City/State/Zip. Attach a copy of the workers'compensadom policy dFdandon page(showing the policy number and eipintbe date). Failure to secure coverage as requrired under Section 25 of MOL c. 152 can lead to the imposition of criminal penalties of a rune up to S 1,500.00 and/or one-year imprisonment as e11 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 t a copy of this smtement may be forwarded to the Office of lnves ' ors v DIA for insurance I hemby cer"cur the pains and enaldes of r�r rti the blyonnadon pt»rldad abotrtt>s trw and corrterlt Eton*Al. EMINIM ot* Do not wrks in this area,to be co plsted by city or town offlelat n: Permit/License# hority(circle one):Health 2.Building Department 3.City own Clerk 4.EleeMcal Inspector S.Plumbing Inspector son: I Phone#: Assessor's map and lot number e4.:.2......7V............ v SEPTIC SYSTEM MUST BE INSTALLED IN COrAPLIANCE Sewage Permit number .. ..-L.Cdt.-..................................... WITH ARTICLE li STATE PANITARY CODE AND TOWN �QyoF 7HE r T® 1i N OF B A R 1V 8`G'1°�.'�L E d � Z BAHBSTABLS. ,6 9 BUILDING INSPECTOR am APPLICATION FOR PERMIT TO ............ .h..5....1/ . .... 41 ......q" ................... TYPEOF CONSTRUCTION .......... lJ. ......... ................. ............................................................ ............ :�:/zf�...............19-)3. _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / ��5" Location ........ . ....�... .........1..1.. ......................................................�.. ........................ D,F��....�'9/'�'S ...................... ..................... .... ProposedUse �I �. . ... 4L./(...�. ! .. ...................... ............................................................. Zoning District ............... .......................................................Fire District ................ 't..7ra%. ..................................... Name of Owner /9(!�... ....Address ..a.3.. ....T!c?... .., Name of Builder .Cl�l ....Aa-Wt5 Address .................................................................................... Nameof Architect ::................................................................Address .................................................................................... Number of Rooms ..... ... CO1'!C�'� ,�•�/!.GG. `'� 5.............................Foundation ... .UU .E.� .. Exterior .......... .........5. .!..✓L .}:&..........Roofing ........ / � .l. ... �?...�.h .� .. ...... Floors . ..... ......................................Interior .............. /r.674.... / ................. ... Heating �............................Plumbing ... ../ 1 '1.s. l.......... . Fireplace ................. .1�.. ...........................................:......Approximate Cost 3, L OU �)......................................... Definitive Plan Approved by Planning Board -----------_------_-----------19_______. Area ...........�o Q S' ............................... a S Diagram of Lot and Building with Dimensions Fee .............../`-' SUBJECT TO APPROVAL OF BOARD OF HEALTH �iD • b O '7 I.f 317 N 2.2 Gp I hereby agree to conform to all the Rules and Regulations of the Town of Birrnstable regarding the above construction. Name . .. ....... .. ............ Baugh, Michael D. 16793 one story No ................. Permit for .................................... single famil dwelling ......................................family.. dwelling 4 ................. ..... . Location I.P Wooderest Road .................................................. e Marstons Mills ............................................................................... Michael D. Baugh I Owner .................................................................. frame 0 Ve Type of Construction .......................................... ................................................................................ Cl nd Plot ............................ Lot ....�417 ....................... ji December 14 73 Permit Granted ............... ............... ..........19 Datel-, /,X2/7 of'Inspection ................ ... Date Completed ....... ........19 PERMIT REFUSED .......... j................................................... 19 ................................................ 0 ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's'map and lot number .... MUS gewage Permit number .....C> SEPTIC SYSTEM INSTALLED IN COMPLI: *`V FAS STABLE. • M" House number ................./0.,A.............................................. VVIM4 TITLE 5 t63 Jul TOWN OF BARNSTABLE BUILDING INSPECTOR e�� z APPLICATION FOR PERMIT TO ...... ...........).......... .............. .............................. TYPE OF CONSTRUCTION ............x.,6.............W .7................................................................ . ........................1911.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......w........ ...... ........14 Vu 16,.J4...... . .... .. ................................................ ...... . . ProposedUse ..... �. ......4...................................................................................................................................... ZoningDistrict ................ f..........................................Fire District ....... ............................................................. Nameof Owner J. .:....................Address ..............�.al.v-.4.......................................................... Name of Builder ,/X?a v, �/-.0 r,/A I ..........Address x?5..-7 .....,y. Vq ..h...............:6/......................... Name of Architect ... ...............................................Address ..... Numberof Rooms ............. ...................................................Foundation ... .................................... Exterior .............06:.C.S.r.krz? I.C.'j-...................................Roofing ...... ....................................................... �7. ... Floors ........................ .........................................Interior ................................................................................... Heating ..........4PV.A... ....................................Plumbing ..../jn -............................................................. Fireplace ................. .......................................................Approximate Cost ........ ........................................ Definitive Plan Approved by Planning Board ----------------------------- Area ....3 .. .......................... Diagram of Lot and Building with Dimensions Fee ...... .. ......t......................... SUBJECT TO AOROVAL-OF `BOARD OF HEALTH /0 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ....................... Construction Supervisor's License ... ....... BAUGH, MICHAEL No .... Permit for ..BUi.-ld..Additi ...... ......'Sinqle Fan-Li1v Dwelli ..........................................jAq...... ... .......... .. .. ......... Location L-Q.t..117.,.....10...Wood-Crest-Road.. ............... ................................. Owner .... ................................. Type of Construction ............................ ................................................................................ Plot ............................ Lot ................................ Pe anted ....Oct.ober...10................19 84 .....Permit Granted . . ........ Date of lnspection4�-:4/7g21/1 ................1 9 .............19 Date Completed ...........�99-5-- W O. R K O R D • E R H ome 15 specialists ad 25 Iyanough Road • Rte. 28 • Hyannis, Mass. 02601 • 775-2 S 4F8-2083 Route 28, right on Newtown Rd. Mr. and Mrs. Michael Baugh -left on Asa Meigs, left on 10 Woodcrest Road Cranberry Ridge and right on i Marstons Mills, MA 02648 Woodcrest and 1st house on right. Phone: 428-2884/759-4928 I i Salesman.: Jack Erect 16 x 22 addition on rear of house. Enclose rear of garage. . - Brick patio 10 x 12 set on conc. Crawl space foundation Cathedral ceiling - covered with knotty pine. Plaster walls. Knotty pine floor. Full insulation. i F.lec. per plan - no heating or plumbing included. Cedar shingles on walls. Asphalt roof . Plum gutters and downs. Anderson Bow windows - 2 Anderson r_asements. One Possi slider, two 4 .x 8 collar ties. twe non-venting s;cyiight. Closet per plan with 6 panel door. Remove window in L.R. and install Anderson Bow. Rebuild L.R. cabinets per plans. Add counter to kitchen and wall cabinets. j j Vinyl floor in kitchen. Install pine T & G floor in D.R. Includes French door ito new room. i Project to .start on or around 11-1-84 and be complete by X-Mas. No paint, paper or stain included. i Blueprint to become a part of agreement. Deposit, completion of foundation, frame, plaster and floors, and pending agreement. 04 ' J. onkm Assessors'map and lot number ....C_...........................1 r. 1...� %THE r Sewage Permit number ��� M �� �. ....... d`�P��............................ .... .... Z BAWSTABLE, i House number ................. ............................... y Maas .a............. p p 1639. TOWN OF. BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... .............................. TYPE OF CONSTRUCTION ..........` ............. ..`.:`.... ..................................................... ...... .. .... 1r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location ...... ..........W....Oo°�....e /!S ��1 � STIJn/�1... .....................................1 ....................... . ............................ 77 Q ProposedUse ...... ! f./ ....4!!...................................................................................................................................... ZoningDistrict " `.....................'.. ...... ......................................... ire District ................... ....................................:.............. Name of Owner �.t.!!.l e/..Kl.!¢u.��/..:....................Address ......... . !`a-.:...................................................... Name of Builder ............Address 3.. 1. vv: ......... �,�' :............. 19 Nameof Architect ... .1.. ............................ Address ......./v .................................................................. Number of Rooms .........................................Foundation ... ..`..`� CvNCr� /� Exterior (� It ' ..._.......Roofing ...... {�h��f..... .................:.................!-.. �:�......................... �................ ..;� Floors' G f .......................�r. .................................................Interior ...................,.........................:...................................... Heating �` t'X .. ...Plumbing ............................................................................ ....... :.............................................................. Fireplace ........................ .........`..............................................Approximate. Cost ........ 4 Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ........................ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH , F i 'yw 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. i 0 Name .....�.1....... ............................................. Construction Supervisor's Lice ...��:�. . <7 �.: ....... BAUGH, MICHAEL A=30-74 No .27077..... Permit for ....Buld..?dd�.t7R>1. Location ...Lot 117r..... Owner ..... Chael Ba>.il................................ Type of Construction ...Frzme............................ ...............................................:................................ Plot ................... Lot .......... Permit Granted OCtOber 10f...............19 84 Date of Inspection ....................................19 1 Date Completed ..................................... .19 +! - r � tX:r5 r . M. waoc�.i ems r � PLOT FLAIL A ME .. - �1VS71nfG• FouuD..�'-+' .3�gt3 ' . �io�ert �- , r ---�CL�. lI�V3aK'•E7rl�Ti,�r h'�-'� ow � . . •. .. .,,. \ 2y 00 wwRc`c�p�x By � Y ,_. .S -�V � .... ..,.....• n., >4x_. a. a •.i.i$.,. � � ,... o .. `.. ,3� .. .. � .. ....,j .. :''l ..3�.. �..Y. ...�.::. <Y.-t'"1. , GRICK MTro avers;. tiu. _ 9=C� li-T13�1 YS'.'.%r i a;rft: �� ' P +'�..._ � �1 Irks•• 12a.r.1 tiety.Prd'e Fsue>E I •.;',*.1.� t�l:_'!!til',s)t'i}; - �'At.C- Lt4!.ci.'/ t Qa„. �� ,. _ ., . . I CtJn '.- tic k�ant t�-. k � Nc '• �11it116•ROEttA '� i Ze1v,04 L. !C 10,t,M;J' •r Try A&W lin:, ti. Acfi7�•_ l-S �WCfi'r. :hG4..:��Tl.. .f-'EN tR�- -N. j . P,Nf KLCOP- Ce.0 1U( PLA rctt'tCAlE.� �GHKI:c•� - y " ' - �i� wtE`t.)CRB:eSNRtx.- �iin RdPr1 1105.•` 1} - �•�.-+�. !' Nnnl �tr r,tuL Itt�e�75 fz6TO M15TALL IX(. T 6%fart OrJ'E�GSTAI//rnL•t. FEi'oR �� KI NPhj 'INS71!-LYM�.(J M1ID ert I\,.iY Gt.t7hR -r•AUCtc. �j No neAr-' br Ci(M�v11i1{r �l Y CNCW IhIRV, E..C(L 9.5. Syet w Ib SttDP4Y. F)0ueaS S Ei;ooK - �1 i-LPOp ON Ei+Cr1 CUD Y)F'1eut2SG.�' jji�j' {, INriTIILL RAISEcI.P/K�lfy.h Dd Pn/•Cx tAr7i . 1 rr� :I'�'Lx't''rD flCcrat-t7i�� %µ N[w dobRS�t_ f( �• , . d 1101) .SET bG zR I eS x� /3eTur€t a: eacrt ram. c ,5. fl.I ix (t OD !ST a LOAL{ eFtailJ Ct�CkP►1 LM Ov ,_Da"'fiq.UrUSaR"(iA2W Cf1t 5?Cr% rn+-M aoor. -ro 6e" rime -fo nrarN f 1 I 1 �a :N14►�tRS Al r : iD'woopckeST kD TOWN OF BARNSTABLE BUILDING-PERMIT APPLICATION _ Map Parcel Permit# b Health Division _ / Date Issued Z z8 Conservation Division. Fee Tax Collector 4ft,f��► �l 6 y Treasurer Planning Dept. S Date Definitive'Plan Approved by Planning Board Historic-OKH Preservation/Hyannis P 1 t , Project Street Address Village O 19 Owner 9, Address � e / i Telephone , Permit Request ,e t.4K44✓3 -w Jr - 33 Square feet: 1st floor:existing proposed 2nd floor: existing proposed Total new Estimated Project Co4 3f�g District Flood Plain Groundwater Overlay Construction Type ilk Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. • Dwelling Type: Single Family U Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count. Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other ilk Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing O 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 BUILDER INFORMATION Name r� s�. _ �Q Telephone Number svc `���Y- -7 Address . ' License# U t/°� d'�S" �A�f4r z s Al 1,5 a Z-4 _ Home Improvement Contractor# .1106A3 Worker's Compensation# — ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJ•ECT WILL BE TAKEN TO T F SIGNATURE DATE FOR OFFICIAL USE ONLY 5 r' PERMIT-NO. DATE ISSUED • MAP/PARCEL NO. ��,' ✓ . ADDRESS, VILLAGE _ OWNER' DATE OF INSPECTI ' : FOUNDATION ." FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ofIME AA,i, ' ti • y��. °� The Town of Barnstable • anxivsrnsi.E. • Department of Health Safety and Environmental Services ''rECMa�° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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: W tiYtO�'� / �l�lA��e- ' � Estimated Cost Address of Work: q 1 Owner's Name: M 1 eL& leiL► 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: D tou h47 Contracto ame Registration No. OR Date Owner's Name q:fonns:Affidav The Commonwealth of Massachusetts =•� Department of Industrial Accidents -- = 011lceollasesu,�adoos _ 600 Washington Street - Boston,Mass 02111 Workers' Co m ensation Insurance Affidavit name: I ocation city I f hone# l r • 7 ❑�,�I `a homeowner peribrming all work myself. L7 1 am a sole proprietor and have no one in any achy '�i� 'r�//'%/O�%'/l0%/%//� '///O//� D/p ///%/U/%/%/i '�i�G '////////////'/d//%//%/O//i'/////� //O/////l0%////O////////////l/%/%------%%/� ////////�� 1 workers'compensation for my fploytxs working on this I am an Dyer]?1�'l jab. : } : : :};:}.:??:.:;.}}}:.::.::;:.;:::;:;::::;:<:;.:;;:;:Imn ay::...` e t OII M ci :.. cv` of i risuranc ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have workers co ensation olices: :................................................................ o :.....::.:.:. ..............................:............:.................:.......,................,..:,.:.,w,,,..�.:.::.:::::::.; foll p............ .........the ......... ..................... :........,.::::::......... . X. :...:.......::...: ao .......... Lire ....... ........ ....... ....ry......................v..:::v::n....:.:::...::••:•:::•:::::v::::::::.v:::::::::::•:::;..' «.:::w::::::::::•::•.......:::....n...•w::::.......A.nv.v.v.vv::::?4}:.:. ..n........v:v..........w:f.•...........::w:/.•:::.:.......................v:w:::•..n... r.. r.r...................................... ...................... ............xr.....................,.r........r. hone. .:.:::::::........................................................................ };.r::;:<:,:::.} Xx .v............ .n..........•. ....n...........•.................................. ....n............- .... r.......:.?v:::::.v::::-•,:v:::::•v;Z,......vv,w:'::::.- ,:v. v;:.::...... .::....v::::v::.v:r?..:•}•fw:::::::::.v:::::n}}::.�;.}:J;^}:.}}:•}}}}}}}}}:.}::::•::::::::::•::.:�:n......-.v::•:::::•::}::.v::::.v::::. �.:.:.:.:.........:. .......::..:.:.:......... ..............:.�:+'::-::•::::::::::..... r<}r. X. ;:;s` a h .. ....:............. 6 ..................................................... -.... o .::.:.:::::.......... :.....:.::. Failure to secure coverage as required raider Section 25A of MGL 1S2 can lead to the imposition of e:tminsl penalties of a fine up to 51,M.00 and/or one yes,imprisonment as well as civn penaltiesin the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statemumt my be forwarded to the Office of Investigations of the DIA for coverage veriScatiom I do hereby certify raider the pains mrd p ojPerjury that the infornration provided above is trnr�nerd correct Signature Date �T�7 c)'Z� --7 Print name rVU (�q^ Phone# -7p� 111110-1-111111 XXXXOMi official use only do not writs in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Boani - ❑checkif immediate response is required ❑sdechnen's Of Ace _ ❑Health Department contact person: phone#; QOther ory&W 9/93 PUu jUce BOARp OF BUILpI G REGULATIO�N(6S Number: . Mbe: CONSTRUCnON SUPERASOR- CS 049a25 Wires:C1rJ12002 Tr.rm; 15920 ResMct9d To 1G GREGORY C VARJ AN s' 9a MOCKINGBIRD LN. - 41ARSTONS IwILLS, MA 0260 � t Administrator �':• � pOtlE T OV�1lENT,CONTRACTOR " isti io 10023 DBA ' " drat On 0/02/00 -lit F '6RE60RY'C`.' AR7IAN BUILDER' OC N6_IRD - MARS ON MTS NA 02649. TOR �` �> Ong S� f-c, ct/��coQow C? cJ eao�er-S S � �oH