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0022 WOODCREST ROAD
3 0 �� J t-t'e �Ns�'�Ti owl -�/�9/my L=� {�tTC N EN T'z►'�ER �iN� c��!/�T�'Y$ �� f�L�IJ'La''(I� c�S� ��N�,�� �ST�-� �z�� �►�� �,�� �Na ����-r s�aE aF SSE. �b q��T,�� �x�Szs. S��c— �t cs_ W�.�-I� .�---• 4 t t G' L- t ff('. i` (. E'. .i �_: i r ALTERNATIVE I WEATHERIZATION .Date C; -n U3 Town of Barnstable 00 200 Main St. z en Hyannis, MA 02601 w Re: Permit# �� 9 ;:.jai`:::/J'l�s. . • • ! . The insulation work ato�OZ has been completed in accordance witH.-, Agency work) erformed for ;R'e�arA: Timothy Cab alb.:::: President CSL-105454 58 pICKIN50N TREBf I FALL RIVER,MA 02721 I (.508) 567-4240 I ALTEPNAnVEWEATHERIZAnONOGMAIL.COM ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Applicatio Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address A9 Village ftiarl4m /M l t S Owner m MarG-;e& Address c;&q W xlal rn-l-dd Telephone J 501^ `27IV - 0 to&S, maz"d !l A,115 Permit Request-i►r' A&W& ,-A—6-0 1aS'P A- 4j#%C 6'y AMC L&&A y 0f 6-t VJoe � CX W &J En Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Yht 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 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 RooaCount Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 2 CD Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood; oalove&Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Bern: C exis nb *ew size_ Cr Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address G J License 14W A4 0,9 72 l Home Improvement Contractor# 7,S6 V3 I ,Bc Email �{ �IC.�V 'ZcZ�-j Worker's Compensation # _a 7 / aJ - ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR6JA DATE_�/ � FOR OFFICIAL USE'ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. f ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION F FRAME INSULATION FIREPLACE If, ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING DATE CLOSED OUT Ik ASSOCIATION PLAN NO. DocuSign,Envelope ID:292B6997-887A-40EA-BOF9-7C3CFCB93B6F Town of Barnstable Regalatory Services ' Rich"'V`.Scab,Director %659. o Ru iing.Divisiou Tom Perry,Bulling Commissioner 2.00 Irwin Sit,Hyannis,_MA 02601 ww w.town.barm5tabte n-a.as Office; 508-8624038 'Fax: 509-790.-62.30 Property Owner Must Complete -anal Sign This Section If Usi:> ABL"*lder I Amy Manfredi, as C:lwner of,tie'sub-ject pxapery hereby aurhorize - Q. to,ae ,ou my behalf, in all matters relative to work authorized by this buil&ig perantapplic:ation for. 22 woodcrest Rd. Marstons Mills ma. 02648 (Ad.dress ofjob)� Pool fences and alarms are the responsibility of the applicant. Pools are tiot to be filled or utilized before fence is installed acid all fii-iJ— inspectio,ns are performed and accepted. cDocuSigned�by: i,natty o t:J rt1�r Si ature of.Ap'pka t Amy Manfredi Prim Name Print Nauke 2/9/2018 1 10:54 AM EST Date I Q:FORMS;OILRNTFRPERlv[LSS1.ONPOOLS 9 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERAUTTING AUTHORITY. AAvulicant Information Please Print Legibly Name (Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC. Address:2 LARK STREET City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): 1.�✓ I am a employer with 16 employees(full and/or part-tlrrre).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3711 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Q Building addition 4.F1 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 14.❑✓ Other I N S U LATIO N 6.❑we are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no 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. I am an employer that is providing workers'compensation insurance for tray employees. Below is the policy and job site information. Insurance Company Name:STAR INSURANCE COMPANY Policy#or Self-ins.Lic.#:0849257 00 Expiration Date:4►'//4//1�8- f,,� /! �y, Job Site AddreS4� (/�/ �^G�' /`�• City/State/Zip:/ WI//f/o r \ `/f` r` 1'k, Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration dates. Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un31hins an a 'es p rjury that the information provided above i true and correct. Si mature: Date: Phone#:508-567-42 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#: I ALTEWEA-01 SNERONHA ACORN' FIDAOTE(MDDMYYY) CERTIFICATE OF LIABILITY INSURANCE 5 MI12612017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomemen s. PRODUCER ACT Christine Caste - Mason&Mason insurance Agency,Inc. Iarc w,Ext):(781)523-0067 (Fare,No): 468 South Ave. E MA Whitman,MA 02382 ccosta@masoninsure.com INSURE S AFFORDING COVERAGE NAIC 0 INSURER A:Evanston Insurance Co. 136378 INSURED INSURER 8:Safety Insurance Company 39454 Alternative Weatherization,Inc. -INSURER c:Star Insurance CompanV 118023 2 Lark Street INSURER D: Fail River,MA 02721 INSURER E INSURER F COVERAGES CE TIFICATE NUMBER: REVISi N 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. NOTWITHSTANDING ANY IiREQUIREMENT, 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. INSR TYPE OF INSURANCE ADOL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X (COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE s 1,000,000 �'i, DAMAGE TO RENTED s 100,000 CLAIMS-MADE OCCUR 3C42088 06/07/2017 06107/2018encel MED EXP(Any oneperson) S 5,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE Is 2,000,000 HiPOLICY n JE& LOC I PRODUCTS-COMWOPAGG is 2,000,000 1 OTHER: ' 5 COMBINED SINGLE LIMIT 1 1'000,006 B (AUTOM0131LE LIABILITY ! I ( i S ANY AUTO i 6237702 (0410812017 0410812018 BODILY ItuuRY Per �_ OWNED SCHEDULED ! ~1 AUTOS ONLY qxx AUTOSBODILY INJURY Per acddent'S XHIR�pNON.pbvNEp I DeOraEtCiRtleti AMAGE 's AUTOS ONLYAUTOS ONLY 3 i ( I is A UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 1,000,000 EXCESS CLAIMS-MADE OBW6619616 06/07/2017 06/07/2018 AGGREGATE S 1,000,000 OED RETENTION$ I S C WORi(ERS COMPENSATION X PTR r OTH I AND EMPLOYERS'LIABILITY YIN084925700 ! 1 ANY PROPRIETOWPARTNER(EtECUTIVE C 0849?57 00 04/0412017 i 04/0412018 500 000 RCERJMEMB R EXCLUDED9 N I A( E.L.EACH ACCIDENT s 600,000 Mandatory in N ) E,L.DISEASE-EA EMPLOYE 3 IfD SCRIPTI yes,descriON be underOFOPERATIONS below E.L.DISEASE-POLICY LIMIT S $00,000 � 'DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Addidanal Remarks Schedule,may attached If more space to requiredl (Action Inc.and National Grid USA,its direct and indirect parents,subsidiaries and affiliates shall be named as additional insureds on Commercial General (Liability policy per terms and conditions of forms CG2010 and CG2037 and Commercial Auto Liability policy per terms and conditions of form SCA 005(02 16).Forms Available Upon Request. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN National Grid ACCORDANCE WITH THE POLICY PROVISIONS, 40 Sylvan}toad Waltham,MA 02451 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ~ �rUTS°a ft} Don sY pei."4 Sot • � �~�1:10?iiL Rii�R: � � ! Jt 'kl' .'�a « J - _ - - is .'� Office of Consumer Affairs and Business Regulation 10 Pain Plaza - Suite 5170 Boston, Ma usetts 02116 Home Improveme�i�f-�actor Registration ' - i Type: Corporation Registration: 1756M ALTERNATIVE WEATHERI7ATION,INC, 2 LARK ST f = gyration: '05/28/2019 FALL RIVER,AAA 02721 ` Update Address and return card. Marc reason for change. SCa, 0 2Gu-05111 __... --'-. ___.........-..._.----......._ .......__...................._..-.._----------.._..._..___. Q-AAAWaa n Rpn,aval 11 Fn.n]D;repent f-1 Lpst,flArri-- Office of Consumer Affairs&Business Regul"an HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corvoration before the expiration data N found return to: $ � Office of Consumer Affairs and Business Regulation �. f = +t7 05J28/2019 10 Park Plaza-Suite 5170 - `\' Y� 'L ' iY• ALTERNATIVE V iRfi;ti=R1.ION,INC. 5,MA ,0211161.TIMOTHY CABRAL ,2 LARK STt \ ~FALL RIVER.AAA 02721 Under0 8t1Jt@ I R 2 6-r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �JO Parcel S Application Health Division old Date Issued Conservation Division J1 ,� , 0�, Application Fe Planning Dept. gyp„ ���a Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 2Z i_J000 gC-CR a � �OB Village N^qs-\00% .Jkyu_% Owner Address ZZ ( 1)ooCY' ia�O Telephone Permit Request Square feet: 1 st floor: existingUQC proposed 2nd floor: existing-74%_proposed Total new 0 Zoning.District Flood Plain Groundwater Overlay Project Valuation O Construction Type- F Lot Size GZ, Grandfathered: ❑Yes ❑.No If yes, attach supporting documentation. Dwelling Type: Single Family 5( Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 14'No On Old King's Highway: ❑Yes `f No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) C) Basement Unfinished Area (sq.ft) \ZO G Number of Baths: Full: existing 7- new Half: existing O new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 4Gas ❑ Oil . ❑ Electric ❑ Other Central Air: ❑Yes N/No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:4existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: O existing ❑ new size _ Other: Zoning Board of AppealsAuthorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ®/No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 'll'l ZZ Address c, uoils ul� License # C�►�j3Z 56.Zc.QN0A1 1�14A Home Improvement Contractor# Email wag WAZZY—Q9-OV e_CnkkC4�: Worker's Compensation # ALL CONSTRUCTION DEBRIS R SULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED -` 1 I MAP/PARCEL NO. ..-ADDRESS VILLAGE �) OWNER < DATE OF INSPECTION: �t FOUNDATION FRAME INSULATION r t- FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL E GAS: ROUGH FINAL FINAL BUILDING k r DATE,CLOSED-OUT ' ASSOCIATION PLAN NO. r `K -77to Commoinvealdt of-Massad�tusetts. hep aa'hraerrt afludustrid Acciderdg Q,f ice of linw-rtigataorts _ 600'Washizigion Sltreet _z y Boston,AM 02111 fviviiA.wamLgor dia 'Tark-ers' Camp ensafianIusuranceAffidavit~gmldexsifuatmdursMectdciaus/Phmihers AppEcantInfaimuttian Pleas eFnnf Ledbly _ Name i(BusiIIe�sAOzgan onlFat ideal} :Qd'1 �.1/'C�� �Q�FASS\0 ?JGac�.S Address: tL L&M 3J C.JOLiQ IG S ls.� C1tgfStatrJZig Phone' S� —►��1 Zq�Z Are u an employer?Cheektheapprapriateb= ' Type of project r 4. I am a general contractor and I P ] ( �I �'= I_ I am a employer wig � ❑ g 6. ❑ e�coms8uctiog employew(full an kor part.-dimes* lave lured the sub-contactors 2.❑'I am a sale propdetor orpartuer- Tested oatlie.attached sheet.. 7. Remodeling ship and have ao employees nese sub-contractors have 8_.❑Demolition. working form in any capacity employees a-ad have mockers' 9. ❑Building additioa [Na tcazkers' comp.insumace comp.inwrauml required-] . 5_ ❑ We are a t;orpmmlion and its 10.❑Electrical repairs or additions 3_❑ I am a homeowner doing all;work officers have e=dsed their 1L❑Plumbingrepairs or additions. myself_[No walkers'corny- ri&t of exemption per MGL 12[_1 Roafrepairs imur ceregaiLed]l c.152,§1(4k andwe have no, employees-[No wadcers' 1311'Other coal_msurance required.Z �AayappEicratmstciaeckiboz�lt�stalsnfilloafth�secBoabeiAwshmdagitieawar}tedcompensaSaapo&eyiafazm�oa. . IM. memnemwbo submit d dr.af5darif indicatin- sacTi rC3mtmcm ff at cheA thii box must altadmd=additianal sheet s1wwfngthan=ne of►he sob-camtrzc/brs xnl sWe whether arnatfhnse eaddeshave emplayees.Tfthesfb{aatractacshzve emplgees,theyn=prm.-ide their worken'ramp.polio ntmbm lam aza entpLoyer tbrtt;is prouiduzg workers'compensa(ian insurance for my eirrgAua ems Re£ow is Aepoficy and job site inforraa om InsuranceCom.panyName: M XZR&ta Policy#orSelf-ins.I ie_ (,c- F-kpiaationI?ate: PQQs.c Job Re Address:)7 W t�O�� Q�,rxC7 e�ylstate«p: cQc� l..l uu,5 Affach a copy of the warlcere compensationpolicy-decIaration page(showing the policy number and respiration date). Failmre to secure coverage as requireduuder Section 25A of MGL c. 157 can lead to the imposition of criminal penalties of a fine up to$1,500:Oa andFar one-year- omment,as well as civil penalties in the fora of a STOP WORK ORDERand a foe: of up to$250-M a day against the r. Be adrised that a copy of this statement.rnay be forwarded to the Office of Iizvestrgati ons of the DIA for' c coverage-von- 'Ida heraby csrfify UJUICr tlg zs ands pszinffies ofpejzsry f=tths izzformafiazx proi*&d a5m e L &ua wid correct Sisnaturer Bate uom zS ls:� Phone ik tJffidrd use azz£y: Da uat o-t rzta ir7 tfzis areQ,to Ile roznp£eted by'city artpn a a,j`icirzL City or Tonu: PermibMicense 4 Issuixtg Autharity(circle one): L Board of$eaIth 2.Building Department 3.City/rown alerts 4.Electrical Inspector S.Plumbing Inspector b.Other Contact Person: Phone#: — -- 6 Tuformation and 1ctstruc ens llSassachusefis Geheaal Laws chat,,M re-all an Moyers to Provide warikeas'compensation far t heir c=PIoyees- Pvraaantto this,an enrplay w is defined as."_.e7erype2s6n in.the service of another ender nay contract oflilres express or imp]ie-'oral or wryf Au.erVTayer is defined as`an indit- a partnership,assocrab vn,oorporatton or other legal C Y,or any two or more of the foregoing enga$Cd m a joint ,and inclndmg the legal FeprescLtdivm of a deceased e12: l0yer,or the receiver or trustee of an mdiVidnal,PMtle�,association or other legal entity,employing e3Ployexs. However the owner of a dv,eIIii?g honse having tier mare fhah three•apartments endvvlho resides theacin,or the occupant of the- dweHin.g house of another wlho employs persons to do mamtmance,consfructian or repair work on such dwelling house or oil the grounds or bm7dmg r�agpi ttTierein slannotbecanse of such emplaymentbe deemed to be an cniployea." MCrL chapter 152,§25C(6)also sides that-every stain or IQ cal five Mbig agency shO wn hold$re issuance or renewal of a Iiceuse or permit to operate a business or to construct bt�dmgs in the commouePealth for axry applicantWILO has notprodnced acceptable evideum of compliance with the insurance coverage required." Addifionally,MCrL chapter l52,§25C!M states 6ldeither the commcavmahh nor any ofits political subdivisions shall enter into any contract for the perfomxaace ofpublio work u�1 acceptable evidence of cohnpli�cevritli the insurance. requirenie�s prese of have been �ed in the confractrng.�houty." f this capf Applicants Please fa o:o± the W ers ork 'comens pationffi adavit completely,by ch=&i g the boxes that apply to your siination and,if necessary,s�PIS'sab-contractor(s)name(s), addresses)and phonennmber(s)along w1ltiheirc rffica�(s)of instnmmce. LimitedLiabdity Companies(ILC)or Lmzttnd.LiabhlzfyPartneashrps(LIP)vvith.no eInpIoyces other than the members or par[ne�are not req�ed to carry wo�dcessl compensation ins-[aance If an LLC or LLP does have empIoyees,apoIicyisrequhed- BeadviseA that this af&da�maybe snbmi�edtotjheDepartmentoflndvstrial Accidents for confirmation of fiml=ee coverage Also be:sure to sigxe and date the affidavit. The affidavit should b e•r•et>mme�too tihe city or town iha�the application for the permit or license is being requested,not the D eparers of RVft0trial Acc7.d=tS. Shouldyou have any gnmdcw i, g the lave or¢you are rcgaix d-to obtain a workkers' comppensationpolicL please call thdDepartmenf of t9iennmb¢Iistrdbelow self-msinedcamPanies should eat-Z 1hea li=we;nan ber an the aPpropriatn Ame. City or Town Officials Please be sure that the affidavit is comPlete andpr�dlegr�ly. Tlhe DePartmerlthas provided a space at the c n ofthe affidavit for youth frIl oiA in the event the Office ofInvestigadi❑ns has to coatactyon.reg-�gihe appllicantt av Pleas e b e sure in Ell in the pe�itlIicmnse ntmhber which Will be used.as a refer=ce numbar. In.addition,an applicant at must submit muAtiple p exmit/licwse applitafions is any given year,need only submit one affidavit mdiratm g cuzrent th p olicy inforraatiaa (if necessary)and ffider`fob 5"�e a_d&cse the applicant should vote"all locations in (�Y or town):'A copy of the•affidae.thathas ben officially stamped.or marked bytT Lin city or town may be provided to the ' applicant as proof•that a valid affidavit is on file for futnre•peunits or licenses_ Anew affidavit mrxst be fMed oil ea.r�i relai�d to,any business or commercial ve�h� year.Where a home owner or citizen is obtaining a license or pmnnit not a dog license or peanit in ln�Ieaves etc.)said person is NOT ruFdred to ealq'OD this affidavit The Office of Invest�gatinns would Elm to thank you in advance for your•coopedion and sbouldyon have any gaesilons, please do not hesitatr-to give us a call The,I}ep artme lls address,telephone and fax nmaber_ . Tile ca=our th of chn tfs IIega�ment of 1iid�fdal Acckdenis face of lnvotio- • �4�a�ngEan S`�ce�t Q11F Ta 617-727-4900 cxt 406 ar 1-977 MA S&kM Fax#617-`27 7M Kevised¢24-07 —(� Office of Consumer Affairs nd Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 184481 j Type: Supplement Card TRADEMARK PROFESSIONALS LLC Expiration: 1/21/2018 MICHAEL BAKER 4 MOON COMPASS LN. p SANDWICH, MA 02563 Update Address and return card.Mark reason for change. sCa,i Co 20M-05/11 [� Address ❑ Renewal ❑ Employment Lost Card �c T(.•nin7rruirrueli���c/rC�Jllri.IJrrr�rrrr/Lt C-XOffice of Consumer Affairs&Business Regulation License or registration vah for individual use only %~ tfi3OME IMPROVEMENT CONTRACTOR before the expiration era . If found return to: XRe9 istration:.,_184481 Office of Consumer Af rs and Business Regulation Type: 10 Park Plaza-Suite 70 r J� Expiration::1/21/2018-. Supplement Card Boston,MA 02116 TRADEMARK PR&ESSIONALS:LLC MICHAEL BAKER 4 MOON COMPASS LN.• _.— SANDWICH,MA 02563 - --- Undersecretary Not alid without signature 1 'ma's achu set ts Gepar*mrfr . . Board of Building Regulations and Standarcli.•_-.: License: CS-093325 Construction Supervisor MICHAEL B BAKER. 4 MOON COMPASS LANE SANDWICH MA r02563 =. s ^� 1 Imo' o n ,S' �/�— Expiration: Commissioner 08/06/2017 SINE ToWn of Barnstable Regulatory Services Richard V. Scali,Director " Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I INNAk M IR2�\ , as Owner of the subject property hereby authorize 1,k\CNNk-V-J-- PK—R- to act on.my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant AY\A.A VA#Vvx:,9- Print N21ne Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services �VHGE rqk, Richard V.Scali,Director ti Building Division BMMSTABM t Paul Roma,Building Commissioner 1639.' m 200 Main Street, Hyannis,MA 02601 `rEn MAC www.town.barnstable.ma.us_ Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occu2ied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, . bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community.. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 I TradeMark Professionals LLC 4 Moon Compass Lane Pat & Amy Manfridi Sandwich, MA 02563 22 Woodcrest Road trademarkprof@comcast.net MarstonsMills, MA 02648 508-717-2982 �. coo ®, N CO o Existing Laundry Room 53 sq ft TradeMark Professionals LLC 4 Moon Compass Lane Pat & Amy Manfridi Sandwich, MA 02563 22 Woodcrest Road trademarkprof@comcast.net MarstonsMills, MA 02648 508-717-2982 I B36 I CO co _o N O 0 (D N I O Proposed Laundry Room & Half Bath 53 sq ft as �� Manfridi-Residence TradeMark Professionals 22 Woodcrest Road Marstons Mills Michael baker 4 Moon Compass Lane Sandwich,MA 508-717-2982 Proposed Bath/Laundry Remodel trademarkprof@comcast.net (Egress Locations 1 st Floor) �� sees Proposed 1/2 Bath/Laundry BATH CLOSET I$ DINING LZX1" 5'-a"x 7'-11"FAMILY 1s-11 x6-9BEDROOM 17'-11"x 23'-11" 15'-6"x 11'-a" KITCHEN 9'-6"x 12'-3" LIVING 17'-7"x 11'-9" UP ,oee BUILDING DEFT AUG 10 2017 TOWN O;BARNSTABLE 1 -.MSS Pagel of 3 Listing Summary Listing #20705687 22 Woodcrest Rd, Marstons Mills, MA 02648 Active (05/15/07) DOM/CDOM: 15/0 $379,900 (LP) Beds: 3 Baths: 2 (2 0) (FH) Sq Ft: 2029 Lot Sz: 0.620ac Town: Barn Yr: 1974 Remarks <Picture �l Privacy abounds with this spacious Country Cape! Deeded beach rights to Long Pond and boasts 7 rooms, 3 ' bedrooms, 2 baths, and a 23 ft. x 17ft. family room that has recently been updated . Laundry on first floor. NewerY roof, newer furnace, updated kitchen.Convenient circular driveway. Additional Pictures 1 s � Pictures 13 Attached Docs See Map Agent Lorraine P Fallon 3 (ID:UOKE)Primary:508-398-0600 x8203 Office Today Real Estate(ID:TODY)Phone:508-398-0600,FAX:508-398-0684 Property Type Single Family Property Subtype(s) Single Family Status Active(05/15/07) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 3% 0% No Facilitator Comm 39% Listing Type Excl.Right to Sell Owner Name Scott County Barnstable, Tax ID 0 Beds 3 Baths (FH) 2(2 0) Approx Square Feet ' 2029 ' Sq Ft Source Field Card Lot Sq Ft(approx)., 27007 Lot Acres(approx) 0.620 Lot Size Source (Assessors Records) Year Built 1974 Publish To Internet . Yes Listing Date 05/15/07 'All Office Remarks Appointment req.call Mike Karras at Ext 8205 in listing office to schedule showing,as home is occupied but very easy to show.House shows beautifully,it is a pleasure to show. -Directions To Property _ Rte 28 to Santuit-Newton to left on Asa Meiggs,left on Cranberry Ridge,right on Woodcrest to#22 on right. Listing Page Commission-Other Facilitator comm.same as buyer Showing Instructions Appointment Req.,Call Listing Office,Lockbox,Yard Sign General Page Zoning residential http://ccimis.raprnlsx til/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME= 5/30/2007 Mt. Page 2 of 3 i Year Built Desc. Actual Total Rooms 7 Total Levels 2.0 Basement Baths 0.0 Level 1 Baths 1.0 Level 2 Baths 1.0 Level 3 Baths 0.0 Basement Yes Basement Description Bulkhead Access,Full Foundation Concrete,Poured Fndation Wing Width 0 Fndation Wing Depth 0 Irregular Yes Lot Depth 0 Lot Width 0 Topography/Lot Desc. Level,Wooded Association Yes Annual Assoc.Fee $75 Assoc.Fee Year 0 Garage Yes #of Cars #1 Garage Description Detached,Door Opener Parking Description Paved Driveway Year Round Yes Separate Living Qtrs No Waterfront No Water View No Convenient To Conservation Area,Golf Course,House of Worship,Major Highway,Medical Facility,Shopping Miles to Beach .3-.5 Water Access Lake/Pond Beach Description Lake/Pond Beach Ownership Deeded Rights Street Description Paved Interior Page Fireplace Yes Number of Fireplaces #0 Master Bedroom 1 3x 11 Level:First Floor Bedroom#2 16x10 Level:Second Floor Bedroom#3 18x10 Level:Second Floor Foyer 8x5 Level: Laundry Room 8x6 Level: Living Room 18xl1 Level: Dining Room 13x11 Level: Kitchen 10x9 Level: Family Room 23x16 Level: Floors Other,Partial Carpet,Tile Exterior Style Cape Style Description Expandable Pool No Dock No Exterior Features Deck,Exterior Lighting,Fenced Yard,Storm Doors,Insulated Doors,Storm Windows,Insulated Windows,Outbuilding Roof Description Asphalt,Pitched Siding Description Clapboard,Shingle Mechanical Heating/Cooling 2 Zone Heat,Natural Gas,Gas Fireplace,Hot Air Water/Sewer/Utility Cable,Septic,Electricity,Gas,Town Water Hot Water/Water Heat Electric,Tank i http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 5/30/2007 NI-T S Page 3 of 3 I Legal/Tax Annual Tax $2080 Tax Year 2007 Land Assessments $158800 Improvement Asmt $197900 Other Assessments $10300 Total Assessments $367000 Annual Betterment $0.00 Unpaid Betterment $0.00 I To Be Assessed Unknown Mass Use Code 101-Single Family Title Reference-Book 20238 Title Reference-Page 179 Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint Unknown Flood Zone Unknown Information has not been verified, is not guaranteed,and is subject to change.Copyright 2006 Cape Cod&Islands Multiple Listing Service, Inc.All rights reserved Copyright©2007 Rapattoni Corporation.All rights reserved. I http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 5/30/2007 Parcel Detail Page 1 of 3 xq NE Logged In As: Wednesday, M2 Parcel Detail Parcel Lookup Parcel Info ..............._..__....................................................._-........_........................................................................................................................................ ,:..............................................................................---..................................................._......................._..... Parcel ID 03O-O75 I Developer LOT 116 Lo Location 22 WOODCREST ROAD I Pri Frontage 1135 Sec Sec Road Frontage' ................. ---...._........-......................................_.-........_..................._..._........................................---...... ................. ......................................... .... .... _.-...................................................................................__..... village MARSTONS MILLS Fire_District 11C-O-MM _.................... - ____.............._......................--------'--'-" . ---........._.............._._._._....................--.....-........... ___ l ...................._.--.............................--........................................... Road Index 1 ._................. Sewer Acct 3 1870 Iriteractrve Map Owner Info _... . -----_..... . '---........................... .......................... ................_. ................. .................... .......... ......,................... .. .... Owner ISCOTT, MARY VAN ATTA TR& . I Co-owner SCOTT, MARCIA A ...........--------.....................................................................-'--.._............._......---............................__...-_........_.. _._.................................................................._...... ......... ....... ..............:....... .............. ....... ... ........ ........ ....._.:. Streetl 122 WOODCREST RD I Street2 City;MARSTONS MILLS State AMA zip 1026T 48 Country Land Info Acres 10.62 use Single Fam MDL-01 I zoning RF Nghbd 0105 Topography ILevel Road FPa a Utilities IPublic Water,Gas,Septic I Location _ Construction Info Building 1 of 1 I.. . ..S.......h..i. ......................... ....... RGablH Ext Wood Year 1974-......... Soof e Built Wa . I Effect 2360 I Roof Asph/F GIs/Cmp I AC None Area Cover Type Int _—-._._.._._..._:._:..... u ......... - Bed Style ICape Cod I wail IDrywall I Rooms I3 Bedrooms Int Model Residential i Floor Hardwood—1 Rooms 2 Full Heat Total Grade Average ' I Type 1 mot Air I Rooms 7 Rooms http:Hissql/intramet/propdata/ParcelDetail.aspx?ID=1918 5/30/2007 Parcel Detail Page 2 of 3 � ^w stories 1 1/2 Stories Heat Gas Found- Poured Conc. a I Fuel F ation I g' li13 Permit History Issue Date Purpose Permit# Amount Insp Date Comm 9/1/1987 B31252 $8,000 1/15/1988 12:00:00 AM MM GAF Visit History Date Who Purpose 12/14/2005 12:00:00 AM Paul Talbot Meas/Est 5/12/2005 12:00:00 AM Paul Talbot Meas/Est 2/17/1999 12:00:00 AM Donna Dacey Meas/Listed - Sales History Line Sale Date Owner Book/Page Sale P 1 9/7/2005 SCOTT, MARY VAN ATTA TR& 20238/179 2 5/27/2005 SCOTT, MARY V 19876/139 3 8/30/2004 RYDER, JOAN M EASTMAN 18983/155 4 3/15/1993 RYDER, JOAN EASTMAN P0049EP1 5 RYDER, RICHARD H'M-792 8846/248 6 RYDER, RICHARD H 3413/36 AssessmentHistory. - ..............:............................................................._..._..........................................-.................. .. ..............................................................................._......_.........__..........._..............._........................................._...-_....................................._..............._..................................----.._............._........ Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2007 $197,900 $2,600 $7,700 $158,800 2 2006 $176;000 $2,600 $7,900 $168,100 3 2005 $160,300 $2,600 $8,200 $114,600 4 2004 $128,500 $2,600 $8,300 $114,600 5 2003 $121,100 $2,600 $8,400 $44,500 ; 6 2002 $121,100 $2,600 $8,400 $44,500 ; 7 2001 $121,100 $2,700 $8,400 $44,500 8 2000 $95,800 $2,700 $8,300 $36,500 9 1999 $77,500 $2,500 $6,300 $36,500 10 1998 $77,500 $2,500 $6,300 $36,500 http://issql/intranet/propdata/PatcelDetail.aspx?ID=1918 5/30/2007 Parcel Detail Page 3 of 3 yi 11 1997 $82,000 $0 $0 $24,400 12 1996 $82,000 $0 $0 $24,400 13 1995 $82,000 $0 $0 $24,400 14 1994 $81,900 $0 $0 $29,200 15 1993 $81,900 $0 $0 $29,200 16 1992 $93,100 $0 $0 $32,500 17 1991 $96,200 $0 $0 $56,900 18 1990 $96,200 $0 $0 $56,900 19 1989 $96,200 $0 $0 $56,900 20 1988 $70,300 $0 $0 $17,700 21 1987 $70,300 $0 $0 $17,700 22 1986 $70,300 $0 $0 $17,700 Photos http://issql/intranet/propdata/ParcelDetail.aspx?ID=1918 5/30/2007 OF114 Tpy, Town of Barnstable Regulatory Services * &UMSrnaLE, v MASS. Thomas F. Geiler,Director �ArEDMA�A,O Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 May 30, 20Q7 Mr.-S�a Atta 22 Woodcrest Road Marstons Mills , MA 02648 Illegal Apartment: 22 Woodcrest Road Marstons Mills, MA 02648 Map: 030 Parcel: 075 Our records indicate that your house at the above-referenced location is currently being used as a multi-family home,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely, Edson sty13 men - Investigator Building Department f . gforms:zoning3 P►Ezn�r �4S a� ' � z/3o1�� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �"Z � Application Health Division Date Issued yo Conservation Division Application Fee �. Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address Z 2- VJy0 O CR-65rr g p*D Village AC(Zg"�( S Mt LVS Owner G.1 Rr=� ` ��6 >t' e-Wi L-Li hA�2 Address Z2- WOOD C e5T RP Telephone -1.3�'7 Permit Request #LTC2h f16fJ5 'ro [--12-5I F-Lwg- eaD9.WM CL-o5e% A-`t- iAxT1s2 tv P— yyc4.K-- O�✓�--y Square feet: 1 st floor: existing proposed a 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation / oa0•' 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 Historic House: ❑Yes ?No On Old King's Highway: ❑Yes *No Basement Type: .4 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) b Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z- new D Half: existing new Number of Bedrooms: existing 3 new 0 � ?; ID Total Room Count (not including baths): existing new y First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 9 Central Air: ❑Yes Ao Fireplaces: Existing I New Existing wood/coal stove:,U Yes ❑ No Detached garage:,oexisting ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ exi ting ❑4:new izeZU Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: G Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name A�_p LPrCzz Telephone Number Address 131 51-14i2 6 t?-t D6tc_ D2 License# 7 S57 3 O5TEA_\J1 lam AAA- Dz6`55- Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO BCD SIGNATURE DATE 6 / �� S • f r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP[PARCEL NO. r ADDRESS VILLAGE OWNER ; t h w !1 • DATE OF INSPECTION: - s -. ` FOUNDATION 4 _ F FRAME J INSULATION CA 12d o t FIREPLACE n ELECTRICAL: ROUGH FINAL- PLUMBING: ROUGH FINAL GAS: ROUGH FINAL' FINAL-BUILDING :r DATE CLOSED OUT ! ASSOCIATION PLAN NO.'— ! I i �, r `�'owxr of Barnstable . ' Regulatory Services ;�ucsrAgr� Thorimas F. Geiler,Director =6s9, Building Division r�o , Thomas Perrp,-CB O,•BuUdi.ng Commissioner 200 Main Sbroct, Hyannis,MA 02601 per.town.b arnsta b l e.m a.us Fax: 508-79M230 Officcc 508-862-4038 �l PLAN REVIE Map/Parcel: D30- 07.E I. 22 k>000l�����•Project Addre Builder- ss ' The faLtowing iferas were noted.on .reviewing: ------------------- Regiewed by: Date: The Commonwealth o Massach Deparbnerrt of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 62111 www mass.gov/din Workers' Compensation TnsIIrance Affidavit: Btulders/Contractors/IIectricians/Plnmbers A ficant information . Please Print Le ' Name Purin=VOrPniZati=rmdmdna[): Address: I3? �u(L Q-I 6 6-C 0 (✓C City/State/Zip: ! (t.t�: QU-55— Phone#: Are you an employer? Check the ro 5 O� Z2( "T Z`� aPP Pete box: I.❑ I am a employer with 4. I am a general contractor and I Type of project(required): employees(full and/or part-time).* have hared the sub-contractors 6. ❑New construction 2 am a sole proprietor or partner- listed on the ' ship and have no employees These sub-c attached sheet. 7. ❑Remodeling w for me m eII capacity. �lntrectors have working any ity. employees and have workers' S' Demolition (No workers'comp.insurance comp.instnance,$ 9. ❑Bu>7ding addition . required) 5. [] We are a corporation and its 14❑Electrical 3.❑ I am a homeowner doing all work officers have exercised their repairs or tiO� myself [No workers' comp• right of exemption per MCrL 11.❑Plumbing repairs or additions mstusnce required] t c, 152, §1(4), and we have no I2 0 Roof repass employees. [No workers' 13.❑ Other c�P•insurance required.) `�Y applicant that checks box#1 must also:EM out the section below showing their workzrs'compensation policy ia{nrmation t Homeowners who submit this affidavit indicating they ors doing all work and$Contractors tbat check this box must attached an addihonal shed �n hire onside eontractars mast submit a new affidavit employees If the snb-co � yees,dw must Dig name of the sob-contractors and state whether or not those ti havc actors have to PQvvide their workers comp,policy uumber. I am an employer that is providing workers compemadon insurance or informadon, f my ernplaye= Below is the po£icy and job site Insurance Company Name: Policy#or Self-ins.Lic.# Expiration Date: Job Site Address: Attach a copy of the Workers' compensation policy declaration a City/State/ Failure to secure coverage as required under Section 25A ofMGL c.Page can(showing ingad tt he policy number and expiration date). fine up to S 1,500.00 and/or one-year mlpriso� as well as civil o f a S imposition of criminal penalties of a Of up to $250.00 a day against the violator. Be Penalties in the form of a STOP WORK ORDER and a fine Investigations of the for m' suranr. advised that a copy of this statement may be forwarded to the Office of e coverage verification, I do hereby certify the pains and penalties ofPerjm y that the ircforrnation r . Si Provided above is true and correct Date: Phone#: SDI Z2( - Zt cDicial use only. Do not write in this area, to be con p(et�-d by city or town officra1 City or Town: , � Pernut/I,icease# swing Authority(circle one): I. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Insp C. Other ector S.Plumbic inspe ctor pector Contact Person: Phone#: Town of Barnstable • - Regulatory Services MASS eg Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section if Us' A—ilder . as Owner of the subject property hereby authorize E D �y to act on my behalf in all'matters relad7e to work authorized by this building permit Z L w noo • � �i� (Address of Job) Pool fences and alarms are the responsibilityof the applicant. are not to be filled before fence is installed and ools are not to be Pools Utilized until all final inspections are performed and accepted. js of Owner Signature of Applicant f'I Print Name Print Name Date QTORM :OWNERPExNssIONPODLs i i �j Town of Barnstable N Regulatory Services A•R Thomas F.Geiler,Director ' 0.19. Building Division Toni Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-40 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip-code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license;provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be,considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the buildine per (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official 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 w.hich a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a lic Supervisor. The homeowner acting as Supervisor is ultimately responsible. ensed To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt I I ' ✓lze T�anvnao�cureaCCh ✓liLaao�cfistteda � Office of Consumer Affairs&Business Regulation: I License or registration valid for individul use only TEDND HOME IMPROVEMENT CONTRACTOR before the expiration date: If found return to: Registration: ,A29816 Type: Office of Consumer Affairs and Business RegulationExpiration: .11Z812013 Individual 10 Park Plaza-Stiite 5170 Boston,M 116 V.LACE YFJR - -> �Nl�-- EDMUND LACYJR� .; 137 STURBRIDG,ED`Ri a OSTERVILLE, Undersecretary ry Not valid without signature I'V7assachusctts- Dcpartntcnt of Public S:tfct Board of Buildiol-, Regulations and Standards Construction Supervisor License License: CS 75573 EDMUND V LACEY JR 137 STURBRIDGE DR OSTERVILLE, MA 02655 " �- - -�� Expiration: 9/19/2013 ('uuuuissiuncr Tr#: 3945 I I V / �i`� .q,..,.,.,,�..A,. ---___—��,�;�'-�---..,_--- ----�_..�.___----- -----T- -=�_,..��,v,�. -�-�-.��-.�-,:::.mow - ...�.:�:::�..:..--�.�:.�..�..,—:,-�,.-.:1.:,•.:::;..o»_:.--...,..�tr�:�.�..,=.m�- - - -- --- - - - - - - - .� r f fF 1 s p mo'l i �L o!> Ff it Newv'JOtt�t,a u.>•irn.sw..._ems-a�+r�r..�e+s+�L �..e..��..�.ww-..++va -. ._. ... -.-. - .. _ -_.— J i f _�...urn...-�..v-._.+.ss�.....�,.._.+. ....o......+�-......e._..._..—..._ r..........`+.....:.....� - -n- ...o-�...,._-_...... .e.-._...._..........._.v.�.....� J t 1 ' VA tj 1 1� ' 1 �. e�v a ,I i p �y ti:r�n�G"- •,a�3 - ��' s i aka j• a F IV ILK _ • ('"� for" 17 44 . ...e .-ar.tiss�" �We ,t� -w•.t ,T C may♦ �� M, f.V.-t 47 p'�� Uc x :i y 4 r Mf X Ti f t J a.�t It y �L .tZzy It a'� 'ti��✓•-"fL�S ����t+`l � * , k''r'4 _ pf l,�#.;.+1`y� �.��°' "�.�,r,aA -. Z v t+- �' .,� w ,..,. _ r r= * tW''`�'�.x"^,� �-rim'y'�, t•�--R r 4111 3 ,� -ul f iT?- � g� a q 1 -ilk k.y-.»»....._ -tea..._v a:...r-._.c..._�.-a.....��....._n._....�_,...�1... .,..a._...-.. +�,....._-.._,.....��....._.a ,....., u er.. _.�� —._�+s.......,._..._.,�.........,-.r,�.-,-�._.�.»w...,.�-•�..,�....,.�,�..�........ -_ � , vec I 33 i i i i TOWN OF BARNSTABLEAUILDING PERMIT APPLICATION VL Map !E;7 Parcel`,,-,'0-7. .,,!Applicatioh # Health:Division -7—-D on ' 0 o 0 .Date Issued 3 Conservation Division o'_..App[iicati A Fee Planning,Dept, Permit Fee, Date Definitive,Plan Approved by Planning Board Historic OKH, Preservation Hyannis RG Project Street AdAddress \1160 oc-P-1 -T Village MAr_�rcok--A M I L'Als Ownerdf5ea I�: LAU Oellt Q_\A i LW AN16 Address '2-2 Telephone S`00 2-61— 0 a IS Z Permit Request 16 EA I VA Fzo Square feet: 1 st floor: existing 1,100 proposed 2nd floor: existing'-:3+1 proposed Total new Zoning District, Flood Plain Groundwater Overlay Project Valuation 010 00 Construction Type W COD Lot Size P (p Grandfathered: El Yes Q No If yes, attach supporting documentation. Dwelling Type: Single Family -� Two Family L3 Multi-Family (# units) Age of Existing Structure i di'74 Historic House: Ll Yes ;Ao On Old King's Highway: Q Yes Q No Basement Type: &/Full Ll Crawl Ll Walkout LJOther LANV-l+-J1!;WAP Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) (100 Number of Baths: Full: existing new Half: existing —new Number of Bedrooms: ?7 existing —new Total Room Count (not including baths): existing new 0 First Floor Room Count Heat Type and Fuel: b(Gas Ll Oil Q Electric Q Other 140'r,41 VZ. Central Air:' 0 Yes VNo Fireplaces: Existing New Existing wood/ioal stc95: U;-Yes 4No Detached garage: Vexisting U new size—Pool: 0 existing Q new size Barn: ULe fisting new-- size— Ln > Attached garage: Q existing Ll new size —Shed: dexisting Q new size Other: F W Zoning Board of Appeals Authorization Q Appeal # Recorded L] Ln r- rn Commercial Q Yes 13 No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION P ��� M � (BUILDER OR HOMEOWNER) Name F>ARVA5TAQU_' &40 Telephone Number Addressql k,&E&r— &Xtff!� iZ"b- License# 'M MA o,� oi Home Improvement Contractor# Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO AA SIGNATURE —DATE. Y' r FOR OFFICIAL USE ONLY - '1 C _._,r" APPLICATION# > . DATE ISSUED - y MAP/PARCEL N0: ADDRESS VILLAGE - OWNER PATE OF INSPECTION: FOUNDATIONS f'�5Ap FRAME INSULATION FIREPLACE ELECTRICAL: . ROUGH _ FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ;067 p � � DATE CLOSED`OUT` ASSOCIATION PLAN"NO. � r' r Tlie 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 p Please Print Le�iblY Name(Business/Organizahon/Inciiv;dual): ly?-IA4V•i�STAV� L-K--- ? l�l.`1�� � l•1�� • Address: c� 1 /°!�'-�� �i.-.�,1�� ��• City/State/Zip: . MA c2ual Phone.#: '' 621 57 �2 31 Are ou an employer? Check the appropriate box: Type of project(required:): 1. I am a employer 4. 0 I am a general contractor and I � yer with�"—* have hired the sub-contractors 6. ❑New construction employees (full and/or part-time), ,�-,/Remodeling 2.❑ I am a•sole proprietor or partner- listed on the attached sheet 7. [ 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.-imurance �mP insurance. required—] S. 0 Wr,are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other MEW �� "' — _ comp,insurance required.] *Any applicant that chocks box#1 must also fiU out the section below showing their workers'compensation policy infomration. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tr—Mtsactors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employ=. If the subcontractors have a mployces,they must provi dh their workers'comp.policy nrunbcr. 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.#: (plC�.li�i�O�d9' Jam- "® Expiration Date: E3 Job Site Address: City/State/zip�AAV! 50 C,1 �'�yj MA 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 bIA for insurance coverage verification. I do hereby certify n e the p 'ns nahlxs of perjury that the information provided above is true and correct Si afore: Date: Phone# 5700 " 1 Official use only. Do not write in this area, fb 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 S.Plumbing Inspector 6. Other Contact Person: Phone#: Information and InsA 'uctions ' Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.emp1oyees: Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hue, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL.chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL ohapter 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 w-ith 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, i.f necessary, supply sub-contractors)name(s),address(cs) and phone number(s) along with their certificates) of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships (LL.P)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriatc line. City or Towp Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of tho 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 perraWlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/licensc applications in any given year,need only submit onp 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.-Whcro a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog licanse or-permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would h1c 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: Tilt, C6mmonwP,2,lth of Massarhustrtts Dc1}artment of dvAdal Accidents Office of Layestiptions 600 Washington Street Boston, IYfA 02111 Tel. # 617-727-440.0 ext 4.06 Qr 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia r ' 1 � NAM Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder it,Ll AVIk$.Owner of the subject property hereby authorize DA9-FAST ABLE 19LX%%-brr--IzS to act on my behalf, ETE Iz h�,H tit[z-o ', in all matters relative to work authorized by this building permit application for: 2 Z W or oc.►z-G..s% KID. MA0STatJ M%%-u5 (Address of Job) 7>/A-/q ign e of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\dewllikWppData\Loca]\Microsoft\Windows\Temporary Intemet Files\Content.0utlook\MY7NB4IL\EXPRESS.doc Revised 100608 - TRAVELERSJ� WORKERS-COMPENSATION AND EMPLOYERS LIABILITY POLICY J TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6KUB-0407M54-9-08) I NEW-08 I INSURER: THE TRAVELERS INDEMNITY COMPANY 1 NCCI CO CODE: 11347 'INSURED: PRODUCER: MUNRO, PETER F . DBA THOMAS E SEARS INC AGCY BARNSTABLE BUILDERS 34 POPE ST 97 HARBOR BLUFF RD. HUDSON MA 01749 HYANNIS MA 02601 Insured is AN INDIVIDUAL Other work places and iden'tif!cation numbers are shown.in the schedule.(s) attached. 2. The policy period is from 08-01 -08 to 08-01 -09 12:01 A.M. at the Insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: . Part One of the policy applies to the Workers Compensation Law of the state(s) Fisted here: MA 0 B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: o� Bodily Injury by Accident: $ 100000 Each Accident o Bodily Injury by Disease: $ 500000 Policy Limit Bodily Injury by Disease: $ 100000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: a COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A D. This policy includes these endorsements and schedules: o� SEE LISTING OF ENDORSEMENTS —EXTENSION OF INFO PAGE o� 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating �— Plans. All required information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 08-19-08 KB ST 'ASSIGN: MA OFFICE: ORLANDO INDUS AFF 161 PRODUCER: . THOMAS E SEARS INC AGCY 28YLF 000270 ... .. F J ✓>� V0�7N7LdIZCI;P�U� ./vL(��J[(aGGlo:.-'; ... .. .. .... ... fiBoard of Building Regalatio s and Standards A jT Construction Supervisor License ` License: CS 96399i - i. - " Expira4n -1D/29/201OC Tr* 96399 Restriction . F 4 , f l ' 'PETER NIUNRO Y '+ r97 HARBOR BLUFFS ROAD r .-, HYANNIS,MA 02601 — "Commissioner a � 4 - A le ,per f�n�vnzo�awea�Di . ' � \`�, Board-otBoildiogRegulations and Standards ti - - HOME IMPROVEMENT:C.QNTRACTOR i Registration 15'1016' _ ExpiraUon.�5/i,1�1/201,0= Tr# 273249:::. TXPe—DBA I BARNS TABLE BUILDER0-S 6 PETER MUNRO 97 HARBOR BLUFF$ �. HYANNIS�MA;0261)1� " -gd`m�ni"s_trator , istration valid for individul use only. ` License or re? giration date. If found return to: before the eXP Relations and Standards Board,of Building g 1301 One Ashburton Place Ran Boston,Ma•02108 i Not valid with s' nature r Map Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer Custom Map IF Abutters Map Size ■ ■ Zoom Out f I F f n f F,IIn y be K. � Fff Turn map laye r R r y ti-i I"� ® 3PG selecting checl � f r Tow r Roa r Vott 13 (- Map �� Par( FEM E3 Nei( r water Stre 103 7Fe t — S; (- Jett Set Scale 1" = 103 I April 2001 Hi Res I MAP DISCLAIMER Copyright 2005-2008 Town of Barnstable,MA All rights reserved.Send questions or comm( BarnstableMA V1.2.3357 [Production] http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=030075 3/18/2009 ��►7l �NCA rT0A PT St_tp�- nDa i COAL-V R .1 otS(( NON C� 2,X to IV 20 4 11 , J �?C �T 2tv PT PT fi b`\ x 41 Mr--- Lmm gam. 2-y o0 T A-?-Gfo PT ez, PT 1 ° (27A �/• J 0 t 5T (-1 Of l ° V y m f @p� loop P v \ t - 4 � ♦ 2' � y�,� _ • it _ 74 r,� � • 'wry +�,� `` '' i 1 v h F x *�- 41 Town of Barnstable , Approved Regulatory Services Fee Thomas F.Geiler,Director Building Division Peter F.DiMatteo,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 . Home Occupation Registration Date: 02— 25 - 0 �1Z--AI 1 Name: A V . C- A,5 f m q 0Phone Address: Z 7_ ��DO�C J2`2 S t �(�, Village: g rn,911Rs fatis rn�°,CLs� 1;W7A_ 0076218 Name of Business: E A 5 t YA H hK . p l+W I N � Type of Business: H o 0,5 e— 2/11 hl +)M Map/Lot: U 3 075 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. , • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed.indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a.business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agreewith the above restrictions for my home occupation I am registering. Applicant: AG ix // l . Date: a—off " d z. Homeoc.doc The Town of Barnstable _"M M _ Department of Health Safety and Environmental Services 165190- Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 r Ralph Crossen Fax: 508-790-6230 Building Commissioner TOWN OF BARNSTABLE ',j j,Z SOLID FUEL STOVE PERMIT Date: Fee: Owner: �0,4N �� Phone: Y90 -' 'QS-q Address:o'N W pticQC62 e-,5� Village: !'n(JfCS fp N r M' Map/Parcel: Q 7 Date:Q /Used B. Type: Radiant/Circulating C. Manufacturer: o-f-v L Lab. No. D. Model No.:1� Chimney, , A. New&&isting f existing,please note date of last cleaning B. Flue Size C. Are other a pliances attached to Flue? o Pre-fab Type d M cturer E. Masonry: ine alined Hearth A. Materials: 9 e(C K B. Sub Floor Construction: P 1,ti1w Installer Name: PA U L E 0rS+rh q tJ Address: Ad, CN oA c ae fS-f- �Q- Phone: go 2 S i/►tJ�2 vsu S �/vt r c S Location of Installation: a u-bc Cd°e S� APPROVED BY: j 7 Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Stove.doc ra-h �� t � i, o � ----�:ti-�v-i 7-c�3•.;'�. Y0�`2r.'�tC��132 .� .... w ..�.. +:r v � .... -�-- }; °'� IS yo*TMETp TOWN OF -BARNSTABLE 13ARESTLBLL NASL 2639- 0 M BUILDING . INSPECTOR APPLICATION FOR PERMIT TO ..................... Z 570,e....... ... ... Zlax........... 4J E4 .......... TYPE OF CONSTRUCTION ................................... ............................ ....................... . .................... ..........197 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permif'according to the following information: Location ............ ............. . ................................................................................................. 1900 ProposedUse .................................................... .....................................................I......................... Zoning 'District ............................ .......................Fire District ............................................................................... Name of Owner f/,*0.V7S.!PAddress ....... ............ .......... ..... ...... Nameof Builder ............. ...... ..... ........................................Address .................................. Nameof Architect ....................................................................Address .......................................................................... Number of Rooms .............................1$7...............................Foundation ........A 19 .............................................................. Exierior ...................... ............................Roofing ........ 7............................................... Floors .......................1--;4 ...................................Interior ......... Heating ................. ................................Plumbing .................2,19 7-W ................................................................. Fireplace ....................... ....................................................Approximate Cost ........... ...................................... ,f 44 Definitive Plan Approved by Planning Board ------------------------------19-------- O -/,Oe, — - B� SEPTIC SYSTEM 6S BE Diagram of Lot and Building with Dimensions INSTALLED IN COMPLIANCE WITH ARTICLE 11 STATE SUBJECT TO APPROVAL OF BOARD OF HEALTH SANITARY CODE AND TOWN REGOLATIONS. C-4 0 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 0 Name . ..... ........ Yantiss, Robert A. No 1. 1/2 Sto... rm ............................... .... .........s.i.ngle...fami.ly-dwelling ........ ... ................ ..... ...... ........ Location 'Ngod.c.rest...Road........... ................ . ........ ........ Narstons.NMs Sto Owner Robert A. Yantiss ................................................................. Q% Type of Construction ..............f.........rame................... ................................................................................ Plot ............................ Lot .........#116 ....................... 42 Febru'dry 26 Permit Granted ............... 19 Date of Inspection N, Date Completed ........ PERMIT REFUSED ......................................... ...................... 19 ............................o................................................... I........................................................... ....................................................................... ............................................................................... Approved ............................................... 19 ............................................................................... ............................................................................... p umber ....Q�.O....�"�7..:. Assessors ma and lot n f� IN COMPLIANCF Swage Permit number ..... 7 WITHE 5 MENTAL/fie p� ���p Z B>BB4TADLE, i a..;.. .�..:. fj .............. .:ACJI/C5fl®9<16YC�Bd�/'9L. V®®� ��'C.i1� 9 MA86 House number '...:....:.......... . `TOWN REGULATIONS �''�p 39.Ar O TOWN . OF BARNSTABLE 3 1 BUILDING 1ASPECTOR 'APPLICATION FOR PERMIT TO .. -'�!. ......� .s.... .4.4;v..................:....... TYPE. OF CONSTRUCTION' ........... .. ....... ... .................................................................... ............ r� .....................19....77 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ....�..O- � .. mom. Location - ............................... ...... ..... ................,........ :...... LO ) ProposedUse ....ir.. .. ................. `..... . ......... ........a................................... ...... ........... ..:..:.................................. Zoning District .........yt��... �........................ .Fire .District .......... �/... ..1.. ...!.................................. Nameof Owner/d.`"......................... .. ....... ... .. ... ......Address , ......... ........................... .................................... 00, Name of Builder .... ...................Address . ..................... ........... . ..10.......... ............... Nameof Architect ....... ................r.....................Address :.................................................................................... � e Number of Rooms P- .........................................Foundation ..�..... ............ C4Exterior Roofing ... Floors .............. .......... ... .................................................... ,044-�� ..................................................... Interior .... .... ........... .. ....• .................................. !:! . 7:� Heating ..........(.1. < ....................................................Plumbing ............................ ..................... Fireplace .............11�...............................,...............Approximate. Cost ......yK���. 00.... .. ......................................... 10. Definitive Plan Approved by Planning Board -----------_______-----------19_______ . Area .............e............ Diagram of Lot and Building with Dimensions Fee �....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 3 , tzx �f D '%b 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 .v. %l .Q.. RYDER, CHARD c No Permit for ..Add Garage ...................... .......... ...........S.i n.q.1 e...F a.m.i.1 v...Dwelling.,,........... .. . .. Location 22.......... Wodcrest Road .... ...o............................................... Marstons Mills ............................................................................... O Richard...Rvd Owner ............ .er .... .. .... ..... ...... ......................... Type of Construction ...Frame .............................. ....... ................................................................................ Plot ............ Lot ................................ Permit Granted ...... ...3.Q..jq 87 Date of Inspection ............................ ......19 Date Completed ........ ... . ........19 ........... A, ;✓ k °'.S'L�r ��. .�Y•,,1 t, R�'.. ' 1;4 Assessor's map and lot number ....t73:-Oz, ,d.75............ - YNe �P�oF rod p ' Swage Permit number ....�" �.- ..7.4 •�� ^�... ;...... d li BAHBSTABLE, i Ouse number S ...................... `... .�.,....�................... 9p0q�rb39 9� A�aORa\ TOWN OF BARNSTABLE - �F BUILDING INSPECTOR , APPLICATION FOR PERMIT TO .... ........ .... .............. ......&......... ..d .. ........... .�..� ...........................................:........................ TYPE OF CONSTRUCTION ...........4 f f...�......................19...�.7 TO THE INSPECTOR OF BUILDINGS: The undersigned herreebby/applies fora yp�ermit according to the following following information: / Location ...,1 .. ...���!`.,�h �d!d..... T�i► .........�.'.!!"t!' ....�/ . , ..../ . ................. ..0 Proposed Use ... .� 1 `.. 10%......................... ... r a, ?77— r Z nm District C Fire District .. G. Name of Ownert'�..'".'!........................... ........:: ........... .:..........Address 19.�......... .............................:./�';... - 1 ' Name of Builde)�Z� Address ,....... ... ......... .f t .% T� Address' .......:..........................................:........:. Name of Architect ............. ....................... ..................... , Number of Rooms ..................--:c....................... .Foundation .A!.... v ............. Exierior Roofing .. ..... qMZ441 Floors .............................. .......................................................Interior C :...' �� .?t4 ................................. Heating � �Yl�_... Plumbing .......... ....:.............................................. ........................... ....................................... Fireplace ............��/ ...............................................:Approximate. Cost ......... lq�� (�(� ................................. Definitive Plan Approved by Planning Board -----------_______-----------19_______ . Area 3.5 ......'f. ............. .. ............. Diagram of Lot and Building jwith Dimensions Fee `Jf 50.... ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH � P AA a , O G�r��►� oa 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 . ./. ...... RYDER, .RICHARD A=030-075 .n 3!ft52 Add Garage No Permit for Single Family Dwelling ................................................................................ Location ... 2...WQodcre.st„Road .,...,,,.,,, .................... ...................... Owner ..FUQ.hAK.0...BYder...............:.............. Type of Construction .......k'.>;M!...................... ................................................................................ Plot ............................ Lot ................................ Permit Granted S.eptember. . . . ....30. ,19 87 .. .... .. .... .. .... . .. Date of Inspection ....................................19 Date Completed ......................................1.9 I