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HomeMy WebLinkAbout0242 TOWER HILL ROAD f � ��� ��� �� _ �.-,. .m.. -:r K� i� The Commonwealth of Massachuseft Department of Indus& ial Accuiev, 8 Office of Invadgatlons �N D U1 DING.D 10 600 Washington sir a� c2 AU EPr Boston,MA 02111 G 2 4 20?0 www.mass gov/dia TOW, Workers' Compensation Insurance Affidavit:Binders/Contractors/Electric STAB Applicant Information Please PrintLe>?-bly tE Name(Business/Orpnization&dividual),- Address: c;�LC City/Stalwap: lA. - Phone#: Are you an employer?Check the appropriate box: Type of project(required): -1.❑ I am a employes with 4. ❑I am a general contractor and I . erlrployee�s(full and/or part time).* have hired the sub-contra tm 6- ❑New°°nstmcti°n 2.❑ I Mn a sole proprietor or partner- fisted mm the attached sheet 7. 0 Remodeling ship and have no employees These sat-e°nlraetozs have 8. ❑Demolition working for mein any capacity. employees and have workers' 9. 0 Building additim [No workers'comp.insurance Comp.ms=mce_ pquhv&] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.0 Phimbing repairs or additions myself.[No worriers' comp. right of exemption per MOL 12 0 Roof repairs insurance rm &]t c.152,§1(4),and we have no employees.[- o-workers' 13.[�Odrer` (�.J coaV.IIlSIII'ance regtfired.] I-fib ��T 1(7 O d Or— d- G K Q *Any applicant that chec m box#1 must also fill out the section bolow showing their workers'compensation policy information. r NxkAD t Homeowners who submit this affidavit indicating they are doing all work and then hint outside contractors must submit a new affidavit indicafmg such. tContractors that check this box must attached an additional shad showing the name of the sub-contractors and shale vibether or not those entities have employees Ifthe sub-contractors have employee;;they must provide their workers'comp,policy rnmber. _- I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site informs tom Insetranee Company Name: Policy#or Self-his.Lie.#: Expiration Date: Job Site Address- 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 e. 152 can lead to the imposition of m bifi al penalties of i tine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties iat e,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&a Office of Investigations of the DIA for fioza+ce coverage verification. I do hereby c e ains penahley of pet jwy Oat the information provided above is true and correct S. ✓/�. Date: Phone use only. Do not write in this area to be completed by city or town goWal City or Town: PermitUcense# issuing Authority(circle one): L Board of Health 2.Budding Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: 3N 17 '7I nS YA J 1 a 3. _ y E iT - I _ C VttP f • 5� _PLIILP09 t �NT�RIOI. -•--- - l - E 6 J DayaLE PT _— le oc, 1 , fig l � 4( e,+e-4 IN gE c� CAT ICIN of PROPERTY LINES �Y NU I I317- AkL.9-uI<APkI t STANDARD LEGEND NOTE:not all symbols will appear on a map I :~ GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES EDGE OF BRUSH r ORCHARD OR NURSERY V—v-7—V EDGE OF CONIFEROUS TREES I t MARSH AREA X EDGE OF WATER DIRT ROAD DRIVEWAY E�PARKING LOT PAVED ROAD '�� —--�= DRAINAGE DITCH p 142 \� PATH/TRAIL 4 - 2 PARCEL LINE susr t to * —MAP# 240•; 21 PARCEL NUMBER 1860 -e HOUSE NUMBER 2 FOOT CONTOUR LINE --�— 10 f00T CONTOUR LINE Elevation based on NGV029 a p 1 2 4.9 SPOT ELEVATION • j' \ t� STONE WALL XX— FENCE O RETAINING WALL 7T `J RAIL ROAD TRACK Map 142 C=Z.:� STONE JETTY 0 01 � SWIMMING POOL L�� PORCH/DECK 0 BUILDING/STRUCTURE �J— DOCK/PIER \ Q HYDRANT \ 6 VALVE ® MANHOLE •• O POST d? FLAG POLE NO F B A R N s T A B L E G E O G R A P H I C I N F O R M A T I O N S Y S T E M S U N I T o SIGN ® STORM DRAIN ��cALE IN, FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representafio DATA SOURCES: Planimetria(man-made features)were interpreted ham 1995 aerial photographs by The James 1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted ham 1989 aerial photographs by GEOD >a UTILITY POLE n TOWER 40 National Ma�Acarocy Standards at this do not represent actual relationships to physical objects Corporation. Planimetria,topography,and vegetation were mapped to meet National Map Accuracy Standards P LIGHT POLE O ELECTRIC BOX enlarged sea e. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2003 Town of Barnstable Assesso's tax maps. �`'031:01:28 AM cA T1 o'IN o F P RO P E RTY LI N Es ci I " t ^c-C-u rcA I t STANDARD LEGEND NOTE:not all symbols YAII appear on a map o T CZ:� GOLF COURSE FAIRWAY ` a0 ry— EDGE OF DECIDUOUS TREES EDGE OF BRUSH J 0 t° (� r _ ORCHARD OR NURSERY S J v—v'Y'V EDGE OF CONIFEROUS TREES MARSH AREA EDGE OF WATER DIRT ROAD DRIVEWAY PARKING LOT PAVED ROAD DRAINAGE DITCH a\ p1 1 42 ————— PATH/TRAIL PARCEL LINE ,�� 4 — L >✓ �� �/ w Ilo«MAP# r 21 E—PARCEL NUMBER #•-240 : #1860 E HOUSE NUMBER r 2 FOOT CONTOUR LINE aL fo 10 FOOT CONTOUR LINE 1 Elevation based on NGVD29 Q p 1 2 4.9 SPOT ELEVATION 1 1 � • .j• � � STONE WAIL 6 -X X FENCE 0 RETAINING WALL Ma 42 -1--F-F-F- RAIL ROAD TRACK ��`` p 1 STONE JETTY / \\` 4 001 SWIMMING POOL ' �� L� r) PORCH/DECK [� 0 BUILDING/STRUCTURE DOCK/PIER CAL .i� HYDRANT e VALVE ® MANHOLE O POST 0" FLAG POLE 'O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T o SIGN ® STORM DRAIN «dlE IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representatio DATA SOURCES:Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James 1"=1Do'scale mop and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were Interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE n TOWER 40 Nafianal Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimehia,topography,and vegetation were mapped to meet National Map Accuracy Standards O LIGHT POLE O ELECTRIC BOX enlarged scale. on the map. at a scale of 1"=100'.Parcel lines were digifted from FY2003 Town of Barnstable Assessors tax maps. �KK3 10.01:28 AM t- f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# �Q� �.,Q Health Division Date Issued Conservation Division Application Fe Tax Collector Permit Fee 4 ' fog . Treasurer 801/7/0€ Planning Dept. U . Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address :7 Va 73%-f2 /11c_ Aw• Village Owner 1,ov)/ t rt rZ S)iw-n_5 Address AVd- 7Vw¢2 AIC M. Telephone Permit Request llqA17SI�,grb 14SII�4 OWWW 6ANP iy &#U_Pit 7-0 4f &S fA A13 /:54Mi 7� Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation/cPo?, Construction Type 5iftl 57146'S Lot Size Grandfathered: ❑.Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 2-' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 11<0 On Old King's Highway: ❑Yes O'I�lo Basement Type: Wfull ❑Crawl ❑Walkout ❑Other_ 446949g.0 Basement Finished Area(sq.ft.) )C� Basement Unfinished Area(sq.ft) Number of Baths: Full:existing / new Half:existing 7— new Number of Bedrooms: existing new_ N Total Room Count(not including baths):existing new First Floor Room ount cd ca x � cam-) . w Heat Type and Fuel: C�Gas ❑Oil ❑ Electric ❑Other �'� 3� Central Air: ❑Yes Ao Fireplaces: Existing New Existing wood/co .tove: ❑.1 No .� Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exist.ng ❑%W si$ .. to Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 2lo If yes, site plan review# Current Use AAS6 7f 970094f, Proposed Use �Yini BUILDER INFORMATION Name 40VL6 412 in-C, Telephone Number Address �6 5���� . 41LAA A- O702/ License# GAS Xg Home Improvement Contractor# Worker's Compensation# lil/L t33�/✓toy ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 9071,1, !t!V bb 6*W5rf4_ SIGNATURE ( DATE c�wl/yC2 FOR OFFICIAL USE ONLY APPLICATION# A. DATE ISSUED MAP/^PARCEL NO. i ADDRESS VILLAGE OWNER � i DATE OF INSPECTION: _ FOUNDATION ` . FRAME o !- -oQ —� voz- INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - r GAS: ROUGH FINAL FINAL BUILDING Q ► 1l)6, r DATE CLOSED OUT ASSOCIATION PLAN NO f` Pr z , Bd o ui m g e lat ns and oar tan ar s One AshburtorrPlace - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 137943 Type: Supplement Card Expiration: 1/29/2009 OWENS CORNING BASEMENT FINISHING __.._._..._. .... . . DANIEL WALSH 60 SHAWMUT PARK CANTON, MA 02021 Update Address and return card.Mark reason for change. _ Address '"' Renewal Employment Lost Card :Al O son145/064Icea90 Boa o u m san tan a s Construction Supervisor License Li"n 0: CS 79893 z. 6512009 Tr# 4794 DANIEL F 488 KENDALL RD TEWKSBURY,MA 0187- ':. Commissioner , Taa1t.�S7ua(enattaue� . . • ' presaigtia pacicsgd rarflial owd T;u--vx fIj Raldaatisl2iaildingy'He:ttd,►4t4Una' 'FNIX ' D=�,ga Qlarircg GJazlagCe,7ing Nall FlvorSlabR-vaI R-value 570I to 6500 73rstlag Dcgrrr Dany Norasal 0.40 38 13 1 19 ID a ' R I2'r's 0.52' 30 19 ' 19 10. Normal I2Y. 0.50 31 ' I3 19 ID 157E 036 � 31 '13 .I'UA NIA. NornW- ISY. 0.0 38 19 19 10 NQ U 11.5 AFUR Y 15% 0.4�4 31 I3. 25 NIA �� 15 AWE �y 13% 0.31 30 !9 I9 10 is 033 3d • 13 2i NIA NIA Nwzs ! X NI.A� Nomul • �. ;S`l,. Q41 3S 19 25 N/A 5�0 ARM ]Sj 6,4Z 3S. 13 19 10 +� 13Y. 0.30 1 30 1 19 19 i0 6 90 AFUB ADDKBS S OF PROF ay'. �f�� 7 2 /,/t GG /.� 0 SQUARE FOOTAGE OF ALL XOR WALLS: 7-7 3, SQUARE FOOTAGE OF ALL GLAZING: 6LAZINO AR8A 4B3 DIVMED BY•42); o O/s 4. j, SELECT PACKAGE(Q AA-see ahszt VOTEBER MORE IN-VOLVED METHODS OF DE EnMiING MiERGY REQUII3E1v�fii'I S OT ARE AVAILABLE. AMK US FOR THIS INFORMATION, 13UI,Di1~TGTNSPECTOR APFR.OVAL: YSS:, NO; q_ ,5-©ac�a�� Pk �,tZS 1 wtotta CONTRACT - l� a� Customer Signature ' Customer Name ill A n J N• Sales Representative Sigatur�e' SKETCH Contract Date �a.LcF� • ATTACHMENT '6k— ' � �" Contract Price Customer Phone 1 2 3 4 5 6 1 a B f0 11 12 13 11 18 18 li 18 19 2D 21 22 3] 24 25 29 '!7 26 29 70 31 32 33 34 55 38 37 35 39 40 41 13 13 N 45 40 17 48 IB 50 61 62 63 W 66 56 57 59 59 00 3► v s 2 -- - - —- _ — r — -- -- I I l If i 10 It 12 14 15 - -- --• --to . f f ,a iIf fit - - - - _ to 21 2223 I IatC ;l I_ - - I• L. t 1 I/ H� 0.,2 ;.. - - - - -I I ' I 21 25 _ r 27 30 31 32 3334 -- - ��_ ..._ - 35 I I vU79 'Each box equals one foot unless otherwise noted.This sketch Is a good faith NOTES' 4� representation of the work to be done,it is understood that all dimensions derived from this sketch are approximate,and that all locations of outlets,light fixtures,plugs,jacks and/or switches are subject to change If necessary. V. oFTHer�,,, Town of Barnstable Regulatory Services nARNsrABtEHAM � Thomas F.Geiler,Director E16 A: ` Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax:- 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, as Owner of the subject property hereby authorize �,k s��N`(i4� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of'Owner Date �e9rr� �rzsiir�an-g Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable �pFZHE Tp�� Regulatory Services BARNSTABt.6. ; Thomas F.Geiler,Director ntwss. �e{,A 1639. a�0� Building Division lf01u'� .Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 vi-A w.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-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 OP 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 1 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 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. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations• 600 Washington Street Boston,MA 02111 kwi. www.mass gov/dia . Workers'Compensation Insurance Affidavit:Bnffders/Contractors/Llectricitans/Plumbers Analicant Information Please Print LMbly Name(sasi=s►Orgaaizationlladividu d) . Owiwv Coje /Nis B45E/1t wrSyaraf Address: 60 S&4?&ua. RDf Cityl&t telZip: �fJ A i4 d2021 Phone.#: V/-JZ/-Q1Z0 . Are an employer?Check the ropriate box .-Type of pi o)ed(required):. 1.FI am a employew WW 4. 0I am a general cozaaaw and I ' employees(fall and/or part-tuna). s have hived the 6. 0 New construction 2:❑ I sm a sole proprie wr or partne r listed on On att dwd sbwt: 7. [ 16toodeling ship and have no employees These sab.-aontrad0a have 8. ❑Demolition waaddng for me in any capacity. employees and have watit ers' 9. ❑Building addition [No wodccpl comp. comp.insurance.=rcqmhv& ' ] S. We area corporation and its 10.[]Ele pt rical repairs or additions 3.❑ I am a homeowner doing all work officers have exorcised their I l.[]Plumbing repairs or additions Myselt[No vywkeisl COmp, right esf exemption per MGL 12.[]Roof repairs hwarance ]t r-152,§1(4),and we have no 13.[]Other employees.[No workers' gip.ro mina. •] box t x .b abn.-c this die tb�ey . �htteouts�d' a nsc w.ffiaa.►ft india<ing aeL tCona3etM mat check d6 boot nwst smeued an aMdanal AW d owing the mme at'the anboonvadm adstace whCdw or not those==hiss Ism ernptoyea• time aabeanUwtm leave mVbycm they nLW pmovide emdr woe mre comp pdft aumbcr I am an employer"Isproviding workers'comperaaation t mwmeae formy employees Berlow is thepokey and job sits imformagom. Insurance Company Name:__ E��p/A15'S'R/VCE &up Policy#oK Self ink Mc.#: k& 0374 7 Expiration Date: J2ZY 0� Job Site.Addness: 0 Zj h`<GG QVSUWZip• �ST�/l✓<��� Jyjl� .5 Attach a copy of the workers'compensation policy declaration'.page(showing the policy number•and expiration date). Failure.to severe coverage as required under Section 25A of MOL 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 fie of up to$250.00 a dqpwipst the violator. Be advised data copy-of this statement maybe forwwNW to the Office of jmmgi 'ons of ddbiA 1br insurance a verification. I do hereby of perjwy that the iirfonnadon provided above Is true and eonSi r* /.4 -� ' hone�• .� Z •• ' O use only. Do not fir this area,tb comp by c ify or town offs:iaL City or Town: Permit/License# Issuing Authority(circle one): A.Board of Health 2.Building Department 3.Cityfrown Clerk 4.ElectflCd Inspector S.PIumbing Inspector 6.Other Contact Person:_ Phone#: i com. CERTIFICATE OF LIABILITY INSURANCE BAYST-1 5 24 OP® s °"05/24/^" 07 KPWR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lrgq G. Gordon,-Inc- ONLY AND CONFERS NO RIGHT'S UPON THE CERTIFICATE 1 MSin Street HOLDER THIS CERTIFICATE DOES NOT AMEND.EXTEND OR Box 299 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. :aveli H& 02061 2,ne:781-659-2262 Eax:781-659-4725 MSURERSAFFORDINGCOVERAGE NAIL# RW � StateeBasement aesseA: Renaissance Ciro Name: dda Ow" mseeat S stem ham. c 60 Sha=ut Road Nst�+eta Canton MA 02021 dERAGES . iE OF LJMeaOWK%WB®+IM TODESELFMIar®AMEFMTfEPOLJLIrpeao°MMW NDTVWT fSrArcM ,,fMU5MM34T MMCRCOrOn=CFAWCONIROCraeon►MDOCLLENrw MFdMPWrmV*KM7Mp�JOEwkYOEMMMae AYPERfAn7WN9jeANCEAFFORDEDBY7FEPOLJCEBrpc- iN-aelm eSsax-cmA1Lve7avaocuo aANDcomxnoNSOFSUCH OLX3MAGGFeGMEUmffeS"DIMrNAYHAVEBMREDUCEDBYPAIDCL*A, q=Now7YrE of MlURANCE POLICYNU11B6e DJ17E DATE �8 GEIWALWALRY EACHOCCURRMCEgo AWIED i CM&0 4LG8EWLV LftY PRiai i ajonWOE O=P ►mEwVbyampar n) i . PeesoeL�L a ADN wuNY . t G84ER►LAGGREGA)E i GMAB6iA3GUEWTAPPLESPM: --eS-COk AGG i POL= .ECM tpC ANr Afl'0 A.L cv WAROS BDDLY nuRY i 8CNEDUMAvf06 (PWPKMM HEMIam HOKONAEDAtJIDS PROPERFY (PKaxidrt)oAN i cAreAaBULBanY AUID ONLY-EAACCOBir $ 3 =-L- 01"7HA I FAACC i AUIDQ&r AGG _ EXCE3lAxvvtELLALVALnY EADHOCCURtBICE _ OCCUR aAMUCE AGGREGAM i DED TITLE _ RETENTION EWWWOWLVAUTY rwo tic 0371527 OS/24/07 OS/24/08 El.E#xmACCCBtr i 1000000 pOUME '' EL.o -EAR i 1000000 s ECw°ie°b'PRo,n`s�o 6 b d w F-LOSEAW-PDXYwr i 1000000 OT►6t �seRrrwNOForERAroNs�LoeA7wa'es� iExauewNSADor�Br �s�aALrR°alslo►a CERTIFICATE HOLDER CANCELLATION b=C= OOMMANroF7>EABMCEBCRMPa JCMUCANCELLO oaeTHE EUVAI oN aae7�+eoF.7NEaewanaeaeeawLLeaFJ►voR7nwiL . 10 0mvwMW Bay State Basewats 'IOM*OMTFWMNMMKWMTOTMLWT.gJrFMAMTODOIDOVLL for surd purposes row_NDGMJDAMMaRLMKMOFAWKMUMVm*nurARrtsAGMMOR �etn►7nae�AUnl0ll=fUWRE3EWAWM House Account ACORD 25 9001M 0 ACORD CORPORATION 1888 • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map !'/2 Parcel 0 y Permit# Health Division `��� /D��/� --v Date Issued Conservation Division 9 Z Z L Fee Tax Collector /7 0 EE T SYSTEM MUS E Treasurer 1d7��q. INSTALLED INCOMPLIANCE WITH TITLE 5 Planning.Dept• ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis ; Project Street Address >✓©r,,)e17 P/4�L- Village 0 STtw t L e t Owner /7- Sl �'�-f�f -f wC�� Address HIZZ 2© Telephone - Permit Request %Q�2 4 c9u7v 42 o_ r�7'<NC p.L cP i6 D i f IOM Q c�.r•LD i Square feet: 1 st floor: existing 5A� proposed 2nd floor: existing proposed Total new; Estimated Project Cost Zoning District .: Flood Plain Groundwater Overlay Construction Type I.✓c?o 0 i RA-M,L Y Lot Size Grandfathered: ❑Yes . ❑No If yes, attach supporting documentation. Dwelling Type: Single Family t6 Two Family ❑ Multi-Family(#units) Age of Existing Structure /I/ �1w2f;;t Historic House: ❑Yes $(No On Old King's Highway: ❑Yes o Basement Type: ❑Full O Crawl t Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Scl 0 Number of Baths: Full: existing new 3 Half:existing new r Number of Bedrooms: existing new I Y Total Room Count(not including baths): existing new—4p First Floor Room Count - 1 Heat Type and Fuel: ZGas ❑Oil ❑ Electric ❑Other Central Air:. ❑Yes I"No Fireplaces: Existing o New 0 Existing wood/coal stove: ❑Yes 21 No Detached garage:❑existing ❑new size D Pool:❑existing O new size 0 Barn:❑existing ❑new size CZ Attached garage:0 existing ❑new size 0 Shed:❑existing ❑new size 0 Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION 2� E J"74,-- C. s r&h.— /3 C4,Z,c.0074S Name OQ ct 92-6 Ce-,Yh14v1 tzc1 +-'74-s5 Telephone Number .54g q L.0 G SS 91 Address H12 Az Alor License# 95 3 Home Improvement Contractor# A LS_ 67 ' Worker's Compensation# CW2 2!2 e 2-r ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOra.,,,r•.,e� 1 SIGNATURE DATE /Oz,� �-�' 1 F ♦ ' FOR OFFICIAL USE ONLY PE MIT NO. � DATE ISSUED MAP/PARCEL NO. , ADDRESS VILLAGE = OWNER' DATE OF INSPECTION: FOUNDATION FRAME ZJJ INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH, FINAL GAS: ROUGIii nr ` FINAL FINAL BUILDING rn = Lu DATE CLOSED OUT tTm0f. ASSOCIATION PLAN NO' :;� ' Oct-26-99 08: 18 Osterville wat r Opp 508 428 3508 P.02 Centerville-Osterville-Marstnns Mills Water Department P.O. BOX 369• 1138 MAIN STREET OSTERVILLF,AIAMAC HUSETTS 02655 as OFFICr:OF WATER �+ WARD OF WAf6R COMMISSIONLRS DEIPT. WAI'Lk SLIPERINTLNE)ENT �ws TF:I-.No.508-428-6691 FAX No.5Q8-32r-tS0H October 25. 1999 Town of Barnstable Building Dept. 367 Main Street Hyannis, MA 02601 Re: Account #2649 Paula Brophy & Day-id-Fitzsimons 2 22 Tower H.i-ll-Road / COsterv�llc, MA . Gentlemen: Oil October 25, 1999 the Water Department disconnected the water service at the curb stop for the j,roperty mentioned above, It is our understanding that the owner plans to demolish a portion of the building, re-bui Id and have a new water service into the buildine at that time. If you have any questions, please call our office. Very truly yours, k1mig Crocker Superintendent CC/.I w Oct-26-99 08: 18 Oster'ville Watev Dpt 508 428 3508 P.01 C enterville-0 sterville-Mars tons Mills Water Department Y.J. B 0 X 369 - 11�S N!:�JN S'r R Z1,77 OSTERVILLE. 'YIASSACHUSETTS 0-.,6-;; oFFICE OF Bo,%Xr) OF W.�TER ComNi(s.sin,,4v.x3 EPT., wxru )il!PERINTY.4 1)ENT TEL-NO. �08.-J.,S A691 F.-kX FAX NO. 503.,423-3501 DATE-- TO: R ) ... ... C' T i S c(D V F.R. L L')I.' E S C� IF M, T R( El ESTIMATED PROJECT COST WORKSHEET. Value 0 ,r square feet X! �6Wsq. foot LIVING SPACE i GARAGE (UNFINISHED) square feet X$50/sq. foot = PORCH �1 square feet X$25/sq. foot = DECK square feet X$15/sq. foot= / square feet X.$??/sq. foot= OTHER , Total Estimated Project Cost Z g990915b �T The Commonwealth of Massachusetts =- _= Department of Industrial Accidents =�� • ; __ Olf/ce of/�estigatioos _ 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name• location: city phone# ,USSR ❑ I am a homeowner performing all work myself. am a sole rietor and have no one worl� in any ca achy ❑ I am an employer providing workers' compensation for my employees.working,on this job. ................ '.;:.:;:::;>:.:.;:.;:.;:.>:::;:.:;.:;:::;:::::;.;::; :::::;.: .:.;'.<•:::>:<:;:«<:: :.:::: :: .: ...... . � .<eta.::..:::::.:..::.:::.:::...:..::..... . rnmoanwname�.:::., >5:::;>«:» ::::; '. 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"i: �y : :iS i......:; ...... :?%:: t :; •.i'.:: .. ... ��.1 `........................................... insuranceca: ��.;:.;..::.;; :.: •:::::::.::.:'.:,.... ..:..:..:::..::::.:.......:... .::.....::..:::::...::::::::::. olicv.# ................. ............................................. .. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company n adiii e ..................... .............................................................. ...:::::::::..••:::::: :::.........:.:..........................:....,.....................:,•.,:•:..:::::::::.:.::: }x;•:;•:;•:fiJ}:.<•:.,:.,•.,Y•:r•:.,:::. :.::::.;:::;:;;.};;;::.:;:.>:;:;:;.;:.;;,.;>:.::.::.::.;;:.:;;;:.;;;;:.:.;:.}:.;;;;;:.::.:::;::::»::»>::»:>;>::»:<:::;.>;;:. }:.;:;::;:J:.:;:n one . city�......... .. . ............... ... . .. .. .. ... ... .............. ...... ...........................................................:w:.^:}:•:}:::r::,:...f.::.�:::::::r::i:;tip J:}: .. ........................... :.......i w.�}. .... .nv.4w.n .......... }::.;; : .:.;;:>;.<:.;:;:.};;:}:.;::;;;;:.}:.;«: :::>:::::::;:;.>::::.<.:.;'. a �:#>:::»:::;:::>::::::>:::::::;:;:;>};,<::::::::::>::::<:::::>;:.;::;>::><:�:::<.::h::>::<:::::>:: ::>::::»:«::>:;::::::::.: ,/'lG%//NOWN/1 >;:<:: ::><::> . •.•... :a ifteii ........................ :::..:....................................................::::. ::......................:::.:::......... 'Jb n city.. ..... ....... ...............:.:..::.v........::v::v::.i:J:•}}}}}............. :...., ::•::::::::::v:::::.�:.�.w:::::r.v}:;•}}:J:J}:•i}:;J}}:::};:{:•k}N}:•N:•}}:•}:J}:•}}:G:•%:J:•}::;•r•}:i;• •.::::•:•.........•..:••...ii;is i::4i::::J:^:;;;;:J:iv:i•}Y:J:•:::?:; .... ..... O£i}:J'i:<iiii:.:'}ii:•}}}}:$}i::}N:S^iiiii:•ii::.:�::.:_' ::/I:!•ii::ii::.:::?...............ii:.:.iiiii!iri<.::.i?:.i}?iii::•iX:.iii::.:i:.::::::.�:::::••::::•::.:�::::::::::: :intarance:co: ::::::::.�::....::..:.:::::::::.:...�:.::.�:.......................... olicv Faibu�e w seco:e coverage a,required m�der Section ISA otMGL 152 can lead to the imposition of criminal penaifln+of a Sue up to SI,500.00 and/or one yeaea'impeitomnent as weII a,eivII penalties in the[orm ota STOP WORK ORDER and a 8ne o[S100.00 a day against mr. I mmdeiatand that a wpy of this statement maybe[orwarded to the Office of Investigations of the DIA for coverage verltication. I do hereby certify under the pains and penalties of pedury[leaf the information provided above is tru.med•eorred Signature Date Print name LAM-�' Phone# C do not write in this area to be completed by city or town official town: permit/license# ❑Building Department ❑Licensing Board ediate response is required ❑Selectmen's Office ❑Health Department phone#; ❑Other Oevised 9/95 PJly t►+e rqy� The Town of Barnstable • �exsrneze. • V, 059. s � Department of Health Safety and Environmental Services rE0�'t Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 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. V Type of Work: Hopi T 0 Estimated Cost Address of Work: e�- �'— go Owner's Name: l&,H V J--F17%2—!0)-n0-eV4r Date of Application: /jD L6 g �" I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name w q:forms:Affidav i70CURAppndiz' . Table. =10 ` havipetn Padca6a for 06 and Two-Family Rcsfi W BWWIap Seamd wdb Food Fads MAXIMUM M U NIEW! ccinne Wait Floor Bates 91ab O0it0$ (11 �) Uwal=2 R-aiae' R�0' R''Wa� WaH g y�e Effics� Pad=- R ` S10I to 6500 Headaw 0e6ese Daw Q 12% 0.40 33 13 19 10 6 Nomlal 12% 032 70 19 19 �10 6 Nowal S 12% 050 33 13 19 10 6 13 AFUE T 15% 036 33 13 2S N/A WA Nand U 15% OA6 33 19 19 10 6 Naemd �/ 1S'b" OL44 �s 0 2+ WA WA IS AFC W 15% 0.52 30 19 19 to . 6 3s AFUE x 13'/. 0M 33 13 25 WA WA Normal Y I>!A 0.42 31 19 tig WA WA Nonmaa Z IVA OA2 31 13 10 6 90�� AA 1VA OJO 30 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 7_ - 0 ",ode 147l u- • 0 S Tee yiu.C� 1M ors 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 1 "6 3. SQUARE FOOTAGE OF ALL GLAZING. 05 q, rF� 4. %GLAZING AREA(#3 DIVIDED BY#2): ? �•� 0 S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-fb=4910303a 9`�r GTE �om� o�,.�a.,aar/iu�etlJ �. DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nu.®ber = Expires: rA _Restricts To 11 �� ICNIIEI�:ORNE.*- 13 SYCANORE,',ST . NEW BEOFORO,' NA 62140 NONE IMPROVEMENT CONTRACTOR i Re9istratioe�F 1e104863 - 'Eviratioq� _= 0r115/2000 _ DOE CONSIRUCTIONµ Ni hael one Sycaeore Street ADMINISTRATOR Nev Bedford MA 02740 4 l . i I i i i O''x55' 0"x55' FFLI [Eli :ffi� , FRONT ELEVA710'N SCALE: 1/4"• = 1'-0" I I SMOKE DETECTORS O.K. I V � BARNSTABLE UILDIN6 DEPT. • I i r _ i i . j i i i j i - i i M EXISTING RIGAIT SIDE E EVATION SCALE: 114" i i r ' I i I I I I i i i i Ell I R�T 0 0 I i I I R E A R EL- EVA71ON SCALE: 1/4" I i I I � I i I i APPLIED RAKE LEST SIDE ELEVA710N SCALE 114" = r-0'' I I I POCX" �i ( • • I 3"x 9'-q" CONC. WALL ! I I 16°x1O" CONT. FXOOTNG ,, ! 1 4f Ir..--.NEN kiALL TO START AT 3 1/2" PAST EXISTING i 1 f 1 f CORNER. L. t MATCW wALi. WEIGHTS { ' { I I a8''x2b"x1a'` GONG. PAD TYP, I L�OINEL NP;N raALL To EXIT 1 I w M4 3-v5�RE®ARt SPACU I � I � I (V j�-3a2x10 GIRDER. 71 I •, I � I ; L � JN � TIN� ' I �XI I { _ I � G { , FOUNDAT ! ONI { ABEr-IENT r ( 3 1/6" CONCRETE 5L.A8 POCKS- BEAM I I --OOiNEL 9NEY4 WALL TO E✓;ISI WI`1 W 3-895 RESAIR bPACEd FOU N IDAT ! ON FLAN SCALE; 114' s 1'-0" r ii s7 IL 6' 8" ! " Z'-4'' 5 1 " 5'-6 1/7 ' z 26pi I r o SKY �p i gKY L •TE t iTE p GAae D t ' l ° VI6.Wx ien vzkux ( OPSNtNG� NCB. L.00R PLAIN SCALE Zia I _4' 4'-411 1 Eo S44 ER r O I� a4oPai► O (� '-11 I/2 '-(o o , m o r 5066 81-FLO 066 81-FLD CLOSET `q� CLOSET i I � O , �I OPEN T -- BELOH I FLAN SCALE: 11-A" 7 • s.'7` Cv� SriEA7riss'd�s ---'--s 10' • o 10- D co w cJi.sgt Y;,;"T TO 2tB'S i O.C.,41 --- —�_ —lsr3 SCRAAPIeifo !/�' GYP. E►iin P D ! �' Al r:AtNTAN'i AIR.. SPACE LAi'T. V ITiNt. DXT I MF- _—.--_—.__.—_� atA13 y►+ f:001@ {c3£�RL '!; j I 3 3a® �A ;A ; t 5!i' 9L?' al.:.wt!Nt'►"! vUr?£A.9 AhiD ,7C�YJ'i 5}q'xiTS .�_...-^s_..,_M_�.,._P�_;T-_�_ FQ;1FE£ Pl/PRD ANL) MY—DING- . 0' 6 } FlNI4N 5?•niRS !� �.J n tXY JTtf)y 0 A.° GaP-P. 1/?. PLTwCGP S►:£.4fr+iW C U) 1t ! F CIL KITCHEN J - 1, —--Fs'ii�i� !'JJOF• 1 �=� :�T�A:.,���' T L 4..: s G' �tf3Gi`t.'o!_a55 i1+SU. 1 i'i(b 5 .i ♦ SILL 1_'-EAt ANC►80R nT "AX C4 _: .�CAMP PQe)D1� StLOA r.;kAD<_ _ !'• L1�Lt/s)NS :YP. � m O b cn O (A tD _ ; if N DECK BEDROOM - R ui cn 0 LIVING �N uj N b EXISTING t-- m KITCI-NEN 0 m BAT4 a uj f- COMPUTE co O C� Z o ROOM A2 r cn. m 30'-01, EXISTING FIRST FLOOR PLAN SCALE, 1/8' s I'-0' ' 15,-o ur N EX I ST-I NG GRAWL SPACE — o N FULL BASEMENT 0 EXISTING FOUNDATION PLAN SCALP, 1/5, P-& �c� `a.'IHE►py_O� The Town of Barnstable BARN STABLE, Department,of Health Safety and Environmental Services 1639• `eg �Fo �• Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice .Type of Inspection T r Location L-"1-Z-� �1 Z Permit Number 4 ( � I G Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting:141 t 01� lwgo w S �a 1.� t !� Y -eA Please call: 508-862-4038 for re-inspection. Inspected by P c..• 1 _� .. Date \3 6 ~- 90 Assessor's office(1st Floor): t 9 Sep8 ��. �, Assessors map d,lotnumber /o? - d �� c� i ����c�;. ��; °I1pa�o`,Ta� Conservation �l►H��� �ba`y �� ,� • Board of Health(3rd floor): ®� � ��° 9TADL Sewage Permit number . ., � y�y Engineering Department(3rd floor). !� � �o u r►' House number `y Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1-00-2 00 P.M.only TOWN OF ' BARNSTABLE BUIL0ING NSPECTOR APPLICATION FOR PERMIT TO I r TYPE OF CONSTRUCTION ( eo(Zpj() - �- 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 2 y 2 I('I u/C�OI ��. OSTe/lr/ilf� �Ir�SS 02Co c5 S Proposed Use RIPS i l> G/V T A L Zoning District Fire District Ceav7i°R✓III�� t-Ds-Teif V i Name of Owner D + /t r i T Z S i'v,4 o ml S Address `24/2 TOWN Al RJ, 06 -, M,455 o2655 Name of Builder D A IV 6A 1112 C21'*A Address_ O. tz a of (,t/ea (3,4,0yy 02 6 6 Q Name of Architect J Address /� Number of Rooms Foundation POORa �F1 0A1C{� T� Exterior -S 9,, /Gr'Q S C'_e—Q Pr12 Roofing Oq S p/'7/4/0 Floors A R e2T Interior 9 4--eT �OG� Heating E L ECTRZ C_ Plumbing y) C_oPpe Fireplace n o D S'f-n t/P Approximate Cost Area Diagram of Lot and Building with Dimensions Fee , 7Tt , •b r Apt 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 log 3 C. — . FITZSIMONS, DAVID . W No 34770 permit For Demolish Portion of Frame/Bldg. Location 242 Tower Hill Road Osterville Owner David Fitzsimons Type of Construction Frame Plot Lot Permit Granted "January 2 , 19 92 I Date of Inspection 19 - Date Completed 19 ° • 4 \ a,� 'Engineering Dept.(3rd,floor) Map Parcel Permit# House# Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee Conservation Office(4th floor)(8:30- 9:30/1:00-'2:00) Planning Dept.(19t floor/School Admin. Bldg.) �TME Definitive Plan Approved by Planning Board 19 ; BARNSTARLE.MA - 639. TOWN OF BARNSTABLE - Building Permit/Application ; Project Street Address__ Y� � Village Owner 4Q;t t Address Telephone Permit Request t . Pf .S First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) p Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Oa/ A C r"I ek- " Telephone Number r Address -f/Q 4a /d? License# Home Improvement Contractor\# 1/3s Worker's Compensation# /S( U Sa 6 3 n NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO VA41? SIGNATURE DATE NJILDING PERMIT DENIED FOR.THE FOLLOWING REASON(S) z- FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. r ._ I I ' ADDRESS VILLAGE' ' OWNER ' DATE OF-INSPECTION: - FOUNDATION ' FRAME t INSULATION » FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ; FINAL BUILDING D DATE CLOSED OUT , ASSOCIATION PLAN NO. , THE r The Town, of Barnstable: >~ $1 Department of$enith Safety and Envir®nmenW Services � �� Building Division 367 Main Stre=t,HYazmis MA=601 Raiph C—= Office: 508-790-6227 Building Corn= Fax: 508-,90-6230 For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMEI,IT TO PERMIT APPLICATION MGL 142A requires that the "reconstruction, alterations, renovation, repair, moderni=tion. conversion, improvement, retnoval, demolition, or construction of an addition to any pre-existing an four dwelling anus or to owner occupied building containing at feast one but not more th structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements- Type of Work: Est. Cosi Address of Nock: �y Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law r _Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING 'AID OWN PERMIT OR DEALING WITH UNREGISTE� HAVE CONTRACTORS FOR APPLICABLEPROGRAM OR G HOME UARANTY NTY FUND UNDER MGLVMMMIT WORK Do � 14Z�i ACCESS TO THE ARBITRATION PR SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. / Registration No- Contractor Name . Date T114, C1,111111111131,CU1111 (IfMassachuseliv f Indmi-trial.Accidems 0MCC fff IMS119VIBAS Street Blivoll.MUN.Y. 0111 Workers' Compensation Insurance AMdavit Wyllie nt n n Pninrnigtin * Inc7::.,'n "-7 1 -TYq-10- 7- 1 am a home-owner per-,-orm, ing all work myself am a soie proorie.-or and have no one Working in :nN, CZ03c"ry 7 idinz warxers cam LK r,,, an ernpioyer prov pensmic.n for my emmovees working an this enflifl:mv n:im(** mhnne H- in-lr-rire rn. nnficv 0 ors lisled ble:0"k. ,.�.: r— have h' :r-, z zoic general contractor, or homeowner�ciTcic oitc) and hired the :ht "oilowinz workers' ccm=ensarzion polices: ct mhnne d- in-r-nrr f-n mni;r%-ii Ct!%" mhnne ii, in,k1;r7!-irC rn. 3Lidifion3ishcc:irnccc r-�--- - - ---- . 2i — - ucr,un . .2 line up to SIZIOU-0 zr.u,-t:.- F:;;Iurc !0 secure ctj%,cr:*-.c::s requircu -tenon_`A of.%IGL IS: Ic2d to the imposition of criminal pen2itics Of unc improonment as i%cij:ISCi%'ii pCI12iiics in the form of STOP WORK ORDER and z filicul'S100.002day against me. I understand tn:.t core i this ,j:jJCi1jL:jjj nl..I% J)C furwirdcu in the()Irlcc Of1M-c5ti,---tions of the 131A fur covcr2;:c,%-cHfic2:ton. W ormari.ol?prort.de (;0 the iii! d above it true wid comer". 031C -7 7�3 Phone 9 )Mcizi use uni% do not%%-rite in this area to be completed by city or town OM62i MY -,r mwn: permitilicensc># 1111jujidina Dc;,=rTr.':cnt C:,UCcnsjna Board cn'.,,orricr if iminc,-;izic rc5nun,.;c is rcuuircu L)criarimcni phone im: —uilicr� -7cr,nn: Information and Instrucrioas M,asac!tusetts Gcncr.:i L.:«s chanter 15_' section '5 requires all emplovcm to provide workers cnnlpe:awt:;:n ;. e:llnim•ces. .as cluoicd (*rom the "1a::". an elliploree is dcf-ined as every person in the sen•ice of :rnoffic:vUT,c:- coo::r.:ct of hire. =press or implied. oral or written. _ An employer is do:incd as an individual. partnership. association. corporation or othe Ic-al cntit}, or and• :%v:� the �ure_oin`_ en__:1__•d in a joint enterprise. and inc!udinu the legal represen c tali of dcce -J empiover. MCC:.Ver or tnistee of an individual . partnership. association or other legal emit}•, employing emplovees. Hc.-vZ.... mvi"cr ofa dwcllin_ house haying not more than three apartments and who resides therein. or the occ:1r=:: of" dl�c!!iil_ !rouse of another who employs persons to do maintenance ;construction or repair worm on suc:: d::--c. or an the __mualds or building appurtenant thereto shall not because of such employment be deemed to .harrier !d= scc:ion _-5 also states that el•en• state or local licensing n;cncy shall withhold the issu nrc: a »:rl „far license or hermit to operate a business or to construct buildings in the common::•ealth for :c.mt who lrns not produced acceptable evidence of compliance with the insurance coverabe rcquireu. ;c ..ionallv. neither :he coinInonwealth nor any of its political subdivisions shall enter into any contrC: fora:e of public aorta until acceptable evidence of compliance with the insurance requirements of:his re::2:ae-4 to the contrcc:inc authority. .F j Appiicznts ill in :hc .vori:crs' compensation affidavit cotncieteiv, by checking the box that applies to your situa:i::: .: ;c:cc V in_ _omcan� :lambs- address and phone nurrcers as all affidavits may be submitted to the DeYarrtrcrt of .Accidc::ts for contirtnation of insurance coverc_e. Also be sure to sign and date the affida:it. litre .c. it ilouid be re:Lr::ed :o the bin or town that :lle appiication for the permit or license is being requ_s:ec. r DCCzrr:lle:.t Jt t11uL'Srriai .-accidents. Should you have any questions recarding the "law" or if you an "e- �cri;crs' :c:. ::sa:iotl policy. plense _"il the Department at the :lumber listed beio:t C.n, it Towns ' �e .urc •hz• :he is complete and printed ':e_ibiy. The Department has provided a space at :he co:::.- : aa: it -:or you to tit out in the event the Off= of investi`ations has to contact you regarding the app:ic= ' _ :o till in the pe.=itilicease number which will be used as a reference number. The affidavits may be .e:::r-:: tee by maii or FAX unless other arrange:nests have been made. of lnyesti_ations %vouid like to thank you in advance for�•ou cooperation and should you have a.Zy qLe _c°e �o not Ile=irate •o „ive us a call. 'ecart.�e^rs adcre<<. teiP^done and fix number The CommoniveaIth Of Massachusetts--., Department of Industrial Accidents offIrr. not Investigations 600 «`ashington Street Boston. Ma. 02111 fax 1: :617 7749 _ +i:unc =. 6 1". --=900 '06. A0,0 ,)r - 7 T' �.' y,2� r.a •e ! t r �� ;i.p„- .rn 'S, -••r .:L ?7. � x ,;'! Fdt '�;1, r •I;� •1:• r CbJ t ..r. ..:r .n ..:i:. -�.ai 1'. 0 '4' :7(b, s t. -r •N**• �!4' �} i �'�>y;. +,k •g. ,.r.a .>.. .%••i •�,c• ,C .. -:;��' � <itl o .,t;".+' u.y�:.�" t '�. ,n.^i 'r S•� �!`-Ib,Y La, 1 t9r:!�.:�, r'; i1��-" ¢. 'i�!n "sl'O! 57�17�' C,9r,�--.:,'e'¢.:: "'�>•'piFt�.Qy _.{7_� �.�1:: ?'v;.�i�,+:.i�.l•.t 7�. t !:y. .;!t.dyi�:';�' .,. 5 ra;�l,.,: +� �.'l:y. .�S'1 ', `� ...' '�t'sn, ''t"� o. f. ..,aN., >;,,. �'•;'ti�� !� .-' s� t�,�..' ,'. 'x•. . 5'.� }x •d r '�4 � x t w t•i' i��`,��:. '"-'�� lat*a'll� rvi!' .,�:... •7}p T } 7�C r '1 1 "� _Si 'f � rr �1�..TT.- i '�`1;1, �� <�1.iYY Fi ,j.! ��� ��{�•'�' v a; r7! :•II,. (—JyD 5,,,;j"` i, ��_t tt A � ry< h V �}w -Yl.:�r f �'f,.r r4.Y i r s �'� ... !� '� t"' �F^' 7..�+i"T'_ ;'. ".,X:•!`' 4+Y'' '.. .'o 'L !S,. 1 'p gS�� .!� '� lit �`: L J . y`. ' ;}y �' ��•t p 7 .:If, w-,..{,tao Y`�« .w�j ��t k ' 't :�I' y, t h 't•€ +r[ 4.. 4 •:....� A..4; S 4?� �.h�}.�''�1..JT�"� y _r'� .e v"Y#7-C �f-f�ii Y p`i� , a ; 1 _!• {7 .HOME IMPROVEMEN rCONTRACT.0.�2 _ REG�IS:TRATION: ai �. a r a a � a ,.Board�of.,T=Bu'i°'1di; g `.f eoulat4}.ons a d' stsndar:.ds r� �. 1 ,, s;s ;; ., �r'„` ` ,.�•In •. :a'S: � 7r,,; n,�, 'c::' '?}i"4 t }(.JL{�[..t-,j.4e +�, •6 :k!`. t 7.a:rYS 1 t 5.0 'C'e!:,<::!:•i t.'t :N yea- OJr✓ "Ashbu t "` r iys7µkr + U.f. , ,•5 c ;r ;t[ t yf ''d f r.. ';} }._s,ti. O:ne on..�P:1'aca �pom 1`3,0 ' r.y .<r't- `a`t° 5 ty 4!• t c �1 ». as 1 t r y 8L Y T,x,;:. x���F����Y�77 -•.TP.l. � .. _ �y, '01. ��a'•� - 'af U HOME tIM6?f�OV gin . Qpry :pG�IVT�RA, ''0-y �r �' �: s ; '-., '}:.,�i 7 S•*� t Y � 4� .7' 7 61'/Iy���'. •. r n + �� NON ��IbpRbVEN 1`CONtRACTO� n ' 7� �° Re�tetretIo-��112536'� ''�s � .:•r:. J` 4 1 a _ :v f <,. 7 ,� „y�V';rti�t S 5 s�s?"�. RSE oN5 FiU YrpeA� iDB w "'4}a r(+� ¢�• *' '� _ AG&OR r. r .. .s 1 i� .FR44p. ONSTRUCTION - � _ ¢ 6�s,��c•'�,�-���.¢y�h •^• �,p��{ .�' 1 _- � ���Ny SER��_t`'is�� J. r,;..•t Le��4' ".i. cty;�l''�� �^' t .,i "��'°1 Ll- 1 yj' p}_.7+lzr 6v a_Y`✓• 'Rrr3. ,r•, ss i.; t 4 •ye. i� R fi ;!. � ° '::�'wafuN�slsuioa',��}"}�• " TA RA ONCIR ;�c.� r�;� ,f^� ...:h 1P/civ�r�+Ir}9,.c•�S, i.'e .< t r,�a7 - -?;'.. 9 f�' -65; .� ?!�'' , yr� _� _ .t •.i r :Y -�,;;e; COLUIT:.MA,.02635, ,;' COMMONWEALTH PARTINEI�T OF pugV SAFETY OF .10'COMMONWEALTH AVE. 9 f MASSAC HIJSETTS ��ON,MASS..02215 t .r4• L I C E N S, EXPIRATION DATE E O N S T R. "$u p£R y I S Q R 1'0I27i1993 i RESTRICTIONS" EFFECTIVE DATE . LIC-NO. NORE t749f3.1��990 05`363 I DANIEL J GALLAGHER t, s 0.• Box 2099 " fN7ERVTLLE p� 02634' '-''• ) PHOTO(BLASTING om ONLY) FEE: �� i o.00 HEIGHT: NOT VALID aT UNTIL SIGNED BY LICENSEE AND OFFICIALLY ' - t• • p t THIS DOCUMENT MUST � CARRIEO ON"THE PERSON THE HOLDER'WHEN ENG S AT E OF LICE EE I OTHERS "RIGHT THUMB PRINT ED IN THIS OCCUPAT ' COMMISSIONER - 20OM-2-87.81429 j sessor'syoffice(1st Floor): J// r S�9S'y°��� �T "Assessor's map and lot number /�T D�,/6 i �� ®�� ® k Vi��Tp�Y'�T' o` ' .,�� �, qa. iENVAR®N ENT� e Conservation Board of Health(3rd floor): TOWN REGU Sewage Permit number Engineering.Department(3rd floor)`. J� oo�ie39 House number. �►r Definitive Plan Approved by Planning Board i 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only ' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF.CONSTRUCTION 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned herebyapplies for a permit according to the following information: ' 0 Location 7 Tn— (.(/e(d zj, [�j JQd, r)S TP_d2 r/b l`e M4 S, na 6 ss— Proposed Use �' —u/T Zoning District Fire Distri �'L�y7`P/Lv1l�P �� .C✓i-/� Name of Owner ZJ tz-A I-i T 2 c c'cy1 c)n� S Address 9!1 TO C,0er/1 ngT hjo S S Name of Builder J�n Y4'k1 A d6 I-k,4 Address PCJ- 'riW K/PS�. Name of Architect Address Number of Rooms Y Foundation CL)AP 0, 76`( Cepo /t?R 'rP Exterior——UA90 ,� ),/a� _ Roofing Floors C' r P (i Interior S f-�e2%- )RO G k/ Heating E7 L Fi C TR ut C Plumbing { _O I L Fireplace Lti IDA -s or/e Approximate Cost Area Diagram of Lot and Building with Dimensions , Fee .5 ©� �r 9i 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 OJT (9 3 E s ,T FITZSIMONS, DAVID ,No 3.4771 Permit For ADDITION Single Family Dwelling Location 242 Tower Hill Road _ Osterville Owner David Fitzsimons Type of Construction Frame Plot Lot Permit Granted January 2 , 19 92 Date of Inspection, /;; 19. Date Completed c7/ 19 w V r JOSHUAS tzl VO UPOLE .�(�nd) LO US a 279 81 �� i BAY ST. o b = PARCEL "A" \ r \ 3.20�00w �0� LOCUS \ � va OF DIRT ol�PAUL � PARCEL "B" = 0 500-t- S . FT. �1 No..E s y RFTHEW t� AREA 3 , Q TO TOWER HILL ROAD o�. a\� • ' 6 l'J 5� �(�d) , PLOT PLAN \ \ �'� 33 1 1► � 1g.2 \ a 24,0' _- -0 9wG  120 75 PROJECT L OCA TION \ - _ ►-- � 242 TO WER HILL ROAD OSTER VILLE, MA. 7.15'38 PLAN REF. T. S6 �.-- APPLICAN - 439/41 \ �,115/53 LA� 22 RS STONE 115/125 \ \c PROPOSED \ 19��w% ADDITION i YANKEE SURVEY CONSULTANTS FLOOD ZONE- "C" \ U 5g8 P. O. BOX 265 POLE' GRO UND WA TE'R PROTECTION UNIT 1, 40B INDUSTRY ROAD ASSESSORS MAP 142 x 0 VE'RLA Y DISTRICT "WP" MARS TONS MILLS, MA. 02648 PH.(508)428—0055 — FAX(508)420—5553 RES. ZONE- "RC"SETBACKS. GRAPHIC SCALE SCALE.• 1 "=30' [DA T : 1014199 ; 10' BUFFER ��„� E FRONT 20 (PER PLAN 1151125) J0 15 °° ,2o SIDE' 10, REV REV REAR 10 ; ( IN FEET ) JOB NO. 52113I SHEET 1 OF 1 1' inch = 30 M JOSHUAS Va .. ,A 0�� � V ti u.pOr.E . (r d) c*1 ; s 'o LOCUS 279 81 i BAY ST. PARCEL "A " 0 O 3.2333„ 0 t� 1 S7 ! �°�00 LOCUS t1q\� n y `� PAUL DIRT 'Z �� A. �. -- \ 1 PARCEL B morm� H tx1 AREA=30,500-1 SQ. FT. N 32M TO TOWER �' 'z 1 i ,,•i1 �' ti cisn HILL ROAD \,� \ (fnd) , 4 PLOT PLAN \ 33 18.2 , 1 \ a . 1- 10 9�G� rn _� 20 75 PROJECT LOCAT/ON 1 - \ 24.0 1 242 TO WER HILL ROAD HSE.' OSTER VILLE, MA. 67.15 30 PLAN REF. " "Z c5 , 16 0'_ 33.3' 5 439141 •-. ' ►-. APPLICANT' 115153 ` �. 22•e i LARS STONE 1151125 PROPOSED ` ZONE.- "C" \ 37 9 9�'w ADDITION YAWEE SUR VE Y CONSUL TA N TS FLOOD 1 S68 ' P. O. BOX 265 POLE' GRO UND WA TER PROTECTION UNIT 1, 405 INDUSTRY ROAD ASSESSORS MAP 142 x 0 VERLA Y DISTRICT "WP" MARS TONS M/L L S, MA. 02648 a t3_� PH.(508)428-0055 - FA X(508)420-5553 RES. ZONE- "RC" x [SCALE.- 1 "=30' [D7A TE.• 10 4 99 SETEA CKS.• - ,�, SCALE 10 BUFFER GRAPHIC SCA ,.� 30 0 15 60 Ego FRONT 20' (PER PLAN 1151125) SIDE 10' REV REV REAR 10' ( IN FEET ) E NO. 52113 SHEET 1 OF 1 1 inch = 30 ft �� � L� I , -. .. , _-., - _ �..� ----- - _ t - - - - - . I > __ , t , 1 I i . , ; , . : -, , - , , , „ „ , , :: ,.,. `3 .' -: _ . i - :.. .. 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