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HomeMy WebLinkAbout0061 ACORN DRIVE i Qxip/er NO.152113 ORA MAM w use ESSELTE tj 4' � a"l ^ 1 Application number............................................... DEC 0 4 2018 Date Issued....../..21I..... 0 � ff,,[[�� [[ �I11 °� ������l- BL[. Building Inspectors Initials.. .............................. .,Map/,Parcel....WI-2.......A...:..................................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: /Z NUMBER - STREET VILLAGE Owner's Name: Phone Number Email Address: brJ,5'-' Cell Phone Number Project cost$ �.3 '� Check one Residential l/ Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize � 6ral ox� to make application for a building permit in accordance with 78 MR Owner Signature: it L ka c. Date: /0V3!D TYPE OF WORK ❑ Siding ❑ Windows(no header change)#. o Insulation/Weatherization ❑ Doors (no header change)# Commercial Doors.require-an.inspector'sAreview ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION ' Contractor's name &6, Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor al-tP,1'na, LtJeA"A'7�Zah71`�'l- Phone number �/"57o7 YO ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN. A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................►......... ...,. *For Tents Only* Date Tent(s) will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X j Additional tent dimensions can be attached on a separate piece of paper. i Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am--9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CAM the Massachusetts State Building Code. I understand j the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date 3 All permit applicaV s are s bject to a buil "ng official's approval prior to issuance. I Town of Barnstable aAWNSTaatE, Building Department Services ZMASS 90o 6 . 00m Brian Florence,CBO A'Fo Ana+°� 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 I, Bruce Scott , as Owner of the subject property hereby authorize hff Ne � fb� 1:"� , to act on my behalf, in all matters relative to work authorized by this building permit application for: 61 Acorn Drive West Barnstble (Address of Job) Signature of Owner Signature of Applicant (�l c.e �r -7 Pu Print Name Print Name Ie - a9 - I � Date The Commonwealth of Massachusetts 02 Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 ,.J www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. j Applicant Information Please Print Leeibly 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): I.R1 I am a employer with 16 employees(full and/or part-time).* 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.] 3.[]I am a homeowner doing all work myself.[No worker 9. ❑Demolition'comp.insurance required.]' 4.n I am a homeowner and will be hiring contractor to conduct all work on my property. I will 10 Building addition ensure that all contractor either have worker'compensation insurance or are sole 11.❑Electrical repairs or additions proprietor with no employees. 12.E]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractor listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.' 14.0✓ Other INSULATION 6.❑We are a corporation and its officer 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. +Contractor 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-contractor have employees,they must provide their worker'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: LIBERTY MUTUAL INSURANCE Policy#or Self-ins. ��Liic.#: XWO(19)58867158 Expiration Date: 6/8/19 Job Site Address:�J� /4crr/x- Ar. City/State/Zip: W-. Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). 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 u d ain a p ti s f perjury that the information provided above is true and correct Si ture: Date: Phone#:508-567-4240 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#: AC�® DATE(MM/DDIYYYY) �� CERTIFICATE OF LIABILITY INSURANCE F06/11/18 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 endorsement(s). PRODUCER NAME: Anthony F.Cordeiro Insurance Agency A/CC,No Ell: 508-677-0407 A/ No): 508-677-0409 171 Pleasant Street DDRE Fall River,MA 02721 ASS: HSouza@Cordeirolnsurance.com Fall INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Liberty Mutual INSURED INSURER B: Ohio Security Alternative Weatherizatlon INSURER C: Ohio Casualty 2 Lark St Fall River,MA 02721 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE INSD WVD POLICY EFF POLICY NUMBER MMIDD/YYYY MM LIC DDT LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE FSIOCCUR PREMISES Ea occurrence S 300,000 MED EXP(Any one person) S 15,000 A Y Y BKS58867158 06/08/18 06/08/19 PERSONAL&ADV INJURY S 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY❑PRO- JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S 1,000,000 ANYAUTO BODILY INJURY(Per person) S OWNED SCHEDULED B X AUTOS ONLY AUTOS Y BAS58867158 06/08/18 06/08/19 BODILY INJURY(Per accident) 5 X HIRED X NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 1,000,000 A EXCESS LIAB CLAIMS-MADE Y Y US058867158 06/08/18 06/08/19 AGGREGATE $ 1,000,000 DED I I RETENTIONS S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY C OFFICER/MEMBER EXCLUDED?ECUTIVE❑ NIA XW058867158 06/08/18 06/08/19 E.L.EACH ACCIDENT S 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Action Inc and NGRID,USA its direct and indirect parents,subsidiaries and affiliates is added as an Additional Insured for General Liability on a Primary&Noncontributory basis per the terms and conditions of form CG2001 (04/13),for Ongoing Operations per the terms and conditions of form CG2010(04/13),for Completed Operations per the terms and conditions of form CG2037(04/13)and Waiver of Subrogation applies per the terms and conditions of form MEGL0241-01 (04-11) Additional Insured for Automobile Liability applies per the terms and conditions of form SCA005(02/16) Excess Liabilitv is a following form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN NGRID USA ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Road Waltham,MA 02451 AUTHORIZED REPRESEN.-�� / ©19.V12015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 14F»wssac3ltrse Depw t7tent of-I*ttbifc Shy. y" �iat'd o�utkilt��te�utatioins 8r`rd 5taarRdard� t:wei1 zs-tou" Construction Sapel*tsor TiM10'WCABRAL. FALL RIVER Mk ; 1I �'i'}P 1 2rCla E p1ratiow �t„a0trifl1i5$iE? f` fl$1G$12a38 - T�� �J�� r%'CLY�2/1?YI��12f,1�-P�(,li � f'✓� .LJC.l�fi .y Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home ImproverneAtwContractor Registration J Type: Corporation ALTERNATIVE WEATHERIZATION, INC. 4 f Registration: 175683 2 LARKST :.. �. _.>ai_: _...: Expiration: 05/28/2019 FALL RIVER,MA 02721 ` Update Address and return card. Mark reason for change. . . .. 2^..0 5 e CI..Adrdress..E p------- - �.. it`.EY13LD Fn.nlaynnanf 1711 Qc-f ar ,... Office of Consumer Affairs&Business Regulation = "`�`� '• HOME IMPROVEMENT CONTRACTOR Registration valid for individual use and R. eg y ;y TYPE:CorOoration before the expiration date. If found return to: sr Registration Expiration Office of Consumer Affairs and Business Regulation 1Z5M 05/28/2019 10 Park Plaza-Suite 5170 ALTERNATIVE WEATHERIZATION,INC. n,MA 02116 TIMOTHY CABRAL ` JA- 2 LARK ST r FALL RIVER,MA 02721 Undersecretary ti vAI446out 3i store 1116*~ ALTERNATIVE WEATHERIZATION m. :OWZ&Banns ry ) in St es.MA 0 �O1 �• �'�� •�'• • .. Re:Permit# _ a J Y 7 Villa••g e: . "The insulation wea tIaeraiatioirtvork at '• ' -h been completed ce wfth.780�'MR,; - Regard's; Timothy Cabral, President CSL-10S4S4 58 DICKINSON STREET FALL RIVER,MA 02721 I (508)567-4240 I ALTERNAnVEWEATHERIZATION®GMAILCOM a . ,.... Town of BarnstablerOW 0�8, s��- OFfME Tp� Regulatory Services LE Thomas F.Geiler,Director .2T9 A�! —2 y°Ia 9: 4 BARNSTABLE,MASI ' Building Division �.�i639;t a � Tom Perry,Building Commissioner---_— ommissioner� ED MA � �. b 200 Main Street, Hyannis,MA 02501'ft ;;""" =>E� : www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# �j� FEE: $ SHED REGISTRATION 120 square feet or less f A wesf Location of shed(address) Village o nr-At as (Voe k M cLvw e �� '`31,! y Property owner's namd Telephone number I CD Size of Shed Map/Parcel# . 7/�- Signature Date Hyannis Main Street Waterfront Historic District? C� Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMP ANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 t Town of Barnstable Old King's Highway Historic District Committee) 9B"MSTA13 U— 200 Main Street, Hyannis,Massachusetts 02601 03 MF�° (508) 862-4787 Fax (508) 862-4784 . CERTIFICATE OF EXEMPTION Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,Acts and Resolves of Massachusetts, 1973,as amended,for proposed work as described below and on plans,drawings,or photographs accompanying this application: Date 4, 0 a Address of Proposed work, Assessor's Map and lot# House#�(�L_Street 4 Cv Village: j t �ispplication is for an exemption of-the proposed construction on the grounds that work: Will not be visible from any way or public place ❑ Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission ❑ Other Description of Proposed Work: 14,1? �t X/ \ / r///6LSS%� �.y.�1 �Gl - -7�r3�•� y���c�!'IBC/�:,)�r (�IIJc:�(�I ��INiLCC•/� �2� S�J� %.y I [ � ��l! // iM Sl /L� �4 / /191� I/Q/bG^� Ct--�lz"Y_-L �J� L�(� ��P�� L �'�t� y/� r�c1� O!' �l r:��?CL /✓/ / ltt� //-- r- e e- P l S/� / l -Q��fP"/GA — 2=�� Y�t�Ganf4 h/� //C�1iJ ! /ur)� h 7—Z; lJJ /l/�2P _7:5 Gi r✓[s(vl�y na uJG[)d ti V- S HzGlu i 7` /0 W-r- 1 L�Zc61(� i 4c� ! S = Agent or contractor(please print); Tel.no. -7 7 Address Y,/f� C t�i 5 O Owner(please print): A110/ k' `t- c.L VN r-,e -� Tel no. -'7-)� Owners mailing address: L0 S� Signed,Owner/Contractor/Agent For Committee Use Only This Certificate is hereby App,�ova dTnied Date: Committee Members Signatures': �� , \ T �N ;a � � N�jOR1C PR Any conditions of approval: o QAGMD-Groups101d Kings HighwaylOKH New ApplOKHExemptionrForm 07.doc r ' N �'� t9. �• N���d SN�d9�O w sja/l o} hWSO S 4. V o / 10 SD. 0? i �0 4 a 0 Z NIF d F. Johnson � of ux. -._- �G 1 w•so-�a• •+b.. .ate• c\ 32,600;�_ S- �o• p p 9 a r•40.00' y "`•� f'7C I v�7L k 1•i rV 6 A �0 Tr /.4,• A S• eA we. V ♦� 2I 1 24,600 #t o' J v a0a ` 9 9 Jc A A Ed�a�d F. Johnson � ux. ` r c 43,2'00#_ o J N ti % � O � 0 o O � o ~� 0 0 �. �I JZ �'0 F �. s 0ov• o� 9 •0 -S6 69 i3 - C� o RARNITABLF, 0 1 3 3 0- REGISTRY OF DEEDS AUG ] i 1960 ' z � I i 3M SGAL'g RECORDED This Plan does not require the approval 'of the Board OY. Surg@ PLAN OF LAND IN WEST BARNSTABLE MASS SNOWING P20PEI2Tl£S -OF $0,. - OF-SURVEY OF B STABi EDWA12D F JOHNSON ETAL. SCALE DATE I i w cn rr q JUKE 1960 ' Town of Barnstable o Regulatory Services Thomas F. Geiler,Director RAMSrAst.e, 16Jg ,m� Building Division RFD nv'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www,town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-623(_ G PERMIT# �O�O cl�1� FEE: S � SHED REGISTRATION 120 square feet or less Location of shed(address) Village s0-3 ` % Vie-- Property owner's name Telephone number Size of Shed Map/Parcel# . Si ature Date 7 Hyannis Main Street Waterfront Historic District? A10 Old King's Highway Historic District Commission jurisdiction? YES Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30 &3:30-4:30 �4 /' IS PLEASE NOTE: IF YOU ARE WnRIN THE JURISDICTION OF ANY OF THE ABOV <a\Xa� COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND.APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. y Q �c�co�F THIS FORM. MUST BE ACCOMPANIED BYA PLOT PLAN Q-forms-shedreg REV:042506 �{ N 0} yap 0� Oak J h �° 48 Oa Z N/F b� D' J Lt. �o. � o 2 Ed F.ward Johnson �. 00• i• p a aa7s Y to - of ux. .. 6 ••so.�t• "b•• - ���, p 32,6000s 00 y .tl Qt �•e. gyp` �' 6 1 qp ip E A.73 4- AC.V 4L Y T �.•,,• a�n".c �'� Ray,.wnd w 5' -� 311 1 24,600 f t V v4 . sue, i 0, 3 c` v 5A. C.4—trd F. Johnson C4. ux. 0 43.200 f-t ti 0- ' N 0 S p p `y �l�tel `0 �o. e 6 oar r569 STA C 1 _ 2 3 RS A Y Q%DGF. �a� I I I I I e N scw; 11 1 -1 v' AUG y - SC4 UCO o This Plan does not require the approval 'of the Board Of. Survi� j PLAN OF LAND WEST BARNSTABLE MASS 3140WING PROPE2T/E6 OF :y' OF SGRv Y OF B STABI. EDWAI2D F. JOHNSON ET AL. SCALE DATE NOFtt1ro - Note: I IN : 60 FT 9 J.VNC 1460 :.,0* CWLFS c _ Thy plan CorreCV0 ��p�rce%7 /ots i NEY�Y! 4. 5 I 6 ow n/n.. ..! A46 'e.. a AJ----- .lel.J 3 SAVFIT „E Town of Barnstable P� Old King's Highway Historic District Committee ;S”" STAB`L� 200 Main Street, Hyannis, Massachusetts 02601 �PrEnµat (508) 862-4787 Fax (508) 862:4784 CERTIFICATE OF EXEMPTION Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,Acts and Resolves.of.Massachusetts, 1973;as amended,for proposed work as described below and on plans,drawings,or photographs accompanying this application: Date I I zo j 65 Address of-Proposed work, Assessor's Map and lot# a (o — D 4..I House # Street Village: )P,5t �G�✓%°!S/Ct.�/� This application is for an exemption of the proposed construction on the grounds that work: Will not be visible from anyway or public place ❑ Is within a category declared exempt by the Old Kings Highway.Regional Historic District Comnussion ❑ Other r 41im ' Description of Proposed Work: (OGGC.fi- � I az oL �Ch. C`t P�`f Pw r r?•{ � Agent or contractor(please print): Rk e�4 S T61 r,_� 15, Tel. no D, ur'Lt_ a LL— .. Address: 5`l b t ZT' Ow.itet•(please print): - KfA�"IGI.hYI!° ,�0n(,�t.wb Tel no. ���Go�'�Cf�9 Owners mailing address: 'Signed,Owner/Contractor/Agent For Committee Use Only This Certificate is hereby Ap vved/Denied Date: ___ Committee Members Signatu �`� ° V O 0 TOWN OF BARNSTABLEc��c F HISTORIC PRESERVAT-ION �o�a Any conditions of approval: Town of Barnstable Permit: OFTHE 1pk, Regulatory Services Dat 31 vl " 4b Thomas F.Geiler,Director Fee: BARNsrABM 1 Building Division 9 MASS. 1639. Peter F.DiMatteo Building Commissioner A�Fo ter 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: N&\(A'lee c _k Phone,5tI-737-33 7-j7S, 5 -3 G-2,.- to,03 Address: 6/ =: &2 r-i vc_ Village: Map/Parcel: 2,16 /0// Date: 9 a 7-0'u� Stove 1 A. New/� e B. Type: /Circulating C. Manufacturer: Uer-r-v,n� Ccs-fi% j E Lab. No. D. Model No.: Chimney A. New Exist' (If existing,please note date of last cleaning) b C{ B. Flue Size (o f�::� C. Are other appliances attached to Flue? no D. Pre-fab Type and Manufacturer E. Masonry: Line nlined Hearth A. Materials: Po n-Llc -4-'7% �e ��rA* to);Ii-k a �cuut,.- rho B. Sub Floor Construction: etc- Ucxv urn. 1,ctic f F - c.r.f' ee""'d Installer Name: O*Ncl-`e CcI, Address: t.�>'', L'L c yn Phone: Location of Installation: i of Tc, e-rx1r�. APPROVED BY: 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 _;sock office(1st Floor): SEPTIC S"ISTENI MU BE ressors map and lot numb INSTALLED IN CO Conservation(4th Floor): t WITH TIT °w Board of Health(3rd floor � ENVIR®NMENTA Sewage Permit number, TOWN .REGU L,� Engineering Department(3rd floor): 1b, House number- t0 + o�►r Definitive Plan Approved by Planning Board t 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 ►5 U I t /•-d P i V O A( 1TYPE OF CONSTRUCTION W jf¢P2�L 19 q4(- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 6! A COLT( D R w , v2eKywe -E 64 44 (4-07- sA , Proposed Use D! 4 z A4 UD /Z tea A4 Zoning District /` Fire District_z Name of Owner M A-k K LEIS C-J� ddress &f *4 CO2N D Q , to, W/X/ v z- Ao 14 OA 6 ®?� iT A- a�6 Name of Builder�� Address Q S� � � � �S Name of Architect Address Number of Rooms a Foundation D u R-C6 C o N ckC 7 C Exterior & "D 5/V r t4CrLtF Roofing 05P 7- Floors Ho2D w OV6 Interior S 7-k-O(Z ' Heating 17LO7— Plumbing Fireplace Approximate Cost a Area g Diagram of Lot and Building with Dimensions Fee ✓�/' �- 0''4'Lot2N �l -o q3 r 0� � tU� &7qj . r.#` 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 c Construction Si ipervisor's License �S MARK ^_No 5 Permit For ADDITION Single Family Dwelling Location 61 Acorn Drive West Barnstable Owner Mark Leach Type of Construction Wood Frame Plot Lot May 2 94 - u Permit Granted' 19.— .,,,,.Date a :,Date of Inspection: Frame 19 - Insulation 19 Fireplace 19— Date Completed 19 ` t J � "R �a A «,A �, 1 - iip � o e Application to S►�pN'��fpNN�f P,�CT.,,qq � ' 0P-j NOy..tNWt Old Kings Highway Regional '.istoric District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, I Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building 191 Addition ' ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: Z 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole t&Other 2 RGE E,%i' Tyr;Uis- ECIC (Please read other side for explanation and requirements).c� J �v� 2 TYPE OR PRINT LEGIBLY 1 n6 DATE I f PERC*+ 2- . j08 ADDRESS OF PROPOSED WORK W&ORI� ME, �. 7- S"fAQIEASSESSORS MAP NO. A 1(0 OWNER "lei"RK + �I 90J& ASSESSORS LOT NO. oa(dog HOME ADDRESS (off &roRIJ `DR0€ x6&,xZWWsrR&Z MA TEL. NO. 509-3b2-ej3bI FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR _r am TEL. N11r1rhu 0.nr-� r� nn nrmr ADDRESS ���V DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). pa a��n©Xn�frlaR�Lt� 3� ua�e- @ adoLt�o'-) :Jzo Cok(\� Ol- J-)Ou'at' `wood. , 2G� o`Qe. �oo� )Z ry-)oTD ) �1c v u,o� . 'k Opt 2� moor)coo . zly-� d UIL01. woot�, igned Owner-Contractor-Agent Space below line or_Ornmbttee use. D c8`i►etpyr.U C.� Date The Certificate is hereby RPAI"'Lza Date MAR 2 31994 00 +Time y DOWN I Belli--WAY Approved ( IMPORTANT: If Certificate is ict. roved,approval is subject to the 10 day appeal period provided in the Disapproved ❑ ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2. EXTERIOR PAINTING: An application is required for any portion of a building; structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the following exceptions: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc. I GENERAL REQUIREMENTS 5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. 6. No changes shall be made from the original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7. A separate application must be filed with each p pp project requiring a Certificate of Appropriateness. I 8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters —leaders, roofing and paint color. 9. Unless application is complete and legible and all material required is supplied, application will not be accepted or acted upon. Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall. i I ' I - iI1 i' I ij I � 1. � ---._._-._. [.4.--f-C ji I :, i will ,it is 1 os ! i , •I, I I DO 16 � I f f � f � • i , I a �} K i v f4 �kg i OI *+ ; dh v v , MT a a � J �.1 •M o — R1 r V11111 I( lI' IIIW N i 1 -`4C0 � fs9ss•-� d._�l 90 ;r01 01 9 '�_ a r cALC. R=114.64' - L=72.45' __ao LOT _ 3 _ -- 9� IDStj 100 cc OT r O tG N �p�00 �S r 69.13 i RES. ZONE.- "RF- This MORTGAGE INSPECTION Plan is For FLOOD ZONE.- "C" Bank Use Only TOWN: _Jff5_1_8A)?NpSTJB_LE_--------- REGISTRY OWNER: -RANK. ,BEY__ 111d11 _�11�'d 'l ��H__ DEED REF: _-2td4 1M---------------BUYER: _R&ELYAN -------------------------- ----- FT. _�_7,9?____________________ PLAN REF: _17_1�___ _____SCALE:1r— �5Q FT. I HEREBY CERTIFY TO NEIf,BEpmRO�Ipff mL____ ��H OF M saY,t�C 1T5�S1lGCES OM &yD1QR =rGAMTHAT THE BUILDING cti YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS �o PAUL CONSULTANTS SHOWN AND THAT ITS POSITION DOES —_-- CONFORM M A.ER THEW N TO THE ZONING LAW SETBACK REQUIREMENTS OF THE .0 No. 32098 Q 143 ROUTE 149 TOWN OF ---46ARX6 'TA,$f1f'---_—_---_—_. AND THAT 90, 9F �o MARSTONS MILLS, MA. 02648 IT DOES_1YlIT LIE WITHIN THE SPECIAL FLOOD HAZARD FssoN ltST SOQ TEL: 428-0055 AREA AS SHOWN ON THE H.U.D. MAP DATED�1/,05. _ FAX• 420-5553 250001 0005 C THIS PLAN NOT MADE FROM AN INSTRUMENT 2.A A (; i� SURVEY NOT TO BE USED FOR FENCES ETC: 8672 Isg B6 �� g v 0 R-114.64' L=72.45' LO 2 0 � `"vel tj �o L O .. N Qj ms r � 69•i3 RES. ZONE.- 'RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.- "C" Bank Use Only TOWN: _R'E'EZ 8A,8�TABLE---------- REGISTRY OWNER:. -XARKJS cE '_ '_ 1� _ DEED REF: - Lf �-----=---------BUYER: -RF.F'I�AN ------------------------------------------- AN DATE: _5,/7,19 ____________________ pL REF: _l7_1 ___ __-_-SCALE:1"= 50 __FT. I HEREBY CERTIFY TO ArEK BED.Ep1�11 INSTIT Ip1Y_�j�__ � DF M ��r�res�c,�sSQW ANA&R-AWrG MTHAT THE BUILDING �� �y YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS o PAUL CONSULTANTS AND THAT ITS POSITION DOES _ _ CONFORM o A. TO THE ZONING LAW SETBACK REQUIREMENTS OF THE MERITHEW N A No. 32098 Q 143 ROUTE 149 TOWN OF --,8ARXS'TABLE------------_AND THAT 90� ,pF �O MARSTONS MILLS, MA. 02648 IT DOES_ND-T LIE WITHIN THE SPECIAL FLOOD HAZARD Fss�. �►ST R SJQ .TEL: 428-0055 AREA AS SHOWN ON THE H.U.D. MAP DATED-6YJ�L&5__ °NAl �ANv FAX 420-5553 o t — 250001 0005 C THIS PLAN NOT MADE FROM AN INSTRUMENT B672 A LA. Rl i� p ----- SURVEY NOT TO BE USED FOR FENCES ETC. Z/ � sy%sessor:s office (1st floor): THE Assessor's map and lot number 11 �..�......Q..1.�,. ,. T ? • Board of Health (3rd floor): Sewage Permit number If c ,/ --1..31 f:. ZM.. 9T Engineering Department (3rd floor): n � M NAB& House number ............................ .<.... INVIRONMENTAL N Definitive Plan Approved by Planning Board ---------------------------------19________ . Tom 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 .Ad.0...A...2.0......X„.2.2.' bedroom with bath .................................................................................... TYPE OF CONSTRUCTION wo•od:...f..ra.m s............................................................................................................ ...................M.ay-...Z.,..............19..$$.. TO THE INSPECTOR OF. BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..6.1....Ac.o.r.n....Ro-ad.,...41......Ba.rns.tab.1a,...MA................................................................................................ ProposedUse ........Res•id•e•nt•i.a.l......................................................................................................................................... Zoning District ......ice'-" .Fire District Name of Owner .M.ar.k...Le.aah...........................................Address ....6.L...A.c,o.rn...R.aa.d......W......B,ar.ns.t.ab.J.�.,...4A Image Building & Remodeling , Inc . Name of Builder .....Jo.s.ep•h...J......E.e.t.r.oui......J.r.........Address ....1.3.1.7....Ro.ut.e...1.3.4...... ......NA.... Nameof Architect ................N/.A...........................................Address .................................................................................... . Number of Rooms .....o.n.e.....................................................Foundation .......4..'....p.ou.r.ed...cA.n.cze.tne......................... Exterior .....whi.te:.-ced•as....sh.j.ng.les...........................Roofing ...............as.p.hal.t................................................... Floors .......3./-4-'.'....T.&G....CD.X...p.1.y.w.oad...........................Interior sheetr.o.ck................................................................. Carpet and vinyl Heating ....Add...to...FRW... y Plumbing s..stem........................................ one •fu�1�l��b�atfi..................................................... Fireplace .............N./.a.............................................................Approximate Cost ....$.2.1,••0.0.0...0.0..............�.jj....................�.. Are ..... ..... .:.(d..... ...!. -/.. Diagram of Lot and Building with Dimensions Fee .. ......./.. .................. See Attached I - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. I Name .. ...... ....�i.� r-zcz._ oseph J etroni , Jr . Construction Supervisor's License ........000.9.9.6............. LEACH, MARK No Pbrmit for .....B.14ild Addition .......................... jn.gjq...Familv Dwelling............ .................................... ...... Road ?4r-0 A A/ Location ..... ........................................ W. Barnstable ............................................................................... Owner .........Mark Leach ...................................................... Type of Construction ....Frame...................................... .. ....................................... ....................................... Plot ........ ................... Lot ................................ Permit Granted ...May....2.3.... 88 . ,...................19 Date.-,of Insp6ction ............19 Date Completed ........... .......19 M 7 N �_.. W E ". • �p , aA S9. � it . ho P 0� i hp�`0a. 48 a 2 a • O NIF h% �Z Edward F. Johnson '� a3•oo'r, rJ as 32,600#s Op 1 h1 vl vy/ •aa. �o P 0 \t y S.gyp• po p' a. • RC70* 20 a•nA.(li�.aaf Qaynwnd . Dye ��"1 -�� AS' C•. Vx. V t D 31' 24,600 J m.0 ' DA• 0 9 c V. . C ° 94 . 9 % 5 A Edward F Johnson e{. ux. 0 v 43.200 is 0 Jr 7 0 A i 0 ems: mr• `gym. �,/ 9 00� 00 bq'26 ' RxRNS-A-8LF, 0 i 2 3 0. R.EGiSTAY OF r)EF.DS 3 L CA I AUG 1 11960 3� SCAM � I UCORDE:? This Plan does not require the approval 'of the Board Of. Surl9f PLAN OF LAND wcsr BARNSTABLE MASS SHOVING PROOERTI£S or , :OFGRY�Y OF B STABff.i _ S EDWA12D F JOHNSON ET. AL. SCALE. DATE � iH of x4z� Koi!: I IN : 60 FT 9 J.uNC 1960 of nor _ 7i•/s p/on correcfa f s�porceJn /ofs M� � 311vEltf 4, S ♦ 6 on p/aw *or Afa~n A Nan,9an d /w!a s CHACtLES N. 3AVE4Y CC Jon 6, /9S9 * /oi 4A, p/aw of Marlow A. .,o lwa --�Fd I/. /9z9 ny Eff c%//n. ENGINEERS - SU4VEYOQS 4�o SU�`�+ 4 Application to JpM G1 v�tN Old King's Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application Is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and .Resolves .of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying.this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building g3 Addition ❑ Alteration Indicate type of building: J3 House ❑ Garage ❑ Commercial' ❑ Other 2.-.Exterior.Painting:-®. .Match . Existing 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign .'4. Structure:.❑ Fence ❑ Wall ❑ Flagpole ❑Other - (Please read other side for explanation and requirements). _ TYPE OR PRINT LEGIBLY: DATE May 2 . 1988 ADDRESS OF PROPOSED WORIO 1 Acorn Road , W. Barnstable ASSESSORS MAP NO.._2.16 OWNER Mai}4' -1eaEh ASSESSORS LOT NO. 1.1 H.OME.ADDRESS 61 Acorn road , .W. .Barnstable TEL. NO. 362793-61 ` FULC.f AMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent prope'rty'owneis across any public street or way. (Attach additional sheet if necessary) ' See 'Attached Sheet Image - Building & Remodeling , Inc . AGENT OR.CONTRACTOR dggeph J Patron; , ' Tr TEL. NO. 385-7156 ADDRESS 1317 Rbute. 134,' E . Dennis , 'MA DETAILED DESCRIPTION OF PROPOSED WORK; Give all particulars of work to be done(see No.'8,other.side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed .locations of new signs. (Attach additional sheet, if necessary), ., .. .. . Signed �—er-Con_tmctor-A Space below line for Committee use. Received by H.D.C. Date The Certy!qate is hereby Date Time By r c Approved IMPORTANT: If Certificate is approved,approval Is subject to the 10 day appeal period provided in the Act._ Disapproved ❑ - -