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0062 BARNHILL ROAD
�. c� �. ,ram-�":`� .�--� `��-,,, _�._.�_�.�_�.�� .�,:. ;.,_-� _. ten.-... .,T, ._� ,.. ...,,,��-� .! Town of Barnstable Building ? rsre Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Posted Until Final Inspection Has Been Made. Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit Permit No. B-20-506 Applicant Name: W. Ray Colwell Approvals Date Issued: 02/19/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 08/19/2020 Foundation: Location: 62 BARNHILL ROAD,WEST BARNSTABLE Map/Lot: 108-022 _ Zoning District: RF Sheathing: Owner on Record: LAFERRIERE,ROY&PATRICIA Contractor Name.' 5C Energy Framing: 1 Address: 62 BARNHILL ROAD Contractor License: 194390 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $2,210.00 Chimney: Description: Insulation;See Contract Permit Fee: $85.00 I _ f Insulation: Project Review Req: Fee Paid:F $85.00 S Final: Date: 2/19/2020 Plumbing/Gas Rough Plumbing: �— -- - -- ----- NBuildingOfficial Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withirNx months after issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this,permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing InspectionL_ _ 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). h Fire Department Building plans are to be available on site -Isle Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT S TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 10B Parcel aaa ',13 �' ?'1i�f'jaTi~1BLE Application 0 Health Division Date Issued .ia r v E n• ¢ ,r Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board)i VT g I i'1 N m y Historic - OKH _ Preservation / Hyannis Project Street Address (o Village We,0, 9c.-ra-00bye Owner r(::3, ce,C Address (,z Telephone 506 3(04 Permit Request 1Zen0.R— Sly 1��� ,,,, gall,roo,- lode- Xe. Ja -,� wInlo ws Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation (o,500<ot, 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 o Half: existing .-.....—new Number of Bedrooms: y existing &new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: E(Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑.existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: V(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 4 s I"t Proposed Use __ .,APPLICANT INFORMATION (BUILDER OR HOMEOWNER) \ rOat-"Name ►1a.- ��i 3 e- Telephone Number Address C0 2- gu•-P V%�k VU License # CS- c19;k 9 56 Home Improvement Contractor# PG5770 Email a jai Y Ca Worker's Compensation# LJ ALL;CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO s ?� nCt, eoi� 610 DJnys4e,.- SIGNATURE DATE 7 b: FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED f MAP/PARCEL NO. s ADDRESS VILLAGE OWNER i. DATE OF INSPECTION: FOUNDATION FRAMES i� oz lac ` INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH- FINAL BUILDING 0�/�Al DATE CLOSED OUT ASSOCIATION PLAN NO. DeParbmenf aflrazalLr OffiCe of--�nV&Y IgMj07 rs 600 Washbvton Street wwsv m=grrv/dra work=) Compensation Insm-ance Afffikvib&MuWContazbrsMecfridaas/Ph=tiers ApOgmt Information 11 Please Prinf Le�� Name( �5 flu we, vox" ' Address: f�a• �j�r,,.Gr�I 1 �r� _ City/Siatml : bin+SA•.,b�- Ma o a•co wq Phone#- 50 8 316 y Are you an employer?Check the appropriate bow ' 4 I am a Type of�roject(requnred): I.El an a m3ploym w� . ❑ general amd I _,®xp*cm(EM and/or pit Inc).* have hked the,sub-ca&actors 6 ElNew fm 2. I an a sole proprietor or plea- listzd an$e wed sheet 7. [ ndcling ship and have no employees Th=saB-comftactom bavo g, []DemoIiiion voricrag for ma many capacity. =ploys=and have wmkcrs' i [No wcai='=33p.k9itrMW Wnp•incrtrM t 9. ❑BmIdin addition required] 5. ❑ We are a coipmation and its 'I 0.[]Blectfical repass or adaEms 3.[]Ian a eo hamwner doing all wmk officros have e�msed ther IL❑Phmiburgrrpaizs or additions myself [No ww�s'=Mp. of�ptirmper MCE. ;, U❑RDof rapaits ,cmm=��1 t a.L52,§I(41 and we have no employees•[No worms' I3.❑Other cmlqx 1n=m= 7 *Any appficmmttbat ebc m bmc#I mast also fin outthc vcc1=bcbw shawmg tbeawo4=re cmnp=Lwfi=polmy nzinrhan. tSnmeownca who salmm$Slim affidavit mdiatmgtbeYatedomg+II Wo�eadtfimhuevut9dec a�anmstsabm$ancwa�davrtindic.�ngsucb_ ant-ibat eberkthb bax mmt a2tmA, em addmoaal sbedshowmgthe aamo afthe sab-c=t=xs and state whdha er not ftse edifies have cmplaycm Mho sub-cmdmd=hm cmp1uy=,they mestpmvidc&izas Wmk=,rzmjL paIicr muab= I am an earploye r tlrat is propOng workers'corn pmsadan buura rce for nzp enployem Below it the po&y mid job sites information. Iasnr®ce Company Name: Policy#or Self-ins Tic.#: Fapuati�Dadz: Job Site Addre= Aftach a copy of the workers'compensation policy declaration page(showing the policy number and e3 j&;dfon date). Faih�to s='m coverage as refund nader Sectim25A ofMGL e I52 can lead to$e imposition of c�nind penalties of a ffm up to$I,500.00 and/or one-year iaiprisomn m t as wort as civ3I penalties in the f=of a STOP WORK ORDER and a B= of up to$250.00 a day against the violator. Be advised tbat a copy of this sEt=im3tmay be fi rwm-ded to the Office of hwestigafiass of ffie DIA for fimmmm coverage veicaliam I do hereby cry urrdm•tTupaprs percalrfes ofPETlmy dW&E n7f0raurtioa� praysded above it&rie and correrl s• Date_- Sam FE only. Do not wrMe in this area;to be conplded by city or fmm o•�aL n: pebmtitlf Srr�„�..# _.. _. ._ �y(circle one): 4.Elerhical Iaspecinr S. niag Inspector Pen Phone Information and Instructions : . A&.,z ar}ince S CleteIal Laws chapbT M regmres all CmpICyCM to ptvvxde WotI='CnM1PenSatiM fM.tI>ea=PIoyees. Pmsnax>tiu this sih rhie,aoz a layr�is deed as.every person in the sravice of another under airy contact ofhit% eapnEss or iahPH4 oral or wry." An.ezflp&ye 1s defmcd as lm mdividnal,pmt2m s*assoc o6n,cmporafion or other legal erhf¢y,or any two or more of the&r.go aVgcd m a joint=tM�and inclndmg the legal mpresmta ives of a deceased eoployer,or the receiver or trustee of an mdxvidnal,Partnership,awoci ban or other legal edify;employing employers. However 1he owner of a dwelling house having not more than fb=apartrneots and who resides therein,or 1he o of the . dwelling house of another Who employs persons to do hnabfmmm consfra fi or repair wmi on such dwelling house or on the grvnnds or bmldmg aji6rhmad theaeb sha.Ilnot becanse of sorh employmmt be deemed to be an employer." MGL chapter 152,§25C(17.also states that"every state or local licensing agency shall witfihold the issuance or renewal of a Ecense or permit to oper a ate business or to construct bmldiags in the commonwealth for any applica ntwho has not produced acceptable evidence of cdmrpM mce with the msmance.coverage required-" AdditionaIly,M L chapter 152, §2SCM states"Nefthcr the xwualfb nor auy of its political sobdivisions shall ...... enter into.any cmxtract for the pe fzmauce ofpoblic wmk until acceptable evidence of cornpligncc with the iammmnsp.. rupzffements of this chapterbave been presented to the confracth2g au houty." Applicants Please fll ont the wod=s'compensation affidavit camplet el by ch=king Iffic boxes that apply to yam sitoation and,if necessary,supply sob-codracfmr(s)name(s),edd=s(es)and phone mhmber(s)along With their certificate(s)of insurance. Limited Liability Companies(LLq orLihnted Liability Partnerships(LLP)whhno employees other than the members or partners,are not reqaked to caay woh3cess'compensation insorenm If an LLC or LLP does have employees,a.policy is requited. Be advisedtlhatthis affidavitmaybe sabmittmd to the Department of Indtzshial Accideits for c=5rmatim ofins=ce covmaga Also be sure to sign and date the affidavit The affidavit should be r etmacd to fine city or town that the application for the peanit or license is bei in regoested,not the Departiamt of Indnst d;vl Accidents. Should you bane any questions regazding the law or if you are rid to obtain a worms' comhpensation policy,please call the Department at the mhmber listed below. Self-hsmrd companies should enter their self-kowanee license nnmbea an the appropriate line. City or Town OifiCWS r Please be sore that the a$davit is complete and prided leghbly. The Department has provided a space at the bottom of the affidavit fir you to fill out in the event the Office of Investigations has to Contact you rega¢dmg the applicant Please be sure to fill i a the peunL f crose mu nber which Will be used as a iefrrence number. In addition,an applicant that mast sobbmit multipple peonhEcense appht;afions in any given year,need only submit one affidavit indicating cmient policy fifvhmation(if accessary)and under`Job Site Address"the applicant shouE write"all locations in (city or town)_"A copy of the affidavit that has been officially stamped or minced by the city or town may be provided to the applicant as proofthat a valid affidavit is on file f x fhb purrs or Iieeoses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not=ldrd to any business❑r'commercial ventrae (ie. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations wouldlhke to tlhaok you is advmm furymw coopedion and should pan have any grmstions, please do not hesitate to give us a cal The Depetnenf:s address,trlephone and fax nhmober. The COMMMWWth of Msssarl USUM - . Depattma�of 1'nd Acid-ram Off iCe Of Xnmestgatiou: 600-Washington&red Bastom.MA 0�111 Tel,#617 727-4900 cat 4€6 car 1477 MASSAFE Fag 617-727 774 Revised 4-24-07 .mas ,�gf�a i oFTME Town of Barnstable of Regulatory Services Richard V.Scali,Director • Building Division Tom Perry,Building Commissioner 200 Main Stcee�Hyannis,MA 02601 www.towiLbarnstabkma.us Office: 508-862-4038 .Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property herebyauthollze to act on mybebA in all matters rdative to work authorized bythis building permit application for. ed (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 perfoned and accepted. < L Pal Signature of Owner Signature of Applicant w �1ILI Print Name Print Name . - �s'as �S • Date Q:FORMs:owNHRPERMMSI0NPo0IS 'town of 1sarnsta.we Regulatory Services `1 �oFVIMroryy Richard V.Sca%Director L i 4L Building prevision _ Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wow w towmbarnstablema_us . Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE E3339ITON DATE: JOB LOCATIOM numb= shut v�age "HOMEOWNER': • ' name bone phone# woric phone# CURRENT MAMING ADDRFSS: - city/tIM state zip code' The current exemption for"homeowners"was extended to include owner-ogaMied dwellings of six units or less arid 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(g)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'homeownee'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 ofBarnstable Building Department minims inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signal„c of Homeowner Approval of Build-mg 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 HOMEOWMIS EXEMMON The Code states that: "Any homeowner performing work for which a building permit is reqtdred shall be exempt from the provisions of this section(Section 109_LI-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. Yon may care t amend and adopt such a form/certification for use in your community. Q:1WPFILEMRNM\bmldmgpmmith aslERFRESS dog Revised 061313 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen•isor License: CS-092958 SHAM PACHECO 81 Jasper Road = Marstons Mills N>'A 026'48' J..G►� �� �"s Expiration Commissioner 10/17/2015 ' orV/iea�,coca,ctucet�l�aj6Y`licl�ttc/emclld* i Office of Consumer Affairs&Business Regulation. Ur' ,J, ME IMPROVEMENT CONTRACTORistration: 176570 Type: iration9/3/2015 ` Individual/3 { , SHANE PACHECO �'' � r ` k SHANE PACHECOf ` 81 JASPER RD <MARSTONS MILLS,MA 02648. i. Undersecretary I Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991m3)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS License,orTegistrationvalid for individul use only before the expiration.date. IfTo,und return to: office-of Consumer Affairs and Business Regulation. 10 Park Plaza-Suite 5170 i Boston,MA,02116 i Not valid-without signature l� r, i S n i J G h 1 • M 1 .y 1 ' i 9 � 'mod T S V J n� r � I J � • S c .� 7 e w 00 CD CO cx� Ca � a L f � 1 r .....iiiiii]]j e '' 'I ♦� � � � i f I r ` R f ;� �?�►��� '' it I a� a �r • 3 i 70. » I ' r� At � r .Alfi l y y `* i lb � 1 A1y { ,gg NOW. low- i t s i i i r �q 4' i 4 � w K Plumber's torch blamed for W. Barnstable fire I CapeCodOnline.com Page 1 of 2 -'• i'. - jjr►'T. ,.yaM^' t' Py. .,4r.-v..+Lii i. Y t�� y Plumber's torch blamed for W. Barnstable fire April 16, 2014 2:00 AM WEST BARNSTABL-E — Firefighters from several-Cape-Cod fire departments responded to a smoky blaze a-t 62 Barnhill Road on Tuesday afternoon. The first fire engine from the West Barnstable Fire Department was at the home by 2:11 p.m., five minutes after the fire was called in, West Barnstable Fire Chief Joseph Maruca said. Firefighters found the second floor of the Cape Cod-style home filled with smoke and heat and a fire in a second-floor bathroom, Maruca said. The fire extended through a wall and spread across the home's attic, he said. At the scene, heavy smoke poured out of the home's eaves. Firefighters climbed ladders onto the roof and knocked out windows to ventilate the home. There were 48 firefighters who responded to the fire, including 26 from West Barnstable and 22 from Barnstable, Centerville-Osterville-Marstons Mills, Sandwich, Cotuit and Hyannis, according to Maruca. The fire was accidentally sparked by a plumber's torch in the second-floor bathroom, Maruca said. There was heavy fire and heat damage to the second floor and smoke and water damage on the first floor. Nobody was injured and the fire was out and firefighters were leaving the scene by 3:25 p.m., Maruca said. http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20140416/NEWS/4041603 37... 4/16/2014 Plumber's torch blamed for W. Barnstable fire I CapeCodOnline.com Page 2 of 2 The Red Cross responded, and a Barnstable police arson investigator confirmed the cause of the fire, he said. The home is assessed at $405,800, according to online assessor's records. Copyright c0 Cape Cod Media Group, a division of Ottaway Newspapers, Inc. All Rights Reserved. http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20140416/NEWS/4041603 37... 4/16/2014 Town of Barnstable *Permit#_MC�7 �� Explres 6 months from issue date iz Regulatory Services Fee 'g Thomas F. Geller,Director � BuUding Dxvlsxon Tom Perry, Building Commissioner REST ;:.., 200 Main Street,-Hyannis,MA 02601 APR' 1 0 2004 office: 508-862-4038 TOWN gAf��,tS-s', Fax: 508 790-6230 ._ EXPRESS PERMIT��w�hout RZdOX PrPress Imprint SIDEI�I'I'IAL ONL Nat valid Map/p,•cel Number .2 6&J- Property Address - Value of work [<esideatial Owners-Name Address /.�/L T ✓ T �- ` CjL,, Telephone Number Cd Contractor's Name �D � W GiC Home uvrovement Contractor License#(ifpp licabl Construction Sup ervisor's License Cif applicable) &0 t 1DWoriian's Compensation Insurance Chec ne: am a sole proprietor l am the Homeowner [] I have worker's Compensation Insurance Insurance Company Name U l� worla�&s Comp,Policy# S o� a Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to t]Re-roof(not stripping. Going over existing layers of roof) Re-side. Replacement Windows. U-Value (maximum.44) *y�hece reged. Issuance of this permit does not exempt compliance with other town department regulations,Le.�iistoric,Conservation,etc. **xNote,. Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature i Town of Barnstable �~ Regulatory Services BAMSTABM ' Thomas F.Geiler,Director MAM 9`bA,Fo:yg `0 Building Division Tom Perry, 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 as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) G� a� Signature of Own ate Print Name Q:FORMS:O WNERPERMISSION Application to: Ow� HE H� Old Kin"s Highway Regiolaal Historic District Committee in the Town of Barnstable for a CERTIFICATION.OF EXEMPTION Application is hereby made, in triplicate,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 photo- graphs accompanying this application. . TYPE OR PRINT LEGIBLY DATE / ADDRESS OF PROPOSED WORK 6 Z 026Lqz ye-C-. Q� ASSESSO S MAP NO. d $ ? 2 OWNER 15; ASSESSORS LOT NO. HOME ADDRESS TEL. NO. 3 G Z- 0 AGENT OR CONTRACTOR J0YA-1 LAJ ROOK I&L/el ADDRESS /S I wff172-1- 111A04 1XJit ESE EL. N0. 6 This application is for exemption of proposed exterior construction on the ground that: ❑ (1) It will not be visible from any way or public place. ❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot,and, if an addition is involved,show• ing location of existing building. s fzr p r SIGNED Space below line for Committee use. . Owner-Contra r Agent Received by H.R.C. The Certificate is hereby Date Time By Date Approved ❑ The categories of work entitled to exemption are listed on Disapproved ❑ the back of this form. Results Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number Select Search type: C) AND r OR F777711 Search Results Reg. No. Applicant Street City State Zip Name Title Expiration PO Box JOHN W. 641, 151 W. Rodrigues, Owner/sole 105252 RODRIGUES White Barnstable MA 02668 John proprietor 7/16/2004 & SONS Birch Way Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.usibbrs/hic.pl . 4/22/2004 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Il/y Parcel Permit# Health Divisionf�� �� Date Issued Conservation Division s (y /� Feeyy �G Tax Collector �.. ,` ' ©(i 7 G U�/ SEPTIC SYSTEM MUST BE Treasurer r! INSTALLED IN COMPLIANCE WITH TITLE 5 Planning Dept. [.X;R0NMENTAL CODE AND Date Definitive Plan Approved by Pla Wing Board � _ 6.k. 9.zioc� L z ' Historic-OKH /i¢ Preservation/Hyannis Project Street Address 6&�l 13,vw to a, lea, (a>,v L.- &60 Village Owner !u- f ✓� �5 Address Telephone 3 6 g 3(2. 0/3 9 Permit Request 941 ' 1; f G " f—?,W J ' 4CA10W40 11M-41C445f" Square feet: 1LfLeting proposed 2nd floor: existing proposed AWE. Total new Ny oO j Valuation Zoning District Flood Plain Groundwater Overlay Construction Type /r114?1`C Lot Size Grandfathiered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure ti y�3 Historic House: ❑Yes XNo On Old King's Highway: ❑Yes ANo Basement Type: Cl Full Cl Crawl ❑Walkout ❑Other 1 a3 �- Basement Finished Area(sq.ft.) 0 1�' Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 3 new — Half: existing -� newS Number of Bedrooms: existing 9 new Total'Room Count(not including baths): existing 110 new V441,f— First Floor Room Count Heat Type and Fuel: W Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 51No Fireplaces: Existing 2-- New Existing wood/coal stove: Cl Yes XNo NJtbetached garage:❑existing ❑new size - I: O existing ❑new size existing ❑new size Attached garage:ffexisting ❑new size _ Shed:f9'existing ❑new size_Other: �, oning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial O Yes S N"o If yes, site plan review# Current Use S(AAQ 1F '� y`( �-Q-S I k Proposed Use BUILDER INFORMATION Name t(�(� In�C, �Cyy Telephone Number 3 6 2. . 76 Y7 Address L V ��S! S 1�� �J f tO�/9 License# 2� Z-I 2, S� Home Improvement Contractor# VJ SJ— 4`44A)S M LI, SC 01' o b�>Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. , �- - DATE ISSUED MAP/PARCEL NO. 9 ADDRESS. VILLAGE OWNER et DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH' FINAL FINAL BUILDING ^ DATE CLOSED OUT , ASSOCIATION PLAN NOS fn _ The Town of Barnstable •(.antwsrna[.e. ,'�; _�0� b Regulatory Services �''°'ED►rw+° Thomas F. Geiler, Director Building Division Ralph Crossen; Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax:' 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT-TO PERMIT APPLICATION` R " MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an-addition.to any pre-existing owner=occupied building containing at least one but not more than four dwelling units or to structures which-are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: <<� -� `? �`L� Estimated Cost Address of Work: W- ']A rw Owner's Name: 15( � v� s Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: -- . OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 7-1.0-6-v 12--0 tj Date Contractor ame Registration No. OR Date Owner's Name q:forms:Affidav The Commonwealth of Massachusetts Department of Industrial Accidents �'r���'" ===�� Olfic�ollo�estigauons EEC. 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insuran�cee Affidavit �T1i71`C^IIE�ii1 � mmy ri name: locaticm city phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one woriang in ant�c,�a��acity - ,,,,,,,,,,. an employer providing workers' compensation'for um.,emplovees.working.on this job, -—- cotnn tm nam _,, �„ ..:::.:........ address Y UJJ city insurance co. /%/%%//// //%////G%%/////O// ///////////////// ❑ I am a sole proprietor,general contractor, or homeowner(circle ogre) and have hired the contractors listed below who have the iolloiiingworkers' compensationpolices: comoanv na me: :. . . address: - #: one ctty: :.:::.... .... ...::................ h :.:::.:::..._:.:..::..,..,. ,.:.::.:.::.:h..... ;:cv "O n co. ,. .. Mw :•:::::•::.;:•:.:::...............:.:... Xx- ca mnanv name: _ ::.. .... .. address: :..:..:>.-. : :.;. . city .......::.. insurance co. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of e ofS 00. penalties g a line up u S1,500.00 understand and/or one venra'imprisonment as Well as tivll penalties in the form of a STOP WORK ORDER and a Me of 5100.00 a day against ma I understand that a copy of this statement may be forwarded to the OMce of Investigations of theDIA for coverage verification 1 do herenv cerri�} r the pains and penalties of perjury that the information provided above is trip.and correct Jam' Dale - signature Print name Phone# S��1 - �6 L • 7 6 `�� ot'dcw use oniv do not write in this area to be completed by city or town official s,.`. permit/llcense# ❑Building Department city or town: Ql.icensing Board ❑selectmen's Oltice r7 check if immediate response is required QHealth Department erson: ' phone#; contact p ❑Other :: •:y i Information and Instructions all employers to provide workers' compensation for their Massachusetts General Laws chapter 152 section 25 redefine P Ye employees. As Quoted from the"law";an�pl°Yee is defined as every person in the service of another under any corgi-" �P - of hire, express or implied, oral or written• association, corporation or other legal entity, or any two or more c: An employer is defined as an individual,per' �1 representatives of a deceased employer, or the receive: the foregoing engaged in a joint enterprise, and including egal rep trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a therein, or the occupant of the dwelling house of dwelling house having not more than three apartments and who resides another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds c building appurtenant thereto shall not because of such employment be deemed to be an employer. ter 152 section 25 also states tbat every state or local licensing agency shall withhold the issuance or renev MGL chap —_. of a license or permit to operate a business or-to construct buildings in the commonwealth AdditionallyPP � ° h' not produced acceptable evidence of compliance with the insurance coverage required..performance of public work until the of its political subdivisions:shall entier into any P commonwealth nor any p of this chapter have been presented to the co^**a�''-'rc acceptable evidence of compliance with the msuraace regmre�s authority. Applicants Please fill in the workers' compensation affidavit camp lady,by checlmig the box that applies to your situation and 1 ' company names,address and P�e maai-=-a�Ong-with a certificate of insurance as all affidavits may be Sapp ywg e. Also be sure to sign and Accidents�fioit of insurance coverage. ` submitted to the Department of..Industrial _ application for the ennit or license is .` date the affidavit. The affidavit should be-retuned to-the OPY or town. hat the aPP _ .a Acctdeois• Should you have any'questions regarding tt:.."Taw"or if.yc. being requested,not the Departrneat c_ �at the=.unber.listed below. are required to obtain a,workers' coatp Pohcy�ploase call the Dep City or Towns :- �--T. 1 I The Departaieat has Provided a space at the bottom of t Please be sure that the affidavit is:caniple0e and Printed Y• the applicant. Please - affidavit .. has to contact you regarding aPP affidavit for you to fill Out in the event the Office of Iavaagations miaiber. The affidavits may be returned t^ be sure to fill in the peimitllicease member which wffi be used as a-reference _the Department by mail or FAX unless other arraa9®ems have been made• he Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. T please do not hesitate to give us a c•a.]L 0/11 /// The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Once of Inuestl0adons 600 Washington Street Boston;Ma. 02111 . fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 I BOARD OF BUILDING REGULATIONS I' Lkense: CONSTRUCTION SUPERVISOR NUmbei:-CS. 023212 Birthda- -.tr.,04T2/1.949 Expires:04L1TJ2002 Tr.no: 22768 Rewded Tq: MICHAEL L.KINGSTO_M 7 _ 9 GREAT HILL RD SANDWICH, MA 02563 � ,4ru Administrator 1 1 v m ION 6 BOB I Ll go .... ........----- - Ll r TOWN OF BARNSTABLE Permit No. 2 2 8 7]. t Building Inspector cash w OCCUPANCY PERMIT Bond --------X---_--- l .1� Issued to Mi chael Macheras Address Kot #60,, 62,-Barnhil 1 RQafi . _ 1RIc,g1- R�rx+Ci-a}>l c Wiring Inspector Gr ��✓ Inspection date Plumbing Inspector/ �� ,� ( } ` Inspection date Gas Inspector i`F n @ �o�1� Inspection date r� •l, . nn_., X Engineering Department,,-7 Inspection date Board of Health f G?,u e .~ /✓5_„c Inspection'date _��_ THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR'UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. I ......./ . Building Inspector TOWN OF BARNSTABL F- )=ouNDATION CERTIFICATION (9ogo M ,M AGE• -�►'� 5S 6toV5e#JtC.S W^'Y L..OT . 4o5 f-NGfe ft` soc , eel"+4^AA 60 38,s8� s•r SCAL-E i"- 4-o' Z ,k ow rl d p cs n d- v t'to.4 A v+� o G K S`I'tiK Zo►n 1 �E V IA.T Of,DHArN ,� Na LoT 59 Lo T 61 . Ch 84.27 rP N 48 v-39:42•,w 4' $ARNJ L f )4 I 'p k -,ZAsses!�er's map and lot number zie.49.....:.......................... 'THE Sewage Permit number ....(P...2..........................;............ SEPTIC SYSTEM M /Zo INSTALLED IN COM LE. : House number .............PAZ....I.................................................3 WITH TITLE 900 '639- ENVIRONMENTAL CO r,1j TOWN OF BARNSTATBt E I.A4 101Nr--, BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......... ......................... .. ....... ...... TYPE OF CONSTRUCTION ..................ffOO.0........ .......................................................................... 4;-1 . ............. .. ................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the,following information: Location ............Amlvllmv.�o.............................4,07 .......60.........*........information: ........................................ ProposedUse .........�5.1..a: .. ......... . .. . ...... . .................................................................................................. ....... ..........Fire District Zoning District .... t ... .................. 04 Name of Owner .........154cllvla... .. .. Address ......W.4xo/...................... Name of Builder 'op ......Address ............S,?s�.. . ..e.......... Nameof Architect ..................................................................Address .................................................................................. Number of Rooms .................. '......................................Foundation .......... ..................................... Exterior .............. 7A e+44 Roofing ............... ................................................... Floors ................C.0-4j. ...Nrf . ..... ..........................................Interior ................... ....... . C/k. .................... HeatinIg ........... ...Plumbing ...... .... .................................................. Fire lace ...Approximate Cost ....................... ........ lace ..........7�ya.................. ......rz ................ 2- Definitive Plan Approved by Planning d --4 Boar Area ......4 14. Diagram of Lot and Building with Dimensions Fee ........ . . ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 aC I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. .6;51 Name .... -77- IMACHERAS, MICHAEL No I U.!... Permit for t0? ...Tg.LMi ly...DVej. .in ........... ... ... 1�c ................ Location Lot...#.6.0...52-58kr.. J.. West Barnstable ............................................................................... OwnerMichael Macheras .................... Type of Construction ...............Frame........................... ................................................................................ Plot ............................ Lot .......................... Permit Granted .... February 24 ,....................................19 81 Date of Inspection ....................................19 Date Completed ..................:..y...............19 PERMIT REFUSED .................... ..................................... 19 fn > . ............................................... ................................................ M ................................................ Appr`o1wFq1 ..*..:..................................i......... 19 rn .............*.5................................................................. ............................................................................