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HomeMy WebLinkAbout0120 BUTTON WOOD LANE J i 4 I i u t i UPC 12534 tea° No.2- 53LOR HASTI NGS. MIN --.�r .�-»-,r.�,- _._ -, r - .... :....*--'— r:_:;..... .�:_."'< .,...•. - -�--rt-Y.— �i. -�y2,.;:,,x spa.!.:_�A _ ,.�T..-.t',"_' X� - _ _ ..::6"Gl'..r.'.1�+��_..•:u2 'X�r Y'' ...'T-- C .' :,s�J_ .}_ - -.. rev.->r,. '+� 'C�'-�-:� .. x _- _ `t�"•v��a _--�� ___ _ _— .�^'•-• ~+-` —_ PHONE CALL � 6 A.M. FOR l _OATE/ TIME P.M. M PHONED OF RETURNED PHONE YOUR CALL AREA CODE NUMBER EXTENSION E CALL MESSAGE WILL CALL AGAIN GAME TO SEE YOU / WANTS TO SEE YOU S I G N E O vniversal 48003 WE of Barnstable 'Permit � / d7l Expires 6 mor s roni issue date Regulatory Services Fee • • mRNsrABLti.NAM • �$ 1659. Richard V.Scali,Director Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid tvitltout Red X--Press Imprint Nlap/parcel Number P1/ 7 QO S' Property Address O L3,j7To U✓oo d' �f�1 G✓ am s-4 4�'P 2/Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name 'ndol J -A�l / ntso/( Telephone Number(�(o► 2_�_7 %tfo o Horne Improvement Contractor License#(if applicable) 73 Z 4157 Email: Construction Supervisor's License#(if applicable) Qq T 7 07 ES" '"FOR XP op �Norkman's Compensation Insurance -w - Check one: 7 ❑ I am a sole proprietor , 0 9 2C1'1 ❑ Km the Homeowner I have Worker's Compensation Insurance TOWN (J� BARNS]ABLE Insurance Company Name F-- r am Pl �,- Insur'arN r.o-_�fzz Workman's Comp.Policy# W68 :3' S 8 7 Z 9 2-0D Copy of Insurance Compliance Certificate must accompany each permit. Y Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) [❑ e-side Replacement Windows/doors/sliders.U-Value 3 O (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. ;Where required: Issuance of this permit does not exempt compliance arith other town department regulations,i.e.Historic.Conservation,c►c. ***Note: Property caner must sign Property Owner Letter of Permission. _ - - - A copy the Home Improvement Contractors License&Construction Supervisors License is require SIGNATURE: C:\Users\Decoliik\AppData\Local\ibticrosoft\Windows\Temporary Internet Files\Coment.0utlook\2P101 DHR\EXPRESS.doc Revised 040215 i �� � i 2� 3� �Q,�,�an Dom;. � g '°�' _- r j.vSUL 2 C �. l7'Nt✓o�'-� l�O ✓�'GL�..e,�Qe!Lv � ���2 �s f . i i I � ZC� �� � � '' C � �� ���� � �� ��� � � ; � � �� � �� � � �� . .� Renewal Agreement Document and Payment Terms MAndersen. dba:Renewal By Andersen of Southern New England Cokie&Greg Hamm & Legal Name:Southern New England Windows,LLC 120 Button Wood Lane RI#36079, MA#173245,CT#0634555, Lead Firm#1237 west Barnstable,MA 02668 wixoow NE ll10EMENr 26 Albion Rd I Lincoln,RI 02865 H:(617)448-6666 Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com C:(617)448-4748 i Buyer(s)Name: Cokie & Greg Hamm Contract Date: 07/26/17 Buyer(s)Street Address: 120 Button Wood Lane, West Barnstable, MA 02668 Primary Telephone Number: (617)448-6666 Secondary Telephone Number: (617)448-4748 Primary Email: cokieh@aol.com Secondary Email: greggel@aol.com Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $12,003 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $0 Balance Due: $12,003 Estimated Stan: Estimated Completion: Amount Financed: $12,003 6 to 8 weeks 6 to 8 weeks Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. Notes: Plan 2521 12 months no pay no interest Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. i YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 07/29/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC dba:Renee� �8�y Andersen of Southern New England Buyer(s) u Signature of Sales Person Signature Signature Paul Conboy Cokie Hamm Greg Hamm Print Name of Sales Person Print Name Print Name UPDATED: 07/26/17 Page 2 / 11 F iassachusetts Department of Public Safat/ oard of Building Regulations and Standards icense: CS-095707 BRIAN D DENNISON 7 LAMBS POND CIRCIE a Mn CHARLTON MA 01507<s �-1 =xpir3 ion: Commissioner 09i0812018 �..:3 .-:.i'r�'� i. i�r ,vv _F:`.F:YCi•/+'Y'• !%l. '!v!,:k;16:,lr s - flrfice of Consumer kF`airs and Business �eQulation .x = I 0 =:i:;' 1C �arts Plaza - Sa1te �i7t, .116 Boston,NLAassachuserts C'_'- Heise Improvement 1-ontractor Registration _ - Registratlan: 173245 - -- -- —-- -' - Type: Supplement Card 9119120IS ' SOUTNER�I NEVI E�fGL�ND 4VINDOG�7SLL• __� BRIAN DENNISON -- -P 26 Ai BION RD --- LINCOLN,RI 92885 === Iiodnrc.sddr_ss and return card.Marc mason for change _,lddrms _ Renewal =Employment st Card In=of ConsumerAfrait<S Business Revtttion Regiscrntioo ialid tar individual use aniy before the : 'apiratian date If found return W. %IkIOME IMPROVEMENT CCNTRACTCR oRtc of Cansamer Affair;and 3nsinuv3egsiatina 7.=•F�vf Registration:-,173245: T rpe 10?ark PLrct•Suitc ii%0 i flxplratian-W.19 p13- Supplement Card Uston.ALA 9211.6 ` SOUTHERN NEW ENGLAND WINDOWS LLC. � RENEWAL BY ANDERSON' BRIAN DENNISON - 26 ALBION RD UNCOLN.RI 02865 '-tiodersecrcury [urc ` The Commonwealth of Massachusetts T� Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 g �7; www.mass.gov/dia 11 orkers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lelziblv Name (Business/Organization/Individual): to -Ewalpilkj IQ iD0w"s Address: City/State/Zip: LtAdP Phone#: � Are you an employer?Check the appropriate box: Type of project(required): I JKI am a employer with Zo temployees(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.] 9. El Demolition 3.Q I am a homeowner doing all work myself[No workers'camp.insurance required.] 10 Q Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole l l.❑Electrical repairs or additions proprietors with no employees. 12.QPlumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on he attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.+ / 14130/ther 6.❑we area corporation and its officers have exercised heir right of exemption per vIGL c. 152,e1(4),and we have no employees.[No workers'comp.insurance required.] /'P �QtCntB,ti *Any applica"t that checks box ill must also fill out the section below showing their workers'compensation policy information. r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. !Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. Lf the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.Insurance Company Name: Fire men S [ oo f� Policy#or Self-ins.Lie.#: UJ C �1�V ! 2—Z —' Z-0 Expiration Date: / Job Site Address: 120 / ,eo-, (Ja ad /_ r City/State/Zip:1✓. &IIA 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 under th ains and penalties of perjury that the information provided above U true and correct. S i ature: Date: — — / Phone#: CIO l- Z2.e T erg / Official use only. Do not write in this area,to be completed by city or town off ciaL City or Town: Perinit/Liceuse# 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#: ESLERCO-01 SANDERSO A�®�® CERTIFICATE OF LIABILITY INSURANCE. °06/o710D1` Ni2o177 os 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 CONTACT COBiz Insurance,Inc.-CO NA _PHONE FAX 1401 Lawrence St,Ste.1200 (A/c,No,Ext):(303)988-0446 (A/C,No):(303)988-0804 Denver,CO 80202 A-R'LESs:COMail@cobizinsurance.com INSURERS AFFORDING COVERAGE NAIC 9 INSURER A:Acadia Insurance Company 31325 INSURED INSURER a:Firemens Insurance Company of WA D.C. 21784 Southern New England Windows,LLC.dba Renewal by Andersen of Southern New England INSURER C:LibertySurplus Insurance 10725 26 Albion Road,Suite 1 INSURERD: Lincoln,R102865 INSURERE: 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 SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRI TYPE OF INSURANCE ADD SUER POLICY EFF POLICY IXP LTti INSO WVD POLICY NUMBER MMfDD MM/DD LIMBS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE S CLAIMS-MADE ®OCCUR E 0110112017 pMs ED S a r MED EXP(Any oneperson) S 5,000 PERSONAL BADV INJURY S 1,000,000 GEN,L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY 0 JEC7 LOC 2,000,000 PRODUCTS-COMPlOPAGG S OTHER: ! EBL AGGREGATE s 2,000,000 A AUTOMOBILE LIABILITY - EOMaIINdEpSINGLELIMIT S 1,000,000 X ANY AUTO CPA3158728 01/0112017 01/01/2018 OWNED SCHEDULED BODILY INJURY fPerperson) S AUTOS ONLY AUTOS BODILY INJURY Peraccident S AUTOS ONLY AUTOONLYY PeOPr.EERd�iDAMAGE s S A X UMBRELLALUAB X OCCUR 1,000,000 EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE CPA3158728 01/01/2017 01/01/2018 AGGREGATE S DEp I X I RETENTIONS 0 Aggregate s 1,000,000 B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECtmvE CA3158729-20 01/0112017 01/01/2018 EL EA@H ACCIDENT s 1,000,000 OFFICER/M�MBER EXCLUDED? ❑ N 1 A IKes orymNH) Iff yes, E.L DISEASE-EAEMPLOY S 1,000,000 describe under DESCRIPTION OF OPERATIONS belay 1,000,000 EL DISEASE-POLICY LIMIT S B Worker's Compensatio rEDE654 CA3158730-20 01/01/2017 01/01/2018 1,000,000 C Pollution Liability J299117 01101/2017 01101/2618 1,000,000 CATIONS I VEHICL DESCRIPTION OF OPERATIONS I LOCATIONS (ACORD 101,Additional Remarks Schedule,may be attached if more space is requoed) 17-18 Workers Compesnation Includes-All states except ND,OH,WA,WV,WY „ J' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE PQL-ICY PROVISIONS. AUTHORIZED REPRESENTATIVE F R InformationalPurposes ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Pet Boarding Kennels in Hyannis, Massachusetts with Reviews & Ratings - YP.com Page 3 of 8 -= �6 Border Jun'ctlon Kennel , AI e x >120 aufion Wood.Ln`-West`Bamstable MA �� Pet,Boarding & Kennels Website I Directions ( More Info A (508) 375-0300 S C A C 7. Pet Calls E s, 27 Tonela Ln,Barnstable, MA 02630 Pet Boarding& Kennels L 3r (508) 375-0704 Directions i More Info a —W P U S {A 8. Salt Air Pet Care �A »' (`{ East Dennis, MA 02641 Pet Boarding & Kennels Pet Stores Kennels (508) 385-3550 Website I More Info SI IF N 9. Captain Barker's Pet Pals ,\A >f \ Serving the Hyannis Area. Pet Boarding & Kennels, Pet Services, Dog&... IV J K (508) 394-2100 More Info R S 'N 10. So Doggone Good Daycare Yi 10 Jan Sebastian Dr, Sandwich, MA 02563 Pet Boarding & Kennels. Kennels, Pet Services (508) 833-7529 Website i Directions i More Info �C_ — My-Book=Orga-n•ize AI-I-You•r-B-us-iness-Contacts-in-One-Pl-aee!—Take-tne Tou iS http://www.yellowpages.com/hyannis-ma/pet-boarding-kennels 11/12/2013 ;.About Us I goose control business, Canada Geese, geese I West Barnstable, N A I Fowl PI... Page 2 of 2 For more information on the details of our services or more information about our dogs please view additional pages FOWL PLAY GOOSE PATROL& Job Sites/Testimonials �BORDER_BAY3UNCTION KENNEL---i 1. Ocean Spray Corporate P.O. Box 13 2. The RIDGE CLUB West Barnstable, MA 02668 3. HYANNIS GOLF COURSE Phone: 508-375-0300 4. Barnstable High School Fax: 508-375-0948 5. Barnstable Middle School Email: fowl playa ps(abverizon.net 6. Private Waterfront Residences 7. A.D. Makepeace And so many more success stories! Copyright 2012, Fowl Play Goose Patrol &Border Bay Junction Kennel Home About Us The Situation The Dogs Photos http://www.fowlplaygoosepatrol.com/about-us/ 11/12/2013 :About Us goose control business, Canada Geese, geese I West Barnstable, MA Fowl PI... Page 1 of 2 'OWL FLAYMOM PATROL tordw4 fi�nXamd Home About Us R f About Us Welcome to Fowl Play Goose Patrol. We are a Cape Cod into Southeastern MA based goose control business. If you have come to our page, you may be experiencing problems with geese on your property. The Northern United States has seen a substantial increase in the population of Canada Geese in the past decade. Large open areas such as public parks, golf courses, corporate campuses, schools and private estates with large graE areas and a source of water provide a natural grazing and nesting habitat for these birds. Once the geese have selected a property, they will settle into their nesting areas, pair up and build their nests and tend to their eggs. Afte goslings are born, the molting season begins and the geese will not leave until both adults and goslings are able to fl It is an endless cycle with various stages occurring throughout all seasons of the year. The end result is fouled and unsanitary grounds, polluted ponds and streams. Perhaps your property has become a target, rest assure, we have a cost-effective solution safer than using harmful chemicals or other expensive control methods. Our method is EPA approved and humane. The geese are unharmed, we involve surveillance of the geese, and our team of trained Border Collies. http://www.fowlplaygoosepatrol.com/about-us/ 11/12/2013 • dog kennel hyannis - Google Search Page 2 of 2 I M9oKf ��1�'r'iVaCyPTels�le �P0 . 10+ items- Find Dog Kennel in Hyannis, MA. Read business reviews, find ... ;nebowaTr �r ^� 4 Whiskers Pet Grooming. 30 Perseverance Way. 2.0 mi. annd �`=Altucks�' ' r,a 6 Bayview Kennels. 1071 Main St. (1). CDoq Boarding in ya is MA ,YP mobile myp.cornlhyannis=ma/dog-boarding' /sa n•'/ s�/ ` +� raA�`., 10+ items- Find Dog Boarding in Hyannis, MA. Read t��( "Z business reviews ... ;�f�"` � f- .-:-fBt;,pu'h Rd ,•yd 2 Ultimate Dog The. 30 Perseverance Way Ste 1 - 7. 8 Border Bay Junction Kennel. T20 Burton Wood'Ln. 4 Hyannis, Massachusetts Boardinq & Kennels - D... Ma%fs, ccL ��r www.dogster.com/local/MA/Hyannis/Kennels ' r � � yr�et`1s��� c The most complete directory of dog-friendly businesses, #��ak �?W�a Tma-Pd 2013c� parks and properties in Hyannis, Massachusetts Boarding & Kennels. Includes ratings and reviews from ... Map for dog kennel Barnstable Animal Hospital - Hyannis, MA hyannis www.bamstableanimalhospital.com/ -- Barnstable Animal Hospital on Cape Cod in Hyannis, Massachusetts provides high quarity veterinary medical ...We also offer boarding for dogs and cats. 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Official Site Petco has 2,823 followers on Google+ Dog Crates- Dog Pens- Bark Collars- Doggy Steps 1 234.5678910 Next https://www.google.com/ 11/12/2013 Border Bay Junction Kennel West Barnstable, MA, 02668 - YP.com Page 1 of 2 Find People-Advertise With Us Browse Find People Restaurants Automotive Home Improvement Health&Wellness Legal Advertise with us What do you want to find?pet boarding_ kennels near Los Angeles, C Hyannis, MA Search Welcome Profile Reviews Photos Sign Out Sign In-Join 'HomePel Boarding&Kennels near West Barnstable,MABorder Bay Junction Kennel Border Bay Junction Kennel Contact 110 Button Wodd Ln W�st�Barnstable;cMA C)2(i66 Visit Website r Add a personal note..: Related searchespet boardingkennelsdog boardingdog' 11 -'" kennelsdog day caredog boarding kennelsPeople Also 'Business detailsPhotosReviews iV�ri,e,�w,,,red I Bultgj€S�&60� eyes only!No one else can see the notes you save on businesses.You can manage all your notes In•rvry cAkDay Inn Doggle Daycare 12 Industrial Park Rd.West Yarmouth.MA Category:(Pet Boarding&Kennels Pet Calls iHours: 27'ronela Ln.Barnstable.67A 'Do you know the hours for this business? !Link: !So Doggone Good Daycare l http://wwva.fowiplaygoosepatrol.com IO Jan Sebastian or,Sandwich,MA l Ihrlprove Business Info:I Claim this Business ! (Gallery Paws Dream Doggie Day Care r Phinneys Ln✓4-1,Hyannis,MA dd a Photo eviews Captain Barker's Pet Pals I Write a review...EL j rite a review... rrrcr. Click to rate i My Book—Organize All Your Business Contacts in One Place! Take the Tour 1 http://www.yellowpages.com/west-bamstable-ma/mip/border-bay-junction-kennel-47400... 11/12/2013 f i The Town of Barnstable Barnstable Office of Town Manager ANUnencaNy RAXOMABM MASS. 367 Main Street, Hyannis MA 02601 www.town.barnstable.mams Office: 508-8624610 2007 Fax: 508-790-6226 Email: Tom.Lynch@town.barnstable.ma.us Thomas K.Lynch,Acting Town Manager June 12,2012 c... William E. Crowell,Jr., Esq. y Crowell Law Office 99 Willow Street, Suite 1 �v Yarmouthport, MA 02675 ' .n Re: Your May 21, 2012 letter regarding(12:0$uttonwood--Lane,_West Barnstable �,F + Dear Mr. Crowell: Thank you for your May 21, 2012 letter regarding the above-referenced property. I have referred your inquiry regarding whether the additional uses your clients are contemplating for their property comply with zoning to the Building Commissioner, Tom Perry. Mr. Perry serves as the town's zoning enforcement.officer and as such, is the appropriate person to respond to your question; I encourage you to speak with Mr. Perry directly should you have any additional information which might be helpful to his analysis. Mr. Perry can be reached at(508)- 862-4032. As to your question about the requirement regarding a kennel license, I am advised by the Town Attorney that both state and local law require that anyone breeding, boarding, selling or training more than three dogs on a property, more than three months or older,must obtain a kennel license. In order to be eligible to receive such a license, the building commissioner, as rioted above, must.first determine that the use complies with zoning. Please feel free to call Town Attorney Ruth Weil, should you wish to discuss this issue further. Ms. Weil can be reached at 508-862-4620. Thank you for your consideration of this matter. l Sincerely, Thomas K. Lynch Acting Town Manager cc: Thomas Perry, Building Commissioner cc: Ruth J.'Weil, Town Attorney cc: Charles Lewis, Animal Control Officer To Date Ma Time WHI YOU WE UT inn of Phone Area Code Numb Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTSTO SEE YOU URGENT RETURNED YOUR CALL Message t(� . cX'yl �J Operator AMPAD 23-021-200 SETS �� EFFICIENCY® 23-421-400SETS CARBONLESS ` Application to �►a�a�`tP a` Old Kings Highway Regional Historic District Committee t 041 in the Town of Barnstable for a l { CERTIFICATE OF APPROPRIATENESS Application is hereby made, in 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 ❑ Addition Q Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other Z Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: [2f Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK ZNJ ASSESSORS MAP NO. Z Lk) • A- OWNER GR f G .� CdH F �-hfOm ASSESSORS LOT NO. HOME ADDRESS 512M F TEL. NO. 3 7,1; - n 9 R FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). FOR fnr n.c/uT �cZ 33i3. �F1RN5TR(�.t� l [�I.SfR\/��/n/J r)xlllAT/n�/ �l.Ic (<�►/,LTFIQ T N✓Atijt41S b.ZGC AGENT OR CONTRACTOR CAPE can rtcQL ' Cc) , TEL. NO. ADDRESS R���rf 2 R S JA R m n�1Tl/ 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). ,t• �� ��yi.[ $ x�j�� /°Rr<SsvRE •�ftEflTf,O 7'NE JARmouTf/ l9 CxAss!c. crOnR PlckE T A6,4CE 6oTH/c, Po5T6 . ' FfP4cE To 6E- 3 15 fEf T ,C o.J6 . SYf�Na�NG 'y foot STRNOnRO WIRE FF.vQ. ' I Signed Owner-Contractor-Agent .J Space below line for Committee use.-`•`` "Received b H.D C]r.(--��—... .4 1, 1'^ _!=' V 1? 1?►l �o c�cc� Date ate :jThe Certifica s hereby Time"'. 201 9G$ i By Approved IMPORTAN : If Certificate is approved, approval is subject to the 10 day appeal pen d -- ,_^,,{d­d_._.i_+h c_A r+ .• f Town of Barnstable Old King's Highway Historic District Comdiittee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOW SIZE TRIM COLOR .DOORS COLOR SHUTTERS COLOR GUTTERS DECK GARAGE DOORS COLOR SIGNS COLORS FENCE�� - Fool CcAsS COLOR 1 w1/aT�RA�L' WEB?NFREQGRE� •. w�rN 3x3" GC•tH�G PoSTs • NOT88: Pill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of as application, along With three copies each of the plot plan, an applicable. Site plan should show all structures on the lot landscape play and elevation plans, wh to scale. SPECSHT ' i 4 1.q c lr t:1 N � ? i �e 802,60' RAILROAD A 78.54 CENTER LINE M A° 325.32' IP FND 9' DRIVEWAY ` I\ LOT 16 DWLG � �G IP FND ti DH SHED •oo FND 133.78' 4 O0 �O A i� J / / DH FND / POND\ WETLAND IP SET IN STNS lfl CB FND " IP FND 382•� BROKEN O �Fi� \ 34, � �\0 FND •9 ,�p,CB FND cp STAa1 P c P p D, CB FND 267,40' STK SET Q c0 Lu NOTE: POND AND WETLAND LOCATION TAKEN Z FROM PLAN BOOK 232/59. l�Q JA OF Mir^ PETER �9�y CERTIFIED PLOT PLAN 4 W. G� s _SQL 1!F. - — _ - No. 26719 PREPARED FOR: GPEC--ORY E CAROL HAMM SS1o�P� LOCATION: I ZO BUTTDlJv/ODD L1J- TOWN: W. BARn1S7ABLE) MA. C4'90 St1AVEy�� SCALE: I ZOO' DATE: APR, Z, 19q(o DEED BOOK: CTF. ASSR'S. MAP: 217 PARCEL: S PLAN BOOK: 7-3715'3 LC PLAN: FILE: 20S-Z PROFESSIONAL LAND SURVEYOR I HEREBY CERTIFY THAT THE DWELLING- SOULE LAND SURVEYING SHOWN ABOVE IS LOCATED ON THE GROUND AS INDICATED. 103 VESPER POND DRIVE BREWSTER, MA. 02631 (508) 255-4728 -FOURCAPE COD FENEEEG. DWjWFS OF QUA=PRODUCTS SERVICE- Custom FREE ESTIMATES MGstc,CG,af Do It Yourselfor LetDo It For / I TOLL IMEE MA ONLY 1-800-352-7785 1 1 Route 28 Mid Cape Area Route 28 S.Yarm aHarwichport,MA (SEASONAL) I 73-3211 •'Z`�f' ' 1 Route CANTON, � � "e•e�. �ae.ere ��� r`<a��o s;t. !j •tee of r �r •f<afaary,�;f f - � i I �,.�..�` 11 11 �.f • •f a`aae a. f • d �i ., >��;"'1�i� 44NrWs t••�y,• �� 1 �� �;.' a.. . � !��1 � .s'. ��;.t . ..:'Y>�.'9. .'l:. �i!!.r �__ �r _ r � �_— `� +F .� us""4�i'_ ✓-f.'^f�l� ir.w PHONE QUOTES W HOME ESTIMATES ARE ALWAYS AVAILABLE Height Price Per Extra Walk Double Section Fence, Style Linear Ft. Posts Gate Gate Price 8 Ft.&10 Ft Sections TheBARNSTABLE i Bass River Solid Height -Price Per Extra Walk Double Section Fence Style Linear.Ft.' Posts Gate Gate Price Bass River Open Space 8 Ft.Sections The BASS RIVER CEDAR BOARD Height Price Per Extra Walk Double Section i Fence Style Linear Ft. Posts Gate Gate Price Heavy&Light-8 Ft.Sections Th • A.)3x3rail&4x4post e BASS RIVER ST0 RAIL B.)4x4 rail&5x5post Height Price Per Extra Walk Double Section Fence Style. Linear Ft. Posts Gate Gate Price All Cedar-8 Ft.&10 Ft.Sections The BREWSTER Height Price Per :Extra Walk Double Section }��Ii Fence Style Linear Ft. Posts Gate Gate Price Look for the Sign of Quality Since 19 4 '-,wwr�ssisy T 7 , ' lilll ' I �� �I f 1 � I��� .II IIIII'I�++ �;I I•� nl� ' II i� .• ' r � ��•�.II III� �.. 1� �I �. , i� ,�p n14 ii 1�II�w �IA1�ull II Igo 11 1�II ' I'� • - •• • M uIle 16 1 ,I', ' yew i• � �� '�� I�'"•"� �• ' ■w� Lam- '�� •�' /' �I': _ i �� - � - - -•lam i �hIUUUi��fINN1UUIIIHIU+ II � p � �. . Pt.Cedar-8 Ft.Sections The CENTERVILLE A.)ROUND FACE Height Price Per Extra Walk Double Section B.)2-3/4"WIDE Fence Style Linear Ft. Posts Gate Gate Price C.)1-3/4"WIDE D.)4"WIDE 8 Ft.Sections The CHATHAM PICKET PREMIUM • STANDARD • ECONOMY Height Price Per Extra Walk Double Section Fence Style Linear Ft. Posts Gate Gate Price 10 Ft.Sections • Its,SM A.)Mixed Hardwood B.)Pressure Treated C.)National Seashore-100%Oak/Locust Post Height Price Per Extra Walk Double Section Fence Style Linear Ft. Posts Gate Gate Price All Cedar-8 Ft.&10 Ft.Sections Picket Solid or Spaced Height Price Per Extra Walk Double Section Fence Style Linear Ft. Posts Gate Gate Price 8 Ft.Sections The FALMOUTH Spaced Cedar Board With Cap Height Price Per Extra Walk Double Section Fence Style LinearFt. Posts Gate Gate Price Height Price Per Extra 12 Ft. 3-1/2 Ft. Fence Linear Ft. Posts Gate" Gate PREMIUM r•• GRADE 8'SECTION + Height 3'-8' Dowell Construction,100%Cedar DOWELLED STANDARD Height Price Per Extra 12 Ft. 3-1/2 FL CEDAR STOCKADE GRADE Fence Linear Ft. Posts Gate Gate 8 Ft.Section With Post 8'SECTION Options Available: Height 4'-6' Scalloped Capped ECONOMY Canadian Canadian 12 Ft. 3-1/2 Ft. Slope Sections GRADE #1 #2 Gate Gate Short Sections 8'SECTION e Ornamental Posts Height 6' � �` a i' The YARMOUTH ,/ Options Available: Bass River Flat Top Custom Top Pickets Posts Posts Scalloped Sections 1 , Capped Sections i' Bass River Posts Flat Top Posts FANCY POSTS Options Available: Residential&Commercial 4 Colored Vinyl or Galvanized Ideal for Pool Fences Great for Dog Enclosures All Heights Available CHAINAll Black Available Portable Bolt Together Options Available: It is impossible to show you Black or White every type of fence that we make. Baked Enamel Finish If you don't see it on display, Various Sizes Available describe it to us or show us a Maintenance Free picture r&we will quote you a Backed by 15-Year Warranty price. Posts W sections are interchangeable. Height I2 Beautiful Aluminum Fencing space can be varied. Just use The JERITH ALUMINUM J.L your imagination. 8 R.Sections Cedar Board&Lattice Height Price Per Extra Walk Double Section Fence Style Linear Ft. Posts Gate Gate Price 8 Ft.Sections The OSTERVILLE Cedar Board&Ballister Height Price Per, Extra Walk Double Section Fence Style Linear Ft. Posts Gate Gate Price 8 Ft.&10 Ft.Sections The OYSTER HARBORS All Lattice Height Price Per Extra Walk Double Section Fence Style Linear Ft. Posts Gate Gate Price 8 Ft.Sections The SANDWICH 1 x 5 Board With Square Post Height Price Per Extra Walk Double Section _ 1.. _ Fence Style Linear Ft. Posts Gate Gate Price -_ ,M 8 Ft Sections Application to PNEG�'�E tP E� Old K4s Highway Regional Historic District Committee �'®- O 41. in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in 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 ❑ Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: 9 Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK D — - ISSORS MAP N0. OWNER CA,-9 -4 CONIF L/19i /n ASSESSORS LOT NO. _ I HOME ADDRESS 519M F TEL. NO. -3 7 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). U—Amf� a l_ATNLI Cs144)S din 7' LL 33133 �ARNS?R(��� I nI�JSFRJA�In�.l nr�tid�7/nti/ --TI.IC. N✓Aai4zS bZ�ol AGENT OR CONTRACTOR CEPS Cnn rEurj �0 TEL. NO. 3 9a - b0Y I ADDRESS 8n(-)TF 18 S . 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). 1'714Z � t)RMOU774" CA'9551c CCOMR 01CME.7- 1,6146E wr-r'4 5 XS" PRfSSOA C ?R EATfO Go'TNIG PosTS . FEmcE ro 6E- 31.5 fFeT x oalG . THIS F.ENCr-' w� ��P E T �R� ;NTj,/ SrAhtQ I NG 'y Foci S>RNotl Ro w,RE FFli Cf. !ilA�I � C 1 � Signed Owner-Contractor-Agent Space below line for Committee use. Received=by-H:DX Date " The Certificate ' ereby e G p gig 2'01998 i /��,w�JTi e Approved f' ' IMPORTA T: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ a 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. r f 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. 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 project requiring a Certificate of Appropriateness. 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 o ' Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOW SIZE TRIM COLOR DOORS COLOR SHUTTERS COLOR R11 ��� GUTTERS ll DECK GARAGE DOORS COLOR SIGNS COLORS ;/ FENCE.�/�,E �/ARmoura" - root Ci.ASSIC PICKET COLOR) AiATURAk- t 9firi4FREQ &AE1 wrrN 5x3" GorHic, Pas-rs NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plane, when applicable. Site plan should show all structures on the lot to scale. SPECSHT N A� 123 5�' _ _ 802.60' RAILROAD A - �8.54 CENTER LINE \ M A- 325 32 IP FND 9' DRIVEWAY ` I LOT 16 0 DWLG cv IP FND ti DH G�] SHED °p FND 133.cp 78' CQ POND _ DH FND \ � � WETLAND IP SET IN STNS �-� yc CO FND �� IP FND 3a2• BROKEN \ IZD, v, 0 0 \p FND p- .�,,CB FND StA�1 3y� 'N cp CB FND D- rRoR, RDAO 1Lo 267.40' STK SET Q (3 . NOTE: POND AND WETLAND LOCATION TAKEN �Z FROM PLAN BOOK 232/59. l�Q �1N Of PETER �y CERTIFIED PLOT PLAN W. G� 3 SOULE No. 28719 PREPARED FOR: GREGORY E CAKOL HAMM �Ff S S10� LOCATION: I ZD 5UTT01J1,/ODD LIJ. TOWN: W. 8ARn1STABLE, InA. (qh S 'Q � URV� SCALE: 1 ZOD DATE: APR. Z 19q(o i DEED BOOK: CTF. ASSR'S. MAP: Z 17 PARCEL: S PLAN BOOK: Z32//57 LC PLAN: FILE: ZO$-Z PROFESSIONAL LAND SURVEYOR I HEREBY CERTIFY THAT THE DWELLING- SOULE LAND SURVEYING SHOWN ABOVE IS LOCATED ON THE GROUND AS INDICATED. 103 VESPER POND DRIVE BREWSTER, MA. 02631 (508) 255-4728 CAPE COD FENCEEO. "MUR DECADES OF QUAUrY PRODUM&SERVICE- . ;, - Custom Design Service & Repair Work. FREE ESTIMATES Do It Yourself or Let Us Do It For You. Y TOLL FREE-MA ONLY 1-800-352-7785 398-6041 775-3030 430-2203 Route 28 Mid Cape Area Route 28 �F S.Yarmouth,MA Hyannis,MA Harwichoort,MA (SEASONAL) I FAX — (508) 398-0091 / (203) 673-3211 {(� Route 44,CANTON,CT 1 I .I 41 ROL a _ cS ' PHONE QUOTES 32 HOME ESTIMATES ARE ALWAYS AVAILABLE Height Price Per Extra Walk Double Section Fence Style Linear Ft. Posts. Gate Gate Price 8 Ft.&10 Ft Sections BARNSTABLE B Bass River Solid Height Price Per Extra Walk Double Section ITIZ Fence Style Linear Ft. Posts Gate Gate Price y Bass River Open Space , 8 Ft.Sections The BASS RIVER CEDAR BOARD1 Height Price Per Extra Walk Double Section Fence Style Linear Ft. Posts Gate Gate Price Heavy&Light-8 Ft.Sections The � � � � A.)3 x 3 rail&4 x 4 post ST �Q RAIL B.)4 x 4 rail&5 x 5 post Height Price Per Extra Walk Double Section Fence Style Linear Ft. Posts Gate Gate Price All Cedar-8 Ft.&10 Ft.Sections ` The BREWSTER Height Price Per 'Extra Walk Double Section Ik Fence Style Linear Ft. Posts Gate Gate Price Pt.Cedar-8 Ft.Sections The CENTERVILLE . A.)ROUND FACE Height Price Per Extra Walk Double Section B.)2-3/4"WIDE Fence Style Linear Ft. Posts Gate Gate Price C.)1-3/4"WIDE D.)4"WIDE 8 Ft.Sections The CHATHAM PICKET � PREMIUM • STANDARD • ECONOMY Height Price Per Extra Walk Double Section Fence Style Linear Ft. Posts Gate Gate Price 10 Ft.Sections • A.)Mixed Hardwood S The TUIT B.)Pressure Treated. C.)National Seashore-100%Oak/Locust Post Height Price Per Extra Walk Double Section Fence Style Linear Ft. Posts Gate Gate Price All Cedar-8 Ft.&10 Ft.Sections The DENNIS Picket Solid or Spaced Height Price Per Extra Walk Double Section Fence Style Linear Ft. Posts Gate Gate Price - all Ef U] 8 Ft.Sections The FALMOUTH Spaced Cedar Board With Cap Height Price Per Extra Walk Double Section Fence Style Linear Ft. Posts Gate Gate Price Look for the Sign of Quality Since, 1954 T 7 ' lilll 1 .• � ��� 'q' „ III �1�111 IIU ' •• III � r aq,1 yl�p,,,I lan it��� . • •. • 1 1 , 16 r r ' I ' I i •� 8 Ft.Sections The NANTUCKET Cedar Board&Lattice Height Price Per Extra Walk _ Double Section Fence Style Linear Ft. Posts Gate Gate 'Price V 8 Ft.Sections The OSTERVILLE i Cedar Board&Ballister Height Price Per Extra Walk Double Section Fence Style Linear Ft. Posts Gate Gate Price 8 Ft.&10 Ft.Sections j HARBORS All Lattice Height Price Per Extra Walk Double I Section Fence Style Linear Ft. Posts Gate Gate Price 8 Ft.Sections SANDWICHThe 1 x 5 Board With Square Post Height Price Per Extra Walk Double Section 2.., Fence Style Linear Ft. Posts Gate Gate Price . S FtJSections -' ''• Height Price Per Extra 12 FL 3-1/2 Ft. I6M. Fence Linear FL Posts Gate" Gate PREMIUM 0. GRADE 8'SECTIONHeight 3'-8' Dowell Construction,100%Cedar r DOWELLED STANDARD Height Price Per Extra 12 FL 3-1/2 FL CEDAR STOCKADE GRADE Fence Linear FL Posts Gate Gate' 8 Ft.Section With Post&SECTION Options Available: Height 4'-6' Scalloped Capped ECONOMY Canadian Canadian 12 FL 3-1/2 FL Slope Sections GRADE #1 #2 Gate Gate Short Sections 8'SECTION Ornamental Posts Height 6' � E I The YARMOUTH ✓ Options Available: Bass River Flat Top Custom Top Pickets Posts Posts lScalloped Sections Capped Sections Bass River Posts Flat Top Posts FANCY-POSTS Options Available: • Residential&Commercial Colored Vinyl or Galvanized Ideal for Pool Fences ` Great for Dog Enclosures All Heights Available -CHAIN LINK FENCING All Black Available Portable Bolt Together Options Available: It•is impossible to show you Black or White every type of fence that we make. Baked Enamel Finish If you don't see it on display, Various Sizes Available describe it to us or show us a Maintenance Free picture W we will quote-you a Backed by 15-Year Warranty price. Posts W sections are interchangeable. Height W Beautiful Aluminum Fencing space can be varied. Just use your imagination. Application to Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a .1997 018 , CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 19.73, 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 j5Addition ❑ Alteration Indicate type of building: '(r House ❑ Garage ❑ Commercial .❑ Other Z Exterior Painting: [� 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 ADDRESS OF PROPOSED WORK ` U-A)n W • A (Gt,iV ASSESSORS MAP NO. OWNER m� '� Mi✓$ C`�2 �'2-�� ViM ASSESSORS LOT NO. t to HOME ADDRESS `aC> ?;�T16nW0CCA t6—ne TEL. NO. 52b--�37S-024�1 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 nG I ITV\ TEL. NO. G��`� ADDRESS _ty—e— 6,n UPcF— 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). �10� Inc). t=< , �42� or) - R' ��Signed Owner-Contractor-Agent Sp cirbWow_liRe for committee use. ry R.ecei�v d"by H.0?C.n - U t I Da The Certificate*is hereby rove✓ Date 1-Time_. r�i �1 CF a BLE n m gy� 1�--' C�S NfG�I1nlay W GEC. I, / Approved IMPOR ANT: If Certificate is approved, approval is subject to the 10 day appeal period �. provided in the Act. Disapproved ❑ r , Town of Barnstable Old King's Highway Historic District Committee n SPEC SHEET FOUNDATION /1 Lye t2 SIDING TYPE COLOR A G CHIMNEY TYPE COLOR ROOF MATERIAL TT�IOV 1(i�Q� COLOR PITCH WINDOW �Cj (Yl�` 5 /' SIZE t) rr .. 11 TRIM COLOR W� I DOORS ` COLOR b31u� ► a—_W- SHUTTERS COLOR GUTTERS t�k)V�k �L DECK GARAGE DOORS COLOR SIGNS COLORS FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this �] form are required for submittal of an application, along with three copies each of the plot plan, �i I! j}f land cape plan and elevation plans, when applicable. Plot plan need not be "Certified" except for `n'0w0 ,homes, but should show all structures on the lot to scale. SPECSHT m m D � O � z z E N 0 O P 8 m 4 -�- In m i z z m E In O � .IJ 4 r m �u m E XHAMM RESIDENCE ALTERATION / ADDITION • , ` . _ ~ 120 BUTTONWOOD LANE 9 9B! N p p O BARNSTABLE MASSACHUSETTS N rrr7aaa V s oG, Odd,►� J tl 1 y I O Amm \ mm 1 = N I Is o A o Qi Z m C ------`rl N EFF � 3 LA rn COAT \ Z Aim 1 1 1• D P g8 A D Z ditm + S m � €s m $. A = Ac ° $T T m m$ Nc y rr . � I11 1111 1111 111 111; 111 111 111 fl D E 6� X HAMM RESIDENCE ALTERATION / ADDITION �Bd to c i Z 1 8 z m O 120 BUTTONWOOD LANE O BARNSTABLE . MASSACHUSETTS 1 p a N m n E � a Q C � a X HAMM RESIDENCE ALTERATION / ADDITIONie f' I" 120 BUTTONWOOD LANE ryO BARNSTABLE MASSACHUSETTS a MORTGAGE INSPECTION PLAN OFF LAND IN N,&/L:-;sr. 0,LjR,\j57-AeL.E,MA. SCALE: 1"= Zo o DATE: .Sv, Y. N — _ _ _ 802.60' RAILROAD - 32 A=78.54� CENTER LINE g p A'325. 9' DRIVEWAY DWLG CY� 0`SHED o0 /x�O LOT 16 � 1 l2 'moo, NQ 06 w 267.39' Q n . (D O I CERTIFY T0: GRCGoR'f CAROL NAMM ��H OF . . . . . . . . . . . . . . I . . . . . . . ., , . . . . . . . . . . . . 4�.,�'J' PETER y THAT THERERE NO VISIBLE BUILDING ENCROACHMENTS OR EASEMENTS W. AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION. SOULE H LOCATION OF THE DWELLING SHOWN ABOVE EITHER WAS IN COMPLIANCE No. Z✓3J>I`3 WITH THE HORIZONTAL SETBACK REQUIREMENTS AT THE TIME OF fEgb��' CONSTRUCTION OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION PER M.G.L. CHAPTER 40A, SECTION 7. ND suf>> THE BUILDING(S) SHOWN HEREON DO NOT FALL .WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY 11 �57QOPI, BY THE F.E.M.A. /-V CLIENT: SrP—"A2D D. Fems7rzw, P. C. PROFESSIONAL. LAND SURVEYOR OWNER:Nlr- M ILrON L.RICE F MAj;?Y E1-1-8N RNoDE5-RICO APPLICANT: C-kF_c-o2Y CAROL /-/AMM SOULE LAND SURVEYING 03 LOCUS ADDRESS: I Zo r,u rroti/v,/oo D LANE 1 BR VESPER POND DRIVE . EWSTER, MA. 02631 DEED BOOK.796)3 ZZ1 CTF. ASSR'S. MAP: ?17 PARCEL: (508) 255-4728 PLAN BOOK: I LC PLAN: I IFILE._ Z08 - NOTES. 1. The declarations made above ore on the basis of my knowledge, Information, and belief as the result of a mortgage plot plan Instrument survey made to the normal standard of care of Registered Land Surveyors practicing In Massachusetts. 2. Declarations are made to the above named client only as of this date. 3. This plan wao not mado for recording purposos nor for use in preparing doed descriptions. �qa.N l S 17 5 5r•6 T aFF SovT44 W EST GaPJJER, 1�u6ar��uG, N • 802.6.0' RAILROAC) \ ' A" 78•54' 1 CENTER LINE M A 325.3 2' .,IP FND 9' DRIVEWAY 1 LOT 16 DWLG 0 p IP FND c SHED 13A" DH 133.78)FND oust / CP4 . AREA my o��--.. CB FND '� POND"" / ' DH FND WETLAND Us, EA a IP SET IN STNS �-a \.• �' CB FND IP FND ', 3$Z• BROKEN c' O \ O v' 4 CB'FND St2 gyp,CB FND CB FND Q- " 267.40' STK SET C� NOTE: POND AND WETLAND LOCATION TAKEN �Z FROM PLAN BOOK 232/59. /�J OF off' PETER y� CERTIFIED PLOT PLAN g so.LE H No. 28719 PREPARED FOR: GREC—DRY E CAROL HAMM LOCATION: 1 Zo BUTTONWOOD LN. TOWN: W. BARnJSTAaLE, MA. No snkl SCALE: 1 ZOO' DATE: APR. Z., 199to DEED BOOK: CTF: ASSR'S. MAP: Z17 PARCEL: 8 PLAN BOOK: Z3Z/59 LC PLAN: FILE: Z08-Z PROFESSIONAL LAND SURVEYOR I HEREBY CERTIFY THAT THE vwELLiivc- SOULE LAND SURVEYING SHOWN ABOVE IS LOCATED ON THE GROUND AS INDICATED. 103 VESPER POND DRIVE BREWSTER, MA. 02631 (508) 255-4728 r ;I I� Engineering Dept. (3rd floor) Map Parcel 0 G Permit# 7 a House# .o Dite Issued ! - Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Conservation Office (4th floor)(8:30-9:30/1:00'-2:00) 3 �� pSEPTIC PLIAN, rd 19 HIM TOWN OF BARNSTABLL Building Permit Application ProjWreetdress W(sca Lane " Village yg � Owner 6- A-1 Address PA-)* LLJQQ Q Telephone y-Q> Permit Request zTn TOt\mil t x --`l , -n (z,-�� First Floor �jC�u square feet Second Floor square feet Construction Type (,U Estimated Project Cost $ �Q�) Zoning District Flood Plain Water Protection Lot Size 9-17, Ak. 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) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information 4 Name fy\ •3 -N�4lL CZ a�vC n Telephone Number (0 t1` fir---T 1 q Address `10- (L 6-P- yOe ` C�, ` Q1x License# Cr)�3 c,.,,-rL Home Improvement Contractor# (oa 3c1 �• Worker's Compensation# 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 /;ds SIGNATURE DATE BUILDING PERMIT DENIE FOR THE FOLLOWING REASON(S) 0 FOR OFFICIAL USE ONLY PERMIT NO. i! , DATE ISSUED MAP/PARCEL�NO. ADDRESS `i VILLAGE '; OWNER e DATE OF INSPECTION: ' FOUNDATION FRAME INSULATION FIREPLACE" ELECTRICAL: ROUGH , FINAL i PLUMBING: ROUGH FINAL GAS: gROUGH FINAL —" FINAL BUILDING'' d DATE CLOSED OUT.. ° ASSOCIATION PLAN'NO. ` Engineering Dept. (3rd floor) Map Z t-1 Parcel v,n A Permit# i y House# /Z© ,e,,,r ' 2-at-91 Date Issued 3/ti�Q7 .>iaard of Health(3rd floor)(8:15.-9:30/1:00-4:30) 3 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Z)2_1191 2WNSEPTIC$YST t1ST BE Planning Dept. (1st floor/School Admin. Bldg.) INSTAt.L NCE Definitive Plan Approved by Planning Board 19 €NVIRON(I AND TOWN OF BARNSTABLETdWN NE Ns Building Permit pplication Project Street Address f�' . Village t-CJ Owner Address Telephone 3 —49 , Permit Request Je - 160 First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ S dTaZ) Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family (�Two Family ❑ ' Multi-Family(#units) Age of Existing Structure f 0 Historic House ❑Yes ❑No On Old King's Highway ❑Yes UNo Basement Type: ❑Full ❑Crawl alkout ❑Other Basement Finished Area(sq.ft.) �� Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing Total Room Count(not incl ding baths): Existing_ O�New First Floor Room Count Heat Type and Fuel: GVo ❑Oil ❑Electric ❑Other Central Air ❑Yes lFireplaces: Existing _ New Existing wood/coal stove ❑Yes p,No A Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Attached(size) C�u�� Bar .(size) 16 ❑None ;ih (size) x (a ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use ilder Information Name t/; Telephone Number 'z — ` S^ O 5 C 9 .Address icense# �Ca /3 go Home Improvement Contractor# /a Worker's Compensation# U)t;/00Q03(4 3 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 SIGNATURE r�L/ DATE d- ��- 4 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) ^1 FOR OFFICIAL USE ONLY PERMIT NO. Li 's DATE ISSUED ' n MAP/PARCEL NO. ' 1 . ADDRESS. VILLAGE OWNER DATE OF INSPECTION: FOUNDATION '1 3. FRAME ! iINSULATION �{/KIg1 ao'IP 1 FIREPLACE ELECTRICAL: ROUGH FINAL s r; - PLUMBING-R"3 R UGH FINAL GAS: R OrH FINAL FINAL BUI ` 4 - 9 " �4 1 1 DATE CLOQWq ASSOCIAT�ILAII& f • 1 . _ The Cunnytonweulth.f) .11ascucltusctts Deparnizent oj/ndustrial Accidents ` Olfice of, �� estigalfnns 600 {i'ashht,iotr Street Boston, t11uYv 02111 Workers' Compensation Insurance Affidavit Applir,tnt information: / n.me 1/ locition• 1,20 807-7-o 14 t..-)no Zj9",F_ s' city 1.4 oQ PJ�T_ F B Phone# r I am a homeowner performing all work myself. j I am a sole proprietor and have�no one working; in any capacity 1 am an employer providing workers' compensation for my employees working on this job. company name: address: city: Rhone#: insurance co. Policy# ,• .... .-.. .,•. -._,•-.. ,�........_�..;,,,o.�.... -r.,-..�.....a«...:....,...,...�.,...w.,.r.......as�.•9Y.n.-t--'^•r.-:.fir..:..�,,..,.r..•_�.......-....... I am a sole proprietor, general contractor, r homeoivne (circle one)and have hired the contractors listed below who have the followin_ workers' compensation polices: company name: L u,ol Ve/M 1 address: 1.6-b Ci I2-i1 Z Jj cih•• 5t f y 11-4/'P , 41 A, 61 066 phone#• Z/_l _ J A ,; insuranceco. EA4 e&N C:A L,..6 7,,t 2:.4./<L42. e0, polies•# 1,, ,Ppppo67_'S � ..:..[.::•:�:.. .�w^.-_......_.� •;Y•^..,:...:�:-_:.^.._.. •rc_._.,:.�.'•.zt ia;;F,r.+vnwyf '*'+C',v,.-.:c"..--•- -.:-5:'-i. .i_._..__:_...... .-._.._.�.—..--._- ._sc:s.+�:...�:._...'�.raL. "aarl-r+-�.G..t......• --,- _..ay �sJ ....�-a��i:6..�iii=.... �_ comnany name: address: cin•: Phone#: insurance co Policy# :Attach additional sheet if rieccssary;:.::�'_ �-'- _ -ju' " - _ _ _-te:: ..:; -• "' F:(ilure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a tine up to 51.500.00 andiur one years imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a day against me. I understand that a cope of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herehr certifi'under the pains and penalties of perjun,that the information provided above is true and correct. Signature- Date - - Print name Phone# officiaPuse only do not write in this area to be completed by city or town official city or town: permit/license# Mudding Department Licensing Board O check if immediate response is required ❑Selectmen's Office t' 011ealth Department contact person: phone#: MOther f.'. (re scd PJA) information and Instructions , Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law". an empinree is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An emj;1ot er is dcf incd as an individual. partnership, association. corporation or other legal entity. or anv twig or more of the foregoing engaged in a.joint enterprise, and including the le-al representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwcllin�, house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chajiter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or reneWal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant wlio has not produced acceptable evidence of compliance -with the insurance coverage required Additionallv. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. ..—�T.. l:^�,'!C.�>•l�^7 TMY'-9a•'..�'t.4R T'.v^.T!a'•.�-. Applicants Please fill in the workers compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers compensation police, please call the Department at the number listed below. Citv or Towns Please be sure that the affidavit is complete and printed legibly. The Department ltas provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investieations would like to thank you in advance for you cooperation and should you have any questions, please do not liesitate to give us a call. y..-y...._�...-... .....-. .._...y:...... .—��+r.�y.•vT••::���..R•w- ^.1�.>..i w7.•/_PF�M'S!T.'.._.�,�.vT�1•POf)�.�.v'.._.�.Aw.• Tile Department's address. teleplione and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 NVashington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone 9: (617) 727-4900 ext. 406, 409 or 375 The Town of Barnstable sRvs AMA 9� � �0�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL,c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work:,Q Est.Cost T PTV i Address of Work: v2Z> 0 (6) Owner's Name / — Date of Permit Application: 02 ,I/ — 9 1 hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. 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 . tk;` , q ' a . TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER' LICENSE EXEMPTION Please print. DATE JOB. LOCATION a,Q i - Number Street addressl Section of town "HOMEOWNER" j4 L,4 Name Home phone Work phone . . PRESENT 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 such homeowners to engage an in- dividual-for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, 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 Officia on a form acceptable to the Building Official, that he/she shall be responsibl, for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes ..responsibility for compliance with the Sta- Building Code -and other applicable codes, by-laws, 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 it said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our. Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "dwner-' actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. vAjjC0jm WEN 156 First Parish Road Scituate, Ma 02066 617-545-8369 '-642. Tvommor:ar�ers[!JE b�✓�u ua�I!ud4l7d. DEPARTMENT aF PUBIIC SAFETY e CONSTRUCTION SUPERVISOR LICENSE Vi .0 Mu.mber; Expires:' r $e.str4lod To: 66 SCOTT R VALCOURT 156 FIRST PARISH RD SCITUATE, MA 12066 Immmomm HUME 1MNROVFMFNI i;ONTRACIOR Registration 121342 lype - 'DRA 1 Expiration 04/30/98 : I I( II SCUTT R. VALCDURI REMODELING I 5, OTT R; VALCOURT 756 FIRST PARISH RD { SCITUATE MA 0206t ` ' � •,+ .. 1. .xl it Y�� } ^�,` �tR�J,� �'9 J'N.j�^. n? ` Applicatton to 1996 9 t r,'y $rt .,.,....:.. 96 °1 Old Kings Highway Regional Historic District Committee -ertw in the Town of.Barnstable fora ~errs CERTIFICATION OF EXEMPTION r' tlh, Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter' 70, Acts and Resolves'oi Massachusetts, 1973, as.amended for proposed work as described below and on plans,drawings,or photo- graphs accompanying this application. ,, s_„ tit r ;; 4,trY i TYPE OR PRINT LEGIBLY ` DATE ADDRESS OF PROPOSED WORK �� ri-f0✓�woc �_ ASSESSORS MAP NO t ASSESSORS LO OWNER ..T N. N O .• b Q HOME ADDRESS _� %A)yl waoa GOr%ta y�? TEL. NO.�^ J"�lL4 i AGENT OR CONTRACTOR --��h� �\VX �yy M•_S -tt7.tllr�: �,o � y r}• ADDRESS ,� 'n Lek ``� � L`�LY�"� TEL. NO.- "� — -trr' `� J e 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,1show. ing Idcation.of existing building. • Q►v P� .:':� .Sou�JlC1 l(� k�� o�n. 5� q�.c,r Shy � Sa SIGNED Space below line for.Committee use. - Owner•Contrector-Agent •, c ey�l. The Cert' 'cafe is hereby • �, .� ' !m ,`• � F SARNST�r . BY TO N O GAS Ht� tr� l/ Date L q ':,L 'j( Approved The categories of work entitled to exemption are listed on Disapproved ❑ a the back of this form. .. it • .l 9 43 EEEEI rr� a atr_ C 0 lie VS.. IA i o �� e s t . � D a 4 L!^ V 1 I i I I I � a i r. The Commonwealth of Alassachusetts Depart'n►ent of iiid►tstria/Accidents _j ' Ofice811AWSU921/ors � 600 N ashin"'ton Street Boston, A1uss. 02111 Workers' Compensation Insurance Affidavit °fin 1'a Wfr- Please PRI btblZ m • w C_ location• 4- V c11)' scTVIC,,k— wt� BL�IQb phone (017" 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity - ,is..:.".YS"'�Y "'p?:^�":re.'?Tge;'.�!`t;A�?,w w's?Rs�7�s�-�tx�c� 1+;�tv�r... �+na�'.ti-._�.,.�«+vfr�a.,vee ter.—,^:'e...ari'�+'�"...,,.a.•..,,a•. I am an employer providing workers, compensation for my employees working on this job! company name: M-S .Al o city: .r - hone#• insurance co, policy# Imam a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address: 61y: phone#• insurance co policy# �_ - .o-. - - -.. i[:Ft,«�•;�..:71�et-::•�;•s;•.:_'S•tY v. •r ,. -. 9, 2.r';"c^';::ev's�-^;.�i'�T7�tCJ• ,9,n!!F6_.�r!:�r� r'_ S4YF'_?^ ^^4:anu^:.��_..'....,•....,q� -- - '�' �+ • -.t.a.�s:ur�i +.:<+.a.:.r:u3. company name- address: city: phone#- insurance co policy# :Attachh additional sheet i nece ssary`awl <i i.`= 1"+ %✓lfY _:�a' ti;�a �[t t�,a a�.'/p'; s _�� +�r �f • �.•.. Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that.a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herehr certi rider late pa'is an penalties of perju hat the information provided above is true and correct. Shmature Date Print name /�' r Phone# fOl •a 7 -7/ official use unly do not write in this area to be compacted by city or town Ofl-tcial city or town: permitAicense# r�Building Department Licensing Board 0 check if immediate response is required pSelectmen's Office C]1'Icalth Department 1, contact person: phone#; rjOthcr y b- ,C .r�.::a+--:+---r-•-t�a•ro+e.��wrw-•+rgwes^•gg.^l - _ yT-",�..,,."*""°" ^++.„`>'.'!'"."'ee_-'�.J•- (rmsed V95 P1A)' . �i Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all emplovers to provide workers' compensation for their employees. As quoted from the "law", an einpl( ree is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An enrplurer is defined as an individual, partnership, association.,eorporation'or other,,lcgal entity.*or any two or more of the forcaoing engaged in a joint enterprise, and including the legal representatives of a deccasecl employer, or the receiver or trustee of ail individual , partnership, associaticin or other legal,entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the ,rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states'that every'statc or local licensing agency.shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant N%,ho has not produced acceptable evidence of compliance with tl.ie insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements,of this chapter have been presented to the contracting authority. .. .. . ... .. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. - R^. w.-da.,..-.n• - +- ...vr+- .v-....xr+�vr-^r+►.e!.7�r. .r'fa""'.r.^�'. �... .. .. .. ..�,^,•r City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. t'�.Yau:.-rt..r�.-..,.,...,..�.�-.,•.^v+v:..,..,.--��o«r'•rw�, rc..e�u,:ta+." _ ...-!vr!..rma�t!wna..+?...?.w.;.v�:?f°S^n.^—n"'r...er��r. .,..::�w.v+r+�s-eosr+}l�•+" -rr.v,+v+'.a+aw+w,!'s,�vinuiw' s:r a The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations _ 600 Wasliington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 Town of Barnstable . The ental Services • 1 d Environm Department of Health Safe an ¢ ,m Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Building Commissioner Office: 508-790-6227 Fax: 508-790-6230 For office use only Permit no.� Date OME RO ,T CONTRACTOR LAW VIT HSUPP EMEN?TO PERMU APPLICATION onstrnction, alterations, renovation, repair, modernization, requires that the "rec re-existing MGL c. 142A req removal, demolition, or construction of an addition to any units or to conversion, improvement, at least one but not more than four dwelling owner occupied building containing registered contractors, with structures which are adjacent to such residence r building be done by with other requirements' certain exceptions,along �, Est.Cost S UOy 'type of Work• • Address of Work. Owner's Name °` . 3 • Date of Permit Application: (o I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit give,that: OR DEALING WIIT� UNREG'MMM Notice is hereby gi O� PERMIT WORK DO NOT HAVE OWNERS PULLING TMIR HOME IlVIPRO� CO FOR APPLICABLE ER MGL c.142A ACCESS TO THE ARBITRATION PROGRAM OR GUA►RAN?Y FUND UND SIGNED UNDER p NA'T1TS OF PERJURY permit as the agent of the owner: I hereby apply for a p . � J N AA GD Registration No. \` Contractor Name Date OR. owner's Name nn+P � Me -eaw wnule 'a �aclu�aeka HOME IMPROVEMENT CONTRACTORS REGISTRATION oard of Building Regulations and Standards One Ashburton Place - Room 1301 ; Boston, Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR j Registration 102392 Expiration 07/01/96 Type - PRIVATE CORPORATION M .J . Hallin Co . , Inc , Mary F . Hallin 40-R Beaver Dam Road Scituate MA 02066 MINT rusuo sot" � ov Co OF ME To gSA*"Em LICENSE AGAINST ;,t'i s�J G O N S T K• SU P ER V I.O R pROT FOGW N UN THUMB TE uC-NO. �+. ���/ �� pCPIRAn0N DA EFF�IVE DATE P BOY.ON uC NSE 12/1?./1996 1/199� OA31ti� ��. - RESTRICTIONS 2^T,NG O 'TO� . BLAS NONE N N ALL I a . �y, .UOEP►+� Nil.TO dL AVER DAM RO r SCITUATE MA 02066 ; . ►Fo;OF n j J Assessor's Office(1st floor) Map Parcel /e� Permit# Conservation Office(4th floor)(8:30-9:30/1:00-2:0A Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45 �9`r 5o Ivu Engineering Dept.(3rd floor) House# P ) SEo�TOC SY Wff . BE 19 INSTALLEDmaid JCE \ ONMENTAL CODE AND TOWN OF BARNSTABY,'K"-ti�,-fl\7rT-,,-,,, AT8 QQ Building Permit Application Iect Street Address Il�d 60fonWOock Village IA.>eS-I- .(-✓1 i� Owner (- 7CeA&nrT_A + Cow Address 00 Yl(,U ) Telephone A�'7�'- ��5— 6 f) 7 6 Permit Request �& -2 ca\r ca,,r 6 STa el Cc�►'��er�e.�d'�T ti . First Floor square feet Second Floor // square feet Estimated Project Cost $ 5 t7-r) Zoning District R� Flood Plain Water Protection Lot Size ,, 5 00d F Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Pis_ Proposed Use Construction Type (.ycc-A Commercial tj O Residential S Dwelling Type: Single Family y--Q Two Family Multi-Family N Age of Existing Structure LO yI,QC-`s Basement Type: Finished �-1-'S Historic House P() Unfinished Old King's Highway \1y_z95 Number of Baths No.of Bedrooms Total Room Count(not including baths) CA First Floor Heat Type and Fuel WCT_�tR 16 1L Central Air N Fireplaces Garage: Detached Ny Other Detached Structures: Pool Attached {Py 2 , Barn None Sheds Other Builder Information / Name N L Telephone Number 617—Sz S 7) r ,p Address ( G-1!e a`M License# 0 3 y NA D74(a Home Improvement Contractor# D- Worker's Compensation# 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 SIGNATURE DATE [ ` BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. - DATE ISSUED E MAP/PARCEL NO. t �e _. ADDRESS_ VILLAGE _ OWNER - DATE OF INSPECTION: FOUNDATION LJ FRAME Ll -26. qj.INSULATION FIREPLACE _ ELECTRICAL: ROUGH FINAL c PLUMBING: NQL;GH FINAL GAS: ROH i= FINAL { r FINAL BUILDING r , In t DATE CLOSED OUTA rr ASSOCIATION PLAT i , . P 375 771 502 Re;,eipt-or Certified Mail No Insurance Coverage Provided . Do not use for International Mail (See Reverse) Sentto Ford Motor Credit Co. TTI- Str et an .o 11311 Cornell Pk. Financing P.O.,State and ZIP Code Dr. , 1 Postage Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing Ql to Whom&Date Delivered Return Receipt Showing to Whom, C Date,and Addressee's Address 7 TOTAL Postage &Fees C Postmark or Date OD M E 0 LL a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). 1 Q� 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier(no extra charge). � 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. rn 3. If you want a return receipt,write the certified mail number and your name and address on a c return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. �" O O 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, M endorse RESTRICTED DELIVERY on the front of the article. E 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If U- return receipt is requested,check the applicable blocks in item 1 of Form 3811. a 6. Save this receipt and present it if you make inquiry. 105603-92-B-0226 Q v y�i TN[tp1 The Town of Barnstable SARI""" Inspection Department c0 Mill •� 367 Main Street, Hyannis, MA 02601 �� 508-790-6227 Joseph D.DaLuz Building Commissioner 1 June `17, 1992 3 Ford Motor Credit Co-. c/o Whisner, Ford Consumer Financing 1 11311 Cornell Park Drive j Cincinnati, Ohio 45242 3 Re: 120"Button Wood Lane, West Barnstable, MA r A-217.008 Dear Property owner: This office has received a telephone complaint alleging that exterior construction work is being done, on the above referenced property without benefit of the old Kings Highway Regional Historic District Committees approval and without a building permit. Please contact this office immediately regarding this matter. Very truly yours, 2 Alfred E. artin Building Inspector AEM/km It cc: Warren J. Rutherford, Town Manager old Kings Highway Regional Historic District Committee �. Certified Mail P 375 771 502 R.R.R. L920617A Ford Consumer Finance Company, Inc. June 25, 1992 Ms. Jenny Robbins The Town of Barnstable Inspection Department 367 Main Street Hyannis, MA 02601 RE: 120 Button Wood Lane, West Barnstable, MA A-217.008 Dear Ms. Robbins: As per our phone conversation on Wednesday, June 24, 1992, the owner of the above mentioned property is Milton L. and Mary Ellen Rice. The Rice's bought this property from Ford Consumer Finance Company, Inc. around the end of February 1992. If you should have any additional information, please feel free to contact me at 1-800-753-3673, extension 2231. Sincerely, FORD CONSUMER FINANCE COMPANY, INC. f 20 Marga t Schatzle Customer Service Representative Certified Mail - # P 037 053 921 11311 Cornell Park Drive, Suite 400, Cincinnati, Ohio 45242, 513/530-7012, 800-753-3673 4' w The Town of Barnstable } °"AT�eLE � Inspection Department ;6,;�'•`'0 367 Main Street,Hyannis, MA 02601 508-790-6227 Joseph D.DaLuz Building Commissioner June 17, 1992 Ford Motor credit Co. c/o Whisner, Ford Consumer Financing 11311 Cornell Park Drive C inc i i -4h-o--1-5ZT42 — Re: 120 Button Wood Lane, West Barnstable, MA -217.008 Dear Property owner: This office has received a telephone complaint alleging that exterior construction work is being done on the above referenced property without benefit of the old Kings Highway Regional Historic District Committees approval and without a building permit. Please contact this office immediately regarding this matter. very truly yours, Alfred E. in Building Inspector AEM/km cc: Warren J. Rutherford, Town Manager old Kings Highway Regional Historic District Committee Certified .Mail P 375 771 502 R.R.R. i - ___ :=L920617A-- ----- ---- --- ---- ------ < TOWN, OF BARNSTABLE BUILDING PERMIT PARCEL ID 217 008 GEOBASE ID 13378 ADDRESS 120 BUTTON WOOD LANE PHONE (508)375-0948 W_ Barnstable LIP - _LOT . 13T BLOCK_ LOT SIZE. IDBA DEVELOPMENT DISTRICT WB PERMIT 14260 DESCRIPTION 2-CAR GARAGE/STORAGE/CONSERV.RM & BATHRM. PERMIT TYPE BADDI TITLE BUILDING PERMIT -ADDITION Department of Health, Safety. CONTRACTORS:ARCHITECTS: and Environmental Services .. TOTAL FEES $195..30 t Ox BOND $.00 CONSTRUCTION COSTS $63,000.00 434 RESID ADD/ALT/CONV PRIVATE P,bf;,�`iWSTABI•E. *' L••,1VIA83. 039. OWNER HAMM, GREGORY & COKIE EDMA'I� I ADDRESS 120 BUTTON WOOD LANE BUINN ' D}. I I WEST BARNSTABLE, MA BY(;t ir. �,, DATE ISSUED 04/03/1996 EXPIRATION DATE �. Assessor's Office(1st floor) Map / Parcel r Permit# I'ya�o0 Conservation Office(4th floor)(8:30- 9:30/1:00- 2:0 Date Issued 7 ".3 '96 Board of Health(3rd floor)(8:15 -9:30/1:01 -4:45) 0q,, ee g ol -A Engineering Dept.(3rd floor) House# /r7, BIKE Planning Dept.(1st floor/School Admin. Bldg.) e BNSTABLE. ` Definitive Plan Approved by Planning Board 19 M039. AB. FD MIA A TOWN'70F BARNSTABLE Build'g Permit Application Iectd/JectStreet Address (a(� ��U r10n W T Village I P5-- C✓1r� Owner f C o rLA -E CCOLisp_ Pq'XVJ= Address AX J - _ Telephone -�j( j" �— 6 C1 Permit Request �� ci %rl tc c of , -4�* Co vcl-ark, First Floor + square feet Second Floor ,.4' L square feet Estimated Project Cost $ �1rJ Zoning District Rr C.,A ) /`Flood Plain/1 ill' d i Water Protection Lot Size ,ow,,7F� Grandfathered'? —� !� j f, 1.r�-, Zoning Board-of Appeals Authorization ! I Recorded Current Use %>_ Proposed Use Construction Type Gj r Commercial O Residential "-I e c, Dwelling Type: Single Family `I,440 Two Family N U Multi-Family N U Age of Existing Structure R 0 t,.4c'r BasemeritType: Finished ---1-e S Historic House , P Unfinished Old King's Highway I-e S Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Won t R'►a 1 f Central Air N Fireplaces a f Garage: Detached N c-) c Other Detached Structures: Pool f r� Attached Barn 4V4-c) I / No pp, A ,�� 1 ��+" �f � {� �� Sheds 1 Other L / Builder Information Name , . �\k 1 �la t r�N(.� Telephone Number 617 r�I��! WO Address 4() —k P,.,fl r /4 1A- License# C U L_J`/ �Y t-f'tf�t.�l,.y-P �)/ ���(a�„(•a Home Improvement Contractor# Worker's Compensation# 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 SIGNATURE DATE a BUILDING PERMIT DENIED F E FOLLOWING REASON(S) FOR OFFICIAL USE ONLY � PERMIT NO. DATE ISSUED ` MAP/PARCEL NO. ADDRESS VILLAGE _ OWNER { DATE OF INSPECTION: c + FOUNDATION FRAME _ INSULATION - FIREPLACE: ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ` FINAL BUILDING DATE CLOSED OUT. ASSOCIATION PLAN NO. • �`" The Commonwealth of Atassachusetts .�: �y: Department of Industrial Accidents .R Met 600 ti'asltingtun Street -�W.. :� �.+ Bunton.Alas. 02111 Workers' Compensation Insurance ARdavit name• locition• - cite nhnnc# 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity 1-+.f _ .+1TJI►^Tt.. . MMM ....4 :.L... S 4! .... - �•r.�a1Or I am an employer providing workers' comp k ensation for my employees work- on this job. m M.-5 . fin (tn C( L addr rih•• nhnne 0: Sq 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•tme• address, call: phone#• jncur•n ice co Helier•!! t,�r.it._ �•_ '.T. - �.:_ "r"'- - —•.,..e.-1�rY-•-Trce�«s1-�►S:+a�{• -- •-rJVNey!J�eS4•*f..;�[%""l�S4F='F�r.+-•y+.T.—ee�.�-•-•^ss ctimpan•name.- address: sin•• Phone#: itt�ur�nce co nolicv Al :Atiachadditioasi'sheetifueeessa •?^±�+.:' y^L- :rf�1w} � �* :'�trt, a��.► �':�� Failure to secure coverage as required under Section 25A of hIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one cars'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and it fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do herebr certi y under tke ai s and p Wallies of peduiy that the inforasation pro►•ided above is trae and corer t. Si_naturc Date /Z it S 5•- Print name Ml(-7a t)�n t t h Phone# official use oniv do not write in this area to be completed by city or town official cin•or town: permit/license# —Building Department (3Ucensing Board ' 0 check if immediate response is required OSeleetmen's OMcc ONaltb Department contact person: phone#; nUtber (miscdV95 P1A) CERTIFICATE OF INSURANCE: CSR SD 04/01/96 1 PRODUCER I THIS UENTIFIUATE 15 ISSUED AS A MAITER UF INFURMATIUN ONLY AND I Harbour Insurance Agencyg Inc. I CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE I 1 I DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE I 1 P_O. Box 376 1 POLICIES BELOW. I IScituate, MA I---------------------------------------------------------------------------I 1 02066 1 COMPANIES AFFORDING COVERAGE I I PHONE 617-545-6400 1 I 1---------------------------------------------I----------------------------------------------------------------------I I INSURED I COMPANY LETTER A Worcester Insurance Co. 1 II---------------------------------------------------------------------I I I COMPANY LETTER B Royal Insurance Co. I i N.J. Ha l l i n Co. Inc. I--------------------------------------- I 40-R Beaver Dam Rd. I COMPANY LETTER C Safety Insurance Co. I IScituate MA I--------------------------------------------------------------------I 1 02066 1 COMPANY LETTER D I I1-------------------------------------------------------------------i I 1 COMPANY LETTER E I 1) COVERAGES I THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY I I PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO I I WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO I I ALL TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I 1------------------------------------------------------------------------------------------------------------------------------I I CDI TYPE OF INSURANCE I POLICY NUMBER I POLICY EFF I POLICY EXP I LIMITS i ILTRI 1 I DATE I DATE I I i---I------------------------I---------------------1--------------I-------------I---------------------------------I 1 I GENERAL LIABILITY I I 1 I GENERAL A66REGATE 1600,000 1 II I I I I-------------------I--------------I I Al DO COMMERCIAL GEN LIABILITY I CP 81 90 98 1 01/01/96 101/01/971PROD-COMP/DP AGG. 1600,000 1 I I I I 1 I ----------------I------------I I I I l CLAIMS MADE D( l OCC. I I I IPERS. X ADV. INJURY13OO,000 1 I I I I I I-------------------I-----------I 1 11 l OWNERS'S & CONTRACTOR'S I I 1 (EACH OCCURRENCE 1300,000 1 I I PROTECTIVE I I 1 I-------------------I--------------1 I I I I. I (FIRE DAMAGE I I 1 11 l 1 1 1 1(ANY ONE FIRE) Ilse,000 I I I I I I I -----------------I--------------I 1 11 l 1 1 1 IMED. EXPENSE I I I I I I i ((ANY ONE PERSON) 15,000 1 I---1----------------------------1--------------------------I-------------I------------I—--------------I--------------I I 1 AUTOMOBILE LIAB I I I ICOMB. SINGLE LIMIT I I 1 I I I I I-----------------I--------------I I CII l ANY AUTO 1 1082637 1 O6/18/951O6/18/961BODILY INJURY I I 1 11 l ALL OWNED AUTOS I I I I(PER PERSON) 11 s0,000 1 1 IDO SCHEDULED AUTOS I I I I------------------I--------------I 1 11 l HIRED AUTOS I I I (BODILY INJURY I I I 100 NON-OWNED AUTOS I I I I(PER ACCIDENT) 080,000 1 1 11 l GARAGE LIABILITY I I 1 I------------------I------------I 1 11 l 1 1 1 (PROPERTY DAMAGE 50,000 1 i---I----------------------------I--------------------------I--------------I--------------1------------------I-------------I I 1 EXCESS LIABILITY I I I (EACH OCCURRENCE I I 1 11 l UMBRELLA FORM I I I I-------------------1------------I 1 11 l OTHER THAN UMBRELLA FORM I I I (AGGREGATE I I I---I------------------------------I-------------------=---I-------------I--------------I-------------------1--------------I I I I I I I XISTATUTORY LIMITS( I I BI WORKERS' COMP I UB-7OGK225-9-961 01/05/96 101/05/971EACH ACCIDENT 1100,000 I I I AND I I I IDISEASE-POL. LIMIT 1500,000 1 1 BI EMPLOYERS' LIAB I As Above I I IDISEASE-EACH EMP. 1100,000 1 i---I------------------------I---------------------------I--------------I--------------I----------------------------------I I I OTHER I I I I I I I i I I I 1 I------------------------------------------------------------------------------------------------------------------------I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 1 I Carpentry - Additions lI Renovations I I I I 1 I I I> CERTIFICATE HOLDER (_-=___________________________> CANCELLATION I = SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- I I = PIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 20 1 1 = DAYS WRITTEN NOTICE Tb THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT I I = FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF I I TOWN OF BARNSTABLE = ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. I 1 367 Main Street =------------------------------- -- ------------ ----------------I I Hyan 1 i s MA = AUTHORIZED REPRESENTATIVE I ACORD 25-5 (7/90) 1 The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508790-6u7 Budding Commissioi Fax 508 775-3344 For office use only Permit no.. Date AFFIDAVIT HOME WROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations;renovation,10pair;mode:nvaaon,=nwsion, improvement,.nsnowl, demolition. or coastruaron of an addition to any pm-misting owner 00cupied building containing at least one but not morn than four dwelling units or to Muds wench we adlaCM to such residence or budding be done by registered contractors,with ca ain eceeptions,along with other Type of Work: pc� ��, Est.Cost d 04(� Address of Work: OR•ner.Name: k a Date of Permit Application: Af I hereby certify that: Registration is not required for the following reasou(s): Work cmduded by law Job under SI,000 Building not owner-00tvpied Owner pulling own Paaut Notice is hereby givers that: COTTfRACI'ORS OWNERS PULLING TMR OWN PEPWT OR DEALING WITH[9NREGIST D FOR APPLICABLE HOME IMPROVEME C WORK DO NOT HAVE .ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c I42A SIGNED UNDER PENALTIES OF PERMY I hcrcby apply for a permit as the agent of the owner. � �� 6)q . a Date Cont actor name Registration No. OR ' Owner's name HOME IMPROVEMENT CONTRACTORS REGISTRATION oard of Building Regulations and Standards One Ashburton Place Room 1301 Boston , Massachusetts 02108 + HOME IMPROVEMENT CONTRACTOR Registration' -102392 ' Type PRIVATE CORPORATION XPiration 07/01/96 M .J . Ha l l i n CO . ,' Inca Mary F . Hallin' 40-R Beaver Dam Road Scituate MA 02066 9 COMMOtIMAL Ole "ACIL 00ST 02106 GI►Un" OF CMS LICENSE MASSA S J C 0 n S T R`i SUPERVISOR FOR pftOT T GHT TMUM ��•a I T1iEFT.p� RppR1ATE EXPIRp,T10N DATE EFE[.GTIVE DAB UGNO• PRII IN APp U 4 314 4 BOX ON UCF" E• 12/12/1996 03/31/1994 �.. RESTRICTIONS N ALL 1 N gLTING OptAATO ,') ,. N O N E K 1 L k 0 N _ R D emus �NCLUOE,PN � + SCdcAVtR 02066 ITUATE MA SEA 4 t �, 0.00 �' HEIGHT: II •���- urrt I WXO ...._...... r N 802.60' RAILROAD 123.5� 0) 3- � - - -- A a 25.32' IP.FND A= 78.54 CENTER LINE / M - _ 9' DRIVEWAY � 1\ pWLG N 19 \' O � IP FND DH SHED 133.78'FND IS\ LOT 16 C'.v O AREA- 10.29 AC. NQ OQ o. i DH FND `9 CO FND i CB FND IP SET IN STNS BROKEN 37 IP FND CB FND 1'0 CB FND 'gyp CB FND' 267.40' M SET c� �1H of o't� PETER cy� CERTIFIED PLOT PLAN 3 SOULE N r No. 28719 PREPARED FOR: G>zEC--DRY le CAROL HAMM SS���p� LOCATION: IZo BUTTONWOOD LN. TOWN: v/ B.42NSTAa1� MA. GNU SURVEy�Q SCALE: 1 ZOO ' DATE: JA". ZU� DEED BOOK: CTF: ASSR'S. MAP : Z 17 PARCEL: PLAN BOOK: 23Z15q LC PLAN: FILE: ZOS-) PROFESSIONAL LAND SURVEYOR SOULE LAND SURVEYING I HEREBY CERTIFY THAT THE DWELL-IIV61 103 VESPER POND DRIVE SHOWN ABOVE IS LOCATED ON THE GROUND A.S INDICATED. BREWSTER, MA. 02631 ' (508) 255-4728 1 I I I I I I ' I I I p I j O I i c i i i - _ j i i $ 71 m i Z D oX z Omen a 30 I e DO Z cl;co m rn10, Z c Z mi m \ o d m C { MF HAMM RESIDENCE ALTERATION / ADDITION i d 120 BUTTONWOOD LANE BARNSTABLE MASSACHUSETTS t v � 11I ; Z =X = \ t ON r = \ 0 20 _0 I p z o ► � j o' A 1 o I ' D To t(1! I i p 0 1I1�II o� i Z u n = N c mm = II y= p II II � S i v p �C HAMM RESIDENCE ALTERATION / ADDITION fr 120 BUTTONWOOD LANE �� = ►0y BARNSTABLEMASSACHUSETTS p - 7' I f L' Y i�! �91 g�iie i L) II I 70 I D I D 9 I€ m I'=� A �5 D N m � - n 8 $ o Z i� m .�fa, O j � i n .. n ! lop- Nrn DX (1 i mw { - m Z e x HAMM RESIDENCE ALTERATION / ADDITION d R R - 120 BUTTONWOOD LANE 511� 16 _ O BARNSTABLE , MASSACHUSETTS - , � A O O O � A E T p D 5 D = 3 = I P JL 8 � R I i 0 Z m 1 A 3 70 A-4z > ii n DmOm _ I�o `'lap0 >> N mp ! f; m I >n• �_ ➢ ° A n � - E III DiiLL o Iu • � jv II Ply i 9'-10' '8'-10• HAMM RESIDENCE ALTERATION / ADDITION ID 120 BUTTONWOOD LANE i BARNSTABLE . MASSACHUSETTS i� m x m x x x > u n m O 3 2 m o tp s O y l � I I I I m j I >a.T �e m I — I om x di j I o A vA A n a I A > m D I _ O I j ii I r l i I l I l i I I y j I AI ' m < I O E !n rn m c l I I En i0 D , I m A, I rn m N I I m 0 O AI A I - Z n in » �u va •� mo m � y m .m m i4 ... e e on m ^m A i ° m m C.3 _< mr > sm O 'vx m m A dim > D A X E - A O I m a X HAMM RESIDENCE ALTERATION / ADDITION 120 BUTTONWOOD LANE _ BARNSTABLE MASSACHUSETTS f N� �C D 70 Am m _ N ' m Omm C >EE m m o0 o00 • 7o� 2n A�W II K En Di Zm mD >_ =z cz m m [� A I NI I III m � I i boa ill II it n j p� j �_ 'I IBI i � i ( I•n I E _ III j °o I I-77 I III j m mm I I a z E I D j y p I j m n - - z I m I m I m m A9 y @X Q U I ( rp v m A A 1 p E A ' I HAMM RESIDENCE ALTERATION / ADDITION H 120 BUTTONWOOD LANE BARNSTABI_E MASSACHUSETTS I j • r: A T O A m O A E ' m \ D ro p m i w0 p O A T A D I " m r n m m n C N�D m E N L E _ D 0 ® A • ' n m y 2 C N m I I III itll II! - � I INI III z tXm m �me • ' m i �fi m 6 m m� 4n n m a� �p 3 0 y z n go A D ( pm m r OR a m m Nw A A m D O a X MAMM RESIDENCE ALTERATION / ADDITION 3D f6 N 120 BUTTONWOOD LANE BARNSTABLE MASSACMUSETTS g Application to PNEC.N LE 4N ' SP�PNs O{PNN�tE P'M� •' . Old Kings Highway Regional Historic District Committee' 9 9 5 2 Q 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; 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 Addition Q Alteration Indicate type of building: House ❑ Garage Q Commercial ❑ Other 2. Exterior Painting: 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 N2�' (� `��jq� ADDRESS OF PROPOSED WORK `t-�vlTvnwood Lane ASSESSORS MAP NO. OWNER rn2-'} �S C71�-�(�C�P-� CA k'A,01 ASSESSORS LOT NO. HOME ADDRESS I P0 BU Wdod P171 e— TEL. N0. 5()V 375—c� 3 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). / - I rc AGENT OR CONTRACTOR ADDRESS ram` �( yer �l l fa SCiDL �(' 02io 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). a V"A '�Gu�`h� �Xj�T(►'�d C�Co�s Signed owner-Contractor-Agent Space below line for Committee use. - - Received by.H.D.C. Date MTh rtificate is-hereby Date Z C( Z2,4 Time Byly ��1 �•b---�� ` Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ Town of Barnstable Old Kin ' Highway gs S y Historic Distnct Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR DR I FN006 CHIMNEY TYPES () COLOR ROOF MATERIAL '� COLOR 610/k PITCH S. WINDOW f SIZE 1 U �� 1 4(SR TRIM COLOR DOORS �Q ���,('��� �(�1 COLOR SHUTTERS \, lac L GUTTERS �lll 1 1�1 DECK GARAGE DOORS ���� S Ir 6� C /� �Lf7R L G4 E&J NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan . and elevation plans, when nib applicable. Plot plan need not be "Certified", but . should show ; scale. all structures on the lot to a SPECSHT \ errryrArw ee.a>•r rewr;. �:a7 •J u 1 awl 17 If ,N r—,aw¢...°wo Ce � �.�."wr•.w..ca+w..... .••+...syawss C.efwrvr' . .�••I• tw. N.Y.N.rr1,r rY•r..eAo Co.•wAyr li l.I sam .r .\ eerm w -•-•1 0 '�!a Na n.•err�ona°Ao C° IL • 916 \ --' �. e ..o "off wew ;_ .`�\ �; a �:� •� i °rAw _\ �° `,'�../�' e Q � ?°�- a ♦�♦ p •' -g .• se7n�� ^Off./t e •` elo o A Jswsoff sio; a 40 V Qoew.r si e • N°r . . • ....... W.er:s: p.:w• :/oo •_'^'O°^°jjrc'Oasa , •�•• .,r • w �C�wU'•'•`�r pa r, /D ♦ 1;__ �,°si.• far a..r w..•o r. TOWN OF BARNSTABLE BUILDING DEPARTMENT I 2 resa�r : TOWN OFFICE BUILDING r2039. �� HYANNIS, MASS. 02601 i MEMO TO: Town Clerk FROM: Building Department DATE: — — An Occupancy Permit has been issued for the building authorized by• BuildingP rmit #$.. ..... �O._./.��' ...................................................... ............._.......... ..._.»......._.........». .... . issuedto � ... ....� �`''Yr .. ....................._...._................ .............. _.. .......__......... Please release the performance bond. ,MEr Permit No. ..... o TOWN OF BARNSTABLE 3U.6;.j os � .. .. ..... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash �our� HYANNIS,MASS.02601 Bond 1E : PORARY CERTIFICATE OF USE AND OCCUPANCY Issued to ,1,;FF:tLY en. AOFF' AN Address loc #16 120 Buttonwood Lane, West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD 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. June 21,..........., 19.....8........ ........ Building Inspector r ,rTM�ro TOWN OF BARNSTABLE ti '. Permit No. ....30....95........ ' BUILDING DEPARTMENT F aaaan I k TOWN OFFICE BUILDING Cash yN �cuY HYANNIS,MASS.02601 Bond ......'� CERTIFICATE OF USE AND OCCUPANCY Issued toFF 1I t7'i:lY.«ii i Address or- #16, 120 uut,tonwood Lane West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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. August 8, 88 19................. ....... ......... ....... ...... Building Inspector . 4 N TM�,, TOWN OF BARNSTABLENo. .. 30895 o � �, Permit .............. BUILDING DEPARTMENT 1 a.usr I I TOWN OFFICE BUILDING Cash s679• ^- '�a,ur► HYANNIS.MASS.02601 Bond T EItPORARY CERTIFICATE OF USE AND OCCUPANCY Issued to JEFFREY A. HOFFMAN Address lot #16 120 Buttonwood Lane, West Barnstable 1 USE GROUP` FIRE GRADING OCCUPANCY LOAD 1 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! r June 21, 8............ 19........... ........ ..... B�d ng Inspector r�_,TOWN OF BARNSTABLE, MASSAr §IWETTS ;_ •�;� �,�1�� ���r�� 4 w f I J �m f� _.)r'P 1 • .f•� ', T ) /ti! A •1 r^Y'Cy f'i1 tlL.i,•' ,J �r�15•q �` y��t tsyy,, j�.±6 ..r. nil : )r,. 5.'/i,r ,.a cj'yl' P'`'•'k. Tile'� t�. �k'.{ i• .Hgy��;i .7Tina°�4 .,m 71r� i , ,., 6,��E�r `� ADDRESS �,.,..,n. � .: ;^ne•r+N:-•.µ't11. 11�^,��' jt� �g`.f�C -r.,s'i:f;'Zd`�'f P w } '};,Y•e :i. +"/' f.: •z F �, .4r �±•r- ,r.- wIKO.)z,..r a:: .<S TR EET!";"' L"f°« ���, }. �; 5+.. M1 y .t ..t•I, r i •e , d ',�'+.• tf�}' 'b't s:B,3• }1g:ICON.T R.'S ::LICE ,SA :x•' PERMIT T .'~}'- r f�• ,d7L�,1 x, rC ` %> , , i_1T.$. CY.,. l R F. '�'yt, *: 0 'r:• �' ..+ .� t -. l' y ` t,,. �'1Pffi�.}..•�+<f�.NUMBER'OFa�"vtri��li`by�TFT•i.�q� ^ i�• •. (.�_) STOR ►Co PRb•E ENT) R0. S :r,`.� �" "L nsI.PR OPOSE U8E!•sw:r ,1�J'4:.40.vFft:i�;ittdil5li^n�tjltu 1+ .1i_ ss.'. ` ii4 1`. sy1 AT (LOCATION)w ',.._:o_. E' ,r7ZONINGra.y=-!- Y (1+0. YSTREE ! f_ t `l7 • K t F aV',H 6'GIS.TRICT�"�.S27�t�4- �; •.(e, K. m � fir..e �f� �i.� (.�,/�-.�j.w'`7P"• �,�_�.yld� 'rya 975 ,,.7 . tl \ •^ •' 5... ♦7. , �1 ',r .1 1 T J L � t :t 'L •{9�ty .Sp k`. .BETWEEN °. F��R'e•t�Y!»'r} ..t<i' v{ � .k.ewt a�`4 m "! �{ n�3, ! •4',�e•{+,j 1r,'3,' (CRO AND` a vS *Yttie ate::;'•rr v`a,41�4} r> •ii �/i'� .+I rS} ` :P•. a d r ' SS STREETI • 4*I •,u,r )tr ' [ ,- .? ✓ 4'}t i wmi`.l , {}srw1R t tf� (CROSS sT REETI r t1+-.e -'ee.`n2• h1:L: ;T.� T Maw :i:u.L.....v.:a.,•. a.v „R,. •-ae. } t t a SUBDIVISION - '•�,,aJ jl:,l•F:A+r,.•,rf.,,•th�w?r+••a.1o+' ,.yS:,�'rd . r1�+ti••ar d.} 'y-ts �' 't pLDT LOT BLOCK SIZE n. Y ti r ,. d•. .i BUILDING IS TO BE .. .. T• r . ' . WIDE BY LONBY' FTla t FT G FT IN HEIGHT ANO SMALL CONFORM IN�CONSTRUCTIO .,• t s ff'i �r-*<. r I,� xtf , -s7lty�MT Svy N !}y`k1 •rx,�y TO TYPE c. t e} J- tY 4ti r'io�iidrl i lls�,d rt5 Mrt4 iM U E WA LS F + 7 UN T t) 5: c BASEM7 NT f14 OR y 0 DAr 10 LT t E GROUP • t r Frc K u j (TYPE) �t w, 7,r,..�'4.��„� REMARKS: 13''� • aim• ',r . 'S L u i. f}; r}yr T°�f�M'4 ��gS" AREA. OR r VOLUME' N r / ESTIMATED COST S r / rx I yr 1~ /SQ RE TCETI .{0��� MITa� y OWNER .. _ .x._.. Y. .. ` yt+• + if + ;.R, 1-tI ys rt4 M Lq�y„``rp -� r •' _ ADDRESS'' y BUILDING OEP7. • y,�•. VLLat J �: T 1 , 1r BY' ".6 t - l 3. s g� T 1 r t n l �:ii.,� •, .,. i;•�• d� 4 } j �' }�-4.;• t ;r >:��'�'��.7' $'`y fl�y�p$� ,,,� ''�. :':• r''..' .,... ?.. .: �'.... .`'.. . . -. � - ..f ; t Y� e ;. {- ',.r. y r�.{}, .BS. Ay nn�y.+Y4k�t 9f�.C(J,P�.�"iy�� P?;FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCEOF THIS PERMIT DOES NOT RELEASE THE APPUIC 6� � ~•v t. . OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. r f r'I �,•.ct si 34 x �; } .. .'. c tdr. 'T!•,R}�..fp. in'(.' wbP£ y{�,f'ti•v3 (, �� INSMINIM'JM OF THREE CALL APPROVED PLANS MUST BE',RETAINEOON JOB AND THIS WHERE APPLICABLE+SEP4RATE°Sa< ,F'/ •- PECTIONS REOUIREDFOR �� I,ALL-CONSTRUCTION WORK: CARD KEPT POSTEDiUNT,IL`FINAL INSPECTIONtHAS BEEN 'PERMITS�•tAREti REQUIRED �iFOR"y' ti ELECTRICAL P.LUMBINGT•t AND`t7fr} a 1',FOUNOATIONS OR FOOTINGS. MADE. WHERE.•A CERTI' ICATE.,OF OCCUPANCY IS`.RE MECHANI4AL INSTALLATI,ONS4�y fit 2 PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILO,ING SHALL'NOT BE'OCCUPIEO UNTIL ' i' i �31r '�f # NOS ly4' MEI✓BERSIREADY TO LATH). FINAL INSPECTIO.N�HAS BEEN+MADE '^i �xZ 1d' ' d�'•' il+i -3'O.''�•y ' i^'+�" � "All r FINAL INSPECTION BEFORE r. O C C U P A N C.r.. _ •ta " {, r '",F r a ..x 4hiy.-:1, K'fr,,ty(y�t l.1 y,'�5l 1,p?v' ,•5 POST THIS CARD SO IT�15 VISIBL'�t°FR®M ST ''.Lx ;1 .H '�l. hr r.:Yfl N9irr 71%.'m a;�' BUILDING INSPECTION APPROVALS 'PLUMBING INSPECTION APPROVALS;,% Y ysvl�FTk{ r 'w` :ELECTRICAOINSPECTION APPROVALS Thy r�,. r. \ s o-s`1. `•. 9,�q{-R ON y...! TOE T� 1 �• �+ I t 'c ;p .1 r56.j, 1 + t�+r}:.x' ""+ T; '6� +�f'` dT•{fuT'4 '. J O a i 2. t 'rid�i�'C u• ��:g �• ,ram' •��,, °� Y � r , 9�y x , I C }T�t�•TPG.��`"�tr`��fit�'r'. -IY. � of r i:St{ ..raIF�Z�.i $v°c'It ''„°t f t'i i�+� �.w'sw�•ii�� ��•�» u •.(.''�:• - -- � l.: r..L. � t. <-� ��y�'ir ti r X 1������4y��r�:;z.`f R��} ,. _-•I�O..IT�I�1` _�Q� `' I ..J.• t t*�,L:Y'ty�r„Ir.•tfsr��f y �.y .Z.. 2 2 � - a,'t ,y ±yat..ry r fr,z�jll tr•tta 3.ta t+((. . I rya fA'4;r V r,t j A ,! �Gy �y�K'�c Jy'� h•71?(` dr y(tA yr* Y 'T Y �. ••}Cx� w,t�i F F- :. t'•.•I e�6 q. i'-r%#' !✓�w'tr'�3y�t `�'' r. y 3. j� HEATING INSPECTION APPROVALS a Ps T y v+ ng r r ENGINEERING DEPARIM 91'" 'Nh r y "'I s�Y `x5z.fiL` tiJ Yw�it 'r ^,at eYc a< < r '• nr> r ,. • 2 I r L} 1 � � �y! ♦f`Z'� "1�•ut��i:?u i. � 1 F a s i` arr. k �_. Iti . .,r� y t. c L�nY�.I"f. �'•'r ` i � i. rF '9'+: 4,s. �w�� b C. ,Vr �"�`'., �fi r ,.s rt � it C '.7 s `,,{1wt�' t}l dam^ y ,�r y��; ,F yr+t /JJ/�� ,'�•r ` t ����*d � x>~°=. i UTHE? [] , BPARU OF HEALI mg t Al- Y •i x ,fl 4,f.i t�d-�'] � .,r i ,+, �' ytx `.�.4y�"'J •�`1 VC` inl�aCul. r 4 I n S A C x'r��,ifx{ >aY "'. ... ..y K,. ,�r,..:t;x'•. t''e,,3'v:r•,+M vv t�-cM1�dW.{'sn2' 4rtxs, �1VORK SHILL NOT PROCEED UNTIL THE INSPEC• PE RMI T N! CL:'BECOmE NULL' AND VOIDIF.,,CONSTRUCTION f � aINSPECTIONS'JNDICAICD,ON•THIS.,U,f�O CAN`BE 10N Nv" APPROVED THE VANIODUS STAGES OF WORK IS NOT STARTED•WITHIN SI' MON7H5 OF OATE�TME� i> i' T,R�J�•r t CONSTPt1CTIUA ` PERMIT 1S ISSUED°AS NO7ED'ABOVE ti '. t[� T i>} �r� I,ARR.NGEO Ft1RtEY jcEEPHONE OR 1LJ91LT.ENzI �NOTIFJCATION �' fb � ¢ T' „j 5 a at t�tr t} • _ .. ..� - e .Ty N.t! a. ^�x'.`'Y°d srl��- s'eJ~y;cfn JiXi �t t+;� hW-. a��,i•.• y. LOCATION , WEs7- Bivsr�BGE ... ... SCALE . . /:'-/oo' DATE .JvyE PLAN REFERENCE „BE7n/G �oT '"/L N S�1OWAI.D!✓. .i Of g 71— o E D �yG� E. 7 KELLEY . N Ali' � No. 26100 0 7k'YZ A770aJ a�/y �• \ ` , .74 M, z2, N i `►1 SEf� NoF/%fA•A/— /��77T/oNE� •_ - / r Z of Z -sWerrs TOP OF FOUNDATION � CONCRETE COVER CONCRETE COVERS 4' CAST IRON 12"MAX. 12"MAX. ' OR SCHEDULE 40 4"SCHEDULE 40 PV.C.(ONLY) P.V.C. PIPE PIPE- MIN. LEACH � PITCH 1/4"PER. PITCH 1/4"PER.FT. PST PRECAST ° LEACHING o'� INVERT a INVERT INVERT ° . e•; PIT OR INVERT SEPTIC TANK EL...Z3.3� BI�)T( ELZ3.ap j= ; EQUIV. L3 5 r�Q.... GAL. INVERT INVERT jswa. o: ::�. 3/4"TOIV2' EL.....:..�1.. ELz3.:? zz..Lo U- o �s: EL.:.:.... � ,,. WASHED • w STONE / :.: o �- � a Zoe- W DIA. NINE „',• e �---ig' DIA. &wcou"76wz PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM ^'°T--_ /N 771E GrAcN RfZt7q AWD /o, BEyoNo rD B6 'ee wvED NO SCALE W;7V SOIL LOG WITNESSED BY : DATE TuyE/7 /4B7 TIME.!o:oo A??; T ?)! , DuNN/N6 BOARD OF HEALTH TEST HOLE I TEST HOLE 2 CDdVAT?D - �� ENGINEER ELEV. . ,3e..O.o.'• . ELEV.7-777) .3o./a „ . . .. . vnGi7�/ , . . . . . . woaoLv6}r-� I See DESIGN DATA : P�nc• Zja NUMBER OF BEDROOMS cy-v 9Z" S )wD N�ut� 3 TOTAL ESTIMATED FLOW 30 . GALLONS/DAY BOTTOM LEACHING AREA �-S`3 �. . SO.FT. /PIT//o9c.P.D. _ SIDE LEACHING AREA . .�� '.� . . . SQ.FT./ PIT1Z5?�P,D. SA�/D S-.4-7,4D GARBAGE DISPOSAL .!Y'?YF' (50% AREA INCREASE) TOTAL LEACHING AREA SQ.FT PERCOLATION RATE Lc3s ??�9r!.-six MIN/INCH LEACHING AREA PER PERCOLATION RATE .-44:L .. SQ.FT/V.pD. .!v .WATER ENCOUNTERED NUMBER OF LEACHING PITS oNe Pi7- W/77-/ APPROVED . .. . . . BOARD OF HEALTH Fov'� FC- T, D/F, Sy-aN Dn/ A-tCr s DES, DATE. . . . . . . . . . AGENT OR INSPECTOR OF EDWA RICHARDR. Zo 7- G� . . . . . . . . . . . . . . J. ,E•• `� � Co FAIRBANK H 7aNwDo,?> 2-4w6- L No.20204 o . 26100• CIVIL 3 A/ Qis7-i3` � �' T- �� ,rr, fCISiE� ,�:.:_PETITIONER-: - '��� �oJ�-/'�,�}-�v ��'°onra�'� ;(•. Assessor's offioe .(1st floor): HE Assessor's map and lot number ........................................... SEPTIC SYSTEM MUST BE Board of Health�(3rd floor): jG , „�.4LLE® 9N CO PL@A�9C''f Sewage,..Fermit pumber ... ..::`1�••"• �.. 7p%.............. '�" .; Engineerin ':.bep+a•r..trngnt (3rd floor): MTH 5t o b a Lei. > f C� House nC�rnber ::.;"::. 9. .........:....................................................... „� f� - ' O YP�or APPLICATIONS'•-R'&ESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only p q " QT OF BARNSTABLE ,IING INSPECTOR low /- �J - APPLICATION FOR PERMIT TO .............h.0 .1. ..........! �e 1...... oz t'�e.................. ............. .............. TYPE OF CONSTRUCTION .................Wd.... C v ........ ...................................... ............................lp .�..... 19.g. 7- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: l.Location ....�9.....�f....&.,v..w.�...... .. !.. +tis .................................................................... ProposedUse ..... 7 .. ...... Sye.ft. ................................................................. Zoning District I ... . ......................................Fire District ................. 1/�-�....t... .. ..................................... Nome of Owner ...... .. ......... .... ..� r� ''"'``...Address ...IQ... ` & ✓ ,i Nameof Builder ..... .. �J........ ...........................................Address .................................................................................... Nomeof Architect ..................................................................Address .................................................................................... Number of Rooms ...........................................Foundation � ��t C B7'(C' . Exterior ...............�f.. b� ......................................Roofing ..................�f6'(ll.l. .... fl.!.��" .1.��.-��............. Floors ....................(!`id�. ................................................Interior .............. T Hentin -- — - ............Plumbing , Fireplace .....................0�.......................................................Approximate Cost .......L��j.......................... .. .:.... .......... Definitive Plan Approved by Planning Board --------------------------------19_----_.- . Area ......./ D..........d.....A a >y �,� y a,�-�� / Diagram of Lot and Building with Dimensions Fee f ..�- SUBJECT TO APPROVAL OF BOARD OF HEALTH I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to oil the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....?npervisor's ..... ... . .. Construct License .................................... y_ .I HOFFMAN, jEFFtZ• EY A. No ...30895.. Permit fo .....T .o StorY........ Single...Fami•17k D i.n.g............ , Location........Lot.• #1.. ... ••But QAW.Qod Lane West••!$, s. le Owner ......�.efr � ofman ..0 Type of Construction .�m,►........ ..... F .?�Il .......... ............. ..................... . . ... 4........................ Plot ..... ................... Lot ........................... Permit Granted ......J.Wie...2.3................. .19 87 Date of Inspection ....................................19 Date Completed ......V........ .. .19 F