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HomeMy WebLinkAbout0006 CAPES TRAIL i I IN I S M E A e] No. 53LOR UPC 12543 smead.com • Made In USA o?O/ SO4/o2 5 '! Town of Barnstable P ermnit: 1 Regulatory Services ate: A15 FTME Toijti Richard V. Scali, Director — oFee: Building Division 11 (p BARNSMBIZ Tom Perry, Building Commissioner 1639. �m& 200 Main Street, Hyannis,MA 02601 TED MA'S � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: t)mlod r V )Tp-ft Phone: —J (D 0 - 9 t18 Install at: �� Tra.i Village: WlesT 3a rns b1� Map/Parcel: Date: l 1 a 1 Stove A. New/ sed B. Type: Radiant/C*rculating C. Manufacturer: C4gQ�b!/ — C O•y L Lab. No. D. Model No.: Chimney A. New/Existing (If existing,please note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and NUR<acturer _ ' LM E�. Masonry: Line relined -?? Hearth A. Materials: -e)Y-t LPL B. Sub Floor Construction: I "' Installer WAft e:3 Address: Phone: Location of Installation: H.I.0 Registration# Construction Supervisor# OR check_Homeowner Installing, no license required LICENSED INSTALLERS SIGNATURE: LPL-ICANTS'`SIGNATURE APPROVEDBY: Please make checks payable to,the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 11/4/13 I c1 37he Comrrtompm of'Massachusdts Debra avert of hu&z3&izd Accidents OKWeIoffpstigativ"S 600 Wa*ingtolx SMeet Bosh MA 02LLI wnwanass:ga dia Workers' CnmpensatianInsuranceA:ffidavit:BuildersfContracturs/E.iectriciansMumbers t Iufarmation Please Priest b . xa (St�sml'sslO�ii oalindrvidnat): a,�,« l - ro`it`10 4- 62 � yistitP_� sfi --3(�C�— �S t Are you an employer? Check the appropriate box: T of o'ect r 4. Iansa contractor 33� �'. 3 (��ed}: L❑ I am a employer with ❑ 1 6- ❑New won employees(full andlorpart-ime).* have hired the m cfors 2_❑ I am a sole proptietor or partner- listed on the:attached sheet 7. ❑RemD&ling ship and have no employees These sub-contactors have 8. ❑Demolition Ia and have wor$es' working forme in any capacity: employees 9_ ❑Building addition [No.UrorkittS' comp.insmanre Comp.ins rancf eti] 5. ❑ We are a corporatiamand its lO�Electrical repairs or additions 3: I am a hflmeov ner doing all wod- office bave exercised their 1 f-E]Plumbing repairs or additions myself [No workers'comp- right,of emroption per MGL 12_❑hoof repairs insurance required.].T c-152,§1(4),and we linT,Ro employees-[Na workers' 13_❑Other comp.insurance required-] 'Anyanpb�afthat decks box;r1mastalso fill ont the sectionbelowshacking"henwotikea'compensation policy in TMm n omenvmers vrho submit this s�--,i, dLr y=e d..ing aII-%T and th m h�:e owe contrnctors mnst submit a new a15d.mit ind4rntim surh !c=tncma t w check this box mast zMdmd ca additional shed showing the name of the sal} cs and sts3E orhether ocnnt thnsg lies have ezIIp.Ltyees. If the snb coutnctats hie employees,they Est provide their wars-e&comp.policy atmber. lam an employer fhrrtisprfnUg Ttlorkers'compensvdio.n iris mwca for rays employees. Below is Step-oolcy and job site informatiam Insurance CompmyName: Policy iv or Self-ins-Lic.#- ExpirationDate. Job Site Address_ Cityfstatelzip: Attach a copy of the workers'compensation policy declaration page(shoving the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL r 152 can Lead to the imposition of criminal penalties of a fine up to$1-500.O0 and/or one year imprison as well as civil penalties in the fame of a STOP WORK ORDEK and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA Ex;auks;coverage-oardication_ I do hem by certify under thapains andpenal6es of icry thatthe infprrnafionprmddc�d abm,e' and correct tore -t L�%v Date-,-` Phone��� a —3 6 �y ©;ffzcial use only. Do not write in this area,to be completed by city or town officiaL City or Town: PemmitUcense# Issuing Authority(circle one). 1.Board of Health.2.Building Department 3.CitT-Hown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact'Person: Phone!#: 6 ]Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their ermployr-es. ' PUrsvantto this statute,an anployee is defined as"_._every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repay work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be as employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required!' Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the iasu:rance requirements of this chapter have been presented to the contracting authority." Applicants Please BE out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no empl oyees other than the members or partners,are not required to carry workers' compensation insures cc. If an LLC or LLP does have employees;a policy is required_ Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insunance coverage. Also be sure to sign and date the affidavit The affidavit should be retumed to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insuran ;e license number on the appropriate line. City or Town Officials . 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 perni tllicease number which will be used as a reference number. In addition;an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations is (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be .filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number. The eotrrm_onwea &of Massachusetts Depail=ut of 7ndustdal Aaekdenis Q-ffiee of kvest ptxans 60a Washington.Street Boston,MA G21 I I Tel.#617-727-4905 cxt 406 or 14 hEkSSAFE . Revised 4-24-07 Fax# 617-727-7749 _ a gov/dia PERMIT PAYMENT RECEIPT ,TOWN OF BARNSTABLE ;BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 01/09/15 TIME: 13:31 -----------------TOTALS------------------ ' PERMIT $ PAID 35.00 AMT TENDERED: 35.00 CHANGEPLIED: 35.00 APPLICATION NUMBER: 201500129 PAYMENT METH: CHECK PAYMENT REF: 417 r1 . t• . Q. ho is re�onsible for making_application forth :permit?l -- --.--� Application for a permit is required to be made by'the owner or lessee or their agent of the building (e.g.; the HIC registrant)• if application is made other than by.tJ7e owner, written authorization of the owner must accompany the application. Such written abthorization shall be signed by 'the owner and shall include a statement of ownership and shall identify the owner's authorized agent, o'r shall grant permission to-the lessee to apply for the permit. The full names and addresses of the owner, lessee, applicant and the.responsible officers, if the owner or lessee is a corporate body, shall be stated in the application. Please note: It is the responsibilify of the registered HIC to obtain all . Permits necessary for work covered by the Home Improvement . Contractor Registration Law, M.G.L. c 142A.' An owner who secures his or her own permits for such shall be excluded from the guaranty fund Provisions as defined in M.G.L. c. 1.42A. Back to Top Q. 1Vly contractor told me 1 need to obtain the permits fo Irn construction. Ma I obtain the relevant permits fromi �rny Local buiiding- department, or is the contractor required to do that?l --- --- While you may certainly obtain your own permits, be aware that if you do, You will fall into a homeowner exemption that'will disqualify you from being eligible for receive recourse through M.G•L c. 142A, the HIC Law, or the statutorily authorized Guaranty Fund, should a problem arise: It is the responsibilifi/ of the registered HIC to obfain all permits necessary for work covered by the Home Improvement Contractor Registration Law M.G.L_c, 142A. If the HIC you are contracting with refuses, you may •s reconsider using that contractor's services, y h to oFTME Town of Barnstable 0 Regulatory Services y� nUas Thomas F.Geiler,Director sb39. �0 ' +' Building Division Tom Perry,Building Commissioner 200 Main Street Hyannis,MA'02601 www.town.barnsiable.ma.us Office: 508-8624038 Fax 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize t on my behalf, in all matters relative to work a thorized b7 this building p (Addy s of Jo Pool fences and alarms e the r onsibility of the applicant. Pools are not to be filled or u ' ' ed before fe e is installed and all final inspections are perfo d and accepted. Signature of Owa4 Signatute of Applican L Print Name . Print Name Date QF0RMS:0WNERPERIviLSSI0NP00IS 62012 mot, , Town of Barnstable } Regulatory Services 11AMNSTAI= : Thomas F.Geiler,Director MASS Building Division ptfD MICt► ••� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstablema.us Office: 508-862-4038 . Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print 1rJOB LO O �� L n ember /�. street village =`HOMEowrIER"~— %�iL,'J�7i/ . �a�i - -9��' 7 3g3 2&93 name hom,phone # _/� work phone# �GURRENT IvIAII ING:ADDRESS:: :` �G�f //e lfl L city/town state Zp code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such. "homeowner"shall submit to the Building Official on a form acceptable to the Building'Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department rmnimnm inspection procedures and require ents and that he/she will comply with said procedures and re ents. 0gn u e of Ho caner v Approval of Budding Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control.. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this-case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor.'The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns:,'You may care t amend and adopt such a form/certification for use in your community. 'Q*rms:homeexempt TOWN OF BARNSTABLE Permit No. . 3A3.31 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash � /Yl 070• HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Bayside Building Co. Address Lot #39, 6 Capes Trail West Barnstable, MA 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. Ju1X..24, ...... l9.......91........ ......... Building nspector TOWN OF BARNSTABLE Permit No. . 4331...... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash '�rn.►r� HYANNIS,MASS.02601 Bond .....x......... CERTIFICATE OF USE AND OCCUPANCY Issued to Bayside Building Co. Address Lot #39, 6 Capes Trail West Barnstable, MA 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. Jul 24 1 19 91 Building nspector TOWN OF BARNSTABLE, BUILDING DEPARTMENT 2 isalSrAMIM : TOWN OFFICE BUILDING raa 1639' �� HYANNIS, MASS. 02601 � I MEMO TO: Town Clerk FROM: "Building Department ' . DATE An Occupancy Permit has been�issued for the building ,authorized by ' Building Permit, #............� i/... ............................................................................................................ ....... issuedtoa - i .� �.. �:��.............................._.................................._...._....... _ ..._ _. ......_.__..__ v �. Please release the performance bond. (� C�.�s Tic� � Assessor's offioe (1st-floor):- G� r. Assessor's map and 'lot number ....ac'"rS!!/ f:{/�o` L/r�%�Z�G'eL 3 14'9�.° IN E Board of Health (3rd floor): !�+ h�• .... Sewage Permit number ........q..�.."...(.���.,. . '- .( C1 ....:..:�.......... 2 9A13asrsnte. ! Engineering Department (3rd floor): ( f'J �o`„—,rasa House number ............................... b�q a\0�' M APPLICATIONS PROCESSED 8:30-9:30 A.M. and, 1:00=2:00 P.M. only TOWN OF BARNSTABLE BUILDING`. INSPECTOR ��_ P���APPLICATION FOR.PERMIT TO .. '!!.•. . n� ................. .... TYPE OF CONSTRUCTION ..........!(/ .... ✓1 ............................................................�................ ............................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accoorrdin�g� t�o/the folllo/wiing information: Location .......Ld / ........ .. ........ ...!...'��u.CX..........lN.:..................... ......................................................... ProposedUse .... ........................................................................................................................................................................ Zoning District ............Fire District Name of Owner .......... ..... .. ! .:........Address .... .......S ..................................................... Nameof Builder ................QQ....................................................Address .................................................................................... 14", Name of Architect✓ • :•...../.\.. .........................Address 6-�.................................................................................... Numberof Rooms .........(P.....................................................Foundation ...... ....<...� ........................................................ Exterior .......y... S............ ............................Roofing .... ............................................... •Floors �.A- 6 - %!�,�!......p.........���............................Interior ...��.................. � . .............................. "Heating G�(. ..........�LC/�........................Plumbing A ............. . .................... ....... � r" Fireplace ...... ....�^ .......... !�. .../ 2L`.. .........Approximate Cost .......0... .!•U.!,v....................................... Definitive Plan Approved by Planning Board ---------7- 0—--______19/_1 . Area ,.... Diagram of Lot and Building with Dimensions Fee ............................................. _.SUBJECT TO' APPROVAL OF BOARD'OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..`. i ................ Construction Supervisor's License ..... ........5............` S. .......... BAYSIDE BUILDING CO. . A=108-002. 005 ID 0,3- 34331... Permit for 11 Story No .............. .......?........................... Single Family Dwelling ................................... Location ...Lot...#.3.9........-6-.Capes. ...T.r.a.i.l ...... .. .. West Barnstable ............................................................................... Owner ........13.dyaide...Buildiag...Qo........ Type of Construction .....Frame........................ .................................. ............................................ Plot .............................. Lot ................................ Permit Granted ....May.....13....., 91 . .................. Date of Inspection ....................................19 Date Completed ............... ......................19 PERMIT COMPLETED 1/1/2 4 Town of Barnstable *Permito .Expires 6 m r rs jro�sue d Regulatory Services Fee MASS. i s�$rrsrwsr.E. � • .. s `0j Thomas F.Geiler,Director Building Division a " Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax:.508-790-6230 EXPRESS PERNIIT APPLICATION - RESIDENTIAL ONLY of Valid without Red X-Press Imprint Map/parcel Number i � ✓/ "`/ Property Address a pig l 41A_ ` 4 *.Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address su1d�,' IPr�V 1C1 (0 C&Pe- W sqabl 4P 62&G9 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) �❑Workman's Compensation Insurance R152413 Check one: OPV ❑ I am a sole proprietor �F�'qR ( I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit RALuest(check box) �� � /© �j Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to j�jtI'v ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors maximum 35 #of windows ❑ Replacement Windows/doors/sliders.U-Value ( ) . ❑ 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 with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors.License is require SIGNATURE: ,1 \ . � ?7ie�trinmorns'ealtk of assuchusetts Departmmt oflnd ftial Acccdmts - Office of ImTestigatiom 690 W=hhVtwv&reet Boston,A" 0211.1 . wPm..was&g"1din Workers' Compensation Insurance Affidavit:B�lers/Con#z actor ectrici.�ns(PLimbers AP-Phcant Information Please Pint llv Name(susmemUlganizationMidivicinat): Address: (p �a l��� 1��r C �l/�,�L— art S e city/state/zip: Pho= Are you any employer?Check the appropriate boar Type of projeet(regnired): 1.❑ I am a employer with 4- ❑ I am a general contractor and I employees{full and/or part-bme}. * have hired the sub-contractors6. ❑New cxins�efion Prolm w_ listed on the attached sheet �- ❑Remodeling 2.El I am a sole ehoi or pa ship and have no employees These sub-contractors have g_ ❑Demolition woddng far me in any capacity- employees and have most m' g. ❑Building addition (o ivatjoers'comp.insurance comp-,nS ranCeI 5. ❑ We area corporation and its i0-❑ or additions dj officers have exercised&ecr 11: Plumbing airs or additions 3 am a homeowner doing all work ❑ $ tYrys e I[No workers,camp right of e�emptioa per l+rfCL 12-'NJ Roof repairs insurance required.]T c. 152,§1(4,andwe have no employees-[N9 workers' ME Other comp.insaranae required-] 'Any appliicaut Z6�checks box#1 mnsY also filloui tiLe sectianbelawshawiag theirwo�sers'campensa�aapolicy,infb.n=daa 1 Homea wnss who submit this ei 5dsvit indicating they mx domg saw=*and then hire outside coatracmrs mast submit a new affidavit indicating suc1L IConnmcturs that cherl this boa must attached an-,lair: W sheet showing the name of the sub-ca�actaa and stale whether ar not tense entities have empinYees if the sd><antmdaa have emplvyees,they amstprcmde their worker comp.policy number f aJn am eranp sr t3natisprovid3ng xroriiers'con ernsNirrrn irns�tranGe for�rny'atrrpIoyes� Bmlow is the policy and job site in,jort�trrte'vrr. . Insurance Company Name: Policy*or.Self--ins.Lic.# Expiration Date: Job Site Address: CityfStatdzip- A.t2ch a cop} of the workers'compensation poricy declaration page(showing the policy member and m l iration date). Failure to secure coverage as required under Section 25A of MGL a 1527 can lead to the imposition of criminal penalties of a fine up to$1,500-00 and/or one-year impmoument,as well as crud penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator- Be advised tlhat a dopy of this statement may be forwarded to the Office of Invest phons of the DIA for insurance coverage veti am ' I do&areby ce1w the d of tiiatthe inforaoma#ion progided is wind con va Si2raturt Date: Plwne fV © ciai m on[ y: Do not avnzta in this area,to be cvMPle#etd by cfty or tatwn o City to Town: PernzWUcense# Issuing Anthority(circle one): 1..Board.of Health IBu lag Department 3.L ly awn Cleric 4.Electrical l Spector 5.P bing Fitspec#or Phone#: . f Town of Barnstable Regulatory Services ' EARN STABLFt ' Thomas F. Geiler,Director A,Eo ,A Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office:. 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION I Please Print DATE: 10B LOCATION: ' `J'� Trez 4iff & number �,.J— r' street village �l /,, �q� "HOMEOWNER": lC� mil' VI . 50 7 `-22 3 . 6,9 —�� a` J`►�� name home phone# work phone# CURRENT MAILING ADDRESS: T7—z L city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for-hire who does not possess a license,,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such'work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proceA2res ands cj and that e/ will comply with said procedures and requirements. 01-1 ignature of Hom' odwner Approval of Building Official Note: Three-family dwellings containing 15,000 cubic feet or larger will'be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. . 0*0M T + BARNSrABM + MAS& Town of Barnstable pTFp MA'l A . Regulatory Services Thomas F. Geiler,Director Building Division Thomas Perry, CBO Building Commissioner 200 Main.Street,' Hyannis,MA 02601 www.town.barnsta ble.ma.us Office: 5087862-4038 Fax: 508-790-6230 Property Owner Must' Comp to and Sign This Section I sing A Builder ' l 6(TO— ; as Own of the ject'property hereby authorize to act on my behalf, in all matters relative to work authorized by this building ertmt applic t'on for: (Address of Jo Signature of Owner Date V � Print Name If Property Owner is'applying for permit,please complete the Homeowners License Exemption Form onjhe reverse side. Q:1WPFiLESTORMS\building permit formslEXPRESS.doc _ - ''.� `^..cwi 1�-...�rK'vhy`�^.*"j�+J�-.�Y•.�+++„-..fc'." � ...• ..-• _ •'r—.f'-�,".n'.�'L.t1'ttL.�1...�-it,.�+-'�-�.�N`-',�.-�.+•JM.jjslaa.++'..ri` `pFiHElp��� Town of Barnstable Regulatory Services V MASS. �. 039.eo DM MAa+ Building Division f 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location Permit Number G1J vN E Owner J`lf0 U/ 7"d C- i9 - Build i�N O("1/J 1 One notice to remain on job site, one notice on file in Building Department. i The following items need correcting: `'�`�`'` z '`� v ` ✓ S c ell ��Y2 Ic C-7Q W E-.b oN VC) /o V o r -Irl—Ai s- S AA) nJ be S l 4rr CYO ►C•b !• I�.i�14e_ eryk �f die A4w�n e� der, Please call: 508-862-40909 for r�Inspected by by � r �/ <" . Date 3 /3 • Application to pP OEN�t Pp`„`PNS a 0pE pP'E PK' Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, 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: CS 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: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK ChP,�55 J)2 L it/• a SRN ASSESSORS MAP NO. �Q OWNER /6/4ys lbt_ /3014WA.IC CV• . -Z•/V C— ASSESSORS LOT NO. HOME ADDRESS P 0' (310X 95 CENTER ✓IU--C MA 6Z 32 TEL. NO. 771— /10y0 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). 6EE A 7-7 IC HIED SNEF 7- AGENT OR CONTRACTOR 16AYSW 23LbC. ��•. 7,(/L TEL. NO. 77/— l0y6 ADDRESS /30X QS Ct',yTEi2V/Lt—IF 11/1 09&33L 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). 97 Space below line for Committee use. ata0..f a Received by H.D.C. /j�u�°�D�cf vt,. Af DaRe F r. F I VJ E DThe Certificate is e VA !i5;•P'') Time LEE / n 1Q� 1 1 V`a cr BAD .• SIG wwIt a Approved [� IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ .. : 14,9 g .. m FND• ~ 4-SN i - fir•• ��3 � - A. ?!a 24048 t"-A CAPES 32 I yE.�EO,V COAL YS W/TiySC4 ---- E"Q!//.eEit'lE�t/TS of T,vE TowN ac .�.L A� A4-12�Jsi A 31..6 AIt/O /.5 O LvT �. CA T,E'I� �y/T/�/N. TyE .�Loa�.�G4�/y, OATS= S /D�`l/ — I �•. . 1" C+ �% Lc� �G ae- 46z BA XTE.2 E �t/YE /1t/C BASE'O d�c/ Ai(/ ,2EG/S7"E�EpC�O /NST,eU�/�ic/T,s'U.2YEY �• Th/� SU.eli6yar� O� `ETS SyaLt/,�/Sf/OULD .4f�i�,L WORKING SPECIFICATIONS PREPARED FOR; BAYSIDE CAPE "A" 341x 24' CAPE WITH 3 BEDROOMS, 2 BATHS, FULL DORMER, GARAGE AND FIREPLACE FOUNDATION Eight inch (811) poured concrete walls on top of 16" X 8" footings. Three and one-half inch (3 1/211) poured concrete cellar floor. Two basement windows with screens attached. LUMBER All construction Grade "A" kiln dried spruce , Maibec clear white cedar shingles on sides and back, red cedar clapboard on front three (311) to the weather smooth side out. Exterior walls will be 211x 6" construction. ROOF-GUTTERS Asphalt shingle roof with color choice available fron I.K.O. , aluminum gutters and downspouts, color choice as available. WINDOWS Thermopane double-hung wooden windows by "Rivco" with screens attached. House. includes a bow window in the Living room and a casement window above the kitchen sink. EXTERIOR DOORS Doors provided are foam core steel with magnetic weather stripping. Front storm door is also included with screens. Both sliding glass doors are wooden and thermopane by "Morgan" and include screens. ELECTRICAL Everything per code with 100 AMP overhead service, washer/dryer outlets provided in basement, doorbell included for front only, one floodlight for deck and one outside plug, smoke detectors included as required. Light fixtures and medicine cabinets to be chosen at Cape Cod Lighting Center on Enterprise Road in Hyannis with a $500.00 allowance applied. PLUMBING Two bathrooms as per plan. Fiberglass tub units as required by "Aqua Glass", color choice as available with Simmons valves. Front and rear, frost proof outside faucets provided. "Moen" faucets or equal installed inside. Single bowl "Kingsford" stainless steel sink installed in kitchen. HEATING "Gas" fired forced hot water heat, with a Weil McLain 55,000 BTU boiler, model #CGM3, Taco zone valves for the two zones, Honeywell thermostats, model #P87 and slant fin radiation through out. INSULATION Six . (611) fiberglass batts installed in walls and floor for a R19 insulation factor, and nine (91") fiberglass batts. installed in ceiling for a R28 insulation factor. Roof vents and louvers included to prow-jge: CfVI V E ventalation as needed. vu 2 0 SPECIFICATIONS FOR: BAYSIDE CAPE A LOT: �����®� H���_� VAY KITCHEN & BATH CABINETS Custom hardwood cabinets will be "Springfield" by "Homecrest" with formica countertops as well as a four inch square backsplash are included in each kitchen package. There is a bar top overhang in the kitchen and banjo tops for both bath vanities are included. KITCHEN APPLIANCES Package includes a 30" "Hot Point" self-cleaning electric range, model number RB754 and a "Hot Point" dishwasher model number HDA467, and a 2 speed hood fan model 413008 by "Broan". BATHROOMS Package includes three bath accessories: curtain rod, towel bar, and a toilet paper holder. KITCHEN AND BATH FLOORING Package includes a no wax vinyl with selections available from "Armstrong" - Cambray" samples. Allowance applied $14.00 per square yard installed . FINISH FLOORING Package includes "Stainmaster" wall-to-wall carpeting throughout, - selection available from "Evans and Black" - Famous Fair III, allowance applied $14.50 per square yard installed. Carpet padding is a 3/8" bonded urethane. INTERIOR DOORS Six •panel colonist "Masonite" doors with colonial casing. INTERIOR DECOR All windows trimmed out with 2 1/2" colonial casing with pine sills and 3 1/2" baseboard throughout. Woodwork to be stained with "Fruitwood" blend with two coats of polyurethane. Doors are primed and painted an antique white semi-gloss. Walls are painted with two coats antique white flat and ceiling has an antiqued finish. EXTERIOR PAINTING All trim and clapboard sealed, primed, and stained with a solid color stain. Bleach staining will be extra. HOT WATER 40 Gallon Gas fired "Nautilus"" high recovery hot water heater. WATER SERVICE 4" well water or Town water supply depending on the area . SEWERAGE 1,000 gallon septic tank to disributuin box to 1,000 gallon leaching pit. SUNDECK A 201x 12' + 81x 10' ell pressure treated deck with baluster rails and two steps. SHUTTERS �'k ����� Vinyl are included on front of house only. mECED SPECIFICATIONS FOR: BAYSIDE CAPE "A" LOT: RGE: �2 ' V ou) Imu s N C H N1 AY � LANDSCAPING Ten (10) healthy shrubs along front of house, at least 1,500 sq. ft. sod, and wood chip the rest of the disturbed areas. Areaways are installed around basement windows, splashblocks for downspouts. Flagstone walk to front step. DRIVEWAY 101x 50' paved asphalt drive to front corner of house or to garage. MASONARY Custom made all brick steps. Fireplace has either an arched or straight opening and a choice of a raised or flush hearth and 2 flues. GARAGE 141x 221 , insulated house side only and sheetrocked house side and ceiling only. There is a 4" poured and finished concrete floor with apron, flush thermalwane 91x 7' garage door, a window on the gable end and a 6 panel door at the rear. There will be a pull down staircase and there will be 6 sheets of plywood installed in the attic area for extra storage space. EXTRAS Any item not mentioned above will be considered an extra and prices will be determined by builder on a "per plan" basis. Owner(s) and builder to sign specifications and customer selection sheet(s) . Builder is not responsible for changes unless a change of work order has been signed. P �gloC` � ECE V E D SPECIFICATIONS FOR: BAYSIDE CAPE "A" LOT: PA-QE-a C3 i991 GAD KING'S MCJO%"'¢1Y . y. • Form OLD KING'S HIGHWAY HISTORIC DISTRICT Spec Sheet Foundation Type PLO C01UC,e F r_ Siding Type RIC C&TP —O yS Tt_A W/C 5 y/N(o LE S 1V 47!1V L, Chimney Type Color -Roof Material f ,5?114Lr Color 5LA 7F_ Pitch Windows OV&E AIUNO "R/ ✓GO 6S Size 3 o X 57 Trim Color Doors 9 1-161/7 Color 6R/1WWOOI) Shutters ✓/AI YL Gutters 6VI-I T 5/ E �SEc9MLE5 L 61174 1 ✓11A4 Deck Garage Doors t=L.05 # THERM/9C-&1.4A1 Color /39/fiDew1w) Notes: 'Jill 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 certified plot plan, laWn V S M elevation plan, when applicable. i OKHRHD: OILD KING'S HIGi-I�i� Y LU LU cc odd-2 v ydlo•1 fir+•+: Lr �� �`�/�'` ��' We01l �=EI . ® 0. n ''I W9 1 pb 45 �1A1` d00.1 e>� ar ) r be r'' /III �(` �`a od 10'11 •(a0, 6<? b b Na 1400 a �400 00' A. Eb' ;e X\ �dlarl E-b I z=sl IdOO Zb via 14 Td.0;01 29 -7yso') s E U •j�I£9' 0 . S2- © 6-Soot .�O ?-or►-ta Q o/-S'' dy " z-s :kvdS a r N3d0 r[ �� �izc�oM ' - ?T'II=,C % • 4-9 SjA ISPoSAL' 'TOT',&LIt �ES16ti1 L'425. G:P.D ' � ,'roTA t_� mat 1--?f! i=�w�- 330 6.PD •. . ' : : . Id RICHAR AL I QTIotJ �CZL�T� i l to 2�Srttu�02 I.�SS. ' : a _ i '• SAXTER� w.F SULLIVAN' . 1 I n0.24048 N0. 29.733., y ? I - tr ,�tiySi.F�i,F��•G , pt"h I Q, X'� t• 1 t ;EI t� rz 1z1 , � I� , I �J �(=►c.0 �w rT'�4' �='O� F�{ , i ; : - ',� i 1:_' 1_:,:_ � - . . . - ---- -' _. - ;_ . . F6_ IDS G-.1-7S. Tor \�\ SvYto,L .: - 'tf'PPe loos It.lV. tuv.• 173 4'Pve ' � Z' MKT. IW. G,o.�. I'72•o fox 1'1t,r; sT IC :. ' 'loop Ill,5 • Ti�rtiC INV t d GA t.. lN�r tIN. i r T 1*11•$ 172'0 1-r,4 ( lAIL ili I ` iti l I .i + I •jJ :STCia� 16y 51 r I- I I t a CEQ' PR-01=1 L 1 ' -- :.__12 EL.Ic4 17A, 4v: �o,GlA T EL=152 Lor 41 c� Feo o�aD o ,ATE Z-Z7T J. l . r . . rz'r 11=�( ► !A-I- T I4 C-.: l7-ov4J DA Y7,i Pt_A t�l L iluD . S��-�,�,�i< t7E' ;�I� ;' SIoC.I..I►JE; ' --------, Cow':wS --- Q GA IPy :39 t�tiT l3GG AN D IS fJ07" L D cL,n ,�•-' w"t'n-1 l hi-Ti-iE F"-odp. R A t ! T iL1C 51 l I iL Be- BA)kT - RCGISCCIZ�D 1-AIICj SU�VcYo(�<. Tl-1I _At-1 •;'('L:J:.nC:��!i .S,cJx./E � ' .. .OSTE2�/1��.[ o M/LS�i, `s k Tt{L� UFO g�j—t I:j _ U��L�� - _---: . .._ _---.- .--- , . ' _.,--, ------• `��•� �� IDS �� U I;;_I7t��, IL 7722 C3A y5it�E . T3.urc.'D t1 y ,J-4 -��-�-�_�. 4 i fi }...j � , •.iTi-'r��.i-_1 tM rE-�' ( _ . j , i- � i 1, .' 74 .77 1 PfTFR SULLIVAN t s �a '� 29733 1 rf \ Pa020S16D zn IN Qv Ax T,•+ . _4.. • ''`7 t t t.t ^yG3 f t PAY � J. s RMHARD ' r r-1--I �-�__ 7._ tr �l I _ - f 1 t BAXTER 1-7 24048 iv-��.,_t�-;�\1�-+� ��.;:•. ` ; •� ." � �i� ��orstEr� �`i� i }_ � �t �._. l I. (` -fi--i--tr_--�1- .....,t`�:m,prt-;U,%•'c%rjL": 4-.7,�"&:'•<l'\•r4i.,',)::C,l"...'r•.J'.'.f},:;,6"".:y...;{a..ydr.;;,4.rp.I vrm '&s,. - ,c• gfr►!';+tr- .■ iV �TOWN_OF BARNSTABLE, MASSACHUSETTS u'L D'N ± AQ108-002.005 N.:)' 13 91 V 4 ' GATE 1g }p+ERV(vIIT NJ F `'a , APPLICANT Bayside .Building CO. ADDRESS Aox 9!5 eenLerv�1 ► i'te f (NO.) (STREET) �; (CONTR'S LICENSE) PERMIT TO Build dwelling lg STORY Single family dwelling NUMBER OF :•;ter :{• Z (_) DWELLING UNITS " (TYPE OF IMPROVEMENT) NO. (PROPOSED'USE) , AT (LOCATION) lot #39 6 Capes Trail;""Wtst Barnstable ZONING (NO.) (STREET)i DISTRICT L' BETWEEN. AND (CROSS STREET) (CROSS-STREET) ' SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY• FT. LONG BY FT..IN HEIGHT AND SHAL''L*CONFORM IN CONSTRUCTI• r TO TYPE ..' USE GROUP BASEMENT WALLS OR FOUNDATION ^ REMARKS: 9 Sewage 91-93 (TYPE) BOND AREA ORE 868 6q• f t. 83,000 <:69.50 VOLUME ESTIMATED COST $ FEEMIT:' (CUBIC/SOUARE FEET) OWNER Bayside Building Co. •; F. A ADDRESS • oX 95 U317ce7vttle., put BUILDING DEPT. BY i PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY .r THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER'TE.MPO�RARILY C PERMITTED UNDER THE BUILDING CODE; MUST. BE A PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEW'e RCOD E'BE ST E A FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE.'CONDIT-101 OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. L yL MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL••CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE'-REQUIRED FOR 1 1. FOUNDATIONS OR FOOTINGS. ELECTRICAL, PLUMBING AND I MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL,INSTALLATIONS. I 2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. '•' 3. FINAL INSPECTION BEFORE OCCUPANCY. POST .THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1XV ? -4 r . 3 ATING INSPECTION APPRO ENGINEE N DEPA ME f OA/ EALTH f4F'.":\ ',a OTHER SITE PLAN REVIEW APPROVAL y� 1 • 11 t-� WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT w!LL BECOME NULL AND VOID IF =ZDATE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MOP)THS INSPECTIONS INDICATED ON THIS CARD GAN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTi NOTIFICATION. AS;is rn's,{offioe Nst floor): rn19 P 1jS ! , m + OFTMEtO �.� r s mnpi and lot number ....................................... ®M'PUANCI� Board'of`Health (3rd floor): INSTAL D TITLE 5 d Sewage Permit number ^ �. S B6Sa9rLnLE ENVIRONMENTAL CODE AND ................ Engineering Department (3rd floor): �J Sao Me}}9• House number ........................................................................ TOWN REGULATIONS � ,. • 0 Y{1Y APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00_P.M. only. TOWN -OF • BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............. ..4-C................. .........i�...... .... TYPE OF CONSTRUCTION .........`.."�.t :...... .......... •............................8... ..7.....19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: LOT �+- // /// Location ............................3..:(......�f?......... .............7' ........lN,:.....:............................... ........................................ ProposedUse .... .......................................................................................................................................................................... ZoningDistrict ..................................................Fire District �' ��/v.................... .............................................................................. Name of Owner .A4r6cee..... ......✓- -7...6,........Address .... ....F. .......................... ........... ............... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ...../e ............................................. .................................................................................... Numberof Rooms .........40.....................................................Foundation .... �........................................................ Exterior ..�.....�`...... .............. ....................................Roofing .....1!:�20 P. ... ................................................ Floors ...... ............................Interior //fiC(� �/L(,( �.........CIA........... . ................................................. Heating ✓" l� v(� LC/�6"`t"`........................Plumbing . .. .. �. ........ ..veto.................... .................. A ............. Fireplace ..... ...... // .........Approximate Cost .. (J.,J L�`�.�`............... ........................................................... Definitive Plan Approved by Planning Board ---------7_7Aq--------19_/__l__ . Area .....?� ..57"............ Diagram of Lot and Building with Dimensions Fee T ........... .... ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above -construction. Name Construction Supervisor's License vv S l S C� I BtiYS:L;JE. BUILDING CO. 44 34331 No'.::.............. Permit for ...1.z...Story............ t° '• Single Family Dwelling,. Location ..Lot...#-39.......6 Capes Trai1..., West Barnstable Owner ....Bayside Building„ Co.,., Type of,Construction ...... ...................... ` < .f ....... ............................................................... V Plot ...'. ................... Lot ................................ May 13 , 91 Permit Granted ........................................19 Date of Inspection /1...../C?.-/�.:..:.........19 D tTCo eted .. :. `a ... .........19 00 j, - s'�. i ' 1 r I - II II ► � ; � I I . Z I Ili I� ij i it i I :::_ . ...::__.— , ( a I , i L L'_ c EE j I I j Li , I I fn , - , 1 T I � II ! i � II � I I 1 I iI I I � I I - � r 30 49 m • I � w � stt . .s` P 50 ij ST N N .•6, r,eeF li i.j w LSD cE ] t 3 71Z -1 i A { 4 T-i �� -- I I _ O -- 0 f2'.-�-_ ._ !_ - _0Aa - 0 � N 1p _ ` Z. I bm 0 l t O N -�P_ ! ✓� I 2 2' o" ;'• I I h I vJ - I ! 1p I li i LU 61 Lp I� I ; `i N \ • Q l H C 0 N N i w I I i0 , I I 3a 4� I I �� �.....4�..._.._S '`tip .I I _ T I �_�1•... I — - -- -- - ---- I 1-- --' L - -- - - - --- - - ----- - - - - -4 �•,y 4-G..GoNC.\VbLL.S/ I ,0 r+4i „ :.LnuN nrs.( C.c►:1►/�crioNS �1(0"if 10" Foo'T to CT 1 bT-Go�t� n Al wJ -. ca I i I I I I i N I I I .COO/npAGr GRAVEL FILL. - o's. —' 1 L L_ Li J I ' 0fr/ain po C 4T - h 9 IT" L&LLY C.OLU/A'NS FpCrt cNo - N 24" 24" y I'L' FOOT I J( 5 I - CU F-bt4 Ems( FOQTIIaJ.G'._.13' DLL I I N Y �LE9S6RG 8"EAG1./ IL I I I � I •_ I — •I I i F•4 4. F O u N rR LdT t o tJ �,.- 711 _ {OF PUBUC SAFETY `,:.: Q ' DEPARiML7H AVE :`.' n COMMONWF-�►LTR tOtO CDM 0�15 ENCLOSE CHECK OR MONEY ORDER OF gpSTON. FOR REQUIRED FEE, MASSACHUSETTS L I C ENS E t CONS7R• SUPERVISOR MADE PAYABLE TO EXPIRATION DATE' �/�� s ECTiVE DATE LIC�JO "COMMISSIONER OF PUBLIC SAFETY" s' a.R7:ty� ' S EFF 06/30/1993 005b45•.. (DO NOTSENDOH�' aEsNEoNs 106 /30%'1991 No gR1AN .T' OACEY R INCREASE 62. FERBROOK .LANE EASE ..NO P G CENT*ERVILL..MA..02632 ,Z..i"i 1989 SS 4 •02T-4b-595 E FECTI*WIP PHOTO IgLASTNG OPR ONLY) FEE: .. e '1 00.00 NOT VAW uNTa S,GNEO SV ucENTME COMM6S10•+ERV F :STUB i STAMPED'.OR•SIGNATURE Of Ii � XENSE'� ?'• HEIGHT: ::D NOT E VE SIGNATURE LINE DOB'. SIGN NAME IN FULL•ABO r > IT /1956 . OF UCENSEE ,. uz< > s. 04119 !.r.;�J.' UMENT MUST BE COMMLSSIGNEa THIS DOC THE PERSON Of - - i.•il�.if CARRIED PER WHEN ENGAG- THE IN THIS OCCUPATION. - 1 OTHERS,RQ.i,•.a 200M•2$7814�- I i + i I � 1 %` / l � \\ 1 f � -�w.+f'_ .�+.r.wvw•»wn_-...r«.a �.r•.i _s.sa I _—�` I J U Jjl FT1._� I 120 ell 0 Ll wh- Ll 1 _ 1 ' - � � - ICI� _ � � �- -�--�- - � • ~ . '°... � .-.•�j' � � ,� I ,I i ��5�'- ti'} -_ { �;t..t._-:-.�.- ` (-�. I �l�_.�.r-11 (_�•--Jl� , _ � t I � S � (��i j � � f .-- !__ �i -�° 1 � �� I•.� _ .��--1 tom_.__, � 1_._1�.�.� t�. _,J ,�:. _ _ � �I _ • • L..� f f1 n 711r, - _ y 1 BEGET V 5 ® t _ I t F'EB 2 01991� SCALE•.- _ r ... T-.— . --- - _.- _ _ - --- - -- _� _ - - _ _ _ - - - -- - - - - - - --- - - - --- -� •-----_� -- _ i___ -- I4-p= �''0 APPROVED BY: DRAWN BY: � " F "C" t 'J }a- DATE: Q P P- 9 o REVISED DRAWING NUMBER € 309749 s I I i 111 Ccs 4� 3 ire,2 49 , I ' I C, . w r 4' A . 7 , 777 i - T i to t 4.-'- S- iGE In __L 1 I k � 00 ! J FL- -b CO O? E--: E V 1►s t�L_ 2 . -, �l A t.F - t-t C?V2 �tX�r I f '^ m I i / 1 .. _ i 1 •i � _..w ? �1Z'c.t-i '�." �'Q Uc�rt jt'f - � , t 1 (� j i L t v i � CG`Q,o oin C. � M `, t CAR t CT 1 I _ { i Q; �- C3.14 1�0C) t(1 1 V�lv 4 2 k V oE.�c Q►z. E 11 > N r t , z —4111, a