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Home My WebLink About0039 CARLSON LANE QKY� Z UPC 12543 No. 53LOR „gyp HASTINGS MN ._o„- - ---_�.s�sy.e�. � � ---- - - — r..w..�..,.._�:...ad�..{n:....Yw�.ray.�:_.;.s�s.•.;>...li.�i;.iri�6. Town of Barnstable .o-- Buildin Post This Card So That it is Visible From'the Street-Approved Plans Must be Retained on Job and this Card Must be Kept' MAE& Posted Until Final Inspection Has Been Made. '` Permit i639. � ,. _ _ . . . _ r w . 1 11 111 Where a Certificate of occupancy.is Required,such Building shall Not be Occupied until'a Final Inspection has been made: Permit No. B-18-2585 Applicant Name: Lauderly G. Lima Approvals Date Issued: 08/30/2018 Current Use: Structure Permit Type: Building-Deck Expiration Date: 02/28/2019 Foundation: Location: 39 CARLSON LANE,WEST BARNSTABLE Map4ot:�133-064_ _ Zoning District: RF Sheathing: Owner on Record: DARRAS, BASIL&SOPHIA GIANNAROS Contractor Name: Framing: 1 Address: 79 WALPOLE ST Contractor License. ,� 2 walpole st, MA 02030 -" Est. Project Cost: $ 12,000.00 Chimney : Description: Replete deck composote boards and new railing,replece 6 door Permit Fee: $110.00 t i �and trims P Fee Paid:, $110.00 Insulation: Project Review Req: Date: , 8/30/2018 Final: Plumbing/Gas .� Rough Plumbing: wilding Official Final Plumbing: { t Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after i''ssuance. All work authorized by this permit shall conform to the approved application and the+approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open.for public inspection for the entire duration of the work until the completion of the same. " Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: j 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT permit From: LAUDERLY LIMA <laudrly@gmail.com> Sent: Thursday,January 10, 2019 10:37 PM To: Shea, Sally Subject: Re:ViewPermit, Permit No:TB-19-106 Attachments: constructiomlicense.pdf Thank you .. Happy New year.. On Thu, Jan 10, 2019 at 3:37 PM Shea, Sally<Sally.Shea@town.barn stable.ma.us>wrote: Please provide a copy of the below items along with copies of your home improvement contractor's registration and construction supervisor's license. Thank you. Select type of work being cone - NOTE. If you di Building fleck for, do not proc you. 01 Homeowners License Exemption (Homeowners Only) Click this box to fill and attach the Homeowners License Exemption to your applicat Plan - Cross Section and Framing Detail Plot Plan Gr Property Owner Letter of Permission (Contractors Only) Click this box to fill and attach the Owners Letter of Permission to your application it 07 Workmen's Compensation Affidavit Click this box to fill and attach the Workmens Compensation Affidavit to your applic; Workmen's Compensation Supplemental Forms If applicable, provide additional information on sub-contractors as stated on the aft Sally Shea Town of Barnstable Assistant Zoning Admin/Lead Permit Tech. 508-862-4031 CAUTION:This email originated from outside of the Town' of Barnstable! Do not click links, open attachments or reply, unless you recognize:the sender's email address and know the content.is safe! 2 - ; - ?►� CYST pL►pNCE GBe / 2v- �c Assessor', rra -7 and lot number ........1.� : .... .�..... 6�15 .X►L`D ►T►,E 5 OFTHE T� T N Sewage Permit number ...................... ?. ."�1( .....(L wr ENTA� a. �� -S ;NV►�W►MREG'v4'0►TIONS S BasBSTABLE. Hpuse number ........................................................................ T 90 MA86 p 1639. 00 ' ASPPR.0VED D MAX Barnstable Coaservation 9 . N OF B A R N S T A B L E 't"4L i[;ned Aatp BUILDING INSPECTOR 1-k ,r APPLICATION FOR PERMIT TO ...... .a r�iGLI .............. TYPE OF CONSTRUCTION .......... . ........................................................................... ..................19 s — TO THE INSPECTOR OF BUILDINGS: i The undersigned hereby applies for a permit according to the following information: 1�.5 � AJSP�L� Location ...... ./............. .. .............. � 1`' c 'G� ......... ..?................,� .............!'.......................:......................... r ' Proposed Use I ......, ........ ................ . . ................... ....................................... Zoning District ................... ........ . ..................Fire District ................. ... .....(.........................................Name of Owner .. ..C?!��"/�,�.`.....,�� .�L/.�.�1/.�Y�.�....Address ............................................. A........ ... J Nameof Builder ...........:.. ., ,/17/c.....................................Address ..........ns-4 Ilf....................................................... Name of Architect t�... 7 , .: i �1.17�.. i �l�/✓....Address ..Z?!A( MAI—.....,�.... � ................................. Number of Rooms / � rYf'�,r!�. Cr�.............. /t............ .................................................Foundation .. ..C�i��i ........ c ...... Exterior !-r�f.�....5�. =/ t ....0 � 1�.��..��I �.................Roofing ..✓�tU� 4......awil-.....S1..' .............. Floors ......t � . ............:................... ................................Interiors..az. d .....i!..... .f............ Heating � - ....��/.. .......................Plumbing ..... .� ........ fl .................................... .... �...... ...r..... r �= Fireplace ...... ....... Approximate. ... ......................... Approximate Cost .. .... .r....... Definitive Plan Approved by Planning Board ____ _'_ Area ...G..4.0!? .................... L q(t L 1`111 \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 To o arnst a regar ng the above cons-ruction. r Nam r.. r............... Construction Supervisor's Lice se _ .............. pp- 'l BODI-IBH NLARRETING INC 290 7 Per for .wL`: .Jtory i Single Fam y,D llin ...................., y... ` Location Lot �17' '39 Carlson Lane '? .......... .... ........ ................................ West eEEarnstable .............................................. r Bodfsisrh Ma- etin Inc Owner ..................C......... ........... .........�............. , Type of Construction..: ]game.......................... ..................................... .................................,. Plot ............................. Lot ................................ Permit Granted ....March 5, 7 ,tq 86 J ' Date of- Inspection ....................................19 ' Date Completecl .../�./1/...?.,1.:......19 , y i.j kill 4: \`/ M , - r? {. , 4.1 { R.I33064. AFFRAI' SAL DATA KEY 3I9783 DARRAS, BASIL 9 LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL ` I03,000 196,600 1 A-COST 299,600 B-.PIKT 168,200 BY 00/ BY ML I/91 C-INCOME FCA=20II FCS=00 SIZE= 3448 JUST-VAL 299,600 LEV=500' CONST-C 0 ----COIZFARISON TO CONTROL AREA 84AC -- --MAY NOT BE COMPARABLE-- NEIGHBORHOOD 84AC WEST BARNSTABLE PARCEL CONTROL AREA TREND STANDARD 10] 10 LAND-TYPE I03000J LAND-!'LEAN +0" 299600] 100293 IMPROVED-DEAN +96". 25% J FRONT-FT IJ 100 DEPTH/ACRES TABLE 02 I007 LOCATION-ADJ APPLY-VAL-STAT LNRJLAND LFT/INPJADJS/SB/FEAT STRJSTRUCTURE ARRJAREA-nEAS•UREMENTS NORJNOTES CnPIInARKET INCJINCOME FMRJPERNITS GRRJGRAFHIC FUNCTION-[ J STRUCTURE-CARD NO-f000] DATA-[ J MTf?j 'I i ' _ � l 77 .�r✓t►'vi4^h•-•:. �v'*^/d�►'-.-'�...\,l�>+tii-r-....�;+I.fti....yrr�"'1,ry.,i••.,��..f'T�a-J+.,y�"�•-w✓.�"''"„'E.h1'r..'S�"^'".r^""'r1'"'t•'T''-'J._:.,,.,�,�•y-.+... ..^ti..�..- .p [J i : :•= 2_E_M_P O^R_A_R_Y TOWN OF BAR:NSTABLE �TYf> 29007.., �----' , Permit No. ..... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 1 Yl HYANNIS,MASS.02601..,1 Bond ................ i 4v , CERTIFICATE OF USE AND OCCUPANCY Issued to Sophia GiannarOS Darros Address Lot #17, 39 Carlson Lane West Barnstable, Mass. f USE GROUP FIRE GRADING OCCUPANCY LOAD i THIS PERMIT WILL NOT BE VALID, AND :THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN j a REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 3.i ..... 19....91............... ............. ` ............ Build��g Inspector IL l t TOWN OF BARNSTABLE permit No. BUILDING DEPARTMENT I SAUST a- I TOWN OFFICE BUILDING Cash 6}0• HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to r Address 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. 19.... ............ ........ ...................... Building Inspector M _ t OL vo CAX r/f ED: AL07 PLA • FOR'= �tl1� J� . `�"�r,�r2:�C�'�'�,�t/�;!� i/✓�'��. 4.�, ,t�� A � �;�;� ;� .,f TO!! N OFr� 9,4A/w' 1-07 SCA4r- / ,: A4TE ../. ti'r✓•g ' , 2 T tt.r 4: t. nr / C 71,FY 7)VAt WH�4?�..nlS SHDYVJV ON r*/S P4.4�V ON t1lE GRID ,O ".0 CONFOWNS TO 7`*#�' ' 0W)iV r '? __.. � r..i . ...L- .,f.i,xad.�. ,Ev�� '•-`.1� .-. �` '�S..r��4 4,.1i� ,t•'_,r .. ;° _.._t.�_ . .... ...._.,, .�.,.3ty1�`li� ':k.�,iTb«t�. �i_ S_.G�. .._�.-�'_ k. �. f PINK-OEPT. FILE COPY/WHITE=FIEL'O COPY rfiELLOW=APPLICANT COPY �. � BUILDING: a . TO\NOF BARNSTABLE, MASSACHUSETTS cyr :.tL PERMIT ' . I' A-133=64.. VA L'IDA.TION X. f DATE rtrh S, 19 �6 ...PERMIT No. APPLIcaNr ': BQdfish Marketing InC. ADDRESS Cobb' atone'; 'C en t, 'S. Ds (NO.) (STA€ET) ICONTR S LICENSE) PERMIT To " Build- Dwelling ( 1'�) STORY Single Family Dwelling: LICENSE)'— HUM UNITS l (TYPE.OF IMPROVEMENT)" NO. (PROPOSED U$E)' AT (LOCATION) Lot #17', 39 Carlson Lane, W. Barnstable ZONING Rp (STREET) . (NO,) D ISTR ICT' BETWEEN' AND. =. (CROSS STREET), (CROSS STREET] ,. .. . -SUBDIVISION' LOT BLOCK LOT ,. SIZE _ BUILDING IS.Tb BE' FT, WIDE BY FT. IN HEIGHT AND SHALL:' ONFQRM:IN.CQH$TRUCLION' 9: FT. LONG BY TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION c ='(TYPE)..: _ ' 'REM4RKs:. Sewage #85-916 ,Bond: AREA OR 2502 Sq. ft. PERMIT VOLUME ESTIMATED COST $ 20000 O•OO FEE ISO.•OO• ,' (CUBIC/SOUARE FEET) R OWNE :BOdfish Marketin Inc. ADDRESS. ` ' • 7. Cobblestone .Ct'::..South'Dennis BUILDING .DEPT BY , ALL CONSTRUCTION WORK: i I. FOUNDATION$ OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICALI1JSrALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOTBE'OCCUPIED UNTIL MEMBERSIRE ADY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPEGTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I 2 1 2 2 7�e- -G 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT OTHER L BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC. PERMIT W;LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SI MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN B6 CONSTRUCTION: PERMIT IS ISSUED AS NOTED ABOVE, ARRANGED FOR BY TELEPHONE OR WRITTEN NOTIFICATION. x Town of Barnstable Building Department - 200 Main Street ,A NST"LE• * Hyannis, MA 02601 9 MASS 1639. . (508) 862-4038 CEO MAr a Certificate of Occupancy Application Number: 201302728 CO Number: 20130041 Parcel ID: 133064 CO Issue Date: 04129113 Location: 39 CARLSON LANE Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: WEST BARNSTABLE Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: (2 �''L7//' Building Department Signature Date igned r 4 t. tt .i•1!'. Ed@ Toak jjd : .. - .. : .._ _ fj mw # Ax"tion t Ap,�Mm� 1P130271d „� t. ;,• . �---- , Oven. 3sfssx... 0 r.. p arrewT `staaI r L"— - o ,e�ma os s 0epa 4aent coo tunnu+cW twr.aor soFto�� rA •Qufd�FlM r w• ,� .Project/A�ItY 999 � �?MiSCEllAj1EOU5 i _ a Update Statue I #DeeapLanl CTRTIFiC4fE OF OCCIPANCYFORPERMiT t ._. ;,... Sta4c code CI:ID COS®AVRtGR19N i - 0ett7tfibtl2 r ....--. _._. ,.---- t Eitmate Fero j.AP*wt OtvN PaoFEM omfR 4' 6aow Efdutedcwt Feafaffe:Wra .._ . M 1020 PermtvNx �oa_jZeat 1LP��;a►_ssral:�kttr. s,l'._� ,;� . woar PKcd t_3*4 i° . sac 1- t • f4cPdY i E _ ..T---••—� _.__... .. n6dstlgtiae _1010 k.. Sttu(#�E Y NOME i:lomtion. ACAfaSONtM'€ ,w�w- ri WEST BARtKTABIE MA __. �.... ,ta , RF-RES10EtiCE F0E7RICf v r0 Faymt �ktuy+doenymemo tMBAti t... L4ESY8aaDtSTAOLE ' �' AudtttrtarY Is�erjtan IP 1 --- ! , Ago 1 qq r sumnaryRmt ,i ft5ec onphue.rp� t (" `ice •i + Rapoaedute 7030 „RE40H�E - lGaatloirder- 17 .memo ft ' wrfaccr i .r I '' + � ..rM J . Yt .L� • y T h f3 RereOlates i3N--md--utr p3 Nwo oo Cmtradm fi eo x!e O Sib/{ld r Next Gi Ften Pevkws [ _q c ji BtiRdn+p fi ParFFq i Septk w�Wel i �l a Rda Fad byPorrd +. i�Ftlarfistary. ti LroacYar ili YldeUonx �13 Baad Rewewt ila7'npar ttgm ,¢'Warttnps �Spedd Candtiaq ,� > • �'{ � �� I/. � /� —....r:..��,-°t:�l.�...:�.�..li;.!,�EF►I, i Q ,�to�, 6lt�mitt4l n , .• �; u"3 i TI Town of�Barnstable December 10,1985 Building* Dept, 0 • r'I Dear Sir 9` I request the removal. of my name Joseph J. Petroni Jr. , , license .# 000996 from all buliding permits to do with Bodfish Farms in West -Barnstable, Ma. This includes Lots 15, 16, and 17-on Carlson Lane. Siric'e�rrpply, v Josef J. Petroni Jr. JOSEPk1 D. DALuz 790=6221 TELEPHONEt XTP",AV ' Building Caumittiontr �A)37C TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02661 October 18, 1990 Ms. Virginia Maguire GAB Business Services, Inc. Postal Drawer N Boston, MA 02122 Re: A=133-064 lot #17 39 Carlson Lane, West Barnstable Dear Ms. Maguire: As -per your request please be advised that as of the above date a final inspection has not been requested for the above location and the Occupancy Permit has not been issued. Very truly yours, Al red E. Martin Building Inspector AEM/gr GAB Business Services, Inc. -57 Date _ - 4 Building Commissioner/Inspector fo Buildings Board of Health/Board of Selectmen NOTICE OF CASUALTY LOSS TO BUILDING CM UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B r Claim has been made involving loss,damage or destruction of the property captioned below, which may,either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct.it to the attention of the writer and include a reference to the cap- tioned insured, location, policy number,date of loss, and GAB file number. Insured: Property Address: .�9 Policy No. Loss of D01, Oe 19 90- GAB File No. D 4/04 f i (Signature) s , Title: On this date,I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Y r ^ ' r Signature and date!' i Form 645(2/78) r R1.33 064 o . A P P R A I S A L D A T A KEY 319783 RENAUD? RICHARD S LAND BED/FEATURES EUILDINGS NUMBER ZN/FL= 103,000 181 ,600 I A-COST 284,600 B-III KT 168,200 BY oo/ BY ME 1/90 C-INCOME PCA=1011 FCS=00 SIZE= 3449 ,JUST—VAL 2S4,600 LEV=500 CONST—C 0 ----COMPARISON TO CONTROL AREA 84AC --- --MAY NOT BE COMPARABLE-- NEIGHBORHOOD 84AC WEST BARNSTABLE PARCEL CONTROL AREA TREND STANDARD 10J 10 LAND—TYPE 1030c�0J LAND—MEAN +0% 284600J 100293 IMPROVED—MEAN +81", 25% FRONT--FT 1J 100 DEPTH/ACRES "TABLE 09 100%] LOCATION—ADJ APPLY—VAL—STAT LNRJLAND LFT/IMPJADJS/SB/FEAT STRJSTRUCTURE ARRJAREA—MEASUREMENTS NORJNOTES COMJMARKET INC]INCOME PMRJFERMITS GRRJGRAPHIC FUNCTION-[ J STRUCTURE-CARD NO-[000] DATA-[ �� d 1 90 R133 064— P E R M I T CFMTJ ACTIONCRJ CARD[000J KEY 319783 00000000] PERMIT-NU NO YR TYPE VALUE CF-BY NO YR ''CMP NEVIDEnO COMMENT [B290 7] [03] C86J fNDJ J 00000] fLK1 f011 [90] [080] £NEW J fOB 1112 STJ f J I ) £ I L ) J J C J C J C J C J C J L J £ JI Jf JI JJ- Jf JC J £ ) C JC J C J C J C 1 I J C J J J C J f J C J C J f J C J £ J f I f J f J J J I 1 I J C J C I f I f l £ J C 1 C 1 I J J J f J f J C I C 1 C 1 C J £ J I J C J I J J J C J L J I I f I f J f J £ J I J C J C J J J I J L J I I f J f J f J f J C J C 1 f J J J I J C J f J f J f 1 I 1 f J I J I J C J J 1 f I I J f J f J C I I J C J C J I J f I J J C J f I f J C J I J I J I J f 1 f J C J J J C 1 C J f J C J L J C J f J f J C J I J J J £ J f J C J I J I J I J C I f I L J f I I J f J I J I J I J f J f J C JC J £ JL I ) II Jf JI JI JI I [- J I I Jf I JJ If. Jf I JI If J I I I J C J £ 1 C J J J I J f If J C I f J I J I J f J f J f J J J f J f I f J f .I f I I I £ II I I JJ JI JI I Jf If J f - I i - TOWN OF BARNSTABLE-BUILDING.PERMIT APPLICATION- Map Parcel Application 0 Health Division Date Issued Iota - Conservation Division :Application Fee X�. Tax Collector Permit Fee Treasurer Planning Dept. q Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village ��' .� T✓ Owner 1 �s [ �i a�'� l� Q Address Telephone ✓ Permit Request 4!Z 1 PO,,'7 410 4y) Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation)000e'- � Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family(#units) 'V M ,. Age of Existing Structure Historic House: 16 Yes ❑No On Old King's Highway:❑Yes ❑No Basement Type: ❑Full ❑Crawl. )d Walkout ❑Other <I w asement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)=) -� Number of Baths: Full:existing new Half:existing Nnew TM Number of Bedrooms: existing new U0 Total Room Count(not including baths):existing new First Floor Room Count b C Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No S' Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: -Zoning Board_of Appeals.Authorization.13- Appeal#- _ Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION -7F Name Telephone Number��/ Address License# Home Improvement Contractor# Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ��,L►r /� � � SIGNATUR ` DATE �� "� L FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. I ADDRESS VILLAGE '.� OWNER DATE OF INSPECTION: '<< f FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH - r 'FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT .. ASSOCIATION PLAN NO: {1 y The Commonwealth ofMassachusetfs Department of Industrial.Accidents Office of Investigations 600 Washington Street ; Boston,M.4 02111 , www.m ass.gov/dia Workers"Compensation Insurance.Affidavit;,BuUders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLyibl Name(Business/Orgaaization/Individual) n -o- I J •Address:6 y ' City/State/Zip: U CL/ god/ hone.#: / Are you an-employerf Check th appropriate box: 4. I am a l contractor and I 'Type of project(required): I' , 1.� am a employer general ployer with g •6. 0 New construction . employees(full and/orpart;time).* have hired the mb-contractors 2.❑ I am a'sole proprietor or partner- listed on the-attached she 7. ❑Remodeling ship and have no employees These sub-contractors have g, 0 Demolition working for me in any capacity. employees and have workers' ' [No workers'comp.insurance comp.insurance.# 9 ❑Building addition required.] 5. [] We are a corporation and its 10.0 Electrical repairs or additions '3.❑ officers have exercised their I am a homeowner doing all work 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MG!, 12,0 Roof repairs insurance,required.]t c. 152, §1(4),and we have no employees. [No workers' . •13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowncrs who submmt 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 notthose entities have employees. If the sub-contractors have employees,they must providb their workers'comp.policy number. I am an employer that is providing workers'compensation insurance far my employees Below is the policy and job site information. ' Insurance Company Name: ____r Policy#or Self-ins.Lic.#: ot) Expiration Date: Q Job Site Address:_9 City%Statdzip: J i Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine uip 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coveraize—yxrification. Ida hereby ce - der the ins-an pe [ties ofp rjury that the information provided above is true and correct Sienatuire. Date: . o -� Phone 4: 40 . 1=_29 9 Official use only. Do not write in this area,'ib be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: P� TMEr�yo Town-of Barnstable y Regulatory Services Thomas F.Geller,Director m iesq ` Buildbacr Division Tom Perry,Building Commissioner 200 Main Street, Hyamis,MA 02601 Office: 509-862-4038 Fax: 508-7.90-6230 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: I I Y7 �Y Estimated Cost d V N ,Address of Work Owner's Name: Date of Application Sr) —o I hereby certify that: Registration is not required for the following reas on(s): Work excluded by law nJob Under$1,Q00 OBuilding not owner-occupied' ElOwneL pulling own permit Notice is hereby given that: OWNERS FULISNG THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER ENALTTES.OF PERJURY I hereby apply for a permit as the ag t of the Date n actor Name Registration No. OR Date Owner's Name • � Tie 'f�anvnzoouue� o�../�aoaa�ivaet�,a r - - Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ,. Registration:'`1.01135 Board of Building Regulations and Standards 01RPQ ExpiFaf�on:-6%25/2008- One Ashburton Place Rm 1301 d.�'I` -=-'-_� ' Boston,Ma.02108 -Type:,=Private Corporation (, RAINBOW ROOFING'&::SIDING iNC Paul Kazolias itµ 67 ISLAND AVE. Quincy,MA 02269 Deputy Administrator Not w tho t signature � ✓tie "C�arriinzooz�vegl� a��aaaact BOARD OF.BUILDING REGULATIONS License CONSTRUCTION SUPERVISOR NumberCS, .025458 Birthdat 0 1.949 ' �zpires': 04/09/2008 Tr;no: 20748 ti f ,. Restoted �� 'PAUL;N,,KAZOLIAS� i PO BOX 692297.,,, QUI,NCY, MA 02269 ti � Commissioner - a �: h X},/�',�,,� �`o. •'�,ar�I"'�3i�1 'J,'��' t''�{�i=�'r:}^,'7^c;„, ':C�?v,�, ip 'd •,��„ • :.�'(yyf{/d/�r `��•:}=- �d.•y�t: rl ��:.i` ,r.f,+p„".� �y,�,jH'1�k 1 ^%" t, • 'e '� I fjN. , ;n•„Yr.�`Yi '•a:� 7 A.r i 1,,1•IN` 7,`�.'.,1• •,. e•/, �5 kti . li-• yy laay�'I! I«,�' „Illy .I y,i'f e. �, 4.�'y• .,( t '.ti.{olb;• ..i`;1 R' J.• 9». r'i-v�, ,. 'hi ,1; ' ,ti7r, 'v'l1'c:T•`} i,n,G n PRO CER ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Alber'J Tonry'& Co I'C HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ` 300 CMgress$t ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Quindy",Mk 02.169.0907 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY IN%7.RED,' , Ra!pb;�ixR;oofing;i Sloing Inc z�.• ! Po-bc i.Ag2297 QvancyN(/AxD269=00Q0 ; _ a , y'• • •' ~ -y r�a1nj;II�;Y�i�!"J�'1�!3,. Ohl (!�r'1° :r'�iro�� -,a a sNMI d THIS ISM; CERTI Y THAT 7tIo WOLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE•}'(s(I:aCY'I�I=R60D INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WnitRESOECT'T0•WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE 'POLICIF,Sf3ESCRIe®9EREIH ISSUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN 144X VE'86EN R01JIOeD BY PAlb-CLAWS. LTit " q',,•EO(r'INSUIItANCE: POLICTNd119ER POLICY EFFECIWE DATE POLICY EXPIRATION DATE A MRS CQmRi3NSATiON D•EblPLOYERS"L"luTv LIMITS 91�fI;CWWE i V ^BLS ! TATUTORY LIMITS "C 'DiExCL'� ' •2407538 6/14/2007 6/14/2008 *vow4pov m'MA Opaiau-1 Only. CHACCIOENT $ .1QO;IIQ I ISEASE POLICY LIMIT S SOb,O ISEASE-EACH EMPLOYEE O,OO 10Nf0F OPERA ION NEHICLESISPECIAL ITEMS ' I s. CER DERV CANCELLATION TOIAIti pF!BARNSTA LE%k ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE A7T,N:iYt>LAB EXPIRATION OATS THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1Q BAONSTAQLE,MA ! DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATNES, i AUTHORIZED REPRESENTATIVE Page No. of Pages No. 101135 RAINBOW H.I.C..I. No. . 10113 ROOFING AND SIDING, INC. PAUL KAZOLUS 25458 P.O. Box 692297, Quincy,MA 02269 (617) 471-2999 PHONE UAT>?, PROPOSAL SUBMITTED TO � \JOB NAME' JOB LOCA ' N C ATE D ZIP CODE O 0 , 1/1 �� J'S JOB PHONE ARCHITECT DATE Of PLANS t✓'Fiang Tarps to Protect House and Grounds f� r/Btrip Entire Main Roof yj T fl Aluminum Dripedge on All Lower Roof Eaves e-nail All Loose Boards with Galvanized Nails Install Underiayment Paper Install Ice_and IN atershield High at Lower Eaves ice!' ' t '.Counter-flash Chimngy - t�New Pipe Flashings / r Reroof Same Areas Specified To Be Stripped r✓ G �ype of Shingles w ytolor of Shingles __lean all Gutters Upon Completion _— em6ve all Excess Debris and Power Magnet Grounds rnlP ! ��(�Years Guarantee on All Workmanship '` _(,J. 1 �� _ _ Total Cost Cost of Labor and Material Deposit Required Balance Due Upon Completion �l ¢ rope hereby to furni h'material and labor — complete in accordance with above specifications, for the sum of- dollars l$ 4 7 Payment to a made as follows: I All material is guaranteed to be as specified.All work to be completed"in a workmanlike Authorized/ manner according to standard practices. Any alteration or deviation from above specifica Si nature �� tions involving extra costs will be executed only upon written orders, and will become an g v extra charge over and above the estimate.All agreements contingent upon strikes,accidents J or delays beyond our control.Owner to carry fire,tornado, and other necessary insurance. Note:This ropO withdrawn by us if not accepted with sal mayrhen days. Our workers are fully covered by Workmen's Compensation Insurance. � ' Ar reptantt of proposal—The above prices,specifications a►^ and conditions are satisfactory and are.hereby accepted.You are authorized to Signature do the work as specified.Payment will be made s outlined above. Signature Date of Acceptance: 6 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 0 ,64 Map Parcel'."." ,:,Applicati6nn # - 1A Health'Division Date Issued Conservation Divl/n -:�Application Fee f Planning Dept. Permit Fee Date Definitive!Plan PlqnW�, ?ard AC/ Historic OKH Preservation Hyannis Project Street Address LN Village A44 G s7 'A R IV 5-T Ig LC J-4 -A .4 Owner Ps7t L -T. �) Address W Telephon;e CP.b_rmit_-R_6q—u_6st_--S Li, 1)�4 19-1 r 14�-7A Square feet: 1 St floor: existing >. —proposed .2nd floor: existing—proposed Total new Z6ning District- Flood Plain Groundwater Overlay ___f Pro-iebVa_luation—&_?O del Coristruction Type Lot Size Grandfathered: Q Yes J No If yes, attach supporting`--documentation. cast C) Dwelling Type: Single Family .-P Two Family El Multi-Family(# units) f 4 Al) Age of Existing Structure Historic House: Q Yes Q No On Old Kin&,f Highw*: UYes Q No Basement Type: Q Full Ll Crawl L3 Walkout Q Other Basement Finished Area (sq.ft.) Basement Unfinished Area (s ft) Number of Baths: Full: existing new Half: existing news' Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Euel: Q Gas Q Oil Q Electric U Other Central Air: Q Yes Ll No Fireplaces: Existing New Existing wood/coal stove: Q Yes LJ No Detached garage: LJ existing Onew size—Pool: LJ existing Onew size Barn: Llexisting Onew size Attached garage: U existing Onew size _Shed: Q existing L] new size Other: Zoning Board of Appeals Authorization El Appeal # Recorded LJ Commercial El Yes Ll No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) die I TOe I e6 pi o e h-h ' Number�Address- sei AT/A 1—a C, +79A ��Licen 0 .,,.Ho m e-Improverh6nt_Cbntractor-#_ 4 U or- dcop Worker's-Compensation-# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO - /ZO C-SIGNATURE- DATE 9 Z 2-- FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO:, i t ADDRESS i° VILLAGE 7 OWNER '' E L =DATE OF INSPECTION: FOUNDATION FRAME F 3,1 Cam a e dins �g�e em es sc INSULATION FIREPLACE t a' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING' 31A.Aq DATE CLOSED OUT ASSOCIATION PLAN:NO. y . 5 THk1-1Town of Barnstable , ,. � Regulatory, Services 1ASi?23TAbL£, •. . Thomas F. Geiler,Director Building Division Thomas Perry, CBO,Building Coiunussioner 200 Main Street, Hyannis,MA 02601 www.t.own.barnsta ble.ma.us 'Office: 508-862-4038 - Fax: 508-790-6230 PLAN RE'VEEW Owner: �i5'n R P Ma /Parcel: 133 7 Project Address 39 -CA/n4foN) IN WQ Builder: W/ e KI- The following items were noted on reviewing: /D K Ilk Ct S.7" zs?6 . Cows 70 �UIIV b ZVA)is So ri0—rg-/3 E5= 10�0s25 To /*WAs C,eCH - .re 77 Reviewed by: Date: Q:FonTis:Plnrvw r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/din Workers' Compensation Insnrance Affidavit: Builders/Ctintractors/Electricians/Plumbers Applicant Information Please Print Legibly C- - Bus l G' iness/Organizarion/Individual): �� D��'Na1I1e,(Bus1�--Address J/Y - City/State Z:_ LP AL /nA— Phone.#: '—�-P0-"" Are you an employer? Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6 ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. I am a•sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These su ❑b-contractors have g, Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp. insurance comp• insurance.# 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required_] 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required]t c. 152, §1(4), and we have no 13.❑ Other . employees. [No workers' comp,insurance required.] 'Any applicant that chocks box#1 must also fill out the section below showing their workca'compensation policy infarrnation. t Homeowners who subruit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must providb their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the paltry and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/Statdzip: Attach a copy of the workers' compensation policy declaration page (showing the policy ntunber and expiration '"ate). Failure to secure coverage as required under Se i i ction 25A of MGL c. 152 can lead to'the imposition of crimal penalties of a fine up to 31,500.00 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. Be advised that a copy of this statement may be forwarded to the Office of - Investigations of the bIA for insurance coverage verification. I do hereby certify under the pains-and penalties ofperjury that the information provided above is true and correct. Si atnre: ! Date: A— phone4: Offncial use only. Do not write in this area, to be completed by city or town officlaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and li-istrueti®ns Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute, an employee 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 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 chapter 152, §25C(6) 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 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 insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill 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 employees other than the members or partners, are not required to carry workers' compensation insurance. 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 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, n6t the Deputnent of Industrial Accidents. Should you have any questions regarding the law or if you arc required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Towp 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 permiVbcense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/licensc applications in any given year, need only submit onp affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (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 roof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each p year.Where a home owner or citizen is obtaining a.license or permit not related to any business or commercial venture (Le. a dog license or permit to b&n.4caves 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 Commonweal of Massachusetts Department of Ind-o�al Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-490.0 ext 4.06 w 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass..gov/dia i _. , °p1Her y Town of Barnstable w Regulatory Services ►sue STA LE.� Thomas F. Geiler, Director' Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.mams Office: 508-862-4038 Fax: 'S08-790-6230 Property Owner Must Complete and Sign This Sectian If Using A Builder I, �S 1 L �' }�� S , as Owner of the subject property hereby authorize ��-e� ° G �s to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) r f.f g Signature of Owner -Date 3 �S 1 L Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on t1f'e reverse side. Town of Barnstable �opttte rph� Regulatory Services BARN.-rAaU Thomas F. Geiler, Director j, MASS. 1619. A�� Building Division rf0 µAt Tom Perry,Building Commissioner . 200 Main Street, Hyannis., MA 02601 K'wiv.to,A'n.bartistabl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 ________-------- HOMEOWNER LICENSE EXEMPTION Please Print , DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include'owner-occupied dwellings of six•units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. �' 4 DEFINITION OF HOMEOWNER Persons) 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 trio-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",certif�s that 1;e/slie,unde-stands dle Town of Bsrnstab]F Building Departi-milt - f minimum inspection procedures and requirements and that he/she will comply with said procedures and requireme Signature of li m owner Approval of Building Official ' Note; Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1..1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors;Section 2,15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would With a licensed Supervisor. The.homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. 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(Iecics) ,joist Size - Joist Sp. jci ij� i 2x6 2x5 WO U 2x.1.2 12" (9-G I I :14-3 17-4 16"it 7:4 I U-U - -12-4 *15-0 20 6-7 11-0 13-5 LL 24" 6-0 8-2 12-3 (,iYF N 0F'G t-r /S Of? f}go v �OIST4NGF)F2S '2 Qu i R O p N Board of:B ding g�n�nyau Construction,Su Standards J Pervisor License 1 License:'` 22005 CS.. I E pIFation J31/2010 Tr# 18028 ;r r i FREDERICK J"INIGKLE11 S ^ i' RANpMLOCK TER '—`-- as'c--�" j OLPF{ 40 MA.02368 � `� = __• Commissioner j an�rzonu� topBoard of Building � u�oett g Regulations and Standards HOME IMPROVEMENT C License or registration valid for i Registra�` CONTRACTOR 108788 before the ex ndividul use only Ezpi�tion_' expiration date. If found return to: --8/25/2010 Board of Building Regulations and T1`-- Tr#' 273269. One Ashburton Place R Standards 1, YPe'—P.Private Corporation m 1301 FREDERICK J.r"' i Boston,Ma.02108 WICKL�ES;BaCO 'INC. Frederick Wickl14 es '�'� Hemlock Ter. Randolph, YT ` MA 02368 ' Administrator � - --'— o Not valid without su rgnat rue _ i. ---- O s .� 7 41 G r � x a \c N \ �fi L r �s f ViSNaV :jot,,,tioi ��jl soot L o snd f� TIN w � cc Zi LLJ CL Cr3 3YU ooe 41WV-d FT '14 O ` W a fJ a t� ►rrJ S C d,oy SINE 1p4 Barnstable Old Kings Highway Historic District Committee „,PM,SM ; 200 Main Street,Hyannis, MA 02601, TEL: 508-862-4787 Fax 508-862-4784 APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4)complete sets,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 all categories that apply; 1. Building construction: ❑ New ❑ Addition Alteration 2. Tyne of Building: "Rl'House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting, roof ❑ new roof ❑ color/material change, of trim, siding, window,dock' —1 w 4. Si n : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign m C:)3 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court JA Other-U) 6. Pool ❑ swimming ❑ Other man-made pool Type or Print Legibly: Date: Address of proposed work: House# 3 7 CR g, S d/V �/3/b Street: Village VV essors Map Lot Description of Proposed Work: Give particulars of work to be done: Z G /t1 &ram. F X l s-4% la,e-_ � ram' ,,� � „ sy,�,�-;��, � � a-C Agent or Contractor(print): "12' r: )/;..n/C k ,?-t-V/(,14 elep n#? Address: tt �,7 Contractor/Agent'signature: - _ NOTE All applicadonsmust be signed by the current owner Owner(print); B 8511- -1, -1> tA' 12 i-Pr` �j Telephone#: Owners mailing address: .W-(A LiP C--L C S'/ Vim-P �} u Owner's signature: t^y^ For committee use only. 'T is Certificate is hereby APPROVED/DENIED � # Date ]Members signature 'r VV iL s; ' p AUG 1 7 2008 �fi:,r� Trad �0 LEI o .�. _o_-r�` 3 co o JF { Any conditions of approval: ?� W'PRESERJrt, (� Op 1 C.IDocmnents and SettingsldecollikV"al SeiiingslTempormy Internet FilesIOLKI IOKHCert Appropriateness 07.J�c Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 copies Foundation Type: (Max. 18"exposed)(material-brick/cement,other) Siding Type material: Color: Chimney Material: Color: Roof Material: '(make&style) Color: Trim material Color: Roof Pitch:(7/12 minimum) Window: (make/model) material color Size(s): Door style and make: material Color: Garage Door, Style Size Material Color Shutter Type/Material: Color: Gutter Type/Material: Color: Decks: material.14agi /LFX jr,/fL4 Size _ d-X Color: 11-/z X Skylight,type/make/modeV: material Color: Size: Sign size: Type/Materials: Color: -o _� rri Fence Type(max 6 )Style material: Color: o ea Retaining wall: Material: -X' tv Lighting,freestanding on building illuminating sign �� Please provide samples of paint colors and manufacturers brochure of style of windows,doors,garage doa , fences,lamp posts etc ADDITIONAL INFORMATION: Signed: (plan preparer) ��--� print name ��--�ek, IE r tel.no. Location of application: Street no. - d L-AA Street Village L✓ U yL` f C.Documews and Settin sldecolliklLocalSettln slTem ra Internet ! AU 7 8 8 Po rY Appropriateness 07.doc L 1 TOv. HISTG -1 d :JS 0,+1 Cf a.,7o fl ti-W-7 2/7�Z �d 3SfIFI "„J\ r' N. 'ciocc CC co Lm o m CC SEP o �' �s i Q� Q o Town o o.:r:>:«. u CD I Old Comm,�teeingn> y 0 �_ L 1 I ��_,G 1J�✓I�SI�J � � f SQ I S'1/Jv�-7 S j try i w } �oo2Z S'7 7 �-7 Sb Y� Town of Barnstable *Permit Expires 6 mondis from issue date Regulatory Services Fee W. � Thomas F.Geiler,Director ' Building Division 8ox Jul Tom Perry,CBO, Building Commissioner T). °I 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 without Red X-Press Imprint Map/parcel Number Property Address_ �/— I'� � ► _��C�L� 6 , r ^^�� ❑Residential Value of Work �c.��- Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 7Q gl�, holler-, 0,26 3(5 e �'S/Telt� net tuber /7 / �Y� Contractor's Name �7 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) nC2 c� ❑Workman's Compensation Insurance X-PRESS PERMIT Check one: i ❑ I am a sole proprietor AUG 2 8 2007 ❑ I am the Homeowner I have Worker's Compensation Insurance TOWN OF BARNSTABLE y� __err) b Insurance Company NameA // Workman's Comp.Policy# V63c�/0Q Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ( SS ❑ Re-roof(not stripping. Going over existing layers of roof] ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (�cimum�44.),> lc�l,rn "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic;•Gonservation,etc. ***Note: Property 0 r must sign Pro erty Owner Letter of'P'ertnission C � A copy of e Hom vem t Contractors License is requires . )i` SIGNATURE: p; Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers''Compensation Insurance_Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bI Name(Business/OrganizetiomUdividual)l: a c •Address: City/State/Zip: C b6 Phone..#: 7� �9 Are you an employer? Check th appropriate box: -Type of project(required):, 1.� I am a employer with 4. I am a general contractor and I employees(full and/or part-time).'" have hired the sub-contractors6. ❑New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. []Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp.insurance comp. insurance.t' required.] 5. We are a corporation and its 10.0 Electrical repairs or additions '3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself: [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' . .13.❑ Other comp. insurance required.] , 'Any applicant that checks box#1 must also fin out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Cdntractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must providt:their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below islhe policy and job site information. O , Insurance Company Name: /6 Policy#or Self-ins.Lic.#: sgqc�,__ Expiration Date: Job Site Address: �3 9 lJ��/�✓� �C�r7 City/State/7ip� pZt Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),., Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 16 hereby certify under the p ' s•an ;es f perjury that the information provided above is true and correct. Sitrnature: Date: 23 Phone#: Official use only. Do not write in this area,tb be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: UG 28 2007 10 : 56 FR AIG 973 331 8599. TO 915097906230 P . 01i02 I i , � :r• a,�', ,� �Tct y �.1�t � nr5'�' .a1`y,' A7:'3s ' e :�• XEym:,yn�,n•"Y'TS1`z 3'ai�� A• 2;Ais."r.,toY'.�,1•,�: <<:yr, Wast 'pia R' '�l. '• �' .i%v .' 'r•;'N; ' ;'her. 'tr'l1'e!Tr} PROIDUCER ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE AlberfJ Tonry•S Co I'C HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 300 Cohgmas$t ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Quln(y''Ar k 02-169.0907 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED.' i Ralpb�,W,RbafiM&Sloing'Iris rt;, , ,' Po•6dX�92297 Q W rlq�"MA}b2289`Dopo �i�r• - IV �;i'1:' r '�L�""'idj +' -,�f ?'i,�,, ��«'�,• .P.3�_h THIS IS 7;p CERTI II'THAT t�o 00 1CIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR' ; THE;P&J6"0ERfOD INDICATED,NOT WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH'RES0ECT'T0•WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE 'POLICIES•DESOMED MERErH IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY,HAVE`BEEN R�DUOED BY PAID'CLAIMS. .. ' LSR , E Or•IN'J'U11AhtCE: POLICY NtlMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE ' A Ee(PLOlfERS"LIABILITY rROPRTOAr '.. LIMITS - C�tBI�f�COWE i NC� EiccL❑ .2407538 6/14/2007 6/14/2008 TATUTORY LIMITS toVA OpejaUens OMY. CH ACCIDENT $ 100;00 IDISEASE POLICY UMIT S SOr'3,0 1DISEASE-EACH EMPLOYEE $ t QOO l0M0F OPERiA'T10N NEHICLES/SPECIAL ITEMS CERF_FJ'C'AT`EHO DERV. CANCELLATION TOVft,QF?BA,RN{STA LE A16A ,y' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ATTIFJ;,Y1 t:'IAB6i6E/BLDG'f1dS EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1Q BA'R'NSTA4LE,FAA DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATNES, i AUTHORIZED REPRESENTATIVE ' i Page No. of Pages H.I.C.No. 101135 RMNBOW Lc.No.025458 ROOFING AND SIDING, INC. PAUL KAZOL US P.O. Box 692297, QWnry,MA 02269 (617) 471-2999 PROPOSAL SUSIATTED TO J PHONE �� 5 -(^- S •�R 1:13�S )s 22,V-r,/-Illq STR 'T JOB NAME . Inn 1 CT- ANP ZIP cOD r. JOD LOCH N (,t) ,3 JOB PHONE ARCHITECT DATE OF PLANS �^ - t/Hang Tarps to Protect House and Grounds -- - �T•VeStrip Entire Main Roof Aluminum Dripedge on All Lower Roof Eaves - _ /Re-nail All Loose Boards with Galvanized Nails_-- - X Install Underlaymenl Paper - - ,"nstall Ica and Watershielciff High at Lower Eaves _.— ,J Counter-flash chimney - - V-*'New Pipe Plashin I_::, CDReroof SameZZ _Areas Specified 70[ie Stripped __. -M pe of Shingles _p —� U7 co Color of Shingles -- Clean all Gutters Upon Completion __6 __u_— --__....,,. -, —..-..--• � -- '" JRemove aH Excess Debris and Power Magnet Grounds _ „�_— N ccow- - , Years Guarantee on All Workmanship Total Cost of Labor and Materla14 ��„,-„_ Deposit Required ._ ---- _- __ Balance Due Upon Completion 1E ropost hereby to yturn, material and labor — complete in accordance with above specification$, for the sum J 40� . Payment to a made as follows; , r� All material is guaranteed to be as specified. Allwork to De completed in a workmanlike AUthoriz manner according to standard practices.Arty alteration or deviation from above specific SI Hater bons involving extra costs will be executed only upon written orders, and will become an 6 extra charge over and above the estimate.Ali agreemonts contnecnt upon strikcs,accidents o 4mY, eor delays beyond our control,Owner to carry fire,tornado,and other necessary Insurance. Note: I propImhda s. Our workers are Tully covered by Workman's Compensation Irtsurence, withdrawn by us If not aecep ed�+7In �� Y Aceptance o Proposal—The above prices, specifications q y� and conditions are satisfactory and are hereby accepted.You are authorized to Signature do the work as specified,Payment will be-m7a_de s outlined above, Date of Acceptance: - Signature -- Board of Building Regulations and Standards HOME License or registration valid for individul use only IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registratioh:'\101135 Board of Building Regulations and Standards Expiration9.6%25/2008 One Ashburton Place Rm 1301 Boston,Ma.02108 TypePry�ate Corporation RAINBOW ROOFIN4Gf8=SIDFNGINC °e� .• Paul Kazolias - 67 ISLAND AVE. �' Quincy,MA-02269 Deputy Administrator Not i w tho t signature I i i Paul Kazolias 617471-2999 RAINBOW. ROOFING AND SIDING,INC. ESTABLISHED 1972 LIC:025458 H.I.C.101135 PO Box 692297 T _ —'t Quincy,MA 02269 77� ej, it— p Tt 10 1 L LOG: It, y 0 1 k, 0 l zl.;-'J -AN 2 . 3 jr.. e V.4 7:1 .1 T TOP 0 F FOUNDATION EL. 8 9 0 -C 0 LOCA COVER 1/8 3/8 2 ED 'STO ME I N I I it. L I z -E L I IN 7 e I NAL op I L U-P 12 WASHED ONE' -IN 4 1 Q el D/B :W/.il 3/4 sum UID 14 EVEL 5 ESUL 6"EFF."DEPTN' p E P f R EL CAST, 1N." PLACU" S a S �'S EF PRECAST - :TANK W ITH,-' 6 Rt, IT]C AST LfAdki'N AND SIZE ---------- OUTLET-. I I,` �il I T LE 19 zo S I ZE ATE DIA 0 1 A 177 ;� &A01 t44 e7 4r POSE FIL G I a N S j A�. 7 71 N DES]GN ED B Y OW EGULAT H E Ab'� - � - - "'. 0 LE -0 SPOSA S C A S TA Tf-,�r:-T i TM, F R -SUBSURF 4� 7 1 4 4 0 P SE WE PI PES S H LE VoC A 8 E ca A L L;" E P F ri:-,4 -4- 7' 2 4 '0 P E 0 FO 7EXC 14 OT _IPES H 'Ot is—SHAL F I RST 2 J EE WH ICH T, E IM N E T B 'LIVE L A 7' .7 AV L 0 W BE 00 S 0 A I A PER L 0 AY ;IESIGN � R LOW R F EPTI C TANK I I ZE' "GAL S A 1L IN A R B A 6 E ISPO i ACHING .-SYSTEM- US A A FFECTIVE ' OTTOK' L Oil LIIW� 44 If BA'aftlet, ISPOSAIL V I a SAODA N N C E", PL, HE Bf -Afl Al iL By 'DU#%n E A LT H S,I or NE W R. 'ERTY 'r -PROP -71k A VATE VA 0; 4 7, A�_ �rw�ltr. 4 4p IIEDROD M��.S ftIOU �4j ATE4' SS A_L�S It F��Ji L WR 7�1!�1!So