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0611 CEDAR STREET
,1 1 ���� 0 3J�.-CVCIfp p2i UPC 12543 so No. 53LOR 4,00 To�s�`� HASTINGS, MN i —_� r—` �-------� _ -- — y i �� a r i �, r b yL 2615011 Ib Town of Barnstable .*Permit# Expires 6 months from issue dote Regulatory Services Fee M"� Richard V.Scali,Director •p Building Division OCT 9 Tom Perry,CBO,Building Commis10 c� ?Q 200 Main Street,Hyannis,MA 02601 w,u OF 8q ' 15 www.town.barnstable.ma.us �tUS' n �q � Office: 508-862-4038 Fax:gN? �90-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Map/parcel Number 10 _ D P Not Valid without Red X-Press Imprint Property Address [ /Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Pl�c� ` A-00 L>_1L-LL1K f to a C Sr Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance (� Sa yt(��Q, Q �9 ,L��� AF Check one: ❑ pdm a sole proprietor P"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 Requ (check box) [V]�Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide.detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance 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 quired. SIGNATURE. QAWPFILES\FORMS uilding permit forms\EXPRESS.doc Revised 040215 The Commonweakh of-Marsadiuse& Dqwhyrent of1ndkrlria1Actadents Office ofinvesfigafions 600 WashhVion Street Boston,MA 02111 wFm-v mas&gov/dia Workers' Cahmpensafran Insurance Aff favit:BBmlders/Can&actursMechiccianslPlamhers Applicant InfornsaiaII �j Please Print Le� Y CityiStat 4-- Are you an employer?Check the appropriate box: Type of p " (re quired): equired): I.❑ I am a employer nigh 4. ❑I am a general contractor and I 6. ❑New construction em;Ao5ees,(fi d andfor part-time)-* have lired the sub-contractors Z.❑ I am a sole prvpsietos or partner- listed on the attached sheen I ❑Ran deling ship and have no employees . These sub-ccntractum have 8. ❑Demolition w rynv forme is any capacity. employees aid have worms' 9. ❑Building addition [No WOd=s' Comp.iastuance Comp-", "" /reT6red] 5. ❑ We are a corporation and its 10-❑Electrical repairs or additions 3.® I am homeowner doing all work officers have lry e=cise.d their 11.❑Plumbingrepairs or additions �€� �- c.E52 e ` o workers' right of egemptioa per MGI. Z1ep� , I f and we have no employees-ayees.[No waz�s' �ElRoof i ix�a�tranrgr d]F 13- Vther "L- ajno comp-msmance requires-] •ttay app&=ffiat checicsboa ffl matt also fM o=the�tionbeTow sboui�&ieirvmrtei 'compeasafioapa&cy iuEmns timL i Homeovmers who sulmmt dais afSda«r mxEczma�g they axe doing all Wan}and dsffi hire cmw&e r••,,**Rcmrs mast submit a new affidamt mdicatm such. fCanixac I S=r:hecl[this boa mast r techest oa additi—,sheet slowing the—of&a sub-c�and state whe>hAs or not Sense emities hzae employees.IMP nib-cnntx claw hie employee%dsey Est pmvide tlmir wa kmm'imp•pGl+cF aumbeL lam an eutplafer float rs prouidin,,-,workers'compensation insurance for my enrplojpem $aIow 1s thepvlicy and job site informadom Insurance Company Name: Porficy 9 or Self ins.Iic. FxpinrkonDate: Job Site Address: city/Statelztp. Attach a copy of the workers'compensation policy dedEaration page(showing the policy,number and expiration date). Failure to secam coverage as required under Section 25A o€MGL c�1512 can lead to the imposition of criminal penalties of a fine up to S1,SOd 00 andtor one-year impsisonmenty as well as civil penalties in the fiats of a STOP WORK ORDER and a fame of up to$250-00 a day against the violator. Be adTised fiat a copy of this statement maybe forwarded to ffie Office of Itrvest gation s.of the DIh for instsaace coverage verffication_ ydo herWT fy under the pains andpenalfis of$erjury that the informatiou prm ded above is true and correct Sitnaatnre: Date: a (� Phone 4& 0,0Eciai am only. Do not write in thb area,to be completed by tidy or town gjoidat City or Taws: PermitUcense: Lssning Anfiaority(cirde one): 1.Board of Health I BmWng Department 3.Cdylrawn Clerk 4.Electrical Inspector S.Plumbing inspector 6.Other Contact Person: Phone#: 6 Taformation and Instructions h accar-I-m C,&aeaal Laws chapter M reqrdres an cunployegS to provide workme compensation far their employees_ puns= Hm this sfatrt-,,en.C,"PIayW is defined as--every person in the smtvicc of am other under say coact of 1aim, express or implied,oral or wri tm_" An m7W&yer is defmad as"an mdxvicjo l partnership.associahom,crnpor�ion or other legal mutity, or any two or more of the foregoing engaged in.a joint Vie,and inching the legal represeniafives of a deceased errrployer,as flic receiver or trustee of an fildividnaL parmelsI4,association or other legal entity,employing employees. However the owner of a dwelling house having not maze than three apmtnerds and who resides thermm,or the o=apant of the - dWeMog house of anodjer who employs pessons to do mai rrt n ,construction or repair work on such dwelling house or on the grounds or bmldmg appurtenant theautn shall not because of such employment be deemed to be an employer." MOL chapter 152,§25C(6)also sites that"every state or local Hcensm- g agency Shall withhold the issuance or renew-Al of a license or permit to operate a business or to construct bufidings in the commonwealths for any applicant Who has not produced acceptable-evidence of cdmpR=ce with the ftL aran ce.coverage required-" Additionally,MOL chapter 152, §25C(7)staffs�Neitherthe,coromanwealth nor jay of its political subdivisions shall enter into any contract fortbc performance ofpubho wmkumtil acceptable evidence of complia;ncewiih the inseam.. reguirmenjeads of this chapter have bee:a presented to the contacting anthomty-" A-PPIicants Please flI oiif the woii='compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-MrItMctor(s)name(s). address(es)and Phone num =(s)along with their cert[Eicate(s) of insurance_ Limited Liahgity Companies(LLC)or Limited Liability Liability Partnerships(LLP)with no employees other than the members or partners,are not rr gakrd to carry worhreas'compensation insurance If an I LC or LLP does have employees,a policy is regaired. Be advised that this a$i&,vit may be submitted to the Department of Industrial Accidents for confirmation of msarmice coverage Also be sure to sign and date the affidavit The affidavit should be rettrirned to the city or town that the application for the permit or license is being requested,not the Depattnenf of Industrial Accidents- ZhouId you have any gnestions regarding the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-msared campar ies should ear their self insurance license number on the appropriate lime City or Town Offscials . t _ Please be sun a that the affidavit is completz and prhted 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 tD fill in the pe�rt/ticense mmaber which will be used as a reffe=ence number. Iu addition,an applicant that must submit mubiple P=itl icense applications is any given year,necd only submit one affidav t indicating cuar�t policy information.(if necessary)and under`clob site Address"the applicant should write all locations m (city or town)_"A copy of the-affidavit that has been officially stamped or marked by the city or fawn may be provided to the applicant as proof that a valid affidavit is on file fur future permits or Iiceases_ 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 ve'nturc (ie- a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigalions would hike t O thank you in adnce fur your cooperation and should you have any questions, please do not hcsifafa to give us a call- The Department's address,telephone and fax rmmbcc Dement of 1a .a1 Accidents (ice of Xnve&tgatao= Bostonz MA 02111 Tel.4 617' -4900 eat 4€6 ar 1-977-MA-S� Fax#617-727-7M Revised 4-24-07 mgc�gfdia I ofTME rq,�, swxrrsr.�a, : - ,� �,��MASS Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder as Owner of the subject property i hereby authorize to act on my behalf in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFnXS\FORMS\biWding permit forms\EXPRESS.doc Revised 040215 Town of Barnstable Regulatory. Services �THE r, Richard V.Scali,Director ILIA Building Division r AARNST-433 . : Tom Perry;Building Commissioner ASS 1639. � 200 Main Street, Hyannis,MA 02601 ED www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION `DATE: Please Print ��7� � l� ( �J —1 . JOB CATION: aZ C7 C. ✓L —= 1 � • � 1 l''I CCU "� O;Z [�O LO � number , street g village "HOMEOWNER": ��k(J�� L-112 L2 11 9 o^S t 4 name home phone# worfc phone# . CURRENT MAU-ING ADDRESS: cityhDwn 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.ffiection 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 cedures and requirements and that he/she will comply with said procedures and requirements. Siknature of Homeowner 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 EXF24 TION 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:\WPFU-ES\FORMS\bufldmg permit forms\EXPRESS.doc Revised 040215 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel V v ppon # Health Division Date Issued Ok Conservation Division C- Application Fee Planning Dept. Permit Fee t 0 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis (� Project Street Address N CCk at Village � ch�STC�I� Owner Address 5, Telephone -go 76 Permit Request wK%ie ay4 ti46 (, QF Y Rc 6irh y Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overla, N Project Valuation Construction Type s„ Lot Size Grandfathered: ❑Yes ❑ No If yes, attaoh suppoing do umentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Hi( &ay: l Yes ❑ No CM Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other rn Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No 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 ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) C 'Name �� y`�`S'"a Telephone Number �� S43`�-SAS y ®ri� c t q 4 Address �, g wry � °2-5�1 License # Home Improvement Contractor# 11&6 14 Email: Worker's Compensation # A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE w FOR OFFICIAL USE ONLY '�PPL"ICATION# DATE ISSUED- MAP/PARCEL NO. ADDRESS VILLAGE f OWNER " DATE OF INSPECTION: ��FO.UNDATION�t��-�tiar��t�.urc!v� iu��z,� FRAME INSULATION ,,A is FIREPLACE s. ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING==- ZI? .' DATE CLOSED-OUT ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Invesfigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organin ion/Individual): Address: City/State/Zip: 04A GZ Syf Phone#: Aru an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 1- 4. ❑ I am a general contractor and I employees(full and/or part-time).* have-hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 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.: required.] 5. We are a corporation and its 10.❑Electrical repairs or additions i h d i ter ha ve ave exercised 3.0 I am a homeowner doing all work o 11.F1 Plumbing repairs or additions myself [No workers' comp, right of exemption per MGL 12.❑Roof repair 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 fill out the section below showing their workers'compensation policy information_ t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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 provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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. I do hereby certify e and realties ofperjury that the information provided above is true and correct- Signature: Date: 1-1 2—jJ Phone Official use only. Do not write in this area to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 re w turned to the city or ton 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-insurance 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 permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense 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 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 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 lice 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 Commonwealth of Massachusetts Department of Industrial Accidents Office of Uovestigatiaas 600 Washington Street Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-877 MASSAFE Fax#617-727-7749 Revised 4-24-07 www,mass_gov/dia . Jilaren nuoeSQ iRi1C-I'ClyuriumuL:LUiiu.L l lG/ 1G) V7/ 1V/ GV1J 1V: JV:`iJ APl —V`tVV Rightfax N1-1 9/10/2013 7:20:43 AM PACE 2/002 Fax Server r CERTIFICATE OF LIABILITY INSURANCE MMMIDDIYYYYIilir"q1 IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE R PRODUCER. D THE CERTFICATE KOLDER. IMPORTANT:If 1he certificate holder is an ADDITIONAL INSURED,the po icy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to he terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer ilphts to he certificate holder in lieu of such endorsem s. PRODUCER CONTACT NAME MURRAY&MACDONALD INS PHONE FAX 550 MACARTHUR BLVD (A)C,No,Eno: 1AIC,No): E-MAIL BOURNE,MA 02532 ADDRESS: 75NMN INSURERIS)AFFORDING COVERAGE NAIC A INSURE INSURERA: TRAMTLERSMbNNITYOOWANYOr•ANMCA KADY,STBVEN DBA STHVEN KADY di:SON MASONRY INSURER B: CONSTRUCTION INSURER C: INSURER D: P 0 BOX 493 INSURER E: FALMOUTH,MA 025410493 1NSU F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TO THE INSURE RAINGO ABOVE FORCY MUODINVICATED. NOTVATHSTANDING ANY REOWREYpIf,TERIN OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHEN THIS CE RTFICAYE NAY SE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED Of THE►OUCHES DESCRIBED HEREIN 15 SIIBNE CT TO ALL THE TOM.EWLUSIONS AND CONDITIONS OF SUCH POLICES UNITS SHOWN MAY NAVE BEEN REDUCED BY PAD CLARn MSR ADD sm POLICY EFF OATS FKICYEXPDATE LTR TYPE OF INSURANCE L R POLICY NUMBER (NMDOWYM (ABIDOIYYYY) LIMITS DENERALLUUMUTY ACHOCCURRENCE 3 COM6AERCIAL GENERAL UAfl1Lr Y CLAIMS MADE OCCUR. REMISES(Ea MAGE TO Eoccurrence) NTED S r-SONAL EXP(Any one perscn) S GENL AGGREGATE LUT APPLIES PER: E ACV INJURY S E RAL AGORECATE S POLICYEl PROJECT LDC CUCTS-COMPIOPAGG S AUTOMOBILE LIABILITY RINEDSINGLE i ANY AUTO MIT(Ea ccidert) ALL OWNED AUTOS 3ODLY INJURY S SCHt:LXJLt All I OS Per person HIRFD AUTOS DLY INJURY S Per accident) NON40MIED AUTOS OPERTYDAMAGE Per accidert) UMBRELIALIAB 0 OCCUR ACHOCCURRENCE f FXCFSSIIAR CIAJMS-MADE kGGREGATE S DEDUCTIBLE S RETENTION S S A WORKER'S COMPENSATION AND Y WC STATlrrORY OTP"eR EWLOYER'S LULBILITY YIN UB-931X7321-13 O�RD13 Of1292014 ` LIMITS ANY r'ROr'ERRC--OjT`ARTNERIE>.ECJrNE G E.l EACH ACGIDEIJT S 500,000 OgFICER/M_M3ER EXCLUDEU'I (Mandatory In NH) EL DISEASE-EA EMPLOYEE S 300,000 r DESCRIF'TOOF.?PERA7pN9 Ob LSEASE-POLICY LIMIT S 500.000 DESCRIPTION OF OPERATIONSA.00ATIONSNB/1CLESIRESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PTZOR CET+71 IFCA-E ISSUM TO THE CEP.71RCATB HOLD&&AFnCT070 WORKERS COW COVERAGE. THE W�,P.Y.ERS COMPENSATICN?OL:CY DOM NOT PROVIDE COVPR.AOE FOR KADY.STEVEN CERTIFICATE HOLDER CANCELLATION TOWN OF RARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEIIED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELPNERM 200 MAW STREW IN ACCORDANCE WITH THE POLICY PROVISIONS HYANNIS,MA 02601 AUTHORIZED REPRESENT A ( e name an logo,are i sTH rrmrk3 of A 1 0 A AV is Tesery Office of Consumer Affairs&Business ddCLC1fe"4 J. •,` e ME IMPROVEMENT CO it :: ,S`: �l gistration: f26014 NTRACTOR <;.'� I.. •Massachusetts -Department of Public Safety xpiration:. q/8j2014 Type; j f `q! Board of Building Regulations and Standards STEVEN , , �" " Individual ��I KADY Construction pcn�' orpeci Su is altN. _ S STEVEN KADY License: CSSL-059847 10 LEDGE ROCK DR. STEVEN L KADy N.FALMOUTH, MA 02556`'i'=''"' / 4 PO BO X 493 Unde� T� FALMOUTH Mk025"41 d e to ry i b ``` Expiration " ' Commissioner 10/03/2014 r, License or,registration valid,for individul use only i y ti"efore the expiration date. If found return to Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 i k. 1 ' Not valid wit ut signature f Steven Kady Phone: 508-563-2515 Ma. Licensed Construction Supervisor#059847 Toll free: 800-567-9787 P.0 Box 493 Falmouth. Ma 02541 Cell: 508-566-5087 Fax: 508-563-2516 Email: skzx12r(@aol.com www.SteveKadyMasonry.com PROPOSAL September 1, 2013 Jude White 611 Cedar St. W. Barnstable, MA. 508-375-9076 Jgriffinwhite(a)hotmail.com Upon inspection of 611 Cedar St., there is an apprx. 12"x 12"hole in the chimney, caused by lightening strike. There is also a structural cracking in the chimney. Interior flu liners have broken &shifted. Until chimney is taken down to the roofline&re-inspected, it is not possible to determine to what extent the damage is. ESTIMATE: • Construct ground staging • Construct roof staging • Remove gable end chimney, down to first roofline • Inspect chimney&flu liners,for damage • Remove&replace or re-set, broken and/or shifted flu liners from the first roofline, "up" • Re-construct chimney, adding one foot, to meet current Ma. State code • Install new flashing &roofing at roof line of chimney o With detailed crown To remove and replace chimney,from upper roofline up,cost: $16,200.00 Additional work will be required on lower portion of the chimney. Additional costs TBD, at the time of inspection. Pricing includes, labor, material(including roofing), building permit 50%Day of start balance due upon com letion l/ I R.J. Margetta Adjustment ■■ �� PROFESSIONAL ADJUSTERS AND PROPERTY APPRAISERS ® 82 Granite Street Fall River,MA 02720 (508)675-5330 (508)675-5326 personal Fax(508)675-4660 4 commercial inland marine FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS, GENERAL LAWS, CHAPTER 139, SECTION 3B 7/2/13 Attn: Building Inspector Barnstable Town Hall 367 Main Street, F1 4 Hyannis, MA 02601 RE: INSURED: Jude White MAIL LOCA: 611 Cedar Street, West Barnstable, MA 02668 LOSS LOCA: 611 Cedar Street, West Barnstable, MA 02668 POLICY NO: 60767400004 ` [r3 CLAIM N0: 033363726 � DATE/LOSS . 6/28/13 Z1 0 TYPE/LOSS : Lightning FILE NO: M13-25201-LT Claim has been made involving loss, damage, . or destruction of the above captioned property, which may either. exceed $1, 000'. 00 or cause Mass . General Laws, Chapter '143 Section 6 to be applicable. If any Inotice under. Mass . General Laws, Chapter 139; Section 3B is appropriate please direct it to the attention of the writer and include a reference to .the .captioned insured, location,. policy number, date of loss, type" ' of 'loss; ' and file number. Sincerely, James A. Heaney On this date, ,., - , /c 3 . :._; I caused copies of this notice to be sent to the persons named above at the addresses indicated above first class mail .` Please note this is not a request for a copy of a report. F ' o oFiK r Town of Barnstable *Permit# Expires 6 nonths jr m i sue date �T regulatory Services Fee IARNSTABLE. ' , . " ,�� Thomas F. Geiler, Director PTFD MA't A Building Division Tom Perry,CBO, Building Commissioner (� �•1,�,(, 200 Main Street, Hyannis, MA 02601 www.town.barnstab l e.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid withal!Red X-Press Imprint Map/parcel Number ' Proper Address .T. W L' /U 14,11r— �y a b c b esidential Value of Work . Minimum fee of$35.00 for work under S6000.00 Owner's Name & Address o Contractor's Name L i' ' 'p/V ) es)Oaes d TelephoIc ne Number Home Improvement Contractor License# (if applicable) 9 C. �E� ZS Xcn, tion Supervisor's License#(if applicable) f�o Workman's Compensation Insurance -PRESS PERMIT Check one: ❑ I W a sole proprietor HP ❑ am the Homeowner I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name ''C wAM,0 6 , G T i Workman's Comp. Policy Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed) (not stripping. Going over existing layers of roof) ❑;Replacement e- ' e # of doors Windows/doors/sliders. U-Value (maximum .35.)# of windows *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 re SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 0721 10' ,t `\ The Cornnroirweallh of'Afassachuselis �� =,•, -- Departmenloflndus/rialAccidenIs Of ice oflnvestigarions 600 Washington Slreel Boston, j"�L,4 02111.t n'J`V1 K nJaSS.g0V1dl a "Workers' Compensation Insurance Afficlavit: Builder-s/Conti-actorsJElectricians/Pl:umbers Applicant Information Please Print Legibly t � Name (BtisineavOrrguu zahou ndividnai): cr I ' S SG 0 S A.Address: ` 6 &'Q(✓f:k IL(� City/State/zip: Auiopil:01le Are you an employer? Gf .ck the appropriate boa.: Type ofproject(rrquired). 1,❑ I a eulployer with 4. ❑ I am a general contractor and I tzTloyees(full and/or part.-time).* have hired the stib-contractors b. ❑Ne co ling Lion 2 I am a sole proprietor orpartner- listed on the attached 7. odeling sheet- shipand have no ens to gees These sub-contractors have p 5 8. ❑.I7eiuolitYon working for me in any capacity. employees and have luoikers' [NNo workers' comp.insurance comp.insurance.. 1 9. ❑.B➢ilding addition required] 5. ❑ We are.a corporation.andi.ts 10.❑Electrical repairs or additions 3.❑ :I.am a.homeoum•ef doing.all work affjcess have mercised their I LE]Plumbing repairs or additions myself. [No workers'comp. right of exemption per NNTGL 1 immtfncerequired.] r c_ 152, §1(4), and.rye have no ❑Roof repairs employees.'[No woricers' 13..❑ Other camp.:insurance req.teured.] Any appticaut that chiecls box#1.must also fill out the section below shooing their workers'corvpevsatica policy information. Y Homeowners wbo submit this affidavit intli¢ating:they are doing all-work and then hire outside contractors must submit.a i2m.affidavit indicating sttctL ICanhractors that cbeck this bmc must attached as sddilioaat:she.et showing the-name of the sub-contrsc.tnrs sad stare whether'or not those entities have employees. Ifthe sub-coniractars:have employees,they.must provide their workers'comp.policy aumber. Kant an employer that is providing workees'compensah`on nlsmra.rr ce or Nty einployaos. Below is the policy'm7:d job site 7;farNtatL014 f /�/� Insurance Company Name: VV�5 '� t� Policy#or Self-ins.bc.-9. �� Expiration Date: v Job Site Address: City/Stage/ : "/V �k Attach a copy of.the tif•o:rkers',compensation policy dtclaration page(shoiidng the policy number and espu-ation date). Failure to secure coverage as required under Section 2.5A of IvfGL c. 152 can lead to the imposition of criminal penalties of a fine up to S1,300.00 and/or one-year imprisonment, as well as civil penalties in the form cf 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 maybe forwarded to the Office of Inve:stigitions of the DIA for insurance coverage verification. 1 ado hemby certify r7rtder tliepains tdpenalties of jr�rjai.ry fltat t7te izaforntrrtia7r prmdded a.bat�e rs tru.e and correct Date: L Phone#: O(i%cial iise.only. Do not.tnrite in this area,fo be completed by,citt'or town.offieiaC C4t--or Town: Permit/License# Iss➢ingAuthority(elide one): 1. Board of Health 2.Buildin.g Department 3. C�tg/hown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: 6 �.' Tile Commonwealth of 114 assuchusetts Department of Indust;ialAccirlents Office of Investigatioits 600 Nl'ashllnatoll:fit;eet --'•'" 3%lUiy'.�Zr1J3.0 it�i!ft:u Workers' Cornp,2rtsation Ip_surance Afli . lt: Builders/Cont"ractc s/il plEa e Pr in, Lee4`hly applicant Informatlon ' nlil;dividuai}: 7�i '="• "Y---�"='— Nailie(9tuictsslOr amza:iu r Address:j ��� j',..G 't l� # f�y, G 1 C,a�1 �tI I Phone#: City/State/Zip: T �e of ro (required): YI p J Are you an employer?Check the a propriate bo 6 Ne construction 4. am a general contractor and 1 I.�I am a employer with have hired the sub-contractors employees(full and/or part-time).' 7, emodeling listed on the attached sheet. 2.❑ 1 am a sole proprietor or partner- These sub-contractors have 8. []Demolition ship and have no employees employees and have workers 9. Building addition working for me in any capacity. comp.insurance I [No:workers' co orkers'comp.insurance 10•❑Electrical repairs or additions 5 co area corporation and its required.] officers have exercised their l I.[]Plumbing repairs or additions 3.❑ 1 am-a homeowner doing all work right of exemption per MGL i�.0 [toot repairs myself.[No workers'comp. c 152 §1(4),and we have no 13.0 insurance required.]' employees.[No workers' comp.insurance required.] rkers'compensation policy •Any applicant that checks box k 1 daysitalndicat ngtthey a e doing the section lall wok and then hiow showing their re outside contracto s must subm t aanew affidavit indicating such. t Homeowners who submit this a "Contractors that check this boors must attached n additional sheet showing thet the earns' f the subcontractors policy number.tand state whether or not those entities have ide employees. if the sub co nm an employer that is providing workers'compensation insurance fob employees. Below is the policy earl job site information. 161 - 0 Insurance Company Name: t Expiration Date* Policy#or Self-ins.Lic.#: ©� �/) (/g SCity/State/Zip: �l Job Site Address: Attach a copy of the workers' compensation policy declaration pa C. ge can lead to the imposition of criminal t penalties d of a Failure to secure coverage as required under Section 25A ofrm of a STOP WORK es in the fO fine tip to$1.500.00 and/or one-year imprisonment, ed that s well a copy of this civil tstate eat may be forwarded to theOffice Of d a tine of up to S250.00 a day against the violator. Be advised Investigations of the D1A for insurance coverage verification. d lb a is true nil cor ecG 1 do hereby certify u e ains and penalties of perjury that the information provide Date: Si nature: Phone# 5bl? / Official use only. Do not write in this area,to be completed by city or.town official. Permit/License# City or Town: Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CityfTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#: Contact Person: Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ' OME IMPROVEMENT CONTRACTOR i before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration:1;;A26893 Type; 10 Park Plaza-Suite 5170 i Expiration:--0g3%2U?I2.., Supplement Card Boston,MA 02116 The Home Dep6t;At=Home¢Services ::.. DARREN DEMER...... 2690 CUMBERLAND,PARKWAY S Ai'C�N�'A,GA 30339''s. Undersecretary Not valid without signature i Ju1. '3, 2U09 9: NAM lharIe_ G, rase Jr. luo. 4111 r. J - c- J onsumer A airs an uu iness e u a ion. 4fice o q� g +a 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 163528 Type: DBA Expiration: 7/7/2011 Tr# 285903 ERICSSON HOME IMPROVEMENT ERICSSON TORRES 16 HOOVER RD WEST YARMOUTH, MA 02673 Update Address and return card.Mark reason for change. Addross [) Renewal n Employment (] Lost Card '!PS-CAI 0 a0M-08108.088LIFORMCA108212008 I.Icensc or rogistratlon v911d for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Reglstratlon: 163528 10 Park plaza-Sulto 5170 Expiration: .7/712011 Tr# 285903 Boston,MA 02116 Type: 03A ERICSSON HOME-IMPROVEMENT ERICSSON TORRES 16 HOOVER' ' ' ' : . • _ WEST YARMOUT—H'.MA•02673 Undersecretary Not valid without signature Jul. 23. 2009 9: 20AM Charles C. Case Jr. I . Ftasirictedto::No.. 4717 P. 6 �= :1°lasx;tchu�ctt�- 1)eparhncnt of Public S:(fete IA.- Masonry'o.nly �� Buartl of Bttildin. RerIIhlionz and St.inliards ROE- Root Coveting' Construction Supervisor Specialty License VS-Windo4s nad Siding License: CS SL 100546 SF- Solid Fuel Burn ing:Devices Restricted to:. W.S DM-Demolition only ERICSSON; TORRES Failure to possess a current edition of the 1 RI09'S SOX-TORRES Massachusetts State Building Code is cause for revocation of this license. •W,ESSTYARMOUTH, MA 02673 Refer to: WWW.Mass.Cov1DPS Expiration: 8/18M12 ('uuuulaxl.Ix r Trn: 100548 Sep 03 10 08:07a Robert Higgins 508-4448882 p.1 HOME IMPROVEN ENT CONTRACT PLEASE READ THIS r Sold,Furnished and Installed by: Branch Name: Boston Date: % THD At-Home Services,Inc. dlbla The Home Depot At-Home Services 345A Greenwood Street,Unit 2,Worcester,NIA 01607 Branch Number:31 Toll Free(800)657-5182; Fax(508)756-8823 Federal ID#75-2698460;ME Lie#C 02439;RI Cont.Lick 16427 CT Lie#5655 MA Home rm rov_ t Contractor Reg.#126893 Installation Address: /"1_x City State Zip Purchaser(s)c Work Phone: Home Phone: Cell Phone: Home Address: (If diTerent from Installation Address) City State Zip E-mail Address(to receive project communications and Home Depot updates): ❑I DO NOT wish to receive any marketing entails from The Home Depot ` Project Information: Undersigned("Customer'),the owners of the property located at the above installation address,agrees to buy, and THD At-Home Services,Inc.("The Home Depot')agrees to furnish,deliver and arrange for the installation("Installation")of all materials described on die below and on the referenced Spec Sheet(s),all of which are incorporated into this Contract by this reverence,along with any applicable State Supplement and Payment Summary attached hereto and any Change Order(collectively, "Contract"): Job#.: 16--1Rere ") Products: Spec Sheets #: Pro'ectAmount ' ❑Roofing ❑Sid'ing__MWindows ❑insulation ❑Gutters i Covers []Entry Doors ❑ $ I ❑Roofing ❑Siding Windows ❑Insulation ❑Gutteta i Covers ❑Ent y Doors ❑ Roofing ❑Sidina ❑Windows ❑Insulation []Gutters/Covers ❑Entry Doors❑ $ i ❑Roofing ❑Siding ❑Windows ❑Tnsularion ❑Gutters/Covers ❑Entry Doors ❑ S Ntininium 2.5%Deposit of Contract Amount due upon execution of this contract. Total Contract Amount $ �J / Maine Purchasers may not deposit more than one-third of the ContradArttount ( (a Ctaw:ner agrees that. immediately upon completion of die work for each Product,Customer will execute a Completion Certificate (one for each Product as defined by at,,individual Spec Sheet)and pay any balance due. As applicable,each Customer under this Contract agrees to bejoinily and severally obligated and liable hereunder. Th::Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s)included herein,at its discretion,iFThe Home Depot or its authorized service provider determines that it cannot perform its obfigations due to a structural problem with the home,environmental hazards such as mold,asbestos ur lead paint,other safety concerns,pricing errors or because work required to complete the job was not included in the Contract. Payrnent Summary: The Payment Summary # JQ11-C>�j included as part of this Contract, sets forth the total Contract amount and payments required for the deposits and final payments by Product(as applicable). NOTICE TO CUSTOMER You are entitled to a completely filled-in copy of the Contract at the time you sign. Do not sign a Completion Certificate(note: there is one Completion Certi6eate for each listed Product as defined by individual Spec Sheets)before work on that Product is complete. In the event of termination of this Contract,Customer agrees to pay The Home Depot the costs of materials,labor,expenses and services provided by The Home Depot or Authorized Service Provider through the date of termination,plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOIYIE DEPOT-N1AY WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS IWADE, WITHOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acceptance and Authorization: Customer agrees and understands that this Agreement is the entire agreement between Customer and The Home Depot with regard to the Products and Installation services and supersedes all prior discussions and agreements,either oral or written,relating to said Products and Installation.This Agreement cannot be assigned or amended except by a writing signed by Caswmer and The Home Depot.Customer acknowledges and agrees that Customer has read,understands,voluntarily accepts the :erns or�a dy�as received a copy of this Agreement. A c ptted "� Submi 1 4111,0� �IL ust me t tr Ire ate Sales Consultant's Slip-nature 2 Date`��- 4 ; Telephone No. t�J >1 i/ 6 Z (2115i06,t'cr'S Signature Date Sales Consultant License No. CANCELLATION: CUSTOMER MAY CANCEL THIS (as applicable; AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING THIS AGREENIFNT. THE STATE SUPPLEMENT ATTACt1LD HFRETO CONTAINS A FORNI TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN CUSTOMER'S STATE. NOTICE:ADDITIONAL TERMS AND CONDITIONS ARE STATED ON THE REVERSE SIDS AND ARE PART OF THIS CONTRACT 7-15-09 C-SC White-Branch File Yellow-Customer Pink-Sales Consultant X-PRESS PERMIT c� - 2005 Town of Barnstable *Permit# NOV 2 Expir ts Iftn h from issue date ELE Regulatory Services F ee - TOWN �F BARNSTA g r3' Thomas F.Geiler,Director Building Division 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 PERMIT APPLICATION - RESIDENTIAL ONLY p�2Not Valid without Red X-Press imprint .lap/parcel Number `a CAP Property Address 0 c5T- ` esidential Value of Work 714 /f-0 r d Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address v/JG G(J/h 7Z-57 g7- 6ti l Contractor's Name�-�/ �` //77 Telephone Number /3.3o Home Improvement Contractor License#(if applicable) 13(o785 . Construction Supervisor's License#(if applicable) 016 3 "OrIs Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I,aij�the Homeowner I have Worker's Compensation Insurance Insurance Company Name &56 C/ 1-725—i� "j . Workman's Comp.Policy# .�b?J 3 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 211[e`-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof not stripping. Going over existing layers of roofl %'�IyvSiL ❑ Re-side nV ❑ Replacement Windows. U-Value (maximum.44) (J(J �� ��✓ *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. Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 4 Town of Barnstable Regulatory Services Thomas F.Geiler,Director .`�� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Ommer Must Complete and Sign This Section If Using A Builder I, as Owner of the subject property her thorize d to act on my behA in all matters relative to work authorized by this building permit application for: (Address of Job) a e o caner ate Print ame QyORM&OWNERPMOSION I r � BOARD OF MMMMREWLAIMS SUPERWSM IM Number:CS 010366 Tr.nix 1122-0 WHTNEYP WRI�a1ff POB 10451331010AIL;LN:. BARNSTABLE. MA 02630' cowaftsioner OGLE+ �:;=`-airy •-'.: :�,.�".,. .i_� _�_.t:� �r•3i"J... Town of Barnstable Planning Department Staff'Repoit O Appeal Number 1999-124-White Variance to Section 3-1.4(5) Bulk Regulations-Side Yard Setback Date: October 13, 1999 To: Zoning Board of Appeals . From: Approved By: Robert P. Schemig, AICP, Planning Director Reviewed By: Art Traczyk, Principal Planner Drafted By: Alan Twarog,AICP, Associate Planner Applicants: Daniel J.and J.Griffin White Property Address: 611 Cedar Street,West Barnstable Assessors Map/Parcel: Map-109, Parcel 082 Area: 0.83 acre Zoning: RF Residential F Zoning District Groundwater Overlay: AP Aquifer Protection District Filed:August 17, 1999 Hearing:October 13, 1999 Decision Due:December 25,1999(includes a 30 day extension) . Background: The property that is the subject of this appeal consists of a 0.83 acre lot commonly addressed as 611 Cedar Street, West Barnstable. It is improved with a two-story, single-family residence of approximately 3,372 sq. ft., according to assessor's records dated 10/13/99. The site is located in an RF Residential Zoning District, which requires a minimum 30'front yard,.15'side yard and 15' rear yard setback. 'The applicants are in the process of installing.an inground swimming pool on the property. At this point in time, the hole has been dug, and the metal perimeter and cement donut have been installed. The builder incorrectly placed the pool 10'7"from the.rear lot line where a minimum 15' rear setback is required. A building permit was issued on May 10, 1999 (#38297)after construction of the pool was already in progress. According to the materials submitted, the applicants were unaware that a permit had not been issued and it was only after they questioned the builder about it that he secured a building permit. The applicants are now seeking a Variance to Section 3-1.4(5)of the Zoning Ordinance to permit the inground swimming pool to encroach 4' 5" into the minimum required rear yard.. The lot that would be most affected by this request is the abutting lot to the rear,which is currently vacant. From the submitted photographs and GIS map, it appears there is an existing vegetated buffer that screens the swimming pool from the surrounding lots and from Cedar Street. The property is located in the Old King's Highway Regional Historic District. The applicants were issued a Certificate of Exemption for the proposed pool and a Certificate of Appropriateness for the existing chain link and wooden fence,which was installed prior to the.applicants' purchase of this property (see attached certificates). r Town of Barnstable-Planning Department-Staff Report Appeal Number 1999-124-White 1 Variance to Section 3-1.4(5)Bulk Regulations-Side Yana Setback Variance Findings: In consideration for the Variance, the petitioner must substantiate those conditions unique to this lot that justify the granting of the relief being sought. In granting of the Variance the Board must find that: • unique conditions exist that affect the locus but not the zoning district in which it is located, • a literal enforcement of the provisions of the Zoning Ordinance would involve substantial hardship, financial or otherwise to the petitioner, and • the relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the Zoning Ordinance. Attachments: Application Copies: Petitioners/Applicants Assessor's Field Cana GIS Maps Plot Plan August 10, 1999 Letter Photos Building Permit Application Certificate of Exemption Certificate of Appropriateness 2 .RE1.I17 BEING SOUGHT HAa 1 GtJ DETERMINED BY THE ZONIN TOWN OF BARNSTABLE Y'ArORCEMENT OFFICER TO Zoning Board of Appeals BE APPROPRIATE BELIEFavq_16L Application to Petition for a Vary WTANM& Date O �, For Office s onl ICJAJ- .;. Town Office Appeal $ Hearing Date 10 AUG 71M Decision Due The dery T a ARN pp ies to the Zoning Board of Appeals for a variance from the Zoni L$n t e manner and for the reasons hereinafter set forth: Petitioner Name: I)Ahl!l5l <j f�� i 1��f'/ N L1�I % Phone L375 _fox Petitioner Address: (�]/ '��i.d.i:� 7,1 ��"�r (>� Property Location: Jr,— ? 'y, Property owner: ;S�/js� i ,� �'�Y� /U�DWI Phone w_34T_48` Address of owner: �; ,)C ;�- f, If petitioner differs from owner, state nature of interest: Number of Years owned: Assessor's Map/Parcel Number: 9. zoning District: F Groundwater overlay District: Variance Requested: Cite Section's Title of thV Zoning Ordinance Description of variance Requested: lr� 1 Lel'Ns C �' onr7— �Ol �i rii y - T Description of the Ri as on and/or Need for the variance: pf)��l C� :Ic''1�13cc ' `. Act- bid 4AIO_P�gell Discription of Construction Activity (if applicable) : 01-omble1 rrk A)kf�l� Chi'-:���� �.�=T7i� ��-�oct.�•�� � ���i' ����� �G�c?� :S='�- �1u°� Existing Level of Development of the Property - Number of Buildings: Present Use(s) : �. , Gross Floor Area: sq.ft. Proposed Gross Floor Area to be Added: NA Altered: is-this property subject to any other relief (variance or special Permit) from the Zoning Board of Appeals? Yes [] No if Yes, please list appeal numbers or applicant's name Application to Petition for a variance Yes NO Is the property within a .Historic District? (1`C�f'� {ll�f� P Yes fo No Is the property a Designated Landmark? For Historic Department Use only: Not Applicable .... . . . .. .. . . . . [) oxs Plan Review Number Date Approved signature:Have ,, '/ ermit? o ou applied for a building p R G��u� k��N.� y PP yes No u14W -� Yes [] No Has the Building Inspector refused a permit? J All applications for a variance which proposes a change in use, new construction, reconstruction, alterations or expansion, except for single or two-family dwellings, will require an approved site Plan (see section 4- 7.3 of the Zoning ordinance) . That process should be completed prior to submitting this application to the Zoning Board of Appeals. For Buildina Denartment Use onlv: Not. Required [ ) site Plan Review Number Date Approved signature: The followings information must be submitted with the Petition at the time of filing, without such information the.Board of Appeals may deny your request: Three. (3) copies of the completed Application Form, each with original signatures. Five (5) copies of a certified property survey (plot plan) showing the dimensions of the land, all wetlands, water bodies, surrounding roadways and the location of the existing improvements on the land. All proposed development activities, except single and tlsite housing development, will require five (5) copies of a proposed improvements plan approved by the site Plan Review committee. This. ll proposed improvements plan must show the exact location of a and alterations on the land and to structures. see "Contents of site Plan:" section 4-7.5 of the Zoning ordinance, for detail requirements. The petitioner may submit any additional supporting documents to assist the Board in making its determination. r Date: �i54 signature: ,r G Petitioner or Agents S' nature Phone: • Agent's Address: }��? X�I; f H 1vt vj T)t , Fax T 6V& e �eAvi/!e- OIL 611 CEDAR ST WBARN MAP LD: 109/082/ n ID:61Z Other ID: Bldg#: 1 Card 1 of 1 Print Date.10/1311999 esc p on e Apprauea vxue Assessea value 11 CEDAR ST SIDNTL 1010 159,40 159 801 BARNSTABLE,MA 02668 Barnstable 2000,MA oun aj-147 run HE ax Dist. 500 Land Ct# er.Prop. D FY00 #SR VISION Life F.smte L 1 LOT 86 Notes: L2 IS ID. I-0wj 3,W9 , vnj r. a Assessed value Yr Lode Awessedvalue Fr Coda value rOPPIN,DAVM L&JENNIFER 10139274 04/15/199 Q I 184,40C lulu )WEN,JOHN P&NANCY R 2316/350 Q 19 1010 159 199 1010 166,20( MAW —304;M—7 v re acAnowleages a mu by aDard .Collector or Assessor ear esc p n AmountaDescription MmEmyount mm Appraised Bldg.Value(Card) 153,100 Appraised XF(B Value(Bldag 6,300 o a Appraised OB(L�Value(Bldg; 0 f Appraised Land Value(Bldg) 44,200 I Special Land Value i Total Appraised Card Value 203,E Total Appraised Parcel Value 203,60 Valuation Method: Cod/Market Valuado �eurotal pp ue 'GU sue Date Description Amount Insp vo mp vateComp commenPwPosemesult use Code Description Zone ro ge Depthn n: Price r Factor Nola- ec curg ce value e am , a . 0 0 property Location: 611 CEDAR ST WBARN MAP ID: 1091 092/ salon M.62" Other M. Bldg#: 1 Card 1 of 1 Print Date:10/13/19" emen ri p on onne e ype o p on 4odel 1 dential e 3rade + t Type atha/Plumbing Tories Stories kcupancy 0 ing/Wall tooms/prws UK s acrior Wall 1 4 ood Shingle Common Wall 2 ail Height toof Structure 3 le/illpp 1g P" Goof Cover 3 ph/F GWCmp BM nterior Wall 1 8 Typical 2 o e escnp n or 69 nterior Floor 1 0 Typical mp ex 18 oor Ad 2 it Location BM seating Fuel 2 on Testing Type 9 Typical umber of Units 0 X Type 1 one umber of Levels 8 1 Ownership 21 Bedrooms 4 Bedrooms Bathrooms S 1/2 Bathrms 24 1 Full+1H 1, ase Total Rooms 0 0 Rooms ize Adj.Factor .89512 40Ind .19 up lu 0 Bath Type Base Rate 1.13 atchen Style ldg.Value New 93,793 ear Built 976 10 Year Built 976 pphhyyscl Dep 1 cnl(5bslnc on Obslnc pecl.Cond.Code Code es on a peel Cond% e sun era11%Cond. 79 Bldg Value 153,100 e Lmcnpnon m e r. r. ue WIMP 'A r FPO FP Opening B 800. 1976 100 60 BGAR Garage B 4,000 1976 100 3,20 n2jewnpubn LMngAr8ajUM$A?Wj Kff.Area UnU Got rec. ue oor Forch,Open,Finished 8 1 10 81 Story,Finished 1, 1 1,44 Sl.l 73,62 nt,Unfinished 1,8 3 10 18,66 WDK Wood Deck 3 3 5.1 1, r088 LMLew Arm 3,372 5. A r 83 l � A i I I ol / / — MPF/ AW / Air i I� ' , U, �ii w t�e�..eeCc� i9��+-� -�- Y-0�,4eae����,�su 1 -r � _ - �� - - - - - - _ - = � �. v �y _. } � � E F �. ; �..: ,� - � `c � i � :��.. � � � � �.. iI �_ I i E p - � - l t - �-- ��:- ` �� v . � � e t - ¢E£ 1 L _ _ _ -_ ___ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Z- Permit# `�Z 9 Health Division Date Issued 7;— 0 q Conservation Division(rA41 JL) Fee J Tax Collector SEPTIC SYSTEM 1.111 7'Or Treasurer Cmf' 4•qq INSTALLED IN COMPLIAidC' WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE A 'n TOWN REGULATI^i:S Date Definitive Plan Approved by Planning Board Historic-OKH / I Preservation/Hyannis Project Street Address Village w +6 ARn►577rP c2 Qwner -V AQ W µ t i Address 1Q II S77e-�� Telephone D Permit Request .Si✓r�a1.►�;a�c�od/ iFeoce is Pt4ee-j►sn;k. 31� X/G� fool Square feet tst floor existing proposed floor.existing proposed Total new Estimated Project Costt � 2 f Zoning Dis Flood Plain N Groundwater Overlay, Construction Type Lot Sae Yam. 2 Ot S Grandfathered: O Yes O No If yes,attach supporting documentation. Dwelling Type:Single Family ' Two Famiy O Mull-Fam4(#units) Age of Existing Structure Historic House: O Yes ❑No On Old King's Highway: gYes O No Basement Type: O Fuu O Crawl O Walkout ' O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas O Oil ❑Electric 0 Other Central Air: O Yes O No Fireplaces:Existing New Existing woodlcoal stove: O Yes O No. Detached garage:O existing O new size Pool:O existing ❑new size Bam:O existing O new sae Attached garage:O existing O new size Shed:O existing O new size Other. Zoning Board of Appeals Authorization O Appeal# Recorded O Commercial ❑Yes ❑No If yes,site plan review If Current Use Proposed Use BUILDER INFORMATION Name K ^�"•�'Jt-eAld Telephone Number 5Vrr 3 95-V.9 z 3 Address O b i License# 0 0 f? �i}i o d; jy1 02�)�_Home Improvement Contractor If 0 Worker's Compensation If ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKENTO e3 4— SIGNATURE tl DATE I Application to Old Highway Kin 's Hi Regional Histor .District Committee g in the Town of Barnstable fora 1 �. 2 2 CERTIFICATION OF-EXEMPTION Application is hereby made, in triplicate,for the issuance of a certificate of.exemption under Section 6 and 7 of Chapter 470, Acts and Resolves of Massachusetts. 1973. as amended for proposedwork as described below and on plans,drawings,or photo- graphs accompanying this application. .TYPE ORPRINT LEGIBLY "` - ,. .. . . -. :.DATE. - m. ADDRESS OF PROPOSED WORK I L�', b rL 9 ST .3dG. AP NO. OWNER.bAKU mil, T. 0k},.`:. 16 12, :S• C"a(z Ftoi i%r! GI�I �� ASSESSORS LOT NO. HOME ADDRESS eaI1 �—� - :54• lA2es-t` C�&PLY)SUIffierEL NO-.a: .0 AGENT OR CONTRACTOR sT,CT c F-F 114 � 1 T� ..._— ADDRESS re it t��-b/� i2. J��• • 1���ST 3 I?-=dJ S�" ��P+/!IAA L.NO. This application is for exemption of proposed exterior construction on the ground.that: ':.:• ::.` ;' °'' (1) It will not be visible from any way or public place. (2) It is within a category declared entitled to exemption by.`'Old King's Highway Regional Historic District Commission- (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work,,showing,.Iocation on lot,.and,if an additlon'Is involved,show• ing location of-existing building. I-c-eXts7ir`t .7.4. I1STA�-Cl. ,t� Fo l�. i Ci7 SIGNED Owner-Contractor-Agent Space below line for Committee use. iv The Certifl9ke is hereby L_0 A ' - 'VO-&w Ti a ' �. g- 1d -q Date Approved ❑ The categories of work entitled to exemption are listed on Disapproved 0 the back of this form. Application to "" Old Kings Highway Regional Historic District Committee (� in the town of Barnstable for a ' 9 228 CERTIFICATE OF APPROPRIATENESS Application b hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 8 of Chapter 470. Acts.and Resolves of Massachusetts. 1973, for proposed work 'as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT.APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alteration Indicate type of building: 0House ❑ Garage ❑ ComFnerciat- ClOther 2 Exterior Painting: ❑ 3 Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign ="&7lArCr4. Structure: 0 Fence ❑ Wall ❑ Flagpole ®.Other�usin UnWar, L C (Please read other side for explanation and requirements). 5{-yjt TYPE OR PRINT LEGIBLY DATE&ILSI 3S ADDRESS OF PROPOSED WORK CQ 11 &--061 w. IlR ASSESSORS MAP NO. OYMERD"I iEL _T, 11-1L1 cT. Qslr-Clwl JAIHC E ASSESSORS LOT NO. HOME ADDRESS e-11 CAgAdE S4• � y•'>I I2Yt 5tt q LS 416 TEL NO GIs-901& FULL NAMES AND ADDRESSES.OF ABUTTING-OWNERS. Include name of adjacent property owners across any public 'street or way. (Attach additional sifeet if necessary): 4= AGENT OR CONTRACTOR,=AME' A-S AP-304e TEL NO. 5=�07Lo R ' ADDRESSr&I-I�r=n (�•� 2Y1STA 5�.�:I Do1� DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done Isee 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 addi ional sheet.if necessary). rJ--A/W — a,typ?s O� E,✓cE Pam-e1CI5T/� • Signed � .. owner-Conoacm-Agent Space below line for Committee uw. Received H.D.C. r rtif to is hereby E Date opo�4� i �Uf; I Q I4 Ad By i ) INV ' HIG WA Approved ❑ IMPO TANT*&If Certificate s approved,approval Is subject to the 10 day appeal period provided In the Act. 19 19 \DO i V 4j " = ==== w ' Win ST win \ R' •4 L win / \ \ /i O O win `1M .41 0 11 )win _ i It 11 piss• wta 'wia i r tQ e n ,a 1A1yA, Mtn n `� w 3 Al TWO . � f to o , MAP -109 PARCEL 082 N With. 300 ft Buffer W - � E s SCW: V=20(Y g:\bamWgn1m109p82.dgn Aug. 10, 1999 10:18:13 i�.i�■ � $ i ' MLli� J ,. 7 / �" �� s ds D i ❑ e e o :N 1G UUU zi ��1\ ( �s �.� x m o = R o Foil 'l ram-'-- _ LU LLJ . N .......... - —\ ' �—. '' u , . } a� n LO • Certified Plot Plan in West Barnstable, M . , Prepared For.*: J. Griffin White & Daniel J. White Assessor's Map : 109 plat 82 J.K. Holmgren & Associates, Inc. Community Panel Number 25001 - 0015 — C Registered Professional Engineers And Surveyo F.I.R.M. Map Zone C 4650 Falmouth Road, Route 28 Plan Reference : Plan Book 279 Page 65 Cotuit, Mo. 02635 Deed Reference — Bk : 11400 Pg. :124-125 Tel. (508) 420-7900 Fax (508) 428 3819 Owner : J. Griffin White & Daniel J. White. Scale : 1' = 40' Date : July 27 1999 PLOT 77 PLOT 76 PLOT 78 N 20'24'47' W 161.35' �am ua Fan Pooh AIM calff.) w an Wood rrl+ar 0MJ. N i N W r N PLOT 81A& o PLOT 83 9 sen Ro229. 19' L"97.03' R-271 �`,00 g15ej0 0. G-20d Jo.0.'?0' D o2 i9 CEDAR s i j�p,, ao•26� Iseza This Plan Was Prepared From An Actual On The Ground Surrey By This Fum o+���1e OF 0c o+ STEPHEN P CONVERSE w Na:33M auevE+°� REC UED ONAL LAND SURVEYOR DATE THIS DOCUMENT HAS NOT BEEN RECORDED FILE COPY ONLY! V. Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal Number 1999-124-White Variance to Section 3-1.4(5)Bulk Regulations-Rear Yard Setback Summary: Granted with Conditions Applicants: Daniel J.and J.Griffin White Property Address: .611 Cedar Street,West Barnstable Assessors Map/Parcel:. Map 109, Parcel 082 Area: 0.83 acre Zoning: RF Residential F Zoning District Groundwater Overlay: AP Aquifer Protection District Background: The property that is the subject of this appeal consists of a 0.83 acre lot commonly addressed as 611 Cedar Street, West Barnstable. It is improved with a two-story, single-family residence of approximately 3,372 sq. ft., according to assessors records dated 10/13/99. The site is located in an RF Residential Zoning District, which requires a minimum 30'front yard, 15'side yard and 15' rear yard setback. The applicants are in the process of installing an inground swimming pool on the property. At this point in time, the hole has been dug, and the metal perimeter and cement donut have been installed. The builder incorrectly placed the pool 10'7"from the rear lot line where a minimum 15' rear setback is required. A building permit was issued on May 10, 1999 (#38297) after construction of the pool was already in progress. According to the materials submitted, the applicants were unaware that a permit had not been issued and it was only after they questioned the builder about it that he secured a building permit. The applicants are now seeking a Variance to Section 3-1.4(5)of the Zoning Ordinance to permit the inground swimming pool to encroach 4' 5" into the minimum required rear yard. The property is located in the Old King's Highway Regional Historic District. The applicants were issued a Certificate of Exemption for the proposed pool and a Certificate of Appropriateness for the existing chain link and wooden fence, which was installed prior to the applicants' purchase of this property. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on August 17, 1999. A 30 day extension of time for holding the hearing and for filing of the decision was executed between the applicant and the Board Chairman. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance.with MGL Chapter 40A. The hearing was opened October 27, 1999, at which time the Board granted the requested Variance with conditions. Hearing Summary: Board Members hearing this appeal were Ron Jansson, Gene Burman, Richard Boy, Ralph Copeland, and Chairman Emmett Glynn. Attorney Michael Markoff represented the applicants. Daniel White was 1 present. Attorney Markoff told the Board that the contractor measured wrong when placing the pool. The contractor also took the applicants' money before completing the work and has since filed for bankruptcy. e Town of Barnstable-Zoning Board of Appeals-Decision and Notice Appeal Number 1999-124-White Variance to Section 3-1.4(5)Bulk Regulations-Rear Yard Setback The applicants have now hired another contractor and wish to complete the work started last summer. The problem is the first contractor dug the foundation approximately 4.5 feet too close to the rear property line. Describing the topography,Attorney Markoff stated the rear of the property slopes up to an vacant parcel. The vacant lot is wide so this encroachment should not adversely affect that lot. There would be an extreme financial hardship for the applicants to take out the foundation that has been pored and then repore it 3.5-4.5 feet further away to conform to the rear setback. The applicants are the victims of poor workmanship by the"contractor". The contractor did not have any permits and it was not until the applicants specifically asked to see the paperwork that the contractor finally applied for the building permit -this was after the foundation was pored. That is when the applicants discovered all the problems and they are trying to correct the situation. The original contractor was dishonest and he is now in jail. The Board asked about screening between their lot and the back lot. The applicant reported there is a four(4) high chain link fence that was there when they bought the house. There are also rhododendrons and shrubbery and the pool can not be seen from that lot because of the rise in the topography. Photographs were submitted to the file. As it currently sits, the fence encroaches on the neighbor's lot and the applicant stated it will be moved and conform to the setback when they complete the work on the pool. There will be an apron around the pool. Public Comment: Wolfgan Fattler, a direct abutter, spoke in support of this appeal. No one else spoke in favor or in opposition to this appeal. Findings of Fact: At the hearing of October 27, 1999, the Board unanimously voted on the following findings of fact as related to Appeal No. 1999-124: 1. The applicants, Daniel J. and J. Griffin White, are seeking a Variance to Section 3-1.4(5) Bulk Regulations-Rear Yard Setback. 2. The property in issue is 611 Cedar Street, West Barnstable, MA as shown on Assessor's Map 109, Parcel 082. The site is 0.83 acres in size. 3. The site is located in an RF Residential Zoning District, which requires a minimum 30'front yard, 15' side yard and 15' rear yard setback. 4. The site is improved with a two-story, single-family residence and a partially completed in-ground pool. 5. The petitioner hired a contractor and paid the contractor to go forward and build the pool and the contractor was to observe all the rules and regulations of the Zoning Ordinance. The contractor did obtain a building permit to install the pool only after the foundation was pored. The contractor did not install the pool in accordance with the 15 foot rear yard setback requirement for that zoning.district, but rather for whatever reason, installed the pool approximately 10 feet from the rear property line. The petitioner is also requesting a 3 foot apron (which is customary) be installed around the pool. The pool and apron will intrude approximately 8 feet into the required 15 foot setback. 6. The petitioner was not aware of the problem and did not create the hardship involved but the pool is in the ground. The pool is in essence a structure being a permanent feature in the ground. The pool is a topographical feature of the site. This is a topographical feature which is unique to this lot which creates the hardship for which relief is being sought. 7. To deny the Petitioner the relief being sought would be a significant hardship because he would not be able to utilize the pool that is in the ground as well as suffering a significant financial hardship if forced to move the pool to another location. 8. The relief may be granted without substantial detriment to the public good or neighborhood affected in view of the depth of the surrounding lots. 9. The relief may be granted without nullifying or substantially derogating from the intent or purpose of the Zoning Ordinance since Variances are allowed under the Zoning Ordinance pursuant to MGL Chapter 40A, Section 10. 2 L I Town of Barnstable-Zoning Board of Appeals-Decision and Notice Appeal Number 1999-124-White Variance to Section 3-1.4(5)Bulk Regulations-Rear Yard Setback 10. The applicant has received Old King's Highway Regional Historic District Commission approval for the construction of the pool and fence. Decision: Based on the findings of fact, a motion was duly made and seconded to grant the relief being sought in Appeal No. 1999-124, subject to the following terms and conditions: 1. The pool and its apron shall not encroach any more than 8 feet into the rear setback requirement. 2. There shall be no further encroachment in any of the other setbacks-including the side yard setback. 3. The Petitioner shall maintain the screening that is currently on the site in terms of rhododendrons and other types of evergreens(surrounding the fence)from the rear lot line of the property most affected by the grant of this Variance relief. 4. No further structures of any type (such as cabanas and such) shall be built within the Variance setback relief that has been granted in this appeal. The Vote was as follows: AYE: Richard Boy, Gene Burman, Ron Jansson, Ralph Copeland, and Chairman Emmett Glynn NAY: None Order: Variance Number 1999-124 has been Granted with Conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision, if any, shall be.made pursuant to MGL Chapter 4.0A, Section 17, within twenty (20)days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. Emmett Glynn,-Chairman Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day off� under the pains and penalties of penury. ;-) Linda Hutchenrider, Town Clerk I 3 RefNo mappar ownerl owner2 addr city state zip 124 - 109 014 001 MCCORKLE, TIMOTHY R & MCCORKLE, SHARON L 30 BERKSHIRE TRAIL W BARNSTABLE mA 02669 109 014 002 NICHOLS, PETER G & MARY-BETH 545 SLOUGH RD BREWSTER MA 02631 109 014 003 PRINCI, MICHAEL J TR & OCONNEL WYNN & WYNN PC 310 BARNSTABLE RD HYANNIS MA 02601 109 014 004 PRINCI, MICHAEL J TR & OCONNEL WYNN & WYNN PC 310 BARNSTABLE HYANNIS MA 02601 109 042 SCHERNIG, ROBERT P & SCHERNIG, EDITH M 21 CROCKER RD W BARNSTABLE MA 02668 109 043 OLSON, JAMES C %AUDE, KAREN 7-CROCKER RD W BARNSTABLE MA 02668 109 044 SOLES, SHARON E TRS MEETINGHOUSE TRUST 620 CEDAR ST W BARNSTABLE' MA 02668 109 045 MAY, ROBERT B & HELEN G 604 CEDAR ST WEST BARNSTABLE MA 02668 109 046 SZCZEPANEK, MARILYN 17 BROAD ST PEABODY MA 01960 109 047 STRATTON, W & C $ BRISTOL MTGE .3136 .WINTON RD SO, - SUITE 302 ROCHESTER NY 14623 109 073 BARRETT, CHESTER S JR & MAUSER-BARRETT, WHITNEY 21 SOMERSET RD NANTUCKET MA 02554 109 074 OSTROWSKI, MATTHEW F OSTROWSKI, PATRICIA A 91 OLD TOLL RD W BARNSTABLE MA 02668 109 075 MOREY, KENNETH E %MOREY, KENNETH E & ELLEN L 105 OLD TOLL RD W BARNSTABLE MA 02668 109 076 JENKINS, EDWARD L & NATALIE 106 OLD TOLL RD W BARNSTABLE MA 02668 109 077 MROZ, MARCIA C %WHATLEY, MARCIA P 0 BOX 234 CUTHBERT GA 31740 109 078 PARKKA, DANIEL J & SHARON S 74 OLD TOLL RD W BARNSTABLE MA 02668 109 079 MCKINSTRY, EILEEN S 58 OLD TOLL RD W BARNSTABLE MA 02668 109 080 HARVEY, BERNARD R HARVEY, RUTHANN A 16 HOMESTEAD LN W BARNSTABLE MA 02668 109 081 HARVEY, BERNARD R HARVEY, RUTHANN A 16 HOMESTEAD LN W BARNSTABLE MA 02668 109 082 TOPPIN, DAVID L & JENNIFER %WHITE, J GRIFFIN & DANIEL J 611 CEDAR STREET W BARNSTABLE MA 02668 109 083 FATTLER, WOLFGAN & ROSITA M 629 CEDAR ST W BARNSTABLE MA 02668 109 084 ROGEAN, JOYCE JACOBS BOX 255 W BARNSTABLE MA 02668 109 085 MOLONEY, PATRICK 10 CROCKER ST W BARNSTABLE MA 02668 I i I . I 2 _ c a Pm of of Public 'on Ep�o#,� t �Zg Par Rstb - U�9thr• p*dfe�rl . pCP foR.► i T.1 aA8 q T p, or affted b�(the Board of Appealsuider Sec,J 1 of Ghaptar 41 the i Y '.gtt�a' Ommmi,wealtFtLiMe$s®rhusdtt3r>tia1 ali amendments tWt* you are her :notified that: 7:35 P.M. Pike Appeal Number 19W 123 WU!w,nD.Pike.haspetitionerttotheZoningl$oerdefAPpealsfp►pspeclaf:Flen tforaFamily Apartment puMuont to Section 3-1.1(3HD)of the Zpping OMMorico-The pioPerty is shown oiYAssessoP3 Ma p.001,Parcei 013.003 and is comrflony addressed as 190 Flume Avenue. Marstona.Mills.IyI_in a¢IF Residential F Zoniny District. 7:45 P.M. White Appeal Number 1112A paiti'I J.White artd J, rifiin White have appl to the Zoning Shard of App fQr A Varian to.i! 3 i�(5)# ik Re9ulatlPr �o Permit g pabf wtiichrvaa(negr�6pttl►plaped at 10' 'tl�r► frfirF► P>%+?YJt '(Iltere a 15 fgat salami r re9VLred fihQ prApe y rs.shaNm on Assessors Map 109:Par>:el 082 and is cornrnonly ldrassed as 611 Cedar Street,West Barn!v,We.MA in.an RF Residential F Zoning District. B:OQ P.M. Oi inipoint , ..: . . APpo Number 19W125 OirinlpointC9mmunicatwns . has�titionedtothe2i!1►inOt dardofAppealsforaModification to€p ial4P mMt 19�R 11f Cortoitivn 42.the.Rr tits ors ks to,chan.�xtdttio!►4�f►rxn Lr the present hgldht of the utility polewinds iS shown high to'Thepropos!. a�Renriis shown ofi AssessoralNaP 099.Pai (058 and iscly tdi Ss as a24 Camrrtett Road.tvl•arstod9 Mft in M RF f�e5rd0rttialFZ. n.9 Dish I Number . Charles 1• Maliir has Iled to the Zoning t3oard`oi peals fora Vafiar► to 1aeclion 3 . lions= ePep7ionerseektrelieffroMtheminirnutrthitsi_,b on and 'fh such Nlattoi�q°(35 tiiBY 1Se ifeei—d applicable.to�Ifow°forth 4rleakon of cne(11 single. .. family quitdin lot. The property is shown on Assessors Map 107. Panes 007 aM.Is coritrtioriy address as 07 Scuddpr lay Circle.C,entervlitef MM.AA in art R[3~1 esiderrtia4.4 I.Zoning.Distdr 8.20 P.M Metier Appeal Number,19J9AV Evelyn W Mither'fuss ied to the Zoning Board of peals'for'a Vilriance to Section 3 1.1(5).Bulk Regutatioiis:T1ie t?etittonersesl�reAef fromtare mktirrtumtot size of oneacr�8r+d suc rosin as rMy 1}e do'74 applicable to oltow f- the s reatirlp of one 1;1)�rgle fa y.buittltrlg.tpt,The propeRy Is.shown on Assessors Me _h Ppawc .0 snd is corr;rifoniy a iresiied as 9�Scudder Bey circle.C:06toryIb.MA iri fill Ri31 l�eStderilial D 1 Zoning District. 8:45.P.M., €tciiedge` .Appeal Nwtitter 1999.128 .fames C.Eldredge.has applied totheZonmg Board ofAppeals foF%Usa Vaiianee W$ecWn Principal Permitted Uses in the R5 Residential B Zoning District and a Varlange to Section 3.3•i(llil) principaj perm(tled uses - Mtiiu-family dwalfinoa and Section 3- 2.1 Wb)(d)(00 Muni-familydwgiling conditions in the B Business District.The Peolloinsrhaa erranei�usy it led 11► p�e fty og, rix,tt}fatrifty dwelling since l 9 a►td to red lad the units from 4 to 3 and legalize the current usage.Theyroperty is shown on Astessors Map 327,Parcel 043 and ct4Mmony addressed as 19 lttcnt.atrg$t;Hyannl$,MA in both the Rf3 Residential[p 2ArdrlgiSt!Ict and the S sysiness Cistrct 9100 P.M. �hristy+s of Cape Cod AptNumb€r it1991 . .;. Dhrisws of Cope Cori hos petitioned to the Zoning t3oard df Appals for a Special°Permit purse rtt ttz 000W 3*6(3=COtianat Uses hi the Hf2MOhvrr r Fhisair►e55,Rlst >`The petitleriet is;taking a St1 i.Permit to emstruct.on cl ,rate c9gVAnfenCe tiself salvias fuel station.The low of this appea►is a part sf ilia propQltY elioinm 'Assessors Map IS() and con9isting of the various parcels. Parcel 0231 f 00.is addressor# as�36 Weg Auef L $:*nis Peicel 023TOO is addressed as 3ti VVequegt)et 1.aife 4"enter- viAe,parael024,is ediNessed as 28 Wiquaquet Lane:Cerftei�llte.Parcel t S is addressed as 10 Wequaquet t an@.Centerville.Parcel 27HO0 is addressed srs 1072 Falmouth Hgad (Route 28)and Parcel0$7TOO is addressed as 1076 Faimoulh Road(Route 28).Centerville. The property is located in the HB Highway Business Zoning District end RD-i Assidentiai D- 1 Zoning District. These Public Hearings will be held in the Hearing Room:Second Floor,New Town Hall.367 Main Street. Hyannis. Massachusetts on Wednesday. October 27, 1999.All plans and applications may be reviewed at the Zoning Board of Appeals Office.Town of Barnstable. Planning Department,230 South Street.Hyannis,MA. Emmett Glynn,Chairman Zoning Board of Appeals The Barnstable Patriot October 7&October 14. 1999 Application to Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a 9 9 9 .228 CERTIFICATE OF APPROPRIATENESS Application is hereby made, id triplicate• for the issuance off-a Certificate of Appropriateness under Section 6 of Chapter 470. Acts and Resolves of Massachusetts, 1973. for proposed work 'as described below and on plane, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alteration Indicate type of building: ❑. House 13 Garage ❑ Commercial- ❑ Other 2 Exterior Painting: ❑ . 3 Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign �X7i/1rCr 4. Structure: J9 Fence ❑ will ❑ Flagpole ® Other Ain laaIL (Please read other side for explanation and requirements). 51"y,TG TYPE OR PRINT LEGIBLY DATE 9J IS 139 ADDRESS OF PROPOSED WORK<.e 1! HAIR S - W AR ASSESSORS MAP NO. OWNERDMIEI T 1t1a -Mlle Vir_JJ1jU CM � ASSESSORS LOT NO. g OZ HOME ADDRESS&& M AJ: S4• I•VIA"S114P!,Ur AJ A TEL NO-GI6--907(e FULL'NAMES AND ADDRESSES.OF ABUTTING'OWNIERS. include name of adjacent property.owners across any public street or way. (Attach additional sliest if necessary). At LA MA AGENT OR CONTRACTOR•%&M6- 14-s 6Qae- TEL NO.375—2 O'7LD ' I ADDRESSrfplj Ci-=nAR_ S�. 1A.-B-A 19M&BLe.�0 ka DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.B,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 addi ional sheet. if necessary). �NM6 — a-rgPeS OF rE lew P/�-e-yt s r l� -��c �.s a e o P Name � DDCil U D Signed Owner-Contractor-Agent Space below line for Committee use. Receiued H.D.C. rtif' is hereby Date Ad By ky A Approved ❑ IMPORTANT: If Certificat s approved,approval Is subject to the 10 day appeal period provided In the Act. nicannrnwM f"I M 109P82 ma nu.m spar par Imappar owner name addrl city !zip st 109 14:: 21 109014002. NI.CHOLS,PETER G&MARY-BETH 545.SLOUGH RD BREWSTER 2631 MA 1091 141 31 109014003 PRINCI,MICHAEL J TR&OCONNELL, PAUL R 310 BARNSTABLE RD HYANNIS 2601 1MA _.... --.........------...- - ------..... _._. -- 109 14-1 4 109014004 PRINCI,MICHAEL J TR&OCONNELL, PAUL R 310 BARNSTABLE HYANNIS 2601 MA 109: 42� 109042 SCHERNIG,ROBERT P& 21 CROCKER RD W BARNSTABLE 2668.MA 1091 43I 109043 AUDE,KAREN 7 CROCKER RD W BARNSTABLE j 2668 MA 109: 44s 109044 SOLES,SHARON E TRS 620 CEDAR ST W BARNSTABLE 2668 MA 109j 451 j 109045 MAY, ROBERT B&HELEN G 604 CEDAR ST. WEST BARNSTABLE 2668 MA .... _..._ __............. -- 109; 46' 109046 SZCZEPANEK,MARILYN 17 BROAD ST PEABODY 1960 MA 1091 47' 1 109047 STRATTON,W&C%BRISTOL MTGE CO 3136 WINTON RD SO,-SUITE 302 ROCHESTER 14623-2928 I NY _....__..i. ... ... ...... 109,1 72I. 109072 MORAN, RICHARD K BOX 204 W BARNSTABLE 26681MA _ ...._.........._ ........... . . ._... ... .... .. . . _._.. .......... .. _...... - - 109j 731 109073 BARRETT,CHESTER S JR& _ 21 SOMERSET RD NANTUCKET 2554 MA --. 1691 74 ! 109074 OSTROWSKI,MATT HEW F 91 OLD TOLL RD W BARNSTABLE 2668 MA 109.1 75 _ _109076 MOREY,KENNETH E&ELLEN L _. 105 OLD TOLL RD _ W BARNSTABLE 2668 MA 109i 761 109076 JENKINS,EDWARD L&NATALIE 106 OLD TOLL RD W BARNSTABLE j 2668 1 MA 109! 77_1 109077 MROZ,MARCIA C P 0 BOX 234.. CUTHBERT 317401GA --... .. ._...._ • T.._.._ — _ _------ -------- -- — --- 109T 78 109078 PARKKA, DANIEL J&SHARON S 74 OLD TOLL RD W BARNSTABLE 2668 MA 1091 _791 ! 109079 MCKINSTRY, EILEEN S __ _ 58 OLD TOLL RD W BARNSTABLE 2668 MA 1091 801 ; 109080 HARVEY, BERNARD R 16 HOMESTEAD LN W BARNSTABLE 2668 MA 1091 811 1.09081 HARVEY, BERNARD R 16 HOMESTEAD LN W BARNSTABLE 2668 MA 109! 821 109082 WHITE,J GRIFFIN&DANIEL J 611 CEDAR ST W BARNSTABLE 2668 MA 109j 83I i 109083 FATTLER,WOLFGAN&ROSITA M 629 CEDAR ST W BARNSTABLE 2668 MA 1091 841 109084 ROGEAN,J.OYCE JACOBS BOX 255 W BARNSTABLE i 2668 MA 1091 85 j 109085 1 MOLONEY,PATRICK 10 CROCKER ST W BARNSTABLE r 2668 MA Pagel Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOWS COLOR SIZE TRIM COLOR DOORS COLORS SHUTTERS COLORS. GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS ����65 ZE COLORS SIGNS COLORS FENCE Ay�Al- NOTES: Pill out completely, including measurements and materials/colors to be used. Pour copies of this form are required for submittal of an application, along with Hour copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 .� nr y' _ .. ..t � - `+Y •,.:.' _ ��P l�iC z 1_!s '� :.�.•ei w2'^!!_s."�- 1 h _ Alt AO 17 mo +,�'•ram �Et ' f j - 0° 1 STANDARD LEGEND �...._,._. _.... . 11�' ::1� 31 r. : WIT No %.. . ;�• � �5 Fn,ura y ��. SPOT SEW1111 1/-3 n - 4 4 xv rowmmrlaru.s t , PAILWITIONOIS ..�- 'MAP 109umsm • � �,�) :� FORM/= t ` t °; i \�: \ _._ .. , :vi �/'• � Ass�otSrNloueNn D 6 WA No 0 ROM RU , , 1 ' ,, \ '•. � �, i o loll o BiVOI 1 . i •; 1 Q ....... SITE MAP \ i 1 . , i , N i• : I _ I _ l y r.o.o..[o.unl�orrArl�srstcrs our Y i , , .09 ' .', #,tc INCH 60 FEE/ 9..5 � N E MAP 1�09.. .... .- `7 7 \� 1 p 2 ,�: ' ° � '� .. _.. �J•".�i( `\\ �.' ®n��rrw®slosrrrlrat \ ` u � .5 / / Iwi1111•.i.11�Yw.®IOflli \' rroarwrrrw.wrn+,.M1r►,i •.13,3 ,3 13 `--� � /Qi1�B1YM11/r®Y61�1110. / \ o n .�4 °6 -�. \\ �/0 ...\benoit\sitemap\m109p82.dgn Jul.16, 1999 14:53:28 Certified Plot Plan in West Barnstable, Mg.. , Prepared For : J. Griffin White & Daniel J. White Assessor's Map : 109 Plot 82 J.K. Holmgren & Associates, Inc. . Community Panel Number 25001 — 0015 — C egistered Professional Engineers And Surveyors F.I.R.M. Map Zone C 4650 Falmouth Road, Route 28 Plan Reference Plan Book 279 Page 65 Cotuit, Me. 02635 Deed Reference — Bk : 11400 Pg. :124-125 Tel. (508) 420-7900 Fax (508) 428 3819 Owner : J. Griffin White & Daniel J. White. Scale 1" = 40' Date July 27 1999 PLOT 77 PLOT 76 PLOT 78 N 20.24'47' W 161.35' cWM UW FENCE FOOL (uNOER oor�sc) WOOD FENCE N^ L,TT. W V` 2 O � N PLOT 81 _ o PLOT 83 S►ED c� a D D Lj 1'g' L-9 7. 03 RQ Ro229 =2Od3o?p 6�00 625d�0' 0 . CEDAR • Soo. STD 26'Sp• 1' - {% OF This Plan Was Prepared From An Actual On The Ground Survey By This Firm e� STEPHEN P. - CONVERSE W No.33585 Z �RFBSION�� REGISTEREDeS_Sq10fN4AkL LAND SURVEYOR DATE ���� SuRY0 i Application to Old Kinis Highway Regional Historic District Commim-e in the town of Barnstable for a 9 9 .228 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: ❑ Now 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 gX 'ji/u� 4. Structure: JV Fence ❑ Wa11 ❑ Flagpole ® Otherr..UAin Lanka (Please read other side for explanation and requirements). Sic TYPE OR PRINT LEGIBLY DATE&J I CI 1 �1G ADDRESS OF PROPOSED WORK C ii lAAa_ w•SARngm�8.Le ASSESSORS MAP NO. OWNEPhaUIICI _ -i• 11-19"I'M cla Q101FGIAl �U[�E ASSESSORS LOT NO. g;L HOME ADDRESSCA1 4E0A%= S4• I D.I3Al2Y1s-meaLr Ad TEL N0 75?o7ta FULL'NAMES AND ADDRESSES:OF ABUTTING OWNERS. Indude name of adjacent propertyowners acrosss-any public street or way. (Attach additional sffeet if necessary): C, r ' AGENT OR CONTRACTOR TEL NO.A_f5—g07to ADDRESSf- !2 nAP— St• (l�.�a4Ri'1S'C SL�e.., ,d;� DnLIQ_IR DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.S.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 addi ional sheet, if necessary). FL—Afr-6 — a-re4pes OF r-Ei✓46 P/1-_--)(IST/6 -Barom OL.R. TL&V_c*-.- ,S ' Or !cr►e- n 1 Signed Owner-Contnu or-Agent Space below line for Committee use. If f Receixed H.D.C. rtifis hereby_ Date S4I 90� ze ByRNsAmLE A Approved ❑ IMPORTANT: ertiflcL rsapproved,approval Is subject to the 10 day appeal period provided In the Act. l ni%nnnrnvw f l M109P82 magnum- jpar— Ipar Imappar --lowner_name —addrl _Icily (zip Ist 109. 14; 21 109014002INICHOLS, PETER G&MARY-BETH 545 SLOUGH RD BREWSTER I 2631IMA 1091 141 31 109014003 PRINCI,MICHAEL J TR&OCONNELL, PAUL R 310 BARNSTABLE RD HYANNIS _ � 2601 IMA 109, 141 41 109014004 PRINCI, MICHAEL J TR&OCONNELL, PAUL R 310 BARNSTABLE HYANNIS I 2601 MA 109 42j 109042 SCHERNIG,ROBERT P& 21 CROCKER RD W BARNSTABLE I -- 2668 MA 1091 431 I 109043 AUDE, KAREN 7 CROCKER RD W BARNSTABLE 2668 MA -- - -- ----- - ----- ..-- .1 441 109044 SOLES,SHARON E TRS 620 CEDAR ST W BARNSTABLE I 2668 MA 1091 45i j 109045 MAY, ROBERT B&HELEN G 604 CEDAR ST WEST BARNSTABLE 2668IMA 109; 46. 109046 SZCZEPANEK, MARILYN 17BROAD ST IPEABODY I 1960IMA 1091 471. 109047 STRATTON,W&C%BRISTOL MTGE CO 3136 WINTON RD SO,-SUITE 302 ROCHESTER j 14623-2928 jNY 109 72 I 109072 MORAN, RICHARD K BOX 204 W BARNSTABLE 26681MA 109I 73 1-- 109073 BARRETT,CHESTER S JR& — 121 SOMERSET RD INANTUCKET 25541MA 109I 74II 109074 OSTROWSKI, MATTHEW F 91 OLD TOLL RD JW BARNSTABLE I 2668IMA 1091 751 I 109075 MOREY, KENNETH E&ELLEN L 105 OLD TOLL RD JW BARNSTABLE 2668IMA 1091 761- 109076 JENKINS, EDWARD L&NATALIE — 106 OLD TOLL RD — JW BARNSTABLE I 2668IMA 109I 771 i 109077IMROZ, MARCIA C P 0 BOX 234. CUTHBERT i 31740IGA 109I 781 j 109078 1 PARKKA, DANIEL J&SHARON S — 74 OLD TOLL RD W BARNSTABLE 2668IMA 109j 79I I 109079 MCKINSTRY, EILEEN S —I58 OLD TOLL RD W BARNSTABLE I 2668IMA 109I 801 109080jHARVEY, BERNARD R 16 HOMESTEAD LN W BARNSTABLE 2668IMA 1091 811 -I— -- 109081 HARVEY, BERNARD R -- 16 HOMESTEAD LN W BARNSTABLE I 2668IMA 109I 821 1 109082IWHITE,J GRIFFIN&DANIEL J 611 CEDAR ST W BARNSTABLE I 2668 MA 109I 83 1 109083 FATTLER,WOLFGAN&ROSITA M 1629 CEDAR ST -_IW BARNSTABLE 2668IMA 109I 84 109084 ROGEAN,JOYCE JACOBS BOX 255 IW BARNSTABLE i 2668IMA 109I 85 i 109085 MOLONEY, PATRICK 10 CROCKER ST IW BARNSTABLE 2668IMA Pagel OTown of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOWS COLOR SIZE TRIM .COLOR DOORS COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS e ;?0PFp) COLORS FENCE'y��f /f/�f— /Ai>��o1' ,P1,4A1 COLOR,,&k a/4l,¢�/� NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 t w L'fi" (A, T�„ --��,�...:•'a. :r, �y'''/.._• ,r/..• ti ,y _' '3 ``',r .� �t `t+.• L�. :._ >'i� S _ �n._• .' r� - •v�� :3"�,.,�,y4; 6g., _,,,F�,: ,may; �- '`rG s�c !_ L.,� f ,. r �• '�-*!l,i.+�' t •.-S 17 4 •f J s �1• KIT lkn at}4-11�'�.�� i►a \�1�1)p•. ''j � Ir r3 ,.�r .►� ..1(( /` �`� 4 i '�� •1.O� '-ks'r � .,, - .:r "4.. 'Nll� ; ,� � �'�` �"a°i s n►�► „�•.s sa-L•J�c- .��-.. ac Aq ��A-. �.,��,��,� � 'j. S{ _Lt n `t T� _ p � A.� _i 'ff. r� < ram-' f't`.t'�c'f'�1$ .,t k. Y 1t a. -^ �,Y�'fv�d�rj.fa��•� !7� �r.::J a�° ft _ t- .ta'•��c�l��j-� ��,r;;-�.;v&='�' .�f�C ,t, ` ...:� , _ .,��.i. �.,�..re _„'-+'�-ai i+r�t+ Le• �' 'sY• 7 � �,,�Yw� �� .ir � 'S �, S..wirrid- 'r'..�•. I�V`y'' ��i>' i .,�'- ` •� "r��';-'��_ + � 1 to � _ � t y,y �i�`'s�r ,�R m� �� +SSA -f�1���• \s `�ti'f� !t r ; •;" a .,J r...'� i j�L.A, � �•l �"� t e». )• x '■ �.,- �. `fit. I� t• f%. .. � '_ �.e��:� .�r v .� � I k,Ir '��. �f �J�••C��G �i��, � ��,5._L�}y��� Lam' � _ • .L.�t:.r �r t1 �` L� f #'62 v 1 D° 7 j \ 1 STANDARD LEGEND •� � \ / � GOUT aURSt wE,FAI DEaDIM TREES 1 ..1 j•'' } �, •. .. �( \ �-"�.(�_ C'7 EDGE OFSM '1 0mueo 01 NUMNY r - - MA��a�9 `y aIFNERODSTIEES ..,t '+.t %• •� (�, ,\'• _ i�' r!.J MARSH AREA EDROFINATER DRF ROAD WINES `t ,t .-_. •1 I 1 t ,, , �-:. PROPERTY UNS Awo `- G, •� ` ` '� _. /�1 ii�MNIH MYIIEE ,�1. •��FIOI75E NUMEB / .1` 5° 3 10100E E010011EUID�IE NNW \\\ i MAP 1.09143 STORE AM `\\ ../. ` G SWUNAINS POOL \\ -' / ; `` "� / �• ..� j/ O^ Illlldll�/STIIgON6 E� D�/F1EE EE11 '` \\�:i �'' ,,• -mot ✓ .�•,`�_.� � ,\ / TEOIE 0 MANAES ,•� li-�� o SO S SIMI= KLE uaD o Eti`ORE \� \ 1 SITE MAP .%�;; ��\( ,'. i% 1.0./.DEOtlIArtlIC INFORMATION SYSTEMS UNIT ��) Y ( - 1 MAP 1,09 i SCALE:in feet I INCH=60 FEET95 / ♦ \ \ i' W E x MAP 1*09 � ` s Xv -( i ®NMAaMmNMrnmgonNAemnan . � �/ ,\� \ •'. i 1 I�NR.NLNNQ1NANiDQFIOIIN /' i \� ■NMo<wtwenaar.r.MMMNsrr.lr. \ / 13.3°.3 \ 134 .6 �, \ NNIM►NIN1N / \ ...\benoit\sitemap\m109p82.dgn Jul. 16, 1999 14:53:28 Certified Plot Plan in West Barnstable, M . Prepared For : J. Griffin White & Daniel J. White Assessor's Map : 109 Plot : 82 J.K. Holmgren & Associates, Inc. . Community Panel Number 25001 — 0015 — C Registered Professional Engineers And Surveyo F.I.R.M. Map Zone C 4650 Falmouth Road, Route 28 Plan Reference : Plan Book 279 Page 65 Cotuit, Mo. 02635 Deed Reference — Bk Tel. 508 11400 Pg. :124-125 ( ) 420-7900 Fax (508) 428 3819 Owner : J. Griffin White & Daniel J. White. Scale 1" = 40' Date July 27 1999 i PLOT 77 PLOT 76 PLOT 78 N 20.24'47' W 161.35' `CNN UNK FENCE V FOOL (UNDER COW.) No. 611 wow FENCE t/N CA N tr,1 0 y � A. N PLOT 81 £ 4 0 PLOT 83 di c SHED g �g L=97. 03' R=271 R=20 _ A=20d 30'0. ?O 6,00 625d%o D' 85,0°% CEDAR s °°-�6 STR S°. _ � T OF MgsJ This Plan Was Prepared From An Actual On The Ground Survey By This Firm STEPHEN yG� P. CONVERSE w No.33585 REGISTERED ESSIONAL LAND SURVEYOR DATE t�No SuevE+°�' Application to � • ' E� Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a 1 9 9 9 222 CERTIFICATION OF EXEMPTION Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470, Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans, drawings,or photo- graphs accompanying this application. `J TYPE OR PRINT LEGIBLY DATE \ ADDRESS OF PROPOSED WORK i( ('F"LpA- 1z, 'E,17 U2, t,22 AA OaAMAg' AP NO. OWNER�bAI\11 fEL, 1-, U)IJ lj� AIJC2 S• C(t l Fri h ( -)H f� ASSESSORS LOT NO. $ °� HOME ADDRESS 4L C4:E:Ir1A JQ Z: 1.0d-c- ' E.2 A V-VPSTA ieTEL. NO. L�� cly7cn AGENT OR CONTRACTOR J_,LiQirFal W4i—O—c- AJI0 UU(,FL Z. U—)tj Il ADDRESS 6 11 C�112As IL �� • ( Q�e� BP�G-- ,S�'u���(F A4EL. NO. This application is for exemption of proposed exterior construction on the ground that: (1) It will not be visible from any way or public place. (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot,and, if an addition is involved, show- ing location of existing building. ���f1� '��Oo(� (o X 32— lop - e_x17r�t L� F�'I�G I I�sT�-1 l .Y� Fa►'� r A' 2 SIGNED ' Own Space below line for Committee use. er•Contractor-Age n t p iv H The Certifio a is her^eb-y /] U C.��wl GC. Ti a A(!G N OF Date � wAV Approved ❑ The categories of work entitled to exemption are listed on Disapproved ❑ the back of this form. -�� t.Pi✓ �� j�Q�— � tics c_�'I ' •[ • �/lam'— �r � V c7k o ze- ��ecGz��� ��� - •l( �;.����`,�S it — Ir � • .. j �::`y� ��: QW 17 OW tz r- 41,Z�i�''^f6�: . .,d •� wt' , R.,. /j f? , t: 1 1 - b - f Ail ell +S� r #�• w r..?— lid t:iry �' '-�• �.f�• ��i(' �' �,�h+�.I�- � G �?}�'-��•'".. to � � .tit 7.'>' *-'a �'�� �Tti��.,s+* � M Wit•.° � �tf •I i• rr ff �. �.. yr ,�. �•' �•q_`e�'"J � zT -'� .� - '�•3 . '4��R. %` it�jJ� �i,�i `• �� , .�- -. � .'�:•W'�� '-"'"t» �+ate - � .,�� \r~ t� '�.� ! '� t •! .• Sr, r./!tGe� rt?rv,; .!r �'�-vs. a , 3 ��•�i�1��'4,�/ � ., -fie � � ems. .. .• ` •� ,,.•.n.. ''._, ....:t.r.•- ' ;;\\` Tr�4�t�/'��.�I �}.�• ��� � ;"- `�"��/Y�`tv 1 r �-• rr�J's .-1 -•:,r:,,�..�''. •�)Iw.�1,��� Y..� rt1 t.�✓yr'�y� . 1t�- 7• ;h+ +j'� pis ����1 �4f• �~ '� _�, � �' - II i STANDARD LEGEND 0. 7 ,, t i .,..� -/�;�1� :•'�-� - '' 1\ —''• � ® salE muesE FSIES�O MCMUOUS TUB EDGE OF RM 1�Q otom OR ME" Oxfoommo EDGE OF WUM CRT wo --. .� � \ •f� 5 a.6 onmS 4... FeaEMT uMES WV MLWAH NUMB 4 0 - ,DFOOEEOI000EEME \ / ,`: •-� •/•�` -y 4\3 � e / - > r. flOT aEYSTO 15101 !'' A 2 SIOME YOUL RUNWWWALL MAP 109q MUM POOL - �� smffm - }� >� . t ° \\ / •� / , \; �� /' p= WMaMa/snmma \ #.61 T. ;t ��. OOCE,FRENEffi AfSTSSOMAPaMW p `•,\ /, -• `�� j _ .. \��, a MR 0 WmIS oFCU0 mw ma 5 9. - 1" SITE MAP i! "� _ ;1 �• I.O.S.UEOBCAEMIC IMFORMSTIOx S/STEYS OMIT MAP 1.09 i lam\ SCALE:in feet ' `. 1 INCH=60 FEET' #'595 N MAP 109 \�\ w1 77 1 I'0 o • # 90 , _ MOI6TMF FMCOIIBMl01QTMIFMICN�[ML®MSOF ►' ^�\ IOFOIEWMONMB TlTal MOI TOM 0�106dKt1 -=c I,xEM..T...r.x,.tlEfMi�1EM111i 4 \ / \ �-- � ,\ .. - � "��•. - .. _.. ■Ip�I�rYEl01'MI.OYllsfl'-Mf. 1�Iotlr®IOI�I/EY�IOYis(arlllA. 133. 3 <J 134 0 6 �� 1OMMx).L.IOlJm107rlIOe.,M1mE �.+ mlerM®.a E ..,\benoit\sitemap\m109p82.dgn Jul. 16. 1999 14:53:28 V ,�1 .04 W1 \ � 'ma 41 1 IA O WT WIW � •ns WTpill 109 �p J 4 W C/�\ 1V\ 1 1101119 W 10944 109 14-3 \ 1, �• \ W 109 \\\ lino 4109 ` �0 4 Wlo9 ' '4T `;. ����; Ia 11 R109 1 f _LI W 11w \• w��9 G 4 i •1 Jwl r7 7109 , f91 W09 •� sl w109 wig 9 f• _ 9 9 fa MAP 109 PARCEL 082 N With 300 ft, Buffer W E S SCALE: 1"=200' g:\bam%dgn\m109p82.dgn Aug. 10. 1999 10:18:13 Certified Plot Plan in West Barnstable, M . Prepared For : J. Griffin White & Daniel J. White Assessor's Map : 109 Plot 82 J.K. Holmgren & Associates, In.C. Community Panel Number 25001 — 0015 — C Registered Professional Engineers And Surveyors F.I.R.M. Map Zone C 4650 Falmouth Road, Route 28 Plan Reference : Plan Book 279 Page 65 Cotuit, Mo. 02635 Deed Reference — Bk 11400 Pg. :124-125 Tel. (508) 420-7900 Fax (508) 428 3819 Owner : J. Griffin White & Daniel J. White. Scale 1" = 40' Date July 27 1999 PLOT 77 PLOT 76 PLOT 78 N 20'24'47' W 161.35' `CMN LINK FU CE V Pool. (UNDER CONS.) WDOD FENCE(71'?.) ys• N UA W 0 2 o r PLOT 83 PLOT 81 o a,\ O a` �. NW o SHED 9 f9 L=97. 03, R=271- 2o, �s�n0 625d10. 0 D' 8S 00% CEDAR IT 00-,o s ° T gyp This Plan Was Prepared From An^Actual On The Ground Survey By This Firm STEPHEN R CONVERSE w No.33585 Z �aFESS%O,P REGISTERED ESSIONAL LAND SURVEYOR GATE ��� suAVE'�°� I `����� � i ���- � � � � � � � � � _ . . . .�_, � � _ _ - s2, x' .. .. .1 z TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t Map 'Parcel y A Permit# G Z -/ Health Division ` �2��� `,� Date Issued ( 0 Conservation Divisioncrl�T_ Fee , . Tax Collector SEPTIC SYSTEM MUST BE Treasurer .C (5-1 q• U INSTALLED IN COMPLIANC Planning Dept. WITH TITLE 5 WITH CODE A D . Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis ; Project Street Address g7`01e P :r Village ys7Tt6I-_e_ Owner �f}61} 11'Q Address 1� C�a� sTle-e� Telephone Permit Request Si m,4m;;y Pov/ — z.aj,Jd `4cv PfwA.r-e #omP rewce i S fift eAsri�c, 32, X/G� I°oo Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost 1q 5 9 —Zoning District Flood Plain / 1 g �l 4-- Groundwater Overlay Construction Type SW(Mm,;�t PDOL Lot Size 3 �, Z Vy Sg {'' Grandfathered: O Yes O No If yes, attach supporting documentation. Dwelling Type: Single Family AV Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: JVYes ❑No Basement Type: O Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: O Gas O Oil ❑Electric ❑Other Central Air: O Yes ❑No Fireplaces: Existing New Existing wood/coal stove: O Yes ❑No Detached garage:O existing ❑new size Pool:O existing Cl new size Barn:O existing ❑new size Attached garage:O existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# ' Recorded O Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use - -- - ......... �— n /� BUILDER INFORMATION l�l C, Name At?.' 13[e iIA19/ Telephone Number ��� "V0 Z 3 Address O lfcl. License# 00 Home Improvement Contractor# d Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECTWILL BETAKEN TO A'dt)e- SIGNATURE DATE� - �� / 9 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED t - r 4 MAP/PARCEL NO. ADDRESS . VILLAGE - - OWNER - DATE OF INSPECTION: FOUNDATION FRAME - t INSULATION FIREPLACE ELECTRICAL: ROUGH r FINAL PLUMBING: ROUGH FINAL GAS: ROUGH: s_ FINAL f. FINAL BUILDING t DATE CLOSED OUT r ASSOCIATION PLAN NO. - f 'ME r c� The Town of Barnstable SrAB Department of Health Safety and Environmental Services RARNIA `0$ Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner July 16, 1999 Mr. Richard Brenner 60 Bray Farm Rd. Yarmouthport,MA 02675 Re: Permit#38297 Dear Sir: It has been brought to our attention that the work being performed by you at 611 Cedar St., W. Barnstable,may be in violation of both CMR 780 and the Town of Barnstable zoning by-laws, specifically 780 CMR 421.4 and the bulk regulations of the Town of Barnstable pertaining to setbacks. You must have a survey done of the property by a registered professional land surveyor in order to determine if the location of the work(pool)complies with current setback requirements. If the location of the pool does not comply,you must apply to the Barnstable Zoning Board of Appeals for relief, or in the alternative,relocate the pool to the proper 15 foot setback,as required. If this office can be of any further-assistance please do not hesitate to contact us at 862- 4038. Thank you in advance for your cooperation. Sincerely, ;'2te_6 1! Richard Stevens Building Inspector RS:AW I oFVE r c� The Town of Barnstable xsiAe Department of Health Safety and Environmental Services v , `0$ Building Division �A 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner July 16, 1999 Mr. Richard Brenner 60 Bray Farm Rd. Yarmouthport,MA, 02675 Re: Permit#38297 Dear Sir: It has been brought to our attention that the work being performed by you at 611 Cedar St., W. Barnstable, may be in violation of both CMR 780 and the Town of Barnstable zoning by-laws, specifically 780 CMR 421.4 and the bulk regulations of the Town of Barnstable pertaining to setbacks. You must have a survey done of the property by a registered professional land surveyor in order to determine if the location of the work(pool)complies with current setback requirements. If the location of the pool does not comply,you must apply to the Barnstable Zoning Board of Appeals for relief,or in the alternative,relocate the pool to the proper 15 foot setback, as required. If this office can be of any further assistance please do not hesitate to contact us at 862- 403 8. Thank you in advance for your cooperation.. Sincerely, Richard Stevens Building Inspector RS:AW ' _ .. ... ,.. . :i t. .'i'r'a•' ��'• .7:.._, t ,•ter. . 1, • • , ' fr J�3��,�k.� _ Tl diriCd'e�[rti•�l.�.FLf�•lb"i���..t:E�dl�/d44t d- ti�,t ' . � *•' ;�1ee -�ammaauuea/�/i �,/�aaoac/ucae� . . . DEPARTMENT OF PUBLIC SAFETY _ 4ONSTULTM SUPERVISOR LICENSE # _ Expires . . ; ,. �...�».��.•;� to _ -� `; 89 = 2 YARMOUTHPORT MA 02675 . _ l 7`r c"nt5�-�`•gk,�`�`¢�q�?�p '�?''ri'RX7?�•��t+mac-a.'�'7 _•e• w-�t:�. Fi .' .. ' _ . - ,r .• y '1 � 1 !. a } - 117 As Pool., r � . GoT S7 ? S 92 q: HEREBY CERTIFY THAT THE :STRUC'FtiRE SHOWN HEREON WAS LOCATED PLAN OF LAND 8k STRUCTURE 6Y AN '.ACTUAL ' FIELD SURVEY ON ON MAy G- 1974 AND CONFORMS TO THE / ;, .. ZONING .BY-LAW OF THE TOWN OF �!pT ��^ Ca-t:.-7e T ;a"!` Z3��'!►5�.�6GL-~, MASSACHUSETTS. IN 'REGISTERED LAND URVEYOR �� .•�e�/S7�>�LS , MASS. < SCALE I°=5�,9' iW,,01 ,197 .i:: DATE ZN aF 9 q may,° EDWIIY yG� CAPE COD SURVEY CONSULTANTS YOUNG y A DIVISION OF BOSTON SURVEY CONSULTANTS,INC. 9096 ROUTE 132 •j.` • �'ca� �p� HYANNIS, MASS. l IN-GROUND POOL (CONTRACT) Nce oti to Buyer.You rrar canoe!tthb agnaarnem tt if it tas been oarsunhmated by My.PAY to tds at a piaoe other than ithe aeler'a sddress. Provided you no*the seller in wftq at le Train ofti a or branch by ordnary hhait posted.by t JW=sent Of W delnary,rid War than nhidrdgtht of the third twaMw day tolow'shg the suing of this agr arnenL in ttne event of such cance2dion, seller shah refund to buyer. wftb ten days of arch ancWhOon,al deposits, kx u ft any down F synhe t made under the'agreernent and redeliver any goods traded 1n to the seller on aaoount of or in oontwnptation of the agreement, less any restonab t costs actuany incurred tav making the goods ready for sets, and shut return any copies of the agreermt signed by the buyer with a notatior indk Ling that it has been canceled.The seler shall be entMed to nsdaim and the buyer steal return wtonww possibb or hold at seters dmposai any 9 aft rtaoeived by the buyer under this agreement. The buyer shal roar rtu addr-bOrt 1 iablly for canoelation pursuant to Chaptur 93,Section 48 of the .m s of fhe C.onxnonwealth of Ma=ad=eta �b Nf 1/4�, tG' - JOEY'S f s� /�th,�- �Rig t R&P2L .ter VALL4NT s oL/�IC C-O�i (PIALPRESIDENT . 0" Sao Siu imming Fools & Supplies P.O. BOX 698 MAIN ST. •DENC !SPORT, MA 02639•TEL: (508)394-6595•RES. (508)394-5567 RETAIL SALE AGREDAENT DEALER and OWNER hereby r wtually agree and contract that DEALER shall sell and instep at the home address of OWNER shown a vve the products)stated below,and OWNER shall pay to DEALER for same the total due DEALER in. reordance with the terms noted below. .INSTALLATION DATE ..zxr�-C- Cf r WEATHER PERMITTING No .POOL SIZE /G x s 2. TYPE R. LADDER U,U� HAND RAIL O MMMER O U E- RETURN `1- o VACUUM SYSTEM _ SUBTOTAL DMNG BOARD /tJ[� _~ SALES Tax 9 g BPS CONSTRUCTION CONCRETE '�p,V r� . TOTAL IV OTHER EOUIPMENT L,- DEPOSIT . 600. 0c) AUTOMATiCCHLORINATOR i C DUE ON DELIVERY OF POOL cf.0CD0 O d INSULATED WAIL FOAM DUE ON BACKFlLL OF POOL y g 9 Si _— DUE ON COMPLETION 2 S'D O C OWNER_�A U OWNER IS RESPONSW E FOR: in" STREET_ // C G + f CITY&STATE Obtaining Proper building Permit PHONE NO. 37 S=- 9 0 ; , •Cost.ofwater to fill the pod ❑ This stnli act sa a ant. OWnd o,r 7-vze, E� owner •All electrical&grounding O Sowd � ' . lWr 00, oats 0/1YAr JOErS QUALITY PO( LS By I The Commonwealth of Massachusetts . Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Workers' Compensation Insurance Affidavit Applicant Information: PLEASE PRINT NAME LOCATION �— A CITY l/eA iJ[-60 r r STATE S ZIP CODE (/T� PHONE# O I am a homeowner performing all work myself. 2--'I am a sole proprietor and have no one working in any capacity. O I am an employer providing workers' compensation for my employees working on this job.. I am an employer providing workers' comp for ALL employees working on this job. . Company Name Address City State Zip Code - Phone# Insurance Co. Policy# Expiration Date Q I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation policies: Company Name Address City State Zip Code Phone# Insurance Co. Policy# Expiration Date Company Name .Address- City State Zip Code Phone# Insurance-Co. Policy# Expiration Date Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. -I do hereby certi der the pains and penalties of perjury that the information provided above is true and correct. Signature 7I Date Print name o P Y V/4 L aNr Phone# A1_3'a 3.S y ,S ti5 Official use only—do not write in this area—to be completed by city or town official City or town I Permit/license# O Building Department O Licensing Board O Selectmen's Office O Health Department O check if immediate response is required O Other Contact person Phone# Client : 14287 -2ATLANTISDE ACOR CERTIFICATE OF LIABILITY INSURANCE 05/(03/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling & O' Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St . PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE INSURED INSURER A:Hlstory Company Joseph Valiant D/B/A INSURER B: Atlantis Design & Pool Company INSURER C: 8A Great Western Road INSURER D: Harwich, MA 02645 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE M DD/ DATE MM/DD Y LIMITS A GENERAL LIABILITY APP152857 04/07/99 04/07/00 EACHOCCURRENCE $1 000 000 X CON MERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire $5 0 -0 0 0 CLAIMS MADE OCCUR MED EXP(Any one person) $5 O 0 0 PERSONAL 8 ADV INJURY $1 00.01000 GENERAL AGGREGATE $2 OiO.O 0 0 0 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $2 OOO 000 POLICY PRO JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) 4 PROPERTY DAMAGE $ (Per accident) - GAR AGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ITORYLIMITS WCSTATU- OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POL ICY LIMI $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS Operations performed by the named insured as provided by the terms and conditions of the policy. CERTIFICATE HOLDER ADDITONALINSURED•INSURER LETTER: CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Pat Patullo DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTOMAILLQ_DAYSWRITTEN 59 Waltonheeth Way NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT,BUTFAILURETODOSOSHALL Mashpee, MA 02649 IMPOSE NO OBLIGATION OR LIABILITY OFANYKIND UPON THE INSURER,ITSAGENTSOR REPRESENTATIVES. -' AUTHORIZED REPRESE ACORD25-S(7197)1 of 2 #S15800/M15798, KAF © ACORD CORPORATION 1988 The Commonwealth of Massachusetts psi Department of Industrial Accidents Office oflnyestigations --a-�s. < 600 Washington Street Boston,Mass. 02111 Workers' Comyensation Insurance Affidavit name: \,)y e rs Qt>A l_1'T� /SOD LS location VCL �r�� city 414t w i c-if dyi A- 6 2(o Y,S phone# ❑ a a homeowner performing all work myself. self. am a sole roprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. compnnv name: address: <:: ... .. city phone 0- insurance cn. oiicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the folloning workers' compensation polices: comaanv name: .... ...::::. ..:....... address: city phone#: insnrnncecn. ... .....:•.: ov#.. ite .. ... ...:. :.:....,.•:••.:::„w..::;.::>:.:... comnanv name: address- city- phone#: lnsurance co. oliev# :>:.::.::;;•;.;;:;:;:::.:::;:;:::;;:::.:;:::..;;: :...:::;:>:.;:;. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one yeah'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby c5pify raider the 7au*u and penalties of perjury that the information provided above is true and coned Signature. Q 0 Date isY� _ Print name 1 l Ci4 11'4 461-fir,4 Pho=# 3 L 3 Official use only do not write in this area to be completed by city or town official city or town: permit/license# Building Department .(]Licensing Board ❑check if immediate response is required ❑Sdecmeen's Office ❑Health Department contact person: phone#; ❑Other (Mmwc W95 PIA) i Information and Instructions io r Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any conrr 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 c. 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renews: 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,neither.the-. commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insnrazim coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the'law"or if you are required to obtain a workers.',compensation policy,please call the Depar=ent at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be rettaaed io the Department by mail or FAX unless other arrangements have been made. i The Office of Investigations would like to.thank.you in advan=for-yow-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 Commonwealth Of Massachusetts Department of Industrial Accidents Office of InVestf0alloas. 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 : . The Town of Barnstable 9e}�A 6 �0� Department of Health Safety and Environmental Services- Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. I � 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 i such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: 3W fro A /tJ r, PO®1— 4P0,1,r,r Estimated Cost l `77 S ! , Address of Work: Owner's Name: � �✓ `�`�� Date of Application: I hereby certify that: ' Registration is not required for the following reason(s): Work excluded by law blob Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Sz=f �ss� Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav r urit ita Ezprat'ion`: w R ICH RD ENH v'- F` • is and 8 e. ne ra at V an�nwsiwR" Yar,.e s P ALUMINUM 4++ MIN. CONC. DECK • o CLIP ANGLE 3+x 2"x 1/411 5/8 O ALL o NOTE,ALL BACKFILL THREAD ROD TO BE NON-EXPANSIVE SOIL SEE INSTALLATION I/4�+ 2 NOTES QI 7-3/8"0 M.BOLTS DIAGONAL BRACE ` NUTS, AND WASHEF�tS 2"x 2"x 14 GA. AT 89!-O"O A TYP EA. PANEL END MAX.) 8"DEEP CONCRETE TYPICAL I4 GA. COLLAR A�R�UND ;� r.-rw•.� u u Q +Hnc L-G x� x D 20 MIL THICKNESS I=6"x 14 GA. VINYL LINER o- �. F DEADMAN PLATE ` L- 8u8x0-8x 2" VERMICULITE 14 GA. OR SAND, c _ 0 a � PROJ.NO. A' 1 TYPICAL WHERE SHOWN T 3 3 4 - T 3 } I H :: S ADED PORTION . REPRESENTS FL AT AT AR EA is STAIRS !i ARE OPTIONAL rSIZE SHOWN IOX32' 496_S.F. SURF. AREA a 17796. GAL. CAP. SI ALSO AVAILABLE IVX 34` ,30S.F. SURF AREA a 18476 GAL.CAP Al ISx36` 634 S.F. SURF AREA S 21148 GAL.CAP. 2dx40d 766 S.F SURF AREA 81 276?�GAL-CAP. 14 ' RADIUS-, RECTANGLE . I�r 1 •� tl1 �O� - - y •• �, I . ,. I :its: • � .'s;tl•titit. .' �•..� Slid•. .tt:: Leis���t ....S 'isi: ;tt °is: iit?t ::5:•::tS it i'i'� j ��� , ';t.. :a:°• :'iti'i•�t: .ti•':y: :iY ••i%tii sit •t3:• .%i;l•s.,;itttti;•�'t::.;;:;•:1iii::;•�'iitii:t:::!:::•:�.t D PORTION at:: :%t:;:.i:.j%t: :it:':yit;;tstti: 1:. :::::t' .i :S E NTS ,. . i AREARib 7 t 3 �•t'• %:tit ;.5:: N - ;�i%:t :t'i:i d :iiii�;ietE%ti?'tt•iitiiiit ..°;i: :'stiiil't's°•it: ::iihitit :.- :�{: °i%t %ti%� •';its i%i%' ' :� �• .�itt ,::ii ..t sl,'••tiiisi: ttSiiitsi° 's:tt'� tis, � i°;:=,=La:~::5............t STAIRS ARE OPTIONAL - i na cawac*moM w� "a Nm ss Ib TUB so M 2q i/4.Zp mW a7pr�mfmonar amau+Meer a. I.Lk gop"r omm mono ¢ ov 0 3a A MUL amres.mn.moat Aim.ou rrwoln 0 M"ft d ft o 1 1� ucowswm m _ r r aow a.w.e.ru Irorna� fde•,i.. tpn a air a Mae Aft •`e f w aft t 04:41%el TECHNICAL DATA Tow 1,61" sign VAN s Ift-Font mrs" Sod u9.1 3w1� a67i .hi P Fnl AM nab a AM el► �� Af3 ra Pad Slid 'S.Md Bud W Fad ` 'tea"' & cQ air r a Rr1 � ale it am ML ar NIL mmom rmedAD wAL a •>roo..m� a" ' !� a�raaars.a� .ms a mA lS�h AI. M Fr 1 4 fto S�eq OA1 1AY41 aaana�. nrt� main� IIR top ALUMINUM 4""MIN.CONC. DECK • o CLIP ANGLE 1/411 5/8 0 ALL o NOTE TALL BACKFILL THREAD ROD SOIL SEE NSTALLATIIOON 1/4t� 2 NOTES o I 7-3/8"0 M.BOLTS DIAGONAL BRACE NUTS AND WASHEAS 2"x 2"x 14 GA. AT 8'-O"0 co TYP. ESA.PANEL END MAX.) 8 EEP CONCRETE ' TYPICAL•I4 GA. p�nILAR 0 AROUND A ..,-, ..s. s�toLL fvfA•ice • wit 1.�• e / ���art ianc L-c x e"X 20 MIL THICKNESSI!-6"x 14 GA. VINYL LINERAr _ F DEADMAN PLATE • 8x8xO-8x 2" VERMICULITE I4 GA. OR SAND c • ' TYPICAL WHERE SHOWN --: 3 3 4 . 3 5 X. SHADED PORTION REPRESENTS FLAT AREA STAIRS ARE l OPTIONAL-Eb ' r SIZE SHOWN IOX32' 49 5S.F SURF. AREA B 17798. GAL. CAP. SI ALSO AVAILABLE 16'X 34' 530 S.F SURF AREA 8 S476 GAL.CAP ql IS x 36' 63� 4 _S.F. SURF. AREA & 21148`GAL.CAP. 2M40 M__�_S.F SURF. AREA & 276T0 GAL.CAP. 4 ' RADIU.S...- RECTANGLE V I� �01 � �• l t;: ;;:;:..::•i??it':?iiStC.'•�t:i?:::•11'•tL::., ' Cl ? :t�: ti:tiffs t :i;t'? ::s,;• :?_: ` i r'$ =iiii: ;tiff':. •;tii• it'ii;°;?i?ii t; ssi ;ttii ?tip;;:.s,��•i•.:•:s: tl: F ..t i: i...t ::i :.L; ?; T.t::tiiii;;i� t iiii;=t. ly�':�S�S;:;.ii,�ti:;S•;i�.t::;,L• �•�YI . -.._ - :?i?iiisi?i��,.;.ksti':ti•;t:::is: �ii;ri�: 'is=.E��Stii;,ti:•yz i..•.:•:+•::l:L=;• • �•. D PORTION y:; l:;: ::::;t.:i::::;:t;•.�;i::: .;ti•,�i„=� ::: E .:.:..:.:Li:.. {� ::::3=:?i' it?;;::�:::l:t:•::i't::l'Lis;:t:::i•:::ztaii'si:::tip:;i�tit-:��tstsz�o��i'Eti' f Z'.v :BENTS :.t. ;ii??.::;:::::i•;:i sri?'it:ti:i; :,tti:i:; • ts:i :t•;• Li•:•,�:i. i?sti�'t stiff:::=.. t= •:ii:ist?.:: s ;:•s;: :ti; •;:• i°:i;' AREA y:. ;y:y:: t:t ;::.�:' ?:_: =::i?:;;;?i� i ;iiisii°: •mot•: Its :.. ?:;;•%SS•:L i�:: 5::; ?SS:;S:S?:�S?�ti:•.itt:•SS'.•=•S'�! .?i=:•,• .WdI is N •• :i=?: �:5; �titti.St.L::5::;.. •ttS::L==tt' -:•S?S:St l�:t��::� i :Si�}S :;,:;?;:•S�•i�S:t;::=•S:M:�!�.::t�_::5::=.Si:3it�tE•_:__'::::i:'tt::�:?L:•t•• I .;;.•...;•s•.:ii;.?ii?ii'r��stit��i:s::i' iis';t' i:i:sl�:�lt/ :l=iiii=�t:: � :.- ••iS:??ii?5.�.•:5::.";5��::t"==S?:S?t�:SS:t;yS Lt:S•;•;S.t�S S,t•� /: .. 5;1:: :;S:t:: •.=S��t1S��t::t'::L S"t•iit?S :K�s• i :=:t!.'S?it::::i:l,::t;:1t:'�•S:ti�t 1y....,5:.�SS::i:i:�,��::;::;"S�'•••• . •..At%- STAIRS ARE OPTIONAL Gott J6�irblz r.ra a*'rr isa/1N0s0 O tTsr MIM ar nnml M rear ark QW¢►a�Ep Te ar Attllow A r wrsrstt �` eRl,.KI M a ov ° M IMMQ **oft d lea 7nelbtOtrLL �1 �:•� ME 0 A MCT t EL _ r r aow a wd.■u IirTwommus itarnteam� - a/rots ooeo�snts $QUA=MrOP s�e��✓� TECHNICAL DATA Tq W isaml am sll�s�aa At NIL a ur Toot t •a 4•Twl AC emu► ma -0t ` II srd a.e s.r s,.r � wee eaawtr■ or i rw is m m � ` Joe ^ •awes deli w+�cmc � a4 ; msMiM6 mess afQ_.ra mover mts + .�a alp��► +�r�•� torn r?.t C, L t + t � Badfir' •+ts 0 -Ca v / '5S • a•to lb q �1 v • ' 4 r • x O I HEREBY CERTIFY THAT THE STRUCTtIRE`SHOWN HEREON WAS LOCATED PLAN OF LAND 8� STRUCTURE �,� ,` • ��`BY AN ACTUAL FIELD SURVEY ON ON 197.G AND CONFORMS TO THE dl' •ZONING. BY-LAW OF THE TOWN OF MASSACHUSETTS. IN • h �! .�>��v:>-�.a.�Gc , MASS. REGISTERED LAND URVEYOR k ' SCALE I°= ,�/D !'.✓li�� ,197 b. 17 DATE V�H OF Mq C_5/� CAPE COD SURVEY CONSULTANTS EDWIN A DIVISION OF BOSTON SURVEY CONSULTANTS,INC. YOUNG CA .r 9096 ROUTE 132 • FQ P��. HYANNIS, MASS. �srE j , �gNOJ�URV�O� !C�Itiit"`•i"- I f •r,_ - '1 ;'•4• i s a `••.f••*r __ 4, � 'may/ ��/r t ;F4 it .. Z it I3t-ex r ♦ , - - 'M `",a ,"•� t '• I HEREBY CERTIFY THAT THE r{ri'`�P`';STRUCTURE SHOWN HEREON WAS LOCATED PLAN OF LAND 8i STRUCTURE `8Y AN,"** CTUAL ' FIELD SURVEY ON ON G• 1974 AND CONFORMS TO THE ' ,ZONING '8Y-LAW 'OF THE TOWN OF ./pT 614 `�Jr�/L 7•cr�? -;�F;�.Q�'iv57.•�6C[�, MASSACHUSETTS. IN T.T.p♦x' i,n A !� ,�>�.�s�r>,.�Gr , MASS. : �° 'REGISTERED LAND URVEYOR e,i%r t ` '� SCALE ( =5��� 1�i1�� ,197 DAT ► " ZH OF C-�/9 Mgss9�y . CAPE COD SURVEY CONSULTANTS EDWI'N A DIVISION OF BOSTON SURVEY CONSULTANTS,INC. `Tj! + YOUNG co 9096 ROUTE 132 ��@� �� HYANNIS, MASS. r is map,and lot number SEPTIC SYSTEM MUST B INSTALLED IN COMPLIANC8 w - "'tdTAP�t WITH ARTICLE if STATE � _ Sewage ' errri 1�it number r............... .-... ..p�..-..�.liO CODE A ND TOWN T"ET°� TOWN OF BARNSTABLE D STdDLE, . J9. BUILDING INSPECTOR 'EO YPY a • APPIICATIONFOR�PERMIT TO Construct a Single Family Dwelling ............................... P TYPE OF CONSTRUCTION ...wood and Masonry•••••••••••••••• ... ...... ........................................................ ........... .....April 20, 19..76. . .... .......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: LocationLot 86 Cedar Street (Trailv'iew) .................................................................................................................................................................' Proposed Use .Residence Zoning District .......Fire District ..West Barnstable ................................................................. ............................................................ Name of owner John P. & Nancy R. Owen ,address Route 6A, Barnstable Nameof Builder Same.........................................................Address Same......................................................................... i I Nameof Architect .Same......................................................Address Sa.m.e.......................................................................... Number of Rooms 8 ..............................................Foundation ..Poured Concrete .................................................................... Exterior Shingl-es & Clapboards •••••••••••Roofing Asphalt ............ ...................................................... .................................................................. Floors Carpet, Tile & Hardwood .Interior Sheetrock ..................................................................................... Heating .Oil fired hot water ..Plumbing .2..•fu11, & 2- � baths Y ace Firep l ....es... :...... � ....................................................................Approximate Cost ...30 r 000 1 Definitive Plan Approved by Planning Board -----------_-------------------19________. Area .... �.... " ... Diagram of Lot and Building with Dimensions Fee ...... .. .............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH t C&0 jA 3g O I hereby agree to conform to all the Rules and R Aulationsf the Town of Barnstable regarding the above construction. Name .............................................................. ................ Owen, John P. & Nancy R. 18369 two story, ................. Permit for .................................... single family dwelling ...............................................!............................... Cedar Street Location ................................................................. West Barnstable ............................................................................... Owner, .........John P. & Nancy R.....Owen ......... .. I ... ........... .. . .... .......... Type of Construction ..................frame........................ ......................... ...................................................... #86 Plot ...................... Lot ................................ May 7 76 Permit Granted ............................. Date of Inspection . .........19 Date Completed ............v..19 PERMIT REFUSED ' ......................................... ...................... 19 ZZ ............................................................................... .................................................................. ............ ............................................................................... ................................................................................ Approved ................................................ 19 ............................................................................... ............................................................................... 'Wsz�Mr's map,and lot number .......................................... �' y . � r Sewage 'Permit number ..........................G..........^....................... TOWN OF BARNSTABLE gyp%TH E t0 Z BJBHSTAILE, i "6 9• BUILDING INSPECTOR APPLICATION-FOR PERMIT TO ............ ruct... ...Sin le...Family„I.....e11inF*................................. TYPE OF CONSTRUCTION `•:ood and Masonry .................................................................................................................................. A rll 20, 19, r ............................................ ....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ;sdar Street t ....................................................................................................................................................................................... Proposed Use .......`iderCo 'Vest Barnsteble ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner Tohn F. '5c Nancy R. C'-idn Address Ro, + 6A, Barnsta"lr. 5 ern Name of Builder ........... e.........................................................Address 5:................................................................................ Srr Name of 'Architect ;. t�rre+......................................................Address ...a..�......................................................................... Number of Rooms `' Poured Concrete Foundation .............................................................................. Exterior ........................".... :...Clapboard.S..........-,� g ...............................Roofin Asphalt ............................................................... 1.qra:, i; �.s : 2dwogd ` , Sheetrock + Floors `.......................................................Interior .................................................................................... ............... Heating � �.1....:......e.`.:...t1ut u-lteT'.......'.......... .+ 2..f'.at':Z.. ....2'........b�..: :................................. .... �.: .Plumbing :. I Fireplace .......:-................................:. ..............A PProximate. Cost Definitive Plan Approved by Planning Board __'___�l9________, Area .......................................... Diagram of Lot and Building with Dimensions 1 p Fee SUBJECT TO APPROVAL OF BOARD -OF HEALTH �V �j ` , 1 � IS j I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. Owen, John P. & Nanc A=109-82 18369 two story, ' o. ................. Permit for .................................... single family dwelling Locationl ` Cedar_ Street ✓ ................................................ West Barnstable Owner John..P.....&..N.....ancy...R....Owen. .: ......... .. . .. .. .... ... .. ...... frame Type of Construction .: ................................... Plot #86 � .............. ....... Lot ..... .......................... Permit Granted Ma 7 ...........19 76 •r - Date of Inspection �I ............19 ' Date Completed ......•..... 19 ... PERMIT REF SED ......................................... ..................... 19 ........... .. ...: ......... ..1.7.. ., ................... x ......................................................... ...................... ............................................................../ ..� ...., .�. ................. Approved ... 19 ...,,K!".............................................. ' .... ....................... .............................................. :4 a