Loading...
HomeMy WebLinkAbout0740 CEDAR STREET N S M EAD No. 53LOR UPC 12543 smead.com • Made in USA i0l81UOW=PRODWl" SFI � smam "s r W*W-SFfflWCAAM.O* �5+.� _� ,,,... .,, �,.�__,__ s�_k � }�' :i�. _-,i:`tea.,:.'.�Ya.:.�.;�n:�. .e. ;•r, �_... �,..r. � My'- •t:Yti y it �x'� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � t 4 t q �1n Map o ` Parcel �3 , ;i- erA.R0, T.a." -� Application# ;„ . Health Division -/1427/oL Conservation Division Permit# Tax Collector Date Issued pIV15It?�1 Treasurer Application Fee , 0© Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Q� Historic-OKH I l D 0(� preservation/Hyannis u Project Street Address 7 qO ����y� -J(1R�%S� Village j j� l �A-9-N11 SSl•1 Owner ENe_ `t" t APLYO Address Igo CF �� Telephone• (�Qs) !(0 2 ^ 6�,4 Permit Request DEZ Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain C Groundwater Overlay WELL (1/S0z, �o Project Valuation 3�4 Construction Type CO��J ,Zc�yJti4L ,w4{�-A Lot Size 44, 772 , -51F Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes XkNo On Old King's Highway: Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: O Gas ❑Oil ❑Electric ❑Other KNCOILI; 62AA�&�z Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes Wo Detached garage:❑existing Xnew size219t)1 ' 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 ANo If yes, site plan review# Current Use 5woL 1 Proposed Use BUILDER INFORMATION Name Telephone Number N, 9;53- 3 t 1 r Address (�°J t License# 0-5 W6 (Q©1- Q' ICA M01- Home Improvement Contractor#�_ 06-&?) Worker's Compensation# 6441� Xfl q �D 4""��2) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO {�`� '���""���(� tu?, SIGNATURE DATE �' Z FOR OFFICIAL USE ONLY E PERMIT NO: DATE ISSUED ' a i MAP/PARCEL NO. = ADDRESS VILLAGE OWNER DATE OF INSPECTION: : FOUNDATION ' FRAME INSULATION . FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t, GAS: ROUGH FINAL i FINAL BUILDING DATE CLOSED OUT y • ASSOCIATION PLAN NO. ` RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below fk:f applicable) (GARAGES attached 8Gched 0n 06 5-square feet x$32/sq.ft._ ��-� Z p x.0041= n2_o ACCESSORY STRUCTURE>120 sq.ft: >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fire lace/Chimne P Y x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Projcost Permit Fee Rev:063004 r Town of Barnstable ti Regulatory Services Thomas F.Geiler,Director 9`baj0.19. Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.towA.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units.or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: `C Estimated Cost JZ, 25 Address of Work: ' 6`fD Owner's Name: Date of Application ��LF I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWIsTERS 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: l t ZA D� -Pot al Date Contracto S ture Registration No. OR Date Owner's Signature Q:wpfiles.forms:homeaffidav Rev: 060606 r The Commonwealth of Massachusetts 1 ! Department of Industrial Accidents 'I!; Office of Investigations 600 Washington Street Ni Boston, MA 02111 t-I www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): PQ 4- Address: -b oAY, City/State/Zip: J1�/O� [C%lA Phone #:� AKeou an employer?Check the appropriaKIxa:m Type of project(required): 1 am a employer with 4. a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t �• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. workers' comp, insurance. Y P tY• 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below:showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. //��"" Insurance Company Name: �.L� Policy#or Self-ins.Lie.#: (A) G � XL4 1,61 Expiration Date: 7 -Job Site Address: 2VD i- City/State/Zip: �XJ • - filh VU 0 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 y under the ins and nalties of perjury that the information provided above is rue and correct. Si attue: j Date: 2 Phone#: l7 Official use only. Do not write in this area,to be completed by city or town official City or Town: Perm,it/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. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an-individual.,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,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 permit/license number which will be,used as a reference number. In addition,an applicant that must submit multiple permit/license 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street Boston,MA 02111 Tel. If 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 5-26-05 www.mass.gov/dia P�pFt►�►os� Town of Barnstable ' Regulatory Services z639. `0� Thomas F.Geiler,Director �p�ED MPy A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 e: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �irlC d-VOLYlAK, » �. , as Owner of the subject property. hereby authorize �)6—U 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 w Print e Q:FORMS:OWNERPERMISSION . Board of Building Rcgulaft�eos and Standard d� HOME IP f ROVEMENT CONTRACTOR Re i f�12007 la m r drvidual ' Paul Pa Ila paa Pail P �38 Lambi +.. dminlsuator- W.Barnstable A 02 ..... . amv.-B-Ulalt!� cicluaetla BO RD OFF BU.WIN REGU6ATIONS t•icense: CONSTRUCTION SUPERVISOR ;. Number,. ' 068602 Ef tfeg8: P Tr.no: 352.0 Rem PAi1L PACEL / W BARN `BL E, Oommissioner - 44,'f73sR v N Af �0 2p( ` E x�tir+NH' : N ��easccD 1 1 F7j*VAT ION,'a f 1 , V 2 a Cg DAR 3TRF.E7' . I CERTIFY THAT THE FOUNDATION N SHOWN DOES NOT VIOLATE EXISTING ZONING REGULATION OF THE TOWN Of 3RR�.15'z'f��l.E _- (�&/&N"t�� . . Fes"-_• ���,• ;- VUAt.�R F-70'u N D AT P. OLDHA� ry ft 23207 _ u�a F,;r;..• �P� �L>�4AM 0G' INS, .JI�1�1� C i O O 96 0-*000, v►� 74 Ri y Ir • w \ oy\ 3 `n t, ;Owl `�. a , ACS % �6 �4S• LOT 3 44,772f SQ. FT. `L ?9, AD EXISTING DWELLING S34� off. „yy CONCRETE FOUNDATION C�� �40 p p, �4 T JOB# 03-087 CER TIFIED FO UNDA TION PLAN FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT LOCATION ; 740 CEDAR STREET (WEST) BARNSTABLE, MASS. PREPARED FOR: SCALE : 1" = 40' DATE : APRIL 15, 2003 MAINE POST & REAM REFERENCE PLAN BK. 462 PC 32 ASSESS. MAP 109 PCL 3 I HEREBY CERTIFY THAT THE STRUCTURE - SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. off. 508-362-4541 ARNE I fax 508-362-9080 OJH. ALA down cope engineering, inc. y No. CIVIL ENGINEERS LAND SURVEYORS /✓ O 939 main st. yarmouth, ma 02675 DATE REG. LAND SURVEYOR _ tip �ti 70 CIPS fit Nil r � ft� W PD ham, i r , i ;o F1- V13 l ' 1 nil om ! 4 4 R K f . f t y i 1 d CP -,- �OF r � c } . ( C i ! f .. Q n teae YI' LHL,---- -- Em . .............. J ,3, _ 03cr lot -IT F lzk! P A If r - Il i a� r P Q1 ` r P. os ;� 1 � - I , . . � � I i-j j::w r 7'.iVL V 77 -7P z _ 00 YSI d � ' Fr� IP. �y V o I o Lp , { <c 03 6' d 1- Application to 6)[b Rittg'o 319igbWap Re.gionat Jbiotorit Miotrict Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: Co OD CHECK CATEGORIES THAT APPLY: z � 1. Exterior building construction: ❑ New Addition ❑ Alteration Indicate type of building: El House I Garage El Commercial ❑ Other moo 2. Exterior Painting: ❑ %0 :3:�r-1 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other i . - TYPE OR PRINT LEGIBLY: DATE O 1 (-l l Cat, ADDRESS OF PROPOSED WORK 740 CeW T ASSESSOR'S MAP NO. 109 OWNER 1�9Ia 14f KAP'Yf� 6W AQt)CW ASSESSOR'S LOT NO. 100 3 HOME ADDRESS rI 0 CfQ GJt-- W- b S� TELEPHONE NO. 3�2 f-(ot6CP Iq OA(off FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) AGENT OR CONTRACTOR T' F05iu'rPl TELEPHO ENO. ADDRESS �5 -i+)ay6 C6 INA o'-�.SZ DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. /I,q^ 2 fa' ' Signed Owner- ontractor-Age For Committee Use Only f .E This Certificate is hereby Date Approved enied ' om ittee Members' Signa &M Ae OA 4 I °Ft►+Er�,,,, Town of Barnstable Regulatory Services v$" '$ Thomas F.Geiler,Director Eo;s,. A'� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Property Owner Must.Complete and Sign This Section If Using A Builder I, as Owner of the subject property hereby authorize , E� to act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) 'A�d 6MA-1Z !ST= A 115a)416(k, Si ature 'f Own r gate Print f 117 j low L 7 7 � \ n p ° z G U z Tn -E V ' 0 Nk NN : N Z o � I � o _ ,� I � Z = a J n�....... Fo: , I � 0 , d x: pr o� o,: r'1 of U � . � I it � I 67 71. zi z C .... .... ....7-0 .......... Q 2 L • � 'r�lnr' ;i� I �� ;� i\i x 77. AJI.. 0; Lrn. i j N,• Z j4; Q i ' - i LA .11 r _ m F i � U 16 i i tN d �� 8 7 , - ..,ilk' - m • I J � A T n � IN � z 0 � , ► I ft -- n � CETI o 77 n _ m i o � , 3 AA Tt r-- �20 r i 4. r 10 15. NA 7� o• r a 8 m 4 H b % . .�— x � I z - l� :.►.:mot v -5TS rn 'TJ. z m m `� � :L I .LNp� IS I. JW ) V — I ms o o ,z,�j $ Q ' j i .oll Ao i E i a E i i z l _, •! �,♦ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION J `,d t 4Zi,4�_ 11 Map / Parcel coa Permit# 6 7 -3 6j ,3 Health Division - �+3 3 3 B])JR- i 0fJL%J Date Issued I0A 3 Conservation Divisio �J, 3 k 0 Application Fee 0 a° 00 Tax Collector d's Permit Fee /VS. -7 Treasurer �-a Planning Dept. SEPTIC SYSTEM PAUST BE Date Definitive Plan Approved by Planning Board INSTALLM IN COMPLIANCEWM TITLE 6 Historic-OKH �S� 3�-1�reservation/Hyannis �.l�r� ENVIRONMENTAL CODE'ANG TOWN REa n B:InmS Project Street Address 9#0 0-f-VAP, 5 MAP 109' ?AAA_&L 603 Village WEST Owner L AJ-0 WLY4 JH�t45a Address 740 6EVAtL 5'17- Ur Telephone C-2-08) Oe- `2 — & q-l ®RL(o 6 b Permit Request 'X/8 I JCAM 6 1770nJ /6 'Xld I SE+5vJ U (�68 Square feet: 1st floor: existing proposed D60 2nd floor: existing q I proposed Q Total new '2222? Zoning District g f= Flood Plain 01 Groundwater Overlay 00 Project Valuation 6-0"ocDo - Construction Type klaoP 6v70_ Lot Size 03 i�gQrz_ Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Q Two Family ❑ Multi-Family(#units) Age of Existing Structure iCR I Historic House: ❑Yes M No On Old King's Highway: M Yes Cl No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) U Basement Unfinished Area(sq.ft) 2�a Number of Baths: Full: existing 2. new 0 Half: existing 0 new C� Number of Bedrooms: existing new D Total Room Count(not including baths): existing (a new ( First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other • VRM- Z_(bsA '—` Central Air: ❑Yes ANo Fireplaces: Existing I New 8 Existing wood/coal stove: ❑Yes No Detached garage:O 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 $No If yes,site plan review# Current Use 6100LTz mil. P_Iks t ft,� Proposed Use _ '5k4E, p BUILDER INFORMATION NameAA�I,�--A�wAr , M�� �+ ®f C� Telephone Number C� Address v•O . bo)� 10(©r7 License# C5 t)(D 9 C06` _ 54Wl� VGA- d dli S- t> Home Improvement Contractor# i '2cr 3 �� Worker's Compensation# =c. -315 —3XeaP 0 —Old— ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO likFJC> Q 6tfw(4V_ � -s k�, � SIGNATURE VaIA DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. - ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME C-4-01 p INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL` PLUMBING: ROUGH FINAL. � GAS: ROUGH ?� "_� FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. � i _ . The Commonwealth of Massachusetts _ Department of Industrial Accidents =- Office afioyesofffaos _ 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit Liam e: location: c) . p a�,n C. Q 3 hone# �'y�J-3C 11 ❑ I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one wort ii in ca acitp ///%%%/% %/%/ /%%/%%% %%/%/------ orkers co ensation for my employees working on this job. rovidm w :•q:4};;;:$•+::�tx:$;x}:<;. •> >;'?: Y:n K;r 4 an employer g ::........... am .............................:.,n::.::.:..{.........,..::::::):•i}.r.is4:•i:?;i::};FFF:?:.:..........4.,:•:Y:..:::.,.::.:•:-.4.;:.}}:4:}:•i:.::.}:.}:•$r�:::,.. �+:. . t....,v}..: ❑ ......... t.�.... : .....4..:.... ,........... ................... ....n.:..... :,.,4...:.:v::::vv::nv::•.•:;•i vi;•}}:. U...r:n•F:•.}{}';iY}:v:: .... n..... .. .... :.n...v.. ........ .....n. .:+.?•x::::«::::r«•?!t?•}}}}}}Y.t+.,•.:;v,r.,v:}•.�.;v:;:". L.:n- �:;F$.r•:!;K..•+}...?.;;.:.}•;. • ..v.n.......•................ ............. .n.............. .................r..v::w::•::::nv::::::v::::::::«:«:4:!•i):?;{{;;4•!;:? • 4:v;;•}4-i:::^••.::±:•);:•Y:?;...................:... ,. .....,. ..........:.v•:::,v-•:•...............::•:::::•. $;vi..$,4:::rv: .i.,•::::):}'v:;.}'•»}:}F.;. })�}.T':C;'•:�:•i'i:y2i;vi'r}:;• name.... .... v:::vi:•:y},;.::..:•:Y:::•}+:vnF}:•hnr•in•.v.v:}v:�:• •.::i:.•';yvF{iF}�Y,.1: ..1},xh, :::.:.:-:..:.::ii):4:.;:4ii:;:::F:::•i};4:?;•:;.}•Y::.:n•:•::..Y±••.:i.::.,{•i::{.,..•:::.. »rh:.±:.:. r�.;Y-::: .tom an ............. .:::::........,:::::::.t............:::::.:t...... .:........: :.,.::+.:....^.:.:....Y.t.::...f. ... ..::.:•................:::•.........,.:::::..t... .....:...t........ :+:::}:n••.......4r...::::f•:::.{:{.Y:?;•}...,•..,,•:+.•::+..;•:.:}: :.r.:{;}S.;:n;{w•• t ...r.....^. ..v... ...r........J.......:....... ......n.r.v....•...........}.r...................!..................::....r..... ............ ...;:.,..- h\jSCt::{i•\f4ti}•, \. v.±�'v}}:r?A"{v;{?" ..n.w:......v..+..v.::n...,+•-.Jv....+.... ....;4v:.............•.v.:....r...:....,:?•.........?....n.....•....?r.. .....v::•. .....r...::n...r..,..n...!:}.::\.nn:^v:rnv:::,r«±•::is n+:-.,,:.}r:}±iF': .:.Mt,:. r i:{•}+L::::: . ..... ...nr n..f:.v....• +... .....::::w:v•:......•::::w::::...::::...........n::v .v::v+:.,.....••:.:v.•.v:«:.•,.,.....w::. •vn-.:v:v.n. ,. F•...r. ......v.. .+...... .......v. .. ............ ... r. ... "' ..... ...v ...r.}4.!'±x±':k':?..':n4::.,}�:•.v 'Cv,•.f•}.•{:«h;•:.}'• � .:......,r .:......... .......n• .....n....: .........t. r. ......l....,.............:•. .�•n,v w::^:}±.:.n•±:w.,;.}'r'n•:.v•;:-:•:+•:}}:n:'w::;,v{v:,.;...n.;;.,..v';:.:v::x .}:f:.:}::«. •.:�:{•):•ir •Av„r....n••..t. :.n.+•v..n...^.n.. .•w..;.y,:•:....,•w::•.v::::........r..w:;..w.�•:•«:.;..r:{..Les.......• .... + �....)'•}}v:r..vv::.v.;i{{4}4:•::n?:?v.v:•:.<•}:•:).'•:}::r..l+::::}:%:}•:n::vF,4•:}{.} }S!ramr... r::::::�?...{:.:,::•:•:.......,..•r::•::G::...v.:.v..}}t{.::?w:......?:v:x::::......:v:?•nv::•n+•::.J:.r..w:::•::::n+....:n}::.F'r.vii.r...vx.;.,,J,.;;}{...... ^:'?..w::.:v:.:..t...f::•:•:r:++:f.r..,:•+.::••:v•... :.::r:::nvF...::v:::::::.v:...,..:.{.::•.,:::•:•:•.....r....v:•:::•:. .. .. .. .... r.••}}ci+••r:;•}:?=:....;.....v v;}+$•:x.vn?•.n...;;r:+,:+r;.:Tr ...v ••vv...... .f.....:... ..... x.n:•i:::;;,:....::: ::n:vrr �. - �.:- ..'1�{�.J'•.: :..a:::•i:a:4,FF:�:•,::es,•::+...,?{n«.�+F::?«:•::.c•�t{;}:a•)•<,c�;i:<;?xF::xti.,.':.r,',+.��h ry.::}i.{4;};•i• •. �.y �{::.}:;::....;.,•::r;:::::.. r...:v::4)YY.v.FiF•�i:iF..n. :/'��i a•S� ...{v}.}},v;r.::{:.:::n•x:nv:::::4 n v....:r..::'::}:frJ•"r:ii::::!Yr;:{..:;:.F{.}}x.: .,:4}:..4 ........ ...... ...........,...:•................ ................{}::;}F:4i•Y:•:;i:::::':::' r:•}'4::.4::..v..••r::w:::v4:`:}^:•:.;•}:.!v. +n....v;v•±n:•{{4}4{{t:}vJ.A:{i:n:�F?i�x+?:iii: ... .:.:.............:::::••......rw:::es•........r........ .....:::^..................::::.vw..........r..;r..::.v:n........ +.r.•• .... t:i}}::::•v. ,.\:^�::.....v ..\...., .n..t. :r :r ..r..;. :.,.... :...r.. n..n.,. •::isG}}):i..:�i.n4.w.�.�•i:i4:!4.w:::•.}:...;\:!?;x.;:....w.'. ..nv.• ,»..n...• ..n ..}Y. .....v .. ............. ..........v...........:•......:.v:«::.}:4:}.�?•:n .............. ..............r. .. :'Gvi}�'•::• :i}k}:•}i:.y:: .+....r..v.. .r...........v..v.., .....es .{.:.:/...:.. .................. ..............r...... r,:?•:::•.ny.:..:'•:.•'Lv:•v.v::::.v?,• rr:. ....r.n....• ......r..... ..}n.....:.. :. .L....... ............ ............... ....:vv:.:v:.v,............... n..n+4... v:r`w:F•v:.v••;}}':v•:v:v:.v::i};•Y'Y.xv.{:••::x:v:•.}r .4;\{:w::.,v-::•..:::ii:• ,•rr::..:v::•::::Jy.v.vw.v:::::;.�:v. ... ..:::::^::::+i:•)±:::::N:.::v::.vv};::w:::.v;;•.;n....,;{.:•:::•+v•:•:v:y::n•.v ..u.:x.{:..n.....?:..v........:•:...v............w:•.:............•:::.:•.........::?v.......... .. ....... .:..::. .... .. ):•:i•:ti•}}:•}::F.,....^....;.;,fy.:.}i:n±::.:........?:•:::r..n..!.::::Y::y• rr.\^C '•..w:.v:: ........ ........:. ....n.r...... .....{........:.:::::::::v...............::::�:•:Fr:::-.::•?:•::.:.:Y:;•)):4Y:•}i'::,..::..}:•:?i4:;}:}j$�' .-:..:v:.::.:•:n?•}.:?.x:.i...vv:v: :::.:es....rr�::::::....r.:::::::.:......:::r,•.i.:::F:r........::±::::.�::......................... ..........,........ ... one#............. .. :.:.::.:.,:...... ....... r :. nt:•::.. Q .. ......... .... .................................::v...^.....• .+...........• ...?..v}......r{•ri4:4}}:?4:vk:i•:::1.•.}f:�v:..r,.y':v:«::•.v:::: C•'$::v...,, v- -•�•:1�}',;Y:.+..•): ... ...................::....,.........:.:..........n•v::•.}:•.....{......v:w..........-•.vr.....••. ...................•::. �.......}.v.v:n?v::::.v:•.:{:;:nF$y:,i'::+;;..... vi.4)v}w:}%4r{;:v. r ..... :......r. ....... ,.{ ... n......, ....v:v::::::::.........•.w... ... ......-:::v.:,v...,.....;;.....:.,•., }nun.. v.:,w:::: ••...:,:{i.•:nv:k•F::}:n:{;}1i;;::$LS�;: 1......r r... ..... ........v .....r.n..... ........r• ............. .........n... :•:?{•;:•:f•}::x+i}:•):i•:,:v:•:::« v:+.•tiv}.n+•; ... :.....r.... ......n• .......n.. ........r., .. ............ .....n:v::.S...v::..::.,• .,.. ,..:vi?v.4::i4::•:;!;!.}•:{it•Y:{�Y} ..........r:............. n.r........... .........}r n.• ........n......•:w.:v:-:v••.v... :...... :.•.+.•esv::F.?{{.;.}'+<;{•irj{.y:n::: ...{.: ..i.},r;::..:... ... .rest..... ........... ... .<..... ........... .......... ............... ... r,.:::.:;, ,..r...........:::}.::::.},.:+i•::n,•:;::•:::.:±.:i},:::4.:•.}}`:{x;•sx�:Fh:{E{' v...... .v...r... ...n...... .........n• ...............w:.v::::•::.v:::::'{:::.:::::•.....;.:.}:;•)}:;{^:!::}Y::•i•Y::?,; .:::..+r::::::nvnw:•...rn.r..v.........,v.:..... r...+...r..A....;.....n...-r`.}Q:.;{?..v :in3ur.enCe•:Cff:::�}::;.;•;::}:i•Y:<•:•±:•i:•):.:::):;;+;.::•):;:):.::::.<::{.::;:::::i•:::+'•$i}+}:;!{:::;;???:•<;;;;:}:.:;:>{::iYJ;<;<;?:•::.:{i;F::{.}:.;�.}••:;;4:•:::::: �/. I am a sole proprietor eaeral contractor r homeowner(circle one and have hired the contractors listed below who have the following...:w...o.�..................:........}.....:.. :::r:.:..:...............:,...........:t..:..:...o.:.:n:.:.^..:...o.....li...c..e.:s......:.:..}-ers' comP � :::::::..: :.:}::?.}::..}.).:..}.:..}.i.i.:..i.±......±::::y::':::.:::.:<.)}:.i.}.:.;:;.:.::..:�{•};..:.:::.;:.:}'::::}':•<4::t'.:•.}:.')•.:.>.;,{.::}-):):::,;.::.}:::.i:},�:;...},):::..4::{::. .. : :" '.T.,:•,:. �$.....r..r• .......... ................ .:......... ......:.. ..... ...........v.. ::•: r. - •.,::{{•}:}};.}+: .;J.x:«::::}:r:,.v.F::;::•::$F9x?esy+ r...... ..F..:.. .....r. ....}:.:{:•N... .. ..v::... ..... �?•... .;.. .. .. ...::::: ::;i ;' -F::J'l�F?$:i'}:?^Y. :�'x.....{.v•:.•?'t•. :v}44�,5•y,4�})`{.v.S.}vr{::::. .v......f:n::•v..... ::.::•:: -: :• :. :.n•f.+'..:; '?4'- .}...v :•.v.rvn:,•. .};:•., _ } Y I•} } v } �.3t r 2 L u w A 4 Y �`i�IT�����y�' { { !C z 4 i K E C m e { y J sn v n t. :..... ....:•::.. :...+.:::•.•::: ......:•:n:•.;•:: .. . ::.%• ::•::.�:::..w.:•.;;:.;;::.}.. ..........:•.:.:::.:: :. ,r...... ...•}:n•:.{..:•.�:•n!••}::•+••.:.•:. ../.{..iv.,4:.v•::• �.1 K• .3}:;::; .:r..:.....:. .. ..ri. ..r:.......+.... ..:.... ..... .. .. ..:........:. ...... ..J..:....,.....:..............:... ti.,.........F..:C.. .k}r.. ,..a.:.. .R.54... .r..r,:•.......:r:i•: ... ..r.:. f.:...+. ..: .. ....v.....:v:..;,...:):'•::::......::.:14.:..r:::4::vr{:{:4;x{,:••.....::•:•.. ?444;.}):;4::;<v :F• .:r„v::.n.,.:• ::. .. .?. :{ .:::'•: .r .:vY::...+•n?v.Fm: ;}...1..:..:4.. ..n...:.. ...................... '4:jy,?:F....;.Y.. ' T:v:::::r •......n. ,�:•}:'}. .... .....,•{:'...v, v •Yf?:)'F'?'± `::x:::{A{i:r�;::3f�FiiQi:F;::. v,,:p • f�..:........ ... ....... ..:...:::J,vY:•}S:•ii:F'}'Fi}}?}}•.{• :..;.n{i{:'r,:}f{;..x.:v$8: F ....w;:::-:::: .;+.+•+nv. f.vn•:•..t F:.::i..:n;. .: ; f. }:}':•' ":J,v. :�rFx;:�p �.$ + y ��•N F'�<i}�,L'fF: .............:::::... .:•..::•;..,,••::. ..5......:«:rv{?tvF?F$F:YY:`•i ..... •ii.' ......,.... ..:.:`•F<F' _ ):.r:: •:{ir �>:}:+.J .1. u•f.,,....r..; .;;•{?- :.. ....Y... .,K•::fn^'+.::...:•:r....: %:Y:•: �. �}::.:..+:.? •.::..::.;:.:::Y:-:$;::+es.:r....;:n. •. •.... ?..{'.•:?•}• :••`.i} ::: •:r::r.;.., +.:••:. •rr++ .r.... ::• +" ..,•.,.::•. .:+ :•v .;;.'t•}.:'}i•�:$++.;F:jrr$:'Y C•.FJ.v v .r.,.::-r4...:. ..... +:+• :r.�:•,•• ?./. ..:.}Y :::).,•:)..... .r.:{+ .. ---• .. !}r� :>i.;.+• .as�}:.i n....�x "xr,..•}..+:`?�{� r ......r•::.. - .: ,4... ` :•:::. •. .v..;;4• :...•}+�,::?jj:$rj.?:x? it Q v. r .{.::.... +:.: ... ..r .. :}:•):•}}}} ...r.. {•:::.. ... .............:::�.:::::. .:n{. :4id;}x{::;;x:4^::ij2:a:�'�'}:�i$�••!.?e. : :t•::..::: .+ :. :. .. k ........: - ;+•^•:nvr.•.vf:.•n!4 ?4+x•:'?+.?? +{{{n$'v. .,i}••, .:}r+ 4.v.• ::•::,: •:::. •...r.:...........t i•:.:::::.:<-)::r.,. .r.:.. •:., .i;•;:.+:.:•:::?,. :•.,:• .,..;es}:•::.:..;::}t•F : ;'• ? ' i......... r +.. :::..:•.:.,•::•:.y,..•r...r:. r :;.}•.;:.,•{.}••:•}:••,•• .:.,:i•:F:•}):j:•- ?.;}•-:. ..::•i:•:.'v:....;; ::lir?f•:,•', a•>� ,4....:...v.:...v.+.f..,r.•..r ::. r n ... ..... ....:...�.�j�J�:. ....r .. , ..::::..{;•, :Y/'•} �+ rF:.�;{} �'•"j:.E•:.':i\:'#.�'••;'.,.,'.'.'.' •' +'ri'•,•;n•:.,:}..^.?•:.v>w:.4:::• � - :): + •.r.r r. ::}•.:•:�r•.,4 {;... �[�jf:l,� r4i•':i.^:::�?.{',}'v:::n:•:nv.;{:.. $ JlMM4���{:F•i.;:.} �� ::.::?v;;:rF?�:{.:;;•�.`. x%:F:f•FF��?:':•r::}R?}:F$:;i':F:i:rF;: .. .:..:-.�:::.:::.)i:4ii}i:F:�$:•:;•F:•:i�•.': ?::�iS:�:<;:F•:i:;::�':. ..::.:.v:.. ............ ..:•::::.:..:::::.:;:•;:i:'•is4Yi:<':{?�»::�>}JF::.:.:,•::•:!?:i?;•)$:•}}:•}:•}:•+}.}:<•i:•:{;•.•:•::r.}i$:. .{..:.r.. r.r..:.•: .t...•n::. .............::,•........r....?.•.r:...........:.�:.:.... ......:-.:...........rt..::t•:•............^:.:........}.n..r...r.......:........t....v•-Y�•:Y:: ..f.. ...r:•res4•.,X. '.x.J::•:..;:..... •.:i<,.,n•.Y..:!..a•::;•:{.::{ ...........................r.:.:.. .f n.. +....vn x.......•. ..............:•................. v ..v::.:....•..:.•••r.•••:i.v;::.:,..F•+}::it-:K?•:r?••r:.:vh\.n v4).,}..-}n.,3 .:h rv?•iti ^ ....... ...... ...... .v...... t..... ....... ..:n.......... v-O:•:i?n{4:4::.v... r.v::ni••., .+.•:r}:::+v:xn:r•n r.v}F?•:::r. .n....±.r.............. ........:,•n.:....... ......x::.v:.w:::••• ..:.,.........:\{;•i)Y):•••.,.....v.n:v:^r::??4:4:........v.... ../.} +.}ti•Y`?•`:}r{'}`•;I{,};$, .v.....r ...... ........ ...{nn...•. ....... ...L.•:.:v v::....• ..v•Jr.......r......-vvY v.+v:.........•• :...:.v::::?r......::v..r........ n.v?:+!•i..::+:,.. .... .. ...r..... .......... ............ ......: ......r. ...r..... x:K•}:. ...xx::::ti+.••:r:•v,........ {.;;^Y.{.{{n� rn,..,n.• ........ .........v... .......«. �r.v.......v.. .....v..n.... ...........:.......:v:rv:..•• .v}::......:..;:...... ..:.,. ... .:ry ;<xti3':n:Q•`W.7�•Y.{{u::vi•ir v:•i:- Yf:+...... ...::.n.......•:::......... ..:r..+.... n..:.:..n......,......::. ...�. v....:.r...r.........;.. ,•w..Y. r.+....i4•:}:,.Jr..),.- .. ..:... ..... .•.. ..., rr..... ............::::;-}:•):�:}:•:;::..:}::<•:t•}'•}:-}•. .....::•:•.�::...,,:•r:-•;4••:Y:....+......,.,.i +r.. J..:,,.,�{?.;;.}tx,r r'.. .r.. .............r............... r r....:...r..,:•.v.......v....... ....J.±.•$:•i):t?G}F:4'F.•}?.r;::::�???G:?'{;•}}:... .::?:::::}:nv:::... .. ........ ...n....r}r•......r rn rn?•r..........:.::::•:.::::...... ........... ....... v. {i+tr.•}•r.:};.^•.;}•:.... ......:..:v. .......................... ....v•:vm•r.}:•n4:i;•}::;n.xn.,.... 3vY}•:r. .. :` ..:::r........r..... ... ;r.v::.?i{•;:r{Y.iv; •::A;4{::x:7:.:{:%:^}•{i:.r{•),:vx::�{:+:{?i$.}�•)x.::^\l�?a?�F.:}v,?Ctix}x:}:xi:::?;!' :TBr[[�..•... ...........................:::::4:4n?•}YY}i:4:t:i•}-::::::{^....:..,...;. v..::.:.:.::::f.; .` $n. ..................:v:........,,.....v::::::.4::.r...... ............n:?{:•:{4 p;.}i:+v.})::4:±::!^)}iY:{{::{{:•itivnvY:.+;ki ti:}±:}}••:w:rr::,. • ...............:.............:...:......r......::n,......,.............vv.,..n..........• n..:.....+:...:.. .,.,::nvr n.r.......::::.4.x..n..... }•:?+...}. U.vv:.:v.,+., .. .r... .r. .,..........................::.:........ ..........:r...........,:..:r::::l........::•{......,.::).....r........tt•.,....,........,:r.;n.;H.,..F.tx":`..�:#;{;+.;}:4::?}:'•:'�\:+?:wY::>:+��•�•�+.?:�r•{:;5$;: .......................:•:::... .,t.r....::......,.......}::.:..............:.........n.n,..•v:.v:..-...........:.............:....:.f.. .y.........t.,..v:::..........v.r.......•• : l•es4r.+ .................:...........r. .....n... v.... ..........r..............:...•.......n........•.. ....r.. .. :......n...•,•..........+,U...,......••. ..F..:. }'•:O:••n`iN. Y.....n .v..:...... .....v ..:....:.. .......r...... ..r.....:.. ......n..r.... ......{..r.. ...: :...v........:..:..}}F$$FF.vv4 ..:..r .r......<.. .:....... ....... .n.....,... .......}r....:.v:::.....•,..v::••.......r..A}$.:•f..... +:.};•):?•).r••:}:{4F;:+.{{,{:n;:{4}:4•F•:FL {... .....x..• ....... ..... .. ..vf+...... .............. ........... .:.v:.. ..•:........• {....:.....x..v...... ...... .... .4:r::::A.,•:-:::^..•i :}:•}.;}..: :i•>F:F3:x�?Fx'.•'i}•i+4:Q!:<;:vxCiF #•:v.r...r:::.v:::::..... :.rn.::nvr:r.:.n....;:•:-:::w:{........ v..r•:v:::.:.....,.•?•.w::•.- .n....f. ........:...{4:i•r. ........... n r.:..... w:::::::••. ...v,;.•• ..........:n:::{.);::.•r::..{..,•::.;}:..... r:n{•:::w:::.::..v •.vJ:n•:.:...: ' .....::............:...«..r....::.......n.{.:ir...r........:{:.}Y}}:,v:nv::::!::?•}:•}}:.v::.v::w:::...............:4:':R::{.}:•}::•}:;•:.v......x..::,.....n..;:;..:'b:nv: :...•,.::. :4::vn?.....:,�w.v...n•::::::::....:f.::::^.v:....•:•::.w::::...,..••:w::::.::.:.....:vv:.v:{w::::::.•:.i:}•.n:4Y:•........:... .. :. :...:.:.:.. :..:'•v ':?4:in;}:v:,v,:`FY$:G;:;;; ..... ..n.. .r..,.. ... .......:..:.. �v..:::::{{{:{.}.,};4'Y•:... n .;...4:•}r:: ?„LY:-.;{:f^{,.+• ... .... ........, is ini�::?•i}Y::•�:'......... M!;4::n::.v+4.v:;.•v:;w:•:. ' ... .................. ...............r.. n........... ...v....r.............:............. ..... ....:..::}n ...G.w:.v..r:...:...:.....n.......... n.:.::::JG FF;r?.:.{.,�}:{;:n.,:Y:$.•.�: ii::C!ii:�'{i: ... .. ............:••.:....:.....:•:v.:,...........••:•.v:.....,}......:v.:..... .... ......:•;, ..........F:es...:}>.nv..........: .:.........n.r.n...,.4..::n...n r...,+.}4.:.,}.:.'?v . #};is;±•}i:?•}}:tivY ::::::::.:nr•:vv.v:::::r:::{:,••«F.;..•))"v':v:::::xn..:v::.v;::::•::nw:................. r..... r:..•:" :::+ .. .... ..... ...«. .... ..................:nw:::::::.v.v:4::}:4}):}•:4}:+•}•:}YY:{;?:Fy}}Y}}FF:•FFY}:':FYi::•}}:i:i:<?:LS...:x::.•{:v:4}}`:•:4 is":F:v:r: ,.... ,............ ......v. .....A r... ........... ............. ........ r....:.r...... .. .r....;....r.:}ri}}:;::?•{+:•;{{.y;.v w:+:,•. ' v:....... ...r.... ..+....... A........ ............ .....:..n.• ............ .........:•::::::::.v::::�.}:•::v:::::::•v:. ..:.}}}:? .v:4;/v:v.v::.$.;. ....v....r........f........ ..r..r...... .. .n....•+:•...n.......r....r................ n.:. .. .:. '•}}'., , 0.v.r.Y.}•:4?•:<}:i• ..M'•iy'.;,-. 4-•v • ..........:.v.F........v...........v........vr.....:.........r...:v:::::::::,v:nv::::::::•+v:... ,.;.; ..... .... .......... ?r<'�:, F:x;{?• .... .. ......r .... r...... v...tr..... ..........,....., ..........: .� ,......:::.••.....,.:..;: ....;•::.•..r:•::K•J:tr••::•}?.;-?+'•a;•}Fs:;F•:c:•::}Y:}�{.}::.},:•}.•}-}:;f�$v?•:+:�+�s::r<r:):<;• ..............::r-:....r:..:.:•:n•::...,..,?.::•::r:....:r....:::r:::...........+....... :..,..,.........:.ant..,•:•:.:?:•:r:.....Y,.v:•::.::.:•:;:•..::.r•.v}.,••..... ............ ..............r.......... ............ .r...........:..•F.......................•............;....::v.,•.......•., :... r.t:.....r...., w!•:,+•,'?•:.vn!•::st)F.•+.;,,}•: i ^: ...r..... ........ .....r..f. .....:.... .. ....::::.v.........v::••.v4.,...•;.•:{•.•r<v:F}:.. n:•.{:•::t•�'+•.4:^;•• <{+:} T4.{:.}•:;{:};;:. ,.... ..... ....+r.. ....... ,...,.... .....r..........:..«:..... r..r. ..::•.v.. es... F.+:o:;.}!;::::K.;a:a+K4:4•rx:,F;,f .....F .......... r...... .......,. .r....r... ........... :::......:v.v:n•:: ..r..; :.+:::.+.•r:Y::^:tii;;{..;:..;;}•!'•i i�ti ..... ...., .. ..:n....• r.. .. ......... nn.r.....:.::w:x.n........�....:{.}::.......v::::: ..... i•:.. .FYJi:•:v:...:.:$}::j.}.t;::�i.:j%:{{j:ii$ii} .v...rr.v::?....r..•+:.:......:::•:r:...}..v n. ;:..n...rv::::•:n•..t...r.....:::::...v......v.....:\......:.r.... .:•::.:vx:.:v•:,i$4n:v...... ?•:nv;:.::..;••r .n.:.. .n... .S n.fnv: ..:.v v..r. .... {.:)}:4:4:::-:{.?:::..•:nv::::;, x::.... .......r...rvv,v.....,..v..f...r r....l.; 'O}:4;;...v:.:}i...•;;r.•:n.:es':•::,v;}?):?{;?•$F:•}}}:•:•:4:li v.•:•::::^•.:.....:::: •:....:v:f.v•:nr•. :v':{v}\+•{:^;n?v4:?+.•:•):•i:4:..^?:::.::::::n•:.vn,:v::::n+ :•::}.+y}«•Y`Y:•:4}i: : ....:.....:.....:.. }.. �{.: :::?Y::4i:::::::n•:is?%}:??FFFF$F;{v?::;??ii}:4:?i}i}Y:{{.}:.t:>.•}:4:•:;:)`.v::.;:. .. mQ�Qce':cat:•F$r.�F'Yxi:{vFF:i:.�:..{:�;•}:+•::..}• ! f gafiure to secure coverage m rrgoired wider Section 25A of MGL 15Z rsn lead to the ia►p° °n o afminal penalties o[a Sae np to 51,500.00 md/or one yam,huprisonment as well as civil penalties in the form of a STOP WORK ORDER surd st fine of 3100.00 a day agaiiut ma I uaderstsnd a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby c under the p ' andpen3pides ofpe7ury that the information provided above is trru and tarred Date 0� Signature \ P11onE ��� ` yfy>_ ty Print name aMdal use only do not write in this area to be completed by city or town official pemdt/license# ❑Building Department city or town: LJIAcensing Board 05elecbnen's Office ❑check if immediate response is required ❑Health Department contact person: phone#; Other (.vyed 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 'requires all employers to provide workers' compensation for their employees. As quoted from the"law", an 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 section 25 also states that every state or local licensing agency shall withhold the issuance or'renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any. a hcant 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. ; i Applicants h 4 Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and r;. : supplyingcom any names, address and phone numbers along with a certificate of'insurance as all affidavits may e P Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and submitted to the :G6_ 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 `°l.aw" or if you are Zequired to obtain a workers' compensation policy,please can the Department 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 pemiitllicense number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. FIN, MM/2 The Department's address,telephone and fax number: , The Commonwealth Of Massachusetts j Department of Industrial Accidents Office of InvesdDauans 600 Washington Street Boston,Ma, 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 y��OF ZME Tph�G Town of Barnstable Regulatory Services saRxsrasLU. ' Thomas F.Geiler,Director sass. 9`bA,Fo,19. 0. � Building Division , Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. ' A Type of Work: NOW`Zf7(, 4V-P1-0 Estimated Cost Address of Work ? D etnyAj, �r • `�-' Owner's Name: Date of Application; ! & 6� I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied El 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 fora permit as the agent of the owner: Date ontractor Name Registration No. OR Date Owner's Name RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE d� New Buildings, dditions $50.00 5-0 P. Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE — SS?;o square feet x$96/sq.foot= �-� (,C402> x.0031= plus from below(if applicable) ALTERATIONS/R.ENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq. ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS 'ov i Open Porch x$30.00= (number) O p0 Deck t x$30.00= 5 . (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost M CMR AppamUz 1 Table J531b(continued) Prescriptive Packages for Une and Two-Family ResideneW Buddlnp Hated witb Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Ar'ca'(%) U-valuer R-valucd . R-value' - R valued Wall Perimeter Equipment Efficiency I Package R value' i 5701 to 6500 Hating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 l0 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 036 38 13 25 N/A N/A Normal U 15% 0.46 1 38 19 19 10 6 Normal V 15% 0.44 38 13 25. N/A N/A 85 AFUE W 15% 0.52 30 19 '19 10 6 85 AFUE X 18% 032 38 ` 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE { 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: -® 3. SQUARE FOOTAGE OF ALL GLAZING: l Z 4. %GLAZING AREA(#3 DIVIDED BY#2): / 1?d 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls ,without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawl spaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement &-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.la NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J 1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with .your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 I ✓fie Tjomv�noozaea,�.�i a�./�agaac�uael�'a ! BOARD OF BUILDING REGULATIONS cense: CONSTRUCTION SUPERVISOR III ``• Number:_CS, 068602 4 irthdate,408128l1960 ' .P , Expires08128I2UQ4 Tr.no: 350 q Restricted:, i PAUL R PACELLA 132 LOMBARD AVE 1 W BARNSTABLE, MA t*8` Administrator i �1e Coo�n no�w�ea �./�aaaacfucael�a _- Board'of Buildigg Regutetlons and Standards 'HOME IMPROVEMENT CONTRACTOR Registration 129348 Cm*..08117/2003 � • Type:lndividual t , >Taul Pacella k { Paul Pacella :h2 Lombard'Ave Glr� W Barnstable,MA 02668 f Administrator � r r� I --OT 3 44,773sR � UN v N 4?.` �iD9tEio1� Q E K .VTIN61 a I� 1� N F-,IUWV rIoN N pl„ a`V � N 0 N 24a C°E DAR I CERTIFY THAT THE TOUNDATION SHOWN DOES NOT VIOLATE ANY ZONING REGULATOON OF --� EXISTING ZO THE TOWN OF R>a ilhSL.E Pk 5Lt, FO u ht I7 AT !o N CE R T 1 F ICATI P. pMAVI No.23297 � W 4��C•r..r' ,P, Qt„D�-If�eA/1. 0C. S#-N wic I w P� Sc { '=40' MA JZCP -� N o ca \ w • p M kt 3nl2fQ �000 Aso-p�� �• � . _ K1 �' IVY `� • 'vz o 6 Fes, .t • o 0 -r a l i Z0.C7 $lo�e-02-4-s 44,773sR n v� N . � P � Ex,��Pricn �� N FOt,.)VAT 1 W, 19� N 0 _ • 24d.DD 577��T I CERTIFY THAT THE FOUNDATION 'riOQ tJ_Pi5. NOT VIOLATE SHOWN DOES N ANY _ EXISTING ZONING REGULATION OF THE TOWN OFRN54 �1.E Zt1 of R-1 LC, s � ik�-� �q`�f;,: - � �O•u hl�D AT L o N �R T'(�ICATI OLDHAM ft 23297 J ����; kej P. ©L>4h 0G. WcC SPAN-DW l o *M' • 1 � g V• \ , V` e -1,- 0 PRJVC 1 = g0 (al 000, 13126• N19. 2. . •is \ ` � t r `'. 70.: . o �g 1 ` 1 ►+ � o� iTOssa, �\ ' iz �o \ 4; --� i v Ul i Q c 0 ;d Application to ®Ib Ring'o 31 �jWap Regional 3biot�oric Motr.ict �omrrtt �►"4 CLERK TOWN OF BARNSTABLEg BARNSTAB!E, " In the Town of Barnstable 2003 JAN 16 AM g� 0 I 2g?3 r�� 28 kt1 9. 18 CERTIFICATE OF APPROPRIATENESS e ,ith four complete sets for the issuance of a Certificate o Application is h y� p f Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described.below and on plans, drawings, or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: , ,{❑ New ZAdditioh ❑ Alteration Indicate type of building: u House ❑ Garage ❑ Commercial 0 Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: El Fence El Wall ❑ Flagpole ❑ Other 1 TYPE OR PRINT LEGIBLY: DATE 1Icj ADDRESS OF PROPOSED WORK_740 leQAfIR,ST W ,3Af+A - ASSESSOR'S MAP NO. I C)q OWNER Af-V Kk?-yfJ `jWA4460F ASSESSOR'S LOT NO. )03 HOME ADDRESS 740 WP4, '5T- TELEPHONE NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including#hose of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) AGENT OR CONTRACTOR C OD TELEPHONE NO ADDRESS �4 MA D �� DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. Signed AP�— D o rac or= en For Committee Use'Only This Certificate is hereby Date Wo d r Com ittee Members' Si natures ^J Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET i FOUNDATION �SUr ► d �Q�- ��2SIDING TYPE '• i COLOR �4 WTczk fz:V'Wto CHIMNEY TYPE COLOR ROOF MATERIAL 'Q - -4,AkU,�(0(.7c COLOR OkPaVtk4t49 6T PITCH WINDOWS COLOR OW SIZE ( 4 q 5�9 o�lnFc.S TRIM COLOR �i'r-`�i 4n IE, 6P "Xo E DOORS COLORS QUYti� ®rQ�Qd7 SHUTTERS COLORS GUTTERS /-'cvY�V1 • COLORS DECKS �• I `1 1."►-'Q'1EC. �/�t��J MATERIALS GARAGE DOORS COLORS SKYLIGHTS 467-),rz— SIZE COLORS — SIGNS r��ivE� COLORS i FENCE �(91J� COLOR 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 11198 Abutters List to subject property for Additions at Swanson Residence, 740 Cedar St. West Barnstable, MA Ass. Map 109 Parcel 003 Donna and Christopher Hardy Map 109 Parcel 002 770 Cedar St. West Barnstable, MA 02668 George J. and Phyllis R. Bacigalupo Map 109 Parcel 092 747 Cedar St. West Barnstable, MA 02668 Charles K. and Margaret M. Swanson Map 109 Parcel 004 718 Cedar St. West Barnstable, MA 02668 Theodore and Susana Mandel Map 109 Parcel 015 014 P.O. Box 738 West Barnstable, MA 02668 Michael J. and Donna L. Ostrowski Map 109 Parcel 005 004 71 Lothrops Lane West Barnstable, MA 02668 Bernard A. and Mary Mitchell Map 109 Parcel 005 005 57 Lothrops Lane West Barnstable, MA 02668 West Parish Community Assoc. Open Space Map 110 Parcel 025 014 C/O Laura Boule 19 Parish Way West Barnstable, MA 02668 y ;`ombia92 noafiCiiv?,. u; 2ftoijibbf idl Oj 1?i..l 21JjijjdA i t o lj:)Isll (101 ql;tvi .2aA .l Ut told en-toff 12aW .12 inki'D 0;:, a0(11��ts�l C�UI nf;M ll,b-sll ROEO 104 )*;,,)W .32 •titb:)O V LSO ki:)ru'l1 QO f gi;lvl ugi.tlgi it f .5] gill\�&l bfis A #`0019ajs9 v()1 cls ! ftonn w2 .M t ns"irNi btu; .?i t ticcl"� Rv6M / N "Adman .a 7z�'+�! .2 -IV 817 MO Q �!0 loo-rs"I Q01 gsi,li lof)firif snszjs2 lute toot)r,wrr 8360 Al`fi toidwafns8 .]e5lf/ R(r rc)q .O.q 4(:0 ?00 lt'):ricll Q()I qJ;.M i1'GwoV20 A srraoCl bfill .L l9sfbiblj, 8OM"o PRI ��l;isl2ft t2s�N :xir. gc-)IdlU,l .t c00 i:0() l)��113 I Qo I, clj/ f1wlwilA, vtf;tA brit A bitifma Rij"o /� M �tildilArrisS iptjW t)ns,l arluirll)J C� 10 ?_'0 l� sr�l, 011 gn.Ml !qssg2 ctt)gO .jouA +{jit,ilfi7irn3 rieiurM i?!)W :iluou bI!fn,l 00 . 13�0�0 r�il�� ��Idrjzft-tia� �2c,�! •tsW iili-tc�l �t r 54.0'-�¢6�-25rE /lo% .. �. zo•oo sev Zr4A�� LOT 3 44,7�3sR � q 4 n u N ' 1�2! 4 z'- Anorr�or► P P O E A,Ir/N[.1 a ld N 90 �J \� N N _ N Z¢o.00 CE DAR 3TRF.�7" i CERTIFY THAT THE FOUNDATION SHOWN DOES NOT VIOLATE ANY EXISTING ZONING REGULATION OF I THE TOWN OF AND pe/� ,SN OF, s :{ aC ICI' 1-� L C wAir�R F. ` OLDHAM NO.23207 ISTSVf. 4�a �;�r'�•� �. � ,Pr �la.D�AM��G• �NCr SP�N�WIU` S c- �� 40 M o �9 ti3 9 Z p'/8"E • N — At U1 DRIVE o � 74 Tom., \ s iz V, m. • � s�4-'-02-48 E 7-73sR -70 v N� h 4z o E:K��T/NC!1 �.� � N F-m*4 PAr 1 ON, N � N + 24p.00 D,4R , I CERTIFY THAT THE FOUNDATION SHOWN DOES NOT VIOLATE ANY ---°�- -�-� ►�1D�T'io1�S EXISTING ZONING REGULATION OF. _-....._...7 O ..d ,4c(Z, THE TOWN OFR�1S� �LE ,SHOFgygssTZnl�S ;. R T-IFICATI& P. ALAHAM No.23207 �QISY��'E.. I - :v f U �It — �^R�r• -- � �. \ `?fix �_ {� DRIVE qr o ♦ oy� 3 NZco iz .w` � 9o5• N N cv, TOWN OF BARNSTABL.E, <. OF•' .BAF ASSESSORS MAP • I BRAG � m .. .. ` t 9.' .78AG ® CO 347 , OPEN a h.... c SPACE 2 O © r'i-ff0-25-14 �� 'PAGE I,�• �' ® y 0� 8,3AG 1.IoAG 0 5-4- .B S y°° -1 5-9 •:,� wee 79AC y � ' SA O .80�• lye. �9 .5� �Z O �f:T �`+" CEpgR t I,olf' 4y O I`'�� '' '* <,��`` 5- 40 c qr 5-7 .82 nc• ;•'o E I.o4AG ® ^ Bl r vQ G 2 R l-13 AC O lAl .c •;, el o�fa RFF i r.00 L o e►c $ I.00A'G ° 14-2 ® bit .. 3 1.00 .oO A.C. 7(6 .81 h: Bjac'.1at, rc 15' Q 1.°1 � .� �. I.Op VO ° 14-1 ` 14 AC r�• 9 4 zy rv.n I.19 AL •61 AIL• O( �o .i,.,, i;�r RSM'T! 1'1 1✓ 'C .el K .:,}yF 4•�';7f! y`'v"F'brr*a-.r v.�,'4,41`•'.:,C+✓Fir!-"`:�`"�..^r'r-,.-.-"!�'"........•-,..t. Sx..�b+'�.1�+'v�..n.s.+kr�'Irw�w.',.�..,.-�r.r'�..qa'�"�^yy"eMe.�'°�>M�',�-`�'!`�', _ _ _y,e�y:,=•. Assessor s'offlce(1st Floor): Assessors Tap and lot number F•. Q Q �f THE to Board of Health 3rd floor): ( ) 4A/ d 'e Sewage•Permit number , Z DAD.�g7GDLL i Engineering Department(3rd floor): J S . �o rrua Housefnumber Definitive Plan Approved by Planning Board 19 �D MAI APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2':00 P.M.only TOWN OF B•ARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO V 14 i 5 ru lofJ "� TYPE OF CONSTRUCTIONA4, " ze S 1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location G-- C�� � �erl�� K _ �T Skicks Lez e- Su 1odi,Ji Sl LX Proposed Use Zoning District Fire District 1A)P�� 13i,2AlSfr��2 Name of Owner (C StAJI, PISelt0 Address Name of Builder )14 (6Vk<jrrirh.`vN Address Name of Architect Address Number of Rooms 1 Foundation 3g 1C Z 6 P•G, Lyc,I �S Exterior k r 16 a + (e A K-5*1dtRoofing Asog4_4 Floors Z. Interior �7- nk.eelxe-k ��� ��`2e c6de i m GaKc�e tZ Heating w Ga-5 Plumbing Fireplace ry(c2. Approximate Cost 5 d o U Area ,L Diagram of Lot and Building with Dimensions FeeVIA OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License f SWANSON, ERIC A=109-003 No 34224 Permit For 11 Story Single Family Dwelling Location Lot #3 , 740 Cedar Street West Barnstable Owner Eric Swanson Type of Construction Frame Plot Lot r` ' Permit Granted March 26, 19 91 r� Date of Inspection - 19 Date Completed 19 l: PERMIT COMPLETED 1/1/ 9�, 1 TOWN OF BARNSTABLE Permit No. 34? 4 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 7 Yl 0�9• '�tour► HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Eric Swanson Address Lot #3, 740 Cedar Street West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD, THIS PERMIT WILL NOT BE.-VALID, AND THE BUILDING SHALL NOT.BE'OCCUPIED UNTIL SIGNED. BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0'OF THE MASSACHUSETTS STATE BUILDING CODE. May..3:1.,....... .. 19.......1........ ....... d ..... ' . Building lnspec'tor - it- BARNSTABLE, MASSACHUSETTS BUILDING PERMI' J-003 DATE 91 - I-i PE -M--24224 ACANT Unis Col.) f-u".-l- - • ADDRESS--T—,),I,c!(,K�:,r�-)c!rry !,ane,RPdIT NO., banaw-l-My-#-047; (NO.) (STREET) .'ERMIT TO Fjuild Dwei.1 j.,7;q, (CONTR'S LICENSE • J1 �tfllily Dwellil-Kj NUMBER OF (TYPE OF IMPROVEMENT) NO. I' STORY Sill, F, DWELLING UNITS (PROPOSED-USE) AT (LOCATION) Lot #3 740 C..Ldaj: Viest 13arnstable ZONING RF (ND') (STREET) DISTRICT 1:0 r C BETWEEN Eng: (CROSS STREET) AND (CROSS STREET) SUBDIVISION LOT - ' LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT. IN HEIGHT AN.D SHALL CONFORM IN CONSTRUCT TO TYPE USE GROUP. BASEMENT WALLS OR FOUNDATION RE'4ARKS: S(-wage #9 1. 7 2 (TYPE) AREA OR VOLUME 10 9 2. ESTIMATED COST UYS9 55F 000 0 GIERMIT $ 87. 50 (CU.BIC/SOUARE FEET) FEE OWNER Eric Swan.,.-i{)!; ADDRESS t-lict BUILDING DEPT. By J, ANY PART THEREOF, EITHER TEMPORARILY C PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER OE THE BUILDING CODE, MUST- THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR A BE A 001. PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINE FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIM - OM THE CONDITIOt M OF THREE CALL I IN S REQUIRED I R FOR R -APPROVED R 0KEPT V ED PLANS S CARD KE P T POSTED E DE W HERE A I R S LICH BUILDING T 0 INSPECTIONS REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK! CARD KEPT POSTED UNTIL FINAL-INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF ELECTRICAL, PLUMBING AND ' T 0 0 ,I S C Q U OCCUPANCY IS 1. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH' RE- MECHANICAL INSTALLATIONS. MEM.BERS(REAOY TO LATH). SHALL NOT BE OCCUPIED UNTIL 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. LO OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVAL LOIS rz ELECTRICAL INSPECTION APPROVALS 2 'F�hwL pis. 2 Y-n 'A HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT Slij;-r r-T ra 2 C OF HEALTH OTHER SITE PLAN REVIEW APPROVAL .LL BECOME .14 WORK SHALL NOT PROCEED UNTIL THE INSPEC- FPERMIT 'w!LL BECOME LILL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIOLUS STAGES OF I WORK IS NOT STARTED INSPECTIONS INDICATED ON THIS CARD CAN B! CONSTRUCTION. PERMIT IS ISSUED pS WITHIN SIX MONTHS OF DATE THE NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTEI NOTIFICATION. r ; . . Zp•Op � � 44,1-73sR r N 9�5 � 70� A2 Q E K�STINtG1 a N �Q�p4T1oN Op N ~ 240.00 I y� 5 !c5°'29 -37 57RF.ET ' d I CERTIFY THAT THE FOUN®A TI Y SHOWN DOES NOT VIOLA E.XISTING.ZONING REGULATION OF THE TOWN OFR�15'�'A�L� O�uNDATIoN OLDHAM N®.23207 /SY�p P. ©L>•��tM. OG. INC, SP•N�W.�LI Sc-faL�. -�!31,`fM Qftnpy�j O� �e�,nrots►�'=�� Q�a�nobd gL� o•9 x Z11L: ac+v5 6Gt__-. •$OCJ__„� '*A� O �'� Ns SI� yyn�031� Z•Lt:b •so � N� ; ooprt yj �-}-� Iv1 aN`�ts aW -ANVI �i.id�s 0001 . 4-woo?J4�s o•fi6 -� -S1 N(� �33-�` 7A ' a�3� Gd'9 0�� = G��ol�x �• d Za1� d d°l '�? ��n'I:�� 3 _ 66 d O%n;a -S43NL►(`01 �:86 .�.oNo•ool 6' ' i i� h ra rn•o yr:is•G/.c, '7d•S _ 09 r+ tic u 4 po,1`an Q 'G01 + •a w of•r�S h3NWl�•t� / OS •ao 1 �G•oo1 ans 888£1 d•tr w"Jalo el f G ���/ N H ON �� Jn • a•71t1 dO �N nc�td a-•+dt� •t�1tC3hlt�cCdlAilt� 'S�i`d{N �t�1 jp 5 1 �yvtz'nnn 1tM 3Qt�4�� i�e4 caNht spa 1^P�S fs."ldsods Q.. °br � .,. ,. p rJ 1+ 1.'1 t4 S 1-71 SbrM K y1`�' 1 6y°ol 51,lo l - yylo l ya 3,7 o l 133J1s sjt0 3aL�'•6Z°y� 5 JVUJ ottA / , 1 �t.ot Wows gaS ►nl+ue�6 / / / N Vol • r J, i 3.6'b; �' ' ao•oz t J pp Ica Ion to gRegional /G 6 ♦, Oft�N p�h4E P•�M • r , 09E H'`f an' Old King's Hi hw•a y Historic District Committee JCS I o in the Town of Barnstable for a Y CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: New Building . ❑ Addition ❑ Alteration Indicate type of building: (N House Q Garage ❑ Commercial ❑ Other 2. Exterior Painting: E 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and re.quirements). c� / TYPE OR PRINT LEGIBLY ATE ADDRESS OF PROPOSED WORK __ L n 3 ASSESSORS MAP NO. IU�1 OWNER /"�.� S l c1115 ASSESSORS LOT N0. 67� 003 HOME ADDRESS C.�ec�_B {Z��� r,r. 1 C_�}• 11 6 4TEL. NO. - —7 -2 1 t FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary)• i r1 , AGENT OR CONTRACTOR TEL. NO. — `aL I ADDRESS r'1,-2c.-Icf rc_\oL' r,--_l DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Z C c:�."12._ �sc�rc.c�G � 1 � o c 5 ti -k .V 0— Cs cZZ Y � f tics� � ,cd IDS 11-u. ld ►Z . X.,v eC e 2eC. Wvuc� igned Owner- o r-Agent Space below line for Committee use. Received by H.D.C. APPR Date The Certif e is hereby O�+ HRH i � ECE ` v Time By JAN16 � Av��NG S HIGh�A j� IMPORTANT: If Certificate is approved, approval Is subject to the 10 day appeal period provided in the Act. Disapproved ❑ Y Y P i^. o'o❑ �J 0 0❑ �� r r s F i h �R E c g z - s u-L r M ®® fit.. t r �f ram• �\ �r. �w Is' r t r t J r r J r ` rr q — —� cbz A�JI r'r�r Farr F/roa Sererw) . i J — . n d<YYU _-- 2w+ � n �� y � �0000� s •a� •Y w� rD g ----- - - OO❑ R* Li tr tr :r t r h e- C � s t l.. r ' a d• � I q clw Ck W Q s J M U 1 � 31•tJ d.,f �/aw c �, +r a���_ _ T�_ — — — a J , i� _� I � J _ s r ���� 1 i rsllii � '"1d3 ,lr.ff p a 0 - --- i �•J �d ,r—�� �� N ��e. .a �:�� �,�. ,,� . � ,, � , - 3 Assessor's4 office(1st Floor): / SEPT9C Assessor's map and lot number INSTALLED Board of Health(3rd,floor): 1 ED IN C Sewage Permit number // / c� t del 12M ENVSRAN WITH TI Engineering Department(3rd floor): —7 f/� S TOWN AMENTAL House number ( 7 N NEGU Definitive Plan Approved by Planning Board ` 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE ` BUILDING INSPECTOR APPLICATION FOR PERMIT TO �/ i S. ( !`d,U jJ �a{ 'O TC TYPE OF CONSTRUCTION V ' A010D 19 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: G� V Location �� Lec'-fc._i2_ �T 2it-ksk,1i mac., Su�ic(rt✓;sidie� Proposed Use Zoning District Fire District jiU�S� 3�r rLAISh�.�fe Name of Owner �r{ c. S[.tJn vlSIli Address C Name of Builder ( y,i S ,jrurhwj T Address SaA1dL,,1 ct1— Name of Architect Address 3� � :c, wills Number of Rooms g Foundation Z � Exterior�� e d C t& V— L16P + W►ti:}t Ct.cQ A.5 idtRoofing ASOQI- .l� Floors Z Interior 7,. nkI eelxt.�� ��� i1�node- I'm e� Heating �y W �3'u 5 Plumbing 2- Fireplace a-w Approximate Cost 16-5/d o cO n Area t�? Diagram of Lot and Building with Dimensions Fee z OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License SWANSON, ERIC No 34224 Permit For 112 Story Single Family Dwelling t Location Lot #3, 740 Cedar Street West Barnstable Owner - Eric Swanson l l Type of Construction FRame j n Plot Lot ` Permit Granted March 26, 19 91 Date of,lnspection 19 Date Completed C'` 19 � a C" i �6 7 4S. LOT 3 44,772f SQ. FT. 10 2�pp. .9- C^ EXNSTING DWELLING S34� off. CONCRETE FOUNDATION 240 p p, JOB# 03-087 CERTIFIED FOUNDATION PLAN FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT LOCATION : 740 CEDAR STREET (WEST) BARNSTABLE.' MASS.- PREPARED FOR: SCALE : 1" = 40' DATE : APRIL 15, 2003 MAINE POST & BEAM REFERENCE PLAN BK 462 PC 32 ASSESS. MAP 109 PCL 3 I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. �Q off. 508-362-4541 H. ?� ARNE . fax 508-362-9880 OJLA down cape engineering, inc. y No. e CIVIL ENGINEERS LAND SURVEYORS `✓ O 939 main st. yarmouth, ma 02675 DATE REG. LAND SURVEYOR - - -w ..^...r..:��,.�.,,•l,_..,r,,,....r--r..ut+1-.r.._..—'7�•..t?.'^ll^�.n""` �'-''""`".�!"�•^vr.1 �.v *INC TOWN OF BARNSTABLE Permit No. .3j2?4...... BUILDING DEPARTMENT 1 swan I TOWN OFFICE BUILDING Cash N� 6 HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY ' Issued to Eric Swanson Address Lot #3, 740 Cedar Street West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD - THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED •UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH.SECTION 119.0 OF.THE MASSACHUSETTS STATE BUILDING CODE. o Ma 31.,. 19.....9.......... Building Inspector.