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HomeMy WebLinkAbout0041 COACHMAN LANE coos tr?o- 2 Lu ® ��1 NOa 152 1/3 ORA Yco © © o 0 Town of Barnstable *Permit# B-17- 3 S 1 Expires 6 months om issue date Regulatory Servi ► Fee 0.39.' $ Richard V.Scali,Director Building Divis' T 112017 Tom Perry,CB.O,Building Com o t� _200 Main Street,Hyannis,MA 02601. .: www.town.barnstable_ma-us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number t!S a O S 1 Property Address (20 �M AyC/1 Lj , A r [►Residential Value of Work$ 6 , D'-D Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address u C L� .S yl dQ Act AI AW �- -1Khf-sTr6 UJ 14 Contractor's Name Q /L��t Telephone Number Home Improvement Contractor License#(if applicable) //'I 14 Email: `L L jWk-1 L , Cd Construction Supervisor's License#(if applicable) C� ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 0 I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) r [eke-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ifiyilmoko ❑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 required SIGNATURE: vY— Q:\WPFILES\FORMS\building permit fonms\EXPRESS.doc Revised 040215 The Commonwealth of Massachusetts Depart'nent of IndustrialAccid=& 1 Congress Street Suite I00 uv, �, &alto, fA0211¢20I7 www.Massguv1dia Workers' Compenszion Insurance Affidavit BMlders/Contractors/Electricians/Plnmbers TO BE FILED WI?1'H THE PERM rIING AVM0RrI Y. Please Print AnnlicwtInfor a2fmn Name(Business/orgaaizationadivili a : Address: —L-24-- T-7 C ! City/Ste/ZIp: � ��-L �/1 s'� G'2{'7f. Phone# _ S,G 6 —3-3 Are you an employer?Clerk She appr-opQafs bra: Type of project(require: LQ I am a cmploycr wifr PmPI0Y—(fan and/arpat 7. ❑New constrnLtion 2❑I am a solapropdetor crpadnraship andhave no cmployces wmidng forme ia 8. El Remodeling any cagapitf.[No workers'comp.insorance rccpmcd) 9. ❑Demolition 3.0I am a hamcowncr doing an work myself•[No worl—,romp.in—-yi-L)t 10 0 Building addition 4❑IamahomcowncrandwMbe,bii�gcontradnatocondnctallwor3con.mypmPmtY I� li� fIl eccalI�7ailsoiaddiilons cn=that an conimclna cifhcr have wmicc&coca abaamsvtmt�or are sole prop,rt=vilhno cmployccs. 12.❑Pb=bi grepans of additions g I 'I am a geneml contractor andIbavc hiredfbc sub- rxrS Ustrd on.fc attachcdshc� 13.0Roof repaffs Bese sGb coi�raetoa bavc cmpinYecs aad fiav°wo3cca'camp'ins®ec' 14.�Other 6_Q We ate a corporation anaits o$ccs bave cxetaiscdfficsnght of ezearptionperMCi a §I(4�,andwe bane no employers.[No wo�ea'comp.T*+ema+,ne regsmcd_] *pnyappliea 6Acheck box.#1mast also fMmrt the section below showing fheirwarlC=,comp—sationpoficyinformation. f Somoownra who sablmf fis affidavit indicating thry are doing all wank and ihrnlmc outsidc cantrantos must saber a new affiduit m(ieatng sorb. $Contracfons d3at checkf is box most attached an addilionai sheet showing$c name of fhc sob-cantMct05 and st>htc whcf cr or not Ihosc wfifics have omployccs.If the sub-eontradors bane employees,fhcy must provide their workers'comp.policy number Jam an employer tlzaf ispravidingworkers'cotrcpensadon$nsrzra=far my enrpinpem Below is thepoliry andJob site ixformadom BOMM0e Company Name: Policy#or Self-ms.Li/c.�# EagnadonDate A�/��►'dJ1'Ilt �' lob Site Address: the ul amb er and ezlarad iG date): Al±aeh a copy of ffie workers'caropensa�on policy derinraliou gage(showing p C7' Fa�7nre to secure coverageas rvnired-ader MGL c.152,§25A is a gal violation Pmmishable by a fore up to$100.00 and/or one ym i mpristrmment as Well as crvil p=Rlties in ffie fora of a STOP WORK-ORDER and a f=of DP to$250.00 a day against Ibe violatm A copy of ffiis st�jrmmf may be forwarded to flee Office of Investig icros of fie D1A for i„em-.rn c- coverage vrcajiozL an ro vied above is true and correct Ida h arebY tke pairs andp � � P _ T � Phone# ✓��''"� `��� �'� � � . pf idd use only. Do not write in tkis are';to be completed by c*err fo'wn chid sty'or Town: Tow PermitiLieense# LgAnffiority(Circle one): � L goard of Health 2.BmldhagDepartment 3.City/Town Clerk 4.RlectdcallnspectDr S.I>bnabiagIwpector 6.OSi� Pb one# Couta.d P ersom _� - -- '-. ^'e�°..iFC�:^.•-_s 't_ ^"k-'-• _a'"'"4"-.���Y1.7�•`.".rA.:�v_s�r�,-t'.r.�• ��"_ - ..�_ �.r:c;�T c n.�f.:X'i"cU'r.,9=::.CT:..v5��•�S.:C::.�.-.y�.v:.... .�: ��-_�:-.�ifvZ Kf:.rr':.J::'`:��•..�•:.' .._..,.>y^�5:.- l �..•�'u.�.•:.-•�..A. ..�:`..... �-�.::::. �=��`�O.R�CER�:�?:O.�t1PE�1�SA- �lC�:. �_�� z<� .� ���.. .��,. :r�;..��-���y �.,.�..���__ . R• ��:� �.�� _�� ___ v � ��. �DYII�ILOE �S,L�ABIJIY I#1SDRANCE� L .CI( ; _{ r �,:.-,��.�:•. � n:fio>rrnatlon�ePages�-.�. �� �� �-Z . .,ram,. .�..._.. -_..�. Tan* .f'•�' _.. _.._ •''Srku. pv_F•max;.... - ._._r•S•+;c�-r-< x. tyr,(�'r%_ :�,�:-. _ �-.: _shy ���-..:�_.>t,.. ..��,.�� _ -��gib:, .� •.-.=,•-�-�- z. �0�(�'I-• , - Atlantic Charter Insurance Company VDAC NCCI Co. No. 29211 Policy Number WCV01243702 I. INSURED: Prior Policy Number WCV01243701 Robert Tyndall Producer: Tyndall Roofing Miller McCartin, Inc. DBA Dowling &O'Neil PO Box 1093 PO Box 1990 Forestdale, MA 02644 Z Hyannis, MA 02601-1990 Federal ID Number 999100972 Business Type: Sole Proprietor Risk Id Number. SIC 9999 -NONCLASSIFIABLE ESTABLISHMENTS Other Named (nsured: See WCEl06 Other Work Places See WCE107 2. POLICY PERIOD: The Policy Period Is From: 07/15/2017 To 07/15/2018 12:01 A.M. Star!dard Time at The Insured Mailing Address 3. COVERAGES: . A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law.of the states listed here:MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B D. This policy includes these endorsements and schedules: See WCE105 4. COVERAGES: The premium for this policy will be determined by our Manual*of Rules, Classifications, Rates & Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Total Rate Per Estimated Classifications j NO. Estimated Annual $100 of Annual Remuneration Remuneration Premium See WC'00 00 01 I I I . "i i Minimum Premium: Deposit Premium: $550 $7,3810 l I Total Estimated Premium $9,234 Interim Adjustment: Annually Surcharge(s) 493 Servicing Office: Total Premium and Surcharge(s) $9,727 25 New Chardon Street � Boston, NIA 02114-4721 I . Issue Date 07/07/2017 ,.. c' _(�; Countersigned By: Date opyright 1987 National Council on Compensation Insurance Form:100mvnt4 i ' oF1HE r, f • snsxs�r.►sra, • .. p� i634 Town of Barnstable �rED MPS► . Regulatory Services Richard V.Scali,Director .----,.--Thomas.Pefry,C`B0 Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section_ If Using A Builder . I 1±6a , as Owner of the subject property hereby authorize ��� i W Q, to act on my behA in all matters relative to work authorized by this building permit application for: (Address of Job) 11,pature of er Yam' Date rint Nan4e If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPHL.ESTORMS\building permit fbrms\EXPRESS.doc Revised 040215 ety ent of public of Massachusetts Depart ations and Standards # t Board of Building Reg CS-04089 License: ervisor - Construction Supervisor construction Sup Restricted to: Unrestricted-Buildings of any use group which contain DAVID H WEBB less than 35,000 cubic feet(991 cubic meters)of EAgTEATICKET FALMOUTHIMA 536 enclosed space. /y�J Expiration: 1012912018 'Commissio er Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation(of this license. DPS Licensing information visit: WWW,MASS.GOV/DPS lie�panvnzo�cciwealC�z a�C?�ac`euaeCta � ---- -------_ .- ------.._. _- '_--. •--__--- _.-- _.--- Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registratiom", g7gg Type: Office of Consumer Affairs and Business Regulation Expiration 8/28E20;17, DBA 10 Park Plaza="Suite 5170 Boston,MA 02116 WEBB CRAFT DESI:G1 DAVID WEBB 25 MEADOW VIEW DR:-; �-- 1 EAST FALMOUTH,MA 02536 Undersecretary Not valid without signature r d9 dR`r 6 r K Assessor's map and lot number ........./iJA?.........i.....W8.. sTWE Q�o Sewage Permit number ......... r ............. SEPTIC SySj 33ARX9,T&DLE ;NSTALLEDIN MAS& House number ...................... .............................. Q) t639- udn "Film I WIT14r, A, EINVIg! TOWN OF B A R)N`L3LE ���� BULDING JASPECTOR il APPLICATION FOR PERMIT TO ...... m......�.0 I..L6..G JZ6... ..................... ....................................... ..... .. ..... .......... ..TYPE OF CONSTRUCTION ..................W.0.0-b........F...".6................................................................................... MM ...ol............19.............................. .... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..............Na R MAN ��N 1�7........... .............R�t-[......&N P-0 6-F-Pr,1�I,- .........................................!..... ......................... .i�........................... 6TDP—v.............. ...... ProposedUse ........................... ......... U511E....................................................... P—,e ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner .....�—.M...... ................Address ...... ....14... ................................ Nameof Builder ....................................................................Address A .........................j..................... Name of Architect .......�q�G......"—JTQ.L-C....................Address ..................................................................................... Number of Rooms ..... . ........................................................Foundation ..........M.(.......................................................... Exierior .........R.&....... ..................................Roofing .............A5.P.A-A--L,-.r.................................................. . . .... .... .. ........... ...... . .......... . Floors .............P-0 6- .........&�,qz z- .........................................................................Interior ... ....................................................... rU. Heating .......... ..................Z..,o-Plumbing........ ........................................ .... ...... ... ...... ...... Fireplace ................ ....................................................Approximate. Cost ........q.�.AAOAJO..... . 01 Definitive Plan Approved by Planning Board -------------------------------19--------- Area . .....Z4......... 14 44 Diagram of Lot and Building with Dimensions Fee ........ .. .. .... . ............ SUBJECT TO APPROVAL OF BOARD OF HEALTH ('67 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 ................. 7 ,V Construction Supervisor's License ................................ M. BUILDERS, INC. 2 7998 13�2 Story No ................. Permit for .................................... Single ql,p...T.-AMi.ly..Dwelling............. Location ...L9t ...Lane .. ....... ..... ........... ...... ........Z-- Owner L. M. Builders,....Iaq,...... ........................................... s. Frame Type of Construction .......................................... ............................................................................... Plot .................... ..... Lot ................................ Permit Granted ....June ....... 10 ..........19 85 ................... . Date of Inspection ....................................19 Date 'Compl7teclj....... ........19 yv'4 t N �J V 292. 9.3 " CERTAREP - PZ 07- Pl. 11 ; :z t S iL Tow'iV li SCALE : PA rE : �o/lo��S 4zc : 8¢ I HEREBY CERTIFY THAT THE ABOVE DWELLING IS ' LOCATFD ON THE GROUND A•S SHQNN,THAT IT CONFORMED TO THE TOWN' S ZONING SETBACK REGULATIONS AT THE TIME IT WAS;/CONSTRUCTED AND THAT THIS MORTGAGE INSPECTION WAS PERFORMED IN ACCORDANCE WITH THE TECHNICAL STANDARDS FOR MORTGAGE LOAN INSPECTIONS AS' ADOPTED BY THE M S SACHUSETTS •ASSOCIATION. OF LAND SURVEYORS N CI IL /pr? EERS,INCORPO�ATED. CHRISTOPHER OSTA R. L.S . DATE f �91L C•4PE _7oevhry co vsUL rAA1 r /72 EAST , 4L MDUT/y /y vW F FAL NIDUTf1, /y4 Ire { ,e •TM' TOWN OF BA.RNSTABLE _ Permit No. -----2_7()98 t . , Building InspectorAUSTAK cash -------------- — 16 ytW,°°' ` OCCUPANCY PERMIT Bond __x____ _- Issued to L. M. Builders, Inc. Address Lot #21. 411 Koachm,an T.anp. 1iogt Rarnctnh1P Wiring Inspector � (� � Inspection date Plumbing Inspector L Inspection date Gas Inspector Inspection date En sneering ]Department _ �� g� P ,�_ ;; �,.- `�, Inspection date Board of Health ()<-`� ' t Inspection date 3 G ?f 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. f Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT seaaaT = TOWN OFFICE BUILDING rua t639• `� HYANNIS, MASS. 02601 ,fOYAY�' MEMO TO: Town Clerk FROM: Building Department DATE: i An Occupancy..Permit has, been issued for they building authorized by BuildingPermit $k...... ... 9 _..... ...................................................... _.._..............w.. . ... issuedto ....! '...:. ..:._. G .. . +......................................................._. ._. ..�.� . ._.._ ..... ..._. ._ Please release the performance bond. k y. . °F1144E Tom. Town of Barnstable *Permit#��b► 63 P� ti Expires 6 monNr ro sue date Regulatory Services Fee BARNSTABLE, _ mass. Thomas F. Geiler, Director 1659• pjFp�,tA Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us . Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint i0L15Map/parcel Number. _ (� Property Address q� � c` 4'1(1ClVl 1� &f b--AC b 4'C. t Residential Value of Wort. 3� Minimum fee of$25.00 for work under$6000.00 Owner's Name& Address H(Akll� ` P 7Y\GLV`3 � W i rl-ya.( 51re-&fi, �J . h ud in Ma 61 &." Contractor's Name t�ll�>? t�(�VI,L yl 0E0j(4AEf1 Telephone Numbersf7j( Home Improvement Contractor License# (if applicable) Construction Supervisor's License# (ifapplicable) l�r�.�p\'4 PRES• PERMIT [ Workman's Compensation Insurance APR 0 6 2o09 Check one: Fj 0 I am a sole proprietor TOWN OF BARNSTABLE m the Homeowner I have Worker's Compensation Insurance Insurance Company Name ! (M Workman's Comp. Policy#. 100 ugq!-�6i Zoog Copy of Insurance Compliance Certificate must be on file. I?crtiiit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side +rr. ❑ Replacement Windows/doors/sliders. U-Value (maximum .44) `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 mprovement Contractors License is required. SI(-NATURE: Q:`\�PI-I LISTOIZMS\huilding permit forms\EXPRESS.doc Revised 100608 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information /� Please Print Legibly Name(Business/Organization/Individual): (n ,4hll-.S2_ /�Ul� Address: City/State/Zip: UOMM5 Phone.#: Are you an employer?Check the appropriate box: Type of project(required): to er with 4. ❑ I am a general contractor and I 11 am a employer * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). ..2:❑ I am a sole proprietor or partner-' listed on the attached sheet 7. -❑Remodeling ship and have no employees These sub-contractors have 8.-❑Demolition workingfor me in an capacity. employees and have workers' Y P tY $ 9. ❑Building addition [No workers'-comp..insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers' crimp. right of exemption per MGL 12oof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑ Other comp.insurance required] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavivindicating 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 subcontractors and state whether or not those entities have employees. If the subcontractors have employecs,they must providt their workers'comp.poUcy 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: G(y� '' 1 Wroal Policy#or Self-ins.Lic.M 1 oo m clq-5o 1 M 1 Expiration Date: T FLI0 Job Site Address: �-1l l.tvmL Vow Llukt City/State/Zipu fficto . Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure fo secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimir al 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the-Office of Investigations of the DIA for jpagaapn2verage verification. I do hereby certr de e ' s and penalties ofpe)jury that the information provided aboveis true and correct Signature: Date: Phone#: X, - 77� (�7 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i �' * �- I�iIiI:�'3iS:�F��i$E��1771�1:1��:[�luls:ul�:t�► T 1 �.�- 12/31.{2008 14: 18 Bryden & Sullivan Insurance Donna Seviour-►Margo 1/2 ACQRD. CERTIFICATE OF LIABILITY INSURANCE OP ID DS DATE(2/31 0 SPRIN-1 12/31/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bryden & Sullivan Ins Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 62601 Phone: 508-775-6060 Fax: 508-790-1414 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A' Associated Iedustries Of MA INSURER B Sprinkle Home Improvement Inc. INSURER C: 199 Barnstable Rd INSURER O: Hyannis MA 02601 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 BEENREDUCED BY PAID CLAIMS. WSR ADDIL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRO TYPE OF INSURANCE POLICY NUMBER DATE(MM/DO/YY) DATE(MM/OD/YY) LIMITS GF,NERAL LIABILITY EACH OCCURRENCE It . GETD-RERTEO— COMUERCIAL GENERAL LL481LITY PREMISES Ea occurence Y CLAIMS MADE ❑OCCUR MEO EXP(Any one Person) Y — PERSONAL BAOVIWURY f GENERAL AGGREGATE f GEN'L AGGREGATE LINUT APPLIES PER: PRODUCTS-COMP/OP AGO Y POLICY ECOj LOG AUTOMOBILE LIABILITY COMBINED SINGLE LINT Y ANY AUTO (Ea accident) ALL ONNED AUTOS BODILY UUURY Y SCHEDULED AUTOS (Per person) . HIRED AUTOS . .-BODILY INJURY Y NON•OWNED AUTOS (Per accident) PROPEP.TYOAMAGE f (Per accident) GARAGE LIABILITY AV100NLY-EAACCCENT f ANYAUTO OTHER THAN EAACC Y AUTOONLY: - AGG Y EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S 1 OCCUR D CLAtMS MADE AGGREGATE .f Y DEDUCTIBLE It RETENTION f Y WC STATLL OTH• WORKERS COMPENSATION AND TORY UMTS ER EMPLOYERS'LIABILITY `A ANY PROPRIETOR/PARTNER/EXECUTIVE AWC7004943012009 01/01/09 01/01/10 E.L.EACH ACCIDENT s SppOpp OFFICER/MEMBER EXCLUDED? E.L.DISEASE•EA EMPLOYEE f 500000 b yea,describe under SPECIAL PROVISIONS below - E.L.DISEASE-POUCY UMT Y 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXC LVSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SPRNMO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Sprinkle Home Improvement, Inc NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO OO SO SMALL Fax #508-775-1350 Margo Mack IMPOSE NO OBLIGATION OR LIABULITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 199 •B'arnstable Rd. REPRESENTATIVES. Hyannis MA 02601 AUTHORIZED REPRESENTATIVE lKelley A.Sullivan ACORD 25(2001108) O ACORD CORPORATION 1988 - - .- .. :�,. ... ::�fu: l,pwr•.:uir.•ar.,Rca(/� 'f 't'•l�.rt�;.Jcinit.,.--rilt - L�oasrd'til';l3'iil'din.g:Reganiltiv'iisar+Ydr'5lnn'il�irals Cons.Y�uction Super.-5tsor.. iC`e'cise 6.it.e,@ CS* 6.643 <Ez°prra�:lo ri 1;018/2009 �4:27 00 RRAO.K S:P<RINKL:L 190 LO''FH:RQPS LANE W B--ARNSTA`B'LE.:M'A 62668 Cal ia}ii iti'00vcr i. I 00>-'3�A�O'A<.cf:enaPasei�sp:ace' ' I 14A-l ta�s6liir o'r%ly r f: 1;G-I -2:F'a;mll ioii Vs ' FF.aiLr rli iVS ssach se6Ys Statk.$udidtape 't L' is cause for nevocatton of fhis h�enses Bon'ril o(=Buifdi'ng[tegulafions unil`SEari;durils HQM�E IMRROV;EMENT CONTRACTOR Registration: 103757 �\. .6kPir 1. n Vo/-2 '1'D Tilt# 271.03.a :Type:: F?rivaCe CoFpo�atfon SI?RI'NK ;EHOME CM?:ROV€iv1ENT,INC. B:rad:.Sprinkfe . ,. 1=9:9B:arn'st'a'l1eRii: - Hya'nnis',:MA:Q"2609 Acfiii:nsrc:akoi. License or registration valid for individul use only before the expiration date. If found return to: F Board of Building Regulations and Standards One Ashburton Place Rm 1301 F Boston,.Ma.02108 Not valid without sig ture z >' ti Town of Barnstable - Regulatory Services . B"xr'MAS&i g Thomas F.Geiler,Director 1639. ��ED�CI1% 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 Owner Must Complete and Sign This Section If Using A Builder I, Ho tq C,65 n o_U5�a 5 , as Owner of the subject.property hereby authorize ✓ � ova T ro t to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) S tore er J" Date Print N If Property Owner is applying for permit please complete.the HomeoRmers License Exemption Form on.the reverse side. Q:FORMS:O WNERPERMISSION r� 1 . n p "C CAERT/F ull� L> Sl'AL = OA TE8r. .39¢ I HEREBY CERTIFY* THAT THE ABOVE DWELLING IS IACATFD AS SIf( VN9THAT IT CONFORMPD TO THE TOWN'S ZONING SETBACK TREGUTATIO AT THE TIME IT WAS, CONSTRUCTED AND THAT THIS MORTGAGE INSPECTION PERFORMED IN ACCORDANCE WITH THE TECHNIC JITIOWA LOAN INSPECTIONS AS ADOPTED BY THE M SSAC STANDARDS STANDARETTS SSOFOR MORTGAGE WA3 SURVEYORS N CI IL EERS� INCORPO� ATED. IATION OF LAND L..L. w- , CHRISTOP2�ER 0. R. L.S. DATE A« CA,DE --szJRL1,6r.y r,4,v r ��2 EAsr ,�,q�i►�IDUriy , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# / 71 Health Division Date Issued Conservation Division .3 _4v li' Fee S' Tax Collect oC'' Treasurer Planning Dep. i Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis " Project Street Address `Y ! 01464 AJ Villagej42f�IS%CZ Owner �214�AN!-6 1 �� 1 �/2DSs Address Yl ` U���`'2 �1 L-� Telephone 5VK d. 9 Permit Request [+V-S/fA-LL.'" 1 LVge0J,1Vr1 40 I A n4 Square feet: 1st floor:exxiisting proposed 2nd floor: existing proposed Total new Estimated Project Cos, f 5.000 Zoning District Flood Plain Groundwater Overlay Construction Type SleeL ty4W UrwK L Lot Size 603 Grandfathered: ❑Yes ❑No If yes, attach supporting,documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 1 Historic House: ❑Yes Wo On Old King's Highway: ❑Yes 91�0 Basement Type: VFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �Z5 Number of Baths: Full: existing o 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: `66,Gas ❑Oil ❑ Electric Cl Other Central Air: ❑Yes 0 No Fireplaces: Existing 2--, 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 O Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name i(_ dt Qs� Telephone Number 0 3 4; - 07 7�9 Address.., N f License# 0 9 Z ?J 5� 2 NS k k y-err Home Improvement Contractor# d 0 a CI Worker's Compensation#6W C-700 15 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO O W/ri SIGNATURE. DATE �" D� FOR OFFICIAL USE ONLY �4MIT.NO.. DATE ISSUED ``' • 1 . MAP/PARCEL NO. 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IX•..:..dv.,:•J.•r.•.R.:.2.}.I c}�:?:•i%•}.,:..'.t.R ,)•raY9v+.+;X•oiL,4fi..S:%>..�t}.Wo.:o.b.4.1..0 6�}F>:W K:...3{Ar.t'.?.S:a Y�...{...v '; :?:.:. ^ oilev#M: .:. : :o rr>:.: � ' :.....,,.mnr 3x+.•Yt:{.;.:fi• S.Y•!Y:;:n.}..::x;t-,}: ±i.j->:4::3:.:•:.:{ v •i`:?i1i.•$?::v::+,::;?- .. ;. Fau nre to seeme coverage as requited under Section 2SA of MM 152 cans ad to tha lmpostton of mortal pmdttes of a fte ap to S1.500.00 and/or one years'imprisonment as well as dvII pmailies in the form oft SrP WORK ORDER and a tine of S100i.00 a day against me. I understand that a copy of this ststemmt may be f to the omcc of of We DIA for e�vaage vsisoatloa. 1 do hereby a fy mid p ojp thW the Wonxadm pms i&d abaw is trw.tmd tarred Signature Date —,VI oU _ Print name fG !/�� � �, Phone# olndal use only do not write is this area to be completed h7 al7 or town oIDdal city or town: permfMceme N QBtmding Department .QLtas�sg Board ❑check if immediate response is required QSdestmm's OtIlce • _ (3EEmM Department contact person• phone A ❑Other�� (Qenma 9195 PJ.0 / - . �11:1 1 . • •11 :..I 1 1If:+ aI11• . . . . • - . • fill:11 .10 ./ . •- �111 . . . . �. . •111 11 / . / / •a111 �. �/ /••/ •11 11 got** a . 1 . 1 Ll 11 .LI 1 •1•q . 1 - '.. . 1111• �. . . . ar • 1 / / • • •�• .11 11 • •16P.11me let 'O / • •M • •II • •• .1• •II • • 11 a w•Y. :/rl• • .0 • • • 1r• 1 • • • 11 • :/r • • 1 • 11 :111 / .11 • 1 • r • 11 •Y• - • II•:/• • 161WO 1 i;• ;.11111 • •1 11 �t • • 1 1 • •1 1 tl� 1 I• •M • •11 • • 1� •Y. �11/1 • :•111• • II • :+111• • • • �1 1 • • I a • • • 1 • 1• 1 11 • 1 • rl / 1 1 1 • /11�•It1A •11 / 1 • V • �. 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I I • . 1 I .11 I 117.11 •11 �.•C .111 • 11 • • �• 1 1 �• • • 1 Y, 11 ' U t • • 1 ✓• I a/t , 1 If all -.11 .1 /1 III 111 i -•1 1 is • ll ll .1 I-I� I Ifek N.,1 r•1111• / .11 /amp Illll-:•of�.•, 1 1 1 / I11 .+11 1 1 . . .I 1 Y .1 11 / . / •111 •I / •y • • :1I • 11 II /1 w/I /1 , 1/ • 1 .� • •✓1• •11 1 I• Y•I11 Y. M • • I �.•Y. •111 • II •1• / K111 �% / - I 1 III II II •�1/1111 Ywl 111111 • �1 • 1 1 I I .I �11�• �•I 111111 t�1 I II • IA 11 • •11/1�• 11 1 • . /11 ;-111 / • 11 •I 111 • 11�1 . .II :w 11 �•IIA 1 • ��•1 11✓. 1 1 , i• • 1 .� • •Y.1• •II ••• 1 • • 11 ,11 • 1 / • .11 • • 1 v•• •./ ,1• •1/ .11 1 1 • 1 / • / .11 • 1 w • •• • 1 •• 1 • 1 =.'t 1 Y.1 ' • •J ✓. I 1 / • •11:1/1 / • • Mist'' lots •;•' 11 111 •�1 1 1 1 • 1 1 1 1 1 1 1 1 I , . I of"E r : . The Town of Barnstable ��STAB�� Department of Health Safety and Environmental Services 65 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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: 141 5 �t`/ 4 �� �k't``�l�J_ZEstimated C ttl-5—G Address of Work:y `l ej N Cio Owner's Name: Date of Application: �� a 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: 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 gent of the owner. Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav . ,� .•-'.✓fie T�omvnzanurea�C a�✓�a�sac//uael�a BOARD OF BUILDING REGULATIONS Ucense:.CONSTRUCTION SUPERVISOR Number. CS 009635 Birthdate: 07/26/1953 Expires:07/26/2001 Tr.no: 2640 Restricted To: 00 RICHARD T SENOSKI � : 10 PEEP TOAD RD -` CENTERVILLE, MA 02632 Administrator {� P� -'er x..�IE6 TOOOJfnt09[IL¢O.Cl/b� �idBt �4 t'MOHE IMPROVEMENT EONTACTOR istration 106009 • r I;..... 'Type= .'INDIVIDUAL Expiration 07/21/00 aCHARD" P. .SENOSKI t� w -10 peep 'toad Rd E ; ervi1le MA 02632. �-�,XADMINISTRATOR tl S102 :5/15/e9 YTAGWCIIAI•S d 0w11R1 NR I-IAR1If M 03- SI[alik!d lY lil�l[I O YROID laf Ipl An NNIl[f f �jATTT•Ke to Y uffc Id lur rwrofl. V a.3 ve Y pIDI- L� PLANS FOR B LOCATIONS OTHER ITDIIS IN BRACE I 1.cA fvLLV.S�EFl I PANE �RASSEMC BLY / S_YB��wONE DIACAIJAL BRAtE 7 �2 YI91 RS BOM B SAND 2D ILTRlf70ES5 �RYtI R'IxQCs4CiA�V. Yom LINER ISEE SER.M AND \ � Tt'P1� I 891E-RY3RIfJrED j -- PLA FOR LOCATIONS STMi LINE STYR IS¢]1BLT 5-mre W.BOLTS I 6OTHER ITE16N BRACE I NLrrs AND 1TYOE�6 TYP i n PRE-FYPRGATM 20 IRL7IBCJOE55 STAIR ASSEMBLY -1 VOM LINER - eTA1,I L1_ ( I\._, .G4Y BTEII1 STAIR L/E 5_ AND 2 we eaRwEN wlEt 1A/rS VOSKERS TYR EA, �Y F004EL END t T IM5, SERIES 550 6 650 STAIR CORNER I j SERIES 750 STAIR CORNER n SERIES 150,950 E 1050 STAIR CORNER� R AAIP- ! 5 8 MOTOR ON •a' R TI`� —� ♦----►-- - � . _ ♦ iRarE ASSEMBLY FILTER RTEAI ( e� Q , l ,/ -f - z LTTAULL 1ItIE7lE sRar FVE�—►---►� ► RICTURN �• T 5 c.IED 'A'FTIAIE I _ ' Y A� 1 I 2 L"W TALY B SHOWN I ts� +t,., ArmL�TtT I 1 SAFE"LINE i SHADED � TSIIRIDEDYJFTPosTto�t L* i 1 2 Powrw 6 y ,I .+i:, CLAY �S _ P~ I I r Iv//I YOTDR ARIEAS �.. AIRS ARE 0D G L--►---} Aur eE I ..yam., .3: 0 Tri 2w SF svRF ATE1e fiAL.CAp L.OrATFII of�•I I SNno1Qi m 0 SIZE SHoWR 6aSZ:a 6F SURE.REA AKA86 65GQG4_fAP m - I !S� ..'•" SUCrjON NTt56 A&&SF ARIF AREA L 2GOO.GAL.CAP '%YgY2'/ 1 TURN O?m 2040*22L SF SUW AREA L 2lJM GAL.CAP L-.- �,---J t'2 •a'FRa1E a55ELBLY A m 3 SERIES 2000 92050 INGROUND \\�JJ/ _ TYPICAL WHERE sNDRN up O .; -�_� -_. .-_..- _. . SD29101rN.fhA(M4 SE SURFAEA&PMOO GAL.CAP SMURS ARE OPTIONA FETLY ATTC)� -•..Q�- '� T ► —~ rsSAFETY LINE IMT1AER i REnAN SSRIES 2100 9 2150 W GROUND SME SM" I�.n.x sD-EL_622 s.r wRE AREA T 6 zwze GAL.CAP 1 y;, ,rT - �JsTdes ARE 1 SERIES 2000 9 2050 INGROUND ��DOO°PPnoNaL ATTACH I SAFETY LINE YL POR1ams ;n,,... ♦.j'.:ite+ tyYA4 I F. RID-RESENTS SLAT AREAS ,�, ".,..: k''�': t Al, 1� � m 1 14RETIRN FG:A�i/e� 'A'iRAAC ASSELBV L♦- ♦-J 2 TYPICAL 1RIFIE 5MO/N SQE SNOVN:6ti r 56T SF SUPF AREAL 20720 GAL CAP ALSO Akon E-00 1'715 SF SURF AREAL24955 GAL.CAP. 2 M,:;6"iF SURF AREAL 22220 GAL CAP . SERIES 2100 9 2150 INGROUND I t ffft lalTS/fG ,MI'mlCTlm O arks Am mnAuls THE mclu: MACE JAT I_Tj L TD M PS/3! r.luomt. t»GA.Gl?C STgL iIANE CLLD.S'TL 1I SP I.—,—O TN 1.. m RGASIL L ¢SECT Orl AND EA Ir-I�rEL i a Vlltn IMT N Rw I� ri-i•'s SLOOLTS Am 1OWS ERS TYPICAL a-Wf KfOLTS.KITS I _LIS MGAIY. �� 1 i iwaa AND 2 LDLSIIERS TW �—T EA.PANEL END J \ sTESLRytEL I a-#'�nftOLTs.D.rrs j. I AND 2 WASHERS iYR \ I»M GAtx STEEL EA.M1i1 Flo G S-L. r.I�OLTS.KITS � � - IN � •� Few iWEL�OO I A� I»6A 6ALV STEEL �� �[SN •Tl'ff' COIfER PIECE 7m 20 AL TMOOESS' PUEI \" mDiERGALV ¢STm1 :.L �rA. STEEL Y uNNafLSE MOLTS •,p YO 7TfETOE55 — 120 WL.TWOOESS i VffTL LfEG rRO rd.7KOOESS A' � 1 VMTL U'Qi , VNri LfEA i SERIES 700 9 T50 OCTAGONAL CORNER n SERIES 900 B 850(90'OOFihETt)n SERES 9008960(90ECORNER) n SERIES 550.100091060(TYPCORNER) • .L I z z z 2 z Elf TO END OF tANEL I CORNER PIECE ,—i AM i WLSHM TTw. ®OLADORAL la E FJL RLIQ Oo vx»AM4iSEESEE ort e. aLNF V> m�t--� a»iw�El. OTHER rr�Fa[s IN BRACE rc e 95n TYPICAL. , 1\ ! �LY - p��.1LSOLTS MlTS _ T— — II / r16T/SC10ES1 A/O Y R.END TYP . L1Ol FANDIIEI Fm a�'*r.GOLT•'aw I »GA GLYSTEEL EA. 2 TW. PANEL EA.NiYEL END J _ v0 n 711LaGM YO NIL THICKNESS cl »RN GLY SIEPl r ryNn LEEK L OZIIOEA Pig \ /T p�LGOMA�L DLLQ � YaO•R SECL7 /j VL12 SEE SELL ) < Cq'RT SECE7A I� . n � O CAT7011 1 P G4 GALY m _ ; &,�L,JIf, D 20 lfl...TFOOF� RrEL 2h• Y tv.Na wa LnaRTOPe G vfPTL LJETt ORES ROa N GRACE CO m CD S m a — SERIES 1000 9 1050 EL CORNER n SERIES 700 9 7W EL CORNER rG1 SERIES 700_T50-1000a1050ELCORHER n n SERIES TOO STAR CORNER m 2 2 2 C. a 1 M GA.GALv STEEL .�•. (M GA Guy STEEL �.FtSEE �CONLLLLpTEOi I ' � y O'� ��»t7DMAL . PANEL sEE SECT. i PANEL SEE SER. aR TTPrAL Llr2 TTW.LL NOTE AND SECT art I _L - �?'J �•Dal comc.TALL DECK m m �•-t ��oPGo° • ` rr--�Comal �p fa�rwnTw» ' 3 PO[A[L. lf iw e E wa TAT►. i _ IL = 1-a.^TyprE reOLTf' '.l','.'•; C•.•i.-....-•. „ I t r 7NIOOEft T' EACH PANEL ENO ,..•, •.- - O O VNTL NOl NOTE:EE SECT. •'S. o CD �� � EO rt TfOO�f a/2 Pal OIAOO AL T- ' 312'1N I/A'tli AllfLEVfE7L L.ER AnD/10 xiT� 'CAWt;KE OLT GGUSSET TYYP S ALLT11iMTSNtTS �;4 u PVNl1 OO S Ts 0 mi a-M'f CJRI.AOE b COLLAR fF0103- M GA.GLLV.SiL AT1QL FM/4 TYPCAL NOTE:ALL GAOOTLA TYRUL Sa&111Y TYSG A ��tI1 SO BE»0»-OOANB+E iH- 2 f01A00NAL lRd10E) 1, 80.SEX f1STLLLATNKM L-tl/>,1)(-v 12 GA.GALY.6j ® _ SEE AN VlEw R) 1 MOTE No 1 . »GA.GALV.STEFL�� �AND 2♦ASHERWLIXXTS.KITS »[lA GINLV.57EEL I N ati 6LLv STEEL sE[PLAN VIE• mrR FLLIIi PlCE J LAPD Y lfLVEl15 iT'R FLJ.[R PIECE Y� S. I '�RAPEL SEE SECT. a-A.Y LL 101.7S7 E ~I o� �2 WL4EAR''S File. me. I ISrt TYPICAL ILJTS E II 1r.9ER5 T'M1Y"1 EAGI w.L NR• %, TYP EA.PANEL ENDJ SERIES 900=.I000 8110F•)O CORNER n SERIES 600 9 1000 STAIR CORNER to NAN'a oo G1°�AOE B0LT5' I IAROUNDTE EONOOEN7 MOTES 2 IPSTAI.LAT101,111pTEs II 2011E Ti00E55 20 iL TNOOE555 werfR-1� ICOLL.W MOIIO FVIl AOD fVLLl yT}fpER) I VWYL 11ENt P'F711ETER OF POOL SEE L ALL WINK TTm f Pa,N�rwaM YTO.AL`VNMw TO I.M NWC auDn O M roof O P1N@C.VLD W•TTITCAL.NJLYIRIW Vwfm LPE7i I.L-Y•k Y'L\s fi4LV 1 I 1 M"faLLAT14N/qTE MQ I. A3Tf•-a0 1TMMA$S.NNLVOEIID WALING. .ENM■.OAJ IIOT OVIOMr•WWIE a,ATL PG[T,IRLII/1.ONE A I AT Q O fAMEl PER. I Tri1ULL M GA--L 2•. .� — wm. r C L .o". 2/2 lCl[ FOR GALV.PANEL ETD __---- E ALL}IL Ymf O 3})/PETvw AT A•At M 31, E..O ..D'TMON CV POET[COLLAR R M 4LZ W M OwA!]CAtr>aN GALV PANEL END CLAJV") I [ION DRAEN 1O/J All[L IOW WTLLYL OdlOAf»10 A3TN A_.A AREA AAOlNO M RAL NDOOETDN O T P00..Ta f INOY W O[LL t•QT. EIO OYE7fS17/ I I ' 2• i!l FLL WEN M A3 •-,E3 iALY11Qm COAT➢IC, -� L M.L.OLiS YNK TwfAOm oa�aO,R ANK 1»MnaCTV® 3.NY mL O1T1�O.lY EAIRN PLLE%AOe@ Mm Dolai .QTL-r lM - 0 O - rwOr YTOL4 mN..aNNNNwc TO ASTr•-wT lwvrs.Ax+i+l wm D®D D.[AOI LJTOI flAtL NK/O00.[D AAD C•IIOVLLT ONNIP[D TO t Not FLL� �� ".M n vale.mL m sry[3l.Nw.D»avLUNL wav NsvEL .. A,o ANK>K rL•n.LAErvwi N.Ai,ots•AL nAPo•No DK ..ALL NO,WI MIDI Yf oL1 L1z4 n NONE TN f3E rLATm A,A OMOKTT DOLXNV EP P.�eD�Q MALL SLOE NAAT PLOW tS,e'o IITW.TOPS GOT �� 'L ALL NP6Dm ADMTL[•T 1UQ fTtIOO1 ANo AOAN.TLaj —AT A"n NOT Lai TNNAA .14 PEA POOE. GRaCE r BOLTS tIEVELMG fRJ[TE) A#•Ir MAQ I.•NK taATED OTTN M AIAMAT!'NL.Pf AITQ i.TANK POOL NVf Lml OONKm PA A wLaN.ANK LdOOa L-fYY•• ��j 1 alllr��SA/ICLE 4 inc`ALs'Tn°`�`= NK NwaA,.pW.E ca►N�Nvc a wN•o[[Drt Anano PoaL Mo uNK N on N»oonL To LarT murLLnrt lYPIG4L WALL SECTION TYRCAL W4LL $IlFFENER 2 d a• 'PWD �� OI LCLAm oL 10 70 Pp EN N LaS. L 2=f•orERocJ.A[Tpu Eu,D'OOis.;: .:NNNOaA^P�""a'T T" FOR 214 PANEL 1-i-N AT ! MID. PANEL_� CJ�TYRL V ALL SECTION AT A M W ls- 2 z Town of Barnstable *Permit# �P Expires 6 months from issue date h s e".NST,,B Regulatory Services Fee Thomas F.Geiler,Director �mp ftsATF�M P'tA Building Division Tom Perry, Building Commissioner JAjV 2 c 003 2 200 Main Street, Hyannis,MA 02601 �D ��3 Office: 508-862-4038 VVAV op.. - Fax: 508-790 6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY STgetE� Not Valid without Red X-Press Imprint Map/parcel Number Property Address y 1 C-o c. ),%m 2 tesidential Value of Work i s n o o Owner's Name&Address C. i— L)n.ri1Cfn,("k Contractor's Naive Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: A ❑ I am a sole proprietor ►❑''I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) [+]'ke-side (DIReplacementWindows. U-Value (maximum.44) Cnn�«Svr,S� ❑ Other-(specify) re n 1 G e e c eo k-+&A 1-9 t�,Oa Y=i *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg Revised121901 wr 0 Assessor's map and lot number ......... .......1......W...6.. ril H E To Sewage Permit number .......... ....... .......... House number ........................... ................................ voMASIL t639- TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ...................................................... .............................................................. TYPE OF CONSTRUCTION ...............woo R-A Me ............................ (fl A )................................ ............... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..........................................................(��...........),Q�... ............. ....................... 1.1.. ... ... .... ................................. A I ............................................. 6n(2-�j Proposed Use ....... ..................... Zoning District ........................................................................Fire District ....................... ............................... .............. 13 U I WE,51 00 1��o Nameof Owner ............................................... ..............Address ...... .......................... e Name of Builder .... ......... .. ........... . ....... ...... L ............................Address ...M k- I -A I L. �A-01 ....... . Name of 'Architect ........ .. . .. ... .....................Address .................................................................................... Number of Rooms ......0.....ao )c........................................................... ...................................................Foundation ........... Exterior ......... 641N6-LeG A/?PkA .......................................................................Roofing ............................................ Floors.... .....................................................................Interior ............ ............................................. Hedtinig ......... 6Ae �OLL 6/A-r-AS q .............Plumbing ;.......................... ...................................................... Fireplace ................ K.................................................Approximate, Cost ........ .................................. Definitive Plan Approved by Planning Board --------------------------------19--------- Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH f. 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. C Name ..... ..... -4/0 ............. .................... Construction Supervisor's License 0y..4........................... L. M. BUILDERS, INC.,, 27998 13-2 Story No ................. Permit for ........................ ........... .to-` Single Family Dwelli ..�r 3- 1�........... ..................................................... ......... . . Location ...Lot...21, 4.1....C..a.c...man...Lane . ....... .. .. . West Barnstab e ............................................................................... Owner L. M. Builders Inc. ............................................. ...... . ....... Type of Construction ..........Frame. .. .................... .. ....... ................................................................................ Plot ............................. Lot ................................. Permit Granted ...June....10 ,.................19 85 Date of Inspection ....................................19 Date Completed ......................................19 '9J70 o� e> TOWN OF BARNSTABLE Permit No. ------219-%$------------- �� = Building Inspector cash �- --------------=-- 1619- At- Issued OCCUPANCY PERMIT Bond —_Z -_///4/ to L. M. Builders, Inc. Address Lot #21. 41 Rnac.hmsm Lsinn. tlpat Rrrn�tahtp Wiring Inspector Inspection date �� PlumbingInspector r ` t � C� � � c E !- Inspection date Gas Inspector Inspection date JEngineering Department Inspection date /`i / Board,of Health Inspection date 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. ......................................................e 'r f� 19....... / ................................................. Building Inspector