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HomeMy WebLinkAbout0035 COVENTRY LANE �S 1 1 a F I� I Ojobrcr N®. 152113®RA MADE IN u.SA ESSELTE t r t c 1 t P a r. r F � � �� i- {t t 4 r t 4 a. t Ey 1 TOWN OF BA.RNSTABLE 3Es550 7M"0 � Permit No. . ` BUILDING'DEPARTMENT TOWN OFFICE BUILDING Cash ■Y� 670• HYANNIS.MASS.02601 Bond ......... CERTIFICATE OF USE AND OCCUPANCY Issued to AMEX HOLDINGS OF CAPE COD Address 35',01"Coventry Lane (Lot 1)., West Barnstable, MA USE GROUP FIRE GRADING OCCUPANCY LOAD ' THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON,SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. i July 21, 1994 19................. O Buildrng Inspector 1 • �� ��, *,f,. � .ALE f AR 29 Town Of Barnstable3 sir o� Regulatory Services L Tbomas F:Geil er,Director a6.7 �. Building Division • '. ���`0 MA'S� Tom Pe , . rty,Building Commissioner_ 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 1P9RMIT#SOD 6 18 L[ FEE: S SHED REGISTRATION 120 square feet or less S CO- ve Location of shed(address Village Property owner's name Telephone number Size of Shed Map/Parcel# Si Lure DateOF Hyannis Main Street Waterfront Historic District? Old Icing's highway Historic District Commission jurisdiction? Conservation Commission(signatare required) PLEASE NOTE: IF YOU ARE WITMN THE JURYSDICTION OF ANY OF THE ABOVE COAVIl MSIONS,TURF MAYBE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE.THEAPPROPRIATE CONIlYIIMSION FOR DETAILS. THIS FORM MUST BE-ACCOMPANIED BY A PLOT PLAN Application to, Old Kings Hight Regional H'is uric' District Committee in the Town of Barnstable`for a CERTIFICATION.OF. EXEMPTION Application is hereby made, in triplicate,for the issuance of a certificate of exemption .under Section 6 and 7 of Chapter 470, Acts and Resolves of Massachusetts, 19.73, as amended for proposed work as described below and on plans, drawings, or photo- graphs accompanying this application. . TYPE OR PRINT LEGIBLY DATE Z ZS Z UO ADDRESS OF PROPOSED WORK 3S �O beP` e. L C SORS MAP NO. OWNER (� [N e Lo lS Z IS R ASSESSORS LOT NO, HOMEADDRESS ? COUe•�L!,� Llale EL. NO. 2 7 16. AGENT OR CONTRACTOR 6jc;�o� d"nn.9r.o- 'ADDRESS 2 7Pe C4nte yu ,Irwi TEL. NO.• 8 — 3y ^ 26OU 3 +11'R4 , j-(�/�4 N�ic s GYM A. . S v e' , •�'1�-,_sz)d 7 This application is for exemption of proposed exteri r construction on the ground that: ❑ (1) It will not be visible from any way or public place. ❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK:. Describe and furnish plan of proposed work,showing location on lot,and, if an addition is involved,show ing location of existing building. JW P/\Ou � /0i. 1 �IG-N w-1'u�e S�� ►es c�+G- C o m to�,� �3�, tf c iv e. ���' �3 fe 1200� 2 612 - 13ye�i� SIGNED O Space below line for Committee use. . ;I/v © Ier Sl Ie�ls wner= ntractor•Agent �l Received by H:D.C. The Certificate is hereby-4�ar__% ' -:� �;� Lq AVE MAR 91.9 2006 I � I Date APNWed:.. ❑:TABLE The categories of work entitled to exemption are lis _':.F.77-1VATION I the back of this form. • S _ _._'-t r^' 170.90 ry r � 1 �. S r' - .i f !r - �c�la9 vim✓iP'Y Z..�000 TO THE BEST OF MY INFORMATION, '.'AS--BUILT" PLOT PLAN KNOWLEDGE, AND BELIEF THE BARNSTABLE P�AT2ucr�2r'' THIS LoT � , MASS. #� (N ON N HAS BEEN L D'� d°V THE P 4 'K f .9 ' DATE���r /9 /99� `. GROUND AS INDIG` ;rAS(dpi��,' NFORMS r SCALE TO THE ZONING �r. `fLAT10NS. JOB 339 Z' 00 CLIENT49eso.j ecox,� _ r: S �'NGI11T�'�RING � 235 GREAT WESTERN ROAD a ,. .•r r. P.O. BOX 713 DATE R ESSIONA "ND SURVEYOR SOUTH DENNIS, MASS. 398-3922 02660 FAX 398— TON OF RARNcTnui r 1� Town of Barnstable *Permit#�o O�� Expires 6�tlrsjrom issue date t Regulatory Services Fee �f/� (Z MAR 1 3 2001 E Thomas F.Geiler,Director h � /�� B�Rt4STAB� Building Division / TOW Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA.02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: S 8-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number lAo oov�oa/�� �� ,� � p� ' Property Address .�S C�DVL 1 I=-� LA&k- Residential Value of Work 1 D,j Z,0�) Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name Affigj.6f C��LLS Telephone Number"506-'6. -tzIq Home Improvement Contractor License#(if applicable) `015a4 Construction Supervisor's License#(if applicable) Workman's Compensation Insurance /� — D Check one: I ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name )U8Q-A Workman's Comp.Policy# �bMo J 3 /-1 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) �( Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) :2 ❑ Re-side r-" ❑ 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 Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 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/Organizationadividual): I —D(-S _DJ� • Address• j� �►.��.tom�`���'�i • City/State/Zip: F_ Phone.#: s' �� Are you an employer?Check the appropriate box: Type of project(required):. 1.PI am a employer with(— 4. ❑ I am a general contractor and I 6 ❑New construction.. employees (full and/or part-time).* have hired the sub-contractors listed on the-attached sheet. 7. ❑Remodeling 2.❑ I am a'sole proprietor or partner- These sub-contractors have ship.and have no employees 8. ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp.insurance comp.insurance.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions ' •3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions ' myself. [No workers' comp. right bf exemption per MGL 12.kRoof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside.contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional•sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 39'�j'7 I Expiration Date: Job Site Address: City/State/Zip: W 1 •MA-WSY 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 rtify u ains-and penalties of perjury that the information provided above is true and correct. 3 ra- Si ature: Date: _ Phone#: s S�� Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Ins' tructions . . 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 receinLtLustee 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-contiactor(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. ~ lease be sure 'P to fill in the permit/license number which will be used as a reference number. In addition,an applicant thatmust 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 �tovrn)."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 fo 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. I The Department's address,telephone-and fax number: The Commouw�-alth oaf Massae=Q#s l7eparlmeut of lRdustrial A widents Office of Investigations 600 W'ashingtoii Street Boston,IOTA 02111 Tel. 617-727-4900 ext 406 or 1-8 77-MASSA.FE Fax#617-727-7749 Revised 11-22-06 • www.IDass.gQv/dia . G H.DUNN INSURANCE AGENCY,INC. ONLY AND CONFERS NO RIGHTS UPON THE CERWICATE P O BOX 330 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 260 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BUZZARDS BAY MA 02532 INSURERS AFFORDING COVERAGE NAIC# ROSURED MURERA: ARBELLA SPECIALTY 10017 AMERIGEN CONTRACTORS INC. INSURER& ARBELLA SPECIALTY 11 CRANBERRY LINE INSURER C: EAST FALMOUTH MA 025M MURER 0: INSURER E: COVERAGES THE PM=ES OF INSURANCE LISTED mum HAYS BEEN ISSUED TO THE amRE D NAM®ABOVE'FOR THE POLICY PERIOD momTM N04WRHSTAmING ANY Paounummr.TEm oR cotvnwN OF ANY CONTRACT OR Ot m DoCUMaTT WITH RESPECT To WHICH THIS CSCTIFICATE MAY BE ISSUm OR MAY PEWAIK THE WSURANCE AFFORDED BY THE POUpES DESCRWED HOWN IS SUBJECT TO ALLTHE TERMS,O(CWWNS AND CONW=6 OF SUCH POLICIES.AGGF ELATE UWTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAM. TYPEOFOI.SURANICE POLICY NUItMHt POLXVOWEL71YE VATEVAllemmT"F]TIRATION LETS GENERALUABU= 101"es 10IM87 EACHOCCURR34CE 1,000,000 X CowmwAALGaIERAI.umunr 8500035374 M'O"EMM $ 50,000 CLAMMADBD OCCUR 5,000 PERSON&&ADV&&ftW : 1.000,000 GEdERALAGGREGATE $ 2,000.000 GENL AGGREGATE UMR APPLIES PER: PROM=TSCOMPMP AGG. S 1,000.000 PoucY J'wr Flim AUT01106H.E UA89M COMWNED ANY AUTO SIe1C�E UItiVT $ ALL OVVNED AUTOS BoDL.Y Wulff SCHEDULED AUTOS Mor P—) s HHU D AUTOS WURY NON4XVNEDAUTOS (per-dder) $ PPMEM 0 MAGE $ GARAGE UABWTY AUTbONLY-EAACCDB1T S ANYAUTO • OT}iERTHAN FAACC s . A=ONLY: AGO $ EXCESS I UME r e ANY EACH OCCUME DICE S OCCUR CLAIMS MADE AGGFIBMTE $ ' S DEDUC"NE s RETENTIONS $ 1°/ °6 1°/z °7 °' ° aEPLDYs�uAeam 8500035374 A E.L FACH AcxroENT $ 500,000 ELL DISEASSFA ELFLOYEE S 500,000 $M�un8v 6PBCIALPttOVISi0if3blar ELDISEASEPOUCYLWr S 500,000 OTHER: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLE&I=LUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CARPENTRY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCIMED POUCMS BE CJWCEU=BEFORE THE BARBARASPILEWSIO EXPIRATION DATE THEREOF.THE ISSUING E MOM WILLENWAVORTO UNLIO DAYS WRITTEN NOTICE Tb THE CEIMRCA-M HOLDER NAMED TO THE LEFT:BUT FAL.URE 132 PRISCII.LA STREET TO DO So SHALL AFOSE ND OBLIGATION OR UABILRY OF ANY NM UPON THE NWREit EAST FALMOUTH MA 025M FM AGENTS OR NrATNES. AUTHORRM rATNE Atlmdon: r �.s. pBWI-dIl .Hathaway ACORD 25(2001108) Certificate# 1382 ®ACORD ORATION 1888 :Y\ .JIhe ( unaiicur�ucuC!!t. r��.CfuutuyttwNUa Hoard of Building Regulations and Standards License or registration valid for individul use only -t(t HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: a Registration: 101921 Board of Building Regulations and Standards t� One Ashburton Place Rm 1301 Expiration: 6/29/2008 ' Type: Partnership Boston,Ma.02108 AMERICAN GENERAL CONTRACTING Francis LOST 11 CRANBERRY LANE E. Falmouth, MA 02536 Deputy Administrator Not valid without signature '`'< '`�t�'' ..�;`r� fie �rrmzo�ruue o�✓��aa�aclucae�/.a � BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS O44815 BilrNtdafe:::0.9/2111955 1 Expkes:.09121/2007 Tr.no: 5113.0 Restricted: 00.: " FRANCIS P LOSI 14 FISHER.RD C E FALMOUTH, AAA 02536 Commisslorier Mr. Wayne Lish Roofing Proposal . 2 January 13, 2007 PROPOSAL Page 1 of 5 Customer: Job Location Mr. & Mrs. Wayne Lish 35 Coventry Lane 35 Coventry Lane West Barnstable, Ma. West Barnstable, Ma. 02536 Scope: Replacement of the existing asphalt roof shingles on the home located at 35 Coventry Lane West Barnstable MA. AmeriGen Contractors Inc. proposes to furnish the following materials and labor necessary to complete the installation of a new asphalt roof system utilizing Certainteed Independence style architectural shingles. Color to Be: Weathered Wood A) We will strip the existing one (1) layer of shingles and properly dispose of all debris in accordance with the landfill requirements in the state of Massachusetts. If more than one layer is discovered each subsequent layer will be an additional cost above and beyond the price of this agreement. Tarps from roof to ground will be utilized to prevent damage from falling debris to house and landscaping. B)All gutters will be cleaned out, grounds cleaned up and nails extracted with magnets. We utilize magnets so as to minimize your exposure to personal injury and/ or property damage from nails left behind at the job site. C)After removal of the existing shingles the wood roof sheathing will be inspected for deterioration. If deterioration is found the owner will be advised of the need for wood,replacement prior to our continuing with the work as described in this proposal. 1 Mr.Wayne Lish Roofing Proposal AmeriGen Contractors Inc. is proud to provide you with an industry best six (6) year unconditional labor warranty against fufatc carers warrant All materials are warranted as per the product man This proposal was prepared by Jack Bindig This contract is not valid until signed below by the Secretary of AmeriGen Mr. Francis Losi Commonwealth Contractors incorporation, , of . Massachusetts Construction Supervisor's License # 044815 This proposal may be withdrawn by AmeriGen Contractors Inc. if not accepted within 5 days. This is the entire agreement. All verbal agreements or discussions are superseded by this written agreement. ACCEPTANCE OF PROPOSAL As stated above the costs, materials, specifications and terms are satisfactory t and hereby accepted. I authorize AmeriGen Contractors Inc. to perform the work as specified. My.payments for services rendered will be made as specified above. Customer.Signatures: Date: —L41�to 0 , 5 AMERI. EN Contractors, Inc. To Whom It May Concern, I authorize John J. Bindig, an.officer in AmeriGen Contractors, Inc. to sign any and all documents required by the Town of Barnstable as it relates to the acquisition of a building permit. Sincerely, Francis P. Losi i 230 Main Street, Suite 5A• Falmouth, MA 02540-508.495.0019 vYLm amenPrw..antr1t-&ffv mm 1� �TMF The Town of.Barnstable Department of Health, Safety and Environmental Services . M 'r Building Division r ,0�' 367 Main Street,Hyannis MA 02601 r��,tt► Office: 508-790-6227 Ralph MCmssen Fax: 508-790-6230 Building Commissioner Home Occupation Registration - q -9 Date: Name:A4 Phone fit:f&P, Z -my Address: 7 'mL Type of Business: &i 177A,(-1 Pa,�� 2� Map/Lot: �� 0 G�• G UZ INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,.subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residenual volumes. • The use does not involve the production of ofrensivc noise.vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat. ¢arc,humiclity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front y1rd. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customar v Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. '" ' • No sign shall be displayed indicating the Custorn.ur Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,"the undersigned,have read and agree with the above restrictions for my home occupation I am registering Applicant: k'�JC. �" Date: Homcoc.doc F'WE tq� ,. ..'{� Town of Barnstable �'''�""S`ABU& ~ Office of Town Clerk '0t�rp ► 367 Main Street,Hyannis MA 02601 Office: 508-862-4044 Linda E.Hutchenrider,CMC/AAE/CMMC Fax: 508-775-3344 Town Clerk August 21, 1998 CORPORATE PRESENCE 35 COVENTRY LANE WEST BARNSTABLE, MA 02668 Dear Business Owner: It has come to our attention that you may be operating a business in the Town of Barnstable. If you are a single proprietorship, partnership, or corporation doing business under a name other than your name or the corporate name you must register your business with this office. This is in accordance with the provisions of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5 of M.G.L. To begin the process,you need to come in to the Town Clerk's office to obtain a routing slip. This needs to be signed by the Building Department, Board of Health and Consumer Affairs. At that time you will be notified of any additional licenses or permits that may be needed. Once you get a business certificate it shall be in effect for four years -the cost is $20.00. Please come in within 21 days of receiving this notice to register your business. If you have already registered as a corporation with the Secretary of State, or if this does not apply,please send this letter back to us with that noted on it. We anticipate hearing from you within 21 days so you will not be considered to be in violation of the law. If you have any questions, do not hesitate to contact us at 862-4044. Thank you, Linda Hutchenrider Town Clerk Assessor's office(1st Floor): D D�/ Assessor's map and I I um � SEPTIC SYSTEM RA,"3T BE `o%THE>o� Conservation .7► `� ����AR ��� .,'��'.; ; ?C� `�P w�E •., err...: Board of Health(3rd floor): VVITi'I 7 d�:9L - 6 { • Sewage Permit number / —�/ �i��0�� `ds..U,R�, v - AND t+sa»T�nc i Engineering Department(3rd floor): ►��� House"number Definitive Plan Approved by Planning Board 19 � APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-i.00 P.M.only TOWN OF - BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION (1�1SL`C' L1 1t?E�.(,I, t I L S 1 y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use Zoning District Fire District v►�(�1�� -��--E Name of OwnerAM�K tTO t t4C,<,_ o2 �gPELG� Address ?0•�D;1c_ Name of Builder 2i5Tr k) �Y /IK�t=K R�Y Address EU►�tS M P} 02��� Name of Architect" Address Number of Rooms gt _S' Foundation K� S6 ou G cCE6 6 0 94 P Exterior LIZ. &X 11 F-f>I?e:bFJ9- Cf ;FeoaS Roofing _A!5F14At-T Floors t_Q 4 `I"IC Ca_?L (060fl Interior 1�2rr Kam° 7 W' �W Heating FA 0 . � +— . Plumbing � WcJ-a Q1,u1,6 r A)C l I �l �• Fireplace -I CC A4 t Approximate Cost Area •Z�— , /iagr*amtf of and Building th Difnensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstab reg ing the above construction. Name Construction Supervisor's License XAEK. HOLDINGS OF CAPE COD No .3-675'70 Permit For 11 Story }t Single FamilyDwelling Location Lot #1 , 35 Coventry Lane West Barnstable Owner AMEK. Holding of Cape 'Cod ; Type of Construction Frame Plot Lot Permit Granted Mai'ch 18 , 19 94 1 Date of In pection r/YY-z 19 Date Completed 19 r z . E z _ i r COMMONWEALTH' DEPARTMENT OF PUBLIC SAFETY ONE ASHBORTON PLACE CC:!i C for OF BOSTON,MA 02108 rtv «/on� :. IyASSACHUSETTS c!i::a i:asr co. c i.'; LICENSE CAUTION ` C O N S T k. SUPERVISOR EXPIRATION DATE FOR PROTECTION AGAINST p 33/ �O/'�9 9 6 EFFECTIVE DATE LIC-NO. THEFT,PUT RIGHT THUMB R€SfiR CTI PRINT IN APPROPRIATE NONE g )6/30/1993 032809 6 BOX ON LICENSE. 6�C� � o ci' E'/L R F T T :� E3 OY J R BLASTING OPERATORS ° H 0 X i 86 MUST INCLUDE PHOTO. SS 033-42-4928 = W UENNIS NIA 02670 m PNOTO( !IN?OPR ONLY) FEE:0�.Q^ PAID ID . -- NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY •�.. S PED•OR-SIGNATURE OF THE COMIAISS"ER HEIGHT: 9 I993 Dos: JUN • '.'cf',•.%;.:;�.;':EGA': '« SIGN NAME W FULL ABOVE SIGNATURE LINE . or•,i1:`•;•�{�Z THIS DOCUMENT MUST BE TORE OF LICENSEE . •�• 1. ti. '`jl.}'. 1 CARRI EDONTHEPERSONOF �3��. ���• . .. ;:-••>t�� ���::?``• '1����� c:�`•.-'.1G1�jl_'9! a THE HOLDERWN GpOEDWTHSOCCUPA710N. � ISSI , 5 .-. �..�--:..... _ .. •. _ L CO �v10 T� � O F M'A-•sACHUS�' OF 7?\DUS- CCIDFN?� 1NC J-OJ J JiltLJ �a•ncs_ •Ga-»�e� !30SMN. MASSACHUSL-TTS 02111 "c -�:SS•�nC' 'WORKERS'COMP-ENSATION INSURANCE AFFIDAVIT v (11ccnscc1permiacc) . -with :2 principal p]sccofbusincss/residcnocat: bvt, c - (GrylScacc/Ztis) do hereby eerti6-. undo the pains and prnalties of perjury; that: 1} I am an employer providing the followingworkcrs'compensation coverage for mycrnployccs working on zh- job- __ PC Ga M -J �14 Ej `7 Insurance Company Policy Numbcr I - 1) 1 am 2 sole proprietor and have no one working for me 1 J 1 2m 2 sole proprietor,gener-J eontraor or homeowner (arde one)and love hued the eonuaaors listed bolo.&- who hzve the following worke.^a compensation insurznc c politics: Nanx ofContraaor Insurance Comp=y1Fblkr?dumber ^amc ofContraaor Insurance Company/Policy Numbcr I2mc of Conmaor ' Insurance Company/Policy Numbcr . Q 1 2m Z homeoN%-ncr performing--U the work myself NOTE: 1'k=sc be aM_rc t!:t�-?it<I:ccco•�ca who ccz ploypersoc:to 1_o taaictmaacc,coortsvcs:oo of rcpa:tom-orlc ots z -e--cllins of not Mor<tIzz 6rc<ccics is L<bomco•mcr also r<sidcs oe cc the Eroaols appurutaat 11cma art Doc EcvcraSly <en9idcr<2 to be<raploycrs vLcr tic Cori<ri Corpcas:tioa Act(Cl-C-152.sccz- 1(5)).app1;utioc by a becacowacr for a li«as< or perr.-i;t r-.:y<..idcccc t::<1<rJ star::c!zz cr-,loycr coder tbc'Workers'Corapcosatioa Act_ i cac<rsrarsc tiscc= copy of tia ss-t<rn<rs•-ica is�-ulcd to ti:c rJ<p:,r'-cnc oflndcstriJ/,<cd<nts'Or�c<o!1 sr:acr for.m-cr c %xrifj<:=on znd th_t f_.ilcrc to sccur<corcr�c: rcSuircd urdu Section?S/�of MGL]52 e:n ksd to tSc irr posieion oJltjnina3 p<nJucs <orssisons of a fin<of vp to Sl SQ0.00 z-.1Ja i�rri:onncst of vp to orLc yut snd ciYi1 pcnJciu in tlsc form of:Stop�1orl:Otd<r,.nd a I fsn<of 5100.0 2 against me Sign this d2y of FEsauj�g—J . 19 9L-- lace crmiticc 1-,ccnsor/Pcrmiaor COVENTRY , A=170. 90' Cot4 O O.O. CRETE �s �Q FO gDATION 073. T. F. _ LOT 1 30, 534 + S. F. ryry. (0. 70 + AC. ) s 138 37' LOT 2 yo , JOB # 93-019 CERTIFIED PLOT PLAN LOCATION : LOT 1 COVENTRY LANE WEST BARNSTABLE PREPARED FOR SCALE : �" .= 50'' REFERENCE : PLAN BOOK 454 PAGE 96 REEF REAL T Y B r I HEREBY CERTIFY THAT THE STRUCTURE OF A1n• �'1• .,;S.p�� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. U'r MA'RCJT,JR� , o No.36859 Z .t ,r ♦e. ,�w M..., �i ^�l ��� CA DEMAREST - McLELLAN ENGINEERING MARCH 2, 1994 24 SCHOOL STREET P.O. BOX 463 WEST DENNIS, MA 02670 DATE OF SIONAL LAN URVEYOR - - . .�:v-�•^G.��.�cn+i",L�"�-roc `'ur'�{��..Ci""`s t"J." i..tjFf. r fra.:ye!'��cy't7Y�«a'h` �'y�;7� <;r.•1.,�.., _ _ F aA N51 ABLE, AnASSACI iLISETTS ult _ ce �` :)AT/E __—i i..__ PERMIT N0. if�Ty 6(7t,50 APPLICANT ./:;'-i L;, ;.'f�•°/ :�c:11 s. s"-ADDRESS is r� (N0.) , ,!STREET) ;CON'.'P'S LICENSE) OF I PERMIT TO <%?T'--C C� •t•_�..L"•'• ( 'L ] 1 STORY - .1, . �_.;••�DWEBLLR l ING UNITS -IMOVEMENT) NO. (PROPOSED USE) fC (TYPE OF PR �^I ZONING E� AT (LOCATION) Jw•-- r ► 35 CJVG'JZ';.1"'1' •I-+c:'.iC'- , 13 l:ciu.i:G: DISTRICT �•`I, (NO.) (STREET) BETWEEN _ AND (CROSS STREET) (CROSS STREET) LOT SUBDIVIS101) LOT BLOCK SIZE 1 I i BUILDING 1: TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTIRUCTION I • TO TYPE _. USE GROUP BASEMENT WALLS OR FOUNDATION _ : S (TYPE) � 'I �«age �y4-�1 1 REMARKS: 11 13o<<u 1 AREA OR `cC •,'. 50, 000 PERMIT j VOLUME_! ESTIMATED COS? .'J FEE 5 (CUBIC/SQUARE FEET) OWNER BUILDING DEPT. .�• :�, J'. 'f t ADDRESS _. BY THIS PERA'T CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPOR,'RILY OR PERMANEI`:-LY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUS-- BE AP- PROVED B' THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE 03TAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE COUDITIONS OF ANY AF PLICABLE SUBDIVISION RESTRICTIONS. MINIMUM c THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEP:RATE INSPECTIO I i REQUIRED FOR CARD KEPT POST ED'UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED }FOR ALL CONS-I.UCTION WORK: ELECTRICAL, PLUMBING .IAND L0c I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATb.NS. 2. PRIOR 7': COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBER. (READY TO 3- FINAL IN.;PECTION BEEFOREFORE FINAL INSPECTION HAS BEEN MADE. OCCUPAI•CY. POST THIS CARD SO IT IS VISIBLE FROM STREET IK _DING IN CI`ION PROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I 1 DY y i •� � 1 1 / I 3 HEATING INSPECTION APPROVALS S ENGINEERING DEPARTMENT �r� 1 BOARD OF HEA TH OTHER SITE PLAN REVIEW APPROVAL do��l ' c\—ff W RK JOT PROCEED UNTIL THE INSPEC- I PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS -\RD CAN BE TO AS 14OVED THE VARIODUS STAGES OF LWORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED 'FOP. BY TEtEPHONE-UR V•iRITT-N CONSTRUCTION. Fi MIT !S 1=ZUED AS NOTED ABOVE. rSJTIfIC:TIO'� *TM[ TOWN OF BARNSTABLE Permit No. . �" O10 � BUILDING DEPARTMENT l s.un I TOWN OFFICE BUILDING Cash 7 ■Yl 6T0• '�te�►T' HYANNIS.MASS.02601 Bond X......... CERTIFICATE OF USE AND OCCUPANCY Issued to AMEK HOLDINGS OF CAPE COD Address3 f'��Z Coventry Lane (Lot 1) , West Barnstable, MA USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. July 21, 1994 .. ............. ....... ..... . 19................. .. ..... .. .......... Building Inspector ' S ^V r tt y 4 t 9 f >3q': t ) n.y: ;jL',' 5 F .IL } C' 1 i• .'fir I J)J .�-S f\''. -yy'�,. i,�....t�.^<y.r..r.:)'�. y-' a,� �, e y. i.. _ ..—_.__ .. . . 'J•; ,.v.l xJ , -�..� t � � *an� �r '�:.-j'::n'J;. '� .,A. t —._._:_ •(� - " —.._.S= �� of 1 f�t�--l._i .v 1 .,i. "1 r.r..:..,.� .t ...•.._ .. ,. , 1 :....{Ili{ln _ .—_ �.:._ i I - ih ,I" :r.�. - �I! C:• J�r �, ,.; ;1- - ,� Ir�i,.p -__;l,'t� �' - Ij�'�•�^ a .r :�.,!1�1 :�� - li y}` 1-�' 'c• 'II I.EII`:_�I..��li,�. __{j _�.i lt'111�5;��114c t 11 �. ,I. _ G__ ' `i`' ��+�� I r,. -!ex 'I -,�.• `; ,y .— �. t.l +�_4Y.��• 3 f _+ .:U, .may.....@..,�.1.I.�_•; __ � '•' :.F. 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C I fQoNGNc Feo )Y t �!' f ! ,, � �' .• `. (� 4 1 I I � � � I1I1 I /l./y JurN ~RA I 1 I r L COKl. pfi. I{• ,J 0.1 tApa � � iRNNINb `fj(LTON L/ Application to SAPS' Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a I� 994 n 06 CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT'APPLY: 1. Exterior Building Construction: New Buildin ❑ Addition Q .Alteration Indicate type of building: ouse Garage ❑ Commercial ❑ Other .2. Exterior Painting: 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign c ;4. Structure: ❑ Fence ❑ Wall Fla 4. ❑ gpole ❑.Other (Please read other side for explanation and requirements). 1r4 s,..e'{' TYPE OR PRINT LEGIBLY DATE t f ADDRESS OF PROPOSED WORK, L `IVeiNAY �r� 1�1� •00WL-( i ICJ � �„�ASSESSORS MAP N0. OWNER �'I'bC tt , �Y�S car G�1(-C`.1 ASSESSORS LOT NO. ;.•, . -HOME ADDRESS? G- tytyc�, Mlb� � TEL. NO. �ai 4 � FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR �I TEL. NO. "14'3C7Gll ADDRESS t o.?�cx 1 � L).) c-sr-, DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see.No. 8, other side), including i'"• 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). 7�' x6 C)% It�W�l-`£� Crr4�t4�E ftV� V�kLLr—cu I _.f.;. Signed "v Owner-Contractor-Agent S' ce I II 't r mlttee use. �r+ U - . DE417� The Certificate is hereby ot ''Q '-"e0( ZlDate TOWN 0 'aRnf oClO Q D ING'S HIGHWAY By al,I,ro+rcl IMPORTANT If Certificate Is approved• approval1 is subject to the 10 day appeal period' provided in the Act ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriaten separate form). ess is required are: (application for demolition or removal is a 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of building to be erected or altered including windows, doors, siding, roof, light etc., that will be.visible from any public street way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — shov _ existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions o << alterations are to,be made. No plot plan is required for addition or-alteration which does not touch the ground. o. 2. EXTERIOR PAINTING: An appliion is required for an ' cat y portion of a building, structure or sign to be painted that vltihle from a public street, way or public place. Color samples must be attached to these applications. An application is nc required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committer 3,. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with it following exceptions.: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an of Appropriateness. approved Certifica b. Temporary signs for use in connection with any official,celebration or parade or any charitable drive as long as they a removed within three days of the event. Certain other temporary signs that the Committee feels.does not detract fro the Act may be allowed with the riot ..',.'. P permission of the Committee. c. Real Estate signs of not more than-3 square feet in area advertising the sale or rental of'the premises on which they erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of t premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter,any structure within the District which is defined by the Act a combination of materials other than a building, sign or billboard, but including stone walls, flagpoles,hedges, gates, fences, e GENERAL REQUIREMENTS 5. :"fork on projects requiring approval shall not be started until'the Certificate of Appropriateness has been filed with the To Clerk b the Committee.Y Approval is subject to the 10 day appeal period provided in the:Act. J; 6. No changes shall be made from the original approved specifications without advance approval of the Commission on amended application filed with the.Committee.. 7. A separate application must be filed with each project requiring a Certificate of Appropriateness. B,..Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundat chimney. siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters —leaders, roofing and paint cc 9. Unless application is complete and legible and all material required is supplied, application will not be accepted or acted.ul Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall. COVENTRY 9� A\'70. 90, 2g. oo� 0 d� 138 37, io v i � SKETCH PLAN . PREPARED FOR: REEF REALTY D D D LOCATION LOT 1 COVENTRY LANE WEST BARNSTABLE DM REFERENCE : PLAN BOOK 454 PACE 96 0 DEMAREST-McLELL-AN ENGINEERING - SCALE : -- - - - - - 24 SCHOOL STREET P.O. BOX 463 WEST DENNIS, MA. 02670 DATE : DEMBER 29, 1993 i OLD KING'S HIGHWAY HISTORIC DISTRICT SPEC SHEET FOUNDATION Poured Concrete SIDING- TYPE 4onW18H:ceWclap-6rds. shingles COLOR �tiYfsi1& Gray CHIMNEY TYPE Fick COLOR Red ROOF MATERIAL AS 2'lalt fiberglass shingles COLOR Weathered wood PITCH 7" t . W I NOOWS RiVco double hung w/snap-out grilles SIZE 24/24 TRIM COLOR White ., DOORS Paneled Steel COLOR Spruce Blue SHUTTERS Vinvl - (spruce blue) GUTTERS Seamless Aluminum (white) DECK 10' x 20' • ressuresareated wood - natural colo GARAGE DOORS9'x7.' Aaneled masonite COLOR Cliffside Gray Notes : Fill out completely. including measurements and materials/colors to be used. Three copies of this form are required for sutmittol of. an application . along with three copies eacn of the 'plot plan. landscape plan and elevation plans . when applicable. •P 1 ot_.-p i an. need not -be "Cert-if,i ed:'..:_,:bu.t::sMau I r g - - _.._ .....-- _---....____.. ... ..- -.a I I'"-structures on.-the I of to sca I e , - hc~ --- GENERAL` CONTRACTOR Steven Shakin Q8 Old County Way . E. Sandwich, MA 02537 sod— 888-8916 cco.,f-P r� cal to r- -T a�I1 �Q - IS®'► a-3o 11 C ).. 30 211SU,4 T j O✓� - wprv1 6 ' �`� O.L . - 1Lk j oZ�l I D -R P F�-erS 0.= 1 I. S; s+ca a�8 Znso► 314 c w-t4& 7 S6 To egchF100 (>luc�lhailf�l -. FICOR 19 (a)ay 1D cPrRR,t�� ._on � u inn. awl. S,p�R+ed by 2 pol-' s � cn� w�a 11. 3 on From GAAAC V _. 9Lgsged 40 of SCE �h CNrt�'�^qq - -41�� TR• ems+ dry �cm wAl� iab" I6 GARc�c,Poo�q � _ L43Tcd +a Gar-aIt P00Q I+c o4ce 4- Fra v—j r 9 �6 Ta y';�i B =Q ys GJNERAL CONTRACTOR Steven Shakirl { 18 Old County Way F. Sandwich, MA'02537 sV- 888-8916 24 i O.N• w;noo47 13,'' 3cT' xs-] 'ly �tr+aFlea� 101 ' 3�`3 -top aF Ac�r..! Liy 1®�-`� �oX6� St-ctl-sns�Icr4�� AL I L1 �r {• U�i�G�(l5 Iy Li Post FL-4 sA-� r\ ( 0. H Us,4)ow Ro.3o��V�S-7�t� J Q h�l FlooR Go-l�d,r, o�- Ce',1�o�1F = t►qI ta�3�u c ..n q ily�. 09-27-1994 T .T S i z i ri g T M Page 1 of 1 BAST siz v4.00 sn:113104178 E1111 TRUS JOIST MACI-IILLAN 104A CENTRE BOULEVARD MARLTON, NJ 08053 USA Phone: 609-596-5555 DESIGNER ---------------------------4-------------------------------------------------------------------------------------------- Name: GIL GEARY Project Name: STEVE SHAKIN Page Title: S. SANDWICH, HA Based on ALLOWABLE STRESS DESIGN ( ASD ) HER building code for TJN products available through Distribution ------------------------------------------------------------------------------------------------------------------------ Application........ Floor - Res. Deflection Criteria (MR) Member Use......... ......... BEAR Load Classification....... Floor LL Defl TL Defl Member Top Slope(in/ft)... 0.000 Load Duration.Factor....... 1.00 Span 1 L/360 L/240 Roof Slope(in/ft)...I..... 0.000 Live Load(psf)............. 40.0 Floor Decking............... N/A Dead Load(psf)...:......... 10.0 Repetitive Member Use....... N/A Partition Load(psi)......... 0.0 Reinforced Overhangs........ N/A Tributary Width('-').... 1- 0.00 LOAD: Class LDF Begin End Live Load Dead Load Comment 1 Conc(lb) Floor 1.00 81- 0.00, 2100 525 Add 3 . 5" x 11 . 875" Parallam( R) ES PSL 2 . 0E 0.00, ------------------------------------------ S I Z 9 A N A L Y S I S - A S D ----------------------------------------- IRPORTANT! The analysis presented below is output from software developed by Trus Joist HacHillan(TJM). Allowable product values shown are in accordance with current TJM materials and code accepted design values. TJR Engineering has verified the analysis. The input load and dimensions have been provided by others and must be verified and approved for the specific application by the design professional for the project. Maximum Design Allowable Control Shear(lb) 1816 1754 < 8035 458% LT. end Span 1 under Floor loading Roment(ft-lb) 12515 12515 < 19902 159% MID Span 1 under Floor loading Live Defl.(in) 0.404 < 0.533 L/475 MID Span 1 under LIVE LOAD criteria Total Defl.(in) 0.526 < 0.800 L/365 MID Span 1 under TOTAL LOAD criteria " Span 1 Max. Reaction Total(lb) 1816 1816 Live(lb) 1370 1370 Required Brq, Length(in) 1.50(W) 1.50(W) Rax, Unbraced Length(in) 374 OF e _ � N AL Copyright Copyright ie; 1993 by Trus Joist RacHillan, a limited partnership, Boise, Idaho. Parallam,hi is a registered trademark of Trus Joist MacMillan. , TJSiziuq?w is a trademark of Trus Joist MacMillan. - CO MM O NTwEALTH OF MA.SSACH USETTS Q? STDUSTT J--] ACCIDET'TS 01, James Ca WORKERS' COMPENSATTION PTSURANCE AFFIDAVIT (licensee/permincc) with a principal place of business/residence at: t�a - SQ a��[ c.� cc_( , yr G o S 3 (City/State Zsp) do hereby ecru{-, under the pains and penalties of perjury;that: j J 1 am an employer providing the following workers'compensation coverage for my employees working on this job. lnsuranee mpany Policy Number I am 2 sole proprictor and havc no one working for mc. ( ] lam 2 sole proprictor, general contractor or homeowner (cirdc onc) and havc hired the contractors listed bclo A, who havc the following workers' compensation insu=cc politics: Namc of Contractor Insw•ancc Company/Policy Number N'2me of Contractor lnstu2nec Company/Policy Number N21711c of Contraaor Insw-ancc Company/Policy Dumber Q 1 2m 2 homeo,,;.•ncr performing all the wort:myself. NO TL Please be :�:se:hat whil< homeoW<rs .-Io er_•ole; persons to do maintenance,construction or repair word:on dwelling of not more than three ur:;u in v jicl the hor•cc--cr also res;Gcs or or the Erounas appurzccaat tbcrcto arc not fcacr Jy idcr � s ployersZte'oe •C -ccs-to A :( 152.sec . 1(5)). p ; a<ons ion by a boracowacr for a liccasc or permit r:::y evidence the 1cgJ sz rus of" employer untcr the CIcrlcrs'Cor•pcosation Act_ undcrstz;e that: copy of t:-.a sc:tcrncr:t w;L be for z:&c to the Dccrtmcnt cf lndusti-10 Accidents'05-1cc of Insumnc:for.covcrztc vcnfjc:;;oa:.-sd th:t facture to -ccurc covcr�.gc:s rcccircC ur.ccr Sccuo:25h.of 1✓,GL 152 c=n lead to the imposition of-c:irtinal pcnJt;cs eer,sistr.c Cr; fine of up to S 1 500.00:r.cJor ink:�ccnca:cr UD to er.c vc:: : .� eiN-, per.:ucs in ttse form of: Stop rJork Order:ad : fine of S 100.00 ; d;1 af; r.s: Me. Signc this IL)4 n d2y of oc Wn, 19 �N __7 zkt.;rLA N___- Licensee/Pcrrnmcc Licensor/Pcrmitzor — .. .. �.•� *u.u^c_•s'v+'iMorWwn�rr^Y'Y•ti°v:.a�.t-va z r.t s r r}r a r,(� �� i } r��j��y�.� .F�S ,fvi • `r a11K191.1� Resistration 100399 [Y ~ e j +_'? �Y+ �`I'•ask' i ;a T ypea DBA a ,. ��• 1 t a } ; StevenjShakin,Construction� r rn + � gStevenTShakin ,E . r �.,�,.. �•" t ter r ' 1poy nYid"County Way• 4 t ,Sand--g.'A'02537��, . r ADMINISTRATOR....r'' 4'�ri Al +N�tr/i�1,`'�1 �Nt ; rt'�.t 0�•) DEPARTMENT OF PUBLIC.SAFETY ; ONE ASHBORTON PLACE BOSTON,MA 02108 , LICENSE CONSTR. SUPERVISOR , EFFECTIVE DATE LIC-NO. 03/31 /1994 045091 g IgTEVEN T SHAK,IN $ OLD SANDWICHNM TY WAY E A 02537 e ,\ I NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY t \ I STAMPED•OR-SIGNATURE OF THE COMMISSIONER 1 S ATURE OF LICENSEE • NER i o , Zrif T� ' 1 Il Of T31-II'T7St011C � � 'l):i ! Ilil�'lli i i ':ii: �;•i 'i� d I' Il\'llTlilllil'ill:1� �l'1-\ IC1'� 367 Main Strcci,Hyannis MA 02601 Office: 508 790-6227 Ralph Fax 508 775-3344 Crossen Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME BOROVEMENT CONTRACPOR LAW CTTPPT RM'VWTT0 PF.PMM APPT TrA'TTnyq 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 ooaipied building containing at least one but not more than four dvm'Uing units or to structures which are adjacent to such residence or building be done by registered contractors,zv6th certain exceptions,along with other requirements- � T aooM gbt:,�e jpc of Work: A l R`a�'t.� 9 ct ter, Q x Est.Cost O t)• O J Address of work: 3S CoJ CA,�, t, ` *e W• Qa r w s _P Owncr Namc: Q h i I + So S Q W P-4 o sc Wl Date of Permit Application: I hereby certify that: Registration is not required for the following rrason(s): Work excluded bv-law Job under S 1,000 Building net cvmer-oocupied Ovmcr pulling own permit Notice is hcrcb}-given that: O«NTERS PULLING'THEIR OWN PERM.7T OR DEALTNG WITH 1INTREGISTERED COT,,-TRACTORS FOR APPLICABLE HOME TMPRO\,,:-- 1 WOR1, DO NOT HAVE ACCESS TO THE /-.RBITRATION PROGRAM OR GUARA-IM'FUND U'N'DER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hcrcb\'2ppl\'for 2 permit as the 2Ecnt cf the 11a-1c7. -1 t oo 3 Date Contractor name Registration No. OR i Date Owncr's name Asscssor's Office 1st floor Ma 4 Lot &, d Permit# .>� ?':�'C servati n Office 4th floor 0�0 ` ,� , Date Issued _� 7C Board of Health Ord floor Engineering Dept. Ord floor) House# Planning Dept. (1st floor/School Admin.Bldg.): `�� �, i „�,�, _ KAM Definitive Plan Approved by Planning Board 19 (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) tip TOWN OF BARNSTABLE , J Building Permit Application ; Proiect Street Address CO� ff4r N -. ���� Village W. �Qr,n.c�-a�� Fire District & .2. Qgrn C `� Owner Pk iIp W a-Su80.1n?'. R0L1n90N1 Address IS �O�E��-r•� 9r i art' W_g�rf1$�4�� -� _ Tcicphonc Permit Rcquest: F?n(C 11 0 rt— t) C1 ('S O Gb('Q S+04io. Y1n ytA�r•� na Acrs� ;Rb-bc, unSrLa;t-S oil- hn,. Se- , Vtni6\e Aoorn Zoning District R E Flood Plain n p Water Protection P� Lot Size 3 aS3t-1 Grandfathered r� A Zoning Board of AppLals Authorization 1'1 sa Recorded Current Use e.f Proposed Use CS Construction Tyne l,)ood I;rare.,t Existing Information Dwelling T e: Sin le Famil Two famil Multi-family Age of structure L r_ c -1 .._ 4 r P Basement type Con t eke Historic House rnn Finished Old King's�Hijzhway Unfinished Number of Baths No. of Bedrooms 9 ,3 Total Room Count(not including baths) First Floor �5 .d ''Heat Tyne and Fuel in i 1 ljn+- h AAft Central Air 11 O Fireplaces Garage: Detached Other Detached Structures' Pool non t i Attached y 9-VN2 C�/ Barn non f None Sheds rton P Other r O y\ e. Builder Information Namc S-{-ey er' skgk�n Telephone number $2218q O�D Address k% Ol A C OU 1-± 1,x.V License# O `1 S Oq Jaen c&w i Cn "I n'1.S 3:7 Homd Improvement Contractor# b0 Worker's Compensation # hnrn4 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN„TO BctrrS+rl Proiect Cost 9 1 q 00 O� Fee ,:�2 0.Lo SIGNATURE DATE \0 -1"4, BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) I BPERM T FOR OFFICE USE ONLY t ADDV,SS _35 Coventry Lane • VIILAGEWest Barnstable Philip W. & Susan J. Ransom - - OWNER DATE OF INSPECTION: ✓ y - v L i FOUNDATION FRAME INSULATION FIREPLACE . I ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: _ ZA DATE CLOSED OUT: ASSOCIATE PLAN NO. NH•tE 1 J • j � Old King's Highway Regional Historic District Committel g g 4 in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition Iteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). Q TYPE OR PRINT LEGIBLY DATE-- 10 3 \� ADDRESS OF PROPOSED WORK -3S CO VET +r N r i U ASSESSORS MAP NO.1 L0 OWN ERPE1i1*.e W-fkgnTor►% A- SL-sSer� -1 a h_$pY�/1 ASSESSORS LOT NO. -J HOME ADDRESS 35 CC)UftAy�J Doi OP li•?�nrrs-4-Q lc� m2,, TEL. NO. _ 3G a- 1X3 PL FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). 6to- 4- 4ih O (6LK. Cot) w• brAn ISt MCI— d 26"10 AGENT OR CONTRACTOR S+e-Qen S k caki 1^ TEL. NO. 1�) ADDRESS 12 014 C-bull-A)t LzgV £•Sane �wWN I ms. c)^&S31 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). ,� S 11 a 910-�o Sun f;r-c, Skylc�kt� 3otlGvidt 1c48t' Lor�q inn w �.s� S;de. ggr0.gc.. Ro J c APPROVED Signed l✓ �t_/�-�. Owner-Contractor-Agent ,space below line for Committee use. "Reecipwe yby=l to Certificate is hereby ="`-E—� �'`�` Date 1 / �a�9 me OCT — 3 TOt B, / N OF BARN Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ d� Town of Barnstable �' Clt' gl Old Icing's Highway Historic District Commission LoA 110-4-2 SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH . SIZE TRIM COLOR DOORS COLOR" SHUTTERS GUTTERS DECK f GARAGE DOORS COLOR NOTES: Fill .out completely, including- measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when applicable. Plot plan need not be "Certified"; but should show all structures on the lot to scale. SPECSHT �oo� f Q ----- -!---' • , fro P y Si , Ffs ON , , h"-k c _G_c�ac'. - - - , �,6'- RAnsofh 3S couet+V- yV edy{- `a 73'y+T r J '° ' 772 70• 77-j 78.I4'_r 'a.aT ANp 'J T� N17 I l!O•C 4 Q/1� QLl, O ., . - `L+ •i /`-'[l , "-7/ 700 2�IT ° •r 112.12, '•��'7r•C ��Qi LOT 5 LOT 6 w�e,�> 610-4� a)• ,I9j, ""al•,3-C r1{.,�T.' 30.000 sq. ft. 30.000 sq. ft. 1!7 '7aa "&A. { 900 u d/Q r� F LOT 7 '99.12• "� 0 1 100 a°.m• 0 . 30 116 sq. ft. �- :ro - � '���:".•.,., •� L- 37.3W L .01 1 �L� ^ .9.• '1173• LOT 4 ; �o o 30.615 sq. ft. ,' LOT 8 "•1/! 53 N s N lwsr� L-:as: ll+; i / c ,'o.00' `.�7' .e H°oiT�t i= �� ., q. N°J70' Ol Y >a s•'t/ ,jJ; ! 1•@� Apv�dALp� / , 2a.a 1 L- 37.wr d a }S aq •) 1,) OAl &1 }- 1P0 '4-Q < t W l',i / I�IT N30'09' n• .y , j(� ,� �7. /'ll �,__ o H j •i a..le• �~ I84.7a• LOT 3 8y goo '+� y,9 00 �iL� L=a 200'.%'^"� L- `°�' t, 3 (99, q 7T, e I y 2� e .I, /DV i �� e 31,147 sq. ft. t LOT 2 ,g T, ._g r �9 0 h' sq. ft. '��'9 30,534js1 ft. G LOT 10 _ ss 30,445 0Tsq. ft. \ � q' 30.377 sq. ft. Ib4-L id N3JW M'C-•.•� N=0 C '70AC., i•, O� •��`,. 2 )sq 7! 6 Is � n � OPEN SPACE - _�`►nRuERLYPAuca'A r) t q " - \'�•3017 SPACE IN 6 N,7 �d d,- � L S.� t.pt ro3173'10 C t •• OPEN gg . C H3aS9'la•E M%b 1 r,'�J 3 O $ 1 a '.� a` S°l H•!a•y �.� . 1 800FISH FARMS INC. .0 PAGE R 30.0? *WAYS ��`30� L ILK rrr.J,. ". C04PANY N APPROVAL LWCDCR lL0011/9OH CONTROL (W-PNVAFE) LAW 1s REOUW[D. v. / � �J SARNSTAMA PLAmema p0A,W BOD1(''ISH F DEF[NIT TE OPEN SPACE IN WEST BARMST. PrtEP.kricC AJ�•' APftt: 1,1, . n:.rrls UEtr[n.7s0•r lYn Y3Y M.• ,•., r-- uoi* f . ry sk'c I it by C3 CLyt- Lo+ # I Ilo-4 2 a 17 f �av"A,0a,7-y Z S000 TO THE BEST OF MY INFORMATION, "AS- BUILT" PLOT PLAN I KNOWLEDGE, AND BELIEF THE BARNSTABLE, MASS. 3-rrzur-roar - S'HOWN, ON THIS Lo7' / �� S`Sf �G 96 PLAN HAS BEEN LOCATED_ .E1:, THE GROUND AS INDICATED AND\'CONFORMS DATE 7u&r 191095v SCALE l' = Yoe — TO THE ZONING SETBACK*,:R jGOLATIONS. JOB 3392- oa CLIENT4•tero.•)e`cvar / S WEETSER ENGINEERING 235 GREAT WESTERN ROAD P.O. BOX 713 SOUTH DENNIS, MASS. DATE PROFESSIONAL LAN SURVEYOR 398-3922 02610 FAX 398-3063 , N a5,%550VS MAP' �� pQ>ec:eL:• 4-2 TEST Hot. . La<�,: S fll Se1G NOTES = GvIZQ.•E - Or5 McL= LA� PE ASS0M~7 �eot1 QVAOC � zhT NtE I. - C s j;UI L-a I N CT SeT B>1c+CS J 1=IZ2Y yu Kl 04&- �ll?NESS 2. MUNICIPAL WATETZ +5 �Je•r- /�Vi'IILAt3L� . 9 b�,TE 3- I1-93 3. 5CHEDJLI 40 - 4" PVc. PIPE To BG USED � F� 30� 5� 15' Q: ig' ; PEA. PATE f• Z M l t.t I 7 H to V(s H - OJT s EPT1 Gr SYST r�. ' Ft.coD Z014e-' C , L0 7 N -t-.-ALLeMc 1T PAST UNS To cow� ►•mil orz-M ITH AASH N-lo LOf�VI ►JG SPEc1�1U�TIoMS. 1-H- ( TH' 2 CL-OT z) 5. PIPE PITCH _�f ER Poor Vw_ESS �g 5 �o ¢ OTHE2W ISE NoT�D. �•'e Jf ToP ELEV T'dP sLtV • Svesott_ 6. 1=1LsT Z' or- pi PE OUT OT D- BOX TO BE Lr--VEL• 2q• GG S 5V35011_ 7. THE •SEPTIC- SYSTcM HAS }46-r 13ep bESI Gt�tEl� ILTIo1.1 MAP 51LTY 30" 67,9 • TO AGcoM M ODATE TH•E USE Cl--A GATZ$�-,E GjZJtlb�.e• stl_TY Fiws 8, ALL CON5TMJGTIOW C3Z=TA1L-S AR4E To ZE I►4 MED GD►JFo2MANGlr WITH THE STitTE Or- MASS . 5AI ID M ED Er`!V I N M EtJTR L. coM CT►T QE V� , 89-" 61 71" SAND �`� `� q. CDtJT'�GToiZ TO VFrtr-Y ' LoC..ATlo145 OF AL(l MED HED- UTi l.-I TIE5 ppiorz- TO CONSTR.UGTia,l $SFJr-NMAtZx. AT SoIJt> GATca1I?,ASIK SAND SAKD 10 . P['S�MsEt> SEPr1C_ SYSTEM AIJD WEtL LocAr1oN AM G 2A rE, I✓uEv. = 7Z A' I►,1 ACcor�ANCE WITH MASTEfL_ F'LArI vIZ-F-pAr-E0 F5Y Coy +44 56.5 Trz,ace E DEMA�sT- hC-LEL�i,I ErJ6th1EEQ�1-1C�� GkT�D S-Z-93 - - 1+4' of SILT 58.9' A_ ..�. �PcuoDkATEI7 e4JCOLIIT�2�1ID �� _ �� (AV)USTED GMvNpklArC7-. 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