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Home My WebLink About0060 CROCKER ROAD j o Oj(ibrcl® NO.1521/3 ORA MAM w USA ESSEM e • • e i' i �- �, €. \\ `1 A �' �� t o I e ' r 1 . 67 • Town of rnstable *Permit# 0 `L Expires 6 months from issue date �2 Regulatory Services Fee 00 ` . `L n Thomas F. Geiler,Director Building Division ®�m Perry,CBO, Building Commissioner e° �"S 200 Main Street,Hyannis,MA 02601 PERU, www.town.barnstable.ma.us `SUN j 4 ,nn�, Office: 508-862-4038 / x: 508"7�6230 a"N EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY S1'A1?Le Not Valid without Red X-Press Imprint Zap/parcel Number G; 9 5� roperty Address .r x_t-e_z • 0- M J � esidential Value of work Zl OM Minimum fee of$25.00 for work under$6000.00 )wner's Name&Address ►'1(1 P e(1(l Cry :ontractor's Name G• V t hs tbo Telephone Number :come Improvement Contractor License#(if applicable) 1 3 7 ��' 2onstruction Supervisor's License#(if applicable) C) 9 40S'' le zworknanls Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner have Worker's Compensation Insurance sur (� Lnance Company Name Workman's Comp.Policy# °2 2. 2• .LJ e - Z' ' Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) • I ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement W dows. U-Value (maximum.44) 1 *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prop er must sign Pro erty Owner Letter of Permission. Ho Improve nt Contra'to License is required. SIGNATURE: Q:Fomu:expmtrg Revise071405 NO PROPOSAL 12327 E.F.Winslow Plumbing & Heating 8 Reardon Circle South Yarmouth, MA 02664 Phone (508) 394-7778 Fax (508) 394-8256 PHONE DATE TO: ANNE SENNOTT 362-1496 15/31/2006 60 CROCKER RD JOB NAME/LOCATION WEST BARNSTABLE MA 02668 60 CROCKER ROAD WEST BARNSTABLE JOB NUMBER JOB PHONE E23110/TF We hereby submit specifications and estimates for: *WE PROPOSE TO PROVIDE LABOR & MATERIAL TO COMPLETE THE FOLLOWING: *WE WILL REMOVE THREE EXISTING 6' 0" X 6' 8", ALUMINUM SLIDING DOORS (2 LEFT HAND DOORS & 1 RIGHT HAND DOOR) AND RELATED INTERIOR & EXTERIOR TRIM *WE WILL INSTALL THREE NEW ANDERSON PERMA—SHIELD SLIDING DOORS, MODEL #PS51168 (HANGING AS ORIGINAL) IN WHITE TO INCLUDE INSECT SCREENS & HARDWARE (BRASS INTERIOR WITH WHITE EXTERIOR) *INCLUDED IN PROPOSAL IS THE REPLACEMENT OF INTERIOR & EXTERIOR TRIM (3 1/2" PRIMED COLONIAL CASE INTERIOR, 1X4 PRESSURE TREATED EXTERIOR) AND RELATED WATER PROOFING & FLASHINGS *FINISH PAINT & STAIN IS TO BE DONE BY OTHER *NOTE: THIS ESTIMATE ASSUMES NO WATER DAMAGE TO EXISTING STRUCTURE, ROTTED SUBFLOOR AND OR FRAME ECT. WILL BE RESTORED AT TIME & MATERIALS (AT OWNER'S REQUEST) *ESTIMATE INCLUDES NECESSARY PERMITS & ALL CLEAN UPS & DEBRIS REMOVAL We Propose hereby to,:furnish material and labor—complete in accordance with the above applications,for the sum of: �Y dollars($ Payment to be made a:, rollows: 1/3 TO ACCOMPANY SIGNED PROPOSAL 2/3 DUE UPON COMPLETION n All material is guaranteed to be as specified.All work to be completed in a professional manner according to standard practices.Any alteration or deviation from above specifl- Authorized cations involving extra costs will be executed only upon written orders,and will become Signature acl�an extra charge over and above the estimate.All agreements contingent upon strikes, ' accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary Note:This proposal may be insurance.Our workers are fully covered by Worker's Compensation insurance. withdrawn by us if not accepted within 30 days. Acceptance of Proposal — The above prices, specifications and Signature conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as outline above. l v z G Signature Date of Acceptance: The Commonweaun o,j massacnuseus 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): as 0(z) Address: 1 ( j," i r CJe City/State/Zip: Sp- ( � 0 Z(AC9• Phone#: 606 -39(/- 718 Are you an employer? Check the-appropriate box: Type of project(required): 1.s 2 to er with am a genera 4. ❑ I l contractor and I Y 6. New construction /' employees(full and/or part-time).* have hired the sub-contractois 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ Remodeling j ship and have no employees These sub-contractors have 81. ❑ Demolition working for me in any capacity. workers' comp.insurance, 9. ❑ Building addition [No workers' pomp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repass og additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs o-X additions myself.[No workers' comp. C. 152, §1(4), and we have no 121-1 Roof repairs insurance required.] t employees. (No workers' 13 (C�Other comp.insarrance 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 anew affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy inforrnation. .Tam an employer that is providing workers'compensation Insurance for.my employees. Below is the policy and•fob site Information. Insurance Company Name: U J Policy#or Self-ins.Lic. #: 2 Z'-1 g no Expiration Date: Job Site Addressdod C(�OC-MCP,✓' I OC -� City/State/Zip:_UD��Y15&_b Ynoq 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 ce!5Q under the pains a anal 'e of perjury that the information provided above is true and correct Signature: - Date: Phone#: S.B -39 (4--n 1 P) 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.Boa l of Heald, 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector 6. Other Contact Person: Phone#: L Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the . receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The-affidavit should j 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. i of ine affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant . Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in . (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Sheet Boston, MA 02111 Tel. +617-727-4900 ext 406 or 1-1077-MASSAFE Fax ;+ 617-727-7749 Revised 5-26-05 www.mass.gov/cia �.?-ic!>o'Y•Y�=r �.,�sv^'a'^.:K"r,.-�L ;.•7'eas�vr;•y`4..Yb�.7.^.. ._r't;^. `Y•.."•'+S� R,.,-��'1�:aX r:<,'r �../-s.:�1 _ `- ._ram, _ -•Jv.ca„�..--. _ �� _ .. .a.Jc•C*`�,• ciE:`•,.•'�„'9'�'J• .>.ac=` `r3:d(=,��.,;:w;�,,,.,.ti�,aY ,..: r••,•��,.t` ''s1Y"' c^.7 �_ ' �"`-. - J t.__ ^ ':::,�''r:,-?�'.`.. --y.;`'S-92`:,��\ -i ,��;�`:ti'`_-L -...2`;'.:� ;_.;:.. -ivy � +yyII�d.� f�,.;• �.A ,�v �.' >- •.: + � � ! l - �. _f - .. Yy,7�rJ �j f�, ,w,.-cy�•r S� ��•. F y t-� i a"'^'j. �,� I, <- _.r -,=� - - o A. •R. �'�� ` f�,a-.� .1....i° : f c Board of Building Regula ons and Standards One Ashburton Place - Room 1301 k - ' '.��. - Boston. Massachusetts 02108 Home ImprovemenQC,ontractor Registration Registration: 132379 . Type: Private Corporation ,�� - �;` Expiration: 1/18/2007 • E.F. PLUM(3ING & HEATING CO.'PI - �'v�=r ELISHA WINSLOW 8 REARDON CIRCLE f SOUTH YARMOUTH MA 02664 ' '�•-_a _=:--_ �+ tip. Update Address and return card.Mark reason for change. Address Renewal ❑ Employment ❑ Lost Card DPS-CAI 0 SOM-04/04-GIO1216 I r"- 8x 1, `•. r.2..: fie C� x6�2G o�✓lta0ddc/tuOeQd ,{a.b :• •` Board of Building Regulations and Standards g g License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: ':e '•=:.: Registration\\132379 Board of Building Regulations and Standards One Ashburton Place Rm 1301 expiration 1//18/2007 Boston,Ma.02108 �To Private Corporation E.F. PLUMBING 8 HEATING CO.)'!NC ' ELISHA WINSLOW\t�� "i41 8 REARDON CIRCLE. SOUTH YARMOUTH,MA 02664 Administrator Not valid without signature �� ,� _ ;• •. •. -• _ • , .. it i ' e; 5/76/7006 T1IDes 11tTT14T—T EFWINSL� Client#:32748 ° ACORD.. CERTIFICATE OF LIABILITY INSURANCE 052610�8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 2ogers&Gray Ins.Agency,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR $34 Route 134 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. rR '.0.Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# NSURED INSURERA: Peerless Insurance' E F Winslow Plumbing&Heating, Inc. INSURER B: Arrow Mutual 8 Reardon Circle INSURER C: South Yarmouth,MA 02664 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NS TYPE OF INSURANCE POLICY NUMBER DATE p C TIVE C LIMITS MIND A GENERAL LIABILITY CBP9919974 12/01/05 12/01/06 EACH OCCURRENCE ><1 OOO OOO X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100 O00 CLAIMS MADE a OCCUR MED EXP(Any One person) $5 000 X BIIPDDed-1,000 PERSONAL&ADV INJURY $1000000 GENERALAGGREGATE $2 00O 000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2 000 000 POLICY JE LOC A AUTOMOBILE LIAB&M BA9916567 12/01/05 12101/06 COMBINED SINGLE LIMIT $1,000,000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY = X SCHEDULED AUTOS (Per pamon) X HIREDAUTOS BODILY INJURY : (Per accident) X NON-OWNED AUTOS I X Drive Other Car PROPERTY DAMAGE r _ (Per accident) GARAGE LIABILITY AUTO ONLY•EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: • AGG S A EXCESSAIMBRELLA LIABILITY CU9918875 12101/05 12ID1106 EACH OCCURRENCE 65 000 000 OCCUR CLAIMS MADE AGGREGATE $5 000 000 a w DEDUCTIBLE S X RETENTION $10000 $ B WORKERS COMPENSATION AND SINDER227800 12/31/05 12131/06 X I wFIsTATU• OTH- EMPLOYERS'LIABILITY EL.EACH ACCIDENT $500,000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE 50O 000 It yes,describe under E.L.DISEASE-POLICY LIMIT E$00 000 SPECIAL PROVISIONS betaw OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Central Vacuum House,a division of E.F.Winslow P&H is an Additional Insured on the policies FO>508-398-3661 ATTN Paula Carroll CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR To MAIL III DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. i AUTHORIZED REPRESENTATIVE ACOF 'M19393 MEY a ACORD CORPORATION 1988 1 Engineering Dept:(3rd`floor) Map 1 0 Parcel Permit# 00 g House# Date Issued / - ` g Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee - � Conservation Office(4th floor)(8:30-9:30/1:00 2:00) �° y Planning Dept.(1st floor/School Admin. Bldg.) IKE►p Definitive Plan proved by Planning Board 19 p; �/ h �RNSTARLE�` C .�' .. � L Z,C rJ 64J� �I�� /�/S��^-� 0 � �� MASS p TOWN OF BARNSTABL � Building Permit Application Project Street Address �p� �� R '1)� Village 1 /4A05TAR�-L� Owner (� V��:R�T � TUU'L ,//3E000-rT Address Telephone ILIq(Q .Permit Request J O')(SO 17�G�; 4 A)&D R 001-- First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ _ a, 0 0 0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count r Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes To If yes, site plan review# Current Use Proposed Use Builder Information Name 11j6;- Telephone Number %'y-2�y� Address _ �:�r pX (R 9 License# CS (xp,- �s Y/942/YJOU IZ W/ l Home Improvement Contractor# / /&C Q Worker's Compensation# (A)(- l o(l 63 Y5 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 i� nl sra h L-P— 1 x i4yS ro A s i)-T�o-// - SIGNATURE /DATE- l — — 1 BUILDING PERMIT D NIED FOR THE=OWING REASON(S) Y FOR OFFICIAL USE ONLY PERMIT NO. Z ,3 - DATE ISSUED MAP/PARCEL NO. ADDRESS } VILLAGE ,OWNER DATE OF INSPECTION: i FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH - FINAL GAS: ROUGH FINAL ` FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t r t � • TOWN OF BARNSTABLE Permit No. --------_--_----- 1 Building Inspector ■..� Cash ---------— �o OCCUPANCY PERMIT Bond ----—---_--11 "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. ...................................................... 19......_ ........................................ ........................................................_._.._...._ Building Inspector \, �•3 '.e TOWN OF BARNSTABLE Permit No. --------21492 ` + Building Inspector i N \� " Cash X- — �0wix OCCUPANCY PERMIT Bond -----X "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Rika Hanson Address lot #92 60 Crocker Road, West Barnstable i r Wiring Inspector Inspection date Plumbing r Inspection date Gas Inspector j Inspection date Q' .Engineering Departmpn Inspection THIS PERMIT WILL NOT BE VALID, AD THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. C 19v. ...... ilding Inspector Speed:Letter, *rOVI N OF BARNSTABLE From— ,Town .Clerk To NIASSACHUSET` S - --- Building pector Subject BOAd Be ,-a= —No.9810 FOLD 1 MESSAGE Please release bond for Permit f 21002 for Proctor & Eva Ranaden,Q5 Grove St-, Cotu i Date Signed REPLY —No.9 FOLD ' 1 —No.10FOLO Date ,Signed ` Wilson Jones Company RECIPIENT—RETAIN WHITE COPY, RETURN PINK COPY. o 978"� .:°AfT TURN OVER FOR USE WITH WINDOW ENVELOPE. r FILL IN NAME AND ADDRESS HERE FOR RETURN IN WINDOW ENVELOPE —FOLD —FOLD • f' � e Speed L.ettere TOWN OF BARNSTABLE MASSACHUSETTS To Mr. Francis Lahteine From Town Clerk Subject BOND RELEASE -No.6a1ofOLD Work has been completed on Permit #21492 (Rika Hanson) . Please release Bond. Date 1 0 Signe REPLY -No.B FOLD -No.10 FOLD ' Date Signed Wilson Jones Company ORAYLINE FORM a.-W2 3PART - - RECIPIENT—RETAIN WHITE COPY, RETURN PINK COPY I .r..�0.079•PRINTED 04 USA -Speer! Letter® TOWPZAS N. OF BARNSrABLE�rFrom Mr. Francis Lahteine T ' To Town Clerk Subject BOND RELEASE ' —No.9 810 FOLD '4 Work has been completed can' Permit #214.92 (Rika Hanson) . Please release Bond. Date 80 Signed `' � REPLY i —W.9FOLD '- ' _ •rf 'N0.10 FOLD Date . 'Signed witson Bones company RECIPIENT—RETAIN WHITE COPY, RETURN PINK COPY. ' 01976-PMOMO WU svwr - -TURN OVER FOR USE WITH WINDOW ENVELOPE. G i •VFORMD 4-W 3 FILL IN NAME AND ADDRESS HERE FOR RETURN IN WINDOW ENVELOPE FOLD -FOLD r L �/• �AJ3scAJ 0 95 fir. G - A � OI # 92 3 �, ► �1-71 s.F. 1 RAIL vI \,/ �s S /ram ��At\l -- im D%sroSAL N Pir ".�OoCA 0� D. a• � �c 2� -�- . r jr ;n A(uc A CL5 TLa aTea cs s'�'t Go I _ �IrzLL Y ISO i r+� n s� I i•a.25575 �t 51G/J S/n/GL 1'A r111. �,✓ L/ti "`3 r3l�2MS , n/ a GflkG r%j �J S P03 A S rPTIe ? A N1C �VoL , QIF9'D� 33p G T.O . k 1• s Zr 9 015- GALS. o� 000 . GAL - TArvK , 0 ,k. C l SPo 44\ ` " ►r DESIGN 13,1 Ol a'. 'Y' `�1 0 P. t 2'STo sJ L L A�r) b(L'l A r-t c i Lr 6? FPT9 = G� L SAGO, ►'� A -L. D 3 7 �- T p sessoA map and lot numb ....... / .... T " THE i '� �� Sewagermit number ...... Bill ................................................., House number ..........................`...... .................................. Wm! jITLE c 1639 �00 ENVIRO�Nr MENTAL C - TOWN O F B A R N S T A�` "LECULATIoNs JINS!"tCT011 BUILDINGAPPLICATION FOR PERMIT TO ' ............................ ...................................... .. TYPEOF CONSTRUCTION ...................................................................................................................................... ..............................................19........ 'TO THE-INSPECTOR OF� BUILDINGS:" `+ ' The under igned hereby applies for a permit according to the following information: Location�a�... /!�G%r�Br.....J�. ......"-:.....G.... . '.. ................................ _.. Proposed Use ... �. .d..' ........JfiGV'A , 1'vt C-i.VI�TI�}b/ ............................Fire District Kam.... . .x11..��................ Zoning District ........................................... �. Name of Owner .......lC,a../1../}'...4.61`15 .................Address ...... .Z� �'�� 5 - A.khuo . Name of Builder ........k�tw I3C�..�S&.. ....Q..D.!...Address .........S.A.)... L�7/•C."�......!.14- Name of Architect ../&'.4.1.6.- .d... .. .101.40 .� Address .....:l.v. ../,., ....... C��! �.G�`.u.1.LC... . Number of Rooms .............. .r1 ...............................................Foundation .......C •o�!1 c�' :..........`�- .K•S.a.......... r (� � I t Exterior ....... 1iU®4 ?`... ........ .1. !.r.p ?.Roofing ............ p {, ! . ......... Floors ..... U' .®.Q. �.. .../.�..4'......... ....... 1.'.'!...................Interior .......... .l..V�.. ... ,/ 57�,' (� 1 �� Heating .J. -......-.... .. ../ 5...........................Plumbing ,....... ` �� ...... 1/r • � Q Fireplace ..:.....V .. ..............�t!........... ..........................Approximate Cost ........... 15 rD............ ................ Definitive Plan Approved by Planning Board -----------______-----------19_______. Area .......t;n..... . ............... Diagram of Lot and Building with Dimensions Fee 737.0 SUBJECT TO APPROVAL OF BOARD OF HEALTH s1 � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. -- Name ... .. ....... .... .. ......... ...... Z. �TIZHa�nton, Rika---. No ... Permit for .....11..StOPYAWelling. ................................................................ LocWl'on ...k4.192....60...Croak.ev..Rd..,.......... .................i...........WeAt.-Bar-hs-table............... Owner ...........Aa11.5.Qn......................................... Type of Construction ..............frame................. ............................................................................... tf Plot ............................ Lot ................................ Permit Granted .........JUY... ?-5.............1979 r . Date of Inspection ....................19 Date Completed ./l/�d/, ..( .................19 PERMIT REFUSED ..................................................... . .... 19 ...... ..... ... ....... ................... ....... 19. ......... 4 .5. .................. .... ................................. fn .. .... ............................................... to 0 A,Ppr.:33.......1p..q.................................. 19 I— n CIO W. . .... J.................................................... 21 ................ .24-40 Assessor's map and lot number ..�...../.".9�9"a ``%U�ssd� � FtNE.... .... Sewage, Permit number roeo Z 13AHNSTABLE i House number i * MA°a d. ............................................................... �p 1639• 0 MA-4 a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �h .?i TYPE OF CONSTRUCTION .................................................................................................. ...................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location . 111.) iR ...........O IQ CrQ ! ��.. .............................. :� .................................................... Proposed Use ....f'.!7 S'ry...... .r. ....... ?.....� raf....... A.ia y t..................................................................................... %Zoning District .. ..........................................................Fire District .............................................................................. Name of Owner !....�.......,�!:r i.i��Jc^......................Address `.. Name of Builder .. .. rF> ��..(.�.!� :.. ` .....Address ..e4)..... ............ Nameof Architect .........7-7................. .......................................Address .................................................................................... Number of; Rooms ..................................................................Foundation ...P.d..�?f..L�.! .....!'zd� ....:................................ Exterior ..1 ..h.?1n.!. ...Y...� :rr ................................Roofing ...... q.vat .............................................................. Floors .......:..............................................................................Interior i Heating ..................................................................................Plumbing .....::........................................................................... Fireplace ...........................................................................))......Approximate. Cost ................................../...................;!............. Definitive Plan Approved by Planning Board _______?_ 19 r. Area `� �. ....,.J.7............ Diagram of Lot and Building with Dimensions i ......... .Fee r /............................ s� .. SUBJECT TO APPROVAL OF BOARD OF HEALTH rY � . . e I � I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the TownNof Barnstable regarding the above construction. s t Name ...�� .-<�...............................:........... .0.g. Construction Supervisor's License ... ................................. HARRIGAN, EUGENE ./A=109-88 25579 2 Car Garage No ................. Permit for .................................... Accessory to Dwelling ............................................................................... L&ation Lot...92.........6.0...C.r.oc.ker. ...Ro.ad... ... .. ..... . . .. .. .. .... ....... ..... .... .. West Barnstable ............................................................................... Owner Eugene..................................................H rr ian . ..... .... .. .. Type of Construction ...........Frame....................... .... .. .. ....................................................... ...................... Plot ........................ Lot ................................ Permit Granted ...............19 83 Date of Inspection ....................................19 Date Completed ...............................19 ' y Assessors map.and lot number,.�.'�.. .......... . ...... ....... ... Sewage Permit number .......................................................: rod' C�♦� i BASBS�TODLE, i House number' ................. ....: .............:........ ...... ...:,...... �� a t639- MAI TOWN 'OF BARN,-STABLE BUILDING INSPECTOR �. APPLICATION FOR PERMIT TO ..............:. ..................................................:.. 1. TYPEOF CONSTRUCTION ...................................................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The under igned hereby applies for a permit according to the following information: Location(.,9 � • nr� �'q...... ......""...... :�!�N• .!,7.`I . .............................:...j .... Proposed Use ...:... L.d!/.u. .. ................................. � , ................. ................................................................................................. Zoning District 4'....:..'n V�. � t �,✓ XJ ................. .............. ............Fire District ............ ....... .... ........ ... ... ................... Name of Owner'.......F.,.!.................................................l' 1 '. ..... .Address �+ C��!i w"i� �..... .fi. ....�..A. .... 6 Name of Builder ........................ ......... :. �. ...Address _............ p .. ...�.../ ?„ !�•,»'" at, !(.:t.r{.. ?, �,1t�,, r �� r;t� �"� t i e1 T-e (. �/. lam[ ..�. •�r ..� Name of Architect �`...:........... -. .......Address ;. ... ... Number of Rooms ................f.................................................Foundation .......4-IZC k' �/ a:Z"J Exierior Ca dtiC:t� c' �:.ti ........... �. ...... C .Roofing /A� . I E .t:`" ......... Floors ........... �.................:..>�.el ..........................................Interior .......... Heating ....... .("�"'; .. ( ! .. .. .. .. ...Plumbing ....... � p ........................................................... Y Fireplace ....... . ..........Approximate Cost .... ... 6 1 'i .. J CS Definitive Plan Approved by Planning Board _____-.___ 9---_--- Area .. . .................. ' Diagram of Lot and Building with Dimensions � Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH•`' 5' s� 4 , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... ........................ .................................. ' 21402 1� otor� d�alIii�� ' ^ ' No -----.. Permh for ..��----_-----. --------------------------' � Lot #92 60 Crocker Bd. Location .................................................. ............. , West Barnstable —.---------------------�---. � � ' � Hanson � ovvner ---------------------- ' frame � �. � � . r/p, ! . . Permn Gro � ~~— of Inspection ----PE IT REFUSED . ' � � .......................... � . ................... ----- ' . . . � --.. . ............... -----~' ]\ .----- ..----.----~--^ . l�� Approved.—' ..........................................' ` . � ~ --------_---~—.—...—.--------.. � ^ � ` ----------------------.---.. � . � ` /2 �143 Assessor's map and lot number ..... . ....... .... m3ber '7�7- 1......... Sewage Permit nu .............. . . ............ 13AUSTABLE VASIL House number. ................................ ....................... t639. 0 MON 'TOWN OF ;BARNSTABLE B U ILD I NG' . 1,NSPECTO R APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION .......................................................... ...paer.V...................I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the follow f Location ...).-).1...�,4.............0,40....4"n a 0-,0<t r—,4.....&.............—..1.e2..V.... .................................................... Proposed Use .....CPP)17�"P.......O.Vn A�.....4�).... - 1. v1r�.................................................................................... ZoningDistrict ..X./r..........................................................Fire District ...o....................................0..................................... Name of Owner oA.r......Arrl�An....................Address ...dA..j(.r0fie,& .....00 &..4 4AI- 0 r.. -A. Name of Builder .47K.A", 4�Pok!�11bfAA94.....Address 4'10....L.Mkkn.to.......ex e.rx�e� ......... Nameof Architect .........77777...............................................Address .................................................................................... Number of Rooms ..................................................................Foundation ...e.ome.itz.#.�......rllci.....I............................... Exierior ................................Roofing ......A.,X o 0,4 b*..................................................... Floors ............................................................... ......................interior .......................I............................................................. Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost .................................... ........... Definitive Plan Approved by Planning Board --------A91-obx---------19P Area .......4�,.Itw..................... Diagram of Lot and Building with Dimensions z/........................ Fee ......... SUBJECT TO APPROVAL OF BOARD OF HEALTH rr 00 y —2� 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. I .. ... ..... ... ... . . ....... Name 44�A4a...................................... Construction Supervisor's License ..JQOJ�40.46a....... HARRIGAN, EUGENE 25579 2 Car Garage No ................. Permit for .................................... Accessory to Dwelling ............................................................................... Location „Lot...92,.......6.0...Crock. ...Ro.ad . .. .. ....... .... .. ..... ... West Barnstable ............................................................................... Owner .....Eu.gen.e...H.ar.r.ig.a.n........................... ....... .. .. .... .. .... .. .. Type of Construction ....Frame ...................................... .................................................................................. Plot .............................. Lot ................................ Sept. 26, 83 Permit 'Granted .......... .........19 ....................... Date of Inspection/1V ........z........19 Date Completed ..................:�* .....19 The 'own of Barnstable 9 KMZ�' Department of Health Safety and Environmental Services g616 BuiIding Division 367 Main Street,Hyannis MA 02601 Ralph Crosse.- Office: 508-790-6227 Building Comm- Fax: 508-790-6230 For office use only i Permit no- Date i 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 tour 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 y �, C �o t? — Est.Cost %�, 000 Type of Work• 1 e f- Work: 0 C 2OCK 2 ��J L. Address of i Owner's Name Date of Permit Application: 1 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner puffing own permit Notice is hereby given that: OWN PERM[T OR OWNERS PULLING THEIR BLE HOME IMPROV_EMENT WORK DG WITH ORNOTT' HAVE CONTRACTORS FOR APP ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Reglstrati a No. Date Contractor Name - T/rc' CIII11I11U1111'CulllI of:�tussuclrusctls -•-_•-k! Deparrlllent of Irrtluslltul Acridents Offc��llnyestlgallons 608 If•ushitr-tulr Street Bttsrim.Muss. 03111 Workers' Compensation Insurance AMdavit Anplicinrinf6rnratinn — Plc•tsePRINTle�+iiily name, Inc rinn (:it, mou.Tl4 IV)A home 31?�-`la�ll 1 am a homeowner performing all work, myself. 1 am a sole proprietor and have no one working in am' capackry . _ . ....._ -- -•--_..---_ -��_—....�.�r------ J_ - - _"sue"'•"'_ I am an entpiover provi.ding�workers' compensation for my employees working on this job. cmm�rnt n tm( 'JSmv6ZC� �-i'''0 1�t�U/✓� Oa-TrT, �14 r nfinnc ts• '?S 9,7 - 7 7 in,mr•incr rn. ke(3-/Qll.) -xIlJsgR,-4 � �-DQ nnlict•t! r�G is ri& 3�� 1 am a sole prooriemr. general contractor, or homeowner(circle ane) and have hired the contractors listed beiow who -c the �ollowin_ workers' compensation polices: cnmr1mv n•imr• �tirlrr�•• fir•.. nn11CP$ •a.- Incllr^nrr fn - -�••- :i. cmmnanv n:iint— adrlrr«• rive•• nhnnc�• in-mr^arc rn Holier•+� T_ Attach additional sheet if necesnaiv � :. rr:.,:•,y� _. ... �•..... •...._ .....r.._..,.- �.. - Faiiurc to%ccurc covernec as required under.Secuon—"A of t11GL 15:can lead to the imposition of enmmal penalties of a line up to Sl_DU.UU anuiur unc cars' imprisonment ax wivit :Is civii penalties in the form of a STOP WORK ORDER and a fine of Sloo.00 a dayagainst me. 1 understand that a copy of this,miciocnt mat be furivarded in(tie Olrce of Im•esticztions of the DIA for coverage verification. !do aercnv cerrift-tur(ier the pains-auri elraities ofperjun•that the information provided above is true and correct. Sicnaturc r Date / - (7 Print name An4i i t I `Q S Phone 9 official use unit• do not write in this arcs to be compieted by city or town ofliciai t city or tnwn perrttidlicense tt r"tt3uildint:Department Licensing Board L ►.. i" check if imincdiatc respunsc is rcyuired Qseieetmen's UlTcc �. 011catth Uepartment r phone N: L contact pervnn: r-"tt)tiicr_�— Information and Instructions Massachusetts Generil L.nvs chapter 152 section 25 requires all employers to provide workers* ctnllperls:tt emnlm•ees. As quoted from the Iaw-. all ennpinree is defined as every person in the service of :ulotlier unatln c: : cottract elf hire. express or implied. oral or written. An entplurer is defined as an individual. partnership, association. corporation or other legal cntit}, or any two or the Fore-ping cn,_nued in i joint enterprise, and including the l' 1 representatives of a deccascd employe.n or tlic recciver or trustee of an individual . pannership, association-or other legal emity, employing employees. HoNve•.•c o%vncr of a dwelling house having not more than three apartments and who resides therein. or the occupant of the dw cl Iin" house of another who employs persons to do maintenance ;construction or repair wort: on such du elfin or oil the __rounds or building appurtenant thereto shall not because of such employment be deemed to be an e.--, MGL cliapicr !52 section _5 also states that ever• state or local licensing ngency shall withlruld the issunnct: of .,.,Seal of a license or permit to operate a business or to construct buildings in the commoinvenlilt for any• !cant Nf•ho lens not Produced acceptable evidence of compliance with the insurance govern ge required. .AGL;..ioilally. licitllcr the cominonwealth nor any of its political subdivisions shall enter into any contract for the periUrniz.:ce of public wort: until acceptable evidence of compliance with the insurance requirements of this Cfiz. hey:: pre::e:,ted to the contracting authority. Applicunis Plcase 'ill in the %vorl:crs' compensation affidavit coinpietely, by checking the box that applies to ;your situation a:: sucoivinu company naines. address and phone numbers as all affidavits may be submitted to the Department of 'ndusirial ,-accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. Tile " :.2vit should be returiled to the cin• or town that the application for the permit or license is being requested. t' :lie Depar tnlent of"Industrial ,-accidents. Should you have arty questions regarding the "law" or if you are req:::- o ubt in a N%ori:ers compensation policy. please call the Department at the number listed below. City or 'Fawns Pie--c ne pure that the ffidavit is complete and printed legibly-. The Department has provided a space at the bor`c r the for -,,au to fiil out in the event the Office of Investigations has to contact you regarding the applicant. P be _ : to fill in the perm it/license number which will be used as a reference number. The affidavits may be returnee ae D martnlent by mail or FAX unless other arrangements have been made. The Office of itivesti=scions would like to thank you in advance for you cooperation and should you have an}• quest: piease do not hesitate to _iye us a call. 7. Tile Department's address. teiephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidentsk =• office of Investigations 600 Washington Street Boston, i.Ma. 02111 fax T: (6I 77) 77 27-7,749 nhune =. :6 i"-.i : -=900 c�:t. 406. 409 or _ . RECOMMEaNDED MAXIMUM SPANS FOR FLOOR JOISTS 60. 11SI4 LIVE LOAD PLUS 1:0 PSF DEAD LOAD Normal Load Uunation I� = 1000 ps i L = 1.,300,000 psi VZ11CILs (-ter S0LI[lle1-r1 YCllow Pine #2 (Ili:essul-C Treated.) Exterior Ilse (e.g. decks) ,Dist Size - Jois( Spacing 12x6 W 2x10 2x1.2 12" (9-G 1 1 -7 :14-3 17-4 1611 7-4 I U-U - '12-4 1.5-0 0 G-7 8-1.1 11-0 13-5 24" - G-U 8-2 10-1. �2-3 Dcsign Cri(cria: Strength: - Livc load or 60 psr plus Dead load Of* aU 1)51- 1)rOduccs h(,-ndillg stress or 1.000 1)si at . spans shown. :r Notc: Design values a(Ijustc(l for normal durali011 loaCllilg- i DESCRIPTION OF OPERATIONS40CATIONSIVEHICLE31SPECIAL ITEMS V ! Carpentry 4'-•`�".-"`"-' �� , `7' Jee7d ,'' `-', ..�. owwra�G(a�✓t(u„adl',dteA3 �j t oEPAR�N;NT OF PUBLIC SAFETY ,` -:HOME:IMPROVEMENT CONTRACTOR CONSTRUCTION SUPERVISOR LICENSB,rthdate: i < t p Registration 116494 Expires: 196 1969 1 I' - .Type.-:. INDIVIDUAL }' s Nu 6 �giefi11999 ea i te:! Expiration 06/21/98 cs 10 � _ `hest e4 ae. _ i = F DENSMORE REMOLDING 0HE R. DENSMORE EA.SN@AE N JACKBON RD/P.O. BOX 1313 „�.�,�r � PO Bali'659 I. Ao�+INlsrw►,oa;;,.. MASHPEE MA 02649 .r�. _ � •tag .�..' s�:r-T.t /,. 0� t � F y_ c i>' .�,. \_, tit;., r.r. .. �,_...... .y ..1. .. �T.:., . .. „51- ,. ... .•,, .. ,. ., ,.. .. _ r _ �. .. .. r�en_. - Wed Jan 07 13:19:31 1998 Page 2 ACDRD :. . DAT!IM11UMri RMooueeR THIS CEEITIRCA IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Drake/ BTATan i Crocker HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR 14 Let's Hollow Rd.,pO SOLE 429 .ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orleans NA 02653-0429 COMPANIES AFFORDING COVERAGE Barry Roam COMPANY Pkw&Na. 308-233-3212 to Ne. A Awrican states insurance Co. IN/URW COMPANY B Legion taeuraaae CollTpaay COMPANY ways nsnBasore C p 0 Box 639 COMPANY B. tar=Utl HA 02664 D THIS 18 TO CERTIPY THAT 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 WITM RESPECT TO WMICM 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,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF IN"LIRANCE POLICY NUMSM POLICY EF=M POLICY DDARATION LIMITS LTR DATII(MM/bb" DATEQAMAD/YYI OENERUUA"LRY OENERALAOOREOATE $600000 A Z COMMIIICNLGINVAUASLRY CLCD46769750 07/07/97 07/07/99 PRODUCTB•COMPIOPAGG 1600000 CLAIMS MADE D OCCUR PERSONAL L ADV INduRY 6300000 OWNER'1 o CONTRACTOR'S PRO? EACH OCCURRENCE 1 300000 FIRE DAMAGE(Am an*0 150000 MEDEIDIAnyowFwoonl 1 S000 AUTOMON UI LIAMLRY ANY AUTO COMN LIMIT INED SINGLE L 1 ALL OWNED AUTOS BODILY 1QURf 1CHEDULED AUTOS wd 1 MIRIDAUTOB 0�,0..,,MRY 1 NON-0WNED AUTOS rolj PROPERTY DAMAGE 1 GARAGE UAPJ Y AUTO ONLY•EA ACCIDER 1 ANY AUTO OTHER THAN AUTO ONLY: IACM ACCIDENT 1 AOOIEOATE 1 EXCESS UANLRY EACH OCCURRENCE 1 UMORKLAPORM AGGREGATE 1 OTNM THAN UMBRELLA FORM 1 WORKERS COMPEN"ATION AND EL EACH ACCIDENT 1100000 8 TNEPRMPRETORI INCL lIC30116345 09/11/97' 09/11/99 IL Doug-POLICY LIMIT 1500000 PARTNER91F) UTIVE OFFICERS ARE: EXCL EL DISEASE•EA EMPLOYEE 0100000 OTNIR DESCRIPTION OF OPERATgNSJLOCATIONSNDRK:LE"APiCIAL REM" Carpentry xxxxxxxxii T�FI INDUW ANY OP THE A"OYS SUMO POUM BB CANCELLED BVM TMB WV ATION DAnTNVW,TNC I10UN0 COMPANY WILL ENDEAVOR TO MAL 1O DAYS W ff=NOTICE TO THE CWFICATE HOLDER NAMED To THE LEFT, Toni Robert Bennott BUT FAILUIRTO MAIL SUCH NOTICISMALL MPOSE NO OSUOATION OR LIABILITY 60 Croaker PA. OF ANY KIND UPON TNC COMPANY,RO AGENT"OR REPRmDRATIVES. R. Darnstable Mh 02668 AUTMOIII:m CORD:• ' fAPb1: •J.i_4.4..•r— a+v.1.2.w .=a'..'+i. ../.�4.(1 �.1- .� .r.... .ir .... w_w'h�4..f.... _. PLOT PLAN n ` FOR LOT H Indicate location of garage or accessory building Additions with dashed lines --------------- Sewerage disposal (cesspool) well I I I (Lot... ................ft. rear) — Abuttor's lbuttor't Name . dame X' I Lot p ,a f 1 Rear Yard ............ ...ft. .. i .i. IS — — a If this is a Y this is aa� �� d coarser lot, V V 1 vCrner lot, V write in Nrlte in �y"•' name of name of other street. Sideyard other streets HOUSE Sideyard h. ft. Set Back .................h. ft. frontage) / (Name of meet) / Information- Supplied by Mark North Point d nq I 50' 10' DOUBLE 2X10 P.T. OUTSIDE BOX 2X10 P.T. JOIST 16'O.C. HANGERS BOTH ENDS FLOOR FRAME DEK=RE MMDREM R❑BERT & T❑NI SENN❑TT scale NONE DENSMORE smt��t 60 CR❑CKER ROAD date . REMODELING 0>8mnchuaett° W. BARNSTABLE, MA 01 06 98 50&-3e4-7249 '362-1496 job number SEN3621 l 1 0' 2XG P.T. CAP 36' FROM DECK 2X2 P.T. RAIL 4" SPACE APPROX. 3/4" AIR SPACE 5/4 X 6' P.T. DECKING DBL BOX SINGLE JOIST 16"O.0 2X10 P.T. FRAME 1/2" X 6' LAG BOLT 1/2' X 9' CARRIAGE BOLT 4X6 P.T. POST GRADE TO TOP OF DECK 6';6" SIMPSON POST ANWOR 48' 10' SIDE VIEW DMINORE MMDEMM R❑BERT & T❑NI SENN❑TT scale NONE P.O. BOX 059 DENSMORE south Y,,=.th 60 CR❑CKER ROAD date REMODELING ��'�6t� W, BARNSTABLE, MA 01 06 98 50e.—MM-724e 362-1496 lab number SEN3621 50' s ! --9'-3. I —3. I —3. I —W I —3" FRONT VIEW n�sxoaa �consr.�rc R❑BERT & T❑NI SENN❑TT eca'e NONE P.O. Hm 659 DENSMORE s=th Yarmouth 60 CR❑CKER ROAD date Ol 06 98 REMODELING . 64 humus W." BARNSTABLE, MA 5o9.—s94-72a9 job number 362-1496 SEN3621 50' 10' DOUBLE 2X10 P.T. OUTSIDE BOX 2X10 P.T. JOIST 16'O.C. HANGERS BOTH ENDS FLOOR FRAME DSN31S0)D; xS![DD) IG R❑BERT & T❑NI SENN❑TT scale NONE P.O. Box 659 ]� DENSMORE soath Y,,=,th 60 CR❑CKER ROAD date IG REMODELING ��chu"tt W. BARNSTABLE, MA o1 os 98 50a-394-7249 362-1496 jab number SEN3621 t 10. 2X6 P.T. CAP 36' FROM DECK 2X2 P.T. RAIL 4' SPACE APPROX 5/4 X 6' P.T. DECKING 3/4' AIR SPACE DBL. BOX SINGLE JOIST 16'O.C. 2X10 P.T. FRAME 1/2' X 6' LAG BOLT X 9' CARRIAGE BOLT 4X6 P.T. POST GRADE TO TOP OF DEDC 6';6' SIMPSON POST ANDIOR �i 48• 10, SIDE VIEW DEMM088 BMIDE[M R❑BERT & T❑NI SENN❑TT scale NONE P.O. Box 659 DENSMORE South Yarmouth 60 CR❑CKER ROAD date 01 06 98 REMODELING Xa ch"°e" W. BARNSTABLE, MA 508.—=--72a9 362-1496 Job number SEN3621 i 50' ---------------- i �n1_34 I 9'-34 I 9'-3• I 9'-3` I 9.-34 FRONT VIEW DEMMIOM 10MODELM ROBERT & TCNI SENNOTT scale NONE DENSMORE S� �uth 60 CROCKER ROAD date REMODELING 'fimmehumtt" W. BARNSTABLE, MA 01 0s 98 508,39 —7z4a 362-1496 lab number SEN3621 Assessor's Office(1st floor) Mao �� Lot r 4 g�i' P emit# Conservation Office 4th floor C. Date Issued / ?S� Board of Health. 3rd floor / Engineering Dept. Ord floor) House# Planning Dept. (1st floor/School Admin. Bldg.): MA f ' 3 MfW9�ABai t Dcfinitivc'Plan Approved by Planning Board f 19 � io 9. •o Mp�' A lications rocessed 8:30-9:30 a.m.& 1:00-2:00 .m ov TOWN OF B. � ARNSTABLE Building Permit Application Pro'ect Strc s t: ''�ov L T- Ci Villa,e --, - Fire District Owner44 TL Address Telephone 3 02 /q q 6 Permit Ra uest: izp Zoning District Flood Plain WateLpLotggion Lot Sizc randfather Zoning Board oLARRgals Authorization Recorded Currenj Use Proposed Use Constniction Type Existing Information DwellingType: Single Family Two family Multi family _ Age of structure Basement type Historic House Finished Old Kin g's Hi hwav Unfinished Number of Baths No of Bedrooms Total Room Count(not including baths) First Floor _ Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Namc Cam. Tele hone number Address t �-% License# / d d 7 1/ Home Improvement Contractor# Worker's Compglisation # t 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 Project Cost 'd4 / Fee J'-0, O 0 SIGNATURE / Cff d DATE_ fz��9S BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T i a 5/11/95 —3q-7310— (30 109.088 60 Crocker. Road, W. Barnstable Owner: .Robert & Anne Sennott Jr ' L� I oarc_tBulid r . Re�ulatio j Ong Ashbur Place liasaachuaeta O. 21 _ s - z... IMPROVEMENCONTRACTOR � Rs�istratfar 10074*4% --` Expiration 06l23/9 _ '-;; �� " Y�.t,t z• y . Typo- PRIVATE CORPORAT I Ot4 . " : .- `. -- - , • •• - - .. - .� _'_ .. - IieEtdrKle�.1007/sb�•-. ;-- ; - _ Capizzi Hoffw Improvement; Inc_' T "Mil CBAPORATIO e► ThomasCapizzi. Sr: _ i E4iretle �K/23/9i .' 1645 Newton Rd.- . - _ . :. : '_.>. : : •_ Cotuit MA 02635 - - :_ Cities HoK II�PtovMeftr Iw.' ' Thous CAtiiii+ Sr. 7f e7" Nerto/ W . _ TOR Coteit MA $2635 1 I I t I • The Town of Barnstable Department of Health Safety and Environmental Services s639. �e ► ' BuiIding Division 367 Main Strut,Hyannis MA 02601 Office: 508 790-6227 mph Cn ssen Tznv- 50 R_77c_3z" Pr:t.':rp r,..r�_�. Date AFFMAVI T v HOME IMPROVEMENTCONTRAMbRi LAW SUPPLEMENT TO PERhIITAPPUCA1TON.. MGL c. 142A requires that the"reconstruction,alterations,renovation,repair;modemization,com=-Sion, improvement, removal, demolition, or construction of an addition to any preaadsting owner ooarpied building containing at least one but not more than four dwelling units or'to stractua which are adjaocat to such residence or building be done by registered contractors,with certain c=eptions,along with other 5 Tjpe of Work AEst Cost Address of Work /?419 i .LQ S��d %% F Oana Name: 1�� r,� .� Date of Permit Application: I hereby certifv that: Registration is not required for the following reason(s): Work exduded by law Job underS1,000 Building not owner-oocupied Owner pulling own permit Nc'ukzz is hcrcbr givcn OWNTRS PULLING i EIR OWN PERMIT OR DFAI_ING WITH UNREGISTERED CONTRACTORS FOR APPLICAELE HO\iE 11,VROVE14E?NT WORK DO NOT HAVE ACCESS TO THE r:i r-tTiON F:.0 OR GUARA.Tn'FUND U,\DER h;G:- c. 142A SIGNED UDDER PENALTIES OF PERJURY I hcrcb%l apply for a pewit as the agent of the owner: d-�4o,� L,01 ,o a,,,� ) _1A) 7 Datc Contractor name Regisuation No. OR D�tc Owner's na,�e — � COMMO TH OF MASSACHUSETTS R F DFSAK:MPSIT OF INDUSTRIAL ACCIDENTS —F— r 600 WASHINGTON STREET ' BOSTON, MASSACHUSETTS 02111 iarnes: Carnooel' �c-�':ssipne WORKERS` COMPENSATION INSURANCE AFFIDAVIT I, y /Z � HoM �E MPRovEM�/� T (l Ice nsee/permittec) with a principal place of business/residernee at: �p S E / o w/V El, o Tom• (City/S(atc/Zip) do hereby certify, undcr the pains and penalties of perjury, that: [ J 1 am an employer providing the following workers' compensation coverage for my employees working on this job. Insurance Company Policy Number ( J I am a sole proprietor and have no one working for me. ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the co.ntraaors listed below who have the following workers' compensation insurance politics: Name of Contractor Insurance Company/Policy Number Name of Contractor lnsurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Q lam a homeowner performing all the work myselE NOTE. Plcuc be a,+•trc that while homeowners who ersploy persons to do maintenance,construction or rep=ir work on z dwelling or not more than three units in wbich the bormcowner also residrs or on the grounds appurtenant thereto arr not gcocrall)' considered to be employers under the'Workers' Compensation Act(GL C. 152,sect_ 1(5)), application by a bomeowner for z liccasc or permit may evidence the legzl sutus of an employcr undcr the Workers' Compensation Act. 1 understand that a copy of this statement will be for 2rded to the Department of Industrial Aeadcna'Office of Insurancz for.mvcr>`c vcrific3tion and that failure to secure eoverzgc as required under Section 25A of MGL 152 can lead to the imposition of_¢lminsl pcnaJncs eonsiscng of a fine of up to 51500.00 andlor imprisonment of up to one year and civil penalties in the form of a Stop Work Order and z fine of S100.00 a day against me. Signed this day of �,f T19 Licensee/Pcrmirtcc Licensor/Pcrmiaor