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Home My WebLink About0009 HEZEKIAHS WAY 9 HE Z.. E K 's Cc�o V 00 8' I' r I 1 odor& NO. 152113 ORA w USA ESSELTE 0 2-7�f r a, o °TO i2� S Town of Barnstable *Permit# Q� Expires 6 from issu�date Regulatory Services Fee LQ. �Ar�� Thomas F.Geiler,Director Building Division �W Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY lJ Not Valid without Red X-Press Imprint Map/parcel Number Property Address •G ze l Lall &Vi llX3 lf7 M4 sidential Value of Work 610 Minimum fee of$35.00 for work under$6000_.00 Owner's Name&Address / (d oS T ��i `V ax- p Contractor's Name enn�!�djO(,f ,� Telephone Number. Home Improvement Contractor License#(if applicable) 000 S� Construction Supervisor's License#(if applicable) L/ X-PRESS PERMIT ❑Workman's Compensation Insurance Check one: .J U L 312012 V I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's.Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name ' ' Workman's Comp.Policy# .Copy of Insurance Compliance Certificate must accompany each permit. Permit Req t(check box) r [�Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required. "Where required: Issuance of this permit does not exempt compliance with other town department regulations;i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. -.--:_ SIGNATURE: Q:\WPF1iM\F0RMS\building permit forms\E3PRESS.doc Revised 053012 �J The Commonwealth of Massachusetts Departnent of Industrial Accidents 09we of Investigations 600 Washington,Street Boston,MA 02111 wrvn.massgovtdia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information II Please Print 1,embly Name(BusmesslOrganizeti�!ladividuaU: ��o�r,�/� �`�OC�1� v1 Address: L City1Statdzip: 46q—wti Phone#: Are you an employer?Check the appropriate box: T of project r 4. I am a contractor and I 3'Pe p 7 ( squired}: 1.❑ I im a employer with ❑ general 6- ❑New construction �loyees(full andlorpar time).# have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These gab-contractors have 8. ❑Demolition woddng for me in any capacity. employees and have wadoers' 9. ❑Budding addition [No workers'Copp.insurance Comp.rnsurance i 5. ❑ Ale are a corporation and its 10.❑Electrical repairs or additions officers have-exercised their I L PI airs or additions 3.❑ I am a homeowner doing all wow ❑AZ=frepami rep myseX o worleers' tight of exemption per MGL ins ce mod]i a.152, §1(4X and we have no 12. to o workers! 13.❑Other �P yam- comp insurance requited] ;Any applicant&at checks boa#1— also fill out the section below showing their workers.'compensation policy informs ian- Homeowoers who submit this affidavit inbcstiag they are doing all warm and then hire outside cavmactors Est submit a new affidavit indicating such TCouTzactors that cbeck this boat must attached an addition/street showing the nme of the sub-contractors and state why ornat those entities have employees. If the sub-coattactms have earployees,thee'must provide tta it workers'ramp.policy number. I am an employer that is providing workers'compensation insurance for my employee& Below is the policy and job site information Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: CitylStatelZip: Attach a copy of the workers'compensation policy declaration page(showing the polity 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 ofup 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 carhfy under the its and aalti t that the information provitfad above is bus and correct Si trice: Date: 7 — 3 l— G Z Phone ft .S-699` (-134— �S> Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermitlLicense# Issuing Authority(circle one):. 1.Board of Health 2.Budding Department 3.City/rc wn Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone 9: 6 rro osal bun i a to work to be performed at Name �/f T � Street o cS�(o Street �{n 7z City v�d State G City wt ate G Date - tY- Phone .. 36e A-2S",27 '. W hereby propose to ish all the mat rials and perform 71111 the labor nec s for the ompl tion/of _ I J cS ' G I c Gvi` ( G•• /�R.�is / �Q 6�i l z•f h1A G 2 /�s o if j y cal L � a.rr�� ►,, � f a:/ � �Gw�- •�� -t • ell ""ITZkOl 4 on a�tl Gt CXCG a � Wta.(K a�1L �7UU, -r6 Goa Gnw taL4o� All Mate Aal is guaranteed to be as sp ified, and the above ork to b performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of $ Dollars. With payments made as follows: d 6 4 c I /c. ,,,ej Vt_A C 41011--� l o 4 g4 � a Acceptance of Proposal The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as ! . specified. Payment will be made as outlined above. i Accepted Signature / Date /�-a /� Signatur IVlassaCjjuse[ts- U.cpartmcot or ruunc a:ucil - -- Board.of Building Rc!lulatioris and Standards `; Officeq&o�u°me'X�a`irs 74c B i es e u&"oriP �J Construction Supervisor License - HOME IMPROVEMENT CONTRACTOR License: CS 92243 iTHC.ST% Registration:' 70025 Type: Expiration: ,'8•l31/2013 Individual KENNETH C STOCKDALE 19 SQUANTUM PATH r }` =1 KENNETH STOCKDAL HARWICH, MA 02645t= L 19 SQUANTUM PA 2 .. =° arL'=�;�%J HARWICH, MA 0645; �F%a Undersecretary �LG- if i Expiration: 8/14/2013 ('nnuuissinncr Tr#: 3524 i I [TOWNProject/Application Entry-MUNIS r „ r _ ---r=�-XJ My File Edit Tools Help - Detail Application 200702494 +i Applicant GC GENERAL CONTRACTOR Coll Status_ � � ect A -ACTIVE - Owner 286681;L I !` --_ . i Pro"ectlActivrt 434 RESIDENTIAL ADDITIONIALTERATIO TAGLIAFERRO VICTORJ&BARB Department 6300 BUILDING DEPARTMENT Close Deny 1 9 i I ,A _ u . _ _ _ _f Contractor NORTHSIDE HOME IMPROVEMENT Work fl Close/Deny the current application.5VE TWO WINDOWS AND INSTALL TWO WINDOWS 1 TO HAVE ;I ;Bus ness Description 2 NEs effective �' - ---- ---} W HEADER Parking/M 1sc __. . _ ,-«Fee _ -- -- Assigned to -• f. }____� _�_ - - J t Property Property/Use , Nan Conforming , Dates/Misc I�Permds _ [Busmess Mast -- -- --- - -- --- -- Location I` A '1 ?'� Unit Existing use 1010 1} SINGLE FAMILY HOME + i Reactivate _"`=s--' -----�_ Street HEZEKIAHS WAY ' ... zoning RF-RESID F ![f Adjust Fees Parcel 1088015 memo WEST Escrow .Municipality WBAR BARTNSTABLE r�� Subdivision �{ �: flood zone I j Mrsc Chgs 16 Lot/Section/Phase Proposed use 1010 ]f... SINGLE FAMILY HOME^ � r '� Paymt Hrstory it Between ,+ zoning RF RESID F j and memo Audit History _ Location desc LOT 13 7 ri Summ Permit flood zone i Copy APP r Permit Alerts 120 Preregwsites ,�O HazrdlRestr ;1-23 Names 2�Bonds jif f3 Sub-Addrs l�03 Text ��Plan Revrew � 0 Link Insps 23Prior History J ','i�Inspections 11 Violations 'Reviews �E3Open Items Warnings Find Related r r � !J AI .—r � t► Maintain projectjactivity detail for the current application, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ��, Application# Health Division Conservation Division Permit# Tax Collector Date Issued b--7 Treasurer Application Fee Planning Dept. Permit Fee ? Date Definitive Plan Ap oved lanning Board Historic-OKH Preservation/Hyannis J Project Street Ad ress 9 We -7 iC/< i a 4J W c� Village 4.5 0.JrIvs /-&sly Owner e rro Address 9 c Gr 4 4 5 6(Ay Telephone -ob-4 7 Permit Request ife ✓!l� k) Iftic (;yi AW, / fr1//411 Aw A k ve IP w /T eac --e/ Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation a� 6 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family V/ 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 Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:Cl existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: o L tp. -o 771 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ - N3 Commercial ❑Yes ❑No If yes,site plan review# > _ Current Use Proposed Use - r /I I / BUILDER INFORMATION 3G. — �dc�a Name w a Ito aft tiv I)VO 5I'de fM� INgi- IPWTelephone Number Address t10 Ivrx License# y�r4?WI-4 hoy Home Improvement Contractor# Worker's Compensation# WC T 6 6 1 d ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL-BE TAKEN TO SIGNATURE DATE t, •s1� FOR OFFICIAL USE ONLY t s,PERMIT NO. DATE ISSUED ' w MAP/PARCEL NO. ` ADDRESS VILLAGE ' OWNER-- - DATE OF INSPECTION: FOUNDATION FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - r GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT r ASSOCIATION PLAN NO: f •�+ \ 1/LG VV!!L/!LV/L IYGWL}!i VJ i/i W.7J W►.ILiL�I Gii.1 Department oflndustrialAccidents , _ 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 Leeibiy Name(Business/Orgaoization/Individual):OJQ I LL,rrdn/. Vg4 Nyl{4$t-e ,, h6, Address: L 6 Or'y'(- yGL./yl�ty �►n� r/1'!� City/State/Zip: Phone t -3.4 7-,* Are iyou an employer? Check the'appropriate box: ' -'I�pe of project(requited):. . 1. am a employer with_,� 4• ❑ I am a general contractor and I employees (fall and/or part time). * have hired the sttb-contractors 6..❑New construction . 2.❑ I am&'sole proprietor or partner- listed on the-EL sheet. 7. deling ship andhave no employees These sub-contractors have g,/❑Demolition ' working for me in any capacity. employees and have workers' 9...❑Building addition [No workeis' comp.insurance comp,insurance.$ required.] S. ❑ 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 of exemption per MGL, 12•❑Roof repairs ins r;u ce requited.]t c. 152,§1(4),and we have no employees. [No workers' 13:❑Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the"sub-contractors and state whether ornot those entities have employees: If the sub-contractors bane employges,they must providtr their workers'comp.polidynumber. I ain an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name:_ G ✓�^�' 'T Z 5 ?� DNS . (ayI,tia Policy#'or Self-ins.Lic,#: Expiration Date: Job Site Address: 9 IT �Z C. ,0�5 Lyr^y City/State/Zip:(U & Attach a•copy of the workers' compensation policy declaration page'(showing the polky number and expiration date). Failure.to secure coverage as required tinder Section 25A of MGL c. 152 call lead to the imposition of criminal penalties of a fine tip 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 maybe forwarded to the Off ce of. -- investigations of the DIA•for insurance coverage verification. I do hereby ce ify and r the pains n 'enalties of perjury that the information provided above is true and,correct,' n at0 7 Si L �.afore:. t Date: � _ Phone#: eJ� "� fe 7 — SO Official use onIy..Do not write.in this area, to be completer/by city or town ociai City or Town: Permit/License# Issuing Authority(circle one); :1.Board of Ilealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6,Other Cont actPerson: Phone#: Inf®r ati®� aid Inn* tructi®n s Massachusetts General Laws chapter 152 requires all employdes 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 hiie, express or implied, oral or written." An employer is defined as"an individual,partnership,assodiation,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 Tec.ei Ar nr t=teA-of an individual,partnership,association or other legal entity, employing-employees. we the owne.r.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•W..ho has not produced-acceptable evidence of compliance with the insurance coverage required:" Additionally,MGL oliepter 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 oompllariee 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),addresses)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)of Limited Liability Partnerships(LLP)with no employees other,than the members orpartners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Bp 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 periit.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 n=bdr listed below: Self-insured companies should enter their. self-insurance license number on the appropriate-line. City or Tow"Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact'you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant. that must submit multiple permitt1icense 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 aff davit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses, A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to.complete this affidavit The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questig2a,.-- pleas a do not hesitate to give us a call. The Depwtaent's address,telephone-and fax number;- Tbe Commuuwi 411 of Masaob=t€s Depu wont of ladusWal Mai dmts' Office of In ations 600 Washimgt6 Street Bostcm, MA U111 Tel.#617-7-27-49-0.0 ext 4.06 ar 1-o7 -MASSAFE Fax* 617-727-7749�. Revised 11-22-06 wwwmass.gavl6a ' o °FTME r° Town•of Barnstable Regulatory Services Thomas F.Geiler,Director �p�E�Mp�A�O Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the`reconstruction,alterations,renovation,repair,modernization,conversion, •improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. / ' Type of Work: I N NI K/ Pf'P(Q(-e✓L% W Estimated Cost Un U Address of Work: qi �T Z C��10.(n5 �Lk j 5 &Q'✓5 Owner's Name: _Ijcar/2kf �Gi 1T� a�Arr a i Date of Application: �( 6 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 FjBuilding not owner-occupied• ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORD DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: UJ a Date Contractor Name Registration No. // OR Date Owner's Name Q:fomvs:homeaffidav I • If ILI • • • 1=1 • _ GRANITE STATE INSURANCE COMPANY 92252-0000 WC 874-52-23 13102 --------------------------------------------- 013-66-05o6-oo • • PENNSYLVANIA •ip Pip • •• • • • WALTER R WARREN JR. 40 ALEXANDER DR �� Member Companies of YARMOUTHPORT, MA 02675-o000 American International Group EXECUTIVE OFFICES: 70 PINE STREET, NEW PORK, N.Y. 10270 SEE NAME AND ADDRESS SCHEDULE - WC990610 I.D# MA UI : zlel• ol• HUB INTERNATIONAL NEW ENGLAND LLC WORKERS COMPENSATION AND EMPLOYERS 437 STATION AVE LIABILITY POLICY INFORMATION PAGE SOUTH YARMOUTH, MA 02664-0000 INSURED IS PREVIOUS POLICY NUMBER INDIVIDUAL NEW OTHER WORKPLACES NOT SHOWN ABOVE:SEE NAME AND ADDRESS SCHEDULE - WC990610 ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the insured's mailing address FROM 05/19/06 TO 05/19/07 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: BodilyInjury b Accident $ 100,000 1 ry V each accident Bodily Injury.by Disease $ SOO.000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: i SEE ENDORSEMENT - WC200306A ITEM The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Estimated Total Rate Per Estimated Classifications Code Number Remuneration $100 OF Re- Premium Annual 3 Year muneration Q Annual 3 Year SEE EXTENSION OF INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES $24 EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE BY STATE) $284 MA MINIMUM PREMIUM $500 MA TOTAL ESTIMATED PREMIUM $828 f indicated below, interim adjustments of premium shall be made: Semi-Annually Quarterly Monthly DEPOSIT PREMIUM ENDORSEMENTS(FORM NUMBER) SEE ATTACHED FORM SCHEDULE - WC990612 )6/12/06 ASSIGNED RISK 66 Issue Date Issuing Office Authorized Representative WC 00 00 01 19967 If\ICi 11=r1'C (`nDv f Town•of Barnstable Regulatory Services Thomas R. Geller,Director 9 TiASS. $ . �pTFn►A," Building Division .Tom Perry, Building Commissioner 20Q Main Street, Hyannis,MA 02601 ffice:. 508=862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property �Va A ( WQr�W. J09ANC45�X if�(� hereby authorize_ to act on my behalf, in all matters relative to work authorized by this building permit application for: •2�Z E Gr e[ '�! .S �J Ct W�S� �� ,DS�2D7'0 - q � � (Address of Job) Signature. O er Date Print Name Q:FORMS:Oy1NERPERMISSION ,6�GItx 7��N��" s 7- ��o�vlfca�ilJrc�r!l �E�,ULL1��t�45 t go BOA CO STRUCTION SUP. r r r+ License d N 099653 '� yp •' � }� , la, ��: , 1`r.no 9 ' 3012008 h• Y r a , x PTres 091_ x r s t �t WALTER W ARP 4 J� — r , S` XpNDE�RODa 'p675 X40 IN ARNA Lc� arraretzeur.�t z o, tr�aix hoard u liud!wg cgu ahons and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration (late. If found return to: Registrati6i :.,145832 Board of Building Regulations and Standards Expiration:-3/4/2009 Tr# 127455 One Ashburton Place Rw 1301 Boston,Ma.02108 `Typei'`'DBA"' NORTH SIDE HOME'IMPR'O•VEMENT WALTER WARREN'JR 1! "c7 40 ALEXANDER DR:>>:., �.•=___;_ .�. ��C!-�..-� ..._.. .. __. Not valid without signature YARMOUTHPORT, MA`0267,5•=" Administrator Town of Barnstable Old King's Highway Historic District Notice of Public Hearing April 11, 2007 To all persons deemed interested or affected by the Town of Barnstable's Old King's Highway Historic District Act under Section 9 of Chapter 470, Acts of 1973 as amended. You are hereby notified that a hearing will be held on the following applications: Thayer, Larry& Margaret, 52 Salten Point Road, Barnstable, Map 280, Parcel 027 Replacement of windows, doors &deck Tagilafeerro, Barbara, 9 Hezckiahs Way,West Barnstable, Map 088, Parcel 015 Replac ment windows Philips, David &Susan, 135 Palomino Drive, Barnstable, Map 297, Parcel 053 Replacement windows ' o Squibb, Edith &John, 9 Scudder Lane, Barnstable, Map 258, 009 —� Fence &Arbor 0 - Aj Blair, Henry, 3074 Main Street, Barnstable, Map 279, Parcel 035 Antique Lamp post F.E.C. Realty Trust, Lot 2 Sheperds Way, Parcel 259, Parcel 001-001 New house &two-car garage Ruscitto; Robert, 73 George Street, Barnstable, Map 319., Parcel 058 Two-story addition Ramage, Patrick & Georgann, 3114 Main Street, Barnstable, Map 300, Parcel 001 Exterior.Painting These hearings will be held in the Community'Building, 2377 Meetinghouse Way(Route 149), West Barnstable, MA, at 7:00 PM on Wednesday, April 11,.2007. All applications and plans may be reviewed at the Town of Barnstable, Planning Division, Office of Old King's Highway Historic District, Town Offices, 200 Main Street, Hyannis, MA Barnstable Patriot Patricia Anderson, Chairman, March 30, 2007 ,r. Application to - 01b Rinq'ss 3�igbWap 3Regionaf -JEgitteric lMisstrict Committee BARK)TABLE In the Town of Barnstable T 0 W j CERTIFICATE OF APPROPRIATENESS '07 .APR 27 A g :13 Application.is hereby made,with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470;Acts.and Resolves'of Massachusetts, 1973, for proposed work as described below and on plans, drawings,or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior building construction ❑ New ❑ Addition Alteration - Indicate type of building: ❑ House ElGarage Commercial 0 Other IN 1 it/�t GutJ .5 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign . ❑ Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other yy TYPE OR PRINT.LEGIBLY: DATE__T��o 7 ADDRESS OF PROPOSED WORK .! �T k► a S w� ASSESSOR'S MAP NO. 0 a �" OWNER de�Ja�a %a4t��O 'ASSESSOR'S LOT NO. O/S HOME ADDRESSUfZCk(a�S w��/ TELEPHONENO.,54342-2,2 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public.street or way. (Attach additional sheet if necessary.) AGENT OR CONTRACTOR(N°%f kAtr?4/ 013,1 Uoi4,d f/t�r/�1'�t Z�iD�ibrl�I1YELEPHONE NO.M 367 J ADDRESS � O -I YY OAd fr ©ri d'r ya 4MivYi�Y71 A DESCRIPTION OF PROPOSED WORK: Give articulars of work to be done, including materials to be used. Please include locations of proposed signs. JOK ' Gjv, Ile,- ric-�a//.�r✓ fv O�lc� �ii✓� S /,7,f4v✓Liy 1�6�`-�c A4In, � � /��°z C 46 'eA � S WC4 �s7�(/��•ys .Signed Owner-Co r for-Agent For Committee Use Only EC 22 This Certificate is hereby Date y D LS fl . i A roved De ' d MAR 1 '� Committee Members' Signatures: /UOn TOWN OF BARNS'T E - ;4jC PRESERUATfON T. . J r_f j,_� Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR •-PITCH WINDOWS /7 �f aN Ila COLOR 4 l T SIZE .J '�'Q. 1�ffu C V e c TRIM COLOR DOORS COLORS . . SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS 44R 19 SIGNS COLORS T Z006 • F N FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies s form are required for submittal of an application, along with Four copies of the plot plan, I dscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 Customer: UNIT SPEC REPORT Project: NORTHSIDE ' Salesperson: Curley IQ Version: ig7.0 Today's Date: 03/13/2007 Quote No: 007152 Report: Andersen Unit Spec Report Date Quoted: 03/13/2007 Page: 1 Of 1 Disclaimer/Notes ITEM: 0002 As viewed from the exterior. OVERALL DIMENSIONS WIDTH HEIGHT ROUGH OPENING: 5'91/8" 4'2" UNIT: 5' 10 4' 1 1/2" `•. Group Unit, Casement 30 Degree Angle Bay,White/White-Factory Painted, High Performance Low-E4 Glass,Divided Light with Spacer, Mulling Location: Distributor, Mull \ %" Priority:Vertical Line Item Qty: 1 i Location: 03110 i D C� hfq� 1 9 2006 wWOO .. " HI� �/��p R�STgg�E ® _ ESER�gTI y aNJ , High Performance Low-E4 glass will be available as a running change on Andersen Architectural Specialty Windows. See order acknowledgement to v rify glass.type.•' Line Item#: 0001 Line Item Qty: 1 Initial: Location: RO Size=2'0112"Wx3'01/2"H Unit Size=2'0"W x 2'11 15/16"H 400 Series, CR/OV Single Units Unit Code/Item Size: OVL2030 Operation/Handing: F Exterior Color: White Interior Color: Pre-finished White Glass Type: High Performance Low-E4 Glass Extension Jamb: Pre-finished White,6 9/16', Distributor Applied, Complete Unit Extension Jambs Arch Casing: 2 112"Colonial Select Hardwoods Comments: Qty Part Num Item Size 1 Description 0000000 OVL2030 Total Price Extended Price Unit,White/PI White, High Performance Low-E4 $ 647.28 $ 1 1074846 Glass 647.28 OVL2030 Extension Jamb, Pre-finished White, 6 9/16', 1 0000000 Distributor Applied $ 153.36 $ 153.36 OVL2030 Labor, Extension Jamb Application, Distributor 1 1073024 Applied $ 14.40 $ 14.40 OVL2030 Arch Casing,2 1/2'Colonial Select Hardwoods 1 1072026 (Includes Standard Maple Transition Pieces) $ 132.48 $ 132.48 Key Block Kit, Maple 6 9/16" $ 77.18 $ 77.18 $ 1,024.70 $ 1,024.70 SUBMITTED BY: ACCEPTED BY: SUBTOTAL $ 1,024.70 DATE:. TAXES( .0.000 %) $ 0.00 — GRAND TOTAL g **All graphics as viewed from the exterior. 1,024.70 . MAR. � Y 2006 QUOTE: 007005 . Print Date. 02/05/2007 'High Performance Low-E4 glass will be available as a running change onPAndersen Architectural Specialt iQ Version: iq7 0 acknowledgement to verify glass type.' Y Windows. See order 1 CF. yid.._,� �.,..1r...r1- -•-'+ f S 1 $ !Ave � 4Q * f 4 Confgu rationS All grille configurations can be ordered with inteeriors and extenors to match window and patio door interiors and extemis. t Full Divided Light Simulated Divided tight Easy-Clean Options r 1 i r � � f F Permanent Exterior' Permanent Exterior' Permanent Exterior' Removable Flnenght'Grilles- Permanent Interior Permanent Interior Removable Interior Interior Grille Hetweeo-The-Giass• a With Spacer For a truly authentic look,full Simulated divided light offers grilles Removable interior grilles snap off for easy divided tight features permanently- on the interior and exterior with no cleaning.Andersen'Finelight'grilles are applied interior and exterior grilles spacer between the glass.Andersen suspended between the glass panes and, with spacers between the glass. products also give you the option in most cases,feature a contoured 3r4"profile. Interior grilles are available in of removable wood interior grilles. A 1"profile is used on patio doors,Springline- € unfinished pine,maple,oak or Interior grilles are available in windows and many arch windows.Finelight" prefinished white. natural wood or prefinished white, grilles are installed during manufacture and f must be ordered with the unit. t No v4uzwe on 2M Saks wo&cts. -Wem gVes arc made o4 pahaated rd ro' #X-tv •Toned tav-4 r;W 8OW me appejtartct ai F mel:rz p4 c". i starve+V to calms+and rot—ever n wasur vents.AW48tk p. m odors to match goduu ft1t tus. tp t a ��rr • 7 _ } _. - `: ..p ��- vr, br �- a k- r c r r c r r• a b 'X47D r a �A MAR TO�RI-r.FPRE$ fi HIST 4 g CASEMENT " •.,••,,wvUuwr4t lj;rJ1 7 V BAY & BOW AND TfLTWASH .T. WINDOWS DOUBLE-HUNG Some options must be specifiers 30° AND 45° to complete an order.These include ANGLE BAYWINDOWS I color,glazing and hardware. i Some options must be specified lire milled mullion posts to complete an ordecThese join individual casement windows ` to include color,hardware style together into 30°angle 45°bay, and glazing angle bay,90°box bey and 10' bow window units.Mullion posts Pre-milled mullion , lack into_a channel in each join individual units toge., adjoining casement window for a- into 30°angle bay and 45° sturdy,easy-to-install unit.The . angle bay window units fora , exterior is sheathed with virryl sturdy,easy-to4nstali unit.Tate cladding the interior is trimmed exterior is sheathed with vinyl x in natural pine,which can be cladding;the interior is trimmed <r finished to enhance any decor. in natural pine,which can be 30° Casement now finished to enhance any decor Andersen auxiliary casing is -- supplied as trim to finish the top ©Andersen auxiliary casing is- of 30°angle bay,4V angle bay .. .mitered,joined and installed as and 10°bow windmituxiliary trim to finish the top of 300 and casing is an option for 90°box 45°angle bay windows.The wood ' bay windows. casing is covered in viryl cladding.. f ©Securing platforms made o Securing platforms made of g g 3/4'(19)plywood at the head 3/4'(19)plywood at the head and sill of bay and how windows and sill of bay windows provide provide added strength to the added strength for the assembly. assembly. t 10°Casement Bow Window j Installation or custom bar units has a proleotM greater than 24'reiml . - r the esxitise 01A stn:ctural engine kt detEnaine needW St.�UM43l SUP $ rairare to me w1fidem stmctutar t msah W Person of& to•i ukss m c4na Y titiiu Lag Cole= Ca - w < s WPM tt a ratan o.m�toaEt�"oi 3 QC Pounds.tr pia ststw1-1a tin :e Pounds.aft", t�sd 45°Detible4taft$ 90°_Cssement..80z.Bay_W.1nd0w ---_. _.. .....---------..---..-_-- -...._._:-- —•--._._. f • o� � �� 6 MPS l 9 1�� N�F DES��P��N N�w�R�G P ,. .., Just Us Home FumfshhW 70, Cp poration S:. Hyannis Ma. 02601 Phone (508) 771-4884 Fax (5O8) 771-1588 '2$- . Room 1 Not To Sw W,too �a LL { P 4's A'4 -04 w� a va x T p MAi 1 9 2006 TOWN OF SARNSTABLE HISTORIC PRESERVATION Rear view of home from back yard AU0 77 77 77 r ro' llf II B � I ag " y. The proposal would be to remove window "A" (a double hung window) and re-install it at location "B". Then remove window "G" (a casement window) and replace it with a 4' x 4'10" 30 degree bay window (see attached picture of bay window). The new bay window will be located approximately 1-2 feet more to the left side of the home. These Windows are not visible from any street or public way. ev �� 06 0 � 9 �° MP F aP`�N�R�a��' Rear view of home from back yard s �E - e W" " =777 w � s, x ..i*',s44ro-.4 Y� e s.. .'Y..L�•S "•i} .�awl Y. z ��\ .0�,�� -.' � � i� � o P� ��P��oN� �� P��P�\ Front and side view of home from cul-de-sac a Window "Q" an Anderson 400 series double hung (current size 24x 46)will be removed and replaced with another Anderson 400 series double hung window (size 28 x 32). The current window is blocked by the shed/dormer. The new window would sit on top of the shed/dormer and give a much better appearance from both inside and outside of the home. This window is visible (a partial side view) from the cul-de-sac. " r E Hwew 'gi.. ` Side view of home From back yard �� 0� 1 g �°�6 MPS UP4NS��P�oN �o�o��Q��s� ,��s J Fall ♦ a �^. ,,� et i Nli mm '1f r a d : «sMrr� • wr Wt M11i' � Nr r - T b 401 W-K oil op ,.a � � �` .= , ram a� a «• _ ,� > € � � tsr�. NOUVAa3S3ad ^IW'- IH 1 3l8ViSNbV2 JO .mol 9001 6 T adW TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION b Map ow Parcel V I Application# '70 3 • 1 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee �'�/��3 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board ok Historic-OKH Preservation/Hyannis Project Street Address cI e7 C kr ct k Lolo< Village V U( ed rA31-4sle Mirf Owner �d/�c��a / �t y'li q ��✓i'C� Address ZC A i 6t Cn F Telephone 15V11 -To a -a d 7 Permit Request i- � i ,.act i Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type P Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure lS Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: UKII ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil Cl Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# — -- Current Use Proposed Use /`B_UILD`fER INFORMATION Name(N � � �li�/"'y �1� ItIN nVP/1M p Telephone Number �t 7 —U 7(5) - Address 0� {�Ct/d/i�Q 'LIlnlm 0� 3 License# (f �/� rdl2d ► �1� 6a(e G J Home Improvement Contractor# Worker's Compensation# n ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO %rsCovA4 SIGNATURE , DATE //��U 1 { FOR OFFICIAL USE ONLY PERMIT NO. ' DATE ISSUED MAP/PARCEL NO. f • i i ADDRESS. ' VILLAGE r ti OWNER- DATE OF INSPECTION: FOUNDATION FRAME INSULATION p FIREPLACE 5 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL E. GAS: ROUGH FINAL j 3 FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street <' Boston, MA 02111 www.mass.gov/dia Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Q Please Print Ley'bl Name(Business/Orgmization/Individual)��Q A� /<< �/w //�%r��/ r�S Address:�0 �n�4 City/State/Zip: \ 1, 1 VV 1(r/l Phone.#:, 36 7-'S5 r76 Are Zam. employer?Check the appropriate bog: Type of project(required):. 1. a employer 4. � I am a general contractor and I with_•� 6. ❑New construction.. employees (full and/o -tune) * have hired the sub-contractors 2.❑ I am a•sole proprieto listed on the-aitached sheet. 7. [�T<eemodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 Budd�ing addition [No workers' comp.insurance comp.insurance.#' 5. We are a corporation and its 10.❑Electrical repairs or additions required.] ' 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions ' myself,[No workers' comp. right of exemption per MGL 12.0 Roof 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. / v% Insurance Company Name: /Ua 7 i U� f�'ar Policy#or Self-ins.Lic.#: Expiration Date: ✓"� �Sr 4'7 Job Site Address: /7 L°Z L'G l a S �rny City/State/Zip:�/Ut__Sf Al -5 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 Investi ations of the DIA for insAranpe coverage verification. I do hereby ce under a pains and p alties of perjury that the information provided above is true and correct. Si afore: Date: .� 7 Phone Official use only. Do not write in this area, tb be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all'employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hiie, 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_oLttustee 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 compliauee 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-conttactor(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-hne. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding.the applicant. ~Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant 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 A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any question_, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Com oiaweallh of Massachusetts Depart=nt of Industrial Accidents Office of Investagatims 600'Washington Street Boston,MA 42111 TO.#617-727-4900 ext 406 or 1-$77-MASSAFE Fax##617-727-7749 Revised 11-22-06 www.mass.gov/dia i �THE •i v r r as. v a a...a�......�.....� • Regulatory Services Thomas F,Geiler,Director. Building]Division pTED F, Tom.Perry,Building Commissioner .200 Main Street, Hyannis,MA 02601 WWW.to WA,b wmstabl e,ma.us Face; 508-862-4038 Fax 508-190-6230 permit no. Date 'st o-7 AFFIDAVIT HOME]MPROvEMENT CONTRACTOR LAW .SUPPLEMENT TO PERMff APPLICATION IYIGL c, 142Arequires that the"reconstruction, alterations,renovation,repair,nsodernizaticn, conversion, improvament�removal, demolition,or construction of an addition to any pre-existing owner-occupied - bwldiag containing at least one but not more than four dwelling units.or to structures wch'are adj scent to 1 such residence or building be done by registered contractors,with certain exceptions,slang with other requirements. Vx OFAle Estimated CostType ofD Address of Work: 2 ZL-eZ C Owner,a Name: lication: • Date of App I hereby certify that: Re&tratiQu is Dot reed for-the following reason(s); pwork exeludedby law OJob Under$1,000 []Building not owner-occupied []Owner pulling own permit Nofice is hereby given that: OWNERS?TaLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IlYIPROYEMENT FORK DO NOT HAVE' ACCESS TO TfM ARBTI'RATION PRO GRAM OR GUARANTYFUND UNDER MGL c,142Aa SIGNED UNDER PENALTIES OF PBRIURY I hereby apply for a permit as a agent of the ovine=; Date Con act Signature. RegistrationNo, OR 2 6 at own, a Signature Q WPMes.forV:h=eaffidzy pay; 060606 Table JS.ZIb(eondmaed Prescriptive Packages for One and Two-family Residential Buildlogs"Heated wit6fumil-Fumim MAXhWUM MINIMUM Glaring Glazing Ceiling Wall I Floor Basement Slab Headng/Cool➢ng Areal('/) U-value, R-valuer R-value! R-value' Wall Paimew Equipmcat Efficieaq� PackAge R-value' R-value, 5701 to 6500 Heating Degrrt Days' Q 12% 0.40 38 13 j 19 10 1 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 111 6 "` '8571fUE T 15% . 036 38 13 25 N/A N/A Noma! U 13% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15'/0 0.52 30 19 19 1 10 6 .95 AFUE x 19% 032 .38 13 23 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N19 Normal t 18% 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10' 6 90AFUE L ADDRESS OF PROPERTY: ! ` �`� Z c ��f a�(S l G 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETMUM4I IG ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. w tj BUILDING INSPECTOR APPROVAL: YES: NO: • 1 q-farms-080303 a 780 CMR Appendix J Footnotes to Fable A2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to I%.of the total glazing area may be excluded from the U-value requirement. For example,3 fF of decorative glass may be excluded from a building design with 300 fl of glazing area. 3 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot.be used. ' The ceiling.R-values do not assume a raised or oversized truss construction: If the-insul,ation•acl.ieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be.substituted. for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity . insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion:of the roof. Wall R-values represent the sum.of the wall cavity.insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywalL For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frarhe or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requiraments apply to floors over unconditioned spaces (such as unconditioned craw4aces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the. same R value requirement as above-grade walls. Windows and sliding. glass doors of conditioned basements must be included with-the other glazing. Basement doors must meet the door U-value requirement d--scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' if the building utilizes eleetric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. R-value requirements arm for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC•test procedure or taken from the door,U-value. in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the and use the opaque door U-value to determine compliance of the door. glass area of the door with your windows One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to.the U-value requirement(0.35 for doors). 43 c BOAS OE.SUILDING REGU License: CONSTRUCTION SUPS I NumberCg 091653 i Expires 09/30/2008 Tr,no 91653, Restricted 00-t WALTER R WARRE�t�i,'R�� 40 ALEXANDER,D ••YARMOU7H I? 02675 Y,. i^ Commissioner. n fie vanvnao,� ✓�caaeac�euaett Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use only before the expiration date. If found return to: Registratio 1 Board of Building Regulations and Standards Expira gj4�2007 One Ashburton Place Rm 1301 YPe BA" -, Boston,Ma.02108 D/ NORTH SIDE HOME IMR (. NT WALTER WARREN h- 40 ALEXANDER DR' YARMOUTHPORT,MA 02675 Administrator � _ _ Administrator Not va id without signature l Results Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number C: r Search;.. Select Search type. -- AND � OR Search Results Reg. No. Applicant Street City State Zip Name Title Expiration NORTH SIDE HOME 40 WARREN JR., 145832 IMPROVEMENT ALE DR. YARMOUTHPORT MA 02675 WALTER OWNER 3/4/2009 Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.us/bbrs/hic.pl 3/12/2007 ACORD CERTIFICATE OF LIABILITY INSURANCE WARRW TE DA06 21 6 OP ID2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HUB International New England HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 437 Station Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. So.Yarmouth MA 02664 Phone: 508-394-0946 Fax:508-760-1407 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: National Grange Mutual Ins. co INSURERB: Mass Workers Compensation Walter R. Warren INSURERC: 40 Alexander Drive INSURER D: Yamouthport MA 02675 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. LTR NSR ATE TYPE OF INSURANCE POLICY NUMBER D MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY BINDER 05/15/06 05/15/07 PREMISES Eaoccur�enDce $50000 CLAIMS MADE X❑OCCUR MED EXP(Any one person) $5000 X Owner/Cont Prot. PERSONAL BADVINJURY $1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY 7 PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ITORY LIMITS ER B EMPLOYERS'LIABILITY APPS 05/19/06 05/19/07 E.L.EACH ACCIDENT $ 100000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $100000 Des,describe under ECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ------1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL For File Purposes Only IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTH PR'7N E`C-- / ACORD 25(2001108) /jj ©ACORD CORPORATION 1988 Home Furnishings Ap oration St. nis Ma. 02601 /he (508) 771-4884 �C (5 �3241/2 ' Sole 42 5/8 42 5 21 24 2 3s 2 15 " . 14 49 24 8 !y 23 5/8 37 .r fr 410 18 � O .. o r117 ❑ c 521/8 #2 142 3/8 0 142 3/8 10 32 ;ol ;off Cod Co) 12 38 383 39 2-301/2 301/2 2 4 #3 324 1/2 AI 4 r Town'of Barnstable Regulatory Serviceswr ZhAss.XgSTAB Thomas R:Geiler,Director . Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 mce:. 508 862-4038 Fax: 508-79076230 Property Owner Must Complete and Sign This Section If Using A Builder I, j�e Td • �64U,4 r6? , as Owner of the subject property �)ea ��r (iUa(rW. 0P>ANdj�i5(Yx /�tLehereby authori _ to acton m7 behalf, m all mattets relative to work authorized by this building permit application for: ffe-k 2 k c( Gt (Address of Job) ' w ' -�/O Signature er Date Print Name Q.FORMS,OWNERPERMB SIGN ..-_---_................_._..._.__.....____ _ :__._ _..._..:............._..._...__........__ Just Us Nome Furnishings 7�yyanTlMa..0260i ration St. Phone,(608) 771-4884 Fax(508) 7"71-1588 • __.._.._._._ 7`) Room 1 Not To Sph MWO- ate. w :.Sam IBM k: z X, ks a y ff k z y 3 w' q may. .. ............ t f �ky f Town of Barnstable P`OF'THE r � Regulatory Services Thomas F.Geiler,Director P i6 S.9. 0� Building Division TA 4gFo►�� Tom Perry,Building Commissione a 200 Main Street, Hyannis,MA 0260 ��6 OCT' 3 I PM 2 16 l www.town.barnstable.ma.us I� Office: 508-862-4038 01- IS!`ON Fax: 8-790-623( PERMIT# FEE: $ �5. d SHED REGISTRATION 120 square feet or less Location of shed(address) Village Property owner's name Telephone number Size of Shed Map/Parcel# . Signature Date ^� Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9.30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM. MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 Application to.. p /L Z'U - //sera► ,� /��c✓�4 f' �.e�7 Old Kirig s Highway RegionalHistoric District Committee O 6e- d•v;M:� 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, 1973, as amended for proposed work as described below and on plans, drawings, or photo- graphs accompanying this application. / TYPE OR PRINT LEGIBLY DATE e4/. ,6/+4ea S7'6+6 GE ADDRESS OF PROPOSED WORK 4 ��Ex��C'f-S ASSESSORS MAP NO. 6 OWNER O L� �� ASSESSORS LOT NO. O HOME ADDRESS IfE2�691-Af+,T (JA-y GJ4 •OP64A) TEL. NO L-G / 7, 10.3 3 0 41L AGENT OR CONTRACTOR ADDRESS TEL, NO, This application is for exemption of proposed exterior construction on the ground that: (1) It will not be visible from any way or public place. 7. (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. /Roo /v s;-�z C. TO Ai,4-G' e J iTIC /7_ sl DG s / ems - P. ,v6; 3 'r �v 0/� y�•�'y �/�� + fit''/ SIG E D �-- LV Space below line for Committee use. . �T W Owner• on ect r•Atn Received by H.D.C. The Certificate is hereby )ate rim O V LS 3y n�.� to �p roA L. The categories of work entitled to exemptloln are n visa the back of this form. �ea.t p-it #'/-)-7497 Made 1-23-90' Cd No wa.#�e-& encb t444, 2 nNn. peh 1. v��a� X; �xp 'fir. -top G Sep•tia"deaicjn l-l06oP.e lit* �suL,eo No bedtoo,x� ? 1p 1� V' �'�� Cobb i s.� : ��.t i pra ted glow 3 30 9pd �� r 1 co %� Ex ..." -Ceaclusu- area 296 ag rr g 296 � ; �. . ►nediuia . : : : r�eiseitlTe sand"w Capac4q 541 qp . cobbZeA ,. 1Za• e f , r f .` ' rJhe gouyuLctioh e/wwn.do :tlws. p.Ctwc -vl. ►�'! ��o ( 4 ;._; , to caged on the q"und:a..i d1wwn heaeon y: � o d rnea', �1-4e, back-',tw/4,f zenmtt. ¢ the 90wrt o g' i3�hti stab l�. ` �. an /! � � .('o t w ! Date .5-20-95: l f ' �y•t� ;. J f Aso, �� *-�� `r V JOHN 0 `i ✓_' -490 "• 11>): 'ate: , = u 4. O CA llt.d &t. 1.31 ° 1148, No Sea& J.i3. •i V 12'�.4 . .I. ' C. gam•' '�� .. / �t //22_ 50 l wLc& O J I C'edae' ,4294 I rl-cn / 4 Standard Shed Dull The Chatham Loft By increasing the roof pitch to a steeper pitch ffn) and including a 4' storage loft, Y this is the perfect style for the "pack rat". The loft provides storage space for small and seasonal items such as beach chairs and hoses, etc... while maintaining optimal wall and floor space. This design adds New England character! i : Size Pricih 6x8. . . . . . . . . . . . . . $1550.00 1Ox12. . . . . . . . . . . .$2800.00 _ -- 6x10. . . . . . . . . . . . .$1780.00 1Oxl4. . . . . . . . . . . .$3280.00 t 8x8. . . . . . . . . . . . . . $1750.00 1Ox16. . . . . . . . . . . .$3760.00 y ., 8x10. . . . . . . . . . . . .$2000.00 12x12. . . . . . . . . . . .$3400.00 8x12. . . . . . . . . . . . .$2400.00 12x14. . . . . . . . . . . .$4000.00 v ¢ ; 8x14. . . . . . . . . . . . . $2725.00 12x16. . . . . . . . . . . .$4400.00 1Ox10. . . . . . . . . . . .$2700.00 12x20. . . . . . . . . . . .$5400.00 el package,beaded double door,transom w4ndow Larger sizes available. and cedar shingle siding. Standard siding is Board&Batten. The Vineyeird Overhamg When outside covered storage is as important as the inside, the 30" overhang off the back allows for firewood, kayaks, bikes, etc.... to be kept accessible, yet covered without making the entire shed bigger. The roofline is also appealing for its Saltbox looks. This design has a%2 roof pitch. Size Pricing 6x8. . . . . . . . . . ,. . . $1750.00 1Oxl2 . . . . . . . . . . . $29k,60.1 6x10 . . . . . . . . . . . . $1930.00 lOxl4 . . .: . . . . . . . $3457T8 i 8x8 . . . . . . . . . . . . . $1850.00 1Oxl6 . . . . . . . . . . . $380 8x10 . . . . . . . . . . . . $2220.00 12x12 . . . . . . . . . . . $350 . 8xl2 . . . . . . . . . . . . $2540.00 12xl4 . . . . . . . . . . . $41 8x14 . . . . . . . . . . . . $2880.00 12xl6 . . . . . . . . . . . $450 00. 1Ox10 . . . . . . . . . . . $2860.00 12x20 . . . . . . . . . . . $5800 Larger sizes available. dQ Stnnfinrd cidino is Rnnrd,.X �: ;F TOWN` OF BARNSTABLE . CERTIFICATE OF OCCUPANCY PARCEL ID 000 000 018 GEOBASE ID ADDRESS 9 HEZEKIAH'S WAY PHONE (617)773-07411 W Barnstable ZIP - LOT 13 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT I . 9 DESCRIPTION SINGLE FAMILYDWELLING PERMIT TYPE ' BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department. of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: �Im BOND $_00 CONSTRUCTION COSTS $.00 '753 MISC. NOT CODED ELSEWHERE * BARNSTABLE. MASS. 039. OWNER DAV I S, PAULE� ADDRESS 211 ROCK ISLAND RD BUIL r• � I IU QUINCY, MA BY I DATE ISSUED 12/27/1995 EXPIRATION DATE � I THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) M A , - I I / �C(�J L DATA . . . . .. ..... ----�_ c-e.�-.. �� -`.`'�",�"�':, a��r-'-#\.,.. k,_,-�;w ,yam•=�:..,,�,,�..,*�,., , - � �' 'TOWN OF BARNSTABLE, MASSACHUSETTS BU'1i� 11116 ERMIT 4 DATE 19 PERMIT NO. o 37436 APPLICANT ADDRESS IN0.) (STREET) (CONTR'S LICENSE) PERMIT TO , NUMBER OF (TYPE OF IMPROVEMENT) ( NO STORY (PROPOSED USE) DWELLING UNITS ZONING AT (LOCATION) DISTRICT (N0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) ;UBDIVISION - LOT LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CON STRUM IUvN TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR PERMIT VOLUME ESTIMATED COST $ �FE - $_ (CUBIC/SQUARE FEET) OWNER BV1}. M DE ADDRESS �g,r QJ / � THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS IRE TO LATH 3. FINAL INSPECTION BEFOREE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS e qw V ftG^407/LG ,,e �J I cror �.u«c f�x4rc ram,cam! `' `S/v.:Z l N1 f Z` %2 �3 a 3 /2 HEATING INSPECTION APPROV4LS !Q,�=�9� M u r m T 61 BQARD OF HEALTH (��l�.l� �2 2�� '� .mow .�.+,►.�.s owc,arw��t OTHER SITE P EVIEW APPROVAL I VVHRK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT '++!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION LPERMIT IS ISSUED AS NOTED ABOVE, NOTIFICATION Assessor's Office (1st floor) Map , Parcel (3 Permit# y 'Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Date Issue < Board of Health(3rd floor)(8:15 -9:30/1:00-4:45). `�� `r ate e '7"`/ 3 . Engineering Dept.(3rd floor) House# Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC ST BE Definitive Plan Approved by Planning Board 19 INSTA LIANCE NVIRONI� E CODE AND TOWN OF BARNSTABLL TOWN REGULATIONS Building Permit Application Project Street Address 1� �\�2�k \A 15 Village U3 . �i�®��C� Owner )E o 1 S Address $Q TelephoneoZ-.'-1Z.:�.Z e Permit Request UIFf-%--P SL�0.ML30D �Am WN'JN` QcOQ)- First Floor square feet Second Floor square feet Estimated Project Cost $ ti Zoning District Flood Plain Water Protection Lot Size qB,�� Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type CC),x s-e_-Tte. QwNj L Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway, QNQR tpv� A 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 \1D Y moo' Attached Barn None Sheds Other Builder Information Name Q1c01&01 t�a T PooL- CCU C f`j Telephone Number 5'r 2RP�-- (j�11\c, Address \M ) cOU.f:s�l Q License# oc-DIn 15 Msi�� CGleMAa Home Improvement Contractor# ��UCJCa� Worker's Compensation# LX_ bCP1U NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DER SU T G FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1 , I F E OWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 41M t DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE r OWNER , DATE OF INSPECTION:FOUNDATION ✓ O Z65 ; FRAME 1 INSULATION - - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING:• RlOiTSH „T FINAL GAS: ft H O FINAL + + FINAL BUILDING . p 4 -�� m t r } + BATE CLOSED OUT= ci ASSOCIATION PLAN m L + + + m r feat p-it ?AP-7a97 hr°ade 1-2 3-9C?' cc, i3cvr�c No water encouAte� .-.--• - - _._ .,'4 hehc,---t " 2'.min. p(ia 'I►► ,� ' n� ILoa; Y top �Septia de.3.i,gn tzz.' ' t I•I000P.< IIYu No bed ioomd. 3 ; how sTaN�,•�°`'.. _ j with : �aipo�ul no ' �cobb Ils,l_ iutta�t E4.ted gtow 330 �pd :``� �.E P-' Z . area 296 a 'wecGuin� :l�e�e%�ie " 296 4f ts� f 4anc( w Capac t tq 5141 cobG` Ira' 7 l. r B � .► f . I07-I .. :... '� .� .4 F Jhe jo*uw a t r orz +own.on -t zi4 p.- an .Co ca ted on the mound.cam. dww,i he Leon, ^ ; and ►sceet� >tfz �etback ,r+.vicenr o the %vn o g i3c✓u��tab Ce, i" Xo t I�l Date 5. 20-95: Vol Of .z o o )JA VA 32490 J). a' �J� \•' � `,�� -,'. - j I �r -mot eti �o t 13 — �L18,O54a \ ; No ii4:# r�rahe Ced" �9� q4 kale 1 "-SO cs hept 3a-te 1-23-95 ILS.7 0 I S0 �. wicia t3�.4 :: Rev. 4.25-9S I 2 cat A tL4.o f balm', 4 tq,U Cape 49 Ra2bo�c ?ocid ldyanrti,,i, Mq 0200! -- ---'— Sketch Pt an oj .C'and-�isa Ue t t :.;a� ui tabte, l�A got. haul tau of 13 a.i ihouii on a ,)an o$ rr)et t _ :13tOd;db?x �-�tr CLW Vto , alte on art 'a44axte(! da ttm. �� ,�. cata•••c.e nra revue To.t j . ••• • • I a.��r r..r r�«�r ter..�r..��r.� ' ,I J.Jtr II - � fir, • • 1 • • L..r• :=' - • 1 ' •r.w..•••.rrrrrrrt•+r.w+rw.r • q I = r A;.• ms •I •r r�lr.. To 1 •c.rr •a' I TYPICAL BAR LAP DETAIL lT e.••CT••elt •{/��•� ��- h • ncT•r•au ar.••• !yam p--^•�•��+.— ..- . II y•I,' .i.o = I i Z�.b 14 1 I '1 ..�•.w�•.a- ram..r r.-.-�• r .V S.•t0 i , J Z* 1 I TYPICAL WALL SECTION . •^ .---•----- W i q io•awuao•••e• =•1_ ;cc _= � zo �o. �I•.� t0 ilf \l` .--�� 11 ' I[�V--_ OW .. � UST•i•:t0'•)•'•••' I 1 : CL.. —. ir PLAN SECTION TYPICAL MASTER AT SKIMMED i • i .� .•'.is(s)•• I •r,.•- �� cl .1 I a.•r 'IT s= i /( ( I �z. .r•" T•J T Jz�r ,..• 4 -r•Es6' uo•ar ndu•a••• � PLAN S`EG7fON-- OTYP.=L�ODTYPICAL INTERNAL PILASTER � N4 � O ®rp el 14, � o . O CAgA�A 1� y n1v0 . . p�rJ�rv�n.�✓�p ��.O�ivw1;� � r`.f✓�r� {,��r�n p�.�✓�,-v (1 dolb The CommonHealth Uf-4fassachu efts ! 'j• _ '' ' Department of Industrial Accidents IN `?� . �•; .-- •a�s� 600 Street Bus7na.11fuss. 02111 Workers' Compensation Insurance Affidavit AF Imation l 1V�Z`e l�� 1�t, c) A -D City b^( riZ— ❑ 1 am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this Job. COMM10.1 ^"mc ��J!��(1CJc� BPS 1� ; G Q L c©( skit t�r��SCJi)c�S phone#- incur•tnce co �..\V\"T pellet•#l..�C ` �� V� '�- �+ r.• • Tom•'. 'ji ❑ I am a sole proprietor,general contractor,or homeowner(etrdle one)and have hired the contractors listed below wi the following workers' compensation polices: CO-Mrilim n address! s' phone#• -� .. �.. --- ssrar+�...•-sa.�e'v*'r+T1"t""��'�a --- �avr'P�'JQTS+�'' --- cffi m im•nnfnef iddress- 11honelh in-guninee Co. "Offer 0 :Attach additioasi-shea if aieeua �'�� ' ''� "v"�+" `r�y '~�• � � "• •�`ww "� Failure io secure coc eraiec as required under Section 3A of AIGL 152 no lad to the imposition of criminal petuddes of a fine up to S1300.00: une 112rs'imprisonment as�� 1 as civil penalties in the form of a STOP WORK ORDER and a fine of SIOD.00 a die agdwt mts I understand copy of this statement maV fo a t tb Olrce of!av atitatioas of the DIA for coverage verifiatioa. I do herebr cer�ify under the airs and Its of perjurr that the information provided above is true and cornett Signature ate 1�� \Wn Print name one 0 3��" oilicial•use only do not irrite is this area to be completed by cite or town official city or town: permWlitxn:e# rttloiiding Department ptdaasiuq Huard 13Sdatmea check if immediate response is required Office Otialth Department ent contact person: phone q: rtOther�__ Information and Instructions Massachuscus General Laws chapter 152 section 25 requires all employers to provide workers' compensation fc empiovecs. As quoted from the "law", an empinree is defined as every person in the service ofanother under ai contract of hire, express or implied. oral or written. An emplit rer is defined as an individual. partnership, association. corporation or other legal entity, or any two or the fore�_oin-, entumed in a joint enterprise, and including the legal representatives of a deceased employer, or tilt receiver or trustee of an individual , partnership, association or other legal entity, employing employees. Howev owner of a dweiIinL house having not more than three apartments and who resides therein, or the occupant of the dwcllin house of another who employs persons to do maintenance, construction or repair work on such dwellin or on.the grounds or building appurtenant thereto shall not because of such employment be deemed to be an emp MGL chapter 15? section 'S also states that ever-}•state or local licensing agency shall withhold the issuance c renewal of a license or permit to operate a business or to construct buildings in the commonwealth for anv applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chap been presented to the contracting authority. Applicants Please 111 in the workers' compensation affidavit completely, by checking the box that applies to your situation a supplying•company names. address and phone numbers as all affidavits 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 requ to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottoi the affidavit for you to fill out in the event the Office of Investigations itas to contact you regarding the applicant. be sure to fill in the permit/iicense number which will be used as a reference number. The affidavits may be return the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any ques•: please do not hesitate to ;_ive us a call. I i. .' _....•� .. v .i— '•. �. • •.wv.:... r+..ii,.w r,��.w:i� .•ir ^-�.r.��' Sir. .w•s' The Department's address. telephone and fax number. •f1' The Commonwealth Of Massachusetts Department of Industrial Accidents r Office of investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 The Town of Barn stable KumS Department of Health Safety and Environmental Services 1"9. .e Budding Division 367 Main Sates,Hyannis MA 02601 Ralph Ctassea Off= 508-790-6227 Budding Cm=' Faye 508-775.3344 For office use only Permit ao. Dated\�\��`��i AFFIDAVIT HOME IMPROVEMENT CONTRACrORLAW SUPPLEMENT TO PERMIT APPLICATION ction,alterations;ttaovation,sepai�modt�a0a C0II�0II, MGL c. 142A r�that the-=xmstru owner 0ecztpied to Pm' 'an of an addition �Y consuvar imprvve:nent..ttmrnai. demaItaan. or u�or to strnetara which are ad}aceat building containing at least one but not more than four dweiling�ansaia�aons, along with other to such resid==or building be done by registered conaact = •'T' �v� � L Est. Cost\S� Type of Work. cc Address of Work: c1 \JgZ-e\c i Owner.Namr- Date ofpermit Application: I hest#♦catifv that: Registration is not required for the following rcason(s): Work coduded by law job tinder SL000 Building not cwncr ao copied --Owner poWiAg own peanit Notice is hereby gh=that: CONTRACTORS OWNERS PULLING Tl�iR OWN PERMIT OR D�GRIC ��E NQI' SA' LESS TO THE FOR APPLICABLE MEIIviPROVE3V�NT ARBITRATION PROGRAM OR GUARANTY FUNDS Mom'c 14zA SIGNED UNDER PENALTIES OF PER. MY I hcrcby apply for a permit as the agent of the owner: \\ � CSC' CG 1%�\ Registration No. Date Contractor name OR ' t/DDIYY) �"�' ' ACORD 3/97 PRODUCER 508-790-1030 THIS CERTIFICATE IS 188UED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE IVI%10"L;IK INSURANCE AGENCY,INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 320 WEST MAIN STREET —ALTER THE QmEgAGE AELGIRDen-BY THE POL HYANNIS, MA 02601 COMPANIES AFFORD ING COVERAGE A NATIONAL GRANGE INSURED T- COMPANY M J COLEMAN &SON B 2 BARKLEY WAY I N HARWICH, MA 02645 COMPANY C COMPANY OM ANY .................... Xl. INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY C SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13ELOW HAVE. BEEN IS .......... CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED a CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS Y 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. T.- Co I POLICY LTRI TYPE OF INSURANCEPOLICY EFFECTIVE POLICY EXPIRATION NUMBER DATE(MM100m) DATE(MM/ODNY) LIMITS A IGENERAL LIABILITY GENERAL AGGREGATE x lcommrRCIALGENFRALLIA811.11Y MPJ12506 08/29/97 08/29/98 .2,000,000 PRODUCTS-COMP/OP AGG CLAIMS MADE 2000.000 Lx I occtiR PERSONAL&AOV INJURY $ 1,000000 owwrp-5&CONTRACTOR'S PROT ._Z� EA'CHOrCURRENCE ' 5 1000.000 FIRE DAMAGE (Any one ere) $ 500X0 MEG PXP (Any onn person) I $ AUTOMOBILE LIABILITY 1 5,000 ANY AUTO COMBINED SINGLE LIMIT ALL OWNED AUTOS I SCHEDULED AUTOS BODILY INJURY(Par personj HIRED AUTOS NON-OWNED AUTOS I BODILY INJURY (Per accident) -js H PROPFRIY DAMAGE GARAGE LIA81LITY I AUTO ONLY-FA AC-irjF:Nf s ANY AUTO ()THrR.THAN AUTO ONLY. EACH ACCIDENT I'S AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREOATE OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND WC STATIJI,- EMPLOYER S'LIABILITY TOR)LI 10% 1 rEFt 91 EACH ACCIDENT THE PROPRiFTolu INCL I s VUECUTIVE EL DISEASE POLICY I.IMIr ME: EXCL FL I DISEASE EA EMPLOYEE s OTHER DE ON3NEHICLESISPEcIAL ITEMS '0-"vN I— IRE NMI- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED alFFORE THE ANCHOR POOLS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 143 UPPER COUNTY ROAD 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, DENNISPORT, MA 02639 BUT 5AILURE TO MAIL SUCH NOTIC L)MPOSE NO OBLIGATION OR LIABILITY '-_:V_ _41.OF NY KINDP_O THE CO PA NV AGENTS OR REPRESENTATIVES. ATTN: TOM ORIZED.�EP IV_ /V1 lz .......... Restricted To: 00 99667 4. 00 - None 1A - Masonry only 1G - 1 & 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code I t is cause for revocation of this license. ( � ✓/2e 'lJa�ii»eanu�e� o�•I�G�J9ac�[Ne��J ; :. DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION.SUPEP,VISOR LICENSE Nuaber:'' Expires: t Restricted:101 00 HARK J COLEMAN 2 BURRY NAY N HARWICH, MA 02645 HOME IMPROVEMENT"CONTRACTOR. ;;: Registration'.118507 Type - INDIVIDUAL Expiration 03/28/99 MARK 3 COLEMAN M��,R�� 3. COLEMAN `6ARKLEY WAYC ADMINISTRATOR NO.HARWICH MA 02645 Old Kin 's Highway Regional Historic District Committee 4<< in the Town of Barnstable fora . .` CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470; Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Ekterior Building Construction: ❑ New Building ❑ Addition. Q Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial Other, Fe i10E' 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). TYPE OR PRINT LEGIBLY DATE �� ADDRESS OF PROPOSED WORK /CZe ki-alis "`_ & ASSESSORS MAP NO. 0 VO OWNER �r1v ` 1'Y ` 1`1� S ASSESSORS LOT N0. t HOME ADDRESS S TEL. No.366 Z FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property-owners across any public street or way./(Attach additional sheet if necessary). e ku c $U C e algr S'fi AGENT OR CONTRACTOR lync�o� P�a1 �' [ A!'IP � TEL. NO. S��n 3 �� nn ADDRESS Unor(�oun��tP� L/a,�isDa�+ �� 01 8 `G�mav 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). Signed Owner-Contractor-Agent . Space below line for Committee use. ec-eived-by-Hm©-C. U to The Certificate Is hereby �-42 i`o Da OCT — 2 1997 {, •Y,.�s. = i e r gyT v1iN OF BARNSTHBLE C UJ1�✓ LD KIN S I.;� VVAY t Approved ❑ IMPORTANT: If Certificate is.approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ r Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR. i PITCH WINDOW SIZE TRIM COLOR DOORS COLOR SHUTTERS COLOR GUTTERS DECK GARAGE DOORS. r� �� C COLOR SIGNS �' COLORS �GO� I�Gl�s41 FENCE COLOR +c- I� 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. Site plan should show all structures on the lot to scale. SPECSHT j d �77 r•aa.fC Y� �qr('n' �'} 1�, a -rw�t y* if T,,! , T 1 a,� �G ` 11„t It }}�- �y� ,y7[� ✓✓�� 4 1 M' I1 k �r AssF r Ma 0 Permit# a Conservation ce 4th floor a ' Date Issued Board of Health Ord floor Engincering Dept. Ord floor House# /��_ �PT MUST BE IN PLIANCE Planning Dept. (1st floor/School Admin.Bldg.): i 5 Definitive Plan Approved by Planning Board• / �J 19 �-� m . . ODE AND (Applications processed 8:30-9:30 a.m. &'1:00-2:OOp.m`Y 3 ��6•-� LATIONS TOWN OF BARNSTABLE Building Permit Application Protect Street Address Village e'e't Fire District fhvner. T(Ai) Address Teleanonc Cy .l. -1`13- 0`1LI I s08.3 S-4^1'-'o q Permit Rc uest: u e r 1 Zoning District Flood Plain Water Protection Lot Size y $, D SO S q ' Grandfathered Zoning Board of A s Authorization Recorded Current Use Proposed Use Construction Tyne Eaistin2 Information Dwelling Tyne: Single Family Two family Multi-family Age of structure Basement type Historic House Finished Old King's Highway Unfinished Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Tyne and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information !� v Name Iay 1 n�(y U iS ` Telephone number Address �l� KCaCi�-.175 L r,8 RA License# �C U nC-y rn C' b�. �� Home Improvement Contractor# Worker's Com iisation # 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 BETAKEN TO 1 1 Pro'ect Cost Fee /.23, 6 V SIGNATURE ?CZJA /�Gv1�— DATE o� BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) a 5 �. BPE1tM T 63 y � )4 °000 = o t I FOR OFFICE USE ONLY 2/21/95 oF-109.001 9 Hezekiah's Way W. Barnstable DRESS VII.IAGE Paul Davis �R • DATE OF INSPECTION: 4;46 /� W FOUNDATION r `�,.. FRAME 'V I v' l `VV•,11 �' jl. �Cj , INSULATION 1,6 FIREPLACE 9'[D, ` /2 Cf ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL zml FINAL BUILDING: i Z I �✓ w DATE CLOSED OUT: ` ASSOCIATE PLAN NO: 7 i � .. t _, ...`: �.».�• ': ,,.::+•+�'+.:.t:! � - - - .� .. ^• .._ .. ry � n�.-w�'v�• "��•,,�.,�.T..i-'.+i"r��.Gt✓.-.a.�+w- r.st..:.i:ti.:....t� The Town of Barnstable o� BARNSTABMASS.ie. • Department of Health Safety and�Environmental Services MASS. t639• �0 - �Fo 3 Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner z Inspection Correction Notice Type of Inspection k-) n "k Location 9 ��t-u`iAA Permit Number g Owner p►JV t L j Builder i . One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: - 1�� 2N vD r) Y-N v,- S+ate- -- 1 Please call: 508-790-6227 for reeinspection. Inspected by Date �a� 9 I f �tNE ip,_ The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services MASS i0yq. �0 N. Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location (4 Permit Number q S � c Owner �3 L D N l S Builder �J One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: nu A&k- C tN i&.\(.S _�G�.�17 D : S;�_- �Ro t�v`lZ Sc-e-sec\ PvV-C�4, �� —oL��1Z. 'T�i� o`ie ►? G E�ZA�� D G KA PFy ep- i r-s L.S N G F , I, F2 PVL/VLs I d Please call: 508-790-6227 for�reeiinspection. Inspected by Q Date - 6 a v J "-�'ilULS P. r.. .... r--., .. .{r. _... .�. .w;-'(n:"*i.'.. e T.�'K".- �'+.1#si;:•'""3'-`-.Y,t�r.�`,a.�.. aC�� The Town of Barnstable M;� Department of Health Safety and Environmental Services 019. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph CrDssen Fax: 508-790-6230 Building Commissioner Inspect" ion Correction Notice September 13,1995 Type of Inspection electrical PAUL DAVIS OWNNE Location ( Hezekiah' s Way permit Number 630-8696 Owner Paul Davis - Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: A payment fee of $25. 00 ,reinspection required. Rough wiring was debied on 9-08-95, reinspection asked for and no work had been completed as of 9-13-95 Install all exterior boxes Install exterior fixture at rear slider Lower bath fan( " below straping) ----Lower ceiling box front hall Plaster ring required on 2nd floor hall ceiling light .. 1 Master bedroom closet light RElocate 24" from wall if incandescent Change 4" pan box to .6". c.u--4 c..0 not approved for fixtures (dining room) Pigtail wires with more than two cables in common box to device. several nm cables not stapled within 4} ' (garage and ceilings) NOTICE REJECTION STICKER WAS REMOVED FROM 9-08-95 NEW CARD AND STICKER PLACED ON WINDOW AS OF , 9-13-95 DO NOT REMOVE: ROOF OVER FA14ILY ROOM HAS NOT BEEN SHINGLED AND RESULTED IN THE ENTERANC OF WATER TO SAME OF THE WIRING IN THAT AREA. Please call: �08-790-6227 for reemspection. _ a Inspected by R.H.WESTON Date 9-13-95 nau2. pe.>; ' .5ep•t z des�.a�c /x� ,_,...lift' I• o P►t itA coWelIls., C44bwteA •Cow 330 )d -C'eaclu atea 296 a� r E 296 nand w Ca�acttr1 S41 qpd rz� �• I cobG / ;moo r... _• . • U ��' • • 1'ftoPas�ts h� . ISO Po \ 0 ? "cc Q /48 JO 7 \�.` \ , Ljigs No Ce,�la t SO ' WL r89a qk rn T Stte-et esca& 1 "-SO ' 0 1-2?-9S date SO ' ;aide 1314 Rev, 4-•zs-qs 0 2 catc% � A . .. IZ4.0 aALi o o I C Cn{�e IdatGo�t 1?oad . . . • 2rtrii�, Oq 02601 - SkacA Noun o f And .i.n .-Weat_ i3a4,14 t to . M :. ........:: 90 .ah:Pt on 'a p(a;i o:�.:,rp . •:sto4d.onc C4ta t"'I Cteuation& cute on an aitneed data&-. � e-----Trq ;-- adze r3oaiccro �ea�,t�l 1 z*r i • �t 'i:: 11/02,194 17:02 '$6177277122 DEPT IND ACCID r 001 o/nrnoltuiea&L o/ Mai.JaclzttJetb — alJaParfinenf o��uafria[,_/�dcci�nf.� /n�600 E�o 1/Vcr��unrfoir'�'frRef James J.Campbell efon, MaesacLinffs 02f f f Commissioner Workers' Compensation Insurance Affidavit 1, �a� �� - (1lansecrpetm�a) with a principal place of business at: 1�t, LJ (ccyisniizia) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number () I am a sole proprietor and have no one working for me in any capacity. [ am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the foilowin ere compensation policies: G r Ae, R v na D us SQA cContractor Insurance ComAuiyi licy Number on \J A t,\ S 01 e_ 0 CG ;" r, Contracto1 cr \ r (� Insurance Com any/ olicy Number h \ le (-' o f e- y C, e_,ko r- Contractor Insurance Comp ny/PPlicy Number () I am a homeowner performing all the work myself. I understand that a copy of this statement will be forwarded to the Office of investigations of the DTA for coverage verification and that failure to secure coverage as required under Secdon 25A of MGL 152 can lead to the imposition of criminal penalties consisdne of a fine of up to S 1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER` and a One of S 100.00 a day against me. Signed is day of FeL J C_ 11 ,_ 19 93 Licensee/Permittee Building Department Licensing Board - Selectmen's Office' Heath Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404,~405, 409, 375 TOWN OF BARNSTABLE BUILDING PERMIT li _ 7�3� f - TOWN OF BARNSTABLE. . BUILDING DEFZ—�'=N_EN^ Please print. -- DATE JOB LOCATION �CA 13 Number Street address -:Section of;:to wn= - "HOMEOWNER" - ROA 1 Name Home phone:-, Work phone-.;:;, PRESENT MAILING ADDRESS Qt ' � .'�� ` • ... .�-;�.`� ::.-;•:.j, -:=�-;.-s:�V::;� . . ."�� '•n �.i� "tea G� \ h .. City town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor_ DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"• shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply ith saaid/fproced res and requirements. HOMEOWNER`S SIGNATURE r.' C_�C� APPROVP• OF BUILDING OFFICIAL Note: Three _`a-ii1y dwellings 35, 000 cubic feet, or larcer, will be required to comply with State Eu ldinc Cc'de Section. 127 . 0, Construction Control. i i i /^N// � �� V I; { I ' � IS Application to Old Kinis Highway Regional Historic District Committal in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS p ication is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, s and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs ccompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construcvz� w Buildin ❑ Addition ❑ Alteration Indicate type of building: ;arage ❑ Commercial 2. Exterior Painting: ❑ Other 3. Signs or Billboards: ❑ New sign ❑ Existing sign g ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements), n _ TYPE OR PRINT LEGIBLY I DATE 7-5 ADDRESS OF PROPOSED WORK I /I ASSESSORS MAP-NO. Q OWNER�& L-y)ac.v� ASSESSORS LOT NO. HOME ADDRESS TEL. NO.4,J2 —7 23 D 7V/ FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). I L 3 — AGENT OR CONTRACTOR TEL. NO. ADDRESS 9 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. I n the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). rolloi� C6%-" Signed /�/) 1.1- 7 wner-Contractor-Agent Space below line for Committee use. ---Received by H.D.-C. Date The Certificate is hereby a_744 -t,-,Lj Da Time PR - 31995 r By f'F SARNSTABLE NJ 7 �W ri'V VriY x Approved ❑ IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ Town of Barnstable -- ' Old King's Highway Historic District Commission SPEC SHEET FOUNDATION SIDING TYPE t, YeZ)0k6'?41`y�COOR CHIMNEY TYPE_&�//i COLOR ROOF MATERIAL COLOR / � Z PITCH WINDOW ip �U SIZE TRIM COLOR�Z4 DOORS ° COLOR SHUTTERS U GUTTERS DECK ,IZ7"4 GARAGE DOORS_ l COLOR LI NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this 0 form are required for submittal of an application, along with three copies each of the plot plan, O® Q landscape plan and elevation plans, when 0 applicable. Plot plan need not be "Certified", D but should show all structures on the lot to scale. y SPECSHT N a K'� 1 �1G 2160 /-z'.►•F.�'/��'�y�,f ' •��// r. ��'�' �\ �� 5 LOB c 4- Zv,/o- IPA • I T :� ol3 (g A"1 -� ./'per..••• . � ° 2 ioCo /,L� Is �1L r W e �- t S � � � rA r •r p •�' • � S. S 45eId• 1 g � oo ; r n IJ g4 �� Z�� P_.( .e1�°�' ! _ \►.14-5•i :�_54E vo IN,tp 0.0 � , to �'- �� b 0 � '•-- - "rtA ~`��:.; 5 �Z t oC-VII,_ : s s Cr' aoc� good +re-c- Vo- r ;o oik)e-c'S Application to 54 . Es Old Kings Highway Regional Historic District Committee . in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition X Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other` CterAed % A por-c-k 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 ADDRESS 70POSED WORK 9 f�eZe ��'G ,5 &25,y' ASSESSORS MAP NO. OWNER v U LS ASSESSORS LOT NO. 0 d HOME ADDRESS TEL. NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). II FL I A AGENT OR CONTRACTOR TEL. NO. 2� -7 S d� ADDRESS 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). I CZ .>C 1 .01, 5 C r e e,n e ✓� r'C ippo D Signed Owner-Contractor-Agent Space below line for Committee use. RF ceived by H.D.C.,_,__ ^�- T rtificate is hereby a d e Date�4�T rr ,--Fi�t3 111,41 or�B�. By ,I'4G'S Hi:'H%NAY Approved ❑ IMPORTANT:/ifCertifica/ispproved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ 1 aA Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOW ,jr r-ee .� SIZE TRIM COLOR DOORS COLOR SHUTTERS GUTTERS DECK 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 O applicable. Plot plan need not be "Certified". D but should show all structures on the lot to scale. SPECSHT i Q gem pit, W-7497 I -- .17ade- 1 23`-90 r peso .Ged�s 2 „ten. p 1r ' �+ iepu•�- d4iSQ.� t ' ' 1•tOde Pa`_ t �- - ' No bed aroma 3 stP� m.ithD44PO441 no 2♦; 1�11. 1 . N co � &mated itow `330 gpd Euis .4e4chin f a4,,m 296 •e dtedl.X+ie 9e4.&we rr 296 flag; .a ; awu[ cq aci,u� 541 d C° lee 7 +; IF 'Ire ' f. Pao,bslfe _ f *131.Ijet I 4 " --_ N. ��•F� .dot 13 - . . .050 t�yz i _i_ �.ki�rh • 0• ! 50 m s . ; Cep �8pt L�'q4 �ca.Le 1"-SD► : : : . tUU 1-23-95 50 midi ' . = o 2 crotch - - 1 - i _ -it ; ,w Cvp W . II 49 liab 4 Po'a teen of = 1 kgaraa 4, M? 02601 : I-"1•=• T Sketch Pin of :eared .es! 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Pl-'j AD-,-r4vh lZtl- f�-O� 4: DL + 2/'Z'12 Im %i--A 4r-)C-o e.-T is L A J r' cc co'c 41 "41144 —At- Pa-c 43 .-0 + 'Z 07i BOX pwr_J inc-lc,will MUST VERIFY ALL DIMENSIONS and,'or ex NOTE: PRIOR TO CONSTRUCTION,CONTRACTOR islinc hfo(,)an r camp.-r�W'6 ronC13ions or assurne the respons7 b;!�,y t eV5 discreparcies or inconsisiercies not bmug I hc a Itention of the desirjnrt� 0 �A 4 Z �^ OR PiNE© Tj S woap RonU C w �MA - jts all about the -WOO • 10' 1 Z' LOFT SHED _ x - - CH�Tf-f�M Scale:.1/4 = 1.� (Elevations r REAR LEFTems. x12 I RI04T ` FLOOR FRAMING SPECIFICA�IONS) (2 x g Pressure Treated @ 1 . FRONT - 77, �,� 6-1 T-7 . �.. 130. IT C gPifi rJFj �•a • { M�Q• OHO wv i,�Q n .O •rr..r n O vvti:-✓U O/van v O. C v l SCALE: = APPROVED 9Y DRAWN BY I DATE' aI�S1 cl�