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2440 IYANNOUGH RD/RTE 132
y �=- � t e o IIU � a NPC 12543 os 3LOR TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 27:1p Parcel a16 0 V,�2 Application # _( S Health Division Date Issued Conservation Division �y Application Fee Planning Dept. Permit Fee -77 5_, Date Definitive Plan Approved by Planning Board P O Y" OP - OKH Preservation / Hyannis W Project Street Address p uyo T'.��„vacx,+�2n Village Owner &aec- VAA m nn Address l a o -1 pro t yo,_gccjf) U,9.,Ag js-rA6(_c- Telephone 15 cA --3 7 S -6c1 L1'b Permit Request _h0,n,)r Q;f-00,vp 'Tc MP FaOL Y'` �2�m� 17aAmi? (2 1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes - ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing newN o -� Number of Bedrooms: existing _new �� � _C) rp Total Room Count (not including baths): existing new First Floor Room Count o w Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other -a Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:0 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: -Z Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name M Telephone Number 0 8 - Address 1!Io JSo-moconon Lu. License # GJ.i�aaN�,�c 6 av6S6 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO .a ` I SIGNATURE ciim.•✓ DATE ,k t r. x FOR OFFICIAL USE ONLY APPLICATION# ;. DATE ISSUED MAP/PARCEL NO. ,T ADDRESS VILLAGE OWNER r� f DATE OF INSPECTION: G FOUNDATION r FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL . FINAL BUILDINGlw DATE CLOSED OUT 1 ASSOCIATION PLAN NO:-� f j F The Commonwealth of Massachusetts Department of Industrial Accideiits 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 Leebly Name,(Business/Orgaaizadon/Individual):. `g((l Address: City/State/Zip: i/1/I A oat 6Y� Phone.#: �'�,�. `3 7 S —09-a: Are you an employer? Check the appropriate box: Type of project'(required):. 1.❑ I am a employer with 4. .E] I am a general contractor and I * have hired the sub-contractors 6 0 New construction. t ti . .. employees(full and/or parme).. 2.❑ I am a•sole proprietor or partner- listed on the'attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have ' 'g• Demolition working for me in any capacity: employees and have workers' co insurance.$ 9. Building addition [No workers' comp.insurance. mP• required.] 5• ❑ We are a corporation•and its 10.❑•Electrical repairs or additions 3.R I am a homeowner doing all•work officers have exercised their ILEI Plumbing repairs or additions. myself. [No workers' comp. right of exemption per MGL • 12.❑Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below.showing their workers'compensation policy information. t Homeowners who submit this 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-cont actois and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 'lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: 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 e. 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains•and penalties of perjury that the information provided above is true and correct~ Signature: x� Date: {Phone#: -d C)- U Official use only. Do not write in this area, tb be completed by city or town officiaL• City or'-own: Permit/License# Issuing Authority(circle one): .'X Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5:Plumbing Inspector 6. Other Contact Person: Phone#: . Op1HE t Town of Barnstable Regulatory Services BAatvsrwaLE, Thomas F.Geiler,Director y MAss. 039. .��A Building Division AjFO�,t Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: ';L 44 ��/ftNN DUC-I L l c� J's number street village "HOMEOWNER": G2C rrn2y \ . 1`1Yh 11'1 DT5 37S""—�9y�, �11 7 '#-I�-6 name home phone# work phone# CURRENT MAILING ADDRESS: ► �p �/ ����. �/LI W �A �sva y �? Yy11� oat 6 $ 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 homeowners to engage an individual 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 reside,on which there is, or is intended to be,a one or two-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 State Building Code and other applicable codes,bylaws,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 with said procedures and requirements. / 27b... Signattre of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code.Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work;that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&'Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may caret amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ocIHE rqf, Town of Barnstable Regulatory Services snartsrws[.e, Mass. Thomas K.Geiler,Director 16.39. 6. Building.Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: .508-790-6230 Property Owner Must .Complete and Sign This Section If Usint A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit. (Address.of Job) *Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 I ' � MMIMI • • - b nanera natural de destruir bacterial y algas! El Sistema de generaci6n de Cloro de Intex hard que se o(vide de los peligros del cloro tradicional y del coste.Es facil(simo de usar. —` e• Facil de instalar, tan solo anada una pequena cantidad de sal y su piscina estard mas limpia, fresca. La nueva funcivn de iones de cobre evita que crezcan nuevas algas y bacterias mientras que el sistema Saltwater ataca las algas y bacterias ya existentes.Las dos funciones trabajan simultaneamente manteniendo su piscina increiblemente limpia( Sistema de cloracion Salina Piscinas sobre suelo pequenas Intex#54601 Saltwater System CG-54601 (Para clientes que ya tienen depuradora) l ' Para tener el agua limpia,clara y fresca tan solo anadir sal a su piscina 1 (3 kilos por cada 1.000 Litros) :• Facil de adaptar para las depuradoras de Intex(se necesitar3n como _ minimo 2.650 hasta 15,140 L) �� ' :• Apropiado para piscinas de hasty 55,000 Litros horas. ! � :• Compatible con las mangueras de 3 cm o 4 cm. ¢• Panel de control incorporado para controlar las horas de funcionamiento. �t'' f• Sensor de alerta de las condiciones de funcionamiento. -- ❖ Sistema de auto diagn6stico que prolonga la vida de su clorador. 4• La sal no se evapora, a menos que Be eche el agua fuera,por to que 1 no tendra que estar continuamente echando sal. Especificaciones de la Sal La sal pura es barata ademas de poder adquirirla en grandes superficies comerciales, tiendas de piscinas, en sacos de 4a6O Lb. Funciona en conjunto con un celda electrolitica recubierta de titanio WW11iL•iJ�l•�TTJJ I 1 y electrodos de cobre Para mantener el agua de su piscina absolutamente limpia. [ ] 1. BAJO COSTE: La sal cuesta aproximadamente entre unos$0.15-$0.20Ll11S1�J�� (basado en los precios de Estados Unidos). 2. Sacos de 40-60 Lb. Puede encontrarlas en grandes superficies,en ferreterias y en supermercados. 3. BAJO NIVEL Vs OCEANO. Si se utiliza de manera adecuada la sal es casi imperceptible.Tan s6lo notary que el agua esta limpia,fresca y clara. I •Contenido de la sal en un oc6ano: 3%. o •Concentraci6n de sal en lagrimas humanas:0.9/o. •Contenido de sal en una piscina: 0.3%un 10%de la sal en el oceano. • U INTEX® s �y. - �• - tp2009 Intex Marketing Ltd.-Intex Development Co.,Ltd.-Intex Trading Ltd. tc -- 7 iz •Intex Recreation Corp.All rights reserved.•Printed In China. 1' 't QD-Trademarks used in some countries of the world under license from _ Intex Marketing Ltd.to Inter Trading Ltd.,Intex Development Co.,Ltd., G.P.O Box 28829,Hon Kong,and Intex Recreation Corp.,9 9. P.O.Bo:1440, ,� •'pr l- _ _ Long Beach CA 90801. • I I � � Intex Recreation can help make faufupo '�o — experience even more enjoyable: Say goodbye 'to burning`eye chemical storage, and the other hassles of packaged chlorine: Say hello to swimming in incredibly clean, clear, fresh water with less maintenance! A _ a x Have more time to enjoy your pool while swimming in sparkling, clear water! SAFETY: Virtually eliminates the need to constantly buy,handle,and store pool chemicals. ❖Saltwater pools offer a better swimming environment than a pool treated with traditional packaged chlorine. COMFORT- 44- No more red,burning eyes,dry skin,or faded swimsuits. 4•The salt level is so low it is undetectable! All swimmers feel is clear,clean,fresh water. CONVENIENCE: An easy control panel adjusts running time to different pool sizes. Eliminate bacteria, Built-in timer automatically turns system algae,and other on and off every day. b contaminants `* i Pool maintenance is easier. ` -..f. without dangerouspackaged chlorine. j 44-Lower operating cost. 1 i y- if, iflatural Way to Destroy Bacteria and Algae _ Intex s automatic Saltwater System allows pool owners to eliminate the costly and hazardous use of traditional packaged chlorine. And it is incredibly easy to use. r 0 Simply install the Saltwater System,add the specified amount of salt,and you'll transform your pool into clean,clear, fresh water continuously! New copper ionization function prevents bacteria and algae from reproducing while the saltwater system attacks existing bacteria and algae.Together, these two functions keep your pool sparkling clean! Saltwater System for Above Ground Pools x Intex#54601 Saltwater System CG-54601 (for pool owners with an existing filter pump) For Incredibly clear,clean,fresh water,add natural salt to your pool water ppe time for continuous performance(25 tbs.per 1,000 gallons of pool water) ff 0 Easily connects to existing filter pumps(filter pump needs flow rate of f 700-4,000 gallons(2,650-15,140 L)per hour). Suitable for pools with a water volume up to 14,530 gallons[55,000 L]. Compatible with 1-114"(3 cm]or 1-112"(4 cm)filter pump hose sizes. I , Control panel with built-in timer allows user to pre-program operating hours. J R� w Flow sensor alerts user to operating conditions. --- ' 3 Automatic self-cleaning operation prolongs machine life. Salt does not evaporate when water evaporates, so unless water is lost from splashing or draining the pool, it never needs to be replaced! Salt Specifics Pure natural salt is very inexpensive and widely available at most l ' '� supermarkets, pool supply stores and other retail outlets in 4a6O lb. , LLU M1799ftivi (18.2-27.3kg)bags. It works in tandem with the titanium-coated �Q® electrolytic cell and copper electrodes to keep your pool's water I l , incredibly clean. (�}(M 1. LOW COST: Salt costs approximately$0.15-$0.20 cents per pound(based on current U.S. retail prices). l 2. Widely available in 40 lb. (18.2kg)to 60 Ib. (27.3kg)bags. Can be found at hardware stores, home supply stores,plumbing material stores,supermarkets, and pool supply stores. 3. LOW SALT LEVEL vs OCEAN WATER:When properly used in your pool,the salt is LL1r� l.Ti C� not even noticeable.Your pool water feels like crystal clear, clean,fresh water! •Salt level in ocean: 3% •Salt level in human tears: 0.9% •Salt level in pool:0.3%,which is only 10%of salt level in the ocean INTEX® 02009 Intex Marketing Ltd.-Intex Development Co.,Ltd.-Intex Trading Ltd. rz -Intex Recreation Corp.All rights reserved.•Printed In China. ��••� 0^Trademarks used in some countries of the vrodd under license from y -t Intex Marketing Ltd.to Intex Trading Ltd.,Intex Development Co.,Ltd., G.P.O Box 28829,Hong Kong,and Intex Recreation Corp.,P.O.Box 1440, Long Beach CA 90901. R%NI I HUI ' I Inter q Recreation puede lograr ue disfrute_au mn asp--- -- de su piscina: Diga adios a las ojos rojos, a ma productos quimicos y cloro. Diga kola a nadar en una piscina completamente limpia, 1 can el agua clara y fresca y casi sin mantenimiento. PW Tenga mas tiempo para disfrutar de su piscina con el agua mcis limpia y Clara SEGURIDAD: Elimina el peligro de tener que manipular y almacenar productos quimicos. Las piscinas cloradas ofrecen un mejor ambiente para los usuarios de las piscinas. COMODIDAD: :•No mas ojos rojos,no mas piel seca ni ropa de bano descolorida. La concentracion de sal es tan baja que pasa desapercibida!Los nadadores solo sentiran el agua fresca,limpia y traslucida. a CONVENIENCIA: Un panel para poder ajustar las horas de funcionamiento al tamario de su piscina. Elimina bacterias,algas :•El temporizador interno enciende y apaga 1' y cualquier contaminante automaticamente el sistema todos los d!as. b del agua sin necesidad EL mantenimiento de la piscina ahora mucho mas facil. i' de utilizar productos i . cloro peligrosos. •'r Bajo costo de funcionamiento. 1 L7J I 1 Le syteme Intex Recreation- rend uotre experience:Fiscfne encore plus agreable : Adieu les yeux qui piquent, les produ is dangereux et tous les autres tracas His au. chlore! �- Nagez desormais daps une eau incroyablement propre, claire et fraiche auec tres peu d'entretien �J Profitez plus longtemps de votre piscine tout en nageant dans une eau claire et petillante ! SECURITE : J Elimine pratiquement'le besoin d-'acheter,manipuler et stocker des produits chimiques pour piscines. 3 Les piscines a eau salve procurent un meilleur environnement pour la nage que les piscines traitees avec les traditionnelles pastilles de chlore. 1 CONFORT : ❖Plus d'yeux rouges,de peau seche,et de maillots decolores. ❖ Le niveau de salinite est tellement reduit qu'il est indetectable!Ueau est ressentie comme etant claire,propre et fraiche. COMMODITE : :• Un panneau d'utilisation facile permet d'ajuster le Elimine les bacteries, temps de fonctionnement suivant la taille de la piscine. les algues,et autres La muniterie comprise met le systeme en marche _ b contaminants sans et 1'eteint chaque jour. - utiliser de produits •: Entretien de la piscine facilite. chlore dangereux. Cout d'operation reduit. ��#y—q#:sur et.nature/ de detruire les bactieries et les algues �sterilisateur.automatique au sel Krystal Clear�' d'Intex permet aux possesseurs d'une piscine d'en finir,avec ('utilisation du systeme traditionnel au chlore,couteux et au r6sultat al6atoire.D'autre part,le st6rilisateur au sel est incroyablement simple d'utilisation. - •:• ll vous•suff)t d'installer le systeme d'eau salve de votre choix,d'ajouter la quantite de sel require,et votre piscine dispose en permanence d'eau claire propre et fraiche If o Le nouveau systeme d'ionisation cuivre-argent empeche les bacteries et les algues de se reproduire,et le systeme d'eau salve attaque les bacteries et algues existantes. Ces deux fonctions gardent votre piscine impeccablement propre! Stdrilisateur au sel Pour piscine hors-sol �I I Intex#54601 St6rilisateur au sel Krystal ClearTm CG-54601 < w, (Pour piscines dEje Equipees dune pompe filtrante) y Pour une eau Incroyablement propre,douse at Iimpide,ajoutez ya@ tols du set natural dens 1'eau de votre piscine pour une action longue durde(3 A 4 g par litre). ❖ Se connecte facilement aux pampas de filtrations existantes(la pompe de - filtration necessite un debit de 2650 a 15140 litres par heures). e• Convient aux piscines avec un volume d'eau de 55000 litres. !' C• Compatible avec des tuyaux de pampas de filtrations de 3 ou 4 cm. 1++ I t• Panneau de contrtile avec minuterie incorpore permettant de programmer les periodes de fonctionnement. :• Un capteur de debit avertit I'utilisateur des conditions de fonctionnement. 3 Nettoyage automatique pour une duree de vie de 1'appareil prolangee. Contrairement a Peau,le sel ne s'evapore pas,it est dons inutile den rajouter ou de le remplacer if mains qua de 1'eau Wait ate perdue par eclaboussures ou vidange! A propos du sel Le sel pur natural est tres bon march6 at facilement disponible dens la I l 1:1:C7 I I m plupart des supermarches, magasins de fournitures pour piscines at I , I mLLll autres distributeurs, an sacs de 18.2 a 27.3 kg. Le systeme fonctionne LLII� parallelement avec la cellule d'electrolyse revi tue dune couche de titan I 1111171:J r ansi qu'avec les Electrodes de cuivre, at garde votre eau de piscine F , incroyablement propre.— �� 1. FAIBLE COUT: Le sel coOte approximetivement entre 0.15-0.20 par kg. 2. Largement disponible an sacs de 20 a 30 kg. Disponible an magasins de I IT TT 1 1 I bricalage, de fournitures pour la maison, de fournitures pour la plomberie, an supermarch6 at magasins de fournitures pour piscines. • ' I r 3. FABLE CONCENTRATION par rapport a 1'OCEAN: Utilise correctement, le sel West meme pas decelable dens I'eau de votre piscine. Ueau de votre piscine parait claire comme du cristal, propre at fraiche! •Concentration an sel de('ocean: 3%. •Le niveau de salinit6 des larmes humaines est de 0.9%. •Concentration an sel de le piscine:0.3%, representant 10%de la concentration an sal de('ocean. �INTEX® li ar •" ''` 02009 Intox Marketing Ltd.-Intox Development Co.,Ltd.-Intex Trading Ltd. -Intox Recreation Corp.All rights reserved.•Printed In China. ®'"Trademarks used In some countries of the world under license from Intex Marketing Ltd.to Intex Trading Ltd.,Intox Development Co.,Ltd., O.P.O Box 28829,Hong Kong,and Intox Recreation Corp.,P.O.Box 1440, "'�� Long Beach CA 90801. • /ZovT� Gam'• • - 3/Z77 IV L�. v C, / e `17 K1, i I -certify that this pro erty is located CEfdT I FI ED PLOW PLAN In.flood hazard Zone C °.outside: the 500 year flood) . ae identified by the Depart was LOCATION ment of Housing and Urban bevel opme.nt(HUD) SCALE �. ..: ..... .DATE AMR.,Z.SZooS' PLAN REFERENCE . O�i,vG L/aNa Date /`9i�e zs 2cr�S . S�oWN /.t/ �� B�. 7L� R® :7a3itsS:ui?Yeryor /ys'Z � ocf7;oF , /i-�x/Noe.,6N ... /��. K . :"r19./3Z�. . . . . .. . . . :. . CERTIFY THAT THE �3�/�!G D•�/L�G!a/6 I certify ,To J.P./9; .4.5e 6QNKI V SHOWN ON THIS PLAN IS LQCATEO ON THE GROUND. that there are no visible enoroaphments' As,S"OWN. HEREON. � or easements exoept ae shown and. that :this plan wae;,.prepared under my immediate �`!,a¢,iSzoaA supervision, o ... ..�. . ... / ATE •GIr—Rlts.a -G�2Cca/L:y �AM/> 1onAs �1, ��AMrI ��T REGISTEAED LAND SURVE R TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION l ,rrV OF �lRP�1ST�i ( ' Map �l Parcel ~ v `� 2013 OCT _2 `' r 0: p4 Application ! F 7/ Health Division Date Issued Conservation Division . Application � Planning Dept. VIS10ty, Permit Fee 1 �� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address J 5L iZ¢/f_.9 Village w. Owner "Ptle 1 /��s� Address la* Telephone Permit Request �a 12" /]���7��G'���,����o� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Kjfdo, 0 Construction Type�7 �� Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family id Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ,s'No On Old King's Highway: ❑Yes 4ff-No Basement Type: 0 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: 0 existing ❑ new size_Pool: ❑ existing 0 new size _ Barn: 0 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Named�e Telephone Number L�V dC 77,5-�/ Z Address le 62 License #mil Home Improvement Contractor# ls5 L5 4 7 Worker's Compensation # eAod 15%?. of ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �i SIGNATURE DATE J / -�T r FOR OFFICIAL USE ONLY APPLICATION# ` DATE ISSUED i MAP/PARCEL NO. ADDRESS VILLAGE r OWNER f . i DATE OF INSPECTION ;. <f�FOUNDATI.ON � �w;a ��Ej :s•�:.ryurnu:.: FRAME . � r.�.®.F• .s,� fs "]NSULATION. k FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING S DATE.CLOSED OUT ASSOCIATION PLAN NO. i ,�,) �,, �.l,Qss:acllusccls - I)cll:u'Uncut ul�Nublii 1afc1� y ISuartl of Iauifdin�� I:e�ularuul.N and til:uldartls %b Qonsu'u•ptiolt^Supervisor License CSY 100988 HENRY CASSIDY ' a SHED `' 4 ;she ROW •� �,� ,�;�,�:�, WESil- \JARMOUTH, MA 02673 '—: -_� _ . •,__. ��- Expiration: 11/11/2013 Tr'w 7620 r..c: �c.2� r, a. Ja�r,L: l'll-J ' 1 0k1-Ice of Consumer Affairs and Business RegUtatloll 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 l Lome Improvement Contractor Registration Registration: 15J567 Type: Private Corporation Expiration: 12/15/2`bl4 Trlf 233031' (,API_ COD INSULATION, INC II NRY CASSIDY 18 REARDON CII;,CL.E SO. YARMOUTH, MA 02664 ........-.............. _.. ....._ . ._ Update Address and rcturii card. Mark reason for change. t.� Address CI Renewal � I ItIm lluyulenl I I Lust CIlrll :,rn.�cru:In ui,L•r ui Consumer Affairs Business Itegulatioll License or registration valid for indivitlul use.only =•lI{OME IMPROVEMENT CONTRACTOR belbrc the expiration date. If found rcturn to; �uyistration: 153567 Type: Oftice of Consumer Affairs and Business Regulation ? ' Expnal,ow 121"1'512014 Private Corporativii Ill Park Plaza-Suite 5170 Bostun,MA 02116 I1u1),NNHLATION,.'INC,' N-i0 CASS111'i M.Akl-)�)N CIRCLE: tall llersecre to ry Ot val, wlth0 I Ilat re The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): /%/�� �6� a 1. �i/,Y 7If9 Address: City/state/Zip: Phone #: Are you an employer Check the appropriate box: I am a employer with. 4. ❑ I am a general contractor and I Type of project(required): 1. employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction i 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' ! [No workers' comp. insurance comp. insurance.t 9. ❑ Building addition required:] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their I❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no 3a.❑ I am a homeowner acting as a employees. [No workers' 13.0 Other general contractor(refer to#4) comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation olicy information. t Flomeowacn who submit this affidavit indicating they am doing all worst and then hire outside contractors must submit a new affidavit indicating such. tConau-mrs that chock 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 worken'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:� �,Q,S/�f� Policy#or Self-ins. Lic.#: Expiration Date: ` Job Site Address: City/State/Zip: 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 S250.00 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 tern, nder pa' and penalties of perjury that the information provided above is true and correct t Da U Ph Offlcial use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): L Board of Health 2, Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: I CAPECOD-27 MYOUNG DATE(MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE __1 7/8/2013 rHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsernent(s). t-1<UnucER License#PC-514062 _ coNracr NAME;Rogers&Gray insurance Agency,Inc. PHONE Margaret YoungT'— FAX- ------� 434 Rto 134 IAIC.No.E t: South Dellllis,IVIA 02660 E-MAIL nl Oun r0 erS ra COm ADDRESS: y g g y. INSURER(S)AFFORDING COVERAGE NAIC 11 INSURER A:PEERLESS INSURANCE COMPANY IMSUKED INSURER B:COMMERCE INSURANCE COMPANY Cape Cod Insulation,Inc. INSURER C:Eva nston Insurance Company 18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth IUTA 02664 INSURERE: -_--- - __ INSURER F: _ COVERAGES _ _CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TINS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 1'D ALL THE TERMS, FXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR -- ADD_T SUB POLICYEFF POLICY EXP — —__I OF INSURANCE WvD POLICY NUMBER MMIDD/YYYYI MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $�— 1,000,000 bRIv1AGE TO RENTED A X t:0_MrAERCWL GENERAL LIABILITY CBP8263063 411/2013 41112014 PREMISES Ea ocaln'onco _ 5,00 $ 100,00 CLAIMS-MADE I X� OCCUR MED EXP(Any one person) PERSONAL$ADV INJURY_- $_—_- 1,000,000 rCE AL AGGREGATE $ -_ 2,000,000 1 GEN'L.AG(JRE�GATE�LIMIT APPLIES PER: CTS-COMP/OP AGG $ `2,000,000 — POLICY._[._L[RCS�Z_L—L�OC E AUTOMOBILE LIABILTY IED SIIV LE LIMIT denl $ 1,000,000 ANYAUI'O 13MMBCKVMK 4/1/2013 4l1/2014 INJURY(Perpoison) $ ALL.OWNED SCHEDULED AUTOS X AUTOS BODILY INJURY(Per accident) $ X nIHED AUTOS X NON-OWNED PROF RE Tl bAMAC' E------- ._ AUTOS PER ACCIDEN _ _ $ X UMBRELLA LIAR X OCCUR __EACH OCCURRENCE $ 1,000,000 C EXCESS LIAB CLAIMS-MADE XONJ453512 4/112013 4/1/2014 -- _ AGGREGATE E _ 1,000,00 �RET'ENTION$ 10,000 $ WORKERS COMPENSATION I WC STATU- OTI'I- ANO EMPLOYERS'LIABILITY L I' _ I D ANY PROPRIETOHIPARTNER/EXECUTIVE Y I N WCA00525904 6130/2013 6/30/2014 E.L.EACH ACCIDENT i $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A(Mandatory In NH) E.L.DISEASE-EA EMPLOY 1,000.000 It qos,descllbe unclerOPERATIONS below E.L.DISEASE-POLICY LIM 1,000,00 1 UESCRIP'I'ION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,it more space is required) Workers Compensation includes Officers or Proprietors. Acicltlollal Insured status is provided under the General Liability when required by written contract or agreement with the Certificate Holder. I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. i AUTHORIZED REPRESENTATIVE I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD j 13. The Parties ackrm4edge that ft Agreement is under seal. It is intended by the Pardee that the Tenant or any successor Tenant is the intended bomfidary of the Agreement ark shall have a right of enforcement. Property Owner's Signature: Date 91asiLS, Phone: Address: S--rAbLE 11M CD-C$lD1;3� Tenant SIgnature_..._... Date ! ~/ Agency Approved N/ealherization Company All Cape Energy / Adam T.Incorporat /:Cape Cod Insulagori / Save / Frontier Energy Solutions / Lohr&Sons Inc. ! Resolution Energy Agency Signature Date IParcel Detail Page 1 of 3 SFIt faI Logged In As: Parcel Detail Friday, Aug Parcel Lookup Parcel Info Parcel ID 216-042 I Developer Lot Location 2440 IYANNOUGH ROAD/RTE132 I Pri Frontage 255 Sec Sec Road ROUTE 6-A (W.BARN) I Frontage 50 village WEST BARNSTABLE I Fire District W BARNSTABLE Sewer Acct I Road Index 0781 Interactive Map Owner Info owner HAMM, THOMAS M & GREGORY P I Co-owner Streeti P O BOX 13 I Street2 city W BARNSTABLE I State MA j zip 02668 Country US Land Info Acres 0.64 use Single Fam MDL-01 ( Zoning RF I Nghbd 0105 Topography Level I Road Paved utilities Gas,Well,Septic I Location Construction Info Building 1 of 1 Year 1983 Roof Gable/Hip I Ext Wood Shingle Built Struct Wall Effect 2478 I Roof Asph/F GIs/Cmp I AC None Area -------------- —--. Cover Type I style Colonial I wall Drywall I Rooms 4 Bedrooms I Model Residential I Int Floor Carpet I Rooms Bath 2 Full + 1 H , Grade Average I Heat Hot Air Total 8 Rooms Type Rooms http://Issgl2/intranet/propdata/ParcelDetail.aspx?ID=15407 8/1/2008 IParcel Detail Page 2 of 3 w M' Stories 2 Stories I Heat Gas i Found- Fuel ation poured Conc. , .. Permit History Issue Date Purpose IPermit# lAmount Insp Date Comments Visit History Date Who Purpose 10/25/2005 12:00:00 AM Jason Streebel Drive by inspection only 5/2/2000 12:00:00 AM Paul Talbot Meas/Listed Sales History Line Sale Date Owner Book/Page Sale P 1 3/31/2005 HAMM, THOMAS M & GREGORY P 19676/145 2 9/15/1984 LAVIN, DORIS R 4262/270 3 6/15/1984 LAVIN, DORIS R 4153/114 4 10/15/1980 MCNALLY, JAMES P & PM 3182/309 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2008 $216,600 $2,500 $0 $159,400 3 2007 $215,800 $2,500 $0 $159,400 4 2006 $209,300 $2,700 $0 $169,500 5 2005 $191,700 $2,700 $0 $154,100 6 2004 $155,800 $2,700 $0 $92,400 7 2003 $138,200 $2,700 $0 $59,000 8 2002 $138,200 $2,700 $0 $59,000 9 2001 $138,200 $2,800 $0 $59,000 10 2000 $102,700 $2,800 $0 $36,900 11 1999 $102,700 $2,800 $0 $36,900 12 1998 $102,700 $2,800 $0 $36,900 13 1997 $110,100 $0 $0 $28,700 14 1996 $110,100 $0 $0 $28,700 ; 15 1995 $110,100 $0 $0 $28,700 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15407 8/1/2008 i Parcel Detail Page 3 of 3 � L 16 1994 $111,100 $0 $0 $40,600 _ 17 1993 $111,100 $0 $0 $40,600 18 1992 $126,300 $0 $0 $45,100 19 1991 $122,500 $0 $0 $65,500 20 1990 $122,500 $0 $0 $65,500 21 1989 $122,500 $0 $0 $65,500 22 1988 $99,400 $0 $0 $24,000 23 1987 $99,400 $0 $0 $24,000 24 1986 $99,400 $0 $0 $24,000 Photos t http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15407 8/1/2008 -x Dx'W 1 �& p rF!,a l.rrgw$n. a* x a a N F ? {�w ?ih f `"s rw x+_ y' •w;..x� ,'fi! e r 25146 s i TOWN OF BAR NSTABLE Permit No. -- -- $ - --- B { i B 1 uilding Inspector cash y �,, �OYPYR , OCCUP ANCY PERMIT Bond --_-�Alf* Issued to J es & Phyllis McNally Address,4- 2440 Bouts 132,. West Barnstaple Wiring Inspector Inspection date Plumbing Inspectof° rvc Inspection date J Gas Inspectorrn.T� pyG q Inspection date r'^"s• Engineering Department`\ f P ,/„� ,.:+•F " Inspection date _ a!t�ld 'a� ':".,:s ✓.1� _/ter (' ,�,:z � jfI♦W,,,sue:.:-,.�-.^: .., ., •.- . ,. . / _ Board of Health ~ -fig e ✓ C�G4e Inspection date � - 6 THIS PERMIT WILL NOT BE VALID; AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ..... ...... _ � ......... "'Building Inspector FROM - 5�.;_ _.. TOWN OF BARNSTABL.E ,. • Francis Lahteine BUILDING DEPARTMENT 367 MAIN STREET HYANNIS, MA 026M e �y+w�wY Mw+MtrNs♦ sf�j�,r•'[`:'!r4 -Tum Clerk _ ,�,. .�_ .x Phone: 775.1120 SUBJECT: , FOLD HERE .DATE. •' - June 19 1984 MESSAGE Work has been6ccapleted under Permit¢#25146 games.,& Phyllis_McNally), - Please*release= ..-.����«�•�w ' • •• lY��•4'W.M Q'.w.a niSkC". o..♦fit r SIGNED - t .DATE ' REPLY .`• - 4, SIGNED Ne7•RMl RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY • , PRINTED IN U,S.A. SENDER: SNAP OUT YELLOW COPY-ONLY.SEND WHITE AND PINK COPIES WITH CARBONJINTACT.- ' Application to Ip �f �? PNEGH E l 0 � E,NS HpP Ep Old Kip 's Highway-Regional Historic District Commits 'p °� �R � •-__` -- �__ in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS 1983 APR3 Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: [� New Building j] Addition ❑ Alteration Indicate type of building: [� House ( ( Garage ❑ Commercial ❑ Other 2. Exterior Painting: 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). ��ff TYPE OR PRINT LEGIBLY DATE ADDRESS OF P 0POSED WORK se Z AA/KW /&1.2 "67" ASS�SORS MAP NO. o14 OWNER L110 lvet 040 //,Vc e9• ASSESSORS LOT NO. HOME ADDRESS dS 7���iJ/Ly//®4� ,�l/L� yA�,l/.� TEL. NO. :7�-5��.�G3J FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR TEL. NO. 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). Signed Owner-Contractor-Aot Space below line for Committee use. Received by H.D.C. Date The Certificate is hereby Date Time 1\ By `^r Approved IMPORTANT: If Certificate is approved,approval is subject to the 10 day appe eriod provided in the Act. Disapproved ❑ ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2. EXTERIOR PAINTING: An application is required for any portion .of a building, structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the following exceptions: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an.approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc. GENERAL REQUIREMENTS 5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. . •a 6. No changes shall be made from the original approved-specifications without advance approval-of the Commission on an. amended application filed with the Committee. 7. A separate application must be filed with each project requiring a Certificate of'Appropriateness. 8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation,- chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters —leaders, roofing and paint color. 9: Unless application is complete and legible and all material required is supplied, application will not be accepted or.acted upon. Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall. y .." b p a=�'�.... ... .... �vS r — c�w,�«r' �e Asses'sor's ma and lot n mb r .............. ,�j�� ' THE tp TAE .Sewage Permit number ........................................................ • T i House number ........................:-.......... ..............., p, . R All C, 10 TOWN RED lQNS 'it� TOWN OF ",BA'RNS,T.ABLE BUILDING 11SPECTO.R. i APPLICATION FOR PERMIT TO ... 3`c/�i� L°.:....°� ......... ° �.Q .............. ....................................'4 . ' TYPE OF 'CONSTRUCTION ..................... ..... ................................................................................... 2ZF�z . ................i9 3. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / Location ...........C ........ y � `....�� ,.. 3 .... !�!�2!iFl, ... ���f.. .�....... ProposedUse ....... ��eSl.. e�lc ....................................................................................................................................... Zoning District f.........................................................Fire District ..... !d .................................... Name of Owner .....:.�ArArns...Y..'. �y�/.'5...��7� �L. ..Address .....A5.... �i3i11�N:!e' . .... .......� Nameof Builder ............ ffm.G............................:.............Address .................................................................................... Name .of Architect .....(5' .eX W-7.4 ?/...............................Address ......ylvzo 4!�../9-.1......._.....f......................... Number of Rooms ...........................Foundation .........D.aay! P�.......eafl.�! ..................... Exterior ...... 7.A.4 .;.e...<i�-►^J9�d�0A.e Roofing ............. s!f �+91 ......`S!f�if ��i....................... 77 Floors ........ ... .x.......-.0 �? � ............. ........Interior �.y.�,�l� :.... Heating � f�s..'.a�. ........ LUe.......'...........Plumbing �.... �Q ...�, /�iS?1! �itAih r' /p00 " Fireplace ..... Sc'`✓........ASr !c lL.....................................Approximate Cost ..... ............................................... Definitive Plan Approved by Planning Board _______--_-_________-___-_-__19_______ . Area /, ...5 .......... 00 Diagram of Lot and Building with Dimensions Fee ........LIZ. '¢ ................. SUBJECT TO APPROVAL OF BOARD OF. HEALTH �� • 4 ` OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... '..a . ... Construction Supervisor's License ....!�!,g.(664r ........... McNALLY, JAMES & PHYLLIS 25146 2 Story No ..... Permit for .................................... ........Single....F a.m.i.1.y...D.w.e l.l.i.n.g .. ............. .... Location'..2.4.4.0....Route. ....1.3.2..........................West Barnstable ............................................................................ Owner ...James & Phyllis McNally ............................................................... Type of Construction ...Frame............................ .... .. .. ................................................................................ Plot ............................ Lot ................................ Permit Granted .....June..............3,......................19 83 .... .......19 Date of'O�WAr..9!7k ............ Date Com leted J Assessor's map and lot numb r .. ... ..... c... ,lrypS T — 4olc,ec�r >GiL THE _Fw✓���/ 3- �� .taa�y /f�dS� vac`..._ tx,/rrtr Q� sewage Permit number A ,. � _ i r 2 B� LE. r House number .............:............................... ....4................. 9p� aea 1639- TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...............Y?'� r..... ..:/.............................................................. TYPEOF CONSTRUCTION .....................wUv.. ............................................................................................. .................:7.....�..................i9 3. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: J _ Location ...........C4.2./Y��?:..o! f:.la� `¢....�� Z3a i9i2fy 7h'd�c��„%77,f1�....................... ProposedUse ........./Fes. �F/........................................................................................................................... ....... Zoning District Fire District �' s �/e ... .f........................... ................ ........................................................... /�/� �s ��G S" �P . riavo� �dca /�..gs�s�is. Name of Owner .......1�.9.rk-'s...Y.........f'1.......�f�............ ..Address .....1,:......,.... !l l.................... .............4 Name of Builder ...........Sf#rY1.E..........................................Address ....................... Name of Architect ..... ................................Address ...... 7 • ................................. Number of Rooms ........... .................................................Foundation .......�v" e.d........000!�� ..................... - Exterior ......S�XA7.. S....../. !.fr"...�G' •� �oAx . .Roofing �l r����l f .SiJi t....................... ................... ........................ LL Floors ........7 �F.......- . !9�? F.T:....................................Interior .......... fL d!,/mAg.................... a Heating .... .�!`�.:?....d1..1.`. i�v'�,c��Fe2-s-�............P(umbing :'....���.�2 -'�ljjE'�d.`��,1.c;,..��.itA{h....�-:.......�Z..-. '.... ...... d ` ea // Fireplace .....�!SC' ..crc. .....................................Approximate Cost ..... ............................................ Definitive Plan Approved by .Planning Board -----------_______-----------19_______ . Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH E ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS, I hereby agree to conform .to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... /<K....t.?........ . .................... Construction Supervisor's License ......... ................. r - McNALLY, JAMES & PHYLLISr A"216-42 aIL-- 25146 2 Story . No ...'*'***......" Permit for .................................... Sin5............. ........ ...................le Family g.Dwellin .................. . ......... Location ROU.Q...... ............ W.. .5 t...5.0,aatab.J.a..................:.. Owner .....4l. MP,.�;...&...Eby�.]..�,9..Mr,.Wa1.1y Type of Construction .....kxame........................ ............................................... Plot ............................ Lot ................................ s Permit Granted ....Jurie 3,. ••••••••••19 83 .............. Date of Inspection ....................................19 . Date Completed ......................................19 - '' , I 1. .. " -, �- - , , - � , , , I I � � 1 �-, , - I ,- I ____ .- " . , .�_ ,,,,,'. I -I, - :�'� ,'�,.:"�,, ,", ,,: .. . I I I .�, . , � - ���, 11 , � - . - I ' ' - . . 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