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0052 KETTLEHOLE ROAD
tie�l� h �2.� ��C. ,. . �. .... �� 6 _ NO. 152 1/3 ORS' ES-S TE 10% Y 3 G � o Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 o Tel: 508-398-0398 Fax: 508-398-0399 Q 4/30/18 � a Brian Florence CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 RE'- Insulation Permit.18-534 Dear Mr. Florence: This affidavit is to certify that all work completed for 52'Kettlehole Road,West Barnstable has been inspected by a third party Certified Building Performance Institute(BPI) Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey Via Town of Barnstable Building ' Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept �f 6 Posted Until Final Inspection Has Been Made. Pey.mit l3a �� CJ1l ill 1. +` Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.; Permit No. B-18-534 Applicant Name: William McCluskey Approvals Date Issued: 02/26/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 08/26/2018 Foundation: Location: 52 KETTLEHOLE ROAD,WEST BARNSTABLE Map/Lot: 109-030 Zoning District: RF Sheathing: Owner on Record: KERN, DAVID Contractor Name�WILLIAM J MCCLUSKEY Framing: 1 Address: 52 KETTLEHOLE RD Contractor License: CSSL 102776 2 WEST BARNSTABLE, MA 02668 _ �._ Est. Project Cost: $3,600.00 Chimney: Description: Add R-33 and R-14 cellulose,and 2" rigid insulation to the attic.Add �+ Permit Fee: $85.00 R-19 fiberglass to the basement.Air seal the attic plane and i f Insulation: � basement with expanding foam.General weatherizati Fee Paid: $85.00 on. 2/26/2018 Final: Date: ff Project Review Req: Plumbing/Gas �- Rough Plumbing: "-,Building Official f _ Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ---------- �� 1 Electrical r' The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing _ - 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: Az_ property All Permit Cards are the of the APPLICANT-ISSUED RECIPIENT � � Town .of Barnstable LlEc,"E',I=PT 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit g Application No: TB-18-534Date Recieved: 2/21/2018 Job Location: 52 KETTLEHOLE ROAD,WEST BARNSTABLE Permit For: Building-Insulation-Residential Contractor's Name: WILLIAM J MCCLUSKEY State Lic. No: CSSL-102776 Address: West Yarmouth, MA 02673 Applicant Phone: (508) 398-0398 (Home)Owner's Name: KERN,DAVID I Phone: (508)294-4494 (Home)Owner's Address: 52 KETTLEHOLE RD, WEST BARINSTABLE,MA 02668 0 o —� Work Description: Add R-33 and R-14 cellulose,and 2" rigid insulation to the attic. Add R-19 fiberg a s to the baAeme�. Air seal the attic plane and basement with expanding foam. General weatherization: w O } o � tV W Ctf 52 M Total Value Of Work To Be Performed: $3,600.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation'Act(Chapter 568). I understand that pursuant to 3 1-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. 1 I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. - Signed: William McCluskey 2/21/2018 (508)398-0398 Applicant. 1 Date Telephone No. Estimated Construction (Costs/Permit Fees Total Project Cost : $3,600.00 Date laid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 2/21/2018 $35.00 XXXX-XXXX-XXXX- Credit Card 0299 Total Permit Fee Paid: $85.00 _ 2/2t�2ot8 $50.00 XXXX-XXXX-xxxx- Credit Card 0299 . � Town of Barnstable Building sA ,Posh This Card So That it is Visible From the.Street-Approved Plans'Must be Retained on Job and:this Card Must be Kept SAJLNn 163 .� Posted Unf tiFinal Inspection Has Been Made. Permit nwy` Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been'made: Permit No. B-17-3110 Applicant Name: Approvals Date Issued: 10/31/2017 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 04/30/2018 Foundation: Location: 52 KETTLEHOLE ROAD,WEST BARNSTABLE Map/Lot: 1.0.9-030 Zoning District: RF Sheathing: Owner on Record: KERN, BARBARA L _`rContractor Name: Framing: 1 AIR ftea t/ Address: 52 KETTLEHOLE RD Contractor License: WEST BARNSTABLE, MA 02668 - �` Est. Project Cost: $7,000.00 Chimney: Description: Remove Existing Sun Room on 8x24 Foundation.Construct a 8'wall Permit Fee: $85.70 w/2"x6"Stud Walls 24"oc Extend existingroof to new outside wall. 1 Insulation: Fee Paid` $85.70 Project Review Req: Date: 10/31/2017 Final: Plumbing/Gas Rough Plumbing: Building Official final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approvedconstruction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for,public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i n , " Map- '✓ Parcel y © Application Health Division Date Issued /P 3! 17 /QI1'l " Conservation Division 1V\44V Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �� -••-ten"'" '"' ""•"'- Historic - OKH _ Preservation/Hyannis �Fro'ect Stree dress �2. keAbhA Dad 1� ' 44� � Village- -, WpS-t SaN dMQh/e tOwnerlarbaia L kxrn ,Dpwd T ke-rr Address 32 "6 kle6 1B"/sll' Telephones 2 / OZ60 �- � - P.ermit�Requestf GV-t S ,ft/0 rOD 731 ( X 2y sort �.p�.rfiUef Q / 1Ut�M�I a"x (o 1! Stud WafflS 2�'/ OC CAid 1s I Ovtfiab wa# Square feet: 1 st floor:: existing proposed 2nd floor: existing proposed Total new Zoning District 1�� Flood Plain Groundwater Overlay i Project Valuation� /,000 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 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: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑exiOng ❑ newbj size_ C Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Z ® - -n 03 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ D G) N Commercial ❑Yes ❑ No If yes, site plan review# � o M cb � Current Use Proposed Use r APPLICANT INFORMATION (BUILDER OR HOMEOWNER) cNpLme ",na KeM Dam! T/SP,�� F Telephone Nombe 5�3�� g�9� Adder ress,, s21� /�a License# WQ OQ/lanafp.blz �2��� Home Improvement Contractor# E^mailer d21�e�n �gX"�rQP TPma��v 1n12N• COO Worker's Compensation # ALL CONSTRUCTIONYDEBRIS-RESUL-TING:FR0M THIS,`PROJEGT-WIL-L BE TAKEN'TOI SIGNATURE �, DA E *//7 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH = FINAL GAS: ROUGH + FINAL FINAL BUILDING t t • DATE CLOSED OUT •ASSOCIATION PLAN NO. 1 Town of Barnstable Building Department Services Brian Florence,CBO ' Building Commissioner , 200 Main Street, Hyannis,MA 02601 BAMSTAu. MAas. �, www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE:-1 9 S3 1-7 Please Print 4 JOB C LOCATION:- -- number street village 1HONMOwNM7 Byiara Paved/tuna 50F ?ez zjV VV 9f --- —lime home phone# Wask phone# CURRENT MAILING ADDRESS: s � Z I9�4- J4&,St rf7 2fe, /??,9 Qz 6�g city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellines 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. DEFI MON 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 proce ores and requirements and that he/she ly with said procedures and requirements. k 'Sig&Ui 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFUM\FORMS\building permit foams\EYPRESS.doc 08/16/17 �I„E Town of Barnstable Building Department Services Brian Florence, CBO 639' Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Using A Builder as Owner of the subject property hereby authorize to act on my behalf; in all matters relative to work authorized by this building permit application for: (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:FORMS:OWNERPERMISSIONPOOLS Rev:08/16/17 The Comm omveaWt of.asyadrusetts. Departmout cf lud-w rid Accidad s Orwe 00wesagildons ' 600 WaAdngton S reet Boston,AMA 02111r mmu niasagovfdia Wurfors' CmnpensatimnInmua ce ffidzvi-Builders/CuntractursMec ricians/Phmihers AypUcam#Infmmniian. Please Print E,e��bly • •����^CPT,P17"IC1M171�T[�RTFfj[7A't� t�""�(/�I Ul ✓ /Jt. •1 C/(LV l� `/ /J��/ gar, ste,l� MCI 02,aP pho .�� 36 2 P.?? I Are you an employer?Checkthe appropriate barn ' T of project r L❑ I am a 1 � 4 ❑I am a general contractor and I Yl e 1 (required): �P * have hired.the sub-coaaft2das 6. ❑New coast tag employees(full aaxdforpar!-�ime). 2.D I am a sole pmprietoff orpartaw- fisted aathe,attached sheet. 7. ❑Remodeling e sub-co�ractors have ship and have no employees - 8_ Demalifiorz to nd:have wadzers' woi�ng forme ira any capacity. � �a9. ❑B,nilding addition ■LNO VUPdM Comp.in.summre comp _m¢ar�_,l ram) 5- ❑ We are a corporafi(mand its 10❑RtP9fdral repairs,or additions �3! I am a homeowater doing all work officers have exercised their 1 L❑Plumbingrepaiss or additiom. myself No work=' right of egempfion per MM- , ace required-]i C.152, §1(4k andwe have noL�❑Roofregaias employms-[No wodoe& 13.❑Other cow.insua�ce regazired.)i •Aayappfics &atc5ec1sboz#1mastalsoffioa7ithesedaabelotvshmdagdieasvo&ecs'compeasat; apaHUisrffiamsa= T M meomaexswlm mbmit a new affidavit iadirsrfin bacFi rCau>ractnxs$mt rll clr Uds box must attached aaaddi6®al sbeei shnxiagtvenzo of the sib ca�xsctaxs�d stye whelhec arnotfbnse a esha eap9oyees.IftbesnlrtaatiacmxsL=ce emgio they policy numb- Iam im empLayar flirt;ispr4v&*g workers'compowdimi ia=rance f'or my emp&Uwm ffe&iv is AY paaficy ard job s&ir infonnaliom Insurance Company Name: -Poficy 4l or Self-ins-Iic- ` RKpiratiauDatte: " Job Sit a Address= UwState zip: Attach a copy of the workers'cornpensaflonpelicydectaration page(showing the poficy,number and e=pirztion date). Faf}nre to secure coverage as required under Section 25A of MGL a 15-7 can lead to the imposition of criminal penalties of a fine up to$UOD.Oa andfar one-year impFisoutuerd,as w611 as civil penalties is the fame of a STOP WORK ORDER and a fine of up to$25 O!O a dap aaamst the violator- Be advised that a copy of this sfiahr mA maybe£armdrded to the Office of l avestigations of the DIAL for insurmw covexagevrerificalicm- Ida hawby cerhyy uudw firspahw andps7udfkY 4gfF&jury th-afthe irrforma€ou prm-irL� akwe fs bus and earrect Gd� Si' - t'I3ate / i7 PIZo�e ii— 3-0� 5%�Z, Ofoicial rue wiry Da not write in dw aea,#rt be cmnpLeted by cry ortoirn crfficiaL City or Toga: PermiftLicense g Leg Aulimritp(circle one): L Roard of Health7.Buffdmg Department 3.CRyfrown.Clerk 4.Electrical luspector S.Plumbing erector 6.Other Contact Person: Phone#: formation aAd lastruefions .. : Geheaal Laws c7iap(Pa 15z regoaes.all��to P�� °� far f 'r empIoyees- Pm srm to this s,an a Iayee is defined as".cverypers6iLin.the service of a offim under MY cortmd ofhirr., eapfress ar izoplied,"oral or wrift=.." An�Ioy x is deifined as-air individual,paxtnenhip,asso�ti an,corporation or other legal e�y,or any two or m= ! m a omt and incliadmg fhe legal s P==±a vm of a deceased=a.emip H wr.or r t of the:foregoing engaged•- J ��, ]D HoweQer the reee iv=or trustee:of an hIdMCI al,p�iP-associB M or outer Iegal entity,enrgl oymg emP Y - owner of a dvmUing house bavmg not mote t3iaa three apartments andwho resides therem,or the occq=d of the- dw ffi g hDuse of another who employs persons to do maitMan.ce,canstucti on or repair vDIk on such dwellmg house or OIL the gmumds or building aPP�x�thmrb shallnotbmanse of such m3ploymedbe deemedto be an=ployes" MGL chapter 152,§25C(6)also stew diet'every state ar local licensing agencgshaTlwithhold ffie issuance ar renewal of a$cerise or permit to operate a Duchess or to eonst mct bm7diugs 1h the commonwealth for en airy applicantwho has notprodnc:ed acceptable evidences of compfiance ePif the�suranr co4exagerequ -" Adtionally,MCrL cbapl��,§25dM sbtes'N6iffi=the c eah i nDr any offs poIifical subdivisions shaIl di enter into any contract fur the peafm>nanco of pubho work u�Z acceptable evidence of compliancewhh Ihe msm�ace,.. requseaaea of this&Epteahave been preseztedto the rnnfrac 9.anfhoI�dY." AgPIicaats . Please flI oiot me vmk='compeasatifln affidavit completely,by g the boys$ apply to your situation and,if necessary,supply sub-m tttar.•(nr(s)name(s), addresses)mdphonenumber(s) aIongwithffieir c�c�s)of msl�mlce_ L=ntedLiabt7ity Companies(LLC)or LiraitedLiabr7ityPmft=sbips(LIP)wrfhno employees other fhan th.e members or pm�as,are not rimed to cry wa±m-e compensation mSM7a.n e- if as LLC or LLP does have employees,apolicyisrequired. Be advised that this a$rdavifmaybesnlmmith--�dto the;Deparimentoflndvstzia.l Accidents for conffrmation of insurance coverage Also Be sure to sigiz and date the affidavit The affidavit should baTet=ed to me city or town that the application for the pem iit or license is bung regaesbA not the D epartmed of Indn,irial A..c,dden:ts. Shonldyou.have any gnesdms regarding the Iaw or ifyon are req�aired to obtain a workers' compensation policy,please call the:Department at the:namber listed below. Self-fimul-,d companies should enter their s elf-insurance license miner on the apprap iatz line. City or Town Offiriak PIease be sore brat t.ho aidavit is Clete and.priidedIegRIy. The Dep,2ementhas provided a space at tiie boitazn of tine affidavit for you to fM out in the event the Office of lnvestigaiinz,s has to confi t you regarding the applicant: P lease:be sure to fill in the perLi/licease m mber which vM be used as a=5=ce number. In addition,an applicant �must submit mcult ple p�iylicense applitations in.any gives year,need only submit one affidavit indi g * policy mfovn ation Cif neces=a<y)and under`lob SJu A ddr=�'the applicant should water"all lacaticns in (Cfty or town)_"A copy oftb -affidavitthathas bey officially sipped ormadcedbythe city ortnwnMay be provided to Inc applicant as proof that a valid affidavit is on file fur fatal 'pemiifs or licenses_ A new affidwitmyst be fMed out Mch year."Where a home owner or dG—n is obtaining a license or permit not xrlated in any business or commercial vet affidavit (ie_adoglicenseor permit tobum leaves etc.)saidpersonis NOT rml redtocompletethis The Office of Investigations would Igoe to thank you in advanco for your cooperation and should you.have any gaestions. please do not hcsiha to give us a call. The Departmenfs addze telephone and faxrmmber TEti� ttbE of Massachusett.9 , Dmenfi af�Afs. a of aC--of barestkatioM • �.4�a�Zm�an S'�r�� 4 - �Q ��11� -Ted.:#617— -4900 cxt 406 car I-V7-MAMAFE Fax 617 727 7M Kevised4-24-07 WW QVfdia- Kern,David&Barbara,52 Kettlehole Road,West Barnstable,Map 109,Parcel 030 Remove existing sunroom windows,close with 8'wall ***Certificate of Appropriateness Approved as Submitted*** Any person aggrieved by a decision of this Committee has a right to appeal to the Regional Commission within 10 days of the filing date of this decision with the Barnstable Town Clerk. All certificates issued will expire one year from the date of issue, or upon the expiration date of any building permit issued for the work whichever expiration date shall be, later. The committee may renew any certificate for one additional year,providing the request for such renewal is received at least 30 days prior to the expiration date. Date: September 28,2017 Town of Barnstable Old King's Highway Historic District Committee DECISION Wednesday, September 27, 2017, 6:30pm The Barnstable Committee of the Old King's Highway Historic District Committee, acting in accordance with the Old King's Highway Regional Historic District Act, Chapter 470,Acts of 1973 as amended,has held a hearing and made determinations on the following applications: APPLICATIONS Eddy,William&Mary Beth,4 Daffodil Lane(formerly 2292 Main Street),Barnstable,Map 237, Parcel 017/003,Build Single Family Home ***Certificate of Appropriateness Approved as Submitted;Removable grills were approved as the property will not be visible from a public way*** Barnstable Land Trust,1540 Main Street,West Barnstable,Map 197,Parcel 015 Replace two signs ***Certificate of Appropriateness Approved as Submitted*** Hamblin,Paul,76 John Maki Road,West Barnstable,Map 217,Parcel 020-XO1 Construct a detached garage and add a shed dormer to home ***Certificate of Appropriateness Approved as Submitted*** Stamas,Christopher&Suzan,84 Cobble Stone Road,Barnstable,Map 316,Parcel 060 12'X 16'addition to West/Southwest Elevation ***Certificate of Appropriateness Approved as Submitted,noting the property is not visible from a public way*** Drown,Gary,194 Packet Landing Way,West Barnstable,Map 179,Parcel 039 Construct attached,two car garage ***Certificate of Appropriateness Approved as Submitted*** Coholan,Ryan&Katie,260 Church Street,West Barnstable,Map 153,Parcel 007 Construct 24X30' Barn,Add 22'X22'addition to home,construct portico,deck and farmers porch ***Certificate ofAppropriateness Approved as Submitted*** S , t TOWN OYBARNSTABLE OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE STATEMENT OF UNDERSTANDING As property owner/contractor/agent for the construction at: No. 'Street Village Map Parcel No. n!f� , 0aQ Only minor changes may be approved'by the Committee without a new application and a hearing. Minor changes include things like moving a single'window or door or a minor change of color. All changes by amendment require the Committee's written approval. A request for change must be submitted to the Committee in writing. Approval must be obtained before incorporating the:change into the project. For more than one revision to approved plans,a new application for a Certificate of .Appropriateness must be applied for. Failure to comply with approved plans may result in the Building Department issuing a stop work order or denyin.&an:Occupancy Permit. I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS C>k 1e�1 _I �1 Signed: OR 4J Date. Owner/Contract gent Signed: .....a., Paul Richard,Chair,Old Icing's Highway Q.W oanls and Conimissions101d Kings HighwaylOKH Annlicalions Filed IOKH M 7 Forms P&DIOKH Statement of Understanding 17.doc 1 <A pCSCE�P �08D 2�0I17 District C mmitteeBarnstable Old Kin Highway C_ 200 Main Street,Hyannis,MA 02601,Tel 508.862.4787 Eml erin.lo an .to .bamstable.ma.us MAKIL PLANNING&DEVELOPMENT APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with five(5).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 all categories that ply; 1. Building construction: ❑ New hat L�Alteration 2. Type of Building: LJ HOuse ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting.roof Ynew roof ❑ color/material change,of trim,siding,window,door 4. Sign: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall. ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ Other Type or Print Legibly: Date 7/ F117 NOTE A11 applications must be signed by the current owner C Owner(print): he bawd T kerii Telephone#: 9 '✓�� 3� � Address of Proposed Work 5Z- Q 4o Village �il/p>� 94-fj tdica(Map.Lot It / Mailing Address(if different) ,y S ,?xL Owner's Signature f Description of Proposed Work: Give particulars of work to be d 'e: RemOu-e .kx►rf1,1 a ro �'x ' t ►r .®r► ruct 1z F / Nall W �1- x `- s ,1,"0 �►d �2a'r st 9 ��� �® Mid 0A 1AQ W4 jo:lr_r 1,4 0N4 6 brims Agent or Contractor(print): Telephone#: Address: Contractor/Agent'signature: For committee use only This Certificate is hereby PROVED DENIED pate -2 ^Wmbers signatures APPROVE® SEP L 7 2017 Town of baH'shway Conditions of approval Old King's High • 1 0KH2017 Cert Appropriateness doc o CCERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit leS , j� Foundation Type:(Max. 12"exposed)(material-brick/cement,other) C�" O Siding Type: .Clapboard ✓shingle_ other Material: red cedar white cedar other. 'Chimney Material: AXA Color: Lc� __// A Roof Material: (make&style) Gl/' Z2 -I fri-I Color: 2'F Roof Pitch(s): (1/12'minimum) (specify.on plans for new buildings, major additions) 'Window and door trim material: wood other material,'specify Size of cornerboards size of.casings(1 X 4 min.) color. Rakes Ist.member 29d member. Depth of overhang ( ) k�A S ,'S+i J//q e/P Window: make/model. material color �e (Provide.*hdow schedule on plan for new buildings,major additions)' /� � Window grills(please check all-that apply._• /1 true divided lights_ 'exterior glued grills_ grills between glass_removable interior None Door style and make: material Color. Garage,Door 'Style Size.of opening Material Color Shutter Type/Stylemlaterial: //iQ Coloi: Gutter Type/Material: /��/� Color. Deck material: wood 4& other material,specify Color: Skylight;type/makelmodelh material Color Size: Sign size: /VIA Type/Materials: .Color. Fence Type(max-6')Stylel A41A material: . Color.- Retaining wall: Material: /Vf� Lighting,:freestanding. on building illuminating sign OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of.paint colors,manufacturers brochure of windows,doors,garage door,fences;lamp.posts etc X 'Signed: (plan preparerbd"Yee� Print Name kFe'®PAL �Q P I T Ke.,o -2 OKH2017 CertApproprtateness.doc VV ❑ Diagramof sign,showing graphics,size design and height of stj color and materials. � b�P � 1� Po � n ❑ Spec sheet: 0 Site Plan on a GIS map or mortgage survey,OR photographs OR to-scale sketch of building elevati ��1 showing location of proposed sign;and any tree to be removed near a freestanding sign-0 ' -o 6. SOLAR PANELS ?'�2 ❑ Drawing of location of panels on house showing roof and panel dimensions. ❑ Site plan showing location of building on property. (Assessors map may be submitted) ❑• Height of solar panel above the roof. ❑ Color of panels ❑, Finish(matt or glossy) ❑ Fees according to schedule,made payable to the Town of Barnstable ❑ $17.25 check made payable to the Barnstable Patriot for the required legal ad notification .❑ First Class Postage Stamps for abutter notification. Please contact the Barnstable Old King's Highway Office SIGNED(plan preparer)k PIM14 :Print 044arv,t Run . � /7 � ���� � kxrn Date: 9��/ TA+eV.N's: U �6 Z. l O,'2.1 tl y Email +/4- zen a fry A.m , lm NOTE., The Old Kings Highway Historic District-Committee MAYDENYINCOMPLETEAPPLICAYYONS ATTENDANCE AT MEETINGS: If the applicant or his/her representative is notpresent during the hearing is scheduled,the application maybe either CONTINUED OR DENIED There is a ten(10)day appeal period,plus a 4 day waiting period for approved plans from the date the decision is filed with Town Clerk. This is necessary for each Certificate of Appropriateness"and/oi Certificate for Demolition issued by the Old King's Highway Committee. Plans approved by the Old King's Highway Historic District Committee may be picked up at Growth Management,Regulatory Division,200 Main Street,Hyannis,after expiration of the 14 day"wait"period. If the 10 da falls on a Saturday,y.,our lans will be available the afternoon of the following business day. DENIALS Applications that are:denied.may be-appealed1b.the Old Kings-Highway Regional Historic District Commission within 10 days of the filing of the decision with the Town Clerk. For more information,see the Bulletin of the Old Kings Highway District Commission. BUILDING PERMITS,OTHER AGENCY CONTACTS In most instances,before commencing work,.a.Building Permit is required. The Building Division will require a certified plot plan for new construction and/or demolition. Commercial work may require Site Plan approval. Demolitions: the applicant should check with the Building Division as to conformance with Zoning requirements. Other Regulatory Agencies at 200 Main St,Hyannis MA 02601: Building Division 508-862-4038 Conservation Division 508-862-4093 Health Division 508-862-4644 UESTIONS ABOUT YOUR APPLICATION? PLEASE CALL THE BARNSTABL ,OLD KINGS HIGHWAY OFFICE AT 548 862478'� ;5 M12017 CeitAppropriateness.doc This application for 52 Kottlehole Road West Barnstoble is to 1. Demo the existing 8'x 24' sun room (solarium) 2. Replace the large glass windows before they slide out... break ... and leave . ll my room exposed to the weather elements. ,. 3. Construct a traditional 8' x 24'structure w/$' high walls (2"x 6" construction) ,,; r 4. Replace roof w/the identical roof line and black roof shingles ' ; x . ;CE-tr `��' � �,fn�'��.wn �.41 .��+ �� ram. � .mom•�!� . 1 z i 1 1 G) 1 a� 187 t 1� i) r .r ' r- ,�'• ti`a:ei� ,,i' .�, �\ r r Y.. i a A Extend the existing roof line supported by ao eight foot high ... 2"x 6"exter'lor wall. Studs 24 OC. - Install two Windows (matching the currentt front window)qn the exterior 2,4' wall. i 8'x 2d'footprint 2"W stud vralls 36" wido 36 wido 24"OC ` opening �"`opening .a i is v z �u z_ z G) r: 0 m cr o M r m z -i M Roof line remains identical to existing 'roof...just extended 8'x 24'footprint 2x6 Roof rafter's 24"OC(�4) i ASPHALT SHINGLES OVER r r I50 8UILDING PAPER kyw000 2 X 6 RAFTER' MdgG Board `- •y 3 �METALJ RIP EDGE y Z - - 1 q�Y� 2X21vA9l,ER G) 4, 2 x 6 studs 1 X 8 FASCPA p Q o 24" M O.C. SOFFIT ` • �`,, 2 X 6 SUBFASCIA m r. r0 :W Ra�tar ":.ryT �� y„PiyitooQd `3/8'O'YWOOD U [ram YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do.by M.G.L.-it do.as.not give you.permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the Completed form to.the Town Clerk's Office, 1 st Ff., 367 Main St., Hyannis, MA 026.01 (Town Hall) and get the Business Certificate that is required by law. Q DATE: T Fill in please: ' APPLICANT'S YOUR NAME/S- d .J" l'}!�`'--'"^"'T��"•�' �l'- �;.zti �UrSIINF 4 YOUR HOME ADDRESS: J Z tZ r's' c_. S:i<-s:'lilt`'' f°` O �i y y. i il'�� TELEPHONE # Home Telephone Number D 362 EIN #: E-MAIL: � L'f/!/YI NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS U i IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS" Am , MAP/PARCEL NUMBER IOq 030 (Assessing) When starting a new business there are several things you must do in order to be In compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you In obtaining the information you may need. You MUST GO.TO 200 Main St. - (corn'er of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM ISSID ER'S OFF This individ I h e in o , d bf(nhyqjrmri a uireme " that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO u orize ! n toe �: COMPLY MAY RESULT IN FINL O NT 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS [LICENSING AUTHORITY] This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: . I .. s� YOU WISH TO OPEN A BUSINESS? For Your Information: 'Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission'to operate.) You must first obtain the necessary signatures on this form 'at 200 Main St., Hyannis. Tale the completed form to the Town Clerl<'s Office,.1 st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: ° ,��3 Fill in please: D�UIQ T Po� r �• , �� r APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: 3-z Koad er g 5-0 F 2f y Y�,Q7 We s-f ff2vn yfu4& 1744 a2 417 ., TELEPHONE # Home Telephone NumberMI 08 s'�2 o�89i NAME;pF CORPO.ATIO - ..X `a=RcF::FA t��- GVCA�r LNOV1/::BUSINESS ::; I2CE �Eiau(;rL ZfN OF'BUSINESS'�. r . .... ..TlESS:QF;BUSI.IyESS�"_;t':;.;, ', '' e. o R%P (A . •:... . ... .:. :.,,.MA ARGE�NUIVIBER�'� �' �ssessi When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ' ISSIO ER'S OFFI E 1 This individual h e i d fae rm re uiremen that p rtain to this type of businOAUST COMPLY WITH HOME OCCUPATION /10 RULES AND REGULATIONS. FAILURE TO u iz ig a re* COMPLY MAY RESULT IN FINES. C MEN A A 1 tj d f 6n s 2. BOLD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. . Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Town of Barnstable Regulatory Services �'THE Thomas F.Geiler,Director t }sARrvsrnsU, . Building Division Mng Tom Perry,Building Commissioner '°ram 59. L 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved@ , Fee: 3�- Permit#: HOME OCCUPATION REGISTRATION Date: b Z 13 Name: Q,/I d ( keril) Phone#: Address: S Z /�Pi6LtIlGiG-CQ Ad village: � 9040r7GC/16 Name of Busmess: �(_ �� F /Yi,L 0E,4 L,.V Type of Business: (2OA-U/��� Map/Lot: / �/ — Q OINTENT': It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellinfi1,scr ect to the provisions of Section 4-1.4 of die Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is c pried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evic ehce of such use. �• e No tragic mill be generated in excess of normal residential volumes. ,1 • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. C • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one pan or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating die Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation nvhno is not a permanent resident of the dwelling unit. I,the undersigned,Ina cad and agree vi i the above restrictions for my home occupation I am registering. (� Applicant: Date: J 7-hs Hoiineoc.doc Rev.01/3/08 �5 k®r �� Z z Town -of Barnstable *Permit Expir 6 fr m issue date IT Regulatory Services is i !. �•P1 9�f ZS eC. Thomas F.Geiler,Director p F l - Building Division Tom Perry,CBO; Building Commissioner SEP 2 eS -gyp N F STA E 200 Main Street,Hyannis,MA 02601 T 2 www.town barnstable ma ns DWIV OF B 0:ffice: 508-862-4038 t< I �7�Q-6 30 EXPRESS PERMIT'APPLICATION - .RESIDENTIAL ONLY t � xx Not Valid without Red X-Press Lnprint Map/pareel Number r �/. V Property.Address I" c* r— I I��f- qA , ayv�(5-f-4 j7c T— Residential Value of Work { �c Minimum fee of$35.00 for work under$6000.00 Owner's'Name&Address Contractor's Name 1 I f o I �C� V Telephone Number l� 0���� Home Improvement Contractor License#(if applicable)_ Construction Supervisor's License#(if applicable) 1 ❑Workman's Compensation Insurance �•��� Check one: ElI am a sole proprietor �S �" XI am the Homeowner ��0� I have Worker's Compensation Insurance SEP 2� Insurance Company Name 1 V 1% (�01,1 'r® Workman's Comp. Policy# W G Q1 1(5" Copy of Insurance Compliance Certificate must accompany each permit. ABL� Permit RE est(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken toROY n p V Vv ❑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 inquired Issuance of this permit does not exempt compliance with other town department regnMons,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 requ' ed. SIGNATURE: QAWPFZM\FORMS\building permit forms\]DTRESS.doq I 1��� G�st�fsd�r Lc- CII) cow ��- Cd P)Stwcf,o,� Sip �v U� SD Town of Barnstable Regulatory Services t R�RNf�'ARTR � MASS Thomas F. Geiler,Director 1639. n► ` Building Division Tom Perry,Building Commissioner 200 Main Street Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using; A.Builder as Owner of the subject prope rty hereby authorize C A 0VI 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.before fence is'installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signature of Appli t Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services 3ARNSTABLE, • Thomas F.Geiler,Director NABS. o.3nq- �•�� 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 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. Signature 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 Constriction 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 care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt i Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Super,visor License: CS-072951 EXVINAR'HL�ATON 'I- 282 MAIN SV MASBPEE MA 02649 Expiration Commissioner 11/14/2013 I s' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODNYYY) 09/19/2012 THIS 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 endorsement(s). PRODUCER co I NAME: PAS+ SCHLEGEL SCHLEGEL INSURANCE BROKERS INC PHONE (A/C,No,Ext: (508) 771 — 8381 (ac,No)508 AX ADDRESS: CE@VERIZON.NET SS: —771-0663 34 MAIN STREET SCHLEGELINSURAN ADDRE ' PRODUCER CUSTOMER ID#: WEST YARMOUTH, MA 02673 INSURER(S)AFFORDING COVERAGE NAIC# INSURED PAIIL GIISTAFSON _INSURER ALIBERTY MUTUAL INSURER B: 21 Meredith Rd INSURER C: INSURER D: Forestdale, MA 02644 INSURER E: 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 THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR FF PO LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDY/YYYY) (MM/DD n'YYPY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ CLAIMS-MADE ❑OCCUR MED EXP(Any one person) $ - PERSONAL&AOV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY JET LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ` ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB RCLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION WC1-31S-359362-029 11/26/20 111/26/2012'• WCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE .EACH ACCIDENT $ ZOO,000 OFFICERlMEMBER EXCLUDED? N/A ' (Mandatory in NH) E.I DISEASE.EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) PAUL GUSTAFSON HAS ELECTED TO BE COVERED UNDER HIS WORKERS COMPENSATION POLICY CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS, MA 02601 AUTHORIZED REPRESENTATIVE r ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered m ks of CORD Office f Co seer Aff�Busi ess Regulation 'License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 5;154549 Type: Office of Consumer Affairs and Business Regulation Expiration: 34/•1:9%2013 Individual 10.Park Plaza-Suite 5170 Boston,MA 02116 PA L GUSTAFSO�VE'= o,�c=.= =.-- r i% PAUL GUSTAFSON _ 21 MERIDETH RD. FORESTDALE, MA 02644- af Undersecretary• Not valid th out-sign ature ,. 4C c� 1-«T ZL-E1--1.oL /64. 00 PROPOSED 3-BEDR0014 H N o �•o , 75 �t )O' -1000 GAL: o SEP.-Tte :BOX - �GT O N Lo T /6 N o W W TO P OF FG VA/D. /S 2.9 FT �;I?OIiE t THE LoW Poj"T /N ROAD 0 �w - 1H OF /60.oo ��a eSJ9 1 G\ KIC;,A^ �\t• �� RICHARD e /n_ JAi'AcS �_"I"ID '� JAMES N v I �� v O'HEARN "+ No. a>a O) No.27871 STE4t4�02 CERTIFIED PLOT PLAN /N 1 A /� �"'' SURE �i�JRi1/S ! M/4TAB .5.5. 2-or',1,5 - XF_ TT! F Hoe- I�) I CERTIFY THAT THE R/CHARD c,/ OWEARN, R.L.S., R. S. SHOWAI ON T/-/IS PLAN /S LOCATED. /9/. MAIN ST. (RTF. 28) ON. THE GROUND AS /ND/CATED AND WEST DENNIS., MASS .. CONFORMS TO TINE. ,PON/NG LAWS I OF/3i92n/sTi9I3C� N1ASS.. - y; DATE: 4 2 2.7 ._ -/ . . 4 /z 7 7 JOB NO. O/4 CL-IENT' 16 r= sore � .�. ,- ATE /f?EG. LAND' SUPVEYOR DR. B Y: lJ�� SNEE.T / OF Z /0'M/N . Cl EAN SAND .' 4 rP1�C P/PE M/N. P/TcH- CONCRETE CONCRETE COVERS* �8 PER FT. COVER 4 lk LIQUID 2" LAYER LEVEL OF Y8. .31 PIPE M N ON /000 C qe- o W WASHED STONE P/TCN SEPTIC D/ST. ) ° 31�-/1z" FT. TANK Box ° �; ° o WASHED STONE ° U o C ° W W , ' PRECAST SEEPAGE o k O ° P/T OR EQ4//Y. C v o ° c /O FT. �t tH OF GROUND WATER TABLE RICHARD yGs SEC T ION OF Zi JAMES,, SEWAGE DISPOSAL SYSTEM °Ho' E 694' o ti INVERT ELEVATIONS n/or TO SCALE �FGISTE�� INVERT AT BUILDING FT. SANItAR���\ INLET SEPTIC TANK FT. SOIL LOG OUTLET SEPTIC TANK. FT. / INLET D/STR/BUT/ON BOX FT. DATE OF SOIL TEST �I�NE 2�• 97� ��P��N ofMgs1 OUTLET DISTRIBUTION BOX FT WITNESSED BY /I F_ I/NL ET SEEPAGE PIT FT PERCOLAT/ON RATE M/N. /NCH RICHARD; , JAMfS ELEVATION 7 o. 2781'' f � � No. 27871`O H DESIGN CRITEPIA — ° vtiF01s , �o� __ TOP SO/C NUMBER OF BEDROOMS 3 S usso/c. Si1F2v�•� GARBAGE DISPOSAL UNIT A/G TOTAL ESTIMATED FLOW 3 ,20 GALIDAY :F2R7, /niE YELLOW NUMBER OF SEEPAGE PITS w/TN Ssmq[.0 SIDE LEA CHING AREA 1 R8.`> SQ. FT. f' Ts of ,BOTTOM LEACHING AREA 78• S T.SQ. F ;C3.eoeolly wM CL�7 Y jA�n/_s�-ter t_r- �MA SS. —/oa• TOTAL LEACHING AREA 2�o 7.o SQ. FT F/2^�. ^�Eo•. ro RICHARD J. OWEARN,R.L.S., R.S. COFI.PSE ,BROWN S,9ND� I9/ MAIN STT, RESERVE LEACHING AREA 2 6 7 G SQ.FTT, 1e STo/VE —/�¢•• WEST DENN/S , MASS`. JOB No.O/ CL/ENT PETF�s can/ WO. .W/�r'E2 ENCouNTERED _ A9TE 11312 2 SASE, 2 OF 0 Asrssor!s-,mop and lot-number ...�.�.:1.�...�.41..:.f.......h. .30 SEPTIC SYSTEM MUST BE v .r � INSTALLED ! Sewa e.Permit number ....:................/ N COMPLIANCE g ............... WITH ARTICLE N, STATE SAN N TOWN ' O F B A R N STIK IE rowN Bpi TH E T�� ;�, Z 33AWSTAILE, i 0 "by 61.1IL,DING INSPECTOR t N77 APPLICATIONFOR PERMIT TO ....................................... ............................................................................. TYPE OF CONSTRUCTION ........... ......................................... .......... ................. ............. .....19.22. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: -7t_- / Location .........../! (-'j.............f. ................... .� [..[•l.'�,.... 1.. .....�C .-...................4��!..'...........W! �`:5.:. ProposedUse ............................................................................................................................................................................. ZoningDistrict .........1�....r..................................................Fire District �.... ................ ............ .................................. - P Yl� ...Address �41`>. Name of Owner `.,�C�!�..�.(...T:�/..-f'/.'::...�.................... ':�..� ............ .. ... ....:.!/.5..:'...�t!'."�'`:. .. Name of Builder ..........Address ....... Xm Nameof Architect ..................................................................Address ........................................".. ....�...................................... Number of Rooms ..................�................rr........................Foundation ..:... ).>/... Lew Exterior( I .. �. ! ' rit� .........Roofing G�- 1.................................................. 1......r................. Floors ......... .:.............................................r.....Interior ..................................... ..................................... ..�.` ...........Plumbing ..1 .... GC`l�/ S, Heating ......�:C..! �4:Y ,.. Fireplace ..........I.......................................................................Approximate Cost ...... ,... ' .... ..................... Definitive Plan Approved by Planning Board ------------:_____-----------19________ . Area .......... ......St .... Diagram of Lot and Building with Dimensions .�,� g 9 Fee ......... 1....................... SUBJECT TO APPROVAL OF' BOARD OF HEALTH 36� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. _.... . . Name ...... .. . ... .. .-.; ....... e .� u e�._.. ti _r.r ..rt ti�f� r✓mS+N..�.�aa...s:rt� ..wa n .. .r— ' Peterson, James � NO -12l�8—. Permit for .................... � �. ' . . .� fami dwelling —_-----..°------^--------. . � � . . ^ � ^.^..~. �*--�����a----. ---wlm--����---------, ^ _�_____�gmst..Barnstable________ ~ Owner James Peterson ^ Type of Construction .........fama........................ --.-----------------------' �� Pk� -----..--- Lot ../��----.---.. � � April 14 ' 77 Permit Granted ----..--------.]9 . . . Date of Inspection --'l9 - � Dote Completed ..^��l_��,�,�'---..lg . � � . - - ~ ^ � . . � , PERMIT REFUSED � � -----_---..----------.. lA ^ � --------------------------. � � --.----...---.------.--------. ' —.—.~------..—.------.--~---- � ...................... ~ ' Approved _--------------. lV , -----------------^^----'---'' � . � � -------`------------~----... � � . I If Assessor's map and lot number ......:................................... . 0 Sewage Permit number .......................................................... ��Q�F7NETO�y� TOWN, OF BARNSTABLE i IAWSTME, i 2639. BUILDING INSPECTOR 0 M a' APPLICATION FOR PERMIT TO - ..........: TYPE OF CONSTRUCTION t , ........................ ..... . ........19. ...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............ ........ .... ... ................................ ......... .. ......:...... ProposedUse ...................................................................................................................................................I......................... Zoning District Fire District .............. ..................................................... ................................................................ Name of Owner �;'� .?..... �_ ...............Address �. .......�.... .. .......� .. . .... :.::. Name of Builder .. ...... .` ..........Address ........ ! ............................................� Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .........................................Foundation / . Exterior .,...:; .` ................................Roofing ........ .............................................................. Floors . ' .. Interior Heating .. ... ...................Plumbing ................................... ...:.:i Fireplace ..........`.......................................................................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 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ....................................................:..................... Peterson, James A=109-30 No ..l9.lDG—. Permit for ....................................tn�� atpry . o1oula family dwelling --------------------------. . Kettle Hole Road Location ---------------------. ' ^ West Barnstable —,--..---------.------------.. James Peterson ' Owner --------------------_— . ' frame Type of Construction .......................................... ' ` ^ ' ^ ^ ' -----.---.------------.----' . Phu ............................ Lot ................................. ' Date or Inspection uo,= Completed ' ' - ' � ' PERMIT ` EUSED `---------------� ' . _ ' / Y'— . . -- ` ' ' ~ . . Approved lA ' � . � ' ^ .......................................... ............................... ---------------. -----.�--... ' i. F�;`ta��,.:'i�.t..`�„F..rt..%:.r1'1':l-�J"a.. d/�r:yr—� r .€. � s �`i ,iki! `�' C ��.=.r `i.'+1 ✓ '���{'�V7' 017� Assessor's office(1 st Floor): Assessor's map and lot number Q ! 03 D Board of Health(3rd floor): �Oa -w"' a'' G`------� d'"Q `� Sewage Permit number St'9 BeBa9TenLL Engineering Department(3rd floor): rues House number 1639• \0r' Definitive Plan Approved by Planning Board 19 �0 YAf A, APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only N� TOWN OF BARNSTABLE BUILDING : INSPECTOR APPLICATION FOR PERMIT TO& I f1'e � : Oa a-` J 61 TYPE OF CONSTRUCTION wIai 4j-0M*1P- G cpal2 / 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordiing� to the following,,information: Location ke ' to kole rd W r I af-e)�G�L f. (1-6! /S ,,Proposed Use Q0r6 qe W� 6pum Mom S., 04-a-Q- {� U 'Zoning District-- �L W Fire District IJa r✓i 1)AU)fl +(�fl�P � I� � � e�iI( ed Qarrt Name of Owner Address Name of Builder "�5L 5 'e L Address U Name of Architect Address Number of Rooms Foundation '�f �'0N e Exterior danbd 5) e S Roofing J QS I Q 5iee roci� Floors 11 C x C w "�� - Interior Heating e/C'CT;I Plumbing 1�On Q // / Fireplace nBne Approximate Cost r� /` Area 90 S� Diagram of Lot and Building with Dimensions Fee 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 , Construction Supervisor's License KERN, DAVID & BARBARA A=109-030 /09- 030 No 32731 Permit For Build Garage Addition/ Single Family Dwelling Location 52 Kettlehole Road W. Barnstable Owner David & Barbara Kern _ Type of Construction Frame i ' Plot Lot " f Permit Granted March 22, 19 89 ' Date of Inspection 19 Date Completed 19 { i 14 S 05056 ' 48 " W 1 1 r 16 0 . 00 ' w 0 O N 0 C d- N C\I 00 00 cry z 24' 30.59' o ao cm S 05056 ' 48 " W 160 . 00' KETTLE 4 0 LE RO . AD E S 05056 ' 4 8 W l Rn nn ' 9 I ^ I To- m ato U-1'S � 1 r ,1 TOWN OF BARNSTABLE BUILDING DEPARTMENT.. , HOMEOWNER LICENSE EXEMPTION Please print. n DATE JOB LOCATION b Q 86W Number - treet aaaress 5 ection o town "HOMEOWNER° ame 3�00��902 ome p one or pone PRESENT MAILING ADDRESS AMt ity town tate rp cc e The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less an —toallow such homeowners to engage an in- ivi ua for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on whi'ch 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' Officiall , on.a. form acceptable to the Building Official , that he/she shall be responsible for all such work performed under the building permit, ection The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Bui]ding Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE (,l APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or ,larger, will be required to comply with State Building Code Section 127.0, Construction Control . v 8 t\ srsoup _.-----.. • HOME OWNER'S EXEMPTION The Code state that : "Any Home Owner performing work for which a building Permit Is required shall be exempt from the provisions of l n (Section 109. 1 . 1 - Licensing of• Construction Supervisors) ; -provided if a thatc Home Owner engages a person(s) o for hire to do such work, Home Owner shall act as supervisor . " that such H • r Many Home Owners who use this exemption are unaware that they are the responsibilities of a supervisor (see A assuming. for Licensing Construction Supervisors, (see nendix Q,. Thul.e and doRegulations often results In serious problems, ess. unlicensed particularly when the Home Owner hires persons. In this case our Board cannot proceed agalns-t the unlicensed person as It would with licensed Supervisor.. The Home Owner actin as: supervisor Is ultimately responsible. g To ensure that the Home Owner Is fully aware of his/her. responsibilities, communities require, 'as �part of the p slbilities, many certify that he/she understands the responsibppitlesiof �a supervisor . that the Home Owner last 'page of this . issue Is a form current ) On the care to amend and adopt such a form/certiflcatieonbforeuseaintYour You may Your community. i , SYSTEMSEPTIC MU BE ( ) _ 0 K• � NS AUM IN COMPLIMC Assessor's office 1st Floor): + e�F Assessor's map and lot number log - 3 - 5 �o1 THE>o� Board of Health(3rd floor): /t/i0� Q^� Sewage Permit number 7,1..->._Q'Q��� ""."". "� �"`" 'dIRONMENTAL LADE Engineering Department(3rd floor): TOWN REGULAMON = BABd9?AnLL cJ, i. raed House number .'So2 Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR s APPLICATION FOR PERMIT TO bU r Ataoied /&J—J147I TYPE OF CONSTRUCTION kgd r-arn4P 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �� !\t? P Yt 412 k d W 90`y) &yl Proposed Use ara lr� 6 n 1'Zjor►2�� Zoning District Fire District 1JQr✓� Name of Owner NM) 4-R rV&B Address e4eNe Ed Itv gar/1 Name of Builder ��L Address- i Name of Architect Address Number of Rooms Foundation { C'OA."c e,I.e- Exterior )odp-s Roofing asvW Floors C -OX Cam` � Interior S2e- r'aCk Heating e!C'G"Trt Plumbing in an e Fireplace �61')e. Approximate Cost aOk Area Diagram of Lot and Building with Dimensions _ Fee 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 Construction Supervisor's License I KERN, DAVID & BARBARA No 3 2 7 31 Permit For BUILD GARAGE & ADDITION/Si nql e Family Dtiaelling Location Lot 15, 52 Kett lehnl P Road West Barnstable Owner David & Barbara Kern ; Type of Construction Frame Plot Lot ri Permit Granted March 22 , 19 89 Date of Inspection 19 Date Completed 19 s 0 � ' M �a 141 Assessor's map and lot number �,�.. .�.. ��........... PROF?N E Sewage Permit number Z EAUSTADLE, i SEPTIC SY House number ../hi....................................................... STEM A a mum INSTALLED IN COAAPL TOWN OF BARNST VTITLE5 AL CODE AND TOWN REGULATIONS BUILDING INSPECTOR y APPLICATION FOR PERMIT TO .....�P1.1"1 �.:.� .1. ................... TYPE OF CONSTRUCTION ...........W.l 0-C>.....aA.Bk-tC................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... �6..( C�1. ..... w,....1. b. :l�! .1 ��. .............................................. .. .......... ProposedUse 2. E?.... T .............................................................. Zoning District .,.... .............................Fire District ....W.. f��. .. . . . .. .............................................. Name of Owner`...—).ftME . .A.,... t. 0.M..........Address .j—... .I.T�L ..i �?.L.. .�.. (�Ll.c. ........ Nameof Builder O.W. 1.�,. r..... .........................................Address .................................................................................... Nameof Architect ... .. ......................................................Address .................................................................................... Numberof Rooms .......`...................................................Foundation .... ......................................... Exterior ?Q,b,c7s ..-. ...1�j!C�4e�74..5 �'�' ....Roofing ... Q� ..�.�ir J6�h. .v Floors .. " ..............Interior .... HeatingA4.......................................................................Plumbing ......UA.................................................................... Fireplace ..00.......................................................................Approximate Cost, 2,.Cno.......................................... Definitive Plan Approved by Planning Board __________________________ ------19------- . Area ......lqc:2......�' ....�.... 1-67 C2 Diagram of Lot and Building with Dimensions Fee .........a.,, - j SUBJECT TO APPROVAL OF BOARD OF HEALLLTTH� .52 � fa LE W -EPPQC,►AOC , ► o 10.1 So LAR ADD iTi I one r Q 0 � ti N I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name fsa . ..................... ti PETERSON, JKJAES A. 23178... Permit for ....ADDITION........... No .............. ....... ....... ..... Sin Dwelling .............. ............... ........ 52 Kettlehole Rd. Location ................................................................ r West Ba st .......................... ...... . ab ....................... Owner ....James A. Peterson ...............:............................................. 1-\ Type of Construction .9X.414le........................... 77 ............................... Plot ............................ Lot .................................. Permit Granted ....;,June 8 , .........1,9 81 ......................... Date of Inspection .....................................19 V, Date Completed ................ ............19 PERMIT REFUSED ......................... ............................. 19 ..................... ,............�%-*.......................................... .......................... ............................................. ..................... ................... ................................... ..................... ....... ..................................- er Approved ............. ..... 19 ................ ..........................fjrt......C......................................... ............................................................................... Assessor's map and lot number ., G/ .. .......... �Q�pF THE Sewage Permit number �� �... ?�.. . > ..;ri•Jr.� ../ re 1 MAMTADLE, i O House `number ,•�� ..1.r►a ...................................................... q MAIL Op 1639. 00� a MPY a\ TOWN OF BARNSTABLE BUILDING INSP i ECTOR APPLICATION FOR PERMIT TO ........��. E��—. . . ..... .. .. ��.................................... TYPE OF CONSTRUCTION ...........�,A,I n�.f?... .�.nA. ............................................ ....................................... } ....... .......................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......�.� ... . .......... , .��. _ .. 4. .. ... ,............................................... ProposedUse ,: ? }p.... 1. ........................................................................................................................ Zoning District ...... ;".........................................................Fire District ...� Name of Owner -IIAP E .4,771..L K)...........Address .. YE VJ.=..4n.L.�. ...�/:..��......... Name of Builder ?.R�. P........................................... r' ........... .................................................................................... ...Address f Name of Architect ....��.>�................................................. ...................:................................................................ Numberof Rooms-s ..........................................................Foundation .... ...?l.. .................................................... Exterior Ck.nb..,n.. x-. !......r.n�.:. ...c'}.a.`........Roofing ... dh P ............ !\..K.)�f ?lv�, .............................. Floors ,fix.{.�.... . .. .... ..............................................Interior .. .t.,01+ ....................... Pleating ........................................................................Plumbing ' Fireplace App ,�..2.. ................................................ p ,7........................................................................ roximate Cost l ' Definitive Plan Approved by Planning Board------------_------_-----------19________. Area ......; :. .....5.: .:..... Diagram of Lot and Building with Dimensions Fee ......... .............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 110 147 So t,qR <� ADD iT10K) o� N N 0 I hereby agree to conform to all the Rules' and Regulations of the Town of Barnstable regarding the above construction. Name .. an..: .. . :..., ....................... PETERSON, JMIES A. 23178 ADDITION No ................. Permit for .................................... Single Family Dwelling ............................................................................... 52' Kettlehole Rd. Location ................................................................ West Barnstable ........................................................... ................... Owner James A. Peterson ...............�.:...........................o................... Type Frame '* e of Construction ................................... ....... . ................................................................................ Plot ......*...................... Lot ................................. Permit Granted .............. .............19 81 Date of.Inspection ....... ............19 Date Completed .......................................19 PERMIT REFUSED ................................................................ 19 ......................(........ ................ .............................. .......... 0 ....................................................... �� %//Ez..................... ............................................................................... Approved, ................................................. 19 ............................................................................... ...............................................................................