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HomeMy WebLinkAbout0139 LAKEVIEW DRIVE Ew l ® � J NO. 152 1/3 ORA o o ACTIVE ........... oFt Town of Barnstable Regulatory Services + BARNSTABLE ,MASS. Thomas F. Geiler,Director ' 1639. `0� Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 RE: 139 LAKEVIEW OUR RECORDS THE FOLLOWING ELECTRICAL PERMITS DOES NOT HAVE A FINAL INSPECTION #84981 ELECTRICAL PERMIT EXPIRED FOR WIRING ABOVE GARAGE 93' F4i � ¢¢, &7p N U : N �0 N 2� I 2 �Z T Z Y /=OIJIV4AT/Did u 17 2' � g 4 ZG• � 3,1,E .- V,1 _ 70 _ - - - E 4O` v/Ew % vC � Nut Z C6`97-1FY 7"Hfi7' 77�E CSC/S71/�� CO.NC/�E7'E s /T /S GOC.4TC--b UN -77-16 G/?04J/,/4 ,6A5C-,b ON i4A/ . A'•G'TUAL /�,5'TRvMEnl7" �S'tJietiE?�. . AREPA'eEd:.:. ':• �tH Of JOHN LIQYLE,1l1 col) .Stio E�//n/G T/yE LGX/S.T//V G No.33589 !� 71STE��pfi L OT A/0 g G A-KEY/C-W A V E . �o SUMF y -s'Cf1LE= 4-0- Q.. $D; llal c/ o Box 595 w. , iALA461u=rly� M.4 I TOWN OF BARNS TABLE BUILDING PERMIT APPLICATION Map - Parce — Permit# 71 "/" 1 - �ti 03 3 13DRN� onI�L y, v n Date Issued /0 2 2 A�003 Health Division ��(St73' 3 � ' Conservation Division 9 Zfl 3 Application Fee 10 Tax Collector 25 Permit Fee �. Treasurer `r!S IS I O-`SEPTIC SYSTEM MUST BE Planning Dept. �rz- 3 TITLE S- f / �AMSTA:LED IN COMPLIAt.CE - Z�"` � � VVITI� Date Definitive Plan Approved by Planning Board Ed1lIR0lNMEWTAI.COD A%01 Historic-OKH Preservation/Hyannis �'Y T0VVN REGUU,!10d,4% Project Street Address 13 Village G� �T Owner 4/Address CJ Telephone Permit Request kc Square feet: 1 st floor: existing proposed 2nd floor: existing proposed I Total new Zoning District Flood Plain ,V t Groundwater Overlay Project Valuation Construction Type &.f-4 Cc� Lot Size Grandfathered:/ ]Yes O No If yes, attach supporting documentation. Dwelling Type: Single Fami Two Family O Multi-Family(#units) Age of Existing Structure (( �� Historic House: O Yes On Old King's Highway: ❑Yes No Basement Type: ull ❑Crawl Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ek 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 O Other Central Air:�es O No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Cl No Detached garage:O existing ❑new size Pool: O existing ❑new size Barn:O existing ❑new size 2G•)c2P Attached garage:O existing ❑new size '72 g Shed:O existing O new size Other: Zoning Board of Appeals Authorization O Appeal# /y/►� Recorded O Commercial ❑Yes ❑No If yes, site plan review# A/ A � / I Current Use_ �n rX 1� Proposed Use Cit f rn BUILD R INFORMATION Name Telephone Number �� 2 6 Z. Address J � ��C License# 0 Z'L U 9/ 1n 1-.:e Home Improvement Contractor# --/n n v Worker's Compensation# e k (� � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �1 � �1� SIGNATURE DATE S FOR OFFICIAL USE ONLY PERMIT NO. r DATE ISSUED MAP/PA EL NO. ADDRESS VILLAGE OWNER r DATE OF INSPECTION: " FOUNDATION FRAME ",f A 4 /G e&O INSULATION FIREPLACE y ' ELECTRICAL: ROUGH FINAL" PLUMBING: ROUGH FINAL GAS: ROUGH FINAL f FINAL BUILDING DATE CLOSED OUT, ASSOCIATION PLAN NO. f °F,HET�,,ti - The Town of Barnstable - BARNSTABLE. Department of Health Safety and Environmental Services MASS. 0 i639• �0 A,EOMP�a Building Division 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location AIC,P. (/I ,Ow Permit Number 7 2 -Z Owner LARlz-1 N�'c�v to S Builder SfIM -e One notice to remain on job site, one notice on file in Building Department. The.following items need correcting: / 6) Avar lkifees<P 13eFe/2e Pov/Z &-rP E414Avsr NET v,9Ny �Pp ro �vr�/' ore . �1 �N� �L. ! Cd� j'�91 C N lAI iA/5 t97 WPiWOOZ N411 7M Pep e o ( 1 CAil Foa J?Lo/9R -ccx' oaT,Nu. �'NSP�c7;ON Poem oil-eR C,i�29o� ? vzio�l e- PAV4 r0 B e 37AV5114 9TfD 7f NOT `A1,'5 W e p Please call: 508-862-4038 for re-inspection. zf O: 6— Inspected by �%� /`� Date �D &13 L2o®z • - - TOWN OF BARNSTABLE � CERTIFICATE OF OCCUPANCY i PARCEL ID 000 000 163 GEOBASE ID i, ADDRESS 139 LAKEVIEW DRIVE PHONE WEST BARNSTABLE ZIP - LOT 4 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT TYPE BCOCB TITLEEIPTION NEW OFGOCCUPAANNCY OVER PONTRACTORS:ARCHITECTS: Department of Regulatory Services TOTAL FEES: BOND' $.00 CONSTRUCTION COSTS $.00 �. 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE ` * BARNSTABLK • MAS& 1639. I i BUILD G D ISION DATE ISSUED 06/16/2004 EXPIRATION DATE Y / 1 TOWN OF 'BARNSTABLE r BUILDING PERMIT PARCEL ID 000 000 163 GEOrsASE ID ADDRESS 139 LAKEVIEW DR VE `Ix, PHONE WEST BARNSTABLE ZIP — LOT 4 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 72422 DESCRIPTION NEW HOUSE W/ COV. PORCH, GAR AND STOR_OVER PERMIT TYPE 'BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: PROPERTY OWNER Department of ARCHITECTS: Regulatory Services TOTAL FEES: i $1,071.20 BOND g $.00 �TME CONSTRUCTION COSTS $326,744.00 4► 101 SINGLE. FAM HOME DETACHED '`l PRIVATE Op + ■ABNSPABLE, MAW ,(3 G O BUILDING DIVISI N BY 41-141 _ DATE ISSUED 10/21/2003 EXPIRATION DATE TOWN OF-BARNSTABLE --- ,,= � BUILDIING PERMIT : PARCEL ID 000 000 163�— GEOBASE—ID ADDRESS 39 LAKEVIW DRIVE J PHONE r WEST "BARNSTABLE :�� �;• 'LIP — LOT 4 0 BLOCK LOT SIZE DBA w DEVELOPMENT DISTRICT � I PERMIT 72422 DESCRIPTION NEW HOUSE W/ COV. PORCH, GAR AND STOR-OVER 1 PERMIT 'TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT ` . CONTRACTORS: PROPERTY OWNER Department of ARCHITECTS: Regulatory Services TOTAL FEES: $1,011.20 I BOND $.00 �tME CONSTRUCTION COSTS $326,744.00 101 SINGLE FAM HOME DETACHED" -1 PRIVATE 6' L `* BARNSTABILF, MASS. i639. C 00 BUILDING DIVISION BY DATE ISSUED 10/21/2003 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET R PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY P PERMANENTLY. OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLI E ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CO �8 ❑ �� �� MINIMUM OF FOUR CALL �8 FOR AL CONSTRUCTION WORK:INSPECTIONS REQUIRED AP `/ �`�•�'�'@�1 A� n 1 s 3�8EJ ABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS j V 1S N�I d8 2. PRIOR TO COVERING STRUCTURAL MEMBERS REQUIRED FOR (READY TO LATH). p NM01 MBING-AND MECH-3.INSULATION. Q�48dd TIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. I l + v /� BUILDING INSPECTION APPROVALS FLUUMION APP OVALS 1 1 Cob 1 .to 2 2-�',��1`��� 2l4'i� 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER::✓ 'SITE PLAN REVIEW APPROVAL L7— WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. � . W BUILDING . PERMIT . I • z II I t T- iS FRI SMOKE DETECTORS O.K. BARNSTABLE BUILDING DEPT. r!!a�=fir. :nY': ?;t1+,•?c.lg• U1'L!<U i r. . 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J f P°tINEr�° The Town of Barnstable BARNSTA MDepartment of Health Safetyand Environmental Services MASS. p onmen i679' `0e °�Eo Mpg. Building Division 367 Main-Street,Hyannis,MA 02601 )ffice: 508-8624038 Tax: 508-790-6230 PLAN REVIEW Owner: MARY A11'exVZ 19.f Map/Parcel: 000 - 4WO - 14r 3 Project Address: 17 / ZAA U rJV P9 W.D. Builder: aWyeg The following items were noted on reviewing: i Reviewed by: Date: 0 y too q:buil ding:fonns:review 'r Affidavit of Substantial Financial Interest I, of L-�c��� �-on oath depose and state as follows: 1. 1 am n applicant for a building permit for the property located at Ma p2��� , Parcel 0 -, The address of the property is .71, 2. 1 have 0- % legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date, which is , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Withi n the last twelve months, from today's date, which is Fl l A� I have had :a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel Address 5. Within this calendar year, 1 have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest. 6. Within the last ten days, I have submitted 0 building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted 6building permit applications for property in which I have a 1% legal or equitable interest. , 8. Within this month, I have received y building permits for property in which I have a 1% legal or equitable interest. under the pains and penalties of perjury,,thisf_ day of 0 2003 Signed p 2001-0050/affin 1 ULOTTERY/AFFIDAVIT The Commonwea-Ith of Massachusetts -= - -= Department of Industrial Accidents Off ed afluesUff,900 600 Washington Street __ ( Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit / i i jJgIIle: 7 locatiME � hone# 74�7— [] I am a homeowner performing all work1myse;- Q I am a sole rietor and have no one workin in ca acitp Forking 0 !3:Y�t`x.)'4,'rn}O$!rn.:f!.',a•:::..•.':n}.m.,.•}r:.'.:}4,a::-}r J•,•i!:.:,ni}a•»j;.{•.:n.v:r.:•?;'•;..j•{w>r,•..•.,:}r:•.{•:'•:{:V{,•.::;.n•;Lr.}•.:n.:)•,••1}Y;?.••y..t::.nt.4:y:}?.•;i•.n!I.i.:.':{•.vvs!1iv.::}>.c$.n;.8::.i}`.$Y.•.x:;ni..}..}m}.•.:"....Y;;,l..»..,Yv.•}..4.4£t:..\e}n..,iN4?....;.'-'.:.^:..t.,;:.•..:.:r}.,:`{:•.•....,•;,•w..y.;...$,4.4.♦,.�.:..J...}$a;i.4..{.,r:..:.f3.':{.}4.t..:.^N.L?�.).•.::r:c}.:.jr:v.,.x.:r,q..x::':..4�..'•h.t•^4.•.w'.}.:j,.r!?Yx:s�a.••.•:j#;.t•n..'?...:4..,!v..;•.{!V.}.A1.x.:•.?�..::.4,..r.}.`....,.{.N.{.}..•S...:.•:i a.i..xi,r.:Y•.:t..2.f.,•r.v.:Kk,#.:.,:.N.a•,rC..a x:'-7ir.'..S$t!r.?a xv•:.f•^r.'•),%$•,..:•ft r.}v.r sr:;.,.";..{.;nN..k•;.}::;:rN•.:}f:.`..�:.•?.,r.'.x0.b.{/.:y!'%...•.{v,.:.:v:}^:?5..:.:#}x 4n:,.,+..`C,,.Z:i..x•?�}•v}'.n:':$.}•}•.5.�.4,v^:-v4..:{^?+,.i�.::.:•),:t,Yu.::5•rJ.;Y::..,:2}.�Yv`..v.�•;,:.,x.C.:.,k n%.r:.n}:.`.a.;.Y!..sx..x..::ia}..'.f`•..::..`.Y'..4.}.•.te'{.r-.::.+:# lay .!4n.?:Lx:!':,.,:s^t..:,Y,L.d}•{;a';•.Y:•.t£;:Y::.::it;'`:{•.`;i;:,'.ti.•t�x •o. n'•:Y?.:�}..:.}^..•;f.{'r.••::.:v}o4,n.S a$^}•r$.Y^:.•':.Y Y{:.,}Y:.:4»•x;:)?.:?i`:i�}•4::.i%#,.•ry YJ$:•;.`{:r,:$�y.{}•:.Y.+ib:..<$.:employees I aman : toYer providing workers' co , ••. }r•>{•.:,:Y•} :. .. .:.::::$,+i:::r,•$:::}.::v?•,::. 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FAIre to secure CO ewe as � d�mder Section 25A of MGL 15E can lead to the imps a>lme of S1oo.00 a day against me- Imtderstand that a one years'impr�onmeat as well as etvi).penalties in the form of a STOP WORK ORDER copy ea this statement be forwarded to the Office of Investigations of the DIA for coverage verMcation. under the auis an nald p�JUy that the information provided above is irt'and torte I do hereby certify , Date Signature r Phone# print name ofHdal use only do notwrite in this area to be completed by city or town official Awlperndt/llcense# ❑Building Depart,[u city or town: Ojjcensing Board OSelectmen't Office ❑ check if i nmedlate response is required ❑Health Department ❑Other ' phone#; contact person: ("iced 9195 PJA) Information and Instructions `--� Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the,service of another under any contract of hire, express or implied, oral or written. An'employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs Persons to do mafiAenance, construction or repair work on.such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct.buildings in the commonwealth for any applicant who has not produced acceptable evidence,of compliance with the insurance coverage required. Additionally,neitherthe commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate-of inm„an_ce as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insu-ance coverage. Also'be sure to sign and date the affidavit. The affidavit should be returned to the.city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regazding the"law"or if you are.requires obtain a workers' compensation policy,please call the Department at the number listed below. w City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits maybe retai to the Department by mail or FAX unless other arrangements have been made. The Office of Invesdgitioas would like to thank you in advance for you cooperation and should you have any questions. Please do not hesitate to'give us a call. The DepartmeIIt's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office at lavesugauans 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 .,u .,o -a• 16171 727-4900 ext. 406, 409 or 375 . 92. aminzoruuecz/,� a�✓I✓�aaacl ---':gip;,...:... _.. .--•-- ___ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for individui use otily. Registration_. before the expiration date. If found return to: 100496 Board of Building Ezpirationr.'gjjg/2004 O Regulations and Standards :- One Ashburton Place Rm 1301 ' TYFe_.::Iriclividual Boston,Ma.02108 ICKU - . LARRY N LA,S', Larry Nickulas f 125 LAKEVIEW DR`` _ CENTERVILLE,MA 02632 �-� ��°! Administrator' -- Not valid without signature . f'� ✓die �io7•vmorucea�i a�/',.�i/.cra.sizcsuc,.e/da.. k BOARD OF BUILDING.REGULATIONS ` License: CONSTRUCTION'tUPERVISOR Number: CS. 002265 . `Expires; 011-:8[2004 Tr.no: 12771 g= - Restrict dA6- ,i ? LARRY.D NICKULAS_4---- PO BOX 570 W BARNSTABLE,. tiTA 02668, Administrator 780 CMR Appandix J Trade-Off Vl/Olrk$heet �EntorcementAgenry� Permit Date is Builder Name W Zia, BuilderAddreiv: Checked By I le/ Zone# I Building Address lw �� B Phone Number Date Submitted Byrom. L Ceilings, Skylights, and Floors Over Outside Air Required Insulation U-Value x Area UA Description R-Value U-Value x Area UA ft2 to m Ceilingg (� Floor Over Outside Air ft2 ft2 Skylight — ft2 tt2 Ceilings:Total Area tt2 Walls, Windows, and Doors Required Insulation U-Value x a UA Description R-Value • U-Value x Area UA tt2 ZZZ i �n ftz r e Wall L, KE Window — 33 / to , Door = Sliding Glass Door ft2 tt2 tt2 Walls:Total Area Floors and Foundations Required U-Value or Area or Insulation Insulation U-Value or Area or UA F-Value x Perimeter UA = Description Depth R-Value F-Value x Perimeter / m tt2 Floor Over Unconditioned 4 64 tt2 ftz Basement Wall It tt Unheated Slab in• ft It Heated Slab in. tt2 Total Proposed UA Total Required UA Total Proposed UA must be less than or equal to the Total Required UA. Statement of Compliance: The proposed building design represented In these documents is consistent with the building plans,specifications, and other calculations sub ' ed with the permitapplication. 7 ate BuilderiDesigner Company Name 53 p ` D p u v h 6 u p 7 1 G Western Suretyp v e v � p LICENSE AND PERMIT BOND P For County, City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract, ; Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. 4 KNOW ALL MEN BY'THESE PRESENTS: BOND No. L&P-4 3 0 9.1 O 5 3 That we, _ Nickulas Building Co . , Inc . 1 1 of the Village of W .Barnstable State of Passachusetts as Principal, ' and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of Massachusetts , as Surety, are held and firmly bound unto'the Town _of Barnstable , State of Massachusetts , Obligee, in the amount (Valid only when a County, City,Town or Village is named as Obligee) of **Si:� Hundred Forty Dollars and no cents** DOLLARS ($640 . 00 ), (NOT VALID FOR MORE THAN$25,000) i lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed to construct a single family frame at : , Lotli4 Lakeview Ave West Barnstable ,' N:A 0266(3: frontage 160 ' by the Obligee. s N-,W,`; `RREFORE, if the Principal shall faithfully perform the duties and comply with the laws and ordinance,.(including, all amendments), pertaining to the license or permit, then this obligation to be void, t otih0'dk to rem is n�'m full force and effect for a period commencing on the 3 1 s t day of ' _�"� �n�a� '9 s► �, January 2 0 0 1 , and ending on the 3 1st day January 2 0 0 2 unless renewed by continuation certificate. '75 T1ii4ond may betterminated at any time by the Surety upon sending notice in writing to the Obligee and to �' - c the P inclpal in cArb 6`f the Obligee or at such other address as the Surety deems reasonable, and at the expira- tion"offthiOty= ye���345� days from the mailing of notice or as soon thereafter as permitted by applicable law, which`�'ve4�61ater°this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. Dated this 3 1st day of January 2001 . i Principal Principal • Count r •gned WESTERN SURE TY CO NY 4 l p f• 4 By a By esident Agent President t Donna M. S e v i o u r ACKNOWLEDGMENT OF.SURETY STATE OF SOUTH DAKOTA 1 (Corporate Officer) FCounty of Minnehaha f ss G t On this day of ,before me,the undersigned officer,personally F Eappeared Stephen T.Pate ,who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed the foregoing LFo849-A--12-97 nt for the purpose therein contained, by signing the name of the torpor n by himself as such officer.ITNESS WHEREOF, I have hereunto set my hand and official sJ. RHONE NOTARY PUBLIC ��SEAL SOUTH DAKOTA S� C otary Public, South DakotaMy Commission Expires 6-12-2004Western Surety Company • 101 S. Phillips Ave. ''°' ' ' ' '� + Sioux Falls, SD 57104 • 1-605-336-0850 1 i r c c P y F ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners) 4 6 STATE OF X i ss U c u P County of F P �r n 'On this day of ,before me personally appeared n U e F P 0 7I. P U known to me to be the individual_ described in and who executed the foregoing instrument and P , P U P acknowle dged to me that' _,he__ executed the same. n My commission expires Notary Public ACKNOWLEDGMENT OF PRINCIPAL is (Corporate Officer) STATE OF f ss County of 1 On this day of ,before me, { personally appeared , who acknowledged himself to be the of , a corporation, and that he as such officer being authorized so to do, executed the foregoing instrument for the pur- poses therein contained by signing the name of the corporation by himself as such officer. t } My commission expires Notary Public P F A , ^ P P ce Cn 1 � 1 1 P " A a, W / G \Mom+ Z P a L ° r v N n C Cd ° o 4-4 ' P4 -d RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 1 g square feet x$96/sq. foot= ,fig D x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE .�1'47, 7 square feet x$64/sq.foot= x .0031= plus from below(if applicable) GARAGES(attached&detached) u//SToRiAiAe 728-/280 �0 square feet x$32/sq.ft.= 8 646 x .0031= �� 9, 9 3 ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $ 35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= 30, 1 (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee / 02 Ago x W. 12948 F-'0024 ?:94e.4 . • . Cl!: "r'-1 999 i? 0:3 7 1, EDWARD H. KNEALE, III EXECUTOR of the ESTATE OF JOHN B. WHITMAN late of Barnstable (Hyannis), Massachusetts, by power conferred the Last Will and Testament of John B. Whitman, and by every other power, for consideration 3 paid and in consideration of ONE HUNDRED FIFTY FIVE THOUSAND SIX ; '! U HUNDRED TWENTY-FIVE AND 00/100 ($155,625.00) DOLL FRS grant to LARRY. �D.-NICKULAS of P.O.Box 507,West Barnstable,MA 02668,the land together with the CV ~; buildings and improvements thereon situated on Shoot Flying Hill Road, Barnstable ' (Centerville),Barnstable County, Massachusetts shown as PARCEL B on a plan of land }� w'7 entitled "Plan of Land Prepared for Estate of Anna D. Wilcox Estate of John B. Whitman Located in Barnstable, Mass." dated June 4,1 999, drawn by J. Doyle �y � -to Associatesand recorded in the Barnstable Registry of Deeds herewith. 1"1�►Iq�lt Bop(C �L For title see deed of Norman F.Fay recorded in Book 1328 Page 677 and see Estate of Anna B. Wilcox, Barnstable Probate No. 40414. See Probate of Natalie W. 43 Kneale, Barnstable Probate No. 96P-1123 EP-1. See Probate of John B. Whitman, it Barnstable Probate No.98P-0044-EPI. .y + - �o WITNESS my hand an this d:seal day of . 19M� i � Lr. Ln �� ESTATE OF JOHN B.WHITMAN ' L!) VI In 1=1 µ 1 4Fi 00 G 0 1 nj C1- r- Y O a f sl .-' /f o� V ^ By: ward H. a e,III Executor I o x � W ze w I � � cn <r coos o i <r Qt- Zwg �A � oU � G Wt N + LAW OFFICES OF W JOHN R.ALGER.P.C. W O Q 11-��fyl 999 MAIN STREET P.O.9OX 449 F' t' `• '� : OSTERVILIB.MA OZGSS-0449 Q •J W 4G YI f! 3 u n fe Gj��n G G COPY o G G n Effective Date: September 26th, 2003 n u G Western SuretyCompany n LICENSE AND PERMIT BOND G q G n G n KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 14525094 fi G G n o That we, Larry Nickulas DBA L.D. Nickulas Companies n G G n n n of the Village of .West Barnstable State of Massachusetts as Principal, n and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of n Massachusetts as Surety, are held and firmly bound unto the ` Town of Barnstable Building Inspector State of Massachusetts , as Obligee,in the penal sum of Six Hundred and 00/100 DOLLARS ( $600.00 ), lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made,we bind ourselves and our legal representatives,firmly by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been licensed General Contractor-Lot 4, Lakeview Drive, Centerville, MA 02632 by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply with the laws and ordinances, including all amendments thereto, pertaining to the license or permit applied for, then this obligation to be void, otherwise to remain in full force and effect until September 26th 2004 unless renewed by Continuation Certificate. This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class U.S. Mail, to the Obligee and to the Principal at the address last known to the Surety, and at the expiration oft .P,, !jfdt'-iJ �'sdays from the mailing of said notice, this bond shall ipso facto terminate and the Surety sha3°thg�e ion b" lieved from any liability for any acts or omissions of the Principal subsequent to said date- dl bf$tl`Y�number of years this bond shall continue in force, the number of claims made against t and mber of premiums which shall be payable or paid, the Surety's total limit of liability �; , shahlnot be cumulative"from year to year or period to period, and in no event shall the Surety s total liability fob T•cFais�ec amount set forth above. Any revision of the bond amount shall not be cumulative. °i�rarsaessmeecazs;1 � u Dated this 26th day of September 2003 G n G n G n G n u n G n Principal n G G n n G Principal G n u nG Be" igned(w-I�e equred) � U R E T COMPANYCount WES y By E nn ; pResident Agent Paul T.Bruflat,Sycor Vice President G Form 532-5-2002 u u n n ri n - - -- --- © li 0W E S T E R N S U K E 7 V C 0 M P A N V Q N E 0 F A M E R I C A S 0 L D E S T 8 0 N D I N G C 0 M P A N I E S0 n , n n ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA ss (Corporate Officer) COUNTY OF MINNEHAHA G , n , On this 26th day of September 2003 before me,the undersigned officer, o personally appeared Paul T.Bruflat who acknowledged himself to be the aforesaid Gofficer of WESTERN SURETY COMPANY, a corporation, and that he as such officer,being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as such 9 officer. IN WITNESS WHEREOF,I have hereunto set my hand and official seal. ; n ♦a�a�tti�tirtirtirr�rtirswa�ra 4 , u ± D. KRELL + n i NOTARY PUBLIC SEl1L •y n sbSOUTH DAKOTAQ r n + Notary Publi -South Dakota n n 4a�titiaaaa�ar�titiee�aa�erei n My Commission Expires November 30,2006 ACKNOWLEDGMENT OF PRINCIPAL STATE OF ss (Individual or Partners) COUNTY OF On this day of before me personally appeared known to me to be the individual _ described in and who executed the foregoing instrument and acknowledged to me that—he— executed the same. My commission expires Notary Public ACKNOWLEDGMENT OF PRINCIPAL STATE OF (Corporate Officer) SS COUNTY OF On this day of before me personally appeared who acknowledged himself/herself to be the of a corporation,and that he/she as such officer being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself/herself as such officer. My commission expires Notary Public n \ , n \ , C n 41 n n n � n G U 6 a v n n P. 4-1 z (A n it 0 'd • r � � n a z n Q W Z n n L m n v a 0 D w n n , n a o U) fi n -4 Western Surety Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin,Wyoming,and the United States of America,does hereby make,constitute and appoint Paul T. Bruflat of Sioux Falls State of South Dakota its regularly elected Senior Vice President as Attorney-in-Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on its behalf as Surety and as its act and deed,all of the following classes of documents to-wit: Indemnity,Surety and Undertakings that may be desired by contract,or may be given in any action or proceeding in any court of law or equity, policie demnifying employers against loss or damage caused by the misconduct of their employees; official, bail, and surety and fidelity bori niftttity in all cases where indemnity may be lawfully given; and with full power and authority to execute consents and waive�s'� di fy.,o`r"chB�Kge or extend any bond or document executed for this Company, and to compromise and settle any and all claims or demands made or exi�tirim gainst said Company. �f ' '9 __��3: z AsW6stern Surety rther certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety C y duly adopted ar3igw in force,to-wit: tiSedGon " All bOr� �+'policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the co e�r� ffj'��O'he` C6rlipany by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers r®,aa �df�Directors may authorize. The President,any Vice President,Secretary, any Assistant Secretary, or the Treasurer may appoint Aorneys-in-Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its Senior Vice President with the corporate seal affixed this 26th day of September 2003 ATTEST WESTE N URET COMPANY By Assistant Secretary Paul .Brufl ,Senior Vice President STATE OF SOUTH DAKOTA I ss COUNTY OF MINNEHAHA On this 26th day of September 2003 before me,a Notary Public,personally appeared Paul T. Bruflat and L. Nelson who,being by me duly sworn,acknowledged that they signed the above Power of Attorney as Senior Vice President and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the voluntary act and deed of said Corporation. • t444di4444444y444444444444 t s D. KRELL s SEAL NOTARY PUBLIC SE LIS s SOUTH DAKOTAC s t4y444444444444444444444+ Notary Public My Commission Expires November 30,2006 Form F1975-4-2002 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �/ Parcel - .15- Permit# ,mil J`2 Health Division ��-G s3 &( Date Issued Conservation Division 1 9 N Ov M Y" aEP Fee .�. Tax Collector �� air(✓ fj TIC SYSTEM MUST BJE Treasurer �'/-/s-- �J 9 INSTALLED IN COMPLIANCE Planning Dept. 2�/ f f ENVIR®M11 LE 5 _ L CODE AND Date Definitive Plan A proved Planning Board �� - g p'� TOWN REGULATIONS ��'�U✓L L N V{- JC r 2P O4 cl Historic-OKH 41 Preservation/Hyannis FJ /7 4 Pr 'ect Street Addr s 3 � Village J,1 1 4 Owner c, - C- Address n �f�� r //'� �elephone ermit Request a-, ` Square feet: 1st floor:existing prop d� 2nd floor:existing 2� Total new3�V Estimated Project Cost02 Zoning Di c F U Groundwater Overlay Construction Type // CL J cC cy c"? Lot Size y� l� 0 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 o Basement Type: Full ❑Crawl Cl Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) / C) Number of Baths: Full: existing new 2 Half: existing new -22 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:❑existing ❑new size Attached garage:❑existing new size y ! ( Shed:❑existing ❑new size Other: Zoning Board of Apper rization ❑ Appeal# Recorded❑ Commercial ❑Yes If yes, site plan review# i Current Use Proposed Use BU DER INFORMATION 7 Name ! W� 4v f Telephone Number ` Address License# CS Gt��'� Q Home Improvement Contractor# J4c a ' �'e Worker's Compensation# C ALL CONSTRUCTION DEBRIS RESULT G FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ri S FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. r w ADDRESS a VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH t FINAL FINAL BUILDING sI M DATE CLOSED OUT ASSOCIATION PLAN NO. ' J a.�-`�}- ��--' ��ze �anznaaruueal� a�✓Gcfi�cseCla = BOARD OF BUILDING REGULATIONS t License: CONSTRUCTION SUPERVISOR Number: CS 002265 , pig 55 Expi s: 01/18/2002 Tr.no: 13357 Restricted To: LARRY D NICKULAS PO BOX 570 W BARNSTABLE; MA 02668 Administrator ✓�ie Pianraiea�uaeall�o�✓�faouac/uueCY3 HOME IMPROVEMENT CONTRACTOR ` Registration 100496 Type - INDIVIDUAL ? Expiration 06/18/00 LARRY NICKULAS Larry 0. Nickulas Zy--, -,3 H U C K I N S NECK RD ADMINISTRATOR CENTERVILLc MA 02632 MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.01 Release 3 Checked by/Date CITY: Barnstable ' STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 2-6-2001 DATE OF PLANS: 2/5/01 PROJECT INFORMATION: Lot 4 Nickulas COMPLIANCE: Passes C Maximum UA = 871 Your Home = 834 Area or Cavity Cont. Glazing/Door cl Perimeter R-Value R-Value U-Value UA CEILINGS 1756 30.0 30.0 30 WALLS: Wood Frame, 16" O.C. 3616 19.0 19.0 123 BSMT: Conc. 8.0' ht/6.5' bg/0.0' insul 1756 0.0 0.0 495 GLAZING: Windows or Doors 229 0.500 115 DOORS 54 0.500 27 FLOORS: Over Unconditioned Space 1756 19.0 19.0 44 HVAC EQUIPMENT: Furnace, 90.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet. the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. _ Builder/Designer Date S C�F� I `1 The Commonwealth of Massachusetts Department of Industrial Accidents _-- Office of/nresUgaUoas 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit namc7Gtr ��' /1/��1�� ✓ / CC / city ��s ��<<��lr � / �� � phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity �3��� 7 A2 • I am an employer providing workers' compensation for my employees working on this job. company name: address-;... City;. phone 0: insaranee>co: poli I am a sole propri r, general contractor homeowner(circle one) and have hired the contractors listed below who ru..- /� the following workers' compensation polices: :.....::...:....::..::..::... . ^� :..:.: ..:...:.:.:.:.. ctimtian.vname;_ additss;. lJ /�'�insurantxso` �i C�, / %///LJ �"/�G; `.� oa►� .; :: >. :: ' 3/S.y9�/Z��- �/ comoanvznsme� / �� C�J �� C 000::;;;;.�� : /P..C!/j.:.::. :::::iC1`3: situ; .eJ ' =�Gt Cfy� �G phone H: ,C�(� U U `I �� policy# Cj d G U O Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of it fine up to SI.500.00 aodmw one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under t pains and penalties of perjury that the information provided above is true and corre Signature Date eF Print name Phone# 7C-- Z C, Fcheck ly do not write in this area to be completed by city or town official . permitAicense# nBuilding Department mediate res onse is re wired ❑Licensing Board P q ❑Selectmen's Office ❑Health Department n: phone#; nOther (a ised)95 PJA) 1 fi I ESTIMA TED PROJECT COST WORKSHEET Value LIVING SPACE (high end construction) square feet X$115/sq. foot (above average construction) quare eet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) 'Z YX L`S square feet X$25/sq. foot= b PORCH square feet X$20/sq. foot= 0 DECK / O ® square feet X$15/sq. foot OTHER square feet X$??/sq. foot= Total Estimated Project Value 3L ? li a5 5�-Z Cf C/9 V ZC9 G d fl��'je t�s`I em OWN OF BARNSTABLE de V BUILDING PERMIT , GEOBASE ID PHONE,--� PARCEL ID 000 OOO�VIEW DRIVE ZIP = ADDRESS 139 WSST BARNSTaBLE BLOCK .LOT SIZE LjDT 4 DEVELOPMENT DISTRICT . 51577 OBA DESCRIPTION NEW 3 .BDRM SI.NG-.FAM.HOME SEWPT#2000-653 pi TYp6 BUILD TITLE NEW RESIDENTIAL .BLDG PMT p � NICKUI'AS BUILDING CO. .:Department of Health, Safety CtORS and Environmental Services TECTs' $1, 184.05 �tNE INRUCTION COSTS $381,950:fl0.. �► ..PRIVATE. , BARNSI'ABLE, j '-` SINGLE FAM HOME. DETACHED 1 . �«141 Mies. BUI==)ION Ve ( g BY DATE ISS D 02/08/2001 EXPIRATION DATE- Larry Nickulas 578 Huckins Neck Road Centerville,MA 02632 7 We 3v y i s wear /01 .-/ .s�7 '� /3 9 La ���, c� fog- L✓,e-S C v' Ck�� c f�/ U -7 1 -Yo ( 's--a ri too Bq eRICp,EwhlNer. r3[ �� � . . is RIDGE.vMT- -GA I � - � � .WOOD L'E LOFJVEfBD'. - . _ N . "C4N17..R1DGe.VENT •, . IxMx} .RAkB 6D8• - s .. CGi?T.:RIDC■E,VENT - ...V2 MA FFLT. :. OVER•5/DPCDX..PLYWOOD IZ( o " AfL 12 12 Ix8 Faecia:scs w/GUTTeRs.t OG"POUTS ,.. • _ kiid — PLATE:Wr so W c SHINGI;EB.uN.'S.'S.'E7(P..08URE•'" 51DING OVER'ATl PAq' OR'PGIUAL' ON I/2�COX PLYWOOD 'JA .+ i• y W. IXS/iki cORNQt. M1 �. } c6 FROG�9TION SMOKE DETECTORS O.K. A! OARNSTA L BUILDING DEPT. . GON'T RIDGE�.VEM � �. RM 0 4ASPWALT.SHINGLES ON' gg150-FELT APER 8oven siePcDx PLYWooD � g 1X6/IX5 RAKE'DDS n' - IZ - '�� l of . �14 GON'T RIDGE:VePLT: a . 61�57�� 4832%�3 L 7 — l4 LILL f. 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