HomeMy WebLinkAbout0057 LOTHROP'S LANE Oxfforar NO. 1521/3 ORA
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f' TOWN .OF BARNSTABLE, MASSACHUSETTS BU•IED ,PE T"
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Chris Britton 11/18/93 DATE 19 PE MJT NO.
inc.- - ADDRESS 07` Ya (} ChII;- .'...+ :i
APPLICANT
)' a IN0.1 (STREET).' (CONTR•5 LICENSE)OF
Build Dwellin 2 .Single L'anli.ly Dwe111r�+,�EBLL ERNG UNITS
PERMIT TO g (_) STORY
1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) '
{I{. 5.7 Lothrops Lane,. W.. Barnstable o STR CT_ RF
I AT (LOCATION)
l (NO.) (STREET)
BETWEEN -
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUI.LD'ING IS:TO BE FT. WIDE BY -FT. LONG BY F.T..'IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION :.ION
TO TYPE. USE GROUP BASEMENT WALLS OR FOUNDATION s
ITYPE)
, Sewage #88-628
.REMARKS:
Thomas B. O'Hara ($572:-00)
-
�` RR, R. R. I Box 154
East Corinth y .Vt PERMIT
AREA OR ,..- 2,064, sq. rt. ESTIMATED COST' "lU0i0.00..-: .; .FEE - .178 75
VOLUME
(CUBIC/SQUARE FEET) - '
'E'eE� Mr. & Mrs. Bernard Mitchell 11/18/93
OWNER �4- BUILDING DEPT.. �I
1 ADDRESS BY•
i Willow Street, West Barnstable, MA
OR
I . . - P-
_ .
T'flONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL. PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
Z. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO LATH).3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE.
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 2 f��� 4i.j1C z
A/zs/��
oke 5L_�
H ING INSPECTION APPROVALS ENGINEERING DEPARTMENT
' �i�'A•t W V s
OTHER 2 BOAR OFHEALT
i
WORK SHALL NOT PROCEED UNTIL THE INSPEC- i PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS ST:.GES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.
I � r
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DEPARTMENT OF PUBLIC SAFETY-DIVISION OF FIRE PREVENTION.
1010 COMMONWEALTH AVENUE. BOSTON
West Barnstable G I - 1 Z. -'E M19
'4 V (City or Town) (Date)
CERTIFICATE OF COMPLIAINCE
CHAPTER I48, SECTION 26F, M, G , L.
This Certified that the property located at 7 L641-1(y} Lai V
WEST BARNSTABLE has been ectuipped with approved smoke
detectors and was found to be in compliance with Chapter 148 Section 26F, Massachusetts
General Law.
i
Inspection/Testing completed on: )�,� 19 ,ABy: )Mc)_t P. }
Irlspector '
Fee Paid: $10.00
Receipt # JOHN' P. JENEINS S CHIEF
WEST BARNSTABLE FIRE DEPT,
(Seller's Copy)
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I' DEPARTMENT OF PUBLIC SAFETY
:i COMMONWEALTH ONE ASH60RTON PLACE 1
'
BOSTON,MA 02108
MASSACHUSETTS i LICENSE CAUTION
CONSTR. SUPERVISOR
EXPIRATION DATE FOR PROTECTION AGAINST
1 0/2 5/1 9 96 i EFFECTIVE C15/01/1 993 06Q097 DATE LIC-NO. THEFT, PUT RIGHT THUMB
RESTRICTIONS PRINT IN APPROPRIATE
o BOX ON LICENSE.
1 2 fAr4ILY HOME CHRISTOPI'IER A BRITTON . A BLASTING OPERATORS
_ PO Box 1466
" SS 013-56-9102 SANDWHIC" MA 02563 MUST INCLUDE PHOTO.
PHOTO(BLASTING OPR ONLY) FEE; 0.
0 0 � NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY
STAMPED-OR•SIGNATURE OF THE COMMISSIONER
HEIGHT:
DOB:
10/ 25/1961;
« SIGN NAME IN FULL ABOVE SIGNATURE LINE
THIS DOCUMENT MUST BE _. - ,SIGNAIURE OF LICENSEE `{I
CARRIEDON THE PERSON OF I
1 THE HOLDER WHEN ION.
GAGEDINTMSOCCUPAT ION.
: , 1,-„.'v;.iJl� �✓�
OTHERS-RIGHT THUMB PRINT
• .'r 1 , 5.. ._ ..ems •-
t *Permit#Town of Barnstable
Expires 6 months from Issue date
Regulatory Services Fee
rinxrtsraaLe, : Thomas F.Geiler,Director z
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
I Not Valid without Red X-Press Imprint
Map/parcel Number. ( Vb n(�s
Property Address 5 7 L 671, a -s L rl
❑Residential Value of Work 7 �yU Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address �6,jDS L h I
r5 81c yuAsS
Contractor's Name / l t ,�1?6 Telephone Number G� d�9,� 3yZ 1 Z�1
Home Improvement Contractor License#(if applicable)
❑Workman's Compensation Insurance X� ESS PERMIT
Check one:
❑ I am a sole proprietor
❑ I AM the Homeowner APR ` 8 2008
I have Worker's Compensation Insurance
Insurance Company Name 1Rj r//4 TOWN OF BARNSTABLE
Workman's Comp.Policy# / G l C�` / L
Copy.of Insurance Compliance Certificate must be on file.
Permit Request(check box)
❑ Re-roof.(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
[Replacement Windows/doors/sliders.U-Value &c2 ( (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
6J,:1
A copy of th ome Improvement Contracto LYcense-is�equrt{� 1.•,;.�
j j R. r j n
SIGNATURE vc�;•r%
:J �i
Q:Forms:build ingpermits/express
Revised 123107
i'
The Commonwealth of Massachusetts
_ Department of Industrial Accidents
' Office of Investigations
.. 600 Washington Street
�. Boston, MA 02111
- ,a www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Busirness/Organization/Individual):
Address:(�G C���►�
City/State/Zip: Phone #:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g. ❑Demolition
workingfor me in an capacity. employees and have workers'
y p n'• 9. ❑Building addition
[No workers' comp.insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152, §1(4), and we have no
employees. [No workers' 13.0 Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under thepains andpenalties ofperjury that the information provided above is true and correct.
Signature: Date:
i
Phone#:
i
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
04-02 k-22 FROM-Newpro-WheelingAve 1-78781--932-0860T-823 P001/004 F-155
V t #sw!d. ®@I�® ® J7 RI Reg.#26463 THE riEPLACEMt3�1TWW0OWPEME Federal ID#2l}-26Z9129
COrpomte HOOOQUOAM:28 CodOt aL.P.O.BCk flap} WOawn MA 01888 (78I MS-o 100 1 d00a4II nI1
THIS CONTRACT MADE THE. . . . . . . . . ..71. day of.. . /✓ly✓c
• , . . . 200.6. between. . . , . , . , . . . .
P.K. . . . . . . . go 70-71 V. . . .
. .01 ash. 8. .y.
(Home Owners) �(H�Sm"a Phone) L (BuelCen Phone) (Mf1mrii
O . . . . S.'I . . .(;otifOpS' �nl/1Curesa). . . . . 4 . pjy�flsJcth.�, . .(Me , , , . . . . . . . . (22�. )
the"Owner'and NEWPRO Operating,LLC,"NEWPRO".
NEWPRO hereby agrees that it will for the consideration hereinafter mentioned,furnish all labor and material necessary
Orr to install the following described work at the premises located at
y . . . . SA►�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Jot)'address) (E-Mail Address)
TOTAL a0 NEWPRO 000 Addition I Style I]](y TOTAL CASH
Windows Purchased y Wo k4 PRICE
Window Color Specify p►i din Glass Odor DEPOSIT
Capping Color Specify h Oly Steel Security Door WITH ORDER ��p0
Double Hung tip /
Picture Window Obscure Glass TOP I 801MM BALANCE
Station Casement Screens HALF FULL DUE AT / q
Casement•Model p INSTALLATION
2 Lite 13 Lita Slider NEWPRO' does not do any painting or
Bay/Bow Frame draining- CH
Garden Window NEWPRW la not responsible tar conolttono AS Balance Paid f0
or otrcumomncoo beyond Ile control Including Ialfer at InstaNation
AwningCondensation resulting from or duo to pro-
Other oaoting eonetaone FINANCE k CiDrnpletfon
GRIDS Colonial I Diamond rgned at Installation
DESCRIBE WORK-----' c ru .q !«l ✓ w Q!
v /IV 5
F
d nw �� car h
6
1 seCu doors will have a 314'aluminum threshold installed over existing threshold.0 Customer Initials
E809an Date-, Ma 1 07 00 Est.Comp.Dais:
105�aft be the obbgason of N RO to obtain any and all permits necessary un this agreement,as the Owner's Agent.The Owners who tiara
thdtr own oonswdl—..--.7d permits.or deal with unreglsteryd Contractors will be excluded from the qua"fund�rovl�lens of MGLC,142A,
All Home Improvement Contractors and Subcontractors shall be registered try the Director and any inquiries about a Contrecror or Subcontractor
relating to a M&,tration afwuld be directed to: 011wor, Home Improvomont Contractor Registration, One Ashburton Plano, Room 1301.
Boston,MA 02108.(e17)7274krm.
It the Owner Is t7otaming Inandnp by way of a Retail Installment Sales Aggreement,such ArQmoment shall Include a bma schedule of payVhdnta to be
shade under sold cont�C and the amount of each payment stated In dolfare,including all finance charges.The Retail Installment Sales Agreement
shall be incorporated herein by reference.II the Owner Is obtaining a revolving Cradlt[Ina to pay.in whole or In part,for the contract amount herein,
the lams:of the revolving•line of credit including Interest rate and paymont temps,shall be dearly set out on the Credit application.The portion of the
credit application referencing a time echa(futa of payment,to be made under this contract,and the amount of oath payment stated In dollars.Inewding
all flnenee Charges,ahyti bo inoorporated herein by reference.
NEWPRO represents that it carries Workmen's Componsadon and Public Liability Insurance In trio amount of$100.000 8300,000,
II Ina Owner refuses to permit NEWPRO to pro:aed with the work herein,or In trio event o1 any broach of the Owner of this agreement,for any reason
whatsoever shall cause the owner to pay NEWPRO a aura of money eegqvat to thlrrydhrae and one-thrfd percent of the prlca agreed to bo pad,as fixed,
liquidated and ascertained damages,and not as a penalty,without Iuntler proof of lose or damage.
NEWPRO shall not be hold rtable In damages for delays In Cho paAonnance of thla ponlrecl due to causes beyond fttt feaWable Control.
Owner warrants that he Is the owner of the property on which the work Is to be performed or that no Is otherwise authorized on behalf of the owners
to enter into this agreement
This oontrmcl represents that entire agreement between the Owner and NEWPRO and cannot be changed except by a witting signed by both the Owner
and NEWPRO.
You are entitled to a copy of the Contract at the time you sign.Keep It to protect your fegal rights.We,the aforesaid
owners,ceirttty that Immediately after the signing of the aforesaid agreement,a copy was furnlshod to us.
You may cancel this agreement ff It has been signed by a party thereto at a place other than an address of the seller,
which may be his main office,or branch thereof provided you notify seller In wrlting at his main oftice or branch by
ordinary mall posted,by telegram sent or by delivery,not later than midnight of the third business day following the
signing of this agreement.(Saturday Is a legal buelnass day).
See the attached notice of cancellation form for an explanation of this righL
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
The Owner has seen"sample"warranties that will be provided by NEWPRO upon installation.
Sample warranties provided to Owner.
IN WITNESS WHEREOF,the parties have hereunto signed their names this day of /D9,y✓d� 2000
(. 1,14-4 H/ EIN# Signed
Marketing Repr semativ Printed time Owner
Accepted: NEWPR P r .
By Signed
Marketing Rapres ntati ignalure Owner
'.ask.\ _ � .. .....o.�z...�....::..
=i Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACT+OR
try-r / Registratlon:..146589
.Expiration: 5/5/2009
._..-:-:Type:. Supplement Card
NEWPRO OPERATING,LL.0
TOM PEACOCK
26 CEDAR ST.
WOBURN, MA 01801
Administrator
rx� �;x"c ✓le "�nrr.-3✓r.•zar�<c�.r:,�� c��:��u+cacc<�uaa
pt Board of Building Regulations and Standards
• ,,;-, 'fir
:i Construction Supervisor'License
License:.CS 96093
A/8/1965 "
:iN4 Expiration:=4j6j20:10 Tr# 96093
THOMAS PEACOCK.JR
38 OAKLAND AVENUE::-,_r`; =`=
SEEKONK, MA b2771 Commissioner
-- -
mar vor Va 1J,_.I./ k'AJL 16177709683 A11'1LI8:[CA1Q1 FIRST YNSiIAAAfI:E
�0 O 1
D. CERTIFICATE OF LIABILITY INSURANCE Opp De T
DATE(Mfu1/OO/YYYY)
igz"R-1 02 29 06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTE4 OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
American First Inn Agency Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
122 Quincy Shore Drive ALTER THE COVERAGE:AFFORDED BY THE POLICIES BELOW.
North Quincy MA 02171
Pbones 617-•770-9000 INSURERS AFFORDING COVERAGE NAIC0)
INSURED INSUR9AIN Arballa Protecti= In&, CO
INSURER 8:
NOrro arra.t inQ LLC INSUAGA 0:
POI B
Woburn 1AA 01801 INSURER
INSURER e:
COVERAGES
T'HE POLICIES OF INSURANCE LISTED BELOW►9AVC B@MN MOVED TO THE INSURED NAMED ABOVE COR THE POLICY PERIOD INDICATED.NOTW ITPISTANUING
•ANY REQUIREMENT,TEAM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMEN'r WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS:3UBJECT TO ALL THE TSRMS,6HCLUSIONS AND CONOIT)ONS OF SUCI I
POLICIES,AGGREGATE LIMBS SHOWN MAY NAVE BEEN RCDUCED BY PAID CLAIMS.
LkA
AN
TA 4NSR TYPE OF INSURANCE POLICY NUMBER OATS Ml00 DAT® W LIMITS
OENEAALLIABILITY EACH OCOVAAENCA 61,000,000
A X COMMERCIALOCNERALLIASILITY 850000010649 01/01/00 01/01/09 PREMU$(Eoaoovr9noa) S 50,000
CLAIMS MAOE OCCUR M20 EXP(Any one person) $5,00 0
PEASONAL&AOVINJURY $ 1,000,000
GENERALAGOREOATE 52,000,000
OEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 92,000,000
POLICY JECT Lac
AUTOMOBILE LIADIUTY COm+BINED SINOLI:LIMIT
A
ANY AUTO 61037400001 12/31/07 12/31/08 (Cq-oldcnl) 91,000,000
ALL OWNED AUToB BODILY INJURY
X SCHEDULED aurDs (Per perlpn) 9
X HIRED AuTOs BODILY INJURY
(Par acddepnl)
X NON•OWNEO AUTOS
PROPERTY DAMAGE $
(Par accident)
GARAGE LIABILITY AUTO ONLY•EA ACCIDENT S
ANY AUTO OTHER THAN EA ACC S
AUTO ONLY: AGO S
EXCC83NM®RE4LALIABILITY EACH OCCURRENCE S 5,000,OOOj_
A X occua CLAIMSMADE 4600010709 01/01/08 01/01/09 AGGREGATE a5,D00,000,
9 '
DEOIJCTIBLETHI
3
Rr'f6N710N 6 S
WOAKCRS CJO
OMPENSATION AND X TORY LIMI7A ER
A EMP40YCR9'LIADIUTV 90967005 05/01/07 05/01/00 E.LCAOHACCIDENT $ 500,000 1-
ANY PROPRIETOFuPARTTIER/EXECIlTIVE
OFFlc0WEMBEA EXCLUDED? EL.DISEASE•EA EMPLOYE S 5 0 0,000
Or de*vlbe under E.L.DISEASE•POLICY LIMIT 9 5 00,0 0 0
9PEt:IAL PROVISIONS below
QTHEA
OESCAIPTION OF OPERATIONS!LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY eN0OR88MENT I SPECIAL PROVL410NS
OpZRATIONS OF INSURED
I
CERTIFICATE HOLDER CANCELLATION
OVI!DSSOAIBSD POUCIeS BE CANOELLBO eEFoRa THE eXPIMIkTIO
SPECO O 1 SHOULD ANY OF THE M
DATE THEREOF,THE 180VING INSURER WILL ENDEAVOR TO MAIL 10 BAYS WRrrTEN
NOTIOE TO THIN CIRTIMCAT'E HOLDER NAMQO TO THC LEFT,buT FAILUIRC TO DO$0 SHALL
SPECIDIEN IMPOSE NO OBLIGATION OR LIABILITY OF KIND UPON THE INSURER,ITS AGENTS OR
REPASSONTATIVES.
AUTHORIZED REPRESENTATIVE /
Ja"n J. Farran C CU;7 -
' 70PID CORE RATION119E
ACORD 25(20011/08) I
-14
!. ENERGY STAR'
' 1
in Highlighted Regions .
WERF MI.
® =Qualified in all zones
NEWPRO MANUFACTURING
IaFxc 4000 DOUBLE HUNG
Cellular PVC frame, Double glazed,
National Nnestration Low E coating(e=0.034, S3),
RatingCourxilc Argon/air filled
DEV-K•20-00004
ENERGY PERFORMANCE'RATINGS
U-Factor•(U.S.A-P) • Solar.Heat Gain Coefficient
0 , 27 0 .39
ADDITIONAL PERFORMANCE RATINGS
Visible Transmittance Condensation Resistance
-0n51 57 .
Manufacturerstipulates that these ratings conform to applicable NFRC procedures for determining whole
product performance.NFRC ratings are determined for a fixed set of environmental conditions and a
specifk product size.NFRC does not recommend any product and does not warrant the suitability of any
product for any spec f c use.Consult manufacturers literature for other product performance information.
www.nfrc.or
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FLOOD ZONE. `C"
FOUNDA TION CER TIFICA. TION
T N' BARNSTABLE $CA E.'] 11 - 4o �.PGAN REF'. _ �:� tVigl,Qlu'':
I CERTIFY THA T THE ABOVE 'yANEE { `SURV�'YQRS
FOUNDA T/ON IS L 0CA TED ON LAND
THE GROUNA AS SHOWN; AND �tH.oF ar
�oEs ��`� . dONSU:rA C .
IT'S .POSITION *— ° PAUL y� /43 ROUTE %49
CONFORM TO THE ZONING AW L ;09�E y
SETBACK REQUIREMENTS OF M E s HE P.0..`.BOX"
Q
BAR N S T A BL Ei. 9 0 M14R•S r�N•S. M�1;L s '`:Mi4:::42648
PAUL A. MERITHEW,R.P.L.s, oA rE3=�a-1990 UMBER. 1552-2:9
Application lication to
/ 0Q NO g1 P PM"'b
Old King's Highway Regional Historic District Committee
Al in the Town of Barnstable for a
CERTIFICATE OF APPROPRIATENESS
Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs
accompanying this application for:
CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction: 54 New Building ❑ Addition ❑ Alteration
Indicate type of building: (House (Garage ❑ Commercial ❑ Other
2. Exterior Painting: ❑
3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign
4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Othe.r
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY DATE—�r��H� '�-�( l�l
ADDRESS OF PROPOSED WORK 1�7-1 LCEr"RR'PS L-2-Kr ASSESSORS MAP NO. 1O
OWN� ASSESSORS LOT NO.
HOME ADDRESS — t :'a,x 1 L;4 eAST (753040 TEL. NO. 8Q - sI 3�j -5 14
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
filet= TV AQPt: (CA-riot-) 4- c,� �c�.. ZC I As o P JzD• �,�J
p.�D ves s A s P 1 t-CZ LIQ .•4 S ►v.,C-0f z-c—cT c_til S 7A rF-i` 4 S 3 -7 Lo-7H,e�,)16
AGENT OR CONTRACTOR T�3 (D' AAR44 TEL. NO.eO2 4 8
ADDRESS 4. t_hsT(f,=p,, T-" V-r �3504 -
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including
materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed
locations of new signs. (Attach additional sheet, if necessary).
Signed
Owner-Contractor-Agent
Space below line for Committee use.
Received by H.D.C. >
Date The tificate is hereby Date Z—/d y U
Time J �� "K
By
Approved IMPORTANT_: If Certificate is approved, approval is subject to the 10 day appeal period
r' provided in the Act.
i Disapproved ❑
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Definitive Plan Approved by Planning Board 19 TOWN
REG
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO bU I(_•D Cd Ca)
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TYPE OF CONSTRUCTION �fzAw)C
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: '
5 7 _
Location.
Proposed UseZVI,
Zoning District Fire District
Name of Owner ACoress
Name of Builder -ter— Ch,C%S I3G/W Address
Name of Architect A•J Address '7 �'�U y L L�G,
Number of Rooms l0 Foundation
Exterior Roofing
Floors a Interior
Heating (&A S Plumbing rt w Q- H.,11> r-I cI L A
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Fireplace _TVj Approximate Cost koc>, C:>
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\ Area T
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Diagram of Lot and Building with Dimensions Fee/ V'
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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 nal
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No Permit For
33557 Build 2 Story
Single Fami 1)z nw,- J= n� -
Location 57 Lothrop-, Lan@
` W. Barnstable
M Bey,42,0
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Owner. Jar ea T
Type of Construction Frame-
Plot Lot
Permit Granted rMarch 13 , 19 90 _
Date of Inspection U D —�t� %T!19
to m,gl ted a � 9 19
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TOWN'OF BARNSTABLE 33557
�.,. . Permit No. ...... .........
BUILDING DEPARTMENT
loan I X I TOWN OFFICE BUILDING Cash
Ml
i61
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HYANNIS,MASS.02601 Bond ................
CERTIFICATE OF USE AND OCCUPANCY
.10
`� ...
Issued to Mr. & Mrs. Bernard Mitchell
Address 57 Lothrops Lane
West Barnstable, MA
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
F�bruarv... 23. . . ... . t9..9.4..........
Building Inspector
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10 - 0 D 1- 0 b's
TOWN OF BARNSTABLE Permit No. .. .....
BUILDING DEPARTMENT
I """ I TOWN OFFICE BUILDING Cash X.........
«67 V•
Owt HYANNIS.MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to Mr. & Mrs. Bernard Mitchell
Address 57 Lothrops Lane
West Barnstable, MA
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
.. February. . 23. ... ... . 19..9.4..........
..................... ..... ................
Buildin Inspector
Pam,
[ ] [R109' 005 . 005 ]
LOCI 0057 CTY] 05 TDS] 500 WB KEY] 370440
----MAILING ADDRESS------- PCA] 1011 PCS100 YR187 PARENT] 54014
MITCHELL, BERNARD A & MARY MAP] AREA185AB JV] MTG12001
57 LOTHROP LANE SP1] SP21 SP31
UT11 UT21 . 80 SQ FT] 2970
W BARNSTABLE - MA 02668 AYB] 1990 EYB] 1990 OBS] 100 CONST]
0000 LAND 47500 IMP 159800 OTHER
----LEGAL DESCRIPTION---- TRUE MKT 207300 REA CLASSIFIED
#LAND 1 47, 500 ASD LND 47500 ASD IMP 159800 ASD OTH
#BLDG (S) -CARD-1 1 159, 800 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE
#PL 57 LOTHROPS LANE WB TAX EXEMPT
#DL LOT 10 RESIDENT' L 207300 207300 207300
#RR 2038 OPEN SPACE
COMMERCIAL
INDUSTRIAL
MGFM: 53051
EXEMPTIONS
SALE] 10/93 PRICE] 160000 ORB] 8858/035 AFD] I TE L
LAST ACTIVITY] 03/09/95 PCR] N
q%
R109 005 . 005 A P P R A I S A L D A T A KEY a70440
MITCHELL, BERNARD A & MARY
LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=
47, 500 159, 800 1 A-COST 207, 300
B-MKT 20, 800
BY 00/ BY ME 1/91 C-INCOME
PCA=1011 PCS=00 SIZE= 2970 JUST-VAL 207, 300
LEV=500 CONST-C 0
----COMPARISON TO CONTROL AREA 85AB -----------------------------
NEIGHBORHOOD 85AB WEST BARNSTABLE
PARCEL CONTROL AREA TREND STANDARD
101 10 LAND-TYPE
475001 LAND-MEAN +0%
2073001 132880 IMPROVED-MEAN +200 250-.
] FRONT-FT
] 100 DEPTH/ACRES TABLE 02
100%] LOCATION-ADJ APPLY-VAL-STAT
LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES
COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC
FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?]
R109 005 . 005 P E R M I T [PMT] ACTION [R] CARD [000] KEY 370440
000000001
PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT
[B33557] [03] [90] [ND] 1000001 [LK] [01] [95] [100] [NEW ] [WB 2 STORY]
[B36432] [01] [94] [AD] A 190001 [LK] [01] [95] [000] [NEW ] [WB ADDIT'N]
a15J2?
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*****ACORD-ID******* CERTIFICATE OF INSURANCE ***** DATE *****
***** 00179 ******* ***** 11/18/93 *****
PRODUCER NAME & ADDRESS THIS CERTIFICATE IS ISSUED AS A MATTER OF
Fredericks Insurance Agcy, Inc INFORMATION ONLY AND CONFERS NO RIGHTS UPON
1046 Main St . , P 0 Box 427 THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER •THE COVERAGE
Osterville MA 02655-0427 AFFORDED BY THE POLICIES BELOW.
INSURED NAME & ADDRESS COMPANIES AFFORDING COVERAGE '
Britton Builders CO. LETTER A: Travelers Insurance Company
Christopher Britton, dba CO. LETTER B:
P 0 Box 1146 CO. LETTER C:
Sandwich MA 02563 CO. LETTER D:
CO. LETTER E:
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIOD . INDICATED, NOTWITHSTANDING ANY REQUIRE-
MENT, TERM OF 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 .
----------------------------GENERAL LIABILITY COVERAGE-----------------------------
CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION
LTR DATE DATE
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCURRENCE
OWNER 'S & CONTRACTORS PROTECTIVE
A X Comm Package W-680-222W568-0-TI 03/08/93 03/08/94
LIMITS OF LIABILITY IN THOUSANDS
GENERAL AGGREGATE $ 2, 000 EACH OCCURRENCE $ 1 , 000
PRODUCTS-COMP/OPS AGGREGATE $ 21000 FIRE DAMAGE (ANY ONE FIRE) $ 50
PERSONAL & ADVERTISING INJURY $ 1 , 000 MEDICAL EXPENSE (ANY ONE PERSON) $ 5
-------------------------------AUTOMOBILE LIABILITY--------------------------------
CO : TYPE OF INSURANCE POLICY NUMBER EFFECTIVE : .EXPIRATION
LTR : DATE DATE
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED-AUTOS
NON-OWNED AUTOS
GARAGE-LIABILITY
LIMITS OF LIABILITY IN THOUSANDS
BODILY INJURY (PER PERSON) $ PROPERTY DAMAGE $
BODILY INJURY (PER ACCIDENT) $ CSL $
----------------------------------EXCESS LIABILITY---------------------------------
CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION
LTR DATE DATE
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EXCESS APPLIES TO :
LIMITS OF LIABILITY IN THOUSANDS :
EACH OCCURRENCE $ AGGREGATE $
EACH OCCURRENCE $ AGGREGATE $
ACORD 25-5 11 85 PAGE 1 OF 2
*****ACORD-ID******* CERTIFICATE OF INSURANCE ***** DATE *****
***** 00179 ****:'** ***** 11/18/93 *****
PRODUCER NAME COMPANIES AFFORDING COVERAGE
Fredericks Insurance Agcy, Inc CO. LETTER A : Travelers Insurance Company
1046 Main St . , P O 'Box 427 CO . LETTER B :
INSURED NAME CO. LETTER C :
Britton Builders CO . LETTER D:
Christopher Britton, dba CO . LETTER E :
------------------WORKERS ' COMPENSATION AND EMPLOYERS ' LIABILITY-- ------------------
CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION
LTR DATE DATE
WORKERS ' COMPENSATION
AND
EMPLOYERS '
LIABILITY
LIMITS OF LIABILITY IN THOUSANDS STATUTORY
EACH ACCIDENT $ DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
-------------------------------------OTHER---------------------------------------
CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION
LTR DATE DATE
LIMITS OF LIABILITY IN THOUSANDS
------DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS-----
OPER/LOCATION/VEH/RESTRICTION/SPECIAL ITEM : Carpentry, Residential and Light
Commercial Buildings, Construction and/or remodeling.
_=====CERTIFICATE HOLDER_____________________________CANCELLATION=====_____________
Town of Barnstable, MA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES
Attn : Building Inspector BE CANCELLED BEFORE THE EXPIRATION DATE
South Street THEREOF, THE ISSUING COMPANY WILL ENDEAVOR
Hyannis MA TO MAIL 10 DAYS WRITTEN NOTICE TO THE
02601 CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
HOLDER-ID 001 FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY -KIND UPON THE
COMPANY, ITS AGENTS OR REPRESENTATIVES .
AUTHORIZED RE ENTATIVE