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Home My WebLink About0105 MAIN ST./RTE 6A(W.BARN.) 105 MA r.,) � . IIII - m UPC 12543 No. >c sr.CONS°�� HASTINGS. MN ...,:..^''.t-. u.. • r oFTr�,q� Town of Barnstable Expires 6 months from iss date Regulatory Services Fee • anaxsTABLF. • 9� z Richard V.Scali, Director ArEp�,Ip Building Division Tom Perry,CBO,Building Commissioner R, 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Valid without Red X-Press Imprint Map/parcel Number 1 V �� Property Address Vim' Oftle_a) residential Value of Work 946t- 900,01c Minimum fee of$35.00 for work under$6000.00 Owne'r's Name&Address 0% 4-11V d Contractor's Name r I•rt' Telephone Number '"d nol Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) z5 Soya orkman's Compensation Insurance X-PRE S PERMIT Check one: O�► ❑ I am a sole proprietor DEC 9 2014 ❑ I am the Homeowner [_I have Worker's Compensation Insurance TOWN OF BARi�STABLE Insu !rance Company Name /,9,, . r S Workman's Comp.Policy,',` / ,N d,2&N 3 3 -1 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ES—Me--r&of(hurricane nailed)(stripping old sl).z,-les) All construction debris will be taken to�r/fIQv i o ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILES\FORMSIbuilding permit forms\EXPRESS.doc Revised 061313 f ;t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): c eat e �,>~-:::7 Address: k,:Sa RV City/State/Zip: l'' Phone#: Are you an employer?Chick the appropriate bog: Type of project(required): 1.❑ I am,.a employer with 4. ❑ I am a general contractor and I e loyees(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 working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp. insuranceJ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp:insurance required.] *Any applicant that checks box##1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: -Z--,4c 4- o' 5: Policy#or Self-ins.Lic.#: lO HU (o 3(--3 Expiration Date: ? Z / -- Job Site Address: /D S/!44 City/State/Zip: 60 ?,4r� 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 herebV certify under the pains andpenalties ofperjury that the information provided above is true and correct. Si ature: c� p Date: J 411 Phone#: 1? O ' o Official use only. Do not write in this area,to be completed by city or town official or Town: Permit1License#- 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#: b Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of 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 maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for.you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. . The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www,mass.gov/dia r` MID CAPE ROOFING 11 RUSSO ROAD WEST YARMOUTH,MA 02673 5t}8-775-3799/508-385.8$01 Barry Merril&Paul Merrill Job Site Address Malling Address Name Name: Street: rSr� Street: City: 1J D-4ruS4Yb__ City.- Telephone- Telephone: We hereby propose to furnish all the materials and all the labor necessary for the completion of: roof replacement of the dwelling at the above address. Mid Cape Roofing proposed to remove and dispose of the existing roof. The roof will be replaced with Certainteed Landmark _ life time shingles_ Aluminum drip edge will be installed along Ute gutter line. Ice & Water Shield Installed on bottom edges to protprt irp back-up. 15 pound felt paper will also be applied. The shingles wal be installed using 1%inch roofing nails. New pipe vent collars will be installed. Ridge vent wilt be installed along the ridgeline of the roof to provide proper venting of the atticspace. Mid Cape Roofing guarantees the workmanship for a period of 10 years. All walls and landscaping will be protected from damage; the property will be raked and cleaned of all debris. r ,t r t P-5-j2 ~c• w Qod 5114"q`•1- 5 d a3 All material is guaranteed to be as specified and the above work is to be performed in accordance with specifications submitted for above work and r_ompipted in a substantial workmanlike manner for the sum of: S crO —All discounts have been applied. Payment made as fullows: neposit of: S a3�fi.d� the day the job is started and remainder to be paid on completion, Any alteration or deviation from the above specifications involving extra costs will become an additional charge over and above the estimate and will be discussed with the homeowner. Respectively Submitted by RAid Cape Rnnfing NOTE. This proposal may be withdrawn by Mid Cape Roofing if not accepted within 30 days. Acceptance of Proposal The above prices,specifications and conditions are satisfactory and are hereby accepted. Mid Cape Roofing is hereby authorized to pe rk as specified with payments made as outlined above. A&epte rd' .g9// c�/iae�poawrrcaizcueaCCI a�Caaac%ccoeGla` - —_ Office of Consumer Affairs&Business Regulation License orregistration valid for individul use only ME IMPROVEMENT CONTRACTOR li before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistration: 1,61458 .TYpe: g - `'' 10 Park Plaza-Suite 5170 xpiration: 00%20(2016 Partnership s s� Boston,MA 02116 MID CAPE ROOFING BARRY- MERRILL 11 RUSSO RD WEST YARMOUTH, MA 02673 Undersecretary Not v lid without signature : u Mas sad husetts'-•Department of Public Safety ^ j'. a Board of Building Regulations and Standards. :Construction Supervisor ` ' License: CS-054428 •. ��<'' 1. 1#ARRX'B'WPRR E`I, A2 SK TNNKETT CENTERVII,LE i4IA0263 i. ,r �` ....Expiration' Commissioner �05/21/2016 I , Town of Barnstable *Permit# 6 Expires 6 months jroTjpue date � Regulatory Services Fee U BMW rnets, MASS. Thomas F.Geiler,Director 039. s -;6( Building Division Tom Perry,CBO, Building Commissioner O i JJ 200 Main,Street,Hyannis,MA 02601 G www.town.bamstable.ma.us Office: 508-862-4038. Fax: 508-790-6230 �v EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number \\l—00? 00 2— Property Address \("� �yyr t-:� . residential Value of Work �O� C�� Minimum fee of$25.00 for work under$6000.00 (Owner's Name&Addressyu Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 9W Check one: P ork Compensation Insurance -PRESS PERMIT ! [II am a sole proprietor �" f$ I am the Homeowner LIAR ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# 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/doois/sliders.U-Value (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 O r Letter of Permission. A copy of the Home Improvemen Co actors License is required. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\MY7NB41L\EXPRESS.doc Revised 100608 Town of Barnstable ' Regulatory Services snrwsrn> Thomas F.Geiler,Director e�ss p 639. 6 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: I 0 S k hff ��j �/Nf c!✓S Ir/!37 L number street village "HOMEOWNER": IN VD R.lne 1-��- 3s3� 10 0- name " home phone# \ work phone# CURRENT MAILING ADDRESS: oC �� F1�/tTi(TJj� Z ll A4 AbAl 1 'ityhown 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,Rrovided 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 th7eerits e/she understands the Town of Barnstable Building Department minimum ins on procedures and uii and that he/she will comply with said procedures and require Signature of Homeowne Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules$Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 60 0 Washington Street Boston, MA 02111vi www,mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ' AApplicant Information Please Print Legibly Name usiness/Organization/Individual): _Addresses /O S" M A /A/ 6,ref al- 02t cC-- y/Sta��ip: 60.6A IP Al rZA8L Cr /CIA �P one`# s r F' 3 S-1 /e /,7 Are you an employer? Check the appropriate box: Type of project(required): 4. ❑ I am a general contractor and I 1.❑ I am a employer with 6. ❑New construction employees(full and/or part-tim.e).* have'iued the sub-contractors 2.0 I am a sole proprietor of partner-' listed on the*attached sheet T. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp. insurance comp. insurance.# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no — employees. [No workers' C1=3 [ Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below rm showing their workers'compensation policy infoation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. iContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.M Expiration Date: ` Job Site Address: l _ 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 tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA'for insurance coverage verification. I do hereby certify and a pains and penalties of perjury that the information provided above is true and correct GS a`tore � .e 2 ?S" e Phone#: r 3:S" /0 / 7 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in.the service of another under any contract of 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 maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisirns 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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),-address(es)and.phone number(s)along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in _(city or town)."-A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the &p-hc=t^.s prat^:thai'a valid.atthda-vit is on file for future nerrr+if: cr licers.es. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related io any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents , Office of Investigations. 600 Washington Street Boston,MA 021-11 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia 3/a s Assessor's map and lot number ... .................... - TNE T°fit Sewage Per number ..........�7.:S ..r........ ........................ Z 33ARBSTSDLE. i House number ""Ga tus 9�p 2639• 6� am a. TOWN OF BAR.NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TOU/L 0....! ... /...G..�4 .f.... w� �.�.. .��..................................... TYPE OF CONSTRUCTION ................ .............................................................................................. aa .........................4�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: r Location .... T...... 4n........G.te ............ . ?iq/3....r............................................:...............:.................... Proposed Use 9.i7.gle � Pamily R-�..! ... ........................ ............................................... : ................................:.........Zoning District Fire District.................... ... ...... Name of Owner � ........//UGC./ !QDy! ....Address ..� XJ.D ...`3� f. .. iP/git//�L/iU...A � Name of Builder In ..n..P. r.....................................................Address .........................:. .::...........:..... Name of Architect .................... QWrier ............................"Address ..............-:.................................................................... ................ Number of Rooms .......... T' ured Concrete h o .....................................................:..Foundation ........;..................................................................... Exterior Irinvl or .Vh.ite Cedar Asphalt :Shin.gles ................................................................................Roofing ...................................................... Floors ....2...x...1.n......w.l.th.... .142.....pl,-rWood...a ?.d.....Interior .......Ski.:?P....r-an.t...r?1.a atp.r................................ finished board ---- - Heating oil g uitcher, 1 � �aah...............4................... ........................................................... .... ................Plumbin Fireplace ........Red...br1.Ck.......................6�=/.!...............Approximate Cost ..... 3O,Q17Q................................. Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ...................... Diagram of Lot and Building with Dimensions Fee .......... 1 �� SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS _ I hereby agree to conform to 'all the Rules and Regulations of the Town of Barnstoble regarding the above construction. Name a�.-. � ............... Construction Supervisor's License l�J -��ia MUCCIARONE, ANTHON A=111--8-2 No ...25T.20.. Permit for ...T-c%wo .Stoxy..•.•.••.. ........S:Mg.1.e...FamiLy...D.wp-l.ling............ j Location ..1.0.5......8te...6P.►T............................... � o. Wes t..,Barnst„aab l-e....................... Owner. ...Arithong...Muc.ciaxone............... _ Type of'Construction F.rame... .. ................................. Plot ............... ....... Lot ................................ � . 4 C ' Permit Granted .....NoV.eMber......1-....19 83 • _ c Date of Inspection ....................................19 m Date Completed ...................19 ` y�a r j4ssesoor's map and lot number .../..�/ ...................... iT Emus Sewage . Permit number .......... ...........`..... SE d 0c S YS-f Ew INSTALLED iad Co t EAHB9TA L6, t.05.. .......... ....... i/�ITH TITLE.S r 9 Yb9House number ................. FEW E TOWN OF --BARNSTABLE BUILDING' . INS-PECTOR ' APPLICATION FOR PERMIT TOUI�.�J. .... L.G1�S.C....F�.W�» .��.�. .1x....... ��: TYPE OF CONSTRUCTION ............... � ................................................... 'l�ls�i1'fll'�'Z ......................... ...19..51'1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .7a......Q..A........le/, .r......... a 'rvs............. .r.............................................. ................................... ProposedUse ..........S.ingle.. ...Family...-...�...R.-3.... .......................................................................I......................... Zoning District ....:..........:... ...........................................Fire District ............. ...................... Name of Owner ./`!/Z-11 ' ........l..I.000//t�je0/lJh Address Nameof Builder .QVi!ner...................................................:.Address .................................................................................... Nameof Architect ..Owner .....Address...................................... .................................................................................... Number of Rooms .......6........................................................Foundation Poured Concrete ........................................................................ Vinyl or White Cedar Asphalt Shingles Exterior ....................................................................................Roofing .................................................................................... Floors ....2...x...1.0......w.i.th...1./.2.!!..plv.wo.o.d...and.....Interior .......Sk:Lm...coat..plantar................................. finishod beard Heating O11 . ................Plumbing .K1tChCn� 1 Path Fireplace Red brick ��L% Approximate Cost 30�000 .. ......................... T.................... ......................................................., „ .. . Definitive Plan Approved by Planning Board -----------____---------------19_______. Area /.��✓. .... Diagram of Lot and Building with Dimensions Fee /B O� ' SUBJECT TO APPROVAL OF BOARD OF HEALTH 7�(j 'g' 9 3 3 I ELK � o��ti 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. x� Name A . .. ... ................ Construction Supervisor's License .. ........................ ® - - T- r7 ARONE, ANTHONY 4- NQ 25720 Permit for or ......2....Story .............. • .... .. .... Single Family ...Dwelling............... C Location ..105 Rte 6A, .............................................................. West Barnstable ............................................................................... C Owner ....Ap:thq�ny..Mucciarone ......................................... t C Type of Construction .......Frame ................................... C, ................................................................................ 'Plot ............................ Lot ................................ C Permit Granted ....No.vexober...If.......19 83 Date of Inspection�g",,4/..................19 Date Competed ...........19 �vj C L C C C + C C me � s-- Cc: e C� V BARNSTABLE COUNTY REGISTRY OF DEEDS I u�CrG� �'011 to . � �r��1 . � �.3 act - • � - . 3 STEPHEN WEEKES REGISTER ` `P-cogy Z:rtn h-Q.l 1 t-� Application to t Old Kings Highway Regional Historic District Committee REC771 ' E ® in the Town of Barnstable fora V2 H,,ST. ®SST.. SAUSTAGLE 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: 14AY 1 2 im CHECK CATEGORIES THAT APPLY: 1.-Exterior Building Construction: ® 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 1,11,4y 1 2'T J!�2:3 ADDRESS OF PROPOSED WORK 105 West T`adn Street ASSESSORS MAP NO. 1 1 1 OWNER brnthnnzr Nur+ri arnnP ASSESSORS LOT NO. 8-2 HOME ADDRESS PO ROX•-365, Franklin, MA 02038 TEL. NO. 617 r28-n857 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). To+or F Winr`hPstpr, 95 W.- Msin St West Farrstsble :Everett Paananen, 139 W. Main St. , West Parnstable, Richard uaydon, 133 Lloyd Sherwood 114 Mair St, WP Parnstable W • Main, W • -table Steve. Orey 240 W. Main pox 225 West Pa.rnsta.ble AGENT OR CONTRACTOR Own Pr TEL. NO. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Foundat ion—Po lire d Concrete, Chimnev- �` Red Prick, Siding - White Cedar 1 (light Grev) , Roofing- Asphalt Shingles ('Grey) , Roof Pitch - 12112, Sash .and doors - Vinvl (White.. , Windows, door' frames, trim gutters, (white . R E q rti ® Signed �• ;� Owner-Contractor-Agent Space be1cW1'inkf0^rtromArttee use. Received 1W9)Q0LE Date The Certificate is hereby Date 16 Time �%��LJ C•'`�L• By J�1 N, &U Approved IMPORTANT: If Certificate is approved, approval is subject to the 10 day appea period provided in the Act. Disapproved ❑ 1 TOWN OF BARNSTABLE Permit No. _25720 - ---------------- I Building Inspector } Cash ;----------------------= ° OCCU\PANCY PERMIT Bond __------_---X.__=7��/ l r- Issued to jithoay llucciarane Address 105 Pete DA, West Barnst&Ble Wiring Inspector' % / � Inspection date -- Y" Plumbing In ector r/ Y 4_ Inspection date r Gas Inspector Inspection date Engineering Department : fry ! c t ,,.�•.r>ri!6* Inspection date -� X7 j Board of Health f �r �1 ,Inspection date 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. c /1 19 Q S /.r ,. / ��/ —— ....................................................... _._._ _ ............:...............................................,................._.........._.:_ Building Inspector 4 F L n •..y � v TOWN OF BARNSTABLE Permit No. ___._15720 -------------- ` Building Inspector LUSTA , i Cash ----------------—------------- • x OCCUPANCY PERMIT Bond -------------------__ Issued to Anthony 11uVaroae Address } 105 # >A, Sleet. Barnst0?e Ij Wiring Inspector X, Inspection date ---— Plumbing Inspector. ' f .�f 4 Inspection date F Gas Inspector 1 t �' Inspection date X— Engineering Department Inspection date j' Board of Health ] j _{ Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Building Inspector r C� .yam. �••�., TOWN OF BARNSTABLE BUILDING DEPARTMENT D68d°T TOWN OFFICE BUILDING rua .639• HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department l j a DATE: xG� An Occupancy Permit has been issued for the building authorized by Building Permit #..... . ..........._................._..._............................. . ..._._........ ........... .. issued to � !! 1 C�f1�(1y1� . .......� Please release the performance bond. " i 240.01 Ln r; Ln i r- i02.0 0 105.0 HOUSE 18 GARAGE p 24 X 32 16 X 24 Q0 Ln lV N i .0 CONCRETE 238.85' BOUND CONCRETE : _ BOUND CERTIFIED FOUNDATION PLAN LOT 2 105 WEST MAIN ST BARNSTABLE, MASS. OWNER ANTHONY MUCCIARONE P.0. BOX 3G5 �•ti BUILDER '" vn LiArdo FRANKLIN , MASS. OCTOBER 2% 1983 SCALE 1=20' �,p 111003 4 , WILLIAM J. ROSSETTI All"ASSOCIATES, INC. sui REG. SURVEYOR `^"°"' S85 UNION ST FRANKLIN,MASS.