The URL can be used to link to this page

Home My WebLink About0504 MAIN ST./RTE 6A(W.BARN.) So� �c�.,� r• �� 4 c(fo�oy UPC 12543 12 _ .•,.. .. .� .; _._...'..'-'mac •J Town of Barnstable Building RARMABts Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on lob and this Card Must be Kept MAS& Posted Until Final Inspection Has.Been Made. - - : Permit ib}9. � 1 r �'' Where a Certificate of.Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-18-1159 Applicant Name: Mark Lemon Approvals Date Issued: 04/19/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/19/2018 Foundation: Location: 504 MAIN ST./RTE 6A(W.BARN.),WEST BARNSTABLE Map/Lot: 133-008 Zoning District: RF Sheathing: Owner on Record: CROSSON,PETER E&CAUGHEY,MELISSA R Contractor Name: ,%MARK J LEMON Framing: 1 Address: 504 MAIN STREET Contractor License: CSSL-100207 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $8,000.00 Chimney: Description: remove and replace 6 windows and one sliding door Permit Fee: $40.80 f Insulation: Fee Paid:' $40.80 Project Review Req: r Date: f` 4/19/2018 Final: Plumbing/Gas Rough Plumbing: ,� \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and thekapproved construction documents for which this permit has been granted. r V s All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. -""� Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: '� `' Rough: 1.Foundation or Footing -- 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department V<11 Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT k TOWN OF BARNSTtkBLE BUILDING PERMIT APPLICATION U C� - qqq Map /�3 Parcel �' Application # Health Division �G Date Issued 21A 7 7 e/)le-k Conservation Division ,.� Application Fee Planning Dept. 0tp toCP ® Permit Fee Date Definitive Plan Approved by Planning Board %) Historic - OKH Preservation/ HyannisN� �I�JLE fa Project Street Address �4 691^j S'T Village 6iA f4RES,-1!3' 4e5- Owner A6-_� 02orSs'oX) 4! �kA41! /A 6ftWYAddress 4A f'M'N Telephone a&2-, 2 �Co-e �-u C cu G Permit Request �cS-�tov�-wl��wS Cy�Qt 7Z f /A..> 2-4,46AV{ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �� UWonstruction Type AlOaD Y'51:14�E Lot Size /. 01 /a<Je-rr Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) f Age of Existing Structure lgir Historic House: JaYes ❑ No On Old King's Highway: ®.Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement.Unfinished Area(sq.ft) — Number of Baths: Full: existing - new Half: existing new — Number of Bedrooms: — existing _new Total Room Count (not including baths): existing new — First Floor Room Count — Heat Type and Fuel: ArGas .❑Oil ❑ Electric ❑ Other Central Air: f21 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing 0 new size_Pool: 0 existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage:A existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization. ❑ Appeal # Recorded ❑ Commercial ❑Yes RrNo If yes, site plan review# Current Use Proposed Use � f ' APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 4,,-.)Arkwsvg e--5'oAy Telephone Number �Sa�� Sc - 1 7 2.r---1 i Address License# 00'7-7I# Sa'.��✓`� h� U2S Home Improvement Contractor# 14?T s;,b Email G .�iG��Rk//�Yo�Y'jtS'o�/.Go/�I Worker's Compensation # A&vS ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,r o0 E214146_R 0 .L= 11 AJ J7 cv C SIGNATURE �'-� DATE 2- Z/ 7 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. s ADDRESS VILLAGE OWNER . DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL f: S PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT: ASSOCIATION PLAN NO. ! The Commonwealth of Massachusetts' " Department of Industrial Accidents !\(' I Congress Street, Suite 100 Boston, MA 02114-2017 V www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please PYint Legibly Name (Business/Organization/Individual): , L.) �/J Address: Jv City/State/Zip: i�.�lJl�l�� f�- 4)2a)Phone k (�) �_ �'72,•� Are you an employer?Check the appropriate box: / Type of project(required): l.�I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required.] 8. Remodeling 3.❑I am a homeowner doing all work myself.(No workers'comp.insurance required.)t 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑Building addition ensure that all.-contractors either have workers'compensation insurance or are sole I L❑ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractdrs have employees and have workers'comp.insurance.-* 13,❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'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 the policy and job site information. Insurance Company Name:_ Policy#'or Self-ins. Lie. #: 2.� /Gs.! 1p .tj�y Expiration Date: �911.f / Job Site Address: Joy Y'197.✓ety- � City/State/Zip: 0210 6-f Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 th ai nd penalties of perjury that the information provided ab ve is true and correct. Signature: Date: Z Phone#: . 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 Departme 6.Other nt 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector • Contact Person: Phone#: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 ' Home Improvement uo"~ractor Registration Registration: 109503 Type: Private.Corporation i Expiration: 9/16/2018 Tr# 419291 RW ANDERSON & SONS INC RICHARD ANDERSON � a 6 WILLOW ST �' w SANDWICH, MA 02563 z d� _SvOv Update Address and return card.Mark reason for change. SCA 1 20M-OS/17 Address ❑ Renewal � Employment Lost Card Ei � It is License or registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 of lid without signature , I i .. Massachusetts Department of Public Safig ety ` Board:..of Building RegLkatioris.a-nd Standards License: CS=007714 Construction Supervisor RICHARD W ANDERSON., 20 GROVE ST SANDWICH MA 0256,"3 Expiration: Commissioner 0512612018 i I i i I a L f ` gyp 1HE 1p� • r • s • MUMSCABLE. MASS.: ,0� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize IC./it�. c�'��x) -.��,J_S /,�� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is.applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 06131.3 I Client#: 12403. 2ANDERSONRW 02103/2017 ACORD,. CERTIFICATE OF LIABILITY INSURANCE' DATE ', 2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). I PRODUCER CONTACT NAME:M Dowling& O'Neil Insurance Ag HONo' X I A N Ext508 - No): 5087781218 973 lyannough Rd,PO Box 1990 E-MAIQ! ADDRESS: Hyannis,MA 02601 I INSURER(S)AFFORDING COVERAGE NAIC# 508 775-1620 INSURER A:Acadia Insurance Company 31325 INSURED INSURER B R.W.Anderson&Sons,Inc, e INSURER C: 6 Willow Street 1 I: INSURER D: Sandwich,MA 02563 i is INSURER E: INSURER F, COVERAGES CERTIFICATE NUMBER: 1 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY(,CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - ADDLSUBR POLICYEFF POLICY EXP TYPE OF INSURANCE LTR INSR WVO POLICYNUMBER MMIDD MM/DDI LIMITS A GENERAL LIABILITY CPA004892928 02/01/2017 02/01/2016 EEACHq�OECTC•UR��R��ENCE $1 000000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea c uE ante $250 000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 FGEIL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- LOC $ ' COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident) $ ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? IA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below I I I E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other;;limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. 1 - CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE f ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010106) 1 of 1 The ACORD name and logo are registered marks of ACORD #S185431/M185430 LS1 F s t 1 'i i i ,ac RO® CERTIFICATE OF LIABILI'1T{ Y INSURANCE . I DATE(MMIDDIYYYY) 111 09/26/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF.INFORMATION ONLY ANDIbONFERS NO RIGHTS UPON TkE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,'EXTEND OR ALTER THE COVERAG� AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE.DOES NOT CONSTITUTE A '�i NTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require�n endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such en!dorsement(s). PRODUCER CONTACTNAME:w Heather Pearce Mark Sylvia Insurance Agency,LLC PHONEij� j FAX 404 Main Street I EXti,(508)957-2125 AIc No:508-957-2781 E-MAILIII j ADDRESS: Centerville, MA 02632 III INSURERS AFFORDING COVERAGE NAIC# INSUREjRA:Farm Family Casualty Insurance ' INSURED III I INSURER B: i R.W.Anderson&Sons Inc ! III 6 Willow St INSURER C Sandwich,MA 02563 INSURER D: ! I31 INSURER E: I , INSURERIIi F: !, COVERAGES CERTIFICATE NUMBER: REVISIO;N NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED.NAME¢ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANYj CONTRACT OR OTHER DOCUME T WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY ITHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER 1hPOLICY EFF POLICY EXP* ! LTR TYPE OF INSURANCE POLICY NUMBER 11 MM/DD/YYYY MM/DD/YYYY I LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR i DAMA - 'O REN ED PREMISE, Ea occurrence $ MED EXP An one person) $ I I PERSONAL&ADV INJURY $ i GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL'AGGREGATE $ POLICY a JE0 LOC PROOUCTR-COMP/OP AGG $ OTHER: I $ AUTOMOBILE LIABILITY COMBINEDSINGLE'LIMIT $ Ea accident ANY AUTO BODILY IN URY.(Perperson) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED ( PROPERTYAMAGE D $ AUTOS ONLY AUTOS ONLY' ( Per accident 1 $ UMBRELLA LIAR OCCUR ij{ EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE h AGGREG 4E $ DED RETENTION$ I'll I $ A WORKERS COMPENSATION 2001 W6446 9/18/2016 9/18/2017 PER ; ' OTH- AND EMPLOYERS'LIABILITY STATUTE YIN N ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 �N N/A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) II E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under. DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 I i I i i I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may belattached if more space is required) I Car entry rY 1 I Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained id the certificate of insurance shall be deemed to have altered,waived or extended the coverage provided by the policy provisions. i l i l CERTIFICATE HOLDER CANCELLATION i (508)833-0018 SHO��LD ANY OF THE ABOVE DESCRIBER POLICIES BE CANCELLED BEFORE Town of Sandwich Building Dept THEM EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 16 Jan Sebastian Drive i9I Sandwich,MA 02563 f AUTHORIZED REPRESENTATIVE II� I ©1988-2615 ACORD COkOORATION: All rights reserved. ACORD 25(2016/03) The ACORD name and logo are regi 1tlered marks of ACORD I I. I ' ��i n+¢r Barnstable Odd K,uigs M,;I;ghwayalstollc Dsric Cotee 2001VIam Street,H'yanrus MA 0260I,TEL. 508 862::4787 :Fax 508 862=4784 APFLICATION,, :CERTIFICATE.O :APP'RO 'RIATE"S:: Applicatian.is:hereby made;with fouc(4)complete se s,.Mf the:issuattceof:a:Cectificate:of ;6 .Chapter 470;.Acts and Reso'Ives of:lf%lassac}iusetts, I:973,forproposed work.:asleSeribeil tieiow and;ori plans;..dcawn�s or pfiotograplts accornpany.ng ttis.application for: Cheek.a�lhcaCegorces that apply; 1. BWIdin?-constmctiori; ❑ New ❑ Additiop JR Alteration 2. TVpe of Bnilding: ❑ House L� Garagelbarn ❑ Shed Comecial .❑ other 3. exterior Painting`roof ❑new roof :❑ colof/.matey al;change,of tti3m;sid�nb-wtnda:w,boor: 4. Sign,.: E M..-Sign ❑Existing:S gn: ❑:Repainting EXi`stizig;S gn 5. Structure: ,Fence: ❑ Wall ❑_flagpole ❑;Beta tong wall ❑Teunis:court fl Other 6. Pool. ❑ Swimming ❑ O;ther°tnat-ir;ade pool ❑. Solar-panels, ❑ Other ;l'ype.or PArit:Leg lily: Date NOTE Alt opptications'must be.signed by.the utrreni:owner Ca uaJhe j p/ O:wner(print): �� 116ZI PI 6 O " �?IJ Telephone#.:.�� Addcess:of,Proposed,Wijr t >4- f I*A.? S-1— Village 7}1e lv ap.:Lot;# Mailing Address(if di t Owner's:SignaEure�% DescrFption of:Pkoposeil.`Wortt. Glue particulars of�yorlc`.to be done:: �lJ - �dl,J S eU LvE��y-IN /�.�l� y� i N Z1- 't 2!. O *1 A:-1H I�Ei��/vG lr� STL C i/Il�LG t9i- J V6 Agent ear:Cgnttaetor:,(pr!rit),:- P. &A Telephone Address; - j✓� Contractor/Age nt'signature; ror.:eomrriittee:vEse only,. TV .s.CerdhCate is hereby APPRO D/DENIED ote - 1VTembers;signatures ARM RECEIVE OCT GROWTH IMANAGF"'VIEN P ROv E� p!P OV 1,6 2016 Town 0t Barnstable Old King's Highway1 Committee Qi\Boards-Onul.Commissions\Old Kings High.wgAoKH.Applications\QKI�I DRA'Fr'2011 C`ert Apprt)pr.'iatetus s DRA T.ddc r CERTIFICATE OF APPROPRIATENESS SPEC SHEET PI ease-submitS Copies Foundafign Type::(TVIax: :T2"exposed)(material btick/cement,atfier) Siding Type,; Clapboard_ sh�ngie:;_ ofhex Match-it: red cedar white cedar ...: otbe,. Color .: Ctiinnn.y.Mater al: Golor:. .X2iiof`Material: .(niake:&style): Color.: ._ :lEtaofPitch(s):. (7/12 minimum) ... {''s�ecaf}+.on;:�larr�:far.-n�}v l�ncldin�s rrta�ot culdilinns) V txt ow and door trAu materla'F: wood, od er inatehal,specify° 'Size.af::co,merboards *j..z(Z.;of casings G X- min.) -e,.0 W.:Rakes lst member. 2naentber D:epeh of>overtaAg nr� Irindow: (make%model] material ...... v.vnulo v'scheclr le 64 plan f. neiv builcla: s nut'orxcciclanans'. AG,EMENrp W-Wh dow grilis Vlease cAtc'k-t ll tlidt,gpp y true d7vxded l►ghts_. exterro>.g7nedrikls_ grcll°s.:betw.een:;&lriss . . :rezri0uabte;i'ilYeI'br.T N ae Hoorstyte;and make. :.material- ColOV g ! / ; Garage Door,:Style �'/l/ct//fG�Sze.o 4pettii.t N /1 fri X Matetik 46 Goi.or Shutter Type%Style/Material:. Color; . Gutter Type%Material <Color:: a Color: l/ . Deck :matertals wood: other nalertal;spec fy _ ED Skylfight,.type`7tnake/mode,U: iaterial Color: Size: NOV 16 S.ignsize: TypefMaterlals: Color: Town„r Q.,.__. b Dld Kings HighwaY e Committee FenceType:(max G )_5byle.�d'/2RClfCl7:xnate Color /clf�1 T� Retaieug walla:Material' ]Ciihtzug :freestandmg. on 6iildng . _illurninating:sign OTHER'I.�tFQRMA.T)�N;; THE ATTACMD CHECK LIST MUST BE CO1VI1'LETED ANUSUBMITTED lease:..prot2de samiiles: f I c orS�:monufacturers b.eoehure Qf tviridows;.doors,..prage door,.fen. es,:lamp,posts;etc � :Signedc (plan prepares) Pnni l�l'ame. k .�_ 2. Vloartirarttt:GonunrssiuttrlQld Kuigc:Ki�Itway�OKf/Applicnlloiis\OKEIa)R�1FI2011 CerJalp.rgpriatetzessDRAf7"dor. . .,. Town of Barnstable Geographic Information System October 28,2016 #139 133026 340151 134026 134017 1 #317 #330 133002003 #400 #144 158009 #158 133002001 • 133027 133028004 �+ #370 133025 #126 #0 Z 133005002 13#115 1 #12 133002002 #115 N #390 #0 133024 133027001 #110 #118 133002004 #420 133023 #84 157010 133003 133006 � , � #0 #444 133022 133028001 a 133005003 #78 #70 133#40 2 #39+ me 133021 133062 133028003 133004 �� ' 060 #26 #20 #462 133055 #21 133020 167004002 #46 #0 157004001 1�33030 133031� • #11 #27 • 3301 133017 `1#504' 1#28 9 #0 133009 167003 #598 #526• 133064 133032 133011 #39 f#505 ♦ #564 133067 ti 133033 133010 #0 (#�521 #542 133041 133044 1#040 #28 . #8 i 157002 167004004 133068 133069 me go 4'133051 #600 #81 133035 #551 #91 #50 133052 133012 133045 �3036 A. #24 #590 #81 #68 133053 157001 133070 1#40 133015« #640 #71 #573 157004003 133039 �133054 #0 004 #82 132042 #56 '[133056 �1#620 #0 133037 4 #691 #0 L132044 132012 S #72 #111 132050 13 132010 132046 #597 132013001- 156013 # #90 #621 #116 #.100 #0' DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:133 Parcel:008 boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:ZEMKE,ROBERT L&JOAN L TRS Total Assessed Value:$537400 Selected Parcel 1'=100'may not meet established map accuracy standards. The parcel lines on this map g .. are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner.%CROSSON,PETER E& Acreage:1.03 acres Abutters i ;:. boundaries and do not represent accurate relationships to physical features on the map Location:504 MAIN ST./RTE 6A(W.BARN.) such as building locations. Buffet �� f , '�'� oil lip OUT CuNOV Is. AAA .M• ., . `�,. �", { '�.� =� - : . - - �� . �, _ _ - � r � �F a; NOV Town of�amstable i "'� f :�• Old Ktng's Highway !, Committee i r �,._q< <.,_-. _`, ,. _ :�. `'�;•,: . °<at:,a; _ .,•, ��; � `� ,"tom CI S7 7) 1)! '-1 . I t --K1", il, RIt it t OCT 2 7 ZU16 • ��' � if GROWTH GGROWTHGROWTH MANAGEIVIET 1�7'7 t: Tl I I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ��3 Parcel � q0 Permit# �� gtm Health Division Date Issued 0 Conservation Division a C'®/* RJ/I7/4/ Fee S Tax Cdflectorff/L /0 Adc*S' �]` �ifLA EM .ale SYS� ODMg G Treasurer - — /o��l ZQ t/) sev it Of SEDR Planning Dept. P :^�`o d in By Date Definitive Plan Approved by�ire4s6'1 nnnng Board Approved By �Historic-OKHa*n/HY annis } Project Street Address / Village by, b � Owner N —,7 Address S�0,6? e— Telephoned Permit Request 19e—ak= i ry i Rcf� Square feet: 1st floor: existing N,)I• proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain 1�Groundwater Overlay Construction Type X t Eta vn� P,f — lier�i hi !`Yi f'l``�'°yQ''�' cz— / o PPO00 Lot Size Grandfathered: O Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family i Two Family ❑ Multi-Family(#units) Age•of Existing Structure Historic House: ❑Yes V No On Old King's Highway:/XYes ❑ No Basement Type: ❑ Full ❑Crawl . ❑Walkout ❑Other N, #• A Basement Finished Area(sq.ft.) �/U 1 K ' Basement Unfinished Area(sq.ft) Number of Baths: Full: existing N. new Half:existing new Number of Bedrooms: existing newCD Lam. Total Room Count(not including baths): existing new First Floor Roo_maCount Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other ' Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove:=❑Yes Cl No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑, xisting O new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use 4 Proposed Use �Q �► �- BUILDER INFORMATION Name Telephone Number ?2�� Address Z 49 o License# D:�o 90 8 SZ�eA-;;,g2�L; 07 Home Improvement Contractor# &7-9 Worker's Compensation# ALL CONSTRUCTION DEBRIS R SULTING FROM THIS P JECT WILL BE TAKEN TO SIGNATURE /'- DATE r FOR OFFICIAL USE ONLY PERMIT NO. P DATE ISSUED - MAP/PARCEL NO. G - .-_ ADDRESS VILLAGE 3 OWNER v DATE OF INSPECTION: FOUNDATION FRAME,, INSULATION FIREPLACE ELECTRICAL: ROUGH k FINAL . PLUMBING: ROUGH FINAL GAS: ROUGH' ' FINAL FINAL:BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. .Qo °FINE rqs� Town of Barnstable yP °� .Regulatory .Services ^B = Thomas F.Geiler,Director 9 MAW. 4iplFc 39..�a`0 Building Division - Tom Perry,Building Commissioner 200 Main Street; Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no �'� �_� � ,..- .v.:5; _ � � •:;` .�;° - .,• :"'`.� - Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with'other requirements. Type ofWork: .� /n) A". Estimated C/f/st < Address of Work: SD / ��i� ��, l� �%��(iL✓✓�.�6y�-GCS ..___.._.:__ ��:_ ...:__ Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000. []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of Ae owner: > 7a9. i Date Contractor Name Registration No. O Date Owner's Name Q:forms:homeaffidav .i i r Town of Barnstable ° Regulatory Services Thomas F.Geiler,Director i°TEp Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us : �-� -,.. " ' _ Fax:. 508 7.90 Office: 5.08-862 4Q3 `1• -8. � � -x �� °` Property Owner Must Complete and Sign This Section If Using A Builder I ,as Owner of the subject property hereby authorize I /� ►¢ to act on my behalf, - in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owne Date Print Name Q:FORMS:OWNERPERMISSION I I Y ( Beck Frame Girt 3-PT 240, 6.3' span Joists PT W. 9' span Posts 3-PT 2x6 bolted to girt on plastic post supports. n.rk Cress Seetlon Rails 4x4 posts 8'13C Balusters 4' opening Joists PT 2x8 16'13C, 9' span Girt 3-PT 240 613'13C. Posts 3-PT 2x6 bolted to girt Plastic post support Tubes 101x4'belov grade 613' apart Stringers PT 2x10, 4 per stairs lo 1 Cross section i ol 1 Deck Frame NEAL A. PRATT Zemke Deck/Pergola DATE: 10.24.05 PACE 1 OF 1 848° � 04 Main St. W. Barnstabi - E: None eY: NAPA 1 xotsAvi.. (&� OW-3 We Deck Replacement r �L j . ND .lP- .-j1at�1 P.T. vaj To � �►-�¢S7ar� I :e/ t DOWN .. ® .�PYOFb'zD IECX 94'1.3aF I v I —_GxFsDNA-C16MT I y.. ... .._ nR'ISeD lalo fie, u° 4-C: I I I I • .KA1�1(.(F16.[Dll�,iK11LTloi1 DOWN— > I • I � I :M41�LYobNY 4NDCra�+ec)<DILINfa I " - I•' I S PUH8.,1'E%IhTIN(DFGIG—� I• L,Ma 1 NY >a zsl 1 Al l�fary5 I ^ I ID OWN I W N WEST ELEVATION. I ^ :PLAN / rT A1' I NORTH ' GPPICLv,la?'(1'�'rl �I Tr t ' .. 'tr'?wDAG uGltf fI2/URE �— I l 5:28.Q5 PROGESS.PRINTQ 6.3.05 CONSERVATION COMMISSIONIOKH SUBMISSION ,.... _ ...._._. ' • _._.._.___ .`. om•-1:°✓ 5 OMx4p 41 • - • I vmiea'+Er1YE ..p:gon•:p5c•+ � 3, NORTH ELEVATION' ! •-._ sw,4"C-o Nu .- ovoltrer Kopv AtChItem,P.0.Dow lee,9..na.e�,MA 02030 { .. � - �IIUG�ES 4lITk yo�lal U.•f4llts FFF 11 rd _ I - 1 I 6:3.05'CONSERVATION-COMMISSION/UKN'SUBMISSION. • P":ZFmKs Rolel.: A�Z •. Dm�wlu:NoFi1V CI.CbnOrJ - Dow:9.i3.os Bmb:49"e I-p. Oeollref Keoer ArcDlleet,P.O.Box 700.Bernele Dle,VA 02630 pDple1FA%:(5081 J 1027 r _ '4,S,IsIA9 ® ® 9IP3 .. --- - — —;)JEW.uGISf,fIiRl.lp.Fis AA EH {. ;EAST(ELEV•ATION' .1/9'.-V-O- F------- I v �. EASTMEST DETAIL $ NORTH/SOUTH DETAIL :�. ,3.s t'-0. �: 3.a t•-0. �Nauh�•Wor�U,-Gu.�Ei.EMeNT3 e, PLAN DETAIL 6.3.05 CONSERVATION COMMISSIONlOKH SUBMISSION. I ¢ BASE' s CAPITAL; P.W:ZE*tee _ .:1z }awYq. p9 • A3 3.'t.-0. �— newa'S. —T'ME`/a-Ua s+nlD P;R6cxd.lSE73a is onto: • � �� -� � Oeotlre/Koper Arcniteet,P.O.Bee 1ae,Berneteale,YA OxaiO Vwo(FA%:(W)37S1ax7 ® cm C3 00 ®® . s�dz-yroae ono _ 6.9.0.5 CONSERVATION COMMISSION(OKH SUBMISSION , Prylep;2FJ-1KE - P,oletl l:C-t Blo"' A+ . ., BreeW:LJTiF CLE'✓4T d+ Dob:6 T.✓s Oe011rel IIOgr Arcelleel,P.O.Bo[lee,Baroebole.MA 03630 pMroIPA%:ISOBI Jl6.1B31 . Y • Application to � ®�,b �•ir�g'� �cg�j��p �R.e�t��Y �i�t��>t �i��i<tt �a�?ntt;`I'® . In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS Application is hereby made,with complete eness solves of w Massachusetts, 1973, for proposed work aCate s descdbedtbelow and on r Section 6 of Chapter 470, Acts and R on plans, drawings, or photographs accompanying this application for. CHECK CATEGORIES THAT APPLY: i. Exterior building construction: ❑ New ❑ Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial Other o 2. Exterior Painting: ❑ f cxx 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole C Other DATE S.3• t TYRE OR PRINT LEGIBLY: w ADDRESS OF PROPOSED WORK Z, s; ASSESSOR'S MAP NO, i Zm 8 OWNER boa � kz ASSESSOR'S LOT NO. 00 r- HOME ADDRESS ME TELEPHONE NO. .3"115-(-Acj FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across anL- public street or way. (Attach additional sheet if necessary.) v r AGEN— R CONTRACTOR TELEPHONE NO. ;1047 ADDRESS DESCRIPTION OF PROPOSED WORK: Give particulars of work tp be done, including materials to be used. Please include locations of proposed signs. «i tds 6 : l Signed ho ntra or gen For C�oinmittee Use'Only �� V �his Certificate is hereby AP?,R Date . , :UCi R3 '10 5 Approve / d 1 ,&E a embers' Signaturs: HIS(OBI,PHE3EP\ ` r Mi Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION Ci�r-►L�c�� 1[.l �EiCk_ �1�-ALA SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOWS COLOR SIZE TRIM COLOR . DOORS COLORS J SHUTTERS - COLORS GUTTERS COLORS DECKS �t :�J6 S;��S,I. �6 MATERIALS M^ ►�( ��ix j c �Ai tJ A1�00�' COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS III � 7 Ld .HUG 4 3 7005 FENCE COLORT(1�Alnt nr n��,t�T��`� y�T,, - NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of as application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. ri i �' �fze �omvniomurea�!!a a�✓�uvaczc�euae�a �\ Board of Building Regulations and Standards License or registration valid for individul use only HOME IM OVEMENT CONTRACTOR before the expiration date: If found return to: Board of Building Regulations and Standards Registr`a t 103690 One Ashburton Place Rm 1301 006 Boston,Ma.02108 1 NEAL A.PRA r; .. Ueal Pratt 42 Chase Rd E Sandwich,MA 02537 Administrator Not valid without si nature J BOARD OF BIJI'LDING REGU:L-ATION- Li cense (CONSTRUCTION SUPERVISOR Numbe�GS� 03.Q908 'p Birthd E'zpi ss.1�G2#• ll 5 Tr.Ae: 91663.0 I NEALA PRATT �� ¢< 42 CHASE E2D /L' ` E SANDWI'CW, NlA 02r5375 Administrator 0 o•"'�> TOWN OF BARNSTABLE Permit No. . Building Inspector l�,.,:rm Cash --—--- -- ''rOYPY OCCUPANCY PERMIT Bond ___X _------ Issued to William J. Earley Address Lot #2, 504 Main Street, West Barnstable Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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. ...................................................... 19..... _ ..........................................._.................. __.� Building Inspector o• ° TOWN OF BARNSTABLE Permit No. _27438 Building Inspector cash aft. OCCUPANCY PERMIT Bond —X_------ Issued to William J. Earley t Address Lot #2, 504 Main Street, West Barnstable Wiring Inspector Inspection date Plumbing Inspector /t Inspection date Gas Inspector (,// m Inspection date R Engineering Department Inspection date Board of Health �I 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. ...................................................... 19_... _._ .............................................................................._........_._ Building Inspector t o• °> • TOWN OF BARNSTABLE permit No. _27438 Building Inspector Cash OCCUPANCY PERMIT Bond Issued to William J. Earley Address Lot #2, 504 Main Street, West Barnstable Wiring Inspector Inspection date Plumbing Inspector {' ` �' �4 Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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. 19......»_ ........................................................................ Building Inspector i co , U, t 30 U w Z e, 0 10 -/ o� N LA W c� Z0 O ' 4) Z IV Z �6\ o �v 0 �-- Gi 0I �l NU Ul , U N �� RI 0 . 50 TN I S LoT -DO Es iJ oT LIE ► ^� H OF 4a '1`t-tc' t="C.,0L.,.) J-j A?.A�:-tea 2.0fj e 1 CERTIFY THAT THE FOUNDATIONLEA o+ WALTER 9�y� SHOWN DOES NOT VIOLATE ANY Tp U N is A71 O M Ce'?, r►1=I C A r c ON P.OLDHAM EXISTING ZONING; REGULATION OF J�Kt E-S EAR L- No.23207 ti THE TOWN OF SRP-"S-rogL-E 9� , a S^Npw ie � ! °jS�A� A` -�oc. (r,ic. RAVJ4a-1 Assessor's map and lot number .13... 1.. . .............. pG/ 73— - 'lJ�f �FTNEtO '/c � � Sewage Permit numb r ........................................................ SEPTIC SYSTEM MUST �S`DAL�.EC � , .. I� N COIMPLIA AHB9TADLE, • House number ........J`.1>........mwl.!U...S '................. WIT14 TITLE 5 ET`•1WRC3Ne` ENTAIL CODE A!, TOWN OF - .BARNST'��B-ELEAT� �° BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....1 ti.S �'U..�:T .... e//�w�. S/D v 1� ...................f...:..........��............. TYPE OF CONSTRUCTION ........... .................1 ....j.f..............I9.g TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according, to 'the following information: / N 57" �T l Location 4- .. y ...1�'��. fie....... :_.�f3.fl PC1?.�r9 �� m.. .............. �...... .............. Proposed Use .................1�pp .................................................................................................. r Zoning District ..........6. ........ . ...........................................Fire District WR—.-I�t Name of Owner ..LAB!. �.!.. .m.. .:..C. .� ................ ...............Address ....1.D.Cl...m .!. 5� :.SF}!!).�w.! t�l.�..Y!.�ASS'•.... Name of Builder ...R.O..Re.I°L...►.:..... ...................Address ..%..GA.V .. O9.0 Fo?c!s7V/J/�ee...12jpC�.: Name of Architect .......5. .. .I.�.. ............Address ............................ Number of Rooms �' ��' . .............Foundation ..eOA M!P.e.A.Cdi..L9..F .T.� Exierior Roofing .......L7:S. 1.1! . .T....��/?i(vG�/2�........................ !...�.:....... lP:p......... Floors �U S �/V�A!D,l.d'T��5......... ��l.J!44� .................................................. ............ .... .......1............ ........Interior ........... ...... 'Heating &T. .7�.C......r�. 17-5.........................Plumbing ........:. .......................... ........................................... Q 0 Fireplace �R,�� ...........Approximate Cost .......... .� ........................................ Definitive Plan Approved by Planning Board _____________________________19_______. Area ...... 3..:I.. ....................... Diagram of Lot and Building with Dimensions Fee p� ..... ./..��................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �A 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 •/• •.. .. ..P..... ........... Construction Supervisor's License EARLEY, WILLIAM J. 7 ?+No ...27438.... . Permit for ...One Story .... . .... ................................. Single Fan-Lily Dwelling ............................................................................... Location ..Lot 2, 504 Main Street ............................................................. West Barnstable ............................................................................... Owner ....William. . ..J.-...Earle.y...-*................... ... . ........... .. . .......... .. Type of Construction Fr.a.rne.............................. ................................................. .............................. Plot ............................ Lot ... ............................ Permit Granted ....Januaxy.-aZ,............1985 Date of Inspection. ....................19 Date Completed ........................................19 Assessors map and lot number Q ,rt� � L , C y SewagePermit number.......:................................................. I N S/ Z BASH9TADLS. i House number ............................... .............r`..................... ro rasa p 26}9 ♦� YP-4 a` TOWN OF BARNSTABLE -o BUILDING INSPECTOR r"��v /R/r� 7r .Owe/%� /-5;r;W APPLICATION FOR PERMIT TO ....................5 .........................................�.....................................:�............. TYPE OF CONSTRUCTION ...............�...w .......' ................... ...................................................................................... ................../ ./Z.7...........19. TO THE INSPECTOR OF BUILDINGS. The undersigned hereby applies for a permit according to the following information: Location ! ;r -....... - � �6...m.R �.N„57"�eeT l�'... ,v7� 1e :..! ? �s . Proposed Use ................. 5. U Iti1 C ........................................................................I......................... . ........ ............................. f Zoning District .............. .........................................................Fire District ... . ......... ............R.Ar-AA...�.a..,.... . ...�... Name of Owner ..!' !. �.!.. .m .:.. /R.IE X................Address 1.0 �?... J. !. Sr:.S..lv dlJ.!(..4!t.J.. � �.... Name of Builder ...R.0.6 Address ..C.C?V!�I.../?.4RA...F..41�c�S7 Name of Architect ..W... 17PR....... ...........Address ............................jol.g.f'/U: T.a Number of Rooms �� S'..............Foundation ..1.a u!P.p.n C CC.f.? .T..E',..,............................ Exierior r.:S:!'!`)�r �.s.....N6X0 7.C69,P.GP! ?.Q.........Roofing ....... .S�J, .1.7....SihZ' li.'/P S........................ Floors 1�U S Z/V �IiQyl. ". �Prs................Interior � �}L�.. ........................... ............ .... ......... . ..................... .. ........ .. Heating /�.T...w! Te ....... ,. ... .:.:..............Plurribing ...........:.:...... :. .... ` rl.. ....::.'..'.:........:..:..: Fireplace ..........�R .C....k..................k......................................Approximate Cost / aQ' ...........� .................. Definitive Plan Approved by Planning Board ------------__-_—-----------19_______. Area .......1 'r�1J�. ............ Diagram of Lot and Building with Dimensions Fee ...... 9....4.................:. SUBJECT TO APPROVAL OF4OARD OF HEALTH f � -��✓ /� ae t y L . 5 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. rName .............. ....... .. .... ............... Construction Supervisor's License .. �. ./�. EARLEY, WILL1AM.J. A=133-8-2 No ..2.743.8..... Permit for One Stony.............. ........ Single Fami1X Dwelling.................... Location ....L�t. ......�Q4..j�k�n Street ....... ..2. ........................... West Barnstable ............................................................................... William Owner .............. . .... J..... Earley ..................... Type of Construction' .DraM. ............................. ................................................................................ P16t ............................ Lot ................................ ary , Permit Granted ....`Jan 19 85 Date of Inspection ....................................19 • Date Completed ................................. ......19 a� a� -7 7� SNbd9 :10 NM04own of Barnstable *Per it# l Regulatory Services BARNSrABLE, Mass, Thomas F.Geiler,Director A 1639• �0 rEn�+rw L' 83d SS38a u+ Buildin Division Perry,CBO, Building Commissioner r_ 200 Main Street,Hyannis,MA 02601 www.town.bamstab l e.ma.u s Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number G. Property Address 541-f PTA 1 (Y S T. G✓ S'T (� !/1 K`~ l3( Uo�l G G$ ❑Residential lalue of Work r Minimum,fee of$35.00 for work under$6000.00 Owner's Name&Address Z / /nKG e5 RT l-. t- JT UAN 4.'71�� 3 U y wi I Ar Sr W 1=S1' !3 R n HY- 14- C=. +r" A i _ ua ch c Contractor's Name 9�� S �y Telephone Number ( s 00 Home Improvement Contractor License#(if applicable) //J y q 12— Construction Supervisor's License#(if applicable) t7 � 7 b J ❑Workman's Compensation Insurance Check one: [� I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to A�y ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *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: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 I oF�"ERARNSrABM MASS. Town of Barnstable QED MA'S A Regulatory Services Thomas F.Geiler,Director • Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Ow er of the subject property \r hereby authorize G / to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name j If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the s reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 r :..��---.�-�.n:...... ..r'��,—�-� Officefo me"`' 'fs&�'Bu'sines "�iou"_ License or registration valid for individul use only before the expiration date. If found returp to:qir 3 1 HOME IMPROVEMENT CONTRACTOR .T e - Office of Consumer Affairs and Business Regulation Registtation: ,154921 y.p._;:' :> 10 Park Plaza-Suite 5170 Expiration 4/13/2013 DSA Boston,AZA 02116 I. M GAGNON ROOFING t .MATT :GAGNON i\ __ yam —�'r�; :3 al OLD COUNTY WAY ; I g � L SANDWICH,MA 0253fi Uiidersecr�tary j Not valid without signature �,irimcnt of Pub,-K Safct� pc t uul:u•(Is. W:►ssuchusctts - Rc,_utution il(►i s :►,ut St: .� Bour(1 of Bun- r License supervlso Construction License-. CS 69765 GAG r, MATTHEW P 11 OLD COLONY WAY E SANDWICH; MA 02537 • Expir"ation: 2J2812013 ' ��, ,� � Tom: 10087• . • (•„Illllll�� _ r r ' 77ne Connnonsvealth of Massachusetts Department of Industoial Accidents Oft-we of Investigations 600 Washington Street Boston,MA 02111 sv►vty n ass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Ptumbers Applicant Information Please Print Legibly Naive(Business/Organ zationllndividnal): G! Address: Gi City/StatdZip: �F �ci�'t�� Phone AWpi n an employer?Check the appropriate box: Type of project(required): L am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction L employees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees Thy subcontractors have g" ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'comp.insurance comp.insurance.1 required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.El I am a homeowner doing all work officers have exercised their l 1.❑ lumbiug repairs or additions myself[No workers'comp. right of exemption per i�iGL 12 aof repairs insurance required.]i c. 152,§1(4)and we have no employees.[No workers' 13.❑Other comp.insurance required.] -Any applecaut that checks box#1 must also fill out the section below showing their workers'compensation policy information. 1 Homeowners who submit this affidavit indicating they ere doing all work and then hire outside contractors must submit a new affidavit uuhcat mg such. (Contractors that check this box must attached an a mirional 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. lain an einployor that is providing workers'congmrusation insurance for City employee& Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/StatelZip: 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 rrirn;oial 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 cartrfy td the pains and penalties of perjruy that the information provided above is truce and correct > Date: Phone#: � Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermiVTAcense Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfroum Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#' 6 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map��Parcel Permit# Health Division Date Issued ®� Conservation Division l(lZ Application Fee AL Tax Collector Permit Fee P17 Treasurer U� Planning Dept. 2? 10 v Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis � Project Street Address 6_6 ]�l/ f o st— 'M Village Owner ^C Telephone J v S l // 7 Permit Request�� d X ls—/ Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes,attach supporting documentation. J Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed-Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE J FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER � r DATE OF INSPECTION: ; FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i _ The Commonwealth of Massachusetts ' - Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: , 6 location city phone# I am a homeowner performing all work myself. ty — .I am a sole r rietor and have no one worldn in ❑ I am an employer rovidmg workers compensationfor my employees working on this job. ..:....:::':: ......... .............:::::::::::::::::..... '«!.. 2t? `'% `t £{{ >5``s`'` s :<s`` ' 5: ' `` <: ...... >; 3`s '?S<� '� cony sn`n m :?ib:+?f is>.%i$i:G;?{:�:�. :,'•:!�%iii:��i:i:..f.i.�.'.l :%:%:C:i:+{tip i:i:i;Y:;�%i:{ii:%ii{��v::.v.v.......::•::::::::::..:::.:,v.v::v:}:•J.,.:,:.;.;.....:v::::::::::::.v:::.}Y:{t4:•:Y: w.i..`r. ........ n:..n:..., ..v!^:•}:•iri::ii�iiiiii:iS:ti:+: �} .... .......,. ... ..................................r............v............:...v v.........nv::x:................................: ::} ::::.r•.v.}..v:?:••.w:::.v:.v::::::::.,.;........... .... ........:.....:.•::v.+..v..r........r.......................v....n...........:.-+:•:.v.t. ....t.. 5...................... ......... ....::.v:::::::4.4:+i•.:w:v-':t,..:{:...r..!:... ... A... •:.v.......:.+'.:.:.::::?•r::::v.v:.:vr::::w::::.v:?:.v:::w.v:::}:.:•:....:.::::vn}::.v.+.!'.v}::'}}J?::::m:v:::::::^::•: !;• :{J;n;.y.;}}YY:::>::4}:;!:4:^:-:•}:?+.i4Y:�t•i:?n}}:::.:,.;:.}..4.{......:r ..GsSi}•?::•}::v:::•:::::::::w:.v::v::::vi:!'J:4:':•}:!4::•:i•i?::4:`J:;':•}Ji:!!!;.$:}?:?.}}:??!<:•:::.v::::� nv:::::::.v:•.:v:::�:•::•?:::::: :•:: •::4 ::: ::: :• :::.v;•.v:.v.:v:•::.:{!•>:+.!'!d:;:i::;?•.v::v.v::::::i:::.: h0 ..........:.::.v::::.v:::::':::-:::::::•::::::::::::•:: ::': :•:,.:{:::::•::.v:::::::....:.•:::::.v:::::::::::::::::r.::::: ...,...:.........;;.......,.::..!-.......?.........:•.....::.v::.v.v.':,::.}y•:; ............................r...................:...........:.........:......... :...................... • ' •: T:?{.};:::.>:::.:Y:;{.}}:•::.:J}:;4•:':.:.}:.;:.:::::�?:<.;:<::::;:>::»:«<;:»%<::: ttli::`: .;><:::;::<:>::>::::::;:>;:::::::::<>::::::»::>::::::>..:><>:<«::«<.<::::>�;<::<:::<:::: :-<:=::»::>:><>::%:;<:::>i>;:!<�«: I.am a sole proprietor, general contractor, homeownt circle one) and have hired the contractors listed below who_ the following XX <> >< . < : a i.... r l:+.:i:!•}:•}.,;.,. ... .:i:•:•}.t•..'.�.'rx-.'•}:.}:'}:•?:v::{.v:::.,;::•::.}:...,...}::::.}:L•i:•i}:•:':{{{•}:'J:':•i:-»:{:.v{.v::: : v:::.,' ::.:v-:.t•:::::!•..v:...,...:........:.::.:.::::::.v::::::::!•:::::::::::::::::v.4h•:>.•:n'::.vE4::?;.,+.•:.v. v.::4n:•4;{+r..vi•}:•i:{O:{.::^T?:�.:�:•:n•:.v:^:•::•:'.v:::r:• :4J;::x:::i::.v:::::x.:�.v r::vi,v.......• .Y:{•:??iJ}:vY}?}:::::... ;'.•:F': ....+.Y........r... ...........+...r.........r.r......:.............................:r.r.......... ..:..... ..t.. .......... r..,.{.,n.::::?rn-.t:....':::{:{:.:Y�{...... ; ?:>.:�%:+%''%`'.L%% ':::::.r::::':::::...: ........+......:.+....;{.,..,.;.. .........r....::::::•::.::+ .......;. ..J....t.....,'.,....:kr;J........•.....................r..::..........,....r...........................r..................t........�{+.........v S,•:.+:. r.};y :•;t4:•iYy4;?!4'4i'4iY:,. vim,{}vi; is%10: n:.�.v.:mv.;;; .....:... ........ }i:•}Y;4:::j{'.;: :..;::.::v::.::•.vrvv:n.. .:::::.v.::::::.. .r. .... ... y::...;:: :}:}:4J::;i4:;•Y?:li:•}}};;•}::•iY: - a:'i};4J:ism:4'•i}'itiv}:v:W:4:4Y.}r?C•}+:4:4:{ti::ii;;}iYY.4Y•}'•i:?;.};{4;:>;4%!?'rvLi:!4i:i{.};:4:?:•i?. ..4 ni:f•,:ti 4:Li:T ..{.. -}:<•i::�;i:�:L�:tiri:%•t.%iTi�%i:Yi$i>:<%ir:�Sii'r'%' :}i}'i::: v.L•.::;i:Yii::;: ei:t??S'?:i!%i:Yiyii:C'{''r>:}ii::$4i:•ti;�:;�:,, ?::titit%J: ..:yti::':4Y •,yy.:•�,r..?•v{:.i}Y:v"•sr+4'•:u•..r.f.i%;;y:�:;{ '.,'i>,}:'i:%;:;:y;:';?;i:!{::%�!%i:i: i:Y �:v::: ...:...............n..::.+:.....i:+v... 'r.. ;......v:•X:.,:v:::�::vw.v::::::::::: :+':-•: ::.:.............:..::::.;'::'...::...;.,:;.{:.:;.,'.:;:4:•}}}' :'+1• /.0'%-.+ 'at..}:nr. r..:}.'.�::::•.. ::6.4:...v': .5.,{.:: ••<'.{{:.::.a••p,{::::::r: :L•}::SX'}•4X•ft ,.aJ�S£'4.. ...... ....:.::::..:::.:•:.::::::•:.{{.....L r.., ..... r..... ..+•::+:•:: }:.{;iYJ:•>}TJ?}T:.,... .:;J'}:+.'�:'i:'}:;4:}a.};{{{.>i r•YY:' •Y:.;:::::... ...t.::.:.+.....:�.. ..T?.+": •Inam'aitce.cQ'}:•}:L•Y.�Y:.T;{<.:::::..�.t,{.::::::::,..:.:::::::::::.�.,.:::•:::::•::.�::........................................................., o� ..#.....t...... ..... ....... .. ...:.........................,. L..:............:::..........::::.:: VERN .............n......x::r:}{.::::.............4................ ....................n-?v:}:v'v:;:{:!4'•:Y::4;}.r.::}i::•i::v.v....+................n r^}::{Ci^}}}:4.J?riv.v....................Yr}YJ::.}v:.}::-....::::::.. .:......:..................... .. r.r............}.........v............n.......•::•......v.......r......:.r.......n.............r............:n.n...,....::::::v.,v.•'v.v:;...-v..;...-.,..,n:v.::vv;x }J•{•i•x4:•:+::}:Y:.v:vt:• r:}:rv:::::::rip:.:::::r. ........v:+{{{bi:;^::•............... r......v..... .... - ...:v..:.....n:::^::v:4::v.v.vY:::v.+:w.v::•{•}}...:•::•.... ............. ........ ............. x:•:w::v}}:W::::.;}}.+}Y:v.}:::•;:}:�.,:.•?:'!{{.v{:::.:. ..J.,C•}}'ti•.;•:::L•Y:v;{! ::::.•r:{4}:v::!:::.:.,:L::•:r:::nv:...r...-+n:v:,v.v, :..:................v...,......:..:v...v........ ... .:}}:v::`:::..... ..t..v..... •r nn....':+.v::.v v.v•.:.. ..........::.v:::`:J}}:'6}:•iY}YY+j;;}:;}}}y;>}i'�i:::{•:::•..::.:..::� ...............v {.:t}Y}{.. ,....... v................,...........t...............f::•i:!!4:4iJ:•Y:!•'f.:i^:r:�iiiiiiY:;}:.v.i)i}rw:}.{.::4:4:!.+.:•}:•.r•:v$:n{•:}:::.. .. :.........'i!:�.fin }........+,;;�.:::i•Y::::::::....,.:;..,....>.....•:::;+..:,..w:•:::• :L• all :�Tn ....^ ........}::::.v:::::•....................................................................................r..................................... ... ....:......... ........... ..................................v.v::::::.�:::::::+:ii:::n-::w:::::::::.v:::::r:::::}.v}:.v::x:::::mY:{':.::4i:?•Yi;?i:!C4:4i%!.}w:;.......;;... ., ........... ........r.................rr..............r. ...+::vv:v::v::n:....... .v:::::.•r.:•::w:::::rx:::v. ....... w::x' l..n ::'.:�:::::,. .i..r.n.............. ................v........... t... ..,.......,:v:::;�::vnv:.4::.v.:v:: :...::::{i:.i1n};%t;:..Tv ..:r..v.........................:::.v::t:rfw:.t•:::::::::w::n...... t.r...............nt•. ......+...::::::::::::•::v:::::... ............... n.... .::...... .. .:/..::.:t:.:.rX.:.+.t?!>.':4} ,•..............t............... ....:..............................n...+v::.v'.v:.................•:•'..{:rf:i::tv.•:v:r.v:............................. }{:?}i}};:•:':'J'v:......n...............t:w.::v:::.....::............:.: ....................r•:............... .Y...........r....... .}......r:....:. .................... ":".... 'v•'<%:::;%;�:}rt.%}:•}:•:«•:...... .... :`:ziwa'c::4%::'::?'•yLs. jl'': ;r: :%;%!::%:%�:% :: :::% �:�2�: :::::i::i %::':: :: :;:;:;''•r:;%':�';:;i''}�f:;:..::.�:.:.::....:. :;}fidb •}}}}f':4}'Y:•};:•}YiY:4:v:4:''}}::i;4}}i}}}}:4i:::}s ti. i}ii:•}}}Ji?J:Loy':;'ih?}Y4:'fi:4}.l'ti?tin!�i.. ..�i'^(:. ':.v::::•::::.v:.v::::}i:'i:•:L{-}i::::v::::v.::::;::::;v.v:::•....v:: .....::::::::nv::::::::::::::::w:.v:::::........:::r.•.:.::.. ..................... ..............:.m:•.:::.v•.v•:.v•:'.,:•:v;::'+:::•:::•:v:::::.:v:?.v.::t?'4i?}:r•}Y'i:•p}:;!•Y?ir••}•:.:v:+-iY:'•:i}:4:J':+•i'•i}i}}}:{•:;v.ii;ii......,...i.......... ... .......x............. .x......,..J....v. ..v....n...r...r.r............... +.,....+..n........:.tn......:.v.......... ....}...:...................}:iiF%:i}%ii:..x.w::;;;..:........:..Tt.t......n.......,+....4h:: ' ...... ...r................r::Y::•:::::.........:'• ......w::r':::::::::::v.......nt..C....... ...:::::::..... nv::::::::v::.v::ir'•.:,.. :i?A'}}:%:(4r?%:ti%iii:vn:��':';}::%iji:i�:}}i+?i::i {`:•"•,F:�+' ii};}:i'ri::::.r::.}':::•}i}}•!•V:a!}•n:v:::.....:.;.,......vv.:�+:.....r........v:n:v.v::.v:•::::.v..........:;. ..... ... .::'•vi;%i.L:r•:?LL•}}+i,{::^:•?:;:{r-}:v::.v::v:}}..................r.•.nw.y;::::..::...;...+ r...... x.. .. .. r..... ............... ::.:::::{•}}JJ}:•}i::'.::,,v 4.•,•nv.v.:vvv:::::::::'v: ::•?{:.:U.{:v:r::xv:4:w}y:::::.,......:.:{.v:.?r......... +'+ :t4-- ntr::::...,.n T + ...... v::.�.;-+:•.:�::'+??YJ?:•}:Jiv' :}i!'rii%iy.. ........r..rr..:w.v:v...:..w4}Y.vr rr..r+..v.n.....x.v'-:v.v::r:?•.v.:v::::::..........,.....,..:...-.,.:!.n.........x.J.. .....�....... v:•::. v.::v........::.v:v.r::•..{...,.. ...t"•.4�:Y:};+v+ i:4i..-. r.ri{.:.....n ;+J{.,f.vv::i...v�?tvv:.v.: ..4::::^:':r:rv: - p .2:v}'•:?%.......... .... :..........n.....r::r:::�v:• ,./yin:.:?.v:4ii}:'?YiiY:r{':'TTAY:}r:::.v. j -.j�........ ..{v.:vrT:-?.fr.s.t..:n'... ?i 1:�! ' r::T:r..v:::T.+• ...n...:......:..+nv..f...:n,,....v.....................:.::}.v.}r::.v........................:.....n.........v :::::::�:>ii%}}}::.vw'4,v;..rvr..::L::.,+.}'::..v{}:i:Y::?i::::.w..}S:L;}{{..v ...-N,.{!;ii:{... ? '.v:::r.v::::::::l.:........n.:::::::.:v::Lv.v::::::::::::nwn:.;,.r+r..v.v:•:?:::Lv•r:.....r..n.t.........•!vr•.w:::.v:::- Qli :.x.:v:::n::}::::..v:;} ...... .imn�rgaee.c:o.:::::::::..:::::::::::.::.:::•'::.._:.:::::::.:::::::.:::::::::::.....::.............:..::'.:::::::::::..:.::....:........... . ........ .:.......Y:4:.::.:.:::.::Y:.:'::{::>:.:{.;{.Y:.<Y:':.{:.:::{.}::.:.:.i:!{{{;;:?::<::<}.;:.}:::i.:Y:: Faflure to secure coverage a'required ender Section 25A bt MGL 152 can lead to the imposition of uitnitwl penalties of a See np to S1,SOO.QO and/or one years'lmpiivonment as wen as dvii penalties in the form of a STOP WORK ORDER and a See of 5100.00 a day against me. I mtderstaad flint a' ' copy of thL+statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do herebyzerdfyunderthepans-audpenalties-of-perjury-that-the-inforniotion_pr-ovidedabv�!eislrue Signature Date Print name Phone# • official use only do no write in this area to be completed by city or town ofiidal city or town: pendt%license# OBuilding Depa t nent ❑Licensing Board ❑check if immediate response is required OSeledmen's Office _OHealthDepartrnent contact person: phone#; ❑Other (Devised 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 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 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,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 in the workers' compensation affidavit completely,by cliecldng the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits 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.fo obtam.a workers compensation policy,please call.the Department at the number listed below:. City.or Towns Please be sure that the affidavit is complete and Printed legibly. The Department has provided a space at the bottom Ofilie 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.permitllicease numbWivinch willbe used as a reference numlier..The affidavits may lie'r to the Department by iitail"or FAX unless oth&arrangements have been oracle: r The Office of Investigations 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 Department's address,telephone and fax number:The Commonwealth Of Massachusetts ._Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 °FINE, � Town of Barnstable Regulatory Services 9� BI'E� Thomas F.Geiler,Director AIFo;9. Building Division Tom Perry;Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Ljo Type of Work: c �` Estimated Cost Address of Work: 5 - Owner's Name: w- ILA Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law i ❑Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor.Name Registration No R Date dlo-(vnees Name Q:fomtis:homeaffidav i r - RESIDENTIAL: SHEDS - POOLS-DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,detached garages,gazebos,etc.) >120 sf-500 sf $35.00 $ >500 sf-750 sf 50.00 $-1 >750 sf- 1000 sf 75.00 $— >1000 sf- 1500 sf 100.00 >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ Q:forms:dkcost eff:082301 The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION n Please Print DATE: sf JOB LOCATION: ��jL/"� C number street village /y "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: lQ -- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building Permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature 15f H6me6 er 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 personas 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:EXEMPTN APR.26.2002 , 9:48AM PLANNING N0.597 P.2/4 Application to ®� ,�i>lt�'!� �fg�jboa�p �PgfD>�ai �t�torft ��tT[tt �DI>rtTiittteE , In the Town of Bamstable 2 09 2 r CERTIFICATE OF APPROPRIATENESS .. Application is hereby made, with four complete sets, for the issuance of a Certificate'of Appropriatenesgridet S r'vn 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973,.for proposed work as described below d o s, drawings, or photographs accompanying this application for: 3 CHECK CATROOR193 THAT APPLY; i 1. Exterior building construction: ❑ New ❑ Addition ❑ Alteration - Indicate type of building: ❑ House ❑ Garage ❑ Commercial Other }Cl St1/46- Sh 2. Exterior Painting; ❑ i 3. Signs or Billbo rds: ❑ New Sign ❑ Existing Sign CJ Repainting Eating Sign 4. Structure: 'Fence ❑ Wall ❑ Flagpole ❑Other K15 �EI-CC TYPE OR PRINT LEGIBLY; DATE ADDRESS OF PROPOSED WORK 6-6T /)I,*/GI S�t Wagee '''ASSESSOR'S MAP NO. 133 OWNER�� .�t'h-�.,2in l,� y1D C l ASSESSOR'S LOT NO. HOME ADDRESS SD Y MkIll Sf W 13 1( j to( TELEPHONE NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way, (Attach additional sheet if necessary.) ZhnF_MUa6. 2-1 MEAOOcy hAive W1 13/42.x9f,4Q4"C s cu_ s A ce, - din) I A ENT OR C NTRACTOR l t�� 190 NE �� Su ��L , r �avttfiQG oo� TELEPHONE NO. ADDRESS DESCRIPTION OF PROPOSED WORK; Give particulars of work to be done, including materials to be used. Please d include locations of proP9sed signs. � i R��►�� cxrsrI W600l.ly s'A.ad QAle u/i/ ANew cudod�H Sli�� to. X l� APi tv-e - Toc3,� s>`�i4i=lJ GR�_� � /�E�� e E�tSI � F/ 1ICo u) i� A `l.�u> 77) ' * Signed FehC _e. /1/ZOE# _ ner-Contractor Agent For Comrnittso- V.Wonly- rKuvru _.. . -- This Certificate is hereby Date 2-Z` Z -- A pro v !Denied I _ MAI N 20 2 _ YQomrrintee Members, Slgnat es: Ll N 1��IDS �1- ��P `lv• vkn f ' Application to. " Old Kings Highway Regional Historic District Committee2 0 in the Town of Barnstable for a CERTIFICATE FOR DEMOLITION OR REMOVAL )plicati-on is hereby made, in triplicate, for the issuame.of a Permit for Demolition or Removal of'a building or a structure or rt thereof, under Section 6 of Chapter 470, Acts.and Resolves of Massachusetts, 1973,for proposed work as described below d on plans, drawings or photographs accompanying this.application. 'PE OR PRINT LEGIBLY DATE' Z/ c�-- )DRESS OF PROPOSED WORK dJ/J r s�i/IJ (b14�/� /mil ASSESSORS MAP Np 3 3 V N E R Yl I �64///i � 7U1o1/ii�' p� if /r�0�/e�Dll� �/� ASSESSORS LOT NO. l96 9 A )ME ADDRESS (f V. �/SST. TEL NO. _✓�/� 37��jyL� 1MES AND ADDRESSES OF ABUTTING OWNERS:- Include names of'adjacent property owners across any public street way. (Attach additional sheet, if necessary). ;ENT OR CONTRACTOR ",I TEL NO. )DR ESS :SCRIPTION OF PROPOSED WORK: If building is to be removed, give new location. Snap shots showing all views of Iding must accompany application. (Atpch additional sh et, if necessary),. O � . )te: If approval is granted for relocation, a separate Certificate of Appro nateness is;required for new location if within the Old King's Highway Regional Historic District. SIGNED ace•below line for Committee use, V Owner•Contrector-Agent rceived by H.D.C: The•Certificate is hereby ,Z1%✓1 Date 1te me L ' r MAY -2 2002 -------------------- -s,._ oproved -:IMPO`R1"ANT: If Certificate is approved, ap proval is subject to the 10 day. appeal provided in the Act. period isapproved 1 �r f' f Z ®-p 2 , 1 .08 MARY J. DELANO April 26, 2002 Town of Barnstable Historic Preservation Division Old King's Highway Historic District Committee 200 South St. Hyannis,MA 02601 RE:Petition for Certificate of Appropriateness Dear Committee Members, I here by petition to have the following requests approved: Demolish rotted shed 8'x 10"and replaced with wooden shed 10'x 15' including a cupola with weathervane. Replace rotted wooden fence currently 37'x 40'and increase fenced area to 48'x 56' with wooden fence 4'high. (see attached drawing) I have enclosed a check in the sum of$60.00 including similar photos of replacements and drawing of plot plan. Sincerely, Mary J. D MAY '2 2002 504 MAIN STREET, WEST BARNSTABLE, MA 02668 TEL: (508) 375-6417 oil Arrm-wivED i APR.26.2002 9:48AM PLANNING NO.597 P.3i4 Town of Barnstable o© Old)DWs Highway MAoric District Commfttft J ®� �/�u n J SPEC SBERT �{ r FOUNDATION Ci - --' 19-- 6-t, SZDXKG TXpR COLOR C>ino= TYpE /" AT COLOR ROOF MATERIAL VU�d��. �h�� Q COLOR n.� (?ZZW PITCH WINDOWS COLOR SIZL � TRAY! COLOR CAC6� _ , hiri s DOORS Y COLORS DOA-k s�grgrTTTrxS COLORS oue,.� -TO GUTTERS /�/� - COLORS DECKS 1V MATERIALS GARAGE DOORS E'' / COLORS 202 SKYLIGHTS SIZE COLORS . SIGNS COLORS AP OVE D l? COLOR lPG'188: Fill our cempletalp, '=,Iudiw meawramamts and material'/eoiors to be tined. Four codas of thin fexm are required foe wbmittei oz an gygllcat&pA, siwpg with Vow copies of the plot plea, lanesospe plea sad elevation plena, asex: applicable. 0pscsaT boor and qti/Gs i 3 IQ z LLJ 185.00 45.42 Q ` LO I 2 o S" fo 6Nt f 0 i yE Li k l0 0 O 1 No. SQ 4 A '_ GRAVEL DRIVE F��cEn 'ems • 136.07 51 .95 A", ;7% XS�O MAY _2) 2002 MAIN STREET MORTGAGE LOAN INSPECTION Mu1163 SAGAMORE SURVEY ASSOCIATES SCALE: 1 IN.= 50 FT. i�0 P.O. BOX 28 DATE: J-ULY 7, 1 8 SAGAMORE BEACH, MA. 02562 r+tosrtns (508) 888 8667 , 1 CERTIFY TO NORWEST MORTGAGE, INC. pONTBFiIANO y THAT THE LOCATION OF THE BUILDING SHOWN HEREON CONFORMS No.34314 TO THE ZONING OF THE TOWN OF BARNSTABLE � 1 CERTIFY THAT LOCUS DOES NOT LIE WITHIN THE FLOOD HAZARD suntrt. ZONE AS DELINIATED ON MAP 0011 C COMMUNITY N0. 250001 PLAN REFERENCE. BARNSTABLE REGISTRY OF DEEDS REGISTRY OWNER: BOOK/PAGE: LC NO 35113—A LOT NO.: 2 PLAN BY:. NELSON BEARSE — .RICHARD LAW BUYER: DATED: AUGUST 27, 1969 THIS INSPECTION NOT MADE FROM AN INSTRUMENT SURVEY AND. IS NOT TO BE USED FOR FENCES, HEDGES OR TO ESTABLISH LOT LINES. FOR USE OF BANK ONLY. °FINE T Town of BarnstaffiNY ©F 8ARNSTA B E Regulatory 8ervi*5APR -5 AM 7: 3 BARNy ASS. Thomas F.Geiler,Director � Qje •i63q �0 � �e0 39 Building Division... Peter F.DiMatteo,Building Commission''eOS(QN - 200 Main Street, Hyannis,'MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Ov PERMIT# FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village Property owner's name Telephone number a /© �3 3 Lo f ae Size of Shed Y Map/Parcel# O w _ CD > Signature Date c' cn N Hyannis Main Street Waterfront Historic District? , ► c-n N rn Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) Zv62. PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 i 2 no 1 o-p 185.00 der 4S z 4 2 O � LO i 2 O sly- co 6 W 7 \ �6 0 1 o ' N .sa 4 i GRAVEL DRIVE /\. a�0 rF_11c 37, Kv,0 i1 -3� 136.07 51 .95 MAIN STREET `.� R222001 MA ' 1 C. v MORTGAGE LOAN INSPECTION MLI„63 SAGAMORE SURVEY ASSOCIATES SCALE: 1 IN.= 50 FT. Of P.O. BOX 28 DATE: JULY 7, 19 0 8 SAGAMORE BEACH, MA. 02562 THW S s6 (508) 888 8667 C. NORWEST MORTGAGE, INC.. t P No.34 NTSMAND I CERTIFY TO No. THAT THE LOCATION OF THE BUILDING SHOWN HEREON CONFORMS TO THE ZONING OF THE TOWN OF BARNSTABLE r $31 I CERTIFY THAT LOCUS DOES NOT LIE WITHIN THE FLOOD HAZARD ZONE AS DELINIATED ON MAP 0011 C COMMUNITY NO. 250001 PLAN REFERENCE: BARNSTABLE REGISTRY OF DEEDS REGISTRY OWNER: BOOK/PAGE: LC NO 35113—A LOT NO.: 2 PLAN BY:. NELSON BEARSE — -RICHARD LAW. BUYER: DATED: AUGUST 27, 1969 THIS INSPECTION NOT -MADE FROM AN INSTRUMENT SURVEY AND .IS NOT TO - BE USED FOR FENCES, HEDGES OR TO ESTABLISH LOT LINES. FOR USE OF BANK ONLY. f 2001 , 067 �wR.��.cnr�t In% � t'Lf�`9Y11`tG NO.485 P.3/6 Application to atg'g Wa jb cep Regh" otl"rtc-Ar leta co»tti1iuttt_ee cl �} i`li ii if f i_C V.Ass. In the Town of Barnstable 20gi 25 Pal 2 39 CERTIFICATE OF APPROPMATENESS AWKxmm is hmoy made,wt�h four complete seW for the issuertce of a Cep of Appropbab under Seoliop 6 of chapter Ora, Ads and Resolves of Ift aadntseft 1973.for Proposed vmdc as desabed bebw a W on plans, drawings,or phologrqft Ong this applww tor: CHMK CATEcOMPA THAT APPLY: 1. Irt"ofoWd ❑� tcibe ❑ earaw 13 coornrnennel- onre� sftCD eftrwrpamft ❑ 3. Skin or ❑ New fgn ❑ E ftt ❑ R PAS S�grt 4. Skuchus: 01 Fence ❑ We0 13Fftxge 130dir TYP!OR PRINT Lt6GIBLYe ADDRESS OF PROPOSED WORK.'-4�r N S t i�1- 13�4 P.11 S_ b li. ASSE ,OR'S MAP NO.3� OWNER P-q 17Ez /7e f Cirri} kll e =��}�,a C if auu/e� AS 5 E=R'S LOT NO. ej*- 0 0�l ( se�� HOME ADDRESS Ste/ VYI�f y St UJ- 13,4 n S fi4l2 Le Vy1 f�u (,� TELEPHONE NO, 3 , FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, irtd"rIg those of adjacent property owners ear=arty Public 9r*0t or weY- (Aitadt addM=T sheet N necessary.) rvA me vi dg-U- S h a p.w< c rc zl gtl;—;!D o w _ UJ- t3,4" s t.j t,,L-e W4 IVY+ Q 11 A-2.44 -13 r� s> tC:h itit TcvigS S s l�Lt AGHVT OR wrf 7t TOR ,V 0,4-e, TELEPHONE NO. ADDRESS DESCRIPTION OF MWOM WORK Give pubmgm of work to be dmpv mg fm be� Rom include boosts of x Jv /� /1-�Lr u G✓a o Imo, /D X1 �G�► roc fJ � � y0•� vi�j� ��. 3 Ix 171 AVLF(.�aA►-11�-V .1� �l Co '7C G ctof-A9eirt For Commute flee an This O is hereby o C� MLA ----, W MAR 2 2 2001 T WN OF BARNSTABL OLD KING'S HIGHIAIAu f 2001 , 067 e •� KO.485 P.4/6 TUWR of p am Woo w4p*q Mann pabuncon=ium Lv o o sm SRWT roaa ►�sa� if f9-C C— Sul S=nm Tr" S 11 1�n COLOR IVA7'v/2A-L rz� voLOR R001P -wool) sz� 4ws eo�a�a sr�s -(Woo 1' cor�oa�s 2 C MWTM �-- COLORS 6a�rsaa caw" DEM Dm1T$Q��1L9 COWRS i <� s==='s sta$ �: MAR 2 2 2001 ��s ,11 ' _;;yAlN OF BARNITABLE Cal L,y 0 Cozool A X 6—, P-Qz�� ram we u.s�. .Rd .iao.ad.3,�0o1w�. �a b. a►ad. � � of tbx. .� ,eoi..d .vawsca.�oR sNpls� at"*wiea � cap&" os eaa Naas Nles. a„ sNa r .a..setaa psaw, .fin Dj.. INSTALLED Assessor's office(1st Floor): ,•�o � p :- - .. ,( N(;®M Assessor's map and'lot`number ' � 13 .3 7• b Da�.c � y E��®KITH Tj-rj.E �Q� t►`. Board of Health(3rd'floor): ` / LVIa P. Sewage Permit number � v �b �_ �d TOWN#?EG Engineering Department 3rd floor: �� s tL House number �h V 3 Definitive Plan Approved by Planning Board s `191 ��MAY d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only; TO��N •• OF , BARNSTABLE BUILD:ING INSPECTOR APPLICATION FOR PERMIT TO 7ZE/Y U ��a.Aa f - 'bM/2S eI- (Z£PLfIGr Ul,%rµ WI AlbOli1S TYPE OF CONSTRUCTION 19 ( TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �� 1f N S� 3fl2N Sgr` md 6 9 • ') Proposed Use Zoning District Fire District Name of Owner Address Se7y KA i tJ S�" W. 8�AR-y rA)3LS Name of Builder Address Name of Architect 60lz>oN CLAC-1 Address �Y/ /�1�}+1J. 'S' Ir `APzH0a*l 2r Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing J� Fireplace Approximate Cost Area A0 AzA 670 Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rega ding the above construction. Name ,/- Construction Supervisor's License (LICK, ROBERT B. No 33986 Permit For Remodel Garaae , i To Family Room/ Single Pamily Dwelling u 3 L Location 504 Main Street > a West Barnstable Owner. Robert B_ CIirk ` Type of Construction Frame 1 Plot Lot ` Permit Granted September 25 ,19 90 Date of,,lnspection 19 Date Completed 19 i- ,.. • f' •�,�. `e r. y z. r-r{r.i.�'. }�'.,� [ f'^..F!�i"G!f'�"'r.7.r r1..�� - .,..r «Fyr '�.,,r ry Assessor's office(1st Floor): J Assessor's map and lot number d d nMu-c— o��M 14tp`o Board of Health(3rd floor): �w 7aO d ., Sewage Permit number �, Engineering Department(3rd floor): / _ >lsaN'A'A a House number Definitive Plan Approved by Planning Board 19 �e rev s 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 7Zk KOt/t r s AIZA,'f C)MIL S Pl Ac-r2 TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Sf) �'(fl I nl S tc— W W. l��1'cN SQ��r' ►z /��((�� ( (—oT oZ/ Proposed Use —Wd Zoning District F Fire District Name of Owner %-11'eay- 13 C-y'- Address 57n(I "A i nl ST W. [�A2f✓�A3lfi Name of Builder Address Name of Architect 602.Do kl C L A e—t-- Address Or 1 /VPr r*/ 5'1 '/ATLMOa'y"HFb21— Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost �/ � Area /►'[� N�� 00 Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. � Name Construction Supervisor's License d�7e . GLICK, ROBERT B. A=133-008 No 33986_ Permit For Remodel GLrage I To Family Room/ Single Fams.ly Dwelling Location 504 Main Street West Barnstable Owner Robert B. Glick Type of Construction Frame Plot Lot Permit Granted September 25 , 19 C0 Date of.Inspection 19 Date Completed 19 PERMIT COMPLETED 1;1/- dp P Application to Old Kings Highway Regional Historic.District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY:. 1. Exterior Building Construction: ❑ New Building ❑ Addition IM Alteration Indicate type of building: ® House ❑ Garage g ❑ Commercial ❑ Other _2. Exterior Painting: ❑ 3. Signs or Billboards: ® New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ® Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY j DATE August 17 , 1990 ADDRESS OF PROPOSED WORK Meadow Ln. ASSESSORS MAP N0. OWNER Mr. Robert Glick ASSESSORS LOT NO. HOME ADDRESS 504 Main Street W. Barnstable MA 02688TEL. NO. (508)362-8680 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. .(Attach additional sheet if necessary). AGENT OR CONTRACTOR Gordon Clark, III TEL. NO. 008)362-2210 ADDRESS _ 141 MAin St. Yarmouthport, MA 02675 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 C t ctor- geni Space below line for Committee use. ceived by H.D.C. IFF-10 Gj Date I= Q F I V -herCertificate is hereby Fez QRCiv v Time nur 9 L 1990 ,.--- ®� By-- @ €'t ylkln'C WJ GHft 41 .V C�rr , �.r A proved.-__ KI IMPORTA T: If Certificate is approved,approval Is subject to the 10 day appeal period provided in the Act. Disapproved ❑ I j 367 MAIN STREET, 11YANNIS, MA 02601 FORM: "A-1" SPEC SHEET FOUNDATION TYPE t N/A SIDING TYPEt Shed board & batten ' CHIMNEY '1'YPEt N/A COLOR ROOF MATERIALt Wood Shingle COLOR: Natural i PITCH: 7/12 i WINDOWS: See plan SIZE: see plan. TRIM COLOR: match existing DOORS: N/A COLOR: SHUTTERS: N/A GUTTERS: N/A DECK N/A GARAGE DOORS: N/A COLOR: TWO COPIES OF THIS FORM IS REQUIRED. FILL OUT COMPLETELY REGARDING MATERIALS, MEASUREMENTS AND COLORS. LANDSCAPE PLANS-PLOT PLANS-ELEVATION PLANS. y O,j • ,. OK OLD DING'S HIGHWAY f� a � TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE 1"3Al JOB...LOCATION SoY , •um er treet a ress ection o town "HO�IOGINER" j ame sr, Hone p one or p one . PRESENT`MAILING ADDRESS SoAlA y 1:ty townD i . State ide- Tfie current exemption. for "homeowners" was extended to include owner-occupied :, dweljffigs. of six units .or less an o allow such homeo wners to engage an in- ivi ua .for hire. who.does not possess a license ' acts*-as�'-su ervisor. provided that the owner P (State Building Code Section ....:.............. ...... DEFINITION OF HOMEOWNER: Person(s') who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official ; on a. form• acceptable to the Building Official , that he/she shall be responsible for all such work performed under the building permi ec ion The undersigned "homeowner" assumes responsibility for compliance with the State Building' Code and other applicable codes, by-laws, rules. and regulations. The.`U:ndersigned "homeowner" certifies that he/she understands the Town of BarngtabTe Building. Department minimum inspection procedures and requirements ;and :that he/she will comply 4si procedures and requirements- .HOMEOWNER'S SIGNATURE APPROVAL'OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic meet," or larger, will be required to comply with State Building Code Section 1127.0, Construction Control . 8 .._......... _ -- HOME OWNER 'S EXEMPTION The:,Code state that : "Any Home Owner performing work for wlilch a building permit. Is required shall be exempt from the (Section 109.1 . 1 — L.'Icensing of Construction Supervisoros)slons of this section Home Owner engages a provided` that If a persons) for hire to do such work, that such Home Owner shall act as supervisor . " " Many. Home ±'Owners who use th1's` exemptti�on are unaware ' thatltr they are � : the respons I b I FI t 16S of a supervisor (see A u I'at I ns' .for ,Llcensing Construction Su ervisor.s,,, Appendix Q; Rules `and. Regulations p Sect-;lonr.'2.:15);; This rack bf awareness ofrten,resu�l is In°`ser I ous J c UnlCcerised problems, particularly when . the Home Owner hires persons. In this case our Ooard cannot Unlicensed proceed a al st t person as I t Would with I I con od Supor'`JhSor.. The r1-IornedOwnornact I ng ;:as�lsU�ervlsor is ultimately re _ ..... .....-..,... . spongy I b I ' .. �,� - To,,ensure that -the;,'Home Owner I s fu I I Communities require, as y are of his/her responsibilities, many part of the permlt application, that the 1-lomo Owner certify that he/she understands the responSibllitlos of a supervisor • On the Care"lare,,pag© en this Issue Is a fOl*m curronlly used by several towns. You may, ,t0 amend and adopt such a form/cortiflcatlon for use In y Your community.ty. i d , {{ t• . 1 Z f r r y � 1 1 "1 x J 5 N N o U P (a P 2 N A OR lie wwID 3 • i off. 508-362-4541 fox 508-362-9880 3 o° down cape engineering, inc. �- \ LOCUS CIVIL ENGINEERS R1E Bq LAND SURVEYORS N\0N S�- 939 main st. yarmouth, ma 02675 z 0 LOCATION MAP (NO SCALE) \ , \1 WETLAND \� / Ln l; r Cu STONE IN 6 I CEDARSI PROP. DECK ` n o I STONE I 24 WITH STAIRS 0 1 DRIVEWAY � `EXIST. s� DECK — 20 kq EXIST. DWELL. SHED \ PROP. PERGOLA � FENCE 2� �000 . V� 2g I �Oh 1 26 �l SJ NOTES: 1. ELEVATIONS APPROX. NGVD 2. FLOODZONE C 3. ASSESSORS MAP 133 PARCEL 8 4. SETBACKS: F: 30', SIDE & REAR, 15' SITE FLAN OF SHDF&f. 504 ROUTE 6A o`er ARNE yG IN THE TOWN OF: H. �`� (VEST) BARNSTABLE OJALA .2634 PREPARED FOR: OF MIM ROBERT ZEMKE zoo 30 0 30 60 90 Feet ARNE H. 0 PE, PLS DATE SCALE: 1 ' = 30 DATE: JULY 5, 2005 05-170 7 '7,TP7M! 7p T '= 71 7 - QI7 W 4 U, '9 k - p .T=- All J I :1 1 Ell �► ( 05 3 171 CT. tZJ7 I 1 e-1 4f r7t off. 508-362-4541 fox 508-362-9880 3 down cape engineering, inc. LOCUS CIVIL ENGINEERS RTE 6A LAND SURVEYORS / +-26-25+-25.59 939 main sL. yarmouth, ma 02675 � 38 t \4-4 \ o Q LOCATION MAP (NO SCALE) 17.94 5 +20.87 92 N6 \ #7 6 48 C✓J -a 1 18.0.Y� 16.45 #5 X cty ~o w� 8 16 9_1 ISOLATED \� _.,. +2 \ VEGETATED p4 16. 7. PROVIDE t' OF 27.1.97 20.8 WETLAND •I UNMOWED BUFFER N9 2272 SF � � AROUND PERIMETER C / /7 \ ..+ &G.30 p /'� 4 ✓7.71 �s OF WETLAND �V o N � 6.8 7 1�/ � O.• \ #I \� •X / � STONE I +i83 22.66 DRIVEWAY 1O r / �.�.._ +21.29 1 •2 / \ -- ^ c �2/ \ I 21.28 � �3.R +23.41 r 22.95 o STONE l \ �� 1 PROP. DECK 22.81 ` DRIVEWAY I \ ` _�T PROP. WORK LIMIT LINE OF 26.69 EXIST- - STAKED SILT FENCE p� DECK +23.83 9 �q4 EXIST. �---- DWELL. +2 "A.22 \ �s 24.61 :�� •��,. \ � 5.79 SHED \ _7. �� 25.65 PROP. PERGOLA 5.93 \ 25.90 \ 5.26 �QQO s <1\ +2fi.72 5.75 may\ o 1 27.39 \ S� 19 NOTES. 1. ELEVATIONS APPROX. NGVD \ 2. FLOODZONE C 3. ASSESSORS MAP 133 PARCEL 8 4. SETBACKS: F: 30', SIDE & REAR, 15' \ 5. WETLAND FLAGGED BY HAMLYN CONSULTING 6. EXISTING DECK = 315 SF PROPOSED DECK = 468 SF(NET INCREASE = 153 SF) SITE PLAN oF�S4 OF 504 ROUTE 6A ARNE � IN THE TOWN OF: O ". �' (WEST) BARNS TABLE No 6 8 p PREPARED FOR: M/M ROBER T ZEMKE Sao S R� D Ey 30 0 30 60 90 Feet ARNE H. OJALA, PE, PLS DATE SCALE: 1 - 30 Y DATE: JULY 28, 2005 05-170