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0857 MAIN ST./RTE 6A(W.BARN.)
O.xfordNO. 152 1/3 ORA r ESSEUITE 10%. m � o "M Town of Barnstable Building c HAWMADM Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job"and.this Card Must be Kept M" Posted-Until Final Inspection Has Been Made. �:. Permit i679 1 Where a Certificate of Occupancy is Required,such Building shall Not be Occupied.until a Final Inspection has been made. Permit No. B-19-1285 Applicant Name: William Callahan Approvals Date Issued: 04/18/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 10/18/2019 Foundation: Location: 857 MAIN ST./RTE 6A(W.BARN.),WEST BARNSTABLE_Map/Lot: 156-029-001 Zoning District: RF Sheathing: Owner on Record: MURTAUGH, KATHLEEN A Contractor Name: EFFICIENT BUILDINGS LLC Framing: 1 Address: 857 MAIN STREET Contractor License: 169944 2 WEST BARNSTABLE, MA 02668 I _ Est. Project Cost: $4,832.00 Chimney: Description: insulation and airsealing attic Permit Fee: $85.00 I Insulation: Fee Paid:1 $85.00 Project Review Req: ; Final: Date: ` 4/18/2019 �' 10 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for.public inspection for the entire duration of the Final Gas: work until the completion of the same. I 1 Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:) Service: 1.Foundation or Footing r` Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT O hnzwe Final: FiN1A�L .S'�N� Town of Barnstable *Permit# ©ires �/o S Regulatory Services EFee 6n 4C)- 1 IMANSTAEM ��� �4 Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number lrT �q oo I Property Address 85 j \Z a i n S� MA 02?6(08 [Residential Value of Work �,q `J. Minimum fee of.$25.00 for work under$6000.00 Owner's Name&Address To n S.t 9- Ca+We n e_ t-k n r r t n Contractor's Name T_rn.S2 r n n -t-r-�r ; Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) E�Workman's Compensation Insurance Check one: ElI am a sole proprietor !.,,,,-PRESS PERMIT I am the Homeowner I have Worker's Compensation Insurance I �E F' .�. 4 '�! Insurance Company Name t a0416rna0.I Un ion E-i re lnsuraY\ c T %V N OF BARNSTABLE Workman's Comp.Policy# V\I C OO Q 9 yQO(o b Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) 9(Re-roof(stripping old shingles) All construction debris will be taken to 6 L'+ci W I C P7 ❑Re-roof(not stripping. Going over' existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.44)#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 r SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.d Revised 090809 I The Conmroxwealtk ofBlassachuset�s Deparb�ie>yt oflir<drab�alAcc�d¢,� j office oflxvestga&ns i Bost,MA 02.111 � WWJKMffS ,goy/dIa 'Workers' Compensation Insurance A Iicant Information Affidavit ers/Confractors/Electri cians/PInlonbers ; Name �d�iaual): Print L r0.Se 1r Please Addzess: Ca nsu�-�\o L S City/StawT vi-F R,4 Og b 3 Phone M aey AT Iou an empbyez"1 Checii the appropruftbow 8 0��90? 1.[91 am a enTloyer with 'F 4 111 am a genial co dmctor and I Type of Project OWPIred: employees(full and(orpart-time)f have bhedthe 6. ) , 2.El am a sole proprietor or pMjM. listed on,the attached Q New c�artstructi°n ❑Remodeling ship and have no employees Then sub-contrectm haw [No for, in any capacity emPloYem and have workers' 8 ❑Demolition comp_bmance comp insurance t 9. ❑Bmldfag additionreqdted. I 3.❑ I am a homeowner eowner doing aU work 5 D officers �ed and its 10 El � °r bona myself.[No workers'camp. right of eacemption per Mal I I•E]Plumbing mPabs m•additions ksmume 1 t ' c 152,§1(4),and we ban no 11[3 RoofrVwM employees.[No workers' 13.❑O@tez f t a A COMA • q�+ pplicaat that ehx7�s boa#I must also sn oat ee SWft below et* won + tHomeawaets who sabmit ffils' Mudw acAas that check bmt theY Mi ° d0 r�O s nat wit a am am&,* eM00Aes Iftbe sab•contr wtm bne c pkyees,g,m=,.ift askwadcas �ad state whathw or rot those�,�es bve . . 1 am an wrrployerihet�p rverkers'ro PFCYMMbW Infornaroa n rsaiJvs hMMjWe f0r m,aWkyem'Bekw is the flay m job site Iam8m Company Name: DYIQI 4- a +,>,gui" Policy#or Self-ins-]Lic. 1paationDaf: ac/j Job site Address: c 2 Attach a copy of the worlums' coverage veri$c�tia�a compensation Pole declsra City'/5tateJZiP•� rt'�S }�(p Ktt �(,G Farlure to segue ca tbn page the Policy number and aaP•ira verage� n�Se�4ion ZSA ofMCiL c 152 can lead to tine� tbn date). fin e up to$1,500.00 and/or one-year imprisonment;as well Peon of MbIftW penalties of a Of up to S250.00 a day against the violatoQ. Be as civil advised tat h a Peres in the form of a STOP WORK ORDER and a fens Investigations of file DIA for insurance 0°PY of this s�°�may be farworded to the Office of I do hereby net penal&es ofPCIRY that the f ' > onPtsd above S. ' mrre and correct � ' -2 I -- OJflelal use o)* Do trot write iu thus aM to be completed by efiy or town o, idd I City or Town: PetmitILleerse# 1 Issuing Authority(eirele one): 6.BoardOther of Health 2.B=Idiug Department 3.Cityflown Cbrli 4.1•ilectrireslInspector S.Plnmb'ntg Inspector. Contact Person: Phone#: 1 FRASCON-01 MOSU CERTIFICATE OF LIABILITY INSURANCE 1 DATE 1012'1ID20D/10 0/2 / 0 PRODUCER (508)676-0309 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Viveiros Insurance Agency, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 375 Airport Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fall River,MA 02720 INSURERS AFFORDING COVERAGE NAIC# INSURED Fraser Construction LLC INSURERA'National Union Fin?Insurance Company P.O.Box 1845 INSURER R. Cotuit,MA 02635- INSURERC. INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 1YL POLICY NUMBER POLICY EF FECTNE POLICY EXPIRATION LIMITS TYPE OF INSURANCE- ATE IM EACH OCCURRENCE $ GENERAL LIABILITY DAMAGE TUFMWrEIT-- COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONALS ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY 0 MET LOC AUTOMOBILE LIABILITY COMBINED SINGLE UMTT $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per Person) SCHEDULED AUTOS HIREDAUTOS BODILY INJURY $ (Per accident) NON.DW NED AUTOS PROPERTY DAMAGE $ (Per accident) AUTO ONLY-EA ACCIDENT $ GARAGE LIABILITY ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESS I UMBRELLA LIABILITY OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ X WC STATU- OTH WORKERS COMPENSATION AND EMPLOYERS'LIABILITY C009930601 9/26/2010 9/26/2011 E.L EACH ACCIDENT $ 500,00 A ANY PROPRIETOR/PARTNER/EJIECUnVE Y❑ 500,00 OFFICIRIMEdIBER EXCLUDED? E.L.DISEASE-FA EMPLOYE $ (Mandatory In NH) 500,00 If yyes describe under E.L.DISEASE-POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Fraser Construction,LLC DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN PO Box 1845 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE To DO SO SHALL Cotuit,MA 02635- IMPOSE NO OBLIGATION OR LIABILITY OF ANY IQND UPON THE INSURER,ITS AGENTS OR jREPRESENTATIVES. AUTHORIZED REPRESENTATIVE s__et_ C-%--0 1 ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Jlte Office of Consumer Affairs and Efusiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement CantraIctor Registration Reqistration: 112536 n. Type: DBA Expiration: 3/23/2013 Tr# 209024 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 \ ' Update Address and return card.Mark reason for change. Address Renewal R Employment ❑ Lost Card DPS-CA1 0 50M-04/04-G1001Q216 ��/�/� Office-fco m rs nes� on License or registration,valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: Type: Office of Consumer Affairs and Business Regulation Expiration: .3723/, 013 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 F R CONSTRICTION CO b DEAN FRASER 104 TWINN VIEW LNE-,' _ �• -�8 — E FALMOUTH,MA 02536 Undersecretary of Vail wit ut si re 4 • 0 i lYia'ssac�iu`setts- ))ep.w'tent of Public'S.tf'et�' Board of Building Regulations and Standards G6hatrul:fioru Supervisor License License: CS 97668 wm EAST SAL fi `A II2536 Expiration: 6!7/2013 C'ommissioncr Tr#: 16692 - Fraser Construction, LLC CONSTRUCTION P.O. Box 1845, Cotuit MA. 02635 ROOFING,' SIDINGEmail: fraser_construction@verizon.net www.fraserroofing.com FAX 1-508-428-0123 508-428-2292 HICL#112536 CS#97668 RE-ROOFING PROPOSAL. DATE: August 17, 2011 PHONE: 508-375-0657 Home NAME: Tony & Cathlene Morrison 508-398-7637 Work MAIL ADDRESS: 857 Main St West Barnstable MA 02668 JOB ADDRESS: Same FRASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Fraser Construction will include a 4 Star Upgraded warranty with the selection of any 30 year shingles or any Lifetime shingles. CertainTeed SureStart Plus- The extra measure of protection when a credentialed company installs an Integrity Roof System. 4 Star warranties have a 20 year Non-Prorated Coverage on any 3 tab shingles (XTAR 25 & 30) with a 50 year Non-Prorated Coverage for any lifetime shingles (Landmark Lifetime, Premium, & TL), which will cover incase of any in warranty repair, Labor and Materials, any Tear-Off, and any Disposal Fees. Upgraded wind warranty available on the following products when special application methods are used. See description below and in the CertainTeed SureStart plus brochure enclosed. SuRRIy and Install - CERTAINTEED LANDMARK: LIFETIME WARRANTY CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. . With a SureStart Plus upgrade customer will receive 10 year 130 mph wind-resistance warranty with six nails in common bond area, Fraser construction includes six nails in common bond area at NO additional cost. See actual warranty for specific details and limitations. Color: PRICE- $7,995.00 Initial Job Includes: • Re-use existing drip edge (vented) • 4 Star Warranty � 1 Water proof chimney- 2 coats Sil Act ATS 22 • Building Permits Product & Installation Details Supply & Install - (Soffit Venting) Hick's Ventilated Drip Edge or 8" Aluminum Drip Edge with existing soffit vents. Smart vents over white drip edge. Protection against damage to the roofing materials and structure. The most effective system is a balance of air intake and exhaust that creates a uniform flow of air through the attic. This system creates a condition in which the roof temperature is equalized from top to bottom, supplying a uniform air flow along the entire underside of the roof deck. Supply & Install - CertainTeed Winter Guard or Carlisle WIP: (Ice & Water shield) (WIP- Water & Ice Protection) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Water and Ice Protection (WIP) is a self-adhering roofing underlayment used on critical roof areas such as eaves, rakes, ridges, valleys, dormers and skylights to protect roofing structures and interior spaces from water penetration caused by wind-driven rain and ice dams. WIP may also be used as covering for the entire roof to prevent moisture or water entry. Supply & Install - DiamondDeck Underlayment Paper Or Rex High Performance: .(30 lb synthetic high strength underlayment) Manufactured to provide best-in-class performance in terms of both weather protection and contractor safety. DiamondDeck is a synthetic, scrim-reinforced, water-resistant underlayment that can be used beneath shingle, shake, metal or slate roofing. It has exceptional dimensional stability compared to standard felt underlayment. (As recommended by CertainTeed) Supply & Install - CertainTeed Swift Start With self- adhering asphalt starter course on all eves, and rake edges. CertainTeed requires this product for Integrity Roof Systems and upgraded wind warranties. Supply & Install - Aluminum & Neoprene Soil Pipe Flashing Supply & Install- Ridge Vent - Shingle Vent II High performance ridge vent with external baffle. (As recommended by CertainTeed) Supply & Install- Pre-Cut CertainTeed Hip & Ridge shingles Shingle Ridge meets the hip and ridge accessory requirements for the CertainTeed Integrity Roof System which is comprised of underlayment, shingles, accessory products and ventilation all working together. The Integrity Roof System is designed to 2 provide optimum performance--no matter how bad the weather conditions are. (As recommended by CertainTeed) Clean & Remove - Debris from work area daily. NO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are: CASH- CHECK- MASTERCARD -VISA- AMERICAN EXPRESS - DISCOVER *Any payments not made within 30 days of completion will be charged 1.5%for every 30 days the payment is late. Possible Extra-After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing,the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$60.00 per hour, plus 10% mark-up materials FRASER CONSTRUCTION Warranties the labor for as long as home is owned by current homeowners mentioned above. FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Ca ' s Wo kman's Compensation and Public Liability Insurance on the above w /k' ce/ificate available upon request. DATE OF ACC ANCE: (L l Homeowner Fraser Const ction, LLC 3 Application to. 3.egional 3biotDrit Miotrict Committee In the Town of Barnstable. CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below andiron plans, drawings, or photographs accompanying this application for. o CHECK CATEGORIES THAT APPLY: r' 1. Exterior building construction: 10 New ❑ Addition ❑ Alteration v2 Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ ca 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign o � V) 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other r1l TYPE OR PRINT LEGIBLY: DATE ka D u� ADDRESS OF PROPOSED WORK8�5:—( frei� 1 Lam' ASSESSOR'S MAP NO. co OWNE t/{ ASSESSOR'S LOT NO. c. HOME ADDRESS R:k• TELEPHONE NO.JMf FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) c� AGENT OR CONTRACTOR TELEPHONE NO ADDRESFaD-�1 W%P>�(1 C�(�C,6L `� .J,? Y1r1A C2 Lo0 S 1 DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. Signed Owner-Co tr t r-Agent For Committee Use Only Q This Certificate is hereby Date l l 6 0 A r ied Committee Members' Signatur r:�YEIgrneedng pep,.(3-rd-floor) Map 1- 4 Parcel QZ y--e& Aermit# _ House# Tl-.v��7��'b Date Issued Board of Hdalth(3rd floor)(8:15 -'9:30/.1.00-+M gg i d?) Conservation Office(4th floor)(8:30-9:30/1:00- 2:00) G� Planning Dept.(1st floor/School Admin. Bldg.) Definitive Pla roved b Planning Board 19 SEPT �(i�aT ®� 103, E 5 y g INSTA MPLIANCE /qr TOWN OF BARNSTABLE' ENVIRO . AL CODE AND /74W S7,7TowN RE I..f�—r, n `` n /*' Building Permit Application Project Street Address Village 10 Owner �Pd-ftfld- )/?-'(C" A ddress Telephone Permit RequestZf L92 � l )17LOX 0 12�� /�Xf�S� First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No' 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 No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Too, Builder Information/ Telephone Number L./C/ U ✓V t'J�✓/e Address /j�, .¢j� (� � itiL-L . License# &0 Ulm ome mprove Worker's Compensation# 02� NEW CONSTRUCTION OR ADDITIONS RE IRE A SITE PLAN(A ,AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE- �- BUILDING PERMIT DENIED FOILME FOL G REASON(S) L a % IL FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. P t.. ADDRESS VILLAGE OWNER � 4 DATE OF.INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROC H FINAk FINAL BUILDING 4= '� EE 1 N� r?, � f 4 DATE CLOSED OUT1. F ASSOCIATION PLAN a c' 4 1 .,.�• �} � ,'"'��' Thc• Ginrrrrurrlrculllt nJ':ltassachusctts i `��•.� Dep arnirent O -Indit" al Accidents 601111 ashing;run Strrer • Bu,7nrr.At.,r,•� 03111 Workers' mpemtion Insuranee Affidavit ,. 1 am a homeowner performing all work myself. f] I am a salt:proprietor and have no one%vorkims in any capacity .(Ep 1 am an emplo ery providini_workers' co ensation for my employees working on this job. Ark.. NAA AnhnnP/h' infannrP rn. nniirs•�! ���,�,�,.,. [1 1 am a sole proprietor. general contractor.or homeowner(circle acre)and have hired the con=Ctors listed below w•no n- the following Workers compensation polices: cmm��nr n•ImP• . a�rl Mfe• .��� �� - , nhnnP�• mn�nr n�rnr� atitlrrff• -�l��� fin nhnne 1h ineunnrP re. nniity+� _ _�`__ Attach additional sheet if netesiary• = q, _ , "':":• .�-'-� �.�: :%:: •" �M ~, "0'�^ """`-" Failure in secure cuveraee as required under.,ectton 3A of tNGL 132 caa lead to the imposition of t rttntaal peas/tin of a tinup to 51300.tIU aodrur une%•ears'imprisonment as wrelt as civil penalties in the form of a STOP WORK ORDER and a line ofS100.00 a day ap inst cite. 1 Ya kimud that a copy of this statement ma} be forwarded to the Olnce of Investieations of the 01A for coyera�e yeriQatian. 1 hlo hereht•tern 1. a I .!fail, a!i urr that the injonttanon provided above is ime and correct __n=urc Date L Si Print name oe Phone0 � � �1t� oMcial use only do not vrrite is this area to be compicted by tits or nitric ollleial city or town: permitAieense p ��Ec�ia�'.•°.;_::a:at C31-ieensmi:Board �de C check if immediate response is required r . �tlnllb 's OfRce th Departmeat contact Jim.nn• phone nVther��� f information and Instructions Massaehuscns General La��s chapter 15'_ section 25 requires all employers tea pmvide workers' ccmiPcns:rtion for employees. As�luoted irom the "fa��".an 9111pluree is defined as every person in the service of atuiilicr under any contract of hire, express or implied.•oril or%witten. An einph rcr is defined as an individual. partnership. association. corporation or other legal.entin•, or attv tW0 or m: the foregoing enuaged in a joint enterprise.and including the legal representatives ofa deceased employer. or the receiver or trustee of all individual . partnership. association or other legal entity, employing employees. How•ev c: owner of a dwelling !louse finving not more than three apartments and who resides therein. or the occupant of the d%vcllin%house of another who employs persons to do maintenance, construction or repair wort: on such d��•ellin__ ! . or out the__rounds or building appurtenant thereto shall not because of such employment be deemed to be an empic h1GL cia?aptcr i5_,-scr..ticna 2.5 :also states that.at-cry state or local licensing agency shall withhold the issuance o►- rene.ival of a license or permit to operate a business or to construct buildinrs•in tug; comrrtouiVenith for any applicant ��ho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, nr:ithcr the cetiataaomvealth nor and of its political subdivisions'shadl entds••into arty contract for rite performing Gi�ul:li: :wcar�: until acceptable evir3ence of compliance with the insurance requiremenu of this cltaptcr been presented to the contractiuc authority. Appfics as Pirase fill in tine workers' compensation affidavit completely, by checking the box that applies to year sptua:iora an supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coy erage. Also be sure to sign and date the affidavit. The at'. :.it should be returned to the cit, or town that the application for the permit or license is being requested. nog :e Department of Industrial ,accidents. Should you have any questions regarding the "law"or if;you are reeu:re to e=:ain a workers• compensation policy. please call the Department at the dumber listed below. City or Towns Plew�e be sure that the 3,; davit is complete and printed legibly. The Depar~u,ient has provided a space at the bottom: the affidavit for you to f i11 out in the event tlae Office of Investigations has to contact you regarding -lie cpplicant. P'. be sure to f•• i in the permit/license number which will be used as a reference number. T'Ite affidavits may be returnee tine Department by trail or FAX unless other arrangements have been made. The Office of Investigations would like to thank �•ou in advance for you cooperation and should you have any questic :ease do not hesitate to give us a call. The Deparr-nerWs address., telepinone and fax number. - The Commonwealth Of Massachusetts Dcparttaent of Industrial Accidents Office of investigations 600 «'ashington Street Boston,Ma. 02111 fax ;T: (6I7) 727-7749 i Massachusetts Retail Merchants Workers' Compensation Group, Inc. 190 Forbes Road Suite 237 Braintree MA 02184-2613 i Certificate Number: 161502 Coverage Period: January 1, 1998 to January 1, 1999 Item: 1 Participant: Administrator: Capewide Rental, Inc. First Cardinal Corporation Taylor Rental Center 1A Pine West Plaza 432.N. Falmouth Highway Albany.NY 12205 North Falmouth, MA.02556 1 (800) 438-0160 Business form: Corporation Agent: Other workplaces not shown above: See Schedule First.Cardinal Corp. Item: 2 Certificate period is from January 1, 1998 to January 1, 1999 12:01AM standard time at the Participant's mailing address Item: 3A Workers' Compensation Coverage: Part One of the certificate applies to.the Workers' Compensation Law of the states listed here: Applicable States: MA B Employers' Liability Coverage: Part Two of the certificate applies to work in each state listed in Item: 3A. The limits of our liability under Part 2 are: Bodily Injury by accident: $100,000 Each accident. Bodily Injury by disease: $500,000 Certificate limit. Bodily Injury by disease: $100,000 Each employee. C This certificate includes the endorsements listed on the attached endorsement.schedule. Item: 4 The fee for this certificate will be determined by our manual of rules, classifications, rates and rating plans. All information required below is subject to verification and change by audit. See attached schedule. Minimum fee: $500 Total estimated fee for Coverage Period: $5,682 ` 0501016 Issued: December 6, 1997 I Certt'f t"rate O'f Pame r ReM.5tance %STE,Q REGISTERED ISSUED BY et FABRIC Let., tt` Date o� C •� NUMBER TOPTEC, INC. manufactured 40 1905 N.E. MAIN ST. Date Manufactured SIMPSONVILLE, S.C. 29681 1-16-97 go O 31.02 This is to certify that the materials described on the obverse side hereof have been flame-retardant treated (or are inherently nonflammable). FOR Tavlor Rental Center ADDRESS 432 North Falmouth Hwv CITY N Falmouth STATE MH 02656 Certification is hereby made that: (Check "a" or "b") (a) The articles described on the obverse side of this Certificate have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of said , chemical was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of chemical used..................................................................Chem. Reg. No............................. Methodof application.......................................................................................................................... ® (b) The articles described on the obverse side hereof are made froin a flame-resistant fabric or material registered and approved by the State Fire Marshal for such use. The Flame Retardant Process Used WILL NOT Be Removed By Washing TOPTEC, INC. Size Style nonstock MODEL 40x40 Epic End SERIAL# 970158DL Name of Pr dudion Superintendent - "- - -76 q ssessor's Office(1st floor) Mao Lot Z If Permit# Conservation Office 4th floor 31 Date Issued Board of Health Ord floor - , En inectiring Dept. Ord House gs — P Planning Dept. 1st floor/School Admin.Bldg.): 8"Mereets. _ Definitive Plan Approved by Planning Board f679. PM 9 A' , (Applications rocessed 8:30-9N 0 a.m.& 1:00-2 0 .m. �> r$` .� TOWN OF BARNSTABLE Building Permit Application cP,5—7 /n41Av Pro'ect Street Address _ Village Fire District G�J fhemcr / J' Address Telephone C? Permit Rc uest: e , e'..j DLO- ,c� el v4 e G iiZ t Zoning District V%-, Flood Plain Water Protection Lot Size �� Kandfathered Zoning Board of A 1 Authorization Recorded Current Use iz Pro sed Use Construction Tyne Eaistin2 Information Dwelling T Sin le Famfl Two family Multi-family Age of structure /9 30 Basement tuner e- Historic House -e S Finished Y�f Old Kin 's Highway- --P Unfinished Number of Baths 2 AZ 09 No. of Bedrooms Total Room Count not including baths First Floor Heat Type and Fuel g jr Central Air Fireplaces 7�f On f Garage: Detached Other Detached Structures: Pool Attached Barn None �� Sheds Other Builder Information ' ro f� C Name l� � J ze",� •!� • Telephone number Address���_� �r� �.yr/ � License# G Home Improvement Contractor# / Worker's Compensation # Se NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Proiea Cost Q� FeA �G SIGNATURE h DATE �- BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T 7� FOR OFFICE USE ONLY 5/2/95 156.029 (part of) ADDRESS 857 Main Street/Route 6A VILLAGE W. Barnstable Donald Nickulas OWNER DATE OF INSPECTION: FOUNDATION FRAME A INSULATION �.� 1 s FIREPLACE _. ELECTRICAL: ROUGH FINAL 0 PLUMBING: ROUGH FINAL F� GAS: ;:ROUGH FINAL ' FINAL BUILDING. DATE CLOSED OUT: ASSOCIATE PLAN NO. ! COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE MA"ACHUSETTS BOSTON>MA02108 " ,s�tapoaa��s�aosrrenr L I C E N S E .:;dolscawsforr0weat(on EXPIRATION DATE C O N S T R. SUPERVISOR iiJallsess•. CAUTION E / IC I NS FOR PROTECTION AGAINST RESTRICTIONS �I`iC EFFECTIVE DATE LIC-NO. NONE 06/30/1993 002265 ' TPRINT NAP ROPRHEFT, PUT RIGHT IiTEB BOX ON LICENSE. gLARRY D NICKULAS - SS 020-46-1140 WEST3HYANNISPORT MA�02 ` BLASTING OPERATORS I m R MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) EFF• .�p _ r` TY{ir/1 F •- NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER DOB: ` THIS DOCUMENT MUST lE «.,SIGN NAME IN FULL ABOVE SIGNATURE LINE CHE HOLD THE PERSON F OF LICENSEE THE HOLDER WHEN [ OTHERS•RIGHT THUMB PRINT GAGED INTHISOCCUPATtt 14. �- • �— :I.�.' COMMISSIONER 01 -r>.t > •Z ys u'f h .�_ yg Z 3x .i� ih„ "��.� N. # 4 �'$'�. (1.., :• t ;f., .� �. r .�i•, ,� ��-y.£#�-L v.. w.i>,>n+{'1rF':t��j 'i r .-ti,. ��h, .t c} HOME IMPROV E NTRACTORS x� Board of Bu i l r, REGISTRATIO k �',;• T d egulatio s an s t t {> r �k One Ashbu ,p n ,dns, andards y Boston 1-ec - Roo Bo n. ' essachuse '� tts ' "HOME 02108 Y ; r� :, � • IMP f { "Re is ROVEMENT CANT 9 tration 100496zz, _71TYPe 'INDIVIDUAL : ,s' e >xPiratior 06/18%96' t•) a cL '�• v t kY� .'ay���}k� �. ,���.'� � .� �``m�ik',f' "�,fiQt /� � t t.�s .;r '- '� a. - •-• �et-y����i2>�i.. ` e�Y,y,'';� t0oa11yWp, �y�/��ddaC/tt • ��' ,i�� � ?• yy, - ,J F••�=•'t+�j�;k�` ". r •NDME Larry Nickulas' ,- ,�.,: s` � `:�. , 3. 4. �, r IMPROVEMENT CONTRACTOR { - Larry p -� _ > , r, N i c ku l '^ Ate{ �F: ;Registration 100496 :61 t ° � ` a ;1-INDIVIDU ''C 6 Huckins Nec!r1 x : ` °, r TTp qt r, entervilleable `° "' = ' a�>ri �"' ,Elmir&tion 06/18/96. ,,.. 026 2 �' "' �c it '� .��E _.Larry Nickulas �.� t�r .i `, , . z, Lar la ADM)N)STRAroa Huckins Neck Rd. - � Centervilleable MA 02632 The Town of Bar ' stable. &%PMAMZ nstable peg Department of Health Safety and Environmental Services Building Division . 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen F2x7 508-775-334 For office use only 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, remrnal, demolition, or construction of an addition to any preexisting 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 of Work: .. / Est Cost Address of Work: 95-7-- Owner Name: Date of Permit Application: C Z,Z - I hereby certifv that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-ooctpied :Z Kner 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 FROGnA.Nl OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apple for a permit as the agent of the owner: Date Contractor name Registration No. OR Date Owner's name -. .. TOWN OF BARNSTABLE BUILDING. )PERMIT # ` e E CoMmoNv7FALTH OF IWA.S-SACHUST_ �7I JEPAIZ:-T1T—N'T OF LNMUSTRTA1sACCIDENT5 600 WASHINGTON STREET BOSTON, MASSACHUSF-=02111 fam ..es Car�ael: 'Or'r slDr'e 'WORKERS'.COMPENSATIONMURANC�AF ._ _ Apr •�•� `0�.��f-^' . Za ' Queers Pcrmit ` ,'?e phac of busincsslresidcncc ` ,.� •' .;,..r,' - with a prindpal _ zc .. .. , • _ :1� 4.4...c:,�:.:.��x�'• t��,,,•_:. ' - - =z;:.',.-�-. •-mot_•.Y"' �'Fi,�.iL`_s'�::..-. do hereby car ify.under the pains and prnalua of perjcuyi th= djf j] I am an emplovcr providing the following workers'compensation eov=gc for my anploycu vHorldag on this job. l !T f4�l�lerS f 6v s Z Zk2'!'4/^ lnsuraacr Company Policy Number j J I am a sole proprietor and have no one working for mc- I a n a le ro rictor cncr.J eontraaor or homeowner(ardc onc)and have hired the eont_acrors listed below who have following workers eompen=tion insurance politics - 'Lp ``t o R.LAG IYlq ox vC �.31 Z7 12 Z 7 6 Z s, 4: ";.i.• Name of Contraaor Insurer Company/Policy Number Name of Contraor lnsurancc Company/Poliey Number N:mc ofCoraraor Insurance Company/Policy Number Q l _m s homeowner performing Jl the wort:mysclf- 1�'O'7E.PJcasc be a�+arc L`atilc J�oraco�crs wao<raalov peraoor to 20 caiat<aaacc,cr ostructz2a or tcYiir`"of1,oa 1 c Ji1nc of not rmotc%. z=L'rcc units •:wII;c1 '.mac Lo-co�cr zlso rc=Jcca or o.:Lc Frouacs appurtcas.at t�crcw arc aot£ca<ra ,- U�' consiccrc2 to 6c c=.Ic�crz ^icr tic C:,O&-Cr2'Cor_•acsntioc Ac(G�C ]5'---ace 1(SJ).appl�csuoo by a horacowocr tor:Iicccsc Act- or perrn�t rnz�cYicc^cc t6c IcrJ- rt:cut of 2m cr-�1oYcr doter the Coricrs'Cor-?ccsatioa Act_ e: e:I,-:- e-c r iL' be io W c_� to L. -c.e C..nc�s ram'h<cdere ' Orr]U arJns�r-Ie for to"e"-Le M� r. c ,< ,<= c_-.ic:c to v-.c imposition of cn=r l--1:] C2 c—sc Z.: c rec ::c ce:: _ce �_ ._` Lc fOr7 Or crop GOfK OrCC:�•c CC:::I:C'.[Cl : ..'c CtC IC !, 7C'<\< .G7n - C. fine of!)00.00: fzv:i--:n::mc. Sizncc this d:••or 119 Application to O�V Old King s Highway Regional Historic District Committee in the Town of Barnstable fora 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 19 Addition 0 Alteration Indicate type of building: C5 House ❑ Garage ❑ 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 DATE121,& z,4 Z—, ADDRESS OF PROPOSED WORK 1-21 CPA- 14 t3�11�IZ'(a•$t_1�s tU ZZLIk$ ASSESSORS MAP-NO. 11;16 OWNER PoNdl--lam RI C-LcA-t LAG ASSESSORS LOT NO. 7101) HOME ADDRESS 'E• o- $o)( 50-7 ,$t-t-- QLL-kIS TEL. N0. kZ - (,Z 72 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). 154.INo l_.'C I4 rsk,�-w = 3 o- 5 o)C (021 41 SA4 W t- oZ L 416 So?WQ o"V4 4 -tl s ice' 8S1 MAAQ s'tAFAIET T .1 B&PS6 Le-'�I_M L-LAG I'. o. Sox AL,4 W $iSI�IsTA�I_. . AGENT OR CONTRACTOR Ar\6I+I - Ttzu4 G. TEL. NO. -71 1 ' 32 a-o ADDRESS l�G» Z'� LWI-( 4 G�111t �[1u.1� 1�/i oZb32 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). gv '[�I M . �'CG• APPROVED Signed teA Co ragent Space below line for Committee use. Received by H.D.C. / 10 � ' Date y The Certifi a is hereby _����' Date Time-A !BY'v : l��iSiHHY+lJIH13Lt Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ e Town of Barnstable Old King's Highway Historic District Commission SPEC SHEET FOUNDATION SIDING TYPE W, C,. SI-� �� � COLOR $uWpe -1.1qc, CHIMNEY TYPEKV,�, COLORS . ROOF MATERIAL ,&�L-r t �� COLOR PITCH- �d'f1�r.IG. WINDOW S. �. SIZE 5. . TRIM COLOR DOORS S. _ COLOR s �• SHUTTERS GUTTERS Ql,l.lk . k1 A�1�1F ISPd�1'rS DECK GARAGE DOORS COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when Oapplicable. Plot plan need not be` "Certified", but should show all structures. on the lot to scale. 0© SPECSHT G NG UTILlry POLE TO BE RELOCATED WIDTH) _ R UTE 6A 1902 LAYOUT NARK STATE Hl22HPA% ENT WIDTH) s 48'ie•4Cr E _ MHB Ft S 5r00'4(f E 197.10 UTILITY - + 258.50 o--0 132.12 CONCRETE p0LE MHB FND HEADWALL 5.89 (SEE DETAIL) '" 51.67 • + o�0 �L.4o.45 64rq 3 & W g C4 • WIto 3 41 0 ap y N a r S3 a Go W pO b sz� N ao 116.00 N 7 S 42'08'S0' E �• 88.60 — �d a �`' 3 The Town of Barnstable o� BARNSTABLE. ' Department of Health Safety and Environmental Services MAS& g t67q. �0 �Eo,r,Ay° Building Division 367 Main Street, Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location l !'c Permit Number Owner (1� Builder - �1 t C.1�U�Jrol One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: Please call: 508-790-6227 for reeinspection. Inspected by � \ Date (> .� IME BABnrsenBIX A,' ,.� The Town of Barnstable EO�►'�a Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commissioner March 6, 1997 Larry Nickolas PO Box 507 West Barnstable, MA 02668 Re: SPR-014-97 C.L. Davis., 857 Route 6A,West Barnstable, (156/029.001) .Proposal: Build a garage for furniture building business and slied for storage. Dear Mr. Nickolas, The above referenced site plan was reviewed at the March 6, 1997 meeting of Site Plan Review and deemed approvable with the following conditions and forwarded to the Zoning Board of Appeals. • Register hazardous materials with the Health Division. • All equipment shall be operated indoors. • UL approved noise abatement or equivalent to be used in barn. • Downspouts to go into drywells. • Business operation between sun up to sun down. Please be informed that a building permit is necessary prior to any construction. Upon completion of all work, the letter of certification required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinances must be submitted. Also, all signage must be discussed with Gloria Urenas of this Department. Should you have any questions, please feel free to call. Respectfully, Ralph Crossen Building Commissioner frw-- ---`�.-f.� - �{rr_�.r�..v�r:,+.-;r-�.�.ye.�:nr_�^'��'p�."��"�=�u• nSA''� �:a'IRL,+�+ `Xa`r" >y;:} ._ �,,.,, .. �`.,•.�R ,r APPLICATION FOR PERMIT TO INSTALL AND RE JEST - FOR ELECTRICAL SERVICE Inspector of Wires Wiring Permit# COM/Elec ric# -Town of. Massachusetts ; ' Building Permit# Date Customer i ""4 _ on (Street Lot# in the village of • CA S�rr�.L util'y p le number r n erground number Customer's billing address pn BIV o!j ��y rel< �. j Temporary New installation Change of service Starting Date 'Job description 1 1iService entrance voltage J Z O Z y V`- Amperage Phase— Wire size(cu.o al Conductor per phase Number of meters ` Water heater Off peak:Yes— No Estimated load: Electric heat kw, lights kw, Range dryer Motors, H.P.&Phase Ready for first inspection t� O'ys Ready for final inspection Electrical Contractor Dri-ca 1F1 Pi±tri ca 1 Co- Lic.# 13118A Telephone# 508-778-0723 Address 103A MTdtpch Dr- W; *YarmouthfMa_02673 Additional Remarks:""' Do Not Write Below This Line t ELECTRICAL WIRING INSPECTION CERTIFICATE �OMp,� 'INSPECTOR OF WIRES DATE FEE CHARGE INSPECTIONS (J ���DO Temporary Service Roughing in Service and Meter Off Peak Meter Final Approval 3 ' Disapproved' 'For the following reasons CERTIFICATE OF INSPECTION DA;�e, To the COMMONWEALTH ELECTRIC COMPANY.The installation described above has been completed and has een inspected and approval granted for connection to your service. pec 6r—oT Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46-1 White—COM/Electric Green—Inspector Canary—Town Receipt Pink—Inspector's Copy Goldenrod—Electrical Contractor officc U Only The Commonwealth of Massachusetts PvmitNo. - r Depot nent of Public Sofcry occuv11Cr&Fcc Chccked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12-00 3/90 (lurcb") APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AJ1%work to be performed In accordance Wiih the Ms"achuscru E1ccirir&I Coda. S27 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date I-IC�--is— TOWN OF BARNSTABLE To the Inspector of Wires: The undersigned applies for a permit to perfo�rmm (the electrical work described below. Location (Street 6 Numm�ber_)(� 065 I 0.rer or Tenant (��Y 1' Uf�� Owner's Address 'r 0 M Is this permit in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building _Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Hew Service 200 Amps 1201 7Q/�)Yo Volts Overhead ❑ Undgrd Ell" No. of Kete:s l Number of Feeders and AmpacLty N Location and Nature of Proposed Electrical Work I, jJ1 Pe_L.> �u eGLwlu No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA Lighting Fixtures Above In- No. of Li 8 goZ Swimming Pool grnd. ❑ grnd. ❑ Generators KVA No, of Receptacle Outlets L/ryry No. of Oil Burners `� / 3 ;No:;of Emergency Lighting 7t/ Batter Units No. of Switch Outlets No. of Gas Burners , FIRE ALARMS No. of Zones Iotal No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices No. of Disposals No, of Heat Total Total No. of Soundin Devices Pumps Tons KW g No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑ Municipal ❑Other Connection No. of Water Heaters KIj No, of No. of Low Voltage Signs Ballasts Wiring No. Hydro Massage tubs No. of Motors Total HP OTHER: " INSURANCE COVERAGE: ,Pursuant to the requirements of Massachusetts. General Laws Ihave a current L1 ility Insurance Policy including Completed Operations Coverage or s"substantial equivalent. YES ff NO ❑ m I have submitted valid roof of sae to this office. YES NO If you have ch ked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OTHER ❑ (Please Specify)Liability/Workmens Comp. 01-21-95-21 -96 _ —(Expiration ate Estimated Value of Electrical Work S SUtIiLv Work to Start /X—/s Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME Drew Electrical LIC. .vO-_1 31 1 RA Licensee Eric Drew Signature 1 — - LIC. N0. Address 103•A Midteeh Dr. W. Yarmouth, MA 0261`'' .Tel. No. 08 77 -0 Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S Signature of Owner or Agent APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE � (��7 ' Inspector of Wires Wiring Permit # , / .� `r COM/Electric# 2 4 2.5 9 8 Town of Massachusetts Building Permit # I Date to v� r, l (` Customer: 1 �It'.Y_U t J I n\ on(Street Lot # in the village of I'�. 1SF+f I I H�/ utility pole number or underground number Customer's billing address �� l It f11 A Temporary + New installation Change of service Starting date Job description o VC.(04--- > -T-c- ^,T y Service entrance voltage I"Lu 1,4 LjV Amperage Phase Wire size(cu.oral.) 4/1 C I Conductor per phase Number of meters Water heater Off peak: Yes_No Estimated load: Electric heat kw,lights kw,Range dryer tors,H.P.&Phase Ready for first inspection 0— y7 Ready for final inspection -- ,_ Yy Electrical Contractor Drew Electrical CO. Lic. # 13118A —Telephone* ( 509)77R—n773 Address Additional Remarks: Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE Temporary Service - Roughing in Service and Meter Off Peak Meter I Final Approval Disapproved* *For the following reasons CERTIFICATE OF INSPECTION Date Tc the COMMONWEALTH ELECTRIC COMPANY. The installation described above has been completed and has this day Dawlinspected and approval granted for connection to your service. spector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46 INSPECTOR'S NOTICE T' 1 0!(tcc Utc Only The Commonwealth of Massachusetts Pc talc b. Department of Public Safety Occ�p,+ncy s rcc o,,ctco BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 3/9Q (ka., blink.) APPLICATION FOR PERMIT TO- PERFORM ELECTRICAL WORK ll work to be pc6ormcd In accordancc with Ibc Macsachu'sctu Elcc dy,trlcal Co , 5;7 CMR 12:00 (PLEASE PRIHT IN INK OR TYPE AID: 11F R]:i=0N) Date: City Or'Towu of mA'ab To the Inspector of Wires: The undersigned applies for a permit to perform the/ e/leeccr'cical work desctibed below, Location (Street & Number) b[ � Oner or Tenant �" Owner's Address Q vU; sloble Is this peroic in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Box) - Purpose of Building Utility Authorization NO, Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Nzcers New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of I`zcers Number of Feeders and Ampacity 'Location and. Nature 'of Proposed Electrical Work �y�(/i Q '� 1 U No. of Li• tin Outlets T_ocal 8h 8 No. of Not Tubs No. of Transformers KV A No. of Lighting Fixtures Above ❑ I-n ❑ 8 8 Swimming Pool-'grnd, grnd. Generators KVa No, of Receptacle Outlets No. of Emergency Lighting . P •• No. of Oil-Burners ��- • ••-• 'Barre :Units •. No, of Switch Outlets No. of Gas Burners FIRE: ALARMS ' No, of ?ones No. of Ranges Total No. -of Detection and 8 No. of Air Cond. cons Initiating Devices - No, of Disoosals No, of Heat s Total Total No, of Soundin Devices Tons KW 8 No. of Dishwashers Soace/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local ❑ Flurticipal ❑Ocher Connection No. of Water Heaters KW Si, sf Ballasts No. Of Low VoQlcage No, Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVMUCE: Pursuant to the requirements of Massachusetts General Laws I have a current L . ilit Insurance Policy including Completed Operations�Coverage or i substantial equivalent. YES NO 8 I have submitted valid proof of'same to this office. YES�NO ❑ If you havFBOND ed YES, please indicate the type of coverage by checking_.the appropriate box. INSURANCE ❑ OTHER [] (Please Specify)LiabilitV/Workmens Comp. 01-21-95 Expiration Date Esciroaced Value of Electrical Work S Work co-Start Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME LIC. NO. 1 3 1 1 8 A Licensee Eric Drew Signature 'i LIC. W. 27239 Address 103A Midtech Dr. W. Yarmouth, MA 02673 us -Tel. No, ( 508 ) 778-0723 Alt. Tel. No, OWNER'S ISURANCE WAIVER: I am aware that the Licensee does not have the- insurance coverage cr ics sub- scancial equivalent as re-auired by TlassarhiicPrrs C.nnoral I aLc Assessor's office(1st Floor):. Assessor's map and lot number -� J L �o�THE Conservation(4th Floor): Board of Health(3rd floor): Sewage Permit number•. r t saa0"t t ; � rua Engineering Department(3rd floor): — '' oo,.��e�q. House number P/ o err a Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-i P.M.only TOWtN ' OF BARNSTABLE BUILDING INSPEC OR s APPLICATION FOR PERMIT TO - TYPE OF.CONSTRUCTION ea 19 d TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a for accord* to the following information: Location Proposed Use Zoning District ► 4 Fire District Name of Owner - �i /Ysr!/.�_ Address ��' 1,r� / Name of Builder Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Ce ost� � no Area Diagram of Lot and Building with Dimensions Fee /W701� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding th above construction. Name �-- Construction Supervisor's License 00 Z e • NICKULAS BUILDING COMPANY No 3fr9." Permit For DEMOLISH 0 Location 857 Route 6A a West Barnstable y Owner Nickulas Building ' Type of Construction .y Plot Lot Permit.Granted' July 2 5, 1 j 9 4 m Date of Inspection� Frame 19, Insulation 19 Fireplace 19 y' Date Completed 19 f e s, 'r , �12 MMEM TOWN OF BARNSTABLE BUILDING. P.ERMIT �is F ' c E COMMONWEALTH OF IAWSACHUSJF�,Tn DF-rAJZ TEE--N'T OF LND.USTRTAIi►ACCIDII -T:S ' 600 WAsHagGTON STREET -iames JI CarroDel: BOSTON, MASSACHUSE-M 02111 or-ri.:ssione WORKERS'.COMPIISSATION. IIISURANC.E'1lFFm1���;.� •�. G�` (�•- - .. Ufa;. 7. principal place of business/residence an �� ..4000;q .. ;:.. .. : :+ • (GryfStsarlZip) .?u�t,� :::° `•f, "ia�='-�;;�!4�����,ite .- . do j] hereby oaufy,under the an pcaaltits ofperju ry.tlzac . am ; an employer providing the following workers'compensation coverage for my employees wiorldag on job. —1�r4 V e ter S this v �;-2- l f / Insurance Com • Pu'Y Polity Numbs . am a sole proprietor and have no one working for me j) 1 am a lc ro rictor crate-.,l contneror or homcowncr(cirde one)and luv+e hired the Qonzaaots listed below who have following worker'compensation insurance policies: r; o .Qsr cope 0?iCc 0.4'e--A �00- 1 31 Z q 91-1 Z 2 O Z, Name of Contnaor Insurance Company/Policy Number Name of Contr-.aor Insurance Company/Policy Number Name of Contraor Insurance Company/Policy Number 0 1 :rn : homeowner performing:11 the wort;myself. NOM.Plczsc be aware ist wade botucowocr:woo eraolov persoos to Zo aaiatcaaaee,eoestruetioc or rcpair-wtl;oa a d.-cliinc of not raorc t is t=rcc tcits is wait_ tic bor_co-mcr Jso resiccs or cc Lc Frouocs appurtecant 6crcto arc sot£cacraY eonucere2 to be a rz:�lovcn t_:err tbe Gorier:'Cor=oeuatioc Act(C:.C 152.sec 10)).appliutioc by a bortseowoer for a license or permit nay Mc< <c Ue 1ct:J sutvs of a.n erplovt:r under the C'orlers'Cor-?eosatioc Act C=_,.c,t_: to c:c �:�:-c-.t of:-c�s::::.t Acddcnu*Ofncc orinsur=n -: for taK' c . ' J pe r-:: :...position of cri:n :;-c c:e_ a u o:c- toc-< r tc torn of- Stop Cork 0rcc: :c fncorS1o0.0G. Cwcfa:n:.mc. Stcncd this L� C // d:�•or 19 T / •c_-s:_iPc.:-i Application to �P��6NHvftE���H .. - 1 �� � .A� o f•f yNtr, i..W ik`. p�r,�V�N►�..� • v � `. 1 .,,,,��+;�,��"�.fit`?.. OId Kings Highway Regional Historic District Committee, in the Town of Barnstable fora in : . CERTIFICATE FOR DEMOLITION OR REMOVAL . `'�," xfi, Application is hereby made, in triplicate, for the issuance of a Permit for Demolition or Removal of a building or a structure orf' part thereof, under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973,for proposed work as described below{Ft " and on plans, drawings or photographs accompanying this application. 40 • �,,,���� � ���,� ',i MF 9$ 14, ♦to ,�. TYPE OR PRINT LEGIBLY DATE 1 ADDRESS OF PROPOSED WORK L21 i . �i1T>� (od 41. 136kGU� dl3ll �C ASSESSORS MAP N0. �� OWNER 1)2,Uh�i7 11(Y f l�hS ASSESSORS LOT N0. HOME ADDRESS p o• 13r�,C ��� L!, f3dl�tl.lsT TEL. NO. NAMES AND ADDRESSES OF ABUTTING OWNERS: Include names of adjacent property owners across an 1 P Pe Y y public street or way. (Attach additional sheet, if necessary). Gbl'�oLYLI Pt2l-I P �n�C lo°Jh� W �bIZ1��TdF31 CfL(iSF3 5f3( tad 114 l� f�icc-bg. 1M o goX le4 W AGENT OR CONTRACTOR -�I!Q►Q I - "T ��-! bSS dU 1�T 1►.1 TEL. NO. 71 - ���d ADDRESS lGt3 �otll 28 q- I"[�11 P_ Me oZ(v� DESCRIPTION OF PROPOSED WORK: If building is to be removed, give new location. Snap shots showing all views of building must accompany application. (Attach additional sheet, if necessary). b>Ct-,dUsu �Is-r. su�t�l >3�.Ku . aub �rcar�. �s�P�ued�r� I�brc I��Ibr:u.,. ' Note: If approval is granted for relocation, a separate Certificate'of ropriateness is re ired or new location if within . the Old King' c District. ( SI D Space below line for Committee use. Con or-Agent Rec icy J3,p. .. ,The Ce ' irate is hereby '^e�( Date }ate Time , By 7mne"'Ir � Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day aperiod-".;,! N !' 1 1 y appeal provided in the Act. Disapproved ❑ ` ;„ ;. STONE WALL. F�yFO �g a 147'53'10" E 83.01 126.02 N 47 57.50' E w 6-4•( 72.37 N 4548'4d E — N 5043-4(). E s1.47 PROPOSED 40' WIDE WAY L 1 . M S 47S3.10' W 4 .y'I S 47'57 50' W in $ 0• pp ��30.00 •' �� 12 7.44 00 _ S ���' W .. 63.12 55-02 0 1 G.O�" r0X Ul w �� \` 00) o O �q O> T. i = rn 18 �q� tiQ HOUSE g N m$ rn 0 9G}O j S S ti OFF �,GoyO!� =o S 30'38'21' W • • 0(Z, d� \�1 I 23.95 43.12 • • S 52.14.37' W °9 N �F 284.33 O --S 49'29'18' W ON, ALA' Cl) ` N N� O \; f