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2175 MEETINGHOUSE WAY/RTE 149
J 2 UPC 12543No.53LOR . N.astla4 s,�n+a Town of Barnstable Building ILM Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on,Job and this Card Must be Kept '""S& Posted Until:Final Inspection Has Been Made. �ey.ml� i63� Permit Eat" Where a.Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-18-1481 Applicant Name: RAYMOND EDWARDS Approvals Date Issued: 05/21/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/21/2018 Foundation: Location: 2175 MEETINGHOUSE WAY/RTE 149,WEST Map/Lot: 154-010 Zoning District: RF Sheathing: Owner on Record: PELLETIER,ANNE B Contractor Name: RAYMOND EDWARDS Framing: 1 Address: 2175 ROUTE 149 Contractor License: 144174 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $6,500.00 Chimney: Description: reside Permit F e: $35.00 Insulation: Project Review Req: fee Paid.! $35.00 Dater: 5/21/2018 Final: Plumbing/Gas / Rough Plumbing: �euilding Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afte1rr issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and theI approvedconstruction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: 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: 1.Foundation or Footing Rough: 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 Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT p1F Application number e Date Issued...?�.......\.. ...... .. ................ MA BuildingInspectors Initials. h� MAY 112018 p.. ............... ... ......... � � Map/Parcel.......�.......+........................................... T01�of �� LINHNSMBL TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: .Z 7S 1AeE-TING-/f0 u.SjF W41/ (A) OeN5r413LZ-- NUMBER STREET VILLAGE Owner's Name: Awiv C-. POLL.i T , C R Phone Number So k 3 G a 003D, Email Address: Cell Phone Number Project cost$ �,go®•0o Check one Residential y Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ,w sa F0 Siding ❑ Windows (no header change)# © Insulation/Weatherization ❑ Doors (no header change) # Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to GU U l�m e 1- 9YV V0,1F 1 L-L— CONTRACTOR'S INFORMATION Contractor's name py►y o v r I✓p Q r44ZP S Home Improvement Contractors Registration(if applicable)# 1 Zl 4 1 -7 9 (attach copy) Construction Supervisor's License# L S- //07 5,�-, (attach copy) Email of Contractor �A y 6D W A k I) S ►7)L p lr,11A,L.C#Rhone number sbt ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN. A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. I j APPLICATION NUMBER............................................................ y. I *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am--9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signatur Date All permit applications are subject to a buildin official's approval prior to issuance. � v Town of Barnstable Regulatory Services r`"r`NSUL suTA Richard V.scall,Director yew. `e8 n` Building; Divisioit Tom Perry,Building;Commissioner 200 Mnin Strect,I Ivannis,MA 02601 �s•�re•.to�rn.bo rust ablc.me.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I F,Pellitier as Owner of the subject property hereby authorize Raymond Edwards to act on my behalf, in all matters relative to work authorized by this building permit application for: 175 Meetinghouse Way,West Barnstable,MA 02668 (Address of Job) **Pool fences arj&�farms are the responsibility of the applicant. Pools are not to be f fed or utilized before fence is installed and all final inspec 'ns,a`re performed and accepted. Signature o ,�Owner SikrOure of Xpplicant Print Name Print Name T � (57 Date v ' �Ma �c Scanned by CamScanner 1 <: ��. S � � Ch � � � �� s l 9 1 r'� �� � ' ' ,� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ti 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): Raymond Edwards Address: 80 Constance Ave. City/State/Zip: W.Yarmouth, MA 02673 Phone #: 508.514.0612 Are you an employer? Check the appropriate box: Type of project(required): I. I am a employer with 4. 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. '" I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.1 9. Building addition required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13. 1/ Other siding comp. insurance required.] "Any applicant that checks box ftI 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 nuist 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. am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. /do hereby c/e r y under th ns nd penalties of perjury that the information provided above is true and correct. Si nature:( / Date: V C-) _ ) Phone#: S a'k Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: -} Board of Building Regulations and Standards License: CS-110758 , Construction Supervisor` RAY • ' _ k MOND EDWARDS � i !�• ;. _. 80 CONSTANCE-AVE rA r WEST YARMOUTH MA 02673 %%: ;� 1.:�; r;'/-_rrr• -- Expiration: "Commissioner 07/30/2020 `office,of Consumer Affairs & Business Regulation- Mass.Gov Page 1 of 2 Mass.gov Office of n Co sum r e Affairs and Business Regulation (OCABR Home Improvement Contractor Registration Lookup To search by registration number,enter the registration number in the textbox below and click the'Search' button. Search by Registration Number You must click the "Search Registrant".button to search by name or location. Search by Registrant Company name Search by Registrant Last edwards name Search Registrant I City/Town State MA Zip code i I https:Hservices.oca.state.ma.us/hic/licenseelist.aspx 5/11/20.18 a Offices of Corasumer Affairs & Business Regulation- Mass.Gov Page 2 of 2 Click on the registration number to view complaint history. You can also view arbitration and Guaranty Fund history. The list is current as of Thursday, May 10, 2018. Search Results RESPONSIBLE REGISTRATION EXPIRATION RegistrantName INDIVIDUAL NUMBER i ADDRESS DATE STATUS ------------ ----...--- - -_...__._.................._...._.........._..........-._._..............................._.. ----..._._.. ----._....---- ..... -............._....._........-.._..---- ---.........._...._................... BLACKJACK CONTRACTORS EDWARDS, EUGENE 143446 154 NORTH QUARRY I07/16/2006 Expired CO. STREET :FALL RIVER,MA 02723 CE Grace Inc Edwards, Daniel 188809 1100 Washington St,ti12 09/05/2019 Current DBA Handyman Connection- 'Hanover,MA 02339 South Shore ..........................................._......-_.....................................-_.........._.._.............._.................... ..............................................................................................__.... ...._...._......_......_............................._.•....._..._.._.._.................................._..........._. DISTINCTIVE MODULAR HOME EDWARDS,JOHN 159361 155 WARWICK RD. 04/24/2010 Expired BUILDERS LLC. MELROSE,MA 02176 ECHO-DESIGN EDWARDS,CLARENCE 143396 09 HAROLD PK '07/15/2006 Revoked ROXBURY,MA 02119 EDWARDS&COMPANY INC. Edwards, Stephen 104414 One Nelson Terrace 107/14/2014 Expired 'Melrose,MA 02176 EDWARDS&SONS ROOFING& EDWARDS, DENNIS 156263 150 HIRAMAR RD. 06/15/2009 Expired SIDING HYANNIS,MA 02601 EDWARDS CONSTRUCTION Edwards,Thomas 103335 51 Smith Street 07/07/2018 Current 'Lawrence,MA 01841 EDWARDSEN PAINTING, INC. EDWARDSEN,MICHAEL 136524 '55 KNOX TRAIL SUITE 401 '11/07/2018 Current !ACTON,MA 01720 ELEVATIONS BUILDING+ EDWAi6S,TEkbW 144590 57 MICAJAH AVE '10/15/2008 Expired REMODELING TLYMOUTH,MA 02360 __....__...-- ........-_._....----------.._.._...._............................._...__..__......._._....._......_......_..---- --..-.------.._._._.._........._........;..........._......................................._._......_......._-.._..._...._-_-_-.._.._...._.._.......---------.................-_...... Hervin Edwards EDWARDS, HERVIN 170228 '52 edgemont street 09/28/2019 Current ipringfield,MA 01109 JEREMY W. EDWARDS 164527 57 MICAJAH AVE. 10/19/2011 Expired PLYMOUTH,MA 02360 M.T. EDWARDS-CARPENTER Edwards,Michael 104662 708 New Plainville Rd. 07/15/2018 Current `No. Dartmouth,MA 02747 RAYMOND EDWARDS EDWARDS, RAYMOND 144174 '80 CONSTANCE AVE i05/17/2019 Current 'W.YARMOUTH,MA 02673' RICH EDWARDS 147285 152 CENTRAL AVE. 06/24/2007 Expired 'EVERETT,MA 02149 ROBERT EDWARDS GENERAL Edwards, Robert 100312 11096 State St 106/16/2016 Expired CONTRACTOR, ;Springfield,MA 01109 ....................................................................................................................i.................................................................._......_.-........................ SHIRLEY EDWARDS 148421 18 LAMOILLE AVE. 09/22/2015 Expired 'BRADFORD,MA 01835 THOMAS EDWARD EDWARDS,THOMAS 185856 30 GULL POND RD 08/23/2018 Current WELLFLEET,MA 02667 ........._.....__.......__................................._.....................................................................................................................................................................................................................:......................................................................................................................................................................................................... W.R. EDWARDS EDWARDS,WILLIAM 189999 80 A CUMMINGSLANE 12/11/2019 Current CONTRACTORS, INC. :WESTPORT,MA 02790 WILLIAM EDWARDS EDWARDS,WILLIAM 186314 10 A CUMMINGS LN 10/24/2018 Current 'WESTPORT,MA 02790 Site Policies Contact Us © 2012 Commonwealth of Massachusetts. Mass.Gov® is a registered service mark of the Commonwealth of Massachusetts. i https:Hservices.oca.state.ma.us/hic/licenseelist.aspx 5/11/2018 i • of Town of Barnstable *Permit#?. �'6 0.� Expires 6 monthis from Issue date sanivsrnsts:, ; Regulatory Services. Feeo � 1 ,� `0$ . Thomas F.Geller,Director . - �ED Building Division Tom Perry, Building Commissioner. A.PRESS -PE IT 200 Main Street, Hyannis,MA 02601 ,ffice: 501-92-.4038 S E P. 2 2. 2004 a!,.508-79M230 . _ .. ,..._.: _... f.-BMNS-TA ITBLE ..... EXPRESS PERM APPLICATION - ..RESIDE ..TL . .._.._...... ...:..:.: . Not Valid without Red X-Press imprint. .::. . :.�.. :. fparcel Number erty Address ' residential:. Value of Wort S '5 � n Minimum fee of-$25.00 for work under$6000.00 • - - ter's Name&Address F0 4 0 JL ._ o� 1..11 U. tractor's Name Telephone Numbers'O ie Improvement Contractor License#(if applicable)_ struction Supervisor's License#(if applicable) p 7 p Jorkman's Compensation Insurance Check one: r7 I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance rance Company Name :lama's Comp.Policy# iy of Insurance Compliance Certificate must be on file. nit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) %LRe-side R lacement in o�'1 ep Windows. U-Value (maximum.44) *Where required: Issuance of this persait does not exempt compliance with other,town department regulations,i.e.Historic,Conservation,etc. (�l ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required iature mas:expmtrg --�se063004 Town of Barnstable pegulatory Services .�� Thomas E Gener,Director SA X; 9� %V.M,� Building Division Tomper* $uilftg Commissioner 200 Main Street, 8yaanis,MA 02601 -- www,toten.b arnstable.ma.us _ Fax: 508-790-6230 Moo. -4038 .. Property owner Mus t - - _Complete and Sign This Section _-• • if-Using A.Builder as.Owaer of the subject property .,to act on iaybe�ialf; hereby authorizeit matters relative to work authorized by this building permit application for. - lU a, Address of J - a o er , priat Name �1enov� o�' aaaac%«ae!!a Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 128249 j Expiration: 3/15/2005 Type: Individual ERNEST K.BAKER ERNEST BAKER 404 MAIN STD SO.DENNIS, MA 02660 Administrator t r}. ' '° �' ✓lee V�o�nmzovauiea�i �/�craaac�euaeka BOARD OF BUILDING-REGULATIONS k_. .,.License CQNSTRUCTION SUPERVISOR Number- S. 073676 Buthdate�kT1'/07/a9,,45 ' b Exp�p 111/U712Q04 Tr.no: 3527 Restricted:ROQ'. E.KENNEY BAKER 404',MAIN'ST — SOUTH DENNIS. MA`02666 Administrator t',b , TOWN OF BARN&ABLE SIGN PERMIT PARCEL ID 130 012 G90BASE ID 7014 ADDRESS 2175 MEETINGHOUSE WAY/ROU PHONE W BARNSTABLE ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB � PERMIT 71953 DESCRIPTION 7"6" X 5-6" CONSERVATION SIGN PERMIT TYPE BSIGN TITLE SIGN PERMIT' CONTRACTORS: PROPERTY OWNER D - ARCHITECTS: Department ofRe Regulatory Services g Y TOTAL FEES: BOND $.00 �tME CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE 0 +► BARNSTABLE, • MASS. 1639. FO MP►� I' BUILDING DIV SI N BY �.. DATE ISSUED 09/30/2003 EXPIRATION DATE Town of Barnstable Regulatory Services Thomas F.Geiler,Director BARNSTABM MAM Building Division 9 9� i63 `0�p�F . Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collector 2�I Treasurer U Application for Sign Permit. a �30 0-A z Applicant: Ic�wN O� 1.2�rtz"le cods-, �io�J��yiS�O Assessors No. tnr1Q�Q Doing Business As: Telephone No. : 09 Sign Location Street/Road: 213E M",.,,—, 116.pse 'Zd. OU4 GWOS It CQA5efUrAJ0 Alec",— Zoning District: Old Kings Highway? Yes No Hyannis Historic District? Yes/No Property Owner —Tb.6 Name: CpknS rycL63 Cor►,r► as;Ur'3 Telephone: 609 8 Z 9093 Address: Village: �(,'eokign Contractor ._ Name: J0r S; Telephone: Address: ��3 �h }ty 0h:&e- Village: o Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yesa (Note:If yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: Date: Z 3 Size: Permit Fee: Sign Permit wa Disapproved: l Signature of Building Official: Date: 7 30/43 Signl.doc rev.122801 15'i flA, IIJ t • ZI d � N �O t � - r r If C\ El '�\ N O \_ M �t O y CC) } 00 �. O ' O •� :. N �\ O -" U •�;.' ; � lI yr'••.�:',/a 'i '. / � ;Se. ,-- — �' � ' - 441 QIt 0 �,. . 002 12°501 9 OOtcEO:C r � C:\Conservation.dgn 8/18/2003 9:29:58 AM • ` ,3i•-. .'1� + .�;.[ '4'�•Y , �r.;j• •g=rr/ •,y. .'NYC y.0 .. , �;, . .. . • ` �•..1r•� . 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'' `. �4 � � 1, :�..:1 ,,r,.r1,j ir,�. 0 r�!.�` � ] � 1'•. e'r C � 1kf�s � •• rl ''••� 1'/• ?���` •_ • -' ;..r, S+, :y � Ta- Yft '.�+� p, r�+�, .... .-.: .� � .� -'ar'•r • c i ;• may- � ,• Y�. T . ' !�.L i_ --r -.. •,Z¢ C'�y�c+`� f ! � _•1 rl .1 ;�• '�',-.� cI +• �. .-7:. f: �' r.N .1• •::� �\� .Y�e:-s. _.: . •i' .�..� • z'i'r��'.-c ,.� 't�e y, ,G IF ' �� I t '•.!,•, ' r Y ,.+ ('a,= 5 r• t.• } v `.--. -+• `: r - �j L —''•' i.. +' i fir. � x Y/�'�R"•'f •!. , '�' =�_ _'• i '� ��,✓•t • J r '� f t Ln'�=1 -- � i_ �� - �. fY 1 ♦ ,... .' .i -- ,� fy,�N 6''• e I s. 1� I �� I i t rj' •,�: '` s ►►'s' '� �i E�_1��ei ti �` t %_' r, ' _1 �' j♦, i 4 z� j�1 r s. :t! IT •h '��' f1,�;t�"'! CROCKER NECK 'f ,. �,, .�l a' ', ,^. �I. . s r` :/ .tN ' , _,-�,:.•� . • •I '. .t •�-•`, ',� r•1„'1} .__ � j ,T.rY✓-'t'.'r'i.''t•• •-i' ty e• •!•• � �i•:..- _ -.'-`}i••'.'K.n. CONSERVATION AREA N n ' ;.-'', r .. "•- TABLE .� BARNS >• 3 -�.. _ r .+ _ __�v rs� 1 -,N r ' w+ �� i ':•'�! ;��.r,it..;.cr. C�:•'� .�F. t _ �; s •}„ .�,w 'ro rt � .•. ri.Ji }.', ti- �j -ys OF TOWN .. •may' �' . _', h .��, '_�J,1 •,. � +-r-. �+`+ .. 4 _ �',. •�� rriI', .•. 1 �,.` � /j=`.5 I;01^•-�%,J,, - 1• tom,• �,. � ,,�� �. .•�� �� i .,•-•i .. tscf. r._...K1 ..�^r.•;. .* , .\ !. !• a .' 1!. �t ,'ira- t R '�w, � ! �`,- t. No � �%.•.r�•I/ •a .r% ° y� l � B.' �L�Ll+1, F rr'�a•�.7�r�v- .° - 1 s:r-: ,��r.»_r• - •,i- �w.•�,t :G:-I' .y��-c a' _./ �. ,` •�•o �../f �":+ry� �.J'. + 4�r '�•'��'�• �• Application to. _ igbbiap 3.egional 3biotoric Ootrict Committee -) o Z. In the Town of Barnstable. n co y, CERTIFICATE OF APPROPRIATENESS T . ti W � 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 belpw andron plans, drawings, or photographs accompanying this application for. I CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: ❑ New ❑ Addition ' ❑ Alteration Indicate type of building: ❑ House El Garage ❑ Commercial El Other 2. Exterior Painting: - -. 3. Signs or Billboards: , New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other c, W w TYPE OR PRINT LEGIBLY: � DATE �QM V� �A �O ADDRESS OF PROPOSED WORK Z 135 Mec--,Jnpar- Wes: ASSESSOR'S MAP NO. ."10 . Ln �a• �w b le. �,p,,�Q -�� � OWNER CO0QS1"'tea Gory ev In iOM fn 4(ro sace, ASSESSOR'S LQT1q5. _ HOME ADDRESS N S}• J'1►�► TELEPHONE NO. SOB-b6Z- F , FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) CD AGENT OR CONTRACTOR vr-6,4 4ELEPHONE NO. Sob-N7- - Dq-3 M ADDRESS Zoo N\,:�, k^ 4 cnn iS QUO DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. lease include locations of pro o ' I �'y�S er�►aJ, ArCA Signed Own - ontractor-Agent For Committee Use Only This Certificate is hereby Date Approved/ enied Com embers' Signatpres. Town of Barnstable 'W ' Old King's Highway Historic District Committee i SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH i WINDOWS COLOR SIZE TRIM COLOR DOORS COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS — l N COLORS c LIV ` lJ �• '�' t SIGNS �n9S�Vc�o FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 Town of Bamslable's Old 1CIng's Highway Historic District Committee Fee Schedule 07/01/200 !° Afterwork r :i _ Certificate of Appropriateness After work Certificate of Exem lion Commences Residential - Commences Dwellings Sheds under 120 sq.ft. - 20.D0 _-- - - - -' 110.00 �. Addition/Alterabons 25.00 50.00 .-Add itions/Alterations _ 60.00 110.00 Other Bldgs.over 120 sq.ft. 50.00 100.00 New House/Garage 60.00 - 20.00- 40.00 Sheds over 120 sq.ft. _ 60.00 110.00 Exterior Painting - 03 35.00 60.00 a New Sign__ 20.00 40.00 R ;Exterior Painting _... •----- 35.00-- -- - 60.00 Existing Sign 20.00 �rFencing--r -•--- 60.00 Fendng 20.00 40.00 Z C) Wall 35.00 60.OD Wall 20.00 40.00 Flagpole 35.00 60.OD Flag ole 20.00 40.00 l 35.00' 20.00 40.OD Retaining Wall -- CX] 35.00 60.00 - Repaint Sign W �z:lamp Post __-•-- 20.00 40.00 35.OD 60.D0 Retaining all Unlit Marquee - -' 35.00 ---- 60.00 lamp Post - _ 20.00 40.00, - fr1 Awnings -- - - 35.00 -- _ - - -60.00 Unlit Ma uee 20.00 40.00 - -� 1 - Other-to Indude SidinglRoofing � `+Y 40.00 - _ � i,'I '- '�'•• •Other _ Certificate of Appropriateness Alter work �c r-� �:_•, 4•�q.,..* - ;•T: U) Commences " , - � 'w. Commercial 60.00 110.00 Addition/Alterations 110.0 0 210.00 CeNficate of Exemption _ New Buildings/Educational _ r 60.00 it. 110.00 -_ Sheds over 120 sq. 60.DD Commercial After work - ,Exterior Painting - _-_ 35.00 _ ______ _ -_ - - Commences -35.00 60.00 New Sign 60.00. - '?Existing Sign--- _.-__.._ 35.00 ------- -. . 60.00 1 Additicn/Alterations 5D.00 100.00 A-vt Fenu 9- 35.00 60.00 - New Bldg.under 120 s .ft 50.00 10D.00 _ � a-;10091;Well ' -• 35.00 - _ 35 DO 60.00. Exterior Painting 25.00 50.00 Flagpole - 60.00 New Sign 25.OD 50.00 s Repaint Sign ------ --- 35.00 ---- - - 35.00 60.00 Existing Sign 25.00 _ 50.00 Retaining Wall 60.00 Fendng 25.00 50.00 rc Lamp Post --_ - 35.00 • 35.00 80.00 _ 'Wall 25.00 S0.00 Unlit Marquee 25.00 50.00 r--- 35.00 60.00_ Fla9 le Awnings ---- 60.00 Repaint Sign 25.60 50.00 ` .Other to Indude Siding/Roofing 35.00 " •. ,,; ` Retaining Wall 25.00 50.00 � <' L " ^. Lamp Post 25.00 50.00 Certlficate of Demolition Certificate of Demolition Unlit Marquee 25.00 50.00 , _ -p After Awnings 25.00 50.00 -" - Double the A lication Fees _ _ Other Bldgs.over 120 sq.ft. 100.00 200.00 "Residential&Commercial :'�Building 110.00 ° ' +' 110.00 }l• Garage - 110.00 • - Accessary - - , Partial Demolition 60.00 - Please Note:Applicant will be charged the highest fee for multiple _ c -- rojecls under one certificate, i.e.Application for AdditoNAlteration and Lamp Post will be$60.00 total - - :m�4IIyr Filename Effective July 1 , 2000 O:FEEZ000 r r,ne PeiI C-1 11 eY Z lqls, mcel ; IrNoolt f IRA 140� Mp Z.6( S h e r✓► cvj T Tv-s (3 )„L S4rcAM 0. ox -711 N ckulc S, Lin y )D. Tr. 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Hyatmis,MA 02601w OF BARNS Office: 508-862-438 TOwN Fax: 508-7,90-62_0 EXPRESS PERATIT APPLICATION - RESIDENTIAL ONLY Not Ya d withosaA"X-FrmImprint .\,Iap:parcel N=bei Proper!Address Residential Value of Work Owner's Name g Address Telephone Contractor's Dame_ A��t ?�= er Home Improvement Contractor License I(if applicable) C Li Construction Supervisor's License=(if applicable. �—:' 3 QWorimmn's Compensation Insurance Vf: Ch k one: Zi am a sole proprietor Q I.am the HotaeoAmer. Q I have Workcr's Compensation Insurance Insurance Company Fame Workman's Comp.Policy.'!!— Permit Request(check box) Re-roof(snipping old shingles) _ ❑Re-roof(not stripping. Going over existing'Iayets ofroof) Q -Re-side- ❑ Replacement Windows. U-Value (maxh=•44) ❑ Other(specif,) *Where regui ante of this permit does not exempt compliance with other town deparnrtertt regulations.i.e.Historic.conserration.:::. Siciiture Q:l:ocros:eaotntrr:rev-4)i0601