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HomeMy WebLinkAbout0032 OLD TOLL ROAD Ald a I i 09(1w w NO.132113 ORA wog w use ESSEIH �z/i3/qy 5dn - I �I -Su PE7-K 70 �1<N?�euJs w66eK No Aptsw-e/ cJ-L a -,,a �u� L '�Y - , � r Slg id 3�_0-�.�7z�� la � faPG no �o L�-G2k���� - �rs2_I��i�9e� o �H� � U.S. Postal Service,. CERTIFIED MAIL. RECEIPT _ (Domestic Mail Only;No Insurance Coverage Provided) _ For delivery information visit our website at www.usps.com® 0 r ° k USE PS Form 3800,August 2006 See Reverse for Instructions Certified Mail Provides: c A mailing receipt n A unique Identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: c Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail& a Certified Mail is not available for any class of international mail. n NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. n For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811�to the article and add applicable postage to cover the fee.Endorse mailpiece Retum Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. a For °dn additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery. o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Forrn 3800,August 2006(Reverse)PSN 7530-02-000.9047 UNITED•STAT.Es POSTAL,SERVICE First-Class-Mai'kv' Postage&Fe .Paid uses Permit No.-G-10 Sender: Please print your name, address, and ZIP+4 in this box • TOWN OF BARNSTABLE 1 BUILDING DIVISION u 200 MAIN ST. HYANNIS, MA.02601 I _,v.4._ .. ��1�11�I1�lil�li�iin�ILI11111'�If"II1�'III�I{�I�l"�1'Ill�'�ii COMPLETE- /N,� COMPLETE THIS SECTIONON DELIVERY ■ Compete items 1 2 n A:;S a d 3 Also complete p item 4 if Restricted Delivery is desired. ❑Agent ■'Print your name and address on the reverse X ❑Addressee so that we can return the card to you. Received by(Printed Name) a of Delivery ■ Attach this card to the back of the.mailpiece, 1 or on the front if space permits. '�fT D. Is delivery address differen(Ifro item 0 ❑;Y s� 1 Article Addressed to: If YES,enter delivery add (b � d No •yam� � \ �� .� 3, Service Type ortified Mail ❑Express Mail ❑Registered J54teturn Receipt for Merchandise ©07 ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number t s+ I x t (Transfer from service label 7 212 1�10 I F O t 2 8 5'1 6 4 0 4 PS Form 8811,February 2004 Domestic Return Receipt 102595-62;M-154o" i y Town of Barnstable Regulatory Services r r MASS. A Thomas F.Geiler,Director 059. & Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 28, 2013 Notice of Building Code Violation and Order to Cease, Desist and Abate: Robert And Wendy Harris , and all persons having notice of this order. As owner of the premises/structure located at 32 Old Toll Road,West Barnstable,MA,Map 109 Parcel 066, you are hereby notified that you are in violation of the Massachusetts State Building Code 780 CMR 51 ,and it's Amendments,and are ORDERED this date, October 28, 2013 to: 1.) CEASE AND DESIST IMMEDIATELY,all functions connected with this violation on or at the above mentioned premises. SUMMARY OF VIOLATION: 780 CMR 51 R114 STOP WORK ORDER(Issued 09/17/13) 780 CMR 51 R105.1 PERMIT REQUIRED COMMENCE IMMEDIATELY,ACTION TO ABATE THIS VIOLATION. SUMMARY OF ACTION TO ABATE: 1.) Obtain the required approval from the Barnstable Old Kings Highway Historic District. 2.) Submit an application for a permit and appropriate plans for the work completed or being done on the property without a permit. And, if aggrieved by this notice and order,to show cause as to why you should not be required to do so, by filing an appeal with the State Building Code Appeals Board(as specified in Section R112 of 780 CMR 51 Residential State Building Code)within forty-five(45)days after service of this notice. By Order, /7 Robert McKechnie Local Inspector Parcel Detail Page 1 of 4 �f THE iy B.ABI�MASS, w ,. i,,,;.. .-:s: 1639. Logged In As: Parcel Detail Monday,October 28 2013 Parcel Lookuo Parcel Info Parcel ID 109-066 I DeveloperLoot LOT 70 Location 132 OLD TOLL ROAD I Pri Frontage 1214 Sec Road IHOMESTEAD LANE I Sec Frontage 155 Village IWEST BARNSTABLE I Fire District JW BARNSTABLE Town sewer exists at this address FNO I Road Index 11176 G� r Asbuilt Septic Scan: Interactive 109066_1 p Owner Info Owner JHARRIS, ROBERT&WENDY I Co-owner I Streets 132 OLD TOLL RD ( Street2 City IWEST BARNSTABLE I State MA I zip 102668 Country Land Info Acres 10.81 I use Isingie Fam MDL- 11 I zoning IRF Nghbd 0106 Topography Level I Road Paved Utilities I Gas,Wel1,Septic I Location Water View Construction Info Building 1 of 1 Year 1985 —I Roof Gable/Hip I Ext Wood Shingle ( Built Struct Wall Al K Living 2778 I Roof Asph/F GIs/Cmp I AC Central Area Cover Type ' Int Bed 1 I BIAS style Colonial I wail Drywall I Rooms 3 Bedrooms I I2, 34 22 Ts Model Residential I Int�arpet I Bath 2 Full + 1 H Floor Rooms IC W F. Grade jAverage I Heat tkMT Type Hot Water I Rooms Total 18 Rooms Found- stories 2 Stories I Fuei Gas I F ecio Poured Conc. Gross 4314 I Area Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6228 10/28/2013 Parcel Detail Page 2 of 4 Issue Date Purpose Permit# Amount Insp Date Comments 9/26/2011 INGRND VINYL POOL 10/19/2010 Swimming Pool 201005280 $29,600 12:00:00 AM 18X36,CHAIN LINKED FNC 4',POOL HT PMP,SOLAR CVR 12/30/1997 Out Building 28051 $35,000 24X28 DET GAR; 12X36 PORCH&GREAT RM 4/2/1985 Dwelling B27783 $90,000 2/15/1986 WB 2 STOR 12:00:00 AM Visit History Date Who Purpose 2/19/2013 12:00:00 AM Jeff Rudziak Abatement Review 12/1/2011 12:00:00 AM Robin Benjamin In Office Review 10/5/2011 12:00:00 AM Nancy Finch In Office Review 8/8/2006 12:00:00 AM Paul Talbot Cyclical Inspection 9/9/2003 12:00:00 AM Paul Talbot Meas/Est 3/22/2000 12:00:00 AM Paul Talbot 3rd Visit-2nd Notice Left 3/14/2000 12:00:00 AM Paul Talbot Permit Entered 2/24/2000 12:00:00 AM Paul Talbot Meas/Est Sales History Line Sale Date Owner Book/Page Sale Price 1 9/15/1984 HARRIS, ROBERT&WENDY 4246/172 $31,500 2 5/24/1976 THOMPSON,ALLEN R 2342/314 $0 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2013 $218,000 $43,700 $77,200 $158,100 $497,000 2 2012 $187,300 $43,700 $28,100 $152,100 $411,200 3 2011 $234,100 $19,800 $24,500 $152,100 $430,500 4 2010 $234,600 $19,800 $25,600 $154,500 $434,500 5 2009 $299,700 $13,000 $19,500 $174,100 $506,300 6 2008 $299,700 $13,000 $19,500 $186,500 $518,700 8 2007 $336,900 $13,000 $19,500 $186,500 $555,900 9 2006 $285,400 $13,000 $20,100 $203,800 $522,300 10 2005 $260,200 $13,000 $20,600 $163,000 $456,800 11 2004 $212,800 $13,300 $20,800 $138,600 $385,500 12 2003 $190,100 $13,300 $21,200 $65,200 $289,800 13 2002 $190,100 $13,300 $21,200 $65,200 $289,800 14 2001 $190,100 $13,400 $21,200 $65,200 $289,900 15 2000 $141,700 $9,800 $20,200 $43,500 $215,200 16 1999 $141,300 $9,800 $0 $43,500 $194,600 17 1998 $141,300 $11,600 $0 $43,500 $196,400 18 1997 $130,600 $0 $0 $38,100 $168,700 19 1996 $130,600 $0 $0 $38,100 $168,700 20 1995 $130,600 $0 $0 $38,100 $168,700 21 1994 $123,400 $0 $0 $44,100 $167,500 22 1993 $123,400 $0 $0 $44,100 $167,500 23 1992 $140,100 $0 $0 $49,000 $189,100 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6228 10/28/2013 Parcel Detail Page 3 of 4 24 1991 $163,700 $0 $0 $76,200 $239,900 25 1990 $163,700 $0 $0 $76,200 $239,900 26 1989 $163,700 $0 $0 $76,200 $239,900 27 1988 $148,900 $0 $0 $32,100 $181,000 28 1987 $148,900 $0 $0 $32,100 $181,000 29 1 1986 1 $0 $0 $0 $27,3001 $27,300 Photos "7MM�- �r Nlk- 'i r +9 kt i tY a " , W T 3 $ Y . i nP•, �r 6 . r: http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6228 10/28/2013 Parcel Detail Page 4 of 4 r !m Ua. http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6228 10/28/2013 d r ► ,u or /�, f -..,�•.--.�_.... ,.mot.� —.- _`"�_ y ---- --M--r- _. _ ..,- K tt� i ICY 32 DL TGL w a v !z �3 J"rai° &bRAr - A i a. foil, v 06 it 44. '.t I ..w ' I _tea E I 1 � i I rAn l r I� Aay Page 1 of 1 ���� t �Y••^� .. � 2 \ •..ice 1 o , "3�o file://\\isvisions\images\00\05\59\89.jpg 9/16/2013 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map f D Parcel -' .Application Health DivisionDate Issued l Conservation Division Application Fee Planning Dept. Permit Fee ` ZS Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street.Address `3 a a LC> "ro U_ ►2� Village ci-:1A3 5"V_31 L� Owners,b �� SZtS Address 3a Telephone SG 9 Permit Request 10 Gea L L w ti XRg kp_�-K- Oor� o"f C 66 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation q, (oOQ Construction Type 4S­Te-e L. PAoc(S f Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) ge of Existing Structure Historic House: ❑Yes ❑ No On QId King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl " ❑Walkout ❑ Other . o � Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) z - 4 o Number of Baths: Full: existing new Half: existing ne-0 cn ao Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room C ountc_n, co m Heat Type and Fuel: ❑ Gas ❑Oil fftlect'ric ❑ Other °D fV r 1 M 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name (�J tze� �h�J�(Z Telephone Number �a 0 Address _T_ L_J l S7( License # '3 i ✓�.25`zcuJS ��� Home Improvement Contractor# G Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 2K) i SIGNATURE DATE i o.I4 II o ! y f f FOR OFFICIAL USE ONLY «�. APPLICATION# j DATE ISSUED r, MAP/PARCEL NQ,, r � ADDRESS. VILLAGE s OWNER r � DATE OF INSPECTION: f' --_EQUNDATION' 'dh�o:- FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: � :_�� ROUGH> -� :� FINAL ; 'FINAL.BUILDING � .f € r DATE CLOSED OUT ►, ASSOCIATION.PLAN NO. 0¢'fH5T 'Town of B afnstable R.egul2tory Services' at�xxsrtn�, Thomas F. Geiler, Director c67¢ - Building Division 'OrFo Ma,�ti Tom Perry',, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.to1vn.ba•rnsta ble.ma-Lis Office: 508-862-403 8- Fax: 508-791 property Own-ct must Cb_mplete 'an.d Sign. This Section If Using A Builder r lobe C t=1� L1 , as Owner of the subject ptoperty hereby authorize c��-1 ��� +J� to act on my behalf, in all matters relative to wotk authotind by this building pamit applicatioti for: 3z (Address of Job) 1 S zo1 U Signature of Owner ate �abec �' ��rarL.�C�S Print Name If Property Owner is applying for permit please complete the Horneownets License Exemption FDMi on th'e reverse side. i Towa of Barnstable Of r ye Regulatory Services ! Thomas F. Geiler, Director BA1il+sTAB[5, MAss.' building pzvis>on fo µad" Tom Perry,building Commissioner 200 Main Street, Hyannis, MA 02601 -ArWjy,town.barustable.ma.us Fax: 508-790-6230' Office: 508-862-4038 I30A4EOWNER LICENSE EXEA4PTfON Please Print DATE: 1013'LOCATION: s trcct village number "I1pMEOWN6R home phone Il work phone# nano CURRETIT MA(LINO ADDRESS: Zip code stale ' city/town ts or)ess for"homc�`rs"was extended to include o�msess a ji en d`i/rornded that tholown r acts d The current exemption to allow homeowners to engage an individual for hire who does not possess supervisor. DEFDI ITION OF HOhiEO)VNER ich owns Qto- Parcel of land on'which he/shc resides or intends to r esoide, use there fa structures dA Pcrson(s) who be, a one or two-family dwelling, attached or detached structures accessory Official, that he/shc shall be son who constructs snore than one home'in a{iwo-year period shall not be considered a homeowner. Such p cr "homeowner"shall submit.to the Building Official on.a formea�tpt(Sectionle to ,109 l, )Building res onsible�for all suchwozk crformcd under the build in ' cd "homcowncr" assumes responsibility for compliance with the State Building Code and other The undersign , applicable codes, bylaws, rulcs.and regulations, a undersigned "homeowner'' certifies that he/she understands theTown comp Dwt s bd proc-duu'res and cat Th g miniI)ltrm inspection procedures and requirements and that he s re,quiremcn ts. Signature of Homeowner i Approval orBuilding Official Note; Thrcc-family dwellings containing 35,000 cubic fcct or larger will be required.to comply with the State Building Codc Scc.6on 12 .0 C 7onsiruc)FIOnMID"ER'S EXEMPT ION crmil is required Shall be exempt from tTc provisions ' of eonlOcr on Supervisors);provided that if the homeowner engages a pers°n(s)for'hire to do such ' The Codc state lhaL' "My homeo�!'nU performing York for which a building p of this section (S-don 109,1,1 Lccnnng work, that such}t°rneowner shill act U supervisor, the res onstbililies of s supernsor(sec,lppcn.dix Q, Many homeowners who use this exemption arc unaware Thal they arc assuming P rticmafl en rcsu)Ls in Rulcs &'Regula'tions for Licensing Construction Supervisory;Section 2.1' This lack of a nslGthe unlicensed persons snit would A thA lieensedy when the homeownc hires unlieenied persons.. In this case,our Board cannot proceed erg Supervisor. The homeowner acting as Supcn*or is u)limate)yresponsib)e. arl co permit A tl used by To ensure that the homeowner is fully awzre of his/hc)ticp of i 8uiLiCS,many y0n the last lupsge of this issue is o at(orin mil ap ic4tlon, Pcryl that the homeowner ccriify that hdshe understands the respons o.,,.,/ccnificsUon for use in your community. "XLZ :#rl r aauolssliuwoJ ZWZ/ZZtS :uo1;endx3 �4 :,.Mzo; IIwiSNOIS2M " 00 u wweo i,Zr. a383HOS NEI Nb�M'" 00 :0rP8lo!ilSiN 9MI? SO :asu831"1- asuaoi-1 JoslAjadnS uo;onj sp trpur.1$ Pup suoilr.JnW�ab uipiin8 so PJPOH .%);)jP.S z)ilgnd JO luauijjrdad -s;;asny:)P.ssrW Otrceao um' a`i° iCliYes : eS a on License e.registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before t6e.espiration*date. If found return to: Registration:�36605 Type: Office of Consumer Affairs and Business Regulation Expiration: `84/6/2012 Private Corporation 10,Park Plaza--Suite 51,70 S - ISLAND P30p S=1N Boston,N A 02116 WARREN CHERER > 121 CAMMETT RD� _ r MARSTON MILLS,MA 026- 49 4 ,+• Undersecretary Not valid without-signature f ETL LISTED G R I POOL Aillvi ♦ETL Tested To Be In Compliance With Standard for Safety, CLOSED LOOP UL 2017, and Florida Building Commission Code Requirements, Per ETL Listing Number 3035022 •Exceeds Operational Requirements of Model Barrier Codes •Microprocessor Controlled 4 Monitors Entry to Pool and Spa Areas ♦Instant-On Or 7 Second DelayModels Available t— �. +Surface or Flush Mount Models ♦15 Second Adult Shunt $Low Battery Alert Recessed Surface Mount O Built-in Back-up Battery Capable ♦May Be Hard Wired To Remote 12 Volt maximum 500 mA Source or To Plug In Power Source. Applied Voltage Must Not Exceed 15 VDC. The--new GRI DOOR ALERT/POOL ALARM was designed as an aid for prevention of an unattended access to a pool/spa area.by a small child. Monitoring all doors or windows with CLOSED LOOP magnetic reed switches,the DOOR ALERT/ POOL ALARM will sound an alarm should anyone too small to manage the adult pass thru feature attempt access to the pool/spa area. For maximum protection all moveable openings should be protected in such a manner by the GRI DOOR ALERT/POOL ALARM. ASSOCIATED ALARM SYSTEMS, INC. 1047 FALMOUTH ROAD HYANNIS, MA 02601 508-775-3442 800-322-3339 L ANCHOR® CHAIN LINK A hard working fence that can provide years of worry free, low maintenance use. a Quality detail is Anchor Chain link's hallmark. It features strong, distinctive, square-end corner and gate posts and exclusive,worry-free Anchor Drive installation. Choose from 1%4, 2%4, and 2" heavy-duty green mesh openings. In Woodland or black. More available, please p contact us for details. distinctive square terminals and s uare amegate are hallmarks of Anchors A. The d q q .�' superior styling and quality. B. Flowing in a grace-f d arc, the chain link stretch easily accommodates the dictates of the landscape. C. Through judicious planting, a durable Anchor chain link fence will magically ` disappear to become a Privet hedge accented by this delightful picketgate. u �t D. Here, the chain link blends unassumingly into the hedge while still performing the important task of pool securit t An imaginative arbor accents the entranceway. xv -,��., "�. ` -..-�. ��-- x'�_�-'"•~tea. r{s. - -{'a,.`-"_'- A.�p _ _ _ "Y."``�r -.. ��'�••�} . •. �„�,.."5.-- -_•'�,: �-� - `'- F __Jy* � _ __-tip W A L P 0 L e W 0 0 1) W 0 It K@ 11 S 99 i The CorrimonweITIat of Massachusetts Depar menl of fndustriaf,4ccidents' Office of rifVestigadons 600 FYarAOngton Street Bosto;1, AL4 02111 • '. www.�nass.gov/dia mbe Workers' Compensation Insurance Affidavit: Builders/Cobtractors/LIePc iase int Leet* Applicant Ln_formation K3Il7e (BusincsslOrg-,1 z 6on/Iodividud): S-Re,-L,� Address: O L Phone.#: �o -4010 •S 1`o S City/StatelZip: ;�1�t�as'�Dt�s `"'0�—`--- • Arc y u an employer? Check the appropriate box: Type oEprojett(required). 4. I am a general contractor and I 1.VIam a employee with ! 6. ❑Ncw construction cmployccs (full and/or partaimc). have hired the stab-contractors .7 R,cmodcIing listed on the attached sheet 2,❑ I am a'solc proprietor orparincr- Tbcsc sub-contractors have g, Dcmolitipn ship and bavc no employees employees and bavc workci-s' 9 Building addition working for me in any capacity. comp j�urancc.x [No wort crs' com:p.•insurancc ME]-Electrical repairs or adt rtvir�j S. We arc a n corporatio and its officers bavc cxcrciscd their 11_❑PIun�bing repairs or adt 3,❑•I am a bomcowncr doing all work ii t 6f excm tion er MGL • myself [No workers' comp. � p p 12.❑ Roof repairs c. 152, §1(4), and we bavc no 13.❑ O tbcr ;nsnrancc required]f craployccs. [No workers' comp,insurance rcquimd_j t.(by appliczn!thzf cheeLc btsx f(]rnust a]so fill out the cation below showing their workers'coTnp n;hon Policy information. r. t Homeowntrt t ch rubrtit this Tr=t2 twin cd naddi oral dnc�ctt r oIJ wing th cnamc of the cu'b.contractrm anmi d ruin whether or> ho c cnbtics have[ tcon(ractors lfut cheers Lhir box l roidheir worker,corrt p• ?13UeJFlumbcr. amployccs. Ifthesub-eontretorrovccmployrct,theymurpv f am tvt employer tltrd isprovidutg workers'cornpen saiinn insurance for my employees. Belaw is the paliry and joy st info rrrt abort. Insuramcc Company�,Tamc: . N C�T►1 LtIC � �1.�5. �c U.� Policy# or Self-ins. Lic. i#: We O© Expiration Da'tc:�'o� 1 ' D o l D �- l �� __City/5tatc/Zip: (d) te� Job Site A•ddress: Attach a copy of the workers' compensation Of declaration page (sbor ng the policy number and expiration d: Failure to socttre coverage as requited under 5cction 25A of MGL c. 1 S2 can lead to-thc imposition of criminal penalties find to 31,500,00 and/or ono-ycar imprisonnncnt; as well as civil pcnalti'cs in the form of a STOP WORK ORDER and of up to $250.00 a day against thq violater. Bc advised that a copy of this statcmcrit may be forwarded to the O f5cc of Investigations of the n A for insurance eovera e verification I'do hereby certify under e pains•and ertalties ofperjitry tical (he irrforrrtadon provided above is t'1-rte and correct✓ Date: Si aturc: � Phone H: �• 1�' • Offs ia1 use only. Do not Jrruc in lhir arcs, tb be completed by «/y or[own official City or Town: Permit/Liceme # Issuing Autbority (circle one): 1. Board of Health 2. Puilding Department 3. City[Towa Clerk 4. Electrical Inspecfor S. Plumbing Inspec{or From:Kathy Geis FaxID:Northwood Insurance Page 2 of 2 Date:8/31/2010 02:25 PM Page:2 of 2 q�p DATE(MMIDDIYYYY) �R CERTIFICATE OF LIABILITY INSURANCE OP KG 08/31/10 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 po cy es must be endorsed. If SUBROGAYION 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). PRODUCER NAME: PHONE Northwood Ins. Agency, Inc. (A/C,No,Ext): (A/C,No): 540 Main Street, Suite 9 ADDRESS: Hyannis MA 02601 CUSTOMER ID# SHELL-1 Phone:508-771-1632 Fax:508-393-2955 INSURER(S)AFFORDING COVERAGE NAICS INSURED INSURER A: Granite state Insurance co. Shell Island Pools, Inc. INSURERB: Fred Scherer 121 Cammett Rd. INSURERC: Marstons Mills MA 02648 INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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. LTR TYPE OF INSURANCE INSR POLICY NUMBER (MMIDDrYYYY (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEHL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PEa LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ee accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED ALTOS $ $ _ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A o RKERS COMPENSATION WC00 069 04/22/10 04/22/11 AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $500000 OFFICER/MEMBEREXCLUDED? N 41A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 1$5 0 0 0 0 0 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $100 D 000 �_7 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is requlred) i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWNBAR THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF BARNSTABLE AUTHORIZED REPRESENTATIVE 230 MAIN STREET HYANNIS MA 02601 y,, S�W°LGw ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD N/F EILEEN G. SANDHERR �M 10 '7 P 1 1 0�1 EO�� OF P 1 Goo PR 5 No��� NIF v `..• '.• o_t°: WILLIAM A. AND LUCILLE MCEVOY O� rn P .• •. o c, rr .'PROPOSED.' PROPOSED 4' METAL ' e POOL (36'x18') � FENCE ° N EXIST. DECK EXISTING 1. 0 HOUSE o 20 EXISTING #32 z> Min. S.A.S C.) p \ m Z o ExisnNc S—TANK ` o4 h6 PROPOSED 4' METAL�a Vf. pZyZ ��, FENCE �. G rn_ SEp o � o PROPp MAP 109 z Z PARCEL 66 35,06:6 SFf o� 160 51 562.10 PATRICIA ANNE KLICKSTI=IN -o PLOT PLAN 32 OLD TOLL ROAD ZONING DISTRICT: RF MAP 109 PARCEL 66 OVERLAY DISTRICT: RESOURCE PROTECTION WEST BARNSTABLE, MASS. AQUIFER PROTECTION SCALE: 1"=40' DATE: 9/7/2010 SETBACK REQUIREMENTS: OF MgSS - FRONT — 30' � TIMOTHY gcti BENNETT ENGINEERING SIDE — 15' R. REAR — 15' o BENNETT N LAND SURVEYING.ENGINEERING,&DEVELOPMENT SERVICES No.36856 GI PO BOX 297 TEL.(508)888.4868 q SAGAMORE BEACH,MA 02562 FAX.(508)8BB 4867 PLAN REF: BK 301 PG 99 0 40 80 120 DEED REF: BK 4246 PG 172 �' 7 FILE 10081608 _ 36'A" 9'RADIUS CUDDL E A COVE B co, c'' 2'4'212" 10RR 14" 10. 10RR CD M 62 1W 57114" rn 9R c 9R Q TO 314" 6W P� l J , 2 Co 9'R x 15'W 0 OR 2" �Iw » STEEL 3 z " P - + 40 STAIR a Q g' DEEP cn 11 m to '-51. 22'-Od 1" 9R 0 DEEP J J 6W V— 6 2' 2' 2' 21- 21- 2' 2'LU LIGHT CENTERLINE _ _ _ _ F T R5, E U R9. 2'61 a v Q 9 9R R9' R 3'1 1/2" � b C s R� 9'-5. 10RR 10RR - NJ A ®R o C 6'3' $2114" 5'`114" 9R D 911 v 6'3" sy. 1 f' 6,3 3'61f2" rn N J 3'-V' Q co 6' O 1 4' 6' IV eusrauae a►rs s+a^rURE O nEcu1RED ' IMPERIAL PC)OLS Barnstable Old Kings Highway Historic District Committee &UU4STAS M� 200 Main Street, Hyannis, MA 02601 i TEL: 508-862-4787 Fax 508-862-4784 y MASS. w `Fom APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4) 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 and on plans,drawings, or photographs accompanying this application for: Check all categories that apply; 1. Building construction: ❑ New ❑ Addition ❑ Alteration 2. Type of Buildin>;: ❑ House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting, roof ❑ new roof ❑ color/material change, of trim, siding, window, door 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court ❑ Other 6. Pool f;z swimming ❑ Other man-made pool Type or Print Legibly: Date: 1 20( G Address of proposed work: House# 3 a Street: O L O I o11 (Zi Village W Assessors Map Lot# (Oa 0 Description of Proposed Work: Give particulars of work to be done:1 r` co u n w,r►,p,„ �o o i'� x i st I O err A l'eA O 4' 9 AL)G 4�kj N o C.l.aonsjg_ -A-O Any xtS I rS S�Q u LTU��S e"c-in ,11 ge t. IAA _ GNAin -On 5ln s-1 Aaowid Pers�e,_ l Gca�as A-na Iao�Se.. A�vmlrlu�'1 W141A 61Ac-)4- h,nr5� P,Isv �r��+ Sjde- of I.10-U�;,e_ w,ll be I�l�r.i►+ rr� �'� �1nc � i'r•,►51-� Agent or Contractor(print): Telephone#: Address: Contractor/Agent' signature: NOTE All applications must be signed by the current owner Owner(print): 'R Ae CA d" W 1r N D,i VNV\Q_Q1 S Telephone#: 6_QB- 36 Z- Y 3 G Owners mailing address: O P loll eA eS �r 41rn's�� e 6�� • OZ GG Owner's signature: 'T1 ' mittee use only. This Certificate is here APPROVED DENIED QDa Members sign SEP -Z SARH ABrj ' cond t.io f pro 141ST C PRESS VA SEP � Town of Barnstable AlaVjjCjhway Committee 1 QAGMD-Groups101d Kings HighwaylOKHNewApplOKHCert Appropriateness 07.doc Torun of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 copies Foundation Type: (Max. 18"exposed) (material-brick/cement, other) Siding Type material: Color: Chimney Material: Color: Roof Material: (make & style) Color: Trim material Color: Roof Pitch: (7/12 min � @ [20d 19 Window: (make/mo t aterial color Size(s): Door style and make: mat rial Color: TOWN OF BARNSTABLE Garage Door, Style HISTORIC PRESE NATION Material �o .� AVRRO Shutter Type/Material: Color: �� SEP 2 2 201 Gutter Type/Material: Color: Town of Barnstable Old Decks: material Size Color: Committ�eeway Skylight, type/make/model/: material Color: Size: Sign size: Type/Materials: Color: ` Fence Type(max 6' ) Style ,See p irhq fL)mz, material: �'� L-t N(L Color: Retaining wall: Material: Lighting, freestanding on building illuminating sign Please provide samples of paint colors and manufacturers brochure of style of windows, doors, garage door, fences, lamp posts etc ADDITIONAL INFORMATION: ;gnC1 nIj W lh &, R14e- d-AAl-n 1 1NIL o+-\ 61c�c-)c, eo4 o,,, peur,,e4er cx e-aai Cep 6e4wee, 6 ac e- Ana Le- -! S 4Q o-r tA ov-e- W t(1 be- A 1 AC-le- �' �n:�5 Sv 111 �.+ S1cte F �U�Se (=Act STf W,1\ - 1 vrn %nvr- u' AL 1" ►��5 Signed: (plan preparer) print name tel.no. Location of application: Street no. Street Village 2 Q:IGMD-Groupsl01d Kings Highwayl0KHNew Appl0KH Cert Appropriateness 07.doc ,t • ° TOWN OF BARNSTABLE 27783 Ilk Permit No. ___: { Building Inspector cash 'p°P OCCUPANCY PERMIT Bond Issued to Robert Barris Address Log 70, 32 Old. Toll Road, West Barnstable Wiring Inspector �f` :r d5�v� Inspection-date Plumbing.Inspector v r - Inspection date } - r Gas Inspector t Insp ection date , T7�° �a 4.e� ^.Mc s ✓� xEngineering Department _ a' r°�FrM>, Inspection date/`✓ Board of Health ;v .._. Inspection date 7 /fa'/e a 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. ............ . .. .., � ........ . ..... .................. g � y Engineering Dept. (3rd floor) Map Parcel 0(06 Permit# House# . '{,� Date Issued �'2 @- Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) / l '� IUD o Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Z, Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC SY UST BE INSTALLE IANCE Definitive Plan Approved b nning Board 19 VVI ENVIRON�I DE AND TOWN OF BARNSTABLE. Tcuf�q R.-z N.,. � iON°S Building Permit Application 3 va d id Project Street Address Village �I Sty Lg f Owlerph e_0 L1 tA)eu 41wei's WAddress E Telephone SO 9 3 - V Permit Request (ilNcs&i>Gf Dei-oA_-Ae b .24 u '9joe4 9C &AJD /U )C. 3(r, 'POQ e A G h'C&k T e 6,0 ;Feht�r_ .6r&e asx5r e First Floor y 3 oZ square feet Second Floor A square feet Construction Type Z2. 6_ Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family y� Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway U4e�s ❑No Basement Type: Mrfull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing)A New Half: Existing New (� No. of Bedrooms: Existing 3 New D Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas A'Oil ❑Electric ❑Other Central Air ❑Yes kNo 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 /� Builder Information Name Booee2 vim, 4-1re/E Telephone Number y97 Address 'A��__ OX //Q(3s License# /'/�i�STd/I.LS 'lam. Home Improvement Contractor# /0 9 75Z Worker's Compensation# ,Ne- ",) QD6aa 9yD 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 l f 0 i6 SIGNATURE DATE /,2�� BUILDING PERM DENIED FOR TH OLLOWING REASON(S) �T FOR OFFICIAL USE ONLY �as1PERMIT NO. �+ DATE ISSUED . MAP/PARCEL NO. ADDRESS VILLAGE' OWNER DATE OF INSPECTION: FOUNDATION FRAME : INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGE ' FINAL GAS: _ROUGH'- FINAL FINAL BUILDING)�_.. � •r DATE CLOSED OUT ASSOCIATION PLlk!�NO Y- ble he Town of Barnsta `eAartBr � $ Department of He�Ith Safety and Environmental Services �•�� Bu><Iding Division 367 Main Sattt,Hyannis MA 02601 Mph C•nsse:. Office: 508-790-6227 Building Cor-= Fax: 508-►90-623 0 For office use only Permit no._ Daie AFTMAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the ,reconstruction, alterations, renovation, repair, tnodernirstion. conversion, improvement, removal, demolition, or construct on of than ditton to any our dwelling pre-existing e- orl to owner occupied building containing at least one but not Y registered contractors, with structures which are adiacent to such residence or building be done b certain exceptions,along with other requirements Type of Work: 'r..�-._�_.-, „ ��Uy�c Est. Cost �S d YP _ Address of Worlt• Owner's Name ,1'7nhPd f 'j Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _Job under S1,000. uiiding not owner-occupied Owner pulling own permit Notice is hereby given that: OWN PERMIT OR DEALING WITH UNREGISTERED OWNERS PULLING T � HOME Mj[pROVEMENT WORK Do CONTRACTORS FOR APPLIG�B GRAM OR GUARANTY FUND UNDER MGLo 14Z�i ACCESS TO THE ARBITRATION PRO SIGNED UNDER PENALTIES OF PER=y I hereby apply fora permit as the agent of the Owner. �� / Registratiot:No. Contractor Naffie . Date w Tlrc• Cr1/11111UI111'ealilr rIf Ifassachuscifs Dc'jlurrinCtti of ladusrrial Accidenrs i t ;�--� !F OtlicPaJl�estlyallons — 00 Washing;mlr Sir= 4, Busmll.:flass. 03111 «'onccrs' Compensation Insurance Affidavit —nf ,nfnrma1inn Plc^�e f Rfti71 eii�ly n- Inc-•'^ ' nh(In•�' i am a homeowner perim,min^ all work myself am a soie nrot7riemr and lave no one work-in'_ in any =r)ac:ry an: zn -mriover providing^workers* compensation form.•emnioyees working on this job. cn,,, , n� n t•nt �� � 1�r � ��/� . A0 X 160�5' rOLC' /V-5 �1� LD267� nhnnc a. �(�� J?ro.2 Alf 7 in , r trr n Lye p'Oly /i-4 nnliev 11 O� . . z sole ncneral contractor. or homeowner tcircie o»e; and have :lire: :he cont,-- ::ors listed beie x wr.: -_ :^: :ailowim: worker: :e;^=:rs:non police:: cnr^^.•fit• i9t•7r• .1tl :.r.r• nhnnc d• rtr, nhnnc d• ins,;r-^rc rn. nniirY _7 ,1tt_;a additionai sheet tf nec.-:fan•+ _a �:��::::� .. ._...•..... •...._.__. _.:....�..__"-- µ _.- __"... ::,,ec::rc cm*cr.zc::s reeutrcu nucr:ecuon_°A of 11G:. 1S::an Iead to the tmposttton of crImtnai penaiues of a lineup to 51-SOU.t'U:au:c: unr c-rs ,mprttonmcr.t n.% %%cil:,s ctvti peraitics in the form of a STOP"'ORK ORDER and a Tine of SI00.00 a dap against me. t understa-d'%:t ccr.t •,f;;u,.talc:nt nt mil be furrn nrdcu to the Office of Im'cstiCztions of the DIA fur covemgc verificaston. err.: currier'/t ' crrit-,7ttd,^•cttahics Ofpcfjur.r that tite information provided above is true mid correct. c:^---.•... Date /Q ez8�7 ti� use unn' do nut;Write to this arcs co be completed by tiny or town olTi621 � ' F i prrmiulicense'd Departr..ert r city..r:mt n: [Licensing Utiard _ -cc en's Orfcc ii imtnediatc resnunsc:s rcuuirc: C Jeleetm ' [ttczith Dcpartmc. __ _ phone; • ^Whcr__� - Information and Instructions Messac'.:u,c:,s Gener::l Lows chanter 15: section ,s requires all employers to provide Avorkers ccunpet:s:;:ic:n :;. en:r,irn cos. As dusted from the "1a��". an c•�rr�Iurcc is dciined as every person in the sc.n'ice of :utc,ther unccr _:: con:ray: of Dire. express or implied. oral or Nvrincn. An rrr:Piln•cr is dci-mcd as an individual. partnership. association. corporation or other Ie�al emit}, ur and two cr the :urc_oin__ ctt__�%%d in a joint enterprise. and including the le_.^1 representatives of a deco asr� employer. o; rccciver or :ntstce of an individual . partnership. association or other legal emity, employing employecs. Hoxv.-c rn�r•cr of.: dti�e!lin�_ hnusc haN.Ing not more than three apartments and who resiacs therein. or the occ::pant of:!:e dw ei!inc!►oust of;mother who employs persons to do maintenance ;construction or repair work on such dine' or in the _rounds or ;lul1dinL appurtenant thereto shall not because of such employment be deemed to be ::n era:: MCi_ _11::;;:cr '5= sc:::irnt =5 ulso states that cti•cry state or Iocni licensing ngency shall withhuld the issun ncc o. ��::I uf:: license or permit to operate a business or to construct buildings in the communivealth for :ny .c::nt xho lids not produced acceptable evidence of compliance with the insurance covera;c rcquircno � ;c ..ionailv.. acither :lie commonwealth nor any of its politiczi subdivisions shall enter into any contract ,or ..a_ idence of compliance with the insurance requirements of this c':ac: of.public �vori: until ::cceptabie eti to the•co►ttrac',inc authorin. A 1)iIcznIS f ic_sc iii :hc %vorkers' compensation affidavit cotrtple:e!v, by checking the box :ltat applies to your situz:ic. address and phone numbers as all affidavits may be submitted to the �eYartmcn: of 'i:= i :i .�c�i�c::ts �r �onrirrnation of insuranc-- cove-^_e. Also be sure to sign and date the affidavit. Tire z••�,t _itcuiL be re:::r::e� :o the tin or town that the appiication for the permit or license is being requester. Jt �11dUSi;ia1 ,accidents. Should you have arty questions re_:rding the "law" or if you are .J c:_.,. vcrKcrs' cc::,ce::sa:ion oolic.•. plecse tail the Deparment at the number listed beio%\,. C ii, ,r P!� _` urc ata: :he aff;d.:� it is con;pie:e and printed legibly. The Department has provided a space at tile 'ao..s- the : aa� it :or ou to fill out in the _rent the Ofric_ of Investigations has to contac:you reg_rdin_ file appiicaa:. i be _ : :o tii? in the per;nitilicense number which will be used as a reference number.�The affidavits may be ;e:u -::e =ca,;;;te::; by mail or FAX unless outer arras^-:nests have been made. or:m -esti:: Boils %vould like to thank you in advancz for you cooperation and should you have am goes pi_cse bo nct ';esta:e :o _we is a ca.11. i:e �ecar.;-e^t s address. teieri cne and fax number The Commomveaith Of Massachusetts , � Department of Industrial :accidents office cf Investigations 600 Washington Street Boston, Ma_ 02111 fax 1: (GI') -7749 -�i:-�nc =. 6 i�, --"''-OQO •_�::. =OEM. -'0° -�r _-- t O Al �_ y o � 3 M C_ 5-re fq D L.A/V E tI • 0 it t � ' n N q �t7 DLO . . L:�71V A.AID t /r. d492 • aArM't lFeCex/tet BEIAl6 CLOT "70 RS /otl�v IAJ 301 PG. 9y , t NeAreey ceraroirv-0 r"Awr• rJve AU140AAAF `CEO GE oww o v rN�s Avt Aory.i!! .Lot A7•'Ea av rue ifl,:; JR. �v va .as stro w.v s,+etaav A�va ruOOr `. vsFS!� COA�IaOC.HTIC7 72WA" JWO" t.I rNe 7bK/LtJ CIS' AA w •P )�TA,�F P?C., J• ,`Gj� Q.•' . ,ev cdwarewcreb. `` �-�� �N yno MO uTN , MA S 3. z wrr `.. Application to� a � � � 58 7 2 •y Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri 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: i. Exterior Building Construction: ❑ New Building Addition ❑ Alteration Indicate type of building: IV House Garage ❑ Commercial ❑ Other 2. Exterior Painting: Il�ra1 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 DATE 1V-C2Z!�7 ADDRESS OF PROPOSED WORK ASSESSORS MAP NO. OWNER F �� ASSESSORS LOT NO. HOME ADDRESS TEL. NO. -'210,f 3401Y Q FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). a AGENT OR CONTRACTOR d' CD/E TEL. NO. �'`-����y� ADDRESS �� ��_1�� �l .fts , ,• � DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No.B, 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). U 0- X c 'AW Y*^ . j I ►� ' ' ! f Ll i Signed Li 4:,r � _. J Ownv mractor•Agent Space below line for Committee use. Received (�by(�H.D.C. (� g ;I he Certificate is hereby ^ncr"y Date l r �T,i me L OCT fOV'` 01 r, .,..,. . A`ooroved ❑ IMPORT If CItifiXteIs approved,approval is subject to the 10 day appeal period C Town of Barnstable ' Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE OLOR CHIMNEY TYPE COLOR ROOF MATERIAL�Q�G� COLOR ' PITCH WINDOW e7t. S I ZE d 9'V 6 cep/ex-aew, TRIM COLOR DOORS w �., �a COLOR SHUTTERS. Qr�,t�� _—COLOR_ � GUTTERS DECK .l��sl�i a�LZaO GARAGE DOORS , COLOR SIGNS COLORS FENCE 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 slavation plans, when applicable. Site plan abould show ali structures on the lot to scale. 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WALL _.T1�C.N_T—�.Lt1'.�Slt��rin� C OA/ WI4DOWr7JOOk—_.EDUCE.___..—.__._._.__._._______ ' ' y vuµ9e2.... R GLA53 to E_ Or�:r IE A -�----- e /r'x10"7cAN VM D 3%a.9gLT..DL.--- .. ..._.. . . - I ' E 3°X Gj37fEl DR -- _— TO TIME 9/ DATE / WW1=�tlEO..U �/EF�EOI:IT � x 4 " "�" D'UR6ENTla �D T01 e ephoned x ��'R2IUtltetl� 16 Ila I . M � ❑Pleaie� D�Wantsfo OF PHONE 'Wdl call �� tDouhl Y MESSAGE . OPERATOR: 7-23-024-400 SETS 23-027-200 SETS f o� TOWN OF BARNSTABLE Permit No. ___27783 I Building Inspector cash ' S61a OCCUPANCY PERMIT Bond ______fLlle Issued to Robert Harris Address Lot 70 32 Old Toll hoed. West lRarnstnble Wiring Inspector Inspection date A7`Z4—�`�— �. • Plumbing Inspector Q�'��1 ._ Inspection date Gas Inspector �,(j / . ` Inspection date .. Y+ . ...A` / yASs gEngineering Department /I ��" Inspection date . //- � Board of Health V + �� Inspection date 7// /l 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. n�` � .f _, ....... . ... �� .w...------ __ Build in-' Inspector � � .� ! "���. 1 � ''�. - .. �" f-f ' � }..'h�.-l."• .4�i F'�� .. :� �:):�l �'��., J !..�.��J ,r,ts; _ '�, �..�y �i--(��:4". 9� �...;a��� �3' t...�'�..✓S.�'"� ,y t i�- '"' ��Q..�'•.w TOWN OF BARNSTABLE BUILDING DEPARTMENT i ssHIIST :rua TOWN OFFICE BUILDING � i679' �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: I An Occupancy Permit has been issued for the building authorized by' Building Permit _ ��3 _ _ _ _..... .... ... .... .... ..__.._ �_ _M issued to Please release the performance bond4loJ ,11 • q J PON.. 14 to ri r • �Q \D jjvi �•Qa�� 01) .,� _ j., _ of � 0 o `^"e'�t..`^ _ :."S.k..R� �,M,ft,ps:"^.:^.r��'-�}: ;�« � 1- r •�� ,.: �, SEPTIC S�STEM MUSTS -rNE INSTALLED IN C TOWN OF BARNSTABLE BUILDING , I'NSPECTOR , APPLICATION FOR PERMIT TO TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ZoningDistrict ......................................................Fire District 0........ ............................................................ | 'Name of Architect ..................................................................Address .....................................................................................Definitive Plan Approved by Planning BoarclkAt--It--—--------------191 4AIk Area ..... Wo.....:�r Diagram of Lot and Building with Dimensions Fee — .......................... SUBJECT �TO 'APPROVAL OF BOARD OF HEALTH �� � l�l ' ./�6vw�^ � 6 . . . ' ' ^ As� � V ' ` i — \ o � | \ . | / OCCUPANCY.PERMITS REQUIRED FOR NEW DWELLINGS ' | hereby agree to conform to all the Rules and Regulations of the Town of 8onnsto6|e regonJing'the above construction. ! No ._----__, .� Construction Supervisor's License ....... HARRIS, ROBERT qNo ...2 7......... Permit for 2-..Story ........:........ .........Si.ng. ....le Fam.il. X...Dwel.linq............ .. .... .... ....... .. . Location ..Lot„70/,,,,. 32„Old Tol,�,„Rp�d ................Wes.t Barnptab.je...................... r Owner ....... obert. ...Harris. . . .. .. .. .. .... .. ........................... Type of Construction ...r.4.sle......................... ............................................................................... Plot ............................ Lot ................................ April 19, 85 Permit Granted ....................... 19 Date of Inspection .—`: ..........19 Date Completed ...;.A0.........................19 i r. f r c