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HomeMy WebLinkAbout0059 OLD TOLL ROAD cIIII__ 14pECYC(&�.0 UPC 12534 S � No.2 3LOR HASTINGS. PAIN 57 P�pF7xe rti Town of Barnstable xPermit# Expires 6 months fror ue dote °^ Regulatory Services Fee � � IT 3ARN5TABLE, v ,;1, 6. 201D Thomas F. Geiler;Director �AlfD h1A�� To Building Division F 13ARVS1AgLE Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY y, Not Valid without Red X-Press Imprint Map/parcel Number y Property Address ,5Y 44 Tull Mom' s Residential Value of Work yid _ Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address T,66�710. M6,2_01imi ,rim Contractor's Name �{,1 G";>D Telephone Number c9 s�'713 Home Improvement Contractor License#(if applicable) 7,� Construction Supervisor's License# (if applicable) (45 ❑Workman's Compensation Insurance Check one: lt� I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to -Naomi -t ,F1ac.��,�i v>k ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum .44)# of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License is required. 'r The Comrnonwealth ofMassachitsetts Department of Industrial Accidents T) Office of Investigations 600 YYashington Street Boston, MA 02111 rvww.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Let?ibly- Name (Business/Organization/Individual): Address: SGvoD�lL '4J L t1i� City/State/Zip: t Phone #: PX 4(3 �3 Z0 Are you an employer? Check the appropriate box: Type of project(required): � 1. I am a employer with 4. I am a general contractor and I 6 New construction❑ employees(full and/or part-time).* have hired the sub-contractors 2.� am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp. insurance comp.insurance.$ 5. We are a corporation and its 10.❑ Electrical repairs or additions required.] 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions right of exemption per MGL ..._. ._...___ 12. ---Roof.repairs........... . .. ... ..........._ .. . ....---...... .. _,..._-,_...__ _ ...,.. insurance required.]t C. 152, §1(4), and we.�have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#I 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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy# or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Gip: 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 Lip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do her fy under the pains and penalties ofperjury that the information provided above is trite and correct. Siona Ire: Date: ✓��r2' Phone#: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other M. 1 t f I Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for.their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair.work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.' MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,NIGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with no employees other than the - members or partners,are not regiiired to carry workers compensation insurance If an i)✓C of LT P`does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of industrial Accidents, Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to full out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference ntunber. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should-write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may'be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.gov/dia r Q �p�HE Tp� Town of Barnstable Regulatory Services BARNSTABLE. ' Thomas F. Geiler,Director T, MAM 1659. �� Building Division QED µAl A Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 wwtiv,town.b arnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-b230 A Property Owner Must Complete and Sign This Section if Us ing A Builder I Q , as Owner of the subject property hereby authorize A eo to act on my behalf, in all matters relative to work authorized by this building perrnit application for: 710 Gl iZl( (Address of Job) Signature of er Date L��� .. -o J-a- Print Name If Prope Owner is applying for permit please complete the Homeowners License Exemption Form on the.reverse side. Q:F0R1v1S:oWNERPERM 1SS10N Town of Barnstable P�0*THE Tp�� o regulatory Services Thomas F.Geiler,Director MASS �cb i639. `a� Building Division PTfD �a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wtyw.town.barnstable.ma.us Office: 508-862-4038 Fax: -'508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street .village "HOMEOWNER": name home phone 4 work phone it CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she.resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsipilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\YvrPFILES\FORMS\homeexempt.DOC Massachusetts- '�� Board Bell`trrtmcnt of Public of Buildin;z Regulations ; Sat'et�' Construction Su ind Stand,ll'tls License: CS 62822 peNisor License Restricted to: 1G DANIEL C WOOD 196 SCUDDER BAY CIR CENTERVILLE, MA 02632 C'u�nmissioner Expiration: 3/28/2012 _ Tr#: 23359 :ems i� r,��,�cyuv+�. r� _ ..•-_, - ----" ". Board of Builcdtng Re u If o f y a `d *� ^T — - — = '^7 O✓EIiFNI CONTRk T R Lice - it indi-idul use only, RE;(` on 52773 ; Board .. ..�„Jr� t.eo 'd return to: - t d Standards ; Tr# .2.75598 I One Ashb' ? c.i Pla n 13G1 P? r: Bccton,Ma.02:08 ., 'J GRC ip I j. =r DANIEL. WOOD rr � F P 38 EVELYN ( i n CIRCLE . 4 :I " �(ENTERVILLE MA 2632i"`� Administrator Not ✓a4d riir outa�gnatura "-�--�---.ems_ TOWN OF BARNSTABLE ' ` 21256 Permit No. �_ Y. Building Inspector 1 •Inn a Cash _ ♦��oe Y' OCCUPANCY PERMIT Bond _ X ��O No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Ellen & Richard Moran Address l ni- A7A rQ 01 ri Tnl 1 PnnA We.-v4 Wiring Inspector Inspection date � � Plumbing Inspector f�� S� Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. lb 7 �U _.........._.. ? .........._...._..._, 19 .....................�•GBuilding�Inspector �� i � � ._ ayax -c,r ,:,�+ �"� ram¢. �r r-�rr�ur�:.�r�-t, ,- --.;�,r ,:.a �fr«t T� ,,.t � -••- v r..., __ ..,11�� r( l � � �J � • r ply + _ �- c� �•"'�[yJ�L.''P4.:'``�d.+-,, „� ._ I nk �r ___..s i-,, YF•`_-_ ?F. _ _ . 1..7 ' r �� �V'"fy1^���✓fit;I'rQ � l ,��"l�t �3:V:_,r*. . 1= ~� �� ,r�h,�'� .� to!' �, tJ,;'Ty'�J.1 r Cj 'lam• 'X,• .• � -- ' -- '.� ' fj tar 64— IQWyc + IP A•�f� II t � /' I14. Ir,lr�✓� YW �G�S(✓5 �' y('• •'7 Y• �...:. _ • TAN�C .f /'r.•'v fir►. � Z� ::� .o-.- �3"" - '( r-7 � +t.4: OF A�AN P1T. �• �` � �' 1 ��' r,PIT Y I j SI{�a f, EtaG 2' of 3l� 'rD t /Z 'T'�'SYG: I -(bh`r''.� �4L,Pg,"r{,�'D WEEK 4F VvfS P!3� >Ta;:5_ rVP- �W 'r}i,►,-(' T FG r�tp�"�'lDt� is IN Tip E� ��[7 7A6 *OWA Nip 7tt>�i IT 'ray" � Asy!ssorTmap and lot number ...........:./ ,1 .. ........-- i "'t1 �FTHEtO Sewage Permit number .... SYSTEM MUST k �o`` 110� WITH ARTICLE 11 ST COMPLIANCE : BAUSTA►DLE, : INSTALLED IN COMP House number ................. ................................................... ATE ro . MAO& SANITARY'CODE AND TOV�t� �0�pY TOWN OF BARNFRIPA LE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .�.1 (1... �..I I. GIB ...... ...................................... �. TYPE OF CONSTRUCTION r 1�1�e\I.a .5. . ........ ...................................................................:................... ..�?� ............19 ... TO THE INSPECTOR OF BUILDINGS: The and LC ed�hereby applies for a permit according to the following information: L ca ion 716 ......C .1.c ..... ..1. ......: .............V,1....... ...c. .. . . ...:�.KO-5 ..�................. ProposedUse .Dwe,.(A.. .. . ......................................................................................................................................... ZoningDistrict ........................................................................Fire District .......:...................................................................... Name.of Owner I��.(�. .�ti.l. !.1(X .... R.CAQ.nAddress Q. ...... ....... C ��.... �p►��1 Name of Builder �na�lr�s-. - . .� �addressUb:t4�Ln.�yA►.5 !�lP. � �.SV�?. I��4Q. Name of Architect Da1.. IQ. ..:t o�1t,�V.�+ ddress ...................... $S..... � J 4' � �� ............��............. ..® Number of Rooms .��.... � .��, .4�.���)....Foundation .\.0.u,c.eA..................................................... Exierior W.00a.�f ....CeOC...SW.W.+r(,,tS....Roofing ....a-:5-P-K0*......................................................... FloorsoZ.%..................:..................................................Interior .................................................................................... Heatingail......:................................................................Plumbing .................................................................................. Fireplace .0k.oa.......:S . e...........................................Approximate Cost ...... . .Q.t............................... . ...... Definitive Plan Approved by Planning Board -----------___-___-----------19 . Area ....� /.. 15 Diagram of Lot and Building with Dimensions Fee .............................. :ee.... SUBJECT TO APPROVAL OF BOARD OF HEALTH �I qo 3 � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �j Name .. ..... .a�/. -..... j F Moran, Ellen & Richard %XA ...21256... Permit for ......1-1/.2..story...... .... .single..fami.l. ..dwel ling..................... Location ............59-01d-Tol.l..Road................ ...........................Nest...Barn&tab-la.................. Owner ............Alen &..R.i.chard-Moran....... frame Type,of Construction ................. ........................ .................................................................... Plot ............................ Lot ..............#76,.......... Permit Granted ....May.I............ Date of Inspection .. :19 .... ................. Date Completed �21 .............19 3•-2.1—,d - a ;,,PLRM1T REFUSED ...... w. .:. -4.. ............. ... 19 a�� -1 ; - r� rn G. } . ... .`.'................................................... ..... ....................:...................... . .. .R ...................................................... Approved ................................................ 19 ............................................................................... ............................................................................... • NDER: Complete items 1 and 2 when additional services are desired, and complete items ' and 4. Put r address in the"RETURN TO" Space on the reverse side. Failure to do this will prevent this card from b`e`7g returned to you.The return recei t fee will rovide ou the name of the erson delivered to and the da Hof deliver . For ad itiona ees t e oIlowing services are available. onsult postmaster for fees and checkbox(es) or additional service(s) requested. 1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery (Extra charge) (Extra charge) 3. Article Addressed to: 4. Article Number P 650 798 006 Mr. Richard Moran T of Service: yregistered ❑ Insured P. 0. BOX 204 ❑ Certified ❑ COD West BArnstable, MA 02668 ❑ Express Mail ❑ Return Receipt for Merchandise Always obtain signature of addressee or agent and DATE DELIVERED. 5. Signature — Addressee 8. Addressee's Address (ONLY if Z" requested and fee paid) I;; S' a r — AgrAt 1 X 7. ate —of—Deli—very 4 PS Form 3811, Apr. 1989 *U. .G.P.O.1989-238-815 DOMESTIC RETURN RECEIPT UNITED STATES POSTLSEI Q SAVE OFFICIAL BUSINESS � P M o j11 N YOUR V1 t0 SENDER INSTRUCTIONS = R d ,y,c Print your name,address and ZIP e 9 g2 YY C P in the space below. • Complete items 1,2,3,and 4 on the U.S.MAIL reverse. U • Attach to front of article if space permits, otherwise affix to back of article. PENALTY FOR PRIVATE • Endorse article "Return Receipt USE, $300 Requested"adjacent to number. RETURN Print Sender's name, address, and ZIP Code in the space below. TO Mr. Joseph DaLuz, Building Commissioner TOWN OF BARNSTABLE 367 Main Street :D Hyannis, MA 02601 I 650 798 006 Certified Mail Receipt No Insurance Coverage Provided Do not use for International Mail UNITED STATES (See Reverse) coVr sE-v Sent to Mr. Richard Moran Street&No. P. 0. Box 204 P.O.,State&ZIP Code West Barnstable, MA 02568 Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee I o Return Receipt Showing pt to Whom&Date Delivered m Return Receipt Showing to Whom, Date,&Address of Delivery TOTAL Postage p &Fees Co Postmark or Date co E ti fn a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). " 1.If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier(no extra charge). a� 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the returrt R address of the article,date,detach and retain the receipt,and mail the article. 0 3.If you want a return receipt,write the certified mail number and your name and address on a rn, return receipt card,Form 3811,and attach it to the front of the article by means of the gumm+r ends if space permits.Otherwise,affix to the back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. —� 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee, p endorse RESTRICTED DELIVERY on the front of the article. 00 Cl? 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If E return receipt is requested,check the applicable blocks in item 1 of Form 3811. Ui 6.Save this receipt and present it if you make inquiry. *u.s.G.aG.1990-270-153 .� " A=109 072 The Town of Barnstable ,A, 9 Inspection Department 66 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D.DaLuz Building Commissioner April 23, 1992 i Mr. Richard Moran P. 0. Box 204 r West Barnstable, MA, 02668 RE: A=109 .072 59 Old°=Toll Road, West Barnst-al5f �e Dear Mr. Moran: This office is in receipt of a complaint alleging that you are operating a business from your property located at 59 Old Toll Road, West Barnstable. Please contact this office immediately re the above matter. Peace, J eph D. D uz uilding Co issioner JDD/gr Certified mail: P 650 798 006 R.R.R. ,;, • N \^{gyp\�/\^/y' Al `\� i L i C JFRI09 072. J LOCJ0059 OLD TOLL ROAD CTYJ05 TDSJ 500 W3 KEY] 53649 ----MAILING ADDRESS------- PCA120I3 PCSJ00 YRJ00 PARENT] 0 MORAN, RICHARD K MAPJ AREAJ85AB JVJ MTGJ20I2 MORAN, ELLEN MARKO SPIJ SP2] .. SP31 BOX 204 UTI J UT2] .83 SQ FT] I568 V BARNSTABLE MA 02669 AYLJI979 EYU]I.979 OLS]. CONSTJ 0000 LAND 4I500 IMP 88000 OTHER I3200 ----LEGAL DESCRIPTION---- TRUE MKT I42700 ' REA CLASSIFIED` #LAND I 4I ,500 ASD LND- 4I500 ASD IMP 88000 ASD OTH I3200 #LLDG(S)-CARD-I I 38,000 DESCRIPTION TAX YR CURRENT EXEMPT .TAXABLE #OTHER FEATURE I 13,200 TAX EXEMPT #P 59 OLD TOLL RD RESIDENT'L I42700 142700 I42700 D LOT 76 OPEN SPACE ERR 1176 0I60 COMMERCIAL ` INDUSTRIAL EXEMPTIONS SALE100/00 PRICE] ORLJ2826126I AFDJ LAST ACTIVITY]0212219I__ PCRJY r TOWN OF BARNSTABLE A. BUILDING DEPARTMENT COMPLAINT/INQUIRY REPORT Date a Rec d B Assessor's No Last Name Gl/ — First Name ORIGINATOR Street Village State Zip Telephone: Home Work Description: _ COMPLAINT INQUIRY �� Requestor's Signature COMPLAINT Street Address w LOCATION , ' OFFICE USE ONLY INSPECTOR'S Date Inspector ACTION/ COMMENTS FOLLOW-UP GGr� n ACTION ADDITIONAL INFO. ATTACHED COPY DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW - INSPECTOR PINK - INSPECTOR (RETURN TO OFFICE MGR. ) MI$Cl Q� Assessor's office(1st Floor): � T Assessor's map and lot number tME bQ�O Board Health(3rd floor): Sewage Permit number � L ,�✓ � Z D�Ss9?r1DLL Engineering Department(3rd floor): House number d�f°j;� `. ��� a' j oo i6y-9. Definitive Plan Approved by Planning Board 19 ' 1 �D��Y 6 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR ,�/� APPLICATION FOR PERMIT TO '`err �<o -' f�° C!bJ,t c [94 / o "Q /1 M-e TYPE OF CONSTRUCTION 19 i I � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location i�� 0 o i `y n 7— 7/� �>l CT�3 /I IA Proposed Use Zoning District Fire District Name of Ownert,r s, P.4 C V-11 Address S�✓ Old T-)r; X(� . Name of Builder �d,�w,�,: ':*"=�i� Address k' 3' �lfe �� <i� ; ��i. /%�E?° c ���d✓, -il Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing > U Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Feel OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Q Construction Supervisor's License \,J i MORAN, RICHARD & ELLEN r �� A=109-072 BUILD SWIMMING �I No 34442 Permit For POOL Accessory to dwelling Location 59 Old Toll Road West Barnstable Owner Richard & Ellen Moran Type of Construction Steel & Vinyl I Plot Lot ' Permit Granted July 9 19 9 7_ Date of Inspection 19 Date Completed 19 : 4, i PERMIT COMPLETED 1/1/ �� 1S�Assessor's,map .and lot number .,...� .. . .... ... ./.. %THE T wage-, P,ermit number- /U.-........... ......................:... ..... ..... Z BAHB9TODLB, i Housenumber .......................:.....................,.......................... t. *oo rb 9• oho war a TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......: . ................................ ........... ....................... .............> ...................... TYPE OF,CONSTRUCTION .......... ::..... �� ..�� �...�,:, `. ................ TO THE INSPECTOR OF BUILDINGS: C� The undersigned hereby applies for a permit according to the following information: �- / Location .........�4,J.........c �l .. .,1 ........ .............. <.... !✓!1� .� ✓?. J�...................... ProposedUse ........ ...3.6 .................................................................................................... Zoning District ............/T� ..................................................Fire District ............................................. Name of Owner .�.!�.a...r..�!.—�(�..,YY�( a'! .........Address ...54 ..*.....t.......................... e•r........... Nameof Builder �l /...................................................................Address ..............................i..................................c..�............ Name of Architect ...........Address ......��.�.�......... �.�!:..� Number of Rooms ..............................................:....... Foundation CP' '� .? �t. ��!Y�' '�r�':y ........... ¢ .... ..,... Exterior ......s/4.. n..... e.-4..... �, v ........ � �t �t.:.. �� .Roofing .........�-�5.�1�_.�.......5.� ( .. . .. Floors5 .............................s................... Interior _ ..................,. Heating ........� /. ........... ..,r< L<�. ............... Plumbing .............�� �!�-�............ ..... ...................................... 1 f 44i� Fireplace- .. ..1 .,`,.. ��,,.. ......-....... ...14CA........Approximate. Cost ........ ��... �............... ........... Definitive Plan Approved�y Planning Board ______________________._______19________, Area / .................. ...... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 a e OCCUPANCY PERMITS REQUIRED FOR NEW DWELRLINGS Ilhereby agree to conform to all the Rules and Regulations of the Town`of Barnstable regarding the above construction. \� Name v.. �-a�.� .. . . �. � ........ Construction Supervisor's License ... -'!....`..... .. ......... MORAN, RICHARD K. A=109- No ....26779 Permit for ...Acc6.s.so.ry...t2....... ........ . .... . ........................................... Location ....59..O.1..d..Toll....Road......................... West Barnstable .......................................................... Owner .........Richard...K..............Mo...Moran. ....................... .. . Type of Construction ......Frame......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .............. ........1984 Date of Inspection ..............................I......19 Date Completed .......................................19 S-0 Assessor's map and lot number ........:...., !.... yO%THE Sewage Permit number �' ...................... BA"STODLE, i House number .......... :.`................ r roes 639. RFD MO a' TOWN OF 'BARNSTABLE 1 6•UlINDING INSPECTOR APPLICATION FOR PERMIT TO r1JA ,.c\...:�...R�.�:.��..c .�......no...f..an....................................... TYPE OF CONSTRUCTION ..:. 1 .?P:���..n�<I�..........................................................: .............. 71 ............,9 . . TO THE INSPECTOR OF BUILDINGS: The undersigned�he eby,a�ypplies for a permit according to the following information:` Locafion-"I:.,-!V, .........r.�C .... �r?. . ........ .�f.............1��.�.....�! .�...C..!n...��)71? l p..... .to `, ........ r ' ProposedUse .61)P .... ..1.. .r�.......................................................................................................................................... ZoningDistrict ........................................................................Fire District ......................:........................................................ Name of Owner.)�P ..I�...KX.\ ._.(-./A.... ,f.,?.(. .(1Address .:,.r? ?. .. �.�+.�.......TcCT(X./aP'�� -!. .........�`�� ,... .,.�-(n..�u ....`.F�,�j...Address <n ?�nl Name of Builder, nn. �R �� P Name of Architectn. .(Q,d �� 'I. �;+��r.�.!!V.QnLlddress ................................................ �CQI�.r�.hcvSP�� J /' CP T n c0 Number of,Rooms ......... >• i ..... ...�a......,......Foundation .�.�.. ., f 1 'o.,�...o...... .................................................... Exterior !Jt ,.t;?.A.1�"! ..a.h.� . .�'....5�1 ` �!e.S....Roofing .... .5(.(� ./l�t� ........................................:................ Floors .... .........................................................................Interior .................................................................................... Heating .t:.�..:. :...... ...:.,...:::........:...:.............: .Plumbing ...... ::..:.................. . Fireplace ..............................................Approximate Cost ..... ..... Definitive Plan Approved by Planning Board ______________________ ;......., -------�9--------. Area i ......... ...................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH q I hereby agree torconform to all ithe Rules and Regulations of the Town of Barnstable regarding the above construction. il .� ' Moran; Elden & l� ch d A=109-72 No .......21Z56 Permit,for .......�...�.�z..S. Qxy.... ...........6 imee..family... we l ling.................... Location ...............5.9..O1d..To11.Road............. ..............................West..Barnsl able................ Owner ......El-len..&.Richard.Moran............. Type of Construction frame Plot ..................... t .......... #7.. ......... Permit Granted ...........:......�y..................19 79 Date of Inspection ............ ................I.......19 Date. Completed .......19 PE IT REFUSED .... ... ..... ......... ...... 19 .... . ...... .. ... .�... ... ................................. .................:............................................................. ............................................................................... Approved ................................................ 19 OF rows Town of Barnstable, Massachusetts Department of Planning-and Development 7 a 0 Office of the Old King's Highway Historic District 1639. 0 $'TEo MAC A` 367 Main Street, Hyannis, Massachusetts 02601 (508) 775-1120 ext. 160 OKH Applicar�ts . Enclosed is the Action notice for ycur application which was acted upon by the Old King's Highway Historic District Committee. An idential 'mailing has been sent to your agent or contractor if applicable. You must wait the ten '(10) day appeal period before applying for your Building Permit from the Building Commissioner's Office. The appeal period begins the day notice of the Decision has been submitted to the Town Clerk's Office and, in this case, it is necessary to add an extra day due to the fact that the last day of the appeal period falls on a Sunday. Therefore, the first day you may apply for your permit is JULY 9 199 1 From 'that day on, you may obtain two (2) ' sets of your approved application package from this office. It will be required of you to supply one (1) complete package to the Building Commissioner's Office for their use when applving for your permit. The second package will be for your use on the job site. It is required by law that a complete set of approved plans be posted at the work site while the work is in progress. If you should have any questions, please do not hesitate to call `.Patty Mackey at 508/790 '6285. < J. Application to 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: 1. Exterior Building Construction: ❑ New Building [] Addition ❑ Alteration n Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other f'ao/ 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 DATE ADDRESS OF PROPOSED WORK L2 1CJ1 ASSESSORS MAP NO. 0 2 46- OWNER l f I(Ql— O'l0-- � ASSESSORS LOT NO. HOME ADDRESS TEL. NO. ?(z,Z FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Includ name of adj e t pro'perjy o ers acr �Isano�)(Attach ddi i �Isheet 'f necessary). 5� �jl Bll� GC/ e u 4�.i —r�421 114 4! AGENT OR CONTRACTOR &�.ePle ,ls TEL. NO. !W4-5373 ADDRESS 6To1� 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). Cdo,c ez a Y,4.7 �a� /.�9 ��P• �P�ce 6e✓c�.�e.� �o i�,rers- ,va r- � ej'c P�O s Signed O r=Contractor-A nt L� Space below line for Committee use. Received by H.D.C. Q Date The C cate is hereby e--- ' Date I � EG Time I By KNG'S 6j1 d d�D Approved IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ j = Form OLD KING'S HIGHWAY HISTORIC DISTRICT S p e c She e t Foundation Type Siding Type Chimney Type Color Roof Material Color Pitch Windows Size Trim Color Doors Color Shutters Gutters Deck BeersSe 7/LKL/- �N/GH Color, �tf�i.Ec Notes: Fill out-completely, including measurements and materials/colors to be used. ' Three copies of this form are required for su.bmittal of an application, along with three copies each of the plot plan; landscape plan and elevation R = CEIVARM, when applicable. . *Plot plan need not be "Certified", but should show all structures on the lot JUN 1 1 1991 scale. OLD WINGS% H2"HMAY • � :. S 9 old To lt2c( i IrATCk sip.�„� bad•d; sal{ rock�n� . 362-qSB� • .lea.'; �. __.... — RECEIVE ® JUIV OLD KING'S'HIGH..�AY F^t,.ncc Pes`I5 ; qx /�ressurc TrvzR� �oe� FIZAIG#., p 59 11 TZc.( eye 36z-gsel S�a"�.S : V8 Y 3 's'kV�ic�'�Z, Lc fT (Wj cm orlso��w� Svr��Tf ; 2-" q" 40 u U ---j t a L__j 1- -.4 0 IL Y• 1..t. j, }' :.i�'i !.) '� is , +' ! r I(gyp. O D �•,:LiS'Tlr'� �. �Y`O'�� " O 261 ♦4 If .• pck4A4rT=*4-r-2 MASS Wlac-� G1�1 J LOY 7t�• G�� Tl7 L L RGt� i „ • fir• ,4t : „ r. - 76 "QQ ..• 'C" N .9 6 1*79 vWL -7 Y , o A .,�5{6N 17�PzT ' ..� - Ft,• -� fir: s - ,c {I� ?' 6 ��• <` :. �9L•O V G TPNIC - -4a- = -,gI7 s 3?� f I.ri ' G•,+ X . PIT ' PIT-T- aa PPVF4L P h- �'1 �' c+'Y. ''- t�: +1 } L OF i fONi�- :�� �-- _ : -� � . c��GIT`( - T� ICJ X 1c x 2•�% = �B� Cot F�- � L. I s soy IN w 4On;A. err Ir 4f Moe rb s4 �.. �E,o _.. . - _ • _____ - �•• ears T �� 9a,-r5 jr;t►� yy,oo Z - i; - - :�. . _.... � �►+•�• Plef�G•�� FriF�N. i'�NE T bm. PIT. r-c-• d� _ J 6 rC Tt _ Y k STO �tT �S 10 W� 2 NO 44AMRet 1 1 � W 2� 3 rL �I�• .► 14 �. ---_- OR ; P,�ausmE� 1 •G T�{r►-r . 'tiffK -f10 I9NNi �, r' ' a1NC7ioWr� 7 'f IT41 OPP- Of 7tf� 'fvWN N6 �►�- H4Nt * 'u l�/' �'. �3 '' `mac, i979 t � i kcr'f 16617rmno A N . . . .... ... b gel V11 - o o 0 �o ooaocoC�LroG00d OQ'3�DOb 57a+ac Wald -r _ . nOH _ A !0 8 26'-10 1/8" -O 4'R.FOR ACTUAL POOL D- _ A6� D l raLOCAT/0N `% /24--0' tety Line /'_O" Ct 6'R.FOR WORK AREA ,, € wa cave + � u•!`� �AAora b - - - b o Digging Layout t.��..� Cc Co o NSPI2 4R.TY O TYPE II DIMENSIONAL 20'713 , SPECIFICATIONS AS APPLIED TO =z,.. ° B,-D" 1 14 O� 6 O WEATHERKING POOLS ?' a v•Aw °' 32 D' 1. Overhang of diving board from edge o,cay� of pool is 2'-8 7/8" (_3 inches). PLAN LAYOUT i 2. Water depth under tip of diving board is a minimum of 72" at Point"A". ,,,.��/ ?ra+���►� 3. Maximum board length is 8' -0". 2' -8 7/8" (- 3") Overhang Distance 4. Maximum board height over water is ANULO V.FERMI 999 20 inches. r/ I 20" Maximum Height Above Water 5. Diving board must be centered in width of � L/10a �� d •s pool. —� I Minimum Water Level 6. Refer to manufacturers'specifications Safety Line ---_- — 4" Below Top Of Liner for fulcrum locations. 7. Safety lines must be mechanically at- Point "A". QD tached on one side supported by ; Undisturbed Earth See Note 2 buoys. 8. A step or ladder or other approved Vinyl Liner Over means shall be provided at both the 2" Compacted Sand1 shallow and deep ends. _ LONGITUDINAL SEC TIONA-A" FOLLOW ALL APPLICABLE SAFETY AND2. BUILDING CODES, AS WELL AS INSTALLA= TION INSTRUCTIONS .FOR THE POOL LEGEND AND ALL EQUIPMENT AND ACCESSORIES. wR WL WR WL CAUTION: DIVE FROM DIVING BOARD ONLY. o A-Frame Ass'y r /e` z' WEATHERKING�:PR`OD... .TS, INC. Mid-Panel Support Ass'y wL wR wL wR f ,. sHaNOLt DIVING tR® EAST GREENWICH: `'R.I. rc r•• o,••.w rtwur,.•.•An. .. DRAWN:R.E.L. APP: J.P.P. NOTE: SAFETY SIGN SHOULD BE 16x32x8 4RTI1 85 POSTED WHERE IT CAN BE SEEN DATE: 12_84 E RADIUS RECTANGLE Holiday Coping Layout BY ALL POOL USERS. f ADM 34 L COMMONWEALTH OF MASSACHUSETTS LIC NO:F(Rev) { DEPARTMENT OF PUBLIC SAFETY RENEWAL C S 042:8:3 s 1010 COMMONWEALTH AVE.,BOSTON,MASS.02215 EXPIRATION DATE: CAUTION t112/28/ 1'?92 `FOR PROTECTION L 11_ENSE AGAINST THEFT,PUT RIGHT THUMB PRINT WARREN F SCHERER IN APPROPRIATE BOX �2 4 MARINER CIRCLE ON LICENSE. I OTL I I T' MA 02625 BLASTING OPERA- TORS MUST INCLUDE PHOTO. ANSWER ALL QUESTIONS AND READ NOTICE ON BACK OF THIS CARD. t � 1 FORM ADM-M_LROvJ6-DaZODM t77987 Warren F. Scherer _ TYPE OF LICENSE: C:ONI.;T R. SLIP ER V I_l_Ih Print Iasi name LICENSE N certify under the penalties of perjury that to the best of my knowledge aqd belief I have filed all state tax returns and paid all state taxes required under law. 8/22/90J I lRdLl ]� 9dA Date Signature of Applicant NOTE: LICENSE WILONOT BE ISSUED UNLESS THIS'ATTESTATION HAS BEEN COMPLETED AND SIGNED BY THE APPLICANT.(Authority:C.62C,S.49L.MGL,as amended by Chapter 233,Acts of 1983): COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY 1010 COMMONWEALTH AVE. OF� MASSACHUSETTS BOSTON,MASS.02215 1 ENCLOSE CHECK OR MONEY ORDER L I C:ENSE EXPIRATION DATE`/28/1992 CONSTR. '_:I IF'ERV I_i iR FOR REQUIRED FEE, 8 MADE PAYABLE TO RESTRICTIONS 5 EFFECTIVE DATE LIC NO. 6 NONE I � 02/26/1990 04'218,38 "COMMISSIONER OF PUBLIC SAFETY" : (DO NOT SEND CASH). WARREN F '=:1=HERE • 4 MARINER I I RI_LE gHNO.[ F,ir ONLY) FEE: I_C ITT I I T MA (126 5 100. 00 HEIGHT: I NOT VALID UNTIL SIGNED 8V LICENSEE AND OFFICIALLY STAMPED On SIGNAT F. OF THE COMMISSIONER THIS DOCUMENT U51 BE,• SIGNATURE OF LICENSEE « SIGN NAME IN FULL-ABOVE SIGNATURE LINE fuA CARRIED,Q� E PE SON OF; THE HOLRR�'ENOAT-' 0 ,V"T ED IN .TNI$_..00dUPATION. COMMISSIONER .if'2ppM.Z- i N -27- 4-9-09 V1 faryJliiQ 'pl5i'�f�1. �`1Gl�lu� 9�as�l �, NY F6N�(L N �j�6TNpWl4f - Ak1�s MN%94 1*79 %NL -751g Pl 44 4�. A '+ + tCR� 1`/2 oo;1451 t1v 604, vt I+ems si5(�L�• 4-1 4 2 OFCot r-- fON� JV -�'�;�.�. - �,.�•►- M 'fb i� Corsix-tGT�� ski CT !�-('i� `1`� +�•t is Ins sp' ►N A=Po �At•� w �asr+t,�. err IaK.6it• • �•Q - io ,,�-� // Su sot V �=�•:!�'' 1 may_-:— �{� .;� �/�/� y�� � �#�'�K• ' � '- ..- - - ---ANY• rL. COW• 02.919 J 9a•o �T•• ga,yc� .. -�H =-h,.'-- ""` � � � �FOP �►� N OF ►�W UT1R• dwp, 'our' L.M. �. Der. PIT. W,. _.i. r1!Of 3/ To 04. 046 No 40MRIC - _ �� ,. .__-_-•- u`�i61C W1+6'�i>�FB/d7cNi✓ � 'fbP• �Z.D . . 'Go D p�FJI �eoNes s�W> f� -s`1STr - �lL• � t �lc�1M OPT ; P�+1�1Ei••D '�"R'( -� fwtKpa"�lOh{ !6 . tN 'Tf>F6 NC7 �ffoWN >�d°4h '1tf�? IT 4 Cb+*;qCAS To IVA R20ii-ri -4pE I l•Na Z >��+t ;� _1�NT� OF *W- 'rvW F -• f �j . Assessor's office(1 st Floor): Assessor's map and lot number Ci 'S`Y�� Board of Health(3rd floor): NS Sewage Permit number /�3 t� „v � Engineering Department(3rd fl r): C Y�1l1� t House number /D J— �oZ `� / Ra �A� � • Definitive Plan.Approved by Planning Board AA ����� ( i APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNS ABfER C V E D . bid Con�orvation Comm,,,,,,,Comm,,,,,,,6 U I L D I N G INSPECT ..�. � APPLICATION FOR.PERMIT TO TYPE OF CONSTRUCTION $Tce./zV,411.,4t& U/ac// /i.coe', e / 19 q I t , TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �a ©1 eQ To►! R u_ L.or Proposed Use Zoning District Fire District al"..ST &,Is,f,,here Name of Owner".&3' Olet/ dog4a Address .9 Old 73/1 A). Name of Builder Address r-,Pl' GUiIC1 - / des —d-24 d,4 h Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior r Heating Plumbing Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee ©� --------------- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's Licensee a 42 8 3 8 MORAN, RICHARD & ELLEN BUILD SWIMMING ' No 34442 Permit For POOL Accessory to dwelling Location -59 ;Old Toll Road West Barnstable Owner Richard & Ellen Moran Type of Construction Steel & Vinyl Plot Lot Permit Granted July 9 19 91 Date of Inspection._� �l 19 Date Completed 19 ��. es Fy Pt J * -Z)ZY e • �. i ' � Engineering Dept:"(3rd'floor) Map to CJ Parcel �7�� Permit# House#° ' Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:36) SC Conservation Office(4th floor)(8:30-9:30/1:00-2:00) p (7 Z ool Admin. Bldg.) t d HE ng Board 19 0. a YG TOWN OF BARNSTABLE r® ' °�` F` �L A © I v tl i F,. AND Building Permit Application �'`r` '�S Project Street Address 5 of Q (d /P Village r w ce i-►'1 c Owner - ' FM Address Z 0 . W Telephone So& -S Permit Request CJ y : 9 First Floor (� p}6 square feet Second Floor square feet Construction Type -X( S ck- •^m w o-- Estimated Project Cost $ 3 5 O O Q Zoning District Flood Plain Water Protection Lot Size . $� �36, i ZZs' Grandfathered ❑Yes ❑No Dwelling Type: Single Family I/j Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes O No On Old King's Highway ❑Yes UNo Basement Type: Full ❑Crawl a Walkout ❑Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) Op Number of Baths: Full: Existing�_ New Half: Existing New '3A 7W a- 5"WLL TO �'fG�ST v z I No. of Bedrooms: Existing ;I- New Total Room Count(not including baths): Existing (o New 2- First Floor Room Count —14 Heat Type and Fuel: ❑Gas ®Oil ❑Electric ❑Other Central Air ❑Yes (dNo Fireplaces: Existing New -- Existing wood/coal stove ®Yes ❑No Garage: ❑Detached(size) Other Detached Structures: 21Pool(size) 3 ZX /6 @(Attached(size) .2,WXIlp &Barn(size) I-J�o X 30 ❑None p Shed(size) $x Z ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes, site plan review# Current Use WP W,7,e- Proposed Use �Q� � �_ Builder Information z Name �Ut�, 6-�a•� Telephone Number Address 5a d5 144, TO License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESU ING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE AO Lf-- U�-I$♦LADING PERMIT DENIED FAR THE FOLLOWING REASON(S) 4 , - FOR OFFICIAL USE ONLY _ i 'PERMIT NO. DATE ISSUED . MAP/PARCEL NO. - ADDRESS VILLAGE ; OWNER + a_ 1 DATE OF INSPECTION: 1 i FOUNDATION FRAME ' INSULATION FIREPLACE - . ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH; ,FINAL GAS: -ROUGH FINAL , FINAL BUILDING DATE CLOSED OUT • ASSOCIATION PLAN,NC Q 1 tt The Town of Barnstable Department of Health Safety and Environmental Services' '°r�,r, ► , Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission: i For office use only Perink no.' Date ' AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION f MGL a 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work:— �1`d�'.��y /1 Est. Cost 3 S &V—C) / Address of Work: AA Owner's Name j\ 'I Cl�1af�'�/ ate of Permit Application: T?/f 7 I hereby certify that: Registration is not required for the following reason(s): r Work excluded by law Job under S1,000. Building not owner-occupied —Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. / Registration No. Date OR The Cotlltrrl n ivetrllh of.1 fassac husetts -•-. 1:_ Dcpartnturt of ludrrstrial.4ccidcnts t :!� . . �- ;;,, �• �, 011iceal/nvest/gat/nns 600 Washing tort Street 4, t .-•:'� Bt).vwn. Mass. 02111 Workers' Compensation Insurance AMdavit Y li 'in in rtn i - ._.. .. rl- P -E•. --.--.,.-•.�•-------.�.._... •....._...�.— ------ --- - name• /G�/�l^r� /!"I Man �c.t• (2d 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity [] I am an employer providing workers' compensation for my employees working on this job. conutany n•tme* address• cite: Ithnne tt• insurance en. pniiev# [� I am a sole proprietor, seneral contractor, o tomeowper ircleOtte) and have hired the contractors listed below who have the following workers'/compensation polices: comnanc nitne, C h L� n I L (20r)STt-Uc,)Z of'I �F/L��ll.c)C 37 0 b cit... {�Q oo F, M Q Z S �j phone#: S�� S/0 1 incur-incc ro 1 T7 0i9-Q.T7=0 nnliev# 9 F' C c 7SR07 cmmnnm• nnmc• add resc: cite: Rhone#: incurnnee co poiic�•# _ _ Attach additional sheet if necessa �•.� :%^ Failure to secure coverage as required under Section_5A of IUGL 152 can lead to the imposition of criminal penalties of a line up to S1.500.00 andiur une scars' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that n copy of this statement mac be forwarded to the OfGcc of Investigations of the DIA for coverage verification. 1 do herehr ccnijt rut Cr th•pains id penalties of perjury that the information provided above is true and correct. v Signature /P/!�— Date Print name 4L Gr.( Phone* ( b 3 b Z—S S 9 ' nfTiciat use on do not write in this area to be completed by sin or town otTiciai ` city or town: permit/license# r'tlluilding Department (]Licensing Huard [ 0 check if immediate response is required (]Scieetmen•s Offtcc f (]Health Department contact person: p hone#: rjOthcr . Information and Instructions MaSS.16USGtS General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the employees. As quoted from the -law-. an emplt ree is defined as every person in the service of anu(lier under any contract of hire, express or implied. oral or written. An enrpinrer is defined as an individual. partnership, association. corporation or other legal entity. or anv two or mo; the foregoing enuaged in a joint enterprise, and including the legal representatives of a deceased emplover. or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However Th owner of a dwelling house haying not more than three apartments and who resides therein, or the occupant of the dwc1ling house of another who employs persons to do maintenance , construction or repair work on such dwelling_ ltc or oft the `:rounds or buildingg appurtenant thereto shall not because of such employment be deemed to be an employe MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew.11 of a license or permit to operate a business or to construct buildings in the commoni% th for an applicant ivho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the perforniance of public work until acceptable evidence of compliance with the insurance requirements of this cltapte: been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying_ company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are require-- to obtain a workers* compensation policy, please call the Department at the number listed below. City or ,towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom c the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pie be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questio. please do not hesitate togive us a call. The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 -% 7,Y,7_aonn ^%.+ sn6_ 409 or 375 • TOWN OF BARNSTABLE . . BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Pease print. ,. •- DATE_ JOB LOCATION Number Street address Section of town "HOMEOWNER" Name Home phone Work phone - - PRESENT MAILING ADDRESS Zi d City town State Zip code The current exemption for "homeowners" was extended to include owner-occupies dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Offic_ on a form acceptable to the Building Official, that he/she shall be resnonsi� for all such work performed under the buildinq permit. (Section 109.1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the St Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will compl with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35 , 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors).; provided that if . Home Owner engages a person(s) ;for hire to do such work; that such' Home Ovine: shall act as supervisor. " t Many_:Hcme Owners. who use this- exemption-are unaware that`• they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for . licensing Construction' Supervisors, Section 2. 15) . This lack of awarene: often results in serious problems, particularly when the,Home Owner hires unlicensed 'persons. ' In 'thi's 'case -our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "Owner' act4r. as supervisor is ultimately responsible. . To ensure that the Home Owner is fully aware of his/her responsibilities, ma.- communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. N -27- 49-09 41 farYd�& 'pfmsN,, O*JVIAX vpwt4 Mm Iro. oo ;G:N K• N��Pt�4 owr+vFz MARS . CH vt� MASS - � l-QT � 7G► G� "�LL F�A�`t� u , 76 ' •�l.� V•t.-.bN66 � t�� • 't p ,,- N UJ 6 ,�n,�+ar+� t�70 �f FZ••�;.'{ t�f� : i � r I n c 5Zl• G c�. Je PIT- MW P is _ p, rl - tK.. (o Y_ _ OF IVTONE�- 2.15 ''�� - _ TOLL .� �r:.o rs��rM -tb C• C�nsIGT� s,►� -I > .r -+s I"s �o� ►H iP w cou►tJk. � N _�r:%Jrti�*�;Y sfrpcot t:AOr. Oft• ,. arc . . •____� ' ,M;• �.IN4,. s 2..E7 . �-.: e }'... - - yc+p{• bra f G�� - - - ici{1eD •}� IooD" INN. Ta hr.�-`� � 11,tV Vic.. �• �.sa J• 9z•o � P pG 6 FrtEW. lr4NE Tc ;7q:: . OF tom.- tepo >~ M P1T V d► E� oi re, rr? 8 TO 1' W �► `1AI �acrND t '1' �z.o ��., � c 11AA� W�'at'.�FB�IdTatE d tbP rzo w+i-tRc OP 27 1 G 7t 1%4%T . 'tiff FWApA,?loti M. im ?tfNT IT � s To 't�fB RAT, a+ 1� , teat , , .1ucX4'fX of 114% 'rPM ..•.,... nSs,..`!+A. +l :'- �.....`•�'i.,1� •s�- :••t`•+tilt�!F,i _y �� �://• G't'�Lo .~a-R �[�"`��- � 1 7A f Ht Application to 9s 2 / 0O' ePE,�SHEY`PPS► 9 •1 Old Kos Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building a Addition Alteration Indicate type of building: W 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 DATES /qk7 ADDRESS OF PROPOSED WORK S ��. If�� �� Ld �1f 0 �4SSESSORS MAP N0. O ►: ( r 1 OWNER alC�CUtI G� t )�� 1N -n ASSESSORS LOT NO. 7� HOME ADDRESS m (Gi TEL. NO. 6�c)&) 3�Z-�5� FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). le AAA s e 2,461 L kd:F 6,41`1-4-77 _73eU-1-9tT 7eu 6-s 2-0 FeJ0- .,,,( A),4/1 YvC�,�/¢- O Z SSA/ c t I`1 ICI�sn-�/ s8. o k 'T©t( t uJ AGENT OR CONTRACTOR S:8-'%4:- le-'ck- 8/0/Yz4) TEL. NO. 36 Z-gS�4 ADDRESS 4 b(Z Z&ed 2Zm4k 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 si�ns and proposed locations of new signs. (Attach additional sheet, if necessary). -D X'3o ` ,4detl ''ior7 - Srn y/C j-7V/- t� // L ��� �i '�1 L . �✓Mu'$ Por cal �'S �tA _ vJ„/ clA� . rat, �1aP6�( �,, s,�r� wcot sk,n14,5 aAC( f-oof espw-r 5 ny��-S Tee (Vlct�c�i� `�Kis &Ouse rm'mo-vs Pbt-CL F.L: tttLq -To bq— fa.�'vvttt wkTc' cec(c�r, S'AY147/ - ►s T low l ��Q.G( 'T'tv 't�C,cS i�YIQ S7rvC�U�-2 - � °n cy/-tTo-- cuncr<tf'sf7� ��iaaw � l `Signed �. � Owner-Contrac or-Agent Space below line for Committee use. - - - R-eiv'�•b =H.!D,,O. " tea �cn Date `� The Certifirxtp is hereby Date Ti �. Approved ❑ - IMPORTANT: If Certificate is.approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ Town of Barnstable ' W ' Old King's Highway Historic District Committee SPEC SHEET/+ FOUNDATION SIDING TYPE etIaA COLOR �2T� _� CHIMNEY TYPE /ri�f1- COLOR ROOF MATERIAL ,ry �.f� �S ��COLOR 1 z PITCHY J N L .sLI-n dohs— 7 'S' -TbAy-w iHc c� y7'X9•�8 WINDow v�u��o,� a f '�� sizE a_ 6% x '3' s•/ a- 6 Y, TRIM COLOR �- F��i DOORS �- - (7` S/.c�i�5 h r QO� r COLOR SHUTTERS COLOR GUTTERS DECK dX/S77i��, C/4 GARAGE DOORS COLOR SIGNS �/` « � COLORS FENCE COLOR r 5k�{1..�y4.r 3'3 T116 X Z`6 i` 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, J= landscape plan and elevation plane, when applicable. Site plan should show all structures on the lot to scale. SPECSHT N 27- 4-9-09 Yl iafryJl 'plsm*kl oic_lv.,,N��k``v� F� c MASS LOT 7� av 'rz;� 449 lb, ''�` ' � � N ftZ:'--•:.0 �3 �i�4L �7a Vt�F:tJ;L FGU Npr�TI . J tar . fine-TNU<. 1'I2 �1-"t{� tJ0 i QPSf�68 E*-;Ni PIT I �fiC -TMK - VA.-. urra9no 3?�- f I.rs Gvq i cx::r . YIT- p�v(�c - ri - "( X r1 am' L ' OF -78c 4 8�.•����,. AAw, C>� fR•• - pa+c &Pv IOC�C s• (FPl. tx�K UP 0 ►F.wuT�. •.S �1c.T LtT tN OF ! M Px'T rl o Y WW6r J ---- - WWI WP6�i�7 FB�TGNE � 'NP• - NO 'hil4-1T.� ..gyp - -- - VIR� IZ7 �' .....YT• 1 " q --: = mow, o� "� FAP4PkTt0fi 16 tN 'Ttf6 E Nt7 �{ioW N Ttf�.'C IT CbriaVls TO 't�fta Ff4Ti save i Mfl C m 0 m I N CO Cy) 0 m U) I ` rLnjj �X O go C C7 L� p Y PC C�d o � �.J O O ' STEVEN M. LeBARON b Builder/ Designer 1-508-394-8146 0 0 54 TROWBRIDGE PATH W. Yarmouth, Ma. 02673 L r RIDGE VENT -T- ING ADD SKYLIGHT ,TOR S11V-14 CID U) 2"6" El 7 ❑ ❑ PT POSTS O 1 112 X 1 112 PT BALASTERS 5" ON CENTER FARMERS PORCH STEPS PPROVED AA FRONT ELEVATION SEP 2 3-1997 /4" _ > ' SCALE Tow OF BAR 11 NSTABLE / o v NEW SKYLIGHT 00 i` L LLT1 11 11111 L 11 1 1 1 1 11 11 1 1 1 1 11 1 1 11 1 �o CTN28-2 284212842 III Hill I I I I CUT DOOR INtO EX4ISTING M9EMENT I I SEP 231997 4 TOW fV OF BA S`AS�E LD KING'S HIGHWAY LL gA jr� ETOW 2 3 lqA r t � r� F Bq tU,TgBLE G'S HIGNWgy RAIL DETAIL BALASTERS LJT-2005 RAIL IS LJ-6400P 12 COLLAR TIES 2 X 6 Q12 CONTRACTOR TO DETERMINE STRAP CEILING NEW SKYLIGHT WALL HEIGHT SO AS TO MATCH 12 INS E AND EXISTING ROOF LINE. 9 SHEE K STORAGE DOOR TO AREA STORAGE OFF BALCONY 112 CDX NEW DOOR cD �� 2 x 8 2 Ln L� lu. x. RELOCATE WINDOW � BOLT BEAMS TO TOP PLATE 2'8 1 1 6 X 8 BEAMS /2. 10'g cv r I 2 X 10 CEILING JOIST 18' LENGTH r` TRPL. 2 X 6 T & G PINE CEILING MAKE ARCH STUDS 2 X 6 X 7'4" I I w h IIcc 00 CD REMOVE CO WINDOW II WALL B 2,011 WALL 2 v— 5/8 CDX I J_ f ___it__ _____ ___ _ ___ FTup_L�o_nN_TO DECK _ EXIST 2 X 10 FLOOR JOIST 2 X 8 PT DECK FRA I 7 X 9 PARALAM FINISH FLOOR TO C UT DOOR INtO MATCH EXIST HOU E. BRgEMENT I I I 3 1/2 LALLY COLUMNS I I i 20'6" - 5'9" DC30—DHP41021-20 6'7"REF 6'6"REF N q CD -4 cv = co N co °° DECK co `-0 0D FAMILY ROOM 4'4 CD C � i a o: CD 0o e OAK FLOOR -------------- N CLOSET/DOOR OFF BALCONY 2-6 x 6-6 5— X 6-6— FRENCH DOORS 7'0" I WASHER DRYER SITTING ROOM 36"SHO W R \ i� 16'0" REMOVE WALL O � TILE TO FEDRS7RL 91 2 6�6 MATCH SINK OAK FLOOR TILE 6 FOYER 6�6 w_ i� U),t- m+� O� CD �i U EXISTING KIT 3'6" 5'8" 8'6" 20'0CD „ cD 1 X 4 MAHOGANY DECKING a �:i3a .8,SZ F N 8,9 0 A O� CV) �\ 0�-- - n n f` C� r� C/) SEP 2 3 1997 w TOWN OF I3ARNSTA13LE . VOLD KING'S HIGHWAY W iiii q I 8 O FOND.BOLT 10" i 30001b. MIX ATCH EXISTING HO USE EF. 4" CONCRETE , FLOOR �— m 2,0 —� 0_fOUNDATION SECTION /4" _ 1 ' SCALE 2 X 8 ROOF RAFTERS 1/2 COX PLY ROOF PROPER VENT 2 X 10 CATHEDRAL CEILINGS R 30 INSULATION 15 DRIP EDGE 51b VELT ASPHALT SHINGLES 3 TAP 2X8 1 X 8 FACIA X 6 SOFFIT 1 X 3 STRAPING SOFIT VENTING 1/2 BLUEBORRD/LASTER- TYVAK AND WHITE 1/2 COX OVER 2 X 6 STUDS CEDAR SHINGLES R 19 INSULAT IO 5/8 COX SUB FLOOR 2 X 10 2 X 10 BOX j 2 X 6 PT PLATE ON R 19 INSULATION SILL SEAL 8" CONCRETE POUR 3000 lb. MIX 5" CONCRETE FLOOR 6 MILL POLY OVER 1" X 2' FOOTING 1 112 STONE 6" DEEP 10' 10'2" cn C b tm Ib —v N Z 2.011 �w O y h O O 8'711 i i v 10'0" 10'0" ------ ------ ------- --- -- ------ ----- I I I C6 I = I II I I o m I I h m CIO I I LL==!j I I I I I I 2'0" = 9'11"REFe 8'7" 6'6" m O �y m ao ' �y m -9 z7. 4f�loa Na h \ i N 3457 IV A I- . •. " —__-�-�3�����u_ __�r off:®a�/ . /StAise sor's map and lot number ....AIJ 9 age Permit number ............... ............ �y. I, DARESTABLE. House number qq NAGIL TOWN OF BARNSTABLE BUILDING 11SPECTOR APPLICATIONFOR PERMIT TO ...................................................,. ............................................. ........................ TYPE OF CONSTRUCTION ....................ap.......... ....... . ...t.4%rW .... .. ...... .................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......... 7e//..........7e—,--r................ . ......................... ProposedUse ..... ..........(a-P.. .X3. .....................0.*--,*--,-............................................................ ZoningDistrict ............I-I-F..................................................Fire District ... ... ..... ............................................. Name of .........Address ... -*I..IL' .........4............. ......... Nameof Builder ...................................................................Address ....................................................... ............................ Name of Architect .... s. ........ ...........Address Number of Rooms ..................................................................Foundation Cz., . .... ...514ic-Zi Exterior .. ...... ". .Rocifing ....... . Floors .........5./,g::A.....................................................:.........Interior ....................................... Heating ....... ......ir......... Plumbing ............. ....................................... F ...... .. ........Approximate Cost ......... 11-V.......... ........... Definitive Plan Approved Planning Board -----------------------------19--------- Area ......./, Diagram of Lot and Building with Dimensions Fee e.............................. SUBJECT TO- APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstablb'regarding the above construction. .. . ... ... ... Name 4. Construction Supervisor's License ... MORAN, RICHARD K. A—1 09-72 'hla .....26779. Permit for ........ dwelling (Barn) ............................................................................... Location .59...0.1.d..Toll....Road......... ................. ....................Wes.t..Banns.tahl.e..........t................... Owner ...Richard K. Moran ............... ............................................. Type of Construction .......... .. Frame ..................... .......... ........................................... .................................... Plot ............................ Lot ................................ Permit Granted ....899.4!��.*.3..................19 84 Date of Inspection ......................................19 Date Completed ....... ......19