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0074 OLD TOLL ROAD
OxfordNO. 152 1/3 OR_A 1 LSSLLTE 10% ® o o 0 5�`�� ' �� , 3 � � 05 r JOB # 02-431 T PLAN BUILDING PERMIT, NOT FOR ANY OTHER USE CENTERVILLE, IM 2010 104-3 & 104-1 =.... RED FOR: S 4 IL POOLS o OJALA' N No.40980 P !q FFS Np S E --------z - REG. LAND SURVEYOR 4votI 2 f HE Tpk� The Town of Barnstable BARNSTABLE.q-%.ASS. Department of Health Safety and Environmental Services 9 NA � pTEDM a" Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection v'"L 1 66 -7A Z-j�zj Location T Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: �2 r Please call: 508-8�62-40338 for re-inspection. Inspected by fj-G J Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map log Parcel Permit# / Health Division (Ori ' ' I Date Issued Conservation Division r. S IJP6 Fee wr0 Tax Collector � " � �,� _ S�'tag��. BYS�'E�7 !��a��7'BE Treasurer a -P-e-e� (� i 1 6 a . INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 ENVIRpNMENTq}C ®BE AND Date Definitive Plan Approved by Planning Board T®'�9re,9 ���;+ ;,_, Historic-OKH Preservation/Hyannis Project Street Address 7Y Village CAI/ &1/9 2W—6 ; Owner ikd r� �/�} Address 7Y T 12I Telephone 3 C r - 4- 7 cl Permit Request �Ms� � (A�VL �&1?29 PaOLL Square feet: 1 st floor: exiting proposed 2nd floor: existing proposed Total new Estimated Project Cost as Zoning District Flood Plain Groundwater Overlay Construction Type G Lot Size 1 t � Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling.Type: Single Family Two Family O Multi-Family(#units) Age of Existing Structure '4 D Historic House: ❑Yes ❑ No On Old King's Highway: 20Yes ❑No r Basement Type: .,Full O Crawl O Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing �I new Number of Bedrooms: existing .5 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: RGas ❑Oil ❑ Electric O Other b Central Air: ❑Yes 'ONo Fireplaces: Existing _� New Existing wood/coal stove: ❑Yes No Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:0 existing ❑new size Attached garage: existing ❑new size Shed:p.gxisting ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded 0 Commercial 0 Yes 0 No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name ;�/C �'l��'�7 ��G� / Telephone Number �� / 7 7 Address .����� /v /fy .5Z License# 0 n 9 4= 3 S� 4&.ti�T/Q61e `14- Home Improvement Contractor# l 661)02 Worker's Compensation# 4A/6 700 5'3-23 0/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAK N TO 1 � �/ SIGNATURE ��.�! DATE f ��� s FOR OFFICIAL USE ONLY ryPERMIT NO:' - DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION r r , FRAME INSULATION FIREPLACE ' - .ter •i , - '3 .. ELECTRICAL: ROUGI) ?' s- FINAL ' PLUMBING: ROU(j 1 S 'Z FINAL ` GAS: ' ROUGhi _ R FINAL FINAL BUILDIN DATE CLOSED OUT 0 r�. Y . ASSOCIATION PLAN NO. ' Boston,Mass. Workers' Com ensation Insurance Affidavit name: location: / �� •� L.� / �` / (J . city phone# 3 2 V 7 7 ❑ I am a homeowner performing all work myself. 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I understand that a copy of this statement may be to to the OIDce of Investigations of the DIA for coverage vetifisation I do her4597d# �? the ar�.t mid pwakies ofpedury that the injormadon provided above it true and correct Signatur Date �l� CIO Print na .�2� S�:��.s��• t ' -Phone# C[3c:h�eck use only do not write in this area to be completed b�erty or town ofilcial Mywn•. petromcense o Building Departrnent itiimnedWt ra use to Licensing Boardpo req�d ❑Selectmen's O$!ceerson: i one ❑Health Department ph — ❑other (fevered 9/95 Pi I I I I I 1 1 1 1 - . :11� / . � • •11 �. 1 :.0 11/ . �I • . . / - . . 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M • • 1 ..•Y.1 •111 • 11 .1► • W.111 / I • III II II •�1.1111 •'^1 II1111 • .1 ' 1 1 I 1 �1 �11� ^1 111111 /�1 II ■t • 1•. 11 •� •/1.1�• 11 � • •11�111 • • 11 •1 11 • 1/�1 .11 ••1 ' �••1 �•11•. 1 • ^^1 11✓. 1 1 �• • 1 • •Y.0 •11 '• ( • • skis • 1 • .11 • • 1 •• sj�qr.1• •II .11 1 1 • 1 • • 1 .11 • 1 • •I j��j���jjjjj���j���jj�� t � • •11 w11 • • 1 • 1 •11 ,11 / Y••' 11 111 •.,/ 11 11 11 1 1 I / 1 A' ' 1 $11 1 09111111MOYM1 1 I 1 I 1 1 ' r °F THE 1 . ..'{ The Town of Barnstable BARNSTABM 659. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: �s 6 � S�yI / �D Estimated Cost 7 {g Address of Work: / �� o� ��// ,`� �� ��� ��� � Ae Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as agent of the owner. _o �G!�D�,�; 106 Old j Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav wi„ .. - . - Yam✓-. ' h. Lot 85 1 61'36��� i 3`f 61'± 2-Story Dwelling Bulkhead Shed No. 74 6verhang Lot 81 Lot 82 35 , 265 S.F. ± Lot 83 00 rn CN i 160. 00' 0 L D T 0 L L R 0 A D THIS I S THE RFCI II T OP TADC MCA CI IOCMCj\iTC •TO2 :3/13189 Ar..min las o 9wrlcs oI tastl.Ic nt oicl.t _ flfa.11G[fY Iq lilnr.Q YTaD MV IT All9ltff ~JATjQT.AI` to 1. .l OSra IW Mr IW M3L. ' V V^•3 T,TP PLANS FOR LOCATIONS i 2, f r .pFD r B OrREA ITEMS IN0- 1 BRACE) ,�� Ia GA GAIYSfLT.L � -�11oREL a� ID 'I /' DYGOMILL BRACE �22=M I YS lRS�TYFF • 2D ERTYIOOE95: - L DEA,,-,2(ps/42(i4LV.�. .L VDIYL LMER /�yI110.�/WSgFOR LDCd�TgNS / ` STAR L I �j�nYR 64E7/u� 5-3/9F Y.BOIT� 1 LOTMER I EYSNBRACE t 5T41R LIE / •_ RIBS AND IIAdES6 1 TYR J 1 PRE-FASRICATTS I 20 E.L.TNQOIE21 ro MIL 71.CKME STAIR ASSEYBLT VKn LNG LOER STATA LAE� I--I GA.GALY STEEL EFMV9RL L1E :� 5-308'01LEW'S OORMpI I.M EL .S jIMSKERS TYR EA flMdEL END 1 . f T %a.m SERIES 550 6 650STAIRCORNER~� I �� SERIES 750 STAIR CORNER n SERIES 850.950 FA1050 STAIR CORNER n 8 � MOTOR rnd1 MOTOR Qy l 0 6 N LT•YIMC�AL O✓��`SMdM F Si ITER FLYER I •� -f - z _ ' RETLRN � •� I F77E ►---►— � Q• _ _ ,� FETtYaYEYnr z � •1•FIRAIE I S I - TTAC® - I Y }3 T9YRCAML YR� w '? AracHPlElIo v s SAFETY LINE *yY•. '�I {"yL/pEo P0117E0B III - r'i-: t •SHADED R I �Y i• �LAr A Rc.e �t1� I1 2 * S FLAY ..4 f SEMIScon AIREAS p... m m \ j I I •�- ytc OJ \ Z;TA.6 ARE m a - MAY BE i I A SImOER 01 Q'.2r J \ .SSF SlRF A1EA66 CD O SX SQwj- l6x 37] E SURF AfEA G .UP �LRN'dmI 'xYTED A T i 11 MB. $ F SIRFAREA J U- F�+.. SICTIOY t �� SF SIAF AREA S 1 900 GAL.GP ! -L—-- .---JNli m r SERIES 2000 fl 2050 INGROUND A'FRATE ASSEMBLY I a 7YACAL rMERE SMOMM -�.�. 0o G R RlP A1C, --.. SIZE 9 OW"-OV"7N&F SIIF AREA&4.B00 CAL.CAP. .5m1. _ STNRS N8 OPTIO TLT ATTMOED '� T{—• —~ Cx Tn� i REtt+a SERIES 2100 9 2150 N Fego- r GROUND =E SFOE.M .2B.3e 9 EL-622 s SURE AREA 1 6 2SWO GAL..CAP ' � I _ 2 • I � ARE 1 TIOII-- SERIES 2000 fl 2050INGROUND u5TaR8AL ® PERYAIEKYLY -��.• ATTACHED SAFETY LINE 1 J:� r5to=PORTIONS L1 'A•FRAAE ASSEMBLY O op. a TY CAL OHM 910.R SDf SIVIM 16.T7 567 SE SURF AREAL L 20T20 GA CAP ALSO WARALE.wVAI. n3 313UR FAREA 1.24953 GAL.CAP 2014 5 B33 if SAIf.AREAL z9223 GAL-CAP SERIES 2100 8 2150 NGROUND 4 .y.t I!/7L•• •aamctlm r FMrlan aaa mount M rlcru; �+6A.�1"STL_ L OIAOOWL�' _ slwrua a r»talan o amm ra of rmnuto !r.EL ,_ Iya 1rAl2 WSTL.L JAT Tjt to u IaxA rr w rtrrost. GA.iAIY STEEL II SEE gCT. 6/2 AND Nr,let I-T L Qt TPKT N= R It BOLTS AND 1 bI /"�"S✓tERS TnMrCL S-Ar• L9[ ♦».EaOLTS.KJT51 ,�»YCiALV. AM Y rIERS TYR EA.MTEL END J � —T AM 2 V L SHERS TUTS I AM II efASNO15 TYR / I»6a GAIY STEEL .� EA.PANEL END 1 t--1�1►IEL III ...A.....,,, : .I zit �`In;�a ! 1 I - `�;`H F M�•1.Qt v Z FA RHPEI[l0 114 6a BALM STEEL {x I A 'P —t�,� �` r�•1�M• CGNETt PE¢ 1 N \T M VI YL TKOOESS' GlY STEE11 VINYL LMER d rN,GA.GALv STEEL LVIrEx PrE¢ ,f cti�' lr- II GfQ011�BOLTS o VI TA• O45 _VMYL AIL 7E LINER LO 74.TN•OOESS �' -11r- 1II0 tAL.71K}OESS �e 11Bfrl LINERVNrtt L•E7i SERIES 700 9 750 OCTAGONAL CORNER ^ SERIES 800 8 850(90M OORNER) SERIES 900 E 950(90'OORNER) /1 SERIES 550,1000 8 1050(TYP CORNER) + +A II Y 2 2 2 M 8A GLLV STEL 16�••IL BOLTS.MiTS W'.M DO OF 1NEL I /� COiE7i PELF r�Al0 II tll►SFFRS TTB ®fAAGOTIIL BRACEIPbrMA / EA.frAEL E10 [bLtna111m SFE M IUD O• PLANS FOR LO.[T7016 B »K 6AL1f s7EEL� N G►GALY STL OTEt TTEa1S 91 BRAff 14 �: cz Twtul m. LF �° B*� a-psi tLears Tun v�IBLT)•OOm EA.z CCEEL 0 G T{'R iNrL Lxr+ rwrwEL ETm a-WO M. PAM ,_ - 1 »GGAIYSTEFl AM Y TTP. �. �I I I nNEt EA.PANEL ElD _J 22itMIL AdBR T7soBecs f .� 40 IL 17.0065 Iw GA.CALL S}Ea Ya•ITL LBENi MORN ER f� E •\ 1 i ppyIA,ppppTT1ALyL��ttAA�� /j a J1 ®IFta1FlAl2 Gs.. / Y-ro•R SECT.7 = AKLE.SEE SECT. )" a CIO'RT SFLLTI95/2 PLANS n a w GA.Gwt SnM7 co maAaoANGLF-fBt N1.012AND YDIBL.Tt7GKMDGM P�El zh' C FILAI ANaE•StZ tYt& -. PLATS FOR lDgR1PO B VINYL LM40R . OTHER ITE 16 M GLACE z m m o m a _ SERIES 1000 8 1050 EL CORNER _n SERIES 700 9 750 EL CORNER n _5ERIES 700.750.100081o50E1CORNER U SERIES 700 STAR CORNER Q) o �- z z z • O C. e• - II w G GALY STEEL .PANEL SM. �•. 1 rA GA.aux sTEM .•Kn 1.OK GE« ' AL UNNAM COPING s:•o'Tor1AL m= qq I 6R T7PICJL L V2 TYPICAL ANEL SEE SER �--[MO Emosiuli L—e• J �NIl CAPNL DECK t G�t wo 1 L ALJA,LY r—��} I PAM Two.'�LTwT 3 ' E ear'•eLBOLn Pvrs cGP•w ' iTYPICAL#,L BOLTS a v 0 ML. 0 AM x twat TYR - � = EAACH p O NPtTI L/01 own:1Q SECT. T MIa Flo ••': = •'• \� . m xo�TT•oo®s tan FOR aAaoNlnt t- ']. F •.:3%2'.44•asAmax AAO IO CrONTAL .IIN 2 w GA.SALV. e- • nTn 71rENr •• h' GLISSL rn ROD ALL7A•aFaD �c CAueAGE saTs.wrs eon NOTc OMBRA(E s0.T i Fw PATeL ROD c vwvo+s I e-Mt••CARNAGE a MLLAR Rsaes- w GA.GAM STL —I ATIOCL M/Q TTPtCJ1L T07LALL BACI LL 'H Y TPICJIL I v�itwNdFS TTP6 y I • TO BE NO»-0OAKItlE (DtAGONAt BRACE) 6. 1_•.11 1 sm gE•6TALL/LrIM L-Mtq*.a GOGALY. / MILL.STfFENER) TOTE NO.1 1 ® w u.GAty.srm L_/ �rM••XBOL S.TUTS w GA.aALv sTm 1 N GIL GALA srm SEE Pwl net rl B-+ry reaLTs.Nvn� �L�.1 FL1Elr PECE _I AIO II.wElls TYR P910c PEQ �-� I PANEL BEE SECT. S_ti•.r BOL75.� L F• S• I 1U/x TTAGL KITS LY rG9QK �I YO Y WAS+ET6 GNY AtgLE Tn7'1' EACN 1 1r♦[tA' ii TYR EA.FAIEl OOJ / I• SERIES 800900.1000 81050 CORNER n SERIES 600 6 1000 STAIR CORNER to FA'�FNc '�"�BOLE' I zo Tt n•aoEss NrtaaLL CaiAARR AROUND CONCRETE COMPONENT NOTES Y WSTALLATION TOTES Y zo TLTn10•ESS� I Aoo t,�l_ LSTFFEla) I VINYL L•NFJt PE'f✓sErFR oP POOL SEE t ALL YRS fTm a F'a1�/ROr aYTpAL 00A•orrK TO I.M•1LtIC OOFIt d Ttt[F•GL a rMlNlCRLO ql A TTrrCAt MOOrilOfal VWM LNE71 L-Y'k Y•[h GAL I 1 P6771LLATIOT NOTE MR 1 AFTT•-DO rtTMMA•RD 1rtvrrr»GOATwe. KaaAA•Pau trot OartewtA atMArC tLaTa rtAf,lMARae ROLL oM I AT Q OF PANEL PER I TYPICAL N GA. p•. � - wNtaGT ar S Mau. an toTTTTm FOR GALV.PANEL Ero1 " ..._-- Y aau sTm AalasA Il�alp sTtnoas AT rMANst rtm 1, 1.reTu.t AM A•inert anown IpL.LY R M 7LL7[of M VAYM ..rto1 GAALV wF1 00 �dTM 1 I DEM 01 E'1570M--J I-- AJa 110.1ID IRaI rLARMtAt cm —/a AJT»A_AA U6A AIOtAO M PULL NVIAAE7 a M 10a..TtsN G aoM Ot C[ra rQi •flo O•IEImON I • . rrtM u ASTr A.ree...rtr®GOATtK I �, 2• AYl Fit m '•O '� a ALL MLTt AND TIPMAem a>,Parorn ON rAwaraCnAem a.AAavnL slrtKOiY u+trr FtC or Moon Arm lose aaNfrACLen r LArna . ntor YT7T1K mrAMMNas TO APTr A-3: rw -Ax-) IF7i®MF A.PAaI LAM Ww a r Duo ullvruI TAMnCO To t Trt Pu�-� �� --ll 41rIN1AR Yam.nLL.Oa.rtTM rtTOl aIMMP NY07WMa WR LLKl �y ' A t!rrA oAlo>x AMALL NW orra rMa WaBat L[Va rr roC T ur ac roof. } I TIP TOP 6 BOT �{ 1�� ' I s 1 a'h'•..A mtoA[Tt twMarrA>•NS NAy1oe rMl1 YOe ArAT FTANr x�G•^ OIONYONTIIL EFIACe) �i2• Sot.StrY.w ea .aAt ramm arts HAT wa1G ET1PP[!O our AnArstlLa[ IserA R A MAT[for life Tt1AM 1/N ref root. »80.T5 (LEVEL►NG P1.AfE) uMAta MACE I.At mATtn wTM AA ALJRrMAI IUArT AITq e vama e.Tw root tw lot�t malaAm FOR A rrlwu+l=Ltlera L-Y 11II•F h'C Y'-aY faLLY I S. i ru ANGLE irre�iAr�P+N o�eTr+L' L r•r•r Novo rr m..Nore'e a oRLo.srrc APOIw roa»o to Aur Mwoat TO un mullutart TYPICAL WALL SECTION TYPICL1,L VIl4LL STIFFENER z=•• Y-O• . roam �•a IrLOAAS sot m eo rOr a Lm. I imALLw uwovm n roa,A� rc:r"1°•rt TMMO FOR 2 h PANEL riN AT MIQ PANE , TYPCAL yJe,Lt SECTION AT i4 FRAME u. II Y 0 TOWN OF BARNSTABLE > BUILDING PERMIT PARCEL ID 109 078 GEOBASE ID 5370 ADDRESS 74 OLD TOLL ROAD PHONE W BARNSTABLE - _ ZIP - LOT 82 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 46461 DESCRIPTION 16'X 32'RESIDENTIAL POOL PERMIT TYPE BPOOL TITLE BUILDING PERMIT POOL - CONTRACTORS: SENOSKI , RICHARD T_ARCHITECTS: Department of Health, Safety - and Environmental Services TOTAL FEES: $46.50 BOND $.00 CONSTRUCTION COSTS $15,000.00 _ -• ^_ 329 STRUCTURE OTHER THAN BLDG 1 PRIVATE PBAMUMBLA E ; MASS. 039. .. . M1`►I BUILDING DIVISION BY DATE ISSUED 06/01/2000 .-EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT R"� con."ruc rnK1n1T10NC nF ANV APPI IrARI FRI1RnIVIRION RESTRICTIONS. MINIMUM OF FOUF ' FOR ALL CONSTRt -. u .�r.r_.:•w r. f.'_ '- - -- - -- 1.FOUNDATIONS C APPLICABLE, SEPARATE •-_�! .:.y..�.: r.n.Tl�.mil,- �. 2.PRIOR TO COVE -��G, ; :'?'w.7,t S ARE REQUIRED FOR (READY TO LATH "`� -'. - CAL,PLUMBING AND MECH- 3.INSULATION. NSTALLATIONS. 4.FINAL INSPECTII . <.; BUILDING IN: ,' ' �• SPECTION APPROVALS 1 , i 2 3 ING DEPARTMENT / D OF HEALTH OTHER: WORK SHALL I )NS INDICATED ON THIS THE INSPECTOI J BE ARRANGED FOR BY VARIOUS STAC - IE OR WRITTEN NOTIFICA- TION. - - _. . 2 00 0 - 06 6 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 Indicate type of building: ❑ House ❑ Garage ❑ Commercial- ❑ Other 2 Exterior Painting: ❑ 3. Signs or Billbo : ❑ New sign ❑ Existing sign Repainting existing Sig!) tv + 4. Structure: Fence ❑ Wall ❑ Flagpole Uff Other �40G --i - (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE .3 aoX690 '=� L/ x 3 Gj ADDRESS OF PROPOSED WORK �7 � � ASSESSORS MAP O. 0 1 OWNER � ���/ -�� �0� "`J��/��� ASSESSORS LOT NO. 74 HOME ADDRESS 77 O�� TEL NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). C�P� God fence 3Q - � AGENT OR CONTRACTOR Ce,9*22//4 Gaps/e � TEL NO. 9771 ADDRESS 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). f i� � ,� � . 000 D If F � . 0-11 Z ` "� Signed !_ — owner-Contractor-Agent Space aw line ►Comm�tte -.`� UUU �" 9 e rtifi is hereby Date -7- By=N DP ReRNCT LB s 0 N HWAY Approved ❑ IMPORTANT: If Certificate is approved,approval is subjerto the 10 day appeal period provided in the Act. 4 A Town of Barnstable ` Old Ying's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOWS. COLOR SIZE TRIM COLOR DOORS COLORS ,.. SHUTTERS. _.. ., ..._::...,._ COLORS GUTTERS COLORS DECKS MATERIALS . as ° iO GARAGE DOORS .COLORS r'a SKYLIGHTS SIZE COLORS SIGNS COLORS C�CA ti /I7� 3�� i.... _.._. ... .,t.. ..._ ....... FENCE S/fir yA/�O/'.s Shoe ka P, -`0 COLOR ne Of NOTES: Pill out completely, including measurements and materials/colors to, he.;used b 'cop -kof this form are required for submittal of an application, along with Four coiea of the plot plan, landcape plan and elevation plans, when applicable. SPECSHT Revised 11198 °F114E rOw Town of Barnstable - Historic Preservation Division .y Old Kings Highway Historic District Committee 230 South Street, Hyannis, Massachusetts 02601 BARNSTABLE, : (508) 790-6285 Fax (508) 862-4725 9 MASS. QED MA'S A f April 27, 2000 I To: All Interested Parties From: Old King's Highway Historic District Committee RE: Daniel & Sharon Parkka, 74 Old Toll Road, W. Barnstable, (Map-Parcel 109-078),Inground Swimming Pool -------------------------------------------------------------------------------------------------------------------- The Committee voted to approve the Certificate of Appropriateness with the conditions with the condition that the applicant will give pool dimensions and location of the corner of the pool to lot line and to the deck i i °F� > y TOWN OF BARNSTABLE . Building Application Ref: 20062653 BARxsrAeLe, Issue Date: 08/28/06 Permit .9 MASS' i6 N3Iq,A,1061, Applicant: OWENS CORNING BFS BOSTON Permit Number: B 20060978 Proposed Use: RESIDENTIAL Expiration Date: 02/25/07 Location 74 OLD TOLL ROAD Zoning District RF Permit Type: RESIDENTIAL ADDITIONIALTERATIO ',lap Parcel 109078 Permit Fee$ 57.40 Contractor OV6'ENS CORD-ING BFS BOSTON Village WEST BARNSTABLE App Fee$ 50.00 License Num 079893 Est Construction Cost$ 14,000 Remarks ! APPROVED PLANS MUST BE RETAINED ON JOB AND FINISH BASEMENT-USED FOR STORAGE ONLY i THIS CARD MUST HE KEPT POSTED UNTIL FINAL INTERIOR WORK ONLY I INSPECTION HAS BEEN MADE W14ERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: PARKKA, DANIEL 18r SHARON S BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 74 OLD TOLL RD INSPECTION HAS BEEN MADE. W BARNSTABLE,MA 02668 QaJ Application Entered by: NL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHGME-I,`TS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE-JURISDICTION-. STREET ORALLY GR1DE3 AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SL:BDIV:SION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTTRUCTION WORK: I. FOUNDATION OR FOOTTNGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING & PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. W'HERE APPLICABLE,SEPARATE PERMITS ARE REQUTRED FORELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS.APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERItiIIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SLX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITHUNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as sct forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECCCTION APPROVALS �N e kA 2 02 2 / �14,Z 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health l,'d Zb£9-Z9£-809 •ljnsuo0 uoisi1100IRM-18d d96:£0£6 L6 d, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r, Map �¢ Parcel I ® ? S Application# Health Division �ODo Conservation Division Permit# Tax Collector Date Issued b 601 Treasurer Application Fee Planning Dept. Permit Fee S 7 Date Definitive Plan Approved by Planning Board 1 Historic-OKH Preservation/Hyannis Project Street Address 7 eo T 0i (_ . Village Owner Address C, YI Telephone �.�r6� /� r '"�:I �lC Permit Request I o taw Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation instruction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family av/ Two Family ❑ Multi-Family(#units) Age of Existing Structure 49 Historic House: ❑Yes CUN( On Old King's Highway: ❑Yes b-No b� Basement Type: "Q'Full ❑Crawl ❑Walkout VOther , Basement Finished Area(sq.ft.) �� Basement Unfinished Area(sq.ft) C� - Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):TTexisting new First Floor Room Count Heat Type and Fuel: °O Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ®'No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:l 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_.O Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION \ —1 Name , Telephone Number ) Address �) (� ��XWP ; License# (���=� �4 X\ Pl - ('1 1� ' Home Improvement Contractor# Worker's Compensation# s Z,��t1ppG�cfol 5 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 111-7 SIGNATURE 1 DATE 11AA� 3 s FOR OFFICIAL USE ONLY `r PERMIT NO. ' DATE SSUED MAP/PARCEL NO, i f ADDRESS' VILLAGE; OWNER DATE OF INSPECTION: ' f, FOUNDATION FRAME i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ; GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. P 1 ne uommonweairn of tvlassucriuyetta Department of Industrial Accidents Office of Investigations 600 Washington Street v,r Boston, MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Elects icians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): Address: City/State/Zip: Phone#,I Are ou an employer? Check the,appropriate box: Type of project(required): 1. I am a employer with 1 4. ❑ I am a general contractor and I employees (full and/or pert-`time).* have hired the sub-contractors 6 ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet f 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for mein any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' comp.insurance required.] 13.❑ Other •Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and,yob site information. Insurance Comp any Name: Policy#or Self-ins.Lic. #: w � 1� ���; ?Sc�O15Expiration Date: S L Job Site Address: '?C( �� \� City/State/Zip: 'A.9' , 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 up to$1,50Q.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and'a fine of up to.$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby e rtify u r e pa n enaltie a jury that the information provided above is true and correct v Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. . I City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Realth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Insperter 6. Other Contact Person: Phone#: l °F'THE T� Town of Barnstable Regulatory Services ? BARNSTABLFw ' Thomas F.Geiler,Director 9 MASS. en 3+°'`0. Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along other requirements. Type of Work: � e5j �G�Y Estimated C t d Cho Address of Work:_ _ Owner's Name: 1�_�� CL et— Date of Application: i L(/ — f I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 ' Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. IG D UNDE ' ' . &TMS OF PERJURY I ereby apply for pe. 't as a ag nt of a er: Date / IV Ir Contractor Signature Registration No. OR Date Owner's Signature Q:wpfiles firms:homeaffi d ay Rev: 060606 CONTRACT Customer Name k4Cc,�__—_ Customer Signatures • SKETCH Contract Date .S GCS Sales Representative Signature_ G� _ ATTACHMENT Customer Phone -3G' 77 6.5— Contract Price 2 3 5 6 1 6 9 10 11 12 13 14 15 16 11 16 19 20 21 22 23 24 25 26 21 26 29 30 _31 32 33 34 35 36 31 36 39 40 41 42 43 44 45 46 e1 46 49 50 51 52 53 54 55 56 51 56 59 60 2 3 4 (000 22 . 5 01 V6 oviA CIC 2, ,3. 16 15 ,� q` 18 22. 1 23 24 25 26, 21 ^ 29 30 31 X? 13 NOTES' y Each box equals one toot tsillers otherwise.noted.This sketch is a good faith ' representation of the work In be.rlonu,B r,:understood th;il all dimensions —_-_____� .-_ •._-_____.--_„-,.,. .._.. - ._-__ - —.—_- .. _- — derived Imm this Ske1Ch arC apprnxinl:de„:Ind Oralall IOCaI1e11S OI O,dlels,ligld fixtures,pluys,.prcks and/or swilcho::aw sulrjccl lu chango if nocn:sary. CONTRACT Customer Name A� Customer Signature SKETCH Contract Date 57 Sales Representative Signature_ ATTACHMENT Customer Phone SGi 6:4- 2705— Contract Price 2 3 4 5 6 7 6 8 10 11 12 13 IS 16 17 18 18 20 21 22 23 24 25 26 27 28 28 30 31 32 33 34 35 36 37 38 39 40 411 2 e3 4A 45 46 .) 48 48 50 51 52 53 5< 55 56 57 58 58 60 2 \_5 3 �. Ox fVVTT IA 1e 5 -2. 13 . .. 14 15 ✓� 1 �V o �t 20 21 . 22. 23 2. 26 27 P9" 30 13 37 NOTES: 'Caen box equals uric lool unless ollie wise holed.This sketch is a good 1.11111 Ieplesenlalion of Inc work to be 610110,it is undersloud I11a1 all dimensions. derived from This sl<elch are approximale,and 111n1 all loc:dions of 0111101s,Iighl lixluros,pluu jackn and/or switches are,subjrr.1 lu rhangc it Board of Building Regul ons and Standards One Ashburton Place- Room 1301 Boston:Massachusetts 02108 Home Improvement Contractor Registration Req 137943 Types Supplem Card Em atiom 1l29=7 OWENS CORNING BASEMENT FINISHING DANIEL.WALSH . 960 TURNPIKE ST. -- CANTON, MA0202t Update Address and return card.Mark reason forchang G 501.4040�G10/216 Address 0 Renewal Employment Lost Card � - ' Bond aCBa3diag Rq.taEaas aad Slisdaids License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration data If found return to: Ro94`t12t30a:\137M Board of Building Regulations and Standards g—r4=7 One Ashburton Place kin 1301 . Bostoa,Ma.02108 ' :f- XP�• �Card OWENS CO S*'M RN(NG B/ISEMES' ..:: �•�_-:� 1. 9W TURNPIKE ST.' / i/- CJWTON,Ib402021 AAntWz6mtor Not valid without signature *** TRANSMISSION ERROR REPORT *** AUG 14,2006 18:29 Model ) ark 7100 Series 000-000-00000 v START TIME SENT TO PAGES RESULT ---------- ------- , 06:29P 13395026087 0 BUSY a - _•- the �o��i.Horz..�ral!/ o� auac%uaeao BOARD OF BUILDING REGULATIONS I License: CONSTRUCTION� SUPERVISOR Number:,CS 079893 , i ? Birtlidate 10/Wl962 "Pirot: 10/05/2007 Tr.no: 6491.0 Restricted.,00 i ' DAMEL F WALSH .; 488 KENDALL TEWKSBURY, MA 01876'''f —�— Commissioner —i r 's f ti r i I � 4 i r: 1 • I i 1 � i *** TRANSMISSION ERROR REPORT *** AUG 14,2006 22:,23 Model Lexmark 7100 Series 000-000-00000 START TIME SENT TO PAGES RESULT ---------- ------- ----- ___--_ J. 10:23P 13395026087 0 BUSY n I - - 06/08/2006 15:05 FAX 1 781 659 4725 Andrew G Gordon Inc Q 001 AR WCIP Liberty ISSUING OFFICE 354 Mutual- Workers Compensation and INFORMATION PAGE Employers Liability Policy ACCOUNT NO. SUIT ACCT NO. Liberty Mutual Insurance Group/Boston 1-344359 0000 LIBERTY MUTUAL FIRE INSURANCE CO. POLICY NO. TD;CD SALES OFFICE CODE SALES CODE N/A 1ST WC2-31S-344359-016 XX X WESTON 102 REPRESENTATIVE 3000 2 YEAR ASSIGNED 2003 Item 1.Name of BAY STATE BASEMENTS LLC Insured DBA OWENS CORNING FINISHED BASEMENT SYST FEIN 14-1885527 Address 960 TURNPIKE STREET RISK ID 000182837 CANTON,MA 02021 Status 46 LIMITED LIABILITY CO Other workplaces not shown above: SEE ITEM 4 Mo.Day Year Mo.Day Year Item 2. Policy.Period: From 05-24-06 to 05-24-07 12:01 AM standard time at the address of the insured as stated herein. Item 3.Coverage A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A.The limits of our liability trader Part Two are: Bodily Injury by Accident 500,000 each accident Bodily Injury by Disease 500,000 policy limit' Bodily Injury by Disease 500,000 each employee C. Other States Insurance: Part Three of the policy applies to the states,if any,.listed here: SEE END WC 20 03 06A D. This policy includes these endorsements and schedules: SEE EXTENSION OF INFORMATION PAGE Item 4. Premium - The prennnm for this policy will be determined by our Manuals of Rules Classifications Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rates LINE 110- Estimated Per sioo Estimated Code Total Annual of RE- Annual Classifications No. Premiums muneration Premiums SEE EXTENSION OF INFORMATION PAGE Minimum Premium $ 500 ( MA ) Total Estimated Annual Premium $ 1,050 Interim adjustment of prenvum shall be made: ANNUAL This polity,including all endorsements issued therewith,is hereby countersigned by 4 Authorized Representative Date 05-22-05 CEIVED Loc Code Term. Oper. AN�RE� dic Payment Ruling Basis Pol.H.G. Home State Dividend RENEWAL OF: 05-22- NR MA WC2-31S-344359-015 GPO 4030 R1 Copyright 1987 National Council on Compensation Insurance WC 00 00 01 A BROid R COPY JUN 08,2006 01:31P 1 781 659 4725 page 1 r j °�,„„ • ' Town of Barnstable Regulatory Services i aaMa► LA i Thomas F.Geller,Director ' xM& Building Division. �r Tom Per ry, Building Commissioner , 200 Main Street; Hyannis,MA b2601 ww w.town.b arnstabie;ma.us office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and $ign This Section. 'If Using ABuilder I ,as Owner of the subject property hereby autho rize to act on my behalf, in all matters relative to work authorized bythis buRding permit application for. _4 (Address of Job) �! $Ignature of Owner Date P t ame ' Q:FORMS:OWNERPERMISSIQN ' f To Q' Date Time WHILE YOU WERE OUT M of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator dftAMPAD 23-021-200 SETS EFFICIENCY® 23-421.400SETS CARBONLESS TOWN OF BARNSTABL;E ! CERTIFICATE. OF OCCUPANCY (ARCED -ID--109-078 GEOBASE -ID- -5370 ADRRESg. 74 OLD TOLL ROAD PHONE W. BARNSTABLE ZIP ( LOT 82 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB ( PERMIT 34311 DESCRIPTION 24 X 24 GARAGE & 1ST FLR.MUD RM. PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY i CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services i TOTAL FEES: . BOND $_00 CONSTRUCTION ' COSTS $..00 si 756 CERTIFICATE OF OCCUPANCY ; 3; ��i•E, 1639. A1�� i BUILDIN ,VIS36N. i BY T DATE ISSUED 10/26/1998 EXPIRATION DATE i I ' I Department of Healthy Safety and Environmental Services * BARMSPABLE, . . MAss. , �► � 16 ��• BUILDING DIVISION BY I . I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY.OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS.OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M FOR, (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. an i BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I 2 2 2 . I 3 1 H ING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 a2 BOARD OF HEALTH OTHER: r (Q-F A LQ-V� SITE PLAN REVIEW APPROVAL I �fJ� : S �•-C W-17 WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I t i r Application to' `" Old Kos Highway Regional Historic District Committe . . i9a 8= • 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 IR Add*tion Q Alteration Indicate type of building: ❑ 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 �'� DATE ADDRESS OF PROPOSED WORK old ei6iU"`' A ASSESSORS MAP NO. f� a- � .• �0 OWNERDA � ASSESSORS LOT N0. HOME ADDRESS 1 I �{ WeSE 6� � TEL. NO. ✓hA FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if neces y)�X� ,` (_AA ���( ao`t 'ltC fC� I Ien Moran ` loll r�c9 W. CI��I� (hA AGENT OR CONTRACTOR TEL. NO. ADDRESS " 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). C. ctl r'vYy` Signed Owner-Contractor i1 J ii v iJ _ Space below line for Committee use. . 3 deceived by H.p:G----_., _ Date The Certifi eas hereby Date Time By .. Approved ❑. IMPORTANT. If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. r-I Town of Barnstable ' Old King's Highway Historic District Committee SPEC SHEET FOUNDATION �/ ��V SIDING TYPE COLOR CHIMNEY TYPE COLOR IV ROOF MATERIAL 1 ,�lLliC(�' f1 COLOR PITCH / WINDOWS SIZE I TRIM COLOR Colon id DOORS 6 X �Q COLORS SHUTTERS COLORS UAA4 - GUTTERS 1VX4 0l -�G�((✓t .l jx .COLORS �"Q, DECKS MATERIALS GARAGE .DOORS. I )C O COLORS 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 of the plot plan, landscape plan and elevation plans, when applicable. S.PECSHT ,r s, 3: TIC I � _� � i` c� F�1 .o �• I ; zr I7Jt. 'i 0 r. - � zr r _ s \ UT i Ile, %5=v}dot 1 f�ld o Cf . ��ono 'NAlddns,esJ�Ndv1/no+ld�aoNn'�N3ni9iv... I \ l A i AIII � � ' 9 \ I ]I_ � ! r 1 x 10i�G. ;Oi�Ci i rr• �r r I N P to � r o ;, � � S'.f'oviC.cn Comic •Vvs..�.G ''�_G. ! � , Fb { ;e \ I _ ...__ .._�. iq►-� o�., �o•'+c20 Fes-_ i ::ice-- � i ► �_: I n Tt b (� ! o i rC-3 J CA �f��_ •w F, � t � Q i j 31 UP e k4z� r F�` t T 5 I J 4 it ' I lo 4 12 rt c X' cx`' b 3 .� o �I �I Via, L-r— �y ., •.�, I CPU t, 6 64 T7v/Y� crre ya } tf '�, � S I N•, '� ! IJ 1 t N ft pc it Ic ov rt 3 1 IIdI 'I1*. � � I � 0 � I TI TI I �' r � � � �•� � v or I I v � O _� �. -W Aldd/IS Q S3M&WDa*dW agy7yG#LgM r -44 w 40 =_ N N �II� •�, '` � � I �, SI -+; tom•l � o;.� Rw a ,. . 3 2 . Ld d a' Cpl. ;� tvsa WA4, .10 JLV It i �11 m d �� � .o TS I �• � . p.9 ,P, � Q�,3 . Fae (Number' 45601 UNREGISTERED LAND Wynn & 6Vynn,� P.C, !--_ ---- oaeanook._._6327 _;_Page: 333y Chant: .owr* Prudaaential Relocaaption Management Pton Boo< 3 01 Pape: 9 9 .._lot(s): 8 2 niel r Appucont: Census Tract Number None Available REGISTERED LAND Ragistrbtton Book,, Pogo. Assessor Mc;X Block _.._._._Parcel:.__..._._.__. Certificate of Tit'.e, Date: 7/2 6/9 0 Scate. 1 "=4 0 ' Paon No.. Lot(s): MORTGAGE I NSPECT- Ib (� PLFN � B A R, N .S T A B L E mot 85 41 10 n C�� t low Story 2 '9 Dwelling 8,r khead Q K0. 74 _. Shred N �\ Lot . 81 Lot 82 o 35 , 265 S-. P. t Lot 83 00 g 0 N O I v - r � 160.001 0 L D TOLL R0 •AD THIS IS THE RESULT OF TAPE MEASUREMENTS, NOT THE RESULT OF AN . INSTRUMENT SURVEY . I CERTIFY TO • WYNN & WYNN, P . C . , SENTRY . FEDERAL SAVINGS BANK, AND THE TITLE INSURANCE .* COMPANY, THAT THERE ARE NO EASEMENTS OR ENCROACHMENTS . WITH • RESPECT TO BUILDINGS SITUATED ON THIS LOT EXCEPT AS . SHOWN AND THAT THIS PLAN WAS PREPARED IJNDER .MY IMMEDIATE SUPERVISION , THE .LOC.ATION OF THF . DV�EL•LIt�!G P.S SHO'�;P! 'DER 0 THE LOCAL ZONING BY-LAWS IN EFFECT WHEN DES MRIERS&ASSOCIATE6,INC. CONSTRUCTED (WITH RESPECT TO STRUCTURAL OCTCA,`V nBn41t--&A w. . . % -- { _ - The Commonwealth of Massachusetts n^< - -'L' Department of Industrial Accidents Office 91/nsesuffations 600 Washington Street Boston,Mass. 02111 Workers' C sation Insurance Affidavit name: 1&Ol,1, cL 1>P0S location: ^— city ��o y AY n't v`� M-b- D�17 � g 7 Dhone# v*,-3 qy ❑ I am a homeowner performing all work myself. a sole ro rietor and have no one workin in any ca achy ❑ 1 am an employer providing workers'compensation for my employees working on this job. company name:: ...:::. :::.. addressr...,:. -.:.: .::::.::...:..:...:.:::.::. Cl Phone#: insurance co.... : ;::. olicv#:: ...:. .:�,::;:<_�.;:: . :.. am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: .,'. company name: . ....... - .. f� addressr V� �J�: I`/✓�I� t :.. :. X. hone#. .. ; .... :..:.. tnsurance.co. ohcv# :. :.;•:;:<•::.::::::::::::::: IMP C mP address: ..... ........::.:..:....... .:.. city- Plrone#: ... _ . i itinrani eCV co :.: %/ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereby certify under the p ns penalties of perjury that the information provided above is true and correct Signature / Date L3 _ Print name M "15 Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Depsr went contact person: phone#; ❑Other (revised 9/95 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate.of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required 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 of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pernat/licease number which will be used as a reference number. The affidavits may be retnmed io 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 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 Invesugadons 600 Washington Street - Boston; Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 I The Town of Barnstable 9 '1 ,m�' Department of Health Safety and Environmental Services:_ �°ri�a ram" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-623.0 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, 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:E,t-/i,�� d A 144/y 4%— Est. Cost 00 IQ Address of Work: ZZ QZ mil!// lz c—' • �/I� S/.� �"� �1/J Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name._ :' 3►�3z��'yv.� fn iSC__-fy.�OH („i W W �.c �• t e F�r �r y ,, .a� m � X ems y o b Y.-- � _ Wj'j' Nil. 730 CUR Appeaft i Table J=b(eoadaned) Pr"aipttro PackaW for Oae and Two-Familr Rntdeadal Bafldlap Heated with Foam!FOda MAXIMUM MINIMUM (31 g Glazing cgif;g Wall Floor Baran Slab Headus/Cooling Areal('}'�) U-valuml R value' R value' lwaluer Wall -• 4°pm= Elfid=-e p=kw no-value' &value _ 3"1 to 6300 Headog Deptee Dare' Q Ir/. 0.40 38 13 1 19 P 10 6 Normal R IZY. 032 30 19 . 19 10 6 Normal S IZ'/. 0.30 38 13 19 10 6 85 AFUE T Is% 0.36 38 13 23 WA WA Normal U 13-A 0.46 38 19 19 10 6 Normal V IS'/. 0.44 38 13 23 WA WA 85 AFUE W I SY. 032 30 19 19 10 E6 AFUE X 18% 0.32 38 13 23 WA WA Normal Y 19% 0.42 38 19 2S WA WA Normal Z 12% 0.42 38 13 19 10 6 90 AFUE AA IV1. . OJO 30 19 19 10 6 90AFUE -T I. ADDRESS OF PROPERTY: `' - 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: C) / 3. SQUARE FOOTAGE OF ALL GLAZING. Tu 4. %GLAZING AREA(#3 DIVIDED BY#2): V S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUMDING INSPECTOR APP OV YES: NO: Iq-forms-f980303a 780 CMR Appendix J Footnotes to Table J5.2.1 b: " Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in wails that enclose conditioned space, but excluding opaque doors) to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requitement. For example,3 ft of.decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38. insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions, but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes,electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling, wall, floor, basement wall,slab-edge, or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). t _1 --- _ - --- _... [Ell fill - ( � ' ® FFLU FFH I U.U L�j So u ...5.j_de.__El�uu � �d��. oil n�����D r5:CALE '4` J ement Q lists od APPROVED BN DRAWN BY KK14a Tit mod.. �v.Ba t3st�!� M- DRAWING NUMBER I^ Reriwe sti U��J_dow � i S FI Ir .S. S JV4* Cr rL$sh l .j. —L e.vQ 10 ... � � , Side ELewcrTiof. i' AXI*9PP�6 it a L f. 4t i 0-g- r sal d •�Ual..l,'ri5�1• °i�?'�B. !!;'�-z�y;�,pc`�fi��r��';�:i,;�;-� — ----- t;.,.. _._ � .1y1• to t L 5 —�-- �1 _ — �)_. f; .... i�h. �!•' � 1 j iI �4�I I�`''�'�'��I?�V�1'�1 �I�•.1`'.� r i� ' .�?c!��M�51ti •• 3 KD C; kiSiic.{( I . CoHC TLle-k � i I N Df Cx t L LC:-v a 1 1 O Ile_ Rper—._ .- �� ►v��i-�C?s fig' ,_ M�o�Ke'ts . Flows ;•Colt • , i �� I I G Rqf(OLU Morrie Jmpvowcrrl4,"l� specialists i - I i ' -Roo r, ` 1 I i 'ENGi+.. SUPPI rco i TQi Lu��- -T-LAns} �A—o.sr-AV-(,L 1 j{ �LuM.b i_�1 . • -1 I __-- - - 13 41 X-9.YV M 7ReNov(ZAAeloc� . :i 11 ' �C\V��G.s�.l 11U�_t�__ i �Gs`ll���c-fz(',lotZ�.Y�1_-L __ • • 1 I� • , ��1 MTV � � ; I � 4 , 5 FxL1U waL �oc., ctrjoN ..� �j .y 91 Home Improvement specialists oicopeCod • SCAIE APPROVED BN ORAWN BY 741 � . .j.-. +';,. - 4_ fir+ t �• w � v..+ `�. D' __.]' f, '^ ^4 t,, t� �,»`.... �'.. •.`+;� - �t�. w .e' ..� '°•. TOWN OF BARNSTABLE BUILDING DEPARTMENT _ rT S TOWN OFFICE BUILDING � rua i639' �� HYANNIS, MASS. 02601 I i 'I MEMO TO: Town Clerk FROM: Building Department i DATE: An Occupancy Permit has been issued for the Building authorized by Building Permit I.................... ._...... . ..... . ..... . . issued to !�. .... _......_ w�. 4.g! �?`r s..._...................... ' . ._...__._ . _ ._ _ ..._ _.._ Please release the P erformance bond. i OLD 1 OLI. \,j I \J E:Lt qlL v I f N 1 1-�rr�r�� ra S2 •�__ r FrN. f �P�IV% q�ia I /ov,V PIT�2 IT HARR IorL�� o AN R� s �'Jo.26575 p J Z5� CAL• � D/sPoS>3L °�F CrsTE� 2�S L�2✓u.'• r� ss/OrlAt I: n S ��-�'��c. 1��K �Vo 1, GL V-5 r 0, 7 ^--,- OwC .'� �ucl - �'L S�wAG Ls �) s��v... Ll-,-,, 4��^��.Ic�� - — ___...__. -.._.. __...... _ - L #z S No Wlcl1 yv�,1SS'_ 97 OP SO IL �. InAi vlc-� 'OF ...ri LL ' I LA Wl-nz\4 C,oN 4y\,J- $A jr—)j v,l%A j i I i/./ <<fss THA.-J Two MIq;b I ��rXtr1✓i}i��� — �. Gc v�Lb� I I Mrgi %,\ P,\ POSH OFWRY MAC i �C.2G575O��; � /STF— �. �SS�ONAL L L /g.o — A/o)4)0 No1�to �- .0 I' G. D '� I 1 20 F!L I 0 1- j SP 0 5A f /n/v• 94.5 w.._,., tjv,54.0 �A/011.1 ' l,Zs O ' I EL L9J/S� /°/ -P- P C.C,re, Igv. .4C. �3. $ /.cf St)ZI�.;.`. Cv ; CA O is vJ A S)) V',o`, S i vN Cr b1�k�© � j. ,f u i v is kTS- u C ) Sp o S dj�. S y SS�',,,) T u ,Fs if u�/s 1 h C s C}J !►•� `a)'P l ✓u ;�. ')" A GC-k/-DAVc� "'t) -7� • Assessor's map and lot,numb p,r .... ............................ ...... . THE Toy lewage Permit number .... ....................................... GUM House number T�........ ......... /.......................................... NAG& IM 039. DMWNMENTAL C TOWN -OF -'BARNSTABqMERFGULAT10NS BUILDING : INSPECTOR APPLICATION, FOR PERMIT TO Y............................................................................................................. TYPE OF CONSTRUCTION ....... .................................................................................................... ............... . ..... ........... TO THE, INSPECTOR. OF QL)ILDINGS:_.,j .4 . The undersigned hereby applies for a permit according to the following information: ............... Location ............?.R.....q.id.....A.W....e ProposedUse ............................................................................................................................................... ZoningDistrict Arl. . ..... ............................................Fire District .............................................................................. Name of Owner XVW.AAQe?.... ..........................Address 5�C,7 12./kv ic-.6....A.F-1-S g, Name of Builder r tRQ.........................Address A .),Ax2r..3... Nameof Architect ...................................................................Address .................................................................................... Number of Rooms ..7........................................................ ......Foundation A ..................... Exterior Roofing JIA041.41.11 ........................................................... Floors ......Interior ......................... Heating. ................................... .....................Plumbing si-,llkq7................................................. Fireplace .....................................................Approximate Cost ....................................................... .r11). Definitive Plan Approved by Planning Board ----------------—---------- Area ...........=)4.................. ........ ... er) �— "Is— Diagram of Lot and Building with Dimensions Fee ............... ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH —To wo I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 1 . ...... ... . Name. .. ..... ...... .... .............. W. Babson Corp. � � ' two story i — Permit for -----------,' ' e single family dwelling --------------------------' � ` . � Location ............?-4 —Old Toll Road— -------- ................. ^ ' Weat Barnstable ` --------------------------. � . L .& V� Corp. . Owner ^ ^ — —..Babson Corp —. ---------.....—� —. ..—.....—� � frame . Type of Construction .......................................... ---------.----------------.. #82 p�� �� . ~ --------'.. ---..-------� � Permit Granted ...... )otcha»r..I0.—`—']V 79 ` Date of Inspection ................. �m ' ' lg ' ' *` ` � ~ ' PERMIT REFUSED � ____,_—_------------- lV .. � ' ' ' ' - -- lg --'�� ............................................................... ' mm �� -----------------^--~'--^^-- f- 7. Assessor's map grid lot number V�..... O �� • �C / TIIE. Sewage Permit number .....11l.. ..%�.............C................ Z EAUSTADLE, House number ........ MA8a i ....:....... ........................................... ro. t639- 'FO wX y. TOWN OF • BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. ��.�� ............................................................................................................. TYPE OF CONSTRUCTION .......r r•: ✓? •!.ie......................................................:............................................ .................................................19.....,.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......�.:�....© /:�.....�/ ....• „ ..T E' it a i Fir) �� ....... ProposedUse ...................................................................................................................:...... Zoning District ...................Fire District '' Name of Owner ... ...........................Address ( Name of Builder / ............ ..... Address . ..^:�?t;G 3.. . Nameof Architect ..................................................................Address ........................................................:........................... . r � Foundation Number of Rooms - -_ .......................................... .......... ....................n.....'....: Exierior Roofing .., /c„4•-=��.�Z`............................................................ Floors fe! /i!l..•✓s.a::�...:!t;�c%� w:G/C:��...c.��'v . !> '- Interior ...�t/ ... �:: ''/..?: ...........................................es,� . .. ...... ......... Heating ................... ..,......Plumbing �::' r.. ../�/!� . ._ d - -- __• . Fireplace ../.•�r✓,.^;...��c> . •.....................................................Approximate Cost ............................................................... ... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I r _ v Ytr ' rn, e I hereby agree to.conform to all the Rules and Regulations of the Town of Barnstablregarding the above construction. Name p..!I.../.,,,,,.. .... L. & W. Babson Corp . story � ~ No -----.. Permit for ----�-----..--.. � single family dwelling ---'----------------------- � 74OId Toll Road Location ---------------------. West Barnstable --------------------------' L. & W. Babson Corp, / Owner -----_---------------- � frame ',r^ ~' ^~ ~^~~^~' - ' � = � � Permit Gran(ed .........O.c.tob.e.r..10...........19 9 uora of m ` Dote Completed PERMI . T REFUSED � � � ^ � . � � � ............................ .................... lV ` �� —. ..3�.}�.--------. �'^~ �7-/ � t� ...................... ...................................................... � � -------`------~'---~---~--''^' � -----------^--------~'~----' � - ' ___---.'--------- lg ^ ' ' ' . \ ' ----.---------~--.--------- - ^ ----------~.----------....--.. ` � ` . ' | � ~`X" I 4 ;Engineering Dept. (3rd floor) Map It)9 Parcel rj �f� Permit# House# -7� Date Issued �f K Board of Health(3rd floor)(8:15 -9:30/1:00- Fee J, 1,F&o-c' Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) `� �CKI Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC SYS ��►p�-� BE Definitive Plan oved by Planning Board 19 1f�STALLE® 6 �? NCE MIT TOWN OF BARNSTAB �L,w, Building Permit Application Project Street Address Co/ Village 1d Le Cjft Owner bA k/I Z° 1 `E S Ql�Gy� - � �.�r Address - Telephone 3 7D Permit Request , PC P.-r e-5 ��,1a k- q2U A :R V14la First Floo square feet Second Floor ('� (f�l�//G/✓' �square feet Construction Tye Estimated Project Cost $ ��_ O o 0 Zoning District Flood Plain Water Protection Lot Size 35� A 63 5,F A Grandfathered ❑Yes ❑No Dwelling Type: Single Family 0�Two Family ❑ Multi-Family(#units) Age of Existing Structure Q Historic House ❑Yes 81O On Old King's Highway es ❑No Basement Type: ❑Full ravel ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing _ New Half: Existing New No. of Bedrooms: Existing —3 New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: as ❑Oil ❑Electric ❑Other Central Air ❑Yes O Fireplaces: Existing New Existing wood/coal stove ❑Yes Q_N&e 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 K1dj%tqk ho io3a oA,@,s Telephone Number Address &C 614�JJ�� l/Se k(� . License# ©SQ . 15112 Home Improvement Contractor# &,30 2' Worker's Compensation# I 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 SIGNATURE DATE BUILDING P MIT DENIED FOR THE FOLLOWING REASON(S) • FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED r MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF)NSPECTION: FOUNDATION FRAME -INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - , a'•f PLUMBING: . ROUGH FINAL y . GAS: TROUGH FINAL' - • _ 6 FINAL BUILDING e ) f f441 i f DATE CLOSED OUT 4 ASSOCIATION PLAN NO. f , f�^' ea��'bN`�I+rrat:is:Nu# rvx"C'f.�►�s+=rl��.b�a,. �.s.� �.,-''V��r+�•�?��'�^'�'.rr-v:-'�mL:��a.e+++vP'w.Y,w;>'a,•w..r•.t.=--v�`r•-a+�,. - �- rE•' �'+� �INETO The Town of,Barnstable _ O� BARNSTABL6. • Department of Health Safety and Environmental Services 1639. 0� Building Division i 367 Main Street,Hyannis, MA 02601 _ 3 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type.of Inspection cC /_( r—- —"- Location OlC�f I� 1't c{t / Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: � �./_J � •,�/�t1,:.0 r,-v�r �-�lC � {:,�r ;C 1 P�.� `�3�> 'I�-�',O ��i �� Y "mil•- �n��—�.. d1. � . �U� '�. � _, ,.._ i Please call: 508-790-6227 or re-inspection. Inspected b Date . The Town of-Barnstable. $ Department of Health Safety and Environmental Services Building Division ~ 367 Main Strut,Hyannis MA 02601 Office: 508-790.6227 Ralph Ctt om Building Commis; F= 508 775-33" For office use only Permit no. i Date � AFFIDAVIT i HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,nrgair,modernization,conversion, d s � � improvement,.trmo%%L demolition.,or construction of an addition to any ptz- which�°�°� t building containing at least one but not more than four dwelling units or to suucm= to such residence or building be done by registered coattauom with ceitain exceptions, along with other tzquiremeats. Type of Work: Ma —at-Cost /-060 Address of Work: Owrer.Name: q � Date of Permit Application: I� I hereby certify that: Registration is not required for the following rcason(s): Work excluded by law _ ob under S1,000 Building not owner-occupied pwna pulling own permit Notice is hereby green that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WrK I�I f CONTRACTORS FOR APPLICABLE HOME IIvIPROVF3v ENT 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. c, D O [ 4 Date Contractor name Registration No. OR Owner's name Tile Conttnottlt'calth of Atassachstsetts -- Rai Department of Industrial Accidents Bimlon.Mass. 02111 Workers' Compensation_ Insurance.ARdavit ��(Zp11Cn—nt ntnrmatin'n=' •*• Please PRiIVT`,p�`ir, � ' • - '�' name_ I I&MR4 .I iG I 1 1 e. =tine• . ....�..� d� Ire �I I ciri• �l �IJU��Ci� L PG phone# ❑ 1 am a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one working in any capacity 1 am an employer providing workers' compensation for my employees working on this job. • Co S 1 .Z cih•: �A�l� 1 S nhnne#r Jl/217 7'�5—;;� a insurnnce ce. ❑ 1 am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company nnme• address• cih•: phone#� Insurnnee co rtellcr# ��.riL�- :.+ -:.T..�.. � .' rT.A!7�4••.i!i�?"�.'!�•'�:SR'^_S�'-r,�sc�=- _ -_- _ •'t'�s��i f.�!R�e.���.. - .AIR!�'•�^.7S crimnam•name• address• city phone tk insur:,nr�tee, pettev# :Attach additional"sheet itt;eeessary-,;-:••:•� -•••r+•z-'�;•�"�-`�''�''�="ram- �." •..• •'. •_•`" •' Failure to secure coverage as required under Section 25A of AWL 152 can lead to the imposition of criminal pewtides of a tine up to S1.500.00 and/or une years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a tine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the OMce of investigations of the DIA for coverage verifl ation. ' l do herebr eerrVy under the pains and pe lt/es of pedury that the information pnvnided about is trite and correct Signature ate (4 Fo Print name one# ofllcial use only do not write in this area to be completed by city or town o11 dal city or town: pe rmit/itee se# Mudding Department D1.1ceusing Board cheek if Immediate response is required QSeleetmea's OM (3fieatth Department contact person. phone#; nOther •yam-7►-•-�•.1..� - -- - - J i Information end Instructions ' Massachusetts General Laws chapter 152 section 25 requires all employers to provide -,vorkcrs' compensation for their employees. As quoted from the"law", an emplm+ee is defined as every person in the service of another under any contract of hire. express or implied, oral or written. An enrpli!t+er is defined as an individual, partnership,association, corporation or other : gal cntity, or anytwo or more o; the form-oing enga-,cd in a joint enterprise.and including the legal representatives of a dcceasctl 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 dwcliing house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the `rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 1'52 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or-to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter hav: been presented to the contracting authority. w� yia. �1 i al: .,.•' �_. R. "A y V��:�.5 aAs:� .L��� '"Ir�.7..�,.�•-'� In�.1T:.�t V� t.•t .,. •M'-f•s•14�•,V••�!ti.. . ..�-. �•��/t•r��• /. .Y;�A: �Y,'. �l. 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 affid2vit. 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 for regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. ••;,s-7 ;::: 777 77.3::.:`.,y. Cite•or Towns 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 fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. 'lie Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. ,.�-......�.,�a'�n... .,. . . ....•. _- •:�i �.y..� '.rw.i. i:.! �•:i,+�:.n41r.«�f..�+�:.,*4:'.'%ein ` -' - The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street -- Boston,Ma. 02111 fax#: (617)727-7749 •. phone#: (617) 7274900 ext. 406, 409 or 375 e ° e e i +..5 �� !+ M .,iC ,. Sri �$`vfP.tujyl4/ .. - ✓F 1' ri CS pt CM �� V�i •d N = W G~C > 1 pap%�,Om Lai �' ae OR Gp v� x ° f , FROM HOME IMPROVEMENT SPECIALISTS PHONE NO. 1 .509 775 2887 Jun. 13 1336 219:28RM P2 45601 _ UNREGISTERED LAND 333 ber,f9s,Num . 6 3 2 DAea book:....:._.__ pCge: Client: Wynn & Wynn, „ Prudential. Re Location iv,anagement Plan Haok,_..__ 41.......page:._99....___.tot(s):_ Owner, n1e area V5xxa M�.^ Pionido.; o' Applicant: on 1 C11= -..._—.�"^_ .____—._....,...,. � • R None Available LAND Cerous Tract Number; l2eglstration Book:_—____Papa; Assenot Map. Block: Potosi: ,_. .___ Certiflcote of Date; 7/2 6/9 0 Scale. 1 61'4 0 r _ plan No.: M 0 R T GAGE _._I S P E C T t 0 N -•� BAR NSTABL- E Lot 85 AA �Q n o 2 Sb�ry Dwell.inr} Bulkhead Shad �vechang Lot 81 Lot 82 © 35 , 265 S.F.t Lot 83 00 - -- 160,00, OLD TOLL ROAD THIS IS THE RESULT OF TAPE MEASUREMENTS, NOT THE RESULT OF AN INSTRUMENT SURVEY. I CERTIFY TO WYNN & WYNN, P.C., SENTRY FEDERAL, SAVINGS HANK, AND THE TITLE INSURANCE COMPANY, THAT THERE ARE NO EASEMENTS OR ENCROACHMENTS WITH RESPECT TO BUILDINGS SITUATED ON THIS LOT EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION. THE ..LOP--ATION-OF THI" . DWE-L_.L.-.I..rir AS cy01�lP: M N ELT' cR W I .... �, THE LOCAL ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL DES LAURIM&ASSOCIATES,INC. SETBACK REQUIREMENTS ONLY), OR IS EXEMPI 161 HASHINGTON STREET FROM VIOLATION ENFORCE'MNNT ACTION UNDER EAST WALPOLE MA 02032 MASS, G,L , TITLE VII , CHAPTER LIDA, SEC- TION 7. 1-800-287-8800 t �'._����r�:�4 =`�tt (t , .Y 1�.3��.LM. dr�� f4'Jy 9 x - a � � ®�•�.. log .Y. e. .r p "H 4 Ist ril,,, r 4..r.J r r�..!j 4{''c L fir' 5,ft� .G,{�ni 41 Jryt+rC'f Crirrlp ;,*S,C.t tFx .. .w i':. '.e If 0 o ;;e.m e-f `JL'�F r.; +t+ypr ;r p�}� � 'h !a r .. �� rs ;l:�C,t" � is` ( ' :(f? 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','i= , ..7 4 Art k �•` P � ^ . !! i4fry t • Parcel Permit# S� Conservation Office(4th floor)(8:30-9:30/1:00- 2:00J J�PPate Issued s Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) O Engineering Dept.(3rd floor) House# BALL PU�^�C EUVIRON 19 T°®! !N DE AND 0 Otreet ONS TOWN OF BARNSTABLE Building Permit ApplicationPro� Address j Village W. ,, 1 Owner M M 5, J&M 62,L—�R_V it gN, Address sG M,(?: Telephone Rao M Permit Request ...,pa:ws I IM-Ln [JtTE& 04�&ARe M&IPP", First Floor .2 square feet Second Floor square feet Estimated Project Cost $ I loop Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Sa Me- Construction Type Commercial Residential f Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure✓ Basement Type: Finished Historic House Unfinished Old King's Highway f Number of Baths ✓ No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel --� RAV, C,5 Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information r Name Telephone Number� lS Address r— ,� License# bt Home Improvement Contractor# 4 Worker's Compensation# kV C 1312 �q- r 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 SIGNATURE/%�� DATE (O BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) Ir 3051 V FOR OFFICIAL USE ONLY PE MIT NO. D�.'TE ISSUED ~i MAP/PARCEL NO. DRESS VILLAGE OWNER DATE OF INSPECTION: . FOUNDATION FRAME ° FRAME Z INSULATION ►�by A �h FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL c GAS: ROUGH FINAL ~ ' FINAL BUILDING. e DATE CLOSED O -' a ✓- r'`" ASSOCIATION P: 4�,rvo., y TOWN OF B ARNSTABLE Permit No. ___ --- _ ._ - aAUn.0 Building Inspector cash i070. a Nx-16. OCCUPANCY PERMIT Bond ___________ Issued to 4., & W. Babson Corp. Address A - nest ''=irrtstab!= Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. . .............................................. 19......_._ ..............1......` ................................................ Building Inspector