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1680 OST.-W.BARN. RD
III 1 UPC 12543 0 No. pOncoN��� HASTINGS*MN I }�..��.:�'::.�il:a•�+s`�--.. ..._.<y ter..:..-'.`i+,w,�w!`.t.w4..t..�......u.�'m�e&Y'lCfa. a.i ..���+'tee.+__._ .u..... .vYra�.4i*.f/:��fLYsJ_:. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map /1)8 Parcel of - Permit# 3 (,o n Health Division - 3 z Date Issued ��� Conservation Division Fee zo ed-�k c.,Jlzyl�' Tax Collector s SEPTIC SYSTEM MUST BEAAM Treasure��3 �t�i INSTALLED IN COMPLIANCE . WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board N^� TOWN REGULATIONS Historic-OKH Preservation/Hyannis 6 /Pe6:,6s Project Street Address ) &8Q Village Owner���-� �'� 1�0 Address <SAr -Telephone Z.O - i 3 Permit Request ��6r��y�� �w�M H �Nc,-- ',�o� J4,X 2$� 6,ksc-t -U Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost 1-2-1 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size 63 3 ` Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family -❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil . ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ElNo Detached garage:❑existing ❑'new size .Pool:❑existing 3/new size W x PS: Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes l/No If yes, site plan review# Current Use /VON r Proposed Use 75 w z "•��� cr— BUILDER INFORMATION Name ��Q� --ALLrL- ` 67y-P!F- TR20J;t_YW5y7\_S Telephone Number Jy� ` -7J Address �99 � 5 ti�� � License# _ QO (-,(,L! 3 Home Improvement Contractor# � a 3"7 se7 Worker's Compensation# tl D�3119 cl3 —OI-99 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE _�-Z1• CM I FOR OFFICIAL USE ONLY PERMIT NO. - DATE ISSUED Y ?• - " MAP/PARCEL NO. ADDRESS • VILLAGE OWNER ; DATE OF INSPECTION:4 FOUNDATION FRAME r INSULATION ' FIREPLACE 1 ELECTRICAL: ROUGH :;, FINAL PLUMBING: ROUGH t n {^! FINAL t7 �9Zot OU - �r' 'FINAL GAS: R ... RI ^ _ S FINAL BUILDING ' • gy m • =: cr 0 DATE CLOSED OUT F S s!� ; ASSOCIATION PLAN NO. I �,/,7.•;y�lap7y;e:�,-,.,:..:tc`'r:-�taav7•a+Ca !,"r,+rs?'�1;7mw'r,+}-.."t••tn w. L?t !^'7t-`F77nr L.-- •,+:w i:t'e:a:;Pzr::r/&:}s•'-% -•i:1'- I v,44f'rfi:z!a'-n'ac7b 7Edc. C,�+t?R Y.✓J,n"T - 7i i� !'i 'J.:-' 'V:' '1 fix!. "�' [ •'I- i?�', l. ' t '1 J , -7r;• f .d- ••a a, .�,i. s,., 'ti:, �p�j .� J ':' Y- . d :, >. �. 1,: V 7 t a 'r /� n t _ < yr. r'1 _ ri r: * �' 1,\ i':: -( r..;d,',.• , .± i"•y " ," ''elh• •y, :-. ,•rf.< i rr.. _ ` 410 , ,.r w c iJ 1 r - Y h => j ; i I, i 0 < �'.c:: ��!�.� r:'�` ',• '.1 ', j,q! RC ,.fit P-,ff3w ,Asslt vv;�i;h%.;3 , t. °.. . --`h-;%feu,.1 .•�� -t .....::+-' 'S• .•.•-.v,+...---- 'L.: R'-.... 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'}, -FJ,.. ,f: 9,• , :.i:::.•,. ,:�: 'i•' ,tom r >. •t' •�f,.:"1. .,.. s.... .•, ,..,. , -.._ .. .: .... ;f:•. -.I: ri' �Tr _. .1'a �i•. t1••I�' .:'>vS,li1'•r,2...T.:: -_. - - F tHE Tp� do The Town of Barnstable i Department of Health Safety and Environmental Services 9B" M �MAW �; Building Division 1639. A�0 367 Main Street, Hyannis MA 02601 FD MA'S Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Check One: Shed Deck F]Re-roofing* E]Sidewalling* [Pool FOR ALL APPLICATIONS: Completed Building Permit Application Approval/sign-off from: Historic District Commission ❑Old King's Highway Historic District(North of Route 6) Hyannis Main St. Waterfront Historic District(see map for boundaries) Historic Preservation(if applicable) [Health Department *except re-roofing(3rd fl.Town Hall-8:30-9:30& 1:00-2:00 pm) Conservation Comm.* except sidewalling/re-roofing.(4th fl.Town Hall 8:30-9:30& 1:00-2:00pm) ff Tax Collector (1 st floor- Town Hall) r-lTreasurer(3rd floor-School Administration Building) gHomeowner License Exemption Form (if homeowner is acting as general contractor/builder for project). ['Worker's Compensation Insurance Affidavit must be submitted. [?Home Improvement Contractor Affidavit must be submitted(residential only). Copy of Home Improvement Contractor's License(residential only if applicable) [�ermit fee. SHEDS/DECKS : r-JPlot Plan or mortgage survey required to verify zoning compliance. Placement of proposed structure must be sketched in and the distance from property lines indicated. The location of the septic system should also be shown. F-JTwo (2) sets of.plans.(8 1/2"x 11"or 8 1/2" x 14) showing cross section and framing schedule. Prefab sheds require factory brochures & specifications. r-lPrefab sheds require a copy of the Home Improvement Specialist's License unless the homeowner is applying for the permit in their own name. ROOFS: F�#of squares of shingles or sq. footage of roof. Specify if going over old roof or stripping. If going over, how many roof layers exist? What size are the rafters? What is the span? POOLS(over 250 sq. ft. require a building permit) (Plot Plan or mortgage survey showing the proposed location of pool and the distance from property lines. Plans must also show location of backwash pits if applicable. IN Basic construction drawings indicating materials to be used or factory brochures and specifications are required. Notes: Residential pools require a minimum 4' high, non-climbable fence with a self-closing/self-latching gate. Home Improvement Contractor Affidavit must be submitted for an in-ground pool. No license if needed for an above-ground pool. q:forms:permapp2 RUTALL Grecian (00, 2' I PT1 z I---6' 1/2" 25" 207 6 LIGHTFj 2'10" 6'91/2" 6 STEP PANEL I UNIT OPTION 2'10" 24'10" 6 4 6 6 8 8 �- 28'91/2" 3 40'0.0.0- 7 .,2 MINIMUM —+ PREPARED BOTTOM. •---12' 8'31/2" --►I GRECIAN, CORNER FILLER 05183 CK NorFs 5,41000PING LAYOUT , 12 x 24 1 Swaurc�s designeE for use below grade and only m atm wlwe the ground watersa {. table m n of a°6 tielow me pmib ea 5nisfiedygr�ade1 > � 12 6 4 1 2 x 24 w/Center Ste i. 2'Eazldillanthct�n ictti�fraofrootsanddebn&.Doflatallowthe100 ofl,ufi 4 DESCRIPTION PART# io exceed the hught of the watu m the p`•ool by mo`e than ti"400r water to exoeedbackfillM by m° '>>a°6E r=r � ` �� =� r 8-GRECIAN CORNERS 1 1 8'PLAIN PANEL 05102 i 3 Pour 2500,P S L cotuaete footing around emtre penmetc minimum 8 deep 4 4 3 wlmgi,tdc�i ap t,ion etkss,3 thiaYj"sanda'slopedfli mi awayfrom' 4 5-12'5ECTIONS 1 1 8'SKIMMER PANEL 05104 t �" * 2 2 8'RETURN PANEL 05108 =< �: 'm N 5 FinaheE bottmn is to m 2",m,mmum of swtable tttatatal or undtstufied earth n 4 6 5 6'PLAIN PANEL 05112 K' G9' y"'P+f ba. •"4 4 6 A�saety lie wtdt�tnioy�s is ro be pcntly�attacbed l 0;w the shallow side of4 12 6 5'PLAIN PANEL 05118 . , the pom�t of firsts slope eLange° ,dr � � � 7:CCopme,coputg engihs!rLTpmmmate.M'maybeneededonstta�$tt.secaons� 2 2 4'PLAIN PANEL 05123 + 4forproperfiRadtosate2:z, � aa� ADJUSTABLE A-FRAME 3'PLAIN PANEL 05128 8Coffitrtietfon thawings•�Tbese:dmwictgs and'notes are for`tllttswuvepmposes 05129 only�DoH�aen�t�m�th�odsPrecan�o maybdrtfiyweondcuons 2'PLAIN PANEL This taro bt6 determined by end u ex tcaponstlnitry of the oontrnaor who is not m agent of the tI V PLAI N PANEL 05132 i t. r m`anufaemerof�t yzfa c� t 7� `s� 05188 9? stallati`on is to�be done m=x ante with.all federal.state aad local budding� 4 6 A FRAME � tn���e- " ' s RECTANGULAR FILLER 05181 codes as wellasNBPLsuggesmd RADIUS FILLER F -^ �• sAk wry, s � _ � 8"MIN• 8 8 GRECIAN FILLER 05183 �; Poo]bottom configupauons are forillnstrahve Putposes�onlY TtiY��°nfiBu o- 250o P.S.I. 05202 ranon"shown conforms wdh cumnt N STI suggestedrmnumnm•standards CONCRETE 1 1 NUT&BOLT PAK yi for pools n which m`nufactured diving equipment is pmhibtted ';� , � ,c L FOOTING 1 1. GRECIAN CORNER COPING PAK4 1 STRAIGHT COPING PAK NO DIVING'LS ALLOWED IN THIS EO.OL LAZY EL FILLER 05196 y r; rt 2'6" 05336 —� 11/2"X11/2"EL FILLER ors f C OVERDIG Per.77' Sq. Ft.377 Gallons 14600,E�Zx 9' u.^., ,wr s.!+ {u e.Sd'�. •�s . vac. -�.�_. — 8 -- _ ��' ,i � N _' o, .-. I p, ,U`^:o•`o .,,S�,occ.=,,�'r�'ri.ii!`1,i I G=. Wh +1. C amo I I s:W JC1> %� E C •`YI 'i o N'I`I�i i�iim�II�i�i`,f'r Y� w �. � 1 i O�•.••r d' c �_,d.N Q '.. Oil LLJ Cc 6 )lY pG .¢ S ` t =t�+'m�..... V •MS'yJ' cn i 1 + =!.;;V C oc W �I�a�l ill i�ri �c�f ro a t p N'IA x d'►- 1 . « 1- w � mjj Ii, � �' I r' ly� `Y�,•it' pp� i'�•>}I I' y f •� t �. Sezr.fC�'t,L r+ ,.. M1'V� .., •t t 134735 Restricted To: 00 i 00 - Hone . lk - Masonry only { ' i 16 - 1 6 2 family Homes F failure to possess a current edition of the } Massachusetts State Building Code ' is cause for revocation of this license. 411 License or,registration valid for individual. 2 use only before,eacpiratioii date:�If found i return. One Ashburton Place Rrn 1301 -�" Boston Ma.021081 f` �� J.;,,•,..c c.{`r+'ia`; tiny. �` � e Town of Barnstable saNerwm.�. • 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: Estimated Cost � Coo Address of Work: 1 690 © STD �—. zPqTN Owner's Name.- Date of Application: 3 ' R9 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 E"ROVEMENT 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 q:forms:Affidav --_= The Commonwealth of Massachusetts -=_�_. • + == =—: Department of Industrial Accidents -==� Office Oflnlresffooffons 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit r / /%%%���� ��� inicanCormnflotrz ��/%%%/,%%/ name: location �C �q city V�,1'4 Xj&-. l V 1M,A�-, phone# ��\ ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any ca acity I am an employer providing workers' compensation for my employees working on this job. comnnnv name: address: :....... . ... ... .. city phone#: insurance co. I M Tn arL,A CGI ' npiicv# 'ICo49-q "61 —99 ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the folloning workers' compensation polices: comnanv name• ..,..... :.,. address: city: phone#- insurance cm pricy#.. :........:.::.::: :. :.:.....•:<.::.. ::.;:;:>..;.... camnanv name: address. . city: phone#' :.. insurance co. ::... :..:.:::..;..:: .;..olicv# aisri %%%%�%////��/%%%//%%G//G%% / / % / FEWER; Failure to secure coverage as requited 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 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereb and penalties ojperjury that the information provided above is trap and correct Signature Date -99 Print name ' 7A-Z) 1�ppz,�k, r Phone# ��S official use oniv do not write in this area to be completed by city or town official city or town: permitiucense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#-, ❑Other (mvuea 9,95 F1A) 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 coat— 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 receive:c: 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 oa 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 renewa: 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 iasuiance 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 contractingauthority. i S � f l ' { '/ r. I '(' i 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. ShcWd 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 permit/license number which will be used as a reference number. The affidavits may be retmned 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 Deparnnent's address,'telephone and fax number. The Commonwealth Of Massachusetts f- ' Department of Industrial Accidents Me of levesduadons 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Parcel 0 2 Permit# \{ al h D• is on Date Issued-0+��Collector n FeeT y 1, ��. Treasurer Histo • annic , Project Street Address 2 2� ��� '(Y) � Village Owner .�L/,qCRT IF- xm/,v Address /" Q OK f /Q/?. Telephone 9/47 Permit Request - iYS1X' 1_ / `✓/,,YO ha - 0IV/Ve 2T,1 t*.�LL Square feet: 1 st floor- exist,n ���S�" proposed 2nd floor: existing proposed Total new 1 too Estimated Project Cos a Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: Cl Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full O Crawl ❑Walkout ❑Other Y Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) - Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Cl existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name G�2/^ G_ ��//°/��' V Telephone Number Address 3 3 License# Home Improvement Contractor# /07S_g °y 44I?NS7"gl3 Z_ i�./1y • C,zl?d Worker's Compensation# ' J ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. ' DATE ISSUED MAP/PARCEL NO. _ADDRESS VILLAGE OWNER r , • r DATE OF INSPECT16 FOUNDATION FRAME i INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL F GAS: ROUGH FINAL FINAL/BUILDING f I CIS ( e DATE CLOSED OUT , ASSOCIATIONYLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents ONCe 01111sestigatioos 600 Washington Street Boston,Mass. 02111 „���,����������������������� / /Workers' Comiensation Insurance davit / ! TtiRC�t1r!tTiIol:u IIrIt irY...... //%%// %%/%//%% +� tip 'C,"'Y%%%WWX *%%%%%%%%��%//////%�/%�%///%///�''r"'"": name: location city phone# ❑ I am a homeowner performing all work myself. ❑ I 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. compnnv name: 1,0/-9RC 19- 1�/i°RCy �aX 3 73 Z y address: city A/?y f'Ti1 b'L Z7 Am- 6 Z c'30 phone#� 3 C2 — Z/a insurance cn. 4M SS- C nolicv# °'�2 3 ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have , the following workers' compensation polices: comvanv name! address: dtv i ........ phone#- .. :... ...... ..: .. .. ..: .... . .•:.....::,:.,,:.....,. .:; :..... mow:>::<i:.>;:;::. nsurnnce co. .....: olrty# comnanv name- :.. :::•:. ::: ..::......::.::•:>:::. address: cih^ phone tH ::.....:::;:::. ..:.: ... ..... . ......:............. Insurance go CV X. Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a fine up to SI.500.00 and/or one years'imprisonment as well es civil penalties in the form of a STOP NVORK ORDER and a fine of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is tru.-and come Sigltattu ✓� D �' 7 _ Print name /_ S /0 Phone# oMcial use only do not write in this area to be completed by city or town official city or town: permit/license 0 Mudding Department ClUcensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone q; —Mother— ... (rcvuto 9,95 FJA) 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 contr 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 receive: 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 renews: 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 permit/license number which will be used as a reference number. The affidavits may be rctuaned 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. ro The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of InVesduallons 600 Washington Street - Boston;Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 WCURAppmufti ','� ''• Tabla.Qlib . hssaripdwe Fackgo for Q6 and TIMFamill►Ra Wuftd Bu9dhW Heated*&Fossil Fuck MAXIBU M Mmdl'IUM Wall Floor 8tae4feat Slab U-valuas R,y Q-value- &vxWd Wa1i Padmm E d=cy' Pae�ae R.value` &value' 5"l to 690 Hnda;D Days' Q 12Y. OAO 31 13 19 10 6 Nom:ai R 12% 0.32 30 19 19 10 6 Normd 2'A S 1 0J0 31 13 19 10 6 U AFUE T 13% 036 31 13 25 WA WA Normal U 15% 0.46 31 19 19 10 6 N� v IAA 0.44 �`a 1+' Z'+ WA WA �AFUE w 15% 032 30 19 19 10 . 6 IB AFUE x Ir/. am 13 21 WA WA Normal Y IVA OL42 31 19 25 WA WA Normai Z 18% 0A2 31 13 19 10 6 90 AFUE AA 1117E 030 30 19 19 10 1 6 1 90 AFUE 1. ADDRESS OF PROPERTY. /f 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3 o Y r 3. SQUARE FOOTAGE OF ALL GLAZING. 4. %GLAZING AREA(#3 DIVIDED BY#2): / • 0 I S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-i980303a -rr-- - 1 Footnotes to Table J5.11b: ` Glaring area is the ratio of the area of the glazing assemblies (: ding sliding-glass doors,. skylights, and basement windows if looted in walls that enclose conditioned space,b :cluding opaque doors)to the gross we area,expressed as a percentage. Up to 1%of the total glazing area may .:excluded from the U-value requirement. For example,3 f of decorative glass may be excluded from a building design with 300 If of glaring area. =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-3 8 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. s The floor requirements apply to floors over unconditioned spaces(such as unconditioned cmwlspaces,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 utilize electric resistance heating use compliance approach 3,4, or S. 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 J5Z la NOTES: i a)Glaring 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 035. 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 J1.53b. If a door contains glass and an aggregate U-value mating 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 035). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wail 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(035 for doors). 43 Town of Barnstable- Planning Department Old King's Highway Historic District Committee ED M0.� MEMORANDUM TO: Building Commissioner FROM: Gwendolyn Brown, OKH Secretary DATE: March'25, 1999 SUBJ: Modification to Prior Approved Plan F A minor modification has been approved by the OKH Committee to a prior approved plan for the applicant (s) named below. The modification is briefly summarized and I have attached backup material for. your records . Applicant (s) Albert & Judith Minucci Address of proposed Work 3224 Main St. , Barnstable Assessor' s Map & Parcel# 299-29 Meeting Date Approved by OKH May 15. 1991 Minor Modification 57ab,�r»T a/�-ac�;r,�- �a �rc &a, V&VAA _ MA-ew Chairman March 24, 1999 D Date If you should have any questions, please do not hesitate to contact me at ext . 862-4684 . rEnosc �mmon.mmman �da'Ii � ■■®��M9a � ���■®■®®®■ ■■�■® �1®■ 0 m m ■■i■■■■i EE ■®®■■� ®■�iic � i*®��►�■1 VON; Elio ■ so ■■ �� + ; � ICI■®i���i fir■ IN I :■ f IMarch 15, 1999 'ro nrnt;fy cn-m; ttee of minor modification of .rear elevation. ".N`i.sh to install an Anderson permashield, dbl. hung window unit in7 ,th wood Grilles. Rough opening of 30 1/3 x 49 1. Glass size of 24 x 20 for egress purposes. `"Jindow sill 44" off finish floor. Sincerely; ANbAF G. DUPREY BOX 373 BARNSTABLE,MA 02630 j"arch 15, 1999 To not;fy committee of minor modification of .rear elevation. '.Fish to install an Anderson perma.shi.eld, dbl. hung ivi.rdow unit with wood grilles. tough opening of 30 1/3 x 49 Q. Glass size of 24 x 20 for egress purposes. '. indow sill 44" off finish floor. Sincerell�y; �s r ANbAt G.DUPREY BOX 373 BARNSTABLE,MA 02830 I r IIIIIIIIIIIIIIIIIIIII1110 Alert E.Minued Pm Oars Drive,P.O.Box 194 BarnetaUe,Massachusetts 02630 March 8, 1999 Mr. Ralph M. Crossen Building Commissioner, Building Division Town. .of Barnstable, Town Office Building 367 Main Street; Hyannis, MA 02601 Dear.-Mr. Crossena I am writing to .inform you of my intent regarding .the property known as "Post Office Square" in Barnstable Village. The location is 322. -3226 Main Street, Route 6A, Barnstable, MA 02630. My intent is to utilize an existing storage. space as an owner-occupied-living area for occasional usage by my wife and myself. The building's present footprint will in no way be altered or will the square footage be expanded. The zoning .is "VB-A", alloying living quarters. Electricity and water are presently available. The existing storage area will need to be finished off and appliances added. Again, this usage is strictly to be owner-occupied. The Barnstable Village Post Office, 02630 has decided to expand its operations into an adjacent unit to the east which has an existing doorway access, this unit's address being 43236 Main Street, Barnstable, MA 02630. This All reduce and lessen the commercial usage and impact on the above-mentioned "Post Office Square" building. As requested, I am submitting this letter of intent for your files. I can be reached' at the above address or at 508-362-9084 for any questions. Thank you for your consideration. Sincerely, Albert E. Minucci The Town of Barnstable • a�►aivsr m • 1639. `0� 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: 1/1/S 1i4 4 /Y47141 11�, ;4' 4 06 Estimated Cost U `� Address of Work: Owner's Name: f/11-?.m T Date of Application: 2 S 9 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law oJob Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: ,Date Contractor Name Registration No. OR Date Owner's Name q:fbmis:Affidav ap I C x i' N �! + 't W W d ¢ LZL C ry-� •vd S lI d a�C W m m •r d b ~.•� N � . W ►.. �� A..1.. <D Ul R/ #'..�-1.i..:; W f- 4l W ce W i cr- O = @ N O 6 OTC� . �l�'�• Q .� ' . v\J , .w...y4y�,- lr 1 h v/E rd z •tl 1 Tug TOWN OF BARNSTABLE Permit No. .....30501 BUILDING DEPARTMENT{ '1e0" I TOWN OFFICE BUILDING Cash ; HYANNIS,MASS.02601 Bond ............�.639 (�J CERTIFICATE OF USE AND OCCUPANCY Issued to RICHARD & MAUREEN MAHONEY Address lot #6 1680 Osterville—West Barnstable Road West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. July 23 87 Building Tnspector I • s i S ,$teems` TOWN OF BARNSTABLE Permit No. .....39501 .... ° BUILDING DEPARTMENT n�iwa I TOWN OFFICE BUILDING Cash ................ HYANNIS,MASS.02601 Bond X..�/{7'�� CERTIFICATE OF USE AND OCCUPANCY Issued to RICHARD & MAUREEN MAHONEY Address lot #6 1680 Osterville-West Barnstable Road West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD 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. July 23 19.$�............ Building inspector I "` a`�y�•�. TOWN OF BARNSTABLE _ BUILDING DEPARTMENT : sssaSTAU TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 'F011AY�' MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permi. $�- _.® ©� _ .................................. ............. ........................ _. .....» _._.... _... issuedto .... ............_....__Y._`E"/! .../....e........._.......... _... ._._ .... .._......w_w.___ Please release the performance bond. TOWN OF BARNSTABLE 4MASSACHUSETTS ram,- BUILDIN.'"�!Y• ��RM�' i J. � DATE 19 T PERMIT APPLICAN'^�^'�' �'}' I ADDRESS :a I '''.J. •i (NO.) Y (STREET) (CONTR'S LICENSE) i.:_ L .: "_'-_'DWELLING_..:;;NUMBER OF PERMIT TO (=') STORY -' DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING STR DI CT AT (LOCATION) . � ' `%U li.i L._ •'r.;. _ + •I _ (NO.) y (STREET) ' I BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT: IN HEIGHT AND SHALL CONFORM IN-CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: �.•_1!_t,�:... ):i.. J— -t AREA OR ) J ', - PERMIT VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) OWNER'. . . )ci. .. (JY•i,� - BUILDING DEPT. , ADDRESS _ "'"" BY ` t THIS PERMIT. rbNVEY.S NO.RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMAN��(-'I;VY: ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED. Y' 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 THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND ' I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION-HAS BEEN MADE. 3. FINAL INSPECTION BEFORE ' OCCUPANCY. ' POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDIN INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVAL AWC 2 � -� S-if 3 GAS HEATING INSPECTION APPR AL ENGINEERING DEPARTMENT , 1 OTHER 2 ./�D n „ , . ,y ' eL /,�.M A BOARD OF HEALTH ' 'iJYX� //L�6"�l_/CCC///�•(1v11 WORK SIiALL NOT PROCEED UNTIL THE INJSPEC- PERMIT W!l_L BECOME NULL AND VOID IF CONSTRUCTION 1, INSPECTIONS INDICATED ON THIS CARD 6: BE. TOR HAS APPROVED THE VARIODUS STAGES-OF I WORK IS NOT START EDgWl fOIN SI MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN ;CONSTRUCTION I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. L r ) w FZV VJ �o -75 � A A, Z D '1 v 4 33St Lo? 7 w a N w Fo a T, V"V L07- $ r ('oi Q • - - / GZ . 6f5 -- PREPARED FOR c>rj - CERTIFIED PL 0 T PLAN' LOCATION• �:1C6-r BR )eNs7-;j 13G E SCALE 1" ' DATE MAR. io 067 REFERENCE: LOT j► L. C.tP. 3-71 57 FLOOD ZONE °cE .� I HEREBY CERTIFY THAT THE BUILDING r. i SHOWN ON THIS PLAN IS LOCATED ON THE " 7 GROUND AS SHOWN HEREON AND THAT IT �� Ao E 5 CONFORM TO THE ZONING n BY-LAWS OF THE TOWN OF EA R.N6-r,4s -!� ' WHEN CONSTRUCTED. LOW & WEL L ER, INC. -- 7/4 MAINS~TRE£T YARMOUTH, MASS. DATE ' Assessor's of a a st floor): .&.. ._' SEPTIC SYSTEM MUST ��"'E Assessor's map and lot number / 1"ISTALLED IN COMPLI Board of Health (3rd floor): Sewage Permit number .......V...........................�.`.`................ WITH TITLE 5 Z EARBSTODLE. Engineering Department (3rd floor): '- rMVIRONMENTAL CODE do`J)"63& 0� House number .............................)�... ..... .. ..�(.P... ..... � TOQfllN REGULATIONS APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN 'OF BARN S�' o'.� B�L��CERTIFY IN r'r-AWRI I S- BUILDING I H S P EnCTI� E TO PLAN.INSTALLED IN STRICT R� � . 0 APPLICATION FOR PERMIT TO .......... .... ....... .. ........... ........ c p G� TYPE OF CONSTRUCTION ..........C .�.56�....... .......... ........ ................................... (. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit Qccording to the following information: Location ....... v!.. < ................ .)�h .! .... :....Ll.l.:. .!..�.J .! ... r1 c ProposedUse ..... ................................................................................................................................................. (��UQ. ................. Zoning District ............ .................................................Fire District ..... ... Name of Owner. J.�. °.: �rl(�X n9.! c&K,.. ss . „Q..V.e. ...A.1....(Ak-!�.... ....0. � (� � m Name of Builder v.G �. :....!�.J�.I �Z .. ...................AddreUA ss ..... Y )....1., .............................. Name of Architect . .... ..... ........Address .... LAR. � Q ........i..t�.�:......... Number of Rooms .... ........................................................Foundation .... .. �........... ................................. Exterior ........ ......................................Roofing .......1..J� p. .................................... Floors ....Q ..pl.u ................................::.......................Interior ....� . &..wCj HeatingK R .s1............................................................Plumbing ................ .... C ................................ Fireplace ...................t.............................................................Approximate Cost .. ....?JI.`1V.�1......................................... Definitive Plan Approved by Planning Board _______________________________19________ . Area Diagram of Lot and Building with Dimensions Fee 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 Barnstable regarding the above construction. I Name ........1 !..... ............ ......... .... ....................... Construction Supervisors License ........ .. . AHONEY, RICHARD & MAUREEN 1 No Permit for........1...Story.......................... Single Family Dwelling .......................................................................... Location ....1.6.8.0-..O.s.te.rvi,1.1.e...W......B.a.rns table Road .. .. . ... .. .. .... ....... .. . .. ... .. .. .... West Barnstable ....................................... ................. ............. Owner Richard & Maureen Mahoney .................................................................. Type of Construction ......F.ra.m.e......................... .... .. .. ............................................................................... Plot ............................ Lot ................................ Permit Granted .........Karcb...1.0...........19 87 Date--of Inspection ........19 �jTpletecl ....7 Date--C .................19 J Assessor's 'offioe (1st,floor): p } Assessor's map and lot number .. (� ��NE ` ��- ev C tp� : � ' Board of Health Ord floor): �` Sewage Permit number ....................................... . "' Z B6Hd9TADLE, i Engineering De artment (3rd floor): QQ'' �' m �o Y0'°a House numb ...........................ep .� .U..D. . f....... ........ 0 1a39,.. � '°�o ray a• 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 �A.C� � ^'� � `� �4t�c 1 �C.... ... ......................................................�,........ � p � � � TYPEOF CONSTRUCTION ................................. ........... .....................�y��..!`....: ..................................... U TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......�JMK.V.i..1. � .....\.. ......✓lil.l�.,�cklD�t....N-�:....0 arc �1 d ProposedUse .... �. V. ............................................ ................................................................................................. Zoning District .......... ...................................................:.Fire District "v . �.._.�1..0� ... '���� ............................ Name of Owner ess 1A�dd} �D . �1 ,, ,V�J�x... tb�1? ' � 1�1 , r° ,I %.......... ...... .... ..... r Name of Builder ...............................Address �. I�� �J� l�� ��� : ! ... ..........Address ....... . . .Name of Architect ...... ��2.111O�1; !\ o ...1......................... Number of Rooms ...:.:_.>........................................................Foundation ...���...I" I1U� ...................................................... ....c t` Exterior ....... ��. •j���C .�.t.......................................Roofing ...... ....... � P ............................................ Floors ... .: ?1 .e .........................................................Interior ..... ,...... ! .......... ` ................................. 4 1 Heating ........LPlumbrn ", ' ..���u�.� �............. t. ................. ..................... ......... t g ...................... . ......... ....... .... Fireplace ....:..............1..............................................................'Approximate Cost . ..... V VV` Definitive Plan Approved by Planning Board ----_---------------------------19-------- . Area ....................... Diagram of Lot and Building with Dimensions Fee ,SUBJECT TO APPROVAL OF BOARD OF HEALTH A o ' 9 t� d OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 'V I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..............'� ''er....... I........... . .. ....................... Construction Supervi'sor's`License Ot , ----------- MAHONEY, RICHARD & MAUREEN A=128-019 N ... Permit for J.7"....S.tOly............. ........S.i.ng.je....Fam.U.v...d.we1.1.in.g......... Location ....I U.Q...Q.s.t.e.rv.i.11q... Barnstable Rd. .................. ..................... Owner ......B.i.qh.a.r.d...&...ftuT.een Mahoney ....................... Type of Construction ...F X=.e.......................... ............................................................................... Plot ............................ Lot ................................ 87 Permit Granted ..........March....1.0.1.......19 ..... .. Date of Inspection ...........:........................19 Date Completed ......................................19 C� oMP TOWN OF BARNSTABLE BUILDING DEPARTMENT'. HOMEOWNER LICENSE EXEMPTION Please print. DATE u JOB LOCATION um er treet aoilress ecti on o town "HOMEOWNER" a om D p one orK p one PRESENT MAILING ADDRESS :: r, _ 0 i ty town f at e ip co e The current exemption for "homeowners" was extended to include owner-occu ied dwellings of six units or ess an to allow such homeowners to engage an owner* - I ' ivi ua for hire who does not possess a license r acts as supervisor. (State Building Code Section provided that the owner DEFINITION OF HOMEOWNER: Person(s) 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 to six family dwell 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 r for all such work performed under the bui'ldin g permi esponsibie t. ection The undersigned "homeowner ' assumes responsibility for compliance w' . Building Code and other applicable codes, by-laws, rules with the State and regulations. The undersigned "homeowner" certifies that he/she understandst BarnstabieBui ]ding Department minimum inspection procedures and requirements and that he/she will comply with said rocedures and requirements. - HOMEOWNER'S SIGN APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet,`' or lar , to comply with State Building Code Section 127.0, Constructionl Control . Contuired rol v .............-.... - - - ............__... .....-_.............--- ....._._.... __._..._. HOME OWNER 'S EXEMPTION The Code state that : Any Home Owner, Permit Is required shall be exempperf�omingheork for which a building of th (Section 109. 1 . 1 - Licensing of Construction Supervisors) ; 'providedlthatcIfoa Home Owner engages .a Person(s) for hire .to do such work , that such Home Owner shall act as superv,isor . " Many MOme Owners who use this exemption are unaware that the the 1•esponsibllities of a supervisor (see A Y are assuming, for. Llcensing Construction Supervisors, See Appendix o, Rules and Regulations often results In serious problems ) ' Thls. lack of awareness' • Unlicensed persons. i'n this �capertourlaBoardhPcannoe Home Owner hires Unlicensed person as It would with licensed Supervisor . The rHome downer nacting as: supervisor Is ultimately responsible. � . To ensure that the Home Owner . ls fully aware of his/her responsibilities , communities require, as part of the` ties , many certifypermit application, that the Home Owner that he/she understands the responsibilities of a su ervisor . last page of this . lssue Is a form curr`entl p care to amend and adopt such a form/ceently used by use In Your the Y several towns. You may Y ur community. i Assessor's office(1st Floor): 'N V�O( 6 Assessor's map and lot number y 6 To SYSM ` . Board of Health(3rd floor): �G • o Sewage Permit number "�'_7- (�—)u ~S INSTAUED IN COMP �. Engineering Department(3rd floor): WFM TME S Beae9Tsnte J � House number 16 AD �G F ENVIROMM�w'yA4COD Definitive Plan Approved by Planning Board 19 TOWN REGUL.ATiON� 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 C 0- )ST►W(,-r TYPE OF CONSTRUCTION %.J ® � ,�/-1 144 -e— /uG p 19 TO THE INSPECTOR OF BUILDINGS: . � r The undersigned hereby applies for a permit accordiing1 to the following information: Location i t� v 0 Y— Proposed Use Zoning District. Fire District Name of Ownehd A 0 Llz� 1 `lvllAULN . s 1 U �1( -( W Uk W . ha(Ad.. - NameofBuilder h(hjkU C o w n p �.) Addre s Name of Architect �Jl��� )iU 11 e S Address Number of Rooms Foundation Exterior C lVl oa t d Roofing Floors WD00 ) 1 I I -c Interior Heating _ vOIILC M Wdtc L b lumbing Fireplace V� Approximate Cost IF S , V 0� Area _ 349C)T Diagram of Lot and Building with Dimensions Fee 1 L-) �'� �-CL 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 constr tion. Name Construction Supervisor's License Jot 4 MAHONEY, RICHARD & MAUREEN f' A `- No 32914 Permit For BREEZEWAY Single Family Dwelling Location 1680 Osterville W. Barnstable Road }y West Barnstable .a Owner Richard & Maureen Mahone* y-> Type of Construction Frame a Plot Lot Permit Granted May 19, 19 :8 9 Date of Inspection i9 y Date Completed 19 J � }: g �+� tar �. � p;` T r 1'''" •`"?�'`."rk.T';.., f:Jr-;.5tiy—av- r.ti.».,-:'s �i _.,- - --.... .. .-t .. ._ .-r .�•,.,'�„ ... .,,«J -Jc.i�;ty''�=,vw,as�.v�„c�,3-��.,�r'�i'^f" r' v.,, . ... .�_:� Assessor's office(1st•Floor): �V/y 1(/}�• Assessor's map and lot number `! 3 ( �Q�o�THE Board of Health(3rd floor): �''') �, A Sewage Permit number Z BABd9f&BLL i Engineering Department(3rd floor): r'sea House number 16 Aa Definitive Plan Approved by Planning Board 19o,ypy a• APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only • r`,� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO C V 5 r,cvG-r TYPE OF CONSTRUCTION z,I) t) (r ^,0�/si pm -� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit�ac�cordi�ng' to the following information: Location l �nj `/D Jy �-l)( ,f\ U, Proposed Usee�Z� i Zoning District )8 ! Fire District C G� Name of UwneA c_VT k Vl\ 0 'W 0, RACk0')AydVrJs's Name of Builder �1�1 Y 't l ���1�' I Address Name of Architect ' I 1 C�J �� 1 ���) C� S Address Number of Rooms ( Foundation Exterior "C I CI y hutk N �� Roofing Floors WDQC� 1 I Interior Heating ic') C m 11 )t L06 tl r k a(j&lumbing Uj Fireplace f��1 Approximate Cost Area 3D� Diagram of Lot and Building with Dimensions Fee D s i JJ�A� 150/ 0 �CL . OCCUPANCY PERMITS REOUIRED 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 Licensel�J t MAHONEY, RICHARD & MAUREEN A=128-019 0, No 32914 Permit For BREEZEWAY d Single Family Dwellinq Location 168.0 Osterville W. Barn: Road W. Barnstable Owner Richard & Maureen Mahoney Type of Construction Frame Plot Lot Permit Granted May 19',' 19 8 9 j Date of Inspection i9 Date Completed 19 ,. t c PERMIT COMPLETED 1/1% °