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Home My WebLink About0094 PERCIVAL DRIVE r a w f OxibrcF NO. 1521/3 ORA MADE IN u.&A ESSELTE 0 s { 1 6 7 a m 110359 - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel V� ; Application # Health Division Date Issued .1X)( Conservation Division Application Fe Planning Dept. ` Permi -- Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis S E P 2 7 RECT Project Street Address 94 Percival Drive By t Village Rnrnstab1 P Owner . Pamela McElhinney. Address same Telephone 508-362-4826 Permit Request insulate attic area (R-10/R-30/FSK foil board) weatherstripat4-1e access hatch, install 1 kneewall space access hatch and 2 insulated exhaust hoses Square feet: 1 st floor: existing . proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2399 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: ❑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 ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RISE Engineering Telephone Number 401-784-3700 Address 1341 Elmwood Avenue, Cranston, RI License# 100459 Home Improvement Contractor# 120979 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Erik Nerstheimer for RISE Eng. { r ' FOR OFFICIAL USE ONLY s APPLICATION# ` DATE ISSUED MAR/PARCEL NO. ADDRESS VILLAGE } OWNER 1 DATE.OF INSPECTION: `FOUNDATION'•i a FRAME t INSULATION.:. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL s G- A&H E P, , ROUGH S FINAL si�F.INALBUILDING 4 2 ;i: DATE CLOSED OUT ASSOCIATION PLAN NO. 1 1 RISE ENGINEjuANG Federal ID#06-0405629 RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,RI 02910 (401)784-3700 FAX(401)784-3710 CONTRACT r, R Page I S E 1 THIS CONTRACT is ENTERED1NTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE Client# Pamela McElhinny (508)362-4826 05/20/2010 110359 SERVICE STREET BILLING STREET 94 Percival Drive 94 Percival Dr r.) FE "12:` tJ (�!1 j E SERVICE CITY,STATE,LP BILLING CITY,STATE,ZJ7 u V l West Barnstable,MA.02668 W Barnstable,MA 02668 ((,, JOB DESCRIPTION U RISE Engineering will provide labor and materials to install 2.25"R-10 semi-rigid fiberglass board insulation to 06 s uare feet of kneewall area in the master BR. $286.20 RISE Engineering will provide labor and materials to install a 8"layer of R-30 Class 1 Cellulose added to 1036 square feet of open attic space. $1,139.60 RISE Engineering will provide labor and materials to install FSK foil faced rigid insulation board across the face of the rafters,behind the knewall. Seams will be sealed with FSK foil tape. 218 square feet of area in the main kneewall. $588.60 RISE Engineering will provide labor and materials to insulate the back of 1 existing kneewall access hatch in the master bedroom with 2.5" rigid fiberglass board insulation,and seal the edge of the hatch with weatherstripping. $85.00 RISE Engineering will provide labor and materials to install a new,finished plywood,kneewall space access hatch in the loft area.The hatch will be insulated,weatherstripped and held closed by eye hooks. (Wood surfaces will be unfinished.•Prime coat and/or paint is not included.) $100.00 RISE Engineering will provide labor and materials to install2insulated exhaust hoses w\roof mounted flapper vents to exhaust existing bathroom fan(s). $200.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year. -$1,799.55 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Five Hundred Ninety-Nine&85/100 Dollars $599.86 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER SO DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AUTHORIZED 8KD E-RISE ENGINEERING CUSTOMER ACCEPTANCE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE V I i1 I D 3 V ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE The Commonwealth of Massachusetts go R Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Glass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Build ers/Colhtractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): RISE Engineering a division of Thiel ch Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone#: (401)784-3700 or 1-800-422-5365 Are you an employer? Check the appropriate box: Type of project(required): 1. 0 I am an employer with 4. 0 I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 2. 0 I am a sole proprietor or partner- listed on the attached sheet. 7• 0 Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.# 9. ❑Building addition required] 5.0 We are a corporation and its 10. 0 Electrical repairs or additions 3. 0 I am a homeowner doing all work officers have exercised their myself 11. ❑Plumbing repairs or additions y [No workers' comp. right of exemption perm MGL insurance required] t c. 152, § 1(4),and we have no 12. 0 Roof repairs employees. [no workers' 13. Tl Other Insulate comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContactors that check this box must attach sin additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees.Below is thepolicy and job site information. Insurance Company Name: The Preston Agency Policy#or Self-ins.Lic.#: 3730961-00 Expiration Date: 1/1/11 Job Site Address: 24 Pe rG YA-i D-ItiQ— City/State/Zip: W -VIC Lo 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 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of $250.00 a.day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certi and the ins enalties of perjury that the information provided above is true and.correct. Si nature: 1 Date: � - - (� Print Name: Erik Nerstheimer Phone#:(401)784-3700 or '1 800 422 536S x 1 it Official use only Do not write in this area to be completed by city or town official City or Town: Permit/license#: Issuing-Authority(circle one): LBoard of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: AC CERTIFICATE OF LIABILITY- INSURANCE OP ID 47 DATE(MM/DDny(y) THIEL-1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 3/10 The Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER%THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 8.1'0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIC INSURED INSURER.& Zurich—American Ins Co. T•hielsch Engineerin Inc INSURERS: Thielsch Group Inc.9 �••:.L�.n cu,r.nt.. , W.W.11ty Hi Tech R6AIty Inc. INSURERC: North American Capacity 195 Frances Avenue INSURER Hartford Insurance Company. Cranston RI: 02910 INSURER E' COVERAGES 71qE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NMgED ABOVE FOR THE POLICY PERIOD INDICATED,NOTVVI-rHsTANDING ' ANY REOUIREMENT,TERM OH CONOITION OF ANY CONTRACTOR OTHER DOCLIMEHrT WITH.RESPECTTO WHICH TH)S CERTIFICATE MAYBE ISSUED-OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN mAy HAVE BEEN REDUCED BY PAID CLAIMS. IF75R-'R LOUT . LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DOl1Y') DATE(�M �MJOOrY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,O O O A , X COMMERCIAL GENERAL LIABILITY 3730962-00 04/01/10 01/01/11 PREMISES(Es T300,000 CLAIMS MAAQE' OCCVR' MED EXP(Anyone person) 5,10 1000 PERSONAL 4AOV INJURY S 1,000,000 GENERAL AGGREGATE S 2,0 0 0,0 0 0 GEM AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG E 2,0 0 0,0 0 0 POLICY X JECT LOC ETnp Ben. 1,000,000 AUTOMOBILE LIABILrrY COMBINEO'SINGLELIMIT A X ANY AUTO 37309,63-00 04/01/10 01/01/11 (Eeaccident) $2,OOO,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY T. (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ - (Per acc,da,N) PROPERTY DAMAGE T ?Per acci0enl) GARAGE LIABILYN ' AUTO ONLY-EAACCIDENT g ANY AUTO OTHER THAN EA ACC s AUTOANLY: AGG $ EXCESSNMBRELLALIABILTTY - EACH OCCURRENCE $ lO,000,000 B X OCCUR CLAIMS MADE UMB 9 2 6 3 6 3 7—0 0 0 4/01/10 O 1/O 1/11 AGGREGATE s 10,000,000 S DEDUCTIBLE S X RETENTION $10,0 0 0 WORKERS COMPENSATION AND X TORY 5 AT1S -EIAPLOYERS'•LLABIL ITY _ ER A MY PROPR IETOR/PARrNER/EXECUTIVE 37 3 0 9 61-0 0 0 4/01/10 01,/01/11. •E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER dash be and EX6LWE07 E.L.DISEASE-EA EMPLOYEE s 1,000,0 0 0 If yes.describe under SPECIAL PROVISIONS below E.L.DISEASE-PCiLIC'Y LIMIT S 1,000,000 OTHER C . Professional Liab DVL0000-26.800 04/01/'10 '04/01/11 Prof Liab 2,000,000 DILeased/Rented Eqp 02UUINTD5678 04/01/10 04/01/11 Equipment 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 D,%YS`NRITTEHI NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESE V ACORD 25(2001108) ®r ACORD CORPORATION 1988 . ..,.y c zr.•......�:...,. ...t -g. rl r a ..Sl. �, Yt� �1r fS 1 ;S�.�� •Ry:.Z,D.^r>Pi,^", !1S rax.'�^.r? _-t r,.t+rf�kl-:.ra !R4�1.�ii.;:�.;•y5't ..-,3uia�.+?;,si,�•r.g su,,s�. +S�c7'�,��e. s.-r�s l�k�.,,� •.�k.:3.,Fr,.s�'�i,Fd.^,...A;�p-�t;��l(, ?'�4 �F'l�l�t l.t�Ns,;;e.�l�j�f,:••ape �TAIEII .I .�.�.'��I G :�xG AGE 2. 'r � � � a�*� 'fit�6tfs'r p�l��N��f?5 d.�•s fifl:�.��j1.1��'�,�r--'7.4��1`i '.��•��1�1 tz4 s cn� !�I"��y:.i�a4L;ez�°T.'.. � s -,� +IriU.,...j r-a ...:.:,:.;..,�_:tr:�.�•. �tft� f Yf,'-��.!�l...:K� n 1�..,::'.r.'ST(^�1 � Y.¢k �!U � �� P:`'�'„ » rk; .. ..,..... Also for RISE Engineering, a division of Thielsch Engineering,. Inc. Gaskell Associates.; a division of Thielsch Engineering, . Inc. BAL Labo.ratory. ; :a division of Thielsch Engineering, Inc-. ESS Laboratory, a division of Thielsch Engineering, Inc. ALCO Engineering, a division of Thielsch Engineering, Inc. Water Management- Services, a division of Thielsch Engineering, Inc. 1 T1W O ice o onsumer a a4ni siness e u anon g 10 Park Plaza - Suite 5170 , Boston, ssachusetts 02116 Home Improve ontractor Registration Registration: 120979 x Type: Supplement Card Z Expiration: 3/25/2012 THIELSCH ENGINEERING ERIK NERSTHEIMER 1341 ELMWOOD AVE. CRANSTON, RI 02910 Update Address and return card.Mark reason for change. Address ❑ Renewal ❑ Employment Lost Card PPS-CA1 Co 50M-04/04G101216 ��ie T�anvnzaizcuea�!/ �.�aaaar/u,�aeCld Office of Consumer Affairs&Bu iness Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registrati6n $79 . Type: 10 Park Plaza-Suite 5170 Expira 12 Supplement Card Boston,MA 02116 THIELSCH EN � I'VW ERIK NERSTH 1341 ELMWOOD CRANSTON; RI 029 %� Undersecretary Not valid without signature 1 a6a 1 Ul 1 ' The Official Website of the Executive Office of Public Safety and Security (EOPS) Mass.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 100459 Restriction WS,IC Name Erik Nerstheimer City, State,Zip North Scituate, Rl,02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search � L4.'^��LILIXiGL6 I o:, •';...i..F ..... �\ Board of Bilildina Regulations and Stzhdni N, I ff 1_ke0se or registration val dJor individul use only i HOME IMPROVEMENT CONTRACTOR i, before the expiration date. If found return to: Registraii�on,:: 120979 Board'of Building Regulations and Standards �Ezpizatii:o:n_=3j25/2010 i. One Ashburton Place Rm 1301 ' .=N�Type_ Ij )Iemehi Card Ala. 0210'$ IELSCH ENGIjV.EEJi:N� _� -?< IK NERSTHEINIR==S_= -1 ELMWOOD AVE•, 'f= ANSTON, RI 02910 ,.-..: Adm.Jsti::ttor - ---- Not valid without signz;t�re; 1.��i- � I ht'tp,.Hdb-state-ma.us/dps/llcdetallS.asp?txtScarchLN=CSL100459 O/)n/)nnn \\,,,,�. IN, .�k�` NAT-24531 - 1 Engineering Dept. (3rd floor) Map //Q Parcel O 0/ —Cb?oZ Permit# _ House# Q�Z dAW Date Issued �O//�L`Q7 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee - ,� Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) `s��`��S Planning Dept.(1st floor/School Admin. Bldg.) � k/�� Definitive Plan Approved by Planning Board 19 Ii <44 MASS TOWN OF BARNSTABLE Building Permit Application Project Street Address Village C-eF Owner L iJ Address j'y�7g4,1&W 41yi vzr- Telephoned Permit Request /z IXl 1-i ON isnW s 71A/6 `' / �t- n�/�r✓ 3 o � 4/9 First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ /r 4r9-e Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ( K Two Family Ll Multi-Family(#units) Age of Existing Structure Historic House es p No On Old King's Highway ❑Yes Eygo 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 No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric p Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: O Pool(size) ❑Attached(size) ❑Barn(size) ❑None p Shed(size) ❑Other(size) Zoning Board of Appeals Authorization Ll Appeal# Recorded p Commercial ❑Yes Imo If yes, site plan review# r - Current Use Proposed Use —� Builder Information Name /D� C ,i/�Z� �/,Z Telephone Number Address /��S`1 (/!SN/77i y�l �s T License# O 6 J D37 Home Improvement Contractor# Zoe 7 S1D Worker's Compensation# US k/I3 8 ZZ A?? 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 a� SIGNATURE DATE _ ��97 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) ��7 FOR-OFFICIAL USE ONLY —// PERMIT NO. 6 G DATE ISSUED x MAP/PARCEL NO. ADDRESS VILLAGE OWNER 1 DATE OF INSPECTION: FOUNDATION • °� FRAME 212 INSULATION FIREPLACE •5' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL' FINAL BUILDING DATE CLOSED OUT s = f; ASSOCIATION PLAN NQ. r � � - .. w v+�'••_ ram' r:" :-09%! _ - -s � : -- _ - ;"r'=� ` • \ � + •- :ter-~t'�;- •.;• :-•:.v+<:=�.f<':•-:S✓ �= � <A=�-'2_ i•:? • �.. _..':,'�'-w i.::•�:�r•:•+•:.•:i<��::�� ..i��J•L:•'��~�''i--•ice'. a ��.;C•w�� v � .. -� CME . IMPROVEMENT CONTRACTORS R£CTSTRATZOt`{ l ;Eaard or suilding Resulatiorts and standards •Orze Ashburtar, Place - Roca 1301 l Boston, t•tassachusetts 02106 I;1pocv"_ ENT CON►PACTOR l a_iart 100740 Expiration O6/Z3J�r8 PRIVATE CORPORATION QVEMENT INC. ` CA:%-77 T F;Oi'E Tr.Oo Thomas Capizzi , Sr . 1.64.5 Newton P.d . DC..YV.9_ l, tu: 02635 l i:�c:as CzQT* <<- C O S T U;f, PE<VISOZ LICENSE_ t •L;P = Expires. Cis thd�te ; L;3703ZK3091Z5I1S�r7 124:'��E�?%�A` 02obII • • `tom. � - • -.. • •1. 1. •-LS w'\•••:••..:.��• -• • �J•�•'s_ - • _ •+ : . .. •�+ . The Town of Ba instable �vsresi.e, 9q, 1a� Department of Health Safety and Environmental Services Building Division - 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 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: .` � i�t- OF Est. Cost l0, Address of Work: / L Ci� ID12 ljj/, Owner's Name ahe 4 ✓ ✓�L= �r Date of Permit 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 the agent of the owner: c�W 07 *Contractor 1p0 7 9c-0 Date N me B y,�, Registration No. OR Date Owner's Name The Commonwealth of Massachusetts Department of Industrial Accidents VNC9 Jf1ftYeSVg2ZfVffS 600 Washington Street ........... �ti Boston,Mass. 02111 Workers' Compensation Insurance Affidavit 10-e-PORT-1�77�77-7 name: locatio A0 31-6 ciry e 7-411 Dos-a:r phone-9 0 1 am a homeowner performing all work myself. F1 I am a sole proprietor and have no one working in any capacity C3 I am an employer providing workers' compensation for my employees working on this job. companv%name-' addre :. Sity phone ff;. insura VolicV nce cd C] I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers'general polices: comp ny name: address-, city: phone 4: insurance ca. . ... .. nolicv- r-4— comoonv name: address: city nhone : insurance co. 71- 7 77�* 7-77 =7 Zkttich additionalsbc-it if n ,Failure to secure coverage as required under Section 25A of:NtGL 152 can lead to the imposition of criminal .00 and/or one years*imprisonment as-^cl I as civil penalties in the form or 2 STOP WORK ORDER and 2 fine of 5100.00 a d2v against me. I understand that a cep)'of this statement may be forwarded to the office of Investigations of the DIA for coverage verific2rion. I do hereby cerrtfj-u7 pars a penalties of perjury that the informationinformationprovided above is true and correct Sienature -----Pate Print name Phone official use only do not N rite in this area to be completed by city or town official ciry or town: permitAicense riBuilding Department ol-icensing Board C3 check if immediate response is required rSelectmen's Office 0Health Department contact person: phone X; Other_ 1`0%PJAI I - Application to jL 5 OPE�PpP�� Zs� E� Old Kings Highway Regional Historic District Committee S�� q-p9 in the Town of Barnstable for a 7 99 092 CERTIFICATE OF APPROPRIATENESS Application is hereby made, id 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 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 y /�'R, C'/�I¢L ��/!/C ASSESSORS MAP NO. / OWNER _��f�llJ /��.STE ASSESSORS LOT N0. 00/.62--z. HOME ADDRESS y "7?L�d�L f//1/!/� !il /��12�� Bll TEL. NO. 761Z 'Z�'01/ FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR E" .Pd��r� � TEL. NO. 8'9.��g ADDRESS A egy/% /y/ D ZL.3•S 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). /2 ix/H/-5C.IC-Zw2 DAJ 63ZVST,1AJe Signed �Yt/T > g Owner-Contractor-Agent Space below line for Committee use. Received=by H.D.�C... .. , rp PD, ate Certificate is hereby Date APR - Time 2 5 Iq97 1, �� s--- ZE.4jaJ /)10tdVL6 Approved ❑ IMPORTANT: If Certificate-is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE�j/�i -p, S 7Z>,V,��-iL COLOR �, 44 i1T��6 CHIMNEY TYPE COLOR ROOF MATERIALA-V.*Ar-L/ a 7xm COLOR 09,f- *.C- iS�jy� PITCH WINDOW SIZE TRIM COLOR ltJf�/T� Zr �yj/�'Trj7` ��iST�j✓� DOORS COLOR SHUTTERS —' COLOR GUTTERS 7V DECK GARAGE DOORS '-' COLOR SIGNS COLORS J FENCE COLOR NOTES: Pill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plane, when applicable. Site plan should show all structures on the lot to scale. SPECSHT LIN Ln ON �4 :(.1.1.• t Application to 19'9 7 1 1 Q epE "P 6 P✓' Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a P 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 ❑ Addition Ej�lteration Indicate type of building: [House ❑ Garage ❑ Commercial ❑ Other L�^,Z, 27 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 ex planation and requirements). TYPE OR PRINT LEGIBLY DATE 5'^1S—JI7 ADDRESS OF PROPOSED ORK ASSESSORS MAP NO. 1W ZED OWNER ASSESSORS LOT NO. 12-7— HOME ADDRESS �� c'id .<!.Q/dE l/!/, n Ze 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). AGENT OR CONTRACTOR C::go/ •+may TEL. NO. ADDRESS �1�y4— i��LtlTll�� /C/7 C /�T �.� D?lo.� 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). ��,�jSj� 7.,_�(JS l.G Xl � / 6t42� �/G�1 o•✓Ga�2��:�/�� r� v� �-rr ��cni/�� s.�E�izc x Y8� �dr✓e- Xlz6-g 7-- 70 Signed Owner-Contractor-Agent Space below line for Committee use. is ug to e Certificate is eby at me 60 F 1 '�� ' 0 _yV gT WN 1,2 OF BARN3TABLE W94 Approved ❑ IMPORTANT: If Certificatells approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ la�z _ I 411,1000000��1� j f' �a 4/,t-Zl IT A / we-6 g- -v/n �1 �I I , Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL �� COLOR PITCH WINDOW SIZE1 X �ej? TRIM COLOR DOORS COLOR SHUTTERS COLOR GUTTERS DECK GARAGE DOORS COLOR SIGNS COLORS FENCE _ ° COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans., when applicable. Site plan should show all structures on the lot to scale. SPECSHT -� i k --�-►="� ram' I �� ., . :- r., -�� ., _.,� �: - 1� - - . ® � ::,._,�. _ .. � .:_ f � '` � �� b � 4 � _ � � . � ., � �. i I i 3 4 . ' ea h''E14A�ZS Z Mt'�'T�.K 5 l S7IN rr TOWN OF BARNSTABLE BUILDING DEPARTMENT x. HOMEOWNER LICENSE EXEMPTION Please -print. . DATEo�/ J03 LOCATION o u Number Street address Section of;;town'- "HOMEOWNER" rn Name Home phone Work phone PRESENT MAILING ADDRESS C1 y town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- . dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures., A person who constructs more than one home in a two-year period shall not be considered 'a homeowner. Such "homeowner"- shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the buildin permit. (Section 109. 1. 1) The undersigned "homeowner" assumes .responsibility for compliance with the Stat Building Code -and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will co ly with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL 000, Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER' S EXEMPTION . The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that;;'if a Home Owner engages a pers.on(s) for hire to do such work, that .such Home.:Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q Rules and Regulations for . licensing Construction Supervisors, Section 2. 15) . This :lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this- case our Board cannot proceed against the , inlicensed person as it would with licensed. Supervisor. The. Home "Owner-:"actin as supervisor is ultimately responsible. r: To ensure that the Home Owner is fully aware of his/her. responsibilities,!.'man communities require, as part of the permit application, that the 'Home Owner certify that he/she understands the responsibilities of a supervisor.v" On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. y.t 1 a I •M a � � I �_�.�.....__•~_.-..�.a._.......�91�.R.=—are.�..�^--_.__ ,.er.r..-r��—__e..w._�-SIC.i4'��kID°f®f�®IT— —_'—==e.x�.-��_.��..,.___ a-.•..�. —=�IE6�VP8•�� .=s� ripe F, �� -{�• 1 ILI IL �4 .w7.6 ' � �mm— 7�®.wn, _ H: \tr r ,f� '•.^.s. .a p M1.,� qp .._.. ,._ -......r II ,�— u.� +.•�—�.a...s_�1 .n —� n �.,.—.r m+wew-gepv.• y bti:�rw _m,_�a..._.....,.. ��:� -y r— :m.•�.., �� T� sa...s:.��. . � e Q L. (�' y, ��'-'"^'+.,,��M �� •mmr"Kh�l. s��'s/`.,,._4V.,.�L'� �++r,d'w. � t•l�d-"'e`�� q,"'�a,ro 41:,y,.'.�w.a.p�� :M..m-... Jl,,,r'".oP �aP�^,n,V,yh�: • ____. ®��wswo—. �--_��f�l�e.s..r.^= is'�mP�G�C_..�. —0'fir-PG"�`�.'_.'��la„b7'n6C.C.� e._. _.....- -_ .-_A... •_.•meµ�•�� ___,�_�...�___-- -"�' I 4a�~tb®®�-P..�.�n.—w.w_.�A`�i�, .+._,..w.�,-�,- Tj p 1LN —Y. 41 Ul I , _ 1 ; n rill lot L4 �j Vol y • . i R -54 _ IL ow SUM- dl CAe 71F� v p r m 04 rh. .� �. eol f Wer ft. VI - I • � .., ._.. •- Y..=:'.�.�. e......._..=_�.-y��-e=�_...._.--�.�,..•__. _,..�}.•.._�� fir' , _.�_...r.•:_.__�--g='-_ � � _ -� ..I�., - .. e av L*f.M i `_ K j_ Li 1HE T Town of Barnstable Planning Department % "IMSTnaM ' 230 South Street,Hyannis, Massachusetts 02601 j1�Fr'°"' v� nt sq ♦� (508) 790-6290 Fax (508) 790-6454 � 79- Date: August 02, 1994 To: fred Martin, Building Inspector From: Ar T c yk, Principal Planner fil -0802.doc Subject: Lot 114 Percival Drive - Lot #52 on a 1988 Subdivision "Weeks Crossing" I was contacted by Attorney Mike O'Brian concerning the above referenced parcel. The Attorney was seeking the history of zoning as related to the above subdivision and Grandfathering of the lot as buildable. This RF zoning district was established at 1 acre in 1973. The subdivision was created in 1988 and conforms to the existing 1 acre zoning. It is important to note that the subdivision is an Open Space Residential Development (Section 3-1.7) that permits the development of lots at a density ratio and not at a l acre size requirement. This 0.80 acre lots was created under 1 acre zoning and is developable under existing zoning regardless of any contiguous ownership of land. A title search of contiguous property is unnecessary in thi case. 1 � s C) o�� CP:J S� r= Y COMMONTWFAI-TH OF MASSACHUSETTS DF.I'AR MEN"' OF 1?�'DUSTRI -L ACCIDENTTS BOSTON, M4A A,--HUS=S 02111 lames-' Car-DOe" �a'-n:ss+one WORKERS' COMPENSATION INSURANCE AFFIDAVIT (h scc/permincc) with a principal place of business/residence at: f (Gry/Statc/Zip) do hereby ccrtifp, under the pains and penalties of perjury;that: j] 1 the following workers'compensation coverage for my employees working on this am an employer providing job. Insurance Company Policy Number ( ) X2solc proprietor and havc no one working for mc. r l am.a sole proprietor, general contractor o homeowner circle one) and have hired the contractors listed bclo%k who have the following workers' compensation in policies: Name of Contractor Insurance Company/Policy Number R T LeuLnca, v!� C c)/t_.CtnocC iv,A fl% O L 41,� Dame of Contractor Insurance Company/Policy Number G(F ArA 4ILi ace J Name of Contractor Insurance Company/Policy Number D l am a homcoK•ncr performing all the work myself. NOTE: Please be :w rc tbat while bomcowncn wbo crploy persons to do maintenance,construction or repair work on a dwelling of not more than three uniu in whieb the bOMCOwnef also resides or on the grounds appurtenant thereto arc not generally considered io be employers under the Workers'Compens:tion Aa(GI,C. 152,sect. 1(5)).applieat;on by a bomcowner for a license or permit m:y evidence the legal status of a.n ernploycr undo the Workcrs'Compensation Act I undcrst;.d tc:t:copy of this st:tcmcnt will be forW::dcd to the Dccartmcnt of Industrial Accidents'Ofliee of Insurance for.eoveragc vcn,fie::ion:nd th:t failure to secure covcr gc as required under Scceior,25A of MGL 152 e1n lead to the impostuon ofsrirninaJ penalucs consisd:-,c-; fine of up to S1500.00 and/or imprisonment of up to o nc year and e*v: pcnaJues in the form of a Stop Work Order and a fine of S 100.00; dry against rnc. Signcd Lhis Id day of , 19 rd cnscc/Pcrmirtcc Licensor/Pcrmkror \T6 7 1 r, 199`Y Leo oc"s o�•r'sp ,:o�1F'l Old Kings Highway Regional Historic Distrlct'Committee 6 r 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: Dt New Building M Addition. ❑ 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). /Q/�/�� TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK �L1 J �� ► �a �*' Z t'`� '6gtAASSESSORS MAP NO. �� y OWNER ln mLS ASSESSORS LOT NO. I _ HOME ADDRESS iil o � Qvt�+/�(�� ►Zd I. �aG� + + TEL. NO. �U 2�2 -7 FULL NAMES AND ADDRESSES,OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). ' AGENT OR CONTRACTOR PQu �n TEL. NO. S70 _a L3 7 ADDRESS �n1 A� �L�DP � Cl L� Lo++ iYII� �3 U' 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).. jCohere`e- -ettndeL+iion.J Ce-d 0.r C lap.b�r45 avid oedarsh:( ' s;d4 i Ct6pkaIf ro()4►r\%) P.+ fctl 10/i.aI 'unkmforacl s4,1uc+ S SdgS nd dog rS' wood w*oxdow avid door- maw► cs J-c rar► berry , Cra4 b,e f r C le4de.r5' b(4c u ,I Cranberry P�;n+I br;c(< ch;►�n�y Signed Owner-Contra for-Agent Space below line for Committee use. Received byED-lnh C J. i Certificate is herebyDate Date= II i me OCI 199dp. �. By TOWN mr S HIGHWAY �App oved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ .r List of Abutters 110-1-121 Thomas L. Chevalier 106 Knotty Pine Lane Centerville, MA 02632 1-18 Christopher J. Glynn . 70 Buttercup Lane Hanover, MA 02339 1-29 James J. Shea Jaybird Realty Trust P. 0. Box 1223 Barnstable, MA 02630 1-23 Thomas Capizzi 280 Percival Drive West Barnstable, MA 02668 1-30 , John Kelly, Trustee High and Cedar Streets Trust P. 0. Box 560 Mashpee, MA 02649 1-11-60 Tartin Inc. P. 0. Box 1198 West Chatham, MA 02669 1-11-61 Joseph Galsser 15 Westwood Storrs, •CT 06268 Town of Barnstable Old King's Highway Historic District Commission SPEC 'SHEET FOUNDATION no h C r e SIDING TYPE C e Apr e_612"rd 4r 5we4!SCOLOR (�Tbarzrol'Ltitn�i�/ c nu6en-y CHIMNEY TYPE COLOR ROOF MATERIAL. QL5T(na 1+ COLOR b Qc, �C PITCH 10 )a WINDOW m;d W, nj.r uj!S SIZE 'TRIM COLOR 0-oun 4T C,Caa he(C,j DOORS COLOR d CS 1qr k 45,)� S�e�I C�o�S SHUTTERS S a r S a�f �4 u �S GUTTERS On n�.� C fa., ke,r\_/ Sure -+reg-kd GARAGE DOORS ►11 Q5 o h� I-Q COLOR SV�Gi r k S 'to`E'k [ay NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along\with three copies each of the plot plan, landsclape plan and elevation plans, when applicable. Plot plan need not be "Certified" , r_-,pl but should show all structures on the lot to p ! `§ED scale. L! I 1 SPECSHT try- • ex%i's't'uu� .Cott 14 . o t .is, :ind. 9z' PeAc i.uat Da i ue S SD wide C.9.-6M C:13. �nd. _ 86.9 C:13 av . a ia7.s�r C.i3. �� gQ r i ;_ j_ :ir I 1 (2) �ound. �6.4 a ;.., , i ( . pe 377 69s loo'o : :w%z sro ,.('ot 46 . 50 Wide R2A r en,oP ade z I ' g � ' i ' I o,ze,N .Cott 52 i �eptr_c Uediqn No. 6 ed wonh. 3 Jv�po�c,C no �dtirral:ed stow 330 gpd Pico ji to No Scate .-Pea rasa 2' 3 ehue. 23 3 i Capaci-ty ��5d i 1000 i t u N. Data 8-5=94 lbo ,a I000gat.pit 7 7.0 ;;;. /2 Aft Cape; 49 kaiiGo2 goacl. ld yRv MA., M9 02607 cSke-tch Ptarz'of land in U)e s.t--9"n i tci(& I'l l � •: !_'._i_i i 96�t Paut Rn ipodti.' I : : . -i ` ;Ieanf Low as ahown on a plan datp�cl 12.-9-85 _r and 2eco Ct euat i oni cvice on-a,�,wsd datum.' - 1 theAe ounda ti on ahown on th iia..pd cwc " ,Coca ted 9e�.t pit t #j�-6!22 H Made 10-8-86 on 9 found a-.i ahow t�i n heaeon and mee the hack 4-ecyr.�.iiien:er� o f the own of l3azn�s tafbd Wit. 9— MdK6an - , No a est; encour2te�ced; Jate I 1-1�1=94 wt pertc. Ceys 4 rrin p d.and w 4D me p,avet OF ARD Aean IN {td TES! 7c.. �SSYWIAI e As office(1st Floor): ° Assessor's map and lot number �d� ��6� I-�:�t^� �� A cS tNE>o Conservation(4th Floor): Board of Health(3rd floor): q ,►r - 6�/*, E�� , � � • l � Sewage Permit number /9 y L�� ssaIy�n�� ' Engineering Department(3rd floor):- /J " �� Y�9 �y,r House number �`� Definitive Plan Approved by Planning Board Z —//1 19 . ZS - D 01-.► S�Cc G APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only y TOWN ' OF BARNSTABLE i BUILDING - INSPECTOR APPLICATION FOR PERMIT TO �o O1�1S'� S r _,2 FQ m i.� , e f I I n Q TYPE OF CONSTRUCTION Sepf 30 . 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:Location L'Of L45 3-" Pe rCiUd ) t) ri �-✓e 0e-6 is0,rV,Aei 6)le Proposed Use 5 i Aa I Fa.,► 1-4 O L'i cl t r Vt 5 Zoning District QE ' Fire District w-p-st- &jn(;&6 Name of Owner aV" en 4V1T 065'1 I Address 109 3-hn 611P fd /M W Name of Builder 1 Address r Name of Architect ha rn h M 4 I e N Address �tato N 4 S !A 4,5 S Number of Rooms 3 LP.arnn r„ a kaH. 2� Foundation COVI Cr e.+2 Exterior ICtD�nQA Roofing Floors U i YX 4 f o y%J Carp eA Interior Pit t.Jq Heating I 64 E.JA'ECc Piumbing CO xf r Fireplace b rr ck- a h d Approximate Cost �I (99.000. G v /A Area 0 s TT Diagram of Lot and Building with Dimensions Fee 0N,O , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Nam Construction Si Ipervisor's License 5 gpr7 5� + %1> i 4t ' (No 3-7-171 Permit For dwelling Location 94 Percival Drive West Barnstable Owner' James Antiposti - Type of Construction Plot Lot i Permit Granted October 31 i9 94 I Date of Inspection: Frame 19 Jnsulation 19 Fireplace 19 > a Date Completed 19 •, ..._,•.v^•::k�.•.•.....w-,ti;;�•,v�<ryr r.•:r:�<l3axgX'x'�`:�„�-f>^Jar.cSuFir.�►r^,.ri�;�s.T:�?i:�ii'�I�hr �.;'t�;---,-w°. y.,�,r�` .,,,.. w^.:v..� .v.�re�.,,..h:..i•�:r:,�r^ .:'.Y.�„'K`Yi+xy.�ti '+:•..y..:.i.� ` r TOWN OF BARNSTABLE permit No. ... .l.71......... BUILDING DEPARTMENT i SAW" } TOWN OFFICE BUILDING Cash 9 i619- + X HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to James Antiposti Address 94 Percival Datve (Lot 45) West Barnstable. MA 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. March 9 95 19................. ......... .............. BuiAng Inspector I - , w,e �y •a ai.a. - 1—� -. i .{ti. F 3,' :u t 077Mf>, TOWN OF BARNSTABLE Permit No.-1 1.71........ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to James Antiposti Address 94 Percival »atve (Lot 45) West Barnstable. MA 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. / March 9 95 �._..,r ... ... ... .. .. .. ...... ....... 19................. ........................................... Building Inspector r _ t Y ULO ATE O'GE1Z 1'g. , `` .! P r OV 5k N E I 2 � A xP'FE LT y • — r 8. 1-AT R _ lb lot v . 1 p►J� t) �6 ?rep pGW.J- 1� ,► q-rJ` ! H i 4�cb' ,T.'--HEAte2 P T. PD�-rc . 4 � y _ o,, T. P 7 UX y a T h 2�u E. , T, .S7Ar,e ti t 1 S N!6 N W d t� (p T►e,/AA ExT rz ►o _ O x 1x1 ALVM .. .� _ L r AUD Jc T HAW--) �j : t7/lLl1_CXt ?lt3h.' f D� K -ry. 4axrJL a rope ►J D LE 1`03T leIMP' _ � TS Po 157 6'D k' ADv. N A -T?L .ST rsC�t I _ 1a113 ",1oMA rvt3E y'N 16W k1-�p_f� LA rJ - C y N n TIr.'�1� 1� 7`2AM I to Lc Al , ' c • 1 I , I t -/ P D T 8A C j/ REv r t Dt�-tT< : posr5 y Top t . r7lt [.E FTEE VA '`}t?IJ It71 v _ DEC057 2t51DL^)C �a'x/y�:P4i2CH . i • SCALE: L,a O�' APPROVED BY: y LL t' �7 ��'_ DRAWN BY DATE: REVISED ••• I3J" 611A46,%J Mid Lo E - -1-01,1iJ ,0 c- c DRAWING NUMBER r ` �'ok ` c-�P�7z� ttc�r� iMP Nap• �s�F iv�� a r :