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Home My WebLink About0179 PERCIVAL DRIVE � � � �(�V�4� I L co YOU WISH TO OPEN A BUSINESS? R ' For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME-in town (which you must do by M.G.L. -it does-not give you permission to operate.) You must first obtain the necessary signatures on this.form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required by law. . DATE: L-Z S- 1 7 Fill in please: . �J; - APPLICANT'S YOUR NAME/S: ;�Y" ' BUSINESS YOUR HOME ADDRESS:. l °t P�ZC 1 v�'I_ 17t2 MILT " 9`. TELEPHONE # Home Telephone Number 4 E I N •#: E-MAIL: U S a MCi\ ,LOB NAME OF CORPORATION: NAME OF-NEW BUSINESS y.k2� oc.AG TYPE OF BUSINESS `PcPf A-�C'l� •_� ' , IS THIS A HOME OCCUPATION? _YES NO b>3 ADDRESS OF BUSINESS l 2°t P� J'c�v r'A- 7Z W ST YEA 2�-�STA�Itf MAP/PARCEL NUMBER - d 1 Q b (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you.may need. You MUST GO TO (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses.required to legally operate your, business in this town. 1. BUILDING COM JAoriz NER'S OFFICE,-, ' This individ al n i�5for d f ny pr it re ui emen s that pertain to this type of busin ST COMPLY WITH HOME OCCUPATION LES AND REGULATIONS. FAILURE TO /\ COMPLY MAY RESULT IN FINES. OMME T IC 2. BOARD OF HEALTH WO l'O ,n This individual has been informed of the permit requirements that pertain to this type of business. 1 (1.S � r� Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: - i Town of Barnstable Regulatory Services CF THE Tp� do Richard V. Scali,Director Building Division BARNSTABLE, v� MASS' Paul Roma,Building Commissioner 1639. �0 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: 3S Permit#: 5f HOME OCCUPATION REGISTRATION Co 13a�� Date: o Name: GO Co mvv , Phone#:50$ 472 Address: \ gerc�d Village: W15 ST IW_t,)S 1 I�QLL Name of Business: 1 y1-%e_ `�N(4 wl Com eo A:�k Type of Business: Map/Lot:� I O �b 0 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential•use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess.of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard'. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home.Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned, r agree with the above restrictions for my home occupation I am registering. Applicant: Date: CO 130 ` Homeoc.doc Rev.06/20/1 5 5 yS �DC c��Je-rCcSl CSL(N Sc I ,0 5 o e raAe& VIM M Gv Cos��cwe, `(o&,P� Go� 5c> z - � s5� 'Town of i3arnstame Regulatory Services FtHE Tp� do Richard V. Scali,Director Building Division wwsn+Bt E. MASS. Paul Roma,Building Commissioner i639. �0 plan Mpv& 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: 0 Fee: 3 S Permit#: b HOME OCCUPATION REGISTRATION r Date: CD —7 Name: v co mvc' Phone#:6O�6 -1 7 Z 9SS� Address: QerC�,j P- D R- Village: wt✓ST 13 A LtI)S T I+ RLL Name of Business: 1 2. `��G N G VJ CoM e 0, Type of Business: Map/Lot: 1 I 0 r O6 1— 0113 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space: • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned, r agree with the above restrictions for my home occupation I am registering.- Applicant: Date: � 130� Homeoc.doc Rev.06/20/16 ► � �,�� des►5�� 5 ck ol, \� y cy tJo c-�0.,\ U'` \\ GV� Cos cove., . T1r,e, `C oG�A Go� Cam zany es-C,JA, S—\ A SLZ YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. -it does-not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office; 1 st FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required by law. . DATE: Co-z`a" 17 Fill in please: APPLICANT'S YOUR NAME/S: GO-1 G0S tzayr, BUSINESS YOUR HOME ADDRESS: fo Z v P�'L 7R r••;?ti; 4"7.L g SSA TELEPHONE # Home Telephone Number SDl& - 1-7 EIN #• E-MAIL: Cav 5 a MCi� iC:O� NAME OF CORPORATION: .NAME OF-NEW BUSINESS TlAv ` oc Acv_ MPIA 41) TYPE OF BUSINESS `PtPf A-9-ti IS THIS A HOME OCCUPATION? . 1 YES NO ,b� ADDRESS OF BUSINESS. f e i- Sv Jam- .7Z ; Je-S—\ '6A Zr -VA-.,Le Mrr MAP/PARCEL NUMBER. (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO �n0 M is n St. (corner of Yarmouth Rd, & Main Street) to make sure you have the appropriate permits and licehses.required to legally Operate your ussiness in this town. 1. BUILDING COMMISSIONER'S OFFICE This individua( has been informed of any permit requirements that pertain to this type of business. Authorized Si9 nature** COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: i 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: r ro 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map /I D U O/0 lea Parcel t�� T. „i, , Permit# VI/ AAv 1; BLE Health Division 5/1 b3 *�'� Date Issued �' Ig O3 Conservation Division �J® 511zzaa j' Y j j'= I I 02AApplication Fee y. c9--e) Tax Collector ��2Za �Z y Permit Fee a $ IM Treasurer _� _L�l��SIOP� SEPTIC SYSTEM MUST BE Planning Dept. INSTALUD IN COMPL MCE Date Definitive Plan Approved by Planning Board E'l6VaR0V ME CODE ANO Historic-OKH Preservation/Hyannis TOWN REGUI.,'-Tfohi3 Project Street Address Village lV 13kr1z1s1;-�,Z1e Owner 6y_6e0iKZf 11r1U '�� Address Ire- A,0,C1,,WZ 4e ` Telephone 579f- 3 4, 2 - 3 6 o J Permit Request /5;W AAA,, A!5;,Y-eZ Square feet: 1 st floor: existing proposed Ad 2nd floor: existing DQ proposed ' O_Total new 7 S� Zoning District Flood Plain Groundwater Overlay Project Valuatior��0� �Od• Bd Construction Type Lot Size 4/10/16 fF Grandfathered: ❑Yes ❑No If yes,,attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: O Yes ❑No � Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other r Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing o? new Half:existing new Number of Bedrooms: existing 3 new V Total Room Count(not including baths): existing 4111, new / First Floor Room Count Heat Type and Fuel: 21 Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New f 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 BUILDER INFORMATION Name W.C Telephone Number Address 14v G,)wr� License# t,�V�7-11c,7 0 %VfP14 ol/e , RX Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY. ' PERMIT NO. j DATE ISSUED r MAP/PARCEL NO. ADDRESS VILLAGE OWN@E': _ H a i DATE OF INSPECTION: e� FOUNDATION OK (®� FRAME, ) lq d3 ® �5)o INSULATION 16,44 9 FIREPLACE , ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH�l x '_ FINAL :21 ? GAS: ROUGH, = z i FINAL _tea✓ y�, e FINAL BUILDING DATE CLOSED OUT 'tom *ASSOCIATION PLAN NO. __ 11 The Commonwealth of Massachusetts ' Department of Industrial Accidents _ __ t 600 Washington Street -- ' 1 'Boston,Mass. 02111 . `—�3 Workers' Com ensation Insurance davit . . name: �:I , e�� location la /`�C'l-Gf ✓s¢ L IK- I • city Al' XAC�eljp12Wj'e- 4 ll%*-'— "e"e P- yhone# ,4?)e—J,,`Z 34 D/ ❑ I am a homeowner performing all work m self . ❑ I am a sole r netor and have no one workin in ca achy %%%%%��%%%%/%%%%%%%%%%%/%/%%/%%%%%%%%%%%% /%%%%%/O/%%%//%/%%%%%%%%%%%%%%%%/%��%%%�/��%%�%%�%%%�/%%%%%%%%% ❑ I am an employer providing workers'.compensation for my employees working,on this job." colmspanv n m a >:e`:>lion p # :':: :.:::.:::::::::::.:.......................................................................... ...................... ::::.::::.:::::::::::::::.::::::::::::::::::::::•::.::,::::::::::::: :;;:;:;:;;::.. ..................................................................:::.;::.......................... ..::!j". :::................ .City:':::::: '`:::::::'i::is::.i:::::`:::':'::::i>::'::';: �;`:::'?% :....:::::::i:::::'::">is::'.:':;:;;:;:::;:::::<::::::::�:::>::':.2:::•:;;>:;:; . ..................... ;:: :ii:';:`::::::::`�:'?:' ::i::::i::ii:::::: ::::iii::ii::iii::i::::i::?'::i::i::::i::::::i::':::...i::i::i::'i:t:i:::<:::::::;:?;:::: 2:::::.....i:;:::ii:::<:i::,:,.::::<:: lnsutance:cn.:.:........... .................................................--,:...... t :..........................::. "a!a sole proprieto general�contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'..compensation policesr::::.::::.::.::::::::.:::.::::..:::::::.:::::::::::.::::::::.::::.:,:.::::.::::,:.:::::::::,'::::::::::::::.:::.:::.::::.:::.::::::.::::.::....:.:...I..: :::i:::;: i:;::::::i:;:::::;:::::: : ::: ::::::::::' . : r. .. ::: :.. .:.:::::.. .�•^. :.,:..:,. . .:::.::: -� :.........::::.. ........... .. .... .... :::::::::::::.::.::::::::::.:::::::::::::::. :comaanv name..... ..... C °.:::. :...__... �. :.......... .. '�5 . ! � .._ :. 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Fafiure to secrete coverage as req�red under Section 25A of MGL 152 can lead to the imposition of criminal �� 11 MWO copy of this statement msy be fornarded to the Office of Investigations of the DIA for coverage verification I do hereby certify I'lea pains and pen es of perjury that the information provided above is true and correct . Signature Date < '�91� ZOer J•.' 41 Print name �B .4s ate./. O Phone# 64L S12-a— 02 O/ official use only do not write in this area to be completed by city or town official ' city or town: permit/license# 70OHealth Bufiding Department Licensing Board ❑checkif immediate response is required Selectmen's Office Depsrbnentcontact person: phone#; .- Other Onssed 9/95 PIA) Information and Instructiong Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the "- —affidavit for you'to fill out in the event the Office-of Investigations has to contact you regarding the applicant. Please be sure to fill in the perniit/license number which will be used as a reference number. The affidavits may be returned tr the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts ..Department of Industrial Accidents Office of InvestlgWons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 I OFZME Town of Barnstable .. Y Regulatory Services iaaxszasr.E. ' Thomas F.Geiler,Director MLASM 9`bp 0 .�A`0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type.of Work: Alez- /�oo✓-, ]L Estimated Cost Address of Work: Owner's Name: 40s-42/LO-fl e- Date of Application: 5�c��0-3 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 UYIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. I SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of 7owne ✓�'f � �d Date Contractor Name Registration No. OR Date Owner's Name RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 ✓'� �� Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE OCR square feet x$961sq.foot= 3 `10d• x•0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 5rS o square feet x$64/sq.foot=,�� '� —x•0031= ;plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1� , >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$961sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney _x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) permit Fee projcost i 730 CMK Appendix! Table J31.1b(continued) prescriptive packages for(Inc and Two-Funily Res4ential Buildings Belted with Foss"Fuch MAJC]MUM MINIMUM Heating/Cooling (}lazing Glazing Gelling Wall Floor Basement Slab as Equipment Ef iicicncy� rm A '(•/.) U-value= R-valuer R-value' it-value, R w� ' R pacfcage 3/01 to 6500 Heating Degree Days Notmal Q 12% 0.40 38 13 19 10 6 Normal 0S2 30 19 19 10 6 R 12Y. 6 85 AFUE g 12% 0.50 38 13 19 10 N/A No=al T 15'/. 036 38 13 25 N1A 6 Nonnal U 15% 0.46 38 19 19 10 N/A 85 AFUE V 15% 0.44 38 13 25 N/A 6 8S AFUE Qy 15'/e 0.52 30 1 19 N/A Normal x 19% 032 38 133 25 N//A N/A Norma! LAA IS'/a 0.42 38 19 25 N/A 6 90 AFUE 18% 0.42 38 13 19 10 6 90.AFUE 18% 0.50 30 19 19 10 1. ADDR ESS OF PROPERTY: ' 00� 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4, %GLAZING AREA(93 DIVIDED BY#2): Qo 5. SELECT PACKAGE(Q--AA-see chart above): I NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303 a 780 CMR Appendix J Footnotes to Table J8.2.Ib: lass doors, skylights, and I Glazing area is the ratio of the area of the glazing assemblies (including sliding-g basement windows if located in walls that enclose conditioned space, but excluding opaque doors) to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without.compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces (such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-vafue requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes elebtric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. . 'For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. one-door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge, or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). r °FTHE Tpk, Town of Barnstable Regulatory Services r � ' BARNSTABLE. ' Thomas F.Geiler,Director 9 MASS' .eT FD i639. Building Division N1A'I A b Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I� 60 C0,5 0-c� , as Owner of the subject property hereby authoi7ze uVIA Ayvl to act on my behalf, in all matters relative to work authorized by this building permit application for (address of job) ?8itct v^AL t ® ) 2.O� Signa e of er ate Print Nam Q:FORMS:O WNERPERMISS ION \�(A�(� OP o 21 4C M \'1 Lo r 2 J sNe� . r• I certify that this property is located CERTI FI ED PLOT PLAN in flood hazard Zone C (outside the 500 year flood) as identified by the Depart- LOCATION /S7-4/3e-4, ment of Housing and Urban Development(HUD) / SCALE . �.��-e0.I DATE .APLE F.- 3 Zoo � Date occ_3 Zoo/ ` of MaREFERENCE' ""' �; T Z f �EP�N sf� PLAN �.�'?!A! EDWAR yGs /f S �S/�pINN UI� �L.��• .j1/3 .. ��. 99 . . . . . . .. . . . . . Reg? L9mds' o r�veror CISTS . . . . . . . . . . . . L LA1�05 THE LOCATION OF THE ORIGINAL DWELLING SHOWN HEREON .EITHER WAS.IN COMPLIANCE I certify to its title insurance company WITH THE LOCAL APPLICABLE ZONING BYLAWS that there are no visible encroachments IN EFFECT WHEN CONSTRUCTED (WITH or easements except as shown and that this RESPECT TO HORIZONTAL. DIMENSIONAL REQUIREMENTS plan was REQUIREMENTS ONLY),OR EXEMPT FROM prepared under my immediate VIOLATION ENFORCEMENT ACTION UNDER M.G.L. supervision. ..TITLE VII ,CHAPTER 40A, SECTION T,UNLESS G'lJy •SvZ1'4A1,V& L. Co5a?0.0 OTHERWISE NOTED OR SHOWN HEREON. r t 1 ' �/e i�ovninw�uaeal!/ �,/�aaoac�ucvelld BOARD OF 6111OREGULATIONS License: CONSTRUCTION SUPERVISOR Number -S O47420 Eprces; /07005 Tr.no: 10673 Rest ic_s�1; THOMAS P D,4fvIE��•ID-�� 16 W+-lITE,BIRCH f W BARNSTABLE, MA., 266a3 v_y Administrator rl i V r Application to ®YD► ►ing'� bialp Regional -�EqiotoriL Aliotrict C "'ia>;tejeRNSTABLE In the Town of Barnstable 2093 APR -3 PM I : 13 CERTIFICATE OF APPROPRIATENESS_ DIVISION Application is hereby made,with four complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described.below and on plans, drawings, or photographs accompanying this application for. CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: ❑ New CK Addition Alteration 8 D Indicate type of building: House ElGarage ElCommercial El other 2. Exterior Painting: ❑ -mac C 3. Signs or Billboards: ❑ New Sign El Existing Sign ElRepainting Existing Sign co 4. Structure: ❑ Fence El Flagpole ❑Other co TYPE OR PRINT LEGIBLY: DATE ADDRESS OF PROPOSED WORK 119 16FC%%1AL DR •%%AA8SL'S_LSOR'S MAP N I C , OWNER 7U SVZANtJE COSGRONE ASSESSOR'S LOT NO. _ZcI HOME ADDRESS 179 DR• WEST Bprrws- Am _DNA TELEPHONE NO.6M 3L2.-3WJ FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) -SAcdo I 14 0DITCA4 1-1 QErtC L -M. OeW BAROST41L9 MA (5V%�37 -070 AIA=t yL11c L.EE' 1%3 PERC%,JAL DIL ,%A95r S#ANSrr f . MA (Soak 3&Z- 32-11 AGENT OR CONTRACTOR TOM THEMEWO 0472p TELEPHONE NO. S0%- 32$'3Z15 ADDRESS 1 b �,J1-t tTLT g�2C,H W!!!;II WEB 'gwT-a 5TPN-9 ..M0e 02.i6(ob DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. Z O Y. Z.O fptm .,� Rom. X00%_T%00 -0 TI{Lr 30rC,K orr _rVle V6,35E . Zo X Zo W 0,L.K—t7uT L�oWeB LEVEL . MASTErL. ovet. t vie E %t 5Tiv S GArtsr�<X W ►T14 At 10 FT. DOQME WooD FIL�M� 1 An►DEi tw1 n+0ow5 A"0 C Signed ` 5 L 1 D ERS Go ry O R�'TE Fb`J bP'. W• ner-Contr ctor-Agent For Committee Use Only This Certificate is hereby Date `� pp r d/D nied CompRittee Members' Si n r Town of Barnstable `= ' Old King's Highway Historic District Committee SPEC SHEET Q FOUNDATION �OyttEo l�o Nt�.� W'TA 0 A Y4 ^OSC grts wv ` FQPN10 SIDING TYPE Wttm CjMpIQ 5��1St� COLOR W*%-M CEO �12CCy1' VENT G►" Lo G CHIMNEY TYPE COLOR a Q H M Fi "% WA ROOF MATERIAL COLOR PITCH WINDOWS AN SDN COLOR W■`•'(G SIZE f6 f69 (LAIR TRIM COLOR Cf"1C�Ls �' MAr�'G� EX1 STI�4 DOORS Pew�QSo� SLR COLORS W wcm P�n,n�a ✓� SHUTTERS COLORS GUTTERS n�.-VMt^(d M U J 1 f COLORS MA--rCAh 1�el-C1 LS DECKS 1 T FAtAe MATERIALS MAVAQGNy Y404 GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS N I COLORS FENCE r 1 COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT flovl.sed 11198 / Ap N � Ito J fWILlIAM J N YE .. .. , No. 193 Z f CEt"CTtt=tE� PLO PL--lei L' or-ATio� p='S'l-i � Jj . . :t. .GL=1ZT�tt :. T14E. C—?•'l 'RAcTI� ..; . .pub .•S�T13tiClL:.��Q. _tQE�E�T6 - nT �� (�cz'�K 4t3 � .'fowl? of , prSTfi:$1 ,� t✓'t_oot7 �t� ap,XT�-tz . u�t=' Inc. c REGISCrJZ�D t-'��..t� 5u�vc� m a ss. UoT t3,"E'O U�-! AQ TP*TZ'f�1� �,. ts' APPL_( C_-&-" j.: IJy-�uMELJT 'Su QV-c� f TL�1C-. oGCS�TS SI•to•�� Ta. :.�e rcPML�C . LOT . t_Ii,I�: .��M I.'� E't��/.'+�*..`-.r�.+�'L'ra.�"`-w. .::*F,ei...i ,,... .�- .�,�,��,�,..��.�. o..,,..,�.y-T �. �r-"-�--••;'�'�'�_-•. .- - --r-4:e»,-��'- .y... -...--_... a .._, 4 ' p TME'°�ti - The Town of Barnstable BARNSTABLE. Department ofRealth Safety and Environmental Services 9 MASS. e .67q. �0 �PfEo Mai Building Division 367 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner:G-k!� .505w1 G-�6-d ve, Map/Parcel: ' �a ba I ni O Project Address: I�� l 2.�C►�� I�'e Builder: 5)cmS5 t-nc- i'c> - The following items were noted on reviewing: , 1 . e-r d C'no r. -L+ look-s I i 1Cc -9-1 R7.A, -,,5 w I c> lc> -Vv6e5 co-) fob of )cofinC, e!t�e(' (T)k4 �. �.5-t- f e r'k 41 e- n o Cmc�. (fir. r,.b.'Dr )y T) �; �cx-�rl ll /i11 j S�S�Cr'rM tryst � �)Se3 LIMP' C bo k+ T AZe- ` �0�)e— �CC. co(cocbe ; L)tC 3 to wee tic r. CRI ' Reviewed by: ' Date: —(q q:building:forms:review �F(ME Tpk� The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services MASS. p ,679' p�Eo Mpg Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection —�- n S a�10 v\ Location I Pe r-C'l Va �' I�r Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. Thee following items need correcting: G T n ti10-4-%oh � v\ Cav\niz — f� ��2� �n C'ay� � -- Ti b-erG)45� Vile Dr &Gr r'ifr- V-V\... 5� -- I ` C CA,V\N 0� l v� �`\t f� C=�I e U� 1 J�51•� I G�\O V� V\-e \�n . W L' r kc . Z Please call: 508-862-4038 for re-inspection. 1) Inspected by 'U Date �elavcnu+... u `L 1� . .�..,• ,.. .y.� : ate, s) :, yy : ...�R.A.�`.YllTl6N'• 'TF):'t„fJ:2VA'T10N'_.____..._ . J... ..:—.. - —..... Iz5 _ Devlin. - (lvstorti' ' Designs .y.,l• , ,.:4'= .or�i o my t SMOKE DETECTORS.O.K. B NSTABLE BLIl[�LDI2NG DEPT. i i � qip:w a Dram co ----------------r---- ;'.a tip. i 61 'r i I II j i f I • 1 ! YI 1 I. �: i ® ��wO'C,erD�:•ti\Gnu i I ..� 1 � .808.420�6101 in •' -r� wo nprm uyom,by o'cD.� I �u t f—W GVRa4 •-•'Ce � . - S�0 fAwA...._:. LV•u[Aa,aMW _.. ;'�•��K a.n BnLlaltl.�... I:r Er+ua ` •, I� - - a,o ac..wn.ccv:rra,.. acirawoF z�'�- '�{:J � yq�' .. ."x:�'°`e�'t�.Y�'�M Z. soa:<sa•el9i..- . -_ .. ._. .00.•.®;, `Ruc-oiRccca. .. i .. F m SF'ccrnew .. JEiDfJ6:'Elh01i"P1:Au ) � � '---•.-- � I � .. 'j Aa,syo�tr ej OC.G.ara,e. nei., wny e y.... �lr aeuo aaouus-.. � ' a 7771.7 —1 ffill, _------------:: ' � � I BOB�02,8.6191 ., F I F� t p.� ... .. Y ni`•ui.:...ea i r.nc.o..,<.m uy p,.aei� FINE A The Town of Barnstable o� BARNSTABLE.p' Department of Health Safety and Environmental Services MASS 0 039. �0 �Fv►AP•° Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection UV � C 1 J '� Permit Number r Location Owner Tin- i Builder �� o One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: h EQ�,W 14ale �j Sty V-a,2QA Y1 5 PA,1 Sv`� �� G t ► -- # �- ..k �SS' Please call: 508-790-6227 for reeinspection. Inspected by Date 157- 2-4 t j t ' A WILLIAM C. N Y-E �, .. Z I. C6QTIFIED PLC> Pt.-•�1�1 F CoCATtot�f ,We 3T T'S W i�cN��uE 5tvrz.�t�►-�� tl i �, oT Z�` Eu ►a �,j�a-� (�d LEI A�:ID":SET$ CK'."KE4V'�QE TS 3 � , �.Towv .•.oF �P_�N�S.� $� _ ;A,�.t� Is T r- ,LoGLS.'1= �. . WIT -111.1 Ft_.00L'7 3I kl gaxTE1V• W4 REGIS[LRstt> l-A�-1p 5U2vc`�c l 5; L10T BASES A P P L.I C. V--J-r r:.�;r�.e�c-u.5-c=fl.-Tom•---.��r-c P M�N�._.�n.r t_��.s � '. rIlk THE COMMONWEALTH OF MASSACHUSETTS Registration: 118952 Board of Building Regulations and Standards i Home Improvement Program Expiration: 5/8/2003 P.O.Box 871 a Taunton,MA 02780-0871 Received: Application for Renewal of Registration Home Improvement Contractor or Subcontractor MGL Chapter 142A,780 CMR R6 (PLEASE READ INSTRUCTIONS CAREFULLY) Business name can not change on renewal form! THOMAS P DAMELIO BLDG & REMODEL THOMAS P DAMELIO �� 4 45 MELBOURNE RD. HYANNIS, MA 02601 D246 .P Please note changes to mailing address. Street Addresss.(if different): 45 MELBOURNE RD. A� HYANNIS MA 02601 Please note changes to stree address. Applicant type:I Individual 6. Federal ID No See Instructions to change Application type. No.of Employees: F70 No.Employees Individual responsible for Home Improvement Contracts: THOMAS P DAMELIO First Mid Last I. Title of Individual responsible for Home Improvement Contracts:. OWNER Please note changes to title. " . Phone No: (508)790-3145 JrQ00_ sIA Does the applicant or responsible person hold any other construction related,state,city,town licenses or registrations? Yes No Construction Supervisor License: 47420 Expires: z O Motor Vehicle Repair Shop: -- Expires• List all partners,trustees,.officers,directors and major owners(10%or greater of ownership)of an applicant partnership or corporation below. Use additional paper if necessary. Check here if you wish to receive an application for additional ID cards for key persons. Last First. Mid. Title in Applicant Business %Owner Address Is the applicant claiming exemption from the registration fee?(See the instructions) 2-Yes No Registration fee enclosed:.$ Guaranty Fund fee enclosed:$ If necessary,include two separate certified checks-or money orders-one marked"Registration Fee";one marked"Guaranty Fund". See instructions for amount of fees.Make all certified checks or money orders payable to"Commonwealth of Massachusetts". NO PERSONAL OR BUSINESS CHECKS WILL BE-ACCEPTED,UNLESS THEY ARE CERTIFIED. Pursuant to Massachusetts General•Laws:Chapter 62C§49A,I certify under the penalties of perjury that I, -4o my best knowledge and belief have filed all state tax returns and paid all state taxes required under law. 1,52 Signature of applicant or applicant s representative Title held with applicant Date A false answer to any question in this application constitutes grounds for suspension or revocation of the applicant's registration. BOARD OF BUILDING REGULATIONS AND STANDARDS R HOME IMPROVEMENT CONTRACTOR-PROGRAM ROOM 1301 ONE ASHBURTON PLACE BOSTbN,MASSACHUSETTS 02108 Thomas L.Rogers Director PLEASE READ COMPLETELY To All Home Improvement Contractors: INSTRUCTIONS FOR COMPLETION OF RENEWAL FORM (If you have already received a renewal application,and mailed it to us recently,please disregard this mailing.) . NOTICE: Applications are no longer processed on a walk-in basis. Please mail your application/renewal to the above address for processing. All applications will be processed in the order in which they are received. It has come time for you to renew your Home Improvement Contractor Registration. In order to renew your registration, you must complete the enclosed application and return it to this office as soon as possible to prevent your registration from lapsing. The renewal application contains the information that was submitted to this office: Please make the necessary changes on the lines provided. Please read through this application completely. Please pay particular attention to the items listed below. DO NOT FORGET TO SIGN AND DATE THE APPLICATION. i Item 1: This.MUST.be the current name of the business that.is listed on.the contract. If.this has changed, you must_obtain an application for new registration by calling(617).727-7532, extension 20046. (a) If the business name does not include the last name of the responsible person, and you are registered as either a DBA or PARTNERSHIP, you MUST also submit a copy of the DBA certificate from the city or town clerk (b) ALL corporations MUST submit a copy of the Annual Report; registration as a foreign corporation from the Commonwealth of Massachusetts Secretary of State's office. Item 2: This is the mailing address of your business. If you have a Post Office Box or RFD address as the mailing address, you MUST indicate a street address on line number 4. Item 5: The following is a list, in order, of possible applicant types: Individual,DBA, Partnership, Trust, Private Corporation, Public Corporation, Limited Liability Partnership, or Limited Liability Corporation..The only way to apply as an individual is when using the name of the responsible person. Although the name of the busiriess.must remain the same, the applicant type may change with the appropriate documentation(i.e.DBA certificate, incorporation papers,etc.). Item 7: If you have more than one employee,there MUST be a federal identification number listed for question number 6. For the purposes of this application and 780CMR R6, the number of employees shall include all construction related employees who worked 20 or more hours on the payroll in the weekly pay period prior to the filing of this renewal form. Item 9: If the name in item 1 is anything other than an individual, (i.e., a corporation, .partnership, etc.) the name of the individual person responsible for the home improvement contracting work of the entity must be entered on line 9. If the person so named holds a construction supervisor license and owns 10% or more of the business, the applicant is exempt from the registration fee. Item 13: If the responsible person holds a valid Construction Supervisor license, no fee is required. If you do not have a valid Massachusetts Construction Supervisor License,you are required to pay the registration fee of$100. No Guaranty Fund payment is necessary for this renewal, unless you have increased the number of employees and have found your business in a new payment grouping based on the chart listed below. If the number of employees now places you in a new category, subtract the amount previously paid from the amount due and submit a CERTIFIED CHECK or MONEY ORDER for this amount. Guaranty Fund Contributions Zero to three employees $100.00 Four to ten employees $200.00 Eleven to thirty employees $300.00 More than thirty employees $500.00 Be sure to include all the proper documentation or the processing will be delayed. All payments must be made in the form of certified checks or money orders to the "Commonwealth of Massachusetts" and returned with this form. Payments for the Registration Fee and the Guaranty Fund must be made with separate checks. e r; _ .... G.TIze Lioan�,zov� o�i�aaaac�i.�aelCa P92ARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE �aatier =_ Expires: Restricted=poi 00 '�_�yJAl4 S A ROBERTSON 1198 a CHATHAR,...KA 02669 11:02f 94 li:02 C6177277122 DEPT MM ACCID C0jjUnoiuuPa& ol Ma4jaclzade& 600 W Us�- Stmd • ton, �/l.".Aaaslte 02f f 1 .James.J.Campbeq .. Cprllmissnuter - , Workers' Compensation Insurance Affidavit T4 with a principal place of business at: do hereby certify under the pains and penalties of perjury, that: 0 I am an employer providing workers' compensation coverage for my employees workir dris job. 1-YAv-PIPr� insurance Company Policy Number () [ am a sole proprietor and have no one worsting for me in any capacity. I am a sole proprietor, eras eontraao or homeowner (circle one) and have Edred tf aomraators listed below oilowing workers' vomPe>asaIIon {�0� v. C -- 6o lV uei 1F 5 w h y Contractor / lasuranoe Company/Poficy Nura c� cl - 3ra -1f� � Sk LLJ�- .4 A uo Insurance Cc ratiy/Policy Nurr C�o - Contractor Insurance Company/Policy Nurr. () I am a homeowner performing all the work myself. I und=tand that a coer of this s=te.mem will be fosvrarded to Me Office of Investigldcw of dw DTA ror coverage veriaation and that hHure W,;er.ge a ra=ired under Section ZSA of MGL 152.can lead tO the irnpoaitim of tzftV1hW Pe MWIS eotaWOC of a tine of UP to S 1'500.00 rears'imprise.-mG t as welt as civil penalties in the fom: a STOP WORK ORD�t�d� of S 100.00 a day ag inst fn Signed this a� day of Licens a tttee Building DeparQnent Licensing Board Selectmens Office Health Deparanent i � r i s ,> •T h,i-a J L4 1 20 15 • - 09 1995 F,l. e ...•:...•....•...:..•........•. ..•... ......... ... .•.... .....•.•... .•.. ...........•.. .•.•...•...•. ... .•.. ........................................................ ...•.. .•. .....•.. .•. ® - '? ' .•.::.' ':.. :.:;: < >: »: ::::::: >:::.:•:.:.::'.'''":::::::<:>::>:: DATE(MMlDDNY) ° ...............•..:............................•.....:................:..::...........:....................................................:.....•.....•::..:..:.•....::.....•:::....:......:............:.................•.•....................... PRODUCER ; THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Richardson-Cuddy 198 Asney Iac I HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8 yark Street - P.O. box 388 i ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Attlobara XA 02703-0388 ; __ COMPANIES AFPORDIING COVERAGE — Tht!ffiabOS N. Cuddy, Jr. ( COMPANY _._-• ------ + ---- ----- 308-132-3232 A 'IRhVZLSRB IffilStT8�1'NCF, CO INGURSD COMPANY I COMPANY--- --..--- �,. — ---�------ Tartan, Inc. I �i vo ftx 1198 � COMPANY ----- ----- -- W. Chatham RA 02669 � D .. ........... :...:.:.:..........:::... :....:... :.:....::..:..:......::....:. ....::•:..:..:.•..::.•:::::.•::.•::....:..:..:..:...::..::... :....:..........:.•:.•:...........::............ THIS 19 TO CEFgIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, N0nVITHSTANDIN®ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUWECT TO ALL THE TERMS, _ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM.S. CO - - I ----- ----I POLICY 6FF6$•TIL'6 I POLICY®(PIRATION I -- - --- ----.-- LTR I TYPE OF INSURANC6 I POLICY NUMM I DATE(MMIDDrWI j DAitg(fylMMD/YY) ; LIMITS t QENERALIIASILITY i— —�� ------; — I GENFRAI AQOPeOATF. 6 rI COMMERCIAL OENFPAL UABILITY I I LPRODUCTS•COMP(OP A.00 i s 77 CLAIM@ MADE I—! OCCUR 1 I I PERSONAL&ADV INJURY I 0 j OWNFR'B&CONTRACTOP.'6 PROTI I I j FACY,OCCUPPENCE 18 — I F— — _ I FIRE DAMAOF(Any one tlrb) 0 —L I _-- — ---- ----- I ---- - I -----_ I MED'!XP(Any ono curaonl 1 0 '---_--- r 1 AUTOMOBILE LIAwLrry — CO?rtEINtO 5ING64 LIMB 0 -- I I ANY AUTO I ALL OWNED AUTO@ ( 1 SOCILY INJURY F-! SCHEDULED AUTOS (Per Dereon) 0 HIRED AUTOS I I ROWLY INJURY jNON•OWNEDAUTC@ I I ( I (Pcw W--IdeM) --- 0 --- —I -- -- - I PROPERTY DAMAGE 1 0 RA13E UADILITV —— - ------ - 1 -- —I AUTO ONLY•EA ACCIDENT ( 0--, �J L..... ..:....:..............:....:.. ANY AUTO 7 OTHFR THAN AUTO ONLY; I::::::::::::::—. . .................... I I EACH ACCIDENT 1 0 AGGREGATE g --_ EXCC6S LIABILITY EACH OCCURRFNCF I O UTARAFLLA FORM I I AaGREOATF i 0— I OTHER ThiAN UM®RELLA FORM. ' I I 0 A WORKERS COPdP&O1SA190N SUdD ---- - ( STATUTORY LIMITS I:':.. >:: ::> :: : (---I ' -- �II ::: &MPlOYGS'LIABILITY EACH ACCIDENT 0 l00,oco THEPPOPRTORJ PARTNERSEXECUTIVE _ 6613�893793 07/23/93 07/23/96 OISEA@P•PGUCYUMIT 0900,000iNCl - OFFICFRS ARE: I FXCLI — , I DISFARF-FACh±FMPLOYFF I 0 100 L 000_ i OTHER f � I I I e D&WRIPTION OF OPERATIOXSiIOCATIONSNEMICI.FS,%PEG1.81 IT6Ma ----- -----� . .............................:........::.•.•.'.•.•. ':.•. ':.•:.'.•.•.•:.•:::.•::.•.•.'.•.•.'.•.•.•. '.•..... .......,................,.,...,.... .::.•. .•:. :.•:. :} <:::>::: >::;'::::::';:::::::::;::::: :::::::::CiARI0ElIJ1YiDN:: ::::::>: ::::':::..... :::::;::'< ::::::::>::;::>::::::;::::::<:::::::;:::::.:::::: ::::::::::::::::::: ........................................................................................................................................................................................................ ................................................................. .............. ...... .. . ............................. ....................... ................................ SMCULD ANY OF THE A20VE D6SCRIDED POUC16A 610 CANCULEO BEFORE THE ki 1 EXPIRATION DATE TMEREOP.THL°L99UIXCJ COMPANY WILL.ENDZAVOR TO MAIL 110 DAY®WR1TT&N NOTIC9 TO THE CERTIFICATE HOLDER NAMED TO THE 4.eFT, Town of >r�arax�itabl® BUT FAILURE TO MAIL SUCH NOTIC68HAL.L IMPOAS NO 02LIOATION OR LIAOILMY - Town Office Building 1 OP ANY KIND UPON THE COMPANY.ITS AOENTG OR REPREGENTATIVE9. Hyannis NA 02601 ! AUTHORIIEDREPAS"NTATIV6 Thawi■-H. Cuddy, Jr. :.....•.::•..•.•.:•.•.•.•:.•..•.•....•.•.•..:•:..•....•.•.•...•.•.•..:•.•.•.•....•.•.•.•.•..•..•..•.. ....... ... ....•... .•..•.•..... .•.::.•.•.•.•.•.•::.•.•.•:..,. ::ACDRE>:�8=9::•3193::::::: ::::: :%: 4QC0RB:00t QRATt0N::?EB®8 f.......1............................................................................................................................................................................. R Assessor's Office(lst floor) Map Lot �� Q Git# �� 5j.J Conservation Office`(4th floor) 1 t"W�i wa is Ci 10 Date bsued 3 — 6zs 9� f`"y Board of Health{3rd floor)(8:30-9:30/1:00-2:00)�� Engineering-Dept.(3rd:floor) House#1 n� I Plannin f.(lst floor/School Admin.Bldg.) De ' tive 1 Approved-by Planning Board "�b� 19�� 0 /�� A1 psi a BE f- -E/ec- s A a a IN CMIPLIAHCE TOWN OYBARI'�TSTABL `S� M Building Permit Application �NTAL CODE AND a °ye" F lLATTI®I!_, Project Street Address � ,� - Village C-F6-k Owner ::[A YTer v` �k`1 L. Address �d- �Fo X It c!9 G►44*01 hill. Telephone q,4 S--Li0 51 67L 66q Permit Re uest r O►1 Yv LT I M 0+ h 0 U S e 'I h (i v 474c� P q/gam / C 02 X 0 S / S ►2 'C I�•�C�'G alyZ12 14 Y aLQ. At6 0SvY1 �PC Total 1 Story Area(include 1 story garages&decks) `� square feet SJ% Total 2 Story Area(total o st�nd stories % (o W square feet /6 qy •�rs h d� dl ' Estimated Project Cost , Zoning District � - �y - I�'-/ Flood Plain N Gg" Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded r Current Use \j Ak k h Proposed Use �Si�tR,"CJL-, Construction Type W coo,�, :'v Jaw%� Commercial Residential V-**" Dwelling Type: Single Family 4, / Two Family Multi-Family Age of Existing Structure /✓ Basement Type: Finished }- Historic House Unfinished r( tL G1-cI e Old King's Highway Number of Baths No.of Bedrooms 3 Total Room Count(not including baths) First Floor tv- Gv-�S Heat Type and Fuel-40rcek4. W AT&/)/ Central Air /Vb Fireplaces � 07�2. Garage:' * Detached. Other Detached Structures: Pool k/n Attached Barn Ala ',\ None Sheds NO Other 10 Builder Information G '` Name �0, �'� �� C- Telephone Number _Address es o / / j License# 01 :1 170 C 64 VX K- IM A, Home Improvement Contractor# c �Worker's Compensation# �s - 13 K S 51 -7-9� (3 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 h� C-- SIGNATUREk-N DATE BUILDING PER ENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. - s DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' E DATE OF INSPECTION: F FOUNDATION �� •�� FRAME =�•� INSULATION FIREPLACE: ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH , FINAL FINAL BUILDING i'w :� DATE CLOSED OUT I ASSOCIATION PLAN NO y-.. r �` �� . 4� 2 �' ��J� 1 � _ , , � � �. ,� AJZ . N � Al --� LZJT lit a WILlIC. AMv l i - : �� N YE u No: IS3 Z CEeTtFt�L� pt_oT P2...lati d LvT i L' oCAT10" I,We Dr �aQubT�.r3� ti'•7S 1 icyG c.A _ G!� �,c___T t=t_4►S•4 -- - SPb ccr . . G�RT.t Y. ..:.T1=t�► :T1-1E uary u pL A�l� Rat=Eczt=�.1 c 5.:.::_W t'tta TNT 51 vEc.Lt�6 o'r Z �.1E,Q6ai.i...G�KP4`( UIRE/�cEuTs bF THE . cc* 4A C Auv .SE'cC�G. RE4 IJnT •LoG�►TE� . �t_oot� PLAI k:1 cTC a e , CATS 4', b'�,,L � REGISCUZ�D 1��1p Suevc�fc Tt-1 U oT Bn.S e� �� pu OSTF-V-V% -tom o hcass. IJy—�eJMEtJT Sv¢VcY �: TS1L— 0��5�=TS SlaOe�� APPL-t CAJ�T � hk,r E3 U5c:o To �et'cPtiA�wC l�T L<c.t`. 1 1 i • i • i 1 IIIIFEM 10 v I a • 1 \ i I Jill FT I1�i I iI -1 j I I \\ I I ii I i a� V R ............ x 7, 7 % -Z 7 % j 77:----7-7--77 7-� j ----------- ----------- 77- ---------- 'all . :% ti y . ...... ... kg REAR F� 1A jc . .............. �f`GYq.(.,•c_.,...,,:r(vq:{:vi'+:�i- "'" -.=•':•-::•'-C':•• ot�., `a: '�� -.s�'st- •yr:,.,-_: �fis..+.....,� � w .� � ._�-•s'•"i[_.-cam_. - .__.. '—! _ _... ._ Y - _._-._. .. ... .. _ � ._...-__-,_ - er ...j. ...��J�.. �t�r .. f lidlCU [�l/l 1C- VEk,Fj97 - y'.��co „3•• I e � ti'�C`Ni 1.G ' y . U i//G// CCIA)OP I-Ou,v/:;,. /�1J•I L L•� ayX�.�'FooriNG �/''Yc�i. CCL. U-, L�,•ra'r,a^COW. Pn0s LOPE CONr: l,00R p 70 DCC e' to O V Lo 0f' : 7-6'W'6 9' 4ONf. AOdNOA7)O� [JAIL ,% t IZ -: av'x»'CCOJ7. F6o77N(- b`rviCK ,c a_f'' - C73'P) b _ J.92_- 4,6 „ tP .. �•- - anolLdo I .__. • -- ro� Aff J:riiii.4— -:NQ a ��•• in4°'ldo' t —I �� —� ' I i I� 7, �'G �l2 �'� .� � / 1 1�(�j -.,..•y.ygsa{ d Asti. _Nil _ i •—r'—��C F- /• ��n� �L -\� I;L� T �J��o.cdL f _'� �� ,:~•:; i'.� i �,ti '� �_a �,' —r e�--_ -] �� '� F: � �I � 7 Sys . i � YI _ i� .� .�.�' --.�fir•�7asZ'i'J-- �( Li _ ' ': .' _ ... _ I - ^li L dy: 4EE- 'Z I '-moo REcr ti FUA - � -� P•G,�GB � � a 4 0 a /IX aa, i \ Y-8oG6 �\ 28 OF \ � o3O° Mgs,S9C 'F �\ i� PETER 0 SULLIVAN No. 29733 ti iy .o qe E� Q Fwr VAIL- \ f UXTER � .-. TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 110 -001. 010 GEOBASE ID 36845 . ADDRESS 179 PERCIVAL DRIVE PHONE W., Harnstable ZIP - LOT 29 y�'� BLOCK LOT SIZE DBA � ` DEVELOPMENT 'DISTRICT WB PERMIT 1905-1 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#13955) PERMIT TYP9\ B000 TITLE CERTIFICATE OF OCCUPANC"Y CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services ITOTAL FEES: tME BOND $.00 O� CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY + iARNSTABLE. • . NAM OWNER TARTAN, INC ADDRESS ATT: ROBINSON PAMELA P 0 BOX 1198 BUI�, . NG I 1 W CHATHAM MA BY c , � DATE ISSUED 11/04/1996 EXPIRATION DATE �[nt .�±t.r1Lls.'•'�•.y. �y\. ,r �• 7 ) ' t Y fn'vI• - ! d ,�'"1 t... �. � rS A i, i � M v7x.rP. 1 �. f ,v ��•',i f•, .1' i f �� ' f �tr,G's!I �i�5v�l �1 Y,�� `,�y��1 7t7W;\ s.��,tJJJr---•., •Xt ati�P s ;�` "f,{jp tts a.•. ;1•, t<.; 7 OF ,BAR , , t r• ; r. 4t A.9, y �= fa 4 kk � v"L..".t."aV � 'k 1- t .� •J4 ^s• BUILDING ,t ' ! t�y��fri• �� i �jt �. ;,4�, a 7, r7t jf t`. r ..s•. t l 47�; ti1� A y 1 s,{'�aq' 1'*w l a }}i !!. l4., 1'1 t/,r�t ._ {,C r ;-i.•.. �� fi• .. ._ •. .. ., 1,v :f`• vh 11�t!t� A`l A !) [ l f ,''"I D �.lt? ' f�,� C 10 GEOBASE I D ,+3EM1, �' .�aS� .Y,,.'... a. .. � � � —VA : DRIVE, 1: W. BaF at.a:�1c; €.\r,,� "',� :� t ' ZTP BUT 29 SL-OCK LOT, SIZE DT3A Di?VEL,OPMENT STRICTt�'F3 E11,M1T 1:3955 DESCRIPTION SINGLE FAIMILY. DWE.MING SEW PMT #95-649A) EKMTT 'T'ArPE B T Y.LD TITLE • NEW RESIDENTIAL BLDG P C' ia'TF_4' T0N:': 'TIhRTAN, INC- Depart ent of Health, Safet` l,p{lChI`rE~ �;�: and En ' onmental Services 0'."AL 'FEES: k::1: ;',`_`t2�J�:`!.`1_ Ci}S1'S $y02,6S0_Q0 . �i Qi► I) c. - 01 1N G�r _F UM H�iiE DETACHED 1 I'R�VAT�: P + P. t� ADDRES3 A_,[ : ROBINSON T'AI`1ELA + tBUILD /6 D SI f = x•• .3_��.,,,, 4 i • y.. DA`�' ISSUED 03/25,/1996 EXPIRATION DA`I'Is�g��, �'•',� THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE 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. y:f MINIMUM OF FOUR CALL INSPECTIONS REQUIRED ',t" ` "a'ii''^ '•• '�^�' , t . FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICA LE SEPARATE THIS CARD KEPT POSTED UNTIL FINAL INSPECTION ' 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR I 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. i POST THIS - D SO IT IS VISIBLE FROM , BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS' Se ELECTRICAL INSPECTION APPROVALS 01 1 V p •r.ii' at s 1Lfi/Ir�i1C p //j t vRWR fiN, "� r�r•Lt. Re- 19 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT r ' ! 2 BOARD OF HEALTH ER: AS EVIEW APPROVAL • OTH SITE PLAN WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THF'71PECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR B" s' V JS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFIC` NOTED ABOVE. TION. I J-%ppilGaLlull iU SP pNS`>p Nlot .n G S � � 01 Old Kings Highway Regional Historic District Committee � 9 9 6 j �-!--� in the Town of Barnstable for a CERTI FICATE 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: HECK CATEGORIES THAT APPLY: 1. Exterior Building Construction' New Building ❑ Addition ❑ Alteration Indicate type of building: House arage ❑ 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 toT -t'e)-a Tc ASSESSORS MAP NO. OWNER I i^� `r > } I/1 �V�C� ASSESSORS LOT NO. —lo i HOME ADDRESS ��'C� I I "7 W ` 'l�r l9ft'') ( � TEL. NO. l-5cq - f V857 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). 1-eZ' �a Iq h CI\-P ") 7 t-e .' 'y 3y"C I c";- �- r✓v . v N S tt¢t��tr r"r r O a 6 Q Lnf 5'ts-''0 L-oV -l" f- o(ct r�j C Sc A cxo/ ST <- 1 LJ 02670 uosey l C - + rfF4 C. C GY10l*,,c (5 0a061 �,t SU �ti'lIC�1�QI ff )(l�f� /00V,t �r�� 1?-11yei-ere.4e 1,,4:/ �T i4Y11.SUt+�C. M. a� H� 71V AGENT OR CONTRACTOR S/�WI P S �c�a leo� TEL. N0. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed iocations of new signs. (Attach additional sheet, if necessary). C�1 cg v1`J �'0 ve'... Signed V � Owner- otrac or-Agent Space below line for Committee use. /I - = ------6 q � D`ateC 1l IThe Certificate is hereby yl� Date L`1 AW 2 11995 `x" �M�� B ye �;ie rj�''rr�a�i�it`��L� i Approved ❑ IMPORT NT: If C/tiat is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ .—......-.._�..—e.e..___...-..�..-aw.,.•Nwu � WBLW.L..WW Ci:.y.::. .Wt L..:. ..i.:..'.:..+en.w,r1M... _ .... a OLD KING°S HIGHWAY HISTORIC DISTRICT Foundation Type p o u y e.. C Siding Type w Q Y) 14C-y I /,C Chimney Type Y ( C dolor Roof Material �S l 1 Color h�}�'C 0 ✓}�-- Pitch ►�y,;iq �bxay. ,� �}e S - v_..,Z-. ndo a a � ?� ( � , - r o x ram' c�,r l Size Trim Color tAW) Chi.�;7ey— Doors s r V12.( r e Color Shutters .` �� C� Gutters 'v Deck `� X Garage Doors yely- Color Ln Notes- Fill out completely, including measurements and materials/colors t� Three copies of this form are required for su�mbttal of an applica along with three copies each of the plot plan. landscape plan and plans. when applicable. Aplot plan need not be "Certified" . bur- to should shoe all structures p scale . ..__.____ ___...-_____.- ._... _ ..•.-•. _•,•«..._....Y.—..w:�uauiL'::ib:W47t�'•"•"•••"•,""uem�uSd.Eatoe.:El::uu{,i51<:AAitJ.9u4f�ILi/Fury:+w.,4.a:..;wry.ie,la.::eiJa.:..r=w::.,Gdv:rwwyu..,.w: _.�. _