Loading...
HomeMy WebLinkAbout0127 POINT HILL ROAD 1 lIII UPC 12543 No. 5 3LOR w�.rMiSV "AST4NGS. MN Barrows, Debi From: Leonard.White@salemfive.com Sent: Monday, December 18, 2017 3:29 PM To: Barrows, Debi Subject: RE: [EXTERNAL] - Certificate of Occupancy/ Paci Thanks so much Debi, this should do it! -Len From: Barrows, Debi [ma i Ito:Debi.Barrows@town.barnstable.ma.us] Sent: Monday, December 18, 2017 3:20 PM To: White, Leonard<Leonard.White@salemfive.com>. Subject: RE: [EXTERNAL] -Certificate of Occupancy/Paci Good Afternoon,the attached is the signed building card with fire dept signature only. I also attached the inspection report showing the final inspection. Thank you, Debi Barrows Office Manager Town of Barnstable Building Department From: Leonard.White0salemfive.com [maiIto:Leona rd.Wh iteO)sa lemfive.com] Sent: Monday, December 18, 2017 1:40 PM To: Barrows, Debi Subject: RE: [EXTERNAL] - Certificate of Occupancy/ Paci Importance: High Hi Debi -sorry to bother you, but did you have the signed-off Building permit on Paci yet? Was wondering if you could just scan us a copy of it..... Thanks so much, Len From:White, Leonard Sent:Tuesday, December 05, 2017 10:50 AM To: 'Barrows, Debi' <Debi.Barrows@town.barnstable.ma.us> Subject: RE: (EXTERNAL] -Certificate of Occupancy/Paci Thanks again Debi.........is the Bldng Permit sign-off in this case something you could provide? 1 From: Barrows, Debi [mailto:Debi.Barrows@town.barnstable.ma.us] Sent:Tuesday, December 05, 2017 10:48 AM To: White, Leonard <Leonard.White@salemfive.com> Subject: RE: [EXTERNAL]-Certificate of Occupancy/ Paci That is correct please see my 10/27/17 email response below. From: Barrows, Debi [mai Ito:Debi.Barrows@town.barnstable.ma.us] Sent: Friday, October 27, 2017 3:43 PM To:White, Leonard<Leonard.White@salemfive.com> Subject: RE: [EXTERNAL]-Certificate of Occupancy Hi Len, the only time the certificate of occupancy is issued is for a new house or if there is a open building permit the contractor can request a certificate of occupancy. Thanks Debi From: Leona rd.Wh ite(&sa lemfive.com [mailto:Leonard.White@salemfive.com] Sent: Tuesday, December 05, 2017 10:37 AM To: Barrows, Debi Subject: RE: [EXTERNAL] - Certificate of Occupancy/ Paci Thanks Debi—according to Mark's GC,the Town does not require an occupancy fee for a Renovation? Can you confirm? If so, can you just send along the Building Permit sign-off....? Thank you, Len From: Barrows, Debi [mailto:Debi.Barrows@town.barnstable.ma.us] Sent:Tuesday, December 05, 2017 8:03 AM To:White, Leonard <Leonard.White@salemfive.com> Subject: RE: [EXTERNAL] -Certificate of Occupancy/Paci Good Morning, it looks like we are just waiting for the$25 certificate of occupancy fee . Thank you, Debi Barrows Office Manager Town of Barnstable Building Department 2 I From: Leona rd.White()salemfive.com [mailto:Leonard.WhiteCaasalemfive.com] Sent: Monday, December 04, 2017 2:53 PM To: Barrows, Debi Subject: RE: [EXTERNAL] - Certificate of Occupancy/ Paci Hi Debi—just doing another check in. According to Mark Paci and his contractor,the permits apparently are signed off now. Do you have the update yet on your end ? Thanks again Debi, Len From: Barrows, Debi [mailto:Debi.Barrows@town.barnstable.ma.us] Sent: Monday, November 20, 2017 12:14 PM To:White, Leonard<Leonard.White@salemfive.com> Subject: RE: [EXTERNAL] -Certificate of Occupancy Good Afternoon,the last building permit B-16-1101 is still waiting for a Fire Dept Sign off. Once that is done the building inspector will close the permit. Thanks, Debi..Barrows Office.Manager Town of Barnstable Building Department From: Leonard.White(absalemfive.com [mailto:Leona rd.Wh ite(5)sa lemfive.com] Sent: Monday, November 20, 2017 11:44 AM To: Barrows, Debi Subject: RE: [EXTERNAL] - Certificate of Occupancy Hi again Debi—just checking back on Paci. Did you have maybe a signed-off building permit showing the final inspections, and the date, etc? that may suffice..... Thanks, Len From: Barrows, Debi [ma ilto:Debi.Barrows@town.barnstable.ma.us] Sent: Friday, October 27, 2017 3:43 PM To:White, Leonard <Leonard.White@salemfive.com> Subject: RE;.[EXTERNAL] -Certificate of Occupancy Hi Len, the only time the certificate of occupancy is issued is for a new house or if there is a open building permit the contractor can request a certificate of occupancy. Thanks 3 Debi From: Leonard.WhiteO)salemfive.com [mailto:Leona rd.White@salemfive.com] Sent: Friday, October 27, 2017 3:36 PM To: Barrows, Debi Subject: RE: [EXTERNAL] - Certificate of Occupancy Hi Debi—thanks, but we are looking for a newer one issued to Mark Pad at 127 Point Hill Rd West Barnstable. Do you have something current on that? Thanks, Len From: Barrows, Debi [ma ilto:Debi.Barrows@town.barnstable.ma.us] Sent: Friday, October 27, 2017 3:35 PM To:White, Leonard<Leonard.White@salemfive.com> Subject: [EXTERNAL] -Certificate of Occupancy Good Afternoon, please scroll down on the attachment noting the building number. Thank you, Debi Barrows Office Manager Town of Barnstable Building Department The information contained in this message and in any attachment to this message is solely for the exclusive use of the intended recipient. It contains proprietary,confidential,and/or privileged information. Use of this information by anyone other than the intended recipient is strictly prohibited and illegal under federal and state law. If you are not the intended recipient,you are strictly prohibited from reviewing,retaining,disseminating,distributing, relying on,or copying any portion of this communication. If you received this in error,please immediately inform the sender by telephone or reply email and permanently remove any record of this message.Thank you. The information contained in this message and in any attachment to this message is solely for the exclusive use of the intended recipient.It contains proprietary,confidential,and/or privileged information. Use of this information by anyone other than the intended recipient is strictly prohibited and illegal under federal and state law. If you are not the intended recipient,you are strictly prohibited from reviewing,retaining•disseminating,distributing,relying on.or copying any portion of this communication. If you received this in error,please immediately inform the sender by telephone or reply email and permanently remove any record of this message.Thank you. The information contained in this message and in any attachment to'this message is solely for the exclusive use of the intended recipient. It contains proprietary,confidential,and/or privileged information. Use of this information by anyone other than the intended recipient is strictly prohibited and illegal under federal and state law. If you are not the intended recipient,you are strictly prohibited from reviewing,retaining,disseminating,distributing, relying on,or copying any portion of this communication. If you received this in error,please immediately inform the sender by telephone or reply email and permanently remove any record of this message.Thank you. The information contained in this message and in any attachment to this message is solely for the exclusive use of the intended recipient.It contains proprietary,confidential,and/or privileged information. Use of this information by anyone other than the intended recipient is strictly prohibited and illegal under federal and state law. If you are not the intended recipient,you are strictly prohibited from reviewing,retaining,disseminating,distributing, relying on,or copying any portion of this communication. If you received this in error,please immediately inform the sender by telephone or reply email and permanently remove any record of this message.Thank you. The information contained in this message and in any attachment to this message is solely for the exclusive use of the intended recipient. It contains proprietary,confidential,and/or privileged information. Use of this information by anyone other than the intended recipient is strictly prohibited and illegal under federal and state law. If you are not the intended recipient,you are strictly prohibited from reviewing,retaining,disseminating,distributing,relying on,or copying any portion of this communication. If you received this in error,please immediately inform the sender by telephone or reply email and permanently remove any record of this message.Thank you. The information contained in this message and in any attachment to this message is solely for the exclusive use of the intended recipient. It contains proprietary,confidential,and/or privileged information. Use of this information by anyone other than the intended recipient is strictly prohibited and illegal under federal and state law. If you are not the intended recipient,you are strictly prohibited from reviewing,retaining,disseminating,distributing,relying on,or copying any portion of this communication. If you received this in error,please immediately inform the sender by telephone or reply email and permanently remove any record of this message.Thank you. 4 oF,"ET° o Town of Barnstable S unrtsr�ac.E II: 200 Main Street Tel.(508)862-4038 ntnss: :"tea INSPECTION REPORT Permit: Alteration INTERIOR Work Only -Residential Use: Date: 11/4/2016 2:22 PM Inspector.: mckechnr Permit Number : B-16-966 Name: PACT, MARK Address: 127 POINT HILL ROAD,WEST BARNSTABLE Unit No. Inspection Type Inspection Item Status Comment Building Frame A- Inspection Results PASS Inspection Overall Comment: Overall Inspection Status: Not Reviewed , Re-Inspection Date: Date: 11/14/2016 12:10 PM Inspector: mckechnr Permit Number: B-16-966 Name: PACT, MARK Address: 127 POINT HILL ROAD,WEST BARNSTABLE Unit No. I ' Inspection Type Inspection Item Status Comment Building Insulation A- Inspection Results PASS All except basement ceiling, fix corner top of stairs Inspection Overall Comment: Overall Inspection Status: Not Reviewed Re-Inspection Date: Date: 8/4/2017 1:01 PM Inspector-: mckechnr Permit Number : B-16-966 Name: PACI, MARK Address: 127 POINT HILL ROAD, WEST BARNSTABLE Unit No. Inspection Type Inspection Item Status Comment Building Final A- Inspection Results PASS Inspection Overall Comment: Overall Inspection Status: PASS Re-Inspection Date: Inspector Initials: ' Person in Charge Initials: Total Score: 100 Gfa LO Cfb " �3 LOT AREA �- 7700f S.F. (UPLAND) , OO �e ro0• ��a �5e 5� DCE #07-010 (SHOWING PROPOSED ADDITION) AINING A BUILDING PERMIT, NOT FOR ANY, OTHER USE LE, MASS. PREPARED FOR: RY 12, 2007 William Pane ZH OF&fq DANIEL tiG A. OJALA N ' q No.40980 'ke s\0 q 0 R-4 7 LAND SURVEYOR Mckechnie, Robert From: Mckechnie, Robert Sent: Tuesday, November 28, 2017 4:02 PM To: racampbellenterprisesinc@gmail.com' Subject: certificate of Occupancy Request for 127 Point Hill Road, West Barnstable Good Afternoon, I w' I e d the following in order to move forward and issue a Certificate of occupancy for this property: a 1.) roof that the new smoke alarm system was inspected by the West Barnstable Fire Department. Note that If a ,� �, I moke alarm permit was not applied for with the fire department it will have to be done before the fire �( � department's inspection takes place. 2.) There is a fee for the Certificate of Occupan This fee must be ore the certificate can be issued. Normally, residential Certificates of Occupancy re only issued for new houses but can be issued on an existing house if the property owner or contractor re ests and pays for it. Please contact me with any questions. Thank You, Robert McKechnie t Local Inspector ' Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 Jam" AL 1`aCtt m�b�E(e.�f-�rprlses (^ / qmw cury 11�ll A�1 Massachusetts rnstable 508) 862-4038 NTION REGULATIONS PERFORM ELECTRICAL WORK 0 NS No Meters: 0 0.00 NS Underground: False Sub Panel#: 0 False Sub Panel Amps: I IOT CUT &TAP. A CUT & TAP MUST BE DONE BY AN E- RMIT OR THE POWER COMPANY. gted in accordance with MEC Rule 10, and upon completion. no permit for the performance of electrical work may issue unless "completed operation" coverage or its substantial equivalent. The as exhibited proof of same to the permit issuing office. Town of Barnstable Post This Card So That it Is.Visibie - ' P Posted Until Final:Inspection Ma Front the Street Building iesp • eet-Approved Plans Must be Retained on lob and this Card Must be Kept s +' Where a Ceftificate of.Occupa�s Been Made. Permit cV is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-16-966 w.:a". ."" a""». Date Issued: 04/25/2016 Applicant Name: R.A CAMPBELL ENTERPRISES INC. Approvals Current Use: 1010 Structure Permit Type: Alteration INTERIOR Work Only:-:Residential Expiration Date: 10/25/2016 Foundation: Location: 127 POINT HILL ROAD,WEST BARNSTABLE Map/Lot: 136-021 Zoning District:. t2F Sheathing: Owner on Record: PACT,MARK Contractor Name: R.A CAMPSEU.FNTERPRIS£S INC Framing: 1 Address: 1548 N HOYNE AVENUE Contractor License: 163732 2 CHICAGO,IL 60622. Est.Project Cost: $8,000.00 Chimney: Description: Remove Interior walls,install.new"steel beams,Install new interior Permit fee: walls on 1st floor as .$90.80 per plans:: Insulation: Fee Paid: S 90AW Project Review Req: Date :4/25/2016 Final: Plumbing/Gas Rough Plumbing: t' Building Official: Final Plumbing: This permit shall be deemed abandoned and Invalld unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures")be in compliance with the local zoning bylaws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public Inspection for the entire duration of the Final Gas: work until the completion of the same. The Certificate of Occupancy will not be issued untie all applicable signatures by the Building and Fire Officials are provided on this permit.- Electrical Minimum of Five tall Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level Wore firest flue lining Is Installed 4.Wiring&Plumbing Inspections to be completed.priorto,Frame Inspection final: S.Prior to Covering Structural Members(FrameInspection) t low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stagesaf construction. Nealth fit; !o�> final: "Persons contracting with unregistered contractors do not have access to the guaranty fundp(as set forth inn MGL1c:142A). _ Building plans are to be available on site Fire Departmental. epartment All Permit Cards are the property of the APPLICANT-ISSUED RpIT�7�� '� P�t'(�L final�� n i `' pF THE Tp Town of Barnstable ELAMST,Br,E, : 200 Main Street Tel.(508)862-4038 �A MbJ 19. `00 TEDMA<A INSPECTION REPORT Permit: Addition/Alteration - Residential Use: Date: 7/11/2016 3:09 PM Inspector : mckechnr Permit Number : B-16-1101 Name: PACT, MARK Address: 127 POINT HILL ROAD,WEST BARNSTABLE Unit No. Inspection Type Inspection Item Status Comment Building Frame A- Inspection Results PASS Sheathing sc- left side of roof not completely nailed, tighten up nailing on corners Inspection Overall Comment: Overall Inspection Status: Not Reviewed Re-Inspection Date: Date: 11/4/2016 2:30 PM Inspector: mckechnr Permit Number : B-16-1101 Name: PACT, MARK Address: 127 POINT HILL ROAD, WEST BARNSTABLE Unit No. Inspection Type Inspection Item Status Comment Building Frame A- Inspection Results PASS Second floor framing OK Inspection Overall Comment: Overall Inspection Status: Not Reviewed Re-Inspection Date: Date: 11/14/2016 12:20 PM Inspector : mckechnr Permit Number : B-16-1101 Name: PACT, MARK Address: 127 POINT HILL ROAD,WEST BARNSTABLE Unit No. Inspection Type Inspection Item Status Comment Building Insulation A- Inspection Results PASS Insulation passed Inspection Overall Comment: Overall Inspection Status: Not Reviewed Re-Inspection Date: Inspector Initials: Person in Charge Initials: Total Score: 100 'v '"E'°`��, Town of Barnstable gARNSTABLF. Z 200 Main Street Tel.(508)862-4038 �p 1 �00q jE MA'S' INSPECTION REPORT Date: 5/23/2017 2:44 PM Inspector: mckechnr Permit Number: B-16-1101 Name: PACT, MARK Address: 127 POINT HILL ROAD,WEST BARNSTABLE Unit No. Inspection Type Inspection Item Status Comment Building Foundation A- Inspection Results PASS Sonotubes ok -Inspection Overall Comment: Overall Inspection Status: Not Reviewed Re-Inspection Date: Date: 8/4/2017 1:24 PM Inspector : mckechnr Permit Number : B-16-1101 Name: PACT, MARK Address: 127 POINT HILL ROAD, WEST BA ABLE Unit No. Inspection Type Inspection Item Status Comment Building Final A- Inspection R ults NIC No vidence of fire sign off, ok with fire sign off Inspection Overall Comment: Overall Inspection Status: Not Reviewed Re-Inspection Date: Inspector Initials: Person in Charge Initials: Total Score: 100 Town of Barnstable • &UMSTABLL 200 Main Street Tel. 508 862-4038 �p 1R6Jy TEOMr,<p INSPECTION REPORT Permit: Alteration INTERIOR Work Only - Residential Use: Date: 11/4/2016 2:22 PM Inspector : mckechnr Permit Number : B-16-966 Name: PACI, MARK Address: 127 POINT HILL ROAD, WEST BARNSTABLE Unit No. Inspection Type Inspection Item Status Comment Building Frame A- Inspection Results PASS Inspection Overall Comment: Overall Inspection Status: Not Reviewed Re-Inspection Date: Date: 11/14/2016 12:10 PM Inspector: mckechnr Permit Number : B-16-966 Name: PACI, MARK Address: 127 POINT HILL ROAD, WEST BARNSTABLE Unit No. Inspection Type Inspection Item Status Comment Building Insulation A- Inspection Results PASS All except basement ceiling, fix corner top of stairs Inspection Overall.Comment: Overall Inspection Status: Not Reviewed Re-Inspection Date: Date: 8/4/2017 1:01 PM Inspector : mckechnr Permit Number : B-16-966 Name: PACI, MARK Address: 127 POINT HILL ROAD,WEST BARNSTABLE Unit No. Inspection Type Inspection Item Status Comment Building Final A- Inspection Results PASS Inspection Overall Comment: Overall Inspection Status: PASS Re-Inspection Date: Inspector Initials: Person in Charge Initials: Total Score: 100 '"E'°��� Town of Barnstable 200 Main Street Tel. 508 862-4038 �p 1639. 0p lfOMA'ta INSPECTION REPORT Permit: Alteration INTERIOR Work Only - Residential Use: Date: 11/4/2016 9:12 AM Inspector: mckechnr Permit Number : B-16-500 Name: PACT, MARK Address: 127 POINT HILL ROAD, WEST BARNSTABLE Unit No. Inspection Type Inspection Item Status Comment Building Final A- Inspection Results PASS Inspection Overall Comment: Overall Inspection Status: Not Reviewed Re-Inspection Date: Inspector Initials: Person in Charge Initials: Total Score: 100 LAI Town of Barnstable . .�: Old King's Highway Historic District Committee 200 Main Street,Hyannis, Massachusetts 02601 6 (508) 862-4787 Fax(508) 862-4784 MINOR MODIFICATION TO PRIOR APPROVED PLAN010 972 CMR Rules and Regulations, Section 1.03(2), 1.03: General Procedures m (2.) (a.) only minor changes may be approved by the Committee without the ling of a newer application and a new hearing. Minor changes include alterations that can be one without a® P(� detrimental impact on the overall appearance of the project such as altering a si le windaiv-off Ib door change or a minor change of colors. All minor changes by amendment will require the L7 ' local Committee's or its designee's approval. r Submit 2 copies of the application and supporting materials and documentation Applicant(s),print name A ' Address of propos work: f21 oln4- House No. Street Village Assessors Map and parcel no. — Date of approval of Certificate of Appropriateness D� Proposed Minor Modification: ,//JJ V Apa ko-- o c. IA ��NI1 ke. oAnt Signature of applicant: Print name: I tel no. 2 A APPROVED/DISAPPROVED: signed CHAIRMAN DATE: (P XQ k 6 CC: BUILDING COMMISSIONER CADocuments and SettingsldecollikV-oca!SeitingslTemporary Internet FileAOLKI IOKf/Minor Modification Form 07.doc 1 I ' _ a IInV.s I 1 }I 1 Rr.wlura° 1 I NCW IA 4 I I` 1 I u 1 f .1 arW or fOl1lNlYl w , Ih-1til h h h 1 111 1 1.1} � 1 A 1 I 11 !I I. 1 y t r I I I N DCLIfIe I Y I J, �1 0 1 .t ItW IN.I�)IRMCD IO°M f i 1. I (' 4 I Ily 1 11 1111, I. f I I I III I 1 I I 1 I h IAIIXnMY-m W 1 2 COW5M 1. .11 w I f I f y1 y1 .. •v�1a- 4 y 41 1 4 I ) Ih Ilh Ilh 11 7 i h 1 U i I 1 i f } f a II IEIG 1 1 1 1 I QQy f.I. -.:��'��II J,.':.1 l:l v:. .���•�:��.��Il�, �������1111��,�' ��,•,L�l` .Ilf'cl°,11[x4,hrl '1R II.r.J)1�.1�,111 ,1)�I IfUJ�,� f'1 f�(1; ,,`(( � J�C Irl�, f 9g ,,,,, 1 I11S 1,Ln'1 ''SSI'�SpSl lh 15Jil I:I�rti,l l I� yl'1{ �:` IIS1 1 �t 11 r1� ��,���� A1y 1. 1 .i�. 11 �. ., I�•.I � nrNK,ICr nAvla4°c,cR Wuu � 1 !/`+'} '114y} 1(frf{!.5 - ) lil1,}1Y�111,. e: ly,lh��it{��r 111.1+. '.dA Itl}JI,'rfd?J�II I} ��yy. I'I�}ql i.i lr �M ll�:� � IXl)T.'a � ' 1�1I"rf, I :lll,rl AaQ� I 1 '1 !'.. 1 1 1 I•'I 1l5+ I I,1,1 �"I II' ,, ,.111 11 ..I 1 11)5 , tl �)7 Jy I I I'I r ll II ll'1 l ll'1J I l l 11f1 qI'll I.,{� I l l 1111 I I 1 14 II' rui11,4 {„� :�f, .I. 1P',4�I, Ilih!If , yl'�.y�jl ly:l 11 S.'h h't ylyl�1 I�+l t ly�•._ y+l 11'ly+ �' (1',ly. ffi'i 1 11Sy{'•, )) hl lhS I1�y/J, yil4{ I �14 ..511141'11 SIl1y. .. ...... ''1 f}l'{(fI/{l111} '1 rItI ,-T/f.fr I.114} f!'1((1,S}I., }It frll1l ,S Dena {)}{1}III1'I11+1111 'I�lrIl'l+(JIf,I.t ' „IJI}I,j+��stC... f.1'llfl!!.'l5()I'I11�11,�1�'fI?I,III�,g1!1,(JAI.I111f,fl ''� L'1'f'Ir I ,, , , I I C l 1 I y.l llll,.,ISI„' :IS"�'II I'.I i' ,'IIIYI 'I 1 4 'I'I i P Tom: ' f 1 I I I I 1,y1 f �. Ilh lyl ', ..:.,_, I �I II 11�{ , I i14S , ISI� �•' y1.11151 yl hI11h1 ,1 11} I II III+} 1 f 14 I.Il�r,Irl'S, lyll}' QS MT. .1.1{,h !Ifh L'I'' I 1�Sc ..i, l..l,l ..(' .liil,. r1 Ii,IS�.IS,I '�S, c) f�l�jylll,l,ll.l e. 171�LIUS,+S NEW T61 1 1111�1h1 , , .:�:i 1 r� '1+1 i4 !•r+ 1,.,SV. "0 '1 [] i-` ,1 1{( 111 Ilh{r}511,4 }f,fgI)1 Ilh i, •I�ij IrrJr"�'r ELEVATIONS los n°ax 1.+,.1,1'1 '1'YI III I'I I'' It,:i'Ifll ' I'1 Y ` 9Y.WIIL'H SNIXWR,nJ,.M. S''1 it�`+y'�1'i'iJ+.IUS I ....jE 1,.1`lil'I''`111111' 1'TI'111!I 'dr', l I' . 6�.�. ... 11.,14,1 I.II .y!}h�..ii lj, h,,,y, 1 .,SI ti,.IS,1:'�• i ,I•Il, I,IS,µ 1111� ntlin x� 11' 'i S:'1'S 11 'S'1 ' S'1�.•r�hi11S t..��'1l iSt l�l 1 1 L �-�!CW 15.9RIotWC W 0u .•• . 1 FRONT ELEVATION '°' '' z LEFT SIDE ELEVATION A2 9CAIL1 I!4'_1'•17 '.� AZ 9CAU.IFI'_P-& 00 ,�//////777��1 •.,� NIW<2M/rltAGa VortW `O 1, Mrlwrcamuo 2 m. 1 J' „W IK RC W1.iMST IIr�N1 nl�v Dr n•re _ � _%-� a.tl T T IN.'1,I l, �IiIr OA , I'1 y'{11•j Ilew.v.NSnu amrn WT)ss '�4``111 )l IS �� 4yl S.ly� 1 S IIS� '�5y in,coii,vua n'u°nCO.�C�.t°m. �Jc /�/ 1�,I}.1�1 II'I!,1 It.i ,1 (. ,IIWWt.L IXIu1pl0. Q55 Y. y I,, II'.If4'1�1'1. 4'1., 1 IJ•s r°IIC WL,R9 9` u hl _- i1141 a 1114114 :. ISI}III I111,�. :-;a WacwSmvmnwn ' :,> fiS11}��.i+'�1�1Sj} i Ali 11Sfi1''IiSSj}S I'+j}lIN, hCCCC& q �d./ .4 Ey JJ•1',�I1 '1'1 _ ci 14•NNL.C'Yr':IRn + 111.. Ir_ J111), ij III/+ It./� Ir l). Ir IIi �It xtN N.51[P W.Ym6°f,¢EN,1N F S. • il' I lyI II, 1y 1 14 4 , 7S, , I.j L Iri ro,la xyrlorIn', ll I,11 1 -P4 Ilr I 11, ,.1 S`1,'1I 1 1 h1,1, 1141, I IS 1 C°N51°C lAh�l bll ll•I.:1115.'Dd,41115 !b. 14S I .�.'i. ..Y r} IN iSS'�,• ItUNh'�I111�' ees_ .�: itn++ae"rxr..�:r.:3.: }✓,p..?f'.a•�.,(0!. +}l11.1��}I?I�1)ILI LL I;i.• lii 11f} i O' J, f , �f Jr( 1i . iIh} )) Sil l 1+ ii 1 jIr. 1;1r r.1�r.l +il l�, nweaw°v e ro r�11111J�lII.I ,rllr. .,111'f�Sf,. Al 14 �J.r I, tit rf4,l.1'I,h S Il 11�Ihl S'}Iti l 1111 h,l ilyii�1l l,�,�1 m•aum mmrUlow M. a Z 1 11 I h 11 111111 rS Y" 5 r , 1,� 1 1 1 1, , {5l+ , .114 I 1. 1 Ilh. 1 1 Ih , I,•v. 12W CPIImYIt RCNSW I ------...'..* HITN0. N.6w6 91NMG,T[n lA,id•JU.M. I T J at. o3pV16 Shut NoJ) L--- cc--•� L---� 4 RIGHT SIDE ELEVATION REAR ELEVATION A2 eulrl w•-I'a ! L — F W ma ca me mlw ronaml.+ 6 b I i �ov .isr msr. mar, wr mar. wt. vwr. IV Q EX15T. 6 5f O I LIVING •o. HALL W.I.C. Be1�ROOM k1 Eq I D ROOM ❑ ❑ QaaG �A115.L ❑ ❑ TITLE: _ I.YIWO•a�Ni Otul LRw^.:_ &SY�Y•S'i, NEW �'tnuatliwu0i c cr niWKNu+nlaeil.Rto vtNM, AfI�y J T M'.. —�1 FLOOR PLANS BA13 ONCE z N REVISIONS6LAV. em9T. xeWWon Atc Or@LPLW I e. —_____J e OLODOOR emr _UW�Nn®1.- '— mar, yI y 9N0wCR nnWClDwu.mWUA 1.vc11Yh �.' .... '.'�.. / I •BAT NEW, L NEW NEW : KITCHEN wrwvm. r�':,J I W.I.C.' PANTRY oa erwraaas t _ I n NEW x 9 ..I+�lom•�alw C �f DECKMUM z SECOND FLOOR PLAN O ��at AI BCALG 1/4-ILO . GENERAL NOTE5: S H • i _ PLOOR TO OCIUNG�7'-51@' Z U 2.6 ftO R T T1UN. 16'112' CI 2 23 ®I4•o.c. a a I RIOGC BOM.O LEGEND CJ Y = llaV W O WALL CON$TRUGTION 70 RCMA N NCWWALL CONBTRULTN IXI97ING WAIL CON9IRUOCTION TO BC RCMOVlO - p �o r•q , I T'GIW 0 ((/4 a wcl WINDOW SCHEDULE Lay OTY. Wa. STYLE NODELI MUM RWONOPENWO REMARae FIRST FLOOR PLAN xNCAN -um NUN. 1emu. rn YA 1• .LIDN. RaLNan 6•4rRL3Vtl/5 AI 5CMer 1/4'�I'•O t. f xM'.'IN WMRKU. rt.WOa! Ivl ra vr.fv w• Re Na MAwO GENERALNOTE9: .: xARvn DarteNUNo mxaa n aovt++aw• BOOR TO C[IUNGr T-OI/2' •.., f MARVIN .m un.um D.WWL 111 Ya vricv yr DO aa2f/IL h 10 Pa19T fLODRRDUT99 16'ae. O; + YMNN .aWL.NUN. ..IINM Ivt T+o aRiM vi sw as h 109CC0`IO(LOOP•J019T4®I C o.e. LEGEND wumowxaTeal C7 U5TING WALL C01191RUCTIOVTO RDAAIN UieT01PRRT.OLAaeVlltNgr•Oo>wA1tN.tr riax rtOaR ra•woxcm.aa A. C�NtW WALL CON9TRUCNON aTN1aN1DNtADNamIR IIaelEa1ia11 iaaTYPiDAIMaI.ITT. 7 .. BRIBTING.0119TRUCTIONTOBEReMOWD N _ gn XOO rpm 77 o s r44 e=+ rig - _,_.._,.._._...-..._...-t,.�«.,.- _.o-..�.�.�-:.�. sue...,..a-.r - —,.v�w•.>.*--^� I.—.r�JC_L..'_.�,t+i���--„'�_�d''.',..:.�,:1``:�i:a�� --, 1!'�'�". f _s_. �' -���1�.'• �a..a� _��i._ . 1 =-.��i.'"�t_,.�� _::. �a��' '�,� y ' A JFy� } f � 14 jar RP oil, wolle J+ Y i'�- "'.4. y� ,! ,,,�>''��p .r�`�'• e '� gyp/�"d'� �µ ig� ��.:���� ir d d ti 1 � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 5(0 Parcel 01 �� %; Application 8 I(/ Health Division 2� e Date Issued N*oN1 • Conservation Division 9'9�,s 6' Application Fee I Planning Dept. 96 Permit Fee Date Definitive Plan Approved by Planning Board eU/tD//Vl Historic - OKH _ Preservation/ Hyannis . U Project Street Address 1 a7 Pnf r►•{- �1/� 120� 7'01A. Village L0 tsk BgRIVRz 7 Owner�_k.1, 'NA Address Al X Telephone P ,, Permit Request /r)S'� Ramer in rem- 6 C h use_ . AA n ,4N"er Z,,J Qw_Y ©� AA IvkSW i avw pMMm W inhi s en ra.r AL,,rW L*4 5lWe do, cam of - .S►^-role�� S uare feet: 1 st floor existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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 &fJo On Old King's Highway: a Yes ❑ No Basement Type: dFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) C) Basement Unfinished Area (sq.ft) /0 a® Number of Baths: Full: existing new Half: existing new Number of Bedrooms: ca existing 0 new Total Room Count (not including baths): existing S new First Floor Room Count ® oL Heat Type and Fuel: ❑ Gas Oil ❑ Electric ❑ Other Central Air: CE(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 ' I APPLICANT INFORMATION ` (BUILDER OR HOMEOWNER) h Name Telephone Number Address IaCc ePb,4 - It- License # C9 (4 S )Znn tS , M 14 09-47(Pco Home i proveme it Contractor# 0 7U Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO )(4pjyljo-at 0 SIGNATUR DATE 10 f. FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED t• _ MAP/ PARCEL NO. ADDRESS VILLAGE , OWNER DATE OF INSPECTION: _ .FOUNDATION 'f FRAME 7 Xe INSULATION .�� FIREPLACE ' ,r z ELECTRICAL: ROUGH FINAL "f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL " FINAL BUILDING DATE CLOSED OUT I 'r ASSOCIATION.PLAN NO. t� Y Certified Plot Plan 1�(711cox Location: �/�/ 127 Point Hill Rd SURVEYING • ENGINEERING jY. Barnstable, ILIA HOME PLANNING&DESIGN prepared for ffark Paci 3 GIDDIAH HILL ROAD PO BOX 439 SOUTH ORLEANS,MA 02662 Scale: 1*"= 50' 508-255-8312 Date: April 1, 2016 www.i-ydei--wilcox.com 0 PROPOSED DECK �2 16' X 30' 8� 00 IX EXISTING Lot 6 Area- DWELLING DWELLING 35,200 S.F..f (0.81 Ac.f) EXISTING GARAGE 00 �O 22o yos- 0 \0 pN� Reference.- Assr s map 136 PH. 21 I certify that the dwelling shown hereon is located as it exists on the ground and that as so located it complies with the minimum property line setback requirements of the Town of Barnstable. PHILIP c'c Date. Professional Land Surveyor ODYSSEUS SCriO! aw I #36867 Job No. 11666 '��SURVE��� r O yzya <�a . '• z99 o0 0., LA s L l Ck QC c w Ada BAW-MENT � a PUN IJ EMT. fuLL ensas� ----------- ID a any 0�. QE!a T.5A5WENT PLAN cd t 0o rFc ur-ru 5 ca mnau anw EX-3 4 I G•-O• 34'.0- (NEW DECQ (IX15TING) UI O Q =C- O� 79 O A IXIST. EI(15T. IXIST. _D � rn _ D _ _-__ �T9114' Nb •d1 z'd 1rz• m 4W W T, W 2'GkG'G' r N v z X NEW 2'GkOr D u 1 o ra,TeT __ _EXIS_T. O Irll N N 11 6 CL05_ 7-13'OkG'8' _o rn 000��Z11 D ' rn qp Z oco D fin (� i--Fi -irn 0 6- DOD T°Gl� 0z 1 0� o R p 079.. rn 6 O oo rnFn yo FZF AO4N O Tb In� Q 4z 0 N0 D _N Oc0 0�� .. e`Os y(�U) U)U1N Q w -'---+--- '---- 9'.2 314' 11'-012' 13'A 314• c O c w z a _ I...____ I. (l. Cl p- r p �+ y T z e Ei 0 oZ z D =I_ F a �F_ =,1 o<rn - - --� O O m' ' KG)O -------------- it y_ m o ^ c 0z rn z is g z ;I T �n D I �ry�ry m zp F m O ^ -0 1 c ' N� 0 iI y OO I1' i___n0 Ii�•\7 \Q^• r 0_ Q R S3 !P • 16'-0' 9'-G' S'-G' 19'-0' (NEW DECrJ 34'-0' (IXISTING) I 34•-0' (fYI5TING) Z D O D p r 005T. 09zo O r < --- - o ^o v I NEW I N N I uN. I I Lo pJ 1-v 6 I x 4 F - =N 0) ,lDi D D D S D p 3 I I Z^ y D Z z z Z Z z Z G) I X y f .mm �rn �— i- ----� A (n o II^ IrN may^ 0 0 0 0 0 m m'^ c c z c c o c m;0 mm2mmzm m — I � I npo m m C) m m G) m ^ N ro o=hNbg cx cx c=m c`x � cgxo ,) ;IP �O _ zm zz Crn O II O � -rxmn c c ci Gi a m � Z rn z` "7r" 11-3114' I.- n Q n-i II ZZ Zm co, � Z II OrnO N rn m'm O Sber 0 D O- O= NE m c ti 0 �= rn III QyQ RG o I " C Neu 0- 4 n-1 6 N I r 79 0� O .-3/4• 1ra va• rn rn I pm ob, yoabm o: m � O� ]0 I N rnx zt IOU y N y 00 z "- b m A m 6 6 m -1 I < f/ .. y O ?0D C Z ° ° YYY I G b 2•d• •l p Z � I � b e c) ^ rn l o:k z-93 I O CD ti I •?� •. NEW I y m cn CD I I vmi v UD Cif Zo I I I m o AOT •� -/�7 � ZO C rn z 0� OM m m cn nn O-v (IX15TING) Zz O m-i m �-� z m � �I s i71. i > 15 `pit m m m O - v z m DESIGNED/DRAWN BY: d NEW ADDITION/RENOVATION FOR: N 1Z4 F. D 0 MR. MARK PACI N m DEREK RYONE DESIGN COMPANY ww 127 POINT HILL ROAD P.O.BOX 1951 26 OLD CHATHAM RD. BREWSTER,MA. (508)221-6924 WEST BARNSTABLE, MA 02668 i i . 7'-0 1/5' 9'-0 1/H' NFFL (IX15TING) oo (IIEW DOP,MEPJ L41 DD,, 1yy��(pNi IQ 18m o 10 7-81/8' T.H I/H' N O y AA o A (IX15TING)N O Cm ,NEW DOPJ.QPJ (1 O rfAn Imy I�Imp IQ mN 1 m N(y f 16 1 77 Rn CNl r� rn T D - - - _ F � _ =- -_ r� I frr— f - rn rn O- rn z Li f11 LT (MIN.) 5•. _ —�'� �t I 1.� O I i 1 �� g O 1 I N:'1 5 tim yn OT Q3 nm F-L pp o. 1 Oo g3 Ou' �� s� 0r O�ppj y �i41 5 �GI uiv 50 m gRo A G2 R r F _ zs � o ' N 7-0 1/5' 7 -0 I/H' ! O,o:B (E%ISTING) yO Cn (I1E\4 DOPJAU,) ~O Imo 10 _ 1 • 1 r ! _~ 4s �Y _ o �= o- _ _� c>l 4) 7 ~~ z SCR S2� 1�v - 33 _ �z A z s III Iili -= 3 E Q 77 _ J. D N D - Q _ - 2 aQ s T0 - T� zi) o1 -- 0�0 =As z - -30 _ �0 n iL n nN _ 0-0i'r_____ - -- - _ i 1= J N zz - JQ Imp I°Ima 1°O O I �AA v'.D I/e' ArA 7'-0 I/D' S (IXISTINW (IILW OOPJAEPJ DESIGNED/DRAWN BY: NEW ADDITION/RENOVATION FOR: z m Ir y m MR. MARK PACI a DEREK RYONE DESIGN COMPANY N 127 POINT HILL ROAD P.O.BOX 1951 26 OLD CHATHAM RD. E O BREWSTER,MA. (508)221-6924 WEST BARNSTABLE, MA 02668 W 4'O' N T (IXISTIIIG) N m (NEW DECr) �� O cN� O I'-L' 14`-G' p O 11N6NNn z Q 3Z�m�TT-1 yr� 1 NwCp Cxtn � ` r' j"N° y3m(:N 4 N 41 N{°l� yx O O NAX m . c f N� ° ps go=a y �-"?F. FrmO°yn m �GOGi _ acOF oN° F o m� DFo a� m FTii,s - '� �R` 1nT0 NEW 2.P.T.2x IUs m_ Cf m p- A rt A 41 Y� Drn 42 '8 Q �:� -jN D R.O.HEAD HGT N g uz g \ Q { `` Drn n_ ` ` 8• i G I { n "---' rn Va z F CrnT L �rn 0 0 i OM 7/& � � Sa S3 z UO { U I I'-V .-.FR v p Z Q N o w AA rn -i ^: to z an rn i 1 5 (1� r y Irn i - rA ; In L � 4 Dx NEW 2-P.T.2.1 D•s G fr" m. ¢F1' • ppD p� O z T �gg Wryry o n a �. 8- �o I r R ZX z Oo ry i m� I•-L' 14'-C' { mN z (NEW DEGrl D -p W D N D 7 W _ O n z D II C - 015TIIIGI _ c O c� 0 • O r i-`------ a O 5,rO- rg rr93 O ryry��99 rr99 rr��+i tr��i Z AO 22N b NniN �0 2 2 S 22 n222 V 34'-0 N p„C8' K E 2 ti 0 ° p In A p i (IXISTING) _O f n Q �51 `G llt OO"Q V' m r";O y £ �iT rn noo atom~ F O mz yR z a; Fri„ "_'' b' o o O JQ Z I y y 4'2 � C-0 R.O.HEAD HGT N HEAD HGr c S _ — I r `�,IR 1 — I o 0rn ; n� f OZ ��N N rnrn—w "N IN NN .? mz —n�c 5353 b o b S � O$�p m E Q rn�T1 N E m —c DC— G o m _ = N U1 - m o n O .-_4�_ 1 —4 r i -T. L Q x N o� A �r�mz >� _ OzK m a o rn N O Li O �n >) - n� (IX15TING) O'V z;` C O DESIGNED/DRAWN BY: NEW ADDITION/RENOVATION FOR: N 9 y omo z MR. MARK PACI cn DEREK RYONE DESIGN COMPANY W 127 POINT HILL ROAD P.O.BOX 1951 26 OLD CHATHAM RD.= cn BREWSTER,MA. (508)221-6924 WEST BARNSTABLE, MA 02668 Q° 1 II �'ME z Town of Barnstable RegnIatory Services RfAard V.SmE,Dkwtnr, Belding I}ivision Tom Perrp,BuUffingr commmisdnmer 200 Maim Steet,Hy=ms,MA 02601 weew.towbbarnsfablema.us Office: 508-862-4038 508-790-6230 PropeAy Owner Must Complete and Sign.`I`bis Section If Us in A Builder O as wner of the subject property P PAY hembyazrthoaze IZ641 � �D�i�I.C�� to act on mybeEmX is all matfp relative tD work antho&-ed bytbis boding pam it application for. . l a? 01 n* lu wgya �rnswlt (Ad icss of Job) '`Pool fences and alarms are the responsibE7of the applicant Pools are not to be filled or ufized before fence is installed and all final," inspections_are pej--foLmed and accepted. Sie of Owner S' o plicaut Pri=Name P ' Name Dda Q-Km1w:o ours 1 own of Ram stable 1�> Regulatory Services oe r Richard V.Srafi,Director , BMIdiag Division t a Tom gerrp,BMWMg Commn�onear 200 Maio Sired Syamis,MA 02601 prm� wQv��o�n.6at���—�A IIs - r Office: 508-862-4038 - F= 508-790-030 - $on�owr�sr��x • •Yte7sePrint DAZE: JOB LOCAnUR-- namber' sF1 F tM2qP 'SONIFA'RR�-R: . h. phaaa# avedcph=# CURRENT MAIMM AMPLES S: _ city/fawn - sty zip cock The currQnt exemption for°homeowners"Was wtmdrdto mclpde owner-orggpied dweffh=of six units or less and to aIIoW homeowners to.gagc an individual for birewho dots notpossess a license;provided thatthc owaca arts as sanervisor. j D$FII=N OF HOMEMnTI R - r eason(s)who owns a parcel of land on which he/she resides or iniznds to reside,on which th.cce is,or is intended to ba,a one or two- family dwelling,atfachCd or defamed stractm-es accessory to such use and/or farm shilcti rc A person who conshvcts mare than one home in a two-year p adod shall not be wasidrre d ahmneowneL Such`9umcown .shaIl snbmitt o the BmZdmg Official on a form acceptable to tho Building Of acK thatheshe shall be MManszblo for all mcd wontperfoamed und=IhebaHff=ped (Section / 109.L1) The undcrsigned`hameown=-assu=rmponsibOy for compliance wiffab=State Buxom' g Coda and othea applicable codes, bylaws,rules amd red lat i ons _ Uz undcnagned`hon=wnea"cmtf=tlzathe/she umdcatmds ibz'Town ofBamstablz BmMdmg Deparft cot rm—mn mspectm procedures andreqaHemtuts andthatheishzwill comply with said prod aadrmqpirrmc ds. • 5i�s a}�eaZearr - - . Approval ofBm7daof0 5da1 Note: T&tc,-hm-Iy dwcEngs coniaicdng 35,000 cabie$et or larger willbe regaredto comply with t3ze`Sbtr,Building Code Sedum 1227.0 Can_s�u Ca ota L HDNMW EXIS Corr The Code stains that: 'Any homeowner performing work far which a buil permit is required shall be 6mmpt E om the provisions of this secfIna(Section 109_U-Lircasmg of coustraefion SaperQisors);provided that if the,homeowner engages a person(;)for hire to do such work,that such Homeowner shall art as sup ervbor.'' Many homeowners who use taus emempfon are unaw-are.that they are assuming the respousi irrifi of a supervisor (seO Appeudia Q,Rules&Regula£mas for licensing Construcfron SiTetvisom Sec(inn 2.15) This lack of awareness oftcu results in serious problems,pardenlariywhen the homeowner hues mmUcenzed pexsom In trig case,our Board caannt proceed against the=licensed person as it would wi&a Hcensed Supervisor_ The homeowner acting as Supervisor is uIf=tely responsisible To ensure tkat the homeowner is My aware of his/her respoasibRides,many commmmites requirq as part of the permit applia—nn,that the homeowner cer•t>if that he/she understands fbz responsibiryff s of a Supervisor. Oa the lastpage of ffih issue is a form enrren$y f ed by.several t Dwns. You may cant amend and adapt such a form/ersfffir--�ion for use in your community. r� Raviscd 06U 13 r Print Page Page 1 of 4 Print this page • Owner Informatiion-Map/Block/Lot: 136/021/-Use Code: 1010 Owner Map/Block/Lot GIS MAPS 136/021/ PACI,MARK Property Address Owner Name as of 1/1/15 1548 N HOYNE AVENUE 127 POINT HILL ROAD CHICAGO,IL. 60622 Co-Owner Name Village: West Barnstable Town Sewer At Address:No GIS Zoning Value: RF • Assessed Values 2016 -Map/Block/Lot: 136/021/-Use Code: 1010 2016 Appraised Value 2016 Assessed Value Past Comparisons Building $ 115,800 $ 115,800 Year Total Assessed Value: Value Extra $ 30,200 $ 30,200 2015 - $ 508,400 Features: 2014 - $ 508,600 2013 - $ 581,300 i Outbuildings: $ 21,000 $ 21,000 2012 - $ 583,800 $ 324,000 $ 324,000 2011 - $ 582,100 Land Value: 2010 - $ 583,000 2009 - $ 742,600 2008 - $ 763,200 2016 Totals $ 491,000 $ 491,000 2007- $ 762,100 j Residential Exemption Received=$90,000 • Tax Information 2016 -Map/Block/Lot: 136/021/-Use Code: 1010 Taxes W. Barnstable FD.Tax $ (Residential) 1,315.88 Community Preservation $ 112 Fiscal Year 2016 TAX RATES HERE Act Tax Town Tax(Residential) $ 3,733.31 http://www.townofbamstable.us/Assessing/printl 6.asp?ap=0&searchparce1=136021 4/4/2016 ` Print Page Page 2 of 4 5,161.19 • Sales History-Map/Block/Lot: 136/021/-Use Code: 1010 History: Owner: Sale Date Book/Pa e: Sale g Price: PACI, MARK 2015-06-19 28952/292 $542000 GIBBONS, MICHAEL F&DEFELICE, DIANE K 1978-06-01 2716/258 $0 • Photos 136/021/-Use Code: 1010 • Sketches-Map/Block/Lot: 136/021/-Use Code: 1010 30: FF6P AS 4 BMT 3 30' As Built Cards:Click card#to view: Card #1 • Constructions Details -Map/Block/]Lot: 136/021/-Use Code: 1010 Building Details Land Building value $ 115,800 Bedrooms 2 Bedrooms USE CODE 1010 http://www.townofbamstable.us/Assessing/printl 6.asp?Ap=0&searchparce1=136021 4/4/2016 ` Print Page Page 3 of 4 Replacement Cost $148,407 Bathrooms 1 Full-1 Half Lot Size 0.8 (Acres) Model Residential Total Rooms 5 Rooms Appraised $ 324,000 Value Style Saltbox Heat Fuel Oil Assessed Value 324,000 Grade Average Heat Type Hot Water Year Built 1976 AC Type None Effective 22 Interior Pine/Soft depreciation Floors Wood Stories 2 Stories Interior Walls Drywall Living Area sq/ft 1,683 Exterior Wood Shingle Walls Gross Area sq/ft 3,090 Roof Salt Box Structure Roof Cover Asph/F GIs/Cmp • Outbuildings & Extra Features- Map/Block/Lot: 136/021/-Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value BMT Basement- 1020 $ 22,100 $ 22,100 Unfinished WDCK Wood Decking 154 $ 2,300 $ 2,300 PRG1 Pergola-Avg 154 $ 1,500 $ 1,500 FPL3 Fireplace 2 story 1 $ 5,200 $ 5,200 FGR6 Gar w/Lft Avg 528 $ 17,200 $ 17,200 FEP Enclosed porch- 30 $ 2,900 $ 2,900 roof,ceiling • Sketch Legend Property Sketch Legend B2N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area SOL Solarium (Finished) BMT Basement Area FUS Second Story Living Area SPE Pool Enclosure (Unfinished) (Finished) BRN Barn GAR Garage TQS Three Quarters Story (Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ http://www.townofbamstable.us/Assessing/printl 6.asp?ap=0&searchparcel=136021 4/4/2016 Print Page Page 4 of 4 J Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in PRT Portico WDK Wood Deck Porch PTO Patio Microsoft VBScript runtime error'800a01a8' Object required: " /Assessing/print16.asp, line 151 http://www.townofbamstable.us/Assessing/printl6.asp?ap=0&searchparce1=136021 4/4/2016 Assessing As-Built Cards Page 2 of 2 { i http://www.townofbamstable.us/AssessingiHMdisplay.asp?mappar--136021&seq=1 4/4/2016 I V V Cr_,u 0310312016 �,. GE°AFFORDED BY THE POLICIES IS'r�ERTIFICATE S ISSUED,AS' TINE-MATTER NEGATIVELY AMEND,~EXTENp ORALTER THE COVERA,THE CERTIFICATE HOLDER. THIS tfRTIFICATE DOES NOT AFFIRMA UINO INSURER 3 AUTHORIZED BELOW, THIS,CERTIFICATE IR AT(VFINSUR LACE.,DOES,NOT CONSTITUTE A_�CONTRAOT BETWEE TH FYI �' I REPRESENTATIVE OR PRODUCER;WAND THE CERTIFICATE HOLDER: les must'beTendorsed. lf SUBROGATION IS WAIVED, subject to IMPORTANT: If the'certlficate'holder Is an ADDITIONAL,INSUR�D ;the poliCy� )': ,on ' the terms and condltlons?of the policy;certain potleles may:requlre an endorsPment"A'staterrrant`ori this certificate does not confer rights to the certificate holder In lieu of such endorsements. CONTACT W_-SCott Kerr r PRODUCER NAME: 508-z40-1860 PHONE•'•"" 5p8_255.8000 AIC No Kerry Insurance Agency Inc. o P.O.BoX 1946 E-MAIL kerr c4•net N.Eastham, MA 02661 DRess: INSURER(S)AFFORDING COVERAGE NAICII W.Scott Kerry INSURERA:ASSOCIated E.tflplovers Insurance INSURED R.A.Campbell EntarpriseslnC. INSURER@: Ryan A-Campbell INSURER C: 126 Bayrldge Drive INSURERD: South Dennis,MA 02660 INSURER E: INSURER F I COVERAGES CERTIFICATE NUMBER: HE REVISION NUMBER: MED ABOVE FOR THE IOD THIS IS TO cETI THAT THE POLICIES QUIRE�I INSURANCE LISTED CONDITION ELOW HAVE BEEN ISSUED TO T OF ANY CONTRACT OR OITHER DONSURED CUMENT WITH RESPECT TOL WHICH ICY RTHIS INDICATED, NOTWITHSTANDING CERTIFICATE MAY BE CONDITIONS OF SU H POLICES.LIMITS SHOWNN MAY HAVE BEEN REDUCE POLICIES BY PAIDECLAIMS.D HER IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CO L BUaR PO FF MOLII p LIMITS TR POLICYNUMBER MMID TYP20FINSURANCE EACH OCCURRENCE $ COMMERCIAL GENERAL UABILIT Y pREMISES occurrence S CLAIMS-MADE OCCUR (uIED Q(P(An one person) PE S RSONAL&ADV INJURY $ GENERAL AGGREGATE f GENL AGGREGATE LIMrr APPLIES PER: PRODUCTS,COMPIOP AGG S POLICY JECT LOC. S GO D SINGLE LIM g OTHER: Ea axlden AUTOMOBILE LIABILITY BODILY INJURY(Per person) 8 ANY AUTO BODILY INJURY(Pet accident) i ALL OWNED SCHEDULED AUTOS 8 NON-OWNED Per aocidenDA HIRED AUTOS AUTOS s EACH OCCURRENCE S UMBRELLA LIAR OCCUR AGGREGATE S EXCESSLJAB CLAIMS-MADE 8 ! DE D RE77 NTION S X STAME ER WORKERS COMPENSATION 1�� AND EMPLOYERS'LIABILITY YIN WCC6O050087082016A 01/1112016 01/1112017 E.L.EACH ACCIOIaNT $ 100 A ANY OFFiCROOPm E qR/F MBER U EXECUTIVE ❑ NIA E.L.DISEASE•EA EMPLOYE S EXC (Mandatory In NN) E.L.DISEASE-POLICY LIMIT 8 a 500 If descAbs under DESCRIPTION OF OPERATIONS below p)^SGRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 10t,Additional Remarks Schedule,may be attactled If more space is required) J Carpentry CANCELLATION CERTIFICATE HOLDER TONN-01 LAUTHOR2MREpRMNTA`nVE F THE ABOVE DESCRIBED POLICIES BE CANCELLED 9EFC ON DATE THEREOF, NOTICE WILL BE DELIVERED WITH THE POLICY PROVISIONS. Town Of Barnstable - Building Department 230 South Street Hyannis,MA02601 ®19B8-2014 ACORD CORPORATION- All rights reserves ripCertified Plot Plann.1 A 7� D� Locatio • V e/ >,27 Point Hill lid SURVEYING • ENGINEERING IY. Barnstable, ILIA Ry HOME PLANNING&DESIGN prepared for ffark Pa_ci 3 GIDDIAH HILL ROAD PO BOX 439 SOUTH ORLEANS,MA 02662 Scale.- 1 u= 50' 508-255-8312 Laate: iQ�J7 yl 1, �`Q>fj' www.rydei--wilcox.com j ,/Y lot PROPOSED a°'* DECK 16' X30' 2p 6 0 �60 ` EXISTING Lot 6 Area.• r� DWELLING ,>y 35,200 S.F..f (O.8> Aa j-) \ EXISTING a' GARAGE p� p0 Refemnce: Assr s map >36 PH 2> I certify that the dwelling shown hereon 15 located as it exists on the g7vund and that as so located it complies with the minimum property line setback requiroments of the Town of Barnstable. Date:ILIP Professional Land Surveyor ODYSS�US S C H 0 L"R'ITI #�6357 Job No. >1666 �'�Fs S%() The Commonwealth ofMassachuretts Deparfinent of Industrial Accidents Office of Investigations kvtj �600 Washington Street Boston,MA 02111 wtvw.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Aaalicant Information �J Please Print Legibly Name(Business/OrgaWzation/individual): fl• ��%(/1 T�iY f"/ L= rlC - Address• City/State/Zip: A d ZO4hone VIey, an employer?Check the appropriate box: Type of project(required):1m a employer with Z ' - ' 4. ❑ I am a general contractor and I 6, ❑ construction employees(full and/or part-time).t have hired the sub-contractors 2.El I am a sole proprietor or partner- listed on the attached sheet.t 7. Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. El Building addition [NO Workers'comp.insurance5. ❑ We are 8 corporation and its required•] officers have exercised their -10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I L[]Plumbing repairs or additions myself [No workers'comp. c, 152,§1(4),•and we have no 12.❑Roof repairs�" ' instuaatx tegnaed-1 t employees.[No workers• comp.insurance required.] ME]Other *Any applicant dust eheds boot#r must also 6U out the scctiom below sitowmg Choir wodma'campenatim policy i unuition. t Homeownms v&o stitrmit this affidavit mdicat mg they are doing all work and then hire outside eonbmtws roust submtt a now affidavit indicating such. tCantractots that clack ttas box must attached an adM=d shot showing the name of fe sub-sentraetors and their worlmW camp•policy kainnatioa I am an employer that is providing work='compensation lnsurmwe for cry eMloyeex Below is the parity and Job sue information. Insurance Company Name:_ r, Policy#or Self-ins.Lio.M �I W C-C- 0?�0440 l W Z 1 Expiration Date: Job Site Address: ire �7 yr f Kd City/State/Zip: � �r. -06YJ Attach a dopy of the workers'compensation policy declaration page(showing the policy number and epkation date). Failure to secure coverage as required under Section 25A of MGL c,152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year bnprisonmen%as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$2.50.00 a day against-the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, Jr do hereby a and penalties ofpedwy that the information provided above Is true and correct Date: bone . Official use only. Do not write in this area,to be Completed by city or town of ttckL City or Town; Permit/License# Liming Authority(circle one): 1.Board of health Z.Building Department 3.City/Town Clerk 4.Electrical Inspector: 5.Plumbing Inspector 6.Other _ Cantaet Persons s; ME IMPROVEMENTCONTRACTORS~p„Vu before the expiration date. If found return to: tt _ Fl egistr4tion: 163732 Type: Office of Consumer Affairs and Business Regulation ' xpiration: ,7/17/20.17 Private Corporatioi(, 10 Park Plaza-Suite 5170, Boston,NIA 02116 R.A CAMPBELL ENTERPRISES'INC. RYAN CAMPBELL .: 126 BAYRIDGE DR. SOUTH DENNIS,MA 02660 Undersecretary of va d Ahout signature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-093716 Construction Supervisor RYAN ANDREW CAMPBELL 126 BAYRIDGE DRIVE_ SOUTH DENNIS MA 02660 Expiration: Commissioner 04/06/2018 i V `pF,HE Tp�y Barnstable Old Kings Highway Historic District Committee o* ,ARM,BL ; 200 Main Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 9��ENASA p`e� APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with five(5)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 4.70,Acts and Resolves of Massachusetts,1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for: Check all categories that apply; 1. Building construction: ❑ New ❑ Addition Alteration 2. Type of Building: X House Elrn El Shed ElCommercial ❑ Other I Exterior Painting_roof ❑ new roof ❑ color/material change, of trim, siding,window, door 4. Sian : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ Other Type or Print.Legibly: Date NOTE All applications mast be signed by the current owner Owner(print): m ftke K- Pfitj Telephone#: _Address of Proposed Work ( Apthill J U Village j-. ("Shx, k Map Lot# J G a-' Mailing Address:(if diffe t) %5 F -Al A 'llE r ke- Gilt c n %L v - Owner's Signature: �.. Description of Proppposed Wo k: Give particulars of rwork to be done: Mx-me✓ G►Ti'" Ac.. hack c P- Ae- )7dySe. lb 40W Li- baAro in � ��Zti✓ltc�Yy rbDii t s-a 1 & 0gta d Ae- .E0511p7g Accll!-r eA4 jJ J oifidOu)s Dip *4 byJ. c og ate- c 4oYjP1er *mil Aj7gdoajr e--(114 daors of At & ,&ck ALJ side-' 6f h—we - 12e-myve. At f,�e'isd�n 0&!o,k 4r.4-/ fie( g- 4" 16-XS6 Week 61Q Agent or Contractor(print):- Telephone#: y -a1,7 3 32/ Address: lz�& RW gwe z Contractor/Agent'signature: For committee use only. This Certificate is hereby AP PRO D/DENIED Date �'�i�' rO Members signatures VA q APPROVED APR 2 7 2016 Town of barnstaultv Old King's Highway Committee 1 Q:IBoards and Commmrons101d Kings Higlnvayl0KHAppllca1ions10KH2O11 Cert Appropriateness.doc CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 Copies Foundation Type: (Max. 12"exposed)(material-brick/cement,other) Siding Type: Clapboard_ shingle_ other Material: red cedar white cedar other Color: Chimney Material: Color: Roof Material: (make&style) Color: Cal o;n e J 1 i 4e Roof Pitch(s): (7/12 minimum) (spec fy on plans for new buildings, major additions) Window and door trim material: wood other material,specify j424 V, h 1�e, ?6VyLA-- c Size of cornerboards(,Xq / size of casings(1 X 4 min.) 1X LJ color (,J), t Rakes Ist member I X fo 2°d member /X Z Depth of overhang Window: (make/model) W n f e .! aterial Culp color 1 (Provide window schedule on plan for new uildings, major additions) Window grills(please check all that apply_. tine divided lights_ exterior glued grills_ grills between glass /removable interior None Door style and make: UA PSIS 51 tK material Glad Color: h?h i•-c. Garage Door,Style Size of opening Material Color Shutter Type/Style/Material: Color: Gutter Type/Material: A)tarn>11 u m Color: t&2 k i le- Deck material: wood other material,specify Color: I.S tG ji J1L Ye.d Skylight,type/make/model: material Color: Size: Sign size: Type/Materials: Color: Fence Type(max 6' )Style materi . Co or: RECEIVED Retaining wall: Material: APB 0 7 616 Barnstable Lighting,freestanding on building Town,of�,H,ghway illu �NAGENMENT Ooo mmittee OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) Print Name i 2 Q:[Boards and Commissions101d Kings HighwaylOKHApplications10KH2O11 CertAppropriateness.doc d Town of Barnstable Geographic Information System April 8,2016 136018 #5 #25 129 66028 136057 #43 #52 #25 #44 3 136005 � #7 136004 1360OZI136031 40 i#19, 1341111111.13 ��� #44 1#700 #28 1#442 ® #29� 1�36054002 #0" 136019 #91 400 H /8 OLWAY D ��F 136054001 #12 1360399 136038 136020 136040 #51 #109 136041 #17 #31 136055 #100 ® #9 Q�4 1360 ♦ �� #24 136021 #127 QO �36045 / 36043 136044 #68 136055004 136042 1#322 #48 `45 #124 13600212 1( 136055002 OILLIAap'S NASA 136055003 #53 13602300 ® #157 ® 136047 #55 13' 6 550 13 136048 #148 #23 #39 135004 #69 0 80 Feet 135005 � #160 DISCLAIMERS:This map is for planning purposes only. It Is not adequate for legal Map:136 Parcel:021 a boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1'=100'may not meet established map accuracy standards. The parcel Im Owner:PACT,MARK Total Assessed Value:$491000 es on this map rw � .,�� are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0:80 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:127 POINT HILL ROAD f such as building locations. Buffer ;j " ,a 10 Atlantic Ave. South Yarmouth, MA 02664 racampbellenterprisesinc@gmail.com 774-212-3321 RECEIVED MARK PACI 127 POINT HILL RD APR 0 7 ZQ16 WEST BARNSTABLE, MA 02648 SPEC LIST GROWTH MANAGEMENT ' EXTERIOR TRIM IS AZEK PVC (PAINTED WHITE), RAKES ARE 1X6, 1X2 WINDOWS ARE 1X4 DOORS ARE 1X5 CORNERBOARDS ARE 1X5, 1X4 DOORS AND WINDOWS ARE MARVIN INTEGRITY, WHITE CLAD ON EXTERIOR, PAINTED WHITE INTERIOR, GRILLS WILL MATCH THE EXISTING 12/12 GRILLS BETWEEN THE GLASS ROOF IS CERTAINTEED ARCHITECTS COLONIAL SLATE TO MATCH THE EXISTING SIDING IS MAIBEC WHITE CEDAR SHINGLES WITH PRE-DIPPED OYSTER GRAY TO MATCH THE EXISTING DECK WILL BE PRESSURE TREATED FRAMING AND AZEK DECKING ISLAND OAK(GRAY) WITH WHITE TRIM WRAPPED AROUND THE FRAMING. i APP RECEMD 6DW Q .. - � BarnshWay AGEI\Ea T e Old Ki of ng s Flig ��,��`�� . Gommitt0e O , (j C-4 zoo 1.5 ' S12 rue rtl:�nx: �l rrylll l`'ti'yl'ry 141'I � W W>Wi,o w, nor + rI 'ly}!t r I f rrt�j alij'� jt 4ij rl}'' x —2y"^ >:i:•.. __— imao"rw*�wru,a nw`r°°a",.-e..°°,' S� 1+'S4 y'S;Ir If1 , I 1y �1I �lI�r��i�y� r IIyJI -1 I 1. IJI I -I�S °tea II i:Xri!�' ' y ty1 i'y l il'y 1' IJ y Iyl N�'III Ily.r xL ,y�} + yr} Iy�} , F Sr} � r xewa_s,nwnwo.n:u.w, I I ril 'yli! +tl' �! IYr}ll+rJ!J O lllyr}!,+! eo rl�r.U. 'I + WOE 1"'tt ( ;rr� 'il + ++I a5 y e""f IIISI IIY I h'I'I II'I 'I 'r11I ':II IIIII, o Qp.Cy • !rlll} Il,yl ''II I ,S , ftihl� IlY � ss,pmxou ,h'�� f�f ''y'ti'- f h'y'f f �y h'y '�{ til f y y'S T'f y' y TrrLEe�� , hyy4 45ii4y'S y ¢' S'Yy,�y :.S'4154' 41;15 � hii r: 41Y} r Ily; r y} � Iy} ! Ih} ! y : 11 ! r ly++I I)�1;'1 �f;yrlSlIy yl1 j.. ;°.• 5{f�} + Il,hl I IIIIY t 1114 I " 1351 I I' 3 I {y1I;141,,14r1_ yYIISti'S S NEW (' :t� 4,iSti I y Yh S'I y ELEVATIONS !rya t lfl ' I'f.fl_ I f Y 't I ' I xWu'L srte.rbRu•J9.m. ,I { I ', I I + 'i'E' I.r I I. .,,I, , .I, rS,;I. +r. I r raspwoa I I1111y.1411 IIJIS � 'I' IIII SI ',IfrfHS r rr' lj1 I;illh i REVISIONS I uoasmnoou.oxrK,a:vacx FRONT ELEVATION z LEFT SIDE ELEVATION A2 SC- 1/4'�I'A' A2 score:I/4'-I•a i W uwcarn'nxzxnnw � - �t.f3- ze:,z � rwai,a zzw.rum wnsn "I{,�'tirij�,�r,r�l;,yr}j1 f,r�1f Srlllfrj; 'r�+.�;''', 'I w/zewmavannerer A I ttI r fl r rl rlr Irl it ,.I 0 �y ur — xwuwmn wrtzaawme IlStily y{ IfISfy1 y,f ITSfyI S f I Y y y�l'S41'y y''{!;I' ' .,> leroeomemrusoa o m r. 95= ,'I�' yy _ tit `°�"�r�""° m� s a 4 IIII ,x�n uenn.m. r yr} Sr 11 41i�)it i y i r yy 41 41i ' S1 LJ 1 y Iti I_ � � ti�� x•x:...:a rwrnxnx,cau:uso> � ,. ?I,tt� IlSl�l yll{.1 IS Y'! ,�IIr' ISII�t, !�I,Ir'yll, !r'yl�.,, .ww<.e e..M,s. H il; /y1:y }�I I. uizcounawu'won riyy'f 4yyy� f fy,y5'f � Sy yyf. fS yyS .lyyl�-. � �In-m a zo U a F , y !I ' O ,�^ (� !I 1, - n•wwx��nucics. r (gl , li rl li r li r i li r i I} r 1} xm._sm wr,.wauruwws yxwouo na - 4fi44r I ��� rS', i� ,4r-r4 yi� ,It 4r' -a I.I I IIISI I, IIISI' I III 1 I III I ,I 1 > � Win,, ril if t+ljl; {i1�j+J}I� tri�(r}�filr'''it}i'�)11';{}11trt�llr r'}!jj?1�llrr I II -_ , IIII ,I IIIIY 1,1 ,I I I,Y I IS�y J hS Sy Y� S S t 15 �5 O E. rr.I , ! 1 IL —� E. y 1•tt' II, 1 ,1 I I I,S r'I I,I { T"' '+ t I I cl al aowl1j,f;,!l�1�,rlj� Iffl11' ; 'liljt� I'I' F r,I I,SI.rS'11IlSli'I�ItIIS'}',i151 ,S. ,y 11.!'II�SI er.xan, : +,rrxau,m. N am 07124116 s REAR ELEVATION a RIGHT SIDE ELEVATION Sheet N, A2 SCALE:I/4'-I•-O' Az SCA :1/4' 1••D' A-2 APPROVED � APR 2 7 Z016 Certified Plot Plan 1 A 7i �nx � Location.• Y V `! Town of Barnstable 1,97 Point Hill Rd. Old Kings Highway SURVEYING • ENGINEERING Committee TY Barnstable, ff,4 HOME PLANNING&DESIGN prepared for 1fark Paci 3 GIDDIAH HILL ROAD PO BOX 439 SOUTH ORLEANS,MA 02662 Scale: 1"= 50' 508-255-8312 Date- 14P7111 1, 2016 www.ryder-wilcox.com RE CEA 0'1GAY X/ PROPOSEDPR QO 1 DECK o 6 X 30 moo- 1xl$®WTH MANAG+MEN. �O I EXISTING Lot 6 �6s. DWELLING yy `ore¢ X 35,200 S.Ff (0.81 4c.f) EXISTING GARAGE oo.. x N N10 Reference., Assr s map 136 PH 21 I certify that the dwelling shown. hereon is located as it exists on the gerund and that as so located it • complies with the ,minimum property line setback requirements of the Town of Barnstable.. `^. •i•�L�rL�AM `�rpHl Date.. ® 110 LIP G 7a: Professional Land Surveyor ODYSSELIS � SCHo! ITI v glob Aro. 11666 SS10 4 ��SURV�C�O �{t �F�<�.,F���- 4r�,��+�.��r�•4�--�.� r��� � 1-t. l?r idSi� ••.�w at �j��1�'l��`�•�"str"`J6�-ff�� ��;-�fc�-'�� i ;±:`i �'I �,i�, -�f �h•��j� � �`; r �`/r•YlL-` ��r k�. r• it � �,�� \�'ra��� '��r.11:$ c �1 v •a0 , NA �yF •" 2r'�r- �i vim. ���\ � s•+.\\\� C��'.. AWL— "77. AA �• • j,n�SET .c.. �•� _ tit'',�y ir_�. �l1- r~ `'• 1 r 'r .Y�� ''J, �f; I •art. s •-i�e ,,�• .:Z-_. �' t } _ �^ .Il� 'Y►--`f.+ �"t`, � If rli � 1 ?r2 l ' i �.s''It• �� �'tl'. - �-' -�'y,� •�� a r•. t.t. �- "r •£3•'"1C`�k��laaY�` ;✓� tf%%� �� ~•- ., � 1��F�,�rjl ��.�. -'t�b� r� .•t - `y1 RtiM•�p�"'j' ,✓.Sn r Y �.1 VON'- ��9t .f"-` jwr, ), jai. f�q;♦ t W,�� `° :ti••r�� �t 1 .s- ' r*;,t',•� �•�i41 v: r 9i GI\ji, r ' 1?I� •c �fw,• c Y. k % ...�1, i�. " 4 1f� ,�i�w%'� �•' .\� ',r-,,r� `�C„� ��7' � ,�twi.1�r �%��y.�.- f e=•'-' r. ��;•'�-�� � 1i'C�'rr r<�ly,a; (/ S jrJyyr�r �Mlr1 ,` k� N /p1 tp 'k , l * s,�l I �r f, '.Y .\,♦ f 4�1;� �t•-Y✓'fit. .1 - [ .!"� �1L \ r�.y1. j..P '.fi,y �'_q41 ' _ •``I r y\•it `9'�{''ff.' F ry /�� _ h� �4 ..111»"' .t .'.,%/1��114�1�#� ' rr �r Y, I.j+t.�•.,J • flili �_. Y,� �(��� \ �7 l �� ,r'�� � !�� ;` t1r� �•t•.\\; -�- .r;�'cs t`�•'� r.r•I�' , 1, llj�{,'1�`� y a�<'!,'��fi����.i��0���•� � / '1. � �1.11 'l�Prt � �"•�,,_,�_=�`«�.. _.- -� �l � � f ! '�� � �"1 ��r-• 1 j `• , ��,� �f , ,j�-'" •�'` .:ram. � �-."• y"N , 'S f�. ,-�� ��i'�� ` /I I)0 :•�7�5'�' i` a'r r �� fir(`�11`'�vi'r�i r:'\ � ;;�-�' Yr r��j�k,\7 {�/ ,:r` ,� 'fir:�'J`t} ✓ rli r :Y ''� .�. I.:\,I f'� �1 f 1 j,'�jl f /1 �•"J V Y1• ¢ �:='mil'- .\'�1`� `' �'^1'{�•L � r,.�f`Y 1 ti -•-� L..r tY_n.l'.� "'` � i� .���'_'v ' --_!,. '!t.• � Y �`_ �' S AF�yY�1 ��>',/ r'/J.��r'h t s—`�•� '�`" �'•�y�l�� '� rL.� `•e•�•. � -,V^, .. - = 'mod '\�� •�` 1J\ � ( I i ti�l S Y!t� !(�Jf�Y 41 r � 'TS r� }� >� i� �`\.y� �� � 1`� `•_ ,V-^•y,'�C�1�J�y '�. f�\`' / �14�r4'•r j� ai'rfJ�� '.rt`�: � � �� � f�^�rL {!l_�� K�y� �r -'"\' �K'n.+.C.-^ l?+?�L yr i1% • A ATE .r: ZIA of i` =11 �I@W,�- �`�u _ -a>�` `'~�", •'"'v_ ��J�\� �,C�t,Ty9,l ��1'�-s��'6 mago Spa- uo OF CIA Al, �r MA Will It 41 i"AL AM 1 6 �. j� and ..�• , { ate• 'V ol a;r �y,�' b fSn t l ;l f ' � e es t !►. AZEK Trim IN AZEK (Traditional & Frontier) Finish Grade Trim* .� Trim that is easy to work with + (Traditional Only) and offers long lasting Two-piece trim system installs durability, AZEK Trim is the ; quickly and easily, saving ` perfect replacement for wood S3. @;Il � `� � time and labor costs while in all non-stress and non-load ' providing a beautiful, smooth, - bearing applications. It can be '!` , fastener-free trim surface. No easily milled, routed, and heat need to fill, paint and sand nail holes. Perfect for door formed for custom looks. AZEK Trim doesn't require and window surrounds, but could be used in nearly any paint for protection, but can be easily painted for trim application. aesthetics. Base plate can be quickly and securely face nailed. 3/8 x Thickness Then the cover trim fits neatly over the base trim and Actual Lengths includes a nailing flange to eliminate visible fasteners. 5/8" x 3 1/2" 12' and 18' Finish Grade Trim` 5/8" x 51/2" 12' and 18' 5/8" x 7 1/4" 12' and 18' Nominal Actual Lengths S/8" x 9 1/4" 12' and 18' 6/4 x 4 1 1/4" x 4" 18' 5/8" x 11 1/4" 12' and 18' 6/4 x 6 1 1/4" x 6" 18' 5/8" x 151/4" 12' and 18' 3" x 3" (Miter Key Corner Reinforcement) J- 4/4 x Thickness Nominal Actual Lengths AZEK Universal q:x 2 3/4" x 11/2'1 18' Skirt Board* .— x'4 3/4" x 3-1/2" 12' and 18' -� Providing the perfect x 5 3/4'=x.4.1/2` 12' and 18' transition between the siding. i x 6 _3%4- x.51/2.r 12 and 18 7 ��x�'8 3'4 /_4�" 12' and 18' and trim, as well as assisting in �. x`10 3/4"x 91%4" 12' and 18' water management, the two 1 x 12 3/4" x 11 1/4" 12' and 18' piece Universal Skirt Board _ 1 x 16 3/4" x 15 1/4" 12' and 18' includes a reversible trimboard that is routed to accept a proprietary 5/4 x Thickness - universal siding interface. Nominal Actual Lengths Unlike other skirtboards, AZEK Universal Skirt Board 5/4 x 4 1" x 3 1/2" 12', 18', and 20' will work equally well with a variety of siding products S/4 x 5 1" x 4 1/2" 12', 18', and 20' including fiber cement, vinyl, cedar shingles or wood. 5/4 x 6 1" x 5 1/2" 12', 18', and 20' 5/4 x 8 1" x 7 1/4" 12', 18', and 20' The AZEK Universal Skirt Board reduces labor, saves S/4 x 10 1" x 9 1/4" 12', 18', and 20' installation time and costs, and replaces the need for 5/4 x 12 1" x 11 1/4" 12', 18', and 20' starter strips. It is perfect for use where water tables are 5/4 x 16 1" x 151/4" 12', 18', and 20' not needed or desired. 8/4 x Thickness (Frontier Only) Universal Skirt Board* Nominal Actual Lengths Nominal Actual Lengths 6/4 x 4 11/4" x 31/2" 20' 5/4 x 6 1" x 51/2" 18' j 6/4 x 6 1 1/4" x 51/2" 20' 5/4 x 8 1" x 71/4" 18' 1 6/4 x 8 1 1/4" x 71%4" 20' 5/4 x 10 1" x 9 1/4" 18' 6!4 x 10 1 1/4" x 9 1/4" 20� 1'/z" nailing flange length . ��t 4 x 12 1 1/4 x 11 1/4 20 .11/2 drip edge flange en Patent Pending P g 9 Traditional only ' r Inspiring combinations Give your imagination a place to start! Need help finding the right mix of colors to tie it all together? Here are some no-fail color combinations to inspire you. Primary Color Trim Color Accent Color Sand Dune Rockbound Coast 201—.-— 202 n.@ ` Oyster Gray Falcon Gray :ap,;;M;,_ 209 203 U Gray Bridge Blue Sea 213 229 212 Bar Harbor Blue Maibec White afe fit is 226 212 uss Maibec Linen English Cream ?;.,;tar 254 256 rs I Please note:These color combinations are for illustration purposes only and are not as_•a_:.__ .?____a'_ :_*_ o IGOODj s - a • r g % i`���-�I�� ��L`1b �y►,f� \ p r .c•� 3a'b r rt gR tw 1. fry\6ti f•."r'E�rCv__ '"; �a- 1 0 � i.7Z, MI �w,'•r 3 }` .< a �,+�:: a.� y�i��!i`�I y{C�•�c ,�Y,'��4Gtvi` ''��c.3x�,.` _ -"�?'-•. t r►- i �.!�Z } q J ` Y a �, �, ' I f• i. � J •�4 s w • i 1 ' _� ~-tom• _ M1 w-4 r_ �/t ram• l.'�� ��'����n.^t � _���``-. -� - �', ,;, .. � ,'•.pit. ' >i;, � fit' 1�.�_� z � , �q; •. �; _;. . • .. � , IMPACTDOJ Uo O L u nu"� 1'.3 r fR.J.�. buox_ �u��.yUIEJl�1�' "�!.�1.'�11Lr�.J�.�•�:lFrli_Y�ST�:rrtl."T�- r�:-Y ,r`•aoiw;;v-f_L.h�:c�Awny�I fit xw -4 ms3a Self-sealing corner keys,weather-shipping and jamb-sill gaskets II mean performance grades up to PG50.Add ergonomic ! hardware,a dramatic sloped sill,and more wood to the interior, ' and this double hung window not only performs great,it looks ` great doing it.Mull with picture windows,other Double Hungs, Transoms,Polygons or Round Tops to create almost any assembly imaginable.Factory mulling and field mulling kits are available. t t �7 i F �s C 26 nD �ZEK� SIMPLIFIED AND CUSTOMER-PREFERRED Building Products De fgmd to fast be M11y.`^ HOMEOWNERS CHOOSE FAVORITE COLORS UPDATES FOR 2016 AND TEXTURES •Collections reduced from 6 to 3 CPG Building Products recently conducted independent,third-party .Colors reduced based on research to validate consumer color and texture preference. consumer preferences •AZEK Deck was preferred at least 3 to 1 over competitive products. •Improved embossing patterns •Research results directly influenced our 2016 deck line decisions. •Available in both grooved and square-shouldered planks I HARVEST COLLECTIONO ARBOR COLLECTION" VINTAGE COLLECTIOW CLASSIC&TRADITIONAL EXOTIC HARDWOODS RUSTIC SOPHISTICATION ��! F. � • s • AACACIA- Sam • • •` •• CHESTNUT- • REDWOOD- DO NOT MIX • s You CANNOT mix next-generation(2016 and later)New Kona°,New Acacia',and . New Morado@ with existing decking.While the colors are similar,subtle differences in grain texture or gloss level make the products visibly distinct.Additionally,the new material science that is used in the capping material is truly next-generation, • so improved long-term performance will become apparent over time. DO NOT MIX TOWN OF BARNSTABLE BUILDING PERMIT-APPLICATION Map I-AP Parcel "2 +p Application#Z I q(d4:2^ REC l Health Division Date Issued J (� Conservation Division B�� — y Application Fee Planning Dept. Permit Fee �V Date Definitive Plan Approved by Planning Board D 14 V •Historic - OKH Preservation/ Hyannis Project Street Address I�� Yo ►��- h �'� �� Village WQS� oelr uLs ) Owner (Yft" ?frr I Address Telephone Permit Request ZwoVe- Iniyi or k)a,I,QS , I rAV 4w 'Glc _t �s� Ins" new 11���10� �.)a.Q.�S 6� 9sE- �taor as der �anS Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 00- d2-' Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type:.Single Family O*" Two Family ❑ Multi-Family (# units) / Age of Existing Structure 191(o Historic House: ❑Yes U�No On Old King's Highway: &Yes ❑ No Basement Type: Ud Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 4- 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: ❑Yeses I1No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: U 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 �'► Cbt.�-r Telephone Number ?7((-a)d-33a Address 1db Lbw pJar License# 'd9'37As ,1 an n I S ryl 14 Home Improvement Contractor# i 373a Email I'aCGIW►o6cIIGa �rnY/StS�h��2w�a���w' Worker's Compensation # *500970�0/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO P-er Ole► SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # - - - -- - - DATE ISSUED - r MAP/ PARCEL NO. ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: FOUNDATION i FRAME INSULATION FIREPLACE ry - ELECTRICAL: ROUGH FINAL PLUMBING:,'- ROUGH FINAL , GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: l egistration: 163732 Type: Office of Consumer Affairs'and Business Regulation k xpiration: `•1/17/201T Private Corporatioij 10 Park Plaza-Suite 5170 Boston,MA 02116 ' R.A CAMPBELL ENTERPRISES INC. RYAN CAMPBELL h : 126 BAYRIDGE DR. SOUTH DENNIS,MA 02660 Undersecretary ? of va dVA6utture = Massachusetts Department of Public Safety ® Board of Building Regulations and Standards License: CS-093716 Construction Supervisor RYAN ANDREW CAMPBELL 126 BAYRIDGE DRIVE.' � SOUTH DENNIS MA 62660'µ, CA__ Expiration: Commissioner 04/06/2018 The Com wnwealth ofMassachuse& Deparanent of Industrial Accidents Office of Invesfigations -600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information �f J Please Print Legibly Name(Business/Organization/Iadividoal): �7. /J -/— Imo/ L= r'I C - Address: City/statozip i A ( S 4hone#: 771/Z1&-z-.33Z Are y n an employer?Check the appropriate box: Type of project(required): l. I am a employer with Z - 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole propridtor or partner- listed on the attached sheet t 7. ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 L❑Plumbing repairs or additions myself[No workers'comp. c. 157,§1(4),•and we have no 12.❑Roof repairs msarence required.]t employees.[No workers' 13.(]Other comp.insurance required.] *Any applicant tint eheds box#1 must also fill out the soon below showing their wodea'compensation Policy n6ormation. t Homcownm v&o submit Eris a6ic[M Indicating they are doing all work and then hire oxide coahadors most submit a new affidwit indicating such. =ConMwtm that cheek this box must attached an additional shed showing the name of ft sub.00ntractors amd their wmi=e camp.policy iinamnatiom ram an employer that isprovidog workers'cnrrrpmsation lnsur nw for my mrptoye= Below is thepolicy andjob site infermaGon. Insurance Company Name:_ //�� //�� Policy#or Self-ins.Lic.#: (/ CY �� 2? f j� Expiration Date: Job Site Address: '.`� City/S'tatemip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the farm of a STOP WORK ORDER and a fine of up to$250.00 a day against'the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA fur insurance coverage verification. I do hereby a and penalties ofperjuv that the informadon provided above Is trite and correct Si we: Date, phone Qfcial use only. Do not write in this area,to be completed by ctty or towL1ns7:pevC-:tor5. City or Town; Permlt/Licens Lusting Authority(circle one): 1.Board of ffealth 2.Building Department 3.City/Town Clerk 4.Elembing Inspector!6.Other . Canttiet Person. f Nosy Town of Barnstable of Regulatory Services ,K6S �. - Richard V.SmA Di =*w •. Balding DivWon 'ram Perry,Btmldme CommmksiDner 200 Mam Stxtt4 Hy=dr,MA 02601 WWW.fDWnlarnshible mz Ds ' Office: 50MU-4038 Fe= 50&790-6230 i Property Owner Must Complete and Sign'This Section If UsingABuilder I, Mark Pad ,as Owner of the subject property, herebya o a� d�U to act on mybeb2X in all mans m9atiye to work antbnr-;�bytbis bm7diag PPl'l'i3k applLation for (Add=s of Job) Pool fences and alarms are the responslflk7of the applicant Pools are not to be fed or wed before fence is installed and all final ' inspections_are pezfonmed and accepted MArk p"t , S,gpi i=e of Owner ' S• o Mark Pad hi=Name nme Nic • II Q-4--Mxzo oozy i i . I � a L = 1515 ( --) V, F. 2� I 1 FLOM JDDlf ATTACHED /C1f]/C MA, 114• I nxlu-:aTs • e4• oc . --- I ST�Ts a lac e x _ NAi1.ER EM DISTANCE 1 CAP PL 1�4•,, I 1 •`AP tom""' I SDRW JMST WNWO -- 1 • S LT I I I 1 I I 1 lvhL- cAra 3 Ile 0 i>i ID,1 CAP PLATE ncrerl I -- + raffrm S TD vALL Fll LISE.PL � OF MAS c�G al �p CU Sa L cn o SicTU 341 4 O Q 1. All WORKMANSHIP TO CONFORM WITH AMERICAN INSTITUTE OF STEEL CONSTRUCTION AND MASSACHUSETTS STATE BUILDING CODE LATEST EDITION REQUIREMENTS. 2. STRUCTURAL STEEL: ASTM 572 (FY=50 KSI); Optional: SHOP PAINT WITH RUST INHIBITIVE PAINT. 3. EXPANSION BOLTS: ASTM A510 3/4" DIA.x6" EMBEDMENT IN CONCRETE; THRU—BOLTS:ASTM A307 1/2" DIA. 4. PUNCHED HOLES IN PLATES = 9/16" DIAMETER. 5. ALL WELDS E70XX ELETRODES. SHOP WELD CAP AND BASE PLATES TO COLUMNS. 6. COORDINATE ALL DIMENSIONS W/ ARCHITECTURAL DRAWINGS, AND FIELD VERIFY WHERE REQUIRED. STEEL BEAM CONNECTIONS TO WOOD FRAMING - �'�G � s p, MICHELE Consulting st UDILO, P.E.ructural eer 123 Cottonwood lane. Cenivauk Mosnodwse ft 02LV Z ? FOl fJl" I kA, �-U Drown► By: MC DOte: • .._ � � Drawing W, s ip t.� , OA Scale: AS NOTED Rev. 0 - S K— I no Nome Project No.:20 r i I i E ( =3o;L�vvlu f�ZND I FLOM JMXT ATTV L4' I TMI-XLTQ• e4•oG 1 i�T ITS a J= e x_ NAuae j om DIST�AMt'E. Z CAP Pt.` - µ I I C_ I i aswso, .ter HAxr�s cTrv� i I j 1 OF / MLT A �Q- J ,Rye 311z" O t . CAP PLATE nrTATI M VALL FmTpG &ME PL I k -+Y�� « I � OF 4W�q y . o p MICHELE Gv, _. .... - K CUDILO o STRUCTURAL No 34774 /STE�G IONAI /s 16 1. ALL WORKMANSHIP TO CONFORM WITH AMERICAN INSTITUTE OF STEEL CONSTRUCTION AND MASSACHUSETTS STATE BUILDING CODE LATEST EDITION REQUIREMENTS. 2. STRUCTURAL STEEL: ASTM 572 (FY=50 KSI); Optional: SHOP PAINT WITH RUST INHIBITIVE PAINT. 3. EXPANSION BOLTS: ASTM A510 3/4' DIA.x6' EMBEDMENT IN CONCRETE; THRU—BOLTS:ASTM A307 1/2' DIA. 4. PUNCHED HOLES IN PLATES = 9/16' DIAMETER. 5. ALL WELDS E70XX ELETRODES. SHOP WELD CAP AND BASE PLATES TO COLUMNS. 6. COORDINATE ALL DIMENSIONS W/ ARCHITECTURAL DRAWINGS. AND FIELD VERIFY WHERE REQUIRED. STEEL BEAM CONNECTIONS TO WOOD FRAMING G y �s p . MICHELE. CUDILO, P.E. Consulting Structural Engineer 123 Cottanxood Laro Centanft Mmmod mft 02632 1 z Poa4 iL,c. , Drown W. Mc Da: s0 Drawinpr M4 °Fe AS NOTED Rear. 0 b u- I e Nortle: C P jott No.; SK'— � L , ° F3 zQZ o ew i.c.wr w.,a nx: z.e ,.r I,h` i',i r, ,♦y I' O ixa cwna wanxer {+ �J S1= sxar. xr. . .s.anm nxe m•xnm , i ,Sj y� J i!"I rl '�i t 1 if' 'j�r' I S �+ pr. Jtz �� wam•nrxur7nwr.»-r s S��)7.'yStS'`S Si 'S 5 ''�� ,'} '''Y ' �}�+`}�S 1 �'1n µ� f' f• {{}}}} •�,r,f n±± r 11,41',;r y ' Gailci r, t,S� Il ,r�r1�ISlyfl r yI, su I' tJ yI •c°x°.< � �iS�j' i ' �'44 y1��'�� yi S i f' 'S'} }if t S S} }S+h S r}+y h ASS}y s f'}S 4,i�'}S f S+tii r44}1 T S�S4r eiAP� !}1,�}�..t}i ,fy�,n'#'I;'}i �l i i 1 S ,Sti 55 i4y S rmE: fl � 1} NEW faza---, 5I S 1i ihh4' o '4h` C7 r +'�S�'� S h SS..�'�,�+'�! �}'} +�t� ,r,f ELEVATIONS nar,me ,5',I rl ilS r' i'Ft,S it r1',t a5 rr , , ,t4 r 54riSS�i� dhr , 4i}44 t11,h S�i4S -- 4i,SS ,i aennan FRONT ELEVATION 2 LEFT SIDE ELEVATION A2 e P ua•.no, A2 eu¢:un•-r-a �YY( 00 Kxrw smraa ur.mwe � N z z`� x°Micn°wirsnxz xNr.0. �- h S h f} S S y wzwmwuanxo' vix "oea•.n,am•n mnxr., rhf}��fl}����f} �tf}k'Sf}f�'r f�r ' -.�tl'i! r s[s� ram° • r 5 '+ i h ,,S� w S +Sr S '�. � �. +}�_ � ', ..,xwcm..ue,.ei:°•""` � lr��l��+ tf�71�;Sf����17�r��rS�}�,�+I�l�'.'# EL.- �Tu Uh„yS fJ�S 11+} � Oa � 1 0 [� I I 1} �• �}}S 4S� }�s�t�4Sfi11ff' i I Si iS'} � a 4+} ��77 '7 iS I} I•� i ' t}�7�i: 1 trr ,I+ +I�i. i , u r , �x+•.a„.eesne°aux°w � 1 �a 1�ti4 1 h' neu•wwean wcnx°w I I W°Na mz.mq sruress,en wrzxnn.m I �I I I C III I x------------- -a wa.• Y -------------?_. "°°°° `•"°°"""'—`- ---- = = a RIGHT SIDE ELEVATION :_ s°�Ne s REAR ELEVATION A2 xne:ua•-i•-a (PROGRESS PRINT NOT FOR CONSTRUCTION) i . tl ,a oQ _ T 29 ._ V OOI,a CN� S T a" �. ,rn m o o b z 6(JJ(11 - wce �RO FaF 0 6 Oz U O F4 Irk 3 nO 50 - •_-- ov5 9 a- ®- 9 = -� Z p<; __—fl KOO 3 7 �W114- na �N Z p ®@ b6b6 `S LDD�dm:�, 4rn �C) Iro In�l I ? O yFtilO�', � ;0 Z 3 pz I i Iyy es � s ; i s O OL I irn segosem m z� 70 I rn pNi —I- --'� P y=6�bA6l = O O p I lzlrr�9 I I I I I fill Z� I I I I I 1 I pm nip, za z z-� c 0 z •r ••- DESIGNED/DRAWN BY: 00 a NEW ADDITION/REWYVATION FOR: Z o 0 MR.MARK PACI 0 DEREK RYONE DESIGN COMPANY 127 POINT HILL ROAD 'b P.O.BOX 1951 26 OLD CHATHAM RD. —A a y BREWSTER,MA. (508)221-6924 WEST BARNSTABLE,MA 02668 z y f e� 5 6 E 01170 c, D - _ 1- arn: Y (� �-= aEK � rc rn Wan- 1 u ll ?x cz rn rn F. rn rn � 3 IN MwJ �i �I ,•t� .:� Q$Ie L� a �� � a 3" rn aR �i � R5 O z O �€ m S. � �'T•--- �' -�` '.ram `'S�—'"ram` r r_- zz Wm ; F` k� •, •••'° DMGNBJ/DMWN BY: NEW ADDITION/REMATION FOR: D m m MR.MARK PACI N s DESIGN 127 POINT HILL ROAD "'j P.O.BOX 95511 26 OLD CHATHAM RD. O BREWSTER,MA. (508)221-6924 WEST BARNSTABLE,MA 02668 1„ I ^Q �. (p �- z.xn N N xscs u IXgT..- { a a �_ --- ---� — . m rn �og rn 5 JO �rrz evcv i+ S2 -n ^� §�O L Q �C mrzn �€ li .. �g gig66 O I�� 70 o - Z R — a t oz L94— a R R ti azvuw M �° Z Q 7 D N Icyji I � � � S moo�omn6m Srn I SY ❑ ❑ O O Z ? 1 t :� prz� I o Oa8s S^®°�ii QO4b 9 I o Rlmz 6§ ��N.. O 1 O rn�c 1 �e O1066 A f11 _ 70 I I i U -D v 1 Jag I I I 1 I I OA I I 1 j0 I I Tn I m ,91 Oro sva.o 2a Liz c 0 z a NEW ADDITION/RENOVATION FOR: r nz DESIGTNE(DRAWN BY: Du MR.MARK PACI � DEREK RYONE DESIGN COMPANY e b 127 POINT HILL ROAD '-0 P.O.BOX 1951 26 OLD CHATHAM RD. BREWSTER.MA. (508)221-6924 WEST BARNSTABLE,MA 02668 z Assessor's map and lot number ..% ... �I....� .�. �C�� THE 7 / _ �pF tp�1r Sewage Permit number ...N�! . .�� .... .y ........... SEPTIC SYSTEM EAU INSTALLED IN COMP ABLE, House number ........1. ..,1. ............................................... WITH TITLE 5 90 "b a o� O }9• \0 ENVIRONMENTAL COD a' TOWN OF BARNSTVWLRE-, ,,,LATl0NS BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................CQn.$:tXV.dt7.A.a..Of..a-gcarage........... ............................... TYPE OF CONSTRUCTION .........Ctre.. ed... �e.....�IC4................................................... April..1.........................t981.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 127 Point Hill Road W. Barnstable MA Location ........................................................................................................... .......................................................................... to house cars ProposedUse ............................................................................................................................................................................. Zoning District Barnstable Fare District .........Barnstable Name of Owner ... Michael F. Gibbons Address 3dx. 127 Point Hill Rd, W. Barnstable Name of Builder Same .......................Address ..................Same....................................................... Name of Architect ......DaVld Waite .Address Attleboro, MASS. ........... .................................................................................... Number of Rooms Foundation 22'X2�+. concrete .................................................................. .............................................................................. Exierior White cedar shingles ..Roofing ,....red cedar shingles ................................................ ..........,............................................................ Floors concrete ...................Interior i Heating ................none....................................................... ..........................n.one............. ............................... Fireplace none PP $ 7000.00 .................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ---------------___-----------19_______ . Area ...... ................... Diagram of Lot and Building with Dimensions Feel .................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH see attached plans CT 17� I hereby agree to conform to all the Rules and Regulations of the Town of BarArrdinghe above construction. Name ........................ GIBBONS, MICHAEL F. No .229.84.. Permit for BUILD" GARAGE ................................... Accessory to Dwelling Location 127 Point Hill Road :` ......................................................... . .... r .6 West Barnstable .....................................F........................................ t-t ♦-1 T ../ �-. ti C1 { y, G 0 Owner Michael F. Gibbons =- C., �' v Type of Construction .Frame • • ............. ........ 6` t ............................................................ Plot ...4....................... Lot ................................. April 3, r Permit Granted •�19 81 Date of,Inspection .................... ....119 - Date Completed ............... `CS��, "f19 N PERMIT REFUSED 4_ c ........ . . .....S. ...........................Al... 19 ......... . �... ... .! .: ........................................... Cj . �................... ......... ". ........ s b1 ............................................... .......... .. .. t.$t.Y . ............................................ r pp tiP ... ............................................................ ........................................................ �; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # s`to I� Health Division Date Issued v Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �� Historic - OKH _ Preservation / Hyannis rn Project Street Address ` �, �, I c Village c �' Owner A�[C �A�( Address )a`7 Poi n hi (I 12d, Telephone Permit Request k O o• ri F� � sevrre��� bkkn�i Y 41 ej 4f- Lr�vre_ Wo,K .�v be- d6fi t- Square feet: 1 st floor: existingproposed .2nd floor: existing 130. proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �, -� Construction Type —; Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting docurr ntation. , - _ cn Dwelling Type: Single Family 9"' Two Family ❑ Multi-Family (# units) f Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway:�0 Yeso❑ No Basement Type: C/ Full ❑ Crawl ❑Walkout ❑ Other a `+ Basement Finished Area(sq.ft.) / .Basement Unfinished Area (sq.ft) rn Number of Baths: Full: existing new Half: existing / new4 Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count J Heat Type and Fuel: ❑ Gas CrOiI ❑ Electric ❑ Other Central Air: ❑Yes Ci"N' o 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 Telephone Number7�' ��'�,��: I Address �� �� Def. License # &V:4 DCELnts ,6: Home Improvement Contractor# r(R� Email orker's Compensation # 2,500- 7 ('0ni v ALL CONSTRUCTION DEBRIS RESULTING FROM TH S PROJECT WILL BETAKEN TO *AIC49 SIGNATURE DATE ov I, FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED i MAP/PARCEL NO. ?. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL *FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ` Town of Barnstable "'E' ti Regulatory Services. Richard V. Scali,Director 1VGt(9`". Building Division eC/ l� IP 1639. �0 �� i°tE .1A Tom Perry,Building Commissioner ��/ 200 Main Street, Hyannis,MA 02601 �, /sfq �'��cA www.town.barristable.ma.us OGj��O R0"4 T Office: 508-862-4038 Fe'�R : ��: 508-790-6230 PERMIT# FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Village 0 4 ArnfAi9.0 MONLK41,k sop 4L? 53 Property owner's name Telephone number (nA P 1 Zlo / pAr" L- 44, Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? N4 Old King's Highway Historic District Commission jurisdiction? N 0 You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:040914 Town of Barnstable Geographic Information System February 29,2016 126075 #36 126077 #76 126076 126080 #56 #58 126078 RyonY #79 CIR 126082 #36 126087 #74 126079 S #73 e J� \ 126081 J-1 #51 126088 #94 126089 126083 #29 #116 126090 #134 126091 ® #150 260973 eel 1#61U52 #93 .`DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:126 Parcel:079 boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:MONCHOLI,ROSA AMPARO Total Assessed Value:$372200 Selected Parcel N 1'=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property, Co-Owner: Acreage:1.01 acres Abutters tltif boundaries and do not represent accurate relationships to physical features on the map Location:73 RHODY CIRCLE such as building locations. Buffer �% �� c� -- �_ 3� � � � � � ti Town of Barnstable WE r)e4 ' ti Regulatory Services � � > > o o; Richard V.Scali,Director Building Division gUILDINP DEPT. 1639. iOtE 3.�a Tom Perry,Building Commissioner I I ��� 200 Main Street, Hyannis,MA 02601 l'Q 0 www.town.barnstable.ma.us TOWN OF BARNSTABLE Office: 508-862403 8 Fax: 508-790-6230 PERMIT — " 5 FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less- Location of shed(address) Village -7 7V-- 9 Y-(?I q7 Property owner's name Telephone number Size of Shed Map/Parcel ff Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign-off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN i Q-forms-shedreg REV:040914 Docket No. Commonwealth of Massachusetts CITATION ON PETITION FOR BA16PO343EA The Trial Court FORMAL ADJUDICATION Probate and Family Court Estate of: Barnstable Probate and Family Court Kenneth Paul Rogers 3195 Main Street PO Box 346 Barnstable, MA 02630 Date of Death: 02/02/2016 (508)375-6710 To all interested persons: A Petition for Formal Probate of Will has been filed by Robert A Papp of West Barnstable MA requesting that the Court enter a formal Decree and Order and for such other relief as requested in the Petition. The Petitioner requests that: Robert A Papp of West Barnstable MA be appointed as Personal Representative(s)of said estate to serve Without Surety on the bond in an unsupervised administration. IMPORTANT NOTICE You have the right to obtain a copy of the Petition from the Petitioner or at the Court. You have a right to object to this proceeding. To do so,you or your attorney must file a written appearance and objection at this Court before: 10:00 a.m. on the return day of 04/20/2016 . This is NOT a hearing date, but a deadline by which you must file a written appearance and objection if you object to this proceeding. If you fail to file a timely written appearance and objection followed by an affidavit of objections within thirty(30)days of the return day,action may be taken without further notice to you. UNSUPERVISED ADMINISTRATION UNDER THE MASSACHUSETTS UNIFORM PROBATE CODE(MUPC) A Personal Representative appointed under the MUPC in an unsupervised administration is not required to file an inventory or annual accounts with the Court. Persons interested in the estate are entitled to notice regarding the administration directly from the Personal Representative and may petition the Court in any matter relating to the estate, including the distribution of assets and expenses of administration. WITNESS, Hon. Robert A Scandurra,First Justice of this Court. Date: March 07, 2016 ,V Anastasia W Perrino,Register of Probate t PUBLISH ONLY THE CITATION ABOVE f t Robert A Papp 1917 Service Road West Barnstable,MA 02668 r , MPC 560(6/8/15),_ nanp 1 of q Commonl4with of Massachusetts Registry of Vital Records and Statistics State File# .1016005071 p s CERTIFICATE OF DEATH . s2 Registered#. 76 Form it-30108012015 PlaceojDeatb CAPE COD HOSPTTAL,BARNS TABLF, MA DoteofDeath -FEBRUARY 02,2016 Age. 71YRS Ser MALE GirrentName ROGERS KENNEM PAUL SurnameatBirthorAdoptlon ROGERS AKA — F Birthplace LYNN,MASSACHUSETTS o Residence 1917 SERVICE ROAD,BARNSTABLE,MASSACHUSETTS 02669 10 Race Education WIM BACHELOR'S DEGREE o Marital Status Occupationllndrethy NEVER MARRIED 1FId'11gNTARY SCHOOLTEACHER/EDUCATION Last Spouse—Last,First,Middle(S:awneatBh'thorAdoption) Decedent:U.&Veteran(MostRecmt) — VIETNAM MothenTarem Name—Last,First Middle(&rrame atBirth orAdoption) Birthplace MMATIA, PAU1HM GUAY(GUAY) MAS S ACHUS ETTS Father/PatenrName-Lost,First Middle(StawomeatBin*orAdWfion) Birthplace ROGERS,KETTH BURTON(ROGERS) IOWA PartLCauseofDeoth—Sequentiallylittimmediate came then antcedent causes then underlykgcatae lumnvibonw"one mddwtb i.tmnedine Crme(Fml caodiem:en8 is CARDIAC ARRHYTHMIA —MEN. b.Doe ID or aaa ceawgwme ak. ATRIAL FIBRILIATION —YRS. . - e.Daeboraaae .omegoeaoe o£ CORONARY ARTERY DISEASE =YRS. ac dDmoorasacamegaemeof. u INSULIN DEPENDENT DIABETES —YRS. PartH.Othersigniilcaniconditionscomw&tingto death butnotresulffnginunder4dngcause MannerofDeath: v —~ NATURAL c E TYmeofDeath: 02:41 AM Resultoflnjury: NO Certifter CRAIG S.CORNWALI, MD Lic# 150340 Addr. 27 PARKS TREET,BARNS TABLE, MASS ACHUS ETTS 02601 Funeral Licensee(Designee DAVW A CASPER Lie# 6562 c FaciUry/Addr. CASPERFUNERAL,'AND CREMATION SERVICES,BOSTON,MASSACHUSETTS ImmedawDisposirion CREMATION- 0 DateorlmrpediareDisposition FEBRUARY 04,2016 Place/Address ST.MICHAFL CREMATORY, 500 CANTERBURY STREET, BOSTON,MASSACHUSETTS 02131 • Dare ojRecord FIDRUARY 09,2026 DateofAmendment — CLERK, CITY OFBARNSTABLE I,the undersigned,hereby certify that I am the Town Clerk for the Town of Bari state,64, s''ff�lr,, siody of the records of births,marriages and deaths,required by law to be kept in my office;and I do hereby certify that the aho(e is a rmo.ny frorii said r*ords. WITNESS:My hand and the SEAL OF THE TOWN OF BARNSTABLE - A TRUE COPY ATTEST:at Barnstable,Massachusetts Ann k l�airk,Town Clerk,Barnstable (If the Seal is not raised,this document has been illegally copied-do not accept it.) r .- � . • .S,E'�>//cam 2� --���'y 11 - • \ �♦ IY' � Sys..;�• IV i Ole 143 Viz. FtICNARD ,\;! .o ALAN G\ ;- Rr�. aI u ti ,.�j Q CG GtBAGE GR�ND62 ' u JOY. 3 v G.R p 4G� x 3 ; .� $. Y 330X15o'/. = A97C�.Ro FjEP.T�vsc—Pw�K = , �000 GAS-. ca15Po5AL� PtT v•5E �TTvy,42.�A � G.P�• • I�3s� X a•B.3 _ �� Tor� - �1N Gi RICHARDA. >;•, ALANW. �. I a P,AXTER ��'�; ;i JONES v �N0.2.043O G� P No. 25100o . • �C��YE�ell�1'[' .CIS v`. �evrty+� To P I►v• /dn f �/tip ; F R3SG� 10 ou INJ. C,A l.. AO(p.s. LOB DIbT. SCVT►C. Ou�C �Q .fANK 1 EAG�1 INV. INS/ P tT 13g.Z ,/T T wITLI , 132 • �� � � Co --��� CEQTIpIGD pl.oT P1..Ati L o C A"T I o t" �jCA.LE •, N p' SCALE �- 1Z.EN G>✓ / Pt_AN REPS oT / t~1�R60N GC,MP�-�5 1r11TN�NE S10ELt1-►� AuD S z — It t . is �A�.ID J II'q/ 1.,OCp_►TED •WITNI�.� o0o PI_a.IN gp�XTE�c p.l`(E INC. �3. `Z.EGISZ�Q6V �.p.N PAT DSuQ.VE`� L •SS. 03TEQ-V11-� n.N I S NorT e>N5P;p old �-FSETS su0U0 NT 4 st4el -TNE o - oT -►NE-S APP�-IGA _ .. � „crOTO DETEW RACAM-1 OP ID:MD r0DhTl�E(Mmmiam") o' CERTIFVICATE OF LIABILITY INSURANCE /03l2016 IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS :RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsements. PRODUCER CNAME Of W.Scott.Kerr Kerry Insurance Agency Inc. PHONE 506-255-tj000 FAX No); 506-240-1860 P.O.Box 1946 EMAIL AIL Eastham, MA 02661 AoDRess:kerryac4.net W.Scott Kerry INSURER(S)AFFORDING COVERAGE NAIC V INSURER A:ASSociatedEmpl0 ersinsurance INSURED R.A.Campbell Enterprises Inc. INSURER 0; Ryan A.Campbell INSURER0: 126 Sayrldge Drive South Dennis,MA 02660 INSURQRD: INSURER E; INSURER F: COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TR TYP80FINSURANCE BURR POLICYNUMR2R POLICY MWD LIMBS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE OCCUR PREMISES occurrence S MED EXP(Any one person) S PERSONAL&ADV INJURY $ OEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE f POLICY E]PER`0r- ❑LOC. PRODUCTS-COMPIOPAGG S S OTHER: AUTOMOBILE LIA13ILFTY fE SINGLE LIM S a accidentl BODILY INJURY(Per person) $ ANY AUTO ALLOWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NOO"WNED of �enDAM g HIRED AUTOS P AUTOS 5 UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESSUAB CLAIMS-MADE AGGREGATE i DED REMNTION S 8 WORKE RS COMPENSATION X MUTE ER AND EMPLOYERS'LIABILnY YIN CC60050097082016A 01/11/2016 01/1112017 EL.EACH ACCIDENT $ 100,00 A ANY PROPMETORIPARTNER/EXECUTNE ❑ NIA OFFICER/MEMBER EXCLUDED EL DISEASE.EA EMPLOVEd s 100.00 (Mandatory in NH) If yes deacAbaunder E.L.DISEASE-POLICY LIMIT $ —a 500,00 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Rm 8*9 Schedule,ntay be attached If mare apace le required) ^ ` Carpentry :? l • ' t w CERTIFICATE HOLDER CANCELLATION TOWN-01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town Of Barnstable Building Department AUTHORDEDREPREMTATIVE 230 South Street Hyannis,MA02601 9D1998-2014 ACORD CORPORATION- All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration: j63732 Type: Office of Consumer Affairs and Business Regulation xpiration: :,7/17/2017 : Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 R.A CAMPBELL ENTERPRISES-INC: RYAN CAMPBELL 126 BAYRIDGE DR. SOUTH DENNIS,MA 02660' Undersecretary of va d hout signature Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-093716 Ryan Campbell - 'y 126 Bayridge Driess South Dennis MA=0266�d i..G..� .. Expiration Commissioner_ wor0 2m" i The Commmnwealth of Massachuseta Dgarfinent of Industrial Accidents Office of Lvestigadons -600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/PIumbers Applicant Information J PIease Print Legibly Name(Business/OrganizationAndividual): �• /j,�:�/� ¢�,y r/ L i Address: City/State/Zip: p , I�.n✓?�S !11f d 104hone#:_ 7�C�Zl Z'=-33Z� V,ey an employer?Check the appropriate box: Type of project(required): m a employer with Z - ' 4. ❑ I am a general contractor and I 6. ❑Ne coon employees(full and/or part-time)* have hired the sub-cofactors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t ?• Qf9modeling ship and have no employees These sub-contractors have S. 096putolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL t I.❑Plumbing repass or additions myselE[No workers'camp. c.152,§1(4),•and we have no 12.❑Roof repair `�' insmantx tegnired-1 t employees.[No workers' comp insurance required.] 13.0 Other 'Any applicant that cheda box#1 must also fin out the sd�ou below showing lfi*wanner'compensfim Policy kfi m liom t Homeowntas vho submit hits affidavit indicating they ate doing all wort and then hhe outside contractors twist submit a new affidavit indicating such. ZContraciots that check this box imr_st attadhed an additional sheet showing the UK=-0f the sab4M tactors and their vwrkms'comp.policy hfiormatioa I fo an unployer th iirformati`on. at is provi&ug worker's'cOvVensadOn insurance for my m ptoyem Below is the porky and job site � - Instance Company Name:_ r, Policy#or Self-ins.Lic.#: W�( �9'f f Expiration Date: Job Site Address•-1A7 �o, �( IQ� City(State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine ap to$1,500.00 andlor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to M0.00 a day against,the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby e j and penalties ofpadury that the Wormadon provided ov is tote and correct Si Date: Phone 7. —of/ .Y O,�rckI use only. Do not wr&eI &&area,to be eotripleted by cep or town of tcw City or Tow w PermlMleense# Liming Authority(circle one): 1.Board of 1Tealth 2.Building Department 3.City/Town Clerk 4 Electrical Inspector S.Plumbing Inspector 6.Other Contact Persons: , , N 30 1Vd 10 Atlantic rive. South Yarniouth;MA 02664 facampbellenterprisesinc@gmail com: 7'74,212-3321 i IARK PACT 127 POINT HII'T;RD WEST BARNSTAHI3 E.;ATA DEMO: Remove and store all the furniture on the first floor and basement. Remove all the dainaged wood, sheeiroclt and insulation effected by the,water, break.. • Repair the,pipes and`h'eitting pipes to test the heatinn�system. • Run blowers and dehumidifiers in the house;to dry!out all the framing anti plywood, Wait for insurance paperwork-before putting.building back together. o i'otal for demo: $15;000.00. Contractor: Home'owner'. i i 4� 137' �V lQ a `d rue i i i i i J µ J R I i 1 1 . 30 / - 1 f - • � yi I ° U s A � W o s°� S i 7 5 y f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel V� Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis ' Project Street Address Village Owner G:6b Address 5.,. Telephone 3C4-)1-715 Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ]' Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Stru ure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No BasEVent Type: ❑ ull EllCrawl ❑Walkout ❑ Other r BaseWent Finished A ea (sq.ft.) Basement Unfinished Area (sq.ft) Numi�r of 9aths: Fu :`ce cisting new Half: existing new Numbof bedrooms. `►_ existing _new Total F&m Count (not'i ri�cluding 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: 0 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 Mike MeCartl ., Cone*ruictiion Telephone Number PO Box 52 wesAddress _ MA 02670 License # Cell (508) 280-6964 _58633 Home Improvement Contractor# ICSLEmail Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE z: .. r ti FOR OFFICIAL USE ONLY f -APPLICATION# - f f DATE ISSUED _ MAP/PARCEL N0. rr ADDRESS VILLAGE f OWNER ` DATE OF INSPECTION: - t• : FOUNDATION FRAME INSULATION s FIREPLACE ELECTRICAL: ROUGH FINAL k ' PLUMBING: ROUGH FINAL J GAS: ROUGH FINAL FINAL BUILDING. DATE:CLOSED:OUT ; ASSOCIATION PLAN NO. r ' f . . 9" Town of Barnstable °4 Regulatory Services A� Richard V.Scali,Director 263 �0 Building Division Tom Perry,Building Commissioner 200 Main Street,Uyunnis,MA 02601 www.town.barnstablema.us Office: 508-862AO38 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usin-ABuilder I t, ICinu�� !'1�F7tM -- -..._...._... ,ac()curer of the subject propnity hereby authori7x. _ to act on mybehalf, in all.matters relative to work autho y this binding permit application for. jrL.Iat 44.11 Rat W2u,1Hs-&L MA (Address'of fob) 'Tool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final Zinsci io erformed and accepted- o er Signature of Applicalit rint Name Print Name k l� to- 2c it{ Date QTORMS A1LNTRPFUtMISS1ONPOULS Massachusetts -Department of Public Safety Board of Building Regulations and Stan dards r Construction Supervisor License: CS-058633 1 Is MICHAEL J MCC,AR PO BOX 52 ; W DENNIS MA 6267; .1 _ t. Expiration Commissioner 04/10/2016 r,Aee/.1-Pi ell n' Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiration: 6/16/2015 Tr!/ 238121 -MICHAEL MCCARTHY MICHAEL MCCARTHY - - P.O. BOX 52 --- — WEST DENNIS MA 02670 ---- / Update Address and return-card.Mark reason for change. Address Renewal "Employment Lost Card -- SCA 1 Co 20M-05/11 �T The Commonwealth of Massachusetts Department oflndustrial Accidents Of/lee of Investigations 600 Washington Street Boston,MA 02111 wwlv.rr:ass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers Applicant Information Please Print LeLribl i Mike- McCarthy Construction Name(Business/Organization/Individual):_ PO Box 52 Address: West Dennis, MA 02670 City/State/Zip: CSIpht§§#3 HIC-169393 Are y u an employer?Clteck the appropriate box: Type of project(required): 1.&I am a employer with-- 4. [:] lam a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole propridtor or partner- listed on the attached sheet 1 ?• ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity, workers'comp•Insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its ME]Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I LE]Plumbing repairs or additions myself.[No workers'comp. c.152,§1(4),'and we have no 12.❑R °f repairs insurance required.]t employees.[No workers' l3.( 'Other comp.insurance required.] *Any applicant that chodz box#1 must also fill out the section below showing their workers'compensation policy lnforrnadon. t 1lomcinvners vdio submit this affidavit indicating they are doing all work and then hire outside contractors mast submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub•contractars and their ymkere comp.policy lydnrmation. lam an employer Mat Is providing workers'compensation insurmice for my employees. ,Below Is the policy and job site Information. Insurance Company Name: •n �� v� Policy#or Self-ins.Lic.ff: VWL 1ecs\-I(�dt1t; �'`�� Expiration Date: 1�Job Site Address: 12� �..�— • t City/State/Zip: t 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 ofMGL c.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 up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certo11V1(( aenables of perjury that the Information provided above is true and correct Si ature; Date: 12,It Phone M Of lcial use only. Do not write in this area,to be completed by city or town offlciaL } City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector r 6.Other - Contact Person: Phone#: f co pR CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD"YYY) `� 07/10/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 01962-001 NQ��/►CT Bryden&Sullivan Ins Agcy of Dennis Inc ;J8.Jo,E,t: (508)398-6060 ,No,: (508)394-2267 PO Box 1497 �"S{ ss: So Dennis,MA 02660 INSURERIS)AFFORDING COVERAGE _NAIC# INS RE A: A.I.M.Mutual Insurance Company _ _ 26168 INSURED INSURER B: Michael McCarthy Construction Inc INSURER C: P 0 Box 52 INSURER D: West Dennis,MA 02670 INSURER E: INSURER F, COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N07MTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHCR DOCUMENT WITH RESPECT TO 'A I-IICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE I yP wo POLICY NUMBER ANC 9511 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PR I occurrence) _ CLAIMS-ME OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ --�OLICY CT' 1'.00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ i a accident) _ ANY AUTO _ BODILY INJURY(Per person) $ AALL UTOS NED SCHEDULED BODILY INJURY(Per accident) $ AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS aMI UMBRELLA LIAR H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ p I KDDEEERRDgg ooMM RETENTION $ y�gT ON $ AND EMPLOYERSVUABIUTY X TORY LAS OER - ANY PP JJ�/P&nSp(ECUTIVE YIN E.L.EACH ACCIDENT $ 500,000.00 A o lc u�Lu ) Y N/A VWC-100�017656-2014A 7/17/2014 7/17/2015 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000.00 YWCAMObeN 109PERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,orio.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space Is required) Workers Compensation Coverage applies to MA employees only. CERTIFICATE HOLDER CANCELLATION Thielsch Engineering 195 Francis Avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cranston,RI 02910 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD oFrru roy Town Of Barnstable �d,�t#US�3 O ls.rpires 6 n�anlhs'jrours isue lnle Regulatory Services ree ^�" 73.AI�asrtiurs, 1659- Thomas F. Geiler, Director Building Division Tom Perry, CBO, Building Commissioner O� 200 Main Street, Hyannis, MA 02601 www.town.barnstable,ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY No! Voiid without Red X-P.resr/mprinl Map/parcel Number L-P ' 2- 1 Property Address c;, I�c I h cuc _ Residential Value of Work �q ,DiLZ , D0 Minimum fee of$35.00 for work under S6000.00 Owner's.Name & Address �A r, Contractor's Narne Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License #(ifapplicable) � . ' T_ , a a°°� p ❑Workman's Compensation Insurance Checl< one: T + l.0 ❑ I am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request (check box) ❑ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to ❑R -roof(hurricane nailed) (not stripping. Going over existing layers of roof) Re-side tl of doors ❑ Replacement Windows/doors/sliders. U-Value _(maximum .35) #of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations, i.e. Historic,Conservation,ctc. ***Note: Property O/n , Property Owner Letter of Permission. A copy o tNoovement Contractors License & Construction Supervisors License is equir SIGNATUIZG: QAWI'PILE31r0RMSlbuildin pcnnit fonnslEX Revised 072110 The Conenroirwealth of ATi7ssachuselts ---- Department ofln-dustrialAccidents t-- Office of Investigafions 600 Washington Street ( r •:. �; Boston, ALA 02111 iI,n-,{'.,-nass.gov1dra Workers' Ccimpensati.on Ins=nce Affidavit: Builders/Con.tr:,lctoi-s/Elecctlzciaus/Pltimbers Apphcant Information Please. Print Legibly Nance (Business/'OrgauL-ationgntiividctal): k1( C 100bp S Address: City/State/Zip:\�J-, \ ('V\oP'\)kE Phone #: �02 j(G Z-9 J l' Are you n.n employer?Check the appropriate box.: Type of project(required): 1...❑ I am a employef with 4. ❑ I am a general contractor and I ervployees•(fuli and/or part=tirue). * have hired.the sub-contractors 6_ .New constnrc.tion 2..❑ I am a sole proprietor orpttrtnef- listed on.the a4:ta-ched sheet. 7_ ❑.Remodeling ship.a.ncl have no employees These sub-contractors have S. ❑.Demob ion lV5C lag :for the in auy capacity, ervployers and have workers' o workers' comp.insurance comp_insurance..? 9. ❑.Building addition fedttired.] 5. ❑ W e are.a corporation.and.its 10.❑Electrical repairs or additions 3. I am a.homeowner doing all work officers have exercised their I LEJ Plumbing repau-s or additions myself. [No worktus'-comp. right of exemption per it4GL 17 ❑Roof repairs ins.urmce:regwmd.] t c. 152, §l(4)., and we have no employees. [No workers' 11❑10ther camp.insurance required.] Any applicant thatchecls box#1.must also 5llout the section belo';v sbasving iheirworkers'compense.tion policy infonwtian- t Homeowners wbo submit Ihls.affidavit indicating they are doing all wor%and then hire outsidecontraclors must submit.a stew affidavit indicating sucl>_ "Contractors that check this boot must attached an sddilionsl:she.et showing the name of the sub-contractors said stale trhether or not(hose entities have envlayees. If the sub.contzactors:bmle employees,ihey.must provide their workers'comp.policy number. I aan arr eNtplo.;er tltrrf is prat iciirrg roar k�rs'co��rp�r:tsalrort iresram.rrce for rrty'e�tcpla�•er�s. Belon-is lire police'artd jo.b site it formation. Insurance Company Name: Policy#or Self--ius.Lie..#: Expiration Dig:te: Job Site Address: City/State/Zip: Attach a copy of.the ww-kers' compensntion policy declaration page(s:homing the policy number and expiration date). Failure to secure coverage as required ecti•on 25.A of MGL c. 152 call lead to the imposition of criminal pena.t.ties of a fine up to$1.,500.00 and/or o - ear pri ament,as well as civil penalties in the form of a STOP '�VORK ORDER and a fine of up to$250.00 a day agar t e ol�at Be advised that a copy of this statement may:be fol-warded to the Office of Investigations of the ins nc coti�erage verification. I do ltereby c.a r top cat aatr'peat (ties of itry that the r!formation prmddeddaabot,e is it.o and co ect. Signs re: Date: Phone M Official use only. Do not trrita ill this area,to be coaaipleted bycirt or town ociaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Buildin.g Department 3. C:ityfTo«ar Cleric 4. Electrical Inspector 5.Plumbing Inspector 6. Outer Contact Person: Phone#: F Town of Barnstable Regulatory Services + g,pj;fsTABLE, w Ills, $ Thomas F. Geller Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 wivw,town.barnstoble.ma.us Office: 518-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street{ villa / "HOMEOWNER"/"� {fT� 17 _0 � village "HOMEOWNER" �(S�`� 6K�O '���I name home phone N work phone N CURRENT MAILNG ADDRESS: Of city/town state zip code The current exemption for"homeowners" was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) Who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"ho wrier" su es responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules tions. ,a4nd omeow gr"certifies that he/she understands the Town of Barnstable Building Department minimum inspection ireme is t � he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section.127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code stales That: "Any homeowner performing work for which a building permit is required shall be exempt from[he provisions of this section(Section 109.1.1 -Licensing ofconstruction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware[hat they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack ofawareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately 3 responsible. To ensure that[he homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify(hat he/she understands the responsibilities ofa Supervisor. On the last page of this issue is a form currently used by several towns. You may care I amend and adopt such a form/certification for use in your community. Q:IWPFILESIFORMSIbuilding permit forrnslEXPRESS.doc Revised 072110 �F IHE Tp� 3 HARNSTADLE, 9� MASS. Town of Barnstable prFD MP'�a Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.m1q.us- I �. @, Office:`5,08-862-4038 ' Tax: 508-790-6230 Property Owner Must Cornpaleteand Sign This Secti'b, ; U If Using A ]Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: A (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESIF0RMSlbui1ding permit formsTXPRESS.doc Revised 072110 i oFzKE rod ` `own of Barnstable *Permit# (, Expires 6 months from issue date Regulatory Services Fee BAJRtN Thomas F. Geiler, Director ESS 9q, PERMIT Building Division. MASS. �m ArEo to OCT " 6 2008 Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 TOWN OF BARNSTM www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid wuhout Red X-Press-mprint Map/parcel Number 1,36 Qo2 Property Address 1kesidential Value of Work 57(9cx) Minimum fee of$25.00 for work under $6000.00 Owner's Name &Address /` ' 19 e— --I • Contractor's Name ���"P'` lle ,,57cfi-ee,: Telephone Number Home Improvement Contractor License# (if applicable) PA/lorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 0I have Worker's y►,Compensation Insurance Insurance Company Name V �' VVJ Workman's.Comp. Policy# (00 L 01(0l ?o 1'2s00 Copy of Insurance Compliance Certificate must be on file. ' Permit Request(check box) J2'Re-roof(stripping old shingles) All construction debris will be taken to elG`. ❑ Re.-roof(not stripping. Going over existing layers of roof) ❑ Re-side r ❑ Replacement Windows/doors/sliders. U-Value (maximum..44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: QAWPFILESTOPWS\building permit forms EXPPESS.doc_ Revise020108 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Le 'bl Name (Business/ nizaEon/Ind quern: /'` �✓ lG�P�� City/State/Zip: L�� Phone �� Are you an employer? Cb.eck the appropriate box; 'type of project(required): I a- —am a employer with L 4. I am a general contractor and I 6 New mnstmction . employees(fall.and/or part-time).* have lured the sbb-contractors 2❑ I am a'sole proprietor or partner- listed on fire attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 9. Demolition employees and have workers' worldng far mt:in airy capacity. 9. ❑Building addition No workers' camp.mtt cranrC comp.rn Crrrance.l 5. We are a corporation and its 10.0 Electrical repairs or additions rtg a a homeownLr doing all work] officers have exercised their 11.0 Plumbing repairs or additions 3. I am❑ myself [No workers' comp. right of exemption per MGL 12 0 goof repairs °= t c. 152, §1(4), and we have no incrtranCe r egnired] employees. [No workers' 13. Other camp.r inm nce required_] *Any appiimnt that cI=I=bax#1 taunt aka fill out the section blow showing their wor k n,corcp¢icetion policy information. t Honaeownaz who submit this off davit indicating ffiey arc doing all work and than hire outside contractors must subr t a new affidavit indicating such. tCantractnrs ibatebcckthis box amst atiachcd an additional sheet showing the name of the sub-contrattors and slate whether or not thosd entities have arployces. If the svb-eontractrns have=OPIayees,thry must provi dh their wvrkus'comp.pD5cy numbcr- I iun art employer that is providing workers'compensation insurance for my employees Belaw is the polity and job site information. lncnran=Company Name V'J Policy#or Self--ins.Lic.#: (9 Q(g Expiration Date: I Job Sit--Address: I City/Sta&Zip:— l � 1(/� �� Attach a copy of the workers' compensation policy declaration page(showing the policy number and ezpiration date). Failure to secure coverage as requnrd under Section 25A of MGL c. 152 can lead to the imposition of Criminal pcnaltics of a fine rip to $1,500.00 and/or one-year imprisonmLnt, as well as civil penalties in the form of a STOP WORK ORDER and a fi of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverer a verification. I do hereby certify under a pains-and penaldes cf perjury that the informations provided above is true anal correct Si c: Date: — Phone#: 7— Officlat use only. Do not write in this area, tb be completed by city or town of xIaL City or Town: Permit/License# Tsming Authority(circle one): 1.Board of Health 2.Building Department 3. City/Towu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Phone#: �4}a�- �12E -(967IUIYCO�I2l!/CG.GisL 0����Cf2LldP,ttd..... � � .. Board of Building Regulations and Standards r3-= Construction Supervisor License Li6� 1 CS 60986 } Birt1N1/1963 s�f E•zpiration1%00941 Tr# 2403 * pResf ti6h=002. ROB ERT J ROBICHEAU,1 f 91 PINKHAM RD SANDWICH,MA 02563 Commissioner aanjuu2is;nogl!m pgen;ou ! aoae,tslulwpd '£9SZ0 dW'yolMpueg Zp•eye luolsou MCI WH aaeld uojjnggsd aup i IZEZ£l #4 600Z/84/_9 uol;ealdxg sp►epue;S pue suotaetn9ag llutpjmg jo paeog 1.04bZ1 ":u01;ej3s160b :o;uin;ai punoj jj •a;ep uopeaidxa aq;aio;aq UO13"1NO3 iN3W3A0a WI 3WOH ,Ciao asn tnp!n►ptil.to;Peen uo1;e1;s►2a.t ao asuaa1Z spiepuetg pue suolaelnfla-d 2ulpling to pleog yr����n�ovv� �o %�nr"'reo°x`veu,°Gl. axj� CE�RT ' �I 4 ATE F IN`S , ME ISSUE DATE 08/26/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF-INFORMATION ONLY AND United Insurance Agency Inc CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE PO Box 1013 DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Buzzards Bay,MA 02532 � POLICIES BELOW. ' COMPANIES AFFORDING COVERAGE INSURED Robert Robicheau dba RJR Construction COMPANY A A.I.M.Mutual Insurance Co 91 Pinkham Road LETTER' Sandwich,MA 02563. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR'THE POLICY PERIOD INDICATED;NO i WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF AIdY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER'f1FICATE MAY BE ISSUEll OR MAY PEk1'A1N,1'HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co LT TYPE OF INSURANCE .POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE(MM/DD/YY) DATE(MMIDD/YY) L151ITS GENERAL LIABILITY !EACH RAL AGGREGATE QCOMMERCIALGENERALLIABILITY UCTS-COMP/OP AGG. Q CLAIMS MADE=OCCUR - ONAL&ADV.INJURY Q OWNERS&CONTRACTORS PROT. _ - OCCURRENCE FIRE DAMAGE(Anyone tire) O •. MED.EXPENSE(Anyone person) .. _ AUTOMOBILE LIABILITY _ •,.. - i COMBINED SINGLE .. LIMIT HGARAANY AUTO ALL OWNED AUTOS BODILY INJURY GE SCHEDULED AUTOS (Per person)HIREDAUTOSNON-OWNED AUTOSBODLLY INJURY LIABILITY (Per accident) PROPERTY DAMAGE EXCESS LIABILITY - _ - EACH OCCURRENCE, UMBRELLA FORM - AGGREGATE. OTHER THAN UMBRELLA FORM WORKERS COMPENSATION ANDa ° " b `ism N `' # EMPLOYERS LIABILITY TATUTORY LIMITS. THER X HE PROPRIETOR/ A A1trJEmexEcvrTve. EL EACH ACCIDENT 100,000 FFIctE MCL �EXCL 6010768012008 01/14/2008 01/14/2009 'EL DISEASE--POLICY LIMIT 500000 EL DISEASE--EACH 1 OO OOO EMPLOYEE , COMMENTS/DESCRIPTION OF OPERATIONS OR LOCATIONS: tOBERT ROBICHEAU IS NOT COVERED BY.THE WORKERS'COMPENSATION POLICY. NGELLTIpih1 �F :: HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE OWN OF BARNSTABLE HEREOF,THE THE COMPANY WILL ENDEAVOR TO MAIL IS WRITTEN NOTICE TO THE CERTIFICAT OLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION R LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. )0 MAIN STREET YANNIS - /�''�'�..✓MA' 02601 UTHORIZED REPRESENTATIVE i �0*THE 7, Town of Barnstable Regulatory Services r s TA LF'� Thomas F. Geiler, Director 0 9. 16 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: S08-862-4038 Fax: S08-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L -- A-1 c ��S ,.as Owner of the subject property gic C(�,, ( �.L� (, to act on m behalf, hereby authorize y , in altmatters relative to work authorized by this building permit application for: (Address of Job) o � i e o er Date �k Q-AA RE n S Print Name If Property Owner is applying for permit please complete the Homeovirners License Exemption Form on the reverse side. ' Town of Barnstable Regulatory Services -� swttrtsrwsre Thomas F. Geiler, Director MASS. Building Division PTFo �n Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 wym.town.b arnsiabl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION i� please Print / � I DATE: 0�-7 JOB LOCATION: 1 ` number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on'which he/she resides or intends to reside, on which there is, or is intended to- be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws, rules and regulations. The undersigned"homeowner"certifies that be/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official ; Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the. State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a parson(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the fcsponsibilities of a supervisar(sec Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would With a licensed Supervisor. The homeowner acting as Supevisor is ultimately responsible. To ensure that the homeowner is fully awarz of his/her responsibilities,many communities require,as part of the permit application, that the homeowner citify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forn✓certification for use in your community. •`��„�•�'`�e TOWN OF BARNSTABLE permit No. _w20376 t n.»r.>z Building Inspector cash ghAa oo (owner i/14 �AA rua OCCUPANCY PERMIT Bond _ No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Michael Gibbons Address 15 Sunflower Rd., Holbrook, MA 126 Point Hill Road, West Barnstable Wiring Inspector (�� Inspection date �,/� Plumbing Inspe o 1 1 Inspection date ` Gas Inspector f > Inspection date Engineering Department --��/ Inspection dated/_ THIS PERMIT WILL NOT BE VALID, LAND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. / // 7 _..Y. . ._.._. ._..._, 19_r Building..Inspector . FROM TOWN OF BARNSTABLE F BUILDING DEPARTMENT Mr. Michael Gibbons 397 MAIN STREET, 15 Sunflower Road HYANNIS, MA 02601 Holbrook, MA Phone: 775-1120 L SUBJECT-, FOLD HERE DATE January 23., 1979 MESSAGE It has bedn brought. to my attention that your house number is incorrectly listed on your Building Permit. The correct house number is 127 Point Hill Road. f n SIGNED DATE REPLY SIGNED N87•RMI RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. Asse'stjot•'s map and lot number .. .., �o.... . OFfNETO Sewage Permit number ...1�aye.. r / / Z BAUSTADLE, i House number .........L ..rj.. .......................................:... Nava 9 Apo,1639. e�0 TOWN OF BARNSTABLE Y-BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................ AX1 i3 U .Viz?:: ...A:..g.F?4r.,ge!r,,............ .......................... TYPE OF CONSTRUCTION .... � '�8d• e4 .. . . • ,. •�,. : - � Aril 1 �. ...... - , ..P...................................... 198� .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: -' 127 Point Hill Road W. Barnstable . MA Location ...........................................................................................................a......................:...............:......:............................ Proposed Use to house cars ............................................................................................................................................................................ �. Barnstable Barnstable ZoningDistrict ........................................................................Fire District .............................................................................. I Name of Owner ... M3�h el. F. Gibbons Address lik 127 Point Hill Rd, W. Barnstable P .................. ............................................................... Name of Builders ..SaTrie......... Address ... ...........same Name of Architect ......David Waite „•,Address ....Attleboro, Mass. .................... .................................................................. Number of Rooms .......Foundation 221X2 . concrete Exterior White cedar. ,shingles Roofing ..., red cedar shingles ..........................................................................: .......................................,.......................... Floors GQY1C ... 'C...... .: . . ...........:..... .........Intends ::::..... ..... ... ......... ....... ti n. Heating 210rie......................................................Plumbing ..........................n.one............................................. y none 7000.00 Fireplace ..................................................................................Approximate Cost .................................................... Definitive Plan Approved by Planning Board ---------------_______________19 Arear� ................... Diagram of Lot and Building with Dimensions Fee -i�21 �a 6 SUBJECT TO APPROVAL OF BOARD OF HEALTH see attached plans 07� POIA11— 4L to : 'w I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. g a Name/ //��.., .A.. !. jk .......................r.. .�.. ........... i GIBBONS, MICHAEL F. A=13o-21, , No 2?9 8.4.... Permit for BUILD GARA .. ...A>~cies.scary...t.o...D.wa 1.1in g................. Location ...12.7....Poi.1.1.;...Hill...Road........... ................. ....................... Owner 11i.clue.]....F.......Gi,bbor15................. Type of Construction Frame ................................................................................ Plot ............................ Lot :............................... Permit Granted 'r............t...... .......1-! 81 Date of Inspection .................. ..19 a Date Completed ..............................:.......19. PERMIT REFUSED ............................. . .......... ......... 19 ...........................�. .......................... ................ . ............ ......................... Approved ...:::.......................................... 19 ............................................................................... ............................................................................... Assessor's� map and lot number ............................................. %,INEtad Sewage, Permit number ......... ................................. / e) -,�7/ Z DARNSiLBLE, House number ........................................... MAO& H. t639- a Mid ' TOWN 0-F BARNSTABLE BUILDING INSPECTOR Ikw S OSS, z-- APPLICATIONFOR PERMIT TO ......................................P.................................... ............................................... TYPEOF CONSTRUCTION ..................................................................................................................................... ................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....................................................... ...... U-)95 7 210W S�,r-4ZZr ........................................................................................... ProposedUse ............ ................................. ................................................................................................................................ ZoningDistrict ......4�8...t.........................................................Fire District ..... ........................................................................ Nameof Owner .................................. .................................Address ................................................................................. Name of Builder ..Address ... ......................................................... 'Name of Architect/V .................................... .....Address .FR I, ;z- .................... 4.,5-- ............................................... Numberof Rooms .........................'7.........................................Foundation ............s.................................................................. CLAP Exterior ........ .................Roofing ......... .................................................... Floors ............Pl.d6...........................................................Interior .................................................................................... ..... ........ Heating ......el..�.............................Plumbing ......... ......... ... .. ... .... .. ............................................................................. Fireplace ..................................................................................Approximate Cost ..................................................................... Definitive Plan Approved by Planning Board ---------------------------- Area. ..... ................ -�, Diagram of Lot and Building with Dimensions Fee ...........& , -7s. ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH L I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rega'rdihg the above construction. NamA��%t:.......I............................................................... Gibbons, Michael A=136-21 No $U376 Permit for .....1..1/2 story...... 4 single family dwelling 'Z............ 7 Location .....�'6..Point Hill Road .......................................... Test Barnstable ............................................................................... Michael Gibbons Owner .....................�...................................... frame Type of Construction ........................ ........................................ Plot ............................ Lot ................................ 78 Permit Granted .........................................19 Date of Inspection ............ .......................19 Date Completed ......................................19 PERMIT REFUSED ............................. ................................ 19 �� ..V. A/. .............................. . ......................................... ............................................................................... Approved ................................................ 19 ............................................................................... , ..................................................................... '.Alp_ io + I �����,t � / GoM�uLT�Nb , I�►�6�t� tu "17= M 14"-8. . t1/46f #L 7J16�•PI Ka 6049elf s \ 644(, N f<•. I �pY.to Pew8+40 OF Paz: .x`1�r ► pp#lr=?1V6 vpr 4 " '� 67 ,� ;c��cl N - Irv. 10 x4,4,* 2•So = 3 , x�j•iz' ;s:.`.//]11 —'yU1 'jy.� +� �� �, �,tcp qS jr-A ALA m �'�' 4k�'1F31.1 'f2' lo F NJ IN �r� w mu.µ•at �� en�l tf,GNT�L Ti .51 5 '' i=1F�•6�• EtL• Y`� ONALENG` r IAy` 4'rPYy i•�� INV• I N�. •}� ; lo.o Z b�_ z ; � yam, ,� ,�nru�c PG, Sio Prr Y�rw _ �I I.OW all �� ` M 1;;. t.�1 v .7 pt TCNE 1�P• �, �' NO WO` Mel Yo 4 ND (PQ /%� A� J �o MO j f -- � . o �� �• .n. ,.1 �•,^�cfl �-i+ ��, sly {1�r .r - -• �, Imo✓,� � �d� � .'r��s �i "''d � - I�drl-• r 36 � / w. .bN E� �• ���•T�s GONSNLTI N6 5N61tt�1�% PON 17 AA �`� �y \���� � -:,Jam,$ Fhb';. ����:��1==- v.' 2 �c,�•_+�-��^.., Alto - I -tom!a t f:bit4T Hui �PiQ �' � ;` •iTk �� i,o _ t � �n�'�C{�•�!'�h`r'�c:-fir 'i';1+-G � P14 ��• `��� _ ;� r ` ... �L• �fj .-'7 � ✓'ems •{' •' �T�=. SDI t � FT � .•tom 14- Gtq.G;t� -�,-;__f- ?Yr/'/ R�N� �,y�=t�G E'' •�`}'cyJ IfiY�41[-. I IJ�J. - .�'" I '7 � � -. Al in S✓rr.9JCi r� ��rr�� /"eft. _.__ — ✓,�� �. r t,• + - • y � �� ,, ;•�Ali �� i .�. r.��1 G,.� .�c� aFa fG,rrx�=, ✓ff>Fo: P17 v�iTr� � �;f �� '� � >gl,o 2 of 3 "To I'1. \w6'*E=b nay W6gF-v—G7^ yW.��,�r; ..7 F'F31 yTC�1 •rDY• r Na wtcw4 • V Wf U� +!� a1,o11'� s�YY� ��.�t�'1i ���"t �•( M77 � }orsJz, I �' a �, ` 'f& • i' '/¢� r !L Y�izT• I " ` 9 qc �u w�Tv=. . i� �fi'f {rT f mil. I -fo t-"m-*N, INTo 4Tr-.6TA- I ,9F nA5':!;)uJcJcr4��• ' k f 7F , _C�_ r - T ]T cta�4 To 7i 2�r 6U 1isw- 7-y yB �'�'VrV W I ..�I% f r`C! ��L-� �:'•G�1'�^ '7��4r�.•�,.�-'ram �/- �t' --,fia. '���-,`•�� �_ i _ .. - ,.i^r`' '�h�. tea..���Y•'Y r ' Al5essoA map and lot number ....... .`. 2,% SEPTIC STEM QyoF T E roe` .y SqFwage'Permit number ...... ...f............................ fA'STALLED Musr . IN COMPLIANCE -: WITH E •�V •„ j,� a / AR C II Z BYYu5T1►DLB. i House number �.. f .� .............. -i SANITARY T TICLE STATE C 9 rAea .... RY EGULgTIONS E AND TOW) �"�aMAI ��TOWN OF 'BARNSTAB�LE BUILDI`HG IH pS;PECTOR APPLICATION FOR PERMIT TO ........ . c1 o .................................................... ...................... a TYPE OF CONSTRUCTION ............................... r^!J' ..........Y....../...........................1 i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordingto the following information: Location ..........................:w<:..,v.:v. . i. .`�......� �"..�........./.. /.' . ..� !/ ��...........................................r�./��� ._ ProposedUse ...........1....... ..`......../...(........-P/✓(�.... . `.. ........................................................................................... Zoning District .......................Fire District '�" ` �'........................... . ................................................... . . ......... ..... ..... l . Name of Owner l� C, r+ �. .............. ....... .. .....1. '/.C�'Q�' ��............Address ...a... �-/i9i �(J>/.� .................................. Name of Builder iell� j� �/' "................Address ......A-1 /4'SS............................ f U GG Name of Architect s......./.. .�...//. .eJ`J............................Address .C/.4 v� �..!......�......L ........................................ Z/ Number of Rooms .......................Foundation U 43 ........................................... .............................................................................. evIT Exterior ........... ..................................................................Roofing .........( -62.......)q.................................................... L� � Floors .............Pf A_:...........................................................Interior .................................................................................... HeatingC1�.... ..0.............................Plumbing .. .. .. �.......... ..... Fireplace ..................... .......................................................Approximate Cost ..................................................."�...... ..... 0 Definitive Plan Approved by Planning Board -----------_______-----------19 . Area .�. . ................. Diagram of Lot and Building with Dimensions Fee ...... ....................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH .JJ 'AxY ` `_.1 V I hereby agree-to conform to all the Rules and Regulations of the Town of r stabl reg g the above construction. . Name ...... .......:..........:...............................:....................... 77 Gibbons, Michael r � - 60 + 20376, ......... Permit for ...1:.1.l.2.At9XY........ •+.�-;)-� .V �;=� single famil9 dwelling................... Location /4. poUt...HIULAWad............ ........................pP.At..ja=x.tablP....................... - Michael Gibbons Owner .................................................................. frame Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ July 7 78 Permit Granted ........................................19 Date of Inspection ...71�5/79..........19 / l/ .........19 %Date Completed ..�.k................ddd.. PERMIT REFUSED .... ...... ... ...... 19 . .... .... ................ ......... ............................................... _ ...........:........ ......................................................... .......... Approved .....:.......................................... 19 0 ............................................................................... L- -