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0148 POINT HILL ROAD
6 Mop l/ll UPC 12543 No. 53LOR s WASTINGS MN � _. .f ., ., -.� ,. �r...,w...^-.<: -'_--_r^..,;_- -�.sic•-- � _ - 't�—+rr= � +�+.'... .:,. - +�+-.•-n:�., — - ,r... -.y.�.-.r - rm ,e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ak�Map Parcel S Application Health Division Date Issued Conservation Division ti^J Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address__ --� ,,U Q rrD Village__1lV •'� bF �t Owner� � } C1 � 1'�9 C�� Address i 4Po7 6raii!�A Ue_0 T� Telephone (P i S 3t b• 5 42q Permit Request 6oi-fi►wPtfim 0 E)cI J)D9-P(02 over j4vAo�4_ , -5rniNb. �,c Qr+l� W)woofj ilo n¢►J v an s 1 wl�Aw �_4[1 Z;tY �x�il�;etrvi- in)J OIn� D" . See- f L G(WZY_ (0 I'aV n Ls Square feet: .1 st floor: existing proposed 2nd floor: existing N proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5 00 Construction Type_ Lot Size 1.0(g . Grandfathered: ❑Yes EllNo If yes, attach supporting documentation. Dwelling Type: Single Family 19/ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes dNo On Old King's Highway: dYes ❑ No Basement Type: dFull ❑.Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) N/PC- Basement Unfinished0r �A Number of Baths: Full: existing new Half: existing ( new Number of Bedrooms: 3. existing R/new • Total Room Count (not including baths): existing new FirTgftgQ ffff§ggT E3i nLIr Heat Type and Fuel: ® Gas ❑ Oil ❑ Electric ❑ Other Central Air: N 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: 0 existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes )a No If yes, site plan review# Current Use s Proposed Use IF15;5 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 6M- �7&• f 01;Z _ Address f C7 60X 6?7 5,-- License# /o/% Home Improvement Contractor# Email M ejq I K4.6dQt45 1 fJ& CbM h 1 -• CO M Worker's Compensation # Ind�GSoD O//oS��{ZoI ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO dam' SIGNATURE DATE FOR OFFICIAL USE ONLY 'APPLICATION # DATE ISSUED MAP/ PARCELNO. - ADDRESS VILLAGE OWNER DATE OF INSPECTION: ' FOUNDATION - FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I I The Commonwealth of Massachusetts Department of Industrial Acciden)s a 1 Congress Street,Suite 100 Boston,NIA 02114-2017 www rnass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): 1'1��(�'�- kyo Address: City/State/Zip: SRO T R YAM OV14 H Phone#: W v Are you an employer?Check the appropriate box: Type of project(required): l.R]I am a employer with_employees(full and/or part-time).' 7. New construction 2.11 I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] ❑3.[]l am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. Demolition ®4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.®I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.F�We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. //�J Insurance Company Name:4560Gi gtz WlC yiri I tAk. (J Policy#or Self-ins.Lie.#: WCZ,500�� I tOnS y 20 (to k Expiration Date: �0"2 g l Job Site Address: i 4 f) Y01►� �t Vt- 1�-W W g � City/State/Zip: W .&,rN Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the ains and penalties of perjury that the information provided a ove is true and correct Si ature: 1 V, Date: l l k l b - Phone#: O Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4,Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts Department of Public Safety Construction Supervisor Board of Building Regulations and Standards' Restricted 6: Unrestricted-Buildings of any use group which contain License: CS- less than 35,000 cubic feet(991 cubic meters)of Construction Supervisor enclosed space. TREVOR J MEYER '�� 322 LOWER COUNTYAOAR': ; 4 ' DENNISPORT MA 0263'911 Failure to possess a current edition of the Massachusetts Expiration: State Building Code is cause for revocation of this license. Commissioner 09/27/2018 DIPS Licensing information visit: WWW.MASS.GOV/DPS K � .�'•.�lr fi...� _ 4..+ -_....a .<e:y+ _:..:`Cuc y.lS'.=R. "�r.:a.�z�l +�,'?d. a2 ° }3, "' - 6 i�� fiij j1 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 a� t Boston, Massachusetts 02116 M:a Home Improvement Contractor Registration Registration 181535 , Tvpe- DBA Expwation: 418/2017 Tr# ?s45 5 MEYER AND SONS TREVOR MEYERS P.O. BOX 981 E. SANDWICH, MA 02537 Update Adaress and return card. .lixrk rewoar- for ch.tr.¢e. ` scA 1 is =t-os,t Address Renepal Empto)ment 1,0'.1('..1 rd t _ +';'.�/t r 'i�r i>tnto. rrrt ri��f r� "'l({�..�ir-�tr.i•f/.. Office of Consumer Affairs& Business Regulation License or registration valid for individul use only r 'IUME IMPROVEMENT CONTRACTORf before the expiration date. 1f found return to: ftegistration: 181535 Type: Office of Consumer Affairs and Business Regulation --6piration: 4/8/2017 DBA 14 Park Plaza-Suite S 170 r s Boston,MA 02116 MEYER AND SONS 1 r f TREVOR MEYERS 322 LOWER COUNTY Rp DENNlSPORT,MA 02639 Undersecretary Not valid w' ut sil, ature X `. Z M` •t Y Y•t ;4pYI�! � C�h� X MEYEAND-01 AONEILL 14C4C>RO' CERTIFICATE OF LIABILITY INSURANCE D 11 101201 YY) 11/10/2016 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 policy(ies)must have ADDITIONAL INSURED provisions or 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 endorsements. PRODUCER C NTACT Rogers&Gray Insurance Agency,Inc. acNN,Ezt): yac,No):(877)816-2156 434 Rte 134 South Dennis,MA 02660 Eb AIE •mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC p INSURER A:Atain Specialty Insurance Company 17159 INSURED INSURERB:ASSOCIated Employers Insurance Company 11104 Meyer&Sons Builders,Inc. INSURER C: 322 Lower County Road INSURER D: Dennis Port,MA 02639 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. INSR ADDL SUBR POLICY EFF POLICY EXP -` v LTRTYPE OF INSURANCE POLICY NUMBER IN IYYYY1 _ i LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ F 1,000,000 CLAIMS-MADE FA]OCCUR CIP249032001 02/13/2016 02113/2017 DAMAGE TO RENTED $ 100,000 MED'EXPiAn one rson $ rTi 51000 PERSONAL&ADV INJURY $ --+'y. 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 X POLICY El JECT LOC PRODUCTS-COMP/OPAGG $ 2'000'000 OTHER: $ AUTOMOBILE LIABWTY COMBINED SINGLE LIMIT) ac'de $M ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILYBO�DILY INJURY Per accident $ AUTOS ONLY AUTO ONLY PPeoacEcRfdent AMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N CC60050165942016A 10/28/2016 10/28/2017 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ ' QFFICER/MEMgER EXCLUDED? �Y N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If es,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MBCBeth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 148 Point Hill Road ACCORDANCE WITH THE POLICY PROVISIONS. West Barnstable,MA 02668 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD p Ba�°nstj Ie Old Kings Highway Historic District Colmittee 200 Main Street, Hyannis, MA 02601,TES.; 508-862-4787 Fax 508-862-4784 4`0�4 APPLICATIONq CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4)complete sots,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed Work as described below and on plans,drawings,or photographs aCcoinpanying this application for: RECEIVER Check ai+li c�attegor ie s duct apply X. Buil, I)&co struction.: ❑ New 01, Addition f9 Alteration OCT 0 6 4 1.b fad v Build a• �] of in El ` t bF m El , •�+:,.:.,��. �• �[ottse ��a'�tgeJ � 41•aed � �.o�nn� ,THftAGEMENT �tior.PaintinQ, roof t_ l Eiew roof color/material change, of ttim= siding, window, c.00r 4. El `!ew Sign ® Existing Sign l._a Repainting Existing Sign 5_.-` .i, cture: 11 Fence0j Wall 0 Flagpole � Retaining wall � Tennis court �� Other 6, .;pool El Swimming 0 Other nian-i-nade pool 0 Solar panels Other Typa..orPrint-1/egibly: Date NOTE.ill applications must be signe4 by the current owner Owner(print): _Y�� AC t�'E(b Telephone#: j15�. 31(0 . 542 Address of Proposed Work:. oi� �w 4po) Vifiabe We<t Gy r,144 Ua.p Lot Mailing Address(if Jiff 1�1S�.p MA 3'1 L Owner's Signtature _ _ __ Description of Proposed Work: Give particulars of work to be dove Co�T►��,tPa l`1e t 5T t�C� �oWrl�t� t�tJ 6htipcl� c � �} fN k(g>vGA C� C7r S�tV,�G �.�0A �c+�— Ttri,n.. � ot _ Agent or Contractor( rint):' -t`� �' �o sow S &1�►c�1f % �,��_ Telephone� D� 7 .(Po I '-�-_---_ �'k: � 1 (o .�,r� Address: P. OTC (o�S So,��� t✓�Y1 6� VA- Contractor/Agent' signature: RE c0na use only. 'll'his Certificate is here APPROVE : �. t: OCT0 6 10 �Member's signatures £: �•-_ '''Y GRpWTH AG APPROVE® Town of Barnstable Old King's Highway a �:�nttltG�c87d C:omr�titxit�n,+�lrl Kitgs Higlt�c;?��fS,t'[I Af�pticetiurls\C3F°Il 1>ItAtT'?U11 Cyr;r;lp�+rr,nrir±�zuass l)RAF7;�mmittee 1 CERTIFICATE OF APPROPRIATENBS SPEC SHEET .Please submit 5 Copies Foundation Type: (Max. 12"exposed)(material -bridkIcement,other) $iding Type: Clapboard_____ shingle outer Materiat: red cedar whitecet other Color -e,*q 4 Chimney Material: Color.: Roof Material: (make&style) Color: WW(? JDDD Roof Pitch(s): (7/12 minimum) _ (:specify on playas fear new buildings, rrtajor•utlditions) !rd'sndow and door trim material: wood. other material, specify ._ Si7x of.comerboards 5 sine of casings (i X 4 mist.) y urn color --CA� G" 69-4611 . R t . s 1st mcFnbor (D 2`�rnernhPr �- ►^[ R I Depth of overhang (make/model)� ,l/�`material q l yam_ color f rg i - 2�'r�. window schedrde on plan or new buildings, Tnajor ctddicioras) '-dew grits(please clrec'k all th at apply_; true divided Lights✓ exterior glued grills .� brills betwe;on glass; removable interior None lDogx style and make-: Nam'' material Color: Garage Door,Style . Size of opening Material _ Color Shutter Type/Style/Material: Color: e Ca ,ter'T - �/ C Lao G1r ut ype/A/iatenal: WOW 0� MG. !>iu.���v� Color: .` _.....-_. .: . Deck material: wood- other material,specify Color. $ky9lght,type/make/rnodcU: material_ Col`�or: Size: Sign size: 1 ype/Materials: �'� _ Color: f 1`"ence Type(max 6' ) Style rntntecial: ncT 100 „�T Town of BaH 9 aba Retaining walk: Material: , ►,w Y lusghtlzng,ftee-standing on building illuminating sign OTHER INFORMATION: D CHECKLIST LIST MUS`lf`BE COMPLETED AND SUBMITTED ff : , f ,fit. provide samples of paint colors,manufacturers brochure of windows,doors,gauge door,fences, _lamp posts etc F` {plait prep4rer) Print Name�✓�1��• N��_^ � l I 2 r, :��innrde artrl Cp?urrssionsl0td liirihs Niginvay,0 f1 i4pplirutior±s'�oKFI .RAfT�a11 Cori A pprgpriarems-s DRATTdiv Town of Barnstable Geographic Information System October 7, 2016 136019 #91 136054001 #12 40 r---r-1 13`d 6038 Y 136020 {�l 136039 #51 "'l" #17 1 #109 136041 # #31 136055 #100 p #9 0 bb 136055001 �►�36021 136037 1 #24 #127 `1& � #88 QQO 36045 13 136044 #68 { #4�4 136042 136043 #48 #124 #32 136022 yWAy #141 �O��A��•$�A 136055002 #38 ® @ 136053 136055003 #105 #53 136023 ® #157 ® 136047 #55 13 0050 136049 136048 #148 #23 #39 C2 135004 #69 135005 #160 135003 #0 0 Feet DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:136 Parcel:050 boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:MACBETH,GLENN S 8 GERRY A Total Assessed Value:$753400 Selected Parcel 1•=100'may not meet established map accuracy standards. The parcel lines on this map ;.:::+ w^ �• E are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:1.06 acres Abutters 'gbip` boundaries and do not represent accurate relationships to physical features on the map Location:148 POINT HILL ROAD ✓;✓ such as building locations. Buffer /`r r Ai �i►Ir vTi i� n _ � --- _. _ _. __ I�♦ � � � ���' Cry/ io �t _... •°�` x'�s�� �C�r� `ram f� \,��( '�. nil I is x•_,�i,,���;e��.,y. -_¢t '�, ,; -� ' f�j! � �� ►`i� r I • 1. ��4�r• Y- III J y h�il� 1 4.1 jj S� �... woo r ► ` 7f iaq�r►, *. i a 1 -ti t 4 s• e .. woo .• �Z f t }. 1 � •'�r fit; 1 c' � 3 Q� n +Y �3�a ♦' �r � J Y� Y i t !1 fit t w +✓ t' At w -,TiJ�i y�r v 33 y I - W �•�4•. F dyn i Kip Vc K�ru r t i' • ..ir t4.`.„�. 1ld`�♦ `. s \ ����� ..��U c i r F. !JC' �.,11i� ,� � .N!,i1�'�A� .I.^;h,,• •�R'y �r �'r, ,`G'r.. � � • _ � r r #omer Approval ®r S.ghasure: Date: APp @/ `�,� S® 2 tlow 20 OCT-0� � � 16 Town of Barn i , l Old King S Hi Stable I OO n ineehWaY Viewed from the Exterior Quote Number: 7611089 Line Number: 40 Quote Qty: 3 011,TVL Scaling: 1/2" = 1' I,Vi`. cription: Architect, Double Hung, 26 X 52, Fossil ¢d_v£. 3 Opening: 26 3/4" X 52 3/4" These drawings are based on our interpretation of the information provided to us.They are submitted for final approval of the individual"responsible for the project and are not intended to create any warranty or other liability.The user"Is responsible for compliance with applicable building codes or other regulations and determining the suitability of the suggestions for the particular application,including the final design of reinforcement,flashing,and sealant systems for all window and door installations. **building owner,architect,contractor,installer and/or consumer Quote Name: Macbeth Project Name: Macbeth Jobsite Location: — Room Location: None Assigned Sales Branch Location: 18500 Pella Windows & Doors Printed On: 9/14/2016 Pap' 2 Of 2 I Customer Approval Form: Signature: Date: V- J Viewed from the Exterior Quote Number: 7611089 Line Number: 20 Quote Qty: 4 Scaling: 1/2" = 1' Description: Architect, Double Hung, 26 X 44., Fossil Rough Opening: 26 3/4"X 44 3/4" APVF OC1;�s 2016 C)ToId Kwn of Parnsteble ings Hlphwa� Committee These drawings are based on our interpretation of the information provided to us.They are submitted for final approval of the individual**responsible for the project and are not intended to create any warranty or other liability.The user**is responsible for compliance with applicable building codes or other regulations and determining the suitability of the suggestions for the particular application,including the final design of reinforcement,flashing,and sealant systems for all window and door installations. **building owner,architect,contractor,installer and/or consumer Quote Name: Macbeth Project Name: Macbeth Jobsite Location: Room Location: None Assigned Sales Branch Location: 18500 Pella Windows & Doors Printed On: 9/14/2016 Page 1 Of 2 Gail O'Rourke -Lie , � ti White Wood Kitchens 508-353-9183 44e"' :J48" Gerry Macbeth+ 2nd floor bath 148 Point Hill Road W. Barnstable MA rn O Wit_ 0 OD i CO CC �2 jt •� I N _mME i - ~ O C O - SHOW_b.'FOLD3fla "----- -- - \ i - 1 existing bath is r / 87" deep - to 4i newdormer the back of the house V31m r` �1"?—sllo - c� add window M adding 3 feet of space into the bathroom I , add door to bath from bedroom 59 , � " n eliminate hallway door eliminate the existing hall way bath across the Note:'1-liis drawing is an artistic Designed:7/31/20:16 hall - or leave interpretation of the general Printed:8/1/2016 appearance of'the design.7t is for extra water .not meant to be an exact rendition.. C closet - ' i nd floor bath_ brauring L A WC Guide to Wood Construction in High Wind Areas: 110 mph.Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................................................................110 mph WindExposure Category..................................................................................................................I.........B 1.2 APPLICABILITY Number of Stories ............................................................(Fig 2)............................ I,< stories :5 2 stories RoofPitch ........................................................................Fig 2)..........................................._ r.12:12 MeanRoof Height ............................................................(Fig 2)...................t...........................&ft :5 33' BuildingWidth,W............................................................(Fig 3)...............................................—ft :5W BuildingLength,L ..............................................................(Fig 3)...............................................—ft :580' Building Aspect Ratio(L/W) ...............................................(Fig 4)................................................._5 3.1 Nominal Height of Tallest Openlng2 .................................(Fig 4)............................................... :5 618, 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.....................................................................................;........................................ ConcreteMasonry............................................................................................................11...................... 2.2 ANCHORAGE TO FOUNDATION1'3 5/8'Anchor Bolts imbedded or 518"Proprietary Mechanical Anchors as an alternative In concrete only Bolt Spacing-general..........................................(Table 4)............................................... in. Bolt Spacing from end/jolnt of plate ............................(Flg 5)................................... ln.:5 6"-12* Bolt Embedment-concrete.........................................(Fig 5)................................................—in.;--r Bolt Embedment-masonry...........................!'7.........(Fig 5)........................................_ in,a 15' PlateWasher...............................................................(Fig 5)...............................................Z Xx Yx 1/4" 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55).................................... Maximum Floor Opening Dimension...................................(Fig 6)............................._ft 9 12'or L/2 or W/2 Full Height Wall Studs.at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... Maximum Floor Joist Setbacks Supporting Loadbearing Wails or Shearwall................(Fig T)....................................................—ft :5d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)....................................................—ft Sd Floor Bracing at Endwalls................................................:..(Fig 9)...........................................................I.......... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)...................................* Floor Sheathing Thickness.................................................(per 780 CMR Chapter 55)......................._in. Floor Sheathing Fastening..................................................(Table 2).._d nails at In edge in field 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5).........................."ft 5 1.01 Non-Loadbearing walls................................................(Fig 10 and Table 5)........................... ft :5 20' Wall Stud Spacing .........................................................(Fig 10 and Table 5)...................&i—n.!5 24*o.c. Wall Story Offsets .......................................................(Figs 7 8,8)........................................-.--L ft :5 d 42 EXTERIOR WALLS3 Wood Studs Loadbearing walls........................................................(Table 5)..............................a�_ (Oft Oin. ✓ Non-Loadbearing walls................................................(Table 5)..............................2)c__q_-_(,pft _in. Gable End Wall Bracing' __V FullHeight Endwall Studs............................................(Fig 10)................................................................ WSP Attic Floor Length................................................(Fig 11)............................................. ft zW/3 Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................—ft?:0.gW 2 x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 11)..............................................I............. Double Top Plate Splice Length ........................................................(Fig 13 and Table 6)..................................... ft Splice Connection(no.of 16d common nails)..............(Table 6)....................... ................................. AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Mass'achasetts Checklist•for Compliance(780'CMR 5301.2.1.1)t Loadbearing Wall Connections / Lateral(no.of endnalled 16d common nails)..............(Table 7)........................................................ J Non-Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails).._...........(Table 8)...................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ...................................................:...(Table 9)....................................2L ft_In.s 11' �. SillPlate Spans ._..._......................................._.......(Table 9)........_........................_ft_in.511' Full Height Studs(no.of studs)............................_.....(Table 9)........................................................ Non-Load Bearing Wag Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.................................................... (Table 9)................................._R_In.s 12' Sill Plate Spans.... able 9 ........:....................(T )......................... ..._ft_in.512' Full Height Studs(no.of studs)........ ...._...............•......(fable 9)...................................................... Exterior Wall Sheathing to Resist Uplift and Shear SimuitaneousV Minimum Building Dimension,W Nominal Height of Tallest Opening2 ............................................................................... `�°s 618' Sheathing Type................_........................ ....(note 4)...................................................... O�P� Edge Nab Spacing.........................................(fable 10 or note 4 if Iess)......................::�in. Field Nall Spacing..........................................(Table 10).............._........................... m i . ✓ Shear Connection(no..of 16d common nails)(Table 10)-... .......................................... � Percent Full-Height Sheath(ng........................(Table 10).................._................................ % 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts)..................... Maximum Building Dimension,L Nominal Height of Tallest Opening2........... ............................................................._5 6'8' SheathingType........................................._..(note 4)...................................................... Edge Nall Spacing.........................................(Table 11 or note 4 If less)........................_in. Feld Nag Spacing..........................................(Table 11)..................................... in. N Ilk ............ Shear Connection(no.of 16d common nails)(Table 11)........................................................ Percent Full-Height Sheathing.......................(Table 11).........................._........................._% 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts).............. ... Wall Cladding Ratedfor Wind Speed?............._............................................... ......................................... 1 5.1 ROOFS Roof framing member spans checked?..............._......(For Rafters use AWC Span Tool,see BBRS Website)P _ Roof Overhang ...................................................(Figure 19).............. ®ft s smaller of 2'or L13 ✓ Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)....................................... U= ptf Lateral.............................................(Table 12)..................................I..........L= pif _ Shear...............................................(Table 12)...........................................I S= ptf Ridge Strap Connections,If collar ties not used per page 21.....(Table 13)..............................T= pifo- Gable Rake Outlooker.........................................(Figure 20).............._ft s smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift_..............................................(Table 14)................................. ........U= lb. Lateral(no.of 16d common nails)...(Table 14)...............................�...:.:L= lb. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 9)............ .S�fj" �! RoofSheathing Thickness.........................................................................................3• �in.2 7/16'WSP Roof Sheathing Fastening...........................................(Table 2)........._..,............... ................_..._.... Notes: .. 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 53012-1.1 Item 1.If the checklist Is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a. 2. Exceptlon:Opening heights of up to 8 R shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2.In.nominal thickness.pressure treated#2-grade. t AFFC Grdde to Wood Caams hradott ra Jai Ir WuzdAraas_ 110 mph f lmdZane • Massachusetts Checklist for COMPEance cma cmnsmatj_i)r a_ From Tables i9 and 11 and loca5on afwall stieaf-ing and Buil&g AspadRaffa,determine Percent Futl-He.Sght _ Sheathing and Marl spacbv requtremenfs b. Wand St udwal Panels slstl be n*ft n fhlckne m of Wl S'and be WstaIIed as fbllow - - L Panels shall be hst-alled Wb strenglih axis paraDel to studs ii, p II hmb=dW job sW==over and be naIIed to fuming uL Dn single stofry cans; uceon,panels shall be aitached b bottom plates and tnp.fnember of fe double top —--_--.-_._.._. _.._hit C►n fsarc.smry an,ttPP P �sfsalihe allBdhed folhe tap metnbermMe upper double top-- ---- plate and to band jdrst at batbm of panel.Upper afhadriant of lower panel"be made to band Joist and foyer atfadhment made to lowest plate at first Warframlag. v_ Hortznntal nail spacing at dale top plates, band Joists,and girders shag-be a double rew of ad - staggered gt 3 inches on cenh!r per frgcrres betDw:Vmfml.and Hoirmn�d NaTing for Pane!Attachment 5. Glaznhg pn:decBon:a)thew house or horizontal adMon—required if project i rnrle Drciaser•to shore(genwaly,south of Rte.ZB ornwffi cifRfa_5) b)verfical addffian—not regWed unless there Is exfar�renrnrafion fo the fastfoor c)replammerfiMdows—needs energy conservation cumpffanc#only(chap 93) eL Wood Frame Canstrudion Manual(WFCM fbr 110 MPH,Expa='e B may be obtaahedfram fine Arnericalh Wood Cauncsl (AWC)website: nseea urars - 'ATrb= • II 1 - ' ar t! [t [I ti [ • f � G •ii il•o t t F t tt tt� l• = Q t tI 11 r = l It L i =i I a t I a • � ii it o ;� f � - _ d 't �__ rt t A I IIt. _ Q L "• is �� ► � - t' L4 t t a iu fi t - , TI _ J�JG Pl�EL � i 1s•4�LPRITH�Li - � Pf.HB_ . - -� FaZ11L � nratnacclae gX ESPRC�4�t�314L . See 13aEs$on htext Page _ Vertical and HDr'rrorTW h(a ng • lot P-t�Aftarhm�.ht ` Vr�lirraI Rtxi lfal¢>�r'r�I Naitmg . . . t*Panal Afisclhment _ f Town of Barnstable *Permit E�ues 6 months from issue date Regulatory Services- ®� y Fee ,4014RAItIM Director $• Richard V.Scali,Ditor t639. ,0 f N - jo Building Division r� OV 14 Paul Roma,Building Commtsstoner��/ 200 Main Street,Hyannis,MA 02601 ���jC�ht q y 6i, www.town.barnstable.ma.us ,v t; Office: 508-862-4038 Fax: 5,08-790-6230MI EXPRESS PERT APPLICATION - RESIDENTIAL ONLY !� \ Not Valid without Red X-Press Imprint Map/parcel Number � ��Q � V l Property Address 00 � Residential Value of Work$ /:B'— Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 9LFit)A) X Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ JA61a sole proprietor .I am the Homeowner ❑ 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 ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ tde eplacement Windows/doors/sliders.U-Value �� (maximum.32)#of windows /111 /9,<,�,t/r/ZaRCy #of doors: -t!!5' ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. '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. copy of the Home Improvement Contractors License&Construction Supervisors License is quired. SIGNATURE: a, 2?�, Q:\WPFILES\FORMS\building p it rms\EXPRESS.doc 06/20/16 Office of 1MVX*atioas 600 Washington Street Baston,?IAA 02111 iPnn-vmas&gov1dtia WMIMrs' Campensafian Iusurance Affidavit:Bider ICantracturs/MectricianslFhmahers APPUcant Iufarmatian Please Pit T✓e y Name V. Adds e�fs�x�r �a��8� one4 �/s- , - 'J Are yGu an employer?:Qreckt:he appropriate b • Type of project(required): I.❑ I am a employer vdth 4 I am a gee oral contractor and I 6. ❑New construction employees(fish andfor part-dime)-* have ltiredifie sub-conks 2.❑ I am a sole proprietor;or partner- listed on.the attached sheen ?- ❑Remodeling. ship and have no employees . These smb-contractors have g ❑Demolition. wod-zing forme in any opacity. employees andhave workers' 9..❑Building additioa [No wodcars'comp.invxance camp.mertran l reclniied] 5. ❑ re We a a corporatim and its 10.ElElectrical repairs or adores 3.❑ I am a lwmeounw doing all work officers have:exercised their 1L❑Plumbrug repairs or additions myself[No workers'oomp_ right of emempfion per M(M 1?❑Roofrepaim kwarance regirEd-j p c.1 2,§IM andwe have no employees.(NO workers' 13-2tther 6t IIAAOaG�--S cam-insurance mquire&j *Any applicantAut chedsbos ftl must also fMont*e swdcnbgawsha►dag dmkwo&exe a=penmdimpciEry infmmsrioa_ garnets vdw submit this sfiidaed ibdirzhug they are dmng zU wal sad dea Mice o=ide coa>mct=nmst submit a new sfiidzt'indics±ina socIL IcauLoa<sc, hest ehec7r s bax mint wed rat sddieiaoal sheet sb=Tmg the"—of the saVco=zcms sad staFe whether or not Vmse eaddes 1>ap emplayees.Ifthemil c ttacta hsae enxplayw-,dLeynmLsrpxwide their warken'gyp.policy", er_ F am an srlipIrrysr that is prouidirtg workers'eoerrpertsafian uisuraRce for xi}a cmpfn}�ees Belnev is t7eR policy arzd job sste informalrom Insurance Compaay Name- 'Policy-,4*-or Self--im Jic. ` FxpirationDate: Job Site Address: c' 15 At#2ach a-copy of the workers'compensationpolicf decTaration page(showing the policy member and expiration date). Failure to se me coverage as required under Seztioa 25A of M L c.157 can lead to the imposition of crimi cal penalties of a fine up to$1,54t}Of}indfor one-gearimprisonmexd.as well as rival penalties in the form of a STOP WORT£ORDERand a fine of up to$250_00 a dap againd the viola ur. Be advised that a copy of this statement maybe fkwarded to the Office of Invvestsgations,of the DIA for i asmmnce coverage verification_ Fria hersby tk-e pains raIfixs afg that flee ieafarma6vnprmridedabm�e i s burs and correct Sites. �- -Date- /b Phone 197- / — .3 Offiddawamly. Do not write in this area,to be cmapWed by city artown ajolc l City or"Tom PermitILIcense� Tssaing Azrdwrity(cirde one): L Board of$ealth I BuffiIing Department 3.0i)Yrawn,Clerk 4.Electrical hmpector S.Phrmbing Inspector 6.Other Contact Person: Phone 9: 6 Information and las-Cuctions ' M&ssacli,setts Ce=ml Laws chapter 152 rmqur>res all employers to Fun&Wmi=e caaPeus t=far tbeir r,'ployees. Pursuantto this sty,as empLVaa s defined as¢—cusp pc�sonm ffie scsvi ce of another under airy coitxact ofbfi-r, eap<ress or iiop].ied,oral or wutftM_" - An e rp&yer is defmcd as"an individual,par(ne:csh>p,asmda inn;corporation or other Iegal entity,or any two or more of f=fvregomg engaged is a joint eorapri=,and mchndung the legal representaf ives of a deceased employer,or fbe receiver or trnstae of an individual,parinmsh p,associaafion or other legal entity,employing employees. However the owner of a.dweIting house having not more than three apartments and who resides therein,or the occupant of the - dw Mng house of another who employs persons to do maw,can truct'on or repair wo&on such dwelling house or on the gr otm& or bm7dmg appurten jhermtiD ffiaIl not bmanse of such employment be deemed to be an employer." MGL cbaptP.r 152,§25C(6)also states at"every state or loc zI licensing agency shall withhold ffie issaance ar renewal of a&cease or permit to operate a business or to construct bafldb:gs in the commonwealth for any applicantwho has notproduced acceptable evidence of compliance with the insurance coverage repaired_" Additionally,MGL chapter 152, §25CM states-Teiiber the co®umweabh nor uauy ofits political snbdiivi_Sions shall cutup into any contract fur the performm a ofpublic work until.acceptable evidence of cemplia ace with hie msmmlce. rearm e�ie�s of tints chapter have been pr =tVd in the oo—*fta�a arrhor ity-" A pplicanfs Please fill o-ot the workers' compensation affidavit onmpletety,by chccidag the boxes that apply to your srf i t<on and,if nec-essarY,St PP17 sub-conftactor(s)name(s), address(es)and phone— ex(s) along with their=t1ficate(s) of insurance. Limited Liability Companies(LLC)orLiurited Liability'Parbiexships CLEF)wr&no employees other than the members or pmrtaeas,are not required to carry workers'compensation insoranc-m If an L LC or LLP does have . employees,a policy is rm pired. Be advised that this affidayhmaybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage Also be sure to sign and date the affidavit The affidavit should be mt o ned to the city or fawn that the application for the pennit or license is being requested,not the Department of huht cfri al A a Fs,ts_ Moald you have any questions regarding the law or ifyou.aim regaIIad t3 obtain a woro:rs' compensation policy,please call the Department at the number listed below. Self-ism-td companies should ear their self fi sm-aace license number on the -afe line. -- City or Town Ofacial.s Please be smre that the aTu avit is complete and priated.legffiIy. The Department has provided a space at the bottom of the affidavit for you to till out i a the event the Office ofIuv�Wiens has in coact you* m g ffie agpIicanf: Please be sure to fill is the pen�>t/licrose rnnnber which will be used as aie&mce number. In-addition,an applicant that mast submit multiple pc=Vlicense applibations in any given year,need only submit one affidavit indiratmg eoffent policy information Cif necessary)and under`Job Sit,-Ad dress"the applicant should wrhe"aII lactions in (may or. town)-"A copy of the affidavit brat has bcen officially stamped or marked by thetin city or town maybe provided to e _ applicant as prood=that a valid affidavit is on file for fatal putts or licenses A new affidavitmust be f amd oil each year.Where a home owner or citizen is obtaining a license or p= not related to any business or commercial veutmz Cie_ a dog license or permit to buns leaves etc_)said person is NOT rearmed to complete huts affidavit The Office of IuvestigB&W would hke to thank you in advance for your cooperation and-hound you have any questions, please do not hest to give us a caIL The DeRartment's address,telephone and fax rrombar_ -1 amn=Ved*of MassachmiEft Draw t of�Accidents C1�ce of�fio� Ted..4 617-727-4900= t 4€6 or 1-977-MASa� Fax 9 617 727 7749 Revised.4-24-07 1,41S I Regulatory Services of Richard V.Scali,Director Building Division aaaNsrARLF- ' Tom Perry,Building Commissioner Mass. b� ,0 200 Main Street, Hyannis,MA 02601 a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION // DATE:. Please Print ���y/ JOB LOCATION: /p OIN7-111.4-R4• lj{�T I��/�+y������ number street village "HOMEOWNER": (►��/e�/ LrB 4eC--! !9Z-33w17 name // home phone# work phone# CURRENT MAILING ADDRESS: y,PF.e .5�6D2o �37/.2-? city/town sirate 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 hue 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 he/she understands the Town of Barnstable Building Department minimum inspection proce a and requirements and that he/she will comply with said procedures and requirements. Signature of Ho a ner 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 person(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 responsibilities of a supervisor (see 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 Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify 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 form/certification for use in your community. C:\Users\Decollik\AppDataULoca]Nicrosoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 i CAPE COD INSULATION Fq� I q N n F—OSAS3 3511Y1633 3P"YF*" SYSVSNOSO SI1AS W"S33 INIUL MN a1MG1 1-800-696-6611 Town of 13,4rA.tt a 6d t Regulatory Services o Building Division -n NO Address - `a Address 2 - �- .s. Ln Date: Z LSIIL 01 �' Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation,Inc. performed& completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner SCAM _ Property Address Village f I Ro �'tt`f" SCAM I v'o Au R, �. 134riva',g6/e Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( ) ( ) ( ) ( ) Slopes ( ) ( ) ( ) ( ) ( ) Floors 00 ( ) (30 ) ( ) (X) Walls 141ctwqIIs ( 1d ) ( ) (X) Ate Tfabo) Sin 1 He y Cas idy Jr, President ' Cape Cod Insulation, Inc. oI\ it TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- . Parcel Application 4tIQ9 c4co Health Division Date Issued Z- Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Addre ©(�i° Village Owner lC � � Address�T �ll/L L 6u Telephone_ Permit Request Il/� ;(/�—�� /� n -3 -7w ev, 57 44_51 5MV r1 (d hh k 3LILI 'o ate. Square feet: st floor: existing proposed 2nd floor: existing proposed _Total new Zoning District --Flood Plain Groundwater Overlay Project Valuation �Q Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family 0 Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes 0 No Basement Type: ❑ Full 0 Crawl ❑ Walkout 0 Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 1 � --i Number of Baths: Full: existing new Half: existing anew Number of Bedrooms: _ existing _new , a Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil 0 Electric 0 Other U3 Central Air: ❑ Yes ❑ No Fireplaces: Existing New Existing wood/coal sto e: OYes 0 No b ri .n Detached garage: ❑ existing ❑ new size—Pool: 0 existing 0 new size _ Barn: 0 existing❑ new size_ Attached garage: 0 existing 0 new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appealss Authorization ❑ Appeal # _ Recorded ❑ Commercial ❑Yes a No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION BUILDIER OR HOMEOWNER) Nye SI.G(w Telephone Number Addres � � License # I�� Home Improvement Contractor# ��� 54b Worker's Compensation # M 0 0 6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE U ' v �2 FOR OFFICIAL USE ONLY APPLICATION# '' :. .DATE ISSUED. :.F • . .k •-�;�-• • MAP L PARCEL N0. f. 't o ADDRESS VILLAGE OWNER e DATE OF INSPECTION: y t. f �!,fOUNRAT .1% FRAME :- _INSU..LATION'I "S, FIREPLACE ELECTRICAL: ROUGH FINAL.- PLUMBING:' ROUGH FINAL GAS:: ,_- •:. ROUGH FINAL r FINALBUILDING h s ,,:_DATE CLOSED,_OUT ASSOCIATION PLAN NO. — -_- - 1 C� e�'C145fiL4• 10 Park Plaza - Suite 5 17 0 Boston, Massachusetts 02116 Home Improvement Co-1:t%actor Registration . .m Reqistration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD. =-- HYANNIS, MA 02601 S . ':r. :...;• .'::,Update Address and return card. Mark reason for change. 'Y❑ Address ❑ Renewal I- L'inployment I--� Lost Card i-CAI ii 50M-04I0.1-G101216 OfticcJ ultsumcr Affairs iBus ne}/,Regul1(iou License or registration valid for individu! use ^!y HOM pRn t%fIf!` -ft AN '"'"6 r before the expiration date. If found retun to: O Registration: 153567 Type: Office of Consumer Affairs and Business Regulation Expiration: 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 D INSULATION' INC HENRY CASSIDY 455 YARMOUTH R.D. : ..: HYANNIS,MA 02601 Undersecretary At ith t si tune *= IVlassachusctts- Dcl►urtntt'ttt of Public Safch Board of Building Regulations and Sruulardx Construction Supervisor License License: CS 100988 . Y. . HENRY CASSIDY 8 SHED ROW WEST YARMOUTH, MA 02673 c— �-'�'" �` Expiration: 11/11/2013 ('ununissio°rr Tr#: 7620 r Client#:4597 CCINSUL ACORG CERTIFICATE OF LIABILITY INSURANCE DA'rE mWDD""") 2/02/2012 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. e certiticate holder is an the po icy les must be endorsed. ,subjecito 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 NAME: Margaret YOUng Rogers&Gray Ins.-So. Dennis !PHONE FAX I A/C No Ext1:508-760-4602 0_/C..Nor:877-816-2156 434 Route 134 (h-NWL" j ADDRESS:{�oungma@roggMgray,com P.0.Box 1601 i PRODUCER South Dennis,MA 02660-1601 CUSTOMER 10 0: INSURERS)AFFORDING COVERAGE NAIC 0 INSURED INSURER A:Peerless Insurance 18333 Cape Cod Insulation Inc INSURER B:Ohio Casualty Insurance Company 455 Yarmouth Road INSURER C:Atlantic Charter Insurance Hyannis,MA 02601 INSURER D:Commerce Insurance Company 34754 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. NSR ADDL SUER POLICY EFF POLICY EXP _. _. _ A GENERAL LIABILITY CBP8263063 04/01/2011 04/01/2012_EACH OCCURRENCE $1,000,000 X,COMMERCIAL GENERAL LIABILITY PREMISES SGE TO RENTED ET(F occurrence) .$1 OO,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 -GENE_RAL,A - AGGREGATE $2,000,000 --- GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGG ,$2,000,000 PRO- _ . $ D AUTOMOBILE LIABILITY 11 MMBCKWK .04101/2011 0410112012 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) 1,000,000 ' BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULEDAUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ B UMBRELLA UAB X .00CUR j UUO1254514645 .04/01/2011 04/01/2012,EACH9ccuRRENCE $1,000,000 -EXCESS UAB CLAIMS-MADE AGGREGATE $1,000,000 DEDUCTIBLE X RETENTION $ 10000 C WORKERS COMPENSATION WCA00525902 06/30/2011 WC STATU- OTH- AND EMPLOYERS!LIABILITY YIN O6/3O/2012 X.. TORY LIMITS ER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE.-EA EMPLOYEE s500,000 If yes,describe under LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Rernarks Schedule,H more space is required) Workers Comp Information Included Officers or Proprietors CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S77368/M68179 MEY ii �� ♦��-,�`. 7-hP. (^.OrYIInU?ihvc"1t17 Ol"AlGSSiZCI21rJ'L'CL) Uf�rc of I-wesciga(ions r =, 60L0 YJ` ;}Iinrgt}on S(f)rer�r UJ?i11'•, I�.A/'A 02111 J> �; ls' hVhvll•.Irla$S.pUY�dla 11 0L kV•I.-s Cow[i e.nsation Irtsui—ance Aflici:avir: I3uildersl� UntttlCfQCS%L1(Crt"ICl$l'ISI.h1L11'Ill.lt'1"y 1'�';il:arlt I1t1`ul._I:nttt-10rl— ------- -- PIe'I.Se C'17i1.1t 1.. Ibh tlltc. ,li, ,lnct:,/i:)I .,attir.afiorl/tndi,riduaQ'. cA2o� O�. ��L� (y f I (�7��.._.._. L�?_C-._.-_._. l t ttt / 'tlJ: Phone -- �O CKecic I al:,propriate box: Typ1: of hrtlject (reilIlircdl ,uu , C-Iul,luyr.t ivtlat =l. [� I im general contractor and I Q.-- 6. (—] Nctw cousu-tii:Urua ":I;iJli?yr.r..S (lull aucl!or part-rirncl.'. havr. r:!ctl the sub-coritracli,rs _ _. _ _.w . u ., ;,,alr, L,!i,t,r!eto, UC IJEtCinCr hjlcd J:': the attached Sheol. 7. C_j )\GII"JOCIGIinI; ,,,.I� �iu,l tr,vr. uta r.rulJloyees lhcse:i:h-conu"acrurshavc 8. Cl [jc'nwlifii,u uil.ot ('v1 irtc in a1a capacity uriplo)ccs and have workcis' Y l ty 9. L] Building ocldiliou 114u v,urkcrs' comp. itasurance comp. iiuurance.l tctluncd.) 5. We arc.a corporation and its l0.❑ l lcarical rr•IJatis of tiddilions i itll i, L)l.?ll'IGl)\Nr1Gf (101rlg all work o[ficcrs havc exercised their l 1.�J Plw.-ribing repuirs or additions Iltysclt• 11,40 workcrs' cnnil:i. right of exemption pcf AiGL t2.0 Roof repairs r,isu.ranrr- le.iauirctJ.] I' C. 1 J 2 §1(1). and\ve havc no employccs. [No workers' 13.[] OIlaer � �• t_t.(2� jcomp. insurance required.] `'yuy :,pt:l,r.,ni that checks box 1(I must also Fill out t'he section below showing their worms-compensation policy infomiption. ., Ite u,u.cnu's whir subnut this ttltittavii indit:aling they arc doing all wu is and then hire OuLSide r-oninaelors must sub mil a Itew allidavit uu9icattag sutal. '.'oniiecturs that cheek this box nwst auaehed cut additional sheet showing the name of the sub-eokfaclors and state whether or not diot'c cntitics havc ,c,.., ll ti,c.sub-contracture h.vc on,ployees,they must provide incii wofUrs'comp.policy number. 1 t:;n Wit t:fnpluher—(it a( is pruvidiriS workers' comperisarim insurance for Iny employees. .below is the pohc:),Witil iu,',stee ::!!I:,n,,.:iivn h,, a.,.l.c t::.7u�hz,rly Nan7c:�-----•e� ! ����1'r•-'-:_v---�-'-=� _ - ------ -• !r or Soil: ms. Lic. 41 (� �ZSoGxpiration Date:_— I.To_...../,r�._.. _ _ Cil-ylState/ZifJ:__--- --—----....-- ..... — :N,t1:,,h :I golly of We workers' corripensatio.n policy declaration page (showing{ the policy nurnbe r• and exl)irutiun rlute). Itur. to scr..urc: covr_ragt: as required under Section 25A of[v[CL c. 152 can lead to the imposition of crirronal penalties of a nl, tv 1;1.500.00 and/or one-yeas irnprisownent, as \vcli as civil penalties in the form of a STOP WORK CALDER and it tine. „p lu 1250.00 a day against the violator. Be, advised that a copy of obis statement may bc. forwarilcd to the Officr.tlt ;.i,csti5alunts uh the. DIA tier insurance coverage verification. !,I hereby cer(rf� fit' e pa' and penalties of pert;:.l'that the information provided above is trirc. ur,d c:Jrrzri. Date: .-, 'no;tt: I� (Ptici„I use only. Do mot kirire in (his area., to be comloleted by city or rowri offcinl n i' >, Ili Ur 1 V1vn: PerlTll[/X,ICeIIJC ll 115!!:Il t :kuthocify (circle One): 1;t)-!rd of Ile-alth 2. 8uilding Depnriment 3. Ciri;Town Clcrlr 4• Electrical Inspector S. Plun-!bin1.> lt�sf:rtt)r Phone t t:t t'et sun: ---- -_—. _OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at w l Jam. (Property Address) V). &ASfP_M? (Property Address) hereby authorize Q _TrlS' L) lo ,Q n (Subcon dor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature Date EGEOV `�D SEP 2 6 2011 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 b Parcel 050 Application # Health Division ' Date Issued Z _ Conservation Division ' Application Fee , `2 J Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address I41 9'01NT "LL 1?-D Village W. 1&4rRN S-Plets LE Owner 91 Q+ftRp ScItiM rl9 r Address O L4 §k YOW tzN L RD Telephone Permit Request f3'AQ 2- Ict �7D �X+I�T"I1J6 ' ?"IC. I NSUL,4�I ON Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2,UO Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ® Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new s ze_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: C) r„ Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# 77 a� Current Use Proposed Use c) s= APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name C,0KR Me,INMNV Telephone Number 3ZI " 832 Z023 Address 3-�b p7j� ISO License # 1 0 2 '7 8 _. Home Improvement Contractor# 1 b 015S 4 Worker's Compensation # ja0l2 Q 0/ Z01 Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IZA,pUyIZNY SIGNATURE DATE I.2l2 I I I f� J FOR OFFICIAL USE ONLY r APPLICATION# .DATE . -MAP/PARCEL NO. ADDRESS VILLAGE . 6 OWNER DATE OF INSPECTION: " �r:�FOUNDATION:=�`` FRAME --:—INSULATIONS °< FIREPLACE ELECTRICAL: ROUGH ° FINAL PLUMBING: ROUGH FINAL ' oGAS • ROUGHS o: _ .,. FINAL '7 , FINAL RUILD.ING ' - Ft='' DATE CLOSED OUT . ASSOCIATION PLAN NO. — i The Commonwealth ofMassaehusetts Print Form ' Department of Industrial Accidents Office of Investigations 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): FRONTIER ENERGY SOLUTIONS Address:376 ROUTE 130, SUITE C City/State/Zip:SANDWICH, MA 02563 Phone#:339-832-2823 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓❑ I am a employer with 8 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 proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship.and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp. insurance.] 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 LE] Plumbing repairs or additions myself. [No workers'comp. right of exemption per.MGL 12.❑ Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑✓ Other employees. [No workers comp,insurance required.] *Any applicant that checks box#i must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:AIM MUTUAL INSURANCE Policy#or Self-ins.Lic.#:6012954012012 Expiration Date:7/25/2012 Job Site Address: 148 POINT HILL RD City/State/Zip: W. BARNSTABLE Attach a copy of the workers' compensation potiey 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 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 certi under the pains and enaldes ofperjury that the information provided above is true and correct Si cure- Date 12/2/11 Phone#: Oicial use only. Do not write in this area,to be completed by city or town ofjiciaL 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 6.Other Contact Person: Phone#: i OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at (Property Address) (Property Address) hereby authorize EG-0 Yl (Subcontractor) ' an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building. permit and to perform work on my property. aza Owner's Signature Date F9 V 2011 I , . CERTIFICATE OF LIABILITY INSURANCE FDAM(MWDD/YYY) 10nsi201 t THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT.APFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE APFORDED-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. ' XMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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(a). PRODOCER CONTACT Rogers & Gray Insurance Agency PMBB FAX Inc A/C. No. Rzt): (A/C. NO): E-MAIL PO Box 1601 ADDRESS: PRODUCER South Dennis, MA 02660 CUSTOMER IDo- INBORED(S) AFFORDING COVERN S NAIL B INSURED Frontier Energy Solutions LLC INSURER A: A.I.M. Mutual Insurance Co ^33758 Fro . ISSURBR B: 39 Siasconset Drive INSURER C: Sagamore Beach, MA 02562 INSURER D: 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 HAMM 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. m" POLICY EFF POLICY EXP •�` TYPE OF INSURANCE POLICY NUMBER DAUB/wrn LIMITS GENERAL LIABILITY EACH OCCURRNCE 6 ❑COWMRCIAL GENERAL LIABILITY DAMAGE TO ARMED 6 PRENIEES(Ee.oearr-- ❑CLAIMS MADE OCCUR MED EEP (ArW one person) 6 FPBRBONAL i ADV INJURY' 6 GBN'L AGGREGATE LIMIT APPLIES EA: GENERAL AGMUMME 6 POLICY PROJECT LDC PRODUCTS-COMP/OP AGO 6 6 AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT ❑ANY AUTO lea accident) 6 ALL OWNED AUTOS BODILY IN er JURY (p parson) 6 ' SCHEDULED AUTOS BODILY INJURY(Par accident) 6 HIRED AUTOS PROPERTY DAMAGE (pe:eeeimat) 6 ONON-OWNED AUTOS ' n 6 6 UMBRELLA LIAB OCCUR EACH OCCURRENCE 6 EXCESS LIAB CLAIMS MADE AGGREGATE - 6 DEDUCTIBLE' 6 nRETEHTION 6 , _ 6 WOPJUW COMPENSATIONp�- AND EMPLOYEES LIABILITY THE PROPRIETOR/PARTNERS/A EXECUTIVE OFFICERS ARE E.L. EACH ACCIDENT_ 6 1,000,000 ❑ incl ® excl 6012 95 4012 011 07/25/2011 07/25/2012 E.L. DISEASE-POLICY LIMIT 6 1,000,000 B.L. DISEASE-RA EMPLOYEE 6 1,000,000 CCHMzE E DESCRIPTION OF OPERATIONS OR LOCATIONS: ALL MEMHERS ARE EXCLUDED FROM THE WORKERS'COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION EWESSTBOHROUGTISO, ERVATION SERVICES GROUP SHOULD ANY OPINE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE ASINGN STREET POLICY PROVISIONS. MA D15B1 AUTHORIZED RBPREZBNTATIVB i T � u m ��J. c S q a vca O (n (V w V y x Z z N ! `J 0 N woo O to OD O R u CDN F- N W a e j OD J N aj �� �.� cD z 5• Q m 0 y w W - i , u win tali •y w Z.� m ¢ u �•m Q z 0 m C O d x w r a w o Vpw' 0xauJ wUJ � a c U O ,k.:, w FQ- g xrj J Z C� I r 4� i0 U 'n Q 0 Q I.` SJ�_ �•a N Am License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business 12egulation } 10 Park Plaia-Suite 5170 Boston,MA 02116 slid without signatu . H, 1Y. clt �S Assessor's office .(1st floor): , TNET Assessor's map and lot number ... . T1C `. . ...........................r.. .. SEP SYgTE Quo o� MM Board of Health (3rd floor): 1c _ "NSTqLLep Co UST Sewage Permit number ��� ` �N MP Engineering Department (3rd :floor): , ENI/�RpN •rrLE J� 'oo M639. ems House number .........................:.............................................. A a� TO ENT � CODE q APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only i TOWN REGULATIONS TOWN. OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... vll.T�.......�.�...f.3..��L.f�)�"°�. .........I .Kr ti�.............................. �- TYPE OF CONSTRUCTION ................Im..�$.el........3r.��i /��P ........................ ............................................... p ............. . ... ... ..........199-b TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: n Location ...� RO/'v- /V/l/ /2 . 091 -�4(GNI M 4�................................................... .... ..............................................................I........... ............. .............................. Proposed Use ��-..f il4�� .................................................................................................. . ................. ............................................... Zoning District ...... ...........................................................Fire District ...tA-/.t... ..................... Name of Owner ..............................Address ............................................................... Name of Builderl��/tit.t.��f.. '.�.�.�l.hl;T�. /LakAL ..............................Address . ..0. .. . .. .��...............................!.7..... .......�. Nameof Architect ........`........................................................Address ........................................................./.......................... 144. Number of Rooms ........I........................................................Foundation ..I�.��...,7�UI .....4.0.... ..... .................... Exterior ....4. .Ll4l� 0�1n,D ................................................Roofing 1)............................................................... Floors .......W.dv ..............................................................Interior ..... ..r-Z4�........................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace .................... . . .............................................Approximate Cost .......�..a.D.nj...v.o.................................... Definitive Plan Approved by Planning Board ________________________________19-------- . Area .......l.. ......................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name / .�.. . Construction Supervisor's License ...fl�. �.7; .......... Z, BROWER, DODE 29438 No ................. Permit for .. ?d1d,.Storage Shed Accessory to Dwelling . . ............................................................................... Location ..1.48...Point................................................. Hil Road West Barnstable ............................................................................... Owner .............Dade...Brower............................. . ........ .. Type of Construction ......Frame......................... . ................................................................................ Plot ............................ Lot ................................ Permit Granted ........................................June 2, 86 19 Date of Inspection ................ ..................19 Date Completed ......... Z ..............19 9 60. g a -. w•� s / 1 4 nf0l LOT 13,5 oF C a z- y� n 1-2 . i S5� •r � c,) OI44 ���f 1 _ 42 CE2TIFIED PLOT PLAN TOP co' UAJ 0AT/OA/ FEET ABOVE LOGc/ ;c::,O/AvT /A/ ;pO,qp F�� D O.v` ,D/c'O uiF"� Nl/N/MUM SU/L D/�vG SETl3�C,e TZ E.FE 2 E/vC E F-'L. /.�X 3 S/ �G. S/ �.�, , ,' "• ,�•;.r, "Y C. R. SHORT I/-1E2E,5V CETZT/FY if/AT Tl-1 EXiST- -/N6 .4:-0 Un/,DA 710 nJ L O C-4 T/ON/5 CO/A?�C T ENGINEERING As5.40;VAJA^/o CotiFoe,�>s w1T,,-i TEE ,�,; ; `�!��""�� J 8U/�O/n/G S�TB.4C.c .���iPEME.vTS DESIGNING -. .A(•' OF Ti�1� %OLc/,�/ OF BUILDING,,f,.. 385 . 2831 DENNIS. MASS. Application to i w^�,P°Si�PEustN s►D'pN CDN,�M'� Old Kings Highway Regional Historic District Committee in the.Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application Is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 o' Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and'on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alteration • ' Indicate type of building: ❑ House ❑ Garage ❑ Commercial Other o U'P i3 v I I.n1 !v Z Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT.LEGIBLY DATE 4-- L j_d� 3SA �n�w� , ADDRESS OF PROPOSED WORK ) 17 ASSESSORS MAP NO. "OWNER ASSESSORS LOT NO. —�— y" HOME ADDRESS 1 P,6rthi(AQ, 10), / 901 TEL. NO. 3b - 5 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). GL%/� ' G,4vF ;t;.1.n *j')V ST }1165,S/4m A1,45S 0xp43 %&i-rY A,LL.EN 3 to -5 Pitt tiS M;// 2 0 E JC,4m0wie y nt14 0aT37 0 AVi) .[.f_LEAJ 3 4o S tZl!� 4i i/ /2U E. J*Kh Gv1 44e �) S 17 j�ffUiCy1IEY2. �,� Pc�wTfiil/ r2i� /.ti1, �,�2w, hl,4s,�ao�G � �r �j451114LI) 5702e6l 6 7VIZEe (104,4.5 OR. cEwT6tV%!/ Ik.4 s 6,2 AGENT OR CONTRACTOR ����/���' �VJ�yU TEL. NO. 4 ADDRESS DETAILED utSCRIPT!ON OF PROPOSED .1VOR K: 9i92 all particulars of work to be done (see No. S,other side),including materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (At ch additional sheet-, if necessary). Signed Q uw?Co6tiactorlJJ&t Space below line for Committee use. Ret 'ved khe by H.D.C. • Certificate is hereby ' Date dA ►— 1 f I _ r Time _n u By V 1 2 19 AppMA� IMPORTANT: If Certificate Is approve ,approval Is subject to the 10 day a eal period provided In the Acts Disapproved ❑ CA s �; r T LDQ Y Alp --._—_ ..do�.i�.. .i �♦ � I f �. 1T+i�i ,I b ' . � ,�. - _ —s'P��is1•._�._.... __� I _.-1 �-----.Via. Application to pNEGN`,E lP Op�NP15t PPS EP `�N '" 0P' pEN,µ54"pP�PNs ' 0PE °E `"`� Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATION OF EXEMPTION Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470, Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans,drawings, or photo- graphs accompanying this application. _ I TYPE OR PRINT LEGIBLY DATE 1 L ADDRESS OF PROPOSED WORK �7 � �r7�N� �� 0 ASSESSORS MAP NO. / rv. 16 wa 6A, ^ucyb' OWNER �a�`'e�� (7aCee LDWe ASSESSORS LOT N0. 3S� HOME ADDRESS JAMB lt( 12'260 t TEL. NO. 3Ga —yard AGENT OR CONTRACTOR G� FCef1?o���SI WV 4 ADDRESS 6y /"neJ� /�ir rGl�2lD��dS . TEL. NO. +. �6/�,� This application is for exemption of proposed exterior construction on the ground that- ❑ /(1) It will not be visible from any way or public place. (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot,and, if an addition is involved,show- ing location of existing building. • 1'►20`06 S c 4- f�c i L4—6 1�(-8 60 vl Roo KA - i—Len c/03e.9 I' ` � SIGNED. ; Owne• ontractor-Agent Space below line for Com'ittee use. • t Received by H.D.C. The Certificate is here a VW za f,f Time C7 By Date Approved Uzi The categories of work entitled to exemption are listed on Disapproved ❑ I the back of this form. -k y EXTERIOR ARCHITECTURAL FEATURES SUITABLE FOR CERTIFICATES OF EXEMPTION FOR RESIDENTIAL USE ONLY FENCES: 1. Post and rail,split, half round or round; natural finish 2. Square rail;white or natural finish 3. Stockade;natural or gray stain finish;not forward of face of main building 4. Picket;white only (Maximum height of all fences, 4 feet) HEDGES: natural, not to exceed four feet in height DECKS: constructed of wood, on single family dwellings, built after 1900, at first floor level, at the rear only, railings not to exceed 30 inches in height, not over 50%to be visible from a way;natural finish or color compatible with building involved - BREEZEWAYS: enclosure.of existing breezeways,consistent with style, material and color of house, excluding sliding glass doors facing street,way or public place FLAGPOLES: on residential property, not over 24 feet high, not less than 20 feet from way, constructed of wood, with natural finish or painted white,or of aluminum,or of fiberglas or metal painted white ARBORS AND TRELLISES: of lightweight,wooden construction, not over nine feet high ROOFS: natural cedar shingles,or asphalt shingles per approved color samples; not over five inches exposure to weather SIDING: natural cedar shingles,or wooden clapboards- natural or approved color;not over five inches exposure to weather STORM SASH,STORM DOORS,WINDOW SCREENS, SCREEN DOORS,GUTTERS AND LEADERS: permissible if consistent with style, material and color of building LIGHT POST: permissible if consistent with style, material and color of building AIR CONDITIONERS: portable,window units at side or rear of building STONE WALLS: construction of field or split stone, not exceeding 30 inches in height NOTE . 1. All prior bulletins hereby superseded. 2. Conditions contained in certificates of appropriateness shall be binding regardless of any exemptions contained herein. I At a meeting held on May 6, 1988, the appointed agents for the Point Hill Realty Trust approved the plan for an addition of a sunroom to the home of Mr. And Mrs. Dode Brower, 148 Point Hill Road, West Barnstable, MA with the stipulation that clip-in muntins be permanetly used on the sliders facing the Driscoll property and that the clip-ins' exterior be painted to match the exterior trim color. Anne H. Bates Clerk for the agents Point Hill. Realty Trust'. May 7, 1988 Assessor's offices (1st floor): 1� 3S� Assessor's ma and lot number .. / 0 FTHEt Board of Health (3rd floor): Sewage Permit number a.�.. .. .. INSTALLED IN Ci Engineering Department (3rd floor): / L/� t�'i TITL e��d LL. : House number .................................:.. �I'. � .�_NT1aL Definitive Plan Approved by Planning Board ________________________________19-------- . TOWN IREGULA APPLICATIONS PROCESSED 8:30-9:30 A.K. and 1:00-2:00 P.M. only' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............. +�.'4�� ......... ............................................................. TYPEOF ,CONSTRUCTION ..................41nl ................................................................................................... Cl ......1..................19.rt.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: /..,a ?..:. / Q .... Location ........ O��td�.. .`!.........��" W ..C✓lS�Z�o/� ProposedUse ................S 7.......... ;�e//Z ...................................................................................... Zoning District ..............!......... Fire District ..............................................:. .............................. .............................. ' Name of Owner ..... e......../�,7&91AvP.K X...................... ...........CSG!Lc- ........................................................... Name of Builder ..... <. ......�`a�`yl.�f.............................Address GY� /;&') '....../D ..�. .(�?f4�?T� . Name of Architect .......................................................:..........Address Number of Rooms ...................7...............................................Foundation ...................�C?UG ................................. Exlerior ......... LriG.O.�............ ....................Roofing . ...... '.. ...... _ Floors ..............e!vol-l. ..:.:....................................................Interior . ........................................................ Heating ....::.............Plumbing .............. a i��... Firep Cs ..........Approximate Cost ` ................... .. .. lace ..................... .:............................................. `!�l••...1.. ...... Area ....f�L U...... ....CX,d Af(' Diagram of Lot and Building with Dimensions Fe ........................ CCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I h'ereb a ree to conform to oil the Rules and Regulations of the Tow4oftBa nstable re ardin the ab ve Y 9 99 9 0construction. Name ..........r . Construction Supervisor's License ....J..7�O BROWER, DODE No ... Perm it for ...Enclose Porch ........................ Single Family.. ......... Single ..... Location ...148 Point Hill Road ............................................................. West Barnstable . ............................................................................... bode Bower Owner ....................... Type of,Construction ....... ..Fra.. ..me........................... . ............... .................................................. ............ Plot ... ....................... Lot ................................. Permit,6ranlecl ......MaY.:J ................19 88 Date 6f"Inspection.....................................19 ......19 Date Completed .............�f�..... ., _ .'" ., ., .� ., — ... � �J�� x3i>�., .,.,-fN'. b: ✓'wa1✓���.1.-..���,Y� _ . _ ..,.Gr -'l• . .__' vv ... .. _.�.�..+ _ Assessor's office Ost floor):. Assessor's map and lot number .... 3 . .. c3 s eF THE to Board of Health (3rd floor): Q Sewage Permit number �..�?.�.�..�� .1�- yTsn L 9 ...... ........ . t Baaa L Engineering D'epartmenf (3rd floor): �/ L/ ); I- �:T +ao 116 9- House number ......:............................ v � 0 Definitive Plan Approved by Planning Board ________________________________19-------- . r APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00•2:00 P-.M. only I TOWN 'OF BARNSTABLE 4 BUILDING M'SPECPTOR APPLICATION FOR PERMIT TO E l r TYPE OF CONSTRUCTION .................. � ............... ...................... _.. I/--..............19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a /permitnaccording to the following information: Location .✓�...14.1 .......h� :...../JriKtilS�zfo�< ��!? .............. ................................................................................. ProposedUse S'�Sl< & . ...................................................................................... Ij Zoning District ............... / ......................................................Fire District .............................................................................. Nomeof Owner ...... ......../. ......................Address ........... ......-............................................................ G�w. i u ps - rR�� �.� /=" �/��� . Name of Builder ............... ..................................................Address .... ................ .... Name of Architect ..................................................................Address ............... U..KFK........... i Number of Rooms .2 UC<<<�C ..............................................Foundation .............................. Exterior ..........0 r,.�X� .............<;4".-�.A6/��....................Roofing ....`.:.:.......... . ................................................ Floors .............. !L<>.<icE!..........................................................Interior Heating ................ -/off....... !............................................:Plumbing ......................................................... 60 i Fireplace ......................y�......................................................Approximate Cost ...........:......���. �v......................I............ Area f Diagram of Lot and Building with Dimensions fee .: ......................... 0 f CCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS � a I hereby agree to conform to all the Rules and Regulations of the Town"of Bar stable regarding the above construction. ( .................Name ........ t 'L.�. ` _ !f f... Construction Supervisor's License .... ... .......................... �fniER,, DODE A=136-313— No Permit for ... ....Porch .... .... .. . . ,Single Family Dwelling .................................................. ...................... Location 148 Point Hilll.,,Road .......................................................... W. Barnstable .................................................................. .......... Owner' .. Dode Brower ................................................................ Type of Con'struction .......Frame........... .......... ............................ .................................................. Plot ............................ Lot ............t............... Permit'Granled ...........Mai'.. 16.r..........19 88 Date Of Inspection ......... ...........................19 Date Completed ......................................19 z5l O i 3 i�F y Assessor's map and lot number ... ... ............. �J �oFTHETo` P Sewage Permit number .. :...........:::.................:. Z BAHBSTSDLE, i House number ................. ., ..... ..:..................................... 'o rasa 1639. TOWN OF BARNSTABLE d BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...........�47 f�.�7��..�.��..�..�i....�.. ..... Sy. ...........:.......... TYPE OF CONSTRUCTION ........ ......F�.�....................................................................... �:.... .. ........,9. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... /!✓ `" ��I /lr-��, /N �� / s4/2 .. ........................... ..�.�.............. _...... .. ............... i Proposed Use ���-? r'L� N y ............. Zoning District .........................................'...................:.........Fire District ✓/" -.. / ��i�� ..... � ...... ............... ...................... ...... Name of Owner��l !F=I�. .. �>l.le4N � ��' ..Address ...r6.17,zvo......N2X8#Aj................................. Name of Builder .d!`'l�I� d!ti.. .1 �a././�h+i.. ��-........Address ...��G� Name of Architect ....................................Address ..................................................................... . ............................ ............... Number of, Rooms ......:. ............................ .....Foundation ......4• ....10� ?'/w ......................... �/ V.. riot .�.!�,(.?�t'.. !�.✓.Z....:.....:L:E�:f„3%�,d!Z'?.�.:.....Roofing .............. ,.,................... ..........Exie Floors .� t ..................................... Interior ..:..:/ ? L-....7` �C///� .......... ............................... Heating .... .........................................Plumbing ..,•.......... �-L /.�7 .............................. Fireplace ......... ................................:......................................Approximate Cost U O U fI J !............................................ Definitive Plan Approved by Planning Board -----------_______:_____:____19 Area .......................................... Diagram of Lot and Building with Dimensions Fee `,..r .. ...�' -"� ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �Q . a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS y - I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable-regarding the above construction. Name r . .. .. � / ................... 1 id Construction Supervisor's License f o4'Q..,.�............. ;a BROWER, LOVELL & JULIANNE A=136-50 24745 Build Dwelling No.................. Permit for .................................... Single 'Family, Dwelling Location ................................................................ West Barnstable ............................................................................... Lovell & Julianne Owner ............................1-.................................... Frame Type of Construction ....Fr......................................... ................................................................................ Plot ............................ Lot ................................ January 24, 83 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 Assessor's office (1st floor): r Q`?M E i Assessors map and lot number .......... ................................. Q� ` Board of Health (3rd floor): .��� �2_--�cjL fSewage :Permit number .......... .......... ............ �J Z gAgg9TADLE, ! Engineering Department (3rd floor): oo 1639. NA & ♦� Housenumber ........................................................................ v oraY APPLICATIONS PROCESSED 8:30=9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO � oU ...........................t L'Oi °1 IdX y �. .......... ........................................... TYPE OF CONSTRUCTION ................1!VA8.G ........y... / l'� ................. .............ter.••.-. ........19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for �aLpermit according to the following information: location ...1.. .b........ �/ IT"1/1 J � �.5 fG�✓f .................................................................... ................. ProposedUse ... �Z }G ............................................................................................................................................. Zoning District ...... ....�s A ` 14dL' f r............................Fire District �/✓ r'j�'i�l� / Name of Owner l�r� ../a itJ.���",..............................Address ..J.4'b.�l��.... /...! n:...w.614. .l�.�.�..l 0°ZL6'�I Name of Builderl�lt+.:.t,l.,��'1jJ '..............................Address ^ ... °.1,7/$� d19�fQ.0AW-. i Nameof Architect ..................................................................Address ..................,J................................................................ Number of Rooms .................................................................Foundation ..>!: ........ Ui� 0 7��t�^ ....................................�......... ........ ....... �`l.......` ................................................Roofing .���•N.j1 .. ........................................ Exterior G L Floors .......�.D!a.f ..............................................................Interior ..... ✓�J ... � ' J .......................................................... Heating ...................:Plumbirig ......... -....................................... ......................v........................................................... Fireplace ..................................................................................Approximate Cost (7 L� y7� Ai Definitive Plan Approved by Planning Board ________________________________19________ . Area .......J. ........................ con Diagram of Lot and Building with Dimensions Fee �D SUBJECT TO APPROVAL OF BOARD OF HEALTH i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. „ Name Al 1e.!...... ................... a . 4/ 7 Construction Supervisor's License . s BROWER, DODE A=136-50 No 29438 Permit for .....Build...S.t.ora.g.e...Shed „_.„Accessory„................ Location .....148...Point...Hill...Road......... ...... . .......... West Barnstable ................................................................................ Owner ... Dode Brower ............................................................... Type of Construttion ..................Frame........................ ................................................................................ Plot ............................ Lot ................................ June,,2,'.... 86 Permit Granted ... .....................................19 Date of Inspection ....................................19 Date Completed .... ........ ...... ..................19 1111,-7 TOWN OF BARNSTABLE 24745 Permit No. ----_----- �----___--- ` Building Inspector saun►mm i Cash ---------- ----� qua r 1 \ �DY�Yl •. OCCUPANCY PERMIT Bona _-- ---cb \� Issued to Lovell &--'�ulianne Brower Address 1425 Point Hi1j.,Road, West Barnstable Wiring Inspector /� �- Inspection date Plumbing Inspector Inspection date Gas Inspector / Inspection date l X Engineering Department, � � �, Inspection date Board of Healthy )Inspection date THIS PERMIT WILL NOT BE rVALID, AND-THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THEfMASSACHUSETTS STATE BUILDING CODE. r ... .. /.«.. ... _� _..._.... Building Inspector � y. 97 !0•�9 -9� �� 8` w lv 01 L. o 7- 1 i3 S A o �P f y� 07o2 � � � l o► I D.00 CE2rlFIL PLOT P�.A/V TOP FO D�1 T/O�/ FEET �N IyEST Q��iti.�T�913L E A 8o vE LOcv .moo/&v 7r /A/ ;&O,q z::) F0'2 12 E,FE)2 E.A IC E BY SHORT rNE2E8y c T E077FY -1AT TA4E EXT- is C. R. �O Un/DA T/ON 1-0 cATi0A//5 c02zr-CT ENGINEERING Y �`� AS SH0WAI AND CONF0�2M5 w1 r, 7;yc .x,:. _ �{ ~ 4�,• �. $U/LO/NG SETBAG',C P.E iPE�9E.vT5 DESIGNING ` ' BUILDING - - 385 .2831 � y r *A DENNIS. MASS. '' t Assessor's map,and,lot number ... -............................ G c%TH E t0 Sewage Permit number . ........ OrJ"S? LLED 11R, '' W;1�; T IT LE cc J Z BAUSTa LE, i . 9O MAO House number ...........: �.. ..:....1.4tce 4-,.�. VtnONMrr',E��•AL COMA �o��� �'�71r��pYp�O TOWN OF BARNSTAB BUILDING 11S?ECTOR APPLICATION FOR PERMIT TO ........... . ,C,t. � .. ../SS ...................... TYPE OF CONSTRUCTION ........i/:O.OQ..... /1?..1 '........................................................ ................ ......... .y :.... ..1..........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... ...... .. f. .............................. ProposedUset` LL. ................................................................................................................................ Zoning District ........................................................................Fire District .....!/'".PSI Name of Owner [ . ?~. ULLAN ��'. .W.Cl�! ..Address .... .l .f�O.......�7A.. ................................. Name of Builder . !" Lk. k.. :.1.'!.(�.L/IIJ.. n'........Address ... c�.....L/� 2.!.�!Y�A. ,l ..W..-..�'lt4 Nameof Architect .......................... ...................................Address .................................................................................... Number of Rooms ........ .....................................................Foundation ...... !. ..� -!... d(ST/BLS:........................ Exterior I�!.!:?ZiZ'..C✓d'! .... G14g11!4iL`� .......Roofing ........ G /'la�a....'........................... ................................ .. Floors .Interior ...... .� 2`..��� . . ..................... Heating ...Utz. 2 !.... �. .........................................Plumbing .............1 � ......4.44!!I ......... ................................... Fireplace ..........3.... .............................Approximate.Cost A.v.I..A Q Uv ..................................... ........... ....... ........................../....07 Definitive Plan Approved by Planning Board ---------------_____.---------19_______. Area i ......... :. ..... O a' Diagram of Lot and Building with Dimensions Fee. ............. ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH �O I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding `the above construction. Name .................................;A.................... Construction Supervisor's License ............ BROWER, LOVELL & JULIANNE ' 24745 Build Dwelling o ................. Permit for .................................... Single Family Dwelling ar........................................................... -3-5- Point Hill Road Location ................................................................ West Barnstable ............................................................................... Lovell & Julianne Brower Owner .................................................................. Frame Type of Construction .......................................... .......................................................................... o Plot ............................ Lot Permit Grant d January 24, 83 ....... ...... ............... .19 . Date of I ec"fi�on�g ...................:.......19 Date Completed ..............'...g....�'s,, .. 19 t � TT J' .. _ --... T T,Loe) I � I 11 4- 2x� D Via; •n,-�t��_ _ I �� � ,.= --� /��:._.�G: �.._a!_�art c�.:- Y,10) -di' L t7i, DATE:. CI 0l_ DONALD I. MEYER REv,SED a Professional Building Designer P.O.Box 532 DRAWING NUMBE a ► So.Yarmouth,MA 02664 - -�- (508) 394-5296 _ ,