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0330 SANDY NECK ROAD
Akc-K--Rd llll ��EcvciFo�o � UPC 12543 No. 5� 3LOR HASTINGS, MN :;� _ ;� f� .} :'`` l 4 o I c d II Town of Barnstable *Perm,a) 3yp2. Expires 6 mo hs fro 'sue Regulatory.Services Fee RARNsrwst 6 gam- $ Richard V.Scali, Director ArED MA't A Building Division (�✓ Tom Perry,CBO,Building.Commissioner .260 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PFJUMT APPLICATION ' - RESIDENTIAL ONLY /�/� j� Not Valid without Red X-Press Imprint Map/parcel NumbeJ-3 6 Propeity Address / - ��`'1�. l V LC,tom. Residential. Value of Work$ � v2tJ' , Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ! ' G(�.S PCAwi �� ff 330 lV" Contractor's Name L/C/,s SO V? co P1 I !/PLC t f/1 Telephone Number c Home Improvement Contra for License#(if applicable) Email: QUSI—Ckri C90 /v! vV1tt -c-at: Construction*Supervisor's License#(if applicable) l t� ✓��o ❑Workman's Compensation Insurance ��� C eck one: R pCRMIT. I am.a sole proprietor I am the Homeowner NOV 26 2014 I have Worker's Compensation Insurance TOWN /Nn' OF Cal BARNSTAB_ � �J Insurance Company Name �� E7 e `FV LE Workman's Comp.Policy Copy of Insurance Compliance Certificate must accompany each permit. Permit Rrquest(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to �(,<✓Y(b'1(9� �� T ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum 35)#of windows #of doors: ❑ 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. . A of the Home Improvement Contractors License&Construction Supervisors License is requt d: --'-'--- SIGNATURE: Q:\WPFILESTORMS\building permit formsEXPRESS.18/11/ Revised 061313 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers ApOlicant Information Please Print Legibly t Name(Business/Organization/Individual): OU,5 Address: r V' City/State/Zip: ( VIV i/ it M14 Phone Are you an employer? C eck the appropriate box: Type.of project(required): 1.❑. I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2/KI am a sole proprietor or partner- listed on the attached sheet. .7. ❑Remodeling ship and have no employees These sub-contractors have .8. ❑Demolition workingfor in an capacity. employees and have workers' y p t' 9. ❑Building addition - [No workers' comp.insurance We incm,rance.$ 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 11.❑Plumbing repairs or additions _ myself. [No workers' comp. right of exemption per MGL. 12XRoof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other 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. $Contractors 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 thepolicy andjob site information. Insurance Company Name: I 6 e U " ��✓� Policy#or Self-ins.Lic.#: c�� Stoy �QCVExpiration Date: Job Site Address. City/State/Zip: L-14 1 Attach a copy of the workers compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the 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 n the pains a penahi of perjury that the information provided ove is true and correct. Sip-nature: Date: Phone#: U� ��� Official use only. Do not write in this area,to be completed by city or town official _.... .._>< or Tower ense _..... _._.._......_._.. ............ ._._._.._..._.__..__ _..__._......_.. , C Permit/Lic # _ 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#: Iuformation and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their.employees:4ft,%`�4 Pursuant to this statute,.an employee is defined as"...every person in the service of another under any contract.of hire, express or implied,oral.or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or,more of the foregoing engaged in a joint enterprise,and including the.legal representatives of a deceased employer,or the -• . receiver or trustee of an individual,partnership,association or other legal entity,employing employees.. However the . owner of a dwelling house having not more than three apartments and who resides therein,or the.occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling Douse or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter.152- §25C(6)also states that."every state or local licensing agency shall withhold the issuance or renewal:of.a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter.have been presented to the contracting authority." - Applicants ' Please fill out the.workers' compensation affidavit completely,by checking the boxes that-apply to your situation and. if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with-their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP).with no employees.other thaii=tha members or partners,.are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Y : Accidents for confirmation-of insurance coverage. Also be sure to sign.and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department 6. Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom__ of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. , Please be sure to fill inahe.permit/license number which will be used as a reference number. In addition,an,applicant that must submit multiple permit/license applications in any given year,need-only submit one affidavit indicating cuiient policy information(if necessary)and under"Job Site Address"the applicant should write"all locations.in (city or town)."A copy of the.affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a.home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT-required to complete this affidavit. . The Office of Investigations would like to thank you in advance for your cooperation and should you have-any questions, please do not.hesitate to give us a call. _ The Department's address,telephone and fax number:The Commonwealth of Massachusetts Department of Industrial Accidents. Office of Investigations 600 Washington Street Boston,MA 02111 Tel..#617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 . Revised 4-24-07 wwwMass..gov/dia Paul Gustafson Exterior Restoration Specialist 4caL BBB. 14 Jonathan Circle CertainbedM Plymouth, MA 02360 Cell 508-269-1263 CSSL#105967 HIC.License# 154549 gusta.fson.roofing@gmail.com September 27, 2014 Attention: Mrs. Pamela Potter 330 Sandy Neck Road West Barnstable, MA 02668 508-362-9027 pjpotter@comcast.net Regarding: Re-roof of Home. Properly protect home and grounds during construction. Remove and properly dispose of existing shingle roofing. Inspect roof deck and re-nail as necessary. Ad-here ice and water shield along eaves,walls and chimney. Install new 8"white aluminum drip edge along all eaves. Apply 1 layer 15#felt on remaining roof deck. Inspect and replace step flashing as necessary. Replace all soil pipe flanges with new aluminum and neoprene flanges. Re-shingle with Certainteed Landmark Lifetime shingles fastened in a hurricane nail pattern. Clean and magnetic broom grounds upon completion. Furnish all necessary building permits. Total: $7,900.00 or Landmark TL extra heavyweight shingles: $9, 625.00 Option: To replace roof with new 18"blue label#1 red cedar shingles over cedar breather: $14,950.00 Customer Signature: Authorized Signature: I i i P r" ! M6t'skhusetts Oep r'tr'nC-nt bf.PuY�ifc Board of Building Regiklafighs 2nd St t1dAfidst� Wit; C'onsttir�trunSup Sri ►5�fr51i�i�iity: R r License: CSSL.105967 � r ' PAUL GUSTA:FSON ^-S.,` 1=4 JOMATHAAN.CARCDLd j Plymouth MA 02-60 z R :J�!� Exptr Yttbin rr 1112112016 •; , r_oinM ssiuner, • � t.<�r.. L%e.n.V.. � .Rn w.Y'.:.� rf. r.w.`�n. .tQ.. - - .�..._ •b<�.M w'A+' :��ffce of Consumer Affairs &Business Regulation- Mass.Gov Page or i 'The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) - Consumer Affairs and Business Regulation _ dome Consumer Home Improvement Contracting HIC Registration Complaints Registration# 154549 Home Improvement Contractor Registrant Registration Home Page Name PAULGUSTAFSON Address 14 JONATHAN CIR City; State Zip PLYMOUTH, MA 02360 Expiration Date 03/19/2015 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search 1 jg. _.._I-T XT—ccnl)17 11/77170 1 i of l°�ti Town of Barnstable *Permit a I �s S Expires 6 mont from issue d Regulatory Services Fee MJWSTABLE, w S. `0� Richard V.Scali,Director ATFp�,�A Building Division . Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address�?�3p _:LPWq /(/Pif C 108e ,l M). 07, $ Residential Value of Work$ 2 G. 4�I S. Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address —T-0 vti V E.4 ,nj i c� PAAA . f e+;e-< Contractor's Name I l_ �.�y (I _ >�,,, '��ts�s Telephone Number_jjj% ' 3& - OU 6 w Home Improvement Contractor License#(if applicable)/ 3yyy 3 Email: q,�l„ry 1P,v��?N��O���SC S e COy►t C�7 Construction Supervisor's License#(if applicable) C 47001/-7 ®Workman's Compensation Insurance -PRESS PERMIT 77 Check one: ❑ I am a sole proprietor SEP 04 2014 ❑ I am the Homeowner tA! U I have Worker's Compensation Insurance I TOWN OF BARNSTABLE Insurance Company Name AJ 0 2 (syvr 7— ��lLvn,ads C lZ Workman's Comp. Policy 1 qj Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) K Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to�tyv n eW Rv bb� n 4*V11 P 1 0"4-- ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders.U-Value , 3 (maximum .35)#of windows Z WVv r1 i PN,S #of doors: ❑ 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. A copy of the Home Improvement Contractors License&Construction Supervisors License is require , SIGNATURE: Q:\WPFILESTORMS\building permit forms\EXPRESS.doc Revised 061313 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ,� "l� e C�i' fl�� �iy�-t�l/��/►Cr'SI,T ��� Address: p a 1 ^7 City/State/Zip: r �(A -VKh OZlo S Z Phone #: Sye 3 G Z - 0&040 Are you an employer?Check the appropriate bog: Type of project(required): 1.21 I am a employer with > 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑ New construction employees(full and/or part-time). A/� ,v 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling Alt w ship and have no employees These sub-contractors have g, ❑ Demolition and have workers' working for me in any capacity. employees 9. ❑ Building adds ionon [No workers' comp. insurance comp. insurance.: 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 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12X Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other 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. ;Contractors 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: AI0 2 Policy#or Self-ins. Lic.#: K 4 IN 'L 5- 2 1 O Expiration Date: /.S Job Site Address: O�3 D Net e r- City/State/Zip: (A1. C�a►� �rrf ,b l� `'�(/r ou Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the 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 certify nder t ' sand aft* s of perjury that the information provided above is true and correct. Sip-nature: Date: / Phone#: -fPB - 3 G 2 ' 040 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 5.Plumbing Inspector 6.Other Contact Person: Phone#: Paychex, Inc. RF 2/1/2014 12 :.21 :42 AM PAGE 3/003 Fax Server CERTIFICATE OF LIAE3IL,ITY INSURANCE 0 o 214D ) AfrC?RI)' 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 CONSTITUYi A 06NTRACT BETWEEN THE ISSUING INSURER(%AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. - IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(es)must be endorsed. It 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 endorsemen s PRODUCER Paychex Insurance Agency Inc PAYCHEX INSURANCE AGENCY,INC. 150�RAV DRIVE I . 877-266-6850 595-389.7426 to ROMPER,INVV 14620 M6S. Certs@paychex.com i NSURER(S)AFFORDING COVERAGE NAIL III INSURED INSURER A NorGUARD Insurance Company 31470 KEITH C GILMORE ENTERPRISES LLC PO BOX 17 INSURER B: CENTERVILLE,MA 02632 INSURER C: INSURER D: INSURER E: INSURER F. COVENAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L7R TYPE OF INSURAMCE L POLICY NLIVIBER MM 9 IJ<.Y� PO DP LIMITS GENERAL LIABIAM I ' EACHOOCUPREVCE $ =I+ FO&GDERALLUIBILITY i $ MED E*(Any ma person) $ ! i PERSOWL&ADVINL.RY $ 1 GENERALAGGR83ATE SENLAGGREGATELIMITAPPLIESPSR: i $ �j PROOLCIS-CCWCPAGG $ GOL)CT L�AROJ EC TO Lac I $ AUTOMOBILE LIABILITY I swGLElwrr $ ANT AUTO, I ALL OWN60 1 CCNEOULSO I i i ! BYj$Qwj)�� S AUTOS 1�AUTOS I Y 0•O6WEO (Per 6ddert)TRED AOTN $ ' PROPS"DAMAGE Pa $ $ 'UYORELLA LMO OCCUR EADHO•URRE%M $ ECC[!C LM■ CLAIUS•MAOE ! I I I AGGFWATE $ i CEO RETENTIONS ( $ WORMS COUDCNOATION AND X WC 6TATU1 OTT. {, 6UPLOTE02'LLLOILITV KEWC525218 102104/2014 02/04/2015 I EL EACH AMDENT $ 100,000.00 All'DROPRIETORIOARTNER/E%ECUTIUE + I orr)eeA)ueueeaexauoeD> yM I i I ELDI SEAM•6AEMPLOYEE $ 100,000.00 I IN•nC•ory m MM) WA I EL DISEASE•PCLICY LIMIT $ SW,000.00 1 u,u,aucnw unw. i i DEiCiP'nON CFOPEfU111M/LOCAIICIC/VBIG ES(AtbKhACDW 10I,AdcftwW Firrs SdmU%if rrva Is rocMrad) CERTIFICATE HOLDER CANCELLATION Keith C Gilmore Enterprises LLC SHOUIDANYCF7HEABDVEDESCRBED POLICIES BECJIMIEDBN 7HEEXPIRAIMN P.(Y.Box 17 OATET ERBOF NOITICEIAILLBED9JVEREDNACIOORDANCEWTHIHEP000Y Centerville,MA 02632 PROMSIDNEBUrFNURE70MAL.SIIC?IWnOE WALL RPOWNOOBUGAMONOR UA9U7YOFANYKND"TECOAPANY,FISAGBdf50R REPRESWA7IVES AUTHORIZED REPRESENTATIVE ACORD 25(2010/05) m1986.2010 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 134443 Type: Ltd Liability Corpor Expiration: 10/29/2015 Tr# 245816 ENTERPRISES, LLC. KEITH GILMORE _ POBOX 17 CENTERVILLE, MA 026321. Update Address and return card.Mark reason for change. SCA 1 0 20M-05111 �] Address !—I Renewal F-i Employment Lost Card r/fie �r:nrnirairrr•n�(�r�'Clli��rir�rr�r((� . - Office of Consumer Affairs&Business Regulation License or registration valid for individul use only «1 - T before the expiration date. If found return to: - ME IMPROVEMENT CONTRACTOR egistration: 134443 Type: Office of Consumer Affairs and Business Regulation W `Expiration: 10/29/2015 Ltd Liability Corpor 10 Park Plaza-Suite 5170 Boston,MA 02116 ENTERPRISES,LLC. KEITH GILMORE 28 HIDDEN VALLEY RD. � �Q3 MARSTONS MILLS,MA 02648 Undersecretary Not valid without signature U `Aassacnusetts -Department of Puoiic Safety 3oa:rd'of'Buitamg Regulations and Standards fn.rrn,tn,n �u�u•r,r� r _cense CS-098047 KEITH C GILMORE PO BOX 17 - CENTERVILLE MA 02�2 ; Expiration r�mt"one 07H5/2015 I I PAYMENT TERMS The amount or estimated amount of said contract is $23,167.00. Customer agrees to pay the Contractor according to the following terms: $ 1,358.00 Due at scheduling1165 g�� $14,121.00 Due at material orderd !�. $ 7,188.00 Due at start of job $ 500.00 Due at completion Description of payment terms All work will cease under this contract if payments are not made pursuant to the terms described herein. Workmanship issues must be documented by the Customer,in writing,to the Contractor within fourteen(14)days that Homeowner knew or should have known. There will be no refund for special-order materials and/or any other non-stocked items after three days from approved proposal.Any other refunds shall be calculated and/or determined by Keith Gilmore Enterprises. The Contractor retains all legal remedies available if the Customer fails to pay including the recording of a mechanic's lien on the property pursuant to M.G.L.254,§5 to secure the payment of all labor, including construction management and general contractor services and materials, including those furnished by Keith Gilmore Enterprises. Customer guaranties the payment of all sums owed to the Contractor. Customer understands that any debt to Contractor over 30 days past due is subject to a 1'/z%finance charge per month(APR 18%). Customer agrees to pay all legal fees and costs incurred in the collection of any money owed to Contractor. Customer acknowledges that Keith Gilmore Enterprises has a reasonable expectation of payment from the Customer for any materials furnished by Keith Gilmore Enterprises as part of this project between the Customer and Contractor notwithstanding any payments to or disputes with the Contractor. This Notice of Contract is to be construed and interpreted according to the laws of the Commonwealth of Massachusetts. The undersigned acknowledge that they have read and understood all of the enclosed terms and that their signatures appear freely and voluntarily below: Authorized * Date Contractor Date Page 2 of 2 Initi v N vATrs-au `?J /N Vropoa Keith C. Gilmore Enterprises, LEC HIC#134443 d P.O. Box 17, Centerville, MA 02632 MA CSL#98047 Phone: 508-420-9934 Fax: 508-420-9935 Date: 5-1-14 Project#VERO10 Client Name: Tom Verdini & Pam Potter Phone#508-362-9027 Billing Address:330 Sandy Neck Road, West Barnstable, MA 026M Alt.#508-778-1212 Fax# Project Address: Same as billing. Email : Project Description: Replace the existing upper and lower rear deck systems on the home using Azek deck boards in your choice of color, white vinyl railings with square style balusters and Azek trims for the balcony support post surrounds.fReplace the kitchen double mullion casement unit using an Anderson C235) double unit with factory applied grills,white exterior, clear interior stained to match as close as possible,pvc exterior trims and TruScene screen upgrade. t"MJ fie. 5 5 CAk( - rA-,llk/oi Pox Q K HI Project Task Items: * Labor,materials and waste total. $ 23,167.00 i Total $ 23,167.00 Initial ET ui'SP••.i 4.J p +L+L • Barnstable Old Kings Highway Historic District Committee 200 Main Street. Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for: Check all categories that apply; 1. Building construction: ❑ New ❑ Addition Alteration 2. Tvne of Building: House ❑ Garagel'barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting roof ❑ new roof ❑ color/material change, of trim, siding,window,door 4. Ste: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool Solar panels ❑ Other Type or Print Legibly: Date NOTE AU applications must be signed by the current owner Owner(print): 'TO PA y 6129�t`3 t `Z'!Aw' J?O1f' Oe_ Telephone#: 506 '.00 ,`` " 7 � Address of Proposed Work: 3✓a SAD y pcci Ed -Village t1,1- FW'N�.+b"ap Lot# Mailing Address(if different) Owner's Signature SEe- A,0,%�j Description of Proposed Work: Give particulars of work to be done: w rIDg- e,40A4U4,V+— w nJ Dour J_1LP Gtr L i 1� . 12AV 10-t. " htxJ� S �V1ZFc-_c us i N (ram ts Ou As�!< PeoJoeL te/�IGL��sll6' 2Qi101Gc.t _ rLA-,_jj7y1 uS�7tJlr uJ�, AzzK "d Agent or Contractor(print): IC.-t-t � C & O"Y*__ Telephone#: .SU S - 3(o Z '©Co 6 Cv Address: 0 • 1-7 GI.vL"��/r`J r�16 l�a` D Z(e$Z Contractor/Agent'signature: (� For committee use only. This Certificate is hereby APPROVED/DENIED Date 1 Members signatures MAY 451014 VIAN APPROVED ' MAY 2 8 2014 Town of Barnstable c Hinriwav Committee 1 Q:\Boardc and Commissionsl01d Kings Highwoy\0KHAppllratwns\0KH DRAFT 2011 Cert Appropriateness DRAFT.dor R CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 copies Foundation Type: (Max. 12"exposed)(material-brick/cement,other) Siding Type: Clapboard_ shingle_ other Material: red cedar white cedar other Color: Chimney Material: Color: Roof Material: (make&style) Color: Roof Pitch(s): (7/12 minimum) (specify on plans for new buildings, major additions) Window d door trim material: wood other material,specify A Z l;t` pVL- Size of cornerboards II X 14 size of casings(1 X 4 min.) color tA/h t� Rakes Ist member 2`d member Depth of overhang Nd�crsrnu Window: e/model) material V�T►�) G �a el color uJ A { rovule window schedule on plan for new buildings, major additions) Window g ' please cluck all that apply_: e divided lights XC exterior glued grills_ grills between glass—removable interior_ None Door style and make: material Color: Garage Door,Style Size of opening Material Color MAY 0 5 ZO Shutter Type/Siyle/Material: Color: Gutter Type/Material: Color: GRowni TAGEMENT Dec terial: wood other material,specify A 7-F-L ?VC- Color: 6-92�y Skylight,type/make/model/: material Color: Size: Sign s Type/Materials: Color: Style �C Ca.��•t.. material: V t: SS• Color: W �' /S N 1 LTf S,IcBil Retaining wall: Material:Lighting,freestanding on building illuminating sign Mgt OTHER INFORMATION: n al 13,a,,'5t0!e 0% THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED ° Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) �v/C Print Name I�Z t L at 2 Q:\Boards and ConunissionAOld Kings Highwa)WYJI AppllcationslOKH DRAFT 2011 Cert Appropriateness DRAFT:doc A _ Keith C. Gilmore Enterprises, LLC HIC#134443 v _ P.O. Box 17,Centerville,MA 02632 MA CSL#98047 Phone: 508-420-9934 Fax: 508-420-993 5 Date: 5-1-14 Project#VERO10 Client Name: Tom Verdini&Pam Potter Phone#508-362-9027 Billing Address:330 Sandy Neck Road, West Barnstable,MA 02632 Alt.#508-778-1212 Fax# Project Address: Same as billing. Email : Project Description: Replace the existing upper and lower rear deck systems on the home using Azek deck boards in your choice of color,white vinyl railings with square style balusters and Azek trims for the balcony support.post surrounds.Replace the kitchen double mullion casement unit using an Anderson C235 double unit with factory applied grills,white exterior,clear interior stained to match as close as possible,pvc exterior trims and TruScene screen upgrade. d) i--VW P6-e- 55 G'Xb It_, M,�W fWi AIX Q K HI Project Task Items: * Labor,materials and waste total. $ MAY �g2014 Town of Sams able old Kings H19 hway Committee Total $ Initial ray, td:✓'♦ I� ys.�. A 4 y r ��n.`,.{eJss' t+�L�a',. i'T't .�``,a,$fJ,r�i Gx ��.r y�`9`;i— {�s'•„r'�_�+��� xx -',�z}'*''.`.�'?t�.S r +d�`b'�ytfJ �»• r y».�ff�K t'`.�s����;* it 4 04 rt e'� 'Q-'i'�3 ��1,4 � .'i.h ���.l:j•ee_ _ �. \ +lta ��♦ F� d �C ♦ ��" 1 n i'�F ���,. }•r �--`,` .�. h '�+( '�. xi& ,�rt r'� 4..•� f��• � r ,} S �. �'� ):•. �� �`1F,��. �r �- '�/�Y t•7�1" 42 a 1. $r u, t•i qy P� Si - r 7.�� �{,� �' tt 5�. !"� '�e ;��' 'fji� f F i �� •�� �. t „� a�� •r��sa-••d �'.f��c r�_��a'�f �Sft�� r 1- • ��,a yy - - y` i t ! -,� � ' `� Wit, �4��� �if�� Y't :; ,S� �3,��• •� �_ � x'� .y i: ,4 >f�dA� t „£•,,�;t t�`1 .yf a 4�t�,�9?�y-•.r,�?��'Y:T�'l��10.'��` tom` ut Y t ;ti r,.*�, ram E � .4 ') n / q,iA♦;,. gap �r�t.{t r-::. (� y������y^�`����;45?t`� �t��C� •r �.� S'�7t ���� 4 iF Lr �R -9- i d vl -L Y .�y r4jlc�f Sho.,,n: ZEK De-k rn Sily Oa " A arl Prem, rn W ite th Gor po to Ba uste = a Li t g endi J o .environme tal cenditr s, al AZEK Dec- co or _ : ;y appear •o lT ten ,ver ti, e as pa t of e n: ural wea hc. lna +-, , .d_ .P i a IL9C inne�u C[RI9lED 00 3 • , , . , c�aoa© aa0aOaA HOME I CABLE RAILING I STAINLESS RAILING I STAINLESS RAILING GALLERY ' CABLE RAILING"HOW TO" FIND A DEALER I SLOG I CONTACT US :ARCH: YOU ARE HERE Home>Cable Railing>RailEasyTM Cable Railing OTHER SYSTEMS ATEGORIES: RAILEASYTM CABLE RAILING _ L able Railing:ainless Railing Stainless Steel Cable Railing - Professional Do-It-Yourself Results - roduct Videos No Special Tools - Easy Install ailing Components stallation&Downloads The RailEasy"d Cable Railing System combines the natural beautyofwood with the streamlined look of ommercial Railing ail&Deck Lighting Patented RailEasyTM!Tensioners and cable. These ten ble are made from the extremely corrosion resistant type 3.6 RailEasvTm Nautilus •oiect Showcase Cable Railing with Stainless ioto Contest - -- _ Rails aws&Events able Railinq FAQs i ontact Us _ ?w Products able Railinq Tips Bloq �»>, �. SunRailTM Nautilus (•�� T ( o �� Cable Railing w ith Complete t Stainless Framework COMPONENTS ONTACT US: ]antis Rail Systems - Division of Suncor RailEasvTM Tensioner ainless a� -� 316 Stainless Steel )Armstrong Road f 11 ymouth,MA02360 TEN �08)732-9191 Tensioner Installation Video®► �p R V fo cDatlantisraii.com 1 yD„ RailEasyTM! Cable Railing Specifications 2$ 2014 �J -7 MAY Straight Sections Atlantis Rail offers standard rail heights of 36"or 42"for straight sections Town of Barnstable old Ktn ' N, hwa) Stair Sections mmittee Rail height for stair sections is available in 36"only. GD Rail3ta Cable Sleeve Note:Railing heights are offered in these dimensions due to nationwide building codes. However,Atlantis Rail 31166 Stainless Steel can supplycustom heights/lengths upon request Between Posts Length Atlantis Rail recommends staying within 4'section lengths to maintain structural integrity. If section lengths ;x ' exceed 4%Atlantis Rail offers a Cable Stabilizer Kit to minimize cable deflection. Cable Spacing to The cable is spaced on posts at 3"on-center to complywith nationwide building codes. Optional Components: • Vinv1 Post Components-White vinyl sleeves,fitting over a 4x4 post,are available in lengths of48". Cut RailEasvT"Cable post sleeves to appropriate application height. Colonial style white vinyl post cap and base are also 5/32"-1x19-316 Stainless available as railing add-ons. Steel • Micro Star'*'Lighting-Micro Star"A LED Post Cap fits over standard 4x4 vinyl sleeves and provides sufficient lighting for stairs and walkways. TOOLS RailEasy'rm Cable Railing Links: o- `oF,�Erokti ^ The Town of Barnstable N BARNSTABLE. Department of Health Safety and Environmental Services .. 7 MASS. 0p �p�Fo MPS Building Division 367 Main Street, Hyannis, MA-02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW .,Owner: VV�e_i�•'� �� Map/Parcel: Project Address: %�Jm �v�°i�Q— Builder:2nc flay The following items were noted on reviewing: C,5naPM5 Gi�,J I&eJ VYhA,4 4k_,dd,/77j_Ln I M .rt. ,7 l Reviewed by: • r� Date: 1 q:building:forms:review IMPORTANT MESSAGE For A.M. Day Time P.M. M Of Phone FAX Area Code Number Extension MOBILE Area Code Number Extension Telephoned Returned your call RUSH Came to see you Please call Special attention Wants to see you Will call again Caller on hold Message Pa A b'0- [ 9 :;Z 3 Z .✓DRO w T k-.4 / a, a �6x 9a� Signed nrversal.48023 MADE IN U.S.A. c � � v rt TOWN OF BARNSTABLE ;' BUILDING PERMIT PARCEL- ID 136 r 014. 001 G90BASE ID 32627 ADDRESS` :330 SANDY NECK ROAD PHONE W BARNSTABLE ZIP LOTY 1 & UN BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 58301 DESCRIPTION 10'x 14' SHED ON SONO TUBES PERMIT TYPE BADDS TITLE, BUILDING PEP14IT ADD SHED CONTRACTORS: PINE .HARBOR HARBOR BLDG.CO. INC. Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $35:00 TFIE j BOND $.00 CONSTRUCTION COSTS $2, 100.00 328 OTHER NONRESIDENTIAL BLDG 1 PRIVATE P !Z*?:�x, ,• + E AMSTABM MASS.. 039. ED Mlr►I BUILDING DIVISION BY DATE ISSUED 01/10/2002 EXPIRATION DATE II� TOWN d BARNSTABLE :z x•l r• . 'BUILDING PERMITok " y' -� .� + •. . , : PAR.CP_, ID 136 014 ,"00,1' GEOBASE ID 32627 ADDRESS , },330 !•SANDY'°NECK ROAD - 4 W BAN STABLE Z I P - LOT 1 & UN BLOCK LOT SIZE DBA doter �� , DEVELOPMENT DISTRICT WB PERMIT - 58301 DESCRIPTION 10'x 14' SHED ON SONO TUBES LI PERMIT TYPE ADDS TITLE+ BUILDING PERMIT ADD. SHED i CONTRACTORS;,..P.INE HARBOR BLDG.CO. INC. _ _ „ Department of Health, Safety ':".ARCHITECTS:' and Environmental Services T AL FEES: $35:00 '•.BO D $.00 CO STRUCTION COSTS $2,100.00 326 OTHER NONRESIDENTIAL BLDG 1 PRIVATE P 0 + BARNSTABM ; MASS. 16, ED INKS BUI,6N" q �, / � BY7. � �i/l�f DATE ISSUED 01/10/2002 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. I, 4.FINAL INSPECTION BEFORE OCCUPANCY. 1 POST THIS CARD SO IT IS VISIBLE .FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 I I I I 2 2 2 I 'y I I I •r 3 1 ` a'/off 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH I OTHER: SITE PLAN REVIEW APPROVAL I I I i I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I I BUILDING PERMIT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map /.3 Parcel Permit# 3 _,"Health Division 0! o o to2 � rr Date Issued �b ,, Conservation Division R"-O t fU Fee Tax Collector Treasurer f� SEPTIC SYSTEM MUST EE ��n INSTALLEp IN COMPLIANCE Planning Dept. ENV1RON E 8 Date Definitive Plan Approved by Planning Board TONI RE TAL CODE AND CATIONS Historic-OKH Preservation/Hyannis Project Street Address \90 D Si4 x/d y Izb Village Lei - BA-4,N.S7- Owner A/0AE44 Zr-, Address.�I. Telephone 06 2 96;2-7 Permit Request �4 Square feet: 1st floor: existing proposed 2nd floor: existing --proposed Total new Valuation (2 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size I . [� 1 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes O<o On Old King's Highway: &Ies Cl No Basement Type: G1411 ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing P& 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 Uk I ❑ Electric ❑Other Central Air: ❑Yes ®'I ISO Fireplaces: Existing vZ New Existing wood/coal stove: ❑Yes &lo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:&V6isting ❑new size Shed:❑existing &5'ew size/D )C/ Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes @ l�o If yes, site plan review# -- Current Use Proposed Use or BUILDER INFORMATION Name AA9 8Org�z a_)xA b��Telgphone Numbe7r Address P11W Narbor Wood.Pmftcts License# co (9 . 344 Yarmouth Road — u...,., n,� Home Improvement Contractor# nis, 02601 1-800-368-7433 Worker's Compensation# /� l red -508-771-5007 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS.PROJECT WILL BE TAKEN TO SIGNATURE. DATE >t FOR OFFICIAL USE ONLY Pg PERMIT NO. DATE ISSUED ' MAP/PARCEL NO. ADDRESS - VILLAGE T a OWNER r, a DATE OF INSPECTION: FOUNDATION FRAME y INSULATION G, FIREPLACE ELECTRICAL: ROUGH , FINAL PLUMBING: ROUGHS FINAL ! l: -0 'GAS: ROUGH�� � � _, FINAL •: FINAL BUILDING DATE CLOSED OUT ` ASSOCIATION PLAN NO. 4 i t RESIDENTIAL: SHEDS -POOLS—DECKS-OPEN PORCHES-GAZEBOS DETACHED GARAGES FEE VALUE WORKKSHEET ACCESSORY S T RUC l URES.>120 sty.ILL(Sheds,dct"ac"'cd gs^�5���b za➢►nc,et V5120 sf-500 sf $35.00 >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) • PORCHES ; x$30.00= t ("limber) i f IN GROUND SWIMMING POOL $60.00 $ Y) ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ 35 C)D k s r ' • t Q:forms:dkcost eff:OR2301 The Town of Barnstable BABVSTA9l.E. Department of Health Safety and Environmental Services V MASS? 0 �A 039• �0 ►EO Mpg Building Division 367 Main Street, Hyannis, MA 02601 I - t Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW p 11 _ :F6 Owner: 24W-elq Map/Parcel: 131�-01 - C� Project Address: ' V���, Builder: T `fie "AY 6 i 4 The following items were noted on reviewing: i; I need // smna 4,-&62_5 L o/ ateen A cacners . A�,J sinerJ w LA 4 b-a -4f d dmm u,47 Reviewed by: Date: l I Q�o r ' q:building:forms:review « J Board of B sddin "R Wations One Ashburton Pace, Rm 1301 "w Boston Ma 02108-1618 License: CONSTRUCTION SUP R-1= SE Number CS 073865 Expires:03J14120Q2 Restricted Ta: 1G ' JAk1ES R MCGRAT}i jQ WINTEW5REEN LANE BREWSTER. MA 03631 - -- Tr.no: 73865 Keep top for and change et address rioSficadon. ' Board of Building Regula iod Standards ns an =w �� One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration_ 132935 Type: Private Corporation Expiration: 10/312002 MCGRATH POST& BEAM CO. JAMES McGRATH 269 QUEEN ANNE RD. ---- - --- HARWICH, MA 02645 Update Address and return card.}lark reason for change Address •-: Rgm enel Employment .- Lost Cir. L •.-- Board of Building tte"tions and Sgndar& Liceuse or regktradon valid far individul use o�1w.-:•i CrJrtµ i .. Karl E IMPROVEMENT CONTRACTOR before the mpirudon date. U found return to: Reg5_ Board of Building ttcgulations and Standards xptration 1 One Ashburton Place Rm 1301 l Boston,yds.01108 McGRATH POST&BEAM CO. � JAMES MWRATti ; 259 QUEEN ANNE RD_ f "" '� I r tfARWICH.MA 02645 - Administrawr ` Not valid Without signature a - '9°� The 'down ®f Barnstable RA"MNSMUM- MAS& �0 Department of Health Safety and Environmental Services Buis 'sung Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work W�� (�/ Estimated Costc Address of Work. o -,,�ntdv &M Owner's Name: fig Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job nder$1,000 wilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVENIENI'WORD DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND.UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply fora rmit as the a e owner. -- _ Taff)k5 0/6oH? 3 C"^?Qf,5t ' Date Contractor Name Registration No. OR Date Owner's Name The Commonwealth of Massachusetts Department of Industrial Accidents 01/IiA6 i�llstloslfllt 600 Washington Street Boston,Mass. 02111 Workers' Compensation insurance Affidavit L T 1JrD/ to lncatinnie- �,36a d .in - L)a Ng phone#4 -q I am a homeowner performing all work myself. I am a sole proprietor 2rd have no one Nvorkina in any capacity O 1 am an employer pro-,iding workers' compensation for myy employees working on this job. com a name: ria `� m�A 1 ' rbo S �Jdr s :� / 1 UEM �thrd • I Y l /, 1 oLxen a It UC.���r wi city: phone � 1 7' insurance co n rm mLruo L 11O 160 policy H l / �c/ l 1 am a sole proprietor. general contractor. or homeowner(circle one) and have hired the contractors listed below who have the following worker' zompensation polices: company n e• address:, - 61 phone H- insurance co lLrF'H - rri a name-, address: - city phone#• — insurance co ®ofitw p H Failure to secure coverage as required under Section 2SA of MGL IS2 can lad to the imposition of t:titniaal penalties of a tine up to SI MM and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK.ORDER and a fine o(S100.00.2 day against me. 1 understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. 1 do hereby ce 7T under the pains a ties of perjury that the in ormadon provided above if trite and correct Signature Date Print name TarY)e.� GC r� Phone a 8- r 7 I 7) official use only do not write in this area to be completed by city or town official city or town: YARMOUT11 _ permitAicense# r'tBuilding Department ❑Licensiog Board check if immediate response is required 2fi1 ❑Selectmen's Ogee OHealth Department contact person: phone H:_ (508) 398-�2231 ext. rlOthcr i ; o.. 72 Ilb 0 • f7 p Q7 _� J ` � ,ten f(11 `•� �� J a z o � Z A 2 6 W r tj r 3 � F o Or '01 tie cr a 1p �► LL a � t3 � 41 = 3 Q � o • 'r T fj 1p x \ �o c Zip It l9 rQ � �n •-�-� �H h�O e.� J ' a.dCD Q Application to ' ®Ib Rittg'g 3bigbbiap Regional �)igtoric Aligtrict Committee TOW,\, CLE;K BARiNSVdLr, E, iN4,A30S. In the Town of Barnstable2001 243 2001 DEC 26 M S:(DERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: L� New ❑ Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Bilibooarr s: El New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: LrJ'Fence El Wall El Flagpole ❑ Other TYPE OR PRINT LEGIBLY: DATE,✓,O/. ( ,ZoO/ ADDRESS OF PROPOSED WORK63D-54hfbY XZe,< )e,'S ASSESSOR'S MAP NO. /J4 OWNER PAA1 LA T. Po77-05, ASSESSOR'S LOT NO. /`f - HOME ADDRESS a3e-> TELEPHONE NO5.*X,-U;& D,Z,' FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) ICA&09'l16r&- LF_ f?ybsGL.LL 01b SAy.AV VJ--c,G Mh.. �"mtlNt Aya�EY.c.eve�.✓AJE �b �oi�v�' tfits_ r?�. AGENT OR CONTRACTO TELEPHONE NO.SCDB. -#moo c ADDRESS A•i?T 2 A14 p t%-.-+y4 DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. �. /DX/4K' AY.EN ��TCH G.4.erl,rsN 3 ,E,d Signed � - Owner-Co actor-Agent NrC ommittee Use`Only4 ""` 2001 1Eu This Certificate ` b ill /Z - _p Ir 1 — y Date_ � t J u Approved/D nied TOWN OF RAK,, `_T =' Commi a Members' Signatures:. Town of Barnstable ., 0 Old King's Highway Historic District Committee 2 243 SPEC SHEET FOUNDATION 15ife--b — SIDING TYPE COLOR W,*7Z1)Qy4L CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH EVE'/y WINDOWS COLOR SIZE TRIM COLOR L.)H/TB DOORS Feo/yT' A-Al,S COLORSljA?, G B / f}S dN 'V50VSr=:- SHUTTERS COLORS GUTTERS COLORS i DECKS MATERIALS 1 � GARAGE DOORS C n �_ ; I 1 �1 1 COLORS 11 Nov 2001 SKYLIGHTS i ,�i+ SIZE' Irl`,w _ .j , ;,i COLORS TkIZ41 CT- SIGNS -- COLORS FENCE Sf /- /T' fiZ>4/L. COLOR N.47V0eA4- NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 0 I_ c ^' � 0 I 2 ,00 �U a 0 1 0 S NJ LU UG L } �, .� n � a 1 + 41 3 co P Q � Q � , 0 - W T ri ; 1 $„ ..__.._..__. ov z. �o,� M Q 3 tip ' I I� --- 2001 . 243 40 co 1:0 C-1 ' . 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UPLAND 5��` ,T 7- .!_. 160.0o y 1 _ 208.F7 37�.67 - - 4 B)• .f6'.10-N y S 74•J/'/O"w _ N , YO.00 - •'• Q A 3,6 NUS/ 8 20a1 ; _ oc, � / � I � / TI./e-• GLe•.oT HSIQs.vFrS - --- -- -• $L/191?/V/:�i/AIJ r'Li1N lJF 4,j •✓Tj/.v Alen f ` .5 •4/v o w/CIU M/17T. /7'Z o c-A-I&n F-O!''. •QE-,4LTY 9✓ BU`IElt 37.80 � � 251•63' I 'tEGI< P Z � D: sroaY �. � WooD — ` 'F3� L. 38.11 pp' $2• r tau p( k]EGIC V-D 3 NOV Q 200, e • AAiHD�iTs(mta CoTp 49k I MORTGAGE INSPECTION PUN I CEMI"THAT THE BI 10"*00 DO( CONFORM TO SETBACK IiEDUllI!]I M I ! UXA70 IN LE. (FRONT. BCE,r KM SETBACK ONLY)or pj TESL F. ('V FA� �ilL�1,1`'rAP�IiE %4E N CONSTRUOIFD.OR AK ID�T PROM TON ACTION UNIM MASS o1. TTTLE LAl CNAPM soA, NOIION 7, LItu3s oTHN7mm Nom MASSACHUSETTS 1 FINtRM CWTFY THAT TW PR MMW Ili 00T LOCATED IN THE WANIU3=FLOOD HAZARD AREA.OOMMUNITY PANEL NO.:250001•oo 11 C. DATE S.I").gS am 7723� THIS COMPANY S NOT CONSOLE FOR ANY INDENTURES MADE SUBSEGIR NT TO THE REMIDiD DATE OF THE LATEST DUD OF RECORD. PAGE Ig�J U404EMM BULONGS ARE S I MN LESS THAN ONE FOOT FROM THE PROPEIITY LIE IT IS ADVISED CERt N0. THAT A MORE PRECISE SAY BE MADE TO 1R IFY THEE MEASUREhOM TBS CERTFTGTION IS BASED ON THE LOCAYM OF STIRYEY MAMM OV OTMM AND DOES NOT PLAN BK. PAGE REP /T A PHtOPE]tlY GURNEY Vfa1MN.A11ON aF SIl1tVEY YARN(m1S'.UIMD AS SHOMIL MAY BE ACOOLWLISI�D OILY BY AN AOCLMIATE,INSIRUIMJIT SULtK� T DEPICTED PLAN / JDATED TSINbTIFICATION TO BE USED FOR MORTCAGE`P R ^� JUL-( 2`1 1998 OFFSETS AS SHOWN ARE NOT TO .Z USED FOR THE ESTABUSHMENT OF `' 'W. BRADFORD 'ENGINEERING CO. w Application to Old Kings Highway'Regional Historic District Committee in the Town of Barnstable fora 2 no Q 1 34 CERTIFICATE OF APPROPRIATENESS - Application is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 4 1. Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2 Exterior Painting: 3 Signs or Billboardsel 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 O/Z ADDRESS OF PROPOSED WORK`330,<,-4NAY - ASSESSORS MAP NO. OWNER �A.N.E /��'T,�ie ASSESSORS LOT N0.0 to HOME ADDRESS,'-0-0 k---�-4446Y JVECOC-, XG—Z TEL NO.,fVg 3LZ 90z7 .W• �.vSTi�,�� M,4- 0 Z 1,6 p FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). ;t'aB�r— .PvsS�� �� �����/ /t/��� �. c,cj.��x��5Ti4•f3c.� /Lv.�-D2lo�8 ,ThH41 Y-i44AP- .LD 'C #1'V14.f/E 2,1, I-,o/NT HILL- )C�6 LA A446,z.,66i � � G/600/c5 _ i OIA(7— 1511L1- . (,C3. 6</�l1/�57` L /417 Oz 4-6-9 " t AGENT OR CONTRACTOR /yJ�.Gl�, i � �� TEL NO. SOY ADDRESS °?'/ --'�aA50/ •DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars f work wU U o VV 5� p a o wo to be done(see No.8,other_s�de),�ncludmg materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). -i r �ffE�eu�ill/- A/LL-1,4 44 5 CS vtii 5,E7 ,f3AF/ L5 LJ 00 0CD Gv/,�-,L IA dl,-S e>0-;1-7-/tom--C� o5'�.c� z�3 78� � r4 77— er - ector-Age e �-__. �ce below line for gomK ee use., i R' c -vet b"2i DIQU tIt ILA 'Th i i f'cate is hereby Date me- ?OWN OF a HI TA is A� Approved ❑ IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑. - ® Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION . n(�(� SIDING TYPE �L V V O& COLOR WW� CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOWS COLOR SIZE �o� ll . Sw ® TRIM COLOR �SA "'lNT II�J �l ITSy DOORS COLORS O MT O ` 6 SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along.with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 �:. Application to Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a 2 O O 134 CERTI FICATE OF APPROPRIATENESS ;y Application is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470. Acts and Resolves of Massachusetts. 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: r 1. Exterior Building Construction: ❑ New Building ' ❑ Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2 Exterior Painting: 3. Signs or Billboards New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK�-33O6'4V6y loeEe. '0`6• - - ASSESSORS MAP NO. (d). 64 eX 67*49 4 OWNER }'A. -A ." !�'��/e ASSESSORS LO�NO:QQO'— 00/ HOME ADDRESS.250 �_440-Y JVf7C0CJ .C-pb- TEL NO.,609 W• —A- /4,4- 0 Z 66 p FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners acrossany public street or way. (Attach additional sheet if necessary). o ;-n m t �s,4 h 6 V /1E7M<fj A-b. UJ•,6,AeW,sT.4>>3c.— Ab,O �DNiI/ �'i��/ ,LD Cff/yi4.t/E' Po/NT H/[1- 1�� l�• ��4Q�1(5Ts�'f3.C..E'�!>�'D.Z�clo� AGENT OR CONTRACTOR TEL NO. 010.9O ADDRESS 42 `-� � E O� � C- may. ����0 yT1`f r 'R9UF 1� a d U d U1, R DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.8,other side , mclu8i materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). /�• ��J iAr7— C:A-1�><3oi4-�., Dot/ f=/e b;k/T � W//-L✓f14115 t5 UM"057i2 /f0 V 5� •f3.�/frG— t5� c30 0,41 �iS�E 477;4C'W E.p J 0 i:> /JV - A-�L-L -tw/M ffEi�llJ/K Gv i,�LiAhi 5 Gi¢ !3L�4-�C.¢ i ,50 'Aysnt Space below line for Committee us F e. T/L�b ,2 r¢77—i9Cfj4 : Re d Mnrr r�ml. + Da Tfoul he tificate is hereby Date Tine 9y TOWN OF BARNS ABLE y Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE r(�� GA`�. 6OPRb COLOR . Co�4�Cad / CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOWS COLOR SIZE TRIM COLOR RS� A'" DOORS '� �UQ COLORS V MT( ,0 ` 6 SHUTTERS COLORS GUTTERS COLORS DECKS '� �!ODPojnn MATERIALS f GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along.with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Reviaed 11/98 1 ' \ J F S-7,EpTIC SYSTEM tIUST ME 4ssessor's office(1st Floor): Assessors map and lot number t / 3 Co o Jy• O 6 / INSTALLED IN COMM � `. p�°`tHE>o Board of Health(3rd floor): THnTL G Sewage Permit number C..' iIMMENTAL C" Engineering Department(3rd floor): n _ ssaMAX& c t'��dE3, 4�1���a.��J�Lam.' � r�aa House number 5o i6}9 Definitive Plan Approved by Planning Board Aa 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 TYPE OF CONSTRUCTIONCY 1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: - 0 /Deck• �� Cfl< ��rn �- Location t— S Q / f j' Proposed Use �7 ' AYwc /-` N Zoning District Fire District 3 �SY ✓v�/ �� Name of Owners - Address- F Name of Builder V �'� �v /����f Address w , 9� �0 /�� Z�f �� 9•�O z_ -�--- Name of Architect Address� 7 -J�`I-Cr 11) GGT�� Number of Rooms Foundation 67t.cr4 Exterior C 40'f al 4+ fW C 51 424.4� Ox Sys Roofing elC = y Floors / l Interior Heating Plumbing d /7 a e o e� �� Fireplace Approximate Cost Q, 6C 2 Area Diagram of Lot and Building with Dime ions r✓ Fee 0112, 6V 2 so' fa r 2 5-2 t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of�"�sje eg ding the above- ction. Name W I4AC e iS Construction Supervisor's License 00 S— �g PQ `3ER, PAMEL_ JJ.. �.No 3 4 8 7 9 Permit For. Two Story •>> N Single Family Dwelling Location Lot #1 , 330 Sandy Neck Road West Barnstable Owner Pamela J. Potter r Type of Construction Frame Plot Lot ` -- A Permit Granted March 13, 19 92 Date of Inspection 19 ® leted 93. 19 r E " FU {` s y -"C,' DEPARTMENT OF PUBLIC SAFETY I, fl COMMONWEALTH 1010 COMMONWEALTH AVE. vm'. OF BOSTON,MASS.02215 OF ENCLOSE CHE0K'OR MONEY ORD[ ' LICENSE 4•+�'�, '�- EXPIRATION DATE CONSTR. SUPERVISOR FOF,REO�IREDFEE, xMADE PAYABLE TO ! 06/30/1993 o EFFECTIVE DATE LIC-NO. 6 ,, RESTRICTIONS COMM" ISSIONER'OF PUBLIC SAFEI NONE '006130/1991 005888 �< m JEFFREY W HARRIS DALEY WAY [� ((DON EEN, CAS I' ` ASE :NOTE fF, .�NG EASE S ORLEANS MA 02662 P E j, PHOTO(BLASTING OPR ONLY) FEE: 100.00 E FECTIVE FEB.�..1, 1:989 HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY 7�---+��� ` STAMPED-OR-SIGNATURE OF THE COMMISSIONER [onQ I�--�J D NOT DETACH ' LICEAE Sl THIS DOCUMENT MUST BE 4 6 A� SIGNATURE OF LICENSEE « SIGN NAME IN FULL-.ABOVE SIGNATURE LIN CARRIED ON THE PERSON OF vj� THE HOLDER WHEN ENGAG- OTHERS-RIGHT THUMB PRINT ED IN THIS OCCUPATION. //' _ , COMMISSIONER ,Y[>, TOWN OF BARNSTABLE 31879 Permit No. ......:......... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash .M. • i6j p•�\ 17 HYANNIS,MASS.02601 Bond ......"........ CERTIFICATE OF USE AND OCCUPANCY Issued to Pamela J. Porter Address Lot #1, 330 Sandy Neck Road West Barnstable, )~sass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSAC14USETTS STATE BUILDING CODE. August 5, 93 , 19................. ................... Building Inspector a�rwr TOWN OF BARNSTABLE 34879 PermitNo. ................ BUILDING DEPARTMENT I ""'� I TOWN OFFICE BUILDING Cash 7 .Yl yroor►� HYANNIS.MASS.02601 Bond ......X........ CERTIFICATE OF USE AND OCCUPANCY Issued to Pamela J. Po+ter Address Lot #1, 330 Sandy Neck Road West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. I August 5, 93 ... ............. ..... ..... 19................. ................... ..................... Building Inspector a`f� ••'. TOWN OF BARNSTABLE BUILDING DEPARTMENT = r rASa � TOWN OFFICE BUILDING � u , HYANNIS, MASS. 02601 �0 IUY M' MEMO TO: Town Clerk FROM: Building Department DATE: g-3 An Occupancy Permit has been issued for the building authorized by BuildingPermit $k.... _.� �9 _ .._._.. _................._.............._........._...._....._................. __ ... ..:. .... issued to `7" ihnD ._... �A __._..............................._...._...._...._...........__. v. v._ Please release the performance bond. �� P: '�"-."v�Lp"'!71'•'°9'c,'��".'.=rf� [ ' ..� s:M1: ...'4a. �y�T...,...�-.ar—i'-..g1M,Plgr�sr`.._.. • ,lv; `T ,�tpp BUIC.fDING PERM` TOWN OF BARNSTABLE, MASSACNUSETTS A-136 014.001 March 13 92• DATE 19 PERMIT NO. 19 34879 APPLICANT Own er ADDRESS Ow.C--I INO.) (STREET) ICONTR'S LICENSEI Guild dwelling i Si-ag e i3Mi.1_r dwellil!g NUMBER OF PERMIT TO 1 (_I STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) lot #1 330 Sandy NNC�C Road, West 3rL:6ta P_ ZONING Kr DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT.-WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: _ Sewage #90-215 hU?:nay AREA OR 11-48 Sq, it.a 140,000 PERMIT 11"'•SU . VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) OWNER Pamela J. Potter ADDRESS 11 Eighth Street. FAirview, N.J. zi BUILDING BY ! Jt THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC.WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI 70 BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 l HEATING INSPECTION APPROVALS ENG ERING D A M'ENT 2 BOARD OF HEALTH p '57- OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC• PERMIT 'W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. t t ' I CERTIFY THAT• THE FO UINDATION SHOWN HEREON IS LOCATED AS--IT EXISTS ON' THE GROUND AND THAT AS SO LOCATED IT . COMPLIES WITH THE MINIMUM PROPERTY LINE SETBACK REQUIREMENTS OF THE TOWN OF BARNSTABLE. I FURTHER CERTIFY THAT THE FOUNDATION SHOWN IS NOT IN A SPECL4L FLOOD HAZARD ZONE. , REFERENCE.-...F.E.M.A. MAP NO. 250001 0011 C. DATE PROFESSIONAL LAND SURVEYOR OF o .\ ` tAW7 CE EUNtEDW vo lumm , O SUR r � 1, 03 207•2 t it N � Z3 ,-t L° ..O� c 0 65 6 ,� �_ O CERTIFIED PL 0 T PLAN LAND IN WEST BARNSTABLE ,REFERENCE PREPARED FOR Assr's. Map 136 PAMELA J. POTTER Pcl. 14 — 1 SCALE.• 1 —- 60 DATE: MARCH, 1992 RYDER & WILCOX, INC. P.E. & R.L.S. JOB N0. 4955 SO. ORLEANS, MA. • �—CEDAR WH 46(10'EWjORURE) . TOP OF F'L ATE O UM AiL I`: `toP oP polo' AND GIRDER TOP OP IDi BOOR _ — --_ -- V76e CEDAR GLAF'DOAImO PDX DAY MO.). DECK(D,OI e. - :: Y.100-L —..—._— DI:— . . . .. ... ... ... c ALL E%TEPoOR DEOCL, . ...: OtEF`D,R11LD!a'ID 0LF7'OKID %: •.. ....:'FMIC3�D 4QALTCO TO DEDETER'1MED AT JOO^•. •�`:�� .. .:,'•� uJEsr �LEv,4tIoN .: hFS fDOJ i .. . DIIE.ALL GRADED TO PROVIDE PI¢Of'ER OFiAMAfB .. .. - AWAY FA17H FOIfmATION APPROVED NO,,-�� aa- TG+ iV OF BA ffffABLE Buildir.) i^a Ocpaftent _ SGIF V4•��•O` WSIO�ER , 0Av1G.NO GDPTiucCNT O 1991 BY TIMBERPEG 'HIS DRAWING MAY NOT BE - FOEo•.ron•o�cusaovCD PAMELA J.POTTER - "'•`.: an TfMBERSEG EAST,INC.,CIAREMONT.N.H. REPRODUCED OR COPIED.IN D01 NOTSIONS v•.r'o.ir'a.�.a...r.�n °"''"''"O SST ELEVATION " Q TIMBEW'PEO SOUTH,INC,FIETCHER N.C. WHOLE OR IN PART,WITHOUT DIMENSIONS TIMBERPEG w�•.- ar.. ��-„- } ""'• " TIMBERWEG WEST,INC,.FT.COLLIN&CO. THE E[PHESSEO WRI REN PER. FROM DLUEPRINTS a••`0`•-d^.... EAAM6 TIMBEREV_PACIFIC,INC,RENO.NY. MISSION OF TIMBERPEG. --- r.•c . wYA'EY YD.OJ Pon . . V1>6 CEDAR CLAPBOARDS .. .fG'E)a'OSIIR'1 — NOTE. .. —— ALL EXTERIOR DECKS. ' of lop PLATE STEPS,RAILS AND d7Pf"OVT! IBOJ TOP OF JOIST J AND Oih^.�ER . BOx DAY YDDJ TOP of 157 FLOOR DECK YD.OJ 16 FNISUED QQADES 10 DE CETE11l11NED AT JOB SITE,ALL GRADES TO PRONDE PROPER DRA.NAGE Ay.`RV"FOUNDATION SOUTH ELEVATION CUSTO'La • COPYRIGHT$'1091 BY 71MBERPEG JHIS DRAYANG MAY NOT TBE rAe.w•rPAi 1ELA J. POTTER71MBERPEG EAST,iHC.CIAaEMONi,HC. REPRODUCED ORCOPIED. T DO NOT SCALE TIMBEW � „�;,�„�,,,, DMwINGTTMBERPEG SOUTH.INC FLETCHER N.C. WHOLE OR IN DART,Y/IfNOUT DIMENSIONS .a.+.r ""ate.'. SOUTH ELEVATION .•ryi..ad'w'ao [GAMETIMBERPEG WEST,INC.IR.COLLINS.CO. THE EZPRE50ED Y:RITTEN PCR IRON BWEPRINTS 620K8 - SHEp 4 - AI2 TIMBERPEO PACIFIC,INC.KENO,NV. MISSION OF TIMBERPEG . «.w+°"^`Y. 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AWAY FILM FCV:DA'ION 7' F£:AP:'•�Owl(P.OI NORTH �!_f=\/.ATION • r�rrr�v�.c.'.- + —".� e.s�a���..vr. / �:'C�IE I.ti..:,.0-v..C.-vti_R Ln:•u 1.0+vim COPYRIGHT f5•1991 BY TIMBERPEG i1R5 UR4I':INC A!AY I�OI 6E M ".y ..�1 -'— —r.,-:-. � --_PAMELA J. POTTERTIMBERPEG EAST.INC.,CUREMOIlT,N.H. REPRODUCED OR COPIED.W DO NOT SCALE DL ':�v;: _TIMBERPEG SOUTH,INC.,FLETCHER.N.C. 1':HOLE OR IN PA . OUTDIMENSIONS I '"0 4�]`'; /S PFte� FORTH ELE VA I IONTIMBERPEG S:EST,INC.FT.COLLINS.CO. iNFROM BLUEPRINT$ .�i _ _ Pl TIMBERPEG PACIFIC•INC.,RENO.NY. MISSION OF TIM . Ljj.;;•,, ((,.f///['4 a r• +E 32�K - 8 �'I-QED 4 AI2 L .ONE.' oNm= s .2 _ 2 ue= Imo a • °m°x�'^. n -� —-- — etx om'rsz�cy,k".�• _aw_aada O—ioa„ cFp 1 v 'O ✓;m I I c gI 'a illj r71 ell I ----------- � N i E'1 •ns,� Io i`v' � a I if I £ 'z Q 75 \al; i CL c to m �• I� I �n �" I � Ir.g� �,� . u — --- Tli Iz. I Q j IN a 1 A ,b d,iElc$ nL 1 N ,1• I_--1-1` I 6`' I A �I\ ^ � y " Ml(Doi �-- r!- f 5 ^ ` � ,6d O i � I L � • t�f' � ran 2 � 0 L� M: �• D �lt �I 77�� 3 � . pi• rl 0 b -a D I I I N I � ( i _ f act cm c vn 0000" i�o>a F P� 21mDm < A-� oxmoT=a �� oN occi� - o=o: -oayn O LD@J i ; �SH 00 to ,o o Q ;— g------ vZn Q ; I aIfI t X� � 1 y � O t, :A C• : 1 1 ri ----------------- T r I R � � � � a� rr � r � z i � -----�.b --- �LI�S i '�•' a 0 N D all --ACT o. 33C8 CVLCL'L FLOCA AIT.CR DROP VO U^1CL'TO ALLCU! ICR R:r1tf`iG )WS P:Li LCd L I SJ13 Ja_ I • la I �°� .I � � I. I I � I t I I t 1 t l I I I -D_ t t j ��R �CT rLT t(+LT CT I�CT ('C7 rLT rLT rCt ~CT r"LT -L,rn9 . 1 t I 1 RAIL.N OR HALF WAL•(0OI _�� �:f 1 1 I I 1 1 •, 1 1 1 i � , 1 I 1 !n.-- ---I---------a---------a--------- - ---- ---T------- 1 Pi.HR ---- I RAP D4O /..1{.F WALL(IDJ 6 FT.NR---- I I I I !'R.;TO CELCO I CLOLET I D FT.NR •--•-- I i � I FT.102---- LEGEND CA l DO. ft.DILATED bT OT O'4ER NOti IFJl S. OfILN AREA ADOVV -•--- m roP w HOOK TO D Ofr D. NEADROLr7 LP.ED —'—•'—APP '� — P RN'tl R4 TMEW W 0O fUL♦D'r ,. r!ADI URDER R:C`GE DE.:I'1, IPJOIKJOrI DLt1 _R.VTLPD OR FVIRL DI ABOVE.. SECOND FLOOIz PLAN PROJ5CT B. _EW.ER LVIEDOFIOIDTD ---- . vim::+, OR RAFtEW1 ABOVE --' NORTH b. TV DER POOTR ❑ . - t ca:;r>acue TT;UER PLoIr.z: 0 n . D. DI<GCT:AL COF11:R BRACE E__ _ ' 6 tViBLRFtO WYL x•u?•.L G � ' ' .. - 10. CC4:.ENTIONAL UULL IDDI .. - R TAV.•TO BE vtRT1ED 0. ,,,:: SC.IE vA.r-o' PAMELA J. POTTER o IC COPYRIGHT to 1991 BY TILIBERPEO THIS 1)f1AWING,MAY'NOF RE "^)'"•1✓`.` '. {� :OOp1FD', saw.t yo'T to cvstD�eR., z nmeERPEO EAST.INC..CLARENONT,NA.-. REPRO-CEO OR i 610N ;•.L;•y:... w.u.nw..a.....� oPAwIRC v1IMBERPL(3 : �m FINE SECOND FLOOR PLAN TMBERPE690LRM,INC.,KETCNER N.G. WHOLE OR,IN PART;W11NOVr.'•6 a,. ..� �.�'o'ra+ d"'.c�"_. TIYBERPE0 WESM Nr FT=ETCK NS. ilaE ExPREESSFO WRIR(1� �...' �^ "°•a�iao .� TIMBERPEO PAGFIC,INC.REND.Nv...`.:.. MLS:f10N OFYINOERP O f:_.• a'.r :7����.�_ B20KB - SHED 4 - AI2' y TOWN/CITY OF _j3kWSj*g F Z�PBj9�, � RESIDF_N-r AL, BUJLDINGS EH— �w_RISC r�GY.1NFOlztiigTION BLgLJ)DrG.U>CATnON PRejpL+_ pro eg- , 30 ' - :_ I Ano Zx6� �_ P'`�F=►•cam-+� A-w IF WINDOW AND DOOR:AREA D{C`ED .GROSS WALL FIr1r=N (15) PERCENT OF THE ` AREA Try OVERALL WALL Uo VALUE MAY NOT R`SISTANCB HEAT) EXCM= 0.167 (LJo = 0.105 FOR FL ECI1C ROOF/C�G,FLOOR ORFOUNDAMON ' U-VALUMr.S MtI'REQUIREMENTS p z FTABL.2009.1 rIN I Uo- FOR WALLS WALL Uow = (Aw Uw) + (Ac Uc) + (Aoo Uool Aow r GAO--& Lkm I Aow L S{':(Lls F'r,,,S I�„-►J (3 X� $ I LJ ci l I . 2,� �Z4-� III I � ���F 6. Gv�/L • d Aor --------------- II Ua. got I �' 6�; Wo I - PAML POT OL ' MS- • J�ems, e►� �. . . . v1 2, : ALTERNATr. COMPLIANCE-• SECTION.2009-3 E ' pE4 THIS STATED Uo (or U) VALUES OF ANY ONE ASSEMBLY, SUCII AS ROOF/CEILING, WALL, •OR :FIAOR, MAY BE INCREASED AND THE Uo (or U) VALUE.FOR"OTIIER COMPONENTS DECREASED; I'R;OYIDED THAT THE OVERALL uEAT GAIN OR LOSS FOR TIIE ENTIRE BUILDING ENVr LOPE IDOES NOT EXCEED TIIE TOTAL RESULTING FROM CONFORALWCE TO THE STATED, Uo (or U, VALUES. ENVELOPE ALLOWABLE Uo (PER TABLE 2009.I) (Aw '0.031 + (Ac '0.65) + (Ago 040) + (AoR 0.033) + (AoF 0'.0 ;- (AowF °�� ... ►43�g 41,z .� 42. xo.40)+�Izoox �?S• $ A=WABLE PER TAsu 2M3.I 'ELECTRIC 1taISTANCI= HEAT U-VALUE WALLS = 0.05, U-VALUE WINDOWS = 0.40 ENVELOPE ACTUAL Uo (USING ACTUAL VALUES OF DESIGN OF EN4 '= OPE) (Aw Uw) + (Ac Uc) + (Aoo 'UOD) + (AoR UDR) + (AOF UOF) -F- (AOwF UOWF) �211? x ,OS� x5Lx�3i . �( toSx.3v �/ 124$x, o3 �2ggx, W .X �. _3i5,j 3 I S;3 ACTUAL . )• +a COMPARE V,kLUSS T'riE • VALUES FOR ENV"ZLOPE_ACTUAL MUST BE LESS T'rIAN OR EOUAL TO VALUi OF'ENVE- OP= ALLOwA�L E TO PASS. PASS . . l FAL s 1 w# �.o h ; '{f-rs�.•ih -.'afl�i' .!. "�Z�'i. ••:I.:Y'z�'�. . '..:. _ _ •r _ ._i -�� ,.1. ' ,. -�•+'�' >ri.,.Z ivy,,,,Y•'tiitY �` ek'� .t�Gl .r `�'.a- �r " r �' �.'. �.1 { Tr ( (�_� )• ,L% J - ,V ..x ti 1 Yr rut I - '� "l` � -sl - s J a r fp ti / _�: j`r moo... r'' `. ft: t� r4 l jai \. �, ♦ _\ < .yt - _ +`'` .• r.'I'. '.< a " opt ". s t 'ram y. �/ H. - :� q3 r. :, �:,.:.�:,,: .., .,-. , - -1. ,.I..;-. I ,, , - - > Y y •a i. ti „ry�r , L; `) a s � &, _ t t :, ov`L�I a <ti t: 3 f- �. -� \ �, . .1 t i",,,�r—,V,+,-- ..,-_ . , s — - . , - C1. t .r \ r1. f". ... a - •..e,; sic Y t- l~I }•F •__.,• ; - i .; �.�; IA'1 h;-�0 H •+c'�. I'll—A.- 1 . r ` o 1. _;! � .,t• ` :Stc; -w , _ iy k,.d. ' 1'-;_i Y't. i .�: Q . - i� m -. •I• °S 1 I _ •.ls.�� I c � � n 1 .> N r L I° 1� a r 4 ' �,. PfI T.d � a � 11 - l I' t I { :s 1' 'pt # 'Itt"t + p\' :» d` ` Y ,- IC I Z {II. s . I• Z J 1 lIL I _•� - f�. t 1 (rV h V = \ i ii�� N'/ / t,� -T I .: I i�, ",fif- r .'1° .,•I �* _.F. � -i= a:. l:♦^tea �� �:i. S�3c :, . * - .., . . -". Itr 1. _�:., . . - - ", .�,.-,.: . ... . , :. .. . , Q�i .; ,_.�! '..a7 I R=� nr' a 4 , D I y I •d.1 'An• 1*7 R t f11'tl Zin.I" f,C •� - I - :. 1 I . i fl,-- , ,(tv -;,- ,- : . ,:: I .-, ..-.. -�i y�'.;4. - .. �.. s. — 7�-'i K ,- Lfry ' - i _ T I .. ],�_,_.;- i� I,- - r / :b p r' i ; Al ::1 ,lm 1 _ I `A t' s : �� Application to Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application Is hereby made, id tri�IlCate, for the issuance of a Certificate of Appropriateness under Section 61of 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 Q. Alteration, t ;,bs ^,i Indicate type of building: [House ❑ Garage ❑ Commercial Other 2. Exterior Paintin ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: Q Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE �C32-- ADDRESS OF PROPOSED WORK 1330 -54,V6 Nam, -ASSESSORS MAP NO. Z 36v OWNER T. . ASSESSORS LOT NO. 14z_60/ HOME ADDRESS f/ E/�'� ` STr 54 1 ✓ec VI/ -Z7- 07e>ZZ;TEL. N0 9�,3 4--5 445- FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property ow ners across any public street or way. (Attach additional sheet if necessary). /C, iQUSSELL , /V b K�T7t"rPo i t/, .3�9 44ti/Jy �t/�c-c ,z.� f=, G/S S . �./ P oi^/T /4 ,e,v, .a. tsJ, z.oe��v,4.�,E a�,z� ��N•T If��� �b . ,�. L�.eli3/�q-�i5 •'Sq 4F:bCs,5_,C7'D�.t/N ,��. ,AZ,4//V&7Vi✓ 14,4 lZ. W I S 5 orl/ .3 m* ✓4.,4 y AVF cS.1'-.ts4WF1E, N S H , &AZ4 13oX�3 AGENT OR CONTRACTOR `T�GC�Ey W, ,/A If -i.S TEL. NO. 000 ADDRESS PU.13ou 2 9(_ 0 0. 0,P_.4_,4z-4.1v AA 0Zz1,6 2� DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.. 8,other's de), including materials to be used, if specifications do not accompany plans. In the case of signs, give location's of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). cadX AI,4*0 uSs7.0 iT d4� S#,4 e,6F 5 4,vh .E'SE,N 44/�L Wc�,�/< kv/T�! 64z LAGS _1Wea4) G-.y v4;; /LI,o.��,q.✓ Six AXA1CL A LL oTi�F,PS - S lb tv.4.1- s W14L K 0 ,4.WSc b ige sL wnure0 ctor n Space below line for Committee uses Received by H.D.C. # Dp-je= 19: ! !,_.gin The Certificate is hereb Date Time�f7R 19924 ' J'� 'Ln �� 4 * ,F�Uy err' Approved M NT: If Certific ppfo`ved?bpproval is subject to the 10 day appeal period (DK VA provided I t e Act. Disapproved ❑ Foy "A-1 C'LI j:I`iG 5 E_Gr,,?Av E --IC D=Si:IC• 1 S-P e� Foundation Type PUvzc_b �j,,/�' . Z�7_ wr4i--L. 6A1 • ��C L��i--��u.4-�� (�.�o,V TJ _ C,d-BOT •ETA iN _. • Siding Type 'sN//!/ /� lad-, yc ��1 COLOR ItI4 Ti) Y TYpe 4Z X S'�/ ' �, iQf lJJc .Zid rE Color Alvr7,Q//x--- Roof Material �'/,�-�,4,t� .DNA K lcam " Color Pitch Windows /-//5 �Tom.. To�L'.. G'p�..L���c�l/ 'Size •�3X r, Trim Color . CAA 8 C5 7' :57—A1,,V ©L A I//.f6l"A Doors ItM e6.4 N �%X Color ��b •T'/L,I�- Shutters /1/ ,s} .C/N T ;L Ti�i t� /3o vE �ie�j/V7- yr//mot/bOc�S Gutters A10,A1 E� o� i�J�9/N yfckJs 4A40 !: Dec Garage Doors L �7X % e,4, Color notes. Fi11 out cc-;o?etaly, inc',_,.._- ��- %;=ee e - and mater_als/colt- to cp= - s o= t`:_s ,C= a,_ recu.. f _ - -s - '� a1..-s lyi�_:: tare c= .i os e. c: cI he CI CZ .. _t...a QI a: a���_ `r v ; -- ;len t.. _ _cam p_ar., .1azcscaze plan a � �� plan neec noc be "Cart_=:ed" b 1 S• - �c scale APPROVED •• silour� ilc'1 awl S• - OLD KING'S HIGHWAY OKHRHDC