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0210 SHOOTFLYING HILL RD
om�oo NOo 152_1/3 ORA 0 0 0 0 !�, � �O! I t ..�`'Y':.Ndr ,, ,.. �.. ...-�r.+'_!TTa n�M�' ui a� .. v -a: x. _�.N4Lr __: .::y: �"�4 y:.e`... ._;, ... _.Ai_ ,i9N�liilxW=—�'� _ y.:.,.ur�� _._�7W�rtl�zi� ..,..;-. __ ..,._ ._..._ ___� Town of Barnstable Q - Building Wau c - Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept .bra Posted Until Final Inspection Has Been Made. sR Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Permit Final Inspection has been made. 1 J1l m 1 Permit No. B-19-2247 Applicant Name: William Callahan Approvals Date Issued: 07/11/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 01/11/2020 Foundation: Location: 210 SHOOTFLYING HILL RD,WEST BARNSTABLE Map/Lot: 214-034 Zoning District: RF Sheathing: Owner on Record: RILEY,WILLIAM A TR { Contractor Name: -,�IILLIAM CALLAHAN Framing: 1 Address: 210 SHOOTFLYING HILL ROAD # Contractor License: CS=095581 2 CENTERVILLE, MA 02632 i Est. Project Cost: $3,000.00 Chimney: Description: Install Insulation +i Permit Fee: $85.00 Insulation: Fee Paid:? $85.00 Project Review Req: ; Date: , 7/11/2019 Final: Plumbing/Gas Rough Plumbing: i \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. r r Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:: ,. Service: 1.Foundation or Footing 2.Sheathing Inspection <— Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. - Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: (26 a�:7- oid -. _._ BILLKEN,.LLC o2 is - 1024- .. .,. - . .PO BOX 212 53-7164R113'. BARNSTABLE,MA 02630 -' ._ 03' .:. .. .... ,. ... ...: "DATE... � f� -i4)5Lr- $ PPr a OF-— l � ..: -... Ar _. :. _. DOLLARS The Cooperative Bank _.:..of Ca :e Cod G POSITIVELY DIFFERENT P- IVP 00_L0-24ii� i:._2.L L37 L6-4 L�: _ 9035003:533ii' :...._.._.:: F - - - _ BILLKEN, LLC - 0213 1025 - ;.:..PO BOX 212. _ BARNSTABLE MA 02630 53-7164R113.. . :`.. -03 DATE_ :� PPrNa of _ . F,fur DOLLARS Yv� Cooperattve Bank of Ca a COd POSITIVELY DIFFERENT / ._=u�00=1.0.:2:5u■ �; 2 L,L L TIP.. I - - - - 49 Herring Pond Road Buzzards Bay,MA 02532 P.508-888-i74o F.508-833-3377 Resolution E N E R G Y March 25, 2013 Thomas Perry, CBO 1 Town of Barnstable ..._ o Building Division ILnco ccoo/ 200 Main Street I �. Hyannis, MA 02601 Re: Insulation permits �" , Dear Mr Perry: This affidavit isto certify that all work completed for insulation work at 210 Shootflying Hill Rd, W. Barnstable has'been inspected by a certif ied.Building Performance InstituW(BPI) Inspector. i r ' All work performed meets or..exceeds Federal and State requirement. Sincerely, f' Lisa M. Hn9 lof-----�I Executive Office Coordinator TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued ©cam Conservation Division Application Fee Planning Dept. _: Permit Fee ��'• Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address ti I Village c-����Z v ...�b Owner w "` .iNv- - 1.. `o. Address ��b SnceTF�vwte r•" �1 Telephone Se%- 3 6 L- Z4 Permit Request -k% -3 CD Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �Noo. 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 zeeko 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 z. new Half: existing new Number of Bedrooms: 3 existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 3 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: Oyexisting O new size_ Attached garage: CTexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: t e _ Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 6-<, To v r, Telephone Number Address License # S3 to Z Home Improvement Contractor# ro z Worker's Compensation # we.L- 31 s•3 z os Z"S - o3S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO %A S SIGNATURE DATE \ t- \ _ \O s J j FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED L, -F. MAP-/PARCEL NO ADDRESS VILLAGE I OWNER I DATE OF INSPECTION: L --'FOUNDATION'. - 1 FRAME INSULATION: . - FIREPLACEM - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL .GAS:,-i,,., ROUGH« y -, _-4 FINAL DATE CLOSED OUT ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street F Boston, MA 02111 www.mass.gov/dia Worker's compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ���e .� �o ..� r_ •�e.ZF- �+ Z Address: `19% City/State/Zip: '%h. Phone#: Are you an employer? Check the appropriate box: Type of project(required): 1. ❑I am a employer with 4•❑ I am a general contractor and I have 6. ❑ New construction employees(full and/or part-time).* hired the sub-contractors listed on 7. ❑ Remodeling the attached sheet.$ 2. ❑ I am a sole proprietor or partnership These sub-contractors have 8• Demolition and have no employees working for employees and have workers' comp. 9. ❑ Building addition me in any capacity.[No workers' insurance.$ 10. ❑ Electrical repairs or additions comp insurance required.] 5.❑ We are a corporation and its 11. ❑ Plumbing repairs or additions officers have exercised their right of 3. ❑ I am a homeowner doing all work exemption per MGL c. 152§(4),and 12. ❑ Roof repairs myself. [No workers' comp. we have no employees. [No workers' 13. ❑ Other insurance required.] t 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 attach 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: C_ b>d Policy#or Self-ins.Lic.#: 31-' 310 S-7-3- .d-IR Expiration Date: Job Site Address: I City/State/Zip: - -►�Q��?��� 6-, 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'd h reby certify under the ains an penal e o p ury that the information provided above is true and correct. Signature: Date: Phone#: 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#: i r _ RD DATE(MMIDD/YYY' A CO rM CERTIFICATE OF LIABILITY INSURANCE 09/01/2011 PRODUCER ('781) 344-8578 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE C.L. Hollis Insurance Agency Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OF 27 Glen Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Stoughton MA 02072- INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:LIBERTY MUTUAL RESOLUTION ENERGY INC. INSURER B:ALLMERICA INSURANCE 43 Fieldwood Drive INSURERC: PO BOX 1490 INSURER D: Sa amore Beach MA 02562- INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING At REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAI THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIE AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADVL POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(M MIDD/YY) GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurten. $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY JECT LOC B AUTOMOBILE LIABILITY AWN5092655 02/27/201.0 02/27/2011 COMBINED SINGLE LIMIT $ 1,000,0 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY (Per person) $ X SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ 0 DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WC2-31S-370523-039 09/02/2010 09/02/2011 WC Y LIMITS ER ER TOR EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 500,0( ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED7 E.L.DISEASE-EA EMPLOYEE$ 500,0( If yes,describe under 500,0( SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS NATIONAL GRID CORPORATE SERVICES LLC DBA NATIONAL GRID, ACTION INC. , COLONIAL GAS COMPANY AND N-STAR ELECTRIC ARE LISTED AS ADDITIONAL INSUREDS. CERTIFICATE HOLDER CANCELLATION ( ) - (508) 790-2425 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ATTN: MIKE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT HOUSING ASSISTANCE CORP FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 460 WEST MAIN STREET INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE HYANNIS MA 02601-3698 IIIIIIIIIIIIIIIIIZ ACORD 25(2001/08) p ACORD CORPORATION 191 TM INS025(0108).05 ELECTRONIC LASER FORMS,INC.-(800)327-0545 Page 1 c lent of,Public Safety .NIassachusetts- Depa?til B01jr(I of Building Re-ulationS and SW11(hirds Office of Consumer Affairs&Business Regulation I Construction Supervisor License HOME IMPROVEMENT CONTRACTOR License: CS 53202 I = Registration:, '162158 Type: Restricted to. 00 Expiratiom-11 Individual JEFFREY R.TONFLL JEFFREY R TONELLO PO BOX 1516 Es SAGAMORE BEACH, MA 02562 JEFFREY TONELILW&; 60 STATE RD. SAGAMORE 13EACH,"MA---.. Undersecretary Expiration: 7/1412011 Tr#: 19157 RestricteA to: 00 I - Uitresiricted -1 2 Family Homes allure to possess a current edition of the [assachusetts State Building Code cause for revocation of this license. efer to: WWW.Mass.Gov/DPS Of THE Tp� Town of Barnstable Nay Regulatory Services BAWSTA9 hLA &B�,� Thomas F. Geiler,Director 6;Y99- a BuiIding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4039 Fax: 508-790-62: Property Owner Must Complete and Sign This Section If Using A Builder j, ........_ �. e.. , as Owner of the subject property here by authorize Z��e..,.Z,qft jj � a OLC Z os.Cto act on my behalf, I in all matters relative to work authorized by this building permit application for. (Address of job) Signature of Owner Date ..� . �� R.._ Z• `.O Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. ,Q:FORMS:O WNEUERMISSION pp THE Town of Barnstable E Tpky Regulatory Services BARNS'I'ABLE, Thomas F. Geiler, Director y MAss g $, 1619. Building Division RFD 's Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ww-w.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DA TE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not.possess i--'Iicened,T5i-oyided that the owner acts as supervisor. :, DEFINITION OF Persons)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 struct xes 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 'r "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 perrnit. (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 procedures and requirements and that he/she will comply with said procedures and requirements. Sig-nature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a pmon(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 supernrisor(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 µ ith a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsrbi)ities,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 caret amend and adopt such a fomr/eertification for use in your community. Town of Barnstable IKKE o Regulatory Services Thomas F.Geiler,Director • BA NSrABLE. 9� MASS' m� Building Division q.i63 pIFD Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PERMIT# 8 -4 3 4 FEE: $ v)`� SHED REGISTRATION 120 square feet or less .w 210 Road fie, Location of shed(address) Village o 0 c,n g o -c IVIL'o✓A,m A zuF� Z N *1 ca Property owner's name Telephone number x Cn f 2 U S9 ( less 1 1�/t? y ry co Size of Shed Map/Parcel# rrn +� a. �IX]L ly-yt 6� S-Z S-f� Signature Date Hyannis Main Street Waterfront Historic District? Nd Old King's Highway Historic District Commission jurisdiction? Al O -�Conservation Commission(signature required) + d0S- PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 ii 1 ' r r RSA D ZWO07'fL y/NG i//L L G LoT Ila / 4 V o p , x J 20 0 36 29• /6Z 22g per. � ,T /16-Rc-By CE,eT/CY 77147- 771-C �X/ST/�/G F�UNOAT/OrV 6ER167L D 0A/ LoT ,Vo. / coNFO.eMs TO 7;VE �ETBAc.�.,eEgc//REN1ENrs OF 77/E ZoiY/ivG l3YL yyJ o,� 774E 7ZVVA1 of lJ �N OF O� sly oo JOPHN SU/LT"DOYLE,111 2� U � No.33889 �l �qN FCISTER�y®� .�//1lG 0. SUR LOT NO. / SH0077CLY/�!G ///LL RD. 134,eN.S7,994,6, M•4. �v`�Z SC.9LE;/"=40' �UivE /9,ZGLro � � J%AOYLE ,SIS.SDC/fITE.S` �=.5�3-/95t¢ Po. .Sqs N, FA4MOUThF 0Z5-7-9t TOWN.�F �; ARNSTABLE CERTIFI(.�ATE �bF OCCUPANCY PARCEL ID 214 034 GEOBASE ID 13215 ADDRESS 210 SHOOTFLYING HILL RD PHONE W BARNSTABLE ZIP - LOT 1 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 49598 DESCRIPTION SFH UNDER PERMIT it 45341 PERMIT TYPE . BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health Safety ARCHITECTS: P � Y �1, • . - and Environmental Services 'TOTAL FEES: BONb- - . $.00 SINE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY' 1 PRIVATE P " r ' # BARM"ABLE, + MASS. 0.19. A� BUI I 5 BY DATE ISSUED 10/27/2000 EXPIRATION DATE —a_ s ® PPROV . APpR��E� TOWN OF BARNSTABLE TOWN OF BAR�-N�j jkW �,NG Eli ❑ GAS 'y ev�� �� Al PLUMBING ►�_p�.i�MBIN�!. .' r- i A PROVED TOWN OF BARNSTABLE ❑ GAS ❑ WIRING ❑ PLUMBING KBUILDING � - z9 -6 Q-0 s " o TOWN fP BLE BUILD'-: T PARCEL ID 21.4 034 rEOBA! 13215 ADDRESS • 210 SHOOTFLYING HILIL`5' PHONE W BARNSTABLE ZIP LOT 1 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 45341 DESCRIPTION SINGLE FAMILY DWELLING SEPTIC NO.2000 211 PERFfIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT r CONTRACTORS: NICKULAS BU'ILDING.,C_O. Department of Health, Safety ARLHITECTS: 1, i• - and Environmental Services TOTAL 'FEES: $465,.00 BOND qj J/ !/ I CONSTRUCTION COSTS $150,000.00 v 101 SINGLE FAM HOME DETACHED 1 PRIVATE P)d IV IE:'"_ ; • ■ARNSTABM39. • • -� MA83. BUILD�i:CG Q IVISI YN /()N7 B � DATE ISSUED 64/10/2npO EXPIRATION DATE ' Ce ` i�� ' OF;V�;f:Oi��'LiJ'i' L► uTr!�L'1' (��1 r -4 1 _i,SCRIPTIOI`! YAM IN TMEt.LT;,0 `,hj-1''L(' i!O . ?°()('(. 91 , `i Y;PE '130l LI), "I''iTLN: RLDC; PFIT f '0 rHA�rn L;: rC;czl,,As BUILDI M 'CO. Department of Health, Safety �R(' •iT"''"r` = and Environmental Services q11 ' CIA � � ,� �► Ji.C1 YAM kiOM': n�TACHED3TABLE, MASS. 1639. Ep MI`►I ! BUILDING DIVISION, BYE D '.T9 i5Sb%'0 04,1101`:000 i7XP 'Tj(� DATi.4//� THIS P€RMIT CQNVEY NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR.ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHM�NTS ON'PUS ILIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL ASDEPTH 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 MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. I 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS I CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 16- 2- Od 2 2 2 I ` I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 B �OF HEAL OTHER: XNAT, SITE PLAN REVIEW APPROVAL 16 —29—W09 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. i1 I 1 h I $ r t I , V v Ir -Tr T - Lii"S T oy � T S trzorl, f-LkIJAT7o/J C�LANIA♦ I.1I FAR M�Q�y--fvRC// • an:3�)-300 0 �� ' _3.��1(aaOL] MAtOIy4-J�f�eN 771•b-�7Y - u i AANI—r 2OCG /St FEI-T Ove" Via"CO x).Ly CIDdE+,VJ>. prG/T I/E N7 )A/d RIovE /x P /x3 kAeC 5]+- ALOA/• Ou,reaj. 5POu7f 6Ey A5 NOlep .D II DAT—E" A$ I.7Cn t D j L•R3p <LL 250 MI/J, 0,1 I.LI/ /tll MW, 215 M'N, dn/o A lObt Ix I TAyr/A• fQFF— ♦FR/ate M- Ixlo FR/EL4 MA,l.IovyE•- - ALL TOP PLATE �O �� � 3dx8 HEAD tkt! •EI b OFF hoot a 3 x dx L STUD f G/b oe, � ` __� ,. � 'o�.k ¢ /;a TY• /err dNa Tr.00lj a Rt b N � avL,SHOE BOTH FLoonf ,x3 a� 5 I,.. _ axio Flook /43] �j ID/N6 i W)L yH/ubLFf ALL 5"r.7;LJ. 3D LAM.Dt AM 7y VEK OVE2 Y/ -Cox PLy I]7e9M/N T."w /x4 TR/M RO N7 ONLY /3aESVY"MATT ? 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N 6nan(,k O Dannn o2 / L y - M 10 O v- " - - ?L � 4R7 ou a T D Dort Q m aOr it i V o l 7 0 a of Lr® Cy +vo .. © 349E V � ' ` .. ...__.._ .. .. ... ... .. ... 7([3r FtooR PLAN- JeAM Y4*\=1'-O,. 1 r I N O s= T I 1 1 ' i 1 ,I .i I • .. '� - of Q�• :1 h L' y �• - oa3 •a.a I L.- r- oA p0� `Y I 1. O , i i a E , i i RoA D ZWOO7'F4 YIM5 I. L ? N I �i N z¢ 2 �►N Q 2?" a\ f I /fE�2F �Y �'E,eT/F y 7Z/4 T LOT NO. / C61/VF41RA/S TO 7W 5:=--7-94C-, •' ,2EgC//.�'E�tIENTS O� 7�/E Zpiy/NG BYI--IW of T.yE TDk/A/ of BA�QNsTA��. 6�G P�jN OF Mqs C��T/F/�D Fl3C/NLZ9T/ON PLAN JOHN 6 As- SU/L T c s P. ' 2 � DOYLE,111 No.33589 N�c,YUL.gs �3ui�/.vG CIST Co. lq 9E ER O� i SUR �� LOT NO. / SNOO7?r-1-y/A!G 13.4,eNsr4,61,6-, .52:4z- %N jEE7 G' �I J:OOYL.E ASSOC/f/TE,S .�63-/95 _!�_ ___. _ P o•Pt S9s W, FAz A400TIl 0 2,,7-1- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION V fir` tea . �t�f 3 Map Parcel 033 6)S'Y f Permit# EPTBC SYSTEM ML'.`�T BE. Health Division 1N.STALLED IN COMPLIAN'ft Issued Conservation Division 1 � WITH TITLE 5 FeeENVIRONMENTAL CY-11517 Tax Collector T® L`�.r e Treasurer 0 COP Planning Dept._�T Date Definitive Plan Approved by Plan ing Board Historic=OKH PreseCition/Hyannis f Project Street Address !O .5 Village //I Owner G�.—�i �� ��� A,/ Address Telephone 3 Z 2 Permit Request c/ 1(09 /1 Square feet: 1st floor: existing_&'Y Zproposed 2nd floor:existing 7q proposed Total new 7 C� -- Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Ayr e Q Lot Size fK SZ ZJ C 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 ' ❑No On Old King's Highway: O Yes co Basement Type\(I<Full 0 Crawl 0 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:KGas O Oil O Electric ❑Other Central Air: O Yes I)dN-o Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑No Detached garage:0 existing ❑new size (�C/ Pool:0 existing 0 new size Barn:O existing 0 new size Attached garage:O existing El new size O 7 Shed:O existing 0 new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded 0 ,Commercial 0 Yes XNo If yes,site plan review# I Current Use Proposed Use BUILDER INFORMATION Name Z47r '1 '" l// �G�`/ Telephone Number 2 !�?- Address G�C1 �(! �C License# l /21c, Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY - PERMIT NO. DATE ISSUED . _ f , ` '• MAP/PARCEL NO., ADDRESS ,VILLAGE OWNER , DATE OF INSPECTION. FOUNDATION 41 FRAME INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL ` FINAL BUILDING } DATE CLOSED OUT ASSOCIATION PLAN NO. 7 °FtME rq The Town-of Barnstable • snsxsTABM • MAM 10� Department of Health Safety and Environmental Services 1639. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner January 29,2001 To Whom It May Concern: Please-be-informed-that a Certificate of Occupancy was issued for 2� 10 Shootflying Hill _.Rd,W.Barnstable,_MA_on�October 22,2000. The Town of Barnstable has no further interest in any performance bond for this property. Sincerely, Kathy M' Loney Office Assistant -bond2 q-forms tS T/MA %�U f�f�y✓Cc:� c.y.7 � yyyr�n y�cc i Value 11 LIVING SPACE 1 _ "square feet X$SSIs . foot— O q q ��yoG GARAGE (UNFINISHED) 3_ .-square feet X$25/s . foot= 26co r q q C 160. PORCH square feet X$20/sq. foot= 20 0 DECK Z square feet X$I5/sq. foot OTHER square feet X$??/sq. foot= Total Estimated Project Cost f/9 oho For Office Use Only /nc/usionary Afforda�b/e Hog n�Fee Residential Commercial" Property Owner's XName Project Location 2 l 4 ��� k)///Y Project Value /�� i!C Permit Number #53`I �11119 "Existing Sq. Ft. "Proposed New Sq. Ft. A2 2 Fee $ SUa o0 i EXPLANATION AMOUNT NICKULAS BUILDING COMPANY, INC. 1028 P.O. BOX 507 WEST BARNSTABLE, MA 02668 5-13-110 Y F Ounrr >'� G�� �/� / L e �/-r DOLLARS CHECK 1E TO THE ORDER OF DESCRIPTION CHECK J AMOUNT NUMBER r goy l FLEET BANK DOWNTOWN HYANNIS OFFICE 93081 HYANNIS, MASSACHUSETTS 02601 _. 75 11100 10 2Bu' 1:0 1 1000 13134 93637 6 2 58 20 �:�^%x'�� ✓fe lnomvrizoruuea� a�✓'�/`tw:sac,lauaeCGs BOARD OF BUILDING REGULATIONS License:'CONSTRUCTION SUPERVISOR Number: CS 002265 Birthdate: 01/18/19.5.5 2: r Expires 1/18/2002 Tr.no: 13357 Restricted To: 00 LARRY D NICKULAS PO BOX 570 [•�•- W BARNSTABLE, MA 02668 Administrator ��ie'fJarnnnanuieu�i o�✓Claa�ac�uaeCls HOME IMPROVEMENT CONTRACTOR Registration 100496 Type - INDIVIDUAL '-Virati0n 06/18/00 LARRY NICKULAS Larry 0. Nickulas HUCKINS NECK RD ADMINISTRATOR CENTERVILLE MA 02632 i The Commonwealth of Massachusetts - - ( Department of Industrial Accidents office 0118yeSUff80O0S 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit IN IN IN I li�illininsom namc / Z / G CJ /./ci r d city '%-PS % ���(�'/'�j�� �� phone# I am a homeowner performing all work myself. / I am a sole proprietor and have no one working in any capacity /" 3o-1,�— ,,F 7 S ❑ I am an employer providing woikers' compensation for my employees working on this job. company name address•;:: City; phone#• inspranee>eo. ply.#. �( I am a sole propri r,general contraS!2E3Y homeowner(circle one) and have hired the contractors listed below who n::.. the following workers' compensation polices: comnan.y name, ✓ t P C C address:-. insurant a ca::. /�(�C'1` G1 / poritv:M G 3/.S y9C�/Z companyname• � � /��'•-P cam✓ �/I C ;dares,;:>;•:.. ... /. /C\� � . . .. ...: . �7:... :.. city .. J Y I �i` (f✓ �G phone# C) Cf U � licy H C) d G U O 3 Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/w- one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a COPY of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under t pains and penalties of perjury that the information provided above is true and correct. Signature C Date z// S�// / Print name_ r LiC/ l C J Phone# 7C— Cchcck on do not write in this area to be completed by city or town official permitilicense p nBuilding Department � ❑Licensing Board mediate response is required ❑Selectmen's Office n: ❑Health Department phone N. nOther , (revised L95 PIA) or so cis Appendix J Trade-Off Worksheetrinforcement AgencyI PermitDatame �� ✓ I Builder Address / I Checked By I n Zone# Building Address ,s Phone Number ? - Oate I Submitted By L _ _ _ _ REQUIRED PROPOSED Ceilings, Skylights, and Floors Over Outside Air Required Insulation U-Value x Area = UA Description R-Value U-Value x Area UA / OZ 6 ft2 I g Ceiling 3 #2 32 Floor Over Outside Air (� 0 6 Skylight tt2 M Ceilings:Total Area d Walls, Windows, and Doors Required Insulation U-Value x Area UA R-Value• U-Value x Area UA Description � /SZ - 3 ft2l 3 SJ 'I Wall 1 2 A Window — j 3 3 ttz Door — Z f 2 161 i Sliding Glass Door — ft2 ft2 ft2 ft2 Walls:Total Area Tod ft2 Floors and Foundations Required U-Value or Area or Insulation Insulation U-Value or Area or UA F-Value x Perimeter UA Description Depth R-Value F-Value x Perimeter ND ft2 Floor Over Unconditioned ftz t ft2 tz Basement Wall ft Unheated Slab in. tt ft ft Heated Slab in. f12 Total Proposed UA Total RegWred UA 3 yylo. Total Proposed UA must be less than or equal to the Total Required UA- in these documents is consistent with the building plans,specifications, Statement of Compliance: The proposed building design represented and other calculations submitted with the permit-application. Company Name Date Bull edDesigne 53 P U - .CL9l N --L. 570 -- -- B GE /L S l�+/Q 5Ts7�M P�'OF E SOIL 5` TEST EsvG TS 0 F.v/sy SG PF Oi ZT T/ T Z EL.S4.3 —4,S . . � Z9 G MAX, S- S9NOY[Q yy S N D YiY/.6�2 fJ 7.SY,�/S 2 A Y 9` MAX. h//R007 .4 O/STBD,rk/G SU/�(P ,. L oq Mi . "MIN. G " /y 9 �1/ 9 3c MA,(!' - LOAMY 7 scs�,d PVC 36 ..MAX �t/n C 7 ` SA 8 Sc /N✓• / Y,,/ A/ 7.5 /Nv. •G/�C//D LEfiEL H 40 PVc Z L'Ol�E.2 Of y 9 57?)NE ' S1.S7 � --Tam 4•0 6L-5-1.G 7 Ny, Ems. f9.y / /Nv ,. 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