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HomeMy WebLinkAbout0041 WAYSIDE LANE i N 0. 152 1/3 ORA o 0 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION PTIC SYSTEM MUST BE� Map i �t7 Parcel 0�� - INSTALLED IN COMPLIANCE�ermit# � Health Division �'� '7�� 4 \ ,'fl WITH TITLE 5 Date Issued ENVIRONMENTAL CODE AND Conservation Division TO V"V N REGULATIONS Fee Tax Collector /03�.700�7 Treasurer � Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street'Address �� wJA` ,S fD C L►4Nr Village W7.3T- Owner �� '���t� ��-u t�1� Address 1 `�S t D L -�4�1)L `�•��Sttgp c Telephone $ Permit Request tRENb y0"O'c rk%Sr ►v X2_z� xJM �✓�'h_�c.�-( -2s�cD�►'L RG zt ocyp �ivryti 0,0M ' - Wm w� Sbto TC� 3L St ia-3u(l�t�'X--1�`� kISR� Square feet: 1 st floor: existing % -Z9- proposed V-29 2nd floor: existing ��- proposed$?� Total new t�criAkcAX' Estimated Project Cost�15CA20 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size 1 Or f,_ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 15, Two Family ❑ Multi-Family(#units) I Age of Existing Structure eta yC44"5 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: &Full ❑Crawl ❑Walkout 40ther���r�tt�+2A�f Basement Finished Area(sq.ft.) �'�/� Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2 new 0 Half: existing new Number of Bedrooms: existing 3 'new O Total Room Count(not including baths): existing 1 new t First Floor Room Count Heat Type and Fuel: W Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 91No Fireplaces: Existing New I Existing wood/coal stove: ❑Yes MNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:la existing ❑new size Shed:❑existing ❑new size Mc14 Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ANo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Telephone Number 5L�15 `y­QL-' cl0_0 'Address 4tt 4� L"4ot_ License# �K � o�6�� Home Improvement Contractor# �A Worker's Compensation# f-° LA4�_Da' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _ `�,Z 0Z FOR OFFICIAL USE ONLY RMIT NO. DATE ISSUED MAP/PARCEL NO, ,K^, ADDRESS y% VILLAGE OWNER \,' DATE OF INSPECTION: FOUNDATION FRAME ' r; INSULA'iiC . FIREPL'-ACi� _ ELEC,ERL�I AL:I► ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r Town of Barnstable Regulatory Services o Thomas F.Geiler,Director BAMSTasi.e. Building Division -- ME M^ $ Tom Perry,Building Commissioner 1639. c3r% 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 arc-:- 08-790-6230 Approved: (1�9(Llev Fee: A.Z.5 " Permit#: F'7 993 HOME OCCUPATION REGISTRATION Date: 6 7 Lo 5 II Name: CL i e , F Phone#: �� '��oZ ' `1 7 3 Address: �T i 140 .j Village: Lest- Name of Business: &I [M 4[_ / LTI+ Type of Business:Te P I nJ 6 r e OLCY Ca lL Map/Lot: O l b 1 INTENT: It is the intent of this section to allow the residents of the Town of Bamstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the 1 following conditions: t: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located with that dwelling unit. _ e-) • Such use occupies no more than 400 square feet of space. 'a • There are no external alterations to the dwelling which are not customary in residential buildings;.'and there-is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter; odors,electrical disturbance,heat,glare,humidity or other objectionable effects. c n • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess ofv f normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and ee with the above restrictions for my home occupation I am registering. Applicant: Date: 142-e?7 O S� Homeoc.doc Rev.5/30/03 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1s` FL.,.367 Main Street, Hyannis, MA 02601 (Town Hall) DATE:- 16 -a Z— O J Fill in please: APPLICANT'S YOUR NAME: ��ycE ; Feley bVff ' - BUSINESS YOUR HOME ADDRESS: ti�✓� TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS TYPE OF BUSINESS N !P IS THIS A HOME OCCUPATION? YEAS NO: divis` _ ADDRESS OF BUSINESS 5 MAP/PARCEL NUIfA$BR When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St.—(corner of Yarmouth.Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individu%-heLinfaTme",,aqy permit.requirements that pertain to this type of business. rized 5 nature** COMMENTS: no A UV 2. BOARD OF HEALTH This individual has bee i formed of the pe it requir �entshat pertain to this type of business. uthorized Signal re** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHO TY) This individual h n infor d of the i ,nsr�iglre irements that pertain to this,type of business. 22 �� �. Authorized Signature** COMMENTS: trw ' t � Town of Barnstable *Permit# 0 Expires 6 months from issue da e Regulatory Services Fee BAJRMABM "'"S& $ Richard V.Scali,Director �a t6�p10 N Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.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 f� (���_ Property Address W 6)A-V 0 d,5' < !A-0� 1 Residential Value of Work$ a I, t(1{cg_O d Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �A U 1 t kA (F 12 / �T Contractor's Name Q.sls I 1 V\ Telephone Number !�;®8 737—R d 76 Home Improvement Contractor License#(if applicable) t 5 �-6-3 F( Email: Construction Supervisor's License#(if applicable) C S © y ! 6 1 b ❑Workman's Compensation Insurance, Chec one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance t Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side 8 Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows —& of doors:Q ❑ 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 required. SIGNATURE: - C:\Users\Decollik\ p5p ata\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOI DHR\EXPRESS.doc Revised 040215 oF� S MASS. Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using.A Builder as Owner of the subject property hereby authorize_�� r` 1 `t'J�" to act on my behalf, in all matters relative to work authorized by this building permit application for: S44 L�n� ( ddress of Job) Signature o wner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 L The Conintomvealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 uninnniass.gov/dia Workers' Compensation Insurance Affidavit. Builders/Contractors/Electricians/Plumbers ApIplicant Information Please Print Lexibly Name(Busiuess/Organization/In1dividoal): iS h Address: �S o\ e City/State/Zip�,SAf(C�M i. MA 1A , d26ST`Phone*—5 0 — 7 S 7 a6 76 Are you an employer?Check the appropriate box: Type of project(required): L❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).: have hired the sub-contractors 2.09 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g_ ❑Demolition w for me in an capacity. employees and have workers' working Y � tY• I 9. ❑Building addition [No workers'comp.insurance comp-insurance required] 5. ❑ We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]i c. 152,§1(4),and we have no employees-[No workers' 13.0 Other comp.insurance required.] •Any applic�t that checks boa#1 mast also fill out the section below showing their workers'compensation policy infanwtim 1 Homeowners wbo sabmit this affidavit indicating they are doing all wart and d=hie outside contractors must submit anew affidarit indicatimg such. iContractors that check this boa must attached as 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 thek workers'comp.policy number. I ant an employer that is providing workers'cootpetisation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy 4 or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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. 1 do hereby rhfy it der the pains and penalties ofperjttry that the information provided above is bate and correct Date: Ott o201.6 Phone#• 57D£S — 1 s 7 ao'7 C� Official use only. Do not write in this area,to be completed by city or tmvil o iciaL City or Town: PermidUcense# Issuing Authority(circle one): 1.Board of Health. 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other w �: - �e�panvnzaruuecr,�Cti a�CJVGaooac�iurJeC�a ! - _ . ---- - Office of Consumer Affairs&Business Regulation i License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Wegistration: :;956038 Type: Office of Consumer Affairs and Business Regulation10 Park Plaza-Suite 5170piration: --5 7->L29201 Individual rjWN —�— ; Boston,MA 02116 CHRIS COLBATH �`i -�%:": CHRIS COLBATH 383 OLD MILL ROAD OSTERVILLE,MA 02655 Undersecretary Not valid without signature U Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-049696 CMUSTOPEIER V C 383 OLD hM—L R s OSTERVILLE P&* A.J.�.., ` Expiration 05/25/2016 Commissioner Town of Barnstable - Historic Preservation Division °pTME T°w� Old King's Highway Historic District Committee 230 South Street, Hyannis, Massachusetts 02601 gpRNSTABLE, * (508) 790-6285 Fax (508) 862-4725 y MASS. QD 1639. �0 ACED MA'S A . April 13, 2000 To: All Interested Parties From: Old King's Highway Historic District Committee Re: Gayle Feeley & David Fuller, 41 Wayside Lane, W. Barnstable, (Map-Parcel 110- 018), House Alteration & New Shed The Committee voted to approve the Certificate of Appropriateness as submitted separators/dividers in the windows as requested, and new roofs and removing six (6) overhanging Oaks. FeelFull.doc Application to 2000 050 Old Kings Highway Regional Historic District Committee ` in the Town of Barnstable for a C_') , CERTIFICATE OF APPROPRIATENESS °r 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 orgyphotographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 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 _ . I DATE ADDRESS OF PROPOSED WORK j WIgg5kbE Lpoic ASSESSORS MAP NO.I 10 OWNER EWS4 Lk fW Q' a���q�1b._VX I" ASSESSORS LOT NO.6ts FJ HOME ADDRESS �� 1,t1►4��LO�l�4N� W ��(P/ 1�! TEL. NO. 572PJ 3CS- L12 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name-of adjacent property owners across any public street or way. (Attach additional sheet if necessary). W�ig� � 1J Ati cs-t ��►a-�Z 2 �� �1 S t t� �1•�STkY�C.c� OikyzLZ I)TJZZrt'u 2-1 WALASt'0£..L0Nt_ L.J. 5rWroLL, AGENT OR CONTRACTOR VJL1AZf_2WNL'(- TEL. NO. 'SM ')C. ""t'I12-7 f_ ADDRESS Li u.aarts tns— L.4rtic— MA DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional addit iionallsUhee t. if necessary). �� UDU�[� C x t4D�lN4 UJL UluVucJ t� 1 tZ. C7grI C 0oa2 •.�� aty�� wl�+�`1J ►?l PLOer r— -R_C4-P_ Dc-)ue W/St.1�,E1� C�GZrt�e„L 7<<NLSI.{ Ti7 -TL6) ��fJ�3Z- 0" � 40 � ty�0444 �6 w MrtGll dkMtV/tj ��x t � l�"� � L we IVtD Ftls tom. wt�i ovl �g gJru�y Signed Owner-Contractor-Agent Space below line for Committee use. - PleeeMredby-k#:-D:&s-- G r. [ 4 U rlu'! Utu Date a Certificate is hereby Date Tim14 e — i `�0 �Y . .5 !-.o A Approved ❑ IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. 1 ' - �4 o�q•,49�'� too Q� CVA 41 R�vudea�j -------------- i i 'r. AN THE ( El INSUREMe xort�pg cn , MORTGAGE INSPECTION PLAN AND ITS TITLE INSURERS.- I CERTIFY THAT THE BUILDINGS SHOWN DO ( ) CONFORM TO SETBACK REQUIREMENTS LOCATED IN I.E. (FRONT, SIDE, R REAR SETBACK ONLY) OF Barnstable ' �Ser-A '�C WHEN CONSTRUOTED, OR ARE EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L TITLE VII, CHAPTER 40A, SECTION 7, UNLESS OTHERWISE NOTED. MASSACHUSMS I FURTHER CERTIFY THAT THIS PROPERTY IS Not LOCATED IN THE ESTABLISHED FLOOD HAZARD AREA.COMMUNITY PANEL NO.: 25MOl 0011C DATE: 8-19-85 DEED THIS COMPANY IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT TO THE RECORDED BOOK DATE OF THE LATEST DEED OF RECORD. WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY LINE IT IS ADVISED PAGE THNOTEAT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENTS. CERT. NO. THIS CERTIFICATION IS BASED ON THE LOCATION OF SURVEY M qQF•OTHFRS. AND DOES NOT PLAN 8K. 371 PAGE REPRESENT A PROPERTY SURVEY. VERIFICATION OF SURVEY K AND O1 FSETS, AS SHOWN, MAY BE ACCOMPLISHED ONLY BY AN ACCURATE, INSTRUMEN '.StIR �YS ARE NOT DEPICTED PLAN / 98 DATED ON THIS PLAN. F� I fF �, THIS CERTIFICATION TO BE USED FOR MORTGA f� RPO ^ . LY. c�R►JU/ � 10 OFFSETS AS SHOWN-ARE NOT . `4 1997 USED FOR THE ESTABLISHMENT OF Pft P �t� ;;(;I; {•, r s! SCALE: I'p � ,�� �' ` ` BRADFORD THE T° Town of Barnstable - Historic Preservation Division of k, Old Kings Highway Historic District Committee 230 South Street, Hyannis, Massachusetts 02601 * BARNSTABLE, * (508) 790-6285 Fax (508) 862-4725 9 MASS. 1639. ♦0 ArFD MA'S A April 13, 2000 To: All Interested Parties From: Old King's Highway Historic District Committee Re: Gayle Feeley & David Fuller, 41 Wayside Lane, W. Barnstable, (Map-Parcel 110- 018), House Alteration & New Shed -------------------------------------------------------------------------------------------------------------------- The Committee voted to approve the Certificate of Appropriateness as submitted separators/dividers in the windows as requested, and new roofs and removing six (6) overhanging Oaks. FeelFull.doc . i- � -�,� � i l ��?G]_! • i � '-' I-I{-_ ��-t- ---{- --- T- ' ! t } 1 I I t } f t I I I t I I . ! I i i -1-{t I I ! ! !_=�-3 -� '--^_ --+----'-'-�f-� ` I ' I r i I t 1•�_I_I `;�_ ! 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MUSEUMMEN MMEMEMOMMMEMOMMEMO NOUN MENNEN,MEMNMMMEME,■,MMMM■MMMMMMMMMMMMMMMs ■ .■ " , mm■■s DOME, MO■E■E■NOM■■MENNESO■MEMMUM nMM■MEME f ■ MOMEME, s■so, moms■sNESSME MMMMUS ,EE■■■sn:■MEMNEE■intM,MM■■O■O ONE ■ S■■MnE, ,ME■■ om■om, ■om■oommO■E■/■■mmosommonMME,sME■s ,MENEM sOlEMME, ■Os, OM,M■■■■MM■MMEMME,,,■EOM■N!■MM■M MEME MORE End�■ MENEM MONMEMMEMEMEMMEMEo.OMEMMEMEM■ M■m■ ,MEND,■ OM■M■� MO■MEME, Nos■ MM■MMOMM■MMEM■■MEM■;lmmommo ■iasO ■SON 9�ON�Oin OMMEN■M .ESN, MMMMMMMMMMM■MMM!■M.sM■MMEEN■MEMM.MM:NMMMMMMMMMMMM■. ■■ME■No. OMo■ssSssNME/sEMEM■MEMME■,E■MEMO s,MMMs■■MEommmmm■■Emomm MUSEUMmmommom SECCCCriiiC,i,■,ieC;CCCiiCC,■ �CCiCCCCC�:iC®CCCCCCCCCCOCC�iCmom MIMEN r 0 3 w � II i G � r ro s t I L oor w r--C INE HARBOR WOOD PRODUCTS Post and Beam Garden Sheds n Salt Box Design 6' x 8' $ 800 8' x 8' $ 920 8'x 10' $ 1150 8'x 12' $1320 110'x 10' $ 1450 0'x 12' $ 1560 10'x 14' $ 1840 10'x 16' $2140 12'x 12' $ 1900 - " 12'x 14' $2220 12'x 16' $2580 plus tax Even Pitch Design 1 I Built on your property. 6'x 8' $ 900 E i Storage Sheds 8'x 8' $ 980 i i 8'x 10' $ 1240 Have Many Uses... 8'x 12' $ 1420 •Riding Mowers 10' x 10' $ 1550 •Workshop 10'x 12' $ 1660 1 x 4 $ 1940 •Garden Tools x 16' $2240 •Garden Tractors 12'x 12' $2000 12'x 14' $2420 ;� v =>•- �,}„- :�. • Outdoor Furniture 12'x 16' $2780 •Motorcycles plus tax 41 B0 •Pool Supplies Built on your property. 4-L 1 if10 • Bicycles V� 259 Queen Anne Rod! 1tE 344 Yarmouth Road (Willow St.) (�9 GG `0r Harwich, MA 02645 00 � vG Hyannis, MA 02601 508-430-2800 D PROS 508-771-5007 Fax: 508-430-1115 1-800-368-SHED (7433) Fax: 508-771-7070 The Outdoor Storage Specialist Licensed • Registered • Insured www.pineharbor.com 1 Z d Z o I^ _LA ! • � �j 1� y t , 11 I m L — o -� x � �W N_ .Z ..c a L N t 0 710 p r - _..... _ ....LA i ... i �- . .,- u :, . ;� � ;i , � � � � :� � ,I� � � ,I , ' i � 11 1 . I - '� i ' �I � 1 �, . ` _ � � � ' �� .j � ,� I ...t- ., ,I � ' �/ - - --- '�rl� �� � ! 1 1 _... _ 1 �'• � .i ' . � ;; I ' .!, i `f -- � .i !I.. I '1�� i .. � 1 i I l l ! - , ``e.� ' .ems._., �. �� .' L� _ _...._ � _ �_ — � g. �� ._.-'--'----- - � �i �/ ' � -� � - 7:0 C3=Ada J ' TabL.tSZ2b(eas�aaeeJ) • Pma iptbe Fadcam for Qae and Tw0-F=0ilY Rnidmdal Baildla�Bested wills Fossil Fads MAXIMUM lYIDmUM � Wall E7oar 8sseme w 91ab He:daB/Cooli°g %) U-val&ts3 Rrvaiw &vdua'. � P valucJ Wall pad c a p � a-vahm' wvalud 5"1 to 690 Heath;Desees DAW Q 12% a40 3E 13 19 t0 6 Notsad R 127s a32 30 19 19 IO 6 . Normal S ' 129A d50 31 13 19 10 - 6 S AF1JE T 13% a36 31 13 2S WA WA Normal U 13% 0.46 31 19 19 i 10 6 Noted 937i Iliad m t3 2+ !VA !S AF[IE W 15% dTl 30 19 19 to . 6 S AnM X Ili% d32 31 13 25 WA WA Nwnaf T IV1. 0.42 31 19 25 WA WA Nummi Z IrA 0.42 32 13 19 10 6 90AFEJE AA Ism. dS0 30 19 19 10 6 "AFUE 1. ADDRESS OF PROPERTY. 121' Lw C- t.y , L fit- 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 8 by 3. SQUARE FOOTAGE OF ALL GLAZING: I Luo 4. %GLAZING AREA(#3 DIVIDED BY #2): S. SELECT PACKAGE(Q—AA-see chart above):_ J NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR A AL: YES: NO: q•fotms4980303a � The Commonwealth of Massachusetts :-= — Department of Industrial Accidents Office offayesdoo foss _ 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit FIR name location city �' '�N � hone# I am a homeowner performing all work myself. CaMsA-te- Q`A� /-t Dcxj I am a sole Proprietor and have no one working in aav capacity I am an employer providing workers' compensation for my employees working on this job. ❑ P ........................................................................................... em . vn co an adX. --------------- utv insurance co.:.. :.,..;::.;:>.:;:;;:;::::.::.:::.:::..:.:.:::: ::...::::: .::;;... . .:•:. .:: :::<:.:: olicv I am a sole proprietor,general contractor,6r homeowner( cle one)and have hired the contractors listed below who have 5 tkE'D In�ST�4'Z� u.J the following workers' compensation polices: comyanv-name a dd ress (p. ': - �. .. .. ..::2::�l+isC::2::� :::::::::�3:Y:: ::: "::�:::2::;:;:;:�2::x: :;::5:;:�:<:>•i;r;;:;::;::::;,::;:�>:;;;:;<::•�2::::�:�;:::;:.;;;;;:•:;;::t•:.;;:::.::•;;:.::;:-:':> :::::,;:�::;%;s::;:- iesUTaIICe;'Ca':.::....; SAM. :. c anv.na ad X. cite -� hone Fallure to secure coverage as requited mmder Section 25A o[MGL 152 can lead to the imposition of ertmiod penaltln of a Hue np to St,S00.00 and/or one years'imprisonment as well as civH penalties in the form of a STOP WORK ORDER and a Hue of S100.00 a day against me. I mmderataad that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is trw.1and coned " Signature c/ Date LA I L_L rlo�:>CD13 Print name Phone# �� —3 _�� y official use only do not write in this area to be completed by city or town official city or town• permit(license# ❑B%dlding Department ❑Licensing Board ❑check it immediate response is required ❑Selectmen's Office (3Health Department contact person phone#; _ ❑ Uevacd 9/95 PIA) • • 9 11M Department of Health Safety and Environmental Services ��� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Cressen Fax. 508-790-6230 Building'Commissione: permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO pERMrr 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•��rtL �4 '�.I,zV-P tl timated Cost Address of Work. `i I W AM S i M_ LA-J z Owner's Name: E2tjC,__ Date of Application: tql I hereby certify that: Registration is not required for the following reason(s): Work excluded by law E3Job Under S1,000 Building not owner-occupied ISOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav ESTIMA TED PROJECT COST WORKSHEET Value LIVING SPACE 3�lto square feet X $55/sq. foot= GARAGE (UNFINISHED) square feet X $25/sq. foot= PORCH square feet X $20/sq. foot= DECK square feet X$15/sq. foot= OTHER'RCWU*Q—' CO&OWK square feet X $? q. foot= C1,5Uy Total Estimated Project Cost 1 H i livco For Office Use Only Inc/usionary Affordable Housing Fee Residential Commercial" Property Owner's Name Project Location Project Value Permit Number "Existing Sq. Ft. "Proposed New Sq. Ft. Fee $ IAHFORM 1/3/00 Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 KAM 9 i6?9. `e ��ED NAA1� Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissio.2- HOMEOWNER LICENSE EXEMPTION Please Print DATE: 9.1,ym JOB LOCATION: 'i I number street village ,.HOMEOWNER": 0jCS�1j t r_> , � b — _ l� Z-� - C*'!j �CSZG� name home phone# work phone# CURRENT MAILING ADDRESS: LABS l D� �4NL Crab city/town^ state rip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building hermit. (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 ocedures and requirements. —� Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q.Rules&Regulations for Licensing Construction Supervisors.Section 2.15) This lack of awareness often results in serious problems.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities.many communities require.as part of the permit application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEM MN t TOWN OF BARNSTABLE Permit No. -26927 — - t` 7aYlrrAn, ' Building Inspector ' l Cash -------------- ----- ----� OCCUPANCY PERMIT Bond __._- X f Issued to Jaliias Jackson Address Lot- 958. 41 WayaiAe Tang WF--qi-- Wiring Inspector Inspection date Plumbing Inspector (4 I Q /^� Inspection date Gas Inspector �,� Inspection date 14 i\ En g g P ineerin De artment ,�^ / Inspection d / �k'lr.�//�1fF'/../. on date/ Q J Board of Health ��w ' Inspection date V t/ 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. g 1� / v 01 Building Inspector FROM ` F TOWN OF BARNSTABLE Mr. Francis Lah eine d.f$.s.w BUILDING DEPARTMENT " 3bwri Clerk y"-" —w� 667 MAIN STREET HYANNIS, MA 02601 "`�' . �e•RO.►1��i Yxw A'R IK'w M9FtYlf ao I • Phohe: 775-1120 . x.ye J SUBJECT: FOLOMERE DATE J' 18 1985_. __ �. _.._._. ' .._ M E S S AxGE,-- Work has,been coerleted order Permit #26927 (James Jackson • me W^f a�+r�•.w vw.r»tee....«sT.rto•-..a.e.e+„.,r+�- +.r�R•rwr rsF ��'.,..e as sr7 ..�N.y.pnlK 4 r _� P1Ws-.41GLG6 se-Bard.--.i w Y r-4 +n1 w 1!• i ^ `.l mMY Ai iq r i►EPyw M•+J'�'!•9I!b kt'a'i' . SIGNED 4 J DATE REPLY ' r SIGNED Ne7.Rml RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY' PRINTED IN U.S.A. SENDER: SNAP OUT,YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. r - � f.S� �a� i• 1 4.4•'� �tr lY r � r � C �-�"wVpA�%trty � .�✓ -17 40 4/37 41 i a m tp h CERTIFIED ' PLOT PLAN + TOWN. 0 F :�IqI ,5 `ie-2B L Z ,r SCALE = ,50** DATE : g616. I - CERTIFY THAT WHAT IS SHOWN ON THIS - PLAN j IS AS IT EXISTS ON THE GROUND AND CONFORMS TO THE TOWN REGULATIONS . r, • �� , h OOYLE ASSOCIATES FA•LjM0UTH A o jL, Assessor's map and;lot number ...................................... U, - PT IC e �3y _ G i� f� i�- y � � �INSp�4�C y 44° , �, a BE G L�� �ewage Permit number ...............:........................................ �[�� W1 P ,IYcE Y.. .. ` ; 8 2 ®A1A AA House number .....:.......'.................Od/G................................. � /3�Jn W4 RE _ AND � TOWN OF - BARNSTABLE 2nlo T 'c ,5 BUILDING " INSPECTOR APPLICATION FOR PERMIT TO ..�.0..l."-!...... ............................................................................................. TYPE OF CONSTRUCTION .......1 /2- S?oy..... �. A�. ... ........................ _ ................... t r° 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a per'miit according toith/e following information: }Location .-fir c.7 (N� �?/�fli C�� W_-Roq A1_s l��........................................... ........... ....................... '..1.. .......... .... .... ......... .... ... ProposedUse ...... �l�f. �. ....74 ?. ....,...............................�..................................:.......................................... !� "BA rNrD A'3 c C Zoning District ............. . ......................................................:.Fire District ................................ Name of Owner .4�. ..'` _ " G d `7 " /�e6O"' /"' N /�/rf ........... Address .......................................f........................................... own o . � �i Name of Builder ..�...........................�G.�.......................Address f'fflQ!I�L�.................... ..... . Nameof Architect .......... We...1...........................Address .................................................................................... Number of Rooms Q �.... e � .........................................Foundation .... ..................r .............. / 1 / / Exterior ����2 //L��<PS ,�A/��O��Qtoofin �� / ................. / S .. ...................... / ........ g ...... ... ... ...... .. . ��1N7........................ Floors W� Pi / � / ...........Interior .....1.......�...0 ......G /1 liter , .... �f. /�....... .�. ................................... Heating '�...`:.:.. . .................."...........' 'Plumbing .:....:: ..... -- _; --. . Fireplace ......... W.................................................................Approximate. Cost .......................................l5000 GANp Definitive Plan Approved by Planning Board ________________________________19_______ . Area .........1./Q...G� . ......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �44- 4)e ( r � 5 3 � 1 R. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardi the above construction. Name ... .. / ................... Construction Supervisor's License .....0-3 .J.7/......... JP^KSON, JAMS 26927 1 z Sto o- ................. Permit for ............... '................ - Sin le Family Dwell in .....V .............. a Location ..... Wayside L ••ot 95B, ide Lane 41 y ........... .West .�table........................... Owner .....James Jackson ................................... .................. Type of Construction ...... rame ..................:............................................................. " Plot ............................ lot ................................ - y , August 31, Permit Granted 19 84 s�.................. 1 Date of Inspection "JfJ ........ .......19 n Yk Date Completed ... jt Assessor's map grid lot number .. //.........i.........:�......f, J } THE r'3r Sewage Permit number .......... .. BAUSTABLE, i House number .....'.................H. .���................... ..... l.. '•, g q rasa «. cti. t639. 6 'E0 MAY 6� TOWN O/F BARNSTABLE ' •i ,` ��/ley J 1BUILDING : INSPECTOR APPLICATION FOR PERMIT TO ... .v...�......�... ..- ��.............................................................. '2 srory oo � r 412 TYPEOF CONSTRUCTION ................................... ..... l :...t................................................................................. ..................................................19v. TO THE INSPECTOR OF BUILDINGS: The undersigned hie eby ......applies for a permit according tokthe following information: AIA Location ...... ........... ............ ./ S ...... . .................................................................................. ProposedUse ..... /%� 1. .�../.... E /v�........... ..................... ............,......................... Zoning District ............fi-re District rN3r,.l3 Name of Owner ..�1.'.': P`s '..:.:"'C�'�'O/v Address `'. `7 " /r! -s o '�G �� .. ...... .... .... Name of Builder ..v...:. �...........................Address ......... .. .. ....... "...`.. ............y Name of Architect /V�,/Z;� Address ...............................................�......j........................... Number of Rooms `' Foundation ...... 9 � X4 oofin ........................ N/ .............. �ei,v � �� ' .Intenor - i Floors .......... ........... ....�......... � .........................:............:. . ..... .............................. Heating ....�: .fig- �_ ""'. ....`...`:":............. ....... Plumbing .....................' a' r . F.. Fireplace .......... t°. .... ..,'....i...................................................Approximate. Cost ......:..................:......... 0Q G N9 /._ . Definitive Plan Approved'by Planning Board -----------________ _______19________. Area �...J. . .. -r........ Diagram of Lot and Building with Dimensions ; Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH "" l k � l ,V16 C _1� �1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regcrdi 1911the above construction. Ar i Name .... ......... �. i� ✓r ........ .. .. . . Construction Supervisor's License ..... f ! ,1 JACKSON, JAMES A=110-18 I a No 2692.7....... Permit for 1i..5tO '................... I ..I?We.Uing........................ Location ..W.t..95B...... 14Md e....... j .................West..Baj:1151; ile............................. Owner ......►Tr:UlbSS..►7dG} SQCl............................... Type of Construction ..k'xr ............................. Plot ............................ Lot ................................ Permit Granted ...August 31. ..............19 84 Date of Inspection ....................................19 Date Completed .................:....................19 TOWN OF BARNSTABLE Permit No. 26927 BAUpTAU Building Inspector r... �s Cash ----------------------- '�CypY p' OCCUPANCY PERMIT Bond ----_---- ____________________ Issued to Jams Jc1C k ac7l[1 Address Wiring Inspector r' /i Inspection date Plumbing Inspector ' ' ,e �� Inspection date r v � 1 Gas Inspector t�• .r am Ala ;�.� <�s�*�� Inspection date 14 h j r t, A4. g Engineering Department Inspection dater .I Board of Health ' .1-/ Inspection date ✓ y 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. -J I 4 Building Inspector