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Home My WebLink About0012 WILLOW STREET r i � I UPC 12543 No HASTINGS.UN eR't F^t�+t.t,-�^�+r.� A�e��..�--,;a _}.�,.,^+.�--.+?.�,..�:, ,.'."_".�_. _ _ __ - ----- =„`►'�r_,-:�'-�e1 - _ - - IY..:+�.r..�r-�, :.p.... __ -_ '.'"-'1'� '"'`."'...�--+ y Town of Barnstable Building PostThis Card So:?hat it is;Visible From the Street =Approved Plans Must be Retained orrJob and this Card Must be Kept , , I b& Posted Until Final Inspection Has Been Made. , s °1 ,i J =: ,� � . k � Permit tor�tp Where`a Certificate of Occupancy isl equired,such Building shall Not'l a Occupiedu I da Final�lnspection.has beemmade. ' 1 111 i - Permit No. B-18-1948 Applicant Name: MEAGHER CONSTRUCTION, INC. Approvals Date Issued: 06/22/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 12/22/2018 Foundation: Location: 12 WILLOW STREET,WEST BARNSTABLE Map/Loth 156-032 — Zoning District: RF Sheathing: Owner on Record: EHRING,CHRISTOPHER L&KINNET A Contractor Name`�MEAGHER CONSTRUCTION, INC. Framing: 1 Address: PO BOX 277 Contractor License: 162938 2 IRVINGTON,VA 22480 f +� Est. Project Cost: $25,000.00 Chimney: Description: reroof,reside Permit Fee: $127.50 Insulation: } Paid: $127.50 Project Review Req: Fee. Final: f W Date. 6/22/2018 ��_•. 1_ Plumbing/Gas Rough Plumbing: :. ._. 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. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. ► 1 Final 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 work until the completion of the same. -----------�-- Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are,provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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 Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable *PermitjL 1 0 ^ '1 q EVIres 6 momhs from issue date Regulatory Sices Fee NAM Richard V.Scali,Director a ) - Building Division JUN 18.2018 Tom Perry,CBO,BnildiaF 200 Main Street,HyanmsM A u N S`A B L E www.town.barnstabie.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION -. RESIDENTIAL ONLY 3 C N Map/parcel Number ot Valid without Red X-Press Imprint I !! lea p� Property Address jAD� I l 0Q0 Residential Value of Work$ p)1C�� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Cki--05 lat,,� VA aok.cm Contractor's Name ec EC°1 0 e fir' ° ' Lam+i I tv Telephone Number Home Improvement Contractor Lei e#(if applicable) Email: ✓1 C_(' ,,,V� Construction Supervisor's License#(if applicable) (2-S O'Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Hoin er Vy'I have Worker's mpensation Insurance Insurance Company Name Z��le) Workman's Comp.Policy# LL)CO, 50 n -,,S�o 14 9. Copy of Insurance Compliance Certificate must accompany each permit. Permit R 9u�(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to aql - ' ❑ roof(hurQ na t stripping. Going over existing'layers of roof) Re side d4ka r l►JCS U Replacement%rmdows/doors/sliders.U-Value (maximum.32)#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 ofthis 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 coW a Rome Improve ent C tractors License&Construction Supervisors License is requ SIGNATURE: bUsersM>collik1AppData\Loca1 icrmo indowslTemporary Intemet FileslContentOutiook12PI01DHR1EXPRESS.doc Revised 040215 s4y� 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 �- I, ,as Owner of t subject property hereby authorize �C� to act on my behalf, in all matters relative to work authorized by this building 7it application for: (Address of Job) i me. Date Y Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. i C:\Users\DecollikWppDataV,oca1\Microsoft\Windows\Temporary lntemet Files\Content.Oudook\2PIOIDH.RIEXPRESS.doe Revised 040215 I �\ the Coninrontwealth of Massach nseft _ Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,M4 02111 u.,ovi .ntass govIdia Workers' Compensation I-wsnrance Affidavit:Boittiers/Contractors/M-ectricianMumbers APPILcant Infennation Please Print Le 'b Name OhIs ,me 4OLCI c Address: r) City/StateMV7 y l Phone i 6( — LI0 . Aire an employer?Check the appropriate boa: Type of project(required): 1.LJ I am a employer with 4. ❑ I am a general contractor and i 6. ❑New cmstruction employees(frill and/or part-tam)s have hired the sub-contractors s listed on the attached sheet 7• ❑��g 2.❑ I lam a sole proprietor or partner- listed sub-contractors have ship and have no employees These ❑Demolition working for me in any capacity. employees and have worlaers' 9. ❑Building addition [No worloers'comp.insurance comp-insurance? 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I dhomeowner doing all work officers have exercised their l 1.❑Plumbing repairs or additions myself[No workers'comp right of exemption per MGL 12.❑Roof repairs x c.152,§1(4),and we have no insurance ret3airedj employees. o wodomrs' 13. er comp.insurance required.] •Any applit�dint checks bus#1 tttnst.91%fill vat the seClion below showing tbeu wod v compensation policy infarmatim 1 Homemuers wbo submit arms at',H&=indiamus they are doing all work and then mike outside conu mars must submit a new aTuLwit indicating such. ;Contractors that char&this#ac must attached ea additions/£meet showing the nmme of the sub-ccumf tun and stare vbaftr w not those eatEtias mesa employees. If the mb-cGlI tachn have employees,fty must Provide their woken,camp•policy number. I am an employer that is pmvid*workers'conPrensatioil insurance for n e►i ploy�e=slow is die pahcy ob site information t� 1 Insurance Company Compatry Dame: G4�G� Police#m Self ins IAc. 00 ® /t F.spiratiaa Date: e1 Job Site Addis: !a`^-' ► I City/Statet2:ip: W - L Attach a copy of the workers'compensation pokey declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one year imprisonment,as well as civil penalties in the farm of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DU for insauance coverage verification I do hereby certify and epains and pens s ofp my diatthe information provided abin ' re and correct ttr,e: . Date: f 0�0 Phone M. Qfflctal use only. Do not write in this area,to be completed by city ortown official. City or Torre: PermitMicense# Issuing Authority(circle one): 4.Electrical 1.Board of Health 2.Building Department 3.Cityfrown Clerk Inspector 3EbbLWspKtar 6.Other Contact Person: Phoned: 6 Client#: 16665 2MEAGHERCO DATE(MM/DD/YYYY) ACORM CERTIFICATE OF LIABILITY INSURANCE 06/13/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling 8r O'Neil Insurance Agy PHONE 508 775-1620 FAX 5087781218 A/C No Ext: A/C No 9731yannough Road E-MAIL ADDRESS: P.O.Box 1990 INSURER(S)AFFORDING COVERAGE NAIC# Hyannis, MA 02601 INSURER A Penn-America Insurance Company 32859 INSURED INSURER B:Associated Employers Insurance Company 11104 Meagher Construction Inc. INSURER C Timothy Meagher INSURER D 776 Main Street INSURER E: Osterville, MA 02655 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYY MM/DD/YYYY A GENERAL LIABILITY PAV0146331 10/16/2017 10116/2018 EACHGOECCURRENCE $1 000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea oaur ence $50,000 CLAIMS-MADE FA OCCUR MED EXP(Any one person) $5 000 X BI/PD Ded:500 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY E OT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON-OWNED ED Per accident HIRED AUTOS AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC50050054422018A 6/2312018 06/23/2019 X I WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORMARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $10O 000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $100 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S213066/M213065 RPSW1 Massachusetts Department of Public Safety IF Board of Building Regulations and Standards a Construction Supervisor License: CS-102260 - __` Restricted to: Unrestricted-Buildings of any use group which contain Construction Supervisor I less than 35,000 cubic feet(991 cubic meters)of enclosed space. MICHAEL S MEAGHER JR 97 EMERALD LANE s MARSTONS MILLS MA 02648 vim-- Expiration: Failure to possess a current edition of the Massachusetts Commissioner 11/06/2018 State Building Code is cause for revocation of this license. DPS Licensing information visit:WWW.MASS.GOV/DPS r"��rr:�irrirr,rrrorrr�/�r/r,llr�fiic/roic//J Office of Consumer Affairs&Business Regulation �`� HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Reaistration E fo Office of Consumer Affairs and Business Regulation � ;frl 162938 04/262019 / 10 Park PI -Suite 5170 MEAGHER CONSTRUCTION,INC. Boston, 02116 776 MAIN STREET U —`'"""i(_ , / OSTERVILLE,MA 02655 - t valid without signature Undersecretary -M A eq Town of Barnstable J y Regulatory Services Richard V. Scali,Director snxivsTnst�, s M Building Division 16,19. Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# 6 FEE: $35.00 BUILDING DEPT. SHED REGISTRATION RESIDENTIAL ONLY 6EP 0 7 2016 200 square feet or less TOWN OF BARNSTABLE Location of shed(address) Village lone r Ci)YlS &n e)� L4 3(o S�d Property owner's name Telephone number Size of Shed Map/Parcel# 8 1211k Signs a Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8s00=9:30&3;30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:06/20/16 Town of Barnstable Old King's Highway Historic District Committee BUM200 Main Street,Hyannis,Massachusetts 02601 (508) 862-4787 Fax(508) 862-4784 CERTIFICATE OF EXEMPTION Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,Acts and Resolves of Massachusetts,'1973,as amended,for proposed work as described below and on plans,drawings,or photographs accompanying this application: �, n Date 2 /1& Address of Proposed work, Assessor's Map and lot# ✓t` /D Z House# _Street Ill 01j village: w et Ba ns+p-o l.g_- This application is.for an exemption of the proposed construction on the grounds that work: ❑ Will not be visible from any way or public place ., Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission I i ❑ Other i 1 Description of Proposed Work: (f X 4 l: U l V e-44 C ape— Sk- IL G ('—w..- n TOWN OF 3ARNS1 Agent or contractor(please print): Tel.no. Address Owner(please print): kin r,e_ Tel no.R(e-!-45to — (o6o Owners mailing address:50� Signed,Owner/Contractor/Agent For Committee Use Only This Certificate is hereby Approved/Denied Date: Committee Members Signatures: M Y , &WVrU AUG 10 2016 Old Kin amstable g S.Highway Any conditions of approval: Commit►e, C:Documents and SettingsldecollikV ocal Settings lTemporary Internet Files10LK110KHExemption Form 07.doc L r 2• l r �M �-.� �� lit ��Ep U Quivett Cape A rgU� zozo�s pf wn.of g ! arn Perfect for seasonal storage of beach gear, fishing equipment, &19s ............$2,600 l0'xt0..........$3,800 mmfne bikes and more! Our most popular design features a steep e' b'...........$2,800 10'x12........... $4,100 10/12 pitch with 6'5";walls on front and back creating ample 8'x8.............$2.800 10'x14...........$4.800 8'x10............$3,200 10'x16...........$5,400 storage room for the included 48"deep loft. Sheds 12' and less 8'x12............$3.600 10'x20..........$6.500 come with (1) door and (1) window on the front wall. Sheds 8'x14'...........$4.200 12'x12...........$5,000 over 12' come standard with (2) windows. 8'x16............$4,600 12'xl4...........$5,600 12'x16...........$6,400 ..............Plus Tax Pictured buildings may contain options and upgrades that affect costs of sheds and small buildings. Please inquire for more information.Pricing is subject to change without notice. A.10'x16'Quivett Cape:B.10'xl2'Quivett Cape;C.10'x14'Quivett Cape:Q.12'x14'Quivett Cape:E.BYT Quivett Cape PINEHARBOR.COM 9 Buildings Beyond Your Expectation Town of Barnstable Geographic Information System 'August 2,2016 156015 166063 #742 #756 156062 156016 1 #741 #780 LU # O 't° 166038 156005,, 156#675n9502 ( � N �c� #40 e.a c _rn #695 156061 ® CU 2 #761 �� '� m.&0� 156060 o #15 � O �d 156046 T� 166018 #39 156059001 �'t #10 #35' �0 �0 166032 156003 ® ® #12, #47 ® 166004 0 156031 #842 1 4 8251 #866 156002 #69 156024001 156033 #886 ® #50 156030 #837 156029001 857 156028 156034 #881 • #6G 156001002 156007 #101 #897 156029002 156027 0 155014 #3 #905 #96 DISCLAIMERS:This map Is for planning purposes only. It Is not adequate for legal Map:156 Parcel:032 boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:EHRING,CHRISTOPHER L& Total Assessed Value:$493200 Selected Parcel N *El 1"=100'may not meet established map accuracy standards.The parcel lines on this map- are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:2.30 acres Abutters E Ig boundaries and do not represent accurate relationships to physical features on the map .Location:12 WILLOW STREET such as building locations. Buffer , Wares LOCUS MAP A Ass m WoV/OO PMa1 L ZONNO SUMMARY na dQ maW mmacn w aemaT Ir WL�ntWrAai On wm V 1�L TRO.T 221OAat w l rlrr, 10L 9228trm 1N L.t RG.s m`= tO' .ul ewaao 110olt 27 �IicRla waAT m .T[a lOGtm M.O.Tla A.uOEn ` P� rtrr• rtWl2cna ownnr olsla.r am= �A OWNER OF RECORD • N.mm VA 22M \ REFERENCES OVAN OM 27M PACE 47 I PLAN 8.a1 2M PACK Pl 01mm 1 11 1 1� 0 " v PLAN OF LAND of *12 WILLOW STREET WEST BARNSTABLE, MA MR. & MRS. EHRING O DATE: 22.2016 .ery.. hern�as ti 'Ire°a,"P..�... 1 915 ARM A W"P.L.PAd I.m AIM dbwl(AM.O.V YARV.V.ROPT A41 .TOY! DCE 18-228 ti. 1e-225 T 4 t � }''. . _ i�I ��4 �,y t ii 6 j1{-y�.t�ctn •''i :CAr h"tt:7 !� qv t lr '�f,Ravr�;Ay��, r.•' '' �f S. L�i. �r .lT' 1 + +t .4 °ie t f'.a-rq.. a,�»i '�`•ir�":�•h.T`•fii'Z • _ ' rf. y�' 3 � VAR, 1 1 + ) 1 +.,W, I>r .t F .Jt P F 1 i t\�R, C \iy+�• '.t 1 rapt r jr�,!i r T I l ri r ,r ICE- �•� t � '. .t� •� >,1 if r.�`i r)i N Jt f` '2 �' - J 1Vol . •�A'4>J{y,. ltplr. i •� It ., ut�Se.. ✓ r77'a`�A'r�ds,��i C`d j. � ��`t:t ! ' r° to l,� r t• +' ��a r: 1# to i I ,•¢ C G rtt A t r '•t�£��yy''�!�r,,�� S 11d� u t�ry�rT [ S•,�',#rk x �' 'qrs ft ni dy !�-rrr £�,� ` r,.k�'�'tr`G`a3i`4 Ix#6�12�1 y RCS '' F +71�}y�6iY ,}t� t°xi'IS,ia}fgF�Y) 'E 1 t,• -•i I + s 7177{yi«aetg.Frf. 11lr � i'1°� ) S 7'+ 1> AI ts' ``14 N � I� n� !t� t � y tKat 1° .iy'h� rr r zSMC +�II •^ISS4 '11 t �{ ��.�fip''�it l� r t , m t f j a K l) fo 4 irl t' �.wauSi » v Il \✓! 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Assessor's offioe Ost floor): ® r �� STE ' �� a Asipssor'S1. grid lot number ...... IN COMP.. I. !� N�I� UA�.,,. Board of Health (3rd floor): `� WITH TITLE 5 Sewage Permit number .......�.LS. ... . .rf.... . ► i p3 i�F�C4�®�1��0�N�11 t1�L7o dO®�- Z BAMSTABLE. Engineering Department (3rd floor): f z �K ��,�r�� e1 16}9• �� rasa p, �0 HOUSEnumber ........................................................................ "ED MOR '. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR 1 I APPLICATION FOR PERMIT TO ..4.v..j.. .... !. ?►.%.. r.Q.!-nr�.I.....N4411K....©h..... .v.fJ.$..L...............�... TYPE OF CONSTRUCTION 4 Sv ......2.�1..........19�'..7 TO THE INSPECTOR OF BUILDINGS: The undersigned I,hereby applies for a permit ,according l�to� the following information: Location ..I..Z....rtY.!�lQ.W.....J. Y.t?. .. t.....4!Y.� ....[.?�!.K.N..S. �I. Y.I.e... .. ..................................................... ProposedUse .� . �: .... I...... .. �C .. ..................................................................................... Zoning District ....../' .....I....................................................Fire District .W....` >�.�.. J .. ............................ Name of Owner4.�1m.�S..1-.. .f'.�'4(. .`�-..!.! I.e �' �? ...Address .. %//O.Yy. l.ra.'.!.. c1rKsO�.�/ r.'.!J A /I Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ...........1........................................................................ Number of Rooms .7............................................................Foundation 5�.(O,f1e Exlerior ..W. k;t.L!. ...c&Ja ......s4,-". ..1. g .16.5 .- l v .....................Roofing /.�. ..,............................................................. Floors %la.e.........................................................................Interior .... ....... ... ...... Heating /,.0.t.... -.k............................................................Plumbing .3...4,1 ............................................ Fireplace .... ...........................................................................Approximate Cost *-./ j. ............................................ Definitive Plan Approved by Planning Board --------------------------------19-------- • Area j . .. . ..7':../.......... Diagram of Lot and Building with Dimensions Fe � SUBJECT TO APPROVAL OF BOARD OF HEALTH i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. a `//j Ce,w� Name' v�N► ..(.....f "l c Construction Supervisor's License ... ............ ..... McCARTHY, JAMES T. & BETTY J. 0� it Build Addition Perm for .................................... ........S.i,nq.l.e....Family...Dwelling location ...12 Willow.......Street....e...t .. ................... West Barnstable ............................................................................... Owner .....James...T. & Betty J. McCarthy ............................................. Type of,Construction ��r.am.e............... ............. ............................................................................... Plot ............. .............. Lot ................................ Permit Granted ........A!4.qqP�... 19 87 7 Date of Inspection ............19 "Date Completed .......... .....'19 r Assessor's offioe (1st,floor): Assessor;s^"map and lot number �,Slo..-a a OiTNETO♦ ` �Q� o Board of- Health (3rd floor); fO '/ C/at2r�. . . .._..... t Sewage Permit number ..:...C?.l��.r.-. .. .f...... i BasasTsnii, Engineering Department (3rd floor): Z 'moo rb 9. House number ,ems 3 `e:.......................................................-.......... 'F0 MOR a' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only Q. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION I.r.1 vK. ..............................................................................................................•.. 2, --77 --.........19.�..1.. TO THE INSPECTOR OF BUILDINGS: - The undersigned hereby applies for a permit according,to the following information: Location Z �i' /.U ...J. r�.�.!.h.... ,....... .......` 1..!".N. . ............................. Proposed Use .........,� ..:. . ......r.. . . .. . .......... .... Zoning District ...... ./�.r.............................................................Fire District Name of ...Address � .°).,,/%// Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ...........J........................................................................ Number of Rooms ....:............Y..............r.'......::_............... .Foundation S(vt-�e /. .... _ . .ExleriOr. :.....:S.h �f �9................ �I! /( ,!'�.. ........ Roofing .r�.`�.: Floors.JkV.............................................:.......................:.....Interior ........... _ ll Heating ).11....G l.....................'.......................................Plumbing ..5.:,.. . �/l..lvotsc..5............ ` Fireplace ... ....................A �S..............�......... r..............:...............- Approximate Cost ........................:................... Definitive Plan Approved by Planning Board --------------------------------19-------- . Area .......................................... Diagram'of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH a i i I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..`lam -Goo'......... Fb.... A.�`.zs. �t.: ....... Construction Supervisor's License- McCARTHY, JA4ES T. & BETTY J. = A=156-032 No'�..31.0,66... permit for.....Bui1d...Addi.tion ,,;,........... ngle,,,Famly„_Dwelling / Location ....12..Wil.IPW...S.treet.................. ..................... .................. Owner ...JaMe,.5...T.,...,&,,,Betty-„J... McCarthy Type of Construction ........Zr.AMQ...................... Plot .......................... Lot ............................... Permit .Granted .......August..,11.,.......19 87 Date of Inspection ....... ............................19 Date Completed ..........:...........................19 Assessor's Office 1st floor Map Lot 63 Z Pdrmit# - 3 7 -- Date Issued ./�Oard of Health(3id floor �T Rngin BARWWAIBLA I)c 19 INGTA`L (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) WITH'TI LE 5 13NVIRONMENTAL CODE AND TOWN REGULX 6Z't'�5 TOWN OF BARNSTABLE Building Permit Application Proiect Street Address I Z t., �f . ' Village L✓-s e 6 ti..-i-s 70. L J-P Fire District * 1 t? (honer 1)'02 '-L- 5 /"?e (,, 7e Address Telephone 7e,Z - L 6 Z J Permit Rawest: l <S�� li-• $c r`,c, — S l0 Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of ApMls Authorization Recorded Current Use ae 4 Proposed Use Construction Eaistin2 Information Dwelling Type: Single Family Two family Multi-family Age of structure /r o(3 `s Basement type Historic House Finished Old Kings Highway Unfinished Number of Baths 2 No. of Bedrooms 2— Total Room Count(not including baths) IS First Floor -s— Heat Type and Fuel a¢ / Central Air Fireplaces Garage: Detached l/ Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Namc �a 7r•• C/')41.S o Telephone number ?C Z - 7/ Address �16 o C k&-K C 4 * License# 0 O S Y 01 Home Improvement Contractor# /O Z j Y R Worker's Com nation # 2001 X o a v J NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Pro'ect Cost }o u Fee SIGNATURE DATE__ dam I Z 9 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) IBPERM T FOR OFFICE USE ONLY , x z ADDRkSS VILLAGE N1. OWNER DATE OF INSPECTION: t_ FOUNDATION FRAME r.,> INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: 3 60 DATE CLOSED OUT: ASSOCIATE PLAN NO. o OF THE . The Town of Barnstable • .nerraras�, • Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date /?-,, /Z ¢y 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: 5;,le d:� Lc Estimated Cost /S 00 Address of Work: /Z W W pw S, Owner's Name: �/17 n, e k Date of Application: /1%v /Z 9.5 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied E]Owner 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: A/a v i z y ar ��.�- x 4 a G s"Y v-9 Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav A. —\ _ The Commonwealth of Massachusetts -� Department of Industrial Accidents ONCO91108st/08f10os - - 600 Washington Street . - . Boston,Mass. 02111 — Workers' Com ensation Insurance Affidavit 10 name: d o 4e%- J 6 h,r�-r O ,-. . , location: /G O G /U k c � S' city 6-1 ecz t. n-,r T4 S 4 /'mac 9 r phone# %2 - 2 F 7 1 ❑ I am a homeowner performing all work myself. &I am a sole rietor and have no one worku iZZ n aclty FllllllllllllllllllllIllrlll ❑ I am an employer providing workers'compensation for my employees working on this job. ::::::%8n name ? ?''%' .... ' ' '' '% ' ?>2 2 2:' :':'..'..y.... . '-,:: . 'q+ � ? 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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 raider the pains and penalties of perjury that the information provided above i4&w and correct Signature iA / Date /Y! ` / 2 Q 8 - Print name ,/, � d � 4 r•-Ir o Phone# `�� 2 - 2 F ? ofiidal me only do not write in this area to be completed by city or town official . city or town: peru t/lleense# (]Building Department OlAcensing Board 4==--= ❑checkif lmmedlate response is required (]Selectmen's Office _ Health Department contact person: phone#; ❑Other (firmed 9195 PJA) Information and Instructions ; Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contrac; 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 c: 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 house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 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,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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and. supplying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and P date the of idavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns 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 in the permit/license number which will be used as a reference number. The affidavits may be returned ie the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Me of Invesdgations 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 y, ...,;.,�• .r�" �'. Y t:±9�.,p¢ +�': - , �t'r ':.izryd i�,*'�c'� {-.-k,'�y,r�+„ at{_ �,,� -w.: -.��,- 5 -.r„<.*�n,�y3M`,`'-'� 'x" �_r'`r•'AY�ia�y;..,�'.�.m -:a-�r�„M^ '_ ,.F ACC a�•-- r;- -..v.�,•— � :;�. ' ! "; rt tare 1 , 4� ti: r„ ah . _ <'� xJm`fj(r�'�` •Y'`Fe i zF 1Z yk -MIP .+�k.�`� �. fi x�_. 2 ;•d,-„{r� � r i^7S il�' d t��s= ��• s c # 'l. 'l 'r �' '� , ��j ' _..'�h4'.•{ ...r' .• Gar~ : Te I V i+"'rynfr, „MiTal T .:•? .. }a�{..! c 6.t•..I. "HOME IMPR ! IR ry J t a4 ' r„ OVE:MEN;T'`�CONTRAC�TORSr r�REG'I;STRATION� ,m--, x »�-h �-' �_��• t, •�, '�C�F wSw.}i('.: „aLx'r,rpS+�'.1 :' z•,��) .S °.�. j q,. $ro- � t� '�J �., ,if•,�l�'>.., Y + •ri •"F{[.: , S�3` �y M' ,. i> i ^�Ia 7"�`;. ' Boaf�d.:, of >BUild Re ulati`onsandStandards � � s,•. . �•.y. '�i7 a ,. f. f:�S n.7Y r 9 .,, `i -e i"Zf •� ♦. e `5^ 'y�x•:~'d'{': ,��M. +S" �a � r .t j`�Y •� T;r,�t. + t� 4h.4.. 'I �".�'t S=.b�..;�.5 w�� - �SrAshbtItyx .l'a e Room 1�301. [g r`�'P7r; ?,.S 1444 ,.,�,.._ d Sr .,St�;d..,x'�..{;l '�: 5 {a.,n,• ..,.c } •c' 'IR'• � 1w%,LF"S, ='BOS ' _:t O'' 08r{ mkt *c;d�� , i •t�°..t f.*� �p�y to:n,��,Massac t%uss�t,. $k„21 :.,�� ;a•. � �-• •y s "?+. ��iYttp�, aS � ��'sf� t"�,"� 1 '�„ ce�f ';'�•.� �'^�' l,'. iy��,'3 x�.ae.a$ '�+ES-s', �"`fit:t �'`;;��)�.y,t '� �,�J _ ` } �Q� ��,rLy�g�,y�1` �,}T "S"reZ� * ��'V _ e r ,f�i H R`x�ry t•.a�iS,+„YE�,`,,,, irr. r�x� 31,G,�t s��R°� ^7'L'. �. HOME IMPROIJ BENT `Regstr,.atio;nr�10214,9. °:Ex_elsrat�rori�`Q6/30,l00 '� � G ""+ ��,d' -�Type:3, I�NDAIV#IDUAL_ � � �,,. � � •J1- �'� r� ��_ _ - � � `� � ,_ ,�. - ~�, ,�: �• � �- Re�i§tration �102149' ^ JOHN JOHNSON K � •�ohir� Jx Jci,hnso � '� �' �xpi�at o• ,0�630f00 � y (�BoI, u sty se I.1A 02b8JO H ,0 NSON _ ___ ___—___"� l ; .. �✓r� T00777A)101cw�^"'^"' �ir ; I �I f �OEPARTNENT Of PUBLIC SAFETYs AJQ ; �CONST906T,6 SUPERVISOR LICENSE Expires * f r �eFd �.. Y Y k t ti r ti } s: �- , r JOHN,J 3OHNSON �'y is 1K�v: 16e-CHURCH ST :'': e "rt' i :' U W BARNSTABLE, NA. 82668 r 1.i} r mot , ; ��, PERM mown of Barnstable *Permit# ES Expires 6 nths from issue date Regulatory Services Fee s s i ► BAMSTABLS • v� MASS. 0$ MAY 2 8 2014 Richard V.Scali,Interim Director 1639 ArED MAC A \ ,A�' �p®®qq11 �� Building Division TOWN OF S1�►C1l�STfi�iti�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 [y' U 7 Not Valid without Red X-Press Imprint Map/parcel Number/J („P Property Address 1,2 & i 1,6LU 5T DM AI STRB/1 ❑Residential Value of Work$ 3 a 60 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address C Q iS E 1f A & la LJ 11&At Sr. IAL L AAMSrABJE- Contractor's Name CA'Pfs Cob kJAAM Telephone Number 62:19 39&SOSO Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner �t] I have Worker's Compensation Insurance Insurance Company Name 2 O&,q Q S y Workman's Comp.Policy# WC,' C -SDO -5-00(oy33"a013 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 ❑ 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 copy of the home Improvement Contractors License&Construction Supervisors License is re ired. SIGNATURE: Q:\WPFIIM\FORMS\building permit forms\02RESS.doc Revised 061313 i The Commonwealth ofHassachuseiCr Depurttri wt of lidustiial Accidents 0fflC9 of 1nVeSt�-.WiOnS 600 Washington&reet Boston,MA 02111 wmv.7na=goi1dia Workers' Compensation Insurance Affidavit:Builders/CGntractorsMectricianstN tubers APPIieant Information Please Print Legibly Name aksiuess/osgani�on&dividatao: clvE cop,> A 111-p-M Address: ao'Y o t r) T61A)A)A6JS E PQA-D CityfstatrJZiP mAiTtf,/M, o--do,73 Phone 4-7 Sty-398- Are you an employer?Check the appropriate box: Type of project tteqaireP= 1.® I am a employer with f,!S— 4. ❑ I am a Viral contractor and L employees(full and/or part-ime}* have hired the sub-contraciors S ❑New ooats5rtrct ion I❑ I am a sole proprietor orpartner- listed on the attached sheet: 7- ❑Remodeling slip and have no employees These sub-contractors have g- ❑DCUldlition wor}ring for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comlp.insnranre comp.i7suraIICie_I required] 5. ❑ We area corporatianand its 10_❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work ofticers have exercised their 1 LEI Plumbing repairs or additions, myse-M[No workers'comp- right of exemption per MGL 12_❑Roof repairs insurance require&]1 c-152, §1(4),and wehmveno , employees-[No wotkess' 13_©Other SM6ICE5 CD S comp.insurance required-1. *Any appUcwt tlut checks box 91 mast also fill"the section below showing their wo d ers'compensation policy iriRnaxtion. T Homeowners who submit dais affidavit indreatibg they are doing all vat and then hie outride contractors man snhmit a sear affidavit indicatnag mrh- ICantactors that check this box mast attach an additional sheet shiawing the name of ffie suh-oaot 2ctm and state whether ornot thame a have eWloyees. If the sob-contactors hate employees,they torsi provide their workers'comp.policy number- lam an employer thatisprotading tvarkers'compensrrlion insurance for my employees: Belvty is the panty and job sito information. /� Insurance Compmy-Name: 1CO C EAS Gke Y Policy#or Self-ins-Lac.*:I&C-SM,5b' Q&43 3-do/3 ExpirationDate:_ Job SiteAddress_�a Ll�;IldLt1 ST. Cif#StatelTp:&), &Vh_tl SrY►SiE�i�.Q,1(v�$ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to se ure coverage as requiredunder Sectioat 25A o€MGL c. 152 can lead to the imposition of rr i inal penalties of a fine up to$1,500.0D and/or one-year imprisonment as well as civil penalties in the fbm of a STOP WORK ORDERand a fine ofup to$250.00 a day against the violator. Be advised 11rat a copy of this statenunt maybe fnrwarded to the Office of Investigations of the D7A for insuaance coverage vetification- I do hereby aerfrfy rz thapaixTaila enaIties o,fpedwy that a information provided above is true and correct Sienatum: Date: S� Phone#: s6a -3 98 — w 3/& / ©,j trial use only. Do not write in this area,to be completed by city aar town offrciaL City or Town: Pern itUcense# Issuing Authority(drele one): 1.Board of Health 2.Budding Department 3.tatyffown Qcrk 4.Electrical Enspector 5.Plumbing Inspector 6.Other v APAItIVED MAY 12 20% T� of BarmstAle If Using BuNder imam m® by d&bu2ftp==&qqff=Sm f= . b My File Edit Tools Help I _ - _ Contractor . -Tradesmen ' Number 1 8106631�^ CAPE COD ALARM CO.,INC. - - - --� SubcontractorI � Insurance policy Insurance type Insurance company Exp date Waived I Process Bonds ,'I 1NC AFFIDAVIT j HAS EMPLOYEES0812312014_-J 1 � N 1 3 hn1C J ASSOCIATED EMPLOYERS 09101/2014_-I I Field Audits 3 � f 4�1CC500643301201 ' - _ i ! { Contact CAPE COD ALARM CO.,INC. � ' Phone.no 1 �Invoice J ' Contractor type _i'�..� r Hold permits + + i Type comment `ALARM IN_STALLER � ��,` Subject to limit Business account — _ - .. j L �i Available online !� ° Business type +ice i Escrow �- .00 } Vendor OII: _ O C j I[ I — License paid{-!i.} a # Tradesmen- - FName Phone No I Registr No I Al I CAPE •D CORMIER,GENE N ! I 1 I CS Blanket Bonds �'�Text Attachments 1 of 1 _ �� IG t achment (0)s i �.OVRI i � � start J Parcel Lookup-Windows... �� Main System Menu-.TO... �I Application Entry-MuNs... I Customers-Mums OW... f Contractors-14ums {j Q�.`/ 8.27 AM 12 WILLOW STREET, W. BARNSTABLE (PROPOSAL#2767) �..._._ ................ _ .... ......... _._ - _.... _. _..... --..__..._._._._....._...._.._. ................... _:_.. _._... _... ........._......................................_..._........._.... ................ ......._ _._......_........._...................�... ._._...--....._.._.. _..-_........_.._. >�5 PIS ..: AMA ............... .._. ...... _ _.. Up $I/film c _.. __....._..__..._.... ._..... O -- - _..__..:___._._......... . .....:.._...........__._._:. -- - -_- ...... ._...__.. SMOKE DETECTORS RFVIEV ED BAR T DEPT. ATt G R Fo R tP—*-KMENT ATE TH SIGNAT AKC REQUIRED F R PE VITTING Asserts map and lot number ......`�.(�........... ...,. % THE 01. Sewage Permit number ......1�.4.»../ 7. , Z 9A]U'TABLE. i 5 House number r rasa j GO 1639• e0 ? CFO YAY fr\ TOWN OF BARNSTABLE BUILDING INSPECTOR s APPLICATION FOR PERMIT TOE ' - T-. 'yfC'� ./.... ( ........ ... ....... ............ ..... r TYPE OF CONSTRUCTION ...................T�r/o.......C..�.�........ ?�`? .... ................................... ......... ........�...........................19��' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......................: ...........!—f/i/moo�✓.......... .................... .... /f:. ....:............ ..................................... Proposed Use o5,.....0� ZoningDistrict .........................................................................Fire District .............................................................................. Name of Owner ........................................................;? .........Address ..................... r •l�tfta6l�o Name of kBuilder .. l�l. .�o-✓s�' � ' /� Address9 �,��6ap.�✓�� /�.�i�7o✓�K � ......................... .............................................. .�........................... Nameof Architect ..................................................................Address .................................................................................... i• Numberof Rooms ..................................................................Foundation .............................................................................. Exterior .... /fi.T... � .,... -,G'.� '-S �✓�!L�e...Roofing .........fl' L G�it��wsY.�A'� 1- . Floors .... >..............Interior ............. � � ........................................................ r FHeating ..................................................................................Plumbing .................................................................................. Fireplace Approximate Cost sC Definitive Plan Approved by Planning Board --------------------------------� �� S 9-------. ` ' Area Diagram of Lot and Building with Dimensions a, Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........................................' -..w...'�.�.................. McCarthy, James T; -A=156-32 r t 21628 garage Permit for .................................... ............................................................................... 12 Willow Street Location ................................................................ West Barnstable James T. McCarthy Owner .................................................................. Type of Construction frame ....................................................................:........... Plot ............................ Lot ................................ Permit Granted ........September...7.......19 79 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ....................................... 19 . . .......... ..... .......... . . ........... .....................................................:......................... Approved ............................................................................... Asn4r's map and lot number ...... .1,6-6 '�� r 3 �` �y AG �� 7 �s I H E Sewage Permit number ......�,¢li �i...:p!LLO . .� . .. �F'J INSTALLED C SYSTEM N' co/►A`MrV • ABLE, i House number WITH TITLE 5 9�o rb a m� B �0 ENVIRONMENTAL CODE Y a• TOWN OF BARNSTAR1LE11,'t._AT10NS BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION ............................................ .........cam......�...........................197, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Locationg Gr/i/Joy✓ ...... ....'...f.......a ..:................................................................................ .................... ........... Proposed Use ....... ZoningDistrict .........................................................................Fire District .............................................................................. Name of Owner � T. �`'�7�1y.........Address -2... i�/ / .S Gtf,...... lSto6lo Name of Builder .. �/ �"�-S�wGy`'�°J�' Address ................................................ ....................... .Name of Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ............................................................................... Exterior ....1.41.1 � �� .... 7��'t°- flt �...... ...`� . ...........Roofing .......... ............................................... ��(ll.Floors .............................................................,/..�,r7............lntenor .............. .................................................. Heating ..................................................................................Plumbing .................................................. ............................ Fireplace ..:...............................................................:...............Approximate Cost 10� �BQ Definitive Plan Approved by Planning Board -----------__—_—-----------19_ . Area ....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH U�G 1 p I hereby agree to conform o all the Rules and Regulations of the To�ofBastable regarding the above construction. Name ........ ............................... .�� ........ McCarthy, Jsuueo T. . / � ' �1828 garage � No'—.---- Permit for .................................... ^ �� , --------------------------' ` ' 12 Willow Street Location ---------------------. ' _ West Barnstable ` ------------'-------------. ` \` Owner ___Jsuuea.�I�_McCartby_______ frame ' � Type of Construction -------------- - -------------------------- ^ R|ct ............................ Lot ----------' ' . . . . Permit G,onhs6 —' 2---lg 79 . . . k » Date of Inspection -----._--_--_]P . ' . / . Do^o Completed —_�� ................ V ' . ^ ` ` ' . ' PERMIT REFUSED ' ' ....... ...... ------------. ~lgfn � . or , —..� —. -----------_---' �� . + ' ' m� � ` � --. ` �' - . ......................................... —. .. �� m � ` ...................... . wm � =~ �� .. . � ; A —'^� -.----------' lg .., M `^ ......................................... ' | -------.�---------------~''`-' ' , ' iAy, ICJ i cn ^ � 4 0 � Z 0 0 - s a I 2 o v . cl � � d N � i tyf 3 7 E t l f L k- ti z t i cl a PPQPDSED LTERATIDN 12 WILLOW ST RE I'VED ..........___...__....�._4 D�!' ..__5+VIla L) t - i C D ,�- �.s, ^CN A` ��vw[ i.s: ( APPROVED D � ( JAN 0 8 2 iTown of Barnstable 1 Old King's Highway �� _� '..�::��::.:�.�"�"..=��':�;=::•��.:��.,.�:: -.._.�.._.,..�`r�"_;.r:"_.�.r.��...�� •; Committee Dr R w� - - R o a ms, F ✓c �� u ry �zS A a bio �� _ ' s :/ rt• F G `�r v "� c��v cA w?� 1 f� �•�cry 4��ry rA v -- -- ----_.____................... F I • - t IN ..� �Jr,�_wrv_ 1• ��1�n1 laN,,:k� f��.�.\"1AN �__ �]Ott �t....._.¢.�..,...._._,._ -__..___.._,._ — � �......__..m..._,�.....�.,.�� t3�. -,..�,a..�........L-e.�...,,..,.a.,<.............._.._.,._......� ,W. 11\0w..-.S�' �a�S�g In l _ AAA I' 1{1"1 C 4 :'_ �/S &4 4 _� L ►� , _3 __r `nw a N 6G�v o,Y1 � � i s f� ►i �� I t 1,7 -Foamy � r �! ...�.. �� , � f\/` l� ► 1-�� r� _._..- �!� i 1 { , i i! L►vtN Roor.' i J + 19 2013 APPROVED JAN 0 8 M4 Q r , Town of Barnstable Old King's Highway i. Committee j 12c�►11Z1W s� W i3r �•ry 4�/� �t� �) r.b7o5 ;,�_._�.x !y, t pc � .r I�NrG.\A IN km--3 W<<m` CA-f b(-A W Y 4 A-1 Cv 1,1.g tt'► t, i yI-I SFn��e., Avc 114rN—(wtC. M[4 0,21 �o o f_ _l.1�vr_ /��vo�SrSo n, tr �,c;1. `t' X6t SL>��g I/y �> Foa�. ��o oSE k N5w arv�- boor^1 N I c �Am- (r 2- 1 i 1 II I 1 i tl t 1 1 it t F� Ic O O t° i 1 I & Gs�5 t~ rv9`.r e^ ` I f _ �.. s E i 0 DEC 19 2013 ' i 11 _� • � t � f � �. la H P APPROVED Town of Barnsta�t� Old Kina' ' 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 / `p Parcel O �2 Application #(�m C y �" Health Division Date Issued a Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address ///a w X-f Village 6►/�_-s4- 9,41Ns4,96/F Owner el?"Q 4f tF tY/1/,/ Address /D 17 /�,�v �-� '( r ✓c Telephone �� — y3 6 3 6 4" 9 Permit Request /! 06!2,4 ci c, /sT A/oar' /9&14 /y ®oo /N40 3 r F��✓ �.o.Y, /o/Yr /2� �-LH, •- /<F�r',ov� /AS�i /�a� lf� /N �Gv6 �„vo� �_ � A(n✓1rfs' d>or -A, NFug �N �/ y IN`to � ,�� lwv ; iry Ny � N Square feet: 1 st floor: existing proposed 2nd floor: existing proposed TotaTnew Zoning District Flood Plain Groundwater Overlay Project Valuation �or�o �� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting docl'''imentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of-Existing Structure 19 Historic House: m Yes ❑ No On Old King's Highway: XYes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 3 new Half: existing new Number of Bedrooms: 2" existing _new Total Room Count (not including baths): existing 7 new First Floor Room Count Heat Type and Fuel: 6 Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes VNo Fireplaces: Existing / New Existing wood/coal stove: XYes ❑ No Detached garage:Xexisting ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION f (BUILDER OR HOMEOWNER) Namev o N �� N (o Asi(c.4 J«�y Telephone Number 50 9— Address zl/7 Sf�fi°^' �� License# 49 S ;L- -L,1b'l ` ' M/1- p Y Home Improvement Contractor# /-7 3 7 3 PM� i f o Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �S + -7- ZA x i SIGNATURE DATE Z j FOR OFFICIAL USE ONLY t APPLICATION# _DATE ISSUED { MAP/PARCEL NO. ADDRESS VILLAGE f OWNER DATE OF INSPECTION: ` i ;;FOUNDATI.ONIDAFM�-IP.kF i . DAJU, FRAME &pf oK 4A h q R/Y1cic FIREPLACE z ELECTRICAL: oROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING =rI 3 oeOlC eyes 14 Ilbr rkuc r. DATE CLOSED OUT ASSOCIATION PLAN NO. . The Cominomvealth of Almackuse& Departurrnt oftirdAsbial tfccidenis Off=oflnvesrigadons ,690 Wa4diWou Street - Bostor4 HA_.a2HI-.. . - - -- . . - --- -- twnW.nrasxgov/ra� Worlmre Cnnfpensafian lumwance A$dxwt BuUderslConr-a e, 'c� hers. A= ican#Iafarmatkm Please Pry b Name _ "7j N o,N s �r t ey✓ Address' W t S f(t-�-18 N PrU z, GitylSta&zip: a.7 1 Art you an emplaycr7 Check the appropriate b= Type of project(requserl): 4_ I am a cm tractor and I 1_� I am a employer with�_ ❑ general 6_ ❑New won employees(full:mNcrpnt-d=-)_* have hued the sub-camtracbs 2.❑ I am a sole proprietor orparfuer- listed onthe attached sheet y- F/RemodeRng ship and have m employees These sub-ountractots haue g- ❑Demolition working for me in any capacity. employees and leave wad' 9- ❑Builirmg addition [No wodmrs'comp.insurance ' Comp-insuranml id-] 5- ❑ We are a corporationand its 10-0 Electricai iepaim or additions 3_❑ I am a homeowner doing all work officers have a murised their 1 L.❑Plumbing repairs c r additions supseU [No workers'camp right of exemption per MQ. 12-0 Roof repairs insurance required.]t c-152,§1(4�and we have no employees-[No wmkw' 13_0 Other comp-msotame regmred-] 'AupxppBrmd&ztcbeda box Mx=sWsoMlomdtbesec6ambelowsbawing&,dTva&m:e comp•, 'iampolicybfnom�iria i Hameownem vdw sabm1 ibis tf3idza$iauBcsting they Km dMag a&mind tbeahbs caw&contra ma nmst sab=t i new xMdavR mdi—q;sorb TCa�ctosYhsRchect this boot mast attached m addilinnsl shee3 shoes the name of the sob-�adotc soil true vrLetha ornattbnse eatities7s� employers. Ift7te sub rnomctaab:se ezngloy�s,thep�srpaavide th�r wadceis'camp.por�cym�bes lam Bdmr it diepoHq andjoh site informatiam Iasmnnce Company N=E: Q r-t S S i,.'f t Policy#or Self-ins.Tie.#:-V 6-Z S'a'3 .y Expiration Date: oS Job Site Address_ (Z W e l( D V� s CRY/StatbrZip- W /K N S�-A b IF Attach a copy of the workers'compensation polio-deriaration page(shvvdng the policy number and expiration date). Failure to secare coverage as required under Section 25A of MGL c. 152.can hid to the imposition ofctiminal Pe.—Ifies of a fine up to SU00.00 and/or ona-year imprisonment,as well as civA peaallies iu the form of a STOP WORK ORDER mad a fine of vp to WO-DO a day against the violator" Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for inswanre coverage vezfficatimL I do hereby cart&under 8repains a�ijlpeuahries of perptry i iattLa hzforamfcmt psavfde ahovea k"and c me t t Date: „� S Phase So a C, a f r o O,,&W use owTys Do trot writ r in this area,to ht camy&&d by My a r frnm affi ai My or Town: Perna T;cease# Issuing Auff w ky(cimie one) L Board of Smith. 2.Buffffag Department I Cf#pTtwn Qrrk 4.F1ech ical Inspector S.Ptmmbmg Inspector S.O#hetr Cast Paz Mane 9: 6 i Act® CERTIFICATE OF LIABILITY INSURANCE ii E(MMID lNYM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Commercial Lines NAME: Prescott and Son Insurance Agency,Inc. PHONE (781)322-2350 FAx A/C No 963 Eastern Avenue E-MAIL ADDRE • INSURERS AFFORDING COVERAGE NAIC# Malden MA 02148 INSURERA:Providence Mutual Fire Ins Cc 15040 INSURED INSURERB:Gra hic Arts Mutual Ins Co 25984 JON DEAN DBA DEAN CONSTRUCTION INSURERC: 417 STATION AVE INSURER D: INSURER E: SOUTH YARMOUTH MA 02664-1850 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1311517593 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADD S BR POLICY NUMBER MM/DDY� MMIDDY� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTEU_ X COMMERCIAL GENERAL LIABILITY PREMISE Ea occurrence $ 50,000 A CLAIMS-MADE aOCCUR OP0068581 /15/2013 /15/2014 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 21000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DIED RETENTION$ $ B WORKERS COMPENSATION WC STATIU OTH- AND EMPLOYERS'LIABILITY Y/N TRYANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory In NH) 4625882 /15/2013 3/15/2014 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Additional Insured: Linear Retail Harwich #1, LLC, Linear Retail Propertis, LLC, and KeyPoint Partners, LLC • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Linear Retail Harwich #1, LLC ACCORDANCE WITH THE POLICY PROVISIONS. c/o KeyPoint Partners, LLC One Burlington Woods Drive AUTHORIZED REPRESENTATIVE Burlington, MA 01803 J S Scholnick/PJR ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025r7ntnn51n1 Tho Arnpi1 n2ma 2nel Innn ara raniatararl m2rlrc of Ar non Building Detail Page 1 of 1 OF THE y4r� r},� '�3,ri•Jy �R,� —+ � V �`�`'°"`4�. (`� ' \•1'/iSS, � 1 ilLti. ��C �i"z�Z /� .•!" {'3 ,.a, 9�p� !b`i9. 1gb r * r.• �,�. t 1� .. ^'-ter,' ......,�3,�..c� �' ,rye .T� M'i.°" _. ,,v t 'k.-"-a'"s EUIJG �h• a � :(i�d;." Logged In As: Building Detail Tuesday,�February 25 2014 Parcel Lookup Parcel Detail Building 1 of 1 OTC J'N' {.� A L Code Description Gross Area Effective Area Living Area UST Utility Enclosure 12 0 0 TQS Three Quarter Story 364 237 237 BAS First Floor 1504 1504 1504 BMT Basement Area 364 0 0 FEP Enclosed Porch 336 0 0 FHS Half Story 720 360 360 PTO I Patio 1 2601 01 0 Extra Features Code Description Units Unit Price Year Built Value Comments FPO Ext FP Opening 2.00 1,500.00 1997 $2,600 UST Utility Storage-attached 12.00 13.30 1997 $300 BULKHEAD ENTRY FPL2 Fireplace 1.5 stories 2.00 4,575.00 1997 $7,800 FEP Enclosed porch-roof,ceiling 336.00 61.00 1997 $13,400 BMT Basement-Unfinished 364.00 23.00 1997 $10,300 Out Buildings Code Description Units Unit Price Year Built Value Comments BRN1 Barn- 1 Story 432.00 26.00 1975 $7,100 FGR4 Garage- Excell-Wd Shngl 400.00 56.00 1979 $15,000 PAT1 Patio-Average 260.00 7.05 1986 $900 http://issgl2/intranet/propdata/BuildingDetail.aspx?PID=10443&BID=10845&N=1&NN=1 2/25/2014 f. "MET Town of Barnstable - - : - -: Regulatory Services MASS.i639. ,0 Richard V.Scali,Interim Director Building Division - Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder I, Ll't2 l's Ear^t N] ,as Owner of the subject property hereby authorize 1r l+-N f 0 "�S�r ��y`��o 11114 to act on my behalf, in all matters relative to work authorized by this building permit. �a. IV, 11 dW S'1 /y lb MA (Address of Job) *Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of ChvV4 Signs of pplicant Print Name Print Name 2 5 20 Iy Date OTORMS:OWNERPERI USSIONPOOIS 10/13 l . I Town of Barnstable Regulatory Services pUIKE Toys, Richard V.Scali,Interim Director ti Building Division inxxsr"LFs l Tom Perry,Building Commissioner v� MASS.3 ��. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6250 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB.LOCATION: .CATION number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of-six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that 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. 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 t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 i 1 r o�TME Barnstable Old Kings Highway Historic District Committee BARMA ,$ ; 200 Main Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 UAM 39. APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with five(5)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 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, L s__ q j 10 2!e 1I8 1. Building construction: ❑ New ❑ Addition Alteration llR .N,-:")I A B L L Ji+,,,]f.,L , ` 2. Type of Building: m House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting roof ❑ new roof ❑ color/material change,*of trim, siding,window, door 4. Sian : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑- Other 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ Other Type or Print Legibly: Date 1 j dy 13 NOTE All applications mast be signed by the current owner Owner(print): C R tS R 11✓n Telephone#: o 14 Address of Proposed Work: It w l 1 I o w S+ Village W, i0_,tA is+A L 1 6 Map Lot#1 S L •— b 3:4— Mailing Address(if direr lop , Owner's Signature _ -z Description of Proposed rk: Give particulars of work to one: P ry��. r 14� Fg r tyn c, 2•! N � •. ,�b ��'��'' 0%`��0. KIT T� Mh'�c.� . IS� f M.44-(A k1ff`�,:.o !. 2- 26( tvlN vw.S ttl� ��G�eJ V,b mA4c ��•iS�tw,� Agent or Contractor(print): J p N _b cis N 1`t3 A -b 5 4 N C.c�-4_}c t A Y`Telephone#: Address: i S4 A 4 i o N A\i r • N r rry 0,rl 4 Contractor/Agent'signature: For committee use only. This Certificate is here y PROVED/DENIED Date lkhtl Members signatures 19 2013 APPROD . 1 Q:IBoardr and Commissionsl0ld Kings Highwayl0KHApphcationsl0KH2O11 Cert Appropriateness.doc JAN 082 Town of parnstabie Old King's Highway f:;O�1lPn7.e�= 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) (speck on plans for new buildings, major additions) Window and door trim material: wood other material, specify Size of cornerboards size of casings(1 X 4 min.) color Rakes Ist member 2nd member Depth of overhang �y i.�b a Srs�h � Window: (make/model) to L-11-c material W��tk color FA•r� W� k� (Provide window schedule on plan for new buildings, major additions) Window grills (please check all that apply_. true divided lights% exterior glued grills_ grills between glass_removable interior_ None Door style and make: 3 l t material i*r• Color: N A, I'P- Garage Door,Style Size of opening Material Color Shutter Type/Style/Material: Color: Gutter Type/Material: Color: J)eek material: wood other material, specify Color: itv , Skylight,type/make/model: V� 1 v k L material Color: Size: 2- Sign size: Type/Materials: Color: V L Fence Type(max 6') Style material: Color: Retaining wall: Material: tC 9 2013 Lighting,freestanding on building g' OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) Print Name APPROVED 2 J Q.I Boardr and Commissions101d Kings HighwaylOKlYApplicationsl0KH2O11 Cert Appropriateness.doc A N o S Town of Barnstable Old King's Highway Committee Town of Barnstable Geographic Information System December 20,2013 ISO D 8 768 156018 168082 it780 0741 O 156017 1660MI002 156061 0 0820 156038 0725 0761 Q p Sao 156060 016. -40 s� 9� 158018 s10 15 5Y �� 13 3' a QO 168003 say O 0 s12) /ssooa 166031 0042 s 826 pJQ� 156029 O 156002 156033 b� 060 156030 A t)37 15802B601 0867 y0� i 158094 881 1560 i01 101 2 066 O Feet ,58029DD2 s 33 DISCLAIMERS:This map is for planning purposes only.It Is not adequate for legal Map:156 Parcel:032 boundary determinatbn or regulatory IMerpretatlon, Enlargements beyond s sale of Owner:MIKA,JOHN O&JANE S Total Assessed Value:$453900 Selected Parcel 1'-100'may not meet established map accuracy standards.The parcel lines on this map w E are only graphic representalbna of Assessoes tax parats.They are not true property Co-Owner.%EHRINO,CHRISTOPHER L& Acreage:2.30 acres Abutters boundaries and do not represent accurate relatbnsNps to physical features on the map Location:12 WILLOW STREET such as building locations. Buffer ��%f m i GRILLES BETWEEN THE GLASS SIMULATED DIVIDED LIGHT Ourdirilles Between the Glass The Simulated DividedLizht option option features white,contoured i is an authentically designed bar aluminum grilles located system applied to the interior and the between the panes of Low-E exterior of the glass which creates Insulating g1 ass The contoured the lock-of a traditional true div ided grille bar creates the look of / light window while maintainine the traditional detailing without i ,- ,:.` energy performance of our Low-E sacrificing energy efficiency and 1l # Insulating glass An internal spacer between the glass ! - R offers ease of cleaning panels further simulates the look of true divided lights. LOW-E ENERGY PANEL WOOD GRILLES EXTENSION JAMBS 61jia"wall tapplied or KD). Low-E stands for low emissivity. It :-...-_ .:_.: .__..,.� � `- <_ is a coating applied to the glass to is reduce ultraviolet transmission and e the transmission of radiated heat 1 ~� Low-E Energy Panel can be used with i Authentic Divided LightWindows t0 achieve maximum energy efficiency. LARSON STORM WINDOWS INSECT SCREEN COMPOSITE SILL NOSING r CONNECTORS Energy efficient t " StormWindows 1. Standard sill nosing connector with a Limited .- is I" thick- Lif etime Warranty y I' help to cut energy costs up to bOc'e. a �•� Also mailable in cedar CELLAR SASH Removable,exterior mounted -` white aluminum f ull screen with Primed or Clear Pine 1=ra' Cellar Sash available in PV C reinforced corners and A P P ROV various light la-outer charcoal colored fiberglass mes Optional"ITistoric"sill nosing } JAN 0 8 connector is 1'!�"thick t SINGLE STATIONARY UNITS Town of Barnstable Old Kings Highway Committee et-up StationaryWindows to be used as a"stand alone'unit Use Rough Openings& Unit Dimensions ' y bottom sash or Cellar Sash to create a StationaryWindow that will let in natural light and complement any Double Hung window. Stationary Window Unit Double-Hung Sash Cellar Sash Width Height Width Height Rough Opering=Glass plus 6" 65/16" 6" 63/ie" imUnit Dimension=Glass plus 4�/e" F/,a" 4`1a" 53/s"Briokmould Casing=Glass plus 75/s" 7'ho" 71/s" Fhe" } Flat Casing 33/4"=Glass plus 11" 8'/e" 11" Ole" #i 1 Flat Casing 51/4"=Glass plus 14" 1(Y/a" 14" 10"hs" Flat Casing 41/2"=Glass plus 12'/4" 97/ia" 123/4" Vlfs" Shown with Flat Casing Shown with Brickmould Casing i 117 118 122 142 144 318 418 ff[T IT TT i 508 512 515 521 522 524 526 ' IE 546 549 618 622 642 644 922 poll . 1E . [E I L 2071 2081 2132 2134 2570 �� ?6� S E® 2612 AP (�J��1��9/1�v JAN 42 I'Lemieux Doors Town of Barnstable Old King'�Hi9 f`^'a;< Corn ' mill I VELUX DECK MOUNTED NO LEAK SKYLIGHT _.-.�.......-......--a VS - VENTED "FRESH AIR" Items in red are stocked at many locations. features •Pre-finished white interior Skylight w/flashing $596 $1243 • Operator hook included ��o� 1 stall ion(remodeling)* 500 500 •Factory installed blinds available y L-f'or illustration purposes only,your rates may vary otal invoice(you are paid) 1096 1743 JAN ©$ ess 30%Federal Tax Credit N/A (523) i ,• $1220 Sown of BarnstalTibtal project cost for homeowner $1096 Old King'm tten F Aeowner pays only$124 extra for a superior skylight;you make$647 more for the job! C01 C04 C06 C08 M02 M04 M06 M08 S01 S06 h Ni Outside Frame 21-12 x 27.318 21-12 z 38-318 21.112 z 461/4 21-112 x 54.15116 30-9116 x 3012 30.9I16 z 38 318 30 9/16 z 46.114 30.9I11 z 54-15116 44.1/4 x 27-7/8 44.1/4 x 45-1/4 Rough Opening 2i x 26-7/8 21 z 37-7/8 21 x 45.3/4 21 x 54-7116 30•1/16 x 30 30-1/16 x 37-7/8 30.1/16 x 45-314 30116 z 54.7116 44-114 z 26 718 44-114 x 4 y4 VS(wTempered $404 $439 $467 $490 $447 $471 $511 $571 $492 $635 Laminated 445 480 508 531 501 525 565 625 570 713 VS w/manual blind Tempered 544 579 607 630 587 611 651 711 632 775 Laminated 585 620 648 761 641 665 705 765 710 843 1 VS w/solar powered blind Tempered 769 804 832 855 812 836 876 936 857 1000 Laminated 810 845 873 896 866 890 930 990 935 1078 Step Flashing 88 88 88 111 96 96 96 96 105 105 tw/adhesive undedayment) NOTE: Other options available including impact and snowload glass,copper classing with laminated Low-E3,stain grade wood I interior. Other flashing available including copper step,high profile,metal roof and biepack. FS - FIXED Items in red are stocked at many locations. features Skylight w/flashing $368 $1243 •Pre-finished white interior ka Installation(new construction)* 1500 1500 *for illustration purposes only,your rates may vary _ Total invoice(you are paid) 1868 2743 �. a N/A (823) S .. a, Less 30/o Federal Tax Credit i Total project cost for homeowner $1868 $1920 Lb,c� omeowner pays only$52 extra for a superior skylight;you make$875 more for the job! l i A06 C01 CO C06 C08 C12 D26" D069 M02 M04 M06 M08 S01 S06 ` I OlAsdeFone WAx46-1/4 21-12x27-H 21.12x3&R 21-1046114 21-1 64-06 21-VWO-'4 231/023-/I6 23.1/4x46.114 304160.12 3W6z3B-N 30916z46114 30.M54.15116 44.3102M 44.314x46.114 ! you lOpeling 1412z4634 21z[fr7R 21z31-78 21z4534 21x54-11I6 21x70.1/4 22-1202-15116 22.12x46314 30-1116x30 3&1116z31.7R 3a1/16x46314 3}t116x54.7116 4411026718 44.1104534 FS(w/out blind) Tempered $203 $176 $211 $239 $262 $350 $193 $245 $219 $243 $283 $315 $264 $355 Laminated 246 217 252 280 303 391 236 288 273 297 337 369 342 433 FS w/manual blind Tempered 343 316 351 379 402 N/A 333 385 359 383 423 455 404 495 t Laminated 386 357 392 420 443 N/A 376 428 413 437 477 509 482 573 FS w/solar powered blind Tempered N/A 541 576 604 627 N/A 558 610 584 608 648 680 629 72 s. Laminated N/A 582 617 645 668 N/A 601 653 638 662 702 734 707 798 Step Flashing 82 88 88 88 111 111 93 93 96 96 96 96 105 105 (w/adnesive undedaymeni)NOTE:Other options available including impact and snowload glass,copper classing with laminated Low-E3,stain grade wood interior. Other flashing available including copper step,high profile metal roof and biepack. Item lookup material�} ses$ H �+ ; , �49`3" 0 nL.L ge030oaccessonesin; aS � � UZIHARVEY BUILDING PRODUCTS Current pricing available 24/7 on customer secure site.Visit harveybp.com/pro to login. ® �• 305 Effective 3/1/13 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map l ' Parcel Permit# Health Division Date Issued aid Conservation Division Fee �� ' 00 Tax Collector nn Treasurer ca Planning Dept. Date Definitive PI n Ap roved by Planning Board r Historic-OKH Preservation/Hyannis Project Street Address Z ZviJ S Village G✓eS> i�".�� S`N Gb A_.s S p Z c Owner Aq-r S /"l c nr sz/ Address /a —o Telephone Permit Request d��r �-� AS4 r u Ci� ct s '/; 1'7cu r.2 A146 l d �3,`v�W - .`J j��T Pf N Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost 9S Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size 2• 30 Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes O No On Old King's Highway: ❑Yes ❑No Basement Type: O Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) A/0 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: O Gas ❑Oil ❑Electric ❑Other Central Air: El Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing .❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name c Telephone Number 3 e Z r' 7 / Address /'G f 4, 4 Sy License# 00,5—yo r 4✓ ,L s1e�_.S4 Home Improvement Contractor# 102 / Y f Worker's Compensation# .)o % X 0.2 0 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO l lc ,c/�_i' SIGNATURE DATE /'1"' 20 �C) 1 !a i - FOR OFFICIAL USE ONLY - -PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER - \, DATE OF INSPECTIOpp^^ FOUNDATION is FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL • PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ! = DATE CLOSED OUT ASSOCIATION PLAN NO. s, try— e ommonw al Accidents as �j-; '�..= Department of Industri . _�; =°_�- � Oli�ce ollo�estlgatfoas 600 Washington Street fl Boston,Mass. 02111 y Workers' Com ensation Insurance davit name: J e location' � C C. �-'"•� � �y ' hone city z t h-r �� ® I am a homeowner performing all work myself. I am a sole p etor and have no one wow rn�° apamty %/❑///%%%%%%MEMM/////G%///// / � � / /%//O�//l%//////J//////�//O/�/li%' D%// //M G5/////MMUN/��/E-0 — worlcets' ensation for my employees working,on this job. aman lover � ..............:.:.:..::::........::::::.:::......:::::.::.::::.:::.:::::.:::.::::..:;.::::..>;;:::.;:.>T:.}::;:»:«<>;::»::>::;:::>:::::<::::<:::>:»::::::>:�;; om an v n c a'aa ..sS.:", ......!: ...................... . ... ....... .. .............................................. 'arse citvw.... :.. . .:.:............ icv-' ::..::.....:................... ................ ....... . of insarampince co. FA I am a o e prZpnetor general contractor,or homeowner(circle one)and have hired the contractors listed below w have co ent I1sthe followlng . . ,..........: : . . ....... . .. : . ...P :. :: : :: : :: ...................... ........... :. ::. :::...:::v:;•:::T:::::.j}:{{•:}i::•}}}::i:S:i:S iiS::SSS'{SY:S:SSSS:SSSS::;:5.}}}:?::^>SkiSS}`,v,}n}}:y}:...C..{42. addreSS. " •�" :h::. (...,......:w:....L......::,•......... .........}n:::........}:ki�}:v:i}}i}istiii:?v}'•Y:}}:il{:S:ii}{i:S:In.OT4.•.......::::.:.:?.::...........:::::: ... ..... .,.n,...• .....n........ .,.....}. r..., hors .. ...:::......:::: ..::........ ...............:.:.�::::::.�::::}}}:.}:?.:�}:<.}}'.}}}}}}'-}:•}};T:.TT::::;:;.;}:i::::i:�ii7._::iiii :fi:: :ti::::.':i;:S::i';ir:;:;::i:::::;:::::;::;::- ......... ......... ............. .n......................................r.l.rnx•.:v::.�:.:{w::-:{•.{.. }! }{.....:.:•;••.. { ..n...'tE•iJ}>}:}:}SS:?•._.�::...............:...... ' / .................:.........::.:.:::::;::::.�:::..:>}}:;::;:<.}}}:};::::i;::i`:}::;�:?:}i:•i:�:<::•i}::::a`:�ii:;::}:::::;;}:ii:�::Giii:;'::ii ii:;:i<::ii::i:::.':::r::Y:i::i::::;::::i::::ii::{::::� :;:}i:;::::;:�::::::::::;:::'�;: .. .... ... ........ ..r.............:.:::::::::::::.?.};:•:.}};:•}:.;}:.}:.}};}}:.}}}}}}}}:.}:<.};i:•;:•;:iii::i i::is�i`:�i::i•:isi�i•:ii:::i5::::{::is:::;i::r:;>.Y:i:;:::::,::::;.;. iS}SiS: :•:::is??-i:::, .....;..v., - .. v riam addr ess: ::::::::•..:..:.;::•;;;:::};•i:.i>:: ::;;t :i:;i::i>:::.::?-:;»i:< >:{:i:>:zi::<::::>:•}<:;?:s»:: >:;:::»i::»:<:>:«:>:::::i::>::;»::>: ...................:::::................. of penalties of a fine up to Failure to seems coverage as required mtder Section 25A of MGL 152 can lead to the imposition on SI.500 and/or .00 one gears,impr�cnmmt As wen�dvII peaaltles is the foam of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a of Investigations of the DIA for coverage vertSea copy of this statement may be forwarded to the Of lce tion,16 hereby certify under the pains and penaflies of perjury that the information provided above is trtu and correct ture Q� Date Signa f® ® _ - ' - J' � �. �,,�,,Sea;_._. Phone# 7 / print Hc'inre a oMcial use only do not write in this area to be completed by city or town oincid penuiUIIcense tt ❑Bua ttg Department city or town: Bow [3sdeetmen's OfIIt:e ❑cheek if immediate response is required (:)Health Department phone M. — ❑Other contact person: (MvIna 9/95 PIA) F ZHE 1 The Town of Barnstable 9 � Department of Health Safety and Environmental Services �''lEp Mp'f a Building 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 I such residence or building be done by registered contractors,with certain exceptions,along with other requirements. / Type of Work: Estimated Cost q�d Address of Work: 12 c(, C- S -r Owner's Name: JQ /%�e r Cam, Date of Application: / 20 O I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law RlJob Under$1,000 []Building 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 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 ContracJ i Name Registration No. OR Date Owner's Name g1orms:Affidav . -7• �11e -61".owalealll 01✓11a,6aelluietl.; I q' lI0NN J'!8fl:2^ i•i c Rh7;R 4A 9% ; f I I HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards I One Ashburton Place - Room 1301 Boston , Massachusetts 02108 1PROVEMENT CONTRACTOR i ation 102149 Expiration 06/30/00 T � lg?✓ d �r� INDIVIDUAL I HOME IMPROVEMENT CONTRACTOR Registration 102149 )HN JOHNSON Type - INDIVIDUAL )hn J . Johnson Expiration 06/30/00 Box 118 160 Church St ; Barnstable MA 02668 JOHN JOHNSON G� �n J. Johnson ADMINISTRATO-PO Box 118 160 Church St W. Barnstable MA 02668 r Assessor's map and lot number ... ..L ..�.....1,.,i/3 G� Q�, �C� 3— 1 7-77 d�S SEPTIC SYSTEM MUST BE ~f c INSTALLED IN COMPLIANCE Sew a Pe it num•er .:�..... Ag �3 " ' ' "" "' WITH ARTICLE II STATE SAINT RY ODE AND TOWN 7NEt° ' TOWN OF BARNSTA TS. b P� �♦_ tz h BUILDING INSPECTOR all �a m p a C i'Z In J APPLICATION;FOR%PERMIT TO ................. %... `2j...............................................................................�� .. TYPEOF CONSTRUCTION ............................�................................................................................,.................. ................. �...................... x�f... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to thee following information: Location ProposedUse ............................................................................................................................................................................. ZoningDistrict .......................................................................Fire District .............................................................................. Name of Own X/-t .y...... ... Address �•�2'� .............. �............. .............................. Name of Builde .... ll�.....��".... !�..... ......................Address ....�!.`c"/�. ..�.......::..:../t��............................ Nameof Architect ..................................................................Address .................................................................................... .............................................Foundation .........`!�r�jj,' Number of Rooms •��/.. � ....!.•��`d� ............................................................... �! .................. rl G ..... Roofing ...........................................Exte ............Floors ...............Interior .................................................................................:... Heating ........Plumbing ..:./"/.�!�' ........................................................................... ................................................................. Fireplace /1/l zee�� ..............Approximate Cost ............................................................ ............................................. . .. .... Definitive Plan Approved by Planning Board _____________________________19_______. AreaS�!Y �/� 7 ��. .................... .......... 1.� Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH i i I hereby agree to conform to all the Rules and Regulations of the 4T1.ownofT.,.B.a.nstab11.e regarding the above construction. Name .... :..`.:2�.fl�...................................... McCarthy, James & Roth No .Aa9*5.... Permit for .144.T.ta9n-,R9rch._., _. s"N e...family...dwellin.......................... • f Location 12..W1L1ota.S.1`..................................... .........Wes.t.-Barnstable..................................... Owner James...&..A.uth..ftral thy................... :' T Type of. Construction............... .............................................................. f Plot ............................ Lot ................................ Permit Granted .....March..8..................:.19 77 Date ofilnspection ............. ...........�....`..119 ' J Date Completed .�.D.., .. �...:.::...�.:...19 PERMIT REFUSED ............................................................ 19 ................................................................. .......... i . .............................................................................. - I'i.y • r,. ..................................................................... -.`....................................................................Approve � 19 Gv ............................................................................. .............................................................................. Assessor's map and lot number .. .. ..�.\ .lo....1::.-3 a lf�. �C�� 3- � 7-7-7 • c r Sewwe tit number ............ ..! ?<' TOWN OF BARNSTABLE CFTHET� � � n3 • �.L O�Qy f� t •, Z 33MOSTA3ILE, 4 AM 039. a BUILDING INSPECTOR t. APPLICATIONFOR PERMIT TO .................................... ....................................................................................... r c TYPEOF CONSTRUCTION ..................:..... ........................................................................................................... ..................... .......... ............19. f... TO THE INSPECTOR OF BUILDINGS: _ The undersigned hereby applies for a permit according to the following information: t 14 Location ...........................�!�............`.... ............................4t....................................................................................... ProposedUse ............................................:...................................................4.......%......t................................I......................... ZoningDistrict ..�.................�..............................;............ .....Fire District .............................................................................. Nameof Owner ..:.............................:....�:.�.................:... .....Address .................................................................................... Name of Builder .r % i '-/! / `'` ......��...................Address .............................. rf1 ppp Nameof Architect ..................................................................Address .........................................�.......................................... Numberof Rooms ...................................................................Foundation ....C .....:........G.................................:............ Exterior . f/ �C,i 404...................... .......Roofing ........................................... .. ...... Floors . ...........................................Interior ..........:......................................................................... ........................................... Heating :.................................................................................Plumbing .... ..............................................................:............... Fireplace .f' ...............................................Approximate Cost .......Ja........p r Definitive Plan Approved by Planning Board ---------------______---------19________. Area .//All /...... 3 3(> ............-........ ..................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH J r .f • I. hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name,,............. .............. ........... .................................... NENthE13James & Ruth No ...L8F 5... Permit for .addit1.9.n-p9.rrh.... slk- ge £amily..dwel.,:Ing.......................... Location U.-WILlow-street........:..................... z Wes•t••Ba USta-Ue.................:. Owner ...James.-&..Ru.th..McCartbp................. , - Type of Construction ...wood.-•£tame................ .................. .................................`. .................. Plot ............................ Lot .... - 1 - - ? Permit Granted .......MA Gh.8.................19 77 ` Date of Inspection ..................... . 19 sDate Completed ............:................... .....19 L PERMIT REFU D ................................... ............. 19 ...... . .... . .. ..s. ./.: .. ............ .......................... ..... - s ............................... ..... ..... ...... .... ............................................. . ...................... Approved .............................. 19 } ................................................................... ..................... .........................................................