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Home My WebLink About1684 MAIN ST./RTE 6A(W.BARN.) F/6g4 H �N S � rouyE QdogodoNO. 152 1/3 ORA ESSEL 10% ® Q 0 O i� r _ _ 4r.ou Tj _ A _ it 7° RNZ - D rA J1 ZTy P 79 pr 1 1 - -� 71 ;► , 2 79 t F-I 7 C. v !. . . ; x 3i44 74 z n A y/1�•t �,j. a�rj .. -�.� •,j�yy, Via ,: d r.�. r , ( • ' Ow t w 4► � 1 1 , DEDIGA-Ter I ' .. tt OF WA -�:•• I}-y �•��-.��. `f; � R BHT Y � E � - FAT t�` f 4} �yy �• I TE. FLAN ,r ,,R,f! r(o'( �-To �iGAL E hti t�tst ! "'Vi Ia a � t i •ice�,1�,�*Ci - ��. l t ... - 30 all Clara c.v, rim,.• � •. '. '�. '. it ��► . err :eb � . 32 .Y IN Ay/�e - ` •. 'yp�Cy ' 00 � � ��. � � tA{Kra:• ' a Z•• _. .. 0 a 47 tt t* J4AC.,��' .60AC. II 33JD •»s r.asrr .V Celt 1.25AC •. AD L RL. myAY/� i r �3 GROOM. am audc on �r irr•>'. r mEMEMEEEMMown in IY! iN '. 9 rJ CPO m 196 V Application to Old King's Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, id triplicate; for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition 91 Alteration Indicate type of building: ® House . ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE 12/19/96 ADDRESS OF PROPOSED WORK 1684 Route 6A, W.Barnstable ASSESSORS MAP NO. 197 OWNER Northcross, Walter V. & Wendy ASSESSORS LOT NO. 032 HOME ADDRESS 1684 Route 6A, West Barnstable, MA 02668 TEL. NO. (508 ) 362-41 69 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). S.EE ATTACHED SHEET AGENT OR CONTRACTOR The House Company (J.Goldstein) TEL. NO. (508) 771 —0303 ADDRESS60 Benjamin Franklin Way, Hyannis, MA 02601 DETAI.LED.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 sheet, if necessary). Construct balcony off 2nd floor rear. Construct 14x20 rear deck. Signed Owner-Contractor-Agent Space below tine for committee use. IDRgceiV d[by UW.D@C. Date I T he tificate is�ereby Date D�O� . DEC I .$ 1996 i Tme -QW - TO1AIN OF BARNSTABLE e�� m �� By,0 1i.NI ;'c sat(;WIA1 ,V Approved ❑ IMPORTAI If Cer dicate is approved, approval is subject to the 10 day appeal period provided in the Act. r—i OUCH REMODELING SPECIALISTS ■P.O. Box 1166, BARnSTABLE, MA 02630 • (508) 771-0303 OFFICE: 60 BENJAMIN FRANKLIN WAY HYANNIS, MA 02601■ FAx (508) 771-0384 NORTHCROSS ABUTTERS assessors: 197-32 1684 Route 6A West .Barnstable, MA 02668 LOCATION: MAILING: 197-29:' - Marion. & Joyce North Off Main- Street 16'Hemlock Lane. West Barnstable, MA 02668 Dennis, MA 02660 197-3.5: Frank &. Ervina Maki ,1700 Route. 6A Oak Street West Barnstable"MA 02668 West Barnstable, MA 02668 197-47: ' Michael -Field 26 Locust Avenue West Barnstable, MA 02668 197-31 . Signe Johnson 44 Locust Avenue West Barnstable, MA 02668 197-28: , Kenneth Howland*.59 Locust Avenue West Barnstable, MA 02668 197723. Gregory. & Elizabeth Miller 1610 Route 6A . West'.Barnstable, MA 02668 Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION N/A SIDING TYPE N/A COLOR CHIMNEY TYPE N/A COLOR ROOF MATERIAIN/A COLOR PITCH N/A WINDOW N/A SIZE TRIM COLOR N/A DOORS N/A COLOR. SHUTTERS N/A COLOR GUTTERS N/A DECK :: pressure treated substructure, 5/41lx6 premium decking, fir balusters and rails. GARAGE DOORS N/A COLOR SIGNS • N/A COLORS FENCE . . N/A COLOR NOTES: . Fill out completely,, including measurements and materials/colors to be used. Three copies of this form are required for •submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plane, when applicable. Site plan should show all structures on the lot to scale. SPECSHT . VI r--- ------- 'I L��:. - - - - 17 •'t.�ltr�l-- _� f YfT �.'.1'� � I rll�•I�?,�;'•T1,Ir�r;�i':il-'r�7��f�al • Ct :. C .� �•N aizT H .•.�1.�1/AT I oN IT,557 . i r• �-. �QU..T.H . ;.16L OVA7 I o N. D r %r. I Ij �Ae PL _,VATI o N t_1 1. f. O JL �AR%\N T11c Cot71t1tonN't'uhh of Afassacbusetty 't!i ' Dr�partme�t!of Industrial.4ccidcnts z011lceaflttyestlgatlotts wt; 6110 11'ushia,�tun Street ,:►".` Bostt»t. Mass. 02111 -'' Workers' Compensation Insurance AMdavit �PPiic—nt niormation - P lc-nse PRINT'lejM owner: Northcross, Wendy & Van 1684 Route 6A t� W. Barnstable, MA 02668 nht,nep 362-4165 ❑ 1 am a homeowner performin_all work:myself. ❑ 1 am a sole proprietor and have no one working in any capacity � ...,sr•�."'i,�"''.�:.��.......:�...-±ems+:-- --'- --.._ - _' �• :._ .��.. •`.�-+. •'��-i....i,�• ® 1 am an employer providing workers' compensation for my employees working on this job. comn•im name 01dC, Inc. dba The House Cmmpang address 60 Benjamin Franklin Way, Hyannis MA 0260.1 ( i neat i nn ) city P.O. Box 11'66, Barnstable, MA 02630 (mail)phpnet!• (508) 771 -n303 insurnnceco TIG Premier Ins rr)mpa x nplicvf! WCN80418309 ❑ 1 am a sole proprietor. general contractor, or homeowner(circle one)and have hired the contractors listed below the following workers compensation polices: nm :env onme• ddres in phone k• skid•d insurance ro. -- _ _ _ .-�.�._. ..•.,.••-�- nm nm• name: ddre s• tits phone!t• nolicy N .Attach addititinal sheet if neeessa %-��`i"v--'!""'.y.�r"—`-'�•%: •:�+ '"tr••'t—" .'� ' �•�'' --��'�.` —r'�o Failure to secure coverage as required under Section:SA of NIGL 152 can lead to the imposition of criminal penalties of a fine up to 51.50U.UU one years'imprisonment as.vcll as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understanc copy of this statement may bg�farn•arded to the Office of investigations of the D1A for coverage verification. _ 1 do hereht•cerrifj•under t c/pains and penalties of perjure•that the information provided above is true and correct. Sicnature % Oate 1/22/97 Prints J� y` f e Goldstein (The House Company) phone; 771-0303 am�, �omcial use only do not write in this area to be completed by city or town official city or town: permitAicense q rIBuildiag Department (3t.iccnsing Board 0 check if immediate response is required �5efc1lh De x mien Otleatth Department contact person• phone it• _fir Other Information and Instructions T ; • s General Laws chapter 15? section '?S requires all employers to provide workers' cn tl�rui;a`r y°r Massachusetts employees. As quoted from the •'la%%• an enipl(!ree is defined as every person in the service of .t contract of hire. express or implied. oral or written. o or An cmpint•er is defined as an individual, partnership. associatio;:-I ooration or rernresentau'vestoter faldceeasrcdtctnploye.. or anyt,or 1>E the foregoingenua�_ed in a joint enterprise, and includtn� the le-al p receiver or trustee of an individual , partnership. association or other le cal entity, employingempiovees. Hove%, owner of a dwelling_ house having not more than three apartments and who resides therein, or the onsuch occupant Of til. li ntenance , construction or rcpa dw ciling house of another who employs persons tomat shall not because of such employment be deemed to be an em: or on the �!rounds or building appurtenant thereto s '� also states that e�•er)• state or local licensing abency shall ♦�•ithhuld the issuance MGL cltaptcr 1�_ scc�ion _S rencival of a license or permit to operate a business or to construct bu Id the insulirance coverage cUragelrequired, applicant ��•iro has not produced acceptable evidence of compliance t . Additionally, neither the commonwealth nor am• of its political subdivisions shall surance ire rnto equirny ements of thiontract s cita: performance of public work until acceptable evidence of compliance with the q been presented to :lie contracting authorit). Applicants Please fill in the workers' compensation affidavit completely, by cirecking the box Hitt d at potes to your tlre Department toff supplying company names. address and phoneinsurance numbers Also affidavits be sure to s n and date the affidavit. 71i: 12 Industrial \ccidents for confirmation of .. affidavit should be returned to tite city or town that fife application for the permit or licillee`1awe1or if you are not fife Department of Industrial accidents. Should you have any questions regarding You obtain a workers contpettsation policy. pie-se call the Department at the number listed belox% City or Please be sure that the affidavit is complete and printed legibly. The Department has Pro on re^ardin^ the applican-, the affidavit for you to fill out in the event er which ch ill be used as a reference number. The affidavits may be ret, be sure to fill in the permit/license numb the Department b) mail or FAa unless other arrangements have been made. ttvestt^_ations would like to thank you in advance for you cooperation and should you have any q' The Office of I _ please do not hesitate to ^eve us a call. . .: The Department's address. telephone and fax number. . t. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street CFTHE T The Town of Barnstable '►%6 ,0� Department of Health Safety and'Environmental Services '°rFo�no►t° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date 1/22/97 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: baJ Rao VW441- Est. Cost 2Soo.00 Address of Work: 1684 Route 6A, West Barnstable, MA 02668 Owner's Name Northcross, Wendy & Van Date of Permit Application: 1/22/97 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 1/22/97 . Jeffrey Goldstein , 100932 Date Contrac or lYa Registration No. OR Date Owner's Name + HOME IMPROVEMENT CONTRACTORS REGISTRATION j Board of° BuAlding Regulations and Standards ) One• Ashburtbn Place --Room 1301 ; Boston ,- Massachusetts 02108 HOME IMPROVEMENTl,CONTRACT=OR ------------------------------- Registration.100.932 . - Expiration 06/24/98 ; Type — PRIVATE CORPORATION elk HOME IMPROVEMENT CONTRACTOR i Registration 100932 OHC INC . DBA/ -THE HOUSE COMPANY Type - PRIVATE CORPORATION Jeffrey Goldstein ; Expiration 06/24/98 60 Ben. Franklin Way i Hyannis MA 02601 OHC INC. DBA/ THE HOUSE COMP: I Jeffrey Goldstein t460 Ben Franklin Way ADWNSTRAMR Hyannis MA 02601 45E4r. DEPARTMENT OF PUBLIC SAFETY 4564E ONE ASHBURTON PLACE , RR; 1301 BOSTONyrNA, 02108-161,8 CONSTRUCTION SUPERVISOR LICENSE �...r Number: Expires: : Restricted To. 00 Ofttt ! ! "— M y� ywX�zEe l'\�� •_-.•..' ` -' D,e-t , JEFFREY GOLDSTEIN sign on :�• � ach bottom, fold ----- PO BX 11.66 `: . „ - ;o; �'o�: back, and - laminate license card. BARNSTABLE , MA 02630 F?ep. top for receipt and change address notification. r'/e �omvp:auaea�i a�,/�aaaac/uuel� I � Restricted To: 00 De$>RTMBBT OF PUBLIC SAFETY 45648 C09STBCTIO�;SUPB�YISOflbICBBSB 00 - hone 8uaber• =, Expires, 1G - 1 & 2 Faeily Hooes Restted`fo=;":,,00 Failure to possess a current edition of the Massachusetts State Buiilding Code GOLDSPBI9 is cause for revocation of this license. -BB 1166 y' BARNSTABLE, NA 02630 7 ! r .Assessor's Office(1st floor) Map' l g 7 Parcel 0 3 2- Permit# Conseniation Office(4th floor)(8:30-9:30/ 1:00-.2:00) �� Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:455) p�- S71� Fee Engineering Dept.(3rd floor) House# /[� p L' �NS+�A�/C Planning Dept.(1st floor/School Admin. Bldg.) • � N Definitive Pl ppro ed by Planning Board 19 �►A�jV TOWN OF BARNSTABLE ' Building Permit Application Proj t Stree Addr 1684 Route 6A ONS'4NO i Village We Barnstable Owner Northcross, Wendy & Van Address 1684 Route 6A; West Barnstable Telephone (5 0 8 ) 3 6 2-416 5 • s Permit Request a1acbcxw)fxAbm:kc Exterior roof deck First Floor square feet Second Floor square feet Estimated Project Cost $ 4000cam= $2 5 0 0.0 0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use single family residential Proposed Use same Construction Type wood frame Cegnmercial Residential X D*elling Type: Single Family X Two Family Multi-Family Age of Existing Structure Basement Type: Finished none f Historic House Unfinished Old King's Highway yes -- approved 1/8/97 Number of Baths 2 No.of Bedrooms 3 Total Room Count(not including baths) 6 First Floor Heat Type and Fuel Central Air N/A Fireplaces n nn P Garage: Detached Other Detached Structures: Pool none Attached Barn none None X Sheds none Other none Builder Information Name The House Company (Jeff Goldstein) Telephone Number (508 ) 771-0303 i Address 60 Benjamin Franklin Way License# CS O42406 Hyannis, MA 02601 Home Improvement Contractor# 10 0 9 3 2 Worker's Compensation# WCN80418309 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 BE TAKEN TO Town of Barnstable Andfill SIGNATURE DATE 12)C22M 1/2 2/9 7 BUILDING PERMIT D OR E FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ' MAP/PARCEL NO. .tom ADDRESS VILLAGE OWNER DATE OF INSPECTION: + ; • FOUNDATION FRAME t , INSULATION FIREPLACE: ELECTRICAL: ROUGH FINAL - PLUMBING: R, �d FINAL _ GAS: .' 1r OUI e. FINAL - j" ' ' FINAL BUILDI�IV� � a , DATE CLOSED OUT ^ ASSOCIATION PLAN NO. THE rq The Town of Barnstable Department of Health Safety and Environmental Services p�Eo1��s Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner January 24, 1997 Mr.Jeff Goldstein The House Company 60 Benjamin Franklin Way Hyannis,MA 02601 RE: 1684 Route 6-A,West Barnstable Dear Jeff: I'm sorry but your application to add a third floor to the above referenced lot,must be denied. Authority to do this work must come from the Zoning Board of Appeals. If you would like to file for a variance with the Zoning Board,please contact us so we can assist you. Sincerely, Ralph Crossen Building Commissioner RC:lb g970124d TOWN OF BARNSTABLIE BUILDING * INSPECTOR TO THE INSPECTOR 'OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Number of Rooms ... d�"I..... .................Foundation ..... I? ........................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH Aew OCCUPANCY PERMITS REQUIRED FOIREW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above �� &L �� Construction Supervisor's License —��'�'/�.*[�,�........... _= i NORTHCROSS, WALTER VAN A=197-112 J No .... Permit for ... ..dwaLling.................... Location ..... R.Q.1.1te-j6A............................ .. ..................West........... BarnAtab.L�.................................... Owner ....Walt,&r..Van-tree&--Net-t-hcr-o-,-Ts.... Type of ConstructiSFraMA..................................... ................................................................................. Plot ............................ Lot ................................ Permit Granted ..............sbAlY*...11.. .......19 85 Date of Inspection ..............;.....................19 Date Completed ......................................19 TOWN OF BARNSTABLE Permit No. ---------- 28190----- �.aan Building Inspector Cash wa ,eta OCCUPANCY PERMIT Bond ______-___n/a (ADDITION) Issued to W. V. Northcross Address 1684 Route 6A, West; Barn4ta.hle Wiring Inspector �! / � Inspection date Plumbing Inspector Inspector ( Inspection date J.. Gas Inspector ✓ Inspection date Engineering Department NSA Inspection date Board of Health 85-578 94-11� . Inspection date 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 MASSACHUSETrS STATE BUILDING CODE. ....................................... ....._...._., is ' ..........�.......................... _......_......._........._.__.._ Budding Inspector o To NC'I�)us0/2'S NOTE ; - -- — ", .B. fn�~'--_-_� w3i� Stone t4kd All unsuitable material "H" fnd . to be removed- T 1Q'from pit -- �. TP' and replace ` 3o.7 with clean 1-Ox i ( 10o% ( ,�' fill. Pit F:xp ) 1-6'x4 PIT W/3 + Stone FLAN SC AL.., s stone , 263 s. f. 0 L� - 4 t ;490 g .d. '� r Date 6/.12/$5 _:L-- 3�. I .o 31'O STK — D B - \ \ 3 ;.4 I r7 u� Z 1-- 0F'ILE 44).7 ' 15c�o... �1 i�_ Q G ALE STir S T L L' 1 i•.. F_'xisting hse � `. In to 3 B�R 1500 I1. xistin + G.S.T. 1 Well 41.7 Lot .area .:39,6OOtS, 9 4 1 I C.B. B. . 3G,3 1 1 '34.o 40.0 177t 1+ M Existing fnd . _.. Lot 1 I Lot 4 3; All Cape Engineering o 49 Harbor Road SKETCH PLAN OF LAND IN' (WEST) BARNSTABLE ,MA. g Hyannis , Ma. 02601 FOR: WALTER V. NORTHCROSS Being a lot as described in ;Deed Bk.2795 µ Pg. 100, and recor6d in- Barnstable Registry.1 f Elevations shown are on assumed datum. i Route 6A Variable width' . Date Agent, Barnstable Board. of Health I J•' Design flow 3 B-R . 330 GFD 1500 GST Dist. Box 1-61x4' Pit W/3 ' stone Test pit data = 263 S. F. Made 6/13/85 = 490 G.F .D . Wit. T. McKean Water encountered Perc.rate 3 min.per..l" 'Top L43 . Top zS.G .�. 11 F e Fine �= - , i sand sand o Af:LNF <n s;C;l l i ^.. Apo \ 1 t - OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT • BARNSTABLE HISTORIC DISTRICT COMMITTEE 367 .MAIN STREET, HYANNIS , MA 02601 FORM: "A-I " SPEC SHEET FOUNDATION TYPE: p-,,"L r ' SIDING TYPE: CHIMNEY TYPE: ��« COLOR: � ROOF MATERIAL,: ! z COLOR: PITCH: WINDOWS: � V`�w SIZE : TRIM COLOR:'- DOORS : ��' V� (r crdV /56 T6 l� Y,,rd-r-1 J COLOR: SHUTTERS': GUTTERS': �,o VrYwYv�_ DECK: GARAGE DOORS: - COLOR: TWO COPIES OF THIS FORM IS REQUIRED. FILL OUT COMPLETELY REGARDING MATERIALS, MEASUREMENTS AND COLORS. LANDSCAPE PLANS-PLOT PLANS-ELEVATION PLANS. �Ns c5 , Assessor' ma and lot number ........1�......-'..:.:3..7..�-.. 1pS p THE r �t� � 63G SEPTIC SYSTEM MUST B of o�♦ ` S -.J g IN COMPLIA Sewage Permit number ......:..�............................;....:....... INSTALLED WITH TITLE s AST&BLE, 5 ' House number ............I.. .....�./.. �.................. DE " a 0 ENVIRONMENTAL CEO TOWN REGULATIONS IONS o0 YPY 6�6 TOWN OF BAR.NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ 'r'�+ �... / .....QZ( .-�y� ....4.J...Lr�r- I,- i7o�LSP TYPE OF CONSTRUCTION .............. :........ ............ w..� .........................1 19J. r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........... .T......... ......&A...............N(J94.Y.:�.�..✓.:'::":N(J94.k'.,.15.;6A4.......................................................................... ProposedUse .........14. "571. Pawx ?........................................................................................................................................ Zoning District Fire District W4..1--� ...' g ....................7 .. ............................................ ..../.G: ..ram�:.`'�................................................... Name of Owner ' � ...NO:1. Xt1f kcIldress �!(a.,?.� 6� ....................... .. Name of Builder ........./ (.G.110 Y..C:(.......(Z�.Stj.................Address ....A.L �...�^Jr..�P.?1.F....'.�; �^' � ��gitr�a .. ..................... Name of Architect ............ W. n.�1.:...................................Address ... �'�'E:...4:s...r :O�f`N.r:..................................... r Number of Rooms .... . .!.�1...... .Q?�►�L,:.................Foundation .....��t�^.l�:G� ..✓. ..'r.......................................... e � p Exterior ff ... (V.s................... .............Roofing ..........C��.�.!".`�;.�.f................................................. Floors � ! � O.4.4.............. ...... ...........Interior ..........C�.�C'�'. ....� ....................................................... ............I..Heating �.fe L� Pt.� .... jf ../.......................Plumbing �(..aQ�TI�i, 1............ 1! �k .....(?.-. !........ ......... .......... . Fireplace .........� �. f' v'v�-� . OZ c� p ..........�..� . .O.:ire.................�.......................Approximate. Cost ...................y................�.r�......................... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area Jrb� .................. c.. . . . .... . Diagram. of Lot and Building with Dimensions Fee ° 7 5 Ibo ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH L �1 9 Is=q hew io l 8® o /v° z®j hd' OCCUPANCY PERMITS REQUIRED FOR EW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......... .. .................... Construction Supervisor's License .. 0.. . .y............ NORTiCROSS, WALTER VAN A-197-32 .� - No'°..28.1.90...• Permit for ...Remcadel.•and..ad.d ...........to..single...family...dwzIling............. Location . 1684 Route,,,Eah„ „�,�,O........... ......................We s t..Ba rn.st a ble........................ Owner .AalteX ....... Type of Construction ......... KaMe...................... ................................................................................ Plot ............................ Lot ................................ j' Permit Granted ...................dtl-y...1-1.......9 85 Date of-inspection Date Completed ............� 19. •� } � � fn TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7 Parcel ( Permit# � 34 Health Division ' g 10I16I03 (_Swp DK:;�Ic Date Issued ;&o �003 Conservation Division � "0 -� Application Fee- Tax Collector Permit Fee 17, O a Treasurer SEPTIC SYSTEM 141UST 03 Planning Dept. INSTALLED IN COMPLIANv Date Definitive Plan Approved by Planning Board WITH TITLE 5 ENVIRONMENTAL CODE ANL Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address Village Owner / /0/PTA 0 SAddress A�F/ Telephone �G�— 3�0 — Permit Request Zz' �'A 1,t to ag k �fo 4 >/0 Square feet: 1st floor: existing proposed _ 2nd floor: existing proposed Total new Q1 Zoning District Flood Plain Groundwater Overlay Project Valuation Jdd//7� . 000 Construction Type DO CZ Lot Size Grandfathered: ❑Yes 0'N*o- If yes, attach supporting documentation. Dwelling Type: Single Family O' Two Family ❑ Multi-Family(#units) Age of Existing Structure 20 SOX' Historic House: 3le's ❑ No On Old King's Hig ay:w 2r<es ElNo Basement Type: O Full ❑Crawl ❑Walkout O Other .SO 1 Yp � Basement Finished Area(sq.ft.) �/� Basement Unfinished Area(sq.ft) Number of Baths: Full: existing — new Half:existing — new Number of Bedrooms: existing — new Total Room Count(not including baths): existing — new — First Floor Room Count Heat Type and Fuel: ❑Gas O Oil ❑ Electric ❑Other %S/1� i —r Central Air: ❑Yes 2 o Fireplaces: Existing /) New Ad Existing wood/coal stove:�❑Yes% UAro' Detached garage:O existing ❑new size Pool:O existing O new size� Barn:O existing 9-new iize Attached garage:❑existing O new size Shed:Zr'e�isting O new sized Other: o Zi Zoning Board of Appeals Authorization O Appeal# Recorded❑ ry Commercial Cl Yes fNo If yes, site plan review# m Current Use Proposed Use - BUILDER INFORMATION Name MO 11Ki G° Telephone Number Address �4. Q/ License# (f S C2 4o 1 Home Improvement Contractor# Worker's Compensation# -r� 0:� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE -S' DATE _ �O ' '" O FOR OFFICIAL USE ONLY 4 PF�RM1 T NO: I DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER • DATE OF INSPECTION: If FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ` . FINAL BUILDING DATE CLOSED OUT F` ASSOCIATION PLAN NO. _ 1 The Conimonwea'Ith of Massachusetts - -- - Department of Industrial Accidents - exce onflyesaffations w 600 Washington Street - - Boston,Mass. 02111 Workers' Compensation Insurance Affidavitel / C-�aU i C location: - 0' o�x �is YO ,7 1 hone# ❑ I am a homeowner perfomung all work myself. ❑ I am a sole r`ietor and have no one worku in ca achy //%%///%/��%/%%%%/%% %%///Oe%/ iS%or%%% %ob//%/%%/%//%��/G/G�%%%/%%///l/�%/G%//%%% ensation for my. .N. r•�„ s. workedin :..,...n:>;:,{:r,,::r:.,•:•:.;:.`{.?: ?;:.}^,c<?'E^ ;<}:,::: '?zt} •.' .:..x.< ::";:�,4x{ em to ?:.>:},)» ».h•r4}nn:n�.:k. .::!4.�,w:4�,....,,..rr, I am an nn y .�. :•}?:;f{}?4.. v.M.:?.:: iri}'r{:>#:r.3"#3i3SS>::. ,•.i vr.•t•:%3'r't•:io:,i•+..,• •fir} i�••}.F4<ti{ .Y-f�r } .F t4F{f;vr.}::2)<i'<:,..: ..:+}:• T:•.!4Y?:; �•..., 4'r`• },.': X4.. .?::c ?'t?>.}n+�h. : � Lr:t:^. xx,Fk:},•:!: �^<++:! .,il,....S_..; ..r.. `:32`%' >::,.,�?, f�rrS•:+iy+r•S•.••£ .4.)#r •n•!�+';fi .,.S:i »:3:4i},?.,,??:+i4;f}:r. ;:i?::}!.ti;f 43.';:., }...,^', J v..{+.. \ 'i:+n,fii3»•. +�..i. „rrn:.rr....,• ...........i.F...,?. /.a?>}rfir+:. ,»: ,.�:,• ':yi'::i::;+.3::t,::::. :. .Jte:i:•:::r. .. rrrirC•x?.•+:4r :•:r» ;:)'•r:;?�:. ...STY:r:: .nyv;i}y{:.,. .:}.,•. ^;�� 2,;�: »A•::n•�w.,`4Cz:?.c+ua.}.+.»....; )';>.•:».;:.... { .}4• .:a:{::.. ,4.4}:i£v�::ri'd.+::•:. 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I undarstia one years'imprisonment as WeII su dvn penalties in the form of a STOP WORK ORDER and one ea s statement may be forwarded to the Ofiice of Investigations of the DIA for coverage veriiication. cop under the pains and penaitiess ofPe1�'that th ' fo anion provided above is iru�and correct I do hereby certify P n f _ /' Q � Date /� ' Signature Phone Print name # oindal use only do not write in this area to be completed by city or town oMdal perndt/llcense# ❑Bt>ilding Department dty or town: Qlicensing Board []Selecin&5 Office cbeckif jn=edi is response is required ❑Health Department Other phone#; contact person: (--Yi 9195 PIN • r 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 contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do ma;ntanance, 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 coriftacting 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 date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested., not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a wormers' 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 peimit/licrose number which will be used as a reference number. The affidavits may be retamedlo 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 Departments address,telephone and faxnumber: The Commonwealth Of Massachusetts Department of Industrial Accidents Once of 111vesugauOns 600'Washington Street Boston, Ma. 02111 i fax#: (617) 727-7749 a• tAl l) 727-4900 ext. 406. 409 or 375 RESIDENTIAL BUILDING PERM F IT EES ' APPLICATION FEE Idin s Additions $50.00 � New Btu g Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if aprplicable) ALTERATIONS/RENOVATIONS OF EMS'TING SPACE square feet x W/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.f� _ >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: x.0031= _square feet x$96/sq.foot= STAND ALONE PERMITS ��o Open Porch x$30.00= (number) . x$30.00= Deck (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocatiou/Moving $150.00 (plus above if applicable) permit Fee oFE r°wti Town of Barnstable Regulatory Services 9HAMi E'g' Thomas F.Geiler,Director p�E 63g6 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,Na 02601 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 U G7/i' 6�1 (/ to act on my behalf,. in all matters relative to work authorized by this building permit application for: CISW i0/ (Address of Job) §iivatae of Owner Date vtq-ri 90 4,��k(5 s - Print Name Q:FORMS:OWNEU MISSION I E,° Town of Barnstable Regulatory Services BAMSTABL&. ' Thomas F.Geiler,Director aiAsa v�Arf039. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME Ev2ROVEMENT 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: v�C� Estimated Cos �� Address of Work:—/ p Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): E]Work excluded by law ❑Job 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 a owner: ZQ ' Date Contractor bAme Registration No. OR Date Owner's Name Qlomvs:homeaffidav , �� • V � \'/ /v^/fir/,� Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 116495 Type: Private Corporation �- Expiration: 6/21/2004 RYCON CORP WILLIAM RILEY 1469 MARY DUNN RD / Box 212 - BARNSTABLE, MA 02630 — Update Address and return card. Mark reason for change. r—i Address 1 Renewal r-1, Employment Lost Card ,off �/re �anvnzoruveal� a�✓�aaaac/zuaeQa - =�_-�l_ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 116495 Board of Building Regulations and Standards Expiration: 6/21/2004 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 RYCON CORP WILLIAM RILEY 1469 MARY DUNN RD/ Box 212 BARNSTABLE,MA 02630 Administrator Not valid without signature BOARD OF BUILDING REGULATIONS i License: CONSTRUCTION SUPERVISOR + N umber:.,CS. 069004 Expires 05/26/2004 Tr.no: 22034 ; Restricted:,--6 WILLIAM A RILEYI- PBX 212/1469 MARY_DUNN'k) r, i BARNSTABLE, MA`02636, Administrator CCHC NRWET I NG 5085 596161 P.04 a �- W6KM60, VA4 SFr -� c&?AK / - �7� t y � •l hi G ... I 4T.SZl- � 6icv�fcN Li IF i hS,7Ttr. gw,&604 wIR5 i?I2.-ti;cD. ;7ct'to. aft ---•�u1A�NRY Fib �cnW7tl.&v�E. Jo1h� - 1� CCHC PlRR!iETING t . ti 5@85396161 P.05 .y lL ' r 1 f 9; f o I (� s ' n i v Z � A4 U c �I "Zi I - 14 CCHC NRRKF-TING 5065396161 P.06 i _ 4 '�- 47KCrQ ap FIAN i p 1 N o KTH G,K -141-) r-,6AI:Qr�.W G� ,N N- 6 9A!'v1.6', MA -�sti�lo3 TOTAL P.06 Y; jjI ?YS TRACT # .._..__... D�E� BOOK �795 PAGE �� Cl ENT, Attorriev Richard S. Dubin �'`� O1�N wa� :ter & Fend Northam �,N K �,� P L AN SAME .�••••� -••AI f,r$S A$�N 7 PL:11T MURTGAGE INSPEC1- 1UN Pi AK OF L A h D I N B A R N S T A B L E SCALE : 1 LOT 29 NOVEMBER 7, 1985 158. "+�s) LOT 35 CD LOT 31 I.$ STORY X, t 177, ' LOT �7 LOT 34 � r y¢ r I R. 0UTE 6A 1 CERTIFY TO ATTORNEY RICHARD S. DUBIN'. BANK OF NEW ENGLAND, N,A. AND ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARL.D UNDER MY IMMEDIATE SUPERVISION, THE LOCAT?ON OF THE DWELLING AS,, SHOWN HEREQN IS I N COMPL I ANCE 1l I TH THE LOCAL APPL I CO LE ._-..v o• �..:_..._._.._.. ..mow♦ Ul •..- �_ntf DIIG i.C._-.._.__.... Application to. ®Yb Aittg'3� 3�igbbjap 3kegi.onar Pigtoric -3Di5strict Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for. CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: ❑ New Addition ❑ Alteration Indicate type of buildings ❑ House ❑ Garage ❑ Commercial ❑ Other 6�C'fi 2. Exterior Painbng: 2 o 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign CA 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other TYPE OR PRINT LEGIBLY: Cv. l/✓fl/P/VS� DATE �! 3:0 ADDRESS OF PROPOSED WORK [!� 0 i/f� i=�/ ASSESSOR'S MAP NO. ''�.F L 1/ TC OWNER r�i ASSESSOR'S LOT NO. M_ HOME ADDRESS [� o /� �s- TELEPHONE'NO. 5�dc�-3�o� ��(0� FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, Including those of adjacent property owners across any public street or way. (Attach additional sheet If necessary.) / '/ 3 �o�U f v / D -� -S Ir AGENT OR CONTRACTOR O f TELEPHONE NO'. ADDRESS �aWll / ell S DESCRIPTION OF PROPOSED WOR : Give particulars of work to be done, including materials to be used. Please include locations of proposed si ns. ^/ / S Signed caner- ntractor- ent For Committee Use Only his Certificate is hereby Date Approve enied VI SEP 04 2003 ommittee Members' Signatures: OWN OF BAR'NSTAB E LD KING'S HIG cAl Should a c ont�icL form •F ti` ---- �nnllcation form. For Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOIINDATION Q 67 SIDING TYPE— G�/�/f /�elj COLOR CHIMNEY TYPE /Y COLOR eGif. PGL �/'lit� ROOF MATERIAL /I �_ COLOR PITCH WINDOWS /�6 • COLOR /f� SIZEJ r �0 —��C�y�s TRIM COLOR DOORS - / COLORS SHUTTERS /�/a/Y�' COLORS GUTTERS COLORS /� f DECKS �dQ�' MATERIALS !y Q Q GARAGE DOORS /� Q/(/�� COLORS SKYLIGHTS /I/ SIZE COLORS SIGNS Of /Z COLORS FENCE / Y /��/ COLOR NOTSse Fill out c omplstely, including me►suramants and matarials/colors to be used. Four copies of this form are required for submittal of as application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSKT Revised 11198 'r �- W6ATRC-4k VA4 GAO A� GFk�ii.k�7 , / 1 _ �'J'� t y � •lN4 4T.'5Tt--------------------- I , 6icREfcK IF .wT ' i .�x-.�� -r � r� � `��Z ►sue r�OOF r wipe • ..FR.-n2:TD, -�'Pv7R?D. Q6G�lC '�CNRY Fib >y KTa}..:.�.LLY,�•'r l0�4 i I I � � z o _ LL i .6-MO3 16:14 CCHC NRRKETING 5065396161 P.06 ytp�:,. o♦tiN L RI:h A 1 1 L JF' � o L(. 'F�f•1Ga Q PLA N o s io FT. N a-KTH 1-:Dt�-'KI G� TOTAL P.06 (' �. is .r. _'. _UiJ/ i%J i JJNjyS TRACT # DEED 800K Z19S PAGE logo CLIENT, Attorr�ev Richard S. Dubin ,N AOGK P G LGT 0W ; waster & `fiend Wrthcross --�--� - PP ICANT: SAMF AI...�,F SS fin. nLhA� 00RTGAGE NSPLCT 1 0 h PLAN Ah- 0 I N BVRNST ABLE NOVEMBER SCALE : 3 LOT 29 ' -58, t(S) LOT 35 LOT 31 ro .�,. *�. SHED 1% STORY !1 1 177. ' 6 LOT w7 LOT 34 i r R0UYF 6A 1 CERTIFY TO ATTJRNEY RICHARD S. DUBIN, BANK OF NEW ENGLAND, N. A. AND ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPAR'f D UNDER MY IMMEDIATE SUPERVISION, THE LOCAT!UNv OF THE DWELLING AS SHOWN HEREON IS I N COMPLIANCE 'iq I Th THE LOCAL APPL I CA'dLE !.A1.1, 7nu t 4r RY-: AVIS WITH RESPECT TO HOR I ZO-ITAL RESIDENTLAL BUIELDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq. foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $ 35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 _ (plus above if applicable) f D D Permit Fee � pp— • TOWN OF BARNSTABLE Permit No. ________ 28140 = Building InspectorBMW Cash %639.. �� °'"'b OCCUPANCY PERMIT Bond _—___n� —____ (ADDITIOt:) Issued to V. l+ortt2croso Address 168�: oute 6A, llc L;t linrnsttable Wiring Inspector ' r Inspection date Plumbing Inspector ,.� _, ;�_� Inspection date Gas Inspector Inspection date Engineering Department NVA Inspection date Board of Health 85-578 _ Inspection date ' THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. / i ............. .. ..... __ ......_._. ._. __ Building Inspector