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1837 MAIN ST./RTE 6A(W.BARN.)
UPC 12543 No. HC¢TY ne �M � � w � � c� � �' � � � � � - i PROJEC NAME: ft,—) ADDRESS: c®v 3'� W . PERNHT# 3 C cl 2 Cg ko t Lc cl 3 PERNUT DATE: M/P: Lo _ a 33 LARGE ROLLED PLANS ARE IN: BOX � IZ- SLOT Data entered in MAPS program on: lollb / i3 BY: q/wpfdes/forms/archive �,►,E,�y� Town of Barnstable *Permit# (SI(go a- .,twe Expires 6 mo t om iss a date Regulatory Services Fee . swttxsr�srE_• Zp15 P. Richard V.Scali,Director TABLE TOW BARNS Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 01 Not Valid without Red X-Press Imprint Map/parcel Number 2 �� Property Address ��'� h,c•`4 -�- _ W t a 0 kS -1--? 6 E Residential Value of Work p Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name (44t C G� (il(� Telephone Number ?7 G 5 .3 c)(- Home Improvement Contractor License#(if applicable) q 3 Email: Construction Supervisor's License#(if applicable)a,j�) ❑Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# _ L C� Copy of Insurance Compliance Certificate must accompany eiach permit. Permit RNIRe-roof est(check box) (hurricane nailed)(stripping old shingles) All construction debris will be taken to�&,J�,�, ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side -T_V t---- ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of he H e Improvement Contractors License&Construction Supervisors License is requi d SIGNATURE: � Q:\WPFILES\FORMS\building permit orms\EXPRESS.doc Revised 040215 ,l Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Sapervi.or _ License: CS-074660 '= JOSHUA X KOUICt PO BOX210 PIM¢ CENTERVH.LE ' c vJ ,L.--."to Expiration Commissioner 02/12/2017 .. C/Z5e orrice o� MF lMP m�er zStratinOVM.EgNrfa CoN'e aBluszi� o.; 4 3 na OR'0�26%0a'ati NCgPF$/ ND on M6 ��e w JOSHCOIVS`,TRU <=f-- P Type Uq K i,�'. CT/pNJi_%: rivals O O °rpo SS OU _ = iC / r F�MAV Rl s -,' NC atio�.. N S,MA r ^, / q C ` M 260, ersecrer�' k �� ary Massachusetts -Department of Public Safety I Board of Building Regulations and Standards Construction Supervisor ; —- License: CS-074660 JOSHUA X KOURk i PO BOX210 1 IF CENTERVH LE MA Expiration Commissioner 02112/2017 License or registration valid for individul use only 1 before the expiration date. If found return to: Office of Consumer Affairs and Business R 10 Park Plaza_ Regulation Boston Suite 5170 MA 02116 i -i v d R h04t'Sl --- gnature a f The Comaronwealth of Massadiusetts Department of Industrial Accidents Orke of Investigations 600 Washington,street �^ Boston,MA 02111 "ww mass gov1dia Workers' Compensation Insurance Affidavit B>'ri ders/ContractotslEiectridans(Plambers Applicant Information Please Print Leer`bly Name - - 1): qt C Ca- TA G Address: ),-a c a� O CiWSt&Zip: V ` l� phone j#- �i` - -7 T 3 Are you as employer?Check the appropriate box: r project 1. am employer 1 with� 4. ❑ 6_I am a general contractor and 1 Type of New (required): * have hired the sub-contractors ❑New oomsfruction • employees{fall audlor part-time)- 2.❑ I am a sole pmprietor or partner- Fisted on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-c o actors have g_ ❑Demolition employees and have wodcers' wo�dcing far me in any capacity. 9. ❑Building additionur [No workers'oomp.insurance comp-insance I required] 5. ❑ We are a corporation and its 10.[3 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have mceraised thin I LF]Plumbing repairs or additions tnysel£[No workers'comp- rightof exemption per MGL 12.,11— of repairs msumce j c_.152, §1(4X and we have no employees.[No workers' 13.❑Other comp.insurance required.l ;Any appfic=that checks boa#1 am se also fill out the:section below showing their workere contpemwiim policy i oa Homeowners wbo submit this affdsvit unbceml they are doing all vat and then hire oatdfie contractors mast submit anew affidavit indicating still. f C==ctws that check this boa must sttscheid as additional street shaming the—of the sub-cone mts and state whetber arm those entities have employees. If the sub-conuactors have employees,ffiey way provide their workers'comp•policy number. I am an employer tliat is proiiding workers'conipeitsation insurance for my omployees. Below is the poScy and job say information. / Insurance Company Name: v ti Policy#or Self=ins.Lic.#:�� L� '�% -� �� 1 �7xpiration Date: Job Site Address: tatelZip: Ik Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Sidon 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 andlor one-year in4 isorment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to&e Office of Investigations of the DIA for- ce co-erage verification. I do hereby cerfefy t e ns all nahies ofperjnry,that the information prmided above is true and correct Date: Phone#: Official use only. Do not write in this area,to be completed by city or town ofciat City or Town: PermitlLicense# Issuing Authority(circle one): 1.Board of Health '2.Building Department 3.Citylrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone 9: 6 i Estimate 1011 Date May 7,2015 Cape & Islands Construction Co. P.O. Po Box 210 Centerville Ma. 02632 Terms. 508.775.7663 Ship Via' Ship Date. Mike Rabideau 1837 Main St. W. Barnstable, Ma. 508-737-2732 ID Description Ext Ph. • CERTAINTEED Certainteed Shingle Roof 8,300.00 Strip existing shingles from roof. Secure any loose sheathing. Install Hicks brand vented aluminum drip edge. Install Wip brand Ice&Water Shield to all eves, rakes,valleys and all protrusions. Install Rhino brand Synthetic Felt Underlayment. Install Certainteed Quick Start starter shingles to all rakes&eves. Install Certainteed LIFETIME Landmark architectural shingles. Storm nail all shingles. (State building code requires 4 nails,we use 6) Re-flash all vent pipes with new boots. Install Rigid Vent II ridge venting. Remove and dispose of all job related waste. leave your property looking like we were never there! Provide all manufactures warranties and LIFETIME warranty on our labor, if it ever fails due to our workmanship we fix it,forever! It's The Best In The Business. Please note our wind warranty is also the best And longest available ANYWHERE! Total t � Page 1 /08/2015 2:17 PM FAX 15087756688 HORGAN INStTRANCE 0 0001/0001 2015 10:58:25 AM PST (GMT-8) FROM: 100005-TO: 1508775668E Page: 4 of 18 ccMbp CERTIFICATE OF LIABILITY INSURANCE DA'e("uav "" 5/8/201 h 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: N the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endamed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy.Certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen s . PkOo~ FRANK L HORGAN INSURANCE AGENCY INC NA1N1; T 44 BARNSTABLE ROAD PHONE FAX PO BOX 250 MCI HYANN IS, MA 02601 tN8_ URER(O1 AFFORDING COVERAGE NyC 0 INSUKeD NSUReN A: LM! urAnco Comoration —33600CAPE& ISLANDS CONSTRUCTION COMPANY INC N'ustw°: PO BOX 210 •+SURER c: CENTERVILLE MA 02632 Neu o: NSUN\RAI N►: COVERAGES CERTIFICATE NUMBER: 24610723 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 REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED 13Y 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. LTR TYPv OF NSURANC! INED WVD POLICY NunmeR erg commrRCIAL OCNERAL LIABLITy EACH OGfYIRRANCra $ CLAIMS-MADP El OCCUR MED EXP An Ong o6rum $ reRsaNAI A Ar)v INJURY s OFK AOOREOATE LIMIT APPLIES PER: OFNEPALAOCREGATF s i POLICY❑PRO- JECT C-1 LOC PRODI/CTS-COMP/OP A00 f I OTHER: f AUTOMOUILD LIAOLIY f ANY AUTO BODILY INJURY(Pa o mn) f ALL OWNED :CHFOULED AUTOS AUTOS BODILY INJURY(Per etddW) f HIRED AUTOS NON-OWNEDRoprelklynAmAn AUTOS r f S UNBNbI,IrA LMaH.0.c=uR-MADE EACH OCCURRENCE f "C1123I" ACGREOATR f DEB RPTIM11ITInut f A WoRmRa compEr4unoN WC5•31 S+=540-015 5a12015 5/tI2016 R AND eNPLOYE"'1UAG4J TY Y/N - ANY PROP"TwuPARTNVtCX000J*r V O"ICER/MCMBGR I;XCI.UDED9 �N NIA EJ.EACH ACCIDENT f 100000 (MrNldat"MNH) M Ft.DISEASE-EAEMPLOYE f 100000 IPMON OF OPFRAT NL Eebw F J..gUIEASE-POLICY LIMIT 15 500000 OEaCRIPTION OF OPXPtATIONa/LOCATIONS/VVG LEa (ACORO 101.AddluoMl Rem■rke Emmdw q rPiy by■eaohod If rmre apace Id hWlrwd) Workers compemt"on Insurance coverage applies only to the workers companaatlon laws of the sate of MA. This certificate olncAn and supersedes A previously Issued cm0cates,only as They relate to workers'eompensatlon coverape CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE STREET THE EXPIRATION DATE THEREOF, NORM WILL BE DELIVERED IN 200 MAIN HYANNIS STREET EET ACCORDANCE WITH THE POLICY PROVISIONS. AU1110R=REPRtiEeNTATIv4 LM Insurance Co oretlon ACORD 25(Z01N01) The ACORD nano and I ®19984014 ACORD CORPORATION. All rights rosorved. ogo are registered marks of ACORD ter Mp,, 240107:3 wen. Ghnodloe 5/0/:el4 1I5I154 ►CI (CDT) I•..j. l of 1 • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued \� Conservation Division � Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis • Project Street Address _/Z7 41M 34. Village, Owner A ✓ Address �y�7 Ar S� Telephone '73 7-273`t Permit Request v� ► rc Z�^� �� ��� 4- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District Flood Plain Groundwater Overlay. Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Ue""_ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway❑Yet ❑ No o Q o Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other o Basement Finished Area(sq.ft.) Basement Unfinished Area (sq ft) C-3 Number of Baths: Full: existing new Half: existing na — Number of Bedrooms: existing _new Ln w � Total Room Count (not including baths): existing new First Floor Rolm County- _ 00 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing. ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 0 Yes ❑ No If yes, site plan review # `- Current Use, Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) r Name A Ll Telephone Number Address- v9 License # i -�G V7 4- Home Improvement Contractor#E m a i I c Worker's Compensation # c c. '51 7// a y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO,�w /✓��r� SIGNATU DATE 6 IS ' cy 1a �� FOR OFFICIAL USE ONLY APPLICATION# � DATE ISSUED f( MAP/PARCEL NO. f ADDRESS VILLAGE OWNER r DATE OF INSPECTION: " P _sFOUNDATIO.N: _ FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t, FINAL BUILDING DATE CLOSED OUT a ASSOCIATION PLAN NO..� Y, i j The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:,Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Indi ' ual): ,_L41,� ,,// Address: City/State/Zip: Z5 Z7/9 Phone#: 7 1111 Are yo n employer?Check the appropriate bog: Type of project(required): 1. I am a employer with 7-co 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [.}Rriodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' [No workers'comp. insurance comp. ins rance,# 9. Building addition required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: r� Policy#or Self ins. Lic. `f 7//O Y Expiration Date: izz Job Site Address:LYS7 1114—a S r City/State/Zip:__ ky, Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). .Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c ;fy under the p nal ies ofperjury that the information provided above is true and correct- Sip-nature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town ofjiciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance.. requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial 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 workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 wQvw.mass.gov/dia kt (92e'W.1.0-ruu /0 6 daMude.16 rfc5,,PfConsur'erAtrairs&Business.R gula6on', L i License or re&tration valid:for.iri' wrdul use only ME IkIPROVEMEN °CONTRACTOR before the expiration date-If found red rn to, ! I egistration 100503 , Office of Consumer Affairs and.9 ess rPgulatioir. I' T CIO Park Plaza Suitt51:7U Eicpirati n 1/6 9&0, ' i YP Supplement CARE FREE HOME oston,'1VIA 021f6 DANA PICKUP JR: `' 'f -1 239:Huttleston-ave• FatthaveriIWA.02719.. `.Undersecret ary t - Not g ad without signs e ., l ' Massachusetts_ -Board.o.f' Department of P r 8utlding:{fib'' ublic�Safety C�nstr"uctuN gulat�op•S'and_Standards - Supcnisirr;. . LicbhSe DANA.IPICI�����t Fairhay en MA- 02 • ����. '' ,_,ate; COm►rrlSsloner'' `.a :;.f",••'',': . Expiration 03/22/2014 r OFFICE: (508) 997-1111 ;; MA. Builders Lic.'#021330 FAX: (508) 997-1297 RE FREE Home Improvement TOLL FREE: 1-800-407-1111 AoWmes Inc. Contractor's License WEBSITE: #100503 MA. www.carefreehomescompany.com 239 HUTTLESTON AVE.(FIT 6) • FAIRHAVEN, MA 02719 #155179 R.I. NAME �lG'L� �i i3/Q�i (/ DATE r �> ADDRESS d 37 /v Er, UT a P CODE c� ADDRESS OF JOB HOME ��737 27-?y EMAIL ADDRESS CELL JOB DESCRIPTION S' cu IJ Gf/ <, l !� LtdVI G ( - cS77bL 641 AZM 917�k60% i G .f' (54m aa� or ��. Scheduled Start L�� Scheduled Completion/ A. Replacement of.missing or rotted lumber is not included unless specified. B.All start&completion dates are approximate and could change due to weather conditions. C. Stripping of roof includes removal of up to two(2)layers of sh' 1 each additional layer to be charged Q ftz. D. Replacement of rotted roof boards/plywood to be charged ftz. E. Existing chimney flashings will be reused; replacement, if nece sary, is not included. F. Care Free Homes, Inc. is not responsible for mold/mildew conditions that are pre-existing or result from leaks not brought to the attention of C.F.H., Inc. promptly. The Company hereby proposes to furnish labor and material to complete the above work for the amount herein. Fulfillment of this order is contingent, however, upon the want of strikes,fires, and any natural disasters,the ability to obtain materials,or any other conditions beyond the.control of the Company. Cost of Project$ "" `v PAYMENT TERMS Date 1. You,the Owner may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. 2. You,the Owners agree to pay any and all expenses incurred by Care Free Homes, Inc. in collecting money due under this contract and enforcing the terms of this contract, including but not limited to, reasonable attorney's fees, interest and court costs. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SP ES CARE FREE HOMES, INC. C el ,, C, Buyer acknowledges Owner: BY: V u� receipt of fully completed copy of this Agreement Owner: All contractors and subcontractors shall be registered by the director and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 Tel. (617)727-8598 h Barnstable Old Kings Highway Historic District Committee r 200 Main Street,Hyannis,MA 02601 TEL: 508-862- _4787 Fax 508-862 4784 . ::. 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; 1. Building construction: ❑ New ❑ Addition ❑ Alteration 2. Tvne of Building: ❑ House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting roof ❑ new roof ❑ color/material change, of trim, siding, window, door 4. S1_gn_: ❑ 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 /-7 NOTE All applications must be signed by the current owner Owner(print): M kZ f!I ILL-0— Telephone#: -M—-7 3 7 2--7 3 t f Address of Proposed Work:1237 &1oLk% Village( , t ovz4 &1�� Map Lot# Mailing Address(if different) Owner's Signature Description of Proposed Work: Give particulars of work to be done: Ck v VA r �S w l� ipy, ►�lt! S �l I>�i �� PVC- Agent or Contractor(print): Telephone#: Ste$ — 9�7 Address: -7-3_ ` !e Ilk Contractor/Agent'signature: For committee use only. This Certificate is hereby P111 DE +D Date / �-3, �� Members signatures / G� APPROVE® OCT 23 2013 Town of Barnstable Old�og's Highway Q:IBoards and Commissionsl0ld Kings HighwaylOKX ApplicationslOKH 2O11 Cert Appropriateness.doc 1 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 g,EGE ETA Rakes Ist member 2nd member Depth of overhang Window: (make/model) material color (Provide window schedule on plan for new buildings, major additions) GROWTH MANAGEMENT Window grills (please check all that apply true divided lights_ exterior glued grills_ grills between glass_removable interior None Door style and make: material Color: Garage Door,Style Size of opening Material Color Shutter Type/Style/Material: Color: Gutter Type/Material: Color: Deck material: wood other material, specify Pv(, A& Color: Sn cb : s lv I-,,- �wara t'/ (S . Skylight,type/make/model/: material Color: Size: Sign size: Type/Materials: Color: Fence Type(max 6') Style material: \/F n Retaining wall: Material: g�j 2 .3 7013 Lighting,freestanding on building Town oil��g sign mg's Hig way OTHER INFORMATION• Committee THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of paint colors,manufac ochure of windows,doors,garage door,fences,lamp posts etc (� R Signed: (plan preP arer) f Print Name 2 Q:Woards and Commissions101d Kings HighwaylOKHApplicationslOKH2O11 Cert Appropriateness.doc Town of Barnstable Geographic Information System October 4,2013 217036 #65 217035 187037 p117 217031 7004 p #37 #1760 021 00 217034 .rl 019 217033 O� 0J #820 217013 #1960 217009 #1834 M #1834 217002 4� 217010 217012 ® #1809 217D01 #1860 #1894 #1825 211011 01966 �oiy Q S J, 216060 # 216033 Fs 216035 01837 '7 #1934 216021 Q rJ 196006 #18 �u! $1781 216051 6 216031 216034 #33 #18855 101912 216062 C P-%S 45 n #6030 1871 216022 #1871 A At 1849 �oC7 216032 01861 216053 216025 #57J7 #189s� 196007002 VV �d�, a v #1919 # 919 216070 216oss 215054 Itt�III� a 74� 1216 0,2 H603 216 024 028 1�� 2 0 7et#84 97 #46 #34 216067 216047 #869 0991, DISCLAIMERS:This map Is for planning purposes only. It is not adequate for legal Map:216 Parcel:033 Q boundary determination or regulatory Interpretation. Enlargements beyond a scale of Owner:RABIDEAU,MICHAEL J&SARA E Total Assessed Value:$406800 Selected Parcel w+ V-100'may not meet established map accuracy standards.The parcel lures on this map are only graphic representations of Assessoes tax parcels.They are not true property Co-Owner: Acreage:0.83 acres Abutters boundaries and do not represent accurate relatlonships to physical features on the map Location:1837 MAIN STJRTE 6A(W.BARN.) such as building locations. Buffer 21 s- IL a - ink A. jkL 'ki ' "ter y •-�.,� - ., M :%. 3 1, a t` •. r i R _ k 1 b u � , �ci � ss7 ��� � � � [ ] [R216 033 . � ] ... LOC] 1837 ROUTE 6-A CTY] 05 TDS] 500 WB KEY] 133304 ----MAILING ADDRESS------- PCA] 1091 PCS] 00 YR] 00 PARENT] 0 LEVERONI,- PETER J MAP] AREA] 88AB JV] MTG] 3004 1837 MAIN ST SP1] SP21 SP31 UT11 UT21 . 83 SQ FT] 1820 W BARNSTABLE MA 02668 AYB] 1850 EYB] 1975 OBS] CONST] 0000 LAND 36900 IMP 147700 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 184600 REA CLASSIFIED #LAND 1 36, 900 ASD LND 36900 ASD IMP 147700 ASD OTH #BLDG (S) -CARD-1 1 99, 400 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #BLDG (S) -CARD-2 1 48 , 300 TAX EXEMPT #PL 1837 RTE 6 BARNST RESIDENT'L 184600 184600 184600 #RR 1387 0168 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 02/88 PRICE] 1 ORB] 6154/157 AFD] ' I A LAST ACTIVITY] 09/02/92 PCR] Y R216 033 . P P R A I S A L D A T • KEY 133304 LEVERONI, PETER J LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF 36, 900 147, 700 2 A-COST 184, 600 B-MKT 141, 100 BY 00/ BY ML 3/90 C-INCOME PCA=1091 PCs=00 . SIZE= 1820 JUST-VAL 184, 600 LEV=500 CONST-C 0 ----COMPARISON TO CONTROL AREA 88AB -- --MAY NOT BE COMPARABLE-- NEIGHBORHOOD 88AB WEST BARNSTABLE PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 369001 LAND-MEAN +Oo 1846001 97303 IMPROVED-MEAN +52a 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R216 033 . P E R M I T [PMT] ACT* [R] CARD [000] KEY 133304 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT [B28936] [02] [86] [AD] 250001 [AM] [01] [87] [100] [NEW ] [WB BARN ] [B32764] [04] [89] [AD] 350001 [LK] [01] [90] [100] [NEW ] [WB ADD'N ] [B35976] [06] [93] [AD] A 170001 [LK] [01] [94] [100] [NEW ] [WB DORMERS] [ ] [ ] [ ] [ ] ] [ ] [ ] [ ] [ ] [ ] [ J [?] Town of Barnstable *Permit Ov 1 Expires 6 mo s fr missek, v7 °� Regulatory Services Fee + snaxsrABM • M'M Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us. Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY I Not Valid without Red X-Press Imprint Map/parcel Number - w( Property Address [4/Residential Value of Work$ 4 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address U Contractor's Name S Telephone Number —M-97 ( eol Home Improvement Contractor License#(if applicable) Q� Email: Construction Supervisor's License#(if applicable) L�'Z-V- X-PRESS PICR11AwT �orkman's Compensation Insurance Check one: ,\ SEP 2 4 2013 ❑ I am a sole proprietor ❑ I am the Homeowner I.havee Worker's Compensation Insurance TOWN OF BARNSTABLE � Insurance Company Name 0-1 Workman's Comp.Policy# ?5 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old s g es) All construction debris will be taken to 1-1 n A-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ti .e-side bKeplacement Windows/doors/sliders.U-Value y, JD (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 Impro nt Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILESTORMS\building permit forms\EXPRESS.doc Revised 060513 r �4 27ze Commonwealth of Massachusetts Department of Industrial Accidents WiOffice of Investigations 600 Washington Street Boston,MA 02111 ivwm•ass goWdia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Basi-eesslorggaaninatia "dual): S Address: AL City/State/Zip: 6 Phone ik A=yo employer?Check the appropriate box: T of ro'ect r .4. I am a eneral contractor and IYPe P 1 ( � ��employer with ❑ g 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors ^� 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Leg ship and have no employees These sub-contractors have g_ ❑Demolition working for the in any capacity. employees and have workers 9. ❑Building addition [No workers' comp.insurance comp.insuranee.I required.] 5. ❑ We are a corporation and its 10-❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1L❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12_❑goof insurance required.]T c. 152, §1(4),and we have no repairs i3.❑Ocher employees.[No workers' comp.insurance required.] *Any applicant that checks boa#1 mast also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mast submit a new affidavit indicating such- +Contractors that check this boa must attached an additional street showing the name of the sub-contrwAo=s and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I ant an employer that is providing vtorkers'conipensadon insurance for my employees. Below is the policy and job sibs inforntatiat. Insurance Company Name: Policy#or Self-ins.Lic.#: I-A 7 r 10 Expiration Date: Job Site Address: l 0.?2 . CitylState/Z.ip: IAIH Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations o IA for insurance coverage verification. I do here ce under the ns and �oj ury that the information provided abuts rs and correct Si ., - Date: I Phone#: _ / Official use only. Do not write in this area,to be completed by city or town o,,j�iciaL City or Town: Permit/L%cense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Fown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Client#:33723 CAREF ACQRD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/06113 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 pollcy(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 Herlihy Insurance Group Inc. PHONE FAX 51 Pullman Street ac Nc Ext:508 756-5159 AIc No): 508-751-5747 F-MAIL Worcester,MA 01606 ADDRESS: 508 756.5159 CUSTOMER ID M INSURER(S)AFFORDING COVERAGE NAIC# INSURED Care Free Homes Inc INSURER A:Peerless Ins.Comp. 239 Huttleston Ave INSURER B:EastGuard Insurance Company Fairhaven, MA 02719 INSURERC:Safety Indemnity Insurance Comp INSURER D: INSURER E: 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 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. SR DL UB i TYPE OF INSURANCEPOLICY EFF POLICY EXP D POLICYNUMBER MM/DD MM/DD LIMITS A GENERAL LIABILITY CBP8929704 9/01/2013 09/01/2014 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PDAMAGE TO REMISES RENTED urrence $100,000 Ded:2 CLAIE �OCCUR MED EXP(Anyone person) $15,000 X BI/PD Ded:25O PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PROJECT LOC 8 C AUTOMOBILE LIABILITY 6213850 07/01/2013 07/0112014 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY(Per person) $ X SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS PROPERTY DAMAGE $ (Per accident) X NON-OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE DEDUCTIBLE RETENTION WORKERS COMPENSATION $ B AND EMPLOYERS'LIABILITY CAWC471104 09/01/2013 09/01/201 X WC STATU- OTANY H- IN LIMITS OFFICER/MEM R ER EXCLUDED?ECG Y� N/A E.L.EACH ACCIDENT $100 000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $100 000 If es,describe unndd er , DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 367 Main Street AUTHORIZED REPRESENTATIVE Barnstable,MA 02601 m 988-2009 9ORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S63734/M63712 AAG ' Massachusetts Departfient.of Publtc.Safety ;} ' t £` .Board�r#Bcl Idmg l gulOtiaaS'andStandards Constcttarr:Supet y isor ' Lithe` CS-09528 DANA J PICI �v4 ` vi ` j 19:HAMLET`�T i Fairhaoea 02 n / V 3c { EzpiP,atiori • Commissioner _ ' -� 0�/22/2014 . s - 9} ze'c0amnzaycwCaa .- t fficc,of Cousur►er Affairs BrBusiges-- guladoe., 1VIE IMPROVE ENT'CONTRACTOR M. egistrationt- gb503; aY ExpirdtiR Suoleri*t CARE FREE HOMES a .e -:- " • _ -- a t DANA PICKUP 239 Huttlestorrave ���; � • # auhavith, fA.0719 " Uiidersecretari— OFFICE::(508) 997-1111 ;; MA. Builders Lic. #021330 `FAX: (508) 997-1297 CARE FREE Home Improvement TOLL FREE: 1-800-407-1111 AoWmeS Inc. Contractor's License WEBSITE: #100503 MA. www.carefreehomescompany.com 239 HUTTLESTON AVE. (RT 6)• FAIRHAVEN, MA 02719 #155179 R.I. NAME�I LflfG, (Ti /� DATE r ADDRESS 1 d X 7 a P CODE- ADDRESS OF JOB HOME EMAIL ADDRESS CELL JOB DESCRIPTION ro of s c LP T (SZM & MX/ �5:-: Scheduled Starts Scheduled Completion A. Replacement of..missing or rotted lumber is not included unless specified. B.All start&completion dates are approximate and could change due to weather conditions. C.Stripping of roof includes removal of up to two(2)layers of sh' I each additional layer to be charged® ftz. D. Replacement of rotted roof boards/plywood to be charged ft2. E. Existing chimney flashings will be reused; replacement, if nece sary, is not included. F. Care Free Homes, Inc. is not responsible for mold/mildew conditions that are pre-existing or result from leaks not brought to the attention of C.F.H., Inc. promptly. The Company hereby proposes to furnish labor and material to complete the above work for the amount herein. Fulfillment of this order is contingent, however, upon the want of strikes,fires,arld any natural disasters,the ability to obtain materials,or any other conditions beyond the control of the Company. GI I� �) Cost of Project$ PAYMENT TERMS V �� Date 1. You,the Owner may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. 2. You,the Owners agree to pay any and all expenses incurred by Care Free Homes, Inc. in collecting money due under this contract and enforcing the terms of this contract, including but not limited to, reasonable attorney's fees, interest and court costs. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SP ES CARE FREE HOMES, INC. C Buyer acknowledges Owner: By: � receipt of fully completed copy of this Agreement Owner: All contractors and subcontractors shall be registered by the director and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 Tel.(617)727-8598 own of Barnstable *Permit# Expires 6 months from' e date • , Regulatory Services Fee • MAM"RMA • �� Thomas F.Geiler,Director tbsa .e� yL. Q 7 Tom Building Division � � 0 _ 2�01 Perry,CBO, Building Commissioner JAB 5 o ain Street,Hyannis,MA 02601 �+��� -' rn www.town.bastable.ma.us Office: 50$�E���F Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number yL/lo Zb J 9- Property Address MJ 7 44 �O- /3A-4k)97A J�]Residential Value of Work °S�7D ' Ninimum fee of$25.00 for work under$6000.00 ' `Owner's Name&Address L/2 1&C- 9,44 i b F, -M_. 8 3 7 64 GL), ,634,e lx �E Contractor's Name v 0 H7J r4-L'4"CC-i Telephone Number " 7 '7 S-- 2-8 t S Home Improvement Contractor License#(if applicable) 14 q 7'7 O .Construction Supervisor's License#(if applicable) D 9 / a ❑Workman's Compensation Insurance @eck one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance ! Insurance Company Name Nsar,4,j,,%c A Workman's Comp.Policy# 0G &-�6 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to )lh-e-AA B u.Tt,/ ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *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. Hom Improvement Co tractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 c�%uaet2 BOARD OF BUILDING REGULATIONS . i Licionse: CONSTRUCTION SUPERVISOR , Number. CS 069152 Expires: 12/11/2006 Tr. no: 6328.0 Restricted: 00 JOHN M FALACCI PO BOX 1224/1441 RT 132 HYANNIS, MA 02601 Commissioner _, ��e 'C�o�rrdnr�rt.cea��s a�..!(auar./rue�'•1 w\ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 148770 .--- - Expiration: 10/25/2007 --- Type: Private Corporation HOME IMPROVEMENT SPECIALIST OF CAPE COD JOHN FALACCI 25 IYANNOUGH RD � ,✓ HYANNIS,MA 02601 administrator %/e C�rrit.,reo�au+e�ell/r u`� llir:.ane/rrtael y Board of Building Regulations and Standards Construction Supervisor License License: CS 69152 -` e Expiration: 12/11/2008 Tr# 6607 Restriction: 00 JOHN M FALACCI PO BOX 1224 HYANNIS.MA 02601 Commissioner i Town of Barnstable 1"9. Regulatory Services Thomas F.Geiler,Director Building Division . Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I /z k -g i 6-4vi ,as Owner of the subject property hereby authorize �* - f to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Vr&7 Si attire of er Date �l 1L—V - U41-z Print Name F rms:e m Q. o xp mS Revise071405 f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly rati Name(Business/Orgmion In(ividual): /. '(1 Address: aS l Y.Q_7"nid7<6I'll 4A 41-E 219 City/State/Zip: #Y.f7✓1v1r M.g Phone#: ,57 e 7 S -2-P7 ' e ou an employer?Check the appropriate box: Type of project(required): ❑ I am a general contractor and'I I am a employer with 4. g 6. New construction employees(full and/or part-time)-.'"--- — have hired-the.sub-contractors— ._ 2. am a sole proprietor or partner- listed on the attached sheet. t �• ❑Remodelilig ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' 13.0 Other comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 4Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: w e9 to Z16/ F Expiration Date: 9��5/�-7 Job Site Address: �A City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct �'S ignature• Date: \\Phone#: a'—Og 7 7 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: JN4.12 /t17.! s HOIMEI-1 08/30 06 PRoouczR THIS CERTIFICATE IS ISSUED AS A!MATTER OF INFORMATION The Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE of Cape Cod, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 480 Routca 4R., P 0 Box 960 ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW. East Sandwich MA 02537 Phone: 508-888-2766 I INSURERS AFFORDING COVERAGE I NAIC s _ 543uR6 I wsuneRA: Safety Insurance Companv T 33618 n+SuRER a AIG American International Co Home Improvement Specialists NsuRCRQ Harleysville Worcester Ins Co of Cape Cod Inc. P 0 BOX 122� INSURER11F Hyannis NIX 02601 - INSURER E: COVERAGES TNG POUCIes OF INSURANCE LIMO BELOW HAVE BEAN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOICATEO.NOTWR'HSTANOING ANY REQUIREMENT.TERM OR CONDIMN OF ANY CONTRACT OR OTHER DOCUMENT VAT14 RESPECT TO M IICM TMIS CtaTIFIrA7E MAY Se ISSUED OR MAY PERTAR!THE INSURANCE AFFOROeo BY THE POLICIES OeSMaeD HEREIN IS"jECT TC ALL THE TERMS,CXCLUSCONS ANO CONDITIONS OF SUCH POLICR"OtCIES.AGGFtFGATE UMITS SH0VW MAY HAVt KEN RzouCEO QY PAC CLAIMS, IL TR MSRO TY*£OF IN3URANCfi I �1C MM� DA� �n N LIMITS .•. GENERAL UABILITY I CACM OCCURRENCE 111000000 C l I I COMMERCIAL CARCRAL LIABILITY C85J4134 TReMIs ;!E �enoi) _ '= 100000 I ---------^����' � ! J CLAWS MADE 1. OCCUR MEO EXP(Any orA m—w-) 7 5000 X Business Owners 09/02/06 09/02/07 1 PERSONAL sAOVINAAY �-s--- - — .GENERALACGREGATE 112000000 - GENII'L AGGREGATE UMR'APPLIES PEP- PRODUCTS-C*MPIOC AUG j S I POLICY �a n LOC i AUTOMOBILE LU184JTY I COMBINED SINGLC LIMIT A I ANY Auto 3953673 09/16/06 09/16/07 (E33wdwll I s 1000000 ALL OwNeD AUTOS I BODILY INJURY (Px xr6unl 9 X SCWDULEO AUTOS .— HIRED AUTOS I I 30DILY INJURY ' -ov%zo AUTOSON I (�acoJ�All I j 1 - t---- PROPERTY DAMAGE 'S I I I� I SPer acddcn+l LGARAGB LIABILITY I AUTO ONLY•ES,ACCIDENT i �.. ' EA ArC I s ANY AUTO i I ( OT`iERTHAN AUTO ONLY: ACG s LEXCESWMBR`LLA LIABILITY i I I EACH OCCURRENCE s - CCCUTA CAA .AS MADE ! I I AGGREGATE ceouc ALE RETENTION s i B I1 WCRICEAS CCMDENSATION ANC DORY LIMITti E"P �W18"'TM WC8964613 I 09/15/06i 09/15/07 c.L.ZACmAMCENT 11100000 ANY PROPRIETORMARTNERIEX-*cvrrVE OFFtCERIMEMBER EXCLUDED _.L.ISeASE-S►EMPLOYE-Ts 100000 `Ilres. �wcDISeA9E-POLICYLIMfT I c 500000 4PECtAI PRCVISION6 D.Iwr DINER PROPERTY 95000 0 I;UPTMM OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSONS ADDED SY ENOORSEMENT!SPECIAL PROV161ONf 1995 Chevy 010 VAN 1G=G15Z4Sr222051 1986 Chevy Plat DVMP TRUCq IMHC34MOGS189051 Hama improvement and remodeling CERTIFICATE HOLDER CANCELLATION WOCI)pAl SHOULD ANY OF THE ABOVE QESC-MBED POUCIES BG CANCELLEO BEFORE THE 7PtRAT10 DATE THEREOF,THE WUINQ INSURER MALL ENDEAVOR TO.MAR. 30 DAYS WRITTEN NOT"TO THE CEATIMCATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL IMPOSE NO 08LIGATXNI OR LIAZILIPI OF ANY K1N0'JPON THE INSURER.ITS AGENTS OR TATryES. � rThis E I E /Insurance Acen ACORD 25(2001108) G ACORO CORPORATION 1988 �VIE The Town of Barnstable �— ,� Department of Health, Safety and Environmental Services DAMMAM& ' Building Division Kma 1639. 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home dccupation Registration Date: -z�t^5'� Name: Phone#• Address %83 7 j/tl _ (,t�.. /5 57 -SL >71age: Type of Business: (.P tom(S 41�4CL, Map/Lot: 2-1 ee a INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the,undersigne ,have read a with the above restrictions for my home occupation I am registering ph cant:" Date: Ap Homcoc.doc A=216-033 JC SEPH D. DALUZ — -- Building Commixioner TELEPHONEt 775.1120EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 May 9, 1990 Mr. Martin Wirtanen 1866 Main Street West -Barnstable, MA 02668 Re: A=216-033 - 1837 Main Street, West Barnstable Dear Mr. Wirtanen: This letter is to advise you that as a result of your letter dated March 26, 1990, Building Inspector Al Martin did inspect the premises located at 1837 Main Street, West Barnstable owned by Peter Leveroni. The inspection was made.-at 1:00 p.m. on April 12, 1990 and no zoning violations were noted. There are no living quarters on the second floor. of the accessory building. False advertising is not a zoning violation and I cannot assume that there may be a zoning violation in the future. Please be further advised that Section. 4-3.5, Paragraphs 1) and 2) of'-the Town of Barnstable Zoning By-law provides for signs in a resi- dential district displaying the street number and the name of the house or the name of the family/residing' therein. If I may be of any further assistance please contact this office. Peace., jfhD. Dg Commissioner JDD/gr cc: Town Manager i f JOSEPH D. DALUZ Building Committiontr TELEPHONEt 775.1120 EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 May 9, 1990 Mr. Martin Wirtanen 1866 Main Street West Barnstable, MA 02668 Re:. A=216-033 1837 Main Street, West Barnstable Dear Mr. Wirtanen: This letter is to advise you that as a result of your letter dated March 26, 1990, Building Inspector Al Martin did inspect the premises located at 1837 Main Street, West Barnstable owned by Peter Leveroni. The inspection was made -at 1:00 p.m. on April 12, 1990 and no zoning violations were noted. There are no living quarters on the second floor. of the accessory building. False advertising is not a zoning Violation and I cannot assume that there may be a zoning violation in the future. Please be further advised that Section 4,-3.5, Paragraphs 1) and 2) of the Town of Barnstable Zoning By-law provides for signs in a resi- dential district displaying the street number and the name of the house or the name of the family/residing' therein. If I may be of any further assistance please contact this office. Peace, je h D. D lding Commissioner JDD/gr cc: Town Manager 1866 Main Street West Barnstable Massachusetts 02668 March 26, 1990 Building Commissioner . Town of Barnstable Hyannis, MA 02601 Dear Sir: . I was outraged and disgusted, but not the least bit surprised to find the enclosed advertisement in the Cape Cod Antiques & Arts section of the Register newspaper a few weeks ago. This piece of property, containing .83 acres , is located at 1837 Main Street (Route 6A) in blest Barnstable. It is Parcel 33 on Assessors Map 216, and that department's records show the following information: Land 829900. 00 Building 61, 300.00 Other 400.00 Building 48, 300.00 Further inquiry reveals that the $400 assessment- covers a 1110 x 12 ft. shed" . It also is a matter of record that the $48,300. 00 assessment** refers to a structure listed as a "Garage with quarters over" . THERE IS NO RECORD IN THE OFFICE OF THE BOARD OF APPEALS OF ANY PERMIT GRANTED TO PRESENT OR PAST OWNERS FOR EITHER A SO-CALLED FAMILY APARTMENT NOR A HOME OCCUPATION USE. Records of the .history of this property would reveal that the residential structure never was a "FARMHOUSE" as stated in the advertisement, but I suppose that is just a minor matter of false advertising, but placing property on the market as a "home occupation" is flagrantly untrue. A permit was granted within the last couple of years to the present owners by the Old King's, Highway Regional Historic Disibict Committee for the enlargement of the residential building, but even that was after a number of hearings and revisions of plans. Shortly after completion a light post was installed near the driveway (not included in any approvals and requiring a certificate of either appropriateness or exemption of which there is no record in that office. ) At the end of 1989 a sign was hung on this light post with "scales of justice" at the top, he name "Leveroni" in the middle and "Attorney.,At Law" at the bottom - Legal or illegal but certainly misleading as no "home occupation" exists under our zoning by-laws. Building Commissioner -2- March 26, 1990 However, it was several years ago that the Old King's Highway did grant permission for renovation of the ex- isting garage to provide "STORAGE SPACE" on the upper level. Examination of plans in your office revealed two (2) sets, one marked "not to be used", but showing a lavatory area at ground level, space for a "washer and dryer" , even indications of a circular staircase from the garage to the upper level, a small back porch entry, even a "shower" . I submit to you and suggest that this second floor area over the two-car garage has been used improper- ly and possibly illegally for the past 'few years. Earlier inquiries of your office indicated there was no way to in- vestigate alleged violations, but my question is then, how are zoning violations enforced? Although as taxpayers we are pleased on the one .hand that the present owner is paying for assessments on what appear to be two houses on one lot, we also realize that the new addition to the residence, we' also know that the increased valuations (purchase price in March of 1985 $74, 000.00, now for sale at $279 900. 00) will eventually impact comparable properties in the neighborhood. The lot in question is already undersized to support even one .home IN AN AREA WITH NO TOWN WATER AND NO TOWN SEWER IN THE FORESEEABLE FUTURE OR EVEN THIS CENTURY. . A copy of this inquiry is being sent to the Board of Appeals, the local Board of Realtors, the Barnstable Board of Health, the Old Kings Highway. The courtesy of a prompt investiga-v tion and reply is respectfully requested. Very truly yours, Martin �,. l irtanen I x h ..""77-77!T'._ —r^*a q+n v�,m"f" t. T—.r•-, , .. nT j j''�. °Fri .4hd .. S 1'" r!,._%, +.ti• WEL - 0 11 CIE: Oa 'T'"R. 4.V1�` F .%rt. .at°:�tt�ld a i l ?, rrr. �•q�•�tT11SID.It is a lea , ;r pleasure to bring to your attention•each•;month-4 page of antique and special homes that are for sale.'The staff at Norton Real Estate is respected-for:ther unique knowledge of antique ro ernes 1bu be aware that we have many.newer, noik t so new Land,brand anew' homes,for sale also. We have a wide price trice ran e you to and are ready to serve your. real estate needs.' range e When you think real estate...think Nortona hx we,areready to help !"1 NEW LISTING-YARMOUTH PORT d f HOME OCCUPATION _ E Circa 1860 Colonial. 4 bedrooms, 2 baths, gracious home Renovated 5 bedroom pB 1905ffers distant W. Barnstable - new listing. Recently renovated,farmhouse '+, with eat-In kitchen,formal diningand fivt pwith new addition being a beautiful fireplaced family room. , ng 7O°ms neau'sho views of Barnstable Harbor.Hardwood'floors, 14.skylights, 2: ^ Outbuilding houses 2 car garage and lovely 2 room office suite ping and restaurants.$269 000. r.t E decks, loft famUy room with 18 cellln , full �_. Cali 362-2120 g guest suite. Call with full Wed bath Walk to New Y,M.C.A.and CC C C.Ask today r,l�j.ti, r ! ` x rng$279,900~- P , - 12 '• Call 362 2 0 i r r, _. WHAT A '' SET-UP! d. .. �.�v.k Beautiful Greek Revival home with separate barn you.always "CAPIE COD VIEWS+.I: ": r"d' YAIE�MOLTfH PORT nd! dreamed about to house ;r GREAT 6A your•creative talents and business. Yarmouth Port., A riv Magnificent Antique Colonial with separated`INCOME UNIT' EXPOSURE. al mW House,' winding y leads 5�ta`The Wind-. with barn.Two love sunny parlors,with.fireplaces, • an estate-like'property with views of the Great lovely and sun front co 888 1555 Marsh and Cape Cod Bay. common room with' fireplaces, large eat-in kitchen, secret ,. g home lsi, of nooks and crap hideaway room, first floor laundry and bath. Seller waling to PT house s but also features largelliving'ar¢a�s Whlle;sectior>s of the:, SWAP for another Cape Cod o Now$279,000 x ;r house date back to',18,00,'newercwirrgs have be¢t%`added in•' pr ppee2rtyy rr recent years,'and the' r Call 362-2120 r , Property is In Showcased,condit(on. " -Separate,', toxa.enhance ,.your irnestrnent educed. .i: • t 5. - R •j -••`• 'w1�"iiTews�cff'the'Great corn room with fireplaces, large eat-in kitchen secret -- Call 888-1555 _ Marsh and Cape Cod Bay.The home is full of nooks aril cram ` nies but also features large�arm. While hideaway room, first floor laundry and bath. Seller willing to house date bade to 1800 . +of the SWAP for another Cape Cod pproppeerty.Now$279,000. y �x recent ' �W-%lnP have been'added In Call 362-212 ' .1^'�r`,and the A%,OI{ICaSe* ' - i ���` y condition. •� �+�{+nrate _ lot -t0.. eIlhali0e.a .. $695,000. . „�.�. %; ^kwastnea L Reduced, t - Barnstable office 362-2120 'K, r +� "THE SETH POPE HOUSE", (� This handsome `in town' 1699 antique is available to be a svrt� wonderful B&B or antique shop.Many fireplaces In spacious "THE TOBY HOUSE" add to the charming atmosphere of this large home :.i !s an Interesting and rare quality 1690 antique!with plenty of parking spaces.Just reduced to$325 0001 +r�+.- :�++: �: ..' g que. There are 3 Sandwich 888 1555 , bedroom suites, many wonderful fireplaces and fine Interior DISCOVER t ` " features.Old stonewalls,a small pond and mature landscaping something special in Sandwich at 1 Discovery Hill Rd 200 Complement this fine home.Offered at$375,000. year old colonial. 4 bedrooms,4 baths, lovely comer location Call 888-1555 with 2.7 acres of beautiful grounds to complement this gra cious home.Asking$299,000. Call 362-2120 r" Via` ...• 1� AM ri go Al BARNSTABL.E VILLAGE t Circa 1890 antique in quaint village setting. 1.14 acre. Stone �" CRAFTSMANSHIP PERSONIFIED walls and large anti bam. This home has recently been s antique ',�x J. :T -� ., ..���►�n z�> 3 ,, : updated to provide a unique blend of antique and contempo- "ONLY IN AN ANTIQUE HO*�" Ca11362-2120 vary living.Has great value.Reduced.$335,000. CUMMAQUID STATELY COLONIAL - On Historic Route 6A...a newly A rare find-Impressive antique replica bounded b 60 acres of remodeled•kitchen, 5 bedrooms, 2 1/1 baths, 5 fireplaces, Audubon land.Walk to Cape Cod Bay.Lovely details throu h- beautiful beamed living room with unique window treat AND out]Separate In-law apartment.Come explore, g , absolutely the most intriguing placements of custom built-Ins r More details at 362-2120 throughout this lovely home.$375,000. Call 362-2120. Rej. Norton & Co' Realtors 362-2120 BARNSTABLE VILLAGE Exclusive Affiliate 3221 Route 6A (P.O. Box 156) t & SANDWICH OFFICE Barnstable, MA 02630 SOTHEBY'S 598 Route 6A 362-2120 INTERNATIONAL REALTY East Sandwich g "Specializing in fine Northside properties along historic 6A and•down the winding and quaint lanes to the Sea" 14 z.. R216 0 53 o A F F R A I S A L D A T A K E Y 133304 LEVERONI, FETER J LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF 82,900 400 139,100 2 A-COST 222,400 B_nKT 141 ,100 BY 00/ BY NL 3/90 C-INCOnE PCA=I011 FCS=00 SI'E= 1820 JUST-VAL 222,400 LEV=500 CONST-C 0 ----CONFARISON TO CONTROL AREA 88AB -- --MAY NOT BE COMFARABLE-- NEIGHBORHOOD 88AB NEST BARNSTABLE I� PARCEL CONTROL AREA TREND STANDARD 10J 10 LAND`-TYPE 82goo] LAND-MEAN f0% 222400J 97303 IhtFROVED-MEAN f43% 0 FRONT-FT J .I00 . DEPTH/ACRES TABLE 02 l00%J LOCATION-ADJ APPLY-VAL-STAT I LNRJLAND LFT/IMP]ADJSJSB/FEAT STR]STRUCTURE ARRJAREA-MEASURErlENTS NOR]NOTES COMJMARF;ET INCJINCONE FMR]PERMITS GRRJGRAFHIC FUNCTION-f ] STRUCTURE-CARD NO-[000J DATA-j ] XMTC='] P.E R M I T f PnT} ACT'.TON[R} CARD[t 00] KEY 133304 PERMIT-NGt NO YR TYPE VALUE CK-BY MO YR ' CMP NEW/DEMO COMMENT CEZ-8936} E02] [86} [.AD] J 25000} fAMJ fOIJ f87] [100] [NEU } fUB BARN 1 LE 3764} [041 f89} fAn] ] 34000] [LK} f0I J [96] [100J [NEW } [SIP, ADD'N } _ C Jf JC JL JJ JC } [ JC 7C Jf J [ ] I 1.f 7C 1f ] J ] C "I f J [ I I ] C J C ] C 1C ] C. JJ 7C JC 1f JC JC J C J J C J f 1 C ) f 7 C ] J 7 C ] f J C 1 C J f J C J C ] f J £ J f J J J C J C J C ] f I J C J [ ) f J C J C 7 J 7 C J C J L J f J C J f J f 1C ] f 1C JJ I I I I Jf. 7 f ] [ J C J f J L J J 1 f J C ] C J C ] C J f 7 C 1 C J I J C J ] 1 I ] f 1 C ] C ] C J f J f J C J C ] f J J J L J L J f ] C J f J C } f J f 7 f ] f ] J ] C ] C 7 C ] C J f 1 f 1 f 1 f J f 1 C J 1 1 C J C J C 1 C ] C J C J C Jf JC JC ] 7 Jf., ] f 7C lC J [ J f • ] C ) C J [ ] f 7 J J L J C J [ J C J L J C J f J [ J [ JC JJ .1f JC 7f 7C 7C J . 0 } [ Jf Jf JC 1J JC JC JC 7C JC 1 C JC?J I *THE To�o TOWN OF BARNSTABLE OFFICE OF BAHl9TABL s BOARD OF HEALTH z MAe6 Oj i639' `em 367 MAIN STREET 0 MAY HYANNIS.MASS.02601 April 4, 1990 Peter J. Leveroni 1837 Main Street - Route 6A West Barnstable, MA 02668 Dear Mr. Leveroni: You are directed to cease and desist utilizing.the structure above the garage as an office, at 1837 Main Street, West Barnstable. The Board's variance letter addressed to you dated January 8, 1986 for your property at 1837 Main Street, West Barnstable, clearly states the garage cannot be used for human habitation. (See enclosed letter): According to 105 CMR 410.031 in the State Sanitary Code the Definition of. Habitable Room means every room or enclosed floor space for living, sleeping, .cooking, or eating purposes, excluding rooms containing toilets, bathtubs or showers; and.excluding laundries, pantries, foyers, communicating corridors, closets, and storage spaces*. You stated to Health Inspector Edward Barry on February- 14, 1989, that the structure above the garage is being utilized as an office. Utilization of the structure as an office would constitute a habitable room and would therefore violate the condition #2 of the January 8, 1986 letter addressed to you from the Board of Health. You are directed to cease and desist utilization of the structure as an office: You may request a hearing if written petition requesting same is received by the Board within seven (7) days. Violation of the Board of health condition(s) may result in revocation of the variance granted. Very truly yours, Tho as A. McKean - Director of Public Health Town of Barnstable TM/bs Enclosure Copy: Norton Real Estate Building Commissioner Board of Appeals Old King's Highway j Martin Wirtanen r t 1 n z • t January 8, 198E .�a Mr. Peter J. Leveroni 1837 Main Street - Route 6A West Barnstable, MA. 02668 Dear Mr. Leveroni: You are granted a variance to install a septic leaching 'pit IdO feet from domestic wells located on your property 1837 Main Street,*.West ,Barnstable,*and on neighboring lots. The following conditions must be complied witht (1) The designing engineer must supervise construction of_the on=site sewage disposal system and certify in writing that the;system was installed �q. accordance with his design. (2) The garage cannot be used for human habitation. (3) The water from the existing well must',,be tested annually and must meet all of the standards established by the Safe Drinking Act of 1974.. (4) The existing well must be relocated and ' must meet Title 5; 'of the State Environmental Code, distance ,, requirements, if, the water does not meet the prescribed standards. (5) The existing cesspool system (2) must be upgraded to meet the requirements of Title 5, of the State Environmental.<,Code, : and Town of Barnstable Health Regulations if problems occur. ,';x':• a Very truly yours, joAbe ?tLZ. hilds � Chairman r I ,` •.:" F ` • BOARD OF HRALTH ,TOWN OF BARNSTABLB " `' ,'K/mm Mr. Steve Wilson {` ` t. WELCOME THE'� O_ N It is a pleasure to bring'to your attention each'm. onth`a ,page of antique and special. - staff at Norton Real Estate is respected for-their' knowled a of anti ue homes!that are for sale. The 4. g q properties, but we would like you to be aware that we have many.newer, not so new�and.brandy null.homes fort and are ready to serve your.real estate needs.: ' >` `-i:�„``' '::` ,sale also- We have.a wide price range . � e. . . � ����.���.: When you think real -.,, . ' - _.�_.__• .. ._ � - estat ..think Norton are ready�to help,` � - •-} +1�(„ ri.°: a�..�4 r'.;•"_r.... .� r 't, -`F 4 t ": : � .- •=•:icy - `; -�"c ,,� �' ' � �• /� ��J ;; o- }as 1 i` k. HOME LISTING-YARM :'y , -,, OCCUPATI ::: :,_ CiN W OUTH PORT 1 '►' .nM pEBBL E''��'��y=��+=-�r W sar�able - new listing. Recently 0 CokmW. 4 bedrooms. 2 baths, gradotia home'� = Renovated 5 bedroom'residence built in 1905 offers dlstarnt ''r,wtth new hauseF .' - with eat•in kitchen,formal dining and �:° � ��9 a beautiful ftreplaced family room..` Lefng rooms,near shop- < views d Barr>stable Harbor.Hardmmrood •''fig houses 2-car a and lovely P�9 and restaurants.$269 000. <::::-'• a decks, re m-wtth.18' flOun e .mAte tC 2 t"wtth full tiled bath.Walk to New Y.M.0 _ ice Butte Cad 362 Ask- _ -2120 Yk" \. oei8rmg,full guest.Butte. CaD i,,,,5279 900: C..•aC� .:3'- �' today.•'•L'.2 ti'�et:'T�'.�'l�ts; ! :e;.. 1 -!"� ,e. -..1`r. _ •_—.ti:.� - �!: - 'r s 'fC+..'r-NLy( "t.7�,�i.Ff. _ :r_•r,. 'i•% _. }' r. r+ f` - = _ ! S, 362-2120_:: is :: ` Call 362-2120 ��-�. 1� t_{. ':lo. �, v.,-• ;ice. WHAT A SET-up! Beautiful Greek Revival home with separate bar you always , ' <"CApE COD VjTru1$'. ` an r` '� ' ' ' YARMOUTH PORT '= dreamed about to house your creative talents d Wsiness. Y'Yarmouth Pod.A wtrdlng.driveway{cads you.to'The Wind Magnificent�9m Colormial with��,momE UNrr GREAT 6A IXPOSURE .r.'_::�.._.; rnmlD House, an estate-Was with barn.-Two lovely and sunny front parkmns.with fireplaces;'; !' : ' Proper wtih views of the Call 888-1555 , ` -- �`': 7 Marsh and Cape Cod Bay.The home is full of nooks and Wd oO room with'flrePlaces, large eat-In kitchen secret ` .hies but also features a ran- way►room, first floor laundry and bath Seller kitchen, j to ' larg riving'areas.While:sedons of the.,� • SWAP for another Cape 1 house date bade to'1800, rrewergWings'have`beeri added in ' Cod prop¢ 'E279,000: .. I recent years,''and the property is is:*Show use• Call 36ZZ12 —Separate.Separate. lot....to:enhance -��itloa ,c . • .. .-- ...... ., .. ..`��!O1u... irrVestr���Red<rted, ._._.._._.._.. .. a..: .. Assessor's office(1st Floor): 3 �^ Assess_ors map and lot num po*THE tp` Conservation ✓ 6— . �� �t� ���i1[ li�� w'", ew Board of Health(3rd floor): IV b=� INSTALLED IN C Sewage Pernfit number ✓4 VVI VUI7'Ii TIT ",r• Engineering Department(3rd floor): `� /��j� S ENVIRONMENTAL House number TOWN REGUL Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE '+3Pq/(-0 BUILDING INSPECTOR APPLICATION FOR PERMIT TO •DIr4gmC.--qj2.S --ntp TYPE OF CONSTRUCTION 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 193-7 Ale �✓ : �� � __ �' Proposed Use R������ Zoning District Fire District 6/j &A4,6d Name of Owner D"j7Z7Z- Etfc�2�at.�d Address i$37 Name of Builder f V�)2- C,S Address Name of Architect 6,pepay Address M yxj- .z . Number of Rooms Foundation J-a 2C.;Z(a Exterior Ivy-Inc— Roofing Floors 9-/V o F4-o-,q/�, Interior /W&On Heating 6 64r Plumbing Fireplace s Approximate Cost (Al7 Area A e9 �4 C� Diagram of Lot and Building with Dimensions Fee ®� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 't I hereby.agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.. I Name Constru n Supervisor's License �ozc R"!5(p 19 ,z ) 1-wi e.—P Cav L LEVERONI, PETER No 3506 permit For ADD DORMERS Single Family Dwelling Location 1837 Main Street West Barnstable Owner Peter Leveroni Type of Construction Frame Plot Lot Permit Granted June 21 , 19 93 'Date e / 1.91"" Date Completed ./ 19 i,.).VU I— 711 9 3 a C _ y,' �. I ( DEPARTMENT OF RUBLIC SAFETY COMMONWEALTH OF 1010 COMMONWEALTH AVE. MASSACHUSETTS BOSTON,MASS.02215 II r l' a '? ENCLOSE CHECK OR MONEY ORDER �E��SE `� EXPIRATION DATE •: '1�I CONSTR. SUPERVISOR FOR REQUIRED FEE, 06/30/1993 o EFFECTIVE DATE LIC-NO. g MADE PAYABLE TO RESTRICTIONS 6 NONE 06/30/1 991 029256 "COMMISSIONER OF PUBLIC SAFETY" m JAMES KELLEHER - m (DO NOT SEND CASH). 110 ELLISVILLE RD PLYMOUTH MA 02360 P &�EAS 0T g�FEE(lIN N SE PHOTO(BLASTING OPR ONLY( FEE: (JJ t—� - 100. 00 E FECTIVipgE)8 9Ap 1989 HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED-OR -SIGNATURE OF THE COMMISSIONER h COO CCCC 0 NO1TAHjLi �lSE STUB THIS DOCUMENT MUST BE SI AAfE IN LL-ABOVE�IG dTURE LINE CARRIED ON THE PERSON OF - NATURE OF LICENSEE THE HOLDER WHEN ENGAG � - OTHERS RIGHT THUMB PRINT ED IN THIS OCCUPATIONI ., COMMISSIONER 20OM-2.87.81429 n Application to O�N�tP P�VtM j ✓�pNti OtNNS,lEp NFL S Old Kings Highway Regional Historic District Committee ,o. in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application Is hereby.made, iri 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 X 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 ❑ Walt ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE May 19 1 QW1 ADDRESS OF PROPOSED WORK 1837 Main St. W. Barnstable ASSESSORS MAP NO. 216 OWNER Mr. Peter Leveroni ASSESSORS LOT NO. 33 HOMEADDRESS 1837 Main St . W. Barnstable, MA TEL. NO. 362-9632 .FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or vvay. (Attach additional sheet if necessary). 1 . Gerald Schovach 1825 Main. St . W. Barnstable, MA 2. Amalia Fernandes 1847 Main St.. W. Barnstable,: MA 3 . James O'Reilly 1849 Main St . W. Barnstable, MA 4 . Mary Aldridge. O'Reilly 1849 Main St . . W. Barnstable, MA AGENT OR CONTRACTOR TEL. NO. 362-2210 Gordon Clark* III Northside Design Associates ADDRESS 141 Main Street Yarm outh Port ,. 02675 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). r--N PROVED Signed wner-Contractor-Agent Space below line for Committee use. .Received by H.D.C. r 1 D he Certificate is hereby _ZT�—ff ..ql Date Tif /V ` TOWN OF BARNSTABLE MPORTANT: If Certificate is approved, approval Is subject to the 10 day appeal period provided in the Act. Disapproved ❑ • 1 Additional Abutting Owners to Peter Leveroni residence: 5 . Maria L. Robie 1834 Main St. W. Barnstable 6 . Lillian V. Leeman 1850 Main St. W. Barnstable 7 . Carl Suhkala P.O. Box 93 W. Barnstable 8 . Bunting i �nFn)43)9/7 U. 1 `t •`•. • 1 C 1 ' OLD KING'S HIGHWAY HISTORIC DISTRICT S P E C S H EE T FOUNDATION Combination Doured co � Natural SIDING TYPE White Cedar Shingles COLOR CH I MNEY TYPE Red Brick COLOR Red ROOF MATERIAL Match Existing COLOR PITCH 12/12 6/12 WINDOWS To match existing SIZE TRIM COLOR White DOORS N/A COLOR SHUTTERS N/A GUTTERS Match Ex' DECK N/A GARAGE DOORS N/A COLOR i (Votes : 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 plans, r when applicable. w lan need not be "Certified" , but should show t ED.PlotP all structures on the lot to scale. Assessor's office (1st floor): i I ' . SEPTIC SYSTEM MUST BE THE T Assessor's map and lot number J.41.q'�.....a1....... INSTALLED IN COMPLIA Board of Health (3rd floor): WITH TITLE 5 Sewage Permit number ............................................. ` . ENVIRONMENTAL CODE 9z&BLE, s Engineering Department (3rd floor): .� w�®`� moo Mb}9. ... d-34 �...J.R.. n. �-tc��ems' /k ,o, House number �t. +a.. .. 3�....�?.1�...................•.. U�'t V� 'FO ypY d' APPLICATIONS PROCES? 8:30-9.30 A.M. and' 1:00-2:00 'P.M. only CD-X. • �Y TOWN OF 3�09 BUILDING INSPECTOR APPLICATION FOR PERMIT TO .Ak!P!.7P:.v k(PY/ 6: (3 fF/Z-.N...... �z C4 K 6/4�►�G�� �IGt o . ... ... .... .. ...............iZc a i3 �w TYPE OF CONSTRUCTION ....... v ................................................................................................................... ....................... ..�_a�.............19.� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .3.7...!M e41lu S't (oF1 (�Nsr �bCc�2�u�T ►4 �� o 1-6G 9- ................................................................................................................................................................ ProposedUse .......c ....CAA(........... u�c�c�. ....................................................................................................................... Zoning District ... �. ....h°�?fzjU5.7 .�.�`R ....Fire District ....weS.�.....0 nlu 57i9 1+e ................. ...................................................... T. 'LeocC6R,i /�3 f/��iv s> 6t/csr �X.s7,1f-4 e Nameof Owner .. .................................................................Address ........... .7.................................. ............................... M1`(. L�J e ^02 ( Nameof Builder ....................................................................Address .................................................................................... Name of Architect .... �� N �V 1�`e 0- 4l�S�'i/U .s t` _ op' , I"+ /I /.............../.......f............................Address ......................J�. ....../........................................j......... Number of Rooms .(.U5...�.!!:u..........�........�Q.�Youndation �oN�re .I*e C Exlerior .... .V�1.n?..�. .....� .© .� .............................Roofing .............. ...... ........................................................... Floors Interior GvDo Heating ...zv� f:, .......................................................Plumbing ......LAvivDi2 t/ ,20o t-z (PvC) Fireplace /t!lcn'1.1�....................................................Approximate Cost Definitive Plan Approved by Planning Board ________________________________19-------- . Areas. ........................ Diagram of Lot and Building with Dimbnsions Fee ........... ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH � 2Zx� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of th Town f Barnstable regardi th above construction: Name . ........... ............ .. .. ............................................ Construction Supervisor's License .................................... LEVERONI, PETER J. & JOHN M. 2893b Permit for ...App.'..T�ON TO BARN ................... (2-. Car Garage) Accessory to Dwelling AE ................ ........................................... ................ Location ......1.8.3 Main...S.t.ree.t........................ . . .... .... .... . . ...... . West Barnstable ro . .................... ........................................................ Owner ........P.e.ter...J......&...John...M......L.e.ver.o.n.i . . ............ .. . ........ .. . . ...... . . . ........ .. Type'of Construction ......Frame.......................... . ................................................................................ Plot ............................ Lot ................................ Permit Granted ..... .....February19. 13, 86 . .. . . ....................... Date of Inspection ................19 Date Completed ..... 19 . ................... AssAsor's.oftl*te(1st Floor): Ass�s'sor's map and lot number .�i �to d 3' � cF THE ro Board of Health(3rd floor): k e�Q ♦� Sewage Permit number ,� - /o�, ,�_ • Z BASa9TADLL i Engineering Department(3rd floor): V raen House number . ., °o 1639• Definitive Plan Approved byflanning Board 19 , MIX APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN rOF BARNSTABL3���`� Q BUILDING INSPECTOR APPLICATION FOR PERMIT TO ko/i Abb/ 77Ok vS (-.- TYPE OF CONSTRUCTION 19 c/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location / 1� 37 AMIN �'e5 T ZX' Proposed Use ��y//UG- ego U Zoning District eF Fire District Name of Owner �� � .�• t�kE�O Address /U7 hWIti S A/ •rN ST.z��s� r Name of Builder /7�/L ^/. Zo57V6a0lul' Address Name of Architect Cl Address Address S• A,'6u/i Number of Rooms Z-- Foundation Exterior 5/,iN4 XXe Roofing Floors Gl/OoD / (�lStit/X Interior sir o c/G Heating 4oK C S- 0 . 'Plumbing Fireplace S Approximate Cost ��5.OD y Area --57Z air Diagram of Lot and Building with Dimensions Fee S 3G� � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regal ing the above construction. Name + Construction Supervisor's License W"�� r LEVERONII, PETER A=216-033 BUILD ADDITION , " No Permit For Single Family Dwelling Location 1837 Main S t . West Barnstable Owner Peter Leveroni Type of Construction Wood Frame Plot Lot Permit Granted April 4 19 89 Date of Inspection 19 Mom. r Date Completed 19 _ 10 F t• 17 Application to .1t aJ L, Dg�tc:`_._.. Old King's Highway Regional Historic District Committee in the Town of Barnstable for a MAR CERTIFICATE OF APPROPRIATENESS c1c���. Application.is hereby made, in t4lpl_ eat2. 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 Q 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 PR(N T LEGIBLY DATE M0.p C"(1 -7 1 C1 811 ADDRESS OF PROPOSED WORK �L�J "\"t\0 'i C Zt �,R) ASSESSORS MAP NO. a�� W e�z o `.—rf�ol� u4 a OWNER �Z c �. l �.�e C o/v ASSESSORS LOT NO. �3 HOME ADDRESS f's;A v�� - 1 � 3�2 4 3L TEL. N0. lc�) 3aq d63o FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any.public street or way. (Attach additional sheet if'necessary). Gesz,aD 3- . t,1&2-.s (k to, u ST- u� �S-c gczan)s-r,a c�., a�, A L t M F'e rzto P /)es /SS 7 Mom/u 57 CUt57 Xe N/4 C5 Jr,q/MFS C) ,02i//y . M��Y �•L c?/[F D 6 E /4s c/% M�/.c. ST` sv e�T ,Q,q.r.c.•srw�.4 M.✓ o��6 f /tra"t-, 6 6 S' ENT OR CONTRACT'sOR Re,/ .7. TEL. NO. / 3C rF6-21 ADDRESS /937 /Y,r I*A .S7- We 7 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing sians and proposed locations of new signs. (Attach additional sheet, if necessary). Cs2e 45z T7.4 c A/e o ��✓..s Signed Owner-Con tractor-Agee t Space below line for Committee use. Received by H.D.C. � Date The C ifi to is hereby Date Time By _ Approved IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. ,( Disapproved Q TOWN OF BARNSTABLE BUILDING DEPARTMENT. HOMEOWNER LICENSE EXEMPTION Please print. DATE `� Y JOB L'OCATIbN /k57 Zj,¢j L Number btreet aaaress ection of town "HOMEOWNER" ��=-/Z J, ��v�no��� 3�a-��3 a (E�7� 3�� j��o ame Home one WorK one PRESENT MAILING ADDRESS /k37 ST 5 72�t 1ty town fate --Z1 p co e The current exemption 'for "homeowners" was extended to include owner-occupied dwellings of six units or ess an to allow such homeowners to engage an ln- ivi ua for hire who does not possess a license, provided that the acts as supervisor. (State Building Code Section owner. DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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. fprm acceptable to the Building Official , that he/she shall be responsible for all such work performed under the buf1din p � g permit. k3ection 109. 1 . 1T The undersigned "homeowner" assumes responsibility for compliance with Building Code and other applicable codes, by-laws, rules and regulation the Stale g lations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minim nspection Procedures and requirements :and that he/she will comply wi sal p rocedurres ,&qjd requirements. HOMEOWNER'S SIGNATURE f APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet," or larger, will be re uir to comply with State Building Code Section 127.0, Construction Control . ed 8 HOME OWNER 'S EXEMPTION The Code state that : Permit is required Any Home Owner performing work - for which a building shall be exempt from the provisions (Section 109. 1 . 1 - Licensing of this section s Home Owner 'of Contructlon Supervisors) ; 'provided that If a. engages a person(s) for hire to do such work , that such Home Own r shall act as supervl,sor . 11 e Many Home Owners who use this exemption are unaware that the the responslbIpItles of a supervisor see A Y are , assuming, ( e for Llcensing' Cons'truction Supervisors, Section2. 15)Q, Thls elack d of e awareness In this often results In serious problems, Unlicensed persons. particularly when the Home Owner hires Unlicensed case our Board cannot proceed agalns-t the Person as It would with licensed Supervisor. The Home Owner acting as ,: supervisor is ultimately responsible. To ensure that the Home Owner Is full communities require, Y aware of his/her responsibilities, many certify that he/she understandsfthee Permit responsibilitieslof a su ery that the Home Owner last page of this - issue Is a form current ) p is ' care to amend Y used b On the and adopt such a form/certification foreusealntowns, You may Your community. I I Asse$sor's office(1st Floor): i�, p 33 srPmC sY�M musT BE 7NE T Assessor's map and lot number / Board of Health(3rd floor): INSTALLM ill QOMPLIANCE_ o Sewage Permit number iis + T C �DE AND = 13AR33TGDLE Engineering Department(3rd floor): 7 �� "'�``�� ENVI + rmd House number �6 3 / TOM REGULATIONS 1a}9- Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN - OF BARNSTAB:LE BUILDING INS-PECTO:R APPLICATION FOR PERMIT TO l d 1 TYPE OF CONSTRUCTION 19� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / Location / 3 ,�/� //1�es 7- Proposed Use Z/y//U!r Zoning District '` Fire District �S Name of Owner PfZZ-2t .J< �� `� Address 4-C /"//t/ Name of Builder ��2 �✓. L N6a0lt' Address Name of Architect Lll. e �,¢,OON`P Address Number of Rooms Z— Foundation Exterior �11 iN��`F Roofing Floors ���� /�� 'C� Interior 'Heating /M f �Ur9Tc7� (O/L) Plumbing Fireplace Y`T S Approximate Cost ��5 �� y Area �72 Diagram of Lot and Building with Dimensions Fee �i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS F I hereby agree to conform to all the Rules and Regulations of the Town of Barnsta• e regar i g the above construction. Name Construction Supervisor's License 'Wrre r .." LEVERONI , PETER No PermitFor 32764 BUILD ADDITION N rr , Single Family Dwelling Location 18 3 7 •Main S t . West Barnstable Owner Peter Leveroni Type of,Construction Wood Frame Plot Lot FF `• F1 Permit Granted Ap r i 1. 4 19 89 Date of Inspection 19 z + /DatwCom41l®ted ��/ 19 1 } �. M � r . J� - dam_; .S . To K r V Z AWN. 5r (P.T� ) tTE DA&AAA hil- � ':