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Assessor's office(1st•Floor):. ;��y��, n
Assessor's map and*lot number 2X� rq 1� f/?,iy/
Board of Health(3rd.floor):
Sewage Permit number �"�7 � :'r •
Engineering Department(3rd floor): y^� _ };: e riva
House number ►OC.� sj 1639.�`��
Definitive Plan Approved by Planning Board / 1:9'�d ' ' °rltr
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only 'AA
A P P R 0 vTDO.WN OF BARNSTABLE
Barnstable Conservation_cor; D�SING
.'INSPECTOR
0f6FHJQATION FOR PERMIT>*e Q.
TYPE OF CONSTRUCTION l Pv�/ 44/yyik
{ 1 19 �l
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location b6t
Proposed Use Zoning Distric /�t � `A Pdam/ Fire District
Name of Owner ` , T Address / g� 603
Name of Builder Address
Name of Architect Address
Number of Rooms to Foundation �Lr
Exterior Roofing
i
Floors C Interior � Q
Heating `/iJLGCJ <�" LQ Plumbing
Fireplace V" o�V� Approximate Cost
/ Area
/ -� 5
Diagram of Lot and Building with Dimensions Fee
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name
Construction Supervisor's License
CCHT
34588 Permit For 1 a Story.
Single Family Dwell ng
Location Lot #2 ,,. 12 Anthony Drive
H anriis ..�.
Y
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Owner. CCHT
Type of Construction Frame
Plot Lot
_ _
Perm_ it Granted _September 25, 19 91
Date of Inspection 19 -
a Qom .19 -
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TOWN Ot_8B , TABLE, MAS�A.. +� PERM11.
A=272_6 � �t 58$
DATE Seutginber 25, 19 "31 PERMIT NO, o
APPLICANT_ Baysidt-, Bldg. Co• ADDRESS Centerville #005645
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO 13Ui .1 [)Wf' T '^(�' ( ) STORY Si;'lC{le �'am jJ DW'G;,(,Iiaq NUMDWEBE IN OF
UNITS
-(TYPE OF IMPROVEMENT) N0. (PROPOSED USE) 10
AT (LOCATION) Lot 02 ld Anthony° / a Drive Flyannis ZONING RC-1
/ DISTRICT
• (NO.) (STREET)
BETWEEN .AND - -
(CROSS STREET) (CROS-S'j`ST BEET)
s
SUBDIVISION LOT
LOT BLOCK SIZE
BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT, IN HEIGHT AND'.SHALL CONFORM IN CONSTRUCTI-
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
3517 = Sewer
REMARKS: -
i Bond
AREA OR,
VOLUME 816 SC3�. it. + ESTIMAT ED COST FEE$ 60/ 000•00 PERMIT
$ 65• 25
�- (CUBIC/SO DARE FEET) _ - � - �
OWNER , CCHT `: -.
ADDRESS Box 603, bar"stable BUILDING DEPT. �
BY f
e / r
,THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY C
► PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE A
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINE
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONOITIOI
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL •APPROVED PLANS.MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN
'1. FOUNDATIONS OR FOOTINGS.
MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAELECTRICAL INSTALLATIONS.
PLUMBING
ID 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBFINAL INSPECTION
TO LATHBEFORE
: FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE '
OCCUPANCY. .
POST THUS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
40
2 2
3 /^` HEATING INS ION APPROVALS 6NGI ERING DEPARTMENT
2 BOARD OF HEALTH
1-7
OTHER SITE PLAN REVIEW APPROVAL
ti. WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION
INSPECTIONS TOR HAS APPROVED THE VARIODU INDICATED ON THIS CARD CAN 1
S STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CONSTRUCTION, PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTI
NOTIFICATION.
��f��p� ,F�',�c��*'�� '?✓ ,,. , p r tt, y-"Yt�'
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Q'TM[> TOWN OF BARNSTABLE Permit No. .34588,,,
BUILDING DEPARTMENT
I '�"'� I TOWN OFFICE BUILDING Cash
t679• /
HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to Cape Community Housing Trtist
Address Lot #2, 12 Anthony Drive
Hyannis, Mass.
USE GROUP FIRE GRADING OCCUPANCY LOAD
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 1°19.0 OF THE MASSACHUSETTS STATE
BUILDING CODE..
.December 91.. 19. !�! 'GG'`" ...
Building Inspector
Town of BarnstableBuilding
s rwxiv�rtosnmi� Post',This"Card So That it is Visible,FromAKf a Street-Approved Plans Must be Retained on Job an,d this Card Must`be Kept
> Posted Until Final Inspection Has Been;Made ,' .;
i Where a irermit
Certificate of Occupancy is Required;such Building shall,Not-,be Occupied until a Final Inspection has been made
Permit No. B-20-548 Applicant Name: Michael Maher Approvals
Date Issued: 03/06/2020 Current Use: Structure
Permit Type: Building-Insulation.-Residential Expiration Date: 09/06/2020 Foundation.
Location: 12 ANTHONY DRIVE, HYANNIS Map/Lott 272-002-002 Zoning District: SPLIT Sheathing:
Owner on Record:'GALLANT, MARK D&DIANNE ,
Contractor Name:'yMICHAEL MAHER Framing: 1
Address: 12 ANTHONY DRIVE Contractor,License: CS`109089 2
HYANNIS, MA 02601 Est Proie t Cost: $3,700.00 Chimney:
Description: Air seal and insulate the attic,Insulate the knee wall,and knee wall Permit Fee: $85.00
slope,vent a bathroom fan to the outside Insulation:
r Fee Paid:. $85.00
f Final:
Project Review Req: F✓° Date 3/6/2020
Plumbing/Gas
Rough Plumbing:
Mrr � _. - ui m icia
This permit shall be deemed abandoned and invalid unless the work authorized by-this permit is commenced within six months after issuan Final Plumbing:
All work authorized by this permit shall conform to the approved application:and the'approved construction documents for-which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws.and codes. Rough Gas "
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
'work until the completion of the same. " , Final Gas;
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and.Fire Officials are provided on this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work:
Service:
1.Foundation or Footing
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flu lining is installed r - Rough:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
s�cl—
Sonnabend, Matthew
From: Nicholas CaraDonna [nicholas.caradonna@icloud.com]
Sent: Tuesday, November 25, 2014 6:00 PM
To: Sonnabend, Matthew -
Subject: Complaint filed from BPD Website
My name is Nicholas CaraDonna and we live at 142 Sunnywood Drive, normally a quiet
neighborhood, until this past year when a neighbor to the right' rear of our home has erected
two big tents on his property and runs heavy equipment in a, residential area, the noise is so
pervasive that the sound volume is making impossible to live here. He runs this stuff
after lam and again after 5pm with no consideration for his neighbors. This+in not
industrial area! The noise levels are such that they invade every part 'of our home.
Enough is enough with the noise!
Please investigate this inconsiderate noisy neighbor -on Anthony Drive.'.
F ,
Thank you,
Nicholas CaraDonna ,
Sent from my iPad
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1
§ 240-15 BARNSTABLE CODE § 240-16
Minimum Yard Setbacks
(feet)
Maximum
Minimum Lot Minimum Minimum Lot Building
Zoning Area Lot Frontage Width Height
Districts (square feet) (feet) (feet) Front Side Rear (feet)
RC-2 43,5602 20 100 203 10 10 301
1 Or 2 1/2 stories,whichever is lesser.
2 A minimum lot area of 87,120 square feet is required in RPOD Overlay District.
3 One hundred feet along Routes 28 and 132. [Added 10-26-20001
§ 240-16. RAH Residential District. [Added 11-5-1988 by Arta 91
A. Principal permitted uses. The following uses are permitted in the RAH District:
(1) Single-family residential dwelling (detached).
(2) Affordable single-family residential dwellings subject to the special bulk regulation
contained herein. For the purpose of this section the tern "affordable" shall mean
dwellings sold or leased by a nonprofit corporation and/or governmental agency
whose principal purpose is to provide housing to eligible tenants and/or buyers.
B. Conditional uses. The following uses are permitted as conditional uses in the RAH
District, provided a special permit is first obtained from the Zoning Board of Appeals
subject to the provisions of § 240-125C herein and subject to the specific standards for
such conditional uses as required in this section:
(1) (Reserved)?
(2) Windmills and other devices for the conversion of wind energy to electrical or
mechanical energy, but only as an accessory use.
C. Special permit uses. The following uses are permitted as special permit uses in the RAH
District, provided a special permit is first obtained from the Planning Board:
(1) Open space residential developments subject to the provisions of§ 240-17 herein.
D. Bulk regulations.
Minimlmn Yard Setbacks
(feet)
Maximum
Minimum Lot Minimum Lot Minimum Lot Building
Zoning Area Frontage Width Height
Districts (square feet) (feet) (feet) Front Side Rear (feet)
RAH 43,560 125 — 30 15 15 301
RAH 10,0002,3 20 75. 30 15 15 301
7. Editor's Note:Former Subsection C(4),regarding family apartments,was repealedll-18-2004 by Order No.2005-026.
See now§240-47.1.
240:20 05-15-2008
§ 240-16 ZONING § 240-16.1
' Or 2 1/2 stories,whichever is lesser.
2 Provided that each dwelling is connected to the municipal sewage collection system when the site is located in a
Groundwater Protection Overlay District.
3 As an alternative to individual lots,more than one single-family dwelling may be constructed on a lot,provided that the
area of any such lot shall contain not less than 10,000 square feet of contiguous upland for each single-family dwelling
constructed.When more that one single-family dwelling is constructed on a lot said dwelling shall be at least 30 feet
apart.
§ 240-16.1. MAH Residential District. [Added 2-28-2008 by Order No. 2008-0771
A. Purpose. The purpose of this section is to authorize by special permit privately initiated
affordable housing by for-profit or not-for-profit organizations that:
(1) Provide for residential development in a manner that is consistent with existing
neighborhood development in terms of density and housing types; and
(2) Authorize an increase in the permissible density of housing in a proposed
development, provided that the applicant shall, as a condition for the grant of said
special permit, provide housing for persons of low or moderate income.
B. Principal permitted uses. The following uses are permitted in the MAH District:
(1) Single-family residential dwelling (detached).
C. Special permit uses. For the purposes of this section, the Planning Board shall be the
special permit granting authority. The following uses are permitted as conditional uses in
the MAH District, provided that a special permit is first obtained from the Planning
Board subject to the provisions of § 240-125C herein and subject to the specific
standards for such special permit uses as required in this section:
(1) Multifamily affordable housing developments connected to the municipal sewage
collection system.
D. Bulk regulations.
Mini- Mini- Mini- Minimum Yard
mum mum mum Setbacks' Maximum
Lot Area Lot Lot (feet) Building
Zoning (square Frontage Width Heightz
District feet) (feet) (feet) Front Side. Rear (feet)
MAH 87,120 200 = — 60 30 30 30
NOTES:
'For developments within an existing structure previously used as a nursing or
convalescent home, yard setbacks shall be the setback to the existing building
footprint or the setbacks stated above, whichever is less.
21-leight shall be measured from the grade plane to the plate.
240:21 05-15-2008
Barnstable Assessing Search Results Page 1 of 3
. .
sacs, t ► * � •
Home: Departments:Assessors Division: Property Assessment Search Results
New Search New Interactive Maps >>
Owner: 2008 Assessed j
Values:
GALLANT, MARK D&DIANNE
12 ANTHONY DRIVE Appraised Value Assessed Value
Map/Parcel/Parcel Extension Building Value: $ 138,400 $ 138,400
272 /002/002 Extra Features: $0 $0
Outbuildings: $400 $400
Mailing Address Land Value: $ 147,000 $ 147,000
GALLANT, MARK D&DIANNE
Totals $285,800 $285,800
12 ANTHONY DRIVE Residential Exemption Received=$105,082
HYANNIS, MA.02601
2008 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation)
Community Preservation Act Tax $35.67 Fire District Rates Town
Barnstable FD-All Classes $2.04 $6.58
C.O.M.M.-All Classes $1.03 Commercial
Hyannis FD Tax(Residential) $437.27 Cotuit FD-All Classes $1.33 $5.80
Hyannis-Residential $1.53 Personal Pr(
Town Tax(Residential) $ 1,189.12 Hyannis-Commercial $2.35 $5.80
Hyannis-Personal $2.35 Other Rates
W Barnstable-Residential $1.86 Community F
W Barnstable-Commercial $1.86
W Barnstable-Personal $1.86
Total: $ 1,662.06
Construction Details
Building rpp�rty Prokpertetch veSekdetch & ASBUIL.T Ca
Building value $ 138,400 Interior Floors Carpet
Style Cape Cod Interior Walls Drywall
http://www.town.bamstable.ma.us/assessing/assess/`displayparcel08map.asp?mappar=272002002 7/2/2008
Barnstable Assessing Search Results Page 2 of 3
Model Residential Heat Fuel Gas
Grade Average Heat Type Hot Water
Stories 1 Story F A AC Type None
Exterior Walls Wood Shingle Bedrooms 3 Bedrooms r ,
Roof Structure Gable/Hip Bathrooms 2 Full
3...
Roof Cover Asph/F GIs/Cmp living area 1171
Replacement Cost $148824 Year Built 1991
Depreciation 7 Total Rooms 6 Rooms ;
Land
CODE 1010
Lot Size(Acres) 0.32
Appraised Value $ 147,000 AsBuilt Card N/A
Assessed Value $ 147,000 VI@W Interactive Maps »
Sales History:
Owner: Sale Date Book/Page: Sale Price:
GALLANT, MARK D& DIANNE May 15 1992 12:OOAM 8032/290 $80,500
CAPE COMMUNITY HSING TR INC Oct 15 1991 12:OOAM 7716/162 $ 1
CAPE COD COMMUNITY HSING TR Aug 15 1991 12:OOAM 7631/300 $ 1
BARNSTABLE HOUSING AUTHOR'Y Aug 15 1991 12:OOAM 7631/228 $ 1
BARNSTABLE HOUSING AUTHOR'Y Nov 15 1987 12:OOAM 6007/052 $1
Extra Building Features
Code Description Units/SQ ft Appraised Value Assessed Value
SHED Shed 64 $400 $400
Property Sketch Legend
BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished)
BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished)
CAN Canopy FUS Second Story Living Area (Finished) UST Utility Area(Unfinished)
FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished)
FCP Carport GRN Greenhouse UUA Unfinished Utility Attic
FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished)
FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck
http://www.town.bamstable.ma.us/assessing/assess/displayparcel08map.asp?mappar=272002002 7/2/2008
Barnstable Assessing Search Results Page 3 of 3
FOP Open or Screened in Porch TQS Three Quarters Story(Finished)
http://www.town.bamstable.ma.us/assessing/assess/displayparcelO8map.asp?mappar=272002002 7/2/2008
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Assessor's Office 0st floor Ma Lot p� Permit# ��
Conservation Office 4th floor 3 ��3 ��'' Date Issued ��� 7, 9Is
1�Pw TWA -sewer l Z ONNI�APPLICANT
MINPERMIT F A 8
ENGMEBB 0 DXMN
Engineering Dept. Ord floor) House# /02 CONMUMOK
Planning Dept. (1st floor/School Admin.Bldg.): s ,EMAS, t
M ..
Definitive Plan Approved by Planning Board 19
�O MR1
(Applications processed 8:30-9:30 a.m. & 1:00-2:00 p.m.)
TOWN OF BARNSTABLE
Building Permit Application
Project Street Address i 4- A N I O N \/E . L�
Village In N N 1 S Fire District
Owner M H 2 K' d D /(i N E Co C b I N T Address /Z 9 N 1 D O N S N 2 I Y
Telephone -7 7 S-- 2 S H y A iq N i S
Permit Request: /i-) d 2t1-7 dl� JZ- /o T/7'� /� �s j iIV C�
Zoning District Flood Plain Water Protection
Lot Size Grandfathered
Zoning Board of ApMls Authwization Recorded
Current Use Provosed Use
Construction T C
Eaistin2 Information
Dwelling Type: Single Family Two family Multi-family
Age of structure Basement
Historic House Finished
Old King's Highway Unfinished
Number of Baths G L No.of Bedrooms 3
Total Room Count(not including baths) First Floor
Heat Type and Fuel Fib�F 2c kJ �c i 419 enttrral Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
t None Sheds
Other
Builder Information
Name l i9 i 11WXqve1*bVT Telephone number Z S S U
Address 6 4S NSW R-6j ' &9� License#
�o%u i % /W 026 3 5— Home Improvement Contractor# / v 0 71q6
Worker's Com nsation # e 23 / Y-3 6 -Z/CA09
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 111,Cfdw7-tl �v �
Project Cost 2 7C76
Fee
SIGNATURE ,%' DATE 3- Z3` �F 3
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
BPERM T
3/27/95 37554 FOR OFFICE USE ONLY
272.002.002
12 Anthony Drive (Lot 2) 'Hyannis ;
ADDRESS VILLAGE
Mark & Diane Gallant
OWNER y
DATE OF T1JSPEC7ION:
FOUNDATION -
FRAME
1
1
INSULATION ,
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL ' -
GAS: -3 ROUGH FINAL
FINAL ING:
A
DATE t�0.SED OUT:
ASSO*!ff LAN NO. „
t •
f� jj f ,,�. I
✓ VdlfZil�2492C11eald
; HOME IMPROVEMENT CONTRACTORS REGISTRATION
oard of Building Regulations and Standards
..One Ashburton Place Room .1301 I f
Boston, -Massachusetts 02108
I .
HOME IMPROVEMENT CONTRACTOR i
Registration 100740 Expiration 06/23/46 i-
Type —PRIVATE CORPORATION i -7�° � u°
I -HOKE INM. VEKKT CONTRACTOR- -
` _Moistratloo .100740 I - i
Capizzi Home Improvement, Inc . I Type -. PRIVATE CORPORATION - I
Thomas Capizzi , Sr . -Expiration - >06/23/96
1645 Newton Rd . i
Cotuit MA 02635 I Capizzi Hose Isprovesent, Inc
Thomas Capizzi, Sr.
G� w��4 Newton -RC. i
I AOMINIST OR Cotuit NA 02635
Restricted To: 00
DEPARTMENT IF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR LICENSE I 10 - Dole
hiber: . Expires: Dirtidite: lA - Masoxry oily
CS 141189 10/29/1996 10/29/1918 16 - 1 t 2 WHY Holes
Restricted To: 10
y.,lL..L_ -. . t)AYID N 1EBB
commisu*&R 106 PLUM NOLLON RD
1 E FAL MOUTH, NA 62536
- t
�} COMMONwEALTH OF MASSACHUSETTS
R ti
DEI`AK;MFNr OF LNDUSTR,IALACCIDEN"I'S
600 WASHINGTON STREETBOSTON, MASSACHUSETTS 02111
fames: Canooer
�c--n:ss'one WORKERS' COMPENSATION INSURANCE AFFIDAVIT
1• ,q /� oM ,E PRO yEM,�/V T
(licensee/permiaec)
with a principal place of business/residence at:
S E T wN
(City/St2tc2ip) .
do hereby certify, undcr the pains and penalties of perjury, that:
[ J 1 am an employer providing the following workers' compcnsation coverage for my cmployccs.working on this
job.
t TNT LT �- 239 S�a 2 / e/71?
Insurance Company Policy Number
( J I am a sole proprietor and have no one working for me.
( J I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed bcloA,
who have the following workers' compensation insurance politics.
Name of Contractor Insurance Company/Policy Number
Namc of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
0 I am a homeowner performing all the work myself.
NOTE: Pleasc be :wise that wbilc bomeowners who employ persons to do maiotenance,eoostructioe or repair work on a
dwelling of not more thin three units in wbich the boencov+eer also resides or on the grounds appur%co=t thereto arr not gencrall}'
considered to be employers undcr the Workcri Cotnpeasatioe Act(GL C. 152,sect.. 1(5)), applieat,oe by a homeowner for a license
or permit may evidcoce the legal sutus of in employer undcr the Workers'Compensation Act_
I undcrstznd that z copy of this state 'cnc will be forwarded to the Department of Industrial Accidents'office of Insuranec for.wvera:c
verification and that failure to secure eovenge as required under Section 25A of MGL 152 can lead to the imposition of-criminal penalcia
consisting of a fine of u t 0 and/or imprisonment of up to one yesr and civil penalties in the form of a Stop Work Order and a
fine of S100.00 a d . against m
- Z 2- I n Cl
Signed this day of
Licensee/Pcrmirtcc Licensor/Pcrmittor
3 7-sss`ll
oY t"E
The Town of Barnstable
• BAR\STABLE,
Department of Health Safety and Environmental Services
" Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-775-3344 Building Commissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied
building containing at least one but not more than four dwelling units or to structures which.are adjacent
to such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: a 2'n4�2 Est.Cost O U -
Address of Work: l Z !9 Q 1 /
Owner Name: !y I g"r— tl P 1 o4 iy oi-, [ 9 41-6 19 'q /
Date of Permit Application:.
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000
Building not owner-occupied
0%%Mer 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 oN•mcr:'
Date Contractor name Registration No.
OR
Date Owner's name
r
STAIRS
EXISTING
BED ROOM
REAR ELEVATION SIDE ELEVATION
SCALE:1/8"=1' SCALE:1/8"=1'
13'-10"x 7'-6"
TYPICAL ROOF CONSTRUCTION: NEW DORMER
ASPHALT ROOF SHINGLES/15# FELT PAPER/
1/2" CDX PLYWOOD SHEATHING/
2"x 6" RAFTERS AT 16" O.C.
2 x 6"s at 16" C.C.
EXISTING
FLOOR PLAN
SCALE:1/4"=1'
TYPICAL EXTERIOR WALL CONSTRUCTION:
WHITE CEDAR SHINGLES AT 5" TO WEATHER
SIDES, FRONT AND REAR ELEVATIONS/"TYVEK"
OR EQUAL BUILDING PAPER/1/2" PLYWOOD
SHEATHING/2 x 4 STUDS AT 16" O.C.
A-P I Z Z
Home
Improvement
Ina.
1645 Newtown Rd Cotuit, MA 02635
(508) 428-9518 Fax (508) 428-1547
1-800-262-5060
CROSS SECTION SECOND FLOOR DORMER ADDITION FOR
SCALE:1/4"=1' GALLANT, HYANNIS
JOB NO: REV.DATE:
*.
t
moo
j
STAIRS
I;
EXISTING
i BED ROOM
REAR ELEVATION SIDE ELEVATION '
SCALE:1/8"=1' ' SCALE:1/8"=1,
13'-10"x 7'-6"
TYPICAL ROOF CONSTRUCTION: NEW DORMER
ASPHALT ROOF SHINGLES/15# FELT PAPER/
1/2" CDX PLYWOOD SHEATHING/
2"x 6" RAFTERS AT 16" O.C.
2 x 6"s at 16" C.C. EXISTING
1
t
FLOOR PLAN
SCALE:1/4_1'
TYPICAL EXTERIOR WALL CONSTRUCTION:
WHITE CEDAR SHINGLES AT 5" TO WEATHER ?
SIDES, FRONT AND REAR ELEVATIONS/-TYVEK" +
OR EQUAL BUILDING PAPER/1/T PLYWOOD
SHEATHING/2 x 4 STUDS AT 16' O.C.
Y NPIZZ
r Home
Improvement
Inc.
1645 Newtown Rd Cotuit, MA 02635
(508) 428-9518 Fax (508) 428-1547
1-800-262-5060
CROSS SECTION ! SECOND FLOOR DORMER ADDITION FOR
SCALE:1/4'=1' GALLANT, HYANNIS
JOB NO: REV.DATE:,