HomeMy WebLinkAbout0050 BAY SHORE ROAD Spy S home ' I` �� �
� ;, :,
..
f.
Town of Barnstable *Permit#
P� t Expires 6 months from issue date
Regulatory Services Fee
Y
+ BARNSTABLE,
r MASS.9. Thomas F. Geiler,Director
pTF�MP't A
Building Division -PRESS PERMIT
Tom Perry, CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601 APR 2 3 2010
www.town.barnstable.ma.us
Office: 508-862-4038 TOWN OF BARNSjAgtt230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number /��
Property Address d� St�eL' , V,a1iS
[R'Residential Value of Work / Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address
Telephone Number
Contractor's Name low -z 1e44,vL—
Home Improvement Contractor License#(if applicable) � J G
Construction Supervisor's License# (if applicable) CS 7�3y�
r ,
❑Workman's Compensation Insurance. _
C�h k one:
L'J i am a sole proprietor
❑ I am the Homeowner r
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
Ei? -roof(not stripping. Going over' existing layers of roof)
❑ Re-side ;
s #of doors
❑ Replacement Windows/doors/sliders:U-Value (maximum .44)#of Windows
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
'Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License & Construction Supervisors License is
requir
SIGNATURE:
t4 ,
The Commonwealth of Massachusetts
Departtnent of Indttstria[Accidents
Office of Investigations
al 600 YYashington Sireet
Boston, NIA 02111
www.tnass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Address: 'J7.,?- filWyl �5
City/State/Zip: 03/7/?-ylC.cei 61 Phone #:
Are you an employer? Check the appropriate box: Type of project(required):
I.❑ I am a employer with 4. ❑ I am a general contractor and I
6. ❑New construction
�� ployees(full and/or part-time).* have hired the sub-contractors
2.L I am a sole proprietor or partner listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
working for mein any capacity.' employees and have workers' 9. .❑ Building addition
[No workers' comp.insurance comp.insurance.
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
t officers have exercised their 11.❑Plumbing repairs or additions
3.El I am a homeowner doing all work
myself,.[No_workevs'_Qozpp,. right of exemption per MGL � p
12. __..Roof..re airs
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13.❑ 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.
$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 thepolicy and job site
information.
Insurance Company Name:
.Policy #or Self-ins. Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 cam lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year.impnsonment,as well as civil penalties in the forma 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 D1A for insurance coverage verification.
I do hereby certify under the ains and penalties ofperjury that the information provided above is true and correct.
Si nathtre: 'Date:
Phone
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
f'- -+--+n,.__. PhnnP if,
,4
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 full out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s) along with their certificate(s) of .
insurance. Limited Liability Companies (LLQ 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 or7)✓P 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 full out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to full 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 maybe provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be fulled 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 like 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
Fax # 617-727-7749
Revised 4-24-07
wwtiv.mass.gov/dia
oF1HE T ► Town of Barnstable
regulatory Services
' LSRNSTABL.E, Thomas F. Geiler,Director
y Mnss. �.
D M;�1 Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601'
wwrv.town.b arnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
I
1 Property Owner Must
Complete and Sign This Section
If Using Builder
I, 30 ( � �'�c,� ,as Owner of the subject property
hereby authorize KCI wlt to act on my behalf,
R .
in all matters relative.to work authorized by this building permit application for:
(Address of Job)
ignature of Owner d Date
I
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the.reverse side.
l
Q:FORMS:OwNERPERM ISS10N
Town of Barnstable 0 Regulatory Services
+ Thomas F. Geiler,Director
1tiRNSTABLE,
,�� Building DivisiO.n
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.towmbarnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street .village
"HOMEOWNER";
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF,HOMEOWNE.R
Person( ) owns a s who parcel of land on which he/she resides or intends to reside, on which there is,or is intended to
be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner, Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community. .
Q:\YYTFILES\FORMS\homeexempt.DOC
1
► ts- DcD<<►�rncnt of public Saf r `
Nl. s.►chusct , caulatinns.Ind:Standuds
40 Board of Build"",R 'ervisor License
Construction Sup
_ yr
License: CS 7630
stricted,to: 00-
Re
F MICHAEL DWYER
55 SACHEM,DR
• -CENTERVILL.E,.MA 02632 •
Expiration: 611312011
T,#:.17155
('om�nissioncr
;lsie�orrvrnaviure _ Lrcensc orregs trahon valid for mdividul use onty
Board of Building Reguons anSta d rd
HOME IMPROVEMENT CONTRACTOR 1 before the,expiration date If found:return ds
Board of Building Regulations and Standards
0
Registration 132564 ..
T One Ashburton Place Rm 1301 "
Expiration 2127/2011 Tr# 283925 Boston,Ma.02108 :
1 TYPe Indmdual "
F.MICHAEL DWYER
F-MICHAEL DWYER ` tp ----
772 MAIN ST
Not Irdthout signature
Admirii§trator! .. E
OSTERVILLE,MA 02655-- : .
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Zj
sf eo'
Map S Parcel ` Permit# 7 O I;t
Health Division <I✓1B 3 � � '� Date Issued / o
Conservation Division J /S lo—.? - Application Fee
Tax Collector � `7/451_/O Permit Fee �S�d d
Treasurer 0--) A1ER
Planning Dept. �' ?�J CONN cTIO N'PERMpN ROOM 'Z
Date Definitive Plan Approved by Planning Board ���
co?���DIM
ON
-OKH NIA W Preservation/Hyannis N1 A
Project Street Address ��O — 44 SAAC:V__
VillageI�a.► �
Owner Address J® � �
Telephone 4::30�, — r7 l _ `7�t j
Permit Request OLx ` l rZ 1 �yAV� 15 `_U t;j21lL
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation -soo- Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family w", Two Family ❑ Multi-Family(#units)
Age of Existing Structure Z3`17,X Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half:existing new
Number of Bedrooms: existing new ..
Total Room Count(not including baths): existing new First Floor Room Count
vZ 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 ❑Yes ❑No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name A-D S'�1t_iLXTL Telephone Number
Address L433 �L �4.ci� License# O�Z)6��y73
V+'-1A) ,UVS �M6 , Home Improvement Contractor# )Q 3 7
Worker's Compensation# &X=- 9 a3 3 C-) 2 U00
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE -0 7
FOR OFFICIAL USE ONLY ,
PERMIT NO. ~ ,
DATE`ISSUED ! ti
MAP/PARCEL NO.
ADDRESS . f �,, `' ,VILLAGE
OWNER
DATE OF INSPECTION: (r,
FOUNDATION
FRAME
INSULATION
,
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL`S
GAS: ROUGH FINAL
FINAL BUILDING
r v
DATE CLOSED OUT
r ,ASSOCIA ON PLAN NO.
y 'Y
\
I '
I
r
1
0
� _ o ��Tl I'r-' X i - •
IT
- 7 4�-I
(b
2= all
�. � � C3
� ro
rN
.;ob
o w L
v' r �j
i
s �
P �,L
0
P
D
cr-
-11 IF
Lb
a m
10
W c fi U'
o C x ry rp
_1___ _ _ $
A o �
0
o x
N �
0
rt
C�
c
i �I`Lp�r�f4 Q
11C �Tr� �s
l; 1. 1
P
� i��C�1r•� �
� T
C0
i
i 1
r
RESIDENTIAL BUILDING PERMIT FEES .
APPLICATION FEE
New Buildings,Additions $50.00
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
square feet x$96/sq.foot= x.0031=
plus from below(if applicable)
ALTERATIONS/RENOVAITONS OF EXISTING SPACE
00 square feet x$64/sq.foot= Zc x.4031= 3e 1
plus from below(if applicable)
ACCESSORY STRUCTURE>120 sq.ft�
>i20 sf-500 sf ` $35.00
>500 sf-750 sf 50.00 '
>150 sf- 1000 sf 75.00
>1000 sf- 1500 sf .100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00= -
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00= -
(number)
Inground Swimming Pool .$60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Permit Fey
5 ,
• Z,.�,'!*^.�s �,'aYra ''�� :.+Gu do 1 r�-"1=r` cvt,Cnr~ '� � "�;. xs
. .. i - .. :.,�;�.:�.• t$'., �G..�: 5+� , --�+ a -.:�` to ��, :;
WWI
Fes'
" 3`'` �, � mvmazcveaLl�4'a�✓�aaaac`ivaelta � t
BOARD,OF BUILDING REGULATIONS
l ,
x; License CONSTRUCTION SUPERVISOR
17 } Number�CS 006643
f: �Bvfhdate --10/08/1955% ;a
{ � Expires 10/08/2003 F Tr no 46729 s
Restricted00rf_ f'
li rav t 9 iw i "'' t".jPE
�y �lx
NBRAD K SPRINKLLE�
190 LOTHROPS LA'NEM
•
• ' - i 4�y`, .1IV.`BARNSTABL•E*+MA 02668.W � �'Admiriistrator:� � r�. - , �s ay `.� �i✓/l� 'lpQ7YYI7ldlifllE�GC�L „\ F '�
x ��
Board of BuildingR ulat!ons and Standards ;
HOME IMPR6VEMENT CONTRACTOR
Registration_103757f i r ,"per„
Ic +�Expiration 7l9%2004'
1 d J " i I '1
f T e Pnvdte Corporation,
SPRINKLE HOM 'E,IMPROVEMENT
Brad Sprinkle
,y
r^ �#
99Barnstable Rd.`
.1
I Hyannis MA02601 �' x` Admmistrator, 1 =j
y..; *Zi „rA _' - y,- ,' ,.,,yy,� •t..�#'aRgr�• ,•�•lv', .� ," 3• -�.r
.. ` ' *.., .,+� • tm a ,p^t d"Ss,..a""xra s -'k�,�a - 'Y.�:n,ahH
H� y.,"' , •��'.`* r +•^mac...-t,�y.� C,.;%'�*-�`^� at�.r +..ir.� ��. �Y�� `�Yer..•, t^' '? :. t .s c'^`.r '� -' ` �.^-J:
f ,+: 3wt,�,'"� �4i„.� �r� -�" � Y, q ..:-� ,�-S x.�s � P �i ,,,: fT•.,r s!;r. '� y '� �. � , f� yy,,}-�
`c.,r F`'� 1:� r•,c -,a. �. �r .dn y:{f �:.. ..F :Md��, 1T::.� Mr'+E£..:sfySta i s�\�."4 a F .m, , .. .,�� .L.! $
ax t•, Si7,:.�• yc.£s-.y{
�
w �'`�'• 'k y' =xx�r•6.i .*i.+ 1. ,�.,' +. t " ti
-tir a ^�5, r +G t -»; r .:, + ^.<-�, .r Zit .,. n a ^e :art Z ,, '' `s•�" a-. .z
.8 IV
#` as
A
"tl ,.,a•t•, '.;+':«a t, SaxL'', F ;-s "ya' �t '"' y.t•Y''r ,,. . 'w,.< *:•, �; ;x ,f,:rt r 5'�] a tr e5! ,� a�t s -,.. i,zf fit^S'y ry.:'S
x`nY-�" k','.nc4•�s:•,ide'..,C''' 5`,:^,�. a .,g yt„ '''�rS `� . {.. Ax .S-i F` ;L4's"'4 rw•yk, y a+ kxX.,M j e`` ss...3 b .,f '.S+d� -M= � �a{T 3' ..+.e,
'u.�„'•. .''•e> *' ,s }- ,�. z yQ},� v' a.�G'.:n yr. ,,•,. '$`'s#l� r,c.,cfy„3', G''E`'Wr:
'ey .F.a^n A �-.T' g*a*' t'e '4,• s+• *:2•'¢ v, �,L.,.fi 4 i,3-3',,, .,SS>y z:-r. +E 's.2't' ai.'t'.. ! q.. "k,y,.Y'i.,c� Il`-.}. ih tF-
.ai... .:. 000.' iy,4 tr �%( '.•. •,.Y'a K°.-{_' 1<++'`.,(',� ,.X.ea A•�.a P
gym. - .x ,M ,.y,, s hTi •S'^ ''fii:9; # x, y ' 'Yj .:�` 7 s c 'ySt-t.-.a.., �r�-#,,. t.,�, C.._Y tt�y�lr ....c r., '�Ik,',�. :.J^..v,a.y. n q'-a
rcs -#.•�. 't'x i� .N A �;?S .r fi ,f ..�$.. `sou
v , �a 1 � �� zya�"ss,.
su.="it •'`.,,.. 'C ,'.�'•i, .,i•.- Y •� �.{•. t'•.n`? § a.3 tp ,ir,+. '.k# "-; 5
F,�tx° ..;;,y' o .. �' to .•- sue_. e y. r.'*tw*+s�;..' w; ;.^-.a'11, ? x ��,:, ,.tY naf 5.�,� ..•'F�e.4:,.y s ki..,r S a .;.Sa�t3•` a, hS?
S3 }.F•, r�V. -•u F"�A'4& a r%'y i;-d ,�N,.'1^i$Z� •4� "' a.. ?,.rtr ti c pi'fi r,•; y, y�r'9 `":1' �„1:.''` +/ ".Y,y gkU'•.y;* y.+d_ac�h. ' .<.
+;ty '.F �..,fi ;Y � )3•' „r "F+ =•.5E"+rc. 'i ='' '`' ^,:„w7'F,�+'_^s`.. 6.2"r5f
go
"-Rv� •Y��' �-tom., ,d-,. "S � - .r'+ :f �� ,.,�' r;" �' '-� sG r'� �6�k= „Y� �t ,,.-x•-r..p- x.-"'�' ;'?y�-s �_
' �� "$'la''; a� +> .-vrxy�r •, �w ..,`'1�€ "''°k �`'.." a,"rat
.-�x Z.N q. ,+ta.._t'-i e::Sr .. e�y�- .,. .z.a �. t x wer�� �'`s P� "r�Srl• ,-f,,F;,,a st7"`, 1 •,'r..x° 'rJ� �'^ a,�"�; b• . .,".?4t' )h-r^
} _ n �"3" i. ., y. ;. ;+a!t y+fir �• .r ,f E•. f' �. t-.y,.�,d",� "t�t..�, e,F �;" 3 r��`� �+t gtc s. d#: n`� 3 ` ;' �'I.
" .:s r {rS�.s.' T .j. ' ').- ,r t�.f,g.. +'iG. ^.-3,•p, '.r s :!e° st^a �-,. r - 'v } •T_ •.�' : yr 4 q6' i': rf�°'; a. k'b*;, s, '^,�'8
...R ,
r$ f":.`,t2%,;✓•^':... k�fd '=? -;,r S �"i�`.^ "`l! w4 .� ,j, vf•t+ F,A n :� p s, ,' ..- aw .:!?,. t5zi �.
s„�• A .�' S s.. r. t;x "P t` �^ v w � ;� ..� �,c�w �3 � .t., � "`�;it a � *FR.�T`` � ,eF,•.a "'�urs;F h. ias � ,� ::
-� y �s".5 r` as:a ,. ^ �.+.. �-.� d� a a�' w x ,3' t '�J. �'¢'4 -pl �::�.,.L+! x-Cs s_ .�3'w'•�g 5• y ,r:
,J° r'Kr#i'. .�r'�_ 3 $M'�->".„. l..��g ..�„ -c...�7`3r s xa4�.;,J"•..E .r"�'."ia,�,§, w�;; � n � a'w-,.'�
y
�+ {� �..;,r�.... � sus �€-ems � .a��. .xty, .?� v�'�.f „-�Cx '"r s:d., x r-} `,3..R ��-�'��� :`t'i- �"L'-�eS�''� ��Z" >�•o-7�" �J{� �tdt-��"•.. "�'hv�`�,f�•* ,1,.
's� a+� M1,5� fiM}ems� '�t'y.:` .,-.t ;.�:.,,r r;t is,�r t 5fi:?.,y���y-� fix.z:'x�.r, '�t,.,«'F,.`:k �4•r i'a�x a�' s;t, ,i -.>M:•S; w1�",.a�;r'•�,•? `;$„ '_;=+��u sF.�..3, 3� _'.{.-D?')w' ',_..
�}• _.��'.�� ,� ��:��,. r xm � ."'+-� ��,z;r r''�t�xtk'r, 'r� .n����p..N `�"�-.i:� � '�,t��•��,�,��;,�x�"��''.-',;��� ..�. �� --�- ,��:x
v� _.='*�• ;•�' � �' J�xa^4 ��;€^.y'_a� �Ca" � h � � _ .ft a kt �� ,&`£ #'tt�',+ti ys.�x�t:i::•.r� �` .?�-_ r : � �-vzs� .
' - .. � •. �'nw. �i`"�'� a;, #s�*C. :m.z�" � �f'n: � ' e` 'r R' a
9,?., ;i �5,• „'�„ Xmy,_ �'R ;E,F'F�' �,�,�.y�awy,�"�5�r` 'a. � �',�¢( n °`c��� �'..tifi i�,t�§R.xy� ae�.��� { �n,
°Ft1HE r° Town of Barnstable
°^ Regulatory Services
BAMsT^$LE, " Thomas F.Geiler,Director
9�p MASS. `0$'
rEo�,,A.ta Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME 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: AAj6k-t:�\_ cam;1 W� � A Estimated Cost »�
Address of Work: TVA
_ e
Owner's Name_ �
Date of Application: _o7
i
I hereby certify that:
Registration is not required for the following reason(s):
[]Work excluded by law
IF Under$1,000
❑Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
10_3`7,'7
Date Contractor Name Registration No.
OR
Date Owner's Name
Q:forms:homeaffidav
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of/nresffoeffoRs
600 Washington Street
Boston,Mass. 02111
Workers' C sation Insurance Affidavit
name: ,
location:
city
hone#
❑ I am a homeowner performing all work myself.
❑ I a sole r rietor and have no one worki>i in ca achy
r rovidin workers' co ensation for em to ees working on this job. ;;::::::;;::;:„;
I am an emp1 P g .......................mP::::.:::.:::::.::::.:::;'�Y:::..:P....y:............
:am
eomaanv n
........:......
tw
nhon #
X.
lnseuance CO.. d
❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who
have
II
workers' compensation Polices:.-,::,:::::::
the following ..............:.::.:::.::::::::::::.::. ..::: ::::::::::::.:::.:.:::::::::.::...;.:.:.::::......:::::::::::::.;::::::::::::.::::.::::::..
..........:
an::name:
::
'it[te
: :.
is)):'
' ;#:;:i: ;:::i"'`j�j<:i;is :vy :+:;:;:;y.,,+;:;i'::v::i;::':i::!•:?)e:J
..,...:.::......:.........v:.....:..,.:.....:.:.....
.• ..
...........:.�:.�:::�::i•:TiT:..•:...::::::.... ....� :..:•::i::.{:; ::.::J:v):4•::.:•. ......�:v:..:::: ..:
..........:...:........;.)ii::::....... ::)::•)ii;iy:i'):tiv:....:i:ivii:ti�):i�%i•..........::.:;iiiiii):.))):.............:.::............. .........
....................v::::..:... ...... .::.. .... ni:4i.•y:v:i:4iii}))))Yi):)?:�)::...........:::::::.:�::•TY`v>i:i')i::�.�..i))T��.
X.
c aR
x.
address,
eu
...... ......
.:::. ...::.:...... ..................
'` X.
fl
......[ i
uirirsnce.
Fafiure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of crhulm l penalties of a fine to S1,500.00 and/or
one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I undetatmnd that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereb g9x#w th penalties of perjury that the information provided above is Ow.and correct.
Signature Date V-7`1 Lt'03
Print name
Phone#
BOOM
official use only do not write in this area to be completed by city or town official
city or town: permit/license# ❑Bufidhng Department
❑Licensing Board
❑checkif immediate response is required ❑Selectmen's Office
❑Health Department
contact person: __ phone#; (]Other.
Ormed 9195 PJA)
d
c`
Information and Instructions �.
P,
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract
of hire, express or implied, oral or written.
An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or
trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of
another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the pertnit/license number which will be used as a reference number. The affidavits may be ref amid in
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a CO.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Oltice of leves"gatlons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
HOMEIMPROVEMEMT
SINCE 1946
PRINK"UP
199 Barnstable Road Hyannis,MA 02601 (508)775-1778 Fax(508)775-1350 Email—sprink(a,capecod.net
Website address:www.sprinklehome.com
Authorization Form
i ,
I, John or Rosemary Camilleri, hereby authorize Brad Sprinkle of Sprinkle Home
Improvements, Inc. to act as my agent for the purpose of acquiring a building permit for
construction for my property at 50 Bay Shore Rd.—Hyannis, MA.
Signature Date
i
L
6%gyp
R325"165 . P P R A I S A L D A T KEY 239520
tAMILLIERI, JOHN V &
LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB
192 , 000 19, 500 1 85, 900 1 A-COST 297, 400
B-MKT 240, 200
BY 00/ BY MLA 7/88 C-INCOME
PCA=1011 PCS=00 SIZE= 1144 JUST-VAL 297, 400
LEV=400 CONST-C 0
----COMPARISON TO CONTROL AREA 69WC -- TREND EXCEEDS STANDARD
NEIGHBORHOOD 69WC HYANNIS
PARCEL CONTROL AREA TREND STANDARD
151 15 LAND-TYPE
1920001 LAND-MEAN +Oo
2974001 210000 IMPROVED-MEAN -5906 2506
] FRONT-FT .
] 100 DEFTH/ACRES TABLE 02
100%] 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 [?]
{
I
i
I
i
i
i
i
i
,*�rR325 165 . 0 P E R M I T [PMT] ACT* [R] CARD [000] KEY 239520
000000001
PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT
[B20143] [04] [78] [ND] A ] [ ] [01] [79] [000] [NEW ] [HY 11/2 ST]
,
,
r
i
RESIDENTIAL PROPERTY
1 �y
MAP NCB:- - LOT NO. FIRE DISTRICT
STREET Bay Shore Rd. Hyannis SUMMARY
on Lewis Bay H 73 LAND
325 165 BLDGS.
o�
OWNER
TOTAL 3 J p jU
LAND z ��
T_ ,A r
RECORD OF TRANSFER DATE eK PG I.R.S. REMARK SLC761 B Deed Lot �.12 7`/ BLDGS.
rn
0 ^ TOTAL
- cLG 8 LAND pG
" 8. 8 _ 0 000 c ides D, BLDGS.
Cami 11 i eri , John V. & Rosemary E. 11-21-77 -Ctf. 72-503 ($41 , OPT e< �. ^ TOTAL L y c a o
LAND
,f}L L► TD, Sill\1 E A /11Q. 0 z Q a) BLDGS.
TOTAL
LAND
BLDGS.
TOTAL
LAND
�I.E,?M l� GZ DI y3 COMJA I / I�rJT_ 01 BLDGS.
TOTAL
LAND
BLDGS.
TOTAL
LAND
INTERIOR INSPECTED: i �'' rn BLDGS.
/1'xv ^ TOTAL
DATE: �` f r, LAND
ACREAGE COMPUTATIONS -L rn BLDGS.
- LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE
HOUSE LOT O� � Q.... LAND
CLEOFRONT �� Z �n - OI BLDGS.
REAR Z$ Z O O TOTAL
WOODS&SPROUT FRONT LAND
REAR rn BLDGS.
WASTE FRONT TOTAL
REAR LAND
M BLDGS.
TOTAL
LAND
a a v v / av rn
BLDGS.
LOT COMPUTATIONS LAND FACTORS ^ TOTAL
FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND
ROUGH TOWN WATER BLDGS.
HIGH GRAVEL RD. TOTAL
LOW DIRT RD. ALANDSWAMPY NO RD.
AMC. Slab Bsmt.Garage /a' !/ St. Shower Ext. sm d PURCH. DATE
Walls PURCH. PRICE
Brick Walls Attic Fl. &Stairs Toilet Room
Roof RENT ��•/'!O
Stone Walls Fin.Attic Two Fixt. Bath
Floors
Pier! INTERIOR FINISH Lavatory Extra _.
B Fsmt. '1 2 3 Sink !� •'VSC. �U .
1/ r/2 r/4 Plaster Water Clo. Extra Attic _y y
EXTERIOR WALLS Knotty Pine Water Only
Double Siding Plywood No Plumbing Bsmt. Fin.
Single Siding Plasterboard I Int.Fin.
6U U" Shingles TILING J r '/
Conc. Blk. G F P Bath Fl. I Heat
Face Brk.On Int.Layout Bath Fl.&Wains. Auto Ht.Unit f• (0 0
Veneer Int.Cond. Bath Fl. &Walls Fireplace
Com. Brk.On HEATING Toilet Rm. Fl.
Plumbing f 90 YS/
Solid Com.Brk. Hot Air W �� Toilet Rm.Fl.&Wains. U
----- Tiling r'
Steam Toilet Rm.Fl.&Walls
Blanket Ins. Hot Water St. Shower /X r(nw
Roof Ins. Air Cond. Tub Area Total ."
Floor Furn.
ROOFING COMPUTATIONS
Asph. Shingle Pipeless Furn. S.F.
Wood Shingle No Heat:r S. F. Z 0
-Asbs. Shingle Oil Burner, - B S.F. /8 5o f�8 •`
Slate Coal Stoker L� O S.F.
Tile Gas ✓ S.F. OUTBUILDINGS
ROOF TYPE Electric
Gable Flat S.F. 1. 2 3 4 5 6 7 6 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED
Hip Mansard FIREPLACES S.F. Pier Found. Floor
Gambrel Fireplace Stack / �/ Wall Found. 0.H.Door LI T
FLOORS Fireplace Sills.Sdg. Roll Roofing
Conc. LIGHTING
Dble.Sdg. Shingle Roof
Earth No Elect. Shingle Walls Plumbing p, DATE'
Pine
Pina
Hardwood ROOMS Cement Bik. Electric
_ —
- -'"- ' `- Brick - Int. Finish PRICED
Asph.Tile ' Bsmt." 1st TOTAL L-S j 6
Single 2nd 3rd FACTOR
3 ��2 REPLACEMENT 3 D
OCCUPANCY CONSTRUCTION _ SIZE - AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. -
S FR S .� l9� 3S ..izDWLG. M 7)3 .5,90 e . .
2
4
5
.. \...
6
7
8
9
10 '
TOTAL
r
rw , 7
i
r
i
I
}
:9
,e
t
It �
STATE
PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CLASS I PCS I N9MD KEY NO.
0050 BAY , SHORE ROAD 07 RB 400 _ 07HY- 07/09/95 1011 !00 69WC R325 165. 23952(
LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Y UNIT ADJ'D.UNIT
Land By/Date S,ze D,mens�on ACRES/UNITS VALUE Daspr;pt;pn I C AM I L L I E R I. J O H N V 8 M!A P-
LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE JtLAND 1 192i000 CARDS INACCOUNT
CD. FF-0e th/Acres E
L 15 1WATERFNT'1 X .21 =10 277 314999.9 872549.91 .22 192000 HBLDG(S)-CARD-1 1 85.900 0101 " OF, 01
A BOTHER FEATURE 1 19.500 COST -
N BATHS 2.1 U X. C= 100 9500.0 9500.0 1.00 9500 B #PL BAY SHORE RD HYANNIS 'MARKET 240200
D FIREPLACE U X C= 100 3100.0C 3100.0 1.00 3100 B #DL LOT 112 INCOME
BMT GARAGE U X 1 C= 100 3100.00 3100.00 1.00 3100 B #RR 0090 0035 USE
A BLA BSMT RM S X C= 100 45.1C 45.1 654 29500 8 APPRAISED VALUE
D R03 ST DOCK S 4 X 90 198C C= 80 1.0c 54.28 360 195JO F A 297,400
D
A u PARCEL SUMMARY
I
U AND 192000
T S LOGS 85900
A T -IMPS 19500
M TOTAL 297400
F E N CNST-
E N DEED REFERENCE Type DATE Recorded PRIOR YEAR V A L U£
A T 13pp1, Page Ins, MD. yr.D S.1-P.I- AND . 192000
T S C725030 00/00 80TAL 105400
U .
R
E BUILDING PERMIT
L� Numbar Date Type Amount
LAND LAND-ADJ . INC ME SE SP-BLDS FEATURES BLD-ADDS UNITS
192000 t . 19500 45200 . I820143 4/78 NO
Consl. Total r bt'It Norm. OUsv. F � �7
Clas$ Units 1,'nit I Base Rate Aol.Bale Age CND Loc N R G Rppl COst New !I Rept Vnlue Scoriae I..eight ROO Beq Rms 6e..�a I ria. Partywail Fec
t I I ACI t• Depr. COntl. 'I
01C 000 . 100 100 . 58.65 58.65 78 70' 24 74 ' 100 74 : 116036 85900 . 1.0 7= 4. 2-1 9.0 '
Descriptiar. Rate Saaare Feet Repl.Cost MKT.INDEX: 1.00 IMP.BY/DATE: ML t' 7/88 SCALE: 1/00.77.:. ELEMENTS CUDE CONSTRUCTION DETl.IIErell ---11tt
BAS . 100 58.65 11.44 . 6 7096'
FWD 85 8.50 440 : 3740 *------ _--- -44�--_-_- ----*, STYLE 03 ANCH 0.0
T I FWD ' ! ESIGN "if4T -60 ------------------T.O
R 10 10. XTE_R.WAlLS tt 06D SNI-NGLr 7I.0
U ! ! EAT/AC TYPE- -07 AS-Haft WATER U.0
C *----------------44---.
----------- NTER.FINISH- -04 i2YVALL ---------T.O
T ! INT-ER.LAYOOT -12 VE-R.%N6RMAl -'U.0
U ! ' NT€R:aU/KLTY-. -02 AT4E-AY EXT�R.--U.0
R _ ._! - ! LOUR-ST7IUCT- -02 ti-d0i-ST/8EA14---U.O
A W ! ! E F LDUR-CDYER - -t4 ICE/HDWD/C-P T--U.-O
L � TptalAreas Auw n 440 Baee= 1144 ! OD-F:TYPE---- -01 ABLE=ASPH__SW - U.
BUILDING DIMENSIONS 26 : BASE 26 LECTRI_C"AL 01 VE_RAG-F U.0
S W44. N26 FWD N10 E44 :S10 W44 OUNDATZUN--- -Ot .MIRED-TONC-----9Y.-9
B AS: E44 S26... : : ! -------------- --- ----------------------
! ! - ---NEI:iKB0R OD..-6VWC__KYANHTS -------
L ! ! LAND TOTAL MARKET
PARCEL' 192000 297400
_ *=---------------44---------------X AREA 70000
VARIANCE +Q, +325'
STANDARD 25
i
TOWN OF BARNSTABLE Permit No. _____--___ '_____
�� Building Inspector cash 316.00 (bldr.
...A —
OCCUPANCY PERMIT Bond --------________—_________
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed,. or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Johnn Camillieri AddressOn4 Hall Rand, Stoneham, MA
1.nt ,Ei1_i.9 5n, tRAv �hnro- "in/-A J'AVannfA
Wiring Inspector _ �� Inspection date .
Plumbing Inspector(oe"`r '1 Inspection date }
F
Gas Inspector �- ��� Inspection date
,.'Engineering Department � Y"•,' �/� Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
r �
.-' -u.A. ............. 197 ........................... _........:`°'............ . !'` ....
..
,Building Inspector
! :{ ai 1 i d'i•,v, .•.� 'fc...-i�! '- , . :,-�7 P oi #rz a ^p�T,+;•� r s..
t... �a�B.k(+ �n'u4�1 -�e• `';I� +
01,
'�0
It
� �.:F t .!••. r r !. J� - o t: -' ri } a r'� t t � t i ; l 1
,
j.i ` ..•+ t-�, , } f .S � � s d t �'�7 C 1 t
y }tY ¢ I : .� '`• F j , atl:. :. ..�4 ! , ;' t 1 l:Jt.S
[ F
3
+ \ cs�p 06, ¢ '�+''.s,✓` I\..*d�' � � #Y .S.:( )_�,�:�� �' + g �, , ,:{'� .T- r, t k ,UW
.iit
, r+ =f
a y . `L
r
�r� Y { a Jul-Jiy.
3 3{ j V (,7 .�J�.1�
t�1 \ � �� y.;. �- r f r •+.-? L.w-+n t }. ,..,��: ..r ar. .,.. :.,•..� + ', �¢ : � ,. .�-qt.
4 ^.
f .,�1 rigJ n ast ` 1 7�v ", �"�,r--\ n�' `v (C,-a--a '�.' 4�+y "�:, "\ •" „-{,c. -t!ci„
_rni
`,, ' i ``.+y �!M t• ' ; 4 �;ll � IVC� 1�Iti�OZ�,.'rl �'tLRi 1-11
.tv
1 +* , .. w"1 �I..y j r ..� /'�..�,{) r^•_ #['� i-1 (� C T
1 +a p. i ,.., t '� l6r. Y 1 I • !\V ��i�1� I \�'�1`— '�!-e.,+: 1�1\1 J� ly -1 1� -A�\,, � �\ �!'`/ J1\ y�r•�pp•'1 -r d-F� 1 ,j.
�. r r t r S t ! t�t..... r {. L r .J" r., --•� 5�,,{t l ` `�� y e' k i..,
Y t 1 Mks 2 rj + i ; ».: F �\t�1- r�`��-...��i 1.����1 ,�� .�1�1 1V'I�� /�1��IJ.J ' !�, ', "' t• �•}r
tl Sj'z a� r .I' i k�_ t S, r r , �'.� ' '� � " , v;(�N �1.O o�� 1.,•t, .� + ; � :• � �'� I , t -� xi Yr S,�t
F�1Llzr� We)lb0 �1N1 !ylo1-3a J'-Q3J i O't' S
®v°T. .1 / t.:. p y+/d ad�I.
} I ry T".
'70
\ t-� r '¢^,i f.y..5 ;. .ri ¢a ;* r.a' _r. 1 �.J q 4 '.. t ,.. »I 1 ;•� + r - � 't
_ . [ I + r Gam. '1
rp
,1 F�t ' 4'} '�der I � t� , r i t � t •.
n _
t �i�jti}rr
t t'.
try-q--r -, :i; �tr x:,j z j t t , „d f, .• ¢t. t I
h�d 1 + -? S t. """_1`i+�'_,�.""F +.k.^'. .^S �.., -.�,..�..c•,,.,:� �.-�+r�-.- }e+�..y-;1,.,.- � t. �' J.i!'Yi_``.r-+w.i �`.
� ^~i..\a ,5-' ��"?`'�: e r.—'-z M,�.s'�-r�'tt- � .- 't t:. ,, = n�-t.'-t:;-;--•1 -'-.•p +'r`�„s- ���3'J
'• 3 ! ,1 + c '•'rf r t a s i• e '-�- + j i t ... e �,r , { ,t.. t 7
y...,
�'� -� t'S �� - Z�¢t }{,� 3 �, i �.� .. 1 �� �+✓ _P � r � } r }• i .it«�. S r r.' s �9.-t 2 '..
i:✓ .t r -i: _ { , - r't d=. +1 { - { •...f
1 +, r �-
.a� 1_ •�� e -+.: r. t L ,v. }+ r.+L-,a,'t .r• -i� r. � � - � +. „c,-e_.... _,zp�, Y r. ,¢ a. .
r"
, j
+ x p7 e •� 1 t 'b i 1 ! '1. ! f%_ "'t'f+'�-v�as ,t t < .. .y et - i 'K y ra 17 d .
1!..A'
{,�. �y\�J.t.GCIZ 1 V; t F +.. �
/��p.
,� t 1{ *'a: tI m o f ya s Y � ( �• / �\r'' - •f^'17- Vr Q ..T � �.9: � .., +_,,.it��4.
Y"P � a '"#y �#' ! 1,�., tl =:!._� .. f t •,�i /� �/ , i. \�--` Q O K , ..y � .. I � i. {.. ,.� t �-.!�rF t... � I:,, `
471
at,..
it
.fir
rt-° .y� _ ?-' ._ �i � l �. � t � _ 1 F'.. L..r y'-r t �1��-r �t.� l -_i,1•, # 1�<<� ,9¢.
6 � -�j a ..:• � i ! � , ., f ...E p"' Y, r .,.... � •.. r •i- .1. f... t 1 ...�9 , a.,a �St..f i:.¢.. � ,....�,�.. .!4 .
f ., r ' I t'y� , }rf �' # 3 � t�'w � i yypp = 1. :��'�) ,7 ✓\J1�(.rr-„L ,.y �/ `.`; I
e 8 1 �' f t 4�x.. k +K , �' r�:r < tr �\';7 ,'� ', b y„ � , A `•
r ' .J: i k-'.- r �':^.R••,s ..�I"S`•��:• ° F 3Q ca0�, r - \O� �`(,1 -'s ,� £,:
f rr s ;tJ I 1 1 .+1 , - I � ,., i�r :� �.� + � �'� S�i� ���� , _ � 1 •f
k �,, � } :.'¢. t �4 s . . Y: .'i #'� �/ �9�F. ¢• i j i i, �;�,,, I i.
-a �_"+ �1. �. .,,., .. - .ti \ ' r *�`i - , r a•� -( a 'gip"
fff
411
r::.�
P + 4 § JSJ 1 t I
r
r"�,t } " ! 1 '' 1 +.d• •'t \ 1 .�1rJ. f I ✓ I I t
•rSA • :�,.;y. �.�.r,..}} t«
f jf 1 .•t{'C 2F' £ k. �' fr I 1 .�-� ,I L'. t �. „!
� I
a# t.!( � 1 . •' t It It
�; jl E� ` �'S t t. j i i• 3 � ✓• `..� /( � � i r ,! � ¢ I' f -
�
r' h �F ¢ i. { "f*-#W�NI 3'! i- , • Y J1` ��.� i I F.} *Y1 t3 1 �` flli
k
,.+ } ,T �.1 ,d#r>•i riz:�� •t"" _i. ! ,� ,# w� p•pt 1 �'t ..: �.r( ra.y'" i �. �¢. } kk
� E �• r I' N, t...a.�✓I��-1 t:✓a� ror�ahi 1• . . . I
.t i 't t ... t ,..- .. ._.w_�71/.10� �•70� �'iJ�l E r.M, :;•' i r >d ,..--I
' I
w M
�d
i ! s
o
MAR
GAFEI� Y: � U�. INC.,
By
{
BAKER HOMES,INC.
Three. Bedroom Ranch
01 One and One-Half Baths
7—
OPTION -
DECK
�2-.. The HARWICH
ED 1 av
dining
room kitchen bedroom
llx12 10x11 15x12
fa�bgLth
26
living room
16xl4 bedroom bedroom
llxl2 12xl2
joa-- ..
44
stated dimensions
are approximations only
. 4
=•w7 f in._6bindherr/of 1/S2 gay Jae toad _
side eJeveon
driveway 7 9ar
ro�os�d re'!alnlq wall
road /eVel
r�rade ,�
ba,��1enr �/oar
elm7lon ore r
aloe road
_ /P/;r elemon
grade
road dnveway
/eve/
I -- i2 -�
i
I 4
i
•fi
I �
� � t
t
t
� t
w
i
li
i
• s
I
a°
I ;
r. .
I t I �-- --_1- " I f �—' 1 !_— , ,�-'_� I ' 1 'I 1 t ., 1 a'i• t..,u-41
,
AN
JL
?
r J t,. -_,• r f___ !•w—� _ ' —� �, ! ' - I _ � I� ' Ala �`
t`� --• +- t �—_-t !; � i � k= 1-__. !J --?- I -�---r-,_.._�...' I I 'I��s'v'a� � '':
-,tj I ._ -i-__ 1.. �.-rt�-•-•-1�-_L_ � t�......' i- � r -iT _�� � `_�_r l_.i j S r_ -' � � ;�e ;i``C�rS r
' �- - yf;f
_4E � ) FIT
j
�—��
.------ .��•—�.__, J.r � �"_ _ , .-'.�. � ;.i.� _ �..-�� - _t ..,s�. .- �r �'ii aL,tf,"-�y,_-t�t�.1,-�I�ftE �-�� .
' j ._ �_.__ its - 1-->< - , • _ _� �.�uV....,;,,,,�
1 a� � 11�-r t _�x ♦ nc �a�sc.a.�..�..r
I . fir
rr r
-1 r
- --_r
x
r_ g{ i--�
I _ -
AmIZA
,
i
i
-I.- ,'
i I I - G''
C i _ +
I s � ;i `i- •�-_1_ iY ; >• I q -.r<- I .-._ x tl s � r ,-y i� r l_1 Y,t ;.are,.���j� t,
— 1r. I r r �__�•-�-�:.,._i� � �!t ! I' � 6- f r t �;� t- I f M�� 1 .t�, n
�• `i � _ _ _ , A 1 I, :1 1_�_ `� _. -�.- i r t 1 i I�
71
1 ,n '� �R�,.i`� �� � -. i _..... f _.� -� •_. �f_ 't...:.-� r,;: i I ;.,� - I .. � '-�L. i :_�. M�ab�'.!?r4 ',�3 �I�'
.tj y y l .7 _I i l. *1? L) -I t `' �• I� I I_ i ! I f ` j' a r }b a„ P' I 6 r
r
2 •� I', r l _1.._ �i..... , -...-_' -I».w:-.. ! j� � ' �.•...M I....� -`"' i l :.� � I -li �y r3 S {t �� t$d
�l � ���s � •3 r�.A � `.T�-_ •,.r .t„. .. 1 t i i- � ! I � ' ! �- � r I �� I � �� ��i'i kris s !,I•'�, _y �,
,
,
,
,
l swssor's map and lot•number
°f.A - /0 .5�
1�- 77 r!!`�J!' �10 r ' � #�Lel�l`;t « Q�i,y� j'O C®s�.�aeeT
Sewage Permit number TD �.�k'~ s
a. T�
y�f;TMETO� .. TOWN- OF -,BARNSTABLE
�. �MAOLt.� 6 U-1, -L D-I-N
9� `ri639 - Grf'. INSPECTOR
YOY Ore r i
u� .. a ..
;t APPLICATION'FOR PERMIT TO G�D�r /7/ ... 1 .. ��:` 1 ... �II'ill.LIG............................................
rTYPE OF CONSTRUCTION ....:....:GuQ.O .. :fYI ...............................................................................................
..... �12�...................19.77.
t� 'TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for
� a permit according to�the following information:
Location .........�r�J ....�[. ... s4.y'...Aign..��......................VC-z �C9.6 *.............11.A.P.jn. &......................................
Proposed Use .......slY.!7 /e...A.Pylly...dwelllq............................................. ..............................................................
Zoning District .......................................................... ..........Fire District .. . .. qN N \S
Name of Owner .. n.....GiC�rn�rl.l�/��............ ..........Address Cl��.1.!f�f. t,�!i►..y... !.�11/7��C�t y..1.".t ..................
Name of Builder .....1.���G�. /Q !° ... �.....................Address �T Alar,............
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms,,,/ ...................................:................Foundation ..-./� .......f....................................
Exterior ..............ke.......dea .f.............................................Roofing ........Cc.4�T.: 'G�l..:�I� dlf.... � /�:....................
Floors ...............Qn�...............................................................Interior ............................ .......................................................
. :
.w. i..z--:ter .
---, —Heofing—.-.........• .........................................Plumbing .......................'.g........................................:................
Fireplace. ........ 7lek......................................................Approximate Cost ...P? ,.00d.............................................
Definitive Plan Approved by Planning Board ____________:_-__-___._______19________. Area. ... ....... .................. ........
Diagram of Lot and Building with Dimensions Fee 3N
SUBJECT TO APPROVAL OF BOARD OF HEALTH
QLDR�
1-n 0
ZIA
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable/rerding the above
construction.
Name ... . ....... ............................................
r' Camillieri, John ` `'""�'—J
t t
20143 r _ 1 1/2 story L -
Permit-.for, r
'.{ single family dwelling
..........................
t+
��....... .c i,50 Y re Road...}.............
-'Bay Sh
i Location ............ ..... ..........
- Hyannis t; i
................... T ..... ...........
John Camillieri'
Owner ..................................................
Type of`Construction ....frame..... .....
• d„„ _� K •�,• of
+,-.. a V 112 C 6.7 1 rs
Plot Lot ....... .. ...................... �.
a Permit Granfed`.:......AP=i1 27.. 19 78 i r
. F
Date of ... ...Inspection 1 f�: 19 r�o
Date Completed"} .. ��i. ..�.`:19�0
PERMIT AiiUSIED
77 f 19
......... 4%..... ' ......... ' e
Y ....................... .. ............
Approved � r
'J
.......... _ .................................................. ......... -
i .................... .................................................. w -
S
:.J
NO 1`4440LE"r-OVIEk'
4,r
Jlb .
'Ott
41
t
7:C
t
6fX%
OND! 61--JEV,
A4
ti
i I-Q
L tal. t. It" it
-t;N
'76
N. ME
'T
1.4 st
PIP t--
J
t "I J7 :i_
TIP..........
T.V
w t.
D
Pi
E. 7 Ll
M z
R c
HOME-3
.SP 44Y
4.
'ji
Tt
J
1-j
It
A, Ito,
.t 3 _._,. ..,. 1 x..:: t. �l._�"��:I.. 1:.:/• �y.•vr f.l... w� . - � i `d r �-',.`.LI_�k't".
tq .1
4 P117
- , A P6
/7 IN
7 44,
_614127 M" Is FEET TWS04VjA;
Awl
-if
tr
vt�
HOW i
Jll
,V iN
l C4�
"k Qw k4
yt: f-
'......' J I: A"wt T
E, At,
97
rII r
_V
It
N
piro
V
E0M 0 THAT '.r _5
WN T4
PF
70-P IM L
0 UILD N K IVW-'"I' G 7LIA Wks
Smucir _;4ND 7-0 'rH E Jr ST-k)4 r-1 d Nts-
Ap
I
97
it
-x . R IM T.15 D_ Im-AN a
ty.
'"77!
`7 1
Assessor's map' and lot number .....J......................
6A4:
S&.wage Permit number ..........................................................
*THE
Qyo
TOWN OF BARNSTABLE
MARNSTAMLL
o
a�ae�
BUILDING INSPECTOR
APPLICATION FOR PERMIT,TO .................................... .........................................
TYPEOF CONSTRUCTION ........... .............................................................................................
...............lo/.-M....................... ... .....
TO THE INSPECTOR OF BUILDINGS:
The-undersigned'hereby-applies fo"_r a permit according to the following information:
Location ......... /41 "'17t"n, /�V,17.f Tl
. ....................................................................................................................................................................
Proposed Use ........
..........................................................................................................................................................................
ZoningDistrict ........................................................................Fire District .............................................................
(AA n
Name of Owner .................... ...........................Address Ono#�11&........�rrowlAw A"I'l
................... .................... ............................
Name of Builder ..... .....................Address 1)9n,171f- MIrf
...................I...........................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ................... ............................................Foundation
Exterior ...............W/q- o,11.,re(v cynAwr
.....................................................................Roofing ............................................................ .......................
Floors ...............r)I?P...............................................................Interior ....................................................................................
Heating ......... Plumbing ..................................................................................
Fireplace ..................................................................................Approximate Cost ...... ........................................................
Definitive Plan Approved by Planning Board ------------------------------ Area ...4,-V,6_ //4, "14 -(,/
......................................
,5A ,
I v,
Diagram of Lot and Building with Dimensions Fee ............. ...............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1AV 15��
.............
-Of
of IN
o
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ......./......... ......................................
Camillieri, John A=325-165
7 T
No ..;..,2Q143 permit for ,,,1 1/2 story
....................................
sing a..family..dwelling.............................
Location 5. ... ...
0 Bay Shore. . ..Road. . ..................... . ...... ...... . .. .... . ..
Hyannis
...............................................................................
Owner John Camillieri
..................................................................
Type of Construction ......frame..... ...............................
...............................................................................
Plot ....... Lot .......112..................
..........
pril 27 78
Permit Granted ........ ...............................19
Date of Inspection ......... .........................19
i
Date Completed ............... ......................19
PERMIT_ REFUSED
.......... .... .................. 19
(;rsl. .... . . ......................
................................... .4y..............................
,
.................................................................................
............................................................................... .
t
Approved ................................................ 19
...............................................................................
...............................................................................