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HomeMy WebLinkAbout0038 BRANT WAY LX� _. _� - _ _ � �� I i I �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# Health Division Conservation Division " Permit# Tax Collector Date Issued LA (3),q d� Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village i� Owner l �� �J ��1- Address Telephone Permit Request ..� ��� ^ U ®� , D� Square feet: 1 st floor:existing Sy proposed O 2nd floor:existing proposed o Total new o ,Zoning District Flood Plain Groundwater Overlay Project Valuation �/��� Construction Type 1 Yp e Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation`. -' Dwelling Type: Single Family � Two Family ❑ Multi-Family(#units) �- Ye Age of Existing Structure "— Historic House. ❑Yes �No On Old Kmg s Highway: ❑Yes �No Basement Type: id Full ❑Crawl ❑Walkout ❑Other r Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �('-1 Number of Baths: Full:existing Z new Half:existing � new Number of Bedrooms: existing 3 new _2 Total Room Count(not including baths):existing 6 new First Floor Room Count y Heat Type and Fuel: 'EkGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes W�No ,Fireplaces: Existing New o Existing wood/coal stove: ❑Yes X No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:f'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 Telephone Number 5 D'T -73-7 Vlk(pq Address _ License# 0<�,,Co ��� A,(% ( t2 rAOL - o z Home Improvement Contractor# Z.6,r� Worker's Compensation# v(-0- Q i�o�✓� � ALL CONSTRUCTION DEBRIS RESULTJNG FROM THIS PROJECT WILL BETAKEN TO SIGNATURE � DATE o°4— 1 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE' OWNER i I DATE OF INSPECTION: FOUNDATION ' FRAME i �7 JAR-'_ INSULATION C� -7 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH *� FINAL FINAL BUILDING �1 -7 DATE CLOSED OUT ASSOCIATION PLAN NO. '` The Commonwealth of Massachusetts C Department of Industrial Accidents Office of Investigations d 60.0 Washington Street Boston,MA 02111' wyow.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers ,kpplicant Information Please Print Le gib Name(Business/Organza-ti0sudividual): . 4 Address: 33 Ci /State/Zip: �L� - z�`(g Phone.#: tY ' A��e ou an employer?Checkthe appropriate bog: :Type of project(required}:. 1. I am a employer with 4. ❑ I am a general contractor and I6 New constructionmployees(full aod/or Part-time),* • have hired the sub-contractors listed on the-attached sheet. 7. &Remodeling 2I am a'sole proprietor or partner- These sub-contractors have g• ❑Demolition; ship and have no employees employees and have workers' working for me in any capacity. 9. ❑Building addition [No workers' comp,insurance comp,insurance$' 5 10.❑Electrical repairs.or additions . [� We are a corporation and its required.] ' officers have exercised their 11.❑Plumbing repairs or additions ' 3.❑ I am a homeowner doing all-work . myself.[No workers' comp. right of exemption per MGL 12,E Roof repairs insurance,required.]t c. 152,§1(4),and we have no 13 Otheran.�e� _ employees. [No workers comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, t omeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such H tContractors that check this box must attached an additional sheet showing the name of the Sub-contractors and state whether ornot 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: Policy#or Self-ins.Lic.#: Expiration Date::• II Job Site Address: � ��" City/State/Zip rV 4a 1„�,�)-:i M a Attach a copy of the workers compensation policy eclaration page(showing the policy number and e4iration 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 maybe forwarded to the Office of Investigations of the'DIA for insurance covers IA verification. I do hereby certify under the pains grid penalties of perjury that the information provided above is true and correct. ' Date: eK a� — JI anlre. �"v Phone# �9 �3� 07 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#: Information an -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..l52,§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.af.comolmt a withtlie 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-contcactor(s)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 appropriateline. 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 (citq'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 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 Depaxtment's address,telephone-and fax number:. The Commonwealth of Massarhusetts Npar tent of TnftsWal Accidents Office of Investigations 60O Waslhingtori Stmet Bo4ton-,.MA 02111 TO.#f 17-727 00 I ext 406 or 1-877 MASSA.FE Fax#617-727-7749 Revised 11-22.06 www.maSS•.pv/dia acme Js:Z1C(eoatmae� . Baeseriptive Fackage9 for 06 and 7•w4-F=ij•Residcutlal Baildiap'Heeded wits,fes41pe12 AIAXffRillhf hYI2VImum Glaring Glazing Ceiling Wall Floor 13asam>rast Slab Herling/Cooling Arm'('!1) U-niuci It-valuer " R-vsIuei R•Ysiuc� Walt Perimder Equ�Fmcnt EiPiacary' P=kage R-values R-vslue� . 470I to 6300 H=tisg Degree DaW 12% ' 0.40 33 13 19 10 6 NorsssI R I2°!a 03? 30 19 t9 10. 6 Idorrssl g I2% 0.30 33 Y3 19 10 6 "S3-AFUE T 131e 036 33 13 24 NIA NIA. Normal' U ISID1a 0,46 33 I9 19 10 6 Normal y 15°J 0.44 33 I3 13 NIA N/A 113 AFJE W 13% 0.32 30 19 I9 10 6 tS AFUE Is% 032 33 13 23 N/A NIA Namial y 19 . 0.42 39 19 23 NIA N19 Nord Z l l;°!. 6.41 33. 13 19 IO 6 90 AFUE A.A 1-5% 0.30 30 IS 19 10 6 90 AFUz 1, ADDRESS OF PROPERTY; ARE FOOTAGE OF ALL EXTERIOR•WALLS., i 2, ,.QU �S ►N 3, SQUARE FOOTAGE OF ALL GLAZING. 2 ,� 4. °Jo GLAZING AREA.(93 DIVIDED BY 42): S. SELECT PACKAGE (Q—AA-see chart above): NOTE'. OTEER MORE INVOLVED NMTPIODS OF DE-T Nl G ENERGY REQUIREMENTS ARE AVAILABLE. A5K US FOR THIS INFORMATION, BUILDDP G INSPECTOR APPROVAL: YES:. NO: G-fC7 ui5-flc03Q3c IKET Town of Barnstable Regulatory Services BAMSTABLE. « , . Mnss Thomas F.Geiler,Director y $ e1 39. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 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:�7 M.aA -ADD Estimated Cost '/-oZ)- aZ Address of Work: Owner's Name:. Date of Application: e l ..C) I hereby certify that: Registration is not required for the following reason(s): 7Work excluded by law ❑Job Under$1,000 Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORD 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: ct-)1) l Xz Date Contractor Name Registration No. OR Date Owner's Name Qloims:homeaffidav Town of Barnstable. Regulatory Services MUM Thomas F.Geiler,Director Building Division TfD MAI Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 WWW-town,b arnstable.ma,us Office: 508-862-403 8 Fax: 5 0.8-790-fi2-3 0 Property Owner Dust Complete and Sign This Section If Using ABuilder as awuer of the subject property hereby authorize to act on my behalf, in a1 matters relative to work authorized by.his building permit application for; , (Address of Jo ) Signature of Owner Date Piiat Name O:rGRN 5:07��R�bFJviI55I024 I Proposed Dormer Description- for Installing a dormer over the existing roof window Kevin Okane opening. at 38 Brant Way The existing garage roof framing and skylight rough opening will not be altered. The new dormer will be attached to the existing structure using Simpson Hardware h 14' Projfose�LDorme '.Roof Run Approx. 8' h 17' . R.O.2'0"x3'0" 42" Anderson A31 Awning LjI u 51" Existing garage Roof With Skylight V Legend Framing Detail Framing 1/2"Plywood Walls-2"x 4"spruce,16"on center rcegue Headers-Doubled 2"x 8"LVL 30year asphalt shingles Rafters- 2"x 8" spruce,16"on center Hicks startervent Sheathing-1 f2"exterior grade plywood Simpson H 1 Roofing 2"x 8 doubled LVL header over window Asphault,30 year,architectural shingles,matching existing Siding "B"clear,R+R white cedar shingles,5"exposure Insulation Walls- R13 Kraft faced Ceiling-R30 Kraft faced Interior 112"GVpsurt�sheetrock Drawnby Window Brian He„„man Anderson Awning A31 MA.CSL#066349 MA.HIC#122260 (508)420-2417 Fi-oposed Dormer for Kevin Okane at 38 Brant Way srl 2 PITCH Existing skylight rough opening Y (43"x43") (2) 2"x 811 Existing Rafters 2"x 8" Existing interior kneewall 2"x 4" Drawn bar Brian Hennigan MA.CSL #066349 10�12 MA.HIC #122260 PITCH (508) 420-2417 t�� Board of Building Regulations 2n'd Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. Iffound return to: Registratioo , 22260 Board of Building Regulations and Standards Expiratlon 8l58f2008 One r>shburton Plaee Rm 1301 Boston,Ala.02108 t BRIAN.HENNIGAN T i; f BRIAN HENNIGAN4t •33 BOSUNS-WAY MARSTONS MILLS,MA-02698` Deputy.administrator Not valid without signature _ BOARD OP BUILDING REG ULATIONS Aw ,1kd,nse: CONSTRUCTION SU -ERV.ISOR F. " 'NumbeCS: 066349 B irthtlate`-106l2 V1960' }Expire6/2112007 Tr.no: 14419 1 I Res'in ct0 BRIAN H HENNIGAf� `� "• 33 BOSUNS UVAY���'�� MARSTONS MILLS MA�02648 I Commisaioner # _ k 81$08096 i � a �201Q as z 19s BRIANfi =33.80SUN$WkY NARSTONS IdILLS ,ti;/02646 101A. `~F v- r -�, ' Hj eeC Lac - t, � * f 4 � it t 3 4.4 Vi too r Y t 7 ir., rYa. 4 q _ 2. y.. . - �. E� •..tan � r t Y :Y 1. � - To: Building Inspector, Town of Barnstable,Ma. Sir, Please let this letter serve as authorization for Mr.Brian Hennigan,Construction Supervisor License #066349,to act as an agent on my behalf in the matter of removing an existing skylight over my Master Bedroom and installing a small Donner,with an Anderson awning window,in its place. If you have any questions,please advise. Sincerely, /WAAk M�-�- Mr.Kevin O'Kane #38 Brant Way, Barnstable,Ma. (508)778-9485 O1/04/07 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ( Parcel Z Application#,,a06 (4�)h ( 3 Health Division Conservation Division Permit# I Tax Collector Date Issued .a Treasurer Application Fee Sb Planning Dept. Permit Fee c50 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village &A Owner T)'Cia Address � y-4� i Le 4 Telephone Permit Request —' ,ecu, 10 11 r q ` W` f 11 t del T n� Q�� ; l Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ROO Construction Type Lot Size 0„34 Acnc 5 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. ti Dwelling Type: Single Family 2/ Two Family ❑ Multi-Family(#units) Age of Existing Structure \Q TG Historic House: ❑Yes VNo On Old King's Highway: ❑Yes ®No Basement Type: 4'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) _ Basement Unfinished Area(sq.ft) Number of Baths: Full:existing ''Z new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing -new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes 9 No Fireplaces: Existing L New A) Existing wood/coal stove: ❑Yes I No ` Detached garage:❑existing ❑new size Pool:❑existing ❑new size tj A:: Barn:❑existing ❑new size Attached garage:Ye*`xisting ❑new size Shed:❑existing ❑new size 4)k— Other: Zoning_,Board of Appeals Authorization-0- #TM. -_ ---= - -- --Recorded❑ r - V:l ti Commercial ❑Yes ❑No If yes,site plan review# I Current Use Proposed Use BUILDER INFORMA ION '_, Name Telepho a Number 6C�� Address 'S V S,".S S Ll License Vkk, ;AAJ AA4 a D-Z( cC Home Im rovement Contractor# i'ZZZ 'e) T Worker's mpensation# 52 . e,40 O,n k A,�.r� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 7 Z o C, p4 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: \ FOUNDATION FRAME INSULATION FIREPLACE 'i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGpH� FINALo / P(2— M FINAL BUILDING 1 i DATE CLOSED OUT G S ASSOCIATION PLAN NO. i. i t s, I The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations > d 600 Washington Street t Boston,AM 02111 S'•'. wwwv.mas .gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: ' City/State/Zip: � � G(� one#: Cog- 73 76 Are you an employer?Check the-appropriate bog:. Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction emmloyees (full and/or part-time).* - have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet t 7• ❑ Remodeling 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 required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I 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.V06ther c comp.insurance required.] `Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information' `• 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 their woikers'comp.policy information. .ram an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site nformation. _ assurance Company Name: \lr.r2,C. i, l� ?olicy#or Self-ins.Lie. #: Expiration Dater lob Site Address: S� vt c ,. ) l �,: CC4 City/State/Zip:_ f t�a.a��t 5 Ilu 4 7--T- kttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ailure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 1f up to$250.00 a day against the violator. Be advised that a copy of this statement may forwarded to the Office of nvestigations of the DIA for insurance coverage verification. 'do hereby certify under the pains and penalties of perjury that the information provided above is true and correct: 3ipnature: Date ?hone#: O'F­ 7 ©o tP Official use only. Do not write in this area,to be completed by city or town offwiak City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the.service of another under any contract of hire,,. express or implied,oral or written." An employer is defined as�`'an individual,party ership, association, Forporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. Howev„Pr.tl e owner of a dwelling house having not more than three apartments and who res_i6s.therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair workvn such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter 152, §25C(6)also;states thatzevery.$ate_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 ce of compliance with the insurance coverage required." applicant who has not produced acceptable eviden 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 ie4uired. 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 being requested, not the De partment of to the City or town that the application for the permit or license is b g q be returned ty , Industrial Accidents. Shouldyouu 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 will be used as a reference number: In addition, an applicant Please be sure to fill in the permit/license number which _ that must submit multiple pdihit(hen cse 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.mnst 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 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: .F The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington Street Boston,MA 0211L Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia FTME goy, Town of Barnstable Regulatory Services Ba MASS. E Thomas F.Geiler,Director y 'MASS. g � 139. . Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 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,modemization,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: n CEstimated CoAddress of Work: ,Se��.,J Oc.s�4", t--�1'4 S bt,� Owner's Name: Date of Application: 71zl 0& I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: D e O �ZZ'Z Date Contractor ature Registration No. OR Date Owner's Signature t Q:wpfiles.bn-ns:homeaf5dav Rev: 060606 i To; Building Inspector Town of Barnstable Job location #38 Brant Way,Barnstable,Ma. Owner Mr.Kevin O'Kane Contractor Brian Hennigan 33 Bosuns Way,Marstons Mills,Ma.02648 MCS#066349-HIC#122260 Job description The rebuilding of the existing lower deck,measuring approximately 10'x 20',and having an 8'x 3'el extending to the sunroom entryway. The rebuilding and re-enforcing of the 2nd level cantilevered balcony deck,including the installation of pressure treated support brackets attached to the house. The work will be conducted in strict accordance with all applicable State and local building codes. Deck- • Setting the 12"concrete footings to a depth of 4'below grade. • Installing a moisture barrier between the deck and the house. • Framing the support structures for the deck and balcony using pressure treated 4"x 6"posts and 2"x 8"joists, 16"on center. • Mechanically attaching the support posts to the concrete footings with galvanized steel hardware. • Attaching the frame of the deck to the house with galvanized steel carriage bolts. • Building a Balustrade style railing along the exposed edges of the deck and balcony using the Weatherbest Crystal White railing system and attaching the railing posts to the frame of the deck with galvanized steel carriage bolts. • Laying the decking using Weatherbest 5/4"x6"decking,fastened in accordance with the manufacturer's specifications. • Building a set of stairs leading to the sunroom entryway el. • Installing white vinyl lattice work under the perimeter of the lower deck. If you have any question concerning the project,please advise. Sincerely, � ' Brian Hennigan (508)737-0964 F •_ C Proposed Deck for Kevin' O'kane, at 38 Brant Way I XV covering appm. 230 sq.ft. door TV House slider 10, a M. i Typical Detail galvanized steel joist hangers Annirarrn flashing 1"pt spacer 211x10"attached to Frame Weather Best Railing every 16"with SM"galvanizedbolts 5/4"x6"Weather Best Decking 2"X$"pt-16"on center 411x611 pt posts-Ton center — max distance 9'6" . Simpson AB46 Post Base o 12"sonatubes-4'below grade Drawnby y Brian Hermigan MA.CSL 4066349 MA.HIC#122260 (508)420-2417 To: Building Inspector, Town of Barnstable,Ma. } Sir, Please let this letter serve as authorization for Mr.Brian Hennigan,Construction Supervisor License #066349,to act as an agent on my behalf in.the matter of rebuilding the 10'x20'deck at the rear of my home on#38 Brant Way. If you have any questions,please advise. Sincerely, Mr.Kevin O'Kane #38 Brant Way, Barnstable,Ma. (508)778-9485 , 06/26/06 1 . ♦ A errs LicENsir r ' NaER S81808Q96 cxv 008 a E a RIAN�r r. 33,8QSUNS WAVW MARSTONSMILLLSpMA 02843-t0/4 ' 1, • ,mow - w.ww��++�.�m�.� i ' , ;J/c�e'VdHYi7I.DOttIfE `.' � t . -.-BOARD OF BUILDING`REGULATIONS ( . f License CONSTRUCTION SUPERVISOR ' 066349 , Birtlidate 06d21/1960 3 Expires 06/21/2007 Te no: 14419 f Resfricted d00 BRIAN H HENNIGAN p� i 33"BOSUNS WAY MARSTON',S MILLS MA 02648 ,,Commissioner i . � fee TOommxooeu�ert�o�.�t'.¢daars�iud¢�d iloard of Ruitding Rcgulalions and Standards License or registration valid for individul use only HOME WROVEMENT CONTRAC70R before the expiration date. If found return to: Board of Building Regulations and Standards Registrations 122280 One Ashburton Place Rm 1301 Expirat�ar g1812006. ,r, �--:� .,� I Boston,Ma.02108 ype hM vidual ; BRIAN HENNIG;ANC BRIAN HENNIGAN` 33 BOSUNS WAY-' T MARSTONS MILLS,MA 02648 Administrator Not valid wit ou Signature Town of Barnstable "Permit#,,20 w,9 Fxpises 6 monthraom issue date r7' Regulatory Services Fee '- DARNSUML MASS RNt`� Thomas F.Geiler,Director X-P� f` Building Division % 4 2006 Tom Perry,CBO, Building Commissioner RNSTABL� 200 Main Street,Hyannis,MA 02601 wt��`nn� BA www.town.barnstable.ma.us ,308-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY / Not Valid without Red X-I'resr Imprint Ma arcel Number �`J( 4�? PP < 0 Property Address '376 7E/t4i.Jr—t01 ®'Residential Value of Work 0 .aDfimimum fee of$ . or work under$6000.00 Owner's Name&Address n� Contractor's Name n�ai� w Telephone Number '-®% 7?,? 27c1 Home Improvement Contractor License#(if applicable) 71 Construction Supervisor's License#(if applicable) 0 to(0 ❑Workman's Compensation Insurance Che t am a: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance 00 Insurance Company Name C 0z ®l Workman's Comp.Policy# 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 ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side replacement Windows. U-Value o (maximum.44) •Where requited: 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. Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 #_ IS�, fi IYLOk06 p, unsff8°'�- 93 BOSUIJS MARSTONS MILLS,MA 5 i "d k a � p ;l�te inarrvtiton«ae�--.o��/[�(.craaac�tueellb c 1 :BOARD OF BUILDING REGULATIONS . . _ f Ljcense CONSTRUow— CTION SUPERVISOR # } NumbeCS' 066349 � „6/2 Expo_�s06121/2007 Tr.no: 14419 Resfrlcted BRIAN'N HENNIC�A t 33 BOSUNS WAY; E ,a MARS MILLS, MA 2648 Commissioner e 4 . � ��ie�oorvnwn�uaalt/a�.�,ivaar/uvel�a : r ` r Board of Building Regulations and Standards License or registration valid for individul use only. HOME WPROVEMENT CONTRACTOR f before the expiration date. If found return to: Registr t ot�i .122280 Board of Building Regulations and Standards Expiratwn g/g/2006 f One Ashburton Place Rm 1301 � 3t,;.1 Boston,Ma.02108 Typge. Indrofdual f' ltQ ' BRIAN HENNIGAN � BRIAN HENNIGAN -s" 1 t 33 BOSUNS WAY<y F �' MARSTONS MILLS,MA 02648 Administrator Not valid wi ou signature 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/Individual): p���� Q t^ Q✓� Address: 4—L City/State/Zip: aA. n.�.(�5 JJ q 0Z q Phone#: vIT-, 75,7 -- g96 Are you an employer?Check the appropriate box: - Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New constriction employees(full and/or part-time).* have hired the sub-contractors 2. 1 am a sole proprietor or partner- listed on the attached sheet.t 7- ❑Remodeling 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 required.] w. officers have exercised their 10.❑Electrical repairs or additions 3.❑ I 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.❑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. 1Contractors 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.Lie.#: Expiration Date: Job Site Address: City/State/Zip: t 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 Signature '--�� n Date: ©2Z1���o Phone#• 7 3 7• D� Official use only. Do not write in this area,to be completed by city or town oricial 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#: "3tlt?L1's�. l5 LSi.#c,r1,14if4tF#`.1:1rJ :)s�A� , ILIN trt t,��,!t[SLi: r #tf" .- d'tee4jC;tfd�`:YLS;I.!is"Yit`;`i�."ftr'iilj'1 :1Y{�i_• ,1`Yc"9^ 14f{ '!}J'.C)}E!{ r;,i,;liftdit itP' t t €!wa a tl l fS f'{I' � 1(12'4'; `};.f:i�! 'E %!4�E�.1r� '�7}� C�1 •{{' ,ram a C'_"c _nrwJ► s �s3 > N� �`��,1 • �Jr �r'4i}.)u 41' :t'f,))t•€..:i_: i..r,,. I_ .i ' .';A {•,'Jr: hi. II ;bb { i ,f} f+{X# �l�w.'"..•.f�P «,_.. tli ! - { i! .4 3 1 r ;.J J r s`' r;il xv.< "(i , Ii:.}' ;'i.if, I-A`k,(,'..:' t:.jfL '1 I N Of j j + ; i � r• ';r `{ +y., <is• ' r �' .(P.{ v7J C'{{ r- ..1-'v '�Y'17 ( .> 'rl .l Sh,.Sj,Cti Sa•., . . ... ..,, c 13..r^,,.' •t,r ;,�,• ,},,r,t.. ,f.;r •+ t,,. :�. ' .'YG - ' ._ ,.. it it,.l..r .RI. ..t Y.'I �:t r.. . •Ftr.. n. 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"*'i' �'Tf .`ffs:. ;.� ':. •11`: i !;.0 i al 1;'•i tlfiil.:Kf�f'lf:�'f5� .. .7,^ x1-'l 1 si. f i r «f F( '1 i _# f 1#f�'-,f'#t;fl•1 fii�af-.:;Ct }i',/,�)'f.CPS U� a' {•'_`t�,t�l: ..r'!, I :r..tt) O'w'11(,A!bt"01;;"Ti6i')if r,I u1:P,.'t'_14 L'>e:IfC •.€ fie?�f <f 11)z l+Y;`,.ET 10101W/ ^R'" € jtb �},1 S`i-f;T!'<;il1'i`.:Y: AM €i{ f{r 1121;i1C%ki"jILI ..-..,_....,..�....._...., ....._,.max «_.:x......�,..�__..._....,�......'�:z_.-......-�^m�.�..._»:_..._.. ,.._�..,..._...,_....-•...-«`..,..,..._.._..___........ .«... ..,..._ _,.......,.__. «....._....,„.. :t di)lw VA);€1i""q;,t111).:iL1U,!S•.tO ixa5JifiL y Sty 4 '"3Ls�`LL`34 t'tti:`.•,71{,Y,� r.0'a A1L'tt'.'j_,)�=Yt'a fSr•Itt. r•{:.:.T.. _...,._ _..__ ....... ._........-�. ..,..1)i ii�jAt .;"p.i)L-tl, 1 a Y�-b.sl:}i�C-..tY3TiAi L11.f,.)"fsi�'f}fg�'A1 :/y'.r.:Yt 5t cl� ;11 s.vtl r .R.Y;i'�1.. { IIII 'ai}�:t°!t(Ilii�.tt,tt�tT�l?�`i +. '#.►1-;•,ti.tf��I.J#':3 rJf�• .� 1.1'".:���ft:..t�"t,�F~),f .3t#9f,"i�lG+f:Jd�� r.,:t.H}{ C�!' r j_, �; ..�. 1'I',7;" .{ I ,A To: Building Inspector, Town of Barnstable,Ma. Sir, Please let this letter serve as authorization for Mr.Brian Hennigan,Construction Supervisor License #066349,to act as an agent on my behalf in the matter of replacing the windows at my home on#38 Brant Way with new Anderson double-hung windows,. If you have any questions,please advise. Sincerely, )ZNA� Mr.Kevin O'Kane #38 Brant Way, Barnstable,Ma. (508)778-9485 06/02/06' a'f���•'. TOWN OF BARNSTABLE BUILDING DEPARTMENT _ »1 rua � TOWN OFFICE BUILDING tg t639' �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: /r, pd /7 An Occupancy Permit has been issued for the building authorized by BuildingPermit $k........�-�pp.�� _..................................................................................._......_....................................................»»... issued-to ... T� �` ................. 2 ...... �/`� �_.. ' Please release the performance bond. o TOWN OF BARNSTABLE Permit No. ...,3.0( �. ..... BUILDING DEPARTMENT 1 ■�.. I TOWN OFFICE BUILDING Cash HYANNIS;MASS.02601 Bond ......X........ CERTIFICATE OF USE AND OCCUPANCY Issued to r Gar)ricorxa RP;47 fi�7 Trii-,fi Address Lent- 42A _ 'AP 'Pt+^an4- 1•7--.7 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 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Sept�mex I5,k19. Building Inspector , r 1 1 o � TOWN OF BARNSTABLE Permit No. ...31MIA?..... BUILDING DEPARTMENT aeaan TOWN OFFICE BUILDING Cash � Ewa HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to car i_c--orn Address T r�+ ')A 'AA Fit7Ar1r1 t' .c 1.1,aC,n , v1vT�c.F F 4- USE GROUP FIRE GRADING OCCUPANCY LOAD k; w THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Seotuawer.............I...............1 ,19................. ................. Building Inspector �V `Ai Jf t5A-E -Mt ` 'asi",s�� ck1:3c�< DATE _19 PERMIT O,_ ,•�]A APPLICANT ADDRESS__ 'NO.i (STREET) (CONTR'S LICENSEI' PERMIT TO wtt'-?_I ( i) STORY _ I OWEBERNGO UNITS (TYPE OF IMPROVEMENT) NO. `(PROPOSED USE) + L�.:C If..4 ZONING AT (LOCATION) _;n ',I.;. < ::Vd.. !'_- DISTRICT • (NO.) (STREET) < BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) 4. REMARKS: ._-- i' • AREA OR •).-', PERMIT • VOLUME "p ESTIMATED COST FEE (CUBIC/SQUARE FEET) ' OWNER • /{�) .• - - t •, .y > _ T BUILDING DEPT. ADDRESS BY rT :n < THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC► PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH).3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 i D Luc Z z z . Y 7 v 3 GAS HEATING INSPE ION APPROVALS ENGINEERING DEPARTMENT ) v OTHER 2 ���7'+r �' �NINSk,'►lfJ� I t.1307 a WORK SMALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN 6E TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SI MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCT101\ I PERMIT IS ISSUED!,ASS N,Q'TED ABOVE. NOTIFICATION. - ' i< 7777- sA essor's map and lot number ..... .' ....� :... x. i *THE o To 49 Q Sewage Permit number 4yZ .ag....`2 ��., ♦f Z BAHESTI LE, i ................... ...... .......................House number' � b op 1639.fi 009 D MA TOWN.. OF BA-RNSTABLE r BVILDIHG INSPECTOR 4 Construct+ si le Fermi Dwellinr - APPLICATION FOR.PERMIT TO .. r.. ...... .. �.. TYPE OF CONSTRUCTION .WOOd .Frame .... j 4 Se�stember .�.F ., r- -'.TO-THE INSPECTOR OF:.BUILDINGS: The undersigned''hereby' applies for a permit according to the 'following' information: Lot' ''B'rarit Location ..... .2........... .... yay...J ann:is..Ifa.»............. .. ..... ......... ... r . ProposedUse ......: k ..... ............. ,".......................................................... Zoning.. District R C -: :......' ...: .. ....::..:.........Fire District ......urine......,.....::....:... . :. ' R t Name of OwneCapr.��Qrn...R.@alty...T�tiBt::.'. Addres_s?b�,.F.alanou�h...�oad,...Hyam ES-6....Ma•ss. Name 'of Buil co..Rea ,:.Z.at,��2Y.RG0.:. IA0*.Address ..:.... �+ i �, wQ. ....................... ............................... i;. Name of 'Architect .... ........ .................. ......::. :......:. .........Address ..................................................................................... Number of Rooms a ......:..... ° .... : ......... .:.Foundation ..... .............................................................. Exterior. .apk�.Ord:.and,�L1T..,�Y11ng1,e8...:,.. ..: Roofing ...........,�H ph ill e-s. G. �i Floors XAr. .et. ... ' p ... .............. . ..... .....Interior .... :•rs�@''$x'O'Ck. ........., ... ,y .... ....:., i p HeatingGros......... .F,..W.A:.................. . .....` ..... ..Plumbin g .........TVs©........,.....doP�Eyr. FireplaceNOn@...........:...:.............. ,,........:....::......................Approximate. Cost . I{,©.,.0©0•••00...... Definitive Plan Approved by Planning Board __ ,._____ ___------------19________. Area ,>5q f.t Diagram -of Lot and. Building with Dimensions Fee ............ .. d SUBJECT TO APPROVAL OF BOARD OF HEALTHC�`V!✓.� I 4. OCCUPANCY PERMITS REQUIRED.FOR NEW ,,DWELtINGS F hereby agree to conform to all the 'Rules and Regulations,;of the Town of Barnstable regarding .the above construction': e . Na ......... .... Construction Supervisor's License . ., .000989. ................. CAPRICORN REALTY TRUST 3 {�J-•9.."�?:. y - � r ..t w - ': � �- - _ j � r f �Ys .. `. `�f � µ -•' �. .. M r• 30042 One Star �. No Permit for. ...... .. Y......... s. " Sinpale Family...DwP11inE Lot #24 38 Brant W �' M .' �. _ `t- -,. �, t Location- ........................ �.�. . . ;, r _ H annis................................................* .... .... . • Ca ricorn Realty.. ...................... ruAl ._........... . Type of Construction Frame..... _ w .......... ........ .................... ............ .. ` _ .. ..... .. _ 'Plot ....r ...................... Lot ................................ Permit,Granted . l .October �,15.v.... 19 86 y Date of`Inspection......................................19 ,. Date Co m leted �, :rt�.............19 P .. _ f� Assessor's mpp a•nd,lot nurribe , . /.... I 49 Sewage ,Permit mumbe ,2, .. .... � `�r.:.......:....... e`` }' Z BAMTADLE, i House•t number ................... ............................. ro MABa p� e _ Cq�D63Y \00 MA TOWN OF BARNSTABLE BUILDIAG INSPECTOR ra - Construct Single Fami3 Dwell in = APPLICATION°..FOR PERINIT-TO .................................................................................. ..........:.:.......... ........... ... Wood Frame TYPEOF CONSTRUCTION ..................................................................................................................................... September,' �.lg ..: ....... Of BUILDINGS:---- + The undersigned hereby applies for a permit according to the following information: LocationLot � ...............2.4...Brant 7i;.•:I-4r z; annis•..raa-W........................ .:. ProposedUse .............................................................................................................................................. Zoning DistricRR.0 ..f' . ..............................................................Fire District ..................•......:.............................. Name of OwnQP•P.ricorn Real.:ty....Trus.t................Addres76.$...F.aJmrauth...Ro.a.d.,...Hya ani$,...Mas•s•. i Name of BX n.qO Real...Est.,D@Y.•.QQ.•.j.1nQ.ok...Address ..........Sama................................: Name of Architect ..................................................................Address Number,of Rooms .5 .........................................................Foundation P. C ExieriaX4aPb9ard...Andbr..nS.hingles...................Roofing .........Asphalt•ShInglea............................... Caet.......................................................................Interior .............Floors o .. ............................... Heatin Cfas F.W.A.. .....:............................................. . . Plumbing .......T.y.p....... .....Cop r..................................... Fire .4 .......................................................:.......... Approximate Cost .$. 0*OOA. ,.0.0.....0..................................Jgone Defenitive Plan Approved by Planning Board ---------_----------------------19-------- Area 10- 6...Gq.......tv........ Diagram of Lot and Building with Dimensions Fee: ........:.... . SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS,REQUIRED FOR NEW DWELLINGS I-hereby agree g confqrm to all the Rules and Regulations of the Town of Barnstable regarding the above construction •....� Name ..... �• ....... v `� Construction Supervisor's' License CAPRICORN REALTY TRUST A=272-3 -2 No 30042 Permit for ...One;,,Story.............. Sin le Famil y Dwellin Location ....Lot.. U.%.....M.Ar.Arl.t... 4y........... G, Hy,ann i s.......................................... Owner ......Capricorn Realty Trust.„.. ..,.. .... a Type of Construction ......FzWtg-�........................ Plot ............................ Lot ................................ L. Permit Granted Octobe;r...1,5........19 86 Date of Inspection ....................................19 Date Completed ......................................19 00 / � :1 4` V c'3 v l'!3 7"/<. `S Cob" &/ ' /3" ,E L_o T 24 1 IN, ` FUTucE- 5 Jc. f,p^�t a y N J I ONG W � N ✓0 'N to ►'? _4-O' t� 7 t 003 !G TOWN OF BARNSTABLE ZONING. r� ,L�H OF 'Ass BY-LAWS DATED FEBRUARY 1986� 9c !sue PAlJL ZONE: RC-1 4 HYLL N SETBACKS No. 32448 oe `��Fss��FCISTER��JQ� FRONT = 30' ai'�• ` ' SIDE 15* REAR = 15' PROPERTY LINES SHOWN HEREON WERE COMPILED FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT NO. 3-1348-05 AN ACTUAL SURVEY ON THE GROUND. THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN ON THE GROUND BY SURVEY ON OCTOBER 8 aqelc� in AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. BARNSTABLE AS b . THIS PLAN IS FOR PLOT PLAN .PURPOSES ONLY AND SCALE: 12 = '20' OCTOBER 9 1986 SHOULD NOT BE USED FOR ANY OTHER PURPOSE. BSC ; CAPE COD SURVEY CONSULTANTS /b 41�� ' 3261 MAIN STREET' DATE ROFESSIONAL LAND RVEYOR BARNSTABLE VILLAGE, MA. 02630 (617) 362-8133 � 1 v S/ ' /3" Z.o T 24 � t u d' `3 2.D10 •� �3.5'9 u1 N :u o e o q: 5 114. 003 713 TOWN OF BARNSTABLE ZONING Of �Agssq�y BY-LAWS DATED FEBRUARY 19B6 s Pp L G� ZONE: RC-1 RYLL N SETBACKS No. 32448 oQ EC/sTER`�°JQa�. FRONT 30' °Nq( LANs SIDE = 15' REAR = 15' PROPERTY LINES SHOWN HEREON WERE COMPILED FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT NO. 3-1348-05 AN ACTUAL SURVEY ON THE GROUND. THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN ON THE GROUND BY SURVEY ON OCTOBER B t 4 6c� in AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. ' y�BARNSTABLE MASS . THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: 1' = '20' OCTOBER 9 1986 ! SHOULD NOT BE USED FOR ANY OTHER PURPOSE. — -- BSC ; CAPE COD SURVEY CONSULTANTS 3261 MAIN STREET, DATE PROFESSIONAL LANDSljRVEYOR BARNSTABLE VILLAGE, MA. 02630 (617) 362-8233 °