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0007 BRIAN LANE
- l Cftmown k � �y ��'�� :i i 1 _ f +i I 1 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You'rnust first obtain the necessary signatures on this format 200. Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA.02601 (Town.Hall) and get the Business Certificate that is required by law.. DATE: Fill in please: `n is t� , ��� ,„,. — �( `��CD Cc.0 cc) C� �id,FrgE�?hl �twm � a. c I APPLICANT'S YOUR NAME/S: r r'v6a Ji3.srr .f,� �fnS,;YI BUSINESS YOUR HOME ADDRESS: �� ►� �� - A c-`n r-, giEF^'ill�" 9� rilffhdi, rtl �' iflr ,I a41� " � ,ae _TELEPHONE # Home Telephone Number y ��U 3U aai+!f.�'F.rrr r9 a. EIN:,'or; Email Address: NAME.OF CORPQRATION:' NAME OF NEW'BUSIN SS'": -TYPE OF BUSINESS IS THIS A HOME-OCCUPATION? . YES NO (Assessing) ADDRESS OF BUSINESS - � 5 MAP/PARCEL NUMBER ( 9) . When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intehded to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the apprbp.riate permits and licenses required to legally operate your business in this town. 1. BUILDING-COMMISSIONER'S OFFICE . This individual has been informed of any permit requirements that pertain to this type of business. /�. Authorized Signature* COMMENTS:. 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: v III.�•� . - _ I I M I Man / mot. .I/i• l I I °FtHE . � The Town of Barnstable • W ENSMBL& • Department of Health Safety and Environmental Services rEo n„o+° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner July 27, 1999 Mr.Joseph Mainini 7 Brian Lane Hyannis MA 02601 RE: 7 Brian Lane Hyannis MA(Map#250/Parcel#091) Dear Property Owner: We are sorry you have chosen not to cooperate with this office in restoring the above referenced property to a single-family dwelling. Since you do not want to comply with the Zoning Board of Appeals,we are forced to file a complaint in District Court. Sincerely, 1 � G. ez_1:f1_ Gloria Urenas ZONING ENFORCEMENT OFFICER /kl q:z250.091 I c� pay- �^-- ,rw..�R� Town of Barnstable Building Post This Card°So;Thai rt�s Visible=F„romth�5tceet��A roved Plans°Mustbe:Retained.on Job and this:Card Mus .be Ke t `'' pp mr - ti Po stedUntil Final lnspectign Has Been Matle a s .,. a �s. Where a Certificate of Occu anc -is Re wired,such B'uldm *shall Not be Occu red-:until a:F,inal"Ins ection hasbeen'made Permit Permit No. B-18-1086 Applicant Name: Mark Mordini Approvals Date Issued: 05/03/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 11/03/2018 Foundation: Location: 21 BRIAN LANE,HYANNIS Map/Lot 250 092 Zoning District: RC-1 Sheathing: v Owner on Record: GLUCK,ALAN H&GAIL IF2 � Contractor Name MARK E MORDINI Framing: 1 Address: 21 BRIAN LN Contractor License,CS 057645 2 �..._ HYANNIS, MA 02601 ' � Est Proie,ct Cost: $ 19,507.00 Chimney: Description: strip roof shingles and re-roof per GAF specs(21 square,),ice and r Permit Fee: $ 149.49 Ow Insulation: water shield 6'from fascia and 3'from rake boards andm valleys, Fee Paid $ 149.49 install vented vinyl soffit,install ridge ventilation,wrap all fascia and Final: rake boards to make maintenance free,instal'I g trersand Date 5/3/2018 downspouts - u � 4i^� Plumbing/Gas Project Review Req: � �` Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorzed by this permit is commenced within siz'months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and'the'approved construction documents-1 which this permit has been granted. . y . Final Gas: All construction,alterations and changes of use of any building and structures shall be incompliance with the local zomngfby�laws and codes. This permit shall be displayed in a location clearly visible from access street orroadand shall be maintained open for public mspectio for the entire duration of the work until the completion of the same. la, J Electrical 3 o The Certificate of Occupancy will not be issued until all applicable signatures by theFBuilding and Fire®ffcials are prodedon this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: °'` Rough: 1.Foundation or Footing ., . , 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: �. All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 4 2 2018 7 BRIAN LANE HYA N N IS HOMEOWNER CALLED.,AND, INQUIRED ABOUT A PUTTING A TINY HOME ON THEIR PROPERTY FOR THEIR VISITORS WHEN THEY COME VISIT TO THE CAPE. GAVE CALL TO ROBIN ANDERSON, AND THE ANSWER STATE CODE DOES NOT ALLOW. THANK YOU, BRENDA COYLE MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 r (617)723-3800 Ma Only(800)392-6108,FAX(800)851.8424 10/12/2016 Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws,Ch.139.Sec.313 fit HYANNIS BUILDING DEPT 200-MAIN ST HYANNIS MA 02601 LL- C) Re: Insured: KATHLEEN STODDARD Property Address: 7 BRIAN LANE,HYANNIS.MA 02601 Policy Number: 0856392 Type Loss: Water Damage:All Other Water Damage Date of Loss: 10/09/2016 Claim Number: 409560 Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143.section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured,location,policy number,date of loss and claim or file number. MPIUA Claims Division CMA00021 Cape Save Inc. 7-D Huntington,Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 �3 —z77 —�3 11/4/11 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 --a RE: Building Permits .� ry r� Dear Mr. Perry, 1 This affidavit is to certify that all work completed for 7 Brian Lane,Hyannis has been inspected by a certified Building Performance Institute(BPI) Inspector. Ceiling& slopes: R-30 cellulose Walls: R-13 dense pack cellulose All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel V 9 -Application # C _ IS_'�_ Health`Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 4- Rf-oOLn Village l0.nn►s Owner r0.}�been �To��a�� Address Salt@ Telephone 5 0 8 a 5 8 g 5 4 Permit Request _ Aid G?--r) � L CQ LS:ss ISM lax ;5 e Square feet: s floor: existing__proposed 2nd floor: existing proposed Total new Zoning District Flood Plain_ Groundwater Overlay Project Valuation 3,6 00. Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting do ume pation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 9 Historic House: ❑Yes ❑ No On Old Kings:..Highway: EPYes 1fl No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) s Number of Baths: Full: existing new Half: existing new Number of Bedrooms: _ existing —new Total Room Count (not including baths): existing _new First Floor Room Count Heat Type and Fuel: W Gas ❑ Oil ❑ Electric ❑ Other _ Central Air: ❑Yes �R 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 U 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER)Name w� �ouh Acclokey are Save Telephone Number 5o�-3 03 99 _ Address IQ k0i'afi+on �rt License # IC f 0 a 4 4 6 so"""+ ► Yor�noukt� Home Improvement Contractor# u3 Worker's Compensation # WPI 17 9 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO T o-'mou..+ SIGNATURE DATE. j,0 - 2` U ~ FOR OFFICIAL USE ONLY ^APPLICATION# DATE ISSUED MAP/PARCEL NO:.= ADDRESS VILLAGE OWNER DATE OF INSPECTION: a u'FOUNDATION,,)'- FRAME " INSULATION A_!'•r,Nv FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS:-u} ROUGH - ,:" ►-• FINAL �FINAL_BUILDIIG° � ' mr DATE CLOSED OUT ASSOCIATION PLAN NO. ,n The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mugs&govfdia orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly- Name(BusinesslOrganizatioaftdividual): M I ' R A Ci. C.1 i 4s y"W&4' cdee &AUG r Address: -C_ i�uty�lnjca'[D _ � City/State/Zip: YAy2.Mognt MA 6?,(�Fhone#: - Are,you an employer?Check the appropriate box: Type of project(required): 1.col I am a employer with..•.,I� 4• ❑ I am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors 6. [3 New construction 2.❑ 1 am a sole proprietor or partner- listed on cite attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' ❑ Building addition (No workers'cotitp. insurance comp.insurance.' required.) S. ❑ We are a corporation and its 10.0 Electrical repairs or additions nti 3.❑ 1 a a homeowner doing all work officers have exercised their 1 LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] c. 152,j 1(4),and we have no employees.(No workers' 13.®Othe nand a�'1 �1tm 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. tCmtractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whe dw or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. Ian an employer that is providing workers compensaden insurance for wry employees. Below is the polity and job site inforawdon- Insurance Company Name: n e o a V —��3LkP0,ACi° `--ot'r10a1.(1 Y Policy#or Self-ins.Lic.#: T W�, 3�, 9 / 7'd� Expiration Date:_ _ I 0 �a.I� 010 1 Job Site Address: 4- Lan t City/State/Zip: n 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 maybe forwarded to the Office of investigations of the DIA for insurance coverage verification. I do hereby certdfy under the painsWdRenafties erjury that the information provided above is true and correct Si r Da Phone — t- Qjflciai use oni4k Do not write in this area,to be completed by city or town ofcial, 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#: ACORU® DATE(MM/DDNYYY) I CERTIFICATE OF LIABILITY INSURANCE 10/20/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Shannon Sperrazza Risk Strategies Company PHONE . (781)986-4400 1(FAAC o.(781)963-4420 15 Pacella Park Drive pM�L .ssperrazza@risk-strategies.com Suite 240 INSURERS AFFORDING COVERAGE NAIC# Randolph MA 02368 INSURERA:Selective Insurance INSURED INSURER B:Safety Insurance Company 33618 Michael McCluskey, DBA: Cape Save INSURER C-Technol0 Insurance Company 7 C Huntington Ave INSURER 0: INSURER E: South Yarmouth MA 02644 [INSURER F: COVERAGES CERTIFICATE NUMBER-CL11102041451 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR TYPE OF INSURANCE POLICY NUMBER POLICY MMIID 1DIYYXY`Y LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 -15AMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100,000 A CLAIMS-MADE a OCCUR CPPS1994480 0/16/2011 0/16/2012 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PlFrT RO LOC $ AUTOMOBILE LIABILITY Ea BINED1SINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED 6208200 1/6/2011 1/6/2012 AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X Underinsured motorist BI split $100000 300000 X UMBRELLA LIAB X OCCUR OPPS1994480 0/16/2011 0/16/2012 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED T RETENTION $ C WORKERS COMPENSATION Executive excluded X WC STIMIT 1 3ER AND EMPLOYERS'LIABILITY -- ANY PROPRIETOR/PARTNER/EXECUTIVE YIN from coverage E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? NIA 0/21/2011 0/21/2012 (Mandatory in NH) 3297972. E.L.DISEASE-EA EMPLOYE $ 500,000 if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Issued as evidence of insurance. National Grid Corporate Services LLC d/b/a National Grid, d/b/a Boston Gas Company, d/b/a Essex Gas Company, Action Inc. , and Housing Assistance Corporation are listed as additional insureds as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION (508)790-2425 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Housing Assistance Corp ACCORDANCE WITH THE POLICY PROVISIONS. 484 Main Street Hyannis, MA 02601-3698 AUTHORIZED REPRESENTATIVE Michael Christian/SMS ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSO25 r9Mnnsi M Tho annRr1 namo and Inn^ago roniefamil modre of A(f)Pn i f Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 164432 I Type: DBA CAPE SAVE Expiration: 10r612013 Tr# 217656 MICHAEL MCCLUSKEY 7C HUNTING AVE. _. S. YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. Dps-CAI 0 eonn oa/od-Gyoi2ys Address F 1 Renewal is 1 Employment (- j Lost Card ✓ae `i 'ke ivaea a��, lcxaarrc�iuOelJd Office of Coniiaoumervr Affairs&Business Regulation License or registration valid for individul use only _ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 164432 Type: Office of Consumer Affairs and Business Regulation Expiration: 10/612013 DBA 10 Park Plaza-Suite 5170 CAS SAVE Boston,MA 021.16 MICHAEL MCCLUSKEY 8201 S.HOURD CT � �J CHAPEL HILL, NC 27516 Llodersecretary - --- ot valid without signature -NIacsachusetts- Department of,Public Safeth Board of Building Regulation%and Standards Construction Sul erwisar Specialty License License: CS SL 102776 Restricted to: IC w>:,;,.�; WILLIAM MC CLUSKY 37 NAUSET ROAD'' WEST YARMOUTH, MA 02673 Expiration: 6128/2013 (•mmi.�i,ner Tr#: 102776 _ ���West Main Street Hyannis,MA 02601-36195 I ` ENERGY &HOME REPAIR ? .._ .. T (509) 771-5400 F (505)790-2425 CORPORAMON TTY on all lines www.bacon.capecod.org HOME OWNER WEATHERiZATION WORK PERMIT& FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. I ` hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency") on the roperty located at: t The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping&caulking of windows and doors, insulation of attics,sidewalls&basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows.In consideration of the weatherization work to be done at my home I agree to the following: 1. I give permission to the "Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five(5)years after the weatherization work is completed. I have read the provisions of this gree n as listed and freely give my consent. Home Owner: (Signature) Dater �� A Agent: (signature) r Date: "� ! HAC approved Weatherization Company: Caliber Building&Remodeling Cape Cod Insulation Cape Save Creswell Construction Frontier Energy Solutions Lohr& Sons Peter Smith Resolution Energy Rock Solid Construction All Cape Insulation lies-fsil;-ir]`�iT�luorLuft zd''�:o kp4r.r-ritrlcuse Juc.doc CAMP SAVE Weatherization 508-398-0398 s August 22, 2010 To Whom It May Concern: William J. McCiuskey is an employee of Cape Save. He is authorized to negotiate contracts and building permits for our.company. Michael McCluskey Cape Save—owner 929-593-5939 cell X Huntington Avenue,South Yarmouth,MA 02664 • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 S Parcel Permit# TED 6� Health Division Date Issued Conservation Division Fee- s�. Tax Collector// Treasurer Planning Dept. r Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ,Project Street Address v - Village, Gd Owner :JOSg.0h t- /� L 6 S01_ n;n► Address r7 Telephone Permit Request S2 �( =s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ��®•<-J Valuation Zoning District & / Flood Plain Na Groundwater Overlay Construction Type kvd Lot Size Grandfathered: ❑Yes @<o If yes, attach supporting documentation. Dwelling Type: Single Family ,G7 Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes � On Old King's Highway: ❑Yes Basement Type: Z Full O Crawl ❑Walkout ❑Other ' Basement Finished Area(sq.ft.) 2 YO Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Q Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes a o Fireplaces: Existing New Existing wood/coal stove: ❑Yes Detached garage:I0existing ❑new size Pool: 0 existing ❑new size Barn: 0 existing ❑new size Attached garage.10 existing ❑new size Shed:0 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 1 6) /k�_, Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE , I���c.�i��-G�- DATE FOR OFFICIAL USE ONLY PERMIT NO. - DATE ISSUED �- - t MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME i INSULATION . FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL' GAS: ROUGH FINAL FINAL BUILDING _ DATE CLOSED OUT ASSOCIATION PLAN NO. °F IHE Tpy,_ The Town of Barnstable nnxxsrABL& 9�A $ Regulatory Services Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 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: Estimated Cost 1,56®,Q0 Address of Work: I JC,,,2 Owner's Name: Date of Application: �— � /�� 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 Q6wner 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: Date Contractor Name Registration No. OR th,411", 4,-nfel Date Owner's Name q:fonns:Affidav `�_'\ The Commonwealth of Massachusetts Department of Industrial Accidents • X , H,. : exce ollfiYOS Offaffs _�� 600 Washington Sheet v`4 J. Boston,Mass. 02111 Workers' Com ensation Insurance davit JD I name: /�;�lop /i/7 i�7 / location: �r/.l_.l7 �is�L� ci 4�11) D J yhone# - 7. 62"I am a home wrier performing all work myself. ❑ I am a sole r rietor and have no one worlds in anv acity ❑ I am an emplover providmg workers' compensation for my employees working on this job _. taimyany name. ; .... ... :.:::.::::..:......:;....-...:.-..;:;::.>:::.::.::.;:..::.:.;.:;.;.; areas.:...... :;.:.;::::::-X:: :::::::::::::::::::::.:><: ::>:».>:::::>:::::>::::>':::>:: ;.;::<::::.:..:>::::;::>::.; ::::: : ::: ad :.. . :. aiiw . dhoat:# < ::: .: .. insurance co. ofl, #x // ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have . the following workers' compensation polices: .:::. o-n .....:::.:..::: comoanv name. ; :>:;:::::<;:; :;:;;>:::>...;;. adore ss. .......:............................ :::...:. .... .. ... . . :::.::.:::::.....::..:::::. ::::::::::........................... ........... ::, ................. »:< :.. ...:......:...:.......... ._:::::....:::..................................................................................................... :. 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Faimre to sec mz coverage as required under Section 25A of MGL 152 can lead to the imposition of crud penalties of a tine up to s1.500.o0 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 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is trues and coned SigaatweV V h 4-e �A®t�o c,-' Date 1//o V w Print name yO -e 12 In -y- �Y l- I P( � n i r�� Phone# /7� -9cry7 - Cflicialy do not write in this area to be completed by city or town olHcisl town: permit/llcense# ❑Building Department ❑Licensing Board mediate response i,required ❑Selectrnen's Ottice ❑Health Department : phone#; ❑Other (mused 9195 PIA) t Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do 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 ofa 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 Pease fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and ,T supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be .. .4. submitted to the Department of Industrial Accidents for confirmation of insurance mirage. Also be sure to sign and date the affidavit. The affidavit should be retuned 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 bottamz 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 permrt/license number which will be used as a reference number. The affidavits may be rcturiR to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Offfce of invesugatlons 600 Washington Street Boston Ma. 02 111 faz#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 r - - �'�%� r r` r �Y/�f�� k���' %'� coup 1,o wi2-e/,:�5 C:2�a 'N wry Grp,. 20 cu l ol ar�� ,_1� ' • � ^ � 'ter.� I/� � s� it ' r �•� A►���.` /emu. I �_� �. _. �.,. -I • � � 1 I ` 1 AA / 1 � � r / � _'.�� �' .� s� sir 1�► � A_ ���.• I .�� ,� • - � �' �-=. ;_._ GIs � °FtHe The Town of Barnstable BAMSrML � Department of Health Safety and Environmental Services ATEDMA'�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner July 14, 1999 Mr.Joseph Mainini 7 Brian Lane Hyannis,MA 02601 RE: 7 Brian Lane Map/Parcel 250-091 Dear Mr.Mainini: Our records indicate that your house at 7 Brian Lane is currently being used as a multi family home contrary to Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single family home. 2) apply to the Zoning Board of Appeals for a variance. 3) prove that this is a legal multi family. You must contact this office immediately to tell us what direction you wish to take. Sincerely, Gloria M.Urenas ZONING ENFORCEMENT OFFICER GMU/cah forms:g990714a :::............::::;::: ...:..... ..... BUILDING §ER 15 D L .. :2'+h ................ .< BRIAN4:ti .<«<'. LANE' ............. INN LwUNNIS :. PUMPWes. :. Mil }< :> « <: .•:..r,,,,::....,�.,<E •:<:::< SH KIDS LIVINI: ..:�x.:.:.. BASEMENT 7PA YIN G 100.00 D LLA O RS EA. PER .` W EEK.THEY ARE AFRAID OFP POSS IBLE > FIRE A€« :.:............. .::::::::.::....... D EGRESS. IR ........::.::::.::::::. _ ..:. :.. :GIVEN TO R.J. FOR > ` ... X. >. . ..:::...: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map J 0 Parcel Permit# �3 9 - rr Date Issued �. visi®n Fee S -� Tax CollectorAL 7 �� o . Treasurer t. ate anrnn ar Hi Project Street Address 4 a Village a N \1J Owner Address at k,cx. La-J J Telephone So 8- 5-)/-7 Permit Request & Wv VVg,,v-Q,_ ACC ;JC4�Q4 Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new W Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type 14� o,i- Lot Size Ac rt s Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) c� Age of Existing Structures Historic House: ❑Yes 61To On Old King's Highway: ❑Yes Colo Basement Type: Full ❑Crawl 21alkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing S new Total Room Count(not including baths): existing 9 new First Floor Room Count n Heat Type and Fuel: R/Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes U34o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No ,Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:dexisting ❑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 r� BUILDER INFORMATION Name o Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _ 7, r FOR OFFICIAL USE ONLY t �" PERMIT NO. _ • , 3 1 DATE ISSUED MAP/PARCEL NO. o. - ADDRESS VILLAGE OWNER �% •-� i- s� - - DATE OF INSPECTION FOUNDATION FRAME ' 1- INSULATION - - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING E DATE CLOSED OUT r ASSOCIATION PLAN NO. The Town of Barnstable ,,, ��srrsr�►srg. 9 0�' Department of Health Safety and Environmental Services `bArE •• Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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: 4-r-\ov L- 3 tN K -• CcAAr'Nc-4 Estimated Cost 0 , Address of Work: `Z 8 C c.•� 1 1-(�r� r 1 r Owner's Name: a-j L e `\ Date of Application: `7 d a Ck CA I hereby certify that: Registration is not required for the following reason(s): Work excluded by law C]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. Date Contractor Name Registration No. /� OR Date Owner's Name q:forms:Affidav � - — e ommonwea o Department of Industrial Accidents • � -= Office off9Yestfgadeos .- 600 Washington Street Boston,Mass 02111 Workers' Compensation insurance davit name• J O-s-f� -F, �tN('A,,' Iocation: -7 bC C c ,., L-,, . (4 ya ti a i.r (Jb 1) city &C-/-,tJ1 phone# 7 7 f- 4 fy 2 [-I am a homeowner performing all work myself. . ❑ I am an employer providing workers'compensation for my employees working on this job.:.::::.::::::::::::::::::::::::::::::::::::::::::::::::: name :>>;:::;;:»:;::<: :>':::>:::: :company _ ...:.. ::„::,:,::.:.::::.:...::::.:::::.:::..::.,:::...:.... :...::: :::::.;.:::::::.: : . aildCess. ;:.;:.::;.;;:::...:.:.:::...:.... :::.:_:.::::...;:.;:.::::::.::.:::::::::::::.:. .. ......... . .................................................................... insurance co:. ....•;:-:.....:.::;<.;;::<- ::.: olicv# ... ...., ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have . . the following workers' compensation polices:::.::::...::::::::::,::::::::::.::::.::::::.:_::::.::.:::::::::..:::::.::.; :..:;:.:::::::::._.:_::.:::.::.::::::.:::::::.:._:::::.,.:::.,..,:::.r,•:;::.;>;.::.::. any n ........... .:::::.:::.:.:•::::.:...:.:.::.::::..::. :.::: :.;.:.<>>::;:<<>.:,:::;::.::.;:::;::;::<::<::;;:;::;;.:.: comp ;;;:>;;;:•::>: $i\:>.:�:iii:'r:iii:v i:;•iY.4i:K;•:;T : :':v'}:```:!<:::'n:ii?:L'ri:'J<::::{::i4?"'r:M1::::>.::^ii:iii:>v r i?}}:$:?`C}::!;{i::::;i is `:::... ;:;:; l:;i:':':'>":;`?:t:}}!:::.'.—.,:':Fi:? ::.:::>f:'::;:; ;i?:::!;:;:;::?:; '.}gy: iTi :i6}i::i$ii:;:;:; address.:. . .::.. .. ...... ......:... :;;;:;;;•;:;;:- ................::.:.... r..... ................... .................................................................. ...... ....::.�:::._::::::•::.::::::::::....:::•::......:::•............. .............................................. n.•:. .... ..... ..................5..................,.......................... v..:..�.:..:.•,,•.:..:. ..........+.�:;;.W.w..vnlr::::n,-..•i:}i:(: :...... •.....::::::::�:........:•:;:-:::-:::•::n:.v:::::::::•:.......:.•v::•:::......•...:....... ............:.:..:•..::::::+.::::....�:::.:. ::::::::::.::::..:........:.................,..*.......................................... .. .::...::: ......:::.::::.::::•::::.::..:::::::..... :::::..........:::.:.::.:._:...X.;.:.:>::>::::<:.:;:::::;.;:;.::::::.:;;.....::;.>o one# ::. .city^.. .................... ....................:................... ... _ ... ................,.. :::r:::::: :%: i ...:.......................... ................................................................................................................................................................ t• :: ::::5::: ::::::::::::i::<::::::::>::i::}::: :'::r:<::i:%: :i:;:%;i: ':::'t:isY:: ::i::.':::S:tti::?::`•:'.:::t::?:::s::;:::i:?:.... ...A: •:<r.,:s;::: •.x•:;;•:;-:;•:::•::•:;a.....:•.: s •'• ............................................. ............................................................................................................ ......... . i kxg :..:..:.:::::.:::::::.:::::::................:............:..............:................:.................:............:...:..........::......:..............: >:: campanv-nam ................................................ ................... .,,.:.,:::::,:..:,::::::.,:::::.:,...,.,:,,:::::::..:.:..:..:,,,..::::::::.::.,..:. :._:.::..........,.::...::,.:.:..:::.......................«: .... ........ ... .............. ........:.:::.:.::::............ :....:..::::.................... .:...... ....,, I. address. ::::....:..............:....... ..... ;ti `tine# .... <' `l. > `': > < ''> ''' '>> '"'><>> cify' ::;:;:: 6 <:-»>:;• :::w>>'. ........ .....................::..........:..:.........:..::..:.....:::........::.:;................ :.:...........:....:............::...................:.:......................:...........,.:.... ....... . ?``...vh .......:.:....... nsnrance co...... .. oliev Fafiure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of erhnhw penalties of a Ste up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the O1Sce of Investigations of the DIA for coverage verification. I do hereby certify under th e p ains and pen aides of p erjury du th e information pro vided above is trrw.and coned Signature L&I Date 7A.1 A R _ _ Print name T 01 c-A, -ter, mart"c'-J,' Phone# ,rd% ^ 7 7 � —S rV,2 -------------- official use only do not write in this area to be completed by city or town official city or town: permiNtceaae## ❑Building Departrnent . ❑I.iceuing Board ❑check if immediate response is required ❑Sehetmen's orace . _ ❑Health Department contact person: phone##; ❑Other Uavued 9195 PIA) Information and Instructions { Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,Partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do 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 peimit/license number which will be used as a reference number. The affidavits may be remmed to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Imlesugadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyamais MA M601 r� Office: 508462-4038 Ralph Crosson Fax: 508-790-MO Big C T"sio. ROMEOWMLLtLgdV.NE EOMMM pt�eiAriat or JOB U=noN*— OA'IE fT_T�a�5 q -MUEOWNMr. cy e e l.� -R VIAc,-i n,#-j j aama !tome t # wodc CUMMUMA92M nor-myeat exemption for was axt &d to inciori ied dweffln=of sac units or less and to allow homeowners to on an mdividnai for biro who does not p0=1 a Iiaase,movided that the owner DEFAUTiola aFUDDICO M pason(s)who owns a panel of land an which he/she resides or iaomds to reside,on which there is,or is intended to be,awe err two-fly dwd>• &inched ardetadedstincer jac=WytozuchusCM&0rfUmsauc:mc& A person who consncts more than one home in a taro-yearpaiod shall not be conddacd a homeowner. Such .9i0rneowue:"shell submit to the Buiblin Official on a form ax�1e to the Bmidmg Official,that hr/�},.i �'e ." MSp=Me forectioo 109.1.1) .o undasigned.. a.ass�es,mp , y �p;max with the 3t$oe Building Code anti ottier applicable codes,byl=6 roles and regulations. 'Ate undersigned certifies that he/she tmderstaads the Town of Bamstable Building Department minimum inspection procedtazs and requirements and that he/she will comply with said procedures and of Hoatsawna Apptuvai of fthi erg OMW Note: Three-family fte&gs coming 33,000 cubic feet Or large!w01 be rcT*ed to comply with the State Building Code Section 177.0 Cansancdm Conuol. ROMEOWMMEMUMN Mwcodesatesdnc -Any bomeawne:pafotmiogwodctiorahidt abdidb*permitis poyMmahail ba aamPtf in the of this seed=(Sadm 10i1 Ll-Lioemiog of m SRmwbm );tn"P11 thtt ifthe botoeowW eagega a pamaia)for MM to do soeb aodc.t W SWh II=,I shailactuxupayboe Moo bomeown�who ton d&aempeoa ate=� tbs dwY era: tba of a mpenisor(see ApPa'dix Q. Rda&RegaW ms fair L=Oft C Swami warm 2= M012dc10f aw often!!units is saicus ptobl=S. pWucub*when the homeowner bha tmii=md pawns. 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Y: ki>.M2Y ..tkY` ytYx.,.„yy,y+yyyy:' r"{yYr;?•yk yx2ri +.,•.} h:+•., Y`"` ,+•,• +Y \ ,yt ti ` #wxzzxYY :::{x+ :`r;";�; z k x, z••. + cY zkzi xxk mza , �xY�ax:. ��, ' `k ANONYNy ,4^hzY2xxyx`µ`.•,p .:.,,,kk„,{t+"x. Y`.,'"^^ ••k>,Y:"�`2 .y`:,##'kiy+YY,'\�x,+$y4i:w�ki`�'• tin:+Y•+ y y v.,.,v `tkx, �;v'ti`,�� + IN yzk. •+,z{"` ;kkzxz;,^k:v:'.y z „ ,��Y,k,+•. � .`l�k z rtxz�,M+YY k+#... x+,,,k„,,, `. :{,�`•;,ri#+.+ Sc�,x"'�:i;:;��i+. � ,x,••�:tx, �` t+,w.Y E '• . + x* IRISH KIDS LIVING IN BASEMENT- `++, 7PAYING 100.00 DOLLARS EA. PER xr.Mffi ;��•, Yk'xS`,`Y.� WEEK-THEY ARE AFRAID OF POSSIBLE FIRE AND EGRESS. ,z�� x+Y•x k+ MA ,K V v• `}M1.,rz'•, ++.;�k"•2�4 , +tl','+t��''.'`rt,'`z+,�,>�b'�,'M1tt v `Y,{�r�,�`C: {+#;:�,. Y�"'" � ; ",,. x+ :�•�;�s,,`;,,^,�:kkzY.:a:.xY„• aka y ^�..,,,,• +, tkk„ 2K,�ty 3� SME •., Kx µYxYr;Ytt•:yxYYtmzr?zkzYkk) + t` i zx i k 'i t kryY;k iY zip z z....... {�c:<i?izz:,,;:,r,+�i;?+ ?o „rx:yx+ak:. }.• �� `{.`K„Y.`v.3r:..x?asz` •�'•.' ..,.'•.`. 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Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: 11 j 'tt CAIl� Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: y &TIAIfrl✓t iwS c.- SC ve.e.�/ v, G� Roof Gutters, Drains: Walls: Foundation: Chimney: ---- �� BASEMENT Gen.Sanitation: �S 1 C0 U Dampness: `4w cc _- i1�6a I _ __— Stairs: Li htin •e -tAJ - U.t ec' L ' STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBIN : Supply Line: krek-ig— El MS ❑ ST ❑ P Waste Line: —,g— H.W.Tanks Safety Saftety and Vent(s) ELECTRICAL Panels, Meters,Cir.: Ip Lc 110 L1f,220 Fusing,Grnd.: AMP: (CM Gen.Cond. Distrib. Box: V Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen ✓ ►,- I--- %�,_ v-- L�_ Bathroom v ✓ ✓ V �- Pantry Den Living Room ✓` l L'°� Bedroom 1 ✓ ✓ t� ✓ v ✓ Bedroom, 2 ✓ al �/ `� v `� Bedroom 3 Bedroom 4 Hot Water Facil. Su .Yen.,ea ,Oil, Elect.: -o lC Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink S c 4-4-co cf Cv j 1-o% r"' wile Stove Uq ' C" .Q - v l-f tliaZ, ks,`kf Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: 01 kw- Wash Basin,Shower or Tub: cut. Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: 0 1"4 General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES PERJ Y " f �d� �' �� ?- INSPECTOR , TITLE- �__ DATE C3 TIME 1 -� _ P.M. A.M. 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Y a,..:,•:,:.:::aaa.,:::h i}}+.:}>}.•..•.:::,a:kia,:;:::• ii?»ac»n»o>»r>»rira^ ` ±�r�y}}<?aco�»»>i>»io»�irr.?iuii>i>itr}rs. ^7 S a`�` cam}' -�"� L r"� — -"7 e � S d UA- �j r C� ova- .` So�e-• v, 70 calec6t VL i i n : .�o o.-4 are, e.- c,'r r r rc 44 sic Coo ,,E�� t'S b4Scrner, 5 We- CIO ( L-J, 1 ✓G Ci S CL 6 C y V-( S - r Sftl l j cL *' 1 P l<z 1 n -4 S S o c.c,Q - S (� 5' co ie W a ►n�kC Son CI- ���dc✓r �o // �`S,S is •�'(v l�,'��°�� sal. ��,�C's,� f�1r��'�l'� f � r !./L�'� --- i ___ __ ____..__�-�.,__ __1. _� _ _ -_-_._� _ //f� _� - -- - -- -- _ _ _ 1 � 1 � �� . i 1 r y t< [; � n 41 tt ll 6e j,) pe c� Ulf e rrn`4-. does 14 he e Is done. NOT Gtotv)� wrv-(kL pr ( P �Ctcz, C�h i 5p, O o c�JC�Nis o kv�r�w (-4 TOWN OF BARNSTABLE it N BUILDING PERMIT ( PARCEL ID 250 091 GEOBASE ID 16007 ADDRESS 7 BRIAN LANE PHONE HYANNIS ZIP - LOT 86 LC25 BLOCK LOT SIZE ( DBA DEVELOPMENT DISTRICT HY PERMIT 53555 DESCRIPTION 18' X 36' INGROUND POOL -PERMIT TYPE BPOOL TITLE `, BUILDI-NG .PERMIT POOL CONTRACTORS: WALTER V ZUROSKY Department of Health, Safety j ARCHITECTS: ' t/ and Environmental Services ONDEES: $58.90 .. THE CONSTRUCTjPN COSTS $19,000.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE P 4*). • * E AMSTABLF, + . MA83. Ep�l BUILD I sIo l BY DATE ISSUED 05/24/2001 EXPIRATION DATE 4 TOWN VF ,BARNSTASLE f cScry•€ Y• gi �M t33 ,1� NG PERMIT. ! ` PARCEL ID 250 091 ADDRESS 7 BR•IAN LACE PHONE.. HYANNIS SIP i 86 LC2E;. - BLOCK DBA a 7�' DF�IELOPMENT. L�Z iTRTC;T HY 'PEIRMIT '.5S555 y.. �DES(.RIPT:�O `18�. X 3E� ' I1�GRflt�3�0: C?OO�; FER.,IT TYPE BPOOL TITLE I3�����JT�1G r� RM'IT I�OaL ... CON RACTORS: WALTE» '� Z�-ROSK� Department of Health; Safety. ARCHITECTS and Environmental Services TOTS*-FEES: Ole CO'NSTRUCT IO COSTS �, 4 9 {. �. ji.000.00 753- -MI-SC. NOT—CODED ELSEWHERE 1 , PRTV '''. .. ,�. �.. HARMABlY, 039. A BUILD ,- DI SIO : 'BY' DATE ISSUE; 05/24/2001 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS.ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,-MUST BE APPROVED BY THE JURISDICTION.STREET OR, ALLEY GRADES AS WELL AS DEPTH AND LOCATIONUF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS - PERMIT,D,OES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY-.;APPLICABLE SUBDIVISION_RESTRICTIONS. 'MINIMUM OF FOUR CALL INSPECTIONS REQUIRED` FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE. REQUIRED FOR 2. PRIOR'TO COVERING STRUCTURAL MEMBERS' HAS BEEN MADE:WHERE A.CERTIFICATE:,OF OCCU- ELECTRICAL,PLUMBING AND MECH- ,(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN;MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POSTTHIS , • IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 .L 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH i. SITE PLAN REVIEW APPROVAL, OTHER . WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN'SIX CARD CAN BE ARRANGED'FOR BY VARIOUS STAGES OF CONSTRUC MONTHS OF,DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING P E R M IT o� ha-�e cow TOWN OF BARNSTABLL °DING FERMI APPLICATION e I•o r—r.—! yyyj Map 0 Parcel [/ o Permit# ........ r 7r3 Health Division -------- Date Issued Conservation Division _ Z3 &0 1 oc Fee S , D Tax Collector Treasurer Ta 5�3�2°p I OPLMANT MUST OBTAIN A X ,w• COXICTION PERMIT FROM T.HF Planning Dept. 2. r p�N pRIpR T, Date Definitive Plan Approved by Planning Board n, Historic-OKH Preservation/Hyannis C� Project Street Address Village Owner Address V /�,.-, 1k)-o Telephone 0 Permit Req t Square feetJst floor: existing proposed 2nd floor: existing proposed Total new Valuation Tq ►��� Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: O 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 Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑hew size Pool:❑existing �d 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 INo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION ,p ` Name Telephone Number ��0 27 Address License#1)114�p / Home Improvement Contractor 6 ��U� �l�40 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUREW*61 - DATE Li9 FOR OFFICIAL USE ONLY PERMIT NO. a DATE ISSUED MAP/PARCEL NO.: q ADDRESS - - VILLAGE OWNER DATE OF INSPECTION ' FOUNDATION T FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION_ PLAN NO. • The Town of Barnstable sAvsreai e. 9� MAWSL ��g Regulatory Services 9. Thomas F. Geiler,Director _ ! Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 f 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 c n rs,with certain exceptions,along with other requirements. iml-vo Type of Work: / � 3 Estimated Cost 0"r/0 Address of Workk �,, Owner's NameyV(: /� i Date of Application: 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 PERTUR I hereby apply for a permit as the;gent of the owner: lhholoi 6:_ /.?,� &4 24I� - - Date( ontractor Name Registration No. OR Date Owner's Name q:forms:Affidav y` �/o/�/uvula a .Irl: s`st:,l,i /�jjj�jjj�jj�� ■ 11 . � . •. � • 1\ 1 1 1\ \ 1 � .•\ •.. 1 1 .11 «1\ f11 '1 _ '\ .. :/ «.Illnal �:u . l .1 n .I.n\ . •- •. 1.. 1: •11 1 •. . n 1 unl• • . . . 1 s�a ONES; .11 1 1 1 _. 1 � w\I11• \I �. • . . IMM Rx 1 . + 11 1 1 1 11 1 +1 wl 1+ + 1 1 1 + 1 1 1 1 NM�������������������U��������������������������������������������� �I. - it - � • � � 1 JI• 1 �. 1� i. •.+: to. do not wrztc in this am to be compkied by city or taWR ....................... OMdll officialuseonly ■ t. city or town: ■ ■ • 11 Oclockiflunnedlate response is required ■C3HmM Deparbacat contact person: c: Information and Instructions Ma ssachusetts 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 undc-c any co= 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 the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rr.=v 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 o: another who employs persons to do maintenance, construction or repair work an such dwelling house or on the grouna 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 ren of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who 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 unt acceptable evidence of compliance with the insurance requirements ofthis chapter have been presented to the cantractir authority. Applicants Please fill is the workers' caompeosa don affidavit completely,by checldng the box that applies to your situation and supplying ca�ipany names,address and phone members along with a certificate of insurance as all affidavits may be sub®itted to the Department of Industrial Accidents for ' of insurance coverage. Also be sure to sign an( date the affidavit. The affidavit should be retained 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 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 affidavit for you to fill out is the event the Office of has to contact you regarding the applicant. Please be sere to fill in the p.._. Ajlice ise member which will be used as a refbreace number. The affidavits may be retmned tc the Department by mail or FAX unless other arraagealo t.have been made. ons would like to thank you in advance far you cooperation and should you have a�questions The Office of Investigations . please do not hesitate to give us a call. 6111 The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents office of Ingesduadons 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat 406, 409 or 375 .Ip= :SHa/ee Yri¢aO�OO y Pu1K1 m[dtl1ALG M MIGIAL ~JAT TJK io u1P�s(o Iw u:w,esca duwA AM�rnoRnM JAI 3 . D1ADDlu1L . PLANS P 73h rm 2. . ;Y 001 �Tr+1 9 OTHER ROIS!1 BRACEI t N GIGAILSTFEL I PANEL TABRICATID STAR ASSEYBII/ S-aRM YAK OIAGO//AL BiF RACE S-D/B•�Y.BOL7S 09. SAND 7D Y-TNICKNESS L mr.R e:GkCAI.Y.E AND 2 MF�511ERS •1 VINYL LINER (SEE ffCT..(!/2 AND / TUL E-11110CATED PLANS FOR ADC.ATKRS STdR ASSEMBLY NUTS ANU.D 190 AA.SIEyS 1 B OTHER RE16N BRIE STAIR LFE'. TYR J 1 i n PRE-FABRICATED 20 YILI1eO0E55'. TAIR ASSEMBLY J 20 M-THCKNESS VINYL LIMEB VINYL LINER STYR LINE C�G�5 m STAR LeF� r NUTS AND2 WASHERS TYR EA ' F.4EL END f RT SERIES 550 6 650 STAIR CORNER r SERIES 750 STAIR CORNER /-z1 SERIES 850,950 6 1050 STAIR CORNER n . AK:new AND 10 ON 2 - 1 -►--——— ——— —1 'A'FRAME ASSEMBLY 1 , �EnRN LTYRCAL MERE SNI. - - s I'l FITER FLYER —f- _ ►_� RETURN 1 FLTE —►----►— • I (/ate' — i ,A, m' '- a ♦ `' PERMANENTLY V°DNS ETIJRN ASSEMBLY I - .. Y uYE , I 2 r"NCAL -«:. PEBMARE.7fTLY �f F -3 "� a nam I w I D ro1T . T ♦ , ' I r ' s�.Ts � _ n ; �PORTbO a �� 1 j�LAT YEAS IN - PT.Iv AREA . LAIT AREAS - EA n m TD qT' rk T _ .. .. STARS AREMAY BE •j I 1 SUCTION C) LO/•JATED AT 0 IN lz 2 _ZAt SF SURF AREA.�pGAL.CAP T._ CD O - SUE SROw��6A'.1 SOe.SF SURF AREA I6000GALUP POSITIONS . 16Ya6 54i SF SURF.AREA L 2dG0-GALUP '=YOfEz• ♦ 1 m zd�o•3`Xt SF 51iEAREA6 28S44 GAL. - 3 SERIES 2000 8 2050 INGROUND A'FRAME ASSEMBLY !E; DO T`/P1UL WHERE SHOWN$ME SHOWN-OW44 784 S 5URFAREA63A800 G CAP F. "4 ` H ftW A/O P£RMUAi1E111TLY ATTOm p LTER YOTRi _• - STAIRS ARE OPTIO SAFETY LINE _ SERIES 2100 8 2150 INGROUND SIZE 928 G B.zG.ae so•EL ezz SE suE AREA CAP ♦ + SERIES .2000 8 2050 INGROUND PERmaMMEwwnrATTACHED noIIAL SAFETY LeE -.. i .3j�s.j• rSHAOm PTRflp6 -:? 7 ,.R p.n -- .. - �^• FLAT AREAS ;�sr A 'o' t �vt Mfrs 1 1 14 ASSEMBLY4\_[��FFRAME CAL WHERE vRDAIII J NAIL_F.�` SCE Smu-16•3r 56T BE SURE AREA. 20r2O GAL CAP ALSO AAINLABLE•OW-41'713 SF SIR F.AREAL249= GAL.CAP 2a11a 6S5 SF SURF ARE'"92" CAL CAP SERIES 2100 8 2150 NGROUND 4 x 1-"-3'6' Rectangle STEP 2- UNIT 77 5 4 15, 5 LIGHT 4 PANEL 2 10, 2 STEP 40 I-- . 3 OPTION UNIT _I'3" 5 i, 5 is '36' r 3W WATER__1 111-U, 5 EK_C)EPTHMU5TI3E MINIMUM 7 ro" 2"MINIMUM PREPARED BOTTOM TYPICAL CORNEA 14. 12' RECTANGULAF FILLER 05180 PACER RECTANG1 FILLER O� RADIUS--" FILLER*05181 ii Lk ep�Wam" 18 x 36 COPING LAYOUT 18 x 36 w/Center Stairs wmr" ft jail mFawr.' tab cre au*ai .of 4'0"t tow thcjroposed feorehad grad V k- Wil' 12 12 8 18 x 36 w/Side Stairs F_ DESCRIPTION PART#bYMOTij67 W . a4-RADIUSCKN.I 9 7 7 1 8'PLAIN PANEL 05102 5-12'SE CTIONS WmdapeWWW tal.my SKIMMER PANEL 05104 4-8'9ECTION5 V 0 A 1, 'j ro 0 2 2 2 1 VRETURN PANEL aiw 05108 "64A�9�1 t�k is to, 05112 6'PLAIN PANEL the pant A , 1� how. 12 12 2 5'PLAIN PANEL 0511 004 p pay On f 2 2 2 4'PLAIN PANEL "!QPT-1�14 91 ADJUSTABLE A-FRAME 12 -Vr"0�1 �t'0,4 &PLAIN PANEL Daly I �y 1*'? 05118 05123 1 2 1 3 2'PLAIN PANEL 05129 1 dr l , 1'PAIN PANEL 132 j SIS M 0518 V7-! 4 14 14 1 RECTANGULAR FILLER MIR0 I fi 4 4 4 RADIUS FILLER 05181 Fool A Mmu) I. 8"MIN. I I GRECIAN FILLER 05183 2500 P.S.I. NUT&BOLT PAK CONCRETE for pcilpj�a TO r U In `TF m1mm 05201 'pp_Y59-t9f ME I I 0 - FOOTING�equipq�pnps,mtp 3,10 W pmjmt11'wD 1 RADIUS CORNER COPING PAK I and safety tnstruenonsxw . � T T 1 STRAIGHT CO PING PAK i vm e rn I 2'6" only A i- _6dQ divi _g OVERDIG cry hPer. 108' Sq. Ft.648 Gallons 27537 _ STANDARD LEGEND NOTE:not all symbols will appear on a map tt2� GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES EDGE OF BRUSH ORCHARD OR NURSERY V-V-V-v EDGE OF CONIFEROUS TREES MAP 0 ' r`- - -_, MARSH AREA EDGE OF WATER 1 DIRT ROAD 2 a . DRIVEWAY Al# 436 IE—PARKING LOT ^� —�-PAVED ROAD DRAINAGE DITCH L •"I� - - - - PATH/TRAIL PARCEL LINE MAP 250 MAPtta .*-MAP# 21-*—PARCEL NUMBER #1e60—HOUSE NUMBER 2 FOOT CONTOUR LINE - io 10 FOOT CONTOUR LINE MAP 0 MAP 2 Elevation based on NGVD29 /�/I� `• 4.9 SPOT ELEVATION o0o STONE WALL 446 �a ' �G -X—X- FENCE RETAINING WALL --i--I RAIL ROAD TRACK STONE JETTY D SWIMMING POOL 0 PORCH/DECK P250 BUILDING/STRUCTURE DOCK/PIER 8 I HYDRANT 4514 MAP e VALVE O MANHOLE 0 POST px' FLAG POLE T O W N O F B A R N S T A B L E O E O O R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N I T q SIGN ® STORM DRAIN N PRINTED SCALE:IN FEET *NOTE:This mop is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The lames ❑ TOWER --- 1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE `" ` 0 20 40 National Mop Accuracy Standards at this do not represent actual relationships to physical objects Corporation.Planimetrics,topography,and vegetation were mapped to meet Notional Map Accuracy Standards V�� enlarged scale. an the ma at a scale of 1"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's tax maps. ¢ LIGHT POLE O ELECTRIC BOX s I INCH=40 FEET* 0 P• 9� P TravelersPropertyCasualty , WORKERS COMPENSATION au—ettaRavelersGroup J AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6KUB-627X481 -A-01 ) RENEWAL OF (6KUB-627X481 -A-00) INSURER: THE TRAVELERS INDEMNITY COMPANY NCCI CO CODE: 11347 I- INSURED: PRODUCER: HOLIDAY POOLS INC MYCOCK INS AGCY PO BOX 61 20 SCHOOL ST MASHPEE MA 02649 PO BOX 437 COTUIT MA 02635 Insured is A CORPORATION ` Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 04-22-01 to 04-22-02 12:01 A.M. at the insured's mailing address, 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compen- sation Law of the state(s) listed here: MA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 100000 Each Accident Bodily Injury by Disease: $ 500000 Policy Limit Bodily Injury by Disease: $ 100000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: SEE .ENDORSEMENT WC. 20 03 06 n= D. This policy includes these endorsements and schedules: o= SEE LISTING OF ENDORSEMENTS -. EXTENSION OF INFO PAGE a= 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 04-20-01 WC ST ASSIGN: MA OFFICE: ORLANDO INDUS AFF 161 PRODUCER: MYCOCK INS AGCY 297SB -6 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 128202 Expiration: 03/10/2003 a • Type: PRIVATE CORPORATION i NOSL IDAY COOLS �. b>>A�TER ZUkrSKY 53 CAY UGA AVE MASHPEE,!MA 02649 Administrator �,__ - - - i 4 � p o41HE r Town of Barnstable NPR Regulatory Services B'` MASS. Thomas F.Geiler,Director 'OTE039. Building Division Peter F.DiMatteo, Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT t:D Construction Sor License , hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit , issued to (property address) 7 / /1� �` on 4 1 , 2001. I also certify that on , 200 I notified the property owner, that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. LICENSE O DER DATE q/forms/newcontr reference R-5 780 CMR ?j,, / Assessor's map and lot number //" �7"/. �"GyvmailC - IkSTALLEC IN CCMPLIANIX Sewage Permit number .... ... .. .�.,., ...........:.:.............. WITH ARTICLE !@ STATE / K SMITARY C10K #40 UM Eo*TNE.r TOWN OF BAIMM LE i BABBSTODLE; i 1039. .•� DUILDING INSPECTOR o M of. ,. e APPLICATIONFOR PERMIT TO ................................ ....` ...................... ......... .............................................. 4 TYPEOF CONSTRUCTION ..................................................................................................... 1� r 1..�...............1 9?. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for1a p rmit accordiig,�to the following information: Location . . .. �+. ........ /�1 �•.. . `�!:�?::.` s{ c?............................................................................... Proposed Use ........................� .................... ..`...�......................................................................................................... ..y Zoning District .........................................Fire District ...... ...... ....... .�........... ... loe ...r Nameof Owner/ `.......................�............... ...................Address ....... ....... ...-./ ................... - Nameof Builder c..'.. ✓l sC........... .. ............t�.................Address .. :. . ............................................................. Nameof Architect ..................................................................Address .................................................................:.................. r Number of Rooms ..................................................................Foundation ...444���..,.���.:t' 1 .......................................... , 1 o -�- g � . Exterior ... .. .........:.................................Roofin :r....................i.................................................. Floors ....:.................................................................................Interior .................................................................................... Heating .........!�---':'.`..............................................................Plumbing .................................................................................. Fireplace ...... ...._...............:.................................................Approximate Cost .s. :. ................................... ...... 3� . Definitive Plan Approved by Planning Board ________________________________19________. Area ............................s..,/..... ...... Diagram of Lot and Building with Dimensions / ?,S" Fee ...................... ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH - All � I hereby agree to conform to all the Rules and Regulations of th wn of Barnstable ' g the bove construction. Na .. ............�, .. ....... ............ ,� Hicks, Jeannette d Ct%m'cx. CC,11L11 UP/P"j No .....17 21 Pex-mit for ........€ara.%e............... Location 7Arian Lane .............................#inn s................................... Owner ................Jeannette Hicks................. Type of Construction ..........f;.4me..................... ............................................................................... Plot ............................ Lot ..............I.................. Permit Granted September 19 19 74 / ...... Date of Inspection ......... :.. ...:... � I Date Completed ..,.....:.... ... ....................19 I PERMIT REFUSED ................................................................ 19 ............................................................................... +t ............................................................................... Approved ................................................ 19 Assessor's map and lot number �............. . ! .... ............ Sewage Permit number ....:................._ ..........., TOWN OF _BARNSTABLE Z BA"ST"LE. i mum BUILDING INSPECTOR o M t APPLICATION FOR PERMIT TO ........................................ ........................ �.......,.............................................. .. . TYPE OF CONSTRUCTION .................:..:.... ................................ 1 .... .......................................................... ..............................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............................................................ ...... .................................. .............................................................................................. ProposedUse ..................................................................................I......................... Zoning District 'ram..........................................Fire District ..............?""/ r S Nameof Owner ........................:..... ..........................'............Address ..........................:..................................................... Name of Builder - '...'.................Address ............................................... .................................................................................... Nameof Architect ..................................................................Address .................................................................................... r� Numberof Rooms ..................................................................Foundation .............................................................................. i r Exterior ......-....!:.....:. ..:......................Roofing ..........:..:....:.....:..:............. .................................................................................... Floors .........................................................Interior ............... ...............:............-. ..................................................................... Heating ..................................................................................Plumbing .................................................................................. t Fireplace ..................................................................................Approximate Cost ...................................................................... Definitive Plan Approved by Planning Board ---------------------------_----19________. Area ..........�I............................... /. Diagram of Lot and Building with Dimensions Fee. ...................:......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH yp La I hereby agree to conform to all the Rules and Regulations of the-Town of Barnst ble.regarding the above construction. Name ....- Tf/I...... .at;G.. ...G ,............ :.............. Minn Hicks, Jeannette No 17321 PeAiit for garage .................................... , ............................................................................... Location ............7 Brian LFane .................................................... Hyannis ............................................................................... Owner Jeannette Hicks .................................................................. Type of Construction .............frame ............................. ................................................................................ Plot ............................ Lot ................................. v Permit Granted .....September 19.. 19 74 Date of Inspection .......:............................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ..............:................................................................ ............................................................................... e. �P ® / WITTALLEBST EMt�ST or Assessor's map and lot number . . ..... ... <..... f N p �'f3t" ,plA SANITq ZTIC�� It '-SrA're N /L �/� �� " `7�. sGcu,� t- � Yt�ryODE AIVO Sewage:Permit number ���.(�........./� .U.. �?.�� _y ._ FTRET��o r : TOWN "' OF BARNSTABLE -HAHB9TODLE, i , "b 9 i V Q MPY - RUILD�IHG IH:SPECTOk d' r ` APPLICATION FOR. PERMIT TO ....;: �.:.... . ............... Ui TYPE OF CONSTRUCTION ...... eQ/,9�'P ............................................................... ........................ l�..........19. X TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................. .............. .. . .... ..... ...... . ........................................................... ProposedUse .............. . . ....... ....... . . ........ .. N 4 Zoning District .....................Fire District ...../..'....X�...................................................... Nameof Owner ............d. ..� . ... .. ... ..............Address ... :....... ........... .. � . .!............................. A Nameof Builder ....... ................. ......................................Address ......:............................................_.,............................... Nameof Architect ................... ........:...................................Address .................................................................................... Number of Rooms .......14.......................................................Foundation .... ................................................. Exierior ................ ...............................Roofing ......... .. ...... ............................................. Floors .............<t% ... . .........I......................................Interior .................................................................................... Heating ........... � .. ...... . ... ........Plumbing .................................................................................. Fireplace ...............loved ...........................................................Approximate Cost ........1*0 G....�:0 Definitive Plan App by Planning Board ________________________________19-------- , Area !! .Q ........................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I accept the responsibility for the fireplace as constructed as I do not wish to reconstruct the .fireplace. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / Name ...r.. ..�4 .S. ............................... Hicks, J. C. 111321 ��- - . repair fire No .................. Permit for .................................. - ` damage ------------.�—.-------.---- 7 Bri an MXX Laoe7 ' Locoton .. . .—_________________ ' � ' Byaoo1a .-------------------------.. � J. C. Hicks Ovvne, .................................................... - fraoe Type of Construction .......................................... -----^--------------------'' Plot ............................ Lot ---- ................... . ^ �or�� l6 7� Permit Granted ---.----------..�V -. - Dote of | ---.]g � � ' � Date Como��o6 .,(l'������ �� l� ' � . , . ---- PERMIT REFUSED .......................................--------.. lV ^ . ~—.------.^.-----------.—.---.. . _ . ^ ~--'—^^^'~'—r-----'--^'-'-------' ~ ' . . ` ' . . .----.----'.—.--~.~,..---,—..----. . --------.-,----.—..—.....----.. ~ ` . � Approved ................................................. lV ' ` ` ^ ---------------'--^-------^^ ' ----'~-------------------^.' Assessor's map and lot number ... .......'.. .� 76 Sewnage Permit number '.� ���`'�.> 3 j.............................. ................. . •� �FTNETO 'TOWN OF BARNSTABLE Z BA"STADLE, i "6 BUILDING - INSPECTOR 'EO YPY p'' APPLICATION FOR PERMIT TO ...............,........:.........G........................................ ...$ .7 ................................. �.l%n TYPE OF CONSTRUCTION ..............o zq 717; 4m f ....................................................................................................................... q/./. ...........19.�b, TO THE INSPECTOR OF BUILDINGS: . The undersigned hereby applies for a permit according to the following information: Location 7. 13 �.,.1 . i'^ �t^�t'�. ........................... ............................ ...�; ...................� .... . ..................................................... Proposed Use ................47_ , _k, // -. '..-.._...................... ......................................................................................... ...................................., r ' Zoning District P r / .....................Fire District ...... .. !. Name of Owner A -� ! :.: ..:..........Address 7 t* * ' 99 _ Name of Builder i� .................................Address ......:.-.-....:.............................:................................... .......................... r`��....I..........................Address .................................................................................... Name of Architect .....:............................ r Numberof Rooms .......:' .....................................................Foundation .... -*�^...:+ ? ...................................................... Exterior ............... .............. --„ -:................................Roofing ......... a%./ ?......:.............................................. Floorsc'�a-L./..v�i' ...........................................Interior .................................................................................... Heating # 1 k7 [k4L .,�f1t �f'.1r'(.......Plumbing .................................................................................. Fireplace Approximate Cost .................. �� ............. ...... Definitive Plan Approved by Planning Board __________________________ L/e,LF_ -----19-------- . Area Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I accept the responsibility for the fireplace as constructed as I do not wish to recon3truct the fireplace. • a I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 7 Name ... ' ................................ Hicks, J. C. A=250-91 / . ~ � No ...lM32l.°. Permit for ......repal.r..f1re...... . ---���^;��-------.-----------.. . '7 Brian Lane Location --.----_______________ Hyannis ' ----.---~—..---.. ' ` J. C. 8l � ~~'~' f . . ` .'r~ .. Construction. . . ^ Plot . . . Permit Granted ' uo/a of Inspection ' ""'= C" "p== . . PERMIT R /USED ........ '. - . _ ---C .. _,, ` � , . � ---.�~—. . --. � '---~'— —^--' ' ' � Approved .............................................. lA � -------------------------- . -------'-----------.—~—.—~—. .