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jf, � , - 1 `'� ;. o,; .A .� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ;4 1w. - Q Map ' 3 a'^1 Parcel` Application # Health Division ° Date Issued ? Conservation'Division Application Fee ' • C�" Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH — Preservation/ Hyannis Project Street Address S C-44 P S`CQG FT VVY 4INA)nS , .L44 CV(6 01 Village OwneQ4n-4 RA8% tL� bJA ELb n (o nQil Address �1 Licked, 4V,4 &gaga Telephone _ - L151A-osso Permit Request C G AiQpame, C11AA CA,k dor. r ( C Q 66"\wa4 Square feet 1st floor existing proposed 2nd floor: existing proposed Total new Zoning'Distc et i Flood Plain Groundwater Overlay Project Valuation t3,0tr).E Construction Type Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, ,❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: 0 Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) us G� p D5J 6 /\ , Name Ole, A- D-6'r-("A Q� Telephone Numb AZ 8y(_/ Address S�a r.yi�_QN c 1\ License #_�,S vl\jao,)j ► YY1 IA' (Da_3(.o Home Improvement Contractor# �f Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO O P SS A Iljq (,gK)f SIGNATURE DATE A g- f FOR OFFICIAL USE ONLY i APPLICATION# DATE ISSUED ' 1 MAP/PARCEL N0. ADDRESS VILLAGE OWNER , n r DATE OF INSPECTION: FOUNDATION 3 FRAME INSULATION c FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL ; E GAS: ROUGH FINAL t f FINAL BUILDING 1 ' 'S DATE CLOSED OUT ASSOCIATION PLAN NO. . 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): LIII11 UOCti 1M oq� Address: SO ca� City/State/Zip: � AAA Phone.#: 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 ployees(full and/or part-time).* have hired the sub-contractors 210 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp.insurance comp.ins rance$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L E]Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑Roof repairs c. 5 , ,and we have no 13.❑Other , insurance required.]t 12 §14( ) • employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fin 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. k-=tmctors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-conbactors 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.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 ce der the pains and pe/jnfa�lties of perjury that the information provided above is true and correct Simature Phone#- Official use only. Do not write in this area,to be completed by city or town offu:iaL 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,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract fok the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call ' The Department's address,telephone-and fax number: The C6rnmonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 4.06 or 1-877-MASSAFE Revised 11-22-06 Fax#617-727-7749 www.mass.gov/dia THE Tp Town of Barnstable Regulatory Services gswx019.to Thomas F.Geiler,Director '°rFnr " 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 Property Owner Must Complete and Sign This Section If Using A Builder 1- I, t--say) 00 �f lei , as Owner of the subject property hereby authorizes 4n to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) ignature of Owner Date ' tud( Print Name If Property Owneris applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION r Town of Barnstable �Olt THE rp�� Regulatory Services Thomas F.Geiler,Director Basxsrwsr e, P MA-M 1b39� Building Division lFD �n Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not.possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other . applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor.,. Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:foims:homeexempt �`p•.�/lanacicduca4 t/ I'OrI.E 1.1 I4PRCVI�PIEFI r'CONI ; :cgtst`,atton b148883 r.; rE _ n y1 c xptralw 1/2%2007 T .. .� � t :x-- --_=�"--�--•' -- - _� -. 0 f.-'R S'i Gt'li'7(2 N; DESTEFANO n _ Hd<wTOi?tiEE2 DES,TEFAI t 0`A' Ili/ STN 'L'HCfnA M. _ a :. AJnu-t�stt ,ant e,+ r 0 Boa//r/d of lBlwidmg_Itegula;ton/s and_Standards r"I Eonstructton-Su a; r pervtsor.Ltcense. 1 )r IC as CS 79151 i ;r C Ilia 517/2008' RAV CH ISTOPHER-M @E � S ` 50 f': r f f I: FLYMOUTH MA 02360 -� F:I__- _ t Commissioner 1 r - rt ` I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel W d©/ Application# ` Health Division Conservation Division Permit#Tax Collector Date Issued co 0(a Treasurer Application Fee Planning Dept. Permit Fee �50 Date Defini've la pp tanning Board OK Historic- KH /Y` reservation/Hyannis - Project Street Address (ns CAMIP �5 y e E" Village H YAVAL15 OwnerCMP SA ;j (FROF bQCa . LLC Address L.. C_KJ�i0 bu f2ofs-)IMLe Telephone Permit Request 'L)'13JJ t1& ber 'YI /06, NECIC Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation,` w Construction Type I Lot Size 6111,17 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family CA Two Family ❑ Multi-Family(#units) Age of Existing Structure 3 4;P,qy-,5 , Historic House: ❑Yes 19No On Old King's Highway: ❑Yes SLNo Basement Type: ❑Full ❑Crawl ❑Walkout `Other l"E. cop Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) (05,��t Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing 21� new First Floor Room Count Heat Type and Fuel: b Gas ❑Oil ❑Electric ❑Other Central Air: Oyes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes I(No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ _ Commercial D4Yes ❑No If yes,site plan review Current Use AE'�)I cm ce Proposed Use /41b/r4L 6(2 C-E IInn //�� BUILDER INFORMATION n NameC^W 1 S�IPh�-e A, kZr� FAZIO Telephone Number Addrie�ss,G® SAl.�isi�. c„igiA We- - 49- License# `1 Z-qAQ L-04, A 6013(l9C) Home Improvement Contractor#��� Worker's Compensation# ALL CONSTRUCTION DEB RESULTING FROM IS PROJECT WILL BE TAKEN TO SIGNATUR ZIA DATE FOR OFFICIAL USE ONLY ti PERMIT NO. C DATE ISSUED r MAP/PARCEL NO. ADDRESS VILLAGE f OWNER `. DATE OF INSPECTION: r FOUNDATION r�- 7 ® r FRAME D INSULATION . y FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL+ FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO.- t _. 1 �` a.w•✓vI.-IIw.1.I Vw--.. V, r.a wYYwVI-wY✓.�Y: • • • . Department ofbidastiia[Accidents. Office of Investigations*' 600 Washington Street Boston,MA 02II1' J NJ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetridans/Plumbers pplicant In ormatibn Please Print Legibly a.111e (Business/org anizationandivian4 C 1 0 �l IT T-f 1,� C� ,ddress'_ A,I1W 1Cl ;ity/State/Zip: - ��7-t`�-4 . Q�>'� Phone#' `D�=` Q. -.! 10 d re you an employer? Checkthe'appropriate box:. type of project(required):, I am a•employer with 4. ❑ I am a general contractor and I ' 6. ❑New construction employees (hill'and/or p art time).* have hired the sub-contractors ' I am a sole proprietor or partner- listed on the attached sheet# 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑.Binding addition o workers' comp.insurance 5. ❑ We are a corporation and its [I`T 10.❑ Electrical repairs or.additions required.] officers have exercised their ❑ I am a homeowner doing all woik. right of exemption per MGL 11.[1 Phmibing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs inranCerequired.]t employees.[No w6rkers1' 131a Other act ef�3� comp.n+ Tce required.] ay applicant that checks box#1 must also 6 out the section below showing their workers'compensation policy information: 4 ;oa►eowners who submit this affidavit indicating they are doing all-work and then hire outside contractors must submit anew affidavit indicating such. mtractots that checkt1&box must attached an additional sheet showing the name of the sub-contractors and their workers'corm.policy information. wt an employer that is providing workers'compensation insurance for my employees.;Below is the policy and job site formation. - suranee•Company Name: )licy#or Self-ins.Lio.#: Expiration Date. b Site Address: City/State/Zip: ttach a copy of the workers' compensation policy declaration page(shouting the policy number and expiration date). lure to.secure coverage as required under Section 25A of MGL c. 152 cari lead to the imposition of criminal penalties of a ae up to$.11500,0O and/oi one-year imprisonment, as well as.civil penalties in the form of a STOP'WORK ORDER and a fine Pup to$250.00 a day against the violator..,De advised that a copy of this statement maye forwarded to the Office of rvestigations of the DIA - ance coverage verification. do hereby ce under. e pains angpen of perk that the information provided alb a is rue and correct lr atarm A/zDate 6 'hone#• S-D����—!IOCJ. Official use only. Do not write in this area,to be completed by city.or town official City or Town: PermitUcense# IssuingAuthority(ctrcle_one)s 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other . Contact Person: Phone#: Information aiid Instructions t , Massachusetts General Laws chapter 152 tequires all employers to provide workers' compensation for their ct o fbi c, ' Pursuant to this statute, ain employee is defined as ,...every person in the service of another under any contract of hire, oral or written." express or implied, _ •• '.•• ,• •. • • ' artnersl�ip,•association, parporation or other legal entity,or any two or more :.: pat employer is del ived as•`'` }4d •.P to er,or the ' of the foregoing engaged to a]Dint enterprise, and including the legal representatives of a deceased emp y partnership'association or other legal or,the occupant entity,employing employees. HOWOYPr 14e receiver or trustee of an individual,p owner of a dwelling hous a having not more than three apartments and who resides therein., d the dwelling house of another who employs persons to do maintenance,contraction or repair woiK'on such dwelling house shall not b ecaus a of such employment b e deemed to be an emplo "yer. or on the grounds or bu-ilding appurtenant thereto MGL chapter 152, §25C(6)also states that"every state or local licensing,agency shall withhold the issuance or permit to operate a business or to construct buildings in the commonwealth for any renewal of a license or p a licant who has not produced acceptable evidence•af compliance with the insurance coverage required." pp MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its-political subdivisions shall Additionally, enter ink any contract for the performance of public work until acceptable evidence of co�li.ance with the insurance 1equaements oftbis chapter have been presented to the contracting authority. Applicants • . th that� .. y to your Please fill out.the workers' compensation affidavit completely,and hone hni�mber( along with theirlcertifica e(s)of. and,if necessary,supply sub-contractur(s)name(s), address( ) P antes(LLC)or Limited Liability Partnerships(L•LP)with no employees other than the insurance. Limited Liability Comp insurance.rkers" 6ompensation or members orpartners; are not requir ex thatthis affix y be subrm'tte to the Departmentf�Industrial employees,apolicy is required. Be advised Accidents for confizz�tion of insurance coverage. Also be sure to sign and,.date the affidavit. The affidavit should be reixuned to the city of 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' comp ens ationpolicy,please call the Department at the number listed below, Self-insured companies should enter their self-insurance license number on the agprapriate line. City or Town Officials Please be sure that tine affidavit is complete and printed o�I lv The has to contact you regarding the applica�n Departinent has provided a space at the mt of the affidavit for you to fill out in the event the Office Please be sz.n fill in the perruiUlicense number which will be used as a reference number. In addition, an applicant e permi*cense applications in any given Year,need only submit one affidavit indicating current that mast submit multipl olicy infomtation(ifnecessary)and under Job Site Address"'the applicant should write"all locations in (city or P of the•.affidavit that has been officially stamped or marked by the city or town may be provided to the town)."A copy applicant as proof that•a valid affidavit is-on file for; uture permits•or'licenses.:A new affidavitmusx be filled out-each year.Where a home owner or citizen is obtaining a licens a or p eQnit not r� any business o ��ercial vont�ae y leaves etc. said person is NOT regain complete ermit to burn ) (i.e.a dog license or p • • The Office oflnvestigations would ille to thank you in advance for your cogperation and should you have any questions, please do not hesitate to give us a can. The De address,telephone and fax number'. The Commonwealth of Massachusetts . . .'{ Department of Industrial,Accidents .. • '. . ..Office of luvestigations .600•Washington Street. . Boston,MA 02111, ' Tel.#617-727-4900 ext 406 or 1477-MASSAFE fax#617-727-7749 Revised 5-26.05 www.mass.gov/dia Pv�FISE royti Town. of Barnstable w c y � Regulatory Services 9�MAS&S. Thomas F.Geiler,Director 039. Building]Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 www.town.barnstable.maxs Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using ABuilder I, �' ltc—/y , as Owner of the subject property hereby authorize n91ST)e/ DC—S7,�;4--y' C) to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) (�y _ Sigaulmer Da e Print Name Q TORMS,OVTNMERMIS SION r J �• ~3•ram�+^^ � "' -,ey �.P�:�`��s��'�7r�� nay BbARD OF-BUILDIN6 REGULATIONS I Licenses.COKSTRUGTION SUPERVISOR r Number'CS 079451 �. Expires 09117/2606 Tr no: 5919.0'�q( - .�?• '•:..� -_=�^..:die L '.1 ...7.� - R'estrictetl 'CHRISTOPHER M DESTEAt�b 50 SANDVIIICH ST#2 _ r PLYMOUTH MA.02360 r Commisslonor ,.� ✓�ze Corrvne�ruue¢`ll a�..'l/�waaclucaeG�a -� Board of Building Regulations and Standards " License or registration valid for individul use onIN' = HOME IMPROVEMENT CONTRACTOR. before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 148883 One Ashburton Place Rm 1301 Expiration: 11/2/2007 Boston,Ma.02108 Type: Individual j CHRISTOPHER M.DESTEFANO CHRISTOPHER DESTEFANO i - 50 SANDWICH ST. --- PLYMOUTH,MA 02360. of valid without signature Administrator � ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 32-813TO&I Parcel Permit# Health Division Date Issued Conservation Division Application Fee Tax Collector 7La 0 Permit Fhb Treasurers-- Planning Dept. ? Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address C-P Sat-. pLid Village AJ 0 c - Owner T44 � Address Telephone Permit Request Ve 0 poce ®o j"U i O E-57 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District" Flood Plain Groundwater Overlay Project Valuation '.Dt7 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type:e: Single F /Nit,L P g e amity ❑ Two Family ❑ Multi-Family(#units) � Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: Odes 0 No Basement Type: ❑Full ElCrawl ❑Walkout ❑Other c ;i Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1 Number of Baths: Full: existing new Half: existing newer •• w Number of Bedrooms: existing new m Total Room Count(not including baths): existing new First Floor Room lCont Heat Type and Fuel: Cl Gas Cl Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use 1 BUILDER INFORMATION Q �J Name e < Telephone Number S 6g -3 Z - -3 Address License# (o,J mVyI(AQ O o�-4 Home Improvement Contractor# 3 3 010 Worker's Compensation# WC I- 3(S~ 3 2 q(2 0-0 l ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN.TO �6u� 0� SACd� I SIGNATURE DATE 0 i to FOR OFFICIAL USE ONLY - PERMIT NO. _ DAT&ISSUED -. MAP/PARCEL NO. ADDRESS - VILLAGE OWNER r - DATE OF INSPECTION: -1� FOUNDATION --- FRAME - INSULATION S FIREPLACE • ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL':_ -FINAL BUILDING,.r t - el DATE CLOSED OUT• •� +_ ;, ASSOCIATION PLAN NO. _ ' i The Commonwealth of Massachusetts Department of Industrial Accidents Office oRIMSM921109S . 600 Washington Street - to n Mass. 02111 - Bos C33 Workers' o ensation Insurance Affidavit Cm cc name: location TO 4v hone# city ❑ -I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workin in a ca achy workers' com ensation for my employees worlang on this Job. e1 er_ r ..............,t. .............::::.,.:4:.?:L.::•i:;;•:4i.{4::•}.Y...�::: .:..::.:}::.::.:•.::...: ...... .. 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A..... :iayuranae::cQ::.:<_:::<::;::.>:}:<:<;{:;:;.Y'.}:;:i.:;.Y::.::.::::::::.::.:{<;.:;i.}:�:;•.:;i:.:::::.�:.:.:.::::,..:::..... �/ Failure to secure coverage as required under Section 25A bf MGL 15Z cahlead to the imposition of criminal penalties of a fine up to s1,500.00 and/or one years'imprisonment as well as civII penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a-. copy of this statement may be forwarded to the Ofdce of Investigations of the DIA for coverage veriffcation "" I rmp-andpenalties-of-perjury-that-the-info ridallo ve-ssr Z_and co�OecG_ dheeby- undrthepains 'Date Signature Phone Print name oficlal use only do not write in this area to be completed by city or town official permit/license# OBuilding Department city or town: ❑Licensing Board ❑Selectmen's Office ❑checkif immediate response is required ❑$ealthDeparbnent contact perso phone#; ❑Other n: (revised 9/95 PJA) r 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. artnershi association corporation or other legal entity, or any two or more of An employer is defined as an individual, p p, the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or II 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 o 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 withholdthe 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 numbers along with a certificate of insurance as all affidavits may be' . supplying company names, address and phone 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 of Industrial Accidents. Should you have any questions regarding the"law",or if-you being requested,not the Department -- ' ' , - lease callthe D -aitnient at'the number listed below.:. are regnised.tq obtain a workers compensation policy,p eP City or,Towns affidavit is complete and printed legibly. The Department has provided a space at the bottom of"ilie Please be sure that the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. ,Pl�se� i 'cense niimbei wluch wilLbe usid a's a reference numt�er. The affidavits may�i'e're atn be sure to fill in the.permitlh ... . . - .. .. iinless other -eaients have been made: ." or FAX . mail _ . ,.. . ent b . . .. .. . . ... .. the Departm .,. . •.,• . .. ._ ._. . . The Office of Investigations would like to thank you in advance for you cooperation and should you have anyyuestions, . please do not hesitate to-giye'us a call. The Department's address,telephone and fax number: f ' The Commonwealth Of Massachusetts Department of Industrial Accidents A. Office of Investigations 600 Washington Street .t Boston,Ma. 02111 fax#: (617) 727.7749 phone #: (617) 727-4900 eat. 406, 409 or 375 TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 328 188 001 GEOBASd ID 32881 ADDRESS 65 CAMP STREET PHONE HYANNIS ZIP - LOT 1 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 45182 DESCRIPTION HEALTH FIRST CHIROPRACTIC-1,2 X 3-1,8"X41 1/1 PERMIT TYPE BSIGN TITT SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: i BOND $.00 �TNE ,r j CONSTRUCTION COST5 $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE P ' I Ea.: * 1ABWSTABLK • MA83. i639. A�O� ED MI�►I BU14,DL G`I-I I'I0N BY f/!/.i IA-1651111 ,4111 DATE ISSUED 04/03/2000 EXPIRATION DATE The Town of Barnstable Department of Health, Safety and Environmental Services &UMST►BL% •` Building Division ninss. 16 39. 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Collector '. *'"�' '.*IkvfLtA.Tax Co / ^ p �] Treasurer Application for Sign Permit Applicant: J o Sh i ta. ndQL LA✓ , D[. Assessors No.51-8 186 M Doing Business As: Telephone No. So3 7� 1 S�'g3 Sign Location ' Street/Road: Le s Camp Zoning District: Old Kings Highway? Ye s Historic District?WO Yes/No Propert�Owner Name: a..w l S Q-►!�e i m D Telephone: Address: U 5 C-°`-'^^ P S k , 14'-j S , ►m A Village: (Q o 1 Sign Con,"ctor _ Name: K A -e-cka-4n Telephone: 10S Address: Village: Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Ye Q emote:If yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of table Zo g Ordinance. o ' Signature of Ow73er/Authorized Agent: Date: dy Size. PP Sign I (� ~-2 Permit Fee: Permit was approve Disapproved: �. Signature of Building 0 cial: - - Date: Signl.doc rev.8/31198 L> s �^ � 1� •�' t111 P.aUL{CS[F,(',EL.11.D.LAB y RDRERT C.A LENDER,\DER.Ed.D. I U,N'\L P1lIIMN..N:11T HARRIET D.D(AN)LEd:LUMV Ila + ✓'1 ern. �"• � � ''LLL '.��a y,�y�``�,':'9,_„� -. '�. Q�� . � � �., �- ,� � ! y � � ,,.•�y :� ,�. o- � : ,�o• .r+ ''`o. `� 1�' � J+ ��� S� / o► 1 .� '. •�O .gyp. N �� AlMp 51. FsUILD;`,��, �► ' � 1 1 1CAPECODNEALTHCAIE i I M � Q. _ .,,. � S �� � y • }��I a.�� / y�i.\ � ,'� y .y\�(/ o-� �+ r �_ .� o , ,'•�^\ 2 � �.��� ' ,� � ,o-a • ,y �- ,.� �y T 1 HEALTH FIRST CHIROPRACTIC Joshua 1-Inclauer., D.C. HEALTH- FIRST z. C H I RO P R A C T I C 1 JOSHUA P. LINDAUER, D .C . ChiropraCiiC Physician 3' HEALTH FIRST CHIROPRACTIC HEALTH FIRST CHIROPRACTIC JOSHUA P . LINDAUER, D .C . 1 Chiropractic Physician I� 3 .,.-.v.�<''•�,. Al � TOWN OF,BARNSTABLE. -� �- Y B 8 Perm o +fi Building Insp ctor s,s.n.m lding a '-Cash N � � OYL • .. k;' M s• -- t.... 639. OCCUPANCY ,PERMIT sond ------------ 'v .� Issued to m}� y O Acidness V +V z 7 _ ':�t.L." •."�'.C.:i'.�3i�'�fi t +V�'t�.^S�+S F.'aGG3•� _ •� � � � X Wiring Inspector Inspection date Plumbing Inspector Inspection date Y , r. t.-_ raw F s•a Gas'Inspector y Inspection-date f ,a »: n De . ' �✓ "� .z r Emeerin, g g. artment .B -' y;`? *' r` s' ':'ae .f Inspection date ' -;g ; ��,f y i-r"M?,,,;r.+�3L�' .,ry•�',..�i?r�*:'���'s-���•a �� i r z3"''..�..1�t�• 2 �..::,.�..a'� -- ::�A d �•� ..�, '� �f�s $ ��. Board of;Health' r ,� ,r *. 'i� + - Ins ectiondate fr "�} • 7 .•ya !.' ' P. - 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 11910 OF THE;MASSACHUSETTS STATE BUILDING CODE. Z .a r 19 '`' ...... ... �• ..�� All3 r r Building Inspectforr. - , .. - � __ ._. .. „S.._. .,_.+�...c...-.,. .-...,,.Y-.�...... r.Yam..is ._+4wva:d.�r ar.l-+tW.....,....�u.s.'FYr .�.-:.i-v�.Y•+.w...:•:z' e�..i...r..•w.a.,l^..Y.'.art a-..�i_ t. 42...s�-... ... r >. FROM TOWN' OF BARNSTABLE TS BUILDING DEPARTMENT Mr. Francis Lahteine Town Clerk 367 MAIN STREET HY�{Ne�NIS, MA 0 r, I p,h6ne: 7755-i{++.f LV - SUBJECT: FOLD HERE .DATE .. - .. September. 17, 19 4 MESSAGE • Work has beencompleted under Building Permit #26289 (Camp Street Professionals). Please relfase Bond ` I . N DATE REPLY SIGNED Ne7-RMI - RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.5.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. . =�.. :r; 3 ��`... • As sor's map'.and lot number .................................. .... 173 sy vs r - c�.��� - r v : �vu e`- - s C Q�oF ropy T E ie'wage Permit' number . ............... Z BABBSTABLE, i House number s.. � 9O NAG& f......... ......................................... r i6 O 39• �0 pTEON O TOWN OF BA-RNSTABLE . • • tit BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........Cons.truct. B.u.i l.d.i.ng.........................a....... .......... ................. Comte TYPE OF CONSTRUCTION .......,.............................. ........................... .................... ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby 'applies for--a permit according to the following information: Locatio ..Camp..'.S.tre.et.,...Her.annis.,...MA.......................................:.......................................................... Proposed Use . ;•)•XA•X XX. . . ...Gp•aoe....... .......................................... • Zoning District ... .................................................Fire District ...�. .�i. �'1�..}` ................................................. Name of OwnerCamp•••.9.txep-t....x.Qfe.ss.i.Qna.1S,.....Address lb�.5. .I�oitte...2.8.,...rr�n t��vi1.1.�•,•••I�tiA•••••• Name of Builder Pater...Da.igl.e...B.uiLders......IncAddress 1.645...Route•••28•,•••Cetat��vi1�.®•�•••VIA ••:.• Name of Architect T-err y...Lu£f........................................Address --Sandwich MA......................,:.....:...................... , N'umber of Rooms .. ..Uni.ts%.n...,�. ......... ............¢. �Foun tlon jP-oured-.-1CQn43r-e.t&..................................... le Exierior .. . .. ..5�1.. /�� —RoofinJa•spha•1.t........................................................:.......... f4&......Interior .... ............................ Floors .Poure.d...C.ozzcx�t•e••�• . . . . ....... .. '' �I?eetrocl�............................ Heating ...B.1•eC iG,................ ...........................��.............Plucrrbing ..CQ ?��1....°�...Cas.. iror:................................ Fireplace ..........N/.A................................................................Approximate Cost ....... rr ... Definitive Plan Approved by Planning Board ________________________________19________. Area ...... ....... .......................... Diagram of Lot and Building with Dimensions Fee ...... .... ................ . .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH eel OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS hereby.agree to conform to all the Rules and Regulations of the wn of Barnstab r1gard�in the above construction. Name . ...................................... Construction Supervisor's License .....Q2.4 94 ................ CAMP STREET PROFESSIONALS �2- fll�4'0 —NQ9.... Permit for ...BUI.-LD.v....... ...... .... .............. . , Professional Office Bldq. ..................................................... ...:............ Location .....V..Stre.et....................................... .... t4 Hyannis . ............................................................................... CarrP Street Profes Owner .........................................qigaal'q......... Type of Construction.. ........................... I......................................................................... Plot, Lot ..................�r...;........... Granted ...APK�!..0........ *9 84• Permit ............1 Date of Inspection ......................19 Date Completed ........... ..... .... 19 C? SV ? 1D c ? o ^ F 403 6Q M _�N h!/ o h • , '4•a2 m K 7 e iQ A' •O7 �G /ZoT S O S �` I 4g � ��• 3 or tT v� 1 OLAQ LaFc-:ALE : Pi-A, , aF .. t.Ar.tD I r-.I t-I`/Ar.I 1.1 l5- �'3r1G'.-ti>T�tP�LI✓ - "ASS., pe.ePnP-..E:b F-e-& PAL SIr=6EL, 'ScAtl-E I"_�a�> Av6•'C.S,> Iq e 3 , OAP I�6 co••'l>✓AT1C KE r M ASS,„ 0 L P. K D ti EA F. -lS' F�csl�rFtC �-%-jAOf 4s r irk 7'L `�i� •�• QEh�. o. Q• iDNl1N" 2 S% L o r cc�v ✓t 6� N N�t�1f O �..; o,eTEa��' ��IDE GNP SU � tJ ol,l cc�tJ PC= NA I Q L-, C>=f2T t -I E D P Ldr' P L A►._! La-r IL �=T cq� P 10 �-_I I S QE✓tse D : 3 �. 84 T DIATE: 3.- S•cs-34 cLlF-u-r: DAILaLE- I HEREBY nP��ATTN� �CISTItiIL� E L.L�S SU R./E�ING ►►JG �g�J� ; 84'o P� F�Du"tA7co 'gA<Dw M ot.► -R- 15 P L A" CoLaFb Q�A5 To THS Zcn:.J IN E, Laws fq museC L--r LAt DR BY. .�. •E of 6A ilws-rA BLS, MASS. �ccePr �u�.2.iI�5,M A S S•,0'1�3 2 1HS I�.lo� cN 6`l: s4 SWEI?T I of i pxrE 0_EO(t-Y i 64>LAUD v' 3y JD M ti �y m l4c °� 9 �- 84 �o.o{ems, m 3� �O I�`D � � � o��'�•vgy3 x�V'V a� � 7k� �- .03 I 6 2G /a e Ql o T Q�.-7 � o ol • 73� N Or t.Awb tN t-NANWIS- J3AQ.r.►51A-P�- - MAIS., PeZ-PA-2Z-1:. FoIZ PAL Sit=6EL, S AU= I"=2c�, !� •2S, 5�g✓�Y- �&j&= .-1� , MSS. o ' 1>✓ P. Q. D 0 tN o� 20' F&n6jr 5EFT t3P�L S. 6. �OMII " 2 5 7. L oT coves 2��t= » s�OE- L-1 u I✓ -r5i�rP-Ac�: � DcffS Llo-r su �2-TiF1ED PL=r PLA►_.! � ME 1 �/I SAD = 4• io•8• GLI E�tT: DA I LaLE E?�..L��3 s���� 1►..1G, JoB�� : S4•pe� �"�°�-,�`� �NowN c►.t '1H15 PLA►.i couR�QMS `rC5 THE 1c5&-.t INb LAw5 IA musKsawr DR BY. J•�.ff of bhLwS-rA6LF-, MASS. a �st¢2v�u.Ea,MA9�.,oZlo32 cN �!: -�� 3,S•04 SLAT I COP I . DaE ea u►uo -:E-+Rve 4 1 _ ~/P- / V N JoM� y4og. boo M N 1\0 \ o e r 411ID G � m ?�� o 14.03 i 4,�7 73� I o� pLA Q QI=•rc LEj�j L--F—"PLA" =,F MA,5. pFEPnn_1=r� r--,L PAL SIEel EL AA Q : � as.F �S' ���1._►Tt�� 0E 4 20' F=`P�►Jr SI✓r ( c.(_ r S s ti ,r for rE�`�� -'/�-wes�• ��DIr s�-r f�t�K. � 4N4 SUR��'y� C�Q.ri Pf ED PL,=Yr PLA" Lc�T IL - C 2ocK�� 5 i YET S � ��cp �� qo � �--=1��N►-J I S Qc-jisr D , 3• • e4 GUEST: DAIL-LE I I MOEB-(C:Ml�nP-e7l-IATTI.4S PYiST106, EL1.tiS SUQVEYI�G 1►,lc : JoBNo 84 08 �c r��l "3NowF.1 c*j -iAIS PLAti-J COI:.►Rb 0n5 To THE 10oj w b LAwS tq mus✓. wr L &= DR by J•t?•1=• of e)&Q.NS-rA SLE, MASS. e ccl=Pr CE�,rT><Q I(u 5,MA S S•,olf-S 2 ,o A—= wnl'J SLaE�'T ( oP I pecr� Cesi-sue uc>IAuc) .5LRvwd=rc Assessor's office(1st Floor): U Assessor's map and lot number o6l O*THE TO`` Board of Health(3rd floor): MUST CONNECT To TOW Sewage Permit number TOWN Engineering Department(3rd floor): - srsntt ryas House number 4� 6,S 039. Definitive Plan Approved by Planning Board 19- �0 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only F. TOWN OF BARNSTABLE BUILDING • INSPECTOR APPLICATION FOR PERMIT TO Rr"� �u- -Yi�O� CDv01J S'JYW L, TYPE OF CONSTRUCTION LI 13 Dtz-)w4u Qa jO '} a-b-me—� z1 199t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: INt Location f f LAo� 1�,T -,j 1,t4c �L-+JG:a G?hIG. �^ L Aca�)nC3 Proposed Use Zoning District Fire District Sri Z7- orz�` Snz -T Name of Owner Address N^f/3r►rt>>, MA 0260 L ��A RtJ Name of Builder uf� ►uc3,r��l 15� M.o t•,� L Address yA2,rnov f1t t''ott� MA 02U'�5� Name of Architect Address L� ���� �C Number of Rooms ` ' em �''!9 a J>el L&t3 Foundation N 0 Cbi AN(,4EE- Z 0 IFtcJE3 Exterior-- Roofing Floors Interior tJ2 0-43 DtuP (ki LN4C. 1-4 ow �9cis�►r4G 'BHA Plumbing Cam �� %7a-zj Heating umbing Fireplace N �A Approximate Cost 351000 Area Diagram of Lot and Building with Dimensions Fee , R,:5�05Gk�I.IG})'(k� C- , Evooxb co l,o OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License 0 6 D83 PAUL SIEGEL TRS. CAMP STREET TRUST No 34423 Permit For Interior Alterations "4 Laboratory Location 65 Camp Street f� �� ^- - Gam• - .. Hyannis =' - Owner Paul 'Siegel Trs . /Camp 'Street Tr`ust`` • L Type of.Construction Frame Plot Lot ,`^ .�• �' - � -�- � r . •'~ `. _'� . Permit Granted June 26 , 19 +1 t Date of Inspection 19 I ti Date Completed -_ 19 F - C � c. � r - --• - Tom' -' cam. 4 • • - .� i �i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel / oU/'. Application# Health Division Conservation Division Permit# Tax Collector W Date Issued Treasurer r 'Application Fee Planning Dept. Permit Fee `�- Date Definitive Plan Approved by Planning Board ® � Historic-OKH Preservation/Hyannis Project Street Address C I Village Owner Ellt -lQ.') Address Telephone �� • �'� ��3 C5 Permit Request �, >�S7`�vc � ,ice Square feet: 1st floor:existing Q6 proposed ,5 ,2nd floor:existing proposed 5A--e Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ®� Construction Type = 1 Yp r Lot Size e 7 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation:= Dwelling Type: Single Family Two Family LJ Multi-Family(#units) ia Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes _ O 'No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other 04pe-. C,3c e, ic �-- Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) (�� t Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing co new First Floor Room Count Heat Type an2Yess k ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes ❑No.., p g 9 D ' g ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attac bed garage. I1 Pyictinp ❑new size. Shed:❑existing LJ new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial k Yes ❑No If yes,site plan review# Current Use �• �s Btc r ICY�'rS BUILDER INFORMATION Name �:ht��,��5 %� iii�c/�����><'z �i� Telephone NumberZI - Address / �I;A 11_u /2'(11 License# t-)&11c-'2 . r)MiI /Y/51 e26,7/ Home Improvement Contractor#_IS S '7 Worker's Compensation# ALL CONSTRUCTI LTING FIR T PROJE T WILL BE TAKEN TO D! i U SIGNATUR DATE FOR OFFICIAL USE ONLY PERMIT NO. - J°' DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE' - r OWNER r DATE OF INSPECTION: r FOUNDATION e FRAME 7 INSULATION ' FIREPLACE r ELECTRICAL: ROUGH T FINAL rt PLUMBING: ROUGH ' FINAL --. GAS: ROUGH FINAL - s FINAL BUILDING fk - i DATE CLOSED OUT ;� k 's ASSOCIATION PLAN NO. r 1 he C;ommonweaun of 1uassacnuserrs Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 ivww.mass.gov/dia Workers' Compensation Insurance Affidavit: Bualders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: mW n2_6 W Phone#: 50 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 construction employees(full and/or part-time).* have hired the sub-contractors 2.0 I am a sole proprietor or p artier- listed on the attached sheet I Remodeling ship and have no employees These sub-contractors have 8: ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Budding addition o workers' insurance 5. ❑ We are a corporation and its � Comp. 10.0 Electrical repairs oa• additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs aT 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 anew affidavit indicating such tContractors 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 anal ob site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: (� (® a�r� � t City/State/Zip: �L Attach a copy of the workers' compensation policy declaration page(showing the policy n ber 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 here rt' un r the pain a pe aloes of per ry hat the information provided abov is tru and correct: Si a Date: Phone Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Iaspector 5.Plumbing Inspector 1 . I 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." or association, corporation or other legal entity, or an twomore An employer is defined as an individual,partnership, a orp g ty, y 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 employmentbe deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates) of Liability Companies L or Limited Liability Partnerships LP with no employees other than the insurance. Limited Lra ty mp (L C) r7riy (L ) emp oY members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. . Please be sure to fill in the permitllicense number which will be used as a reference number. In addition,an applicant that must submit multiple permitllicense 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 vah-d affidavit is on file for future permits or licenses. Anew 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ent 406 or 1-877-MASSA.FE Fax#617-727-7749 Revised 5-26-05 w-V1W.rII2SS.gov/G'''13 I °fISE Town of Barnstable h Regulatory Services Z = Thomas F.Geiler,Director XAM >Fo Building Division. Tom Perry, Budding Commissioner 200 Main Street, Fiyarmis,MA b2601 www.town.barnstablepa.us office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. -If Using A Builder as Owner of the subject property hereby authorize � /�./��� �r�i�c�i�eeyi�z </ to act on my behalf, in all matters relative to work authorized by this building permit application for. J. (Address of Jo Signature f, er Date Print Name Q:F0RMS:0WNERPE?1YMs10N K g1,111..dING SUpERVIS�R BOARD S OCII, ` GIN p67057 License r CS 1 _ ` Numb ?r no; '4a31.0 1 ; 12�20L2p07 11 z T ; s;EXR ` - '�tr��ctecl R A1U1 �/�(1C� R et 1� GHAR NAN NE RY 0 g��1' Goti�missto� i 4 W H'A 07/15r2006 12: 05 5087786448 HVANhJIS FIRE PAGE 01 W -NMS FXRE DEPARTMENT v �•. 95 HIGH.SCHOOL RI?. LXT.HYANNIS,MA. 02601 i"$L� HAROLLD S. BBRUNE/L'LEE,,4 CHI�EFjI EAU i;.osMrar..e r.,.Roi s:e�e�ra� IM u 9L+SIIJESS'PH_UhIE:(_ . 775,. 300 FACSIMILE PHONE:(508)778-6448 If Ax, )rDtlN U IL Cdik5B,.1IL CFI LT.ERIC F.HUBLEFt,CFl it' FI 1? PREVEN ory OFFICER; FIlIM PREVENnoN OFFICER TH18 FIRE 10HEVENTION-BUREA'U 4#AS R VI Irb tH PLANS aATED. ( 2 7 FOR THE;'0140.01 ATY:L6C�7E6 AT ALSO XN wN AS Q�u C3 'c THS .CHAFIT BELOW INDICATES THE STATUS OF OUR REVIEW: 1wIA RECEIVED REVIEWS® COMPLIES b=SRiNKL R'SYS ' to „`*E : • . S:SpIIKLEfi C11I1tJOt» •CI�IfAi1NY ' .77 1y -; 'lA0 y 10-F;P,30 &MN.Ulif�l�l�'OR`C,C�C�47IOt�; -- •i i-WQKE c0414dk EXHAu 14•SMUKE C L E4U� .:'LeA'T1N t< f4-' FiFiE E;'ti�N t IsHl ( `3Y$fiEMS EQUep t� r;�rlpry OTION 11 FIFE tR01' CTiQIU11�, 1Af' �.<1l3•AI.AI�nA 7(�i°►C11SMt��1;t`�1'4}M1=7"Ht"d�`' / — -'— -- f 15 SE ;N GAF( HATIOIV RSF'Q T _ - -�;"- 20•AGCLPYAIVCET�ST1NCa �f�f7'Ei�IA - �� ------"„W. `aC}CUMEtV`C COMPLETE A (),COMPLIANT FOR THE ISSUANCE OPA BUILDING PERMIT. WE HAVE COtulPLf"71 D THE' C!`PTANCE TESTING FOR THE OCCUPANCY PERMIT AND BELIEVE'THAT WITHIN THE$GOP>='�3t=7FiE SCILOi(�G r� IMIT,T#�I ABOVE iSSUEt ARE IN COMPLIANCE. �nQ F I Assessor's office(1st Floor): n z Assessor's map and lot numbe a }� c�THE to Conservation �� .. ��' lip Board of Health(3rd floor: J MUST CONNECT TO T Sewage Permit number � �� LDL6 rasa Engineering Department(3rd floor): o639. House number Definitive Plan Approved by Planning Board 1g APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO E-'`t `A�� EKO'1T 4(, ?DO-C-)'t I Si41)MN0fL QL-Tk-rt431o.J 1 TYPE OF CONSTRUCTION 'J WOOA J71ZAt 1F_= 19 77-- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 6S C,&ac\4 3-nx_emE�r I 1AyA6~41a-%3 f Pr A 07-6O.L Proposed Use lW VVU T 1�tW PU3117b --- 0-WI C.L�_ Zoning District Fire District Name of Owner T✓R ?Ay-L_ S1 we en_ Address f' - CDt'a6' mkow- Name of Builder VA(64u'^ ?VA tLlartz-1aI Address 15& Mw*a Jirz'`3rr- Name of Architect t4 JA Address \/AnMav' Pvm,—, rM OZ615 Number of Rooms G t Xwz(,E 2 Foundation W w"zt=-:r� 13W Ut- Wl i":c)ijv4 C. Exterior CtZVt3o.ftTt,0 Roofing ^ Y �X ISi��G Amu t_1 Floors D'L � Interior _�Z U 3 Heating F:K i 5 n*ac_ MD f 1-3ATeg . &.-3s 3"y_o Plumbing N 1�1 W d'2tC-- 13.631K SZE-1AOD1EL. r1 &.) Fireplace N)A Approximate Cost �W ' Area �- Diagram of Lot and Building with Dimensions Fee lG� od OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License SIEGEL, PAUL DR. p 4 34887 Enclose Porch & Remodel No_ Permit For Office Building Location 65 Camp Street "r Hyannis Owner. -Dr. Paul Seigel `s Type of`Construction Frame Plot } .Lout � _. • _- . F Permit Granted March 17 , jg 92 Date of Inspection 19 Date Completed 19 i 41 y COMMONWEALTH pp I DEP9MEIVT OF p1 j - 1010 COMMO BLlC SAFEry MASSACHUSETTS _ J ® BOSTON..MZ215i AVE. EXPIRATION DATE L;S . EN- CLOSE06/30 COyS RpSE RESTRICTI93 T UE CHECK OR.MONN0NE ONS RVZ.SOR EY ORDER I� o EFFECTIVE DATE FOR REQUIRED FEE, . �10b/30/1 *9 LICNO. 006083 MADE pgygSLE TO 156 MA PNIL8R00lC 7CARAI I R L.V T A 02675 FEE: G (DO NOT SEND C . 675 = , CASH). 100.00 P ASE ltiOT HEIGHT: I N C R E A S E I NOT VALID UNTIL SIGNED,BY LICENSEE AND C �J)p / �19g q THIS DOCUMENT MUST �� • HE ED ON THE PERSON BE' x- HLpER OFII -NOT' T O IN THIS WOCCUPA70N+ L ) C ua�y ?�M-2-87.81429 { SIGNATURE OF LICENSEE DE_TA Ci J ' •�„ p SIGN NAME INFULI-A pICENSE. STUB COMMISSIONER SIGNATURE LINE f!uM&rv(,i..1.4LL ZF FXf5T1:vG 1 /16C6SS.a(Y fxnr� (c:oi Ex[sr/NG EXAM J £KISTLJ(� hook j 111 1 C tBAr#4 CE , P. j t \ �14 3-1 I• 3 I r &Ct'F.i[D,-, ;-REA. 2 G�f — A'E4a•A7-6- fxlSTr.NG.!)ooi< fr sr�niCs.Diu r,o.�, WAI T I Id6 1 I I �cu..,-Te-Tc sF Pc�gIL . ; To.LF/�eMavet�_ ppN� 11 FiNCCCS<_rx,SItACG_.._. 11' Tuv.G_- I — — — — —! fr(.SriNG P.4Rrrr,uti5 r I ! t it To.Rr r_nAt N.. h�►+7TITIo/V.S.__. �I �/ ; dS NCCeS�rlic Ro s N�cG fr' 1 x AO 5- x3 /" RO 2G>i 'I ,I 8.3S�d 4536 S x3=/" _No--NFW- WoRK.To._Fx[sr G f/C /�i4/•ll� .oR ho,2cH Q f --?ATch_S4c+t ,.vTo (5u,lcY,.�q r i `.'C17 - I r i _T- Ni w - _ 7. - �1 i I 'jru F j \, - _ -- - - i - s i - . -- — -�- — - - ----__ ' G NFI-1 .�6 WOC 0, ,44SN kv."&fI)Ows V 67-ORM UVgCV- �� -- '.NEW COMET FQVN.DAT/OAf: _ NEW 3°Full LJr`1= &PEurSvdT___—.� ENT, L-',vo,t kd UVcvc f �1 Assessor's map and lot number ........, .................... . ......... �o f[—Gcfl FIHEr fl - /,a-- P�. - /1 ,J r Gt�u e-/- a _T�«t c � ./t / o y Sewage Permit number ............ :�.:......s u rt v/r r�syli4< �� `� �P o Z B9HBSTADLE, i lrcv r CrlK �� j !�C /7A rez- t� /�/Gc House number ........................................................ ......:..... _ 9 N a 0� BOA 39• �9 a' TOWN OF - , "BARNSTABLE - BUILDING INSPECTOR APPLICATION FOR PERMIT TO ! � ✓�`.l,�.( C � /�" ���1",;bll�`.. .,.... .............G`... .......................... `............... ..,,.. :. TYPE OF CONSTRUCTION .......L..,.../.. .......................................................... . ....................................................... ' .. .. r�` ...�. ...............19.f... TO THE INSPECTOR OF BUILDINGS: ✓ The undersigned hereby applies for a permit according,to the following information: Location ...... r!./�`l............f�l........... `!...� s�C l�I C.'. ......... .. ..... :.. .....:.......................................... ! =!'C'i�` ......... .............. ....... Proposed Use ...... . ... .... Zoning District ..........:�........./ ..A/. ! ....... . .. ': CFire District �! fL 'iC : / f � Name of Owner ..lr ,sl• • ,• / �` �. ..........Address IGC/ ile- ,/ t`Gf jlr~,... �-' `� :fr•fil if Name of Builder" .. .. .r* / �. t l'`f Address �:r.:�. .. ��r °f ./!! .......... .. Name of Architect :`�� ....Address .....................:.... ......... Number of Rooms ............. C � u'............................. ...........'r.... ..............................,... :�..................................Foundation ..... Exlerior ............................. ....................................................Roofing .........<..................................... ................. ............ f � Floors ............ ...........n.......................................................4z/- 11�1 Interior Heating //l"! r r'ilr/' ... % t T / g ,. •f t� ........................................................................Plumbin .i ............................. Fireplace pp %jf s! ....... ,:...........................................A roximate Cost h C Definitive Plan Approved by Planning Board ------------------------ � � E �{ �1. - -------19--------. Area .."....�...�..�..................... Diagram of Lot and Building with Dimensions Fee ! SUBJECT TO APPROVAL OF BOARD OF HEALTH CGNrv�c i/a�.i -b ��,. FUt Sc. W0+/)u(-ZO F- 2 i° cc orb f j Z ` r r d ` r' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the'T6wn of Barnstable regarding the above construction. Name .... ... .......................... SEIGEL, PAUL A--328-188 No24148 Permit for Remodel Dwelling ................. .................................... To Medical Office ........................................................................ 1 65 C Street Location ................a.9P I ................................................ n�Hyanis ................. Owner ,Paul...Ae.i.ge.1....I...................P........ .... .. .. ..... .. .... .. Fr,'ame Type of Construction 's ..................................................................... . Plot ... .......................I..... Lot ......... 1 June 21 82 Permit Granted I.................il....................t119 Date of InspectiL ................11.................;1,9 Date Comp leted .................it...................19 4v Alb Assessor's map, and lot number .; .�`.,-.... .. /' v.lT �� G�- Td -J-au�ul �oF toffy wage Permit number ........'... ftJ.: ............. Sa�tti ems.....�p-v!r/�y�iG� .. ' �Ap6LC�y< UGGci6t �%�i/ T'/'1 /�'AR1Gys�-/' C �JS aacf , BAHB9TADLE House number l9G(J T CV T"`i ........... .............. .............. i 1' r rose 039. \0 U�/ '•l fp MAY I►• TOWN OF BARNSTABLE BURD1HG INSPECTOR APPLICATION FOR PERMIT TO .. . ��. ........e�./ ..... TYPE OF,CONSTRUCTION ..... . ... . .... ::�................................................................... . ...................... .... . . .�....��.......19.�Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a p 1mit according "o, the following information: � 1 Location ... ...... ...... 4 `1... . .. ..T.., ......... Cki�tl� �... Proposed Use ........�... . .................. ....... ........................................... ........................................I......................... . .. .. .... ... Zoning District / `! Fire District G Name of Owner ..... - ..........Address`. . �.. . ./...� .. .. L�IG�I . .... . . .. .. . ... ...... . Name of Builder" . Zr ... ..LGl.....Address ��. .. ..:���... .: G....... Name of Architect ........... ......................Address.............. ...................... .... ............... ...... ........ Number of Rooms ............... .... �G`' ...............................Foundation ... ........G ! . f Exlerior ....... %'�-vr�. . ... g ... :. �( ��� .......... Floors . . . .. .... .................................. ..............Interior ..... .. . ........ ... ......... .......... .�... ...... �. o Heating �� .................G Plumbing .. � ��=�Y �. Fireplace ......... ........ .........:..................................Approximate Cost ................... 5./.. � ......................... Definitive Plan Approved by Planning Board --------------------------------19_______. Area .............. .... ... ... ..... . . Diagram of Lot and Building with Dimensions Fee / . ......... SUBJECT TO APPROVAL•OF BOARD OF HEALTH /r�Ui✓n/ G.j/�:aJ v Sc.--RJL .-L j)VL.,CQ f'L I— `- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of t o n of Barnstable reg in the above construction. Name . .. .... ... .. ...... ..... ...... .% GGGL................... ' ` " No Permit for .. l_DvveIl gg. To Medical . Locution .......................... ' . ..................jTY.qgAi�\.—._.---- ...—.`--'— Owner —..PaoI_S���!�I_____._../__'_ , Type of ..Construction .......................... ......................................... Mot ,—..--.....--- ` Lot /,----_�_---. ° June 2I ' 82 Permit Granted -------.�-----19 'q v ~~' of Inspection -----------''' ' ^ ' ^ - ��^ Date� Comp�ta6 ------------]9m , . / , ^ ^ . ' � ` . ^ '- ^ . - - .•rY!`•..-`mot'-i�o;#.`'6'>`lh.'7ti ......a '=�t.+.,y sr ..'':z:"..�n..:.i-.....riy...,1.�•w"^'ro`.sry.'7'.ir+r^-:,...ty,+,�w>.-..-'It.�l.,.7r r.,,..�.-�,.-r.,.P,;:...:w r..rr{.'W , t r.n � "�rcv .., y�-�'!�'� ... ►•'74.•ty...er/�,yr.,...;.nr'-4pv'�1,.'f-. Assessor's office(1st Floor)' a y� Assessor's map and iot number M I b • p�T"E`To Board of Health (34--floor): / eWQ ♦w Sewage Permit number •� (�/ , Engineering Department(3rd floor). `. sARru tt House number .�0 5 AiG/� vo i63 Definitive Plan Approved byPlanning Board 19 APPLICATIONS PROCESSED 8 30-9:30 A.M..and 1`.00-2:00 P.M.,only TOWN OF BARNSTABLE-,-BUILDING INSPECTOR INSPECTOR `�T� APPLICATION FOR PERMIT TO ���b R'r'1 �4.a'(Z;."YLlU� (d�10>J Snzll L, X TYPE OF CONSTRUCTION ,9 9L TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: T�e�� Location 6 {or�+Q nz 'I'� ��,fAa�d�tS ' h Proposed Use G- �-a OLAo� �rz.ovr..IC 31�G �� �O12tL 'rA(_101lt_3 Zoning District" r Fire District ZI Name of Owner Address N'1lJ�+Nr)I MA OZ60 .L J F74 r���IW1(kZ0IL 'Z s Name of Builder Address YARrrO v 111 ho2� OU1 Name of Architect Address 04 ' H Cite r`a Number of Rooms 1 cma Dtfu=-o l.o n Foundation N C AN(,f_�_ • Z tl �r Krss Exterior NO G-)_15-A6t Roofing Floors ►9flr-IG- C6Izr "` I �I�+YI Interior )f2 cW6 ��P ���" , Heating �C 1 S j 1 rl �HQ Plumbing Fireplace N A Approximate Cost -�35 000 - --- Area Diagram of Lot and Building with Dimensions Fee / f a►'i�U A- T /�1 Gt9L,ICGy Lam` � � I � r f I E!Po,m t^� a3 ICI _ i l i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform'to all the Rules and Regulations of the Town of Barnstable regarding the above construction. > Name 6 083 Construction Supervisor's License O PAUL SIEGEL TRS. CAMP STREET TRUST . A-328-188-001 No 34423 permit For Interior Alterations Laboratory Location 65 Camp Street `1 Hyannis Owner Paul Siegel Trs. Camp Street Trust Type of Construction Frame _ Plot Lot- Permit Granted June 26, 19 91 4 . Date of Inspection - 19 Date Completed 19 1016Y ton REAGDE,4 1;0& ofil-Y - /W vaI-Ur- CH,4N&r 1 PE 1T COMPLETED. , Assessor's map and lot number d � ....... Sr ..... .... �oFT�Ero�y ................................:............ Sewage Permit number ro Z EAUSTADLE, i House number ....... .,.7.5.'-�.................................................... 900 MA86 039- am a' TO"WN OF BARNSTABLE BUILDING INSPECTOR �/- (� APPLICATION FOR PERMIT TO �.,. ��:+�- �� �:l-:� -�. ����' .. U. . TYPE OF CONSTRUCTION �JJ .......... 6.........19 TO THE INSPECTOR OF BUILDINGS: The undersigned/hereby applies for a/ permit according to the following information: Location ...........f..:..i f l>.��.....�. `{�� .a 7` ,••..i�i ->, -�, . ... .................................................. ProposedUse ............. �..... .................................`................................................................ Zoning District ........ ... c.. .:......................................Fire District ..... ✓G �% ? .......................................... V Name of Owner ......P� :..�.��Af�... F ma�yy//-5' ..Address .,�.� 'S� f Name of Builder �. ......":.jM11�2x,. .. ai!.ra'� Address ..,��J. ....�...... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ............................................................Interior .............. Heating ..................................................................................Plumbing ........................................................ Fireplace ..................................................................................Approximate. Cost .................................................................... Definitive Plan Approved by Planning Board -------------------_-----------19-------- . Area ..................................:....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above ` construction. yy� Name . ............ .. P ............... Construction Supervisor's License .. r�y� t ...... . DR. SEIGEL A=328-188—ot" . No .26014.' Permit for .Demolish Garage. - Garage.................................................. - Location Street .................................................. .................... ............................................... ........ , Owner Dr. Seigel Type of Construction ...Frame............................ ......................................................................,......... / Plot ............................ Lot .............R.... .......... January Permit Granted ........................26.,...............19 84 r Date of Inspection` ....................................19 j F Date Completed .....19 r „. COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY ' 1010 COMMONWEALTH AVE.{€; OF ? i MASSACHUSETTS BOSTON,MASS.02215 '1� • , , � ENCLOSE CHECK OR MONEY ORDER � LICENSE FOR REQUIRED FEE, yart ) EXPIRATION DATE CONSTR. SUPERVISOR � 06/30/199:3 a MADE PAYABLE TO j RESTRICTIONS EFFECTIVE DATE, LIC-NO. o . I NONE o 06/30/1991 006083. o "COMMISSIONER OF PUBLIC SAFETY” n 0 mVARNUM T PHILBROOK n (DO NOT SEND CASH). 156 MAIN . ST YARMOUTH MA 02675 PTEASE. MOTE .!F-E INCREASE i• PHOTO(BLASTING OPR ONLY) FEE: 1.00.00 Ef FECTIVIdUhB. 989 HEIGHT; NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED-OR -SIGNATURE OF THE COMMISSIONER D P.S._ -- D,,c� D NOT DETACHLICENSE STUB i THIS DOCUMENT MUST BE CA SIGN NAME IN FULL-ABOVE SIGNATURE LINE RRIED ON THE PERSON OF SIGNATURE OF LICENSEE I THE HOLDER WHEN ENGAG OTHERS RIGHT THUMB PRINT ED IN THIS OCCUPATION, COMMISSIONER 20OM-2.87.81429 et� ufi r� iri 'i� iiil:l ®5 lur 1. J��'S. i ri,s is the same budget that was approved at the annual town meeting in April_ Dennis is having another town meeting on June 25th. In the event that they turn down their portion of the funding again at town meeting the vote in Yarmouth on the 26th does not matter, because a second Dennis defeat will result in a District meeting in late July or August. Please watch your newspapers, as that will be the last chance to approve the original school budqet. If this does not happen it will mean more losses for students. Already $ 1 .3 million has been cut from next year's school budqet, which means fewer teachers, cuts in school sports, activity programs, no school funding 'i or field trips, and many ether losses. Failure to vote the budget will mean even more cuts. D-Y has one of the lowest per pupil costs on the Crape. VOTE ON WOl I MA Y JUNE 26th 7"Er°�� TOWN OF BARNSTABLE BAEBSTADLE, i AG O 39 Ar. BUILDING INSPECTOR APPLICATION FOR PERMIT TO .........�?�.is�....... ... :..1. 'f ...................................... TYPEOF CONSTRUCTION ........................./&e ........................................................................................... ...........0 .................................. �F .. TO THE INSPECTOR OF BUILDINGS: ._-The-r�ersigned hereby applies for a permit according to the following information: 1, Location ............... 6...... .r??!' . 67y�.*.n/Al..i Proposed Use .................... ,C+.......................1 ...................................................................................................... ....... ZoningDistrict ....................-...f................................................Fire District .............................................................................. Name of Owner ... %Ff .Address W... �• ...�1' Name of Builder ....mod h�a - ..v` ....1.-0..40S.AY 'f!4.....Address .... ......6 ......../7 i�hlAl.t..5....... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....................../..........................................Foundation ...........ePi{.'Fof k..................................... Exterior .... `!.y ✓U. ....................................................Roofin ✓. . Floors ............. a. t�l!E ........................................Interior ......................&-.COv.d.......................................... Heating ...................l..1..lJ^te...........................................Plumbing ..........................Aa/.1/..I.el................................... Fireplace ................. ............................................Approximate Cost .............,ti.. .............................................. Difinitive Plan Approved by Planning Board ________________________________19________ . Ga O Diagram of Lot and Building with Dimensions !' [ J �n 2y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..`� (.�:: .. ............. Coleman, Robert W. 1 No ,•,10800 Permit for garage ) ............................................................................... Location 65 Camp Street . ........................ ..................... ............................. ......................................... s Owner Robert W. Coleman ...................................... ....................... Type of Construction .........f1tie..................... ............................................................................... Plot ............................ Lot ................................. Permit Granted October„ ig 66 Date of Inspection . 19 �p Date Completed .....1�.:..1.'5.�.............19 PERMIT REFUSED 0 n.......0..t�./It...... 19 5 .3 ............................................................................... S ................................................................................ ' I Approved ................................................ 19 .................... ......................................................... e� V o .. 1 5 ' I OC • I . • f aX is IOkc L NwNy�a� 4 c�ee� N 3n 3,� �if ¢a C 8o I+s 3 gx I� ANGVIovt.. Wt5 of or3 q lv4 C�-1 >> a X� a P� 3�� �x�Q.►o-n yP Y PT Ell i N ALA)d tj C� f 1 i NEW v° ppc._ a�is cYm `okc.k. F�,+c4,tC1 �to 'C r►ak�1 \A1 E vt RAMT s+R,(o O Y y ld A,oc- -PT- pg�..�r. axle I ion' sa�N�Tubt a )(i a. TAT. la" (o c y X'f PT Su?�OttA N IOX ft) Wi-a-h NfW OAtJA c�-OtR w`�Q (2-m 1 . ST -, , �. � � _.... �. � .. �-- —_ ,. r... a ��9 1 V `/ ... r . . .__.. ,� � I ^ EX�n. 1. d .. P\< Ee E I- Fi�..�j�1 1tFJ _ I xtg r va� i W NC. i ; Hit 11 � -- --- -- 12 2' 11 - AWE lft(T� COM;J\u CUFF--ILts r. �5 CP\Mr crr,/ Lifv�;� �Zb -t 102/ �iyAuNi� Mfg SCALE: w '! APPROVED BY: DRAWN BY DATE: -�.. 2 f-(� REVISED DRAWING NUMBER u _ i i i ti V� 77 T ' CP6 i ta17 Df, l ly f?AL-I /-//CEN OCU&4 I (� �— 30"MI&A CCUNT2� I d Cj I 220 V. 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