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Home My WebLink About0143 CENTERBOARD LANE I l� { 4, tl r _ � _ _ _ _ --- ., �. , �_p'. ct ` s a Town of Barnstable BUild1rl : _. �� ,. at ••�:`>�. �' .�a,:;x'.<.'c.�<v' ,,, ,,t .a<. �. �,. , r.:.«e„a„� < .�,.r, ,... .,x %�, 4.,Yi."�a,.� <,`3p,.��'"zt.'t.�'� r-' �s ': �.'Y %s - • .._: �.: ,.- ,� . ;•, �. �: �. .a -Ut rble�Fromyhe� •ree --:, oved��lans,Mustbe�Retasnerl onpJob�and'this,•Card"Must be`�Ke t � r: ' �' :'�'�ttl'841[BS:�� <"a '•_r;� �t.,z�� "' t;� r a.: ? s„��-�;�`� " � z a.�,p �� ' •; �'s.;ax � .,.�;: a '�; z r < � -3@. ,. ..:.+. -;,. , ,,. ,, as:- 4R"x,..,,,.-. ,<.<> +�.,.. -:,.:a- ..Iv.. .�.. ,,... ,. ,. ,.: ,•. _ _,.. ,.. > .. ,1»c,.. 3 �y .erl 1. _. - • >.;` ,. �. ..: -.: nc ,�s�Re u�red� hB`�Id�n ashall Not;;be..0ecu red,-until.-a Ftnai Ins ect o � as en.made ' . ..,. . :: ea. .. . ,fiere.a!Gertit:tcat q#Occu a, .. 4..•. .. uc_ u , g, � .�R p „e Y „ -.,. <, .- ��rr,-.,'Y..S:.r sr.- _i�'�' _;.<,...y.,�<-p .r<y'i,,,..a_<-,my",'> .�.,2.,. ��.�,. .#�.,.., i�:. ,*�s.��. <' <�: � m..:t,z�kf��S€..� ::Xr�::z.•.-,ry '� s. �v.<...x-x.� �:� .3� A licant Name Crai Bisho Permit:No B-17-2427 PP g p. Approvals Date Issued 08/21/2017 Current Use , ,: 4 Structure Pe""r.mit Type. :Building-Insulation Residential Expiration.Date: F- 02/21/2018 Foundation: Location:, 143 CENTERBOARD LANE,HYANNIS Map/Lot 273 241 Zoning District: RC-1 Sheathing: Owner on Record: WATSON,PAUL S MEAN M x Contractor Name: Craig P Bishop Framing: 1' Address: 143 CENTERBOARD LANE =x QY p �x, Contractor License yCS-109777 2 HYANNIS, MA 02601 k. # Est Proect Cost: $3,391.00 Chimney: Description: Air sealing&weatherization Permit Fee: $85:00 Insulation: Project Review Req: Air sealing&weatherization _y Fee Paid; _ $85.00 Final: h Date , 8/21/2017 f �¢y Plumbing/Gas Rough Plumbing: s , t . Buildin Official • w=.: .. g Final Plumbing: This permit shall.be deemed abandoned and invalid unless the work authonzedty this permit is commenced within six months after issuance. r Rough Gas: All work authorized b this permit shall conform to the approved a lication and theta roved construction documents-for whichvthis permit has been granted. All construction,alterations and changes of use of any bu)ding andstructures shall be nc compliance with the local zoning,,,by laws and codes. Final Gas: 4 - x . . * : I displayed in a location clear) visible from access stre'etbr:road and shall be maintained open for,•ublit inspection for the entire duration ofthe This permit shall be disp ay y � , , P P . � P work until the completion of the same: .. Electrical Aw The Certificate of Occupancy will not be issued until all applicable signatures b'.the Buildin permit.g nd'F re Off�Cials are.prouid�ed on this Service: Minimum of Five Call inspections Required for All Construction Work , 1.Foundation or Footing Rough: 2.Sheathing Inspection . � .. . . 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation - 7.Final Inspection before Occupancy Low Voltage Final: Where applicable;separate permits are required for Electrical,Plumbing;and Mechanical Installations. Health Work shall.not.proceed until the Inspector has approved the various stages of construction Final. tiPersons ggri [acting with unregistered contractors do.not have access to the guaranty fund" (as set forth in MGL c.142A) ire ment . :.... ,., ,;. ,.. ..- F' Depart Building plans are to be available on site Final: All:Permit:Cards are the property of the APPLICANT-ISSUED RECIPIENT ON 4iN t< E M r+T'(_ S IE"JT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION g. Map � Parcel-9f I Application o Health Division Date Issued r Conservation Division Application Fee Planning Dept. Permit Fee AF Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village . cP Owner &0 Z S Address Sit J � Telephone 781 , A54 IFS I Permit Request Q= d,4&444 am- &1JA- &41QE A&-dZrM-C#924 4 C�w i ! �- .44 - 1 Square feet: 1 st floor: existing j proposed 170 2nd floor: existing 1JAK proposed A-ktic Total new 3 o 3� rT Zoning District C - Flood Plain 00 Groundwater Overlay Project Valuation Valuation 0 d C) Construction Type 000 Lot Size 6 3 �;S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# (# units) N p Age of Existing Structure kr Historic House: ❑Yes "o On Old King's Highway: ❑Yes Uhl o Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) /YZUl11, Basement Unfinished Area (sq.ft)__/', le%O Number of Baths: Full: existing Tip new Half: existing a new --, Number of Bedrooms: 3 existing _new � Total Room Count (not including baths): existing new First Floor Room`Count �'5 Heat Type and Fuel: W"Gas ❑ Oil ❑ Electric ❑ Other Central Air: M Yes ❑ No Fireplaces: Existing ✓ New Existing wood/ oal stover❑` H`N'o Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 9"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 All f 7b —o?79 (BUILDER OR HOMEOWNER) Name Ph 0 1 S C AT,5dXJ Telephone Number / •—al-51 798 2— Address 1-f3 Cg4LboaLicense # Home Improvement Contractor# EmailT�` ��S'c�ll� (`�C� �'�s�; /l�/ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �Ad2 Al o v l SIGNATURE DATE ' FOR OFFICIAL USE ONLY APPLICATION# L DATE ISSUED e MAP/PARCELNO. I ADDRESS ' VILLAGE ' OWNER r DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. DepwftartafInd=*i dAcrid=jtr Ofim oflmesfigatfuns 600 W ffhbVtoa S$-eet Baata74 MA 02M - wWW-M=gw/dra - Work=' Compensation Lum rance Aff davit~Buniiers/Cants brsMec6rid=s/Phmibers Applicant Information Please Pant Lembbr' Name cBu-QM 6" /, S. A A7-S® .,j Address: f 3 .( J ��C Ca;ZAle S7/-tA - �9R- iiy . City/SwdZiF #Vq-'VAJ, S MA 01661 Phone#-. 774 '70 -7 -Are you an employer?b=k the appropriateb= ' Type ofproJett(required); 1.❑ I am a amploper Wig 4. [(I am a gcoeal cont:actur and I 6 New eanplopees(fall and/or part time).* have hired$c ❑ c 2.❑ I am a sole proprietor or partner- listed m f m afiarbed shoat 7. []Remodeling ship and have no cmployecs These�bave, � S. (]Deazolitian wa3dug forme m EV capes' �� ❑ [No WDIk=,C01np.insurance_ corap.inarTr M t 9• B Idmg addific L 5. ❑ We are a coipoxation and its `10.[]Ewtdmlrepaks or additions 3. I am ah®] Wn doing all Work officers have eacerdsed ffick ILE]PIumbmgropahs or additions n7selt(No wadccre comp. . tight of excmptiouper M(3L 12-El Roof repairs regoired.I t c•1A§1(4),and we have no cmplq v-[No work=v 13.0 Outer cam•msonmcm regnnr&] *AnygvEcantthatei�chbox#t=stalsoMcut*coer$oabcbWshowingtbe WOd=zemmpeasatioaPeiuYiaffi"'tion tEnmeownesswhosnlrmrtthisai5rdarritiadmling�epaiodoingaIIWoz1`®d�eahaeovhido�ctoa�staal�mitaacwafndavitiadirat;n =CIL tCotriredry ffiatebxkth b=nmst athtrhed an additional shedshowbgtbo na*m aftbe sib-e=bmta and shy whsffia or notft=emw=hate employees Ifthn sah-cadrae�Lave cmPbY=s. Y mqdFav flu*wmds'aom,p Po1i.Y manbes . I am art emph yer that is pMPOng,workme cornpewation h=zr nce for W M?rGye= Below is the porky and job site . usfarmadon; _ Insmmma Compaap Name: Policy#or Self--ins.Lic.# Fxpir Date Job Sift Address: cfty Ip: Afl--A a copy of the Workers'compensation poruy declaradan page(skowaig the police number and Minn lots). FazZnre to secure coverage as rcgouedmder Section25A ofMGL C.152 c=lead to the imposiiicm of rrffiiml DcMIVM of a EM 13P to$1,500.00 aadlor one-year iaprisaameot as Wall as Civil p=zhies 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 shtcoac t may be fimw-mded to flM Office of hWM#gafions of the DIA for fimmmmm covcmge veziUcaiiom I do hereby cut fy under the a-and petalties ofPrrjury that 9ie i¢ormca'ion proniAd above is&ue and correct. S- Date: O O trial use only. Do not write in this area,to be enrapkfr-dby city or tmia+e o�rciaL City or Town: pP�,,.rM.;e•�►��e#' ' 7sstg one): L Board ofHealfh 2.BmildmgDepartment 3.C yTmm Clark 4.Medricallnsper�) S.Plambinglnspednr 6 Of cer ConfactPerson: � Phhone#: ' information and Instructions ' Massarosetts Ge=21 Laws chapter L52=Imres an employers to provide wad='campeosaiian for their e3ploJ9=. Porsuamtlo this statute,an mployra is defined as=.every person in the service of another under ray fact ofhirr, express or implied,oral or wrift=" An.m7kyer is defined as"mr individual,paxtz ship,assocmfiam,corporation or ache r legal entity,or any two or inure of the foregoing engaged in s joi d eeteapisq and br.Iodmg the Iegal reFwmt ifivw cf a deceased employer or the receiver or trustee of an mdividual,pmtacnhip,association or other Iegal cmtt7',employing ca ployws. However the owner of a dwolling house haviog not more than fuse apaztrne s and who resides therein,or the occupant of the. dwelling house of anof er who emplcrys pmsous to do mamtmencr,construction or repair work an such dweMog hoouse or an the grounds or b it ft g4mrk rant then b shaRnot because of such employment be deemed to be an mnployc r." M(M chapter 152,§25C(6)also states that aevaystste or local licensing agmcyshall Withhold Ihe issuance or rraewal of a license or permit to operate a business or to construct brild'nags in the couinmonwealth for any applicautwrho has not produced acceptable evidence of cdmprumce with the hmmunm coverage required." Additionally,MGL rloaptnr 152,925C(7)states-Teid=the Xwealth nor zny of its political subdivisions shall ...... mtx r into any contract for tbepermance ofyubho wmicurthl acceptable evidence of campli4aceW h the msraa3c6.. j.equk fs of this cbapturhave&empresentedin the contracting anfhauty." : Applicants Please M out the wogs'compensation affidavit completrly,by rhwJd g the barns that apply to ymx situation and,if necessary,supply s&Hmntradur(s)name(s), address(es)and phone n-ber(s)along with their ccrtificate(s)of insurance. LimitrdLb4ilhyCompanies(LLC.')or Limited Liabl yPertaersbips(LI.P)withno employees other than the members or pmtams,are not rbq=nd to caay wars'cAmpemsatiem insurance. If an LLC or LLP does have employees,apolicy is regain. Be advisedthettius affidayitmaybe sabndftd to the Departraent of Indasftial Arzidemts for coon offimmance coverage. Also be sure to sign and datethe affidavit The affidavit should be stoned to the city or town that the application for the peewit or license is being regnesbut not the Deparhnent of Industrial A mide mis..Should you have airy questions regarding the law or ifyou are regahmd to obtain a worl=' co:opensaiian policy,phase caU the Depar[meut at the number listed bestow. Self-hmn-ed ca mpanies should enter their self-insurance license number an the appmImisfe line. City or Town Officials Please be sere that the athdavit is complete and panted Ie gIly. The Department has provided a space at the botinm of the affidavit for you to fill out in the event the Office oflnyes WIic s has to coubu t you regarding the applicant Please be sure to fill in the pennitAicemse member which win be used as a refermce number. In addition,an applicant that must submit multiple pennitlIicense applim ions in any given yea;need only sabmit one affidavit indicating cmient policy information(if necessary)and uunder'?ob Site Address'the applicant should write"all locations in (city or town)_"A copy of the•affidavit that has bees offfiial br stamped or marked bythe city or town maybe provided to the applicant as proof that a valid affidavit is on file for tifure permits or Iiccnses. A new affidavit must be filed obit each year.Where a home owner or citizen is obtaining a license or permit not radcd to any business or commercial vdrd= (ie. a dog license or pmonit to bum leaves etc said person is NOT required to complete this affidavit The Office of Ir ors worldlu'Ioe ten ftnkyouin advance foryour cooperation and shouldyouhave any gciestions, please do not hesitaita to give us a call. a The Depautmcnfs address,trlephane and Ax mnmbea: The CoMMMItbE of lassarhns - . . Department cif�A.ccadents • Pict~olt�e�gatioa� ' 6W win Shoe Basto!6 MA 02111 Tr.#617?27-49W cxt 406 or 1477-IMSAFE Rag#017-727 7M Revised 4-2447 _ mg ' Town orbanistame Regulatory Services Richard V.Scali,Director F Building)&Won r BAEM; ' Tam Perry,Building Commissioner 200 Main Shvet Hyannis,MA 02601 wwW town-barnstable ma.us Office: 568-862-4038 Fax: 508-790-6230 _ HOMEOWNER LICENSE E EMMON DATE: JOB IDCAnmE. m=bQ _ VMW name - home phone Ce(I CURRENT MAffJNGADDRESS: /!! 3 &Z_ tY zip cD& The current exemption for"homeowners"was extended to include owner-occupied dwellings of six uoits or less and to allow homeowners to engage an individual for hire who does notpossess a license,provided that the owner acts as supervisor_ DEFINMON OFHOMEOwNER 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 twc� 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 pry and requite and that he/she will comply with said procedures and requu emeuts. 5tgaah=of Homeowner Appmval ofBuildmgOfficial 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. HOM UMNEA'S E7a ►'I WON The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption axe unaware that they are assumingthe r- ponsibMties 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 My 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 formlcertif=tion for use in your community. QAWPFILESIFORM6lbd&g permit Eo=1EXPRESS.doa Revised 061313 o�TME Town of Barnstable Regulatory Services ' KAM Richard V.Scali,Director Building Division Tom Perry,Building Commissioner - 200 Main Stmet;Hyannis,MA 02601 www.town.b arnAable.ma.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 to act on my behalf, in all matters relative to work authorized bythis binding permit application for. (Address of Job) "Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted Signature of Owner Signature of Applicant Print Name Print Name Date Q:F0RMS.0WN R MUMSMIe0oU N N S Bp•�2'27•E' [,� c� �K181ia 2 - �i N A�� ) � � as•: 3 ' q a = LOT 24 8358 S.F. h t9�' i 109.27 586 04'S4'W 109.27' a t 3 f • f TOWN OF BARNS TABLE ZONING ZONE RC- l TO THE BEST OF MY PROFESSIONAL KNOWLEDGE ' SETBACKS : OPEN SPACE .INFORMATION AND. BEL 1 EF THE STRUCTURE SHOWN } - EN HEREON CONFORMS TO THE.HORI.ZONTAL SETBACKS FRONT - 0' AS GRANTED UNDER THIS OPEN SPACE D.EVELOPEMENT. SIDE t REAR 7.5 PROPERTY LINES SHOWN HEREON WERE COMPILED FROM AVAILABLE PLANS OF RECORD AND .DO NOT REPRESENT AN ACTUAL SURVEY ON THE GROUND. / DEPICTED ON THIS PLOT PLAN THE DWELLING DE PLAN WAS LOCATED ON THE GROUND f z7�t IN BY SURVEY ON DEC. 6. 1995 AND BARNSTABLLF MASS. EXISTS AS SHOWN AS OF THE DATE OF LOCATION. SCALE: 1, -40' DEC. 7, I995 THIS PLAN 15 FOR PLOT PLAN EAGLE SURVEYING A ENGINEERING.INC. PURPOSES ONLY AND NOT-FOR 10 seaboard Lana RECORDING. DEED DESCRIPTIONS BydJutJs, go. 02801 OR ESTABLISHING PROPERTY LINES. (50B) 778=44E2 i THIS PLAN IS VOID IF NOT STAMPED AND SIGNED IN RED. 0 20 40 80 PROJECT N0. 95-344 I _ z I D I I�1 t lob I t=3r=n �t 17 F . p N I i, I II 1 � �t�tRKWa0 G1Ln.ERs_=__... s «� aF N r i i - k : I A, II i i B - r i a , Y 7 •! Y r� C G ! • S JJ INN 71 [t I lip fn a If i oc N g 3 0 C M OD YYY { -a to 0 �• N N P F, - - t r J - � Q c i I t 0 q C AC F o ! P � a 0 4 3 w o Q i i o z .r 14 - .. o (�D a of e� �smh (P ccm p 10 I {Jt o� o III K —J j s. i Er Q- 2g ,•, . IIO 7) ` N \ J 03 I F.I ' 4 - n _ r _ < bi�SRRTL� 7Z�47L�ER5. 6D,(p o s c � oto o � N p,-` ,O m I • I I F ice'. O r I j/ 'll I♦ o I. i b P` i y , y v �1 0 b s f 7 G c J 0 ' I l o _ o m � s co c 0 <,o fA ® a O ►> 7 300 �`o N P "' �-- �N i Town of Barnstable �t�O�`�`�Q� ti Expires 6 mon&from issue date Regulatory Services Fee�g:T aARMABIA MAS& Richard V.Scali, Director 16;y. QED MA'S A Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address J q 3 et b e l Ip �S Residential . Value of Work$ /2 S-00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address P4 V I Contractor's Name (21�--( 2,((r ym Telephone Number 72( ' X(7-9 L7 Home I ovement Contractor License#(if applicable) f ko'/SrS Email: a f C e Ora to CCawtCRS"' C1Ljff- 7W' ruction Supervisor's License#(if applicable)orkman' ompensation Insurance S PERMIT C ck e: . I in a sole proprietor ❑ am the Homeowner OCT -8 2014 TOWN OF BARNSTABLE' Insurance Company Name Workman's Comp. licy# Copy of Insura a Compliance Certificate must accompany each permit. Permit Req st(check box) Re roof (hurricane nailed)(stripping old shingles) All construction debris will be taken to -1ja UT4.fL ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ' ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required: SIGNATURE: QAWPFILESTORNIMbuilding permit forms\EXPRESS.doc Revised 061313 ' r 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 Mine(Business/Organization/Individual): �'1 S �01_ L+C I Address: Re �'7� 5 �,.��e ,/1ij 40_5� r City/ tate/Zip: Phone#: g 1 4`7 on an employer?Check the appropriate box: Type of project(required): ( � 4. ❑ I am a general contractor and I ployees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. 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 workingfor me in an 'ca aci employees and have workers' Y P tY• $ 9. ❑Building addition [No workers' comp.insurance comp. insurance.required.] 5. ❑ 10. Electrical rears or additions We are a corporation and its ❑ P 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other Ce — 12od comp:insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Sianature: Date: Phone#: 7 g ( P�4 7 g Official use only. Do not write in this area,to be completed by city or town ofciaL City or Town: Permi0ticense# 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 t Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political'subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'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 permitilicense 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 (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts., - Department of Industrial Accidents' Office of Investigations 600 Washington Street Boston,MA 0211.1 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.govfdia ' � I s TAMPT Job address- 143 centerboard lane (Name- paul watson hyannis MA 02601 Date- 09M/14 (Phone- 781-254-7982 Home address- Cell- P.O.box-- JEmail- btfice specified and all work will be completed in a 1 r 5 Dd 00 i o4�a All material and work is guaranteed to be as sp $9,000.00 `7_ � � substantial workmanlike manner for a total sum of $3,000.00 d '�S �{ ` th payments made as outlined. ' Deposit 1/2 - Remainder due immediately upon completion! Please make check payable to Richard Sullivan If paying by credit card please note that there will be'an additional cost of 2.75°k in addition to any APR that . you may already be incurring. Ilf you would like different payment options please ask. to all materials used and we roduct used we iAll workmanship is guaranteed.Factory warranties apply Stand by.the products We use and also our customers.In the event of a problem with any p (Pledge to stand behind our customers to resolve the:issue. will tns involving extra costs ot Any alteration or deviation from the above speciacai over and above the estimatebe executed only upon written order,and will become an extra charge te within 14 days. This proposal may be withdrawn by us if not accepted)erill n ,e our responsibility during or after the project. Any issue of mold in the building 7 e Ce 'PW I ,. a s 0 The above pncesspecifications and conditions are satisfactory and are hereby accepted. hereby authori cified. ze you to do the work as spe I as We owner.of the property y Payments will be made as outlined above. Home Improvement Contractor registration#164857 `! Construction Supervisor License 9103265 'call the office at:781217-8123 'M sachusetts -Department of Public Safety c C��eoa�zn�zoauaeaCC�a�C��a��trc�craeC(� . Board of Building Regulations and Standards Office of Consumer Affairs&BusinessRegulation Construction Surer isor `' OME IMPROVEMENT CONTRACTOR egistration 164857 Type- License: CS-103265 xpiration 11I19/2015 DBA RICHARD P SULL-IVAN ' , ALL STAR RENOVATIONS . P.O.BOX#775 02-561 1 Ay e MA r Sa' smor D SULLIVAN�:� � RIC HAR 3 CRESCENT AVE. � Expiration PLYMOUTH, MA 02360 �- p Undersecretary Commissioner 08/31/2015 .License or registration valid for individul use only before the, P ex iration date. If found return to: J Office o 10 Park Plaza-Suite 5170 f Consumer Affairs and Business Regulation ' I Boston,MA 02116 I Not valid without signature u ,.TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 273 241 GEOBASE ID 37666 ADDRESS 143 CENTERBOARD LANE PHONE Hyannis ZIP - LOT 24 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 13780 DESCRIPTION SINGLE FAMILY DWELLING PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: E BOND $.00 , CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY HARN3TABLE. MAS& �► OWNER COBBLESTONE, LANDIN 1639. A�0 ADDRESS P 0 BOX 274 BARNSTABLE MA BUILDING DIVISION/ DATE ISSUED 03/14/1996 EXPIRATION DATE TOWN OIL' BARN STABLE BUILDING PERMIT RCPtL ID 27� 241 I-D 37666 r'!,ID.DRE:•-33 ,, 143 CENTERBOARD LAN Ha PHONE HynrL:i_�3 ZTP — D A DEsIEL0pMI:1J`I DISTRICT 1I`1` 1:':k: i:L`�'2'l DI :,C;itli'�':ION c;J_Ni:;L,rE .f AM_T LY RESIDENCE (SEW_PMT,�'41?07') T I T LF PLC T DM T I A L, i Dep ttment of Health, Safety c' .,I'I't G`.'e:,�RS_ . ��o4�I) CGIRPr�I:'A"11110M and Environmental Services , N MCI""' ��N .,,60 ,000.00 tt 9i 1�,,fr FF rrrr f� { 7 7 r �';: 1.'� �1;:} .I.t�� i){.'�1aC�i�Si.�.T/ .0 l�l Ej�.lh' P i '�1114\►7��a��sppaara�ch f MAOO� 0.59. "+ter. .r Y,::..: L P ..C:�-i!'.Si�.li, .;L'i);�I�; 'ss,b:;liT .I BOX BUILD DIVISION ...P.1rt `1.IUN DATEDATEDATE !' I BY:, 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 LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES 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. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS j d 2 2 2 �2 8j /99L�1Its �.,.��' 311 3 1 HEATING IN' PECT60PP"Ls_ ENGINEERING DEPARTMENT r AJR/� G 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL 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. 508-790-6227 Assessor's Office.-(1st floor) Map' o?73 ;Lot Y/ Permit#.. 2 Conservation Office(4th floor) WO- Tr Date Issued Board of Health(3rd floor)(8:30=9:30/1:00- 2:00) 5ev -Y: yam. Fee !�10 Engineering Dept.,(3rd floor) House#1 d� Planning De .(1st floor/School Admin. Bldg.) y RNbTA13 D PP^� MABfi. Definiti an pproved by Planning Board 19 O lP ,a6 _e tee. S-B /-- 7 M PSG ED IAA+ TOWN OF.BARNSTAB 4 Building P rm' Applic do , { Project reet ddress � Village Owner AL" 6Address Lrnhb //Q Telephone 1 - Permit Request W G� ' - f Total 1 Story Area(include 1 story,garages&decks) square feet -Total 2 Story Area(total of 1st&2nd stories) w> square feet Estimated Project Cyst $ Zoning Districtk—/ Flood Plain Water Protection Lot Size 9M Or Grandfathered ? Zoning Board of peals Authorizatio Recorded Current Usekn) Proposed Use Construction Type L)�tj AT� Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished 64 Old King's Highway Number of Baths r_2 No.of Bedrooms Total Room Count(not including baths) �� First Floor Heat Type and Fuel ►^ Central Air Az Fireplaces Me Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name /V!'I Telephone Number 7ffi-02& Address U y License# ( 42f Z7 k1Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CON TRUCTION DE IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO G�J SIGNATURE DATE //1K9 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS ji- %' VILLAGE OWNER DATE OF INSPECTION: . is FOUNDATION FRAME INSULATION w• r i FIREPLACE - ELECTRICAL: ROUGH FINAL . PLUMBING: ROUGH - ;FINAL _ y GAS: ROUGH FINAL ~Y l FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. COMMONWEALTH OF "SACHUSETTS -- =c F ;]EI'A MENT OF LNDUSTRIALACCIDENTS 600 WASHINGTON STREET amen Carn=ec BOSTON, MASSACHUSETTS 02111 Comm:ssione• WORKERS' COMPENSATION INSURANCE AFFIDAVIT (licensmIpermince) with a principal place of business/residence at: U (C /stat P) l do hereby certify, under the pains and penalties of perjury, that: 1 am an employer providing the following workc:s'eompcnsamon coverage for my employees working on this job. Insurance Company Policy Number [] I am a sole proprietor and have no one working for me. [] I am a sole proprietor,general contractor or homeowner (cirde one)and have hired the contractors listed b-ow who have the iollowing workers',compensation insurance polio Dame of Contractor Insurance Company/Policy Number Dame of Contractor Insurance Company/Policy Number Dame of Contractor Insurance Company/Policy Number Q 1 am a homeowner performing all the work myself. NOTE: Pleue be aware that while homeowners who employ persons to do maintenance,construction or rtpair work on a dwc''ling of not more tbaa three units in which the homeowner also resides or on the grounds appurtenant thereto art not general y considered to be employers under the Workers'Compensation Ace(GL C 152,sect. 1(5)),application by a homeowner for a liee:se Of permit maY evidence the legal status of an employer under the Workers'Compensation Act. l undc.-sr:.-id char a COPY of this statement will be forwarded to the Deparzr:c:-:of Indusaial Accidents'Office of Insurance for cove a;: vc-lac-2tion and chat failure to secure covc.Wc as required undo Section 25A of.MGL 152 can lid to the imposition of criminal pc.a:::ts eorsisong of a fine of up to S1500.00 and/or imprisonment of up to one ye:and civil penalties in the form of a Stop Work Orde:a.::a fine of S100.00 a day again:me. S Sipncd this day of I9 LiccIs c! crmittcc Liccasor/Pcrminor .. PERMIT NO: d ~� TOWN OF BARNSTABLE SEWER CO,YNECTI ON PERMIT OFFICE USE ONLY ...:.:..::::.::::::,.:::::... ..,.:::::x•::: .<':• GOUNT>iJ .....::.::.::::: ....... ......... .:..:•.::.:;:._::.?:<•:;;:;:»»:::: Ass o� 1� _ .,?...r.. P crz .�A' fi �� Assessors Parcel No. �1 _ :. .::... Street: IofN 14; nc,,1Ci'b6C�V? hl�l�c _/ ' ^ w^ ?x....}:::.r.?}?>:x_:.:>:.:.::::??}:.::::: l .- . Rill;;?;1ri.w:'.Y':._i:::i•;:j:' {�h,)\�C,'ti}}:•}iii,C:ti:::iit.ti'iii :'':ri:�:?+'}i:?:: ::}%v�nr. :•?:trio}:i^:•:t•?itxti:�::Hr '}]}i�i��iw tiv�itii�itii:�•i:Rill:?:iv:::•i::::i:•i::v: Village: A -.:::tt::;;r.??rz>:>;:�;�:? •:>�:�i:'v�iti:>::<:z:>::::>: _ •ript:iJn':ilk v:�'S:?:si'ii:}{:,-•..;.?}}'•?::xv::::. -.vvw::::::.w::.?vM1?i..v.w::.?v.v:::::.:.:::............ w::vai•::.w::.v:.:v: :iii:{}Rill:irk<i:�}::i:•is4iviti:::rii':}`:Si::}::iji. iji.�}?L: PROJECT CONTRACTS:' PROPERTY OWNER(Mailing Address) SEWER INSTALLER Name: �l) � �nG I Name: 21 Am/ Address: 1 Address: rRV OaTil \ ' Phone: Phone: 4 Ij - L :S� OWNERS AGENT/ENGINEER NAME ADDRESS: (� PHO- PROJECI'DESCRIPTION REGULATORY REQUIRa(ENTS FACILITY b LAND USE DATA The installation of all sewer connections must be done in .............................................. ........................ ...... _ a ' ions ofAricle XXXVI Town accordance with the �:NU.:IBEIt�QQF<s'>:>,iH -�?.of.EE�'�• - �I:>:..,:,.r�. .:?:v 1� �•�-5:;•h... •.,a,:�-}:aw#:.i;.",:aaxY:tifddiL::.i.'•;st�:?:ti??et,..:ti; .'iti v'•vti:!v:fiiro?.. 7 �a' within a B —laws.Before exec tmtt thin i<;<:>:::>:::< i:};}}::?:ttt of B nrstable oral :''L�1.T::irk.:..«%;:;;'•.iv;sir:'c;::i::di.�:.SI�":`r'i:::�:`•:r��•"": ;:r•:�'?;';:':Ni,•:: ..a':� a Town Way the sewer installer=it also obtain a Road RESIDENTIAL ( Opening Permit and must compiswith the Construction Standar4s and Specifations outWed therein. At least 49 COMMERCIAL hours prior to the installation.t5e a;rnant must notify the Department of Public Works E•taneering.for the RESTAURANT purpose of inspecting the instalk-"on. The Inspcctoi will complete the Compliav=Sket -k=uing the installed N INDUSTRIAL lines and connection. By signing:::e Application.the applicant acknowledges and unrrcrands the regulatory • NUMBER OF BUILDINGS requirements and understands tat failure to comply with NUMBER OF BEDROOMS them shall be grounds for revoa:ion of the Sewer Connection SIZE OF PARCEL 14 ACRES Permit and the denial of any fu.=c permit applications ESTIMATED DAILY SEWEAGE GALLONS PIPING.LENGTH. DIAMETER EXPECTED INSTALLAT.ON DATE l NOTE:A Copy of a Sewer Tie Reg=ition is Attached 'SIGNATURE(INSTALLER/AGENT) DAB A- L-qQ J SIGNATURE(DPW APPROVAL) DATE FORM SC-2(8/15/92) �--�-�, J �' r �� /��/�� f { �� - ... _ { { '_ i _.-. _. ..-.v... -.s 4�1 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY Fr�llali ,, i OF ONE ASHBORTON PLACE MASSACHUSETTS BOSTON,MA 02108 Cod" i� •-. e�a;vn N:-=;E otthlcslli EXPIRATION DATE '-�' F I :0N:�;. .iFR TF �;LIF:,ERV ISf CAUTION - r... EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS � THEFT, PUT RIGHT THUMB O/-,/:_,c ii.i,'�'->:=; !/,7 PRINT IN APPROPRIATE T 6 6 BOX ON LICENSE. z 1-3:1�1!_!""!-A Y F'I.AF�:„;I-IN � i, BLASTING OPERATORS ::i;_i:':'.. Z y 1 i_' I=aR I(-1'i;�. Llu MUSTINCLU-DE PHOTO. .� m L.4A -)2/ _'��Y PHOTO(BLASTING OPP ONLY) FEE:: � -- •'� NOT VALtD UNTIL SIGN BY L ENSEE AND OFFICIALLY HEIGHT: STAMPED-OR- F THE COMMISSIONER I J U n) DOB: !�J 7J�r I THIS DOCUMENT MUST BE « SIGN NAME IN e g�STURE LINE CARRIED ON THE PERSON OF SIGNA RE OF LICENSEE THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION COMMISSIONER -,q �� ',h� I HOME - IMPROVEMENfiCONTR ,TORSr REG T�2ATION , Board of Bui�`d'i>n � ReC at�i.ons` anS_tand,ardsi may° one .AshburtonPYaeeri �,R�•10 chuesa -'33 - 4 i"Tti lf,,l r$, `Fe�� '✓ 'C* A F ..! -HOME IMPROVE77MENT. CONTRACTZyR" � - ,,# ^� _'lVun ; err` m -- 1 .} i +va .-kn wCw, "L< '(+ Regstration` 1a40871 '" xpxratcari`i2�/�3f� l ,4, ?. rT��onr>� ✓l��t�a "TYPe' PRIVATE`>CO.RP�RATION4; � sF' + { I HOME IMPROVEMENT CONTRACTOR h I ".Registration 100671 � V § MARKWOOD�CORP �� ; , = Type - PRIVATE CORPORATION TIMOTHY;�M PEAR-SONS �� ,n` �A 1 : Expiration 06/24/96 307. F=AL'MOUTH�RD � , CORP HYANNI Sam ARA020 TIMOTHY M. PEARSON Iz 7 FALMOUTH RD ANNIS M 0 A 601 ♦ { ){7�y"p� � Y 2 �•Cfd.35�#^��T iE"`- iry ! 6V .y�t 3•�,�'• Nx a Ln 44 C� 4 a v 4 7 30-* M N25-1 N N G oR i y b 35.E 315) N _4� 2J , LOT 24 8358 t S.F. [*' 09.27' a h mil ; S B6•04'54'W l09.27• f; ;srx 1 TOWN OF BARNSTABLE ZONING ZONE : RC- TO THE BEST OF MY PROFESSIONAL KNOWLEDGE SETBACKS OPEN SPACE INFORMATION AND BELIEF THE STRUCTURE SHOWN FRONT - 20' HEREON CONFORMS TO THE HORIZONTAL SETBACKS SIDE - 7.5' AS GRANTED UNDER THIS OPEN SPACE DEVELOPEMENT. REAR - 7.5' Of PROPERTY LINES SHOWN HEREON WERE COMPILED FROM AVAILABLE r' moo'' C. FRANK PLANS OF RECORD AND DO NOT WHITING REPRESENT AN ACTUAL SURVEY No.29869 a� ON THE GROUND. �� 9FGISTEa�o��J`�°/S' THE DWELLING DEPICTED ON THIS - PLOT PLAN PLAN WAS LOCATED ON THE GROUND z��fsi IN BY SURVEY ON DEC. 6. 1995 AND Ex/srs As SHOWN As OF THE DATE BARNSTABLE, MASS. ' OF LOCATION. SCALE: 1'-40' DEC. 7. 1995 i THIS PLAN IS FOR PLOT PLAN EAGLE Sl1BYEYING a ENGINUAINC.INC. PURPOSES ONLY AND NOT FOR 10 sea60ord Lane RECORDING. DEED DESCRIPTIONS 8yattlt 1 s. No.- 02601 OR ESTABLISHING PROPERTY LINES. (508) 778-442Z THIS PLAN 15 VOID IF NOT ¢ . STAMPED AND SIGNED IN RED. ' 0 20 40 80 `4t + PROJECT NO. 95-344 THE MUST CONNECT TO TGYV,'N SE'A"'IER TOWN OF' BARNSTABLE BUILDING - INSPECTOR TO TH,E INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: HeatingF....W:A........................................................Plumbing . --.—._.----_------- Fireplace .....Yeq.....................................................................Approximate Cost ---� .................................. Definitive Plan Approved by Planning Board l9��—' Area ......l080...... .q......ft...—Diagram of Lot and Building with � Dimensions Fee --------------- SUBJECT TO APPROVAL OF BOARD OF EALTH . " | U `~~^� ' v ` OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS | hereby agree to conform to all the Rules and Regulations of the Town of 8ornuhzb|e regarding the above construction. Nome^�. A� ' 0 ' Construction Supervisor's License ------00989------ �� _ . v No ................. Permit for .................................... ^ ` ` l -----'r:---'---------------'' - ~ ' . Location ----------------..�---- . - ----.---------.------------.. ^ . Owner ......................................................---- ' . + � Type of Construction -------------- -- . --'r---------------------- . ` Plot �� '---'�-----� ------.---.. . ' , ` ' ^ - . parmh'�,onn*6 —��-----_-----..lg ' ' Dooeof | ------------lg . . . ` 'Dote Completed ------------'l� . . = . . ' � ' � ' . ' . ^ . . . - ` � - . � . / ` ' . � . ^ ` , ^* . / lot ��e�/ _- map and � num6e, �.��-- x- s THE - .�7�.�7 ^/ Sewagenumber -----.��.�=^--. � \ ' -' � �� ) ' '=""= ' \�= --'.------.-'-^-`----------- \ ��7�J �� 7 �� |� �� BARN STABLE�� BUILDING � 0N 0 0 �� 0 �� INSPECTOR � � NN� N �N� �� =� � �� m =� �� APPLICATION FOR PERMIT TO ....c.o%lstruct... ..O.y@p'.l1j,n.................................... ^ | TYPE OF CONSTRUCTION --..-]j�Qgd..f j��gq�------.-----.-------..-.--.--,-.----.. � .............. TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for o permit according to the following information: � Location J�gt.'#24,-----..C.ent.e -LAAe---------.. is.,...80A........................................... � � ProposedUse -----------------------_.^-----.-.~--.----___._-.-..--_------ ZoningDisthct ........R^8,.......................................................Fire District ...... io....................................................... Name ofOwner QA '�g��-Be�Itv-��t---.A66,�x .7��..]�� .. :.. ' .�..J��... Nome of Bui|6erFT9knqD']�..F^'IJ�e,l/.XD^J TIC.^--'A66,ex 76.5... .a]JVDuth...Finn�......HnanD' ....... ..��`' | | / � Nome of Architect ----------------------Ad6ness --------------------~--.----. - Number of Rooms -'�12{.....................................................Foundation ...pi."{ ......................................,............................ . . � Exle,ior ' .. -----.Roofing -J�S PbaIt_ _____________ ~ ` Floors -.CarP�t----------------------.Interior -. X------------------' � ' eating _Pao_I'��\��^_______-__-____---Ru � ng . _________._.___.____ Fireplace .....YPA.....................................................................Approximate Cost --- «.OUO.t.O.O,_,,..�..................... n� Definitive Plan by l�[��- ' Area -_IO8U__�g!�^_ft��_ Approved . / ---� -' � Diagram of Lot and Building with Dimensions Fee _______________ SUBJECT TO APPROVAL Of BOARD OF HEALTH ` - ' ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above - construction. Nome - ` 000989 Construction Supervisor's License .................................... _ - ' | ' | / No ................. Permit for .................................... ................. .............................................................. Location ................................................................ ............................................................................... Owner .................................................................. Type of Construction .......................................... ................................................................................ Plot ............................ Lot, ................................ Permit Granted ........................................19 Date of Inspection.....................................19 Date Completed ...................................19 pi r\j i ry N �1 y 1•-3 �f y� i VO J , cl�j N F ull� _. ... y V qo N �r - s� i N cv o ILL.) i F t.� V i L"a STp � a C ; 6F// •---.._""ems_ 1. �jj 3 1'i EruaQZU 3 Z P f V7 Rom,-rE _ zz 1.. OCATIOM WAP sc'�z 000' P1� 112I :7 I I � N kA 1 D .,P :. / PENWICK CFiAPMA!$ Syr v Uo 21654 p t r�J• �L. = t The BSC Groin--Cape God Inc r % h^aciaket Pka-Lp E312 ----- - Route 28 BENCH MARK USED M sh e : MA 110C ELEV . = 75 . 66 N . G . V . D . 3 1 02Fn9 ZCt+^ = RC-1 i SETBACKS: (OPEN SP#,*ACE) �; � 617 477 2525 FROtiT 20 ' � - SIDE 7 . 5 ' ' REAR 7 . 5 ' ' PROPOSED SIDAc- CONNECTION FOR SEWER MAIN DETAIL SEE PLAr,,!S BY KALKUNTE ENGINEERING CORP . 1749 CENTR A%L STREET STOUGHTON MA . 02072 z rt BARNSTABLE MAF S . (Hyannis) FOR: CONSTRUCTION NOTES I. ALL. UNDERGROUND UTI!IIIES SHOWN WERE COMPILED ACCO I ING Ti AVA!Lt,.F--:- CAPR .ClvRN REALTY TRIU-,,,T a' RECORD PLANS FRO FR04 TEE VARIOUS LIT'ILITY COMP-ANIE'S AND PU LiC- AteENCiF S r: C) ARE APPROXIr��TE ONLY. ACTUAL LOCATIONS MUST SE U ,T EF;NIHNED IN TreNE. FIELD. THE 4�C�FiTATt�P. ' UST F� 3'I'il� L3I #i»i i GC� P, ?LS Ta C+UIsiS i +OrI C (� 0s CONSTRUCTION. THIS MAYBE E DONE. BY CONTACTING THE DIG - SA FL CENTERwin i ( i SOO - 322 - 4544) FEE" ALL WORK A N D M AT E R i A L S S H ALL CONFORM TO THE T o ` 0€1 B r t, �' S`�A S L E DATE; j DEPT. OF PUBLIC r 0 S C `I S T ;LS C IF!c� :; G 'E C t e- I C is T I j-I N S AND STANDARDS . t CO M P. DE SIGN '"" PRIOR TO S`1> �'T 0E OOINST UCTiO THE `C,0N RAC` c R 4°., T OBTAIN FROM THE , g_a .. �_..... 1OWN OF 1-3�R STA3LE A SEWER TIF. IN F* RIM, IT AND A FOAO OPEN` G PER y1I"t. CHECK F- DR AWN ,C� , FILE NO, SHEET: 01- � GENERAL NOTES : I . PROPERTY LINES WERE COMPILED FROM AVAILABLE PLANS OF RECORD AND DO NOT REPRESENT AN ON THE GROUND SURVEY. j 2. ALL WORK AND MA TER I AL S SHALL CONFORM TO THE TOWN OF BARNS TABL E DEPT. OF PUBLIC WORKS CONSTRUCTION SPECIFICATIONS AND STANDARDS. J. ALL SEWER PIPE SHALL BE SCHEDULE 40 ! +7,.2 OR APPROVED EQUAL . 4. BEFORE CONSTRUCTION CALL 'D l G-SAFE'. I 1 -800-322-4844 FOR LOCATION OF L 0 T 25 I I UNDERGROUND UTILITIES. i I ( I 5. VERTICAL DATUM IS: NGVD I i ' l 6. BENCH MARK USED: M. G. S. 110C. EL -75. 68 4.M. SMH R/M 3? ( O S EL. - 69.47 NGVD 60� ?7'E LOT 24 ' 25 t 8. 358* S. F. +70.2 <i PROPOSE p DR \ PAOPos + ZONE : RC - l OPEN a o *- 9 SETBACKS: (OPEN SPACE) FRONT - 20 ' SPA CE 70.6 • �_ SIDE REAR - 7. 5 ' _ + I S 86104'54'W 109.27' / l i I T , 1I v m LOT 23 5 / TE PLAN OIL:- L A iAVD / /V BA RIV5 TA BL. E PREf'�1 RED F"OR SC7AL E" . / - 20 /VO VEMBER / 5 . / 995 AkE'A CL ,E' S UR Vi'Y I NC Bt W C I jr NG . I A7 . ,I Seczb o az Cry L �xn e Hyczn n t s Mcz . o 0 c ® J 0 /0 YO 40 IF JOB NO: 95-344 FIELD: RVB/PDR CALC: SAH CHECK: CFW DRN. SAH