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0106 CHANNEL POINT ROAD
0 016 atofw� 2- -o -7 -7 TOWN'OV BARNSTABLE BUILDING PERMIT APPLICATION Map ` Parcel0-71' Application #�® /S C ¢�'� �� '� �? Health Division �- -� _ � ; Date Issued Conservation Division Application Fee c� Planning Dept. Permit Fee �� • y Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address" �G �� �A/t/� ,49 Village Owner= �&- /i/ dgq/KPV-7,�ru orrr Address a � Telephone /12 f Z�l_/vim Permit Request /7,01A�FO C-J Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation , 1900 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ;W Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count 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) Name Svc /765 '10/d R-7--T J-4. Telephone Number Z- � 75-° Address ��_ L aI�CI z� �5� License # 4. Home Improvement Contractor# Z1 :�l 00 Email/u`�ZsO�16L5;Lklot 4 6/jM�;5, ker's Compensation # WC y O00`1_5&91 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOf��� SIGNATURE _ � DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. • office oflnvestka im 600 A'Qsh kgton Street Boston,A A 02M www.m=giavArza Workers' Col pensafion Insmmce Affidayib EmIdaWContractorsfnect iciandPhmaLbers ApnliC2nt Information Please Print LeEl�ib� Name ®A) / t7—tot/-3 CPL citylgta�: Aoyzz 0 3 o P>me#: Are you an employer?Check flee appropriate bow ' Type of pro f e�(req�. 1.1K I am a employer with�2 _ 4. [j I am a general cadmctar aodI mnp*=(fall and/or part time).* have bored the 6 ❑Now cmstrucffim 2.Q I am a sole proprietor or pmtaw �'�an the aiiarhed sbex.•t 7. 0 Rmaode;ling ship and have no employees These sub�diac m have . S. []Dea:oh'iicnl . worldng forme is any capacity employes®dhaveworkers' 9. p,,,�,�,,, addition LNo-vi aitr m'Comp.MsaIMM Comp,m¢rtrunrr$ ❑�"�+�+�++b nq�dl S. Q We are a coiporaiion.m d its 'I0_[]Electrical repairs or additions 3.[]I am a hamemmer doing all work officers have exercised their IL❑Phtmbingrepairs or additions mysrlf [Nowaffoz '�. . uglitofexemptionperMCE, 11E]Roofrepairs jas n nqahjud-I t c 152,§I(4),and we have no =mac-LNo ems' a[]outer comp•insorance regohea-] *Any 1FPHcamtthd chc Ja box#I=st ulm fill aattbe r.edioa bebiWW shawaig&*WMd=,—P—tiaa poB7 hbMM ion. t$ameawnea who sahmkthis of lw&fi "malt 1b,6y se dab g all Wade mid thin hoe aatside I I a ffiut sabmit ancw atndavit kdiea:Eag=dL hlmtmatms that eberdcthis bax mnnt rftehed mn addiliaaal sbatsboSvmgtbe mace of the sob-watmtla=d state Wh d=ernattDse eaifim hope aMPIayeet TRIM soh-ca&Rdaa hm C=P1qJ=r.flY=MSt1M6dM&=ems'=MP.PAY=mob= I am an anplayer that is pravidmg jparkP.rs'conperrsadon azr a=cr far ary Improyees: Below it thePOL7=d job site . u�farrrtrdion, Insumuc a Company Name ^/)V}-X � Policy#or self-ins.Uc. /3 O 2 rpazdMgah-; rob Site Atfarh a copy of the workers'compensation policy declaration page(showing the policy mmnber and expiration date). FARM 0 to se:c=coverage as Impirmd raider SecEion25A ofMGL c.152 can lead to the imposition of cihninal peoalt=of a fine ttp to$1,50-0.00 and/or one-year impris—rat;as wen as c&R penalties im the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the vioh-d or. Be advised that a copy of thus sbtcmeart may be forwarded to tho Offim of Investigai3r,,,R of t e DIA fior i mniam coverage vetcation. r do hereby catjyj under tlu pares mrdpenalftM rrjury�th&Bte informtdioa providrll above is true and correct SiEnEtorin. - ` Data_ Phone#k '°car =✓ ,�� 011idaI use only. Do not write in f&err A to be eonpkfed by city or tmm o n:iar City,or Town: pPr,,.;rrr;,.,= _.. ._ _ Issr�g Anihority(c�-de ono): L Board of Health 2 Bm`ldmgDepaxtatent 3.CiiylToWnr(perk 4, s'Ie ical7nspecfor S.Pb=cLbM9Inspector 6.Other Con�ct Persoa: phone# �j Information and Instructions ; Tyfassa General Laws chapter 152 r qmm aH employers to XMde Woria s-compeasaiion for ffi=employees. p rids sbgntr,an employee is defined as"_wary person in the service of anotiur under any tout ofhiir, express or implied,oral or writfea." An.mvloyer is defined as"an hx&idaal,pmt2casbip,a mocMi o4 carporat M or other legal entity,or any two or Mmm of the foregoing engaged in a joint Mftgdse;and mchcdmg the legal rep=mta&m of a deceased employer,or the i` receives or trustee of an individual,pa=inecship,assodaiian or offer legal entity,employing employees- However the owner of a dwelling house baying not more than three aparbmeots and who resides$ierch6 or the occagant of the - dwetliag house of another who employs persons to do mai at mane,causkuct on or repair wok on such dwelling house or on the grounds orbmldmg gvor(mmtthereto sha.0 not becanse ofsuch employment be deemed to be as employer." MOL chapter 152,§25C(6)also states that aeveryshrte or local licensing agencygmH wil=hhold 1he issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicantwho I=not produced acceptable evidence of cdmp1mce wick the inset sate coverage required-" AddifionaIIy,MOL chapter 157,§25C(')states`Neither the awcahh nor arty off political subdivisions shall ...... eater into airy contract for theperfimancr,ofpnbhr.wmiunf rl acceptable evidence of compIiatneevith the insurance., regEni e-f of this chr2t m7 bave been granted in the cadmcting anffio>ity." A.ppH=ris Please fill out $ic wo6mr 'compensation affidavit completely,by chec1dag the boars that apply to your situation and,if neeessatY,empty mh-= c s)name(s).addresses)andphone mnnber(s)along Withtheir omtificate(s)of iascaance. Lmdtad Liability Companies(LLC)or Lm ited Liability Partnerships CLEF)withno employers other than the members or partners,are not rbgaa-ed to c any waicers'campeosation insm�mce. If an LLC or LLP does have employees,apolicy is requuzd. Bc advisedihatt b afSkyhmaybe submitted to the Department of In±Lddal Accidents for coafinmation offs Diane coverage. Also be sure to sign and date the affidavit The affidavit should be r etumed to 1ho city or town that the application fur the pemdt or license is being regneshA not the Departmeat:of Inrinstuial A c;ddmdsL Shou ldyou have any gnestims regardmg the law or ifyouz are required to obtain a Workers' campeasation poky,please caU the Department at fm number listed below. Self-msared companies should enter their self-insurance license number on the approgciste line. City or Town Officials Please be sore that the affidavit is complete and prfi ind legibly. The Departmeot has provided a space at ac bottom of the affidavit for you to fM out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to 0 in the peonit ices se nwnber wbich will be used as a ref�rmrz nmmber. In addition,an applicant that must submit multiple p=mib icense applitsiions in any given year,need only submit one affidavit indicatng c=mt policy k foruzaiion Cif necessary)and under"lob Site Address'tie applicant should write"aIl locations in (city or town)--.A-copy of the affidavit that has been officially stamped or nim3md bythc city or town maybe provided to the applicant as proof that a valid affidavit is on file f w fiitare pennies or licenses. A new affidavit must be filled ob t each year.Where a home owner or citizen is obtammmg a licenso or peon$not rc atad m any business or commercial venture Cie. a dog license or pao�to bum leaves ein.)said person is NOT to complete this affidavit The Office of I vestigatio s wouldhlce to thankyouk advance foryour cooperation and shouldyaUhave any questions, please do not hesitate to give us a call The Department's address,trlephaae and fax number: The tie dMASWChusetis Drpaimmtnfhd AOWdent% twice off kVeSVg$tio= ��i�h�tan Strom ' Tel.#617 727-49 0 eat 4€6 or 1-•M M.ASSAFE Fix#617-727 774 Revised 4-24-07 ma g ATVC Guide to Wood Construction in High Mind Area. ph I�tnd Zone Massachusetts Checklist for Compliance(90 CMR5301.71.1)t Loadtiearing Wall Connections Lateral(no.of 1Bd common nails)._...._..._.._.__:.......(Tables 7)........ Non4madbearing Wall Connections Lateral(no.of i6d common nails).......... .....__......-----(fable B)._.....__.............._._....._--_-..--•__.. Load Bearing Wall Openings(record largest opening but check all openings for coniptiance to Table 9) Header Spans ......_.....__...__._........:.........._.(Table 9)..._..:...:._.._......... ft in,s i i' SidPlate Spans ._..._...�.........._...__........__......_.(Table 9)....._.......-....._...._....._ Full Height Studs (no.ofstuds)..........._.._.._...:._.._..(Table ............................. ............ ) Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9 able 9 ft_in.s 12' Sill Plate Spans.... Header Spans.:..........................._._......:........._....-_-(T )....................._-----------_ft in.�12' . _._.._.._.._.:._......................_-._...(fable 9)_......_:_.._._.....-........_ Full Height Studs(no.of studs)..._....._......._.__.._._.(t-able 9)....._._------------_.-_....:_.-...__. ... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4. - Minimum Building Dimension,W Nominal Height of Tallest Openine ................................................................._..._. 5 Eftr Sheathing Type.._........_.. ......._.....(note 4).,-•-.----•-----.•-..-_-.-.------_-.- -_..;._. in. . Edge Nail Spacing.......... __...._.:...-_-r-_-_-(fable 10 or note 4 if Field Nail Spacing. (Table 10)......... in. Shear Connection(no.of 16d common nails)(fable 10)........_ ._.__..................................._ Percent Full-Height Sheathing.......:_.......:...(fable 10)...... ......:-._-_.:..-__.._.............. 5%Additional Sheathing for Wall with Opening>B'B'(Design Concepts)._.._..._........ Maximum Building Dimension,L Nominal Height of Tallest OpeningZ................................................................... _5 6'B" Sheathing Type..._ ....._............._---------(note 4).......... ...................._.... Edge Nail_Spacing..... .._......... .._.___(fable 11 or note 4 if less)....... ._....... in. Field Nag Spacing..._..._.................-------_(Table 11)........._... , ........ in. Sheaf Connection(no.of 16d common nails)(Table 11)..............._......._...... , .._..._ _ Percent Full-Height Sheathing..._._-_----_.-._(Table 11)..._.__....-.------ _..��._-._-.__°� 5%Additional Sheathing for Wall wrth'Opening>BIB"(Design Concepts)__._.-..___.".. Wall.Cladding Ratedfor Wind Speed?._................ .............--......... ....._.........__.....__._._...__... ....._..._ 5.1 (tOOFS Roof framing member spans checked7._........:..._._....(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang .........................._........_............(Figure 19)._.........._ft s smaller of 2'-or L13 Truss or Rafter Connections at Loadbearing Wa11s Proprietary Connectors .__.r...... able 12 ..........................U= pif lateral ......(fable 12)....__......._-. .......L= pif .......(Table 12).............................__..._...._ Ridge Strap Connections,if collar ties not used per page 21...(Table 13)._.........................T= plf Gable Rake Outlooker........._....... (Figure 20) ..... —ft_<smaller of 2'or UZ ' Truss or Rafter Connections at Non4madbeadng Walls' Proprietary Connectors Uplift.-_..._..:...............--_._..--_-..(Table 14)............._..._........ U= lb. Lateral(no.of 16d common nails)_.(fable 14)......................................L= . lb. Roof Sheathing Type.........._---........_.......__._......_(per TBO CMR Chapters 56 and 59)............ Roof Sheathing Thickness.—.......____:.. ............._._..............._._......_in.z 7l1W WSP Roof Sheathing Fastening. ........._..___.....___........_.(fable 2)_............... .......... _.._..._ .._ _ Notes: •1. • This checklist shall be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of 780 CMRS30i.21.1 item 1.if the checklist is met in its entirely then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 ' d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 1 Ba and Figure 18b 2 'Exception:Opening heights of up to 8 ft.shad be permitted when 5%is added to the percent fumeight sheathing - 'requiements shown in Tables 10 and 11. 3.' The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thidmess pressure treated#2-grade ' AFDC Guide to Wood Construction in High Wii d Areas:110 siph Find Zone Massachuseits Checklist for Compliance(7s0 Cb4R53012.1.1)' C�1 Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).�...._.»..._.».........._._»»..._.._..»»».._...»......_._».»............. ....110 mph Wind Exposure Category_»».....:..»....»_.». Wind Exposure Category................Engineering,Required For Entire Project.......................................0 12 APPLICABILITY Number of Stories(a roof which exceeds 8 th 12 slope shall be considered a story) stories S 2 stories Roof Pitch.»......__..»..:.»........_.........»......».».._».:... ..(Fig 2) 512:12 MeanRoof Height.».......»....__....».__....»...._.....»_.»._.._(Fig 2)_.................._.._......................._ft 9'33' BuildingWidth,W»..».--•--__......._._.».:..»..._.._........... (Fig 3)_.._.»..r......_._..........._.... _ft S so, Building Length,L' .:....».._._....»._......_.».».....:...._»..»:.»(Fig 3)........................_.....---...._....:.._ ft 5 80' Building Aspect Ratio(UW) ....... 4)_.__.»__.......».».._.......:..._.._» s 3:1 Nominal Height of Tailed Opening ..........__» .._.»....(Fig 4)............................... _...._..... 1.3 FRAMING CONNECTIONS General compliance with framing c6nnections.....»......... .(Table 2).................................................._....... 2.1 FOUNDATION " Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete........................................................................................ _. ConanMasonry.......-------- •--_._.._ _.........»..._....._..»......_.. ......................................... 2-2 ANCHORAGE TO FOUNDATION" 5/8'Anchor Bolts4mbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general............................:....__-_:.(Table4)................................-----=--•-- in. Bolt Spacing from endroint of plate._»....--.--......--»..(Flg 5)._.-..._-.-......:......_....- in.5 6'-12'. __-_._.(Fig Bolt Embedment-concrete._......._.. 5). ...._............_......._.._ _._..._ in.z 7' Bolt Embedment-masonry....».».._.....;.....»._._......_(Fig 5)__.:.....r....................._... in.a 15' Plate Washer....._»._......»....»....---__.._......_.. .(Fig t5)._..._ _-- ................ '-3"x 3'x W 3.1 FLOORS Floorf aming member spans checked ...__..».»......._....».(per 780 CMR Chapter 55)......................._... ..... Maximum Floor Opening pimension.................»..__....._..(Fig 6)....._.. .._.... ft 512' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..:.............:........_ ......... MWmrim Floor Joist Setbacks Suppor Ing Loadbearing Walls or Shearwall... (Fig 7).............:................_.._............... ft 5 d Maximum Cantlevered Floor Joists T Supporting Lnadbeadng Wals'or Shearwal......__-(Fig 8)_........................................................ _ft 5 d FloorBracing at Endwals--.................._.._._...._...........-.(Fi9 9)_..». _.. ....... ....._. Floor Sheathing Type ...._............_.._....».---_. 780 CMR Chapter 55)...................--._....... .. Floor Sheathing Thidmess.....................................:.. .(per780 CMR Chapter 55).... ......._.._. in. ..... Floor Sheathing Fastening»..».................»..:..................» .» ..` .[fable 2)..•_d nails at in edge/ _infield 4.1 WALLS ' Wall Height • Loadbearing waits._.._...�......�»_......._...... ............(Fig 10 and Table 5)_......... _ft 51 o' Non-Loadbearing walls.._........:._.._. -* ...(Flg 10 and Table 5)......................._ ft'S 2(r Wall Stud Searing ._....... .........:..........._»».-...»•._(Fig 10 and Table 5).................._in.<_24'o.c Wall Story Offsets ..(Figs 71£8)_................... 5 42 OCTERIOR•WALLS3 . Wood Studs. Loadbearing waits....»._...................»»._......_.»........._(i'able 0...»..._........._......_.-mac --ft—in, Non-Loadbearing wails .: able --- ._._..._......».....»..».....».»...... (T 5)..»....................»....2x ft in. Gable End Wail Bracing — — — Full Height Endwall Studs..._......»..._.._...._...._._..._...(Fig 10)_._..--.»................__.......-.--..................... ... WSP.Atfic Floor Length.._.»_._::»........:......_.__...:(Fig 11)_»..._..._...---.».............._.._ ft zW/3 _ 'Gypsum CeTwng Length(rf WSP not used)................:.(Fig 11).__-...-.........._..................._ft z 0.9W _ and 2 x 4 Continuous Lateral Bra&-- 6 fL o.m_(Fig 11)........................................._.._........_.... or 1 x 3 ceiling furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 ft.spacing in end Joist or truss bays Double Top Plays - Splice Length .._..».:..__. ..._.._.__»..(Fig 13 and Table 6 _ Splice Connection(no.of 15d common naffs)._..._...(Table 6)_.__._...................................__... ft I A*C Guide to Food Construction hi Higlr Vind,4reas. 110 nsptr f ad Zone Massachusetts Checklist for Compliance(7t;o CMR S3o1.2J:1)' 4 - a From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nall Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be Installed as follows: I. Panels shall be Installed with strength axis parallel to studs. 1. All horizontal joints shall occur over and be nailed to framing. i1L On single story construction,panels shall be attached to bottom plates and top member of the double thP Plate. : Iv. On two story construction,upper panels shall be attached to the top•member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor flaming. v. Horizontal nal spacing at double top plates,band joists,and girders shall be a double row of ad staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection:a)new house or horizontal addition—required if project Is 1 mile or closer to shore(generally,south of Rte.26 or north of Rte.6) b)vertical adddon—not required unless there is extensive renovation to the first'fioor c)replacementWirldows—needs energy conservation compliance only(chap 93) 6.Wood Frame Construction Manual(WFCM)for 110 MPH, aposure B may be obtained from the American Wood Council (AWb)website. VA-ZH M EDGERESrS DN F�tAIrIRrG r15End MA" • 'ATsb.c • ,1 11 , • � � � -mot t u tl 11 11 dd r i+ H •g i' • i At it At ► 1 t t 1 ifto I I T 1 1 I � +l 11 a. 11 Ito 1 1 I d �f I° x 1 I ' 1 1 t1 IL i - n< 1 It /l t o a it �nrs EDGENTEFAAEDMTE l 1 I k e ic ic 1 ii SIL U I i d 11 If ;; t Y = • I I 11 11 � 1 1 1 lJA1�SPAr1Nr'p i MX PATTE N PJtMH M PAWL EDf>E WU9M NAJLE=E5PACM M5AL See Detail on Next Page ' Detail . Vertical and Horizontal NaTng Verfiaal and Horizontal Nailing for Panel Attachment for panel Attachment 1, �TME Town of Barnstable Regulatory Services �. Richard V.Scali,Director ands Building Division Tom Perry,Binding Commissioner 200 Main Stceet Hyannis,MA 02601 www.town.barnstable ma.is Office: 508-862-403 8 -Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I I� as Owner of the subject property hereby authorize C,o It, to act on my,behalf, in all matters relative to work ai rhorized bytbis building permit application for. (Address of Job) •► :"Pool fences and alarms are the res onsib -p iU.ty of the applicant. Pools . are not to be filled or utlized before fence is installed and all final inspe 'ons are performed and accepted ' Signature of Owner S2gnatzue of Applicant Print Name Print Name Date f' 1 own otzarn.stabte Regulatory Services , �oF r Richard Y.Scali,Director BIII�dIIIg�TPISYUII gXULIUMMAXIM Tom Perry,Building Commissioner + 200 Main Stiff Hyannis,MA 02601 . w O w f nva barnstable macs Office: 568-862-4038 Fax 508-790-6230 HOMMWNER LICEIM E EMMON --- -- �pleuchint DATE. JOB LOCATION: numb¢ slnsY village HOMEOWNER": name home phone# wade phone CURRENT MAILING ADDRESS: city/mwn shale up 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 Parson(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 in 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"certif es that he/she und�erstarids the Town ofBamstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature ofHomcowncr Approval ofBuDdingOfcial Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Conslraciion Control HOMEOWNER'S ESEMP'IION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." -Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor_ The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibiilities,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. l Q:IWPFILES%F0RM51bd&gpmmitfrnm=PRESS doe Revised 061313 • wid j ICTC ORS REVIEWED ,IIIi BARNSTABLE BUILDI DEPT. DATE FIRE DEPARTMENT i _ BOTH Sl RESARE DATE GNATU . R SQUIRED FOR PERMI,rI NG I r� r,1—, 1 I d., 6/30/2015 15:51 FAX 1 781 862 7479 Otis Brown Ins. IM0001/0002 MASSACHUSETTS ASSIGNED RISK POOL REQUEST FOR CERTIFICATE OF INSURANCE Use this form to request a Certificate of Insurance from an Assigned Risk Pool Carrier Please provide all of the requested information,including the facsimile number(s)of the person or persons to whom the Certificate of Insurance should be issued. If this form is fully and accurately corripleted,the Certificate of Insurance will be issued and distributed by facsimile to each fax number provided below,within two(2)business days of the carrier's receipt This form may be emailed,mailed or faxed to the Assigned Risk Pool Carrier. 'To obtain each carrier's contact Information refer to the Certificates of Insurance section located int the Producer Community section of the Bureau's website,(www.wcribnra.org). 1. Narne,-address,telephone number and facsimile number of the INSURED: 6/30/15 Name Nelson Demoraes Jr Mailing Address 38 Wilsonclale St Physical Address SAME Dove=, MA 02030'-2259 Phone (611) 698-5865 Fait Email 2. Name,address,telephone number and facsimile number of the CERTIFICATE HOLDER: Name TOWN OF BARNSTABLE Mailing Address 200 MAIN ST Physical Address SAME HYANNIS, MA 02601 Phone Fax (508) 790-6230 Email 3. Name,address,telephone number and facsimile number of the PRODUCER: Name Otis Brown Insurance Agency In Mailing Address 1 Militia Drive Physical Address SAME Lexington, MA 02421 Phone (781) 862=7700 Fax (781) 862-7479 Email DBEAMON@OTISBROWNINS.COM 4, Policy Number,Policy Effective Date and Policy Expiration date If a Certificate of Insurance is needed for more than one policy term,provide the Policy Number, Effective Date and Expiration Date for each policy term. If the policy has not yet been issued,you MUST attach a copy of the Notice of Assignment Policy Number WCVO'0811307 Effective Date 12/29/14 Expiration Date 12/29/15 5. List any special requirements for optional coverages/endorsements(see Page 2 for listing of coverages available in the pool and the conditions of availability)or additional information(including changes in exposure not yet reported to the carrier that will assist the carrier in the issuance of the Certificate of Insurance NOTE: An additional Insured(s)shall not be listed on any Certificate of Insurance unless such additional insured(s)is a named insured on the policy. -r sP 12 MA R=101l (1st floor): /J �-77 ��77 f{- . Assessor's map and lot number �o..:..0.1..- .... ... . TweTo`i Board of Health (3rd floor): /fGuST CD �TTTSEWER Sewage Permit number j. ........y......... [t./e�z. i 89SI^9eTa U. i Engineering Department (3rd floor): -I �o o 16}9• Hoosr, number APPjLfCATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only Y A p P R ° N OF BARNSTABLE $ tfst ble Coale^vationT4wLDING s - INSPECTOR fined Dat$ APPLICATION FOR PERMIT TO .. G ?�5.�...... �Z .r�.....F ...... TYPE OF CONSTRUCTION ..W.00 ........ 211'f'yL .................................................................................. ....................191q9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followjngi...Torm.�..Tion.: t Location ./..4P(n..... 7/�Lfi ......l�Q/.Z✓ - T.......fZ!d.......... � .4.................................................. ProposedUse ..� ` 1..... 7/! /.................................................... ..... . ..... ...................................................... !. Zoning District ......................................................Fire District �" r .............................................. Name of Owner ...... ................Address ..lb�?..... � 1/�� ..�...... /0 ........ .. ................. Name of Builder . ..`.-. �- ..!............��../2-�r�-..L..�..................Address ..4��5...�.£1�....sT....... . . Name of Architect Address ..13D......T ................... Number of Rooms / ...........................................Foundation ..0 . (.... .X/..S..T...x,).zc/ ......................... fZ�— /�� D� ..��................Roofin ......(rCJ.................. �1........ ............................. Exterior .. ........(......... ....................... g /�� Gj.:.................................................................Interior ... .yy.��12`�Lt�I'1� Floors 5.. ......................................................................... Heating � ..... ��. ...............................Plumbing ......✓..Y..0:.......... .............................................. Z-f IS Fireplace ..........!!.1�.� �.`�................................................Approximate Cost ........7- /�v................. .. ............. Definitive Plan Approved by Planning Board --------------------------------19_______ . Area ...................... ................... Diagram of Lot and Building with Dimensions Fee y SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 /.............. SCUDDER, RICHARD 7 a1574�-�� � ddition No ...........'. -Pe'rm.t ,fon ......... ........................... Single Family Dwelling /. ............................., ..........................................., 106 Channel- Point Road Location ..................�............................................. ~ Hyannis ............................... . ..��. ..... Richard' Scudder ' Owner ' 'w Type of Construction i Fram.c .. ...............:7.. ................ ......$............................ ' Plot ............................ Lot ................................ ., January 28 , ' .19 88 Permit -Granted ..........................:............ Date of Inspection ... ............../. ..19 r Date=C��ompleted ................ .................19 �'. 12 .� I \ J� I MN IN ry L � ` �G��IG>✓ L y FREEMANIBR.IGHAMIHU SSEY LTD. ap The FenwaY F r - �t �/ �{� � ton -,Massachusetts `II2215 '01712:6` A� e .z -±�^5 �Y._-0 ,-+•3�,(..,� -��..n i r N ,fix 5T Z xG Z-ZK 10 irildtl W 8�15 . 27 1 P f N t�71 I , U j v - \ ^ rA AON _ rQ 2 T N r1 A n n is A Z Q � i 2-ZX 10 _ - - 2.Z,<1 v O- $dS r W 8 C 18 7 ti O_ xw ; PN ttt s p=' N -- / - � - - D \ � � . � 6 - " R Y 1 FREEMAN/BRIGHAM/HUSSEY LTD. arc 30 The FenwaY .. 67 r� Boston, Massachusetts 02215 (617) 26'. -44 II I 11171 :gym U •"1 41 IA y i S F i � t` -fi �'�u�P i. `fi�jT 'a�J.X"��y.�y� ♦��' X� �. d r "� � n .i.. y i c". ,ad" ::• XM. a°i..a4+ 4.,y,S �j•`f�.v..•v'�-.. J/' :} awwy,.,�nXpg., •t ,.' �4; •ate his •-k... 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'' 1' V�y�?`'�`s- a ,r �,'+n .:�-.� nab szc�s- � PY fi � ,..{ �. `•n � # s,>� �� � � O • p � r { `� aw..Y.' ,� ,. ���� � 'l; C+ err' g �g � _ �. ,•' .'4 F. - - � '- -• `: �� °�F,•!*a�� � ,AR } ���� �� s -V`. r - ...� w,r'���'�` .:�a'r-:!:M•rL' �"� � ,.,� ""°,s��'-�. v '"c -x"�ry f ,ts N r,?'. ar a���'�'�'�3��+��}+C �s` 'v'?�•zY' S:.,.ry� I '.»�4,�,a�{9� . �... Ilk- tr _.. .� v, 13 �' I I I I :l 3 v R` ------- - - rn �72 m� a FREEMAN/BRIGHAM/HUSSEY architects "II 9 Harcourt Street Boston, Massachusetts 02116 Ll \ % 10.0 \00 /� �2•l0•3� \J Marc�f MPo � i - i E��TIrlGT i�u�ly-�� i .-ra D2.ftN -I'F1✓�Na.T��AT f'-JLX. -+FAD - vw ETA O F PST) r FILL orl UW&TUFZ�D ";OIL) Px7re P TOWN OF,BARNSTABLE BUILDING PERMIT APPLICATION , Map.. Parcel n77 Application # Health..Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee ��•Sb Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation /Hyannis Project Street Address G'hazjn�d // 1Ca.. Village Owner Address &_6 Telephone gas - Permit Request &k417Ur Qt e_" 014,1 .-`6 I,) r� Q 111:7 C+�d �-- Z Square feet: 1 st floor: existing proposed 2n floor: existing proposed Total new Zoning District i` Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size 0,C,+ Grandfathered: ❑Yes ClrNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure IQ_Y4 Historic Houser ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: mull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) -11"13 Number of Baths: Full: existing_ new _.� Half: existing new Number of Bedrooms: 13 existing6ew Total Room Count (not including baths): existing new First Floor Room Count :'�E Heat Type and Fuel: ❑ Gas w6il ❑ Electric ❑ Other - Central Air: ❑Yes �Ko Fireplaces: Existing New Existing wood/cal stove:``O Ye UINo Detached garage: ❑ existing �ew size_Pool: ❑ existing CI size _ Barn: ❑ exi ting ❑� ze_ Attached garage: ❑ existing size _Shed: ❑ existing ❑ nw size _ Other: -Y Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ®'No If yes, site plan review# Current Use L�����9'G Proposed Use vC(C ���L/mot APPLICANT INFORMATION (BUILDER OR HOMEOWNER) a Name `- � c�lQ Telephone Number: C� � Address � r I -Ck License # (�C-2—42� , ' 7 I _ 1 MCA, Home Improvement Contractor# �C � 1 Worker's Compensation # ftc-.(co"(QU 062 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO o`�I c -- SIGNATURE DATE v i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. b z• �i 4 -ADDRESS VILLAGE F _ ` OWNER 1 DATE OF INSPECTION: 7 1_-FQINDATION FRAME INSULATION I• FIREPLACE k ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL. ,GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i 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 Le ibl Nagle(Business/Organization/Individual)::cean J i de Address: a )r( 7Fho rk1-40 n Ci \)E) city/state/zip: n 15 C2-&-61 Phone#: T71 l Are you an employer?theck the appropriate box: Type of project(required): 1.Q2,1am a employer with-_ )�5 — 4. ❑ I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- fisted 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.insurance.$ 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 I.❑Plumbing repairs or additions myself. [No workers'comp, right of exemption per MGL � ( ) I2.❑Roof repairs insurance required.] t c. 152,§1 4 ,and we have no T '1 I employees. [No workers' I3.[�ther 1 comp.insurance required.] 40 (,Uatt �A "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Flomeowners 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. p� qq Insurance Company Name: A , �� �� (}-�"(}(�l J1c`�Ur�:I.�C� Qa}�nn � Policy#or Self-ins.Lic.#: - 1�J 9- G it i n / J Y W t.:� U �a0�� �f lip at o Date:. l Job Site Address: ha, / �o1l f�City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy numbe and expiration datepZ&O/ 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 cent t. a' sand penalties ofperJury that the information provided above is true and correct. Si Mature: Date: / os Phone#: qzl - 3 Official use only. Do not write n this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of I3ealth 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: TE AC40REX® 0111512016 CERTIFICATE OF LIABILITY INSURANCE °A °° 01l151 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR.NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,-the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER 04740-001 �PRMNEcT qX Miller McCartin dba Dowling&O'Neil Ins Agcy iiM�pplIo: (508)775-1620 9731yannough Road gppRLeSS: kbolton@doins.com Hyannis,MA 02601 IN6UR5R(SI AFFORDING COVERAGE AIC rt INSURER ' , A.I.M.Mutual Insurance Company INSURED INSURE B' Oceanside Inc INSURER0• 217 Thornton Drive -INSURER Hyannis, MA 02601 INSURER E• COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE I SR WVD POLICY NUMBER MMIpDlYYY �MY,I LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DPR AG TED $ EM S S E o cur e CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ EIJL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S LICY ET OC AUTOMOBILE LIABILITY COa�NEeDSINGLE $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY{Per accidenq $ AUTOS AUTOS HIRED AUTOS NON-OWNED PeOaEcR ;D GE $ AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMSMADE AGGREGATE $ yyp KDgEgDg M RETENTION$ yy�g7 U $ ANDEMPLO�ERS�LL49ILITY X TORY LIMITS ER Ny ��pR��7�� Y I E.L EACH ACCIDENT $ 1,000,000.00 A AFFICERlMEMBERl F����DlEXECUTIVEMN NIA VWC-100-6019802-2016A V112015 111/2016 EL.DISEASE-EAEMPLOYEE $ 1,000,000.00 (Mandatory In NH) u DESG`RIF'ION OF'OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES(Attach ACORD 161,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs nd Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improveme at.Contractor Registration Registration: 100121 Type: Supplement Card Expiration: 6/9/2016 OCEANSIDE, INC. STEVE TESSIER 217 Thornton Dr Hyannis, MA 02601 J. _. Update Address and return card.Mark reason for change. sCA1 0.20M-05111 Address D Renewal .0 Employment Ej Lost Card SS 6:72c o1QffaJ3[[cX,,je16 ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only before the expiration date. If found return to: 6 ME IMPROVEMENT CONTRACTOR p Office of Consumer Affairs and Business Regulation Registration: 1f1012.1:;',: Type: lO Park Plaza-Suite 70 Expiratipn;:fi192.Q tt;':;,' Supplement Card Boston,MA 02116 OCEANSIDE,INC. `- STEVE. TESSIER 217 Thornton Dr Hyannis,MA 02601 Undersecretary of without signature " � f_��ze`�antrreo�rtuca���ffice of Consumer Affairs&Business Rcgat»tion e ME IMPROVEMENT CONTRACTOR egistratiory;:_10 _ Explraffoil- 17_d18'' Type. OCEANSI.DE.INC,' __ '.,,;----`r ' Supplement Cr 1. STEVE TESSIER 217 Thornton Dr Hyannis,MA 02601 " Uadersceretary Massachusetts-Department of Public'Safety Board of Building Regulations and'Standards Construction Supervisor License: CS-055571 STEVEN M TESS$R IS DEE BEE CIR: 00 MIDDLEBORO;iA ' V rrt S �J Expiration Commissioner 09117/2016 . i License or registration valid for indtvidul use only i before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation T 10 Park Plaza-Suite 5170 rd Boston,MA 02116 Not valid witboat signature i E f I � s I a 1 !L V , ` i rk 07 t L i , I I I i I I _ e 1 j t i i 1 1 i i 1 Sb cl 00, LAI i Till � I e, S i!\�I � per• i C I >r � 7 S � S w J n ' I TIF � �II a - S f a1 F �t I Q m �..� ••� - � .,..a,..r.,�,sm.+R..+w=Riw•.�m..vwmm,..vw.,,. n..r.u..m,�mamnsn,Ke�r�a .�.m, w �G � � • /x �� �dl 4 ' � F C i I THE RIGHT CHOICE -- . --------------- Since 1971 Office Use Only i q ' n i 308 NUMBER. I Restoration 217 Thornton Drive,Hyannis,Mass.02601 508-771-3110 800-464-3318(MA.Only),774-470-2211 Fax ASSIGNMENT AND AUTHORIZATION TO PAY The undersigned, herein called claimant, has authorized and ordered from Oceanside, Inc. , the materials and/or services requested. Undersigned hereby assigns to Oceanside, Inc. any unpaid proceeds due or to become due, under the claimant' s policy with the insurance company to pay direct to Oceanside, Inc. or to include its name on a check or draft, for all requested work. In the event that Oceanside ' s claim herein is not covered by, or paid by, an insurance company, claimant agrees to pay Oceanside, Inc. within sixty (60) days after work has been completed. Claimant understands that Oceanside, Inc. is working for them and not the insurance company or the adjuster. Payments remaining due and payable after the claimant has received payment from the insurance company shall bear interest at one and one- half (1-1/2%) percent per month. In the event that there is a breach by the claimant of any of the conditions of this agreement, Oceanside, Inc. shall be entitled to recover, as additional damages, attorneys' fees, costs and any other collection expenses reasonable and attributable to said breach. If payment is not received within 60 days, collection action will commence without further notice to the claimant. & a 1;2 Z&4�1&1,p LOSS/DAMAGE A D SS MAILING ADDRESS (BILLING) CITY StAlff ZIP INSURANCE ADJUSTER' S NAME/CO. LOCAL INSURANCE AGENCY NAME PRINT NA INS. CARRIER/POLICY UNDERWRITER r DATE: / � IMANTIS SI N U PHONE: i—, 7 EMAIL: 4? 77 Town of Barnstable -_ *permit# / - ip - - ' "p„ Expires 6 months from issue date ` BA STABM : Regulatory Services Fee v� AM ,' `0�' Thomas F.Geiler,Director gs I -rm k� A'EDN1°y� 0 Building Division Elbert C Ulshoeffer,Jr. Building Commissioner Office: 508-862-4038 367 Main Street, Hyannis,MA 02601w x`--PRCGPERMITPE � j Fax: 508-790-6230 J Itli EXPRESS PERMIT APPLICATION JAN 2 5 2001 Not Valid without RedX:Press Imprint TOWN OF BARNSTABLE Map/parcel Number Z {D 07 7 Property Address 14A N N lao P6/14 Kp so Residential OR ❑Commercial Q Value of Work 26, D eo Owner's Name&Address l C w k1Lo daL>VMV_ 10(47 NAPJ!�.I FL RIOT Contractor's Name '&04 f C• Telephone Number 77 S O *S-7 Home Improvement Contractor License#(if applicable) l 0*2- d /�• Construction Supervisor's License#(if applicable) 9 1�5 .95 �Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [� I have Worker's Compensation Insurance Insurance Company Name Z-A$TeJVJJ Vi4-G7 y/ Workman's Comp.Policy# (� C C-4 Permit Request(check box) Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance Xpermoes not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 1 , Signature 'V expmtrg TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel. `✓% Permit# ` Health Division Date Issued Conservation Division Fee• Xx-a00 Tax Collector - Treasurer Planning Dept. AJ L4 A IE�^I"T Wff;ISITIF FROM N A SEWER ZINUINZERING])IVMQX PRIOR TO Date Definitive Plan Approved by Planning Board Historic-OKH tJ X4 Preservation/Hyannis Project Street Address �o _ .. FT, Village !J J Owner Icl C I4b eJ`I Add ressC f Telephone -7 5- -1 /45 � II A-5 E1sT -Permit Request G� '3 ���"i- 7 W 6 l� ��S � 'r C,6 G�-t beZ . oFZ-,u t5� AZ5 4211, 5T 7Jc (, 1p Square feet: t floor: existing proposed 2nd floor: existing proposed Total new Valuation 6 00-0 ZoningDistrict Flood Plain Groundwater Overlay � Y Construction Type V Lot Size Grandfathered: ❑Yes )6o If yes, attach supporting documentation. Dwelling Type: Single Family )( ,Two Family ❑ Multi-Family(#units) Age of Existing Structure d Historic House: 0 Yes kNo On Old King's Highway: ❑Yes N(No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) I J 1A Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing Pik new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas 0 Electric ❑Ot r Central Air: ❑Yes A No Fireplaces: Exis'ng A- New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:O existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size, Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes l No If yes, site plan review# Current Use / ` [�G IUD Proposed Use J lt2e,�A BUILDER INFORMATION , ee 1 7 .5- 6 Z� Name �• 1�'��� � �. � 1-1 C Telephone Number 'Z Address tfgy '� License# d`✓��✓�� 1`CYAt� S Home Improvement Contractor# /8 Worker's Compensation# 0g c Gam' ` DOD 6-"0- 7 4-- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE } r FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. .{ t t �, .F - I - mac._ •.• e . •. �• j ADDRESS, VILLAGE 1 OWNER. `.} �. . T DATE OF INSPECTION FOUNDATION FRAME INSULATION 4 FIREPLACE M r N t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH +FINAL FINAL GAS: ROUGH FINAL BUILDING tv DATE CLOSED OUT, ASSOCIATION PLAN NO. a ., �. : The Town of Barnstable tee$ ;Department of Health Safety and Environmental Services Buiiding Division 367 Main Street,Hyannis MA 02W1 Office: 508-790-6227 Mph Cro= Date AFFIDAVIT HOME BeROVEMENTCONIRACMRIAW SUPPLEMENT TO PERMITAPPLWA71DN MGL c-142A requires that the"reconstruction alteratio= truvstton. me&xzizitian,eonv=an, improvement, remmat., demolition• or amstraction of an addition to ate►pre-adsting ew= occupied building containing at least one but not mere than four dur1ling units ar•to vWch arc ai*c=t to such residence or building be done by registered contractors,with c P r txxTdens,along with other Type of work Ce. Kar Address of Wori: I C 67 Omer Name_ Date Of Permit Appli=uon; Z3 _ I herdn•tertifv that: Registration is not regtvrcd for the following rc=n(s): Work ccdudcd b) Ice v Job rmderS1,000 Building not caner-oewpied Owner puiling vwa pain t N`cucc is hcrdn`porn t1•�;; OWNT'2r S PULLING THEIR OWN PERMIT OR DEAUNG wrH UNREGIsn= CONIR.AGTORS FOR APPLICAELE NO,\fE MgROVD EIN7 WORK DO NOT HAVE ACCESS TO THE Ln�t�ER 1��Gi.c. 1�1� SIGNED UNDER PENALTIES OF PERJURY I hcrebr apply for a permit as the aunt of the owner: Dzt ! uactor mmc Regstmdon No. OR • ------- --------------- ------ I BOARD OF BUILDING REGULATIONS I License: CONSTRUCTION SUPERVISOR Number: . CS 015851 Expires: 09/28/2001 Tr. no: 5743 i Restricted To: 00 CRAIG N ASHWORTH i 385 SEA STREET HYANNIS, MA 02601 Administrator 67 hie "IJQ�/9?/ll2OWANAW r�✓1��11a��l2uJe/�1 c� � of Building Regulations and I Standard::,, t':? Boston .. Massachusetts 0210 H ,+�)rf1�c' friit:..l _,fflel7t:;, Contractor i Registration `,,I'.a.oil :'�IR .,. alto ia,r../ ,�'.. nJJ�i�'/i..;.•//J HOME INPROVEhENI CONTRACTOR = �a RegisUation 102014 I E I IE ,,1 8 i\I r RI « ::0N F.1\4 C. x — �� Expiration 06/30/2002 365 Sea K. u Type. Private Corporatio Hyannis Ill 02E:01. ERNEST B. NORRIS & SON INC 7� � ?1 SeaRshworll AMWMRATOR Hyannis H,1 02601 1'lle- CUnl111ptt 14'Cl71111 of.4fussachusctts - %fii ;_.�•__ Department.of Industrial Accidents t ' ;i ;�� Ofllced/latxstl9atlnrrs 6(1(11I'uskhitgun Street Bnstan,Afum 02111 Wori;ers' Compensation Insurance Afrid;tvit Applicant nfnt-m�ri�n• • •- •• Please I'RiN'T'1 �bly• - ' ' ' •• aamc� . . . h+c•�tinn• . Ci;i• nhnnc ft ❑ 1 am a homeowner performing all work,myself. ❑ 1 am a sole proprietor and have no one wori,in-a in any eapaciry �C 1 am an emplover providin,workers' compensation formy employees-working on this job. ERNEST B. NORRIS & SON, INC. - nrnn�•nnmc• 385 SEA STREET ` HYANNIS 508-7175-0457 . EASTERN CASUALTY INSURANCE cQMpANY # wCG 1000807 A 511 n c co nnttn• ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below wl the following wori,ers' compensarion polices: m �n�•n•tmc• . .fih•t phone�h • ' �u c co •. nolicY#1 ' .... ,. - -:. •:—.:-:--- .ssr.:J+:1�•.i•�;.-r;v+r=.-,►.-r;-7-*Z-^r*�"'�'�r..� - -- CAI-7Lr�s!Y!��:r••.r.79!Ss7G� — - nddrrss• .. ttt,. phoneN. in�urancrco nolicrtl •• ilttZet11t1dtt�0al�Stl[[tfj'!7[[tlSi ••:.•��:••'f�'"'�•T_l•—Ne:��_.+.r_—••:.: s•a�w.� r. .+.n.+ � .—. Failure to serorr cet cr��e ar required under Sectioa 3A of AtCL�153 as lend to the impasitioa of erimiasl peassJt(es ota Rnr cp to S1S00M une;ears'Imprisonment As�rclt ns ciril pensllles is the form ots SI t)I'11'ORI:ORDF.H,tad a fIae afSI00.OD a dtI aptitsst tars I nadrrsuac cop► of this state he OAice of Ins ati�ntioas of the D?A for evrrra=t raillation. 1 do herrbr ccrrifj•under the pains and p allies of perjurr that the infarnmrion prm rded abore is true and correrr. Sicnzturc atr ' Pint name CRAIG N. ASHwOR'II•i one# 508-775-0457 7mmrdiatempunscismquirtc! only do not write in ibis errs to be completed by city or two ofgcw • perraiNlcease ff t'tSoildlu�Aelrartmeat QUcrasiag Dosed Qstimucro's Ofttcr OWN CLERK r34RETAKE. M?'OIVN OF BARNSTABLE '83 MAY -2 PM 1 53 Zoning Board of Appeals <1 Richard M._.�c3��sle7 _ Deed duly recorded in the Property Owner County Registry of Deeds in Book _._.Ric $camldc C _. Page Registry 1 Petitioner. District of the Land Court Certificate No. Book Page Appeal No. 1983-17 - _ April 28, 1983 FACTS and DECISION Petitioner RiE.chard M. Scudder __., _ filed petition onF-elZ uary 24 1983 requesting a variance-permit for premises at J.Qk_ChannE1. Paint. Rd._ W _ , in the village (street) or Hyannis , adjoining premises of (see attached list) Locus under consideration: Barnstable Assessor's Map no. lot no. 77 = Petition for Special Permit: im Application for Variance: iE made under See. . ....-.&Q..._.2.(c).-Ec 2- of the Town of Barnstable 2(b) Zoning by-laws and Sec. Chapter 40A., Mass. (den. Laws _....__ _._._._.. P f. 1? �. t. � ].1 apt .Ci�nS z for the purpose of 'Varia , , _ c P13 of addition - for family_apartment.____ Locus is presently zoned in... Residence B•,-_,__, __, Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy of . which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of Barnstable was held at the Town Office. Building, Hyannis, Mass., at .._L.3Q _]M. P.M. March 24 1983 upon said petition under zoning by-laws. Present at the hearing were the following members: r Luke P. Lally Richard_L. Boy _ Frank P. Congdon Chairman I At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board. Appeal.No 1283-17 Page 2 of 3 On April 21 19 83 , The Board of Appeals found Attorney Frank Green; represented the petitioner who seeks a special, permit/variance to construct an addition .to his existing residence for family apartment use under Sec. V. of the zoning.by-laws. _ The locus is at Channel Point Rd., Hyannis in a residence B zoning district., . The Scudders have owned this property for five years and would like-to provide a. family apartment for Mrs. Scudder's mother. The new. addition would be contemporary in design and in keeping with the existing structure. About 400 sq. ft. of space would be added to, the .existing dwelling and since this is waterfront property, it must conform. to the requirements of the Barnstable. .Conservation Commission. The .abutting_property.which would. be most. affected by the zoning relief is owned .by.Mr.. Scudder. The .site has.. town water and town sewer. The new addition cannot reasonably fie.located :on any other area on, the site and variance relief- is sought -for a..5 ft,, intrusion. into the required 10, ft. sideline setback area. All, other' requirements for_a. special permit under Sec_. V_. .will..be met. Mr. 'Green- said. that allowing- the family apartment use will not be detrimental to the neighborhood. No one.-spoke in favor-of the petition :and speaking in .objection was Kenneth Shaughnessy who questioned_the,. family.apartment use which created the need for variance relief, . Mr.. Shaughnessy- doubted that 50% of the .area of the structure would he used.for the family apartment.. He felt the. plans as proposed would alter the character of the neighborhood and objected to the. application. In rehuttal, Mx. .Green said. tfiat Mrs. Scudder. and her mother have a close relation- - ship and the- Scudders would .like to have the family apartment available for the time . when Mrs._ $cudder"a mother would occupy, it. The Board took the matter under advisement and the hearing was closed. Board member; Richard-.Boy, voted. to .allow- the variance/special_ permit and found that all requirements .of Sec., V. .- pamily .Apartments, would be met and the 5 ft, intrusion .into. tha sideline setback would. not significantly affect the neighbor- hood particularly, in view- of the fact the petitioner owns the abutting property. Board members, Luke P. Lally and Frank.P. .Congdon voted to deny the petition and found that the family apartment would not have immediate occupancy and that Sec. V. requires the filing of a yearly affidavit stating the names and family relationship (continued) Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this ._.. day of 19 under the pains and penalties of perjury. Distribution Property Owner Town Clerk Board of Appeals Applicant Town of Ba Persons interested Building Inspector l Public Information. By . Board of Appeals Chairman. ZONING BOARD OF APPEALS >op a639 Appeal No. 1983-17 Page 3 of 3 between parties.. Hr. Lally and Mr. Congdon found that_. variance conditions as defined in Sec.. 10 of Chapter 40A., Mass.. Gen. Laws. and Sec. Q. 2(c) of the zoning by-.laws do. not exist'.at the site and allowing .the_,petition would further crowd. this high density area of Hyannis Harbor which would be detrimental to the, neighborhood and in derogation of the spirit and intent of the zoning by-laws. In accordance with the provisions of .Sec. 15 of Chapter 40A.., Mass. Gen. Laws, which requires a concurring,.vote of.a three member Zoning Board of Appeals, the petition for a special permit/variance is denied. QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 12/30/97 PARCEL ID 326 077 GEO ID 24048 LOT/BLOCK C DBA PROPERTY ADDRESS OWNER SCUDDER 106 CHANNEL POINT ROAD RICHARD M & SCUDDER MARJORIE F HYANNIS CHANNEL PT RD HYANNIS MA 02601 PHONE DISTRICT HY DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC SPLIT SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? ## BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 17859 . 6 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT Assessor's Office(1st floor) Map c�2 G Lot 67'7 Permit# Conservation Office(4th floor) `k,Wc_,, Asoc %( _ Date Issued Board of Health(3rd floor)(8:30-9:30/1:00-2:00)""NK� Fee ON Engineering Dept.(3rd floor) House#1 Planning Dept.(1st floor/School Admin. Bldg.) - ?� �; • BARNBTABLE. MA Defin4:iePIan proved by Planning Board - 19 es9. �f TOWN OYBARNSTABLE MMCCCONNE� FROM THE Building Permit Application ENGINEERING DIV13tON PRIOR TO CONSTRUCTION Projedress Z/J4' Village -� Owner v Address Telephone �- Permit Request Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ ,Z 1467. r� Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House N Unfinished �— Old King's Highway x Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds f Other Builder Information Name .r^ , 4 Telephone Number Address License# _cs AJ f Home Improvement Contractor# /920 J Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO p 1 ♦ _ SIGNATURE r DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY er PERMIT NO. �J ' e _ DATE ISSUED MAP/PARCEL NO. p ADDRESS � , VILLAGE OWNER + ` i •� ark ; ' , - + � { E ` f q ` -' r DATE OF INSPECTION: FOUNDATION e FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUGH ` FINAL PLUMBING: ROUGH FINAL GAS: f ROUGH a FINAL le FINAL BUILDING " '" e ! `j•'; .K•r tri logo trW_ Y� DATE CLOSED OUT ASSOCIATION PLAN NO. ? i A The Town of Barnstable MAM epartmlent of Health Safety and Environmental Services rep,,9. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: X ��, Est.Cost!1 11410 Address of Work: / /ala C°�m,.i�o���r2+s4 ZT Owner's Name07Z jr Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MOROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the ownq: le- Date ontractor Name / Registration No. OR. Date. ,. Owner's Name r The Commonwealth of Massachusctts Department of Industrial Accidents ` (,l office ofloyestlyat/otts 1'1 if i 600 N ashhigturr Street � .+. Balton, Alas. 02111 Workers' Compensation Insurance Affidavit nlicant n,formation• Please name: loc•tteon• citv nhone# 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working; in any capacity ...owa.• -nia••-;-'rM �.._,,.,,�.Z;a„a..r.�,iq,CT1a L,.a.-Jg6y7n.". ... =="."�..*+iT."^!'•""^ I am an employer providing workers' compensation for my employees working on this job. comp•tm• name: - address• cite nhone#; insurin,r6co. Volicy#. �..._... •�,—•--••....�...�....•�.,�......�.R..�,�...w....w�.�----fir-..,e.....�.... 1 am a sole proprietor, ne al contractor, o homeowner(circle one)and have hired the contractors listed below who have the following workers compensation po ices: cnall2an nnme •tddress e-� ( %� eih � X o�i z P p Q� phone#• —y 7 insurance co company name• address: city• phone#: insurance co policy# -••t'.. -- --^•-•;--Z .Attach additional shcef if neces_sary.,;;, roe i'�t- Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to s1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a copZirrbVcerrifj- 6ucment may be forwarded to the Office of Investigations of the DIA for coverage verification. /Siagnat tinder the pains and penalties of perjury that the information provided above is true and correct. q + Dateur Print name Phone# �fitY official use only do not write in this area to be compacted by city or town oRcial city or town permidlicense# riBuilding Department []Licensing Board check if immediate response is required c3Selectmen•s Office ,Health Department contact person: phone#; r-IOthcr i«,sed RI)5 PJ.a) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' crnnpensation for their employees. As quoted from the "la%%-". an etnpinree is defined as every person in the service of anothce'unde�any contract of hire, express or implied, oral or written. An empl( tver is defined as an individual, partnership, association, corporation or other legal entity, or any two or more c the foregoing enga�_ed 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 hous or on the `rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL charter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the common��calth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither Jhe commonwealth nor any of its political subdivisions shall enter into any contrast for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter Ita been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. . ...- �....+.w:Il,•»�'..] .. ..••fin-• ..•- •..yf••_': - ..- • ... �- .. City or'towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plea! be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned tc the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questionE Please do not hesitate to give us a call. t.-.tau...-er..•—....,.....:.�..-,.�.•v,�r.•. .,.�w..o•-r+..•.}-�.� .r-a-.r....�..,..-ifs.• - ...�'4�`!'.►^� - � ,.`:. .. 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 fax #: (617) 727-7749 i phone #: (617) 727-4900 ext. 406, 409 or 375 _ / � .' S dy t� y', L }. �.. / ;;: di .: y �;r. �'" y1gS� h` fi. rr y LG �` l �n y ;. �+,r t � t, t .. 4 �. s � . i. � :. .. � :.i. Y• r rA �/!L8 U�l�Y7i72G�Y�'I�C�GUL / ��j9GGRk12��N�QPj �-\ DEPARTMENT OF PUBLIC SAFETY :. CONSTRUCTION SUPERVISOR LICENSE Nu�ber Expires: - Rest eted To' ARTHUR R WILLIAMS +Drs 2 OAK STREET CENTERVILLE, MA 02632 NONE IMPROVEMENT;CONJRACTOR }7,t x Regtr820 00371 ¢ molt IVATE CORPORATION h e r :y ExpirationO6/ib%9B 'Arthur�,,I�illlaas a sADMINISTRATOR ;CBet9[vllle MA 02632 AsAssor's map and lot number ...............�'�.�.. *THE 0 Sewage Permit numbel�ootllz..� or DAMSTAMLE House number .............../�.k.... ................................. NAM 1639- TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ..... .. . . ... ..... . .... ...... ...................................... TYPE OF CONSTRUCTION ....Wn.Do ........ ..................................................................................... .......... ..........................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followy�in information:,g ormation: ................... ...... . ................................................. Location ....1. (a.........ad ..r.......lea Proposed Use fz ts f 0 rt(_C_�_ - ....... .................................................................................................. .............................................................. Zoning District .....fz&:S.I.qj& .......i*a.............................Fire District ......... ........................................ Nam ........ S A-M f- - e of, Owher ...........................Address ..................................................................................... Name of Builder ... ...... Xtt......Address .... Q ..........S.fA....f?.E......H..r ► f90S 70" Name of Architect IF-M"MAAM.19!?�..W..44&S,.S.LT.....Address .... ST- ...................... ............................................................................ Numberof Rooms .....13.........................................................Foundation ......le.cx .. .................................................. Exterior ....A)..F_&T......5J4 ....................Roofing .......W�... ............................................. Floors ..... . ................. ............................Interior ....... .............................................. .................... Heating ....... 67�(........64.1—.7................. ...........Plumbing ....I A.....TQ......0-4. .1.c-.? ......... ................ 'Fireplace .......... NA ........ ... ............................................. m ... ... .. ...... Definitive Plan. Approved by Planning Board ----------------------------19 Area ...... .. . ............ 39 Diagram of Lot and Building with Dimensions Fee ................,..00................. .. ........ SUBJECT TO.:APPROVAL OF BOARD OF HEALTH P,3 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. Name4... ^ ----------- ...............................:: Construction Supervisor's License .......... SCUDDER, RICHARD F I . y a lib 25723•.. Permit for .ADDITION............. Single...Family..Dwelling............. `• location .106•••Chanel.,Point••Road,•,••.•• r :a ...............Hyannis............................................. Owner' ..Richard Scudder... f t. t p Type of. Construction ..Frame...............:........... "Plot .....................................Lot............r, ................. .............. ... ........ ? r, 1, 1,�" November 2' 83 ''Permit Granted ......... 19 i "Date of,Inspection ...........................~ ...:1.9 Date Completed ............. ..19 4' Assessor's map and lot number .........i — �OF T E TOE Q f Sewage Permit number ........... ............................... BARNSTABLE, House number ................... . 1.•.5 ..` ......................... 9�O M1639. \e�0 '�T1r p MAY p,. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO enlarge decks second floor level .................................................................... ... TYPE OF CONSTRUCTION ....,,,,wood ... une...9..............................19:g.�.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 106 Channel Point Road, Hyannis .... ,. ...............................................................................................................................:................................................... ProposedUse ............................................................................................................................................................................. Zoning District .......... R. B...... Q..............................................Fire District Hyannis............................................. Name of Owner Richard M. Scudder Address „ 106 Channel Point Road, Hyannis Name of Builder E.B. Norris & Son, Inc.....Address Address ...3.85 Sea Street , Hyannis , Mass . .... ................ ...............................................................:. .Name of Architect ......ame....................................................Address ......ame....................................................................... Number of Rooms ....N�A......................................................Foundation N�A............................................:.......................... Exierior ...N./.A.........................................................................Roofing N/A Floors .....NSA...................:......................................................Interior ......N/A......................................... Heating ............................. N�A ...........................................Plumbing .... �A...................................................................... .......... Fireplace .N�A.........................................................................Approximate Cost ... .1.r.5.0 0...0 .......................................... Definitive Plan Approved by Planning Board -------------------_-----------19________- Area ..100...Sguare• Feet Diagram of Lot and Building with Dimensions 1� Fee ....::1�........�.............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH J I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .���y .� .. `�.:....���t�c�1� 71 r' SCUDDER, RICHARD M. 22253 Add to Deck No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location ...106. . ...Chanel. . . ....Point. ....Road... . .. .. ....... .. . ....... .... .... ........... Hyannis,, ............................ .............................................. Owner ....Ri.chard..M.....Scudder............... ' Frame Type of Construction .......................................... ................................................................................ k 1g Plot F ............................ Lot .............................. Permit Granted JIuiie....9..........19 80 Date of Inspection ....................................19 _ Q -7 g • Date Completed ......../ 1/. 9 I , PERMIT REFUSED ........................... ................................ 19 . ........................................................:...................... ................................................................................ ............................................................................... 'S ............................................................................... Approved................................................. 19 ............................................................................... ..................... ......................................................... i i Assessors*off ioe (1st floor): I E Assessor's map and lot n umber ............. Board of Health (3rd floor): 4&_ (,4 ell 0 C. oK J . =cvt/�-- Sewage Permit number ......z.................... Engineering Department (3rd floor): oo NAB& House number ........................................................................ I 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 ...... ......ep�Ce. .......................................... TYPE OF CONSTRUCTION ..W.aO ........ ................................................................... ..................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ./P.(p �......... ........ ............. .......... .................. . ...................:.............................. ProposedUse ...... ........................................................................................................I......................... ........................Fire District . ..r " . Zoning District i s. .............................. / . .........................I............ Name of Owner ....... ................Address . ...... .. ......12 .......... .. .................. Name of Builder 64�.a. _S..................Address ..39-5- ....... .............................................. Name of Architect IF/M.- ......T ..... .... .......... .... ....... Number of Rooms ...../...........................................................Foundation Exterior ......8........................................................Roofing ...... ....... ....................... Floors .... ............................... ...................................Interior Heatingn ............................................... _^........................................Plumbing g ........... .. .. .... ..... Fireplace .......... ..................................................Approximate Cost ........ ............................ Definitive Plan Approved by�,Planning Board --------------------------------19-------- - Area .......................................... Diagram of Lot and Building with Dimensions Fee ......i��!F... ..... SUBJECT TO APPROVAL OF BOARD OF HEALTH ^e�I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the,,Ru1,,eS and,lRigulations of the Town of Barnstable regarding the above construction. ............ Name .. ..................................................................... Construction Supervisor's License ............................ • SCUDDER, RICHARD A=326-077 . No 31574 Permit for ........................on............ ........... Single .. Dwelling ... ... ............................ Location .....106 Channel Point Road .....................................:..................... ......................Hyannis....... . ................................ Owner ......Richard...S.cu.d.de.r...................... .... .. .... .. Type of Construction ......Frame ........ame....................... .... ............................................................................... Plot ............ Lot ................................ January 28, 88 Permit Granted .........................................19 Date of Inspection ....................................19 Date Completed ......................................19 t z Assessor's map and lot number ✓............... ..... r'J) y�FTHETO�y Sewage Permit number ...?n .�s •>;ir„i� /n /, � :,�t.c d ��. .w BABBSTABLE. i House number . . rI NAB& 90p 1639. 6� BYPY�� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... .......«? F6:�:�'?'! ..... ? L L 1 hl G:.............................:.......... ........... ..... TYPE OF CONSTRUCTION ...W.O.Ok/).........( I ✓l. ...................................................................................... ....... . �..........................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 9 Y Location ....Il ?.......... +19d` . .. :......... 7 ...... . ....................t^ ,, ................................................. t Proposed Use ..... f £.K. ............................................................ /......................................................................... .... .. Zoning District eSI+..Ll� Fire District ............... .,... .. !.................................................. Name of Owner SC pOC ...................Address S.Arm .... ...... .......................................................... Name of Builder ......Address ....��� � ....... � ...5 ......r It.. ....... 1=tt4.4wtAM rLrG,tfr4l�9 OUSS4 ,Ar/� 9 H 4W(G 1 n -7— ST f3c�S,"70)k-1 Nameof Architect .......................!..� ....... .........I................. Address .................................................................................... Numberof Rooms .....L(.3 3........................................................ ......ro .....................:............................ Exterior .... ,).F. -.?:........ ...... I !S ....................Roofing ....... ...........:................................ Floors F--�G .Interior 1 .::��t�✓ :� r '.............................................. ..................................................................................... ............. ...... ..... Heating H. t3?'.......... r i.... ...........................Plumbing ....TA: tU �aTt 1.� Fireplace ...........r.IA ...........................................................Approximate. Cost ...........�. .!.J.o. ... . ...... Definitive Plan Approved by Planning Board -----------------------------19- ----. Area ..... .......... Diagram of Lot and Building with Dimensions Fee ..... - .................................-�� SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 t: : ./,, �..... :� .................................... Construction Supervisor's License ��� ..���� ........... SCUDDER, Richard A=326-77 No 5 3.... Permit for ...ADDITION Sin ;Lie...Family._Dwelling Location 106..Chanel Point Road .............................................. Hyannis . ........................................... Owner ..Richard Scudder .................................................... , s Type of Construction ....Frame......................... ............ ................................................................ Plot ............................ Lot ............................ r Permit Granted ....:..................Novembe........2.........19 83 Date of Inspection ....................................19 Date Completed ......................................19 I � , 1 I Assessor's map and lot number ......�.�..'.:�+�.— �.' ..........,� `�° P�O�THE T��♦ i Sewage Permit number ............!,:t�F.. ............................... 33AUSTAB i House number ................... .4./'.. ........................ 9O Mites p 16}9. 0 'Fa MAY ale F TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO enlarge deck„ second floor level ............................................................. TYPE OF CONSTRUCTION .......,t�0od ,. t111......................................19. �.. TO THE INSPECTOR OF BUILDINGS: X The undersigned hereby applies for a permit according to the following information: 10 6 Channel Point Road, Hyannis Location ...................................................................................................................................................................................... ProposedUse ............................................................................................................................................................................. Zoning District ..R. B.............................................................Fire District ..Hyannis......................................................... Name of Owner Richard M. Scudder Address 106 Channel Point Road, Hyannis Name of Builder E.B,. Norris & Son, Inc. Address ...38.'...Sea Street , Hyannis , Mass . Name of Architect ....Same....................................................Address ....`'..am........................................................................ Number of Rooms N/A .......................Foundation ./..A.............. Exlerior ... �A.........................................................................Roofing ......N�A....................................................................... Floors .........................................................................Interior ......N�A .......,............................................................... Heating ���A..................................................................:......Plumbing ....NIA..................... Fireplace VA.........................................................................Approximate Cost �l 5 0 0. 0 0 Definitive Plan Approved by Planning Board ________________________________19________. Area .10�..Square.._Fee.t Diagram of Lot and Building with Dimensions Fee r ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . e, : hr ,.,w.......... . �;txc�LRI� SCUDDER, RICHARD M. A=326-77 No .... Permit for Add .toDeck Single Famil ..... i Location 106 Channel Point Road ................Hyannis............................................ Owner .... ichard. M.!.. S udder .. ........................... Type of Construction Frame............................ ............................................ ................................... Plot ............................ Lot ................................ Permit Granted ..... .`Tune..9.�...............19 80 Date of Inspection .......... 19 Date Completed ..............)......................19 PEA P..... USED ....... . .. .. ,........ . .. ................................... . .......................... .................................................. ...................................:............................................ Approved ................................................ 19 ............................................................................... ............................................................................... : } t14 4 4-241 � ,� � 0 _ +2 4a CD TfzA v - &,y `x+ j , a Ll M2 8 Chi aT Nv� ^ ' . r 3 N VJLKH f L04�kTlOd xis �N� LK N � N9 , a J `n AN nx ►� Lvr.ATi or TAT N ❑ Q ❑ , �uNpHr �.Y�a� Dtor� NON ' TU f3tWKF-N 5ANP 2. Ut KTQ FILE- tNATER q , a ,,_ .. 4 0 , © � MNor W76 CLAY 8O SAND Mrs -2i "aALL 6TfA i, M ' LKNA QT L�x�Ti c�6�v L -A�Tyr BULKN U e �' �'DU�1C»rg.�"IOIJ I� � �rJT ,�,4 i , t� r - T111 ��i7V 'IrIG'r �Il.. aN UNpi�Np L) i , 01 T �.,_ . ,