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0006 DELTA STREET
G /�el�ec� �f. 1 � � � � __ i a Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 11/29/18 ,... .�, ci.. o Brian Florence CBO - t n Town of Barnstable Building Division _ 200 Main St. Hyannis,MA 02601 RE: Insulation Permit 18-2639 Dear Mr. Florence: This affidavit is to certify that all work completed for 6 Delta Street,Hyannis has been inspected by a third party Certified Building Performance Institute(BPI) Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey e . � U p � . Town of Barnstable Building Post ThisCard So Thant isaV.isible From<ihe Street-.A rove PlansMust�be Reta�ned:onJob^and thisCardr Must be Ke t, wsrweu: ��� Atu�. rP.�r osted,Unt. �F na InspectionHas.BeenMade � �- �a � �� �� � � � � �Where a Certificate ofLO.ccu anc,>is RequiredsuchB:ulldin shall Not<be Occu ied until a:Finallns ection has been made 1 el llll� z ,. p. .�...,�.:�. �>, �p � �g*��,�a�;.,�.s��..� � xN Permit No. B-18-2639 Applicant Name: William McCluskey Approvals Date Issued: 08/14/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 02/14/2019 Foundation: Location:, 6 DELTA STREET, HYANNIS Map/Lot 292-084 Zoning District: RB Sheathing: Owner on Record: KOCH, MICHAEL]&LOUISE G Contractor NameWILLIAM J MCCLUSKEY Framing: 1 9 Address: 6 DELTA ST Contractor License CSSL-102776 2 HYANNIS, MA 02601 E`st Project Cost: $ 1,500.00 Chimney: F Description: Add R-10 rigid insulation to the basement.Air'seal the basement Permit Fee: $85.00 Insulation: with expanding foam. General weatherization° Feeaid $85.00 0,011 Project Review Req: Date 8/14/2018 Final: Z Plumbing/Gas CIA Rough Plumbing: ` - • -- - Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized�by this permit is commenced within six months afterissuance. All work authorized by this permit shall conform to the approved application and the approved construction documentsforw h this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by tawand codes. This permit shall be displayed in a location clearly visible from access st�rieetkor road and shall be maintained open far public1inspection for the entire duration of the work until the completion of the same. E Electrical Service: The Certificate of Occupancy will not be issued until all applicable signaturelo ythrmuilding and Fire Officials are provided on This permit. Minimum of Five Call Inspections Required for All Construction Work: ` Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site p�r�y^p✓C All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ` 5�,� Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, NU 02664 Tel: 508-398-0398 Fag: 508-398-0399 7/31/17 Thomas Perry CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 RE: Insulation Permit 17-1922 Dear Mr. Perry Ln m .) w This affidavit is to certify that all work completed for 6 Delta Street,Hyannis has been inspected by a third party Certified Building Performance Institute(BPI) Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey Town of Barnstable : U11Clln �, ,the"Stye ,< .. m, > . : .PostT.h�s Card oT atat.is Viseble Fro pt-' .A roved'Plans-Must'be•'Retamed on.J band this=:Gard.Must be.Ke t . � BARNS'fA[tt8, :�. r � -;,...• r yi ,t�,� :. *. St,.. "ss. ` Posted Until Final 1. •: .gib g ' . ,�! � � - �..:�. .. . .. � .x • ..'L� ;.. t ..:. �.� :.\ ...,n°�.... •ems '.�,` �� � ..",: m '.. W:,ere£ �Cert�fiCat-e of£=0ccu anc._,.�s;Re wired,such�B;uild�n shall Nbt be Occu ed«unt�l a�Finah r�s ectionThas been.matle.�,„_: � jijl� Permit No. 8-17=1922,':=, Applicant Name: William McCluskey Approvals Date Issued: 07/05/2017 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 01/05/2018 Foundation: . Location: 6 DELTA STREET,HYANNIS Map/Lot 292-084 Zoning District: RB Sheathing: Owner on Record: KOCH, MICHAELJ&LOUISE G ;Contract r Name WILLIAM J MCCLUSKEY Framing: 1 Address: 6 DELTA ST °I tract Conor License x CSSL-102776 2 HYANNIS, MA 02601 VIA . Est Project Cost: $3,300.00 Chimney: Description: Add R-37 cellulose to the attic.Add 2" rigid insulation to th.e common . e � $85.00 RermitFee: wall and basement.Air seal the attic plane and m ibaseent with ` -` Insulation: expanding foam. General weatherization. , Fee Paid: $85.00 JAI ®ate 7/5/2017 Final: Project Review Req: Add R-37 cellulose to the attic.Add 2" rigid Insulat on to theme .. common wall and basement.Air seal the atticplane and `,� Plumbing/Gas Gas k� ,T r`y - -: g/ basement with expanding foam.General weatherization Rough Plumbing: � � �fi � �f aBuilding Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authored Wthis permit is commenced within six�mont�hs fta erissuance. Rough Gas: All work authorized by this permit shall conform to the approved appli6666 and the approved construction documents;for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall,be in compliance with the local zon ng by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street oar road and shall be maintained open for publicrospection for the entire duration of the work until the completion of the same. .� a. Electrical The Certificate of Occupancy will not be issued until all applicable si natures b' th"e'Buildm :and Fire.Officials are> rovided�on this ermit. Pp g Y g P P Service: � < S Minimum of Five Call Inspections Required for All Construction Work: 4 1.Foundation or Footin � �� ,g 2.Sheathing Inspection •- '• _� . .:: _ Rough: 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: t ;, Persons contractor with unregistered contractors do.not_.-have access.to-the. uarant _fund"l asset forth in MGL:c:142A ._. . g= g . , .Y Fire Department Building plans are to be available on site - Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT firyl x�L _S mar CAPEZOD +NS'IUL AT I O N- ,T Cal E®ILLJA r - 111R O1A33 .0"11111 INIULAOI.M'-SUSIINO[0., r . YATTJ..� OUTT10f� `.INSUl�T10N 1IIlIN03, Town of Barnstable 1 ,Regulatory Services Building Division M0,Main St; k. Hyannis, MA 0260'1 a Ii,3 ` Date: ` Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, I ic. pertornaed completed the insulation and weatherization work at the-pro perty listed below: Cape God t - Insulation.did this in accordance;to;the'specifications listed on the building,permit;:. application. All work has been_inspecfed`by a certified BuiI din dPerformance Institute '(BPI) inspector_. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Villag Mf e v g �1yM�n�s Insulatio11Installed: Fiberglass Cellulose R-Vaiue Restricted "Unrestricted Ceilings ( ) (;W—) ( .31" ) Slopes r , Floors Walls rr Y iv 2 r y Gvo r !l j leer JCo r eal _ i4r d-�•y_ Sincerely H ry E ssi r, President pe C Ins ation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map / c� Parcel 4 ; . Application Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee �3S Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address //l `rlA � Village �u Owner i G"L Address !v, 1 Telephone1. J_ Permit Request c Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay .Project Valuation �! �� 1�� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ 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 s Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woodhpbal stove.:❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: 0e fisting ❑-new. size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Ico -� 03 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ , Commercial ❑Yes a4 If yes, site plan review# Current Use Use- - - -Pro osed p Y APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address License # ,✓ ° Home Improvement Contractor# �JS k -L Worker's Compensation # i o� ALL CONSTRUCTION DEBRIS RES7 FROM THIS PROJECT WIL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY F .. APPLICATION# r DATEISSUED t MAP IPARCEL NO. t� ADDRESS VILLAGE {y ,k OWNER a DATE OF INSPECTION: '�a.4F0.UNDA-TI.ON�u�t�. t�t•�:�."�UPH FRAME INSULATION t�l FIREPLACE r ELECTRICAL:. ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 3~ FINAL BUILDING,"'. i f. DATE CLOSED OUT ASSOCIATION PLAN NO. f '.1 Town of Barnstable Regulatory Services shy. 1e Richard V.Scab Director L Building Division Tom Perry,Building Commissioner 200 Main Sheet,Iiyannis,MA 02601 www.town.barnstable.ma us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using.A Builder I 1 C6,9t— )Z4 C. as Owner of the subject propalty hereby aurhon7e 6--k1axA act on my behalf, U in all matters relative to work authorized by this building permit application for. (Address of job) ""Tool fences and alarms am 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. r Signature of Owner ^� Signature of Apphcarlt Print Name -- Print lYamc k Date s' Q:FORMS.OVv*%TRPFRMISSIONPOOLS i A Massachusetts - U6partnnent.of Public Safety :.:board of Building Regulations and Standarcls Construction Superr ist"' License: CS-100988., HENRY E CASSII)v 8 SIIED ROW WEST YARMOU'rH �%,•�..� •t " j51 Expiration Commissioner 11/11/2015 f/d'ziGf/J a b Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2016 Tr4 259188 CAPE COD INSULATION, INC HENRY CASSIDY ---- - - 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 Update Address and return card. Mark reason for change. :CA1 45 20M•05r11 Address Renewal Employment Lost Card C /le�ai�unzarz[ue���<�c`'C%�/�aJJ�[c uaeCGi C\ Office of Consumer Affairs& Business Regulation License or registration valid for individul use only 19OME IMPROVEMENT CONTRACTOR before the expiration date, If found return toy egistration: 1.53567 Type: office of Consumer Affairs and Business Regulation xpiratlon:,;,-1.21:15/2.0:1.6 Privale Corporation 10 Park Plaza -Suite 5170 ,0 ":;. ;..;.;. :``::;.:. *�, 6681on,MA 02116 CAPE COD INSULATG0:N '..INC"? iENRY CASSIDY 18 REARDON CIRCLE".":.: 30. YARMOUTH,MA 02664 '. Undersecretary N valid wi tit sign e ' r ti ' The Commonwealth of Massachusetts Department of IndustrialAccidents W Office of Investigations a 1 Congress Street, Suite 100 ,W Boston, M4 02114-2017 www,mass,gov/dia Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information ss Please Print Le ibl Name (Business/Or ' n/Individual); 1;Z i —a(a(/FKI/ !ZV Address; a0 4w} v �I — City/State/Zip; ��,GL Phone #; W Are you an employer? Check he appropriate box; 1•5 '1 am a employer with 4, ❑ I am a general contractor and I Type of project (required); employees (full and/or part-time),* have hirlld 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 working for me in any capacity, employees and have workers' comp, insurance,t 9, Building addition [No workers' comp, insurance p� . required,], 5, ❑ We, are a corporation and its 10.0 Electrical repairs or additions 3,❑ I am a homeowner doing all work officers have exercised their 11:❑ Plumbing repairs or additions myself, [No workers' comp, right of exemption per MGL _ insurance required,) t c, 152, �1(4), and we have no 12.❑ Roof repairs employees, [No workers' 13.[ Other comp, insurance required.] // *Any applicant thai checks box#13must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this'dffidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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 anti job site Information. Insurance Company Name; QVv. � �'/l ((✓((� Policy# or Self-ins, Lic, #' i�00 ; Q Expiration Date. Ln Job Site Address, 1 City/State/Zip;Attach a copy of the workers' compensation policy declaration page (showing the policy num 'er xpiration 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 eertlfy n r pains and penalties of perjury that the Inform rovide abovfrue and correct. Si nature; e. � ® b i. Phone#; --------------- Offlclal use only, Do not write In this area, to be completed by city or town officlal, , City or,Town; Permit/License # Issuing Authority(circle one), 1, Board of Health 2, Building Department 3, City/Town Clerk 4, Electrical Inspector 5• Plumbing Inspector 6, Other Contact Person; Phone g; j 1 CAPECOD-27 KLIGETT CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDtYYYY) 6/13/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Barbara DeLawrence Rogers&Gray Insurance Agency, Inc. PHONE 434 Rte 134 q/c No; (877) 616-2156 South Dennis, MA 02660 a oREss: bdelawrence_@rogersgray.com INSURERS AFFORDING COVERAGE NAiC_N INSURER A:Peerless Insurance Company - INSURED INSURERB:COMMERCE INSURANCE COMPANY _ Cape Cod Insulation Inc INSURER C:Evanston Insurance Company 18 Reardon Circle INSURERD:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 INSURER E INSURER F: CO ERAGES CERTIFICATE NUMBER: REVISION NUMBER: _ T IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IN ICATED• NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD UBR OCYEFF LTR TYPE OF INSURANCEINSD POLICY NUMBER MMIUDDa ID MMDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY { CLAIMS-MADE a OCCUR C608263063 EACH OCCURRENCE $ 1,000,000 04/01/2014 04101/2015 DAMA E REN ED PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY a PRO• ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: — ----- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident B ANY AUTO 14MMBCKVMK 04/01/2014 04/01/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident) $ X UMBRELLA LIAB X OCCUR 1, EACH OCCURRENCE $`. 1,000,000 CPN EXCESS LIAB CLAIMS-MADE XONJ453514 04/01/2014 04/01/2015 -- + AGGREGATE $ DED X RETENTION$ 10,000 Aggregate $ 1,000,000 KERSCOMPENSATION PER OTH- EMPLOYERS'LIABILITY STATUTE ER _ D PROPRIETOR/PARTNER/EXECUTIVE YIN WCA00525904 06/3012014 06I3012015 FFICER/MEMBER EXCLUDED? a N/A E.L.EACH ACCIDENT $ 1,000,000 Mandatory In NH) f yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 ' ESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers Compensation Includes Officers or Proprietors, Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CER IFICATE HOLDER -- CANCELLATION Town of Barnstable � t Regulatory Services % Thornas F.Geiler,Director 2QJl OCT 20 �� Building Division 2: 24 MRNSTABUE HAS& �* Tom Perry,Building Commissioner �jOTEo .t►�� 200 Main Street, Hyannis,MA 02601 0- ., f0 Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee �s 6 Permit#: HOME OCCUPATION REGISTRATION 4 Date: cJ Name: y% /G!�!/-1 Phone#: Address: Name of Business: -7 e Type of Business: f l ap/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space: - • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of.normal residential volumes. - • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,' odors,electrical disturbance,heat,glare,humidity or other objectionable effects, There is no-storage'or:use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be me't.on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • .There is no commercial vehicles related to the Customary Home Occupation;other than one van or one pick-up-trueknot-to%exceed one ton..capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary`Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • -If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. 0 No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I,the undersigned,h e re d and agree with the above restrictions for my home occupation I am registering. Applicant Date- O YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO BY M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 151 FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. � DATE: v Fill in please: APPLICANT'S YOUR NAME: .. BUSINESS YOUR HOME ADDRESS: ]� s>i 1 ✓=1 ,� .0 ry� TELEPHONE # Home Telephone Number: 7U NAME OF NEW BUSINESS i'6 C L_c—:i r2��76 TYPE OF BUSINESS Cvc` i3—,1 SC ;� [Zcz.rta t J2.uuc�l +2 1S THIS A HOME OCCUPATION? x YES NO Have you.been given approval from the building division? YES NO ADDRESS OF BUSINESS MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may'-need. You .MUST GO TO 200 Main St.'— (corner of Yarmouth -Rd..'& Main Street) to make sure you have the appropriate permits and licenses required to legallyoperate your business in this town. 1. BUILDING COMMISSIONER'S FIC This individual has been ' n' ermi requirements that pertain to this type of business. Auth p' gnat'ur _ 9 RULES AMUST ND WITH HOME OCCUPATION COMMENTS: ND REGULATIONS.IONS. FAI TIN FIN 2. BOARD OF HEALTH This individual h _;be n inform of th ,per t requi ents that pertain to this type of business. Authorized Sig tutu*f COMMENTS: $4 3. CONSUMER AFFAIRS(LICENSPG AUTPORITY4A This individual has bee inforrcte� th eosin equirements that pertain to this type of business. .. ck ,j . Authorized. ture** / COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 42,�� Parcel Permit# 7 15' Health'Division Date Issued Conservation Division OL3Application Fee Tax Collector -Permit Ff 99,0�© /�1�✓ Treasurer e Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 6""19/=47.-/W ff, Village Owner /1il/C/fAL L /rdr_h Address 6D/.e2 V', Telephone6,0-&2/— e/�2�1 Permit Request_&C*d P Is L g,4D LZ-L,4 ,,*G Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction'Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family O Two Family' 0 ' Multi-Family(#units) Age of Existing Structure Historic House: O Yes ❑No On Old King's Highway: ❑Yes O No Basement Type: 0 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: 0 Gas O Oil 0 Electric 0 Other Central Air: 0 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage:0 existing 0 new size Pool:0 existing 0 new size Barn:O existing 0 new size Attached garage:0 existing ❑new size Shed:O existing 0 new size Other: ~ Zoning Board of Appeals Authorization ❑ Appeal# - Recorded❑ Commercial 0 Yes ❑ No If yes,site plan review# Current Use Proposed Use t BUILDER INFORMATION " Nameil//�?2 Telephone Number o 0 V Address ��k , � = License# >? t>2 6,3a Home Improvement Contractor# /.'o 'er g Worker's Compensation# v,e 00 v ' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,hJre/t�pJ•TL= a ` SIGNATURE r DATE Z 2 d " FOR OFFICIAL USE ONLY a PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER %1 DATE OF INSPECTION: Co (G � �oGvrn� FOUNDATIONi L FRAME INSULATION = " } FIREPLACE ELECTRICAL:• ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL Y FINAL BUILDING' 7 /'i i✓ d/F 6 Y .{ r DATE CLOSED OUT ASSOCIATION PLAN NO. Y r ssachusetts The Commonwealth of Ma m _._ Department of Industrial Accidents 600 Washington Street ; J< Boston,Mass. 02111 Workers'.Coin ensation.-Insurance Affidavit-General Businesses s� name: address: . ..' . • 'city state: zi hone# • - work site location full address ❑ I am a sole proprietor and have no one Business Type; ❑Retail❑Restaurant/Bar/Eating Establishment worldng in any capacity. 0 Office❑ Sales (including Real Estate,Autos etc.)' ❑I am an em to er with etn loyees(full& art time: ❑Other %%y///%----%%�%/%---- - %%/%/ workers, compensation for my employees working on this job. I am an employer providing �8II Il m con V A `f: 30W i:. addr'e'ss'' 1 7 �,. .one.#.:'_ '� ��•' �. '. Vol insiirance.co' ' I am a sole proprietor and have hired the independent contractors listed below'who have the following workers' .compensation polices: . . . coin"en name: . bIIe..# city lih '011 com an. name - address:. :phone#"s -- :i 1 iiisurancr eo'�� - %///i --------------- Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that p copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under t e pains andp5p#des of perjury that the information provided above is true 4Tdcorr5Ft *' Signature Date Print name I LJ U Phone# �� 3n �s 4 Z' official use only do not write in this area to be completed by city or town official city or town: permittheense# ❑Building Department s ❑Licensing Board C check if immediate response is required ❑Selectmen's Office El Health Department . contact person: phone#; ❑Other (revised Sept 2003) Information and Instructions Massachusetts General Laws chapter 152 section 25.requires all employers to provide workers' compensation for their. employees: As quoted from the f'law", an employee is.defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a�joint enferprise, and including the legal representatives of a deceased:employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. 'However.the owner of a dwelling house having.not more than three apartments and who resides therein, or the occupant of the.dwelling house of another who employs.persons to do.maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such,employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the.commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required: Additionally,neither the conanonwealth 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 is the workers' eonpensation affidavit completely,by checking the box that applies to your situation.. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding"ihe"law"or if you are required to obtain a:workert.'compensation policy,please call the Deparfinent.at the number listed below. . City or Towns . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license.number.which will b�e used as a reference number. The.affidavits.may.be returned to. the Department by mail or FAX unless othei arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us.a call. The Department's address,telephone and fax number: . The Commonwealth Of Massachusetts Department.of Industrial Accidents Qlflce of fnvesfigmens 600 Washington Street Boston,Ma. 02111 fax.#: (617)727-7749 phone#: (617) 727-4900 ext.406 ofTMEr 'down of Barnstable Regulatory Services 13AMS A LF. Thomas F.Geller,Director Fp.19. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Rax: 508-790-6230 Office: 508-862-4038 Permit no. Date --------- AFFIDAVIT HOME nYIPRO'VEMENT CONTRACTOR LAW SUPPLEMENT TO PERNIIT 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 ovnpr-occupied building containing at least one but not more than four dwelling units or to structures which are adj acent to such residence or building be done by registered contractors,with certain exceptions,along with other .requirements. Type of Work: /1�s/'r a v I� L o qp /..3/41?1ll16 hi,441L Estimated Cost G Z 6G Address of Work Owner's Name:_ /1�';C�f ff�'L Date of Application: Z`� I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNFRs PULLING THEIR,OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IM:pROVEMENT WORK Do NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERIURY I hereby apply for a permit as the agent of the owner: Dat Contractor Name Registration No. OR Date Owner's Name i RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 �S Building Permit Amendment $25.00 FEE VALUE WORKSHEET NENV LIVING SPACE square feet x$96/sq.'foot= x.0031= plus from below(if applicable) ALTERATIONSMENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= S' O plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30,00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 'Above Ground Swimming Pool $25.00 3 r $150,00 Relocation/Moving (plus above if applicable) p Permit F e �S proicost ■®■®®■.....■■■■■■..■Me■MOOR#RMO HUME■..®■■■■■■.■■■■■■■■..s.■®■■■■ ■®■■®®■■.■■■■■■s■■■■■■■ ■■■■■■■■■■■u■■■■■MMMME■■.■.■■ ■■■■6'1�■■■■■1�■■■i■■■■i■■■■ii■■■■■■■■■■■■®■■lei■i■■!�6■ �■■■ ii®i®■■■■ ■■111�■111�®■®■®®® ■®■■■®■■®.■■■■■■■■■■ ■■■■■■■■■SUN ®®■■■■�# ®■■®� ®■.®��.®®®®®®®■®�i■■■■�■■■■■■■■■�■■■■■■■■® ®®®®�■■®®■■■®®®� ■.■■®1■■■■■■■■■■■■®M■M■d■■■■■■■■■■■■■■■■■■■WEE■■■■■■■■■MMMEM■■■■ON !■■■■ ®■■■■■!!■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■SEE■■®®■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■®■■■■■®■■■■■■ ■■■■■■■■■MEN MMM■■■■M■■■■®■!■■■ .■ ■ ■.■..■..■■..■■■■.■®..■.■■■� ■■.■■.■■s■■■e®.e..■■■■■■■■see �"�i..iyfl®'iEG'�Qti1WitlS[tr�SS�� �d'..P"[�5 �1� ■��■.��.1 �■■■■■■■ _ ___ ���� 1�■ ■■.■®.■.■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■ ■u■■■®®■■ ■■■®®■®■■ ■■®®■■gee.■e..■■■...■■■■■■■■■■■■■��■■■■■■■e■u®�..�.�3uE�a■■■.■■■■® ■■■■■■■■■■■ ■®■■W■■■■■■■■■■■■■�' ■■■■■■■■■■■■■■■.■■.....e■■■■■ 1■■i■■®■■■■■■.■�''■®■U■M■e■■■■■■■■ ■.■■■■■. ■.■■■al■■■®■■■■■■ ie■■■®®■■■■■■.■■■.■■■■■■.■®■■■■.■ i �MAMEM.. Tom■ ArW.M■.■".i EMMEME am Mon MIN NEESE MM-MNMMMMMMMMM ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■.■®®®■■ ■ ■■■■■�■■■■■ ffi � ia� �;mom■ ■■u■■■.■■� ®> ide■w ■■ ■ �grim ■ ■.■■■■ue■! 0■■uu■■■■■■■■■■urJ■■■■■■■■■�i■■■/jAWMEMEM■■■■■ ■...■■■■■■■ilk/■■■■■■■■■■■■■■■■■■T/ .■.■■■■■■■.■iiA■■■■■■.■■■■M■■ MEMO i■■■!!■■■ INNER _■■■■■■■■_■■■■■■■■■■■■■■■■■®A■■■s■■■■■■■■■■■■ �AVV■■■■■ ■■■�■■■M ■■■■■■■■B■■■..■■■.M■■.■■.e■ ■■■■■■■ ■■ .. ■■.■■■■■■■■■■■■■■■■■■.■■■■■■■■■■m■■e■■■■■■■■■■■■■.■■■ i L L 13 G LLy s' G so , °FTME Teti Town of Barnstable Regulatory Services s BAMS OL& ` Thomas F.GefIer,Director asess. 9�'pTEci•`� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section • If Using A Builder Nfe- 4&.f_ l G G: .. . .._ ..,:_..;a�s.,0oanex..of the.subjectptopetp- hereby authorize - : . .to'act on ray..behalf,. in all oattets relative to work authoiized.by this build' g•per t application for: x (Address of Job) $igaeare of Owner Y Da e Print Name Dianki & Braman, RE 189 Harbor Pam ju CwnmaquA MA 02637-0361 Cb f-�'C�+��j. 1�c.00R 1.-01��7 �• Z4,/. jr, t m"A jjEt-,c�ep jei, t1sle vli8- 15 y "&re, wl *- 4w s v®� � of 4414As� DANIEL E. v BRARdIAPI a ,TRUCTIfRAl e N0.5 �SSAORO, Fv 2� zt4 -O`f RAMSBEAM 'V2 . 0 - Gravity Beam Design " j Licensed to: ban Braman, P.E. Job: Duprey Res. Barnstable Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W8X15 Fy = 36. 0 ksi Total Beam Length (ft) = 13 . 83 Top Flange Braced By Decking LOADS: Self Weight = 0 . 015 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0 . 00 13. 83 0. 180 0. 180 0. 000 0 . 000 0. 480 0. 480 SHEAR: Max V (kips) = 4 . 67 fv (ksi) = 2 . 35 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 16. 1 6. 9 0. 0 1. 00 16. 41 24 . 00 16. 41 24 . 00 Controlling 16. 1 6. 9 0 . 0 1 . 00 16. 41 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 1. 35 1. 35 Max + LL reaction 3. 32 3. 32 Max + total reaction 4 . 67 4 . 67 DEFLECTIONS: Dead load (in) at 6. 92 ft = -0 . 115 L/D = 1438 Live load (in) at 6. 92 ft = -0. 284 L/D = 585 Total load (in) at 6. 92 ft -0 . 399 L/D = 416 Massachusetts Casualty ® ® Insurance Company 155 Federal Street;7th Floor h y Boston,MA 02110 Incorporated 1926 (617)728-8000 PREMIUM NOTICE DISABILITY INCOME POLICY y STEPHEN WHITNEY HAZARD PO BOX 526 BARNSTABLE, MA 02630-0526 . Notice Printed: Agency: : 03/21/02 MC007 Policy Number Mode of Payment Amount Due Due Date 0600023 TA# 16920 QUARTERLY $ 218.85. 20 APR 02 "OUR BILLING NOTICE HAS .A NEW LOOK." t / OUR MAILING ADDRESS FOR PAYMENTS HAS CHANGED. Clt 3�r� PLEASE MAIL THE BILLING STUB IN THE RETURN ENVELOPE TO ENSURE PROMPT AND PROPER CREDIT. ALL OTHER INQUIRIES SHOULD BE SENT TO THE ADDRESS ON THE TOP OF THE BILL. THANK YOU. PROMPT PAYMENT PROTECTS YOUR FINANCIAL SECURITY PLEASE RETURN BOTTOM PORTION OF PREMIUM NOTICE WITH YOUR PAYMENT Board of Building Regulations and Standards BOARD OF BUILDING REGULATIONS HOME IMPROVEMENT CONTRACTOR License: PfdNSTRUCTION SUPERVISOR t Registration: 107529 Number:Ga 026361 Expiration: 8/4/2004 Bi i 4106/1938 Type: Individual Tr.no: 20381 ANDRE•G.DUPREY Andre Duprey ANDRE G DUPRVY° 24 Fraser CUPO Box 373 FRASER CT BARNSTABLE, MA 02630 Barnstable;MA 02630 . — Administrator 4dtninistrator v Assessor's offioe (1st floor): _ o`I ETO Assessor's map and lot number . ........ .... Board of Health (3rd floor): .On�^ 3 ' � l d� K Sewage Permit number ......{. e. ►.•�..1.... ..� 1 g � J �aocz Z BARMTMUE, Engineering Department (3rd floor): �oo''�p16}9- j' =�f" ,t 1 �e House number ................................. ..............a....................... oYar APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR r�� rafz�M APPLICATION FOR PERMIT TO (�D�U /,,,,,, ,�/¢ r��,, �DSE� 77� ........... .............. o................. ................................. �DD�...C"ALA/ ............................... TYPE OF CONSTRUCTION ...................... ................................................ ..........................................19........ TO THE INSPECTOR OF BUILDINGS: �y The undersigned hereby applies for a permit according to the following information: Location .............. ......... ............!�.T........................17.1t111101oX5........................................................................ Proposed Use ...........�a..E �.� U ............��"�IyI/.1.�.....!4.C�O.�............... Zoning District ........................................................................Fire District ....................N............ /�.5........................... /V / -- Name of Owner /GfyAEL V...../.�D.0 ...........Address ....... ....... L 7 f .........S ............................ ..................................... . Name of Builder ....C:-/ Ix//..........Address .S—Q UAAJ...X�.:.......W!..? e2?14 U j Nameof Architect ........./L/0A1............................................Address .................................................................................... Number of Rooms ..................................................................Foundation ................................................ � � Exterior ....../) . ....... A1 .!.l.�-...........................Roofing .......A.512A.A.61: .......,.,.A.o'Ll../c................ Floors ......A)0.0.6...............................................................Interior .................................................................................... �prlc ......yGO.... -SAT .....Heating ................... .. Plumbing .................................................................................. Fireplace .............. .........................................................Approximate Cost ...........1110i.000....... Definitive Plan Approved by Planning Board --------------------------------19------- Areay... 71!�—• sT•:.. �- Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r _ _ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town Barns�le regarding the above construction. Name ................................. ................................................. M Construction Supervisor's License ...!Q...........Py'........ f KOCH, MICHAEL J. A=292-084 No .... 9914 Permit for .....Remodel/Garage t.o 1st Floor Enclose Patio./ Single family Dwelling Location ... S.t.r..eet..... . . .... .............................. Hyannis........................................ Owner ....Michae.l J. Koch .............................................. Type of Construction Frame ................ . ....................... ............................................................................... Plot ............................ Lot ................................ Permit Granted Sept. 15. :19 86 ............. ................ . Date of Inspection ...................................:19 / Date Completed .............................:........19 i �0 111197 Assessor's map and lot number .�. ��. .. `� � 1�%: �C 4;1, �� G.. .......... S TN E Sewage Permit number •�!� J v Z BAWSTADLE, i House number ' j MABa i639 . 't D MAI a` TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ,............................................................................................................................ TYPE OF CONSTRUCTION ................... r`4 ..................................................................................... a ^ IJT �?............... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................... ....../... ,�f/- ........���........... .J`i.!✓� .1/11,�, 5.. ..<..��: 1� .................................................................. , ProposedUse .....1_.,TA!3A(-t'.6..................................................................... . ........................................ ........................ L Zoning District ................ ..�.............................................Fire District .......1-7&,4A1 t./,1f........................................... Name of Owner ............. ........5. .j�-.:!�t.............Address ........, ......�, .... .. h4 ?nl!U ,> Name of Builder 5.; /?,;;�.:............................................Address .......... . ................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ......... Z.lR.A.--n........................................... I Exlerior ...................../%�� .... �1.4A.)41e......................Roofing ............ .f....... .,............................ ,r Floors ........ ................................................Interior ......%1.!e4.../!„7.; / .............................................. Heating ..........:......., ...............................................Plumbing ............ J<�l.t�.`. � ..;............................................... Fireplace ................A e� t ....�..........................................................Approximate Cos , � r' ....f................ .a... Definitive Plan Approved by Planning Board ---------------_------_________19________. Area :t err'...: .............. Diagram of Lot and Building with Dimensions Fee a.. '................ SUBJECT TO APPROVAL OF BOARD OF HEALTH ?/a,Ydj 1 z, .�` - } as I � f I I I _ I I 5T I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...�u ..................................... Koch, Michael,_,. A=292-84 No .... Perrr:�t for Ad&n...to... .............fanUkt..dwP_kkubq................................. Location .......I...De.,"I.ta..S.t.................................... ................. ............................................... Owner ....M.IchaeJ...Koch.................................... Type of Construction frame /......................................... ............................... ................................................ Plot ............. ........... Lot ................................ Permit ranted .......Sept ...............1979 sp cti, Date o ranted ....................................19 Date Complete-U"_.._.._.... ...........................19 PER REFUSED ........................... ........................ .......... 19 t ......... �.. ....`.Cp...... ..... .. ... .... .. ................ ....... ................................. ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number .:. . THE TO Sewage Permit number .......:L /log $Epnc" / � 1NSTAL 7lefto STABLE, i House number WrM r O1639• � E;1IVIRONME , nr a' TOWN OF BARNSrYXBB LAMM BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION .................... /l ..................................................................................... T....c .4.................. TO THE INSPECTOR•OF•°BUILDINGS: a f The undersigned hereby applies for a permit according to the following information: Location .................../....../�hw........5[.7............gy.AtMs......1!.IIQ-,.............I............ .............................. ProposedUse .....1.7 '! ... .................................................................................................................................................. Zoning District .:........... ...................................: � Fire District ....../Z7Y.1. /S.-Al *5........................................... ......... Name of Owner ... /.. - f1±4` ...../.. jO.G.! ..............Address ....... ,,�7"t,.'./�t1�/Sl/.5. Name of Builder ......15A- '. i.C•............................................Address ......... 000. 2,104r.................................................... Name of Architect ec ..................................................................Address .................................................................................... Numberof Rooms ..............................:...................................Foundation ........ ........................................... Exterior .....................tirlJ440.Q...,Sh../.N..��4......................Roofing ...golk ..7�r` ,,�111.�Q1.�.............................. Floors ........4Qw..C'.,4................................................Interior ...... e¢1�........(......................... HeatingA10/41.0................................................Plumbing ............/V4.t.S1.�S/r'..'............................................... Fireplace .............../AI��..........................................................Approximate Cost ... .......................... . ... Definitive Plan Approved by Planning Board -----------_______-----------19 . Area `. .. ........11..ct. ` Diagram of Lot and Building with .Dimensions Fee ... +. SUBJECT TO APPROVAL OF BOARD OF HEALTH � .�f/Sn'�/G l�u�c!/•vG I � ,&0- 5r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. .................................. Koch, Michael A=292-84 G No ....2.1.6]5.. Permit for ........ fam i.J..v...dh��.l.l.i:ncl. ... . ............. :` - Location ....I..J.ta...S.t..:.................................. IA ~� .....................HY.�1?.Cti:S........................................... Owner ...M.!chatY.l...Komi.................................... Type of Construction ..........frame..................... ....... ..................................................................... Plot ........................ Lot ............................... • f Permit Granted ........SePt.......2.0........ 9 79i Date of Inspection .... .......... .19 Date Completed ......................................19 PERMIT REFUSED .. ................................ 19 CL . ..................................................... ....... k.................................................. ` ....... ............................................. Appr ...k1i. ................................... 19 ............................................................................ i 1■■■■®®®■■■■■■■■■■■■■■■■■■■■e■■■■■■sae■■■■■■■■■■■■■■■■■■ee■■■■■■■e lee®■■®m®111®■■■■■■■■■®■■■■■■■■■■■■■■ill■■■®■■®■®■1�®e■m■®■e■®®■®1�■■®■s !■■■®®®®®■■■■■■■■■e■■■■■■■■■■e■e■■� ■■■■■■■■■ENE■■■■■■■■■■■■■113 ■■■■ 1■■®®®ear®®®®■■■■■■■■■®■®■se■■ e■■eC■e■■■■■■■■■■®■■■■■■■®■■®■■■■■■■ Im■mm■■■■■■I■■■■■t5 r ;19ra16d7■■■■ �■■■®■■®®■®■■■■■■■r Vic.-��r:.�rl�.r�■■■■■ ■■■■s■■■.�i_��r.lmc�r_���-a►.�a�■■■■■■ ■■®■®®®■■■■■■■■■■■r. .►. e■■e■■■ ■■■■■■■■■■■■■■®■■®■■®®■■■■■e■ 1■■■®■r■m®®E■■■■tl■■®®®®■®■®®■®■■■■■■1 ■■■■■■■■■■e■■■■■■■■■■m®■■■ee■■ IC®®®®ili®®®■■■■■■■■■■■■■■■®■■■■■■■■ ■■■■.■■■■■■■■■■■■■■■■■■■■■■■m� 1■■®®>Ilma®■■®■■■■■■■®■■■■■®■■e■e■■n�■■®■■■■■■t111�■■■■e■■e■■e■■e■■■■ 1■■®®■®®■m■■■■■■■■e■■n■■■■■■■■■eta■■■■■■■■■■■■■■■■■®■■■■■■■■■m■et► 01� ������� ■� �����■tee■■■■■■■ ■■■■■■■■ e■■ne■e 1■I�.I��l®III!®®®■®■■■■■■■■m■■■■®■■■■■■■■■��■■■■■■■�■■■■I®■■®■■11■■■■■■■■ ■ ■■■®®.■®■■■■■■m■■■e■■®■■■■■■■■■■t�■e■■■■■■ ■■■I MEMO le■�alsOMe�t■■■■l I■ ■■■®■®®■■®®■■■s■■■■■■■■■■■■■■■■■ ■■■■■■■e ■■®■■■■■■■ ■■■®■■■■■ l■eilm■■e■■®1®�®��®®®■■Il■®�®ee■■■■■■■■■■®■■■■■■'m®■■■■■■m■B®�®■p■�■s s■■®�7■i■■■■■■■■Elm ■■■■■■■■■■■■■■■■■e■■■■■®■■■I®W■■■■■e■■■®■®®■®■e®■■®e -----■■■t, ■P�Jam®®RI .�� ■■■■t s® ■■■■■e■m ■ ■®■®■®■® ■■®Ili■■■■®®®®■®■■■■.. 1;�■■®mom®®®■■ ■S�■�mlt■®■■■■■■■■t' ■■■■■■®■■■1?�J■■®■■ees■■®m®®■■■■■i IN rim Ilya®®m■■� �. �>tl■■■®■■■■■� ■m■®■■■■■�■■ I®m®®®■■®■®®■®■■ !■{'7■■®i®®®®all!■■■®■�tli�1111'�i�■■■■■■■■■■ ■■ee■■■® !■■■■�1■■■®®®■■.@I■ i■sae■®■■®■■■■■■■e■■■■■■■■■■■■■■■■■■� a�■■e■■■■■■■■■■■e■■■■®■■®■■■■ ■ ■■■■®®■■■■■■■■■■s■e■■■■■e■■■■■e■ ■■■■■ ■■■e®■■■■■s�■■■■ea■ear■®■®■■■■■■®■■� ■ ■i■®®■■®■■■■■■■■■■■■■■■■■■■■e■■ ■■mmm® ■■■■■■■■i■ ■■■■®■■■■e■■■■■e■■■■■■■■e■■■■e■■I ■■®■■■■■■®sit■ ■■ ■�■■■ ■■� i■l�■■■®®■■■■s■e■■■■■■ee■■®■■■■■■■■■ ■■■■■■ ■■em■n® =■®■®n■■e ►■l.■■ee■®®®■■■■■■m■■■®■■■■■■■®■■■®■ ■■■■e■ ® ®■■■■■ee■ee�i �ese■■®■e■e■■■■■■■■■■■■ MEMEMMEMEMMEME ■�® ���:�r���� �I ��+i�i��■■■■■Wfllile��®��1��®��t�ri���� � � �I�E���� i■w■■■■■■■■■�■■■■■■■■■■■■■u■n rye■■■■■■■■an■►�■■■■■n■■■■ ■■■■■®111®■■■■■■■■■■■■■■■e■■■■■■■ ■■■■■■■®■■�-ar-a■■■■■e®®■®■■■ �ME ®It®R■t! ■■■e■ ■ ■■■ ■■■■ ■■s■■■■■■■■■■u■aame■■■■m■■■m■■■■■e I■r -90► - no ■ ■■■ ■■■■ ■Ii■■■■■mot■m ■■■allt;®Ei®■®■■E� m®®■®■■ imm■ w: Assessov off ioe Ost floor)", ' p%THE to "'s rma .and lot number - �!.. ... sp 'Assessrr P � �°��_ o • Board°)f Health `:(3rd floor): „¢ 3 5 SEPTIC SYSTEM MUST Sewage Permit number '...... . a9v. !. 'C NSTALLED IN COMPLI/A � a LE, . EngYeerrng'Department (3rd-floor): ( TITLE00 ,639;��0�� WITH 5 Hour a number ..:... .. ,i o gar . f ENVIRONMENTAL-COPE A APPLICATIONS PROCESSED 8 30',`9:30 A.M. and 1:00-2:00 P.M. only' '' TOWN PEC�� TI ONS r F i -TOWN `OF f BANSTABLE t - HILDINA : INSAPECTOR r - APPLICATION 'FOR PERMIT TO �©!UU.C�...........16"1. 7v...:.:.t TYPE OF` CONSTRUCTION ' �c7BD>/�. .r� ................ ..............* ....................... r TO'THE INSPECTOR OF BUILDINGS: The,undersigned hereby applies ,for a permit according to the following' information: Location ............0. .. .: .E 7r ....... ............. f1it1 /.`S .... ............................................. • Proposed Use :. y ..... © �... ..../ ............................................. Zoning District ...:.....Fire District ......:.....`... � Nti�`5.... /G AEL G�..... .....Address ......�......:�ELT Ste' Name of Owner;.... /7 V..�...l.�o........ .........................................:.....:.................. Name of Builder /L�.... lf�! /�/�/l��l. :. ..Address = . .'��14.U?9 �.�.. � ....�5!.!/ 2MO.U�' r '' // Name of Architect ......... .0 ....................... . .....Address" ....... .... Number of Rooms .:...................... .....................:..:.....:.... .....Foundation ........:.. d .............................. Exier ior' ..:... Wo���.....�h./.�a..�...... ......:. .:::..Roofing .....�:�f.1�.A..-�/. ....:.��.jG4.�/..1.�..:............. Floors` ....../�c/Q .Q..............................:... ...... Interior. :......... . ....... . ................................................ Heating '-:......:�0�2C��::..a.Ha,.1:...1-J.�'"�v-�.z-:..:..Plumbing. ...... ..... ....................f ............................... ,`Fireplace /� ::...............:....... .. .:.APProzimate Cost ..... ......?��..Q. o... Definitive Plan' Approved by Planning Board _____________:_:---------19 _ __ __'. Area �.. . .. ..... ..... a Diagram of Lot and` Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH m . +••-...w .. � .mom..._ -'.�' s - n '^. . y ,•.. h r'; _ -- a' ... --• �. �^n## a __ ___r. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS _ I hereby agree to conform to all the. Rules'ond Regulations` th Towd of B nsta e'regarding the above n t construction. N e .. Construction Supervisor's License ... ... KOCH, MICHAEL J. 29914Permit for .•Remodel/Garage to 1st Floor - .......... - No . ... ... Enclose Patio/ Single Family Dw. Location 6 Delta Street -Hyannis ............................................ " � ,� .J • Owner Michael J. Koch Frame Type of Construction ....................................... Plot .............................. Lot". Se te ir^ Permit Grari,ed m P... ...ber..........1.5,.:.1, 9 86 Date of.Inspection :........................... ....:.'19 =;^ r - Date Comple ed ................. ......._...... .19 C1aF21 Iv 0. .. 1 1 I �-1 ?In ,-juowirof Barnstable *Permit# C Expires 6 months from issue date ,�,► , : 7r!" IM egWitory Services Fee v MASS. Thomas F.Geller,Director . �p s63q ��0 �1 _ Biul ' g Division P R -'T�Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 A N- 2004 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTAKE EXPRESS PERMIT APPLICATION. - RESIDENTIAL ONLY Not Valid without Red%Press Imprint Map/parcel Number Property Address [�Residentiai Value of Work Owner's Name&Address IW/CAU'L K6 C# Contractor's Name Telephone Number Lo 2 2eZ-_Z Zi Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) OZ, C3C1 [•]Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner Y"I have Worker's Compensation Insurance `' Insurance Company Name g SS' cx J'U�Y //V S co - - Workman's Comp.Policy (check 6 - r as F vSI�IIG S,f�) sT>1L/� ���aI� Permit Request ) E/Re-roof(stripping old shingles) All construction debris will be taken to z9le"W/°sr/% ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *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. Home Improvement Contractors License is required. Signature ' Q:Forms:expmtrg DfT Town of Barnstable Regulatory Services s s +srastE. ' Thomas F.Gefler,Director KAM Building Division _ Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder th.e.subject plop ertp ...._:.._. .: hereby authorize ,¢i 94 a-.�� �i�L! . . .to:act on my..b.ehal�. in all shatters relative to work authorized`by-this building•pe=m t-application.for: (Address of Job) G S�•te of Owner ate A Print Name