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0080 DUNN'S POND ROAD
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 Application # / 7 Health Division Date Issued -7 fZ—t 7 Conservation Division BUILDING DEFT. Application Fee Planning Dept. JUL QQ17 Permit Fee a Date Definitive Plan Approved by Planning Board TOWN OF BARNSTABLE ) / Historic - OKH Preservation/ Hyannis Project Street Address tv? a4ea Village 100 ..// a7n/ Owner 1'7 Address n S Telephone Permit Request Ae os-to ue- /t4„ 4,4V P Gy� -z, 4?r1 4-110e ,L,u;,, 1&15,� cte? e-7-e .�is ti J6 sfs g, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation d. 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 2004 /den° Historic House: ❑Yes 8'lqo On Old King's Highway: ❑Yes alVo Basement Type: @<ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) /v ,O Basement Unfinished Area (sq.ft) ?Z� Number of Baths: Full: existing Z. new U Half: existing —new-0 Number of Bedrooms: existing —new t w/9S 3 ?Le le-le / 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 -���%rG!'Ia.��( /i�?.,1,o�rO_ f Telephone Number Address a y �,%�ro ,/�i� License # OyQ 5/442 Home Improvement Contractor# Z,096 o Email 62" f4 0 4ti?4r��� �°ayi� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 7 SIGNATURE DATE /�—/ ` FOR OFFICIAL USE ONLY f APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 15 GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. d/�eanro�zaart�se�c�t�af�/ll = = Office of Consumer Affairs&Business Regulati o � s,, ' HOME IMPROVEMENT CONTRACTOR t = Registration: " Expiration - .108696 Type: DBA M$M C;ONST. Michael Childers 24 HARWOOD DR. P0QASSt:T,MA02559 �. t Undersecretary e Massachusetts Departr:ient of Public Safety_ , `Board of Building Reguiations and Standard ' License: CS-040463 Construction.Supervisor - t MICHAEL J CHILDERS 2414ARWOOD DR POCASSET MA,02559 Expiration: Commissioner 09/16/2017 UAM Town of Barnstable Regulatory Services Richard V.Scali.Director Building Division Paul Roma Building Commissioner 200 Main Street, Hyannis,MA 02601 www.tOw n.barnstable.ma.us Office: 508-8624038 Fim 508-790-623111 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize ( l i der — /� L tom t �t-1 to act on my behalf, in all matters relative to work authorized by this building peanit application for. (Address of Job) 3 ADO 07 �[S lure of Ownerat ( to Print Name If Property owner is applying for permit,please complete the Homeowners License Exemption Form the on e reverse side. C-'UsersldceolldcxAPPDatalLocallMierosolilwindowsUNetcachelcontcni.oullook1UU69LF2%EXPRESS(2).doc 01/B/1? , The Commonwealth of Massachusetts Department of Industrial Accidents . Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: �4Jv aGr �j' f City/State/Zip:P'ee--rL5-e"7� �� Phone#: — 6� Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction ployees(full and/or part-time). - . 2,RN am a sole proprietor or partner- listed on the attached sheet. 7. modeling 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 I0.❑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 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑Other employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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 and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine - of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: — / loo, Phone#: O Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector ` 6.Other Contact Person: Phone#• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,�L, ,,'O,' Zl� Map_ �70 .Parcel GC Permit# Health Division © ' T LE Date Issued G Conservation Division : /TO ?P05 APR -4 pM 2, 55 Application Fee Tax Collector Permit Fef Treasurer :" _n. L31 ISION Planning Dept. 8Y>$TE"1f� Date Definitive Plan Approved by Planning Board UMIOTOre in S Historic-OKH Preservation/Hyannis Project Street Address tPO 41 Village _Owner ����rya C'r; 1��.c/ Address io',4, *2 4 �'� �(/07 Telephone IP6a- 1 i r t ,ice Permit Request i417(4za . /�p 7 lC- Gv ����a�/; Square feet: 1 st floor: existing proposed 2nd floor: existing —G — proposed ( Total new 7;z0 Zoning District Flood Plain Groundwater Overlay 41 Project Valuation /1 7,d UD Construction Type erlrld7 Lot Size l�T 716 S r Grandfathered: ❑Yes ❑No If.yes, attach supporting documentation. Dwelling Type: Single Family Ud Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes U-No On Old King's Highway: ❑Yes 51ko Basement Type: R tuFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) cr Basement Unfinished Area(sq.ft) 7�0 Number of Baths: Full: existing / new Half:existing new Number of Bedrooms: existing new 0- Total Room Count(not including baths): existing zf new y First Floor Room Count Heat Type and Fuel: Ef Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑Nol . Fireplaces: Existing New —0 Existing wood/coal stove: ❑Yes 816 Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage: ❑existing knew 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 BUILDER INFORMATION Name l42 �'d�y?�� Telephone Number 1,7,go- 61(?-// Address ,&yy, 4.4 License# 6 0 W44 z f,IS A4 ©JL,c l Home Improvement Contractor# 116669 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO T 9tt E-4 SIGNATURE DATE J��,'S C�Ar- FOR OFFICIAL USE ONLY + PERMIT NO. A DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER -. Y DATE OF INSPECTION: FOUNDATION goo p d '7 2q-a45 zszmT �I,LL -t tgS o k - FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL • PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT f ASSOCIATION PLAN NO. r � j M CMR Appadis J Table ALlb(continued) ted with Fossil Fuel prescriptive Packages for One and Two-Family Residential Buildings gem MAXIMUM MINIMUM Wall Floor Basement slab Heatiag/Cooling Glazing (lazws r Ceiling wall perimcta Equipment Emcicncy Area!('/°) 11-valuer R-value' R-values R values R-veitae° R valuu° Package $701'to 6500 Headgg Degree Days' Normal 6 Q 12% 0.40 38 13 19 to- 6 Normal R 12% 0 52 30 -19 19 10 6 UE 3 12% 0.50 38 13 .. 19 10 Normal NIA __._..... ...__...T--._.. -----..15%..:_._.._ .._.....0.3.6. ..... .__._.-38 13 ZS NIA U '15% 0.46 38 19 19 10 NIA 8S AFUE `i 15% 0.44 38 13 25 N/A 6 85 AFUE �V IS% 0.52 30 19 19 10 Normal x 19% 0.32 38 13 ZS NIA NIA NIA Normal y 18% 0.42 38 19 2S NIA 6 90 AFUE Z l8% 0.42 38 13 19 10 6 90 AFUE AA 18 0.50 30 19 19 10 1. ADDRESS OF PROPERTY: 0 -17 2,S 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4, %GLAZING AREA(#3 DIVIDED BY 92), 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: N0: I q-forms-f980303a 780 CMR Appendix J Footnotes to Table A2.1b: 3 Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U=values cannot be used. The ceiling.R-values do not assume a raised or oversized miss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be subsrituted-for�R-49-insulation: Ceiling Rvalues-represent-the sum of cavity----- insulation -..- insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 4 Wall R.-values represent the sum.of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding, structural sheathing, and interior drywall.For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 4 The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mcec the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes elebtric resistance heating use compliance approach 3;4, or 5.• If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see.Table J511a NOTES: a)Glazing areas and.U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value ' in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 r OF'(HE rod Town of Barnstable Regulatory Services. BAsraBra;� Thomas F.Geiler,Director 039. & Building Division TED MP'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 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: dT77�. ��� `¢ �a � Estimated Cost / �i O14 UO Address of work: �(I 77e�2tif ��• �� lAtiti c S Owner's Name: Date of Application: ✓/ Q ���� I hereby certify that: ' Registration is not required for the following reason(s): DWork excluded by law []Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that. OWNERS PULLING THMIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: / 4�A 0 Registration No. Date Contractor Name g OR Date Owner's Name Q:forms:homeaffidav I The Commonwealth of Massachusetts Department of Industrial Accidents' 600'Washington Street Boston,Mass. .02111 Workers' Co ensation.Insurance Affidavit-General Businesses %///////////�/%%////O �OE - 5 ,�` }° <�r var,. •. .yr e"^1Fa:r•'a�.. .. .• x: , :';,:abut ' name: %�/ �4 �� ��r/ 0 address, 4?(0 CET Ff h� ci state: Zip: phone# w site location full address : . I am•a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Bating Establishment ' working in any capacity. ❑ Office❑ Sales(including Real Estate,Autos etc,)' ❑I am an em to with em to ees(full& an time) '❑Other [ I am an employer providi4g workers' compensation for my employees working on this job.. ..eII;::sine: •"� `ti' •''°�' comp VII ,•• ' Is 7 • c, .•..y;max•' ,: , ,. ,t) :•t`..?' .' address:' city:• ohoiie:.#.:, arice.co'' :J, :k•••.• ohc, •#!'' / M, I am a sole proprietor and have hired the independent contractors listed below who have the following workers, compensation polices: �.�:. �•; .. ;-' - };�..:•.. is :}::t': ..•�;.::�, - company name• - -- tih'oae'# city � .. eas compari a e•- - --- - address:. . ' . .. _ •• . . city�- :.baone#: Fallure to secure coverage as required under Section 25A of MGL 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 WORK ORDER and a fore of$100.00 a day against me. I understand that 0 copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certiaun, the painsandpe ties of perjury that the information provided above is true and correct C - Date Print name /(IQ Lam. Phone# 5 ZT- 7,)0- UJ' � ... .. official use only do not write in this area to be completed by city or town official city or town: permidlicense# ❑Building Department ❑Licensing Board ❑-check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised Sept 2003) Information and Instructions Massachusetts General Liws.ch4 pter�152 section 25.requires all employers.to provide workers' compensation for their.. employees.. As quoted from the law', an employee is.defined as every person in the service'of another under any contract of hire, express or implied; oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in ajoint 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 thedwelling house of another who.employs.persoiis 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 lth for an a licant who has ' the.cdmmonwea w of a license or permit to operate a business or to construct buildings n Y )?l?. . not produced acceptable evidence of compliance with the insurance coverage required: Additionally, neither the commonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this.chapter have been presented to the contracting . authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation..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 the"law"or if you are required to obtain a.workers.'compensation policy,please call the Departriient at the number hsted.below. . Xx City or Towns . Please be sure that the affidavit is complete andprinted 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 Ve used as a reference number. The.affidavits maybe returned to the Department by,mail or FAX,unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a ca1L The Department's address,telephone and fax number: . The Commonwealth Of Massachusetts Department.of Industrial Accidents BMW of Ieit SU90on8 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 of,HEr�,, Town of Barnstable Regulatory Services B"WgrABL% II Thomas F.Geller,Director y MASS. A Building Division Tom Perry, Building Commissioner 200 Main Street, Iiyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, I) .o (/ P ,as Owner of the subject property , 1 r hereby authorize iall to act on my behalf, in all matters relative to work authorized by this building permit application for: lJLJ jAl 1,11 r� w. (Address of Job) ko 0 J n e of Owner Date Print Name 1/7e .�omirrwouuea/t o�..�aaaac/uraet7a Board of Building Regulations and Standards 1 HOME IMP OVEMENT CONTRACTOR Regist fir ; 116609 ' • • _ �f R�ItYM� N �. G •� - �2006, pe`1g {W, ual BILLYECAUTH �AII� BILLY CAUTHEN r `= ' 86 BETH LANE V,� n5 J f` HYANNIS,MA 02601 i. Administrator BOARD OF BUILDING RE-GULATIO.NS License: CONSTRUCTION SUPERVISOR Number: CS 009975 BiOhOate;,08/13/1942 Ezprres:.08/13/2005 Tr.no: '2186 RfttrPcted: 00 BILLY E CAUTHEN 86 BETH LN HYANNIS, MA 62601 Administrator R. f l QO.OQ EX. MAP 270, LOT 17 SHED 180 DUNNS POND RD. BARNSTABLE, MA to N TANK `O o 0 00 BH of N N EX. DWELLING 37.79 61 3�31 M N O M (O 100.00 DUNNS POND RD. SEPTIC SYSTEM SHOWN LOT AREA 12,916 SF _. .-IS-DR�4-Y04-FROM A55=-BUILT ON FILE AT THE TOWN EX. DWELLING AREA- 771 SF HEALTH DEPARTMENT EX. .L0T COVERAGE= 6% CERTIFIED PL 0 T PLAN CULLEN RESIDENCE CERTIFY THAT THE IMPROVEMENTS SHOWN of a J80 DUNNS POND RD. AVE BEEN LOCATED WITH AN INSTRUMENT ��,P` Ass�c� BARNSTABLE, MA JRVEY z ROBS ys DATE JUNE 9, 2003 DRAWN: RBS o SYKES �, SCALE:1"=30' J G. CPP 0419 �o No. 354180 o EASTBOUND E��tr ,� LAND SURVEYING, INC. 1sT o P.O. BOX 442 088 SYKES, AfS. DATE FORESTDALE, MA 02644 508-477-4511 f RESIDENTIAL BUILDING PEPOUT FEES -.APPLICATION FEE. New Buildings Residential Addition $50.00:.:.: ` Alterations/Renovations $'50:OOw - D .O C� Building Permit Amendment $25.00 _ _.._ . .. FEE VALUE WORKSHEET X NEW LIVING SPACE _square feet x$96/sq.foot= 6 d x.0041= 3 3• 7 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE;._ square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) q square feet x$32/sq.ft._ / 6 x.0041= �• 7 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.0041= STAND ALONE PERMITS Open Porch _L x$30.00 Q . 0 d (number) Deck.... ... :_ .. . x$30.00= (number) Fireplace/Chimney . x$25.Q0= (number) - Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 °F'ME The Town of Barnstable 9. Department artment of Health Safety and Environmental Services ` o; {��` Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED GISTRATION rO4 K6AJ Location of shed(address) Village Property owner's name Telephone number jzo / 7 Size of Shed Map/Parcel# --OC) Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction?. Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg AP 249 D9 5 90 ' 5 0 8 0 k�A� # 80 AP 27 M 270 0 50.. 2 MAP-27o , '' !o=�o"�- „� QED •IG OF Gwedlv0G� £xlyr . .. Ex�s-r..._. _ ......_ cxryT. a ED aexa"#l&N+ &6m4- .T6%,c yW A{dT — UPGRADE REQUIRED '.. THt ODE REQUIRES THE UPGRADING QF r :It;AI J SMOKE DETECTOFS FOR THE ENTIRE DWELLING WHEN O V - ONE OR MORE St E PING AREAS ARE ADDED OR CREATE2 Ek1 Txl , 1 TE. A PERIJIIT IS REQUIRED FOR-THE w MOKE DETECTORS-THE ELECTRICAL, r SATISFY THIS REQUIREMENT. ( >� A �N 1-,4R D TLH N a9 tic ST i1J-Ew Tp�N ; o ,c SMOKE T CTURS REVIEWED n O d >" _C $ARNSTJEA NG GEPT. DRTE ;, y► AA GR FW N i..�rt4 . Ov£2 cty1, ' II � � ` FIRENT DATE lUeW oc.� BOTH SIGNAEQUIRED FOR PERMITTING T _ .00 Sj w K Sao a �� ti�w EaI-aat�p �i�,v � ,J� 200� 5kT _ f V 7vsn L CVC ETW P -,b OtOCAA a — ' ► !) T i 9x7 .O.N• R . -DODi2 _ 3•ax�vq ovf'R 1 I . 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