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0102 IYANNOUGH ROAD/RTE 28
� � � _ - --v- _ � � ���, e ;, 0 C � ' -AJ W7 -7-7( / Zcy CD C^,a �_ (Addiess of Job) *Pool fences and alarms are the respo are not-to be filed before fence is installe utilized until all fnal inspections are perf Signature ofownet Sig= Print Name Print Bate Q FORMSOY�RrfEFtPERMI5g0NFbOrS Anderson, Robin From: Miorandi, Donna Sent: Tuesday, February 28, 2012 10:09 AM To: Heath DeptMailbox; Building Dept Subject: 102 lyannough Road, Hyannis To all: We have been made aware that the James Stephen Resort located at 102 lyannough Road, Hyannis has transferred ownership (Dec. 22, 2011) and we have no septic inspection report for that property. We will not sign off on any building permits for this property until we have a copy of the septic inspection report. Thank you. ; Donna Miorandi f CAREY COMMERCIAL INC BUSINESS AND INVESTMENT PROPERTY 508-790-8900 November 15, 2011 Ca S Mr. Tom Perry Building Commissioner T ' Town of Barnstable =" 200 Main Street Hyannis MA e � Dear Mr. Perry, This letter will summarize our meeting this AM in which you reviewed the prospect of apartment use at the James Stephen Property, 102 Iyannough Rd, Hyannis Town of Barnstable Map 328 Parcel 152. It was decided that there is no change of use and therefore no Site Plan Review is necessary If this is an accurate summarization please acknowledge below. Thank you for yo 'me. Chuck Ca r. om erry, CBO. Bu' di ommissioner Town of Barnstable www.careycommercial.com 146 Main Street,Hyannis MA 02601 1 Parcel yv Permit# + bq Conservation Office(4th floor)(8:30-9:30/1.00-2.00) 3la�l d ate Issued r- 7 g, Board of Health(3rd floor)(8:15 - 9:30/1:00 1:45) /'-" �0'2S Fee jd-yd ' Engineering Dept, (3rd floor) House# ribL �IKE,� RARNSTABLE. ' MAS& �fO MAC� TOWN OF BARNSTABLE' } Building Permit Application Projec tr Address _Z AA2 o t t_6 t-4 cn� Village A !OT tS Owner'_-tR'rn ES STEP g A f I;i�GSG2Z �a t_i_ 6 C Address �U d_ _y M b t L fi- Telephonep Permit Request (-'1 A g b r n 1 llE� First Floor 2_0 square feet Second Floor AN square feet Estimated Project Cost $ T Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type W Ozy-� Y�a t�v� Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway 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 Other Builder Information n ` I Name c--.s ;STEPAW Kf5ly ► Telephone Number 5'0 3 `1 Z5- 5- Address 1(');4- License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE o —� BUILDING PERMIT DENIED FOR THE F LOWING REASON(S) 'tom Y FOR OFFICIAL USE ONLY P MIT_ NO. DATE ISSUED - M k P/PARCEL NO. DRESS a VILLAGE OWNER DATE OF INSPECTION: FOUNDATION _ FRAME ; f INSULATION _ FIREPLACE ELECTRICAL: ROUGH `FINAL - r PLUMBING: ROUGH s FINAL GAS: ROUGH , -FINAL FINAL BUILDING F f DATE CLOSED OUT ASSOCIATION PLAN NO. i 21 rrMM81fWEALTW DEPAgTMENT OF ®LIC SAlM" AF • ONE ASHOONTON PLACE A n Ss aCMtJSEFTB BOSTON,MA 02106 EXPIRN 505 EFFECTNE DATE LIC.140. RESTH+ 3/3i/ 9�1� 04 O 1 I W . .. - . � .%mess D WSKATH >? s -3.2-2l73 PO am '708 S C*&W[5 HA M660 FEE:. ^/, NX V"UNM SE Ef SEED�v LOMM AM OPF CP"V HEIGHT: s�A►�FEO-0e.90MAnfliE OF,HE 00MM"ONO DOB: MS DOG Wi w MUST DE S*N^nW OF UOPAKE It ..,'•r CMrifaCINTM PfW.0NOF 4 f irE %MDEA WHEN EN• GA089IA'MSOCCkJPAI'A7N, � PT t CCOMMERCIAL DRIVERS LICENIM t /33328173 -1E—l7 -• { � • Mgt� 0� 1��9R ' t MrwE 9490 Wo" sped" 6 6-51 ` MCroRATH AME •o,�n.r 700 A1RLINE RIDAD ,• E U 00419 MA ---- — -- ass• a HOME IMPROVEMENT CONTRACTOR ` ReOistratioa 109374 Type - INDIVIDUAL ElpiTation 09/11/96 PINE HAROOR BUILDING CO.,I1K.I JAME$ 0. MCGRATH -e ..PO BOX 7001120 SZ WESTERN RD ADWOSTRATM S- s_IQK 02660- r US`t%A".,CC7DFNJ,S .sa<*•cs _iOSTON'. MASSACHUS3,—�I TS d.2ll l -WORKERS'COMPjD'tSA3'I0N INS URANC'EAFRDAVIT 17 Ar _Hxborillon8 RDILL (liernseeljatcmietee) . wirh 2 princip:T plscc ofbusinas/rcMmm:2C A 02-66 o «ctylStscdZip) do hcrcby ccrti6-. undcr the fnins=A¢amlcsa ofpe jury: durw I :m an cmplovcr proYiding the following workcrs'compcnsation covcr2 f"mycmployccs••�orlang job. on rhis insorancc Company policy Numbu � ) 12m a �olc provri<tor2n� hew nooncwonting for rnr- F � � I azr:�aolr•propnaor,gcncrJ wnrruor or homcovmer(ardc ene)and}1:ve hued the r.,tantraaos~s.listed beio..�-g��o �w rfac fo3lowi.g work`:'comp�nou nsurzncx policies .. - .. Insum-ncc .,.d...�...�...._.�.um�. .- -- - Cs,m zy,"olin-M=bcr --------------- I�2rraCoe C.nnta,z��or r Insur--nccComp:nylPolk-YSoplIcs h�McofC�nxs� or Insi:rinecComte?fPolicyNumbcr I _mv ho n c o perfomingZtc•wor3cmy.c] �'Off: l'1<:.s<>!x a•-�:<L_tvt��<c<c••:<ra�o c�-ployPct•oect to 1.o c-aicacGsaGc,tie:erttvct:e•e ottcPsit�-cr1 aro �`—t�l jec]�of c,<?Y f:;:C fc�.:.0 t�r«r:C:tt iL`•�•� L ) t <bofaca•wee�l�o:rlicu ct oe t°x FrouuL appoetctste tsvcte Svc Dot Eenee_I!J- <ena.2crrel to be¢e��Saycrs l Cdf tic C7el cu'COQ J_Los Act CI—C Z 2.i<tL of <'f�:t f,;: � C S 1(S)).aPpl:c.tioabraborxo••oc<fors lic<oa< P y'C-ie`<e<c t_c I.FJ c r ze!:_e�:lO�el�c�<Pt�<�1o(�eft�COraveotat:ooAct- �c vtrficstcc.-I:tadc} : t f�.c::c tc_ cut��;:,ic::a<c�.t<W a,rlccScci�or. �Sh c�}✓,C,L J 52 e=n J<sL co tic ir..Gci:c.on oI,1:.inin-1 pc�=�u<: tcr.:;:cn�of s f,�c of.v� cc�1 SCC.GC-.�Jcri ;crncccftip to orac yc:::rah c:�-7 p<ntjt;u as cSc(cm. cf:StcpZ7ct1 Or1cr sra� refc cf S}dO.C(�a day �;z:a ru 5igncc� °s r zy c fd _, 19 I�..iC<n c crmirxcc — - Lccn;orlPcrrninor 2XN kAFT6P_5 i I TIES i CP u 4 X 4 iTv� P�aTE � �� ' PdIC��us zx4 I � � � P►y1t100D , , ; ;, moot- S i ��� r� } � � � ,��;� � i �'���� ��� ;�, l 1 AFFORDABLE OUTDOOR- STORAGE of Cape Cod - wo .+� t� d� o °fit � �"� � Y ,.. 'A:i° ..z� 1�: .•T°�.^- y s ao '.'�sa 1� �' {� � +r'.ynv� � �•r s ;y�5 i " ♦� � ,z � '� `�1.s .,� `s° � �a� �i. ,� � "��.��'� �ay •� fir" �.y> i �` �� 'c.°'� �i i �y� r w#n�k dj°`' �y•5'YMi Ef':3 "�� � s ,r i tAN, R e— AMMAN .,* s All UZI R r n i Post and Beam Garden Sheds 1 800 368-7433 l Introduction Post and Beam Construction at an Pine Harbor Wood Products Affordable Price. has been . .. beam -• OUR STANDARD SHEDS COME AVAILABLE,,OPTI,q S TO custom designed garage COMPLETE WITH: FURTHERfCUSTOMIZE YOUR ORAG SHED and barns for thousands ♦ Concrete block ST' ♦ 5/8" plywood floor - ♦,Double' � . ♦ Pressure treated. ,frcarnLnof discriminating g r' ♦ x s ' customers ♦ Post:& beam frame'` ♦ Higher=roof pitch `"' - sincew England 1980. : ' ♦ 36' door batten slding, I 's �� ��Doub e ram : g windows ♦ Heavy duty ha4 T�o�t Our family owned and "Av♦ Handmade oak handle. - ♦ Plant window operated be ♦ Ramp Cedar shingles pleased to quote a price ♦ Stationary w' do C°edax,clapboard for any of - designs ♦ Shutters and flower box ' �`♦ Sona tubes ♦ Asphalt shingles (choice of colors) shown in' this brochure . Al �" ♦ 8" X 12" louvers (for�I hlTd �a Give us a call for pricing on options. • custom designed storage shed suited to your personal needs. All of our crafted storage sheds are full dimensional, saw milled pine. via All _ r � of at one a . . . - price, which in most • - • - , delivery • • - • • your • - or other # (8'x 12"Even Pitch Design with location. 1 two windows-one optional- _ framing centered single door and � optional double doors at end) Pine Harbor Wood Products post&beam storage sheds have � many uses:riding mowers, lawn supplies, pool supplies, garden tractor, James motorcycle, fire wood, sales booth, garden tools, lawn furniture, animal President - shelter and much more. (8'X 8'Even Pitch Design,standard with one window and door. q i, Even Pitch Design _ 6' X 8' $ 840 8' X 8' 880 8' X 10' 1 ,080 8' X 12' 1 ,220 10' X 12' 1 ,460 10' X 14' 1 ,700 „ 10' X 16' 1 ,950 12' X 12' 1 ,680 12' X 14' 2,060 12' X 16' 2,380 Custom styles and other sizes are t a: available. a µ { - ° Payments are due IN FULL the day of delivery. 'Credit card sales must be processed before delivery. w -No exceptions- (Standsd 1O'X 12 Even Pitch Design) Please check with your"`local ID 9- All sheds come n natural pine. p rdeequirt men,regara ks d We recommend'sta=c-after construction to preserve th.. wood. � ` 'her, regulatfons`that may apply: Becctse we precut all We ask that you`please,prepare the - ftV, a AF`," y�rdS �► lumber ct the shop. site locatio�on�which3the shed is to , instvliation time is usually be constructed Trees shrUai and + only one:day at the sight. miscellaneous+sterns should be removed before we arnve-to do the (8'X_f-Sat Box Design,' buildin t r .t Please notify us in advance if the site you have chosen is not accessible by truck, or is in excess of a 50 foot distance. Sheds are built on location for your f = convenience. Salt Box Design - 6' X 8' $ 770 n, 8' X 8' 810 8' X 10' 1 ,000 . � 8' X •12' 1 , 120 10' X 12' 1 ,360 10' X 14' 1 ,610 p 10' X 16' 1 ,840 12' X 1.2' 1 ,570 12' X 14' 1 ,890 (8'X 12'Salt Box Desfgn with opheat extra w.ndow amd cupola) 12' X 16' 2,200 With your own lcndscapmg, your shed will start to tare on your personality. HARE 344 Yarmouth Road 41� O� Hyannis, MA 02601 PINE HARBOR . (Exit 7 off the Mid-Cape Highway) Y � ' r (508) 771-5007 WOOD PRODUCTS 120 Great Western Road pRp��G South Dennis, MA 02660 i (Across from The Longest Yard) - - - - - (508) 760-4500 V4-ARRANTY�FORMATTON -` _ - 1 (800) 368-SHED (7433) s. Pine--Barbdr Wood Pro ds jjov you with a Serving Cape Cod and New England. ,Limited One(1) YQm G ani against defective' g materials and workmanship. Da age-by accident= neatect of haturdd disaster is not included in this 'c+•r,u,, - - - - guarantee. The warranty pod bins won - �. _ _ ` completion of construction. } E HAR PO BOX`108 — '' South Dennis, MA 02660 �OOO PROO�G� 1 PINE HARBOR WOOD PRODUCTS — ,I f i I 4 } TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ,� Application# b-7600 31- Health Division Conservation Division Permit# Tax Collector Date Issued / 3 . Treasurer Application Fee S Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board (� Historic-OKH Preservation/Hyannis a— Project Street Address A tV 0 U . Village iY A ,��"i OZ60 1 Owner Address \O Z Telephone -Sot �7� 8 15H Permit Request c, Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new,. T..: Zoning District Flood Plain Groundwater Overlay Project Valuation J ,-b®n•®Construction Type %J— Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. co 1o r 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 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 BUILDER INFORMATION Name -� �� � Telephone Number SCE a"3 Address 20 No vl p License# 0 )-6�6 LI , lti^/k Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1 /-3 ) 01 I� FOR OFFICIAL USE ONLY i 1 PERMIT NO. i r DATE ISSUED ti i MAP/PARCEL NO. t I ADDRESS' VILLAGE OWNER 7 It r I' DATE OF INSPECTION: FOUNDATION s j FRAME f 3 r INSULATION ` FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL Y GAS: ROUGH FINAL FINAL BUILDING . s � - i DATE CLOSED OUT ASSOCIATION PLAN NO. .t The Commonwealth ofMizssachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111, www.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers Applicant Information .Please Print Le gib Name(Business/Organizatiow7ndividual): . ` 1 1 Address: Zt) l;1 �r.� 1�0 City/State/Zip: S Phone.#: �SQR 4 ''9 ) o Are you an employer? Check the appropriate bog: ;Type of project(required):, 1,❑ I am a employer with 4• I am a general contractor and I 'employees(full and/or part-time have hired the stab-contractors 6. ❑New construction . 2.❑ I am a'sole.proprietor or partner- listed on the-attached sheet. 7. 0 Remodeling ship.and have no employees These sub-contractors have g, (1 Demolition' working for me in any capacity, employees and have workers' 9 Building addition [No workers'comp,insurance comp,insurance.$' required.] 5. ❑ We are a corporation and its 10.❑•$lectrical repairs or additions q ] t • officers have exercised their '3,❑ I am a homeowner doing ill-work . 11.El Plumbing repairs or additions ' myself,[No workers'comp. right 6f exemption per MGL 12,E]Roof repairs insurance.required.]t c. 152, §1(4),and we have no employees, [No workers' 13.❑ Other_ comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit 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 ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer.th at is providing workers'compensation insurance for my employees. Below is-the policy and job site'' information. Insurance Company Name: Policy#or Self-ins.Lie,#: 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 VORK,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 under th�epains•and enalties ofperjury that the information provided above is true and correct. Si afore: cti Date: 1 &42. Phone .: Official use only. Do not write in this area, to be completed by,city or town official, City or Town: Permit/License# Issuing Authority(circle one): .1.Board of Health 2,Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: .Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of liiie, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not pro.duced.acceptable evidence of compliance with the insurance coverage required." . AdditionaIly,MGL ehapter.152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public-.work until acceptable evidence-of•compliaff :Withtlie insurance requirements of this chapter have been presented•to the contracting authority..", Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s)along with their certificates) of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members-or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law-or if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate-line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitilicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have-any questions, please'do not hesitate to give us a call. The Department's address,telephone•and fax number:. .e C0MMQnWW1&Of MmacbUS4US i3epartmiz ,nt of ladwWd Accidc>ats Of .ce of InVeslgatiolks 600 Washington Stet R6ston;MA 02111 TO. #617-7-2.7-4%0 ext 406 or 1477:MASSAFE Fax#617-727- 749 Revised 11-22-06 www.mamg6v/dia e 1�. �� ��•� ® c ������ � � ��� (�u.J N C i!Z 0 F c�����G�s c�� Pc w��� � � ��� �. ��� � located at 200 Main Street, must>e obtained: AM or 3:30-4:30 PM) t' 00-9:30 AM or 3:30-4:30 PM) project, correct square footage,owner's name, s information and signature and dated davit State form must be completed and a copy ust be on file. license is required. Note: Construction 'tied to supervise construction of a building or ding with a total cubic volume greater than . ation must be accompanied by controlled 780 CMR sections 116&1705. restrictions ❑ Controlled Construction ed,do not accept application package without one call or in writing) ee of$100 must be paid upon receipt of to the Town of Barnstable. Permits are$8.10 ner Letter of Permission. plumbing and frame inspections. I NOTICE VIZI, NOTICE W TO > TO EMPLOYEES W EMPLOYEES 7 bW �O v 9M 5�6 The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727• 4900 — http://www.mass.gov/dia As required by Massachusetts General Law, Chapter 152,Sections 21,22&30, this will give you notice that I(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: HARTFORD UNDERWRITERS INSURANCE COMPANY NAME OF INSURANCE COMPANY ONE .TOWER SQUARE: HARTFORD CT 06183 ADDRESS OF INSURANCE COMPANY (6S60UB-5320C22-8-06) 07-04-06 TO 07-04-07 POLICY NUMBER EFFECTIVE DATES SCHLEGEL & SCHLEGEL INS 34 MAIN ST RTE 28 WEST YARMOUTH MA 02673' C,_ NAME OF INSURANCE AGENT ADDRESS PHONE# CHAINHO, JUNIOR A DBA CHAINHO 248 CAMP STREET . CARPENTRY APT F2 WEST YARMOUTH o� MA 02673 EMPLOYER ADDRESS �— EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT o- The above named insurer,is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services m provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably • connected to the work related injury. In cases requiring,hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL , ADDRESS TO BE POSTED BY EMPLOYER 005354 W20PIG02 The Commonwealth of Massachusetts Department of Industrial Accidents W Office of Investigations d 600 Washington Street Boston,M4 02111• wtvw.mass.gov/dia Workers'Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibl Name(Business/Orgam'zation/Individual): . Address: Z-6 - (',ca rin Ip S+, .14 r 2. City/State/Zip: W (M Phone.#:_ 4 B (0 .S a l ) Are you an employer?Check the appropriate bog: :Type of project(required):, 1;❑ I am a employer with 4• ❑ I am a general contractor and I •employees(full and/or part-time). * , have hired the sub contractors 6. ❑New construction . 2•X I am a•sole proprietor or partner- listed on the.attached sheet. 7. ❑Remo deling shi .and have no employees These sub-contractors have g• p ❑Demolition: '~vorking for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp,insurance comp,insurance.$' requited.] 5. ❑ We are a corporation and its 10.❑-Electrical repairs or additions '3.❑ I am a homeowner doing all work . officers have exercised their 11.❑Plumbing repairs or additions ' myself,[No workers'c6mI , right of exemption per MGL 12,❑Roof repairs . . insurance.required.]t 'Y: 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. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'camp,policy number. lam an employer.Mat is providing workers'compensation insurance for my employees. Below is.the policy.and job site' information. f Insurance Company Name: Policy#or Self-ins.Lic•#: 6 aC t9V4=,Q-0.6 Expiration Date:._ a.7—y s d Job Site Address: 1.0 N P1C)0 City/State/Zip; ' VAj,/"1'3__MA 010.0 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 unde th pains and penalties of perjury that the information provided above is true and correct. . Signature:__ a Date; r - Phone#: Official use only. Do not write in this area, to be completed by,city or town official. City or Town: ' Permit/License# Issuing Authority(circle one): A.Board of Health 2•Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a' joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or. se' rmit to'o erate a business or to construct buildings in the commonwealth for any renewal of a licen or e p g P 1 evidence of compliance with the insurance coverage re aired." applicant who has not produced•acceptab e v p g q Additionally,MGL ehapter.152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public-work until acceptable evidenee.of•comn 16ace withtlie insurance- requirements of this chapter have been presented'to the contracting authority." Applicants j Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-conti•actor(s)name(s),addresses) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members'or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should is in re ested not the De artment of be returned to the city or town that the application for the permit.or license be g qu p Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate-line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to.contact you regarding the applicant. Please be sure to fill in the permitilicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as-proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e.a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have-any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. e CQMM0UW alth of Massach=tts Depot meat of lndustdal Accidents ' Oiitce of Investiazks 600 Washingtad Steeet BQstcn;.MA 02111 • . Td. 617-727 4 00 ext 406 or 1477-MASSAFE Fax#617-727-7749 Revised 11-22-06 WWW.mam8ovfdia Town of Barnstable .snax ASM Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ffice: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This.Section If Using A Builder f—a 4 Q 2 , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: lozIYAWVOu U 1 YAPA),'s W 0269Y (Address of Job) Z 2, o � Signature of Owner Date al/1D Print Name �:Forms:expmtrg 1evise071405 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Maa, Parcel Permit# Health Division Date Issued �! Conservation Division Fee '10 3 0,0 Tax Collector Treasurer S�c Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address fl n6o 11 r t Village Owner �bA\�'\al L J-e5 Address 16 a 1, n✓t Telephone _-7 6- 1 U6 5 Permit Request V� -A fl � n, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost 0 160U Zoning District Flood Plain Groundwater Overlay 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 q 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 BUILDER INFORMATION Name 6 Telephone Number 11 �a (09 �0 Address 3' eel \�(�� a License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �cnSCIN�o�P SIGNATURE DATE 3�— to^b 0 FOR OFFICIAL USE ONLY - PtRMIT NO. DATE ISSUED MAP/PARCEL NO. o < ADDRESS Al. 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I fist a copy of this statement may be forwarded to the OIDa of Investigations of the DU for coverage vedn atlob certi under a pains p ofPQl�'dud the information provided above is trees and correct I do hrreby f3' Date Signature � Print name �(a C`� pb=# L4 o; (fly 1 otncid use only do not write in this are:to be eompieled by city or town oiIIdal perrait/llcense p ❑Building Department city or town: $O� . .._ . - �gelee�m'a OtIIce ❑checkff immediate response is required ❑HeaM DeparUn=t phone contact person: (mvu o 9/95 PIA) 1 • :1•�1 / • :i M• •II _• 1 1 1 �'//1• • i • • • • • a •1•el•.0 .le all • �• ie• • • e • 7, • •I11 11 .11 J I/ / •.1/11_• •�/ ••f •11 •1 11 �/ • 1• 1�•" 11•a ./• • •1•• • 1 a�• • #Ilse i• • • 1\ i1 • 1 / / • •11 i• .11 oil lot • loss),b qeo(-wf 1 it ow. •« .1are Is Wall•I ••1 .t• •Ir • •11�/ i•Y. iH•1 •L ,11 •'• •r ••• 1 • • • II • III • • 1 • 11 ill �/ • .11 • 11 • 11 • 11 •K - • i11•'.1• •1 •i i• i111• • i •1 •• " • • • 1 e •1 • \•i 1 le •« .1\ •11 •1 • /I i �'Y. i11.1 .•111• • 11 • i111• • • • - •�/ 11 • •'e�• •1 • • - e • • • 1 II • 1 • e1 • / .1• 1# _ •le •ll i11A .0 • ' 1 • �.`I 1 � el � w11 •1 11 • Ile J11 • •1 / • I 11 • •• • I• 1�1 1 • illle • I i •11 I• • • /1 Irl �'• 1 r- r•11 I 1 w• •il •1 w• ,11 •I•. 614 1 1 1 • I 11 • e • •1 •11 •/ J ••le• • • 1 • .1• • 1 1i• /I II./ /• 1 I 1 • \_w:ll •1 1 1 i1111 • 11 .•11 • 1 _..••1 _• 1• • .11 .+111• • •�1 I - e i iM• •11 • Y.11:� II .1 �l •: 1 1 r.: Y:.11 V11 rl 1 I 1 1 1 1 1 1 1 r' 1 • 1 1 1 1 11 1 1 1 I I V I I -+ 1 1 1 r l 1 • I r 1 1 1 1 1 1 J. 1 I I M I 11 1 1 1 1 1 1 1 / : l l 1 1 • 1 • doT 1 I1 • • 1 1 1 Y 1 1 I111 : 1 r' 11 11 II 11 1 Y- MI i• 11 i• I 1 1• •11✓• I • 1�l#11.•• •• •Ill// •II • �'% I I i • .Ii 1 • le. e• I■ •✓. 1 • /I • Y •11 VI I _IIIti 1111• .11 ' r•Ille•: M i•1 11 •�1 I\1.11 .1• r •I e 1 • •'•1•. •••• • Y. e •i• •I r•11/1• .11 r ' III /1 1•A 11 e:t1 r _• 111 �IIIw 11•. •I 111 MI .1• Ii 1 1_.w1 a .+•1/_• /• 11 r•1.1• . ••• jj%j 1 �: :11 11 el ••1•.•i•- r•1111/ti• W.1\ •rl .1•t 1 k.%-1446;0-1I11• .IIti I ' w1 _ .q11 ' II • •. 1/ .1 .11 a I• • • 11 `1111 .l\ •11 •l/• • • II • •11111 .11 • IY.111 . •1 ^• .11 • • 1 •11 111111 I t• •I14' Ill r� •/• w 11 •I II /I .11 r I .• \ Ir •1 • • /llle i• • 11 �•'• ,1 •11 .•11 el 1 111 Ve•1= rM •ti116 1.1 r.111•lell V.1\ •11 •I IIA 11ea1 r r• ' .w e'• 4 1 • 1 11 Y �# - 1 • If# .1•• r 7,1 VI \ 1 Ire • - w.11/1 _•11 rob 11 .•t 'v lI t• •• Ilk ll .1 Is .0 • ✓.le •II 1.1 11 •.1.1111 •I rw• Poll • 11 • i• 1 i. li• 1 1 /1 , • .1 •11�•11 •I 1 111 ••Y• rM •..•III. 11 • 1 1 • • 1 I✓. .11 1 1 • •11 .••Y•• \111 • 11 •1 _• 1 1 i• • e • Y. 11 •1•.•w•. r.litl•�•IAY.t\ 111 I • II 1 '� i /l � ^•r1 111 •-'/1 .1 rl 1111/1 1.1 1_/ �: . 11 II •1 1•1� :. 1 ' 1 r•1111• �'/ ,11 . •1.1111_. .•'. . 1 _ 1 ..•Y.1 ell -#I 41 k 11%oil,fol-:4 . .1 e1 ... •lel ••• -116101 y • • • iiI • 11 11 /1 1 �••1 II i •I r •1 1 ' ..Y• •I:11 •IIA 1 /• r1111 Y. « -,Loll �.•Y.1 •111 11 .1/ a ✓•111 1 r II 1 :11 II II •ti•III) rw• 111111 • I) M/ I • - 1 Y_• -1/-1 . 1 V 111111 • ti •1 .■ • . 1• IIY. r •Ie••i• Il , • ell ill r • 11 •I 111 • II �1 .IeY•11 •I�'/11.••IIA IV. • _�•• 11✓• 1 1 i. • # .� • L:U •11 •• bit@ 4 11 .11 • 1 11 . • .11 r lel • • / Y•• e'ti .Ie •11 .tl • 1 • 1 • • 1 t .11 • #w . •• • � •• 1 • 1i.`1IY.1 • L 1 ✓. I 1 - e.b ••l-st Jell.I ( • 1 •11 - life n•' 111111 •.n 11 11 11 1 1 1 1] 1 ♦ 1 1 •11 1 1 1 1 . 1 1 A' I I I • 1 1 1 1 • 1 1 1 1 1 ' The Town of Barnstable : Department of Health Safety. and Environmental Services P Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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: Estimated Cost 3fl .`8 Address of Work: \-E> Y1 b`' I r Owner's Name: A y 1 J e S Date of Application: _ 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: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF P I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name q:fbrm,:Affi1aV °T��omrno�ucea!!�o�✓�aaaac/uaetta HOME IMPROVEMENT CONTRACTOR Registration 126480 a Type - INDIVIDUAL t Expiration 06/08/00' r MARK HERBST MARK 0. HERBST ��VALON CIRCLE z: ADMINISTRATOR OSTERVILLE MA 02655' s 4 Assessor's map and' lot number .....Ad............:.................. S t SEP77C SYSTEM Sewage Permit number ......-...: �...�..�..� ....:.......i.....,41 lNSTq�LE®'IN COMP COMPLIANCE! E. WITH TITCDE LB,gry�E. Qyo%tHE.T°�° TOWN ' OF BARD AND LATIO Z BA"ST"LE, i t NS 1639.am BUILDING INSPECTOR �• nx a• APPLICATION FOR PERMIT TO ....!`.�''t'o� to �'r:`.�c EIIt.s7.K-G7 LIDO-^+ j CEI��,��,,�� L?ATA) I TYPE OF CONSTRUCTION ............` . r ...:W� ' . .................................................:......... ........Z.7/ ..:. .g.............19 .... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....l.D.z........�.y/�w l,.r'J.C?� ....... :................3F}r, t......:S7.C'"e7,-1......�" a)`:.�................ .. ProposedUse ......1�'�'� TE�.... ...................................................:........................................................ ............................. ..................Fire District Zoning District .................b............................... - .............................................................. V>n 0.•..... .T VIE--, .........I� 3 w.�,t M I"✓ S T . /�/✓� Nameof Owner .. ...... . .... . .....................Address .................................................. Name of Builder .- .4. /VG/So:�/ f pn fv/ia7ta� Address ......c`�l4l r Nameof Architect ..................................................................Address .......................................................:............................. Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors .......,..............................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace Approximate Cost �/ .. J . o 0 .................................... ................ .................. Definitive Plan Approved by Planning Board ------------_-------------------19________. Area ...�..�.......:......... Diagram of Lot and Building with Dimensions Fee ' SUBJECT TO APPROVAL OF BOARD OF HEALTH l Y ! 9 2v 21 22 l-3 2U 7� i L I r•t i�✓a f� �!i �+ rd�� 1 /w l��-t.S.0 ��Y-�-c, V"c,�J�*1 .S f�^ 60 ry I/t rt ` V)n-7 i"�7 / jC, Y`c.�e w c Tr. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................... .... .................................. Ives, David No ..... rrnode I three thr Permit for ............e............ ....... *exist units..:....... ............ .............. nQjLocation ............... ..Road............ .............................Hyanxa as.................................. Owner ..............David...Ives.............................. Type of Construction .................frame.............. ................................................................................ Plot ............................. Lot .................................. March 23 31 Permit Granted ........................................19 Date of Inspection .........................19 4o% Date Completed ....................................19 Y'PERMIT REFUSED ................................................................. 19 ............................................................................... ............ .................................................. -6T, ........................................................ ............... ..................................................... 1' Approved............ -19. ................................. ........................... .................................................. . ............................................................................... Asse`ssor's map and lot number .......................................... -5 r �� Sewage Permit number ..........................................................k `.. 1 yofTHETo�� TOWN OF BARNSTABLE • • 4 Z BARNSTAXE, i 0 "6 ,,� BUILDING INSPECTOR ''�'n aaY°'• APPLICATION FOR PERMIT TO ...:.t.rN�V.�.t:(.........n.r``....... . .f.. '..: ........: :.?rn......r.....i:......:...t....: a I TYPE OF CONSTRUCTION .......:.......... ' 4 L�cJ r........!`........................................................................................................ ........Ma ../ 7 3 19.�.... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 2 / Y.?ri v G� <�!� ��................. .�.?.�.'..f........�..��.. J'��. ::....... ,�..:. :..'.................:.....:.'................. ................................. ProposedUse ........... T .. .......................................................................................................................................... ........ j Zoning District ^�� .............Fire District ....... ............................................................. r Nameof Owner .. .............. ...........................................Address .................................................................................... Name of Builder ...1'.'��_:. L.�S°'z' /�•.7r.t�">r .....Address C� "'................................ .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .... ' r (�.•,/r► 7.r S(,JS ...................r.{......`.'..�..`.............................Foundation ......................�.................... .................................. Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace Approximate Cost .. `.. ' 0 Definitive Plan Approved by Planning Board ________________________________19________. Area �...(446;+V.e.......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH s I y t � � 7 7 Z t z z 7 J�� L . , �µ'1 9 I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....✓.....:.t.`...............`? 1:............................................. Ives, David A=328-152 No .......�� . Permit for ......r-emodel th-ree. ................existinz............. ................................... Location ............N2 ............... ..........................HYmm. i5..................................... Owner .............David.I Ve&............................... Type of Construction ...........fralm.................... ................................................................................. Plot ............................ Lot ................................. March 23 81 Permit Granted ........................................19 0 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED 19 ............................................................................... ................................................................................. ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... Assessor's office (1st floor): q, OF THE to Assessor's map and lot number (1.......� 4Z..... .. N� h p L Board of Health (3rd floor): 1 fO R Q S£wAG� irlowS • • Sewage Permit` number ........... ..... s 6ac, PC(2M)_r?!1ED � Z B9HBSTABLE. Engineering-Department (3rd floor): 0 9�p M69 Housenumber ........:..............................1 / 4.2................ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only �ivlSTALLED IN COMPLIANCI ' TH TITLE 5 TO' W N OF . B A R N S T A. &CENTAL CODE ARID B U I L D I N-G INSPECTOR TOWN REGULATIONS APPLICATION FOR PERMIT TO ..:.�Q'l!N �'�u4.r........ pOL....... Z�'l�aSe�.(�...................... TYPE OF CONSTRUCTION ................�... .. Z. 'rL.fAI. .........................:................................................... ..� ..�.2..... ......19.` .� TO THE INSPECTOR OF BUILDINGS: _ I The undersigned hereby applies for a permit according to the following information: ..�.J Location 'a.0<<lS5... T4.jPNe..w.S...............2............i�!J?�v�t4-k..��.�.....�.�ANN.o.S ProposedUse ..... 1tn Ga .ti `.! ...................................:.........................................................................:.................... ZoningDistrict ...........................................................A..............Fire District .............................................................................. Name of Owner l �a..4�.T .. �?a:. -a5;4.x-A.tAddress .....:2;AfAS.............................................................. Name of Builder !JT ... tt.L. RS..............Address ..e7e.A iz_n�..;Tri...H:i F ". .w.5.................. Name of Architect .......... ..........Address ��J� I�d.. Number of Rooms ..................................................................Foundation .............. ....................�..�.../�G..,....�a..........r....... Exterior ...VA.!,!Y ......................................Roofing .....T.!:*f.i'ANA . ...:.................................................... Floors .?..!.S.. o.....Cop.r!.Pax.....v�L-Ar.....�o..`.�........Interior .....���!?l��...�.�.4............................................. hdHeating ...... ..................................................................Plumbing ........!VA............................................................... Fireplace .............:N.1.6..........................................................Approximate Cost ........z.45ebe.>.................................... ..... Definitive Plan Approved by Planning Board ---------------------------_-----19________ . Area ...J ?C�t.9.. ............. Diagram of Lot and Building with Dimensions Fee :�t� SUBJECT TO APPROVAL OF BOARD OF HEALTH r � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namy. ... ... � � ................... .Conisor's License ...QA:5&t.VS.... JAHES STEPHAN CONDO. ASSOC. x • 30156 Permit for BUILD POOL ENCLOSME j? No ........ » .... ........:................. COMMERCIAL R Location yanough Road , .... ..ann i s...................................:.......... Owner ...,Jame. .. e ph s Stan, Condo. .. . . Type. of Construction ....Frame,..,........ , tz...................................................................... Plot .............................. Lot ' ................. Permit Granted Novemb. er -7, 8 6 --» . ...... ...........................19 Date of Inspection ....................................19 Date Completed 41 in - a ea., vt c • Assessor's office (1st floor): _ SINE t Assessor's map and lot number .�.. r?C .....✓.. Board of Health (3rd floor): f 1 ;{LA o E -CIO—s fO Sewage Permit number ........................................................ rlozE pCR Ot?17 f D L MAUSTODLE, Engineering Department (3rd floor): 'oo ,"639- House number s � ••............. DMOR APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. •only TOWN OF BARNSTABLE BUILDING INSPECTOR w 6 APPLICATION FOR PERMIT TO ........,.,a:.......................................I' :...........................................-....................... TYPE OF CONSTRUCTION .............. s.A.li or............................................................................ .................... ---------19.r TOE THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location . ,.)AW:A: ...�' 6.i7AAP...9L�-r.. tw;wa��,� ..........luZ.... 1� .o.4?. r,i;_31 P....... .... ........... ProposedUse ..... . •�. ..� .E-.�" Crt-c�?..................................................................................................................................... ZoningDistrict ................................................:..............:........Fire District ................................................................. Nameof .....tip 4-"..1 .............................................................. itName of Builder .r�,'T .` ... •�a.'? `a..............Address ..`� .. 4?Tre.. ` 'c... -•Y„ 3.+ .'..?.................. r Nameof Architect ....... .................................................Address .................................................................................... P ` fa.c' 4 Number of Rooms ..........................:.......................................Foundation ............_..........�-�...... .......h`:�t..-'�'•.-..:........ Exterior ...1 . ,•r ?'. r.......a.'.A ..�!.?. .....................................Roofing ..... ` .i?1.f3�:• ........................................................ ........... Floors .......� .:. ��•�- .....: ?►�ta" a " Interior ..... , < u.q.rn...u. .A............................................. Heating ......� .a I ........_....:....................................................Plumbing .......�"�./A.............................. Fireplace w ^..........................................................Approximate Cost ........�, " �"J( Definitive Plan Approved by Planning Board ______________________________19________ . Area ...��� .f� �. ............. Diagram of Lot sand Building with Dimensions Fee �............ ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 �- 15 A C,14 65 i , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS.� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r Name ...... .gig �.... 1.... ... Cons.tr-,uction Supervisor's license ... ?. : JAMES STEPHEN CONDO. ASSOC. A=328--152 3Z-? = /,5 30156 Build POOL ENCLOSURE No ................. Permit for .................................... 'Commercial ............. ................................................................. `LF 102 Iyanough Road 6cation ....................................... Hyannis ............................................................................... Owner James S.tephen Condo. Assoc. Type of Construction Frame ................................................ ............................... Plot ............................ Lot ..... November, 7, 86 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed .....................................19 L/ Lk a C� w ��R � \\ V Assessor's.map and lot number ............._...... SEMC SYSTEM M1 �Qft E.ro�s H INSTALLED P Sewage Permit number ......t�.../—...2i3.y........ .........:...... IN Co Iy� WITH TITLE .. 2 �'/�� 89SB9TADLE, i House number .I Y7...............:.....:.......v. .�r1..h......d?D"t � ��� �iii�GiNMENTAiL M9�\0m� TOWN REGULATI a. TOWN OF ,- -RARNSTABLEECT TO APP:'MV';L v; TABLE CONSERVATICN •-- COMMISSIONBUILDING -9�RSPECTOR APPLICATION FOR PERMIT TO ..��`.! 1d 0 ,4 A 0 4 J-e i�^ 0 41_ L 4- ... ............................................................................................... TYPE OF CONSTRUCTION ....... /f/1/77 ............................................................................................... .........�� 4 ......... 0. .................19.. / TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... .. ....T y� n/� h h 2 �. J-/?�►�s S7`elo./ •v �e.s"' ...�!'� /��✓f l�-c- .................................................................. .......................... .................... .... Proposed Use .......C.L�!.6. . �. ...... ..............d.��`..<<ee ......................................................................................... ZoningDistrict ...................Fire District ...........:.:! ! -...................... .............................. ....... ...................................................... Name of Owner U .T u L s 2 9 des/ r sA.,v s i� 2 3 J'I tel�v- Address ......................... ................................................y...... f Name of Builder" CA L V1^� �'� 1/�v 1 Address d Dz vnll S ........................................................... .................................................................................... Name of Architect � t. S L/� V1� AL-m q,,7�r P.9YT ' S T �Y............................................Address ..�.................................... ���........................ 7 s � � L DIl/A 1`"€ Number of Rooms . ... ........................ ...`..................~.......Foundation ..........�............'..� �?............................. Exterior ............. ..1/!!I: .....................................................Roofing Floors ...................: .�v......................................................Interior ........... �w .......................................... ................ Heating ..............................................Plumbing ........................... ....� .. ... Fireplace ..................................................................................Approximate Cost ............. .. 0 J............................ Definitive Plan Approved by Planning Board -------------------------------19________ . Area ...... ..72 . ..�/....... Diagram of Lot and Building with Dimensions . Fee . SUBJECT TO APPROVAL OF BOARD OF HEALTH w. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS A ! I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name ................................ ............. ... Ives, David U. Na .:..23705 Permit for ....Clubhpq�;g..4....... i- ........... i..........�.office...................................................... Location ..........!Qz..1YgnQPgh..RQ4d...:............ ................. n....Hympi.,q....................................... Owner ...........................David U.,.....I vey......................... Type of Construction ........frme....................... ............................................................... Plot ............................ Lot ................................ Pe"rmit Granted ..:..De.cernbe.r.'16. .....119 81 .... .......... .. ..... .... Date of Inspection .................19 Date Completed .. .. ... ......19 top A "W ell Assessor's map and lot number ..................................... ...... - CFTHE tOir ' Sewage Permit number *'. .�q.......................... n Z SARNSTLELE, i House number �'�.Z......Z.`/ �, j} 4! (7 rasa 90� i 6 q. 0� 3 �0 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...........� .. 13�� 'r.. C r.......... TYPE OF CONSTRUCTION ...... .`. `. ................................................19..`..../ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location T ` a , O Gy 17 A /� J _J.�"'�c s S Tc`r'`t.�.:.`.........'.e:.5 e:.........`�.`...r.l , (.'..,....�............`.............................................................................................. Proposed Use ....��. .. ...' ? ? �.f..... :....... :;...d..............` ��-:.......................... . .....................:................................. .... 4�j Zoning District .................... ............................................Fire District ............ ....................................................... ........ Name of Owner 1f/??V/�.....L/:...... _. .�....s.................. 3. ...W�s. r� ....s :.... ... ....�.�y. ..`. ''� F Address f Name of Builder' ,C f.. .V)...........f ...........5...................Address Name of Architect ... ..............................................................tS Lr9 V Address �`j9t i^off Jr 1 �� S T r-i4f�, �: r ' .................................................................................. Nurriber of Rooms ....Foundation G'.� © ��� � Exterior ................l v.�l,:......................................................Roofing ......................? ! ............... II Floors / .......................................................Interior ...........1 /t"Y � ................................................................ Heating ::.......,.. „' g ...........................- ' .I :...:...............................................Plumbing , *:.. !... '........................................ Fireplace ............... .................................................................Approximate Cost L.......` .. ......................................... IJ'/ Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ......: -r.. �-'�.................. .... Diagram of Lot and Building with Dimensions Fee ........ �- "`� ......... SUBJECT TO APPROVAL OF BOARD OF HEALTH t 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 ..... ...................... .................................................... Ives, David U. A=328-152 (X-A— 23705 Clubhouse & No ................. Permit for .................................... A office ............................................................................... Location 102..Iyanouh Road .............Hyannis.............. Owner David..U.....Ives. ............................... .. . ...... . Type of Construction frame ...................... F ................................................................................ Plot ............................ Lot ................................ Permit Granted ........December 16 19 81 ................................ ....... 44 Date of Inspection ....................................19 I� Date Completed ......................................19 F J�. I 1�Assessor's map and lot number 3a '. ..�. ! :... THE /- d U �T G�w�d " ✓� OGGth ilc/ /gsTory Se,qbge Permit number ........................:.. wT GG-TYLf< v�r« row s °� 0/e. Y s = BARNSTABLE, i dw „ SL-=r��Yam- o House number ................I.....b9............................................. Tv _�"/fGE% 90 roes i639• ♦� YPY tr. TOWN OF BARNSTABLE BUILDING INSPECTOR ELI� i.v✓�7�t 1 13gTA 400h !fw Co•� ✓��T TJ L,vi�t, i1�, APPLICATION FOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION .............................................. .............................:......................................................... 2 7/1-9,*9X 19.kF TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location -1"ArrZS S TEP/-IE M o T.c / D 2. �'A'yc9 �►G> /> �Y� .............................................................................................................................................�. ............. �� ProposedUse ............. .............................................................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner q:. 4 Yr.1..............Address ...Z.0..-L -1 7A,z0 k y A......��Z. ......... y�......... C✓9L 9 )IIi,,� 1 (o? /fE� C ��k cN SD• l�Cw.�1t Nameof Builder ....................................................................Address .................................................................................... .Name of Architect ......................................:...........................Address .................................................................................... Numberof Rooms ..................................................................Foundation ...........................................................................::. Exterior ....................................................................................Roofing ..................................................................................... Floors ........................................................................:.............Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ---------------------------------19________. Area ....................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. Z\7ES ' DA\7ZD D. � No '����&1-8— Permit for —Remode—I Mote—1 ---— — --- --.—Dnit—.(3IIizoi��t��..�aatl�) ---.� ' ' L Location J'0.2...Iyanoogh...load.._ ............. ` ...............aloaaols............................................. Owner ..David..D_.Iviea.............................. / Type of Construction .....Txaufwa........................ : ---- --'`------.------------ / ^ ' ^ Plot ........................... k* ----------- � ` . ' ' 2�a� 27 OO Permit Granted ------'--�----.lg Dot6of Inspection — ----'lV ` . Dote Completed (T&—� ----'-- lg�[l��� � ' PERMIT REFUSED -- -----~—.-----------.. l� . . / ................................................. -----...—.--. � � . ` . -----------------^--------' ' . .—..--------.....-------.---.---. . .. ( ' . � ---------~-----~-----.---.—. ' . . Approved ---------------- lg � - - . ---'-------------^---^-----' � . . . . | ------------------------'^'`` ' | ' \ � |� Assessors map and lot number ...............................1;X..! :.. THE 'rP�pi Tp�o r� !µ Sewage Permit number ........................:.................. EAHBSTIBLE, House number ..........:... (-) L' S y NAB& . .....................`.."........ .................. y OO 1639. 0 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 4.�: .�.:'..'.:. t.......�...13,1..1'...Roo,-).....�:I:::.`�.....ro '.!�:....i......T:.....j..:.`.. TYPEOF CONSTRUCTION ..................................................................................................................................... 7 71'-?d i ................................................19. .. TO THE INSPECTOR OF BUILDINGS: b. The undersigned hereby applies for a permit according to the following information: Location ........................... ................S.......!..i�r.................:..�!........ ..................... .........:..............{`L' ......z.h................ ... � ' ProposedUse .............. 1.42 I.Z.. ............................................ .................................................. - Zoning District ......................... ..................................... District .............................................................................. Name of Owner ........ " ........ :..... ..V ..............Address .../.�..` L 714 L> +......... ............................................................!. Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ............................................................................... Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior ..................................................................... ................ Heating ' .......................................................Plumbing .................................................................................. sFireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board -----------_-------------------19________. Area ..:...................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...`�G `zr1' ��..........'......,��.............................. Hyannis/ Plot ................ Lot ....../ PERM111/REIUIED Approved ................................................ lV ----------------~^'----^'—'-- ----------.--------.—~..—..-- . r MAP 328 PARCEL 52 SCALE 40'-.. 143 ..I1 ......... - - - - - - -- - - - - - - - - - ' - - i - i 14-4, ! .......................... 47 152 145 ;r -- i ; I ----- - - - - - - - - - - - - - -i ................................ f /� VED ; - - - - - - - - - - - - - �. 155 D 0 , �, _i 15 i y i / - ` u_._..... Ll ..... ............ i • I .......... - ............... .......... ........ .