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HomeMy WebLinkAbout0036 MAINSAIL LANE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# ldoC I Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee t OD Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 1A �f�//Y SLR LNG Village od oi1l 7— Owner V�W/< C ��c,c,/�iy/t 'Address- Telephone �� �,� J 7 O.0 �,6a `�l9—/3'1-9 �G'� 6 5�7 Permit Request ` hra,A��7— Tor�,f1 a f 40 7 _ 7_1Y�Squa feet: st floor:existing /Z proposed N-4 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation o�. Construction Type Lot Size 9J� X / �J Grandfathered: ❑Yes O No If yes, attach supporting documentation._ ' Dwelling Type: Single Family R( Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Flo On Old King's Highway: ❑Yes GTNo Basement Type: O'Full ❑Crawl ❑Walkout---U Other Basement Finished Area(sq.ft.) /Y1 ,f Basement Unfinished Area(sq.ft) iy8� Number of Baths: Full:existing Z new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing ,6 new First Floor Room Count Heat Type and Fuel: O'Gas . ❑Oil ❑Electric ❑Other Central Air: ❑Yes fidNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes Lrho Detached garage:❑existing ❑new sized Pool:❑existing ❑new size Barn:❑existing ❑new size N� Attached garage:O existing ❑new size Shed:0 existing ❑new size Other: N/Y //Y LLo d c jr Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ �� Commercial ❑Yes &Go If yes, site plan review# Current Use r/ T� /��'s/�7��r-L� Proposed Use BUILDER"INFORMATION Name Telephone Number I Address License# Home Improvement Contractor# I Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULT FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE s — n FOR OFFICIAL USE ONLY e4 PERMIT NO. DATE ISSUED 4 . MAP/PARCEL NO. a ADDRESS VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION FRAME 9 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. •4 ' Town of Barnstable o� Regulatory Services ' Thomas F.Geiler,Director snaxsi'nsr.E, 9 �.. � Building Division �plfD � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79076230 HOMEOWNER LICENSE EXEMPTION Please Print JOB LOCATION: b number street village "HOMEOWNER,: name /� home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units..or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFE'UnON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,.rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedurAs and requirements and that he/she will comply.with said procedures and re ts. Signa of meowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: Any homeowner work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack'of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor, On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt The Commonwealth ofMassachusetts Department oflndustrialAccidents Office of Investigations 600 Washington Street Boston, MA 02111 y ww ..mass gov/dia, Workers' Compensation Insurance Affi vit: Buflders/Contractors/ElectridanslPlumbers Applicant Information '�l G _ i Please Print Legibly. Name(Brosiness/Organization/Individu4.' Address: �iwSLC City/StatelZip: is o-fT e• Phone#: /J 6 0 7 Yam! y�9 Are you an employer? Check the-appropriateg x: Type of project'(regaired): 1,0 I am a employer with 4• I am a general contractor and I 6, ❑New construction employees(fall and/or part time)* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on The attached sheet t 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp,insurance, g• ❑ Building addition (No workers' Comp.insurance' S. ❑We are a corporation and its requred.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner dotg all work right of exemption p er MGL 11.0 gybing repairs or additions myself.[No workers' comp, c. 152,§1(4),and we have no 12.❑Roof repairs insiamee required.).t . employees.(No workers' 13.❑ Other camp,insurance required.) *Any applicant that checks box#1 meat also U out the section below showing their worlxcs'ovmpensatioa polieyiafoanatian t Emneownera who submit this affidavit indicating they are doing all work andt'hen hire outaide coahaetara mast submit a new&$davit indicsting'sach. =Contractors that check this box mast attached an additional aheet ahowing The name of the aub-eontractom and their workers'camp,policy tafosmatioa, ram an employer that is providing workers'compensation insurance for.my employees Below is thepolicy and job site infennatton, ' -Ias�•anco CompanyName: ' ply;or .Luc. lob Site Address: City/5tatazip: Attach a copy of the workers' compensation p.oiiey declaration page(showing the policy number and W.1ration date). Failure to securg-coverage as required undet Section 25A of MGL c. 152 caii lead to the imposition of criminal penalties of a fine up to$1,300.90 and/or one-year im;nisonment,as well as civil penalties inthe.forra of a STOP WORK ORDER and a fine of up to$250,00 a day kgainst flee violator. Be advised that a copy of this statement m>ay be forwarded to the Office of Iuvestigations of the DIA for insurance coverage verification. I do hereby c nder he pat a penalties of perjury that the information provided above is true and correct Si tore: �' Date: S— a ve' Phone#; c rig u3� o o £ the Ma,to U cowead,by C4 or t fjJ15cid City or Town- PermfVL1cense# , Imuing Authority (circle one); 1.Board of Health 2.Building Department 3.C1ty/TI own Clerk a.Electrical Inspector 5.Plumbing Inspeetar 6.Other Carrtact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide vbtkeW compensatimfortbeir employees. Pursuant to this statute, an employee is defined as"...every person is the service of another under any contract of hire, express or implied,.vial Or written." An employer is defined as-"an individual,partnership,association;corporation dr 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 workzn smh dwelling house Cyr on the grounds or building appurtenant thereto shall not because of such employment be deemed tobe an employer." MGL chapter 152;§25C(6)'also ststes that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to constrict buildings in the commonwealth for any o has not reduced acceptable evidence of compliance with the insurance coverage require d." a llcaat Who p P� Pp . . . . Additionally,MGL chapter 152,§25C('T)states TTeither 8ie commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of comm:91i nce with the insurance requaer:oots of this chapter have been presented to the contracting authority." Applicants Please fifl out the wakens'compensation affidavit completely,by checldug the boxes that apply to your situation and, if necessary,supply sub-contractoi(s)name(s),address(es)and phone numbers)along with their certificates)of immoace, Limited Liability Companies(LLC)or-Limited Liabiik PartaersIts(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 cmfirmation of insurance coverage, Also be sure to sign and date the affidavit. The•affidavit should be returned to the city or.town fhat the application for the permit or license is being requested,-not the Depa-finent of Industrial Accidents. Should you have ate+questions regarding the law or if you are required to obtain a workers' campensationpolicy,-please call the Department at the mmbber listeabelow. Self-insured companies; snter their self insurance license number on-the appropriate line. City or Town Offlelals . Please be sure that the affidavit is complete and printed legibly: The Department has provided a space at the botto=. of t�ail da*for you to fill ozct in the every the Office of Investigations has to contact you regarding the applicant - Plemoba sure to fill in the pennivEcrosc amiberwhfch wMbe used es a reference rrammmber. In addition;en 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 afidi vit that has been officially stamped or marked by the city or town may be provided to the applicantas proof that•a valid affidavit is on file for future permits or licenses. A new affidavit mustbe filled out each ' year,Where a home owner or citizen is obtaining a license or permit notidated to any business or commercial venture (i , a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would hike 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 fag camber: The C'0mm.0nW&-dt of Mas seats Depa-rtment of IndustrW Accidents ( 'Ace of lnwft,-dm 600 Washington Street Boston, Iv1A 02111 Tel, ff 617.727-4900 e-xt 406 of 1 077 MASSAF'E ' Fa.#617-727-7749 Revised 5-26-05 w,,�.m2-.ss.aov/dia " The Commonwealth ofMassachusetts Department oflndustri d Accidents Office of Investigadons 600 Washington Street • Boston,MA 02111 kvi www.mas&gov/dia' workers' Compensation Insurance Affidavit:Bwilders/Contractors/Elec#ridans/Plnmbers Applicant information Please Print Legibly � O Dame(Bu&ess(Or, nization&dividu4: , et/ r Address:ri4eS O'93 CitylState%Lip: • ® Phme#: Are VA an employer? Check the•appropriate boa: Type of project(regaired): 1. I an a employer with 4. ❑I am a general contractor and I 6. ❑New construction employees(fall and/or part time).* havoIxired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on flee attached sheet# 7. Remodeling ship and have no employees These sab-contracttohave 8t ❑ Demolition working for mein any capacity. workers' comp.insarance. 9. ❑ 1tu7diag addition o workers' Comp.insurance 5. ❑ We are a corporation sad its II`l 10.0 Electrical rcpaurs or additions regaired.l officers have exerotsed their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.(No waaken' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insatanee rcquae&l.t . employ[No workers' 13.❑ O@aer/V � G i/V 6 coup.fi sarance regnired.] *Any Vylicaat that ebecb bout#1 mast also fill out flu section below showing their wcdlml oompensation poficyiafarmatioa: t Aorueownm who mdbmitthis cMdavit indicating they are doing an work and1henbee ouWde contmctm must submit anew affidavit indicath4 each. %Costmetm that check ibis box must attached an additional cheat showing the name of the mab•coatrat tors sad their workers'comp poficy h fbrm+ed ion. I man employer that'is providing workers'compensation insurance for.my employees. Below is the policy andi'ob site ircformatton. ., . .Insurance CompaayPTame• �/ll .. Pommy;•or Bd&*&Lie. fG /°1 6 0 0- lab Site Address: 3 14 d441A ��%� G�,� _City/5tate/2 i :J oa6Y7 Attach a copy of the workers' compensation paUcy declaration page(showing the policy number and expiration date). Fai'lnre to secme-coverage as required under Section 25A of MGL c. 152 r.93 lead to$ie imposition of criminal pcnaltim of a fine Mp to$1,5N.00 and/or one-year b4nisomncn,as well as civ-D penalties is ihe.form of a STOP WORK ORDER and a fine of ap to$250.00 a day against the violator, advised that a copy of this statement may be forwarded to the Office of Iavestigatiens of the DLk for insurance ge verification. ion. do hereby certify uncle pa penalties of p that the information provided above h true and correct, Si hare: Date: 4<Z3 o Z046 . Phone#: O ' 60 ww,Kit . I3ro&M WVft t,ft awn,to&,CMWeftd.4,C#or tnM sffiwid City or Town.: PermitUtense# Issui>aa AathoM(circle one): 1.Board of Hearth 2.Building IDepartmert< 3.Cityf—Lown Clerk 4.Electrical Inspector 5.Plumbing Inspe:etor• 6.Other Ct)rijtai'tPErSt]v: Phone#�: t'raa� be 04/11/2006 09:.52 5087751833 R� �,. r,a..�E HRRVARD R978 EAL sY i g?ia P.e1 FILE CENSUS TRACT AG I OK IE ^ LOT A ��' (INHtH:• _ASSE 8 L AP La � K 0 � Q•pTGA6F tMSPECTI a!~ l_O.N PLAN tN B A K N S i A I L E APRIL 10, 1986' SCALE 1"= 40' i I j f� j LpT Z5 LOT 24 i - l.gs..00 Idr 1EAU T S.V.' e<te II � 0 1 5'}t7RY � LDT 32 j L wr I i 'See Ol 135.00� t4A1NSp1L LAPl>r 1 I i I CERTIFY TO ARDITOr SWEENEY* STRUSSE 9 A0110TSON. NORTHEAST ONO 1T3 T47 F 'P AS SHOWN AND THAT T NaT IS PLAIT KAS PREPARED I1t4C p R! ARE NO VISIBLE CRY mMENIATE 5009-!W-Sl l S XCE Fw , LOCATION 9f THr OWELLING AS SHOWN COMPLIANCE N17H THE LOCALBT—LAMS "1T11 RECoF:T TC IONTAL DIMENSIONAL REQUIREMENTS, ;. THE EXACT LOCATION pF THE AI�ILDIHFS FH(lVN CAN OT 62 DSTERHIHEn WITHOUT Au ACCUOAT'6 � INS RuMENT SURVEY, l./�%.���+y1,�•w�. !`:'l. THE DWELLiNS SHOWN M94F DOES NOT FALL r'r"re w( H:H A VECIAL FLOOD HAZARD Zan,,jj'��FFyy,,,,,,�A�,S OE IBEATED ON A MAP OF CCHMUNITY ^L7d1 CM1E�O • AA E O 9119/85 BY THE F.I.A.. t•nd svrrer•�• ®tae rostoariaaD 05olvel CIL, PL i172 pwrism 5f. I ctw f elfatb� $2140 6[ILb+lt 16tIQ5i {l)The dtelaretiena wade abort ur as eZ bnia of•Y tn•ritdgt, Laf•r,30344, cad belief the rc''ita/ a a•rtgege pl•! p}er, repo •vrref inpritian ands to M•e•reel etkbdwd pf cart eP reglttert lane enrce•r. prutltinf le Ilrs9atiwsttes. 121 Detleratitnt are aidt t• the abtre sa•ts tarot •nlP ae r tbia dat5. ITT ibis elan an met eade for rvoerdi•f prrr•r•e. in eta is prM•rinq dttd ONtripkionc er fa( Cea :.lr�,e t;ens. (a} 1'MiliNi Hna •r prapertr l;er a;.rna,w:. haildlrq fffwm, frnccti, tr let tenliQ.�rhti a at•• 1. M.,+.rti,hed tole be en accurate e•elreatal her►tp. y!Z fm ,Pk{�- �ta , 14 t n A a I`�N,l ]�k _ � Y� x� ,*+*�'�'•' 4 � X t� .y n��i�k. ��t'a4n�°1 L.i`�}xi Tr�' .+Q�� �9: III �s'�r rm v( •pY A y d p i g".. � � f 't t, « :•a a� `l i � ��,. �� ;{'� 4 i yr .l.., a '��"+►1�,.. �MVA h~ _,ir .����.�, •\ �""\i (� � t�,y.\��!-•; _ s � � t j1h�,. Sf i- .,r;�' S"E" ,������� '� 'F ,.�-;'i+� �1_• } �Gk�Jc. zv Xa'S m � r Pr {{ t Y „� 1093 Main Street (Rte. 28) S A L E S A G R E EMENT oR%�r4 S. Yarmouth,MA 02664 508-398-6041 /800-352-7785 Fax 508-398-0091 DATE <C6i.N email www.capecodfence.com HYANNIS 'GOOD FWW XW e00D WMBORS' TEL:775-3030•FAX:398-0091 - NAME SHIP TO STREET STREET V %✓, CITY, STATE ZIP CODE CITY - STATE ZIP CODE INSTALLATION HOME PHONE BUSINESS PHONE TELEPHONE NO STYLE NO.OF RAILS HEIGHT FURNISH AND INSTALL A CAPE COD FENCE ft. ON YOUR PROPERTY IN ACCORDANCE WITH QUANTITIES AND LAYOUT SHOWN BELOW QUANTITY D E S C R I P T 10 N UNIT TOTAL dOl- ewlz- AA DEPOSIT Q C� j� TOTAL SALE BALANCE �0 1I� (f TAX TERMS do 7 TOTAL ONE HALF WITH ORDER BALANCE ON COMPLETION L•V LAYOUT INDICATE ON LAYOUT PICKET FACING ON EACH LI. F FENCE. CHECK LIST ❑INSTALL OR❑DEL.ONLY ffSTOMER f6HOME LJ YES LJ NO BKE DOWNQ�D FENCE LJYES UNO YES WAY QL NOFENCE 1t Q QLEAR BRUS�bOR TREES (.J YES LJ NO fi �CE FINISH DE IN OUT jQP OF FEN WO FOLLOW GROUND L J YES U NO PIPES OR CABLES CCFC NOT RESPONSIBLE © 39 DIG SAFE# POST SIZE POST STYLE PICKET OR SOARD STYLE D I RAIL STYLE RAIL SIZE GALV.OR VINYL Ez- MAIL BILL TO ON OR OFF CAPE 0 SIGN LOCATION All quotations subject to conditions beyond our control.CUSTOMER IS IIIESPONSIBLE FOR.ESTABLISHING PROPERTY LINES AND FENCE LINES,and for conforming with local zoning by-laws. This quotation does not include costs met in extraordinary conditions—striking ledge which may require the cementing of posts or the use of a compressor for drilling and pinning posts,or clearing trees,brush or other obstructions from the working area.This contract embodies the entire understanding between the parties,and there are no verbal agreements or representations in connection therewith.It is understood that the title to all materials shall remain with Cape Cod Fence Co.until all payments have been made:If customer fails to make said payment it is agreed that Cape Cod Fence Co.may remove said material from whatever premises it Is located.and customer shall pay for both installation and removal. CAPE COD FENCE CO.SALES DEPT. BY 64 ACCEPTED BY On accounts over 30 days, finance chaites are computed at a periodic rate of 114% per month-Annual rote 18%. May, 31. M6-10: 700 h�a, 0i37 F. 2 .4COR� , CERTIFICATE OF LIABILITY INSURANCE RAVEN 1 DATE 31 6 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Addis Group, Inc. HOLDER.THIS CERTIFICATE DOES NOTAMEND,EXPEND OR 2500 Renaissance Blvd. Ste 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. King of Prussia PA 19406-2772 Phone: 610-279-8550 Fax:610-279-8543 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: American 2urioh Inaeranee G�. _- 40142 C 4pe Code Fence C INSURER B: YVrtch �+e-icaa =„euraaee ca, 16535 C/o Davenport R9a�t� --- •- —� . Stepphen As INSURER C. chett=o _ 20 AOxth main St. INSURER D: South Yar=uth, NA 02664 — — INSURER E: COVERAGE$ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR INSR TYPE OF INSURANCE POLICY NUMBER DATEYMFI PRATE EXPIRATION LIMITS LWBILITY - �lEACH OCCURRENCE $ �GENERAL, COMERIC AL GENERAL LIABILITY cir PR=M15E$ Ea oorurerce S j CLAIMS MADE OCCUR MED SXP!Any one penm) $ —r—' PERSONFJ..&ADV INJURY $ — _ GENERAL AGGREGATE f GEN'L AGGREGATE LIMIT APPLIES PER; i PRODUCTS•COMP/OP AGG S JECT -7 LOC POLICY PRO- .AUTOMOBILE LIABILITY C COMBINED SINGLE UNIT S1,000,000 9 ANY AUTO BAPS19625604 03/01/06 03/01/07 ALL OWNED AUTOS I I I BODILY INJURY SCHEDULEDAUTOS (Per person) 5 ox' HIRED AUTOS BODILY INJURY 3 NON-OWNEDA,UTOS (Perac tlenl)Comp $250 PROPERTY DAMAGE 3 Coll $500 ( (Peraccidinq GARAOELIABILITY � -- - AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ j AUTO ONLY; AGG S y EXCESSfUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR i�CLAIMS MADE AGGREGATE 6 DEDUCTIBLE $ RETENTION S � 8 WORKERS COMPENSATION AND X TORY LIMIT& ER A EMPLOYER$'LIABILl1Y 1'WC819602409 ANY PROPRIETORIPARTNER/EXECUTIVE 03/01/06 03/01/07 1 E.L.EACH ACCIDENT 31 006,000 OFFICERIMEMBER EXCLUDED? j E.L.DISEASE-EA EMPLOYEES 1,000,000 ff rea,tleerrlCe uncer SPECIAL PROVISION$below I i EL.DISEASE POLICY IMIT S 1,_000 000 OTHER j - ° a c:=a cy", I C DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I FXCLUSIONSADDED BY ENDORSEMEhr SPECIAL PROVISIONS a r1 4. t 1 r CO; CERTIFICATE HOLDER CANCELLATION rm BARnTA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANC_LLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO mAII. 30_ DAYS WRITTEN Town of Barnstable NOTICE TO THE CERnFIr.ATE HOLDER NAMED TO THE LEFT,BUT FAILURE TD DO SO SHALL 367Main ly Street Attn: 367 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR t Hyannis MA 02601 REPRESENTATIVES. I Al✓jl'Fj�RLZF�REPR NTA i ACORD 25(2001/00) +j�,�4�1y 0ACORD CORPORATION 1988 �- Ir-�/ C Assessor's map;-and lot number. ............................................ FTNET Sewage Permit. number '.._... ../............. Z BAWSTADLE, i House number �0 t!MAI TOWN OF BARNSTABLE �. . BUILDING INSPECTOR �M APPLICATION FOR PERMIT TO ...................................................................................... TYPE OF CONSTRUCTION ........4�At .� tvn ...Moa�u ..................................... ... ....................................... ........... ....... 3...........19.t - TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......�4. .... ......A.datnisfulA .................................................................................... ProposedUse ...... ........................................................................................... .................................................. ZoningDistrict ..................A.(1................................................Fire District .............A�1anW4............,...................................... Name of Owner ....V4A..A4AouA;,S......................................Address ...1.` ....Mtc�..��rra...,.1.�a1��{�C.�..!!� .................... •\ ,y� Name of Builder .Qia!»ao?.. -.Gr o cut.................................Address N4.Avernbas►4110....1Aj..:.,1.��*hW)AW..hk.............:. Name of Architect ...................Address ...G��.rtr�r,v�> ..y.lA11�1. . ............................................ �...........................................Foundation ..F�.��..........�v.... .vr.ccl..,.�slf r�!�.y.s............ Number of Rooms ......\\............... . Exterior Roofing Floors /.........................................................................Interior .....S.hc4 !q�k.......................... ............ .... ............................... . Heating �I.4�..... !}..Ct?" ......................:...................Plumbing .........Cdjpex...... ...................................... Fireplace .........................�.ca............................................ .....A pproximate. Cost .............G-P,,Ozo......................:........."...... Definitive Plan Approved by Planning Board ---7whr—____`�-----------19 2_2__ . Area ....fit....(.�............ Diagram of Lot and Building with Dimensions � ,,�1 I�..d Fee �...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. n Name . .. A.--jft..-r-r.—:-..................................... Construction Supervisor's License ...U!.9.1 d.7................... VES tAsSOCIATES i 28367 One Story No ................. Permit for .................................... Single. Family Dwelling :} A......................................... &Ahs.l. Lot 2, 36 1vl�r�a;1:'Lane Location ........_.'_.. .............................................. ............. . . Hyannisport .............................................................................. Owner .....VP�St. A5,o.G?. P.�;............................ Type of Construction Frame I Plot ............................ Lot ................................ ,r Permit/branted ....:.August...28.a............19 85 _ Date of Inspection ... .....................19 r Date Completed'-- .. E 62 . I 0 ' t 90_ , �1 X I /(/d7Gr i , . . .. , . ,,. ,G'r Y:-/,r'.cS.liit✓ivy .1.v.fF� f I I LEGEND EXISTING SPOT ELEVATIONS OmO EXISTING CONTOUR- - - 0 - - - - FINISHED SPOT ELEVATIONS FINISHED CONTOUR 0 PROPOSED PLOT PLAN APPROVEDs BOARD OF HEALTH Bi�/Pi(/-/SOA—B«" , MASS. DATE AGENT �N OF R,' R. J. OWEARN, INC... RL S, RS asp �tVZN of Mq 1348 ROUTE 134 � s r RICHARp �, /'r RICHARD sacs t EAST DENNIS, MASS. -=` JAMES r^ I o -+69R�N ti '� O'JAMES HEARN DATE: Q = SCALE: `r- i ois o �' is � JOB NO. 82/-79 CLIENT: 1a� ANIiAR O st DR. BY SHEET ! OF i i V 2 S�. 7 I o � f � \ 1 i M g� L.or 3Z 00 j HEA��%,, r o 19TT 11 � sAC"`'�''' "AS BUILT" PLOT PLAN ''"►,NN, u�•`` � TQ THE BEST OF , MY INFQRMATIQNy ', � " , MASS4 KNOWLEDGE, AND BELIEF THE Zv- 2 � �{ �7_3 ,�O�,�lgr�n-✓ SHOWN ON THIS PLAN HAS BEEN LOCATED 0 as�9THE R. J. OHEARN IAICSWAN RIVER PLAYA GROUND AS INDICATED, R®si 35 ROUTE 134, UNIT 2 W. SOUTH DENNIS, MASS. 02660 4VeL { ' Leo.31 QATE 26 `� SCALE P> JOB CLIENT: V s r- DATE REGISTERED LAND UR 'EYOR DR. 8Y : SHEET 0F �� • TOWN OF BARNSTABLE 2836 Permit No. __ _______________ IMn Building Inspector cash ---__---- XMIL OCCUPANCY PERMIT Bond ______—_/A Issued to t'e ,r Associates Address 36 '�,ainsail La,.. Livannispor l� Wiring Inspector `y" Inspection date L Plumbing Inspector ; Inspection date Gas InspectorAt Inspection date r „ . t G ! Engineering Department - Inspection date i t Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .................................. ................... Building Inspector Assessor's map and lot number ............................................. oFTHEto / Q y Sewage Permit number ................1F. ..-..lf. .............. � Z BARN ASL LE, i House number .............................A..1..........'1.......................... 9�0 1639• • �0 YP�a' TOWN// OF BARNSTABLE w BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ ................. ................. ................................................................. TYPEOF CONSTRUCTION ....... ....:..Mr.rLAfw.................................................................................. ........... .......?. ............ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location o ....7.. /!'1 ��s�+.c�...6).c.....IIJcn. ,-Ao. .................................................................................................... ProposedUse .....red J G. ................................................................................................................................................... Zoning District .................................................. ................ u................................................Fire District �.y... i Name of Owner ....O�s,rt;.A-.. ry` 5.......................................Address ...1.`. .... .�.EG.. ! <... .,I .U/.1.���, ,W i4..................:. J Nome of Builder kzvrt AA. ..66.1e.r��W V...................... .....Address .F1C<.. �.r•�h ..,a��„�h�.. .,.le.}... `�c:.. v n.:: ................ Name of Architect ....................Address .... Number of Rooms Fill /v �GU r� �,. t .................... ............................................Foundation ..........................�.....x . ....,.5d... ......�S.M............ l�5 �,�I Exlerior ..................C.�.��v;......................................................Roofing ............ /.'.................................................................... Floors ............I.........................................................................Interior .....5^ .f' .................... Heating ....... .6 E.41..... �xn..............................................Plumbing ...... Fireplace ��r.. ...................................................Approximate. Cost.............�a,r.'e)....................................... .. ........................... ---- "�------L-----------19 I'l-- . Area Definitive Plan Approved by Planning Board � � ....�:�'.�.. '_•�........................ Diagram of Lot and Building with Dimensions \ \-7 9 g >�i�.�l�d Fee 1 10.0 SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name { \ , .......................................... Construction Supervisor's License ...C. !`?.� `.??.................. VEST ASSOCIATES A~288-184 ~ ' No 293.6.7 for S.i"g^= ,����� Dwelling ''`~�''^,p Location .---.. ` ------.�YA�a���9r� -------. Owner --Veo�. ________.. Type of Construction --�����—.`------ --------------------------' Plot ............................ Lot ................................ , ' t 29 85 Permi� b,onx»6 '—_�����---�---.]g Dote of Inspection ------------lg Dote Completed ------'------l9 - /r � ' / . . . . - . , . � - ' `