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HomeMy WebLinkAbout0306 OAK NECK ROAD ��� ���/L��� �� r �' { I' Town of Barnstable *Permit# Expires 6 mono from issue date Regulatory Services Fee_ � . BARNSTABIX r M039.A9' Thomas F.Geiler,Director FD MA'i A1� PfZ_ Building Division RPESS PERMIT Tom Perry,CBO, Building Commissioner t��� _ % j } 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us TOWN OF 6ARNSTAglFr-. Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �, Not tValid without Red X-Press Imprint Map/parcel Number 3 0 � 0 � vU Prope Address. � O Residential Value of Worb U� GU Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address a4 Contractor's Name ma r an - Telephone Number �� Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable)— 1 C)n w 21W/orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I'Am the Homeowner have Worker's Compensation Insurance Insurance Company Name � � Workman's Comp.Policy# �L c)s A) ac U Copy of Insurance Compliance Certificate must accompany each permit., Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to__(-XJ' w ❑R soll v( u-iC�CA Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof). � ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is . required. SIGNATURE: C:\Users\decollikWppData\Loca]\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 L `3 I to Couimo r wealth of Massachuswfs Department of Industrial Accidents Office of 1m estigations 600 Washington-Stmet s Boston,M4 02111 rvmv.mass.govfdia Workers' Compensation Insurance Affidavit:Builder sllConti ac6n>s/Electricians.Mombers Applicant Information Please Print Legibly Name ftsffiessfornizatio lladividual): Address PC) (—�J I . 11 �r ?) C1ty/stR �P_ � n n s �� Phone# - Are 7am employer?Check the propriate boa: T e of project(required): 1. er with em to 4- I am a general contractor and F P Y � ❑* have.hired the sub-c�tractars 6. ❑Nets oonsttntctiar$ employees(full.and/or parrt-rtame). 2.❑ I am a sole proprietor or partner- listed on the attached sheet_. 7- ❑Remodeling ship and have no employees These;sub-contractors have 8. ❑Demolition w for me in an capacity- employees and have workers' �' y� ty 9. Buildingaddition [No workers'comp.insurance. Comp-insuuance 1 ❑ 5- ❑ We area corporation.and its ME]Electrical aepaiss or additionsd J officers have exercised their I L❑Plumbing P re aim or auditions 3_❑ F am a homeowner doing all.work right of j tiog per MGL self o workers' �P' P myself � _'�mP- 12.❑I�oofrepairs insurance required_]s c_ 152,§1(4),and we have no e, to o workers' ' 13.I/0thee LQ ��0 comp.insurance required.] 'Any applicant that checks bw#1 must also fill out the section below showing theirwoAers'camponsation policy infutma dalL I Homeow+nets who submit this of it==Lang they are daimg all wink and then hire autide contractors must submit a r&w affidavit indicating smrlt =Contractors than cheek this bm must&=died as additional sheet shossfg the name of ahe sub-=ttarctors and stem whether or nut those emteties lime employees. Ifthe sub-cantnctoas hare employees,they rmtst provide&&workers'comp.policy number. d cart an erraplo,w that is previAT,,workers'coaaapensadon ins mmice for my emplayeas. Hedaw is thapong7 and jab site infot rrrafia. aa Imurancs.Company Name: L�&(A Policy 4 or:Self-isms.Lic. L Q y J ) <:�-A� a'4iofafil n Date: I Job Site'Add : ado 0 a C. �K— 1 CA CitylstatelZsp: Attach.a copy of the workers'compensation policy declaration page(showing the policy numhe 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 S 1,500.00 and/or one-year imprisonment,as well as civil pet es.in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this.statement may be forwarded to the Office of Investigations of the DIA for insurance coverage veriEcation. I do hereby certi, y underthepains and penatfies of pedury that ilia information provided above is tnte and correct Signature: _... Date: 3 Phone Offleial lass only. Do not stvrite in this area,to be camphted by city or town of ciat City or Town: Permill aicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CityfTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ofng BARNBPABLE Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property. Owner Must Complete and Sign This Section If Using A Builder. I,y , �� rr ZjQefaW . ,as Owner of the subject property , ' ',f+s, ',#',4 rD F3'i'4 i t• ✓ 4.`SP�b" S;r+'.r F { G't T, �.., hereby authorize ,(;r f` t,l' �J� i to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) �c. l Signature of Own _ `. e. Date.. - Print Name If Property•Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse,side.. C:\Users\decollik\AppData\Loca]\Microsoft\Windows\Temporary Intemet Files\Content.Oudook\DDV87AAZ\EXPRESS.doe Revised 072110 ?i7 'sachusctts- DrpI—tment of Public Safe" nT Bostrd of Building Rcg=ulutiomti�,Anti Standards _ Cosiructlw'SulliewIsor Specialty License License: CS SL 100207 a Restricted to RF,W$ MARK LEMON PO BOX 423 . tT f WEST HYANNISPORT, MA 0267 �. ArExpiration: 4/4f2012 + C'uirn�tis iimcr Tr#: 100=7 609ZO dW'SINNd�`H k VM S2l3N011d 06�' tia�aaaas�apufl ` t,< �` -A2lvvi aanlguits InOOM. NOV4 ��� •�'��.�•�J Idxg " Z►.OZIOPO` 1 gnplAlpul bqv �J:uolleAsleOH, 911to v� O;soft ! 1xi tidW13W ezuldXagd 01 :edA WIN001N3W3n0 o 13WO 4L1S a11ns° 0 aa1110 Z101a sgg33V mans, v 1 as I jidso , aao)aq aoNgi� !}'fl ���ry�� fi uol>i�l ssaulsnfl Pug salg33V n$a� uno,it 'a1gP u011galdxa aql .01 WOW P u ao;Pl1gA uoltgatsl$aa ao asnaal'I ��0 asn InP1mvi 1 ACORD CERTIFICATE OF LIABILITY INSURANCE 5i i2oii"'2 PRODUCER (617)354-4640 FAX: (617)354-5828 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION T. Edmund Garrity & NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Co. ,. , Inc.. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 545 Concord Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cambridge MA 02138 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Scottsdale Insurance Lemon, Mark, DBA ML and Son Construction INSURER B:Commerce Insurance Co. 34754 490 Pitchers Way INSURER c:The Hartford Ins PO BOX 423 INSURER D: West Hyannisport MA 02672 INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWIT'IiSTANDING AN 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. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY.NUMBER :DATE.MM/DD/YY DATE.MM/DD/YY. LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 R COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 50 000 PREMISES Ea occurrence $ r A CLAIMS MADE 51OCCUR CPS1172739 . 5/17/2010 5/7/2011 MEDEXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000.000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X POUCY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ 1,000,000 B ALL OWNED AUTOS BBSTLT 6/14/2010 6/14/2011 BODILY INJURY ' X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS _ BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ .DEDUCTIBLE." $ RETENTION C WORKERS COMPENSATION AND UB0515N280 5/18/2010 5/18/2011 X TORYLIMITS OER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE$ 100,000 H yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION (508)862-4784 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Barnstable EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 200 Main Street 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT Hyannis, MA, 02 601 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION'OR LIABILITY OF ANY KIND UPON THE lINSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE _ William ACORD 25(2001108) ©ACORD CORPORATION 1988 IAICf17r.mono.no.. .. Pone 1 of� - Town of Barnstable Regulatory Services Thomas F.Geiler,Director 9'ARMASS." "B`E'� Building Division , s639 �0 'OTEO 59 Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 COMPLAINTANQUIRY REPORT Date:* % 0 3 Rec'd by: Complaint Name: Map/Parcel Location Address: Originator Name: M/2 S. 177 C /K C k Street: �o O/9 fr N/='o k /1 p Village: Is State: 4 . Zip: 0 a G o Telephone: ,; .0 & ? ;> Complaint Description: ,S#,r -,q c,s e / a ✓ d 1✓ /�/r'i4 ��o�°k iz' r/ Y zL e /'/r' C x a s s r—, _ t ^ a FOR OFFICE USE ONLY D Inspector's Action/Comments Date: 3 Inspector: 7 _ G / Xo Ar,-t T/ 7 co /`i c .�/� S = S ff ��j s �►/�" b j/i d /r✓ /°,�G T/U�✓ �'/ti I�p d!//'� 5 /p�I/S S /�v / / e S a /7 ids s O F: Additional Info.Attached rot/0 D k1A1&/' 7-6 C,4cC- �{i� f f act /i►�/ e/e.-r �Oc. US 11,c I0,�prd S % Alf t.� G��D kh 7/l S i f N O�f S ,GI f Fo W'r C/� Al D� <<v Q:forms:complaint J• r, y' T 3'�.Y . 70 - I F•wwi'i/�.LA,r)Irnrf/CLE,QK OF THE TOWN OF DAZAJ5TRBLE, HE.eE6V CE.ET/FV 77}AT THE NOTICE OF APPPO✓AL OF THIS Y - PLAN BV 7HE 4LA,eA/377ABLE f1LgNN/NG 50,geD HAS �.l '32i EH�Yc BEEN RC-CEIVED AND 2ECO,eDE2> fir THIS OFFICE AND P >.Eo S�I,ii� of V AXJ NOTICE OF APPEAL WAS QECE/VED WRING THE _ 0 - TWENTV DAVS NEXT APTE.E 3l.ICH 2E CE/PT AND .ec-CO—D/NG OF SAID NOTICE. Loew to ? n�& Gs p, 7: tJ CLE,eK L,(9 - HYAivul,s HAeaoe .e .S eq o• "V>G 97'pSE_ 0' qD. A 'E OLD 0 - F AV LOCUS MAP /'-2000' T'2¢GG' 9g �•SS 19•s-• �:B 'O• - 0 .2EG/5Tew USE 2ON/A/G DIST,2ICT- RS AB9,e3.MAP J04 PA.eCEL 84 1 B3.Q i• _-. �JJ Q. A.a%P. DEED BOOK /2G7 PAGE e9J G'% - e•/GQ.; q'/C•��o �4- J LEON ED HONSTON. L 0 ..h$ Gg. d• �• � T•e. Q 0h n0 g A•y�s�. •9N .. JJ/ aN T. /B oG No y1 ♦ N y� //,eo/ 4 4 vi v ,9 Q9 d 9 QOBe.eT D. € -PLATE `S70•QJ.pg_ F~D: : J MA,eY DEG2,9GE A. a cb• @ _TORN V. ��2.35'•!8•W O. ,� a6• .. - QB, T i9•N � MY.eON F, T HE.eEBV CEBT/FV THAT TH15 PLAN G�Og¢BR2A G, FA/D. 'C\�A'7• BEHLMAN TO C. WAS MADE IN gCCO,eDAAICE /J/TH - .B� SUBDJV/SIOAJ THE HA2N5Tga4E A'ANN/NG BOARD (� PLR" OF LAND INST-eUC7-/ON5 AND THAT THE ` ReeMANENT POINTS SHOWN ON /N THIS PLAN A,eE JN EX/STENCE i /-f ON THE G,eOUND. HVANN/5.8H2A/STHBLE. MASS. S CE,@T/FY THgr THIS PLAAi HAS BEEN gpp,eo VED gS SU,e VEVED FOR PQ-PRQED /AJ CONFO.@M/TV W/IH THE QULES AND REGui—wr/ONS OF THE BA,2NS Tq HLE PL N/ 8 QD CH2/ST/E 8 FANN/E E. D/NK/NS G/3 TE,ES OP DE6rDJ OF THE NO. COMMONWEALTH OF /•'IASSACHU S TTS.3CAL E: /'.30' AP2/L 24 ,I980 �p DATE: O /O£O 30 40 DfgTE EbG. LAND JU,evavcAR �2orye LOLJ 6 CO. YARMOUTHP0.2T,MA55. � � i111i111i1J � f, TOWN•OF BARNSTABLE BUILDING PERMIT.APPLICATION �. r (' c +, TA BLL2 Map w Parcel (� A Permit# Health Divisiori#-35— 61 U 0 ri L 9 J01 Date Issued j Conservation Division �' o,3 Fe w S �3 ' o Tax Collector 7</� I/7 /ram * e `, Treasurer SEPTIC SYSTEM MUST BE INSTALLED IN COMPUANC c Planning Dept. vm TITLE Is Date Definitive Plan Approved by Planning Board jf EN9/IROWENTAL CODE ANL ' r TOWN REGULATIONS Historic-OKH Preservation/Hyannis0& '' 4 Project Street Address Village Owner Address t 4r. ArNJ Telephone _ Permit Request Z, �- S�G ? 7 0 33S Square feet: 1 st floor: -existing proposed� 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay _s Construction Type Lot Size l O , Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) r� Age of Existing Structure s 0 rS Historic House: ❑Yes Xo On Old King's Highway: ❑Yes J,.G NoJ Basement Type: ❑ Full XCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /' Number of Baths: Full: existing new l.> Half: existing new Number of Bedrooms: existing ;2-, new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel:P(Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Ao Fireplaces: Existii New Existing wood/coal stove: Cl Yes ❑No Detached garage:❑existing ❑new sizeTPool:❑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 ❑YesrNo If yes, site plan review# Current Use / , Proposed Use w BUILDER INFORMATION Name Telephone Number Address License# = 'm I/ Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE < ` 7�� FOR OFFICIAL USE ONLY ' PERMIT NO. `y DA7k ISSUED MAP/PARCEL NO. ADDRESS M VILLAGE ' OWNER Y t DATE OF INSPECTION: / oar/,,v y o k al s! 3 r T ' FOUNDATION t FRAME Ltd zs'1 d A 5/G 3 r /C% � _ P ' INSULATION ,ES boV.f y FIREPLACE - ELECTRICAL: ROUGH FINAL 3 `- s PLUMBING: ROUGH FINAL t, GAS: ROUGH FINAL FINAL BUILDINGtin ` Yr• DATE CLOSED OUT o j ASSOCIATION PLAN NO. # c ' s iuNge ssessor s ma and lot number .......... ' # �0 �� THE Permit- number ..... ....�1 ....449�a �`( OG� S1�%�' gg M MUST BE ' Z BAfldSTSDLE, i House number-'......:........ D IN 90 a s. WITH TITLE 5 o YPr = TOWN . OF BAE S �t B��EA! TOWN �� ` BUILDING - INSPECTOR APPLICATION FOR PERMIT TO ....:.6..lt.l..[.. .............4..... ...�........g.........4.......'...,.......... ..... .. TYPE OF CONSTRUCTION .....LA.1....,C7..Q.. ........,�... ......... .!r?.5�.'�.>....�.. .�.!4. .lej. ...............19., .� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the follllowing'infor ma ion: a , Location0-.1M.. rG. t .............................................................. Proposed Use ......................... .... .�. 1../..h.7....................................................................................... ....................... ZoningDistrict ...........:.....................:.................:....... ............Fire District .............................................................................. Name of Owner ... oN.. Ad' dressSY....lyq.K, .W#*(.krX.7 ........�.V..JI..!4�O /7 J Name' of Builder. . ��! ..h..../'1•�...0 t►.���. .......... ddress 1 C......&Ok �>>-> ...5�.........., '�t�t>>4>-k>N.I.S.....�Cf 0 2 Name of Architect ress ................. ........... Z. .rr.J....3`........... Number of Roo s .. ..••.r ....... ..j......+.....�,3.!ll.l. :Foundation .... ... h"'► !! / 3�0 e- �f' �(✓ e,A0 w eo .. Exterior W..#0.0t.... .!!'!'1 `i.........S-174.kp4woofing ............ ......................................................... Floors .......FT..u.. 0� !tJ ?. ......�. ..w�4.f../.1t� ..lnteriar ........y .!'_/.......!!VA.............................................. Heating 1. ..... ....!'i:.........6....... ..................Plumbing .......{.r...z........... ..C.`................. Of Fireplace 7.0...... .........�J/ !�.� .........................Approximate. Cost .... ...........>>-:.-............1.�.. ....... . Definitive Plan Approved by Planning Board -----------_______------------1:9________. Area ..........................................`S oco Diagram of Lot and Building with Dimensions t I � ` Fee ............................... SUBJECT TO APPROVAL OF. BOARD OF HEALTH , I �3 oily X OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of t Tow Bar bl a rding th bove construction. 7 Wak.....Qt>> >> ..>>.......... ... . ..08d ...... ...... Construction Supervisor's License .................................... 25r7427 Addition N'o ................. Permit for .................................... _ T Singie Family Dwelling � .. ••� •Oak Neck ...Road .... � • �� �, � _ � • - { LocatJ................................................................ k Iiyannis . .. .... ................. ........ Owner Patrick J. Gallagher .......................................................... t # s ` TYPe of CoRnstruction4 ................. ................................ x i Plot :"... _ ............ Lot ................................ - t Permit`Granted ...................August 16!:.......19 8 3. ` Date of Inspection ............... :19 r' Y • j �j Date Completed 19 07 , r r P-,• �;y •� #.." 5� >_ ���P��:f t y�.,,�,,e..,.,.-• .� .y�, a.. .'+�fi'iF.i ��= a M '�. _ .r , - f ,.. T w- � •. - , , - '�.'�. .ram � ..-� '� _ _ _ .4 CAssessor's map and lot number ....................:.... ..................: 2 ' ( JC THE _ . Sewage Permit number .................. :. f Z BAWS'TAELE, i House number ...............:.1067............. 1 I4..............?.......... ' Mnsa > 00 t639. Q NAY a' TOWN OF - BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......................................f .............................. ................................................... TYPEOF CONSTRUCTION ................................................:..................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............................................... ... ................%t.'...... .........:.: :......i..................................................................................... ' Proposed Use ........................................ ...... r....... ............................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Nameof Owner .... i.1. ..................... f.{... ''..'..�:....Address_.`...'...........11......... ...... ..w..... .................:.............. . Name of Builder ... /'.. ...........?..... .:.........`......... ....... .Address .. ............f.....................r..........':........................... Name of Architect ......� .....:... �' ....17 .- :Address ...............................�...................... ......................... _ - _ f.. Numberof Rooms ..........................................:......................Foundation .............................................................................. Exterior ...Roofing Floors ....................................Interior .................................................................................... Heating .......................................................Plumbing ..................................................... ........................... r Fireplace .......................................... ......................................Approximate Cost ........... ..........~...�........,•/ . ....�...... � Definitive Plan Approved by Planning Board _________'`_____________________19________. Area ...... ............................ D� Diagram of Lot and Building with Dimensions Fee ........�U............................ \ ! f SUBJECT\TO APPROVAL OF BOARD OF HEALTH 1 a A,,! 41A \y 1,/ 7 j- 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 .................................... GALLAGHER, PATRICK J. A=306-36-2 25427 r"` V Addition No ................. Permit for .................:.................. Single Family Dwelling Location ..3.O6....Qalc...W.Q9.1c...Road„ .................Hy c37r1ui s............................................ Owner Patrick J. Gallagher .................................................................. Type of Construction ......F.rame....................... Plot ............................ Lot ................................ Permit Granted ...Augus.t..1,6 r...........19 83 Date of Inspection ....................................19 Date Completed ......................................19 L0 l l 1 " TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel d6 2__ Permit# s� Health Division �✓�� 3�0 //f3�� Date Issued 1111 e 2 r Conservation Division Application Fee t D J Tax Collector 0 K- 1M , rn Permit Fee 00 Treasurer 0 Y-n-(Y\ APPLICANT MUST OBTAIN ASEWER CONNECTION PERMIT FROM THE Planning Dept. ENGINEERING DIVISION PRIOR TO 0 /��1�TION. , Date Definitive Plan Approved by Planning Board A Historic-OKH Preservation/Hyannis Project Street Address A6 ( Village 14 Owner Gam - � / ''� Address Telephone 2 al — 7;1 7 — IKCl- ae,11 " _c08 Permit Request —7-0 / �Z, C��'`� �� /,y -/, 41 r cat Square feet: 1 st floor: existing proposed 2nd floor: existing proposed - Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ,)S 0o Construction Type ` Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. : j Fo Dwelling Type: Single Family , Two Family ❑ Multi-Family(#units) Age of Existing Structure /J2 2 it-;$' Historic House: ❑Yes ,lo On Old King's Highway: ❑Yes ANo Basement Type: ❑Full ❑Crawl ❑Walkout 12Other (�- Basement Finished Area(sq.ft.) l 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 25, new First Floor Room Count Heat Type and Fuel: XGas ❑Oil ❑Electric O Other Central Air: ❑Yes �KNo Fireplaces: Existing i New Existing wood/coal stove: ❑Yes XNo Detached garage:0 existing ❑new size Pool: 0 existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded 0 Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i SIGNATURE DATE FOR OFFICIAL USE ONLY r ' 'PERMIT NO. DATE ISSUED p MAP/PARCEL NO. r ` ADDRESS' , :MILLAGE z OWNER DATE OF INSPECTION: FOUNDATION r FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL` PLUMBING: ROUGH FINAL; , f' ol GAS: ROUGH `r-FINAL,- FINAL BUILDING ' r. f r DATE'CLOSED OUT,. r: ASSOCIATION PLAN`NO. A ' °FZME Thy _ , Town-of Barnstable Regulatory Services 3ARNSTAffi.E. ' Thomas F.Geiler,Director f1639. % Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW ; SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations ation,,,repair,modernization,conversion, improvement,removal, demolition, or construction.o an addition any pre-existing owner-occupied building containing at least one but not more than for-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. I Type of Work: � �� (,u Estimated Cost Address of Work: 30 G o Ale f0,5LO Owner's Name: rye/✓ G�� �� � Date of Application:_ /���-Z I hereby certify that: Registration is not required for the following reason(s): MWork excluded by law ❑Job Under$1,000 Building not owner-occupied yi0wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. /� OR Date Owner's Name Q:forms:homeaffiday. 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'peanitllicense# ❑I,ice�in$Soard city or town: OMC'! contact person: Information and Instructions iles all vlassachusetts General Laws chapter�152 section 2e se defined as every ersoaui the serviceers to provide eof another under'anrs' compensation oy ontract ees._As quoted from the law-, an employe ryP , �f hire,'express or imp lie oral or T is defined as an individual,Partnership, association, corporation or other legal entity, or any two or more of An employer the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or =partnership' association or other legal entity, employing employees. However the o trustee of an individual wner.of a ... dwelling house baring not more thanthree 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 buildingappurtenant thereto'shall not because of such employment be deemed to be as employer, c MGL chapter 152 section 25 also states that business or to construct ocal buildingslng agency shall withhold t.he issuance br rene"Wal n the commonwealth for any applicant who has of a license or permit:to operate a basin ,•.... verage er the' the insurance' not produced acceptable evidence'oofscuompv�s one with shall enter into any c oo�ract for thelperfoAdditionally, rman eoof public workuutiil commonwealth•nor any of its political acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.• :�: .' �. Applicants affidavit completely,by checking the box that applies to your situation an Please fill in the workers' compensation d•supplying company names, address anti phone numbers along with a certificate of insurance as all affidavits maybe artrnent•of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and submitted,to the Depat the date the affidavit• Toe-affidavit should'be returned d the city or a have any questions regazeding the"lawc°r�f YQu artment of Industrial Accs Y. being requested,not the Department atthe number listed below:.' ` ed,t6 obtain a yvorkers' cAmpensatioapolioy,Please call`tlie Dep _ aie requu =: City or Towns please be slue that the affidavit is complete and printed legibly. The Department has provided the applicant. space at li he bottom Pleas . to fill out in event the Office of Investigations has to contact y regarding PP � affidavit you for l o t ...event wed'as a refereance num�er.�The affidavits may�i"e're'�azned� b sure,to fill in the.p eztnit%licens a nwnb er which wi1L . artmet bymail of FAX unle's s othei arraagem.ents have been made:' the D ep ._ ... .. .. �• ^.���,.• . .. . . e to thank you in advance for you cooperation and should you have any�estions, . The Office of Investigations wouldlike ., _., .�. .... - please do not hesitate to give us'a 11 Gait ///% /////%/// ///l///%///%%///%///////%////////%%///%////////%//////%%//////%�%/////%%///////%%O/ The Departnene address,telephone and fax number. - Y Tbe'Commonwealth ONassachusetts ,. 4.; Department of Industrial Accidents U Mce of 1nvestigaunns 600 Washington Street Boston,Ma. 02111 , fax#: (617) 727-7749 The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division j Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: f111_11116.�_ Il JOB LOCATION: 306 /V27w, /`� `y����✓ number street village "HOMEOWNER!': �G� 5��'�a1—5—!(// l9� name home phone# — work phone# CURRENT MAILING ADDRESS: i30 A&Ik,&V �T 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. DEFINITION 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 procedures and requirements and that he/she will comply with said procedures and requirements Signature of Homeowner 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 performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas 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. QFORMS:EXEMPTN_ C � c e .. .� " cz �'+ q x basvhacAlb�t I i I All 17 r I I i s It. ^1 Sc`�iS "Io c3e .yell Cc�. Ao ,� lA � . � f Yff ..70 t �d IF• ►'fA.LA/Yflrw�tCLE.eK OF THE TOWN OF $A,PNST.ASe-- HE.eEBY CCeTIFY 77-IHT 7HE NOTICE OF APPP_O✓AL OF TH/S /^ - ? PLAN BV THE Bf7.EN5 TABLE PL.q,VN/NG BOA.eo HAS .-� ? �Z6 AA c a BEEN �2ECE/VED fiND R&CO.eDED AT THIS OFFICE r9ND 'aRNSTAII Aly 4 ` A•K7 NOT/C,'E OF APPEAL WAS .2ECE/VED DU2/N6• THE h IQ �E�.•!!ENEf t n TWENTY DAYS NEXT AFTE,e .SUCH ZECE/OT AND n/ O ,eECOeD/NG OF 59/D NOTICE. ? n O •DATE (/ 4 CP m C.B.FND. --- Q _ ——— — _ a 77DI,/ C LE,e�A_ ' AJ �•433 -` v76 3j3 0 qp, P HYAuurs HAeBo2 �„ s�.e O- SEA 0 Al A, O 00 LOCUS MAP / 2000' r'259s gSFtiD ,� ASS• /O /�� � O hZ' F-Oe ,eECI,5T,eY USE 2NN ,E 0 / G D/ST /CT 8 8 A. - ,2 -�•/S• --- ` J A6SRS. MAP 306 PA2CEL $� 4-/• Q 0 At 2C DEED BOOK /267 PAGE e99 �n 'e`/44 7 , ,..,9•/C•2o• _ �4�� �VP - /�• 2 07 0 �� 4G 9 29` LEO,V T. VV EDMONSTON, �i S O tih�p 4./c�3p. /819. 4.7 .06 No a� • .h � s` 3 '9 h � v `ate o g. F c \ 'h e N O —PLATE �-_ C.g ,r5 � 'eT D. �7e- //Soo, + s ` ,eOSEMFi,eY /74 es, CAMILL/�.2/ TFiME6 F- � �__ HAVES `-57/•3 �-_ Sq' !\ C. MY,eON F. C.G. 'w�/ �/ •;, 'l',a: •ca%-p\�'''sa I HE.eEBV CEBT/FV THgT THIS PLAN �BAeBAeA�'' FND' �% �• BEHLMF�N ) �, TOCR� AJAS MADE /N F/CC0.2DgNCE WITH SUSD/VIS/ON THE 519,2NSTAbe.& LY.ANN/NG 130.9--40 P PLAN OF LAND /N.5TRUCT/ONS i9ND TH,gT THE ` - PE,e/IAAJENT POINTS SHOWN ON IAJ TH/S PLAN AgC-. IN EX/STENO E i G ON THE G,eOUA.ID. H NN i VA /S. SA/2AISTgSLE•; MASS. I CEr2T/FY THAT THIS PLAN HAS SEEN APP,20VED AS SURVEYED FOR. PRE PA QED IN CONF0,eM/TV In//TH THE RULES AND REGULATIONS OF THE 8A,2NSTASLE CRRIST/E 0 f19MAJIE E. D/NK/NS .eEG/87-E,25 OP DEEDS OF THE SCALE: /'• - 30' fIP2IL -4 /980 COMMONWEALTH OF MA.BSACHUS TTS. ��LY �j DATE: 14�wu 1°180 Lpeo � �— O /O eo 30 G0 DATE R&IS. L ND SURVEVO,E — — — � or9e LoL✓ � co. �� ���k'� � E VAQ/,10L/THPOie-r LASS - 1..(. 1p to to .: .ti off. -311 O Most SM rERIC of Rai AMIIIIO& Awl ,"& in a3 a E ors; ; `l n ry rtr � A Q $.'.r{ P _ ��? �, 11 4 1...,pig ..\ � • � /� 1 WS o, lea yid a �r-c.y 1 777 AIN VQ 1 T y: r F ! i :3 r _ .... '� r t rn L-®CA-'O®TRIM OF 9=1ROPE,RT"V a-uMES AA^Y NOY BE ^CCU R^-[rE STANDARD LEGEND NOTE:not all symbols will appear on a map 1 3 13` GOLF COURSE FAIRWAY J # 28 EDGE OF DECIDUOUS TREES EDGE OF BRUSH O r_r ORCHARD OR NURSERY �v v-v EDGE OF CONIFEROUS TREES MARSH AREA -..-- _ EDGE Of WATER ,1 DIRT ROAD �b DRIVEWAY / / -; --PARKING LOT l ' � -PAVED ROAD .- ap 306 I �• - ------= DRAINAGE DITCH 1 , Ma .-306 ----' PATH/TRAIL g , ap 306 # 304 PARCEL LINE** \ Ati1 1 - #1m `0 0. w t oo-<—MAP# �L} j \ Q PARCEL NUMBER i L'�(1 L - 0 � ) ��e HOUSE NUMBER `r1�N 2 FOOT CONTOUR LINE 10 10 FOOT CONTOUR LINE 06 Elevation based on NGVD29 a 30 / �� / \<4.9 SPOT ELEVATION co STONE WALL O # 3 06 -X—X- FENCE w RETAININGWALL T-r RA14 ROAD TRACK 32 © STONE JETTY \ P� SWIMMING POOL 06 PORCH/DECK ❑ BUILDING/STRUCTURE o � 24 ' DOCK/PIER a 306 G HYDRANT B VALVE O MANHOLE / o POSE (D" FU16 POLE T O W N O F B A R N S T A B L E O E O O R A P N I C I N F O R M A T I O N S Y S T E M S U N I T � SIGN ®. STORM DRAIN M PRINTED SUAL.IN FEET *NOTE:This map Is an enlarpement of a **NOTE The parcel lines are only grephic represemations DATA SOURCES: Planimelrla(man-made fealums)ware Interpreted from 1995 aerial pho"mphs by The James p TDIVER 1"=100'scale map and may NOT meet of property boundaries.They are not true Iocallons,and W,Sewall Comppaarry.Topography and vepetallon were interpreted from 1989 aerial photographs by GEOD UIIUIY�� �^- 15 50 National Map Aaarmcy Standards of fhts do not represent actual relationships to physical objects Carpmotion.Planimeft ropopcaphy,and vepetoNan were mapped ro meet National Map Accuracy Standards Q * enla ed scale. on the map. or a scale of 1"=100'.Porml Mines were di heed from FY2003 Town of Barnstable Aster's tax maps. ¢ U6HT POLE o ELECTRIC BOX 1 INCH=SO FEET � P D C•\/,illrl\o .I..n 1 fR/7nn a O•rn•,2n Ann « Al IF i 47 " r ' •�a ., •. e aw _, _, _ 1 + aX \ �• rye a �'h'+^!i°�+�.��fl���a �*, �' .`�w�" � a� \��-.�{ ¢ *! 1+:� �!* - rr,�3•a «^k4 : R �4 t � / .�kG �i- t. m 'f xh t� kt •.P"4 z 4 � • Y y :1� N �1+ ,. t ..•11,KE'4t,��..J I Y" e �8�.�a.'+/. •.. �. 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N • . 1 w•YI e111 • •1 - .Io • Y:111 -% v • • to eg •-H111 w1 •UIle •w ' 11 • ' • / v_• w1w -.• V 11/111 •.• 1 •• • • IA 11✓• o -oleo$-/ as, lee-1 a /1 a lel • ••- .•• ..• -n-•1► Ir. •_n/ n/ •• • 1 • J: ■ •Ig sib I • • /• .11 • 1• • .11 M' • • V•• e-1 •g■ •N .11• g• e • / •11 • •-� • •Ig • e••-•1 a•1 Va • 1 •1• .6114 e:•' tl►le• •w I I of 1 ' 1 . 411 1 1 I I • ' 1 w t 11 ' 1 1 1 I ACORDrM CERTIFICATE OF LIABILITY INSURANCE 11/08/2 02 PRODUCER (SOH)540-2400 FAX (508)760-1988 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Murray & MacDonald ,Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 406 Jones Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth, MA 02540 INSURERS AFFORDING COVERAGE INSURED Ral ph Crossen INSURER A: Scottsdale Ins Co DBA The Ralph Crossen Construction Company INSURERB: 18 Woodridge Road INSURERC: East Sandwich, MA 02537 INSURERD: MASS WCRIB INSURERE: Zurich COVERAGES 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE MWDDIYY DATE MM/DD/YY GENERAL LIABILITY 'BINDER 11/08/2002 11/08/2003 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) S CLAIMS MADE a OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 X POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG S EXCESS LIABILITY EACH OCCURRENCE S OCCUR ❑CLAIMS MADE AGGREGATE $ S DEDUCT18LE S RETENTION S S WORKERS COMPENSATION AND BINDER 11/08/2002 11/08/2003 X TORY LIMITS T EMPLOYERS'LIABILITY ER E.L.EACH ACCIDENT S 100,000 . E.L.DISEASE-EA EMPLOYEE $ 100,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTH R BINDER 11/08/2002 11/08/2003 $ 267,000 ui�(ders Risk A �nsurance DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUC NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH MPANY,ITS AGQNTS OR REP ESE TATIVES. AUTHORIZED REPRES I ACORD 25-S (7197) ©ACORD CORPORATION 1988 �oFIHE, Town of Barnstable Regulatory Services Thomas F.Geiler,Director v �►rass. g' 4'plF0 39. a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 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: ✓Z ��, Estimated Cost Address of Work: 3,9 6 /)�� A,.aC-� Owner's Name: Date of Application: /_ 2 0 I hereby certify that: Registration is not required for the following reason(s): FlWork excluded by law ❑Job Under$1,000 OBuilding 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 PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor KaSie Registration No. OR Date Owner's Name r � 1 -7/ee a�✓f/laoaac«iuoelta 1 ,, I BOARD OF BUILDING REGULATIONS y icense CONSTRUCTION SUPERVISOR �- Number: CS 070029 kt irthdate 1t/15/1947 i t Expires': 11/15/2004 Tr.no: 5451 t i Restricted: 00 s RALPH CROSSEN 18 WOODRIDGE E SANDWICH, MA 02537 Administrator ✓die e,,,, uueull�i a�i�aaoac�euarCl4 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 136972 Expiration: 9/23/2004 Type: Individual RALPH CROSSEN RALPH CROSSEN 18 WOODRIDGE RD. � E.SANDWICH, MA 02537 Administrator RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE (/ \� x.003d J square feet x$96/sq.foot= � � , �m 1= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq. foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq. ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf ` 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projeost 1 P`�F(HErp The Town of Barnstable BARNS SABLE. • Department of Health Safety and Environmental Services 7 MAS. 0p t6}9. �0 TfD MP+�` Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Map/Parcel: 3e:5� 110n'9� 2 Project Address: 306/ Builder: Yy CI--n The following items were noted on reviewing: /) AL6 /'BUf�OtZ7'6o,r� ���r B�Gfrw r/.0/Sff j 6:Afpr -t P y ��f✓� r /�3�y o EXrvzic�.c Au��9Y I=2o��-r ��ac�•h .,�,4 3> ;!3 y Reviewed by: Date �/0 Da3 r q:building:forms:review NONE MEMNON ME 0 loommilomilm momimmool NONE ommommommoms mommomm NIEMEN MENEMENMENE Emmomm mmm MOMENIMME 1 fMEN M MEN ME mommmmmm � MENEM mom ONM MOENME mmommommom ng HMEENNEMONMEN ME limmomm 0 0 MEME 0 0 mom ME No mommm mm MEN NNE M Nommommomom NNW No mm mmmm mm NEEMENMENNEENE ME ME ONEMEME ME M M MEMNON M 0 M 0 M 00 MEMO M M NNE, �I� ME ME NONE ONNEEME M IMEM IN ON ME SOMME mmmmm� M No 0 0 0 NNW Elm mom mmmm� M mom mom M NONE No M OMEN 0 mom ONE M mom 0 MEN NONE No NNE No No ME ME No 0 mom 0 ME ME 0 0 0 mom mm ME MEN MENEM i f' I • 4 a M ,. � „ "; f a s # ✓r _ � ?� ._.a .,. i ,e y. r 4 ,. �� S S � " i � f ( i t - � � ,t z � t � -g w ! -� �'�_ �:F's 4 t � f a ♦' t i. _ � - - - ,� ;} 1 r � i � 1 .. .�4 � t `�� �.,v_, ', _ � � - { i f i i -4 r .. � 5 � _ � .. ` F" .E � � t� �; i 5 � .✓'., w 1 �� 5,� ;z ti -� i n S r. �f ': �� li �- � t � � P t � i • . . � - � ' { 7 _ . .� . � � i .. 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