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0361 OCEAN STREET
��, - - 1 �� 4 E 1164, not ma a any appropriation in the final budget of any fund in ex- cess of the estimated expendable revenue of the fund for the budget year." Therefore, expenditures in a "balanced budget' must not exceed current revenues and proceeds plus undesignated fund bal- nces. eginning of the Budget Creation Process he first step involves long-term strategic goal set- ing by the City Council facilitated by the City anager. The City Council sets their "Council oals"for each two year election cycle. This broad iew of the future of the community helps guide all ther decisions that follow in the process. 11 incorporated first class cities that have a popu- tion of more than 4,000 inhabitants and all city tanager cities must comply with the provisions of e Uniform Municipal Fiscal Procedures Act yoming Statutes 16-4-101 through 16-4-124). he Act specifies the fiscal year to be used, pub- shing requirements, budget milestones, and other pects of an acceptable budget under Wyoming ate law. The City of.Casper budget process meets 1 requirements of the Act, and also includes goal tting, strategy, performance management, and ng-term capital planning. VU- . to TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 2 -/ Map Parcel d�y' Application ) Health Division Date Issued / W14 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Svv� Project Street Address 3 OceAN 5T Kt1— r Villages PAN N Owner 1�i�i l�L 1pmA & w Address 2� I h9f-wSILP- �D. 6fisni- GI Telephone D t-� Permit Request F)ti IS il CCU e'a n t20b K o POOL Moto &-r- h 6 E C Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District PSE) Flood Plain Groundwater Overlay Project Valuation V5.1 bC7() Construction Type Lot Size ° S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 242- (na9464--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 2 new Half: existing new Number of Bedrooms: existing I new Total Room Count (not includingbaths): existing new Firstblwr Room Count Heat Type and Fuel: � Gas ❑ Oil ❑ Electric ❑Other IDING®EPT. Central Air: ❑Yes ® No Fireplaces: Existing New Existinyomo/ Move: ❑Yes ❑ No Detached garage: existing ❑ new size—Pool: ❑ existing ❑ new size TOWyAi 1I sting ❑ new size_ STABLE Attached garage: ❑existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION _(BUILDER OR HOMEOWNER) Name cp�ff-t\J Telephone Number Address 153 Cc)M SU-Q-1" License# nl6 21 /KA 02-te Home Improvement Contractor# Email Worker's Compensation # H WD 5 2-&12. 01 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUREhKjt� DATE 1 , FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED -MAP/ PARCEL NO. ADDRESS VILLAGE OWNER li DATE OF INSPECTION: FOUNDATION Lqa 3!'Z4/17 w� FRAME O t� 1 INSULATION !lt�S 01K l 3' /7 w FIREPLACE ELECTRICAL: ROUGH FINAL 'PLUMBING: ROUGH FINAL ,GAS: ROUGH FINAL FINAL BUILDING k- (m 22 6? DATE CLOSED OUT ASSOCIATION PLAN NO. TOVIN OF BAR STABLE / i7' "14l` —5 111 4: ?5 RICHIE'S INSULATION It C, 111 OLD BEDFORD RO 0 WESTPORT. MA 02 7 90 508.678•4 4 BUILDING DEPARTMENT TO WHOM IT MAY CONCERN; PLEASE BE ADVISED RICHIE'S INSULATION, INC, INSULATED THE FOLLOWING JOB: AODRE55: �� �� �i✓1 rOwN; 1Gnni'el CONTRACTOR'S NAME; ,,4::Q42,owl CONTRACTOR'S ADDRESS; CONTRACTOR'S TELEPHONE NUMBER: THE FOLLOWING INFORMATION IS WHAT WAS USED ON THI5 SPECIFIC JOB: MANUFACTURE:=1rol ham- TYPE: THERMAL CONDUCTIVITY PER INCH: —7� AREA THICKNESS R•VALUE -I WALLS STAIRWELL BASEMENT CEILING GARAGE CEILING G,H.WALL CRAWL OVERHANG CATHEDRAL WALL CATHEDRAL CEIL WALK OUT WAIL .FOUNDATION WALL e'LOC'K/RUNN, SLOPES P/V THANK YOU VERY MUCH FOR YOUR COOPERATION IN THIS MATTER, IF YOU HAVE ANY FURTHER CONCERNS PLEASE CONTA�T MY PHONE NUMBER, INSTALLER: f l TO 39Vd OBVVBZ9809 80:91 tioz1v0/90 - —o�•f 41._�I!'Lf -I LI�—Sr._:�—5 1II v P-iad:;-IY.—s°ue. +� '�_-_-•I �,I �I '..:.'n JI- C;-, w'_` - .r��ca.r'IpaIa w>/l+..°a..Ti.HwaW:.I'�R!w1:-I.--�.7iai•'a-=-Yaa�ai�M'-QTk r'—_�Oy iI.-..'.+�_-IneMe.l•Yal4-I�I.M..--.Y ivy 2 Ell noN al I t TORS LL i..,_I;3!:.•y._-�:_�I-'-LI L-,JI_am:-_I.,,_�-..^o'.4� �-r•-.,��{:..•*- .rT•w1'.- I E2-P C T R ffi R E I,!1..�...�IE..V.)•� _�BARNSTABLE BUILDING DEPT. DATE FIRE DEPARTMENT DATE_ J-1I �J. , tk �.•v ..• �. :. BOTH SIGNATURES ARE REQUIRED FOR PERMITTING �I I i CERTIFICATE OF LIABILITY. INSURANCE E DATE(MMIDDIYYYY) F4/19/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION 1S WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER - CONTAC I NAME: 30 Rogers&Gray Ins.-Kingston Branch PHOI FAX 8- 3 AIC No:877-8 63 Smith Lane - 156 Kingston MA 02364 a oaess: el c ' i INSURERS AFFORDING COVERAGE NAIC A INSURER A; r e I tl INSURED CAPEENT-01 INSURER B:A b In6mnity I nsurame Capewide Enterprises LLC INSURERC: J.P.Macomber&Sons INSURER D: 153 Commercial Street i Mashpee MA 02649 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:639492864 f REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD 5 R POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY LIMITS A GENERAL LIABILITY 8500050813 4/30/2016 4/3012017 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DA AG ORE TED `— PREMISES Ea occurrence $250,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,000,00D POLICY X PRO- LOC - $ B AUTOMOBILE LIABILITY 1020017539 04 4/20/2016 4/20/2,017 COMBINED Ea accident)SINGLE $1 000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ $ A X UMBRELLA LIAR X OCCUR 4600050814 4/30/20.16 430/2017 EACH OCCURRENCE• $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$10 000 $ A WORKERS COMPENSATION 420052612 01 4/14/2016 4/14/2017 X STATU- O7H- AND EMPLOYERS'LIABILITY - Y/N TWC ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N❑ N/A - I E.L.EACH ACCIDENT $1,000,000 (Mandatory in If yes,describe under a E.L.DISEASE-EA EMPLOYE $1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Leased Rented Equip 8500050813 4/30/2016 4/30/2017 LR Limit,.. 130,000 Property Building Limit 860,000 j Business Property 80,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) I i - I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence Of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AU ED REPRESENTATIVE r ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks o I ACORD i Offite of su ,r Aj1'e°irs&Busi ss Regulation P License or registration valid for individual use only Hb 1MF"WEWF NT CONTRACTOR before the expiration date. If found return to: s Registration 1;433'5'8 Type: Office of Consumer Affairs and Business Regulation Exlrlrafivn: (1:18 Ltd Liability Corpor 10 Park Plaza-Suite 5170 CAP..' IDE ENTE ' Boston,MA 02116 RICHARD CAPEN "t`'` -= 153 COMMERCIAL St. i MASHPEE, MA 02649 — Undersecretary N a-lid without nature Unrestricted-Buildings of any uac 9=1P nrhlch contain less than AGIN cubid fcbt(991at')of Massachusetts Department of Public Safety _ .�F Board of Building Regulations and Standards enclosed space. License: CS-089273 Construction Supervisor RICHARD M CAPEN ` r 122 WHITMAR RD COTUIT MA 02635 7� Pellure to Possess a arrant edRion of the Masusetts state 801ding Code is cause fur revocation of this llcertsa. For DP5llcernln6lrifnrmatlonHslt: WWW.M016,t4ov10Ps (�-nn CA— Expiration: Commissioner 11/27/2017 • II I ' � t .F i t �; i I BVw WF-5 128.42' ..h..�.v % y 23.8' / BVW / ...,..., / WF-4 Q O % CONCRETE �S V FOUNDATION BVW WF-3 23.9' EXIST. SHED v 25.8' BVW v - WF-2 / f / EXISTING BVW WF-1 /� 5 BR DWELLING r L I n J O I LOT AREA 23,510 SF t oL o-7 LANDSCAPE EASEMENT 12o.ss DICE #06-050 FOUNDATION PLOT PLAN PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION 361 OCEAN STREET HYANNIS, MA SCALE : 1 " = 30' DATE : NOVEMBER 6, 2007 PREPARED FOR: REFERENCE ASSESSOR' MAP 325 PARCEL 14 PLAN BOOK 56 PAGE 79 WILLIAM NS I HEREBY CERTIFY THAT THE STRUCTURE P��NOFMgss SHOWN ON THIS PLAN IS LOCATED ON THE yak 90 GROUND AS SHOWN HEREON. TIMOH.THY off 508-362-4541 O COVELL fax 508 362-9880 Z3 No.38035 c' down cape engineering, inc. CIVIL ENGINEERS LAND SURVEYORS e3e main st. yarmouth, ma DATE LAND SURVEYOR f �of, row TO; of Barnstable Regulatory Services g a Thomas F.Geiler,Dkeetor- Building Division Tom Perry, Building-.Commissioner 200 Main Street, Hyannis,MA;026,01 y"town.barnstable.ma.us Office: 508-862-4038 Fat.50&790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder - I, r 1 OL ,as Owner of the subject property hereby.authorize C - W -4 Jorpt.l. G C to act on my'behalf, in aU matters relative to work authorized b this budding permit application for; 6 (Addre,§s of Job) 1' Signature of'Qwt er Dat -Pant Name QTORMS:OWNERPWAIS S ION r Tlfe Cortimmnwealth of Massachusetts DeparCnfent of Industrial Accidents Offlce of hmstigattons 600 Washington Street Boston,; IA 02111 www.rnass.govldia Workers' Compensation Insurance Afflidavlt: Build ers/Contractors/ElectriciansfFlulnbet's Applicant Information Please Print Leeib.ly Name(Business/Organization/Individual): l tit .�a r'1�r� f �4. �1 I f J� \` �, `> ) ( ( )�j�`� r)l e C Address: �,� ��• `S City/State �Y1�t'��'�(��,(% ,-�r� b7-�t �I`;l Phone#: /Zip: Are/,you an employer?Check the appropriate box: I Typo of protect(required): I am a employer with c �a 4. ❑ I am a general contractor and I New construction employees(full and/or part-time),c have hUad the sub-contractors 7 ((Remodeling 2.❑ I am a.sole proprtdtor or partner- listed on,the attached sheet.I ship and have no employees These subcontractors have 8. ❑Demolition working foi ma in any capacity. workers'!comp.Insurance, g, (�Budding addition [No workers' comp.insurance 5: ❑ We are a]corporation and its 10 E]Electrical repairs or additions required.] ofilcerslhave exercised their q ] QL 11:[] Plumbing repairs or additions 3.❑ 1 am a homeowner doing all work right oflbxemptlon per M c.152,§,1(4),and we.have no 1Z:❑Roof 'repairs myself, [No workers comp. em to eas, o workers' insurance required.]t p- Y,. 13.0 Other COMP,Insurance required.] •Any applicant that checks box#1 must also fill out the section below showing their workers'wmpensetiori policy information. t Homeowners who submit this aMdavlt Indicating they are doing all Work i{nd then hire outside contractors must submit a new affidavit y Inf rmation' tContractors that check this box must attached an additional sheet showing lho name of the sub-contractor and thou worker'comp,p cY I am an employer that Is providing worker ,compensation Insurance for my employees, Below is tt►e policy and job site hrfarniallon. 1 Insurance Company Name: t< ,I Policy #or Self--ins.Lio, t/: Zit Expiration Date: dress' t!<. C Clty/state/Zlp: Job Site Ad .,� � ��� compensation on btic decia�atlon page showing the policy number and ezp)ratlon Batt). Attach a co of the workers' p p Y P pY 'e of a Failure to secure coverage as required under Section 25A bflMQL e. 152 can lead to the tmposltioh of criminal penalty s 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 rule of up to$250.00 a day against the violator. Be advised that ;copy of this statemotit maybe forwarded to the Office of Investigations of the DIA.for insurance coverage verificatloh,! I do hereby certify under the pains and penaldis ofperfud,that the Information provided above is ttue and correct, 11 Le- Si nature' �, Date, 2- Phone M -- Z / _7 11 Official use only, Do not write In flits area;to be aotnpioted by city or town offletal City or Town; i. PermitlLicense# Issuing Authority(circle one): �' 1. Board of Health 2,Building Departmeht 3,City/rown Clerk 4.Electr)cal Inspector' 5,Plumbing Inspector 6, Other- �. Phone Contact Person; I: ! #: I I Parcel Detail Page 1 of 5 dy BAAtiSTABLF, yQ hth55, 4. J �4 S _ - p -- Logged In As: Y Parcel Detail Monday, November 21 2016 Parcel Lookup Parcel Info Parcel ID 325-014 �I Developer Lot LOT 14 I Location 361 OCEAN STREET I Pri Frontage 1187 Sec Road I !I Sec Frontage Village 1HYannis - I Fire District HYANNIS I Town sewer exists at this address Yes it Road Index 1133 Interactive Map $ � _ Owner Info Owner IBARLOW, DANIEL C& Co- f Owner Streets 1291 BREWSTER�Street2�- City 1,13RISTOL State ICT zip 106010 i�Country Land Info Acres fO.54 I Use ISingle Fam MDL-01�I zoning JRB Nghbd 0109 I Topography ILevel ( Road jPaved Utilities ;AII Public Location Lake/Pond View I Construction Info Building i of 1 Year 1850 Roof Gable/Hip Ext Wood Shingle Built struct Wall LivingW6K Area Roof AC F�g,2488 cover Asph/F GIs/Cmp Type None i . ''� s Style Conventional wall Plastered Roome 5 Bedrooms i�io HAS 1. Int Bath Fq�' 314 26 FOPi 8 •GAR GAR 3 Model Residential Floor Carpet Rooms 2 Full-1 Half TqS WDK 4 �BAS. Grade Icustom Type Hot Water" I Rooms 9 Rooms TotalTo tioreat Stories 1.8 Fuel Gas Foation Stone Ftgs Gross 4028 !I Area Permit History Issue Date Purpose Permit# Amount Insp Date Comments 10/19/2007 Addition 200706438 $45,000 4/20/2008 GAR 12:00:00 AM http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2695 7 11/21/2016 r Parcel Detail . Page 2 of 5 y 2/1/2006 Generator° 90046 11/24/2014 GAS 12:00:00 AM GENERATOR 10/2/1998 Remodel 33799 $75,000 1/1/1999 KIT 12:00:00 AM RMDL/DECK Visit History Date Who Purpose 6/10/2016 12:00:00 AM Jeff Rudziak : Sale Review 8/10/2015 12:00:00 AM Jeff Rudziak Sale Review 11/24/2014 12:00:00 AM Robin Benjamin In Office Review 8/25/2014 12:00:00 AM Jeff Rudziak In Office Review 6/29/2009 12:00:00 AM Tony Podlesney New Construction 8/28/2008 12:00:00 AM John Greene Permit/Hold as NewGrth 4/24/2008 12:00:00 AM Mike Keating Meas/Est 4/10/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 6/15/1988 12:00:00 AM ML Meas/Listed-Interior Access Sales History Line Sale Date Owner Book/Page Sale Price 1 4/16/2014 BARLOW, DANIEL C & DIANA D, 28090/349 $555,000 2 11/12/2010 OWENS, JOANNE M 24991/65 $0 3 1/30/1987 OWENS, WILLLIAM P JR & JOANNE M 5539/348 $240,000 4 5/5/1986 SEABERG, RICHARD L TR 5059/91 $745,000 5 5/1/1984 BILL, WILLIAM O & ELINOR 4091/24 $65,000 6 8/1/1974'- 1 MACDONALD, JOSEPH L 2078/238 1 0 Assessment History Save Building Total Parcel # Year Value XF Value OB Value Land Value Value 1 2016 $2011400 $12,200 $61,600 $261,100 $536,300 2 2015 $227,500 $35,100 $8,100 $259,000 $529,700 3 2014 $1991,400 $35,100 $9,100 $259,000 $502,600 4 2013 $199,400 $35,100 $9,500 $259,000 $503,000 5 2012 $210,700 $33,200 $7,500 $259,000 $510,400 6 2011 $232,000 $3,500 $1,900 $259,000 $496,400 7 2010 $231,500 $3,500 $2,000 $264,700 $501,700 8 2009 $200,600 . $2,600. $900 $261,000 $465,100 9 2008 $208,400 $2,600 $900 $295,300 $507,200 11 2007 $221,600 $2,600 ' $900 $295,300 $520,400 12 2006 $207,200 $2,600 $1,000 $281,000 $491,800 13 2005 $179,500 $2,400 $1,000 $258,800 $441,700 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=26957 11/21/2016 Parcel Detail Page 3 of 5 14 2004 $150,300 $2,400 $1,000 $204,100 $357,800 15 2003 $124,100 $2,400 $1,000 $97,800 $225,300 16 2002 $125,200 $2,400 $1,000 $97,800 $226,400 17 2001 •$124,900 $2,600 - $1,000 $97,800 $226,300 18 2000 $93,700 . $2,500 $500 $65,600 $162,300 19 1999 $93,000 $2,500 $500 $65,600 $161,600 20 1998 $93,000 $2,500 $500 $65,600 $161,600 21 1997 $99,500 $0 $0 $54,100 $155,000 22 1996 $99,500 $0 $0 $54,100 $155,000 23 1995 $99,500 $0 $0 $54,100 $155,000 24 1994 $101,700 $0 $0 $97,300 $200,400 25 1993 $101,700 $0 $0 $97,300 $200,400 26 1992 $115,300 $0 $0 $108,100 $224,900 27 1991 $110,000 $0 $0 $121,600 $233,100 28 1990. $110,000 $0 $0 $121,600 $233,100 29 1989 $110,000 $0 $0 $121,600 $233,100 30 1988 $75,600 $0. $0 $32,400 $108,000 31 1987 $66,700 $0 $0 $32,400 $99,100 32 1 1986 1 $66,700 $0 $0 $32,400 $99,100 Photos i oil Ong l w vr, 00 a v x a u http:Hissq p 12/intranet/ ropdata/ParcelDetail.aspx?ID=26957 11/21/2016 11 4�i 141, - aa�� a {{II L ri A. a •L i� _�— � " �'�^'° — " I� Y � �81 a "�� 1 'AW `` I rry�a— 4 7 •/' �, ice' r':' yY IM Sr --'C• _.k� '�„Y,°"'✓�...-r`.eye� " .;Q3N011 x 3 'd . [ X pt ad 0 POLLY SPENCE a tr�. 0 �`�4s-!- s�4% ea114�N 508.942.1016 ? ��•i��"� a �l`,y \��D�4� "AR ILI ma ROBERT PAUL �t PROPERTIES - 508.3621414 S' � I ■ c WATER •s _ �•. �'c u» �i- ie is :�. hk Y r we H HE 1 YT# � A. 4 _ 58778�30"E 1.28 42' o C6 5� � r --=---31-0' - DECK Q o � o QQ V 1,20. 86' N8648'40" W - RES ZONE i4B" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.. B ' Bank Use Only TO WN: Y42VNLN - - - ` -- REGISTRY OWNER: _w/44IAj P- J_R._ _ , JOANIVE _OWLV,� _ DEED REF: _5,23�91-42_ - - - ---BUYER: _RFL1VJYCF.---- ---- ------ ------- - -- DATE: _911��7-- --- - -- --- PLAN REF: _56179 - -- -- SCALE: l 30 --[T. [ HEREBY CERTIFY TO �'�NQ_w1G1�_QQQ.�AT1Y�BBNK_ __-THAT THE BUILDING � tN OF �,w YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS PAUL ` yam SHOWN AND THAT ITS POSITION DOES __— CONFORM CONSULTANTS TO THE ZONING LAW SETBACK REQUIREMENTS OF THE 3 MER"EW TOWN OF ...�ARJV�'Tq�/�_____________AND THAT No. 32M 40B INDUSTRY ROAD 1T DOES— NOT $ (� MARSTONS MILLS. MA. 02648 _ LIE WITHIN THE SPECIAL FLOOD HAZARD �f 'P��CI$j(R�0 �AREA AS SHOWN ON THE H.U.D. MAP DATED_�?/J9�__ s�p�Ar IANO TEL: 428-0055 COmR�' i.t - Pane( # 250001 0006 D FAX: 420-5553 THIS PLAN NOT MADE FROM AN INSTRUMENT C11Q11C`V NnT TO Pr rizzpr) Pnp F'F'Nr;,C ;T(' 2J620 i I BVW 128.42' .�..."" WF-5 BVW ....�.... / WF-4 ( / 1 CONCRETE / .0' / FOUNDATION BVW 23.9' WF-3 % EXIST. SHED / / M `r 25.8' f BVW µ t WF-2 / % t s 101, /1/ EXISTING WFF--I /f 5 BR DWELLING y / GEN I L_ i J O Q I� I LOT AREA 23,510 SF t o / LANDSCAPE EASEMENT 120.86 DICE #06-050 FOUNDATION PLOT PLAN PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION 361 OCEAN STREET HYANNIS, MA SCALE : 1 " = 30' DATE : NOVEMBER 6, 2007 PREPARED FOR: REFERENCE ASSESSOR' MAP 325 PARCEL 14 PLAN BOOK 56 PAGE 79 WILLUM NS I HEREBY CERTIFY THAT THE STRUCTURE �P��NOFIVASs� SHOWN ON THIS PLAN IS LOCATED ON THE O TIMOTHY GROUND AS SHOWN HEREON. god H. p off 508-362-4541 p COVELL ' fox 508 362-9880 v No.38035 down cape engineering, inc. � pQ CIVIL ENGINEERS LAND SURVEYORS ese main st. yarmouth, ma DATE E LAND SURVEYOR 1 i�EngineGring Dept. (3rd floor) Map Parcel Permit# ' 3 -5 1 99 i House# - 3G, / 6 Date Issued m ' Board of Health(3rd floor)(8:15 -9:30./1:00-4:30) Fee 3 C% /CConservation Office(4th floor)(8:30- 9:30/1:00 '2:00) - 30 ammnq t. (1st floor/School Admin. Bldg.) �� oved by Planning Board - -19 - - BARNSTABLE. ` TOWN OF-BARNSTABLE -' Building-Permit Application Project Street Address/ Village Owner��/c`l G 'It o A u4,,, (�, �5 'J ` Address MeA.&..% s� Telephone .Permit Request /fin. o First Floor II '' square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain �j Water Protection Lot Size SO4 fly 1p— Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure *7 r-1r— Historic House ❑Yes ❑No On Old King's Highway ❑Yes )Z(No Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Q Basement Unfinished Area(sq.ft) Number of Baths: Full: Existin � New 0 Half: Existing _� New y- No.of Bedrooms: Existing New _� Total Room Count(not including baths): Existing_ New �_First Floor Room Count .r Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes P(No Fireplaces:Existing New Existing wood/coal stove ❑Yes gNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes *No If yes, site plan review# Current Use Proposed Use Builder Information Q Name C W31�r7OA �� � Telephone Number Address 6n 0,)( 1:7� License# (� z::i� /� }- ( 3(/ 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 G SIGNATURE DATE BUILDING PERMIT D AIF40V4E FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED 1 MAP PARCEL NO. . - _ � } r •• - :f- '' f - .. - • - � • , ^yam • ' .'�'�-.. ADDRESS y �� } VILLAGE '° r; OWNER DATE OF INSPECTION: _ - FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH -' FINAL,--- PLUMBING: ROUGH ' FINAL GAS: . ROUGH ` r FINAL, ,FINAL BUILDING • I , r t ram„ t fLL r ' r ` `�• ; f.-^> } } ' DATE CLOSED OUT ` ASSOCIATIOMPLAN NO. } + ` 1 13C Its i r'•t G " - - - - - - - " - - ' $TANDARDLEGEND 1 J 11 V I � � ; - _ � 6OIECWRSE FAIRWGY 1 I ' M P 325 � M�ONS TREES 1 � EO6E OF BRUSH MAIM - _ P 325 t _ _� TS _— — # 2 � . # LOIS / // ( i� , j` a ; , /1 "HOME NUMBER UR UNE I 1 10 FOOF EONFOUR UNE SPOT REVAMM \ / MALL � ; 11 . 7 Ti FENCE MAP'325 j � ;�- --� ; ���RdADTR= AONEIEm SWUWR6 POOL ! - j r FORUI/OEOT ,5m.�BUIIOR165/STRU LTU-RE S - e VALVE ®p m O T6 1 � � 1 o ON o EI[OBmf SIAP - -- 1 ;= MAP 32 5 T.O 8.6E RNPNIC INfORMN11ON S TEMS UNI ,,r S . '1' 10 40 1,NCN=40 32 370 ' JI � MAP 325 r _� /IgTLiBEF /ROIRY6R0.NIIL � wBPelue NNNmTnNu>anoxs w y�O� i pIIfFPHIFOW6111 OF Al1 1 N 1•=EBO.BOINNN9ED 1 IOD -' Fum NONE' ,OP 9®I<®NFI09A dF09F 1•_107. OFW7SN9�Q✓1 NROO�l \benoitisitemap,m325p14.dgn Sep.30, 1998 12:52:09 790-6252 0 New Application TOWN OF BARNSTABLE Renewal 'b�i6Ts Transfer ,..._. � ter.................... LICENSE APPLICATION Date. . . /ficant......N..7 ... .. Print or type only. (Please bear down hard) - Name of Ap > �.........DB/A ............. Corp.Name if Different.......... .......................................... ........ . ... ............ .._..........FID#.............................................. 2 Permanent Address of Applicant..... G :... ..AWA r Local/Mailing Address..-3Z,0...,. ,: r: t '.... ...r......... &: '' �,. ..../... IN--... r.' Z 1............................ ... ...................... Property'Owner ....� .......,C�J.......Cr, , ...................Business Location. 4V ..... s :. :. Type.of.Licerise... . v/ d -.. . :.,w,,( SS ' :t Status; Annual.: .. r3easonal.................... Name of Manager.........:, . . '+ • // P ..... /... ....,. ....'"`................... PermAress .. ?/ ... t sa ....... ............. ..'., i.a.......1. .. r../,,�. !.......................... anent dd s � . LocalMailing Address.................. ....................................................................................................................................................... ... .Place of Birth .. ............................................................. Telephone#of Applicant: Home ..... ..... .. ........ Tele .............. P PP (....._ ).. �- Telephone#of Manager: Home(. ...... ;......) ..... .. ..... �.. ....... e:r : ....................... �.:. >.. Assessor's Map#(s)..........rr :.:,.,.� .............Parcel#(s)..........`2..........................,..Zoning District.................................................... Any flammable substance or hazardous waste use in business(specify) ;11--e aF. NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES Applicants must contact the Building Commissioner's Office, 790-6227;the Board of Health Office, 790-6265 and the appropriate Fire Districtffice to schedule inspe, 'ons. Signature of Applicant........ ...................................... '* ................................... .......... ................................................................................................... vW j/ For Town use only IS THIS USE PERMITED WITHIN THIS ZONING DISTRICT?. .................... ......... ................................................. Comments: . . ........ .................. . ........ .................... . . .......................:;.. INSPECTORS APPROVAL.......................... " .. Building/Zoning...................................Date...........................................Board of Health.....................................Date...................... Wire..................................Date Plumbing Date.......................Gas.................................Date FireDist...........:. :.:...............................Date........................................... TAX OFFICE USE ONLY TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON TAX COLLECTOR White-Licensing Authority Green-Tax Office Canary-Health Department Gold-Building Commissioner Pink-Fire Department =CMRAgpeditl • Tdb1eJSZ2b(eoadnaed) . pj�swipif►e Pwkna for One and Two-Family Rnidearfal Buildings Seated with Fad Fads MAXIMUM M MIMUM Wan Floor Baa®eat Slab Heasiowcoolinl �) U-vduer R•vaiuer R vand Rrvdud Wan FIB Mawc? &value >;,•vduw 5701 to 6500 ResdnR Degm Date' Q 12% Q40 31 13 19 10 6 Normal R 120A 0 SZ 30 19 19 -10 6 Normal s 12•A 030 31 13 19 10 6 13 AFUE T 13% 036 31 13 2S WA WA Normal 0 15% 0.46 31 19 19 10 6 Normal v 15% 0,44 31 13 25 WA WA fS AM W 13% 032 30 19 19 10 6 iS AFUE X IVA am 31 13 25 1WA WA Normal Y 139A 042 31 19 ZS WA WA Now t IVA 0.42 38 13 19 10 6 90 AFUE AA 19% 1 030 30 1 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: e3 W 0 ce 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 1` ' 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a ptlx^: r -!fir :�p''t"" 'f su ,,. .,:..._ - +4+ ''.t•3. ies ,`;+' s rep..i,a ..t..ry.. ;:;r.e.... 'am ,'}� y tt`r' ,pyt, 5a• <<'-" : � ..: k` is ;7 _ 2c .�„ i s- y " .�'h'� t }'+'S"� s }� y h r }.. +M a� y.r krb 84 t p r � � wq�'+�. f: ' �Js•V/ pal ip•lY1T'Tl�.vlP a�r,'�. l4eF,YM,y,v�'} 'a N'T Tsp�fl'M1w3�yl� gq'?v ,r h�� °yy'�i �k �';;.. r ,} ° >� d .. -. r a a}.� i ° ,-� fnfi+ '�t� .a s'f � •` {� -" sr 'j � r t�`'�y„N *k,r-a,�,'�x, ,w � � h.'`��}"i�Pyp `�d����";�� •MiY��'t{e',$t � r_��:5;.,.�a:`�'�S'Mi;a .a�'u� P.rr,i ti ',5".t.•r�3 s�A ..ai ��`��.��1 � ei �sr` P �'�,�� t� '��-�a� �f.�.,w�`i.3��. af" +x. • p. �., :; n SjqIMPROVEMENT S.CONTRACTORS.•'REGISTRBoard,`of���.Building �Regu�lat. onsand �Stan �. �� ; s One Ashburton,�'.�PlaceY �, v $I �,��z,a� �:.��� �µ,:BOSt.OII� ��"�aSSaGhUSettS�,:02108.�•.. .�;.� y I }� ,y' ,e. 4 w.�F��?+_ �;�"•���p.�}:..ru Jik �7� Ss- +. GY�. SA .{+�.s: r ��- x ��.R� Y -:c.:�" P Yi ,is h r r 3 � �x t "f ..r••.�^ 7 � �,( �'... ' .?€ y'��i, (�,�-�.�j�_ #fir��2 F.+^p �n 'ni.? i- �-� '�i }� cV�� r ° �} �'' T '} e �''a1, s2'3� .•4 sr:,� ?- d p r< � z,k rwx. ME .:IMPROVEMENT. CONTRACTOR s ym t.ty4 ,�x7,ijr"1 :. Registration, 101587 mk,�zExpiratiorr 06/26/:0,0 -#p�';i av - e . t .s3'=a t' t,:'3e> J p.t_,'-n w- � T:�'•i a5�;.-. .4{'�'�4a --t�..Gx.,�t'@.,: °4k.kp ez � .. ax:�.x Y ..?n..`. qy; '9 . .. tiW,..;;:-IN .L,VI. .x I k. TYP. D DIJAL �S` .�r�. t:;3pe dyr }d I{q a ;" c Lv _}e a 4�3 p j �s Ng-'E Ok'n,� v s s �� fi YS xa � HONEvIMPROVENENF;,L NTR C ORr c i TSt �'O, a,t. ''fir "' � dR:Nke �,+ �..-,�f., rr'�','•'.�tY.r��' t3...,.y *,' rr , , � .� tt< rr , , .rlRe isietlo� . 101581 't:. PR CONSTF2U CTT ON ;IND.IVIDUAI, ,,. ; r. . Tracy, D jPratt ,., <: r,zr x,, 4 Y . rat 'Ex ir.atic 06/RUN 26/,0.0 � 5� $�Dara.ell`et�St:reet./4 ox 17';20 PA, W .r �,Cotu <t MA �026351 .� � '�°. "�. .l•� 'a a 4 � ; .., .:-�� ,� � �. ��t .• :, ,a ` l 'P.RATT CONS�RUrC,:•ION�GD d l�L;� ..�`�� fiielM `e�Str e 1 �oz: �2 • , " l Y oIt A0 b35 7//ee V�a�nmeo�tuiea i o�.�aaoa uaeQd`,; DEPARTNEAT Of PUBLIC'SAPETY COASTBf.TIQA.SUPERVISOR LICEASE Auaber _ •Expires: - - led:cte Po:' ;80 TRAC4 D PRATT l�.,.�w�r meµ✓, h,;- w° PO=60B 1120 COTUIT, NA 02635 ti _ The Commonwealth of Massachusetts -- Department of Industrial Accidents Office of/mest 9890os - ,. 600 Washington Street ...... , Boston,Mass. 02111 Workers' Com ensation Insurance davit i Q PN"r, S location: n • city N-� hone# ❑ I am a homeowner performing awork myself. . ❑10 I am a sole rietor and have no one workin in ca aci I am an employer pr 'ding workers' compensation for.my employ.:....;...!i�...,�,..X�i.....�.!.iV."..��..�..*....ees working on this job. � T:q*.:�....-:,: our an ::namer::<::::::<:"::::: :: :> :>;;> �.:) ...:.::..: ,: . .... .. .. ::::::::.:;.......:'> . ................. :::::::::::::::::::.........::: :"::: ::.:..:::.::: ........:::: :::::::. ss. :.:............ :::>:: aeldre ....:::.::. .. .........:.:.:.. ,�"" :i:«:i::ii::::t:>i : :: :: :::.:::: :::: .. :.:..::. :... �. " :.° ................::.:::. city::..:.::::::.::.:::::..: ::::::. �:::::::::::..:.::::.::.:::::. ...- ...... 0_ _. ... _...phone.#........... _ ... . ..........................::::::: ::..:...Li 5. , .. a -"' Z---,:::: ... -�-... �� ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contract=listed below who have the following workers'..compensation polices....:.:...::::.:::::.:::::.::::::::::::.:::,:::::::::::.::::::.:,.::.::.:.::,::.:::.:.::::::::::::::::::.:.:::::::::.::::::::::::::::.::.,..v. .::.•::;:.;? companv:name. 1. 1 . 1. ;: > ' .. i:::::: ::$i:?:ii: iiiiii:i!i::i•i::ii:•:::!:i:::::;;i:::: ;s-'.:i:::;:ii:•+fi''? y?:iii;::i::i ii:iv; ii iii i?{:;?i; �i;:;:;:;:� ;:ii ii:i?:??%ii::':::^::"":,.,.,.,.,::,..*..-..'..,:":"*: :,*..,.,.,:,*I i ii>:ii ii.i i<!::2:.....i?iXiii iy:,'.ii:?:ii:i:}:is...'{:i X....i:;:.:•,::titi:'•':'•j.?:'i:ii?......� « eftFes1.:.:..:... „.... ::........:........ 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Fall re to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of adodual penalties of a fine up to$1,500.00 and/or one years'imprison as wen as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand ad a copy of this statement may be forwarded to the Otfice of Investigations of the DIA for coverage verification. I I do hereby e • under the sins and penalties perj�at the information provided above is trw 2 coned Signature Date 314-� - Print name &11�LPhone# � f3q 't!0 2 2 official use only do not write in this area to be completed by city or town official • . . city or town- penmdWeense# OBuilding Department �Licensfng Board ❑checldtinmudiate response is required ❑Selectinews office (]Health Department contact person: phone#; _ ❑Other 0etind 9,95 PIIU The Town of Barnstable IURL $ Department of Sealth Safety and EnvimnmeII� SerV'Ces :erg • BuRding Division 367 Main Street.HYMMis MA=01 L*h Grass= OM= ZZ.790.6=7 Huildiag dx=iuic F= SOS-7904na For of =use only Permit Date AFFIDAVIT SOME IIVIPHOVEIVIENT'CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGZ. a 142A requires that the "reconstru ction, alterations, =ovation. repair, moderni=tion. conversion. improvetaent, remova4 demolition, or construction of an addition to MY pr-i in owner occupied building containing at least one but not more than fbur dwelIIng to scent to such residence or buildiug be done by registered matrzctors, with structures which are adi requirements. cerium ezccptions.along with other r Fat.Cost Type otwo Address of Work: Owner's Ma Gam' ® Date of Permit App llclion- ?' — I hereby certify that: Registration is not required for the following renson(s): Work esciuded by law Job under 5I.000. mmsuibung not owner occupied Owner pulltag own permit Notice OWNERS PULLING is h� AWN �G O%VN PERMIT OR DEALING WITH ONtEGISTERED OD51E IMPROVEMENT WORK 00 NOT HAVE CONTRACTORS FOR APPLICABLE GRAM OR GUARANTY FWD UNDER MGZ I4ZA ACCESS TO TSE ARBITRATIO SIGNED UNDER PENALTIES OF PERMY I nemby�piY for n p� the sg t of the z/ D Cantra r Y B No. OR pwnees Warne V1 r ti ( �R x ra. T4aM I I k'' K vw. ey i i MYI•iMa Ma+w •1 I' V J u J 4' -- i - - - — o'e' mom � r WAta r61--V i min- pt pA y:. 1 G--'�'— • .may c-� '` ' /+_ i . LLU c : u 1 4 1NEST,ELfYAl10N _ - ;u�..:r.aQJJJTI ELEVATION .r.a Lu . I I I — I ui fir=7 , Ell. .,..,.. . _.� ol 1 s .f^ �S. rl L e � V I, 1 } c - - LLJ LW � r nmzaxm r. JEDROOM I 1 Y ahw e _ Imamb I , , �i _- I _ .I � ..ww4�r...y�1 � i •� _- I °1, '1- 1 l � lu- � — ��, .. sl -- - ✓..� I e �-sCn�'r�z � p � L7 Ot ANAL c 'tl �� -•yL - _ e g-o� .�; ..�. a ,I EE Km I I— > I i • 4 � c — k ; N � j i- wr, - �1.1-t1 - YVEST ELEYA110N EOt1IHr.tLEVAMN i i LZu mr A. d R i �� I TOWN OF BARNSTA BLE Building Department - Foundation Permit Date -7 Permit # � 7 `4 Name Co & , 0 Uj �5 rA -� Location ( nvlo , Insp. of Bldgs. �f •�« ��- `���' ��i� William&Joanne M.Owens 361.Ocean Street_.W..: t its Hyannis, MA 02601 x v�z,c+r✓ / �� 1 w i � � � t I � a I i i � T __ _.____ w.— __ _ .1 �Ji1 oz6� aeadd J - .,d CGU.�°^" a.�et!v ✓-L� t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION OCR Map Parcel Application# Health Division 0�D Date Issued I� —I Conservation Division r"� �, �L°% ��j — 0&1 PZ4N 61gl� Application Fee Tax Collector by o�ALI Permit Fee �.Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis 4 Project Street Address Village AlAam 1-4 ~=,'1 —{ _ Owner �1/�� i �. ����� Address /0 Es54 Telephone Permit-Requestr m e 3? A4;�I� --vt!2 Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District A ' Flood Plain Groundwater Overlay C:1 Pro`ecfValuation ,_ —Y l/ � 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 JFNb 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:❑existin�new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Propose Use BUILDER IZ�� NFO ATION " 7?me Telephone Number4 Add�ess� License# Home Improvement Contractor# Worker's Compensation# ALL.CONSTRUCTION-DEBRIS,RESULTING FROM THIS PROJECT WILL,BE TAKEN10-.,. _ SIGNATURE DATE t FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ` FOUNDATIO o rc FRAME INSULATION tr y- FIREPLACE ELECTRICAL: -ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. , x The Commonwealth of Massachusetts Department of Industrial Accidents Offree of Investigations _ d 600 Washington Street Boston, MA 02111 www.m ss.gov/dia Workers"Compensation Insurance 1d 't;,Builders/Conti.actors/Electricians/Plumbers Applicant Jnformation Please Print Le 'bl Name (Business/Organization/Individual):. Address: _ J-7/ -City/State/2ip:-- Phone.#: Are you an employer? Check the appropriate box: Type of project(required):• 1.❑ employer I am a with 4. ❑ I am a general contractor and I employees(fall and/orpart.time).* have hired the shb-contractors 6. El New construction 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor mein an capacity. employees and have workers' Y P tY• $. 9. []Building addition [No workers' comp.insurance comp.insurance. required.] 5. We are a corporation and its 10.0 Electrical repairs or additions r officers have exercised their 11. plumb' repairs or additions ��3. I am a homeowner doing all work ❑ g P myself: [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance aequired.]t c. 152, §1(4),and we have no employees. [No workers' .•13.❑Other comp, insurance required.] , +Any applicant tbat checks box##1 must also 0 out the section below showing their warkcrs'compensation policy information. t Homeowners who submit this affidavit indicating,they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contradors and state whether or notthose entities have employees. If the sub-contractors have employees,they must providt their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),• Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment; as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. ldo hereby certify:end hepains•andpenalties ofperjuo,that the informationprovided above is true and correct. Date: ® ` Phone#: Official use only..Do not write in this area,'to be completed by city or town of 77c1aL City or Town: Permit/License# Issuing Authority(circle one 1.Board of Health 2.Building Department 3. City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: �oiTHE, Town of Barnstable Regulatory Services 'HAM $` Thomas F.Geiler,Director 0.3�o. 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,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. / �T_ype=ofrWor-k �1 �� Estimated Cost c,dr dress Work:._ e ry s;Name:xd Dam te.of Application: I hereby certi_fy�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 givep 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 c—Owner's Name Q:fomms-.homeaffidav lv y �ppTHE Tp� Town of Barnstable Regulatory Services SAMSTABt.E. : Thomas F. Geiler,Director buss. 019. .m� Building Division rEDµA�A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 -------------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street vil gc "HOMEOWNER": name home phone# work ph&nc# CURRENT MAILING ADDRESS:— city/to/ 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 require Signa ure 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 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. X"PRESS PERMIT Town of Barnstable *Permit#-,:;2b6 7;41 Or T _ 5 2007 Expires 6 months from issue date l Regulatory Services Fee C-#T- a5-7� 2 TOWN OF BARNSTABLE Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number (-'I(' �r n Property Address �1Residential Value of Work t : Minimum fee of$25.00 for 4under$6000.00 Owner's Name&Address Contractor's Name -�ri�� Tele one Numberr�7(1C�/ Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side . ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A cop o the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 t:.f , . •► . The Commonwealth ofMassaehusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers"Compensation Insurance,Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'b.i C---N_�am r(B.usiaess/Organizatio&bdividual):. Address: —' - —Ph one.#: City/SCtate/Zip Areyou an=employer_? Chec ,fhe appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I . employees (full and/orpart.time). * have hired the sub-contractors 6. ❑New construction . 2.❑ I am a•sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity, employees and have workers' [No workers' comp.insurance comp.insurance.$ ' 9 ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions C�i3- I am-a-homeownerdoing:o,_worms officers have exercised their 11.❑Plumbing repairs or additions --- right of exemption per MGL myself [No workers�emp� 12.❑Roof repairs iiisurance.sequued];t , §1(4),and we have no employees. [No workers' A3.❑ 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 or not those entities have employees. If the sub-contractors have employees,they must providt their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below isthe policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA,for insurance coverage verification. I do hereby certify U. a pains•and p alties of perjury that the information provided above is true and correct: Ste ature;.� • Date. . Phone #: Official use only. Do not write in this area,'tb be completed by city or town official City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town CIerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: .....pp1HE)ply 'own of Barnstable. Regulatory Services + BAHNSfABLE, • M S& $ Thomas F: Geller,Director �AIFD N�F,�A, Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 w- w.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder L , as Owner of the subject property herebyauthorize to act on my behalf, in all matters relative to.work authorized by this building permit application for: . (Address of Job) Signature of Owner Date Print Name Q:FO RM S:OWNERPERMIS S ION Message Page 1 of 1 Swiniarski, Ellen From: Swiniarski, Ellen Sent: Monday, January 10, 2011 3:23'PM To: Matthew Teague (mdcteague@comcast.net); Ann Canedy; JanetJoakim; Swiniarski, Ellen;Art Traczyk; Cheryl A. Bartlett; David Munsell; Elizabeth Jenkins; Etsten, Jackie; Felicia Penn, Vice Chairman; JoAnne Buntich; Patrick Princi, Chairman; Paul Curley; Ray Lang; Seymour, Steve Subject: FW: Hello, Attached are copies of the most current draft sign amendments for discussion at tonight's Planning Board meeting. Hard copy will also be provided tonight. Thanks, Ellen S. Ellen M.Swiniarski Site Plan&Regulatory Review Coordinator Growth Management Department Tel:50"62-4679 Fax:508-862-4725 -----Original Message----- From: Buntich,JoAnne 'Sent: Monday,January 10, 2011 1:52 PM To: Swiniarski, Ellen;Traczyk, Art; Jenkins, Elizabeth Subject: Hi Ellen The attached sign code amendments were created at the request of the Council We have discussed with the Board. These are now ready to go to Council to be referred to the PB for public hearing. Can you please send to the Board? Thanks, Jo Anne Jo Anne Miller Buntich Director Town of Barnstable Growth Management Department 367 Main Street Hyannis,MA 02601 p 508 862 4735 f 508 862 4782 e-mail ioanne.buntich(ciltown:barnstable.ma.us Website htto://www.town.bamstable.ma.us Please consider the environment before n his email .�, 1/26/2011 ca I I I b s$ jai T.a• I,'•I I m o o W a cT rn _ m W W D � A to N �Z mm$'�� � m°o t xNg'pg�g�g�gno -El - - - 3w gm �. n�� .1,99.0 amm3S4.o oo�y p 1. 3 Y $ v°m m m 3 m o. av m a m�'v to Q m�a� am �.vaz 'y°1ma,waa '3� Zm C Q z -a #vat �nmoo Naa y g g fA O m av_ 1�g mg�sm�a m_ OW cm r§'N Sm%s 3 �" m.a (n rn m g F m H c` vmE m $ n@ m ioo �+ O _ a CO) z a � y 2 -n y m m r i m ���DPT' r m r z �o Nov p �►2n1� N X OF BARNS TABLE N m Cn DM ER HT. - ll 'TOWN f77 m $ D D - z m me m _ —,.77 i `..,iw..�f:.r.ev.a....t'.'..:a.m.t..^e..w..�Ms..-- `sue-Rm*+.•.s-- .. ;-=s. I I i I - I EXISTING WALL HT. EXISTING WALL NT. 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