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0095 QUAIL LANE
r q�Q��, � �� �. __ .� l' _'�_r3 �2P d• CAPE !STAOUL INS U L A T I ON rl? if 8: -13 ® ' PIRH GLASS SlpMlL33 SPRAT FOAM 9YSPfNOfD t . BARS OURfiRS INSUlAt10N CCI41N05 - 1-800-696-6611.01I , y L{ -y Town of Barnstable Regulatory Services ! Building Division 200 Main St Hyannis, MA 02601 Date: _ Dear Building Inspector Please accept this,Affidavit as documentation that Cape Cod Insulation;Inc. performed & completed the insulation' and weatherization work at the property listed below..Cape Cod ; Insulation did this in accordance to the specifications listed on the building permit , application: All Work has been inspected by a certified Building Performance Institute 41 (BP•I) inspector. All work preformed meets or exceeds Federal A State Requirements. Property Owner Property ,ddress - Village Insulation Installed:; Fiberglass,,' Cellulose R-Value Restricted Unrestricted Ceilings n Slopes ( ) ( ) ( ) ( ) (,• ) Floors Walls C.G . ,�' •. � v " ; < Sincerely PeCod as y Jr, President I ulation, Inc. z i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel " / App s/ lication # 1 � a Health Division Date Issued /0 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Y&—61zj 9/G T' Village A6ya ,, Owner�xlz y Address Telephone L:f Permit Request 1-2/5 V ��o,� — .€�,���� ,9> // �9��� `-' o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total ne\ Zoning District Flood Plain Groundwater Overlay ' Z Project Valuation G D, ,!�Construction Type /�/�✓�i��o� "' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U� Two Family ❑ Multi-Family (# units) Age of Existing Structure - Historic House: ❑Yes ,6-No On Old King's Highway: ❑Yes 21�ALo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# _ `Current Use - Proposed Use T APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 4gge 4_ip /07 Telephone Number J- ;f 7Z!0::20 j 4- Address /tee, ,�If✓' �� G�i/ License # 40,6 f Home Improvement Contractor# Worker's Compensation # � �� z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO , SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. .k { ADDRESS VILLAGE 3 OWNER F� DATE OF INSPECTION: �s:FQUNDATION : FRAME +AINSULATION,- FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ,h GAS: ROUGH FINAL c FINAL BUILDING' :a .4 DATE CLOSED OUT ASSOCIATION PLAN NO. f ,r OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at 1 al, Gar � (Property Address) i / 4,14/l r f Z*7 G Z 61 y7 , (Property Address) hereby authorize (Subcontra tor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature 2-�O 3 Date I t'��;M1,I '�1u�tiarllusc'tts -'I)cll;u'tnlcul of Pultlic Ltfct� ' ' t31t;.Ird u( Builditt` Re-ulatioll" and m;wdartfs- (;onstru.ption Supervisor License e. a to- Llcenv' GS 100988 HENRY CASSIDY 8 SHED ROW f�1 1- WESi:f YtARMOUTH, MA 02673 ? , Expiration:.11/11/2013 . l ,.nuui.�iuucr Try: 7620 .. . �C?y`ty��-'C��lci�E�rrl `t Office of Consumer Affairs and Business Regulation, { - 4 0 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement-Contractor'Registratiorn Registration: 153567 Type: Private Corporation Expiration: 12/15/2'b14 TO 23;1631 C,API= COD INSULATION, INC 'r ............... HENRY CASSIDY 18 REARDON CIRCLE SO, YARMOUTH, MA 02664 Update Address and return card. Murk reason lily change. Address Renetval 1?Int.Iloyutcnt I I Lost Card f r• `fi'•a aer rra i^rI(� r�cl�riuri'/re uilu r ul Consumer n flliu s Business Regulauou License or registration valid for individul use.only 4. before the expiration date. It'found return to: i .. 0Me 1.MPKOVEMENT CONTRACTOR M1 eyutratiun: 153567 Type: ` Office of Consumer Affairs and Business Regulation jExfjijatlow 12/15/2014 Private Corpo(atic-rl 10 Park Plaza-Suite 5170 , Bostou,MA 01116 , 16 f.L:k'1.)t)N CIR(l T'4%%1t.M11.-MiA 02664A0 , WIthO f '• wit 1'c" . c4 The`Corntnonwealth ofAlassachtisetts 1 Department of Industrial Accidents Office of Investigations n 600 Washington Street ' 4 Boston, MA 02111 www.rnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information l Please Print Le-,ibly Name (Ltusiness/Organization/Individual): Address:_ eli ^one #: Are you all employer?Check the appropriate box, Type.ot project(required): I ani a employer with 4. ❑ 1 am a general contractor and I employees(full and/or paH-time).* have hired the sub-contractors 6 ❑ New construction ?.❑ I am a sole proprietor or partner_ listed on the attached sheet. 7. ❑ Remodeling shipand have no employees These sub-contractors have a8. ❑ Demolition •- working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.# 9. ❑ Building addition � • required.] 5,0 We are a corporation and its 10.❑ Electrical,repairs or additions 3.❑ I am.a homeowner doing all work officers have exercised their 11.❑ PhAmbing repairs or additions myself. [No workers' comp. ''right of exemption per MGL 12 ❑ Roof repairs insurance required.] t c. 152, §l(4),and we have no employees. [No workers' 13.M0the 7"6,t� 7 comp. insurance required.] *Any applicant that chucks box#I must also fill out the section below showing their workers'compensation policy intormation. '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 en,ployoes. Ifthe sub-contractors have employees,they must provide their workers'comp.policy number. I am art employer thai is providing workers'compensation insuraneefor my employees. Below is the policy and job site infarnration. L ; Insurance Company Name: Policy#or ticlt=ins. Lic. fil:� ,910)e2, P SSG'/ Expiration Date: Zf A �1' Job Site Address: ��Qzjp9"11 LLP�� f/�/,S�D�9� City/State/Zip: �j'I� Q z 4 5L-7 + Attach a copy of'the workers' compensation policy declaration page(showing the policy number a•nd 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 tine 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 , Investi,ations of the DIA for insurance coverage verification. I do hereby c•ertif j, rider the pains and p nalties of perjury that the information provided above is true and correct. i«nzuure: ,� �ems. Date`. ✓ _ Phone"L. Offi C vial use only. Do not write in this area,to be completed by city or town pfficia[ ity or Town: Permit/License# Issuing-Authority(circle one): 1, Board of fiealth 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.'Plumbing Inspector 6.Other Corlu'lo Person: Phone#: �d CAPECOD-27 MYOUNG •_ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) .o CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLD/203 ER.ITHIS 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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions Of the policy,certain policies may require an endorsement. A statement o_n this certificate does not confer rights to the certifi Cate_holder in lieu of such endorsements. PRODUCER License#PC-514062 - - CONTACT Rogers&Gray Insurance Agency,Inc. NAME: Margaret Young 434 Rte 134 PHGNE FAX South Dennis,MA 02660 E-MAIL AIC,No)_ — ADDRESS:m oung rogersgray.com INSURERS AFFORDING COVERAGE NAIC# I--NSURED ---"---" ------ INSURERA:PEERLESS INSURANCE COMPANY _ • INSURERS:COMMERCE INSURANCE.COMPANY Cape Cod Insulation,Inc. INSURER C:Evanston Insurance Company 18 Reardon Circle INSURER I):ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, _ MA 02664 r:- INSURERE: - r r~ _ INSURERF: - - - COVERAGES __ CERTIFICATE NUMBER: 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 LTR _ TYPE OF INSURANCE 7, C i +_ ,+... - POLICYEFF; .POLICYEXP!MMM/DD/YYYY ' ' :LIMITS GENERAL LIABILITY +• -. - EACMOCCURRENCE $ 1,000,000 A X COMMERCWLGENERALLIABILITY 30,63 4/1/2013 4/1/2014PREMISES IEa occurrence) $ 100,000 CLAIMS-MADE OCCUR MEDEXP(Anymeperson) $, 5,000 PERSONAL'&'ADV INJURY• $ 1,000,00 l GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 ^ POLICY j� n LOC AUTOMOBILE LIABILITY MBINED SINGL LIMIT Ea accident 1,000,000 B ANY AUTO 13MMBCKVMK 411/2013 4/1/2014' 'BODILY INJURY Per _ AALL UTOS OWN X SCHEDULED i r _ ( person) $ _ AUTOS BODILY INJURY(Par accident) $ X HIRED AUTOS X NON-0WNED ROP TY DAMAGE -AUTOS E ER ACCID X UMBRELLA LIAR X OCCUR $ i str:, C EXCESS LIAR EACH OCCURRENCE $ _1,000,000 — CLAIMS-MADE XONJ453512 A41IJ2013 4/1/2014 AGGREGATE $ 1,000,000 DED X RETENTION 10,000 WORKERS COMPENSATION `• - 70"YE OTH-AND EMPLOYERS'LIA131LITY _ _ - D ANY PROPRIETOR/PARTNER/ExEcuTlvE Y/N WCA00525904 6/3012013 6/30/2014 -LIMITS 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N f A - - $ (Mandatory In NH) PLOYE E 1,000,000 If yas,descnhe under _ -- DESCRIPTION OF OPERATIONS below Y LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) ' Workers Compensation includes Officers or Proprietors. - Addtional Insured status is provided under the General Liability when required by written^contract or agreement with the Certificate,Holder. , 9 CERTIFICATE_HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE'` Cape Cod Insulation,Inc . THE EXPIRATION' DATE THEREOF, NOTICE WILL BE DELIVERED IN. ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ' ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 15(2010/05) The ACORD name and logo are registered marks Of ACORD STAI[TAa CK"WICAT9 OE WJWWAL LIENS sw 45MOrL 1Ma CWW w. Naim a as s.nrn Ca&pm M out THE Of 2010 Or DAMML1i� 6337 wliisir0inaitaslai OMCE OF ME COLLMOY OF TAM Widett. Slater i Goldwan P. 60 state Street Setpte�ber 2� 19 90.,. . Boston, YA 02109-9852 It is hereby certified from available information that hereinafter listed are all taxes and , assessments, water rates and charges, which on the above date constitute liens on the parcel of real estate specified in Your application dated ......septe�lber•L-?I....... nm AwjWM Now PAYA A on s0001int of such real estate so far as they are rued and ascertained are itemized blow.Any amount not asoettainable is so sun& 111111 mp,11iautarnarl a ssAs.arAa 901e%10111 +Ir.rillo mom II I+1111trN11/01111111. .IN.Ldwr.r..wbloom y . .. . ... .... .. ......#�I .lt.. �r.f 7?�f�7......:. ..... ............ .. and.remrded at the Barnstable o°vn.m?? IfM 9f.4lt�l............. i ................... ..... ... . .......... .... ..................................... ...... ....... .......... ................................................,............:................. NAME OF PERSON ASSESSED Aqua Wisure Industries. Inc. LOC.A71ON of PROPEM 1288-213, (Lot 201, 95 Qnail Lane. mots. HA ` FISCAL 1990 Tax ... ............ ..........5: ........................... ............. .. .... lre�rw ........... . .......: . .......... ..... ...... ... ...... DwW uld ha. ... .............. ..................... ............................... ...,.. ................... .. .. TAX TM ........... ..................... ... ................................ .............. . ............. ...... $ ASSUSHENT......... ........................................ ............ Mum.� ....-_ .. .... 00.I ...... .. .... F ...... _ .. ............................. .. 9arsr.............. ...... ............. ...... Se•a G+arple....... .. ... ..... . .......I........ ............................". { siOAiiL.......""."- .. ......................................... swe BR ulrew..... ........I. ............... ...... ... . .. ..................... OmerUen3.......... ................ ............ ...I .................... ...... :. ................... .. committed tnteral ........ ......... .... ... .... .. . .......... ..:.... I WATNUEN ........................i.............. ................................ ...................... ...... ORTRKT 1;KN .FM •1, 7A 94 TOTAL 7,013.74 PAID IN FULL - e Apportioned betterment stets not yet due: .. .. S...••a....o•.... S..,•meow"�... �.;�. 11Rf11RtT 1g101Nx10<sR i TOa[AOOp 1 have no knowledge of any other liar outttaoditt . Improvements have been voted.with regard to which that wan probably be liens as follows: . ... ... ...........:.. ......... ........................... - .. ..... ....................'......................... .. .., Unpaidwater rates and ges to ....... ....... 19. S..................... . a!► ........ ..�'�.:.............. Collector of Taxes for rod+.Or BUNSTABLE iwltioraiialiTitiw�` . - /n� FORM 39!^�. SULKIN•�p� MOTON Ca.-.iN•1i11.CM. pbNffl.Mt. CR,eN•INf. TNIf 10w eMno Ins Tog felt. a Ir lop Oak mC -dMus 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ..,"1) 4 Map aiS( Parcel' 3 Permit# Wealth:Division.: 7y—��99 /��11 0 - Q. }e , F;, Date Issued a/ a LE Conservation Division ., Application Fee Tax Collector 1,-,5--0 �-- 44mfitFee Treasurer �� Planning Dept. my C �6r•° W� r, Date Definitive Plan Approved by Planning Board T Historic-OKH Preservation/Hyannis ,W v���4';a 'Z;'jL T 10 N Project Street Address �� U A-I i. L. Village )Ltqc-�)o [�4 Owner AOU9 LFlSGt,�E 1 N(Address 02 [ H,4 Telephone 04, r I P g Permit Request I 1 k) To :5 EJ 130 S'F Square feet: 1st floor: existing proposed LW 2nd floor: existing proposed Total newer Zoning District Flood Plain Groundwater Overlay Prg pt Valuation Ua Construction Type e 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 ?60 On Old King's Highway: ❑Yes )(No Type: Cy Full ❑Crawl El Walkout ❑Other 11 -2)" 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:Cl existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use I BUILDER INFORMATION W Name )�—�-�►4�( � k 400� Y Telephone Number 6, l f Address (Q�l az 4- 12D License# CS OW '_7 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERM- DATE ISSUED rt _ MAP/PARCEL NO. K ADDRESS _ 1 �! —VILLAGE , OWNER DATE OF INSPECTION: 7 �' Cyr FOUNDATION r FRAME ( � J �( lew INSULATION FIREPLACE ! ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL,.: Y T GAS: ROUGH FINAL. FINAL BUILDING - I f DATE CLOSED OUT /;ASSOCIATION PLAN NO. _ IHE r° The Town of Barnstable NWP °.w • RARYSTARLE. et Department of Health Safety and Environmental Services 7 MASS. rFDMP�N, Building Division 367 Main Street,Hyannis,MA 02601 . Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: ��Uf1 I—C 1504-C /�..Div .c Map/Parcel: ProjectAddress: 9 �A/L ��. Y/y��Builder: / -��/;7 P/�`/ t The following items were noted on reviewing: Al?" 7 •r-1 S dG lelz- ' j Reviewed by: Date: 2 0/O Z-- q:building:forms:review 0*1HE Tp - Town of Barnstable Regulatory Services * saxxszas , ems ' Thomas F.Geiler,Director , g `�prFo:19. Oki 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. Type of Work:_ -�3/t'1A•��V�"��n Estimated Cost Address of Work: 95 Q 14M L Owner's Name: u � Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 QBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED. CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent f the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav, ne Commonwealth of Massachusetts ,Department of Industrial Accidents oxce 0117051198tlans. . • 600 Washington Street Boston, Mass, 02111 Yorkers' Comiiensation Insurance Affida I / LL- VLA location: See, A p l hone# [] •I am a homeowner pe¢oruimg all work myself. , c ac1 ❑ I am a sale ro 'etor and have no one workin m em lopes wozking on this 'ob. iiiiii iro,oire/iiiiiiiiiiiir�irii�i�irriiiiiiii�riiiirriiiiiii�iiii�iriiiiiiiii�iii��i�irrii�i�riii /%%///%/ es camr7ensationfoz y oY Ell din Work P WLon vl _ IQ'Y1 g ;}o ,;.�}}� an emp aver h .i.Iam } •;,}Y}}}'}::,Y};a:::b}:$.'S' :Y.•Y••{.}>•.:}n^+:;{.rr.. •n..l{:.•x•:. ,. •}:: r}},•.:::., ..t•;o}'r`:. 3i%•:.< . .,. .4 ::J••::.v r y £ h•ff:'•. i�.'•}'(r)}`{,n,:i i{$S.:.r :...L+' '' h r g 1yq :Y a}.. • :,;x?};. r mow;, .. ,,. ,.} }.,::. }� ' SBYB. x•;r}}•:{.x. 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'> _ d- en 'es-of-perjury-that-the-information-pr-o-videdabna�e_is1uJ�.msd eaireet I da hereby�erti ndertkepaziv-an p Dater • t-l. i >� Phone .•Print name � ��"` . da not write in this area to b e completed by city or town official ofScial Use only - [iBt�dinenepaztnent pemitllicense# ❑Licensing Board city or town: - ❑gcsch-mm's omco Yi:G1aa k, _. contact parson: .information and Instructions ir vlassachusetts General Laws chapter section 25 requires d alr every a son m t provide workers' f another under any an°y co act oted from tl�e `law , an employee every P . ,ioyees._As_qu_.. -.f - __.__-_..___ _- ....Lie,'express or imp he oral or p n employer is defined as an individ� Partnerships association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,"and including the Iega1 representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner,of a .. ellYn house having not more thaathree apartrnents and who zesides therein;-or the occupant of the dwelling house of dw g ., another who employs persons to do maintenance, construction orr b deemed to be aademployer.g house or on grounds or appurtenant thereto'shall not because of such employment building MGL chapter 152 section 25 also states that every.state or to construct ocal buildingsing n the commonwealth for any applicant who has of a license or permit•to operate a bagency shall withhold the issuance br &aewal usiness or not roduced acceptable evidence'of compliance with the insurance coverage required. Additionally,nertherthe p 'commonwealth'nor any of its political subdivisions shall enter into any contract for the performance of public work untt7 acc�ptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. ; .. ; .. �j Y Applicants hecking the box that a lies to your situation and Please fill in the workers' compensation affidavit completely,enY'b a certificate of insurance a as all afftdavits may be PP1Y °O�'az'y names, address and phone numb g with s bmttedto the Department.of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and +" the affidavit. The affidavit should be returned to the city or tawn that the application re are permit or the `lah'wcen is sIt kli datethe Department of Industrial Accidents. Should you,have any questionsg ding be queste not aitmeitt afthe a- erBitedbelow:.: ing re obtain a yvorkeis' compeasatioixpolioy,please ciT:. ie Dep ate Tequired,fo :. City or Towns J rovided a space at the bottom.olfl& that the affidavit is complete and printed legibly. Th e D ep artm p Please be sure t the Office of Investigations has to contact you regarding the applicant. Please for you to fill out in the even _. davits 7*10'r affidavit Y .. �- •b'er'wliichwtll.beused as a reference ntnn 'er.� a affi' y bq sate•to fill it e per� cense Haan ei�t b'email'o'r`yA unle's s other arrangements have been•made the Depart n ,r . ou in advance for you cooperation and should you have anyyuestions, . The 0$ice of Investigations would like to thank y Y .. • , ,.t.y.f �.) please do not hesitate to give us a calf. artm�t' telephone and fax number. . ,_,,... ,. . The Dep s address, + .. . .-• ..•.. . .. .;..:.., ..�;•� ,, . ...• ,;_..'.• .•�: T The'Commonwealth Of Massachusetts Department of Industrial Accidents trice at ln�resttgatiana • 600 Washington Street Boston,Ma. 02111 , far#: (617) 727-7749 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 L1 terations/Renovations $25.00 a5 Building Permit Amendment $25.00 FEE VALUE WORKSHEET T NEWALIVSPACE s efe t x$96/s oot= x. 31= w(if applica e ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x .0031 plus from below(if applicable) 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 projcost BOARD OF BUILDING REGULATIONS ? Ucens® CONSTRUCTION SUPERVISOR Nimiber -S 070917 , Blrthdate 08/0'8/1.951 ? , y Expires OS/0812003 Tr.;no 76917 . �R Restricted Toy QO � � WILLILAM G ;MURPHY r j J 1 29 SEARS-ROADS i 3 BREWSTER, MA 02631 Administrator Board of Building Regulations and Standards I — HOME IMPROVEMENT CONTRACTOR Registration: 132160 Expiration: 11/29/2002 Type: WILLIAM G.MURPHY WILLIAM MURPHY 29 SEARS RD. BREWSTER,MA 02631 Administrator ® � , C '�trcn ��`�fs��c• t+'aN �now34! 1 m Ir_ `"► AA 'e 0 Town of Barnstable *Permit# TttE rqy, Expires 6 mouths from issue date vl �� '^ Fee_1_12= e,nctxsrnat.e. • Regulatory Services v� MAss. $ Thomas F.Geiler,Director sti79• �� �Eo►+may' Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street. Hyannis,MA 02601w X-PRESS PERMIT Office: 508-862-4038 /i Fax: 508-790-6230 ,J U N 18 2001 4�_14 EXPRESS PERMIT APPLICATION Not valid without Red X-Press ltuprint TOWN OF BARNSTABLE �- 20 .Map/parcel Number 2eL;Z 3 Property Address �f Residential OR ❑ Commercial Value of Work Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) FlWorkman's Compensation Insurance Ar— Check one: h ❑ I am a sole proprietor ,j,Q c�v:��✓ �% Iam the C fl Q�- � K Lk ' AC 7_1'NG e I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) Other(specify) Y *Where required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Conservation.etc. Signature expmtrg ofInc Expires 6 months from issue cau C� Regulatory Services Fee asartsr�et�; 9� = ' Thomas F.Geller,Director Building Division Elbert C Ulshoeffer,Jr. Building CommissKuPRESS PERMIT 367 Main Street, Hyannis,MA.02601 w Office: 508-862-403 8 APR 6 2001 Fax: 508-790-6230 N OF BARNS i ABA r EXPRESS PERMIT APPLICATI nor (!✓. /o���� Not Valid without RedX-Pros Imprint Mapiparcel Number Z Property Address 4 IU btw,021 q O �tesidential OR ❑ Commercial Value of Work �00 Owner's Name&Address S U Contractor's Name Telephone Numbe r Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ' Compensation Insurance i v\, p Workman s C p Check one: C I am a sole proprietor �O v7 I am the Homeowner U l ���� I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# J �� t Permit Request(check box) a Re-roof(stripping old shingles) �3 l Re-roof(not stripping. Going over existing layers of roof) Re-side �hA deck _ [7 Replacement Windows. U-Value (maximum-44) Other(specify) L[A.' G ) —G.61/t W C etc- *Where required: Issuance of this permit does not exempt compliance with other town departrnent regulations.i.e.Historic.Consmation. � , I Signature t expmtrg .^"-r^--�..�,r-...�..�. ,,,r-.-`+ti...���..r ��v.. .,....,�,�,,....,.,,r,,,r._..�A..�.`..�-i-w.r�r'r�"ti-"� �.� w�`.-..:....,.^✓+^+r. .... �....t^1r^ Lr^+•�.�rA'.`+.^�.� Assesso,'s map and lot number ........ .... ................ z ` f ` IafST,A.L Fn I Sewage .Permit number ...... ...... ............................... "f $� ;�,�;�E CCDE AND TOWN �FTHEt� TOWN OF BARN E P . • • Z B9BBSTpDLS, i , "b q �•� RUILDIM INSPECTOR •EE MPY a' r C. APPLICATION FOR PERMIT,TO .< <"'S' ��.. .... ..... ............................................................. TYPE OF CONSTRUCTION ... .....�......�/�au .................................................................................... ...........f�. u�..19.1..y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following inform Lion: 1 Location ...G....� ...... / ! .e... 1F !."..........::..................... ................................... ProposedUse .1..`'-.. 1..9�' c.,G".................................................................. .................................................................. ZoningDistrict .........C�... .................................................Fire District ....... .. A .......................... ........................ ........ �1YS ... �QS( e..'..: . . 1 c... Q tit!(? Name of Owner ....... ...... Address ... .. .................. Nameof Builder .. �rC.!l.' �..... .. ....!. ......Address ................. .............. ................................................ Name of Architect .v..'../��� � ..........................Address ....ars.klv..... ...,.. .............. ................................ Number of ooms Foundation ��/ . . ..�.0...................................... .. .. Gov ........ Exlerior ....Roofing S Q rff floors ......................................................................................Interior ......C.l.................. . .................................................... Heating .......... g ................. .....................................Approximate Cost ......�.f1.''�. ! Fireplace ......�............................... ................� ............................ Definitive Plan Approved by Planning Board ---------------____-----------19_'______." Area ................ .. �Diagram of Lot and Building with Dimensions, Fee ...... SUBJECT TO APPROVAL OF BOARD OF HEALTHG l ) o 11 - qS- Vo _ rz � d - uad za& el 0 I hereby agree to conform to all the Rules and Regulations2ofthe Town of arnstablere arding the above construction. Na ..... ........ ..... ....... ..................... Kelley, Francis/Trustee 17338 two story ;f No ................ Permit for ..................................... .I sin a family dwelling .t ............. ...Quai.l Lane................................... Location1...................:........................................... } r f Hyannisport ............................................................................... N '{ Francis Kelley/Trustee pOwner ................................... } frame f Type of Construction ......................................... d . .......�.. ...................................................................... • Plot ............................ Lot ................................ i Permit Granted Se tember 26 19 74 Date of Inspection ................. ..................19 } � J F r , Date Completed !•l .. .... ..........19 4 P PERMIT REFUSED ' f ................................................................. 19 4 f......................................................................... .. f •r ', ......................... ................................................... ' ;r �r ................. .......................................................... r ............................................................................... Approved ................................................ 19 t .................................................. f I d ......................................................... F Assessor's map and lot number ., .!...... ~.. ....... Sewage Permit number ............. .zelt.................................. . Ik y�FTNErO�y TOWN OF BARNSTABLE BA"ST"LE, i 9� "6 9 Or• BUILDING INSPECTOR �'0 MPY il/,.oe APPLICATION FOR PERMIT TO ...'...1 S /� .. .......................................................:.............................................................. TYPE OF CONSTRUCTION .../�.�.C � `�.................................................................................................................... ..............................?. ..1 t'...19.Z / _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies`for aJpermit according to the following information: Location ...�..tl,1f`1•zC1 y"L�GI/ R/ /'a1/ //'�5.....G:`- ................................................................. Proposed Use sf , ! .......................................................................................................... �� .. ........................... ZoningDistrict ............. .............................................Fire District ............... ............................................. Name of Owner ,!!lf;.............F .!, �4',S/7'� `' fYW1�Address ....................................� 1' .. � .`�''f�'1`j� ... .... .... 04A, r Name of Builder `�.el <- . ..... .. Address .................................................................................... Name of Architect ...:...............................................................Address Number of Rooms .................................................Foundation ..�.... �. .... v ....... A V/C, Exleriorl/t✓ /......................................................................Roofing ....... 1.• ..k ...;......`...........i:........:�....................... 2-- s . �f.�Gr Floors ...........�......................................................................Interior ........_,..".✓.f. ................................................................. --ZV4116 Heating ...,...,:.......,.............................................................Plumbing .................................................................................. Fireplace .........:?....................................................................Approximate Cost .......,:�.i 7j/................................................... Definitive Plan Approved by Planning Board --------------------------------19-------- Area ...................:...................... �- Diagram of Lot and Building with Dimensions Fee ' SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 / C-D I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name'"' !..- , .......... ... �. ..................... Kelley, Francis / Trustee 17338 two story, No ................. Permit for ................................... single family dwelling .............................................................. .......... .... Location Quail Lane Hyannispor-t ............................................................................... Owner Francis Ke.lley. . ... ... / Trustee. ..... . . .... . ...... . ........ Type of Construction ..............frame ............................ ........................................................................ N ............................ Lot ................................ Permit Granted ......September 26.......19 74 Date of Inspection ....................................19 Date Completed 19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ................................................................I.............. -.._.._... .. �_.r .•r♦p.w1..-�.+. .. �.R. cL"-s4�: �:-.�f. �i fi.�tMh,'�+i.d"'s:yM ."�._"L..M V��.x. p ..- ..�s„y. .4 - _ Ya FEE s75 ±` TOWN. OF, BARNSTABLE, MASS ' S t � =a r . ' >K 19r' . THIS IS TO CERTIFY THAT A PE IT IL REBY G. ANTED TO ....................................................................... ........ ..... .............................._......................._ ..... _ _ (PROPERTY OWNER) DRESS) � a� TO �t1 �i *�CJ LCO . ' '+- 1fii/ R `...... 0 0o .............._............. ....._.. ........ ......_. _......._�_.. 01111 EI+. U b (BUILD) ( 'LT R) (REPAIR) + ♦y N •••• ITYPE OF BU'•.••DI W •.^•^� ••I/ ...... ••••••• •(APPROXIMATE SIZE)- s LOCAT ON ......_...._. .#!' 4f�G�1 y ,{t..`. .�+.>•~ 1 ..._._.... ._.......... fix _..._..,) , �- `1 \— � (STREET AND NUMBER) (vILLA„,,, + I ,�, •; " V� VVV I r ~� NAM OF BUILDER OR CONTRACTOR _ $1Q4a�23� r. 1• � A Y APPROXIMATE COST mp� .HEREBY AGREE TO CONFORM TO ALL T YE�RULES AND REGULATIONS OFTHE TOWN.-- M 9 OF B�A<2LE rARD T rNSTR T ING HE ABOVE O UC. ION. ..........__..._._..._. ....... .. ..... d (OWNER). (CONTRACTOR) vy� q q v ..FGi Ct4t:. j ;+J l f. 'j "Ala, _ __........_............. BUILDING INSPECTOR" •� Subjeet to Approval of Board of Health. a f s 1 .3e �i'�iy f,' s•4`'s: -§ 'y'���.�:y.#' i ,✓; h. •2 - t pppp � ,.<'.. -S 14 + g. CIP yz, A2,-t $ 1 taE:`'�* #�.�a• 37i*, S. •*' E; 5?l ,3-�Y.G! .k�i••�• t* ( ' t... ., - ..t �� r`r,. '�{ ,k�•�.:� /�(t��Y/( � {� Assessor's�mQp;and ot) nurr_tber t +"• , a `. . "�#.g ';"Y' �"T,'�s.V+•CYi' F >t` `#� a f_• ay�a7y�o y;.- t�r � v r i�14 '•f d - ,,�� ar 5 RL".:x Ql 4. S ': tf• "C �" �S. r.. .;1! i r r'.7';k s ' 'i1"�it t•,'!e. sr 47S '.$ _ f K:of 'y m. '> did .. t{ �'•E � '.t. i ;' ip x. r; a..._ tr rs .F! J .F-r0 @ `' 5 .�"' ' a dri t�?a.�$3't'^A- «J�� a t ;� #+} t2' rt t �ittt�tg'�4 � �. �'t�• ewkdgermttnurjiberH r'1 r-"�p9Q t 1 tC'f � a i 9 i, •Y�kt ` �d•y.`3i, { a{ 't" .; fQ. 3.ty,; �p.4S 5 '� t 4Di :rs. N i5 Yc vL Zy y�:r. �: i Z`r u+ ' t� a ±.• a. '�'' ;`��, wa»k����: sl°� �.4, kG *� �°�•+"*r. S � ::� C x�<��"�{r...a? rz �•ra��Y .t`«0�d $»�-�c•r :fp*�,,,� '`vim ' ..'F '` ��'"�aTy{-��'`� ��0Q y�'.... ;''trso'� 3t.'''"+y�#�# 't'°�'�'�0��_�T`��?. �- rraY *'�A».stki� a �,ak�ff'��_,X �'• �y�'. ��,1. s �BE'{1 P EO WNiYL TAq �+ �� Yn •. r >r�• � 3. -.��d'� 3W � 5 sr=ti i,•� #' 'is E f 2 ♦s �t J a t o �i ✓• , ! r s":.•� H ��+; � C � tt 2"' 5 »'� "i' c� t y. '.`"fit • HrP83$TAHL • i��b .e.;'# t�i'tJS't r-'' � 4 M'-Y� �`a�^� -t s �--r -'�'� �%f�, ,4 d ..'w7 i! _ ilm a� :�. � MMd•'� �}4111�Y �` ��'� �t�u' # �tJy�k 4�g 5 �t vq L04.w .DING� INSPSECTORa, t5NO A .-4 - �:.::� -`�•h]y+� ,•-s"� f�.: '`+r� '�"' 7 1?::�"t •r '�' ' .r�� qe �r"y� r ffi�J,'V 'a�S' } cs.- ,rb �"� .t ' •.'g� z*•Y, � � +r Y `� f tV.�. •,tr� F'F. .e �I.r e t;. 'A� r k °.•�^C� ,'wY"�".. �,s:.,s .h• } � K+Y� 'Ln, di'"4 � 'c s' �'� "'�'. '-t.. m `y':'.��£' '" �t-+# 3 � aT � f` „i^P» �• 5 �'�"�� '� a �'r� t� � �.''r ft1F�,;. � �:�"� ta..s �' t t b;. ;:',� n �,rtf • .a.s , �:, ij i. " tP i',�.�. t.aG1 {fYb' .•b< t1 'tcsv r £t fit' h trJrtF � `: � Pt y 4 (;• i •t ppry. � �sk3:,. vti", � �V•��'�t a1 €•i �>*.. y .�:s.- r+ p '� 9 �" k7i � ��'rs �^'- } t �j �" t S !Z W s'r 1/1J/ ® C..i� �•'Jrn"P°'!R ° 3t ,+•' {fit APPLICAT10f�Ef.ORPERMITTO ,. ;` _•t� ' �••' :dS, ,r+�,;�rr.L�,,�x.✓Fps r�#.�q•, Si j' 1 .�i 8ltj*,^":i'4' '�'€ ;'''F,: a ''„ r ,'a /;� �q l'�.'Y -'€ F al..�j :y. xr= , "'�•`ev 7A'zu P{*F ;� -•�:.by r--t ; r;�7'TYFE OF �ONSTRIICTION = r1t $"vi(r.-' { '�* : `i R1,--;rn fi` t,g'„ 9r '.4x c''-'`'4'rzd i, '.0'f"'"."BEY' t `'•".. Na ) �:�'ar4#.g- °t i.. � •r' o".,•;a ,X�.t._..':! {. c+� � (`� =r,� �dc l�'-?rs 3.- �'z .. .sad sg #u, '� .� { .t •.d,,.t. � 1• ""OwlA �: 7� �.«tF Y f,,.ta 3-4,, r.;•.''ti!x N 1 � �# p .rit .Y j.. ,�', t� �?' � ,gw # ..�'.t,� 5T .I'�'�• .t. } ..� �{ 7..tRS ti, �-0 �,; _'. t„{,� ;Nt?3 n.�'.«t �..'f;`'Y' -7 r �`€. 8w.,y t. , .:, ,. E..}'` •4 ", �',r„ 9..•µ��`u� S.r i�J - QT•HE I�NSPECEC;TOR. OF-BUILDINGS the "n�dersigned hereby dppliesufoF a ermit°_accordngto' the 5fol;lowingmform ion:. t g* 4$>r ? x n s ir. :a < s aG ,trc• ! q ai r+w e$ '•".l J r�+.«�� 9;s"• ?�-.1. a 1. i:.s,�'7 �s P'"/>.<r p i r 4k'�j :f}t/J t,/ ice' �•Y'";� 7{� *+r x tLoCatlOnR�[.:.I1.4 `rc�/l lY. vS r t til�/Y./�!./..- ..................................................�£ xtYs tart t " S . '� '+`- 'dq ' f £ Z y�� `tv, •�/ ,•> s.. #' Y l.... •i, f j •y t 7 y 2 tt �s'T y '!• +{ "' t ,cy EiY > t ;, ' >~ t�: v d t Proposed ,Use �'� ��C �' ••. ' IV t1. r'' rl� d { F r t.:. �.. ......�.�.�. s,0 Are.,�DIStrICt> ... t e •a•t CIO t d! to a f tJ& ... kt iY. ZoningtDistrict ..... ., FY .�ri' y`/ t� Name,of Owner .../... � �......� ddress ..y!4�/ �.� �`S.! . !....,. ]/ �� ,[(/ �S K�i} w9f• _ � thi :/ list . _ Ya �. 'lfName of,Builder' G�'.aG( . � �,?r 4ddress" # ' ?try' � 14100 }•l� t MIT, � :�.'Pa��a F' *�• 'e•<' -�.i'' Sk : . a'- t i £'�`•k!.',� ' i r. �'Q :F> <F ? T 7•':�F /T Yea 1£j.E S• f l i s Name-,of 3Architect ' '..... .. ................. .... ...Address : ••. s� • a g , 4 ! :. a ��.1. �. `a��> t #. } "xf 7 "�Y,<;{•• F a TP i vx*� u SFY x ;Number'`of Rooms f ..:. :.. Foundation . 4° r rti4',.., P. . ,/ -� Y. a. §�. r .i Zvi F a c' .1 > •,R �../• ..` / , kExterior (N"!l.... :... ....................:. ::Roofing ...:. �N r� �1. ; .. { ''w t�.�.��'rw�;;r�`i tAti;` 'h...'�t E• y�b .{ tis •'- a out x "� fist �fi�?ta�4 f "' ,?= p �_ �„F,�•y. 2 t { ->_ fir, r �' '�\j/(//J/�/ :'Floors = ........ Interior J �} Yf,tt lwi3. 4E • '/f ;.�' _ 1•.f; ors". I. f. F .. . 2.............. 51........... - - �� >s� sY .r �� r� 7' JJJ KK � x Heating ...............�;". fr i .Plumbin_g / 'S f` {, ra't " Mkt . #'+ .• WIMP? •i i's, rile 5 1..'+. s ••,y ',�c ' `9elt�.fif ��75 `tt°`.t�."'� ''F't •i•t •:3 �xK '� Y t M '� -d'Y,t ` YFireplace = ,� :: J Approximate Cost l[! '°{'zstl' t r'a?F"fd;•.�yn e p..# x .3 H" r, if t OWN, ;1 t 'T1 .. .t�••t fr '� e{ •".?��.'!`ts a rDefinitive Plan Approved by Planning`Board _ _—_ '19 �3t � "� •AreaJ. Diagram'rof;Lot'and tBuilding `,with Dimensions ' ` 'S Fee i r '' 7S'j rS, , t. H`�z •, .:g,.. ,: , �' `.'" �F43`tl ���rp�Y�R .�.• g �,� r f'�� ✓�^ t,,,,�au,. °t,r�'�tx SUBJECT TO,APPROVAL OF BOARD OF,HEALTH � tf, f y t•-�X -- i` . .• - xSN�S•k r��}i.�i� �r' � } 5 ir. t 1 4 {t rtl'��:y}rt �-�. � t! �� �� n K.i F { 1, s`�✓y�, Jx s.{ { 4 S �.-.. '4 ,. C .S*� t;',5. t' '� P 4 ' >CQ -" ''� � °t�' ;`�( r'"t ���� �'. �';as ` f• a 4 r1 � ... Sf�u t. � A a z r r a s' e x 4"" � ,t}: ?•` Y'�Lµ /�'� �. y;F`�S A. �,4.�•t �.,yo /�[/1. a<� $ f�.ate t• t t tir ' �-,� �' } ,��• � }: "'"� ,. '• �--.fi$'�i ���V�+ c <3F t` � f s tau rt'^. t• s ^'' 4 ; d ' L a! � t fir, �` d; t'}3 a 4 �`� ;r 5 - /•�.� U .. 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'i• �-t t .t..`^ tf ArS `� .., .y ter #� tra, y� n rtli;e 6 s '` r fl ey"r4 / `, r owns. �a r3�� �� t}�x K�' �i cl-�:;, ��' , t t `•J t �" 4 r� 1x '.y, 3,.T2Fe .v 'S sF•rt sr+. tt 47 :4 #. ! $ Na t + r.9r��*.k.���F.P;,`„�"�; +` x�,r�F #S,},�•,, .. � � � �. # :•° t �`= �� r *i n • � �ir• �� 5. t -- y DEPANTMENT OF PU13UC SAFETY s r! 1010 COMMONWEALTH AVE.• COMMONWEALTH - BOSTON,MASS.02215 , ENCLOSE CHECK OR MONEY ORDER _ - OF I FOR REQUIRED FEE, MASSACHUSETTS LICENSE 7 CONSTR- SUPERVISOR " MADE PAYABLE TO • 1 I EXPIRATION DATE EFFECTIVE DATE GC NO .- 'COMMISSIONER OF PUBLIC SAFETY" 06/30/1993 06/30/1991 014358 (DO NOT SEND CASH)+ m , RESTRICTIONS KERSON ff'� INCREASE NELgOURNE NICKER. : Q1^� THIS `W:AY 's 26;55'` P ASE .NOTE' a OSTERVILLE MA _0 s �1989 _ . 9' �. . s � � '028-34-7660 - ..� E ECTI*p► ; SS.,: �: w r 1. NLvI FEE: A /� r. .. j PHOTOIBIA '-10'•L�00... : ER / _ .. P STUB NOT VALID UNTIL SIGNED Br LICENSEE AN OFFIC Lr y'�Cif -C EN SE STAMPED-OR-SIGNATU y OF THE.0 MISS f 1 EIGHT: 0T D. ABOVE SIGNATURE LINE 1 OB:_ ? SIGN NAME IN FULL. v j /17/196 _r . { E OF UCEN ,. ii . 1 OM ' SIGNATUR SEE • ,THB DOCUMENT MUST BE .G MISSpNER � ' CARRIED DE THE PERSON OF C//` ///� :.TARIHOLDER WHEN ENGAG- OCCUPATION. w ' .ED IN THIS 1 OTHERS _ •._-.-•- �..- r Assessor's office(1st Fl)or): ®. SEPTIC SYSTEM RAU Assessor's map and lot um o IMSY�.�E�ild BE i twe Conservation ' J rryCoCP0Ii C. C�A P��A�CToeiw Board of Health( d or): As 0 Sewage Permit number - a ��.y"'"�°�• ¢g .��C gO�,yD�ES, A s�srr nt �EGE LATIONS rua Engineering Department(3rd floor): �✓FJS � i '� oo„��a39.``ed° House number `7 a MIR Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO F(K.E- >•t A:e Ei TYPE OF CONSTRUCTION _ WA2 b 02M F- ` -/ 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 65 CellAtL- LA 1) 4Af,\WI5R04-1 T7, Proposed Use Zoning District J 9F Fire District 4�7AI-4 1-�j S Name of Owner_ ()Q- -r)N TzG 101 INC- Address ISQd,tG LA kJ 4YAWMS9off t-t8 Name of Builder Address IA 741$ U)Ay (Z Name of Architect Address • Number of Rooms Foundation Exterior Roofing Floors pt-y�Jcar� Interior ��l� Heating Plumbing Fireplace Approximate Cost AGyU D -40M! �Ww Area Diagram of Lot and Building with Dimensions Fee A Lor OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the abov co truction. Name Construction Supervisor's License 6 4a E g' „ AQUA—LEISURE IND, INC. No 34819 Permit For Repair Fire Damage ” " Single ` Family Dwelling 95' Quail Lane .Location �- West Hyannisport Owner Aqua-Leisure Ind,` Inc It, Type of Construction Frame /' ! j ice'' F F Plot Lot Permit Granted February• 5 , 19', 92 Date of Inspection 19y �- Date Completed 19 eo ` f t` 9 ..rz t - in aas r , a L•' G - ^^mow* I i l 1 �-�� i � n� i�-'�'� � --- � � _ ���� ij '� 7 �""_ v 4 S [� ] [R288 212 "�,LOC] 0085 �.QUAI:L-LANE .tea CTY107 TDS] 400 HY KEY] 193374 "MAID L N 9ADDRESS--- --- PCA] 1301 PCS] 00 YR] 00 PARENT] 0 AQUA L� E I_SURE,_.INDUST INC MAP] AREA] 5 9AA JV] MTG] 0 0 0 0 �PD BOX84 SP1] SP21 SP31 UT11 UT21 . 91 SQ FT] HYANNISPORT MA 02647 AYB] EYB] OBS] CONST] 0000 LAND 229300 IMP OTHER ----LEGAL DESCRIPTION---- TRUE MKT 229300 REA CLASSIFIED #LAND 1 229, 300 ASD LND 229300 ASD IMP ASD OTH #DL LOT 31 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 85 QUAIL LANE TAX EXEMPT #RR 1335 0093 RESIDENT'L 229300 229300 229300 OPEN SPACE COMMERCIAL ` INDUSTRIAL EXEMPTIONS SALE] 01/87 PRICE] 28000 ORB] C109871 AFD] V B LAST ACTIVITY] 08/03/95 PCR] Y L R288 212 . A P P R A I S A L D A T A KEY 193374 AQUA LEISURE INDUST INC LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF- 1 229, 300 A-COST 229, 300 B-MKT 120, 700 BY 00/ BY /00 C-INCOME PCA=1301 PCS=00 SIZE= JUST-VAL 229, 300 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 59AA ----------------------------- NEIGHBORHOOD 59AA HYANNIS PARCEL CONTROL AREA TREND STANDARD i 101 10 LAND-TYPE 2293001 LAND-MEAN +0% 2293001 242667 IMPROVED-MEAN +Oo 250 ti' ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADDS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] j I R288 212 . P E R M I T [PMT] ACTION [R] CARD [000] KEY 193374 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT L ] [R288 213 . ] LOC] 0095 QUAIL LANE CTY] 07 TDS] 400 HY KEY] 193383 ----MAILING ADDRESS------- PCA] 1011 PCS] 00 YR] 00 PARENT] 0 AQUA-LEISURE INDUSTRIES INC MAP] AREA159AA JV1343738 MTG10000 PO BOX 84 SP1] SP21 SP31 UT11 UT21 1 . 18 SQ FT] 4532 HYANNISPORT MA 02647 AYB11974 EYB11974 OBS] CONST] 0000 LAND 223700 IMP 493300 OTHER 12300 ----LEGAL DESCRIPTION---- TRUE MKT 729300 REA CLASSIFIED #LAND 1 223 , 700 ASD LND 223700 ASD IMP 493300 ASD OTH 12300 #BLDG (S) -CARD-1 1 493 , 300 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 12, 300 TAX EXEMPT #HN 95 RESID.ENT'L 729300 729300 729300 #SN QUAIL LANE HYANNISPORT OPEN SPACE #DL LOT 20 COMMERCIAL #RR 1335 0181 INDUSTRIAL EXEMPTIONS SALE] 08/79 PRICE] ORB] C79127 AFD] LAST ACTIVITY] 08/03/95 PCR] Y M1 (7 .l R288 213 . A P P R A I S A L D A T A KEY 193383 AQUA-LEISURE INDUSTRIES INC LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF- 1 223 , 700 12, 300 493 , 300 1 A-COST 729, 300 B-MKT 486, 600 BY 00/ BY ME 3/89 C-INCOME PCA=1011 PCS=00 SIZE= 4532 JUST-VAL 729, 300 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 59AA -- --MAY NOT BE COMPARABLE-- NEIGHBORHOOD 59AA HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 2237001 LAND-MEAN +Oo 7293001 242667 IMPROVED-MEAN +1030 250 ] FRONT-FT 1] 100 DEPTH/ACRES TABLE 02 10001 LOCATION-ADJ APPLY-VAL-STAT 1 ;i LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] A> R288 213 . P E R M I T [PMT] ACTION [R] CARD [000] KEY 193383 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT [B34819] [02] [92] [AD] 50001 [LK] [01] [93] [100] [NEW ] [HP REPAIR ] I