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0054 SEA STREET EXT
Town of Barnstable Building . enEuvs`rnete Post This Card So That it is Visible From the Street Approyed.Plans Must be Retained on Job and this Card Must be Kept M" $ ,Posted Until Final Inspection Has Been Made. Fo,rw<° Where a Certificate of Occupancy is Required such Building shall Noto-be Occupied untU a Final Inspection has �ermit ' v,.. been made Permit No. B-19-3952 Applicant Name: Edward Zaniboni Approvals Date Issued: 12/12/2019 Current Use: Structure Permit Type: Building-Deck Expiration Date: 06/12/2020 Foundation: Location: 54 SEA STREET EXT, HYANNIS Map/Lot: 308-057 Zoning District: HVB Sheathing: Owner on Record: BARNSTABLE HOUSING AUTHORITY •Contractor Name: Edward F Zaniboni Framing: 1 Address: 146 SOUTH STREET Contractor License: -079398 2 HYANNIS, MA 02601 Est. Project Cost: $ 183,600.00 Chimney: Description: Sister existing deck joists and install new deck boards ; Permit Fee: $1;720.00 Insulation: '~ = Fee Paid: $ 1,720.00 Reviewer's Note:This permit is for 27 decks. Final: RMCK Date: 12/12/2019 Plumbing/Gas Project Review Req: Rough Plumbing: n_• „., Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within`six months after'-issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing `{�j 2.Sheathing Inspection ^� - N Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:., 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy . Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons anfiraeti with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). �z- Building plans are to be available on site Fire Department Fin R` All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT al c� r � _ t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION d2% Map Parcel_ _ Permit Health Division L:2_7Z, ,,, .4 � Date Issued JConservation Division 0 Application Fee �Q Tax Collector Permit Fee S Y 3 • C Treasurer Planning Dept. Date Definitive Plan Approved b Planning Board Pp Y 9 , -7w Historic-OKH Preservation/Hyannis Project Street Address Village may,, 2AW Owner/� t3r.Z,c � T1si.vl'r.�� �f� l7Address Telephone , Permit Request �, 'SSA l��i�/'i�i i%�/7fa/�S 9��1.r��c�ec /, i klxU L Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning Distri t Flood Plain Groundwater Overlay Project Valua 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 Flo On Old King's Highway: ❑Yes A(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:O existing O new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes O No If yes,site plan review# , Current Use *. Proposed Use ` wE 7 "'BUILDER INFORMATION Name Ab_k ',Z/Y aa" -&q Telephone Number 4Ze 99k-970� Address License# 4 s 4111164 7PY/ Home Improvement Contractor# Worker's Compensation# . '1cJ� 7� �" ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE 4. DATE /�~.27�f.JIV FOR OFFICIAL USE ONLY r • PERMIT NO. yn r DATE ISSUED MAP/PARCEL NO. ADDRESS - " / VILLAGE, v' ' OWNER t Y 1y � r ••`1 ,R R 1 DATE OF INSPECTION: } FOUNDATION 1 E. FRAME INSULATION t 3 FIREPLACE f � _ ELECTRICAL: ROUGH FINAL'. i ! r • V E PLUMBING: ROUGH k FINAL H r GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT `r —,' • , ASSOCIATION PLAN NO. ' 1 s °f,► T°,,, Town of Barnstable Regulatory Services noes. Thomas F.Geiler,Director g � ,e 65 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyamis,MA 02601 www.town.barnstable.ma.us , Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section ' If Using A Builder j Thomas K. Lynch, Executive Director ,as Owner of the subject property nze. Best Fit window & Door Co., Inc.. o act on mybehalf, hereby autho in all matters relative to work authorized by this building permit application for, 32 & 54 .Sea Street (Address of job) Signature of Owner Date Thomas K. Lynch, Executive Director PrinthTame BARNSTA,BLE HOUSING AUTHORITY c. .�i The Commonwealth of Massachusetts Department of Industrial Accidents Mee#fMMMWM - - 600 ff inaton Street V � Boston,Mass. 02111 ' Workers' Com ensation Insurance Affidavit-General Businesses address: I/ ,e ,�'IA 2iv' ®�7 it one# 12ri 2L" Work site location full address ❑ I am a sole`proprietor'and have no one Business Type: []Retail❑Restaurant/BarBating Establishment yvorking in any capacity. ❑05ce❑Sales(including Real Estate,Autos etc.) I am an e nVIA lover with em ] es full& art tiIZIN me). ❑Other IPilo am an em�loyet providing-workers' compensation for my.employee.s working on this job. con anv'nam rr address if ����1�__,_�` '�"i'. ,••��... _ T. �p-��;`.•_ Q�•?! .'tip phone#••"i �O �`3/41? '•'/••�% city � d/��•�ri��� ' Insuranee.cos I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: address: ',i, ��•:� ••';:.�•::�;. ,' � :: , . I hone city:. .,;; .:,,; t: ;i r. ;t •` ''� '' . .Pj''', �• :..''r.`;:�;.• �' •�V r.t•?r:� ?i. ':''.r 'OIiCY# .Y:` .. , inaiirsnce co. :;:. _ +• //< / : . _ ,1', ••,: ' . .,,•.�;:,'� •tit.:� ; ,`.:Yi,c.: '• address- ciiv:: .. . ' ' ~: hone#i •': ;;�. . . ;'.: .:. ,• '...- . ' r •};. ::,•. 'ice t'':5�:•u'!; O�1CY'#•. 113St1rSuCe°C0;si'•^.•+ :_ O/t/ M, ,%� Failure to secure coverag.a as required under Section 25A of MGL 152 can lead to the Imp of criminal penalties of a fine up.to S1A00.00 and/or. en as civil penalties in the form of a STOP•WORK ORDER and a fine of$100.00 a day against me. I understand.that o one years'imprisonment as w copy of this statement may be forwarded to the Office of Investigation of the M46for coverage verification. I do hereby certify under the ins and enaftfes of perjury that the information provided above is true ��-- Date p r,� Phone# .�D�-'�/�—3770 Print name , o{fxcial us only do not write in this area to be completed by city or town ofilclal� Buildin e artment citypermit/licene# ❑ g D. or town! ❑Licensing Board . ce ❑check if immediate response is required ❑Selectmen's ime 'y []Health Department phone M, ❑Other tr coataetperson: • (nevi Sept 2003) �a 'c'i�"`�"...�a'_" � '+•`gym..�.�d�." ,..'fie a. �t,i "S�rr r , ti J V ✓�ie 'C�ammza�uuealC/� �✓�aoaac�ucaelta . Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR �,.. . RegistratrQrl:_127603 1"j!!a}t 2006 =-Frit%ate Corporation BEST FIT WINDO �NC ALFRED BELANGE -J �l '8 HUNTINGTON S.YARMOUTH,MA 02664 � I Administrator n • �T_„ '� ✓ 'TfJO7IL172498u1eQ.U�o�✓�aaaa�ivaedld r.. BO�CRD Q 3UILDINGA' GUIJf«IOJ�}S 1 ' hLiCense §ONSFf2UO SUPERVISOR u CTIN �. Numbe Q67991 _= 5 Tr.no: 12502 , .� Re Q r ALFRED M BELA 8 IiUNTINGTON Cie" :. S YARMOUTH, MA ,S Administrator i < • S COMMERCIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $150.00 Alterations/Renovations $100.00 f0 0 . d Building Permit Amendment $50.00 FEE VALUE WORKSHEET NEW BUILDINGS square feet x$140.00/sq.foot= x.0081= ALTERATIONS/RENOVATIONS-OF EXISTING SPACE .._ square feet X$96/sq.foot= �� D O 0 X.0081= . 3 G STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= X.0081 Commprojcost Rev:063004 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel "O 5 / Application # 1-7 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee LF Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation / Hyannis Project Street Address � � WA o` 4E51 Village k/ AIA/1,5! Owner aAZA)STA Qj� dQU5/#v6 AuTkk1'YAddress lqg SM" ST f4VANIJIS ,riA Telephone �5'0 Permit Request REHOULI O1C15 i/Nb 'FL?NC6 t Rk(UIy 6.5 t �sY-r4Lt, n9�u9 A�v NI+��� ���cr: � PI P� R� o t-I►v es i:_0nX18: Yo ft 8� Nz" ca 6 H Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0® Construction Type Lot,Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing .=l new! Num0er of Bedrooms: existing _new }s Total`Room Count (not including baths): existing new First Floor Roorb Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal st040❑Yet ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑-new'size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑ `Ybs ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - 20661M v�� irra Name QAR-LrJkA, CWS )1&`' /NC Telephone Number SO$ S$3 3 99y Address W 6 133 EWRt> License # C S` (D 6 S6 3 Home Improvement Contractor# Worker's Compensation # WCA (9112®99 41 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ALL 5 A Y C' W A sir,- 6 Q_'QC ` DrW 1 i A Paso I SIGNATURE �VG.� � DATE FOR OFFICIAL USE ONLY LL APPLICATION# DATE ISSUED MAP/PARCEL NO. ' r , ' L ADDRESS VILLAGE OWNER i s DATE OF INSPECTION: FOUNDATION S1 FRAME F INSULATION r FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT` ASSOCIATION PLAN NO. Department of Industrial Accident Office of Investigations - - 600 Washington Street Boston,MA 02111 - www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Blectriciam/Plumbers AppIicant Information Please Print Ledbly Name pusmesatorgaai ion/Individual):. V AV? �F 1k►q. Pic Address: al5 WM^J yV 5' 90 1 i City/State/Zip:W `�j � Phone.#: Are you an employer? Check the appropriate box: Type of project'(required):- l.[54I am a employer with p`� ' 4. ❑I am a general cant-actor and I employees (full and/or part time).t have hired the s'ul-contractors 6. ❑New consiractian' 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet-': 7. ❑Remodeling. ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity: employees and have workers' co incm-anre$' '9. ❑Building addition [No workers comp.insurance comp. required] 5. ❑ We are a corporation and its 10:❑Electlical repairs.or additions . officers have exercised their, 3.❑ 1 am a homeowner doing all•worlc 118❑Plumbing repairs or additions myself- [No workers' comp. right of exemption per MGL • 12.❑Roof repairs . insurance required.]t c. 152, §1(4),and we have no. employees.[No workers' 13.E]Other FC -9 ♦RA114 0 s comp.insurance required-] *Any applicant that checks box#1 must also fill out the section below.s-howing 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 mdicatmg such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contcacto s and state whether or not those entitics have omployccs. If the sub-contcaztors have employees,they must providt their workers'comp.policy number. - 1 am an employer that isproviding workers'compensation insurance for my employees:-Below is the policy and job site information. ,Insurance Company Name: /�CAI)R q#js0 RA N G f✓ . Policy#or Self-ins.Lic.A WC AI Expiration Date: lob Site Address: 3a`f,5-q Se A 'sQ x E as o N C ty/state/zip:aYFl1V Iy 15 Attach a copy of the workers' comr.ensation policy.declaration page'(showiag the policynumbe-r and expiration date). Failure,to secure coverage as required.under Section 25A of MGL c. 152 can lead to the impoSidon of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as:well as civil penaltiz:s 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 statrmen't may be forwarded to the Office of .- Investigations of the DIA for insurance coverage verification I do-hereby certhf under the pains•annd penalties of perjury that the information providded above is true-and correct S__inature: �'oD UGC-. ^' Date: Phone.# .50 a 9 Official use only. Do not write in this area,to be completed by city or town offtcW City or'down: Permit/License# Issuing Authority(circle one): . -:-Z Board of Health 2:Building Department 3.City/Town Clerk. 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: . - t.,v RAM CERTIFICATE OF LIABILITY INSURANCE DAT12212012) 06/22/2012 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 INSURANC E 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 pollcy(ies)must be endorsed. If SUBROGATION IS 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 endorsoment(s). PRODUCER CONTACT NAME: E. J. Wells Insurance Agency, Inc.- PHDNn `978)392-4567 A/CNo:(978)392-9696 g AIC Na Ext' ` Regency Park ADD less: 239 Littleton Road PRODUCER u o E D a Westford, MA 01886 INSURE R(S)AFFORDING COVERAGE NA1CN t INSURED INSURER A: Union Insurance (Acadia Group) INSURERS: Acadia Insurance a Vareika Construction Inc. INSURERC: 219 Walnut Street Suite B INSURERD: j W. Bridgewater, MA 02379 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 12-13 Std 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 ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD/YYYY MMIDDIYYYY GENERAL LIABILITY CPP 0092564-1S 0612DI2012 06/2012013 'EACH OCCURRENCE, $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMA SES Ea occE TO RETED u�renc 25 5,000 CLAIMS-MADE ��OCCUR MED EXP(Any one person) $ 5,O00 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ z.,000,000 I POLICY X PRO- LOC $ JEC7 AUTOMOBILE LIABILITY MAA .0092568--1 06/2012012 0612012013 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BOD ILY INJURY(P at accident) $ B X SCHEDULED AUTOS. PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS $ UMBRELLA LIAR X OCCUR _ EACH OCCURRENCE $ 10,000,OO EXCESS uas CLAIMS-MADE CUA0121032-1 06/20/2012 0612012013 AGGREGATE $ 10,000,00 B $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION WCA 6-liZO29-19 0612012012 0612012013 X TO SLAMIT OEH 1 .AND EMPLOYERS'LIABILITY YIN - E.L.EACH ACCIDENT $ 500,000 ANY PROPRIETORIPARTNERIEXECUTIVEa N!A B OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,000 (Mandatory In NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below' A rtored Materials CPP0092564-1 06/20/2012 06120/2013 $200,000 any one job site $200,000 temp off premises !_ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHIC (Attac CORD 101,Additional Remarks Schedule,If more space Is required) , =22-12 Project: Retaining waVrai�& stairs 667-2 Barnstable Housing Authority is listed as additional insured with respect to the General Liability here required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE -THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED .IN ACCORDANCE WITH,THE POLICY PROVISIONS. Barnstable Housing Authority AUTHORIZED REPRESENTATIVE � �1I, 146 South Street 'BatInstable, MA 02601 Paul Coffey/NAM 01988.2009 ACORD CORPORATION. All rights reserved. ACORD 26(2009109) The ACORD name and logo are registered marks of ACORD -Town of Barnstable Regulatory Services i AARNM•A�RM ♦ . y� Xuss $ Thomas F.Geiler,Director 1639 pry k Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This 'Section If Using_A Builder I,-4 14v azu�, 2 as Owner of the subject property hereby authorize�[z E I k A CE»sY� e-` ioti i �V(� to act on mp behal� in all matters telative to work authorized by this building permit a (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and,all final inspections are performed and accepted. a of Own r Signature of Applicant 2 �o RE R-T, vA iz�kA Print Name Print Name . g BARNSTABLE HOUSING AUTHO ' l 146 SOU M STIM Date HYANNIS,MA 0M rQ:FORMS:0WNERPERMISSI0NP00LS 6/2012 Massachusetts Department of Public Safety Board of Building Regulations and Standards C'unsth•uctiun Supers isur License: CS-076563 ROBERT G V�EIKA l�. 86 BEDFORWSTREETJ LAKEVILLR MA 0b47 { Expiration commissioner 12/18/2013 r i z ;771 / I #i#rk r I �i.. r,r / , - 1 v_ I la TOM' 144L I J I E �.. BRIDGE FLOOR PLAN AND SECTION BARNSTABLE 667-2 IEa A3 BRIDGE FLOOR PLAN & DETAIL I Department of Housing & CommunityDevelopment BARNSTABLE HOUSING AUTHORITY I 667-2 Architecture/Engineering Services Unit p BARNSTABLE, MA 02601 100 Cambridge Street - Boston, MA 02114 TEL: 508 771-7222 FAX: 508 778-9312 Tel: 617 573-1159 Fax: 617 573 1335 MARCH 7,2012 VOTI PF 00.P. sd ' Nj=- l KAILIN6,5 a ' {Iid I I !{ —4- pry i I 7 _- f tom. BARN STABLE 667-2 . A4 1dhed STAIR PLANS A & B ' BARNSTABLE HOUSING AUTHORITY Department of Housing & Community Development 667-2 Architecture/Engineering Services Unit BARNSTABLE, MA 02601 100 Cambridge Street- Boston, MA 02114 TEL: 508771-7222 FAX: 508 778-9312 Tel: 617 573-1159 Fax: 61.7 573 1335 MARCH 7,2012 Tw - rr 1�7 a A 1 - tt ~ {} l �ttpF�f7-:y��('L(1♦ggF)1.-/ {{p� cO`F MT �� I``i'^` �•,- 1 �.�-iL/'">tT� ..-I.6�,1"'a.,(,•^��t✓.f��Ei. F' t"`f.�.r , Nik�.... ,H... ,7 /p}M` 6L' {'Gyr1 �2I j "-- /�h,!( ! `_i O L..� 4 -.J. t:k` .. �G�e"a+t .r IJI '!MFOlt a it fU { I F N !yt l i {Al ' I TY FT i BA STABLE 667-2- A5 TYP.RAILING POST PLAN & DETAIL BARNSTABLE HOUSING AUTHORITY Department of Housing & Community Development 146 SOUTH ST. A 9 yt Architecture/En ineerin9.Services Unit BARNSTABLE, M 100 Cambridge Street- Boston, MA 02114 TEL: 508771-7222 FAX: 508 778-9312 12 JANUARY 2012 Tel: 617 573-1159 Fax: 617 573 1335 w. TO ALL NEW BUSINESS OWNERS Fill in please: APPLICANT'S YOUR NAME: BUSINESS - YOUR HOME ADDRESS: SFi¢ t PT L TELEPHONE7. Telephone Number Home D TYPE OF Co/ NAME OF NEW BUSINESS J Z3 U L� -►I��E?� v.0/v yr S iia-' BUSINESS T G 10/�?1,2 r � ,q s��r�z,,��--��r�Ptice71-iW �sr�a.�-mac sc9c���DvcTa� /'�ti'/' ��r�ke*l IS THIS A HOME OCCUPATION? J 6ji ADDRESS OF BUSINESS S 1" -S �� MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of. Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall). c .U VC Ce rc 7,01y.Q� ok tea- - r, `i. GO TO ILDING I S EC RI FFICE (4TH FLOOR TOWN HALL) �►Ha'� ► This indiv' ual has een info me of y permit requirements that pertain to this type of business. "']d p �, 1'�s is �k 4 thorized Signatur COMMENTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost$20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not gave you permission to operate -you must get that through completion of the processes from the various departments involved. TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION' 3 Parcel `d` Permit#Map '9710 40 . Health Division •` Date Iss' d Conservation Division Fee , S Tax Collector ., Treasurer - Planning Dept f Date Definitive Plan Approved by Planning Board Historic-OKH ` Preservation/Hyannis ' Project Street Address 5'ty Sea -= Village a dw!5�!:;LL Owner Bdt('A/;S �"oi,6�' � r 'Address S D,44- �-7/ ?223 Telephone - . - Permit Request eP,_We_ P-00 9r`e-p l4.-- e o-10Ue- r`St-�i �a1 �� S ►� (c? e-e wit �A✓ h Square feet: 1 st floor: existin proposed 2nd floor:existing proposed Total new o _ Estimated Project Cost 7Zoning District Flood Plain' Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) 3 ' Age of Existing Structure Historic House: O Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing .new Half: existing° new Number of Bedrooms: existing new Total Room Count(not including baths): existing new' First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other r . 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 'Cl Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use '• t / BUILDER INFORMATION Name cLr ye_� sv 7.10G Telephone Number Address �90 U) �'-�eS�9vv`�' ST License# Home Improvement Contractor# Worker's Compensation# d 2 7 3 Val i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE V DATE FOR-OFFICIAL USE ONLY '. M� � 'M• ' - _ •. � ~ ,,. � � + L.r ,{ e F - ` � •q + '— .. a ": . . , • P1RMIT-NO. DATE ISSUED • MAP/PARCEL NO. � i • . `fir . . . - i - -. - _ { - ADDRESS - VILLAGE � OWNER �; .;� �. .. _ _ • • i ., - � � , r. � 6" , ro r � ~� .. + f ,£r •, if •rr •r• a � � f S• ..i.' pp', ,• � ` DATE OF INSPECTION FOUNDATION ------------------- FRAME• .,.;'., u i+- d' _ } `j ? - � A � _ _ • ' .. � } •� INSULATION K 'FIREPLACE ELECTRICAL: ROUGH FINAL + - < PLUMBING: ROUGH FINAL •.. _ T , GAS: ROUGH FINAL ti FINAL BUILDING ^3 r s s -: DATE CLOSED OUT s '. ASSOCIATI.ON PLAN NO. s amrz --- _ Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: city _hone# ❑ I am a homeowner performing all work myself. ❑ I am a sole or and have no one worku in any achy �/%/%%%/%///%/%"% M'M'I �'/.M ��/ �! %//O/%%�%% I am an employer providing workers' compensation for my employees working on this job.::: ::::::::::::::::::::.::::::: • ��a`•:� comaanv name a C1tY' insurance co.:. ::> :a7 :::.<: .::Aoiicv C3. I am a sole proprietor,general contrador,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: :..{e . m a n vn a m . :.....:::::::::.::::.::::::.:..::............:.....K.....::::::.. ..... address.. .. . Mhr go Cr { v{.f.• :nCv'wli+T i?isi!i�:::•:isi:::{:::::::::::::::................................................{....... .::;.;:{i';j':}:;:i'}•v,{iii:�::i:i:;:ii:i:J::i:{i:: .............:... ..{.Hwy"::.•::.::':.•::.vy:.:w::::::.:}}i..::y'v.:••:;:y�v:v:•.. n:X.,:.v}may.. --------------- .,;:., .;;:n}�:J::ii::•;T.};:vti:i:is{:iY:i: :::}$;:ii:i:i?T:::vi:i::i:{:}:-$?iii si:.. ....:): :.{<:j: s :L!yi<:�::>.;:}?:;;{:i v��:fii:ii:•ii:{:{{{:::;:j;{ ti:>.i}i:: ... .:. . : »::>:>::::>:::<::<.<:;:<::;;<::.;>:«:: :::{::;:.;:::': :.:.:.: one ,. �$ ctty ..... ::.:..::w'..:..:�:.:••.i:•�.�•:•i:^.}ii:iiv:4:9:v:4}i:{{•i:4:{�i:4;^:{{:v,:•:::::{::•y:::::::.:}•i':4{:::::•:::::;•:::.}{::•.�:.:i'{{4,..... ..:.:•........:..::...........::w:x::::::::::nv.�::::.w:::::::.�.�:•::ninw:.:vi:�:iii:::•iii::::::..S.vii:�i}::{v'•i'vi::Ji:v�:::.i'{:::•::::::}iii-.�::::::.�:.::.ii:,v,: :. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of crtnand penahles of a Sae up to SI,500.00 and/or one ye ,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understsod that a w copy of thb statement may be forwarded to the Office of Investigations of the DIA for coverage verification. Ida hereby certify under the pains penalties of perjury that the informadon provided above is trw and comd simatme U Date 3 (•`I - �D©C� Print name 1`'` G e( V al`2 ikC� Phone# 8-3- 39`?17 official use only do not write in this area to be completed by city or town offldai city or town: permiUlicense Building Department (]Licensing Board . check if immediate response is required ❑selectmen's Office _ ❑Health Department contact person. phone#; acvuea 9/95 PIA) - � �'/e �arru�,wnuieal!! o�,./�aaoac�ivaetla BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR r Number. CS 076563 Expires: 1211`812003 Tr.no: 76563 Restricted To 00 ROBERT G VAREIKA _ 86 BEDFORD STREET' -e LAKEVILLE, MA 02347 Administrator 11 '*� I . I . � � . . . . . . 4 1. v v ` :.. Z-ADDl;�5O=�--..))-):.'.MNl ilC rC<a CC-3_DDm 3lrJp�N-.-,E'(05D�WtZz�=�,1---�z7--�-;j.)!.1 ccMI�(M�t�-p..tAnn*0.-.�,. ".--.�-,:...:......v'�f"i II��.-��,,�.; r J :�, e • i 1 r '� r ri!�, 1 ,, y -9 .. F JJ" rj/ �!�•� y t' _ 1p r,r'i'. f s ` k. a 1. e•FD "..•s� °'a°��}} tile„-•1A" t9 i 't' •4j3C�`�. .'� '"`""..' ` >�' tl 1..: r� t:7': Z r=•i- ti :i q?�,�,s.. �i f `r bN,�, s - 4 i .: i t ..i.. i.;, 1 a _ _V . -�w� - _ g/� j -h ...:: ._-.- .-_„1_..+--'-.--..._.t.-.. s-w..,..--_,'t,.�•.:..+.r• ., s,--ems.«• .�•:,, ,..;.L..... _ -+r+�+ .n�er � �ti.�'_.....' 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