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Home My WebLink About0015 SKIPJACK LANE t 4 ewe Or Application number................... ........... .....................................Fee ... .............".. O ..:. .KAM Building Inspectors Initials.-- ............................. OCT 1. 0 2010 Date Issued.: a.....1 . .I,11.`?............................:........... Map/Pa rcel.............:................................... .. ...... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION . Address of Project: NjJA&BER STREET VILLArAE Owner's Name: �J« PG"220";�, Phone Number ( SL b) 20 Email Address: Cell Phone Number Project cost$ Check one Residential V Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building ermit in accordance with 780-CMR Owner Signature: Date: ;�/7 TYPE OF WORK ❑ iding U Windows ( g no header change)# ❑ Insulation/Weatherization Doors(no header change)# .. Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to Zvi w CONTRACTOR'S INFORMATION Contractor's name V,�4 l Home Improvement Contractors Registration(if applicable)# . �� (attach copy) Construction Supervisor's License# CIS t (attach copy) c Email of Contractor ® Phone number(o) ALL PROPERTIES THA HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY.IS IN A n►&rWn9~ VA/I AA/IPT/1nTA IAA wrrnn►r- A nnnmsA i nrrr+nr A nrnAA.r A-A Au nr Orr&irn APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event ' Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or>Yes No , if yes, a gas permit is required. Natural Gas Yes No , if yes,a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. -°Fuel Type S= Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PL 'S SIGNATURE Signature - + Date 'All permit applications are subject to a building official's approval prior to issuance. I The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington.Street W Boston,MA 02111 t www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders%Contractors/Electricians/Plumbers Applicant Information {,�(� Please Print Legibly Name(Business/Organization/Individual): 1066 t t�"'"�-- dbW Lke(C-5 �L'Skcr-hOO Address: City/State/Zip: ju*2a6 U14A A+ 6964e Phone#: 44(7 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-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' t 9. ❑Building addition T [No workers'comp.insurance p;insurance. , required.] 5. a are a corporation and its. 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 I.El 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.❑Other. comp. insurance required.] 6C01<1 ' 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 provide their workers'comp.policy number. I am 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.M -7PSLA-—ZE2 Zi0t7.4-+('q Expiration Date: 1 Z� Zlo Job Site Address: CypJ � City/State/Zip: cOLftAt l5 OZC16t Attach a copy of the workers'compensation policy declaration page.(showing the policy number and expiration date). Failure to secure cover as re aired under Section 25A of MGI,c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500Idgai 0 on ear imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 t violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations off r' ge`verification. I do hereby,Gerd r i penalties of perjury that the information provided ab e ' true and correct. Signature: Date: r 7 Phone#: "� G(7 Official use only. Do not write in this area,to be completed by city or town ofciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: - Phone#: . Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 TeL#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www,mass.govfdia ' e NOTICE Z NOTICE TO a TO A EMPLOYEES EMPLOYEES ' r O,�M S4S The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 1 Congress Street, Suite 100, Boston, Massachusetts 02114 — 2017 617-727-4900. — http://www.state.ma.us/dia As required by Massachusetts General Law, Chapter 152,Sections 21,22&30,this will give you notice that I(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: THE TRAVELERS INSURANCE COMPANIES NAME OF INSURANCE COMPANY P.O. BOX 4614 BUFFALO ' NY 14240-4614 ADDRESS OF INSURANCE COMPANY (7PJUB-2E29017-4-19) 06-26-19 TO 06-26-20 POLICY NUMBER EFFECTIVE DATES HUB INTERNATIONAL 177 MAIN ST FALMOUTH MA 025402748 a— NAME OF INSURANCE AGENT ADDRESS PHONE# D & G WHITE INC 512 WHISTLEBERRY DR MARSTONS MILLS MA 02648 EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may.select his or her own physician. The reasonable cost of the services a_ provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury..In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS 001494 W20P1G15 TO BE POSTED BY EMPLOYER JauoissiwtuoG ;: Idp/AoB'ssew-nmrmnm lIs1A Jo OOZE-LZL(L1,9)IWO asuaag s143;noge uol3ewJo;w god asua3ll s14110 u01le30naJ Jo;asne3 sl 81300 Buipprie alelS sUasn43esseW 04110 uoglpa 4uajjn3 a ssassod of amlied �1 8Y9ZO�VW S,'t11W SN01SUVW t . � 3A'l8(1 XUH3G311SIHM �� 311HM N3lJ LZaZ/ti0/£0 ;sandi2 OOL80l-SO . JOSiA 4do, �Nl�suo� a3eds spjepuelS pue suoileln6ab 6uiPlina to pae.oe ». ` pasol3ueto(sialaw oigno 1,66)laal31gn3 000'9£ue41ssal ainsuam-1 leuolssa;oJd to uolslAI(] :; ulelu03 4314em dn01B asn Aue;o s6uiPlinB-pal31 lsajun s4lasn4oesseW to 41leamuowwoo F joswadnS uo113nj1suo0 (921.WI.I.Muverill1i,a �tiGdczc�ua�Lts Office of Consumer Affairs Business Regulation HOME IMPROVEMENT CONTRACTOR. Registration valid for individual use only TYPE:Corporation before°the expiration date. If found return to: Regisstraffon' Q, Expiration' i Office of Consumer Affairs and Business Regulation 178929 06/01/2020 One Ashburton Place Suite 13 DU-,WHITE'NG. Bostor;.MA U` U& i ap F I a f,, GLEN WHITE 512 W HISTL BERRY DR ' MARSTONS MILLS,MA-'026`4'8 Unders Not valid without signature. ecretary. f *Permit Town of Barnstable F� r O„ Expires 6 months front Issue date :• saxxsrests. -_o URegulatory Services Fee 63 1 Thom i as F.Geller Director 7 679• ♦0 ��ED nu►y Building Division -PRESTom Perry, Buflding Commissioner MI 200 Main Street.Hyannis,MA 02601 office: 508-8624038 ��r U 3 2005 Fax; 508-790-6230 TOWN OF BARNSTABLE LA EXPRESS PERMn APPLICATION - RESIDENTIAL ONLY Not Yaw without Red X Press imprint agparcel Numbero2 9 301 70e2 f 1-4*3 'ropertyAddress A. `�5'l� 2 14-,- any 4", l�sidential Value of.Work 0/ Minimum fee of•$25.00 for work under$6000.00 owner's Name.&Address e Contractoz_s_Name . ,,��yy o r�� Gv . ;T"►Cats' < Telephone Number ^A 2 °-4 ,_dome Improvement Contractor License#(if.applicable) ' onstruction Supervisor's License#(if applicable) ❑Workmaes Compensation Insurance Check one: •. I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance CompanyName Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) U7�•Y - f�� ❑ 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. U Value (mwdm=.44)- *Where required: Issuance of this permit does tot exempt compliance with other tows depmtneat regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner roust sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature Q:Forms:expmtrg Revise063004 - Hpard��8 • • MF.�M d�OgR � . GF� � Ira�� FMFNT nnsood r CFR O RGF IV f 3�2' CpHr StBodar a� CF Ro> a _ k4ci YgRMOwTyOROW R i UThF,00AF,R.° • T 4 e ,y _. q 026jS e Town of Barnstable ° Regulatory Services ' Thomas F.Geiler,Director '0rtc Building Division Tom Perry, Building Commissioner . 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Ow ner r Must Complete and Sign This Section If Using A Builder I, as Owner of the subject property. hereby authorize66220- Zto act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of ob) Of g& a e of Owner Date r� r Print Name M Q:FORMS:OWNERPERMIS SION Assessor's Office(1 st floor) Man c- Lot t/y Permit#' ` 5-3 Conservation Office(4th floor) AL N 3 �►� `T1. Date Issued Board of Health Ord floor A6 d „ �va Engincering Dept. Ord floor House# � Planning Dept. (1st flooi/School Admin.Bldg.): i 's STASM KAM Definitive Plan Approved by Planning Board a' 19 FS P o pri+ CMG•f� �� L/ S/ SPf� OMK4� (ADDlications mocessed 8:30-9:30 a.m.& 1:00-2:00 P.ms P TOWN OF BARNSTABLE BuildingTermit Application, Proeec Ddress villa e Y) Fire District f'lY1 Owner Address Telephone 77,OJ Permit Request: / / A77";Z A�- Zonin District JCr"'/ Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Awmls Authorization Recorded Current Use /fly Propgsed Use sforz o` Construction T Existing Information Dwelling Tune: Single Family Two family Multi-family Age of structure Basement type Historic House Finished Old Kings Highway Unfinished Number of Baths No.of Bedrooms -- Total Room Count not including baths 'First Floor Heat Tyne and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information WName Telephone number Address 70 7 License# 4�w✓! Home Improvement Contractor# l00 921 Worker's Compensation # w(—P(y f 12 " NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUF T�I N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 96MOLIf / Project Cost Fee 'L D SIGNATURE DATE Y- BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 7 � � �G BPERM T #9531 FOR OFFICE USE ONLY 2-437.097/002 « 'S ack Lane VILLAGE Hyannis, MA 02601 ADDRESS- 15 Ski PJ _ ' OWNER `Cobblestone Landing t DATE OF INSPECTION: a t FOUNDATION r . FRAME + 9 11� r r s r INSULATION FIREPLACE 1 ELECTRICAL: 'ROUGH FINAL + x PLUMBING: ROUGH FINAL ' + GAS: ROUGH FINAL ' r FINAL BUILDING: DATE CLOSED OUT: ASSOCIATE PLAN No.- - r � t L,UA1M0NWEAL'1•H Of- "SACHUSETTS DEPAXrNff-N7 OF LND USTRIAL ACCIDENTS 600 WASHINGTON STREET , -ames.: Camooec BOSTON, MASSACHUSET S 02111 Zornnn:ss+one• WORKERS' COMPENSATION INSURANCE AFFIDAVIT (licensce/perminec) ` with a principal place of business/residence at: (Gry/SatcfLip) do hereby cerni , under the pains and penalties of perjury,that: k am an emplover providing the following workers' compensation coverage for my employers working on this fob. Insurance Company - Polity Number [) I am a sole proprietor and have no one working for me [] l am a Solt proprietor, general eontmaor or homeowner(eirde one)and have hired the eontr.aors listed b•',ox who have the hollowing workers'compensation insurance polices Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Numbe- Name of Contractor Insurance Company/Policy Numbs: I am a homeowner performing all the work myself. DOTE: Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on: dwc?ling of not more tbaz three units in which the homeowacr also resides or on the grounds appurtenant thereto are not gcncrJ• considered to be employers under the Worken'Compensation Act(GL C 152,aecL 1(5)),application by a homeowner for a lice=sc or permit may evidence the legal tutus of an employer under the Workers'Compensation Act I undc-strand that a copy of this sutcment will be forwarded to the Depara�c=orindustrial Accedence'Ofnec of lnsu an¢for wvcras: vc.Mcation and th:t failure to secure eovcmgc as required undo Section 25A of MGL 152 an Iead to the imposition of criminal pcni-rs consisting of a finc of up to S1500.00 and/or imprisonment of up to one yca a.-id ova penalties in the form of a Stop Work Order ant:: finc of S 100.00 a day agains: me. SiEncd this day of I19 Lice:�sc c CLiccasor/Puminoi . 1. LEAD FLA:NII.IC7 VVILU.-A ALUM GUf1F1(, nun IDANSUAI IIf�.1 1 l_ I ?A—4L.V.IC —M 44.RN. I' I FV'•N(lL.9K : L1.1:1 41.9•K __ MAS"l-re GLAPls()A T-• - II�•fll .4uM.�N.y9a!f.CJW)__. __: ___—.._._..__.__.___ 1•B Wk1E1CiPLLF.� .. l e WOOD yfLt'S ___.... .. 1 pp r) ^4 Wv (pN[,.PTSON :-crave MUcDINC o FROWT ELX\1ATI0W .siKVA o l r Q r o010- c, rn ` cd � � sewse ovule • `t 508.428.6191 ALUM.4U,+;+C tevl i n gustom . ............ o __ .i__ Des igns w !• - copyng- 0 1995 All R.gntl IS 1- - I.A.A.,L.uN. _ Resew e0 __ ALUM 4Ur'rER WNI'rE CEDAR iNIN4LES ALUM DN,ri1C1V�(Y L 11 0 O DBC-K.LINe 1 REAR ELEVATION 2 O ,,I—nary plans and layouts by OC o.are for the use of tnelf cus Lomer-s only Any.,net use Is sCncny promo.le rm,wvvcd.. CEhfl Ftnb4l NCt ;�� you u.tyx, tinµ v6Nt /6PKAff6"INGt17 — - 1 III I�1:. a�w.IKNL Gt fits ALULUON toa.1Dan -kvut4 GtnAQ,tAtw L15 I I, LF-" ELjV&-TlON RICWT EUE ,ICT10N 60' l 0 ils\v. sc,� oAre 'E..i+LM.wn.ts OM 1'4•r•B"T/K. 11.7r ' y1T II O "Ito 074,19 .. . J 508.428.6191 o , > A„tIUK,C.0WC-5Lnn .... yF Qevl i n @UStom 0 COWC. t°.W L LNGvir..yost 34.0 des igns Cowc,i1LLtn LALLY G.DI-. I � . .� !i Q Copyrrgnt®1995 All R,gnts Reserved O Li L�1 M —1— 1°R4:PRd.C1°Z{IK.1,ttL ' UyyA m CQM►ACT 1`166 CI Q h 0 3 � Y � K Q o .....— LS O" 4V• VW W'DROP 211.. FOUIJ0/'mow PLAtJ wo• l<o- Ptel—nafy.plans and layoult by OC O are for Inl use of there (ustomefs only.Any other utt rt 11"Clly Plon.oiter ...... _..__._........ __........... _.....................>!�b` iWLN R'aiMlA q fIEI - 'MEI)RWM a L. at P V 16 iv Iwo N 0 y SLClJNn FLCOR PLAN 12��0 PICK Tw �raunaR V � 1_ _ aB � .It17CNLN hlNlNry I a. �..cstoauct�rsocx Q sCS50E..8l.o.4.l 2i 8°� .�6s1c91 � i . o w.us ny--• @Ustom esigns -.. -_— - t4 st i� [ol>).ngnt C 1996 10•o"GO• N .VI R,qh, ..... .. .... .........—.___._ Res—to VLLCpNY lo+E 414Y III � ... n'•�" V O If UI ANC, iu io A 1 _ p FIRST FLOOR.CLAN 5•`'. a'•io _4s_ _4o aIo a:�•• Oka- Vl i I >� Prelimsnary plans and layout! oy DCD.are for the use of Ihelr Customers only Any other use is$l r�(Ily ltroni o,le y' l —�jli^crylt.rLYvawa..._ R.C.'CJ-W%Ol1Ln404 TfVtls I - Uhh,RAIR'4.(Rmlo)OW-L• '-p¢EpuAL :. ..:-'....._ I R.WtWn.(%LOCWC(L{,YlLln) I {--Nor%CttCAV4 MOLM4-.. - (LLTU%LNwnf).' _.. 1 '.._�er.G6YW GLL.bTAiTLL.CAIM1bE 1.4.W9WAY'.CASLdi4T ..I:2'CAi•CUrI � ' .-118.�VeTLLTALLi.ow w) _ ..-. �'\�n�gnVL.Cnrt..DETA1l.U`Y>e'o�) l.•1a.44 91(.bLALFR� - - WYATESLrAlsiLL-MUMILCiledo) ' - j _ t 1 ' ZiG.ttYi:J4[- - - -- - . it: / ar I L T �/j Jvti LOCK / Y /� � SCJ�LB 11ATE I — �10111S4Af1a%'PEOKI�-. nv 11o[].IL_.1f1105 4cKs.SSAsiLDCvwT. 6 8 0 -428.6191 rww:c Tug. evlin @ustom COW LWLDINQ _ 'tttLLi[eD GL:__'_ Q f es igns . J" copyrlpnt O is" I I } C All epnp e .e:onbib-—_ — _. t .10 WWI. . .. i ._:wtirwrc/srrsooFtla S.- - Ipy i . g Preliminary plans and layouts by OC.D.are for the use of their customers only.Any other use is strictly plohlo.lr I O�e /y//7//� HOME IMPROVEMENT CONTR TORS. REGISTRATION I Board of Building: Re ations and Standards) One .Ashbur.ton` P•1,ace - .Room. :130,1 I Boston , Massachusetts^ 02108-�, I HOME IMPROVEMENT CONTRACTORs,S 'rsg ,r. - Registration 100871 Expiration 06/24/96 I Type — PRIVATE CORPORATION '**: r ,�, _" - - f. qu:it d ,Yt e. - J.:..ggs,.+'�Yr;•, `r .M `"fxte HOME IMPROVEMENT CONTRACTOR . = Registration 100871, Y } a =5 "tom' MARKWOOD CORP Type- PRIUATE CORPORATION TIMOTHY M . PEARSON _ '4 ' ° °�" I �� = ° Expiration 06/24/96 r a ' Frsti�'xnt c r r = a, , 307 FAL MOUTH RD , ,HYANNIS MA 02601 MARKWOOD CORP Ak TIMOTHY M: PEARSON 07 FALMOUTH RD ,I z , � t ♦ t �2'1 M TRAM,R r HYANNIS MA 02601 �,uYy ' �AO .. .. _ 4 .g'� w ��,{a �e{..�w .v dvEy'„� a�„�'"E' J h' � t�n�♦`l' ly�"34 � rON R. E * INIS COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY tlr .:,;. ; :,.,;`. _;•Y3 t.1 OF ONE ASHBORTON PLACE F1« MASSACHUSETTS BOSTON,MA 02108 Cvrss` c ilon L.I CENS.E o/thia ldc;�rs:: EXPIRATION DATE ' I :' i. _.-":.'. 10N:-;TR w Si-IF,ERV ISl.ali CAUTION FOR PROTECTION AGAINST EFFECTIVE DATE LIC-NO. 1 RESTRICTIONS THEFT, PUT RIGHT THUMB •.�:�''•i:,.: ;,_,': .l. r t�)r=•i:_ilt�?i':L'�'�:: PRINT IN APPROPRIATE •= ° ° BOX ON LICENSE. 6 6 °:::.__ ,.:: ;I:::. ° BLASTING OPERATORS "_:: .... m 1 l i:.: a:: I:a I 113{_: I-NI m MUST-INCLUDE PHOTO. FAE E, v .. ,: :•, L:tf �.l,,...+ � :...,,,t_.._ I IA t_):,,.C::,.�,t.i � ;':_,•I i I PHOTO(BLASTING OFF ONLY) FEE:: ---••-' NOT VALID UNTIL SIGN BY LI SEE AND OFFICIALLY ,. HEIGHT: STAMPED-OR- FTHE COMMISSIONER ,�,`N DOB: (J'u 1 +THIS DOCUMENT MUST BE SIGN NAME IN� EyS�,F TURE LINE CARRIED ON THE PERSON OF SIGNA RE OF LICENSEE THE HOLDER WHEN EN-. OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. COMMISSIONER NO"'- 10 '95 14:05 5087780770 P. 1/2 s� MEMORANDUM TO RICHARD STEVENS BUDDY MARTIN FROM TIM PEARSON DATE NOVEMBER 10, 1995 LOG NO, 95:1076 RE METAL DOOR LABELS s■■ssa■s■�ss■s■s■sssss■■■ass■sass■ss■ss■ss■ssssssssxxm�xxx=xoaxxax Attached please find the label that comes on all of my meftl doors. The doors are supplied to me by Rivco, who provided me with this label. When the pointers; point these doors they either remove or paint over these labels, since the garages are finished, It the label is left on the door, the customers Invariable complain, Plem let me know I you need any more Inlbrrnabon. TP:eh Attachment NOI�,10 '95 14:05 5087790770 0 P.2%2 �taru�ac a� "WUAX Faroe s �� r�rr�ow: i•��sua as rm a iO NOW w Germ.� W..MCI AN!Al1�MTpr TOOvpA MOn1 Al PAIN pY M !!!1 • TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 273 097 002 GEOBASE ID 37659 ADDRESS 15 SKIP3ACK LANE PHONE Hyannis LIP - LOT 3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 11561 DESCRIPTION SINGLE FAMILY DWELLING PERMIT TYPE BCOO TITLE CERTIFICATE OF OCDep`artment of Health, Safety CONTRACTORS: and Environmental Services ARCHITECTS: TOTAL, FEES: : BOND $.00 _ -�1► CONSTRUCTION COSTS $.00 �+ 753 MISC. NOT CODED ELSEWHERE BARNSTABM # MAS& 1639. OWNER COBBLESTONE, LANDIN Ep ►lb ADDRESS P 0 BOX 274 BARNSTABLE MA BUILDING DIIV AON DATE ISSUED 1.1/09/1995 EXPIRATION }SATE BYl� DIVISION APPROVALS FOR CERTIFICATE OF,{OCCUPANCY ! TO BE SIGNED-BY EACH DIVISION HEAD UPON COMPLETION r• BUILDING: DATE: COMMENTS:. PLUMBING:- DATE: i COMMENTS: ' ELECTRICAL: DATE: COMMENTS: GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE` COMMENTS: FIRE DEPT: DATE: COMMENTS: ' e OTHER: DATE: COMMENTS: TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE COMPLETED.A CERTIFICATE OF'OCCUPANCY WILL BE ISSUED AT THAT TIMF., THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) im / L DA T A TCAWN OF BARNSTABLE BUILDING PERMIT n �^ 9"' 02 "ROBASF :I:L� 37659 A t); E;;S 1.5 fiK:I?-fE1C"X. U1I'l.IFf. pHf?WE ZIP R - : ._, LOT Li�r�.l 1.1 SIZE 1.JE li u�X 1.7.L:?PH 12 id"' DISTRF`i' R ' t L r ;'VJL LING A r i JA ,,�J i: : ,. cc �m, i 1 ,>".)i-Dep Irtment of Health, Safety and Environmental Services ;, . . Q„ Ell 059. BUILDING DIVISION THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSP.E I N At OVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 'v r " N 4r _ 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2waw.�w.-. 2 -Cj S BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL lf001 44 110 1* 9r WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 508-790-6227 N 4 [ h -c cv • SN d ^x cv �. 77058.09' , a. k 22,61 ' .� 401_ 15 SKI PJA Cf �p 20.3 Cv LOT 3 M LANE ' _ 7273 S.F. as k h�tib 77.99 5 S 84'10'25'If 7. TOWN OF BARNSTABLE ZONING ZONE : RC— I TO THE BEST OF MY PROFESSIONAL KNOWLEDGE SETBACKS OPEN SPACE INFORMATION AND BELIEF THE STRUCTURE SHOWN - 20' HEREON CONFORMS TO THE HORIZONTAL SETBACKS,: FRONT SIDE 20 AS GRANTED UNDER THIS OPEN SPACE DEVELOPEMENT. 7.REAR - 7.S' PROPERTY LINES SHOWN HEREON P`tH Of WERE COMPILED FROM AVAILABLE �yc� a PLANS OF RECORD'AND DO NOT FRANK REPRESENT AN ACTUAL SURVEY WHITING .o No.29869 ON THE GROUND., 9FcrsrER�° ��io THE DWELLING DEPICTED ON THIS PLOT PLAN PLAN WAS LOCATED ON THE GROUND '� `� IN BY SURVEY ON AUG. 22. 1995 AND BARNSTABLE. MASS. EXISTS AS SHOWN AS OF THE DATE OF LOCATION. SCALE: I'-40' AUG. 23. 1995 THIS PLAN IS FOR PLOT PLAN EAGLE SURVEYING 8 ENGINEERING.INC. PURPOSES ONLY AND NOT FOR, 10 Sea6oard Lane RECORDING. DEED DESCRIPTIONS ByaM t 9. dla. 02B01 OR ESTABLISHING PROPERTY LINES. (508) 778-442P THIS PLAN IS VOID IF NOT > STAMPED AND SIGNED 1N RED. 0 20 40 80 PROJECT NO. 95-293 Ic Assessors map"and lot number. ...... ?. ...........�:. /..�..�Oo� EWER F THE T / MUST CONNECT TO TOWNS Sewage Permit_ number .. o`dQ.�.�.1J........ ��(. 1.� :.... House number EA"STULL ......................................................................... - 9 MARL 1639. \00 } 'F 0 MPY a' TOWN OF. BARNSTABLE . A - BUILDING INSPECTOR . APPLICATION FOR PERMIT TO ..........Construct Single Family Dwelling TYPEOF CONSTRUCTION ........................Wo...od.....Frame... ...... .............................. ......................................................... .......191ad6 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... #3..............SkiPJack••,Lane ..••...Hyannis. MA.......•......... .................................... ............................. ProposedUse ................................................................................................................................................................ ........ Zoning District 77 Ae �.....................:..............Fire District .........Hyannis................................................... Name of Owner ....Capricorn Realty.•Tru It.......Address ..�65 Falmouth Roads Hyannis MA„ ....... ........ Name of Builder Franco R E Dev. Co Inc 765 Falmouth Road.... HyanniS.,...MA„ ..............I...... .................r..........c.�.........�...Address ................ Nameof Architect ..................................................................Address ..............................:............................................: Number of Rooms .... Eight P C .......................................Foundation .......�.... Exterior ..Clapboard and/or shingles Roofing .........Ashpalt Shingles ••. ...... ........................ Floors ....Carpet Sheetrock Interior .................................................................................... Heating ...Gas• F..•W...A........................................................Plumbing .....Twos•CQ?P9-1. .................................................. . ... Fireplace .....Y.(�.P.....................................................................Approximate. Cost ..... 5.Q.�.0,0 0 .•0 0...................................... Definitive Plan Approved by Planning Board ____1____2��___________19.4 _ . Area ......1 .q .sq.,.. ft......• Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. . ..... ..... . .. ........ Construction Supervisor's License ....... •••••„••,•„• No ........... Permit for .................................... ............................................................................ Location ................................................................ ............................................................................... Owner ...................*.............................................. Type pe of Construction .......................................... e ............ ................................................................... Plot ....................... Lot ................................ it Permit Granted ............. .............................19 Date of Inspection ....................................19 Date-Completed 19.................................... Assessors map and lot number ......�..... . TH E T0� Se.wdge''''Permit number ..:.... .....fit. .......7 �.:........... 1 S `r-)5- g BA"STABLE, o° House number' :..:........................................ 900. rib 9 dPy A TOWN OF BAI NSTAIBI III IPA ; r APPLICATION FOR PERMIT TO ..........Construct Single^Family Dwelling ....................... .. ..... .. ..... .. TYPE OF CONSTRUCTION Wood Frame TO THE INSPECTOR OF' BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....Lot. #3 Skipjack Lane Hvannis, MA ....._.. „ .......... ........................................................................ ProposedUse .............................................................:................................................................................................................ Zoning District ...:n ....... ................................................Fire District HYa.nnia .... .............................................................................. Name of Owner ....E g hil:corn T�a. :tY..Tru !...,....Address ..765 Falmouth Road,. Hyannis_, MA ......................................... .... Name' of Builder Fz'„c�,nCO R.E.. Deve Cgo �Ix1C�...Address ..�6 ..Falmouth Road, Hyann,is,._.MA., ..................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Elg3fit Foundation P C Exterior Clapboard and/or shingles .,,Roofing Ashpalt Shingles ................................................................................... .................................................................................... Floors Carpet Interior Sheetr_ock ..................................................................................... ...................................................:................................ Heating ...q4 .,F.W.A. . Plumbing ..:..Two-Conver ........................................................... ...... .........................:............................... Fi replace 'e.s.....................................................................Approximate Cost .... .000,.,00 ...................................... Definitive Plan Approved by Planning Board ___6____7_3_"_________19-3 . Area ....,1180 Sq. ft. Diagram of Lot and Building with Dimensions / Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1��-&-KS OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I ' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name 1A............. , ,q % �.J.......� ...... Construction Supervisor's License .......0.0.0.9.8.9 r , -............ Permit for .................................... ............................................................................... Location ................................................................. ............................................................................... Owner .................................................................. Type of Construction .......................................... f............................................................................... Plot ............................ Lot ................................ Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 'p I5,ER IAV UA-'WORK-,, 'A, ER 1A LS ,-HA;'AXDW T �A TOW i0 $'rl?" TI ON i 'A A L A ED'fOU I 'CAL I4 N$,TRUC T UNDERGROV IYER rTCAL: - AMA4,IiIiiiiCE)IA it cr tii'OP N ii-'PA E opo$Nj Ilk, ATE 50 W IIv! 72 73-t F S I64 IIIiA'O, T; p R,E A IP, IiCA iiIz�;Q IIlPA iiII • � n EQUAQla,tE'T" ,., r� P J I . o � Rou-rE P44AI ,600e 4 ZS Plr. 2`j L_C)CATIO&I MAP scA z 0000' 6706. - - � 1 i OJ I �,ppp� ` —• `� 1 " I 14'x Zz PIR`oP05E D / 1 ►� -4 I A Z!o ' X 38 / t Lc) I�� RAC 3 8�6Raon/� // °1) lO /',t 17c�e.7E�-LIIdGr / co T.O.F LoT / ' otiv i 7,,273±S./F"In 0 In o L ur of N n I =39 . 27 F;=52 . 50 � I , N � ' OF ��qS � RENWICK G A POto B. m IN CHAP MAN G No. 27654 41 1'too, �� The BSC Grow—Cape Cod Inc 3236 Main Street BENCH MARK USED: Route 10C ELEV . ffi 75 . 68 N. G . V .D . ��%� Barnstable Village MA ZONE RC-1 QD`i� 02630 SETBACKS: (OPEN SPACE) 617 362 8133 FRONT 20 ' O K SIDE 7 . 5 ' REAR 7 . 5 ' PROPOSED SEWER C.�F MAss9 CONNECTION g FRANK - FOR SEWER MAIN DETAIL SEE PLANS BY KALKUNTE ENGINEERING CORP . LQ-r 3 � WHITING N 90 No. 29869 0 1749 CENTRAL STREET STOUGHTON MA . C2072 i IN c' -��' BARNSTAB LE MASS . (Hyannis) CONSTRUCTION NOTES : FOR: 1. ALL UNDERGROUND UTILITIES SHOWN -WERE '.:OMPILED ACCORDING TO AVAILABLE CAPRICORN REALTY TRUST RECORD PLANS .FROM THE VARIOUS UTILITY COMPANIES AND PUBLIC AGENCIES AND ARE APPROXIMATE ONLY. ACTUAL LOC).TIONS MUST BE DETERMINED IN THE FIELD. THE CONTRACTOR MUST NOTIFY UTILITY COMPANIES T2 HOURS IN ADVANCE SCALE: I "= Zo' OF CONSTRUCTION. THIS MAYBE DONE BY CONTACTING THE DIG - SAFE CENTER METERS _ ( I - 8 0 0 - 3 2 2 - 48 4 4) FEET o io eo 30 40 so 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE TOWN OF BARNSTABLE DATE. JUNE 7 DEPT. OF PUBLIC WORKS CONSTRUCTION SPECIFICATIONS AND STANDARDS . 1 1 988 3. PRIOR TO START OF CONSTRUCTION THE CONTRACTOR MUST OBTAIN FROM THE COMP./DESIGN T. A . W.A.A.N./L.N.E� TOWN OF BARNSTABLE. A SEWER TIE - IN PERMIT AND A ROAD OPENING PERMIT. CHECK- c . p-. W. / p,.-b C • DRAWN: T. A.W- / L .N• .cj. FIELD- RIEG / JVB FILE NO- DWG. NO: 1315- 3 JOB NO. 3-5035.Zo SHEET- i OF: