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0072 STUDLEY ROAD
Y i I i 'I r Town of Barnstable Building - ostPos a3Whet ,..� Permit Permit No. B-18-45 Applicant Name: Cape&Islands Kitchen&Bath Remodeling Inc Approvals Date Issued: 01/23/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 07/23/2018 Foundation: Residential Map/Lot: 306-013 Zoning District: RB Sheathing: � 7 Location: 72 STUDLEY ROAD, HYANNIS ContractoraNarne Cape&Islands Kitchen&Bath Framing: 1 Owner on Record: CORBETT, LILLIAN M � F3 a Remodeling Inc Sy3 2 Address: 72 STUDLEY RD ..,n.ContractorLicenses 60266 Chimney: HYANNIS,MA 02601 E Est Pr ject Cost: $25,950.00 Description: Remodel existing kitchen. Remove and replace cabrnets,tcounters, y Perrnit Fee: $ 182:35 Insulation: appliances,and flooring with new. Remove 3'Walls ofsheetrock reinsulate and taster I` z Fee Paid $ 182:35 Final: p Date, 1/23/2018 Project Review Req: - Plumbing/Gas av h ce. I Rough Plumbing: J Final Plumbing: Building Official a Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorrzed by this permit is commenced within six,rhonths afterssuance. Final Gas: All work authorized by this permit shall conform to the approved appllcationandthe approved construction documents#or which this permit has been granted. All construction,alterations and changes of use of any building and structuresshall 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 roadand shall„be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. g; Service: The Certificate of Occupancy will not be issued until all applicable signatures bythe Building andFi e Offi�cls are provide•o`this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work:11,2'. . ..A, .. - 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Fir_al Inspection before Occupancy Health _re applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: -1,shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING P:#MIT APPLICATION Map Parcel [J ® 2 2 Application I 1. Health Division � �3� Date Issued112-3h Conservation Division - � Application Fee Planning Dept., p� Permit Fee U Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 702. 3414- la, Village _1JV f. ;S Owner Z_,`f/:t� Address Telephone J�D� �`J— �3 %y Permit Request 2�-w�a zQ �cs f' -�,�.� [� ,' n La�Z IZ�,� s � �,�.�.c� �� sue..-�� ►2-��n ��f, c� �1�-��.2 - Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation & S0 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 J11Jo On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name J k .,,n CJA"A. Telephone Number Address &'-o G4,-once A2 - License # D w�-oKA l[ 0-1✓} - O�S 3� Home Improvement Contractor# Email j 2_1 'U tA) . C-0 Worker's Compensation # 5_3 Sa�2 Z2�_ew 54 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY t - APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I CAPE&ISLAND KITCHEN AND BATH REMODELING INC. 99 State Road, Route 3A Sagamore Beach, MA 02562 Phone: 5 8) 88 -4762 Fax: 8 33- 1442 Contract Date: 9-8-17 To: Lillian Corbett 72 Studley Rd Hyannis, Ma_ 508-775-4394 Ccc57@comcast.net Cape& Island Kitchens& Baths Remodeling Inc. will provide the following renovations as per plans provided. Included in this proposal are as follows with respective allowances: Plumbing: • Disconnect all existing plumbing in kitchen. • Cap pipes for clean installation of new cabinets. • No sinks included or kitchen faucet at this time. See other contract for sink with counter tops. • Disconnect existing appliances and reconnect on finish. • Provide waterline to new frig. • Disconnect existing heater and reconnect on finish after floor installation. Electrical: • Supply and install a total of[6] 5° recessed ceiling lights @ $200.00 per light installed with dimmer. • Provide all receptacles as required by code and new design. • . Relocate receptacles as needed for new design. • Provide proper appliance circuits. Connect all owner supplied appliances. • No upgrade to existing service panel at this time. • No under cabinet lights at this time. • Supply-and install lighting inside glass cabinet. Flooring: • Supply and install owner selected 12 x 24" tile. • Provide Grout Once Sealer. • Stagger floor pattern as per manufacturer specs. • Install tile floor upon new Hardi Backer underlayment- i Backsplash: • Supply and install new tile splash as per selection. 3 x 6 Masia Gris Claro. • Tile allowance: $6.34 per sq. ft. • Grout Once Sealer applied. General: • Provide all necessary permits. • Provide trash container on site. • Provide proper home protection and dust control. • Remove cabinets and tops. • Remove all appliances. • Remove wall board from [3]walls. Leaving ceiling. • Remove and replace baseboard moldings in same area of new flooring. • Blue board and plaster walls and ceiling repairs where necessary. • Provide interior trim where needed to match existing. • Install owner supplied appliances. • Micro hood is self venting. • Paint kitchen only. Leave wallpaper on walls. Not included at this time: • No appliances. • No cabinets or tops. Total: $25,950.00 Payment schedule: r • Deposit required upon signing contract: $5,000.00 PAI ►) or) • Payment due upon completion of rough inspections and window install: $10,000.00 • Payment due upon completion of floor installation: $8,000.00 • Final due upon completion of work: $2,950.00 We propose to furnish material and labor in accordance with the above specifications for the sum of TOTAL OF$25,950.00 In the event that it is necessary to pursue any legal action to collect any outstanding balance the customer shall be responsible for the total balance plus all legal costs. ACCEPTANCE OF PROPOSAL: SIGNATURE �y�/ "'` DATE no ------------------`------------ -----------------/--- - -- Michael Heinrichs The Catnmonwealth of Massachusetts Departmeni of Lndustrid Accidents Office of Investigations 600 Washington Street Boston,ILIA 02111 wwl-v.trtass gov1dia Workers' Compensation Imarance Affidavit:Builders/Contractors/aElectricians/Plumbe'rs Applicant lnformatio.n Please Priaat Legibly Name()3usiness/prganizCCationMdividual): Address:_ City/State/Zip: hone#: Are you an employer?Check the appropriate box: Type of project(required): 1j!�2 am a employer with / 4. ❑ I am a general contractor and I ., - . have:hired the sub-contractors 6. ❑New construction employees(full and/or part-time).* <^. 2.❑ lam 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 ahy capacity. employees and have workers' 9 Buildingaddition [No workers'comp,insurance. comp.instranceJ ❑ required.] S. [� We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am.a homeowner doing all work officers have exercised their 1 I. ❑Plumbing repairs or additions myself,[No workers'comp, right of exemption per MGL 12. Roof insurance required,)t a. 152. §1(4),and we have no ❑ repass employees.[No workers 13.❑Other cornp.insurance required_] *Any applicant that checks box pt must also ffll out the section below sbowing thew workers'compensation policy information. t Homeowner who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tContracmrs that check this box must attached an additional sheet showing the name of the snb contractors and state whether or not those entities have employces. If the sub-contractors have employees,they must provide their workers comp.policy number. lam an employer thal is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: .Policy#or Self:ins.Lic.#-: e... 5-3 J-����9905,/ 22- Expiration Date: 3 18 Job Site Address: J l iirel l RJ, City/State/Zip:___ Attach a copy of the workers' compensate policy declaration page(showing the policy nu ber and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the forrn of a STOP.WORK ORDER and a fine of up to$250.00 a day against the violator: Be advised that a copy,of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification- 1 do hereby certify under deep nd penalties vfperjury 4yi the information provided above is truue anrd correct S' ature Date: �oZ �/—� Phone# Official use only. Do not write in Ali area,to be completed by oily or towns official City or Town: Perrttit/License# Issuing Authority(circle one), 1.Bgard of Health'2.Building Department 3.Cityrrown Clerk 4.Electrical Inspector 5.'Plumbirg Inspector 6.Other Contact Person: Phone#: I /eo�r�rrro'n.raealffa aC�/fZ�cotaacrrae%G License or registration valid for individual use only \Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulatio-, egistration 160266 Type10 ParkPlaza-Suite 5170 Boston,NIA 02116Expiration 7ri/ 1$ Supplern6htCard�WME 1p4 Cape&Islands Kitch664Bath'Ren >ieling Inc f _' i 5� _............_ WILLIP l SCHMITZ = i` 99 State St. ----No valid without signature ',.ore Be>.:h,MA02562 Undersecretary Commonwealth of Massachusetts Division of Professional Licensure i Board of Building Regulations and Standards !I Const`tt► �-igPJvisor j i CS-076571 1}. Tres: 09/09/2019 WILLIAM L SGHMITZ' ;-� 66 CARAVEL BIRIVE EAST FALMOUTH MA 07536 �� I Commissioner V� � I ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/OD/YYYY) 07/17/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION 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 endorsement(s). PRODUCER CONTACT NAME: Christine Davies DOWLING&O'NEIL INSURANCE AGENCY PH�N o Ext: (508)775-1620 FAX No: -ADDRESS:RIESS: CdaviesOOdoins.COm - 4 973 IYANNOUGH RD - INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURERA: LM INS CORP 33600 INSURED INSURER B: ' CAPE& ISLANDS KITCHEN &BATH REMODELING INC INSURERC: DBA C&I KITCHENS INC INSURERD: 99 STATE ROAD ROUTE 3A INSURER E: SAGAMORE BEACH MA 02562 INSURER F: COVERAGES CERTIFICATE NUMBER: 173797 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 TYPE OF INSURANCE ADDL SUBR .POLICY EFF POLICY EXP LTR POLICYNUMBER - MWDD MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR - PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS , Per accident UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION /� STATUTE TTH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED7 NIA NIA NIA WC531S369904027 07/03/2017 07/03/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEEI$ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN Of BamStable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 '� C Daniel M.Crq�tey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ....._._/{—_.24", —! I 131 r 1 it fII — 43 0' rr 1 24"-- ---2 ----2 8 n �---I-36"-----' 7„ e o FS31830-FSP-WD2430 I` � N ^fm BF3- 3LO D1324 I BD892pVS SP- a? M -- -_ f - 1 4,LO J CIO o13 - \� �1 � n { /� m CGV l I'1�� ) U) 1 cfl i W O: granite with sink grid $ 2,890 $9,146.00 � • install of cabinets and microwave and demo and dispose 31, FS3-30 '' - d-J 2,650 rr 12" 17' p � 76 - —38 0„_- � • All dimensions_size designations Tracey Perry This is an original dcsign and must' Designed: 8/1/2017 given are subject to verification on Cape-Island Kitchens not be released or copied unless Printed: 8/8/201.7 job site and adjustment to fit job 508-775-3664 applicable fee has been paid or job conditions, 774-930-0506 order placed. tracey@,capelcitchens Al] Drawing#: 1 No Scale. TP LILLIAN EA:STMAN ST -- - 5 18 „ 241` T--18" ___658„i/ I------ -� 2 —"--- 4 I I i 1830-FSP-WD2430-R i o SP-WD24,FS3 W1830-00 pp _ ,M I^'T tom' \ � r-•f I^ ' I N I... �- SP-ER36-R 3DB24 SB30BBD8920\/�� P-ER36-R - SAV37 -� SIT I 98 8 114�6 ,� - ,rx----.-. 8 All dimensions-size designations Tracey Perry This is an original design and must Designed: 8/1/201 7 given are subject to verification on. Cape-Island Kitchens not be released or copied unless Printed: 8/8/2017 job site and adjustment`to fix job 508-775-3664 applicable fee has been paid or job conditions. 774-930-0506 order placed. tacey,capekitchens ' TP LILLIAN EASTMAN ST Bl 1 Drawing#: 1- No Scale. 7781" I i yrq g ry 30Vv 1 wv ,q.vv__...Y _ 77 -- N W3012B 1230 1230.,SP-t/WD24�30-L o0 SIN MIS' LO/, .. .. 61 .I 121( HOB ZDP304NI'SS SP- R3G_P 00 t�l - 1r1 4 tr 8 ry 36�v , 5 tr 1:vr 7 to vv 21 g e1516 358 16 /2017 All dimensions_size designations: Tracey Perry . This;is an original.design and must Designed: 8/1 Printed: 8/8/2017 given are subject to verification on d-ape.lsland;Kitcbens nct.be released.or.copied unless Job site and adjustment to<ft jo b 508-775 3664 a_ppl.icable fee has been paid or job conditions. 774-930-0506. order placed. tracey @c apekitch eri s •_ El 2 Drawing#: 1 No Scale. T'P LLL.LTAN FASTMAN ST 7 A 11 — 1 1 � 1r i ;1, --24.11 q"-- �= 26' o SP-WD2430-F W2430B c� IVVQR2448-1 LO 0 � � 0 LO MIS o m cn S P-E R36-R B 1$-R B 18VVB SIN I__-�._ - 361 1311 (,y 1 11 f�.{ 711 � 60 All dimensions_size designations Tracey Perry This is an original design and must Designed: 8/1/201.7 given are subject to verification on Cape.-Island.Kitchens not be released or copied unless Printed: 8/8/2017 .job site and adjustment to fit job 508-775=3664. applica.bl.e.fee has been paid or jots conditions. 774.93.0-0506 order placed. @cr tracey capekitCliens TP.LILLIAN EASTMAN S"I E1 3 -_ Drawing#: 1-No Scale. 6-2 - ly Town.of Barnstable *Permi ® � Expires 6 mo m issue 'Regulatory Services Fee 1 • snxtvsTABLE, v Mass.039. Richard V.Scali,Director ATEp��p Building Division , Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL. ONLY Not Valid without Red X-Press Imprint Map/parcel Number . Property Address Residential Value of Work$ �, (�j(�- Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name, '�� �1�� Telephone Number Home Improvement Contractor License#(if applicable) I" 2.22� Email: V'M-•c>t'1pW &6yuyme Construction Supervisor's License#(if applicable) �) P Q ❑Workman's Compensation Insurance '� �� Im Check one: a I am a sole proprietor I am the Homeowner QY �f4 ❑ I have Worker's Compensation Insurance ro Insurance Company Name ' Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. w Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to z ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required SIGNATURE:,, r�"Y Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 i 1 The Comyno;rrtrealtlr of Massachusdtr Deparhxr ent of liuMstrial Accidents - 0,,05ce of-Investigations s 600 Washington Street Boston,MA 02111 wnm tnusmgol/dia Worlwrs' Compensation Insurance Affidavit:Builders/Contractors/Flectricians/Plumbers Applicant Information Please Print Legibly Name arsine n�ation(jnditTidpal� Address:`7:i T� , City/State/Zip:' IA H C7Z6 one SC7i 2— Are you an employer?Clieck the appropriate bOx: Tie of projectrequredj: L❑ I am a employer with 4. ❑ 1 am a general contractor and 1 6- ❑New employees{fall and/orpait-ime * have hh-edthe sub-contrac�m 2,I3(J I am a sole proprietor or partner- listed on the attached sheet: ❑Remodeling ship and have no employees These sub-contractors have g- ❑Demolition working for me in any capacity: employees and have wodcers' g- ❑Building addition [No workers.'comp:insurance comp-insurariml regnired] 5..❑ We area corporation and its 10_❑Electrical repairs or additions 3-❑ I am a homeowner doing all work officers have exercised their 11_0 Plumbing repairs or additions myself, [No wcrkm'gyp- right of exemption per MGL 1I. Roof c, , 1 ,and we have no ❑ repairs required.]b 152 � �� -.❑Other. employees-[No workers' 13. comp-insurance required-] *Any appbcant that checks boa#1 mast slso fill out the section below shooting iheir waficeis'compensatioa policy infurmatiom- T Homeowners who submit this affidavit industiug they are doing all wade and then hire outside contractors matt submA a new affidavit indicating such_ tractors that clerk this boat must attached an additional sheet showing the name of the sub-caaft2ctonand sishe whether ornot those have employees. If the s lo-contmctats have employees,they nmtst provide their works'comp.policy number. lam an employer that is prmiNkg workers'cougmns don insurancefor my empliryees Below is diepoUcy and job site in fiorma&on. Insurance Company Name: Policy#or Self-ins-Lic.4: Expiration Date: Job Site Address: Citv/Stat&Zip: Attach a copy of the;corkers'compensation palicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal.penalties of a fine up to$1,500.00 and/or one-yearimprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator- Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA far insurance coverage verification_ I do herebj fy tender the pains andpenalffes ofperjuty that the info rmation prini&zd a bime is bw and correct 5.i tare: I}ate: �C"7� Phone Q�fjicial use only. Do not write in this area,to be completed by cityp or town officiaL City or Town PermitUcense# Issuing Authority(circle one):, 1.Board of Health 2.Budding Department 3.Cityttotm Clerk 4.Electrical inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6 r` Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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,constuction 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 Iocal 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 Puy applicant who has not produced acceptable evidence of compliance with the insurance"coverage requ.ired." 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 autho_ity." Applicants Please fill out the workers' compensation affidavit completely,by checkhrg the boxes that apply to your situation and,if necessary,su I sub-contractors names address es and hone numbers along with their c:ezulficate s of PPY ( ) ( )>address(es) P ( ) g ( ) 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 Sin 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 permit/license number which will be used as a reference number, Ju addi:dm,an applicant that must submit multiple permitllicense 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%n (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 Tndustrlal Accidents Office ofkvesti,pfiom 600 Washington Stcuet Boston,MA 02111 Tel.#617-727-4900 xt 406 or 1-377-MA.S 'B Revised 4-24-07 Fax# 617-727-7749 w w.mass.gov1dia * snaiasrnsr.e, « MASS. Town of Barnstable Regulatory Services Richard V.Scali,Director , Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038- Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder j as Owner of the subject property hereby authoxizegczl'� ya�-) to act on my behalf, in all matters relative to work authorized by this building permit application for:. (Address of Job) Signature of Owner l6ate Print Name ` If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. • k 7 QAWPHLESTORWbuilding permit formsT.NPRESS.doc Revised 061313 Town of Barnstable Regulatory Services �oFt Toii,� Richard V.Scali,Director Building Division * saxxsTasts. Tom Perry,Building Commissioner Mass. 9� 0.19. ��� 200 Main Street, Hyannis,MA 02601 AlE° � www.town.barnstable.ma.us Office: 568-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides.or intends to reside,on which there is, or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official PP g Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 ,f� U lee epa�n��w�ricoecz�o��izaaac/zurieC�• �`. Office of Consumer Affairs&Business Regulation: ME IMPROVEMENT CONTRACTOR e .' istration b 9 172220 Type; xpiration 6/172 014 Individual ROBERT M.SNOW•'`, ROBERT SNOW 29 HEATHER LN. YARMOUTH, MA 02675 Undersecretary t , Massachusetts Department of Public Safety Board of Buildin Regulations g g lations and Standards Construction Supervisor License: CS-106188I Vs ' ROBERT SNOW LANE Yarmouth Port 29 HEATHER ~ ' Yar • NFA 026T"� r Expiration Commissioner . 10/24/2015 License or registration valid for individul use only before the expiration date. If found return to: ' - Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 f _ j I ; Not valid without signature i i I Massachusetts - Department of Public Safety Board of Building Regulations and 9 Standards Construction Super-sisoi License: CS-106188 ROBERT SNOW 29 HEATHER LANE Yarmouth Port NFA 0246T• �c. `.�.•C.:, �iS� . ,ri,t Expiration .Commissioner . 10/24/2015 f ram, To of Barnstable �pIHElp� 1 OF BARNISTABLE do Regulatory Services N + sAMSrABLE, 9 i63S. ��$ Building Division �jOlFveea'ts TorujLerry,,Building Commissioner 200 Main MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PERMIT# r FEE: $ SHED REGISTRATION 120 square feet or less 5 -7-/DLEY 4�,+/\/(V/5 Location of shed(address) Village. Property owner's name Telephone number Size of Shed Map/Parcel# �/zoo 3 Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) 5/fine- srze— PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms shedreg REV:121901 i 3 FcrhicAK r 4 LOT, pRo1)G5t0 a FL �. a/v o v Tl 1 'ti �i'' • f 100' 1 ELEVLPT ' • '' dt .,6ckl3.l'/iJG Uv'/i'ctLln1G^ 164 :°ADD:. 2, ''`' F Oc�r �g - -� 4► GZ c+ ii S'TOo L.F-Y R N 0 f CER T I FI E Q RLQT PLAN . . �.,, . �•. _ ,�RY N N LOCAT.I��N A S>C.A CAI-E. DATE 2 -` 7: . C� -n FY T14AT' T1-LE'F-Y,vSS71 PJ �^P'LAN REFERENCE G yr Lww Q Es IS LoCATE;t) 00 't' �Zo�taD AS SHOWN NF.f�-E'oN• Lc7" PL 13,E • Z- - 8. 13AXTER Ir.NYE INC. ` DATE ! , fY THIS PLAN IS NO BASED ON AN RE:GL.STERED LAND SURVEYO tS „ " STRUMENT SUR�tEY AND THE 4STERVILLE^- MASS - ,SHOWN SHOULD NOT BE LOT LINES. . . APPLICANT .;tom L -�;ssessors offioe (1st floor): �L �D 3 FTMET Assessor map and lot number ..y�.j...................................... guard 6f Health (3rd floor): —7 •-- ,sewage Permit number ........................................................ t BaBa9TODLE, 0 Engineering Department (3rd floor): r�JS �� °o rb 9• 1". House number ........................................................................ aNard- 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 .��...... ....FL.. ��»/� ..................................................................... TYPE OF CONSTRUCTION ..... ................................................................................... C?rt01.jar..a:5 ...IM7...19........ TO THE INSPECTOR OF BUILDINGS: .� The undersigned hereby applies for a permit according to the following information: Location � `,J,cr�L.,./........?1J.............:...:. ...(� L.. ..r�. ....... ..,c�!.�.... G r Proposed Use �� �.a� ............................................................................................................................................................................. ZoningDistrict ................................... ....................................Fire District .............................................................................. Name of Owner �'S' C/ /......Address Name of Builder ��� 7�0/�2/ �. Slav-� /f�G..Address .:.' .9,57.4;!' �......`��........................................... ........................ .....I.......................... ~ Name of Architect ....................................Address .......... '':'"� Number of Rooms ..........!�7...............................................Foundation Exterior ..fDd.Q.... ! -1'`iC�l ...Roofing11[ .7 Floors � rIP. ...... .....................................................................................Interior ......... Heating =�i=/ t .d '?�� ��^!G�..... .............Plumbing !?X!;,5,;,�r/.1:............................................... Fireplace ...!rl1 Tf�.4 .........................................................Approximate Cost ......410..Q�0....................................... Definitive Plan Approved by Planning Board ________________________--_---19-------- . Area ..5 .. ........ Diagram of Lot and Building with Dimensions Fee. ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH M _A _ -- OCCUPANCY PERMITS REQUIRED FOR-NEW DWELLINGSy`'~ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the Bove construction. Name .:.:.. - .. .:'. ... ........ Construction Superv4isor's License ... 915851 . ........................ _ 7:� KENNEDY, MAURiCE A=306-013 7 No ..31304 Permit for ..ADD 2nd Floor Single Family, Dwelling Location ..72,,,S udley,, ... oad....................... ....................0 ya]C3 li.5......................................... Owner ......Maurice,.Kennedy.................... Type of Construction ......Fr.aMe...................... ............................................................................... Plot ............................ Lqt ................................ PermitGranted ......October 16 87 Date of Inspection ....................................19 " Date Completed ......................................19 3�Tv vvc��L 319 Isla �,�� �a r�►�s 1•} a.Y.. � �r !;r �.sic.• � �� O 0 - �► - 7 t Fabice :.. __:. . . . . :.. L-OT 2 t i 1 1 i .• i O haOViC51 p£C1 FL . / "t 014 L 14) WQou e ' 1N r ' %e L.Ev s± 3 LoT 1i o.4 a'Z Ici'KISPA36- owEL1.W& ,4 j j F , kti 7 641, t .., `. Cg 75- o 6 C-g STvo LE.1j R O N y ��lAXT�R F•�• J CERTIFIED PLOT PLAN V LocA'T1 ON �lraN/\l , c b D AT E _ TIFY fil•IATTFIE`ir�\S�('1iJC,: . , kPL.AM REFERENCE j IS LoCATE:o C>0 1' lz ''G�to�wD AS SI-4®WN HFJZEoN. . 7- Z GATE : Z- - 8 'BAXTER 0"MYE, INC. THIS PLAN iS NO BASED ON AN WE:GI..STERED LAND SURVEYORS INSTRUMENT SURVEY AND THE OSTERVILLE^-MASS. 'OFFSETS SHOWN SHOULD NOT BE ° �^ -DETERMINE L OT Ll N ES, IARPLICABJ E. P ., TO APPEAL NO. t 1 s TOWN OF BARNSTIBLE l' {,` , . .4 '`• PETITION FOR Special Permit; r L1 ER', aZ®NY�3 To the Board of Appeals, , . Town $all, Hyannis, Dim 02601 The undersigned petitions the Board of Appeals'' :vary,'. :the manner and+ hereinafter, set forth, the application of the provisions of the aoulug by--law to the tollQ�" premises. f, Applicant (P1i11 Name) w (Winter Address),, Owner: lb mboad MA MU Name) Prior Owner of record Tenant (if any) (Pull Name) (Winjer Address) U Applicant other than Owner of property • state nature rl of interest 1. Assessors map and lot number #396-01 .,..., .. _.. . ... ''r '•S"q S.tPY 1 2. Location of Premises Village (Name o street) (What section of T. ,1Z 3. Dimensions of lot 7 (Frontage) (Depth) (Square Feat) 4. Zoning district in which premises are located ._.ii.. �. 5. How long has owner bad. title to the above premises t 3-26-76 6. How many buildings are now on the lotl 1 dwelling* 1 on' (under Inn af) ° 7. Give size of existing buildings Sea atfaq ed,' ,p 121 of ,Elm Proposed buildings r ,�"¢, S. State present use of premises ' t 9. State proposed use of premises NQ gbwaa 10. Give extent of proposed construction or alterations t iM1T , 11. Number of living units for which building is to be Arranged'.' s 12. Have you submitted plans for above to the.Bttildinj3 peetoil No 13. Has he refused a permit No 14. What section of zoning by-law do you. ask to be VA TTT ' Item G ParagEaph 8 dii 15. State reasons f or variance or speoial permit's ;, . . �F" ,fir �• - .�-� _qiAr_ 1inP rlearauceg All wnr r •r:d ts. '# TOWN OF BARINSTA,BLE Zoning Board of Appeals p MAURICE 6 MAUREEN .KENNEDi h 2� i4 .. 1 �t �......__..._ _ w._...».......»...»»_.. .........» Dvvd duly recorded in ill( ........:............................. Property Owner County Re-istrA of Di-ed., in i?oolc _.._..... ................. X � .ERNEST B. NORRIS S SON. INC. J: .��_..............». ..._._.«.»»».....__......... I'i1 a ..................., ... .. .. ..Ji('. is trl' Petitioner DiOriet of the L;u+d C'rmrt Certificate- No . ....................... ...................... Book ... l;Qp a1 No " 1987-45 ................. ......... ...... ... . FACTS and DECISION Petitioner ERNEST B. NORRIS h SON, INC n • __ _ __ ».......».».._.»._.....».......................... filed petition on .....:...... ........ ........... ] requesting a variance-permit for premises at .............7..2....Stnd.ley .Roa.d................................. (Street) Hyannis of adjoining premises of (sec attaclicd 1+=1 306 013 Locus under consideration: Barnstable Assessor's Map no ......:.:.................... " 4 �r•4 � , Petition for Special Permit: . Application for Variance: 0 made under Sec. _.........._.................................................... of ti-e Town of 11arnstablt f. f :.• . Zoning by-laws and Sec. ` _ _.__..»_»»..»_........................................................................... Chapter 40_C.."Mass. Gen. Laws t f.e ' for the purpose of a.dd.i.Gi.an....to....b.e....cons.t.ruc.te.d...: n.:..e�;isrir_g...:i.ao.tpxint , s of a building not in conformance with setback regulations. ;•. _ _...»..........».»._...................._................................................................................... ................................................- Locusis presently zoned in......». _� :» .. RB......................................................................................:.... ........... ............... Notice of this hearing was given by mail, postage.' prepaid, to all per.un. dveme I affected alld by publishing in Barnstable Patriot newspaper published in l'olvii of lt:+rna:tble. a coh�• 1.1• which is attached to the record of these proceedings filed Avith Town Clerk, A public hearing by the Board of Appeals of the Town of Barnstable Nvat i't•I,l m tilt Tows! Office Building, Hyannis, 11as5 at 7:45 ?�� 1' 1t ,June l 1 , S 1 • ............................ .. .._................................................ + upon said petition under coning h}••laws. Present at the hearing were the folinwin_ n+etnllers Richard .L. Boy Gail `:i.uhtinu'lle _ ._... ................................................................................. I Chairman I ................... ...................... _ .:.........:.... .... ... ........ ,.i the conclusion of the hearing, the Board took said petition under advisement. A vie«- of the "',w4s made by the Board. �, '� poi�•.s, , �� b.appeal,No 1987-45 Pane _. __ of _ June . 11, 87 - - 11 _ ___, The Board of Appeals found at r Greg Ashworth represented the petitioners., Mr. & Mrs. Kennedy, who are WE t c the owster a s of the property located, at Map 306, Lot 013, 72 Studley Road., Hyannis tt 4 . rfor a locus containing a one-story residential dwelling on a parcel of 8,835 rt'. V _ square feet situated in an RB. zoning district. The dwelling is. presen'tly non- A. *Conforming in that it does not meet the current sideline requirement. �4t 5,.,The petitioner is seeking a special permit in accordance with Section G (B) zoning by-law. `to construct one bedroom and deck over the existing converted garage, as indicated in the Plans submitted with the filing; all construction to ' biaithin the existing footprint. r V, s'rx r Dexter. Bliss made the following findings: t t . x That the testimony indicates this is a pre-existing non .conforming building; . That the addition, located within the existing footprint , would not sub- stantially derogate- from the purpose and intent. of the zoning by-law. fit{ Based on these findings, Dexter Bliss made a motion to grant the relief requested, on the condition that the proposed construction not be used as a tal,room, rather, it to be part of the one-family structure, and to be built' t ' lbePlans presented. The. motion was seconded by Gail Nightin?ale. The"Board voted unanimously to grant the special permit based on the findings` dicated. w ` I Ez 64ilti _. Lam_...... Clerk of the Town of Iiarn.a;:blc. Barnstable rr• . • !t , ,,R. County, Dlaasaehusetts• hereby certify that hccnta (20) days hov( rial�sed sI ev tii: Tigard of Appeals rendered its, decision in the above entitled lirtition and that urw inpeal of ,ail derision has been filed in the office of the Town Clerk. SiPnetl and Sealed this P440...... day.or ... ._.............. !- ........:.:...........:...... 1!r.l%... ...._:... r:p,h.r t w pains 1 penalties of perjury. ar.11 :: . .� Dis:trihution:— Property Oicner Town Clerk I::rr ! of Appr•ai, Applicant (!f Persons interested building Inspector . Public In:ormation ltY :.._. .. �.,�. ...._.._....:_..... __..`:. ~..... ..,..._ `i Board of Appeals Cha .man RAR1�'i' a'r `?�, is •;., 3 it r'�.,� �y{•��( �•Yr r,:, k A s bOARDOFy�y st afr ccQ •,. dtheCann�omhpltbofly EST NORRIS & SON INC. Meeting of 6-11-87 �'� '�� ���' beiebf'natiAQd Hutp =`•. S�?';, � y �IL Ron has t0 NM Zolltn , , monde Aogl in �6 �Imou_fh Road�Cent�tbnt�t Map terrUle In an RC aonins dbwd 251 Doyle Rd, Holden, MA 8.Notih Son.;tnc.;het epp,a�al to Ibr a$PNN AMU to odd a tad . PO Box 510, Centerville, Ma OlftftSatA�®►S Eat 013,72Stft 397 Sea St, Hyannis, Ma In"I'dwoae 7s 1645 Newt � own Rd, Cotuit MA 64 Studley Ad, Hyannis, Ma tera 6. William St, Hopedale, MA m !°Dn�ila. 5 Houghton Rd, Hyannis, MA 117 Ebwood Rd, Wellesley, Ma �: . and ' 7 Houghton Rd, Hyannis, MA . % AOmR 177 Pleasant ST. Hyannis, Ma 74 s'Iudley Rd, Hyannis, Ma 'fiJfu st 367 Main St, Hyannis, MA nn Harbor Vlg Marstons Ave, Hyaisprot, MA ri 0 etlfit`i(8) rider Aj #aim16 eondttion it no 1: ���iib '1Al.I.olt IJ2•1 f&7 7a+T A k . +�a4i0 Floor Rae y�00n.Flel�!', InOt 11.,19Q?.. f '. Zoab�bond d 6N fissesso'r's offioe. (1st floor): O� Q�!3 oFTMEto� Assessors •map and lot number .... V fig. hoard of Health (3rd floor): - ] -:. ley Sewa a Permit number ........ .. } ��(�!!� �� 9 ?,`+ � Cu �. Z�`�BAHa9TODLL, Engineering'"Department (3rd floor): ��` :) Fff TO TLE a rb7e ♦� r .; House' number. ................................... ................ ....... ....: w wE� "W °PEQ ®6E ra APPLICATIONS PROCESSED '8:30-9:30 ',A.M, 'and: 1:00`-2.00-P,M only � YJ � RMULATioe.,y8 .TOWN - OF ,BAR NSTABLE • � f 4. BUILDING INSPECTOR - APPLICATION-FOR PERMIT TO ........:....`................................................. ........ ...... , TYPE OF, CONSTRUCTION .....GlJIRFVa7.,... ...........................: .. .... ................................................... 41 1 ; THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit 'according to the following informati n: ........ ,. locationTG�,Q / �/� P.�,� . . Proposed Use ,.... .... mod , t , ZoningDistrict .......................................................................:Fire' District ..............................:....................:.....:...: Name of Owner ....../��.�.-,,�?i .4J ....Address r ....e'- Name of Builder .' ? .T/D '��1.: .... �51j -?'..�^'� .Address .�a�. ..` ! ` .:. �f Nameof Architect ............:.........:....................................:......Address ...................................,.....:..................,....................... Number of Rooms ............1...................................`...............Foundation ..=�`� ... .. fit ���}e!'s✓`/�s� GJ®d D Exlerior ................. .......................................Roofing ... ...... Z-�..... . ...................................................... Floors ^..C� r�P£/ Interior YG.J Heating. ... �.T/��. ./. 7�/.�i ".Cl...................Plumbing ...r?S� f`. '`/. :-.......:...,................................... Fireplace ... T ....-.....................................................:..Approximate Cost ..... 3.. .C?............................................ Definitive Plan Approved by Planning Board ________________________________19_ _ . Area ..� .... ...'. ....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH •�- �-� �Lam/ - ti i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS v I hereby agree to conform to all the Rules'and Regulations of the Town of Barnstable regarding the above construction. ... . Name . ......._,: .. . ,... ..................... �.,..:..,m., Construrtion 'Supervisor's 015851 License...,,•.::.:.:...:....:,: �.. e qql KENNEDY, MAURICE t` • c.N 3:14... Permit for .Add...2nd...Flcaor. i .Single F.amily...<Dzaell.ing............ - Y' c` Location ' � ...7.2.°Studle<y<...Roa�d ............... By Owner Mauxice... nnedy.......... �...:........ w ? Type of Construction '-Frame... r _ e> ...... ti .......................................... v: Plot ................ Lot ........ ; i Permit,Granted ......October..l��.,......1.9 87 , . Date of Inspection ........................ 19 4 ;~ '6ate Compl ed ..... ...... ......19 r r v � r .r c� t �, �' - F� M. T • g .. • 1. �1 - - • { -P r }, � Y. � • n .. - .. ' J�• '�.- asses"s$rs map and lot'-number ....... d�..:. .1 ...`. � . ........ .. c � U k E.ts Sewage Permit number .........hGzL.............. hf16�C�, eft c�.drf'! ,S�rSTE�y �` . �•fu�r,� y u f /K- ��s)/S TCvy �GU u-F°k�-i /T— tM1 .. �Qy�FTHE tO��O ���hrF�s TOWN OF A NSTABLE t EARNSTADLE, i `� 0 r.. s ra9. DUC DlHG INSPECTOR i63q. �0 . •wi 41 {% J C> r; < e r ,' • • f} 1 J APPLICATION FOR PERMIT`TO Y � TYPE OF CONSTRUCTION ..............:....... ..................................................................................... _- ............... /...�....�y.........19 7.7. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ProposedUse ...................... .......... ..........................:.........:..................................................................................................... • ZoningDistrict .......... ....:. ...........................................Fire District ......... ...... ............................................................. Name of Owner .� Address Name of Builder ��R:..C� G�.C?.l,S.......CA.!V.S/.r.................Address ��...✓.45. ? .. . ......1&f1'•Q•2,4.1�.r.tll.c��q.. Nameof Architect ..................................................................Address ..................................................................................... Number of Rooms ..................................... .....Foundation .. ........Roofing �-�7.e .Gill. h.... ��.f1. �a.�. ..... ...... f.. Exterior .................. ............................................... Floors ...Interior .. g t---. ........Plumbing �— , Heating .......................................................................... ................................................................................. i p Approximate Cost' Fireplace Definitive Plan Approved by Planning Board ----------------------_---------19________. Area .....,1 ................. Diagram of Lot and Building with Dimensions Fee t. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �� r��%t -f.4L7................................ Kennedy, Maurice F. 19749 -No ................. Permit for .................. ............................................................................... Location .................72 Studley......................Rd.......................... Hyannis ........................ ................................................... Owner ........Ma4rice-k-ennedy.....*................... Wood --Z .......................................... Type of Construction X . ................................................................................ 'Plot ................... .......... Lot MN L 13 .......... ............ et • Permit Granted .....1W.mba);......1.4......19 77 Date ot.inspection .......................... ....19 Date Completed .............. .....40-1 19 A13 Ile PERMIT REFUSED ................................................ ........ 19 ....................... ...................................n.................. ................................................................................ ......................................................... ................... 10 ............................................................................ Approved ................................................ 19 ............................................................................... ............................................................................... ------------ Assessar's map and lot number �.�.... � > ............................... i 4 - i All Sewage Permit number .......................................Ti..... ' �(./�•J r � Vic,�' /r.c .1� %.s L�c�/ CGk-/'Gk�`�/� TG yQFTHE rO�y TOWN OF BARNSTABLE Z B6BB3 UlLE. i "6 9 0 y ,e�9 BUILDING INSPECTOR ' pY p" � -- ; 9 APPLICATION FOR- PERMIT TO-MP.::.�c?'�............� .....:.........�d ')C.............................................. TYPE OF CONSTRUCTION .....................:............................................................................................................... ................................................19 7,'7' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location t. r C , i .,. ` .? ....... � ... . �.... . "...................................................... ............................................................ ProposedUse ...................................................................................................................................................•......................... Zoning District........................................Fire District ........ ........... Name of Owner NJt}uvt�. ... ... o �/ ram,-l�A! Address �ra v1 /.�/ n� G . r .... z ............... .... ..... . ....... ......... ...... ... ........... Name of Builder ..... ................Address �S� TAs nA2 ST �L/PA(t, Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..............................................:...................Foundation .............................................................................. Exierior ....................................................................................Roofing ,..:...:......,................................................ Floors �.. . �: P ..........................................Interior ......... Heating ..................................................................................Plumbing .................................................................................. .11 Fireplace ..................................................................................Approximate Cost ... �/fl1, '— .............................................. Definitive Plan Approved by Planning Board --------------__________________19________ . Area .....�` � ........ ....................... Diagram of Lot and Building with Dimensions Fee 14 ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name %!//t?.�// . fl�*',-;.' ................................ Kennedy, Maurice Fd. Flo 1274?....... Permit for ..Add ti.9A................ ............................................................................... ti Location ................................. ................Hxalanifi................................................ Owner .....Maurice Kennedy ............................................................. Type of Construction ..............VQ.Qd................... ................................�A . ..... . ...................................... Plot ......................... Lot ...... Permit Granted ..........\.....Novembex-.-.14 77 Date of Ins kecfi'bn,,,.......... ......................19 Date Completed ......... ............................19 PERMIT REFUSED ................................... ........................ 19 ................................. .. ........ ...... ..... .................. .......... .... . ...... ... .... ... .. .... ...... ............... ....................... ........................ .............................. ............................................................................... Approved .............................................. 19 ............................................................................... ...............................................................................