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0039 WACHUSETT AVENUE
Rv e w 15-r v - J a 7 7 - i i I. Town of Barnstable Buildin� a�xrvrwe Post.This Card il F n So That it is Viable'From the Street ApprouedPlans Must be Retained onFlob and this Card Must be Kept M" Posted Untal Inspection Has Been Made r r 363p. >�.. �, ,..: Permit iW�here a Cert fcate ofOccupancyis Required,such Bum Id�ng shallNot be Occupied until aF nal Inspection has been made Permit No. B-19-3631 Applicant Name: Capewide Construction Approvals Date Issued: 10/29/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 04/29/2020 Foundation: Location: 39 WACHUSETT AVENUE, HYANNIS Map/Lot: 287-137 Zoning District: RF-1 Sheathing: r- - Owner on Record: Smith,Andrea Contractor Namew: CAPEWIDE CONSTRUCTION INC. Framing: 1 I Contractor License 131507 Address: 39 Wachusett Ave 2 Hyannis, MA 02601 Est Project Cost: $1,500.00 Chimney: Description: Remove and replace exterior door Permit Fee: $35.00 Insulation: Project Review Req: Fee Paid $35.00 Date 10/29/2019 Final: y 3 Plumbing/Gas � Rough Plumbing: W r� k Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within ix�months after:issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documentsfor which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and struetores shall b in compliance with the local zoning by law3 and codes. 2 'T �� Final Gas: This permit shall be displayed in a location clearly visible from access street!or;road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. i iK Electrical The Certificate of Occupancy will not be issued until all applicable signatu es t the Building and Fire Off��al�s a e provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing31, 2.S Inspection Sheathing g hin Ins tion �.. J Rough: ..,. . „. _ 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Peqrn tracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT _i -3 � OD Q Town of Barnstable *Permit it taatttts jram'ysue date 0 4 2017 Regulatory Services MAM BARNSTABLE Richard V.Scali,Director Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL. ONLY Not Valid without Red Y Press Imprint Map/parcel Number 7— 13 7 Property Address 39 bt/a 05(44 Ale H�yar� T61�fi residential Value of Work S 3��S — Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address,Ljnja ePJUIJ'-T/ - i s o r 1- M A 0).(p L/ G�G� Contractor's Name W DtJ tNO�� jI fF .� tF_FL Telephone Number 7rfl— ?43 OF a � Home Improvement Contractor License#(if applicable) 1&6 OZ,'r Email: Construction Supervisor's License#(if applicable) 07 2-7 7 2 Yworkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance r Insurance Company Name i 'f}'my-gL `�'l/�,� �IUS(ll�- C (Yt &d Workman's Comp.Policy# 22 W�-CI--T 24 3 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ $ea q Replacement Windows/doors/sliders.U-Value • 02 1 (maximum 32),#of windows #of doors: r ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance or 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 equired. SIGNATURE: C:1Uscrs\Deco)r ta\ cal\Microso t endows\Temporary Internet Fi1es\Cbntent.0ut1ook\2Pf01 DHR\EXPRESS.doc Revised 04021i 'Window World of Boston,LLC MA HIC Rogisiration (� i OfflDes&Sho*rooms Number: p? > 7:5A CurumingS Park O 245.01d Oak Strect 166025 olf�lre� Woburn,d1A 01801 Pembroke,AIA 02359 Federal IDit "Simply the Best P (781)932 4805. (781}826.6281 27-Wat§65 for Less" .-A•r1J4Vindo:'jANaridbi�oston.com Customer. Phone(h) C�OSr-197 Install Rddre s.. I _ Phone(w) r Cih/: (Sdr� Siafe:NA Zp _E-mad WINDOW WORLD GLASS OPTIONS _1000 SeriesSingle-hur.gAUJJyeld sin So(arZoneEhle a119 2 _2000 Series DH MechiWelded Sash S215 _Triple Glazed TG2- S1g5 _4000 Series DH AIP.A.eld S225 ('Ser,'as 0000 Oniy) 006 Series DH ARANeld $260 WINDOW OPTIONS- -2 Lite Slider $354 Glass BreakageWarranty ty $151N LLDED 3 Ute Slider n.,rr,cy, ova it-its :545 ,_112 Screens 'o91HCLU ED -Picture I Fixed Lite S35q Foam Insulation on Jambs and Head $it VICLUDED _Avming i $280 __Double Strength Glass SiS NCLUDED Casement $310 _Double Locks(>261 S5 INCLUDED 2 Life Casament, 5595 Full Screens $22 3 Lite Casement -Colonial Grids; on (Fla 45 ;iR�N;rai ;rf4 in;:rn $Ben t) Basement Hopper $334 _PrameGnds 1 _Bay Wrdmv-Sofithtount)o4sseat-•2660 ---DiamondGrds -$69 now`Alnflow-Sofft PAount l lNS Seata2'185 Simulated Divided Lite $i82 �Temoered DH Sash(BSO)(TSO) $65 _Garden windovi $2040 Obscure Glass(BSO)(fS0) $36 SpeCielh/41JindOtY $ _Oriel Sry!e(40!6G or 60(40) .$30 -Beige/Almond $.40 _Foam Enhanced Frame $s5 _'Nccd Grain interior l9erks40001 owe onty)$1co(t."ghrOaklOadcCaklCherryl Fox. ORE 147E BUILT HOMES(EPA LEAD SAFE AENO'r TION) ^l - Rich A4apra) '.'Jood Lead Safe Practices Required p30- _Braanf3dericr(Arch BroaaelAmerrnT�ra)Si00 MYHONIEWASBUILTINTHEYEAFIffO at ' _Designer Color Gxterior .ar 5 MISCELLANEOUS Custorn Exterior Aluminum Cladding PJindovt Color y (— ) _ `0 T xtured$75 0 Smooth$75 3 Inside Oiaaiaa Facing Color ` NON CUSTOM DOORS _Metal Window Removal a 0 __Vinyl Ro%nq Patio Door sit.or a. $1099.S _New Construction Ynyl Removal $175 vbu%I Rolnng Patio Door aft. j1795 Specialty Window Eiderior Tram $ _Pod to base price'at Custom Kiting patkr Ccm.31250- Mull to Form Multi Unit 330 _French Rail Sliding Patio Door Sn:at nk. S1395 Install IntedrX/6dericr Stops $50 - _Franch Rai SI.Wng Patio Door an- .31495 _Install Interior Casing Starts At$95 1 _French Ralf SWing Patio Cook,Sit. $1595 _Insulate Weight Boxes $20 _Custom Exterior Cladd ng s150 Roof for Bay)Boev Wbtdocis S500 Sclar2ora Elie or ETC Glass. �"x05 �Eiiistirg New Censt.Ext.Rove Fit S150 i Gr!ds Patio Door 8149 Removal f Existing - 'Plcodgrain lnter emova o ors - aay/Bow .5250 -� Repair Sig,Jamb or replace Sig nosing $50." -..xterior Designer.CUors 3395 Full Sub-Silt(Single)replacemOnt 5150 �y► _tnt3rarCas'r1g 2'w 3 a $175 Mullion Removal Hardleset 0ptions 330 3 _BaylBaw Conversion Ext.Refro Fit S350 (New Siding Will I tot Match) Door.Color tr„idau?�P-atS7�enWifp ,j Customer declines exterior wrap and understands painting and/or repair maybe re uire tnttlal- Customer declines grids on windows/doors;Initial ➢1Ss of sw,iiicne r is respan.ib o for is b!oy,rg in per+sot cn r do its can�c[Pahang star ;Plarm System disumreivleccrriw B^.d ng Karma fes in auessWS25�0,HmeorneraAorCAdbrlsseddanAWgral,Mos'.o•ieTsh!r1ADlacralGayatgosla p3rlong4,ides<Parmitesnconrd'mnvnl ns'alaiaa NO EXTRA WORK IF NOT IN WRITINGI Customer agrees to the terms of payment as follows: ex �Caa1 �9s' E:dra Labor&Materials $ Site Set Up,Permit,Disposal&Delivery Fees S $389.00 Total Amount S °*� Custom Order Deposit 5045 7A r Ck# Balance Paid to fristalieutpon Completion SL7 0� q G Amount Financed $ lUndcdl'loddaf.0ostanaUtpates3tanmgm's'so?c0t �O and being washrWily66m;le:edn ,rs:securykparestyes I' Arty apgsd rescued in acvan s ci Ito;fart of the vrotk StfAlk tlBYaxcee0 33 ij3A of tpe inlet coptraci pace or:W ackiai cost of err rratetial or�l spacia under Or Custom Made riiwtichmustbecidetedinadvanceatthestartotthevrorktoessure thattheprolecttvgtproeeedon aua ytedWe Sogrrolpaymeat �' :,.3, I t9 demarded'auil Me contract is a VIIIII II101re satisfaction at bWh pardes. AB torte imprrar-Nero:Wradars and scircomraoxar;shad be rag Ared andthatmi inquires about a is and or SLCCIIAM tin rl34rg to a registration Saar dd be n!recWro.Glace of Consumer Aflafrsaad Basin=Regulation,Ten Park Ftba,Smte 5170(Inslan 14A 02116.Phone:(617)973.0700 - no work Mall begin prior to the signing of gre contract and transmittal to Die owner of a copy of such contract.' + InirG;a 5'Rrfd of Boston wd r pruriiskii of Chapter 142A of the general 6rus is rag r.Yd�D appiy'cr and obtain a1 tiers rAor mit•rdaled pers.'tirdorw Wc4d of 1 :ostai sban rather deemed responsible for delays tin Use tW iic described in this agieentaM caused cy reguWar/,permit Writing agent rs bl iorG•cs or individuals. Mow.g the FURCHASERiS)OWi03N witoconsbactionrelatedpermits far lhewark described ucderthis agreement or deals withumegisioreoconrabtaq, ' the PURCHASER(S)is heteby advised that in the sweat of a d'isplite,judgement and nonpayment,the PURCHASERS)will not be entitled to make a claim at cbltecgon tram the guaranty fund established by chapter 142A,M.G.L.YOU the buyer may cancel this trana801011 at any time prior 10 midnight of the third business day.after The date at this transaction. Notice of baticellation must be in wfiting postmarked no later than midnight df the following Wed business day. RESALE! . This:rikff bddr fralc4ise is kideeerden6 armed and aeerat?d b'tY1i!aw f.Yadd of Boston,LLC.Under Zcarse born G'tr .9::mid roc. trvn :Ooaotalg it"are anybton]spaces. Ostai! / ! Se!cunan:Oo notslgn It there are any Wank spaces. Date "18:0onatsignif there aroany bignp.spaces. Data. eamnoan wtJta Cc - -Mtamar _ GY-Origirv�l 'fgeow Copy•F!g' Pin:;Cap/ N�v`tazenter.in3: Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-072772 Cons'—uction Suoerdiscr JEFF C STEELE 24 SHERWOOD AVE - DANVERS MA 01923IT 13, Expiration: Commissioner 04/07/2018 —i Oflce of Consumer Affairs&Business Regulation —$HOME IMPROVEMENT CONTRACTOR Registration: 166025 Type: Expiration: .4I12F2018 LLC _ - WINDOW WORLD OF BOSTON,:LLC. JEFF STEELE 24 CUMMINGS PARK SUITE 15-A WOBURN,MA 01801 Undersecretary License or registration valid for individual use only before the expiration date. If found return to:Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,i1fA 02116 y of valid without signature i The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-201? www mass.gov/dia R'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumhers. TO BE FILED WITH THE PERMlTTLNG AUTHORITY. Applicant Information Please Print Letribly Name (Business/Organization/Indnzdual): Ie//CA rJ "Hd'O f' 9DSJ�4 f L L C Address: /_5'f1 Cup,..-,,-�� s ? K City/State/Zip: 6L)0 n O o Phone#: -7Z 1 —9 S 2- -_L4,k o Are you an employer?Check the appropriate box: t� Type of project(required): I.� -TO a employer with C) employees(fiill and/or part-time).* 7. New construction 2.❑I am a sole proprietor or.partrrership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.1 3 f�I air,a homeowner do all work myself. 9. ❑Demolition mg ys [No workers�comp.insurance required.)t 4.0 1 am a homeowner and will be hiring contractors to conduct all work on my,property.ro I wil( 10 Building addition ensure that all contractors either have workers'compensation insurance or.are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.QPlumbing repairs or additions 5.a 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.t 13.aRoof repairs 6.❑We are a corporation and it officers have exercised their right of exemption per MGL c. 14.F3Other_W I en C O k„�) 152,61(4),and we have nc employees_[No workers'comp.insurance required.) *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside-contractors must submit a new affidavit indicating such. $Compactors 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'camp.policy number. I am an employer that is providing workers'compensation.insurance for my employees. Below is the policy and job site information. r Insurance Company Name:_ (4 ail-*-�a F� Policy#or Self-ins.Lic.#: Z 2- W r C L) Expiration Date: 1- 2- 7— Job Site Address: 3!!2 acl?yS e l�- Ale City/State/Zip: s , 01 Attach a copy of the workers' compensation policy declaration page(showing the policy nurdber and expiration date). Failure to secure coverage as required under MGL c. 152.§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this ement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifi 'on_ 1 do hereby cer under a pal erjury that the information provided above is true and correct Sip-nature: Date: —/ Phone#: a 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#: WINDO-2 OP ID: HI AcoRo CERTIFICATE OF LIABILITY INSURANCE D 05 04120 ) ' `.� o5r4r2o17 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 terns 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 NAAMEACT Carli Witcher CISR,CBIA,CIC Marsh B McLennan Agency-GSO PHONE FAX 3925 N.Elm St IC Nc Ext:336-272-7161 336-346-1397 Greensboro,NC 27455 EADDARES5:Carli.Witcher@marshmma.com C.Timothy Ward,CPCU,CIC INSURERS AFFORDING COVERAGE NAIC S INSURER A:Hanover Massachusetts Bay 22306 INSURED Window World of Boston, LLC INSURER B:Allmerica Financial Benefit 118 Shaver Street INSURERc:Hartford Fire Insurance Co. 19682 North Wilkesboro, NC 28659 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR: TYPE OF INSURANCE DLiSU I POLICY EFF POLICY EXP LIMITS LTR INSD WVD: POLICY NUMBER MMR)D/YVYY MWDD/YYYY i A F X COMMERCIAL GENERAL LIABILITY ;EACH OCCURRENCE S 1,000,000� cLAIMs MADE X oCCUR OD6790252708 04101/20-17 04/01/2018 DAMAGE Ta R" 500,0001. _ PREMISES Ea occurrences MED EXP Any one person) S 5,000, I PERSONAL 8 ADV INJURY 5 1,000,000 GEN-L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2+000:000 POLICY_ JET LOC PRODUCTS-COMPIOP AGG 5 '21000,000 OTHER: S AUTOMOBILE LIABILITY EOMaBttI .SINGLE LIMIT S 1,000,OOa 1 B X ANY AUTO AW68757615 06/16/2016 06/16=17 BODILY INJURY(Per person) S .ALL OWNED -SCHEDULED BODILY INJURY(Per accident-S AUTOS AUTOS a NON-OWNED PROPERTY DAMAGE .S _ HIRED AUT OS AUTOS (Per accident S X UMBRELLA LIAB X , OCCUR EACH OCCURRENCE S 2.000,0001 A EXCESS LIAB `CLAIMS-MADE ;OD6790252708 04/01/2017 0410112018 AGGREGATE 5 DED i `RETENTION 5 .5 WORKERS COMPENSATION 1 X PER OTH- I AND EMPLOYERS'LIABILITY "STATUTE ER I C ;ANY PROPRIETOR/PARTNERIEXECUTIVE YIN 22WECLJ2635 O1/27/2017 01127/2018 EL.EACH ACCIDENT S SOO,000 OFFICER/MEMBER EXCLUDED? a!NIA! (Mandatory in NH) a, E.L.DISEASE-EA EMPLOYEE 5 500,OOQ I If yes,describe under " DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT -S 500,000 e DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached If more space Is required) " 1 CERTIFICATE HOLDER CANCELLATION R SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ,EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE " 1 i I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Town of Barnstable *Perms mi# G Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building.Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstab l e.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION •- RESIDENTLLL ONLY Nat Valid without Red X-Press Imprint Map/parcel Number. Property Address �v� u e- � ' ' ' 0`() [Residential Value of Work 5o O• Minimum fee of$25.00 for work.under$6000.00 A Owner's Name&Address �-�-1 f "'' 46vA�Y R-(L V Contractor's Name W s l ' Telephone Number O Home Improvement Contractor License#(if app icable) O Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance X-PRESS PERMIT qVk one: ©'I am a sole proprietor OCT 2 6 2009 ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARiVSTABLE Insurance Company Name Worliman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) [/Re-roof(stripping old shingles) All construction debris will be taken to `S1Jo-c,a-I ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Wherc required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *** P perty O er t sr roperty Owner Letter of Permission. copy o e H me Im vement Contractors License is required.. SIGNATURE: Q:Forms:cxpmtrg Revisc061306 r The Commonwealth of Massachusetts .Deparfntetat oflndustrialAdcidents ` Office of Investigations 600 Washington Street Boston,M.4 02111 ` www.mass..gov/dia Workers'Compensation lnsurance.�davit: Builders/Contractors/EIectricians/PIumbers Applicant Information Please Print Le Lbj er Name(Business/Organization/Individual):• Address: City/State✓Zip: in n 1 Y I� 01Z�U 0 ( Ph #: -------------- Q ✓ one [0I an employer? Check the appropriate box: a employer with 4. [7 I am a general contractor and I Type of project(required): loyees (full and/orpart,time).* have hired the stab-contractors 6 ❑New construction . a'sole proprietor or partner- listed ou the-attached sheet: 7. ❑Remodeling and have no employees Thew sub-contractors have g Demolition ing for me in any capacity. employees and have workers' orkers'comp.insurance comp.insurance.$ 9• El Building addition red_] 5. [] We are a corporation and its 10.0 Electrical repairs or additions a homeowner doing all work officers have exercised theix 11.❑Pl Bing repairs oz additions lL [No workers' comp, right of exemption per MGLance required.]t c. 152, §10),and we have no 12• oof repairs employees. [No workers' ..13.1-1 Other camp. insurance required.) •Anyapplicantthat checks box#I must also i7i 1 out the suction belowshowing their worken'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. h-datractors that check this box must attached an additional sheet showing the Warne of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors Izve employccs,they must providb their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for information my employees Below is the policy and job site Insurance Company Name: Policy#or Self-ins.Lic:#: Expiration Date: Job Site Address: City/State/Zip; Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the f' osition of c ' fine tip to$1,500.00 and/or one-year imprisonment; as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verification. I do her y ce der a sins nd penalties ofperjur}y that the information provided a ovg i true and correct; Signature: Q— • Date: I Phone #: — Official use only. Do not write in this are,'tb he completed by city or town offciaL City or Town: Permit/License# Issuing Authority(circle one); X.Board of Health 2.BuiIdingDeparament 3. City/Town CIerk 4,Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone#: 7HFT o Town of Barnstable. Regulator Service. Y s sAxNsreer�, + ' s Thomas F. Geiler,Director AIFD �A Building DI-vision Tom Perry, Building Commissioner 200 Main Street Hyannis,MA 02601 wRV-town.barnstable.ma.us Office: 508-862-4038 Fax: 50B--790-6230 Propexty Owner Must Complete and Sign This Section If Using A Builder I . •�- �.�� flu as Owner of the subject property herebyauthorize to act on my behalf, in all matters relative to.Work authorized by this building permit application for: . Adores( s of Job) One o er . Date Pent Name QTORMS:OWNE"ERMIS SION Bbaof w W.Wg WrgCioa� an ar License or registration valid for individul use only _ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: .Registration: 124310 Board of Building Regulations and Standards Expiration: 6/1/2011 Tr# 284683 One Ashburton Place Rm 1301 Type: Individual Boston,Ma.02108 James Curley James Curley 287 Fuller Rd. Centerville,MA 02632 Administrator --"` of valid without signature Massachusetts- Department of Public SafetN Board of Buildin.-RegUations and Standards Construction Supervisor Specialty License Licenser CS SL 99138a Restricted.to: .RF,WS JAMES CURLEY 287 FULLER ROAD CENTERVILLE, MA 02632 c Expiration: 1/28/2012 ,. Commissioner Tr#: 99138 • � ✓lie:U�o7xirrearuuec�ll/ o��/�aa:c;fu6P,� _ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registrafion:;;_j-24310 Board of Building Regulations and Standards Expiration-_j112009 Tr# 130873 One Ashburton Place Rm 1301 -_Type individual Boston,Ma.02108 James Curley James Curley _ 287 Fuller Rd. 4� Centerville,MA 02632 Administrator Not valid without ure ��� ? 1 �'�a.(�/i;�; � � � i f f. J 1 � ----------------------------------------- VAR. 18 '92- 12:2aPN WHITTIER PARTNERS -------- Wrllfr•v' v r��r� °n;7 cno is not to rscorow y. , a consrrwc osP_?!2nstr J 1137/7"y . CC 83.©n Q 2 N i N \. N N\ _ N O 65:41' E-0 o 76-ez L�H`OF:'�y; I�USSELL yc �z LEONARD, �^ cr t PCTERSON;, ihetlb.y._Cect(fy fhct the bwlgo n_ on this; 4 and lot lines shown Fb► a! ;apArpx i�iol�lYSlocgted on the gmutd 03 shown:rttiriQti;ohd fhaf thy'hov Conformed to tha zonlnq_ Conformed MORTGAGE PLOT' PLAN � : B.cl�.vs7.4,61� _,. OF PROPERTY~ IN Qn thls,.d rartlf tnat b the best Of p b r th `pajresl as shown !%Y.4:cvt rso dots 'h ;. .�` gln. , MASS. j. oar:t�O 14n :__. JUlood- aE s on the =R:yt:IC..Rp ° WZOrd':9OWWY Mops doted .?�!-iva: p o/ SCALE:I zZO DATE:Z//%�c f+c: 1 Apr-22-98 02 : 28P P.02 . aim•..\ - ' The Commonwealth of 1assachusettc Depanmeni of Industrial Accidents _ Ave*0110YES1i®adons 600 Washintdon Street Boston,Mass. 02111 Workers' Com epation Insurance Affidavit yry. Kr44�.e,syr a» �•r,(k^rirsrv�.v� . name: lemon: have d t am a hamcowner performing all work myself, [am a sole .etor and have no one workin in any im •city MWIZIM , t am an tunployrr providing workers'compensation for my employees/working on this job. COM*hv Dime., a pheing.kt -72 : i o. L GZ nlicv N "Y�d ' ❑ t ara a sofa proprietor, erAl contractor, or!►omeowner( ' de one)and have hired the contractors listed blow who hzvc the following workers°compensation polices: coliblyiy"AMC, :.::.. tlhr "e14PillF'k:.�.�.� .....:.: . . ... . ....: : ranee ... :.. ::.. .. ... .. .. :. .• . ••: . : 'crJ1 '` ' ... :=.t;x:::�u,.:::::: .� enttinanv naree;• . . . . ... . . . address iohcff cv it FeQtre to eeeveo tv+seate as.egdtsd ettuiei Section 7CA afMtiL f52«nsJrsd t0 flu JtaposJtlas Wf cttNtlftal}sa.ltlss ot•are up to S1300 40 ottdlor ass years'JDlptyrogtaa�e a,well=a"p-mlpoe in she fora of s STOP WORK ORDER end a dtre of St"oo s day against Mc 1 unlesatand tlyat a copy orate■taee*Acri taay be fotwraNd to dw OlEm of Imest$ptaam ur the DIA for coverage vermmtJon. do hemby 17do,the Ptlly ,an� enallimf of perjwry that the infornsaion prmidedabove it tru dnd correct:SiswWre / late Punt aa:nc G a �', �ti _ Phone it �l)� Fmat only de Dot wrier k this arm.w M completed b7 city or trnm ofpcial peredtiuceaee a -MrkMa I]Baild;e[Dcparttacad 05d"Uin=BoarA �Sv]rt�snons Oise : (]other 40WW M FJAJ FRAM I NG SECTION ALL DIMENSION LUMBER SHALL i BE Kb SPF NO.2 OR BETTE-R. z6 COLLAR-TIE @ M" O.G. 2 x RAFTER i SHINGLE 2 x CEILING JOIST @ '" O.C. W/IS LB. FELT 1 i i 1 � I Ix PINE FACIA R-30 KRAFT FACED G BATS — R- UNFACED FG BATTS —! SOFFIT VENT W/6•MIL POLY VAPOR BARRIER PINE SOFFIT (1 s1 2No FLOOR) I I 1 1 I +I I � 2x.. FLOOR TO►ST @ O.C./b'" i 4 2Nu FLOOR) i 1 SILL I I n > I' SILL SEAL 0 ANCHOR BOLT - @ 6'-0' O.G. o. ~CONCRETE ° o FOUNDATION WALL �i t Via rNAIL A /I A fifM AP/M fl 11 -nd 10 , I rC � sue' �LbQ,Z �t•�t�rxlG s— 7 a I . U Aib A-1 . Al wi4L� frZk r Dpff �Laa� Su4f3 ?�tcl� •tom � . . t � - . ► •• � � , .« 'the own ®f Barnstable- � r 1 r a Q r f � s ;IETED FROM 1989 AERIALOVERFLIGHTS, PHOTOGRAPHY AT 100'. ENGINEERI.N&AS MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 4-22-1998 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 71 Your Home = 67 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 225 30.0 0.0 8 WALLS: Wood Frame, 16" O.C. 384 15.0 3.0 26 GLAZING: Windows or Doors 60 0.400 24 FLOpRS: Over Unconditioned Space 192 19.0 9 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. (� Builder/Designer Date o d - 1/ 1 I v Z ✓�� �AfPIK .. a vP v y let) b s ; " DEPARTMENT OF PUBLIC SAFETY CONS TRUC�IIOH SUPERVISOR LICENSE Mue�er = 4pires: BirtAdite: CS� _� 09/05/1999 09/05/I950 L T , NO[ Pig PO Bol ll A` rt; $ HYANNIS, HA/02601 Apr_22-98 02 : 27P P.01 9 t . ; The Town of Barnstable Department of Health Safety and Environmental Services Building Division NAM 367 Main Street,Hyannis MA 02601 Office: 508-790-6217 Ralph Cmssen Fox: 508-790-MO Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME MOROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion, improvement, removal, demofitlon, or construction of an addition to any pre-existing owner occupied building containing at least one but not More than four dwelling units or to struetures which are adjacent to Such residence or building be done by registered contractors. with certain exceptions,along with other requirements. `l Type of Work: ��, ����Lt�/I �4���► I f a ,t Est.Cost 3-C7i ^�O Q,O tl _ Address of Work: /C4 wl(L(Al7(/t! 1;'CVL 4ohridA, 14A o2.cq -7 Owner's Name ko 0,1�(A . Date of Permit Application: I hereby certify that: i Registrntion is not required for the following re2son(s): J Work excluded by law Job under S1,000. _Building not owner-occupied —Owner puiliall own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE KONE IMPROVEMENT WORK DO HOT HAVE ACCESS TO THE ARBITRATION PROG;ZAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Con clot Y a Reginmtion No. OR Date Owner's Name ilia erUlnlnulvWEALTH UP' hIA,_hAUIlJbin-JS Board of Building Regulations and Standards Transaction No. One Ashburton Place-Room 1301 Boston,Massachusetts 02108 ► Registration No. AppIIcation for Registration as a Effectilie Home Improvement Contractor or Subcontractor Dam MGL Chapter 142A, CMR 780-6 Expiration Dace FOR OFFICE t1SB ONLY Date 1. Name IAJA //12 e (7' Print the naitudof the individual or business applying for the registration(not both) / 2. Mailing Addters Area Code n Number �P 3 City &za�'I�'I 1. C -State M11" ?Jp 1 4. Street Address Cif ditfactit) A .- 4 to j&a X7" p i�A n !S mil. pllu�,uiividuai street and Number(P.O.Box:not ack�e table) City State zip S. Applicant type: ❑ DBA ❑ Partnership ❑Trust ❑ Private Corporation ❑ Public Corporation (See instructions on back regarding enclosing a city or town ^^registration under the DBA or"fictitious name"law-MGL c 110,as S A 6) & sex instructions) 7. Number of Employees 9. Title of individual responsible for Home Improvement Contracts _ 10. Does the applicant or responsible individual hold any other construction related state,city,town licenses or registration? Cl ❑ If yes,complete the table below. Use additional paper if necessary. Yes No Type license or registration Issaed By Lioease or Fiq*ation Name of Larne Holder registration number Date 11. List all partners,trustees,officers,directors and major owners(10%or greater of owaetship)of an applicant partnership or corporation below. Use additional additional paper if necessary.(See instructions on back) Check here U you wish to recaive an application for M cards for ILy persons-0 Last Frrst, Middle initial Title in Applicant Basins: %Owner Address 12 Is the applicant claiming e:oemption from the registration fee? (See the instructions on the-bads) ❑ If yes,include a Dopy of a atnsnt Construction Supervisor lIcease or motor vehicle repair shop Hasse or registration. Yes No 0. Registration fee eadosW S Guataaty Fund fee enrloeed:S Include two separate certified checks or money orders-came markW"Registration Fes',am marI"Guaranty Fusel'. ALL APPLICANTS MUST INCLUDE A GUARANTY FUND FEE EVEN IF EXEMPT FROM THE REGISTRATION FEE See imsunafom on becit for amount of fees. Make all certified checks or money orders payable to"Commonwealth of Ma acbuscW Pmamnt to Massachusetts Geaaal Linn Chapter 62C section 49A,I cmr tfy under the penalties of pommy that 1, to ray but!knowledge and bare Med all state tax returns and paw all state taxes required under low. Signature o plicant or plicant's representative Title held with applicant A faLu answer to any question in this application Constitutes grounds for suspension or revocation of the appilcant's registratba CmI 4c • I c .._... . .. _ 8.;92. 12 20F'M��JHITTIEF,' PARTNERS ---------------- =-------_------------------- Survey. v v r��r�••• on;y ono it not to or cons Rwc asP:2i2 r,3tr 0( ell 83•on 1, a \ N N \. N\ \ - �3-ez \ 'i - - i �`; iiUSIELL tiG �z LEONARJ. �^ ;S , PCTERSON.. p iVJ 25G01 i ,Fc��Sla J4 �n thereby: Certdy:that:ahe bWl. 'n on th1s. pP 4 °nd lot, lines shown pbore a rox►nrgtetylped cn the ground °s shown hs�rton and`that-they hove eanformed to the Zon1Aq tawl of thtTow.v o,�:B.t�evy�.�s MORTGAGE PLOT PLAN I on this, d � �, OF PROPERTY IN Of to ���: � 'c�l ;wcflty.:rnot� to the best y kn ��k b4ti�t-the `pvraet o: shown /-/Y.9%vt��so�a ►y dots; � � 1 :,�[ttfl►n lA� Fiaod:_-Pfotn as shorn on MASS. the F J:A C FtOZCtd BoOda y Map: doted f 14 7V Al, G p� SCALE:I = DATE:Z/%'; SEPTIC SYSTEM MUST BE Assessor's office(1st Floor); _�IIVS fALLE®IN COMPLIANCEof TMc To Assessor's map and,lot number ° O X3 _ eWQ` `•w Board of Health(3rd floor): - ' WITH TITLE 5 Sewage;'Permit number ENVIRONMENTAL CODE AND i DABl97SDLt Engineering Department(3rd floor): TOWN E GULAM�"NS � WAS& House number tl� f 1639.6\�$' Definitive Plan'Approved by Planning Board -I 19 °MAI APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only .. Eit�1� TOWN - OF BARNS BUILDING INSPECTOR APPLICATION FOR PERMIT TO Build two additions on house TYPE OF CONSTRUCTION Wood residential April 7 1992 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 39 Wachusett Avenue , Hyannis Port , MA Proposed Use residential Zoning District RF1 Fire District Hyannis Name of Owner Eric Bacon Address 39 Wachusett Avenue, Hyannis Port Name of Builder E.J . Jaxt imer Address 48 Rosary Lane , Hyannis , MA Name of Architect Eric Bacon Address Hyannis Port Number of Rooms 2 Foundation Block Exterior Wood Roofing Asphalt Floors Wood Interior Wood Heating None Plumbing None Fireplace None Approximate Cost $15 ,000.00 Area _33{o 0 -� �a Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the.Town of Barnstable regardi oconstruction. Name Construction Supervisor's License n n-4 2 51 BACON, ERIC '- ► No 34950 Permit For BUILD ADDITION Single Family Dwelling Location 39 Wachusetts Avenue ° Hyannisport ` Owner Eric Bacon Type of Construction Frame Plot ' Lot F' ^Permit Granted April 7 , 19 92 Date of Inspection 19 Dite Completed 19 is , t- -, d /(tSrAssAsor's office (1st fl'oor): - : E n I p6lHeto Afsessor s map.and lot number ... .:...,. .... ....... •. �_ ��c u� :�°d.�9'��� MIL �oard :of Health (3rd floor): 10 � � ����' � E ����3�L1.4 '. Sewage .Permit number ..........:.... .........,.......... ....... .. ��f��i H T1TLE 8 Baaa9Tf►DLE, AXIL u2Engineering Department' (3rd floor): p �#/S r �r b ����"����ti��T��-�ODE °o' pb 9• 0� ! ts��3�/d House number 3 .:. ;y 1 I �'E +B'3� �Fo tj ale APPLICATIONS PROCESSED 8:30'9:30 A.M. and 1:00-2:00 P.M. only,' BUMMIRN' an MONTH' APPLICATION FOR PERMIT TO .....CoveS�.....rC.x.! s -s...-.(;r.....C4n•c.�.�Y�...S' .T..l��............................. Ut TN: E cI< 7—o Noce S �' �.Et✓ S��Ck -DSZ. TYPEOF CONSTRUCTION :.............................. . . .. .............. .. . . ................................... ................/.G.:.. ,.r. r ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Co,rcn.. .3z,,........ ...... !:.... .^c. - ......... 1`.�.N...S• .?..... ...............J........ ProposedUse. ....... ....... /.......................�............................. ZoningDistrict ....:.....r ......1......................'.......................Fire District ................:............................................................. Name'of Owner ........�. .l..C........ ..c..�.(`�...................Address .''e;S.... 6:??. ? r..G....ry �o S..'?-�.1�?.......... Name of Builder .... ..... l --•9' T.........C'a:r..f.. ................... �/ S y.j .. . �. 5..... • .Address /��.....�''f./...........�-a..C....�.�?.. .�'1�........... Nameof Architect .........^/.,/..................................................Address .................................................................................... Number of Rooms ^�i9................................ ...Foundation ................. Exterior �................................... ..............Roofing ..........:.....................:................................. .............. .........................N...A .... Floors .?..............................:...................Inferior ............................................:................:...................... :...:................................Plumbing — — — --- Heating �?°� �......... :.`.:..........:::-.-..-.:. ... !� ......................... 'A roximate Cost ....� . ..A..a.r?...... ....... .. Fireplace .................... . . ....... pp Definitive Plan Approved by Planning Board ________________________________19________ . Area . . .D.. .. .......... .... . Diagram of Lot and Building with Dimensions cN e Fee ..... D�.�..`�......:................ C SUBJECT TO_APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS F hereby agree. to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. • Name ..............ZZ"'..!..f........................... ....... ... .............. Construction Supervisor's License ....�. .� ....... BACON .,ERIC ti 29 Permit for°..Cover Exist-nk,.•Deck Single FamilY...Dweling...................... : •r Location ......:39 Wachusett &,•Lod w g..Q4 ........ - 1 r . Hy Alva i'5go.vL................................. 1 Owner .. .`..Er.ic• Bacon • -ff �,. YP ` Fxame. T e.of,Consfructlonl .. _ -Plot ' ..: Lot : o ,. . Ma 1,4" Permit Granted May— .: 19 86 Date of;Inspection 19 Date Completed ..... .:19 1 r (LSrAssessor's office (1st floor): - �^� ` OFTHE>o Assessor's map and lot number ...o .�.�......./".....��. ..... d�Py �o Board of Health (3rd floor): 3"i Sewage Permit number i BiBBSTAMLE, S................ ...•................................:. IL Engineering Department (3rd floor): F�f S. 9�v r639• \0�� d' House number A '• ,sue 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 .......ov....................... T..:. :.....Co.ti z....................:..: '....................... TYPEOF CONSTRUCTION ..................................................................................................................................... ............. ...........19.,`- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �' T;� E .'� 4.�( �i .5.E. ...... .....f.� n. r.`.- . �. .........H................................................... ....... .... ProposedUse .......Zes , a•�:J t ? c r- n•n ,.4............................................................................ ZoningDistrict ............� ....... .............................................Fire District .............................................................................. Name of Owner .:.... '. .(..�........ ...................Address ..... T..r....! �•S• r'�.1`............ Name of Builder .... ......0 P.r.t:. ..y ...........Address L �.....�✓� 7h!..�cy �.�...�??.. .. !'h." ;... •'>•.... Nameof Architect a...........:....�................................................Address .................................................................................,.. Numberof Rooms ........:: �ip................................................Foundation .............................................................................. Exterior �' Roofing ......... Floors ..�:f..................................................Interior .................................................................................... Heating .................................Plumbing ....................................... Fireplace .....................'•."../ ...................................................,Approximate Cost A.,..9•0- ........... .... ......�` CC.�'�G i �- Definitive Plan Approved by Planning Board ________________________________19________ . Area .D...`Diagram of Lot and Building with Dimensions ( �+� c'i� , Fee .....` �r .../)...........'........... ... ............ 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. Name .................:::.... ...... ....�? . ..... Construction Supervisor's License ....�J%"�...7: ...... BACON, ERIC A=287-137 No ....2933L Permit for .,foyer Exist.ind. Deck ............ Dwelling.................. Location ....3.9...Wa�k�uset,>r�.&,.Longwood:.... .....................jiyanA.:,SAQ=................................. t Owner Eri.g..Bacon , Type of Construction .........Frame...................... Plot Lot Permit Granted Ma.y..14.,...............19 86 Date of Inspection ....................................19 t Date Completed ................19 i 7 • ------------------------ ____________ 1:1AR. 18 '92 12:20PN WHITTIEF, PARTNERS ------ wrvey.v. vivw;l owl vyuya yu�rv��r My Ono Is not t0 reCorOw tx consRyW OylP-J21? �7tr r cs3•on . 0 N ♦ n\ 73az r• ..rrJJ <USSELL y✓ LEUNARJ. 1� PLTERSON;. H Iheceby=ceettfy that: the bculdin� .gnd bt lines ohm,oath(s:p{acoreappiax►jrwtiySlocarted:on the ground os shown:~h rioti;and'that-4he :41fe tgnform�d to the Zo*-V:`� OVM of`t1�iTw.c. o,�'B. vs7.a6 MORTGAGE PLOT PLAN OF PROPERTY° iN on this d � /v'6,..(�ucflt to the best d9 d bi(af°th `pQtcel os shown o� MASS. dots. � '�`°�-"�'=`;�� "r t . . ,R1t �nth :food':plolh oe sham on j =.FiozoN Bur. B iy'BS. y !Naps dated $CA �` o o/ L E: ' DATE.Z//%gG t c ' &09 g 7eenng ) Map v�.$ Parcel �3� Perinit# House#( 3`� - Date Board of Health(3rd floor)(8:15 -9:30/1:00-�4.4G) Fee 44[& d,,,�� Conservation Office(4th floor)(8:30-9:30/1:00=2:00) ;� �' eNViRd, /Ty PI s oo - 19 ,4Iv® BARN �p �ED MA'S a` tJ TOWN OF BARNSTABLE Building Permit Application Project Street Address Village Owner � W,-L Address Telephone S4U — 77 06 7/ -Permit Request -First Floor 1!500 square feet Second Floor `-- square feet Construction Type �)C o2 Estimated Project Cost $ Zoning District Flood Plain Water Protection ' Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes >kKo 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 No. of Bedrooms: Existing New d Total Room Count(not including baths): Existing_ New / First Floor Room Count Heat Type and Fuel-,,VG as ❑Oil ❑Electric ❑Other Central Air kYes ❑No Fireplaces: Existing © New Existing wood/coal stove ❑Yes 1)2,_�o Garage: ❑Detached(size) A10 Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ( �one d(s1 ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes )O N0 If yes, site plan review# Current Use Proposed Use Builder Information / p� Name Telephone Number Address 2 lelo d a License# ®,Z qq 09 1 56/� fy /S d a,2 Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BU L ING PERMIT DENIE FTHE F WI G REASON(S) s FOR OFFICIAL USE ONLY _ X. PERMIT NO. - _ - - DATE ISSUED rr MAP/PARCEL NO. ADDRESS ` t ! VILLAGE.. OWNER ' c. DATE OF INSPECTION:. FOUNDATION ' R FRAME INSULATION FIREPLACE a r r ELECTRICAL: ROUGH t FINAL , PLUMBIN&� ROUGH FINAL GAS: _ROUGH FINAL' w f FINAL B _LTG. ' DATE CLOSED;AUTl. '4� ASSOCIATION'PLAN-NO.