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0184 WHITEHALL WAY
/P�/ �vh iltikrl/ �,� Town of Barnstable Building 3 Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MRNnA Posted Until Final Inspection Has Been Made. ib3a�, Permit Wherera Certificate of Occupancy is Required,such Building shall Not be Occupied until.a.Final Inspection has been made. Permit No. B-19-2879 Applicant Name: Michael McMahon Approvals Date Issued: 10/08/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 04/08/2020 Foundation: Location: 184 WHITEHALL WAY, HYANNIS Map/Lot:. 272-005-020 Zoning District: RC-1 Sheathing: Owner on Record: ROSA, ILDEU G &OSMIRA D Contractor Name: MICHAEL T MCMAHON Framing: . 1 Address: 184 WHITEHALL WAY Contractor License: CS=068111 2 HYANNIS, MA 02601 $ Est. Project Cost: $3,717.00 Chimney: Description: Weatherization,air sealing,weather stripping,and insulation Permit Fee: $85.00 Insulation: Project Review Req: Fee Paid:;° $85.00 Date: „" 10/8/2019 Final: �° — Plumbing/Gas Rough Plumbing: _.. :Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work a6ftrized.by this permit is commenced within six months after'issuance. All work authorized by this permit shall conform to the approved application and the.approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and"Fire Off icialsare provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection ^ m 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: "Persons contracting 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 Town of Barnstable Building a Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be sraea Kept ra E MARK Posted Until Final Inspection Has Been Made. c^rtnit •bsa �� Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-2906 Applicant Name: Michael McMahon Approvals Date Issued: 09/12/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: - 03/12/2020 Foundation: Location: 184 WHITEHALL WAY, HYANNIS Map/Lot: 272-005-020 Zoning District: RC-1 Sheathing: Contractor"Name: MICHAEL T MCMAHON Framing: 1 Owner on Record: ROSA,ILDEU G &OSMIRA D � M' " �, = g� Address: 184 WHITEHALL WAY Contractor'License CS=068111 2 HYANNIS, MA 02601 'x ' Est-Project Cost: $3,717.00 Chimney: Description: Weatherization,air sealing,weather stripping,and insulation s Permit Fee: $85.00 . Insulation: Project Review Req: Fee Paid: $85.00 Date: 9/12/2019 Final: Plumbing/Gas Rough Plumbing: Building Official F . ; final Plumbing: This permit shall be.deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterissuance. All work authorized by this permit shall conform to the approved application and the�approved construction documents forkwhich this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning 6y-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signtures by the Building and Fire Officials are provided on this:ermit. Minimum of five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection , 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: 15 13i► �IKE Town of Barnstable' Permit# 09 F�ires 6 monthsJrom issue date �.� Regulatory. ices Fee MUMSTABI • 'We,►� �r MASS. Richard V.Scali,Direct& 51 _ Building DivisioPR Paul Roma,Buildi7w"MASSIPY one�6200 Main Street,www.town.barnstable.mausA Office: 508-862-4038 ABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION ' - RESIDENTIAL ONLY of Valid without Red X-Press Imprint ; Map/parcel Number Property Address Residential Value of Work$ 5-5 o O'. Minimum fee of$35.00 for work under$6000.06.TOwner's Name&Address ti k . Contractor's Name C-Xz,4 L C C Telephone Number Home Improvement Contractor License#(if applicable) , -/ :, Email: Ita4/�R71� LL e•�FJ Construction Supervisor's License#(if applicable) y(7 "Woran's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I the Homeowner DI have Worker's Compensation Insurance Insurance Company Name i9'7/ � C'4nUK— Workman's Comp.Policy# W�� �5 00 Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to_ DvmA6. Ie4 ❑Re-roof(Hurricane nailed)(not stripping. Going over` - 'existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders;U;Value _(maximum'.32)#.of windows x #of doors: . *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 - t equired: SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 01/25/17 The CovimompeaM ofAfamadhiwft . Dqwtweat c frudas ria!'Acdderdr Office Ofhn-wagtu. 600 washfisgtM meet _ Bast on,MA D2111 -top m- m=Ljw1dza wcwkers' nizatian In.mmceAffidavit�S•mldeisJCbnirxctorsJE ectri*-a c!Phunhers AppliCam#lufkmnfian Please Prhd Addre= 4 6 13a6r--I, w6 7 ' Cog/S � pfwe s M14, D�6v� ph i . _ �-,7.>�=I q6/ Are you an employer?.Ch"the appragriate bare Type of project(required)_ I.❑.I am a employes uitfr_ ?) _ 4'❑I am a general coubmcta and I 6- ❑New employees(fallarilforpart-fiime).* bavel=edifie sub•coahadm 2.❑ I am a sole propiietas arpartuer- listed era the attached sheet_ 7. ❑Rernodeliug ship and have as These sob-c=ftactors have employees. a;*e sga�' 9' ❑IJemolition wod.-iug is nay capaci4y Ia aadh. 2 - 9..❑BnAcHrg addition IN¢wudoBW oouip_since comp.MSMM=e req�u d] 5-,❑ W-e are a tozpor2e=znd ifs 10.❑Elechical repairs or ad&hms 3-❑ F am,a homeowner dohgg all work Office=have cxBrcilsed their ' IL❑Fh=bmgrepasm or aMhoms ' Mysem o wos5 of em=pfioa per MGL � s'°°@p- 1—Y flcsfrepaiLs iasumm regui md-j T c.M 11(4)6 andwe have no employees-ENOems' i3-0 offim corm. j '$iLpapgffcmkfimtchecUbaaitmastn1afMcmIthesectioab9owsIw �&e¢wed'cmeamTa fimponcyin5ms am # w•ho submit dos�dseiE ig they sse damg slf wader�d�ea.haE amsidecsm�submit a Hem affidseic mina sack. FCaaascros�stchec7ciidsbmc shed dwzfag&eeafineofthesoh-ca sodsuftwhegmarnotthaseeafiksbne employees.if t&T—stpme�dethek a dma wmp afic�nam}sez -Taman eaipl(sr ffia•is prM*Ihrg'Wrkers'Cottgrertsrdiaw i =rarras fnr xtg emp&w".Brioly is the PaS4F and jeb she Inuraace ccmpanymme: I ► ' ' �G C Hl�}2, - PCr=y Cr Self-ins.Iic. ` W O 1 � oy 61 a c g JobSif�Addre=_ / N U,#*A'/I � �n%i�� rrA. ���ol cars :Trv�rrn�: odboj Attach azopf of the wer1wre caMMpeasA&R decTarat um page(AmwiQg the pow number sad C�on date. Faiinm fza secure caeerage as requited Hader Sectsoa 25A o€1�{R.c.1�can lid to 8ie imfparsYlioa Qf c�imiaal penalties of a " . fuse up to$1.54b OU aadfar omi yearimpnsmnent:as well as zivsl penalties n the fa=of a STOP WORK DRDERand a HnLL of up-to$MM a day aainst the viohdor. Be zdrised resat a copy of this statement may be forwarded fn the Orwe of Isvw*atians of the DIA€or iasma e-cavef-ap venom.. ' I do Ewraby err* 66 andperfahTrs qfF Y fkatthe irnfonvAgvuprovi&dabmv i€trug and=red - Phnne ��� tE-- OjEcid am anal; Do not mite in rfib area to be txrr q feted by carp artown an al: My or Tenn: FermitUcense 9 L=Ming Axffierfty(cadeone): L hoard of EeaI. i 12 g Department 3.Chyfrovm C,Irrk 4.Electrical Fmpeetor 5-Plumbing Enspectur CL CNhrr Cata3act-Person: Pleane�: 1 luformation and la.structions Macj-meft Geb=9Laws ffiag=M regaffes an empIoyers'to Xuvldeworb0e&compeasatianfortheiF employees- p ffiis;s6enft,as erq7Ivym is defined as=cvmyp=sonin tiie service of Mwffi=Under any court ofbae, express or implied,oral or wriff=." Azl.�&YEr is domed as aan hid vide p�sba,assodsfron;coiporafiaa or other legal eotify,or any two or mare of the:faregoi og in a Joint c tmpdse,amdincTn dmg tb. legal of a deceased employed,or$ie receiver or trasEee of an indrvidaal,p iP,aWociaiian or ofher legal WAtY,employes eMPIoyees. However fm owner of a.dweIIivg l]=D hmvingnot mare fbau fD= endvvho resides Exxcay or the occmpant ofthe- dwrIImg house of anofaerr who splays pess®s t3 do mafi±mance,camshuct on or repair work.am such dweIIing bomm or onfle gmmsds.orbm7dmgappurh=R tIhCZr- o shZnotbeca*+sc ofsach employmeatbe deemedto be an employs" MGL chaps 152,§25C(6)also sirs fl3st"every state or local licensing agency shall wiffihold ffie f!;=—ca ar renewal of a&cease or permit to operate a:business or to coustract butidiags in the comuaonwealih for any applic=twho has notproduced acceptable evidence of cnmpfian.ce whiz ffm insurance.cove Age requil ed." Addhionalty,MCHJ chapter I52,§25CM sbdes 7Tefther the commamweaIih nor gay ofits porltical sobEvisions shall e min any con:ft ctfrstheperfi=M=ofpnblicwontunffacceptableevidenceofcompliancewiththemsmsnce.. req==mts ofi is a=terbave been prese ftcdto ffie,caCft Mffi ZEty." . AppIicaafs .. Please fOl obt the wor3='compensation affidavit camplefrly,by g the bones that apply to yomr sitaBtic '.anc1 if rLmessUY, Ply s)nmn*), d es)end ph===ber(s) along wiihtheir=t ficafn(s) of m==ce. Limited Liability Companies(LT )or I,�ited Liab7$Y PeitnemhiPs(LIB)wig no employers o$ier than fig e m==bers or pis,are not regtmrd in C2=y worlce&comps msmance If sn LLC or LLY does have employees,a.policy is re;qairc& Be advisedtf Atbis affxdaVkmaybe sobbmit$dtotf aDepadnent of Industrial Accidents for confmmafinn of b ten=coverage: Also be sure to sign and dafe the affida The affidavit should be ref-nmed to the cify or fawn that fhe appHcabb on for the.permit or license is being requested,not the D epm tin ent of Fn�Tnstd9 zc-id=:tL ShOddyonhave my gnzsdans regarding tiie Iaw orifyon=' regaiedtn obte.a wotlans' compensation policy,please call fm Department at the number listed below. Self-insured companies should enter their s ;t,rnran ce Iic=se amber on fire appropn Ime. City or Town.Offl aT Please be sore flat the affidavit is complete and primedlegibly. The Departmenahas provided a space at the bott= of tine affidavit for you to f Ol out in the eves the Office offnyesti g�Uns has to 8M*ur-t ycrmregzrcTmg the applicant_ Please be sin e�f 71 in the peonitllicease member which w�7I be used as a refez�acc nma�ber. Inaddition,an applicant fst must sabmit multiple peuntlu==applii atms in any gm m yew need-only sabmrt one affidavit mduzfmg cmot policy inf=atiom(ifnecessary)and vndea`mob Ad�3ress"the applicant Mould w aaII locaf�ns in (may or town)-"A copy of fheaffidavit that has beea officially stamped or mm3eed by tine city or town may be provided to fine applicant as#oo-ftbat a valid affidavit is on file for f:ifm pe®its.or licemm A jdry affida*k must be f Cd Di t Cb rh year.Whe:rre a hDme owned or cifi�is obfaiamg a license or puttnot i@ztcd in any business orconnnercialvm3tarc, (ie.a dog license orpennht6 bt�.I==etc.)saidpersan is I�IOTrequired to completer$is affidavit The Office oflnvesligafi=would like.ta tbankyonmadeanca foryonr coape zd=mod shoaldyaahave anyclaesfions, please do not hesitate to give us a call The Deperfinenfs a ddrtw t4cphone and faz rmmbea= Tha COMM=Weda Of Mamach- Dq=tc�Ltd r}f Acc d nts • ':�, � Rostw,MA Oil II Ta.4 61 T- -49 W=t 4€6 or,I-&77-MAMAJE Fax9 617-'27 7M xevised4-24-07 ' ?,011OFM �"E ToWn of Barnstable Regulatory Services ` Richard V.Scab,Director - '� ' Building Division.' Paul Roma,Building Commissioner 200 Main Street,,Hyannis,MA 02601 wwwA wn.barnstable.ma.us Office: 509-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject,property- hereby authorize � f C 2/4/m``-- to act on my behalf- in all matters relative to work authorized by this building permit application for: , (Address of job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are:perfonned and accepted. Signatureof Owner Signature of Applicant Print Name Print NaIne Date Q:FORMS:OWN MPERMISSIONPOOLS Town of Barnstable Regulatory Services Richard V.Scab,Director Building Division PNAM Paul Roma,Building Commissioner .19. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEWnON 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- f tinily 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 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\1330?RESS.doc 06,20116 I Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space_ Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit:WWW.MASS.GOV/DPS \ _—Massachusetts Department of Public Safety Board of Building Regulations and Standards 'License: CS-042246 _ - Construction Supervisor .GARY C GRAHAM 6 13FMT WAY a NYANNIS MA 02601 jz ;expiration: Commissioner 03/20/2018 License or registration valit`for�ndivtdul nse only bef6re the expiration date: If found"return-to t) ce of Gonsumet A$ais and�asiam j.--.. IO Park Plaza suite 517o- Boston,iVIA 0�116 , z- of validwrthout signature r Vfie�omvrrwezcaea��a�C%/iGaa�uc�cutetl� �+ OfSce of Consa�er Affaus&Ba�nessIegnlafign Nf€BYfRROV€MEttikT COMT2AC�OEt °ypea irabon LLG 4 r = 6 = GAt2Y GRAPKK4 66 BRANf WAY 4 HYANNIS,MA 0260i LTodersec etary 1 f 1/19/2017 09:51 PST TO: 15087756688 FROM:6174886501 Page: 4 MDN Aco 0 01/19l201 CERTIFICATE OF LIABILITY INSURANCE °A'�191201Y"' 7 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:8 the ate holder is an ADDITIONAL INSURED,the policy(fes)must be endorsed. H 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 00391-001 - MACT —.---.. _.__.------------- --------------- Horgan Insurance Agency,Inc. .tea_(508)775-5830 -- - -----------_ Na_.------------...__...-.------.---.._-._. PO Box 250 :0S1ss:-....-- ... ..._......_ Hyannis,MA 02601 _..._._._-...__...._..--.-_---------....._..._----.__........_._ _._. . --------- �tSURER(S),AFFORDING COYEgAG� N4UC�.__.__. =.INSURER A:_.Atlantic Charter Insurance Company VDAC------_------44326 _.....__..... - ------------------- .......--------....------.--------------.---------------- - - ------------------...........-- INSURED __._.._._..__.._ Graham,LLC .t►±suRERe .-.._..-----..........----.._.__....__....-_..._....__...-----------.___............. INSURERC _.-. ._........ .:........_........_- _ .....__ _ ....... 66 Brant Way MSURER_D; .----------------------- -- .... - -- - -... Hyannis,MA 02601 -- ... - _WSURER.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. NO1WITHSTANDING 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. _............. .......... _........................ ------ TYPE OFWRA SUNCE =iNSR_-WVD^---POLICYNUNBER---------=("_-D/YYYY)=(IAEEt -- ----------_...__.. LOWS GENERALLUIBRnY i• EACH OCCURRENCE ;$ _....._...___._..__.....DAMAX TO RENTED I COMMERCIAL GENERAL LIABILITY P-REMISES:Ea. xurrsnce).. S..$.....-----_.........._...... ._. CLAIMS_MADE = OCCUR _ MED EXP(Any one person) = = PERSONAL&ADY INJURY s$ _ GENERAL AGGREGATE $ ...................... _ - UEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ -- -- -- - e _ ....... .... _. .. _ . . ...._- .. - POLICY T - — -—� AUTOMOBILEuatlnm $ _ ANY auro - ......-- ......-...._.. BODILY INJURY(Per person) `$ ALL OWNED SCHEDULED BODILY INJURY(Per acadent) _.._AUTOS _ �� -------- — - - NON-OVYAlED DAMAGE $ HIRED AUTOS ...:AUTOS s (Per tt)------------------------- ------------- -- _i.... ._........... -` -. _.._. - - --...__............._._............_.--...---- _ - -----......._._......_........_.. - __..... - _......__... _..................__. . .. _.<. UMBRELLA LIAB OCCUR :EACH OCCURRENCE ....._._....... __..__._._................................ EXCESS tlAB t W AGGREGATE s MADE_ _. ------------------------ ----------------- .......... SS- -------- - -` -----------------: DED RETENTIONS € $ .--.... . .... .- - .........._: ._-..........: .. _.. ........ yypRK�pg�pp�pEN�pnpN y_�g p� _ � .._ ANDEA4PLOYERS 11ABILITY X TORYLIMITS_. �C^ -- YIN- WCV01059004 1/�/2017 1M12018 -EL 500,000 a - _------.EACH ACCIDENT .. .... ...ppNNyy EATS $ A •OFFIC Y N/A; (Mandatory in N}t) = € t = 500,000_ Policy Coverage State:MA DESCRIPTINOFOPERATfONSbelow ' I ...__._...—°--_-------_...---- -._ EA EMPLOYEE $ 00 DISEASE POLICY LIMIT $ 500,000.00 -._..._.._._-.... _- -_— ........ —=- .._.__.._.:..._..._.._._.... -- ...._....._...._..-- ......_._.. -.:_...... — Gary C Graham is covered by the Workers Compensation policy AND Laura A Graham is notcovered by the workers compensation policy. _............._......................- - .........__.-....... ........- ._..-............_.-.._..-.......-..--.._._.-_.:.-....- ....-:........._._.-.__._:...._._..... ................................................................ , ._.-..._...._. DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 200 Main Street BEFORE THE EXPIRATION DATE THEREOF, THE iMING COMPANY Hyannis,MA 02601 WILL ENDEAVOR TO MAIL NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ` - AUTHORIZED REPRESENTATIVE •L i(j��/��"r ®1988=4 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER COPY r. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map P reel l7�Health Division �' OW►V v � , Q, 1?;r Conservation Division Permit# Tax Collector _./ `� Date Issued ("A Treasurer Application Fee P - c) Z� Planning Dept. Permit Fee 0 Date Definitive Plan Approved by Planning Board Of_ Historic-OKH Preservation/Hyannis Project Street Address J �2 LI w h1 ATE 1� A� Village Vyy�,r Owner 13 Ti-S IE Address �l� t4 1'YLfU1J (, AI Telephone !�-o - 7:] 51 16 b 1 Permit Request F X;S71)V6 biL C ll� t I Vf_ 54z- L. kk-, Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new q 9 prop 9 Zoning District Flood Plain Groundwater Overlay Project Valuation'�-3 0 • Construction Type C-ro0 P 1 � Yp Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 9- Two Family ❑ Multi-Family(#units) Age of Existing Structure Ypu Historic House: ❑Yes On Old King's Highway: ❑Yes b- I9 Basement Type: 6full ❑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: J 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 t No If yes;site-plan review# Current Use Proposed Use BUILDER INFORMATION Name ft, C 6a A Telephone Number 77$-1y6� Address w6Ao—t-,,i License# �l�d✓n��S Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 ulv\o S � SIGNATURE DATE S b� FOR OFFICIAL USE ONLY t PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ` ASSOCIATION PLAN NO. t, �` l/�G VVI/sII�Vn�roNi�i• vJ .a.a wuuw...�......--.. . \ Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation•Insurance Affidavit: Builders/Contractors/Electrician/Plumbers Applicant Information Please Print g_rint Leibly Name (Business/organization/Individual): a la M C2r41 -,_— Address: City/State/Zip: Phone#: Are you an employer? Check the,appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction loyees(full and/or part-time).* have hired the sub-contractors �. 2. I am a sole proprietor or partner- listed on the attached sheet $ ❑ Remodeling ship and have no employees These sub-contractors have 8: ❑ Demolition working for me in any capacity. s workers' comp.insurance. 9. [} Building addition o workers' Gump.insurance 5. ❑ We are a corporation and its � 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs off•additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.[1 Roof repairs insurance required.] t . employees.[No workers' 13.0 Other . comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information:'. t Homeowners wbo submit this affidavit indicating they are doing all work aid then hire outside contractors must submit a new affidavit indicating such 1contractors that check this box must attached an additional sheet showing the name of the sub-cont abtors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for.my employees. Below is the policy andjob site information. 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 gfMGL c. 152 can Iead 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 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify inder the pains andpenalties ofperju y that the information provided above is true and corrma Si afore: Date: l�S Phone Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License#. Issuing Authority (drele one): 1.Boa-rd of Health 3.Building Department. 3.City/Town Clerk 4.Electrical inspect-or 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions r Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the . receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment-be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply td your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificates) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of industrial Accidents for confirmation of instirance coverage. .Also be sure to sign and date the affidavit. The-affidavit:should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies-should crater 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. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a valid affidavit is on file for future permits or licenses. Anew 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 aiddavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406•or 1-1077-MASSAFE Fax#617-727-7749 Revised 5-26-05 WWw.mass.gov/aia - . i OE rqt, Town of Barnstable do Regulatory Services 9&' MASS. E'g` Thomas F.Geiler,Director �'OTFDMA'�A,� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements.Type of Work: Q i P(A C(L,h&c,-It (f n FC l L Estimated Cost-3 G U y Address of Work: 1"Ni7t HAI I 4.� Owner's Name: putL0 1/ 'rj v L/w Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the age of the owner. b b /.),3 t S—q Date Contractor Signature Registration No. I OR Date Owner's Signature Q:wpfi les.forms:homeaffidav Rev: 060606 LA� 5oliS ' A FIT 97 jo (• s rl yxq jXra �T lot�i� T:r F r A' P7 ids E S Savo- iucC rti �n v5a) 1)�C lL 11 MSS Y %q W 41TF, #-4/1 w`}� loop, ��STS 5F-T N T H -�d i J Iqo,\,6 125 19 i1w o Gq a C A29- I,- ►\ BE (a) a <ia {?T Xr„o t C 4�b ►N 14 sx 6 •' p 05,T-S i r,400 ft-TTG.C.If'I<0 rooT IV" a 5 L+ T3 E I w G 2 0 o 5. 113- CON, 515T df p.T, f4/i�/Z(�I', ,,.aT Ej- 4�i57�2S f s.%fps ' ✓die -�omvmo�.uaeaCf! a�._/�aaeaelu�aeCla BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS O42246 Birthdate 08/20/1959 Expires: 03/20/2008 Tr. no: 15499 , Restneted 00 GARY C GRAHAM f,.., 66 BRANT WAY HYANNIS, MA 02601 ' Commissioner . �� G,T�ie .�j6mt/!)co�tui /sL /f'✓r,,.,,^^' �8T(t3 Booard 6t 13ifitditig'1€�g two"Vj atYd` HOME IMJ't(oVpMtNT CONTRACTOR `; IQegt�tr l�sr� M 19 , 26/2007 { {� u0i Gay C.Graham Gdty Graham ` r 66 Brant Way Hyannis,MA 02601 Adtr(ti►istrd2br s: °FISE !Y Town of Barnstable Regulatory Services WAS $ Thomas F.Geiler,Director k1039. m , Building]Division. Tom Perry, Biulding Commissioner 200 Main Street, Ijyannis,MA'02601 www.town.b arnstable.ma.us office: 508-862-4038 Fax 508-790-6230 Property Owner Must , Complete and Sign This Scction. If Using A Builder �� I, r7o 2a Tqy T^� �`J ,as Owner of the subject property hereby authorize C P, C- C 2.A oft to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) n::]: jnaSignatureoff Owne ate l r L Print Name Q:F0RMs:0WN TPERMISS10N �..,.�.,.,•,,..• ,,,w.,~., ,ter, E �e �a T ti P141 AALL W \� t Lo-1` o $r, cy 1,: 1 �1 L©-T . 2;' : a t Lo 2 �, I • 1.CERTIFY THAT THE SHOWN ON THIS PLAN Is Ie p����4t� Os �C�T��' C I 7I �ar� A INDICATE a 4 ei QA"� GiST R O LAW 4nq pg��r�y� ppo�� ��Rygt��p��n.y�e�,P,q�p�no. . lE `,hn,'i� D �'§Pwa7!F..G.E wl CI.Ia�T y FE D'S0RV: YOR MA CHO a �F THE,, TOWN OF BARNSTABLE 30368 Permit No. ................ � a BUILDING DEPARTMENT' '"SAS' 1 TOWN OFFICE BUILDING Cash HASH, (/ °�tauv� HYANNIS,MASS.02601 Bond .....x... .�t� . CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. Address Lot #38, 184 Whitehall Way. Hyannis, Massachusetts ' USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 87 June 18, 19 /lr! ' Building Inspector `�..��� '•.w TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING MAIL �g i.3v � HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: �- An,Occupancy Permit has been issued- for the building authorized by BuildingPermit $k......SDI.�� ..._. ... .....:............................................................._......._...................... . ........ _...... issued to e4/e'A'41-lHr eD!`/ ...... .. .. Please release the performance bond. TOWN OF BARNSTA'BLE, MASSACHUSETTS. BUILDING PERMIT -DATE IL 19 "fll PERMIT " APPLLCANT VZ'`�VY1J 1 r �.�� ,� l (+ '• ` �- • ADDRESS 1 . O. box O10 r Ct. , � YJ1., t: 40 1 .i i7 j (NO.)s (STREET) (CONTR'S LICE NSEI i PERMIT TO b :Ll ( L)' STORY Ft:.ad.iy Dwc 1_i,;:_DWEBERNG UNITS 'Fa ad. i ! OF (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 1.C.it .4 184 :'�11i.' l"ic.ii.:. l'1c:';'� (f.':':'a.i!1.1_L:,.i ZONING ! AT (LOCATION) J, DISTRICT �1 (NO.), (STREET) j BETWEEN AND (CROSS STREET) (CROSS STREET) LOT i SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM INTO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION i - - - (TYPE) REMARKS:AREA OR VOLUME •I4S°a ` 4J'f U�.)t;. l'��J PERMIT s " ESTIMATED COST, $ FEE (CUBIC/SQUARE FEET) CiLp. OWNER .l LiU.:;. :J i U .irc: 'iL'+tia'.' i.i�:.• BUILDING DEPT. ..,•iI�F•, ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR ► PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY. PERMITTED UNDER,THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET"OR. ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL - APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK:. CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. I - " POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ( r 2 Z C il' -3 HEATING INSP ION PROVALS ENGINEERING DEPARTMENT 1 S OTHE BOA OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. :..PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. f F w7 O'�15'Iparr.5 tt T �{ 9 a-f�Tr I+o 5 °r9 WN ITE:-HA LL. �+ qo. oo �o c� LOT , ` o 0 +1 G 4 h� yZi x t� c� a*{ I CERTIFY THAT THE SHOWN ON THIS PLAN I$ tN or LOCATED'ON THE GROUND:` Mtii Wit ... TER Eo s a p WNo DATE REGisntRW.', ND LAel :. .,., `. .. met ,d ;:�r°e� �i`�•`a�,rlc�` r°��,"$'^r s ..'� "`�.� ' N�;' �'`�' ` $ < ENO I t ER 5' �.ANQSCAP A RCH IT',CT S. 'v LAN.D. SQR.VEY4 S _� .t � I�. Y,. . ate, �� ; I t,=LLF <f� 4 •�.� ' { � #q`�t��f,+ E ' .. e,. .. { rt'6 't�yI r§ � < ,..a �{ C�q x 1 U y. � _r a °a•,t is + �};. II +.S"f N$A Ta "a Cr ' ti1 LET ,s i+ :sty. M. R=: ,•cw.:3jFe !'�'. 1 r 5 i� a*�.`3s ',. ., 4 � .r:'a.n1.. ..3;.JC' ,. .x ..F .,.. .... 7r•.n.. .^rcr.�r:�'.,t., i.:. z'{� qs.r •c..rr ..vr ... .-t sa.d.uia..,��C.x a oN RG--1 LOT �. 25 ' FROI�Tf�Cc E 30' FRoaJ'T S>=T aRt RIRSET'BAcic 43,54 4, S,F w4ITC44LL W A1l ASSoME'C Lo`r:- T 1 by {50` PR I VgFE wq1 � i90.00 PV I � I , LOTH,uyyz &U.co Ii J IAA°= 5"E 1 V -.Sul / I m � !��► N -t7gnllt �{ Q , � �► a o :Lo'T3,8 .- •. AS o / V) — 9 DAV!D P. �yc oc�+ K f:"1A.11Ai\O �'� L.C� T" Z5 bl 4p`(H ASe a (.I`I:L ` : L•O T Z 4- �'� +cam "Jo 31115 PAUL A. 4 /v° G,n �� ( LEVY. �+1 ---, ,o `:; e <' - - - u No. 10617 a T LEGEND �� -�- �~. EXISTING SPOT ELEVATION OAO -- -- EX14TIia fh CONTOUR --- 0 -� CERTIFY= PLOT PLAN FIH1S2 ED SPOT ELEVATION FINISHED CONTOUR 0 NOTE: The location of any existing undergi-OLInd sewerage, ' wells, or other utilities shown on tris plan is approx- IN imate only as determined from records and/or verbal , _/q�3C MR! ' information. The contractor is responsible for the verification of the existing locations in the field gCALEI /�� '10 DATE LEVY & ELDREDGE ASSOCIATES, INC. CLIENT. I CERTIFY THAT THE PROPOSED ENGINEERS-LANDSCAPE.ARCHITECTS JOB NO. BUILDING SHOWN ON .THIS PLAN PLANNERS-LAND SURVEYORS 'CONFORMS .TO THE ZON N LAWS DR.BY ''�./t/' 'OF TA ZAM 712 MAIN STREET CH. BY'HYANNIS, MA5S. ,2,SHEE.T.. OF DAT E LD SURVEYO Assessor's 'offioe (1st floor): J- w�1 �Vy,T BE F o� Assessor's map and lot number .�...a. �.• C P„c SYSTE THE 3$ _ t�6STALLED IN COAARLIAN Board of Health (3rd floor): pp Sewage Permit number .....� .a...`.... . r�,, . WITH TITLE 5 t BaaaSTADLE, . Engineering Department (3rd floor): '�JS. ENVIRONMENTAL Mb 9, �/ L CODE A. .� House number ..... ........'./..Q.... .... .. _ �a a� ......:.............. .... `'' TOWN REGULATIONS APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.-only -- TOWN OF B-ARNSTABLE BUILDI G"- 'I.H PEC , OR APPLICATION FOR PERMIT TO . .. p ................. 5.� .. .��1.. TYPE OF CONSTRUCTION .�jl.. .8 �� ...................................:...... ......................... ...................9 .. .......19.4F6 TO THE INSPECTOR OF. BUILDINGS: The undersigned he eby applies for a pe it actor •ng.t the fo win in rmation: Location . ... .. ll ...................................................... �a.. ...... ...... v.l,/.. ... ...... . �-�✓ .. . ProposedUse ....�.1. .... . ..e....... � ... . .......................... ..................................... Zoning District 1.. ..Fire District ...... t./.,,� Name of Owner ....... /����.�... ��C�.......... .. ....I.Address .............. ....c 4. Nameof Builder ......4S.c A . ...............................Address .................................................................................... Nameof Architect .........:....:...................................................Address .....,........................................ Number of Rooms .. . a: ... . ........... ..................................Z ... .....Foundation i -Y Exterior .... ... Sc�.. � ....... .. . .... oofing ......... `/ cLl ....... QCS .... Floors ...�.ir.. .. .� C(. ..............Interior ......f... ....... . .. .. .... ®.. -1 ........................ - --�b� ....:-:Plumbing .........CJ!-...... JL` !!. ................................. Fireplace ......................................................:...........................Approximate Cost....44. �. .q.�........................... Definitive Plan Approved by Planning Board _________ _____ � 19________l. Area Diagram of Lot and Building with Dimensions 4 Fee .......... . ..�.. SUBJECT TO APPROVAL OF BOARD OF HEALTH �q 1 44 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 ...............s .. .......... ..... . !... .. .. ..... .. .. ......... Construction Supervisor's License .. U.G. ... ...., *GIZEENBRIER CORP. 10361 One. Story No ................. Permit for ..................................... Angie ng--L"e Family Dwelling .......................................................................... Location ...1,ot #3 8 184 Whit-ehall 1W'a v ............................................................. jj�7 an ni s .............................................................................. Greenbrier Corp. , Owner ........................................................ ......... L Type of Construction -...F.r.a.me....................... Wf 4 rrrl ............................................................................... Plot............................ Lot .................:............... anuar-v/12 - Permit Granted ..................... 87 :.19 Date of;Inspection ........ ........1 9W Date Compi ted ... ....i� 711 L jR Assessor's offioe (1st floor):+ Assessor's map and lot number C 7v� `GQ y►' Q cF tNE To` Board of Health Ord floor): 3 _ ��ad Sewage Permit number. .........................�—..A................ .... i BAB39TADLE. i Engineering Department (3rd floor): .�S °o 39• House number • APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING IN,, PECTOR r 17 APPLICATION FOR PERMIT TO ... . . ... :.. C. ........................... TYPE OF CONSTRUCTION .... . ... .......................... ..................�1c�--�......., 4 5 TO THE INSPECTOR OF 'BUILDINGS: The undersigned hereby applies for /a permiitt,accor&ng to the f�o I-winngj information: Location . ../ .... ....�71, �. .........`,.. .' ..4 .....A .1/..�....`:'� !...... O r ProposedUse ....`...,��.. ./.�.........[..`...............,/,...� '!. ��61............................................................................................ /y6�1 Zoning District ....'r.................... ........................... ..y.........Fire District .................GSA.................5................. ..........�...... r Name of Owner .......0 .. (. (.Address ... .... . ��C / ! ttz! .` l r. Nameof Builder ......SCA..._/n.���_.................................Address .................................................................................... Nameof Architect ..................................................................Address ......................................p.... ...1..../..;......................... Number of Rooms .. .. ....�................................... ............Foundation 1 _x.. l d✓� �� ?`� Exterior ....,......... ............... ........ oofing -.�............................... t Floors .f.�.. ...�.................... ....'��.C... . .Interior ......�.... .. 0-0 C l ' �. . .....4�.C��........ .......lX......................... Heating d....... ..f.......... ....... ...............C%r........Plumbing .........E�— ...... lL^9-. 1�,�................................. ti e, Fireplace ..................................................................................Approximate Cost .... .. ,� C[ ........n.......................... Definitive Plan Approved by Planning Board ---------/= _oG�------- 19- - __ __!. Area Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH qq � (=;�q C�,, � t are � Air OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all�fh Rules and Regulations of the Town,of Barnstable regarding the above construction. L i Name ................ ...........................!........�.............................. l Construction Supervisor's License .. .......`\ . GREENBRIER CORP. A=272-005 4-2 �-2 LT--_-26, No 30368 permit for ..,,One St o ry Single Family Dwelling Location ...Lot....#.38 , 184 Whitehall Way ...............Hyannis............................................. Owner ...Greenbrier Corp. .................................. Type of Construction ..Frame ............................................................................... Plot ............................ Lot ................................ i January 12 , 87 Permit Granted ............................... . 19 - Date of Inspection ....................................19 Date Completed ......................................19 i -