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0101 WINDSHORE DRIVE
4 / �virldcr�io� On i i Town of BarnstableBuilding :V t ...• . �, $ 'r .56" •�i.. •X'• �'x: ., e :' .m .'5;.�4 �:K i• Rj eq •':.. t �.� 'Bost This CardaSo That rt;w Visible„F,rom thewStreet Approved Plans Must beRetarned on Job and this Card Must benKept M Post d Until'Final Ins ec4ion HasBeen.Made `> Permit °` Where a "rtificate`.:ofOccu anc is Re u ed,such Buildin sl`all•Not=be Occu led until a Final Inspection has.been made Permit No. B-19-3638 Applicant Name: Robert Rostocka Approvals Date Issued: 10/29/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 04/29/2020 Foundation: Location: 101 WINDSHORE DRIVE,HYANNIS Map/Lot 271-139 Zoning District: RB Sheathing: . Owner on Record: HAYFIELD, RICHARD M Con-,tktor Name '�.ROBERT A ROSTOCKA Framing: 1 Address: 101 WINDSHORE DRIVE Contractor License 113252 2 HYANNIS, MA 02601 z^ EstProiect Cost: $4,188.00 Chimney: � Description: Insulation &Air Sealing. Rermit Fee: $85.00 I Insulation: Project Review Req: F ffaid`f $85.00 Final x � Date 10/29/2019 � Plumbing/Gas Rough Plumbing: J Building Official mm rn k a Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six:months after�issuance. All work authorized by this permit shall conform to the approved apple attion and the:approved construction documents four whichthis permit has been granted. Rough Gas: . All construction,alterations and changes of use of any building and structuresshall b in compliance with the local zoning by laws and,codes. This permit shall be displayed in a location clearly visible from acc Final Gas: ess street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Build ng and F re Officials are provided on,this permit. Minimum of Five Call Inspections Required for All Construction Work:. Service: 1.Foundation or Footing g 2.Sheathing Inspection ROu h: 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 VoltageTinal: 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: "Per ns contract) 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 'V M , g11y��� oj1HE Town of Barnstable *Permit#3 I - w Tres 6 mo�ths ro sue Building Department Services 1 ee . „Rrsr,,BI,E : Brian Florence,CBO NAM z `m� Building Commissioner prFD MA't 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Numbe 7 /( Property Address 1- l C D-S�v C5 C ►`y IM / F Residential Va_lue_of Work_$ - VMinimu((m fee of$35.00 for work under$6000.00 Owner's Name&Address A Q.j �A A i i L Contractor's Name Telephone Number r , Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workmanss Compensation Insurance [Check one:, AUG 2 8 2017 I am a sole proprietor OWN �N I� 8A R N SI A B L E y I am the Homeowner t t I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 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) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: i *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 r ed. SIG+f NATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 08/16/17 L r The Comrrrarnwahk afMassadrusdfy Dear twenfafrfudusaidAccidents 600�asiiirxgtan y�ireel Bawron,AIA.02111 tyvittmassLgovIdia Wiarltiers' Campens3ficmInsr=nce Affidavit SederslCm&achwsMecfdcianslFhmibers AppHcaiat Iufc rm,af un Please Paint Le�Iy �I'��e=tSusmessa�i Lc1� <Cig1SEtel �Xb Phone' f 5 Qwf33J 1-/74� 7 Are you an estployer. Checkthe appropriate bo= ' Type of project(reqOredy: I.❑ I sat a employer wift 4 ❑I am a general contractor and I * hie hired file sotr-contacts 6. ❑] et oonsfs� i employees(fa11 andfor part-�). 2.❑ I am a sale propzietar or partner- listed on- the.attached sheet.. 7- ❑RemodeHng These sub-comfracdors have ship and bare no employees � � ❑Demalifioa ' Wading fnt.rne in any capadiy. . employees andhave wor mn- 9. ❑Building addifioa LN4 UP635& c0mp.iusm ce comp.mertra MI 5- ❑ We area corporaticn.and its 10:❑Eteorical repairs or adds requ�ed officers have eserdsed their i L umbin r ms F am a botneo�er doing all work ❑Pl Ir eairs or additir P set€ o wukk=' right of exemption per MGI. � ,+�n a regdred_j t c.157,§1(4k and we have no L❑IZoafrepairs employees.(No workers` 13.El Other cow_msara wreequired.ji *Amy a Bmt—gut cbeftboa in mw-t Bl=fMcattht swdanbeTowshavdag tbeirwm&EW compeasaSaupeHUinfoam25= ISanummaxwho submit Ariaa0datifimdic— dhryan'Bain6-mUgoatanddimh€mautsidecont3tC=mnst.submitanewafda-eitindicad- saCIL fCagttsctnrsthat eheetihis box must attadred as addifianal sheet showingthename of Ime =d statewhedwt arnntihnse eaddesbwe emplayees.Iftbesuhtaatad=kzve emppIofee%they pnm-Oethe's wurken'camp.paltry aumbez I alit art errrp1qer gent isprauiffirg workers cosrpertsatzmi ittsnrance jor iny*employees Beloov is Me paticy and job site iTL�OCrrrafiOtL .. Insurance company Name: Polley-or SelUnL.Uc..�t. ExpindixonDate: Job Site Address: colstaw5p: Adach a c apy of the vy orkere compensationpolicy-declaratim page(showing the poricy nwrnber.and espa-stion date). Fail=to secure coverage as requiredunder Section 25A of MGL c..157 can lead to the imposition,of criminal penalises of a hue up to$L5QQOa m&or one-year impaisoament,as well as civil penalties in the farm of a STOP WORK ORDERand a time of up to$MOO a dap against:the violator. Be advised first a copy of this statement.maybe forwarded tau the Office of Invesfigadow of the DIA for ffist>rEmce•coverage%jmrff ation. 1 tl'a hereby c-ed#yf antder fire Rms andperwi9ks ajfg icry�thatffte hz brRrgd=j rmvW abm�e is fins and correct Phone iF 0 8 7 9 � � �r! ! 509 333 Z- °7 K 7 Qj%dd UM wiry. Da not writs in des area,tfr be.Mttp;reted by di?'or lan-ri nffXiat City or"Taws.: Pers hUcesse;g Lw ing Andwri*(chile one): L Board of Mal& Building Department 3.Cif Wows Clerk 4.Electrical Fnspector S.Plumbing Fnspector 6.Other Contact Person: Phone#: — -- - 6 armation an' d instructions Nfassar-ha,effs Gebexal Laws chapt=M requrcs au employ=fn provide wo&e&c mpensafion fnrflieir=:1AC5IrZ-" is defined as.�.=xy pemon $f ia. a seavi:ce of anti=ender any cai fzad ofhfi m,, Pm°saantin this sib,as�Ioye� eapn.ss ar iinp ied,'onil or vimf asso®iicm,coipor�ion or of er legal eati y aaY two or more An�Ivyle is defined as-an in�idaal,parfn�, �of a deceased employer,or tb e of thefhregoiiig ma3omt=b=: e,andinzlndmgthelegalrepres receivear or frastee of an kdrvidital,p ,association or ofherlegal enfity,employing employees- HOWever fhe owner of a dvveIIing house having not more tin ee apartments and who resides Beim,or the:occ of the- dwelTmg house of anAM Who employs pMS=to do ce.Condcnr_Fi can or repay wow on such dweIIing house or on the grounds ar building appurtenantth=tn shaHnotbexause of such employmedbe deenzedto be an employe.7 MGZ. �I�Z,§25C(6)also dices filA-every sib or Ioral£ue=jug.agency shall wittihoId ffie issuance or renewal of a jjr--sa or permit to operate a business or to construct bntldin gs in the�mmoapPealt3i fnr nay applirantwho has notprodnced acmptahle evidence of compliance wn the insm mace-coverage require Add ionaHy,M(ff-chapter 152,§25C(7)states-Nenjex- $ia cormnax eaM nor my ofifs political subdivisions shall entrr into any far theperfomance ofpnblic wmicnahl acceptable evidence of compIiancew the iDs�'�cd. r eams of-,I&chaptes have lie.Mpresemtedto f3ie mritacting.saf corny. AgPitcaats •, Please f�71 oil.f tie 'compeasafion affidavit completely.by g the boxes fib apply to your s-inafion and,if necessary, Ply sob� s)mee(s), d es)and phonD— er(s)along wift their cetiffca±e(s)of mso ce. LuitedLiabaty Companies'(LLC)or Limit LiabidtyPa t=slups(LU)•v�no employees Other thanfhe members or parfneas,are not rid in cany woric&compensati m ce. on sura If an LLC or LLP does have =ployees,apolicy isrD#fted. Be advisedthatfi is a$da.Yitmaybe sobmitcd to thr Depa-iment of lndaddal Accid�for confronaiion of ins�ce coverage Also be sin a to sign and date a of davit The'affidavit should br,Tet=r,dto$ecityortownfiiattheapplicafionforthepermitorlicenseisbeingrequested,nottai D.WO:dc ' of T„ri-�, j4,_=d=:L- Shonldyan have any gacdjons regardmg t3ie law or ifyon are requited in obtain a�o�cets' compensation pohey,pleasecaa the Departneatatf e-number lisfrdbrlow Self-insured companies shouldeaterflieit self-msor-auce license zmmbet aa the appropriate line City or Town OfFa als c Please be sore that the affidavit is complefa and printed legfIy- The Departnaathas provided a space at the boffom of the:affidavit for you to fill Olt in the event the Office oflnvcd gafl=has to contact yom g th a applicant Please be sure to fill in tine permitlliee r.number which wM be used as a referrmce xmmber. In addition,an.applicant at th must snbmt multiple pennitllicense applicafions in a7 given yew,need only sc mat one a$davit mdicatmg c ant policy information.(if necessary)and unde r"Tob Q_d ess9 the 8Pplic ant should write¢aII locations in (citY or town)--A copy of the-affidavitihat has be=officially sped Or mated by the city or town maybe provided to file applicant as proofthat a valid affidavit is on file for fide"pcm#g or licenses. A new affidavitmust be fined obt each year."Where a home owner or dff=a is obtaining a license or permit not related to any business or cx)mm er w vie (ie_ m s etc)saidpesonisl]t dto completethisaffidavit agm The Office ofInyes; ' Wouldlljoetadiankyoum-advanm for Your moperaiion and.shouldyou have any gce ons, please do n.othesifate to give us a call. The Deparlmenfs address,telephone and faxmember a Ca0:Ca= Stir of ch ' D im cfdalAmideata fie�f��tia>� -Vaaffiom laastm.MA RI I I T(,-L 4 617-727-4 W t 4-06 Or 1`977-MASSAFE Fax#617 727 '749 1Zevised424-07 T,., garb Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner 1 200 Main Street, Hyannis,MA 02601 XMIST►IM MM& www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 —7 HOMEOWNER LICENSE F.XEMMON t. / Please Print I--odct ATION:-J 0 1 L0 I n CS I C6Z� �'` AO MS Yy7 p- OdW number street village "IiolvlEUWRtlt":` i c�►.A 4 Ala 9 7 7cf 6 5W Sa 6 333 IV A97 name y home phone# work phone# �r MAILING ADDRESS:!o I G0 7�1l J Jh AyZ ee IJ(Z city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. . DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"cerdfies that he/she understands the Town of Barnstable Building Department minimum inspection proce 7and ent, and that he/she will comply with said procedures and requirements. Ugnature of Homeo 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\E}MRESS.doc 08/16/17 Town of Barnstable Building Department Services Brian Florence,CBO 639' k�� Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Usir-a A Builder I, ,as Owner of the subject property hereby authorize to act on ray behA 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 performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OW 4MERIVUSSIONP00LS Rev:0&/16/17 f��� ���° L � ,� � �z e ��.,� 1 � � 200 Main Street Hyannis, MA 02601 U.S.POSTAGE))PITNEY BOWES � - i F '{ ZIP 02601 02 1YV 000.48° • 000 1.383424 MAY. 22. 2015. Richard M. Hatfield 101 Windshore Drive ' Hyannis, AM 02601 i i V v"= . �, r _ y �, e ;j 1UW11 V1 17Q111a1.QV1C Regulatory Services 16 THE �oF Tots ° Richard V. Scali,Director Building Division BARNSTABLE, ' Tom Perry,Building Commissioner y MASS. �A 039• 200 Main Street, Hyannis,MA 02601 tEpMp`iA �• - , Office:, 508-862-4038 Fax: 508-790-6230 Notice of Zoning OrdinancesViolation Ms and Order to Cease Desist and Abate: Richard M. Hatfield and all persons having notice of this order. As owner/occupant of the premises/structure located at 122 Church St,W Barnstable,Ma Map 153 Parcel 018,you are hereby notified that you are in violation_ of the Town of Barnstable Zoning Ordinances and are ORDERED this date,May 20,2015 _ , to: " 1. CEASE AND DESIST IMMEDIATELY,all functions connected with this violation on or at the above mentioned premises. ' SUMMARY OF VIOLATION: Violation of Town of Barnstable Zoning Ordinances: Chapter 240 Section 14 (A) 1 RF Residential Zone-Single Family Zone 2. COMMENCE immediately,action to abate this violation. 2 SUMMARY OF ACTION TO ABATE: Storage andlor staging of landscapelconstruction equipment and all associated activities on vacant residential lot.Also prohibited: employee gathering and on site parking,stockpiling and storage of organic material and any and all landscape or. construction items typical.of the industry and used for commercial purposes. Remedy: Remove and relocate all equipment and vehicles to an appropriately zoned commercial location."Failure to comply may result in non-criminal citations. " And,if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing an appeal with the Town Clerk of Barnstable,a Notice of Appeal(specifying the ground thereof) within thirty(30)days of the receipt of this order(in accordance with Chapter 40A Section 15 of the Massachusetts General Laws). If,at the expiration of the time allowed,action to abate this violation has not commenced,further action as the law requires will be taken. der, ` Robin .Anders Zoning Enforcement Officer Q/FORMS/viozonel t w °FTHEA�ti Town of Barnstable Regulatory Services I * BARNSTABLE, 9 MASS. $ Thomas F. Geiler,Director fo;a� Conservation Division 4 Robert W. Gatewood,Administrator .200 Main Street, Hyannis,MA 02601 E-mail:conservation@town.bamstable.ma.us Office: 508-862-4093 Fax: 508-778-2412 Date: January 29,2015 Name: Richard M Hatfield Add.: 101 Windshore Drive Hyannis,MA 02601 RE: Enforcement Order#V102015003 Dear Mr.Richard Hatfield: - The enclosed enforcement order, issued to you, will be discussed and voted upon by the <• Barnstable Conservation Commission at a hearing to be held on Tuesday, February 24, 2015 at 8:30 a.m. at the Barnstable Town Hall, 2nd floor Hearing-Room n Selectmen's I NAME OF OFFENDER i BAR I..( P— TOWN OF ADDRESS OF OFFENDER � 8 BARNSTABLE CITY STATE ZIP CODE -.� � - MVIMB REGISTRATION NUMBER OFFENSE ,,y' N' M •ill it IIAN\ti1AP1 E' /�'E� t`�y /� /7. ,�f /; ,,ASS, °'t"F �) : A J`h d„r G.w f�'r! .1 ,S�i f•39. ,. O .� Ot 4✓ ii r,a t�,l �c�� r � �OJ,u > TIMWAND DATE OF VIOLATION - LOCATION OF VIOLATION �^)) - Z NO I.CE OF :: r;R.S4 ' Uj (A.M. .M. ON +� ,2 20 i n �JY ��f� SIGNATURE OF ENFORCIf�G•PER f'"E EN ORCING DEPT. BADGE NO. W VIOLATION ;,A B�"1 a� t ® (,-y <r�° o OF TOWN I HEREBY ACK LEDGER EIPT OF CITATION X a 1 .ORDINANCE °Unable to obtain Sig ature of fiender, THE NONCRIMINAL FINE FOR THIS OFFENSE IS 14S Z Date mailed ..ilf Uj W OR YOU HAVE THE FOLLOWI 6 ALTE TIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE.AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. uu YREGULATION (1)You may elect to pay the above fine,either by.appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, u I before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, J li Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. - CL (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and,enclose a copy of this citation for a hearing.' (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. Wpfile ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature ... Town of Barnstable *Permit# ®off ) Expires 6 months from issue date Regulatory Services Fee ���� d Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner ® p 200 Main Street,Hyannis,MA 02601 XoPS PERMIT www.town.barnstable.ma.us ,n(� Office: 508-862-4038 Fax:`SC1�: _q _6Y96 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONdt NN OF BARNSTABLE Not Valid without Red X Press Imprint Map/parcel Number2 7Z z J Property Address i p Residential Value of Work A_�6o Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address e1 LV`k(eta Contractor's Name Telephone Number 50F6_ Home Improvement Contractor License#(if applicable) --- onstmetten-Sulieryiser-s Lise�N-n t;fa..ri;,.abto�-------- --- ----- — -- -- ❑Workman's Compensation Insurance Check one: ❑��I am a sole proprietor LJ i am the Homeowner ❑ I have Worker's Compensation Insurance +. Insurance Company Name Workman'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 ❑Re-roof(not stripping. Going over existing layers of roof) [-Re-side ETReplacement Windows/doors/sliders. U-Value (maximum.44) *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 is required. SIGNATURE: Q:Forms:expmtrg Revise061306 ' 1 ne L.ommonwearrn of lnussacnuYeitai INN Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): J��� Address: Lq r City/State/Zip: Phone#: Are you an employer? Check the-appropriate boa: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7• ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for mein any capacity. workers' comp.insurance. g, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its i 0.❑ 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 or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp.insurance required.] 13.❑ Other *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 tcontractors that abeck this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy infoianation. I am an employer that is providing workers'compensation Insurance for my employees. Below is the policy and job site information. Insurance Comp any Name: Policy#or Self-ins.Lie. #: Expiration Date: Job Site Address: City/State/z, 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 fiaposition of criminal penalties of a fine up to$1,50Q.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDF_R and a fine of up to,$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby eerfify under the p and enaltes ofperjury that the information provided above is true and correct. "Signature: 4Date: D Phone#: 5c& Official use only. Do not write in this area,to be completed by city or town official. 71 City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Ira�pe�or. 6. Other l Contact Person: f Phone# _ ` �fISE Town of Barnstable Regulatory Services 9 kr' Thomas F.Geiler,Director ' tog Building Division. ,f Torn Perry, Building Commissioner 200 Main Street, ITyannis,MA b2601 www.town.b arnstable;ma.us p Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder PI) as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) �— Signature o Own Date Print Name ' Q:FOgM5:0y,'21ERPERMISSION ' m `�� P� e �i4xgaat IVy ` S Ov L d � w 0 a, , a TOWN v. . . HYANNIS, MASS. 02601 August t 8 g 1989 s i Mr. Mark Duguay 101 Windshore Drive Hyannis,. MA 02601 RE: ' Building Permit #329.33 A=271-139 Dear Mr. Duguay: Please contact this office re the addition of a porch to your dwelling located at 101 Windshore Drive, Hyannis. The building permit issued on May 30, 1989 is for a tool shed.. h Very truly yours, Richard R, e$ a� rse Building Inspector RRB/gr ' I Assessor's office(1st Floor):Assessor's map-and lot number C:12 A? ,g" S THE Tod♦ Board Health(3rd floor): ID� �/� � n � � .q y}/`� � o• Sewagea Permit number jj}} • � Z BA 33TABLE. • Engineering Department(3rd floor): House number � �� 9 Definitive Plan Approved by Planning Board 19 a Qr YAY APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR +w APPLICATION FOR PERMIT TO 4W TYPE OF CONSTRUCTION 19 J TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a rmit a' ording to the followin information: c � 'D, -4 Location Q / r Proposed Use �D Zoning District Fire District /�JI 'Name of Owner�� �\�,,/' ( C Address ZQ nidL LdE Name of Builder Address Name of Architect Address Number of Rooms A Foundation C Exterior �'� C- Roofing at Floors 0 0 Interior / 5 ,4 fQ Heating /V 6 Plumbing �c Fireplace N b Approximate Cost / L Area 7 S CIO Diagram of Lot and Building with Dimensions Fee ' e.1 nC�/1 V- 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 1 DUGUAY, MARK r No• 32933 Permit For Build Shed Accessory to Dwelling 4� Location 101 Windshore Dri ve MyanniG Owner Mark T uguay ' Type of Construction 'Frame _ Plot Lot Permit Granted May 30, 19 89 i Date of Inspection 19 f Date Completed 1 �� 19 V f t �y t ' � a t si r4 M ; Assessor's office(1 st floor):. Assessor's mapYand lot number / Q�oT THE Board Health floor): /( A O�Sewagea Permit numum ber O J �f � • • Z BABd9TAME i Engineering Department(3rd floor): �o rasa House number 1639. Definitive Plan Approved by Planning Board 19 ,to yor a E APPLICATIONS PROCESSED 810-9:30 A.M.and 1:00-2:00 P:M.only , TOWN OF BARN-STABLE ` BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION / 19 TO THE INSPECTOR OF BUILDINGS- , The undersigned hereby applies for a •-ermit according to the following information: . Location Proposed Use Zoning District Fire District Name of Owner 1,4 )� xy Address Name of Builder Address Name of Architect Address Number of Rooms A Foundation N Exterior Z C Roofing S ✓► h Gl / . o � Floors ` t/ D �' Interior 7?,4 A �- Heating Plumbing Fireplace 1V 0 Approximate Cost �1 i Area 00 Diagram of Lot and Building with Dimensions Fee r. ,r :, I JP 4 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 DUGUAY, MARK A=271-139 . No, 2933 Permit For Build Shed Accessory to Dwelling Location 101 Windshore Drive Hyannis Owner Mark Duguay Type of Construction Frame Plot Lot Permit Granted May 30, 19 89 Date of Inspection 19 Date Completed 19 TOWN OF BARNSTABLE Permit No. _________ Building Inspector saE7MU a Cash ------------- Yua OCCUPANCY PERMIT Bona No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use -without a Building Permit therefor first having been obtained from the Building Inspector.No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to apewide Develot�menh Corp' Address i t19 ??i n_r#chnra ilri Uc . t��anx^ui s Wiring Inspector i Q,,v Inspection date Plumbing Inspector {` Inspection date Gas Inspector � � � � Inspection date Engineering Department ` / " Inspection date - �7 o.� 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. _.. ......... ........ ....._. ............� `y Buffding Inspector TOWN OF BARNSTABLE Permit No. ________ 19423 Building Inspector s�rrpn Cash --_—_--- �q - �pYPY�'` OCCUPANCY PERMIT,,,,,• Bond "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued tgapeyide Development Corp Address I n l Wi miv+ ,)nn+p T)ri iris_ T4vP nni a Wiring Inspector ;` e , �t.-o Inspection date Plumbing Inspector ��,.V t, �,. Inspection date Gas Inspector „ t' �' Inspection date Engineering Department 1. _ Inspection date �'/ �7` 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. ..�.. .. 19 ................ Building Inspector i tr .: ..- . % .: ,,r. .a.-� ::e't".vs a 'y.n. .y....1 , f .. f.d.x�1.Y •. t+r. . an ......•,xYt , r 1 , A.• ,. + .� l P .. e , ' < � t `' r f y r t 1 'r ' Y i .•' 1 . V I r• 3 i r If { { - y , t 1 i 1 i Ja y .. 1 j. J � r•d.,.M.n r+r iou' �' � , � I :1 �'y f t _�y'• � '�'"�' j F {' f t ' i • G7 I s f f F A 1 1 i �'`/V 1'�1 `�IuD�� i R 4 }} f y f l 4 1 4 1 P � I ! � + 1 i.. 1 f.. 1Yi � $ T.` {—., �yY�.y � J is-,• ��bl{,fir' 1 j � ! � 1 i j� a 3 a i $ I h . 14 r t 1 • I l i I f 4 } t t t ` i T �' t• RICHARD A. QAXTER S a No.2,1048 ! I t � .,_ I ;� ;� ,. IZT►FIED pCOT' P's_../S�J ;.� OCdsT I 1 �5QAL MAX r-- 1/2� I GGZZTIr— Tf-(AT' `T1 r��^ uIJDAITIQ. 5u I"t� o,rcJW REi=ey_eV4ea ? 4-lEQ E�N GGINLPL:�lS.-. W'CTN Y1-1E. D•E..l..l►-'1E '- � �-i � `'� '' 51 �. ' Ab.1D SETpSAG�G ' �'C-4difLEN�a=�TS, OF TNT I G':: 1 � � I ZowU N eosT�3 t } ; i A j �, ', ,• � ' A IJ'D ve:T . : czEC.Isc- jz� :. .I,_a►av_....suevcYot�s, OSTEiZV1LLE ' o" grtl�SS. • - --TE-i t S' C7�-A W._t S_W OT BAS E.'D . 04,4 ..AW -. . . - tt.4gT -'EJ AF-W T Sv2v�Y Tt1C-. .oF.�SrcTS �itloeuL 3. APPLI GAt..1T t` l IJL:1' �L- tJSC_0 To.. 1De�rCQMt►.1L �Aesso�'� map- and lot'number ,e'/� .7�. 1.: - - ��1 , �G�G �� �� �' 7 7 `'' �'2f .................. ..... Sewage�Permit number ...........: ...... . fibd P e9:n .� STATE ,TE �p THE �t� "r4Jvp� °` r° � TOWN OF BARvS`TfA�BLF Z B8$BSTAIILE; i L 6 °° a aYa��� ., BUILDING INSPECTOR �G> is APPLICATION FOR-tPERMIT TO ....... .,. . ........ ..,—V.. l/�/�:..:....... TYPEOF CONSTRUCTION .............. . ...... ..................................................................... '�'. . ., ......................19.7 TO THE.INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according. to the following information: ' Q Location ..irLa' .!C �h&?'��..... Y�............ ......................... ..................... ProposedUse ....0,�: A ................................. ....................................................................... .................. . Zoning District .........I!.y... ..................................................Fire. District .� �f... i ....�rv � CD< Nameof Owneri......Address ........ ............................................................... \ Nameof Builder .....................:..............................................Address ................................ Nameof Architect ........................:.........................................Address .................................................................................... Number of Rooms ................... ..............................................Foundation ....../ .I s.C6k..i'.........................: Exterior ...................:..................... .Vr.....................................................Roofing .......... /......... Floors .......:Interior . .................................. HeatingI-Ile .. ... !1................................Plumbing ................. ..... .................................................. i Fireplace ................ ..............................................................Approximate Cost .......... � !. ............................. Definitive Plan Approved by Planning Board ________________________________19________. Area ....... ................. Diagram of Lot and Building with Dimensions Feed ...................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable egarding the above construction. N ................... Capewide Development Corp. ,y 19923 one story No..................'.Permit for ...:................................ !......single family dwelling.................. Location ..,,, 101 Windshore Drive :..........�......Hyannis........................................ Ca ewide Development Corp. Owner ............. ......................................... Type of Construction frame ............................................. , i Plot ....................... Lot ...... $. .................. Februar 2 Permit Granted }'................19 78 k, ,.Date of Inspection ....................................19 Date Completed ... .1°Z G(... � .......19 PERMIT REFUSED t r .................. .......................................... 19 ............................................................................... i ............................................................................... n n ......................................:%....................................... z , Approved ................................................ 19 ............. .............................................................. .................... .................................. .i:................... As;essor'�3' map and lot number !...^- -�` ..;5% Sewage Permit number o�T"ET°�y TOWN OF BARNSTABLE Q 33JSH9Te13LE. i "6 9 �•� BUILDING INSPECTOR _ . 'e0 MPY 1k• 7� APPLICATION' FOR PERMIT TO ......... ............... fi.r- ���C.�..................................................... r TYPE OF CONSTRUCTION ............ / -a ! ...... --... ............................................................ ....../...„/2/.......................19.7 TO THE INSPECTOR OF, BUILDINGS: The undersigned hereby /applies for a permit according to the following information: Location n �A 1 / /{ �/�A c 4a.... 17................ S!'r/1 ,�* ��/..�................................................................ . .... Proposed Use .... mn�`/� Zoning District ......... ...............................................................Fire District Name of Owner .. ?•"�A ��� '' �. !. -r Address • / /..l.. „ ..... t ......... .......� t............................................................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .......... .................................................Foundation .......� ..r/ �t�. '......................................... Exterior ..........f". // ...................................................Roofing A"n 4a"; /„ ......................................... - ........... Floorst-...l.C:✓....�..!................................................Interior .......... ...... :. ., .................................... Heatingf� /7 � /�C/ (�/ / g ��:..:................................................................................Plumbin ......................... .................................................. Fireplace ................ Approximate PProximate Cost ..C..�.© Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ....... ............... Diagram of Lot and Building with Dimensions Fee ' '" M SUBJECT TO APPROVAL OF BOARD OF HEALTH J I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name's G�..................... ...........-r-r......-!t ..................... y. T _ Capewide Development Corp. . A=271-139 Na .. 19923 Ae story Permit for .... .................. ....... single family dwelling .................. .......................................................... r Location ...........1U1. indshore. . .....Drive............. .......... ........ ...... ........ 4 } ........................Hyannis.. ........................... s Owner Capewide D eloment Cor ................................. P ' frame Type of Construction .....:.................................... ' .................................... ................................... i 5 Plot Lot . .•.. 8 .............. Permit Granted .....Fe:........ry..2.............19 78 Date of Inspection .......... ::.......................19 i Date Completed ..... ...............................19 PERMIT REFUSED ......... � ...... ....... .. 19 it ........ ..... ... .................. ............ ....... t ..........15 ..e. .. :. ................. . ... ...................... .......... . ... ................................... ............................................................................... Approved ................................................ 19 ............................................................................... ...............................................................................