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Home My WebLink About0064 WOODBURY AVENUE rr L� - -- -- - �G 11,7 -- i {Town of Barnstable- „ :. Burld • . .,.�..:�...:-; : e',u.•-k'I�A-r tr$omP---•-,,.,'. ... WP�aohs tte.Ex.dr ed,w,oa U,-s...,:.G ni_.C..te...a.il.:r.r:<5t,,,-.dF i.h1f.m.,i,.S.vc.a.-a L..t.,;T.le,�.l....nh,.o,::,...osa ft,...eOa.�tcctt ,. k...,Ls ,y Y..�:-�3*.•Y�Y�,,�s mTh t, �., t x , rd3t.Mo S ,Ca Y:.. c PancY,i e ct.a bma..P _ e wildin h L.N hs�edunt�liafrn , . 1• e'1:-11,1;.:1.� .1 .: .... ;..,..-..,.,,.:._;. :Applicant Name HENRY:E'CASSIDY, P erlTiifNo . B-17=3219 Approvals Use Struc t ure: , . . Date Issued :; 09/25/2017 . ; '. . . Current,... Permit.-Type:'>Building-Insulation-Residential Expiration Date`.. 03/25/2018,. , . Foundation. .. Location: .64'WOODBURYAVENUE,HYANNIS Map/Lot 307 204� Zoning District: RB Sheathing: ` Owner on Record: KEYWORTH, ROBERT A III z Contractor Name.: HENRY E CASSIDY Framing; 1 64 WOODBURY AVE [_,3k0 � ntrS-100988 2 Address: HYANNIS, MA 02601 � Project Cost: $2,000.00 Chimney: Description: Install A II Layer R&O Class I Cellulose Added to 518 q ft Open Attic Permit Fee: Space. t $85:00 Insulation: Fee Paid: $85.00 Project Review Req: Install A II Layer R&O Class I Cellulose Added to 518hsq ft.Open f, Final. I R Dat Attic Space. 9/25/2017 y v% rnr — Plumbing/Gas - `L Rough Plumbing: '�Buildin Official- L % g Final Plumbing: < , . „ This permit shall be deemed abandoned and invalid unless the work authoraed by this permit is commenced within six months after issuance. . Rough Gas: All work authorized by this permit shall conform to the approved applicaUon'apd the approved construction documents.for which this permit has been granted. All construction,alterations and changes of use of any building and structures shalt be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for pu lic�inspeetion 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 sgn tures by the Building and'Fife.0, icials are:provided on thin"permit. Service: Minimum of Five Call Inspections Required for All Construction Work: ¢ 1.Foundation or Footing Rough: . 2.Sheathing Inspection ;�. ,A „: 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 `I ersons'contractln wlth.unre Istered:contr,,actors-do:.not<ha.ve access to the guarant fund: as set:forth,ln':IVIGL c.142A = p g:, g Y Fire Department Building''plans are to'be`available'on site , l Flna All Permit Cards are the property of the APPLICANT—ISSUED RECIPIENT P .r TOWN OF BARNSTABLE BUILDING PERMIT APPLICA ION Map-jbq-- Parcel Application cb4 Health Division Date Issued 14 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis Project Street Address /4 ��P�l�f ►� Village ic/%1 i S Owner�LV e d L—/2 t' X ev Aj /z 7r4 Address Telephone G/ 5Z44 f Z �d.$ Permit Request /lv s;!�/� 4 // . v9 �eeX /Z -Lb G'f f f / Ce %/LIfr S -e Square feet: 1 st flo ting proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ZD D D, tS Construction Type z �J • 17i4 1 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes O-NO 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:fexis i C �0�. new Number of Bedrooms: existing _new c9� ; Total Room Count (not including baths): existing new FirsFlo o Dom,Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other `cS?a Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name L°� 4,2 Telephone Number �' �7�I Z 1 Y- Address > �, /2'alb.y el'f,g License#�/4 p t M ,,,vf2� Home Improvement Contractor# Email ,c G,�� I ht'D/U J&e&� Worker's Compensation #)de, lO e) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ° FOR OFFICIAL USE ONLY ~ APPLICATION # GATE ISSUED ,PAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . � The Co mnonwealth of Massae/t usetts Department OflndustrdalAcoldersts I Congress Street, Sulte 100 Boston, MA 02II4-2017 www,mass,gov/dia Workers, Cornpensntlon Insurance Aflldavltt Bulld#rs/Contractors/Electricians/Plumbers, TO BE FILED WITH THE PERM ttINApplimpl-Informg don-_ 0 Ar:1TNOR1TY1 Name (BuslnesslorganizadorAndivldual); Cape Cod Insulation le se P b Address., 18 Reardon Circle City/State/Zlpt South Yermouth,MA 02064 phone #; 608-776-1214 Art you An tmployer?Cheek the appropriate bort I,[ZI am a employer with 48 _employees(Nil andlorpart.tlma),� Type of project(required),, 2,❑I tm a tole proprf etor or partnership end have no employees.working for me in 7, ❑ Now o0nstruotion any oapaol►y,(No workers'comp, insurinoe required,) 8, ❑ Remodeling 3.❑I ern a homeowner doing nil work myself.(No workcrs'comp,Insuranoe roqulrad,)t Q, ❑ Demolition 4,❑I am a homeowner and will be hiring oontraotors to conduct d,work on my property, I will 10 ❑ Building addition ensure the"UI oontraators either have workers'compensation lnsuranoe or ue sole proprietors with no employees, 11,❑ Elecq Ioal repairs or additions S,❑l am a general oontraotor end I have hlred the sub•oontraotors Ilstod on the attached 12,❑plumbing repairs or additions Thesesubaontraators have employees and have workers'oomp,Insuran sheet, oe,t 13, 6.❑we are a oorporadon and Its oPtloers have exerolaed their,rigStt of exem on per MOL o, ❑Roof repairs 132,11(4),and we hive no employees, (No workero'oomp,I`ru ff m roqu per 14' Other Weathertzatlon Any applloent ghat oheclw x#! must also flil out the section balovr showing Choir workers'compensation policy Informetlon t Nomaownen who submlt�dav(t Indlaating theeyy era doing all work and then Kira outside oontraoto employotors that check tons box must attached an addldonai sheaf showing the name ofthe s0-contractors and state whether or not those enddes hays rs must submit a now kmdavgt Indioedng suoh, employees, lithe sub-contsnotorz hays am !o ees, moat rovids their workers'corn , llo number, A I am an employer'thal 0 providAtg workers' Compensation Insurance for my employees, s theoil Below i lr�ormctiort, p cy and Job site ' Insurance Company Name; Atlantic Charter Polley f1 or Self Ins,Llo,#t WCE00431902 Expiration Date 08/30/2018 Job Site Addresst. 9L P6P�i�yr �V, ; ice s Attacb a copy of the workcrs' compensation policy doclaradon page(sbowin hecity/stpol policy ® � Failure to seoure coverage as required under MOB,o, y number and explr0on date), and/or ono•y4ar lmprlsonment, as well as civil penalties In the foirm of a Seal violation punishable by a flne up to S1,500,00 day agalnst-tha violator, A copy of�thls statement may be forwarded to the OCffPloo��Os�B lons�c a fine of f the DIAup to$250�00 a coverage ver(6oatlon, for Insurance t do/tereby eer under tlt�p ns and penalties of perjury that the ir�'ormation provlddd above is true and eorrec eMdJ Offlelal use only, Do not write In this urea, to be completed by city or town o,IylefaG City or Towns ParmitlLicense# Issuing Authority(circle one)l 1, Board of Health 2, Building Department 3,Cityt'bwn Clerk 4, Electrical Inspeetor%,Sr Plumbing Ins ect 6, Other g p or Contact Persont Phone#t r 1 fy�F I , � Massaghu�alls Deparimenl o( publlo 9aleiyY ' . �,,,•,,,� 6,oard ol8ullding Regulat•lons �nd�9tandards l.Ivanse109.100688 O�nstrtlotlon ,9upervysor, r' , HENRY W OMl' 8 9HE;G ROW ! � T;1 , YBeT YARMOV�, X i,� 11 I11 111 I 00 M141 10ner it �Xpirallon{ ttrtltZot>' , ' I d ti - Cffloe of Consumer Affairs and Business Regulation 10 Park Pla a � Suite 6170 Boston, Ma� ,`' .,�, usetts 02116 Home Improvemer,�� .v;l;raotor RegIstra n tio • 0 y ,•T SSI¢ 11 ,�111 �,rl{r{I L. ) y 1'4' '`! Re Istrr pet Oorporallon anon, 16368T xplratlonl $o.,,Yarmouth M 12/1412018 I APop u fill `'.�8yy,,J, '�°'� Updelo Add ,;,.,,.�,....__,,......1..,---.,..._,1....1..,11,_I teas end rs4ur �....,11,1„1.1,.11.,,,,,•, n oerd, Merk reason Ior ohengE ro��rrr�ca�cworrlt/o .,I,.,II,IIII,II,.II.I,I,I „ �°c�G`�raarro%lws�t�� „a�splo�lr�'ant,.C.1:I.,�,�,��e OHloi of 01AIVmlrAlIIIry & aVIInIII RIVV1aUon HOME IMpROV2M11NT OONTRAOTOR Oorporall0n Raglelrellon You fir individual use only lll�i9;, I° baba IhO Mplrallon dale, it Ioun J+; l�'� 1�'l� r 4p OHioa of er�Nelrrt end el ey p12/14M plaza g e9ulallc 170 n OapO Ood Install' �'; 6oabn!M Henry Oassld '� � 1 i I.Uq. Vnderseorelary t ai howl ,I O I ,i111� 1 AC O CAPECOD-27 KDOYLE `..�� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODIYYYY( THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. IS 17 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 INSUR BY AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT; If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder In Ileu of such sndo'rsbment s . PRODUCER ACT Rogers&Gray Insurance Agency,Inc, NE So h- 134 a0 No Ext; FAX No; 87T 816.2166 j South Dennis,MA 02880 .mall ro ers ra ,com Ca INSURED eer ess ns r n e Com an 2419 INSURE fet I a C m a 39464 Cape Cod Insulation,Inc. C Endurance American 3 eclalt Insurance Company 18 Reardon Circle 41718 South Yarmouth,MA 02664 Atl Ic C arts I aurance Com an 4326 C E E INSURER F I CE E E 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.- INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP A X COMMERCIAL GENERAL LIABILITY LIMITS CLAIMS•MAOE D OCCUR CBP8263063 EACHOC URRE E 1,000,090 04/01/2017 0410112018 DAMAGE RENTED 100,000 I, 8,000 E 'L AGGRE LIMIT APP ES PER; 1,000,000 X POLICY LJ JNf LOC 2.000.600 THE 2,0001600 B AUTOMOBILE LIABILITY w COMBIN�EDISINGLELIMIT 1,000,000 ANY AUTO S E 8232707 COM 02 04/01/2017 04/01/2018 I N�uR e e n AUTOSONLY X AUTOSULED X AUTOS ONLY X AOTOS ONLY D 11 N Y e cl t P OP RdYI AMAGE C 20 UMBRELLA LIAR X OCCUR X EXCESS LIAR CLAIMS•MADE EX010006836002 04/01/2017 04/01/2018 A OCCURRENCE 2,000,000 DED RETENTION$ AGGREGATE 2,000,000 D WORKERS COMPESAT ON AND EMPLOYERS'CIASILITY X P R TH• ANY PROPRIETORIPARTNERIEXECVTIVE R/O WCE00431902 06/30/2017 08/30/2018�MaPnICE ryEnNNHHEXCLUDEDI N N/A I 1a 1000,000 Da I 1,000,000SR'PEONDFO -POLICYSEASE-EA EMPLOYEE $ E.L.DISEASE LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Addltlonal Remarks schedule,may be attached If more space is required) Workers Compensation Includes Officers or Proprietors. Additional Insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, CE E SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Thieisch Engineering Inc, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 196 Frances Avenue ACCORDANCE WITH THE POLICY PROVISIONS, Cranston,RI 02910 AUTHORIZED REPRESENTATIVE ACORD 26(2016/03 01988.2016 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD Town of Barnstable Regulatory Services. KAM ; Richard V.Scab,Director s6�9. �0 "gyp$- Building Division Toth Peary,Building Commissioner 200 M3iu Suet,Hymnis,.MA 02601 www.towa.barnstable-uaa iu.s Office: 508-862-4038 p'ax_ 508-790-6230 'Property Owner Must Complete and Sign This Section If Us ..tom►Builder T a-s Owne cbf the subje.r ��v G_i�l� z�. j �. property herebyauthorize Cape Cod Insulation co act, my behalf;. in aU matters relative to work authorized by this building permit application for I (Address of o Pool fences and alarms are the respons itlryof e applicant. Po615 -are notto-he'filled or utilized before fence is Installed and all"ftnal ins eedons are performed and accepted. Signature of Owner Sipat're of Applicant Print Name- Print Naa)e - Date x Q,FORMS;Otib'T'F.1tPER A4JSSIONPUUIS `/gfj� �✓ Li't/cv u TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# /S -Health Division 5ja i�b 3 g �''6`�- - Date Issued 30 0 r conservation Division �o Lo?, Application Fee Tax Collector Permit Fee 3 �' SEPTIC SYSTEM MUST DE Treasurer IXSTALLED IN COMPLIAItCE Planning Dept. ENIIIRO NNENTAL CODE ANE VWTH TITLE S Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address / GUdO b BU P_ Village JJ-o 1,5 Owner feo a(5e-T KC`! W 0 JZT'l- Address L 4 W ao z�e U 2LI Telephoned p— 77 �=Permit Request Square feet: 1 st floor: existing 50 proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay . roject Valuatio Construction Type (0 as!) Lot Size . /Z Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family D9 Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes S No On Old King's Highway: ❑Yes YNo Basement Type:.e�ll Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ° Number of Baths: Full: existing new Half: existing— new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count y' Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 26 No Fireplaces: Existing aT�c,,�`T New Existing wood/coal stove: ❑Yes �IrNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use �rIAJ I le SoG 417Djv5 BUILDER INFORMATION Name 11eleA Q b 00 i9AAFZ X�Mob Telephone Number �G Address ! �2 if�1CL/ �-/✓ License# /✓ !Z�6 y 1 ,�� Home Improvement Contractor# i9 -73 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO VA2.646 u_FN ' ZDVA IO SIGNATURE DATE e FOR OFFICIAL USE ONLY 1 % R PERMIT NO. DATE ISSUED - MAP/PARCEL NO. r ADDRESS r VILLAGE OWrOR DATE OF INSPECTION: FOUNDATION fo 19 IZ/ 3Lo a Q' FRAME INSULATION ' •• F FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 16 GAS: ROUGH :" =' FINAL +� !� FINAL BUILDING ®' eev DATE CLOSED OUT - ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents -= 01fice of/nsestigations . - 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name �s CiC/A,PA o `� (')� �N�►N iT� S6 L U rt6►J: -= iecI4o 1DCL./r16 location I e &62R y L� city 't✓ YA e,-4 o (/T 14 1-4A 6 C 6 17 3 phone# .SRO L 760 5yf-' l ❑ I am a homeowner performing all work myself. I am a sole r rietor and have no one workin in an ca achy ❑ I am an employer providing workers' co ensation for em to ees workin on this 'ob.mp...... . mq... ..P..3'.................... g . .......�.................... comaaav name ' :<.<:::> sf <' `'? 7rv225 `? is )z"< !2 `'"%%%' > '`'%pia?% ' 2<>' >`'`' '?? ? rasi ?j2<`?sss !E'``yi>`?' ' i `<" j ' aeldr city One: .:::.:::.......:...::..::...::::..: ..:..:...::. ...:. :.:::::.:: .: �insurana�:co.::a:, ..:;:::::;:::�:.;;;;:;:::;>::•:;.:;::..:: ;, :;:c: ::..... >:. o t ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: ..: ..:.:..:..:...:..:.:. 'ad ; s `h U •::::::::::::::•v::::•::.::.�:.�::::::::........:: ................................ . >'::::•::;::;:::;:::;''.:::><?;;:;;i':X!:i::::�;:;i::;::',:::•,:•'.:;:v;:.:::.`d:::+;'l:S::::::::;:.::::::::;:<:..::::>::::::.i:':".':i:::':-i::::i:::i:::::v<::.:::'<::�1':'i:i:::.'.;:i:i iM!;:::::;:.:';:.:. •:�:�: :v. :i:::��ii .. :;....CC:�:cos'::>;:;: :::<;;<:::: ::>::::::<:::>:<:<'��:>':::<:>:::«�;:�::;::'.;::��:2'.'::::>::>::>::'::::::::::>':::;:•;;•::.::;::::::.,;::.;;::::�;::::;�.;<•>:<:<::;::}::: ......::.........,.:. lit�nran c sn .......... �:x ...............:X..,........... ...... . .. ........ ....... ............. ..... X, -X ................ ....... .... ............ .. ..::::.. :::.::.::.:::..................... . .......... .. a .......... ddress; X. ..... . . ..... ....... ................. .......................... ... ........................... ....... .......... hn tniiaratcc. `oli }r FaBure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the p '` d p �penalties of perjury that the information provided above is truo and correct Signature `'� Date Print name lee-14eb Phone# 5-0 J, - official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other Oevised 9195 PJA) f Y Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain'a workers' compensation policy,please call the Department at the number listed below. City or Towns 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. The affidavits may be retwmed in- the Department by mail or.FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Inllesulletlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 1 °t1KE� � Town of Barnstable Regulatory Services sAxresSS asAss. ' � Thomas F.Geiler,Director 9`�prE16.�A`0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 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. �l YI" Type.of Work: 9 t;=ft Acc Estimated Cost 90 0 Address of Work: bi 00 uJ zL-1 Owner's Name: eo F3cPT )(,E e_00 RT14 Date of Application: �5— ;ZU -a 3 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IM1ROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: rlAU 172" D L LIV.0 N 5 j6�`'r'-Ic9 A Date Contractor Name Registration No. OR Date Owner's Name 00 o s �e fii Q1 CA t. N' b Z s 1 r c g, _ _ _ a to S O A ry /Oo,o I certify that this property is located in Flood Hazard Zane C (out- side the 500 year flood) as identified by the Department of Housing and Urban Development (HUD) . Date CER'rI FI ED PLOT PLAN o Ep�N OF .. / LOCATION o SCALE . ..�. 3d'... DATE ru!�sE3 a Re r or PLAN REFERENCELoT'� cis ° .ps j;A16WAI a� �! AR I certify to Ccpe Cod Bonk&Trust Co.and its title ins.Co. that there are no v1sible encroachments I CERTIFY THAT THE or easements..except ,as shown and that this SHOWN ON THIS PLAWIS LOCATED ON THE GROUND plan Was prepared under my immediate AS SHOWN HEREON AND TI-AT IT CONFORMS To THE SETBACK REOUIREMENTS OF THE TOWN OF- supervision. WHEN CONSTRUCTED, DATE REGISTERED LAND SURVEY 10018 ,L EIRINVdIG ,LI . �. Mo' fib§ LTB XVA WTT GHA V( OiTti/SO 4 r Board of Building Regulations and Standards HOME JMPRQVEMENT CONTRX;TOR Regl tration 4-134681 � p 4 :! 214 fska;, Ilk glNITV SOLU7'10 !• '. N CRARD COON.-.. - H ANl'4l$-MA IGAOI Aduu tC� - - --------------- BOARD OF BUILDING REGULATIONS !' License: CONSTRUCTION SUPERVISOR it Number- 081947 Birt-p x 966 Expo 65 Tr.no: 81947 RY64ARD T COO)§& F= ' 19 CHERRY LN "_ � W YARMOUTH, M' 9 *% Administrator v _ .jam . -. •n. FP01 t i f IF l AI I TE__0�1 IT I� iti_} IgOL'EL i t lli FAr 110. �f+E� Er—�434 f9{y. _0 2L1[_1 i 11:j7q l F1 Town ®f Barnstable Re gulatory Services rviees - Mass Tbomu F.Geiler,Director s639- BtWding DIVi5iDB Toni Perry, Buadfug Commissloner 200 Main Street, Ky=iis,MA 02601 Office: 508-862-4038 FIX 508-794-6230 Pr®pezty O*ner Must Complete and Sign This Seeticin If Uau.�g A Builder ./as Owner of the subject prop hereby auTho=* e - to act on m.}�behalf, in all=W,treis relt&e to mxork authoxize3 T "b taus b '' "wj.diu - y g prat applitatlon for{ad�3res�of job) `ycx� 43e,,zlY, 4vg S Signature of Date Pant Name - n.meT,�p;�utJPRP'ETcM155lON 10018 J,-qR I,LSFdHQ JJ 06Z 6tt LT9 Ytid ZZ:ZT Sill SO/09/S0 :010 VIA w 3 _ Kl�p . �_-...i'�g�`}^, ?�� 4•� ,.r:..;i�' - .R - �: + •:.J '�`.'�'�sv� � 1r� N-Bcr x5 `. 7-.r�..n1 oo A WHO Roo x _ ].o I- !. mmoss >��r� r i j YVL - _ 4 r-e <° �' y 1 t'_n`"r^ ``Y� - +r-Y i a-: �j',•t.'7-a'� 4 .'.-. x - elf t�' =.sc�- RM 1 ist ti a ooeaeafl� �ulldY . 0 F YCit�r i!'PROVEMENT�COPITRAC x 1; r _ 3 . I k x1r t. "� - c - �. \• �F,€;`Y,q-I,%, nu " '-t r .a ci'..� ue�-'`'�• ,.�'y�- - r� Ry ' y�t'4' °. +jl T- '' yle� pr"-xY- t,;' ,�f +.;., t -r J,•- }.> r+ z "+• y} 'r`... 7 -yiE'-.f"�s`c r �r.dk�, i,C4_4,. _ _�'- .e< '� o-�Y - t....ti? �eF. :y TC,"�3' y� - _ .�{?e _s..�5-s�'aJi,`•• .nS' .. r�.1� ux,__ ��..L�G+1-"`h}�'�.V'C�•.;,� P,�' _ J-.t�#.S .. - sg��c y-.E• r ...�.`� ,•-t 3 � 7 � .t.� -'4'�Y�'.;�r�; ��5%�r,; �"�`{��fT S�i�pp� ',�tbp- � ��+� - .t' ,t� '' t'-. _ _ _ __ - t1+1��1��' FJ17 .� Q _ sa?' •i_ _ 2.. 4 :3 r, I ADMIaTR�+Ta .. � �n.-:.q.,'�srx? 1 l _ ':.➢:F _ ' - y was 4 WHO 'iota; „� ..3-a" .?r °v '•-._ .�L a: -. �_. -. -.. e�- r - - � � sw� Non Q50 ;'" +. t _ - r z _.� •^� - e*:: - __ +c' _t_.rc.-,{, -a• S ``�'.a.< r_mow....) _��y'c w 'r.-. _ ..4 �, S� '_Y. '?Y. �: " -•b�=p-t 2p1..try t :iz. LJYi' "�yt _+ 't�Y"_ -�.N.-:;r may,X� -.L' `Yr �•23 3'S - 3. '- y •.iP:. 5.. _r� `i -:v-• .-ah-iy^•Sff-fs�..-�. �.�'1 '.t ';.sue- ,'":E -.�.7�h.. �-� e s - is .<� �� - w/! .-c•, 5-•�7�,. �=,�s,.. �"v.��'� a-.rs -•*:S •�, L •ss��J 5 A�7- .�T 2 � ..•.. -Se H. �M F.w. '�� .a . ,,.� 'j'.. i .e n t. _ l�e'i=t r. - .ur r.. t.T .c„ .pf' i-Y,� e r .t: - 'sS ", r. "'-ti.k-s.x&�... r - ;� �- , 'u k`:x T� 5 •�-,-1 .�:•-•C' ��•:4- ---u?^ J:c �� iaa ..a.':=�' 'r--�- "' ,L'o''•.s- rr• � i - .{- •4W-`�' ',,s,� �,>�x�' "5 F o ! : The Town of Barnstable NAM Department of Health Safety and Environmental Services Building Division 367 Main ShvA Hyannis MA 02601 • O$ce: 508-790.M7 Ralph Crosson FAx: 309-790-6230 8uildiag Commissio, For ofacs.use only i Permit ao._ Date AFFIDAVIT OME IMPROVEMENT V'EMENT CO NTRACTOR LAW ,. SUPPLEMENT TO PERMIT APPLICATION MGL G 142A requires that the reconstruC dow alterations, renovation, repair,rmoderatza lion • 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: % LlU—,RDAA: Est.Cost 4. Address of Work: Owner's Name 'r Date of Permit Application: 9 . I hereby certify that: 74 Registration is not required for the following mason(s): t7, Work excluded by law s �__Job under S1,000. Building not owner-occupied -wnor pulling own permit Notice is hereby given that: OWNERS PULLING THM 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 agent of the owner - , ql& -7 1 Date Contractor Name Registration Na w � r OR Coin monweaiflh of MassochWsetts t �z k Department_Of Industrial Acculept� 6,0,0:Washington Street =r x ri Boston,Mgs;. 02111 Workers' Compensation in suraace.AlYidpvit t z �T b1 d t' y 6el6 g 5. r+ ❑ am a meowner performing all work myself. am a sole proprietor and have no one uorkine in am•ca pacih' i Q I am an emplover prop iding workers' compensation for my employees working on this job. i t hone 7ZS Y o i g ;insurance co• / �Q/.tO/�Or'� policy if p Q'M Xl fl f.J97 I am a sole proprietor.general contractor, or homeowner(circle one) and have hired the contractors listed below H ho have the following workers'. ompensation polices: "Uppilpx name* address: .:LILY= phone e 5 ;insurance co. r company name: Y. g address• Ikhone He M irt ., t,k:.. '�" .,insurance co. lfols,Y� . Failure to secure coverage as required under Section 25A of MGL IS2 can lead to the imposition of grin inal penalties of a One up to 51,5N.00 anwor one years'imprisonment as well as civil penalties io the form of a STOP WORK ORDER and a One of S100.00 a day against am I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DU for coverage•vetiAeadoe. w I do-hereby certify under the pains and penalties of perjury that the information provided above is&w and coned q _ ;Signature >.sl�.,�,A_ ./ )4►��/ Date Print natne_ DYE �-• /�i/'?'�1 ee�,/l phone N official use only do not..rite in this area to be completed by city or town oRicial ,' • $ s i.y. it . 'Fct or h'. permitAicense 0 rtBuilding Department ' M.• QUec"og Board �a Q cheek if immediate response is required QSeleetmea's Office QHealth Department contact person phone p•_ :_'� _ `= nOtber (revised 3,95 PJA) 4 t [ a ]" [R307 204 . ] LOC] 0064 WOODBURY AV E CTY] 07 TDS] 400 HY KEY] 218945 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00� PARENT] 0 SULLIVAN, MARIANNE F MAP] AREA161AC JV] MTG12001 76 MYSTIC DR SP1] SP21 SP31 UT11 UT21 . 18 SQ FT] 2200 MARSTONS MILLS MA 02648 AYB11969 EYB11975 OBS] CONST] 0000 LAND 20700 IMP 84100 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 104800 REA CLASSIFIED #LAND 1 20, 700 ASD LND 20700 ASD IMP 84100 ASD OTH #BLDG(S) —CARD-1 1 84 , 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 64 WOODBURY AVE HYANNIS TAX EXEMPT #DL LOT 9 RESIDENT'L 104800 104800 104800 #RR 1869 0080 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE107/91 PRICE] 103000 ORB17595/045 AFD] I LAST ACTIVITY] 09/03/92 PCR] Y f R307 204 . P R A I S A L D A T AS KEY 218945 SULLIVAN, MARIANNE F op LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 20, 700 84, 100 1 A-COST 104, 800 B-MKT 106, 500 BY 00/ BY ML 4/88 C-INCOME PCA=1041 PCS=00 SIZE= 2200 JUST-VAL 104, 800 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 61AC ----------------------------- NEIGHBORHOOD 61AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 207001 LAND-MEAN +0% 1048001 74880 IMPROVED-MEAN +12% 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000-01 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADDS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] 'YR307 204 . P E R M I T [PMT] ACTIOR] CARD [000] KEY 218945 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT r 3 5 m rN H i M i l " i ' RESIDENTIAL PROPERTY MAP N6. LOT NO. FIRE DISTRICT SUMMARY STREET !,,Toodbury Ave. Hyannis H LAND c 307 �^,,.. / �, ,"' / BLDGS. 3 2 SSc� 2V4 OWNER � �1 N. r.� �..,.: v / �°'!9`Pi ma y•,-.t J,, TOTAL -r LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: ,ITT BLDGS. 01 Hyannis Tndustries, Inc. C� /1/EGso�/ l 68 1396 476 B TOTAL .18a LAND O) BLDGS. TOTAL ?�R. . 3 '/ LAND BLDGS. TOTAL NOW LAND C) BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: f BLDGS. TOTAL DATE: �r, . o 2/ / ;' LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE CLEARE ONT BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND aj BLDGS. TOTAL LAND G? •j.� •'7 r� BLDGS. y LOT COMPUTATIONS 'LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND G ROUGH TOWN WATER OI BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. L i11 J U 1.V S.I e.Walls Fin. Bsmt.Area Bath Room Base ;i>S' BLDG. COST no.Blk.Walls Bsmt.Rec. Room St. Shower Bath Bsmt. PURCH. DATE c.Slab Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE. ck Walls Attic FI. &Stairs A LCToilet Room Roof RENT no Walls Fin.Attic Two Fixt. Bath /�� , Floors �rs INTERIOR FINISH Lavatory Extra t. 1 2 3 Sink •r r/2 y4 Plaster Water Clo. Extra Attic XTERIOR WALLS Knotty Pine Water Only ble Siding Plywood No Plumbing Bsmt. Fin. gle Siding Plasterboard Int.Fin_ Shingles TILING 'r r,-- 'Al c.Blk. G F P Bath FI. _ Heat — f — - p�0 0 0 e Brk.On Int.Layout Bath Fl.&Wsins. Auto Ht.Unit J.�O G tl• Veneer Int.Cond. Bath FI. &Walls Fireplace Brk.On HEATING Toilet Rm. Ft. Plumbing + B(1 id Com.Brk. Hot Air w Toilet Rm. .&Wains yy • Steam Toilet Tiling 4- /Rm. FI.&Walls . nket Ins. Hot Water St. Shower f Ins.. Air Cond. Tub Area Total Floor Furn. 1 b 1 .7 X/O/ 1 ROOFING COMPUTATIONS h.Shingle / Pipeless Furn. //U O S.F. 3 3 od Shingle No Heat R d S.F. J; 0 3 r bs.Shingle Oil Burner U S.F. to Coal Stoker S.F. e Gas S.F. OUTBUILDINGS ROOF TYPE Electric S. F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 '7 8 9 10 MEASURED ble Flat p Mansard FIREPLACES S.F. Pier Found. Floor mbrel Fireplace StackY6L Wall Found. 0.H.Door LISTED FLO R Fireplace Sgle. Sdg. Roll Roofing nc. LIGHTING t _ Dble.Sdg. Shingle Roof rth No Elect. DATE Shingle Walls Plumbing ne rdwoodyl/ ROOMS Cement Blk. Electric ph.Tile Bsmt. 1st .� TOTAL i Brick Int.Finish PRI ED ngle 2nd U. e 3rd FACTOR , REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. WLG. :X F S /1h 33cO 1 2 3 4 S 6 7 9 10 TOTAL . i S 7Y ADDRESS I I ZONING I DISTRICT CODE SP OISTS.I DATE PRINTED I CLASS STATE I PCS I NBHD PARCEL IDENTIFICATION KEY NC 0064 WOODBURY AVENUE 07 RB 40C 07HY 07/09/95 1041 (10 61AC R LAND/OTHER FEATURES DE SGRIPTION ADJUSTMENT FACTORS V UNIT ADXD.UNIT Lana OVIDale sNe D,meaawa LOC./YR.SPEC.CLASS ADJ. C P PRICE PRICE ACRES/UNITS VAWE o..cRmlpn SULLIVA N• MARIANNE F MAP— OD FF_oe ID,A�Iea D 1 20,700 CARDS IN ACCOUNT 10 18LDG.SIT 1 X .13 =10c 328 34999.95 114799.9 .-18 20100 G(S)—CARD-1 1 84.100 01 OF 01 f' —, 64 WUODBURY AVE HYANNIS DST 1 480C BATHS 2.2 U X C= 100 12000.00 12000.00 1.00 1120UD 3 #DL LOT 9 ARKET 10650C NRR 1869 0080 NCOME SE PPRAISEDsVALUE 104,801 ARCEL SUMMARY AND 2C701 LDGS 84101 —IMPS OTAL 1048C! CNST DEED REFERENC T, DATE R_ R I O R YEAR V A L E Boer, Pyp F Mo. rr.D A N D 2 C 7 0 7595/045 nIA7/91 103000 LDGS 8410 4793/055: U11/85 A 1 OTAL 10480 4660/099: Ia8185 81087 BUILDING PERMIT- NumEM Dale Typ. Amount LAND LAND—ADJ INC ME SE SP—BLDS FEATURES BLD—ADJS UNITS 20700 12000 Class Consl. iolal Base pale AEI Rale B Aga No,m. GD9v CNp L. ae R G gapl Coat Naw AEI Repl Value Sloriee HepM Roorna -Rma Barra •Fia. P-t .Fi. n, L'nus A u Deer ConE 02C 000 100 100 63.60 63.60 69 75 19 80 90 7u0 120105 l 34100 1.3 8 4 2.2 12.0 Descnouon Ra Souare c R- Cost KT,INDEX: 1 U0 IMP.BYIDATE. ML 4/88 SCALE' 1/00.68 ELEMENTS CODE CONSTRUCTION DETAIL BAS 100 63.60 11001 69960 FWD 35 8.50 208 1768 ---13---• N 'TYLE 17 UPLEX 0.0 818 52 33.07 1100 36377 ! FWD I ESTGN-AWJRT- -00-------------------- ! XTFR:WAt1_S-- -Ti J 13UD"SHINGLES---IT.0 16 16 EAT/AC-TYPE- -TT AS=WAYM-AIR-----U."0 NTEi;FINISH- -02 ANELIVG --------- ! ! NTIET LATOUT- -t2 VE-R:YNURMAL----- •—_-13---+-----44------------: NTER:7U711TY- 172 AME"AS"EXTYff" U.0 ! 818 ! LOU3"STl UCT- -03 Y`JTIST-8EAli---U.-O W ! ! c L00-4 COVER 174 AR-PET--- --------- mlalAreaa Aas. 208 aaaa- 1100 ! ! OOT TYPE �5 AMBREt—ASPIf S BUILDING DIMENSIONS ELE CTRIt"A-L -01 VERAW U7.0 OAS W44 N25 FWD N16 E13 S16 W13 5 BASE 25 F 0tMDATIVN VT -WRED'TONC-----99'.9 .. BAS E44 S25 .. 918 N25 W44 ! ! --------------- --- ---------------------- S25 E44 .. ! ! "NEI3H30R JD 3tAC-HYANNIS------- ! ! LAND TOTAL MARKET ! ! PARCEL 20700 104800 *--------------44-----------X AREA 2848 VARIANCE +0 +3579 STANDARD 25 4 LL a pa 3 W852 >" € : '` +» :BG SE ILDIN>:.. :.::•RVI... .......................:.::: :...:.:....:.:..:....::..::. 31497` 1307/204 iy<« ............................................... .................. B LDIN ::. :.>M.::. •::UL:I V SU L AN•• .. ...... ..... ...... ........ ................ ............:::.:..::::.::::...::....::..: .. >x< ... v< OODBURYM1A Etitii ..fix:.. <..HY IS>: Zvi... ,,.•,�,iti:;<•t>.iiy:i'i.%'.'.';:ti':?.'.;'.:'.'.~:,`.v iir."i";' i<i;:::.:�``::•:.•`.+ttiii,'.'::ti iiiti:;:;:�:; ;::;::;:�`:;`�:�;'::%;::+:;`��:%:>;� `.`}.`.tiikii:.:.;v'.t.....ti::tiiiyi;:i;:iiii:�:�:�:i: ...................... ZONING > .. ... :::,..:::::::::::.:.::..::::.:.:..:::...::..:..:.:::.::..:::::.:.. :> : . ...............:.v...............:.:...:.:...........>..::..:>::............ :....... ..... ..................::.::........ .....:...:..... .:.......... ......:...... .... . ... .. ....... ...... .... .... aa aaaa .:LEGAL???? ...... . . P. . . . LZ :.:SEARCH TOWN OF BABNSTABLI: SI3P0 VPPLZWMNTABT/CONTI TION REPORT NAME (LAST, riRST, MIDDLE) DIVISION /Darr NOTE DETAILS i OBSERVATION -ITEMIZE EVIDENCE, SERIAL /S ETC• age "202 Ya4 - 9 PAGE 0 Engineering Dept. (3rd floor) Map �Q Parcel__ CD4 Permit# 24_5t0 House# `�'y�� _ .,, Date Issued Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) Pee 00�— Conservation Office.(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) 1He rq Definitive ved by Planning Board 19 • BARNSTABLE. ` S TOWN OF BARNSTABLE Building PP Permit Application Project Street Address �® Sla lJ®/1DiA� lis,,e Village ,"Owner Address Telephone Permit Request e— Agac or First Floor square feet Second Floor square feet Construction Type 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 ❑No 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 Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size). ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use ,/ Builder Information Name k D&dA A, . /y/�4tZd2 can Telephone Number 75— 7 76 Address to. Q . &I 2t// License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUgION 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 H DATE BUILDING PERMyIT DENIED FOR¢THF FOLLO G REASON(S) P FOR OFFICIAL USE ONLY PERMIT NO. - t DATE ISSUED ' IE MAP/PARCEL NO. ADDRESS f VILLAGE 3 OWNER DATE OF INSPECTION: FOUNpATION _} FRAME INSULATION FIREPLACE I ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL _ FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. k The Town of Barnstable sARi AE= '� � Department of Health Safety and Environmental Services ram'' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 AeSC[i Fax: 508-775-3344 August 1, 1994 Ms Marianne F. Sullivan 76 Mystic Drive Marstons Mills, MA 02601 Re: 64/66 Woodbury Avenue, Hyannis, MA Map/lot 307.204 Dear Ms Sullivan: Please be informed that on July 19 and 27 I accompanied the BIRST team on an inspection of your property at the above referenced location and found both rear decks to be in unsafe condition. It is imperative that the decks be repaired immediately as they are access ways to a required means of egress. Very truly yours, Z GLt Alfred E. artin Building Inspector AEM/km cc Assistant Director, Health, Safety&Environmental Services M94080'A r i j 7 'f �t A� N z _I r