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0075 ANGUS WAY
a , , , . :} .,., ,. w ., - , � � �� . a � — �, a _ ; . � . 1 ea r r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION : Map Parcel aye Permit# Health Division 000 "v €eW2.4 Date Issued 9h3 o 4 VConservation Division a Application Fee Tax Collector Permit Fee ��X J• Treasurer SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address 4 6 tjet Village CQ•57k�r- 1,o_ �3 L^s C3 7 Owner CH S �1 yy�e/�'7�� zrj' e4rV i3c4, Address X® /0i/sk,e�8� Telephone 3 -- Z 3 6 8 2- Permit Request )V�w 2)e__ Square feet: 1sf floor: existing 11 proposed 2nd floor: existing VA proposed &1A Total new _ Zoning Dfistrict ��,v, Flood Plain Groundwater Overlay Project Valuation' 7 `® Construction Type Lot Size Grandfathered: Cl Yes I@ No If yes,attach supporting documentation. Dwelling Type: Single Family > l Two Family ❑ Multi-Family(#units) Age of Existing Structure �S�,rs Historic House: ❑Yes N No, On Old King's"Highway: ❑Yes N No Basement Type: ❑ Full XCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Al 4 Half: existing new Number of Bedrooms: existing new h 4 Total Room Count(not including baths):existing new First Floor Room Count ('0 Heat Type and Fuel aGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes C[No Fireplaces: Existing I Newer Existing wood/coal stove: ❑Yes 0 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Cl existing O new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes XNo If yes, site plan-review# ` Current Use X4S v Jiv-)+)C Proposed Use 4'e-s i d 20+1�IP BUILDER INFORMATION f Name U Telephone Number 316 Address ID .)-O (,U ► ►� � - 1�ZLicense# A 26QZ4 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO YyV L SIGNATURE _ DATE o2, D FOR OFFICIAL USE ONLY � F s ,t PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION m -ZI®y FRAME INSULATION FIREPLACE J" `k l ELECTRICAL: ROUGH FINAL n PLUMBING: ROUG '-4- FINAL F- � 0 GAS: ROUGg-'n% O FINAL �Ma e. �` �aF-- r/.ice FINAL BUILDING I�g 2 / Z �U m o h d � 2 © -1 -1 � " = tuoo K. DATE CLOSED OUT 14 4 m m 0 S ASSOCIATION PLAN NO. y �� J s f c..AT1J N F .PRO. • PERT LI N ES MAY N B E C U RA E STANDARD LEGEND I �\ f NQiE:rot olT Wn will appYaron o mop m � MA 51 ED6f OF DEODUOUS TREES I ij ; EDGE OF ERUSN \ Omme DR NURSERY AP 5 ] EDGE Of CONIFEROUS TREES QMRSH AREA EDGE OF WATER - = DIRT ROAD' DRrrEwa<T —PARMS iOT ' F — RATED ROAD -- - DRAINA6E WCH - --- PATH/TRXL PARCEL UNE 0* 251 . -W326 MAP# (� 0321-a PARMI NUMBER NOUSE NUM6ER ti - -------- 2 FOOTCDKTOUR UNE 75 — 10 FOOT CONTOUR UNE �. Ehsetias bosrdon NbMD29 X4.9 SPDTEIEVATIDN STONE WAIL -X—X- FEND: m _ m p MIOUNINS WAU MA Lo I 5 I - WELO1{DTTAOI coc STONE PETTY SMIA1MIN6 POOL � - 8 ..' POROi/DELI{ O IDIIDTNG/sTRUCIURE DOa/PIER N 251 m 6 WE ® AIYDIDTE ol o POST p" RAG ME * O W N O / - • A R N S T a R C E O@ 0 0 ! A 't+ M I C 1 N P O R M A T I O N C Y S T f in S U N I T o r ItMO SGU N HEr * %crap is ra mdmp tsf l *3 M Ttr STDRAI ORNR i•=I ar soti.r.op a�rrgr NDT irs d DATA 50URLEi PlaArrrfa(eOrds Arn.rg}w@ IsuPrsbA Fon 1995 aeesl pldopopls by Th Orns m 0 20 40 %dow .mwsb*&m>tik b aofsspussKa7ud Tlerar ml ew kmnrq and W.S�aR �.Tapo�pfgWW"P���s�Mdll fm 1984 oriel phibPd�11 Glnp 0 Ulm MXE c MY& s I A M_O FM* id"W xaN. N b FBI faFnraaa iq bp�@�IN Nd rw rwgleA b of NrFod AYcp Ayswq SLrtd�ds n N a s,�is a*I•=1 ff.Kral ypg wre�fm�F1ZODi Twa of Bonma�s l Irs� o i16FIR POIF o EUOU[KK 10" Diameter Concrete Set 48"Deep 51411 --.__- S , 7 l , I Framing 2" X 8" P.T. 16" on center Galvanized Hangers Decking 5/4" X 6" P.T. or Composition o - Top of Frame = 11" to 12" above groun - Galvanized Saddles in Concrete Piers N 91611 �i ,F ' l -- - 14910" — - -- -- �{ 4 N ---------------- -.--- ----------------------- 1 , IAew 5 28 Deck Septic System House Porch 012 i 31' _ . ' n � v Scale 1 = 16 a I LL. cl V 'L /D C x r AV �8.q C* c.B Y REVi5iOtr Dtf LOT 39A PLA►:,; 4F LA ED AT WEc:ZUARUET PIN ENEEDLE'S, - CENTERVI LLE, ;. PROPE$::tT Y . OF w F-D-fTH -, ,M. 00NNE:R3 5CAL E N "3O F—T": O CT. IS 1955 i .. CENTE`�C1lILl.6•MAgs 9 r . _ The Commonwealth of Massachusetts Department of Industrial Accidents MOO FIADV~M _ Street — 600 Washington St t � Boston,Mass. 02111 Workers' Com ensation.Insurance Affidavit-General Businesses . _<F �p,CjY•,t��s �..3'':yn�{,>;0?S..ts. 'CaY '-•'4pi.r"F.w. name address: " citv �•--�1^�✓J���y+ state•� /��- ziu: • vhone# �1.0 � �'cl ��l Z 'J � � • _ r work site location full address I w a,,4 C e -k! V t ❑ I am a sole proprietor and have no one Business Type- Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales(mcluding.Real Estate,Autos etc.) ❑I am an em glover with 'em•loyees(full& art time): Other dw ' �%� � � �I am an employer providing.workers' compensation for my employees worlang on this job.: •1: `t.-}.: is ::i: ••r.:. lnsurali'ce.co5 .4 " toll MORE I am a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices: •::':� .Vie., .. - address:. ' �`,., •. C 1•r f. i] it Co.,. - kiM/j�j 'auk address:. t• �;� �'� . . ' : : •'UIIOIIE# .+�•I _ 4`,_ �y.;�,�;i,.tee: insurane—cb:: ;..!�.';:::r;::.::::,'::•..,... :..,_:.:. •: . .....•.'...,: '.:.:.. ..:o1ic. , Failure to secure coverage as required under Section 25A of MGL 152 can lead to the lmposttlon of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment sa well as civil penalties in the foim of a STOP WORK ORDER and a fma of$100.00 a day against me I understand that is copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. . I do hereby certi nder the pains and penalties of perjury that the information provided above is true and correct Date e�1b Ll Signature / ^T Print name 2p j G Phone# 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 ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; Other (revved Sept 2003) t . Information and Instructions Massachusetts General Laws'ch�pter�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 mgre of the foregoing engaged in ajoint enferprise, and including the legal representatives of a deceased,employer, or the receiver or partnership,.association or other legal entity, employing employees. However the owner of a trustee of an individual, 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 bang appurtenant thereto shall not.because of such.employment.be deemed tobe 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 mi .the workers'compensation affidavit completely,by checking the box that applies to your situation..Please supply company name, 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 fd1 out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in theperrnit/license number which will be used as a reference number. The.affidavits may.be.returned to the Department by nail 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 Dina of Inesngauens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 oFtME,o Town of Barnstable y Regulatory Services A � snxNszna Thomas F.Geiler,Director �`bATE,59. � 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. Type of Work: ,Vi^k> bE-G/C Estimated Cost 7SD — Address of Work: Owner's Name: L-t v i�tJ Date of Application: �/Z 2-�d I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law @Job Under$1,000 OBuilding 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 agent of the owner: Date Contractor Name Registration No. .. r Date Owner's N34e Q:forms:homeaffidav 01/13/1995 20:17 915087906230 PAGE 02 Torn of Barnstable Regulatory Services I „„MA,a; l Thomas F.Geller,Director 644 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE IUMPTION Please Print DATE: JOB IACATX)N: 25* r ✓l A— number � street village '7I0ME0WNE U yI d/(��l -ll�. ��l���{• /3crSt� l r�s?tom 3 �` . nears hmm phonc N work phone 0 6U 3110—PLIY 2. 8 CURRENT MARMO ADDRESS: /b�I2-b Aj I L.S az/GAr L - =e I ISO-41/O Z L. S C4 IDOZV city/town state —rode The current exemption for"homeowners'was extended to include o evv rr-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 suyervisor. DEFINITION OF HOMEOWNER persons)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 "homeownee'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 u inimum inspection procedures and requirements and that he/she will comply with said procedures and re hunts. i Signature of Homed er 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, BOMEOWNER'S EXEMPTsON The Code states that: "Any homeowner performing work fbr 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 ouch Homoowncr shall act as supervisor." Many hornwWnen who use this exemption are unaware that they are ass uning the responsibilities of a supervisor(see Appendix Q, Rules&Rcgalstiota for licensing Construction Supervisors,Section 2.15) 7hia lack of awareness often results in minus 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 horneowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may sore t amend and adopt such a fomdccr68eation for use in your community. Q'forms:hor.=XC..pt �l�zta4�- Town of Barnstable *Permit# �Ftt18 Tp�� Expires 6 niontl front lssu date . saxrrsTaBM Regulatory Services Fee Maas $ Thomas F.Geiler,Director p sb.9. �''0Tt v r+tP't a Building Division Tom Perry, Building Commissioner X-PRESS PE RIArr 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 JU'" 6 2 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENT IRL) Z, RNST- Not Valid without Red X-Press Lnpri"t Map/parcel Number Property Address 75 A' j--$ LJ 0.y Value of Work =Igk_5 b ��-- - Residential Owner's Name&Address L t7 Telephone Number Contractor's Name Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) []Workman's Compensation Insurance Check one: I am a sole proprietor 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) Ej Re-roof(stripping old shingles) All construction debris will be taken to [�Re-roof(not stripping. Going over existing layers of roof) Re-side eplacement Windows. 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. Home Improvement Contractors License is required. Signature Q:Fonns:expmtr g Revise053003 , ! ®�,i e I I oxrnw::a�.�n.�www:.,..sammav>u'.�+aaw,.c.•sw.�..u�.,,:+Aso.Auxw+u�.m,�n.mr�..uyr..ynrsmgT"e°,�'eta t i f � a ,.a � - � , I I ' , I ' -' , -- -..m �c• ,..wR-�.:�+r..uA.ven-,..r....P�..e�{.-a�..w.w.� � _ � �_ r .. _. RV - -�--�-- - --- -- _ y ! -!'- --i -' ' --L I '� - � � -- I I -i I I ! i � I ' L i I , •i M � ! � i I i -�-1-- '- � --t---i-- -�-t- I - -- . �-+--Ir--r--�-•-I-'---�--=-i I i- �i t 1:, �„?--� --{---�-- -�-L-- '- + 4- I i � _ I r 3 t , rl I i 1 j t3'i:-^•.I: I t , i j � -! - -`- --~ -- 11<,�; !.' L I , I tt R; I I i .-a Al i � , �,. A I - " y I . � '���! �w'��.•6.Y� I� j:� ,�" I - I � t' t ! I I 1 � � � - ILI- Wif ORS, ,s' iL : I I I , , ' { e 4 � 1 t i t ^9 °f7MET°�♦ TOWN OF BAR.NSTABLE •B9BH9TOBL8, i 9 BUILDING INSPECTOR • Q YAY a'9 _1 APPLICATION FOR PERMIT TO .............�.�?r. 410 ................ .' .. /.G. �.. .............f. f. .. ........ TYPE OF CONSTRUCTION ...........i1! %, f!.We..`9`.. ���e..��?��...�!.e��>!'�............... ............�� /�.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 5 �f.. � .. / T�t�Q... � D�./7.1 I �S ..� !lay..... Proposed Use .......... +ow . g. ................. ..... ................ Zoning District ........................................................................Fire District 1. !Z.......... 7T ............................... Name of Owner .......Address ..f..�/Y,rsl� '.l�r��Y...... ..o&zzp,peme,4.er.*, Name of Builder /Q .... !� !'/� ../. ..: .Address ...le.w.-4.2.8 ! '................ Nameof Architect e /. :,,� ........... ..........................Address .........................................................r......................... Number of Rooms ............................. .................................Foundation ........�,.,0;4-1e-A1e ....................... Exterior ........ ......................Roofing ... ..11 TT t�ilr..................... Floors ................e'e-/ e ew-, ...............................Interior ........ .................................. Heating ........................ ...................................Plumbing ............. 4 ............................................... Approximate Cost rpoto' 0/ Fireplace ............................................................................ ............ .............................:........................ Definitive Plan Approved by Planning Board -------------------_-----------19________. Diagram of Lot and Building with Dimensions e SUBJECT TO APPROVAL OF BOARD OF HEALTH .-MM� W LNG s bJ A� z n ,_. .. 1000) LL C�( LL o co LLj rr-- r a .= tit 1✓ tii-. 'l1J Ld 40 PRk 3 NT oT -� (_f)O C� H bus E °; : a- erX er�- D- LO FtQp ROSE 0 J Cn l�"� GARAae > Lo '9'x so 3a 1 00 1ioo ' I hereby agree to conform to all the Rules and Regulations of the Town of Bar nst le regard' g the above construction. c Name ... ... .. .- �! . Findley. Myron W. No ...15193.. Permit for ......garage.... :.... 1/001- /0000 `... . ...............�tse�tom- '� �......... � Dcation :.....�C ..... ..�g s..Way....... F 40+,(� .......................Centerville............................... ! Owner ............Myron W. Findley.................. r$ C Type of Construction frame Plot ............................ Lot ................................ R f _ Permit Granted ..........June..28........:.....19 72 Date of Inspection L........19 Date Completed Z l�. ..........19 }' I PERMIT REFUSED ................................................................ 19 ............................................................................... • , J ....... . .................................../vim`. ....... ... ... ........... .' .... . ..... . ........................... i Approved ................................................. 19 ............................................................................... ...................:. ......................................................... a