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HomeMy WebLinkAbout0062 AUTUMN DRIVE �� r--. ,. � ,. e ,y � ., u .. { � �. _ .., � ., - ,. - ... - o - B 4 o m r. o 5 O- � _ - r Y n • �1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map !�P Parcel D `� Z Permit# Health Division Z 5 ^!�-$�Q� ')�d\f Date Issued 11DY Conservation Division Application Fee Tax Collector ��� 7` Permit Fee Treasurer �� 7,/ /0�Z SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis , TOWN REGULATIONS Project Street Address Village C fA_U_V 1`9 Owner���-�- +-�e Y\,4-e f\ -6V,,t 1 A Address 6� A 0-iA -by-toz, Telephone S b g y.10 60��") Permit Request Y'evY\" '7 Square feet: 1 st floor: existing9S3 proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure -2jO- �Ao Historic House: ❑Yes 9d'No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ®1Nalkout ❑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 4- new First Floor Room ount �R cn Heat Type and Fuel: Lklrbas ❑Oil ❑Electric ❑Other m Central Air: ❑Yes O'No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes 2rNo 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 O Appeal# Recorded❑ -- Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMAT N Zddress e n�2 r d Telephone Number Slog 'y �D�- WA_tt -Z)Y- e-, License# G-1 n4 r J Home Improvement Contractor# Worker's Compensation# r/SLIGNATURE CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Il,J�� L� P DATE �I'` �� 0 FOR OFFICIAL USE ONLY 4 w ' f PERMIT NO. r A DATE ISSUED f' MAP/PARCEL NO. G ADDRESS VILLAGE OWNER - DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL m GAS: ROUG FINAL 0 FINAL BUILDING -`s, O m020 Q � - DATE CLOSED OUT O O ASSOCIATION PLAN NOV z m S as C7 < `- m o �tFTHE loy� Town of Barnstable Regulatory Services BAMSTrABLB, ' Thomas F.Geiler,Director 9�A &6 9. 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: b0_3 `yllr'oo(YN rFYLoAJA Estimated Cost S� Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 QBuilding 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. Date Owner's Name Q:forms:homeaffidav _ The Commonwealth of Massachusetts r = Department of Industrial Accidents' 600 Washington Street Boston,Mass. 02111 . Workers'.. Com ensation.Insiarance Affidavit-General Businesses OAY name �1� •. �P `. — _ „'' address state 1 v -A ziv:ML 3*7—yhone# 441n work site locatio>i fa address : ��— A w �r v\ ❑ I am.a sole proprietor and have no one Business Types ❑Retail[IRestaurant/Bai/Eating Establishment working in any capacity. ❑ Office❑ Sales(mcluding.Real Estate,Autos etc.)' ❑I am an em'Plover with etn to ees(full art art time). ❑Other /% /P//�/O%%�/%/G/%�%%�%/%�%/�%%%%% I am an'employer providing workers' compensation for my employees working on this job.. coiii an •]name. saaregs _ • phone,#•'�.:,'; t / /% I am a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices: CID in any'name., _ ME tifi'oae#�. w.• .s.,, iusiirance co. - Fri,.4 coin"an. nsae: _ addI'eSS: •• :t�� 't• ' �.3.. •.i,::' .:r...; +h •a.^.,_ .t.: l'S:'I•`ts..—�' •:Y:.' L'.y"•.�: :1:;'�;. ' •f' msurance'sb: . i .:.:.. •: :.., , :: .;:.:::.. :• ,:;::�'..-.:.. "`o7ic`':#;. ZZ : //.- Failure 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 fsii'm of a STOP WORK ORDER and it fine of$100.00 a day against me. I understand that tz nsur copy of this statement maybe forwarded to'the Office of Investigations of the DIA for coverage verification._ - I do hereby certify under the sins and pQnalties of perjury that the information provided above is true and core Signature �� fl Date l Print name Phone#. cbi official use only do not write in this area to be completed by city or town official city or town: permittlicense# ❑Building Department - _ ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised Sept 2003) II Information and Instructions. Massachusetts General Laws chapter 152 section 25.requires all employers to provide workers' compensation for their. d� 'ce o another under an contract err�ployees. As quoted from the law', an employee is.defined as every person in the servi f y 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 enferprise, 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 employspersoris to do.rnaintenance, construction or repair work m 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-staies 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 sittiation.. 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 perrrrit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"lave'or if you are compensation policy,please call the Department at the number listed below. required to obtain a:workers' 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 has to contact you regarding the applicant Please affidavit fir y ou to fill out in the event the Office of Investigationsy $ g PP be sure to fill.in the permit/license number.which will be used as a reference number. The.affidavits.may.be.returned to or FAX unless other•arrangements have been made. the Department b .mail 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. ess,telephone and fax number: The Department's addr The Commonwealth Of Massachusetts Department of Industrial Accidents ON of lmresupwns 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext.406 i P�of,►,E��� Town of Barnstable o„ Regulatory Services sAxrrsrnst.E Thomas F.Geiler,Director 94, �9 .0� Building Division p�ED MAC a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION y Please Print DATE: QI�'t�`I,� i JOB LOCATION: ID�- U��-�.t///�� �Y ��II� � r1�1`� number street / village ' r "HOMEOWNER': �ef)l��,ce-\� 4� (�s� Ze.� 01�- `-C1-,40 name (� home phone# work phone# t` CURRENT MAILING ADDRESS: ba ' city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwelling's 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"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. -4�= ngi_p-�I Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt i � I - t t ------------ f _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map g Parcel — Permit# _/�9a�0 (� Health Division / � Date Issued Conservation Division S's - -� ®�� Application Fee Tax Collector 1 Permit Fee Treasurer SEPTIC SYSTEM MUST BE Planning Dept. A INSTALL`'"', 0MPLIANCE Date Definitive Plan Approved by Planning Board ENVIRONMEN`'AL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address Village _C rt�.t,3Tit r-V I L.LP Owner ���-- �`L"C KI UV60 L -J4ddress /�l c7 G{�r { �Ql V9 Telephone Permit Request BE P1-/9'cn � 7 <!Rzr/57—IM!— A60Y- l AJ-7— Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay 4Project Valuation Construction Type 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 ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full Cl Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new . Number of Bedrooms: existing new ' Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Cl No If yes,site plan review# Current Use Proposed Use 4, BUILDER INFORMATION _ Name Telephone Number (0 Address D f_N u�R ,License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _ - t E, FOR OFFICIAL USE ONLY t PERMIT NO.- DATE ISSUED t i MAP/PARCEL NO. t ADDRESS ' - VILLAGE OWNER DATE OF INSPECTION: ' FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL Pit PLUMBING: ROUGW- FINAL } Cr - GAS: ROUGH ; FINAL FINAL BUILDING m � rr 06 a" DATE CLOSED OUT �€ rig ., rr. n ASSOCIATION PLAN NO. M t7 The Commonwealth of Massachusetts _ - Department of Industrial Accidents Moo FfA"~M 6oq Washington Street - Y Boston,Mass. 02111 w Workers'.Coin ens ation.•InsuranceRffidavit-General Businesses // 31jP+C•uSitri�' �•�' :t'`r^F$., 'Yw. .;r'.. .•'� g wA,dt1 , FMII ffd • IIame. .- - ' _ ti is• _ .5"` address: A—�A-A.'►'vI � f�\ state �l� ziu Zb 3Zvhone# a. ' fall address n s` � work site location( ): ❑ I am.a sole proprietor and have no one Business Type: []Retail❑RestaurantBai/Eating Establishment wo=king in any capacity. Of Sales(mcluding Real Estate,Autos etc.) I am an em toyer with em•lo ees full& art time)'. Other ' 1 -,:g a�,i•�e� //%%///%%// I am an•employer providing v4.orkers compensation for my employees working on this job. coin'ari 'ames" •.�: . .,:..t.s .! 'f •.�i,�f,. ..i..�tiJ�•.l:,? •��:: ..5:: _ 'r..�..•::ia:,•=.'. :1'' h')e ' ,•:,,+. - :i;•'.::: 6dar'e196E' Insurance.cos,::. :.,:..l:..., ._ '❑ 'I'am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: ; COm an•'n'ama: YT,:..y..,••' tir•. i'. YY' J'i r7a'•.,5•' .7b:C:�•. •{.i l- 'i• .. •t•• - .•!: •,•'t• -:'p•• ,':, :�yr.,;.°''1. i..' -'uiJ w' ;i l"•••; ?� .*: ..o I _��: r,;i,:2�ia.:�}C irisurance'co.:. :t:�'.•;i .�:.,';. ,.�. �%%%%%//%%%r�. .:�':., ;.y.J,. :l,: ..t. '�'' ..,1,,'h4 ';C•'1, :t:' .r.•' a4': i .�i.�. coin sit• nal ea address:. > :•1.. -fie. '.:rs" 'a, i .:,;:°,e' �'> i Fallure 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 OILDBR and a fine of$100.00 a day against me. I understand that p copy of this statement maybe forwarded to the Office of Investigations of the DIAfor coverage verification. I do hereby certify under the pains `d penalt'es ofp rjury that the information provided above is�true and correct Signature —Q ' "�" Date - . . , Print name phone# official use only do not write in this area to be completed by city or town official city or town: permit/liceuse# ❑Building Department CILicensing Board [}'check if immediate response is required []Selectmen's Office ❑Health Department , contact person phone#; ❑Other (revised Sept 2003) 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 mare of the foregoing engaged in ajoint 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.noOncre than three apartments and who resides therein, or the,occupant bf the.dwelling house of another who.employs persons to do.maintenarice, construction or repair work on such dwelling house ar on the grounds or building appurtenantnant thereto shall not because of such.employment.bedeemed 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 t�e insurance requirements of this chapter have been presented to the contracting . authority. Applicants Please file in the worker's' eoupmmsafm a€fidavmt corr�letely,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 ccidents for confirmation of insurance coverage. Also be sure to sign and date the to the Department of Industrial A 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 listp 4;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 retuned to the Department by.mail or FAX.unless other'anrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any 4uestions, please do not hesitate to give us a call. address,telephone and fax number: . The Department's addr ep , The Commonwealth Of Massachusetts Department of Industrial Accidents fff "of ft"S lgatlens 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 -nhn-1P*: (617) 777_400 pxt:aa6 ofEro� Town of Barnstable • ,� � Regulatory Services a $may-r�al,E, t Thomas F.Geiler,Director 9�ArFo 3� � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 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. 84-q Type of Work: Estimated Cost Address of Work Owner's Name:. hcation: 4 Date of App I hereby certify that: Registration is not required for the following reason(s): Work excluded by law []lob Under$1,000 []Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERSPULLING THEIR,OWN PERMIT OR DEALING WITH UNREGISTERED RK DO NOT ACCESSTTCONTRACTORS F�IRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A. ACCESS TO THE . SIGNED UNDER PENALTIES OF PER3URY Ihereby apply for&permit as the agept of the owner: Contractor Name Registration No. Date OR Date Owner's Name OF THE r Town of Barnstable Regulatory Services BAMSTABLE, : Thomas F.Geiler,Director y MAss. Q,A 039. ,m A Building Division rF0 MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION L� Please Print DATE: JOB LOCATION: number t1 street village HOMEOWNER" nu : l Q_C[I JI'�U name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-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"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." ` Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form_ currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt a_v` II %__V lr— III=R . Y- a— nr1,AL,%L Y "■ v 9 M C J:k MA►._.lw C STANDARD LEGEND r NOTE:not all symbols will appear on a map i GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES / M PI .` EDGE OF BRUSH ORCHARD OR NURSERY " V V ' V EDGE OF CONIFEROUS TREES I ' MARSH AREA . , 7 �—— EDGE OF WATER I I ". #1 I — —= DIRT ROAD d DRIVEWAY _ PARKING LOT PAVED ROAD DRAINAGE DITCH PATH/TRAIL. PARCELLINE** MAP 326 MAP# 021 PARCEL NUMBER ` #367 HOUSE NUMBER 2 FOOT CONTOUR LINE —!0 10 FOOT CONTOUR LINE` r -------. Elevation based on NGVD29 i ;•�4.9 SPOT ELEVATION -- cx STONE WALL FENCE l R �. /; 1 ' RETAINING WALL R -- — RAIL ROAD TRACK AP, 16 f — -=} STONEJETTY _ � 7 SWIMMING POOL 1 PORCH/DECK / (��nr}J BUILDING/STRUCTURE ,. . - f - - A ! r n_T-. ''`---- r✓�.—� DOCK/PIER 1 ¢ tQ HYDRANT e VALVE O MANHOLE o POST 0" FLAG POLE r�, l T O W N O F B .A R.,,. N S T A B L E G E O G R A P H 1 G 1 N F O R M A T 1 O N S Y S T E M' S U N 1 T o SIGN ® STORM DRAIN N PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimehics(man-made features)were interpreted from 1995 aerial photographs by The James 1°=100'scale map and may NOT meet of property boundaries.They are not hue locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD UTILITY POLE TOWER w- E 0 15 ,30 :National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards : 1 INCH=30 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2004 Town of Barnstable Assessors tax maps. ¢ UGHT POLE O ELECTRIC BOX FTME►p�� The Town of Barnstable BARNSTABLE. ' Department of Health Safety and Environmental Services MASS. b 1639• �0 p'EOMp�� Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 4 p,'�C �(l (j a Fax: 508-790-6230 7)�� � 5 � PLAN REVIEW Owner:-T YI Z t R- I A Map/Parcel: .11� D 5 2 Project Address: (oo �'i A V'm Y Builder: The following items were noted on reviewing: o� n�r�,_.��:---C°uhYt2c-�t un 1 IZL (A v s IA, Reviewed by: n Date: 7 . q:buildinglorms:review i "" ""'.^' ., tip....,, a..^ -'».....-��..'-i- w v 'r't+r r ti . '4'f vr-;'��E"arji'`'`'+�F+=-7 F"' L'�k `i.'"r/ Ali�`•.�;,[k. i..>4.: .:,�,;� Y. ; �, -K1,. -Assessor's map and lot number r / ' Sewage1.Permit number �<..'2........................................... c� Qy 'THE t TOWN OF BARNSTABLE S • i BABB9TABLE, i 16 9 BUILDING INSPECTOR 'FO ypY�' 1)k� '"APPLICATION FOR PERMIT TO ... ......................f................................................................................. ............�. —�f� d GL r TYPE OF CONSTRUCTION ..................:.................................................................................................................. TO THE INSPECTOR OF BUILDINGS: ; The undersigned hereby applies foV:�� to the following information: Location ......�G,/�-A A. .... : ...... ................. !. 1:. .... ...:..................... ' Proposed Use ...kee,r: vA4 ........................................ `a5'�'`. ??'i ,`... .....................................................................! Zoning District ,.11. ........................../,...........:;..............Fire Dist`rict ............................................. Name of Owner l ! �.� e: �' Addresses / � �.. `........ -........,..�`.�l � . I... .... f ........ ... .... ... �.... ! ;L , ,.52 -°��t,...�- Name of Builder .:........ ..............Address ..� Name of Architec ! �C 4?/N j7 Address'' ! r'� �ls./l �...... V�f...= f...... .- t y ......................ry:.............!...�Foundation ...............�/��.�i................................�..... Number of Rooms ..........r..............r.................:.......... 41 A Exterior .......... .............Roofing ......,....................( . ...............................A r +f i ....................................Interior .,:......:_... A-.................. Floors � Heating `ff ,,; ............................................................ ................................................................................... Fireplace .......t !, .......................................................Approximate Cost ......t� ,t?h�� t.....`............................... `�d Definitive Plan Approved by Planning Board ________________________________19________. Area ............................. ............ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 9 •S 2- 7 J u� q I hereby agree to conformt all the Rules and Regulations of the'T— of Barnstable regarding the above construction. Name ... .. ... _ ........} '......... . ............. ! Russell E. Ginn, Inc. A=168-53�- ' ' ` ^ No Permit" " for ' sir ilae ��_, . ---..�����..������ -'_--V-n --.`/ �~�\ntnomz Drive Locohon��-----------.. -----. . ^ Vvvne, -~-~~^^ E. ~^~~ .,..xC.-*-- Type of Construction -- ' ' Permit. . Granted ~~'~ of Inspection^ � ..../.............................19 uo,u Completed /PERMIT REFUSED lV ----'' --------------------- - � ............ ......................... � --��--.------------~.-.---~.. ' ' ----' '-^^ ' ` ---- . � y , \] ' � Approved� ................................................ lV -------.-------------.-~---. . , ' ----------------------'---- a .. .� Ak& y �QT ice? * / �151��►��l©� ;. f/ oA J ` AD G. Al AD SILL ALE K-. -Ff.ET .460✓E L 0,4D L !I- f SCAI- _J :* ._.DATE; r0=/1 �. PLAN lV4,XrL NCB.: E/JVG v1 V _.LOT'0f-9- s S/ 3t✓N .CAW EX/ST- ra� 1,VG FOUND.?T/ON GOCLFT/ON /S QIP,eE t�v W;� * \fill,� ,4S SHONIV gN17_ - __CONFOk'�l�Y/TN Y T14E BUILDING 'yET8.4C.�,L�E¢?UiPEMf,M' � Tr��ft�R ,y t OF THE TO`Vn/ OF CAM-0 LL ; T.a YGdI C0.8 ,�_ �5 ,.<"' f �"' .N/J•'` B GV GGOb!/ST. Y.42M0 UT117�QT MA. -�6 L) t +�Asse!' or's map and lot number ..........: .... 4?•.•..•... SEPTIC SYSTEM MUST BE INSTALLED it COMPLIANCE Sewage Permit number WITH ARTICLE II 5771E SAi RITARY,-COK NQ YOM T B ETp�y TOWN N OF BARN��T �..= �`E S BARNSTSDLE, 5 " q p M BUILDING INSPECTOR ATE' PY pr• 4 APPLICATION FOR PERMIT TO .. .......................... ................................................... .. ....... ........ ........ . TYPEOF CONSTRUCTION ........ . . ...................................................................................................... ........19.... . TO THE INSPECTOR OF BUILDINGS: The undersigne hereby applies for ermit according to t allowing inf�rion:Locaton ....... a :A.!�....... ............................... ............ ....................... ................ .......... Proposed Use ............. ... ................ .............. ! '4 .. ................. ..... . ............................................................................... ZoningDistrict .. ... .. .......................... ... ............ ................Fire Dis rict 3o...i...0��.7..-.... ................ .... ......................... Name of Owner s.... .. ..Address ... . ........... ............................ ...... .. ..... .. .. ........ .. 'b� Nameof Builder ....... ...................�t..............Address ..................... ......................,... ................................... n Name of Architect .... .......... � ... . .............. Address .... .1� .. ...................................... + ,- & /f Numberof Rooms *................. .............:.....Foundation . .,... ............................................ ,w. Exterior ....!�.. ...........��`:....L. ...Roofing ........."`'.!'...........a..... ... ........ I/ r Floors ....... ..(�........:.................•. ...................................... ............... ..................v.... /� �'... .n.............................. • Heating ........................................Plumbing .................... ....... ..... . � �"E!..?^........... 9 ... ... ...... Fireplace ...... .......:..............................................Approximate Cost ............................. Definitive Plan Approved by Planning Board. ------------------------_-------19________. Areal ..: ................... Diagram of Lot and Building with Dimensions —n f Fee .....�`1....:........................... SUBJECT TO APPROVAL OF BOARD OF 'HEALTH I hereby agree to conform to all the Rules and Regulations oft Town f Barnstable regard' the above construction. Name ... ............ ..................... ............... Russell E. Ginn, Inc. y No1:774.. Permit for ...one story, .... ..................... 4 singe"family dwelling n ................................................ Location .....Autumn..Drive. . ....... .. . . ................ Centerville Russell E. Ginn, Inc. Owner .................................................................. } Type of Construction frame Plot ............................ Lot ................................ h r 5 Permit Granted ....... June 12 19 5 4 z 1 Inspection Date of .19 . ......... .. . Date Completed ... ..r. ..: -..........19 a , - PERMIT REFUSED ................................................................ 19 .................. ................................................................................ g e ................................................................. ........................................................ ................... � r I r � rApproved ................................................ 19 ;. ............................................................................... a � m -I, El m Town of Barnstable Fi"E r° Regulatory Services Thomas F.Geiler,Director BARNSUB�. Building Division Qj 1639. �0 .erE0 MA'1 A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 00 Fax: 508-790-6230 PERMIT# ,; 3 FEE: $ SHED REGISTRATION 120 square feet or less bac: - cF\— Ar w e w Location of shed(address) Village. q)-o �d Property owner's name Telephone number Size of Shed Map/Parcel# /J Signature Date Hyannis Main Street Waterfront Historic District? 00 Old King's Highway Historic District Commission jurisdiction? afore required) 3 Conservation Commission(sign 9 0/h� PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE 3?4/0D(j' COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. / PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg RBV:121901 12x20x8 Found Style #71332 4-Pc Rib, Sliding Cross Rail, Greym Please read instructions completely before assembly v � . .. ATTENTION: BOLTS ARE NOT NEED- ED OR INCLUDED FOR EVERY ' - CONNECTION BUT MAY BE ` PURCHASED BY CALL- ING THE NUMBER.BELOW FOR MISSING OR _u... REPLACEMENT PARTS D OR Cover Rail Plain Ends 45 3/4"L 10110 10 QUESTIONS PLEASE CONTACT • Cross Rail Plain Ends 48 1/2"L 2031 3 CUSTOMER SERVICE: 1.203.931.4777 Cross Rail Swedged 50 1/2"L 2030 12 • Middle Upright Tube 56"L 10203 8 Wind Brace (Flat Ends) 55 1/2"L 10205 2 Bent Corner Leg 10226 4 Side Bend Plain 80"L 10225 6 Side Bend Swed ed 80"L 10224 6 All-Weather Cover 10247 1 NORTH Ake ICAN C21"20FLP7 GY/VV OlIfd00f Pr dUCfS 13 Wood Street 2 Zipper Door R12*8-2Z7 GY/1N 10249 1 West Haven, Manufactured Under U.S. Patent's Back Pane_I R12*8 B7 GY/W 10248 1 D415,571 D409,310 D430,306 D414,564 Other Patents Pending ® Turnbuckles 5/16' 10021 4 05-71332 06/03/03 . ;§ PAGE 1 , Ofa . a Aqk y� xx �Q^F. r•, r' F I{ ' AD roo f �LAAN r ��� f G! L WeZ o T 57;0�c I gLe6Z3Y CEk:''T/FYT/-/AT THE �X15r ,4s SNc?`1rN AND_ G� -CO,—vx-o ^. l W/Ti,/ ell l Vy4+'i.�« ��A. !..A�! •�'. ,-0+' •� .CYO. r+ .. a' `• " . f37 .61.E L�" 4,4�t/ r 3 , i 5 fl Tr i [IT r ,M joubte- 1 ! i s 5 r fd10 1 t b t s 0 _ iq '--- °s - A a�rc.�or� in ��' d; tS� - ub8 10 !no�u>✓.- 1 �A J SCALE: y APPROVED BY: DRAWN BY proper �t1 s�YlC�� t' (�IAtIS a f)() t. J REVISED w f SI��S� I OO�I� t� DATE: Z ° 1 S�ePS a5SGf5 w.t 5 �, 0. �;2� 2y � D • A b�;1 tz oaf,.. T h re.\Y-\c s . N W DRAWING NUMBER 0 '�" - aX� o PT Li 777-4. hoc- l� Ao ! J W► coC\CCrii� r r�.qS �x a J �vl�,�s�-�.r,S PT" w�! Top aLc.k:\ of C�o 6 f tt i 9 4r f s SCALE: APPROVED BY: DRAWN BY t F zi i i i t. n i REViSEtS '1 � . -- _.. _......_ ___ — _. .... _'. •.... .—..,..,.._._.. DATE: r. D i ? W V) I i I W) f r DRAWING NUMBER Nti+' . o NC��S� '