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Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis lJ U r Project Street Address 100 Bay Lane Village Centerville Owner J E Mcateer Address same Telephone 239-821-6746 Permit Request air sealing, install 442sg ft of attic insulation (R723 to floored attic) insulate the back of the basement door, install an insulated cover to the attic access folding stair, install 618sq ft of polyethylene to open ground basement areas, 208sg ft of R-6 to exposed heating/cooling ducts Square feet: I st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2096 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 ❑ 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: C) Zoning Board of Appeals Authorization ❑ .Appeal # Recorded ❑ 66! ! - Commercial ❑Yes ❑ No If yes, site plan review# "M$ Current Use Proposed Use APPLICANT INFORMATION ZZ (BUILDER OR HOMEOWNER) Name RISE Engineering Telephone Number 401-784-3700 Address 1341 Elmwood Ave Cranston, RI 02910 License # 100459 Home Improvement Contractor# 120979 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 4 1 10 / / Erik Nerstheimer for RISE Engineering a _ FOR OFFICIAL USE ONLY -APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION t, ;i FIREPLACE }' ht ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING jl�I� DATE CLOSED OUT ` ASSOCIATION PLAN NO. '.I" i The Comrrrmn w eallh of Massachmsefrfs Depoirip¢ent©f llndusirial Accidemgs Office of I[nve,sfigagions 600 UWashingdon�'gree�i Bo�gon,3M 02111 UV vwww-mass.govldia` W.®lrke>rs' C®>znpeamsat>1®n ffnsan>rallnce Affffnd zAf. Il�»n>1➢dltelr�lcC®nllr��t®>i�/�➢te�t>rnen�n�/IP➢nnnnni��lr� Applicant Janff61r>l;l 2tt n>rn , Pleas F>rnn> Lulla Dame (Business/Organization/Individual): RISE Engineeiingy A Division of Thielsch Engineering, Address: 1341 Elmwood Avenue, City/Mate/Zip: Cranston, RI 02910 Ph0ne #` '401-784-3700 or 1-800-422-5365 Are your an employes? Check the appropriate bo Type of project(required): 1. I am a employer.with 4. ❑ 1 am a general contractor and I employees (full and/or part-time): have hired the sub-contractors �.. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 1 7. ❑ Remodeling ship and have no employees , These,sub-'contractors have` S. 0 Demolition working for me in any capacity, z workers' comp. insurance. " 9„ Building addition [No workers' comp. insurance 5. ❑ We are a,corporation and.its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per 1\4GL, l I. Plumbing repairs or additions .myself.. [I\To workers' comp. C.152, §1(4),and we have no 12. Roof repairs insurance required.]t employees. [No workers' comp..insurance required.] 13.Q Other Insulaci on "Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such." " lContiactors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp:pot icy information. f am an employer-that is providing workers'compensation insurance for mywemployees. Below is the policy and job site information. 4• Insurance Company Name: Th.e Preston Agency Policy#or Self-.ins.Lic. #: WC2-Zl l-259874-019 Expiration Dater 04/01/ 10 Job Site Address: ©l City/State/Zip: LU -.-OiAkw Attach a copy of the workers' cone ensat➢on policy declaration page(showing the policy number and expiration dale). Failure to secure coverage as required under Section 25A of NIGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form"of a STOP WORK ORDER and a fine , L of up to$250.00 a day against the violator. Be advised-that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certo un di the ins an °penalties of perjury that the information provided above is true and correct. Si nature 0 �-um �r yam:r.- _: _ 2 1 q `�� Date: 1 31 �. Erik Nerstheimer" for.,RISE Engineering Phonek 401-784-3700 or 1-800-422-5365 Ext. -133 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: rage i 0> i C� The Official Website of the Executive Office of Public Safety and Security (EOPS Mass.Gov Home Public Safety g Department Of Public Safety Licensee Coniplaints License Type Construction Supervisor License# 100459 Restriction I WS,IC Name Erik Nerstheimer City, State, Zip North Scituate, RI, 02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee, Back To Search ✓�ie.�a7vmao�rxusect>!li� a�✓l/`aaGac�ccce�b " 4 � -- - . _ Board of Building Regulations and StandanFs I Li.eense or registration vaUJor individol use onl}1 HOME IMPROVEMENT CONTR4CTOR i i- before the expiration date. If found return to: Registration:. 120979 Board of Building Regulations and Standards Ezpir`ai.o:n_:3%25/2010 ®ne Ashbu,.rton Place Rm 1301 4TYPe Supplement Card Pic?'st031,AIa. OZI.A8 HIELSCH ENGINE.-84I.NG RIK NERSTHEIMER_ '�=- n 341 ELMWOOD AVE RANSTON, RI 02910 ­, f ' — Admrn.ist� ttor Not valid without sign- ere " hrtp://db-state.ma.us/dps/liedetails.asp?txtSearchLN=C8L 100459 4/')n/')nnn ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID 27 �DITEYYYY) PRODUCER THIEL-1 09 The Preston Agency, Inc, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO 1350 Division Rd Suite 303 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 810 HOLDER•TH6S CER71RCATE DOES NOT AII�ND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW East Greenwich RI 02818-0810 Phone;401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE INSURED NAIC# INSURERA ' Hartford Underwriters ins, cc Thielsch Engineering, Inc I Thielsch Group Inc. � INSURER ���cas,�>.ty`T,,,„„b,,,,e Hi Tec h Realty Inc. INSURERC: y ,toza � Cranston Frances Avenue INSURER D: North AmericanCapacity Cranston RI 02910 INSURER E: COVERAGES 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NS TYPE OF INSURANCE POLICY NUMBER DATE �� v GENERAL LIABILJTY , LDD73 EACH OCCURRENCE $1,OOO,OOO A TXCOMMERC:LALL GENERAL LIABILITY 02UUNTD5678 04/01/09 04/01/10 $300,000 CLAIADE OCCUR MED EXP(Any om parson) $10,000 PERSONAL&ADVINJURY $1,000,000 GENERAL AGGREGATE $2,OOO,OOO GENL AGGREGATE LIMIT APPLIES PER: POLICY X Loc PRODUCTS-OOMP'OP AGG $2,000,000 AUTOMOBILE LIABILITY Emp Ben. 11000,000 B X ANY AUTO 02UENTD4850 04/01/09 04/Ol/10 coMBINEDSINGLELIMIT (Ea acad-I) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS c BODILY INJURYRY ( $ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ (Per au5derd) PROPERTY DAMAGE (Peracaderd) $ GARAGE LIABILITY g ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: 1AGG $ .. EXCESSIUMBRELLA LABILITY EACH OCCURRENCE $10,00O 000 B X OCCUR CLAIMS MADE. 02XHLW6573 04/01/09 04/01/1O AGGREGATE $lO 000,00O DEDUCTIBLE s- .. X RETENTION $10,000 WORKERS COMPENSATK)N AND $ - WCSTAFU- C EMPLOYERS'LIABILITY _' X TORS LIMITS ER ANY PROPRIETORIPARTNER/D(ECIITIVE WC2-Zl1-259874-019 04/01/09 04/01/10 EL EACH ACCIDENT $rJOO,000 OFFICER/MEMBER EXCLUDED? If yes,describe under ' E.L.DISEASE-EA EMPLOYEE $500,000 SPECIAL PROVISIONS below OTHER EL DISEASE-POLICY LIMIT $500,000 D Professional Liab DVL000025902 04/13/09 64/01/10 Prof LiabY •2 000,000 A Leased/Rented 8 02U[lNTD5678 04/O1/09 04/O1/10 E DESCRIPTK)N OF OPERATIONS/LOCA7NM I VEHKXES I EXCLU M AADDED BY t l OO OOO ENDORSElIENT/SPECULL PNOYI5l011S *Except 10 days for non payment Of premium. Holder is included as Ian additional insured when required by. a written contract with respect to the General Liability coverage. - CERTIFICATE HOLDER CANCELLATION „ TWNQAKB SHOIR.O ANY OF 11HE ABOVE DESCMED POLICIES BE CANCELLED BEFORE THE EXPIRATION DA7E MREOF,THE ISWNG WILL ENDEAVOR TO MALL *30. DAY$WRITTEN NOnCE TO 7HE CER7MICAIB HOLDER NAMED TO THE LEFT,BUT FAMM E 70 DO SO SHALL NPOW NO OBUGA70N OR LJABLI ITY OF ANY KID)UPON THE INSIItER,ITS AGENTS OR REPRES1111111ITAYNEIL R AUiHORRED ACORD 25(2001/08) ©AC D CORPORATION 1 Also for RISE Engineering, a division of Thielsch'Engineering, Inc. Gaskell Associates, a division of Thielsch Engineering, Inc. SAL Laboratory, a division of Thielsch Engineering, Inc. ESS Laboratory, a division of Thielsch.Engineering, Inc.'_ ' ' ALCO Engineering, a division of .Thielsch Engineering, Inc.- Water Management Services, a divi.siofi-of Thielsch Engineering, Inc. 7 RISE ENGINEERING . ECEOVE deral ID#0"405629 Contractor Registration No 8186 A division of Thielseh Engineering Contractor Registration No 120979 I DR) . Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,RI J N 1,9 2010 r (401)784-3700 FAX(401)7 O NTRACT- IS CONTRACT IS ENTERED INTO BETWEEN RISE + - ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER ... F. PHONE DATE - Client p J E Mcateer (239)821-6746- 01/05/2010 106840 SERVICE STREET BILLING STREET 100 Bay Lane y 100 Bay Ln SERVICE CITY,STATE,ZIP _ BILLING CITY,STATE,ZIP - - Centerville,MA 02632 Centerville,MA 02632 JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products.' Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work . will be performed at the rate of$66 per man per hour,which includes materials and testing. 7.5 man hours. $495.00 RISE Engineering will provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. This work will be performed at the rate of$75 per man per hour,which includes materials. 2 man hours. $150.00 RISE Engineering will provide labor and materials to install a—7"layer of R-23 Class 1 Cellulose added to 442 square feet of floored attic space. cr $486.20 RISE Engineering will provide labor and materials to insulate the back of the basement door with 1"rigid fiberglass board and seal the door, edge with weatherstripping to restrict air leakage. $100.00 RISE Engineering will provide labor and materials to install an easily moved,rigid foam insulating cover for the attic access folding stair. The cover has integral weatherstripp ing to restrict air leakage. $160.00 RISE Engineering will provide labor and materials to install 618 square feet of 6 ml polyethylene over open ground in designated crawlspace/earthen basement areas. fi $185.40 RISE Engineering will provide labor and materials to install R-6 faced fiberglass,insulation to the exposed heating and/or cooling ducts in certain non conditioned areas. Total to be installed is 208.0 square feet. RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year., $1,572.00 WE AGREE HEREBY TO FURNISH SERVICES t COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Five Hundred.Twenty-Fou r&60/100 Dollars $524.60 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FU-LL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS.SEE REVERS OR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AUBHO Si RE- LSE ENGINEERING COSTe ACCEPTANCE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE r SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE . 04/13/2010 15'. 16 FAX 1401 784 3710 - RISE ENGINEERING 1 002/003 . —T —-- ACURD CERTIFICATE OF. LIABILITY INSURANCE ���D "`T(IMH+I,[I THIEj,- 04/1.1/10 rPnDul_EH -„� THIS CERTINCATE 15 ISSUED AS A MATTER OF INFORMATION Tht Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 13SO Division Rd ;cite 3U-3 HOLDER.THI5 CERTIFICATE DOES NOT AMEND,E:(TEND OR PO Box 8107 ALTER THE COVERAGt AFFORDED BY THE POLICIES OEI 0W East Greenwich RI 02819-0910 Phone: 401-086_8000 IN5URERSAFFOROIN000VERAGE IINAIC9 tJ+.tiRDD• _. ---- -- ---• I IFI$UFQ.HA - - �•-----._._ ---- —T - _— _ Zurich American Ins Co Thielsoh Eti inecrin Inc IN;SIRE-S. — —" — — Thlelsch GrOUp Inca W!>us`LRc North Arnericar C3 lr_it ty N1 Tech Realty Inc. _ )_ p_ y 19S Frances AvenUF L, Cranston Hartford Insut'anr,? Com an -- Cranston .RI 02920 — —• _ ��!._ COVERAGE, , IW.POLICIES OF IJ•ISURnNCF.I ISTcn F3ELOw HAVE BEEN I;a(Fn III 111E INSL,RED MAJ IED 4BOVE FOR Tr1C PCA ICY r+i:mriCl 0:111_AI Lu MDI WI a 1[,(APIDINL . AN(IIFN IINF.4cNT.TFRI.4 W f:ONCIIT10N 01'ANY Cr)NI nA(.r op QTHrr?nRCUMFNI vvi N REGPECi'rrJ'O•?IIi.FI TFm:•CC1,111 IUAIL MWe Rr-IS4U6o OR .. MA,PERTAIN THE INSI,IR,1)<E AI'FORnpr,Qr IIIL uCA IV ES DCDCPIDED HEREW.IS (AJE;0 IOA.l 1)-(ETERMS 6X(71 W,10145 ANCI'.io-p171QN$OF S:UCFI LAIC It'j Aci fHI-GAIF,I IM115 SI IOwN MAY HAVC ULFN REDIrCED QY PAID CLAIMS _ p(3CTC1 EFFFCTV9• LILYEXFIF�dT161� _ _._. .__.-- __—• _ __ LrR IN'iPt T'iPE OF IN EURANi F PDL ICY NUMeER I DATE IMMIDD(lYI PAYE(.—LyyIW1 U+�IIT'i -I}— E(mm _ GENERAL LIABILITY I •-•••---- 1 LJ11_Il OCCURRE ..F• '{ 1,000,.00G .. A I rJAITLL rCSPERTFn X COMMe(i(;VLGENL'HiV IIAAI.Irr 373U�fi�-0(1 04 0 /10 01/01/11 F'R[ ISF; r-r,.xcuo�crl _ _ I � / 1 r i_ J 30n.000 I fl AIMS W Lit• L:.I OCC:Ur7N-4I—)FYJI f'Inu rina pq,,ml S 10;(i(m ... _ - (°EId:jOryAl-¢ADVI+IVR'f 5-I,00(1 ,000 - (,CNCr+ALAtiU(CGAII. S�,ODO ,Inn CI=NI AOGRF(,AIF I.INIT AC•PLIL PER. - - - —� - •^ — - —_ _ PRODUCTS �timn'rP Y _,0 0 0 r G O 0 r` R Hu, j POLICY jX I JF.CT 1 LLwt Emp Ben, l Q00,00G 'At Jrnmoun,C I.IALIIUTY I - --I COMBIr1C(J 1Nr-tLLlldll I x ALIrO. . /0110 O1/U1/11 00.0,OOU. Al l OWNED AI WLIl I _ -- -._.. .:-- •----- - 80DIU'IN.n1Pl' 4.. 3ChCDLILED N J T U': I Ham pnr r,onJ . Rbrill/ NAL;V HOLD-Liroz� HI,ri3OwI•A_IJ Ali 1 QG L fil'r f•TY CIAr.Nr,.L I �(r'Ara�rinnlll ! GARAGF.I IARII MY - —_— —_ ---- - - . 'AIJICI ONLY I:A AI_.ILJL ai'�.I C ; —�NV(AUTO I'A rlb l V. �:j - CII IlR71 V.r• ---- ---- -- AlJ1U.NLY !rd'r II ; •.„ EACE5S1UMRrAELLALIABII RY .,�. rJA_i{(rc_L'aJP�+L NYC ' )gig _ I�"J� a 10,QU6�000 B X n(:0IF ICLAIML'F•WLIC UtfS 92G3G37-LID 04/O1/10 (11 O1/11.'InGr>P(Hrn1E — �J / - -_ -` 's10 oOCr,D00 k HGTFNft6N- s 10 ,000 WpRKCR:rouPi;N5ATI0rr AND i X�Or?VI-Irnlf�. 1. L1. LIpILI IYC R�,'IIARILITY A R tvrAILZGR"N1W. fl->FrUTIVC 1 31309G1=00 04/01/10 01/01/11 L EACHnCCID(I/( It 1,0000000 Ir)PFIrE.PIMCMBEPEKCLUDCD} I L 01 CAST-L•ALMHLJ1kk i L (10 ,000 ' If Va: dascnDc under --_-_ ,I FCIAL PROVISIONS b•duw F L OL.LPaL.PCLIr+LI IIY F l DDO,ODU oTHER ProfesG:ional Liar DVL0000Z6eUO 04/01/10 04/01/11 Prof Liab 2,000,000 T) Leased/Rented Eqp 02WDTTD56Ia 04/01/10 04/01/11 Equipment. lUU,4O0 UESCRIi•r10N qF nrll+A14fN5!•LOCAiIONo•f VEHI,LL';fES(fI1JSIiJN5.A0pF❑BY EhID0R5EMENT SPFi.IAI,HRi IVI'i1!INS - " - -. ----- _ L_[RTIFICATE HOLDER CANCELLATION $HOLILD AHr oA THE AB OVE DESCRIe ED FULIC IL'u NE LANGLUED 9C r(IRF THE ECFIw ATIOI•I ' • - - LIAIt THEREOF,THE GSUING RJSURER'NILL.Ln10G avnu•,I mAn, 10 f1A15 Vvyi rrF.rl 140T16E(o THE CERTIFICATF HOI DER NA ME TO rHE LLF T.BUY I.\1LLIf E TO OD SO•d IAI.1 .IMFnSL HO 401-10ATION UR LIABILITY OF ANY 10,10 UF-'.)rl THE.INSIIRh H.11 n ACrHTS GH . REPRE`EN'ATNES - - - AUTI�oRREpREPRE`:F ACORD 25 I2001I0BI lsiACORp C:OF PORATIUH 19R6 .17 /A yOFTHE TOWN OF BARNSTABLE ARNSTAELL mum 1639. BUILDING INSPECTOR 01 M APPLICATION FOR PERMIT TO ....... ................................................................................. TYPE OF CONSTRUCTION .........VPJ�J..t/.... ......A ...... 4......Z2. ............ ....................... 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...................................................................................................................................................................... Proposed Use ..... ...................................................................................................................................I......................... Zoning District 1,7.).._.....................................................Fire District cleal� A0,1VIlk *, .............................................................................. Name of Owner ..................Address . ....................................................... .................................................... Nameof Builder .....................................................Address ..................................................................................... Nameof Architect ................... ........... .................................................................. Number of Rooms ..................................................................Foundation Aejow, C/ .............................................................................. Exlerior ..... ...... ........................:..............Roofing ........................... ......... . .................................. /V-C/Z Floors ........ .......................................................................Interior .................................................................................... Heating ....:77:7777=..........................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ......................................... ............ Definitive Plan Approved by Planning Board -------------------------------19-------- p A--� Ile" 400P Diagram of Lot and Building with Dimensions ed-L 7-S SUBJECT TO APPROVAL OF BOARD OF HEALTH ail\ n-Jell 0- co Q 3: , C I 0 Q G �Zw ® LEI A e co -j 0 va CU Q Lr I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... .................. .. ...................................................... Lane, Merle H. 1 . No :15....3...:'Perrnit`for ....garage.................. .............. �Q� Bay Lan@ Location .. .. ..... ``•~ � ... ............. -Centerville Owner ...............Merle H. Lane 4 ; ... r ; ........... Type of Construction fram9 .......................... ............ ................... ....- ...................... ^ ............ f Plot .............. Lot ........ Februa 73 Permit Granted`.......... 2'Y 5 Date of Inspection .....: ........................:.19 Date Completed ���x./r.1 3.l 9Aft r"i - �2 '.�;.,=.PERMIT REFUSED v • I ' 1q i ............... ................... ................................... • 4- _! a`� - ......................... ..................................................... - f Approved ..........................................................................{... ............................................................................... TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � � J Map Parcel 3 � Permit# '9 1 42 Health Division o ; , Date Issued Conservation Division o/�fv ® / Application Fee Tax Collector ► ). ��—v Permit Fee 4 3 42• 62 Treasurer Planning Dept. EXISTING SEPTIC SYSTEM MS Date Definitive Plan Approved by Planning Board LIMITED TO .&Z #OF BEDROO Historic-OKH Preservation/Hyannis ` ynnc Project Street Address i 1�© Village W/1:�tf A V/LLE Owner WAddress /0 0 M \/ Tele 72 6, HY0 Pe it Reques �'j�1� — T7 /1� f1, R,4C*Yr4 /�E�� �(✓ � `'—"�E%l�Z�-f� l S�� 19 � �rT�='Ir C� Y v► Square feet: 1 st floor: existing proposed S4M I-2nd floor: existing — proposed Total new f�� JAx Zoning District JU 1 flood Plain Groundwater Overlay a Project Valuation (60; 0 ••�i Construction Type Lot Size Grandfathered: ❑Yes ❑ No If es, attach SUIPporting documentation. .0- NO CW01, 1,AJ -r� 1,51MIC, /kX'C Lt, r� Dwelling.Type:" ingle Family Two Family ❑ Multi-Family(#units) Age of ExistingStructure I Historic House: ❑Yes 1<0___" On Old King's Highway: ❑Yes CVO Basement Type Full � � rawl ❑Walkout Other — Basement,-Finished Area(sq-ft.) r Basement Unfinished Area(sq.ft) Number of_`Baths Full:existing �1 `Z' new Half: existing - new Number of Bedrooms: existing new // �- dl�C� ��� /`Lf 6 � - 60�wr Total Room Count(not including baths): existing b new z� First Floor Room Count \/ V Heat Type.and Fuel: as ❑Oil ❑Electric they � � Central Air: es�existing Fireplaces: Existing New Existing wood/coal stove: ❑Yes Detached ara e:C ❑n i g g new' size Pool:❑existing ❑new size. . Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed: ❑existing ❑new size Other: Zoning Board of Appeals Authori tion ❑ Appeal# Recorded❑ Commercial ❑Yes �f P es,site Ian review# Y Current Use �'Nf C.� ,r 'yt 1 Proposed Use­' se­ n -� ,B/UILDE�R INFORMATION / Name c ai5� f ri b V� �� �'`� Telephone Number FJ��' Lr Address License# �-3 Home Improvement Contractor# [Ail r �� q� 1 4'�` ` ���`�0"" � � i �/� 4�_Worker's Compensation# LAC��o Z7 O I J__00 ALL CONSTRUCTION'DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO l,- 1,2 � CVV � � SIGNATURE DATE �/ ��� FOR OFFICIAL USE ONLY r .• . e PERMIT NO. . DATE.;SSUED +. MAP/PARCEL NO. ADDRESS 1 VILLAGE OWNER e - - DATE OF INSPECTION: = . FOUNDATION FRAME INSULATION_ CK,, — —o FIREPLACE M ELECTRICAL: ROUGH FINAL.. 14 r,e _ PLUMBING: ROUGH S FINAL - +a !_ f12 . GAS: ROUGH M FINAL + , FINAL BUILDING DATE CLOSED OUT 0 - N I ASSOCIATION PLAN NO. 47 l l .. ✓/GY ��1�/ri�7�[GLG/L �a.���O�U4 ' Board of BuRdinig Regulations and Standards lug HOME IMPROVEMENT CONTRACTOR Reg—MM ion: 120878 Ekpkiftn: 3113/2006 Type: private Corporation WEST BARNSTABLE:BUILDERS INC MICHAEL KINGSTON j 1170 RT.6A/PO BOX516 GAL ,i WEST BARNSTABLE,MA 02668 Admiu9tr>itor ......._ —_ �: �i4e�arunea�icaea� ✓�.adaac�irsaelta ' BOARD OF BUILDING RE66LATt6N3 •� " '+ _License: CONSTRUCTION SUPERVISOR ": Number. C�S 023212 Birthd04/I2/1949 ' Ires� ��2006 Tr.66: 197:90 + �_ i j :Reston, MICHAEL L I<INGSTON 9 GREAT HILL RD'�':�: 4 I SANDWICH,,MA 02563 Acting C mis"ones <- + tea 11/2/2004 Timet 11:49 AM TO: @ 7,15083627647 Page: 002-003 Client#: 12900 2WBARNBU ACORD,, CERTIFICATE OF LIABILITY INSURANCE 1DATE 1102/04DrfyyY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling 8:O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, OLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 9 yt Inc., ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St.PO BOX 1990 Hyannis,MA D2601 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A. Western World West Barnstable Builders, Inc. INSURERB: Associated Employers Insurance Compa P.O.Box 616 INSURER C: West Barnstable,MA 02668-1124 INSURERO: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR-HE POLICY PERIOD INDICATED.NOTWITHSTAND NG ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTH::R DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,-HE INSURANCE AFFORDED BY THE POLICIES DESCP.IBI:D HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS.AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHO'AN MAY HAVE BEEN REDUCED BY FIAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR IN DATE MMIDD DATE MNNDDIYY A GENERAL LIABILITY NPP8191081 01124/04 01124/05 EACH OCCURRENCE $1 000 000. t:70MNERCIAL GENERAL LIA3 LITY DAVA.GE TO RENTEPREMISES(Ea c UDaljce� $1 OO OOO X' CLAIMS MADE ®OCCUR NEC EXP iffy one person) $$0O0 X BIIPD Ded:500 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GEN'L A3GREGATE LIN41T APPLIES PER: - PRODUCTS-COKIPIOP ACG $1 00O 000 PO.ICY 7 PRO- JECT LOC AUTOMOBILE LIABILITY _ GONBINED SINGLE LIMIT $ ANYAUTO (Ea accident) ALL OWNED AU706 BODILY INJURY $ SCHEDULED AUTOS (Per Person) HIREC AUTOS BODILY INJURY NON•O%VNED AUTOS (Par accident) $ PROPERTY CANIAGdACC $ . - • (Per aesidatt) GARAGE LIABILITY AUTO ONLY•E.4 AC $ ANY AUTO OTHERTFAN $ AUTO ONLY: $ EXCEBBIUMBRELLA LIABILITY EACH OCCURRENCOCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION S - $ B WORKERS COMPENSATION AND WCC6002701 01 2004 06/11/04 06111/06 17 vi.RVITUj >7 TRH - ENPLOYERS'LIABILITY ANY PROPRIETOR:PARTVER!EXECUTIVE E.L.EACH ACCIDENT $100 OOO OFFICER/MEMBER EXCLUDED'? EL,DISEASE•EA.EMPLOYEE $100000 Ii yns,desrribn under SPECIAL PROVISION$below E.L.DISEASE-POLICY LIMIT $500,000 OTHER I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT PSPECIAL PROVISIONS - Operations performed by the named Insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town Of Barnstable Attn: DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1fl DAYS WRITTEN Building Inspector - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEPT,BUT FAILURE TO DO 60 SHALL 367 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis, MA 02601 REPRESENTATIVES. AUTHORIZED REPRIIIKIVF ACORD 25(2001108)1 Of 2 #36242 L13 0 ACORD CORPORATION 1989 The Commonwealth of Massachusetts --- - Department of Industrial Accidents ' Wc8 efkmBdBI�S .� 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses y /rim rri rraiiiii �Q / name' r�l�4i•y. , �`[�' � .... •- ` address• ��+ •``' � � r � . ct address• Work site location full • �_ ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/BarlEating Establishment working y capacity. El 5ce❑Sales(including Real Estate,Autos etc.) ❑I am en lover with gin toyees(full& art%//time). ❑Other / / /.� ///%///�/%%///%/ r////%///////%//%////i////// /%//r am an employer providing-workers' comnens lion for my employees working R job. `., .. bone# • •i../4/; ;�4, .',_ ,_,1 t(�••,',�::'�:+ 011d. .#'. .• •ir �W' %insurance.co:•: !llrrrlll--_ / / / / /////// //// % // / / ////. �] I am a sole proprietor and have hired the independent contractors listed below who have the following workers compensation polices: 4. comren n'amei ti address: •. ,:; ,:i •i' ° �'�.''' &one#ev • .S•' - insuran ,j' /// ........./ / r /// // / %/ ce co. %/////%/r/� "� ///////////r// / com'eri.•Denier :' '. .. .... address: - ..• hone#� 1 o7icV#. tt insuranc_°cor '.:" •�` .. //�/�• / ///,� _ . , /.� FaUure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or: one years'imprisonment as well as etya penalties in the form of a STOF WORT{ORDER and.a fine of one e_day again t me:.I understand that� copy of this statement ma a forwarded to the Office of Investigations of the DlAfor coverage verification. I do hereby certi n er the a perjury that the in rm ation provided above is true and correct - / Date Signature �^ Print name Phone# �~official use only do not write in this area to be completed by city or town official pF. er # ❑Building Department. city or town. ❑Licensing-Board ❑Selectmen's Office ❑check if immediate response is required Q$ealth Departmeat , eontaetperson: phone#; ❑Other �+�� (revved 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 more of the foregoing engaged is 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 er 4,loyment 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 Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe 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 sire to fill in the pernrit/licerise number which will be used as a reference number. The affidavits.maybe returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank ybu in.advance for you cooperation and should you have any questions, please do not hesitate to give us a call. VIAMN The Department's address,telephone and fax number The Commonwealth Of Massachusetts Department of Industrial Accidents M of Imsflgatlons 600 Washington Street Boston,Ma. 02111 fax#; (617)727-7749 phone#: (617) 727-4900 ext.406 °PYRE T°y, Town of Barnstable °^ Regulatory Services ` MASS. Thomas F.Geiler,Director 9�A i�• ,�$ 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: e-��+r/ I lh``''z' l /t�� f (AA/ Estimated CosJ 00 CW � Address of Work: 10 y �'�� 7� Owner's Name: 6 1 �-- Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. I ED UNDER PENALTIES OF PERJURY I hereby apply for a permit e gent ner: Date , Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav RESIDENTIAL BUILDING PERNIIT FEES APPLICATION FEE ; New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= i!o 51 Z x.0041= (0`' plus from below(if applicable) ALTERATIONSMENOVATIONS OF EXISTING SPACE 4v� square feet x$64/sq.foot= ` x.0041= plus from below if applicable) Z�' GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120,sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00 (number) Fireplace/Chimney x$25.00 (number) Inground Swimming Pool $60.00 -- Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 790 CMR Appmdis 1 Table JS.Zlb(continued) Prescriptive Packages for One and Two-Family Residential Buildings Hated with Fossil Fuel MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basemeat Slab Heating/Cooling Area'(%) U.valusl R-value' R-value' R-value° wall periimeterPm ent Etlicitxm Package R-value° R value' 5701 to 6500 Hating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal ME S 12°/a 0.50 38 13 19 10 6 SS T 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE FUE w 15% 0.52 30 19 19 10 6 SS Normal X 18% 032 38 13 25 N/A N/A Norrmal Y 18% 0.42 38 19 1 25 1 N/A N/A Normal Z 18% 0.42 38 13 19 1 10 6 90 AFUE AA 19% 0.50 30 19 19 1 10 6 90 AFUE 1. ADDRESS OF PROPERTY: o r� i A � 1 y 2. SQUARE FOO TAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): / v 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J6.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and ' basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ftZ of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (N-TRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U=values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. S The floor requirements apply to floors over unconditioned spaces (such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 9 For Heating Degree Day requirements of the closest city or town see Table J5.2.Ia NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies_if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 OfTMEr ,y _ Town of Barnstable Regulatory Services ' STABLE, ' Thomas F.Geller,Director v was. � �'OIEDn�+A�e Building Division Tom Perry, Building Commissioner 200 Main Street, Ityannis,MA 02601 www.town.barnstablepa.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section . If Using ABuilder I _ �c A—IEEIP, ,as Owner of the subject property hereby authorize. � �s.�Z3 u �-tS to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address offob) ��''✓l� — ( o— Z`�- Oaf S' e of� � Date • Chv�aer Print Name c a-troyms•nVyWERPERWSSION va url rrvu 6 7 / '-• '� '" -,coo 40" E EDGE OF LAWN EL = 6.13' / L TK SET ?0 RESERVE AREA 7.81' A-8 j:Q.2S- _ ._F__ E 12� / LAWN- 0 o / - STONE DRIVEWAY A-7 / /.._.. ABANDONW& FILL /-\. .. 1iC7 / EXI 1p ti't�7� LtAG71 F 11 N h S EXISTING lING SEPTIC 2 /v TANK 0 DS ��, i. A-6 00 S o LAWN LAWN 85 A- r 6 1 � h 4- �y / BOTTOM SLOPE Y , CHIMNEY 6` �" O 5 7 _ '� l EXISTING .DECK A-4 �0 w4 I N 88'15' 3 W i �� LAWN 8 84.07' 10 OUND i 2 a 16 65' 12 PROPOSED ADDITION � \ 0 \ 16' x .22' s" PROPOSED PATIO O la R � 14' x 14' o ` REMOVE WOOD DECK 13 iL 10 Viz. ,60/ - Engineering Dept. (3rd floor) Map /�� Parcel 0_35- Lam'#Permit# :'Q Cp &OCl House# - 0' ��c�L, , Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee ( GlC,60 .Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Z} -3 , Rsn� _ Planning Dept.(1st floor/School Admin. Bldg.) V y 9� �1ME Definitive Plan Approved by Planning Board 19 p. _ ... t BA RNSTABLE.�` ` F r r 679• �� TOWN OF BARNSTABLE 'F° '' r n Building Permit Application Project Street Address 6 0 0 CA _ Village�~ C ��� I j 11 r� Ownef;___V t/�&I /U-C-"i-T A ess -Telephone nn Permit Request r✓� Y i 114 t 6r. X h2-' Kt 1 E f" I PKE - 0 0 A D �F Orc ER✓1X-E, S_r"Cr� First Floor 17 Q square feet Second Floor f-8-' square feet *.Construction Type U1�t11� Estimated Project Cost $ , Zoning District Flood Plain Water Protection Lot Size ?'to o 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 T1-dNo Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) �✓1�" Basement Unfinished Area(sq.ft) 2.7 Q Number of Baths: Full: Existing New Half: Existing New -�- No:of Bedrooms: Existing 2- New Total Room Count(not including baths): Existing New f First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other F 14 A- Central Air ❑Yes 6 No Fireplaces: Existing I New -0- Existing wood/coal stove ❑Yes U�No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) A Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information �7` (q� Name d i �►�I'y" 1 r� �i 'J y LopS Telephone Number J V U - 3 b 2', 7 b - 7 Address I'.0 r C OX ,_l License# O 2 3 21. Home Improvement Contractor# 2,0 V 7 lJlf► Q A/W S 1 43 Li, , Y 02100 I) Worker's Compensation# WG O y1(p NEW CONSTRUCTION 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 4� SIGNATURE / BUILDING PERMI NIED FOR THE FOLLOWING REASON(S) %A • r r. FOR OFFICIAL USE ONLY , PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE; OWNER = -• i = DATE OF INSPECTION: FOUNDATION r * -�j . : j FRAME - INSULATION FIREPLACE ELECTRICALr r, ROUGH FINAL- I t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING .DATE CLOSED OUT ASSOCIATION PLAN NO. 1E The Town of Barnstable RARNSTARLE. ' Department of Health Safety and Environmental Services MASS. g '�FDnw+a Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection 7� Location /6y) 04-7 P1 Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: / T Z,1 i�?e aa��/t- �D cP� �✓-� J ` .4 Please call: 508-7-90-6227 for red inspection. Inspected byC�--, � F Date = 4CO ` a• lV ; _ i 11 11 A/1l1/ AP M 11111 ,41 C�E-Lfn16 T6 I I _ I v V`/7 S�IL V 5/af ! 1O v AU)A��D Al wA�Lii i vOVAk X The own, of Barnstable _s'�cro �l The Cuttr»rutrlvealth of:1lasrachuscin Drpartmurt of Judustrial.4ccidc.trts - �, OlficeeJ/ayesligatlons •� �_;_ . _ =+' 600 !f aching ton Street Biatim Alms 02111 Workers' Compensation InsuraneeAfridavit L11iliiirintinformatinri• Please PRINT Tebliily name, Incition• r rttt nhnnc I am a homeowner performing all work myself. 1 am a sole proprietor and have no one workina in any capacity _ ' _ ...w• rt._..rr.....__.���.7tr�._.�..�.R T...�wn')'�.�/•n ��w�.�.w'. _..�•r•._r�. • .. � ..ter �r -__ 1"— "- �J-•._... _ .�. - �_ �j I am an employer providing workers' compensation for m% employees/working an this job. cmmpnrn• name, Ct 1 � J I�4'S `v/.. ff ,(/ ( ' •tddrrcc• ! ( 7 0 J lQ-� ?//-- "' L- cirs �Jl�► 4 nhnnc f!• V�-` . ` incurnnce cn t�r� �/v " C'6r�y noliev# w C V "OC)O`19 L I am a sole proprietor. meneral contractor, or homeowner(circle one) and have hired the contractors listed below a ho hati; the Following workers' compensation polices: cemmov nnmC' addrrcc• city• nhnnc+t• incnrnnrr rn nniirvit rmmnnnv nime— -- 'tddrrcc• - tin•• nhnnc tt• incurnncc rn neiic�•# -- - Attach additional sheet if necessary �� _-�;' •'. " _ •. ' u.a:_ . YY�'/ram-�_...- - • �•__ _—--� _: __.�ilYY•r . ••..Wwr A. Fatiurc to secure cot•crace as required under section-SA of AIGL 152 can lead to the imposition of crtmtnai penalties ol'a line up to 51.500.UU andiur une%cars' imprtsnnmcnt as t.c11 as civil penalties in the form of a STOP WORK ORDER and a fine of St00.00 a dad•against me. I understand that n cope of this statement m i be furn•arded to the Office of lnvcstirations of the D1A for coverage verification. /do hercht•cerri> u r prrirr ar ena '•s of prrjun•r/tar the information prorided above is true and correct. Sid^.aturc Date l J 7- Print name - «1 V ► "' Phone tr lV Z b 7 7 w - oRciai use only do not write.in this area to be completed bv.cifv or town official ` city or town: permittlicense 0 r•ttluilding,Department . l:Licensinr!loud. � tt u check if immediate response is required ❑belectmen's Orricc i'. ❑Ilcaith Department �. E contact nci-snn: phone>Y• r 70thcr �= i Information and Instructions Massachusetts General Liws chanter 152 section 25 requires all employers to provide workers' cornpensttlian for :. emnlovees. As queued loom the "1a►►". an empluree is defined as every person in the service of anc)tlier uncle:any• contract of hire, express or implied. oral or►written. An emplorcr is defined as an individual, partnership. association, corporation or other legal entity•, or am' t►►•e) or the foregoing engaucd in a joint enterprise. and including tite le-al representatives of a deceased employer, or the receiver or trustee of an individual , partnership. association-or other legal entity, employing employers. Ho►►,e%. :— o►►,ncr of a d►rellin_g house having not more than three apartments and who resides therein. or the occupant of the d►►!cllin`g house of another who employs persons to do maintenance ;construction or repair work on such dwellin;_ or out the __rounds or building appurtenant thereto shalt not because of such employment be deemed to be an empie., MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or 11.1 ►gal of a license or permit to operate a business or to construct buildings in the commonwealth for an►• icant who has not Produced acceptable evidence of compliance with the insueanee coverage required. Adc::ionaily. neither the commonwealth nor any of its political subdivisions shall enter into'any contract for the perforniz,icc of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. ,a nts Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation an: supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial kccidcnts for confirmation of insurance coyernae. Also be sure to sign and date the affidavit• Tile .'ja►,it should be returned to the cirY or town that the application for the permit or license is being requested. r, ,he Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are require ;o obtain a workers' compensation policy. please call the Department at the number listed below. City or I'own.s Plea-e be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom the for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. P! be _ : to fill in the permit/license number which will be used as a reference number. The affidavits may be returned -ate 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 questic please do not hesitate to _give us a cz-11. The Department's address. telephone and fax number: , The Commonwealth Of Massachusetts Department of Industrial Accidents ' Office of Investigations ;;.r, 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 nhone 1: (6I7) 727-4900 c%r. 406. 409 or 375 { ' j, , .1. r DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE I' Number...; Expires: Birthaa:e. CS423212. 04/1211998 04112111944 Restricted Tov 00 �• �ts�si .: MICHAEL L KINGSTON 11 POPPLB BOTTOM RD SANDWICH, MA 02563 h. HOME IMPROVEMENT CONTRACTOR ff- Registration 120878 Type - PRIVATE CORPORATION Expiration 03/13/98 WEST BARNSTABLE BUILDERS.INC f. MICHAEL KINGSTON j &,r-t4410 RT. 6A/PO BOX 516 A "NISTRATOR L" - . WEST BARNSTABLE MA 02668 �THE r _ . The Town of Barnstable mum Department of Health Safety and Environmental Services ,� . Building Division 367 Main Street,Hyamtis MA 02601 Office: 508-790-6227 Ralph Crosser Fax: 508-790-6230 Building Commissic For office use only 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 s T e of Work:I� Est.Cost YP . Address of Work: 10 v ( — Owner's Name so Date of Permit Application: 1�)I,;2A-7 I hereby certify that: a Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: _ OWNERS PULLING THEIR �� PERMIT ME II1 PROS WORK DORNOTHAVE TERED CONTRACTORS FO ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c- 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as ,e eat of the owner. to� ti11 �S1 t,� � ontractor Name Registration No. Date �r T, sslssorl � � ���� SYSTEM MUST map and lot number Jl INSTALLED IN THE IANIC Sewage Permit number .............................0. ......... WITH TITLE �al�PB �IV�'A�� 1�a8� CO' �~rt '_ MAINSTIRLE, i House number ........;.1y .. ........................................... 9 MABL TOWN 1039. .TOWN OF BARNSTABLE BUILDING INSPECTOR ` APPLICATION FOR PERMIT,TO . TYPE OF CONSTRUCTION . . ......................................... ......:........................................................... .................................... TO THE INSPECTOR OF BUILDINGS: The undersi ned hereby' pplies fPr a permit according to the following information: l n Location / � �............'............. ...... .........................W.. ............... .. ...................................... ProposedUse .... ....................... ........................................................................................................................................... ZoningDistrict .................. :........ 4-!.....................................Fire District ...................... ...............................� Name of Owner . .-i..... .. ....................Address ;,f..1�............. ...��"'T""""` .......... . Name of Builder ... Address �U. ..... . � .'�.:.../... ............. Name of Architect .......?✓... Address .................................................................................... Numberof Rooms ... ...........................................................Foundation .............................. ... . ..... .. ... ... Exterior . . U ...�-....� Q ..... ..... ...`... oofing ... ....... ............. .......................................................... Floors �.... .....................................................Interior` .. ................... ' . !L..:......................................... Heating ..... lye".... .t�......6.Oa)..................Plumbing .�.....O: ..........lL..:. ............................. Fireplace � .`�:..................................................Approximate Cost ....l..v�.l.......................................... Definitive Plan Approved by Planning Board ________________________________19________. Area . ........' . Diagram of Lot and Building with Dimensions Fee D`— SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of th4Ton BarnstaeegZthbove construction. Name .. ... .......................... / z V Construction Supervisor's License .... ................r ........ CONROY, UNA i. 27875 ADDITION �o ................. Permit for .................................... Single Family Dwelling . ............................................................................... Location ....LQt•...1...& 5.1 CenteryIlle ................................ ............................................ 7 Owner ...Una Conroy ....................................................I........... Type of Construction, ...Fr.ame............................... ....... .................. Plot ............................ Lot .................... ........... Permit Granted .... 13f 19 85 ........................ Date of Inspection .......................... . .......19 r. Date Completed V Z7 .......... . 19� N At / / 0 otl /QI� 0 1 CO 0 �' Alp EEy \ } Assessor's map; and lot number ......� i°................ �F THE T0� Sewage Permit number ...........:.' ...^.............................. House number ....... ... (": -; i BasM �r$, .... ................. ................................... 9�0 t 39. ' �0 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO vt........ TYPEOF CONSTRUCTION ........................................................................................................... �..................../ .................:19s" TO THE INSPECTOR OF BUILDINGS: The undersigned hereby pplies for a permit according to the following information: 'r Location ............................................................................ ........................................... .............. 4..................................... ProposedUse ...JI.�...................................................................................................................................................................... ZoningDistrict .....................................Fire District ......................I`. ......... .N� .... ............................................. Name of Owner .�/�h.Q i. t� �4..... .. Address ,l ............. T ,?.. ......... .1Lr� Name of Builder � ...:.. .............Address i. .. .............. CJ./� I� 3 �u Q _Name of Architect az)vv : . .Q.......2-41 .J!!gadn ....Address ......................................................../,.......................... Number of Rooms ...)...........................................................Foundation Exierior .�.... .�.is .t... ...... M:..... . :`oofing AFloors .....................................................Interior ..f............................................................................. Heating ..r T,ct� ., ?? ... a.s_ ..... ..rr.. 1�.?� ...............Plumbing ..........9........... ............... Fireplace ... 2 ................................................. Approximate. Cost ....1.... 1..l ................. !�.... Definitive Plan Approved by Planning Board ________________________________19________, Area ........ ..` ..�'{ .:...... Diagram of Lot and Building with Dimensions Fee ad ............................. ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH "Y t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r Name ....... ��!/..� ...9. K T s Con'Struction Supervisor's License ...,�5,...!....,.....(...... , � CONROY, UNA A=186-35-1 dr No ..27875 Permit for ,,, Addition .............. .................. Single Family Dwelling ............................................................................... 1 Location ,Lots 1 & 5 0 a L .................10............B.....y.........ane .... Centerville ............................................................................... Owner Un. ... a Conr. .oy .... .. .. ....... ......................................... Type of Construction ...Frame ............................ ............................................................................... Plot ............................ Lot ................................ May 13, 85 Permit Granted ................................. _...19 Date of Inspection ....................................19 Date Completed ......................................19 < Assessor's map and lot number . THE ...... . .............. . ............ SeWage Permit number ...................... �n ........ t 33AR39TABLi. Hjuse number ............/-/ 4..)........ SAM ......................... 1639- TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... ...... ...ZoaL.I.A4. ............................................... .1 TYPE OF CONSTRUCTION ........... ALSr.p..u...... ,,.1 ............................................................................ ..............A/ .............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location -r.-,n�.......-.�5AY...../A.)F............ ...................................................................... ProposedUse .......... ........ .........'D--W.F-44-141j.............. ............................I......................... Zoning District .... ...................................................Fire District ................. . ............................................ Name of Owner ..... ...............Address ..../.�. ...... .....7v�M ................. 4A ..6/(I-A)Address ......e� VI/ Name of Builder ... . ......... ip I . ........ .....(OA..... . . .... . .....f�Pxl...... Name of Architect ---,--�,p ..........Address Number of Rooms .........................Foundation ...... Exterior Okffl. ..W.b.-:7!� .....Roofing .. ..... .................. Floors (I .6.lnterior ... ................ Heating ................. ..............Plumbing ... ............................................ I Fireplace .......... .. ...................................................Approximate Cost ......... Roo................................... ................. Definitive Plan Approved by Planning Board -/M-Y------1-------------19 Area ................................... ...... Diagram of Lot and Building with Dimensions 14-10 FT Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH d. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... ...... . C a�.. ........................ .............. Construction Supervisor's License ..jm...1.13 ............ S L S REALTY, TRUST A=186-35 217265 One Story 00 No ................. Permit for ...................... .............. Single ly..17 iing....................... . Location .......... L6t 2, 100 Bay Lane ...................................................... Centerville ............................................................................... Owner .....S..L..S.'...Realty..Trus.t................... .. ... .. . .............. ........ .. Type of Construction' Frame ............................................ .............................. Plot ............................ Lot .................................. Permit Granted ............................November 28..,.. .......19 84 Date of Inspection ....................................19 Date Completed .....19. ' TOWN OF BARNSTABLE Permit No. --------------------------- { Building Inspector cash �e�o• OCCUPANCY PERMIT Bond Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .................................................... . 11)............ .................................................................._.............................................. Building Inspector �..� '°•°e TOWN OF BARNSTABLE °' BUILDING DEPARTMENT _'--3ARX°T TOWN OFFICE BUILDING rua 1639' �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM Building Department ) DATE: 0/ An Occupancy Permit has bbeeeen.�7issued for the building authorized by Building Permit #_ . `:.,�a ...... .... .......... _.................. issued to ......... .. .._. ..�. . ......... . ... . . Please release. the performance bond. V-4.07 N 76°.3 o 43 v �L N 5.rt xk s ' U 7 6 A6 01499 J5�� 30 W �P r' o MA-li 1, 1161f ✓lam 7 AP I�� N D 7��. ' • pad u�G 3 8: , P6. to � !C</lVn1 - 3o i e /o 5'&773.ac4_- !a` CERTIFIED PLOT PLAN :S'../'�r f i'•%cif.! \ �` CC-WT�T V1 L. IN SCALE '- 4 � 1 �— 'o DATE: GfE. ENGIN M IIVG' C . �/c/lro I CERTIFY THAT THE ��' :� •,�':�'�`''�,4 CLIENT 51�1011 W ON THIS PLAN IS L0CA7ED CIVIL E IVI ED LAND REGISTERED JOB NO. 8._ ` ON THE GROUND AS INDICATED A41) C CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR OR.BYE A OF BARNSTA® , MASS.1iWo-r As,lT,ea: 712• MAI N *STRE•E•T CH'BYi HYANRIS MASS. '' SHEET_L.OF� D�/A TE REG. LAND SURVEYOR Y V y FERN, ANDERSON, DONAHUE, JONES & SABATT, P- A. ATTORNEYS AT LAW DANIEL J. FERN P. O. BOX SIB RICHARD C. ANDERSON 436 MAIN STREET ROBERT J. DONAHUE HYANNIS, MASSACHUSETTS 02501 STEPHEN C. JONES CHARLES M. SABATT November 13, 1984 AREA CODE 517 775-S62S Joseph Daluz, Building Inspector Town of Barnstable Town Hall Hyannis, Massachusetts 02601 Re: Lot 2, Bay Lane, Centerville Dear Mr. Daluz: Please be advised that SLS Realty Trust purchased Lot 2 on plan recorded in the Barnstable County Registry of Deeds in Plan Book 383, Page 6. The plan was approved by the Barnstabl Planning Board on May 1 , 1984, and said lot is a buildable lot nde the Zoning By-laws of the Town of Barnstable. z Very t lily yours,, t tephen C. Jones r SCJ/nef �`F JJ A93essor's•map and lot number ...../.a6 3 C, V J� .9— OF THE T�� a `✓ • Sewage Permit number E .......... ..v ��.e i)j 4/g4 .. l �: �, .�. .. �aaw�+o p y -SEPTIC SYSTEM ell @ �p�p ,VARNSTABLE, • Ilpuse number ,1. .. ........�:. �I �� ��M6 t ...... N I AL LED IN@try,°a,, a 39•a�e C��M ` H � L 5 YPY TOWN . OF .BARN t.� AB � CODE E AND BUILD.IHG JNSPECTOR ' .APPLICATION FOR PERMIT TO......., v.cL�..:..��1�1... ..���c��.......:.......... TYPE OF CONSTRUCTION ....:..:.11�d1��� .... . r .......... ..................... ............I......... ............... 4�. .......... . . ............19.8�"' i TO THE INSPECTOR OF.BUILDINGS: , ' The undersi ned hereby applies for a pgrmit according to the followin�gl information: Location .. .... ....... ..:.f� �.�.............. N.� Y..16:k ........:................... Proposed Use ....... / ........ I t.�....... ,�✓.Y�!.f 1W6r.......... ................ _........ Zoning . District ....l .l ..' ....................................................Fire District .....� ............. ...................... ...... Name of Owner ...� �{! . .. ..................Address ...�...... ........... :/11....�>( �`�. .�....� Address .�� ��...:�k:..Ce...P..'�:..: 1 l Name of Builder ... .. �°•••• • F Name of Architect ......:......... . . ............Address ........lS.•l•�•.....W .::... N A) .. � e Number of Rooms ......�....................................:................:.Foundation ••(• J6Z .: ...V� .......ftY. 14....: �• R �i —.. 17.IN .....Roofing ,fr.. ....0 7cI ... Exterior ........ ,LT.:....... .. .......... 4 ! (' ... �f� ... Floors .60 5i K�NY�-.....i ........ .Interior ...�-� � rT�• ..: ............... ® 1 ,. Plumbing CBPP� . " ............ .................� : � ........... ....... Fireplace ................�...��................................................Approximate. Cost .......... )................. ........... : AY Definitive Plan Approved by Planning Board _� _____(_____________19_ Area ..../LA/;. ...................:....... Diagram of Lot and Building with Dimensions ��q-)0 • �' Fee ......72r.47.;...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 9 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to'conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction: Name .... . ..... •G^�' '............. Construction Supervisor's License ...�`?�?...9q ............ S -L S REALTY TRUST 27265 No ............... Permit for ......One story....................... Single Family' ......................... Location ... ......... ................. r ........... Centerville Cent....................................................... 0� S L .S Re��q��,v Trust.....wner ........... ..... ............................. Type of. Constructio ....F.........rame................................. ................................................................................ Plot ...................... -Lot .......... ........................ r llovwber 28, 84 Permit-Granted ........... .....................lig Da e f Inspection .......... Date Completed .... 9 J4 0, % 01�or ` �I� /.(/(,pit �� � •, I _ - � _ r�. _ r�������T7�T �-��� �]� � �� l�T�2r���& ��^ l� �7 ` TOWN� |� ��� BARNS TABLE ' ��� �� 11539. BUILDING � NN N N �� � ���� INSPECTOR . ��N� N 0-�� N ���� �� �� � ���� � �� �� ` ^ ^� ^w�- ��PPLN�kTA��yA FOR PERMIT TO --^�����--.,�-^�� .......................................................... TYPE OF CONSTRUCTION ............... ��_----------------------------.---. ' -.. ~ - TO THE INSPECTOR Of BUILDINGS- The undersigned hereby applies for a permit according to: the following information: ^ Location kicov.�.e _.��.. ____________ _..�, / . , �—� __-_----_'~'-- � -------. � ProposedUse - ...................................:........................................................................................................ Zoning District ----------------------'-.Fi/e District .��^L. --------. � �� Nome of O~no, ��-..x��!�����*�p��----..A66,eos ......................................... Nome of 8oi|6e, ............. -----------.A6dess ........... ----------------' Nome of Architect --- $�------------.A66ness ---- !� ----------------' Number of Rooms S tgwe4le -----.Fovn6otion 4P ------- Exlerior -_-_~-__'-- ........................................ __..°l-.~ _.-~~~-�..,. Floors -'��x./���.�--------------I x,rio, . ��^y_ __________. Heating ---------------------------.Munn6ing ........... Fireplace ..... .........................................................App,oximo^p Cost .........�.u�«�x� ______________ --� �- D|Gnh�o Plan Approved by Planning Board -----�-__-'_--_-'lV---_' ,�4�r �� �� Diagram of Lot and Building with DimenDimensionso �' � � � ��4 K;P,�F � e H^/� - -- - -----`��r= --- - ` --'--' � -- -' ' v _^ ~ ~ ' | hereby agree to conform to all the Rules and Regulations of the Town of Bonn$o6|e regarding the above construction. Nome ^ � . Lane, Merle H. No —. Permit for —..!�Ry�..�����--.. . ] ...........dwelling.................................................... , . ° Location --'.-..���_B.1y..I^urmy........................ | r~ ............................ ....................... " q:k Owner --..]���l�..BL..Ia��o ______ ,. � Type of Construction ........................ ' | nc* ' . , ~~ , ................................. / Permit Granted -------------lA � ' ^ � ^�^~ .� �� Dote of Inspection =� lv� /' - ' ' r= ' "u *v PER MIT ������0 f ` ` -----.-----..----.. ---- 19 ' ' L / __----_—_----------__--_—_. —_--.------~-----..-------.. ^^—^—' � . ' � ~ � ------------~--..—....—.~...—.— ^ ' ^ Approved ... lV . . ^ l ------------_---------...~—. -----------.-------.--....—..^., j r- i I E � Y ,G,g Q�o4THE T TOWN OF BARNSTABLE "6 9 , BUILDING INSPECTOR ° am 0r APPLICATION FOR PERMIT TO .....,/ .1&/,4 ............��......... ... '!i...'.............................................. TYPE OF CONSTRUCTION .........W.P.e.................................................................................................................. ...........��.... ..............19 . TO THE INSPECTOR OF BUILDINGS: ——TF;e"under"signed"hereby applies—for a permit according to the following information: � Location ..1..?1 .........: .1:1!..'............................................................................................................................................... Proposed Use � W Q ' �- ....................................... .................................................................................................................................... Zoning District ........................................................................Fire Districttf/). �2/////�.... ..... ......... Name of Owner /YIP.�'�e /y ` f1 iYL `�9 ��iy S� 'C`"V � .............................Address ........................................ ...................................... Name of Builder .. o�......�'�.........Z �//��c°l�G(. . Address ................................. .............. ................................... Name of Architect /..!7.��c.� r ` �.�..Y .................Address C may ' v ....................... .................................................................................... Number of Rooms ..... ....v ...............................:...........Foundation . ....��.�....��..�.... Q.!!..T./. .�J' Ex1erior.5/-!1!,e......ae...C/�j Roofing �r��lF� ........................................................... ................................. .......... / Floors . °� �iv Interior ..../..?� //�YG ............ ..................................................................... ..................................................... Heating ...^f'A 5 c L ....... /'� /J e � ........Plumbing ......�.��.��.i2..... ..........� ;�4.,?�.�?......... Fireplace ... .....I...!�l C........................................................Approximate Cost ...... ...............r-..... Difinitive Plan Approved by Planning Board ________________________________19-------- . G / Diagram of Lot and Building with Dimensions . 11P 1 l 3 it G I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Named G .....`r� te'. ... .......GG��'�"�...................... Lane, Merle H. � ^ " ^ �J�� v�p + Permit for ''�dd. g.'^�^wa�~' � 1 .- family dwelling . . � '--��--'------------~'`-'~'---- | b 0 � ~_..Ba�_Iaom_____________ . � Centerville (J) Owner .........Merle . ---' —. --- -~^ Type of Construction ...........;�rmp�................... � --~--.---.-------..--------.. ° } /Plot ............................ Lot ................................ Permit Granted ........ .6.......... g 68 tij Date of |nxpachon.-----------]g / Do>a Completed ..... ----.lg���� v' ( ' , PERMIT REFUSED ` ^ -----~--...-._--------- 19 -------.~...~—.----....—..—...-- � � --_-----.-------.--.—.—~...—.,. � ( � . . ..----.—....----.—....--...~,..—.,.. ^ | t ---._--.--..—..~.—.—.,.,...—.----. -. Approved � ~ ................................................ 19 ' ^ ( ----~--'-------^^^~^---^'---^` ` -------'^--^^^~^~^--^----~—~^'^ ` / 5-_., .cti6J. :.rr4.6ef - �� -�--�- 17 .e.�_���.,®ate- T1 SCALE - 1/4 im 1 FT h 10 dining room bedroom C� C OSet CIO. Lin s ' o Living room re�� kitchen NO. 9 Joolfh �. o C l o. : s Cl oSe f ,I 6.6.. porch bed room 4z j t • r j :