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0515 BAY LANE
M xa PJ +ty�wf d�, w er � a a f ut rt $ �f }ti � 11 / •,y, ,, ! t{i ! + # 4' F �4 Yl1 . , t•' i ..l 4 0•r- e a .j:��i 1�T , 'rF ft7 i ✓4i d* -3P v; - '.:i r �r 1,� 'w R r �rtr 'c- J-•z w'•, r -�a ' e, ,t x f} a 'a c d, rf'tP. LJ,u f �� . 4 S4k t...s s, i k, at w'g i 41" ,w�,'.rI >ti ; "1 jt� `j 'I o, � .� Ili ,�41 !� .i�,� >t.� �> k N� ,u ed".! ?,. 5�r �ri ft `•'e r�Y' �i l r i,fr �� �t �p f#.lricy {{$E wk y{ b. � �,, 4 i N. p�'Mtry A! 'lE 61 �T' ia� �t f`; 41� �i' r 7 �t.x' �.�. :ri.�'41 s 7 % I. 4. e•d'^" v 1tAi�ir •I�, n .. , a { I. f n a # +� a. 7 t• 4 4 f li,, � � I "�, I - I � , �I � �� � i �l. , , I I I : I I , I � '. , I I I ,�, ��i�.'"� ��,I . - � " , , " , , ,�,-,r7 1. I. I � -, ,! � "" ,� �,�����',� �:,1��,�� �,�� `(, ,'3 E t 11 G L _ i F •, S i f F f t J yy t _ +S}�. 'T_ r ,. Ft 7, ll� ,'f 1 ,i A S } t ^.i E t s e l c n 1 jfP f - , . : ; , ' r ,t S S 9 r k fix: '�! II A o :il '_' t:,' IFj� t ",.,F � G 1 .,a } ,1'i f e ! +M t F AAA _ _ _ ., -. ._.. � � .. .� E � _ - � m, J' ._A... k�s., c, �� r "ta_ .2,,,.J_,!^�.,. �S.Y.....:.z r:a.+ - ,rs..r�:.�- R! TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 57 16 Permit# � Health Division VL? Date Issued Conservation Division �I�66 Q ��3y.-�31 ti ��tnn ,® :1 ,; ii Application Fee C 4 Tax Collector 6 Permit Fee •Treasurer V� d � 1`�t," �� �� , __ _.. �� � �� a 1< . ,Planning Dept. wasuase= g oF BOROONS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address -S71 S dam p Village C'e K ,,I-V 1 Owner Ae&,I�tis c e Qa ®l I VOLa 14 Address La Pe, Telephone \ !Q-, L-1S YV- PermitReques�{t-J i` 2 S E� ��."a C--- �I'a Square feet: 1 st floor: existing S�� proposed 2nd floor: existing (3 6O proposed Total new Zoning District Flood Plain F'L 11 Groundwater Overlay Project Valuation .j seam Construction Type Ca Lot Size _ 5-3 acit 5 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family X Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ";9No On Old King's Highway: 0 Yes _Ao Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 3 -1 new 7 Half: existing new Number of Bedrooms: existing q- new 0 Total Room Count(not including baths):existing IT new 7- First Floor Room Count Heat Type and Fuel: ' Gas ❑Oil ❑Electric ❑Other central Air: ❑Yes ) No Fireplaces: Existing 1 New Existing wood/coal stove: O Yes >(No Detached garage I*existing ❑new size Z Pool:O existing ❑new size Barn:❑existing 0 new size Attached garage:O existing Cl new size Shed:O existing 0 new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes XNo If yes, site plan review# Current Use �-�� _ Proposed Use VAdc e iia: BUILDER INFORMATION Name_ Jj e�� ��I1Mavtt� Telephone Number// 50$ -Its Address Sl 1�4� ��-� License# \J Home Improvement Contractor# Worker's Compensation# ALL CONSTRU I N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY e PERMIT NO. j DATE ISSUED " MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: / FOUNDATION- FRAME J lb-7 ` Gee" -Gt'til INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH 4 y — FINAL GAS: ROUGH �Ti FINAL FINAL BUILDING Ili to DATE CLOSED OUT ASSOCIATION PLAN NO. s `fin Town of Barnstable h Regulatory Services 3 snnxsrasrs, Thomas F.Geiler,Director 9�A 1 �� Building Division TED MP$ Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 f . Permitno. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION GL c. 142A re uires that the"reconstruction,alterations,renovation,repair,modernization,conversion, M q lion to an pre-existing owner-occupied rovement,removal,demolition,or construction of an adds Y P g t to buP building containing at least one but not more than four dwelling units or to structures which are adjacent such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: ie►. I a� Estimated Cost Address of Work: Owner's Name: Date of Application: ':�j 't �6 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 MQwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGILSTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. 3 l k -Lo t) C lam 'J� via� Owners Name Date Q:fomis:homeaffidav I The Commonwealth of Massachusetts Department of Industrial Accidents' — 600 Washington Street Boston,Mass. .02111 Workers' Co ensation.Insurance Affidavit-General Businesses ip ,i•`^`a'ti7'.• :J: -i :.Td:cr•'°VA,r•�'i'aw.. .e 4. •• y:_ i :' nih] / name: ►^ . .• p 1'1 .. — cr ' address• s�� '�r�R••h �yl"� ... J����" . �1r� "���"'s city �-C t-y��1l�C state �M 1� ziy 0 26 32 vhone# t�•s�t✓eLl work site location(full address): ❑ I am.a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/B*ftating Establishment working in any capacity. ❑Office Sales(including Real Estate,.Autos etc.)' ❑I am an employer with on to ees full& art time.)'- Other ri a d .•v I am an employer providing workers compensation for my employees working on this job.: ci hone:#:� in it I am a sole roprietor and have ' ed the independent contractors listed below who have the following workers' ; compensation po es: com"'en 'n'a:riiec address:. •' �y''' ' ��' insurance co.. - ''' coin an. honeV, '!#: fiisurancecb:��:::'::', '::.•.::::}:::.:._:.:::;: ::olicv:#">. :�:: _ 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 fohn of a STOP WORK ORDER and a fore of$100.00 a day against me. I understand that 0 copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. Ldo hereby cert er the pains�alties of perjury that the information provided above is true and correct. Signature Date 3 2� Print name Jvp t V0,-Q P,ti• Phone# rficial use only do not write in this area to be completed by city or town official y or town: permit/license# ❑Building Department ❑Licensing Board ❑-check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised Sept M03) Information and Instructions Massachusetts General Laws,ch4apter�152 section 25 requires all erriployers to provide workers' compensation for their.. employees, As quoted from the law', an employee is.defined as every person ui the service.of another•under any contract of hire; express or implied; oral or written. n f ` partnership, association,;corporation or other legal entity, or any two or more of An employer is defined as an individual,p hip the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased:employer, or the receiver or trustee of an individual,partnership,,association or other legal entity, employing employees. 'However the owner of a dwelling house having'not more than three apartments and-who resides therein, or the.occupant of the.dwelling house of another who employs.persons to do.maintenance, construction or repair work on such dwelling house or.. the grounds or building appurtenant thereto shall not.because of such..nlployment.be deemed to bean 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 conVany name, address.and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department-of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department ofIndustrial Accidents. Should you have any questions regarding'the""law"or if you are required to,obtain a.workert!compensation policy,please call the Department at the number listed..below- .. City or Towns . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for.you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to filLin the permit/license number.which will be used as a reference number. The.affidavits.may be returned to the Department by,mail or FAX unless other arrangements have been made. The Office of Investigations would Mce to thank you in advance for you cooperation and should you have any questions, please do not:hesitate,to give us a call. The Department's address,telephone and fax number: . The Commonwealth Of Massachusetts Department of Industrial Accidents oln"of IBYmt3dgwens 600 Washington Street Boston,Ma. 02111 fag#: (617)727-7749 phone#: (617) 727-4900 exL 406 f INERGY CONSERVATION ATP>L.ICATION-FORM FOR LUW-RISE RESIDENTIAL`NEW CONS.TRUCTI:ON and „ADDITI'ONS _l 780 CNa_Appendix J (effective 3/1/98) Applicant Name: 4e06,et.'1' gollyy�y, yy Site Address: Applicant Address: �W,� City/Town: Cew w L4"':_MA Use Group: Date of Application: D S 3l F0 41 - Applicant Phone: tso?'• �' �� `A'SthS Applicant'Signature: , -..,-----_•. Compliance Path (check one): Prescri,ptivetTackage (Limited to 1- or 2_family wood frame buildings heated with fossil fuels only) Package (A through KK from Table J5.2:1b): Heating Degree Days (HDD65)'from Table J5.2.la: (For items d. throu'gh'•-i., Fill in,all values that„apply from Table J5.2.Ib:),. a. Gross Wall Area sq.ft f. Wall R-value R- " b..Glazing Area s,q,ft., g. . Floor R-value R- c. Glazing %.(100 x b+a) % h. Basement wall' R- .d,.Glazing U-,value i. Slab Perimeter. R- - e. Ceiling R value. .. R- �" j. Heat ing.A. UE [j Compo,gent Performance: "Manual Trade-Off' (Limited to wood or metal framed buildings only) Climate Zone (from Figure J6.2.2) []''Zone 12 "' ❑ Zone '13 0 .Zone 14 Attach-Trade-Off Worksheet from Appendix..J, [and HYAC Trade-Off Worksheet, if applicab,le] ❑ MAScheck Software Anach Compliance-Report and Insp,ectiori`:Ch.�cklist printouts. Systems Analysis*-'-" OR Renctivable Energy:,S,ources - Attach Mass-R-eg.istered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross'Wall + Ceilin.g Area 3l sq.ft.` -b-.G.lazing Area' Zb.�) sq:ft,. c.Glazing%,(400 x b r a) ® ADDITION with Glazing % (c.) up to 40% may use 780 CMR Table J 1.1.2.3.1 below: : MAXIMUM U-value MINIMUM k-values:' Fenestration Ceiling Wall Floor Basement Wall Slab Perimeter, Depth 0.39 R-37, R-13 R-.19 R 10 R-10,4 ft 'SUN-ROOM''.addition (greater than 40°(n...glazing-to-wall and ceiling.dross area) .i... ,.: .. Anach."Consumer Information Form" from 780 CMR Appendix B. Official's Name: Official's Signature:' Application Approved R. Denied 0. Date of ApprovaUDenial: ; Reason(s) for Denial.- (provide additional'details as needed on back side) • BBRS 06/12/98 ' Glazing Area may be:'either Rough Opening or Unit dimensions: Town of Barnstable yP��FTHE Tp��o� Regulatory Services * Thomas F.Geiler,Director sAxNStASLE, 9 MASS. g 16;9• s`� Building Division Tfn � Tom Perry,Building.Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstible.ma.us Office: 508-862-4038 Fax: 508-79076230 HOME_ OWNER LICENSE EXEMPTION Please Print DATE: 3( bl A 2p tl tj JOB LOCATION: Sl S �`i`l Ua tie number street village "HOMEOWNER": -e�be�-`� \/olt Kt, 4E- &e-W. SD8.�1� 6 _ �ZS 3 name home phone# work phone# CURRENT MAII.ING 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 oi: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 resQonsible for all such woik performed under the building permit. (Section l09.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The under ed"homeowner"certifies that he/she understands the Town of Barnstable Building Department pection procedures and re it ents and that he/she will comply with said procedures and requir e Signature weer 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 pemut 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:homeexentpt RESIDENTIAL]BUILDING PENT FEES APPLICATION FEE , New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET z�a mob¢- s-c o 4^ 3'Z 'sP s-�db L+4vNoR� NEW LIVING SPACE :17-5 4 square feet x$96/sq.foot= �� x.0041= 4 1 q'3 phis from below(if applicable) -- ALTERATIONSMENOVATIONS OF EXISTING SPACE 06- 2� square feet x$64/sq.foot x.0041 plus frombelow(if applicable) 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— 33, 37 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 S150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 __ Herbert Vollmann Architect—515 Bay Lane Centerville MA 02632 24 May 2007 Mr. Jeff Lauzon Building Inspector Barnstable Township Hyannis, MA 02601 Ref: Addition to residence 515 Bay Lane, Centerville Dear Mr. Lauzon: As per your request please find this letter to be a confirmation of the structural integrity of the curved header above the front Palladian window. The header is made up of 3-3/4" curved pieces of plywood boards that are glued and screwed together. Essentially it is a 3 '/4"x 10" microlam which is over designed for the less than 5'-0" span and carrying minimal roof load. If you have any questions please give me a call. Thank you. Her Vollmann Y ii 'Barnstable Assessing Search Results Page 1 of 3 '� s • • . • • '. " .•° 2006 Property Home: Departments:Assessors Division: Property Assessment Search Results New Search 515 BAY LANE Owner: 2006 Assessed Values: VOLLMANN, HERBERT& Appraised Value Assessed Value PRISCILLA Map/Parcel/Parcel Extension Building Value: $344,100 $344,100 187 /056/ Extra Features: $2,800 $2,800 Outbuildings: $167,100 $ 167,100 Mailing Address Land Value: $742,500 $742,500 VOLLMANN, HERBERT& PRISCILLA Totals $1,256,500 $ 1,256,500 515 BAY LANE CENTERVILLE, MA.02632 2006 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $218.91 Fire District Rates Town Barnstable-'Residential $1.90 $6.31 Barnstable-Commercial $2.51 Commei C.O.M.M. FD Tax(Residential) $1,331.89 C.O.M.M.-All Classes $1.06 $6.54 Cotuit FD-All Classes $1.33 Persona Town Tax(Residential) $7,296.88 Hyannis-Residential $1.61 $6.49 Hyannis-Commercial $2.50 Other R; W Barnstable-Residential $1.60 Commur W Barnstable-Commercial $2.46 Total: $8,847.68 Construction Details Property Sketch Legend Building Building value $344,100 Interior Floors Carpet Style Colonial Interior Walls Plastered Model Residential Heat Fuel Gas Grade Custom Heat Type Hot Water Stories 2 Stories AC Type None Exterior Walls Clapboard Bedrooms 4 Bedrooms http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=par... 5/3/2006 o `Barnstable Assessing Search Results Page 2 of 3 Roof Structure Gambrel Bathrooms 3 Full Roof Cover Asph/F GIs/Cmp living area 3063 Replacement Cost $374030 Year Built 198 Depreciation 8 Total Rooms 8 Rooms Land Lot Size(Acres) 0.55 Appraised Value $742,500 s A 4 . Assessed Value $742,500 Interactive Property Map: Ma requires Plug in: I have visited the maps before -For, tt, t „ { Show Me The Man 1� 1 April 2001 photos availableoil IM. ., . Sales History: Owner: Sale Date Book/Page: Sale Price: VOLLMANN, HERBERT&PRISCILLA Nov 1 1996 12:OOAM 10465/095 $207,000 DELORENZO,A J DARIN Nov 15 1992 12:OOAM 8298/094 $143,759 SOUTH CONGREGATIONAL CHURCH Nov 15 1992 12:OOAM 8298/092 $100 SOUTH CONGREGATIONAL CHURCH Nov 15 1984 12:OOAM 84P1258 $0 UNGERMAN, FLORENCE W M792 7875/224 $0 UNGERMAN, FLORENCE W 2119/172 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1 $2,800 $2,800 FGR7 Gar w/Lft Good 576 $20,100 $20,100 DKAS Dk-Avg-Shlw 1 $ 147,000 $ 147,000 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy 1, Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=par... 5/3/2006 Barnstable Assessing Search Results Page 3 of 3 FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=par... 5/3/2006 `-Barnstable Assessing Search Results Page 1 of 2 ED " , ti :r r Ec ua Home: Departments:Assessors Division: Property Assessment Search Results 515 BAY LANE Owner: VOLLMANN, HERBERT&PRISCILLA Property Sket h Legend Map/Parcel/Parcel Extension 187 /056/ i-i,22 , Mailing Address VOLLMANN, HERBERT&PRISCILLA -- - 515 BAY LANE CENTERVILLE, MA.02632 2005 Assessed Values: rl "a Appraised Value Assessed Value. , Building Value: $304,000 $304,000 Extra Features: $2,700 $2,700 Outbuildings: $ 120,600 $ 120,600 Land Value: $542,000 $542,000 Interactive Property Map: ap requires Plug in: lickFdr Totals:$969,300 $969,300 I have visited the maps before tea ;• ! Show Me The Map April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: VOLLMANN, HERBERT&PRISCILLA 11/1/1996 10465/095 $207,000 DELORENZO,A J DARIN 11/15/1992 8298/094 $143,759 SOUTH CONGREGATIONAL CHURCH 11/15/1992 8298/092 $ 100 SOUTH CONGREGATIONAL CHURCH 11/15/1984 84P1258 $0 UNGERMAN, FLORENCE W 2119/172 $0 UNGERMAN, FLORENCE W M792 7875/224 $0 2005 REAL ESTATE Tax Information: - Tax Rates: (per$1,000 of valuation) Land Bank Tax $175.93 - Town ' Fire.District Rates ± Other I $6.05 Barnstable-Residential $2.12- Land B. i Barnstable-Commercial $2.80 C.O.M.M. FD Tax(Residential) $978.99 C.O.M.M.-All Classes $1.01 Cotuit FD=All Classes -$1.28 Town Tax(Residential) $5,864.27 Hyannis-Residential $1.52 Hyannis-Commercial- $2.39 http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=1870... 2/10/2006 :s `%Barnstable Assessing Search Results Page 2 of 2 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $7,019.19 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.55 Year Built 1981' Appraised Value $542,000 Living Area 3063 Assessed Value $542,000 Replacement Cost$337,786 Depreciation 10 Building Value 304,000 Construction Details Style Colonial Interior Floors CarpetHardwood Model Residential Interior Walls Plastered Grade Custom Heat Fuel Gas Stories 2 Stories Heat Type Hot Water Exterior Walls Clapboard AC Type None Roof Structure Gambrel Bedrooms 4 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 3 Bathrooms Total Rooms 8 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value Y DCK1 Dock-Lt Const 1 $100,000 $ 100,000 FPL2 Fireplace 1 $2,700 $2700 FGR7 Gar w/Lft Good 576 $`20-600 �$-2-�—,60�0 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage .UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) n hap://www.town.bamstable.ma.us/Assessing/Assess05/displayparceIO3.asp?mappar=1870... 2/10/2006 I -Town of Barnstable WebMap Page 1 of 1 �I Q r y� � r i „t i% Full Screen Map f� Magnify Zoom In Zoom Out Print Map http://207.190.197.68/Webmap/assessmapO6/TOB WebMaphiresK.asp?action=newmap&1 as... 5/3/2006 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# 6 a4 2) 1 Health Division As-Lt+(An2 03 V Date Issued 4 --13- 0 3 Conservation Division - ����� �al Application Fee 5® ! �' �®� Tax Collector 3 ® 6Pb `i1 c �JL�4 . Permit Fee �� _ l Treasurer s D SEPTIC SYSTEM OUST L Planning Dept. INSTALLED IN COMPLIA.WITH TITLE 0 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANI IO NS � T®WN RECUL�*. 0 Historic.-OKH Preservation/Hyannis Project Street Address 5,11S §�14j Laike Village CV i 11,0- Owner -d&�ty+ V d11 IWA N Address �,� t LK-4?-, Telephone SOB 42b— 2-OL1. b Permit Request 40 c iir- 0-4 J Square feet: 1 st floor: existing . proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5700 Construction Type r pw Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 0 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 I -+ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)c F CD Number of Baths: Full: existing new Half:existing -crew Number of Bedrooms: existing new 13b Total Room Count(not including baths): existing new First Floor Room Counter r:� co r 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 O new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address - License# Home Improvement Contractor# G�`-�7 Worker's Compensation#6"V ��7OX��>�� ALL CONSTRUCTION DEBRIS RESULTJNG OM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE i v FOR OFFICIAL USE ONLY PERM=IT NO. - , 1 DATE ISSUED i MAP/PARCEL NO. y ADDRESS VILLAGE OWNER =: DATE OF INSPECTION: ' FOUNDATION FRAME INSULATION ,. FIREPLACE' ' ELECTRICAL: ROUGH— r FINAL PLUMBING: ROUGH.s J :w FINAL f - ' r t� GAS: ROUGH: —FINAL- FINAL BUILDING ' DATE CLOSED OUT ASSOCIATION PLAN NO. r i - I �oFtHE,� Town of Barnstable , Regulatory.Services &45AWNSMBL. ' Thomas F.Geller,Director MASS i879• 0' Building Division �pjFD MAy ' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-962-403 8 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: Estimated Cost Q 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 ❑lob 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. 4 SIGNED UNDER PENALTIES OF PERJURY I hereby ppI or a permit as the agent of the owner: Date Contractor Name Registration No. OR n-+e Owner's Name The Commonwea-Ith of Massachusetts i -= Department of Industrial Accidents Office oflasesaat/ons 600 Washington Street s Boston,Mass. 02111 Workers'�Comensation Insuranc elf1fi��........��/��, name location: ,p CitV ❑ I am a hom—eownh performing all work myself. ❑ I am a sole aetor and have no one worldn in ca acitp m 1 er rovidin workers' compensation for mY employees working on this job.:.:.:::::::: I am an a oy P g............................:.:::.:::.::.: .:.:::.�:::::::. ..:.:::::............................................ .:::::.::::.:::::::::._::::::.:..:..::::::.:::.:::r::::::::::::::::: :: ................:...::.:.:::::::::.:::::::.::::::;.}:.}7:.};}:.7}7:.}}:}}}:.i}::•i}:•;:?.}i>:5::;::::::;:.::;:i7;::::::::�::>::>:<::<:>:«:>:<::>:y ,•::M-xi.}i;>: ,.}:,.:::.>. .............. .............r... ... ... ..... ........ ...... ... .............. ..... t..::::.4..,:..,}+;nit.. ,.:. : ... :.:: ...................... :..... .. : .::.:}' ... ...:.... . ........ .:::....... .. ....:::::::.:. .. . .. ::��'a...�........ ...,.::...:................ ....... alley# ::.. . :::.:. ::.,; `:':::».<:•:<;>:::;.;<>::;::. ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have v.t.:h:•e•: following w ollowinworkers' co:. 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Y..:. •••'t ' ':?ii?i:!i'ri%{.'?f:;i:ji j.i'�{:Sj�:.....:..- .. isvi;<;ii:i:::>5::::'.•:^;' is?:?.:Tiy�::,:•,:tin:'{i:;:is si:;ii:;v {::;�i:;:}.y,.'•: ••�•�::}:yi;i��:y:�i;i:}:Gti{:•:i: r:vj'::�+:�y�:�.}7?:•;h}:•::v:ii::?ti{;.$v:;i;?.i;v%`.,•:{':ti;i. �n�nrarice �j Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Sae up to S1,500.00 andlor one yam,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the fdce of Investigations of the DU for coverage verification. I do hereby certify he p d es o�edury that the information provided above is true d e rrect. Date signature _ Print name La # 213351,51,151 official use only do not write in this area to be completed by city or town official city or town: perndt/license# ❑Building Department ❑Licensing Board checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other OrAsed 9195 PJtu I 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 enterprise, and including the legal representatives,of a deceased employer, or the receiver or edina 'ourt g _ en rP the foregoing g� J other legal entity, employingemployees. However the owner of a association or g trustee of an individual,Partnership, dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or'renewal of a license or permit to operate a business or to construct.buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence Iof compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and hone numbers along with a certificate of insurance as all affidavits may be , DPP Ymg mP Y P nS e. submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and Aa_ date the affidavit. The affidavit should be returned to the city or town that the application for the pemut or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you to obtain a workers' compensation policy,please call the Department at the number listed below. are required 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 m the Permit/license number which will be used as a reference number. The affidavits may be retxn inR io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Departrnent's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investlgations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 f l °FINE Tp Town of Barnstable Regulatory Services q�nxxascs$ Thomas F.Geiler,Director gj 1639. .0 a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 w Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder , I, VwUk V, , as Owner of the subject property hereby authorize 05ftU-e 6i I"y-e, to act on my behalf, in all matters relative to work authorized by this building permit application for: Pau, (Address of Job) Sign % of Owner Date Print Name Q:FORM&OWNERPERMISSION y 1 � t Fi �/LC�/JQ7�7/I72OOLl(/CLZGL6L a/I�GQ�S�ZCCQ�'L[4 .�V' e W BOARD OF BUILDING REGULATIONS` ' License::CONSTRUCTION.S UPERVISOR m . y NuberX ECS 068483 yf Expires 06-i6b604 Tr no 26042 g..f ' R stncteid; 00 PO BOX 940 , COTUIT MA?02635-�r��,��'"� � rm Administrator' k ' .a#....e:.r,w .n..nr:m+'i.;herT.M.,-.�:Nrnr.. KtA:+.,•a.A. m+i-..-va+'.'wr�"n>-xr�•-•+ .Y _, _...._._,_�._."__"._..�,zea�anrnraoouuea� o�✓�ta�f�zrcae�6 � ; - Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Regis tiaG,n: :123494 Expiration 2/26/2005 ;Type Private Corporation Gillmore Marine Contracting Inc.' -George Gillmore 37 Bowdoin Rd Mashpee,MA 02649 = Administrator C�_nrt s s - o4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map-- Parcel J Permit# _6 o 18 Health Division 5 �u �� �10 > 9 2 G3 ® TOWN OF BARN-T1WWssued e-/) 3 - . � Conservation Division Z ©3 la k 2003 JAB `2 pM „Apol ation Fe Tax Collector llP,,ermit Fee _ O Treasurer ._ DIVISION SYSTMMUSTEE Planning Dept. OSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board ENV► UVITFI TITLE 5 RONPAENTAL CODE ANt Historic-OKH Preservation/Hyannis TOVVN REGl IUMONS Project Street Address 7i g irk Village CO-,Let.,V% t(e Address Owner qe__r yy `��S (�vs--- Telephone 5 0 1 CI,O 4 Permit Request ��iC �aKS l°�. i t S-�k VLy t o7: �4, c etas VZ-f tx Square feet: 1st floor: existing lzo u proposed ?--o v 2nd floor: existing proposed (��O Total new b Zoning District Flood Plain Groundwater Overlay 'Project Valuation '041 5-e U Construction Type _�'& Lot Size `D S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure '�-s fi Historic House: ❑Yes *o On Old King's Highway: ❑Yes -lo Basement Type: ❑ Full -*rawl ❑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_ L new Total Room Count(not including baths): existing new d First Floor Room Count Heat Type and Fuel:1'.&as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Plo Fireplaces: Existing New Existing wood/coal stove: ❑Yes "*No Detached garagexisting Cl new size Pool: ❑existing ❑new size N Barn:❑existing ❑new size N 6 Attached garage:❑existing ❑new size -' Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# �^ N Recorded❑ Commercial ❑Yes `' 0 If yes,site plan review# Current Use t Proposed Use BUILDER INFORMATION Name Telephone Number Sa& -7'16 g 4 Address 56 ray 1aitei License# C�wLGCe KA- Home Improvement Contractor# Worker's Compensation# rf p" ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO T S 6-b�e r SIGNATURE DATE — r-TA-fJ 0 Z FOR OFFICIAL USE ONLY t . P�ER�MIT NO. - c DATE ISSUED r MAP/PARCEL NO. ADDRESS- ' ••� r. - VILL-AGE r , OWNER DATE OF INSPECTION: FOUNDATION nj; (�5 FRAME (,� I' L11- -`03 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL'' PLUMBING: ROUGH• `. FINAL ;� GAS: ROUGH'= M� } ' ' FINAL ' DATE CLOSED OUT ASSOCIATION PLAN NO. ., Y FAKE T � Town of Barnstable Regulatory Services * snxxszae . ' Thomas F.Geiler,Director 9`bA ' 01 Building Division TfD ww't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT t 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 jf Type of Work: aPG�` teaks io✓�- �yc t0 Estimated Cost Address of Work: Owner's Name: > Date of Application: Z 3" 03 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 Building not owner-occupied N7Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. 0 Date Owner's Name Q:forms:homeaffidav f The Commonwealth of Massachusetts % == Department of Industrial Accidents ?� _ � • Office of/oyestigatioos _ - t 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name er��� J NAV\V location ci lam@ V l' hone-4 I am a homeowner performing all work myself. I am a sole r rietor and have no one worlds in ca achy em 1 er rovidin workers' compensation for my employees working on this job. I am an P o3' P g :::.....:.:.:::.::::: .con an :....:...:..:........:.:.:;::�:.;.;}.:.;.:.>.:...::. d>: ::. .............:..............:.................. :.::.:::. ::,•: ax ci ..... un '{ li 0.:: ��tisuan a MMA ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the win workers' co ensation olices. llo P .:. XX con an :names;: ::...:;: :::.:,.:. ti :::::::..:............... :: :.:. ......:.::..:::::. ........ .......... ........... .........:.. ••v tin::w��n %+f:�'.%+>iiT:Y:S?:}:}::•:•n{•ivi:::$i:;i:4i}}: ••yiii{::}::i:4i:Si�Y'• •'.-tti:::.i;i?i};:{j?t:L?:j; .;:....y;..:,..... .vv::?•:i;.:f,.;::::n................................ :wn:�:v:::::;r..r.w:•:-:::::.::•::•;i}}}:?:;:::•;i}}:?•::•}:;.}}}:::4:•: }.# ?'e on h •t.t. L t .:.:.... ....................... .......t................................................. ........... t:.:..:.......... y............ .'::;�r:.. .,Fur}}::•}>}::• .ti b i::ri::i :><iii}i:;t%v'r:<y:i$i:{}:;':;:;:;::+ii>ji:3i::}'r:}vii:!i%?i::Pi:%ii:S:t':• .r.�..:�::nii••.••:r::•:''::w':•�:;i••::.:}}tin�niiiiii'4i:Ji'riii;::}{•iiiiii:i4.:iii�%i%:ii:iiX{,:y�:i;:y+i:ii::iT :'?•.i;?t???•i:4:?•}:}'•:•:•:::>::i�i iiiii:{}.}ii:iii:•::•}:::.v••••::..............::•::::•:..:.;;...,.....,.;:.;........:.:.......:....:'•.�::...:...::'4r.:::.::ii: :n�nranc Fadu•e to secure coverage as required under section 25A of MGL 152 can lead to the imposition of etfminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties to the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Ofnce of Investigations of the DIA for coverage verification. I do hereby certify the pains and penalties of perjury that the information provided above is trup.and correct r sipature Date � \0 - - - /'Z— Print name 'J •Yt^Q IAA. Phone# �4L `'1 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑selectmen's Office ❑Health Department contact person: phone#; ��°r (twined 9/95 PIA) Information and Instructions 1 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 co ntract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants i r please fill in the workers' compensation affidavitcompletely,by checking the box that applies to your situation and names, address and phone numbers along with a certificate supplying company names, of insurance as all affidavits may e submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and Gw: date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the 'law"or if you are required to obtain a workers' compensation policy,Please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be ret®ed in the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Inllestlgadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 f The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ( Please Print DATE: Z�tOJ 0 3 JOB LOCATION: LAjV__ number p )f street village "HOMEOWNER': ��� V lAi^ name home phone# b work phone# CURRENT MAII..ING ADDRESS: 5 ��� CA W__ (et,vi 1te oU 3 7 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 Dep e t um inspection procedures and requirements and that he/she will comply with said pro d quirements. Signa o omeowner 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 pernut 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. a cr ..a, ,`f� "Z /r•ar r' 'R '^^•'e,,, .• �-,~._-`�•�,y_� ` i q �- � �, r / `.�: • � x --.. ,.-"'�,,. 77 gig �� "`�' a , i .,"_'^,,,.-�_ �"`.',,,�^—�`.`•� 'ice•—,F.-�.,,... .. s , r mom y r •x f t' t?t.�� I� �• R � iE r ? j.���°� .may,,. a.^'� � -. 'Sn. ^i y, . Aft�:- /✓'`. s "` �..', # :# ;`: ,y :"y .r ,ylFs'wa`e'f 'k.�.. .,,,`^. ,.o`';,yd c 'z tw ,t R��P� �.,,,,,�. ,r t av, k `c'' «; r-- '�'a�.� t�✓,l�:"�' n c. .ate... y--.,« � r� _ _�. ` � w. �, �, .�• � � � : x,fa � � '{�; � �f" x '��.., p`f• r�;,fi i� 1., .as Y�,._ -" F« _�}x r £t. �'.` r �� ,,�` 'y`�w; .� °�'� aw S � 5 mom .,. t tt ;� ��.�i.. ,�` ,}yam,. � r ,�. I i:1� V t :.^�'''t � •k �..:. � rfw Allitt€' € .`tk Atk� '�'���,�„x� �t 'tE•r ,I� S '~z- '"a a 'y� � '",�S'� ? :� -.r_ ,a tt +r ' 1 #� �. �"�•� s'e.,,;.,. � � � � �� €nr, ✓'� !3,. � < ! �"{• .tt � !a, �4 ,�, {.�lrr •+;,}-i i',�•. �' n a1 't.`���la`� '��. �3�:as� e�'"ae`- .t�:�'�;�r. y. '-,ri.�r •°i �',r:-.,.e,.. ,;_.�."i^.��k.'�*3 '�"w tt Alto 3 3 tip t AN N ( L2) xt� y LZ7z�4.v LZ)Zxt t, �' atJ (•2s't�1'1�t�7� h� 10 AN 00 �e h1�'h loe\vt�J �lF _. t k; b Engipeering Dept.(3rd floor) Map Parcel D (D C�. Permit# 5 House# -11 j z0441- Date Issued `1",-!E2 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Conservation Office 4th floor 8:30- 9:30/1:00-2:00 MUST BE ( )( q {� TALLE® IN COMPLIANCE M1 . Boasd 19 _.... - TOWN OF BARNSTABLE 'F0 "'`� Building Permit Application Project Street Address 1 3Q Lb ATiAlA C ? �''_`' `• . r Village P�m4- U� Owner l rb I I mG n 0 AddressL5 Telephone 450 Permit Requesty/,X ` fi 1TC,� TU First Floor square feet Second Floor square feet Construction Type '�- Estimated Project Cost $ �6 Zoning District Flood Plain Water Protection Lot Size 3 a�ln i5g;4-- Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House El Yes �No On Old King's Highway ❑YesQN0 Basement Type: ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft�—' Number of Baths: Full: Existing ------- t — Half: Existing No. of Bedrooms: Existing 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: (E�xJisti a Existing wood/coal stove ❑Yes ❑No R GarageX. Detached(size) X 9, ( Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes )No If yes, site plan review# Current Use Proposed Use Builder Information /,, ( / Name T 1 Ir�Q.4 0 � �lJ�� ��� Telephone Number -7yo 7GW Address S L�r License# c4s1_3!!� Genf nn nn T n Home Improvement Contractor# V-p/37 / Gen -S , I v{f 1 0__-�,660 Worker's Compensation# _ C 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 T001 07 nIs SIGNATURE V.LJU DATE BUILDING PPITNIED FOR THE FOLLOWING REASON S 4:). MAAM _ _ 31#f �� �_ ..Y .. r y$ cif✓+t37'a` �YtnSa;iG%EY,"suRi6t� ''ii9.Re�^'"4AYdit .��'°�Bb -._........�..,.,..w.w,..+�:,nwee+.�+i^wNw+-r..ctsceas�.aar,MewrcfitruoN 3 � � o _ � . . _ � _ _ ..__ _ ._. . .- t _ �. i � i �. _.,�.._. .�.... .. .... _r I� . — � _ __ �� , -- r _ h . � � . .._ 3 Y � !`. '" J + , s - t_ HAIZ80 �s 120 Great Western Road (508) 760-4500 P.O. Box 708 Fax (508) 760-4930 South Dennis, MA 02660 �D PROp Toll Free 1 (800) 368-SHED 7433 50550 DEPARTMENT OF PUBLIC SAFETY . 58550 ONE ASHBURTO.N PLACE, RM 1301 BOSTON, MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE Number: Expires: " Restricted To: iG MAY ;1r 5: gib" JAMES D MCGRATH �� Detach bottom, fold sign on PO BOX 708 ``back, and laminate license card. S DENNIS, MA - 02660 Keep top for receipt and change of address notification. HOME IMPROVEMENT CONTRACTOR Registration 109374 Type - INDIVIDUAL Expiration 09/11/98 PINE HARBOR BUILDING CO.,INC. JAMES 0. McGRATH -9.6 .OdBOX 708/120 GT..WESTERN RD ADM'"MRAMR ' S DENNIS MA 02660 i — The Commonwealth of Massachusetts �0-25 = 3 Department of Industrial Accidents 1!4 Office ofhyesligations \ = �_ 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit i nnlicanfmforritattoit: .:`">_- _: k =�:YPlease:PR NT< e�i}ily 'y sr"`: name: location: city phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity .. _� ......i.:.'.Hj-.w:3%..� ....... =,' ser .-M.. .. ..: ,.;.� v-...t -"`i-'->.:...-:. ;rt.. ,... :•.... .- ....;1. _ _ c%•f...; I am an emplo er providing,workers' compensation for my employees working on this job. � com any name: address: �t �-1/I in .1 ci phone 9: o insurance c o. H MV Vf .. `/ its � I cv# 7n- I qi I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: - address city: _ phone#• insurance co. policy# "-„".�n'^?'�7"'� ---T•-.�?�. - _ _�i _ - ^-::try .;a�:-.:9 �s�. - ..wx`—• '< company name address: city: phone#. . insurance co. - policy# Attach addthonal sheet if necessary _ 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 51,500.00 and/or one}ears' imprisonment as welt as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may he forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under t pat n a&erjury that the information provided above is true and correct. Signature Date a � Print name CID fh Phone# / qsDn �o(ficial use only do not wvrite in this area to be completed by city or town official ,� city or town: permitAicense# nBuilding Department ' 01-icensing Board O check if immediate response is required Selectmen's Office QHealth Department contact person: phone#; r Other (revised 3;95 P):U it K _ The Town • nuUi11e7'i►Bt,R F ®f Barnstable Department of Health Safety and Environmental Services Building .Division 367 Main Street,Hyannis MA 02.60 i Office: 5084 90-6227 Fax: 508-710-6230 Ralph Crossen Building Commissione I`or office use only I ermit no. I gate- —AFFIDAVIT [I014E IMPROVEIMENT CONTRACT Ok L,,4, SUPPLEMENT TO PERMIT A4'.PLIC.,v IOIN l*'GL c. 142A rewires that. the "reconstruction, alterations, reno,an, ti, eoa.ir. modernization, conversion, improvement, removal, demolition, or consta•uctian of at: addinop to any pre: xisting o,,rner occupied building containing at least one but not 'more tipm four dwelling units or to st,'uctures which are adjacent to such residence or building, be d� . a 1iA I gist-red contractors, with T�� ca rtain exceptions,along with other requirements. pe of Work:3y)�5�(/! JV o � ��Est.Cost_ayy�o.0o Ai idress of Worl:_M ) EauLIn Olyaer'i Name_ 6ftleo De to of Permit Application: I hereby certify that: Registration is not requdred for the following reason(s): _Work excluded bN luoj ——lob under S1,f90o. ---,Build.lag not owner-OCC11 POW ---Owner pulling owl, permit Noi ice is hereby givers that: OV INERS PULL NG THEIR OWN PERMT OR DEALIN t, ;1 i 4:N.REC ISTERED CONTRACTORS FOR APPLICABLE HONW- Ii?TR01VrNfENT eA t IR K AC:ESS TO TIM ARBITRATION PRO�G&,kM OR GUARANTY FUND UNDER MCI.,c. I42A HAVE SIGNED UNDER PENALTIES Of.PERJURY I he reby apply for a perinit as the agent of the owner: lDq37q Date! _ r. racfor _ Name Itegistration No. OR Date Owner's Name Engineering Dept. (3rd floor) Map Parcel D S 4 Permit# House#. -J X� Date Issued Board of Health(3rd floor)(8:15 =9:30/1:00-4:30) ?'Q 4-3/ .� Fee o Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) �P J'0C Plnrt nP„t .( ._Rld�•) ALjIr��,��a/�^/C n�Board 19 VIRO -•s7 1 Arne AM TOWN OF BARNSTABLE Building Permit Application Project Street Address L_a Ul y ge f Village Caw r U t 11 e I f� l rl- 'n 6-& Owner 141e1.6ek-+ Pi't 5c i 1ct \1011mk t � I - °Address 5(S � Lam E V&Ve 3MA Telephone 50 1 q 0 — 4961 ci p g. TK—450q Permit Request a C r WA First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ `� -'006 ,W Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family . Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes )JNo On Old King's Highway ❑Yes ANo 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 �'c No.of Bedrooms: Existing J New PP Total Room Count(not including baths): Existing b New First Floor Room Count 13 Heat Type and Fuel: ❑Gas ❑Oil Electric ❑Other Central Air ❑Yes 3ALNo Fireplaces: Existing I' New Existing wood/coal stove Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) 1 C&t,.- ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Po If yes, site plan review# Current Use Proposed Use Builder Information Name n w1AA-A, Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# 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 SIGNATURE' 4DATE W L d, U D , lQ q-7 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) p FOR_ OFFICIAL USE ONLY )woPERMIT NO. DATE ISSUED MAP/PARCEL NO.;- ADDRESS VILLAGE ` OWNER � 4'P j i � r DATE OF INSPECTION: FOUNDATION FRAME . ^PZ2'0 INSULATION624www-I FIREPLACE TI ELECTRICAL: t�ROUGH .FINAL PLUMBING`$, SOUGH FINAL >4 GAS: , RQLGH FINAL FINAL BUILDIKNE + DATE CLOSED OUP, M ASSOCIATION PLAN NO. 4 _ i -tt ---- -- � - ril -- cj �-�—+� Nbucs•�. \ ' Ca -.J �' •� I� ems-" N:a cwzy>� - M� �' O - 0-4 alt x� i1 Z y .. y 'lytB lc RM�faDt'12.i6 P16'o.c�cv.w sp -- i n _ '�"�H �FNuw — 4 n bd W— * 9-4Y n T_- .._�. $2 Tel t i ; •4_y P MIT FL ooe P L- .'y rt• taxed �I �•. dd 0^ 1 l _• _. Jr� `� L/ ter, 11 I I I [_] Or m -• I t - e -- " r : �av I• •I M i,•, s ....., i f �J• r _ ,c� _' I il. <a:.� a R • ----'�--_I_'. � _-----_I FAIT FL.,' Public Health DeisaGn Town of Barnstable P0. Box 534 t Hyannis, Massachusetts 02601 �Permit#Engineering Dept.(3rd floor) Map � Parcelu `3� Huse# Jr/5 �Date Issued D .� Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) f e ��1 ;X%ee io(F, O Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) 11ST ANCE BE� Planning Dept.(1st floor/School Admin. Bldg.) SEP C�«'Y � Definitive Plan Approved by Planning Board 19 !N� DE AND TOWN OF BARNSTABL� TO N R ' ONS 6 $1 L Building Permit Application Project Street Address CJ 6 �441 Del/. GD 7- Village Ce�'6i V �L 1� Owner &1gki ei-t-ScL11, V®�l ►n r Address SOS I qjk �+�-e4ti-c/tIte MA Telephone -50$d rl 610- 414 I 'q 430 91 f,k i Permit Request i►n :l a�► d� a o � �� � 4 vtC ANO b ® Z ltVe 1 iM k 4e S`l 80i. Iva a Wk. � lay�q$ fa►w�t w��� / �t First Floor dA� $6 SF t OK2� Po vL-les square feet Second Floor 8o SE square feet Construction Type Estimated Project Cost $ 5 E a o Zoning District Flood Plain Water Protection Lot Size Z 3� (,® S Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure i Z Historic House ❑Yes Wo On Old King's Highway ❑Yes ` (No Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Poop-- Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing '2- New Half: Existing New No. of Bedrooms: Existing 3 New J Total Room Count(not including baths): Existing New 7 —First Floor Room Count 4- Heat Type and Fuel: ❑Gas ❑Oil Electric ❑Other ■ Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: Detached(size) 4- Other Detached Structures: ❑Pool(size) -1 ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes *o If yes, site plan review# - Current Use Proposed Use Builder Information Name Telephone Number Address License# Home'Improvement Contractor# -- - Worker's Compensation# 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 SIGNATURE DATE /ILL- ZZ- �ct4 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) Wy �O ' J FOR OFFICIAL USE ONLY w/ PERMIT NO. Z J 2-91 DATE ISSUED - MAP/PARCEL NO. ADDRESS VILLAGE R OWNER . < DATE OF INSPECTION: E FOUNDATION FRAME INSULATION FIREPLACE ' ff J - ELECTRICAL: ROUGH FINAL > -. PLUMBING: a G FINAL GAS:'~ G FINAL FINAL,BUILDIN DATE CLOSED ASSOCIATION PEA"NO:MR rt 6C t ' A pig'�o t r . . ; The Town of Barnstable • L►errer� • Department of Health Safety and Environmental Services 1659. Eo " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission( For office use only Permit no. t 1 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: t t o+a ate t_ �� Est. Cost 0©o t II Address of Work: Zwner's Name t V D l w Xate of Permit Application: -ZZ I hereby certify that: 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 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. OR / 1 W • w The Catinnotrmculth of:ltassachusctty Ali —=}•�:- Departttrctrt of Industrial Accidents .1 ,• iiw � VMCCOf1ffYest19Z11Vrts 600 !f ashiir, Street • � fie+4b , ,' Bustutr, .11u�:v. UZI11 Workers' Compensation Insurance Affidavit - L16ilicTnt 1nf6rmrm55tio6• Plc'tse PRINT Iebt_tjj= } �namc• ��VQ�� V b 1.1�Q VlV1 . Inc�tion• ��� ��/ ��Il�� 7 sit%• Cam- y U l t`'e 4A— nhnnc d ?q® ~ 4-/-` k I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity [I 1 am an employer providing workers' compensation for my employees working on this job. commies, name! •iddrecc• _ � city nhnnc i!• incurnner cn nolicv# [I I am a pr sole oprietor, general contractor. or homeo�`ner(circle one) and have hired the contractors listed beio%v who n: the following workers compensation polices: cmmn•inv n•itne, •tdriresc• city. nhnnc+�• incrrrnnrc rn noiicv _ _ cmmninv nhnnc• addr"c- cin nhnnc i#r incur,nce co nolicy Of _ Attach additional sheet if neccs_sa_ry r'^—"* "^�i ca'y Z•�, —- -- —'.r. r�+r +r+•►L '".ti�l�-��"�.;y'va:.�. F:,ilurc to secure cin-cracc as required under Section:5A of AIGL 152 can lead to the imposition of criminal penalties 01•2 line up to S1S00.UU andiu uric cars imprisonment as weil as civil penalties in the form of a STOP AVORK ORDER and a fine of S100.00 a dar against me. I understand that: Copy of this statement may be forwarded to the OfTice of Investigations of the DIA for coverage verification. 1 t10 hereby cerrif,► a It •r the pains ai114penaltics of perjure•that the information provided above is true and correct. Si=nature v Date Print name Phone w M! — ,r+.rrrrrrr . �oRcial use only do not write in this area to be completed by city or town official cart or town: permittliccnse if r'ttluilding Department t C31..tcensing hoard CM chech irimmediate response is required OSeleetmen•s Orr` t ticaith Department contact person: phone#• OUtttcr Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the an etnplmrec is def incd as every person in the service of another under ally contract of nice. express or implied. oral or written. An eiytphmrer is defined as an individual. partnership, association. corporation or other legal entity•, or arty 1%vo or more the fore__going cnunued in a,joint enterprise, and including the legal representatives ofa deceased employer, or the rccci%,cr or trustee of an individual , partnership. association or other legal entity. employing employees. Ho%vever the nwilcr of a d%velling ho use having not more than three apartments and who resides therein. or the occupant of the dwclling !rouse of another who employs persons to do maintenance , construction or repair work on such dwelling hour or out the grcunds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or eiieWal.of a license or hermit to operate a business or to construct buildings in the commonwealth fnr any Appiicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionali . neither the commonwealth nor any of its political subdivisions shall enter into any contract for the )crformanee of public work until acceptable evidence of compliance with the insurance requirements of this chapter 1ta seen presented to the contracting authority. .pplicants Iease fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and 1pplyin_g company names. address and phone numbers as all affidavits may be submitted to the Department of idustrial Accidents for• confirmation of insurance coverage. Also be sure to sign and date the affidavit. The `tidovit should be returned to the cite or town that the application for the permit or license is being requested. of the Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are required obtain a workers' compensation polic}. please call the Department at the number listed below. - itv or Towns ease be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of e affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas sure to fill in the permit/iicense number which will be used as a reference number. The affidavits may be returned to Department by mail or FAX unless other arrangements have been made. :e you in advance for you cooperation and should you have anyquestions. Office of Investigations would Like to thank _ase do not hesitate to _give us a cell. - e Department's address. telephone and fax number: TIte Commonwealth Of Massachusetts Department of Industrial Accidents r r Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (6I7) 7274900 ext. 406, 409 or 375 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION /Please print. DATE JOB LOCATION C C� Number Street address Section of town "HOMEOWNER" V(� LkL,, Name Home phone Work phone - fir• PRESENT MAILING ADDRESS Lk-op— _ U(672. City town State Zip code The current exemption for "homeowners" was extended to include owner-occupier dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sy who owns a parcel of land on which he/she resides or intends to re- side, 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 Office on a form acQeptable to the Building Official, that he/she shall be responsif for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the -St Building Code and other applicable codes, by-laws, 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. HOMEOWNER'S SIGNATURE V APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER' S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such Home Ownez shall act as .supervisor. " Many Home Owners who use this exemption are unaware that they are assuming . the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for .licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, : particularly when the Home Owner hires unlicensed persons. In' this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "dwner actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/bier responsibilities, man Communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the la--t page of this issue is a form currently used by several towns. You may --a=e to amend and adopt such a form/certification for use in your community. iN `l2l`(y�woo0 2x�DLp pIL Qorry b`x 1.YT 6 PLY, o TOT a ,u e 1, l.L(w o e e7 cowNPf: stsffi - �Ka�i� b�4L-- potl u Pla�e yLY 6�P �,� glo��ors ip C A✓w.bYnah c r r.) ��� _�i Fj � 1 _ + .��, FL11 Lff"MI'll" L�?';' I I !u ___� pccpmeo R� DT.e__--__ �.r,✓ 6 rn r Cj oeTVi ELEvATION ~'zDlt re'rwa•Fb*•wc FRONT ELEVATION ! � '•e'.�aea-w re..c ewe FwwUw + 2 TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 187 056 GEOBASE ID 10808 ADDRESS 515 BAY LANE PHONE Centerville ZIP - s LOT 8 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 21617 DESCRIPTION REPLACE AND ADD WINDOWS PERMIT TYPE BMISC TITLE MISCELANEOUS PERMIT CONTRACTORS: PROPERTY OWNER Department of Health, Safet' ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 BOND tME CONSTRUCTION COSTS $7,000-00 . 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE P Q ; o • iAENBTABLE, • MA88. OWNER 3671 ,t R I ADDRESS 44 N ROAD W S H E MA MA BUILDI NISI BY ATE ISSUED 03/11/1997 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE. FROM STREET BUILDING INSPECTION APPROVALS _ PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. d w K f—Ose l�� ndA.cc tam Ice G9 2y10 69 1 °PYRE ti The Town of Barnstable BARNSTABIZ 9� MAS& Department of Health Safety and Environmental Services '°rEo Mop" r Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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. Type of Work: h eW l> A ko W 5 Est.Cost �,.®00 c� Address of Work: Owner's Name ��r� ` S� ( �Lct y Od Ld1A 1,1 Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. 1.4"1 A 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 SIGNED UNDER PENALTIES OF PERJURY r r I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. p OR to, 'Date Owner's Name 1 The Commonwealth of Alassac•husetts Department of Industrial Accidetits office of/nvestigations 600 Nashittrtott Street - Bmto►t, Afay. (I2111 Workers' Compensation Insurance Affidavit �lhplicant information: Please PRINT lebtLr name: V(911 lei 1A0 location: �l5 La cite UVl eY V.[1 f-e , MA phone# I am a homeowner performing all work myself. I am a sole_proprietor and have no one working in any capacity ._.e+......t•+w• _p. ,. .:7] yyr .•-.�•Jf AT.^ar'4^f' ;AJ'SS'?.t-l. .:.•�.W iA'�'3^"?'t•�s..vwiwwMe wa .�.o„s A +�`.!,+Y^.^t+^�-+�•�'T.�._..-...-�,•.,".. :.......:..w....rrrew�..z:..ww:v..�....-r,:x...adi•..i.�,i.r.r.was..xu...w► _.: u .. :: .. ..-:..ir.x�d�....... " ,C.i.�._. _ -_ ."'i'.�1i�_ ._....._r._....�..� I am an emplover providing workers' compensation for my employees working on this job. company name: address: city: phnne#: insurance co. policy# I am a sole proprietor• general contractor, homeowne (circle one) and have hired the contractors listed below who have T the following workers' compensationpolices. company names: EbaAV— a t71n<,, address: Pc'0 ewx /Pt4 city: &zr; iisl ayVyl e.n0{-4 , M/k V--z,& 12- phone#: insurince Co. See '(JY'o12V1Ne t— calicy4 '... ...,. _.... .. .�:.r, y� r-�..-. _ .fit..,. ..-_:�._ .��+..5�.--.l;�iT•'S:'o�.S -_ _ �,�.,-.�...- - y .-___ __...___. ..,_c:...cri:......:�.:L.w_...:�..:.:.►r�..n...:l.:.,.ii:...r�:.. '- ,:r� '. ....__.'.�.ri..ar�' __._. Company name: address: city: phone#: insurance co policy# ,Attach additional sheet if necessary - secure �_,✓:.`sign ar.�=._.� � ...•'ti. ,:ia.i_�._n�,..+s� .r.r.:.�a..i�.ic�.a::,�i fm. ...[z. Failure to cuycr:�gc as required under Section 25A of n1GL 152 can lead to the imposition of criminal penalties of a line up to S1.500.00 andiur one.'cars imprisonment as well as civil penalties in the form of a STOP 1yORK ORDER and a fine of S100.00 a day against me. I understand that a COP) of this statement may be forwarded to the Office of Investigations of the D1A for coverage verification. I do herehr ccrtifi•undperr t�h-e—pa\in(s and penalties of perjure'that the information provided above is true and correct. Sienature �1"� v Date Lo I Print name �`—� v tC v"`CZ IA I Phone# YWL'tY[ ("�jl use onh do not�t'rite in this area to be completed by city or toss n official ` city or town: permit/Iiccnsc# rltluilding llcpartmcnt Licensing hoard �check if immediate response is required ❑Selectmen's Office F: 011calth Department contact person: phone#; rlOthcr f- (rn,sed Ill;11JA) 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 en►phome is defined as every person in the service of another under anv contract of hire, express or implied. oral or written. An en►p/nrer is defined as an individual, partnership, association, corporation or other legal entity. or anv two or more of the foreuoin- enLaued in a joint enterprise, and including the le-al representatives of a deceased emplover, 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 ,rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section _5 also states that even, state or local licensing agency shall withhold the issuance of - In of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant vvho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department Itas provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations ]tas to contact you regarding the applicant. Please be sure to fill in tite permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements Dave been made. Tile 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. -.•�.,..,,._ • . .....,a.-. ,,.... ....,-.,..,:.x..�,,.,.,.,._:a..a...m.....,:q.,.-.r..-.,-....,..77'' .— 77mns.-r• .�-. *.�,,,e....�.v..,.a..,- The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 NVashington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 • N LOT 7 754.00 .� of AL O existing. d` ' houses N O 53'± desk 6 2, V.- � 3 c0 � Q T 8 m 3, 60 sgftt co O 788, LOT 9 JOB # 96-362 CER TIFIED PL 0 T PLAN i LOCATION : ,515 BAY LANE CENTERVILLE, MA SCALE 1" _ .30' DATE NOVEMBER 11, 1996 PREPARED FOR: REFERENCE LOT 8 PA .285.PG 65 HERBER T VOLLMAN I HEREBY CERTIFY THAT THE;.STRUCTURE SHOWN .ON THIS PLAN IS LOCATED ON THE IN OF GROUND AS SHOWN HEREON. ARNE H. n QlALAoira capet:eering, inc. No.26M CA 0 LNO---- 1 �� CIm IziCIVIL ENGINEERS 1Oy��pLAND SURVEYORS I — -- — --- — nnpmr-_____ _ _ __ DATE REG. LAND S11RV .»." ..-.'..mow.,......�..�,.....�...�.. ,�...... ...ter-.... -mow 111 Wk ow pW �1s?two► �� � ; (k =1 Itofrx(�AN*54All i n)t ►� ; -r-- ' r . Ar lK 10 i _x_ — � ps1r!"utl�/hLC(collLildQllS�— OT ES — _ B N W T$ E A_. e,4wHU P� 5 FOR �2_ p� } x At - . �!'�•� v� tyV+s� L� ri -Pci�cvDE� re S ply •� F I [ , ' _ .. - - � � ",__4 TI H i3 �. P-�.r11H q'- 01ZT�2.rl �� arr� '1100 3O0)EOO 'f"I . T eps @ Z¢uo.�.G /z x8 _ IR, a t - , cow ,� 'o slMiN Pei 2 %2 me, f =� �T _ US> o.� - TiNUD -+ z r • .q �`N�FF \ Y LE --- n,oaR �r STRU AfGISTCQ� E .. • � � _ p�oX DESIC�-r LETS-- • _. .. P D of-- COLLAQ ,<O.F Z ASe"ALT SA%.6 Z ' �•• RooF 6o ARDiNG• • - - — (y�X YC TOP Pl4T'� -W� C40 "p DINT 1 I yx6- I I. y�J• P✓RLiNS' s �/�� j"GUPRINOIEO S.tl -1 �a�Qli OF JAMES E. GP♦ _ - _ _ EGAl y. ....�... ._ :. STRUCFURAI 1 No.2 t _ Hn qa�F C/STERE��.a��`'� SS/OVAL ENG - J PINE HARBOR WOOD PRIG 4 Y 2.3 `I4 s . SCALE: i A �F"' ,(oPnoNa�� yO y12. A2CH(l"ECT' SHINGLES.. ' (RIMED r'NE Ik/M TRRLISOAA WI NOOWS -r Ih-ITT I_ IF 1 q K71 THERM ACORE ((pit) Ski RT T?l�l CFLa.S1+ED� 24' .____._..-..__._. ___._------"___-- _ z . - -------..-------..-._ — I I I IIII III I.L� SN(MaLES s %W. I1 1111 11711 itli T-. Ito- L11"i I I 1I I-11'i I I— --------- I , Zy L - FROM TOWN OF BARNSTABLE BUILDING DEPARTMENT Pair. Francis Lahteine 367 MAIN STREET Town Clerk HYANNIS, MA 02601 Phone: 775-1120 SUBJECT: FOLD HERE - + DATE - Dec. 29, 1981 a MESSAGE Work has been completed under Permit #.220.29 (Florence W.. Ungerman) 41ease release Bond. SIG ED DATE REPLY / 17 SIGNED N87•RMI - - RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY " - PRINTED IN U.S.A., SENDER: SNAP OUT YELLOW COPY ONLYt;:SEND'WHITE AND PI.NK COPIES WITH CARBON INTACT. PV ``�„�'"' •e TOWN OF BARNSTABLE Permit No. __ -------- t NA"n.>r ; Building Inspector Y.,. Cash --------------- OO'r0 YPY� / OCCUPANCY PERMIT Bond (// No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to F-1oreIIce 4. Z 1rigE rma,-. Address T ; Wiring Inspector ` a l v Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department -�Jrp-- ^-�,-{ ' 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. .....................................................1 19_.... ..............................................................................._............_..__..._..... Building Inspector i z ° Lei „ 41 x r y� a x t-a O � � t � i � + - �O� �' �. ry dew `�'f, t `� � / �U•A C�i•�� t 3' � -� � k �' w+i 1r� ' ,F F. ,c �'r . �'Q ""- l / -. �:.k -•;'.:l t�•...; .3i�.J�,\ x � s .�.,� ,a �,..-, " f to q i 4 - 4fF.. �� � t � ^�' LOT� "�"�.4.<. .'� .w t�...� .. `'•♦ �ly-/ �._ -nc -o d�... L®� N Cq�T"o /r c-/vT,6Ry�v/c.446 MAss• 7�R: T�nF�n2/E- Ir—op— ��o�/W,���°a°a e.+;•pdmtl `�Q� YI���e' G��'7/e-/rE� ��F�.(j��� _Fri s _ ��P�w-�,im.�lO{WW O p •. - `"pN. '7?4W 4/ GCX7/< dos {� ' Co OA 7'/ICV�' 7—iWe47- -,rA/E 49C//4,0/.`/4-r 4 dG bVA.�.' TAJ' 9"f/OnS AP1—AA/ 00097-ED O.V T/-/E IN m! !C®h/I�'S��w/4�1 TKO r/NTJEn� ®.nc�✓��/.��✓�:r / to x -.row" O�.[2tr/1/VST�`Y/-tL..r. .- 4,�\•Y�\/�N f �AU`�'9n� ARNE ALA .. ,a 126343 .6 T i.,Ee^c OSO L e4?d* NE —a Aws ° .�/d9®C✓Ti�/� /e����. aATE e�y. � �� r C 2 7u wQ1 r.qf\:L.: ytti�w., ..warp 1 w h 2 fny�i0,/ Pork do 3 L - 39-49y� 4 - 63.300 r �1 ♦ 3R,t00r is bv 4 S q 220 ' lYt i p G � 8 c 4. CQ ; I .,r p?• 6;,Ioo to* �-k sa .. 6 - SSA' -n w1t,�'•4ow '0 4380010v , - a w v S V 600 -NJtj = O' s aeso0-' h ow /2 s6 zoo' r, -,• � y� �;. �2y �• PA• esw �+ ti q�► 2196P off+l 19 2.,. 4 79500 P.—�� 1 1 •� 7�OO Niel C` L'J C � �I l`e— ��i� �c c C c1"—� � ` . te ting —Froposea vistnct lber Number Groundwater Overlay Size Sewage Daily Flow ve Ground Above Ground Lot Area -rground Underground Fire District rents Contents Number of Buildings Existing Proposed Demolition ties -r- ❑Public ❑Private Total Floor area By Use :r- ❑Public ❑ Private Residential trical - Aerial ❑ Underground Office - ❑ Natural ❑ Propane Medical Office Commercial in Spaces Curb Cuts Wholesale sired Existing Institutional -ided Proposed Industrial iite To Close (Specify Use) Site Totals 3icapped All Other Uses On Site or WP areas restrict wastewater discharge to 330 gallons per acre per day into on-site system'. P1an:SPRPG3 7r_ Tnp sF�R►WNP� n c a qi ll, s o - s cz) To C7'72K1Q Ica? )ZrCle-! 8 t; N— t � r i � EX t It �f6 tP1:'�"S G°�tb"o� C t op --- Ott I 3 it 20 MAP '' n � Top e�rt'1��W►�G tk it N 1 -A t o n? i p E CZ) -A 2xly C2)2c 1 � apt� cvNs• p l�,t�.. � 0 1 s w (ov, 17. IZ e i )/y Z fpc4Ts op tom"o, c um �. ON - NZW MAP ® 4 g / VErT rj6r 5ky��r�y . • CDp(IONAL, r F F F I rFFr i: DpU6W NCA II F If r (- (- -- i ------ _-------------------- -..-__ . f _ l- Zvi, J�C!/// - �j�- 'fAssessar's map and lot nu mbe 1.�'... ..w7�.�, ,. (�l f/ THE T0� Sewage Permit number ..... 0.....f ?f............................... 'SEPTIC SYSTEM MUST NSTAu,Ep -� 9TO8L i House number ..........................=�.�.5................................... 1MM TITLE 6 + rnsa 9. ENVIRONMENTAL CODE A Mar'�� TOWN OF B A R N SrXULG 'TIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....voros.ram .......M ....,.! ? a .................................... TYPE OF CONSTRUCTION ...... QQ.D........frt 1f1. ,.................................................................................. .........................19M TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....ko.-E.g.. .................... ..��C�J!!✓f........ k 41 ................................ Proposed Use a.... !n'I 1\6.. !► .. 1 c-o... ....................................................................................... Zoning District IRII.� !. �e11 J1lJ.r. /. M tt -- f t( ..... .... ..................................................Fire District .. �.1,�.. .. �..�. .. ...V�.,.4�,,....... Name of Owner .... ...Un exilucta.Address .... Name of Builder ... ...A ... ...... l.... 2 T.....Address J3� It It I1 tc r Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..............$................................................Foundation ...... D.G.W. e....0-0.(. uu ................... I . f c- Exterior ..5L ......�,eslcbf. 00fing ......... .! 1. ................................................... Floors ......W.0.0.A...............................................................Interior .....skep-,+m.ck ................................................ Heating ......S.©.Lo-I- R A.........lr51 , �-z�. .Plumbing a PVC VC.r. Fireplace .....©.n12 ..... C_.K.. 11� .1St S:...P......Approximate Cost ........ Jr�.QQ .e.00.............................. Definitive Plan Approved by Planning Board ---------19.7-0_. Area .....17.ItY..5 ..�."f'L" Da Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH SLR &- CX 7�v lb 64p) N JIB f V11Ny10RAIV7* I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... J..... • .......................... UNGERMAN, FLORENCE W. .a w No .228.29... Permit for ,Two Story .............. v Single Family Dwelling ............................................................................... Location .,Lot #8 515 Bay Lane ...................................................... Centerville ............................................................................... Owner ..F.lorence W. Ungerman ...................................................... Type of Construction ,Frame I ................................................................................ Plot ............................ Lot ................................ Permit Granted ...January 28, 19 81 Date of Inspection ...................R1.7....19 SK D,ate , Complete .... .............. 9 $� vim • R1 PERMIT REFUSED ...... ......1..c.................................. 19 S.V ............................................... in,f 1W Q . ............................................... y. . . . . ............................................. 'S Q N Approeilt...... J....................................... 19 G= !1f1.... ......................................................... Assessor's map and lot number ....... ...-.. �� e............ / q CF THE TO Sewage Permit number ........................................................ d w Z BARNS ABLE, i House number ..........................: ).. ..................................., 900 6G ♦� 0 NO a� TOWN OF BARNSTABLE BUILDING INSPECTOR Loo APPLICATION FOR PERMIT TO �' �``` " ►f , ' ���= + + '►c.i'+ t. I rt� ,r .....................:..:................................................................................................. tJ" I � • TYPE OF CONSTRUCTION .....� ,',: ...... ::.:f ................................................................................... r �r :.�.f,n Ct z TT,", TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..................... ............ ..?.... ?. :..: .................. . C r a ................................. Proposed Use 1 r:. ...r....... r f ...ri n s,r - 1.......p .. ............ .. �.... ..... .......... ... ......... ......... ......... � Zoning District .. ................................................Fire District ( ac,r,-,' ....,1�, 11 r� l c. ►� Name of Owner ... .t'"::5.:...'....... _. ..�..... Address ... ..................Ei ° `....'.�..;!...�::.�i .. Name of Builder . �.�, {?....'. . ...: .. 1�:...3�.t�' f`r���.....Addressj`i �!' ...�?.*.�...... .C:���' .,o. ! Nameof Architect ..................................................................Address .................................................................................... Number of Rooms - Foundation ......? r?r _'-r-; s nc-"r' ,p r� .......................................................... r 1h I+r .C'.' i,r , f1: r:r+C /� 1� i©kCt:nr• Exierior ......................................... t.........�...._.....�...........Roofing ................. ....... ................................................. Floors {T "' r .......................................................Interior ry Heating :....�. ... ..•............................Plumbing ..............{................ ................................................. - r Fireplace ... ...�:::� .....i '... ,... e ... .,,�..r f �...Q<'f' .....Approximate Cost r r1 3 )C).............................. Definitive Plan Approved by Planning Board _!_________19_'_G±'+_. Area .....�. .::�( ... .`.:.... `.. Diagram of Lot and Building with Dimensions Fee J SUBJECT TO APPROVAL OF BOARD OF HEALTH L f 4 I - •t I �.,,,,r � ,�vt.l ., Uo Yl.)l 14A/r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. UNGERMAN, Florence W. ` A=18 /-4� No Permit for Two Stork Single.• Family Dwelling Location ,Lot #8 515 Bay Lane ..... ..... ......................... ................Centerville. . . ........ ....... .. . .................................... t Owner ......F'.lorenc.e.......[a.......Ungerman....... .. Type of Construction ...Frame.......................... ................................................................................ i Plot ............................ Lot ::.............................. Permit Granted .,• January 28, 19 81 Date of Inspection ........................19 �II Date Completed .......... ...........................19 1 1 PERMIT REFUSED i ............................... ............................. 19 ............................................................................... ................................................................................ �. a.. ................................. r...//. ..................................... Approved ................................................ 19 ............................................................................... ............................................................................... i - _ l v 1 i SHEET 1 OF 3 • COVE ISLAND RD. LOCUS + �. SCUDDER BAY \ N A"K.A. OLD HOUSE MLW AT MARSH EDGE m POND + FROM SOUNDINGS* l p BEACH LEAF NOTE: MUD SLURRY + LANDING EXPOSED AT LOW WATER �Gj. , o- RD. + � Ir 4\ + i N 00 + O ' to BAY LANE Ilk LOCUS MAP (NTS) + y\ ASS. MAP 187, PARCEL 56 PROP 6'x 8' \ < <' , PLATFORM <D f1 N DATUM: M.L.W = 0.0 OBSERVED ARNE \ /a } CDOJAlA . \ a F �' rL z �A +y ARNE H. OJALA, PE, PLS DATE \ SALT MARSH q �' + Tl �p PL + �N l � Q OF LOT 7 ;+,. • B.V W '' � to^ a �- PAUL J. NANCY LOT 9 cis A , _ o -D PINES ., 8I KARR ANDREW F. & KIM T. +� �� + + P.O. BOX 1541 PATH EXIST. ¢ CLOUTIER + a N DUXBURY, MA. 503 BAY LANE p tz" OAK N o o ® 02332 CENTERVILLE,. MA. W + 02632 °o a N --� + p C3� O 6k wN PROP. DECK { LP 00 PAT10 + EXPANSION LOT U p 0 V 1 O ES'I DECK 23,960 sq. ft. —' Co a O cr CP CA I. rn �\ D BENCHMARK i TOP OF L=65 z 59.96' . 04 CONCRETE BOUND r, EL. _ .17.07 0 BAY LANE PLAN ACCOMPANYING THE PETITION OF HERBERT & PRISCILLA VOLLMAN PLAN SCALE: 1" = 30' 515 BAY. LANE TO CONSTRUCT AND MAINTAIN A PIER, RAMP & KAYAK/CANOE RACK j IN AND OVER THE WATERS OF SCUDDER BAY CENTERVILLE, MA. DATE: 9/14/01 down cape engineering, Inc. #007 246 f ' J JJi � 1 t i i ^ SHEET 2 OF 3 EXISTING PATH DECK EL. = 3;8' PROPOSED 2" X 4" HANDRAIL 6' x8' TEE 8' o �. ( TYP MHW = 2.0'f - f EXIST. MARSH GRADE EL.1.3'�f 77 M W= .0't II „ „ L Q 4 x 4 PT 1N SALT MARSH/BVW�P T TYP APPROX, MUD SLURRY LINE POSTS ( ) MEASURED BOTTOM DRIVEN TO REFUSAL PROFILE VIEW OF PROPOSED PIER SECTION A—A 1.. 15' 2"x 8" STRINGERS (TYP) 16" MIN. DECK 4x4 POST 16" EL. = 3„x 8" BENT (BOTH SIDES) i MIN. 3.$' USE 5/8„ .GALV. BOLTS . AND WASHERS, MIN. 2 AT 1 1.5 _t_-EACH POINT OF - CONNECTION 3� 2"x 6" CROSS BRACING 1X6 DECKING (BOTH SIDES) 1" SPACING 4' AS NECESSARY 2X6 BRACE I — 4"x 4" PT POST KAYAK/CANOE RACK SECTION SCALE. 1" = 4' ELEY6110N USE REMOVABLE 1/2" ARNtm GALVANIZED. MACHINE ; �d. `_ ' P1R CONSTRUCTION DETAIL BOLTS WITH WASHERS JAIO A ' TO ATTACH PIER �. No. 263df a. u 2 SECTIONS sS. ,°�,, NOTE: CONSTRUCTION OF PIER SLR JECT TO FIELD CONDITIONS AND BUILDING DEPT. REQUIREMENTS. HERBERT & PRIS LL CI A V LLMAN 0 SCUDDER BAY CENTERVILLE, MA. DATE: 9/14/01 down cape engineering, inc. #00—L46 I i , I t f , SHEET 3 OF 3 84.5'f 1„ x6" P7 PROP. 6'x 8' DECKING 1.. x 5" PT 16' 6 5' TEE 1" SPACING 8 O.C. _ TR 9(TYP) . (TYP}r RAMP 1 n , 6.0 PROVIDE 2 x 6 4 x 4 PT PROP. 2"x 8" STRINGERS CROSS BRACING POSTS (TYP) KAYAK/CANOE 1 (TYP.) (TYP,) IN MARSH RACKS i PLAN VIEW GALV. STRIP SCALE: 1" FOR HOLD 3' NOTE ADDED NOVEMBER 22, 2002 DOWN THE DECKING WILL BE MADE OF GRATED MATERIAL WITH A VOID SPACE SUFFICIENT TO ALLOW A, MINIMUM OF. 70% LIGHT PENETRATION. 2X8 STRINGERS 5/8.0 H.D. GALV. THRU BOLT 2-2X6 ON 8' BENTS iv 2X6 BRACES CONTINUOUS AS DICTATED BY THE 4"X4" POST BARNSTABLE 8' BETWEEN BAYS CONSERVATION COMMISSION off. 508-362-4541 fox 508-M-95w down cape engineering, inc. CIVIL ENGINEERS r I LAND SURVEYORS SECTION 939 maw St, yarmoutb, me- 02675 PIER CONSTRUCTION DETAIL a' 1 = 2 USE REMOVABLE 1/2" YYYYYr ` A`H. 3ni ! GALVANIZED MACHINE S �1 s3Ar ` BOLTS WITH WASHERS !<< N � y;dc TO ATTACH PIER .�� P �1/Z� o SECTIONS Z A JALA, PE, PLS DATE NOTE: CONSTRUCTION OF PIER SUBJECT TO FIELD CONDITIONS AND BUILDING DEPT. REQUIREMENTS. ' HERBERT & PRISCILLA VOLLMAN SCUDDER BAY CENTERVILLE, MA. DATE: 9/14/01 #00-246 _ - - REVISIONS BY V. P i ��" 1 i ,ii/ mot'• — 1•} Rv�jig, i f t I n f 6 �. 11 II I _S CPO ELF VAT l o;A 3CALS: ci Ll 4, r I �.t �F-J. `.¢v sssz& 'F t;l Eli; h- c N 1} 1 CGS✓" c�c wL m _ 1 IV-TA•/j t t_ _ G G 1 , �-��r -._.._.. . . •1��. !____�� -o_;3 '�` .- _-----_-_ --- - - - - - - -- _:�------- ill -iIf I •------- _. � ,�, I�::� .— ( -�l { ii L - �'I �Ii. t 1 ! i ii,".'.� � :�{•7.: � �I� �•I �7 ',-1 — r I r' - `_�. 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O v In _ _ t '. 1 Du ' _.."-�- _. _ _�-" �___._ ._-1� - -_-- $C.tt4•' 1- I r ) _i --_-__.__��---.___ -... ._-._- r -L:� •:R��L poet•NCB I?4d,-prj `eF�=ram, - JNt,'12PIN Ew4[11�6 F=gpC. ,�;J SNEET f G G c o t-, O O O t.A 5 GALE l%G":11 u'r Zo klOn 4 tk i1 Fo i It6 J COVE ISLAND RO. off. 508-362-4541 LOCUS fox 508-362-9880 down cape englneering, inc. i CIVIL ENGINEERS LAND SURVEYORS' R BEACH 939 main st, yarmouth, ma 02675 I i kk BAY LANE . I LOCATION MAP (NO SCALE) I 1 LEGEND 1 (f_l) OAK I PINE HOLLY 1 PROP. WORK LIMIT LINE \ f OF STAKED SILT FENCE e PROP. f Ds SCREENED PORCH ON 95 DECK. 154 74 1 94 \_ ( , r±�2175 �\ �0�� ,�n +z ,z +23.a$PROP.N. ADD' 23.38 LOT 8 23,960 sgftt 1+20[71 23.59 I 1 � � EXIST. XI T. AT 23.52 ST I I fl y EXISTING o a o DWELLING � 1 11 1 1 I j I / o fc = 25.6' O 1111 _ _ -....--_-4.._...--•-'-Y-=..�-- 'I_ll- I I.I,� 441,68 P ' EACH -- -, (APPROX. +23 .75 4. LOCATION) # ,8 STONE PATIO / I GAR. .�o l of F CHMARK — TOP OFCRETE BOUND 16.07 f NOTES: I I 1. ELEVATIONS NGVD 2. FLOODZONE EL 11 AND C (HOUSE IS IN C) 3. ASSESSORS MAP 187 PARCEL 56 4. ZONING: RD-1 (30' FRONT, 10' SIDE) 5. ROOF I RUN-OFF TO BE DIRECTED TO DRYWELLS r 6. REF. ORDER OF CONDITIONS SE3-3780 SITE —P.—UN (PIER,, DECK, RESOURCE AREA APPROVALS) 7. SEPTIC SYSTEM SHOWN AS PER AS—BUILT PLAN SHOWING PROPOSED ADDITION (NOT`CONFIRMED IN THE FIELD) OF 515 BA Y LANE 0O0r fAgs IN THE TOWN OF: ARNE (CENTERVILLE)H. BARNSTABLE OJALA PREPARED FOR: No, 2634 HERB & PRISCILLA VOLLMAN �o P ss\° )L�- 30 0 30 60 90 ARNE H. OJALA, PE, S DATE SCALE: 1" = 30' DATE: MARCH 18, 2004 00-246 1 - REV 1/13/05 (DECK) 1 i. ! Y. 1 t REVWIONS' BY VOW 410 : �Pv10l�E CETECTOR �E�II�VIIED I F4, I DATE BUILDING DEPT. " F BA .. 15CR.(,IAsS ,SHIN 6LES I 1S11 N6 Kfgioe � :. FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING m Eli ... S tti el,ES� IMPpRTAidT UPGRADE REQUIRED ING OF QUIRES STATE BUILDING CODE HE ENTIREEDWELLING WHEN MOKE DETECTORS FOR - t t 8 ADDED OR CREATED. ff t_ =- LEEPfNGARFAS I � � I' �E�� ELE VAT toia Scft_E: y4° ll� � -;' ARE AD ONE OR MORE S — t.�. ._ 1 -� A .SEPARAE PERMIT IS PE REIIuRm FOR T THE OF SMOKE DETECTORS-THE ELECTRICAL OU z \ INSTALLA NOT SATISFY 1H{S REPERMT DUIREMENT, SFIiN6lES / N .. I Li.- v � r tttltl���llllll t, �351 . � Di61LClAis-, SLIIN6f.ES .. j �1. 1 ,u I NINE OL EM pp F . H WME2 •TABLE .. _ _ r '_—_—._ ._— .—_—_.__ ___ __.-____.____ r 1 03 I1 _ C cnNC¢E 2J . o Q PRa9r,55o New p001•t1oM $ J m FIT F R o N`T EL 1-3 9Cj.L£t Il4"�l v D I I I S 1.D E.. .l✓t.E k f 1 O rlXO LF: 1�411c(��11 AVPRa Pµ•can c i i u! (FAST) - I I 1 I L Fb¢TN') i 11 It - - oAle 4 a�AN•IOS _ I' I i — scue f►�T6Q o I i I¢.o„ r , 1 C 1 , ..10 `- - - v ' mr4c op i oEeK h$oVB Iw acW. o , o-. ash . - J I 1 tb seT _ -. a ... T .. _ . . .:_ .❑r ... ._:. . . ... I . ' 'i s r :- b 3MAS�K.:=. 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CRA E1 1.3t 7L" T 7ox..1 SCABBY�-C POSTS (TYP) (�L n (� (� M f5 I BAY LANE r I! Fin DRIVENMTO REFUSAL ll r I PI26301 ER SOLE E I'I L• ( + LOCATION MAP (NO SCALE) ASSESSORS MAP 187 PARCEL 56 �T.AI.E CC" _ ;��.�T;n DATUM IS MLW 1" x 6" PT PIER IS TO SERVE NON-MOTORIZED CRAFT DECKING 1" SPACING 4"x 4" PT (T ) e' O.C. POSTS (TYP) 1.4 POST - H AD -IL I SPACING / b (REMOVABLE) PROP. 6'x 8' TEE PLAN VIEW 4"x 4 PT PROP. KAYAK/CANOE RACKS 'i'� ii I• .ni r rriP�i „•,i. f NO SCALE POSTS (T'YP), IN MARSH ® A o. HPA,; A :A" (91111' �6� I MIN 16" DECK EL. 2"x 8" STRINGERS (TYP) PLEB_ CONSTRUCTION DETAIL MINI 3.8' N TS MLW AT MARSH EDGE T 3"x 8" BENT (BOTH SIDES) 1.5' r U'-F 5/.R" GAL'/. POt "S AND FROM SOUNDINGS* � WASHERS, MIN. 2 Al ;:-ACH -0.53 POINT OF CONNECTION -LOT - .04 2"x 6" CROSS BRACING 4' (BOTH SIDES) � -0.86 + _4 5 `�� 1 +7.57 +19 4'00. 4"x 4" PT POST # +\18 +14.24 Q� +-1.33 kp -0.37 y +6.72 +20.83 +11.76 3' � +�t6,65 KAYAK/CANOE RACK SECTION r� +1.69,. 14.70\ TOP OF BANK PROP. DECK 1" s 5't SALT MARSH ` EXPANSION LOT 8 I+1.38 PINES° 3.12 23,960 sgftt +1.00 ff u +1 103 tt2 ? +-1.29 +-2.07 y v �.- 3 +1 2 EXIST. PATH 1.00 -0.23 29 11. 16.96 1.48 EXISTING o S 11.96 DWELLING 11) SI PLAN -1.11 i +'1.00 +12.78 EXIST. 23.70 4 + -4 7.59 19.28 DECK J • NOTE:+ MUD SLURRY ,� +1.34 , w SHOWING PROPOSED PIER EXPOSED AT LOW WATER �• 23.47-0 �y� "/ OAK \ !h Lf\�ST PO 23.86 +-1.14 �F -0.05 I, j 1.93 +10.13 +17�82 +19.68 PROP DECK �C, y OF 515 BAY LANE N -0.18 j' / .43 EXPANSION + .a0 41 f _ _ .93 / ONE PATIO3.54 +19.60 � IN THE TOWN OF: 1' #3 .079 TONE 18.53 +22.89 GAR. � 23.zo CENTERVILLE -0.17 +20.94 (0 PREPARED FOR: HERBERT VOLLMANN Cj BENCHMARK - TOP OF 188,ZE 22.15 CONCRETE BOUND EL. = 17.07 (MLW DATUM) 30 0 30 1 90 off 508-362-4541 SCALE: 1 " = 30' DATE: DECEMBER 16, 2000 fax 508 362-9880 LOT 9 REV. 3/16/01 (PIER) down cape engineering, Inc. REV. 5/1/01 (PIER SN OF1H Ui REV. 8/2/01 (PIER CIVIL ENGINEERS zwow "HE J i�� AR E H. LAND SURVEYORS S OJALA No.26 Q o 00- 246 939 main st. yarmouth, ma 02675 ��'oNac �. P.L.S. IODATE • E